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1
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E. R.
2
00:00:06,070 --> 00:00:07,166
Previously on E.R.
3
00:00:07,167 --> 00:00:09,742
Congratulations, Mr. Nathan,
you�re on call tomorrow night.
4
00:00:09,743 --> 00:00:11,190
Thirty-two hours straight.
5
00:00:11,291 --> 00:00:12,951
Labs on your baby.
6
00:00:14,494 --> 00:00:15,968
You two need to figure this out.
7
00:00:16,069 --> 00:00:18,609
- I was gonna call first, but Jody got sick.
- Who's Jody?
8
00:00:18,710 --> 00:00:21,393
You show up with this girl
who's barely out of her teens.
9
00:00:21,394 --> 00:00:24,391
- Aren't you due back at the base?
- Not for a couple weeks.
10
00:00:24,492 --> 00:00:25,949
A couple weeks?
11
00:00:26,890 --> 00:00:29,809
E. R. 9x07 "TELL ME WHERE IT HURTS"
12
00:00:33,652 --> 00:00:36,145
There it is. I can see his heartbeat.
13
00:00:37,284 --> 00:00:39,325
You can tell it's a boy?
Because I can't.
14
00:00:39,496 --> 00:00:43,996
No, it's just a figure of speech.
15
00:00:44,171 --> 00:00:46,332
Just a pronoun.
16
00:00:46,718 --> 00:00:48,511
Are you hoping for a boy?
17
00:00:48,680 --> 00:00:53,310
Not particularly.
I mean, a boy would be nice...
18
00:00:53,856 --> 00:00:55,684
...but I don't care.
19
00:00:56,402 --> 00:00:58,028
I don't even really wanna know.
20
00:00:59,366 --> 00:01:01,693
As long as it's healthy, right?
21
00:01:02,539 --> 00:01:04,866
- The rash of Lyme disease is...?
- Erythema migrans.
22
00:01:05,043 --> 00:01:09,044
- Starts two to 20 days after the tick bite.
- Occurs in 60 to 80 percent of cases.
23
00:01:09,218 --> 00:01:11,711
- The hallmark of the rash is...?
- Erythematous plaque.
24
00:01:11,889 --> 00:01:14,513
Yeah. And the most common
neurological symptoms?
25
00:01:14,686 --> 00:01:15,885
- Facial nerve palsy.
- Facial nerve palsy.
26
00:01:16,064 --> 00:01:17,393
Okay. All right. Settle down.
27
00:01:17,566 --> 00:01:20,059
This is a teaching hospital,
not medical Jeopardy!
28
00:01:20,238 --> 00:01:22,149
- Where are all the doctors?
- Who?
29
00:01:22,325 --> 00:01:24,949
Anyone. Carter, Weaver, Pratt,
I'm not picky.
30
00:01:25,122 --> 00:01:27,829
Carter's stuck in Triage.
Pratt's on at midnight.
31
00:01:28,002 --> 00:01:30,080
- And Weaver's MIA.
- What else is new?
32
00:01:30,256 --> 00:01:32,832
- Kovac is sleeping.
- With who? I thought he's suspended.
33
00:01:33,011 --> 00:01:34,590
He's back. In the lounge.
34
00:01:34,765 --> 00:01:37,852
Harkins, wanna try casting
a Colles' fracture on a cranky old lady?
35
00:01:38,021 --> 00:01:39,481
Sure.
36
00:01:40,275 --> 00:01:43,611
- What's the antibiotic of choice?
- Doxycycline!
37
00:01:44,741 --> 00:01:48,790
Beth, this is Erin.
She's gonna be putting your cast on.
38
00:01:48,958 --> 00:01:51,118
Beth? Miss Garrison?
39
00:01:51,295 --> 00:01:54,418
- I can't feel a pulse.
- Oh, jeez! She's cold.
40
00:01:54,593 --> 00:01:56,254
- She's dead?
- Bag her on 15 liters.
41
00:01:56,430 --> 00:01:57,973
I need a crash cart in here!
42
00:01:59,227 --> 00:02:01,470
- Sister Beth?
- She was a nun?
43
00:02:01,648 --> 00:02:04,485
- She is.
- Oh, boy.
44
00:02:57,063 --> 00:02:59,637
Nathan. Nathan, let's shake a leg.
Come on.
45
00:02:59,817 --> 00:03:01,727
Corday's looking for you, man.
46
00:03:01,903 --> 00:03:03,647
Be right there.
47
00:03:16,505 --> 00:03:19,176
ER, please hold. Think you could
take this somewhere else?
48
00:03:19,343 --> 00:03:21,964
- I need to use the computer.
- Use one over there.
49
00:03:22,138 --> 00:03:25,757
I don't want you near me when God
strikes you dead for killing that nun.
50
00:03:25,934 --> 00:03:27,892
- I didn't kill her.
- You didn't save her.
51
00:03:28,062 --> 00:03:30,270
She was an 87-year-old woman
in poor health.
52
00:03:30,441 --> 00:03:32,351
What, you only save the healthy ones?
53
00:03:32,527 --> 00:03:34,817
She stroked out.
No one could foresee that.
54
00:03:34,989 --> 00:03:38,323
You don't have to explain to me.
I'm not the one doing the judging.
55
00:03:38,493 --> 00:03:40,950
- GSW, 10 minutes out.
- I'll be right there.
56
00:03:41,122 --> 00:03:43,162
Is Dr. Corday still down here?
57
00:03:43,333 --> 00:03:46,121
John Doe. Found in the park.
No signs of serious trauma.
58
00:03:46,295 --> 00:03:48,668
Promise me you won't let them
near my face.
59
00:03:48,841 --> 00:03:50,335
Sir, what's your name?
60
00:03:50,509 --> 00:03:53,594
- They dropped right out of the trees-
- We got good breath sounds.
61
00:03:53,763 --> 00:03:56,600
- Nobody's near your face, sir.
- No, don't let them near me!
62
00:03:56,768 --> 00:03:58,845
Settle down!
Okay, get five of Haldol-
63
00:03:59,021 --> 00:04:00,848
- Don't let them bite me!
- Relax, sir.
64
00:04:01,024 --> 00:04:03,811
- No, no. We're trying to help you.
- Get Security!
65
00:04:06,155 --> 00:04:08,196
- It's the dyskinesia.
- Still need the Haldol?
66
00:04:08,367 --> 00:04:10,027
Yes.
67
00:04:10,453 --> 00:04:11,781
We got it.
68
00:04:11,955 --> 00:04:13,995
We're going to need a head CT.
69
00:04:14,166 --> 00:04:16,539
- You okay?
- Yeah. I'm fine. Thanks.
70
00:04:16,711 --> 00:04:18,040
Are you okay?
71
00:04:18,213 --> 00:04:21,049
Nothing that 12 hours of sleep
wouldn't cure.
72
00:04:21,258 --> 00:04:24,095
Put him on pulse ox,
two liters O-2 by nasal cannula.
73
00:04:24,263 --> 00:04:27,633
Mineral oil on a cotton ball
should act as a solvent.
74
00:04:28,644 --> 00:04:32,061
Come on in.
Let's get him inside.
75
00:04:32,232 --> 00:04:35,068
Make sure his nasal passages
stay clear.
76
00:04:35,236 --> 00:04:37,775
Hey, Jody.
What are you doing here?
77
00:04:37,948 --> 00:04:39,608
I'm looking for Eric.
78
00:04:40,034 --> 00:04:41,363
Abby.
79
00:04:41,536 --> 00:04:45,238
- Hi, Abby.
- Hey. What's going on?
80
00:04:45,416 --> 00:04:47,742
- Where's Eric?
- I was hoping you knew.
81
00:04:48,587 --> 00:04:50,248
What do you mean?
82
00:04:50,423 --> 00:04:53,793
I don't know. We were in Indiana
on our way back from my parents' -
83
00:04:53,970 --> 00:04:58,431
- They had a fight.
- It was hardly an argument.
84
00:04:58,600 --> 00:05:02,979
He got really angry. I was just asking him
about us, our future, stuff like that...
85
00:05:03,148 --> 00:05:05,391
...and he took off.
I didn't mean to upset him.
86
00:05:05,568 --> 00:05:08,486
- Maybe he went back to his base.
- No, I called.
87
00:05:08,655 --> 00:05:10,863
They said he's been UA
for two weeks.
88
00:05:11,451 --> 00:05:13,528
- UA?
- Unauthorized absence.
89
00:05:13,704 --> 00:05:15,247
Abby?
90
00:05:15,623 --> 00:05:17,581
- He's AWOL?
- Yep.
91
00:05:17,751 --> 00:05:21,086
Joel Seaton, 67,
syncopal episode at Navy Pier.
92
00:05:21,256 --> 00:05:23,830
Paramedics found him dehydrated,
systolic of 90.
