1. Previously on ER:Copy !req
2. That was a great save.Copy !req
3. Actually, I meant
being your full-time P.A.Copy !req
4. Great. I'd love that.Copy !req
5. This is more of a formality
than anything else.Copy !req
6. For you, but you're
my only intern.Copy !req
7. I admire your fortitude, taking
orders from a weasel like Dale.Copy !req
8. Your presentation was everything
we expected.Copy !req
9. This is ridiculous.
Everyone thinks you can.Copy !req
10. I'll talk to Dr. Carter.Copy !req
11. I can't start an IV.
I don't know how, never have.Copy !req
12. If you ever lie to me again,
look for another rotation.Copy !req
13. Watch yourself.Copy !req
14. Sorry.Copy !req
15. She's in active labor.
Water broke in the rig.Copy !req
16. Got to play catch.Copy !req
17. Jerry, scarfing a little
early dinner back there?Copy !req
18. What? Oh, no.
Good one, Chuny.Copy !req
19. - Baby, baby!
- Our mother-to-be?Copy !req
20. Good guess. First name's Coco.
No last name or address.Copy !req
21. - Collapsed in a crosswalk.
- Don't walk, don't talk.Copy !req
22. Vitals are stable.Copy !req
23. I can feel the head!
Mr. Potato Head!Copy !req
24. We took a peek, she's not crowning.Copy !req
25. Crown me. I'm the queen.
The prince is coming.Copy !req
26. - What's your due date, Coco?
- I don't like dates. Too sweet.Copy !req
27. Big one! Big pain!Copy !req
28. Ever delivered a baby?Copy !req
29. - No delivery.
- Let's go to Curtain Area 3.Copy !req
30. B.O.A. Kit, fetal monitor
and baby warmer.Copy !req
31. - Hey, Jerry? Page OB for me.
- You got it.Copy !req
32. Dude, the eagle has landed.Copy !req
33. Oh, Lydia. I guess you didn't
get my memo.Copy !req
34. The p.m. Shift is not wearing
costumes this year.Copy !req
35. It scares the patients.Copy !req
36. Things have been said about this set
of gams, but scary isn't one of them.Copy !req
37. It isn't very professional,
so if you wouldn't mind changing...Copy !req
38. I actually got some of these
little jack-o'-lantern pins...Copy !req
39. if you want to
signify the holiday.Copy !req
40. Fun.Copy !req
41. I'm glad my "no costume" memo made it
to some people.Copy !req
42. This is my costume.
I'm dressed as a total stiff.Copy !req
43. Oh. Well, I guess I can make
an exception.Copy !req
44. Four-year-old child with
puncture wounds.Copy !req
45. - He's not in Trauma?
- You wanted the children...Copy !req
46. Get me an intubation tray now.Copy !req
47. And I want four units of your blood.Copy !req
48. What? Come on, this is funny.Copy !req
49. You, of all people,
should be able to joke.Copy !req
50. I didn't think it was appropriate.Copy !req
51. Surgilube on every
phone in the ER, that's okay?Copy !req
52. I'm not in charge of the whole ER,
just the Pedes ER.Copy !req
53. The joke was on you, Doug,
not on the Pedes ER.Copy !req
54. But that seems to be one and the same.Copy !req
55. What's that supposed to mean?Copy !req
56. - The memo in my box this morning.
- Yeah?Copy !req
57. I thought it was your
Halloween prank.Copy !req
58. What's wrong with this? What?Copy !req
59. Doug. "All pediatric patients
must be seen by Dr. Ross...Copy !req
60. prior to discharge.Copy !req
61. Dr. Ross will conduct a daily review
on all pediatric patients."Copy !req
62. What's wrong with that?Copy !req
63. It means you sign off on
Kerry Weaver's charts?Copy !req
64. - Yeah, and Mark.
- Yeah. So you're psyched.Copy !req
65. It's time for a change.Copy !req
66. Like me.
I was a Transylvanian bat.Copy !req
67. All right. Enough.Copy !req
68. - Good luck.
- Carol, could you come in here?Copy !req
69. What's up?Copy !req
70. Coco here claims to be
9 months pregnant.Copy !req
71. Try for fetal heart tones.
I couldn't find them.Copy !req
72. Find them. Don't lose them.Copy !req
73. Look in the Lost and Found.Copy !req
74. Cervix isn't dilated.
No adnexal masses.Copy !req
75. - She sure looks pregnant.
- I'm having a baby.Copy !req
76. I appreciate a normal uterus and two
liters of urine in her bladder.Copy !req
77. Coco, we'll give you a bedpan.Copy !req
78. Can you try and relax
and relieve yourself?Copy !req
79. Shallow breath.Copy !req
80. Nature's way.Copy !req
81. - Want a Foley?
- Yeah.Copy !req
82. And a urine tox screen.
Call Psych while you're at it.Copy !req
83. I can't believe you're wearing that.Copy !req
84. It has got itchy.
But it's my first Halloween.Copy !req
85. You were here last year.Copy !req
86. I was stuck in the O.R.
So no trick-or-treating...Copy !req
87. apple-bobbing, hayrides.
- Hayrides?Copy !req
88. Isn't that how you celebrate
Halloween?Copy !req
89. Riding in a cart full of hay with
your sweetie, under the stars?Copy !req
90. Elizabeth, there are no hay carts
in Chicago.Copy !req
91. You know what I mean.
Celebrating the night.Copy !req
92. Celebrating what?Copy !req
93. Kids rotting their teeth,
getting stomachaches.Copy !req
94. People wearing stupid...Copy !req
95. I have a thing against costumes,
you know?Copy !req
96. There must have been someone
you wanted to be.Copy !req
97. I'm a doctor.
That's who I wanted to be.Copy !req
98. Yes, but as a child.Copy !req
99. You must have wanted to be a spaceman
or a footballer?Copy !req
100. Nope.Copy !req
101. You really are extraordinary, Peter.Copy !req
102. How about a knight in shining armor?Copy !req
103. - No.
