TV Channel 40 Tue Apr 01 10:00:02 2003
so did you save max or did max save you? G either he lost his balance and fell onto the tracks... Or jumped. All he ever got from you was harping and criticism and now, he's dead. You'll have to face it. I'm hiv-positive. I gave type-a blood to a type-o patient. I killed him. Doug! Doug! Wait up a minute. I got to ask you something in confidence. Good morning to you. So, how many people know about me and chuny marquez? Including the cleaning crew? So it's everyone. That would be an understatement. She's great. We've run out of things to talk about. And you want out. I think that would be best. You covered the spread-- the office pool. I had you for next week but what's five bucks for a friend's happiness? You've had experience at this. How do i end it? You know those chinese finger puzzles? The harder you pull them, the tighter they get. You got to just relax and then, they just droop and fall off. That sounds ominous. Explain to her that you're doing this for her own benefit that it's been fun but it's starting to interfere with work and you don't want to ruin your friendship because that's what you really care about. You know what? You're frightening, you know that? Morning. You're late. Hey, i was checking the surgery schedule. This is it for us today-- a hernia? Is that what it says? Wow. Problem, carter? No. It's just that our schedule has been pretty... Lightweight lately. Hernias and hickman lines-- you can do this stuff in your sleep. No hibiclens? No, we're out. At least this gives us a little more time to prepare for the firm conference. You ready? Mm-hmm. Uh-uh. 3:00 sharp, right? I'm doing the first half, you're doing the second. We'll brush each other up over lunch. Carter, if i need your help i'll ask for it, okay? Happiness is a full nursing staff. I hope everyone is feeling healthy. Peachy. I hate to see us get hit by the one-day flu again. Oh, I think it's run its course. I hope so. I can't afford to get fired. Oh, honey, that was just management rattling its tired old saber. What if they decide to replace us? They won't; after our sick-out, management got religion. The contract negotiations are going great. Will we get what we want? Yep. County commissioners are nervous. They know the public's on our side. They won't be after they read this. Right there. Oh, no. What? "Patient dies after nurses walk. "An unidentified nurse "at county general hospital "allegedly transfused a patient with the wrong type blood "leading to his death in the hospital's emergency room." Somebody died?! That's what they get for hiring temps. "Hospital sources say "the nurse's error was a direct result of understaffing caused by an illegal, one-day sick-out by E.R. Nurses." Oh, man! Where's carol? She's on at 9:00. Did this guy die because of us? First name gil. Last name unknown. Section y-37. No headstones? They just get a number. Of course, between the wind and the snow... There's nothing. Friend of yours? No.
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(Announcer) conceive in less time with accurate daily readings of your personal fertility. Clearblue easy fertility monitor. A clear advantage. B.P.'S 80/50. 駿W? really, we're not very寨I'll t ah, mark, I was reminding kerry that today... Is prospective intern day. How could i forget? There are six fourth-year medical students interviewing upstairs. Six? These are top prospects being recruited by other programs so i expect you two to show them what a real E.R. Is all about. We'll do our best. I'm sure you will. Haleh: Can we talk to you? Sure. What's up? This. We won't take the fall for this. The negotiations are going our way. If some temp made a mistake, that is not our fault. What temp? The one who gave the wrong blood. It wasn't a temp. It was me. God, they lied to me. I filed an incident report and they said that was the end of it. Need a hand back here! 15-year-old male. Multiple g.S.W.S to the chest. Massive blood loss on scene. He shot my partner! B.P.'S 50 palp, pulse 130. Two liters saline in transit. O2, 15 liters. He got a name? Hernandez. Who's bringing up the rear? 58-year-old male, single g.S.W. Through and through to the thigh. B.P. 130/90, pulse 108, resps 26. Help the boy! Don't listen to him, doc. We're going to help both of you. No, officer, we need you to wait outside. We got to work on your partner. Don't worry. Just give us some room. On two-- hut one, hut two! Decreased breath sounds on the right side. I need to intubate. Pressure's down to 40 palp. Pulse 160. Greene: Lydia, draw up the blood gas. This will teach him not to shoot cops. C.B.C., Type and cross for six. Get the o-neg going, chest tube tray. You got that thoraseal ready? In a sec. Greene: I'm in. Will you tape it up for me, please? Mm-hmm. I'll call diology for a portable. And respiratory for a vent. I'm going to go check on doyle. C.B.C. And a crit. Update tetanus and give him one gram of ancef. How is he? Missed the femoral artery. No neuro deficit. Excellent. Sergeant... Mattimore... Welcome to the purple heart's club. Thanks. How's the kid? We're working on him next door. Hi. I'm jeanie boulet. Hi. Mike and cindy patterson. Hi, mike. Have a seat. I understand you've got a headache. Oh, nothing serious. Do you have a history of migraines? I got a few in college. These are different. They come on for no reason. What caused them before? Tubas. We were in the marching band. Okay. You're also suffering from insomnia and dizziness. Anything else? He just hasn't been himself. How so? Well, uh, last night in his sleep, he bit me and when he woke up, he didn't know where he was. Okay. Let's take a look. Hi. Hi. How's that kid who got shot? Oh, he made surgery. Oh, thank you. Mm-hmm. My mother was disappointed you couldn't make it for dinner last night. Work, you know. My brothers-- they're starting to doubt your intentions. All five of them? ( Both chuckle ) chuny... Mark... It's been fun, but, um... It's starting to interfere with my work and I really want to preserve our friendship. I know that's as important to you as it is to me. Yeah. No hard feelings, right? No, no. Of course not. ( Laughs ) you hung me out to dry. No, I didn't. Then who did? Sit down, carol. Let me get you a cup of coffee. I don't want coffee and I don't want to sit down. It wasn't me. Who then? Drummond? Somebody who wanted to influence negotiations and who had access to your incident report. Look, we have got a threatened work stoppage here. Emotions are running high. The budget is shrinking. You've got a nursing staff
i gave him
