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1
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ER
2
00:00:05,991 --> 00:00:07,349
Previously on ER...
3
00:00:07,350 --> 00:00:09,699
Peter!
Oh, hi, Lizzie.
4
00:00:09,734 --> 00:00:12,111
I think it's about time
you and I had a little sit-down.
5
00:00:12,112 --> 00:00:13,012
Is there a problem?
6
00:00:13,013 --> 00:00:15,884
- Am I hearing jealousy?
- I just that I think you're trouble.
7
00:00:16,285 --> 00:00:20,702
- What about his heroin addiction?
- It wasn't heroin. It was painkillers.
8
00:00:20,703 --> 00:00:24,227
I'll do an ultrarapid detox
and end his addiction today.
9
00:00:24,228 --> 00:00:26,498
You're gonna keep him hiden here
for 12 hours?
10
00:00:26,499 --> 00:00:29,172
I found Doug in Exam 4,
detoxing this baby.
11
00:00:29,173 --> 00:00:33,598
What! You're gonna explain this to the
Administration and the Executive Committee!
12
00:00:33,599 --> 00:00:36,239
You lied to me, Doug.
You looked me right in the face and lied.
13
00:00:37,030 --> 00:00:39,801
"A Hole In The Heart"
14
00:00:42,172 --> 00:00:43,200
That's not fair.
15
00:00:43,420 --> 00:00:44,993
You wouldn't have let me do it.
16
00:00:45,167 --> 00:00:46,988
You couldn't monitor him!
17
00:00:47,205 --> 00:00:50,281
EKG, pulse ox, end-tidal CO-2,
and invasive BP.
18
00:00:50,491 --> 00:00:52,975
- You never got consent.
- From his methadone-chugging mom?
19
00:00:53,194 --> 00:00:56,435
DCFS would have followed through
if you'd left it alone.
20
00:00:56,646 --> 00:00:58,717
His development is already stunted.
21
00:00:58,934 --> 00:01:01,926
Been expecting you.
Your desk clerk just called.
22
00:01:02,302 --> 00:01:03,497
- Admit orders?
- None.
23
00:01:03,717 --> 00:01:05,668
Here's everything
you need right there.
24
00:01:05,879 --> 00:01:10,777
Start him on labetalol titrate 0.5 q
five minutes to a diastolic of 60.
25
00:01:11,078 --> 00:01:14,070
Alexander Babcock,
pediatric anesthesiologist.
26
00:01:14,280 --> 00:01:18,765
Kerry Weaver, Acting Chief of ER.
This is Josh McNeal, 7 months old-
27
00:01:18,939 --> 00:01:23,671
The boy was born addicted to heroin.
I put him on an ultrarapid detox.
28
00:01:23,888 --> 00:01:28,005
- A couple have been done in the US.
- It's still an experimental procedure.
29
00:01:28,213 --> 00:01:30,001
BP's not bad, 150/90.
30
00:01:30,211 --> 00:01:33,901
This boy needs to be stabilized
and put back on methadone...
31
00:01:34,120 --> 00:01:36,237
...until Administration and Legal
reviews the case.
32
00:01:36,408 --> 00:01:39,519
- What did you use to induce?
- Ketamine and Narcan.
33
00:01:39,735 --> 00:01:42,183
- Propofol's better.
- ER didn't have it.
34
00:01:42,396 --> 00:01:46,881
But we got it up here. D/C the
ketamine and three mgs of propofol.
35
00:01:47,055 --> 00:01:48,959
Then 150 mics per kilo per minute.
36
00:01:49,176 --> 00:01:50,831
You're continuing with this?
37
00:01:51,048 --> 00:01:53,200
The approach seems
medically reasonable.
38
00:01:53,377 --> 00:01:57,031
You cannot perform procedures
on children without permission.
39
00:01:57,204 --> 00:02:01,687
It seems in the best interest of the
child to complete what's been started.
40
00:02:01,903 --> 00:02:03,441
- Who's the follow-through?
- I am.
41
00:02:03,899 --> 00:02:06,514
I'm off work till tomorrow,
so I'll stay.
42
00:02:07,685 --> 00:02:09,671
Your actions are totally
irresponsible.
43
00:02:09,847 --> 00:02:13,124
You've broken every rule and
regulation we have in the ER.
44
00:02:13,341 --> 00:02:15,411
What happens here won't change that.
45
00:02:15,587 --> 00:02:18,698
I want him to have a shot at life.
I don't care about rules.
46
00:02:18,915 --> 00:02:22,487
I hope you also don't care about
being an ER Pediatric Attending.
47
00:02:22,699 --> 00:02:25,099
You've given up any chance of that.
48
00:03:19,296 --> 00:03:21,370
- Mark, 7:00.
- What?
49
00:03:21,714 --> 00:03:24,548
Seven o'clock. Rise and shine.
50
00:03:26,884 --> 00:03:29,374
Did you hear from the PICU
about that baby?
51
00:03:29,551 --> 00:03:32,220
Haleh just went off duty.
She didn't mention anything.
52
00:03:32,387 --> 00:03:34,379
Am I supposed to wake up Dr. Weaver?
53
00:03:34,597 --> 00:03:37,086
- She stayed too?
- Snoozing in Exam 4.
54
00:03:37,306 --> 00:03:38,634
Let her sleep.
55
00:03:38,848 --> 00:03:41,055
Come on, girls. Sweep, sweep, sweep!
56
00:03:41,267 --> 00:03:43,389
- Randi's in my way!
- I'm supposed to be here!
57
00:03:43,601 --> 00:03:45,557
- Curling?
- We were inspired by Nagano.
58
00:03:45,769 --> 00:03:48,640
Three years and nine months
left till Salt Lake City.
59
00:03:48,854 --> 00:03:50,977
These crazy white folk.
60
00:03:51,231 --> 00:03:53,139
You having a slumber party?
61
00:03:53,357 --> 00:03:55,598
No. Did you hear anything from Doug?
62
00:03:55,816 --> 00:03:58,271
No. Is that why you spent the night?
63
00:03:58,485 --> 00:04:01,650
I was nostalgic for my residency.
I thought Carol was here.
64
00:04:01,862 --> 00:04:03,735
She is. But she's on a break.
65
00:04:03,905 --> 00:04:06,062
There's no new patients,
why'd you wake me?
66
00:04:06,239 --> 00:04:09,109
- Haleh said 7:00.
- That was for Dr. Weaver.
67
00:04:09,325 --> 00:04:11,447
Forget it.
I'll just get some breakfast.
68
00:04:11,659 --> 00:04:15,073
Can you call Anspaugh
and find out his schedule?
69
00:04:15,286 --> 00:04:18,701
- I need a meeting with him soon.
- Okay.
70
00:04:19,289 --> 00:04:22,738
- You didn't answer me.
- No idea how they got their names.
71
00:04:22,916 --> 00:04:25,619
The drinks go down so smoothly
at the Velvet Lounge.
72
00:04:25,834 --> 00:04:29,201
- I wouldn't know that.
- That's what this is about.
73
00:04:29,420 --> 00:04:31,210
I was drinking and you weren't.
74
00:04:31,420 --> 00:04:34,253
- You know I don't drink.
- You think I drink too much.
75
00:04:34,421 --> 00:04:35,916
Damn it, we missed the 7: 10.
76
00:04:36,131 --> 00:04:39,000
We can get the next one and
cross over at Madison.
77
00:04:39,216 --> 00:04:43,592
No, I can't. I've gotta go to Carla's
and pick up Reece for daycare.
78
00:04:44,302 --> 00:04:46,461
You always like this
after a night out?
79
00:04:46,679 --> 00:04:49,383
What? We saw the whole show.
80
00:04:49,597 --> 00:04:51,589
We didn't need to stay
for another set.
81
00:04:51,806 --> 00:04:54,675
- I thought we were having a good time.
- We were.
82
00:04:54,891 --> 00:04:58,093
Until I made that song request.
The look on your face...
83
00:05:00,603 --> 00:05:04,764
There's some places that you go
to listen to the music, just listen.
84
00:05:04,980 --> 00:05:07,767
So it's not like the pub
where you can play darts...
85
00:05:07,941 --> 00:05:12,482
...nobody cares if you drink too much
or put something stupid on the jukebox.
86
00:05:12,694 --> 00:05:15,265
I'm saying in a place like that,
it wasn't cool.
87
00:05:15,486 --> 00:05:18,901
Well, if you ask me,
being cool seems somewhat limiting.
88
00:05:19,405 --> 00:05:20,436
You taking this one?
89
00:05:21,573 --> 00:05:24,573
Yes, I think I will.
I'll see you in there?
90
00:05:24,909 --> 00:05:26,947
- Yeah.
- Okay.
91
00:05:30,746 --> 00:05:33,698
Why didn't you wake me?
I have a meeting with Anspaugh.
92
00:05:33,913 --> 00:05:38,076
We woke up Dr. Greene by mistake.
We just got two bounce-back migraines.
93
00:05:38,292 --> 00:05:39,405
One's mine.
94
00:05:39,624 --> 00:05:42,376
A fractured clavicle, complaining
of coldness to his hand.
95
00:05:42,585 --> 00:05:45,621
A suicidal guy with intention marks
to his left wrist.
96
00:05:45,796 --> 00:05:47,372
Who else is on?
97
00:05:47,588 --> 00:05:49,745
Del Amico, Jeanie and Carter
are coming.
98
00:05:49,964 --> 00:05:53,960
In other words, they're late.
I'm the only one here. Why is that?
99
00:05:54,174 --> 00:05:56,843
Thank you, Lydia. I'll be right out.
100
00:05:59,220 --> 00:06:04,092
- I thought you might want a refill.
- I just got one. Thanks.
101
00:06:04,431 --> 00:06:08,474
- I hear it's supposed to rain.
- You want to talk about last night?