- A cowboy?Copy !req
104. No. Listen, let's go to Dempsey's.Copy !req
105. They've got great food,
and what is that? Swing dancing.Copy !req
106. Elizabeth, there you are.Copy !req
107. My sigmoid volvulus is red-lined
and the labs aren't on the chart.Copy !req
108. I checked the computer.
All but the electrolytes.Copy !req
109. Checking isn't good enough. The lab
said the specimen was hemolyzed.Copy !req
110. I'll call Phlebotomy.Copy !req
111. Takes too long. Redraw yourself
and hand-carry it to the lab.Copy !req
112. Yes, sir.Copy !req
113. - Excuse me.
- You'll have to wait.Copy !req
114. - Yeah?
- I'm looking for Dr. Greene.Copy !req
115. Oh, damn! I needed to save that.Copy !req
116. So I can find Dr. Greene, where?Copy !req
117. You're gonna have to wait in Chairs.Copy !req
118. Okey-doke.Copy !req
119. Jerry, has the systems guy
taken a look at this yet?Copy !req
120. He looked, but he didn't touch.
The work order wasn't cosigned.Copy !req
121. Lily, what do you got there?Copy !req
122. This was sitting in the ambulance bay.Copy !req
123. Look. There's all kinds
of stuff in this bag too.Copy !req
124. Four-by-fours, Steri-Strips,
IV tubing.Copy !req
125. I'll take care of this.Copy !req
126. - Really? You sure?
- No worries.Copy !req
127. - Thanks.
- Sure.Copy !req
128. - Hey, Jerry.
- Hi.Copy !req
129. You can't blow it off?Copy !req
130. Don't get me wrong. I would love
to attend your shindig...Copy !req
131. but this is a Teamster party.Copy !req
132. Your eyes are aglow with
disability policies.Copy !req
133. It's rare that a policy
underwriter has an opportunity...Copy !req
134. with a roomful of drunken
manual laborers.Copy !req
135. Sounds better than chaperoning
a dorm party.Copy !req
136. Everybody knows the best part of
a bad party is sneaking out.Copy !req
137. Preferably not alone.Copy !req
138. So I might see you later?Copy !req
139. Or I'll make it up to you.Copy !req
140. Dr. Carter, hi. I got the elbow
films back on Mr...Copy !req
141. Lucy, can you give us
a second, please?Copy !req
142. Sure.Copy !req
143. What did you say?Copy !req
144. I got the elbow films back
on Mr. Cahan...Copy !req
145. and the CBC and chem panel
on Ms. Nicolara.Copy !req
146. Thanks. Looks good.Copy !req
147. I thought about you and realized
I left this in my car.Copy !req
148. For the party?Copy !req
149. No. You should start practicing
your IVs.Copy !req
150. I have been practicing.Copy !req
151. Then this should be old hat.Copy !req
152. Dr. Carter, good.
These suckers are heavy.Copy !req
153. - What are these?
- Tomorrow's conference:Copy !req
154. "The Acute Abdomen in the Elderly."
I pulled an ischemic bowel...Copy !req
155. you had a few months ago.
I was hoping you'd present.Copy !req
156. Never done that.Copy !req
157. It's great experience if you're
serious about being Chief Resident.Copy !req
158. - Oh, I'm serious.
- I look forward to your presentation.Copy !req
159. - Chief Resident. Pretty cool.
- Yeah, pretty cool.Copy !req
160. - Incoming.
- I got it!Copy !req
161. - What do we got?
- Joe Chattarowski, 40.Copy !req
162. Drank a quart of vodka. Called
911 when he was too drunk to walk.Copy !req
163. - I need help, doc.
- Exam 2.Copy !req
164. Drink every day, Mr. Chattarowski?Copy !req
165. Yeah. But I want to quit.Copy !req
166. Are you serious?Copy !req
167. I'm dead serious.Copy !req
168. - Not just looking for a place to sleep?
- On my mother's eyes.Copy !req
169. Can you admit me for detox, please?Copy !req
170. I think Miss Knight can help
you out with that.Copy !req
171. See if you can find him a detox bed.
Then practice on that arm.Copy !req
172. Let's transfer him. Ready?
One, two, three.Copy !req
173. Average daily census is 150.Copy !req
174. We see 275 a day at Bellevue.Copy !req
175. Impressive.Copy !req
176. We're the second largest emergency
department in the world.Copy !req
177. I'll show you the trauma rooms.Copy !req
178. Hey, Jerry?Copy !req
179. - Who's that?
- With Dr. Greene?Copy !req
180. That is Dr. Litvak from New York.Copy !req
181. Dan Litvak?Copy !req
182. Yeah. He's here
interviewing to be ER Chief.Copy !req
183. Oh, my God! Dan Litvak.Copy !req
184. He's national chair of the ACEP Panel
for Practice Guidelines.Copy !req
185. Lead article in last month's annals.Copy !req
186. That's good, right?Copy !req
187. Hey, buddy. I'm Dr. Ross.Copy !req
188. - What's your name?
- Jared.Copy !req
189. Pruritic rash from his makeup.
He's covered with hives.Copy !req
190. - Has he had hives before?
- No.Copy !req
191. All right, any swelling in your mouth?
Are you having trouble breathing?Copy !req
192. - My tongue feels big.
