1 00:00:02,938 --> 00:00:05,638 ER 2 00:00:06,016 --> 00:00:07,476 Previously on ER: 3 00:00:08,084 --> 00:00:10,548 We'd be better off as friends. 4 00:00:11,521 --> 00:00:13,386 Mark, thanks again for dinner last night. 5 00:00:13,590 --> 00:00:15,683 God forbid you should listen to me and learn something! 6 00:00:15,692 --> 00:00:18,087 Yes, I was engaged once. 7 00:00:18,428 --> 00:00:19,895 To a really lovely man. 8 00:00:20,096 --> 00:00:23,588 And he was killed in a freak horseback riding accident. 9 00:00:28,638 --> 00:00:32,506 You bring a child into this world, and you think they're helpless, but... 10 00:00:32,709 --> 00:00:36,167 ...actually, I think it's us. We're the ones that are helpless. 11 00:00:37,307 --> 00:00:38,621 "The Miracle Worker" 12 00:00:38,656 --> 00:00:41,847 - What time's that big do at your mom's? - Right after church. 13 00:00:42,019 --> 00:00:45,720 I promised her we'd be there for Christmas caroling with Uncle Ted. 14 00:00:48,776 --> 00:00:50,603 That the old guy with the banjo? 15 00:00:51,028 --> 00:00:54,812 It's a family tradition, kind of like going to Mass on Christmas Eve. 16 00:00:55,032 --> 00:00:57,440 If I go, I'll feel like a hypocrite. 17 00:00:57,660 --> 00:01:00,151 - Kneeling and standing and- - You could just sit. 18 00:01:00,371 --> 00:01:03,407 Everybody gives me dirty looks. Like I'm a pagan. 19 00:01:03,624 --> 00:01:05,202 You are a pagan. 20 00:01:05,835 --> 00:01:08,752 Oh, what a glorious day! Did you see the sky? 21 00:01:08,963 --> 00:01:11,668 - It's like a painting. - Makes you glad to be alive. 22 00:01:11,882 --> 00:01:14,041 - Unless you're being persecuted. - What? 23 00:01:14,260 --> 00:01:16,466 He doesn't like Dr. Lee's new charting system. 24 00:01:16,554 --> 00:01:17,585 - What new charting system? 25 00:01:17,805 --> 00:01:20,640 Patients get two charts: for docs and for nurses. 26 00:01:20,808 --> 00:01:22,966 We get to do our notes at the same time. 27 00:01:23,144 --> 00:01:25,765 Orders get in quicker, patients get meds faster. 28 00:01:25,980 --> 00:01:29,479 Docs don't waste time chasing charts. So, what's the problem? 29 00:01:29,692 --> 00:01:33,310 "Someone" has to keep track of twice as many charts as normal... 30 00:01:33,487 --> 00:01:36,157 ...doubling his workload. Not that anyone cares. 31 00:01:36,324 --> 00:01:37,604 Good morning, gang. 32 00:01:37,783 --> 00:01:40,535 Oh, my God, Amanda! What have you done? 33 00:01:40,745 --> 00:01:44,825 Christmas nibblies: Dried fruit, mixed nuts, little chocolate reindeer. 34 00:01:44,999 --> 00:01:46,374 Don't mind if I do. 35 00:01:46,584 --> 00:01:49,157 Wait. First dibs should go to Jerry. 36 00:01:49,337 --> 00:01:53,334 It's only fair since he's bearing the brunt of the new charting system. 37 00:01:53,549 --> 00:01:55,423 No, thank you. I'm not hungry. 38 00:01:55,635 --> 00:01:59,549 As you wish. Seriously, if you find yourself in the weeds, call me. 39 00:01:59,764 --> 00:02:01,922 - I'll make sure you get support. - Sure. 40 00:02:02,141 --> 00:02:03,635 Excuse me. 41 00:02:08,106 --> 00:02:11,521 That's a Christmas card image, the sight of you wrapping a book. 42 00:02:11,692 --> 00:02:14,230 Something educational for one of your nieces? 43 00:02:14,445 --> 00:02:16,189 No. Actually, it's for you. 44 00:02:16,406 --> 00:02:18,030 It's T.S. Eliot. 45 00:02:18,366 --> 00:02:21,817 I know you said you liked him, so I got it last month... 46 00:02:22,036 --> 00:02:23,696 ...when we were still, you know... 47 00:02:23,955 --> 00:02:25,746 Peter, that's so sweet. 48 00:02:27,542 --> 00:02:30,211 I can't think of a more thoughtful gift. 49 00:02:32,922 --> 00:02:34,297 Thank you. 50 00:02:36,551 --> 00:02:39,302 Oh, please, forget it. Listen, I was wondering... 51 00:02:39,512 --> 00:02:42,085 ...if we could finish our workups around noon. 52 00:02:42,307 --> 00:02:44,465 I need to get out of here early tonight. 53 00:02:44,684 --> 00:02:47,009 Oh, you've got big Christmas Eve plans. 54 00:02:47,228 --> 00:02:50,763 Yeah. My sister's hosting a dinner. Carla's gonna bring Reece by. 55 00:02:50,982 --> 00:02:53,687 - I haven't seen him all week. - I understand. 56 00:02:53,902 --> 00:02:57,401 I absolutely hate being away from my family during the holidays. 57 00:02:57,572 --> 00:03:02,697 In fact, I'm so desperate not to be alone this Christmas Eve... 58 00:03:02,869 --> 00:03:06,285 ...that I bought a ticket to the Surgeons' Society Gala. 59 00:03:06,498 --> 00:03:08,574 Oh, golly. 60 00:03:08,750 --> 00:03:11,916 Yep. And you won't believe who's sitting next to me. 61 00:03:12,086 --> 00:03:14,624 Hey, there she is! 62 00:03:14,839 --> 00:03:18,173 So I checked around. We definitely have the coolest table. 63 00:03:18,384 --> 00:03:20,958 It's lucky we're both able to make it. 64 00:03:21,179 --> 00:03:22,922 A little trouble in paradise? 65 00:03:23,139 --> 00:03:26,259 Anyway, so tonight's dinner is semiformal... 66 00:03:26,434 --> 00:03:31,595 ...so any slinky black number will do. If I may voice my preference... 67 00:03:31,773 --> 00:03:34,478 ...something short and off-the-shoulder would be ideal. 