TV Channel 40 Mon Jul 21 10:00:02 2003 <br>
previously on i am behind kerry 100%. If you disagree with anything she's doing assume that she's acting with my approval. 'S my fault he has aids. I gave it to him. I was thinking of adopting susie. Oh, okay. You're n good morning, jer. And a delightful morning to you. Fresh, buttered popcorn? Oh, I'm watching my triglycerides. Turfed the slip and fall to ortho. Well done. Popcorn? Oh, yum. Hello! Isn't it a wonderful day? ( Phone rings ) good morning. E.R. Are the nitrous tanks leaking again? Better. It's weaver's day off. ( Imitating groucho marx ): And if that's not cause for celebration i don't know what is. ( "Oh, happy day" playing ) perfect. May I have this dance? Oh, honey. You guys are bad. Turn it up. Hi. Just getting on? Yeah. You? No. No. I spent all night in the o.R. A woman with a bowel obstruction crashed. Big mess. And I floated my first swan-ganz catheter. Wow! You've done a lot of procedures lately. Yeah, cut-downs, chest tubes. Opened a choley, closed an appi. Benton's bum finger's the best thing that ever happened to me. I even got to staple a stomach. And benton just had to stand there and watch. The look on his face was classic. Just... Carter... I have a new procedure for you. Foreign body extraction. Uh, what kind of foreign body? Flashlight. Claims he fell on it while changing a fuse. Naked. Woman: Adoption proceedings can't begin until 90 days after abandonment. So, assuming we proceed the hallorans would petition for custody in early january. However, they would like to take susie sooner than later. ( Sighs ) how much sooner? End of the week. They feel the change would be less traumatic now than a month or two. Right. I mentioned your wish to continue to be part of susie's life as her aunt and they are willing to think about it. Great. ( Intercom buzzes ) yes. I'll come out. They're nice people, but there's no reason to feel that you have to comply with their timetable and conditions. You need to feel comfortable with the arrangement. I know. And you should take all the time you need. ( Cooing ) I don't think time will make it any easier. Ready? Mm-hmm. Oh, what are their first names? Kevin and lisa. Yeah. I'd like you to meet susan lewis. Hello. It's nice to meet you, susan. This is susie. She's so beautiful. Thank you. Do you want to hold her? Oh. Yes. Yes. Oh! Oh... You are so precious. So precious. <br>
[Captioning sponsored by nbc and warner bros. Television] rialof the century, the world waits while the jury deliberates. So, like i said, now it comes in spearmint. <br>
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Another flavor <br>
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of listerine pocketpaks? - I love spearmint. - What a great new taste! - Spearmint. - It's called freshburst. And it kills 99% of germs. Mmm, you know, I love spearmint. Order! The jury needs more... Freshburst listerine pocketpaks? New freshburst listerine pocketpaks strips. New spearmint flavor, same germ-killing power. Kill the germs. Feel the clean. Know why poison ivy... And bug bites make you itch? It's a histamine reaction in your skin. Know what blocks histamine? Benadryl cream. The only brand that penetrates... To block histamine that causes itch. Benadryl. ? B.P.'S 80/50. ?諾 really, we're not very?'ll t not my shift... Why are these old charts still here? Dr. Weaver usually weeds them out. You can tell when she's not here. Yeah. Where's susan? She took a personal day. Huh? Let there be no doubt. Flu season has arrived. I have half the board. One more-- chia-chia leow. Oh, let me see him. The little boy with aids? Yep, he spiked a fever. He can't even sit up. I put him in three. Kid in two's done. You get the french fry out of his nose? Yeah. I had to listen to his mother. I'll be glad when i'm back in surgery. Look at the bright side. You've been given a chance to perfect your cozy bedside manner. Here's another. Great. All yesterday he is in bed, throwing up. He stopped talking. Mm-hmm. The first thing we need to do is get his fever down and stop the vomiting. Yes. In order to know the right kind of medicine to give him we're going to have to do a lumbar puncture. That's where we take some fluid from around his spine and test it to see what's wrong. That's what we're going to do, okay? Yes, uh... You make him well? We can't cure the aids, you knew that but we'll do what we can to make him feel better. Thank you. Yeah. It's a piercing sort of pain like a spike through the temple. How long have you been having migraines? All my life. You ever get them? No. You? No. Count your blessings. I'll ask the doctor about giving you imitrex. Oh, I had that once. Gave me chest pain. Okay, in that case, toradol. Can'T. Gives me hives. But they gave me something here that worked wonders. Began with a "D." What was it? Demerol? That's it. Okay. We'll be right back. She's sweet. She's a junkie. What? She's faking migraines to get a quick fix. How can you tell? If you hang around as long as i have you can smell them. Have you ever seen the turkey file? Hey, dr. Benton. It still works. Just kidding. Different flashlight. Thought that was supposed to stay on until tomorrow. Got that circled on your calendar? I handled a lot of dislocations when i did my ortho rotation. Not interested. You're risking permanent joint