- Okay.Copy !req
193. BP's 90/60. Pulse 72.Copy !req
194. Let's give him.2 of sub-q epi,
Benadryl 25 IV.Copy !req
195. Is he going to be okay?Copy !req
196. He has a bad allergic reaction.Copy !req
197. We'll treat him with IV medication,
and watch him for a few hours.Copy !req
198. Can I still go trick-or-treating?Copy !req
199. I don't think so, sweetie.
We'll find some fun stuff to do.Copy !req
200. Fun stuff around here sucks.Copy !req
201. What did you do with my baby?Copy !req
202. What did you...?
Where is my baby?Copy !req
203. Should I ask?Copy !req
204. Twenty-two-hundred cc's out so far.
Belly's flat.Copy !req
205. I lost my baby.Copy !req
206. Haldol, five milligrams I.M.Copy !req
207. Mark, I'm looking for your charts
on last month's unscheduled returns.Copy !req
208. Yeah. I put them in your box.Copy !req
209. Kerry, this is Dr. Dan Litvak. This
is Dr. Kerry Weaver, Interim Chief.Copy !req
210. Nice to meet you.Copy !req
211. Where are you from, Dr. Litvak?Copy !req
212. New York. Bellevue.Copy !req
213. Just here to get a few tips?Copy !req
214. No, I just had my second interview
for the Chief position.Copy !req
215. Dr. Greene is being kind enough
to show me around.Copy !req
216. Second interview?Copy !req
217. They want to meet with Dr. Litvak
one more time before tonight's vote.Copy !req
218. I thought the vote wasn't
until next Wednesday.Copy !req
219. I have to hop a plane tonight.Copy !req
220. They thought it would be best
to know beforehand.Copy !req
221. That's great.
The sooner the better.Copy !req
222. I guess I'll just check my mailbox.Copy !req
223. That's the competition, huh?Copy !req
224. Did you get that detox bed?Copy !req
225. No one called me back yet.Copy !req
226. Got a flash...Copy !req
227. and I am in.Copy !req
228. Yes, you are.Copy !req
229. I'm ready for the real thing.Copy !req
230. Let's find out. I'll talk you
through Mr. Chattarowski.Copy !req
231. Okay.Copy !req
232. Make sure we don't repeat our
last IV fiasco.Copy !req
233. Definitely won't happen again.Copy !req
234. - It was my fault as much as yours.
- I wouldn't say that.Copy !req
235. I should've supervised you
and not let you get to that place.Copy !req
236. From now on, we'll just take it
one step at a time.Copy !req
237. Carter, your drunk eloped.Copy !req
238. - Chattarowski?
- Does that mean he left?Copy !req
239. - Yep.
- Does anyone else need an IV?Copy !req
240. I've got it.Copy !req
241. You wanted to be a superhero.
Tights, cape.Copy !req
242. Yeah, wrong.Copy !req
243. There was someone, wasn't there?
Hey, look who's here.Copy !req
244. Bye-bye, cutie-pie.Copy !req
245. Hey, little bee.
Gosh, he's getting so big.Copy !req
246. I know. Eating me out
of house and home.Copy !req
247. - I didn't expect you.
- Just left Walt and Jackie's.Copy !req
248. The annual blowout?Copy !req
249. I told Walt he should
just put on one of his...Copy !req
250. super-duper fly outfits
he wore in the '70s.Copy !req
251. That brother thinks polyester's
gonna make a comeback.Copy !req
252. Speaking of costumes,
do you have any film left?Copy !req
253. Yes. We should have one
with his daddy.Copy !req
254. - Absolutely.
- Would you do it?Copy !req
255. Sure.Copy !req
256. Okay, ready?Copy !req
257. Feeling any better?Copy !req
258. All right, I guess.Copy !req
259. What did you...?
What did you give me?Copy !req
260. Haldol, to calm you down.Copy !req
261. I can't take that.Copy !req
262. It's not good for my baby.Copy !req
263. Coco, you don't have a baby.Copy !req
264. But I will, really.Copy !req
265. I'm in my first trimester.Copy !req
266. Coco, you're not pregnant.
You were just retaining urine.Copy !req
267. Carol.Copy !req
268. You did a pregnancy test,
didn't you?Copy !req
269. I'm starting to wish I had.Copy !req
270. I'm schizophrenic...Copy !req
271. and I had been taking respiradone.Copy !req
272. But when I found out I was pregnant,
I went off the medication...Copy !req
273. so that the baby would be okay.Copy !req
274. What will the Haldol do to the baby?Copy !req
275. If in fact you are pregnant...Copy !req
276. there are reports
of limb malformation.Copy !req
277. Oh, my God!Copy !req
278. I'm so sorry, baby.Copy !req
279. Aorta's clamped, pericardium's dry.Copy !req
280. It looks like the heart is still
empty. Get two more units.Copy !req
281. Chest tube's gushing.
It's over two liters.Copy !req
282. Could be a hilar injury.Copy !req
283. Let's set up for a right-sided
thoracotomy. Move!Copy !req
284. Ten blade. We'll do a clamshell.Copy !req
285. Call the blood bank for O-neg,
and type-specific.Copy !req
286. Rib-spreader. Peter, cut across
the sternum.Copy !req
287. - I need a Lebsche knife.
- A what?Copy !req
288. A Lebsche and a mallet. Move!Copy !req
289. Look. Top drawer by the sink.Copy !req
290. What you really need is a sternal saw.Copy !req
291. A sternal saw is a tool for the O.R.,
not the ER. You know that.Copy !req
292. Chest is full of blood.
Vascular clamp, more suction.Copy !req
293. All right.
Can you locate the source?Copy !req
294. Move your hand. Four units in.Copy !req
295. Come on, Peter. He's losing it
faster than we can put it in.Copy !req
296. - Damn!
- Type-specific's here.Copy !req
297. - Hang it on rapid infuser.
