1 00:00:05,500 --> 00:00:06,800 Previously on E.R. 2 00:00:06,900 --> 00:00:08,600 Did you sleep well? 3 00:00:08,900 --> 00:00:09,800 Yes. It was great. 4 00:00:09,900 --> 00:00:12,200 I'm afraid it's definitely tumor re-growth. 5 00:00:12,300 --> 00:00:14,000 How much time? 6 00:00:14,100 --> 00:00:17,100 If this works, 10 months. 7 00:00:17,200 --> 00:00:18,600 I'm gonna go out and get some Zofran. 8 00:00:18,700 --> 00:00:21,200 No, no, no. Stay. Stay. 9 00:00:21,800 --> 00:00:23,500 It'll pass. 10 00:01:07,400 --> 00:01:09,600 Problem with the office supplies? 11 00:01:09,800 --> 00:01:13,900 - I just pronounced Bertha. - Blue Bertha? 12 00:01:14,100 --> 00:01:18,500 I admitted her 10 times for COPD in the last six months. 13 00:01:18,600 --> 00:01:20,400 She must have liked you a lot. 14 00:01:20,600 --> 00:01:24,800 Every time, she swore to me she'd quit smoking. Every time. 15 00:01:24,900 --> 00:01:27,500 Behind the crack, no rim. 16 00:01:32,200 --> 00:01:35,900 As soon as she was discharged, though, boy, back to two packs a day. 17 00:01:36,100 --> 00:01:38,100 I even saw her light up under the arch once. 18 00:01:38,200 --> 00:01:43,500 Intubated her three times this year, high-dose steroids, home nebulizer. 19 00:01:43,700 --> 00:01:46,500 Dragging her O-2 tank around with her. 20 00:01:48,000 --> 00:01:50,000 - That's an H for you. - What's the point... 21 00:01:50,200 --> 00:01:53,500 ...if you're not gonna take a little responsibility for your health? 22 00:01:53,700 --> 00:01:56,400 I call this the "spirit killer." 23 00:02:03,800 --> 00:02:06,800 - Is it supposed to rain again? - That's an O for you. 24 00:02:07,000 --> 00:02:09,200 I think it's gonna rain again. 25 00:02:09,400 --> 00:02:14,000 We offer them a service. Whether they take our advice or not is up to them. 26 00:02:14,200 --> 00:02:16,800 She'd still be alive if she'd listened to our advice. 27 00:02:17,000 --> 00:02:22,800 Hard as it was to deal with Blue Bertha, it's still harder to be Blue Bertha. 28 00:02:23,800 --> 00:02:25,900 - Not anymore. - Dr. Carter... 29 00:02:26,400 --> 00:02:28,300 ...there's a rig rolling in with an MVA... 30 00:02:28,400 --> 00:02:30,900 ...and I got a researcher at the Art Institute. LOC. 31 00:02:31,100 --> 00:02:33,700 - Greg Pratt? Mark Greene. - How you doing? 32 00:02:33,900 --> 00:02:37,900 - What did he do to deserve us? - He just finished nine months at the VA. 33 00:02:38,100 --> 00:02:41,100 - Three months of internship? - Yes, I'll be a Resident in July. 34 00:02:41,200 --> 00:02:44,000 - Here? - Only if the match screws me. 35 00:02:44,800 --> 00:02:46,900 - Nice. - No. But I'm ready to jump in. 36 00:02:47,000 --> 00:02:50,500 - Seen it all, one way or another. - Is that right? 37 00:02:51,500 --> 00:02:55,800 - You want us to grab that? - No, you've got your museum lady. 38 00:02:56,000 --> 00:02:59,000 - I'll help you with that crossover later. - I think I got it. 39 00:02:59,900 --> 00:03:01,200 You're palming it. 40 00:03:54,600 --> 00:03:57,000 The idiot chucked the ball right at my head. 41 00:03:57,200 --> 00:03:59,700 There's a little blood. You have a tiny perforation. 42 00:03:59,900 --> 00:04:02,100 He popped my eardrum. 43 00:04:02,300 --> 00:04:05,000 We see it all the time. Give you some drops to help it heal. 44 00:04:05,200 --> 00:04:08,700 - Some "clops"? - Some drops. Cortisporin suspension. 45 00:04:08,900 --> 00:04:10,500 Okay. 46 00:04:10,700 --> 00:04:13,200 - Thanks. So what should you be? - What? 47 00:04:13,400 --> 00:04:16,600 - Frank's career-aptitude quiz. - He hasn't cornered me yet. 48 00:04:16,800 --> 00:04:19,200 - What is this? - It's green tea. It's echinacea. 49 00:04:19,300 --> 00:04:22,400 - Good for the immune system. - I'll stick to the normal sludge. 50 00:04:22,500 --> 00:04:23,900 You have to get that yourself. 51 00:04:24,100 --> 00:04:27,400 Would you rather pose nude or be bit by a ferret? 52 00:04:27,600 --> 00:04:29,000 - Ferret. - How's he doing? 53 00:04:29,200 --> 00:04:31,500 Somewhere between rock star and lion-tamer. 54 00:04:31,700 --> 00:04:34,300 - Did you cheat? - Just a hint of Mick Jagger. 55 00:04:34,400 --> 00:04:37,300 - And a whole lot of Siegfried and Roy? - I have a patient. 56 00:04:37,500 --> 00:04:40,500 Nursing orders, IV's, medications go on that rack. 57 00:04:40,700 --> 00:04:43,100 If you've got both clerk and nursing orders- 58 00:04:43,200 --> 00:04:44,800 Start with the clerk rack. 59 00:04:44,900 --> 00:04:46,400 - Frank. - Pratt. 60 00:04:46,600 --> 00:04:49,300 - Got a first name? - At the VA, they called me "Doctor." 61 00:04:49,500 --> 00:04:51,100 Well, here we'll call you "Junior." 62 00:04:51,200 --> 00:04:54,600 Luka, can you take the chest pain in 3 and the kid with the UTI? 63 00:04:54,700 --> 00:04:56,900 - I already have three criticals. - I'll take it. 64 00:04:57,000 --> 00:05:01,300 Oh, no, that's okay. Carter, grab my rule-out appy. 65 00:05:01,400 --> 00:05:04,000 - And the hunt for the lost condom. - Sounds like fun. 66 00:05:04,100 --> 00:05:06,700 - Abby, your landlord called. - My landlord? 67 00:05:06,800 --> 00:05:09,800 - This the respiratory distress? - Norma Cruz, 46 years old... 68 00:05:09,900 --> 00:05:12,000 ...choking episode, severe multiple sclerosis. 69 00:05:12,200 --> 00:05:14,200 - Abby? - Carter. 70 00:05:14,400 --> 00:05:19,300 - I'm good. Is this her base line? - Not sure. The son should be here soon. 71 00:05:19,900 --> 00:05:22,300 All the bay-station calls come in over the MICN. 72 00:05:22,500 --> 00:05:24,500 - Okay. - Don't touch it, Junior. 73 00:05:24,700 --> 00:05:25,800 Don't call me that. 74 00:05:26,000 --> 00:05:28,900 My point was, it wouldn't hurt us to lighten Dr. Greene's load. 75 00:05:29,100 --> 00:05:30,300 - Right. - Yeah, sure. 76 00:05:30,500 --> 00:05:32,800 - Why? What's the problem? - Nothing. 77 00:05:33,000 --> 00:05:35,800 - Can't get a line in. - Chem panel, UA and a Foley. 78 00:05:36,000 --> 00:05:39,200 - Is she moving air? - Sounds like rhonchi at the bases. 79 00:05:39,400 --> 00:05:42,100 - This is Jeffrey, Mrs. Cruz's son. - Hi, I'm Dr. Greene. 80 00:05:42,300 --> 00:05:46,500 - Is your mother normally this sick? - They said she'd be dead a month ago. 81 00:05:46,600 --> 00:05:49,100 He filled me in on her history. I can take this. 82 00:05:49,300 --> 00:05:51,800 Is it my birthday or something? 83 00:05:52,600 --> 00:05:54,400 It's okay for me to treat my own patient? 84 00:05:54,600 --> 00:05:55,600 Sorry. 