68 00:03:34,651 --> 00:03:36,809 Peter, by the way, that reminds me. 69 00:03:37,487 --> 00:03:41,354 I have a lot of charts and I want to get out of here early. 70 00:03:41,574 --> 00:03:44,778 - I need you to cover my rounds. - That'll mess up my morning. 71 00:03:44,953 --> 00:03:46,945 Look at it this way. I get a life... 72 00:03:47,122 --> 00:03:49,613 ...and you earn a special place in my heart. 73 00:04:40,217 --> 00:04:45,342 Do you know a garage that's open? My crappy car died on the Dan Ryan. 74 00:04:45,514 --> 00:04:47,802 On Christmas Eve? Good luck. 75 00:04:48,016 --> 00:04:50,139 - Lydia, is that...? - Card from Jen. 76 00:04:50,352 --> 00:04:54,052 - My ex-wife sent you a Christmas card? - No. She sent one to me. 77 00:04:54,272 --> 00:04:57,641 We've exchanged cards for years. Christmas, birthdays... 78 00:04:57,859 --> 00:05:01,193 - I was reading the newsletter. - "Merry Christmas from the Simons. " 79 00:05:01,405 --> 00:05:03,362 - What? - Their new house sounds amazing. 80 00:05:03,573 --> 00:05:06,907 - I know. 5000 square feet? - Six bedrooms, three baths? 81 00:05:07,119 --> 00:05:10,322 That sounds just like Jen to be bragging about her house. 82 00:05:10,539 --> 00:05:13,374 - I wouldn't call it bragging. - She's sharing good news. 83 00:05:13,584 --> 00:05:15,872 - Yeah, Jen made partner. - Jen made partner? 84 00:05:16,044 --> 00:05:19,994 - The firm even got her a new Beemer. - I love those convertibles. 85 00:05:20,841 --> 00:05:23,593 Oh, you know what? Mack's Garage on Wacker is open. 86 00:05:23,802 --> 00:05:26,720 - They'll tow your piece-of-crap car. - Thanks, Jerry. 87 00:05:27,055 --> 00:05:30,306 "Dear Dr. Carter, I'm sure you don't remember me. 88 00:05:30,517 --> 00:05:33,637 I wouldn't be around this Christmas if not for you. 89 00:05:33,854 --> 00:05:37,223 You're a lifesaver. The Lord's instrument on earth. " 90 00:05:37,399 --> 00:05:39,973 - Pacer pads? - Third drawer on the left. 91 00:05:40,194 --> 00:05:45,069 "May God bless you and keep you. Merry Christmas. Emily Ropella. " 92 00:05:45,240 --> 00:05:47,566 - Do you remember her? - Not a clue. 93 00:05:47,743 --> 00:05:49,237 It's a nice card, though. 94 00:05:49,411 --> 00:05:51,902 Does it bother you that God gets the credit? 95 00:05:52,081 --> 00:05:55,496 One can be called worse things than "an instrument of God. " 96 00:05:55,709 --> 00:05:57,536 So you believe in...? 97 00:05:58,712 --> 00:06:00,835 I give Him the benefit of the doubt. 98 00:06:01,131 --> 00:06:02,625 - You? - I don't know. 99 00:06:03,133 --> 00:06:06,965 Sometimes I think that God is just this comforting illusion. 100 00:06:07,179 --> 00:06:10,762 We want everything to have meaning, so we create this puppet master... 101 00:06:10,933 --> 00:06:16,093 ...when everything is just arbitrary: life, death, natural disasters- 102 00:06:18,399 --> 00:06:20,391 The Master is displeased. 103 00:06:20,985 --> 00:06:24,021 I'm so sorry. I can't believe he foisted this on you. 104 00:06:24,238 --> 00:06:25,946 No use worrying about it now. 105 00:06:26,115 --> 00:06:28,487 I'll start the preops. That'll save time. 106 00:06:28,701 --> 00:06:30,361 Whatever. 107 00:06:30,786 --> 00:06:32,245 Hello, Mr. Gardner. 108 00:06:32,454 --> 00:06:34,945 I have the results of your MRl. 109 00:06:35,124 --> 00:06:38,125 Good. So, how's it look? 110 00:06:38,294 --> 00:06:43,169 Good news. It appears the cancer hasn't spread beyond the capsule. 111 00:06:43,591 --> 00:06:47,635 Great. So does this mean I can hold on to my prostate? 112 00:06:47,845 --> 00:06:50,680 I'm afraid not. Dr. Romano does want to continue... 113 00:06:50,890 --> 00:06:54,638 ...with the radical prostatectomy tomorrow morning as scheduled. 114 00:06:54,810 --> 00:06:59,353 But with the surgery, you stand an excellent chance of beating the cancer. 115 00:06:59,982 --> 00:07:02,473 It really is very good news. 116 00:07:05,071 --> 00:07:07,941 - Is Dr. Romano around? - He's in surgery. 117 00:07:08,157 --> 00:07:10,280 Is it something I can help you with? 118 00:07:10,493 --> 00:07:15,155 He had mentioned the operation could result in my losing sexual function. 119 00:07:15,373 --> 00:07:17,033 I take it that's still the case? 120 00:07:17,249 --> 00:07:19,954 We'll do our best to do a nerve-sparing procedure. 121 00:07:20,169 --> 00:07:23,953 - But there is that possibility, yes. - How strong a possibility? 122 00:07:24,382 --> 00:07:29,127 Well, according to Dr. Romano's notes, as high as 75 to 80 percent. 123 00:07:30,388 --> 00:07:31,716 Eighty percent. 124 00:07:35,685 --> 00:07:38,970 Has Dr. Romano discussed your options... 125 00:07:39,188 --> 00:07:41,513 ...about having children in the future? 126 00:07:41,732 --> 00:07:45,516 - No. - Well, you might want to consider... 127 00:07:45,695 --> 00:07:47,734 ...paying a visit to a sperm bank. 128 00:07:48,030 --> 00:07:51,530 That way, if there's a loss of function you can still have children... 129 00:07:51,701 --> 00:07:55,864 - ... through alternative means. - Right. 130 00:07:57,456 --> 00:07:58,951 Dr. Lee? 131 00:07:59,292 --> 00:08:00,537 You startled me. 132 00:08:00,710 --> 00:08:03,664 Sorry. Dr. Anspaugh would like you to call him. 133 00:08:04,130 --> 00:08:06,206 What's wrong with Dr. Greene's locker? 