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E. R.
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Previously on E.R.
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- How's your dad doing?
- Okay.
4
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I've got a nurse for him 16 hours a day.
And then from 11 to 7, it's just me.
5
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- What happened? That was yours.
- No, it's a trauma.
6
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- No medical-record number yet. Thanks.
- Don't say thank you...
7
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- ...and don't let the boys bully you.
- I wasn't letting the boys-
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You play with your hair
when you're nervous.
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Wanna get some dinner?
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Thanks, I have plans already.
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- Not with anyone, if you're wondering.
- Not a problem.
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You abandoned that kid.
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- My shift was over.
- He was counting on you.
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- I had a gig.
- Screw your gig!
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Medicine isn't a day job!
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E.R. 11x09 "TWAS THE NIGHT"
Subtitles subXpacio
17
00:00:44,473 --> 00:00:47,642
Jing-Mei.
18
00:00:49,059 --> 00:00:50,352
Jing-Mei.
19
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- Come when I call you.
- Why do you do this?
20
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Please.
21
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Papa, I can't.
22
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Jing-Mei.
23
00:01:50,430 --> 00:01:54,348
Okay. Okay.
24
00:01:54,850 --> 00:01:56,852
I promise.
25
00:01:58,310 --> 00:02:00,894
Why's your brother here?
Your parents live in Winnetka.
26
00:02:01,062 --> 00:02:03,813
Ben's in the Peace Corps and they
bug him to get a real job.
27
00:02:04,021 --> 00:02:06,148
That sounds familiar.
28
00:02:06,316 --> 00:02:09,066
- If I get this sofa bed...
- They're checking the stock.
29
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All right, thanks.
30
00:02:11,067 --> 00:02:14,987
- You the youngest?
- Oldest. Ben and my little sister, Tess.
31
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She's a junior partner in my dad's firm.
32
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I wonder who the favorite is.
33
00:02:19,448 --> 00:02:22,450
- You have siblings?
- My brother died when I was 11.
34
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- I'm sorry.
- We have the sofa bed in stock...
35
00:02:25,410 --> 00:02:27,869
...but only in moss green, not black.
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- Green's fine. Can you deliver it today?
- On Christmas Eve?
37
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- Could tie it to the roof of the car.
- You think?
38
00:02:36,417 --> 00:02:39,126
That's why you brought me along,
isn't it? A little brawn?
39
00:02:40,169 --> 00:02:43,211
- We'll take it. I'll go pay.
- I'll go find some rope.
40
00:02:43,378 --> 00:02:46,089
- Meet you at the checkout.
- All right, thanks.
41
00:02:52,801 --> 00:02:54,927
Can you say anything? Can you talk?
42
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Okay, you're choking.
So I'm gonna do this really hard, okay?
43
00:03:02,433 --> 00:03:03,808
Mom!
44
00:03:05,017 --> 00:03:08,644
Oh, no. It's okay. I was actually helping
her. She was choking on a piece of-
45
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He grabbed my daughter.
46
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I'm a doc-
I think we should get out of here.
47
00:03:13,731 --> 00:03:15,941
- What happened?
- I saved that little girl's life.
48
00:03:16,107 --> 00:03:18,484
- What's he saying?
- "Thanks"?
49
00:04:12,433 --> 00:04:13,892
We did it when I was a kid.
50
00:04:14,059 --> 00:04:16,728
No way. Gifts get opened
on Christmas morning.
51
00:04:16,894 --> 00:04:20,187
- Tell Dr. Lewis we'll be back for more.
- Where are you taking them?
52
00:04:20,356 --> 00:04:23,232
- Washington Library on State Street.
- The library?
53
00:04:23,397 --> 00:04:26,275
They keep opening up public buildings
until everybody's in.
54
00:04:26,442 --> 00:04:28,108
If Alex opens a gift tonight-
55
00:04:28,234 --> 00:04:30,402
It's cheating to open a gift
the night before.
56
00:04:30,569 --> 00:04:32,695
...then he won't be
so desperate to get up...
57
00:04:32,905 --> 00:04:36,406
...which means he'll sleep in,
which means we get to sleep in.
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00:04:36,573 --> 00:04:39,116
- Oh, okay.
- Plus, it's just fun.
59
00:04:39,283 --> 00:04:42,369
Is that a trick so you can
open your gift tonight?
60
00:04:42,494 --> 00:04:45,119
Robert Sanders, 42.
Syncopal episode at home.
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00:04:45,287 --> 00:04:48,705
- Hit his head on a chair on the way.
- Mr. Sanders, I'm Dr. Kovac.
62
00:04:48,872 --> 00:04:52,083
190/100, 110 and 30.
Glucose, 125.
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00:04:52,291 --> 00:04:54,334
- I can't get a sat.
- It's too cold to read.
64
00:04:54,500 --> 00:04:56,418
- Do you guys need some help?
- So it seems.
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00:04:56,585 --> 00:04:58,670
Increased work breathing,
crackles bilaterally.
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00:04:58,836 --> 00:05:01,213
- Wife's behind us.
- Gonna be below 10 degrees soon.
67
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- Merry Christmas.
- Excuse us. Keep this pathway clear.
68
00:05:05,049 --> 00:05:06,716
- Get a history?
- Read it and weep.
69
00:05:06,924 --> 00:05:08,260
- Okay.
- Okay, out of the way.
70
00:05:08,426 --> 00:05:11,886
- Okay, out of the way. Now. Come on.
- Systemic lupus, erythematosis.
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00:05:12,053 --> 00:05:15,764
- Diagnosed 20 years ago.
- Dialysis-dependent, renal failure.
72
00:05:15,931 --> 00:05:18,515
- Dialyzed yesterday, two hours.
- Coronary artery disease.
73
00:05:18,723 --> 00:05:20,432
Yeah, come on. Okay, let's go.
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00:05:20,599 --> 00:05:23,936
- Hypertension, hepatitis C.
- And a partridge in a pear tree.
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00:05:24,102 --> 00:05:26,187
- Sorry, I'm a handful.
- Morris. Stop eating.
76
00:05:26,353 --> 00:05:29,356
- We got a hundred people waiting.
- Lewis already loaded me up.
77
00:05:29,522 --> 00:05:32,440
- Pratt, is your CVA out of Trauma 1?
- ICU just called for him.
78
00:05:32,607 --> 00:05:34,857
- Sats correlating at 89.
- Okay, crank up the O2.
79
00:05:35,066 --> 00:05:38,569
- Abby, I have six charts for you.
- I haven't even taken my coat off yet.
80
00:05:40,278 --> 00:05:43,823
Oh, Carter, stay on with DHS. You have
to pound them to pick up the homeless.
81
00:05:43,989 --> 00:05:46,658
- Right. Squeaky wheel.
- Yeah. It'll calm down soon enough.
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00:05:46,824 --> 00:05:50,450
- They're not in by midnight, they'll freeze.
- Susan, you around tomorrow?
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00:05:50,659 --> 00:05:54,037
Well, I'm on at 3 but we'll be
hanging out till then. Bring Henry by.
84
00:05:54,204 --> 00:05:58,415
Oh, I will. I got something for Cosmo.
I want you to see Henry in his Santa suit.
85
00:05:58,622 --> 00:06:01,000
- You got a headache?
- No, I got a backache.
86
00:06:01,166 --> 00:06:03,584
I was helping move a couch.
Who is on with me?
87
00:06:03,751 --> 00:06:09,171
- Chen, but she's running a little late.
- Becoming a habit. Merry Christmas.
88
00:06:09,337 --> 00:06:11,840
Oh, my God. Did you just re-gift
right in front of me?
89
00:06:12,047 --> 00:06:15,341
Yep. I'm your secret Santa. Enjoy.
90
00:06:18,093 --> 00:06:20,720
Established rheumatology patient
seen by Doctor Scheer.
91
00:06:20,928 --> 00:06:24,848
Spear, not Scheer.
I'm the wife, Carol Shoup-Sanders.
92
00:06:25,055 --> 00:06:27,724
- It's Jared Spear.
- Sorry. That's Spear. Dr. Spear.
93
00:06:27,890 --> 00:06:29,642
Can you touch your chin to your chest?
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00:06:29,808 --> 00:06:33,269
- I have his medical history here.
