TV Channel 40 Fri Mar 07 10:00:03 2003
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previously on e.R.: The surgical sub-i is left open. You want it? In the e.R.? I'm in a hurry. Yes or no? I got it?! Yeah, I want it! Okay. Carter... You're going to make a good doctor. Thanks. I'm not strong enough, susan. Chloe, you're doing great. I've decided to take a chance. Sign off on you as attending. You get my messages? I'm sorry. I've been working a lot. And you really shouldn't call me at home. ( Rhythmic beating ) ( woman crying ) oh, my god! ( Child crying ) help me! Whoa, I got a pumper. He's going to need an airway. Stop moving around. Scissors. Anybody? We got a pressure? 70/40. Pulse weak and thready at 150. Buddy, you see who shot you? You get a plate number? He's not talking right now. Start the o-neg on infuser and somebody find lewis. I feel a bullet. I don't want to die. You'll be fine. Let's get a head c.T. Where's lewis? Please don't let me die! Woman: My husband likes them. Jerry. Jerry, have you seen dr. Lewis? Curtain area three with a heart attack. Woman: Yo-yo ma plays the cello. Get benton out of the O.R. Pregnant woman's coming in with a gunshot to the abdomen. How far out? Two minutes or less. Got it. Your history suggests that the pain may be heart-related. Mark needs you in trauma two. Gunshot wound to the neck. Does c.C.U. Have any beds? Backed up from last night. We're going to hold you until a bed opens up in the cardiac care unit. We'll send you up as soon as we can. My baby! Whoa, whoa. Go, go. B.P.'S 90/60. Pulse is 120. Come on. Damn it! Are you okay? Yeah. Damn. Type and cross four units. Belenzela with a "v" or a "b"? Connie, get ultrasound in here. Do the paper work later. Please, please! Is my baby all right? Uterus tender, no exit wounds. Let's prep for a pelvic. Call o.B. Is my baby all right? We need a type and cross, four units. Where's everybody? 12 g.S.W.S., Four critical. It's a real mess. B.P.'S 90/60, pulse 120. Two hours late. Hathaway: What? Carter. I'm going to have to run the blood up myself. Not dilated. Vertex presentation. Fetal heart rate's 145. That's very good. Benton: Lydia, stay put. Lydia: I'm not done next door. Where the hell is carter? Oh, god. Oh, god. Oh, god! What is all this? Traffic. Can't you do something? Like what? Stop the cab. No problem. Oh, god. Oh, god.
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That's... B.P.'S 80/50. 駿 Really, we're not very寨I'll t it hurts so bad. It started when I was shopping for my children. Fill that out, please. Would you like to see pictures? I always bring them with me. I have four sons... ( Phone ringing ) E.R., Yeah. Yeah, I'll hold. Isn't he darling? Excuse me? And here's jeff... Where the hell is psych? ...All blonde and very... Excuse me. Hang on, will you, please? Oh, they're so sweet. I miss them so much. Oh, dr. Lewis. Bipolar. I called psych, but there is something wrong with her leg. Got another gunshot coming. Put her on the board and hope psych shows up. Son-of-a-bitch cardiologist. My sister met the president. Excuse me! What?! Thank you. We're third-year students looking for dr. Greene. You're a med student? Yeah. Can you take a history? Sure. Mrs. Constantine? I was not a cat person... Mrs. Constantine, this is..? Harper. Harper tracy. This is dr. Tracy. Harper? Harper! I knew someone who played in the new york philharmonic named harper. I played with him. You're going to go to exam two right over there. Do you like paul newman? I love those blue eyes. Benton: All right, hang two units. What have you got? Full-term abdominal G.S.W., No exit wound. Baby's moving, heart's beating. I think the bullet's in the uterus. Sounds like a section. Fetal heart rate's falling-- 100. How's mom? 80/50, pulse 140 and climbing. Is my baby okay? Free blood in the peritoneum. Call the o.R., Let them know we're on our way with an emergency section and get O.B. Peter, what happened to you? Don't ask. Can you handle this? Yeah, I just need to walk it off. You're having your baby! Oh, no. Man: G.S.W. To the head. Two large-bore i.V.S, pressure's 60/40 bradycardic at 50. All right, lee, trauma one. What happened? Gang fight. Nice shirt. I'm a dead man. Hey! Welcome back, carter. Hey, dr. Carter, I presume. What's up, carter? Great tan. Thanks. Where's dr. Benton and has he been asking about me? Yeah, once or twice, and he's up in surgery. Crash section-- pregnant woman got shot. He just limped up. Hi, dr. Greene! Hey! Who is that? Carter, I think. Dr. Benton's student. Well, tell him to slow down. I am on the phone with cardiology every day. They claim the C.C.U.'S full. I go up, there are empty beds. We had a rule-out M.I. Here for two days. Hey, you're an attending now. You got a problem with another department
you solve it. You've got new third-years today. Today?! Four of them. Bright-eyed and bushy-tailed and staff meeting at 4:00, don't forget. Forget what? My first staff meeting's today at 4:00. Hey, little boss, what'd the big boss want? Something about me accepting the heavy mantle of my new position. You set the tone? You got the drift. How are you set for cash? You need that 200 bucks back? I'm a little strapped. I'm making out the schedule for next week. You could pull a graveyard attending shift put extra cash in your pocket? Really? Consider it done. Dr. Greene? I got three lost sheep claim to be medical students. I thought there were four. One's doing a history of a bipolar. Uh... This way, guys. I'm dr. Greene. Jerry, you got anything of the pediatric persuasion up there? I've got a scandinavian flight attendant with a bum ankle and an earache. And you saved her all for me? I love you, big man, you know that. There's a lot of blood in the belly. Couldn't