134 00:08:06,716 --> 00:08:10,049 I found it ajar. I shut it before something walked away. 135 00:08:10,261 --> 00:08:12,301 - Thanks for the message. - Sure. 136 00:08:12,597 --> 00:08:16,381 I've got supraventricular tachycardia. It happens all the time. 137 00:08:16,559 --> 00:08:18,765 Rate's 160. BP's 100 palp. 138 00:08:18,978 --> 00:08:21,386 Just cardiovert me at 50 and I'm on my way. 139 00:08:21,564 --> 00:08:23,972 Let's put him on a monitor and get a strip. 140 00:08:24,734 --> 00:08:27,818 I'm trying to tell you, I've got SVTs. 141 00:08:28,029 --> 00:08:31,398 Just cardiovert me at 50. It works every time. 142 00:08:31,574 --> 00:08:34,658 I appreciate the tip. But I need to examine you myself. 143 00:08:34,869 --> 00:08:37,656 - I'm trying to save some time here. - Stop talking. 144 00:08:37,872 --> 00:08:40,363 Would you tell him that I have SVTs? 145 00:08:40,792 --> 00:08:42,535 I've got SVTs! 146 00:08:42,752 --> 00:08:43,997 - Let go. - I've got SVTs! 147 00:08:44,212 --> 00:08:46,501 I heard you! I need to examine you myself. 148 00:08:46,714 --> 00:08:48,623 - I'm gonna be late for work! - Let go! 149 00:08:48,841 --> 00:08:50,633 Are you one of Santa's helpers? 150 00:08:51,844 --> 00:08:56,590 The helpers just pass out the goody bags. I'm an elf. A singing elf. 151 00:08:56,766 --> 00:08:58,972 - Oh, part of a choir? - There's four of us. 152 00:08:59,185 --> 00:09:03,230 But thanks to "Super Doc," the Elf Tones are gonna be a tenor short. 153 00:09:03,439 --> 00:09:06,144 - Here you go. - It says I have SVTs, right? 154 00:09:06,442 --> 00:09:09,609 I knew it! You want to shock me at 50 now, smart-ass? 155 00:09:09,821 --> 00:09:11,612 I got an 18-year-old, flatline! 156 00:09:11,823 --> 00:09:14,396 - How long down? - Unknown. Mother found him. 157 00:09:14,617 --> 00:09:17,287 Gave him two rounds of epi, two of atropine. 158 00:09:17,454 --> 00:09:19,742 - Got any signs of life? - Got him back once. 159 00:09:19,956 --> 00:09:22,625 Get him on a monitor. Carter, check ventilation. 160 00:09:22,792 --> 00:09:24,334 - What can I do? - Rectal temp. 161 00:09:24,502 --> 00:09:26,874 - Great. - All right. On my count. 162 00:09:27,046 --> 00:09:28,624 Watch your hand there. 163 00:09:28,840 --> 00:09:31,509 One, two, three, go. 164 00:09:32,343 --> 00:09:34,051 Any signs of drugs, suicide? 165 00:09:34,262 --> 00:09:37,512 Said he had a killer headache. Took a nap and never woke up. 166 00:09:37,724 --> 00:09:40,594 - A subarachnoid hemorrhage. - Killer headache is right. 167 00:09:40,810 --> 00:09:42,602 - Monitor's up. - No femoral pulse. 168 00:09:42,812 --> 00:09:45,220 - Asystole. - No spontaneous respirations. 169 00:09:45,440 --> 00:09:48,774 - No response to pain. - Anybody got any good news? 170 00:09:48,985 --> 00:09:51,108 Pupils are... 171 00:09:51,905 --> 00:09:55,855 - ... fixed and dilated. No corneal reflex. - He's only 18. 172 00:09:56,076 --> 00:10:00,239 Zadro got him back once, maybe we can do it again. High dose of epi. 173 00:10:00,455 --> 00:10:04,204 Put him on a pulse ox. An end-tidal CO-2 detector. 174 00:10:07,003 --> 00:10:09,541 - Paddles, please. - Crank it to 50. Let's go! 175 00:10:09,756 --> 00:10:12,627 - Let's start at 20. - Twenty? Why? 176 00:10:12,842 --> 00:10:15,843 - Because I said so, that's why. - Oh, that's mature. 177 00:10:16,054 --> 00:10:18,177 - Charged to 20. - Clear. 178 00:10:20,183 --> 00:10:21,642 - How did we do? - No change. 179 00:10:21,852 --> 00:10:23,180 Fifty? Do I hear 50? 180 00:10:23,353 --> 00:10:25,678 - Let's go to 30. - Oh, for crying out loud! 181 00:10:25,897 --> 00:10:27,356 Why not just go to 50? 182 00:10:27,566 --> 00:10:31,184 Because he has a sensitive rhythm. I don't want to overshock him. 183 00:10:31,361 --> 00:10:33,188 - Charge to 30. - Clear. 184 00:10:34,364 --> 00:10:35,645 Anything? 185 00:10:36,199 --> 00:10:39,200 - Nothing. - I don't want to question your genius. 186 00:10:39,369 --> 00:10:42,868 But can we go to 50 while I still got some hair on my chest? 187 00:10:43,707 --> 00:10:45,616 - Let's go to 50. - It's about time! 188 00:10:45,834 --> 00:10:47,827 - Charged. - Clear. 189 00:10:50,714 --> 00:10:53,419 That did it. Back to normal sinus. 190 00:10:53,633 --> 00:10:55,673 Watch him for 15 and then let him go. 191 00:10:55,886 --> 00:10:58,721 Thanks for nothing, Dr. Mengele! 192 00:11:01,308 --> 00:11:03,680 - Time? - Twelve minutes. 193 00:11:03,894 --> 00:11:06,100 - Check his rhythm. - Still no pulse. 194 00:11:06,313 --> 00:11:08,021 - Asystole. - Keep at it. 195 00:11:08,231 --> 00:11:10,936 - Ten of epi onboard. - The boy's mother is in Chairs. 196 00:11:11,151 --> 00:11:14,401 - She wants to talk to someone. - Carter, you want to do that? 197 00:11:14,613 --> 00:11:16,155 Don't get her hopes up. 198 00:11:17,574 --> 00:11:20,361 All right. Give me another epi, 7 milligrams. 199 00:11:21,245 --> 00:11:23,533 - Mrs. Richards? - My son? 200 00:11:23,747 --> 00:11:25,241 Hi. I'm Dr. Carter. 201 00:11:25,415 --> 00:11:27,289 Your son's heart stopped beating. 202 00:11:27,501 --> 00:11:29,908 We're doing everything to start it again. 