TV Channel 40 Thu Dec 12 10:00:02 2002
and then when u yodo, itwell, I'm just... I'm doing what i thought you wanted me to do, piper.
You're the one
who didn't want me
to clip my wings. And you shouldn't, not for me, but that doesn't make it any easier for us.
[Sighs] what are we gonna do? I don't know, leo. Go. It's ok. I understand. I'll see ya. Captioning made possible by spelling entertainment and mr. Peanut and planters nuts-- relax. Go nuts. Captioned by national captioning institute --www.Ncicap.Org-- 金金金金金金?previously on if that is all you think of me then you can keep your money. As you wish, john. T n't n'want any more chemo. ( Rapid beeping ) gather the charts and the tape. Son of a bitch we've got to open. We're losing him. It's been three minute he's dying. Move! Cubs fan, huh? Please don't touch that. Right. Sorry. Before i make any decisions regarding your loan application, dr. Carter i have to clarify a few points. Yeah? You only included one tax return-- 1996 listing your income as a surgical resident with an annual salary of $28,000? Yeah, before taxes. We'll need your other returns from previous years. There aren't any. Before that, I was a med student. No summer jobs? Well, I crewed in the whitbread in 1990. Where was that? Cape town, freemantle. Capsized between sydney and auckland. ( Chuckles ) it's a yacht race. And you earned...? Oh, a few thousand but after living expenses... I spent more than I made. You're a resident in emergency medicine now. Is that correct? Yeah. When i shifted from surgery i agreed to do so without pay but I'll ask for a paycheck next year for sure. I would hope so. What about this trust fund? The holdings are in my grandfather's name and I am no longer drawing funds from it. Would your grandfather be willing to cosign yor yourn?Oan? I want my application to be judged on its own merits. On its own merits, I'll have to reject it. Why? Talk to your grandfather or acquaint yourself with the ingredients of a peanut butter and jelly sandwich. ( Chuckles ) peter. Oh. Dr. Morgenstern. I, um, i looked over your report for the morbidity and mortality conference. It was quite evenhanded. Well, I just charted what happened. Sometimes these things can become so "he said, she said" but there's no need for that. No, no. Contact the journals. Lizzie and i just did an aortobifemoral bypass in two hours, 20 minutes. That's wonderful, robert. Is m&m still on, or can i buy lizzie a well-earned omelet? It's still on. Not out of the hot seat yet, huh, peter? Will anspaugh be joining us? No. He requested that i messenger the meeting notes over to his house. Is the funeral today? Yeah. I sent flowers from the department. Well, looks like a cruller and a coke is all we have time for. My treat. ( Water running )
'tis a gift to be simple, 'tis a gift to be free
'tis a gift to come down where we are to be
and when we see ourselves in a place that's right
we will be in the valley of goodness and light. ( Sighs )
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No tag, no itch. Go tagless. ?o? ? my little brotherpatrick. He's very annoying. Fortunately, he's sick today. Nothing works faster on fever... Than children's tylenol.
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wno wno wonder it's stillthe pediatrician's... Number-one choice. 4m@
[whines] mr. Fong:Somebody help her.Trauma two! B.P.'S 80/50. ?? really, we're not very寨I'll t hey, mark? I'm going to a surgical m&M. Can you cover for an hour? Sure. No problem. What's going on? It's the swanson laparoscopy. Oh, right-- peter's case. No, it's actually dr. Morgenstern. Right. Well, have fun. I will hold down the fort. Thank you. I thought you said he was the best. He rolled over my med school loan into some kind of sallie mae, fannie mae ellie mae, whatever. I don't eat every meal out of a can anymore. Hey, carter, you catch that sox game last night? Missed it. Center fielder, pop fly, catching a few z's. Pay up. I'm a little short right now. Can i get you? Sure. I know you're good for it. ( Snickers ) my aunt made a killing g ing ing tupperware. Tupperware. They're those plastic storage things... Oh, I know what tupperware is. How about amway? You're really enjoying this. Yeah, a little. Man: Heads up, doctors. Carter, you're up. This day keeps getting better and better. All right, grabarsky, who you got? Mike lembreaux hasn't grasped the know-when-to-say-when thing. Fell over a curb. Curbs, mr. Lembreaux? Maybe we should have those removed. His wrist looks pretty bad. From the smell of things we can skip the pain medication. Let's go check out that wrist, mr. Lembreaux. Finally, let's remember the most important aspect of m&m is not to linger on our missteps but to analyze every case as a teaching tool. Dr. Benton. Thank you. I ted tedo eulogize him somehow, but i, uh... I never felt comfortable in his mother's church. So austere. No pomp and ceremony just... Silent judgment. I thought the silence was for contemplation. ( Sighs ): It's just... Well. You could imagine how her quaker parents felt when she brought home a west point man. Well, you ended up getting married. Yeah. The hawk to the dove. Long time ago. Scotty wanted you to have the stuff in this box. Green day. I'm surprised he didn't burn a hole through this one. ( Chuckling ) what?
Soap opera digest. I knew he was getting those future plots from somewhere. Finally, let's remember the most important aspect of m&m to control the hemorrhage by midline incision was futile. Variceal bleeding obscured the field but we were getting it under control. It was difficult to find the bleeding site. What next? Called for additional suction. After which, you decided to change course and open the chest. And who made that incision? I did. Dr. Morgenstern allowed you to crack the chest? Well, not exactly... I didn't... Uh, gentlemen? One at a time. Dr. Benton? I, uh, i took over the surgery. Take over? How could you? He the the the t mom dr. Benton became agitated. Kayson: Dr. Benton? I pushed him aside. Romano: What was your justification for such an action? The man was bleeding out. Actually, the midline incision was adequate. It was the varices. No. The man needed to be cracked immediately.
Jat jat justifies committingbattery on your superior? What would you have done, stood and watched? I would have assisted the attending. Okay, after three minutes of bleeding and profound shock, cross-clamping the aorta was the only alternative. I don't think it was the only alternative. No. It was! If... Kayson: All right, gentlemen. I think it best to adjourn and convene the resident review committee at 12:30 to discuss the situation. Dr. Morgenstern? Um, yes. I-I think that would be for the best. Hey, what do you have here? 28-year-old woman, 18 weeks pregnant found unconscious at the scene. G.C.S. 11, multiple lacs, vitals stable. Let's go. Chicago reproductive center was bombed. The abortion clinic on riverside? They also do prenatal care and family planning. They're still extricating people. Blowing up clinics. Bastards! How many we got? I have no idea. It's complete chaos down there. Got a 17-year-old, second trimester. Complains of chest and abdominal pain shortness of breath. B.P.'S real low-- 80/50, pulse 120, resps 24. You're going to be okay, sweetie. You're at a hospital, zoe. Donny... What's her name? Zoe kearney. A wall fell on her. How far along is she? Six months, give or take. Clear trauma one! No, we cannot release patient information over the phone. The hospital has no official comment at this time.
Dr. Weaver, it's the
trib on line three. They want to know if any abortion docs were killed. "Gynecologists," and we don't have any information. Protesters with minor injuries came in. Triage them, leave them in chairs. We're swamped with criticals. There's something wrong with my ears. They're ringing and no one's helping me. Someone will get to you as soon as they can. No, please! I've been in a bombing! I know. We'll get you a room as soon as we can. You should have somebody look at that. What? Your head. 32 french. Urine dip's negative. Blood gas? Po2 89, pco2 25. Ph 7.29 on ten liters. Orbital alignment okay. Crit's down to 27. Arhearheart rate 140, no contractions. Where's my boyfriend? He's outside. Is he okay? He's fine. You just relax. Do you still want the blood? Hang a unit. Get her to c.T. Come on, let's go. Got it? Yeah. Send blood to radiology. Where is she going? We're taking her up what's on the scope? Sinus tach at 120. Let O.B. Know where we're going. I'm right here, zoe. Was she in for an abortion orrecarecarecare? Um, she's 18-19 weeks. Kind of late for an ab, don't you think? We've got fetalt art art tones: 145. Okay, C.B.C. Type and cross for four units and cath a urine. Pulse ox 98, B.P. 90/70. Good cap refill. Also get a chest. Uh, shield her abdomen and prep her for a pelvic. I've got her clinic chart. Brianna thomas, 18-week pregnant nullip. In for an elective suction extraction. Abortion? Looks like they didn't finish. Takata: B.P.'S dropped-- 80/50. Pulse 110. She's hemorrhaging. We need to complete the ab. Grab a gyn tray. Grab a tray. We need to evacuate the uterus. Now, doctor. I can'T. Speculum. Betadine! Set suction on high and get me a size... A size-14 cannula. Let's go! Takata: Second liter's in. Weaver: Hang a third and repeat a crit. ?
Woman: Next please.
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It's all inside u turn anna, can I speak or for for a moment? Sure. Kerry, you want some coffee? No, thanks. So what happened in that trauma today? Rrsorrsorry. I froze. That can't happen. I couldn't complete the abortion. Why not? I don't know. The fetus was so far... Along and... What about brianna thomas? She was your patient and she was hemorrhaging. I don't know. I didn't ex... The baby had a chance. Look, there are plenty of patients and procedures that we might find distasteful. Distasteful? Come on, kerry. I'm not squeamish. It just felt wrong. We can't allow our feelings to dictate our standard of care. And I don'T. But you did, because of moral objection to abortion. I don't have one. Well, something happened in there today. I'm his son, burke. He lives with me and my family. How long has he been wetting the bed? Maybe two days. Smelled pretty bad. He's had urine infections before. Right. Te tetetempnd and and he looks dehydrated. We tried to get him to eat or drink something but he won't. Let's start a line of normal saline. Give 500cc's bolus c.B.C., Chem 20, blood cultures times two. Gogot it. I don't think that's really all necessary. Before, they gave him antibiotics. It cleared it all up. We need to do a full evaluation. If you're worried about being sued... Got nothing to do with being sued. So you'll poke, prod and test him and then thousands of dollars later you'll give him the antibiotics. Why don't you go back and have awht wht ile we work? Unbe-friggin'-lievable. Chuny, you want to show mr. Newton to chairs? I can show myself. He's a charmer. When's the last time anyone bathed this guy? From the looks of these bedsores about the same time they turned him. So much for honor ertherther. Weaver: The decision has been made. Dr. Benton allowed his emotions to get a little out of hand. Other than that, he's a good resident. Who committed battery on his attending. Yo tttsolig lig like this stand. Like you said, dr. Weaver the decision has already been made. Unless you have a problem with it, david. No. Deborah, would you ask dr. Benton ?Se?Se?Se kayson: Dr. Benton, we have reviewed dr. Swanson's chart and the autopsy. Well, I thought the autopsy was inconclusive due to the state of the body. This committee feels the matter warrants further investigation. I don't know what to say. I mean, everything i saw and did is in this report. Kayson: Chart aside, you pushed an attending. You're being taken out of the rotation pending a formal inquiry. You're suspending me? Until dr. Anspaugh returns and a full investigation can take place. Well, uh... Just how long before i can return to my job? Weaver: We don't know yet. This is effective...? Immediately. Resps are a little high at 26. Zoe, we looked at your c.T. There's no evidence of organ damage. We still want to admit you for observation. For how long? We're not quite sure. It's kind of hard to breathe. Pulse ox always 94? No. It's down. I'm fine. What about the baby? You have fetal heart tones which means that the baby is alive. As for kicking, you're going to have to tell me. We should name him lucky, huh?
