1. Previously on ER:Copy !req
2. Give him back to me!
Give him to me!Copy !req
3. Group therapy in your first week?
All I did was observe.Copy !req
4. I'm going to have a baby.Copy !req
5. I heard there might be a surgical
trauma fellowship run out of the ER.Copy !req
6. It was my idea.
I brought it to Greene and Weaver.Copy !req
7. I need time for Reece.Copy !req
8. - Don't make him an excuse to screw me!
- I'll find something else!Copy !req
9. I don't want you to forfeit it to me.Copy !req
10. If you want it, go for it!
I'll still get it!Copy !req
11. - Morning, Carol.
- Morning.Copy !req
12. Did you see that beautiful blue sky?Copy !req
13. I came in when it was
still dark. Cracker?Copy !req
14. No, thanks. What are you doing?Copy !req
15. I woke up with a sudden urge to clean.Copy !req
16. Do you realize this peritoneal lavage
kit expired in 1996?Copy !req
17. If your symptoms persist, maybe you
could work your magic on Admit.Copy !req
18. Yeah. I think I've been cured,
thanks.Copy !req
19. Well, it was worth a shot.Copy !req
20. Good morning, Ron.Copy !req
21. I'm sorry. Excuse me.Copy !req
22. I wasn't looking.Copy !req
23. You're looking bright.Copy !req
24. I'm presenting on a panel at the
Chicago Society of Trauma Physicians.Copy !req
25. I'll stop griping about attending.
What's your topic?Copy !req
26. Ultrasound versus CT in blunt abdominal
trauma. I've had good findings.Copy !req
27. I'll look forward to it.Copy !req
28. Hey, man! You want to try
giving it to me next time?Copy !req
29. The proper way to throw a Frisbee
is off the middle finger, sidearm.Copy !req
30. For me, it's the flick of the wrist
that gives it that rotation.Copy !req
31. Great catch.Copy !req
32. For me, the key to Frisbee
is a light touch.Copy !req
33. So you're on your way to work.Copy !req
34. My shift begins in 15 minutes,
and today's my last day.Copy !req
35. I thought things were going
well with the INS.Copy !req
36. Oh, it is. I got amnesty.Copy !req
37. Congratulations.Copy !req
38. Thank you.Copy !req
39. I'm going to school to get
my civil engineering license.Copy !req
40. You and IKubby gonna stay here
in Chicago?Copy !req
41. - Great.
- Carol?Copy !req
42. Do you know anything about
this woman, Coco Robbins?Copy !req
43. Her and her baby are coming
into the clinic.Copy !req
44. She's schizophrenic and Social Services
is having us monitor her baby care?Copy !req
45. To make sure she's taking her meds.Copy !req
46. - That's a pretty risky proposition.
- She deserves a chance.Copy !req
47. So this was your idea?Copy !req
48. I'm in touch with the halfway house
where they are living.Copy !req
49. I'll volunteer for her appointments.Copy !req
50. You asked me to be responsible
for the clinic.Copy !req
51. I didn't know anything about this.Copy !req
52. You're right. I'm sorry.Copy !req
53. I should've told you about it.Copy !req
54. No, Carol. You should've asked.Copy !req
55. She's due in a few minutes.Copy !req
56. What are you doing?Copy !req
57. - Drafting teams for baseball.
- Want in?Copy !req
58. - Can I draft IKen Griffey?
- He's mine.Copy !req
59. I've got Sammy Sosa.Copy !req
60. Because he's got the "cutest buns
in baseball."Copy !req
61. How would you like to perform a
righteous act and make me a happy man?Copy !req
62. Dean signed us for a mentoring project
at the Math/Science Magnet School.Copy !req
63. They put some of their top students
into area hospitals like...Copy !req
64. an independent study program.Copy !req
65. I need you to hold his hand
and give him a few errands to run.Copy !req
66. - Okay.
- Good.Copy !req
67. It is a public school, but I'm
assured he's not a convicted felon.Copy !req
68. When is this happening?Copy !req
69. Anytime now.
The kid's name is Antoine.Copy !req
70. - Oh, today?
- Yeah.Copy !req
71. Don't leave him unattended
around the drug lockup.Copy !req
72. - Thank you.
- What's wrong?Copy !req
73. Nothing. Are you back with us?Copy !req
74. No, I'm still in Psych.Copy !req
75. You'll be back soon.
Don't get used to the cushy life.Copy !req
76. Yeah, I won't. Sally MclKenna?Copy !req
77. Did they get the glass out?Copy !req
78. The doctor is still with your husband.
I'm a student doctor in Psychiatry.Copy !req
79. Can I ask a few questions?Copy !req
80. Michael's been very stressed out.
He's in law school.Copy !req
81. He's never done anything like this.Copy !req
82. The doctor said he attacked a car?Copy !req
83. He was working on a paper for the last
few days, so I left him alone.Copy !req
84. And today I woke up
and he was in the street...Copy !req
85. smashing our car with a bat.Copy !req
86. Does Michael have any history
of psychiatric problems?Copy !req
87. - Not at all.
- Michael ever use any drugs?Copy !req
88. No! Never. I mean, well...Copy !req
89. He'll drink a few beers.Copy !req
90. A few beers doesn't make
a person freak out like that.Copy !req
91. I think it's just a buildup
of stress.Copy !req
92. I will talk to your husband
as soon as the ER docs are done.Copy !req
93. Hey, Jeanie. Still doing triage?Copy !req
94. - So how are you feeling?