203 00:11:30,087 --> 00:11:32,459 We're giving him medicine and doing CPR. 204 00:11:32,673 --> 00:11:35,590 Why would his heart stop? He's 18 years old. 205 00:11:37,761 --> 00:11:40,252 There's a sign that he had a brain hemorrhage... 206 00:11:40,472 --> 00:11:42,797 ...which could've caused the cardiac arrest. 207 00:11:43,016 --> 00:11:44,843 How? He's the picture of health. 208 00:11:45,060 --> 00:11:49,140 It could be a weak artery, possibly something that's existed since birth. 209 00:11:49,815 --> 00:11:52,057 The thing is, he's been down a long time. 210 00:11:52,276 --> 00:11:56,985 The longer he goes without oxygen, the less likely we can bring him back. 211 00:11:57,197 --> 00:12:00,898 - We might need to have a conversation- - Please don't give up on him. 212 00:12:01,702 --> 00:12:03,529 He's all that I have. 213 00:12:06,040 --> 00:12:07,415 Please. 214 00:12:08,125 --> 00:12:09,453 Okay. 215 00:12:10,627 --> 00:12:12,003 I'll be back. 216 00:12:15,424 --> 00:12:18,544 Hold it. Hold the compressions. Any sign of a rhythm? 217 00:12:18,761 --> 00:12:20,552 - Flatline. - Let's call it. 218 00:12:20,763 --> 00:12:22,471 Not yet. Keep bagging. 219 00:12:23,057 --> 00:12:25,133 You got a reason to keep flogging him? 220 00:12:25,351 --> 00:12:28,470 He's 18, his mother's only child. And it's Christmas. 221 00:12:28,687 --> 00:12:30,810 Want a miracle? He's been down for 40. 222 00:12:31,023 --> 00:12:33,728 - So, what's five more? - Okay, doctor. Let's go. 223 00:12:33,943 --> 00:12:37,892 Resuming compressions. Keep bagging. And another round of high-dose epi. 224 00:12:38,113 --> 00:12:40,651 Start a dopamine drip. Get those paddles ready. 225 00:12:40,866 --> 00:12:43,191 - He's in asystole. - He may be in fine V-fib. 226 00:12:43,410 --> 00:12:45,486 Charge to 300. No, 350. 227 00:12:45,663 --> 00:12:49,328 - Charging. - Let's hold a really positive thought. 228 00:12:49,500 --> 00:12:51,409 - Ready. - Clear! 229 00:12:51,752 --> 00:12:53,081 - Was that a beat? - My God! 230 00:12:53,295 --> 00:12:56,380 - Two beats does not a rhythm make. - Slap some pads on him. 231 00:12:56,590 --> 00:12:58,001 All right. Here you go. 232 00:13:00,219 --> 00:13:01,678 Can you roll him? 233 00:13:04,598 --> 00:13:06,840 - Set it at 80. - You're on. 234 00:13:08,018 --> 00:13:10,391 - It's not capturing. - Dial up the gain. 235 00:13:11,021 --> 00:13:13,643 Come on. Just gotta get it to capture. 236 00:13:13,858 --> 00:13:16,349 - He's throwing PVCs. - Hold that lidocaine. 237 00:13:16,527 --> 00:13:18,069 Maximum gain. 238 00:13:18,696 --> 00:13:21,021 Come on. Come on. 239 00:13:21,824 --> 00:13:23,402 - We got it! - He's got a rhythm! 240 00:13:23,617 --> 00:13:25,195 - Take a carotid. - Pulse? 241 00:13:25,411 --> 00:13:27,202 - Strong at 120. - BP is 100. 242 00:13:27,413 --> 00:13:29,738 Send him to CT, find out where he's bleeding. 243 00:13:29,957 --> 00:13:31,749 - How'd you-? - I'm an instrument! 244 00:13:31,959 --> 00:13:34,415 - Way to go! - Hope he's got some brain left. 245 00:13:34,754 --> 00:13:36,912 - You want contrast? - No, but call Respiratory. 246 00:13:37,089 --> 00:13:39,378 Make sure they got a vent and scanner. 247 00:13:41,010 --> 00:13:42,801 Looks like we got our miracle. 248 00:13:43,012 --> 00:13:47,092 If he wakes up. Even if he does, he'll probably have brain damage. 249 00:13:47,433 --> 00:13:48,927 Carter. 250 00:13:49,268 --> 00:13:50,846 Better prepare the mother. 251 00:13:59,403 --> 00:14:00,814 Yes, Ma. 252 00:14:01,030 --> 00:14:02,773 Of course we're coming. 253 00:14:04,659 --> 00:14:08,953 Uncle Ted wants Doug to play "Silent Night" on the tambourine? 254 00:14:09,997 --> 00:14:11,789 I think he'd love it. 255 00:14:12,542 --> 00:14:16,160 Yeah. Hey, do you have any videotape left in the videocam? 256 00:14:16,379 --> 00:14:18,786 Yep. Yes, I am coming to Mass. 257 00:14:19,006 --> 00:14:23,051 No, he is not. But, you know what? We should probably respect his choice. 258 00:14:23,261 --> 00:14:25,467 It would be nice if we all went together. 259 00:14:25,680 --> 00:14:28,764 If I'm needed, I'll be out at the roach coach. 260 00:14:28,975 --> 00:14:31,845 I'll be here suffocating under a mountain of charts. 261 00:14:32,061 --> 00:14:35,810 That's odd. I swear I had my gloves in my pocket. 262 00:14:36,024 --> 00:14:38,645 - Dr. Lee took them. - What did you say? 263 00:14:39,402 --> 00:14:41,395 I saw her at your locker earlier. 264 00:14:41,612 --> 00:14:44,317 - That is ridiculous, Jerry. - What's ridiculous? 265 00:14:44,532 --> 00:14:46,940 He's accusing Amanda of stealing my gloves. 266 00:14:47,118 --> 00:14:50,617 I tell you she had your locker open, and she was very suspicious. 267 00:14:50,830 --> 00:14:54,033 I know you're angry at Amanda for the new chart system... 268 00:14:54,250 --> 00:14:56,575 ...but to accuse her of being a thief... 269 00:14:56,794 --> 00:14:59,083 You didn't see how weird she was acting. 270 00:14:59,464 --> 00:15:00,958 Can it, Jerry. 271 00:15:01,633 --> 00:15:03,958 I finished the work on Landis. How are you? 272 00:15:04,135 --> 00:15:07,967 - Two more preops, then postops. - You may make your dinner after all. 273 00:15:08,515 --> 00:15:11,848 What'll it be? Goose in chestnut sauce or roast venison? 