1. Previously on ER:Copy !req
2. - Thanks for covering.
- If you don't know, ask.Copy !req
3. You mean the EMS Medical Director
is a real person?Copy !req
4. Yeah, he's an ER doc.Copy !req
5. I thought it was a name
on top of memos.Copy !req
6. Not when I do it.Copy !req
7. - You're a Pediatric Emergency Fellow?
- One under the boss.Copy !req
8. You're thinking of starting over?Copy !req
9. It's a means to what I want,
which is to stay here.Copy !req
10. I'm an ER doc, just like you.Copy !req
11. Not like me. You acted without
the consent of your colleagues.Copy !req
12. Reece can't hear talking or the phone.
It's a severe-to-profound loss.Copy !req
13. Excuse me. You gonna be long?Copy !req
14. No, almost done. Just a minute.Copy !req
15. - Why start with the copy room?
- Got a work order.Copy !req
16. Well, other rooms in the ER
need paint more than this one.Copy !req
17. Lady, I just do
what they tell me to do.Copy !req
18. So how was your skating party?
Did you have fun?Copy !req
19. Yeah.Copy !req
20. Mostly kids from your soccer camp?Copy !req
21. Some.Copy !req
22. Juliet?Copy !req
23. It's Julianne. She wasn't there.Copy !req
24. So who was there?Copy !req
25. Just kids.Copy !req
26. Hello?Copy !req
27. Oh, hi, Mom. I just knew it was you.Copy !req
28. Yeah.Copy !req
29. Oh, no. I had a great time.Copy !req
30. Oh, you'll never guess who was there.Copy !req
31. Well, Stephanie, she had this
sort of yellow sweater.Copy !req
32. Remember that time I went
to the mall with you...Copy !req
33. and I saw that orange sweater
that really matched my blue skirt?Copy !req
34. Well, this one looks even better.Copy !req
35. Interim?Copy !req
36. Yes.Copy !req
37. Well, has there been any change
in my responsibilities?Copy !req
38. No, it's just around the table...Copy !req
39. we felt that "interim"
was a more accurate term.Copy !req
40. So you're the Interim Chief, Kerry.Copy !req
41. Fine.Copy !req
42. But, Don, it has been over 90 days
since Dr. Morgenstern resigned.Copy !req
43. Then policy dictates
that a permanent chief be named.Copy !req
44. It's all in the process.
We've put out feelers.Copy !req
45. Thus far we have
four outstanding candidates.Copy !req
46. We're forming a committee.Copy !req
47. So four candidates, including me?Copy !req
48. Actually, you make it five.Copy !req
49. Just one more thing.Copy !req
50. You know, I did a performance
review of Doug Ross.Copy !req
51. You gave me an evaluation
of the ultra-rapid detox.Copy !req
52. Yeah. This is an overall
evaluation of his work.Copy !req
53. It'll help in deciding whether he
should be made an ER Pedes Attending.Copy !req
54. I'll pass it along.Copy !req
55. Thank you.Copy !req
56. Dr. Carter?Copy !req
57. Ethan Luitly, remember?Copy !req
58. The guy next door plays Pumpkins
so loud I can't study.Copy !req
59. He told me he'd stop.Copy !req
60. - It's okay now but I'm sensitive...
- I'm late. Can we talk later?Copy !req
61. - Oh, God! Log jam.
- Dude! It's flooding my stall!Copy !req
62. Not again!Copy !req
63. All right, I'll fix it.Copy !req
64. Come out. I'll fix it.Copy !req
65. Shut off the water
before it floods the hall.Copy !req
66. - Lift the lid.
- I've done this before.Copy !req
67. - Just pull the chain.
- Maintenance uses the shut-off valve!Copy !req
68. Randi, have you seen my student?Copy !req
69. She was just looking for you.Copy !req
70. - What?
- You're looking mythical.Copy !req
71. Carter, Curtain 4, LOL,
weak and dizzy.Copy !req
72. Hey, Mark? What does...Copy !req
73. What does "interim" mean to you?Copy !req
74. "In-between."Copy !req
75. Do you think that's
a stronger word than "acting"?Copy !req
76. Your new title?
I liked "acting" better.Copy !req
77. They're forming a review committee.Copy !req
78. - Anspaugh told me.
- He asked me to be on it.Copy !req
79. - Do you think that's a good idea?
- Why not? I can be impartial.Copy !req
80. But my hat's in the ring
and we work together.Copy !req
81. I'd hate for there to be
any suggestion of favoritism.Copy !req
82. - You don't think I should?
- Well, I just want to be fair.Copy !req
83. No problem. I'll pass.Copy !req
84. Hey, want to sneak away for lunch?
Rosebud. On me?Copy !req
85. - What's the occasion?
- Just to talk.Copy !req
86. - About what?
- Over lunch.Copy !req
87. - Okay, sure.
- Good.Copy !req
88. Hi. Is Carol around?Copy !req
89. Yeah. She's just...Copy !req
90. - Hey, you're back.
- Yeah. I am reborn.Copy !req
91. - Oh, God, you look great!
- Thanks.Copy !req
92. - Where did you go again?