102
00:06:09,434 --> 00:06:13,430
- It's very serious what Doug did.
- You mean what we did, don't you?
103
00:06:14,228 --> 00:06:16,552
It's the nature of your job...
104
00:06:16,772 --> 00:06:20,020
...to assist a doctor when
they ask you.
105
00:06:20,232 --> 00:06:23,480
I was there because I wanted to be.
Not because Doug asked me.
106
00:06:23,650 --> 00:06:27,314
I'm sure you were. Doug can be
pretty passionate about these kids.
107
00:06:27,527 --> 00:06:29,650
Oh, give me a little credit, Mark.
108
00:06:29,862 --> 00:06:33,312
You think I'm a fresh-faced nursing
student under the doctor's spell?
109
00:06:33,822 --> 00:06:36,857
I'm only saying that Legal
and Administration...
110
00:06:37,075 --> 00:06:39,315
...are going over every
detail of this case.
111
00:06:39,534 --> 00:06:41,858
I'd hate to see it reflect
on your record.
112
00:06:42,076 --> 00:06:44,614
So you're saying I should fudge
my involvement?
113
00:06:44,830 --> 00:06:48,326
Tell the truth. Tell them
you were assisting a doctor.
114
00:06:48,497 --> 00:06:50,620
I insisted on being there because...
115
00:06:50,832 --> 00:06:53,832
...Doug was working in the best
interest of the patient.
116
00:06:54,042 --> 00:06:56,995
And that's my job.
Every bit as much as it is his.
117
00:06:57,712 --> 00:06:58,825
I gotta get back.
118
00:07:02,588 --> 00:07:04,628
We had our noses pressed on the glass.
119
00:07:04,840 --> 00:07:06,832
The tracks moved right beneath us.
120
00:07:07,050 --> 00:07:09,255
- You've never done that before?
- No.
121
00:07:09,467 --> 00:07:11,792
All you have to do is ask.
122
00:07:12,303 --> 00:07:13,333
- Hi.
- John.
123
00:07:13,553 --> 00:07:16,885
Have you ever ridden in the front car
of the El? With the driver?
124
00:07:17,096 --> 00:07:19,669
- I don't think so.
- Anna and Dr. Rosher just did.
125
00:07:19,848 --> 00:07:21,556
Max. Please. Max.
126
00:07:21,766 --> 00:07:23,473
Max. See you.
127
00:07:23,684 --> 00:07:25,475
- That sounds exciting.
- Yeah.
128
00:07:25,686 --> 00:07:27,807
Max just asked the guy if we could.
129
00:07:28,020 --> 00:07:30,591
- Pretty clever.
- Well, thank you, John.
130
00:07:30,813 --> 00:07:33,303
You'll give me that one.
But maybe not the next.
131
00:07:33,522 --> 00:07:36,192
I gotta go pry a kid's leg
out of a shopping cart.
132
00:07:36,400 --> 00:07:38,272
Call Maintenance.
Bolt cutters'll do it.
133
00:07:38,442 --> 00:07:39,473
Right.
134
00:07:39,694 --> 00:07:40,724
Does feel cold.
135
00:07:40,901 --> 00:07:43,523
That's what I'm saying.
It's the damnedest feeling.
136
00:07:43,737 --> 00:07:47,863
Nails are cyanotic, cap refill's poor
and he barely has a radial pulse.
137
00:07:48,030 --> 00:07:49,062
Doesn't sound good.
138
00:07:49,282 --> 00:07:53,574
I want to get an ultrasound and an
angiogram to rule out a blood clot...
139
00:07:53,784 --> 00:07:55,942
...which affects
blood flow to your hand.
140
00:07:56,160 --> 00:07:59,029
Whatever you need to do.
I've got great insurance.
141
00:07:59,204 --> 00:08:01,491
You get excellent care
here even without it.
142
00:08:01,705 --> 00:08:03,496
- Can I talk to you?
- Of course.
143
00:08:03,706 --> 00:08:06,706
Can you get consent from Mr. Wass
and schedule him?
144
00:08:06,875 --> 00:08:07,905
Okay.
145
00:08:08,125 --> 00:08:11,042
I have a call into Anspaugh's office
to talk about Doug.
146
00:08:11,212 --> 00:08:14,210
- I'm seeing him in a few minutes.
- We need to be involved.
147
00:08:14,421 --> 00:08:18,713
My meeting's about something that's
been on his calendar for a while.
148
00:08:18,923 --> 00:08:21,875
- I'll set up another for us two.
- Let me know the time.
149
00:08:22,092 --> 00:08:23,420
Don't worry, I will.
150
00:08:23,634 --> 00:08:27,417
Send home the rule-out appy in 3
with the diagnosis of constipation.
151
00:08:27,636 --> 00:08:29,545
Is there a good trauma on its way?
152
00:08:29,721 --> 00:08:32,804
No. But this letter came down
for you from Dr. Romano.
153
00:08:33,014 --> 00:08:35,138
He's a weird little dude, isn't he?
154
00:08:36,141 --> 00:08:39,923
- Did he drop this off himself?
- No. It was his secretary, I think.
155
00:08:40,227 --> 00:08:41,685
Where is he now, do you know?
156
00:08:41,895 --> 00:08:44,729
It's not my job to keep track
of stuff like that.
157
00:08:45,022 --> 00:08:48,935
On our way in he drank all of
his juice without spilling.
158
00:08:49,149 --> 00:08:50,180
Go play.
159
00:08:51,400 --> 00:08:52,563
There you go.
160
00:08:53,901 --> 00:08:56,817
Is he pretty responsive to you
these days?
161
00:08:57,028 --> 00:08:59,600
As responsive as a one-year-old
can be. Why?
162
00:08:59,821 --> 00:09:01,897
Sometimes it's hard
to get his attention.
163
00:09:02,114 --> 00:09:03,940
Have you had his hearing checked?
164
00:09:04,532 --> 00:09:06,323
- What?
- It's not a problem.
165
00:09:06,533 --> 00:09:08,241
Just things we notice.
166
00:09:08,869 --> 00:09:11,405
Reece. Reece. Come here, man.
167
00:09:11,620 --> 00:09:13,161
Come here. Come here.
168
00:09:13,371 --> 00:09:16,074
Oh. I know. I know.
169
00:09:16,289 --> 00:09:18,577
He seems pretty responsive to me.
170
00:09:19,249 --> 00:09:22,118
He probably gets distracted
by all the other kids.
171
00:09:23,876 --> 00:09:27,326
Listen, Carla's gonna pick him up
around 4, okay?
172
00:09:27,545 --> 00:09:30,249
Sure. That's fine, Dr. Benton.
173
00:09:31,131 --> 00:09:32,541
Who's hiding?
174
00:09:32,757 --> 00:09:33,919
Who's hiding?
175
00:09:34,133 --> 00:09:37,582
Hi, Reece.
Who are you playing with today, huh?
176
00:09:37,801 --> 00:09:40,256
I just feel so ridiculous.
177
00:09:40,720 --> 00:09:43,174
I never really meant to kill myself.
178
00:09:43,388 --> 00:09:45,213
So it wasn't just an accident?
179
00:09:48,223 --> 00:09:52,883
You see, my wife and I, we had
a fight, you know? And...
180
00:09:53,102 --> 00:09:56,266
So I went out to my workshop...
181
00:09:56,478 --> 00:10:00,391
...I brought a glass of
orange juice with me...
182
00:10:00,606 --> 00:10:02,644
...and I dropped the glass and...
183
00:10:02,857 --> 00:10:07,731
...when it broke, there was a shard
lying there and I just...
184
00:10:09,360 --> 00:10:11,234
I was just so angry.
185
00:10:11,445 --> 00:10:14,528
- So it was impulsive.
- It was stupid, is what it was.
186
00:10:14,739 --> 00:10:18,521
I worried my wife.
Although it's nice to know she cares.
187
00:10:19,908 --> 00:10:22,576
- This is Jeanie Boulet.
- I'm a Physician's Assistant.
188
00:10:22,784 --> 00:10:26,697
I'll suture up your cuts.
Shouldn't be more than a few stitches.
189
00:10:26,912 --> 00:10:29,237
A Psychiatric Resident
will speak to you.
190
00:10:29,455 --> 00:10:31,780
Oh, listen, I'm fine. Okay?
191
00:10:33,958 --> 00:10:36,791
This was just a mistake.
I really don't need that.
192
00:10:37,001 --> 00:10:40,083
We're sure it was. But it's
required in a case like this.
193
00:10:41,837 --> 00:10:43,035
Oh, man.
194
00:10:49,050 --> 00:10:50,211
Give it more time.
195
00:10:52,135 --> 00:10:53,925
Kerry.
196
00:10:54,594 --> 00:10:55,756
Hi.
197
00:10:57,137 --> 00:10:58,299
We're finishing up.
198
00:10:58,513 --> 00:11:02,130
Doug called an emergency meeting
to fill us in on Josh McNeal.
199
00:11:02,599 --> 00:11:03,630
I'm familiar with it.
200
00:11:03,851 --> 00:11:07,631
Because of the circumstances, I wanted
to bring everyone up to speed.
201
00:11:07,935 --> 00:11:10,852
Doug has admitted to
stepping over the line.
202
00:11:11,270 --> 00:11:13,843
But he prevented the baby
from going home.
203
00:11:14,064 --> 00:11:16,554
Anesthesia and Pediatrics
needed to be involved.
204
00:11:16,773 --> 00:11:19,180
And he needed to get
the mother's consent.
205
00:11:19,400 --> 00:11:22,400
He wouldn't have gotten it
if it meant losing her methadone.
206
00:11:22,610 --> 00:11:25,812
I knew Max was doing
a feasibility study on ER Pediatrics.
207
00:11:26,029 --> 00:11:27,985
I didn't want to jeopardize that.
