1. I called them.Copy !req
2. - What happened? Is he okay?
- I think he slipped.Copy !req
3. No, looks like he fainted.Copy !req
4. Okay. Everybody, get back.
Get back, okay?Copy !req
5. Come on. We got a doctor here.Copy !req
6. The hospital's nearby.
Some guy ran for help.Copy !req
7. My head hurts. This pavement's hard.Copy !req
8. All right, I'll help you.Copy !req
9. I'll help you.Copy !req
10. - You shouldn't move his neck.
- God!Copy !req
11. - Are you okay?
- I just told you my head hurts!Copy !req
12. Don't worry. You'll be fine.
We'll all help you.Copy !req
13. - Want us to do something?
- We got to...Copy !req
14. - Coming through!
- Excuse us.Copy !req
15. - Sir, are you okay?
- Yeah. Can you help me up?Copy !req
16. - We'll check you first. Name?
- Barry Mahoney.Copy !req
17. - He fell down.
- Thank you.Copy !req
18. - And he's bleeding a little.
- Thanks. We'll take it from here.Copy !req
19. - Carol, we need to stabilize his neck.
- I'll get a C-collar and a gurney.Copy !req
20. Jen's gone for a month?Copy !req
21. She's taking depositions
in St. Louis...Copy !req
22. and figured it would be
easier to stay.Copy !req
23. - My head still hurts.
- Just a small scalp laceration.Copy !req
24. Nothing to worry about.Copy !req
25. And she's letting Rachel
stay with you?Copy !req
26. Reluctantly. Rachel didn't want to
miss soccer camp, so she's staying.Copy !req
27. Okay, let's get a saline line going.
TKO, CBC and a Chem-20.Copy !req
28. - Portable C-spine?
- Yeah, thanks.Copy !req
29. And a 12-lead EKG.Copy !req
30. - Can we help you?
- Just making sure he's okay.Copy !req
31. - Family needs to wait in Chairs.
- I was passing by and tried to help.Copy !req
32. Didn't do much.
Put her coat under my head.Copy !req
33. I'm sure he's grateful, but passers-by
need to wait out in Chairs too.Copy !req
34. Accu-Check, 124. Hemo-Q, 13.8.Copy !req
35. I'm supposed to be here.
I'm a third-year med student.Copy !req
36. I start ER rotation today.Copy !req
37. Man, is that today?Copy !req
38. - So this lab coat is yours.
- Yes.Copy !req
39. What should I do?Copy !req
40. - Name?
- Lucy Knight.Copy !req
41. Ms. Knight,
welcome to County General.Copy !req
42. - You need to wait in Chairs.
- I shouldn't do anything?Copy !req
43. - Carol?
- Left, down the hall, then a right.Copy !req
44. Should I at least observe?Copy !req
45. Left, down the hall, then a right.Copy !req
46. Lucy, you just get here?Copy !req
47. Bernard, what are you doing?Copy !req
48. What happened?Copy !req
49. A fire-twirler burned his butt
and the troupe's waiting.Copy !req
50. What is all this? You look like
some geek, pacing around.Copy !req
51. I am a geek pacing around.Copy !req
52. - Taking Dr. Weaver's audio tour.
- Who's Dr. Weaver?Copy !req
53. Kind of short,
red hair, uses a crutch.Copy !req
54. They have you sitting here?Copy !req
55. I don't know what I'm supposed to do.Copy !req
56. I gotta get back to my tour.Copy !req
57. What are you doing later?
I gotta practice drawing blood.Copy !req
58. They won't make you do procedures
at first. All right, I'll find you.Copy !req
59. - Out of the way!
- Trauma One's clear.Copy !req
60. - What do we got?
- Multiple GSWs to the head and chest.Copy !req
61. GCS 7, BP 60 palp, two large-bore IVs,
normal saline, a liter in the field.Copy !req
62. Prep a Thora-Seal
and set up for a chest tube.Copy !req
63. - Lucy Knight?
- Yeah.Copy !req
64. Jerry Markovic, service coordinator.Copy !req
65. Dr. Greene will show you around
as soon as he can.Copy !req
66. Just throw your stuff in the lounge
and come back to the desk.Copy !req
67. - I'm sorry. Did I interrupt?
- We thought you were Jerry.Copy !req
68. The unit service coordinator.
I just met him.Copy !req
69. You must be a new med student,
right?Copy !req
70. Jerry's the desk clerk. He pulls
the "unit" thing on newcomers.Copy !req
71. It's his birthday.Copy !req
72. Don't tell him about the cake.Copy !req
73. - Chuny Marquez.
- Lily Jarvik.Copy !req
74. - Yosh Takata.
- Lucy Knight. Should I use a...?Copy !req
75. Excuse me, I'm looking for Jerry.Copy !req
76. He went down to the roach coach
to get his breakfast burrito.Copy !req
77. That's why my dad says he's...Copy !req
78. - What did you do?
- Not much, actually.Copy !req
79. I was hoping he knew
if there were extra lab coats.Copy !req
80. - They keep them under the desk.
- Great.Copy !req
81. - Your dad works here?
- He's one of the bosses.Copy !req
82. Well, he used to be the only boss
until Dr. Weaver butted in.Copy !req
83. Here they are.
What's your name?Copy !req
84. - Rachel.
- I'm Lucy.Copy !req
85. - Hello again.
- Oh, hi.Copy !req
86. - Mark Greene.
- Lucy...Copy !req
87. Knight. Rachel, why are
you still here?Copy !req
88. - I'm watching the desk.
