ER 3x8

1. Okay, if you don't have

2. your child's card with you, let me know.

3. Si no tienes su tarjeta de imunizacion hoy

4. por favor, digame ahora.

5. Chuny, can I get a hand in here, please?

6. A tengan pacience, por favor...

7. Okay, listen, I'll be with all of you in just a second.

8. Everybody get a cookie? Get a cookie? Excuse me, pal.

9. Listen, I need you to explain to her about the lead.

10. O tenemos un examen de...

11. ieu nu-sint spaniola.

12. Intelet mai bine engiezeste de cit spaniola.

13. Sorry. That ain't Spanish.

14. Uh, we need to take some blood

15. to see if the baby's been exposed to lead.

16. Lead is very bad for children.

17. Okay.

18. And then if there's a problem, we'll call you.

19. Okay.

20. You know what, if you just... you sign this,

21. and then the nurse will take some blood.

22. Okay.

23. Next, please.

24. Think that was an informed consent?

25. Close enough.

26. Hey, old man. Hey.

27. You again?

28. Yeah. I know you.

29. Uh... Halloween.

30. Uh, Charlie, right?

31. Yeah, you gave me some condoms.

32. Guess you were a couple years late.

33. Uh-huh. You're telling me that's yours?

34. Why not?

35. His dad's a Pakistani dude.

36. And his name is "Lopez" because...?

37. Okay. His mom Gloria's a friend of mine.

38. She's got a job today, so I'm baby-sitting.

39. She heard they were giving out free shots.

40. And Ahmed hasn't been seen since he was four months old?

41. Yeah, I guess.

42. Let me see. Ahmed, come here.

43. What's he now... About a year and a half?

44. All right, well, we're going to need to have

45. his mother's address for a follow-up.

46. They live at Sisters over on Grand.

47. The shelter?

48. Dr. Ross, don't we need parental consent?

49. That's why I told you I'm the mom.

50. All right, Ms. Lopez

51. Why don't you sign right there?

52. I don't know about this.

53. Want me to send him home?

54. Okay, next.

55. Hey, Charlie.

56. Shouldn't you be in school?

57. We're off.

58. It's Career day.

59. BP's 200/140.

60. Try to relax, Mr. Reynolds. Okay?

61. Ultrasound's ready.

62. All right, take a look, tell me what you see.

63. You want me to get him started on beta blockers?

64. You read my mind. Osmolal, five grams in 500 mil.

65. And four of morphine.

66. It's a triple-A, I'd say about four centimeters.

67. Dr. Lewis, great.

68. I was afraid I was going to miss you. I'm on till 2:00.

69. You know it's not going to be the same around here without you.

70. Oh, stop it. It's hard enough.

71. Okay, Dr. Doyle, give Dr. Carter the bullet.

72. 72-year-old male, history of hypertension

73. and hypercholesterolemia, one previous MI.

74. Pain began in left lower quadrant a week ago.

75. The ultrasound shows

76. abdominal aneurysm... Four centimeters.

77. Yeah, we'll take him off your hands for you.

78. Ah, not so fast, Dr. Carter.

79. Check his femoral pulses.

80. The ultrasound indicates surgery.

81. What do you think, Dr. Doyle?

82. I agree with Carter. There's a chance for rupture.

83. Ten percent.

84. How are his femoral pulses?

85. Two plus, bilaterally.

86. So he has good blood flow to his lower extremities.

87. But the ultrasound indicates a risk.

88. Shows no leakage.

89. Let's get a CT to confirm it.

90. So, you want to manage it medically?

91. Yes, I'd like to try.

92. The machines can give us test results,

93. but they like to keep us around here for diagnostic judgment.

94. You see, this is her last shift

95. maybe our last patient together.

96. She's just trying to bust me.

97. Someone has to hold you surgeons back.

98. Page me if you need me.

99. Okay, let's get him to CT.

100. I guess I got a lot to learn.

101. Yeah, it takes practice.

102. Don't be afraid to step up.

103. You should have seen me my first year.

104. Don't believe her.

105. She was always this good.

106. Are you with the moving company?

107. No, I'm Mark Greene, a friend of Susan's.

108. Then you're the one who's interested in taking over the lease?

109. Yes.

110. Ah, Phyllis Dodds. I'm the landlady.

111. Hi, Phyllis.

112. Are you okay?

113. It's just a muscle spasm.

114. Probably stress. Yeah.

115. It's a great one-bedroom.

116. Lots of closet space, nice cross-breeze

117. on a quiet street.

118. Yeah, I've spent some time here.

119. You worked with Susan?

120. About three years.

121. Actually, more than three years.

122. Are you single?

123. Divorced, and I've got my daughter

124. every other Saturday.

125. No live-ins, no parties, no pets.

126. None of the above.

127. There it is. A landlady's dream.

128. Well, at least, it works for someone.

129. Oh, good.

130. All the boxes go, the luggage stays.

131. Place looks a lot bigger

132. without Susan's stuff, doesn't it?

133. Yeah, it's a whole lot emptier.

134. Start here.

135. I got it.

136. So basically, we're screwed.

137. We can pull the interns off their electives,

138. but unless the senior residents lose their vacation time,

139. we won't be able to cover the schedule.

140. Are you okay?

141. Yeah. Just didn't get much sleep last night.

142. I'm sorry, what'd you say after "We're screwed"?

143. It's gonna be a pain to lose Susan Lewis.

144. A big mistake for her... Phoenix?

145. I mean, what was David Morgenstern thinking

146. letting her go?