laxity. Good-bye, carter. Tendinitis. Dr. B., You got a lady here beat up bad. Benton: What happened? Anonymous call. Found her on the floor of her house. Multiple contusions, bruises to the face and chest. Conscious but unresponsive. Okay, let's lift her on my count, people. Here we go. One, two, three. Do we have a name? I.D. Says vickie mazovick. Vickie, squeeze my hand. Carter: Get this out of here. No blood in the canal. Negative babinski. What's wrong? Maybe psychotic. Vickie, talk to me. Tell me who did this to you. Can you feel this? ( Crying out ) responds to pain. Leave me alone! Damn. Should have kept the splint on. Extensive bruising to the ribs. Get x-ray. Carter, how's her chest? Good bilateral breath sounds. She's crying. It's a good sign, I guess. It's okay, sweetie. It's okay. Damn! What was her last name again? Krupke. Krupke, krupke. Aha... Krupke, lottie. Also known as kamen, laura. Also known as kimball, myrna. "Addicted to narcotics, alcoholic, bipolar..." God, this is sad. No, what's sad is when they con you out of five or six doses before you catch on. Then you really feel like a chump. Nurse hathaway? Carol. E. Ray bozman. I'm your nurse trainee. Oh, yes, right. Come on in. Grab a lab coat. I'll be with you in a second. Mark, I got to do an l.P. On a four-year-old. I could use a hand. Harper, you ever seen an L.P.? No, but I'd like to. I don't really want to baby-sit a med student right now. Well, it's either harper or the guy wearing morgenstern's lab coat. Harper, let's do it. Yeah, they seemed like nice people, didn't they? Yeah? Smart, funny, not so perfect they're obnoxious. And they have a little boy. Yeah, huh? You could have a big brother. Someone to look out for you, teach you stuff. Oh, susie. This is so hard. I just don't think i'd be a good enough mother. We have ways of screwing kids up in my family. I just want you to be happy. I love you. You know that? I do. Oh, god. Benton: Orbit's okay, no fracture. Two cracked ribs, two healed fractures. Old shoulder fracture, humerus. Carter: Hey, you put your splint back on. She said anything? No. She told me she wanted to go home. Not a good idea. She's been here three times before. First time, she said it was her husband but wouldn't press charges. How about the second and third time? Said she fell down the stairs. Call the social worker. Give mrs. Mazovick some vicodin for the pain and tell her to follow up with her doctor. You're not going to talk to her? Benton: Not my job. All right, kiddo. Let's get started. Okay, here we go. Let's get going. Hi, chia-chia. Hold onto the back of his thighs. With your other hand you hold him on the back of his neck. Lean over. Mm-hmm. Hold on tight. Now, buddy, your mom tells me you like to play with the neighbor's dog. Mama. It's okay. Mama, no. Hold him tight. <br>
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Chia-chia, ma zai. <br>
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Bie pa. Ma ai ni. Okay. ( Crying ) hold on tight. That's to numb it. The next one won't be so bad. <br>
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Hao hai zi, chia-chia. <br>
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Ma ai ni. No, mama! When i was a kid... I had a dog named louie. Louie the dog. ( Crying ) doing great. There we go. Doing great. He stopped moving. Yeah. He's surrendered. Just a little more. Not much longer. And now, with a late breaking story, here's suzanne. Thanks, tom. As the volcano continues to erupt, we take you live to correspondent john ryland who's at the scene. - John, what's the situation? - Suzanne, as you can see <br>
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but i do have good news. - What's that, john? I just saved a bunch of money on my car insurance by switching to geico. <br>
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15% or more on car insurance. - Whoa! - No crust. - Whoa! Introducing the stay-clean cap from french'S. It's amazing. Yeah. No crust. Different parents: Will he do something he likes? Will she make the right choices? What kind of person will he be? Will she be happy and healthy? Announcer: All parents have hopes and dreams for their kids. But one thing is certain about their future. Parent: Who will she grow up to be? It will be brighter... If it is healthier. Talk to your kids about not smoking. Hey, welcome. What's withall the lights? Keeps the roaches out.They hate lights. Cheese?[Burbling] (male announcer) here's a better idea:Call terminex. More people trust usto solve their pest problems. Jerry, if anybody calls for me i'll be up in the O.R. With dr. Hicks. Okay. Is it lighter in here? Did they repaint? The weaver has lifted. Ah. Cake? Uh, thanks. Sure. Subtle. What's going on? Uh... Birthday party. Oh, yeah? Whose birthday? Bob'S. Bob's not working today. Well, it's still her birthday. Well, in that case, how about a piece? Sorry. It's all gone. Hey there. Man, was that no fun. What? L.P. On a little kid. Always rough. I'm on my way to resect a bowel. Want to get some lunch after? Sorry. I got to ride herd on this kid. Dinner? Possibly. Possibly. Possibly. Possibly. Carter. You and harper-- something extracurricular happening there? Mmm... Dr. Greene. Loretta, how have you been? Oh, lousy. I threw my back out. How? At work. Jerry, can you start a chart? Lydia? Coming. This is a mid-life career