1 00:00:05,000 --> 00:00:06,200 Previously on E.R. 2 00:00:06,200 --> 00:00:07,400 Mark, she's out of control. 3 00:00:07,400 --> 00:00:09,700 - You need to stop lying. - You don't believe me. 4 00:00:09,800 --> 00:00:12,500 - You search my room and private things. - I was looking for drugs. 5 00:00:12,600 --> 00:00:15,600 I'm getting my job back with the following conditions. 6 00:00:15,600 --> 00:00:17,400 I didn't agree to any conditions. 7 00:00:17,500 --> 00:00:19,300 - I failed your brother. - Mom. 8 00:00:19,400 --> 00:00:22,000 He was tired before we left for France. 9 00:00:22,100 --> 00:00:24,700 It delayed the diagnosis by less than a month. 10 00:00:24,800 --> 00:00:27,600 I just stood by while it was eating him alive. 11 00:00:27,800 --> 00:00:30,800 - Stop it! Stop it! - Shut your lying, filthy mouth! 12 00:00:31,000 --> 00:00:33,700 - Well, it's not the way it seems. - Our walls are pretty thin, Joyce. 13 00:00:33,800 --> 00:00:35,800 Rachel, I want you to stay here. 14 00:00:50,600 --> 00:00:52,700 Chamomile tea? 15 00:00:52,900 --> 00:00:54,700 Feeling better? 16 00:00:54,900 --> 00:00:57,400 Well, I haven't been to the bathroom in 10 minutes. 17 00:00:57,600 --> 00:00:59,900 I guess that's progress. 18 00:01:00,000 --> 00:01:02,300 - Hey, at least someone's happy. - She should be. 19 00:01:02,500 --> 00:01:04,800 She T.P.'d the bathroom, the hallway and half the kitchen... 20 00:01:05,000 --> 00:01:06,200 while I made tea. 21 00:01:06,400 --> 00:01:10,100 God. She's not even walking yet. 22 00:01:10,200 --> 00:01:12,400 - Did you take your temperature? - Yeah. 23 00:01:12,600 --> 00:01:15,100 - But- - Okay. 24 00:01:15,200 --> 00:01:18,300 - Should I call or do you want to? - I'm presenting at grand rounds. 25 00:01:18,500 --> 00:01:21,100 - Not with the stomach flu, you're not. - Mark. 26 00:01:21,300 --> 00:01:24,900 Hi, I'm calling for Dr. Corday. Yeah, she's projectile vomiting. 27 00:01:25,000 --> 00:01:26,900 Do you still want her to come in? 28 00:01:27,000 --> 00:01:29,000 - Very funny. - Thank you. 29 00:01:30,000 --> 00:01:33,200 I'm calling right back. I just need loperamide. Then I'll be fine. 30 00:01:33,300 --> 00:01:35,700 What you need to do is stay in bed. 31 00:01:37,800 --> 00:01:40,300 - What about Ella? - Katherine's coming over. 32 00:01:40,900 --> 00:01:42,800 Who's gonna look after her till then? 33 00:01:42,900 --> 00:01:44,200 I'm not doing anything today. 34 00:01:44,400 --> 00:01:46,900 - Hey, Rach. - I can watch her if you want. 35 00:01:49,000 --> 00:01:51,000 I wouldn't want you to give up your Saturday. 36 00:01:51,200 --> 00:01:53,700 - It's freezing out anyway. - Sold. I'm late. 37 00:01:54,400 --> 00:01:56,200 You, stay in bed. 38 00:01:56,400 --> 00:01:57,700 Hello. 39 00:01:57,900 --> 00:01:59,800 Haleh, gallstone in 4 needs Toradol. 40 00:02:00,000 --> 00:02:02,000 Can you check the labs on Cathy Jensen? 41 00:02:02,200 --> 00:02:03,500 - Upper GI bleed? - Yeah. 42 00:02:03,700 --> 00:02:06,500 - Is Dr. Chen in yet? - Nope. 43 00:02:06,900 --> 00:02:09,700 - Get the message he was looking for you? - No. 44 00:02:09,900 --> 00:02:12,100 Oh, really? 45 00:02:13,200 --> 00:02:15,300 - In just a swim cap? - Yeah. And a Speedo. 46 00:02:15,500 --> 00:02:18,100 - You've gotta try it. - In January in Lake Michigan? 47 00:02:18,300 --> 00:02:21,100 - It has a spiritual quality. - You wanted to see me, Robert? 48 00:02:21,200 --> 00:02:24,100 Yes. Just discussing with Dr. Lewis what a tough year it's been. 49 00:02:24,300 --> 00:02:26,600 What with personnel changes, lawsuits and whatnot. 50 00:02:26,800 --> 00:02:29,600 Can you believe Dr. Romano's a member of the Polar Bear Club? 51 00:02:29,800 --> 00:02:30,900 Can you excuse us? 52 00:02:31,000 --> 00:02:32,100 Stay. I've found a solution... 53 00:02:32,300 --> 00:02:34,700 - ... for the administrative bottleneck- - Bottleneck? 54 00:02:34,800 --> 00:02:37,900 - Your QAs are a month behind. - Which you'll have by day's end. 55 00:02:38,000 --> 00:02:41,000 I'm sorry. Does she really need to be here for this? 56 00:02:41,200 --> 00:02:43,800 Actually, I have a patient. 57 00:02:45,000 --> 00:02:47,800 - Well, that was elegant. - Look, you can't expect me... 58 00:02:47,900 --> 00:02:50,100 ...to do low-priority administrative work... 59 00:02:50,200 --> 00:02:53,000 ...while I'm clocking more clinical shifts than anybody in my department. 60 00:02:53,100 --> 00:02:54,500 You're overburdened. 61 00:02:54,600 --> 00:02:56,300 That's why I asked Dr. Lewis to pitch in. 62 00:02:56,400 --> 00:02:57,300 How? 63 00:02:57,300 --> 00:02:59,600 Covering meetings, overseeing teaching in your absence. 64 00:03:00,000 --> 00:03:01,600 Which is what Chief Resident does. 65 00:03:01,700 --> 00:03:03,700 Carter's not an Attending. Dr. Lewis is. 66 00:03:03,900 --> 00:03:06,600 - Why are you doing this? - I'm feeling unappreciated here. 67 00:03:06,800 --> 00:03:10,200 - I'm trying to lighten your load. - No, you're not. You're jerking my chain. 68 00:03:10,400 --> 00:03:12,400 - Why would I do that? - Because you can. 69 00:03:12,600 --> 00:03:15,900 Well, for the time being, consider Dr. Lewis your unofficial assistant. 70 00:03:16,100 --> 00:03:17,500 No, I don't need any help! 71 00:03:17,600 --> 00:03:20,700 And try to keep the public displays of affection to a minimum. 72 00:03:20,900 --> 00:03:24,000 This is a workplace, not a parade. 73 00:03:24,700 --> 00:03:27,700 - I have messages for you, Dr. Weaver. - Thank you. 74 00:03:30,400 --> 00:03:32,400 So you're gay, huh? 75 00:03:32,600 --> 00:03:34,900 Yeah, Frank. I'm gay, all right? 76 00:03:35,100 --> 00:03:37,300 You know you're going to hell, right? 77 00:04:29,900 --> 00:04:34,100 - An entire bottle of wine? - Topped off with a couple of Xanax. 78 00:04:34,600 --> 00:04:36,500 Was she embarrassed? 79 00:04:36,600 --> 00:04:39,900 Kind of hard not to be when you're puking your guts out. 80 00:04:40,100 --> 00:04:43,400 - Know what the worst part about it was? - You had to put her to bed? 81 00:04:43,500 --> 00:04:46,200 It was a 40-year-old bottle of Bordeaux! 82 00:04:46,400 --> 00:04:48,600 Is this a new thing? 83 00:04:48,900 --> 00:04:50,200 She's been taking them for years. 84 00:04:50,300 --> 00:04:51,400 Really? 85 00:04:51,500 --> 00:04:54,400 Mortality reviews. It seems you get to finish them for me. 86 00:04:54,600 --> 00:04:56,200 - I guess. - They're due by day's end. 87 00:04:56,300 --> 00:04:58,300 - Great. - Should I have some soup sent over? 88 00:04:58,500 --> 00:05:00,700 - Is Elizabeth still sick? - Yeah. 89 00:05:00,900 --> 00:05:03,300 Listen, if you change your mind, call me, okay? 90 00:05:03,500 --> 00:05:06,500 And hang in there. Love you. 91 00:05:06,600 --> 00:05:09,100 She's been on the toilet all night. 92 00:05:09,300 --> 00:05:12,900 I'm not sure, but that may be more than I need to know. 93 00:05:13,100 --> 00:05:16,000 So Romano conned you into picking up the slack, huh? 94 00:05:16,100 --> 00:05:18,400 Oh, God! I agreed to help. Was that stupid? 