- The Laurentian Wilderness.Copy !req
93. I'd stay away from anyplace
with "wilderness" in its name.Copy !req
94. It was great.
I was in the music camp.Copy !req
95. We jammed all night long, every night.Copy !req
96. Rock, salsa, gospel, whatever.Copy !req
97. That kind of "wild" I can get with!Copy !req
98. Jeanie, this is Lynette,
our own nurse practitioner.Copy !req
99. Welcome. I'm not on until noon, guys.Copy !req
100. I'm doing paperwork,
so tell me if you need help.Copy !req
101. Volunteering? You did just come
straight from the wilderness.Copy !req
102. Well, here you go.Copy !req
103. How about John Esmond?Copy !req
104. Seven years old, losing weight,
no insurance, Curtain 2.Copy !req
105. - Sure.
- Thank you.Copy !req
106. - It's 8:30 already!
- Hello.Copy !req
107. You know how long we waited?Copy !req
108. Sorry about that.
Hey, John. My name is Jeanie.Copy !req
109. I'm putting this thermometer under
your arm. Hold it there for me.Copy !req
110. Has he complained
of cramps or diarrhea?Copy !req
111. No. But look what he threw up.Copy !req
112. - What are those?
- Roundworms.Copy !req
113. - Worms?
- Yeah.Copy !req
114. - How's everything going?
- Well, you know, back to civilization.Copy !req
115. My findings are nearly identical
to the audiologist's.Copy !req
116. With the results of both tests
being so close...Copy !req
117. I'd say this is reliable data.Copy !req
118. I've done research
on cochlear implants.Copy !req
119. How they've restored
hearing to the deaf.Copy !req
120. But implant surgery requires
destruction of residual hearing.Copy !req
121. But what difference does it make
if the surgery will allow him to hear?Copy !req
122. Given the FDA criteria,
he's not a candidate at this time.Copy !req
123. Your son can be helped by less
invasive methods. Hearing aids.Copy !req
124. - The new digital hearing aid.
- Paired with intensive speech therapy.Copy !req
125. What about sign language?Copy !req
126. Why limit him to signing when
we can teach him to hear and speak?Copy !req
127. Okay.Copy !req
128. So, what do we do to get
this digital hearing aid?Copy !req
129. So they do this thing with scallops
and a white wine sauce...Copy !req
130. What is this lunch about?Copy !req
131. All in good time.Copy !req
132. Just tell me. You can't keep secrets.Copy !req
133. - I'm in control. It's a new me.
- Really?Copy !req
134. Could the "new you" see a kid?Copy !req
135. - He's got a parasite infection.
- I have 10 minutes. I have paperwork.Copy !req
136. Is it bad?Copy !req
137. It might kill your interest
in the scallops.Copy !req
138. Yeah, found these in the copy machine.Copy !req
139. Hey, throw that in Dr. Ross' box.Copy !req
140. Dr. Carter, do you remember me?
Roxanne?Copy !req
141. I spoke to you
at Jerry's surprise party.Copy !req
142. - You were selling disability insurance.
- Right.Copy !req
143. I'm "more likely
to be maimed than killed"?Copy !req
144. Sorry, I didn't mean to pressure you.Copy !req
145. I'm here to sign up
one of your nurses.Copy !req
146. But my toe is still a little sore.
The one I dropped the weight on.Copy !req
147. - Would you mind taking a look?
- Sure. Hop up here.Copy !req
148. Did I tell you I'm also
selling mutual funds now?Copy !req
149. I just started.
Such an exciting arena.Copy !req
150. - A little tender right there.
- Sorry.Copy !req
151. Selling straight funds
or variable annuities?Copy !req
152. You know about annuities?Copy !req
153. Once your Keogh's maxed out, you need
a vehicle for tax-deferred income.Copy !req
154. But most people can't lock up
their money until retirement.Copy !req
155. That's where muni bonds come in.Copy !req
156. Well, this is healing.
It'll just take a little more time.Copy !req
157. Avoid stomping your feet.
You'll be fine.Copy !req
158. - No slam dancing to the Beastie Boys?
- Slow dancing.Copy !req
159. Whatever you say, Dr. Carter.Copy !req
160. Thank you.Copy !req
161. This is rather nostalgic.Copy !req
162. My last day as a Surgical Fellow.Copy !req
163. At least it's a beginning
of something rather substantial.Copy !req
164. A gastroplasty
on a 400-pound gentleman.Copy !req
165. Did I make the wrong choice?Copy !req
166. It's not for me to say.Copy !req
167. Still, I wouldn't mind
hearing your opinion.Copy !req
168. Is there some ominous portent
in that long pause?Copy !req
169. I just can't imagine
being an intern again.Copy !req
170. I'm determined not to whine about it.Copy !req
171. And I feel very good
about not leaving the hospital.Copy !req
172. You might as well take a coffee break.Copy !req
173. Our patient just expired in the SICU.Copy !req
174. - What's this?
- Rodney MacMullen, 48.Copy !req
175. - Oh, God!
- Carving knife versus forehead.Copy !req
176. Good vitals, no visual complaints
but drunk and combative.Copy !req
177. Lucy, come on!Copy !req
178. Damn beans! You give them work,
they don't care! Son of a bitch!Copy !req
179. All right, everybody.Copy !req
180. Be nice and gentle.Copy !req
181. On my count:Copy !req
182. One, two, three.Copy !req
183. Pancho must die.
I'll blow his brains outCopy !req
184. - Hold him down.