the wrong blood. Which would not have happened if your friends had honored their contract and shown up for work. This isn't labor politics, mary. A man died. I'm sorry, carol. I killed a man and nobody around here seems to give a damn! Tie. Peter? Tie. ( Sighs ) I think you're wise to slow it down after pediatrics. Nothing like a simple hernia to put you back in touch with the basics: Hand, blade, clamp, suture. Peanut, please. Carter... What's the difference between a prostate and a garden hose? I don't know. Let me tell you. There's a vas deferens. ( Laughs ) oh. Corky told me that back in the day. Good old corky. Blew a gasket in the latrine at soldier's field. Met his maker with his pants down. Metz. And sometimes, you have to step back to reassess. Hell of a lot easier to take stock from a nice, puffy blimp than an f-16. Right? Right. It's the first mature breakup of my entire life. Oh, congratulations. No histrionics, no yelling. We saw the situation, we addressed it. How'd she take it? She's hurt, you know but she'll get over it in time. ( Chatting ) mm-hmm. What time you got? ( Chuckling ) mark? I'd like you to meet jay musoff whit haskell, monica campbell alex ghandar, matt collins and leslie wu. Hello. I've prepared an introductory packet to our emergency medicine program. You can refer to it throughout the day. The E.R. May appear chaotic, but if you watch closely you'll see a carefully organized system at work. I thought that i would take jay, whit and monica. Fine. We'll start with the admissions desk and go from there. If you want to follow at a ten-minute stagger, feel free. Right. The heart of any emergency room is the admit desk. Information is the blood that courses through it and the desk clerk is like the tricuspid valve if you will. So, you guys want to play doctor? Let's go. I chase number one, lose him down an alley i come back just in time to catch number two bleeding my partner here with a cheap .22. He doesn't even have his gun out so i capped the punk, twice. You were lucky your partner came back when he did. Two rounds, two hits. I couldn't believe it. You should have seen his face, pete. He was so surprised. Like, what do you think i was going to do give him a hug? When he saw the blood... You have to go now. He needs his rest. Oh, I'll wait outside, sarge. No, no. Go on home. No, no. I'll wait outside. Peno! Home. Bring me a chocolate frosted in the morning. He can do that, right? If he gets a dozen for us. All right, take care. Yeah. Talkative. Ten months out of the academy he thinks he's dirty harry. Why didn't you shoot back? 32 years on the force. I've fired twice outside the practice range. A cop who won't use his gun. That's a first. Your arm okay? Yeah, yeah. It's just a little sore. Carol, can i speak to you a minute? Be right back. We got a situation here. Well, I spoke to mary cain and she says she doesn't know who leaked it. And you believed her? Yeah, I did. We had an agreement on the table to protect current staffing levels and management just pulled it. They're going to use this to renege on the whole contract. I'm sorry to hear that. You had no idea they would use this against us? No, I didn't. What? You think i'm lying to you? I don't know anymore, carol. You and management can fight and scream and tear each other's hair out, for all I care. I've got a patient. Lo "project daedalus is this is a jo and you ought to be have hrt attacks, this is your last shot.
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yes everybody wins sesame street potato sack racers only from fisher-price. ??Aa most interns send their samples to the lab without knowing what happens once they're there. Let's pretend we're a urine sample and find out. Okay. Let's see. Scalded foot in curtain two. That looks promising. This way. Mark, I've got a 25-year-old male-- headaches, insomnia, behavioral tics. He's pretty young for a stroke. What do you think? Encephalitis or a mass lesion. Could be. Let's do a c.T. First. Who's on for infectious disease? Greg fischer. Get him down. Oh, hello, dr. Greene. Sasha, what a pleasant surprise. Sasha's a five-star chef in the cafeteria. What's today's special? Bratwurst. Idiot busboy carries out bin of hot water. Shoom! Right down my boot. Pretty nasty. Normally, I'd amputate but I'm afraid you'd put it on the menu. All right, alex. First step. Assess the burn. Leslie, what do you think? Partial thickness and there's a small blister below the medial malleolus. Good. Matt, what's next? Uh, 100 of demerol for the pain. Then debride any broken blisters thermazine dressing. Correct. You snip, you dress and you give the demerol. I thought we were taking a tour. Consider it interactive. ( Mattimore laughing ) I'll check in on you later. Let me know if you need anything. Thanks. Hey... Regards to kenny. Will do. You two know each other? Yeah. I picked up her cousin for b&e. She doesn't seem to mind. No. Best thing that ever happened to him. He's just like this kid who got shot-- young and scared and gangs putting the heat on him. What happened to him? I got him into a work program. You know what he is now? A locksmith. They used to have these dances here called blue and whites. You know, cops and nurses. Lot of marriages came out of that. Yeah? Yours, too? No. For me, it was always the job. You were probably just a lousy dancer. Hey, if I didn't have this hole in my leg i could show you a turn or two. Thanks. I'll take a rain check. Do you know why so many nurses end up with cops? Similar schedule? Shared appreciation for life's vicissitudes. That's beautiful. Thanks. I stole it myself. Too much coffee. Has that happened before today? Hey, give me a break. I'm 58. I can't have the shakes after I get shot? I thought only the scheduling nurse was allowed to change the board. I like to erase my own surgery when i'm done. Gives me a sense of accomplishment. What are you up to? I'm presenting at firm conference with benton. There's a name i haven't seen up here in a while. Been a little slow lately. There's a splenectomy that's open 5:00 with crosby. Sign him up. Oh, he usually signs up for his own surgery. Just because peter's stuck in neutral doesn't mean you have to be. I'm doing a portacaval shunt later. Care to join me? I'd love to... But I don't know what benton has planned. Judging by this, not much. Hi. I'm dr. Ross. Uh, lisa sayler. This is my son, benny. You work at the hospital? In i.C.U. I usually bring him to the clinic but I didn't want to wait this time. What happened? I'm not sure. He was in the backyard, and he hurt his elbow. Benny, can you do this? Can you straighten out your arm like that for me? You have to use his special name. Which is? Right now, it's clark kent. Hello. Hi, clark. Hey. All right. Let me straighten your arm out here. Does that hurt? It's okay. All right. We're going to have to get some x rays. Anybody here have x-ray vision? Uh, no? Okay. Well, we'll get radiology to take a look at it. No idea how this happened? No. I wasn't there, but I think he was trying to fly.