95 00:05:18,600 --> 00:05:21,800 A little bit around the edges. Kerry's lucky to have you. 96 00:05:22,000 --> 00:05:24,600 I don't think she sees it that way. She's never liked me. 97 00:05:24,800 --> 00:05:26,300 She doesn't like anyone. 98 00:05:26,500 --> 00:05:29,600 - Don't people work around here? - Glutton for punishment, huh? 99 00:05:29,800 --> 00:05:32,200 - Yeah. Something like that. - Oh, hi. Welcome back. 100 00:05:32,400 --> 00:05:34,200 - Yeah. To you too. - Thank you. 101 00:05:34,400 --> 00:05:36,400 You're here. I was hoping you'd come earlier. 102 00:05:36,600 --> 00:05:38,200 - Why? - I wanted to acquaint you... 103 00:05:38,400 --> 00:05:40,300 ...with the new forms for the CPT codes. 104 00:05:40,500 --> 00:05:42,100 I'll be fine. 105 00:05:42,300 --> 00:05:44,200 Suit yourself. 106 00:05:44,500 --> 00:05:46,700 Good for you, girl. 107 00:05:47,000 --> 00:05:49,700 You still owe me $20 for Cleo's going-away present. 108 00:05:49,800 --> 00:05:51,400 Suddenly I feel like I never left. 109 00:05:51,600 --> 00:05:54,700 You lost your locker. Keep your stuff in here for the time being. 110 00:05:54,900 --> 00:05:57,400 Wait. There's dirt in here. 111 00:05:57,900 --> 00:05:59,500 No. 112 00:05:59,600 --> 00:06:01,800 It's doughnut sprinkles. 113 00:06:05,200 --> 00:06:07,700 Donald Brower, 35. Face, neck and chest injuries... 114 00:06:07,700 --> 00:06:09,100 ...from some sort of explosion. 115 00:06:09,200 --> 00:06:10,800 Unknown LOC, GCS 14... 116 00:06:10,900 --> 00:06:13,000 ...hypotensive, 80 palp, pulse 130. 117 00:06:13,100 --> 00:06:14,300 Mr. Brower, can you hear me? 118 00:06:14,500 --> 00:06:16,700 - Can you tell me what happened? - Mail... 119 00:06:16,900 --> 00:06:18,300 - Sorry? - ... exploded. 120 00:06:18,500 --> 00:06:20,900 - What happened? - He opened some kind of letter bomb. 121 00:06:21,000 --> 00:06:22,900 - Daughter's in that rig. - Give it to me. 122 00:06:23,000 --> 00:06:25,400 Jessica Brower, 6. Near amputation of right hand. 123 00:06:25,600 --> 00:06:27,600 BP is 100/70, pulse 120. 124 00:06:27,800 --> 00:06:29,700 - Estimated blood loss? - Three hundred cc's. 125 00:06:29,900 --> 00:06:32,400 Couple of litres at wrist, controlled with the cuff. 126 00:06:32,600 --> 00:06:35,000 I'm Dr. Lewis. We're gonna take care of you, all right? 127 00:06:35,200 --> 00:06:38,400 - It hurts! - Yeah, I know it does, sweetheart. 128 00:06:38,800 --> 00:06:40,800 - How's the airway? - He's talking now. 129 00:06:41,000 --> 00:06:43,700 - GCS 14 here. - BP, 80/40. 130 00:06:43,900 --> 00:06:45,500 Sir, can you see out of this eye? 131 00:06:45,700 --> 00:06:47,500 - I'll get it. - What-? 132 00:06:48,700 --> 00:06:52,200 Peaked iris, probable globe rupture. Follow the light. 133 00:06:53,400 --> 00:06:54,900 Decreased breath sounds on the left. 134 00:06:55,000 --> 00:06:56,200 He needs a chest tube. 135 00:06:56,300 --> 00:06:59,000 - Betadine and chest tube tray. - This is her birthday. 136 00:06:59,500 --> 00:07:03,100 - Whose birthday, Mr. Brower? - I let Jessica pull on the bow. 137 00:07:03,300 --> 00:07:05,500 Do you know why someone would send you a bomb? 138 00:07:05,700 --> 00:07:08,000 - My wife. - Your wife? 139 00:07:10,000 --> 00:07:12,300 - Mr. Brower? - Sinus tach at 120. 140 00:07:13,100 --> 00:07:15,700 - Is that chest tube in yet? - That's the pleura. 141 00:07:18,500 --> 00:07:21,900 - Open your eyes, Mr. Brower. - Pressure's dropping, 70 systolic. 142 00:07:22,100 --> 00:07:24,800 - He's out. Vascular clamp. - Another thoracostomy tray. 143 00:07:25,000 --> 00:07:26,300 I've got it, Kerry. 144 00:07:26,500 --> 00:07:28,900 I wonder how Susan's doing over there with the kid. 145 00:07:29,800 --> 00:07:32,600 Okay, I'll put in the second chest tube and you get the airway. 146 00:07:32,900 --> 00:07:34,600 Airway's fine. 147 00:07:39,600 --> 00:07:41,800 - Gram of Ancef, IV piggyback. - Where are we? 148 00:07:42,000 --> 00:07:44,000 Superficial flash burns, face is fine. 149 00:07:44,100 --> 00:07:45,900 Lungs are clear, pelvis is stable. 150 00:07:46,000 --> 00:07:49,200 - All the money's on the hand. - Pressure's steady at 100/70. 151 00:07:49,400 --> 00:07:52,300 No visible deformity to shoulder or elbow. 152 00:07:52,900 --> 00:07:55,500 Hold on. We need to take a look at your hand, all right? 153 00:07:55,600 --> 00:07:57,600 - Thumb's intact. - First HemoCue's eight. 154 00:07:57,800 --> 00:07:59,100 Ring and little finger are missing. 155 00:07:59,200 --> 00:08:02,000 We need Hand Surgery, Ortho, Plastics. 156 00:08:02,100 --> 00:08:04,600 - Let the cuff down. - Surgery'll be here in a minute. 157 00:08:04,800 --> 00:08:06,800 I said take the cuff down. 158 00:08:14,000 --> 00:08:16,700 Okay, Jessica. Okay, sweetheart. You just relax. 159 00:08:16,900 --> 00:08:20,200 - Just need to know the exact injury. - Well, now you know. 160 00:08:20,300 --> 00:08:22,800 - You want hemostats? - Yeah. 161 00:08:23,000 --> 00:08:24,700 Just direct pressure. 162 00:08:24,800 --> 00:08:26,700 Blood supply intact. Probably salvageable. 163 00:08:26,900 --> 00:08:28,000 We're okay here, Kerry. 164 00:08:28,200 --> 00:08:29,400 Sinus at 100. 165 00:08:29,600 --> 00:08:31,600 CBC, lytes, BUN, creatinine, coags and- 166 00:08:31,700 --> 00:08:33,400 We already ordered pre-op labs. 167 00:08:36,900 --> 00:08:38,500 - Fine. - Two more of morphine. 168 00:08:38,700 --> 00:08:41,600 - Let's get an x-ray tech down here. - Carter, your mom's here. 169 00:08:41,800 --> 00:08:43,100 Brought a kid from her leukemia center. 170 00:08:43,200 --> 00:08:44,300 I got it. 171 00:08:44,500 --> 00:08:45,700 Yeah? They come in on a rig? 172 00:08:45,900 --> 00:08:47,500 No. She brought him in herself. 173 00:08:47,700 --> 00:08:50,700 He has weakness and a slight fever. 174 00:08:50,900 --> 00:08:52,000 Thanks. 175 00:08:52,100 --> 00:08:54,400 And she's nicer than I remembered. 176 00:08:59,500 --> 00:09:01,600 Oh, John. Thank goodness you're here today. 177 00:09:01,800 --> 00:09:05,500 - Who's your friend? - Mickey is the center's Child of the Year. 178 00:09:05,700 --> 00:09:08,700 We were photographing him for the spring mailer. 179 00:09:08,800 --> 00:09:12,100 And he suddenly became lightheaded and warm. 180 00:09:12,300 --> 00:09:13,500 So you brought him here? 181 00:09:13,700 --> 00:09:15,900 We tried phoning his doctors, but it's Saturday. 182 00:09:16,100 --> 00:09:18,200 Is there someplace else I should have taken him? 183 00:09:18,400 --> 00:09:22,100 - Did they give him anything yet? - Your friend gave him some Tylenol. 184 00:09:22,200 --> 00:09:24,400 - How long has he had leukemia? - I'm not sure. 185 00:09:24,500 --> 00:09:25,600 He's been in remission a year. 186 00:09:25,700 --> 00:09:26,800 Call his parents? 