- I got his legs. Lucy, get his arm!Copy !req
185. I'll get restraints!Copy !req
186. CBC, Chem-7, PT, PTT,
type and cross for two units.Copy !req
187. Pupils equal, react to light.Copy !req
188. - Sir, hold still.
- Let me get up.Copy !req
189. - How do I tie him?
- Tie his wrist to the frame.Copy !req
190. - Gram of Ancef?
- Do you have any allergies?Copy !req
191. - Just let me up!
- Go with the Ancef.Copy !req
192. Carol, can you hold his head?Copy !req
193. I want to look in the mouth.
Sir, open your mouth.Copy !req
194. - He's tied!
- Okay, Lucy, take a look.Copy !req
195. The blade's in the oropharynx
and penetrated the frontal sinuses.Copy !req
196. - Missed the eyes completely.
- Son of a bitch!Copy !req
197. Lucy!Copy !req
198. Lucy, you tied him to the rail,
not the frame. You don't listen.Copy !req
199. Hey, hey! Don't spit!Copy !req
200. Carol, give him five Haldol, I.M.
Sir, don't spit.Copy !req
201. Put this on.Copy !req
202. Not you, Lucy! Him!Copy !req
203. - Dana, this is Dr. Ross.
- Hi.Copy !req
204. Hey, Dana. How are you feeling?Copy !req
205. I'm okay.Copy !req
206. Any more pain?Copy !req
207. It's still there a bit
but I don't mind.Copy !req
208. All right. Let's take a look
at the damage here.Copy !req
209. Now, how exactly did this happen?Copy !req
210. I moved up for the goal
and had a side kick right in the net.Copy !req
211. And as soon as my foot
touched the ball...Copy !req
212. I heard a crack.Copy !req
213. Then I went to take a step...Copy !req
214. and it just gave out
and started hurting.Copy !req
215. Did you collide with anybody?
Anybody fall on top of you?Copy !req
216. - No.
- Anybody kick you in the shin?Copy !req
217. No. All I did was kick the ball.Copy !req
218. - What's wrong?
- It's a severe break.Copy !req
219. I want to understand how it happened.Copy !req
220. We're gonna get you
some more pain medication.Copy !req
221. And we're gonna run some tests.
All right?Copy !req
222. - Okay.
- Okay.Copy !req
223. Did you see that?Copy !req
224. The bone looked like
it exploded from the inside.Copy !req
225. - I want a CT-guided needle biopsy.
- Tumor?Copy !req
226. Remotely possible it's an infection.
The parents?Copy !req
227. One of the soccer moms
is calling them.Copy !req
228. We need their consent for the biopsy.Copy !req
229. You have a call on 35.Copy !req
230. A Mr. Davidson from some
insurance company calling you back.Copy !req
231. What is this?Copy !req
232. - They found it in the copy room.
- It's not mine.Copy !req
233. - It has your name on it.
- Thanks.Copy !req
234. He has the same coverage I have.Copy !req
235. No insurance covers it?Copy !req
236. So if I needed them,
you wouldn't buy them?Copy !req
237. Well, that's not acceptable.
Listen...Copy !req
238. Can I speak
to your superior, please?Copy !req
239. Fine! Fine! I'll call him back.Copy !req
240. Problem, Peter?Copy !req
241. Just bureaucracy. Drives you crazy.Copy !req
242. So I'm supposed to treat
this knife wound?Copy !req
243. It's not just a knife wound.
No hurry, I gave him five of Haldol.Copy !req
244. We got a hostage crisis and shootout.
They'll need a triage officer.Copy !req
245. They'd want someone more experienced.
I start tomorrow.Copy !req
246. - The rush is the best part.
- Maybe we'll see you on TV.Copy !req
247. - A shootout?
- Yeah, Wild West. How about it, doc?Copy !req
248. Tell Dr. Weaver that
I'm going on a run.Copy !req
249. 800, 850...Copy !req
250. $920.Copy !req
251. Malik, could I ask you a question?Copy !req
252. - Which do you think is the better vein?
- Let's see.Copy !req
253. - That's the one. Big and straight.
- Okay.Copy !req
254. Just slide it in.
He can't feel anything.Copy !req
255. It's going in.Copy !req
256. Got a flash. I'm advancing.Copy !req
257. Sapphire pinkie ring?
This man ain't got no class.Copy !req
258. Hooked up the line.Copy !req
259. Got the tape.Copy !req
260. How come it's not running in?Copy !req
261. It's infiltrated.Copy !req
262. - You went through the vein.
- No, I was really careful.Copy !req
263. You gotta be kind of
Zen with it, okay?Copy !req
264. Now, watch the master, okay?Copy !req
265. It's not about seeing.
It's not about feeling.Copy !req
266. It's about knowing.Copy !req
267. Malik, you got a phone call in Admit.Copy !req
268. - It's in.
- Okay.Copy !req
269. Now, finish it up.Copy !req
270. I'll take it out there.Copy !req
271. - Okay?
- Yep.Copy !req
272. Now, keep an eye on this guy too.Copy !req
273. When you finish, there's a
head lac to irrigate in Curtain 2.Copy !req
274. Wow!Copy !req
275. Oh, the knife tip is posterior
to the uvula and the oropharynx.Copy !req
276. So everything under control in here?Copy !req
277. It's fine.Copy !req
278. I asked Malik for some help
with the IV.Copy !req
279. Good. Use the nurses.Copy !req
280. That's an important lesson.Copy !req
281. We exchanged gunfire.
The assailant is down.Copy !req
282. - Bomb squad's checking him.