- Only for a moment.Copy !req
89. Mrs. Williams doesn't pick me up
until 8:30.Copy !req
90. Yeah? It's 8:35.
Good luck on your game.Copy !req
91. I'll pick you up at the Williams'
before dinner.Copy !req
92. - Bye. Bye, Jerry, happy birthday.
- Thanks, Rach.Copy !req
93. - Settling in?
- I had a...Copy !req
94. Jerry, tell Radiology to hurry
up on those films for that clavicle.Copy !req
95. I was waiting out in Chairs.Copy !req
96. That leg in Four needs sutures.Copy !req
97. Doyle or Carter.
Yosh Takata, Lucy Knight.Copy !req
98. - Hi. We met.
- Hi.Copy !req
99. Sitting in Chairs?
We'd better get you going.Copy !req
100. We'll start off with charts,
then the board. Quick tour.Copy !req
101. Then some patients.Copy !req
102. - Am I to be assigned to a Resident?
- Later.Copy !req
103. Grab a chart, pick up your patient.Copy !req
104. No jumping over
for a more interesting case.Copy !req
105. Put your initials here,
patient's name, chief complaint...Copy !req
106. and what labs you've ordered.Copy !req
107. - Why don't you try one?
- Name is Clements.Copy !req
108. - Chief complaint is "mult lac"?
- Multiple lacerations. Right.Copy !req
109. Waiting on a head CT and suturing.Copy !req
110. Doctor is M.D., which doesn't
stand for "doctor."Copy !req
111. That means Maggie Doyle.
Don't worry, you'll catch on.Copy !req
112. You're thinking about
emergency medicine?Copy !req
113. I'm not sure. It's my first rotation.Copy !req
114. Curtain Area One. Curtain Area Two.
Exam Room One.Copy !req
115. This is Exam Room Two.Copy !req
116. - And this is Dr. Carter.
- What?Copy !req
117. Carter's one of our finest Residents
even though he sleeps on the job.Copy !req
118. Lucy Knight.Copy !req
119. - Hi.
- Hi. Sorry, Dr. Greene.Copy !req
120. I haven't had much sleep
since that R.A. Job.Copy !req
121. Life in the dorm, huh?
Better you than me.Copy !req
122. Patients, Carter. Place is full.Copy !req
123. Right.Copy !req
124. This is Trauma One, which you've seen.Copy !req
125. - Who are we saving?
- Nobody. He's arrested twice.Copy !req
126. Another soldier to the drug war.
Tucked away in his pants.Copy !req
127. This is Lucy Knight, third-year.
Doctors Benton and Weaver.Copy !req
128. Nurses Lydia Wright and Malik McGrath.Copy !req
129. Two units O-neg on the infuser.Copy !req
130. - You know Mr. Gamely?
- Yeah, I just saw him.Copy !req
131. As soon as he's done with the tour,
I'll find you. It's useful.Copy !req
132. - BP's 40 palp.
- He's flatline.Copy !req
133. Thoracotomy tray. Come on, Malik.
Let's move.Copy !req
134. Trauma Two. Blissfully quiet,
which is the way we like it.Copy !req
135. This is the Suture Room,
where Dr. Doyle is suturing.Copy !req
136. - Lucy Knight, third-year.
- Hey.Copy !req
137. Nice to meet you.Copy !req
138. - Who's Sleeping Beauty?
- Mr. Clements passed out.Copy !req
139. He got drunk and walked through
a plate-glass window. You idiot.Copy !req
140. Dr. Doyle throws in attitude
when presenting a patient.Copy !req
141. - He'll be okay?
- Oh, yeah.Copy !req
142. As long as he doesn't mind
gnarly scars.Copy !req
143. - Mr. Gamely, I presume?
- Yeah.Copy !req
144. Drug lockup's in here.
Lab is down the hall.Copy !req
145. Radiology, around the corner.
Exam Room Four.Copy !req
146. Sorry to barge in. You got a minute?Copy !req
147. Sure. Be right back.Copy !req
148. Lucy Knight. Doug Ross, pediatrician.Copy !req
149. - Hi, how you doing?
- Fine.Copy !req
150. All right, Ms. Knight. Why is otitis
media found primarily in children?Copy !req
151. They have short eustachian tubes
and fluid doesn't drain...Copy !req
152. making it perfect
for a bacterial infection.Copy !req
153. - Okay. Treatment?
- Amoxicillin or Pediazole.Copy !req
154. We may be over-treating because
many of the cases are viral.Copy !req
155. Antibiotics aren't necessary
and may contribute...Copy !req
156. Pretty good. Textbook answer.Copy !req
157. You want to see some real Pedes cases,
come see me.Copy !req
158. - Mark.
- Elizabeth, Lucy Knight, third-year.Copy !req
159. Dr. Corday, Surgical Resident
in cowboy boots.Copy !req
160. Aren't they fabulous?
Had an interview in Denver.Copy !req
161. - How do you do?
- How was your trip?Copy !req
162. The interview was fine, the mountains
are lovely, but the city's flat.Copy !req
163. Don't let the Residents abuse you.Copy !req
164. You're here to learn,
not to be their servant.Copy !req
165. See you later, Mark.Copy !req
166. - Labs are back on that rule-out MI.
- Thanks, Lily.Copy !req
167. That's the lay of the land.
I'm gonna check on a patient.Copy !req
168. - What am I supposed to do?
- Grab a chart...Copy !req
169. help someone out,
just jump right in.Copy !req
170. - Output?
- No pulse.Copy !req
171. - How many units are in?
- Four O-neg. Four type-specific.Copy !req
172. Last epi?Copy !req
173. Five mgs, three minutes ago.Copy !req
174. How long has he been down?Copy !req
175. - 25 minutes.