187 00:09:26,900 --> 00:09:29,600 - He's an orphan. - So he lives in a foster home? 188 00:09:29,800 --> 00:09:31,500 With three other special-needs children. 189 00:09:31,600 --> 00:09:33,400 And foster parents he barely knows. 190 00:09:33,600 --> 00:09:36,200 Hey, Mickey, how you doing? 191 00:09:36,400 --> 00:09:37,700 - Not so good. - Yeah? 192 00:09:37,800 --> 00:09:40,900 We're gonna see if we can figure out a way to make you feel better. 193 00:09:41,100 --> 00:09:44,200 - Okay. - A private room would help. 194 00:09:45,700 --> 00:09:47,400 Swing your legs up there for me. 195 00:09:47,600 --> 00:09:49,900 Unit six going up. Pressure, 90/50. 196 00:09:50,100 --> 00:09:52,400 AC 12 on 100 percent. Tidal volume 500, 197 00:09:52,600 --> 00:09:54,000 PEEP of five. 198 00:09:54,200 --> 00:09:55,900 - You holding up okay? - Yeah. 199 00:09:56,100 --> 00:09:58,900 - Fluid in Morrison's pouch. - You can't let Kerry get to you. 200 00:09:59,100 --> 00:10:01,500 And in the left pericolic gutter. Where is Surgery? 201 00:10:01,700 --> 00:10:04,100 - Like riding a bicycle. - Yeah, one with square wheels. 202 00:10:04,300 --> 00:10:06,700 - Ectopy! - V-tach! 203 00:10:06,900 --> 00:10:10,700 Charge the paddles, open a thoracotomy tray. Get ready. 204 00:10:10,900 --> 00:10:12,200 There's no pulse. 205 00:10:12,400 --> 00:10:16,100 He'll be fine. Charge to 200. Clear! 206 00:10:18,400 --> 00:10:20,600 - Charge to 300. - Ten blade. 207 00:10:20,800 --> 00:10:22,200 Clear. 208 00:10:23,800 --> 00:10:26,300 - Asystole. - Go ahead. Open the chest. 209 00:10:29,600 --> 00:10:32,000 - A-positive is up. BP's 100/60. - TKO the other fluids. 210 00:10:32,100 --> 00:10:33,600 - Bring another dose of fent. - Jessica? 211 00:10:33,700 --> 00:10:35,200 - Are you her mother? - Yeah. 212 00:10:35,300 --> 00:10:38,000 She's stable. She's had extensive damage to her hand. 213 00:10:38,100 --> 00:10:40,200 - We need to get her to O.R. - Can you hear me? 214 00:10:40,400 --> 00:10:42,800 We've given her pain medication. She may not respond. 215 00:10:42,900 --> 00:10:45,000 - It's Mommy. - Why don't you come to Pre-op. 216 00:10:45,100 --> 00:10:46,700 The surgeon will need to talk to you. 217 00:10:46,900 --> 00:10:48,000 Where's my husband? 218 00:10:48,200 --> 00:10:52,600 He's in there. They're working on him. Mrs. Brower? Mrs. Brower? 219 00:10:53,200 --> 00:10:54,400 - P.E.A. - Don? 220 00:10:54,500 --> 00:10:56,900 - V-fib. - Oh, God! 221 00:10:58,600 --> 00:11:00,300 Shock him. 222 00:11:01,100 --> 00:11:03,000 You the wife? 223 00:11:04,700 --> 00:11:07,600 Your husband's injuries caused his heart to stop beating. 224 00:11:07,800 --> 00:11:10,600 - We're trying to bring him back. - A thoracotomy. 225 00:11:10,800 --> 00:11:12,300 - Charge again. - You a doctor? 226 00:11:12,600 --> 00:11:15,000 - Researcher. - Clear. 227 00:11:15,900 --> 00:11:18,900 - Still V-fib. - Witnessed arrest. 228 00:11:19,000 --> 00:11:20,700 - Charge again. - Ten percent chance. 229 00:11:20,900 --> 00:11:22,500 Clear. 230 00:11:23,700 --> 00:11:25,800 - I told him not to worry. - Still V-fib. 231 00:11:25,900 --> 00:11:29,300 - Charge again. - I told him it was safe. 232 00:11:29,500 --> 00:11:31,100 Clear. 233 00:11:32,800 --> 00:11:34,800 Agonal rhythm. 234 00:11:42,000 --> 00:11:43,600 He's been down for 30 minutes. 235 00:11:46,000 --> 00:11:47,700 You can stop. 236 00:11:47,900 --> 00:11:50,400 He's gone. 237 00:11:56,800 --> 00:12:00,700 - Are you being treated for your diabetes? - Look, I'm blind. 238 00:12:00,700 --> 00:12:02,400 I'm not stupid. 239 00:12:02,600 --> 00:12:04,300 I do okay. 240 00:12:04,500 --> 00:12:06,800 It's not easy to get someone to measure my insulin. 241 00:12:07,000 --> 00:12:09,800 But that's life. 242 00:12:09,900 --> 00:12:12,900 Look, you know, I'm just here for the toenails, right? 243 00:12:13,100 --> 00:12:15,600 Yes, sir. Yes, sir. 244 00:12:16,300 --> 00:12:18,300 You know, they're getting worse all week. 245 00:12:18,400 --> 00:12:19,900 I think it was the new shoes. 246 00:12:20,400 --> 00:12:21,900 When did you have them clipped? 247 00:12:22,100 --> 00:12:26,800 - Oh, April maybe. - They're pretty overgrown. 248 00:12:27,000 --> 00:12:30,800 Well, listen. You think it's hard to get someone to give you a sugar shot... 249 00:12:31,000 --> 00:12:34,000 ...just try asking them to clip these puppies. 250 00:12:35,600 --> 00:12:37,400 Well, you know, I can do that for you. 251 00:12:37,500 --> 00:12:39,900 Of course you can. You're a gifted doctor. 252 00:12:40,200 --> 00:12:43,200 Or at least you will be. Hold on. 253 00:12:44,600 --> 00:12:47,600 Someone smells beautiful. 254 00:12:48,700 --> 00:12:49,900 Bless you. 255 00:12:50,100 --> 00:12:52,700 - Hi, I'm Dr. Chen. - I've heard a lot about you. 256 00:12:53,800 --> 00:12:55,100 I mean, good things. 257 00:12:56,100 --> 00:12:58,800 And the bad things aren't really your fault. 258 00:12:58,900 --> 00:13:02,100 - Excuse me? - Manny has a sixth sense about people. 259 00:13:02,200 --> 00:13:05,100 - Or so he says. - Well, with my eyes... 260 00:13:05,200 --> 00:13:07,200 ...I had to get something out of the deal. 261 00:13:07,400 --> 00:13:08,500 What is this? 262 00:13:08,700 --> 00:13:10,900 It's Mr. Kindlevich's Seeing Eye dog. 263 00:13:11,000 --> 00:13:14,100 - Well, where's his harness? - He isn't official. 264 00:13:14,300 --> 00:13:17,500 But trust me. He's my eyes. I need him. 265 00:13:18,000 --> 00:13:20,200 All right. Just keep him on a leash, a short one. 266 00:13:20,400 --> 00:13:23,400 - Yes, ma'am. - Dr. Chen, can I speak with you privately? 267 00:13:32,100 --> 00:13:33,800 What do you want? 268 00:13:34,000 --> 00:13:36,600 You know, eventually this has to stop. 269 00:13:36,800 --> 00:13:39,900 This attitude, this resentment you have towards me. 270 00:13:40,100 --> 00:13:41,700 - Does it? - We have to work together. 271 00:13:41,800 --> 00:13:43,400 I can't allow patient care... 272 00:13:43,500 --> 00:13:45,000 to be compromised because you dislike me. 273 00:13:45,100 --> 00:13:47,100 - I wouldn't let that happen. - Good. 274 00:13:47,200 --> 00:13:50,100 Because the last thing I need is a divisive medical staff. 275 00:13:51,700 --> 00:13:54,100 Then maybe you should quit. 276 00:14:02,100 --> 00:14:03,800 The police want to talk to you. 277 00:14:04,000 --> 00:14:06,500 I told them to wait until after your daughter's surgery. 278 00:14:06,700 --> 00:14:09,600 - Has it started? - Yes. 279 00:14:11,200 --> 00:14:14,200 I should have told him about the threats. 280 00:14:17,000 --> 00:14:20,300 We're trying to create stem cells. 281 00:14:20,400 --> 00:14:22,100 Using embryos? 282 00:14:22,200 --> 00:14:24,300 DNA. 283 00:14:24,700 --> 00:14:26,700 Cloning. 284 00:14:27,700 --> 00:14:32,500 This was meant for me, not him. Not Jessica. 285 00:14:41,200 --> 00:14:43,700 Could I observe the surgery? 286 00:14:43,900 --> 00:14:46,700 - It's probably not a good idea. - I'm a doctor. 