find the bullet? It's got to be in the uterus. Her pressure's barely holding. No time to waste. Don't bother coming in here. Sorry. I came from the airport. Retract the bladder flap. Big storm, hurricane phyllis. Your student? Don't remind me. Nice tan. So, student, what is the most important anatomical structure to identify? Uh... The uterus? Ureter. Cut that, you're in trouble-- she can't pee. What's its name? Carter. Carter, basic anatomy: What muscle forms the floor of the pelvis? Uh... Levator ani. Ah! The ovarian artery comes off... I know the ovarian artery comes off the aorta to, uh... Inferior mesenteric artery. "Student." Doesn't that imply that you're actually supposed to be teaching him something, peter? Hello. Hello. I'm dr. Ross and you must be... Hulda. Hulda. What a beautiful name, hulda. What seems to be the problem? I hurt my ankle, and it hurts very much. Let's take a look at it. A man dropped his little vodka bottle and she slipped. ( Giggling ): Tickles. ( Chuckles ) haleh, lateral a.P. And oblique views, please. Okay, it doesn't seem to be broken. We're going to get some x rays and we may want to consider a cast, just to be safe. Oh, and my ear. It's very sore. For many months, all this... Going up and coming down, I think. Yes? Look, we're really busy today and I didn't know you were coming so you're going to have to park yourselves in here for a while, and I'll come round you up when i get a minute, okay? Here you go.
Harrison's principles
of internal medicine rosen volumes one, two and three. Start reading. Hey, who's that? Med students. I gave them harrison's. Wow. That'll keep them busy. I need you in curtain two. Yeah, sure. Floating around with a bipolar. Could you find them? Yeah. Who's going to be the new chief? You. I wish. Maybe next year when i'm eligible. Who do you think it should be? Jane pratt-- she's smart, nice easy to work with. Jane's great. It's your decision, right? I'll find out this afternoon. You guys were roommates? Yep. ( Beeper beeping ) me. ( Man yelling in spanish ) how you doing, sir? I'm not so good. It's probably the nitro. Why is he still down here? C.C.U.'S full again. Sir, you're going to have to stay down here for a little longer so if you can just relax and enjoy the peace and... Jerry! For god's sake! Shut him up, will you, please?!
Silencio,
por favor. ( Man yelling ) I'll try cardiology again. Thanks. So, it's jane for chief resident? Why not? ( Yelling continues ) carter, get ready to suction. Here she comes. ( Crying ) how does she look? Benton: She's breathing. Color, tone, fair. Apgar? Eight. Cord's cut. Benton, you stay with the mother. Carter, come with me. All right. ( Wailing ) no exit wounds in the uterus. Went through, carter. See it? Uh... Oh, yeah, thighs. We got through-and-through gunshot wounds through both thighs. Doesn't look like it hit any bone. Got it! In the placenta. Cut the umbilical line. Good. Carter, you can start dressing the wounds. Rocephin and oxacillin, 250 milligrams each. Displace the uterus anteriorly. Check the other organs for penetrating injury. Hi. Hell of a way to make an entrance. Coburn: This is your lucky day. Benton: I'll run the bowel. Oh, you're going to be fine, just fine. Yes, yes, you are. Shh. C
good ? The dairy fairy mixes up the milk with a little magic. Kids know about taste... They don't know that kraft american singles... Have double the calcium. Double the calcium of most other american slices. You taking that for heartburn? Yeah, I saw some ad. A panel of experts recommend it. Actually, for heartburn, tums is number one doctor recommended. Really? Yeah, I checked it out. Dose for dose, tums ultra has twice the acid-neutralizing power as pepcid complete's antacid. And the pepcid costs up to 4 times more. Nothing's faster than tums. Just ask a real panel of experts. Woman: Haleh, diet or regular? Unleaded. Hey, hey. Listen up, everybody. We don't have a lot of time. Admin sent us another action memo. Excessive use of surgical supplies. What? Personnel must exercise prudence in the use of expendables i.E., 4 x 4's, gloves surgical tape, suture kits. Why don't I just bring a needle and thread from home? And alcohol wipes. Next, A.C.L.S. Steph, you're up october first. And, wendy you've never certified. What is it? Don't worry, honey. You're going to love it. Okay, C.P.R. Recertification. Lily, lydia, haleh saturday afternoon, 1:00. This week? Aw, man, i've got sox tickets. Okay, M.I.C.N. Ride-alongs. Joanie, get your hours in before halloween. Lily, if it makes you feel any better i've procrastinated and now I have to do a paramedic ride-along in the next ten days, or i lose my certification. Are you happy? Mm-hmm. Last but not least... The hated peach. They have stopped making this particularly delightful shade. Take a look at the catalog and get back to me with your choice. I look bad in that green. Carol, 47's three minutes out and they're in trouble. Okay, everybody, I need your picks by the end of the day. Most votes wins unless i hate it and then, whatever i like goes. What is this all about? Air conditioning repairs. Mark, hi. Oh, hey, jane. How you doing? Susan told me she had talked to you about my becoming chief resident. I really want the job but I didn't ask her to approach you. No, I didn't think you had. Oh, good. I hear kerry weaver's interested. Weaver over at mount sinai? She'd do a good job. I'll do it better. All right. Thanks. Thank you. You're welcome. Thank you. I thought I'd left enough time. You get here an hour before me you leave an hour after me you pre-round my patients before i arrive you order tomorrow's labs after i leave you check out my surgical schedule and you study the cases the night before. What'd you get read this summer?