- Let's call it.Copy !req
176. All right. Time of death 8:49.Copy !req
177. Nice try, everybody.Copy !req
178. - I gotta get back upstairs.
- I'll handle the chart.Copy !req
179. You want to wrap?Copy !req
180. - I'll do it.
- See you.Copy !req
181. - Is that it?
- I gotta get the death kit.Copy !req
182. I'll show you how we do it.Copy !req
183. Excuse me. Somebody?Copy !req
184. His phone's ringing.Copy !req
185. His phone's ringing.Copy !req
186. Hello?Copy !req
187. No, I'm sorry. He can't come
to the phone right now.Copy !req
188. Well, yeah. I suppose
I could take a message.Copy !req
189. Remember where Radiology is.Copy !req
190. Continue to your left now...Copy !req
191. on down to the end of the hall.Copy !req
192. And proceed seven steps forward.Copy !req
193. You have now reached the Admit desk...Copy !req
194. the veritable heartbeat
of every emergency room.Copy !req
195. - This is not mine.
- What is with this thing?Copy !req
196. - I'm never where I'm supposed to be.
- Neither was I.Copy !req
197. When I saw you in Chairs, I was
supposed to be in the Suture Room.Copy !req
198. - Did we start at the wrong point?
- I know I have.Copy !req
199. I wanted Medicine rotation.Copy !req
200. Dr. Doyle's latched
on to me in a big way.Copy !req
201. We haven't been assigned
a Resident.Copy !req
202. Hasn't stopped her from using me
as a urine-delivery...Copy !req
203. Where is the lab?Copy !req
204. It wasn't where it should be.Copy !req
205. - Ms. Knight.
- See you.Copy !req
206. - Dr. Weaver.
- The tour's very helpful, isn't it?Copy !req
207. Yes, thank you. As Chief, will you be
the one assigning us to Residents?Copy !req
208. I'm Acting Chief.Copy !req
209. - Kerry?
- Doug, you were looking for me?Copy !req
210. I have to do an LP on
a 2-year-old boy in Exam 3.Copy !req
211. - Rule out meningitis?
- Yes.Copy !req
212. - What are the symptoms?
- Excuse us.Copy !req
213. Just a second.Copy !req
214. I'm not presenting a case.Copy !req
215. I'm telling you about a procedure
that needs to be done.Copy !req
216. The parents are waiting
if you would like to join us.Copy !req
217. Look, Don Anspaugh and Legal mandated
the terms of your situation, not me.Copy !req
218. Those terms do not include me
having to justify a procedure.Copy !req
219. Be right there!Copy !req
220. Why don't you grab Dr. Carter and see
if he can pull you in on patients?Copy !req
221. Can you hold this corner up?Copy !req
222. - Sure.
- Thanks.Copy !req
223. I'm getting ready
for my surprise birthday party.Copy !req
224. This year's surprise:
There is no party.Copy !req
225. Then why do you have
that cake in the lounge?Copy !req
226. - I didn't tell.
- He sniffs it out every year.Copy !req
227. Well, you hide it in the same place
every year.Copy !req
228. - Patient's 8.
- How long has he had the rash?Copy !req
229. Three weeks.
I'm having a hard time diagnosing it.Copy !req
230. - How's it going, Ms. Knight?
- Fine.Copy !req
231. Dr. Weaver suggested I work
with Dr. Carter.Copy !req
232. Carter, want to fill her in?Copy !req
233. Eight-year-old with erythematous
macules and small papules on the back.Copy !req
234. - What's the distribution?
- Kind of spread out like a fan.Copy !req
235. - Does it resemble a Christmas tree?
- Yeah, I guess you could say that.Copy !req
236. Sounds like pityriasis rosea. Classic
Christmas tree pattern on the back.Copy !req
237. - I think she's right.
- Using a computer.Copy !req
238. Why don't you let Dr. Ross
take a look?Copy !req
239. Then you and Ms. Knight can move
on to the gentleman with hematuria.Copy !req
240. Okay.Copy !req
241. - I'll meet you in Exam Four.
- Sure.Copy !req
242. Did I say the wrong thing?Copy !req
243. It's probably not a good idea
to show up the Residents.Copy !req
244. - So I should give the wrong answer?
- Tricky, isn't it?Copy !req
245. Welcome aboard.Copy !req
246. When did you first notice blood
in your urine?Copy !req
247. Just a couple days ago.Copy !req
248. Could it be related to exhaustion?Copy !req
249. I've been finishing this renovation
in Oak Park.Copy !req
250. - Working long hours?
- Need to bring it in.Copy !req
251. - I don't think that's it. Any fever?
- No.Copy !req
252. - Back pain?
- Well, just the usual from work.Copy !req
253. How about weight loss?Copy !req
254. I always drop at the end of a job.Copy !req
255. You know, you skip a meal
here and there.Copy !req
256. - Is it gonna be much longer?
- I'll order some tests.Copy !req
257. We'll know more then. Conni?Copy !req
258. Let's get a CBC, coag panel.
UA, Chem-7.Copy !req
259. - You got it.
- Peed in this cup for you.Copy !req
260. Thank you. We'll be back in a bit.Copy !req
261. Sorry about coming up with
that rash diagnosis before you.Copy !req
262. Fair is fair.Copy !req
263. I hope this doesn't mean
I won't get to do anything.Copy !req
264. I spent two years learning
how to do a physical.Copy !req
265. - I'm willing to help with patients.
- Carter? I'm jammed.Copy !req
266. Can you take Mrs. Lydell,
a foot ulcer, in Curtain Three?Copy !req
267. - Sure.
- Thanks.Copy !req
268. She's all yours. Do the H and P.
Make an assessment.Copy !req
269. And then come find me.Copy !req
270. - Mrs. Lydell?