287 00:14:46,900 --> 00:14:49,200 You're also a mother. 288 00:14:52,400 --> 00:14:54,600 I'll see what I can do. 289 00:15:04,200 --> 00:15:07,500 - Easy, kid. Easy. - Almost there. 290 00:15:07,800 --> 00:15:09,100 Hey! 291 00:15:10,300 --> 00:15:14,000 - Sorry about that. - Damn medical students! 292 00:15:14,600 --> 00:15:16,200 He's all bark. 293 00:15:16,300 --> 00:15:18,500 You know, you remind him of his son. 294 00:15:20,200 --> 00:15:21,400 I'm black, sir. 295 00:15:23,800 --> 00:15:25,300 I can't see. 296 00:15:25,500 --> 00:15:28,400 Did you want two sets of cultures? 297 00:15:29,400 --> 00:15:33,900 - My best friend Eddie has the flu. - Yeah. There's a lot of that going around. 298 00:15:34,100 --> 00:15:36,800 - We were shooting outside. - It's freezing. 299 00:15:37,000 --> 00:15:39,400 I tried to tell the photographer. He wouldn't listen. 300 00:15:39,600 --> 00:15:41,400 Abby is gonna draw some of your blood. 301 00:15:43,700 --> 00:15:46,800 - I have a good vein here. - Okay. 302 00:15:47,300 --> 00:15:49,700 Take a deep breath. 303 00:15:50,500 --> 00:15:52,400 Exhale. 304 00:15:55,200 --> 00:15:57,600 You don't have to watch. 305 00:15:57,900 --> 00:16:00,000 I'm fine. 306 00:16:00,200 --> 00:16:03,400 Just a couple more vials and we'll be all done. 307 00:16:06,200 --> 00:16:08,500 - Where are you going? - I have other patients. 308 00:16:27,800 --> 00:16:31,400 Yeah. It's the head. 309 00:16:33,300 --> 00:16:35,400 You want to play with it? 310 00:16:37,300 --> 00:16:40,900 - Hi! - Are you feeling any better? 311 00:16:41,100 --> 00:16:42,900 Hardly. 312 00:16:45,000 --> 00:16:46,700 - Is she keeping you busy? - Yeah. 313 00:16:46,800 --> 00:16:50,200 I tried to get her down for a nap earlier, but she wouldn't do it. 314 00:16:50,300 --> 00:16:54,400 Sometimes stroking her earlobes helps lull her to sleep. 315 00:16:54,600 --> 00:16:56,200 Can I get you anything to eat? 316 00:16:56,400 --> 00:17:00,000 Oh, Rachel, I don't think I can keep anything down. 317 00:17:00,100 --> 00:17:02,400 How about some tea? 318 00:17:02,800 --> 00:17:05,300 Sure. Sure. 319 00:17:06,300 --> 00:17:08,700 Hello, sweetie pie. 320 00:17:11,600 --> 00:17:14,000 Careful. You don't want to get her sick. 321 00:17:16,300 --> 00:17:17,500 Yeah. 322 00:17:17,700 --> 00:17:19,900 Okay. Why did I wear these shoes? 323 00:17:20,100 --> 00:17:22,900 - Because you forgot that around here- - Comfort first. 324 00:17:23,100 --> 00:17:24,300 - Yes. - No, I didn't forget. 325 00:17:24,500 --> 00:17:27,700 It's just I'm not ready to go back to ugly, sensible shoes. 326 00:17:27,800 --> 00:17:31,300 I heard that you did some really nice work in that trauma today. 327 00:17:31,500 --> 00:17:33,100 Doesn't count if they don't make it. 328 00:17:33,300 --> 00:17:35,100 Why did you treat pyelo with Bactrim? 329 00:17:35,200 --> 00:17:37,600 Because the PMD sent a culture two days ago. 330 00:17:37,800 --> 00:17:39,700 I have the sensitivities. 331 00:17:39,800 --> 00:17:41,100 There's been resistance to Bactrim. 332 00:17:41,200 --> 00:17:42,200 Not for her. 333 00:17:42,400 --> 00:17:46,200 Well, if you don't have a culture, you start with Levaquin or an aminoglycoside. 334 00:17:46,400 --> 00:17:50,300 - Hey, looks like you made a friend. - Hey, hey, hey, hey, knock it off. 335 00:17:50,500 --> 00:17:52,800 - Gallant, get this dog out of here. - Thanks a lot. 336 00:17:53,000 --> 00:17:55,200 - This is a hospital, not a kennel. - What'd I do? 337 00:17:55,400 --> 00:17:57,900 Tried to let her off the hook. Whose side are you on? 338 00:17:58,100 --> 00:18:01,000 I'm not on anybody's side. I'm trying to play this very neutral. 339 00:18:01,200 --> 00:18:03,900 No. You have to be on someone's side. It better be mine. 340 00:18:04,100 --> 00:18:06,300 - Deb, she's my boss. - You like her, don't you? 341 00:18:06,500 --> 00:18:08,400 I don't dislike her. 342 00:18:08,600 --> 00:18:11,600 - That makes a lot of sense. - What makes a lot of sense? 343 00:18:11,800 --> 00:18:15,200 - Oh, your taste. - Excuse me? 344 00:18:15,300 --> 00:18:18,000 John, it's obvious. You have a thing for older women. 345 00:18:18,200 --> 00:18:20,400 - What? - Yeah. Weaver, Lewis... 346 00:18:20,600 --> 00:18:23,000 ...and, oh, that pediatric surgeon. What was her name? 347 00:18:23,200 --> 00:18:26,400 - Oh, come on! - Come on. 348 00:18:26,700 --> 00:18:28,400 Younger women just too much for you? 349 00:18:28,600 --> 00:18:30,000 I can handle myself either way. 350 00:18:30,200 --> 00:18:32,300 - Yeah, sure you can. - Your mom's asking for you. 351 00:18:32,500 --> 00:18:34,600 - What do you want to tell her? - Where's my kid? 352 00:18:34,800 --> 00:18:37,000 - I'm with a patient. - What'd you do with my kid? 353 00:18:37,100 --> 00:18:38,400 - How's the leg? - Much better. 354 00:18:38,600 --> 00:18:40,500 - What you got? - Leslie, unrestrained driver. 355 00:18:40,700 --> 00:18:43,100 Slow-speed MVA. Drove her car into some bushes. 356 00:18:43,300 --> 00:18:45,100 Found her and daughter on the curb. 357 00:18:45,200 --> 00:18:46,500 Only injury's a scalp lac. 358 00:18:46,600 --> 00:18:48,200 - Where's the daughter? - Behind us. 359 00:18:48,400 --> 00:18:52,500 - Hey, Leslie. I'm Dr. Carter. - Oh, I just bet you are, sweet face. 360 00:18:52,700 --> 00:18:55,700 BP, 130/80, no LOC. And enough alcohol... 361 00:18:55,800 --> 00:18:57,800 - ...on her breath to start a fire. - Hey, I resent... 362 00:18:57,900 --> 00:18:59,700 - Hi. What's your name? - Stacy Miller. 363 00:18:59,900 --> 00:19:02,600 Thirteen years old. No LOC. Says she wasn't hurt. 364 00:19:02,800 --> 00:19:03,900 We're gonna check you out, 365 00:19:04,000 --> 00:19:05,000 ...make sure you're okay. 366 00:19:05,200 --> 00:19:07,700 - You feeling pain anywhere? - Yeah, a big one. 367 00:19:07,900 --> 00:19:10,200 You guys a bunch of frigging perverts or something? 368 00:19:10,400 --> 00:19:12,300 In my ass. 369 00:19:12,900 --> 00:19:14,100 Excuse me? 370 00:19:14,300 --> 00:19:16,200 - That looks pretty superficial. - What? 371 00:19:16,400 --> 00:19:17,600 The cut on your head. 372 00:19:17,900 --> 00:19:19,900 There's a cut on my head? 373 00:19:20,400 --> 00:19:24,000 I'm sorry. I'm just kidding. You know- 374 00:19:24,500 --> 00:19:28,900 - Softer hands, honey. - I'm sorry. But I ain't "honey.” 375 00:19:29,100 --> 00:19:32,200 Why is everybody so serious around here? 376 00:19:32,400 --> 00:19:34,300 A pretty serious thing happened to you. 377 00:19:34,500 --> 00:19:39,000 No, no, no. See, this is a bump. 378 00:19:39,100 --> 00:19:42,800 What's seriously wrong is what's in here. 379 00:19:43,700 --> 00:19:45,700 You having chest pain? 380 00:19:47,100 --> 00:19:48,600 I have a broken heart. 