- I'm almost there.Copy !req
298. Looks like right atrium.Copy !req
299. Vicryl now! Move!Copy !req
300. There were faster ways to do that.Copy !req
301. I am pregnant.Copy !req
302. The test confirmed it.Copy !req
303. We don't know if the Haldol
affected the fetus.Copy !req
304. We'll monitor the pregnancy
with ultrasound.Copy !req
305. Maybe I shouldn't have a baby.Copy !req
306. Because of the Haldol?Copy !req
307. I didn't even tell my mom, you know?
It was like...Copy !req
308. she was so proud that I was
in a halfway house.Copy !req
309. I thought it would be okay.Copy !req
310. I thought I could go off my meds,
but I can't, can I?Copy !req
311. You'll probably have more incidents
like this one.Copy !req
312. I shouldn't go through with this.Copy !req
313. You've been through a lot
in a short amount of time.Copy !req
314. Maybe you should just wait.Copy !req
315. I shouldn't do this.Copy !req
316. I shouldn't do this.Copy !req
317. Think she'll terminate her pregnancy?Copy !req
318. That's the impression I got.Copy !req
319. Probably be the best for her,
and for you.Copy !req
320. Yeah, it gets me off the hook.Copy !req
321. Do you want to have a drink later?
Decompress?Copy !req
322. I would, but Jen's back in town, and
we have to have one of our "talks."Copy !req
323. It's not your day, Mark.Copy !req
324. You can go now, Lucy.
We're caught up around here.Copy !req
325. What about the Pedes ER?
It's standing room only.Copy !req
326. Doug Ross is in the groove, huh?Copy !req
327. No, you'd probably just slow him down.Copy !req
328. Great. It gives me more
time to prepare for the party.Copy !req
329. I'm sorry. I didn't mean to
upset the officer.Copy !req
330. Found him back with a bottle
of Night Train at Lucky's.Copy !req
331. You need a revolving door here.Copy !req
332. Well, well, well. Long time no see,
Mr. Chattarowski.Copy !req
333. So you know this guy?Copy !req
334. Yeah, had him in earlier.
Came in to get detoxed...Copy !req
335. then left before we were finished.
- Next time I'll call the cops.Copy !req
336. We can take it from here.
You're off anyway.Copy !req
337. - Thanks.
- Curtain Area 2.Copy !req
338. Mr. Chattarowski, I'm Dr. Greene.
This is Nurse Hathaway.Copy !req
339. We'd like to welcome you back.Copy !req
340. I know I screwed up, doc.
I'm a screwup by nature.Copy !req
341. I want to make a clean start.
I really do.Copy !req
342. You won't make a very clean start
with booze in your hand.Copy !req
343. That was my last drink.Copy !req
344. I'm not gonna poison myself no more.
I promise.Copy !req
345. Other than bloodshot, the eyes look
okay. Lean forward.Copy !req
346. I'm gonna get clean and sober, doc.Copy !req
347. You gotta be quiet
so I can hear your lungs.Copy !req
348. BP's 130 palp.Copy !req
349. Mr. Chattarowski, I'm gonna try
and get you a detox bed.Copy !req
350. But promise me you'll stay.Copy !req
351. I promise. I really do.Copy !req
352. I'm gonna get clean and sober.Copy !req
353. If you could just scoot over
to this bed for me.Copy !req
354. You think he'll stay?Copy !req
355. I was a cynic with Miss Coco
and we saw how that worked out.Copy !req
356. So karmically,
I have to believe this guy.Copy !req
357. Okay, Dr. Karma. But I'm gonna
lock up his clothes...Copy !req
358. so it's harder for him
to escape this time.Copy !req
359. Good idea.Copy !req
360. Amanda, you have to stay still.
It'll only hurt for a second.Copy !req
361. No, Daddy!Copy !req
362. - I'll give you some stickers.
- I don't want stickers, Daddy!Copy !req
363. - Is this really necessary?
- Unfortunately, it is.Copy !req
364. We have to take blood
to do the test.Copy !req
365. I want to go home.Copy !req
366. - Everything all right?
- Yes, fine.Copy !req
367. My little girl's afraid of needles.Copy !req
368. Is there a way to test her
without all this?Copy !req
369. Yes, there is.Copy !req
370. - What have we got?
- Barbie Kligman, 11 -year-old, MVA.Copy !req
371. Back-seat passenger with a lap belt.Copy !req
372. complains of abdominal pain.
BP 105/70. Pulse 95.Copy !req
373. Let's get a CBC, Chem-20,
type and hold and dip a urine.Copy !req
374. Barbie, does your neck hurt?Copy !req
375. No. Just my stomach.Copy !req
376. Pulse ox is 98 on room air.Copy !req
377. - Chest is clear.
- Okay.Copy !req
378. Dale okay with this?Copy !req
379. Shouldn't be a problem.Copy !req
380. Pupils are 5 mm and react to light.Copy !req
381. Will she be okay?Copy !req
382. We're taking care of her.Copy !req
383. - Pretty good seat-belt contusion.
- Yeah.Copy !req
384. - Bowel sounds are absent.
- Hemoglobin's 14.1.Copy !req
385. - Listen, does this hurt?
- Ow!Copy !req
386. - What?
- She has a bruise...Copy !req
387. that's often associated
with small bowel injuries.Copy !req
388. We'll do a CAT scan of the belly, but
she may need exploratory surgery.Copy !req
389. - Oh, my God.
- You'll be okay, Barbie.Copy !req
390. Mommy and Daddy are here
for you, okay?Copy !req
391. That's all it takes?Copy !req
392. The machine delivers lidocaine to the
skin by iontophoresis. No needles.Copy !req
393. Dr. Weaver, we meet again.Copy !req
394. I thought you had a plane to catch.Copy !req
395. Flight delay. Hanging out here beats
watered-down airport cocktails.Copy !req
396. Can I play fly on the wall?Copy !req
397. Dr. Ross' Pedes room.Copy !req
398. Sure. Hang out.
Here we go, sweetheart.Copy !req
399. How are you, Amanda?Copy !req
400. - Okay.
- You're okay?Copy !req
401. Now this pad puts your
skin to sleep.Copy !req
402. You're not gonna feel anything.Copy !req
403. Now, close your eyes, sweetheart.Copy !req
404. You feel anything?Copy !req
405. - No.