Schwartz's principles
of surgery?
Sabiston's essentials?
Surgical secrets? Let me get a turkey breast on whole grain lettuce, tomato, extra sprouts, no mayo. Carter, you reflect on me now. You screw up, I screw up. You don't know the answer to some question that's because i didn't teach you. Hey, no mayo. What do you want, carter? Could I get a polish dog with extra onions, extra peppers and cheese? A lot of cheese, please. Surgery is the most difficult specialty of all. 15 students wanted this spot and 100 will want the surgical residency you're applying for next year. You want to be a surgeon? Then start acting like a surgeon. I've got a thyroidectomy this afternoon. What do you know about the arteries in the neck? There's a lot of them. You have an hour and 25 minutes. I suggest you locate a gray's and start memorizing it. Hi. I'm dr. Greene. What seems to be the problem? I have a rash on my thighs. Anywhere else? Not this time. Why don't you hop up on the bed and we'll take a look. Um, ms., Uh... Sweet. Loretta sweet. Sweet. Are you sexually active? No. Mostly, i just lie there. You use condoms? If i owned the factory, I'd be rich by now. Looks like contact dermatitis. Is that bad? No. A little cortisone cream will clear it right up. You must be allergic to something you came in contact with. Right. I'd try to avoid coming into contact with it in the future. I got two kids at home, you know? Is there anything else i can do for you? No, thanks. Any time. Adult male found passed out in his own vomit. B.P., 80/50 on arrival. Pulse is 132. Resps shallow at 24, tremulous. Stopped breathing two minutes out. I can't ventilate him. Cyanotic pulse up to 170. That's airway obstruction. We've got to move him fast. He's had glucose and narcan. Boy: Daddy! The kid found him. He called 911. Out of the way! Out of the way! Daddy! Nope. Damn it! Somebody get mark in here. We need a crike tray now. Here. Take over. Come on, kid. One, two, three. Again. How much time do we have? Almost three minutes. Where's the damn doctor? Daddy! Again. One, two, three. We're out of time. Crike him. Again. Harder. Get this kid out of here! You're not going to die on my shift, you son of a bitch. Come on, come on. I got it. All right, hyperventilate him. Daddy! Get out of the way. All right, what do we got? Airway obstruction. Male. One, two, three. Approximately 35 years of age. Tremulous. Possible impending D.T.'S. Maybe septic, maybe stroke metabolic derangement. C.B.C., Chem 19, coag panel u.A. And a chest. Push d-5 normal saline. Get a banana bag going. Carol, get a blood gas. Coming up. Doc-tor! Doc-tor! Who the hell is that? Some drunk looking for a hot meal. Doc-tor! How long he been doing it? About an hour. It's damn irritating, isn't it? At least he hasn't learned how to say nurse yet. Nice tan. Thanks. What's that? Anatomy of the neck. Forget it. Too many arteries. I thought this year was going to be easier. Wait till you start your residency. Want to show a third year how to start an I.V.? ( Laughing ): No. You haven't seen her yet. I shave my legs. I used to wax them but that hurts so much. I love candlelight and christmas music and the smells... The mulled cider and chestnuts. I haven't had a chestnut in years. Hi. You the new med student? Yes. Thank you. Harper tracy. John carter. How's it going? I've been trying to take her history but so far, we haven't gotten past the crimean war. You're very handsome. Are you a doctor? My son's a doctor. I play the cello. Do you like music? Yes. Sometimes. This is mrs. Constantine. I think she has cellulitis in her left lower extremity. It's swollen, warm and tender. ...Haydn, bach, saint-saens. Cellulitis sounds about right. Are you in any pain, ma'am? The pain?