381 00:19:49,000 --> 00:19:52,700 Two great weeks, and he leaves me without a word. 382 00:19:52,900 --> 00:19:54,900 What the hell kind of fiancé is that? 383 00:19:55,000 --> 00:19:57,900 Trauma panel, urine tox and a dip. 384 00:19:58,100 --> 00:19:59,800 B.A.L. and hang a banana bag. 385 00:20:00,000 --> 00:20:01,600 - Suture kit? - I'll get it. 386 00:20:02,400 --> 00:20:03,900 "Banana bag"? 387 00:20:06,200 --> 00:20:08,400 - Is that the daughter? - Yeah. 388 00:20:08,900 --> 00:20:10,400 Lucky me, huh? 389 00:20:10,600 --> 00:20:12,500 Stacy, we need to get you into a gown... 390 00:20:12,700 --> 00:20:14,500 ...so I can examine your chest and belly. 391 00:20:14,600 --> 00:20:15,700 I said I wasn't hurt. 392 00:20:16,000 --> 00:20:18,800 You want to get out of here, right? Go home, clean the house. 393 00:20:19,000 --> 00:20:20,500 Get your homework done. 394 00:20:21,800 --> 00:20:24,200 - How did you know? - I'm very smart. 395 00:20:24,500 --> 00:20:27,600 Besides, the quicker you get into this, the quicker you get out. 396 00:20:35,100 --> 00:20:36,800 At least you were being responsible. 397 00:20:37,300 --> 00:20:39,600 Mom says seat belts are too confining. 398 00:20:39,800 --> 00:20:42,400 Nice example to set, driving drunk and beltless. 399 00:20:42,600 --> 00:20:44,700 She wasn't driving. I was. 400 00:20:44,900 --> 00:20:46,800 - You're 13. - Almost 14. 401 00:20:47,000 --> 00:20:49,700 - You don't have a driver's license. - Neither does my mom. 402 00:20:49,900 --> 00:20:54,500 She still drives. I just take over when she's had too much to drink. 403 00:20:55,000 --> 00:20:56,900 You been doing this for a while now? 404 00:20:57,000 --> 00:20:59,500 Three years. Not one accident. 405 00:21:01,400 --> 00:21:02,800 Till now. 406 00:21:03,800 --> 00:21:07,500 Okay. We'll be right back. We just need to get some more supplies. 407 00:21:10,600 --> 00:21:12,600 That is completely nuts. 408 00:21:12,800 --> 00:21:16,200 Or brilliant, depending on your point of view. 409 00:21:16,800 --> 00:21:19,100 A 13-year-old driving her lush mom is good? 410 00:21:19,200 --> 00:21:22,400 No. But neither is a lush mom driving her 13-year-old around. 411 00:21:22,600 --> 00:21:24,600 Somebody's gotta be the adult. 412 00:21:24,700 --> 00:21:27,100 Everything was going along fine... 413 00:21:35,600 --> 00:21:36,800 Elizabeth, you awake? 414 00:21:37,700 --> 00:21:39,800 - What's wrong? - I don't know. She's sweaty. 415 00:21:39,900 --> 00:21:43,700 - And she just started crying. - Let me see. Let me see. 416 00:21:43,900 --> 00:21:47,300 - Did you give her milk? - No. Just mashed bananas. 417 00:21:47,500 --> 00:21:49,300 Here, just take her a moment. 418 00:21:49,500 --> 00:21:51,800 I'll just get the thermometer. 419 00:21:52,000 --> 00:21:54,200 Oh, sweetie. 420 00:21:54,300 --> 00:21:56,800 How long's she been crying? 421 00:21:57,200 --> 00:21:58,800 Elizabeth, she just threw up. 422 00:22:00,300 --> 00:22:02,100 Oh, dear. 423 00:22:02,300 --> 00:22:05,600 - Oh, come here, sweetie. - Maybe she caught what you have. 424 00:22:05,700 --> 00:22:07,200 Oh, it's okay. 425 00:22:07,400 --> 00:22:09,900 - What's this? - What? 426 00:22:10,900 --> 00:22:12,200 - Get the phone. - What is it? 427 00:22:12,400 --> 00:22:14,900 It's a pill fragment. She swallowed something. 428 00:22:16,000 --> 00:22:18,300 Oh, my God! Her heart's pounding. It's okay. 429 00:22:19,000 --> 00:22:20,500 Rachel! 430 00:22:20,600 --> 00:22:23,300 It's okay, sweetie pie. It's okay. 431 00:22:23,400 --> 00:22:27,100 It's okay. It's all right, darling. 432 00:22:28,600 --> 00:22:32,300 - It's all right, darling. Answer, damn it! - Oh, my God! 433 00:22:32,400 --> 00:22:34,200 It's okay. 434 00:22:34,300 --> 00:22:36,300 - It's E. - What? 435 00:22:37,000 --> 00:22:39,500 It's Ecstasy. I had some in my backpack. 436 00:22:39,800 --> 00:22:41,700 911. 437 00:22:42,100 --> 00:22:45,300 Yes, sorry. No, hold on. Hold on. 438 00:22:45,500 --> 00:22:46,700 - How many? - What? 439 00:22:46,800 --> 00:22:49,800 - How many pills are missing? - Just one or two. 440 00:22:52,000 --> 00:22:55,200 Yeah, sorry. I have a baby with an amphetamine overdose. 441 00:22:55,300 --> 00:22:58,900 - What's your address? - Yes. 1211 Dupont Drive. 442 00:22:59,000 --> 00:23:03,500 Please hurry. It's all right. It's all right. 443 00:23:04,100 --> 00:23:06,100 DUI's a pretty serious offense. 444 00:23:06,300 --> 00:23:09,300 Yeah, but letting her sober daughter drive was worse? 445 00:23:09,400 --> 00:23:11,900 I don't know if it's worse. It's child endangerment. 446 00:23:12,000 --> 00:23:13,400 You gotta get Social Services involved. 447 00:23:13,600 --> 00:23:15,300 Stacy goes into foster care? 448 00:23:15,500 --> 00:23:17,300 That may not be such a bad thing. 449 00:23:17,500 --> 00:23:19,200 So you want to call the cops, or should I? 450 00:23:19,400 --> 00:23:21,200 Abby, we need to find Dr. Greene. 451 00:23:21,300 --> 00:23:22,600 Okay. 452 00:23:22,700 --> 00:23:26,800 - Abby? - I'll take care of it. Oh, sorry. 453 00:23:27,000 --> 00:23:29,500 Sorry. I got a little busy there. Has his fever broke? 454 00:23:29,700 --> 00:23:31,300 No. And he's very uncomfortable. 455 00:23:31,400 --> 00:23:34,700 - No one's given him anything to eat. - I'll make sure he gets something. 456 00:23:34,800 --> 00:23:37,800 I talked to the Pedes Oncology fellow. He's gonna come see him. 457 00:23:38,000 --> 00:23:41,300 - Aren't you going to do something? - Yeah. I sent off his labs. 458 00:23:41,500 --> 00:23:43,600 No, I mean in terms of treating him. 459 00:23:44,600 --> 00:23:47,600 There's no obvious infection. The oncologist can take it from here. 460 00:23:49,400 --> 00:23:51,800 It may be a while, if you want to go home. 461 00:23:52,000 --> 00:23:53,200 I can't leave. 462 00:23:53,400 --> 00:23:54,900 His foster parents still can't get here? 463 00:23:55,000 --> 00:23:56,100 No. 464 00:23:56,500 --> 00:23:58,400 Somebody from the center can relieve you. 465 00:23:58,600 --> 00:24:00,700 I'm from the center. 466 00:24:02,100 --> 00:24:05,400 Are you sure that you want to do this? I mean, stay involved? 467 00:24:13,800 --> 00:24:16,200 Do you think she'll remember him? 468 00:24:19,000 --> 00:24:20,600 When my daughter was 6... 469 00:24:20,800 --> 00:24:24,200 ...she broke her arm in two places riding her bike. 470 00:24:24,400 --> 00:24:28,800 And the only thing she remembers from that year is seeing Muppets on Ice. 471 00:24:29,300 --> 00:24:33,900 They remember the good things. She won't forget her father. 472 00:24:36,200 --> 00:24:38,000 - Mrs. Brower. - Yes? 473 00:24:38,200 --> 00:24:41,200 I'm Dr. Romano. I finished my part of the surgery, which went well. 474 00:24:41,500 --> 00:24:42,800 Will they need to amputate? 475 00:24:44,800 --> 00:24:46,700 She's a doctor. 476 00:24:47,500 --> 00:24:49,800 There's stable bone on the remaining digits... 477 00:24:50,000 --> 00:24:52,400 ...blood supply and enough skin to cover grafts. 478 00:24:52,600 --> 00:24:54,400 So she'll have use of the hand. 479 00:24:54,500 --> 00:24:56,700 Limited use. But kids can adapt. 