- Bomb squad?Copy !req
283. He took four employees hostage
with explosives.Copy !req
284. - What's his problem?
- He works here.Copy !req
285. Guess he didn't like it.Copy !req
286. The docs are here. How's he doing?Copy !req
287. The guy's covered in dynamite.
Got chicken wire all over his body.Copy !req
288. Lots of blood coming out of his neck.Copy !req
289. - How long's he been down?
- Ten minutes.Copy !req
290. - Can we get in?
- When we clear the explosives.Copy !req
291. Clark, can I send a doc in there?Copy !req
292. Well, I've cut the main fuse.
But it's not safe without a 7B suit.Copy !req
293. - What's that?
- A bomb suit.Copy !req
294. - Put me in that thing.
- Wait a minute.Copy !req
295. If anyone goes, it should be you.
You're the doctor.Copy !req
296. I'm not pressuring you.
If he dies, it wouldn't ruin my day.Copy !req
297. But it just looks bad
on the evening news.Copy !req
298. Sure. I'll go in.Copy !req
299. Jeanie, hey.
That was Pathology about Dana.Copy !req
300. Full workup will take a while.
Looks like Ewing's sarcoma.Copy !req
301. - If you want to beg off...
- No, I want to help.Copy !req
302. Good.Copy !req
303. Female, 77, found unconscious
in her home.Copy !req
304. Her name is Emily Holmes. She says
she has very good health coverage.Copy !req
305. We found her with BP 90/60, pulse 120.Copy !req
306. Started a line.
She arrested en route.Copy !req
307. - History?
- No meds in the bathroom.Copy !req
308. Does she have any medical problems?Copy !req
309. I'm just her neighbor. She always
seemed all right. Just forgetful.Copy !req
310. Let's get her on a monitor,
7.5 ET tube.Copy !req
311. There were three newspapers at her
door, so I knew something was wrong.Copy !req
312. All right, I'm in.Copy !req
313. Bag her.Copy !req
314. Full compressions.Copy !req
315. - V-fib, no pulse.
- Charge, 200.Copy !req
316. Is she dead? What's happening?Copy !req
317. - Can I help?
- Everyone clear.Copy !req
318. Clear.Copy !req
319. Sinus tach.Copy !req
320. I got a pulse.
Why do you think she arrested?Copy !req
321. Could've had an MI. Could be septic,
hypoxic, electrolyte imbalance.Copy !req
322. BP's 90 palp.Copy !req
323. Let's start her on dopamine.
Let's get a 12-lead.Copy !req
324. - She's not out of the woods yet.
- Does that mean she's gonna die?Copy !req
325. That's a possibility.
Do you know her family?Copy !req
326. I never saw anyone come to see her.Copy !req
327. I only ask because my sister's
on a waiting list...Copy !req
328. for an apartment in the building.Copy !req
329. I don't really understand why
a biopsy was done for a broken leg.Copy !req
330. The fracture didn't match what Dana
said had happened. It seemed unusual.Copy !req
331. - How?
- It may have been caused by a tumor.Copy !req
332. - A tumor?
- It weakened the bone.Copy !req
333. We have more tests...Copy !req
334. but the biopsy showed blue cells,
malignant cells.Copy !req
335. Are you saying she has cancer?Copy !req
336. Everything is still
in the diagnostic stage.Copy !req
337. You're not certain, then.Copy !req
338. The indication is that
there is a sarcoma.Copy !req
339. So you should speak
with an oncologist.Copy !req
340. Oh, no. I don't believe this.Copy !req
341. Oh, here she is.Copy !req
342. Hey, honey.Copy !req
343. How are you feeling?Copy !req
344. Did you hear how it happened?
It was so stupid.Copy !req
345. I'm sure you played a hard game.Copy !req
346. How much longer?Copy !req
347. With detonators,
all this damn wire...Copy !req
348. I hate amateurs.Copy !req
349. The wacko must have spent
hours wrapping this.Copy !req
350. Oh, God, his guts! His guts
are coming out under this stuff.Copy !req
351. Don't cut any more, okay?
That's small intestine.Copy !req
352. It's all wrapped up in the wire.Copy !req
353. His pulse is getting weaker.Copy !req
354. We gotta get him to the ER.
Is that black box a bomb?Copy !req
355. I got rid of the dynamite.Copy !req
356. Let's be safe and wrap it
in a ballistic blanket.Copy !req
357. If it blows,
no one gets hurt except Boris.Copy !req
358. Zadro, get the gurney down here now.Copy !req
359. We're moving him out.Copy !req
360. Dr. Olivas said that with these
digital hearing aids...Copy !req
361. he'll be able to understand
and talk as well as you and I.Copy !req
362. So he won't be deaf?Copy !req
363. His residual hearing
is something that we can work with.Copy !req
364. If he does the treatment...Copy !req
365. twice a week for an hour.
One of us has to be with him.Copy !req
366. - I can do that.
- Well, so can I.Copy !req
367. This treatment...
It's natural hearing input.Copy !req
368. The more we talk to him,
the better his speech will develop.Copy !req
369. You're gonna be okay, honey.
Hear that? You're gonna be okay.Copy !req
370. - Of course he is.