- Not bad.Copy !req
95. Any side effects from the ribavirin?Copy !req
96. - Nausea, fatigue...
- Peter, please. I'm fine.Copy !req
97. You look a little tired.
Why don't I check your LFTs?Copy !req
98. If the meds don't work,
we need to know.Copy !req
99. I've got a lab appointment today.Copy !req
100. Listen, if you need me...Copy !req
101. Thanks. Excuse me,
I've got patients I need to triage.Copy !req
102. Carol, your appointment
hasn't shown up.Copy !req
103. - What?
- Coco Robbins and her baby are late.Copy !req
104. - Did she call?
- I tried calling her.Copy !req
105. No one has seen her.Copy !req
106. Maybe I should go over there.Copy !req
107. Maybe you should call Children and
Family Services or the police.Copy !req
108. I didn't think she'd do this.Copy !req
109. If she doesn't stay on her meds,
there's nothing we can do.Copy !req
110. There's someone here to see you,
a Coco Robbins.Copy !req
111. Coco, are you all right?
Where have you been?Copy !req
112. On my way. I know I'm early.
I wasn't sure I should bother you.Copy !req
113. - Early?
- Twelve noon.Copy !req
114. Yeah, they wrote it down for me.Copy !req
115. They must have written it down
wrong in the book.Copy !req
116. - Is it still okay?
- Yes, she'll take you into the clinic.Copy !req
117. How's he doing?Copy !req
118. Good. He's so beautiful, isn't he?Copy !req
119. He is beautiful.Copy !req
120. - Morning, Peter.
- Hey.Copy !req
121. I understand the trauma fellowship's
going to happen.Copy !req
122. Look, I'm sorry I came down so hard
on you about your interest.Copy !req
123. It was really silly of me
to be so proprietary about it.Copy !req
124. Apparently, they're expecting
at least 15 applicants.Copy !req
125. Really?Copy !req
126. Have you given up the cardiothoracic?Copy !req
127. I haven't made up my mind.Copy !req
128. Well, feel free to apply
for the trauma fellowship.Copy !req
129. I appreciate that.Copy !req
130. If you do, we have the inside track.
You know, home-team advantage.Copy !req
131. Are you planning to go to
the Trauma Conference this afternoon?Copy !req
132. I couldn't get away. Romano has me
doing a keyhole cardiac bypass.Copy !req
133. Very fancy. I don't think
you'll be missing much.Copy !req
134. I understand it's a dull affair.Copy !req
135. Yeah. Yeah, probably.Copy !req
136. Well, if you'll excuse me, I have
a partial gastrectomy to get to.Copy !req
137. Tell me about the patient
who smashed his car.Copy !req
138. - I was just going in.
- You haven't worked him up?Copy !req
139. The ER just got done with him.Copy !req
140. I need you to pull the information
together and present the patient...Copy !req
141. so I can decide
to admit or medicate.Copy !req
142. How long will it take?Copy !req
143. - Fifteen minutes.
- I'll see you in 10.Copy !req
144. - Enjoying your Psych rotation?
- You heard.Copy !req
145. As a med student,
your job is to get to know patients...Copy !req
146. not work up all your Resident's
patients for him.Copy !req
147. Students who help their
Residents get better grades.Copy !req
148. Now's the time to learn about
talking and listening to patients.Copy !req
149. Don't let that get lost
in the shuffle.Copy !req
150. - Thanks.
- You're welcome.Copy !req
151. She'll need to stay
for an albuterol treatment.Copy !req
152. She'll be fine.Copy !req
153. Nita, it's Reverend Lynn.Copy !req
154. Would you cancel
my morning appointments?Copy !req
155. Yep. I'll give you a call.Copy !req
156. Yeah, right. Bye.Copy !req
157. Sorry this is taking so long.Copy !req
158. You're obviously busy. I can wait.Copy !req
159. How'd you do that to your thumb?Copy !req
160. Hammering the gutter on my church.Copy !req
161. Hurts like hell.Copy !req
162. I'm Matthew Lynn.Copy !req
163. Hi. Jeanie Boulet.
You're a minister?Copy !req
164. South Street AME. You know it?Copy !req
165. I'm not a churchgoer. I had my fill
of being told what I couldn't do.Copy !req
166. I hear you.Copy !req
167. You have a subungual hematoma,
a collection of blood under your nail.Copy !req
168. We'll drain it. I'll call a doctor
and give you something for the pain.Copy !req
169. It looks like you also have
swollen joints.Copy !req
170. Rheumatoid arthritis.
I've had it for years.Copy !req
171. I take pills for inflammation, then
more so the first don't cause an ulcer.Copy !req
172. That's not much fun.Copy !req
173. Oh, I'm pretty lucky.Copy !req
174. I've seen worse.Copy !req
175. I'd lay off the hammering.
Don't want you having anther accident.Copy !req
176. I don't believe in accidents.Copy !req
177. If I hadn't hit my thumb,
we would never have met.Copy !req
178. - This is a divine intervention.