The pain, the pain stays mainly in my brain. I think she's got it. By jove, she's got it. She's also clearly bipolar. Right. Dr. Lewis wanted me to show you how to start an I.V. Pull this little gizmo out find your vein, go in bevel up skin taut advancing slowly till you see a flash. Needle out, cath in. Thanks. Got it. Really? Yeah, I got it. Madrid, tokyo, milano buenos aires, barcelona. ( Screams ) I'm sorry, ma'am. You hit it the first time. ...Second chair. I should have been first chair but the conductor-- that bastard-- was sleeping with a fat, italian girl who could not carry a tune. Sex! Sex! Sex! Same with my husband. I can take it from here. ...But i could dance all night. Okay, then, uh... Great. I would like to put the moon under my heels and go flying up, up, up into the sky. Jerry, do you know where the kid is from that alcoholic airway obstruction? Hmm. Thanks. You sure it's not that one? Yeah. Nice shirt. It's all i had. What you doing? Noah's fixing the vcr. Has a tape stuck in it. You be cool now, noah, you hear? Your dad's going to be okay. I know. He's going to have to stay with us for a while. Is your mom coming? She lives in florida. Is there someone else who could come get you? My dad'll take me home in a while. He never stays in the hospital. He's done this before? And you called 911. That was very smart. Have you done that before too? Lots of times? Do you have a phillips head? Sure. You really know what you're doing. 0 each defendant. Endthis morning?
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the trees and the company, is he still down here? Kayson says he doesn't have beds. We're being followed. Student. Uh, harper tracy. Greene, mark. No, actually, my first name is harper. The bipolar? Off her meds. Psych got her back on lithium admitted her for I.V. Antibiotics. How's the jell-o, mr. Kuzner? Delightful. We are going to have you out of here as soon as we can. Jerry, how long is it going to be until we get this air conditioning fixed? A week ago thursday. ( Groans ) oh! Oh, didn't they find asbestos in this building a couple of years ago? ( Beeper beeping ) oh, not again. Kiss little suzie for me. Yeah. Lewis: Ah!
Dr. Lewis,
pour vous. A little taste from the islands. Oh, thank you. Dr. Greene. Yeah? I have something for you. There you go. Oh, thank you. Carol? Hmm? Oh, carter, it's beautiful. Thank you. All right. Carter? Where are my charts? Maybe you should have saved one of these for yourself. Oh, but I did. Hey. Hey. Here you go. Jerry, why are there three kids in cheap ties reading textbooks in exam three? Oh, damn, the med students. I forgot. Dr. Greene, staff meeting's in five. Could you see if they need anything and tell them i'll be back in an hour? Sure. Right. Uh, dr. Ross, a little taste of the islands. Carter, you shouldn't have. It's wondoa. He's the god of fertility. Just what you need, doug. Come on, mark, I'll walk with you. To the staff meeting? Yeah, I'm nurse manager. I always go. Nice hat. See you. Yeah, see you. Carter. Yeah? O.R., Let's go. You should really put some ice on that. I'm fine. I think I've got the neck arteries down. Common carotid, superior thyroid... Thyroidectomy's called off. We're doing a hernia. I hope you know your way around hesselbach's triangle. Morgenstern: Folks, can we get started? Please, can we start on time? Mark greene is joining us as an attending now that he's completed his residency. Mark, have you given any thought as to who should succeed you as chief resident? I was thinking jane pratt would be an excellent choice. She that blond, always wears sweaters? Uh... No, brunette, tall. She's very smart, uh... Well-liked. Easy to get along with, very competent. That's pretty much how I would describe you. You might want to consider someone who would complement your weaknesses. Which are? Discipline, paper work administration. Any other candidates? She'd be my first choice. Carol, any thoughts? Pratt's the best of this year's crop. She'd take the least baby-sitting. Mark, you know kerry weaver over at mount sinai? Only by reputation. I'd like you to meet her. Can we get this ross thing finally resolved today? Oh, neil. Nobody thinks this is important, but I don't understand why my pediatric budget is carrying the cost of an E.R. Fellowship for doug ross. It's an E.R. Pediatrics fellowship, neil. Okay, then put him under my supervision. I'll keep him in the clinic where I'm severely understaffed and when there's a real pediatrics emergency you can call him down. They need him in the e.R. Full-time. Then let them pay! They're severely under-budgeted and you know it! I like ross, but he is a bit of a cowboy. A bit? David, he's arrogant and dismissive of my authority. I'm warning you right now when his fellowship comes up for renewal in november i'm not going to sign off on it. You want him you find the money for him. Let's jump off that bridge when we get to it, shall we? Okay, mark we need to talk about who covers the attending swing shifts. Nice piece of change. Any thoughts? Uh, no. I'll get you some names later. Next on the agenda we've got a J.C.A.H. Inspection coming up. ( All groaning ) this is what allows us to call ourselves a hospital. Help me, please! Somebody help me! It's my brother. Please! He fell off the boat. Grab the gurney on the side. Come on, man. No spontaneous resps. Come on, jimmy. Get an ambu bag and set up suction. Jerry, trauma one open? Air conditioning guys are down there. Curtain two. Get respiratory here stat! He's not breathing. Lily, we're going to need a scribe. E.T. Tray, seven and a half. Please, what's happening? You'll have to wait outside. Someone get these air conditioning guys out of here now. Anybody get a blood gas? Please, please. Tracy, get over here where you can see. Oh, god. Don't do this, man. Core temp's 82. C.B.C., Chem 7, coag panel, chest film. Don't die, please. Are those meetings always that much fun? Kind of boring this week. Nobody took a swing at anybody. Do they always talk about the residents like that? Want to hear what they said about you? That drunk with the kid? He's checking himself out A.M.A. It's none of my business, but jane pratt? Morgenstern has a point. Listen, I didn't get a chance to thank you for the attending shifts. It's going to make a real difference. I'm behind in my car payments. You did your residency with kerry weaver. Yeah, we crossed paths. Morgenstern wants me to consider her for chief. Really? That bad?