- Yes, I surely am.Copy !req
271. I'm Lucy Knight.Copy !req
272. Is it okay if I check you over
and ask a few questions?Copy !req
273. Child, the good Lord has
put me into your hands.Copy !req
274. I receive you as He receives us both.Copy !req
275. - Order a C-spine and portable chest.
- Pelvis?Copy !req
276. - Dr. Carter?
- I'm busy.Copy !req
277. - The labs are back on Mr. Zwicki.
- Pulse ox is 92.Copy !req
278. - Put them in his chart.
- Get a large-bore IV going.Copy !req
279. - We need a central line.
- I'll do it.Copy !req
280. - His crit doesn't look good.
- I'll check it soon.Copy !req
281. - Go ahead, Carter. I've got it.
- No, really. It's okay.Copy !req
282. We're covered here.
Go on. Go, go, go!Copy !req
283. Hematocrit's 30?Copy !req
284. So he's pretty anemic, right?Copy !req
285. Urinalysis shows too many
red blood cells.Copy !req
286. - But only two to three WBCs.
- BUN and creatinine are normal.Copy !req
287. With the hematuria, we definitely need
to admit him for more tests.Copy !req
288. Can you give me the diagnosis
at this point?Copy !req
289. Without using the computer.Copy !req
290. With weight loss and painless
hematuria, cancer's high on the list.Copy !req
291. Kidney tumor, carcinoma of the
bladder, prostate cancer, renal...Copy !req
292. - Good job.
- Thanks.Copy !req
293. I was just coming to find you.
I gotta get going.Copy !req
294. My poor wife's been in that
waiting room for two hours.Copy !req
295. Mr. Zwicki, your lab results are back.Copy !req
296. And they indicate that
there may be a serious problem.Copy !req
297. We'd like to admit you
to do a full evaluation.Copy !req
298. No, I can't do that.
I start a renovation tomorrow.Copy !req
299. Townhouse.Copy !req
300. - I'm sure it could wait.
- No, it can't.Copy !req
301. Your condition could be very serious.
There's a possibility of cancer.Copy !req
302. I really think you should
get it checked out.Copy !req
303. Look, come on, now.Copy !req
304. A buddy found blood in his piss and
it turned out to be a urine infection.Copy !req
305. - Can't you give me some antibiotics?
- Can't really do that.Copy !req
306. We should bring your wife up to speed,
all right?Copy !req
307. - Yeah. Sure.
- Okay. We'll be back.Copy !req
308. - You'd have to let him go?
- If he insists.Copy !req
309. You gotta know what technique to use
for him to stay: His wife.Copy !req
310. - Meaning?
- We give her the full picture:Copy !req
311. The possibility of cancer,
the importance of early detection.Copy !req
312. Ten minutes alone with him,
she'll change his mind.Copy !req
313. - Did Dr. Weaver do that central line?
- Just about to.Copy !req
314. I'm gonna go check with her,
see if she needs help.Copy !req
315. - I'm looking for Mrs. Zwicki.
- Yes.Copy !req
316. Mrs. Zwicki?Copy !req
317. My name is Lucy Knight and I'd like
to talk to you about your husband.Copy !req
318. His condition could be very serious.Copy !req
319. What do you mean?Copy !req
320. Well, with the hematuria there's
a chance of renal vein thrombosis...Copy !req
321. polycystic kidney disease,
and renal or ureteral...Copy !req
322. Wait, I don't understand this.Copy !req
323. Your husband wants to leave AMA.Copy !req
324. We'd like to check him in
and do more tests.Copy !req
325. - Tests?
- Do an IVP.Copy !req
326. Get an abdominal CT.
Check his urine for AFBs.Copy !req
327. Maybe check a PSA
and possibly do a cystoscopy.Copy !req
328. It would just be a couple of days.Copy !req
329. I think we're out this way.Copy !req
330. - What's going on?
- The Zwickis decided to leave.Copy !req
331. Mrs. Zwicki, I need to tell you
about your husband's condition.Copy !req
332. She explained everything.
He's incredibly stubborn!Copy !req
333. No, look, I am not stubborn.
I feel fine.Copy !req
334. I got a new job to start.Copy !req
335. Summer, that's when I get my work.
I can't blow this job off.Copy !req
336. No, I'll tell you what.Copy !req
337. If this doesn't
clear up, then I'll arrange...Copy !req
338. to get with my regular doc, okay?Copy !req
339. It'll be okay.
Come on, let's go.Copy !req
340. - You talked to her?
- I thought you said...Copy !req
341. - What did you say?
- I told her about hypernephroma...Copy !req
342. prostatic carcinoma...
- In those words?Copy !req
343. Is there a problem?Copy !req
344. - Mark?
- Just a second, Carol.Copy !req
345. A patient wanted to leave.Copy !req
346. Ms. Knight explained his condition
in medical rather than layman terms.Copy !req
347. Why is a student explaining?
Where were you?Copy !req
348. I was assisting Dr. Weaver.
I didn't tell her to do it.Copy !req
349. - Yes, you did.
- I hate to break in.Copy !req
350. We've got a blunt head trauma.Copy !req
351. - You told me to explain.
- I didn't mean you!Copy !req
352. Ms. Knight, why don't you
come with us?Copy !req
353. 27-year-old firefighter,
fell 20 feet onto concrete...Copy !req
354. with blunt head trauma.Copy !req
355. BP 150/90. Pulse 60.Copy !req
356. Apneic and intubated on scene.Copy !req
357. Pupils four millimeters and sluggish.Copy !req
358. - You intubated?
