1. Previously on ER:Copy !req
2. So four candidates, including me.Copy !req
3. Actually, you make it five.Copy !req
4. This hearing aid is expensive.
My insurance won't cover it.Copy !req
5. I said that we share everything.
I meant it.Copy !req
6. I practice IVs on a mannequin.Copy !req
7. That's good.
But know when to ask for help.Copy !req
8. I want you to toast
the new Pedes ER Attending. Me.Copy !req
9. I have heard of foreign doctors who
were willing to start over as interns.Copy !req
10. If they amputate,
is it certain I'll live?Copy !req
11. It looks like it's stopped two blocks.Copy !req
12. - Should we hoof it?
- I don't know.Copy !req
13. - Aren't you supposed to set policy?
- I'm here for the ride-along.Copy !req
14. - I hate one-way streets.
- This is nothing.Copy !req
15. I once responded to a call
from a Metallica concert.Copy !req
16. Try getting an anaphylactic headbanger
past "ten thousand maniacs."Copy !req
17. The guy dropped some acid.
Started him "counting crows."Copy !req
18. I have to live with this. You got
any pull with crew assignments?Copy !req
19. Can you get us assigned
to the med team at the Bears game?Copy !req
20. I don't do the scheduling, guys.Copy !req
21. You were almost my new best friend.Copy !req
22. Make way! Paramedics coming through!Copy !req
23. Hey, stand back! Stand back!Copy !req
24. Give us some room!Copy !req
25. Looks like a single...
Whoa! Whoa! Jeez!Copy !req
26. - It's Cujo!
- He's protecting his owner.Copy !req
27. - Okay, you open the door.
- Sir, can you hear me?Copy !req
28. - Is he breathing?
- His chest is moving.Copy !req
29. - You got any ideas?
- You're asking me?Copy !req
30. - Unit 57 to OCD, over.
- A little puppy Valium?Copy !req
31. We need Animal Control to 4th.Copy !req
32. A dog is barring access
to an MVA victim. Over.Copy !req
33. That'll take too long. Look.Copy !req
34. - He's right. We gotta get in.
- What do you suggest?Copy !req
35. - I've got a gun.
- I'll keep him busy.Copy !req
36. - You're kidding.
- We gotta assess him now.Copy !req
37. You're the boss.Copy !req
38. Hey, boy!Copy !req
39. Ready? One, two...Copy !req
40. three! Hey!Copy !req
41. - Got a pulse.
- Good breath sounds. Get a backboard.Copy !req
42. - You okay?
- Yeah, I just can't let go.Copy !req
43. - When was your last tetanus shot?
- 1992.Copy !req
44. - One booster coming right up.
- That's okay, I'll pass.Copy !req
45. - It could be worse, like rabies.
- I wouldn't rule it out.Copy !req
46. Think we'd notice the difference?Copy !req
47. - So how many interviews today?
- Two. You and one other.Copy !req
48. You know, I'm still interested...Copy !req
49. but I've decided just not to push
so hard. If I get it, I get it.Copy !req
50. - Good idea.
- What do you mean?Copy !req
51. I mean it's not a good idea
to get worked up over these things.Copy !req
52. - What happened?
- Long story.Copy !req
53. - Rachel's sleepover?
- Good guess. Thanks, Kerry.Copy !req
54. - What's going on?
- Graffiti guys went crazy last night.Copy !req
55. - You're on?
- I'm getting set up for tomorrow.Copy !req
56. Color-coordinated charts?Copy !req
57. Well, whoever said Doug Ross
isn't organized?Copy !req
58. - I did.
- Take it easy.Copy !req
59. Hey, Mark, don't Attendings pay
for Nurse's Night?Copy !req
60. Yeah. Now Doug can contribute.Copy !req
61. No, that's the ER.
I'm the Pedes ER.Copy !req
62. Well, Pedes needs nurses, right?
So I'm billing.Copy !req
63. Hey, get this, 19-year-old,
third pregnancy...Copy !req
64. says she doesn't know
how to use a condom.Copy !req
65. - So did you teach her?
- We're way past that.Copy !req
66. - I'm talking her into a Norplant.
- Are you sure?Copy !req
67. I'd tie her tubes myself if I could.Copy !req
68. If the drawbridge is up,
you can't storm the castle.Copy !req
69. - Excuse me?
- Try a diaphragm. They work.Copy !req
70. Oh, yeah? I wouldn't be too sure.
I'm three days late.Copy !req
71. What? What?Copy !req
72. These came from upstairs.
Letters of rec for chief.Copy !req
73. - Thank you.
- Okay, lift your sleeve.Copy !req
74. When did someone get tetanus
from a dog?Copy !req
75. Don't be a baby.Copy !req
76. - Nice suit, Dr. Weaver.
- Thank you.Copy !req
77. - I didn't know you read Cosmo.
- Excuse me?Copy !req
78. Last month's article
on the power suit.Copy !req
79. I guess I missed that one.Copy !req
80. Are you sure?Copy !req
81. I mean, you nailed it,
down to the accessories.Copy !req
82. - So how long have you been on?
- Oh, just now.Copy !req
83. - Who's your Resident?
- I suppose I'll find out in a minute.Copy !req
84. Why? Did you vie for me?Copy !req
85. You're too much for me to handle.Copy !req
86. Hopefully, whoever I get
feels the same way.Copy !req
87. No, I suspect I'll be sidelined
as a consultant more than anything.Copy !req
88. Hey, do me a favor.Copy !req
89. Reach in his bag and hand me
his hearing aid.Copy !req
90. It's in the black case.Copy !req
91. - Is he having trouble with these?
- No.Copy !req
92. - So why are you putting them on now?
- I was running late.Copy !req
93. - Peter, have you not told everyone?
- Told who?Copy !req
94. I don't have time for a whole bunch
of repetitive questions and sympathy.Copy !req
95. Are you sure that's it?Copy !req
96. - My son is deaf. I know that, okay?
