1 00:00:05,700 --> 00:00:07,400 Previously on E.R. 2 00:00:07,400 --> 00:00:10,600 Who's that? - Susan Lewis. We're supposed to have lunch. 3 00:00:10,800 --> 00:00:12,600 You didn't say anything about having a lunch. 4 00:00:12,600 --> 00:00:14,800 If you want the Chief Residency its yours. 5 00:00:14,800 --> 00:00:17,100 Jackie, it's Peter. If you're there, pick up! 6 00:00:17,100 --> 00:00:19,800 Hey Roger, it's Peter. I need you to pick up Reece from school. 7 00:00:19,800 --> 00:00:21,800 I found her. It's your mother. 8 00:00:22,200 --> 00:00:24,400 It's that breast milk? You're contaminated. Scrub out. 9 00:00:24,400 --> 00:00:25,400 Okay! 10 00:00:25,500 --> 00:00:28,500 - What do you want me to do, Rachel? - You could let me stay here. 11 00:00:28,500 --> 00:00:29,900 It's a big move. 12 00:00:29,900 --> 00:00:31,700 Do you guys have a satellite dish? 13 00:00:32,100 --> 00:00:34,900 - But you're not winning me over. - I signed you up for Tuesday 14 00:00:34,900 --> 00:00:35,900 You're serious? 15 00:00:41,500 --> 00:00:44,700 Yeah, it's- No, it's my pager number. 16 00:00:44,900 --> 00:00:47,800 Yes. Dr. Kerry Weaver. 17 00:00:48,000 --> 00:00:53,900 No. It's nothing serious. I just have some personal information for her. 18 00:00:54,600 --> 00:00:56,600 - All right. Thank you. - Good morning. 19 00:00:56,800 --> 00:00:58,600 Good morning. You all set? 20 00:00:58,700 --> 00:01:02,800 Oh, yeah. I forgot how jammed the El can be during rush hour. 21 00:01:03,100 --> 00:01:08,600 - Is there any chance I could get a locker? - Oh, sure. Fourth to the right. 22 00:01:08,800 --> 00:01:10,500 I'll have them take the name off. 23 00:01:12,200 --> 00:01:14,500 - Welcome back. - Thanks. 24 00:01:20,000 --> 00:01:22,500 Watch out! Coming through! 25 00:01:22,700 --> 00:01:25,200 - I heard it, but I didn't believe it. - Malik! 26 00:01:25,400 --> 00:01:27,000 Oh, we missed you! 27 00:01:27,200 --> 00:01:29,500 They actually talked you into coming back here. 28 00:01:29,700 --> 00:01:31,300 - Bad idea? - I didn't say that. 29 00:01:31,500 --> 00:01:34,500 Frank, call Housekeeping. Someone took a dump in Exam 2. 30 00:01:34,700 --> 00:01:38,900 - Hey, Frank, our mad crapper's back, huh? - If I catch him, he'll be pooping in a bag. 31 00:01:39,000 --> 00:01:40,800 - What happened to the board? - Weaver. 32 00:01:41,000 --> 00:01:44,500 Spanky's in Curtain 3 complaining of incontinence. I'm not touching him. 33 00:01:44,700 --> 00:01:46,900 - I'll take him. - I don't think you want that. 34 00:01:47,000 --> 00:01:50,300 - Here. Leg injury, Curtain 1. - Welcome back, Dr. L. 35 00:01:50,500 --> 00:01:52,700 Thanks. What's the story with Spanky? 36 00:01:52,800 --> 00:01:55,500 He likes nurses. A lot. 37 00:01:56,200 --> 00:01:59,000 - Dr. Lewis? Are you Susan Lewis? - Yes. 38 00:01:59,100 --> 00:02:01,100 Cleo Finch, the Senior on nights this week. 39 00:02:01,200 --> 00:02:02,200 Nice to meet you. 40 00:02:02,300 --> 00:02:04,300 - I have a few pass-ons. - Okay. 41 00:02:04,300 --> 00:02:08,600 Curtain 3, worst headache of his life. Do a spinal tap if the head CT is negative. 42 00:02:08,800 --> 00:02:11,500 - Okay. No problem. - Well, well, well. 43 00:02:11,600 --> 00:02:13,900 - Dr. Susan Lewis. - Dr. Benton. 44 00:02:14,100 --> 00:02:16,100 Just when I thought it was safe to come in. 45 00:02:16,300 --> 00:02:18,400 - I missed you too, Peter. - I know. 46 00:02:19,400 --> 00:02:21,000 So can I buy you breakfast? 47 00:02:21,200 --> 00:02:25,200 I just got here, but you can get me lunch. Oh, sorry. 48 00:02:25,400 --> 00:02:27,300 I have to sign out and get to Schaumburg. 49 00:02:27,500 --> 00:02:29,400 - Another interview? - No, the job's mine. 50 00:02:29,500 --> 00:02:32,800 - Meeting the medical director today. - Congratulations. 51 00:02:33,000 --> 00:02:34,600 Nosebleed in Suture's got Merocel. 52 00:02:34,800 --> 00:02:37,000 Check on him. Wear a mask, he's a spitter. 53 00:02:37,200 --> 00:02:38,900 Right. Are you going somewhere? 54 00:02:39,100 --> 00:02:42,800 I've been offered the chance to run a pediatric urgent care. Five doctors... 55 00:02:43,000 --> 00:02:45,500 - ... eight-hour shifts, no overnights. - Yeah, but it's... 56 00:02:45,700 --> 00:02:47,300 - What? - ... in Schaumburg. 57 00:02:47,500 --> 00:02:51,100 It's 40 minutes away. IV drug user with a shooter's abscess. 58 00:02:51,200 --> 00:02:54,300 Whisked off to Echo before I could drain him. 59 00:02:54,400 --> 00:02:55,600 - Anything else? - Yeah. 60 00:02:55,700 --> 00:02:58,000 They just brought in a homeless lady with maggots. 61 00:02:58,200 --> 00:03:00,800 I'd see her before they start crawling away. 62 00:03:01,000 --> 00:03:02,000 Thanks. 63 00:03:03,000 --> 00:03:06,400 - Mark, can you get the water? - Did you see my vertigo notes? 64 00:03:06,600 --> 00:03:07,800 - I got it. - What? 65 00:03:08,000 --> 00:03:11,700 - My vertigo notes. They were right here. - We need to leave in 10 minutes. 66 00:03:11,900 --> 00:03:15,300 - I'm ready, as soon as I find my notes. - When did you last have them? 67 00:03:15,400 --> 00:03:17,100 - Last night. - That will be fun. 68 00:03:17,300 --> 00:03:20,100 Okay, hold on. Dad, can I go to a party tonight? 69 00:03:20,300 --> 00:03:22,300 - It's a school night. - Something's burning. 70 00:03:22,400 --> 00:03:24,300 Just for dinner. It's Claire's birthday. 71 00:03:24,500 --> 00:03:26,700 - Who's Claire? - A girl from school. 72 00:03:27,300 --> 00:03:29,300 Sorry. Do you want some cereal or something? 73 00:03:29,500 --> 00:03:31,400 - No. I'll get something later. - Dad? 74 00:03:31,600 --> 00:03:33,900 - Let me talk to her mother. - Is your mom there? 75 00:03:34,100 --> 00:03:35,900 Mark, I have an 8:00 thyroidectomy. 76 00:03:36,100 --> 00:03:40,100 Hi, this is Mark Greene. Yeah, Rachel's dad. I just was wanting to... 77 00:03:40,300 --> 00:03:44,200 - So how did you meet Claire? - She's my partner in art class. 78 00:03:45,500 --> 00:03:47,300 What are you working on? 79 00:03:47,500 --> 00:03:49,500 Call me after dinner and I'll pick you up. 80 00:03:50,200 --> 00:03:51,900 Cool. 81 00:03:52,800 --> 00:03:54,700 - Katherine's early. - Good. 82 00:03:55,300 --> 00:03:57,600 Gonna need to get dressed in the car. 83 00:03:57,800 --> 00:04:00,000 - Hi. Is Rachel ready? - Who are you? 84 00:04:00,100 --> 00:04:02,100 This is Andrew. He's driving me to school. 85 00:04:02,200 --> 00:04:05,100 - Nice to meet you. - Here are your notes. Dining-room table. 86 00:04:05,200 --> 00:04:07,700 - When did this happen? - Oh, sorry, I forgot. 87 00:04:07,900 --> 00:04:10,400 Andrew has a car while his dad's out of town. 88 00:04:10,500 --> 00:04:13,400 - You have a license? - Yeah. Well, I got it in June. 89 00:04:13,600 --> 00:04:17,100 - I have no accidents, you know. - We can take you to school. 90 00:04:17,200 --> 00:04:20,100 No, no, it's good. Now you guys won't be late for work. 91 00:04:22,300 --> 00:04:24,700 Well, I guess she's making friends. 92 00:05:15,400 --> 00:05:19,200 - I don't like taking my clothes off. - You have to if you want to be examined. 93 00:05:19,400 --> 00:05:23,300 Can't you just listen to my stomach? I think something's, like, blown loose. 94 00:05:23,500 --> 00:05:26,500 - It keeps making these weird noises. - Maybe you're hungry. 95 00:05:26,600 --> 00:05:28,600 And maybe I'm bleeding into my belly. 96 00:05:28,800 --> 00:05:31,200 Could it be a complication from my surgery? 97 00:05:31,300 --> 00:05:33,400 I don't know. My x-ray vision isn't working. 