- Okay.Copy !req
406. That's amazing.Copy !req
407. We tried numbing it with cream but it
takes an hour. This is great.Copy !req
408. It really is.
What's it called again?Copy !req
409. Numby.Copy !req
410. We did the phase-three clinical
trials at Bellevue.Copy !req
411. We've been using it
for over a year now.Copy !req
412. Hey, Dr. Carter.Copy !req
413. Nice costume.Copy !req
414. I feel kind of lame.
Nobody dressed up.Copy !req
415. Well, it's early yet.
People may still show.Copy !req
416. The flier said 8.Copy !req
417. Remember, these are med students.
They're busy.Copy !req
418. Want me to get you some punch?Copy !req
419. Oh, later.Copy !req
420. I gotta pull articles at the library
for this conference tomorrow.Copy !req
421. Think this party can chaperone itself?Copy !req
422. - I'll look after things for you.
- Why don't you do that?Copy !req
423. - How old is this girl?
- 11.Copy !req
424. - What's the glitter on her face?
- She's a princess.Copy !req
425. - Dale, get a clamp on that.
- Babcock, please.Copy !req
426. There's a little bleeding around
the duodenum.Copy !req
427. Let's cauterize and explore
the retroperitoneum.Copy !req
428. Bovie.Copy !req
429. - What are you doing for Halloween?
- Nothing special.Copy !req
430. I know a motel on Route 22.
Jungle-theme rooms.Copy !req
431. - Metz.
- Ask for room 14. Hanging vines.Copy !req
432. You Tarzan, she Jane.
Know what I mean?Copy !req
433. I think we'll just stay in town.Copy !req
434. - The pancreas looks good.
- No renal injuries here.Copy !req
435. Hold on. There's infrarenal mass.Copy !req
436. Looks like a lumbar node.Copy !req
437. Doesn't feel right. Too rubbery.Copy !req
438. There's one on this side too.
Could be lymphoma.Copy !req
439. All right, let's send for a biopsy.
Number 15.Copy !req
440. Everything okay on the wards?Copy !req
441. - Yes. May I scrub in?
- We could use your help.Copy !req
442. Wonderful.Copy !req
443. We just biopsied an abnormal
lymph node on Barbie.Copy !req
444. Why don't you take this specimen to
Pathology and wait on the results.Copy !req
445. Signed in three more kids.
We're stacked.Copy !req
446. - We're getting to them.
- We need the main ER for the overflow.Copy !req
447. I have to see these kids.
You saw Kerry.Copy !req
448. It's a busy night, Doug. You
can't see them all by yourself.Copy !req
449. Send the overflow to the main ER,
but send me the kids' charts.Copy !req
450. Of course.Copy !req
451. The sickest ones, send them to me.Copy !req
452. I wouldn't do it any other way.Copy !req
453. What are you doing back so early?Copy !req
454. Me and Ariel are sick of trick-or-
treating and Mom's running late.Copy !req
455. - What are you watching?
- Family Love Triangles.Copy !req
456. - Educational TV, huh?
- Yeah.Copy !req
457. Mom says when we move to St. Louis...Copy !req
458. she's only gonna let me watch
an hour of television a day.Copy !req
459. When you move to St. Louis?Copy !req
460. You didn't know?Copy !req
461. I think that's why Mom wanted
to see you.Copy !req
462. So it's a done deal then?Copy !req
463. My room will be twice as big.Copy !req
464. And there's a park across the street
for the dogs.Copy !req
465. - Sounds nice.
- It's really pretty there.Copy !req
466. Please don't tell her I told you, okay?Copy !req
467. Hey, my lips are sealed.Copy !req
468. Repair transversely with running
Vicryl 3-0.Copy !req
469. Gentlemen, I have the results
of your biopsy.Copy !req
470. Guess what we saw under
the microscope.Copy !req
471. - Gotta be Hodgkin's.
- No.Copy !req
472. - Metastatic adeno?
- Wrong again.Copy !req
473. Seminiferous tubules.Copy !req
474. - What?
- You're kidding?Copy !req
475. You biopsied two testicles.
It seems that Barbie is a boy.Copy !req
476. Who knew there were so many texts
on the bowel?Copy !req
477. This is just what I could
get my hands on.Copy !req
478. I suppose with all this
intense interest...Copy !req
479. that means our bowels are in good
hands for many years to come, right?Copy !req
480. That's a nice thought.Copy !req
481. Hey, sounds like
the party's up and running.Copy !req
482. Yeah!Copy !req
483. Dr. Carter, the party picked up.
The beers are right there.Copy !req
484. Nice aim, dude. You almost put out
the fire with that one.Copy !req
485. Hey, Dr. Carter.Copy !req
486. Thanks, dude.Copy !req
487. Okay, kids, that's it. Party's over.Copy !req
488. You can't stay here.Copy !req
489. What's up? Were we too loud?Copy !req
490. - No, the furniture was too on fire.