93
00:05:24,009 --> 00:05:25,588
Came up with 500 of saline.
94
00:05:25,762 --> 00:05:29,262
Joel was diagnosed with pancreatic
cancer three months ago.
95
00:05:29,809 --> 00:05:31,803
What treatment have you been on,
Mr. Seaton?
96
00:05:31,978 --> 00:05:34,387
Megace and Gemzol.
97
00:05:34,565 --> 00:05:39,276
They said I might have a year with
the chemo, but I'm not doing too good.
98
00:05:39,447 --> 00:05:42,698
He's had two stents in his common
bile duct to relieve the obstruction.
99
00:05:42,868 --> 00:05:45,075
It's probably clogged,
which explains the fever.
100
00:05:45,246 --> 00:05:48,663
- How's your pain?
- Every night I go to bed...
101
00:05:48,834 --> 00:05:51,685
...I keep hoping
I'll wake up in the morning...
102
00:05:51,837 --> 00:05:54,839
...and I'll be better
and the pain will be gone.
103
00:05:57,012 --> 00:05:59,586
Think there's a surgical alternative
that could help?
104
00:05:59,765 --> 00:06:01,225
I'm afraid not.
105
00:06:02,185 --> 00:06:05,887
What happens
if you don't do anything?
106
00:06:08,193 --> 00:06:12,524
You'll get more jaundiced,
slip into a coma from liver failure.
107
00:06:12,700 --> 00:06:17,079
Your kidneys will fail and your heart
will stop from a high potassium level.
108
00:06:17,289 --> 00:06:19,329
Is that a painful way to die?
109
00:06:19,500 --> 00:06:22,206
Not once you slip into the coma.
110
00:06:22,379 --> 00:06:24,171
We can arrange for home hospice care.
111
00:06:24,340 --> 00:06:27,710
A nurse will visit you twice a day
to give you the pain medications.
112
00:06:27,886 --> 00:06:32,100
When my wife was living,
she used to always say...
113
00:06:32,268 --> 00:06:37,096
...I'd probably die in my Barcalounger
watching the football game.
114
00:06:38,901 --> 00:06:41,939
I'm starting to think
that's not such a bad way to go.
115
00:06:44,075 --> 00:06:48,288
Does that mean you�re no longer interested
in further treatment, Mr. Seaton?
116
00:06:54,047 --> 00:06:55,589
Sorry. Let's have Ativan now.
117
00:06:56,258 --> 00:06:58,928
- I can't see. I can't see.
- All right, just relax.
118
00:06:59,095 --> 00:07:00,341
Need some flush?
119
00:07:00,514 --> 00:07:02,472
Did you try to kill yourself, Greg?
120
00:07:02,641 --> 00:07:06,510
No. It was an accident.
He didn't mean it.
121
00:07:06,688 --> 00:07:09,227
Page ENT and Ophtho.
Get a Wood's lamp and fluorescein.
122
00:07:09,400 --> 00:07:11,809
- Who, Greg? Who shot you?
- Tommy.
123
00:07:11,988 --> 00:07:13,482
- Ativan's onboard.
- A friend?
124
00:07:13,656 --> 00:07:16,231
He's my brother. He's 10.
125
00:07:16,409 --> 00:07:19,614
Need a two view of the face
along with a trauma panel.
126
00:07:19,790 --> 00:07:21,070
Look at this light, Greg.
127
00:07:21,250 --> 00:07:23,243
- Can you see this light?
- A little.
128
00:07:24,754 --> 00:07:28,206
- Where'd Tommy get the gun?
- He was playing with our dad's gun.
129
00:07:28,509 --> 00:07:32,378
I tried to take it away from him so he
wouldn't hurt himself, but it went off.
130
00:07:35,477 --> 00:07:37,767
We'll do everything we can
to make you comfortable.
131
00:07:37,939 --> 00:07:39,220
Thank you.
132
00:07:42,653 --> 00:07:45,062
Let me know if there's anything else
you need, okay?
133
00:07:45,240 --> 00:07:46,783
Thank you.
134
00:07:49,663 --> 00:07:51,988
- We should have pursued other options.
- What?
135
00:07:52,166 --> 00:07:54,373
With Corday.
There are treatments to consider.
136
00:07:54,544 --> 00:07:57,582
I asked for surgical consult.
She didn't think it was a good idea.
137
00:07:57,756 --> 00:07:59,750
What if it's in the patient's
best interest?
138
00:07:59,926 --> 00:08:03,344
You went up against Carter on a
terminal patient. That's not your job.
139
00:08:03,515 --> 00:08:06,516
- You're a med student.
- This guy could just be having a bad day.
140
00:08:06,685 --> 00:08:09,806
We try to do what's best for the patient
and respect their wishes.
141
00:08:09,981 --> 00:08:13,186
If we�re lucky, we get to do both.
This is one of those times.
142
00:08:15,030 --> 00:08:18,032
Have Pedes page me
and get me that Ophtho consult.
143
00:08:18,201 --> 00:08:20,159
Dr. Kovac.
144
00:08:20,871 --> 00:08:24,621
Mike Dobbs.
I think you know my wife, Heather.
145
00:08:25,627 --> 00:08:28,749
Look, we've been having
some rough times recently...
146
00:08:28,924 --> 00:08:31,711
...but I'd appreciate it
if you'd stop seeing her.
147
00:08:31,886 --> 00:08:35,967
- You should speak to your wife about it.
- Yeah, I did.
148
00:08:37,727 --> 00:08:39,387
Are you married?
149
00:08:39,896 --> 00:08:41,474
I was.
150
00:08:41,649 --> 00:08:44,188
Then you know how hard it can be.
151
00:08:44,528 --> 00:08:48,444
Look, I'm not trying to threaten you or
anything, man, but I got two daughters.
152
00:08:48,617 --> 00:08:51,784
What do I tell them when their mother
doesn't come home at night?
153
00:08:52,873 --> 00:08:54,498
I don't know.
154
00:08:57,837 --> 00:09:01,289
Just trying to keep my family together,
that's all.
155
00:09:06,932 --> 00:09:10,350
Hey, Eric, it's me again.
Listen, could you please call me back?
156
00:09:10,521 --> 00:09:11,932
You don't have to talk to me.
157
00:09:12,107 --> 00:09:16,438
Just leave a message on my machine,
I'd appreciate it. Thank you.
158
00:09:18,407 --> 00:09:20,814
Looks like your day's sucking
as bad as mine.
159
00:09:21,285 --> 00:09:24,454
Yeah. I'm worried about my brother.
I can't get in touch with him.
160
00:09:24,623 --> 00:09:27,115
At least you haven't killed anyone.
I'm 0 for 2.
161
00:09:27,293 --> 00:09:29,832
All these patients
could be my next victim.
162
00:09:32,133 --> 00:09:34,886
�I think I have the crabs
and it itches bad. "
163
00:09:35,054 --> 00:09:38,554
- So you�re not taking the chest pain in 4?
- Not if he wants to live.
164
00:09:38,725 --> 00:09:41,217
Guy in Exam 2 with scrotal swelling.
Pretty safe bet.
165
00:09:41,437 --> 00:09:43,811
- I'm not that desperate.
- At least it's medical.
166
00:09:43,983 --> 00:09:48,195
- He's pushing 300 pounds!
- It's a big scrotum.
167
00:09:48,780 --> 00:09:51,617
He's a heart attack waiting to happen.
Half these patients are.
168
00:09:51,785 --> 00:09:54,989
Old, diabetic, old, old and diabetic.
169
00:09:55,164 --> 00:09:57,371
- Did you reach him yet?
- No, I get his voice mail.
170
00:09:57,918 --> 00:10:01,335
Oh, screw it.
Give me the swollen scrotum.
171
00:10:01,631 --> 00:10:03,506
Maybe he's off with a buddy
or something.
172
00:10:03,676 --> 00:10:06,796
Dr. Carter, could you reassess
my allergic reaction in 2?
173
00:10:06,971 --> 00:10:08,596
- I'll be right there.
- Where's Jody?
174
00:10:08,765 --> 00:10:10,390
She's checking into a hotel.
175
00:10:10,559 --> 00:10:12,968
- Wanna get coffee?
- He didn't respond to Benadryl.
176
00:10:13,147 --> 00:10:15,223
- Try Solu-Medrol.
- I did. He's still wheezing.
177
00:10:15,400 --> 00:10:19,351
- Try an albuterol treatment.
- It didn't work. Should I push an IV epi?
178
00:10:19,530 --> 00:10:22,532
- I'll be right back. What are his sats?
- Eighty-three on oxygen.
179
00:10:22,701 --> 00:10:25,074
- Why didn't you come get me?
- I just did.
180
00:10:48,235 --> 00:10:50,906
- Base operations.
- Medical facility, please.
181
00:10:51,072 --> 00:10:53,113
One moment.