- Something like that.Copy !req
179. You Antoine Bell?Copy !req
180. I'm Dr. Carter. How are you doing?Copy !req
181. You'll be spending some time with us.Copy !req
182. Let me show you around.Copy !req
183. It's a little slow now,
but that can change.Copy !req
184. Sorry I can't make the conference.
I have a conflict with the committee.Copy !req
185. I'll cauterize that bleeder
in the abdominal wall.Copy !req
186. If you like, I can leave a copy
of my talk in your office.Copy !req
187. I found the positive predictive value
of ultrasounds higher than reported.Copy !req
188. Excellent.Copy !req
189. By the way, what did you think
of Peter's study?Copy !req
190. He told me he wasn't presenting.Copy !req
191. I'm talking about
the sternal saw paper...Copy !req
192. he and IKerry got accepted by the
Annals of Emergency Medicine.Copy !req
193. Quite provocative.Copy !req
194. - Really?
- Yes.Copy !req
195. It could attract the grant money we'll
need for the trauma fellowship.Copy !req
196. I look forward to reading it.Copy !req
197. Michael? Hi.Copy !req
198. I'm Lucy IKnight.
How are you feeling?Copy !req
199. Pretty embarrassed.Copy !req
200. I'm from Psychiatry, and I
want to talk to you briefly.Copy !req
201. Law school's been pretty rough
going, your wife said.Copy !req
202. Yes, but I got out of my system what
I needed to get out. I'm fine now.Copy !req
203. I've felt like smashing things before.Copy !req
204. What got you to the point
where you actually did it?Copy !req
205. You know, pressure, things.Copy !req
206. How have the last few days been?Copy !req
207. Just formulating my thoughts.Copy !req
208. And how do you cope
with your stress usually?Copy !req
209. Not much can be done.Copy !req
210. Do you ever have a drink?
Maybe a few beers?Copy !req
211. I do.Copy !req
212. And have you been drinking more
recently to cope with the stress?Copy !req
213. How much in the last few days?Copy !req
214. Drinking helps.Copy !req
215. Oh, God!Copy !req
216. It helps you relax?Copy !req
217. It helps them be more quiet.Copy !req
218. Who does it make more quiet?Copy !req
219. The demons.Copy !req
220. You don't believe me.
But I hear them.Copy !req
221. Are you hearing them now?Copy !req
222. Michael, I'll call Dr. Myers.Copy !req
223. I would never hurt my wife.Copy !req
224. I'm stronger than they are.Copy !req
225. I wouldn't do what they said.Copy !req
226. I hit the car instead.Copy !req
227. They wanted me to do it to her...Copy !req
228. but I hit the car.Copy !req
229. He took three ounces of Enfamil 20
with iron at 4:25 this morning.Copy !req
230. He burped at 4:47.
He peed at 5:05.Copy !req
231. You're writing this all down?Copy !req
232. - Is that okay?
- Of course.Copy !req
233. I just want to make sure people
see that I'm getting it all right.Copy !req
234. Could you listen to his heart?
It beats so fast.Copy !req
235. Babies' hearts beat
faster than adults'.Copy !req
236. - It's perfectly normal.
- Oh, good.Copy !req
237. I thought maybe something was wrong...Copy !req
238. which is why I came early.Copy !req
239. No, he's fine. Aren't you?Copy !req
240. Sometimes he spits up a little
after he eats.Copy !req
241. Which is perfectly normal
for a happy, healthy baby.Copy !req
242. You can relax. He's doing great.
And you're doing great.Copy !req
243. I think he's a very lucky little boy.Copy !req
244. I have to do right with this.
Better than right.Copy !req
245. I know. And you are.Copy !req
246. If something goes wrong,
I know I'll lose him.Copy !req
247. Are you taking your meds?Copy !req
248. Yeah, it's here.
Look at my journal. Here.Copy !req
249. Everything's good
at the halfway house?Copy !req
250. Great. There's another woman there
with a 2-month-old girl.Copy !req
251. Everyone's so nice. They love
having these little babies around.Copy !req
252. What's not to love?Copy !req
253. Any questions?Copy !req
254. - You'll be back in two days?
- Two days, 10 a.m. I'll be here.Copy !req
255. You'll have to control your temper.
No more feet through picture frames.Copy !req
256. My passion got the better of me.
What can I tell you?Copy !req
257. She's lucky that's all I put
my foot through. You married?Copy !req
258. - Divorced.
- Dating anybody steady?Copy !req
259. Not right now.Copy !req
260. There you go. Fast and loose.
Don't let them get their hooks in you.Copy !req
261. From the age they grow boobs till
they die they can make you crazy.Copy !req
262. Do I tell the truth?Copy !req
263. All right.Copy !req
264. Stay off this foot for a couple weeks.Copy !req
265. No, doc, I can't do that. I gotta
get back out on the dance floor.Copy !req
266. I go ballroom dancing a couple,
three times a week.Copy !req
267. - Really?
- You dance?Copy !req
268. Dancing will turn you
into a chick magnet.Copy !req
269. I'd like to dance.
I just never learned how.Copy !req
270. Except for my wedding.
I learned to tango.Copy !req
271. Oh, the tango. You know what I mean.Copy !req
272. All right, Mr. Pipitone.
I'll check in with you later.Copy !req
273. - Two weeks? With the foot?
- Two weeks.Copy !req
274. Where's your "Scared Straight" kid?
I want to show him the morgue.Copy !req
275. He's from the Math/Science
Magnet School.Copy !req
276. - Really?
- Who said he was?Copy !req
277. No one. My mistake.Copy !req
278. Tell him I'm looking for him.Copy !req
279. We got a trauma coming in.Copy !req
280. Paramedics are bringing in a stabbing
victim. We'll take him there.Copy !req
281. I want you to follow along.
Hang back.Copy !req
282. - Seth Willows?