- Yeah.Copy !req
371. There is one thing, though.
This hearing aid is expensive...Copy !req
372. and my insurance won't cover it.Copy !req
373. Why won't they?Copy !req
374. If no one's covered,
neither are the elderly.Copy !req
375. Oh, that's so low.Copy !req
376. Yeah. I hate asking this...Copy !req
377. but it's $5000 and I've only got
$2700 in the bank. So I was...Copy !req
378. Peter, I said that we share everything
and I meant everything, okay?Copy !req
379. It means we share everything.
Don't worry about it.Copy !req
380. Just be happy that
something can be done.Copy !req
381. Okay?Copy !req
382. PH, 7.32.
PO-2, 345 on 100 percent.Copy !req
383. Good. Good.
Turn it down to 50 percent.Copy !req
384. - Check another gas in a half an hour.
- Okay.Copy !req
385. - Is this Emily Holmes?
- Yes.Copy !req
386. John Carter.Copy !req
387. She was found in her apartment.Copy !req
388. Margo Aikin. I authorize admissions
for Blue Beacon, her HMO.Copy !req
389. This lady's a DNR.Copy !req
390. She came in full arrest. She didn't
have any papers or any family.Copy !req
391. Let's step outside.Copy !req
392. I don't know what your plans are,
but I can't admit her.Copy !req
393. This patient's critical.Copy !req
394. Dr. Carter, I can't justify
an expenditure of $5000 a day...Copy !req
395. on a patient who should not be
alive, does not want to be alive.Copy !req
396. I wasn't gonna let her die.
That's not what we do here.Copy !req
397. Her choice was not to be resuscitated.Copy !req
398. It's in the HMO file.
That's the guideline I follow.Copy !req
399. She's on a vent.
You have to take her.Copy !req
400. No, I don't.Copy !req
401. You tubed her. You take her.Copy !req
402. Four units O-neg.Copy !req
403. - What's his airway?
- Intubated in the field.Copy !req
404. - Hey, what's going on?
- GSW. Bomb squad is coming with him.Copy !req
405. Bomb squad?Copy !req
406. This the guy with the dynamite?Copy !req
407. - Should be safe.
- "Should"?Copy !req
408. - Gunshot wound to neck and abdomen.
- BP was 100 palp.Copy !req
409. Very gently on my count:
One, two, three...Copy !req
410. Open this blanket nice and easy.Copy !req
411. Eviscerated bowel. CBC, chem panel,
coag, type and cross for four.Copy !req
412. - Gram of cefotetan.
- Pressure's down to 85 systolic.Copy !req
413. - I'll throw in a subclavian.
- You want O-neg?Copy !req
414. Yeah. Two units.Copy !req
415. Bowel's wrapped around
this chicken wire. What is this?Copy !req
416. May be a detonator.
I won't know till it's open.Copy !req
417. - Can it go off?
- If there's a blasting cap.Copy !req
418. Just don't mess with it.Copy !req
419. Jeanie, let's irrigate
with some saline.Copy !req
420. Let's get some sterile lap pads.
Come on. Oh, man!Copy !req
421. We'll resect this mess in the O.R.Copy !req
422. You're coming with us.Copy !req
423. Someone get some scrubs
for Officer Clark.Copy !req
424. - Okay, I'm in. Hook me up.
- Pulse ox 98.Copy !req
425. - Let me get this under there.
- Come on. Clean it out. Good.Copy !req
426. It's shorting!
You got about five seconds!Copy !req
427. Everybody out of here!
Out! Now! Let's go!Copy !req
428. 2000, 3000, 4000...Copy !req
429. All right! We've got
an open bowel in here!Copy !req
430. Let's move, people!
Let's get him up to the O.R.!Copy !req
431. - I got the line.
- O.R. 2 is ready.Copy !req
432. There you go.Copy !req
433. So this is shrimp?
And what's the red shredded stuff?Copy !req
434. That's Maui onions.Copy !req
435. - No pepperoni, cheese, tomatoes?
- It's gourmet.Copy !req
436. The bomber spoiled my gourmet lunch.
So the heroics give you an appetite?Copy !req
437. Oh, no. The running from
the Trauma Room gave me an appetite.Copy !req
438. - What is this lunch about?
- Yeah.Copy !req
439. All right. Okay. First a reading.Copy !req
440. "Performance Review, Dr. Douglas Ross,
by Kerry Weaver, M.D."Copy !req
441. - Where did you get that?
- It was found in the copying machine.Copy !req
442. "Dr. Ross repeatedly demonstrates
a complete disregard...Copy !req
443. for policies and procedures.Copy !req
444. For example, in regard
to patient discharge..." Wait.Copy !req
445. Okay. "In spite of mandatory
counseling to correct a history...Copy !req
446. of disrupting workplace behavior...Copy !req
447. Dr. Ross exhibits ongoing problems
with impulse control."Copy !req
448. That's right, Kerry. I'm a psycho.Copy !req
449. She could've given that
to the Pedes Review Committee.Copy !req
450. It's too late.
I brought you here...Copy !req
451. because I wanted you to toast
the new Pedes ER Attending: Me.Copy !req
452. - Really?