182
00:10:54,577 --> 00:10:55,822
Medical.
183
00:10:55,995 --> 00:10:58,701
I'm from Chicago's County General
Emergency Department.
184
00:10:58,875 --> 00:11:01,282
We�re treating a patient from your base,
Eric Wyczenski.
185
00:11:01,461 --> 00:11:03,750
We�re gonna need his medical records
faxed over.
186
00:11:03,923 --> 00:11:07,756
- Yes, ma'am. Who's his doctor?
- I don't have the chart in front of me.
187
00:11:07,928 --> 00:11:09,921
- Does it matter who the doctor is?
- Yes.
188
00:11:10,098 --> 00:11:14,762
- We can't release his records otherwise.
- Okay, just a second.
189
00:11:21,488 --> 00:11:24,988
The physician's name
is Dr. John Carter.
190
00:11:25,159 --> 00:11:27,117
Dr. John Carter. Thank you, ma'am.
191
00:11:31,501 --> 00:11:33,958
- Excuse me.
- It's okay.
192
00:11:38,969 --> 00:11:40,963
How are you feeling, Greg?
193
00:11:41,723 --> 00:11:43,633
My eyes hurt.
194
00:11:44,102 --> 00:11:46,012
Can you see anything?
195
00:11:47,105 --> 00:11:48,564
No.
196
00:11:49,859 --> 00:11:51,104
Hey, Chuny?
197
00:11:51,945 --> 00:11:54,519
- Yeah?
- I'm sorry.
198
00:11:54,699 --> 00:11:56,242
About everything.
199
00:11:58,079 --> 00:11:59,906
Me too.
200
00:12:02,960 --> 00:12:04,918
Am I blind?
201
00:12:05,589 --> 00:12:07,665
You have a shotgun pellet
inside your eyeball.
202
00:12:07,842 --> 00:12:10,167
We�re bringing in an eye specialist
to repair it.
203
00:12:10,511 --> 00:12:12,635
You�re lucky.
You could've blown your head off.
204
00:12:12,806 --> 00:12:15,512
My dad would be less mad at me
if I was dead.
205
00:12:15,686 --> 00:12:19,519
He shouldn't be angry with you at all.
You probably saved your brother's life.
206
00:12:23,154 --> 00:12:25,824
- Hey, can I talk to you for a second?
- Shoot.
207
00:12:25,990 --> 00:12:28,779
Carter! Carter!
208
00:12:29,329 --> 00:12:32,449
- Is there anything wrong with him?
- Not that I can tell.
209
00:12:32,792 --> 00:12:36,375
Neighbor heard the baby crying. Found
Mom in the backyard, kid in the swing.
210
00:12:36,546 --> 00:12:39,217
Mom's got no sign of trauma.
Could be a possible mixed OD.
211
00:12:39,384 --> 00:12:41,377
GCS, 415, but she's uncooperative.
212
00:12:41,554 --> 00:12:45,339
- BP, 122/78. Pulse, 84.
- Okay. What's her name?
213
00:12:45,517 --> 00:12:48,353
Neighbor wasn't sure,
thought it was Tenji or Tong-yi.
214
00:12:48,521 --> 00:12:51,522
- She didn't have ID.
- Ma'am, can you tell me your name?
215
00:12:51,691 --> 00:12:55,607
I have a 16-year-old boy who's gonna
go blind if he doesn't get here fast.
216
00:12:55,780 --> 00:12:58,533
Tell me where he is
so I can call for some initial orders.
217
00:12:58,701 --> 00:13:01,110
- He's on the golf course.
- He's where?
218
00:13:01,288 --> 00:13:03,495
He's playing golf at the country club.
219
00:13:04,375 --> 00:13:06,583
Eyes open to painful stimuli.
220
00:13:06,754 --> 00:13:10,623
- Is your name Tenji? Or Tong-yi?
- Is she oriented to person?
221
00:13:10,801 --> 00:13:13,375
- Her little boy's fine.
- Does she understand English?
222
00:13:13,554 --> 00:13:16,473
Gag reflex is present.
I smell alcohol on her breath.
223
00:13:16,809 --> 00:13:19,016
- Got your bloods.
- Okay, what do you want?
224
00:13:19,186 --> 00:13:23,316
- CBC, lytes, ET OH.
- Aspirin and acetaminophen levels.
225
00:13:23,776 --> 00:13:25,021
Hello?
226
00:13:25,195 --> 00:13:26,690
Eric!
227
00:13:27,782 --> 00:13:29,775
- What about charcoal?
- Where are you?
228
00:13:29,951 --> 00:13:32,360
The 2001 recommendations
from Clinical Toxicology...
229
00:13:32,538 --> 00:13:37,082
- ... didn't support the administration...
- I need to talk to you.
230
00:13:37,252 --> 00:13:40,255
- She can't tell us when she took it.
- Twenty-five of charcoal.
231
00:13:40,424 --> 00:13:44,921
I need some Surgilube and an NG tube.
Abby, she needs a Foley, tox screen.
232
00:13:46,890 --> 00:13:49,893
- Damn it.
- And let's change the saline to D-five...
233
00:13:50,062 --> 00:13:51,604
- ... half at 75 an hour.
- Hello?
234
00:13:51,772 --> 00:13:53,932
Blunted deep tendon reflexes.
Could be benzos.
235
00:13:54,109 --> 00:13:57,395
- Should we try Flumazenil?
- Only if you want her to start seizing.
236
00:13:57,780 --> 00:14:00,403
- Did you lose him?
- Yeah. I lost him.
237
00:14:00,575 --> 00:14:04,788
It's not unusual to experience these feelings
when dealing with chronic illness.
238
00:14:04,956 --> 00:14:06,617
Mr. Nathan, may I have a word?
239
00:14:07,627 --> 00:14:09,169
Excuse me.
240
00:14:12,300 --> 00:14:14,423
- What's he doing in there?
- That's Dr. Harvey.
241
00:14:14,594 --> 00:14:17,680
- He's the Attending psych-
- I know. I asked you what he's doing.
242
00:14:17,849 --> 00:14:20,056
He was on a psych consult
on another patient...
243
00:14:20,226 --> 00:14:22,516
...and I asked if he would speak
with Mr. Seaton.
244
00:14:22,688 --> 00:14:24,978
- Did you run this by Dr. Lewis?
- No.
245
00:14:25,150 --> 00:14:27,357
Dr. Harvey agreed.
Mr. Seaton was depressed...
246
00:14:27,529 --> 00:14:30,102
...and wasn't objective
about his own treatment.
247
00:14:30,282 --> 00:14:34,411
- He's refused treatment.
- He's willing to consider other options.
248
00:14:34,579 --> 00:14:37,498
- A Whipple, for instance-
- A Whipple?
249
00:14:38,292 --> 00:14:41,544
No. Please don't tell me you suggested
a Whipple for this patient.
250
00:14:41,714 --> 00:14:43,921
I'm not sure who brought it up.
251
00:14:44,092 --> 00:14:46,085
Well, whoever did
must be utterly insane...
252
00:14:46,262 --> 00:14:49,513
...because nobody in their right mind
would suggest a 6-hour operation.
253
00:14:49,683 --> 00:14:53,100
An operation that requires months
of recovery, assuming he ever recovers.
254
00:14:53,271 --> 00:14:56,023
- And for what?
- He's dead in 2 months if we do nothing.
255
00:14:56,192 --> 00:14:59,229
That's right. But only you
seem to be unwilling to accept that.
256
00:14:59,405 --> 00:15:03,071
Well, shouldn't we at least present him
with all the facts and let him decide?
257
00:15:06,163 --> 00:15:07,872
You've done enough, thank you.
258
00:15:11,421 --> 00:15:14,043
Normal vitals, satting well on room air.
259
00:15:14,508 --> 00:15:16,798
- You get your phone working?
- No.
260
00:15:17,470 --> 00:15:23,059
Tox screen is positive for barbiturates.
Blood alcohol level's only. 065.
261
00:15:23,228 --> 00:15:25,470
Urine dip's negative,
but ICON's positive.
262
00:15:25,648 --> 00:15:27,226
She's coming around.
263
00:15:27,400 --> 00:15:29,939
Ma'am? Do you know
that you' re pregnant?
264
00:15:30,112 --> 00:15:31,737
You speak English?
265
00:15:31,906 --> 00:15:33,899
Where's Chen?
Maybe she can translate for us.
266
00:15:34,076 --> 00:15:37,243
I wanna rule out an ectopic.
Where is the portable ultrasound?
267
00:15:37,413 --> 00:15:40,416
- I'll get it. Can I do it?
- Yeah. I'll be right back.
268
00:15:41,586 --> 00:15:44,078
I'm sorry, but it was right
in the middle of a trauma.
269
00:15:44,256 --> 00:15:46,131
Maybe he'll call back.
270
00:15:46,509 --> 00:15:50,888
- Check your home machine?