- Okay. Okay.Copy !req
97. Wish me luck.Copy !req
98. Jeff Whitcher, 38-year-old magician,
inhaled flash powder.Copy !req
99. What happened? Trap door didn't open?Copy !req
100. More complicated.Copy !req
101. Short of breath and tachypneic,
respiratory rate is 28.Copy !req
102. No previous history
of respiratory illness...Copy !req
103. or inhalation of toxic substances.Copy !req
104. - What's in flash powder?
- Sorry. Trade secret.Copy !req
105. Lycopodium with potassium nitrate.
I looked it up on the Internet.Copy !req
106. Pulse ox is borderline, 91.
No cyanosis.Copy !req
107. - Are you a smoker?
- Occasional.Copy !req
108. Occupational hazard.Copy !req
109. - You can't smoke that here!
- I wasn't planning to.Copy !req
110. - What do you want to do?
- Get a blood gas and check a PO2.Copy !req
111. You get to learn a new procedure.Copy !req
112. I happen to have
a blood gas kit here.Copy !req
113. - Hey, pretty good, doc.
- Trade secret.Copy !req
114. - Can you get a cup of ice, please?
- Sure.Copy !req
115. - We're out of gloves.
- Try your pocket.Copy !req
116. How did you do that?Copy !req
117. It's not what they see,
it's what they think they see.Copy !req
118. - You didn't even move.
- Lucy.Copy !req
119. The blood gas. This one you watch.
Next one you do.Copy !req
120. Don't panic. It's a couple of days.Copy !req
121. - You said three days.
- Two, three, whatever.Copy !req
122. You said you were regular
as a Swiss watch.Copy !req
123. Yeah. I'm regular, not a machine.Copy !req
124. You gonna do a pregnancy test?Copy !req
125. - You're really sweating this.
- Aren't you? A little?Copy !req
126. - I don't feel pregnant.
- Have you been pregnant before?Copy !req
127. I shouldn't have said anything.Copy !req
128. - What's up?
- Syncope. Fourth episode.Copy !req
129. - Seizure?
- I don't think so.Copy !req
130. You want to use the Pedes room?
No waiting.Copy !req
131. Here we go. Okay.
Hey, what's this? Hey!Copy !req
132. Could be Carter's.Copy !req
133. - Carter! Is this your body in here?
- Yeah, sorry.Copy !req
134. - Transport's slow. Need the room?
- Yeah.Copy !req
135. Give me a hand.Copy !req
136. - I thought the Pedes ER was closed.
- Don't leave your stiffs in here.Copy !req
137. Take him to the morgue.Copy !req
138. We've been waiting on a transfer
for hours.Copy !req
139. - This "the" Prince Albert?
- Who?Copy !req
140. His ding-dong's pierced.
He has a diamond.Copy !req
141. A diamond in his penis?Copy !req
142. Haleh said it was tricky getting
in the Foley.Copy !req
143. - Want to peek?
- I've seen one.Copy !req
144. - I bet.
- Hey, watch it.Copy !req
145. It's your lucky day.
It seems I'm your intern.Copy !req
146. - You missed rounds.
- It's the first day.Copy !req
147. I wasn't sure how this would work.Copy !req
148. You need to be here at 5 a.m. Sharp.Copy !req
149. I hope you don't expect
special treatment.Copy !req
150. I don't know what you've been told.
This is more of a formality.Copy !req
151. Maybe for you.
You're the only intern I have.Copy !req
152. Finish pre-rounding before 6.
I need all the vitals.Copy !req
153. T-max, mental status, I's and O's.Copy !req
154. After rounds, check the labs
and run down all x-rays.Copy !req
155. Go over the x-rays yourself.
Don't trust the radiologist.Copy !req
156. Buff the electrolytes as needed.
You take all floor calls.Copy !req
157. If we have clinic that day,
you do H and P's.Copy !req
158. And, of course, all pre-op orders:
CBC, lytes, UA, EKG, PT.Copy !req
159. I know how to pre-op a patient,
thank you.Copy !req
160. Good. If surgery's canceled
because you miss a lab, it's your ass.Copy !req
161. We'll start with Mr. Anderson.Copy !req
162. I reduced his O2.Copy !req
163. Redraw an ABG in 30 minutes.Copy !req
164. Monitor urine output Q one hour.Copy !req
165. Advance drains on beds three and five.Copy !req
166. One, two and six need
wet-to-dry dressing changes.Copy !req
167. You're serious?Copy !req
168. This is how it works.
As third-year, I'm busy operating.Copy !req
169. This stuff is not my job. But the
scut has to be done, by an intern.Copy !req
170. I have three cases today. If you
finish, you can scrub in for one.Copy !req
171. Oh, and this is for you.Copy !req
172. Interns wear short coats.Copy !req
173. Hold the elevator! Hold it!Copy !req
174. - Are you all right?
- I said, hold the elevator!Copy !req
175. Where are we?Copy !req
176. We got multiple stab wounds
to the extremities.Copy !req
177. One in the forearm and chest.Copy !req
178. BP's 120/75. Pulse ox 99.Copy !req
179. - Did the guy have friends?
- Lungs are clear.Copy !req
180. Four plus right radial
and ulnar pulses.Copy !req
181. - What's your name?
- Bo.Copy !req
182. Bo, we'll take care of you.Copy !req
183. You're very lucky.
The chest wound is superficial.Copy !req
184. Bo, do this with your hand.Copy !req
185. How about a car, Bo?Copy !req
186. Spread your fingers.
Don't let me close them.Copy !req
187. I'm tired of this game.
Tell me who it was.Copy !req
188. - Does he have to be here?
- Can you wait outside?Copy !req
189. You were stabbed in daylight.
You didn't see anything?Copy !req
190. You know what? Wait outside.Copy !req
191. Okay, let's roll him.Copy !req
192. - He'll try to settle this on his own.