- Here we are.Copy !req
283. - Mrs. Willows?
- No. I'm Leila Morgan.Copy !req
284. This is my foster son, Seth.Copy !req
285. Hi, Seth. I'm Nurse Hathaway.
What happened here?Copy !req
286. He put his hand through a window.Copy !req
287. Can I take a look?Copy !req
288. It's not gonna hurt.Copy !req
289. Seth, stop! Now, stop this!Copy !req
290. Carol, you okay?Copy !req
291. - Why don't you take a seat?
- Sit down right there, now, please.Copy !req
292. I'm so sorry. We're having such
trouble with him.Copy !req
293. I'm gonna get him into an exam room.Copy !req
294. I'm also gonna call
for a Psych consult.Copy !req
295. We got a 55-year-old man
stabbed in the neck.Copy !req
296. BP's 135/82.
Pulse 110. Airway seems okay.Copy !req
297. Got a zone-two neck injury.
A good carotid pulse.Copy !req
298. What else about the third man?
Was he big? Small?Copy !req
299. - Skinny. Not big.
- Are you usually hoarse like this?Copy !req
300. - No.
- Could be a nerve injury.Copy !req
301. Or expanding hematoma.
Call X-ray. I need a neck film.Copy !req
302. Pulse ox 96.Copy !req
303. - Want to explore him in the O.R.?
- He's stable.Copy !req
304. Skinny and what?
What was he wearing?Copy !req
305. - I don't know. Dark clothes.
- On my count.Copy !req
306. He needs a tetanus booster.
Gram of Ancef?Copy !req
307. Give him three of Unasyn.Copy !req
308. - Why wasn't I paged?
- Didn't need you.Copy !req
309. Okay, here's the plan.
Chest is clear.Copy !req
310. We need angiography, esophagoscopy
laryngoscopy.Copy !req
311. We should protect his airway.Copy !req
312. I'm covering the ER, all right?Copy !req
313. Fine. I'm finished here.Copy !req
314. Draw up four of Versed
and 10 of Norcuron.Copy !req
315. Sir, we're gonna put you to sleep.Copy !req
316. We're putting a tube in your mouth
and you won't be able to speak.Copy !req
317. I gotta get the descriptions.Copy !req
318. He needs to be intubated.Copy !req
319. His wife was DOA at the scene.
The killers are at large.Copy !req
320. Please.Copy !req
321. All right.Copy !req
322. - Was he dark-skinned, light-skinned?
- Medium.Copy !req
323. Going my way?Copy !req
324. If you're going up to the O.R., I am.Copy !req
325. Why so glum on this bright spring day?Copy !req
326. I've got a lot on my mind.Copy !req
327. - Would that be the trauma fellowship?
- Yeah, it might be.Copy !req
328. I'll invite myself to sit
on the selection committee.Copy !req
329. Anspaugh says you've got
a fighting chance.Copy !req
330. I did have before Peter
decided to apply.Copy !req
331. He applied for the trauma fellowship?Copy !req
332. Yeah. Hadn't you heard?Copy !req
333. No! I must be out of the loop.Copy !req
334. I'm sure he was planning to tell you.Copy !req
335. I'm sure it was just an oversight.Copy !req
336. I am so sorry for the wait.
Someone will be in soon.Copy !req
337. The sun is shining,
the birds are singing...Copy !req
338. and after that Vicodin,
I'm feeling no pain.Copy !req
339. Wait. Why don't you do my...
What did you call it?Copy !req
340. Subungual hematoma.Copy !req
341. I see you're a physician assistant.Copy !req
342. I'm working triage.Copy !req
343. You said it's a simple procedure.Copy !req
344. To tell you the truth, I'm not doing
procedures anymore.Copy !req
345. Anymore?Copy !req
346. I have hepatitis C, Reverend Lynn.Copy !req
347. I don't want to risk infecting you.Copy !req
348. How could you infect me?Copy !req
349. - Well, if I cut myself...
- Cut yourself?Copy !req
350. On what?Copy !req
351. I thought you just needed
to drain the blood blister.Copy !req
352. That's true.Copy !req
353. If you're careful,
shouldn't be any problem.Copy !req
354. Right.Copy !req
355. Remember, I don't believe
in accidents.Copy !req
356. What happened to the kid?
Blood freak him out?Copy !req
357. Maybe the cop freaked him out.
What was he locked up for?Copy !req
358. Antoine is not a juvenile offender.Copy !req
359. He attends the Southside Math/Science
School and he's here for a project.Copy !req
360. Hi. I'm Lucy IKnight.
And this must be Seth.Copy !req
361. How are you doing in there?Copy !req
362. I've only had him a few weeks.
He got kicked out of the group home.Copy !req
363. I took him on.
I've handled tough ones.Copy !req
364. Why was he kicked out?Copy !req
365. Too much of a handful. He's been
shuttled around for three years.Copy !req
366. How are you feeling, Seth?Copy !req
367. I'm sorry about him kicking the nurse.
I gave him Inderal.Copy !req
368. - He shouldn't attack.
- Inderal.Copy !req
369. That's the latest.Copy !req
370. What other medications is he on?Copy !req
371. This is what they gave me:
Tegretol for his impulsiveness.Copy !req
372. Ritalin and clonidine
for attention deficit.Copy !req
373. Mellaril at bedtime to calm him down.Copy !req
374. Sounds like he's being overmedicated.Copy !req
375. Hey, Seth? You want a cookie?Copy !req
376. - So how are things going?