208
00:11:28,155 --> 00:11:31,854
I think it's still the best thing
for County General.
209
00:11:32,073 --> 00:11:36,152
Doug, I don't want to minimize
the ramifications of this.
210
00:11:36,368 --> 00:11:39,036
- But thank you for coming forward.
- Sure.
211
00:11:39,244 --> 00:11:41,616
If you'll excuse me,
I want to get to PICU.
212
00:11:42,663 --> 00:11:44,490
Doug, thanks. We'll talk.
213
00:11:48,833 --> 00:11:52,911
Don, I don't think I need to tell you
that Doug's actions...
214
00:11:53,085 --> 00:11:56,001
...violated every policy we have
regarding patient care.
215
00:11:56,212 --> 00:11:59,911
I know. And there'll be
a full review and QA.
216
00:12:00,131 --> 00:12:03,629
It may not go so well for him.
But I must say...
217
00:12:03,842 --> 00:12:06,083
...he's certainly there
for his patients.
218
00:12:06,342 --> 00:12:08,466
I'm sorry this has eaten
into our time.
219
00:12:09,596 --> 00:12:12,215
What is it that you wanted to
talk to me about?
220
00:12:12,430 --> 00:12:16,804
Well, as you know, when David
Morgenstern had his Ml last fall...
221
00:12:17,015 --> 00:12:20,265
...I took over as Acting Chief
of Emergency Medicine.
222
00:12:20,517 --> 00:12:22,427
And you've done a fine job...
223
00:12:22,644 --> 00:12:26,770
...with the exception of that
little Ellis West/Synergix fiasco.
224
00:12:28,480 --> 00:12:32,690
With Dr. Morgenstern having resigned,
it seems appropriate for me...
225
00:12:32,858 --> 00:12:34,815
...to be Chief of ER.
226
00:12:35,026 --> 00:12:39,567
The department is running well, and we
owe you many thanks for your efforts.
227
00:12:39,779 --> 00:12:42,862
Well, I think everyone's
responded to my authority.
228
00:12:43,031 --> 00:12:45,355
So it's just a simple change
in title.
229
00:12:45,573 --> 00:12:48,692
I'm glad you'd like to be considered
for the position.
230
00:12:48,867 --> 00:12:52,697
We will be doing a national
search for the best candidate.
231
00:12:52,870 --> 00:12:54,991
But I'm happy you're throwing
your hat in the ring.
232
00:12:55,204 --> 00:12:59,366
- A national search?
- County policy, as I'm sure you know.
233
00:12:59,540 --> 00:13:01,366
Excuse me.
234
00:13:01,999 --> 00:13:04,245
Don Anspaugh.
235
00:13:10,108 --> 00:13:11,140
How's he doing?
236
00:13:11,360 --> 00:13:14,526
Pretty stable. Turned off
the propofol a half-hour ago.
237
00:13:14,738 --> 00:13:16,611
When's Doug gonna extubate?
238
00:13:16,823 --> 00:13:19,148
I figured I'd give him
a couple more minutes.
239
00:13:28,545 --> 00:13:29,575
Hey.
240
00:13:30,921 --> 00:13:33,247
I was in the middle of
a pretty decent dream.
241
00:13:33,632 --> 00:13:36,089
- Was I there?
- Big-time.
242
00:13:39,098 --> 00:13:40,721
Did I do the right thing?
243
00:13:42,851 --> 00:13:44,393
Yeah. You did.
244
00:13:44,685 --> 00:13:46,725
Even if we both get fired for it?
245
00:13:48,523 --> 00:13:50,930
That would just be icing on the cake.
246
00:13:56,364 --> 00:13:58,772
Kit, you ready to extubate him?
247
00:13:59,744 --> 00:14:02,067
He's breathing spontaneously.
248
00:14:03,330 --> 00:14:04,361
Vitals?
249
00:14:04,581 --> 00:14:09,160
Afebrile, BP's stable 90/70.
250
00:14:12,089 --> 00:14:13,335
Suction cath.
251
00:14:15,634 --> 00:14:17,093
Okay, buddy.
252
00:14:17,595 --> 00:14:19,219
Prove us right.
253
00:14:22,391 --> 00:14:23,554
Get ready to bag him.
254
00:14:23,768 --> 00:14:24,846
I'll do it.
255
00:14:30,317 --> 00:14:31,562
Here we go.
256
00:14:37,782 --> 00:14:38,813
Pulse ox?
257
00:14:38,992 --> 00:14:41,614
Holding steady. 98 percent.
258
00:14:42,911 --> 00:14:44,656
Do you think he's gonna make it?
259
00:14:46,166 --> 00:14:47,825
Too soon to tell.
260
00:14:50,796 --> 00:14:53,500
- Shirley, I'm looking for Dr. Romano.
- He's not here.
261
00:14:53,715 --> 00:14:56,041
- Do you have his schedule?
- He's not here.
262
00:14:56,259 --> 00:14:59,130
He went to some head-and-neck
conference in Costa Rica.
263
00:14:59,345 --> 00:15:02,217
- He doesn't do head-and-neck.
- Maybe he wants to learn.
264
00:15:02,433 --> 00:15:04,010
Maybe he's just playing golf.
265
00:15:04,226 --> 00:15:07,927
- So when's he due back?
- Teresa does the travel scheduling.
266
00:15:08,147 --> 00:15:09,890
Lovely. Where can I find her?
267
00:15:10,107 --> 00:15:12,860
Right here. Except she's on a break.
268
00:15:13,527 --> 00:15:15,567
I wanted to inform you on a patient.
269
00:15:15,780 --> 00:15:18,235
He's a 7-month-old boy,
addicted to heroin.
270
00:15:18,450 --> 00:15:20,607
- His mom stole his methadone.
- You know?
271
00:15:20,827 --> 00:15:23,698
Doug briefed us with your Chief
and some of the Pedes.
272
00:15:23,871 --> 00:15:25,069
There was a meeting?
273
00:15:25,289 --> 00:15:27,661
Kerry, I'm sure, can give you
the highlights.
274
00:15:27,875 --> 00:15:31,161
Anspaugh seemed calm. But, man,
if that had happened at CHoP...
275
00:15:31,379 --> 00:15:34,963
...Doug would've been fired.
Anyway, I gotta go to chart hell.
276
00:15:35,218 --> 00:15:36,711
- You seen Kerry?
- No. Sorry.
277
00:15:36,886 --> 00:15:39,887
We're concerned you get angry
in a self-destructive way.
278
00:15:40,055 --> 00:15:43,721
Look, I know I should handle
it better. Okay? And I will.
279
00:15:43,892 --> 00:15:46,893
But I really don't want to
stay overnight.
280
00:15:47,062 --> 00:15:49,636
I'm not a crazy person.
This was just stupid.
281
00:15:49,857 --> 00:15:52,561
I need to talk to you
for a minute, Dr. Meyers.
282
00:15:52,735 --> 00:15:53,980
Excuse us a moment.
283
00:15:55,196 --> 00:15:57,818
- He isn't staying?
- I don't have a reason to keep him.
284
00:15:58,032 --> 00:16:02,159
I pulled up his old records. He's
been here 3 times in the past year.
285
00:16:02,369 --> 00:16:04,410
Migraines, abdominal pain, back pain.
286
00:16:04,581 --> 00:16:07,250
- Think he's drug-seeking?
- He wants help.
287
00:16:07,459 --> 00:16:09,700
Depression is not grounds
for admission.
288
00:16:09,919 --> 00:16:12,374
- Hell, that'd be half the city.
- He's released?
289
00:16:12,588 --> 00:16:15,340
He's responsive, doesn't seem
suicidal or psychotic...
290
00:16:15,550 --> 00:16:18,042
...and he's willing to come in
for a follow-up.
291
00:16:18,261 --> 00:16:19,541
I wish we could do more.
292
00:16:19,763 --> 00:16:22,089
He's fighting with his wife,
job isn't good-
293
00:16:22,307 --> 00:16:24,347
I know; half the city.
294
00:16:24,602 --> 00:16:27,602
- Have you seen Dr. Weaver?
- Usually she's everywhere.
295
00:16:27,771 --> 00:16:30,856
Do you think it's too late
to reconsider my ER residency?
296
00:16:31,067 --> 00:16:32,726
Oh, you getting bored?
297
00:16:32,943 --> 00:16:35,814
Oh, I just cleaned out
an old guy's ears.
298
00:16:36,031 --> 00:16:38,782
And dislodging a 5-year-old
from a shopping cart-
299
00:16:38,992 --> 00:16:41,613
- Any unsickly patient is good.
- Stop complaining.
300
00:16:41,786 --> 00:16:46,330
- By 9:00, I'd been puked on twice.
- I also did two bowel disimpactions.
301
00:16:46,541 --> 00:16:49,033
Do you want to answer
the phones instead?
302
00:16:49,794 --> 00:16:52,581
Why don't you take
the coma patient in 4.
303
00:16:53,048 --> 00:16:55,503
- Paramedics have a double trauma.
- Double?
304
00:16:55,717 --> 00:16:58,469
Two Elvis impersonators crashed
into Lake Michigan. Cool.
305
00:16:58,679 --> 00:17:02,629
- Ooh. Maybe, Dr. Greene, I could...
- No, take the coma patient.
306
00:17:02,849 --> 00:17:04,012
Jeanie, Anna...
307
00:17:04,226 --> 00:17:06,633
...how about getting a handle
on the "Elvi. "
308
00:17:07,145 --> 00:17:09,637
We got your Over-the-Hill Elvis.
309
00:17:09,815 --> 00:17:13,516
Here's Junior Elvis. Parachuted out
of a plane to land on a pier.
310
00:17:13,736 --> 00:17:15,645
Lines got tangled. Lake landing.
311
00:17:15,862 --> 00:17:17,820
But he's up there picking his pimples.