- Now we have to treat him.Copy !req
193. You know what? Forget it.
Have it your way.Copy !req
194. You could've pressed
that hold button.Copy !req
195. Damn, these elevators are slow.Copy !req
196. I'm gonna catch that lunch traffic.
I know it!Copy !req
197. - Do you drive?
- Do I?Copy !req
198. My son used to have one of those.
Gave him a heart attack.Copy !req
199. Nothing but stress.Copy !req
200. Come on, come on.Copy !req
201. No, I didn't watch the whole thing.
The part I saw looked benign.Copy !req
202. It was my fault. Sorry.Copy !req
203. - Well, you did. Thanks.
- Problem?Copy !req
204. Did you know that Romeo and Juliet
is PG-13?Copy !req
205. - I wasn't aware of it.
- It is.Copy !req
206. I showed it at Rachel's slumber party.
Now all the mothers are calling me.Copy !req
207. Elizabeth. Elizabeth!Copy !req
208. Can you come take a look
at a pulseless foot?Copy !req
209. I've been waiting 40 minutes
for a surgical consult.Copy !req
210. Normally, I would.
But I'm only an intern.Copy !req
211. I can't believe it.Copy !req
212. I don't want to believe it.
I already have five admissions.Copy !req
213. Lab turnaround time is pathetic.Copy !req
214. And Radiology already lost
three of my films.Copy !req
215. Dale has me sitting
for a bleeding time...Copy !req
216. on your Ewing's sarcoma amputation.
Waste of time.Copy !req
217. - Dana Ellis?
- She doesn't have a clotting problem.Copy !req
218. - Is that today?
- Yes, surgery's at 4 p.m.Copy !req
219. Five minutes. 54-year-old male,
peripheral vascular disease...Copy !req
220. calf pain at rest.
I'm thinking arterial thrombosis.Copy !req
221. - Did you get a Doppler pulse?
- Yeah.Copy !req
222. Mr. Darcy, this is Dr. Corday,
our Surgical Resident.Copy !req
223. How long will this keep me down?
I choreograph a video next week.Copy !req
224. Let me examine you,
and I'll have a clearer idea.Copy !req
225. - Are you a smoker?
- What's that got to do with my leg?Copy !req
226. - Is this the Vascular consult?
- I asked Dr. Corday to examine.Copy !req
227. I'll take over.Copy !req
228. Did you get the labs
on the perfed diverticulum?Copy !req
229. They're not ready yet.Copy !req
230. Better sit on them.
You know Romano. Gotta start on time.Copy !req
231. Of course.Copy !req
232. Come on.Copy !req
233. - Lucy?
- What?Copy !req
234. - Is something wrong?
- No.Copy !req
235. Can you work up
this guy with vertigo for me?Copy !req
236. You know how to check
for cerebellar function?Copy !req
237. Find me when you're done.
We'll discuss the differential.Copy !req
238. Got it.Copy !req
239. - What's the extension for the morgue?
- 5001. See this guy?Copy !req
240. He's looking for Dr. Carter.Copy !req
241. - Can I help you?
- Yeah. My brother died last night.Copy !req
242. They gave me his valuables.
But something's missing.Copy !req
243. - I need to get some jewelry off him.
- Oh, right! Right!Copy !req
244. - Your brother's down in the morgue.
- Last name Naughton?Copy !req
245. Definitely down in the morgue.Copy !req
246. - Can you tell me how to get there?
- Yeah. No.Copy !req
247. They don't allow family down there.Copy !req
248. It's... They make you wait.
It takes forever.Copy !req
249. It's chilly.Copy !req
250. You know what I'm gonna do?Copy !req
251. I'm gonna go down there and get it.Copy !req
252. Your brother. And bring
your brother up here.Copy !req
253. - Great. That'd be great. Thank you.
- Don't mention it.Copy !req
254. - What are you doing here?
- Checking in on you.Copy !req
255. How you feeling?Copy !req
256. Well, they're chopping my leg off.Copy !req
257. - Your decision?
- You could call it that.Copy !req
258. I wouldn't have had a say at all
if it wasn't for you.Copy !req
259. You gotta go with the odds, right?
You scared?Copy !req
260. I thought, "Okay, I'll just
get used to it." But...Copy !req
261. In pain?Copy !req
262. A little.Copy !req
263. I'll tell them
to increase the dosage.Copy !req
264. That's okay.
I sort of like to feel it.Copy !req
265. It'll be gone in a few hours.Copy !req
266. - Hello, Mr. Ellis.
- What's going on?Copy !req
267. I came to check in on Dana.Copy !req
268. She's being taken care of. Thank you.Copy !req
269. I wanted to talk to you
about her pain.Copy !req
270. Dana's having surgery in a few hours.Copy !req
271. If you don't mind, Dr. Romano is gonna
handle everything from here.Copy !req
272. Okay.Copy !req
273. Excuse me.
Are you in charge of transport?Copy !req
274. Depends who's asking.Copy !req
275. I know this sounds weird.Copy !req
276. I was wondering if you
by any chance found a body?Copy !req
277. Transport!Copy !req
278. Yeah, what floor? Okay.Copy !req
279. I don't know. Half-hour.Copy !req
280. Damn!Copy !req
281. - What did you want?
- I lost a body.Copy !req
282. - Did you try to move it yourself?
- You guys were taking so long.Copy !req
283. - What was I supposed to do?
- It's our fault?Copy !req
284. No, it's not your fault.
I just want to find the body.Copy !req
285. I'll call the morgue.Copy !req
286. - I checked. He's not there.
