1. ERCopy !req
2. Previously on ER...Copy !req
3. It was really lovely last night.Copy !req
4. I would really like you
to consider a date.Copy !req
5. seeing as I do work for you...Copy !req
6. I don't think
it would be such a good idea.Copy !req
7. Oh, I see. You have a policy.Copy !req
8. - Yes, I do.
- No fraternizing with people at work.Copy !req
9. He's in heroin withdrawal.
The mother's stealing his methadone.Copy !req
10. So she split?Copy !req
11. "Suffer The Little Children"Copy !req
12. Have you heard of the Velvet Lounge?Copy !req
13. Of course.Copy !req
14. I saw in the Tribune
they' re having a jam session tonight.Copy !req
15. - You don't wanna go to the South Side.
- It's a rough area?Copy !req
16. I mean it's not a good idea.Copy !req
17. When I was in Belfast, I went
to the Bogside to hear Lick the Tins.Copy !req
18. It's an IRA stronghold.Copy !req
19. It's not the same thing.Copy !req
20. Plans for his discharge?Copy !req
21. Well, his vitals are stable.Copy !req
22. - Any vomiting or diarrhea?
- No.Copy !req
23. He's keeping down POs and is back
on regular doses of methadone.Copy !req
24. I'd like to start a course
of long-term withdrawal.Copy !req
25. - Mrs. Thorvaldsen from DCFS come up?
- Yes. We had a team meeting.Copy !req
26. He can't live with a mother
that steals his methadone.Copy !req
27. We all agree with your note.Copy !req
28. The home is unsuitable.Copy !req
29. And Social Services
has found a foster family.Copy !req
30. - Experienced with drug babies?
- The mother is a retired nurse.Copy !req
31. Yeah.Copy !req
32. Just making sure you don't slip
through the cracks, kiddo.Copy !req
33. Hi, Carter! I wanted to catch you
before you got in.Copy !req
34. - Anything wrong?
- No, everything's great.Copy !req
35. You met my friend the other night
from Philly?Copy !req
36. Max? You showing him the town?Copy !req
37. Remember I told you I was involved
with somebody and it wasn't over yet?Copy !req
38. - Yeah, I figured he was the guy.
- Yeah.Copy !req
39. - What about his heroin addiction?
- Not heroin, painkillers.Copy !req
40. Percoset.Copy !req
41. He's okay.
Actually, he's here for a job.Copy !req
42. He's coming in today
to do a feasibility study...Copy !req
43. on setting up a Pedes unit in the ER.Copy !req
44. That doesn't sound like a coincidence.Copy !req
45. Listen, Carter,
before you run into him...Copy !req
46. I've given you
a one-sided picture of Max.Copy !req
47. He's smart.Copy !req
48. He's very dedicated.Copy !req
49. He's a really good guy.Copy !req
50. Want me to like him?Copy !req
51. Just don't judge him
from things I've said in the past.Copy !req
52. Sounds like you're back together.Copy !req
53. I don't know about that.Copy !req
54. Honestly, I don't.Copy !req
55. - Where is he now?
- My place.Copy !req
56. Malik, who left this with my mail?Copy !req
57. Mr. Dougherty from Salutech.Copy !req
58. Yeah? See that it gets returned.Copy !req
59. A salesman from Salutech
left me a pen.Copy !req
60. I got mine right here.
He also left free samples.Copy !req
61. I won't be bribed
into using their products.Copy !req
62. Kerry, Mark, you know Dr. Keinholz...Copy !req
63. Chief of Pediatrics
and Dean of the Med School.Copy !req
64. This is Dr. Rosher.
Doctors Greene, Weaver.Copy !req
65. Nice to meet you.Copy !req
66. Dr. Rosher's a pediatrician
and assistant professor at CHoP.Copy !req
67. He's evaluating the need for
pediatric emergency centers at ERs.Copy !req
68. And we're fortunate he's responded
to our call for a study here.Copy !req
69. I thought this was under discussion.Copy !req
70. It happens that Dr. Rosher
is free at this time.Copy !req
71. I just finished a study
at Hennepin County.Copy !req
72. I have to scrub. But give
Dr. Rosher the support he needs.Copy !req
73. - Sure. No problem.
- Thank you, doctors.Copy !req
74. So...Copy !req
75. they sprung me on you. Sorry.Copy !req
76. No. It's fine.Copy !req
77. I'd be happy to review our pediatric
census statistics with you.Copy !req
78. First, I'd like to see the place.Copy !req
79. You can follow me, Dr. Rosher.Copy !req
80. I hate formality. I'm Max.Copy !req
81. - Mark.
- Kerry.Copy !req
82. Could I stash my things?
Get a cup of coffee?Copy !req
83. Randi, could you show him the lounge?Copy !req
84. Sure.Copy !req
85. This comes from Doug Ross
lobbying upstairs.Copy !req
86. - It's just a study.
- You think he doesn't have an agenda?Copy !req
87. It's to fault how we handle
pediatric patients.Copy !req
88. We have nothing to hide.
We take great care of kids.Copy !req
89. - Jeanie, do you have a busy morning?
- Not so bad. Why?Copy !req
90. Our talk on managing abdominal pain
is next week.Copy !req
91. - Could you get the slides?
- Sure.Copy !req
92. Thank you.Copy !req
93. I warn you, if you don't see me
making the coffee...Copy !req
94. I would avoid it.Copy !req
95. Mocha, vanilla, amaretto...Copy !req
96. It's my own very personal stock.Copy !req
97. Thanks. You're...?Copy !req
98. Randi,
acting Unit Service Coordinator.Copy !req
99. How's it going?Copy !req
100. Hi.Copy !req
101. Meeting everyone?Copy !req
102. Yeah.Copy !req
103. I encountered the usual dynamic.
The Attendings seeing me as the spy...Copy !req
104. sent to undermine their authority.Copy !req
105. How are you doing?Copy !req
106. It's awkward, seeing you here.Copy !req
107. Was it awkward last night?Copy !req
108. No.Copy !req
109. No.Copy !req
110. But now you're nervous.Copy !req
111. I don't know.Copy !req
112. You show up
and you're back in my life.Copy !req
113. And it's not how I planned it.Copy !req
114. I never planned it any other way.Copy !req
115. - Peter?