- Oh, really? I'm sorry.Copy !req
491. I'll be in my room studying.Copy !req
492. Happy Halloween!Copy !req
493. She did it to me again.Copy !req
494. She's in escrow and I heard
about it from Rachel.Copy !req
495. Maybe she was gonna tell you tonight?Copy !req
496. Maybe.Copy !req
497. Or maybe she was just going to send
me a postcard from St. Louis.Copy !req
498. You really had a good time
with Rachel?Copy !req
499. Yeah. Yeah, I did.Copy !req
500. How's Chattarowski's detox search?Copy !req
501. They're all out of beds on Four East...Copy !req
502. but I stood my ground and insisted
that he was a good detox candidate.Copy !req
503. They finally gave him
a place on Four West.Copy !req
504. You must owe them some favors.Copy !req
505. A couple. But it was worth it.Copy !req
506. Well, you tried, you know?Copy !req
507. When we explored
the retroperitoneum...Copy !req
508. we discovered two small masses.Copy !req
509. Masses? What kind of masses?Copy !req
510. We were concerned, so we sent down
a frozen section of the biopsy...Copy !req
511. that revealed testicular tissue.Copy !req
512. What does that mean?Copy !req
513. Barbie has a condition called
testicular feminization.Copy !req
514. Genetically, she's a male
with XY chromosomes.Copy !req
515. During development, the fetal tissue
was resistant to testosterone...Copy !req
516. and the external genitalia
developed as female.Copy !req
517. There's gotta be a mistake.Copy !req
518. No mistake. The vagina's nothing
but a blind pouch.Copy !req
519. No uterus or ovaries.Copy !req
520. She'll need to be on estrogen
replacement therapy.Copy !req
521. My little girl has testicles?Copy !req
522. We removed them because of the high
incidence of malignant transformation.Copy !req
523. I don't understand.Copy !req
524. I changed her diapers.
I know every inch of her.Copy !req
525. She's a boy?Copy !req
526. The genetics don't matter.
You've raised Barbie as a girl.Copy !req
527. It's what she looks like. It's her
identity. Nothing will change that.Copy !req
528. But you have to understand that she'll
never menstruate or bear children.Copy !req
529. Obviously this has come as a shock.Copy !req
530. You'll need time to adjust.Copy !req
531. Barbie's recovering.Copy !req
532. We'll refer you to
a genetic counselor.Copy !req
533. They'll help you decide when
and how to tell her.Copy !req
534. Thank you, doctor.Copy !req
535. Nice job.Copy !req
536. Thank you.Copy !req
537. You forgot to mention they'll have to
change Barbie's name to Ken.Copy !req
538. After the day I've had,
just line them up.Copy !req
539. Word. That's how you gotta do it.
Work hard, play hard.Copy !req
540. I deserve to play hard.Copy !req
541. I had to check all the stool samples
for fecal leukocytes, dude.Copy !req
542. You think that's bad?Copy !req
543. My Resident had me give physical exams
to these homeless shelter guys.Copy !req
544. One had maggots crawling
all over an abscess.Copy !req
545. At least your Residents
acknowledge you.Copy !req
546. Mine don't even know I'm here.Copy !req
547. I get more respect from
this rubber arm.Copy !req
548. We might have saved
this guy with the saw.Copy !req
549. We could've cut
the sternum in two seconds...Copy !req
550. instead of chiseling for a minute.Copy !req
551. The guy was dead. A few
seconds wouldn't have saved him.Copy !req
552. It would've given him a chance.Copy !req
553. We are not going to waste
time training ER docs...Copy !req
554. on equipment
they'll use once a year.Copy !req
555. If we had the saw, we could give
midline thoracotomies...Copy !req
556. for all penetrating chest traumas.Copy !req
557. That's not the standard of care.Copy !req
558. The standard of care
gives miserable results.Copy !req
559. If they arrest in the ambulance,
10% survive.Copy !req
560. If they arrest in the ER,
30% survive.Copy !req
561. Midline thoracotomy gives us better
exposure to repair cardiac injuries.Copy !req
562. If you're so damned interested
in this, do a study.Copy !req
563. - I will.
- Good.Copy !req
564. I know the guy from
Surgery to help you. Peter?Copy !req
565. Kerry and I were discussing
a study between ER and Surgery.Copy !req
566. - A study?
- Midline thoracotomy for chest trauma.Copy !req
567. Is this because of today?Copy !req
568. Draw up a proposal with a budget
and give it to me in two weeks.Copy !req
569. - I will.
- Good. Okay.Copy !req
570. I don't think ER docs should
play with a sternal saw.Copy !req
571. - Neither do I.
- Then why support her?Copy !req
572. I'm not. She'll spin her
wheels, write a proposal...Copy !req
573. and it won't pass the Human
Subjects Committee in a million years.Copy !req
574. - M&M?
- Oh, no, no.Copy !req
575. Listen, I made reservations at
Dempsey's for 10.Copy !req
576. Peter, I don't know.
I'm pretty swamped.Copy !req
577. What? It's Halloween.Copy !req
578. Yeah, but Dempsey's isn't really
Halloween-y. No, it'll keep.Copy !req
579. Walt, what's up, man? It's me.Copy !req
580. Listen, I need to ask you a favor.Copy !req
581. See this one? That's the bull rider.Copy !req
582. Oh, right. The cute cowboy.Copy !req
583. Dad!Copy !req
584. Rach, did I hear your order right?
You hate rhubarb and walnuts.Copy !req
585. I like it now. Dad makes good pie.Copy !req
586. - He always did.
- Jen, you trying to butter me up?Copy !req
587. No. I just remember your mom's
famous rhubarb pie recipe.Copy !req
588. Sorry you're working with a cold.
Are you holding up?Copy !req
589. Yeah, it's just my sinuses.Copy !req
590. Why don't you go wash your hands?Copy !req
591. Okay.Copy !req
592. St. Louis, huh?Copy !req
593. - She told you?
- Slipped out.Copy !req
594. It's a great job, Mark.
The schools are top-rate and...Copy !req
595. It sounds good.Copy !req
596. I was ready for a fight.Copy !req
597. I think we've done enough fighting
for a lifetime, don't you?Copy !req
598. Yeah.Copy !req
599. In a perfect world...Copy !req
600. we could both spend 365 days
a year with her. But we can't.Copy !req
601. - St. Louis isn't very far.