480 00:25:00,800 --> 00:25:03,600 Corday and the paramedics are on their way with your daughter. 481 00:25:03,800 --> 00:25:05,200 What? 482 00:25:05,400 --> 00:25:07,600 Came over the MICN as an Ecstasy overdose. 483 00:25:07,700 --> 00:25:11,300 - Did they say how much Rachel took? - All I know is, she's vomiting. 484 00:25:12,600 --> 00:25:14,700 - Is she awake? - They didn't say. 485 00:25:14,900 --> 00:25:17,900 - Who didn't say? - I didn't take the call. Haleh did. 486 00:25:22,200 --> 00:25:25,400 - What are her vitals? - I'm sorry. I don't know anything. 487 00:25:25,600 --> 00:25:27,700 I knew she was doing this. 488 00:25:28,000 --> 00:25:29,700 I knew it. 489 00:25:30,200 --> 00:25:32,600 I should have trusted my instincts. 490 00:25:34,900 --> 00:25:37,000 I gotta take the stairs. 491 00:25:41,300 --> 00:25:43,000 - Move! Move! - Sorry. 492 00:25:43,100 --> 00:25:45,500 I got the charcoal! We need a Pedes ICU bed! 493 00:25:45,700 --> 00:25:48,400 - Where are they? - Trauma 1. 494 00:25:48,500 --> 00:25:50,300 Move! Move! Move! How's her airway? 495 00:25:50,400 --> 00:25:54,000 She's breathing on her own, tachy at 180 and febrile. 496 00:25:59,300 --> 00:26:01,500 - Oh, God! - She's diaphoretic. 497 00:26:01,700 --> 00:26:04,600 - Let's get a rectal temp. - What the hell happened? 498 00:26:04,800 --> 00:26:07,300 - She swallowed Rachel's Ecstasy. - What? 499 00:26:07,500 --> 00:26:09,000 I'm not sure how. 500 00:26:09,200 --> 00:26:10,900 She's sympathomimetic toxidrome. 501 00:26:11,000 --> 00:26:13,200 And we couldn't get a line in the rig. 502 00:26:13,900 --> 00:26:16,200 - Where was it? - What? 503 00:26:16,300 --> 00:26:18,700 It was in her backpack! She had four pills. 504 00:26:18,900 --> 00:26:20,100 Two have disappeared. 505 00:26:20,300 --> 00:26:23,400 And Ella vomited a fragment of one. 506 00:26:23,600 --> 00:26:29,300 Bolus 100 of IV saline. Ten milligrams of charcoal by NG. 507 00:26:29,500 --> 00:26:32,300 - Prep a milligram of Ativan. - They blew two veins in the field. 508 00:26:32,500 --> 00:26:36,300 - I'm gonna try an interosseous. - No! No! She's got a good antecubital! 509 00:26:38,300 --> 00:26:40,100 - Oh, God! - Heart rate's 250. 510 00:26:40,300 --> 00:26:42,300 Looks like a narrow-complex SVT. 511 00:26:42,400 --> 00:26:43,600 I need a glove full of ice. 512 00:26:43,700 --> 00:26:46,500 And prep one of adenosine. 513 00:26:46,800 --> 00:26:49,700 Dr. Corday, what is her weight? 514 00:26:49,800 --> 00:26:52,300 Ten kilograms at the pediatrician's last week. 515 00:26:52,500 --> 00:26:55,600 Okay, here we go. Come on, sweetheart. Come on. 516 00:26:55,800 --> 00:26:58,300 - Twenty-four gauge in right AC. - Push the adenosine. 517 00:26:58,500 --> 00:27:00,200 Lungs are wet. She's in failure. 518 00:27:00,300 --> 00:27:01,500 We need to break tachycardia! 519 00:27:01,600 --> 00:27:04,100 The CHF is rate-related! 520 00:27:04,400 --> 00:27:07,300 Could somebody get me a stool, please? 521 00:27:07,600 --> 00:27:10,400 - Still in SVT. Are you all right? - Yes, I'm fine. 522 00:27:10,600 --> 00:27:13,400 - Worry about my daughter! - We're gonna need the crash cart. 523 00:27:13,600 --> 00:27:16,200 - What? - She's hypoxic with pulmonary edema... 524 00:27:16,400 --> 00:27:20,300 ...in SVT. The protocol is to synch cardiovert at half a joule per kilo. 525 00:27:20,500 --> 00:27:23,900 No! No, we're not shocking her. She's hemodynamically stable. 526 00:27:24,000 --> 00:27:26,000 Maybe we should get Dr. Weaver in here. 527 00:27:26,200 --> 00:27:27,200 No. 528 00:27:27,400 --> 00:27:29,800 Let's try two of adenosine. 529 00:27:31,400 --> 00:27:33,100 Abby, get Dr. Weaver. 530 00:27:35,400 --> 00:27:37,600 Mr. Kindlevich, you still being treated? 531 00:27:37,700 --> 00:27:38,900 No, discharged. 532 00:27:39,000 --> 00:27:42,600 Just waiting for the van to pick us up. 533 00:27:43,000 --> 00:27:45,900 - Stinky! - Why don't you have a seat? 534 00:27:46,100 --> 00:27:48,700 Here we go. Just step straight back. There you go. 535 00:27:48,900 --> 00:27:52,000 - He never leaves. - Well, I'm sure he'll be back soon. 536 00:27:52,200 --> 00:27:53,900 Stinky! 537 00:27:56,300 --> 00:27:58,400 Stinky? Is that you? 538 00:27:58,600 --> 00:28:01,000 Stinky? Stinky? 539 00:28:01,200 --> 00:28:04,700 Oh, Stinky! Oh, Stinky. 540 00:28:04,900 --> 00:28:06,600 He needed to take care of business. 541 00:28:06,700 --> 00:28:10,200 Gallant, you're a student, not a dog walker. 542 00:28:11,200 --> 00:28:13,800 - Bless you. - I think I'm allergic to dogs. 543 00:28:14,600 --> 00:28:16,200 Apparently. 544 00:28:16,300 --> 00:28:18,000 Next time use a plastic bag. 545 00:28:18,100 --> 00:28:19,100 Dr. Weaver! 546 00:28:19,300 --> 00:28:22,200 They need you in Trauma 1. Dr. Greene's daughter's in trouble. 547 00:28:22,300 --> 00:28:24,800 - Second round's onboard. - Stats down to 90. 548 00:28:25,000 --> 00:28:26,500 Put her up to 50 litres of O-2. 549 00:28:26,700 --> 00:28:28,300 - Still in SVT? - Yes. 550 00:28:28,500 --> 00:28:29,800 - Have-? - Push 3 adenosine. 551 00:28:30,000 --> 00:28:33,400 Mark, we both know how difficult it can be working on a family member. 552 00:28:33,600 --> 00:28:36,700 - Okay, get ready with diltiazem. - And your own child in particular. 553 00:28:36,900 --> 00:28:39,100 - I got it, Kerry. - No. 554 00:28:39,300 --> 00:28:41,900 - No, you need to step aside. - I said I've got it, Kerry. 555 00:28:42,400 --> 00:28:45,200 Calcium channel blockers can cause cardiovascular collapse... 556 00:28:45,400 --> 00:28:48,000 ...and death in kids under 1. 557 00:28:49,100 --> 00:28:50,500 Mark. 558 00:28:54,800 --> 00:28:57,600 - Push one milligram of Inderal. - You're soaking wet. 559 00:28:57,800 --> 00:29:00,000 - Please. - Your pulse's thready. You have a fever. 560 00:29:00,100 --> 00:29:02,100 It's just gastroenteritis. 561 00:29:04,100 --> 00:29:06,700 - Sinus rhythm. - Thank God! 562 00:29:11,200 --> 00:29:14,600 - Number 8 French NG for the charcoal. - Let's get Elizabeth to bed. 563 00:29:14,700 --> 00:29:17,200 - And run in two litres of saline. - I'm not leaving! 564 00:29:17,400 --> 00:29:21,300 If you don't, you're gonna pass out. That won't help anyone, least of all Ella. 565 00:29:21,500 --> 00:29:25,900 She's okay. She's stable now, okay? Go lie down. 566 00:29:26,000 --> 00:29:30,500 - I want to be able to see her. - I'll set you up in Exam 2. 567 00:29:30,700 --> 00:29:32,900 - Damn it! - Pulse ox is down to 88. 568 00:29:33,100 --> 00:29:35,400 Lungs are full of fluid. Fifteen of Lasix. 569 00:29:35,500 --> 00:29:38,100 - Think about intubation. - I can get her out of failure. 570 00:29:38,300 --> 00:29:40,300 - She's retracting. - Using accessory muscles. 571 00:29:40,500 --> 00:29:41,700 She's in respiratory distress. 572 00:29:41,800 --> 00:29:43,700 Give the diuretics a chance to work. 573 00:29:43,900 --> 00:29:46,300 Put her in the Broselow tape. Bag her on 100 percent. 