- Yo, Gerald!Copy !req
287. Yo, it's Tony.Copy !req
288. Have any unclaimed bodies?Copy !req
289. Yeah, she's here now.Copy !req
290. Hold on, I'll ask. Would this body
fit down the incinerator chute?Copy !req
291. The incinerator?Copy !req
292. Yeah, that got her.Copy !req
293. Yo, thanks, G.
Okay, I'll be right down.Copy !req
294. You're in luck. Someone stuffed some
fat stiff in the closet of the ICU.Copy !req
295. Why? Why do you have to go?Copy !req
296. I just gotta.Copy !req
297. Well, what's the hurry?Copy !req
298. The doctor said it's okay.Copy !req
299. Well, it will be okay.
He has to stitch it up first.Copy !req
300. Besides, I like having you around.Copy !req
301. There's not very many interesting
people here today.Copy !req
302. So maybe I'll come back.Copy !req
303. You've gotta help me out.
You'll get me in trouble.Copy !req
304. I'll write you a note.Copy !req
305. Besides, you do not want
to get that infected.Copy !req
306. Just a few minutes. I'll get
a doctor. We'll take care of it.Copy !req
307. - All right.
- Good.Copy !req
308. - Lynette?
- Yeah?Copy !req
309. - Could you get his mother for me?
- He's 18.Copy !req
310. He got stabbed. I'm afraid
he'll bolt to settle the score.Copy !req
311. - Mark!
- Yeah. Hold on a minute.Copy !req
312. - You admitting that thrombosis?
- He's got a high-grade lesion.Copy !req
313. - You taking him up?
- I need to present him to Romano.Copy !req
314. Then we'll bring the team.Copy !req
315. - When?
- As soon as I can.Copy !req
316. Can you stitch Bo? He's antsy.Copy !req
317. I'll be right there.Copy !req
318. Can you clear this neck for me?
He looks okay.Copy !req
319. I ordered a trauma panel.Copy !req
320. - Sure. You got it.
- Thank you.Copy !req
321. - How are we doing?
- Vitals are normal.Copy !req
322. I'm fine.Copy !req
323. - Did you lose consciousness?
- No.Copy !req
324. This really isn't necessary.Copy !req
325. - Any chest or abdominal pain?
- Can I go home?Copy !req
326. We need to get an x-ray
of your neck first.Copy !req
327. - Have you ever had hepatitis?
- I don't think so. Why?Copy !req
328. Your eyes are a little yellow.
On any medication?Copy !req
329. - Prednisone, cyclosporine, Imuran.
- Those are transplant meds.Copy !req
330. Well, I had a new liver two years ago.Copy !req
331. Okay. Let's get a ProTime,
LFTs and a cyclosporine level.Copy !req
332. - Something's wrong?
- Doctor! Doctor!Copy !req
333. One minute. You're jaundiced.Copy !req
334. - I can go see my doctor.
- We need to do those tests now.Copy !req
335. I'll be back.Copy !req
336. - Here you go, Jeanie.
- Thanks.Copy !req
337. - This is her card.
- Rosa Munoz.Copy !req
338. That's social security card.Copy !req
339. She said her name was Carmen.Copy !req
340. - And your name?
- Luisa.Copy !req
341. - Her sister?
- Cousins.Copy !req
342. I understand you're concerned.Copy !req
343. This would be fraud.
It doesn't matter if he's illegal.Copy !req
344. No, that's her number.Copy !req
345. - This is your card.
- No.Copy !req
346. She say that he need a special doctor?Copy !req
347. There could be a problem
with Angel's heart.Copy !req
348. Please take this number.
Other hospital no take him...Copy !req
349. We're a county hospital.
We treat all emergencies.Copy !req
350. - True?
- True.Copy !req
351. When we're short on beds, we
stick the bodies in the storage room.Copy !req
352. - Why didn't you call us?
- We did.Copy !req
353. - Guys, I gotta get back.
- You want to take him back?Copy !req
354. - He's black.
- Is that a problem?Copy !req
355. Dana Ellis. What about her?Copy !req
356. - I'm worried about phantom limb pain.
- Don't be. She's on morphine.Copy !req
357. That won't do it. I want her
on a preemptive analgesia...Copy !req
358. to rewire the motor nerves.Copy !req
359. She's still your patient?Copy !req
360. Dr. Greene's on line 3, waiting
on a consult for an ischemic leg.Copy !req
361. - Does he have a pulse by Doppler?
- I'll check.Copy !req
362. It's a simple lumbar epidural.Copy !req
363. It'll put the surgery off a few days.Copy !req
364. One night course does not
a pain management specialist make.Copy !req
365. The patient has a Doppler pulse.
Dr. Greene wants an ETA.Copy !req
366. - When I get there!
- There's no reason not to try.Copy !req
367. I don't know that she's
psychologically ready.Copy !req
368. Three days won't make much difference.Copy !req
369. - How's that new intern working out?
- She'll get the hang of it.Copy !req
370. Let her scrub in.Copy !req
371. - I'm gonna talk to the family.
- No, you're not!Copy !req
372. That girl has a cancer
that could spread very rapidly.Copy !req
373. I won't sit idly by and watch you
experiment with a technique you read!Copy !req
374. - Dr. Romano?
- What?Copy !req
375. You should talk to Greene.
He wants something definitive.Copy !req
376. If the guy has calf pain, tell him
to do an ultrasound. Don't go!Copy !req
377. Rule out DVT. That'll shut him up.
Leave it alone!Copy !req
378. I have to go upstairs
to this interview.Copy !req
379. Will you page me when Romano
graces us with his presence?Copy !req
380. Don't hold your breath.Copy !req
381. You'll tear your stitches!Copy !req
382. Let me out! I gotta go!Copy !req
383. So you can get the guy that did this?Copy !req
384. - What's going on?
- Bo here wants to retaliate.Copy !req
385. You said the doc would stitch me up
and I could go.Copy !req
386. - We want you to be safe, Bo.
- Save it, lady.Copy !req
387. Look, thanks for fixing me!
I'm going.Copy !req
388. If you want me to sign, I'll sign.Copy !req
389. You'll rip your vein open.
I don't want you bleeding.Copy !req
390. - Then take it out.
- You want to leave that bad, fine.Copy !req
391. Let me get the right instrument.Copy !req
392. You can go about your business.Copy !req
393. Please, wait here. Wait one minute.
I'll be right back.Copy !req
394. - What's going on?
- He can't leave.Copy !req
395. - When's the mother getting here?