- Yeah?Copy !req
116. Have you got a presentation
for morning report?Copy !req
117. Should I wait outside?Copy !req
118. When have you waited outside?Copy !req
119. You don't see me as a shy
English rose?Copy !req
120. Elizabeth, I see you as many things.Copy !req
121. Shy is not one of them.Copy !req
122. Busy morning?Copy !req
123. A parathyroidectomy.Copy !req
124. I know you like jazz. So I was
thinking maybe we could...Copy !req
125. go to the Coq d'Or.
I hear the piano guy is pretty good.Copy !req
126. Sure. That'd be great.Copy !req
127. - Yeah?
- Yeah.Copy !req
128. Peter?Copy !req
129. Hi, Lizzie. Are we frequenting
the men's locker room?Copy !req
130. - Peter, interested in a pyloroplasty?
- I'm scrubbing in with Anspaugh.Copy !req
131. - Got it.
- Oh, I'm free.Copy !req
132. That's all right. I got a backup.Copy !req
133. Did he see us?Copy !req
134. I don't know.Copy !req
135. At least one exam room
with color murals and toys.Copy !req
136. And section chairs so kids
don't have to sit near a nut case.Copy !req
137. You favor setting up
a whole department?Copy !req
138. I'll get in trouble talking about
this in front of him...Copy !req
139. No need for caution on my account.
I'm keeping an open mind.Copy !req
140. A department would be great.Copy !req
141. But I'd settle
for a full-time Attending.Copy !req
142. That's the position Doug's out for.Copy !req
143. Who gets it isn't important.
I won't lie to you. I want the job.Copy !req
144. It's a problem?Copy !req
145. Set up Pedes and what's next?
Geriatric Emergency Medicine?Copy !req
146. Dr. Del Amico, meet Dr. Rosher.Copy !req
147. Stay on your toes.
He's doing a study.Copy !req
148. - I think she was born on her toes.
- Max was my Attending at CHoP.Copy !req
149. Another ally.Copy !req
150. I'm feeling outnumbered
by pediatricians.Copy !req
151. I'm double-boarded
in Emergency Medicine and Pedes.Copy !req
152. Dr. Rosher?Copy !req
153. I've got some charts that could be
relevant to your study.Copy !req
154. - Sure.
- I'll set you up in the lounge.Copy !req
155. Actually, I'm on a tour right now.Copy !req
156. I have time to go over them with you
right now.Copy !req
157. I'll see someone gets you
if any Pedes cases come in.Copy !req
158. One Tina-Marie Chambliss.Copy !req
159. Wouldn't give her age.Copy !req
160. Fever and facial erythema
following a face-lift.Copy !req
161. - She came by ambulance?
- It was a blepharo- and rhytidoplasty.Copy !req
162. A wound infection.Copy !req
163. Could she sign in under a
different name to avoid being mobbed?Copy !req
164. - Mobbed?
- Em, just let the doctors work.Copy !req
165. Ma'am, you're gonna have to
scoot on over here.Copy !req
166. - Em-
- Go on. You're in good hands.Copy !req
167. Ma'am, I am gonna have to examine
your face.Copy !req
168. I just look so awful.Copy !req
169. Emmet, stay by me. Don't leave me.Copy !req
170. I'm right here, sweetie.
Channeling my love to help you mend.Copy !req
171. - Temp's 102.
- Let's get a CBC...Copy !req
172. blood cultures, start a line.
Do you have any allergies?Copy !req
173. She's allergic to sulfa antibiotics.
And to the ACE inhibitors.Copy !req
174. Dr. Emmet Chambliss, husband.
Charged with her care.Copy !req
175. You're her physician?
Doctor of Divinities.Copy !req
176. I'm diabetic.
You probably should know that.Copy !req
177. Malik, add a Chem-7.
Give her a gram of Ancef.Copy !req
178. Do you take insulin?Copy !req
179. 24 of NPH with 10 of regular in the
morning. 12 of NPH, five at night.Copy !req
180. He gives me the shots.
I can't stand needles.Copy !req
181. - What're you putting on my face?
- Salt water.Copy !req
182. I hope it's not too harsh for my skin.Copy !req
183. This is the cleanser we normally use.
It's hypoallergenic.Copy !req
184. Dr. Del Amico,
you've got a handle on this.Copy !req
185. Yeah. Thanks.Copy !req
186. - What about our broadcast?
- Don't worry, honey.Copy !req
187. I can get a mobile truck and satellite
uplink with one phone call.Copy !req
188. But how long will I be sick?Copy !req
189. It's a serious infection.
You'll need IV antibiotics.Copy !req
190. Probably gonna be a couple of days.Copy !req
191. I've got a 2-year-old with rat bites.
Can we give him something for the pain?Copy !req
192. - I'll take a look at him.
- He's in Exam 2.Copy !req
193. - What's the weight?
- 14 kilos.Copy !req
194. Hey.Copy !req
195. - When did this happen?
- About 6 a. m. They heard him scream.Copy !req
196. There were rats this big
biting his fingers, eating him.Copy !req
197. They thought he was
fighting with his brother.Copy !req
198. He's current on his vaccines
and tetanus.Copy !req
199. She says they attack all the children.Copy !req
200. Okay. We'll start an IV,
titrate morphine for his pain.Copy !req
201. It's through the palmar fascia.
Plastics should do it in the OR.Copy !req
202. Let's irrigate this wound.Copy !req
203. I'll get the authorities to
make sure there are no more rats.Copy !req
204. - He says they never do anything.
- Well, this time they will.Copy !req
205. - Hi, Bob.
- Hey, Jeanie. What's up?Copy !req
206. I had the flu and
I can't seem to shake a cough.Copy !req
207. We're seeing viral pneumonia.
You talk to a doc?Copy !req
208. I didn't want a big workup
for nothing.Copy !req
209. - You want a quick chest film?