- Okay.Copy !req
377. Do you ever get dizzy sometimes?Copy !req
378. Sometimes I do get a buzzy feeling
in my head.Copy !req
379. Do you find that he's clumsy?Copy !req
380. That's what happened here.Copy !req
381. He fell against a window
and put his hand through.Copy !req
382. This wasn't from an outburst.Copy !req
383. I've been looking for you.Copy !req
384. You took off right in the middle.Copy !req
385. Was it the recurrent laryngeal nerve?Copy !req
386. You said he had a nerve injury
making him hoarse.Copy !req
387. Was it the recurrent laryngeal nerve?Copy !req
388. Yeah, probably.Copy !req
389. Supplies the vocal cord muscles.Copy !req
390. That's right.Copy !req
391. I like this book.Copy !req
392. Puncture wound below the nipple.Copy !req
393. Tripped and fell on a sprinkler head
while jogging. BP is 95/65.Copy !req
394. - Decreased breath sounds on the left.
- It hurts to breathe.Copy !req
395. Set up for a chest tube, 32 French.Copy !req
396. - Where's my wife?
- On her way.Copy !req
397. Okay, everybody, on my count.
One, two, three.Copy !req
398. - You okay?
- I just pinched my finger.Copy !req
399. - It's all her fault.
- Betadine. Number 10 blade.Copy !req
400. And one of Versed.
It's all whose fault?Copy !req
401. My wife. Forcing me to exercise.
I should've stayed on the couch.Copy !req
402. Carol, chest tube tray.Copy !req
403. "It's a beautiful day," she says.
"You should be out."Copy !req
404. - Last time I listen to her.
- Okay, just relax.Copy !req
405. You should finish your rounds.Copy !req
406. I'll be admitting this patient anyway.Copy !req
407. All right. Chest impalement,
sixth intercostal space.Copy !req
408. Possible injuries below
the diaphragm. Ultrasound?Copy !req
409. Abdomen's soft and non-tender.
I think it's just a chest injury.Copy !req
410. Well, we can't be too sure, Peter.Copy !req
411. Tube's in. Hook up the Thora-Seal,
Carol. Where's Carol?Copy !req
412. Pressure's 110.
No way he got the spleen.Copy !req
413. Better safe than sorry.Copy !req
414. - 200 cc's out of the chest tube.
- No fluid in the abdomen.Copy !req
415. - What did I tell you?
- Still could've nicked the diaphragm.Copy !req
416. - There was no possibility of that.
- Are we taking him up to the O.R.?Copy !req
417. I'm gonna give him a laparotomy.Copy !req
418. I prefer a less invasive laparoscopy.Copy !req
419. You might miss a viscus injury.Copy !req
420. Why don't you take a moment
and figure out what you want to do?Copy !req
421. I need your help.Copy !req
422. - Are you okay?
- I was cramping. Now I'm spotting.Copy !req
423. Is it time for your period?Copy !req
424. No, Mark. I'm pregnant.Copy !req
425. Do you see a heartbeat?Copy !req
426. I can't tell.
It's hard to get a good view.Copy !req
427. Come on, Mark.Copy !req
428. No. I don't see a heartbeat.Copy !req
429. Oh, man!Copy !req
430. Carol, it's not necessarily
a blighted ovum.Copy !req
431. It's probably just too early
to see with this.Copy !req
432. I'll call Radiology and set up an
appointment for a vaginal ultrasound.Copy !req
433. Are you planning on going
through with the pregnancy?Copy !req
434. I was hoping to, yeah.Copy !req
435. What does Doug think?Copy !req
436. I figured I'd wait on that one.Copy !req
437. Get through the first trimester. If I
miscarry, there's not much to tell.Copy !req
438. - He'd want to know either way.
- Yeah, I will.Copy !req
439. I'll tell him at some point.Copy !req
440. I'm trying to get used to this myself.
Things are complicated enough.Copy !req
441. - I'll call for that appointment.
- Thanks, Mark.Copy !req
442. You say he's been irritable?Copy !req
443. Off and on. IKind of grouchy.Copy !req
444. From all the spitting up
and his stomachache.Copy !req
445. Has he lost any weight?Copy !req
446. I think so, now that you say that.
His pants used to be snug.Copy !req
447. - Where do you live?
- Apartment on Cottage Grove.Copy !req
448. - Pretty old building?
- Yeah, I'd say so.Copy !req
449. Roaches be having family reunions.Copy !req
450. Peeling paint?Copy !req
451. Peeling everything.Copy !req
452. I bet Lonnie likes
to put things in his mouth.Copy !req
453. Yeah, he do.Copy !req
454. Has he been screened for lead?Copy !req
455. Lead? No.Copy !req
456. What's wrong with him?Copy !req
457. We'll run more tests,
get a better sense of what's wrong.Copy !req
458. - So let's get a CBC and a lead level.
- Right.Copy !req
459. We're gonna see if his symptoms
are a result of lead poisoning.Copy !req
460. Maybe from eating flecks
of paint, which kids do.Copy !req
461. The lead-level results
won't be back for a while...Copy !req
462. but we can learn some things
from the blood work.Copy !req
463. Just make him better.Copy !req
464. Aesop, down.Copy !req
465. Dissect and mobilize
the internal mammary.Copy !req
466. - Got it.