312
00:17:18,031 --> 00:17:21,115
- Can't skydive to save his life.
- At least I can do Elvis.
313
00:17:21,326 --> 00:17:22,986
That's more than I can say
for you.
314
00:17:23,204 --> 00:17:25,742
I was doing Elvis before
you was even born.
315
00:17:25,957 --> 00:17:28,993
- I'll be doing him after you're dead.
- Shall we?
316
00:17:29,877 --> 00:17:34,754
You need anticoagulation therapy in
order to prevent any further clotting.
317
00:17:34,966 --> 00:17:36,875
- In the hospital?
- Not necessarily.
318
00:17:37,052 --> 00:17:39,340
There's a fairly new drug,
enoxaparin...
319
00:17:39,554 --> 00:17:42,887
...which you inject under the skin
in your abdomen twice a day.
320
00:17:43,057 --> 00:17:44,849
My wife could do that.
321
00:17:45,060 --> 00:17:47,550
You're an excellent candidate for it.
322
00:17:47,770 --> 00:17:50,309
Or you'd have to stay here
for a few days-
323
00:17:50,523 --> 00:17:53,228
I don't want to do that.
I'll take the drug.
324
00:17:53,401 --> 00:17:54,944
Okay, good.
325
00:17:55,153 --> 00:17:57,610
Kerry, I need to talk to you now.
326
00:17:57,824 --> 00:17:59,899
Sure. Nurse Jarvik will
discharge you.
327
00:18:00,409 --> 00:18:03,409
- Thanks.
- You're welcome. What do you got?
328
00:18:03,579 --> 00:18:06,995
Two jokers fell in the lake out
of an airplane or something.
329
00:18:07,208 --> 00:18:09,662
That Doug Ross meeting
happened this morning.
330
00:18:09,876 --> 00:18:12,914
- It sure did.
- I asked specifically to be notified.
331
00:18:13,131 --> 00:18:16,665
Mark, nobody told me either.
I just walked in on it.
332
00:18:16,884 --> 00:18:20,881
You could've mentioned it so I didn't
have to hear about it third-hand.
333
00:18:21,097 --> 00:18:23,884
- I had patients. Give the bullet.
- I already did.
334
00:18:24,058 --> 00:18:25,089
Give it again.
335
00:18:25,310 --> 00:18:29,011
- A Junior Elvis-
- Jeanie, we've got this. Help Anna.
336
00:18:29,273 --> 00:18:32,558
Tell that wanna-be his "Heartbreak
Hotel" sucks the big one.
337
00:18:32,776 --> 00:18:36,026
Oriented and alert.
Vitals normal. BP 120/70.
338
00:18:36,237 --> 00:18:37,435
Cap refill's fine.
339
00:18:37,656 --> 00:18:39,614
BP's high. 180/120.
340
00:18:39,826 --> 00:18:41,900
- Good luck.
- Better here than in there.
341
00:18:42,119 --> 00:18:44,610
Those two make the Elvises
sound like Boy Scouts.
342
00:18:49,836 --> 00:18:52,161
- Spin a crit and dip a urine.
- Want a Chem-7?
343
00:18:52,379 --> 00:18:53,459
Sure.
344
00:18:54,091 --> 00:18:57,873
- Why didn't they tell us?
- Why don't you ask your pal Doug?
345
00:18:58,093 --> 00:19:02,471
- Do you think there'll be an inquiry?
- Hopefully, Doug will let us know.
346
00:19:02,640 --> 00:19:05,724
Why're you angry at me?
I didn't detox a baby and hide it.
347
00:19:05,935 --> 00:19:08,391
But giving him an inch,
he gets away with a mile.
348
00:19:08,604 --> 00:19:11,310
- So this is my fault?
- It's not a question of fault.
349
00:19:11,483 --> 00:19:16,394
It's about style. You close your eyes
and hope things will disappear.
350
00:19:16,572 --> 00:19:17,602
Here.
351
00:19:17,823 --> 00:19:21,157
When I try to come down firmly,
you tell me to pull back...
352
00:19:21,327 --> 00:19:26,285
...you fight me and it'll disappear.
It's not disappearing this time, is it?
353
00:19:26,499 --> 00:19:28,490
It's not the time or place
to discuss this.
354
00:19:28,709 --> 00:19:31,165
Chuny, let's repeat a BP, please.
355
00:19:33,964 --> 00:19:37,333
- Mrs. Lang, this is Dr. Carter.
- How do you do, Mrs. Lang?
356
00:19:37,510 --> 00:19:39,751
I've just been going over your chart.
357
00:19:39,970 --> 00:19:43,422
- I see your husband has-
- I couldn't wake Bill up this morning.
358
00:19:43,640 --> 00:19:48,553
He was diagnosed 14 months ago
with brainstem glioblastoma.
359
00:19:48,772 --> 00:19:52,022
They tried to do radiation therapy.
But that didn't work.
360
00:19:52,233 --> 00:19:56,729
He's had some visual disturbances
and some paralysis.
361
00:19:56,947 --> 00:19:59,355
But we were not expecting this.
362
00:19:59,658 --> 00:20:01,484
We'll do everything that we can.
363
00:20:01,868 --> 00:20:04,027
Let's order an MRl with gadolinium.
364
00:20:04,204 --> 00:20:08,119
Get in a Neurosurgery consult and
the Oncology Fellow on call.
365
00:20:08,376 --> 00:20:11,044
I hope it's okay
that we opened the window.
366
00:20:11,252 --> 00:20:14,005
Bill, he just loves the smell
of the rain.
367
00:20:14,214 --> 00:20:15,792
That's fine, Mrs. Lang.
368
00:20:17,843 --> 00:20:20,050
Last time I complain about
kids in shopping carts.
369
00:20:20,221 --> 00:20:22,094
- What?
- Never mind.
370
00:20:23,558 --> 00:20:25,349
- Oh, hi, Adele.
- Hey, Carol.
371
00:20:25,559 --> 00:20:28,229
This is Vicki McNeal.
This is Josh McNeal's mother.
372
00:20:28,437 --> 00:20:30,395
Baby Josh, right.
373
00:20:30,607 --> 00:20:33,524
- Hi.
- She'd like to see her son.
374
00:20:33,735 --> 00:20:34,766
- Thanks.
- Dr. Benton.
375
00:20:34,986 --> 00:20:37,738
- Randi, an audiologist is gonna call.
- An "audi"- what?
376
00:20:37,905 --> 00:20:39,530
Hearing tests. Write it down.
377
00:20:39,741 --> 00:20:43,442
But we've got an MVA coming in.
A Mazda versus a milk truck.
378
00:20:43,661 --> 00:20:45,570
I'm just signing charts.
379
00:20:45,789 --> 00:20:50,451
But I can't find Dr. Corday. Upstairs
says she's checking out Costa Rica.
380
00:20:50,669 --> 00:20:53,241
- What?
- That's what I said. About the MVA?
381
00:20:53,463 --> 00:20:54,744
Oh, damn it.
382
00:20:56,299 --> 00:20:59,550
- Dumar, what do we have?
- Sam Wiser, 32. Head-on TC.
383
00:20:59,762 --> 00:21:02,088
Head, neck and abdominal trauma.
384
00:21:02,306 --> 00:21:06,054
- Did she ask about consent?
- I don't know what Adele told her.
385
00:21:07,770 --> 00:21:09,051
Ms. McNeal.
386
00:21:09,271 --> 00:21:11,063
Is he gonna be all right?
387
00:21:11,607 --> 00:21:15,142
Well, he's stable. His blood
pressure's holding steady.
388
00:21:15,361 --> 00:21:19,442
He's sleepy. But it's expected after
a prolonged sedation and intubation.
389
00:21:19,657 --> 00:21:20,736
Intubation?
390
00:21:20,908 --> 00:21:23,115
A tube down his throat
to help him breathe.
391
00:21:23,328 --> 00:21:25,119
He was asleep while they did it.
392
00:21:25,580 --> 00:21:28,451
I explained to Vicki about
the ultrarapid detox.
393
00:21:28,959 --> 00:21:31,117
How the drugs'll be out of his system.
394
00:21:31,294 --> 00:21:33,452
So he'll be able to sit up
like other kids.
395
00:21:33,672 --> 00:21:35,795
We believe he'll be able to catch up.
396
00:21:35,965 --> 00:21:38,883
The procedure went well.
We just have to wait and see.
397
00:21:41,388 --> 00:21:44,757
So what I wanted to know then,
Dr. Ross, is...
398
00:21:45,934 --> 00:21:48,768
...could you do the same thing for me?
399
00:21:58,368 --> 00:21:59,779
I'm gonna kill you!
400
00:21:59,995 --> 00:22:02,153
Why? You offered.
You get my patty melt?
401
00:22:02,371 --> 00:22:03,783
Yes, I got your patty melt.
402
00:22:03,998 --> 00:22:08,458
Hey, will you help this gentleman?
He's looking for Dr. Weaver.
403
00:22:08,669 --> 00:22:09,749
Sir?
404
00:22:10,630 --> 00:22:13,915
- Can I help you?
- Yes. I'm looking for Dr. Weaver.
405
00:22:14,133 --> 00:22:15,295
Dr. Weaver?
406
00:22:15,509 --> 00:22:19,886
- Mr. Wass, what are you doing back?
- I couldn't get the enoxaparin.
407
00:22:20,097 --> 00:22:23,097
It's $500.
My insurance won't cover it.
408
00:22:23,266 --> 00:22:26,885
They'll only cover something called
heparin or Coumadin.
409
00:22:27,104 --> 00:22:28,894
- Coumadin.
- I should be on that?
410
00:22:29,104 --> 00:22:33,102
You need to be hospitalized for those.
I'll call the insurance company.