- No.Copy !req
602. And I'll have holidays and summers.Copy !req
603. Spending time with her this summer
has made me think about how...Copy !req
604. we've spent way too much time
thinking about ourselves.Copy !req
605. She told me you guys got along
really well.Copy !req
606. Yeah.Copy !req
607. Yeah, it was...Copy !req
608. It was a lot of fun.Copy !req
609. Thank you.Copy !req
610. Is it still Halloween?Copy !req
611. Yes. You have a few more hours left.Copy !req
612. I guess I won't be able to go
trick-or-treating.Copy !req
613. Not this year. I'm sorry.Copy !req
614. Some day, huh?Copy !req
615. That's okay.Copy !req
616. The best part was making
the costume anyway.Copy !req
617. Me and my mom made it together.Copy !req
618. Do you still have my tiara?Copy !req
619. Yes.Copy !req
620. Yes, right here.Copy !req
621. Wait. Let me do that.Copy !req
622. There.Copy !req
623. How do I look?Copy !req
624. Like a beautiful fairy princess.Copy !req
625. No!Copy !req
626. Drink up, Bernie.Copy !req
627. Some people cannot hold their liquor!Copy !req
628. We should mess with his mind.Copy !req
629. You mean the hand in the warm
water trick?Copy !req
630. Not on the couch, Lucy. Come on.Copy !req
631. I got it. I got it.Copy !req
632. Come on, stop it.Copy !req
633. Do you think he's okay?Copy !req
634. Yeah. He's just a lightweight,
that's all.Copy !req
635. He has a strong pulse
and he's still breathing.Copy !req
636. You've been in the ER way too long.Copy !req
637. Let's get this party started right!Copy !req
638. Willie? Willie?Copy !req
639. Shaving his head?Copy !req
640. That would be cruel and unusual.Copy !req
641. This is mean. This is mean!Copy !req
642. You ain't seen nothing yet.Copy !req
643. Even drunk, that should still work.Copy !req
644. No. Stop, stop. Wait, wait.
Willie?Copy !req
645. - Willie?
- Willie, wake up!Copy !req
646. Someone needs to call 911,
and go get Carter.Copy !req
647. Get real. If we call Carter,
he'll narc.Copy !req
648. Willie's in trouble.
We need to do something.Copy !req
649. Bernie's right. We can handle this.Copy !req
650. This is not class, this is our friend.Copy !req
651. You guys call 911.
I'm gonna go get Carter.Copy !req
652. Dr. Carter?Copy !req
653. Wake up, Dr. Carter!Copy !req
654. Wake up!Copy !req
655. Okay, everybody back off.
Give him some air.Copy !req
656. - Anybody call 911?
- I did, Dr. Carter.Copy !req
657. Come on, Willie, wake up.
Wake up!Copy !req
658. A weak pulse,
but he's not breathing.Copy !req
659. Oh, man.Copy !req
660. Gross!Copy !req
661. Can I do anything? What can I do?Copy !req
662. He vomited. That's good, right?Copy !req
663. No, that's bad.Copy !req
664. If he vomits and it gets in his lungs,
he'll die of aspiration pneumonia.Copy !req
665. His parents live in Downers Grove.
Give them a call.Copy !req
666. We're up here! Second floor!Copy !req
667. "X"? What's that?Copy !req
668. - It's liquid Ecstasy.
- What is that?Copy !req
669. It's a narcotic.
Anybody else take it?Copy !req
670. I didn't know Willie took it.Copy !req
671. - Branch took some earlier.
- I can't leave Willie.Copy !req
672. I'll go.Copy !req
673. It was clean. They showed the replay
a million times.Copy !req
674. - It was a joke how offsides they were!
- Dreamer. Pay up.Copy !req
675. - That was Lucky Liquor.
- A vagrant's best friend?Copy !req
676. They have a guy in a county
patient gown trying to buy beer.Copy !req
677. Whatever happened to
"No shirt, no shoes, no service"?Copy !req
678. They'll stall him until someone
comes for him...Copy !req
679. but they won't hang on all day.Copy !req
680. Tell you what... Hey, Grabarsky.Copy !req
681. You go and pick this guy up
and we're even.Copy !req
682. - How's that?
- This drunk a friend?Copy !req
683. No, but he owes me more than you.Copy !req
684. Consider him admitted.Copy !req
685. - Where is he?
- He went to take a shower.Copy !req
686. - How's Willie?
- Paramedics intubated him.Copy !req
687. Liquid Ecstasy. You'd think
med students would know better.Copy !req
688. Yeah, you would.Copy !req
689. Branch! Branch!Copy !req
690. Branch, wake up!
Let's get him out of here.Copy !req
691. - He's not moving air.
- No pulse.Copy !req
692. - Damn it!
- I'll start chest compressions.Copy !req
693. Where's the syringe?Copy !req
694. - Find the paramedics. I'll do CPR.
- Okay.Copy !req
695. Mr. Lubin just spiked to 101.4.
Go ahead and draw a fever workup.Copy !req
696. Draw Setzer for a pre and post
gentamicin level with the 11:00 dose.Copy !req
697. - How's it going?
- We're rather busy.Copy !req
698. But I've got a great little
intern helping me out.Copy !req
699. Dale, listen. It's 10:30
and you're not even on.Copy !req
700. So sign out the scut. That's what
the on-call team is for.Copy !req
701. Unless you have a problem with that?Copy !req
702. That's fine.Copy !req
703. You ready?Copy !req
704. Give me 10 minutes to get back
into my costume.Copy !req
705. - You're really gonna wear it?
- Of course.Copy !req
706. Okay. When you're ready,
I'll be out front.Copy !req
707. Tell me you wanted
to be an airline pilot.Copy !req
708. I don't even like taking
the puddle-jumper to Cleveland.Copy !req
709. Hurry up.Copy !req
710. This is police harassment!
Remember Rodney King!Copy !req
711. Dr. G, here's your man.
Put up quite a fight.Copy !req
712. Said it's Halloween and he's
just playing dress up.Copy !req
713. I am!Copy !req
714. Grabarsky, it's the wrong guy.Copy !req
715. Lucky Liquor. Big guy
in a hospital gown.Copy !req
716. He kind of looks like...Copy !req
717. Jerry!Copy !req
718. Lloyd.Copy !req
719. - What are you doing here?