98 00:05:33,600 --> 00:05:35,300 - Are you mocking me? - No. 99 00:05:35,400 --> 00:05:38,300 - It sounds like you're mocking me. - I'm taking you seriously... 100 00:05:38,500 --> 00:05:41,300 ...which is why I'll examine you as soon as you get undressed. 101 00:05:41,500 --> 00:05:43,700 - You just wanna see me naked. - I want to examine you. 102 00:05:43,900 --> 00:05:47,800 Yeah, examine me naked. Can I get a male doctor in here? A straight one? 103 00:05:48,000 --> 00:05:50,000 First day of school, already making friends? 104 00:05:50,100 --> 00:05:52,600 - I'm a shoo-in for homecoming queen. - So far, so good. 105 00:05:52,800 --> 00:05:57,000 Oh, yeah. Foul abscess, a neurotic granny, naked boy here. 106 00:05:57,200 --> 00:05:58,900 And I had to break into Chen's locker. 107 00:05:59,100 --> 00:06:01,500 - Did you steal her stuff? - Weaver gave it to me. 108 00:06:01,700 --> 00:06:04,500 What are you using for maggots these days? Cetacaine? 109 00:06:04,600 --> 00:06:07,000 Good thought, but Kerry's immune to it. 110 00:06:07,200 --> 00:06:09,100 You're enjoying this, aren't you? 111 00:06:09,200 --> 00:06:12,200 Colonel Dixon's Magical Maggot Mix. 112 00:06:12,300 --> 00:06:14,800 Seriously, you paint it on with milk. 113 00:06:15,000 --> 00:06:18,700 Paramedic radios over this. Dr. Greene and Dr. Lewis, two of our Attendings. 114 00:06:18,800 --> 00:06:21,900 Welcome. Don't kill anyone. And I'll mix you up a fresh batch. 115 00:06:22,100 --> 00:06:25,600 Dr. Lewis is a wealth of medical knowledge, but don't ask her where anything is. 116 00:06:25,800 --> 00:06:29,300 She is just getting re-oriented after a five-year sabbatical herself. 117 00:06:29,400 --> 00:06:30,500 Five years? 118 00:06:30,700 --> 00:06:32,400 - Posttraumatic stress. - What happened? 119 00:06:32,400 --> 00:06:35,700 You don't wanna know. Fill these out and then come find me. 120 00:06:35,900 --> 00:06:38,700 - Do you have a pen? - Come prepared. Want the tour? 121 00:06:38,900 --> 00:06:42,200 I think I can find my way around again. New group of neophytes? 122 00:06:42,300 --> 00:06:45,500 - Yeah, I get to babysit them too. - It's the burden of being Chief Resident. 123 00:06:45,700 --> 00:06:47,300 - You've heard? - Yes, I have. 124 00:06:47,500 --> 00:06:50,000 Oh, nurse? Nurse? Nurse? 125 00:06:50,200 --> 00:06:52,300 - Are you talking to me? - I don't know your name. 126 00:06:52,500 --> 00:06:55,200 You haven't met Abby yet. Abby Lockhart, Dr. Susan Lewis. 127 00:06:55,300 --> 00:06:58,500 - Susan, Abby. Susan used to work here. - That's the rumor. 128 00:06:58,700 --> 00:07:00,800 Could you set me up for suturing in Exam 3? 129 00:07:01,000 --> 00:07:02,600 - Set you up? - Open a kit... 130 00:07:02,800 --> 00:07:05,200 ...some 4-0 nylon, number-seven gloves, Betadine. 131 00:07:05,300 --> 00:07:08,400 - It's all in the room. New chest pain in 2. - Altered LOC over here! 132 00:07:08,600 --> 00:07:12,100 Hey, Mooney. Get started on the chest pain here. You know the routine. 133 00:07:12,300 --> 00:07:14,200 Oxygen, aspirin, nitro times three. 134 00:07:14,300 --> 00:07:15,300 I can't believe you're back. 135 00:07:15,500 --> 00:07:17,600 - You look great! - So do you. I love your hair. 136 00:07:17,700 --> 00:07:19,900 Hey, my brother could be dying here. 137 00:07:20,000 --> 00:07:22,000 - Ready, steady, lift. - No response to Narcan. 138 00:07:22,200 --> 00:07:24,500 We were just talking. That's it, talking. 139 00:07:24,700 --> 00:07:27,600 - Is he taking any medications? - Not that he's told me about. 140 00:07:27,700 --> 00:07:31,700 Lack of disconjugate gaze and conjugate deviation rules out a structural lesion. 141 00:07:31,900 --> 00:07:34,800 CBC, chem panel, 12-lead, tox screen and a head CT. 142 00:07:35,000 --> 00:07:37,400 - Did he have a stroke? - It's too early to say. 143 00:07:37,500 --> 00:07:40,800 The abrupt onset suggests CNS bleed, seizure, 144 00:07:40,800 --> 00:07:42,500 even cardiopulmonary anoxia. 145 00:07:42,700 --> 00:07:45,200 - Pulse ox is 99. - Don't let him die. 146 00:07:45,300 --> 00:07:46,600 No tremor... 147 00:07:46,800 --> 00:07:50,200 ...asterixis or myoclonus, suggestive of a metabolic encephalopathy. 148 00:07:50,400 --> 00:07:52,200 I'm trying to listen. 149 00:07:52,400 --> 00:07:56,000 - You want a portable chest? - Ask Professor Carter. 150 00:07:56,100 --> 00:07:59,100 - How would you describe your pain? - It hurts. 151 00:07:59,300 --> 00:08:01,700 Is it stabbing? Burning? Tearing? 152 00:08:01,800 --> 00:08:04,100 What's the freaking difference? 153 00:08:04,800 --> 00:08:09,100 Okay. I'm gonna give you some medicine under your tongue. 154 00:08:10,100 --> 00:08:11,600 And open. 155 00:08:12,300 --> 00:08:14,400 - Let me know if it's better. - Three sprays? 156 00:08:14,600 --> 00:08:16,600 - Yeah. Nitro times three. - At once? 157 00:08:16,700 --> 00:08:18,400 I don't feel good. What's happening? 158 00:08:18,600 --> 00:08:20,700 I'm gonna put your head down for a minute. 159 00:08:20,900 --> 00:08:22,400 - I feel so dizzy. - What? 160 00:08:22,600 --> 00:08:24,600 - Everything's blurry. - Okay. 161 00:08:24,800 --> 00:08:28,400 You're gonna feel a little bit more oxygen flowing through your nose. 162 00:08:28,500 --> 00:08:31,200 - How's the pain in your chest? - Worse. 163 00:08:31,300 --> 00:08:33,500 -80/60. - Is it bad? 164 00:08:33,700 --> 00:08:36,400 - No, just a little bit low. - Was that the wrong medicine? 165 00:08:36,600 --> 00:08:39,200 No, everything's okay. This just happens sometimes. 166 00:08:39,300 --> 00:08:42,100 Dr. Mooney is one of our best. 167 00:08:42,300 --> 00:08:44,800 - I'll go write my note. - Yeah, do that. 168 00:08:46,200 --> 00:08:49,300 - Neuroleptic malignant syndrome. - It's in the differential. 169 00:08:49,500 --> 00:08:52,200 - Where did you come up with that? - Photographic memory. 170 00:08:52,300 --> 00:08:55,800 And I delivered a lecture on coma last week. 171 00:08:55,900 --> 00:08:57,300 - Ridiculous. - What? 172 00:08:57,500 --> 00:09:00,700 Time. Yesterday it seems you couldn't start an IV. 173 00:09:00,800 --> 00:09:02,700 - It was longer than yesterday. - Carter. 174 00:09:02,900 --> 00:09:04,400 - Yeah? - Mooney saw my patient. 175 00:09:04,600 --> 00:09:07,400 - What'd you tell him about nitro? - The basics. Three sprays. 176 00:09:07,500 --> 00:09:11,000 - Three sprays. That's right. - All at once? 177 00:09:11,200 --> 00:09:13,800 - No, you give them every five minutes. - You left that out. 178 00:09:14,000 --> 00:09:17,200 - How's his pressure? - Zero over zero. He's dead. 179 00:09:17,700 --> 00:09:19,600 I'm kidding. 180 00:09:20,300 --> 00:09:23,500 I pulled him through. Keep a short leash on your students, huh? 181 00:09:23,600 --> 00:09:26,600 - All clear. - I'm gonna go check on this guy. 182 00:09:26,700 --> 00:09:29,300 - You got this? - Yeah, I think so. 183 00:09:29,600 --> 00:09:30,900 Did you see him get hit? 184 00:09:31,100 --> 00:09:34,700 No. I went to return the shopping cart and he was just laying by the car. 185 00:09:36,800 --> 00:09:38,800 - What do you got? - Weak pulse, shallow resps. 186 00:09:39,000 --> 00:09:40,500 - What's your dad's name? - Alan. 187 00:09:40,700 --> 00:09:42,500 Alan, can you open your eyes? 188 00:09:42,700 --> 00:09:44,800 - GCS is 2-4-5. - Is he waking up? 189 00:09:45,400 --> 00:09:46,700 Not just yet. 190 00:09:47,100 --> 00:09:49,400 Mark, look at this. 191 00:09:49,700 --> 00:09:51,200 We need a backboard. 