Did you ever see
cuckoo's nest? I hear you're going someplace. Yeah. Where's my kid? Noah's in the lounge watching cartoons. Well, get him, we're going home. You're suffering from severe electrolyte imbalance your white blood count is high and you probably have pneumonia. I just need to sleep it off. You need to be admitted for fluids and i.V. Antibiotics. So you can charge me 5,000 bucks like last time? Let's talk about last time. Paramedics found you drowning in your own vomit on the living room floor. Your son called it in, just like today. Where's my shirt? We cut it off. I paid 30 bucks for that shirt. Who'll pay me for that, you? ( Coughing ) somebody... I swear to god somebody's going to pay for that. Find that shirt. ( Violent coughing ) ( wheezing ) ( coughing and gasping ) you're not going anyplace. I don't know why but for some reason, that boy cares about you. Why don't you stay, get straightened out give noah something to be proud of? Lewis: He's not warming up fast enough. He's in v-fib. Damn it, let's shock him. 200. Clear. Harper, clear. 300. Clear. Man, someone get them out of there! Hey! Hey! Get out of there! Come down now. Still nothing. 360. Clear. ( All screaming ) ( groans ) hey... We've got a beat. Hey, davey are you okay? O o oocgo|wwcw=o|gw|ggg
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with the butterfly. What are the borders of hesselbach's triangle? There's some kind of vessel. Deep inferior epigastric. A ligament? Poupon? That's a mustard. Poupart's ligament and the rectus sheath. You didn't get one of dr. Hicks' questions right. You told me we were doing a thyroidectomy. You embarrass me in front of another surgeon and you'll spend your sub-i suturing bagel cuts and baby falls. Rescue 47's on its way. The gang shooting-- somebody shot the shooter. Uh... Dr. Greene? Heard a lot of great things about you. I'm, uh... Kerry weaver. Oh. Hi. I'm mark. Sit down. Oh, thank you. ( Clears throat ) just eating something. Morgenstern says you'll need a lot of help around here. Really? Going to finish those fries? Oh, no. Uh, when do I start? People, we all set for this guy's airway? Carter: What happened? Some guy fell through the ceiling landed on a patient. Broke two of the patient's ribs and his own leg. 15-year-old male, shotgun to the chest at close range. No vitals, no pulses, no nothing. This the shooter from the pregnant lady? So they say. And go. His chest is a mess. Carter, C.P.R., Six units o-neg. Let's move. Hathaway: Tube's leaking. Malik: Asystole. I think I just punched right through his ribs. Skip it. Let's tube him. Amp of epi. Carter. There. I'm kind of rusty at this. Find the cords and thread it through. Do it now. Pull it. All right let's crack him. Ah! I got it. Spreader! Carter... Retract that lung. Here we go. Come on. Just take a deep breath, all right? Okay. I need you to stay on your feet here. He's totally dry. Trendelenburg! I think I'm going to be sick. No, you're not. Come on. Internal c.P.R. He's fibrillating. Damn! His right ventricle is hit. Okay. Here we go. 25. Clear. Marquez: We got a beat. Nope. It's gone. 50. Clear. Asystole. That helped a lot. Man, smells like a barbecue in here, huh? Oh, god. ( Laughing ): Welcome back, carter. Oh, no. Please... He's going to be okay. Thank you. Thank you. He, uh... He does have a couple of broken ribs. Benton: All right. That's it. Good try, people. He was dead before he came in the door. Who's got the death bundle? I'll get it. You all right? Good. Sew him back up, nothing fancy. I'll see you in the morning. 6:00 a.M., Sharp. And, carter. Prostatectomy in the morning adrenalectomy for a pheochromocytoma in the afternoon. Hi, guys. Here's your equipment. The kid make it? No. It's hathaway, right? Yeah. This is shep. Raul. See you around, hathaway. Oh. Hey, guys. I have to do a ride-along for my m.I.C.N. Recertification. Do you mind if i tag along with you next week? Sure. You bet. Anytime, hathaway. What? Nothing. It's not like that. I didn't say a thing. ( Sighs ) so, nurse hathaway, what are you doing tonight? Thought I'd rent a movie, make some popcorn. Sounds good to me. I'll bring a pizza. I don't remember inviting you. No, I invited myself. Hello. Night, all. Good night. Cardiology still hasn't taken my rule-out M.I. To c.C.U. I can't miss this