274 00:15:12,060 --> 00:15:13,637 We gotta call in our entr�es. 275 00:15:13,853 --> 00:15:17,981 Dr. Romano, Mr. DeMisa is coming back in with postoperative pain. 276 00:15:18,191 --> 00:15:19,650 What a pain in the ass! 277 00:15:19,818 --> 00:15:22,309 You assisted on his gastroplasty, didn't you? 278 00:15:22,487 --> 00:15:25,820 - What? Yeah. - Great! When he comes in, take him. 279 00:15:25,990 --> 00:15:28,826 I'm already busy. I'm trying to get home for dinner. 280 00:15:28,993 --> 00:15:31,282 Sometimes being a Resident just sucks. 281 00:15:31,496 --> 00:15:33,702 So, what'll it be? Mother Goose or Bambi? 282 00:15:36,751 --> 00:15:39,123 - Are these leads on? - The leads are on. 283 00:15:39,337 --> 00:15:43,833 Nothing in the alpha, theta or delta frequencies. He's brain-dead. 284 00:15:45,218 --> 00:15:47,543 Well, maybe he can be an organ donor. 285 00:15:47,762 --> 00:15:52,673 Not too likely. He has type AB blood. That's, what, 2% of the population? 286 00:15:52,892 --> 00:15:55,680 I doubt you'll find many compatible candidates. 287 00:15:55,895 --> 00:15:59,015 - It's worth a try. - Sure it is. Talk to the mother. 288 00:15:59,190 --> 00:16:02,690 If she won't go for it, try to persuade her to pull the plug. 289 00:16:04,863 --> 00:16:06,820 So much for my miracle. 290 00:16:07,449 --> 00:16:10,022 Dr. Corday, the fertility clinic just called. 291 00:16:10,243 --> 00:16:13,161 Your patient, David Gardner, is having an Ml. 292 00:16:13,371 --> 00:16:16,621 His EKG was normal this morning. Is he upstairs? 293 00:16:16,833 --> 00:16:18,707 They're taking him to the ER. 294 00:16:19,419 --> 00:16:20,794 Okay. 295 00:16:22,339 --> 00:16:24,378 I just took an unusual complaint. 296 00:16:24,549 --> 00:16:28,381 An irate elf claims you tortured him with the cardioversion paddles? 297 00:16:28,595 --> 00:16:32,723 We differed over treatment strategies. I wouldn't quite call it torture. 298 00:16:32,891 --> 00:16:35,892 I know. I read the chart. He's clearly a nut case. 299 00:16:36,103 --> 00:16:39,103 - I'm just making sure you're all right. - I'm okay. 300 00:16:39,523 --> 00:16:42,524 Although, to be honest, I could've handled it better. 301 00:16:42,734 --> 00:16:46,602 I'm a little off my game today. Blame it on the holidays. 302 00:16:46,822 --> 00:16:49,692 - Is it a rough time of year for you? - Not usually. 303 00:16:49,908 --> 00:16:54,700 My ex-wife, she sent out this newsletter saying how happy she is. 304 00:16:54,913 --> 00:16:58,781 I can't help but see it as her saying, "Look how well I traded up. " 305 00:16:59,001 --> 00:17:00,708 - I got it. - Thanks. 306 00:17:00,919 --> 00:17:03,754 - It's a tough time of year for me too. - Really? 307 00:17:04,006 --> 00:17:07,588 This is the first Christmas since my brother committed suicide. 308 00:17:07,801 --> 00:17:10,755 - Oh, jeez. I'm sorry. - Yeah. 309 00:17:11,096 --> 00:17:15,094 It was one of those apocalyptic cult things. The guys with the sneakers? 310 00:17:15,267 --> 00:17:18,885 Oh, yeah. I thought that was a couple of years ago. 311 00:17:19,146 --> 00:17:22,396 He missed the big event, so he decided to follow on his own. 312 00:17:22,816 --> 00:17:27,478 Wow! Sorry. I gotta say you're handling it better than I would've. 313 00:17:27,696 --> 00:17:30,483 I credit that to my Grandma Lee. She always said: 314 00:17:30,699 --> 00:17:33,486 "Whatever life throws at you, greet it with a smile. 315 00:17:33,702 --> 00:17:36,620 There's nothing as contagious as a positive attitude. " 316 00:17:37,247 --> 00:17:40,747 I think we'd all be better off if we followed Grandma's advice. 317 00:17:41,502 --> 00:17:43,708 - Here we go. - Coming through. 318 00:17:43,921 --> 00:17:47,124 - Let's get him into Trauma 1. - Mr. Gardner, how are you? 319 00:17:47,341 --> 00:17:50,710 - My chest feels tight. I can't breathe. - Is he your patient? 320 00:17:50,928 --> 00:17:53,216 Yes, and he's hyperventilating like crazy. 321 00:17:53,430 --> 00:17:55,506 Hook him up to a 12-lead EKG and a pulse ox. 322 00:17:55,682 --> 00:17:57,971 Start a line. Get a mask on him. 323 00:17:58,185 --> 00:18:02,135 We need to get your breathing under control. Concentrate on the breaths. 324 00:18:02,356 --> 00:18:04,811 Let the breath out slowly. 325 00:18:04,983 --> 00:18:06,893 Slowly. 326 00:18:07,111 --> 00:18:08,771 - Monitor's up. - All right. 327 00:18:08,987 --> 00:18:11,739 Yep, pulse is up to 99. That's a good sign. 328 00:18:11,949 --> 00:18:13,443 You're gonna be fine. 329 00:18:13,659 --> 00:18:16,328 Breathe in on the count of five. 330 00:18:16,704 --> 00:18:19,277 One. Two. 331 00:18:19,498 --> 00:18:21,158 Oh, my! You're David- 332 00:18:21,375 --> 00:18:24,661 You're David Gardner, right? The trumpet soloist? 333 00:18:24,878 --> 00:18:27,963 I saw your guest performance with the Chicago Symphony. 334 00:18:28,173 --> 00:18:30,961 I'm sorry. I'm Kerry Weaver, season ticket holder. 335 00:18:31,176 --> 00:18:32,671 Breathe out. 336 00:18:32,886 --> 00:18:36,671 I just loved your featured performance in Mahler 2. 337 00:18:36,891 --> 00:18:38,515 It gave me shivers. 