- Could you?Copy !req
210. You know, two weeks ago
I cut my hand.Copy !req
211. I just wanted a few stitches.Copy !req
212. Next thing, I'm on a gurney
hooked to an IV for 6 hours.Copy !req
213. Some of these docs overreact.Copy !req
214. Should I flash your name?Copy !req
215. No. That's okay.Copy !req
216. No problem. No paperwork.
That's what I like.Copy !req
217. Take a deep breath and hold.Copy !req
218. You seen Dr. Rosher?
I got a 6-year-old with pityriasis.Copy !req
219. Dr. Weaver's holding him hostage.Copy !req
220. I gave him some reading material.Copy !req
221. We don't need to worry
about occupying his time.Copy !req
222. I want him to see how we work.
I'll get him out of there.Copy !req
223. Lizzie, meet Tancred Baumgartner, 64.Copy !req
224. History of hypertension and vascular
disease. 80-pack-year smoker.Copy !req
225. 80-pack-years?Copy !req
226. - Two packs a day for 40 years.
- But I'm cutting back.Copy !req
227. I'm gonna get hypnotized.Copy !req
228. - So, what brought you in today?
- Terrible pain in my legs.Copy !req
229. How far can you walk?Copy !req
230. Six months ago I could walk two blocks
before I had to rest.Copy !req
231. Now he can't walk to the toilet.
He's scheduled for a fem-pop bypass.Copy !req
232. You should review his films.Copy !req
233. Don't worry, Mr. Baumgartner.
We'll put a spring back in your step.Copy !req
234. I've been meaning to ask you.Copy !req
235. Given more thought to that
impressive offer you got recently?Copy !req
236. - Which impressive offer?
- There's been more?Copy !req
237. The Senior Lecturer position
at the Gloucestershire Royal Hospital.Copy !req
238. - I decided to pass.
- Really?Copy !req
239. - Did you let them know?
- I wrote them.Copy !req
240. - Ouch!
- What?Copy !req
241. Well, it takes guts, Lizzie.Copy !req
242. You don't know if you have
a future here.Copy !req
243. And have him lay flat on his back
for the next two hours.Copy !req
244. - I'll hand-carry the specimens.
- Yeah, I'd appreciate that.Copy !req
245. - Kerry, would you take a look at this?
- Sure.Copy !req
246. Oh, and don't forget
to get a Gram's stain.Copy !req
247. What do you got?Copy !req
248. 31-year-old woman with a three-week
dry cough and intermittent fever.Copy !req
249. - Is she a smoker?
- No.Copy !req
250. - Any travel outside the country?
- I don't think so.Copy !req
251. Did you ask about her HIV status?Copy !req
252. I don't know if she's been tested.
Why?Copy !req
253. Might be an early infiltrate
at the right base.Copy !req
254. Or it may just be atelectasis.Copy !req
255. - Where's the lateral?
- That's all we have.Copy !req
256. Repeat the film and have her take
a deeper breath. And get a lateral.Copy !req
257. Also there's no name.Copy !req
258. Let the techs know that that's
really unacceptable.Copy !req
259. - And Jeanie, the slides?
- Sorry?Copy !req
260. This morning I asked you
to get the slides. Did you forget?Copy !req
261. No, I haven't had the time.Copy !req
262. - Should someone else do it?
- I'll get them now.Copy !req
263. Okay.Copy !req
264. We need some help!Copy !req
265. We were visiting my folks in Saint
Lioba. Our son just passed out.Copy !req
266. - Gurney!
- Got it.Copy !req
267. Here, Malik.Copy !req
268. - We'll need high-flow oxygen in 2.
- I'll get it.Copy !req
269. - History of heart disease?
- No.Copy !req
270. - On any medications?
- He's perfectly healthy.Copy !req
271. He never gets sick. My God!
What's wrong with him?Copy !req
272. He's tachy at 150.Copy !req
273. Resps high at 28.Copy !req
274. Why is he breathing so fast?Copy !req
275. - Does he have asthma?
- No.Copy !req
276. All right, Conni.
Put him on a pulse ox and EKG.Copy !req
277. I want a CBC, Chem-7, blood gas,
chest film. I'll start a line.Copy !req
278. Sam? Sam, can you hear me?Copy !req
279. - What's wrong?
- He's cyanotic.Copy !req
280. See how blue his lips are?Copy !req
281. - He's not getting enough oxygen.
- Why?Copy !req
282. That's what we'll figure out.Copy !req
283. How are you doing?Copy !req
284. - Just trying to look decent again.
- I don't think that's a good idea.Copy !req
285. I can't be seen on TV
without my woolly bears and make-up.Copy !req
286. - You ever see us on the JGCN?
- No.Copy !req
287. Jesus Gospel Cable Network?Copy !req
288. Makeup'll make it worse,
Mrs. Chambliss.Copy !req
289. Oh, no.
Honey, you call me Tina-Marie.Copy !req
290. Hello, doctor. Isn't she an angel?Copy !req
291. I see the power of prayer
and modern medicine.Copy !req
292. Well, we have her blood test results.
And there is reason for concern.Copy !req
293. My face?Copy !req
294. Actually, your kidneys
are the problem.Copy !req
295. I'm passing water.Copy !req
296. Your BUN and creatinine are elevated,
indicating kidney problems.Copy !req
297. - Probably from your diabetes.
- Emmet?Copy !req
298. Doctor, what does this exactly mean?Copy !req
299. It could simply be dehydration.Copy !req
300. I'll give you IV fluids...Copy !req
301. and hope your renal function
improves.Copy !req
302. I'll also do a neuro exam for
sensation in your extremities.Copy !req
303. Whatever suits you, honey.Copy !req
304. Feel that?Copy !req
305. Little pricks of pain.Copy !req
306. That's good.Copy !req
307. That means you're not losing feeling
in your feet and toes.Copy !req
308. Look out, Emmet.
She might test your heart.Copy !req
309. I'm just kidding, sweetie.Copy !req
310. Just kidding.Copy !req
311. So if my kidneys fail...Copy !req
312. what then?Copy !req
313. If it progresses to renal failure,
you'll need dialysis.Copy !req
314. This means a full prayer vigil,
Emmet!Copy !req
315. Yes, we'll pray for those kidneys!Copy !req
316. Malik, know anyone in Public Health
to deal with a rat problem?Copy !req
317. - Office for Rodent Control.
- I got a contact there.Copy !req
318. - I'll put you through.