Her. I have a feeling. You want to see him or her? We'll do an ultrasound. Yeah, cool. ( Coughing ) zoe, what's wrong? B.P.'S down to 60 palp. Are you in pain? Pulse ox 90. She's bradying down. You're going to have to step back. Pulse is 40. Give us room to work here, donny. Oh, no, no. Pulmonary embolus? Probably. Repeat a gas. .5 atropine. Damn. All right, start c.P.R. ( Sobbing ) this one is almost to the bone. I've seen all I need to see. I'll put this paper work through. We'll get mr. Newton into an extended care facility by the end of the day. I'd appreciate it. I just need you to sign this and I'll run it down to the courthouse. Thank you for taking care of this so quickly. I wish i could say it was my pleasure. You see how people treat their own parents. Yeah. Hey, hey. Dr. Carter, what gives? I've been sitting here forever. Your father exhibited textbonef nef nef gl that's crazy. He hasn't been bathed for weeks. He's covered in feces. He's got b ssto the bone. I've recommended that he be placed in an adult care facility. You don't have any say. I haveow ptoattorney. The hospital has claimed temporary guardianship. Who's going to pay for that? I'm in charge of the medicare. His medicare payments will be transferred to the facility he's placed in. ( Laughs ) expect to hear from my lawyer. Look forward to it. It feels like there's something in there. With all that glass flying around after the explosion i didn't want to take a chance. No. You did the right thing. ( Sighs ) it's so sad. These extremists... Blowing up buildings with people inside. Yeah, it's pretty stupid if the idea's to save lives, huh? Exactly. I marched with dr. King in the '60S. I thought the world would learn something from him. Yeah. Would you, uh, put your chin up here for me, please? Must be hard on you as a doctor and, of course, a young woman to know that for every life you save they're taking one away in that clinic. I, uh, i don't think about it like that. I don't think a lot of people do. It's like that old poem about the nazis. You know, first, they came for the jews then for whoever d and and when they cameto take me... Doctors who perform abortions aren't nazis. Of course not but if you sit around while'rey'rey'rtaking the children then who's next? All right, i see something in there oh, I knew i wasn't crazy. Okay, hold real still for me. I got it. Oh. Okay. You're all set. If you have any discomfort, you can take some ibuprofen. Use these drops four times a day and come back tomorrow for a recheck. Thank you. This is some information on our group. We hold rescue strategy meetings every wednesday. No, thanks. Okay. Oh, can't forget this. Hey, miss martinez. You forgot this. I thought we felt the same. No, we don't. You're not a peaceful protester. That sign is a call to arms. The bomber probably saw it or one just like it. It's reality, doctor. If it upsets you, then it's done its job. The only job it's done is to encourage violence and yes, that upsets me. She was okay before this. She was fine, she was talking. She had a clot in her lung. It deprived her brain of oxygen. There's no way anyone could have predicted this would happen. Are you sure? We're going to do an e.E.G. And a brain scan to confirm it. So she's in a coma? It's like a coma, yeah. Yes. Uh, um... People come out of comas. Not when the brain has been deprived of oxygen as long as zoe's has. No. What about the baby? Baby appears to be fine. Can you save her? Probably. I think so, yeah. And it's a girl? Yeah, it's a girl. You hear that, zoe? You were .. It's a girl. I wanted to talk to you before I left. Aren't you on till 7:00? No. I've been suspended. You're not serio yeah, well, I wish i wasn'T. Need help here now! I'll call you later, okay? What have we got? She godhedhed underneath unstable debris during an extrication at the reproductive center. Thought we took care of them. They were trapped b.P.'S 60 palp, pulse 150 and thready. I.V.'S infiltrated. Poor cap refill. Dr. Corday. My god, allison. Clear trauma one! I hope you didn't mess up my beautiful fibular graft. ( Laughs ) 48-year-old custodian multiple deep lacs to the left chest and back. Lost a liter at the scene. B.P.'S 70/30. Pulse thready at 144. Sir, are you with us? Peter. I'm on my way home. Very funny. I'm not joking. I've been suspended. Not by me you haven'T. Come on. I need you. ( Sighs ) all right, let's get six units o-neg. Call the trauma team. Tell them we're on our way. <4<&/'1?a1m4m'm netwo let's roll him. Open pneumothorax. Let's tube him. Damn it! We got a pumper! No pulse! Let's start C.P.R. We need to crack him. Thoracotomy tray. Let's move. Cricoid pressure. 7.5 E.T. Tube. Let's go. Suction. There it is-- traumatic aortic dissection and rupture. I'm in. Hyperventilate him. You get the statinsky in? No. I'm sticking my finger in. Don't let go, peter; you stopped the bleeding. All right. I'm holding c.P.R.-- Carotid pulse. Faint. ( Grunts ) pump in more o-neg; let's get him upstairs. Malik, stay with us, keep bagging him. Let's go, people! Go, go, go, go, go! Alert the bypass team. You set the pace, peter. We're following you. Watch that i.V.! Call the o.R., And tell them we're coming up! I thought you understood... Not now. He's tamponading an aortic tear with his finger. All right, well, carry on. All right, hit five. We need four units o-neg on the infuser. What's up, lizzie? Decreased breath sounds hyper-resonant, hemopn i've got the chest tube. Can we give her morphine? Check the b.P. First. It hurts. You've gotacfracfracfrtut n't n't n'talk. Where have i heard that before? Thoraseal's filling. D eed eed eeanabdominal C.T. She's unstable; do a peritoneal lavage. Type and cross for eight and spin a crit. Pulse ox is down, 90; here's the o-neg. You want me to do it? No. You do it. Ok hey. Uh, hi. I, uh, i'm sorry to wake you up. I was just resting my eyes. I brought you some orange juice and a sandwich. I figured you might be hungry. Thanks. You feeling okay? Fine, considering. Were you my doctor? Oh, no. That was, uh... Dr. Weaver. Two docs no waiting, huh? My boyfriend broug
clothes, so i'll let you have your bed back. Are you sure you're well enough to go home? Yeah, like i said, i'm fine. I'd just rather be at home. So if you don't mind giving me some privacy, I'm going to get changed. Okay. Sure. Sorry. ( Weak voice ): Doctor? Doctor? ( Groans weakly ) hi, mr. Newton. How are you feeling? I'm tired. That's from the dehydration, malnutrition mostly. W-w-w-where'S... Where's burke? He left. He deals with the... The paperwork. Your son is no longer your guardian, mr. Newton. For the time being... I am. But why? Why? The elder abuse unit is filing paperwork to put you into a home. But... I have a home. You have some very serious medical problems resulting from what we believe has been some very serious ne i'm 86 years old. I'ven in in the same bed... For 70 years. I'M... Just trying to help you. I wae die die in my own bed. You're not sterile; go scrub. I'm not letting go. Get ten units packed cells. Let's move. Okay, people, on my coone, two, three. All right, let's get this gurney out. All right, mark, help me roll him. All right. Open an instrument tray. No one's gloved and gowned. Come on. Just do it. Get gloves, gowns, masks and caps .. Okay, ten blade. Get him a mask. Let's move. Tonsil sucker. All right, i'm going to mobilize the aorta. Metz. Let's move. Let's move. Come on. What's going on? Peter's got his hand on this man's aorta. Potts clamp. I'm going to do a revised clamp and run. Got a second potts. Stand by. Got it. Okay, you can take your finger out now. Set up the bovie. Greene: Pulse is stronger. Okay, let's go for a b.P. 3-0 prolene on a vascular needle; here we go. Suction. Somebsystolic's up to 80. Morgenstern: Terrific. Okay. We can take over now. A 3-0, please. Keep them coming. Retractor and bovie. 4 x 4 on a sponge stick, please. Cut that. Good, good, good, good, good. 3-0. Keep them coming. This is looking very good, very good. Oh, sweet jesus. There's got to be some other kind of test. My angel. Sweetheart. Miles: Why's he here? He was with her when the clinic was bombed. I bet he was. We were getting a prenatal checkup. You killed my daughter. Miles! If she stayed with you two she would have killed herself. Everybody needs to calm down. He needs to get the hell out of my daughter's room. I love her. You guys treated her like crap. Ssrossro: Llcallcalling an o.B. Consult. Why don't you come with me and give them some time alone? All right? Come on. Here we go. Come on. She's been in asystole for 20 minutes. Let's call it. Another seven of epi. She's already had ten. And we got a response-- seven more. Two agonal beats-- it's not a response. Epinephrine. Give her a heart , nt, nttoo. Why don't you just stop being such a prick? Get me two units of packed cells! Thank you. Dr. Weaver? Yes. I just wanted to say thanks for all you've done for me today, the abortion and all. Right. You're welcome. It's got to be the most memorable one I ever got. You've had others? A few. I really thought earl would want this baby-- like it would help him get serious about us, but when he found out he hit the roof. Our clinic can advise you on family planning. Earl doesn't like that, and pills make me fat. Still, there are preferable forms of birth control than abortion. Why are you being such a bitch? Because you're being irresponsible. More likely it's 'cause you don't get any. Ross: And it's a very difficult decision. Miles: Neither of which will bring zoe back. That's true, but if the decision is to keep the baby then you really have two options. The first is that we perform an emergencn.Ion.Ion.Io we deliver a very premature baby and then we take zoe off the respirator. That means the baby would have to go in an incubator, right? That's right. Probably months of intensive care. What's the other option? The other option is that we keep zoe on life support until we can deliver the baby full term. And what do you recommend? I'd recommend the later delivery. So... You're suggesting that our daughter... ( Sniffling ) be made into a human incubator even though she has no chance of recovery. It's the baby's best chance. I don't want to see zoe left lying there like some... Kind of vessel. She wanted this baby more than anything in the world. You have no say in this matter. I'm the baby's father. I'm zoe's father. Yod yod u are are are minors. The decision... Is mine and her mother's. They can't do this, can they? I'm on lon lon lg yoo yoo yoo U. Oh, I understand. I was just really freaked out. It's not every day the waiting room you're sitting in explodes. Yeah, understandable. Okay, you're all set. Just keep it elevated and dry and come back in two days for a recheck, okay? Okay, yeah. Uh, you left your insurance form blank. Ft ftft hat hat hatome. Is there someone you can call to come and get it? No, I'll pay cash. Well, that's not necessary. Your insurance will cover this. It's just, i, um, i don't want my husband to know that i was at the clinic. Uh, I thought i was too old for this kind of thing to happen. Then i started to puke up corn flakes every morning and now I have to find a new clinic-- preferably one that is not ticking. So you haven't had the abortion yet. No. And if my husband finds out he just won't have the heart. Our youngest daughter's in college. He put all four kids through college. He worked five years past his retirement to be able to pay for .... .. I've never kept anything from him before but... What if you told him what you just told me? I can'T. I'd love to, but... I can'T. Anyway, what do I owe you? Just bring me your card tomorrow morning. I could leave a license or something as collateral. That's all right; I trust you. Thanks. Oh, and if uh, anybody asks you can get a laceration like that from a dog bite. Hey, shirley, have you seen dr. Corday? She's still in o.R. Three with that paramedic, beaumont. Okay, thanks. Hey. She made it, huh? Mm-hmm. What's wrong? You okay? Yeah. It was, uh... It was scary. ( Sighs ) you can put them back together but, uh, you can't keep them that way. ( Sobs ) man: Scotty always had such... Great school spirit. I think I can speak for the whole team when I say alrealrealreto miss him. I was going to sing a hymn... But as i'm here's a song that he loved... And it'll always remind me of h
another turning point, a fork stuck in the road
time grabs you by the wrist, directs you where to go
so make the most of this test and don't ask why
it's not a question but an answer learned in time
something unpredictable but in the end that's right
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it's a beautiful thing hey, zadro. Fancy seeing you on the surgical floor. I wanted to tell you we all appreciate what you did for allison. She's a fighter. Wi with a damn good guardian angel. ( Laughs ) um, lizzie, I, uh... I just wanted to apologize for the way I spoke during the beaumont surgery. I know that she means a lot to you and I just hope you'll forgive me. Of course. It's been a crazy day for all of us. I get off in about an hour. You want to get a drink, uh, decompress? Look, I'm knackered. Uh, any other day. Okay? I understand. If you change your mind, you have my number. Yes, i do. David? I forgot what this place was all about-- the teamwork, the well-oiled machine. What? I've let the situation get... Completely out of hand. I told myself the varices were too friable that my field was obscured, that i-i was protecting s n's n's n's dignity. I wasn't. I was covering my own ass. Look, if you make a mistake that's all that it is. No. What are you watching? ( Rueful chuckle ) what am i not watching? That's the question. This is the tape of swanson's laparoscopy. Where did you get it? I... I took it... Right after the surgery. Een too chickento look at it. I guess I thought we c a confrontation. A resident can take a note in his file. Right? Peter's go less to lose... I could toss this right now. No one would be the wiser. You wouldn't have called me up here if that's what you were going to do. ( Sighs ) jeanie... I wondered where you'd gotten to. I'm just sitting in here. It's very peaceful. Yes, it is. When, uh, scotty was going through the worst of it i went into his room, found his journal. I know i shouldn't have looked at it but I wantanstanstanst the way you and... His mother seemed to. He loved you very much. He said, "jeanie just gets it. "I don't have to explain anything to her because she already knows." T.T. I remember when he told me about what he wanted to be when he grew up. Some kind of rock 'n' roll star probably. He wanted to join the army. He did? Mm-hmm. I paged O.B. Going to send somebody down here to discuss your options. We've decided to keep the baby and wait until it's closer to term. Good. I'm glad. Donny will be glad, too. This is no longer any of donny's business. Maybe if you give it a little more time. I've contacted our attorney. My wife and I are filing for sole custody. Is this to teach donny a lesson? Nothing could teach donny the lesson he deserves. I' twice his age who weren't responsible enough to seek prenatal care. Responsible? Getting a 16-year-old girl pregnant forcing her to leave home, drop out of school... Please, miles the doctor seems to fancy himself an expert on our family. I don'T. It'S... Just what'S... Best for the child. We let donny into and he took our daughter away. He's not going to take our granddaughter. I don't want to go. Everything will be fine, but this is for the best. I'm not so sure. You filed and signed a legal report. You can't rescind that on a whim. I want to go home. There. At least listen to him. Someone in an abusive situation can't always determine what's best. You're not touabouabouabt a hypothetical. This is an adult human being making a decision to go home. According to your own report he was non compos mentis on admission. He was severely dehydrated. He's become perfectly lucid. Mr. Newton, I know you're scared but I'm scared about what's going to happen to you if you're not taken care of. Dr. Carter, call burke; he'll explain. Don't force me to get the police involved and press formal charges anand dalan-lan-lan-W. Can she do this? Please... Don't let her. Don't let her do that, doctor. Sorry. I-i'm... Sorry. I want to go home! Thank you. , Uh, uh, uhkerry... Anna. What happened today-- it really threw me and itee been .Nd.Nd.Nd i wanted to talk to you about it. I should have explained myself better instead of flying off the handle. No. You were right. No. Just let me explain. I did some overseas work in africab ababortion is illegal and I-I saw 15-year-old girls in septifromfrom botched procedures and there was nothing we could do. I've made it a priority to be the best doctor i can be and to support all my patients' choices. If you would have asked me when i got up this i would have... I would have said the same thing but in this case, she was so far along, and... And what if another brianna thomas comes through those doors? I'd love to tell you that i cme cme cmee came in tomorrow i'd be able to do the procedure without a second thought, but I don't know. Peter, i'm glad i caught you. I was on my way to your apartment. Listen, I'm sorry about that surgery but I already had my hand in it. No, no, no. You did the right thing. You were thinking on your feet. That's not what I wanted to talk to you about. I wanted to let you know that one of my last two acts as chief of surgery is to rescind your suspension. What do you mean? That's swanson's laparoscopy in full living color. The mistake wasn't yi cut the gastric artery. My last act as chief will be to resign. Dr. Morgenstern, it was just one incident. No. When i saw you itoa toa toa da the passion that you exhibited-- it's been years since I've felt that. It might have had something to do with my heart attack-- the pressure of feeling that I just doymanymanymanorwhat do you mean? You're a great surgeon. You taught me ever w.W. W. I was a great surgeon, but what happened-- what i allowed to happen-- it just proves that I'm not a very great man. That's what i got to work on. Here. You smell that? What's that? The smell of spring-- all green and full of possibility. Ramen delight. You feeling suicidal? No. I'm just... Poor. John truman carter poor? It's a long story. It's been a long week. I overdid it with a patient today. Thought I was doing what was best. Better to overdo it and be wrong sometimes than not do anything at all. All right, i'll tell you what. Why don't you dump that liquid sodium and I'll take you out and buy you a burger and a beer. I don't know. Come on. It's not an option. Hi, guys. Hey, jeanie. Is it still raining outside? No, it's not so bad. It's kind of nice,uactually. ( Music playing ) ( knocking ) hey. Uh, look, i hope i'm not disturbing you. Come on in. I'll turn the music down. ( (( ) )) ) Um, let me take that. Ahh... Here, look, you're soaking wet. Yeah. Cheap umbrella. What possessed you to come out in these elements? My day, my week, my life. I heard about morgenstern. I'm really sorry. ( Sighs ) I lost my mentor today. And the hospital? ( Exasperated sigh ) they lost a great surgeon. ( Sighs ) you can, um... You can be so close to somebody... And then they're gone... And you've never even told them that you... You know how... Well, you... I'm sorry. I'M... I'm babbling. I'm not even making sense. No, no, no, no. You are. You are. Go on.