- Yeah.Copy !req
453. A buddy on the committee
told me at 6:00 a.m.Copy !req
454. I'm approved.
They're telling Anspaugh right now.Copy !req
455. I am so proud of you.
I am so thrilled.Copy !req
456. Aren't you thrilled?Copy !req
457. He's got his doubts
a little bit, right?Copy !req
458. Whatever my doubts were,
in all honesty...Copy !req
459. I'm very happy for you.
Happy for both of you.Copy !req
460. Mark, Rachel's here.
She wants to see you.Copy !req
461. Sure.Copy !req
462. She seems a little upset.Copy !req
463. Honey, what's up?Copy !req
464. Dad, can you come outside?
There's sort of a problem.Copy !req
465. He was ill when we left Vermillion.Copy !req
466. We got a rodeo in Louisville
8:00 a.m. Tomorrow.Copy !req
467. It's colic for sure.
I ain't seen a load in 12 hours.Copy !req
468. Don't worry. My dad can help you.
He's a doctor.Copy !req
469. Honey, I'm not a vet.Copy !req
470. Last time he got impacted,
mineral oil enema did the trick.Copy !req
471. We don't have the facilities to treat
animals, but we can find you a vet.Copy !req
472. Nearest large-animal is in
Buffalo Grove. Two hours in traffic.Copy !req
473. Dad, we gotta help him. Please?Copy !req
474. He's one of the finest
roping horses there is.Copy !req
475. Poor thing. If he goes down
in the trailer, he could die.Copy !req
476. That's right, miss. He sure could.Copy !req
477. That would be tragic.Copy !req
478. What's his name?Copy !req
479. Cherry Blossom. Say hi, Cherry.Copy !req
480. Hi, Cherry.Copy !req
481. Don't worry.
My dad's gonna make you all better.Copy !req
482. It's clean. No money in tobacco,
polluting chemicals, mining.Copy !req
483. It's like charity.
But it's an investment.Copy !req
484. - It's a White Hat Fund.
- What's the return?Copy !req
485. Over the past five years
it's been about 7.9 percent.Copy !req
486. You got anything dirtier
with a better upside?Copy !req
487. Sure, here you go.Copy !req
488. Pure petrochemicals:
17.4 percent return.Copy !req
489. Dr. Carter? My toe is feeling
so much better since you retaped it.Copy !req
490. - Good.
- Why don't we get together sometime?Copy !req
491. Maybe a little hot talk
about dollar-cost averaging...Copy !req
492. I'm really not much
of a customer these days.Copy !req
493. This isn't really a sales pitch.Copy !req
494. You work out?Copy !req
495. - Yeah, when I can find the time.
- Well, it's hard to find the time.Copy !req
496. I get free passes at the Artemis Club.Copy !req
497. It's good for a workout and sauna.
I'm there every night about 7.Copy !req
498. - Thanks. You careful with your toe?
- Yeah.Copy !req
499. I exercycle, light weights.
Great therapy after a hard day.Copy !req
500. It's much more fun when someone else
is there. It makes the time fly.Copy !req
501. Well, today is not really
a good day for me.Copy !req
502. - But some other time. I'll come by.
- Whenever.Copy !req
503. - He's not moving any air.
- Pulse ox 88.Copy !req
504. - Gotta tube him. How much you weigh?
- 260.Copy !req
505. Yosh, 180 of ketamine, 180 of sux.Copy !req
506. Conni, 8.0 ET.Copy !req
507. I can't breathe.Copy !req
508. We need to put a tube
in your throat to help you.Copy !req
509. We'll give you medicine
to make you sleep.Copy !req
510. - Meds on board.
- Put him down.Copy !req
511. We need a vent in here.Copy !req
512. - I need suction.
- Pulse ox is falling. Eighty-five.Copy !req
513. I don't really need this distraction.Copy !req
514. Yosh, give me cricoid pressure.Copy !req
515. Damn! I can't see the cords.Copy !req
516. Bag him! Conni, give me a number
four Mackintosh. His neck's too big.Copy !req
517. - Pulse ox 89.
- We don't have a number four blade.Copy !req
518. - Anesthesia will have one.
- He's paralyzed.Copy !req
519. Yeah, keep bagging him.
His pulse ox is up to 90.Copy !req
520. Dr. Greene?Copy !req
521. They sent this down from Surgery.
Can I keep it?Copy !req
522. Keep it here. The cops will want it.Copy !req
523. - How's it going?
- Weaver's having trouble intubating.Copy !req
524. Needs a bigger blade.Copy !req
525. - Everything okay?
- Status asthmaticus, needs intubation.Copy !req
526. Bull neck.
I need a number four blade.Copy !req
527. - Mind if I take a look?
- You'll deprive him of oxygen, Mark.Copy !req
528. Okay. Yeah, you're right.
It's a tough one.Copy !req
529. - Yosh, cricoid pressure.
- We tried that.Copy !req
530. Pulse ox is falling. Get out, Mark.Copy !req
531. Backwards, upwards, to the right.Copy !req
532. I can see.Copy !req
533. Good. Okay, I'm in.Copy !req
534. Bag him.Copy !req
535. Don't let them bag him too fast.
He's got a long expiratory phase.Copy !req
536. - You Dr. Weaver?
- Yes.Copy !req
537. Can you sign off on this order?Copy !req
538. - You put the copier back?
- It's not going back in.Copy !req
539. They're converting it
to a Pediatric Exam.Copy !req
540. See? We're taking out a wall.
It'll look real good.Copy !req
541. Thank you.Copy !req
542. - Dr. Weaver?
- What do you want?Copy !req
543. - About that patient in Trauma 1...