338 00:18:38,684 --> 00:18:40,012 Slowly. 339 00:18:40,185 --> 00:18:42,262 - Where do you go next? - Boston. 340 00:18:42,479 --> 00:18:45,101 - Breathe in. - The BSO! Yes! 341 00:18:45,316 --> 00:18:47,308 - I got your 12-lead. - Breathe out. 342 00:18:47,526 --> 00:18:51,524 David, your heart looks just fine. 343 00:18:52,156 --> 00:18:54,362 We'll run a few tests just to make sure. 344 00:18:54,533 --> 00:18:58,198 But I think that you were just having an anxiety attack. 345 00:18:58,370 --> 00:19:00,992 Are you a bit nervous about playing for Ozawa? 346 00:19:01,373 --> 00:19:03,413 Breathe in. 347 00:19:03,626 --> 00:19:05,369 How long have you had the pain? 348 00:19:05,544 --> 00:19:08,415 Ever since the surgery. I wish I'd never had it. 349 00:19:08,631 --> 00:19:12,711 I heard stapling my stomach would help me reduce, but I haven't lost a pound. 350 00:19:12,885 --> 00:19:15,423 Have you been sticking to the all-liquid diet? 351 00:19:15,763 --> 00:19:18,301 - What did you have today? - A little blended tea. 352 00:19:18,516 --> 00:19:21,351 - What was in it? - Bacon and eggs. 353 00:19:21,560 --> 00:19:24,396 - Mr. DeMisa! - But I blended it up. 354 00:19:25,731 --> 00:19:28,305 - What else did you have? - A smoothie. 355 00:19:28,859 --> 00:19:32,228 - And what was in that? - Low-fat milk... 356 00:19:32,697 --> 00:19:36,741 ...some butternut squash, sweet potato pancakes, a honey-glazed ham... 357 00:19:36,951 --> 00:19:39,952 ...and a caramel-orange Buche de Noel. 358 00:19:40,162 --> 00:19:44,112 - That's a full Christmas dinner. - Oh, also, I'm a little backed up. 359 00:19:45,376 --> 00:19:48,081 - What do you mean a little backed up? - Constipated. 360 00:19:48,296 --> 00:19:51,166 Okay. He probably busted a staple. 361 00:19:51,382 --> 00:19:54,418 Set him up for a gastrograph and give him a laxative. 362 00:19:54,635 --> 00:19:57,720 I like the chocolate ones. If that's all right? 363 00:20:03,436 --> 00:20:04,930 Dr. Carter... 364 00:20:05,771 --> 00:20:09,022 ...I was talking to Steven and he moved his arm. 365 00:20:10,109 --> 00:20:12,434 He's having involuntary muscle spasms. 366 00:20:12,904 --> 00:20:15,359 I think he was trying to tell me something. 367 00:20:16,282 --> 00:20:18,524 I'm afraid that's not possible. 368 00:20:19,327 --> 00:20:24,202 We did a test on Steven to check for brain activity. We didn't find any. 369 00:20:27,043 --> 00:20:28,454 Well, then... 370 00:20:29,295 --> 00:20:31,454 ...it'll take some time and- 371 00:20:31,673 --> 00:20:33,998 Time isn't going to help. 372 00:20:34,801 --> 00:20:36,758 Steven is brain-dead. 373 00:20:37,053 --> 00:20:38,631 No possibility of recovery. 374 00:20:39,305 --> 00:20:43,089 I know this is a really difficult thing to think about right now. 375 00:20:43,309 --> 00:20:45,931 One way to salvage something positive out of this... 376 00:20:46,145 --> 00:20:47,805 ...is to donate Steven's organs. 377 00:20:51,234 --> 00:20:52,609 No, I... 378 00:20:53,027 --> 00:20:56,895 I can't let you take out his organs when his heart is still beating. 379 00:21:00,326 --> 00:21:02,652 If that's the case, I'd ask you... 380 00:21:02,829 --> 00:21:06,328 ...to consider signing a "do not resuscitate" order. 381 00:21:07,166 --> 00:21:10,333 That way, if Steven's heart fails again... 382 00:21:10,879 --> 00:21:14,164 ...we won't subject him to overly aggressive procedures... 383 00:21:14,382 --> 00:21:17,336 ...by prolonging his life in a vegetative state. 384 00:21:18,178 --> 00:21:20,170 I can hope for a miracle, can't I? 385 00:21:24,559 --> 00:21:26,184 Well, who do we have here? 386 00:21:26,352 --> 00:21:29,306 Mrs. Hutton fainted while shopping at Lakewood Mall. 387 00:21:29,522 --> 00:21:33,520 I'm sorry. Don't worry, we'll have you back on your feet in a jiff. 388 00:21:33,735 --> 00:21:35,110 All right. 389 00:21:36,362 --> 00:21:38,022 You been hitting the nitrous? 390 00:21:38,198 --> 00:21:40,440 You gotta greet life with a smile. 391 00:21:40,658 --> 00:21:45,617 - I do? - Yeah. A positive attitude is contagious. 392 00:21:45,830 --> 00:21:48,368 So why don't you tell me what happened? 393 00:21:48,583 --> 00:21:51,418 I went to Field's Night Before Christmas sale. 394 00:21:51,628 --> 00:21:55,127 It was crowded. It was hot. It was stuffy. I passed out. 395 00:21:55,799 --> 00:21:58,124 - Very nicely put. - Thanks. 396 00:21:58,551 --> 00:22:03,048 Why don't we order Mrs. Hutton some cardiac enzymes, CBC and a Chem-7? 397 00:22:03,265 --> 00:22:06,016 Hold it! How much do those things cost? 398 00:22:06,226 --> 00:22:08,053 Gosh! I don't know. 399 00:22:08,311 --> 00:22:11,396 - You won't tell me? - No, I mean I really don't know. 400 00:22:11,606 --> 00:22:14,311 - Please sit up. - Oh, I got your number now. 401 00:22:14,526 --> 00:22:17,942 - Excuse me? - You think you're pretty smart, huh? 402 00:22:18,154 --> 00:22:23,113 Sweet-talking me into buying all those expensive tests I don't need. 403 00:22:23,326 --> 00:22:25,070 Just trying to make a diagnosis. 404 00:22:25,287 --> 00:22:27,956 I'm trying to survive on Social Security. 405 00:22:28,165 --> 00:22:30,204 We can't all make a doctor's salary. 