shift for you? Yeah. I tend to shift a lot. I been a u.P.S. Delivery man, a short-order cook a rodeo clown and then, in the mid '80s i got into the human potential movement. Doing what? Lectures, inspirational speeches. I'm a nurturer. I like helping people, so nursing seemed like the next logical step in my life progression. Okay, mr. Keller. You can take a seat right here. There you go. Great. I want you to shave his head clean and irrigate the wound. I'm going to start a chart and get a doctor to stitch him. Okey-dokey. I picked up chia-chia's lab results. They did a cell count, differential, protein, glucose gram stain and culture, but ran out of fluid before they did the india ink stain. I don't believe it. Is that the test for cryptococcal meningitis? Yes, yes. Okay, tell me if this hurts. Keep your leg straight. It's okay. I don't see any sign of a slipped disc just a muscle strain. You need to stay off your feet. No problem. I mean bed rest, loretta. Emphasis on rest. Gotcha. It still hurts like hell, though. Can we give her something? I'll write her a prescription for feldine. Ooh, that ought to do the trick. Dr. Greene? Dr. Lewis is here to see you. Loretta, take care. ( Sighing ) it figures this would happen today. I was supposed to have a job interview. Really? Yeah, answering phones for a place that makes clothes and stuff. The social worker put me up to it. Sounds like a good job. Mmm, i never get these things, though. They take one look at me, they know the score. I wonder how. We have a closet full of clothes here. You could see if there's anything for an interview. What do you got clothes for? Whoever needs them. Where do you get them? Dead people, mostly. There's some nice stuff. We get rich dead people. Okay. We need to do another lumbar puncture on chia-chia. Another? I'm sorry. If there were any other way i would do it. It's a small amount, not as much as before. Okay? I'm sorry. I met with a lawyer today about putting susie up for adoption. Really? Is it definite? Before i make my final decision i need to know what my options are here at work. If i keep her, there's no way i could continue to do my residency full-time. Could I do it part-time? I'll look into it. Have you heard from chloe? No. It's been really nuts here lately. Want to get some coffee? No, mark, I don'T. I need to know if a part-time schedule's doable. I've only heard of that in pediatrics. So it's not? I'll talk to morgenstern and see if we can work something out. I appreciate it. You beeped me out of a bowel resection? Benton said you liked doing procedures. Very funny. Whoa. Oh, my god. Almost done. E.Ray? Why did you shave his entire head for a four centimeter lac? Mr. Keller and i were talking about how to effect positive change in one's life and how changing the physical can be a symbolic first step in transforming the inner self. You benton? Mm-hmm. Mcgillis. Social services. I'm confused about your chart notes on vickie mazovick, the woman who got beat up. You didn't note whether she had injuries to her hands and arms. She didn't. Could you note that? It could be significant. If i thought so, I would have written it down. It suggests she didn't defend herself which suggests she's given up. Which means, statistically, she's reached a stage where she's in danger of being killed. You didn't note what she said when you asked her what happened. I didn't ask her what happened. Did you suspect abuse? Of course, i did. I saw the chart. Then you're supposed to ask. So, what did she tell you? Nothing. So what makes you think she's going to tell me anything? It's worth a try, don't you think? Oh, this would look good on you. Maybe not. It doesn't really quite fit. What do you mean? It looks great. Do you think so? Oh, yeah but it, uh... Needs something. You see some stuff working here, I bet. Oh, like you don't? My clients don't die on me except for that one guy. That's it. Do you think so? Mm. ( Sighing ) doing another L.P.? Yeah, lab forgot to do an india ink. I'll tap out a couple cc's and do the test. How's he holding up? Not well. Hey, buddy. This is going to be quick. It's only going to take a few minutes. Hi, chia-chia. How's it going? Yeah, get him over on his side. Mrs. Mazovick? I'm dr. Benton. I need to ask you a few questions about how you got hurt. I fell. There are people that can help you. I don't want any help. Okay. I'm still going to have to report it to the police. Won't do any good. ( Sighing ) put three drops in there and then, a drop of ink. Then, you slide it under the microscope. You okay? Yeah, I'm fine. You did really well in there. Better the second time than the first. Does it get easier? No. Catch that light. ( Sighing ) I thought pediatrics was the happy specialty. Most of the time. Look at that. What do you see? Mmm... Yeast cells. Some large capsules around them. Cryptococcus. He has cryptococcal meningitis? Yeah. He's getting near the end. <br>
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[ Doorbell rings ] hey, bob. Hey. You get a new haircut? Uh, no. - Hey, bob! - Hey. - Did you lose weight? - Um, uh-uh. New jacket, bob? Nope. What's different? He finally asked his doctor... About viagra. Ready to ask your doctor about viagra for the first time? Find out if a free sample is right for you. To learn more, visit viagra.Com. - Did you-- - called the sitter, and walked the dog, <br>