411
00:22:33,317 --> 00:22:37,398
Can you get Mr. Wass' insurance
information and put a call in, please?
412
00:22:37,614 --> 00:22:41,445
Carol, you know, I had a meeting
with Dr. Anspaugh this morning.
413
00:22:41,659 --> 00:22:45,739
There will be an executive committee
review of the Josh McNeal case.
414
00:22:45,912 --> 00:22:46,944
Doug told me.
415
00:22:47,163 --> 00:22:50,781
It'd be in your best interest
to document your participation...
416
00:22:51,000 --> 00:22:52,578
...while it's still fresh.
417
00:22:52,795 --> 00:22:55,878
Oh, that experience isn't
going away anytime soon.
418
00:22:56,089 --> 00:22:58,758
You should hope neither you
nor Doug Ross is either.
419
00:22:58,967 --> 00:23:01,088
Dr. Weaver? Mr. Wass' insurance?
420
00:23:01,301 --> 00:23:02,583
Thank you.
421
00:23:02,970 --> 00:23:05,425
Yeah, Dr. Weaver. No. No, no, no.
422
00:23:05,639 --> 00:23:08,925
I don't want the claims department.
I need a medical supervisor.
423
00:23:09,352 --> 00:23:10,595
Mrs. Lang?
424
00:23:11,394 --> 00:23:13,886
MRl is backed up.
It'll be a little while longer.
425
00:23:14,105 --> 00:23:16,478
I've got Nurse Hathaway checking.
426
00:23:17,275 --> 00:23:19,648
He is gonna wake up, isn't he?
427
00:23:19,986 --> 00:23:21,859
His doctors thought we had longer.
428
00:23:22,071 --> 00:23:25,819
We really won't know anything until
we get those test results back.
429
00:23:26,992 --> 00:23:30,160
Is there a phone here?
I want to call my daughter.
430
00:23:30,371 --> 00:23:32,077
She's a freshman in college.
431
00:23:32,288 --> 00:23:34,578
Tulane Drama School.
432
00:23:34,791 --> 00:23:38,955
She didn't want to go because of
her dad. But Bill, he insisted.
433
00:23:39,170 --> 00:23:42,585
He said that it was enough that
his life was being put on hold.
434
00:23:42,798 --> 00:23:44,044
I don't know.
435
00:23:44,551 --> 00:23:46,460
Maybe we made a mistake.
436
00:23:52,516 --> 00:23:54,010
Looks like an avocado.
437
00:23:54,185 --> 00:23:55,347
Dr. Corday.
438
00:23:55,560 --> 00:23:56,890
Sorry I'm late.
439
00:23:59,523 --> 00:24:02,725
You were on trauma call when
Mr. Wiser was brought in.
440
00:24:02,942 --> 00:24:06,145
Dr. Benton was kind enough to cover
while I was away.
441
00:24:06,362 --> 00:24:08,189
You've reviewed the chart?
442
00:24:08,364 --> 00:24:11,863
- Avulsed gallbladder.
- Can I get some suction here, please?
443
00:24:14,328 --> 00:24:17,448
Let's say you find a significant
pancreatic injury.
444
00:24:17,665 --> 00:24:21,448
Crushed duodenum and common
bile duct. What are you going to do?
445
00:24:21,668 --> 00:24:23,707
A Whipple, which as you know...
446
00:24:23,878 --> 00:24:27,045
...I performed solo back in England
prior to my fellowship.
447
00:24:27,257 --> 00:24:28,965
Yes. I think I did know that.
448
00:24:29,175 --> 00:24:31,382
Speaking of fellowships,
can I ask you...
449
00:24:31,595 --> 00:24:34,713
...about the possibility of
sponsorship for next year.
450
00:24:34,889 --> 00:24:36,927
What about Dr. Romano?
451
00:24:37,140 --> 00:24:40,972
It seems Dr. Romano doesn't wish
to continue with me.
452
00:24:41,186 --> 00:24:42,301
What?
453
00:24:42,647 --> 00:24:44,057
He served me notice today.
454
00:24:44,231 --> 00:24:48,893
And he's unavailable at some head-
and-neck conference in Costa Rica.
455
00:24:49,069 --> 00:24:52,901
It's too late to arrange another
fellowship at County General.
456
00:24:53,073 --> 00:24:54,781
We're past application deadlines.
457
00:24:54,991 --> 00:24:57,659
I was hoping for individual
consideration...
458
00:24:57,868 --> 00:24:59,862
...since I've spent a year here.
459
00:25:00,080 --> 00:25:02,748
The committee always
seems to frown on that.
460
00:25:02,915 --> 00:25:06,497
- You really want to stay in the US?
- Very much so, yes.
461
00:25:06,710 --> 00:25:09,581
If it's staying in America,
you could marry an American.
462
00:25:10,631 --> 00:25:13,168
- Shirley.
- Sorry, Dr. Anspaugh.
463
00:25:13,592 --> 00:25:15,251
Your guidelines are wrong.
464
00:25:15,468 --> 00:25:20,130
He needs anticoagulation therapy.
And he doesn't need to be admitted.
465
00:25:20,348 --> 00:25:21,841
- Dr. Weaver.
- What is it?
466
00:25:22,057 --> 00:25:23,967
The renal failure guy's here.
467
00:25:24,185 --> 00:25:26,058
Okay. I'll be there when I can.
468
00:25:26,270 --> 00:25:30,731
You know, I would like to get your
name. Rufhauer? Rufhauer.
469
00:25:30,942 --> 00:25:35,401
Louis Palmieri, 84. End-stage renal
failure. Full cardiopulmonary arrest.
470
00:25:35,611 --> 00:25:38,696
His femoral dialysis catheter
had been disconnected.
471
00:25:38,906 --> 00:25:41,742
- Sheets were drenched with blood.
- Will he be okay?
472
00:25:41,952 --> 00:25:43,444
Would you stand back please?
473
00:25:43,661 --> 00:25:47,279
No pulse or heart sounds. Intubated.
Two amps epi, two of atropine.
474
00:25:47,457 --> 00:25:50,742
Reattached saline to the catheter,
two liters. That does it.
475
00:25:50,918 --> 00:25:51,950
- No pulse?
- No.
476
00:25:52,169 --> 00:25:55,205
Amp of bicarb and a high-dose epi,
five milligrams.
477
00:25:55,422 --> 00:25:58,707
- Please be okay, Louis, huh?
- No heart sounds. He's PEA.
478
00:25:58,925 --> 00:26:00,751
Spin a crit and four units O-neg.
479
00:26:00,969 --> 00:26:03,127
- Try a transthoracic pacemaker?
- Yes.
480
00:26:03,304 --> 00:26:04,715
- What?
- Getting his heart going.
481
00:26:06,015 --> 00:26:08,138
- Turn up the gain.
- You a relative?
482
00:26:08,559 --> 00:26:10,516
- Not exactly.
- It's not capturing.
483
00:26:10,728 --> 00:26:12,270
- You did come with him.
- Yeah.
484
00:26:12,480 --> 00:26:14,307
I drop by his house every week.
485
00:26:17,609 --> 00:26:21,476
Mrs. Lang? Your husband's
MRl results are done.
486
00:26:23,114 --> 00:26:25,985
The tumor is blocking his...
487
00:26:26,659 --> 00:26:29,411
It's a blockage that's increasing
intracranial pressure.
488
00:26:30,996 --> 00:26:33,749
- And that's causing the coma?
- Yes.
489
00:26:34,000 --> 00:26:35,494
So can it be unblocked?
490
00:26:35,667 --> 00:26:39,286
Yes. A neurosurgeon can perform
a ventriculostomy.
491
00:26:39,504 --> 00:26:41,876
So Bill could come out of this?
492
00:26:42,173 --> 00:26:43,454
He could.
493
00:26:46,344 --> 00:26:48,004
The outcome is problematic.
494
00:26:51,474 --> 00:26:53,680
Your husband would have
very little time.
495
00:26:54,519 --> 00:26:57,354
And it may cause him
a great deal of pain.
496
00:26:57,855 --> 00:27:00,428
He would most likely die
of respiratory failure.
497
00:27:00,650 --> 00:27:02,440
But Bill would wake up?
498
00:27:03,026 --> 00:27:06,229
I mean, I could talk to him again
and he could hear me?
499
00:27:06,446 --> 00:27:07,609
Yes.
500
00:27:09,533 --> 00:27:12,865
Or he could stay the way he is
now and die peacefully.
501
00:27:17,040 --> 00:27:19,874
- She wants to handle the funeral?
- He has no family.
502
00:27:20,043 --> 00:27:22,450
- What's her relationship?
- Friend.
503
00:27:22,878 --> 00:27:25,548
- She looks like a hooker.
- She is.
504
00:27:25,715 --> 00:27:28,040
She's been "attending" him
twice a week.
505
00:27:28,217 --> 00:27:31,134
- Did you say he had a Foley catheter?
- Yes.
506
00:27:31,344 --> 00:27:34,095
- Excuse me, Miss...?
- Myra.
507
00:27:34,305 --> 00:27:38,055
Miss Myra. I wonder if you could
tell me exactly what happened.
508
00:27:38,268 --> 00:27:43,013
I've been seeing Mr. Palmieri twice
a week for the past couple of years.
509
00:27:43,231 --> 00:27:47,560
It wasn't a lot of money. But then
I was only providing manual relief.
510
00:27:48,361 --> 00:27:51,646
But today my bracelet here got
caught on that little tube.
511
00:27:51,864 --> 00:27:53,986
When I pulled back, it popped out.
512
00:27:54,199 --> 00:27:57,069
The next thing I know is,
there's blood everywhere.
513
00:27:57,284 --> 00:28:00,120
- So I called 911 right away.
- I see.
514
00:28:00,330 --> 00:28:03,533
Dr. Weaver, some insurance company's
on the phone.