406 00:22:30,417 --> 00:22:32,623 Your insurance will pay for the tests. 407 00:22:32,836 --> 00:22:36,454 Oh, so that's your racket! Ripping off insurance companies. 408 00:22:36,673 --> 00:22:39,378 It's crooks like you that keep my premiums so high. 409 00:22:39,593 --> 00:22:40,968 Get me another doctor! 410 00:22:41,595 --> 00:22:43,219 He's the best doctor we have. 411 00:22:43,430 --> 00:22:46,929 Well, I don't like the look of him. The way he smiles and talks. 412 00:22:47,142 --> 00:22:51,436 I want another doctor! Any doctor as long as it isn't him! 413 00:22:51,605 --> 00:22:54,771 Mr. Gardner, your labs look stunning. 414 00:22:54,941 --> 00:22:58,856 We should probably wait on the cardiac enzymes before letting you go. 415 00:22:59,071 --> 00:23:01,609 At this rate, I should check in for the night. 416 00:23:01,782 --> 00:23:05,281 It would certainly save you the drive in for surgery tomorrow. 417 00:23:05,494 --> 00:23:09,159 No, the less time I spend here the better. No offense. 418 00:23:09,373 --> 00:23:11,033 None taken. 419 00:23:11,708 --> 00:23:13,119 So how are you feeling? 420 00:23:13,335 --> 00:23:17,285 Like an idiot. Here I thought I was having this big heart attack... 421 00:23:17,464 --> 00:23:19,872 ...turns out I'm just a nervous wreck. 422 00:23:20,175 --> 00:23:22,464 If you want, you could postpone surgery. 423 00:23:22,636 --> 00:23:26,135 No. I have to be recovered by January 15th. 424 00:23:26,348 --> 00:23:29,551 I'm doing a televised special with the Boston Symphony. 425 00:23:29,768 --> 00:23:32,686 Oh, I'll have to mark my calendar. 426 00:23:33,021 --> 00:23:34,646 Symphony fan? 427 00:23:35,107 --> 00:23:38,061 I know very little about orchestral music. 428 00:23:39,278 --> 00:23:40,772 So, what do you like? 429 00:23:41,446 --> 00:23:42,989 Well... 430 00:23:47,327 --> 00:23:48,822 ...I'm embarrassed to say. 431 00:23:51,123 --> 00:23:53,162 How bad can it be? 432 00:23:55,461 --> 00:23:57,418 I'm in a disco phase at the moment. 433 00:23:58,005 --> 00:24:00,959 Yes, well, I can see why you would be embarrassed. 434 00:24:03,052 --> 00:24:05,839 - You paged me? - We've got a problem. He's stuck. 435 00:24:06,013 --> 00:24:08,883 - Stuck? - He's wedged in. I can't get him out. 436 00:24:09,099 --> 00:24:11,886 - What do you expect me to do? - Help me get him out? 437 00:24:12,102 --> 00:24:13,680 I don't have time for that. 438 00:24:13,896 --> 00:24:16,303 Have Maintenance take the chair apart. 439 00:24:16,523 --> 00:24:18,433 - What? - I gotta go to the bathroom. 440 00:24:18,651 --> 00:24:20,193 - You'll have to hold it. - Help! 441 00:24:20,402 --> 00:24:22,940 - Help me get him out, please? - Please! 442 00:24:23,155 --> 00:24:25,444 Okay, come on. Grab his arms. 443 00:24:26,283 --> 00:24:30,447 Oh, man! All right, on my count. One, two, three. 444 00:24:40,172 --> 00:24:41,750 What a waste. 445 00:24:43,634 --> 00:24:47,299 Why did I do it? Why did I do it? I know- I know better. 446 00:24:47,513 --> 00:24:48,888 You tried to save a life. 447 00:24:49,056 --> 00:24:51,843 I let that "instrument of God" stuff go to my head. 448 00:24:53,435 --> 00:24:54,930 Maybe it is all arbitrary. 449 00:24:55,146 --> 00:24:57,352 Why does he deserve a brain hemorrhage? 450 00:24:57,565 --> 00:24:59,688 And why does it blow on Christmas Eve? 451 00:25:00,860 --> 00:25:02,270 What's the point? 452 00:25:15,875 --> 00:25:18,579 I got the tests back on that teenager in 1. 453 00:25:18,753 --> 00:25:21,291 A little Christmas present from the stork. 454 00:25:21,505 --> 00:25:24,257 Well, I'd better go give the good news. 455 00:25:24,467 --> 00:25:26,590 - Oh, my God! - Here. 456 00:25:26,761 --> 00:25:29,252 Oh, Dr. Weaver, you have to read this. 457 00:25:29,430 --> 00:25:31,838 - Read what? - A triple-X sex fantasy. 458 00:25:32,016 --> 00:25:33,261 Excuse me? 459 00:25:33,476 --> 00:25:36,393 I found it in Dr. Lee's charts. It's her handwriting. 460 00:25:36,604 --> 00:25:41,515 "I took M.G.'s gloved hand and placed it on my heaving, pink, stippled breast. " 461 00:25:42,193 --> 00:25:43,770 Why am I reading this? 462 00:25:43,986 --> 00:25:48,198 - Don't you get it? - "M.G. " is Mark Greene. 463 00:25:48,407 --> 00:25:51,859 - Come on! - What about the glove reference? 464 00:25:52,078 --> 00:25:54,284 You have completely lost your mind. 465 00:25:54,497 --> 00:25:57,581 You found my notes on Mrs. Condrell. I've looked up and down. 466 00:25:57,792 --> 00:26:01,790 - Mrs. Condrell? - That psych patient? It's a sad case. 467 00:26:02,004 --> 00:26:05,124 She's psychotic, extremely hypersexual... 468 00:26:05,299 --> 00:26:09,297 ...and has these obsessive fantasies about Merv Griffin, of all people. 469 00:26:09,512 --> 00:26:11,006 Anyway, thank you. 470 00:26:11,764 --> 00:26:15,714 Next time you want to make an ass out of yourself, leave me out of it. 471 00:26:17,812 --> 00:26:21,679 - Could there be a mistake? - No mistake, Laura. You're pregnant. 