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previously on e.R.: We do not need a pediatric attending here. Think I can be an attending? None of you wants the family involved in your lives. Men like him don't change. Let's give her a heart transplant. Peter. Aha. Sleeping beauty awakes. Hey. I was just checking my messages. You didn't even stir when the alarm went off. Dead to the world. Well, you know it's not that often that i get to sleep in. Yeah, yeah, don't rub it in. Some of us have to work sundays. Oh, please. You know i've had my share. Well, yo memeto stay. No reason to waste a warm bed. No, no, no. Actually, I need to get going. There's tea you'll have to boil a kettle but I think you can manage that. No. I've, uh, got to go somewhere. Not some other clandestine meeting, i hope. Reese is getting baptized today. Protestant or catholic? Why? Just curious a.M.E. Look, I would have invited you... Don't be silly. It's a family thing. Got time to go home and c yeah. Okay. Well, have a good time then. Hey, and could you lock the door on your way out? Sure. All right. ( Scoffs ) hey, peter. It was really lovely last night. ( Chuckles ) ( chuckles ) I'm hungry. You can't start without her. Why not? I knew this brunch was a bad idea. She's a little bit late. We should have met on neutral territory. I told you, deep down kelikelikelikelikeme keep dreaming. ( Doorbell rings ) finally. There you go. Hi. Hello. Hello. What happened to your front step? Did you get a flat tire or something? Why are you late? Javier, this is my daughter carol and her friend doug. Nice to meet you. I'm sorry we're late but I couldn't get her out of the house. Excuse me? Yoyoyou know how she is-- has to be perfect. Allow me, sweet pea. I'll get this. Like something to drink? Do yor orororange juice? Yes, we do. Two mimosas, please. You brought champagne. Aren't we celebrating? Hao hao hao ppy couples right? ( Chuckling )
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Usually, significant improvement occurs within the first three months. He's working on motor skills. Chase's progress has slowed considerably. All the more reason for aggressive therapy. He can get that at home. Look, I just want what's medically best for my cousin. Gamma, i think this is a big mistake. John, it's often wise to listen to the perspective of those not personally involved. Chase is'she'she'she's lost most function on his left side. No, he just favors his right. You have to force him to use his left. I wish it were that simple. It is. Watch. John, please. Hey, chase. How you doing? How you doing? You, uh, you want to draw? He was left-handed. He was drawing last week. You want to draw something? John, this isn't necessary. Hmm? Okay? Okay? Okay. Okay. Why don't you take the pencil? No, no. Other hand. Come on. He can do this. It's okay. It's okay. There you you're all set. What do you want to draw, huh? You. Me? You want to draw me? Okay, go ahead. I rushed him. I rushed him. You can't rush him. All right? There we go. Let's try again. Yeah. Needs calcium chloride, ten percent solution. Start with five amps. Five amps? And set up an infusion-- one gram every fifteen minutes. So, mr. Canterna, feeling any more pain? It's starting to get numb, doctor. Is that bad? Our immediate concern is with the fluoride in the acid. ?? ?Not exactly. The calcium can be drawn out of your cells. What does that mean? Well, it depends etenetenraki ski ski ski sn. Right now, we're giving you calcium intravenously to counteract the effect. So, is there any family you'd like us to call? Is there something you're not telling me, doctor? Hydrofluoric burns can be serious. Is there any family you'd like us to call in the area? Nah, i don't really have family in chicago. Okay. I'llht bht bht back. Carol, can you keep an eye on him? Make sure he's comfortable and watch his heart rate. Eif his leg gets worse. It's not his leg i'm worried about. Hey. You look nice. Thanks. Hey, is carla here yet? Inside. Hey, uncle peter. Hey. Where is she? Who? Your girlfriend. Steven. What? You said he had a new girlfriend. Well, I don'T. Well, dad said he heard grandma turning over in her grave. All right. That's enough. Both of you go in there and get a seat. Peter... You remember roger. How you doing, man? Uh, hey, hey. Uh, carla, can i talk to you for a minute? All set? Yes. We should do a little rehearsal before everyone arrives. Um, mom and dad... I'm the father. Oh, I'm sorry. Who's holding the baby? I am. Okay. Now, listen if you'd just step back here. Yeah, come on, everybody. Just kind of move around and make way here, please. Thank you. No, no, over here. That's good. That's good. Here you go, little pickle. Yeah, mom in the middle. Dad, dad, right here on the end. Right here. Just move back. Thank you. Okay. Canterna: I wasn't even supposed to go into work today. I was home restoring my car and the weekend guy called in sick. I figured I could use the overtime, you know? What kind of car do you have? It's a '63 'vette. She's an eyesore, but she's got matching numbers. I'm going to fix her up. She'll be worth... ( Gasps ) it's hurting under my skin. I'm going to give you something more for the pain. How long is this going to hang me up for? It's hard to say. He's already severely hypocalcemic and the leg is necrotic. Any E.K.G. Changes? Prolonged Q.T. Skskskfomithmithmithmia. What does toxicology say? Hydrofluoric burns of this magnitude are always fatal. There'no nhis family on the way? He doesn't have any in town. You might have time to fly somebody in. P.P. P. Guess I better go tell him. Mm-hmm. This is really starting to hurt, doctor. We can do something about that. I'll give him another five of morphine. You okay? Yo okokokso good yourself. Mr. Canterna, the calcium we're giving you can't reverse the chemical reaction in you what do you mean, "chemical reaction"? The fluoride is binding to your cellular calcium to form calcium fluoride-- a crystal salt that seeps into your body tissues. So, so what we're already starting to see changes in your cardiogram. So, now what? As the calcium level in your cardiac cells falls your heart's going to begin to fail. W-wait... Are you telling me that i'm going to die? We're doing everything we can. T hat haa yes? Yes. How-how long? Days? Maybe 12 hours. Is there anybody you'd like us to call, mr. Canterna? Mr. Canterna? Jcpenney biggest saturday one day only sale of the year. Stores open at 7:00 A.M. Save 20-60% storewide, plus our biggest doorbuster deals 7:00 a.M. Till noon. All gifts, one place, pure magic.
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spray the cookie cutter. With pam, your holiday cookies just come out better. E i don't feel that bad. Yo, yo, you let me knowif the pain increases. It hurts. I just don't feel like i'm dying or anything. We'll do eing ing we can to keep you as comfortable as possible. Maybe he's got it wrong. Shouldn't you call a specialist or something? I feel like you guys are giving up on me. We're not giving up on you, mr. Canterna-- I promise you that. We'll do everything we can. You sure there isn't someone we can call for you? It's too late. Faw faw faw faw r y?Y?Y?Y?I've been gone too long. She won't come. Who won't? My daughter. Dumar: 21 years old. Complains of neck, back... We're full here. Next room. Neck, back and bilateral ankle pain following a 75-foot fall into the river. From where? The train bridge. Sinus rhythm: A and o times three. Yoryoryoryory examexamexam normal. Okay, C.B.C., Dip a urine cross table c-spine, chest and pelvic x rays. Does that hurt? A little. Okay, and lift. What were you doing on the bridge? It's a long story. How about here? No. B.P.'S 120/70. Pulse is 112. Is that bad? No. We'll just check to make sure you're okay. Good peripheral pulse, normal cap refill. Follow with bilateral ankle films and, uh, call psych. Psych? I don't need a shrink. Relax. Everything's fine. I didn't jump, if that's what you think. Okay. No, I'm serious. I didn't jump. Did you take any drugs? No. I was there with my buddies. We were just fooling around. How much have you had to drink? A couple beers. Well, you also have a couple of broken ankles. Throw in a b.A. We'll take care of everything. Relax. Is everything okay? Joker jumps off a bridge and walks away with a couple of ankle fractures. You called psych? Yeah. I'll tell weaver. Surgical consult? Straight ahead. He changed his mind. He really wants to see his daughter. I thought he didn't have any family in town. No, he does. He just hasn't seen her in six years. How old is she? 6? Oh, boy... Don't worry. I'll take care of it. Go home, get some rest. I should stick around. There's nothing else to do except hold his hand, which is my job. Get out of here. Thank you. Weaver: And... Another breath in. You got a sec? Sure. I'll be right back. C.B.C., Pulse ox, lytes, A.B.G. And a chest film. Still waiting for an i.C.U. Bed. Pulse ox is falling slowly. I didn't talk to him about a vent yet. I wanted to let the news set in cad cad cad carol is lookingfor the family. All right. Have a good sunday. Thank you. Soatthatthatth. I know you're busy. I don't usually come to the emergency room for the flu but I can't seem to beat this cough. How long you been feeling fatigued? About a month. Yeah? Any weight loss? I've been so stressed planning this wedding... Oh! Congratulations. Is that a daughter or a granddaughter? ( Chuckling ): Why, it's my wedding. R for for fo years i told her it was about time to make a commitment. Well, good for you. It gives me less than a month to get better. No promises. You might have pneumonia. Pneumonia? We'll know more after a chest x ray. Anna, you the one who had that voodoo woman yesterday? She's back? Yeah. Exam three. Chief complaint: Voodoo man has taken over her body. Not the same one. My voodoo patient was 60-something. I had a voodoo guy last week. Oh, no. Voodoo epidemic. Sorry. Yeah? Ma'am, your ex-husband is in critical condition. I know you are at work. He just... Look, he's going to die tonight. He just wants to see molli. Anybody home? What have you got? Pedestrian versus auto. Head contusion, brief L.O.C. Broken arm, vitals are stable. What's open, chuny? Uh, curtain three. Curtain three? Cerebral palsy? I don't know. Somebody clipped his wheelchair. He couldn't tell us if he was hurt. No one was with him? Nope. Just found him on the street. Can you tell me your name? ( Mumbling ) you can't understand him. He might have a subdural that could impair his speech. Wewewe should get a head c.T. How do you do a neuro exam? It would help if we knew his baseline. Sir, can you push in against my hand? ( Mumbling ) let's start with a c-spine. Carter, have you seen elizabeth? No. Wasn't she called down for a consult? I just got here. Anna? She's right there, actually. Hey. Peter, i thought you weren't coming in. Uh, I wasn't, but I decided to come in and do some, uh, post-op notes. You look dapper. Uh, thank you. How was the baptism? It was good. Nothing afterwards? Want to get something to eat? I've got this thing with romano. What thing? Lunch. I think it's got something to do with my fellowship renewal. Ah... Did you really come in for post-op notes? Yeah. See you later? Yeah. Hope so. Canterna: Call the military. They might have an antidote. A buddy of mine says they use stuff like this. It's... Not really the same thing. I just want you to know. Rest a minute. Gr groaning ) did you find her? Uh, I taed to your ex-wife. What'd she say? She said that she's sorry, but, um... She's not going to bring molli? No. She knows what's happening to me? That's okay. Hey, it's for the best, I guess. I'm sorry. I was going to make it up to her, but... I guess I ran out of time, you know? At some point, you'll have to let us know if you want to be put on a ventilator. Dr. Weaver, do you have a minute? Yeah. Uh, what is it? Auto versus pedestrian-- possible head injury. What's the problem? Cerebral palsy. He's tough to assess and we don't want to hurt him. All all all all me fir fir first sign of arrhythmia. Are you sure it's C.P.? He might be posturing. No, he's conscious. Well, isny any any any meds? I don't know. He has no family. We can't understand a word he's saying. Let me grab this. Yo! I need a portable c-spine. X ray, trauma two. Sorry, maggie. I got him. When did you call? I didn't, but I need to clear a neck. Well, how bad is yours? How bad is yours? Benton: I need a hand! Doyle: Carter, grab that gurney. Is he breathing? Yeah. I need a c-collar and bockboard. Connie, get doug. Why didn't you call 911? I thought I'd get here faster. How long was he uncinscis? He was awake in the car. Pulse is weak and thready. I had him for the weekend. We were washing the car. I didn't see him. I only backed up a couple of feet. Take that guy out of there. We'll roll him. Here we go. Hang on. Roll him. Did you drive over him? I just didn't see him. Doyle: Get radiology! Cap refill is poor. Stiles: Whatat's going on? Pediatric trauma. Chuny, get me a crit and type and cross for six. Put him on oxygen, ten liters by mask. Dip a urine. Pupils are... Equal and reactive. I got a line in. All right, saline, 20cc's, uh, per kilo bolus. That's... Uh, he's 30, so that's 600, right? B.P.'S 70/30. Pulse is 144. Abdomen is distended. No bowel sounds. Can't wait for a c.T. Let's prep for a peritoneal lavage. I'll get a kit. Pulse ox? You okay in there? I think so. Where are the lavage kits? Down and to the right. What's that? What? Lavage. It's a procedure to check if there's internal bleeding. That sounds pretty bad. Well, you never know. Is it a boy or a girl? It's, uh, it's a boy. You cod ulgo if you need to 'cause i feel... No. They got it. Can I ask you to do something for me, nurse? Yeah. I have a couple of thousand dollars in my savings account. Can you make sure it gets to molli? Sure. Do you have a will or something? No. I didn't get around to it but I just want to make sure i get her the money. It's not much, but I want to give it to her. I can get a public notary in here to arrange it. I'll take care of it for you. You promise? I promise. Okay, but don't tell her that it came from me 'c 'c'c'cause i don't want her to think i'm buying her forgiveness. Sorry. Hallway's blocked. Ross: 5.5 E.T. Tube. Got the blood! Hang a unit. I'll start a second line. Rapid induction. .5 of pavulon, 75 of sux. Got it. Cricoid pressure, will you, please? Marty, your daddy didn't mean to do this to you. I didn't mean to do this. Lavage is... Positive! Benton: Call the o.R. We're on our way up! Doug, are you done? Almostn. I got it. We have to take your son upstairs to do an exploratory laparotomy. What's wrong with him? We have toteinteinteintetern oh, my god. I need you to sign a release form. Just don't let him die. We do this every day. He has a good chance. Hold that elevator! Connie, you got to cover my patient in trauma one. You're leaving in the middle of your shift? Everything is on the chart. Where you going? I'll be back in an hour. Carter: Pulse is 80. Chuny: Second unit's in! Benton: Hang the second one. Don't let him die! Please! I need you to sign here again. Just don't let him die... Please? I understand. Please don't let him die. Okay.