- No. I didn't have a chance to.
271
00:15:51,098 --> 00:15:53,424
Well, how did he sound?
272
00:15:53,727 --> 00:15:55,387
Depends on who you ask.
Sounds great.
273
00:15:55,563 --> 00:15:59,015
He's happy, he's carefree,
he's having the time of his...
274
00:15:59,777 --> 00:16:01,437
...life.
275
00:16:04,033 --> 00:16:06,406
Just the fact that he called
is a pretty good sign.
276
00:16:06,578 --> 00:16:07,859
Yeah, he's manic, Carter.
277
00:16:08,038 --> 00:16:12,084
Say, Abby, here's two of the country's
finest looking for a patient.
278
00:16:12,252 --> 00:16:15,669
I'm Sergeant Andrews with the Air Force
Office of Special Investigation.
279
00:16:15,840 --> 00:16:18,213
I understand you' re treating
Eric Wyczenski.
280
00:16:18,386 --> 00:16:19,880
No.
281
00:16:20,054 --> 00:16:23,305
We were, but we' re not now.
He left against medical advice.
282
00:16:23,475 --> 00:16:24,934
Any idea where he may be going?
283
00:16:25,102 --> 00:16:27,891
I'm sorry we can't be more helpful,
but we have an emergency.
284
00:16:28,065 --> 00:16:30,603
- What about the doctor who treated him?
- He's upstairs.
285
00:16:30,776 --> 00:16:33,565
If you leave your card,
we'll call you if he shows up again.
286
00:16:35,491 --> 00:16:38,742
- What was that all about?
- I was about to tell you.
287
00:16:39,914 --> 00:16:42,073
These are your brother's
medical records?
288
00:16:42,250 --> 00:16:43,626
I said we were treating him.
289
00:16:44,087 --> 00:16:46,660
You'd still require his signature.
290
00:16:48,383 --> 00:16:50,958
And a written request
from his Attending physician...
291
00:16:51,137 --> 00:16:55,088
...which in this case was...
292
00:16:56,561 --> 00:16:57,936
You forged my name too?
293
00:16:58,689 --> 00:17:01,940
- We could get into trouble for this.
- Just read it.
294
00:17:03,112 --> 00:17:05,782
No. I have no right to read this,
and neither do you.
295
00:17:05,948 --> 00:17:09,569
He took a leave of absence for stress
following a near-miss incident.
296
00:17:09,746 --> 00:17:12,416
Yeah, so?
He's an air-traffic controller.
297
00:17:12,583 --> 00:17:16,035
- It's a stressful job.
- He had therapy but wasn't medicated.
298
00:17:16,212 --> 00:17:18,669
Probably no reason to.
Just a reaction to the event.
299
00:17:18,841 --> 00:17:21,380
What if it isn't PTSD?
300
00:17:22,596 --> 00:17:27,307
What if it was depression? The initial
presentation of a bipolar disorder?
301
00:17:27,478 --> 00:17:29,020
- He's too old.
- He's under 30.
302
00:17:29,189 --> 00:17:31,348
Well, then he'd be at the far end
of the curve.
303
00:17:31,524 --> 00:17:33,897
He's been suffering from insomnia,
lack of appetite.
304
00:17:34,070 --> 00:17:37,771
- Both of which are consistent with PTSD.
- Six months ago he was depressed.
305
00:17:37,950 --> 00:17:41,071
Now he's cycling up to a manic phase.
The timing is perfect. I know.
306
00:17:41,246 --> 00:17:44,497
- Why didn't the Air Force catch it?
- They' re not looking for it.
307
00:17:44,667 --> 00:17:46,210
Look.
308
00:17:46,378 --> 00:17:49,962
"No family history of psychiatric
disorders. "He's lying to the doctors.
309
00:17:50,133 --> 00:17:52,423
Just like you did to get those records.
310
00:17:56,141 --> 00:17:59,059
- I thought this was a surgical consult.
- It was.
311
00:17:59,228 --> 00:18:01,601
- What happened?
- Fat lady sang.
312
00:18:01,773 --> 00:18:05,724
Fat man, in this case. We did everything
but order him a deep-dish pizza.
313
00:18:05,904 --> 00:18:08,657
Yeah. Just say no to drugs
and double bacon cheeseburgers.
314
00:18:10,118 --> 00:18:12,870
His size is probably something
that he couldn't control.
315
00:18:13,330 --> 00:18:15,620
Certainly not if he was
running downhill.
316
00:18:18,045 --> 00:18:20,502
- Nathan, we didn't mean to offend you.
- You didn't.
317
00:18:20,674 --> 00:18:24,340
- I'm sorry. I'm having a really bad day.
- Not as bad as him.
318
00:18:28,518 --> 00:18:30,641
- What the hell is that?
- I don't know.
319
00:18:31,647 --> 00:18:34,814
- You can't drive on here, you idiot.
- Which one of you is Dr. Abrams?
320
00:18:34,984 --> 00:18:37,357
- I'm Abrams.
- You need to come with me now.
321
00:18:37,530 --> 00:18:39,772
I've got a 14-year-old boy
with a ruptured globe.
322
00:18:39,950 --> 00:18:42,655
He may lose his eyesight
because you didn't answer your page.
323
00:18:42,828 --> 00:18:44,655
You' re insane.
324
00:18:45,081 --> 00:18:46,790
- Get in the car.
- Get out of here.
325
00:18:46,959 --> 00:18:49,997
- Get in the car now!
- You don't have to listen to this guy, Vic.
326
00:18:50,172 --> 00:18:51,880
- Are you a doctor?
- An oral surgeon.
327
00:18:52,049 --> 00:18:54,885
- Then shut up. Let's go!
- What about my clubs?
328
00:18:55,053 --> 00:18:56,298
You, take his clubs.
329
00:18:58,016 --> 00:19:00,174
You' re doing a good job
clearing the patients.
330
00:19:00,351 --> 00:19:02,678
Easy to be fast
when you' re just killing them.
331
00:19:02,855 --> 00:19:05,893
- I'm gonna be taking some time off.
- Yeah? For what?
332
00:19:06,068 --> 00:19:09,937
Just to deal with some personal things
I've been putting off for a while.
333
00:19:10,114 --> 00:19:11,658
With Romano out of commission...
334
00:19:11,826 --> 00:19:14,495
...you'll probably be the one
forced to pick up the slack.
335
00:19:14,662 --> 00:19:15,943
Bad idea.
336
00:19:16,123 --> 00:19:18,246
Do you mind?
We' re having a conversation here.
337
00:19:18,417 --> 00:19:21,123
- I don't mind.
- Well, I do. I mind.
338
00:19:21,297 --> 00:19:24,049
I mind your insinuations
and your smart-ass comments.
339
00:19:24,217 --> 00:19:27,255
This is an ER. People come here
because it's an emergency.
340
00:19:27,430 --> 00:19:29,554
Guess what.
Some of these people are gonna die.
341
00:19:29,725 --> 00:19:31,219
I've saved hundreds of lives.
342
00:19:31,394 --> 00:19:32,639
- Dr. Lewis.
- Yeah.
343
00:19:32,812 --> 00:19:35,138
You know that drunk you intubated
this morning?
344
00:19:35,316 --> 00:19:38,270
- He asked to take his tube out.
- He can't talk if he's intubated.
345
00:19:38,444 --> 00:19:41,482
I think you better come.
He's gonna vomit and aspirate.
346
00:19:44,035 --> 00:19:46,492
Twenty bucks says
she kills this guy too.
347
00:19:46,664 --> 00:19:49,334
- Frank, did my brother call?
- Nope.
348
00:19:49,500 --> 00:19:51,624
- Are you sure?
- Let me double-check. Nope.
349
00:19:51,795 --> 00:19:53,374
Hey, Abby.
350
00:19:53,548 --> 00:19:55,375
Tell Abby what you just told me.
351
00:19:55,550 --> 00:19:57,923
An unauthorized absence
can be a serious offense.
352
00:19:58,096 --> 00:20:01,679
But if it's a first offense and you can
prove extenuating circumstances...
353
00:20:01,851 --> 00:20:03,808
...you can get off
with minimum punishment.
354
00:20:03,978 --> 00:20:05,521
That's good to know. Thanks.
355
00:20:05,689 --> 00:20:07,766
- Do you have a minute?
- Yeah.
356
00:20:07,942 --> 00:20:08,974
Thanks.
357
00:20:09,153 --> 00:20:12,071
Your girlfriend, Harkins,
was looking for you.
358
00:20:15,410 --> 00:20:18,247
Why are you talking about my brother
to med students?
359
00:20:18,415 --> 00:20:20,788
Gallant's in the Army.
I'm trying to get information.
360
00:20:20,960 --> 00:20:22,953
You didn't have to say
it was my brother.