- I haven't reached her.Copy !req
396. - I'm calling Psych.
- He'll be gone by then.Copy !req
397. - What is that?
- Versed.Copy !req
398. I have to sedate him
until the mother gets here.Copy !req
399. That might be an option
if it wasn't unethical.Copy !req
400. - Not with someone's life at stake.
- You can't restrain him with drugs.Copy !req
401. He was agitated. To finish
the treatment, we had to sedate him.Copy !req
402. Security can keep him down here
until Psych puts him on a hold.Copy !req
403. They'll have to prove
that he's a danger to others.Copy !req
404. - He knows the system. He'll lie.
- Maybe we'll find his mother.Copy !req
405. - I'm gonna make sure.
- Not with that.Copy !req
406. - You have a better idea?
- I'll handle it.Copy !req
407. You know what he'll do if you don't.Copy !req
408. I understand your motive.
I know I asked for your help.Copy !req
409. Why don't you stick with the clinic
patients? Leave the ER ones to me.Copy !req
410. Good luck.Copy !req
411. It don't matter what I do.
It's my business.Copy !req
412. I don't want you here again,
maybe dead.Copy !req
413. If it goes down like that, it does.
Wouldn't be the first time.Copy !req
414. You don't mean that.Copy !req
415. Yo, what's the rent-a-cop doing here?Copy !req
416. So you can talk to somebody.Copy !req
417. - I trusted you!
- I'm trying to help you.Copy !req
418. Save it! I ain't talking to nobody.Copy !req
419. We'll wait until your mom gets here.Copy !req
420. - My mom? You called my mom?
- I'll be right back.Copy !req
421. Don't let him leave.Copy !req
422. Pay attention, Dale. Peter's one
of our fastest colon dissectors...Copy !req
423. now that Lizzie's gun's
in the holster.Copy !req
424. We've got an open abdomen, people.
Let's turn up the heat, please.Copy !req
425. Elizabeth, would you retract
the descending colon?Copy !req
426. My pleasure.Copy !req
427. Actually, Dale, why don't you retract
and bovie and give Lizzie the sucker?Copy !req
428. Right. Lizzie, suck out
this oozing area, would you?Copy !req
429. If you don't mind, I don't care
for being called Lizzie.Copy !req
430. Really? Dr. Romano calls you that.Copy !req
431. - Dale, what structure am I dissecting?
- Ilioinguinal nerve.Copy !req
432. Elizabeth, would you help him out?Copy !req
433. Owing to the slight peristalsis,
it's obviously the left ureter.Copy !req
434. Better get faster
with that suction, Lizzie.Copy !req
435. I freed the sigmoid.Copy !req
436. Elizabeth, ligate the proximal
side while I clamp the vessels.Copy !req
437. - Certainly.
- Dale, move over and start irrigating.Copy !req
438. I prefer Dale do any ligating.Copy !req
439. Just as soon as we finish
the mesenteric vessels.Copy !req
440. Sorry to bother you, Dr. Romano.
Dr. Greene is calling again.Copy !req
441. Lizzie, I think you
just contaminated yourself.Copy !req
442. - I did not.
- Better be safe. Change gowns.Copy !req
443. - I didn't contaminate myself.
- I saw it. She's clean.Copy !req
444. - Thank you.
- So don't pick on her.Copy !req
445. Lizzie, scrub out
and go pacify Greene, would you?Copy !req
446. - You're still here?
- Yeah.Copy !req
447. You're putting a lot of effort into
this Pedes ER. I'll give you that.Copy !req
448. - I'll take it.
- Hey, guys.Copy !req
449. This is our new Pedes ER Attending
and full-time delivery boy, Doug Ross.Copy !req
450. - What do you got for us?
- You're cut off.Copy !req
451. This is Claudia Olson.Copy !req
452. She's a candidate for the new
Chief of Emergency Medicine.Copy !req
453. - A masochist?
- Yeah.Copy !req
454. - Good luck.
- Thanks.Copy !req
455. - Kerry Weaver.
- The Interim Chief?Copy !req
456. Yeah. It's nice to meet you.Copy !req
457. You're interviewing today as well?Copy !req
458. How did you guess?Copy !req
459. Well, at least I got to go first.
It was nice to meet you.Copy !req
460. You too.Copy !req
461. It could be hepatitis.Copy !req
462. But our major concern is
that you're rejecting the liver.Copy !req
463. Well, I feel fine. A little tired.Copy !req
464. Do you ever forget to take your meds?Copy !req
465. No. I set my watch daily.Copy !req
466. My cyclosporine level's therapeutic,
isn't it?Copy !req
467. We should arrange for a liver biopsy.Copy !req
468. If it's all the same to you,
I would rather see my own doctor.Copy !req
469. I understand. He hasn't said
anything about your abnormal LFTs?Copy !req
470. I got busy, missed a couple
of checkups.Copy !req
471. You know how important follow-ups
are after organ transplantation.Copy !req
472. I think part of me always suspected
but didn't want to know for sure.Copy !req
473. Now I do.Copy !req
474. You can put yourself
on the UNOS list again.Copy !req
475. I don't think so.
It's the second time around.Copy !req
476. You qualified the first time.
You could get lucky again.Copy !req
477. - Do you have the Munoz kid?
- I do, yes.Copy !req
478. Excuse me one more time. Excuse me.Copy !req
479. - Is it cardiomyopathy?
- He needs a full EP workup.Copy !req
480. Did he have an ectopy?Copy !req
481. The echo ruled out
an outlet obstruction.Copy !req
482. The cause of his fainting?Copy !req
483. - It's probably arrhythmia.
- Arrhythmia.Copy !req
484. I'm going to try to induce it
in a cath lab.Copy !req
485. If so, he'll need an internal
cardioverter defibrillator.Copy !req
486. - I'm glad we caught it.
- I'll call the surgeon.Copy !req
487. - Can you get consent?
- Sure. Thank you.Copy !req
488. Don't thank me. The kid needs it.Copy !req
489. - It's about time. Where's Romano?