- They were eating this kid alive.Copy !req
319. In Philly, Animal Control was better
than Public Health.Copy !req
320. This woman, Miss Weldon,
is a real crusader.Copy !req
321. She'll get them in there. Poison,
traps, whatever they have to do.Copy !req
322. Dr. Greene? Dr. Carter wants
to see you in Trauma 2.Copy !req
323. Thanks, Yosh. Here.Copy !req
324. Mention my name.
I treated her son once.Copy !req
325. Come on. You picked a good day
for Pedes cases.Copy !req
326. He seems a little better.Copy !req
327. Why won't he wake up?Copy !req
328. - Isn't the oxygen helping?
- It's helping.Copy !req
329. And for now, he's stable.
I just haven't found what's wrong.Copy !req
330. - Dr. Carter, meet Dr. Rosher.
- We've met.Copy !req
331. - Yep. Hi.
- What do you got?Copy !req
332. This is Sam Adams, 11 years old,
altered.Copy !req
333. Presented with cyanosis,
tachypnea, tachycardia...Copy !req
334. driving back from the farm.
Still cyanotic despite O2, 10 liters.Copy !req
335. What are you thinking?Copy !req
336. Either a VQ mismatch or something...Copy !req
337. toxic-metabolic?Copy !req
338. - Pulse ox?
- 92. It's pretty good.Copy !req
339. - Was he in a camper or a pickup?
- He was in a car with us.Copy !req
340. - Chest and cardiac exam?
- No wheezing or rales.Copy !req
341. Regular without murmur, rub or gallop.Copy !req
342. - Blood gas?
- PCO2's 35. PO2's 380.Copy !req
343. - Suggesting...
- Oxygen in blood, but still cyanotic.Copy !req
344. - What kind of farm was it?
- My father raises tulips.Copy !req
345. - Greenhouses.
- I already asked about that.Copy !req
346. Some of the pesticides in a hothouse
contain cyanide.Copy !req
347. He'd have pinked up
with the oxygen.Copy !req
348. Besides, I've got good pulses
and there's no smell of almonds.Copy !req
349. So your best educated guess?Copy !req
350. Methemoglobinemia.Copy !req
351. Do another blood gas. Check that.Copy !req
352. Go for it.Copy !req
353. Tough case, leaving it with an intern.Copy !req
354. Is it ill-advised?Copy !req
355. - You know Dr. Carter. I don't.
- He just figured it out.Copy !req
356. Diagnosis was correct.
But you didn't tell him.Copy !req
357. He's here to learn. Not to be told.Copy !req
358. Is that a mark against me?Copy !req
359. Not in my book.Copy !req
360. - 500 cc fluid bolus is on board.
- TKO the line.Copy !req
361. Okay. I got it.Copy !req
362. There it is.Copy !req
363. There's the answer.Copy !req
364. Look at that arterial blood.Copy !req
365. That's blood? Looks like chocolate.Copy !req
366. - It's methemoglobin.
- What?Copy !req
367. A form of hemoglobin
that can't carry oxygen into the body.Copy !req
368. How'd he get that?Copy !req
369. From a drug or toxin.
We can treat it.Copy !req
370. Take that to the lab
and bring back methylene blue.Copy !req
371. Peter.Copy !req
372. Hey. I thought you had a fem-pop?Copy !req
373. Done. I'm assisting on a lung
biopsy, then on a triple A.Copy !req
374. Look, I think Romano saw us.Copy !req
375. - What did he say?
- You know him.Copy !req
376. He didn't say it directly.Copy !req
377. But he told me I should've accepted
the position at the Royal.Copy !req
378. He was saying he wasn't going
to continue my sponsorship.Copy !req
379. I suppose it's a matter of insult
to injury.Copy !req
380. Because he came on to you?Copy !req
381. Peter, the man has an elephantine ego.Copy !req
382. I'm not going for that.Copy !req
383. Maybe it was inevitable.Copy !req
384. Being sponsored by him was difficult
at the best of times.Copy !req
385. Elizabeth, listen to me.Copy !req
386. He doesn't own you.
He can't do this, okay?Copy !req
387. We'll talk later. I have to scrub.Copy !req
388. Yeah.Copy !req
389. We'll explore to see
if there's flexor tendon injury.Copy !req
390. Chuny, take the parents
to the waiting room.Copy !req
391. See if Pedes
has a post-op bed assignment.Copy !req
392. - Doug, Dr. Nagarwala's here.
- All right.Copy !req
393. - What's up?
- Sorry to bother you...Copy !req
394. but a woman came from DCFS,
a Miss Neuman.Copy !req
395. She said the case status
had changed...Copy !req
396. and she's taking Josh
back to his mother.Copy !req
397. - When?
- Just now.Copy !req
398. I came down when she left.Copy !req
399. None of the doctors agree.
We're going to make a formal appeal.Copy !req
400. No, there's no time for that.Copy !req
401. I need the County Health Department
in Saint Lioba.Copy !req
402. Home of the White Corn Festival.Copy !req
403. I went there with bikers once.
They had pig-calling. Ever see that?Copy !req
404. Can't say I have.Copy !req
405. When you get that number,
will you page me?Copy !req
406. How's it going?Copy !req
407. - I got a kid with methemoglobinemia.
- That's a great case.Copy !req
408. What was the inducer?Copy !req
409. Tox screen was negative.Copy !req
410. But he was on a farm.Copy !req
411. So I'm getting the local health
authorities to check it out.Copy !req
412. - Are you taking care of Tina-Marie?
- Yes.Copy !req
413. My mom watches them...Copy !req
414. and she said they announced they're
broadcasting live and she's dying.Copy !req
415. - No, that is not happening.
- She's not dying?Copy !req
416. No, and they're not broadcasting
from here. Dr. Greene said no way.Copy !req
417. She and my aunt are by the TV
with their credit cards.Copy !req
418. Talking about those televangelists?Copy !req
419. - Yeah, Dr. Emmet and Tina-Marie.
- They have some clout.Copy !req
420. I just got a call from
Administration...Copy !req
421. saying we're to let them
do a broadcast.Copy !req
422. Adele?Copy !req
423. Hey, Adele!Copy !req
424. Hey, you're tough to catch up to.Copy !req
425. - Josh is my patient.