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cotton
the touch, the feel of cotton so... So. Enjoying your year? It's been educational. Mm, I bet. Thoughts of staying come fall? I've entertained the idea. Good. Is that what you wanted to talk about? No. No, not exactly. Must i guess? Well, there's no way to say this but flat out, so here goes. Lizzie, our relationship has not moved in a direction i would have liked. Now, partly that's because I have trouble communicating these types of feelings but the fact is I find you... Very attractive. Dr. Romano... Let me finish. Now, i don't know what your long-term plans are and I'm not foolish enough to think that colleagues can have a romantic involvement without... Entanglements but we obviously have a lot of common interests and we share the same insane schedule and it makes sense so, I would really like you to consider, uh... A date. Going out with me on a date. What do you say? I'm flattered, uh... And shocked. Really? I would have thought you could see right through me. No. No, not at all. Uh, however, um... Seeing as I-I do work for you i don't think it would be such a good idea. Oh. Uh, not that under other circumstances... Oh, oh. Oh, I see, you-you have a policy. Yeah, yes. No fraternization with people at work. Oh, well, okay, I'll respect that. Uh... Just pretend i never said anything. I'm sorry. Oh, hey! Huh, I, uh... T's t's t's for a while there, uh... I really thought i was competing with peter benton. Just... Do that? ( Mumbling ) how about now? Just your fingers... What are you doing? Weaver said to examine him like he's any other patient. By pinning hidowndown? I'm trying to isolate finger motion. You're not afraid of hurting him? Actually, yes. ( Mumbling ) he's been trying to tell me something. Head c.T.'S normal. No subdural bleeds. No sign of brain abnormalities. Hey, he opened his hand. How about that? Oh, he's got a bad lac. Yup. He might have cut a tendon. They didn't teach this stuff in med school, did they? I guess we can call a hand surgeon down here. What did you do? Nothing. Is he having a seizure or something? I-I... I don't know. The x ray indicates you have what we call atypical pneumonia. What does that mean? Well, there's several kinds. You don't by chance have any birds in the house, do you? How did you know? Psittacosis pneumonia is carried by small birds. What? Is it a parakeet or a dove? A falcon. A falcon. Only thing daniel loves more than me. That's not true. I wanted italy for our honeymoon. He didn't want to leave sinbad that long. Who was going to feed him? What does he eat? Partridges. It's not pretty. He doesn't eat them alive. We kill and clean them first. That's where i come in. Well, it's probably how you contracted the pneumonia. I'll get a blood test to see what type but we can treat it with antibiotics. Funny. I thought I was covering the e.R. ( Sighing ): I was there, so i took it. What happened to your post-op notes? You know, I thought we were past these games. Excuse me? E ade adolescentcompetition. He was in bad shape. Give it a rest, huh? I was simply commenting on... You don't
simply do anything, elizabeth. Is something the matter? The boy could bleed out. I mean with you. Has something happened since this morning? No. I'm fine. Dr. Benton. I didn't know you were working today. Yeah, I am now. Glad to hear i'm not the only surgeon without a life. Six-year-old male sustained a splenic fracture... Bus tour? Sandy mader? Yeah. Hi. I'm carol hathaway. We spoke on the phone about your ex-husband. Look, I'm sorry. I can't help you. Just go right on. I'm working, okay? Look, I don't pretend to know the history here. That's right. I just... Your ex-husband isn't going to make it through the night. Paul walked out on us, okay? Here you go. Bus tour. He just left. He couldn't hold a job. He couldn't handle it so he just left. I feel bad for him, i do but he's not part of our lives anymore. All he wants to do is see molli. He was never there for her but now he wants her to hold his hand and watch him die? You really want him to die alone? Who are you? This is none of your business. I'm not putting my daughter through that, all right? I understand how you feel and you don't know me, but, trust me you're making a mistake. I was a little girl when my father was dying in the hospital and I couldn't see him. I wasn't given a chance to say good-bye. You think you're protecting molli but she'll have to live with this. Did you know him? Yoi remember him. Molli won't remember paul. She has absolutely no recollection of him, okay? Now, i'm sorry, but he chose this for himself. Has anyone seen carol? Her. He needs 40 lasix I.V. I'll get it. Kerry, your labs came back. Mrs. Weinbor for for for f no, mrs. Weinbach is the older lady with the bird. Yeah, I made them redo it. I-I asked for cold agglutinate and antibodies, not hiv. Are you sure? It was marked on the form. Oh, my god. It makes total sense. I don't know why i didn't think of it. You want to do another one? No no, I can't do an hiv test without consent. So now what? He's been on methadone sincbirth? Yeah. No interruptions? You haven't stopped and started? Uh-uh. No. Seven months is a long time. Pretty tough on neurological development. They say to give him less, but it doesn't work. You still using? What does that have to do with it? If you breastfeed... I don'T. Your baby has... A high fever. He's sweating; his pupils are dilated. He has an abnormally high heart rate. These are all signs of withdrawal. Now, why would that be? I don't know. You're the doctor. When was his last dose? Yesterday. I ran out. My clinic is closed on sunday, so I came here. You want methadone? It's what he needs, right? You don't need it? What are you talking about? You're using your baby to get methadone. You're crazy. I can get that for free. If you're clean, you can. You come here when you can't score. I don't need this. He needs to be admitted. No way. You'll call the cops. You come in here with this story because no place else will give you the stuff. If you leave here that baby won't get the treatment he needs. Then give me some and let me go. Until next time? Vicky, you addicted your son. You strung him out. Now, don't you think it's time to do something right? ( Baby crying ) we should wait for his family. Someone will look for him. What if he's homeless? He couldn't survive out on the street alone. The cops are checking the neighborhood now. He can't live that far away. Hey, take it easy. Take it easy. It's oy. An ban bke that? Maybe he is trying to tell us something. ( Mumbling ) I'm sorry; I don't understand. ( Mumbling ) what is that? Ring? Ring what? A-a-a phone? You want us to call somebody? Lie still if that's what wou wanus to . If you want us to... Yes. Four? Four, four, four what? You giving us your phone number? Yeah, yeah. Four was the first number? Yes, yes. Here. Thanks. Then what? Four, then what? Then two. Two? Yeah. I'll tell the father and I'll, uh, I'll meet you in recovery. Hi. Yeah. Your son sustained irreparable damage to the blood vessels supplying his spleen. Okay. We had no choice but to perform a splenectomy. But... He's alive? Yeah, yeah, oh, of course. Oh, I'm sorry. Yeah, yeah, yeah. Thank god. Look, in time, he'll make a full recovery. Now, listen to me. He's going to be prone to certain infections. He's going to need to be vaccinated against... Just, thank you. Thank you so much. Yeah. I made a mistake about the birds. You may have what's called pneumocystis pneumonia. Is that worse? Well, we need a sample from your bronchial tube to confirm it's P.C.P. But since it's the defining illness of aids we should do an hiv test. Aids? That's a good one. We need to be sure. You don't know loretta. Can I speak with her alone? Why? No, it's all right.
Pra lylymy husband. To tell the truth... We made a mistake. We need written consent from our patients to test for hiv. However... We tested you by accident and it was positive. I don't understand. No, it's a mistake, a mix-up. Perhaps another test would remove any doubt. I'll take care of this. Doctor... Just give her something for the pneumonia and we'll go. I can't do that. Don't make me report you. Excuse me? You tested her illegally. Yes, but it would be unethical to let her leave untreated. I don't want to burden her with this. Have you been tested? We're not talking about me, all right? There are drug programs that would drastically enhance both your lives. Can't you say they're... For something else? I think you should find a way to explain it to her or i'll have to. You disappeared on me. I needed to check on something. Molli's still not coming? I'm afraid not. It's okay. It's better this way. She shouldn't see. Do you want to write her a note? I could take something down. Yeah. No, it's too late. It wouldn't be fair. I think she'd really like to hear something from you. I really do. I was going to make it up to her, I swear. I called her a couple of times last fall. You can guess how that went over. You know... I figured it just needed time. E jcpenney biggest saturday one day only sale of the year. Stores open at 7:00 A.M. Save0-60% storewide, plus our biggestoorbuster deals 7:00 a.M. Till noon. All gifts, one place, pure magic.
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Network i'm so glad you called me. I can't believe he was able to give us your phone number. Mr. Lorenzo, I am so sorry. I lost all track of time. I got stuck with the rejects. ( Laughing ) uh, I'm sorry. John carter. You understand him? Katherine dunlap. I'm mr. Lorenzo's personal assistant. It takes a while to get the accent. Accent? Slow, but I'll forgive them. He says you're a little slow but he'll forgive you. Thanks. Uh, c-c-can you tell him that they need to operate on his hand? You just did. He understands english. It's one of his many languages. He's one of the leading experts in hieroglyphics. That's fascinating. Liar. I understood that. Would you excuse me for a second? Thank you. You're welcome, mr. Lorenzo. Gamma. Oh, john. I'm sorry to bother you at work. What's wrong? I'm not happy the way we left things earlier. Do you have a moment? Uh... Yeah, sure. Want to sit down? No, thank you. John, I respect your opinion. If you think we should keep chase at the institute i'll support that. I can't guarantee you that it's going to make any difference but I'm not ready to give up on him. I never intend to. Neither do i. Well, I'm glad we've got that straightened out. Me, too. John... I unde that comes with financial independence but money or not we're still your family. I know. You were always your grandfather's first choice. He's much too proud to come to you now but he'd really like you to come to him. What are you asking me? Finish your residency if you must. You can always practice medicine part time. But your family needs you, john. We need you to run the business. I don't know. Please. Think about it. No. No. I don't need to think about it. Gamma, i can't. I'm a doctor. It's all that i've ever wanted to be since... Since your brother died. Since I was a kid. And there's nothing else for me. You really love it that much? Yeah. Yeah, I do. Forgive me for asking. I, i had to try. I'll expect to see you at your grandfather's birthday dinner. You will. I always wondered what you'd be like when you grew up. ( Crying ) hey, uh, connie, whose patient is this? I think it's doug'S. Where's the mother? I don't know. Yeah, it's doug'S. Get him, will you? Hi, sweetheart. It's okay. It's okay. What happened? Uh, I just found him alone. Unbelievable. This baby has a fever. He's in heroin withdrawal. The mother's been stealing his methadone between fixes. So she split? I told her to do the right thing. Maybe she did. Unbelievable. It's oy, buddy. Very good. No. Please, leave it open. Ok how much longer? It's hard to tell. Please. Not long. I'm scared. Won't U.You. Do you have things you wish you did different? Doesn't everybody? You should fix it if you can. Maybe. Do you want me to read you back the letter? Yeah. Okay. "Dear molli... "You don't know me. "I'm your father. "I suppose i shouldn't even call myself that. "You're the best thing i ever did with my life. "Leaving you was the worst. "God knows i haven't done much for you while I was alive "but if there's a place called heaven "and they let me in "i promise to always look over you. "Please forgive me. I'm sorry i never got to know you." Me, too. I'm going to start to worry about you. First, you work on a holiday. Now, i find you alone standing out here in the dark. What are you doing out here? Looking for you. Well, you found me. I have to admit that brooding veneer is part of your appeal but I thought I'd broken through most of it. ( Sighs ) I'm supposed to be at carla's restaurant celebrating my son's baptism. I see. And you're here because? Ah... I don't want to feel like an intruder, you know? Like i have to share my son with carla's boyfriend. Do you? I mean, he gets to spend all the time with him. You know, how do i compete with that? You're his father, peter. You don't have to compete. Then i thought i'd come and see you but, you know, you had that lunch thing, so... Are you jealous? Tsk. Well, you know, your instincts were right. Romano propositioned me. Are you serious? What'd you say? I lied. Said i don't date colleagues. It's cowardly of me, i know. Oh, that's okay. I lied today, too. What about? Me? Mm-hmm. So much for a relationship without complications. You know what? Screw it. Come on. Let's go. Where? To the party. There's still time. You don't have to prove anything to me. Elizabeth, i know that. Look, I just want to go. Well, then you should go. You should go alone for your son. This is his day. Ah, yeah, you're right. Hey, thanks. Listen, um, if it's not too late... Hey, listen, i'll be up. Are you kidding? Anna! Hi, carter. Want some cookie? Yeah. You off? Yep. You? Another six hours. Bummer. Did you discharge mr. Lorenzo? Yes. He even gave me his web site address. Why? So you could feel like an idiot? Max! Hold on. Oh, sorry. ( Clears throat ) that's okay. What time is it? Uh, ten to 2:00. You on call? I'm waiting for carol. She should be ready. They called it about a half hour ago. Thanks. Hey. Hey. I'll just be another minute. That's all right. Take your time. ( Hathaway clears throat ) tough one, huh? You okay? Yeah. You sure? Kept asking for his daughter. Never thought of it like that, you know? Maybe he was asking for me. Maybe he wanted to see me and I never came. Your dad was probably in a coma, carol. I don't kn. I've been living my mother's version of it for so long I don't know... What memories of him are mine. <
and then when u yodo, itwell, I'm just... I'm doing what i thought you wanted me to do, piper.
You're the one
who didn't want me
to clip my wings. And you shouldn't, not for me, but that doesn't make it any easier for us.