- Why is she here? We need the bed.Copy !req
544. I tried to get her admitted
to the unit but she's a DNR.Copy !req
545. Her HMO won't authorize admission.Copy !req
546. She can't stay in the ER.
Get her admitted or transfer her.Copy !req
547. She's intubated.
She's not stable for transfer.Copy !req
548. You want to be Chief Resident,
don't come to me when things go wrong.Copy !req
549. Deal with this yourself.
Improve your problem-solving skills.Copy !req
550. Randi, get me Dr. Anspaugh!Copy !req
551. Hello, Peter.Copy !req
552. Hey.Copy !req
553. I suppose we should talk.Copy !req
554. Elizabeth, this isn't
a good time for me.Copy !req
555. Yeah, I know. It's been a rough day.Copy !req
556. The bomber and...Copy !req
557. I'd like to get
something out in the open.Copy !req
558. I know it's not been easy
being with me.Copy !req
559. But if it's not working out, and
if you and Carla are back together...Copy !req
560. I'd appreciate hearing it from you.Copy !req
561. What? What are you...?Copy !req
562. It's got nothing to do with that.Copy !req
563. You've been avoiding me.
What's happened?Copy !req
564. I'm not avoiding you.
I'm dealing with some things.Copy !req
565. Well, what things? What is it?Copy !req
566. Reece is hearing-impaired.Copy !req
567. - How bad?
- He's profoundly deaf.Copy !req
568. Peter, I'm so sorry.Copy !req
569. I didn't tell you about it...Copy !req
570. because it's private.Copy !req
571. I haven't been avoiding you.
It's just that, you know what?Copy !req
572. I don't know how to talk about that.Copy !req
573. Easy, boy. Easy, boy.Copy !req
574. How's he doing, Rachel?Copy !req
575. He's okay.Copy !req
576. You been around horses much?Copy !req
577. Sure got a way with them.Copy !req
578. Keep him still.
I'm gonna put the tube in.Copy !req
579. If you can hold the tail just...Copy !req
580. Easy. Easy, boy.Copy !req
581. Good. Tube's in.Copy !req
582. Jerry, why don't you go ahead
and squeeze the lavage bag?Copy !req
583. I'm not gonna get kicked, am I?Copy !req
584. No. He's as sweet as they come.Copy !req
585. Nice and easy. Don't worry, boy.
We're not gonna hurt you.Copy !req
586. Nothing's gonna shoot out, is it?Copy !req
587. No, it shouldn't.
You know, not for a while.Copy !req
588. Okay. Here goes.Copy !req
589. Nice and easy.Copy !req
590. Good.Copy !req
591. Nice, even flow.Copy !req
592. Hey. How you doing?Copy !req
593. What's an oncologist?Copy !req
594. He's a doctor that deals
with abnormal cell growth.Copy !req
595. He's a cancer doctor?Copy !req
596. Why can't you be honest with me?Copy !req
597. My parents were talking
to an oncologist outside the room.Copy !req
598. He said something about...Copy !req
599. amputation.Copy !req
600. They're with him right now.Copy !req
601. There were indications in your biopsy.
You may have a tumor.Copy !req
602. That means they'll cut off my leg?Copy !req
603. The specialists will look at their
options and then make a decision.Copy !req
604. Stop ducking my questions!Copy !req
605. Can't you be honest?Copy !req
606. All right.Copy !req
607. Okay.Copy !req
608. Amputation offers us the best choice.Copy !req
609. I don't want to live without my leg.
I'd rather be dead.Copy !req
610. When they finish diagnosis,
they'll talk about all treatments.Copy !req
611. Treatments that could save my leg?Copy !req
612. The kind of tumor that you have...Copy !req
613. amputation offers us
the best chance.Copy !req
614. If they amputate...Copy !req
615. is it certain I'll live?Copy !req
616. No.Copy !req
617. But it's your best shot, kiddo.Copy !req
618. If you were my daughter,
I would try to persuade you to do it.Copy !req
619. Would you still do it if I said no?Copy !req
620. We get all the facts.Copy !req
621. It's a decision you and your
parents will have to make together.Copy !req
622. Okay?Copy !req
623. You have power of attorney
for over 700 clients?Copy !req
624. So you've never actually even met her?Copy !req
625. Yes.Copy !req
626. Yeah, any information that you...
Could you fax it over?Copy !req
627. I guess that's what we'll do.Copy !req
628. Thank you very much.Copy !req
629. Everything okay, Carter?Copy !req
630. Yeah, I intubated a DNR patient.Copy !req
631. HMO won't admit her, no family,
only a lawyer with durable power.Copy !req
632. And he's never even met her.Copy !req
633. - What are you thinking about?
- I don't know.Copy !req
634. I mean, should I extubate?
It just seems kind of wrong.Copy !req
635. DNR means she did not
want heroic measures.Copy !req
636. The real question is whether or not
you're ready to do it.Copy !req
637. - Have you ever done it?
- Yeah, once.Copy !req
638. But I had family support.Copy !req
639. Vitals are stable, pulse ox 98.Copy !req
640. I weaned her off the dopamine.Copy !req
641. I'm going to turn off the vent.Copy !req
642. Do an apnea test.Copy !req
643. - Should I get an Attending?
- I already talked to Dr. Greene.Copy !req
644. She's a DNR.Copy !req
645. She didn't want this.Copy !req
646. - Spontaneous respiration.