515
00:28:03,750 --> 00:28:05,907
I'll be right there. Excuse me.
516
00:28:07,086 --> 00:28:09,079
I say give her the body.
517
00:28:09,296 --> 00:28:12,582
You were here a little while ago
talking to Dr. Greene.
518
00:28:12,799 --> 00:28:13,879
Yeah.
519
00:28:14,051 --> 00:28:18,094
Have you seen a vial of Percocet?
I lost it around the drug lock-up.
520
00:28:18,304 --> 00:28:20,843
No, I haven't.
But I'll keep my eyes open.
521
00:28:22,100 --> 00:28:25,848
- there's always a pile of these.
Now I gotta pore over these.
522
00:28:26,062 --> 00:28:29,098
Went through the last two weeks.
You guys do a lot of kids.
523
00:28:29,273 --> 00:28:32,273
- Elizabeth.
- I haven't much time right now.
524
00:28:32,484 --> 00:28:35,770
- I'm trying to catch Langstaff.
- Langstaff?
525
00:28:35,947 --> 00:28:38,402
I've heard she isn't too keen
on her Fellow.
526
00:28:38,615 --> 00:28:41,190
Thinking of letting him go.
I want to get a word in.
527
00:28:41,410 --> 00:28:44,411
Well, shouldn't you wait to see
if she does let him go?
528
00:28:44,622 --> 00:28:46,946
I want to let her know I'm available.
529
00:28:47,124 --> 00:28:48,452
And desperate.
530
00:28:48,667 --> 00:28:49,911
Excuse me?
531
00:28:50,126 --> 00:28:53,625
I mean, asking Dr. Anspaugh
in the middle of an operation?
532
00:28:53,796 --> 00:28:57,379
- He didn't seem put off. Why're you?
- I'm not put off.
533
00:28:57,633 --> 00:29:02,212
If it's about me hanging you up,
I'm sorry. I appreciate you covering.
534
00:29:02,430 --> 00:29:03,923
I wasn't hung up. Yeah...
535
00:29:04,139 --> 00:29:08,137
...I would've appreciated a page
letting me know about Romano's letter.
536
00:29:09,185 --> 00:29:11,474
Look, I would have discussed it
with you.
537
00:29:11,688 --> 00:29:16,480
Romano was my first priority. That
bastard didn't even give me a reason.
538
00:29:16,650 --> 00:29:20,944
He's not required to. He sponsored
you. I mean, it's his call.
539
00:29:21,697 --> 00:29:23,441
You're taking this in stride.
540
00:29:23,782 --> 00:29:26,320
It's not necessarily about you.
541
00:29:26,535 --> 00:29:28,362
It's very much about me.
542
00:29:28,579 --> 00:29:30,950
You don't know how hard
I worked to get here.
543
00:29:31,164 --> 00:29:34,498
- I do know what it takes.
- Then why aren't you being supportive?
544
00:29:34,710 --> 00:29:36,417
You're doing it the wrong way.
545
00:29:36,627 --> 00:29:39,748
You're running all over, asking
every surgeon to sponsor you.
546
00:29:39,964 --> 00:29:41,292
So, what do you suggest?
547
00:29:41,924 --> 00:29:45,257
You haven't checked out other
hospitals, other parts of the country.
548
00:29:46,512 --> 00:29:49,347
I've built up relationships here.
Or so I thought.
549
00:29:50,058 --> 00:29:52,512
I'm not saying I want you
to leave Chicago.
550
00:29:52,684 --> 00:29:55,685
No. But you're not passionate
about my fight to stay.
551
00:29:55,896 --> 00:29:58,101
- Whatever goes on between us-
- Peter.
552
00:29:58,355 --> 00:30:01,109
You ready to scrub on
that small bowel infarction?
553
00:30:01,277 --> 00:30:02,307
Yes, sir.
554
00:30:11,536 --> 00:30:15,200
Please let me finish. You understand
that admitting the patient-
555
00:30:15,371 --> 00:30:17,365
- I need you to sign.
- I'm not working.
556
00:30:17,582 --> 00:30:20,287
- These are from yesterday.
- I'm not working.
557
00:30:20,502 --> 00:30:22,375
Josh McNeal is doing much better.
558
00:30:22,587 --> 00:30:24,544
You didn't tell me about the meeting-
559
00:30:24,756 --> 00:30:28,207
No! I mean, your policy
is not sound, Dr. Stork.
560
00:30:28,384 --> 00:30:32,299
It's obscene. I mean, you're
spending 10,000 to save 500!
561
00:30:32,721 --> 00:30:36,386
Then so be it! I will admit
Mr. Wass to this hospital!
562
00:30:36,600 --> 00:30:40,644
And I look forward to billing you for
every damn dime we can possibly spend!
563
00:30:40,854 --> 00:30:43,142
- Admit Mr. Wass.
- Want me to call them?
564
00:30:43,356 --> 00:30:45,812
- That'll help.
- I don't know what helps anymore.
565
00:30:46,026 --> 00:30:48,564
- I don't care. Because I quit.
- What?
566
00:30:48,779 --> 00:30:52,526
I quit as Acting Chief of Emergency.
Let somebody else "act. "
567
00:30:52,699 --> 00:30:53,729
Wait.
568
00:30:53,950 --> 00:30:57,235
Why am I the only idiot
who's worrying about policy?
569
00:30:57,411 --> 00:31:01,574
Doug's got the right idea. Break
the rules if it helps the patient.
570
00:31:01,749 --> 00:31:05,247
Everything else be damned! Where do I
get by trying to follow them?
571
00:31:05,459 --> 00:31:07,417
- Look, Kerry, wait.
- No!
572
00:31:07,754 --> 00:31:10,505
- If anybody needs me, I'm outside.
- Cool.
573
00:31:19,390 --> 00:31:20,422
Hey.
574
00:31:20,642 --> 00:31:22,882
- Hey, Carter.
- Getting some air?
575
00:31:23,102 --> 00:31:26,934
- Yeah. I need it after my last case.
- Yeah. Me too.
576
00:31:31,441 --> 00:31:33,768
I was just talking to Lydia Wright.
577
00:31:33,987 --> 00:31:36,145
And she mentioned to me...
578
00:31:36,365 --> 00:31:39,614
...that some Percocet's been
missing from the drug lock-up.
579
00:31:40,535 --> 00:31:43,488
- That's low, Carter.
- Hey, I'm not accusing anybody.
580
00:31:43,704 --> 00:31:45,863
You're my friend.
I want you to know.
581
00:31:46,081 --> 00:31:47,279
Well, Max is clean.
582
00:31:47,791 --> 00:31:50,709
- Well, maybe he is. But-
- But what?
583
00:31:51,129 --> 00:31:53,119
That's what Chase used to say to me.
584
00:31:55,090 --> 00:31:56,635
I gotta get back.
585
00:32:04,386 --> 00:32:06,758
Vitals are stable. The boy's alert.
586
00:32:06,972 --> 00:32:08,965
You got your next journal article.
587
00:32:09,182 --> 00:32:13,262
Right after they draw and quarter me
in front of the committee. Thank you.
588
00:32:13,478 --> 00:32:16,230
We don't always get results
this good up here.
589
00:32:16,440 --> 00:32:18,729
I'm going to go check
on the Yezerski kid.
590
00:32:19,650 --> 00:32:21,691
What will happen? Back to his mother?
591
00:32:21,904 --> 00:32:24,858
Who knows? I gave her a list
of names of doctors...
592
00:32:25,074 --> 00:32:27,611
...who do ultrarapid detox on adults.
593
00:32:27,826 --> 00:32:30,992
But it doesn't change
the psychological addiction.
594
00:32:31,204 --> 00:32:32,996
At least she's trying.
595
00:32:33,582 --> 00:32:34,862
Come on, buddy.
596
00:32:36,418 --> 00:32:40,285
- I was just coming to look for you.
- You knocking off already?
597
00:32:40,505 --> 00:32:44,004
Going to St. Mark's to see how
their unit's doing. When you off?
598
00:32:44,175 --> 00:32:47,259
- Seven.
- Want to get dinner at Johnny D's?
599
00:32:47,428 --> 00:32:48,757
Yeah, sure.
600
00:32:49,347 --> 00:32:52,099
Feeling good about getting through
those charts?
601
00:32:52,434 --> 00:32:56,099
Yeah, it'll be a week or two
before I can get a report out.
602
00:32:56,396 --> 00:32:58,851
If you can stand to have me
around that long.
603
00:32:59,065 --> 00:33:00,726
What's your recommendation?
604
00:33:00,943 --> 00:33:05,271
What happens when I recommend
in favor of an ER Pedes Department is...
605
00:33:06,072 --> 00:33:07,531
...they ask me to run it.
606
00:33:08,282 --> 00:33:13,075
I've always said no. But this time
I could be convinced to say yes.
607
00:33:14,914 --> 00:33:17,584
- You mean stay in Chicago?
- Only if you want me to.
608
00:33:18,710 --> 00:33:22,328
Wow. I hadn't really
thought that far ahead.
609
00:33:31,848 --> 00:33:33,888
Heard some Percocet was missing.
610
00:33:34,768 --> 00:33:36,475
Yeah. I heard that too.
611
00:33:37,562 --> 00:33:38,973
I didn't take it.
612
00:33:39,480 --> 00:33:41,224
I didn't suspect that you did.
613
00:33:42,192 --> 00:33:44,148
You'd be crazy not to.
614
00:33:46,363 --> 00:33:48,984
I didn't want to suspect
that you did, anyway.
615
00:33:50,200 --> 00:33:52,276
Don't feel bad about it.
616
00:33:55,664 --> 00:33:58,784
I know I've used up all
my free passes with you.
617
00:33:59,000 --> 00:34:00,743
But I'm telling you the truth.
618
00:34:02,462 --> 00:34:04,371
And I'm willing to prove it.