85 00:05:57,100 --> 00:06:00,300 - Did your mother throw up? - No, we never feed her by mouth. 86 00:06:00,500 --> 00:06:03,500 - Might be obstructed. - She have a "do not resuscitate" order? 87 00:06:03,700 --> 00:06:06,200 Her veins are shot. I'm never gonna get a good line. 88 00:06:06,600 --> 00:06:09,600 Jeffrey, your mother probably has an aspiration pneumonia. 89 00:06:09,800 --> 00:06:14,000 We can have a surgeon look at her, but she'll need an IV to give her antibiotics. 90 00:06:14,100 --> 00:06:16,300 - I need to wait for Linda. - Who's Linda? 91 00:06:16,500 --> 00:06:18,600 My sister, a lawyer. She drew up the papers. 92 00:06:18,800 --> 00:06:21,700 - Pressure's dropping, 80 systolic. - I don't think we have time. 93 00:06:21,800 --> 00:06:24,800 Do you want us to administer drugs to push up her blood pressure? 94 00:06:25,000 --> 00:06:28,200 - I can't. I need to wait. - You gotta tell me. 95 00:06:31,200 --> 00:06:33,500 Central-line kit now. 96 00:06:34,100 --> 00:06:37,900 Willa Goment. Egyptologist from the Art Institute. Syncopal episode at work. 97 00:06:38,100 --> 00:06:40,100 She have any medical conditions you know of? 98 00:06:40,300 --> 00:06:42,500 - The curse of the mummy. - The what? 99 00:06:42,700 --> 00:06:45,000 I found her on the floor of Nefertiti's tomb. 100 00:06:46,300 --> 00:06:48,800 Guy in Curtain 1 is hurting. Can I give him something? 101 00:06:49,000 --> 00:06:52,000 - I'll take it. - Do a quick exam and then call Uro. 102 00:06:52,200 --> 00:06:54,400 - You got it. - It's a penile fracture. 103 00:06:54,500 --> 00:06:57,700 - Penile fracture? - Up to 100 of fentanyl. 104 00:06:58,500 --> 00:07:00,800 - One, right? - Yeah, it's over there. 105 00:07:01,000 --> 00:07:02,300 I'm all over it. 106 00:07:02,500 --> 00:07:07,100 - So no history of these episodes? - Carter, he's going in the wrong room. 107 00:07:07,300 --> 00:07:09,000 He'll figure it out. 108 00:07:10,100 --> 00:07:12,700 Let me take a look. 109 00:07:12,900 --> 00:07:16,200 You wanna unbuckle your belt and pull your pants down, please? 110 00:07:16,400 --> 00:07:19,600 - My pants? What? - It's okay, I'm a doctor. 111 00:07:19,800 --> 00:07:22,700 I'm still waiting for some drops! 112 00:07:22,800 --> 00:07:26,600 That's not gonna do it. The pants, please. 113 00:07:31,800 --> 00:07:34,900 Are you sure this is necessary? 114 00:07:35,900 --> 00:07:37,900 Could you lean back a little bit? 115 00:07:39,000 --> 00:07:41,800 - Easy there. - Were you having vigorous sex? 116 00:07:42,000 --> 00:07:44,800 What? No, I was hit in the head! 117 00:07:46,300 --> 00:07:50,400 Most sprains happen along the shaft, but yours seems to be pretty minor. 118 00:07:50,600 --> 00:07:52,400 Nothing personal. 119 00:07:52,600 --> 00:07:55,700 Dude, I have an earache. 120 00:08:01,300 --> 00:08:04,000 Well, then come down here, then. 121 00:08:04,600 --> 00:08:06,200 Fine. 122 00:08:06,600 --> 00:08:10,300 Don't worry, it's not always as simple as it seems on the other end of the phone. 123 00:08:10,500 --> 00:08:15,300 No, she's right. Mom told us she wanted to die at home in her own bed. 124 00:08:15,500 --> 00:08:18,000 I should have never have called the ambulance. 125 00:08:18,200 --> 00:08:22,500 It's okay if you don't want to let her go. 126 00:08:22,600 --> 00:08:26,600 But that'll never stop. I'll always want more. 127 00:08:26,800 --> 00:08:30,200 Dr. Greene, her sats are down to 86. 128 00:08:30,400 --> 00:08:33,100 Decreased on the right. Portable chest, page RT. 129 00:08:33,300 --> 00:08:35,700 - Surgery see her? - Dr. Corday said she'd evaluate... 130 00:08:35,900 --> 00:08:39,400 - ... in four hours, depending on the DNR. - Pressure's down to 70 systolic. 131 00:08:39,600 --> 00:08:42,800 - What's happening? - She reaspirated or collapsed a lung. 132 00:08:43,000 --> 00:08:45,300 I thought you said she was okay now. 133 00:08:45,500 --> 00:08:49,700 Jeffrey, your mother's not gonna be able to breathe much longer on her own. 134 00:08:49,900 --> 00:08:52,400 - Do you want us to help her? - Linda said not to. 135 00:08:52,500 --> 00:08:56,400 Well, she's not here right now. You have to tell us. 136 00:08:56,600 --> 00:08:57,800 Save her. 137 00:08:58,000 --> 00:09:00,800 - You sure? - Just do it. Do everything. 138 00:09:01,000 --> 00:09:05,500 Okay, rapid induction. 7.5 ET tube and a 3 Mac. 139 00:09:05,600 --> 00:09:08,800 500 of Levo, 600 of clinda. 140 00:09:09,000 --> 00:09:12,000 - Drugs are on board. - Bag her. 141 00:09:12,200 --> 00:09:14,900 Sats are down to 80, Mark. 142 00:09:16,000 --> 00:09:18,400 Let's go, let's go. Give me the tube. 143 00:09:26,800 --> 00:09:28,200 My fault. Sorry. 144 00:09:28,400 --> 00:09:31,600 Abby, I need a stress dose of 125 of Solu-Medrol. 145 00:09:31,800 --> 00:09:33,300 Here. 146 00:09:35,600 --> 00:09:37,300 I'll do it. 147 00:09:38,600 --> 00:09:41,300 All right, give me a straight blade. 148 00:09:42,300 --> 00:09:44,600 Okay, get steroids. 149 00:09:49,400 --> 00:09:52,100 Sensor, intuitor, judger. 150 00:09:52,200 --> 00:09:54,700 - I never thought of myself as judger. - Yeah, right. 151 00:09:54,900 --> 00:09:56,500 - What? - Check judger, Frank. 152 00:09:56,700 --> 00:09:58,600 Mind your own business. This is my career. 153 00:09:58,700 --> 00:10:01,600 - Won't work if you're not honest. - Oh, who's judging now? 154 00:10:01,700 --> 00:10:03,500 I've earned it. 155 00:10:03,600 --> 00:10:05,400 - Hey, Mark. - Hey. 156 00:10:05,600 --> 00:10:08,000 Dr. Greene, your ex called. She'll meet you at 1. 157 00:10:08,500 --> 00:10:12,200 - I thought she said noon. - She's running an hour late. 158 00:10:13,100 --> 00:10:15,400 - What'd Weaver get? - She ain't playing. 159 00:10:15,600 --> 00:10:16,900 Give your best estimate. 160 00:10:17,100 --> 00:10:21,400 "Subgroup P3: Beauty pageant organizer or warden at a women's prison." 161 00:10:21,600 --> 00:10:25,800 - Carter, where's your intern? - Either Radiology or the cafeteria. 162 00:10:26,000 --> 00:10:28,400 Find him. 163 00:10:31,800 --> 00:10:36,100 - You all right? - Early-onset arthritis. Coffee? 164 00:10:37,300 --> 00:10:40,300 Maybe you should ease up a little. 165 00:10:40,500 --> 00:10:43,400 - I'm fine, Kerry. - You do triage for awhile if you want... 166 00:10:43,500 --> 00:10:45,500 ...or take a half-shift. 167 00:10:45,600 --> 00:10:48,000 Working is good. 168 00:10:48,100 --> 00:10:51,000 You need to make sure you're taking care of yourself. 