Ghandar,
jeopardy time. Tenderness in the anatomic snuff box indicates this common fracture. What is first metacarpal? ( Imitates buzzer ) navicular. I should try that on my students. I teach third grade. Really? Nice. Ow. Heather, you have a medial collateral ligament tear otherwise known as gamekeeper's thumb. Playing goalie is hell on a manicure. Hockey? Water polo. Co-ed. Sounds rough. Last year, i took a point-blank shot to the face. Fractured my left orbit. It's a singles league-- swim and mingle. The guys i've met there they're tough on the outside, but emotionally, they're wimps. I guess my type is more... The reverse. Need some help? No, thanks. But I did want to talk to you about that cop, mattimore. My dad says he's a real legend on the force. His right hand has a twitch. No head trauma, no focal deficits, right? Right. It's probably nerves. I'd like a head c.T. To be sure. The way his hand moves-- something about it bothers me. I can't order a $1,000 test without indications. He's trying to hide it. I'll do a neuro exam. If something shows up, we'll scan him. Thanks. Accommodation without direct response to light. Argyll robertson. Mrs. Patterson... Cindy. Cindy, when did you notice the chan in mike's behavior? About a month ago i found him down in the kitchen at 3:00 A.M., Talking to himself. There's a possibility you have a low-grade infection in your central nervous system. I'd like to do a spinal tap. Uh... That sounds painful. We give you plenty of local anesthetic. Takes about five minutes. Jeanie, can you get an l.P. Tray, please? Jeanie. I'm sorry. I've been meaning to call you. That's okay. I didn't expect you to. Hey, dr. Benton. 3:00 conference. Thank you, carter. Which leaves us plenty of time for a splenectomy at 5:00. We'll be in and out by 6:30. You signed me up for surgery without my permission? Crosby needs someone to assist. He does great work and i know he respects yours. Take it off. My name, take it off the board. It's too late. Not enough time. Someone's going to have to cancel. Ross: The only sign of fracture is the fat pad. Will he need a cast? The splint will be fine. It should heal in three or four weeks. Can I talk to you outside? Yeah. We'll be right back, okay? You just hang here. Has he always been this uncommunicative? My, uh... My husband died five months ago in a car accident. He was taking benny to get an ice cream cone. Ross: Was benny hurt? No... But it took about ten minutes for the ambulance to get there. Benny watched his father die. I'm sorry. Um... So when he started to pretend that he was superman i just... I thought it was healthy a way of coping. I got him that costume for halloween. Now he wears it every day under his clothes. Do you know lyle baker? Child psychiatrist; one of the best. I'll have him come down for a consult see what he thinks. Okay. Yeah? Okay. Benny? Benny? Benny, come out, please. How long will it take to heal? About six weeks. There go the playoffs. I don't know what I'm going to do with myself. Would you like to go out sometime? Uh... That brings up an interesting issue. Wu, are doctors supposed to date patients? Uh, definitely not. For my protection, right? Right. I mean, what if you weren't my doctor? Then it's hypothetical. When do you get off? 6:00. So, hypothetically if i were at finch's bar on dearborn tonight at 6:30 and you just happened to come in and have a drink that would be legal, right? Hypothetically... If i weren't your doctor. Hmm... You know, this thumb is starting to hurt again. I think I'd like to see a specialist. Sorry. ( Yells in pain ) have you ever seen an abscess this big? Never. Mr. Cliff, how did this happen? I'm building a cabin up north. No plumbing yet; just an outhouse. I sat down on the seat without noticing the ice. Ooh, when I stood up... That would account for the wide extension. We need to drain. 11 blade. ( Cliff yells ) weaver: Not to worry, mr. Cliff. Relief is on the way. ( Cliff yelling in pain ) hey, my two favorite ladies. Still trying to charm us? And they said man would never fly. Now they have air jordan on a mission to mars. Nurse hathaway told me about the problem you're having with your hand. She did, did she? I'm sure it's nothing but I'd like to do a simple neurological exam. I want you to squeeze my fingers when i say so. I got shot in the leg. The rest of me is fine. We just want to make sure. No, thanks. It'll only take a minute. I don't want it. It's for your own good. I said i don't want it. The man doesn't want it. Carla? Hey. What are you doing here? Waiting. What's wrong? Are you sick? What's wrong? No. We should probably talk later, peter. Carla reese. That's me. Dr. Coburn will see you now. Coburn? O.B.? Peter, i will call you later. No, no, no. Whoa, whoa. Hey, whoa. What's up? Are you pregnant? Later, all right? #W you want him to eat right.