[Sighs] what are we gonna do? I don't know, leo. Go. It's ok. I understand. I'll see ya. Captioning made possible by spelling entertainment and mr. Peanut and planters nuts-- relax. Go nuts. Captioned by national captioning institute --www.Ncicap.Org-- 金金金金金金?previously on if that is all you think of me then you can keep your money. As you wish, john. T n't n'want any more chemo. ( Rapid beeping ) gather the charts and the tape. Son of a bitch we've got to open. We're losing him. It's been three minute he's dying. Move! Cubs fan, huh? Please don't touch that. Right. Sorry. Before i make any decisions regarding your loan application, dr. Carter i have to clarify a few points. Yeah? You only included one tax return-- 1996 listing your income as a surgical resident with an annual salary of $28,000? Yeah, before taxes. We'll need your other returns from previous years. There aren't any. Before that, I was a med student. No summer jobs? Well, I crewed in the whitbread in 1990. Where was that? Cape town, freemantle. Capsized between sydney and auckland. ( Chuckles ) it's a yacht race. And you earned...? Oh, a few thousand but after living expenses... I spent more than I made. You're a resident in emergency medicine now. Is that correct? Yeah. When i shifted from surgery i agreed to do so without pay but I'll ask for a paycheck next year for sure. I would hope so. What about this trust fund? The holdings are in my grandfather's name and I am no longer drawing funds from it. Would your grandfather be willing to cosign yor yourn?Oan? I want my application to be judged on its own merits. On its own merits, I'll have to reject it. Why? Talk to your grandfather or acquaint yourself with the ingredients of a peanut butter and jelly sandwich. ( Chuckles ) peter. Oh. Dr. Morgenstern. I, um, i looked over your report for the morbidity and mortality conference. It was quite evenhanded. Well, I just charted what happened. Sometimes these things can become so "he said, she said" but there's no need for that. No, no. Contact the journals. Lizzie and i just did an aortobifemoral bypass in two hours, 20 minutes. That's wonderful, robert. Is m&m still on, or can i buy lizzie a well-earned omelet? It's still on. Not out of the hot seat yet, huh, peter? Will anspaugh be joining us? No. He requested that i messenger the meeting notes over to his house. Is the funeral today? Yeah. I sent flowers from the department. Well, looks like a cruller and a coke is all we have time for. My treat. ( Water running )
'tis a gift to be simple, 'tis a gift to be free
'tis a gift to come down where we are to be
and when we see ourselves in a place that's right
we will be in the valley of goodness and light. ( Sighs )
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[whines] mr. Fong:Somebody help her.Trauma two! B.P.'S 80/50. ?? really, we're not very寨I'll t hey, mark? I'm going to a surgical m&M. Can you cover for an hour? Sure. No problem. What's going on? It's the swanson laparoscopy. Oh, right-- peter's case. No, it's actually dr. Morgenstern. Right. Well, have fun. I will hold down the fort. Thank you. I thought you said he was the best. He rolled over my med school loan into some kind of sallie mae, fannie mae ellie mae, whatever. I don't eat every meal out of a can anymore. Hey, carter, you catch that sox game last night? Missed it. Center fielder, pop fly, catching a few z's. Pay up. I'm a little short right now. Can i get you? Sure. I know you're good for it. ( Snickers ) my aunt made a killing g ing ing tupperware. Tupperware. They're those plastic storage things... Oh, I know what tupperware is. How about amway? You're really enjoying this. Yeah, a little. Man: Heads up, doctors. Carter, you're up. This day keeps getting better and better. All right, grabarsky, who you got? Mike lembreaux hasn't grasped the know-when-to-say-when thing. Fell over a curb. Curbs, mr. Lembreaux? Maybe we should have those removed. His wrist looks pretty bad. From the smell of things we can skip the pain medication. Let's go check out that wrist, mr. Lembreaux. Finally, let's remember the most important aspect of m&m is not to linger on our missteps but to analyze every case as a teaching tool. Dr. Benton. Thank you. I ted tedo eulogize him somehow, but i, uh... I never felt comfortable in his mother's church. So austere. No pomp and ceremony just... Silent judgment. I thought the silence was for contemplation. ( Sighs ): It's just... Well. You could imagine how her quaker parents felt when she brought home a west point man. Well, you ended up getting married. Yeah. The hawk to the dove. Long time ago. Scotty wanted you to have the stuff in this box. Green day. I'm surprised he didn't burn a hole through this one. ( Chuckling ) what?
Soap opera digest. I knew he was getting those future plots from somewhere. Finally, let's remember the most important aspect of m&m to control the hemorrhage by midline incision was futile. Variceal bleeding obscured the field but we were getting it under control. It was difficult to find the bleeding site. What next? Called for additional suction. After which, you decided to change course and open the chest. And who made that incision? I did. Dr. Morgenstern allowed you to crack the chest? Well, not exactly... I didn't... Uh, gentlemen? One at a time. Dr. Benton? I, uh, i took over the surgery. Take over? How could you? He the the the t mom dr. Benton became agitated. Kayson: Dr. Benton? I pushed him aside. Romano: What was your justification for such an action? The man was bleeding out. Actually, the midline incision was adequate. It was the varices. No. The man needed to be cracked immediately.
Jat jat justifies committingbattery on your superior? What would you have done, stood and watched? I would have assisted the attending. Okay, after three minutes of bleeding and profound shock, cross-clamping the aorta was the only alternative. I don't think it was the only alternative. No. It was! If... Kayson: All right, gentlemen. I think it best to adjourn and convene the resident review committee at 12:30 to discuss the situation. Dr. Morgenstern? Um, yes. I-I think that would be for the best. Hey, what do you have here? 28-year-old woman, 18 weeks pregnant found unconscious at the scene. G.C.S. 11, multiple lacs, vitals stable. Let's go. Chicago reproductive center was bombed. The abortion clinic on riverside? They also do prenatal care and family planning. They're still extricating people. Blowing up clinics. Bastards! How many we got? I have no idea. It's complete chaos down there. Got a 17-year-old, second trimester. Complains of chest and abdominal pain shortness of breath. B.P.'S real low-- 80/50, pulse 120, resps 24. You're going to be okay, sweetie. You're at a hospital, zoe. Donny... What's her name? Zoe kearney. A wall fell on her. How far along is she? Six months, give or take. Clear trauma one! No, we cannot release patient information over the phone. The hospital has no official comment at this time.
Dr. Weaver, it's the
trib on line three. They want to know if any abortion docs were killed. "Gynecologists," and we don't have any information. Protesters with minor injuries came in. Triage them, leave them in chairs. We're swamped with criticals. There's something wrong with my ears. They're ringing and no one's helping me. Someone will get to you as soon as they can. No, please! I've been in a bombing! I know. We'll get you a room as soon as we can. You should have somebody look at that. What? Your head. 32 french. Urine dip's negative. Blood gas? Po2 89, pco2 25. Ph 7.29 on ten liters. Orbital alignment okay. Crit's down to 27. Arhearheart rate 140, no contractions. Where's my boyfriend? He's outside. Is he okay? He's fine. You just relax. Do you still want the blood? Hang a unit. Get her to c.T. Come on, let's go. Got it? Yeah. Send blood to radiology. Where is she going? We're taking her up what's on the scope? Sinus tach at 120. Let O.B. Know where we're going. I'm right here, zoe. Was she in for an abortion orrecarecarecare? Um, she's 18-19 weeks. Kind of late for an ab, don't you think? We've got fetalt art art tones: 145. Okay, C.B.C. Type and cross for four units and cath a urine. Pulse ox 98, B.P. 90/70. Good cap refill. Also get a chest. Uh, shield her abdomen and prep her for a pelvic. I've got her clinic chart. Brianna thomas, 18-week pregnant nullip. In for an elective suction extraction. Abortion? Looks like they didn't finish. Takata: B.P.'S dropped-- 80/50. Pulse 110. She's hemorrhaging. We need to complete the ab. Grab a gyn tray. Grab a tray. We need to evacuate the uterus. Now, doctor. I can'T. Speculum. Betadine! Set suction on high and get me a size... A size-14 cannula. Let's go! Takata: Second liter's in. Weaver: Hang a third and repeat a crit. ?
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It's all inside u turn anna, can I speak or for for a moment? Sure. Kerry, you want some coffee? No, thanks. So what happened in that trauma today? Rrsorrsorry. I froze. That can't happen. I couldn't complete the abortion. Why not? I don't know. The fetus was so far... Along and... What about brianna thomas? She was your patient and she was hemorrhaging. I don't know. I didn't ex... The baby had a chance. Look, there are plenty of patients and procedures that we might find distasteful. Distasteful? Come on, kerry. I'm not squeamish. It just felt wrong. We can't allow our feelings to dictate our standard of care. And I don'T. But you did, because of moral objection to abortion. I don't have one. Well, something happened in there today. I'm his son, burke. He lives with me and my family. How long has he been wetting the bed? Maybe two days. Smelled pretty bad. He's had urine infections before. Right. Te tetetempnd and and he looks dehydrated. We tried to get him to eat or drink something but he won't. Let's start a line of normal saline. Give 500cc's bolus c.B.C., Chem 20, blood cultures times two. Gogot it. I don't think that's really all necessary. Before, they gave him antibiotics. It cleared it all up. We need to do a full evaluation. If you're worried about being sued... Got nothing to do with being sued. So you'll poke, prod and test him and then thousands of dollars later you'll give him the antibiotics. Why don't you go back and have awht wht ile we work? Unbe-friggin'-lievable. Chuny, you want to show mr. Newton to chairs? I can show myself. He's a charmer. When's the last time anyone bathed this guy? From the looks of these bedsores about the same time they turned him. So much for honor ertherther. Weaver: The decision has been made. Dr. Benton allowed his emotions to get a little out of hand. Other than that, he's a good resident. Who committed battery on his attending. Yo tttsolig lig like this stand. Like you said, dr. Weaver the decision has already been made. Unless you have a problem with it, david. No. Deborah, would you ask dr. Benton ?Se?Se?Se kayson: Dr. Benton, we have reviewed dr. Swanson's chart and the autopsy. Well, I thought the autopsy was inconclusive due to the state of the body. This committee feels the matter warrants further investigation. I don't know what to say. I mean, everything i saw and did is in this report. Kayson: Chart aside, you pushed an attending. You're being taken out of the rotation pending a formal inquiry. You're suspending me? Until dr. Anspaugh returns and a full investigation can take place. Well, uh... Just how long before i can return to my job? Weaver: We don't know yet. This is effective...? Immediately. Resps are a little high at 26. Zoe, we looked at your c.T. There's no evidence of organ damage. We still want to admit you for observation. For how long? We're not quite sure. It's kind of hard to breathe. Pulse ox always 94? No. It's down. I'm fine. What about the baby? You have fetal heart tones which means that the baby is alive. As for kicking, you're going to have to tell me. We should name him lucky, huh?