147. You know, I want to be supportive of lifestyle choices

148. but we're getting the short end here.

149. Good morning, all.

150. Hang tough, coach Pino.

151. We've got a 35-year-old roller hockey coach

152. got slammed into the boards.

153. Possible hip dislocation.

154. Dr. Weaver, can I take this one?

155. Be my guest.

156. One of you guys nail him?

157. He told us to play the body.

158. Never apologize for a good hip check,

159. right, Coach?

160. Are you sure you're feeling okay?

161. Yes. Stiff muscles.

162. I might be coming down with something.

163. You know, go home. This might be your only chance.

164. Yeah, I think I'm going to stick around.

165. Hey. Hey.

166. So, T-minus five hours and counting?

167. Yeah. I'm starting to get nervous.

168. You'll do great in Arizona.

169. The winters there are like heaven.

170. I just don't want to leave anyone in the lurch, you know?

171. We'll muddle through.

172. Oh, hey, I signed the lease.

173. Oh, great. That's great!

174. That would be a shame to let that place go...

175. and I'll never forget your address.

176. You want to help me with a teaching demo?

177. Yeah.

178. Did you give him five of morphine?

179. And Valium and 100 Methohexital.

180. First, the nurse... Or in this case, Susan...

181. Applies counter-traction.

182. Good job, Susan.

183. Then, you grab behind the knee

184. and you lift.

185. And you lift... until...

186. you feel the...

187. hip slip back into place.

188. That's it.

189. Okay.

190. Thanks, Susan.

191. Anytime.

192. Anytime in the next four hours.

193. Dislocations aren't that tough.

194. You get the feel for it.

195. I know.

196. I've done a bunch of them.

197. Why'd you ask for help?

198. I didn't.

199. That was perfect.

200. Will you take one for me?

201. We will do anything for you, Dr. Keaton.

202. Say "discharged."

203. Discharged. Great.

204. Oh, good. There's Dr. Benton.

205. The Herlihys are taking Megan home today finally.

206. Oh, yeah. I heard.

207. Congratulations.

208. David, get one with Dr. Benton in it, please.

209. Oh, yeah, please. Oh, no, no, no, I...

210. Oh, it's okay. It's okay.

211. Smile.

212. We owe both of you so much.

213. Well, we're not usually shy about taking credit,

214. but in this case, Megan deserves

215. all the congratulations.

216. Thank you, Dr. Keaton. We'll be in touch.

217. Bye.

218. God bless.

219. Bye!

220. Well, that was awkward.

221. Why?

222. Because I almost killed their baby.

223. Never begrudge a good outcome.

224. Well, it's nothing to be proud of.

225. But sometimes, the gods smile.

226. There you are. Hi.

227. Carter? What are you doing here?

228. Uh... actually, I was, um... I was coming to...

229. Were you ready to go over the literature review?

230. Yes, I was. I am...

231. if you are.

232. The literature review?

233. Um, I kidnapped your intern.

234. I hope you don't mind, but I'm up against a deadline,

235. so I asked Dr. Carter

236. to contribute to an article I'm writing.

237. Yes. She did.

238. Well, as long as it doesn't interfere

239. with your other work.

240. No. This thing with Dr. Keaton...

241. This article won't get in the way at all.

242. I can go over your first draft at 3:00.

243. Okay. Okay?

244. Yeah.

245. Okay, see you at 3:00.

246. Hey, cleaning out your locker?

247. Oh, this is too weird.

248. What time's your train?

249. 4:20. I have to go by my house

250. and pick up my stuff.

251. I'm not cutting it too close, am I?

252. You're on until 2:00?

253. There's not any farewell thing going on, is there?

254. No, not that I've heard of.

255. Okay, good. Mark is acting so odd.

256. Well, he's going to miss you.

257. He's the one who thinks I should go.

258. If I hear how great Phoenix is one more time...

259. I think he's just trying to be a good sport, you know,

260. judging from how miserable he looks.

261. You having second thoughts?

262. I never made a decision that seemed so right.

263. You know, once I made it, I just felt great.

264. Of course, I'm having second thoughts.

265. Well, I wish you weren't going...

266. but you do look happy.

267. Do I?

268. I'm just afraid that I'm not really happy at all.

269. I'm just barging in on Chloe and Joe's happiness.

270. Yeah, well, she owes you a couple of barge-ins.

271. Susan.

272. There you are.

273. What's wrong?

274. Uh, I need a second opinion.

275. Sure.

276. See? Odd.

277. I want to get your opinion on a patient.

278. You coming down with something?

279. I hope not. Exam Room One.

280. 28-year-old smoker, on the pill

281. complains of shortness of breath.

282. Diffuse low voltage on her EKG.

283. I'm thinking pericarditis... Get an echo.

284. Yeah. That's what I'd do.

285. You don't think it could be a pulmonary embolism?

286. She's at risk, abnormal EKG, It could be lead placement.

287. No. I'd go with the echo.

288. You sure?

289. Yeah. It's a no-brainer.

290. You can always get a VQ scan

291. if the echo's negative.

292. You know, that's what I was thinking,

293. so I'll order an echo.

294. There they are...

295. The Mutt and Jeff of emergency medicine

296. pooling their expertise

297. before she leaves us in the dust.