361
00:20:23,129 --> 00:20:25,087
Excuse me, Carter.
362
00:20:26,133 --> 00:20:28,921
This is Mr. and Mrs. Yeung.
Their child was brought in.
363
00:20:29,095 --> 00:20:31,766
- Which one?
- The 3-year-old with your patient.
364
00:20:31,933 --> 00:20:34,603
Oh, I'm sorry.
I thought she was the mother.
365
00:20:34,770 --> 00:20:37,440
No. Tong-yi's our nanny.
I'm Aidan's mother.
366
00:20:37,607 --> 00:20:39,766
- Is our son okay?
- Yeah, he's fine.
367
00:20:39,944 --> 00:20:42,317
Chuny, you can take Mrs. Yeung
to see her son.
368
00:20:42,489 --> 00:20:45,740
Sir, if I can just ask you
a couple questions first?
369
00:20:46,453 --> 00:20:48,327
Yeah. Okay.
370
00:20:49,999 --> 00:20:52,407
- Is Tong-yi a drug user?
- No.
371
00:20:53,670 --> 00:20:56,079
- Has she been depressed?
- No.
372
00:20:56,257 --> 00:20:58,795
Can you think of any reason
why she would hurt herself?
373
00:20:59,219 --> 00:21:00,678
She wouldn't do that.
374
00:21:00,846 --> 00:21:04,264
She tested positive
for barbiturates and alcohol.
375
00:21:04,434 --> 00:21:08,101
Well, she's been up all week
with Aidan. He had an earache.
376
00:21:08,273 --> 00:21:11,477
She might've taken some sleeping pills,
maybe a glass of wine...
377
00:21:11,653 --> 00:21:13,195
...but she's not suicidal.
378
00:21:14,698 --> 00:21:16,608
Does she have a boyfriend?
379
00:21:16,951 --> 00:21:18,031
I don't think so.
380
00:21:18,996 --> 00:21:20,870
- Why?
- I just- I don't know.
381
00:21:21,040 --> 00:21:24,291
Maybe she's got some problems
in her personal life.
382
00:21:24,461 --> 00:21:26,454
Well, if she did, we'd probably know.
383
00:21:26,631 --> 00:21:30,416
She lives with us,
has been for four years now.
384
00:21:32,054 --> 00:21:33,253
Can I see her?
385
00:21:34,474 --> 00:21:37,311
- You wanted to see me?
- Did you review Zollinger?
386
00:21:37,479 --> 00:21:39,306
- Was I supposed to?
- He's under.
387
00:21:39,482 --> 00:21:42,269
- Thanks, Shirley.
- Are we gonna do a Whipple on him?
388
00:21:42,444 --> 00:21:45,232
- He's a little old.
- Thought you didn't wanna do this.
389
00:21:45,406 --> 00:21:46,782
I didn't, but thanks to you...
390
00:21:46,950 --> 00:21:50,035
...he and his family seem to think
the operation is worth the risk.
391
00:21:50,204 --> 00:21:53,740
They may have second thoughts
after we resect his pancreas...
392
00:21:53,917 --> 00:21:55,994
...duodenum, gall bladder
and a portion of his stomach.
393
00:21:56,170 --> 00:21:58,080
He's got a daughter and grandchildren.
394
00:21:58,256 --> 00:22:00,464
Any extra time he gets,
he could spend with them.
395
00:22:00,635 --> 00:22:03,755
- He could get up to a year from this.
- Perhaps.
396
00:22:03,931 --> 00:22:05,674
If it comes with a small miracle.
397
00:22:06,225 --> 00:22:07,506
Which may be in order...
398
00:22:07,685 --> 00:22:11,601
...seeing as you seem to have become
the patron saint of the terminally ill.
399
00:22:11,774 --> 00:22:13,934
You prepared to assist?
400
00:22:14,361 --> 00:22:17,424
- Really?
- You got us into this.
401
00:22:35,101 --> 00:22:37,011
We' re still running some tests.
402
00:22:37,729 --> 00:22:39,390
Okay. Sonosite is ready.
403
00:22:39,565 --> 00:22:42,770
I need both trauma rooms. Double MVA
en route. Auto versus motorcycle.
404
00:22:42,944 --> 00:22:44,225
- Can I take these two?
- Yeah.
405
00:22:44,405 --> 00:22:47,075
Grab trauma gowns and gloves.
Come on.
406
00:22:47,534 --> 00:22:51,449
- Can we take her home?
- She should stay for observation.
407
00:22:51,622 --> 00:22:55,371
In that case, I'd like to have her
moved to a private facility.
408
00:22:55,543 --> 00:22:57,584
Would you ask her why she did it?
409
00:23:09,227 --> 00:23:11,898
She's not depressed.
It was an accident.
410
00:23:12,065 --> 00:23:15,517
She took a couple of sleeping pills
with a glass of wine to help her sleep.
411
00:23:15,861 --> 00:23:18,483
And she's sorry to have caused
you any trouble.
412
00:23:18,782 --> 00:23:21,403
- She said all that?
- Yes.
413
00:23:22,703 --> 00:23:25,242
Suction here so I can see the field.
414
00:23:26,207 --> 00:23:28,081
Are you okay?
415
00:23:28,669 --> 00:23:32,039
I've been up for 24 hours.
It throws off my meds.
416
00:23:32,340 --> 00:23:33,799
Does it usually bleed this much?
417
00:23:33,967 --> 00:23:37,836
There are numerous branches off the
superior mesenteric artery. Hemostat.
418
00:23:39,349 --> 00:23:40,974
Do we tie off or bovie?
419
00:23:41,143 --> 00:23:43,220
Pressure's down to 90/60.
420
00:23:43,395 --> 00:23:46,398
Okay. Bolus a liter and check a crit.
421
00:23:46,567 --> 00:23:48,441
Like this?
422
00:23:48,610 --> 00:23:50,734
You need to isolate the source
of the bleeding.
423
00:23:50,905 --> 00:23:53,065
Come on, Nathan.
I need better exposure.
424
00:23:53,618 --> 00:23:56,869
Stop! Stop!
You' re up against the portal vein.
425
00:23:57,039 --> 00:23:59,708
Pull out before you tear the wall
and kill him.
426
00:23:59,875 --> 00:24:02,413
- Shirley, take over, please.
- Just tell me what to do.
427
00:24:02,587 --> 00:24:05,956
I'm trying. Shirley, suction.
428
00:24:11,640 --> 00:24:13,883
- What was that?
- T-tube for the common bile duct.
429
00:24:14,060 --> 00:24:15,934
- Do we have another tray?
- We can autoclave this one.
430
00:24:16,104 --> 00:24:18,013
I don't have 30 minutes
to wait for this.
431
00:24:18,190 --> 00:24:19,898
- Tell me what you want me to do.
- Nothing.
432
00:24:20,067 --> 00:24:22,642
Shirley, pick up the instruments,
get them re-sterilized.
433
00:24:23,780 --> 00:24:26,189
This will pass in about an hour.
434
00:24:28,620 --> 00:24:31,787
Carl Vanosh, 32, motorcycle driver
versus stakebed truck. Extracted.
435
00:24:31,957 --> 00:24:35,125
- Unable to breathe for four minutes.
- Violaceous discoloration.
436
00:24:35,295 --> 00:24:38,297
Classic traumatic asphyxia.
Get an ABG and full trauma panel.
437
00:24:38,466 --> 00:24:39,747
I'll meet you inside.
438
00:24:39,926 --> 00:24:42,417
- This the driver of the truck?
- Motorcycle passenger.
439
00:24:42,596 --> 00:24:45,633
Quinn Vanosh, 11.
BP falling after two liters...
440
00:24:45,808 --> 00:24:47,184
Nobody told me
they were bringing in a kid.
441
00:24:47,351 --> 00:24:50,307
He's tachy to the mid-120s.
We were gonna tube him.
442
00:24:50,481 --> 00:24:53,151
Go get one of the Attendings. Anyone.
443
00:24:58,867 --> 00:25:00,659
Who's that?
444
00:25:01,036 --> 00:25:05,117
- I thought you were treating her.
- I am. Dr. Chen is translating for me.
445
00:25:05,291 --> 00:25:09,337
- I should be doing that.
- That's okay. We' re a full-service facility.
446
00:25:16,180 --> 00:25:18,850
- She didn't know she was pregnant.
- Did she say who the father is?
447
00:25:19,017 --> 00:25:20,297
No.
448
00:25:20,477 --> 00:25:22,886
- Ask her if she's sleeping with her boss.
- What?
449
00:25:23,064 --> 00:25:25,436
Ask her if she's sleeping with him.
450
00:25:45,092 --> 00:25:48,592
CBC and lytes, crit times three,
Chem-7, urine and Foley.
451
00:25:48,763 --> 00:25:50,424
- He's got Tardieu's spots.
- Tardieu?