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the trees and the company. So, what do you do? I, uh... Sell paper. That is so interesting! Really? Where will you be when your diarrhea comes back? You should have taken imodium a-D... The first time. Don't wait till it's too late. When kerry asked me to talk to you about our program i thought, "what does an old mucketymuck like me have to say to the next generation of sawbones?" And then i realized, nope. Everyone has a te alto tell, and mine begins in a cold, little farmhouse in hoobane, north dakota. Pa morgenstern worked at the local tannery and ma was a taxidermist... How are they holding up? Stick a fork in 'em-- they've been weavered. Still no sign of superman. Thanks, malik, keep looking. What is that smell? Bratwurst on the house. Compliments of sasha, the cafeteria guy. Remind me not to cure him again. So, what do you think? About you dating a patient? Does exxon valdez ring a bell? Yeah. I'm still holding. You should talk. This is new territory for you. I know the difference between dependence and mutual attraction. So, what are you going to do about it? Doyle. Gamekeeper's thumb in four. If the splint is set, you discharge her. Roger that. Lisa? Yeah, not yet. I know he didn't get past security so he's still in the building. No. No, you stay put. He knows where you're working. He'll probably be heading your way, okay? Great. Bye. Do you see it? It's glowing-- looks like syphilis. Wow. Neurosyphilis. I'm surprised. Imagine how surprised mrs. Patterson's going to be. How are we going to tell them? We don't tell them. We tell him. And not her? It's his disease. We can't violate his right to privacy. Oh, and she has no rights except the right to be infected? Why don't i talk to him? He's my patient. I just asked you down on a consult. This is a tricky situation and I have more experience. I've dealt with these situations hundreds of times. This kind of thing can kill a marriage. So can silence. Dr. Carter? Are you aware of the time? Yes. I was waiting for dr. Benton to go over some of these notes. The entire surgical staff is already here. Any time now, doctor. So, uh... When were you going to tell me? When i knew I had something to tell. You know, both my sisters had miscarriages during the first trimesters. What did coburn say? Well, she said that it was just some spotting and that, you know there was nothing to worry about. All systems go. Carla, i don't understand. I mean, we were careful. Well, it's like they say, "nothing is 100% effective." And you're sure it's mine? I'm going to forget you said that. I'm just going to lay it all on the stress and the surprise, okay? Carla, i'm sorry. Look, honey, i don't... What am i supposed to say? Look. We're two very different people, peter and lord knows we both have enough going on in our lives. ( Sighs ) I've made the choice, peter... To have this baby. All right, uh... What do you expect from me, carla? The truth. You've always been really honest with me. It's one of your finer qualities. I got to get back to work. I'll... I'll... Call you, all right? Sure. Hathaway:
You can adjust these if they're too short. We'll probably discharge you today. Thought you could use the practice. Stop being so nice. Makes me feel even more foolish for speaking the way I did. You know, when i was in the alley with the kid, hernandez... I've had guns pulled on me a dozen times. This wasn't a hard guy. This was a kid caught in the deep end. 30 more seconds, he drops that piece we both walk out of there. What happened? My hand jerked. He thought i was going for my gun. In a second, he had to decide whether he wanted to live or die. Does anyone else know about your hand? You mean, like the department? ( Chuckles ) they'd put me in the mail room. Then who deals with the next stupid kid who panics and pulls a piece? Some hotshot like peno? You need to get it checked out. What is it? Is it parkinson's, a brain tumor, or...? I don't know but those are treatable disorders. You could have years to teach the penos to be better cops. Or i could be here lying flat on my back, stuck full of tubes. At least, let me do a cat scan-- find out what's going on. I'll tell you what, angel. I'll think about it, okay? Good. The aortagram confirms the unilateral renal artery stenosis and treatment was via an aortorenal bypass graft using a segment of the saphenous vein. Now, discussing the causes and evaluation of surgical hypertension will be my colleague... Dr. Peter benton. Except that he was detained which is why he asked me to s-s... Uh, stand in for him. The surgically correctable causes of hypertension include coarctation of the aorta cushing's syndrome and, uh, pheochromocytoma. Woman: What about conn's syndrome? And conn's syndrome, of course. Man: And hyperaldosteronism? That, too. Wasn't a trial of drug therapy warranted before surgical intervention was undertaken? The surgery carries a one percent mortality rate. I see your point. What were the results of the renal renin assays? They were very high. Man: What was the ratio of the affected to the unaffected side? That i don't know. Woman: Obviously not. So... Uh... Hey, anyone know the difference between a prostate and a garden hose? Leave her alone! Shut up! I ought to slap some manners into you. Hey, you got no... Hey! What are you doing? I am trying to talk to my lady, here. This kid starts kicking me in the leg. You were mean to her! Sit down and relax! Call i.C.U., Tell lisa sayler we found her son and get security down here.
What is that?