298. Doug, stop.

299. All right, Randi, call the lab.

300. Pick up these tests.

301. Where have you been?

302. The hell mobile.

303. Still no reason to make us miserable.

304. Diaper rash, curtain three.

305. Saved it just for you.

306. Wait, Anspaugh made you ride the mobile again?

307. Anspaugh didn't make us do it.

308. The immunization program was Dr. Ross' idea.

309. Is this true?

310. Keeps me off the streets.

311. Check this out.

312. I got sunscreen.

313. I got a turquoise belt buckle.

314. I got a snake bite kit.

315. What for?

316. Susan's farewell.

317. Yeah, and we got a cactus-shaped cake.

318. Oh, guys, I don't know.

319. I think she's gonna hate this.

320. Of course she's gonna hate it.

321. That's why we're doing it.

322. Let me know when those labs get back.

323. You look lousy.

324. Oh, God. I woke up with this neck thing, you know, fever.

325. Right.

326. There's a flu going around, but I had a flu shot...

327. So you didn't do it, right?

328. You didn't tell her how you feel?

329. She's leaving. Right.

330. She's made her decision. Mm-hmm.

331. I didn't see any point in saying anything.

332. Mm-hmm.

333. In two hours, we'll have a one-week-old male baby

334. on this table,

335. and what do we know about this poor soul?

336. He has a distended abdomen

337. visible peristalsis.

338. The upper G.I. series showed a partial

339. small bowel obstruction.

340. So, when we open him up, we're expecting...

341. A malrotation of the gut.

342. Mm-hmm. Meaning?

343. In the tenth week of fetal development,

344. the cephalic limb of the intestinal loop

345. elongated and twisted 270 degrees.

346. Okay, but begin with the duodenum.

347. What would you expect to see in a normal one-week-old?

348. What, you mean like the duodenum leads to...

349. Mm-hmm.

350. Close your eyes.

351. Try to see it.

352. The, uh...

353. duodenum leads to the jejunum which connects to the ileum.

354. Okay, but slow down, and tell me what you see.

355. What do you mean?

356. Um, start with the image of a healthy gut.

357. I'm seeing the head of the pancreas.

358. It's like a tiny fist holding two straws.

359. You mean the mesenteric artery and vein?

360. Uh-huh.

361. It's nestled

362. in the open-C of the duodenum

363. and its surface is like fine pebbles...

364. a beautiful shade of...

365. tannish yellow.

366. Go on. You try.

367. Okay, the, um... the pancreas is...

368. shaped like... a tadpole with a big head.

369. Uh-huh.

370. Um... it narrows into a tail that curls

371. into the hilum of the spleen.

372. Go on, now, see the spleen.

373. Susan.

374. Yes.

375. I know you and I had a rocky start,

376. but I thought we'd worked on our relationship

377. and developed a professional rapport.

378. What are you talking about?

379. The smoker in one... I diagnosed him

380. with a pulmonary embolism

381. and consented her for a VQ.

382. Well, I thought it was Mark's patient.

383. He asked me for my opinion.

384. Oh, well, I guess my beef is with him, then.

385. You know what, I'll talk to him.

386. I think I know what the problem is.

387. Thank you. Okay.

388. No. Absolutely not. No way.

389. It just ticks me off.

390. I mean I probably could go up there...

391. No. You can't.

392. Well, it wouldn't kill me to finish up just one shift up in neuro.

393. It's the principle.

394. Last week I let Lydia go up there,

395. and it just encouraged them to do it more.

396. What's up?

397. I got called up to Neuro to fill in for the day.

398. Yes, may I speak to the nursing administrator please?

399. Carol Hathaway in the ER.

400. Hey, Haleh when do you max out on your pension?

401. Two more years.

402. See? They are hassling the senior nurses.

403. No. I'll hold.

404. Hey, what's in the box?

405. Bridal shoppe?

406. Did you and Al finally set the date?

407. No. The opposite.

408. She broke off with Al.

409. I'm returning this ridiculous fake virgin outfit

410. and they better not offer me store credit.

411. Still holding. Sorry, Lydia.

412. What did Al do?

413. Nothing. That's the problem.

414. He kept putting it off. He didn't want to get married.

415. I don't know why he ever proposed.

416. What's the matter with you guys?

417. They're wimps.

418. They're all petrified to make a move.

419. It's lack of spine, isn't it?

420. Whatever you're talking about,

421. I'm sure you're right.

422. Hey, Mark, I need to talk to you.

423. Ah, Mary. Yes, hello, Carol Hathaway in the ER.

424. Well, I'm not doing too good at the moment.

425. One of my nurses just got floated up to Neuro.

426. Look, I'm trying to run a department here,

427. and it doesn't benefit my nurses

428. to be shipped all over the hospital.

429. No. You know what?

430. She is not going up. She is not going up to Neuro.

431. Right. Right.

432. Hot stuff.

433. Yeah. Unfortunately, you still have to go

434. but this is the last time.

435. I've made an appointment with her this afternoon.

436. I'm going to stop this.

437. Uh-huh.

438. Hang in there, Lydia.

439. Don't worry about me.

440. But you can't put me in the middle

441. of your conflicts with Kerry Weaver.

442. I mean literally, you can't,

443. because I'm not going to be here.

444. I just trust your judgment.

445. Look, I know what this is about,

446. and I'm having a hard time, too.

447. I think we've both been spoiled by what we have...

448. The shorthand.

449. Uh-huh.

450. It just makes our job so much easier.

451. Dr. Greene? Jobs. Right.

452. When I go to Phoenix, I'm afraid that there won't be

453. a single person in the ER that I can talk to.