- We lost the tube.Copy !req
359. We didn't have a laryngoscope.Copy !req
360. - Why the private chopper?
- It was on the scene.Copy !req
361. Help! Oh, no! Please, help me!
Please!Copy !req
362. Please!Copy !req
363. 8.0 ET tube. Suction.Copy !req
364. BP's 160/95. Pulse 62.Copy !req
365. Pulse ox 92.Copy !req
366. - Stabilize the neck.
- What have we got?Copy !req
367. Emile Fernandez, 27-year-old
firefighter...Copy !req
368. fell 20 feet onto concrete.Copy !req
369. - Head trauma, loss of consciousness.
- I'll check his belly.Copy !req
370. - Get locked out?
- Yes.Copy !req
371. Happened to me once.Copy !req
372. - Eighteen-gauge, left forearm.
- Okay, I'm in.Copy !req
373. - Good bowel sounds.
- Peritoneal lavage?Copy !req
374. No, he's hemodynamically stable.
Let's get a head and abdominal CT.Copy !req
375. All right. Pulse ox 92...Copy !req
376. 95, 96.Copy !req
377. Good breath sounds. No tracheal
shift or jugular venous distension.Copy !req
378. - Thank you, doctors.
- Call us when the CT's back.Copy !req
379. He needs a Foley and an NG tube.Copy !req
380. We thought you left on that chopper.Copy !req
381. - Sorry.
- First hemoglobin is 14.2.Copy !req
382. - Why don't you come over here?
- I need more tube.Copy !req
383. - He was a firefighter?
- He is a firefighter.Copy !req
384. - Urine's clear. No blood.
- Glasgow Coma Scale, how do you do it?Copy !req
385. Check for eye-opening,
verbal activity, motor response.Copy !req
386. - CT's ready.
- No verbal with ET.Copy !req
387. - Anything in the field?
- No.Copy !req
388. That would be a one.
What about eye opening?Copy !req
389. Spontaneous eye-opening is a five.Copy !req
390. We definitely don't have that.Copy !req
391. Emile, open your eyes!
Emile, open your eyes!Copy !req
392. - Now what?
- Painful stimulus.Copy !req
393. No eye-opening with pain.
That's a one.Copy !req
394. - How much for decorticate posturing?
- Two.Copy !req
395. That would be four out of 15.
He gets a three for being alive.Copy !req
396. Pulse ox, 98. ABG.Copy !req
397. - Absent corneal reflex means?
- No brainstem activity.Copy !req
398. Ready for the C-spine.Copy !req
399. Back up.Copy !req
400. - What are you thinking?
- Subdural or an epidural hematoma.Copy !req
401. Something we could actually fix.Copy !req
402. - What if there's no bleeding?
- Brain swelling.Copy !req
403. We'd have a chronic vegetative state
or a potential organ donor.Copy !req
404. Dr. Greene, Captain Matson.Copy !req
405. The guys want to know, how he's doing?Copy !req
406. Well, it's too early to say.
We'll know more when the CT's back.Copy !req
407. We screwed up bringing him
in on that chopper.Copy !req
408. It was the fastest way.Copy !req
409. Yeah, but we lost his ET tube.
We didn't have equipment.Copy !req
410. If you'd waited, it could've
been another 15 minutes.Copy !req
411. We would've had more supplies.Copy !req
412. You didn't screw anything up.
You bagged him, kept the airway open.Copy !req
413. I probably would've done
the same thing.Copy !req
414. - Any family?
- Wife and two kids.Copy !req
415. Thanks, doc.Copy !req
416. - You didn't tell them his condition.
- I don't know what that is yet.Copy !req
417. You're right. I didn't tell them.Copy !req
418. Why don't you stick with me on this?
I'll call you when the CT comes back.Copy !req
419. - We should have the cake at the desk.
- No surprise in that.Copy !req
420. We could put it in an exam room.Copy !req
421. - Didn't we do that last year?
- The last two years.Copy !req
422. - Kind of noisy, huh?
- There's no place to work.Copy !req
423. No, but at least you get a locker.Copy !req
424. I didn't get one for two months.Copy !req
425. Yeah, I guess some Resident
left the program or something.Copy !req
426. Right. Dr. Del Amico.Copy !req
427. She went to Philadelphia
to work in the pediatric ER.Copy !req
428. We don't have one?Copy !req
429. We might get one
if Dr. Ross has his way.Copy !req
430. Anyway, Anna... Dr. Del Amico...Copy !req
431. thought it was
a better opportunity.Copy !req
432. Her family's there.
It's where she's from.Copy !req
433. There was this boyfriend
that she was involved with.Copy !req
434. You got a locker out of it.Copy !req
435. I'm sorry about Mr. Zwicki.Copy !req
436. I thought you asked me
to talk to his wife.Copy !req
437. Sometimes the Suture Room
is pretty quiet.Copy !req
438. Baker, Shelly, chart number 13940...Copy !req
439. admitted January 12, 1998,
with a fever of 102.Copy !req
440. Respiratory distress...Copy !req
441. It's been a crazy day.
I've been swamped.Copy !req
442. Reece couldn't get the hearing test?Copy !req
443. No, no, no. He had an ear infection.Copy !req
444. - That's probably been the cause.
- That's good anyway.Copy !req
445. He'll be on Augmentin
for another week.Copy !req
446. Then he'll take the test
and clear this up.Copy !req
447. What?Copy !req
448. I can't believe you're wearing
those boots.Copy !req
449. When in Rome...Copy !req
450. How was Rome?Copy !req
451. Denver is not Rome.Copy !req
452. I went to a fantastic rodeo, though.Copy !req
453. I didn't care for the hospital.
It's regimented.Copy !req
454. Well, it is a Surgical program.Copy !req
455. Look, I want to stay in Chicago.Copy !req
456. You know, Cromley may offer me
a sponsorship.Copy !req
457. Good.Copy !req
458. I'm glad you're staying.Copy !req
459. Well, trying to stay.Copy !req
460. - You are, are you?