- Excellent, Peter.Copy !req
467. You definitely have the dexterity
for cardiothoracic, no doubt about it.Copy !req
468. This is amazing.Copy !req
469. - It's like operating a marionette.
- Cutting edge in cardiac bypass.Copy !req
470. - Didn't I tell you?
- You told me.Copy !req
471. All right, let's keep flooding
the field with CO2.Copy !req
472. We'll spoon up the artery
and lift it off the anterior wall...Copy !req
473. and anastomose the mammary to the
anterior branch of the coronary.Copy !req
474. Make an end run
around the diseased artery.Copy !req
475. You're familiar
with the concept of an end run?Copy !req
476. - Of course I am.
- Yes. I know that you are.Copy !req
477. High levels of lead can cause...Copy !req
478. basophilic stippling
in the blood cells.Copy !req
479. And there it is. See this?Copy !req
480. The red cells are hypochromic,
or less red than normal red cells...Copy !req
481. which is a sign of anemia.Copy !req
482. Anemia. That's low iron
in the hemoglobin.Copy !req
483. That's right.Copy !req
484. Red blood cells need iron so they
can deliver oxygen to the tissues.Copy !req
485. Right. IKids who are
anemic lack iron...Copy !req
486. which makes it very easy for the
lead to bind to the red blood cells.Copy !req
487. So you can see how this puts kids
like Lonnie in a doubly bad position.Copy !req
488. How?Copy !req
489. Poor children are more likely to be
anemic because of inadequate diet.Copy !req
490. And poor kids are more likely
to be exposed to lead paint...Copy !req
491. - Because they live in older buildings.
- Yes.Copy !req
492. - So this kid's got lead poisoning.
- Looks like a pretty severe case.Copy !req
493. Are you upset about something?Copy !req
494. Why would I be upset?Copy !req
495. I've been talking you up
for the cardiothoracic fellowship...Copy !req
496. to anybody who will listen to me.Copy !req
497. And today I find out you're vying
for the ER trauma fellowship.Copy !req
498. It's a bit confusing.Copy !req
499. Well, I wasn't taking the
cardiothoracic fellowship for granted.Copy !req
500. So the trauma fellowship
is just a fallback. I see.Copy !req
501. And if you were selected for both,
you would choose...?Copy !req
502. Cardiothoracic.Copy !req
503. Any indecision you're feeling
about your future, I can help.Copy !req
504. Just say the word...Copy !req
505. and I'll take the cardiothoracic
fellowship off the table.Copy !req
506. No.Copy !req
507. That's my first choice.Copy !req
508. Just be clear, Peter.Copy !req
509. For your own sake, and mine.Copy !req
510. Radiology can see you
at 5:00 for the ultrasound.Copy !req
511. Great. Thanks.Copy !req
512. Why don't we get out of here?
Take a walk, grab a movie.Copy !req
513. I thought you had to go
to a Trauma Conference.Copy !req
514. Who wants to hang out
with a bunch of doctors?Copy !req
515. Go to the conference. I'm fine.Copy !req
516. I just thought we...Copy !req
517. I could use this time
by myself right now.Copy !req
518. All right. But I'm around
if you need to talk.Copy !req
519. - I know.
- I told IKerry you were feeling ill.Copy !req
520. So if you have to take off early...Copy !req
521. Thanks, Mark.Copy !req
522. Nurse Hathaway?Copy !req
523. Coco, what are you doing back here?Copy !req
524. If I didn't do something right with
the baby, would you have to tell on me?Copy !req
525. How are you doing, Seth?Copy !req
526. - Got any more cookies?
- Sure I do.Copy !req
527. I was talking to your foster mom.Copy !req
528. She seems like a pretty nice lady.
What do you think?Copy !req
529. She's new.Copy !req
530. She said your natural mom
died a few years ago.Copy !req
531. I never knew my dad.Copy !req
532. It's hard to grow up without a parent.Copy !req
533. She died in a car crash.
It was my dad's fault.Copy !req
534. That's an awful thing to happen.Copy !req
535. Do you think about it a lot?Copy !req
536. No.Copy !req
537. Does it make you mad sometimes?Copy !req
538. You got any more cookies?Copy !req
539. That was my last one.Copy !req
540. If you don't want to talk about
your parents, we don't have to.Copy !req
541. Why do you want to?Copy !req
542. I like talking to you.Copy !req
543. I want to know what's on your mind.Copy !req
544. My dad gets drunk a lot.Copy !req
545. That why you have to stay
with foster parents sometimes?Copy !req
546. He's an alcoholic.Copy !req
547. A lot of people have that problem.Copy !req
548. It makes it kind of tough
on you, though.Copy !req
549. I only wish that my dad would come
and see me sometime.Copy !req
550. Taxi!Copy !req
551. Taxi!Copy !req
552. Come on!Copy !req
553. Taxi!Copy !req
554. Hey!Copy !req
555. - Taxi!
- Thanks a lot, buddy.Copy !req
556. Hey! Hey!Copy !req
557. Thank you very much!Copy !req
558. Elizabeth?Copy !req
559. You all right?Copy !req
560. I cannot get a cab
in this bloody city.Copy !req
561. Listen, we can take the EI.
It goes right near the hotel.Copy !req
562. - Are you sure?