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[Bee] I need somebody to call on a suspected case of domestic abuse. Carter, where you going? Dr. Morgenstern is doing a hemicolectomy. He asked me to make the incision. Not today. Guy in six cut his finger. Uh-oh. Please! Please! I need help! You're going to need help. I've got it, carter. Where are you hurt? It's not me. It's my husband; he's in the car. What happened? He was on his motorcycle outside our apartment and a truck hit him and took off. Let's get him out. Oh, man, that's a lot of blood. Is he dead? No, he's breathing. I tried to get him here as fast as i could. He's hypovolemic. He'll need six units. Wait a minute. Where's his arm? It's in the back seat! Oh, my god. It is the same thing he had before? Yes, he's, um... He's had a relapse. He's very sick. Now, the best way to treat him now is to give him a high concentration of medication intrathecally. Which means? It means that we're going to do the same procedure as the spinal tap, but in reverse. Again? It's the only way to get a high enough dose of the medication. One more time. No, it has to be a full course. That means two times a day for ten days. We'll admit him into the hospital we'll put a catheter in his back. That way, he won't have to have the puncture each time. It will stop the vomiting and the fever? If he responds to the medication, yes. Once his body has fought off the meningitis it'll be able to work harder against the aids. If you think this is the best thing for chia-chia. I do, yes. I work at daley plaza and my wife works at the merchandise mart. So we got together for a picnic lunch by the fountain at, uh... Lunch hour. Sounds nice. It was until i decided to cut the french bread with my swiss army knife. I knew i should have gotten soft crust. How long have you had that mole on your arm? Oh, a while. Actually looks bigger than the last time i looked at it. I can excise it and run tests on it just to be safe. What does that involve? Give you an anaesthetic, surgically remove it. Won't take long. All right. Yeah? Great. I'll just run it past the attending and I will be right back. ( Sobbing ) benton: Hang three units, o-neg. Put it on the infuser. He's still bleeding. Inflate the B.P. Cuff to 150. What's going on? Hit and run amputation. He's hypovolemic. Where's the arm? Wrapped and on ice. Get a vascular surgeon down here. Someone call the reimplantation team. I don't get a pulse. Tube him. Not with this finger. E.T. Tray. Atropine. One milligram, i.V. Push. Number eight. I got a pulse. B.P.'S 50 palp. Well, that's something. Hang another two units, o-neg. We'll move him as soon as he's tubed. All right. Let's move him. ( Sobbing ) smile. Mom. You bought a video camera. Well, if you're going to be a grandma you may as well do it right. Dad: Thing cost a fortune. No wonder there's a trade deficit. Smile, little baby. Mom, would you do that later? Don't be such a grouch. Turn around. Smile for grandma. Well, I-I-I need to sit down. Sit. Give me the little termite. Smile, baby. Smile, little baby, smile. Uh... Smile, little baby. I need to talk to you guys. Mom? Smile, baby. Mom. Smile, little girl. Dad. I'm listening. I met with a lawyer today about... Giving susie up for adoption. But she's not even your baby. Mom, chloe is never coming back. Would you turn that thing off? But she's our grandchild. You really don't want to give her away, do you? No, it kills me to even think about it. Then don't. How am i supposed to raise her alone and finish my residency? People do these things, don't they? I work 12-hour shifts, five days a week. I am not putting her in day care for that long. There must be something you can do. Could you guys keep her three days a week? Maybe we could do it. Three days a week? We all know what that means. I'll be doing all the work. I'm here. You haven't left this house in six years. I'm retired. You make me sound like a nut. It's not normal. Well, I don't drink all day. Vodka for breakfast? Whose path report is this? Finger lac in six. I saw a growth, tested it... Melanoma. And I found an axillary lymph node. It needs to be excised. Peirrera in surgical oncology agreed to let me do the biopsy. Peter, cop's in with mrs. Mazovick in case you want to talk to him. Right. I picked up an interesting case. Excised a mole on a 36-year-old male. Turns out it's melanoma. I get to biopsy the lymph node. A 36-year-old has cancer and you get to do the biopsy. Well, congratulations. Well, I hope you have an easier time convincing mrs. Mazovick to make a statement than i did. Who are you? I'm dr. Benton. I was in charge of her case, officer... Mazovick. Come on, babe, let's go. What goes through your head when you're beating her? Hmm? What a big man you are? Michael, please. Please. Your husband just went up to the O.R. They're trying to reattach his arm. They can do that? They can try. With complete amputation, the success rate's small. We only have insurance left for three days. I wouldn't worry about that right now. They'll cover it. But jason lost his job three months ago. I'm a waitress, no benefits. Is there somebody i can call for you? Oh, no, thanks. I keep having this weird thought that jason's dead and you're just not telling me. He isn't, is he? No. He's in the O.R. You're just feeling the stress. Would you like