619
00:34:05,883 --> 00:34:07,341
Every day.
620
00:34:09,011 --> 00:34:11,169
It's not that I don't believe you.
621
00:34:11,346 --> 00:34:13,089
- It's just-
- Anna?
622
00:34:13,681 --> 00:34:16,802
- Labs are back on that Ml.
- Thanks. I'll be right there.
623
00:34:18,686 --> 00:34:22,934
All right, go. Be a doctor.
I'll call you later.
624
00:34:24,609 --> 00:34:25,640
Sure.
625
00:34:28,405 --> 00:34:29,983
Where's Mr. and Mrs. Lang?
626
00:34:30,199 --> 00:34:32,605
Mark signed a transfer
to White Memorial.
627
00:34:32,826 --> 00:34:35,447
- Why White Memorial?
- Maybe his doctor's there.
628
00:34:35,662 --> 00:34:38,532
- Will they do the ventriculostomy?
- She didn't say.
629
00:34:38,748 --> 00:34:41,321
Did you tell her
there wasn't much they could do?
630
00:34:41,542 --> 00:34:43,915
Just would've liked to know
what she chose.
631
00:34:44,129 --> 00:34:46,204
- Why?
- Why?
632
00:34:47,299 --> 00:34:50,548
I don't know.
Just seems unsettled. Unfinished.
633
00:34:50,760 --> 00:34:53,382
We never know about people
when they leave.
634
00:34:55,723 --> 00:34:57,930
You haven't seen Anna around,
have you?
635
00:34:58,101 --> 00:34:59,132
No.
636
00:35:01,146 --> 00:35:02,770
- There it goes again.
- What?
637
00:35:02,981 --> 00:35:07,025
That car alarm. It keeps starting up
and shutting off, and starting up.
638
00:35:07,235 --> 00:35:09,310
- Annoying.
- It's in the ambulance bay.
639
00:35:09,528 --> 00:35:12,364
I called Security.
But who knows where they ever are?
640
00:35:12,573 --> 00:35:16,322
Mark, Kerry, this is the action
report on Josh McNeal.
641
00:35:16,535 --> 00:35:18,328
Like maybe why you lied to me?
642
00:35:18,539 --> 00:35:21,575
- You didn't understand.
- You didn't give me a chance.
643
00:35:21,792 --> 00:35:24,163
Take it outside. We got work to do.
644
00:35:24,377 --> 00:35:28,873
If you're no longer Acting Chief,
who do I give these budget reviews to?
645
00:35:29,048 --> 00:35:30,079
I'll take them.
646
00:35:30,258 --> 00:35:32,215
This kid was more important.
647
00:35:32,427 --> 00:35:34,254
You always have a patient excuse.
648
00:35:34,470 --> 00:35:36,095
I'm willing to go out on a limb.
649
00:35:36,306 --> 00:35:39,924
You took the whole tree with you.
I was trying to support you.
650
00:35:40,142 --> 00:35:43,559
To be the Pedes Attending?
You weren't going to support me.
651
00:35:43,771 --> 00:35:46,809
We'll never know now, because
you did what you always do.
652
00:35:47,024 --> 00:35:50,440
When you're about to get what
you want, you sabotage it.
653
00:35:50,653 --> 00:35:54,781
- Is that what you're so angry about?
- I'm not angry. I'm disappointed.
654
00:35:54,949 --> 00:35:59,611
You like that. It validates that
you're the adult and I'm the screw-up.
655
00:35:59,788 --> 00:36:01,447
You never wanted to grow up.
656
00:36:01,665 --> 00:36:04,701
You like it this way.
We hang out, but you're the boss.
657
00:36:04,917 --> 00:36:06,792
For good reason,
based on your actions.
658
00:36:06,962 --> 00:36:09,666
Based on your inability
to see me as an equal, Mark.
659
00:36:09,881 --> 00:36:12,454
- Bad enough Kerry stepped up.
- I support her.
660
00:36:12,675 --> 00:36:15,213
On the surface.
Underneath, you resented her.
661
00:36:15,428 --> 00:36:17,468
Like you resent what I did with Josh.
662
00:36:17,639 --> 00:36:19,797
Where's Mark? He needs to sign this.
663
00:36:20,016 --> 00:36:23,052
He and Dr. Ross are outside "sharing. "
664
00:36:26,523 --> 00:36:29,274
Mr. Nable? What are you doing here?
665
00:36:29,776 --> 00:36:32,480
Mr. Nable, are you hurt?
Are you okay?
666
00:36:32,653 --> 00:36:34,860
Come on. Come with me. Come on.
667
00:36:37,158 --> 00:36:38,652
I'm so sorry.
668
00:36:39,284 --> 00:36:41,409
Where's all this blood from,
Mr. Nable?
669
00:36:41,621 --> 00:36:43,828
Come this way.
I'm gonna check you over.
670
00:36:44,040 --> 00:36:45,997
You just sit down right here.
671
00:36:50,088 --> 00:36:53,788
That's my car. The alarm's always
doing that. I don't know why.
672
00:36:54,009 --> 00:36:58,172
You drove here? We'll get someone
to turn that alarm off for you.
673
00:36:58,346 --> 00:36:59,970
Do you have a remote button?
674
00:37:01,808 --> 00:37:03,515
Oh, God.
675
00:37:03,684 --> 00:37:05,926
- There weren't enough bullets.
- All right.
676
00:37:07,146 --> 00:37:10,016
Jeanie, stay with Mr. Nable.
Just be careful.
677
00:37:10,232 --> 00:37:11,941
- Stick this somewhere.
- Cripes.
678
00:37:12,151 --> 00:37:14,191
And call Security to help Jeanie.
679
00:37:14,403 --> 00:37:16,444
Doug, Mark, come on! The car!
680
00:37:18,825 --> 00:37:20,366
Come on!
681
00:37:24,121 --> 00:37:25,153
- What is it?
- Locked.
682
00:37:25,372 --> 00:37:28,290
- Who's in here?
- Can you see anyone?
683
00:37:28,500 --> 00:37:30,872
- I can't see.
- Something's in the back seat.
684
00:37:31,879 --> 00:37:34,370
- It's two kids!
- I'll break a window!
685
00:37:41,305 --> 00:37:43,927
Woman in the front,
two kids in the back!
686
00:37:44,141 --> 00:37:46,348
Hit the latch!
The door won't open!
687
00:37:48,688 --> 00:37:50,645
Got it! Jerry!
688
00:37:51,108 --> 00:37:56,065
Get us three gurneys, backboards,
and head collars! Get some help too!
689
00:37:56,279 --> 00:38:00,359
I got a 40-year-old woman.
Gunshot wound to the left neck.
690
00:38:00,574 --> 00:38:02,899
Weak carotid pulse!
She's barely breathing!
691
00:38:03,119 --> 00:38:06,036
13-year-old.
Looks like a GSW to the abdomen.
692
00:38:06,247 --> 00:38:07,907
- What's going on?
- Ambulance bay.
693
00:38:08,124 --> 00:38:10,532
- Get those out there.
- I got the flashlight.
694
00:38:10,751 --> 00:38:12,993
- Everyone use blood precaution!
- What is it?
695
00:38:13,212 --> 00:38:15,667
Get outside and help.
Lydia, call for O-neg.
696
00:38:15,881 --> 00:38:16,996
- How much?
-15 units.
697
00:38:17,216 --> 00:38:19,754
- Close us to Trauma, page Surgery.
- Kerry.
698
00:38:19,927 --> 00:38:21,505
- Wait.
- No. This is the guy.
699
00:38:21,721 --> 00:38:24,473
- What guy?
- What happened outside. Mr. Nable...
700
00:38:24,683 --> 00:38:26,425
Okay. Call Security now.
701
00:38:26,642 --> 00:38:29,559
Move him to Curtain 3.
Post someone at the door. Yosh?
702
00:38:30,062 --> 00:38:32,020
Help Jeanie with this man.
703
00:38:32,232 --> 00:38:35,149
- Jerry, push the gurney closer!
- C-collar's secure!
704
00:38:35,360 --> 00:38:38,064
- Anything else I can do?
- Yes! Help lift her!
705
00:38:38,279 --> 00:38:39,359
Watch her head!
706
00:38:39,573 --> 00:38:41,779
- Gently! Gently!
- All right, we got her!
707
00:38:41,991 --> 00:38:45,276
- Get her legs. I'll support her neck.
- I'm underneath her.
708
00:38:45,453 --> 00:38:47,778
- Supports are in!
- Mommy! Where's my mommy?!
709
00:38:47,997 --> 00:38:50,404
- It's okay, honey!
- Slide her out really slow!
710
00:38:50,582 --> 00:38:51,614
Get this side!
711
00:38:51,834 --> 00:38:53,245
- Got it!
- Weak carotid pulse.
712
00:38:53,461 --> 00:38:57,292
Flat neck veins. Decent respiratory
effort. Trachea midline.
713
00:38:57,465 --> 00:39:00,086
- I got the backboard!
- We'll roll him. Roll him.
714
00:39:00,301 --> 00:39:01,581
- Nice and easy.
- Slide it.
715
00:39:01,802 --> 00:39:03,712
Let's move him back.
716
00:39:03,929 --> 00:39:06,599
Malik! Give me a hand!
Top of the board!
717
00:39:06,808 --> 00:39:07,921
On my count. One!
718
00:39:08,100 --> 00:39:09,132
- Go!
- Two!
719
00:39:09,310 --> 00:39:10,425
Three.
720
00:39:10,729 --> 00:39:11,759
Three.
721
00:39:11,979 --> 00:39:13,307
- Start a line.
- Which one?
722
00:39:13,523 --> 00:39:14,720
Little girl.
723
00:39:16,317 --> 00:39:20,149
Good breath sounds on the left.
A few crackles at the right base.