- Yeah. Yeah.Copy !req
563. I wasn't sure about the bath. Nobody
showed me. I didn't know what to do.Copy !req
564. Yes, you did. You knew
to come back and ask for help.Copy !req
565. I was afraid to look stupid.Copy !req
566. Well, you did the right thing. Hi.Copy !req
567. Just support him
with your hand like that.Copy !req
568. And then just gently wash him
with a mild soap.Copy !req
569. You're good at this.
You must do it a lot.Copy !req
570. No, not really.
You'll get good at it too.Copy !req
571. Here. Why don't you give it a try?Copy !req
572. Hey!Copy !req
573. - Hey, Dr. Carter, did you need me?
- Yeah.Copy !req
574. Cracking the whip on you, Toine.Copy !req
575. - All right.
- All right.Copy !req
576. - Friends of yours from school?
- Friends from the neighborhood.Copy !req
577. You don't have to worry about the tie.
It's not necessary.Copy !req
578. Well, my mom said to wear it.Copy !req
579. - You ever had a job before, Antoine?
- No.Copy !req
580. This isn't a job, but there are
things I feel I ought to tell you.Copy !req
581. Not to give you a hard time, but...Copy !req
582. You're bright, you'll learn it anyway.
Might as well be now.Copy !req
583. - All right.
- All right?Copy !req
584. With any job you have in the future,
things will be expected of you.Copy !req
585. - That means no hanging with buddies.
- I had a reason.Copy !req
586. I don't want to hear it.
I'm not giving you a hard time.Copy !req
587. Just letting you know
what I expect of you.Copy !req
588. - Yes, sir.
- All right.Copy !req
589. - What's next?
- Specificity.Copy !req
590. I got Sensitivity.
It's a little crumpled.Copy !req
591. I'll take it.Copy !req
592. - Methodologies?
- No.Copy !req
593. False Negative Rates?Copy !req
594. Bingo.Copy !req
595. Okay. Outcomes?Copy !req
596. It's got a footprint on it.
Looks kind of interesting.Copy !req
597. Oh, it's not very sexy.
Just meta-analysis.Copy !req
598. Thought it might help me
bag the trauma fellowship.Copy !req
599. - Yeah. Can't hurt.
- Be better if I had it published.Copy !req
600. I'm sorry about
that chest wound today.Copy !req
601. Why are you sorry?
You did a great job.Copy !req
602. Trauma shouldn't be
a battleground for surgeons.Copy !req
603. - Oh, you mean Peter.
- Yep.Copy !req
604. - Well, that must be tough.
- What?Copy !req
605. - Competing with your boyfriend.
- Not boyfriend. Just competing.Copy !req
606. - I thought you two were...
- History.Copy !req
607. I gotta get better sources.Copy !req
608. This is us.Copy !req
609. - Think they'll still let me speak?
- Ten minutes? That's nothing.Copy !req
610. I was supposed to go first.Copy !req
611. Well, you were busy
saving someone in the ER.Copy !req
612. - Four hours ago?
- Work with me.Copy !req
613. - So why aren't we stopping?
- Guess it's not a weekend stop.Copy !req
614. We can get off at the next stop.Copy !req
615. - Does that feel better?
- Much.Copy !req
616. You should be taking care of people...Copy !req
617. not working up front,
checking pulses and doing paperwork.Copy !req
618. I'm sorry I took so long.
I got held up.Copy !req
619. - Reverend, how are you?
- Can't complain.Copy !req
620. - She's been taking good care of me.
- You two know each other?Copy !req
621. Since Peter was a little boy
with straight A's.Copy !req
622. I haven't seen you around lately.Copy !req
623. Well, I've been pretty busy here
and taking care of Reece.Copy !req
624. My mother used to attend
Reverend Lynn's church.Copy !req
625. Are you the Jeanie
that helped Mrs. Benton?Copy !req
626. - I am.
- She spoke of you.Copy !req
627. Just before she passed.
She told me you were her angel...Copy !req
628. that you brought her comfort.Copy !req
629. I'll never forget how much
you meant to my mother.Copy !req
630. You see? I told you
we didn't meet by accident.Copy !req
631. So Dr. Benton and I
are both in your debt.Copy !req
632. I'd like to offer
some healing prayers.Copy !req
633. I need all the help I can get.Copy !req
634. - You mean right now?
- The spirit has moved me.Copy !req
635. Amen.Copy !req
636. That wasn't so bad.Copy !req
637. No.Copy !req
638. Conference Room C.Copy !req
639. - Which way?
- I don't know.Copy !req
640. - You been here before?
- I don't know the rooms.Copy !req
641. Conference rooms. Right.Copy !req
642. But I'm serious.
I'm gonna marry this girl.Copy !req
643. - Sorry.
- Let's get out of here.Copy !req
644. Can you tell us where the
Trauma Physicians' Conference is?Copy !req
645. - Did you check the directory?
- Conference Room C, but it's a wedding.Copy !req
646. That's Ballroom C.
Conference C's on the lower level.Copy !req
647. Where's the elevator?Copy !req
648. - Through the bar.
- That makes sense.Copy !req
649. - Thank you.
- Want a drink?Copy !req
650. - Sure. We got time.
- Look! A giant pig ice sculpture.Copy !req
651. Oh! Sorry.Copy !req
652. She's had a little too much to drink.Copy !req
653. So you here for the conference?Copy !req
654. It's taking too long.Copy !req
655. - Let's take the stairs.
- Good idea.Copy !req
656. - You're terrible.