to come and lie down in the lounge? No. No, thank you. How are you doing, mr. Forchet? I'm starting to worry a little bit, actually. Is something wrong? Dr. Carter, they said you might need help with a lymph node biopsy? Uh... A biopsy? Do i have cancer? Mr. Forchet, your mole was identified as a malignant melanoma. Oh, my god. The good news is that we caught it which means we can start treatment immediately. What's the worst case scenario? There's really no way to gauge that until we stage the cancer and see if it'S... Spread which is why we're going to do the biopsy. I can't believe this. I came in here for a cut on my finger and... I need to call my wife. I, uh... How am i going to tell her? What am I going to say? ( Sobbing ) ( sobbing ) it's okay. I can't believe this is happening. I know. I know. Just let it out and work through it. ( Both sobbing ) the injuries resulted from some kind of battery? No question. Are you willing to testify? I guess. You think that will happen? That's up to her. She won't make a statement. There's no other witnesses. The fact that he's a cop, does that make a difference? No, not to me. You seen these? First time she came in-- missing two teeth, broken jaw. Second time-- bruises across her back and buttocks. Third time-- broken arm. And these... These are from today. She used to work dispatch at the 14th. You know her? Used to. I signed for that amphotericin b you ordered. I got it. Thank you. What's the plan? To buy that kid and his mother some more time together. He didn't respond the last time. I'm giving it to him intrathecally. That's a pretty rough procedure on a four-year-old. What are you saying? I'm wondering if the treatment's too extreme. Not in my opinion. Okay. Okay. Yeah, hey. Hey, can you see? Can you see? Do you remember the nice lady from this morning? Do you want to try the slide? What do you think? <br>
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Now we are six. Eeyore was my favorite. Tigger. So it's time to get started? Yeah. Just slide that tray over here for me. Hi. I was just about to get started. I want to take him home. Now? Yes. We... We discussed this. Now, this is a painful procedure but it's the best shot we have of buying him more time. I don't want him to have more pain. I want him home with me. Okay. Do you think i make a bad decision? No, I think you're making the right decision. Thank you. I'll get you the medication to keep him comfortable at home. <br>
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Ma dai ni hui jia. <br>
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Hao bu hao? Hmm? Carol, you got to come see this. ( Water dripping ) it won't stop coming out. It won't stop... Found my missing morphine. I have to get this cleaned. It's jason's favorite. There was so... Much... Blood. I guess we'd better find her a bed. Yeah, and some narcan. He said it'd be easy, but the ax wasn't sharp enough. What did she say? Something about an "ax." We only had three days left on the policy. Oh, my god! What? Her boyfriend's arm. They chopped it off? Chop, chop. Oh, lordy. Five bucks says she's in there. "Carlisle, denner, dougherty..." "Diehl, carrie." Oh, man. She's been in here half a dozen times. "Drug seeking, narcotics O.D." I missed it. <br>
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And husband. Honey, you were burned. Five bucks. Mark, you went behind my back. You lost perspective. You had no right to tell my patient what you thought she should do. I have to make sure patients have the information to make decisions about treatment. Why don't you spare me your attending oath of office? We're talking about a four-year-old. With end-stage aids who you wanted to put through a torturous procedure his last few days. You don't know that. There's always the possibility of a miracle. I thought we were practicing medicine here. If it was your kid, you would bet on a miracle! Lydia, i got it! The job? Yes! That's great. You are looking at a real, live receptionist. I knew you could do it. I am so happy for you. I beat out five other girls. Of course, i had to do the guy but, hey, I got the job! ( Sobbing ) you okay? Oh, I'm a mess. Me too. You were a big help today. Thank you. I was going to thank you. For what? For giving you a front-row seat to the... The limitations of modern medicine? For what it's worth i think you were right to keep trying today. All my medical school professors told me that the county was full of burnouts that didn't care. You got the burnout part right. What do you do after a day like today? I tend to drink, but I'm not the best role model. ( Sniffling ) I wouldn't mind a drink. Hello. Hello. Stopped by your apartment. Am i interrupting? No. Pull up a swing. Talked to morgenstern. He's going to present your request to the residency committee. Sounds like he wasn't too thrilled. You ever seen morgenstern thrilled? No. He agreed to consider it. That's something. Thank you. You're welcome. I'm keeping her. That's terrific. I'm so glad. You need tips on parenting... You're the last person i'd call! Thank you. Would you hold her? Sure. Come here. Ah... Yes. Hello. What's she doing? What's your aunt susie doing, huh? Look at her. Hello. Look at her go. Hello. She's silly, isn't she? Ah! She's silly, isn't she? ( Louder ): Ah! ( Aponspsoby anrn b tisn canebythcan er <br>
<br>