192 00:09:53,800 --> 00:09:56,700 Blood count's normal. Chemistry's okay. 193 00:09:56,800 --> 00:09:58,800 Nothing on the tox screen. 194 00:09:59,000 --> 00:10:01,700 - All of his labs look good. - Why is he still in a coma? 195 00:10:01,900 --> 00:10:04,300 How much longer up there? 196 00:10:05,600 --> 00:10:08,400 - Has he ever seen a psychiatrist? - I don't think so. 197 00:10:10,500 --> 00:10:12,200 Sorry. 198 00:10:13,900 --> 00:10:17,200 Coming through! Need a portable chest and pelvic. 199 00:10:17,400 --> 00:10:20,600 Your brother has signs of psychogenic coma. 200 00:10:20,800 --> 00:10:23,500 - What's that? - When we open his eyelids, they flutter. 201 00:10:23,700 --> 00:10:27,500 He responds to a Q-Tip in the nose. I don't think it's a real coma. 202 00:10:28,000 --> 00:10:30,400 What do you mean, he's faking? 203 00:10:31,000 --> 00:10:34,900 What about the shaking and the frothing at the mouth and everything? 204 00:10:35,100 --> 00:10:37,700 I'd like to get a psychiatric consultation. 205 00:10:37,900 --> 00:10:42,100 Yeah, yeah. That would be great. He has been under a lot of pressure lately. 206 00:10:42,300 --> 00:10:45,300 - Hey, what's taking so long? - You're still dressed? 207 00:10:45,900 --> 00:10:48,200 - We'll move him to a quieter room. - Great. 208 00:10:48,400 --> 00:10:51,700 Do you have a gown? I could catch cold. It's bad enough I'm bleeding out. 209 00:10:51,900 --> 00:10:54,100 Go back to your bed. The nurse will bring one. 210 00:10:54,300 --> 00:10:56,300 How long until the psychiatrist gets here? 211 00:10:56,400 --> 00:10:57,700 I'll let you know. 212 00:10:57,900 --> 00:11:00,900 Can I just talk to my surgeon? British chick, red hair. 213 00:11:01,100 --> 00:11:02,500 Will you shut up?! 214 00:11:03,500 --> 00:11:06,400 - Systolic's up to 100. - Let's roll him. Set up the SonoSite. 215 00:11:06,600 --> 00:11:09,200 - Cross for 6. - Large abrasions to the back. 216 00:11:09,400 --> 00:11:12,600 Did the car crush him against something? 217 00:11:12,800 --> 00:11:15,200 - I didn't see. - Tracey...? 218 00:11:15,400 --> 00:11:17,600 - Daddy? - Sir, you're in a hospital. 219 00:11:17,700 --> 00:11:21,100 - Do you know what the date is? - Daddy, I'm so sorry. 220 00:11:21,300 --> 00:11:23,500 - You didn't see me. - Alan? 221 00:11:23,600 --> 00:11:25,900 - What's he saying? - I don't know. 222 00:11:26,100 --> 00:11:28,000 - Sorry for what? - Were you in the car? 223 00:11:29,800 --> 00:11:32,500 - I'm sorry. - Looks like a liver lac. 224 00:11:32,700 --> 00:11:34,500 - I'll go get her. - Let's intubate. 225 00:11:34,600 --> 00:11:36,000 Etomidate and sux. 226 00:11:36,100 --> 00:11:40,000 - Where were you stationed? - In Birmingham. 227 00:11:40,300 --> 00:11:44,700 - I have an uncle in Birmingham. - Does he work in the steel mills? 228 00:11:44,900 --> 00:11:46,900 The university. 229 00:11:47,100 --> 00:11:50,900 We handled mail for 7 million soldiers. 230 00:11:51,100 --> 00:11:55,000 Sixty-five thousand pieces every eight hours. 231 00:11:55,200 --> 00:12:00,400 - My goodness. - Nothing beats a letter from home. 232 00:12:03,100 --> 00:12:04,700 What do you think? 233 00:12:04,900 --> 00:12:08,300 It's a perforation. A small hole in the colon. 234 00:12:08,600 --> 00:12:11,400 It's from her diverticular disease. 235 00:12:11,500 --> 00:12:14,500 I'm afraid you'll need an operation to fix it. 236 00:12:14,700 --> 00:12:17,800 Is that really necessary? She's so weak. 237 00:12:17,900 --> 00:12:20,600 It's really the only option. 238 00:12:20,800 --> 00:12:23,000 Can't we wait a few days? 239 00:12:23,100 --> 00:12:26,600 Then she'll become extremely ill, and surgery could be dangerous. 240 00:12:26,800 --> 00:12:30,900 If I were your mother, would you recommend the operation? 241 00:12:32,300 --> 00:12:34,300 Absolutely. 242 00:12:34,500 --> 00:12:37,300 - Then we'll do it. - Dr. Corday? 243 00:12:37,500 --> 00:12:40,700 I have a Mr. Ashman who says you repaired his hernia. 244 00:12:40,900 --> 00:12:43,100 Chubby, drug-seeking hypochondriac? 245 00:12:43,100 --> 00:12:45,300 I don't know about drug seeking. Complains of abdominal pain. 246 00:12:45,500 --> 00:12:48,000 - What's his exam like? - Didn't do one. 247 00:12:48,200 --> 00:12:49,500 Then why are you talking to me? 248 00:12:49,600 --> 00:12:51,700 Some surgeons treat their patients primarily. 249 00:12:51,900 --> 00:12:55,500 - Not this one. - Well, he's going to say he's tender. 250 00:12:55,700 --> 00:12:58,700 - You'll be seeing him eventually. - Maybe, maybe not. 251 00:12:58,900 --> 00:13:01,800 - Oh, I'm pretty certain. Abby. - Malik. 252 00:13:02,000 --> 00:13:03,800 - Who gets the vent? - Curtain 3. 253 00:13:04,000 --> 00:13:05,000 I have to start a dopamine drip. 254 00:13:05,100 --> 00:13:07,600 Curtain 2, he's still fully clothed. 255 00:13:07,800 --> 00:13:10,600 - He needs a gown, don't you think? - Sure. 256 00:13:11,700 --> 00:13:13,400 Stop! 257 00:13:14,100 --> 00:13:15,400 Somebody! 258 00:13:16,900 --> 00:13:19,400 - You thought you could fool me? - Mr. Norden! 259 00:13:20,200 --> 00:13:22,300 Stop it! Security! 260 00:13:22,400 --> 00:13:25,800 You take a loan from Mr. Bennett, he expects his money back. 261 00:13:26,000 --> 00:13:30,200 You pay it by Monday or next time it's gonna be your head, you understand? 262 00:13:34,000 --> 00:13:37,500 I need a nurse in here. Oh, my God. Are you all right? 263 00:13:37,700 --> 00:13:40,400 - He broke my legs. - He's not your brother? 264 00:13:43,600 --> 00:13:48,800 - Would you like me to call your mom? - No. No. It's just us. 265 00:13:50,400 --> 00:13:53,800 God, we were having such a great day too. 266 00:13:54,400 --> 00:13:58,600 He took me out to lunch because I got into law school. 267 00:13:58,800 --> 00:14:01,300 Early acceptance? 268 00:14:03,300 --> 00:14:04,900 He even... 269 00:14:05,100 --> 00:14:09,200 He even laminated a copy of the letter to his toolbox. 270 00:14:11,700 --> 00:14:16,500 - What is that? What are they doing? - They' re just taking x-rays. 271 00:14:17,000 --> 00:14:20,600 - Is something broken? - He may have a crushed pelvis. 272 00:14:22,700 --> 00:14:27,800 - Is that really bad? - Possibly. He might need surgery. 273 00:14:27,900 --> 00:14:29,600 God. 274 00:14:29,800 --> 00:14:34,800 He had to have been run over or pinned against something. 275 00:14:41,400 --> 00:14:43,700 It was a wall. 276 00:14:43,900 --> 00:14:45,500 What? 277 00:14:48,700 --> 00:14:53,400 Look, I thought I was in reverse. 278 00:14:53,600 --> 00:14:58,700 It was such a tight space. He was out front waiting for me to back out. 279 00:15:01,400 --> 00:15:04,000 I thought it was in reverse. 280 00:15:16,000 --> 00:15:19,300 - Mr. Stegman's troponin is positive. - I sent Mooney to the library. 281 00:15:19,500 --> 00:15:24,900 - Good call. CPK on Norden. - That's Susan's patient. Dr. Lewis. 282 00:15:25,000 --> 00:15:28,400 - Has she always been high-maintenance? - She's not. She's great. 283 00:15:28,600 --> 00:15:31,400 - Could you get a rectal temp in Room 4? - Anything else? 284 00:15:31,500 --> 00:15:33,600 - That should do it. - I heard about your hit man. 285 00:15:33,800 --> 00:15:36,200 More like an enforcer. 286 00:15:36,400 --> 00:15:38,800 - Never a dull moment. - I could use a dull moment. 287 00:15:38,900 --> 00:15:41,300 - Pick a chart. Any chart. - This is a setup. 288 00:15:41,500 --> 00:15:43,600 No, just go ahead. Pick. 289 00:15:43,800 --> 00:15:46,000 - Are you sure? - No. 290 00:15:47,300 --> 00:15:49,100 Female abdominal pain. What did you get? 291 00:15:49,300 --> 00:15:50,500 Suture removal. 