- I read the report.Copy !req
426. You know
the situation with his mother.Copy !req
427. Sure, but there's been a change
in the environment.Copy !req
428. His mother now lives with her aunt.Copy !req
429. We feel that the aunt
can take care of Josh.Copy !req
430. - He's addicted to methadone.
- I know his medical history.Copy !req
431. But my obligation
is to return the child.Copy !req
432. - Can you hold this?
- Yeah.Copy !req
433. We'll carefully monitor his progress.Copy !req
434. We understand the situation.Copy !req
435. As long as he needs methadone,
she'll steal it from him.Copy !req
436. I'm sorry. He has to go home.Copy !req
437. Okay, how is the aunt
gonna pay for the meds?Copy !req
438. - He's on Medicaid.
- Okay.Copy !req
439. Some of the meds are formulary. I'll
have to fill out an authorization.Copy !req
440. - Dr. Ross-
- We examine him...Copy !req
441. and give him everything.Copy !req
442. How long is this gonna take?Copy !req
443. Just long enough
to fill out some forms.Copy !req
444. - Here we go. Come on.
- Okay.Copy !req
445. Okay, come here.Copy !req
446. - I got him.
- All right.Copy !req
447. Just give me a second
to lock up my car.Copy !req
448. Here we go.Copy !req
449. - Come on. Got it?
- Got everything.Copy !req
450. Okay, here we go.Copy !req
451. All right, Josh.
Deep breaths for me.Copy !req
452. I'm hearing basilar rales on the left.Copy !req
453. Get a CBC, blood culture
and a chest film.Copy !req
454. - Why? What's wrong?
- Could be pneumonia.Copy !req
455. - Pneumonia?
- Want to hear for yourself?Copy !req
456. What do I say to the mother?
How long does he have to stay?Copy !req
457. Four hours for test results.Copy !req
458. If it is, we'll put him on IV antibiotics.Copy !req
459. That means he'll spend the night?Copy !req
460. Could be, yeah.Copy !req
461. Okay.Copy !req
462. All right.Copy !req
463. Kid looks pretty good. No fever.Copy !req
464. You sure you heard rales?Copy !req
465. There's no rales. I'm keeping him.Copy !req
466. What's going on?Copy !req
467. We got a 7-month-old baby
admitted twice for withdrawal.Copy !req
468. I'm not sending him home to be a
methadone source for his mother.Copy !req
469. - Can't Child Services take care of it?
- I'll do an ultrarapid detox...Copy !req
470. and end his addiction today.Copy !req
471. - Ultrarapid? What does that mean?
- Quick withdrawal under deep sedation.Copy !req
472. He's going cold turkey right here?Copy !req
473. I spoke to a pediatric anesthesiologist.Copy !req
474. I know the procedure.
It can be done safely.Copy !req
475. How long will it take?Copy !req
476. 12 to 18 hours.Copy !req
477. You're gonna hide him here
for 12 hours?Copy !req
478. I don't have a choice.Copy !req
479. - You can't do it alone.
- Yes, I can.Copy !req
480. - No, you can't.
- Don't put anything at risk.Copy !req
481. Yeah. Well, if we get caught...Copy !req
482. we'll both help each other
through real-estate school.Copy !req
483. Put him on cardiac monitor and
pulse ox. I'll do an arterial line.Copy !req
484. We'll need a ventilator. Okay?Copy !req
485. Okay.Copy !req
486. Here's the second dose.Copy !req
487. Let's run that over five minutes.Copy !req
488. How you doing?Copy !req
489. I feel a bit tired,
but otherwise I'm okay.Copy !req
490. Are my mom and dad around?Copy !req
491. Yeah. They went to go
make some phone calls.Copy !req
492. I can go get them.Copy !req
493. No hurry.Copy !req
494. How is your patient?
Aside from his color?Copy !req
495. He's improving.Copy !req
496. Good call, John.Copy !req
497. Gotta figure out its cause.
See who else is at risk.Copy !req
498. I've heard a lot about you from Anna.Copy !req
499. - Really?
- Yeah.Copy !req
500. She told me you've become
close friends.Copy !req
501. I heard about your cousin.
I'm sure she was a big help.Copy !req
502. She told you about that?Copy !req
503. - You know Anna doesn't keep secrets.
- Yeah.Copy !req
504. I don't really see
how that concerns you, though.Copy !req
505. Well, what she's learned
about drug addiction...Copy !req
506. she had the misfortune to learn
through me, John.Copy !req
507. I know it's private.
I meant no offense.Copy !req
508. No, forget it.Copy !req
509. - Dr. Romano.
- Peter.Copy !req
510. You're a "dried fruits and nuts" guy.
Nothing healthy here.Copy !req
511. I was looking for you.Copy !req
512. You found me.Copy !req
513. - You don't mind if I eat?
- No.Copy !req
514. So, what's up?Copy !req
515. What Elizabeth and I do
in our personal lives...Copy !req
516. should not impact her career.Copy !req
517. In your personal lives. What's that?Copy !req
518. You saw us in the lockers,
then hinted...Copy !req
519. that she won't receive
sponsorship next year.Copy !req
520. Now, we both know that's not right.Copy !req
521. Look, I had no idea you and Lizzie
were an item. I swear I didn't.Copy !req
522. But don't worry.
I mean, I'm happy for you.Copy !req
523. So you didn't see us?Copy !req
524. No. But you're having an affair.
Terrific.Copy !req
525. It puts things in perspective.Copy !req
526. Hey.Copy !req
527. Congratulations.Copy !req
528. Excellent choice.Copy !req
529. - Need help?
- No, I got it.Copy !req
530. - Who needs a vent?
- Nobody.Copy !req
531. Respiratory called.
They need it upstairs.Copy !req
532. Mr. Chambliss.Copy !req
533. Dr. Chambliss.Copy !req
534. I want you to know I think
this broadcast is inappropriate.Copy !req
535. I assure you, as I did Public Affairs,
you'll be referred to positively.Copy !req
536. Dr. Del Amico? Stay in the room
during the broadcast...Copy !req
537. and if you feel Mrs. Chambliss'
health is being compromised, call me.Copy !req
538. No problem.Copy !req
539. A little help here!Copy !req
540. I got it.Copy !req
541. What do we got?Copy !req
542. Cylla Voliotis, age 12.Copy !req
543. Blunt trauma to the right eye,
concussion, possible facial fracture.Copy !req
544. Let's go to Trauma 1.Copy !req
545. - You the mother?