- Who? Me? You ran into them.Copy !req
657. - Hurry up.
- I'm in heels!Copy !req
658. Well, take them off, woman.Copy !req
659. - "Woman"? Did you call me "woman"?
- Who? Me?Copy !req
660. I'll let it slide.
You did rush to my rescue.Copy !req
661. - I haven't saved you yet.
- At least we can make an appearance.Copy !req
662. It's a dead end.Copy !req
663. Uh-oh!Copy !req
664. - Very funny.
- No, really. It's locked.Copy !req
665. You've got to be kidding me.Copy !req
666. I think somebody didn't want us
to make this conference.Copy !req
667. Dr. Carter?Copy !req
668. Could I see you over here
for a minute, please?Copy !req
669. This is Sharice Haines.
And this is her son, Andre.Copy !req
670. I think he has lead poisoning.
Could you take a look?Copy !req
671. Sure.Copy !req
672. - Hello.
- Hi.Copy !req
673. He's been feeling sick.
I don't know why.Copy !req
674. I sent some of my friends to go
bring Andre and his mother in.Copy !req
675. - I can examine him now.
- And do those blood tests?Copy !req
676. If it's needed. First thing is to
take a history and do a physical exam.Copy !req
677. May I see your son?
Let me ask you a few questions.Copy !req
678. Dr. Carter? I know it's past 4:00...Copy !req
679. but can I hang around
and see how this goes?Copy !req
680. Absolutely.Copy !req
681. Thank you.Copy !req
682. Does it hurt when I do that, Andre?
When I press right here?Copy !req
683. Seth is overmedicated,
sent from one foster home to another.Copy !req
684. Each time, he gets a new med
without regard to the old ones.Copy !req
685. You found out just in time.Copy !req
686. The credit really goes to my student.
Lucy found the problem right away.Copy !req
687. - Good job.
- We can put him on proper medication.Copy !req
688. I think he could benefit
from psychotherapy as well.Copy !req
689. All he really needs is for someone
to listen to him and to care.Copy !req
690. Glad to hear you say that.
Most students think it's about meds.Copy !req
691. Not many take the time to do therapy.
Residents are like that too, right?Copy !req
692. I suppose so.Copy !req
693. - You might learn from your student.
- Could I continue counseling this kid?Copy !req
694. Your rotation's almost over.Copy !req
695. Then I start my second ER rotation.
I'd still like to see him if possible.Copy !req
696. I'll supervise you myself.
This would be a great case for you.Copy !req
697. Well?Copy !req
698. I don't understand.Copy !req
699. We can look
into transplants, talk to...Copy !req
700. - They're fine.
- What?Copy !req
701. My liver function tests are almost
normal. The meds must be working.Copy !req
702. Yeah, I'll say.Copy !req
703. Maybe I stressed myself out
and made myself sick.Copy !req
704. Yeah. I guess you can't underestimate
the power of prayer, huh?Copy !req
705. I need you to take everything
off and put on the gown.Copy !req
706. The radiologist will be in
very soon, okay?Copy !req
707. We have a struggling national
health service, but I believe in it.Copy !req
708. No. I meant for the surgeons.
You seem so desperate to stay.Copy !req
709. - Am I that transparent?
- Well, not "desperate."Copy !req
710. - I like it here. It suits me.
- You don't get homesick?Copy !req
711. A little.Copy !req
712. I do get Ionely sometimes.Copy !req
713. I complain about work. But it's
my most loyal companion, really.Copy !req
714. It's hard to get used to it.
You know, being alone.Copy !req
715. But...Copy !req
716. After a while, you expect it.Copy !req
717. I mean, you just
have to appreciate it.Copy !req
718. - You really believe that?
- I'm full of crap.Copy !req
719. You two locked in?Copy !req
720. - Yes.
- Yes.Copy !req
721. You still want that drink?Copy !req
722. You got it.Copy !req
723. You haven't learned your lesson.Copy !req
724. It's a character flaw.Copy !req
725. I'm a stubborn old mule.Copy !req
726. I hear you.Copy !req
727. So you're here.Copy !req
728. It's a start.Copy !req
729. Is there a heartbeat?Copy !req
730. You said you've had some cramping?Copy !req
731. A little.
And earlier today, some spotting.Copy !req
732. There we go.Copy !req
733. Right there.
Strong, steady heartbeat.Copy !req
734. - Are you sure?
- No doubt about it.Copy !req
735. Thank God.Copy !req
736. Not 100o/o guarantee that everything
will be okay, but it's a good sign.Copy !req
737. - The bubonic plague?
- I was 9 years old.Copy !req
738. The counselor said not
to feed squirrels...Copy !req
739. that we might get bubonic plague.Copy !req
740. - Could you?
- I don't know.Copy !req
741. But Timmy fed the squirrels!Copy !req
742. So Timmy had to be
locked in the cabin?Copy !req
743. "Timmy." Not "Jimmy."Copy !req
744. - I said "Timmy."
- It sounded like "Jimmy."Copy !req
745. Listen.Copy !req
746. - What?
- It's weird.Copy !req
747. What's weird?Copy !req
748. They're playing a tango.Copy !req
749. You know the tango?Copy !req
750. Want to crash a wedding?Copy !req
751. You do know how to do this?Copy !req
752. It's a traditional
American wedding dance.Copy !req
753. - I'm not sure.
- Just follow my lead.Copy !req