- He's tachypneic, pulse ox is borderline.
95
00:06:33,436 --> 00:06:35,895
- We can order records.
- You'll prefer mine. Concise.
96
00:06:36,062 --> 00:06:39,356
- Honey, let them work.
- Tilt your head all the way back.
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00:06:39,522 --> 00:06:41,773
You need my help.
They just don't know it yet.
98
00:06:41,941 --> 00:06:44,817
- No. He needs to be admitted.
- Okay, let's sit him up.
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00:06:44,985 --> 00:06:47,194
Gonna make you more comfortable,
Mr. Sanders.
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- Robert.
- Okay, how long was he unconscious?
101
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Forty-seven seconds.
102
00:06:52,406 --> 00:06:55,782
- What happened before that?
- I stood up from the dinner table.
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00:06:55,949 --> 00:06:57,992
- He felt short of breath, dizzy.
- Chest pain?
104
00:06:58,160 --> 00:07:00,244
- No.
- Rheum's not coming in.
105
00:07:00,410 --> 00:07:02,162
- Dr. Spear?
- He was unavailable.
106
00:07:02,328 --> 00:07:06,414
The primary complaint sounded cardiac.
We'll give him nitrates, call Cardiology.
107
00:07:06,581 --> 00:07:11,625
We have a great cardiologist,
Dr. Knauth. K-N-A-U-T-H.
108
00:07:13,252 --> 00:07:15,502
Well, shouldn't somebody
be writing this down?
109
00:07:16,212 --> 00:07:19,797
Another shelter van's here. Let's go.
I'll take the first 20 people.
110
00:07:19,964 --> 00:07:22,716
Male, 62, lives under a bridge,
says he's having chest pain.
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00:07:22,883 --> 00:07:25,300
Register him. Check a 12-lead,
pulse ox, chest film.
112
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Diagnosis: hunger, cold.
Aftercare: food, warmth.
113
00:07:28,969 --> 00:07:31,679
Hey, Jake Scanlon, fourth year,
transferred from Creighton.
114
00:07:31,847 --> 00:07:35,265
Hey, Jake. This guy knows
if he says chest pain...
115
00:07:35,514 --> 00:07:38,975
...he'll be here 16 hours and get a tray
of food. So let me do you a favor.
116
00:07:39,142 --> 00:07:42,811
Listen up, everyone. The vans are here
to take you all to the Holiday Inn.
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00:07:42,977 --> 00:07:44,812
- Ray.
- That is right. Thank the mayor.
118
00:07:44,979 --> 00:07:48,939
There'll be plenty of food. Remember,
it's all good at the Holiday Inn.
119
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- Liar.
- It works. Only the sick ones are staying.
120
00:07:51,984 --> 00:07:55,444
Don't give him any credit.
Very good. Trick the needy.
121
00:07:55,611 --> 00:07:59,154
It's a holiday. And it's someplace like
an inn. All right, get in the van.
122
00:07:59,322 --> 00:08:01,656
- Ready? Gotta get Alex in 20 minutes.
- Yeah.
123
00:08:01,822 --> 00:08:03,991
Abby, is that our Cardiology
on Mr. Sanders?
124
00:08:04,158 --> 00:08:06,658
I'm on hold. But go.
I'll present to Carter or Chen.
125
00:08:06,825 --> 00:08:08,494
- Thanks, Abby.
- You sure?
126
00:08:08,785 --> 00:08:11,954
You've been on since 7 this morning.
Somebody should have Christmas.
127
00:08:12,162 --> 00:08:15,331
- Yeah, Alex is pretty excited.
- Alex or you?
128
00:08:16,457 --> 00:08:18,541
- Go ahead. We're fine. We're fine.
- Thanks.
129
00:08:19,083 --> 00:08:22,335
- Hi. I'm calling about Robert Sanders.
- Abby, is Kovac still here?
130
00:08:22,502 --> 00:08:26,379
Admit. Yeah.
Cardiomegaly and pulmonary edema.
131
00:08:26,545 --> 00:08:28,881
- Luka.
- Hey, I have a lupus patient for you...
132
00:08:29,049 --> 00:08:31,424
- ...in Trauma 1. Sanders.
- No, no. I can't stay.
133
00:08:31,633 --> 00:08:34,384
I'm just here
to pick up meds for my dad.
134
00:08:35,052 --> 00:08:38,470
Look, I know it's a lot to ask,
but can you cover my shift?
135
00:08:40,054 --> 00:08:43,806
- It's Christmas Eve.
- I know. I'll do New Year's.
136
00:08:43,973 --> 00:08:45,600
Ready, Freddy?
137
00:08:48,351 --> 00:08:49,894
I'm sorry. I can't cover for you.
138
00:08:50,061 --> 00:08:52,812
It's a family emergency.
I wouldn't ask otherwise.
139
00:08:52,979 --> 00:08:56,356
Are you serious? For tonight?
Come on.
140
00:08:57,107 --> 00:08:59,650
It's my first Christmas
with Sam and Alex.
141
00:08:59,816 --> 00:09:02,025
I can't help you this time. I'm sorry.
142
00:09:05,861 --> 00:09:09,030
Dr. Chen, this is Margaret.
She'll be temp-clerking this evening.
143
00:09:09,197 --> 00:09:10,740
- Hi.
- Yeah. Nice to meet you.
144
00:09:10,907 --> 00:09:14,617
- Not a big fan of the Yuletide.
- Is Lewis still here?
145
00:09:14,785 --> 00:09:17,285
Headed towards the exit, as am I.
Merry Christmas.
146
00:09:17,494 --> 00:09:21,247
- Yeah. Merry Christmas.
- What does that mean, exactly?
147
00:09:21,496 --> 00:09:23,289
What? "Merry Christmas"?
148
00:09:24,582 --> 00:09:28,042
You could at least examine him
before you blow me off-
149
00:09:28,834 --> 00:09:32,711
Okay, BNP, fine.
Happy holidays to you too.
150
00:09:32,878 --> 00:09:35,630
Never get sick on Christmas.
Hey, did you call Psych?
151
00:09:35,839 --> 00:09:38,882
- Yes. I suggested they bring kibble.
- Okay. And you can go home.
152
00:09:39,049 --> 00:09:42,759
- Students don't have to work holidays.
- I volunteered.
153
00:09:42,968 --> 00:09:47,595
That's twisted. Next year, I'm inventing
a family so I won't work on Christmas.
154
00:09:48,805 --> 00:09:52,307
- What did Dr. Knauth say?
- Cardiology thinks it's a kidney problem.
155
00:09:52,474 --> 00:09:56,518
- How's the breathing, Mr. Sanders?
- Hanging in there.
156
00:09:56,685 --> 00:10:00,562
- Dr. MacPherson's our kidney guy.
- Right. He's on call tonight.
157
00:10:00,895 --> 00:10:02,437
Thought I told you to go home.
158
00:10:02,605 --> 00:10:06,816
BP, 195/105. Heart rate, 115.
Resps, 30. Sats, 93.
159
00:10:06,983 --> 00:10:10,193
CBC, troponin, chem-7,
and Card suggested BNP.
160
00:10:10,401 --> 00:10:13,820
- What the hell is that?
- B-type natriuretic peptide.
161
00:10:13,987 --> 00:10:16,697
I will double check that dosage.
Get started on the rest.
162
00:10:16,862 --> 00:10:19,241
- Get me a suture kit for the head lac.
- You got it.
163
00:10:19,366 --> 00:10:21,908
- What did you say your name was?
- Jake.
164
00:10:24,410 --> 00:10:27,035
Jing-Mei, I am sorry about your dad.
I really am.
165
00:10:27,203 --> 00:10:29,997
- But I keep cutting you breaks.
- I know, and I appreciate it.
166
00:10:30,163 --> 00:10:31,748
- This'll be the last time.
- Oh, man.
167
00:10:31,956 --> 00:10:35,208
There is no way I can get anyone
to cover tonight. It's impossible.
168
00:10:35,375 --> 00:10:38,710
- Susan, please.
- I hate to be hard-core, but I can't.
169
00:10:38,876 --> 00:10:41,421
Look, can you stay?
170
00:10:41,586 --> 00:10:45,257
I have a baby. And a guy who's been
watching him 24/7.
171
00:10:45,423 --> 00:10:48,883
And I just worked a 14-hour shift.