292 00:15:50,600 --> 00:15:52,600 - This is definitely a setup. - On a scrotum. 293 00:15:52,700 --> 00:15:54,200 Maybe not. 294 00:15:54,400 --> 00:15:56,900 - All right, where is he? - Who? 295 00:15:57,000 --> 00:15:59,100 Mr. Ashman. You paged for a consult. 296 00:15:59,300 --> 00:16:01,200 Curtain 2. Epigastric tenderness on exam. 297 00:16:01,400 --> 00:16:04,700 - As predicted. - Better hurry before he finds his clothes. 298 00:16:04,800 --> 00:16:07,800 Dr. Corday, there's a code in the SICU, one of your patients. 299 00:16:08,000 --> 00:16:10,300 You'll have to keep him hidden. 300 00:16:13,600 --> 00:16:14,900 - Amal? - Yes. 301 00:16:15,100 --> 00:16:18,200 Hi, I'm Dr. Lewis. How long have you had your stomach trouble? 302 00:16:18,400 --> 00:16:21,000 Since yesterday. How long is this gonna take? 303 00:16:21,100 --> 00:16:23,100 I don't know. It depends on what's wrong. 304 00:16:23,300 --> 00:16:27,600 Well, I need to be home in two hours, no matter what. 305 00:16:27,800 --> 00:16:29,700 Pressure's good, 110/60. 306 00:16:29,800 --> 00:16:32,100 TKO the saline. Send up the last two O-neg. 307 00:16:32,200 --> 00:16:34,600 - Is he okay? - He's responding to blood transfusion. 308 00:16:34,800 --> 00:16:37,700 - But he needs surgery to repair his liver. - Hold the elevator! 309 00:16:37,800 --> 00:16:40,800 - Can I go with him? - Take her to the surgical waiting room. 310 00:16:41,000 --> 00:16:43,000 Wait right here, I'll come back and get you. 311 00:16:43,200 --> 00:16:45,600 - You want one-shot IVP? - We'll do it upstairs. 312 00:16:45,800 --> 00:16:47,700 - It's two-plus for heme. - Got it. 313 00:16:47,800 --> 00:16:50,700 Dr. Greene? Did you get a BAL on the daughter? 314 00:16:51,000 --> 00:16:54,300 I smelled alcohol on her breath. A DUl with injury is a felony. 315 00:16:54,500 --> 00:16:56,500 - She wasn't driving. - Now she says she was. 316 00:16:56,700 --> 00:16:59,800 - Did you get the CT? Radiology's waiting. - Peter took him to the O.R. 317 00:17:00,000 --> 00:17:01,700 She's changing her story. 318 00:17:01,900 --> 00:17:05,500 - Did you smell alcohol on the daughter? - I don't know. Maybe. 319 00:17:05,700 --> 00:17:08,800 - Are you arresting her? - You can still draw a level. 320 00:17:09,000 --> 00:17:11,700 Give her a break. Her father's in critical condition. 321 00:17:11,800 --> 00:17:14,000 Because she hit him while under the influence. 322 00:17:14,300 --> 00:17:16,500 - Doesn't seem drunk to me. - Forget it. 323 00:17:16,700 --> 00:17:19,200 I'll call a phlebotomist from the station. 324 00:17:19,400 --> 00:17:22,900 You'll get your draw. Just wait until her dad's out of surgery. 325 00:17:23,100 --> 00:17:24,700 - How long? - A couple of hours. 326 00:17:24,800 --> 00:17:27,600 My sergeant wants me back on the streets. I can't babysit. 327 00:17:27,700 --> 00:17:30,600 Well, come back. She's not gonna go anywhere. 328 00:17:31,200 --> 00:17:33,000 Take your time and think it over. 329 00:17:33,200 --> 00:17:36,400 No, you don't understand. I have to have an abortion. 330 00:17:36,500 --> 00:17:39,200 - You have other options, you know. - No, not for me. 331 00:17:39,400 --> 00:17:41,900 My parents are so strict. 332 00:17:42,500 --> 00:17:46,200 - They'll kill me. - Everybody thinks that. 333 00:17:46,400 --> 00:17:48,900 No, it's different for us. 334 00:17:49,500 --> 00:17:52,400 I have to be a virgin on my wedding day. 335 00:17:52,500 --> 00:17:54,800 - I think if you give them the chance- - No. 336 00:17:55,000 --> 00:17:58,000 If they find out that I've had sex... 337 00:17:58,200 --> 00:18:00,900 ...I'm no longer their daughter. 338 00:18:01,100 --> 00:18:05,200 They'll send me away, out of the country. 339 00:18:05,800 --> 00:18:09,400 And I don't want to live there. I can't. 340 00:18:10,200 --> 00:18:11,900 What? 341 00:18:13,500 --> 00:18:17,100 Do you know what an ectopic pregnancy is? 342 00:18:17,300 --> 00:18:19,100 A miscarriage? 343 00:18:19,300 --> 00:18:23,500 Not exactly. It's where the fetus grows in the fallopian tube. 344 00:18:23,900 --> 00:18:27,500 - So then I have to have an abortion. - It's more complicated than that. 345 00:18:27,600 --> 00:18:29,700 - You'll need surgery. - An operation? 346 00:18:29,800 --> 00:18:32,600 - Right now. - Well, how long does it take? 347 00:18:33,400 --> 00:18:37,900 - You leave the hospital by tomorrow. - I have to be home for dinner in an hour. 348 00:18:38,100 --> 00:18:41,600 If you don't have surgery, it could rupture. You'll bleed to death. 349 00:18:41,700 --> 00:18:44,900 - Then I'll come back Saturday. - You may not make it to Saturday. 350 00:18:45,100 --> 00:18:48,300 - I don't care. - I need a doctor in Trauma 1 right now. 351 00:18:48,500 --> 00:18:52,100 Pregnancy is confidential. We don't have to tell your parents. 352 00:18:52,300 --> 00:18:56,300 - Dr. Lewis, status epilepticus. - You stay right there. I'll be right back. 353 00:18:56,500 --> 00:18:58,500 Amal, okay? 354 00:19:00,100 --> 00:19:02,700 Paramedics gave 4 of Ativan, but she's still seizing. 355 00:19:02,900 --> 00:19:06,000 - How's the airway? - Borderline. You may have to tube her. 356 00:19:06,100 --> 00:19:08,500 - Give another 2 of Ativan. - Oh, you got this one? 357 00:19:08,600 --> 00:19:11,300 - Who are you? - Susan Lewis. It's my first day. 358 00:19:11,400 --> 00:19:13,000 - Resident? - Attending. 359 00:19:13,200 --> 00:19:15,100 Tachy at 130. 360 00:19:15,400 --> 00:19:17,200 - We'll do it together. - Okay. 361 00:19:17,400 --> 00:19:20,000 - How long has she been seizing? - Got the call 20 minutes ago. 362 00:19:20,200 --> 00:19:22,200 - Any history? - Husband only speaks Spanish. 363 00:19:22,400 --> 00:19:25,900 - Okay, let's prep a gram of Dilantin. - We should intubate. 364 00:19:27,200 --> 00:19:28,900 Go ahead. 365 00:19:29,000 --> 00:19:30,600 - Push 70 of Zemuron. - What? 366 00:19:30,700 --> 00:19:33,600 - Rocuronium. - I have to go to the pharmacy. 367 00:19:33,800 --> 00:19:38,900 - It's the best non-depolarizing agent. - Maybe, but we don't stock it. 368 00:19:39,100 --> 00:19:41,700 Hundred of sux. I'll get the airway. 369 00:19:43,800 --> 00:19:45,100 Push the Dilantin. 370 00:19:47,900 --> 00:19:51,000 -360. Clear. - Clear. 371 00:19:51,600 --> 00:19:53,500 - Still in fib. - How long since Cordarone? 372 00:19:53,700 --> 00:19:56,000 - Twenty minutes. -360 again. Give an amp of epi. 373 00:19:56,200 --> 00:19:58,800 - I just did. - Trying to raise the dead, Lizzie? 374 00:19:59,000 --> 00:20:01,100 - Clear. - Clear. 375 00:20:02,000 --> 00:20:04,800 Septic hemicolectomy. Maxed out on dopamine and Levophed. 376 00:20:05,000 --> 00:20:06,900 - Asystole. - Go directly to the morgue. 377 00:20:07,100 --> 00:20:11,700 - Do not pass "go." Do not collect $200. - Okay, that's it. I'll call the family. 378 00:20:11,900 --> 00:20:15,900 Not that I'm keeping score, but isn't this your third post-op death this week? 379 00:20:16,700 --> 00:20:19,500 Congratulations. We call that a hat trick. 380 00:20:21,100 --> 00:20:23,900 - Thousand of Dilantin onboard. - Get ready with phenobarb. 381 00:20:24,100 --> 00:20:25,700 The husband. 382 00:20:25,900 --> 00:20:28,400 Sir, does your wife have epilepsy? 383 00:20:30,700 --> 00:20:33,800 - Can we get a translator? - No, it's okay. 384 00:20:44,400 --> 00:20:47,200 She's on an anti-TB med. Isoniazid. 385 00:20:58,400 --> 00:20:59,900 - What? - It's an overdose... 386 00:21:00,100 --> 00:21:01,800 ...because the label is in English. 