- Just me, I'm afraid.Copy !req
490. So can you admit him?Copy !req
491. Based on my responsibilities,
I'd say no.Copy !req
492. - So you're here to stall me.
- Something like that.Copy !req
493. I'll pass him through Radiology.
He needs an angiogram.Copy !req
494. But tell Romano you only bought
him 20 minutes.Copy !req
495. Don't leave him long. Radiologists
have a way of snatching...Copy !req
496. the procedures if the surgeons
are slow on the uptake.Copy !req
497. Noted. Thank you. Jeanie.Copy !req
498. - Here's the BA on your MVA.
- On who?Copy !req
499. - Lipson, Trauma 2.
- I didn't order a BA.Copy !req
500. I did. It's part of the trauma panel.
Randi put it in my box.Copy !req
501. - Something wrong?
- Blood alcohol's.04.Copy !req
502. - That's below the limit.
- It means he drinks.Copy !req
503. I finished my write-up on the vertigo.Copy !req
504. - And I got you coffee.
- You don't need to do that.Copy !req
505. I was in the cafeteria looking
for something.Copy !req
506. All right, thanks.Copy !req
507. Why don't you start the IV on the
4-year-old with the gastroenteritis.Copy !req
508. 300 cc bolus of saline.
Be careful, she's dehydrated.Copy !req
509. - Could be tricky.
- Right.Copy !req
510. - Thanks a lot. I feel so much better.
- Glad to hear it.Copy !req
511. Call me if you'd like
some free tickets to my show.Copy !req
512. - Are you okay?
- How'd that get there?Copy !req
513. There you go. I didn't want
things disappearing on you.Copy !req
514. Hey, you haven't by any chance
seen a body...Copy !req
515. Carol, could you help me start an IV?Copy !req
516. She's dehydrated.
I don't want to hurt her.Copy !req
517. - Have you tried?
- Not yet.Copy !req
518. - So you haven't even started an IV?
- Honestly, no.Copy !req
519. This is ridiculous.
Everyone thinks you can.Copy !req
520. - I'll talk to Dr. Carter today.
- If you don't, I will.Copy !req
521. Hey! Hey!Copy !req
522. - What happened?
- He took off.Copy !req
523. - You were supposed to stop him.
- There was no talking him down.Copy !req
524. You weren't supposed to negotiate,
just stop him.Copy !req
525. - I can't keep him without the hold.
- He didn't know that!Copy !req
526. - Sorry.
- Oh, God!Copy !req
527. Hold still.
I'm gonna secure this catheter.Copy !req
528. You're doing great.Copy !req
529. - How much longer?
- A little bit. Just a second here.Copy !req
530. Roll back over on your back, okay?
Nice and easy. There you go.Copy !req
531. - How long does it take to work?
- 20 minutes for the full effect.Copy !req
532. You'll start feeling things soon.Copy !req
533. I'm gonna put you on a six-day cycle.
That's three days before the surgery.Copy !req
534. And three days after for the drug.Copy !req
535. - Dr. Romano.
- Dr. Ross. Hey, Dana.Copy !req
536. - I decided I wanted the epidural.
- You did?Copy !req
537. You were in surgery,
so I explained the protocol.Copy !req
538. - The parents?
- They're on board.Copy !req
539. - Terrific. You got a second?
- Sure.Copy !req
540. Be right back. You did great.Copy !req
541. Congratulations.
You postponed the surgery.Copy !req
542. You didn't leave me any options.Copy !req
543. Pedes Attending barely happened.Copy !req
544. I thought, "The guy's a maverick.
Good to shake things up."Copy !req
545. If you want to play John Wayne,
do it in the ER, not with my patients.Copy !req
546. This girl is
in a very vulnerable place.Copy !req
547. This is not about being right.Copy !req
548. Hell, we all think we're right.
Doesn't make you special.Copy !req
549. Fine.Copy !req
550. Did you give the kid the cheeseburger
before or after the parents agreed?Copy !req
551. Thought I might need 24 hours
to talk them into it.Copy !req
552. - Do you know what you're doing?
- Hold on. Let me get a smaller gauge.Copy !req
553. - Oh, hey! You.
- Hi.Copy !req
554. I have been looking for you.
You forget about me?Copy !req
555. Well, no,
I didn't forget about you.Copy !req
556. - I've been waiting for three hours.
- Okay, I went to the morgue.Copy !req
557. - Me too. He's not there anymore.
- No, he isn't.Copy !req
558. - So where did you put him?
- I don't know how to...Copy !req
559. How to what?Copy !req
560. How to tell you...Copy !req
561. how sorry I am about your loss.Copy !req
562. Thank you. But where did you put him?Copy !req
563. - Where did I put him?
- You don't remember.Copy !req
564. Of course I remember.
I couldn't find you.Copy !req
565. I got very busy here.
So I put your brother...Copy !req
566. Where did I put him?Copy !req
567. Radiology.Copy !req
568. I put him in Radiology.Copy !req
569. But he was kind of in the way there...Copy !req
570. so I left him...Copy !req
571. here in the hall. I'm sorry.Copy !req
572. No problem. I can't believe
I didn't see him there.Copy !req
573. He's easy to miss.Copy !req
574. - What's wrong?
- There aren't any pregnancy tests.Copy !req
575. - How could we be out of them?
- I don't do inventory.Copy !req
576. It wasn't an accusation.Copy !req
577. - What is that all about?
- What?Copy !req
578. The scarf. Where'd you get it?Copy !req
579. I got it at the gift shop.
You don't think it works?Copy !req
580. - What about your jacket?
- I wanted something different.Copy !req
581. Lose the earrings.
It throws the whole thing off.Copy !req
582. - Carol. Carol.
- No, no.Copy !req
583. I can get it.Copy !req
584. I can't have students
starting IVs on kids.Copy !req
585. - Can you do it for me?
- Sure.Copy !req
586. - Is there a problem?