No, I can't.
172
00:10:49,050 --> 00:10:51,760
Well, maybe Carter can handle it.
He's got Abby and Morris.
173
00:10:51,926 --> 00:10:54,302
We're inundated with homeless
from the city roundup.
174
00:10:54,469 --> 00:10:56,930
- I know.
- We're already understaffed.
175
00:10:57,055 --> 00:11:00,098
Jing-Mei, please.
You have to understand.
176
00:11:00,472 --> 00:11:04,977
- I do. It's okay.
- Good. Thank you.
177
00:11:05,727 --> 00:11:09,770
I'm sorry, Susan. I quit.
178
00:11:18,527 --> 00:11:23,529
And so the holiday begins.
Happy, happy, joy, joy, everyone.
179
00:11:26,322 --> 00:11:29,158
Nine-year-old, auto vs. ped.
Transient, LOC, hit-and-run.
180
00:11:29,324 --> 00:11:30,658
- Mom?
- Right here, honey.
181
00:11:30,825 --> 00:11:33,535
- Confused and agitated.
- What's his name?
182
00:11:33,702 --> 00:11:35,411
- Harry.
- Hey, Harry. I'm Dr. Carter.
183
00:11:35,578 --> 00:11:38,539
- We'll take good care of you.
- I'll get Neela. My shift's over.
184
00:11:38,705 --> 00:11:39,705
She's busy.
185
00:11:39,872 --> 00:11:41,707
- I got a plane to catch.
- I'm not asking!
186
00:11:42,291 --> 00:11:46,293
One, two, three. Okay. Large-bore IV,
500 of saline, open. What happened?
187
00:11:46,460 --> 00:11:48,003
- Car hit him.
- Came out of nowhere.
188
00:11:48,170 --> 00:11:51,129
- Weak femoral. Was he thrown?
- Diffused ecchymosis on the chest.
189
00:11:51,296 --> 00:11:53,923
- He was outside.
- I parked the car. He was getting out.
190
00:11:54,090 --> 00:11:56,258
- Harry flew up in the air.
- Mattie.
191
00:11:56,424 --> 00:11:59,384
- Systolic's 77.
- You guys are okay? You're not hurt?
192
00:11:59,592 --> 00:12:03,011
- We're okay. They checked us.
- Tenderness, crepitus over the chest wall.
193
00:12:03,220 --> 00:12:05,472
- What's that mean?
- He has multiple rib fractures.
194
00:12:05,680 --> 00:12:07,556
- Mom, it hurts.
- Baby, I'm here.
195
00:12:07,764 --> 00:12:11,016
Okay, CBC, type and cross
for forehead, chest and belly...
196
00:12:11,183 --> 00:12:13,560
...CT, trauma panel,
and a femoral line.
197
00:12:13,727 --> 00:12:16,228
- Pulse is up to 138.
- Okay, rush the blood bank.
198
00:12:16,436 --> 00:12:19,813
- He could be anxious or bleeding out.
- Bleeding out?
199
00:12:20,023 --> 00:12:22,190
- It's okay, Mattie.
- We'll take care of him.
200
00:12:22,356 --> 00:12:26,276
- Why don't we take Mattie for a walk?
- I wanna stay here. Can I stay here?
201
00:12:26,443 --> 00:12:30,153
I'll set her up in the Family Room.
Come on, Mattie. Let's go.
202
00:12:31,863 --> 00:12:34,822
Dr. MacPherson, this is Lockhart again
in the ER.
203
00:12:34,989 --> 00:12:36,532
I'm calling about Robert Sanders.
204
00:12:36,699 --> 00:12:39,784
I know his wife can be a pain in the ass
but tonight he has a real-
205
00:12:40,159 --> 00:12:45,205
Problem. And he needs dialysis.
And call me back.
206
00:12:45,412 --> 00:12:50,873
Abby, take this thyromegaly and be well.
As you can see, I have a party to attend.
207
00:12:51,041 --> 00:12:53,083
- Where are you going?
- Not that you'd know...
208
00:12:53,251 --> 00:12:56,336
...but it's the Players Ball
at The Peninsula. Kanye West...
209
00:12:56,502 --> 00:13:01,088
- ...Twista, the whole Roc-A-Fella- Hello.
- Hi, I'm looking for a doctor.
210
00:13:01,214 --> 00:13:03,215
Well, that would be me.
How can I help you?
211
00:13:03,381 --> 00:13:07,675
- I'm looking for Dr. Morris.
- Morris. No, see, what you need is...
212
00:13:07,885 --> 00:13:11,595
- ...somebody with more experience in-
- Hey, hey. Hi. Glad you could make it.
213
00:13:11,761 --> 00:13:13,763
Come on. I'll show you around.
214
00:13:13,929 --> 00:13:17,390
- Bye.
- Bye. She's with Morris.
215
00:13:17,557 --> 00:13:20,516
- Chen just quit. Where's Carter?
- Quit what?
216
00:13:20,684 --> 00:13:22,977
- The hospital. Where's Carter?
- Trauma 2, I think.
217
00:13:23,185 --> 00:13:25,520
- Quit for good?
- Is she all right?
218
00:13:25,686 --> 00:13:28,564
She's burnt out. We're screwed.
I can't believe it.
219
00:13:28,731 --> 00:13:30,189
Chen.
220
00:13:30,564 --> 00:13:33,232
- Your secret Santa gift.
- From you?
221
00:13:33,441 --> 00:13:36,068
No. It was in the lounge
with your name. What's with Chen?
222
00:13:36,234 --> 00:13:40,321
- I don't know. She's not answering.
- "Rats, Lice, and History"?
223
00:13:40,529 --> 00:13:45,199
That's a good one. Someone
really likes you. I got a Pez dispenser.
224
00:13:45,366 --> 00:13:47,033
- See y'all later.
- Happy Christmas.
225
00:13:47,200 --> 00:13:49,951
Hey, I got a 39-year-old IV-DU,
narcotic withdrawal.
226
00:13:50,076 --> 00:13:51,827
- I'm dying.
- This guy needs detox.
227
00:13:51,994 --> 00:13:55,580
- Get him 2.1 of clonidine.
- Hey, what are you doing?
228
00:13:55,789 --> 00:13:59,706
This is a publicly-funded hospital,
and this is an illegal religious artifact.
229
00:13:59,916 --> 00:14:01,791
- Well, it's Christmas.
- So?
230
00:14:02,001 --> 00:14:03,210
So...
231
00:14:05,252 --> 00:14:06,628
...put it back.
232
00:14:06,795 --> 00:14:10,839
- Sharps back. Pericardiocentesis needle.
- Systolic's 82 on one liter.
233
00:14:11,005 --> 00:14:14,675
- Carter, Chen just quit.
- Harry, you're gonna feel a little pressure.
234
00:14:14,883 --> 00:14:17,218
- She quit?
- Heart rate's trending up.
235
00:14:17,384 --> 00:14:20,345
Yeah. That's the tamponade
limiting contractions.
236
00:14:20,512 --> 00:14:23,889
- Gotta up the rate to compensate.
- What's that mean?
237
00:14:24,056 --> 00:14:26,307
There's blood around his heart.
We'll relieve it.
238
00:14:26,515 --> 00:14:28,642
- PVCs.
- Yeah, I'm in but not getting anything.
239
00:14:28,766 --> 00:14:31,143
- Lift up his head a bit.
- Chuny, close to trauma...
240
00:14:31,310 --> 00:14:34,603
- ...and refuse any more homeless.
- Good idea. Did you smell Triage?
241
00:14:34,770 --> 00:14:36,729
How can people stink so much
in cold weather?
242
00:14:36,896 --> 00:14:39,649
Oil of wintergreen on a mask
or breathe through your mouth.
243
00:14:40,400 --> 00:14:41,692
You're not staying?
244
00:14:44,317 --> 00:14:47,946
There's blood in there. But it's either
clotted or it's collecting posteriorly.
245
00:14:48,112 --> 00:14:51,072
- Can't get it with a needle. Page CT surg.
- Oh, I'll get Neela.
246
00:14:51,240 --> 00:14:54,573
- If I leave now, I can still make my plane.
- Forget about your plane.
247
00:14:54,740 --> 00:14:57,618
- I promised my mother.