What is that!? What are you doing? He was being mean to her. He could have been mean to you, too. No, he couldn'T. Yes, he could have. I have super powers. No, you don'T. You are six years old. You live with your mother in hyde park. Benny... You cannot fly and you cannot attack grown men who are arguing with their girlfriend. You understand? Hey, are you listening to me? How's it going? Hey, somebody who will talk to me. You must not have gotten the memo. I read the paper. You hanging in there? By a thread. The nurses think i'm benedict arnold. Management's using my mistake to make the R.N.S look bad. You're in a tough spot. To the sun times myself, tell them the death had nothing to do with the sick-out. Then what happens? I don't know. Lose my job, maybe? You ready for that? Good news? I need to speak to your husband alone. Why? What's wrong? Jeanie, will you show mrs. Patterson to the waiting room? No. I want to stay. Does she have to go? Only if th's what you want. I want her to stay. Mr. Patterson this is sensitive information. It can be very difficult to hear. I want my wife here with me, okay? Fischer: All right. That's your decision. Our tests show that you have neurosyphilis. It's a disease that can cause mild personality disorders like the ones you've been suffering. Syphilis? Neurosyphilis. It's sexually transmitted. That doesn't mean contracted recently. Takes seven years for symptoms to arise after the initial infection. Seven years? But we've been together since high school. We've been committed to each other from the day we met, to the day we got married, to now. We can treat you with i.V. Antibiotics. In two weeks, you'll be as good as new. Impossible. We've only been with each other. Cindy...? Cindy? I'm S... I'm sorry. We've got a 35-year-old male, M.V.A. Car skidded into a light pole. A.L.O.C., Multiple lacs, G.C.S. 8 at the scene. B.P.'S 90/60, pulse 110 and irregular. Passenger space intrusion. We had to use the jaws to get him out. Extrication time? Approximately 20 minutes. Clear, people-- stay back. Dr. Greene? Yeah. Come with me. 15 liters o2, two I.V.S normal saline, one liter in. Greene: All right, everybody, on my count-- one, two, three. Go. Ghandar, cardiac monitor. What do you see? Looks like p.V.C.S. Ross: Pupils are sluggish. Weaver: Good bilateral breath sounds. Greene: Lidocaine, 100, i.V. Push. Start a drip at two migs. Should they be in here? My students, my call. Get a C.B.C, chem 20, enzymes, type and cross for four units. Pulse ox 95. O.D. In curtain four. Ross: We got a gusher-- pressure dressing. Piggyback a gram of ancef. He's in fib. Charge 200. Wu, put gloves on. You ever bring somebody back to life? No. All right. Get over here. Clear. Here you go. Charge to 300. Clear. Charging 360. Clear. Excellent. Got a pulse. Greene: All right, collins. Put in a foley. Don't be shy, it's not yours. Ghandar, glove up. You're going to help me with a peritoneal lavage. Doug, how's that leg? Nasty. He got the popliteal artery. Dr. Ross? Yep? Benny, what are you doing in here? Benny! Haleh, get him out of here, will you, please? Come on, baby, come on. That's it, come on. Yeah, come on. Dg ?w 7?E>'that's me. And this is kate. She's just like me. First bike ride. First prom. Then my little girl grew up. Around then, I was diagnosed... With rheumatoid arthritis. Still, things were looking up. Until I turned 50. I felt 90. For some, there's remicade. Remicade relieves pain and helps stop... Further damage to your joints. Your doctor may add remicade... If you're on methotrexate already and not responding well. Remicade is not for everyone. Certain people with heart failure should not take remicade. Serious, sometimes fatal, infections... Such as tb have been reported. Your doctor should evaluate
your risk of infection. Tell your doctor right away if you develop... Any sign of an infection while on remicade. There is a risk of serious infusion reactions... Which may include hives, difficulty breathing and low blood pressure. Call today and talk to your rheumatologist. Last year, kate was diagnosed with rheumatoid arthritis. And she's so young. At least she won't suffer like i did.
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(announcer) conceive in less time with accurate daily readings of your personal fertility. Clearblue easy fertility monitor. A clear advantage. ( Sighs ) where were you? Uh... Firm conference. Yeah, I got crucified in there covering for you. You shouldn't have tried. I didn't have a choice. We were supposed to do it together and you left me twisting in the wind.