169 00:10:51,100 --> 00:10:54,000 There's no need to overextend. We can handle the load. 170 00:10:54,200 --> 00:10:57,500 I just want to keep doing what I've always done. 171 00:10:58,900 --> 00:11:03,300 - You couldn't hold that ET tube. - It's little spasms in my hand. 172 00:11:05,200 --> 00:11:07,900 Is that from the vincristine? 173 00:11:10,100 --> 00:11:13,600 A side effect of the treatment or a progression of the disease. 174 00:11:13,700 --> 00:11:15,200 You pick the poison. 175 00:11:16,500 --> 00:11:20,200 Still, I'd like you to take over Pratt's orientation. 176 00:11:20,900 --> 00:11:23,100 Whatever you want, Kerry. 177 00:11:23,700 --> 00:11:27,800 It might be best if you left critical procedures to the rest of us. 178 00:11:28,900 --> 00:11:31,100 You're pulling me out of the Trauma Room? 179 00:11:32,100 --> 00:11:37,900 Anybody else I'd send home. I trust you to recognize your own limitations. 180 00:11:43,800 --> 00:11:46,100 I take pills for my blood pressure and my water. 181 00:11:46,200 --> 00:11:48,400 Water in your legs or to make you urinate? 182 00:11:48,500 --> 00:11:51,200 Hytrin. It helped me pee for a while, but it's worse now. 183 00:11:51,400 --> 00:11:53,000 - That hurts? - You bet. 184 00:11:53,200 --> 00:11:56,400 - Put the med and back pain together. - Alpha-1-blocker. 185 00:11:56,500 --> 00:12:00,100 - And if you take too much? - Hypotension, could make you dizzy. 186 00:12:00,800 --> 00:12:03,900 - You had any falls, Mr. Seidel? - Nope. Good question, though. 187 00:12:04,000 --> 00:12:07,400 - Who's your primary physician? - Allanson. Service said he went skiing... 188 00:12:07,600 --> 00:12:09,000 ...I should come here. 189 00:12:09,300 --> 00:12:13,000 Hypotensive at 140/90. Pulse, 96. Oral temp, 98.6. 190 00:12:13,200 --> 00:12:15,400 I've had two Foleys since Christmas. 191 00:12:15,600 --> 00:12:18,400 Has Dr. Allanson ever asked you to use a catheter at home? 192 00:12:18,600 --> 00:12:22,700 Last time, I twisted his arm for a blood test. I still haven't gotten the results. 193 00:12:23,400 --> 00:12:25,900 - What do you want to do, Dr. Pratt? - Full set of labs. 194 00:12:26,000 --> 00:12:29,300 Urine, culture, Accu-Chek, a post-void residual and a rectal. 195 00:12:29,500 --> 00:12:34,100 - Are you sure? My guy never does those. - Dr. Greene, it's 1:00. 196 00:12:34,900 --> 00:12:37,700 Add a PSA. I'll be back in half an hour. 197 00:12:37,900 --> 00:12:40,700 - Can I get you anything? - No, thanks. 198 00:12:42,100 --> 00:12:46,400 - Milk shake, huh? - I decided to let myself go. 199 00:12:48,100 --> 00:12:51,300 I can't stay long. I just wanted to stop by and say hi. 200 00:12:51,500 --> 00:12:55,300 - Did you see Rachel? - We had breakfast. Her favorite. 201 00:12:55,500 --> 00:12:57,400 Waffle House? 202 00:12:57,600 --> 00:13:00,400 That'll score you some points. 203 00:13:00,600 --> 00:13:03,600 She couldn't stop crying, Mark. 204 00:13:04,200 --> 00:13:06,400 It's a lot for a teenager to take in. 205 00:13:07,100 --> 00:13:08,900 It's a lot for anyone. 206 00:13:10,800 --> 00:13:13,500 It's really that bad? 207 00:13:14,000 --> 00:13:15,800 Yeah. 208 00:13:16,000 --> 00:13:20,100 There are always breakthroughs, right? I mean, look what happened last time. 209 00:13:21,000 --> 00:13:22,900 I'm kind of beyond that. 210 00:13:27,700 --> 00:13:31,300 We agreed Rachel would be with me July and August. If you want to change that- 211 00:13:31,500 --> 00:13:35,800 - No, that sounds like a good plan. - She could stay with you longer. 212 00:13:35,900 --> 00:13:38,900 I mean, she's gonna want to spend time with you. 213 00:13:39,100 --> 00:13:41,800 As much time as possible. 214 00:13:42,000 --> 00:13:44,300 Thanks. 215 00:13:47,400 --> 00:13:49,800 I'm sorry, Mark. 216 00:13:51,500 --> 00:13:54,200 I'm sorry we had such a rough go. 217 00:13:57,800 --> 00:14:02,500 Maybe if I hadn't switched jobs or been more patient... 218 00:14:03,300 --> 00:14:06,300 We made choices, Jen. 219 00:14:06,500 --> 00:14:07,900 Both of us. 220 00:14:17,100 --> 00:14:19,400 We weren't so bad together, were we? 221 00:14:25,900 --> 00:14:28,800 I wouldn't change a thing. 222 00:14:29,600 --> 00:14:31,300 None of it. 223 00:14:38,900 --> 00:14:42,200 Okay. So I gotta get to Midway. 224 00:14:42,400 --> 00:14:45,100 Wait. I updated my will last year, but- 225 00:14:45,200 --> 00:14:48,600 Look at it out there. It's gonna take me hours. 226 00:14:52,500 --> 00:14:55,300 I want to start a college fund. 227 00:14:55,500 --> 00:14:59,000 Well, you'll drop Rachel off in St. Louis in July. We can talk then. 228 00:14:59,200 --> 00:15:03,000 - I don't know if I'll be able to make that. - Yes, you will. 229 00:15:03,200 --> 00:15:06,900 I want to set something aside for her wedding, too. 230 00:15:07,100 --> 00:15:11,700 July, okay? Let's not do this. Not today. 231 00:15:12,700 --> 00:15:15,200 I don't know if there'll be another time. 232 00:15:15,300 --> 00:15:18,300 She's my daughter. I want to make sure that she's taken care of. 233 00:15:18,400 --> 00:15:20,600 - She will be. - Jen- 234 00:15:20,800 --> 00:15:23,400 I'll see you in St. Louis. 235 00:15:51,700 --> 00:15:55,800 - Heads. Heads up. - Slow down. Hey! 236 00:15:56,000 --> 00:15:59,000 - Enrique, the new orderly. - He's gonna kill someone. 237 00:15:59,100 --> 00:16:01,600 He keeps the rooms clear. 238 00:16:01,800 --> 00:16:04,100 - So what did he want? - Who? 239 00:16:04,300 --> 00:16:06,000 Your landlord? 240 00:16:06,200 --> 00:16:10,700 Oh, yeah. Brian, he moved back to Idaho a few days ago. 241 00:16:10,900 --> 00:16:14,600 - And he took all his stuff with him. - So you have your place back? 242 00:16:14,700 --> 00:16:18,300 - He offered it to me. Yeah. - Good, good. 243 00:16:18,500 --> 00:16:22,100 - I mean, all my stuff's there, so... - It'll be nice to sleep in a bed again. 244 00:16:22,200 --> 00:16:24,000 Yeah. 245 00:16:24,100 --> 00:16:26,200 But... 246 00:16:26,300 --> 00:16:29,000 Thanks for the hospitality. 247 00:16:29,200 --> 00:16:33,800 Except, of course, for that Croatian lamb gruel stuff. 248 00:16:34,000 --> 00:16:38,400 - It's not gruel. It's called jujenca juha. - It's a gastrointestinal adventure. 249 00:16:40,500 --> 00:16:44,800 Take your time. I mean, if you want to make sure that he is gone for good. 250 00:16:45,000 --> 00:16:47,100 - I've mooched off you long enough. - Dr. Greene! 251 00:16:47,300 --> 00:16:51,500 - Okay, you need to sit still. - Mr. Ervin, how is the junk business? 252 00:16:51,700 --> 00:16:55,400 - I'm having some trouble with my feet. - But he refuses to take off his shoes. 