- Your mother?
248
00:14:58,410 --> 00:15:02,246
- Look, somebody's gotta stay.
- I'll page Surgery.
249
00:15:02,578 --> 00:15:05,164
Ask for an echo-guided
pericardial window.
250
00:15:06,081 --> 00:15:07,998
- Hey, Carter, do you have a minute?
- Yeah.
251
00:15:08,207 --> 00:15:10,543
Titrate the dopamine to a systolic of 90.
252
00:15:10,708 --> 00:15:13,919
Keep paging CT surg.
All right, Harry's stable.
253
00:15:14,253 --> 00:15:16,545
And Dr. Barnett is here.
254
00:15:17,922 --> 00:15:19,464
Apparently.
255
00:15:21,465 --> 00:15:24,551
My lupus patient. Pulmonary edema's
worse and his pressure sucks.
256
00:15:24,716 --> 00:15:25,926
- Can you take a look?
- Sure.
257
00:15:26,094 --> 00:15:28,469
- Thanks.
- So Chen quit? What was it? Her dad?
258
00:15:28,678 --> 00:15:31,179
Yeah. I'll go home, have dinner
with Chuck and Cosmo...
259
00:15:31,347 --> 00:15:32,764
...sing some carols, come back.
260
00:15:32,931 --> 00:15:35,766
- Chuck's been cooking, my dad's there.
- All right, go home.
261
00:15:35,932 --> 00:15:39,685
- If we're busy, I'll call. Otherwise, stay.
- Thank you. You're amazing. Thank you.
262
00:15:39,893 --> 00:15:42,103
- Come be amazing over here.
- I'll check in later.
263
00:15:42,270 --> 00:15:45,313
- Did you call his primaries?
- Rheum says he's too sick for them...
264
00:15:45,480 --> 00:15:49,108
...call Cardiology. Card says call Renal.
Renal says he just had dialysis...
265
00:15:49,233 --> 00:15:50,608
...it's not their problem.
266
00:15:52,443 --> 00:15:56,027
- BP is dropping, 88/59.
- Stop that BNP drip, lower his head.
267
00:15:56,237 --> 00:15:57,946
Yeah, I tried that. He desats.
268
00:15:58,112 --> 00:16:02,533
- Hard to breathe. Carol?
- She's gonna come right back.
269
00:16:02,700 --> 00:16:05,409
Abby, you gave nitropaste and BNP drip?
270
00:16:05,533 --> 00:16:07,869
Give two vasodilators
and his pressure bottoms out.
271
00:16:08,035 --> 00:16:10,745
You try getting hold of three specialists
on Christmas Eve.
272
00:16:10,912 --> 00:16:12,621
You're his doctor.
273
00:16:13,746 --> 00:16:17,791
Now he's got crackles in the apices.
Is Renal coming to take off the fluid?
274
00:16:17,957 --> 00:16:20,210
- No.
- What do you mean, no?
275
00:16:20,377 --> 00:16:23,962
He was dialyzed yesterday, so Renal
thinks there's another explanation.
276
00:16:25,171 --> 00:16:28,673
- What do you think it is?
- He got half his usual dialysis time...
277
00:16:28,882 --> 00:16:31,717
...because of the holidays,
ate salty food, flooded his lungs.
278
00:16:31,925 --> 00:16:35,177
- So...
- I'm waiting to hear from MacPherson...
279
00:16:35,343 --> 00:16:36,887
...the Renal Attending.
280
00:16:37,178 --> 00:16:41,472
- Dr. Agbo from Surgery's here.
- Agbo? I've never heard of him.
281
00:16:41,639 --> 00:16:44,683
- Junior fella, sweaty palms.
- See? Nobody wants to be here tonight.
282
00:16:44,849 --> 00:16:46,934
- Including me.
- Okay. Why don't you call...
283
00:16:47,142 --> 00:16:48,643
...Dr. Mac-What's-His-Name again.
284
00:16:48,810 --> 00:16:52,563
Remember, nobody knows what your
patient needs now better than you do.
285
00:16:52,771 --> 00:16:55,732
- Sats only 88.
- Put him on a nonrebreather.
286
00:16:55,899 --> 00:16:58,524
That should help.
I'll be right back, okay?
287
00:17:00,818 --> 00:17:02,903
These are Robert's medical records.
288
00:17:03,819 --> 00:17:07,238
- Listen. About today on the phone-
- Pain in the ass that I am...
289
00:17:07,405 --> 00:17:10,656
...I got them from Records myself.
Otherwise, you'd have them tomorrow.
290
00:17:10,823 --> 00:17:14,368
Now will you look at my file?
291
00:17:30,127 --> 00:17:32,004
- Hey.
- What are you doing here?
292
00:17:32,545 --> 00:17:35,547
Heard a crazy story about you quitting.
Can I come in?
293
00:17:36,840 --> 00:17:41,426
You know, thanks, Greg, but I'm fine.
Thanks for coming by.
294
00:17:49,848 --> 00:17:51,807
Hey, you need some help?
295
00:17:52,307 --> 00:17:54,516
Yeah, get me some Ativan, please.
296
00:17:54,684 --> 00:17:57,227
- How much?
- Two milligrams.
297
00:17:59,686 --> 00:18:04,690
- What happened at work today?
- Sometimes he's cooperative and lucid.
298
00:18:04,857 --> 00:18:07,858
- Sometimes he's like this.
- Sundowning.
299
00:18:08,025 --> 00:18:11,694
Sundowning?
That's too nice a word for it.
300
00:18:17,530 --> 00:18:22,867
- Give me my pants, please.
- You know, you got a lot of Ativan here.
301
00:18:23,368 --> 00:18:25,036
Potassium too.
302
00:18:29,205 --> 00:18:31,206
Jing-Mei, what are you doing?
303
00:18:31,539 --> 00:18:34,166
Talk to me. What's going on?
304
00:18:38,044 --> 00:18:40,462
I'll relieve the blood
accumulating around the heart.
305
00:18:40,629 --> 00:18:43,588
- Is that the pericardium?
-10 blade and pickups to me.
306
00:18:43,755 --> 00:18:46,465
Watch over my boy.
Keep him safe in your arms.
307
00:18:46,632 --> 00:18:49,968
McAlpin catheter, 60-cc syringe.
Quickly.
308
00:18:50,135 --> 00:18:52,927
- Whoa, a hundred cc's right there.
- Keep him safe, I beg you.
309
00:18:53,095 --> 00:18:55,513
- Another 60-cc syringe, quickly.
- Hey, man.
310
00:18:55,721 --> 00:18:57,013
- Dr. Agbo?
- God be with you.
311
00:18:57,179 --> 00:18:59,973
- Maybe I nicked the vessel.
- Give me some sterile eights.
312
00:19:00,432 --> 00:19:02,225
- Jesus, I call on you.
- PVCs. Bigeminy.
313
00:19:02,392 --> 00:19:04,685
- Pull that catheter back.
- I can get it.
314
00:19:04,893 --> 00:19:07,561
- It's my fault. Sorry. I didn't mean to-
- Shut up, Mattie!
315
00:19:07,729 --> 00:19:10,313
- Hey!
- Mrs. Price, take your daughter outside.
316
00:19:10,480 --> 00:19:13,440
- No. I wanna stay with my son.
- I said pull that catheter back.
317
00:19:13,607 --> 00:19:16,900
- The blood will just reaccumulate.
- Get out of the way. Out of the way.
318
00:19:17,109 --> 00:19:20,778
- V-tach. Crash cart.
- Catheter is out.
319
00:19:20,944 --> 00:19:23,738
- Charged to 100. Clear.
- Just wait. Just wait.
320
00:19:23,947 --> 00:19:25,739
Normal sinus.
321
00:19:26,490 --> 00:19:28,533
All right. 3-0 and a needle driver.
322
00:19:28,699 --> 00:19:31,743
That's good. Right? That's good?
323
00:19:31,952 --> 00:19:34,577
- Dr. Carter?
- Take this girl to the Family Room...
324
00:19:34,911 --> 00:19:37,789
...page Social Services,
and stay with her until they get here.
325
00:19:37,956 --> 00:19:39,164
No.
326
00:19:52,965 --> 00:19:54,422
Feeling better?
327
00:19:56,091 --> 00:19:58,717
- A little.