- Who's Lloyd?Copy !req
720. I'm that knucklehead's cousin.Copy !req
721. Who knew they'd hit the genetic
Powerball twice?Copy !req
722. Jerry?Copy !req
723. See, he needed a costume...Copy !req
724. and there's a contest at
the Elks Lodge...Copy !req
725. I won "Honorable Mention," cuz.Copy !req
726. Congratulations.Copy !req
727. Need anything else, Doug?Copy !req
728. Other than a 48-hour day?Copy !req
729. I'm leaving.
See you bright and early.Copy !req
730. - Bright and early.
- Yep.Copy !req
731. - Doug, you did a nice job today.
- Not bad for a rookie Attending.Copy !req
732. Let's see how you do with these.Copy !req
733. What's that?Copy !req
734. Overflow charts for the pediatric
patients in the main ER.Copy !req
735. According to policy,
you need to sign off on them.Copy !req
736. You're loving this, aren't you?Copy !req
737. This Pedes ER isn't such a bad
idea after all.Copy !req
738. Happy Halloween, rookie.Copy !req
739. Branch Crockett and Willie Goldman,
ages 22 and 23.Copy !req
740. Mixed overdose of alcohol and GHB.Copy !req
741. Willie's intubated from
a respiratory arrest.Copy !req
742. Branch came back with epi
after a full arrest.Copy !req
743. A little late-night club-hopping?Copy !req
744. No, med school Halloween party.Copy !req
745. All right, everybody. On my count:Copy !req
746. One, two, three.Copy !req
747. CBC, ABG, lytes, blood alcohol...Copy !req
748. tox screen and a 12-lead.
Call Respiratory for a vent.Copy !req
749. Someone call his parents.Copy !req
750. - Lucy can do that.
- No, I'll help.Copy !req
751. You're drunk.
You don't belong in here.Copy !req
752. Now, get out.Copy !req
753. Peter, have you gone
completely balmy?Copy !req
754. Just getting funky.Copy !req
755. Hey, meet my nephew, Peanut.Copy !req
756. - Nice to meet you.
- Hello.Copy !req
757. It's a hayride?Copy !req
758. - It's a hayride.
- So where to, Uncle Pete?Copy !req
759. Michigan Ave. Pop that 8-track in.Copy !req
760. Solid.Copy !req
761. You don't get it?Copy !req
762. You never figured out
who I wanted to be as a kid.Copy !req
763. Oh, my God!Copy !req
764. Shaft!Copy !req
765. John Shaft.Copy !req
766. Hey, Dr. Weaver. Off to enjoy
All Hallows Eve?Copy !req
767. Actually, I am. I just wanted
to give you this bill.Copy !req
768. $289?Copy !req
769. You're lucky the wheelchair wasn't
damaged. It could've been worse.Copy !req
770. I don't have 300 bucks.Copy !req
771. I've arranged to take it
out of your paycheck.Copy !req
772. $28.90 a week for the next 10 weeks.Copy !req
773. That'll run right into the holidays.Copy !req
774. Kerry, got a second?Copy !req
775. Yeah. What's going on?Copy !req
776. I wanted to give you a heads-up
on the committee vote.Copy !req
777. That won't be announced
until tomorrow.Copy !req
778. Well, they've tallied it already,
and they voted for Litvak.Copy !req
779. They're gonna have to widen the office
door for his swollen head.Copy !req
780. Yeah, he's kind of an ass, isn't he?Copy !req
781. Well, if it means anything,
I voted for you.Copy !req
782. Thanks, Mark.Copy !req
783. Which paycheck does this
become effective?Copy !req
784. You know what?Copy !req
785. It doesn't.Copy !req
786. - Are you serious?
- I'm dead serious.Copy !req
787. Give your cousin a wheelchair, give
your maiden aunt a rapid infuser.Copy !req
788. I don't give a damn.Copy !req
789. You're getting obsessive.Copy !req
790. Did I hand you angiocaths?Copy !req
791. - Yeah. A gross.
- What's a gross?Copy !req
792. One-forty-four, and you did.
Are you listening?Copy !req
793. Yes, I am. All work and no play
makes Doug a dull boy.Copy !req
794. Look at this. I ordered three
cases of Pedialyte, not Pediazole.Copy !req
795. Doug, you all right?Copy !req
796. Oh, my God! Hold it!Copy !req
797. Put pressure on it!Copy !req
798. You bastard.Copy !req
799. You can dish it out,
you can't take it.Copy !req
800. - Payback is a bitch, isn't it?
- You suck.Copy !req
801. Good evening.
I want to suck your blood.Copy !req
802. No, I'm not kissing back.Copy !req
803. Hey, Dr. Carter.Copy !req
804. Lucy.Copy !req
805. How are they?Copy !req
806. They'll be fine.Copy !req
807. I don't know what happened.Copy !req
808. One second we were hanging out, then...Copy !req
809. What happened was two of your
classmates almost died.Copy !req
810. I didn't know they were doing GHB.Copy !req
811. You were in charge of the party.Copy !req
812. I broke it up when things got out of
hand. You continued to party.Copy !req
813. Two guys rolled out of here
on gurneys.Copy !req
814. Did I miss anything?Copy !req
815. The part about me not being able
to police everyone.Copy !req
816. And about you being the Resident
Adviser and the one in charge.Copy !req
817. You're right, Lucy. I'm in charge.Copy !req
818. It was stupid of me to think you were
mature enough to take responsibility.Copy !req
819. I never knew you didn't have rhythm.Copy !req
820. You're messing up the greatest song.
Here we go.Copy !req
821. - What is that?
- It's my tambourine!Copy !req
822. That's a tambourine?Copy !req
823. Come on, come on, come on.
Get some rhythm in here.Copy !req