- Yeah.Copy !req
461. I missed you.Copy !req
462. Well, that's very nice of you
to say, Peter.Copy !req
463. I missed you too.Copy !req
464. - It was a little...
- Cold between the sheets.Copy !req
465. Elizabeth, what are you doing?Copy !req
466. Stop being so shocked
and come over here.Copy !req
467. - Has it been six months?
- It seems like it, doesn't it?Copy !req
468. Lucy, right?Copy !req
469. Yeah.Copy !req
470. - And you are?
- Malik. Carter was looking for you.Copy !req
471. He's checking on that pregnant lady
in Exam Two.Copy !req
472. Thanks.Copy !req
473. Exam Two...Copy !req
474. - Exam Two?
- No, Curtain Three.Copy !req
475. - Exam Two is back towards Admit.
- Thanks.Copy !req
476. - Exam Two?
- Past Curtain Two, hang a left.Copy !req
477. Exam... Curtain Two. Exam Two.Copy !req
478. - Oh, excuse me. I'm sorry.
- Are you the doctor?Copy !req
479. No. I'm Lucy Knight.
I'll be assisting the doctor.Copy !req
480. Who'll be here soon.Copy !req
481. Hi, Mrs. Draper. I'm Dr. Carter.Copy !req
482. You're about nine weeks pregnant?Copy !req
483. This is my third pregnancy.Copy !req
484. Mrs. Draper's had two previous
miscarriages.Copy !req
485. I see that you've been experiencing
some cramping and some bleeding.Copy !req
486. Spotting. I had some spotting
yesterday and it's heavier today.Copy !req
487. And I passed some clots.Copy !req
488. BP's 110/75. Pulse 100.Copy !req
489. And how many pads have you used?Copy !req
490. One yesterday and four today.Copy !req
491. - Have any fever?
- No.Copy !req
492. - Any burning on urination?
- No.Copy !req
493. Good.Copy !req
494. Let's get a CBC, type and RH...Copy !req
495. dip a urine, and check an ICON.Copy !req
496. Are there any family members
we can call?Copy !req
497. - I've already talked to my husband.
- Okay.Copy !req
498. We're gonna do a few tests...Copy !req
499. then I'll come back
and do a pelvic exam.Copy !req
500. Then we'll know better
where we stand. Okay?Copy !req
501. - Okay.
- We'll be right back.Copy !req
502. Tell me when the ICON's back.Copy !req
503. I should stay out while you
do the pelvic, right?Copy !req
504. Won't learn much if you do.Copy !req
505. I thought she seemed distraught.Copy !req
506. It doesn't have anything to do
with you being in the room.Copy !req
507. The CT's back on that firefighter
if you want to see.Copy !req
508. - Let me put my stuff down.
- Sure.Copy !req
509. Okay, tell me what you see.
Any intracranial bleeding?Copy !req
510. I'll give you a hint.
Blood appears white on a CT scan.Copy !req
511. - I don't see any.
- No subdural or epidural hematoma.Copy !req
512. There's nothing
they can do surgically.Copy !req
513. - That's not good?
- That's not good at all.Copy !req
514. Look at the ventricles.Copy !req
515. The brain is so swollen
that they're squashed down...Copy !req
516. along the border
of the gray matter.Copy !req
517. Tiny, punctate hemorrhages
and axonal shearing.Copy !req
518. Most of his brain's been destroyed.Copy !req
519. - So, what do you do now?
- Give steroids, hyperventilate him.Copy !req
520. Have Neurosurgery put in an ICP
monitor and wait for the wife.Copy !req
521. Dr. Greene?Copy !req
522. - Not too good, is it?
- No.Copy !req
523. Thanks for talking with us. The
captain and I get into it sometimes.Copy !req
524. - Turf war?
- I hate to call it that.Copy !req
525. You must have worked
with paramedics in the field before.Copy !req
526. - Mostly in here.
- Want to think about doing it?Copy !req
527. There's a position open.
District medical director for EMS.Copy !req
528. - What exactly is that?
- Oversee paramedic education.Copy !req
529. Help determine new procedures.Copy !req
530. - I have a job.
- This is a side deal.Copy !req
531. - Only a few hours a week.
- It can't be much pay.Copy !req
532. Pay's nothing.Copy !req
533. - And the perks?
- There aren't any.Copy !req
534. No salary, no perks.
Sounds great.Copy !req
535. See you.Copy !req
536. Hell of a way to get a job offer.Copy !req
537. And proceed seven steps forward.Copy !req
538. You have now reached the Admit desk...Copy !req
539. - You already took the audio tour.
- Yeah, I know.Copy !req
540. - Dr. Doyle doesn't know that.
- Bernard, you owe me.Copy !req
541. Okay... Okay.Copy !req
542. How many times is he gonna
take that thing?Copy !req
543. Hey, Carter's about to do that pelvic.Copy !req
544. I'm gonna take a look inside
with the speculum.Copy !req
545. I need you to relax.Copy !req
546. There's tissue in the os.
Ring forceps.Copy !req
547. Let's get that to Pathology.Copy !req
548. I need to check your ovaries now.Copy !req
549. You tell me...Copy !req
550. is there any pain here?Copy !req
551. No.Copy !req
552. - How about here?