- Don't lie. He's not better. Look at him.
328
00:19:58,927 --> 00:20:01,970
BP's stabilized, 119/85.
Pulse down to 115.
329
00:20:02,136 --> 00:20:04,179
He's had lupus cerebritis?
330
00:20:04,346 --> 00:20:07,015
Two years ago.
It calmed down after a steroid burst.
331
00:20:07,181 --> 00:20:10,642
Okay. I'd like to get a head scan
to make sure the cerebritis isn't back...
332
00:20:10,809 --> 00:20:12,517
...and there's no internal bleeding.
333
00:20:12,685 --> 00:20:15,520
- I have a discharge and then I'll take you.
- I could take him.
334
00:20:19,105 --> 00:20:21,566
- Do you know where it is?
- Can his wife come with us?
335
00:20:21,731 --> 00:20:22,941
- Sure.
- Thanks.
336
00:20:23,108 --> 00:20:26,694
Put him on a portable monitor and O2,
and call me if you have any questions.
337
00:20:27,027 --> 00:20:28,444
Okay?
338
00:20:28,694 --> 00:20:30,112
Okay.
339
00:20:32,238 --> 00:20:34,155
Would you like to color?
340
00:20:37,032 --> 00:20:39,868
Are you excited
about Santa coming tonight?
341
00:20:40,994 --> 00:20:44,621
- Why not?
- Santa's not coming for me.
342
00:20:45,454 --> 00:20:47,998
Mattie, that's not true.
343
00:20:49,164 --> 00:20:52,542
- Hey.
- I thought you had a plane to catch.
344
00:20:56,878 --> 00:20:59,838
Hey, Mattie. How you doing?
345
00:21:01,839 --> 00:21:05,258
You know, when I was a kid, I used to
fight with my brother all the time.
346
00:21:05,675 --> 00:21:07,134
Did he get hurt?
347
00:21:08,677 --> 00:21:13,597
Yeah, he got hurt. I got hurt.
Kids get hurt sometimes, by accident.
348
00:21:13,764 --> 00:21:16,223
I was mad at him
for not playing with me.
349
00:21:16,432 --> 00:21:20,559
So I threw his book out.
And he went to get it, and got hit.
350
00:21:20,851 --> 00:21:25,687
- Mattie, it's not your fault Harry got hurt.
- It is. I tried to help him but I couldn't.
351
00:21:25,854 --> 00:21:29,857
- I had to go get my mom.
- Your mom wasn't there?
352
00:21:30,399 --> 00:21:32,483
She was at work.
353
00:21:33,025 --> 00:21:37,319
- You and Harry were alone in the car?
- We live in the car.
354
00:21:41,488 --> 00:21:44,614
Don't tell my mom.
I'm not supposed to say that.
355
00:21:47,409 --> 00:21:50,660
My father's a doctor.
He knows what he's asking.
356
00:21:50,827 --> 00:21:53,330
Without the G-tube and IV,
he would've died weeks ago.
357
00:21:53,538 --> 00:21:55,414
Oh, so now lifesaving technology is bad?
358
00:21:55,706 --> 00:21:58,499
- If someone doesn't want it.
- How do you know he doesn't?
359
00:21:58,665 --> 00:22:02,375
- He's not even in his right mind.
- After he sleeps, he's lucid.
360
00:22:02,543 --> 00:22:05,837
Each time, every day,
he begs me to help him.
361
00:22:06,004 --> 00:22:09,131
Removing the support's not enough.
362
00:22:09,505 --> 00:22:13,674
It would take him days to die
of dehydration and he'd be in misery.
363
00:22:14,799 --> 00:22:17,885
- Put him in a nursing home.
- So he can be somebody else's problem?
364
00:22:18,053 --> 00:22:21,138
- Who doesn't know or love him?
- He won't even know that he's there.
365
00:22:24,849 --> 00:22:26,223
You're not Chinese.
366
00:22:28,601 --> 00:22:31,102
So it's Chinese to euthanize your elders.
367
00:22:31,561 --> 00:22:34,145
It's Chinese to respect them.
368
00:22:47,540 --> 00:22:49,209
Here you go.
369
00:22:50,876 --> 00:22:52,212
You should go.
370
00:22:52,379 --> 00:22:54,214
I don't want you here.
371
00:22:54,381 --> 00:22:57,883
You've been through a hell of a lot
this last year. You need a break.
372
00:22:58,468 --> 00:23:01,261
Put him in a home for a month
so you can catch your breath.
373
00:23:01,427 --> 00:23:03,055
I can't.
374
00:23:04,098 --> 00:23:07,225
We fight to save lives every day.
375
00:23:07,517 --> 00:23:11,563
You know, we literally bust our asses to
give people a few more hours of living.
376
00:23:11,729 --> 00:23:14,899
You're a doctor, you can't just
cross that line like it's nothing.
377
00:23:15,358 --> 00:23:19,070
Quality of life is the only measure
that matters.
378
00:23:19,238 --> 00:23:21,907
My proud father is lying
in his own feces.
379
00:23:22,616 --> 00:23:25,911
He can't eat without vomiting,
can't sleep.
380
00:23:26,787 --> 00:23:30,331
He knows what he's asking for
and he knows he can get that from me.
381
00:23:30,498 --> 00:23:32,710
If you weren't a physician,
you couldn't do this.
382
00:23:32,918 --> 00:23:35,671
But I am and I can.
383
00:23:36,963 --> 00:23:38,631
Why haven't you done it up till now?
384
00:23:40,175 --> 00:23:42,927
If he's been asking so much?
385
00:23:43,845 --> 00:23:46,014
Because you know deep, down inside...
386
00:23:46,223 --> 00:23:48,933
...it would haunt you
for the rest of your life.
387
00:23:49,934 --> 00:23:51,352
Why haven't you done it yet?
388
00:23:54,939 --> 00:23:57,442
Maybe I don't have the courage.
389
00:23:59,611 --> 00:24:01,613
It's over. Christ is born.
390
00:24:01,779 --> 00:24:04,239
It's only midnight?
Feels like 4 in the morning.
391
00:24:04,449 --> 00:24:06,908
Margaret, if you turn off these lights
one more time...
392
00:24:07,077 --> 00:24:10,829
- ...I'll beat you to death with a fruitcake.
- This is totally loser's Christmas.
393
00:24:10,997 --> 00:24:13,458
Give that back, you little minx.
394
00:24:13,666 --> 00:24:14,876
Okay.
395
00:24:15,042 --> 00:24:18,629
Rudolfo, can you blow like you're
blowing out candles on a birthday cake?
396
00:24:18,838 --> 00:24:21,465
- Too many cold.
- Does it hurt to breathe in?
397
00:24:21,632 --> 00:24:24,675
Lockhart, your lupus patient's
coding in the scanner.
398
00:24:24,886 --> 00:24:26,805
All right. Neela, chest film and O2.
399
00:24:27,013 --> 00:24:29,681
- Got it.
- Hey.
400
00:24:29,848 --> 00:24:32,267
Hey. It was cool what you did
with that little girl.
401
00:24:32,434 --> 00:24:35,146
- Telling her about your brother.
- Yeah. I think it helped.
402
00:24:35,313 --> 00:24:37,606
Although I don't
actually have any siblings.
403
00:24:37,773 --> 00:24:39,191
Why does that not surprise me?
404
00:24:39,317 --> 00:24:41,485
Social Work's got Mattie,
Carter says I can go.
405
00:24:41,651 --> 00:24:42,986
Can I sign out Harry to you?
406
00:24:43,153 --> 00:24:45,656
- I thought you missed your flight.
- I'll go standby.
407
00:24:45,822 --> 00:24:48,200
Don't want to disappoint
Mom on Christmas.
408
00:24:48,950 --> 00:24:51,037
- Do something.
- BP's 83/50.
409
00:24:51,203 --> 00:24:52,914
- Cycle the dynamap.
- What happened?
410
00:24:53,330 --> 00:24:56,417
- Central line got caught and it pulled out.
- Bleeding won't stop.
411
00:24:56,583 --> 00:24:59,544
- Not with lupus-associated coagulopathy.
- Heart rate's dropping.
412
00:24:59,960 --> 00:25:01,630
Okay, 8-0 and a mac tube now.