253 00:16:55,600 --> 00:16:58,500 - I don't know her. - Dr. Chen. She's very capable. 254 00:16:58,700 --> 00:17:00,700 - She touched my cart. - Don't touch Al's cart. 255 00:17:00,900 --> 00:17:03,900 - I moved it 2 feet. - Okay, meet Dr. Pratt. 256 00:17:04,100 --> 00:17:05,300 - Hello. - Hey. 257 00:17:05,500 --> 00:17:07,100 What's the trouble? 258 00:17:07,200 --> 00:17:09,600 The ghouls put spikes in my sneakers. 259 00:17:09,700 --> 00:17:11,300 The ghouls? 260 00:17:11,500 --> 00:17:14,300 The ones from the burned jeep or the ones that roam rooftops? 261 00:17:14,400 --> 00:17:16,100 There are new ghouls. 262 00:17:16,600 --> 00:17:18,800 Everywhere. 263 00:17:19,700 --> 00:17:21,800 - Psych consult. - Screw you, Junior. 264 00:17:22,000 --> 00:17:25,900 Take it easy, Al. Take off your shoes so we can look, okay? 265 00:17:26,000 --> 00:17:27,200 Okay. 266 00:17:27,400 --> 00:17:30,800 Let Dr. Chen help you. I'll be back in a minute. 267 00:17:32,000 --> 00:17:35,500 It's not a good idea to openly show disdain for our frequent flyers. 268 00:17:35,600 --> 00:17:38,000 He sees ghouls. What's wrong with a Psych consult? 269 00:17:38,200 --> 00:17:40,900 - A little help? - All right, go back in there. Try it again. 270 00:17:41,100 --> 00:17:43,400 - Freddy Harrison. Looks about 30. - He's 28. 271 00:17:43,500 --> 00:17:46,600 - No, I'll hang with you. - Grab his old chart and get a history. 272 00:17:46,700 --> 00:17:49,200 Carter said I should get my hands dirty. 273 00:17:49,300 --> 00:17:50,400 Go. 274 00:17:50,800 --> 00:17:52,000 - Go. - Found down an alley... 275 00:17:52,100 --> 00:17:54,400 ...with agonal respiration and pinpoint pupils. 276 00:17:54,600 --> 00:17:56,700 - You shooting up? - We're in rehab. He's clean. 277 00:17:56,900 --> 00:18:00,300 - Hey, Dr. Greene, I got this. - I'm already on it. One, two, three. 278 00:18:01,000 --> 00:18:03,200 Gave 2 of Narcan down the ET with no response. 279 00:18:03,300 --> 00:18:05,800 - I'll cover this. - You've listened to Weaver... 280 00:18:06,000 --> 00:18:08,900 ...now back off. CBC, chem panel, tox screen, 281 00:18:09,000 --> 00:18:10,500 Foley and a portable chest. 282 00:18:10,600 --> 00:18:13,100 - You're ruining his clothes. - We're trying to help him. 283 00:18:13,300 --> 00:18:15,300 Okay, step back. You're in the way. 284 00:18:15,500 --> 00:18:18,200 - Whoa. Narcan is working. - You want some Ativan? 285 00:18:18,400 --> 00:18:20,200 And some Pavulon. Check the ET tube. 286 00:18:20,400 --> 00:18:22,400 Whoa, whoa, whoa, Freddy. 287 00:18:22,500 --> 00:18:24,800 - Oh, Freddy, lie back down. - Freddy, you're okay. 288 00:18:25,000 --> 00:18:28,400 - I thought you was dead. - I want my wallet. Give me my wallet. 289 00:18:28,500 --> 00:18:31,500 - We need to take care of you. - Don't touch me. I want my wallet. 290 00:18:31,700 --> 00:18:34,500 - Maybe it fell in the parking lot. - Abby, call Security. 291 00:18:34,600 --> 00:18:36,900 He wants his stuff. You people, you're crooks. 292 00:18:37,100 --> 00:18:39,800 - You know you are. - Carter, I need your help. 293 00:18:40,000 --> 00:18:43,200 - You know you stole his things. - Freddy, come back. You're bleeding. 294 00:18:43,900 --> 00:18:45,300 - Oh, God! - I'm sorry. 295 00:18:45,400 --> 00:18:47,000 Son of a bitch! 296 00:18:47,200 --> 00:18:49,800 - It was an accident. - Hey, hey, break it up. 297 00:18:50,000 --> 00:18:51,600 - You okay? - Give me a hand here. 298 00:18:51,700 --> 00:18:54,900 - My baby's coming out! - Just try and breathe slowly. Don't push. 299 00:18:55,000 --> 00:18:57,200 - Oh, God! - Keep breathing. Keep breathing. 300 00:18:57,400 --> 00:19:00,500 Get the gurney. CBC, Chem-7. Get an ultrasound. 301 00:19:00,700 --> 00:19:03,300 - Looks like I missed the fun. - Chest is clear. 302 00:19:03,500 --> 00:19:05,000 - She break her water? - I don't know. 303 00:19:05,200 --> 00:19:06,700 Set up the SonoSite. 304 00:19:06,800 --> 00:19:09,900 - Why is the floor wet? - Because this window leaks. 305 00:19:10,100 --> 00:19:13,600 - Diffusely tender with guarding. - Did they sedate that maniac? 306 00:19:13,700 --> 00:19:16,900 Didn't have to. He passed out and smashed his face. 307 00:19:17,000 --> 00:19:19,800 - Pressure's only 80. - Oh, man. Okay. 308 00:19:19,900 --> 00:19:22,300 Let's type and cross for four. And get some O-neg. 309 00:19:22,400 --> 00:19:24,200 It hurts! It hurts! 310 00:19:24,400 --> 00:19:26,400 - How far along are you? - What? 311 00:19:26,700 --> 00:19:29,900 - When are you due? - I don't know. 312 00:19:30,700 --> 00:19:34,100 - She's having contractions. - Okay, get a fetal monitor. 313 00:19:35,700 --> 00:19:37,800 - How big? - It looks like about 28 weeks. 314 00:19:38,000 --> 00:19:42,100 Okay, terbutaline,.25, sub-Q. And mix the mag. 315 00:19:42,300 --> 00:19:46,800 No evidence of previa. Call OB. She may need a crash section if she's abrupting. 316 00:19:48,300 --> 00:19:50,300 Pulse ox, 85. 317 00:19:50,400 --> 00:19:52,800 - No, bag him. - Midface fractures? 318 00:19:52,900 --> 00:19:55,800 I can't see the cords. You want to give this a shot? 319 00:19:56,000 --> 00:19:59,300 Set up the fiberoptic scope and prep the neck for a crike. 320 00:19:59,500 --> 00:20:02,800 She's crowning. It's coming now. 321 00:20:03,000 --> 00:20:06,800 - Don't push. Just breathe. - I can't! I can't stop! 322 00:20:07,000 --> 00:20:09,200 Don't push. 323 00:20:09,600 --> 00:20:13,600 Okay. Bulb suction, clamp. 324 00:20:16,900 --> 00:20:19,000 Call the NICU. 325 00:20:24,500 --> 00:20:27,300 2.5 ET tube. 326 00:20:27,800 --> 00:20:30,100 - And draw up. 02 of epi. - Is that my baby? 327 00:20:31,100 --> 00:20:33,200 Come on, breathe, little guy. 328 00:20:33,300 --> 00:20:35,500 - Why isn't he breathing? - He's very sick. 329 00:20:36,300 --> 00:20:38,200 I want to see my baby. 330 00:20:38,800 --> 00:20:40,700 Bag him. 331 00:20:42,000 --> 00:20:45,300 Pulse is 50. Starting compressions. 332 00:20:46,300 --> 00:20:48,000 My beautiful boy. 333 00:20:49,200 --> 00:20:50,200 What's the Apgar? 334 00:20:50,400 --> 00:20:52,900 One for heart rate, zero for color, respirations. 335 00:20:53,000 --> 00:20:56,000 - Let me go see my baby! - Not right now. 336 00:20:57,400 --> 00:21:01,200 - Shane, what kind of drugs you using? - I'm not. 337 00:21:02,000 --> 00:21:05,500 If you want us to help your baby, you have to tell us if you're using heroin. 338 00:21:05,700 --> 00:21:07,000 I don't do that anymore. 339 00:21:07,300 --> 00:21:09,500 - Cocaine? Crack? - No, nothing. 