454. They got great doctors there.

455. They have great doctors here...

456. The best I've ever worked with.

457. You can rely on them.

458. Thanks for the pep talk.

459. Mark.

460. Is it something else?

461. No. No, nothing else.

462. I mean, I could ask you to consult on the hives in Four,

463. but you know, time for us to stand on our own two feet.

464. Jeanie.

465. Jeanie.

466. Jeanie, I'm glad I caught you.

467. Did you get the mortgage papers back?

468. No, actually that's what I wanted to tell you.

469. Al, you promised.

470. I talked to this lawyer

471. we were doing a remodel for.

472. He gave me some advice, and...

473. here.

474. You were right.

475. Everything you said about our marriage,

476. about how you carried all the weight.

477. Well, that's going to stop.

478. What is this?

479. Divorce papers.

480. I'm giving you the house, the car, everything.

481. And don't say no.

482. It's not just because you deserve it.

483. See, this guy helped me figure out

484. that if I get my assets down

485. and show that my job doesn't have insurance

486. then I'll be able to get this state program

487. for the working poor.

488. They offer the drugs I need. It's a good deal.

489. But your income has to be less than $15,000 a year.

490. You don't have to worry about me anymore

491. Okay?

492. You just take care of yourself.

493. I got to go.

494. Hands off.

495. I don't want to be here.

496. Settle down. Hold her.

497. Thank God, she was passed out at Cubby's.

498. The bartender started to worry

499. after she downed that sixth double bourbon.

500. She looks full term.

501. Let go of me. I am out of here.

502. No, you're not.

503. Security! We need security!

504. Oh, damn!

505. Damn this damn thing!

506. Doyle, Ativan... two migs.

507. Ma'am, are you having contractions?

508. I need a drink

509. and I need to get... out of here!

510. Restraints!

511. You're not going anywhere.

512. I'll do whatever I want.

513. Hold still so we won't hurt your baby.

514. Go ahead and kill it!

515. I never wanted the little bastard.

516. It's a little late to think about that now.

517. Just sedate her.

518. I'll kill myself and I'll take it with me.

519. Damn thing. Ow! Ruined my life.

520. You're pissing me off, lady.

521. Hold on, Doyle.

522. I want to die.

523. Uh-oh. Look out. What happened?

524. Her water broke. We'd better get her up to OB.

525. I'll alert Pedes.

526. Another kid with Fetal Alcohol Syndrome on the way.

527. Need some help?

528. Yeah, we could use some muscle here.

529. Doyle, take her up to OB.

530. She was trying to kill her baby.

531. She admitted it.

532. Yeah, she's bombed. Alert Social Services.

533. Will they do anything?

534. They'll try.

535. Oh, man.

536. Keep your legs together, honey.

537. Yeah.

538. That was ugly.

539. It was criminal.

540. Excuse me, Chaplain. Do you have a minute?

541. Did you call for last rites?

542. No. I wanted to see

543. if you were free to see this woman.

544. She's in labor.

545. Does she want a prayer?

546. No, but I think her baby will.

547. Mark, I've got a brittle diabetic in two.

548. Came in with a blood glucose of 406.

549. Are you ill? You look flushed.

550. Uh, no, I'm fine.

551. Anyway, he hadn't taken his insulin

552. and his BP was 210/115. Off his dilt.

553. I gave him both, but he wants to see Susan.

554. He says he always sees Dr. Lewis.

555. Yeah, well, I can take it.

556. Okay.

557. Where's Dr. Lewis?

558. Well, she's busy right now. I'm Dr. Greene.

559. We've debrided Mr. Ceebar's ulcerated ankle.

560. Uh-huh. Do you have an endocrinologist?

561. Uh, sort of.

562. Well, the emergency room is really not the best place

563. for you to manage your diabetes.

564. My ex stole 500 bucks from me.

565. Well, I'm sure

566. that was quite upsetting, but that's still no reason

567. for you not to monitor your glucose level.

568. I-I wanted to tell Dr. Lewis.

569. Well, you can't see her right now.

570. Diabetes is a serious disease.

571. You can manage it if you follow the regimen.

572. But if you neglect it

573. you're at risk for kidney failure

574. blindness, and vascular disease.

575. Why?

576. Why...

577. Can't I see Dr. Lewis?

578. Should I try to find her?

579. Look, Dr. Lewis is leaving us, Mr. Ceebar, okay?

580. She's not going to work here anymore. Malik?

581. I-I-I didn't tell her about my car.

582. Someone ran into it and didn't even stop.

583. Malik, will you get psych for Mr. Ceebar?

584. I can find Dr. Lewis...

585. Get psych.

586. Dr. Ross, labs came back from the healthmobile.

587. Can you take a look at this CBC?

588. Crit's 28.

589. Iron deficiency anemia?

590. Nope. Normal MCV, No blasts.

591. We've got to get this kid back in for follow-up.

592. It's Ahmed Lopez, the baby that kid brought in.

593. Charlie? Sisters of Mercy Shelter? Yeah.

594. All right, I'll get the number.

595. I need a hand here.

596. What's the problem?

597. I never felt better.

598. The guy is sick, he's coughing his head off.

599. I thought I better bring him in here.

600. Now it's a crime to cough.

601. Shut up and be grateful.

602. I'll get a history.

603. Lydia.

604. Cops get stranger all the time.

605. Don't worry. This isn't about you.

606. Lydia...

607. Oh, she hates me, doesn't she?

608. Well, she's pretty fed up.

609. I don't know how she got the idea

610. I didn't want to get married.

611. Al, you kept putting it off.

612. Yeah, but that didn't mean

613. I didn't want to, you know?

614. I know.

615. I don't.

616. If you want to be with her, be with her.

617. Yeah, you're right.

618. I woke up this morning

619. and it was like I was dying.