And you trashed my reputation in front of every surgeon here. Carter, I'm sorry. Something came up. You're sorry. Something came up. That's your excuse? Yeah. Right. I've got a shunt with hicks. Would you do me a favor? The next time that you feel the urge to ruin my career i would appreciate a warning. Tom clayton? Carol hathaway? Yeah. You want something to eat, coffee? No. No, thank you. So, you're the nurse manager in the e.R. Is that right? Do you mind if i take notes? No. Is this going to be on the record? Yes, it is. Ross: Here you go. Is that man going to die? Maybe. He was hurt pretty badly. Just like your dad, right? I was thinking about what i said to you earlier and I was wrong. Um... Okay, sometimes, when you try to help somebody and you can't and it gets inside you and it, and it twists and you... Wonder why. You should do... What you think is right. And you don't let me or anybody else stop you. Okay? It's... Been a long time. I can't remember if, uh, superman had a dad or not. But if he did, I know that he was very, very proud of his son. Okay? Come here. Come here. Hey. I've never done this before. Really? This is exactly the kind of thing you should be doing. So, should i be worried about peter? What do you mean? Don't play dumb. It doesn't suit you. Is his emotional state impairing his surgical ability? No. Not that i've seen. I appreciate your loyalty. But I want you to know-- if peter can't use your talents my team can. Really? Are you serious? I'm almost always serious. I need mr. Patterson's chart. Why's that? I couldn't convince him to stay. Tricky situation. Are you going to notify the department of health? It's the law. Wait a couple of days. I'll give him a call and he'll probably come back in. Are you refusing to give me his chart? It's my job to be an advocate for my patients. It's your job to assist me. That's why it's called "physician assistant." Are you always this arrogant, or is it just me? It's just you. Look, I owe you an apology for the other night. You don't want to date a woman who's hiv-positive. You don't owe me anything. Did you see me zap that guy? I had my hands inside his chest. Unbelievable. Weaver: Thanks a lot. Thank you. Bye-bye. Well, I want to thank you two for taking care of our charges. What do you think? Well, frankly, I was disappointed. I found a general lack of enthusiasm inattention to detail. If i were you, donald i would seriously reevaluate their applications. Well, don't worry, kerry because none of your students decided to apply for the program. On the other hand, mark, all three of your candidates rank us as their top choice. You really reached those kids today. You ever thought about an academic appointment? There is a tenured spot available. I never thought about it. It's clear your place is on the faculty. Really? Absolutely. Carol... I just got a call from a sun times reporter. He wanted me to confirm some statements you made. I hope you did. They're all true.
Why did you do it? If you have to ask, you don't know me very well. I thought we were friends. No, mary, you're my boss. I lost a patient. I can't hide that, and I can't forget it. Neither should you. Drummond wants to see you right away. Hicks offered me a position on her team. I'm taking it. Effective monday. Okay. You know, a month ago you would have ripped my lungs out for going behind your back to another surgeon. Now you just stand there? Since when did i start caring about what you do, carter? Never. But now, you don't care about yourself. You don't care about your reputation. I need an evaluation before i can transfer to hicks' team. You'll get it. You know, in that surgery today... Everything i did, you taught me. Saul, I'll try your winter ale. Yeah. Mark greene. Heather morgan. What happened to your thumb? It's a long story. I had to go to the hospital for it. Saw this great doctor. I hope he took good care of you.
She, actually. Can I ask you a hypothetical question? We can dispense with the hypotheticals. Absolutely. Did you order those? No, they're from table 14 in the back. You bring them everywhere? These are the shifts for next week. There's still a problem with wednesday. We only have six r.N.'S scheduled. You may need to bring in a float. There's supply reqs, a memo from mary cain and a note from buildings and grounds that two of our parking spaces have been reassigned. Go straight to weber. We won on this last year but I think now, they're getting serious. That's not my job. It is now. I've been suspended.
Previously on e.R.: I killed a man and nobody around here seems to give a damn. At's up? You pregnant? Would you like to go out sometime? Mark greene. Heather morgan. It's your job to assist me. That's why it's called physician assistant. Are you always this arrogant, or is it just me? I've been suspended. Heather: Knock, knock. Who's there? Me. Want some company? Sure. Whoa! Greene: Oh, whoa, nick. Nick, get out of here, nick. Sorry about this. Nick, come on. Sorry. I'll be right back. All right. Nick, get out of here. ( Phone rings ) please leave a message at the tone. Woman: Hey, sweet pea. Out of bed, sleepyhead. Hey, sweet pea. Hi. Hi, polly. Yeah... No, I was just about to call you. Dinner tonight? Yeah, that sounds great. About 8:00? Mark... Ran out of shampoo. Yeah, it's, uh... On the shelf. Okay. I got to go. Bye-bye. Who was that? That was a doctor. We've got a staff meeting tonight. Oh, we have basketball tickets. I thought that was tomorrow night. No, it's tonight. Remember? But you know if you really can't make it... No, I think I can postpone...
Hicks:
Morning, dr. Carter.
What have you got? City bus versus drunk pedestrian. Open book pelvic fracture, blunt abdominal trauma. Lavage was positive. I thought we'd start with an ex-lap. I haven't got your paper work. Benton told me he'd do it. Hasn't arrived in my office. I told you, you can't begin the new rotation until he's signed off on the last one. What am I supposed to do? Until I get your evaluation, nothing. Dr. Hicks, please... Find benton, get your paper work. Until then, you're grounded. Oh, come on, manhey, kerry. Doug, that's not funny. I sprained my ankle playing hoops. We've got a kid choking. On what? I don't know. How long ago? About ten minutes ago. He's not breathing. Let's get him in. Connie. Take care of the dad, would you, please? Magill forceps. There you go. Let's spin him around here. Let me borrow this. He'll be all right. Come on. Move him over. All right, what's in there? Looks like a jacks ball. Haleh: Pulse ox is 80. He's cyanotic. Can you reach it? The ball's wedged in there. He's in v-tach. Weaver: Give him 15 of lidocaine. Ross: All right, I'll shock him. Go. Clear. Clear. Charging. Okay, here we go. Clear. Here we go. Weaver: All right, prep for a trach. Give me a 16-gauge needle on a syringe. Trach kit... Hang on just one second. Let me try this. Trach tray. What the hell are you doing? Trying to boost the jack ball up. I can feel it. This kid needs an airway. Come on. Get the forceps. It's moving. It's moving. It's... It's moving. Can you get it? I got it. All right. Good. All right. Is he breathing? Yep, he's breathing. What on earth made you think to do that? ( Knocking ) jackie: Peter. Yeah, yeah. Hey. I've been calling for days. Where you been? I've been busy. This place is a mess. Yeah. I've been working long hours. Feeling all right? A little tired. You look terrible. I saw carla yesterday. She's put on weight. You noticed? She's pregnant. How could you be so stupid? Are you going to marry her? I don't know. Be a father to your child? What, she's not good enough for you? I didn't say that. So what's the problem? Don't walk away from me. Hey, look. Hey. You don't have to do this alone. You've got family. People who care for you, peter. Jackie, I know. I'll handle it, all right? I'll take care of it. How? I don't know. I, uh, i got to get dressed for work. Damn.