340 00:21:09,700 --> 00:21:14,600 - Damn it, there's blood in the airway! - Baby's pinking up. Heart rate's 120. 341 00:21:18,600 --> 00:21:21,000 Start working on the umbilical line. 342 00:21:27,600 --> 00:21:29,600 You all right? 343 00:21:34,000 --> 00:21:37,200 - No, too much blood. I can't get this. - He's bradying down. 344 00:21:37,300 --> 00:21:39,600 - All right, let's do the crike. - Amp of atropine. 345 00:21:39,800 --> 00:21:42,100 He needs an airway unless you want to give a shot. 346 00:21:42,300 --> 00:21:46,200 Let me just take a quick look, and then you can cut. 347 00:21:49,200 --> 00:21:51,800 - I thought you were right-handed. - I'm a switch hitter. 348 00:21:51,900 --> 00:21:54,800 I need you to advance the tube when I say so. 349 00:21:57,800 --> 00:22:00,400 - Ready? - Here we go. 350 00:22:03,600 --> 00:22:06,100 - Run of five. - Hundred of lidocaine. 351 00:22:06,300 --> 00:22:08,600 - Damn it. - Let's do the crike. 352 00:22:08,800 --> 00:22:11,500 No, here we go. There, there. Go. Advance the tube, Carter. 353 00:22:11,700 --> 00:22:13,300 Go, go, go. 354 00:22:21,600 --> 00:22:22,800 Good breath sounds. 355 00:22:22,900 --> 00:22:25,300 - Sats are coming up. - That's nice. 356 00:22:25,400 --> 00:22:26,500 - Lucky. - Very nice. 357 00:22:26,700 --> 00:22:29,700 Let's get a post-intubation film, head and facial CT to follow. 358 00:22:29,800 --> 00:22:32,700 - Five-minute Apgar is six. - Better. 359 00:22:32,900 --> 00:22:36,000 Dr. Greene, mom's tox screen. 360 00:22:36,200 --> 00:22:39,300 Shane, we're taking your baby up to the Intensive Care Unit. 361 00:22:39,500 --> 00:22:41,300 - I want to stay with him. - Take him up. 362 00:22:41,500 --> 00:22:45,600 - No, you're stealing my baby. - Shane, let us take care of him. 363 00:22:45,800 --> 00:22:49,200 You'll keep him. You won't bring him back. I love him! 364 00:22:49,400 --> 00:22:51,400 You almost killed him. 365 00:22:52,700 --> 00:22:55,500 - That's not what I wanted. - Your urine's positive for opiates. 366 00:22:55,700 --> 00:22:58,000 You shoot up. You've never been to a doctor. 367 00:22:58,200 --> 00:23:00,100 - But I was going to. - After seven months? 368 00:23:00,200 --> 00:23:02,900 Are you too strung-out to know you're pregnant? 369 00:23:03,000 --> 00:23:06,000 - Dr. Greene? - I've been stressed out. 370 00:23:06,200 --> 00:23:08,800 Well, that explains why you've been using cocaine too. 371 00:23:09,000 --> 00:23:12,400 Don't tell me you haven't been drinking. Your blood-alcohol level is 54. 372 00:23:12,600 --> 00:23:15,800 - I had a beer last night. - You've been lying to us. 373 00:23:15,900 --> 00:23:19,200 - I want to see my baby! - You want to see him? There he is. Look. 374 00:23:19,400 --> 00:23:21,900 Premature. A third of the weight of what he should be. 375 00:23:22,100 --> 00:23:24,900 If he's lucky enough not to have brain damage from the coke... 376 00:23:25,100 --> 00:23:28,000 ...he's still gonna suffer from fetal alcohol syndrome- 377 00:23:28,200 --> 00:23:30,200 - No! Please, stop it! - Developmental delays. 378 00:23:30,400 --> 00:23:32,900 Next time you see him he's not gonna look any better... 379 00:23:33,100 --> 00:23:35,900 ...because he's gonna be suffering from heroin withdrawal. 380 00:23:36,000 --> 00:23:38,200 Just stop it! 381 00:23:39,100 --> 00:23:42,100 Congratulations, you're a mother. 382 00:23:44,100 --> 00:23:47,300 - Can you take the baby up? - Yeah. 383 00:23:49,000 --> 00:23:51,200 You a basketball fan? 384 00:23:51,400 --> 00:23:55,300 - I saw you playing from my window. - Try and hit it the first time, Marni. 385 00:23:55,400 --> 00:23:59,900 - Doctors are the worst patients. - So I hear. 386 00:24:00,100 --> 00:24:04,700 I took my grandson to see his first Bulls game last week. 387 00:24:04,900 --> 00:24:07,700 They're not what they used to be. 388 00:24:07,900 --> 00:24:11,300 He fell asleep at halftime, but I think he enjoyed it. 389 00:24:11,500 --> 00:24:15,800 That's okay. Their guards fall asleep all the time. 390 00:24:16,300 --> 00:24:20,300 - We'll let that infuse. - Twenty minutes, I know. 391 00:24:58,100 --> 00:25:00,300 - It's the ER on line two. - Dr. Weaver? 392 00:25:00,500 --> 00:25:02,600 Someone named Pratt. 393 00:25:03,600 --> 00:25:07,100 Pratt, I'm with a patient right now. I can't talk. 394 00:25:07,300 --> 00:25:08,800 - What? - He's bradying down. 395 00:25:09,000 --> 00:25:11,700 - I don't know what's happened. - I'll be right there. 396 00:25:13,200 --> 00:25:15,900 Marni, can you send someone down with the vincristine? 397 00:25:16,100 --> 00:25:17,100 - Dr. Greene. - Marni. 398 00:25:17,300 --> 00:25:21,000 - We don't do house calls. - I am not going home. 399 00:25:23,900 --> 00:25:27,300 Excuse me. Excuse me. Thanks. 400 00:25:34,500 --> 00:25:36,100 What happened? 401 00:25:36,200 --> 00:25:38,800 He barfed on Pratt's shoes and passed out. 402 00:25:39,000 --> 00:25:41,700 - Dr. Greene, where were you? - We didn't want to call you... 403 00:25:41,900 --> 00:25:43,400 ...but he wouldn't calm down. 404 00:25:43,600 --> 00:25:46,600 - Sorry. - Oh, here you go. 405 00:25:47,300 --> 00:25:49,100 - Don't go too far. - Thanks. 406 00:25:49,200 --> 00:25:51,500 - What's that for? - Reduce my blood alcohol. 407 00:25:51,700 --> 00:25:54,000 - No luck with the IV. - Right saphenous. 408 00:25:54,100 --> 00:25:57,000 - What? - It's the only one that's not sclerosed. 409 00:25:57,200 --> 00:26:00,100 - You want to get it, Carter? - No, Pratt's got it. 410 00:26:01,000 --> 00:26:03,500 Accu-Chek's through the roof. 411 00:26:03,600 --> 00:26:08,200 - Did you take your insulin, Al? - There's so much to remember. 412 00:26:08,700 --> 00:26:12,300 - He's diabetic? - It's news to me. Line's in. 413 00:26:12,500 --> 00:26:15,100 It shouldn't be news to you. Did you get a good history? 414 00:26:15,300 --> 00:26:17,900 I am a glorious history. 415 00:26:18,100 --> 00:26:21,200 - I told you to get his old chart. - So what was that, like a test? 416 00:26:21,800 --> 00:26:25,500 Make sure he flushes all three lumens. Don't give him an air embolus. 417 00:26:26,300 --> 00:26:28,500 - CBC, Chem-21 and a urine. - He's good. 418 00:26:28,700 --> 00:26:31,200 Sats are 90, pulse is 110. Dr. Greene? 419 00:26:31,500 --> 00:26:36,500 Add a hemoglobin, A1 C, serum ketones, blood cultures and 12-lead. 420 00:26:36,700 --> 00:26:38,500 Liter up, good 18 in the right foot. 421 00:26:38,700 --> 00:26:42,100 Add 40 of K in the liter, intubation tray, 8-0 ET tube. 422 00:26:42,300 --> 00:26:45,000 - Why? What's that for? - Sats are dropping. 