387 00:21:01,900 --> 00:21:06,200 It says, "Take once a day." O-N-C-E. In Spanish, that means 11. 388 00:21:06,300 --> 00:21:07,700 She took 11 pills a day? 389 00:21:07,800 --> 00:21:11,900 We need pyridoxine, at least 6 grams. It's the only way we're gonna stop this. 390 00:21:12,100 --> 00:21:15,400 Check the blood gas. She'll need an amplified carbon. She's acidemic. 391 00:21:20,800 --> 00:21:23,200 - Pavulon while we wait. - What did you say? 392 00:21:23,800 --> 00:21:26,000 I said we'd help her. 393 00:21:27,900 --> 00:21:32,000 - I am diabetic. I need water. - Well, then we'll start an IV for you. 394 00:21:32,900 --> 00:21:35,900 - I drink. I throw up. I feel better. - No. Nothing to drink. 395 00:21:36,100 --> 00:21:39,500 You have gallstones the size of golf balls. 396 00:21:40,700 --> 00:21:43,200 - I have "golf" stones? - You have gallstones. 397 00:21:43,300 --> 00:21:45,500 - Can you start a line? - How do you charge this? 398 00:21:45,700 --> 00:21:48,500 The crash cart. He's crashing. Looks like V-tach. 399 00:21:48,700 --> 00:21:51,000 - Does he have a pulse? - I don't think so. 400 00:21:52,300 --> 00:21:55,400 Charge to 200. Stanley, have you ever shocked a patient before? 401 00:21:55,500 --> 00:21:57,200 - This one's all yours. - That's okay. 402 00:21:57,300 --> 00:21:59,500 - I am right here. - Charged and ready. 403 00:21:59,700 --> 00:22:03,800 Apply firm pressure. And before you press the buttons, back off, say "clear." 404 00:22:04,000 --> 00:22:06,200 Okay. Clear. 405 00:22:07,100 --> 00:22:08,600 Did you get shocked? 406 00:22:08,700 --> 00:22:11,200 You're supposed to say "clear" before, not after. 407 00:22:11,400 --> 00:22:14,500 - Normal sinus rhythm! I've got a pulse! - So does he, thank God. 408 00:22:14,700 --> 00:22:16,800 Were you touching the bed frame? EKG lead? 409 00:22:16,900 --> 00:22:19,700 No. His arm right here. 410 00:22:20,900 --> 00:22:22,600 Hold on. I'll get you an ice pack. 411 00:22:22,700 --> 00:22:25,400 Feels like someone kicked me in the chest. 412 00:22:25,600 --> 00:22:30,100 Well, consider yourself lucky, Mr. Stegman. 413 00:22:34,400 --> 00:22:36,600 - How long has she been seizing? - Almost an hour. 414 00:22:36,800 --> 00:22:38,400 Four grams of pyridoxine onboard. 415 00:22:38,600 --> 00:22:41,100 She needs 1 gram per gram ingested. Give another 4. 416 00:22:41,200 --> 00:22:43,300 - We don't have another 4. - Go to the pharmacy. 417 00:22:43,500 --> 00:22:44,800 - I can't. - Send another nurse. 418 00:22:45,000 --> 00:22:46,900 This is all we have in the whole hospital. 419 00:22:47,100 --> 00:22:49,800 Okay, send couriers to Mercy, Northwestern, Parkside- 420 00:22:50,000 --> 00:22:51,400 Parkside closed last year. 421 00:22:51,600 --> 00:22:54,600 Every nearby hospital. We need all the pyridoxine we can get. 422 00:22:54,800 --> 00:22:57,200 V- fib. Starting compressions. 423 00:22:57,300 --> 00:22:59,100 Charge to 200. 424 00:23:05,900 --> 00:23:08,300 - Daughter was driving? - Crushed him against a wall. 425 00:23:08,500 --> 00:23:10,300 You wonder why I don't have kids. 426 00:23:10,500 --> 00:23:12,700 - Lizzie, what you got? - Perfed diverticulum. 427 00:23:12,800 --> 00:23:16,000 Clean under your fingernails. Don't want another post-op infection. 428 00:23:16,100 --> 00:23:18,000 Dr. Benton, there's a Roger on the phone. 429 00:23:18,100 --> 00:23:19,200 He's in surgery. 430 00:23:19,400 --> 00:23:21,200 - Take a message. - He says it's important. 431 00:23:21,400 --> 00:23:22,900 - Hold the phone. - He's crashing! 432 00:23:23,100 --> 00:23:26,000 - Get four more units of packed cells! - Good news can wait. 433 00:23:26,100 --> 00:23:29,300 - Bad news will never go away. - Tell him I'll call him back. 434 00:23:29,500 --> 00:23:31,300 Hold compressions. 435 00:23:32,900 --> 00:23:35,200 - Asystole. - Start pacing at 140. 436 00:23:35,400 --> 00:23:38,500 Courier's got pyridoxine from Mercy. It'll be here in 10 minutes. 437 00:23:38,700 --> 00:23:40,400 Turn up the gain. 438 00:23:42,500 --> 00:23:45,500 - No capture. - Resume compressions. 439 00:23:50,900 --> 00:23:55,700 - How long has she been down? - No cardiac activity for 35 minutes. 440 00:23:58,100 --> 00:24:00,200 You want to keep going? 441 00:24:01,000 --> 00:24:03,600 pH is 6.8. 442 00:24:06,700 --> 00:24:09,200 We'll never get her back. I'm calling it. Stop CPR. 443 00:24:12,000 --> 00:24:14,700 Put the husband in a quiet room. I'll be right there. 444 00:24:20,700 --> 00:24:22,400 Good pickup. 445 00:24:23,100 --> 00:24:25,100 I would have missed the diagnosis. 446 00:24:25,200 --> 00:24:27,300 A lot of good it did. 447 00:24:33,100 --> 00:24:37,500 - Feeling any better? - Yeah. The boys bounce back quick. 448 00:24:37,700 --> 00:24:39,400 I think I might've tweaked it again. 449 00:24:39,600 --> 00:24:43,100 Want one of the doctors to take a look at your back? Or your front? 450 00:24:43,300 --> 00:24:45,100 Is that Yetna? 451 00:24:45,300 --> 00:24:47,000 She's tossing her cookies. 452 00:24:47,200 --> 00:24:51,200 No cookies. Chicken, potato and ice cream. 453 00:24:51,400 --> 00:24:54,100 - Dr. Carter, I'm really sorry. - It's not your fault. 454 00:24:54,200 --> 00:24:56,800 - Should we order an x-ray? - No. It's just a spasm. 455 00:24:56,900 --> 00:25:00,000 Could be somatic dysfunction at the myofascial junction. 456 00:25:00,200 --> 00:25:02,200 I studied alternative medicine in Hong Kong. 457 00:25:02,300 --> 00:25:04,700 I could try a muscle-energy technique. 458 00:25:04,900 --> 00:25:07,400 I think you've done enough for one day. 459 00:25:08,800 --> 00:25:11,000 - Help me mobilize the liver. - Bovie and pickups. 460 00:25:11,100 --> 00:25:12,600 I want to get a good look at the IV seal. 461 00:25:12,700 --> 00:25:14,100 Peter! Where's Reece? 462 00:25:14,600 --> 00:25:16,700 - What? - Reece isn't in the playroom. 463 00:25:16,800 --> 00:25:19,200 - You were picking him up at school. - He wasn't there. 464 00:25:19,400 --> 00:25:21,200 - Free up the falciform. - Where is he? 465 00:25:21,400 --> 00:25:23,400 - I thought you had him here. - No. 466 00:25:23,500 --> 00:25:26,100 - Who let this guy in? - Carla's mother pick him up? 467 00:25:26,200 --> 00:25:28,400 - No. - Systolic's down to 60. 468 00:25:28,600 --> 00:25:31,500 Four-sucker bleed. Lap pads! Let's pack off the liver. 469 00:25:31,700 --> 00:25:35,500 - Check- Her name is on a card at school. - Okay. I'll try her. 470 00:25:35,700 --> 00:25:37,200 Good idea. You call Grandma... 471 00:25:37,400 --> 00:25:40,600 ...and I'll roll this guy over so we can all kiss his ass goodbye! 472 00:25:42,000 --> 00:25:43,900 Sign here. 473 00:25:44,700 --> 00:25:48,100 - Corday finally see him? - No. I drank that Russian water. 474 00:25:48,300 --> 00:25:52,500 - Yetna's water? - Yeah. I'm better now, no thanks to you. 475 00:25:52,600 --> 00:25:55,400 - Take this, you'll need it. - You seen the girl in Exam 1? 476 00:25:55,600 --> 00:25:58,700 - She took off. She'll be back at 9. - Why didn't anyone get me? 477 00:25:58,900 --> 00:26:01,700 - You were busy with the arrest. - She has an ectopic. 478 00:26:01,900 --> 00:26:03,900 - You didn't tell me. - Where's the chart? 479 00:26:04,100 --> 00:26:06,300 - It's here somewhere. - Could you find it, please? 480 00:26:06,500 --> 00:26:10,800 Could you pull up "Razavi" on the computer and print out a red sheet? 481 00:26:11,600 --> 00:26:14,300 Excuse me. We're here to see Dr. Carter. She fainted. 482 00:26:14,500 --> 00:26:18,900 - I did not faint. I was dizzy. - You'll need to see a triage nurse. 