724
00:39:20,362 --> 00:39:24,988
I'm Dr. Weaver. We'll take good care
of you. What's your name, sweetie?
725
00:39:25,200 --> 00:39:26,446
Amy.
726
00:39:27,287 --> 00:39:30,821
CBC, Chem-20, two lines saline
wide open. Cross for eight.
727
00:39:31,040 --> 00:39:33,958
Not moving much air.
I gotta tube him. 6.5!
728
00:39:34,127 --> 00:39:36,083
- Pulse 120.
- BP's 70/50.
729
00:39:36,253 --> 00:39:37,285
- Suction.
- Got it!
730
00:39:37,464 --> 00:39:40,464
- Need O-negative on the rapid infuser.
- I'll get it.
731
00:39:42,300 --> 00:39:45,256
- What's going on?
- Guy shot his wife and two kids.
732
00:39:45,470 --> 00:39:46,965
Oh, man!
733
00:39:47,306 --> 00:39:49,133
- Damn!
- We're going to help you.
734
00:39:49,307 --> 00:39:53,388
Doctors are helping your kids. We'll
tell you as soon as we know anything.
735
00:39:53,604 --> 00:39:56,640
- Elizabeth?
- Intubated. Had a respiratory arrest.
736
00:39:56,857 --> 00:39:58,316
- Where's the wound?
- Neck.
737
00:39:58,485 --> 00:40:00,144
BP's 80 palp.
738
00:40:00,360 --> 00:40:04,061
Start dopamine. Ten mics per kilo
per minute. High-dose Solu-Medrol.
739
00:40:04,281 --> 00:40:07,864
- How much?
-50 mgs per kilo over 20 minutes.
740
00:40:08,077 --> 00:40:10,153
Then five per kilo per hour.
741
00:40:10,328 --> 00:40:13,780
Send pre-op labs. We need X-ray
in here for a portable C-spine.
742
00:40:13,999 --> 00:40:16,869
Dr. Benton, a Jackson Kroopf's
on the phone for you.
743
00:40:17,086 --> 00:40:19,292
- Who?
- Something about a hearing test.
744
00:40:19,506 --> 00:40:22,340
- I'll call him back.
- Carotid's okay, what about yours?
745
00:40:22,508 --> 00:40:26,506
Strong. It missed the major vessels.
Any sub-q air on your side?
746
00:40:26,680 --> 00:40:30,178
No. Tube went straight in.
Trachea's intact. What's her name?
747
00:40:30,349 --> 00:40:32,176
Husband's name is Nable.
748
00:40:32,351 --> 00:40:33,680
Mrs. Nable...
749
00:40:33,852 --> 00:40:35,477
...can you squeeze my hand?
750
00:40:36,939 --> 00:40:39,264
That was good. Try again.
751
00:40:40,859 --> 00:40:44,026
- X-ray's here. Where's Mark?
- Next door.
752
00:40:46,950 --> 00:40:49,487
The police are here.
Mr. Nable needs to be cleared.
753
00:40:49,660 --> 00:40:50,692
In a minute.
754
00:40:50,912 --> 00:40:53,533
Can you find out this boy's name?
Be nice to know.
755
00:40:53,706 --> 00:40:56,031
Chest tube, 28 French. Thora-Seal.
756
00:40:56,250 --> 00:40:58,954
- Two more units on the infuser.
- Getting hard to bag.
757
00:40:59,169 --> 00:41:02,253
- Yeah. Poor air entry on the left.
- Lost the pulse.
758
00:41:02,464 --> 00:41:05,251
- Asystole.
- Start compressions.
759
00:41:06,885 --> 00:41:08,759
- Not feeling a pulse.
- Bleeding out.
760
00:41:08,970 --> 00:41:10,880
Get a central line kit. Crack him.
761
00:41:11,099 --> 00:41:13,470
Thoracotomy tray. Get me a 10 blade.
762
00:41:21,025 --> 00:41:24,228
- We need to know your son's name.
- Is he gonna be all right?
763
00:41:24,403 --> 00:41:26,229
They're working on him right now.
764
00:41:27,364 --> 00:41:29,403
I turned the gun...
765
00:41:30,909 --> 00:41:32,985
There weren't anymore bullets.
766
00:41:35,748 --> 00:41:38,286
- I need a chest tube.
- What are you doing?
767
00:41:38,501 --> 00:41:39,875
There's a hemopneumo.
768
00:41:40,085 --> 00:41:43,953
Wound's in the seventh intercostal
space. It may be intra-abdominal.
769
00:41:44,172 --> 00:41:46,746
- May not need chest tube.
- Exam indicates hemopneumo.
770
00:41:46,925 --> 00:41:49,761
She's stable.
Lydia, let's get an x-ray.
771
00:41:49,928 --> 00:41:51,637
I don't think she's too stable.
772
00:41:51,847 --> 00:41:54,765
- Does it hurt anywhere else?
- Take my hand, sweetheart.
773
00:41:54,934 --> 00:41:58,267
- Are my mom and my brother okay?
- They're taking care of them.
774
00:41:58,437 --> 00:42:01,556
I thought we'd drive here and
everything would be okay.
775
00:42:01,774 --> 00:42:04,774
- I know.
- Why did my daddy have a gun?
776
00:42:04,943 --> 00:42:08,526
My mom said we'd go with him
if he came here to talk to somebody.
777
00:42:08,739 --> 00:42:09,854
It's okay.
778
00:42:10,074 --> 00:42:12,445
I thought we'd just talk to somebody.
779
00:42:17,748 --> 00:42:19,824
- Prime the lines.
- Satinsky. Suction.
780
00:42:20,043 --> 00:42:21,072
I'll do it.
781
00:42:21,251 --> 00:42:22,283
What do you have?
782
00:42:22,502 --> 00:42:25,207
A hole in the heart.
Right ventricle.
783
00:42:25,422 --> 00:42:28,957
Keep your finger on it.
Line's in. Hook it up.
784
00:42:29,134 --> 00:42:31,542
2-0 silk on an atraumatic needle.
785
00:42:31,762 --> 00:42:34,335
- Rapid infuser ready.
- I'll occlude, you sew.
786
00:42:34,557 --> 00:42:37,130
Hold compression.
Put your finger on the defect.
787
00:42:37,309 --> 00:42:39,847
Don't stick me.
Chuny, we need more blood.
788
00:42:40,062 --> 00:42:41,686
Okay. Hold this.
789
00:42:44,150 --> 00:42:45,477
- How is she?
- She'll make it.
790
00:42:45,692 --> 00:42:48,812
But her spinal cord is injured.
Taking her to CT now.
791
00:42:49,029 --> 00:42:51,319
- All right, let's move.
- Keep me apprised.
792
00:42:51,490 --> 00:42:53,483
- Did you call the O.R.?
- Waiting for us.
793
00:42:53,701 --> 00:42:55,325
You're gonna be okay, Amy.
794
00:42:55,535 --> 00:42:59,580
We're going to surgery.
We'll let you know how your family is.
795
00:42:59,790 --> 00:43:02,410
Tell the surgeon to call us
when he knows anything.
796
00:43:02,625 --> 00:43:04,619
- How's the boy?
- Still working on him.
797
00:43:07,715 --> 00:43:09,707
- Let's call that Psych Resident.
- I did.
798
00:43:09,925 --> 00:43:11,834
- He's coming back in.
- Great.
799
00:43:12,011 --> 00:43:15,794
She was gonna take
Amy and Steven with her.
800
00:43:17,057 --> 00:43:18,848
I couldn't let her do that.
801
00:43:20,644 --> 00:43:23,017
He's in V-fib. Internal paddles.
802
00:43:23,230 --> 00:43:25,056
- What do you need?
- Charge to 15.
803
00:43:25,274 --> 00:43:27,231
- Heart's failing.
- Epi's onboard.
804
00:43:27,442 --> 00:43:29,685
- Charging.
- Clear.
805
00:43:29,862 --> 00:43:31,107
Still V-fib.
806
00:43:31,321 --> 00:43:32,436
Again.
807
00:43:33,199 --> 00:43:35,025
- Clear.
- Clear.
808
00:43:35,325 --> 00:43:36,702
- Still in fib.
- Charge to 30.
809
00:43:36,910 --> 00:43:39,282
Carol, intracardiac calcium.
810
00:43:39,496 --> 00:43:41,240
- Clear!
- Clear.
811
00:43:41,832 --> 00:43:43,207
He's got a rhythm.
812
00:43:43,417 --> 00:43:45,041
Suture's still holding.
813
00:43:45,210 --> 00:43:47,333
Strong carotid pulse.
His name's Steven.
814
00:43:49,215 --> 00:43:52,999
Call the blood bank. Have them
send up eight units to the O.R.
815
00:43:53,218 --> 00:43:55,887
- I got it.
- Grab those lines. Help me bag him.
816
00:43:56,388 --> 00:43:58,629
Stat page the Thoracic surgeon.
817
00:43:58,848 --> 00:44:02,099
Chuny, call the O.R.
Tell them that we're on our way.
818
00:44:02,394 --> 00:44:04,683
Carol, lidocaine, 1.5 mgs
per kilogram bolus.
819
00:44:04,896 --> 00:44:07,566
- Put him on two mg per kilogram drip.
- Got it.
820
00:44:07,733 --> 00:44:11,398
Malik, get me a gram of Ancef.
And call for platelets and FFP.
821
00:44:11,611 --> 00:44:14,648
- BP's 80 palp.
- Tell Security to hold the elevator.
822
00:44:14,866 --> 00:44:17,154
Secure subclavian and
attach CO-2 monitor.
823
00:44:17,368 --> 00:44:19,905
Bag him at 24 a minute.
He's probably acidotic.
824
00:44:20,120 --> 00:44:23,133
Everybody ready?
All right, let's get him up.
67325
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