423 00:26:45,200 --> 00:26:46,900 Come on, Al, breathe. 424 00:26:48,200 --> 00:26:50,300 Carter, get ready to bag him. 425 00:26:50,900 --> 00:26:52,900 - Do the Sellick. - The what? 426 00:26:53,100 --> 00:26:55,300 The Sellick. Give me your hand. 427 00:27:02,400 --> 00:27:04,400 Okay. Okay. 428 00:27:04,500 --> 00:27:07,500 When his blood sugar's over 700, sometimes he stops breathing. 429 00:27:07,700 --> 00:27:09,000 Thanks for mentioning that. 430 00:27:09,200 --> 00:27:14,000 Give him 10 of regular, IV push. Start him on 8 units per hour. Dr. Pratt. 431 00:27:15,400 --> 00:27:17,600 Dr. Greene. 432 00:27:19,100 --> 00:27:20,800 Thanks. 433 00:27:22,600 --> 00:27:25,400 - You could've told me he was diabetic. - I said to work him up. 434 00:27:25,600 --> 00:27:27,400 I was looking for chronic athlete's foot. 435 00:27:27,600 --> 00:27:30,500 You missed the DKA because you didn't follow instructions. 436 00:27:30,700 --> 00:27:34,200 - It didn't seem necessary. - That assessment is up to me. Okay? 437 00:27:34,400 --> 00:27:36,600 You do the learning, I'll do the teaching. 438 00:27:36,800 --> 00:27:38,700 - Do I seem like a punk to you? - No. 439 00:27:38,800 --> 00:27:40,600 Then stop trying to treat me like one. 440 00:27:40,700 --> 00:27:43,300 I'm sure that you think that you're ready for anything. 441 00:27:43,500 --> 00:27:46,300 Wait. Is this the one about the old guy and the young guy? 442 00:27:46,500 --> 00:27:50,700 - Because, see, I've heard it all before. - There's a door there that goes outside. 443 00:27:50,900 --> 00:27:54,300 If you don't like the way I'm doing this, keep walking. 444 00:27:57,600 --> 00:28:00,300 - He's a good doctor. - He's a burnout if I ever saw one. 445 00:28:00,500 --> 00:28:03,600 - I learned a lot from him. - If I had my call, I'd stick with you. 446 00:28:03,800 --> 00:28:06,100 - You don't. - You saw him in there. 447 00:28:06,300 --> 00:28:08,800 I just can't figure out what's going on with this guy. 448 00:28:09,300 --> 00:28:11,200 A tumor. 449 00:28:11,400 --> 00:28:13,300 - What? - He has a brain tumor. 450 00:28:13,400 --> 00:28:17,500 An inoperable GBM that's recurred. That's what's going on with him. 451 00:28:17,700 --> 00:28:20,700 - That's what the IV's for. - He's in his second cycle of chemo. 452 00:28:20,900 --> 00:28:23,100 - And he's still working? - Everything okay? 453 00:28:23,300 --> 00:28:24,800 - Yeah. - Yeah, Pratt was just saying... 454 00:28:24,900 --> 00:28:27,200 ...how much he's benefiting from Dr. Greene. 455 00:28:27,400 --> 00:28:29,700 He's a good teacher. 456 00:28:29,800 --> 00:28:32,600 You could start feeding me this information a little earlier. 457 00:28:32,800 --> 00:28:35,000 - Labs back for Seidel. - Thanks. 458 00:28:35,600 --> 00:28:37,900 His PSA's higher than his Alk Phos. 459 00:28:38,000 --> 00:28:40,000 Six hundred? Did you call his doctor? 460 00:28:40,200 --> 00:28:43,100 Left three messages on his service before I got the cell number. 461 00:28:43,300 --> 00:28:45,400 - Son of a bitch. - What do you think? He knew? 462 00:28:45,500 --> 00:28:47,000 He should have. 463 00:28:47,200 --> 00:28:50,800 This guy shouldn't have to find out from doctors he's never met in the ER. 464 00:28:51,000 --> 00:28:54,700 Hey, listen, in med school I was a hotshot. 465 00:28:54,900 --> 00:28:57,600 And I forgot I'm not one here. Well, not yet at least. 466 00:28:57,800 --> 00:28:59,900 Like I said, no rush. 467 00:29:00,100 --> 00:29:03,900 - Hello? - Hi. Yeah, is your father there? 468 00:29:04,100 --> 00:29:07,300 - This is Dr. Greene from the County ER. - Hold on. 469 00:29:07,500 --> 00:29:11,700 Listen, I didn't mean any disrespect earlier. 470 00:29:12,700 --> 00:29:15,500 - Someone told you I'm dying. - Dr. Greene, is it? 471 00:29:15,700 --> 00:29:18,900 - Yeah. - Call my office. I'm not taking any calls. 472 00:29:19,100 --> 00:29:23,700 I understand you' re on vacation. Your patient's PSA set a record high. 473 00:29:23,900 --> 00:29:25,400 Oh, well, how can I be of help? 474 00:29:25,600 --> 00:29:28,500 Well, for starters, when was the last time you examined him? 475 00:29:28,700 --> 00:29:30,500 - About two years, I'd say. - Two years? 476 00:29:30,600 --> 00:29:35,200 - Have you made a diagnosis? - In fact, yes. Metastatic prostate cancer. 477 00:29:35,400 --> 00:29:37,300 Really? I never saw any indication. 478 00:29:37,500 --> 00:29:42,200 Well, the huge irregular mass on his enlarged prostate may have been a clue. 479 00:29:42,300 --> 00:29:44,800 You want me to put him on the phone? 480 00:29:45,000 --> 00:29:49,500 Why don't you put down your hot cocoa, and get your ass on a plane to Chicago- 481 00:29:50,200 --> 00:29:51,500 He hung up. 482 00:29:51,700 --> 00:29:54,300 - Very persuasive. - I try. 483 00:29:54,400 --> 00:29:59,600 - Should we tell him? - Let him sleep. Call Urology for a bed. 484 00:30:01,900 --> 00:30:05,000 I panicked. Okay? You weren't here, and I didn't know what to do. 485 00:30:05,200 --> 00:30:08,100 - You knew this wasn't what she wanted. - You're extubating? 486 00:30:08,300 --> 00:30:11,100 You should have never intubated her in the first place. 487 00:30:11,300 --> 00:30:13,500 - What about the obstructions? - It's a mild ileus. 488 00:30:13,700 --> 00:30:16,700 I don't care what it is. I have durable power of attorney. 489 00:30:16,900 --> 00:30:20,700 And we want to take our mother home now. Get that line out of her. 490 00:30:20,800 --> 00:30:23,300 You may wanna leave that in, in case she needs fluid. 491 00:30:23,400 --> 00:30:26,300 Don't you get it? She wants to die. 492 00:30:26,500 --> 00:30:31,300 You people can't accept that. It's like a defeat to you. 493 00:30:32,800 --> 00:30:35,000 Do you have the DNR? 494 00:30:46,300 --> 00:30:48,100 Okay. 495 00:30:51,400 --> 00:30:52,600 Pull it. 496 00:31:07,500 --> 00:31:10,600 - Just at the bed right around the corner. - All right. 497 00:31:10,700 --> 00:31:12,100 What's this about? 498 00:31:12,300 --> 00:31:16,700 I got called down from Oncology, so the nurse is here with my vincristine. 499 00:31:17,500 --> 00:31:22,200 - You sure you're feeling all right? - Wish people would stop asking me that. 500 00:31:23,900 --> 00:31:27,100 Could you unplug her and let them go? 501 00:31:27,300 --> 00:31:28,800 Yeah, sure. 502 00:31:31,300 --> 00:31:33,600 Dr. Greene, I want my cart. 503 00:31:33,800 --> 00:31:37,000 - What? - They threw my cart outside. 