- No.Copy !req
553. No adnexal masses or tenderness.Copy !req
554. You can put your legs back down,
Mrs. Draper.Copy !req
555. What is it? What's going on?Copy !req
556. I am very sorry, but you have
had a miscarriage.Copy !req
557. You're sure?Copy !req
558. The fetus was pushed out of the womb.Copy !req
559. Your bleeding has slowed, but we need
to observe you for a little while.Copy !req
560. I'm gonna come back
and do another pelvic exam...Copy !req
561. to make sure
the bleeding's stopped...Copy !req
562. and that the cervix is closed.Copy !req
563. A doctor from OB/GYN
is gonna stop by.Copy !req
564. Ms. Knight, would you stay here
until they do?Copy !req
565. Of course.Copy !req
566. Get some rest, Mrs. Draper.Copy !req
567. Rest.Copy !req
568. I thought this time
it would be all right.Copy !req
569. I never made it to nine weeks before.Copy !req
570. I don't know why this is happening.Copy !req
571. Why is this happening?Copy !req
572. I don't know.Copy !req
573. I'm sorry.Copy !req
574. I don't know.Copy !req
575. - What are you doing?
- I have no idea.Copy !req
576. - Ms. Knight?
- Yes. Hi.Copy !req
577. I just thought we could...
Just excuse me a minute.Copy !req
578. Jerry, I thought you notified
the morgue for a pickup.Copy !req
579. I did. I'm sorry,
I'll call them again.Copy !req
580. I haven't had a chance
to work with you today.Copy !req
581. - Everything's going well?
- Yes, pretty well for a first day.Copy !req
582. So it's been completely hateful.Copy !req
583. Kerry, I need to do a needle
aspiration on a 15-year-old.Copy !req
584. I need the mother's consent.Copy !req
585. Yeah, and Ms. Knight was looking
for a good case to observe.Copy !req
586. The more the merrier. Come on.Copy !req
587. You see, now,
that's a peritonsillar abscess.Copy !req
588. A pocket of pus has collected around
the tonsils and we have to get it out.Copy !req
589. We'll numb it first and we'll use a
needle to draw out the infected fluid.Copy !req
590. An alternative is to open it with
a scalpel, but that's more invasive.Copy !req
591. - The needle aspiration is fine.
- If you're sure.Copy !req
592. You've been a "hit the books"
medical student.Copy !req
593. - Is there any other kind?
- Some are more diligent than I was.Copy !req
594. You're a Pediatric Emergency Fellow?Copy !req
595. - It's different from an Attending?
- Under the boss.Copy !req
596. That's why you need an Attending
to be your witness?Copy !req
597. When you have parents sign consents
an Attending needs to witness that.Copy !req
598. I performed a procedure on a
7-month-old baby addicted to heroin.Copy !req
599. I didn't get his mother's consent.Copy !req
600. - What happened?
- The powers that be were upset.Copy !req
601. So I am now a Pediatric Emergency
Fellow on probation.Copy !req
602. And the baby isn't addicted to drugs.Copy !req
603. Sometimes it's a tradeoff.Copy !req
604. Good luck.Copy !req
605. Every guy in that gym
thought I had a coronary.Copy !req
606. They were all over me.Copy !req
607. Asking me if they could help,
get me some water.Copy !req
608. One guy offered to take me
to his own doctor.Copy !req
609. That's very generous.Copy !req
610. What do we have?Copy !req
611. Roxanne Please, 25.
She was at the gym...Copy !req
612. You know, I dropped a darn
15-pound weight on my little toe.Copy !req
613. I hope it's not broken.Copy !req
614. - Jerry, what's open?
- Curtain Area One.Copy !req
615. Or maybe Exam One would be better.Copy !req
616. We'll check it out and get an x-ray.Copy !req
617. A woman's looking for you.
A Mrs. Fernandez.Copy !req
618. The firefighter's wife.Copy !req
619. - We'll get you in the exam...
- I can take care of that.Copy !req
620. Okay, Jerry.
It is your birthday, so...Copy !req
621. - Really? Happy birthday.
- Well, thank you.Copy !req
622. - Mrs. Fernandez?
- Yes?Copy !req
623. I'm Dr. Greene. This is Ms. Knight.Copy !req
624. Where's Emile? We came as soon
as we could. We piled in the car.Copy !req
625. It'd probably be a good idea
if the family stayed here.Copy !req
626. Mrs. Fernandez, your husband fell
20 feet onto a concrete surface.Copy !req
627. The paramedics were there
and brought him right in.Copy !req
628. There was no internal
abdominal bleeding.Copy !req
629. The CT scan of his head showed
diffuse brain injury and swelling.Copy !req
630. What does that mean?
How serious?Copy !req
631. He can't breathe on his own.
He's on a ventilator.Copy !req
632. He can't move any muscles.
He's not opening his eyes.Copy !req
633. He's in a coma.Copy !req
634. Does he need an operation?Copy !req
635. Unfortunately, there isn't any
that can help.Copy !req
636. The prognosis is not good.Copy !req
637. We're going to admit him to the ICU,
monitor the pressure in his brain...Copy !req
638. and treat the swelling
the best we can.Copy !req
639. Is he brain-dead, Dr. Greene?Copy !req
640. We're gonna have to wait and see.Copy !req
641. If the tests show no brain activity
over the next few days...Copy !req
642. you're gonna have to think
about continuing life support.Copy !req
643. Lucy, can you take Mrs. Fernandez
to see her husband?Copy !req
644. Can he hear anything?Copy !req
645. It's possible. There's no way
to really know.Copy !req
646. You can talk to him.Copy !req
647. Do you know what you cut your foot on?Copy !req
648. No. I was diving the Wellsburt,
a shipwreck out in Lake Michigan...Copy !req
649. when I felt this slice.Copy !req
650. What's weird, though, at that depth...Copy !req
651. your blood comes out looking green.Copy !req
652. - When was your last tetanus shot?