- No, Phys Ed teacher.Copy !req
546. She was running and hit a lamppost.Copy !req
547. The school call the mother?Copy !req
548. They're trying, but I have
an emergency consent form.Copy !req
549. Good. Good. Okay, nice and easy.Copy !req
550. On my count. One, two, three...Copy !req
551. - It hurts so bad!
- I know. Don't worry.Copy !req
552. - We'll take care of you.
- Morphine?Copy !req
553. Let's start with four.Copy !req
554. - Partially extruded globe.
- She have vision?Copy !req
555. - Can you see, darling?
- It's all red and blurry.Copy !req
556. - How many fingers am I holding up?
- Three.Copy !req
557. Good. Good.Copy !req
558. Iris and lens are intact.Copy !req
559. No vitreous hemorrhage...Copy !req
560. or detached retina.Copy !req
561. Okay.
Let's get 1 percent lidocaine.Copy !req
562. With that, Betadine and a Steri-Drape.Copy !req
563. No Ophtho consult?Copy !req
564. No, we've done this before.Copy !req
565. All right, he's out.Copy !req
566. Let's tube him.Copy !req
567. How do we know
when withdrawal's complete?Copy !req
568. After 12 hours of the Narcan
blocking the narcotic...Copy !req
569. about a 98 percent success rate.Copy !req
570. When he wakes up, he shouldn't have
withdrawal symptoms. I'm in.Copy !req
571. Pulse ox 98.Copy !req
572. BP?Copy !req
573. 110/70.Copy !req
574. Good breath. Heart rate?Copy !req
575. 120. He's a little tachy.Copy !req
576. Let him settle down a bit.Copy !req
577. How's it going, Cylla?Copy !req
578. I'm scared.Copy !req
579. Alcaine's in.Copy !req
580. - You feel that?
- What?Copy !req
581. I think we're about ready to go.Copy !req
582. So, what kind of music do you like?Copy !req
583. Spice Girls.Copy !req
584. Who's your favorite Spice?Copy !req
585. Yosh, methyl cellulose.Copy !req
586. What is it? Sporty Spice,
All Spice...Copy !req
587. Cylla Spice?Copy !req
588. No, I like Posh.Copy !req
589. Okay, good.Copy !req
590. I need you just to hold still.Copy !req
591. Okay, hold still.Copy !req
592. - Sterile applicator.
- Here you go.Copy !req
593. I'm just gonna evert the lashes.Copy !req
594. There.Copy !req
595. I can see a little better.Copy !req
596. Yosh, eye shield.Copy !req
597. It's gonna be a little blurry
for a while...Copy !req
598. and a little sore.Copy !req
599. Let me know when her parents arrive.Copy !req
600. She'll need an orbital CT...Copy !req
601. and Ophtho can see her.Copy !req
602. Praise the Lord, yes!Copy !req
603. Praise him for his blessing...Copy !req
604. prompted by your prayers
and offerings.Copy !req
605. It is only by your faith...Copy !req
606. that I will survive my ordeal.Copy !req
607. Only hours ago...Copy !req
608. when pain coursed through me...Copy !req
609. Emmet...Copy !req
610. Emmet, you tell them.Copy !req
611. Brothers and sisters, the Lord
has put another trial before us.Copy !req
612. Tina-Marie just learned
from this lovely lady-Copy !req
613. No, she's not a movie star.Copy !req
614. This is Tina-Marie's doctor.Copy !req
615. Will you tell us the nature
of her illness?Copy !req
616. She has cellulitis
and renal insufficiency.Copy !req
617. And what does that mean?Copy !req
618. She has a problem with her kidneys.Copy !req
619. - But she will survive?
- Yes.Copy !req
620. Yes! She will survive
through the power of Christ Jesus...Copy !req
621. and by your prayers and offerings.Copy !req
622. Emmet, Emmet, Emmet!Copy !req
623. I can feel the power of prayer
right now!Copy !req
624. I can feel it! It has started!Copy !req
625. We all feel it, honey.Copy !req
626. Do you feel it, doctor?Copy !req
627. - No.
- Well, come on.Copy !req
628. Here, take Tina-Marie's hand.Copy !req
629. We will have a prayer interface.Copy !req
630. People are watching
and waiting for you, honey.Copy !req
631. Yes?Copy !req
632. Feel the power of the love
that courses through us.Copy !req
633. God, through you...Copy !req
634. will save my life!Copy !req
635. Kerry?Copy !req
636. Got another set of x-rays.Copy !req
637. Let's have a look.Copy !req
638. Is there a name on these?Copy !req
639. They're mine.Copy !req
640. These are much better images.Copy !req
641. - Did you look at these?
- No.Copy !req
642. Well, it looks clean.Copy !req
643. - Why'd you order them? Cough? Fever?
- Yeah.Copy !req
644. - Night sweats?
- No, but I have trouble sleeping.Copy !req
645. Forgetfulness?Copy !req
646. Those slides,
I put in your mailbox. But...Copy !req
647. yeah, there's been forgetfulness.Copy !req
648. I want you to know something.Copy !req
649. Whatever your status, even if you have
a measurable viral count...Copy !req
650. no one's going to overreact.Copy !req
651. There's going to be a job for you here.Copy !req
652. We should draw some blood.Copy !req
653. - He didn't see us?
- That's what he claims.Copy !req
654. I misread him,
and you told him about us.Copy !req
655. I told him that nothing we do
should affect your standing here.Copy !req
656. You got heavy with him?Copy !req
657. Yeah.Copy !req
658. Maybe I should've kept my mouth shut.Copy !req
659. Taking up my cause
was very gallant of you, Peter.Copy !req
660. But it seems we've gone public.Copy !req
661. - Good breath sounds bilaterally.
- Heart rate's down to 100.Copy !req
662. - Pulse ox 99.
- He's stable.Copy !req
663. Start a second line and be ready
before we give him the Narcan.Copy !req
664. - Are there gonna be side effects?