train. Why have a cardiac care unit if you can never get anyone into it? If i don't make it to union station in 25 minutes i'll be walking home to milwaukee. You need to do something. I will. I promise. First thing monday, okay? I heard you hired kerry weaver as chief. That's a move in the right direction. You didn't hire jane? No, I didn't. Were you going to tell me or let me read it off the board? It was my decision. I made it. ( Beeper beeping ) I got to pick suzie up from day care. Oh. Hey, dr. Greene, those medical students are still down in exam three. You want me to send them home? Oh, god! Hey. Excuse me. Excuse me. Yes, yes. You're the young lady who helped me earlier today, aren't you? Mrs. Constantine. Are you feeling better? Well, I'm a bit tired. Did I tell you that i play the cello? Once or twice. Oh. I'm sorry. I would like to play something for you as a kind of thank-you. Oh, I don't think that's necessary. My son brought my cello to me. It helps me pass the time until I get better. Really, you don't have to do this. Um... ( Lilting haydn melody ) hey, you okay? Yeah. No, I'm fine. Tough first day back, huh? Yeah. ( Sighs ) some days, like today, I have to forget or i'd never come back. ( Sighs ) so, you have a good summer? Yeah. It was great. Really. I did a peds rotation over at children's. Spent about five weeks kicking around st. Bart'S. Really? I always wanted to go. Was it nice? Yeah. Man: Doc, can you give us a hand? Kid on a bike got hit by a car. Full arrest! Doc, can you give us a hand here? See you tomorrow, okay? All right. See you tomorrow. Full arrest! Carter: Okay, give me the bullet. Sorry. Excuse me. ( Grunting ) ( bell ringing ) sorry. Hold on! Hold on! No, no, hold on! Thanks. Chloe? Oh, is dinner almost ready? I am starving. Yeah, all we got to do is drop in the pasta and we're all set. Oh. Hello my beautiful girl. Hi. Hi, prettiest girl. How was school today? Uh, great. They're teaching us how to use the word and the... The spreadsheets. Honey, you want to come up say hi to mommy? Okay, here we go. We got your head there. Oh. Oh. Here we go. Oh... Oh, no! Oh, no! ( Giggles ) whoops! There we go. There we go. Oh... Yeah. Yeah. Oh. No, no. ( Baby whimpering ) it's okay. Okay. I missed you. Woman: Oh, god. What time is it? Oh, god. Peter? Peter, hey, wake up. What? We fell asleep. It's almost midnight. Oh, man. What time does he get off work? In ten minutes. Hey. Why don't you stay? ( Sighs ) you know i can't. I love you. I'll see you tomorrow. Wtig d was. Byca caio
previously on e.R.: I'm kerry weaver. I heard you hired kerry weaver as chief. It's hathaway, right? Yeah. This is shep. Raul. Why don't you stay? You know i can't. How you doing nurse hathaway? If i were driving, we would have been there by now, paramedic shepherd. You got to love these late summer runs. Especially up to humboldt park. You ever been to california and division? That outdoor cafe-- cappuccinos every morning. Slip that vest on before you order. They always promise us, the squads. They always claim they'll be waiting for us. They never are. Excuse me. Out of the way. Pardon me. We got this one. Hathaway, come here. Uh, multiple gunshot wounds chest, abdomen. He's lost a lot of blood. Hey, raul! Raul: Yeah? We've got pallazo over here. He's not breathing, no pulse. We're in full arrest. How about you? Brains all over the asphalt, bro. Then come over here. We need you. You can help me tube him. Here. You check his rhythm. Hathaway: Come on! Shepherd: Try this. Raul: 7.5? Yeah. Come on! A little cricoid pressure. Got it! You bag him. I'll try to stick him. Come on, dammit! His name's pallazo? It's a nickname. It means "the little clown." Worked on him three times. Dumb-ass little kid! You're really pissing me off, pallazito! Crackhead at 14. I can't get a vein anywhere here. ( Screaming ) pedro! Can we get a little crowd control here, please! Officer: Move back, everybody! Move back!
풯ue hiciste?
Esta bien, senora.
Esta bien, por favor! Ma'am, please. Come on, excuse me. Excuse me. Back up! Everybody, back! Back! Back! Back! Step back! Give them room. Back it up, please. Move it back, please. Everybody back up. Back! Back! Everybody, back! I need you all to move back, please! Back up! Out of their way! Out of the way! Out of the way! Welcome to hell.