413
00:25:01,797 --> 00:25:04,048
Ma'am, please step back.
Let us help your husband.
414
00:25:04,216 --> 00:25:07,010
Put pressure right here.
Don't check it. Don't let go.
415
00:25:07,177 --> 00:25:10,097
- Sats, 68.
- Yeah, he's hypoxic. I get it, thanks.
416
00:25:10,263 --> 00:25:13,600
- Oh, God. Please don't let it be tonight.
- I'm sorry.
417
00:25:13,766 --> 00:25:16,519
- Tube.
- Pulse, 64.
418
00:25:17,312 --> 00:25:20,066
- I'm not ready for him to die.
- I'm in.
419
00:25:22,692 --> 00:25:25,112
- Sats coming up.
- Run, don't walk to the blood bank.
420
00:25:25,278 --> 00:25:27,238
Four units of O-neg.
Work on type-specific.
421
00:25:27,404 --> 00:25:29,573
- I'll meet you in the Trauma Room.
- He's stable?
422
00:25:29,740 --> 00:25:32,243
He needs blood.
We're gonna start a central line.
423
00:25:32,410 --> 00:25:35,286
- Can an Attending do it?
- I put in lines all the time.
424
00:25:35,454 --> 00:25:37,998
He's been through enough.
I want a surgical Attending.
425
00:25:41,711 --> 00:25:43,503
He's moving in the right direction.
426
00:25:43,671 --> 00:25:46,589
He's gonna spend the night in here
until an ICU bed opens up.
427
00:25:46,757 --> 00:25:49,300
You were at work when this happened?
428
00:25:50,636 --> 00:25:54,265
We've been living in the car
since I left my husband three weeks ago.
429
00:25:55,224 --> 00:25:58,394
It wasn't bad
when the kids were in school...
430
00:25:58,561 --> 00:26:01,397
...but since Christmas vacation
started...
431
00:26:01,856 --> 00:26:03,314
You left them in the car?
432
00:26:03,732 --> 00:26:05,024
I gotta work.
433
00:26:05,735 --> 00:26:07,694
It's okay, Mama.
434
00:26:10,865 --> 00:26:13,074
Can their dad help?
435
00:26:13,409 --> 00:26:15,702
He's a violent guy.
436
00:26:16,078 --> 00:26:20,748
I could take it, but he was
starting in on Harry. So I...
437
00:26:20,915 --> 00:26:24,919
Yeah. We're a little concerned about the
amount of strain that you've been under.
438
00:26:28,172 --> 00:26:30,383
I didn't want Mattie saying how it was...
439
00:26:30,550 --> 00:26:33,012
...because I don't want
anyone taking my kids.
440
00:26:34,220 --> 00:26:35,597
We're not homeless people.
441
00:26:36,015 --> 00:26:39,184
I got a job. This is just temporary.
442
00:26:39,392 --> 00:26:42,395
I can help you find a place to stay
until you get on your feet.
443
00:26:42,603 --> 00:26:45,315
We tried the shelter.
It isn't safe for the kids.
444
00:26:45,481 --> 00:26:46,858
No, this isn't a shelter.
445
00:26:47,025 --> 00:26:49,527
It's a house for families
fleeing domestic violence.
446
00:26:52,446 --> 00:26:53,781
It's safe.
447
00:26:54,949 --> 00:26:56,532
Thank you.
448
00:26:59,746 --> 00:27:03,124
I'm sorry that I yelled at you, honey.
449
00:27:03,458 --> 00:27:05,543
Don't be scared of me, okay?
450
00:27:06,044 --> 00:27:08,087
- I'm sorry, Mom.
- Oh, no.
451
00:27:08,254 --> 00:27:10,424
You didn't do anything wrong.
452
00:27:10,590 --> 00:27:12,800
Come here.
453
00:27:22,517 --> 00:27:23,770
So, what do you think?
454
00:27:23,935 --> 00:27:27,189
I think the bad guy's the driver,
not the mother. Lady needs a break.
455
00:27:27,314 --> 00:27:29,775
Cafeteria's serving up a feast.
Better get up there.
456
00:27:29,941 --> 00:27:31,109
Hey, Morris.
457
00:27:33,320 --> 00:27:35,905
Burgers probably would've been safer.
458
00:27:36,656 --> 00:27:39,158
Speaking of, I'm hungry.
Wanna get something to eat?
459
00:27:39,326 --> 00:27:41,160
- Just lost my appetite.
- Dr. Carter.
460
00:27:41,327 --> 00:27:43,455
Phone call from Africa.
It's Kem somebody.
461
00:27:44,164 --> 00:27:45,832
Catch you later.
462
00:27:46,500 --> 00:27:47,666
- Hello?
- John.
463
00:27:47,877 --> 00:27:49,920
- Hi.
- What are you doing?
464
00:27:51,046 --> 00:27:53,589
I'm not doing anything.
I'm just working.
465
00:27:54,132 --> 00:27:56,385
No. It's too cold to snow here.
Maybe tomorrow.
466
00:28:09,898 --> 00:28:11,817
It's okay.
467
00:28:13,777 --> 00:28:15,821
It's okay.
468
00:28:16,529 --> 00:28:17,781
No, no. It's okay.
469
00:28:17,948 --> 00:28:20,367
Calm down. Don't worry.
I'm not gonna hurt you.
470
00:28:22,784 --> 00:28:25,996
- Bring more Ativan!
- I add five of Haldol when he's like this.
471
00:28:27,790 --> 00:28:29,501
Okay, calm down.
472
00:28:32,711 --> 00:28:35,422
- What is he saying?
- To let him go.
473
00:28:43,638 --> 00:28:45,015
I'm sorry.
474
00:28:45,683 --> 00:28:47,685
I'm sorry, Papa.
475
00:28:49,812 --> 00:28:52,939
Okay, now squeeze. Hold on.
476
00:28:53,149 --> 00:28:55,526
No, no. Both hands. Both hands.
Let go of my hand.
477
00:28:55,693 --> 00:28:57,652
Let go-
478
00:28:57,820 --> 00:29:00,155
- Squeeze the trigger.
- My hands are shaking.
479
00:29:01,490 --> 00:29:04,200
- Hi.
- Hi.
480
00:29:04,492 --> 00:29:06,704
Neela, Raphaella Greenberg.
481
00:29:07,163 --> 00:29:08,580
Are you a medical student?
482
00:29:09,874 --> 00:29:11,207
I'm his girlfriend.
483
00:29:12,042 --> 00:29:15,378
- HIPAA? Patient privacy?
- Stapling, it's nothing.
484
00:29:15,545 --> 00:29:17,881
- This guy's totally out of it.
- This is so wrong.
485
00:29:19,131 --> 00:29:21,551
Well, I'll staple. You watch.
486
00:29:22,761 --> 00:29:24,429
Security! Security!
487
00:29:25,431 --> 00:29:27,098
Somebody get Security!
488
00:29:27,264 --> 00:29:28,432
Give me a reason!
489
00:29:28,601 --> 00:29:30,143
- Give me a reason!
- Stop it!
490
00:29:30,310 --> 00:29:32,478
- Whose patient is this?
- Mine. Mr. Beidermeier.
491
00:29:32,644 --> 00:29:35,565
- I need help!
- Get Security to cuff him to a bed, huh?
492
00:29:35,732 --> 00:29:38,150
Get him on monitor until we
figure out what he took.
493
00:29:38,319 --> 00:29:40,445
- Should've let him OD!
- Come on. Up, up.
494
00:29:40,612 --> 00:29:42,280
- That's the Christmas spirit.
- Yeah.
495
00:29:42,447 --> 00:29:44,114
Back to bed, Mr. Beidermeier.
496
00:29:44,325 --> 00:29:46,073
At least have him arrested.
497
00:29:46,285 --> 00:29:47,826
- What's your name again?
- Margaret.
498
00:29:47,993 --> 00:29:49,787
Margaret, we're good here.
499
00:29:51,371 --> 00:29:52,957
Crap.
500
00:29:53,123 --> 00:29:55,459
Got a flash. Guide wire.
501
00:29:55,627 --> 00:29:57,628
Didn't you come
because the wife wants you?
502
00:29:57,795 --> 00:30:01,714
Not her call. I like to make
a small nick with an 11 blade.