483 00:26:19,100 --> 00:26:21,000 - Is that you? - Through those doors. 484 00:26:21,200 --> 00:26:24,300 We should go through those doors and right back to the car. 485 00:26:24,500 --> 00:26:27,000 - Please. John Carter. - Dr. Carter's very busy. 486 00:26:27,100 --> 00:26:28,200 John! 487 00:26:28,300 --> 00:26:31,100 If you wanna see a doctor, you need to sign in at triage. 488 00:26:31,200 --> 00:26:33,400 - Gamma, what are you doing here? - Ask him. 489 00:26:33,600 --> 00:26:36,100 - She fainted outside Marshall Field's. - I did not. 490 00:26:36,200 --> 00:26:38,500 - Did you hit your head? - No. I didn't faint. 491 00:26:38,700 --> 00:26:41,500 - This is your grandmother? - Gamma, this is Susan Lewis. 492 00:26:41,700 --> 00:26:44,100 - Pleasure. - I'm terribly sorry, ma'am. 493 00:26:44,300 --> 00:26:47,200 Well, I guess you're only rude to strangers. 494 00:26:47,800 --> 00:26:51,300 - John... - Do you have any chest pains? 495 00:26:51,500 --> 00:26:56,400 Mrs. Wilson? Mrs. Wilson, your surgery went very well. 496 00:26:56,600 --> 00:26:59,300 - You're finished? - Yes. You're on your way to recovery. 497 00:26:59,400 --> 00:27:03,500 Good. I need your address. 498 00:27:03,700 --> 00:27:06,700 Gotta send you a thank-you note. 499 00:27:06,900 --> 00:27:09,500 - Dr. Corday? Dr. Corday? - Yes. 500 00:27:09,700 --> 00:27:12,800 Carmen Torino from Infection Control. Do you have a minute? 501 00:27:13,000 --> 00:27:16,200 - What do you need? - To speak to you in private. 502 00:27:16,400 --> 00:27:22,000 Okay. Keep her fluids at 125 an hour. Vitals Q 15, CBC in 30. 503 00:27:24,100 --> 00:27:27,200 You lost another patient today from sepsis. 504 00:27:27,400 --> 00:27:29,800 Yes, but he was debilitated before surgery. 505 00:27:30,000 --> 00:27:31,300 I understand. 506 00:27:31,500 --> 00:27:34,300 However, his death triggered a formal investigation. 507 00:27:34,900 --> 00:27:37,000 - Excuse me? - You need to be cultured. 508 00:27:37,200 --> 00:27:39,700 - Cultured? - In case your body's carrying bacteria... 509 00:27:39,900 --> 00:27:44,100 ...that's infecting your patients. Can you stop by the clinic in an hour? 510 00:27:44,200 --> 00:27:47,000 That's impossible. I have a patient waiting for me. 511 00:27:47,200 --> 00:27:50,000 Your surgical privileges could be suspended. 512 00:27:50,200 --> 00:27:52,000 If you have concerns, talk to my chairman. 513 00:27:52,200 --> 00:27:53,400 I already have. 514 00:27:53,600 --> 00:27:56,600 Drs. Romano and Anspaugh have given us their full support. 515 00:27:58,100 --> 00:28:00,500 - She signed out AMA? - No. 516 00:28:00,700 --> 00:28:03,800 - Call her back. - She thinks she'll be deported. 517 00:28:04,000 --> 00:28:07,200 Tell her parents that she needs surgery for an ovarian cyst. 518 00:28:07,300 --> 00:28:10,400 Falsify a consent form? I'd rather keep them in the dark. 519 00:28:10,600 --> 00:28:12,900 She's pregnant. They don't have to know. 520 00:28:13,100 --> 00:28:16,700 - You trust her to come back? - I think so. I hope so. 521 00:28:16,900 --> 00:28:20,100 - Dr. Greene, Dr. Corday on two. - Okay. 522 00:28:20,400 --> 00:28:22,200 - Home yet? - Susan. 523 00:28:22,300 --> 00:28:27,400 Hi. I heard you lost one, the INH overdose. 524 00:28:27,600 --> 00:28:29,900 - Yeah. - Yeah, those can be tough. 525 00:28:30,100 --> 00:28:31,400 How long is it gonna take? 526 00:28:31,600 --> 00:28:34,800 I've been meaning to talk to you about the nursing shortage. 527 00:28:35,000 --> 00:28:37,900 That blood alcohol came back just over the limit. 528 00:28:38,000 --> 00:28:41,500 - The girl who hit her father, .092. - Is he still in surgery? 529 00:28:41,700 --> 00:28:43,500 - Want me to tell the cop? - I will. 530 00:28:43,600 --> 00:28:46,400 Anyway, if you could pitch in, it'll make everyone happy. 531 00:28:46,600 --> 00:28:48,400 - The nurses are complaining? - Yeah. 532 00:28:48,600 --> 00:28:51,000 I explained that you're used to better staffing... 533 00:28:51,100 --> 00:28:54,100 ...so they'll cut you some slack until you're up to speed. 534 00:28:54,300 --> 00:28:56,700 Okay, okay. No problem. 535 00:28:56,900 --> 00:28:58,300 Can you cover my last hour? 536 00:28:58,500 --> 00:29:00,600 My first day back, you're dumping on me? 537 00:29:00,800 --> 00:29:03,300 Elizabeth's stuck. I have to get home to the baby. 538 00:29:03,500 --> 00:29:07,200 LP results are pending on Etzler. And Nguyen's getting a V/Q. 539 00:29:07,400 --> 00:29:10,800 - Anything else? - Yeah, pick me up some milk and Huggies. 540 00:29:12,700 --> 00:29:15,500 - BP's 120/80. - Excellent. Take down the packing. 541 00:29:15,700 --> 00:29:17,800 Peter. Carla's mom's been home all day. 542 00:29:17,900 --> 00:29:18,900 Try Jackie. 543 00:29:19,100 --> 00:29:21,200 - I tried. I got Joanie. - Did she pick him up? 544 00:29:21,300 --> 00:29:22,800 No. 545 00:29:23,000 --> 00:29:25,100 Retrohepatic caval injury. More suction. 546 00:29:25,200 --> 00:29:27,000 Call the police, now! I gotta go. 547 00:29:27,100 --> 00:29:28,100 Lost another 2 liters. 548 00:29:28,200 --> 00:29:30,500 Do a Pringle before the guy bleeds out. 549 00:29:30,700 --> 00:29:33,200 - Shirley, get Edson. - Prep a number-eight atrial shunt. 550 00:29:33,400 --> 00:29:36,400 - I need to be relieved. - Take your hands off his liver, he'll die. 551 00:29:39,900 --> 00:29:43,500 - Your EKG looks good. - I told you, I'm fine. 552 00:29:43,700 --> 00:29:47,500 Alger means well, but sometimes he's annoyingly condescending. 553 00:29:47,700 --> 00:29:49,200 You gave him a scare. 554 00:29:49,300 --> 00:29:52,000 I was a little woozy getting out of the car. 555 00:29:52,200 --> 00:29:54,200 We call that near syncope. 556 00:29:54,300 --> 00:29:57,800 - I call it skipping lunch. - Well, you need to eat. 557 00:29:58,300 --> 00:30:00,100 I'll do it. 558 00:30:01,400 --> 00:30:03,800 You been sleeping okay? 559 00:30:05,500 --> 00:30:08,200 Are you depressed? 560 00:30:08,300 --> 00:30:12,100 - I miss him, John. - Me too. 561 00:30:13,200 --> 00:30:16,200 - Have you thought about therapy? - I said, I miss him. 562 00:30:16,400 --> 00:30:20,700 - I'm not mentally unstable. - Sometimes it's good to talk about it. 563 00:30:20,800 --> 00:30:25,200 What's to talk about? He's gone. And I have things to do. 564 00:30:25,400 --> 00:30:27,900 If I leave now, I can still make the donors' reception. 565 00:30:28,100 --> 00:30:30,600 We need to monitor your heart overnight. 566 00:30:30,800 --> 00:30:32,700 In here? I don't think so. 567 00:30:32,900 --> 00:30:35,600 Let's just wait for your blood-test results to come back. 568 00:30:35,800 --> 00:30:38,700 I've been waiting. I've already missed two appointments. 569 00:30:38,900 --> 00:30:42,500 If everything checks out, you'll be back on your feet tomorrow. 570 00:30:42,700 --> 00:30:46,700 There are no more tomorrows, John. This is it. 571 00:30:46,900 --> 00:30:51,700 Your grandfather and I used to think we had a lifetime of tomorrows. 572 00:30:54,800 --> 00:30:58,800 Hello, is Amal there? Oh, I'm sorry. 573 00:30:59,800 --> 00:31:02,000 This is Susan, her friend from school. 574 00:31:02,100 --> 00:31:05,300 I just had a question about our math homework. 575 00:31:05,500 --> 00:31:09,000 Oh, okay, great. Yeah, I'll call back after dinner. Okay, thanks. 576 00:31:09,100 --> 00:31:12,400 - Dr. Lewis, Mr. Cardazco's still waiting. - Who? 577 00:31:12,600 --> 00:31:16,700 - His wife died. The overdose. - Oh, damn it! I completely forgot. 