- It'll make him hypertensive.Copy !req
665. We have Nipride, but no esmolol.
I want to have both ready on drips.Copy !req
666. - I'll go get them.
- No. I'll do it.Copy !req
667. Kerry Weaver might wonder
why you're here after your shift.Copy !req
668. Suction.Copy !req
669. Lizzie, can you retract distally?Copy !req
670. Good. I got the room I need.Copy !req
671. Now we can all settle back.
Shirley, let me ask you something.Copy !req
672. Suppose you asked someone on a date-Copy !req
673. I'm married.Copy !req
674. Hypothetically. It's a long procedure.Copy !req
675. You ask them out and they beg off,
claiming they don't get involved...Copy !req
676. with work colleagues.Copy !req
677. - Got some oozing.
- Got it.Copy !req
678. Then you find out they're having
an affair with a colleague.Copy !req
679. Now, why do you suppose they lied?Copy !req
680. The colleague is married.Copy !req
681. Married person's response.
But say he's not married.Copy !req
682. They didn't want to offend
an overblown ego.Copy !req
683. It's a thought.Copy !req
684. But suppose this person
made up that story...Copy !req
685. about keeping sex and work
separate...Copy !req
686. so they could continue
playing the field.Copy !req
687. That's absurd. Clamp again.
Right here.Copy !req
688. I don't know. Shirley?Copy !req
689. I agree. They're probably
still shopping around.Copy !req
690. - Your shift ended hours ago.
- I got involved.Copy !req
691. - Esmolol?
- Teenager with a tachy arrhythmia.Copy !req
692. - How about adenosine?
- I already tried it.Copy !req
693. Lasted for a few seconds.
It's under control.Copy !req
694. Dr. Carter, I just got this fax for you.Copy !req
695. This is the explanation
for the methemoglobinemia.Copy !req
696. Really?Copy !req
697. It's from a local health service
near the farm.Copy !req
698. "Ground water from several areas
has been found...Copy !req
699. to have heavy nitrite concentration
from inorganic waste contamination. "Copy !req
700. Test the parents.
They might be borderline.Copy !req
701. Yeah. I did that already.
I'm just waiting on the test results.Copy !req
702. - Are the labs back on Chambliss?
- Here.Copy !req
703. Thank you.Copy !req
704. Pedes case? I'll put it in my study.Copy !req
705. Sorry. It's a repeat glucose
on the televangelist.Copy !req
706. - I heard you look great on TV.
- Someone saw me?Copy !req
707. - The nurses had it on in the lounge.
- What a nightmare! Total frauds.Copy !req
708. Not serious?
But I phoned in a big pledge!Copy !req
709. The woman used her disease...Copy !req
710. to milk money out of poor people
who probably believe all of it.Copy !req
711. It's a living.
At least they're not practicing law...Copy !req
712. or polluting streams,
selling insurance...Copy !req
713. What's the deal on getting
a genuine Philly cheese steak?Copy !req
714. I've looked. They don't exist.Copy !req
715. Italian?
I'm on a substantial per diem.Copy !req
716. And I'm on call.Copy !req
717. Chinese? How about
a candlelit dinner in the lounge?Copy !req
718. I'd love to.Copy !req
719. Jeanie, could I see you?Copy !req
720. Sure, Kerry.Copy !req
721. You can go. I'll bandage him.Copy !req
722. Thanks, Yosh.Copy !req
723. I got your labs back.Copy !req
724. I'm very happy to say
it's all good news.Copy !req
725. Your viral load remains
non-detectable...Copy !req
726. your white count's normal
and you're not even anemic.Copy !req
727. Guess I was worked up over nothing.Copy !req
728. I can understand.Copy !req
729. But I took responsibility
for monitoring your health.Copy !req
730. You shouldn't be on your own
looking at x-rays.Copy !req
731. Yeah, you're right.
That won't happen again.Copy !req
732. What about the forgetfulness?Copy !req
733. You complained of sleeplessness.Copy !req
734. I haven't slept much this month.Copy !req
735. - Are you taking anything?
- Lately I've been taking Halcion.Copy !req
736. Which could explain... Okay.Copy !req
737. The fact is, Jeanie-Copy !req
738. I mean, you've had such a rough time.Copy !req
739. With Al moving away and Scotty...Copy !req
740. That alone
could explain your symptoms.Copy !req
741. Yeah, you're right.Copy !req
742. If you ever wanna talk...Copy !req
743. Thanks, Kerry. I'd like that.Copy !req
744. Good.Copy !req
745. Figures are 10 percent
above projections.Copy !req
746. I think there'll be real cassette sales.Copy !req
747. Well, what about next time?Copy !req
748. Do I die on the TV?Copy !req
749. Don't make stupid jokes.Copy !req
750. Your blood sugar's still elevated.
I need to give you more insulin.Copy !req
751. I'm gonna make some phone calls,
sweetie.Copy !req
752. How often do you test
your blood sugar at home?Copy !req
753. What's that you're supposed to do?Copy !req
754. Four times a day? I don't know.Copy !req
755. To prevent complications, yes.Copy !req
756. Well, what kind of complications?Copy !req
757. Blindness, heart attack,
loss of peripheral circulation.Copy !req
758. Those are all good prayer vigils.Copy !req
759. I'm not joking.Copy !req
760. Take responsibility for your health.
Take your problems seriously.Copy !req
761. Honey, my problems are all I got.Copy !req
762. You wouldn't
make a living without them.Copy !req
763. Well, I sure as heck
wouldn't have Emmet.Copy !req
764. You're a lovely thing.Copy !req
765. - Are you married?
- No.Copy !req
766. Emmet and I were married
when we were in high school.Copy !req
767. Oh, we were crazy in love.Copy !req
768. You'd never know it now, would you?Copy !req
769. It's not for me
to make a judgment about that.Copy !req
770. I'll tell you one thing.Copy !req
771. Emmet won't leave me.Copy !req
772. Ever.Copy !req
773. God has...Copy !req
774. given me the way to keep him close.Copy !req
775. He may not love me.Copy !req
776. But he loves the way caring for me
makes him look.Copy !req
777. I wouldn't be in a marriage
without love.Copy !req
778. Oh, honey, everyone thinks that.Copy !req
779. But things change.Copy !req
780. And you make do.Copy !req
781. So be careful.Copy !req
782. Thank you.Copy !req
783. So I suppose the Coq d'Or's
a bit dressy?Copy !req
784. Yeah. But actually,
I didn't make reservations there.Copy !req
785. - Our date's off?