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[Beeps] how'd you end up going out with two women on the same night? Scheduling mix-up. Any suggestions? Dinner with one, drinks with the other. I think they're both expecting the works. Who do you like more? Well, heather's a lot of fun. Fun is nice. Polly, she's... She's very spiritual. Spiritual like what? Like crystals or something? Heather's got bulls' tickets. Bulls! Say no more. I'll call polly, make up an excuse and go out with her tomorrow night. You're playing with fire here. I can juggle. I think you'll get burnt. Women can smell deceit. You ought to know. Those days are long gone, my friend. So what do you do now? Uh... Give advice. ( Both chuckling ) the form was very confusing. Evidently. What's going on? Haleh's playing at nurse manager while carol's away. I ordered 12 emesis basins. She ordered 12 gross. Hey, anybody seen our paychecks? Ask your friendly nurse manager. They always come in by noon. Did you guys see this memo from dr. Fischer? He wants to swab and culture everyone for resistant staph. What? What's this about? Eight of our patients came down with staph. They think one of us is spreading it. Could be anyone. You, me... ( Sneezing ): Jerry, get these boxes out of here. You still haven't filled out the evaluation i need to transfer to hicks' team. I can't operate until you sign off. Leave it in my box. No, do it now. "Satisfactory work"? Thanks for your time. Carter:
What have you got? 28-year-old female. Multiple stab wounds to the chest, arms. This is my case. Looks surgical to me. I'll page you if i need a consult. There's plenty here for everyone. Superficial lacerations deep penetrating wounds. Sounds like a pneumo. Chest tube tray. Here, too, please. Why don't you work together? Doyle can suture. You first. Get carter some nylon. Who's going to put the tube in? I am. I am. Trouble in the sandbox? I'd like to put in a chest tube. Surgery's always hogging our procedures. I agree. Dr. Doyle, you do it. I've got more experience, right? Dr. Benton? Ask dr. Hicks. You're in luck. The patient has bilateral pneumothoraces. You can each put in your own tube. I'll take this side. Fine. ( Groaning ) peter, are you okay? Yeah... Yeah. I like to make a subcutaneous tunnel above the rib to avoid an air leak. Nice technique. Where'd you learn that? I don't remember. Kerry, you got this? Yeah. Are you sure you're okay? Yeah. It's just a little indigestion. Try to avoid hitting the intercostal bundle. It's a common intern mistake. For surgical interns. Mine's in! How you doing over there, maggie? This pamphlet says 40% of all doctors don't wash their hands between patients. Oh, no kidding. Medical personnel pick their noses three times an hour. Many interns bathe twice a week. There's a limit to how well-informed I want to be. Doug, we've got a sick kid out front. Yeah. All right. Nice technique. Perhaps I could interest you in a little detective work. I'm trying to track the culprit who's been spreading staph infection down here. I could really use your help. It's not a very attractive proposition. We both know where staph comes from. Somebody's not washing their hands after going to the bathroom. How will you flush them out? Carefully. Very carefully. Can't catch his breath-- cystic fibrosis. What's his name? Jad heuston. All right, hang in there, buddy. What's your name? Katy reed. How old is he? He's 19. Has he been here before? No, he hasn'T. We live in racine. What are you doing down here? We're just visiting. A kid this sick shouldn't be traveling. Wendy, get a c.B.C., Portable chest and o2 ten liters, please. Pulse ox is bad: 82. He's coughing up blood. He's got rales, and he's wheezing bilaterally. Want a bronchodilator? Yeah. Five migs of nebulized albuterol and 200 of aerosolized tobramycin. Pulse ox is down to 78. Heart rate's 130. We'll intubate him. No. We can't wait. He doesn't want a machine. Does he have a d.N.R.? I think so... Yes, he does. If he's D.N.R., We can't tube him. You understand he'll die if we don'T. Jad, please. No... No. What's his doctor's name? Dobry, i think. All right, lydia, call dr. Dobry in racine. Call about the d.N.R.
Find out now.
Now, please. Man: One, two, three. Mr. Papillion? One... Yes. Three. One, two, three. I'm dr. Greene. What seems to be the problem? Busy. Paged psych? On the way. One, two, three. One, two... ( Counting continues ) mr. Papillion, would you like me to give you something to relax? No. ...Two, three. Any other ideas? I'm thinking. Hey, archie. Hi. Psych consult? You stopped taking your medication, didn't you? Yeah... Two, three. Nina pomerantz. Mark greene. He's one of our regulars. Archie! Snap it. Thanks. That's amazing. Basic behavior therapy. Will it work on my seven-year-old daughter? What's her problem? She started sucking her thumb when i got divorced. My six-year-old wet the bed. Did you use behavioral therapy? No. Electroshock. Works like a charm. Kidding. I'm just kidding. I hate to interrupt... Oh, yeah. Gosh, archie. Let's go upstairs. Nice meeting you. You, too. See you around. We're losing him. Any word on the D.N.R.? Not yet. I found a pipe and weed in his socks. Smoking dope with C.F.? Must be a death wish. They're paging dr. Dobry. Guess what? He's a pediatrician. How old is he? I told you. He's 19. 19-year-olds don't go to a pediatrician. How old is he? He's 17. Eight E.T. Tube! He's crashing! Should we restrain him? Yeah. Give him sux and pav. I'm tubing him. Here we go. Hold his head. I'm sorry, jad.