578 00:33:04,100 --> 00:33:07,800 Sorry. It has to be a nasopharyngeal sample. 579 00:33:08,900 --> 00:33:12,200 Oh, sorry. It felt more like a brain biopsy. 580 00:33:12,300 --> 00:33:15,800 The enterobacter from your patients is a very resistant strain. 581 00:33:15,900 --> 00:33:17,800 I'm aware of that. 582 00:33:18,100 --> 00:33:19,800 You may be colonized. 583 00:33:20,000 --> 00:33:21,800 Open wide. 584 00:33:22,300 --> 00:33:24,700 Quick swab of the tonsils. 585 00:33:26,800 --> 00:33:28,600 God. 586 00:33:30,100 --> 00:33:33,600 - So are we finished? - Just need to do a pelvic. 587 00:33:33,700 --> 00:33:35,100 You've gotta be kidding! 588 00:33:35,300 --> 00:33:39,200 A surgical tech in Ohio was passing nocardia from her vaginal flora. 589 00:33:39,300 --> 00:33:41,600 Thank you for sharing that. I'm nursing. 590 00:33:41,600 --> 00:33:43,500 You want a sample of my milk as well? 591 00:33:43,600 --> 00:33:47,300 Absolutely. Then a cath'd urine and a stool sample. 592 00:33:47,500 --> 00:33:50,900 If you can't go now, take it home and bring it back in the morning. 593 00:33:55,000 --> 00:33:57,700 Inflate the balloon and tie off the Rumel. 594 00:34:00,200 --> 00:34:02,300 - How is he? - They're still working on him. 595 00:34:02,400 --> 00:34:04,100 Why are you leaving? How much longer? 596 00:34:04,300 --> 00:34:06,900 I have another emergency. Just wait in the room, okay? 597 00:34:07,000 --> 00:34:08,900 They want us to make out a report. 598 00:34:09,100 --> 00:34:12,200 This is Dr. Benton at County General. Send a detective here. 599 00:34:12,400 --> 00:34:15,700 My son is missing! So do your job and send someone down now! 600 00:34:15,900 --> 00:34:17,200 - ETA? - Two minutes. 601 00:34:17,300 --> 00:34:19,600 - Flip you for the airway. - He's already intubated. 602 00:34:19,800 --> 00:34:22,000 - What are we getting? - Mercy's sending a GSW... 603 00:34:22,200 --> 00:34:24,400 - ... and we're out of beds. - You coming? 604 00:34:24,500 --> 00:34:27,300 Move Trauma 1 to Exam 1. Whose chart is this? 605 00:34:27,500 --> 00:34:28,800 Oh, that's mine. 606 00:34:28,900 --> 00:34:31,500 Code the charts at time of discharge for Billing. 607 00:34:31,600 --> 00:34:34,800 - I'll do it right now. - Yeah, and be sure the nurse's notes- 608 00:34:35,000 --> 00:34:37,300 - This patient left the hospital? - Not sure. 609 00:34:37,500 --> 00:34:40,700 - You're not sure? She's an ectopic. - It's under control. 610 00:34:40,900 --> 00:34:43,100 What do you mean? She's not here. 611 00:34:43,200 --> 00:34:45,100 I'm trying to protect her privacy. 612 00:34:45,200 --> 00:34:47,000 You should be protecting her life. 613 00:34:47,200 --> 00:34:50,100 - She'll be back in two hours. - If she's still alive! 614 00:34:50,200 --> 00:34:51,700 Lost his pulse on the scene. 615 00:34:51,900 --> 00:34:53,500 I told her I wouldn't tell her parents. 616 00:34:53,600 --> 00:34:55,900 You're putting her life at risk so she doesn't get into trouble. 617 00:34:56,100 --> 00:34:58,100 - Get 4 of O-neg. - Trust me on this one. 618 00:34:58,300 --> 00:34:59,900 - Prep for a thoracotomy. - Gown. 619 00:35:00,100 --> 00:35:02,700 Call your patient right now. You're being completely irresponsible. 620 00:35:02,900 --> 00:35:06,300 - If she's sick, they can bring her in. - Not if she's dead. 621 00:35:11,700 --> 00:35:14,700 - You got too many names on the list. - Everyone helps out. 622 00:35:14,900 --> 00:35:16,700 The school can't keep track of 10 people. 623 00:35:16,900 --> 00:35:18,700 Any stranger could say he was his uncle. 624 00:35:18,900 --> 00:35:22,100 We've never had a problem before. You sure you got there on time? 625 00:35:25,200 --> 00:35:27,500 What are you doing here? Where were you? 626 00:35:27,700 --> 00:35:30,700 - What's going on? - You picked him up from school? 627 00:35:30,900 --> 00:35:33,300 Yeah. He was acting out. He bit a little girl. 628 00:35:33,500 --> 00:35:36,500 - You were in surgery. They called me. - You had us worried. 629 00:35:36,700 --> 00:35:38,500 I left a message on your voice mail. 630 00:35:38,700 --> 00:35:41,500 It wasn't Peter's day to pick him up, it was mine. 631 00:35:42,000 --> 00:35:45,000 - You're still picking him up? - Every Tuesday and Thursday. 632 00:35:45,500 --> 00:35:49,700 He's had three fights at recess this week. 633 00:35:49,900 --> 00:35:51,300 You fighting? 634 00:35:52,900 --> 00:35:55,700 Teacher wants to know if there are any problems at home. 635 00:35:55,800 --> 00:35:58,700 She thinks he may need a little more stability. 636 00:35:58,900 --> 00:36:01,400 What are you trying to say? 637 00:36:02,100 --> 00:36:04,600 - Just telling you what she said. - He wasn't fighting... 638 00:36:04,800 --> 00:36:06,000 ...when he lived with us. 639 00:36:06,200 --> 00:36:08,800 Maybe he needs to just live in one home for a while, okay? 640 00:36:09,000 --> 00:36:11,600 Peter, he's my stepson. We've got an agreement. 641 00:36:12,100 --> 00:36:16,100 Yeah? Well, we need to think about what's best for Reece. 642 00:36:16,300 --> 00:36:18,400 He's acting out because he lost his mother. 643 00:36:18,600 --> 00:36:23,800 Look, we'll talk about this later. I need to call the police and get him home. 644 00:36:27,300 --> 00:36:30,600 Dr. Weaver, O.R. called. They don't think Mr. Pomeroy's gonna make it. 645 00:36:30,800 --> 00:36:33,700 Okay, I'll go up. Can you do the coroner's forms? 646 00:36:33,800 --> 00:36:36,200 Chuny, tell my grandmother I'll be five more minutes. 647 00:36:36,400 --> 00:36:39,900 And see if Dr. Lewis called that ectopic girl. 648 00:36:40,800 --> 00:36:42,300 Gamma. 649 00:36:42,900 --> 00:36:45,900 - What are you doing? - It's late, John. I've been a good sport. 650 00:36:46,100 --> 00:36:49,700 You cannot leave. Fainting can be a warning sign for heart attack, for stroke. 651 00:36:49,900 --> 00:36:51,200 I'll take my chances. 652 00:36:51,400 --> 00:36:53,600 You'll be signing out against medical advice. 653 00:36:53,800 --> 00:36:58,000 - I've already done that. - There's still more tests we need to do. 654 00:36:58,600 --> 00:37:01,600 I'll see you at home, John. 655 00:37:02,600 --> 00:37:06,800 Don't forget to turn out the porch light when you come in. 656 00:37:07,500 --> 00:37:09,800 - Check on her in about an hour. - Certainly. 657 00:37:09,900 --> 00:37:12,600 - Good night. - I feel like a steak, Alger. 658 00:37:12,800 --> 00:37:15,100 - We'll stop at Morton's first. - Yes, ma'am. 659 00:37:15,300 --> 00:37:20,100 Oh, dear, I'm very hungry. Filet mignon, creamed spinach... 660 00:37:22,500 --> 00:37:25,900 - Sorry if I offended her. - Oh, don't worry about it. 661 00:37:26,200 --> 00:37:28,300 She never takes me seriously. 662 00:37:28,500 --> 00:37:30,600 What do you expect? She changed your diapers. 663 00:37:30,800 --> 00:37:32,100 That's true. 664 00:37:32,500 --> 00:37:35,200 Any focal neuro findings, EKG changes? 665 00:37:35,300 --> 00:37:37,500 No. I monitored her for three hours. 666 00:37:37,700 --> 00:37:40,100 Yeah, she should be okay. 667 00:37:40,400 --> 00:37:42,700 Weaver is looking for you. Did you call your ectopic girl? 668 00:37:42,700 --> 00:37:44,200 I'm gonna give her till 9. 669 00:37:45,000 --> 00:37:48,000 - That's a bit of a risk. - "Danger" is my middle name. 670 00:37:48,800 --> 00:37:51,300 Any other catastrophes? 671 00:37:51,700 --> 00:37:54,600 It's been like an acid flashback without the good parts. 