504 00:31:37,100 --> 00:31:39,500 - Ready? - Sure. 505 00:31:39,700 --> 00:31:44,000 I want my cart. I always have it with me. 506 00:31:44,200 --> 00:31:47,900 It's okay, Al. I'm right here. Everything's gonna be all right. 507 00:31:48,100 --> 00:31:50,900 I almost had to call an Oncology staff meeting. 508 00:31:51,200 --> 00:31:53,400 They weren't crazy about my doing this down here. 509 00:31:53,600 --> 00:31:57,400 Please, I want my cart. 510 00:31:57,500 --> 00:32:00,200 Give me my cart! 511 00:32:00,400 --> 00:32:03,000 These new needle-less systems are a pain. 512 00:32:04,200 --> 00:32:07,700 Give me my cart. 513 00:32:10,100 --> 00:32:14,100 - You know what? I'm not doing this. - I can't come back. 514 00:32:14,200 --> 00:32:17,300 - You don't have to. I'm done. - Please! 515 00:32:17,500 --> 00:32:19,600 - Dr. Greene... - I want my cart. 516 00:32:19,700 --> 00:32:23,800 Al, let me help you find your cart. 517 00:32:24,400 --> 00:32:27,300 Thank you. Thank you. 518 00:32:28,000 --> 00:32:31,000 Aspergilloma is what people used to superstitiously take... 519 00:32:31,200 --> 00:32:33,000 ...as the curse of the mummy. 520 00:32:33,200 --> 00:32:36,400 I'll never hear the end of this at work. How did I get it? 521 00:32:36,900 --> 00:32:39,400 You went to Egypt recently on an excavation, right? 522 00:32:39,700 --> 00:32:44,200 Pulmonology will bronch her. Give her 200 of itra- 523 00:32:47,100 --> 00:32:51,600 Itraconazole, BID, will help with the oral steroids. 524 00:32:51,700 --> 00:32:56,100 - I work too much, that's why I'm sick. - You'll be okay soon. 525 00:32:56,200 --> 00:32:58,500 You know that song, "Don't it always seem to go... 526 00:32:58,700 --> 00:33:01,100 ...that you don't know what you got till it's gone? " 527 00:33:01,300 --> 00:33:03,700 - Joni Mitchell. - Story of my life. 528 00:33:03,900 --> 00:33:06,100 I hate that song. 529 00:33:09,000 --> 00:33:10,600 Mark. 530 00:33:14,100 --> 00:33:16,600 I spoke with Oncology. I told them you'd be up soon. 531 00:33:16,800 --> 00:33:19,500 - You shouldn't have. - They're holding a room for you. 532 00:33:19,700 --> 00:33:21,800 I'm finished. I've had enough. 533 00:33:22,000 --> 00:33:24,500 You can go up now, and I'll drive you home. 534 00:33:24,700 --> 00:33:25,900 Elizabeth. 535 00:33:26,100 --> 00:33:30,400 This isn't something that you decide by yourself on the spur of the moment. 536 00:33:30,600 --> 00:33:33,800 This might be the last important decision I get to make. 537 00:33:34,000 --> 00:33:37,000 You haven't given it time to work, Mark. Please. 538 00:33:37,100 --> 00:33:40,300 I dropped an ET tube today. I couldn't wrap my thumb around it. 539 00:33:40,500 --> 00:33:42,300 That doesn't mean the chemo's not working. 540 00:33:42,500 --> 00:33:44,800 It's a game, Elizabeth. I don't wanna play. 541 00:33:45,000 --> 00:33:49,300 Look, it's only the second cycle. This treatment could prolong your life. 542 00:33:49,500 --> 00:33:52,400 Maybe. For a couple of months. 543 00:33:55,300 --> 00:34:00,000 Well, then give yourself that time. Give it to me and Ella. 544 00:34:00,700 --> 00:34:04,200 Give it to Rachel. Who knows what might happen? 545 00:34:04,800 --> 00:34:06,500 We see patients here every day... 546 00:34:06,600 --> 00:34:09,500 ...who are told that they should have been dead long ago. 547 00:34:10,100 --> 00:34:11,900 I need to be realistic. 548 00:34:12,800 --> 00:34:17,800 - You mean give up. - It's not giving up. It's making a choice. 549 00:34:19,100 --> 00:34:24,400 I'd rather have two good months than twice that chained to meds... 550 00:34:24,600 --> 00:34:29,600 ...and needles and IV stands, stuck in a bed... 551 00:34:30,600 --> 00:34:34,700 ...sitting next to other clock-watchers, being prodded and small-talked to... 552 00:34:34,900 --> 00:34:40,700 ...by doctors and nurses, all of them with that look in their eye... 553 00:34:41,400 --> 00:34:44,100 ...like you're already gone. 554 00:34:45,500 --> 00:34:48,100 I don't want to end it like that. 555 00:34:49,400 --> 00:34:53,600 Look, we can look into some new regimens. 556 00:34:53,700 --> 00:34:58,900 We can find some alternative therapies that we haven't heard about. 557 00:35:00,100 --> 00:35:02,500 Mr. Seidel is awake. 558 00:35:03,400 --> 00:35:05,400 I'll be right there. 559 00:35:05,800 --> 00:35:07,800 Please? 560 00:35:09,500 --> 00:35:12,200 There's no alternative. 561 00:35:12,300 --> 00:35:15,300 Just dying the way I've lived. 562 00:35:27,300 --> 00:35:29,900 I'll see you at home. 563 00:35:30,500 --> 00:35:32,600 I love you. 564 00:35:46,300 --> 00:35:48,500 - You ready? - I can do it. 565 00:35:48,600 --> 00:35:53,200 - Not the easiest news to give someone. - I know the job. 566 00:35:57,100 --> 00:35:58,600 Mr. Seidel. 567 00:35:58,700 --> 00:36:03,500 My old lady's waiting with my daughter, so can we get this over with? 568 00:36:05,100 --> 00:36:08,800 Your presentation is consistent with metastatic cancer of the prostate. 569 00:36:10,500 --> 00:36:12,500 Cancer? 570 00:36:12,700 --> 00:36:14,400 Are you sure? Maybe you got it wrong. 571 00:36:14,500 --> 00:36:16,800 Allanson never said anything about cancer. 572 00:36:16,900 --> 00:36:19,000 He may have overlooked it. 573 00:36:19,100 --> 00:36:22,400 He always acted like I was a hypochondriac. 574 00:36:22,800 --> 00:36:24,800 He should have caught it. 575 00:36:25,000 --> 00:36:27,900 Maybe we should call your wife before we explain everything. 576 00:36:28,000 --> 00:36:30,700 Tell me, is it bad? 577 00:36:30,900 --> 00:36:33,400 Possibly, it could be. 578 00:36:33,500 --> 00:36:39,000 What? Do I need chemotherapy or an operation or what? 579 00:36:41,900 --> 00:36:44,800 I mean, it's not like I'm gonna die, right? 580 00:36:47,000 --> 00:36:49,400 I could die? 581 00:36:52,900 --> 00:36:57,900 We need to admit you for tests. The cancer appears to be very advanced. 582 00:36:58,700 --> 00:37:01,900 You need to prepare yourself for the worst. 583 00:37:05,000 --> 00:37:06,900 I know what a shock this is... 584 00:37:07,600 --> 00:37:10,300 ...and what must be going through your mind right now. 585 00:37:10,700 --> 00:37:12,300 You can't. 586 00:37:13,100 --> 00:37:15,600 Yeah, I can. 587 00:37:17,900 --> 00:37:19,800 I'll call his family. 588 00:37:43,200 --> 00:37:46,300 - Go in and sit with him. - What did you say to him? 589 00:37:46,500 --> 00:37:49,000 Wasn't anything I learned from being a doctor. 590 00:37:49,200 --> 00:37:51,800 No, no, no, we need to keep that in. Okay? 591 00:37:52,000 --> 00:37:55,500 - I want to go. - It's wet out there. It's raining. 