Her. I have a feeling. You want to see him or her? We'll do an ultrasound. Yeah, cool. ( Coughing ) zoe, what's wrong? B.P.'S down to 60 palp. Are you in pain? Pulse ox 90. She's bradying down. You're going to have to step back. Pulse is 40. Give us room to work here, donny. Oh, no, no. Pulmonary embolus? Probably. Repeat a gas. .5 atropine. Damn. All right, start c.P.R. ( Sobbing ) this one is almost to the bone. I've seen all I need to see. I'll put this paper work through. We'll get mr. Newton into an extended care facility by the end of the day. I'd appreciate it. I just need you to sign this and I'll run it down to the courthouse. Thank you for taking care of this so quickly. I wish i could say it was my pleasure. You see how people treat their own parents. Yeah. Hey, hey. Dr. Carter, what gives? I've been sitting here forever. Your father exhibited textbonef nef nef gl that's crazy. He hasn't been bathed for weeks. He's covered in feces. He's got b ssto the bone. I've recommended that he be placed in an adult care facility. You don't have any say. I haveow ptoattorney. The hospital has claimed temporary guardianship. Who's going to pay for that? I'm in charge of the medicare. His medicare payments will be transferred to the facility he's placed in. ( Laughs ) expect to hear from my lawyer. Look forward to it. It feels like there's something in there. With all that glass flying around after the explosion i didn't want to take a chance. No. You did the right thing. ( Sighs ) it's so sad. These extremists... Blowing up buildings with people inside. Yeah, it's pretty stupid if the idea's to save lives, huh? Exactly. I marched with dr. King in the '60S. I thought the world would learn something from him. Yeah. Would you, uh, put your chin up here for me, please? Must be hard on you as a doctor and, of course, a young woman to know that for every life you save they're taking one away in that clinic. I, uh, i don't think about it like that. I don't think a lot of people do. It's like that old poem about the nazis. You know, first, they came for the jews then for whoever d and and when they cameto take me... Doctors who perform abortions aren't nazis. Of course not but if you sit around while'rey'rey'rtaking the children then who's next? All right, i see something in there oh, I knew i wasn't crazy. Okay, hold real still for me. I got it. Oh. Okay. You're all set. If you have any discomfort, you can take some ibuprofen. Use these drops four times a day and come back tomorrow for a recheck. Thank you. This is some information on our group. We hold rescue strategy meetings every wednesday. No, thanks. Okay. Oh, can't forget this. Hey, miss martinez. You forgot this. I thought we felt the same. No, we don't. You're not a peaceful protester. That sign is a call to arms. The bomber probably saw it or one just like it. It's reality, doctor. If it upsets you, then it's done its job. The only job it's done is to encourage violence and yes, that upsets me. She was okay before this. She was fine, she was talking. She had a clot in her lung. It deprived her brain of oxygen. There's no way anyone could have predicted this would happen. Are you sure? We're going to do an e.E.G. And a brain scan to confirm it. So she's in a coma? It's like a coma, yeah. Yes. Uh, um... People come out of comas. Not when the brain has been deprived of oxygen as long as zoe's has. No. What about the baby? Baby appears to be fine. Can you save her? Probably. I think so, yeah. And it's a girl? Yeah, it's a girl. You hear that, zoe? You were .. It's a girl. I wanted to talk to you before I left. Aren't you on till 7:00? No. I've been suspended. You're not serio yeah, well, I wish i wasn'T. Need help here now! I'll call you later, okay? What have we got? She godhedhed underneath unstable debris during an extrication at the reproductive center. Thought we took care of them. They were trapped b.P.'S 60 palp, pulse 150 and thready. I.V.'S infiltrated. Poor cap refill. Dr. Corday. My god, allison. Clear trauma one! I hope you didn't mess up my beautiful fibular graft. ( Laughs ) 48-year-old custodian multiple deep lacs to the left chest and back. Lost a liter at the scene. B.P.'S 70/30. Pulse thready at 144. Sir, are you with us? Peter. I'm on my way home. Very funny. I'm not joking. I've been suspended. Not by me you haven'T. Come on. I need you. ( Sighs ) all right, let's get six units o-neg. Call the trauma team. Tell them we're on our way. <4<&/'1?a1m4m'm netwo let's roll him. Open pneumothorax. Let's tube him. Damn it! We got a pumper! No pulse! Let's start C.P.R. We need to crack him. Thoracotomy tray. Let's move. Cricoid pressure. 7.5 E.T. Tube. Let's go. Suction. There it is-- traumatic aortic dissection and rupture. I'm in. Hyperventilate him. You get the statinsky in? No. I'm sticking my finger in. Don't let go, peter; you stopped the bleeding. All right. I'm holding c.P.R.-- Carotid pulse. Faint. ( Grunts ) pump in more o-neg; let's get him upstairs. Malik, stay with us, keep bagging him. Let's go, people! Go, go, go, go, go! Alert the bypass team. You set the pace, peter. We're following you. Watch that i.V.! Call the o.R., And tell them we're coming up! I thought you understood... Not now. He's tamponading an aortic tear with his finger. All right, well, carry on. All right, hit five. We need four units o-neg on the infuser. What's up, lizzie? Decreased breath sounds hyper-resonant, hemopn i've got the chest tube. Can we give her morphine? Check the b.P. First. It hurts. You've gotacfracfracfrtut n't n't n'talk. Where have i heard that before? Thoraseal's filling. D eed eed eeanabdominal C.T. She's unstable; do a peritoneal lavage. Type and cross for eight and spin a crit. Pulse ox is down, 90; here's the o-neg. You want me to do it? No. You do it. Ok hey. Uh, hi. I, uh, i'm sorry to wake you up. I was just resting my eyes. I brought you some orange juice and a sandwich. I figured you might be hungry. Thanks. You feeling okay? Fine, considering. Were you my doctor? Oh, no. That was, uh... Dr. Weaver. Two docs no waiting, huh? My boyfriend broug
clothes, so i'll let you have your bed back. Are you sure you're well enough to go home? Yeah, like i said, i'm fine. I'd just rather be at home. So if you don't mind giving me some privacy, I'm going to get changed. Okay. Sure. Sorry. ( Weak voice ): Doctor? Doctor? ( Groans weakly ) hi, mr. Newton. How are you feeling? I'm tired. That's from the dehydration, malnutrition mostly. W-w-w-where'S... Where's burke? He left. He deals with the... The paperwork. Your son is no longer your guardian, mr. Newton. For the time being... I am. But why? Why? The elder abuse unit is filing paperwork to put you into a home. But... I have a home. You have some very serious medical problems resulting from what we believe has been some very serious ne i'm 86 years old. I'ven in in the same bed... For 70 years. I'M... Just trying to help you. I wae die die in my own bed. You're not sterile; go scrub. I'm not letting go. Get ten units packed cells. Let's move. Okay, people, on my coone, two, three. All right, let's get this gurney out. All right, mark, help me roll him. All right. Open an instrument tray. No one's gloved and gowned. Come on. Just do it. Get gloves, gowns, masks and caps .. Okay, ten blade. Get him a mask. Let's move. Tonsil sucker. All right, i'm going to mobilize the aorta. Metz. Let's move. Let's move. Come on. What's going on? Peter's got his hand on this man's aorta. Potts clamp. I'm going to do a revised clamp and run. Got a second potts. Stand by. Got it. Okay, you can take your finger out now. Set up the bovie. Greene: Pulse is stronger. Okay, let's go for a b.P. 3-0 prolene on a vascular needle; here we go. Suction. Somebsystolic's up to 80. Morgenstern: Terrific. Okay. We can take over now. A 3-0, please. Keep them coming. Retractor and bovie. 4 x 4 on a sponge stick, please. Cut that. Good, good, good, good, good. 3-0. Keep them coming. This is looking very good, very good. Oh, sweet jesus. There's got to be some other kind of test. My angel. Sweetheart. Miles: Why's he here? He was with her when the clinic was bombed. I bet he was. We were getting a prenatal checkup. You killed my daughter. Miles! If she stayed with you two she would have killed herself. Everybody needs to calm down. He needs to get the hell out of my daughter's room. I love her. You guys treated her like crap. Ssrossro: Llcallcalling an o.B. Consult. Why don't you come with me and give them some time alone? All right? Come on. Here we go. Come on. She's been in asystole for 20 minutes. Let's call it. Another seven of epi. She's already had ten. And we got a response-- seven more. Two agonal beats-- it's not a response. Epinephrine. Give her a heart , nt, nttoo. Why don't you just stop being such a prick? Get me two units of packed cells! Thank you. Dr. Weaver? Yes. I just wanted to say thanks for all you've done for me today, the abortion and all. Right. You're welcome. It's got to be the most memorable one I ever got. You've had others? A few. I really thought earl would want this baby-- like it would help him get serious about us, but when he found out he hit the roof. Our clinic can advise you on family planning. Earl doesn't like that, and pills make me fat. Still, there are preferable forms of birth control than abortion. Why are you being such a bitch? Because you're being irresponsible. More likely it's 'cause you don't get any. Ross: And it's a very difficult decision. Miles: Neither of which will bring zoe back. That's true, but if the decision is to keep the baby then you really have two options. The first is that we perform an emergencn.Ion.Ion.Io we deliver a very premature baby and then we take zoe off the respirator. That means the baby would have to go in an incubator, right? That's right. Probably months of intensive care. What's the other option? The other option is that we keep zoe on life support until we can deliver the baby full term. And what do you recommend? I'd recommend the later delivery. So... You're suggesting that our daughter... ( Sniffling ) be made into a human incubator even though she has no chance of recovery. It's the baby's best chance. I don't want to see zoe left lying there like some... Kind of vessel. She wanted this baby more than anything in the world. You have no say in this matter. I'm the baby's father. I'm zoe's father. Yod yod u are are are minors. The decision... Is mine and her mother's. They can't do this, can they? I'm on lon lon lg yoo yoo yoo U. Oh, I understand. I was just really freaked out. It's not every day the waiting room you're sitting in explodes. Yeah, understandable. Okay, you're all set. Just keep it elevated and dry and come back in two days for a recheck, okay? Okay, yeah. Uh, you left your insurance form blank. Ft ftft hat hat hatome. Is there someone you can call to come and get it? No, I'll pay cash. Well, that's not necessary. Your insurance will cover this. It's just, i, um, i don't want my husband to know that i was at the clinic. Uh, I thought i was too old for this kind of thing to happen. Then i started to puke up corn flakes every morning and now I have to find a new clinic-- preferably one that is not ticking. So you haven't had the abortion yet. No. And if my husband finds out he just won't have the heart. Our youngest daughter's in college. He put all four kids through college. He worked five years past his retirement to be able to pay for .... .. I've never kept anything from him before but... What if you told him what you just told me? I can'T. I'd love to, but... I can'T. Anyway, what do I owe you? Just bring me your card tomorrow morning. I could leave a license or something as collateral. That's all right; I trust you. Thanks. Oh, and if uh, anybody asks you can get a laceration like that from a dog bite. Hey, shirley, have you seen dr. Corday? She's still in o.R. Three with that paramedic, beaumont. Okay, thanks. Hey. She made it, huh? Mm-hmm. What's wrong? You okay? Yeah. It was, uh... It was scary. ( Sighs ) you can put them back together but, uh, you can't keep them that way. ( Sobs ) man: Scotty always had such... Great school spirit. I think I can speak for the whole team when I say alrealrealreto miss him. I was going to sing a hymn... But as i'm here's a song that he loved... And it'll always remind me of h
another turning point, a fork stuck in the road
time grabs you by the wrist, directs you where to go
so make the most of this test and don't ask why
it's not a question but an answer learned in time
something unpredictable but in the end that's right
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it's a beautiful thing hey, zadro. Fancy seeing you on the surgical floor. I wanted to tell you we all appreciate what you did for allison. She's a fighter. Wi with a damn good guardian angel. ( Laughs ) um, lizzie, I, uh... I just wanted to apologize for the way I spoke during the beaumont surgery. I know that she means a lot to you and I just hope you'll forgive me. Of course. It's been a crazy day for all of us. I get off in about an hour. You want to get a drink, uh, decompress? Look, I'm knackered. Uh, any other day. Okay? I understand. If you change your mind, you have my number. Yes, i do. David? I forgot what this place was all about-- the teamwork, the well-oiled machine. What? I've let the situation get... Completely out of hand. I told myself the varices were too friable that my field was obscured, that i-i was protecting s n's n's n's dignity. I wasn't. I was covering my own ass. Look, if you make a mistake that's all that it is. No. What are you watching? ( Rueful chuckle ) what am i not watching? That's the question. This is the tape of swanson's laparoscopy. Where did you get it? I... I took it... Right after the surgery. Een too chickento look at it. I guess I thought we c a confrontation. A resident can take a note in his file. Right? Peter's go less to lose... I could toss this right now. No one would be the wiser. You wouldn't have called me up here if that's what you were going to do. ( Sighs ) jeanie... I wondered where you'd gotten to. I'm just sitting in here. It's very peaceful. Yes, it is. When, uh, scotty was going through the worst of it i went into his room, found his journal. I know i shouldn't have looked at it but I wantanstanstanst the way you and... His mother seemed to. He loved you very much. He said, "jeanie just gets it. "I don't have to explain anything to her because she already knows." T.T. I remember when he told me about what he wanted to be when he grew up. Some kind of rock 'n' roll star probably. He wanted to join the army. He did? Mm-hmm. I paged O.B. Going to send somebody down here to discuss your options. We've decided to keep the baby and wait until it's closer to term. Good. I'm glad. Donny will be glad, too. This is no longer any of donny's business. Maybe if you give it a little more time. I've contacted our attorney. My wife and I are filing for sole custody. Is this to teach donny a lesson? Nothing could teach donny the lesson he deserves. I' twice his age who weren't responsible enough to seek prenatal care. Responsible? Getting a 16-year-old girl pregnant forcing her to leave home, drop out of school... Please, miles the doctor seems to fancy himself an expert on our family. I don'T. It'S... Just what'S... Best for the child. We let donny into and he took our daughter away. He's not going to take our granddaughter. I don't want to go. Everything will be fine, but this is for the best. I'm not so sure. You filed and signed a legal report. You can't rescind that on a whim. I want to go home. There. At least listen to him. Someone in an abusive situation can't always determine what's best. You're not touabouabouabt a hypothetical. This is an adult human being making a decision to go home. According to your own report he was non compos mentis on admission. He was severely dehydrated. He's become perfectly lucid. Mr. Newton, I know you're scared but I'm scared about what's going to happen to you if you're not taken care of. Dr. Carter, call burke; he'll explain. Don't force me to get the police involved and press formal charges anand dalan-lan-lan-W. Can she do this? Please... Don't let her. Don't let her do that, doctor. Sorry. I-i'm... Sorry. I want to go home! Thank you. , Uh, uh, uhkerry... Anna. What happened today-- it really threw me and itee been .Nd.Nd.Nd i wanted to talk to you about it. I should have explained myself better instead of flying off the handle. No. You were right. No. Just let me explain. I did some overseas work in africab ababortion is illegal and I-I saw 15-year-old girls in septifromfrom botched procedures and there was nothing we could do. I've made it a priority to be the best doctor i can be and to support all my patients' choices. If you would have asked me when i got up this i would have... I would have said the same thing but in this case, she was so far along, and... And what if another brianna thomas comes through those doors? I'd love to tell you that i cme cme cmee came in tomorrow i'd be able to do the procedure without a second thought, but I don't know. Peter, i'm glad i caught you. I was on my way to your apartment. Listen, I'm sorry about that surgery but I already had my hand in it. No, no, no. You did the right thing. You were thinking on your feet. That's not what I wanted to talk to you about. I wanted to let you know that one of my last two acts as chief of surgery is to rescind your suspension. What do you mean? That's swanson's laparoscopy in full living color. The mistake wasn't yi cut the gastric artery. My last act as chief will be to resign. Dr. Morgenstern, it was just one incident. No. When i saw you itoa toa toa da the passion that you exhibited-- it's been years since I've felt that. It might have had something to do with my heart attack-- the pressure of feeling that I just doymanymanymanorwhat do you mean? You're a great surgeon. You taught me ever w.W. W. I was a great surgeon, but what happened-- what i allowed to happen-- it just proves that I'm not a very great man. That's what i got to work on. Here. You smell that? What's that? The smell of spring-- all green and full of possibility. Ramen delight. You feeling suicidal? No. I'm just... Poor. John truman carter poor? It's a long story. It's been a long week. I overdid it with a patient today. Thought I was doing what was best. Better to overdo it and be wrong sometimes than not do anything at all. All right, i'll tell you what. Why don't you dump that liquid sodium and I'll take you out and buy you a burger and a beer. I don't know. Come on. It's not an option. Hi, guys. Hey, jeanie. Is it still raining outside? No, it's not so bad. It's kind of nice,uactually. ( Music playing ) ( knocking ) hey. Uh, look, i hope i'm not disturbing you. Come on in. I'll turn the music down. ( (( ) )) ) Um, let me take that. Ahh... Here, look, you're soaking wet. Yeah. Cheap umbrella. What possessed you to come out in these elements? My day, my week, my life. I heard about morgenstern. I'm really sorry. ( Sighs ) I lost my mentor today. And the hospital? ( Exasperated sigh ) they lost a great surgeon. ( Sighs ) you can, um... You can be so close to somebody... And then they're gone... And you've never even told them that you... You know how... Well, you... I'm sorry. I'M... I'm babbling. I'm not even making sense. No, no, no, no. You are. You are. Go on.