574 00:29:46,500 --> 00:29:49,500 - No. You'll hyper-inflate the stomach! - Mark, your baby is hypoxic. 575 00:29:49,700 --> 00:29:51,600 You want to avoid unnecessary procedures. 576 00:29:51,800 --> 00:29:54,300 But if we don't intubate, you're making a big mistake. 577 00:29:54,500 --> 00:29:57,000 - Now, step aside. - Rate- 578 00:29:57,100 --> 00:30:00,700 The failure was rate-related. We broke the SVT. 579 00:30:00,900 --> 00:30:02,700 But now she's in pulmonary edema. 580 00:30:02,900 --> 00:30:06,400 If this wasn't your baby, we would have intubated her a long time ago. 581 00:30:06,600 --> 00:30:08,000 I'm trying to save her life. 582 00:30:14,100 --> 00:30:18,200 Pre-medicate with. 2 of atropine, 15 of lidocaine. 583 00:30:19,300 --> 00:30:22,500 Induce with 3.2 of etomidate and paralyze with 22 of sux. 584 00:30:22,700 --> 00:30:24,100 - What size tube? -4.0 uncuffed. 585 00:30:24,300 --> 00:30:26,800 - A number-one straight blade. - Call for a Pedes vent. 586 00:30:27,000 --> 00:30:30,500 Tidal volume of 100 cc's. 587 00:30:32,100 --> 00:30:34,800 - We should be doing something. - There's nothing we can do. 588 00:30:34,900 --> 00:30:37,800 They got three doctors. I think we'd just be in the way. 589 00:30:37,900 --> 00:30:41,700 - Yeah. Did you hear how it happened? - Yeah. 590 00:30:41,900 --> 00:30:45,700 It is amazing the drugs that kids can get ahold of. 591 00:30:46,400 --> 00:30:47,600 Oh, my God! Is that Rachel? 592 00:30:52,800 --> 00:30:54,500 Yeah. 593 00:30:56,000 --> 00:30:57,700 John? 594 00:30:57,800 --> 00:31:00,900 Mickey's been upstairs an hour. He hasn't been seen by a doctor. 595 00:31:01,000 --> 00:31:03,500 Yeah. That's not uncommon. 596 00:31:03,700 --> 00:31:06,100 Well, it's unacceptable. 597 00:31:06,800 --> 00:31:08,600 I was gonna get coffee. You want some? 598 00:31:08,800 --> 00:31:10,900 Yes. I'd love some. 599 00:31:16,600 --> 00:31:19,800 I was hoping you could tell me what all this means. 600 00:31:20,000 --> 00:31:22,600 - You stole his lab slips? - Yes. 601 00:31:22,800 --> 00:31:26,700 I heard that they were back but no one gave us the results. 602 00:31:35,300 --> 00:31:37,100 What is it? 603 00:31:37,700 --> 00:31:40,700 He's in blast crisis. He's had a recurrence. 604 00:31:40,800 --> 00:31:42,800 His bone marrow's full of leukemia cells. 605 00:31:43,000 --> 00:31:45,900 He's not gonna be able to fight infection. 606 00:31:46,100 --> 00:31:50,000 - Is there something we can do? - I'm sure they're giving him antibiotics. 607 00:31:50,200 --> 00:31:53,100 The oncologist will know exactly what to do. 608 00:31:53,600 --> 00:31:55,800 Yes, of course. But he's just a number to them. 609 00:31:56,000 --> 00:31:59,200 Maybe if you spoke to the doctors, they'd take him more personally. 610 00:31:59,400 --> 00:32:01,500 Why are you doing this? 611 00:32:01,600 --> 00:32:03,000 You've been here all day. 612 00:32:03,100 --> 00:32:06,700 You've been holding his hand, clipping his chart, bugging the staff. 613 00:32:06,900 --> 00:32:10,200 - I'm trying to help a sick child. - Mom, he has leukemia. 614 00:32:10,300 --> 00:32:13,400 - I know that. - And he may not survive. 615 00:32:14,200 --> 00:32:17,400 If you've got some kind of twisted need to relive this, that's fine. 616 00:32:17,700 --> 00:32:21,400 I'm not gonna do it again. I made my peace a long time ago. 617 00:32:26,700 --> 00:32:29,000 Let's pull the tube back five millimeters. 618 00:32:29,100 --> 00:32:31,800 - Are you in the main stem? - At the carina. 619 00:32:32,000 --> 00:32:33,500 You should be in bed. 620 00:32:33,700 --> 00:32:37,200 Heart rate's down to 100. Pulse ox is 99. 621 00:32:37,300 --> 00:32:39,000 When can we extubate? 622 00:32:39,100 --> 00:32:41,500 They'll probably keep her sedated in the PICU... 623 00:32:41,600 --> 00:32:45,300 ...rest her overnight in the vent and extubate her first thing in the morning. 624 00:32:46,600 --> 00:32:48,800 Mark, we need them to get a rollaway in the room. 625 00:32:49,000 --> 00:32:51,200 - I'm staying the night. - Elizabeth, you're sick. 626 00:32:51,400 --> 00:32:53,500 - Well, you're not leaving, are you? - No. 627 00:32:53,700 --> 00:32:55,300 Mark? 628 00:32:55,600 --> 00:32:58,400 - I found her wandering the hallway. - Dad? 629 00:33:04,700 --> 00:33:06,300 Rachel, where have you been? 630 00:33:07,000 --> 00:33:09,900 I was just waiting outside. Is she okay? 631 00:33:10,100 --> 00:33:12,300 Does she look okay? 632 00:33:15,900 --> 00:33:17,800 - I'm sorry. - You're sorry? 633 00:33:18,000 --> 00:33:20,800 - Mark? - Stay out of this. 634 00:33:21,000 --> 00:33:24,000 You bring drugs into our house and leave them out for a baby? 635 00:33:24,200 --> 00:33:26,100 - It wasn't mine. - Stop lying! 636 00:33:26,200 --> 00:33:28,900 They were for a party. I wasn't sure I was gonna take them. 637 00:33:29,100 --> 00:33:30,400 Your sister did. 638 00:33:31,200 --> 00:33:33,400 But she's gonna be okay, right? It was one pill. 639 00:33:33,600 --> 00:33:35,200 Are you really that stupid? 640 00:33:36,400 --> 00:33:38,100 - Ella is 9 months old! - I know. 641 00:33:38,300 --> 00:33:40,000 - She almost died. - Dad, don't- 642 00:33:40,200 --> 00:33:42,800 Don't what? What? Don't call you a liar? 643 00:33:43,000 --> 00:33:46,100 Because that's what you are! You promised you weren't doing drugs! 644 00:33:47,000 --> 00:33:48,000 I'm sorry. 645 00:33:48,200 --> 00:33:49,200 She could have brain damage... 646 00:33:49,400 --> 00:33:52,200 ...learning disabilities, low IQ, memory impairment. 647 00:33:52,400 --> 00:33:54,000 - She could still die! - I know, Dad! 648 00:33:54,200 --> 00:33:56,900 Please, please, Dad. I'm sorry! 649 00:33:57,100 --> 00:33:58,600 Dad, I'm- 650 00:33:58,900 --> 00:34:00,200 Daddy, I'm sorry. 651 00:34:02,600 --> 00:34:05,100 Dad, I'm... 652 00:34:13,000 --> 00:34:15,800 - She still seems a little warm. - We'll get a repeat temp. 653 00:34:16,000 --> 00:34:18,000 She can have ibuprofen by NG. 654 00:34:18,100 --> 00:34:19,100 I'll check the orders. 655 00:34:19,300 --> 00:34:20,600 Is this the overdose? 656 00:34:20,700 --> 00:34:23,500 Do we have a post-intubation film? 657 00:34:25,700 --> 00:34:26,900 I want someone else. 658 00:34:27,400 --> 00:34:29,300 Let's see how she's satting on 70 percent. 659 00:34:29,500 --> 00:34:31,400 No, no, no. You're not touching her. 660 00:34:31,600 --> 00:34:33,700 - What's the problem? - Page me another doctor. 661 00:34:33,800 --> 00:34:37,400 - There's no one else on service. - If we're going to control toxicity... 662 00:34:37,500 --> 00:34:41,500 - ... we need to wean down the oxygen. - Yes. Well, I want my own pediatrician. 663 00:34:41,700 --> 00:34:44,500 - Is this your daughter? - You are not touching her! 664 00:34:44,900 --> 00:34:47,400 I have to. I'm the Critical Care Attending. 