ecaalndio carter, you and harper? Something extracurricular happening there? Was your kid,you would bet on a miracle! We tried to warn you. About wh messing with a married woman. I'm keeping her. What do you do after a day like today? Ut i'mnot the best role model. Greene: Excuse me. Sorry. Doug. Doug, it's mark. You there? Pick up. Hello, hello. You there? Listen, I left that sub-i paperwork on the kitchen table, and I need it. Doug. Doug? ( Sighing ) <br>
<br>
pontelo en tu cabeza. Randi: No, this is the third time i've called. No, I spoke to you. Put this on your face. Randi: No, you're not blaming me. No, you're not. No. He was here in the emergency department. Look, they moved him up to surgery. You have one thing to do. I've got 13 million. Dr. Weaver wants the films now. She's not somebody you want to mess with. Hey, watch your mouth. I hope you're not carol hathaway. Do i look like a nurse? <br>
<br>
Lo unico que quiero <br>
<br>
es ver a mi hijo. <br>
<br>
Por favor. I'm very sorry. If you could just wait in the waiting room. I don't have any information about your son. Hey, wendy, can you come here and help me with mrs. Valdez? They took her kid up to surgery about an hour ago. <br>
<br>
Senora valdez, <br>
<br>
yo soy wendy goldman. <br>
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Llevaron tu hijo... Hey. Hey, jerry. What's going on? Some serious gang-banging in the wee hours. Cops did a sweep right under our carpet. Trauma one or two? Take your pick. That's your girl. Miss hathaway? Yes. Abraham zimble, the mobile notary. Thank you so much for coming. Your escrow papers. I have to sign all of those? By 5:00, or they won't give you the house. Do you mind waiting? $20 an hour, no problem. B.P.'S dropping to 80/40, pulse 150. Cap refill is slowing down. Resps 36, labored. Need anything? I don't suppose you brought coffee? Weaver: Susan done with that portable? Doesn't look like it. Call the o.R. And let them do the x-rays up there. See if susan needs help. Okay. And tell her to stop hogging that x-ray. You're supposed to stop hogging that x-ray. She's all theirs. They took him up to the o.R. What's he got? G.S.W. In the face and abdomen. Only it's a she, not a he. Couldn't tell till we cut open the shirt. Abdomen distended. No bowel sounds. I'll prep for a lavage. You and kerry the only ones on? Carter and benton are in surgery. Paged ross, no answer and mark's on the train from milwaukee. Just us womenfolk. What's up with that? Oh, yeah. Malik, see what's keeping that o-neg, would you? Doug? Doug? What are you doing here? You didn't get my message? What message? I left the sub-I paperwork here and morgenstern wants to review it today. Hurry up, get dressed and I'll ride in with you. I don't want to make you late. No, no. I'm already late, so... No, really. It's okay. Your beeper's going off. Morning. All right, look, it's not what you think. But it's what i've seen, isn't it? What does that mean? I've overlooked a lot of your behavior, doug now a medical student? All right, mark, look, wait... There are rules, doug. You can't go breaking them all the time expect me to do nothing... Come on, mark. You don't get it, do you, doug? You could be out on your butt for this and I could be, too, for not reporting you. Mark, wait... Okay, that's fine. <br>
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&=7|&n;h[v whoa! Malik: Hey, yo! Chill out! Hey, wha's... What..? I told you, you're going to have to wait. Don't make me say it again. Have you seen dr. Greene? He's busy. Forever. My name's jeanie boulet. We haven't met. I'm a new physician assistant. I start my e.R. Rotation today. God, who died and gave you their bad luck? You'll need one of these. They're a lousy fit, but it's all we've got. Hey, next time, you stay! I'll go to x ray. Sorry! Jeanie, you starting this morning? Yeah. I need those benieto films. They just came in. This is jeanie boulet, a new physician assistant. Kerry weaver, chief resident. First day? Yeah. I think you'll find it's a vaguely friendly crowd. My first day was certainly a bundle of open arms. What do you think? Looks like a comminuted fracture of the distal femur and a mid-shaft humerus... Excuse me. 50% opposition and 30 degree angulation. You know your way around an x ray. Good start. I am a physical therapist. I was a physical therapist. Benton: On my count. One, two, three. Weaver: What have we got, peter? Peter? Gunshot wound to the posterior neck. Multiple facial abrasions, scalp laceration. B.P.'S 90/60. Pulse 92, resps 24. Cap refill's poor. All right, let's tube him. I'll do it. E.T. Tray's on the counter. 7.0. This is jeanie boulet, peter. Physician assistant. It's her first day and I know we all want to make her feel welcome. No guarding or rebound tenderness. Normal bowel sounds. Let's find radiology. What do we need for x rays? Cross-table and... Jeanie? Cross-table c-spine, chest and pelvis. Get a gram of ancef. Good choice, peter. Everyone is so on their toes today. Film's back on trujillo. He's next door. Except for wendy. <br>
<br>
Mi pecho, mi estomago, <br>
<br>
mi espalda! Chest, stomach, back. X rays are in on trujillo. He's already in the o.R. This is rico figueroa. If you could track down his films we'd appreciate it. <br>
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Por favor, ayudame! Me duele! Will he live? Yes. <br>