503
00:30:01,882 --> 00:30:04,426
She's afraid Abby might kill her husband.
504
00:30:04,635 --> 00:30:06,471
I don't think she will.
505
00:30:07,012 --> 00:30:08,431
Okay. Catheter.
506
00:30:08,598 --> 00:30:13,017
Tachy at 110. BP, 94/79. Sats, 86.
507
00:30:13,184 --> 00:30:15,646
That's as good as he's gonna get
until he's dialyzed.
508
00:30:15,854 --> 00:30:18,231
His lungs are swimming in fluid.
509
00:30:18,775 --> 00:30:20,692
Nice. Threading easily. Good.
510
00:30:20,901 --> 00:30:22,152
Thank you for coming in.
511
00:30:22,361 --> 00:30:23,653
It's my job.
512
00:30:23,820 --> 00:30:27,449
You want to admit him to your service?
All those other docs are blowing me off.
513
00:30:27,616 --> 00:30:28,992
Santa Claus is coming to town.
514
00:30:29,534 --> 00:30:32,163
Okay, removing the introducer,
10-cc syringe.
515
00:30:32,330 --> 00:30:35,916
Legally and morally they have to come
when you call or lose staff privileges.
516
00:30:36,083 --> 00:30:38,752
- Don't think they heard about my power.
- They're aware.
517
00:30:38,918 --> 00:30:40,295
They take advantage...
518
00:30:40,462 --> 00:30:42,588
- ...of submissive interns.
- I'm not submissive.
519
00:30:42,755 --> 00:30:43,965
- Nice return.
- I know.
520
00:30:44,965 --> 00:30:47,928
Like many interns
and, well, many females...
521
00:30:48,094 --> 00:30:51,306
...you incline yourself toward popularity
and equate it with success.
522
00:30:51,515 --> 00:30:54,309
Well, when an ER doc is popular,
someone's losing out.
523
00:30:54,475 --> 00:30:55,977
And it's usually the patient.
524
00:30:56,644 --> 00:31:00,481
- All this guy has is you.
- Infusing well. Needle driver.
525
00:31:00,856 --> 00:31:03,527
All right. Well, good job.
Really good job, Abby.
526
00:31:03,692 --> 00:31:05,570
I'll finish up.
527
00:31:05,861 --> 00:31:08,697
Yeah, go. Go out there
and do what you have to do.
528
00:31:10,449 --> 00:31:12,785
By the by, did you get the book?
529
00:31:16,372 --> 00:31:18,457
Rats, Lice, and History?
530
00:31:19,625 --> 00:31:20,834
You're my secret Santa?
531
00:31:21,002 --> 00:31:23,212
Yeah, I'm quite excited
to discuss it with you.
532
00:31:23,380 --> 00:31:25,672
The chapter on the influence
of vermin epidemics...
533
00:31:25,839 --> 00:31:30,009
...on political and military history, and
the relative unimportance of generals...
534
00:31:30,176 --> 00:31:31,513
...is outrageous.
535
00:31:34,473 --> 00:31:35,932
Oh, 4-0 silk.
536
00:31:40,938 --> 00:31:44,859
- Submissive.
- Not a word I would use to describe you.
537
00:31:45,025 --> 00:31:48,319
Okay. Time to get unpopular.
538
00:31:48,487 --> 00:31:52,992
Look, I take full responsibility
for what happened with Sanders.
539
00:31:53,158 --> 00:31:56,327
You didn't do it, the tech did.
I shouldn't have sent a student to CT.
540
00:31:56,495 --> 00:31:58,706
I want you to send me, okay?
541
00:31:58,914 --> 00:32:00,499
It won't happen again.
542
00:32:01,000 --> 00:32:03,126
So, what did you learn from all this?
543
00:32:03,877 --> 00:32:06,211
Always go home when you tell me.
544
00:32:07,297 --> 00:32:10,133
- Hi. Is this the dialysis tech?
- It's kind of late.
545
00:32:10,301 --> 00:32:13,178
Yeah, I know. It's 2 a. m.
I'm sorry to wake you.
546
00:33:04,936 --> 00:33:06,730
What did he say?
547
00:33:08,399 --> 00:33:10,275
He thanked me.
548
00:33:11,444 --> 00:33:13,780
Said I was a good daughter.
549
00:33:17,824 --> 00:33:19,326
You are.
550
00:33:31,129 --> 00:33:32,754
You want me to do it?
551
00:35:10,941 --> 00:35:13,151
Lab called on Vivadi Sanito.
552
00:35:13,362 --> 00:35:15,072
- The coags were QNS.
- Okay.
553
00:35:15,239 --> 00:35:18,784
And Betty Muldoon
was admitted to Medicine.
554
00:35:19,244 --> 00:35:22,081
Can I get a cab voucher? Huh?
555
00:35:22,413 --> 00:35:25,252
I don't think we're quite ready
to discharge you, Mr. Claus.
556
00:35:27,921 --> 00:35:29,507
Dialysis for patient Sanders.
557
00:35:29,714 --> 00:35:32,093
- Do you want me to...?
- No, no. I got it. Thank you.
558
00:35:32,260 --> 00:35:33,762
Hi. Thanks for coming in.
559
00:35:33,929 --> 00:35:37,307
Double overtime on holidays.
But I just did Robert Sanders yesterday.
560
00:35:37,474 --> 00:35:39,728
Yeah. He's- His fluid overloaded.
561
00:35:39,936 --> 00:35:42,480
- MacPherson call in orders?
- I spoke to him on the phone.
562
00:35:42,689 --> 00:35:45,694
- What did he want?
- The usual, standard run.
563
00:35:45,860 --> 00:35:48,823
2K bath, 35 bicarb,
pull off a couple liters.
564
00:35:48,990 --> 00:35:51,201
- Two or four hours?
- I'm not sure about that.
565
00:35:51,367 --> 00:35:53,245
- I'll give him a call.
- Well, actually...
566
00:35:53,412 --> 00:35:56,666
...Dr. MacPherson very specifically
said he did not wanna be disturbed.
567
00:35:56,833 --> 00:35:58,586
He wouldn't come in.
568
00:35:59,628 --> 00:36:01,338
He wouldn't come in.
569
00:36:01,504 --> 00:36:03,590
What a prick. But I need orders.
570
00:36:04,801 --> 00:36:09,056
Okay. Okay, well, do you think you could
get started and then call him?
571
00:36:09,764 --> 00:36:10,976
- Sure.
- Thank you.
572
00:36:11,142 --> 00:36:12,810
- All right.
- Thank you.
573
00:36:12,977 --> 00:36:14,479
You're welcome.
574
00:36:16,148 --> 00:36:18,818
MacPherson ordered dialysis?
575
00:36:19,944 --> 00:36:22,238
No. I did.
576
00:36:22,699 --> 00:36:24,242
You? You can't order...
577
00:36:28,163 --> 00:36:29,415
Thank you.
578
00:36:30,500 --> 00:36:32,210
Merry Christmas.
579
00:36:34,921 --> 00:36:36,174
Tetanus is up to date.
580
00:36:36,341 --> 00:36:40,970
I was putting a sled together
and I sliced myself on the metal runners.
581
00:36:41,472 --> 00:36:43,474
It doesn't look
too bad to me, Mr. Rotolo.
582
00:36:44,058 --> 00:36:46,646
Santa's gotta get home, doc.
Know what I mean?
583
00:36:46,811 --> 00:36:50,316
Me and Mrs. Claus have things
to take care of before the kids wake up.
584
00:36:50,484 --> 00:36:52,444
- Won't take long. You feel that?
- Yeah.
585
00:36:52,611 --> 00:36:54,404
- Feel that?
- Yeah.
586
00:36:54,571 --> 00:36:56,867
Excuse me, Dr. Carter.
When you have a minute?
587
00:36:57,075 --> 00:36:58,786
Sure.
588
00:36:59,160 --> 00:37:02,123
Irrigate, open up a suture kit.
I'll be right back.
589
00:37:06,504 --> 00:37:08,173
I have something for you.
590
00:37:08,339 --> 00:37:12,135
- But I haven't wrapped it, it's at home-
- Liar. But my birthday's in two weeks.
591
00:37:13,260 --> 00:37:15,932
- "Mildred"?
- Oh, sorry. Mildred didn't show.