- No.Copy !req
587. I just want experienced staff
starting IVs on kids.Copy !req
588. - This is a teaching hospital.
- Not when pain's inflicted on kids.Copy !req
589. - Lucy's great.
- It's not about Lucy.Copy !req
590. - It's a policy I'm setting.
- You're setting a policy.Copy !req
591. Well, first time for everything.Copy !req
592. I'd be in a hurry
to get out of here too.Copy !req
593. What?Copy !req
594. We found out why your liver's failing.
You've been drinking.Copy !req
595. You're not gonna believe me.Copy !req
596. One time.Copy !req
597. I don't believe you.
I checked with UNOS.Copy !req
598. You've been on the list
for another transplant for two months.Copy !req
599. - Did you tell them?
- Did I tell them what?Copy !req
600. That you drank through the first one
and you want another?Copy !req
601. It wasn't like that. It was today.Copy !req
602. My son passed his bar examination.Copy !req
603. I knew I was rejecting,
so I figured what could it hurt?Copy !req
604. We had champagne at brunch.
That's it.Copy !req
605. You've been lying
ever since you came in here.Copy !req
606. Please. You can't tell UNOS.Copy !req
607. I don't have a choice.Copy !req
608. You're doing this
to me over one glass of champagne?Copy !req
609. There are people on that list
who haven't had any champagne.Copy !req
610. If I lose my place,
I won't last six months.Copy !req
611. You report me, I'm dead.Copy !req
612. I'm begging you.Copy !req
613. Sorry I'm late. There was traffic.Copy !req
614. You take the EI.Copy !req
615. - Who's on?
- Weaver.Copy !req
616. She's interviewing
for Chief of Emergency Medicine.Copy !req
617. - I thought she was Chief.
- Where have you been?Copy !req
618. - Dr. Greene?
- He's upstairs interviewing her.Copy !req
619. - So we have no Attendings.
- Watch it, Jerry.Copy !req
620. Sorry, Dr. Ross. Is he an Attending?Copy !req
621. Normally I wouldn't say anything.Copy !req
622. But don't you think that attire
is a little inappropriate?Copy !req
623. It's business.
I was helping out Dr. Weaver.Copy !req
624. Great job, Kerry.
We'd be lucky to have you.Copy !req
625. It was a formality.
Thanks for coming.Copy !req
626. I appreciate the opportunity.Copy !req
627. Your presentation
was everything we expected.Copy !req
628. - Thank you.
- I'll walk you down.Copy !req
629. It went great, Kerry.Copy !req
630. - The pie charts weren't too much?
- Charts are good.Copy !req
631. - Did anybody else use them?
- You were the first.Copy !req
632. - If I came across as too eager...
- No, it went terrific.Copy !req
633. Thank you, Mark.Copy !req
634. I never know how to answer
that question about my weaknesses.Copy !req
635. I could've helped you out there.Copy !req
636. That's a nice leather jacket.Copy !req
637. I said I wanted to run some tests.
But I can't without Medicaid.Copy !req
638. What's wrong?Copy !req
639. - This patient is illegal.
- Yes, but it doesn't matter.Copy !req
640. Oh, yes, it matters.Copy !req
641. The state won't pay for thousands
of dollars worth of tests.Copy !req
642. - You won't treat him?
- I'll give him beta blockers.Copy !req
643. He could have a cardiac arrest.Copy !req
644. - He's had no arrhythmias.
- That's why we need the EP studies.Copy !req
645. His father died from this.Copy !req
646. - Did you document an arrhythmia?
- No.Copy !req
647. All right. Then there is nothing
else that I can do.Copy !req
648. - Dr. Kayson!
- What?Copy !req
649. This boy could drop dead.Copy !req
650. Well, so could a lot of people.
He's not emergent.Copy !req
651. I'm sorry.Copy !req
652. You said he was stable.
Single GSW to the arm.Copy !req
653. - He was.
- He's intubated and hypotensive.Copy !req
654. - Things change.
- What's the problem?Copy !req
655. Botched gang shooting.
They were ready for him.Copy !req
656. - Is this the guy from this morning?
- Yeah. His name's Bo.Copy !req
657. We thought it was his arm.
He crashed in the rig.Copy !req
658. - Carter, we need your help.
- Come on.Copy !req
659. Welcome back, Bo.
Okay, everybody, on my count.Copy !req
660. One, two, three.Copy !req
661. - Why didn't you recontact?
- Things got pretty crazy.Copy !req
662. Carol, put him on the monitor.Copy !req
663. - What do we got?
- GSW, mid-tricep area.Copy !req
664. - Where's the probe?
- Run it, Carter.Copy !req
665. Decreased breath sounds on the right.
Tracheal shift to the left.Copy !req
666. - Tension pneumo.
- BP's down to 70.Copy !req
667. Pulse ox 89. Damn it!Copy !req
668. And then I'm gonna need
a 36 French.Copy !req
669. I want to decompress...Copy !req
670. into the second intercostal space,
mid-clavicular line.Copy !req
671. Okay. Pulse is getting stronger.Copy !req
672. - Lucy, get a blood gas.
- I'll do it.Copy !req
673. It's okay. I showed her how.Copy !req
674. - Ten blade.
- Get the pressure back on the line.Copy !req
675. Entrance wound,
right mid-axillary line.Copy !req
676. Bullet went through the arm
into the chest.Copy !req
677. - Why couldn't you undress him?
- We had to run.Copy !req
678. Where's that chest tube?Copy !req
679. - You didn't see this chest wound?
- Not now, Carol.Copy !req
680. - I can't get the blood gas.
- Move over. I'll do it.Copy !req
681. Chest tube is in. That's okay, Lucy.
Those can be tough.Copy !req
682. - Help me with the second line.
- Okay. 50 cc's out.Copy !req
683. I need four by fours.
I need elastoplast.Copy !req
684. I'm gonna call X-ray,
get a portable chest.Copy !req
685. I got the blood gas.
BP's up to 100/70.Copy !req
686. - How's that second line?