672 00:37:54,800 --> 00:37:57,200 What was I thinking when I said I'd come back? 673 00:37:57,400 --> 00:37:58,800 You weren't. 674 00:37:59,000 --> 00:38:01,400 - But at least you're working with friends. - Yes. 675 00:38:05,700 --> 00:38:08,500 Excuse me. Pickman's got a woman in active labor. 676 00:38:08,600 --> 00:38:10,500 Showtime. 677 00:38:12,700 --> 00:38:14,700 Denise Frankel, full-term. She's crowning. 678 00:38:14,800 --> 00:38:16,100 Showtime is right. 679 00:38:18,000 --> 00:38:21,100 - I need to push! - Go ahead, push. 680 00:38:22,900 --> 00:38:24,700 Membrane's ruptured. Fluid's clear. 681 00:38:24,800 --> 00:38:26,500 - How many kids have you had? - Two. 682 00:38:26,500 --> 00:38:28,400 Well, this one's coming fast. 683 00:38:30,400 --> 00:38:33,500 Take your foot off the pedal, bed's rising. 684 00:38:33,700 --> 00:38:35,900 - I'm nowhere near it. - Must be a short. 685 00:38:36,100 --> 00:38:38,100 - What's happening? - Technical difficulty. 686 00:38:38,300 --> 00:38:41,900 Oh, man. When her water broke, it must have flooded the switch. 687 00:38:42,100 --> 00:38:44,000 Late decel. We have to get this baby out. 688 00:38:44,200 --> 00:38:46,500 - I can't deliver like this. - Get Luka. He's tall. 689 00:38:46,700 --> 00:38:50,200 - Carter, take over. - What-? Where are you going? 690 00:38:50,400 --> 00:38:52,200 What are you doing? 691 00:38:58,200 --> 00:39:01,400 Excuse me. Get down. Get down! 692 00:39:02,800 --> 00:39:04,000 Okay, just blow. 693 00:39:04,200 --> 00:39:06,500 Drop your arm over the side, I need to start an IV. 694 00:39:06,700 --> 00:39:08,800 - Give me a hand. - Oh, you're kidding me. 695 00:39:09,000 --> 00:39:11,400 - What are you doing? - Setting up some equipment. 696 00:39:11,500 --> 00:39:14,500 - Fetal heart rate's 140. - Don't drop my baby! 697 00:39:14,700 --> 00:39:17,200 Don't worry. Dr. Carter used to be in the circus. 698 00:39:17,400 --> 00:39:19,200 As a clown, right? 699 00:39:19,500 --> 00:39:24,500 - Human cannonball, until I got fired. - Okay, give a big push. Push! 700 00:39:25,600 --> 00:39:27,600 Push! Head's out. Relax. 701 00:39:27,800 --> 00:39:30,200 - That cord is tight around the neck. - Reduce it? 702 00:39:30,400 --> 00:39:33,000 - I don't think so. How about a clamp? - Toss it. 703 00:39:35,500 --> 00:39:36,800 Second clamp. 704 00:39:37,600 --> 00:39:39,100 Scissors. 705 00:39:44,100 --> 00:39:45,300 Is it a boy or a girl? 706 00:39:45,500 --> 00:39:47,600 One more push and we're about to find out. 707 00:39:51,100 --> 00:39:52,900 It's a boy. 708 00:39:54,200 --> 00:39:56,500 - Is he okay? - Oh, he's beautiful. 709 00:39:56,700 --> 00:39:58,200 Can I see him? 710 00:39:58,400 --> 00:40:00,700 Yeah, as soon as we strap on a parachute. 711 00:40:00,800 --> 00:40:02,700 Oh, yeah. 712 00:40:02,900 --> 00:40:04,900 "Hi, Mom." 713 00:40:10,300 --> 00:40:15,600 - I killed him! Oh, my God, I killed him. - I'm so sorry. I'm so sorry. 714 00:40:16,400 --> 00:40:18,700 I need to see him. I need to see him. 715 00:40:18,900 --> 00:40:22,800 Miss Pomeroy? We have to leave now. I'm required to place you under arrest. 716 00:40:23,000 --> 00:40:25,600 - It was an accident! He was my father! - Calm down! 717 00:40:25,800 --> 00:40:29,000 - You have the right to remain silent- - Is this really necessary? 718 00:40:29,100 --> 00:40:31,700 - We only had a couple glasses of wine! - Let her say bye. 719 00:40:31,800 --> 00:40:35,500 - Where is he? Where did you put him? - Let her say goodbye. 720 00:40:35,700 --> 00:40:37,400 This way. 721 00:40:48,900 --> 00:40:51,300 God, I'm sorry. 722 00:40:52,100 --> 00:40:54,400 I'm sorry. 723 00:40:56,100 --> 00:40:58,900 - I got Ella's diaper culture. - You didn't need to do that. 724 00:40:59,100 --> 00:41:02,400 - Hey, not with the food. - I triple-bagged them. 725 00:41:02,700 --> 00:41:04,900 - Did I hear a phone ring? - No. 726 00:41:05,100 --> 00:41:06,900 - She still hasn't called? - Not yet. 727 00:41:07,100 --> 00:41:09,700 - The party was over at 8. - I know. 728 00:41:09,900 --> 00:41:12,200 - So call her. - I don't have her phone number. 729 00:41:12,400 --> 00:41:14,600 - Look it up. - I didn't get Claire's last name. 730 00:41:14,800 --> 00:41:17,100 Mark, you need to know these things. 731 00:41:17,300 --> 00:41:20,000 I talked to the parents, I thought everything was okay. 732 00:41:20,200 --> 00:41:24,000 - We don't even know where she is. - I told you about the party. 733 00:41:24,600 --> 00:41:26,900 - You know what time it is? - It's only 10: 15. 734 00:41:27,100 --> 00:41:29,100 You were supposed to call two hours ago. 735 00:41:29,300 --> 00:41:31,400 - I'm sorry. - How'd you get home? 736 00:41:31,500 --> 00:41:35,200 - Andrew. - I think I'll check on the little one. 737 00:41:36,700 --> 00:41:40,300 All they had were hot dogs and burgers, so some of us went to eat. 738 00:41:40,300 --> 00:41:42,300 - Some of us, or you and Andrew? - Dad! 739 00:41:42,500 --> 00:41:46,500 - I need to know these things. - Sounds like something Mom would say. 740 00:41:48,800 --> 00:41:52,600 I wasn't drinking. I'm not doing drugs. I'm just making some new friends. 741 00:41:52,800 --> 00:41:55,300 - All you had to do was call. - I tried. 742 00:41:55,500 --> 00:41:57,600 The pay phone was broken. 743 00:41:58,400 --> 00:42:01,600 If you don't believe me, call the restaurant. 744 00:42:02,700 --> 00:42:04,800 Don't ever let this happen again. 745 00:42:06,400 --> 00:42:08,400 Okay? 746 00:42:08,900 --> 00:42:10,800 Okay. 747 00:42:14,100 --> 00:42:16,600 If I had a cell phone, we could keep in touch. 748 00:42:16,800 --> 00:42:20,900 - Yeah, right. - Seriously, just for emergencies. 749 00:42:22,600 --> 00:42:24,500 We'll see. 750 00:42:24,700 --> 00:42:26,700 Thanks. 751 00:42:35,800 --> 00:42:38,400 - You guys do good work. - So do you. 752 00:42:38,500 --> 00:42:41,500 I'll call you when it's time to build his tree house. 753 00:42:45,100 --> 00:42:47,000 - Amal. - Dr. Lewis. 754 00:42:47,200 --> 00:42:49,500 I'm so sorry I'm late. It was hard to sneak out. 755 00:42:49,700 --> 00:42:53,300 - I am so glad you came back. - I told the nurse I'd be here at 9. 756 00:42:53,400 --> 00:42:56,700 - Well, people say a lot of things. - You said it was important. 757 00:42:56,800 --> 00:43:01,300 - Abby, can you find us a room? - Yeah. Good to see you. 758 00:43:02,500 --> 00:43:05,200 - Where's her chart? - Weaver's got it. 759 00:43:05,400 --> 00:43:07,400 - Amal's chart? Why? - I don't know. 760 00:43:07,500 --> 00:43:09,000 - Where is she? - I don't know. 761 00:43:09,200 --> 00:43:12,900 - She's on a call in the lounge. - Oh, damn it! 762 00:43:16,100 --> 00:43:18,600 - Kerry, get off the phone. - I work at the ER- 763 00:43:18,800 --> 00:43:21,300 - She's here. You don't have to call. - Susan- 764 00:43:21,400 --> 00:43:23,500 I told you she'd be back. 765 00:43:23,700 --> 00:43:25,700 - Who? - Amal, the ectopic. 766 00:43:25,800 --> 00:43:28,200 I didn't call her. 767 00:43:40,500 --> 00:43:44,100 Hello. Hi. I'm sorry we got disconnected. 768 00:43:44,300 --> 00:43:47,800 No, actually, I got your number from an investigator... 769 00:43:48,000 --> 00:43:51,600 ...who specializes in finding birth parents. 770 00:43:52,800 --> 00:43:56,200 Did you give up a daughter for adoption? 771 00:43:58,600 --> 00:44:00,600 I understand. 772 00:44:00,800 --> 00:44:02,700 No. I- 773 00:44:02,800 --> 00:44:07,600 I am sorry. I thought this was from a reliable source. 774 00:44:07,700 --> 00:44:11,600 I will not bother you again. 775 00:44:12,300 --> 00:44:14,100 Good night. 776 00:44:27,500 --> 00:44:30,500 Subtitles by SDI Media Group