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Now, then, would you recommend trident for your patientswho chew gum? Yes. Yes. Yes. Yes. Crunch! No! (Announcer)one thing's for sure. Long-lasting tridentis good for teeth. Good news: New, improved tridenthas longer-lasting flavor. Perhaps even the fifth dentistwould like this. Crunch! No! ??Aa ( hoarsely ): It hit me suddenly. I have to cancel. ( Sneezes ) bless you. He's not sick. He's blowing off a date. Oh, yeah? I'm going to bed early. I'll call you tomorrow. Okay. Bye, pol. What's wrong with polly? Don't start. He had to make room for heather. You got two on the line. Hi, mark. I forgot mr. Papillion's chart. That's a coincidence, 'cause i have it right here. A freudian might say i forgot it on purpose. Oh? Actually, I was supposed to have dinner tonight with a colleague, and he canceled. I was wondering, are you free? I'd love to, but I'm all jammed up. Oh. But I'd really like to. Well, just an impulse. Probably another time. No, no, no, no. It's a great impulse. I got to have dinner with a friend-- my accountant, roy-- but we could do drinks. Are you sure? Yeah. Meet down here at 6:00? Okay. I'll see you then. All right. ( Loud clatter ) jerry, can we lose these boxes? Busy boy. Pulse ox is up to 94. Prep for an extubation. Okay. His mother's out front. Said she would have been here sooner but her car was stolen-- the one that's outside. You want to fill me in? We were going to mexico. We were going to get a place on the beach and be together until the end. The doctors gave him three months. Why can't you be together here? His mom wants to put him back in the hospital. Is he all right? He's fine. His airway was blocked but we got it cleared. Oh, thank god. Sweetheart, I was so worried.
Katy, i knew
you'd be here. Are you trying to kill him? He'd rather be dead than be with you. Can you give us a minute, please? Sure. He wants me to stay. Can we, uh, talk over here? Yeah. Absolutely. I was in the process of taking the tube out. Already? His lungs are fairly clear and, uh... He wanted it out. When i first brought him in here. He didn't want to be intubated. He said that he had a "do not resuscitate" order. He lied. Look, he has this... Romantic notion about dying. Well, I just needed to know that if he stops breathing again... Intubate him. Okay. All right, jad. We'll get this tube out for you. Now, why don't you do me a favor? I want you to take a real deep breath as deep as you can and blow hard. Blow, blow. Okay. ( Coughs ) ( groans ) ross: You okay? ( Exhaling loudly ) hmm? ( Quietly ): Don't ever... Tube me again. ( Labored breathing ) why are you taking our picture? It's the best way to keep track of the suspects. Two swabs? Nasal and rectal. We need them back by 3:00. God, i feel like a convict. I hope the doctors get the same treatment. Oh, yeah. They have to swab, too. Staphylococcus does not discriminate. Smile, wendy. Give me the bullet! Give me the bullet. 23-year-old I.V. Drug user multiple g.S.W.S b.P. 80 palp, pulse 140. Lost at least a liter at the scene. His buddy says he's got aids. Okay. Let's have him cross-matched for six. And get some o-neg down here. All taken care of. Carter: I can run this one. I'll run it. We'll start with the a-b-c-s. He's bleeding from his mouth. Pressure's falling, 60 palp. Oligario: I got the o-neg. Hicks: Run it through. Intubation tray. He may have a hemopneumo. Chest tube tray. You need help, dr. Doyle? No, thank you. Clamp. Don't touch it, carter! The bullet. Where? Where your finger is. This guy has aids. So? It's a black talon-- the edges are like razors. I'm never going to find this thing. Ah, I don't believe it. It's right there. Yeah, I got it. I got it. Marquez: He's arrested. Let's crack him. Want to do the honors? Has anyone seen the damn nursing schedule? I thought you were in charge of it. I better have this weekend off. I've got national guard duty. Oh, god help us. Anybody seen the ultrasound? Everything's a little disorganized here without carol. I'd try exam two. When is she coming back? I just hope she is coming back. Suction! She can't see a thing in here. Bullet must have nicked an artery. Statinski. What the hell? This thing is jammed. I can't use this. Oligario: I'll find another one. Doyle, put pressure on the lung. Carter, do compressions. I'm squeezing. No, it's me. Oh. I got it. I got it. Now, can you hold on while we take him upstairs? Yeah. Sure. Can I assist? Is your paper work done? Signed and in your box. Get him to the o.R. Come on, let's go! What's the ultrasound doing in there? I don't know. That c.F. Kid wants to talk to an attending. I'll be right there. Peter? What are you doing? Nothing. It must be something. When did the pain start? Last night. Location? Mid-epigastric shifted to the right lower quadrant this morning. Fever? 100.2. Lie down, peter. It's probably just a virus. Lie down. Lydia, can you assist? Dr. Benton? Relax, peter. Sorry. Alert the O.R. Dr. Benton has a hot appendix. <