665 00:34:47,600 --> 00:34:48,700 No! No! 666 00:34:48,800 --> 00:34:51,100 You do not touch my child! Do you hear me? 667 00:34:51,300 --> 00:34:52,800 - You stay away from her! - Lizzie! 668 00:34:53,000 --> 00:34:54,900 - We have to check the blood gas! - Get out! 669 00:34:55,100 --> 00:34:56,500 You heard what she said. Out! 670 00:34:56,900 --> 00:34:58,600 Get Dr. Rosato in here. 671 00:34:58,900 --> 00:35:00,300 Kerry? 672 00:35:00,500 --> 00:35:02,100 Yeah. How's she doing? 673 00:35:02,200 --> 00:35:05,400 Vitals are stable. Satting well on 50 percent. 674 00:35:05,600 --> 00:35:09,200 - Sounds like her lungs are drying up. - Yeah, we've got a long ways to go. 675 00:35:13,900 --> 00:35:16,100 My prayers are with you all. 676 00:35:17,800 --> 00:35:19,400 Kerry... 677 00:35:22,600 --> 00:35:24,500 ...thank you. 678 00:35:34,400 --> 00:35:36,400 - Taking off? - Yep. 679 00:35:36,600 --> 00:35:40,100 If I hang around here much longer, I'm gonna start to cry. 680 00:35:40,600 --> 00:35:43,400 - Is your mom still upstairs? - Don't know. 681 00:35:44,900 --> 00:35:46,700 Don't care? 682 00:35:47,900 --> 00:35:49,300 Hi. 683 00:35:49,500 --> 00:35:53,400 - Hey, I thought you left. - I wanted to say thanks. 684 00:35:54,100 --> 00:35:56,800 The officer said that they'd book her for the DUI... 685 00:35:57,000 --> 00:35:59,500 ...but that I could post bail in a couple hours. 686 00:35:59,700 --> 00:36:02,000 Wait. They're charging your mother with the DUI? 687 00:36:02,200 --> 00:36:05,200 And I made an appointment at that treatment center. 688 00:36:05,600 --> 00:36:07,500 - Great. - But you were driving. 689 00:36:08,100 --> 00:36:10,600 - No, I wasn't. - I thought you said she was driving. 690 00:36:10,800 --> 00:36:12,700 - No, I didn't. - What? 691 00:36:12,900 --> 00:36:14,900 Anyway, I gotta catch a bus. 692 00:36:15,100 --> 00:36:16,700 Good luck. 693 00:36:19,700 --> 00:36:21,600 You said you were gonna call the police. 694 00:36:21,700 --> 00:36:23,200 You said I was gonna call. 695 00:36:23,400 --> 00:36:25,200 I asked, "Will you take care of this?" 696 00:36:25,400 --> 00:36:29,000 She's her mother's best chance for recovery. I think you know that. 697 00:36:30,200 --> 00:36:32,900 - Good night, Carter. - Good night. 698 00:36:42,300 --> 00:36:44,500 Hey, Gallant. 699 00:36:48,000 --> 00:36:49,800 Your guy's dead. 700 00:37:08,300 --> 00:37:10,000 Hey. 701 00:37:13,900 --> 00:37:15,600 Rachel's here. 702 00:37:24,400 --> 00:37:26,000 Did you call the police? 703 00:37:29,200 --> 00:37:31,100 She wants to talk to you. 704 00:37:37,400 --> 00:37:39,200 I can't. 705 00:37:41,200 --> 00:37:43,200 - Elizabeth- - I'm sorry, Mark. 706 00:37:44,900 --> 00:37:46,800 I can't. 707 00:38:01,800 --> 00:38:04,700 Let's get you something to eat, okay? 708 00:38:08,900 --> 00:38:11,800 I want to stop by. But they probably want to be by themselves. 709 00:38:11,900 --> 00:38:13,700 You want to go in on dinner for them? 710 00:38:13,800 --> 00:38:15,900 Have it sent over so they don't have to leave? 711 00:38:16,100 --> 00:38:18,500 Yeah. That'd be nice. 712 00:38:18,700 --> 00:38:21,000 - Bye, Kerry. - Bye. 713 00:38:25,100 --> 00:38:27,600 - Good night, Dr. Weaver. - Good night. 714 00:38:36,000 --> 00:38:37,800 Stinky! 715 00:38:38,100 --> 00:38:40,300 What are you doing here? 716 00:38:42,500 --> 00:38:44,900 I've been trying to catch him. He's running in circles. 717 00:38:45,100 --> 00:38:48,400 And he comes back here. I think he knows Animal Control's coming. 718 00:38:48,500 --> 00:38:52,500 Oh, for God's sake! Go inside and take an antihistamine. 719 00:38:53,600 --> 00:38:55,400 Yes, ma'am. 720 00:38:56,800 --> 00:38:59,000 Come here. I don't like dogs. 721 00:38:59,900 --> 00:39:01,600 And I don't like your name. 722 00:39:04,900 --> 00:39:07,100 Give me a break. 723 00:39:10,500 --> 00:39:13,500 All right, come on. 724 00:39:13,700 --> 00:39:14,900 You better be housebroken. 725 00:39:15,100 --> 00:39:18,500 Because if you're not, you're going right back to the pound. 726 00:39:20,600 --> 00:39:22,900 - Who is it? - Abby, it's me. Let me in. 727 00:39:23,100 --> 00:39:25,800 - Joyce? - Please hurry. 728 00:39:26,000 --> 00:39:27,500 Hey. 729 00:39:28,300 --> 00:39:30,000 What's wrong? 730 00:39:30,300 --> 00:39:32,100 - Joyce? - Turn out the lights. 731 00:39:32,300 --> 00:39:33,800 - What? - Turn out all the lights. 732 00:39:34,000 --> 00:39:36,600 - Well, what's going on? - I'm sorry. I had to get out. 733 00:39:36,800 --> 00:39:38,700 I hope it's okay that I came here. 734 00:39:38,800 --> 00:39:39,900 Well, of course it is. 735 00:39:40,100 --> 00:39:42,600 But- Joyce? 736 00:39:44,700 --> 00:39:46,900 Joyce, you in there? 737 00:39:48,600 --> 00:39:50,100 No, no, no, no. Don't go. 738 00:39:50,300 --> 00:39:52,900 He's probably just looking anyplace he can think of. 739 00:39:53,000 --> 00:39:54,500 Open up, damn it! 740 00:39:55,400 --> 00:39:58,400 - I'm calling the police. - No. It'll just make it worse. 741 00:39:58,500 --> 00:40:02,600 - He just needs to calm down. - Joyce, you in there? 742 00:40:03,100 --> 00:40:05,900 Joyce, we can't hide in here all night. 743 00:40:06,100 --> 00:40:07,900 Joyce! 744 00:40:09,700 --> 00:40:11,400 He'll go away. 745 00:40:11,500 --> 00:40:14,800 - When? - Open up, damn it! 746 00:40:15,800 --> 00:40:17,500 Bitch! 747 00:40:22,400 --> 00:40:23,900 I think he's gone. 748 00:40:25,000 --> 00:40:26,900 Can I stay here for a while? 749 00:40:28,800 --> 00:40:30,400 Sure. 750 00:41:18,500 --> 00:41:20,200 She's pretty tired. 751 00:41:21,500 --> 00:41:23,200 Okay. 752 00:41:24,500 --> 00:41:26,300 How you feeling? 753 00:41:28,200 --> 00:41:31,800 - Kind of better. - Yeah? They treating you okay up here? 754 00:41:32,600 --> 00:41:35,100 They don't tell me much. 755 00:41:37,900 --> 00:41:40,000 They tell her mostly. 756 00:41:48,000 --> 00:41:49,900 You know what's happening to you, Mickey? 757 00:41:53,700 --> 00:41:55,600 I know it's back. 758 00:41:57,800 --> 00:41:59,500 But... 759 00:41:59,900 --> 00:42:02,500 ...I don't think it'll be as bad this time. 760 00:42:08,500 --> 00:42:10,800 I was by myself before. 761 00:42:43,800 --> 00:42:46,200 She looks asleep. 762 00:42:49,700 --> 00:42:52,000 But she's not. 763 00:42:59,700 --> 00:43:02,200 Hey, you want me to...? 764 00:43:02,300 --> 00:43:04,900 You want me to take over for a while? 765 00:43:05,100 --> 00:43:06,800 No. 766 00:43:22,200 --> 00:43:25,200 She is gonna come out of this. 767 00:43:28,400 --> 00:43:32,200 Well, she may not. 768 00:43:34,800 --> 00:43:38,100 She may never open her eyes again. 769 00:43:38,700 --> 00:43:40,500 Elizabeth. 770 00:43:42,100 --> 00:43:46,700 I don't understand why this has happened. 771 00:43:55,900 --> 00:43:58,200 It'll be okay. 772 00:44:03,600 --> 00:44:08,000 Mark, you don't know that, do you? 773 00:44:17,200 --> 00:44:18,900 No. 774 00:44:19,500 --> 00:44:21,600 No. 775 00:44:27,400 --> 00:44:30,500 Subtitles by SDI Media Group