- Just one breath. That might be it.Copy !req
647. No, she's breathing on her own.
I'm gonna extubate.Copy !req
648. Let's give her five liters of oxygen.Copy !req
649. Hey, any luck?
Dr. Greene wants an enema update.Copy !req
650. No. No movement yet.Copy !req
651. I'm learning all about
taking care of horses.Copy !req
652. It might not hurt to let him out
a bit, let him walk around.Copy !req
653. Movement's good for colic.Copy !req
654. You want to get in and give him a pat?
Help me ease him out?Copy !req
655. I don't have any experience
with horses.Copy !req
656. I never even touched one before today.Copy !req
657. You'll be fine.
Just don't show any fear.Copy !req
658. And don't worry about
showing him who's boss.Copy !req
659. Come on, Blossom.Copy !req
660. You got all these nice folks
concerned about you.Copy !req
661. Come on. Come on.Copy !req
662. Come on. Come on, good boy.Copy !req
663. Hey, now! You brought us
some good luck, son.Copy !req
664. Hey, Mark.Copy !req
665. Can we talk?Copy !req
666. - I was going out to see the horse.
- Yeah, it's important.Copy !req
667. What's up, Kerry?Copy !req
668. Let's go in the lounge.Copy !req
669. Did you know Doug Ross
was made a Pedes Attending?Copy !req
670. That they're fixing up
a suite of rooms for him?Copy !req
671. Yeah. He told me at lunch.Copy !req
672. Really? Oh.
Well, I was told by the painters.Copy !req
673. I had to read it on a work form.
What's going on around here?Copy !req
674. - What do you mean?
- Why was I left out of the loop?Copy !req
675. Kerry, Ross is the new Pedes
ER Attending. That's a fact of life.Copy !req
676. We should learn to accept it
and move on, okay?Copy !req
677. Wait a minute.
How can I "move on"...Copy !req
678. when you express disfavor about
Ross as an Attending to my face...Copy !req
679. and then celebrate his dubious
achievement behind my back?Copy !req
680. - Is this really about Ross?
- Yes. Yes, it's about Ross.Copy !req
681. - I don't think he's qualified.
- The hospital doesn't agree.Copy !req
682. You're not angry about him.Copy !req
683. This is about you
obsessing over a silly title.Copy !req
684. Make a decision, Kerry.Copy !req
685. You want to be a doctor
or an administrator?Copy !req
686. I'm gonna go examine a horse.Copy !req
687. I finished my write-ups on the chest
pain and the altered mental status.Copy !req
688. I need you to cosign
these charts before I go.Copy !req
689. Yeah.Copy !req
690. Those PVCs?Copy !req
691. That's right.Copy !req
692. Shouldn't we give something for that?Copy !req
693. No.Copy !req
694. V-tach!Copy !req
695. You shock that, right?Copy !req
696. Not this time.Copy !req
697. Watch. V-tach...Copy !req
698. V- fib...Copy !req
699. then asystole.Copy !req
700. She's not suffering.
It's what she wanted.Copy !req
701. I'll sign those charts now.Copy !req
702. Dr. Ross? You spoke to
our daughter about treatment.Copy !req
703. She's very upset.
Why would you do that?Copy !req
704. Why did you advise against amputation?Copy !req
705. I didn't advise against it.
I said it was her best chance.Copy !req
706. But you gave her other alternatives.
We want her to live.Copy !req
707. So do I. But she has to accept
what'll happen to her...Copy !req
708. not end up fighting some edict
that gets handed down.Copy !req
709. - This is our decision, not hers.
- She's 15.Copy !req
710. She's old enough to be involved
in decisions about her own health.Copy !req
711. Stay away from her.Copy !req
712. You don't speak to her again.
Understood?Copy !req
713. All right.
To survive, she needs your support.Copy !req
714. She has to feel that you are working
for her, not against her.Copy !req
715. Let's go.Copy !req
716. Yeah.Copy !req
717. On the search committee for chief,
have you set the days for meetings?Copy !req
718. Yes. I was sorry to get
your message this morning...Copy !req
719. that you won't have time
to participate.Copy !req
720. I've shifted some things around
and made some room.Copy !req
721. Really? We're getting together
Tuesdays and Thursdays at 6 p.m.Copy !req
722. - If you can make it.
- I'd like to be involved.Copy !req
723. Good.Copy !req
724. I've lived in worse places.Copy !req
725. It just needs fresh paint,
some posters.Copy !req
726. I can live anywhere
as long as I've got music.Copy !req
727. - Sure you're up for this?
- I worked for Best Buy.Copy !req
728. I assembled systems all day long.
What have you got?Copy !req
729. Bose. Top of the line.Copy !req
730. This is a very expensive system.Copy !req
731. I guess these are the cables
that go with that?Copy !req
732. Actually, those are RCA cables.Copy !req
733. You must've hooked up
your VCR through your amplifier.Copy !req
734. I don't know. Some guy came over
and hooked it all up.Copy !req
735. You got a CD? We could try this out.Copy !req
736. Yeah, sure.Copy !req
737. "Jimmy Smith."Copy !req
738. - Jazz?
- Jazz.Copy !req
739. Organ.Copy !req
740. I like it.Copy !req
741. You know...Copy !req
742. my doctor said
that slow dancing is okay.Copy !req
743. It might even be therapeutic.Copy !req