- I don't know.Copy !req
653. My mom kept track of that stuff.Copy !req
654. Your laceration is superficial,
but it'll require a few stitches.Copy !req
655. We'll give you a dose
of antibiotics beforehand.Copy !req
656. Ms. Knight, do you think
you can handle the IV?Copy !req
657. - Of course.
- I'll be back.Copy !req
658. You do know how to do this?Copy !req
659. Yes.Copy !req
660. Oh, could I ask you something
for a second?Copy !req
661. Sure.Copy !req
662. This is my first IV and l...Copy !req
663. You don't want to punish the patient.Copy !req
664. Something like that.Copy !req
665. - Okay.
- Thank you.Copy !req
666. - Do you want to try?
- No, I'll just watch.Copy !req
667. All right.Copy !req
668. First you're gonna take the tourniquet
and tie it into a slipknot, like that.Copy !req
669. Ms. Knight, the films came back
on that woman who dropped the weight.Copy !req
670. Small, non-displaced fracture
of the proximal phalanx.Copy !req
671. - Fifth toe. Just do a buddy tape.
- A buddy tape?Copy !req
672. Yeah, you tape the little toe
to the one next to it. Okay?Copy !req
673. Tell her to expect discomfort
for a couple of weeks...Copy !req
674. and to wear hard-soled shoes.Copy !req
675. Okay.Copy !req
676. When you look at the actuarial tables,
term is definitely the way to go.Copy !req
677. - Ms. Please.
- Oh, please, call me Roxanne.Copy !req
678. I've said that my whole life.Copy !req
679. Good news. It's just
a small hairline fracture.Copy !req
680. - How long will that take to heal?
- A couple of weeks.Copy !req
681. I need to tape you up.
And you should wear hard-soled shoes.Copy !req
682. - Roxanne sells insurance.
- Really?Copy !req
683. Yep. Life, disability,
umbrella policies, you name it.Copy !req
684. - You have insurance?
- Just medical through school.Copy !req
685. Sorry.Copy !req
686. You should start your coverage now.
Your age, premiums are incredibly low.Copy !req
687. Roxanne says disability
is more important than life.Copy !req
688. Statistically, you're more likely
to be maimed or mutilated than killed.Copy !req
689. Really? Who knew?Copy !req
690. - Roxanne's also staying for the party.
- What party?Copy !req
691. Jerry's surprise party.
He says they always have one.Copy !req
692. Okay. There we go.Copy !req
693. That should do it.Copy !req
694. Scuba Man is on his way.
Only took half a dozen sutures.Copy !req
695. - By the way, nice job on that IV.
- Good.Copy !req
696. No, seriously. I kind of threw you
in the deep end there.Copy !req
697. I didn't think you'd be able to do it.
It's good to know...Copy !req
698. you can swim.
- Thanks.Copy !req
699. - Can I see you for a minute?
- Sure.Copy !req
700. Mrs. Fernandez is looking
for either you or Dr. Greene.Copy !req
701. Okay.Copy !req
702. Mrs. Fernandez, can I help you?Copy !req
703. I couldn't stay in with Emile.
I...Copy !req
704. I can't see him that way.
I can't talk to him.Copy !req
705. - I'm sorry.
- You don't have to be sorry.Copy !req
706. Look, I need to take my children home.Copy !req
707. Tell Dr. Greene that
I will come back tomorrow.Copy !req
708. And I guess we'll talk
about what to do.Copy !req
709. Okay. Okay, I'll tell him.Copy !req
710. Jerry! Jerry, get over here, please.Copy !req
711. I mean what does it take, huh?Copy !req
712. How many times have I asked you
to get rid of this body?Copy !req
713. - I will call them again, Dr. Weaver.
- You will not!Copy !req
714. You will not call them again. You'll
take this poor soul there yourself.Copy !req
715. - Dr. Weaver...
- Jerry, it's just a corpse.Copy !req
716. It's not like you've never seen
a dead body before.Copy !req
717. - We finally got you at last!
- You got me. You got me.Copy !req
718. - Blow out the candles.
- All right.Copy !req
719. - Happy birthday, Jerry.
- Thanks.Copy !req
720. - I gotta pick up Rachel.
- Bring her to our barbecue.Copy !req
721. - Really? About an hour?
- Yeah.Copy !req
722. - Maimed or mutilated, huh?
- Yeah, it's not a pretty picture.Copy !req
723. No, tell me more.Copy !req
724. I can't believe this party.
It was a horrible day.Copy !req
725. Tomorrow's gonna be even worse. I
found out I got assigned to Dr. Doyle.Copy !req
726. - When did you hear that?
- Dr. Weaver told me.Copy !req
727. - You're with Dr. Carter.
- Oh, man.Copy !req
728. I'd consider yourself lucky.Copy !req
729. He thinks I can swim.Copy !req
730. At least we survived day one.Copy !req
731. Yeah, I basically did nothing
and helped no one.Copy !req
732. You got to see some patients.Copy !req
733. Dr. Doyle won't let me near
a single one.Copy !req
734. Yeah, I saw some patients.Copy !req
735. Want a piece of cake?Copy !req
736. Mr. Fernandez.Copy !req
737. Emile.Copy !req
738. My name is Lucy. I work here.Copy !req
739. I met your wife.Copy !req
740. I know how much she loves you.Copy !req
741. And how much your kids love you.Copy !req
742. And how they wish
this hadn't happened to you.Copy !req
743. How we all wish
this hadn't happened to you.Copy !req