452
00:25:50,599 --> 00:25:53,684
- Facial petechiae. What fell on him?
- A truck.
453
00:25:53,853 --> 00:25:55,763
Crepitus over left chest,
tender pelvis.
454
00:25:55,939 --> 00:25:58,228
- Sats, 93.
- It hurts to breathe.
455
00:25:58,400 --> 00:26:01,236
- Kerry, I need help in here.
- Quinn? What's wrong?
456
00:26:01,404 --> 00:26:03,563
Left breath decreased
with right tracheal shift.
457
00:26:03,740 --> 00:26:07,406
- Sux and Fent are in. Sats are still 90.
- Needs a central line and a chest tube.
458
00:26:07,579 --> 00:26:09,952
You' re doing fine, Susan.
Just take a deep breath.
459
00:26:10,124 --> 00:26:12,911
Decreased on the right as well.
He's got tension pneumos.
460
00:26:13,086 --> 00:26:16,372
- What's wrong with my son?
- We' re working on him. Malik.
461
00:26:16,548 --> 00:26:18,589
- What do you want me to do?
- Bag him up.
462
00:26:19,802 --> 00:26:23,089
- Ectopy.
- Don't do this to me, kid.
463
00:26:31,317 --> 00:26:32,563
Your wife seems upset.
464
00:26:34,029 --> 00:26:37,114
She's worrying about Aidan
and Tong-yi, that's all.
465
00:26:37,283 --> 00:26:40,617
Well, our doctor's coming
to move her to another facility.
466
00:26:41,163 --> 00:26:43,321
What was your relationship
with Tong-yi again?
467
00:26:44,751 --> 00:26:46,624
I told you, she works for us.
468
00:26:46,795 --> 00:26:48,954
Right. She's lived with you
for four years?
469
00:26:50,174 --> 00:26:53,710
Have you been sleeping with her?
Have you been having sex with her?
470
00:26:53,887 --> 00:26:56,724
Because she's pregnant
and she says the baby's yours.
471
00:26:58,268 --> 00:27:01,139
Even if that were true, doctor,
it's none of your business.
472
00:27:01,313 --> 00:27:04,350
No, it is. It was my business
the minute she became my patient.
473
00:27:04,526 --> 00:27:06,353
She won't be your patient
much longer.
474
00:27:09,657 --> 00:27:11,484
Hey, Carter!
475
00:27:11,660 --> 00:27:14,495
Eric, where have you been?
Everybody's been worried about you.
476
00:27:14,663 --> 00:27:16,906
- Come inside.
- Oh, Jody was driving me nuts!
477
00:27:17,083 --> 00:27:19,160
Nothing like a road trip to bring out
a person's issues.
478
00:27:19,336 --> 00:27:21,329
" Please limit your baggage
to two items. "
479
00:27:21,505 --> 00:27:24,211
She must've peed 1000 times
between here and Indianapolis.
480
00:27:24,385 --> 00:27:26,958
She's worse than a beagle.
Probably got a bladder thing.
481
00:27:27,138 --> 00:27:30,342
- Wait. I thought you guys flew.
- We were. Until she got airsick.
482
00:27:30,517 --> 00:27:32,926
Airsick, carsick, homesick.
The girl gets sick a lot.
483
00:27:33,104 --> 00:27:36,521
Which supposedly runs in her family.
Don't get me started on her parents.
484
00:27:36,691 --> 00:27:38,981
If she turns out
to be anything like her mother...
485
00:27:39,153 --> 00:27:41,940
...she's gonna be too much woman
for me to handle. She's big.
486
00:27:42,115 --> 00:27:44,404
Like sumo big, minus the agility.
487
00:27:44,577 --> 00:27:47,827
- I'll come later to see how you're doing.
- Will you talk to my dad?
488
00:27:47,998 --> 00:27:51,082
I'll do even better.
I'll convince him you're a hero.
489
00:27:52,753 --> 00:27:56,170
- The in-house team could have done this.
- You' re the retinal specialist.
490
00:27:56,341 --> 00:27:59,343
According to the CT,
the other eye has a pellet in it too.
491
00:27:59,512 --> 00:28:02,384
I can't promise I'll be able to save
his sight in that eye.
492
00:28:02,557 --> 00:28:06,508
- Perhaps if you'd have come here sooner.
- Ophthalmology isn't emergency medicine.
493
00:28:06,688 --> 00:28:09,855
You know, some guys wait a week
to do this kind of surgery.
494
00:28:10,025 --> 00:28:12,648
You know, all you did was stop me
from shooting an 82.
495
00:28:12,821 --> 00:28:14,232
Tell it to him.
496
00:28:14,406 --> 00:28:18,654
- Luka, Dr. Lewis needs you in Trauma 1.
- Oh, thanks.
497
00:28:20,121 --> 00:28:22,578
So I'm in a position
where I can buy the Cessna...
498
00:28:22,750 --> 00:28:26,036
...or two planes that need some
fixing up for the same price.
499
00:28:26,838 --> 00:28:28,962
- I've been calling you.
- So I hear.
500
00:28:29,133 --> 00:28:32,503
I'm sorry Jody dragged you into this.
She's immature. She likes the drama.
501
00:28:32,679 --> 00:28:35,171
It's the Jerry Springer generation,
you know?
502
00:28:35,349 --> 00:28:37,675
You were supposed to be at your base
two weeks ago.
503
00:28:37,852 --> 00:28:39,181
- Did they call here?
- No.
504
00:28:39,354 --> 00:28:42,439
That's the second time this year
somebody's messed up my leave.
505
00:28:42,608 --> 00:28:44,400
I'll have to report for duty on Monday.
506
00:28:44,569 --> 00:28:46,859
We should do something crazy!
Wanna go somewhere?
507
00:28:47,031 --> 00:28:49,604
How about you,
me and Carter fly to Vegas.
508
00:28:49,784 --> 00:28:52,738
We could do a little gambling,
maybe hit an Elvis wedding chapel.
509
00:28:52,913 --> 00:28:54,989
"You may now kiss the bride.
Thank you very-"
510
00:28:55,166 --> 00:28:57,622
Just come here. Just stop it.
511
00:28:59,129 --> 00:29:01,965
They said you' re suffering
from post-traumatic stress?
512
00:29:02,133 --> 00:29:03,627
It was nothing.
They cleared me.
513
00:29:03,802 --> 00:29:06,009
Every controller's
had a couple PTSD assessments.
514
00:29:06,180 --> 00:29:08,636
It's our way of working the system
to get time off.
515
00:29:08,808 --> 00:29:11,763
" How do you know an air-traffic
controller suffers from stress?
516
00:29:11,937 --> 00:29:15,058
His tackle box is missing. "
You know? He's gone fishing.
517
00:29:15,233 --> 00:29:18,934
But I hate fishing. Remember when
I got that hook stuck in my finger?
518
00:29:19,113 --> 00:29:21,819
- Remember? It was a frog-
- I got your medical records.
519
00:29:22,534 --> 00:29:24,028
What?
520
00:29:24,703 --> 00:29:26,697
You didn't tell them
Maggie was bipolar.
521
00:29:29,083 --> 00:29:32,917
- You did what? What are you, the KGB?
- Sergeant Eric Wyczenski.
522
00:29:33,089 --> 00:29:34,369
- You called the MPs?
- No.
523
00:29:34,549 --> 00:29:35,795
- No.
- Why did you do this?
524
00:29:35,967 --> 00:29:39,172
You' re under arrest for unauthorized
absence from the U.S. Air Force.
525
00:29:39,346 --> 00:29:42,349
Somebody was supposed to cover
for me. He got in a bad accident.
526
00:29:42,518 --> 00:29:45,852
I didn't find out until just now.
I'm headed back to base right now.
527
00:29:46,022 --> 00:29:49,024
I came to tell my sister.
They looked for me and freaked her out.
528
00:29:49,193 --> 00:29:50,853
It's been a huge mix-up.
529
00:29:51,029 --> 00:29:53,602
- Abby, tell them.
- We'll figure that out on the way back.
530
00:29:53,782 --> 00:29:56,452
That is unnecessary.
Let me get my stuff out of my car!
531
00:29:56,618 --> 00:29:58,030
- Stop!
- Let me get my stuff!
532
00:29:58,205 --> 00:30:00,910
- Don't hurt him!
- Listen, let me go.
533
00:30:01,083 --> 00:30:04,334
I can explain everything, okay?
Just- I need to go, seriously.
534
00:30:04,504 --> 00:30:06,830
- I can't be arrested. I've got a job!
- Can we talk?
535
00:30:07,006 --> 00:30:09,415
Or let me give him something
to calm him down.
536
00:30:09,594 --> 00:30:12,299
- I'm afraid we can't do that.
- Is this what you wanted?
537
00:30:12,472 --> 00:30:14,512
Are you happy now?
Yeah, that's right.