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previously on e.R.: We do not need a pediatric attending here. Think I can be an attending? None of you wants the family involved in your lives. Men like him don't change. Let's give her a heart transplant. Peter. Aha. Sleeping beauty awakes. Hey. I was just checking my messages. You didn't even stir when the alarm went off. Dead to the world. Well, you know it's not that often that i get to sleep in. Yeah, yeah, don't rub it in. Some of us have to work sundays. Oh, please. You know i've had my share. Well, yo memeto stay. No reason to waste a warm bed. No, no, no. Actually, I need to get going. There's tea you'll have to boil a kettle but I think you can manage that. No. I've, uh, got to go somewhere. Not some other clandestine meeting, i hope. Reese is getting baptized today. Protestant or catholic? Why? Just curious a.M.E. Look, I would have invited you... Don't be silly. It's a family thing. Got time to go home and c yeah. Okay. Well, have a good time then. Hey, and could you lock the door on your way out? Sure. All right. ( Scoffs ) hey, peter. It was really lovely last night. ( Chuckles ) ( chuckles ) I'm hungry. You can't start without her. Why not? I knew this brunch was a bad idea. She's a little bit late. We should have met on neutral territory. I told you, deep down kelikelikelikelikeme keep dreaming. ( Doorbell rings ) finally. There you go. Hi. Hello. Hello. What happened to your front step? Did you get a flat tire or something? Why are you late? Javier, this is my daughter carol and her friend doug. Nice to meet you. I'm sorry we're late but I couldn't get her out of the house. Excuse me? Yoyoyou know how she is-- has to be perfect. Allow me, sweet pea. I'll get this. Like something to drink? Do yor orororange juice? Yes, we do. Two mimosas, please. You brought champagne. Aren't we celebrating? Hao hao hao ppy couples right? ( Chuckling )
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of itchy, dry skin ? That's why there's cortizone-10 plus. Among these, only cortizone-10 plus... Has ten moisturizers, like aloe and plus the power of cortizone-10 to stop itch and help heal. So for itchy patches of dry skin, even eczema or psoriasis, try cortizone-10 plus. Did you see the way he keep touching her back? Wasn't really paying attention. You were too busy laughing at his stupid jokes. He was funny. What was with "sweet pea"? If he called her that one more time, I was going to barf. I thought it was great. Doug, they met at the racetrack. Now, that was a senior-citizen outing. So? They let anybody in those groups. Well, that's not true. All I know is that this is the nicest your mother's ever been to me. You don't understand. Hate's a strong word. Yeah, but in her case, accurate. Maybe she's getting some. Oh, doug, don't even go there. Hey, how was it? In like flint. You look like hell. You got to love saturday nights. The I.C.U. Is packed: Two muggings, three bar fights four gangbanger drop-offs and a bad stroganoff from a wedding reception. Don't forget the guy who licked the bottom of his girlfriend's shoe. How's that? She asked him to. I had to d going down? Uh, up, actually. Up's fine. Surprised to see you here on a sunday. Esisesisesises. Covering the e.R.? Mm-hmm. I've noticed you've signed up for a lot of extra coverage lately. You know, idle hands. I know what you mean. It's time you and I had a little sit-down. Is there a problem? No problem. Let me buy you lunch. Is it about the hemoaid study? That and the future. All right. Good. Then, in about an hour? Mm-hmm. You said hydrofluoric acid? Yeah. Not hydrochloric? I don't think so. Why? I heard we had a fire victim. Actually, chemical burn. How bad? What do you got? Paul canterna 31-year-old security guard. Second and third-degree chemical burns to the trunk, right arm and legs. Hydrofluoric acid. What happened? It was stupid. The vat was leaking. I tightened the valve. Lie back and relax. I got in the shower to rinse it off. Gave him five of morphine, two liters saline. You feeling any more pain now? It's okay no let's go. Let's move him. Herrguth:
Usually, significant improvement occurs within the first three months. He's working on motor skills. Chase's progress has slowed considerably. All the more reason for aggressive therapy. He can get that at home. Look, I just want what's medically best for my cousin. Gamma, i think this is a big mistake. John, it's often wise to listen to the perspective of those not personally involved. Chase is'she'she'she's lost most function on his left side. No, he just favors his right. You have to force him to use his left. I wish it were that simple. It is. Watch. John, please. Hey, chase. How you doing? How you doing? You, uh, you want to draw? He was left-handed. He was drawing last week. You want to draw something? John, this isn't necessary. Hmm? Okay? Okay? Okay. Okay. Why don't you take the pencil? No, no. Other hand. Come on. He can do this. It's okay. It's okay. There you you're all set. What do you want to draw, huh? You. Me? You want to draw me? Okay, go ahead. I rushed him. I rushed him. You can't rush him. All right? There we go. Let's try again. Yeah. Needs calcium chloride, ten percent solution. Start with five amps. Five amps? And set up an infusion-- one gram every fifteen minutes. So, mr. Canterna, feeling any more pain? It's starting to get numb, doctor. Is that bad? Our immediate concern is with the fluoride in the acid. ?? ?Not exactly. The calcium can be drawn out of your cells. What does that mean? Well, it depends etenetenraki ski ski ski sn. Right now, we're giving you calcium intravenously to counteract the effect. So, is there any family you'd like us to call? Is there something you're not telling me, doctor? Hydrofluoric burns can be serious. Is there any family you'd like us to call in the area? Nah, i don't really have family in chicago. Okay. I'llht bht bht back. Carol, can you keep an eye on him? Make sure he's comfortable and watch his heart rate. Eif his leg gets worse. It's not his leg i'm worried about. Hey. You look nice. Thanks. Hey, is carla here yet? Inside. Hey, uncle peter. Hey. Where is she? Who? Your girlfriend. Steven. What? You said he had a new girlfriend. Well, I don'T. Well, dad said he heard grandma turning over in her grave. All right. That's enough. Both of you go in there and get a seat. Peter... You remember roger. How you doing, man? Uh, hey, hey. Uh, carla, can i talk to you for a minute? All set? Yes. We should do a little rehearsal before everyone arrives. Um, mom and dad... I'm the father. Oh, I'm sorry. Who's holding the baby? I am. Okay. Now, listen if you'd just step back here. Yeah, come on, everybody. Just kind of move around and make way here, please. Thank you. No, no, over here. That's good. That's good. Here you go, little pickle. Yeah, mom in the middle. Dad, dad, right here on the end. Right here. Just move back. Thank you. Okay. Canterna: I wasn't even supposed to go into work today. I was home restoring my car and the weekend guy called in sick. I figured I could use the overtime, you know? What kind of car do you have? It's a '63 'vette. She's an eyesore, but she's got matching numbers. I'm going to fix her up. She'll be worth... ( Gasps ) it's hurting under my skin. I'm going to give you something more for the pain. How long is this going to hang me up for? It's hard to say. He's already severely hypocalcemic and the leg is necrotic. Any E.K.G. Changes? Prolonged Q.T. Skskskfomithmithmithmia. What does toxicology say? Hydrofluoric burns of this magnitude are always fatal. There'no nhis family on the way? He doesn't have any in town. You might have time to fly somebody in. P.P. P. Guess I better go tell him. Mm-hmm. This is really starting to hurt, doctor. We can do something about that. I'll give him another five of morphine. You okay? Yo okokokso good yourself. Mr. Canterna, the calcium we're giving you can't reverse the chemical reaction in you what do you mean, "chemical reaction"? The fluoride is binding to your cellular calcium to form calcium fluoride-- a crystal salt that seeps into your body tissues. So, so what we're already starting to see changes in your cardiogram. So, now what? As the calcium level in your cardiac cells falls your heart's going to begin to fail. W-wait... Are you telling me that i'm going to die? We're doing everything we can. T hat haa yes? Yes. How-how long? Days? Maybe 12 hours. Is there anybody you'd like us to call, mr. Canterna? Mr. Canterna? Jcpenney biggest saturday one day only sale of the year. Stores open at 7:00 A.M. Save 20-60% storewide, plus our biggest doorbuster deals 7:00 a.M. Till noon. All gifts, one place, pure magic.
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spray the cookie cutter. With pam, your holiday cookies just come out better. E i don't feel that bad. Yo, yo, you let me knowif the pain increases. It hurts. I just don't feel like i'm dying or anything. We'll do eing ing we can to keep you as comfortable as possible. Maybe he's got it wrong. Shouldn't you call a specialist or something? I feel like you guys are giving up on me. We're not giving up on you, mr. Canterna-- I promise you that. We'll do everything we can. You sure there isn't someone we can call for you? It's too late. Faw faw faw faw r y?Y?Y?Y?I've been gone too long. She won't come. Who won't? My daughter. Dumar: 21 years old. Complains of neck, back... We're full here. Next room. Neck, back and bilateral ankle pain following a 75-foot fall into the river. From where? The train bridge. Sinus rhythm: A and o times three. Yoryoryoryory examexamexam normal. Okay, C.B.C., Dip a urine cross table c-spine, chest and pelvic x rays. Does that hurt? A little. Okay, and lift. What were you doing on the bridge? It's a long story. How about here? No. B.P.'S 120/70. Pulse is 112. Is that bad? No. We'll just check to make sure you're okay. Good peripheral pulse, normal cap refill. Follow with bilateral ankle films and, uh, call psych. Psych? I don't need a shrink. Relax. Everything's fine. I didn't jump, if that's what you think. Okay. No, I'm serious. I didn't jump. Did you take any drugs? No. I was there with my buddies. We were just fooling around. How much have you had to drink? A couple beers. Well, you also have a couple of broken ankles. Throw in a b.A. We'll take care of everything. Relax. Is everything okay? Joker jumps off a bridge and walks away with a couple of ankle fractures. You called psych? Yeah. I'll tell weaver. Surgical consult? Straight ahead. He changed his mind. He really wants to see his daughter. I thought he didn't have any family in town. No, he does. He just hasn't seen her in six years. How old is she? 6? Oh, boy... Don't worry. I'll take care of it. Go home, get some rest. I should stick around. There's nothing else to do except hold his hand, which is my job. Get out of here. Thank you. Weaver: And... Another breath in. You got a sec? Sure. I'll be right back. C.B.C., Pulse ox, lytes, A.B.G. And a chest film. Still waiting for an i.C.U. Bed. Pulse ox is falling slowly. I didn't talk to him about a vent yet. I wanted to let the news set in cad cad cad carol is lookingfor the family. All right. Have a good sunday. Thank you. Soatthatthatth. I know you're busy. I don't usually come to the emergency room for the flu but I can't seem to beat this cough. How long you been feeling fatigued? About a month. Yeah? Any weight loss? I've been so stressed planning this wedding... Oh! Congratulations. Is that a daughter or a granddaughter? ( Chuckling ): Why, it's my wedding. R for for fo years i told her it was about time to make a commitment. Well, good for you. It gives me less than a month to get better. No promises. You might have pneumonia. Pneumonia? We'll know more after a chest x ray. Anna, you the one who had that voodoo woman yesterday? She's back? Yeah. Exam three. Chief complaint: Voodoo man has taken over her body. Not the same one. My voodoo patient was 60-something. I had a voodoo guy last week. Oh, no. Voodoo epidemic. Sorry. Yeah? Ma'am, your ex-husband is in critical condition. I know you are at work. He just... Look, he's going to die tonight. He just wants to see molli. Anybody home? What have you got? Pedestrian versus auto. Head contusion, brief L.O.C. Broken arm, vitals are stable. What's open, chuny? Uh, curtain three. Curtain three? Cerebral palsy? I don't know. Somebody clipped his wheelchair. He couldn't tell us if he was hurt. No one was with him? Nope. Just found him on the street. Can you tell me your name? ( Mumbling ) you can't understand him. He might have a subdural that could impair his speech. Wewewe should get a head c.T. How do you do a neuro exam? It would help if we knew his baseline. Sir, can you push in against my hand? ( Mumbling ) let's start with a c-spine. Carter, have you seen elizabeth? No. Wasn't she called down for a consult? I just got here. Anna? She's right there, actually. Hey. Peter, i thought you weren't coming in. Uh, I wasn't, but I decided to come in and do some, uh, post-op notes. You look dapper. Uh, thank you. How was the baptism? It was good. Nothing afterwards? Want to get something to eat? I've got this thing with romano. What thing? Lunch. I think it's got something to do with my fellowship renewal. Ah... Did you really come in for post-op notes? Yeah. See you later? Yeah. Hope so. Canterna: Call the military. They might have an antidote. A buddy of mine says they use stuff like this. It's... Not really the same thing. I just want you to know. Rest a minute. Gr groaning ) did you find her? Uh, I taed to your ex-wife. What'd she say? She said that she's sorry, but, um... She's not going to bring molli? No. She knows what's happening to me? That's okay. Hey, it's for the best, I guess. I'm sorry. I was going to make it up to her, but... I guess I ran out of time, you know? At some point, you'll have to let us know if you want to be put on a ventilator. Dr. Weaver, do you have a minute? Yeah. Uh, what is it? Auto versus pedestrian-- possible head injury. What's the problem? Cerebral palsy. He's tough to assess and we don't want to hurt him. All all all all me fir fir first sign of arrhythmia. Are you sure it's C.P.? He might be posturing. No, he's conscious. Well, isny any any any meds? I don't know. He has no family. We can't understand a word he's saying. Let me grab this. Yo! I need a portable c-spine. X ray, trauma two. Sorry, maggie. I got him. When did you call? I didn't, but I need to clear a neck. Well, how bad is yours? How bad is yours? Benton: I need a hand! Doyle: Carter, grab that gurney. Is he breathing? Yeah. I need a c-collar and bockboard. Connie, get doug. Why didn't you call 911? I thought I'd get here faster. How long was he uncinscis? He was awake in the car. Pulse is weak and thready. I had him for the weekend. We were washing the car. I didn't see him. I only backed up a couple of feet. Take that guy out of there. We'll roll him. Here we go. Hang on. Roll him. Did you drive over him? I just didn't see him. Doyle: Get radiology! Cap refill is poor. Stiles: Whatat's going on? Pediatric trauma. Chuny, get me a crit and type and cross for six. Put him on oxygen, ten liters by mask. Dip a urine. Pupils are... Equal and reactive. I got a line in. All right, saline, 20cc's, uh, per kilo bolus. That's... Uh, he's 30, so that's 600, right? B.P.'S 70/30. Pulse is 144. Abdomen is distended. No bowel sounds. Can't wait for a c.T. Let's prep for a peritoneal lavage. I'll get a kit. Pulse ox? You okay in there? I think so. Where are the lavage kits? Down and to the right. What's that? What? Lavage. It's a procedure to check if there's internal bleeding. That sounds pretty bad. Well, you never know. Is it a boy or a girl? It's, uh, it's a boy. You cod ulgo if you need to 'cause i feel... No. They got it. Can I ask you to do something for me, nurse? Yeah. I have a couple of thousand dollars in my savings account. Can you make sure it gets to molli? Sure. Do you have a will or something? No. I didn't get around to it but I just want to make sure i get her the money. It's not much, but I want to give it to her. I can get a public notary in here to arrange it. I'll take care of it for you. You promise? I promise. Okay, but don't tell her that it came from me 'c 'c'c'cause i don't want her to think i'm buying her forgiveness. Sorry. Hallway's blocked. Ross: 5.5 E.T. Tube. Got the blood! Hang a unit. I'll start a second line. Rapid induction. .5 of pavulon, 75 of sux. Got it. Cricoid pressure, will you, please? Marty, your daddy didn't mean to do this to you. I didn't mean to do this. Lavage is... Positive! Benton: Call the o.R. We're on our way up! Doug, are you done? Almostn. I got it. We have to take your son upstairs to do an exploratory laparotomy. What's wrong with him? We have toteinteinteintetern oh, my god. I need you to sign a release form. Just don't let him die. We do this every day. He has a good chance. Hold that elevator! Connie, you got to cover my patient in trauma one. You're leaving in the middle of your shift? Everything is on the chart. Where you going? I'll be back in an hour. Carter: Pulse is 80. Chuny: Second unit's in! Benton: Hang the second one. Don't let him die! Please! I need you to sign here again. Just don't let him die... Please? I understand. Please don't let him die. Okay.