- I can't.Copy !req
687. - Move the drape for more room.
- I can't do it.Copy !req
688. - Focus. We need the second line.
- I really can't do it.Copy !req
689. - It's like any other IV.
- I haven't started an IV. Never.Copy !req
690. I'm sorry.Copy !req
691. - Whoa! He's bradying down!
- Okay!Copy !req
692. His chest tube is pouring blood!Copy !req
693. Let's get two units of O-neg in
and call the O.R.Copy !req
694. - You cost me a procedure.
- Am I supposed to ask how?Copy !req
695. You should've babysat
that pulseless foot.Copy !req
696. Greene let the radiologist set him.Copy !req
697. I didn't realize that was part
of my job description.Copy !req
698. Well, you're still learning.Copy !req
699. - How was your first day?
- As expected.Copy !req
700. You are either a masochist
or the stubbornest woman I've met.Copy !req
701. But I admire your fortitude.Copy !req
702. I couldn't handle taking orders
from a weasel like Dale.Copy !req
703. - Is that supposed to be a compliment?
- Sounded like one to me.Copy !req
704. And you can wear the long coat.
It looks better on you.Copy !req
705. - 700 cc's out the chest tube.
- Take him up, Carter.Copy !req
706. - Do they know he needs a thoracotomy?
- Yeah. O.R. 3.Copy !req
707. Have the blood bank send up
four units, type-specific.Copy !req
708. We weren't prepared for a trauma.
You should've called.Copy !req
709. Sorry. We were busy
protecting his airway.Copy !req
710. - You guys should've called ahead.
- There was no way...Copy !req
711. And we have to be prepared
for anything.Copy !req
712. - I would've been prepared...
- Nobody's to blame.Copy !req
713. We treated the patient.
Let's move on.Copy !req
714. Do you want to review the run tape?Copy !req
715. - No.
- No.Copy !req
716. Doggy. Yeah!
You want to pet the doggy?Copy !req
717. Oh, that is good.Copy !req
718. You want him to respond in some way.Copy !req
719. To point or to make
some kind of sound.Copy !req
720. Kitty says...Copy !req
721. Do you want to pet the kitty?Copy !req
722. - Don't like the kitty?
- It's okay, man. That's okay.Copy !req
723. One quick hug. Then back to work.Copy !req
724. - What?
- He's gotta learn to focus.Copy !req
725. Give him a break.
He's only a year old.Copy !req
726. You can't give him a break.
He's not like other 1 -year-olds.Copy !req
727. He needs constant verbal stimuli.Copy !req
728. You try.Copy !req
729. All right, man. Here we go.
Doggy.Copy !req
730. Doggy.Copy !req
731. Hey, doggy.Copy !req
732. I can't do this.Copy !req
733. You're gonna have to learn.Copy !req
734. Coming here twice a week
isn't gonna do it.Copy !req
735. I might've been able to keep
that kid here this afternoon.Copy !req
736. But he would've gone out
and done the same thing tomorrow.Copy !req
737. His mom's in Chairs.
You want me to go talk to her?Copy !req
738. No. No, I'll do it.Copy !req
739. - Did you get a number?
- No. You still here?Copy !req
740. Yeah. I got sidetracked.Copy !req
741. - You could use some help.
- Okay, take rashes.Copy !req
742. - No, something more permanent.
- Allergies?Copy !req
743. Actually, I meant being
your full-time P.A.Copy !req
744. I'd like to work with kids for a while.Copy !req
745. I'm good at it.
Somehow it seems more worthwhile.Copy !req
746. Well, I don't know about that.Copy !req
747. At least you know whose side
you're on.Copy !req
748. You know, I'd love to.Copy !req
749. I think I've used up
all my chips with Anspaugh.Copy !req
750. I've got some pull.
I could work it out.Copy !req
751. - Great. I'd love that.
- Excellent.Copy !req
752. Yeah, hi. May I have the transplant
coordinator for UNOS, please?Copy !req
753. - I paged you twice.
- I don't want to talk yet.Copy !req
754. That's too bad
because I deserve an explanation.Copy !req
755. If you want me to feel bad, I do.
I'm really disappointed in myself.Copy !req
756. You should be.
That's not an explanation.Copy !req
757. I don't know how it started.
You thought I could do it.Copy !req
758. I wanted to impress you.
It spun out of control. I'm sorry.Copy !req
759. What did you think
you were going to accomplish?Copy !req
760. I don't know.Copy !req
761. - I thought I could learn on my own.
- You can learn on your own.Copy !req
762. You don't need to be here, then.
You endangered patients.Copy !req
763. You don't need to make me feel bad!
I feel horrible!Copy !req
764. That would work
if this was about you.Copy !req
765. But down there it's never about you.Copy !req
766. Go home. Don't come back
unless you're serious about learning.Copy !req
767. If you ever lie to me again,
you can look for another rotation.Copy !req
768. What are you doing back here?Copy !req
769. Waiting for the grill to heat up.Copy !req
770. I thought it was
fend-for-yourself night.Copy !req
771. No. I'm sick of fend-for-yourself.
I got us some steaks.Copy !req
772. Sounds good.
You got another one of those for me?Copy !req
773. What's in the bag?Copy !req
774. It's a pregnancy test.Copy !req
775. Just to be sure.Copy !req
776. No need. I started my period.Copy !req
777. Well, I guess I wasted $17.50.Copy !req
778. Save it for next time.Copy !req
779. I'm kidding. That was a joke.Copy !req
780. We dodged a bullet there, didn't we?Copy !req
781. - That's good, right?
- Yeah. Yeah.Copy !req
782. Although all day, I kept thinking,
"Wow, a kid."Copy !req
783. You know, that would really...Copy !req
784. change my life.Copy !req
785. - Our life. It would change ours.
- Okay. Our lives.Copy !req
786. That would be bad, right?Copy !req
787. I changed my mind.
I don't want to joke about it.Copy !req
788. Maybe I'm not joking.Copy !req