592
00:37:16,099 --> 00:37:18,227
I was giving out a bunch of these.
593
00:37:18,976 --> 00:37:20,979
Just a little something.
594
00:37:21,689 --> 00:37:23,525
So how was your phone call?
595
00:37:24,025 --> 00:37:26,112
It's good. She's good.
596
00:37:27,070 --> 00:37:29,074
Oh, yeah. Very handy.
597
00:37:29,240 --> 00:37:33,203
- For hooking up the VCR.
- Right. Yeah.
598
00:37:34,746 --> 00:37:37,166
Yeah. You look like
an old-fashioned doctor.
599
00:37:38,627 --> 00:37:40,879
I am an old-fashioned doctor.
600
00:37:46,511 --> 00:37:47,764
- Okay.
- Okay.
601
00:37:47,973 --> 00:37:49,850
Okay. Merry Christmas.
602
00:37:50,391 --> 00:37:52,060
Merry Christmas.
603
00:37:52,561 --> 00:37:54,021
Ho, ho, ho. Merry Christmas.
604
00:37:54,147 --> 00:37:56,066
- We got sliders.
- Yes!
605
00:37:56,232 --> 00:37:58,944
You will never be more loved
than you are at this moment.
606
00:37:59,111 --> 00:38:01,364
Oh, I could eat
about three dozen of these.
607
00:38:01,531 --> 00:38:02,781
- Hi.
- Hi.
608
00:38:02,949 --> 00:38:04,660
So is this the little homeless boy?
609
00:38:04,869 --> 00:38:06,411
Should we treat as inpatient?
610
00:38:06,579 --> 00:38:08,414
- Is he hypoxic?
- No.
611
00:38:08,581 --> 00:38:10,416
- Tolerating POs?
- Yeah.
612
00:38:10,541 --> 00:38:13,296
Then he only needs PO antibiotics.
613
00:38:14,297 --> 00:38:17,551
- And a warm bed.
- I'll call the Pedes team.
614
00:38:17,926 --> 00:38:19,803
Hi, Rudolfo.
615
00:38:20,305 --> 00:38:21,931
Hello, doctors.
616
00:38:22,140 --> 00:38:24,603
- Hi.
- You got a chimney?
617
00:38:25,436 --> 00:38:26,605
I'm sorry, honey. What?
618
00:38:26,896 --> 00:38:30,316
How's Santa Claus gonna find me
if you don't got a chimney?
619
00:38:30,650 --> 00:38:33,529
We don't need a chimney.
Santa sees everything. He'll find you.
620
00:38:33,696 --> 00:38:36,658
But you'll have to go to sleep
before he comes, all right?
621
00:38:37,658 --> 00:38:39,120
Good night.
622
00:38:40,413 --> 00:38:42,416
Do you think Dad
has a present for his son?
623
00:38:42,624 --> 00:38:44,961
Doubt Dad's got enough
for their breakfast.
624
00:38:45,128 --> 00:38:47,130
Santa Claus better
come up with something.
625
00:38:47,296 --> 00:38:49,758
- Jumbo Mart?
- Do you have any cash on you?
626
00:38:49,925 --> 00:38:51,385
- No.
- No.
627
00:38:55,014 --> 00:38:56,475
Jing-Mei...
628
00:38:57,726 --> 00:38:59,686
...it's been over an hour.
629
00:39:05,527 --> 00:39:07,113
You okay?
630
00:39:08,949 --> 00:39:11,576
I'll call the mortuary in the morning.
631
00:39:13,245 --> 00:39:15,289
What are you gonna do after that?
632
00:39:17,961 --> 00:39:22,924
Well, I have to go to China
and bury my father next to my mom.
633
00:39:23,091 --> 00:39:26,930
Deal with his estate. Bum around.
634
00:39:27,471 --> 00:39:32,019
Visit the village where they were born.
Meet some relatives. I don't know.
635
00:39:33,562 --> 00:39:35,650
I'm pretty tired.
636
00:39:36,775 --> 00:39:38,485
Well, you know...
637
00:39:38,695 --> 00:39:41,949
...if there's anything I can do.
I mean it. Anything.
638
00:39:42,116 --> 00:39:44,159
Thank you. Thank you.
639
00:39:44,327 --> 00:39:46,161
Thank you for-
640
00:39:47,872 --> 00:39:50,000
That's okay. Come here.
641
00:40:01,807 --> 00:40:04,393
- Where are we going?
- Ho, ho, ho, and a jolly old soul.
642
00:40:04,518 --> 00:40:06,730
- Sikhs don't have Christmas.
- Grew up in England.
643
00:40:06,896 --> 00:40:10,526
Old King Wenceslas, Boxing Day and a
family tradition of anonymous kindness.
644
00:40:11,820 --> 00:40:15,533
- Where'd you get that key?
- Wendall from Social Work.
645
00:40:15,741 --> 00:40:18,661
- I have a plan.
- A sly and cunning plan?
646
00:40:18,828 --> 00:40:21,706
We give these toys and books
to the homeless kids in the ER.
647
00:40:23,877 --> 00:40:26,212
Stealing from the bad off
to give to the worse off.
648
00:40:26,378 --> 00:40:28,924
We buy new stuff tomorrow
in the after-Christmas sales.
649
00:40:29,091 --> 00:40:32,805
- Belated gift for Child Life Department.
- Do we have ribbons or paper?
650
00:40:32,971 --> 00:40:36,517
We can steal bows
from the decorations in the cafeteria.
651
00:42:17,226 --> 00:42:19,647
- What's up?
- I thought you'd be in Miami by now.
652
00:42:19,814 --> 00:42:21,858
O'Hare's a mess.
No seats until tomorrow.
653
00:42:22,066 --> 00:42:24,569
Miami? I thought your mother
was in Philadelphia.
654
00:42:24,737 --> 00:42:26,405
Hey, it's snowing. Come on.
655
00:42:26,571 --> 00:42:29,034
Hey, if it's snowing,
that means it's warming up.
656
00:42:29,242 --> 00:42:30,577
You knew he was in Miami?
657
00:42:30,744 --> 00:42:32,746
He's got a girlfriend that lives there.
658
00:42:32,912 --> 00:42:36,418
I worked his shift because he gave me
some sob story about his mother.
659
00:42:38,086 --> 00:42:40,130
Barnett, you back already?
660
00:42:40,298 --> 00:42:42,174
I can't stay away.
661
00:42:42,384 --> 00:42:44,053
I love it!
662
00:42:44,218 --> 00:42:46,555
- Does snow get polluted?
- Where's Lockhart?
663
00:42:47,682 --> 00:42:49,225
Dr. MacPherson?
664
00:42:49,392 --> 00:42:52,897
I didn't authorize dialysis for Sanders.
You started it without my approval.
665
00:42:53,064 --> 00:42:54,690
I wanna speak to your Attending.
666
00:42:56,568 --> 00:42:58,904
Your patient was drowning.
He needed dialysis.
667
00:42:59,071 --> 00:43:01,241
You're an Attending on-call.
I covered your ass.
668
00:43:01,408 --> 00:43:03,952
You can't just deceive Attendings
when you don't agree.
669
00:43:04,119 --> 00:43:07,956
You report me for working the system,
I report you for abandoning your patient.
670
00:43:08,959 --> 00:43:10,461
Go, Abby.
671
00:43:10,628 --> 00:43:12,295
See you inside.
672
00:43:15,884 --> 00:43:19,013
- Miami?
- Come on. Let's get back to work.
673
00:43:21,641 --> 00:43:22,976
This is Jing-Mei Chen.
674
00:43:23,101 --> 00:43:27,274
I woke up this morning and found
my father had passed away in the night.
675
00:43:28,149 --> 00:43:30,736
Yes. He's been very ill.
676
00:43:32,405 --> 00:43:36,786
Well, actually, his physician is here.
He can sign the death certificate.
677
00:43:41,582 --> 00:43:43,001
Thank you.
678
00:43:43,168 --> 00:43:48,588
It's 2753 West Cedar Drive.
679
00:44:02,187 --> 00:44:05,233
Ripped by subXpacio and TusSeries
680
00:44:31,114 --> 00:44:33,156
Subtitles by SDI Media Group
681
00:44:33,365 --> 00:44:35,689
[ENGLISH]
56851
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