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Si tienes mucha suerte, <br>
<br>
a lo mejor te salvas <br>
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en ese caso debes <br>
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dejar la maldita calle <br>
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y estarte en tu casa, <br>
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mocoso. Trying rehabilitation? Mark? I got to talk to you. This is not the time or place. Lewis: Let's set up for a chest tube. 32 french. Have him squeeze my fingers. <br>
<br>
Aprietale. Mark... I said no, doug! Get the hell out of here. Lewis: Okay, carter, sixth intercostal space at mid-axillary line, and puncture the pleura. We got a cop hurt. How bad? His hand. Carol, why don't you check it out. Okay. <br>
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Por favor... Her son's in the o.R. She's been hysterical all morning. Put her in the surgery waiting room. And leave randi alone? She'll kill me. Jerry! Okay, okay. Mrs. Valdez, mrs. Valdez. Oarle. Is it calming down a bit? Sort of. Have you seen mr. Zimble? Who? Bald guy, a lot of papers. Right. He's in the cafeteria. Where's jerry? He's upstairs. I'll kill him. Whatever. Help me with this first. Grabarsky, what happened? Dumb son-of-a-bitch bit me. Your stupid dog bit me first. That's what she's supposed to do, idiot! Now, where you want him? Nowhere near me. You can piss off, culera. What did you call me?! Huh? Punk! What? ( Screams ) what did you call me?! Back off! What is the matter with you?! Here, tough gal! Hold the dog! You. Now lie down and shut up! Grabarsky, i need to look at your hand. Hey! Hold on to peggy for me. I'd love to. Page bernstein for me, please. Gee, i'd love to. Wright: Al? Al, are you all right? Yeah. Some moron bit me. I'll take him. Okay. Look out, look out. Carter, you want to take him up? I should check in with benton. I'll do it. Dr. Greene. Yeah? I need to talk to you. Uh, lounge in 20 minutes. Lewis: What's it look like out there? I think the worst is over. Oh, never say the worst is over. Oh, my god! Mr. Zimble? I went to get a doughnut. The cashier was picking him up off the floor. Greene: Take him to curtain area three. I'll take rico. Mr. Zimble..? Passed out right into his cream of wheat. Who is mr. Zimble? My mobile notary. What?! My escrow closes today. I have to sign the papers by 5:00. You bought a house? I got a great deal. Mr. Zimble? Mr. Zimble? I could never buy a house. It's too scary. Greene: It's not that bad. You get over it. Jerry: I didn't know you'd ever bought a house. Oh, I haven'T. Mark, shut up and help me save him! Yes, thank you, carol. I think I will. Mr. Zimble? There you go. Come on. Hi. Whoops. Thank you. Can I help with anything in here? We've managed so far. Jeanie, how are you? Fine, thanks. Pulse ox falling. Benton: Hang those two units. I didn't realize you start today. B.P.?! 91/50, pulse 112. Must be great to be done with all the classwork. Definitely. Think you'll miss working in rehab? Carter! I thought you wanted to help! Assess the patient. All right? Penetrating trauma to zone two of the neck can result in tracheal compression secondary to hematoma formation from subclavian or internal carotid injury which is probably why you're doing a bronchoscopy. Anything else i can help with? Yes, mr. Carter. We have used the last blood gas kit. It would be extremely helpful if you would go and make some more. You mean... Actually go and make them up? Syringe, label alcohol wipes little plastic bags. Right. ( Whistles ) sorry! Sort of. Good morning. Hi. What a day, huh? Yeah. Benton is in the foulest mood i've ever seen which is saying a lot. Greene just yelled at ross in the middle of a trauma in front of everybody. About what? No clue. Hey, you off tonight? Yeah. I've got tickets to blues traveler. Good idea? No, actually. It would be great. No, it won't. I mean, I don't think... I need to talk to you... Privately. What? Later. Wait... Wait, wait, wait. What? Harper, wait a minute. What is it? Nothing. No, it's something. Yeah? So tell me. ( Chuckling nervously ): What's going on? Just tell me. Harper, just... I slept with doug ross. Last night. Benton: Carter, let's go! %Ccsc how do three interns research... How people use dell pc's ? Road trip ! Hit the highway. What did we find ? Some use their pc with a dell handheld to stay connected. Others use them for entertainment, and sharing their lives. And with a dell dimension and digital camera, other people share moments. Somewhere around bismarck, it hit us. What if dell bundled the things people used... To get the most out of their pc ? That way, getting their own perfect pc would be even easier. All it took was a few thousand miles, a few stops and a few bags of ice. <br>
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<br>
Mira, somebody <br>
<br>
going to let me go? <br>
<br>
Mira, senoritas. Can I get a little medical attention? Give him to benton. Just went up to surgery. You know, this is brutality and neglect. I think he's young enough for a pediatrician. Ross is doing a consult with bernstein. Jeanie? <br>
<br>
Miren, putas, <br>
<br>