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[Blender whirring] you guys should just makesandwiches. S+c'"|ak-|Kno! Sso=j/'gpc lydia, you seen carter? Not lately. Hey, kerry. Hey, peter. These your sprouts? One E.R. Rotation together and that's what you remember about me. They're dead. I need the space. So, uh, how's it going? Uh, my first day here, and I've only upset doug ross. That's not too bad, huh? You must be losing your touch. Good to see you again, kerry. Thanks, peter. No can do. Not the kind of attitude that we encourage, bob. No can do, dr. Ross. You love saying that don't you? Anybody seen carter? Anybody seen the chocolate doughnut that bob refuses to bring me? He's in exam four. Dr. Weaver said no more food errands. Inappropriate use of personnel. You just love dr. Weaver, don't you? It appeals to that whole germanic thing in you. I am polish. Screaming twins, curtain two. All right. Morning, susan. Uh-huh. What have you got? 14-year-old, multiple gunshot wounds, asystole. Two amps epi, two migs atropine in the field. How long's he been down? Hathaway: 35. Looking for miracles? Two liters of normal saline already in. On my count: One, two... Three. Slumming with the paramedics? Yeah. Recertifying for my m.I.C.N., So, pretty much. Pallazo, you've survived worse than this before. He's in fib. Let's shock him. 200. Four units o-neg. Clear. Three hundred. Clear. Three-sixty? Yep. Clear. No breath sounds on the left side. Hemothorax. Chest tube tray? Got your o-neg. Another amp of epi? Yeah. Let's high-dose him, five milligrams. Scalpel. Tube. Oh, man, the blood's pouring out. Shh, shh. He's still asleep. God, we had such a night last night. You wouldn't believe it. Triple m.V.A.-- Car versus horse trailer in the middle of chicago. What a mess. I had such a blast but we didn't get to bed till 5:00 and now, i am late for rounds. If you are here when he wakes up will you tell him i said thanks? Thanks. ( Whispering ): Carter. ( Shouting ): Carter! There's already 1,500cc's in the pleurovac. Thoracotomy tray? Lewis: Let's do it. Time down? Shepherd: Uh... 44. Aw, geez, there's a bucket's worth. Haleh, get some lap pads. Somebody get a light. Double m.V.A. At the back door. What have you got? Multiple gunshot wounds to the chest, full arrest... Susan? Epi, atropine, o-neg. He's exsanguinated into the left chest. Your pals are pulling up. You might give them a hand. I work here, nurse manager. Kerry weaver, chief resident. How long has he been in arrest? 45 minutes. Let's call it. We need the room. My case, kerry. We got a seven-year-old kid and his mom coming who we can save. We've got a 14-year-old on the table. Who we can't. Call it. What was that time? Uh, 45 down. Susan. Susan. All right. I'm calling it. Time of death, 7:19. Someone call housekeeping. We need another gurney in here! Weaver: Let's go. Mannitol? 30 grams. We need x-ray in here! Welcome to hell. Absolutely nothing happened, I can assure you. She must have made the other bed 'cause that's where she was sleeping. 'Cause we didn't do anything. Carter, do i look like your father? No. Actually, not at all. I don't care what you did or didn't do except for oversleep, which you did and despite your extended nap, I assume you're prepared for this morning's surgery. Absolutely. Good, 'cause i'm going to work your ass off. Great, 'cause we're doing the, uh... Thoracic outlet syndrome. Right. Carol! You scared me. I know. I do that to a lot of people. Sorry. And i'm sorry i didn't realize who you were earlier. Oh, that's all right. You, uh, enjoying paramedic ride-along? Yeah. It's fun being out for a change. I've been reorganizing a little bit. Can I run some things by you? Okay. The doctors need to write down their orders when they give them. No more of this three-hours-later crap and blaming the nurses if it's not done. That would be great. And I think that residents are capable of cleaning up after procedure, don't you? Are you going to tell them that? Sure. Why not? They're going to stop peeking through the charts picking the most interesting cases. You don't get a choice. Why should they? It's going to be a bumpy ride. Already is. So, thoracic outlet syndrome. I really haven't had a chance to, um... It's the lung, right? Don't get me started on the brigham. What? They bring me in to set up their emergency medicine training program. They keep me on the line for six months. Damn thing never got out of committee. Bunch of mud-phuds. Mud-phuds? M.D./Ph.D. Bench scientists doing research. Running gels, chopping up dna. Northern blots, western blots southern blots. Blots? Don't get me wrong. They're good people. They're smart people but they couldn't diagnose a cold if it stood up and sneezed on them. You must be glad to be back, then. You betcha! Give me a good sick body, needs a little slicing and I'm a happy man. Go find benton, will you? I believe we're ready. Maybe it's just too complicated for tonight. No, no. I want to see you. I just, um... I promised jackie i would... Uh, dr. Benton, I think that all he really needs is some active-passive resistance therapy for that left leg. Oh, yeah. Yeah. That's good. I, uh, i promised jackie that i'd pick up steven after football practice. Walt's down with the flu. My class is over at 7:00. I could make it by 7:30. How about 8:00? Al's off at 10:00. ( Pounding ) oh, man. You'll be all right. Look at all the people. Hey, bob! You seen big susie? At the desk. You look very sharp. Thank you. Did you hear that, pumpkin? She says i look sharp. Hi, susie! Chloe, what are you doing here? Oh, I'm running so late. Will you take the baby to day care, please? We're learning windows. I cannot miss class this morning. How are things at midwest biz? You know the academy? Yeah, night school two years ago. If you need help, I'm pretty good at all that computer stuff. She should have been here an hour ago. I know, but don't i look sharp, huh? Hello. Okay. Thank you, susie. Okay. So, you're going to pick her up