538
00:30:14,683 --> 00:30:17,388
Lock me up and throw away the key.
Eric's been a bad boy!
539
00:30:17,562 --> 00:30:20,434
Thanks a lot, Abby! Thank you!
540
00:30:23,570 --> 00:30:27,403
- Suction. Oh, damn it. Bag him.
- Was he ever awake?
541
00:30:27,575 --> 00:30:31,324
For a few minutes. He wasn't mentating
well. Stage-four shock, non-responder.
542
00:30:31,496 --> 00:30:33,786
Both lungs are up.
Breath sounds with bagging.
543
00:30:33,958 --> 00:30:35,417
Third unit of O-neg.
544
00:30:35,585 --> 00:30:37,127
- You wanna try this?
- You got it.
545
00:30:37,295 --> 00:30:39,622
Stabilize the neck. I'll do cricoid.
546
00:30:44,096 --> 00:30:46,422
Damn. Suction! He's so small.
547
00:30:46,723 --> 00:30:49,679
Short chin, anterior too.
Not your lucky day, huh?
548
00:30:50,104 --> 00:30:52,975
- Sats, 88, pulse down to 90.
- You need help in here?
549
00:30:53,149 --> 00:30:54,643
- Nope.
- Yeah. Suction.
550
00:30:54,818 --> 00:30:57,143
We'll need another central line
for pressors.
551
00:30:57,529 --> 00:30:59,487
- What do you see?
- I can't see squat!
552
00:30:59,657 --> 00:31:01,983
- Okay, let's take a break.
- No.
553
00:31:02,161 --> 00:31:05,447
- Tube, now.
- Bradying down to 80.
554
00:31:05,789 --> 00:31:06,988
Cords.
555
00:31:10,003 --> 00:31:11,997
- Got it.
- Bag him.
556
00:31:13,466 --> 00:31:14,795
Good job.
557
00:31:14,968 --> 00:31:17,721
- All right. You got this?
- What?
558
00:31:18,138 --> 00:31:20,179
- Where are you going?
- I have other patients.
559
00:31:20,350 --> 00:31:23,603
- Susan, you' re not finished here.
- He's in good hands.
560
00:31:26,343 --> 00:31:29,178
- What's happening?
- He was on a vent, dropped his pressure.
561
00:31:29,346 --> 00:31:32,880
- Give me a spinal needle.
- Lost the pulse. Starting compressions.
562
00:31:33,058 --> 00:31:34,636
- Betadine.
- Tamponade?
563
00:31:34,810 --> 00:31:37,644
Could be a tension pneumo.
Breath sounds could be transmitted.
564
00:31:37,812 --> 00:31:39,770
- Sats are dropping.
- Could be hypovolemic.
565
00:31:42,400 --> 00:31:44,275
Try the other side.
566
00:31:47,948 --> 00:31:51,068
- No. Milligram of epi.
- Good pulse with compressions.
567
00:31:51,243 --> 00:31:53,532
- Thoracotomy tray.
- Holding CPR.
568
00:31:54,663 --> 00:31:56,988
Looks like PEA.
Betadine the chest.
569
00:31:57,166 --> 00:32:01,080
- Trendelenburg and roll him left side up.
- Blunt force trauma, Luka. It's over.
570
00:32:01,253 --> 00:32:04,337
Mediastinal air after intubation. Blade.
571
00:32:04,506 --> 00:32:05,917
No pressure, no pulse.
572
00:32:07,259 --> 00:32:08,717
What is he doing?
573
00:32:08,885 --> 00:32:11,008
- Watch.
- Spreader.
574
00:32:13,724 --> 00:32:15,349
Opening the chest cavity.
575
00:32:16,018 --> 00:32:18,509
Pericardium looks clear. Quiet.
576
00:32:20,355 --> 00:32:22,182
Okay, bag him a couple of times fast.
577
00:32:24,192 --> 00:32:26,518
- You hear it?
- Hilar leak.
578
00:32:26,695 --> 00:32:28,853
Clamp. Bag.
579
00:32:31,700 --> 00:32:33,527
- How long?
- Almost a minute.
580
00:32:33,702 --> 00:32:35,031
Again.
581
00:32:37,205 --> 00:32:38,748
Got it. Cross clamp.
582
00:32:40,000 --> 00:32:43,120
Get me a 50cc syringe
with an 18-gauge needle.
583
00:32:43,295 --> 00:32:46,250
Okay, pressure's going up. Fifties.
584
00:32:53,555 --> 00:32:54,883
Evacuating the air.
585
00:32:58,060 --> 00:33:00,267
That's why he couldn't pump blood.
586
00:33:00,605 --> 00:33:02,431
Weak pulse.
587
00:33:02,899 --> 00:33:04,725
Got a pulse.
588
00:33:07,445 --> 00:33:11,312
So you can stay here.
You can be safe here.
589
00:33:12,199 --> 00:33:15,734
Can you explain the concept
of a women's shelter?
590
00:33:22,042 --> 00:33:23,916
What is she so afraid of?
591
00:33:24,086 --> 00:33:27,122
Living in poverty, deportation.
Take your pick.
592
00:33:27,298 --> 00:33:29,124
It's called "trafficking in persons. "
593
00:33:29,299 --> 00:33:31,837
Young women are brought over
from some foreign country.
594
00:33:32,011 --> 00:33:35,344
They get offered jobs
and wind up as indentured servants.
595
00:33:37,099 --> 00:33:40,100
I can't leave my baby.
596
00:33:42,563 --> 00:33:46,181
You don't have to. This is your baby.
Nobody's gonna take your baby.
597
00:33:46,942 --> 00:33:48,852
Not this baby.
598
00:33:50,529 --> 00:33:52,107
Aidan.
599
00:33:52,281 --> 00:33:54,190
The 3-year-old?
600
00:33:54,867 --> 00:33:56,112
Is Aidan your son too?
601
00:33:59,163 --> 00:34:00,574
Yes.
602
00:34:08,505 --> 00:34:11,626
Okay, Kit, let's try a t-piece trial.
603
00:34:12,426 --> 00:34:14,751
Normally, we would have extubated
in the OR, right?
604
00:34:14,929 --> 00:34:16,471
Normally.
605
00:34:21,644 --> 00:34:24,135
No chest-wall excursions.
606
00:34:24,980 --> 00:34:26,475
Sats are going down to 89.
607
00:34:27,984 --> 00:34:30,391
Why isn't he breathing on his own?
608
00:34:35,616 --> 00:34:37,656
AC of 14.
609
00:34:45,584 --> 00:34:49,748
- I'll go talk with the family.
- No. I'm afraid I get to do that.
610
00:34:57,638 --> 00:35:00,758
I knew something was wrong.
I knew it. I told you.
611
00:35:01,392 --> 00:35:03,016
- It's gonna be okay.
- No, it's not.
612
00:35:03,185 --> 00:35:05,855
Don't say that. He's sick.
613
00:35:06,522 --> 00:35:09,191
I don't know where they took him.
It's not like the police.
614
00:35:09,358 --> 00:35:12,359
I can't go there and bail him out.
I don't even know who to call.
615
00:35:14,572 --> 00:35:17,775
- What if they put him in a VA loony bin?
- That's not gonna happen.
616
00:35:17,951 --> 00:35:20,867
- How do you know?
- Because we'll get him a good lawyer.
617
00:35:21,037 --> 00:35:23,278
And we'll help him through this.
618
00:35:26,376 --> 00:35:28,617
Go home. I'll get someone
to cover your shift.
619
00:35:28,795 --> 00:35:30,953
- I can't.
- Go home.
620
00:35:31,130 --> 00:35:34,047
Get some rest. Call me if you need me.
621
00:35:40,724 --> 00:35:43,759
- Hey. I thought you'd left.
- How's that kid?
622
00:35:43,935 --> 00:35:46,604
He had a hilar leak.
Kovac had to crack his chest.
623
00:35:46,770 --> 00:35:50,223
Pedes surg is with him now.
It looks like he's gonna pull through.
624
00:35:50,399 --> 00:35:53,566
- You would have done the same.
- Kerry, I killed three patients today.
625
00:35:53,737 --> 00:35:55,610
It would have been four
if I'd stayed.
626
00:35:55,780 --> 00:36:00,525
No. You were unable to save
three patients. You didn't kill them.
627
00:36:00,702 --> 00:36:05,031
I mean, I've seen you save twice
that many without breaking a sweat.
628
00:36:05,915 --> 00:36:09,166
Go home. Have a drink, maybe two.
629
00:36:09,335 --> 00:36:10,829
Tomorrow's another day.
630
00:36:11,296 --> 00:36:14,082
But if you lose more than one patient,
you' re fired.
631
00:36:14,632 --> 00:36:16,341
- Thanks.
- Hey.
632
00:36:16,509 --> 00:36:19,843
- Hello. How are you?