퓉ue problema? Jorge: It's about time. Thank you so much. I hate to bleed to death all over your pretty floor. Going to add another scar to your collection. I have to clean these bites with peroxide. It's going to hurt. Ahh! Stop it! Come on, you're a big boy. Ahh! Stop it! Ahh! Ow! Stop! No! Nice work. Thanks. Just don't tell my parole officer. Joseph, what kind of bicycle do you have? A mountain bike. It's trashed. He's not getting another one. Just flipped out from under you? I hit a curb. He was unconscious for five minutes. Dr. Ross told me. Touch my finger. Touch your nose. Again. Good. He seems in pretty good shape, mrs. O'connor. You have nothing to worry about. Dr. Ross? I'll be right back. The kid's fine. No need to be admitted. Five minutes ago, he was disoriented. He's alert and oriented now. He could go squirrely again. He should have frequent neuro checks. His mother can wake him up. His family situation is questionable. Mr. O'connor just left them. She's extremely distraught. I don't know that she will do it. There is no medical reason for this kid to spend a full day in the I.C.U. Send him home. End of consult. Where's randi? She's on a break. I bet it was assault with a deadly weapon. She's obviously good at it. I bet she's good at murder too. They would never have let her out, would they? My money is on grand theft auto. Hmm? Assault. Theft. Kidnapping. Weaver: Have you seen dr. Benton? Uh... He's with a patient in two. With all the commotion today you probably missed lunch. You should just order in a burger and fries. Eat here at the desk. Jerry, 12-year-old joseph o'connor in, uh... Curtain area two. Admit him to pedes i.C.U., 24-hour observation, please. Sure. The chest x ray suggests that you may have an aortic aneurysm. We need to do an arteriogram to rule it out. But I don't feel pain in my chest anymore. That's bauecse you'reed micedat but that could be deceiving. How are you feeling, mr. Lake? Much better. B.P.'S 150/90. Heart rate is 96. Very good. We'll keep you on the nipride drip while we study your aortic arch. What about the surgery he's talking about? This dr. Vu... Vucelich. Do you know him? No. Dr. Lewis isn't on the surgical team. Dr. Vucelich is an excellent cardiovascular surgeon one of the best in the country. He's doing very advanced work on aortic aneurysms. So he's the best one to help me? We're not even sure that you're going to need his help. Which is why i called dr. Vucelich for a second opinion. You'll be going to x ray in a few minutes so it's premature to discuss your condition before we've seen the films, okay? Dr. Benton, could I speak to you for a minute? Why step in on my patient? He's a medical case. Could be surgical. The chance to cut is a chance to cure? We'll look at the arteriogram and let cardiology decide. And vucelich. He's agreed to consult. Are you trying to use my patient to get in on his research study? He's doing clamp and run surgeries on aortic aneurysms. The big cheese has you jumping through hoops to find one? I've never even met him. Peter, susan, is there a problem? No. Good. If you don't mind i'm going to need a few stitches. I'm on my way to radiology. I'll meet you in the suture room. Anytime. It's just my ear. How you doing? I'm fine. When you get a chance, uh... I'm usually kind of glad to avoid the morning after stuff. Uh... I'm sorry. You don't need to apologize. I was there too. I know. If mark hadn't come in... We would have already had this kind of awkward "yikes, what did we do?" Conversation. So, um... I'll see you around, okay? Okay. Yeah. I'll see you around. Maybe this job is too stressful. Being a notary? If it's causing this heart attack. You might have just fainted. I don't know. This business can be rough. 98% of my clients are home buyers, like you. So many papers to sign-- they never stop to read them. I tell them to, but they don't. It's so hard to watch. They get nervous, frightened, tense thinking about the mortgage every month and the down payment which just wiped out their entire life savings. Little beads of sweat break out their cheeks get flushed, their fingers clammy. They know they could lose their job or get disabled in some horrifying industrial accident and within five years, bam! There's that balloon payment. Husbands and wives are screaming at each other, women are crying, grown men throwing up. ( Sighs ) very stressful. Could I have a glass of water? Seup to dr. Vucelich, right? Yeah. "Type three dissection by the debakey classification." Yep, but, gosh, that's only four centimeters, right? No signs of pericardial tamponade. The aortic valve is normal. When you examined mr. Lake, did you appreciate the murmur of aortic insufficiency? No. Neither did I. Looks like he doesn't need surgery, after all. I'm sure vucelich won't mind coming down, will he? I heard he's a pretty easy-going guy. It's still a good time to meet him. Don't forget your charts. Dr. Vucelich, please. Dr. Benton. ( Siren wailing ) hey. You want to talk? You sure this is the right time and place? Okay, fine. Forget it. Don't worry about what you saw this morning. I'm worried about what i see every morning-- you fight with weaver over half your cases call in docs for curbside consults fast-track patients... What are you doing? The job. That's not what bernstein thinks. Bernstein doesn't know squat. He knows your cases. You're telling him. He reads the charts. He's the head of pediatrics. I didn't seduce her. <<br>
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