620. I couldn't breathe.

621. You ever get that?

622. Yeah.

623. I got so crazed...

624. I tried to get the license, I drove to the church...

625. I tried to drag the priest over here

626. to marry us right now, today,

627. you know, if she'd have me.

628. What happened?

629. They were all at a CPR class.

630. Well, you know, we do have

631. a chaplain here in the hospital,

632. if you're serious.

633. Oh, yeah?

634. Mm-hmm.

635. He's in Trauma One, giving last rites.

636. Oh, boy, oh, boy, oh, boy. Look at that.

637. Where's the cecum?

638. Can't see for all the small bowel.

639. It's pretty blue in here.

640. Let's eviscerate.

641. Peter, want to take care of that obstruction?

642. Sure. Metz. Retractor.

643. Look different

644. from a healthy gut?

645. I'll say.

646. Visualize the transduodenal peritoneal bands

647. attached to the cecum and the ascending colon.

648. I am.

649. I'm putting some traction on this mass,

650. twisting it counterclockwise.

651. It's pretty tangled.

652. Like a drawer full of socks.

653. I'll have to remember that one.

654. Okay, it's pinking up.

655. I don't think we have dead bowel.

656. Do you have it?

657. Uh, yeah, it's...

658. everything's turned around in here.

659. Tell me if you need me.

660. I...

661. uh...

662. You better take it.

663. Okay, retract the intestine.

664. Metz.

665. Pick up.

666. The baby's name is Ahmed

667. the mother's name is Gloria

668. and I don't know what she looks like.

669. He doesn't remember the mother.

670. He took the blood without consent.

671. I didn't hear that.

672. That's great, Doug.

673. I know that all of your residents

674. are single moms. If...

675. Okay, sister, maybe I will.

676. Thank you. Thank you.

677. Don't ask.

678. Don't worry, I won't.

679. Has anybody seen Mr. Ceebar?

680. Mr. Ceebar, uh... a brittle diabetic?

681. Yeah, psych is here

682. but he's flown the coop.

683. All he just needs is five minutes of TLC and a cup of hot tea.

684. Well, he's gone now.

685. Hey.

686. Look at that.

687. Think he'll talk her into it?

688. Shouldn't be too hard.

689. It's what she wants.

690. Talk her into what?

691. Living happily ever after.

692. Sorry I couldn't step up in there.

693. Well, at least you knew you weren't ready.

694. The malrotation was more disorienting than I expected.

695. 90% of correcting a congenital anomaly

696. is knowing your embryology.

697. Yeah, and I reviewed that.

698. Well, then you had 90% of the job aced.

699. What was the other ten percent?

700. Being able to stand there

701. and let the confused anatomy start to make its own sense.

702. How?

703. By letting it happen.

704. Abnormalities in neonates

705. can be overwhelming

706. if you try to break it down into parts.

707. Aristotle would have made a lousy pediatric surgeon.

708. Sorry to interupt. Dr. Benton, they're calling for us from the ER.

709. They need us. What is it?

710. A wedding.

711. Oh, my God, it wasn't a joke.

712. Is this crazy?

713. Yeah, this is crazy.

714. Good thing you had this old rag lying around.

715. Well, make it snappy, girl.

716. They only gave me a 20-minute break in Neuro.

717. Oh, this veil's a little crushed.

718. Let me see if the coast is clear.

719. Wait, hold still. I don't want to stick you. Hold still.

720. How do we look?

721. No traumas coming in.

722. Let's go while the radio's quiet.

723. Am I too late?

724. No, right this way.

725. Bride's side or groom's?

726. Okay, they're a little drippy.

727. Yeah?

728. All right, everybody. They're ready, okay?

729. Right over there... That'd be good.

730. Okay, ready?

731. Well, uh, dearly beloved,

732. friends and colleagues,

733. we have come here today

734. as part of God's eternal plan

735. and on the spur of the moment

736. to this holy place

737. of life and death and healing

738. to join Lydia Wright

739. and Alfred...

740. Grabarsky.

741. Grabarsky.

742. Anybody get a stool culture on curtain...

743. Oh, my God.

744. I'm sorry.

745. It's okay. I'll go.

746. I did the rectal swab.

747. His chart's in exam one.

748. Best wishes, man.

749. Like all of us here, they have

750. chosen as their life's work

751. to care for and protect their community.

752. It's taxing and draining

753. and at times, it's dangerous work.

754. And now, Lydia and Alfred are choosing to take on

755. the care and protection for each other

756. and the love they share.

757. Dr. Benton sends his apologies.

758. He was called into an emergency.

759. Oh. We join them today

760. to witness and declare this sacred union between two people...

761. Testicular torsion.

762. Whose souls feed each other with that love.

763. It's a love that sustains all their outer efforts.

764. A love that is rare, and that should be treasured.

765. Code Six.

766. A... a love

767. that, at times, will burn brightly...

768. I need a hand.

769. And yet, at other times

770. it will flicker.

771. And now the vows.

772. Do you, Lydia,

773. take Alfred to love and cherish

774. from this day forward

775. till death do you part?