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the touch, the feel of cotton so... So. Enjoying your year? It's been educational. Mm, I bet. Thoughts of staying come fall? I've entertained the idea. Good. Is that what you wanted to talk about? No. No, not exactly. Must i guess? Well, there's no way to say this but flat out, so here goes. Lizzie, our relationship has not moved in a direction i would have liked. Now, partly that's because I have trouble communicating these types of feelings but the fact is I find you... Very attractive. Dr. Romano... Let me finish. Now, i don't know what your long-term plans are and I'm not foolish enough to think that colleagues can have a romantic involvement without... Entanglements but we obviously have a lot of common interests and we share the same insane schedule and it makes sense so, I would really like you to consider, uh... A date. Going out with me on a date. What do you say? I'm flattered, uh... And shocked. Really? I would have thought you could see right through me. No. No, not at all. Uh, however, um... Seeing as I-I do work for you i don't think it would be such a good idea. Oh. Uh, not that under other circumstances... Oh, oh. Oh, I see, you-you have a policy. Yeah, yes. No fraternization with people at work. Oh, well, okay, I'll respect that. Uh... Just pretend i never said anything. I'm sorry. Oh, hey! Huh, I, uh... T's t's t's for a while there, uh... I really thought i was competing with peter benton. Just... Do that? ( Mumbling ) how about now? Just your fingers... What are you doing? Weaver said to examine him like he's any other patient. By pinning hidowndown? I'm trying to isolate finger motion. You're not afraid of hurting him? Actually, yes. ( Mumbling ) he's been trying to tell me something. Head c.T.'S normal. No subdural bleeds. No sign of brain abnormalities. Hey, he opened his hand. How about that? Oh, he's got a bad lac. Yup. He might have cut a tendon. They didn't teach this stuff in med school, did they? I guess we can call a hand surgeon down here. What did you do? Nothing. Is he having a seizure or something? I-I... I don't know. The x ray indicates you have what we call atypical pneumonia. What does that mean? Well, there's several kinds. You don't by chance have any birds in the house, do you? How did you know? Psittacosis pneumonia is carried by small birds. What? Is it a parakeet or a dove? A falcon. A falcon. Only thing daniel loves more than me. That's not true. I wanted italy for our honeymoon. He didn't want to leave sinbad that long. Who was going to feed him? What does he eat? Partridges. It's not pretty. He doesn't eat them alive. We kill and clean them first. That's where i come in. Well, it's probably how you contracted the pneumonia. I'll get a blood test to see what type but we can treat it with antibiotics. Funny. I thought I was covering the e.R. ( Sighing ): I was there, so i took it. What happened to your post-op notes? You know, I thought we were past these games. Excuse me? E ade adolescentcompetition. He was in bad shape. Give it a rest, huh? I was simply commenting on... You don't
simply do anything, elizabeth. Is something the matter? The boy could bleed out. I mean with you. Has something happened since this morning? No. I'm fine. Dr. Benton. I didn't know you were working today. Yeah, I am now. Glad to hear i'm not the only surgeon without a life. Six-year-old male sustained a splenic fracture... Bus tour? Sandy mader? Yeah. Hi. I'm carol hathaway. We spoke on the phone about your ex-husband. Look, I'm sorry. I can't help you. Just go right on. I'm working, okay? Look, I don't pretend to know the history here. That's right. I just... Your ex-husband isn't going to make it through the night. Paul walked out on us, okay? Here you go. Bus tour. He just left. He couldn't hold a job. He couldn't handle it so he just left. I feel bad for him, i do but he's not part of our lives anymore. All he wants to do is see molli. He was never there for her but now he wants her to hold his hand and watch him die? You really want him to die alone? Who are you? This is none of your business. I'm not putting my daughter through that, all right? I understand how you feel and you don't know me, but, trust me you're making a mistake. I was a little girl when my father was dying in the hospital and I couldn't see him. I wasn't given a chance to say good-bye. You think you're protecting molli but she'll have to live with this. Did you know him? Yoi remember him. Molli won't remember paul. She has absolutely no recollection of him, okay? Now, i'm sorry, but he chose this for himself. Has anyone seen carol? Her. He needs 40 lasix I.V. I'll get it. Kerry, your labs came back. Mrs. Weinbor for for for f no, mrs. Weinbach is the older lady with the bird. Yeah, I made them redo it. I-I asked for cold agglutinate and antibodies, not hiv. Are you sure? It was marked on the form. Oh, my god. It makes total sense. I don't know why i didn't think of it. You want to do another one? No no, I can't do an hiv test without consent. So now what? He's been on methadone sincbirth? Yeah. No interruptions? You haven't stopped and started? Uh-uh. No. Seven months is a long time. Pretty tough on neurological development. They say to give him less, but it doesn't work. You still using? What does that have to do with it? If you breastfeed... I don'T. Your baby has... A high fever. He's sweating; his pupils are dilated. He has an abnormally high heart rate. These are all signs of withdrawal. Now, why would that be? I don't know. You're the doctor. When was his last dose? Yesterday. I ran out. My clinic is closed on sunday, so I came here. You want methadone? It's what he needs, right? You don't need it? What are you talking about? You're using your baby to get methadone. You're crazy. I can get that for free. If you're clean, you can. You come here when you can't score. I don't need this. He needs to be admitted. No way. You'll call the cops. You come in here with this story because no place else will give you the stuff. If you leave here that baby won't get the treatment he needs. Then give me some and let me go. Until next time? Vicky, you addicted your son. You strung him out. Now, don't you think it's time to do something right? ( Baby crying ) we should wait for his family. Someone will look for him. What if he's homeless? He couldn't survive out on the street alone. The cops are checking the neighborhood now. He can't live that far away. Hey, take it easy. Take it easy. It's oy. An ban bke that? Maybe he is trying to tell us something. ( Mumbling ) I'm sorry; I don't understand. ( Mumbling ) what is that? Ring? Ring what? A-a-a phone? You want us to call somebody? Lie still if that's what wou wanus to . If you want us to... Yes. Four? Four, four, four what? You giving us your phone number? Yeah, yeah. Four was the first number? Yes, yes. Here. Thanks. Then what? Four, then what? Then two. Two? Yeah. I'll tell the father and I'll, uh, I'll meet you in recovery. Hi. Yeah. Your son sustained irreparable damage to the blood vessels supplying his spleen. Okay. We had no choice but to perform a splenectomy. But... He's alive? Yeah, yeah, oh, of course. Oh, I'm sorry. Yeah, yeah, yeah. Thank god. Look, in time, he'll make a full recovery. Now, listen to me. He's going to be prone to certain infections. He's going to need to be vaccinated against... Just, thank you. Thank you so much. Yeah. I made a mistake about the birds. You may have what's called pneumocystis pneumonia. Is that worse? Well, we need a sample from your bronchial tube to confirm it's P.C.P. But since it's the defining illness of aids we should do an hiv test. Aids? That's a good one. We need to be sure. You don't know loretta. Can I speak with her alone? Why? No, it's all right.
Pra lylymy husband. To tell the truth... We made a mistake. We need written consent from our patients to test for hiv. However... We tested you by accident and it was positive. I don't understand. No, it's a mistake, a mix-up. Perhaps another test would remove any doubt. I'll take care of this. Doctor... Just give her something for the pneumonia and we'll go. I can't do that. Don't make me report you. Excuse me? You tested her illegally. Yes, but it would be unethical to let her leave untreated. I don't want to burden her with this. Have you been tested? We're not talking about me, all right? There are drug programs that would drastically enhance both your lives. Can't you say they're... For something else? I think you should find a way to explain it to her or i'll have to. You disappeared on me. I needed to check on something. Molli's still not coming? I'm afraid not. It's okay. It's better this way. She shouldn't see. Do you want to write her a note? I could take something down. Yeah. No, it's too late. It wouldn't be fair. I think she'd really like to hear something from you. I really do. I was going to make it up to her, I swear. I called her a couple of times last fall. You can guess how that went over. You know... I figured it just needed time. E jcpenney biggest saturday one day only sale of the year. Stores open at 7:00 A.M. Save0-60% storewide, plus our biggestoorbuster deals 7:00 a.M. Till noon. All gifts, one place, pure magic.
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Network i'm so glad you called me. I can't believe he was able to give us your phone number. Mr. Lorenzo, I am so sorry. I lost all track of time. I got stuck with the rejects. ( Laughing ) uh, I'm sorry. John carter. You understand him? Katherine dunlap. I'm mr. Lorenzo's personal assistant. It takes a while to get the accent. Accent? Slow, but I'll forgive them. He says you're a little slow but he'll forgive you. Thanks. Uh, c-c-can you tell him that they need to operate on his hand? You just did. He understands english. It's one of his many languages. He's one of the leading experts in hieroglyphics. That's fascinating. Liar. I understood that. Would you excuse me for a second? Thank you. You're welcome, mr. Lorenzo. Gamma. Oh, john. I'm sorry to bother you at work. What's wrong? I'm not happy the way we left things earlier. Do you have a moment? Uh... Yeah, sure. Want to sit down? No, thank you. John, I respect your opinion. If you think we should keep chase at the institute i'll support that. I can't guarantee you that it's going to make any difference but I'm not ready to give up on him. I never intend to. Neither do i. Well, I'm glad we've got that straightened out. Me, too. John... I unde that comes with financial independence but money or not we're still your family. I know. You were always your grandfather's first choice. He's much too proud to come to you now but he'd really like you to come to him. What are you asking me? Finish your residency if you must. You can always practice medicine part time. But your family needs you, john. We need you to run the business. I don't know. Please. Think about it. No. No. I don't need to think about it. Gamma, i can't. I'm a doctor. It's all that i've ever wanted to be since... Since your brother died. Since I was a kid. And there's nothing else for me. You really love it that much? Yeah. Yeah, I do. Forgive me for asking. I, i had to try. I'll expect to see you at your grandfather's birthday dinner. You will. I always wondered what you'd be like when you grew up. ( Crying ) hey, uh, connie, whose patient is this? I think it's doug'S. Where's the mother? I don't know. Yeah, it's doug'S. Get him, will you? Hi, sweetheart. It's okay. It's okay. What happened? Uh, I just found him alone. Unbelievable. This baby has a fever. He's in heroin withdrawal. The mother's been stealing his methadone between fixes. So she split? I told her to do the right thing. Maybe she did. Unbelievable. It's oy, buddy. Very good. No. Please, leave it open. Ok how much longer? It's hard to tell. Please. Not long. I'm scared. Won't U.You. Do you have things you wish you did different? Doesn't everybody? You should fix it if you can. Maybe. Do you want me to read you back the letter? Yeah. Okay. "Dear molli... "You don't know me. "I'm your father. "I suppose i shouldn't even call myself that. "You're the best thing i ever did with my life. "Leaving you was the worst. "God knows i haven't done much for you while I was alive "but if there's a place called heaven "and they let me in "i promise to always look over you. "Please forgive me. I'm sorry i never got to know you." Me, too. I'm going to start to worry about you. First, you work on a holiday. Now, i find you alone standing out here in the dark. What are you doing out here? Looking for you. Well, you found me. I have to admit that brooding veneer is part of your appeal but I thought I'd broken through most of it. ( Sighs ) I'm supposed to be at carla's restaurant celebrating my son's baptism. I see. And you're here because? Ah... I don't want to feel like an intruder, you know? Like i have to share my son with carla's boyfriend. Do you? I mean, he gets to spend all the time with him. You know, how do i compete with that? You're his father, peter. You don't have to compete. Then i thought i'd come and see you but, you know, you had that lunch thing, so... Are you jealous? Tsk. Well, you know, your instincts were right. Romano propositioned me. Are you serious? What'd you say? I lied. Said i don't date colleagues. It's cowardly of me, i know. Oh, that's okay. I lied today, too. What about? Me? Mm-hmm. So much for a relationship without complications. You know what? Screw it. Come on. Let's go. Where? To the party. There's still time. You don't have to prove anything to me. Elizabeth, i know that. Look, I just want to go. Well, then you should go. You should go alone for your son. This is his day. Ah, yeah, you're right. Hey, thanks. Listen, um, if it's not too late... Hey, listen, i'll be up. Are you kidding? Anna! Hi, carter. Want some cookie? Yeah. You off? Yep. You? Another six hours. Bummer. Did you discharge mr. Lorenzo? Yes. He even gave me his web site address. Why? So you could feel like an idiot? Max! Hold on. Oh, sorry. ( Clears throat ) that's okay. What time is it? Uh, ten to 2:00. You on call? I'm waiting for carol. She should be ready. They called it about a half hour ago. Thanks. Hey. Hey. I'll just be another minute. That's all right. Take your time. ( Hathaway clears throat ) tough one, huh? You okay? Yeah. You sure? Kept asking for his daughter. Never thought of it like that, you know? Maybe he was asking for me. Maybe he wanted to see me and I never came. Your dad was probably in a coma, carol. I don't kn. I've been living my mother's version of it for so long I don't know... What memories of him are mine. <
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