- Good.
633
00:36:22,098 --> 00:36:23,889
- Did you?
- No.
634
00:36:24,058 --> 00:36:25,683
- Are you going to?
- No. You can.
635
00:36:25,852 --> 00:36:27,844
No. You should.
636
00:36:28,021 --> 00:36:30,346
- Come on.
- Okay.
637
00:36:31,107 --> 00:36:34,191
Susan, we're gonna have a baby.
638
00:36:34,360 --> 00:36:37,231
- What? You're pregnant?
- No!
639
00:36:37,489 --> 00:36:39,066
I am.
640
00:36:39,741 --> 00:36:43,952
Oh, my God!
Kerry, congratulations!
641
00:36:44,120 --> 00:36:45,698
Thank you.
642
00:36:45,872 --> 00:36:47,864
Thank you so much.
643
00:36:48,041 --> 00:36:49,832
- Where are you going?
- She's going home.
644
00:36:50,001 --> 00:36:52,788
I'm not talking to you.
This is between me and my patient.
645
00:36:52,963 --> 00:36:55,535
- She signed out against medical advice.
- Call the police.
646
00:36:55,715 --> 00:36:57,459
Don't bother. She won't press charges.
647
00:36:57,634 --> 00:36:59,673
We have laws against slavery
in this country.
648
00:36:59,844 --> 00:37:02,086
Tong-yi, you don't have to do this.
649
00:37:02,930 --> 00:37:05,172
I'll bring the car around.
650
00:37:06,309 --> 00:37:08,978
All right, don't do this, Tong-yi.
It's wrong. It's wrong.
651
00:37:09,145 --> 00:37:12,063
I need my job. I have family in China
and they need my money.
652
00:37:12,231 --> 00:37:15,601
- We can help you find another job.
- I can't leave my babies.
653
00:37:15,776 --> 00:37:19,395
If you go back there, they' re gonna
take your baby, just like with Aidan.
654
00:37:19,572 --> 00:37:23,071
- I spend more time with him than they do.
- You should. He's your son.
655
00:37:23,242 --> 00:37:25,650
Does he even know
that you' re his mother?
656
00:37:29,165 --> 00:37:30,708
He doesn't.
657
00:37:32,085 --> 00:37:33,662
But I do.
658
00:37:38,758 --> 00:37:42,174
- How's Mr. Seaton?
- He's still on a vent.
659
00:37:43,889 --> 00:37:45,169
When you first came to me...
660
00:37:45,349 --> 00:37:48,598
...you requested I treat you like
any medical student on my rotation.
661
00:37:48,769 --> 00:37:50,677
And I appreciate it.
662
00:37:51,188 --> 00:37:53,808
Your disease presents you
with innumerable challenges.
663
00:37:53,982 --> 00:37:57,600
And the fact that you' re standing here
is testimony to your character.
664
00:37:57,777 --> 00:38:02,024
But the truth is, I would fail any other
student with a similar performance.
665
00:38:02,198 --> 00:38:05,283
I have to make certain adjustments
to accommodate my disease.
666
00:38:05,452 --> 00:38:10,576
No. No. Political correctness aside,
you are physically handicapped...
667
00:38:10,748 --> 00:38:14,117
...and I would be doing a disservice
to your future patients.
668
00:38:14,711 --> 00:38:15,790
So that's it?
669
00:38:19,424 --> 00:38:21,749
What's the appeal process?
670
00:38:23,344 --> 00:38:25,052
A promise.
671
00:38:25,222 --> 00:38:28,887
I will pass you if you do not practice
clinical medicine.
672
00:38:29,059 --> 00:38:31,632
You can do Radiology, Psychiatry...
673
00:38:31,811 --> 00:38:34,647
...but you must give me your word
that you will never treat patients.
674
00:38:34,815 --> 00:38:36,190
No.
675
00:38:36,358 --> 00:38:40,687
- I can't do that.
- Then you will fail, Mr. Nathan.
676
00:39:20,735 --> 00:39:23,938
- Is someone sitting here?
- No, no.
677
00:39:30,454 --> 00:39:34,665
- You look like you had one of those days.
- Yeah, you could say that.
678
00:39:35,542 --> 00:39:37,285
What do you do?
679
00:39:39,004 --> 00:39:42,503
- I'm a jockey.
- He has a sense of humor.
680
00:39:42,966 --> 00:39:44,959
Not really.
681
00:39:47,887 --> 00:39:51,838
- It's pretty dead in here tonight.
- That's the way I like it.
682
00:39:52,809 --> 00:39:55,217
I don't believe that for a second.
683
00:39:56,647 --> 00:39:58,438
You look like you know
how to have fun.
684
00:39:58,607 --> 00:40:00,516
- Think so?
- Yeah.
685
00:40:03,194 --> 00:40:04,737
Excuse me.
686
00:40:05,989 --> 00:40:09,323
- Hello?
- Luka, I have to talk to you.
687
00:40:09,493 --> 00:40:13,822
I can't talk to you right now.
Yes, he came to see me.
688
00:40:14,456 --> 00:40:17,540
I think you need to stop
calling me, okay?
689
00:40:18,585 --> 00:40:20,293
Sorry about that.
690
00:40:33,016 --> 00:40:37,974
Why don't we get out of here and see
what kind of trouble we can get into.
691
00:40:40,232 --> 00:40:41,726
Where would we go?
692
00:40:43,277 --> 00:40:44,521
I'll leave that up to you.
693
00:40:46,614 --> 00:40:48,107
Okay. I think I know a place.
694
00:40:49,533 --> 00:40:53,531
It's 300 an hour, 2000 for the night.
695
00:41:19,062 --> 00:41:20,557
You coming?
696
00:41:30,700 --> 00:41:33,272
- I've been calling you.
- I was on the phone.
697
00:41:33,452 --> 00:41:35,409
Did you reach him?
698
00:41:36,664 --> 00:41:38,989
You might have to wait till morning.
699
00:41:39,249 --> 00:41:42,618
But I got some fish and chips
from Brennan's.
700
00:41:42,794 --> 00:41:44,788
I'm not hungry.
701
00:41:52,304 --> 00:41:54,925
I bought it on the way home
from work.
702
00:41:55,099 --> 00:41:58,799
It took an hour to get it out of the bag
and 45 minutes to put it in the glass...
703
00:41:58,978 --> 00:42:00,602
...and I still haven't had a sip.
704
00:42:00,771 --> 00:42:04,389
I just wanted everything to stop,
you know?
705
00:42:04,566 --> 00:42:07,602
- I just wanted to stop thinking about-
- Hey, hey, hey.
706
00:42:14,452 --> 00:42:16,777
I'm so glad you' re home.
707
00:42:18,413 --> 00:42:19,824
I'm sorry.
708
00:42:19,999 --> 00:42:21,955
I'm so sorry.
709
00:42:22,376 --> 00:42:26,788
I wanted you to be wrong.
For both of you.
710
00:42:31,677 --> 00:42:34,168
My family's so screwed up.
711
00:42:35,806 --> 00:42:38,557
If I were you, I would run for my life
and never look back.
712
00:42:39,101 --> 00:42:41,723
You don't hold the monopoly
on screwed-up families.
713
00:42:41,896 --> 00:42:43,853
You met my mother.
714
00:42:45,107 --> 00:42:46,981
She's not certifiable.
715
00:42:47,151 --> 00:42:50,152
I have an idea. We should get them
all together for the holidays.
716
00:42:50,320 --> 00:42:53,322
Gamma, my parents, your mother.
717
00:42:56,994 --> 00:43:00,197
- I'm really scared for him, Carter.
- I know.
718
00:43:03,251 --> 00:43:05,823
And it's so unfair.
719
00:43:06,712 --> 00:43:09,203
Because he was such a good kid.
720
00:43:10,341 --> 00:43:14,552
We went through so much growing up,
and I really thought I got him through.
721
00:43:14,720 --> 00:43:16,428
I thought...
722
00:43:17,514 --> 00:43:19,341
...he was safe.
723
00:43:19,975 --> 00:43:24,056
He'll get all the help that he needs now.
We' re gonna make sure that he does.
724
00:43:25,189 --> 00:43:28,355
And nothing that you did or didn't do
would have prevented this.
725
00:43:37,660 --> 00:43:39,783
It's just that Eric...
726
00:43:41,206 --> 00:43:45,072
...he was the only constant thing
in my life, you know?
727
00:43:47,962 --> 00:43:50,962
He was the only thing
I could ever really count on.
728
00:43:56,053 --> 00:43:58,211
That's not true anymore.
729
00:44:03,894 --> 00:44:05,602
Promise?
730
00:44:09,609 --> 00:44:13,902
Because I really need something
to hang onto right now.
731
00:44:17,408 --> 00:44:18,738
I'm not going anywhere.
732
00:44:31,670 --> 00:44:34,761
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