776. I do.

777. And do you, Alfred, take Lydia

778. to love and cherish from this day forward

779. till death do you part?

780. I do.

781. I now pronounce you husband and wife.

782. You may kiss your bride.

783. So then he just handed you the divorce papers?

784. Yep. It wasn't like him.

785. What do you mean?

786. It was the most unselfish thing he's ever done.

787. She's throwing the bouquet.

788. Come on, come on.

789. Come on. No pushing.

790. Come on. Hey, Carol.

791. Yeah?

792. It's bouquet time. No. Thank you.

793. Come on! No, no.

794. Hey, you think we should do the good-bye for Susan now

795. while we've got everyone here?

796. No. We'll do it in an hour or so.

797. Hey, did you see those two?

798. Yeah. Did you see them during the ceremony?

799. Yeah, it was pathetic.

800. I always felt those two would make a go of it.

801. Hey, they're best friends. What more do you want?

802. No, it's not what I want. It's what Mark wants.

803. I don't know. Things happen for a reason,

804. things don't happen for a reason.

805. Then why is she leaving?

806. She doesn't have a life here.

807. And one

808. two, three!

809. Oh, my God!

810. You're next!

811. Oh, yeah, Susan!

812. Congratulations.

813. You're next.

814. Yeah, right.

815. That was kind of great, huh?

816. Yeah. They seem happy.

817. Hey, Mark?

818. I guess I proved I'm no good at good-byes.

819. Me, neither.

820. I-I'm sorry that I snapped at you earlier.

821. I just don't want to go...

822. unless I know we'll always be friends.

823. We will.

824. You ready for me?

825. Come on in. Almost there.

826. Why don't you shut the door?

827. So, um, about your literature review...

828. It's very complete.

829. I have a few quibbles about emphasis.

830. I mean, I'm not sure that Ladd warrants

831. an entire paragraph.

832. Probably not.

833. But you have a very nice style.

834. Easy to read, not a lot of jargon.

835. Thank you.

836. Um, I would ask you to co-author

837. if you weren't first year, but I think

838. that we need to be careful

839. and not draw a lot of attention considering...

840. considering us? Yes.

841. What happened last Thursday? Mm-hmm.

842. And Saturday afternoon and evening?

843. Yes. And Tuesday before rounds.

844. Yeah, we could talk about that.

845. I mean, the only thing we need to keep straight

846. is that this is separate.

847. Completely separate.

848. Yes, from our work.

849. I mean it shouldn't matter. I am not your boss.

850. No. You're my boss' boss.

851. Did you lock the door?

852. Mm-hmm.

853. Okay, so that we both understand

854. this is strictly personal.

855. It has nothing to do with work.

856. Oh, I love that.

857. There are so many things

858. I'm not going to miss about this place.

859. Aftercare documentation is one of them.

860. I can't tell you how many hours

861. I've spent doing this.

862. You're the only one who ever bothers.

863. You kidding me?

864. No.

865. She said she's going to leave at 2:00 sharp.

866. Are they setting up?

867. In the lounge.

868. Hey, Mark.

869. I got a call from the DA today

870. about a drunk woman who came in in labor.

871. Uh-huh.

872. They're bringing charges against her... attempted murder.

873. Social Services really jumped on that one.

874. No, actually, they're acting on a call from us.

875. So you've seen that crayon-in-the-nose trick before?

876. Millions of times.

877. Doctor, I got that address for you... Sisters of Mercy.

878. Yeah, we can handle it together.

879. Doctor Doyle, did you make the call to the 32nd precinct today?

880. Yeah, I got a cousin there.

881. She said she wanted

882. to kill her baby. I was a witness.

883. We get a lot of women

884. with alcohol and drug problems.

885. If we let Social Services handle it.

886. It can fall through the cracks.

887. That's not what happens.

888. More to the point, initiating a criminal investigation wasn't your job.

889. What about protecting the health of the baby... is that my job?

890. We not going to improve prenatal care for high-risk infants

891. if we scare off the mothers.

892. How about this? If I get to testify against the bitch

893. I'll do it on my own time.

894. I think we're going to like her.

895. Randi, could you try and find me some aspirin?

896. It doesn't work for us.

897. We never had floats in and out of the department.

898. Budgets are tight, Carol.

899. Yeah, well, we're all aware of that.

900. Look, the hospital values its RNs.

901. Registered nurses are the best trained

902. and most versatile part of the entire nursing staff.

903. Thank you.

904. We are also the most expensive part of that staff.

905. County has got to figure out ways

906. to utilize RNs more effectively.

907. Well, at least, have the floats make sense.

908. Go on.

909. ER and ICU have more skills in common

910. than ward nurses, Recovery or Neuro.

911. That's a very good point, Carol.

912. That is precisely why

913. I keep trying to get you managers

914. who are in the trenches more active on the committees.

915. We need your perspective.

916. Oh, Mary. I'm swamped.

917. Okay. How about a deal?

918. I confine ER floats to ICU per your suggestion.

919. In exchange, you come sit

920. on the hospital-wide re-engineering committee...

921. We only meet once a month.

922. Okay. I stalled her with one last patient.

923. Better be a good one. She was out the door.

924. I think Mr. Frick

925. will keep her busy for a while.