592 00:37:55,600 --> 00:37:59,000 - It stopped. I don't want to be here. - Me either. 593 00:37:59,100 --> 00:38:03,000 - When can you get him upstairs? - Oh, I'll call the Telemetry Unit. 594 00:38:03,100 --> 00:38:05,300 - Last serum ketones? - Still positive. 595 00:38:05,500 --> 00:38:07,600 - Urine? -200 cc's in the last hour. 596 00:38:07,800 --> 00:38:10,400 I'll take it out. You know I know how. 597 00:38:10,600 --> 00:38:15,200 Al, it's gonna become harder for you to be able to take care of yourself. 598 00:38:16,200 --> 00:38:20,800 - Do you have any family you can go to? - No. There's nobody. 599 00:38:21,000 --> 00:38:24,000 - Then let me admit you. - You know I don't like this place. 600 00:38:24,200 --> 00:38:26,400 I don't belong here. 601 00:38:26,600 --> 00:38:32,300 Whatever's going to happen, I want it to happen outside. 602 00:38:33,200 --> 00:38:35,400 Please. 603 00:38:38,800 --> 00:38:40,800 Okay. 604 00:38:41,000 --> 00:38:43,600 It'll be over soon. 605 00:38:43,700 --> 00:38:47,400 - Right? - Yeah, it will. 606 00:38:47,500 --> 00:38:50,800 How much longer do I have to sit here? 607 00:38:51,000 --> 00:38:55,000 - Ms. Raskin, it's been a long time. - The service isn't what it used to be. 608 00:38:55,200 --> 00:38:59,500 - What's the trouble? - I have this hangnail, it is very painful. 609 00:38:59,700 --> 00:39:02,600 I have a brain tumor, and it's inoperable. 610 00:39:03,200 --> 00:39:05,200 - What? - I win. 611 00:39:05,600 --> 00:39:09,600 Excuse me, can somebody please see my daughter? 612 00:39:10,200 --> 00:39:15,000 - A nurse will be right with you. - I've been here for over two hours. 613 00:39:16,800 --> 00:39:18,200 - I'm Dr. Greene. - Hi, doctor. 614 00:39:18,400 --> 00:39:22,200 - No, it'll hurt, Daddy. - Oh, what will hurt? 615 00:39:22,400 --> 00:39:24,500 Katie's class mythology project. 616 00:39:24,600 --> 00:39:27,400 Why they let kids play with wooden spears, I'll never know. 617 00:39:27,500 --> 00:39:30,500 I like your outfit. Can I put you up here? 618 00:39:31,300 --> 00:39:33,500 - There. - It hurts. 619 00:39:33,700 --> 00:39:36,200 I know. I'll be gentle. 620 00:39:36,400 --> 00:39:40,000 It's up under the nail. She won't even let me near it. 621 00:39:40,900 --> 00:39:42,700 Can I look? 622 00:39:42,900 --> 00:39:47,800 - I don't want a shot. - No, no, no shots. I promise. 623 00:39:48,700 --> 00:39:50,200 Let's play a game. 624 00:39:50,400 --> 00:39:53,500 - Close your eyes, okay? - Okay. 625 00:39:56,100 --> 00:39:59,500 - What do you see? - The sky. 626 00:39:59,600 --> 00:40:02,100 - What's up there? - Orion's Belt. 627 00:40:03,200 --> 00:40:05,900 - Orion's? - He couldn't beat the scorpion. 628 00:40:06,100 --> 00:40:09,500 - So he jumped into the sea. - Really? 629 00:40:09,600 --> 00:40:13,100 Artemis put him in the sky, where the scorpion never gets him. 630 00:40:14,900 --> 00:40:17,200 I didn't know that. 631 00:40:18,200 --> 00:40:21,800 - There. That didn't hurt, did it? - Is it over? 632 00:40:22,900 --> 00:40:25,200 It's all done. 633 00:40:25,300 --> 00:40:28,500 - Thank you, Katie. - What did I do? 634 00:40:29,800 --> 00:40:33,700 You just became my very last patient. 635 00:40:35,700 --> 00:40:38,800 - Your shift over? - Yeah. 636 00:40:39,000 --> 00:40:40,800 Thank you. 637 00:40:41,800 --> 00:40:44,700 Haleh, can you give that hangnail lady a cast shoe... 638 00:40:44,900 --> 00:40:47,200 ...sign her out and tell her to never come back? 639 00:40:47,400 --> 00:40:49,600 If you say so. 640 00:40:53,500 --> 00:40:57,200 Dr. Greene, I set up Seidel for the biopsy, and his family's on the way in. 641 00:40:57,300 --> 00:40:58,600 Okay. 642 00:40:58,800 --> 00:41:02,000 Hey, I just wanted to say, you know, I learned a lot today. 643 00:41:02,100 --> 00:41:05,400 Good. Come back tomorrow. 644 00:41:09,600 --> 00:41:11,800 How's Pratt doing? 645 00:41:12,000 --> 00:41:14,600 A little eager, a little cocky. 646 00:41:17,600 --> 00:41:20,000 He should fit right in. 647 00:41:20,200 --> 00:41:24,100 Think he'd want to take on some extra shifts? 648 00:41:25,200 --> 00:41:27,400 Pretty safe bet. 649 00:41:28,500 --> 00:41:30,700 What about you? 650 00:41:33,500 --> 00:41:34,800 Me? 651 00:41:37,600 --> 00:41:40,300 How many shifts should I put you down for next month? 652 00:41:49,300 --> 00:41:53,000 Never let your work become your life, Kerry. 653 00:41:55,300 --> 00:41:57,400 Live a little. 654 00:42:00,100 --> 00:42:03,100 No rest for the weary, Carter. 655 00:42:03,300 --> 00:42:05,700 I've been on since 4 a. m. 656 00:42:05,800 --> 00:42:08,600 - You leaving early? - Not early enough. 657 00:42:08,800 --> 00:42:11,700 Fisher in the hall's an alcoholic. Knocked himself out. 658 00:42:11,900 --> 00:42:15,500 Check a head CT and road-test him before you let him go. 659 00:42:21,500 --> 00:42:25,100 - Withdrawal? - Just your usual midweek party. 660 00:42:25,300 --> 00:42:29,100 Chakarova has hives. Got prednisone, Benadryl. 661 00:42:29,300 --> 00:42:32,500 Feeling better. Watch her for half an hour. 662 00:42:32,700 --> 00:42:34,900 Send her on her way. Dispo's written. 663 00:42:35,400 --> 00:42:38,200 - Anybody actually sick? - Just the doctor. 664 00:42:45,300 --> 00:42:48,400 Hey, did you see the guy in 3? 665 00:42:48,600 --> 00:42:52,400 Pacio, 56-year-old, chest pain. Ruled out going to Medicine. 666 00:42:52,600 --> 00:42:55,200 Got aspirin, beta-blockers, heparin and an Ace. 667 00:42:55,400 --> 00:42:57,900 28-year-old girl. LOC. Fell through a plate-glass window. 668 00:42:58,100 --> 00:43:01,700 - Just keep pressure on that dressing. - Bleeder in the left arm is the worst. 669 00:43:01,900 --> 00:43:03,500 Good night, Dr. Greene. 670 00:43:03,700 --> 00:43:06,200 - BP, 100/70. - Bye. 671 00:43:15,400 --> 00:43:17,400 So EKG for Pacio? 672 00:43:17,600 --> 00:43:21,900 Flip T's in lateral leads. X- ray's clear. 673 00:43:22,500 --> 00:43:26,200 Check his troponin and repeat EKG in 10 minutes. 674 00:43:27,200 --> 00:43:29,900 - It stopped raining. - Yeah. 675 00:43:30,400 --> 00:43:33,900 Clear sky. I'm out of here. 676 00:43:34,100 --> 00:43:36,000 You on tomorrow? 677 00:43:38,800 --> 00:43:40,900 Your ball needs air. 678 00:43:41,000 --> 00:43:43,100 It's not my ball. 679 00:43:44,300 --> 00:43:46,800 You set the tone, Carter. 680 00:43:46,900 --> 00:43:49,500 What? 681 00:43:49,600 --> 00:43:51,800 Work on your jump shot. 682 00:44:28,800 --> 00:44:31,900 Subtitles by SDI Media Group