- No, no.Copy !req
786. We're going to the Velvet Lounge.Copy !req
787. That's fantastic.Copy !req
788. - They'll look at us like we're crazy.
- You know that doesn't bother me.Copy !req
789. Wish I could say the same.Copy !req
790. Look, I can't change what I am
any more than you can.Copy !req
791. Whatever feelings I have for you
are based on who you are...Copy !req
792. not what I want you to be.Copy !req
793. Elizabeth, you're not from here.Copy !req
794. I mean, you didn't grow up
the way I did.Copy !req
795. I wish I could say my feelings about
your skin color would disappear.Copy !req
796. But it doesn't work like that.
Do you understand?Copy !req
797. Yes. But I don't want to subject you
to something you're not ready for.Copy !req
798. You know, I've never met anybody
that makes me laugh...Copy !req
799. or blush, or whatever,
the way you do.Copy !req
800. I'm trying to work through this.
You gotta trust me, all right?Copy !req
801. Come on,
let's go to the Velvet Lounge.Copy !req
802. Hey.Copy !req
803. Philly cheese steaks.Copy !req
804. I found them here. And they deliver.
Can you believe that?Copy !req
805. Want one? More than enough.Copy !req
806. No, thanks.Copy !req
807. Oh, come on! You get a free
angioplasty with a small order.Copy !req
808. Free quadruple bypass
with the dinner special?Copy !req
809. No?Copy !req
810. I was wondering. Maybe you'd like to
join Anna and I for dinner sometime.Copy !req
811. You really want an ally.Copy !req
812. No. It's about your friendship with her.Copy !req
813. I don't want her to cut herself off
from people she likes.Copy !req
814. Make it easier to go back to you.Copy !req
815. Am I hearing jealousy?Copy !req
816. Maybe once.Copy !req
817. Not now.Copy !req
818. I just think you're trouble.Copy !req
819. Maybe I'm wrong.Copy !req
820. I sort of hope I am.Copy !req
821. But that's what I think.Copy !req
822. I might laugh at your jokes, never
giving an indication of how I feel.Copy !req
823. But I wanted you to know that.Copy !req
824. Enjoy your dinner.Copy !req
825. Hey, Mark. I've been thinking.Copy !req
826. This storage area off the hallway...Copy !req
827. could be made
a pediatric exam room.Copy !req
828. - The janitor's closet?
- Children's beds are small.Copy !req
829. We could hang the IV bags
on the hooks used for brooms.Copy !req
830. This is a joke.Copy !req
831. Maybe I'm facing reality.Copy !req
832. You're obviously behind the idea.
You gave Rosher a grand tour.Copy !req
833. He was very impressed
at how we handle our Pedes cases.Copy !req
834. Doug's your friend.Copy !req
835. You think Rosher's report
will get him an Attending position.Copy !req
836. I appreciate loyalty, but not
at the expense of the ER.Copy !req
837. That has nothing to do with it.Copy !req
838. I don't believe a Pedes unit
or Attending is a big improvement.Copy !req
839. Dr. Greene, Jeanie wants you to sign
off on a suture job.Copy !req
840. Will you go on record with that?Copy !req
841. Absolutely. When the time's right.Copy !req
842. Where is she?Copy !req
843. - Pulse ox 89.
- What's going on?Copy !req
844. Decreased breath on the left.Copy !req
845. A collapsed lung?
Should I get a portable x-ray?Copy !req
846. Can't be. Pressure's not that high.Copy !req
847. I'll give him 100 percent oxygen.Copy !req
848. - Could be a mucus plug.
- I'll get a suction catheter.Copy !req
849. Looks good.Copy !req
850. - Infected abrasion?
- Here.Copy !req
851. She cleaned it good.Copy !req
852. I'll change it when you come back.Copy !req
853. Sure. On Thursday.Copy !req
854. - It's secretions. Hook up the vent.
- Pulse ox 98.Copy !req
855. What the hell is this?Copy !req
856. This boy is my patient-Copy !req
857. Ketamine? What're you doing?Copy !req
858. An ultrarapid detox.
Everything's under control.Copy !req
859. Like hell it is. Is this baby
even a registered patient?Copy !req
860. - He-
- Is he on the board?Copy !req
861. If you'll just let me explain-Copy !req
862. You don't have consent, do you?Copy !req
863. You've got an intubated kid
under deep sedation?Copy !req
864. - It's under control.
- We gotta move this kid.Copy !req
865. - Hear me out-
- No.Copy !req
866. - BP 190/100.
- Nipride, 0.3 mcgs per kilo...Copy !req
867. - ... per minute-
- Gina, bag him.Copy !req
868. - Let's get to the PICU.
- We can do it right here.Copy !req
869. - His chart?
- I don't have one.Copy !req
870. Is this how you practice medicine?Copy !req
871. - I wrote everything on that paper.
- Oh, that's great.Copy !req
872. Inga, call the PICU.
Critical patient coming up.Copy !req
873. - I need a name.
- Name?Copy !req
874. - We don't have to.
- What's the name?Copy !req
875. - Josh McNeal.
- Baby McNeal.Copy !req
876. About six months old. Ketamine drip.
Intubated.Copy !req
877. What's going on?Copy !req
878. I found Doug in Exam 4,
detoxing this baby.Copy !req
879. - What?
- I found him by accident.Copy !req
880. - Did you know?
- I was helping him.Copy !req
881. Helping him?Copy !req
882. - He was stable, Kerry.
- This is a violation of every policy.Copy !req
883. - Bed's ready.
- Tell them I'm bringing him up!Copy !req
884. - I'm going too.
- You're damn right!Copy !req
885. You're gonna explain
to the Administration...Copy !req
886. and the Executive Committee!Copy !req
887. Let's go!Copy !req
888. You lied to me.
You looked me in the face and lied.Copy !req