926. Hey, you got any tape?

927. Yeah, yeah. Is Mark coming?

928. I beeped him twice.

929. Sorry, folks. We've got an MVA coming in.

930. Kindergarten car pool versus joyriding teens.

931. All right, let's go.

932. Could be as many as eight victims.

933. I'll clear the trauma rooms.

934. There goes the party.

935. What's the ETA?

936. Oh, they are pulling up now.

937. Let's go. Come on.

938. That's me. Runner-up for Mr. Universe.

939. Call me a fool, Doc

940. but I'm betting on a comeback.

941. I haven't changed a lick since 1947.

942. Well, I'm afraid you may have lost

943. a little too much weight recently.

944. Hey! I'm in training.

945. Midwestern finals.

946. American bodybuilders.

947. 70 and older.

948. Ah! I got to take care of this damn sciatica.

949. Oh, man, that smarts.

950. Yeah. Why don't you take a seat again.

951. Do you know how this injury happened?

952. My B-12 shot. Must have hit a nerve.

953. You're injecting vitamins?

954. Hey, don't worry. I steer clear of the steroids.

955. Oh, that's good.

956. Scoot back.

957. Press against my hands.

958. Yeah. Good.

959. Any other complaints?

960. Nope.

961. Best I've looked in ten years.

962. When's the competition?

963. Mid-March.

964. I'll be 74 by then.

965. And ready for a comeback.

966. You think?

967. Yep.

968. Plenty of bed rest, anti-inflammatories

969. and start back slowly.

970. Thanks, Doc.

971. Okay.

972. This one had a seat belt on

973. but there was passenger space intrusion.

974. Fractured tib-fib.

975. Hey, honey. You're going to be fine.

976. Order a portable c-spine and left tib-fib.

977. All right, come with me this way.

978. I'll find you a place to sit.

979. My mom and dad are going to kill me.

980. I'll tell them it was my fault.

981. Ah...

982. Signing out, Randi.

983. Thanks, Dr. Lewis.

984. Good luck in Phoenix. Thanks.

985. No, this is the ER again.

986. We need a neurosurgeon now.

987. I need Dr. Benton's x rays.

988. Get him to the suture room.

989. Set me up with some 4-0 nylon.

990. Wait! Wait! Wait!

991. Ma'am, you have a ruptured spleen.

992. You're going to need immediate surgery.

993. But it's my car pool.

994. All the parents need to be called!

995. Randi, come take these numbers down.

996. I'm coming. I'm coming.

997. I told you not to let him drive.

998. He told me he knew how.

999. We were just goofing around.

1000. Hush! Hold still.

1001. Complains of chest pains, shortness of breath.

1002. Diminished breath sounds on the left.

1003. Let's get a chest tube tray.

1004. We need an abdominal CT for the kid in Trauma One.

1005. BP's coming down. 190/130.

1006. Poor cap refill. Pulse ox 90.

1007. Type and cross two units.

1008. X ray's coming for the c-spine.

1009. Lower that IV bag.

1010. Anybody need any help?

1011. Susan, what are you still doing here?

1012. You're going to miss your train.

1013. Lavage is negative. Get an x-ray.

1014. Call us.

1015. Get some O-negative, too.

1016. I'm calling CT.

1017. Left pupil's sluggish.

1018. Dusky. You want to intubate?

1019. Yes.

1020. All right. You do it.

1021. 7.0 ET tube.

1022. Possible subdural hematoma.

1023. Mannitol.

1024. 90 grams IV

1025. Let's, uh, hyperventilate him.

1026. All right?

1027. Here you go.

1028. Okay.

1029. Use suction if you need it.

1030. Visualize the cords.

1031. Good, good.

1032. All right, take your time.

1033. He's breathing on his own.

1034. She didn't even leave a note.

1035. Well, you know, she was saying good-bye to everyone all day.

1036. Dr. Greene, one of those car pool kids crashed in Radiology.

1037. Which one?

1038. The fractured tib-fib. How'd it happen?

1039. So, if it's okay with you, I'd love to get out of here by 7:00.

1040. What, are you working on that literature review for Keaton?

1041. No, actually, I've got a date.

1042. Yeah? Well, just don't procrastinate

1043. and keep Keaton waiting... It reflects poorly on me.

1044. You know something? She's a hard one to get, isn't she?

1045. How do you figure?

1046. Well, obviously, she's a great surgeon

1047. but she's not much of a teacher.

1048. You don't think so?

1049. Oh, come on... all that psychobabble?

1050. Her explanations can be a little bit eccentric.

1051. She doesn't say what she wants.

1052. Sometimes, she does.

1053. Then again, you know, I haven't been working with her

1054. the same way that you have.

1055. Carter, she's soft.

1056. She can be.

1057. She doesn't act like a surgeon.

1058. Well, you know, it is difficult to learn from somebody

1059. who teaches by intuition,

1060. which is one of the things I've always appreciated about your teaching.

1061. Excuse me, Carter.

1062. Carla?

1063. There you are. You know,

1064. I've been sitting in that lot for half an hour.

1065. Why?

1066. Kingston Mines.

1067. Dinner before the early set.

1068. That's tomorrow night.

1069. No, that is tonight.

1070. Anything you need?

1071. No, Carter.

1072. Oh, I'm sorry.

1073. Carla, this is Dr. Carter.

1074. Carter, this is Carla Reece.

1075. Pleased to meet you. Same here.

1076. I'm sorry. I'm on till midnight tonight.

1077. So this is where you work until midnight?

1078. Yeah. Why don't I walk you to your car?

1079. Oh, you haven't been here before?

1080. No, no, I haven't, knock on wood.

1081. We should give you a tour.

1082. No, no, no, she's got plans.

1083. Not anymore. I've been stood up.

1084. Well, if Trauma One is open,

1085. we could start there.