after work, okay 'cause i got that job fair. That's tonight? I put it on our weekly schedule. Yeah. That's right. I forgot. Okay. Bye, susie. Bye, sweetie. Jerry: You need any help? No. Shh. Oh, yeah. Sorry about that. Okay, yeah. Shh. He's a pretty big guy. Morgenstern: Oh, yeah. 380, easy. Big arm. You know, you'd think we'd have some kind of pulley thing for this. Watch the pleura. Don't puncture it. We do. We do? Hold it up higher, carter? Keep the neurovascular bundle out of the way. Uh, let's bovie this little fella, please. So, uh, the pulley thing, it's not working? Periosteal elevator. ( Scraping ) what did he do? Overslept. Well, this will teach him a lesson. Yeah. Well, that's what we're here for-- to teach him, right, carter? Don'T... Move that arm. Just out of curiosity, how long is this surgery? I need the rib cutter. And, uh, bovie, please. Hold underneath. So rachel had her pancakes, then threw up at 6:30. Jen had a breakfast meeting. I missed the first train out. While I'm waiting for two hours at the station i start talking to this guy named gozukizil. So he's heard i'm a doc, right? Next thing you know, he's pulling down his pants. He wants to show me some mole on his butt. I don't think I'm cut out for this commuting thing. That's really interesting but it's just been a lousy morning. I've got a crying baby in my arms. Here's the diaper bag. So maybe we can talk when i get back from day care. Sure. I see kerry weaver made it in. Have you met her? Oh, yeah. She's in, all right and I've definitely met her. Good. Great call on the new chief resident, mark. Really special. Hi, al. It's me. Hi. Listen, I'm sorry, honey. I hate to do this again but they changed the study group schedule. Yeah, for tonight. I know, but what can i do? No, I probably won't get out till midnight. No, no problem. It was running fine this morning. 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Maple syrup would be my guess. Yeah, it was a real mystery. She fell while trying out her new rollerblades. Want to take her, susan? I've already taken the next patient in line. Rhinorrhea with otitis, exam five. Okay, connie, let's get a room. Oh, man, i hate the sticky ones. Oh, you got another one? Hathaway: Yeah, hitchhiker. Man: Flagged us down. She asked for you. Loretta, right? Same room? Greene: Sure, why not. Looks like she's doing the old P.I.D. Shuffle. Pelvic inflammatory disease. Occupational hazard. I just bring them in. I don't need to know what they have. 500 milligrams tetracycline and a dose of mebendazole for the baby with the pinworm. I've written them all down. Are you happy? And those will be generic, dr. Ross? Yes, haleh, those would be generic. Mrs. Beals, I'm dr. Ross. This is haleh adams. And you must be byron. Yeah, he burned himself. I'll say. Let's take a look. Yeah, boy. It looks kind of cool and gory-looking though, huh? You feel that? This happened while you were at work? The manager called me. He had the cops and the fire department there. They were all yelling so i brought byron here. The manager? We live in a motel. The harbor view. Although there's no harbor and there's no view. Byron set the room on fire. I guess we probably don't live there anymore. Greene: What is the differential diagnosis for pelvic pain? Woman: Ectopic pregnancy? Man: Appendicitis? And..? Stress in the workplace. ( Laughing ) what else? Mittelschmerz, p.I.D., Endometriosis ruptured ovarian cyst to name a few more. My money's on P.I.D. You had it before? Yeast infection, urinary tract infection... Not much i haven't had. Tests? C.B.C., Lytes, pregnancy cultures for g.C. And chlamydia. Barinski? Pelvic ultrasound? Not quite yet. Let's assume that it is p.I.D. How do you want to treat her? Ceftriaxone and zithromax. She is way ahead of you here. Joanie, how is she? Susan, thanks for coming up so quickly. What's wrong, little one? She's burning up. It's a slight fever. But you know the rules, no fevers or infections. I want to get her checked out. I'm sure it's nothing serious. Did you call chloe? This is one of her class days. You're the contact. I figured you might want to take her downstairs first. Yes, yes. Thank you. I don't know who's in worse shape mom or the kid. Let's worry about the kid first. Get a hold of jack chandler, child psychiatry. Track him down. He owes me a favor. Okay. Thank you, haleh. Doug, I need you for little susie. Maybe she should go straight to pedes. Let me take a look. She's burning up. Well, not really. Might be roseola. She looks like she might be getting a rash. I don't see that. Maybe she's bacteremic. Is there anything going around? Always. Big susie, why don't you go on your break and let your friendly pediatrician take a look? Yeah, okay. Thanks. Bye. Dr. Weaver asked if you could take the bounce-back back pain in exam six. Right. Sure. Could you call my sister, chloe lewis? Midwest business academy. The number's on a card in my wallet in my bag in a drawer in a desk in the lounge. Tell her susie's sick. Bag, drawer, desk, lounge. Thank you. So what do you want to do? ( Drunkenly ): How about some jim beam and call it a day? We should get a C.B.C. And a chem seven. Lytes? Lytes are in the chem seven. First, why don't we observe the patient? What's wrong with him? Okay, does the fact that he's bright yellow suggest anything? He's jaundiced. Probable alcoholic hepatitis. I'd start him on a banana bag and check his L.F.T.'S. Carter, take this whiny guy. Frequent flyer complaining of stomach pain. Exam four. Betadine, kerlix, adult no-necks. God, i love county. These private hospitals get bent out of shape if you try to steal supplies. Stealing supplies? We were just saying how it's not considered theft here. I was joking. There's a mrs. Rodriguez here. You brought in her son this morning, a 14-year-old. Someone said you knew the family. I think it's best if they hear it from someone they know. Sorry. I don't know the family. I've never seen them before. This is... This is not what I do. <