1086. Mmm. Really. Just don't show me anything bloody.

1087. No, no, no, no.

1088. What do you do, Carla?

1089. I have this Caribbean restaurant on Western.

1090. No kidding? My family used to sail

1091. to the islands every spring.

1092. Half day, Dr. Ross?

1093. I was immunizing

1094. when you were hitting the snooze button.

1095. I'm upset because I don't understand

1096. how you could send a surgical abdomen...

1097. I asked if I should send him for a CT.

1098. You said go ahead.

1099. Yeah, I assumed he was stable.

1100. No, Mark, I asked for your call.

1101. You weren't listening.

1102. Well, you didn't ask me...

1103. you were distracted.

1104. You were looking for Susan Lewis

1105. worried that she had left, which is fine.

1106. I understand that, but don't yell at me now.

1107. Hey, Mark, grab your coat.

1108. Let's go talk.

1109. Hmm, Admin actually listened?

1110. So, no more floating?

1111. You laid down the law?

1112. Well, they won't be sending any of you to Neuro

1113. or the wards anymore.

1114. They're going to limit our floats to ICU.

1115. How is that any better?

1116. Well, at least the nursing skills are similar.

1117. We're going to have to get it in our contract.

1118. Only way they'll respect us.

1119. Honey, they'll never respect us.

1120. Dr. Weaver is wondering where all the nurses are.

1121. Look, I don't think it's so bad

1122. floating to ICU.

1123. I'm not going.

1124. They won't send you.

1125. You're not close enough to your 20 years.

1126. Look, I know it's a compromise

1127. but it's better than what was happening.

1128. Careful, Carol.

1129. You're sounding an awful lot like management.

1130. Wow.

1131. I didn't even say good-bye.

1132. Good-bye is not what you need to tell her.

1133. Well, it's too late now.

1134. What time's her train leave?

1135. 4:20.

1136. It's less than an hour.

1137. They're usually running a little bit late.

1138. She probably had to go home to get her luggage.

1139. Yeah, well, I'm on till 11:00.

1140. I should just go?

1141. You could.

1142. No, no, no. It's impossible.

1143. She's getting on a train.

1144. She's made up her mind.

1145. It may be, but that's not the point.

1146. So, what would I say now?

1147. You would say to her

1148. what you've been wanting to say for years.

1149. You tell her how you feel

1150. or you can let her go without saying a word

1151. and you'll regret it for the rest of your life

1152. and make yourself

1153. and everybody else around you miserable

1154. like you have today.

1155. You're right.

1156. Mm-hmm.

1157. W-w-wait. C-can you tell Kerry...?

1158. Yeah, go, go, go, go, go.

1159. This is great!

1160. Oh, my goodness.

1161. Is this where you operate on them?

1162. No, no, no, no.

1163. We just stabilize them down here.

1164. Then we send them upstairs to the OR. Oh.

1165. Speaking of upstairs...

1166. Yep. Nice meeting you, Carla.

1167. Yes. Thank you, thank you for showing me around.

1168. What's in here?

1169. Uh, it's just a suture room.

1170. Oh, really?

1171. What goes on in here?

1172. Uh, we just take patients down here...

1173. Mmm.

1174. Oh.

1175. You're going to mess up my reputation around here.

1176. I've been wanting to do that since I came into this place.

1177. Oh, yeah?

1178. Yeah.

1179. Um... I'm sorry I got to work late.

1180. Well, there's late, and... there's later.

1181. Taxi?

1182. Whoa, whoa.

1183. Hold on.

1184. Susan?

1185. Susan, are you here?

1186. Oh, Dr. Greene, you just missed her.

1187. She left you a note.

1188. W-where?

1189. On the mantel.

1190. Thank you.

1191. Uh... I-is the clock right, Sister?

1192. Oh, yes.

1193. It must be slow.

1194. I got a friend trying to catch a train.

1195. Sister Ann, try to get them to share.

1196. Sorry. We haven't had

1197. a Lopez all month.

1198. It's a mother and an infant.

1199. Yes, I know, doctor.

1200. I'm sorry.

1201. You could leave a note on the board.

1202. Southwest gate.

1203. Track ten.

1204. Track ten.

1205. Looking for the Chief, sir?

1206. She got moved.

1207. Track six.

1208. Susan!

1209. Susan!

1210. Susan!

1211. Susan, Susan!

1212. All aboard!

1213. Susan!

1214. Mark?

1215. Are you okay?

1216. You came to say good-bye?

1217. No. Stay.

1218. I want you to stay.

1219. But, Mark...

1220. I love you

1221. And I'm stupid for not saying it before.

1222. No, it's okay. I knew.

1223. In a way, I knew.

1224. Stay.

1225. We belong together.

1226. Tell me you don't feel the same.

1227. I'm sorry.

1228. Train's leaving, ma'am.

1229. We're right together.

1230. Mark... you are my best friend.

1231. I don't know how I'm going to make it without you.

1232. Don't go.

1233. I have to.

1234. I don't belong here anymore.

1235. I have a new life.

1236. It's going in a different direction.

1237. Susan, I don't want to lose you.

1238. Oh...

1239. Ma'am... ma'am, we're leaving. Come on.

1240. I'll never forget you.

1241. I do love you.

1242. What?

1243. I love you!

1244. Bye.