472 00:26:22,817 --> 00:26:24,477 Oh, God! 473 00:26:25,194 --> 00:26:26,854 What do I do? 474 00:26:27,697 --> 00:26:31,113 - Can you talk to your mother? - No way. She'll kill me. 475 00:26:32,160 --> 00:26:34,117 - Your dad? - No. 476 00:26:34,328 --> 00:26:37,947 - Thanks. - I had to sneak out even to come here. 477 00:26:38,833 --> 00:26:40,375 Are you gonna tell them? 478 00:26:40,585 --> 00:26:42,412 Not if you don't want me to. 479 00:26:42,629 --> 00:26:44,502 I don't. 480 00:26:47,592 --> 00:26:50,628 You have some choices: You can have the baby, keep it... 481 00:26:51,012 --> 00:26:54,298 ...have the baby, put it up for adoption, or have an abortion. 482 00:26:54,891 --> 00:26:57,133 I can't have a baby. 483 00:26:58,061 --> 00:26:59,471 There's no way. 484 00:27:03,316 --> 00:27:05,107 Can you help me? 485 00:27:05,276 --> 00:27:07,565 Yes, I can. I'll be right back. 486 00:27:07,737 --> 00:27:10,655 Stephanie, can you...? Thanks. 487 00:27:12,992 --> 00:27:14,368 Hey, Carol. 488 00:27:15,119 --> 00:27:17,361 I got a pregnant 13-year-old in there... 489 00:27:17,580 --> 00:27:19,656 ...who wants an abortion on the holidays. 490 00:27:19,874 --> 00:27:21,831 God! Thirteen. 491 00:27:22,043 --> 00:27:24,285 Well, you think you can arrange that? 492 00:27:24,462 --> 00:27:27,084 Merry Christmas. Yeah. 493 00:27:27,298 --> 00:27:28,757 You can take it from here? 494 00:27:28,925 --> 00:27:30,336 Sure. 495 00:27:30,802 --> 00:27:33,091 Carla, I know his bedtime is at 8:00. 496 00:27:33,304 --> 00:27:35,463 I might not be able to make it until then. 497 00:27:35,640 --> 00:27:38,392 Yeah, I know. Listen, listen. Okay, okay. 498 00:27:38,560 --> 00:27:41,395 It's Christmas Eve. I just want see my son, okay? 499 00:27:41,980 --> 00:27:45,431 Okay. Thank you so much. I promise. I will. Yeah, bye. 500 00:27:45,608 --> 00:27:47,067 - How's it going? - Don't ask. 501 00:27:47,235 --> 00:27:50,236 - You call the ER for DeMisa? - He's still on the toilet. 502 00:27:50,405 --> 00:27:53,074 Lizzie, if you're ready, we can go together. 503 00:27:53,241 --> 00:27:55,613 I have a couple of patients to finish with. 504 00:27:55,827 --> 00:27:59,196 - Is Peter trying to ruin our evening? - No, not at all. 505 00:27:59,372 --> 00:28:00,914 It was a joke. 506 00:28:01,124 --> 00:28:03,081 Look, I'll see you there. 507 00:28:03,627 --> 00:28:06,331 I left these unfinished dictations for you. 508 00:28:06,546 --> 00:28:10,129 They need to be in by 8. Appreciate the help. See you later. 509 00:28:14,012 --> 00:28:17,595 Sixteen-year-old, unconscious, history of biliary atresia. 510 00:28:17,807 --> 00:28:19,302 - Hepatic coma? - Looks like it. 511 00:28:19,476 --> 00:28:22,809 - She was fine until six months ago. - What medication is she on? 512 00:28:22,979 --> 00:28:26,099 Ampicillin, tobramycin, vitamins A, D and K. 513 00:28:26,316 --> 00:28:28,107 The skin's jaundiced. 514 00:28:30,111 --> 00:28:32,567 Same with sclera. Her breath smells sweet. 515 00:28:32,781 --> 00:28:33,860 - Fetor hepaticus? - Yep. 516 00:28:34,074 --> 00:28:36,991 - What's that? - Liver's shut down. Dip a urine. 517 00:28:37,160 --> 00:28:40,529 It's getting crowded in here. Can you deal with the parents? 518 00:28:40,747 --> 00:28:42,989 Start lactulose, 30 cc's per NG. 519 00:28:43,166 --> 00:28:45,622 We're giving her medicine to clean her blood. 520 00:28:45,836 --> 00:28:48,208 - Blood in the urine. - She's bleeding inside? 521 00:28:48,422 --> 00:28:51,209 The liver failure's causing her blood not to clot. 522 00:28:51,425 --> 00:28:52,753 Oh, God! 523 00:28:52,926 --> 00:28:54,835 Is she on the transplant list? 524 00:28:55,011 --> 00:28:58,677 She's been Status 2A for six months. But they haven't found a match. 525 00:28:58,890 --> 00:29:01,132 - Why not? What's her blood type? - AB. 526 00:29:02,769 --> 00:29:05,391 What are you doing? Are you hiding back here? 527 00:29:05,564 --> 00:29:06,892 Exactly. 528 00:29:07,065 --> 00:29:10,600 I tried your grandma's "greet with a smile" approach on a patient... 529 00:29:10,819 --> 00:29:12,444 - ... and she threw me out. - No! 530 00:29:12,654 --> 00:29:14,398 Yep. 531 00:29:14,948 --> 00:29:18,732 I've restricted myself to the unconscious for the rest of the day. 532 00:29:18,952 --> 00:29:20,696 Now, now. 533 00:29:20,913 --> 00:29:24,495 There's something about me that brings out the worst in people. 534 00:29:24,666 --> 00:29:25,911 I've noticed that. 535 00:29:26,084 --> 00:29:29,453 I'm like a magnet for negativity. People get too close... 536 00:29:29,671 --> 00:29:31,913 ...I'll pull the positive right out of them. 537 00:29:32,132 --> 00:29:33,507 - Oh, my God! - What? 538 00:29:33,717 --> 00:29:35,793 - I suddenly feel sad. - Low blood sugar? 539 00:29:36,011 --> 00:29:37,553 No. It's definitely you. 540 00:29:37,721 --> 00:29:40,888 Hey, shut the hell up. I'm trying to sleep here. 541 00:29:41,642 --> 00:29:44,049 Another satisfied customer. 542 00:29:44,269 --> 00:29:47,603 Two kids come in. One's brain-dead, the other needs a liver. 543 00:29:47,815 --> 00:29:49,724 They're both AB. A godsend! 544 00:29:49,900 --> 00:29:53,435 - The mother won't consent. - She will when I get through with her. 545 00:29:54,029 --> 00:29:55,856 - Where's his mother? - Not here. 546 00:29:56,073 --> 00:29:57,567 - Is he throwing PVCs? - Yeah. 547 00:29:57,741 --> 00:29:59,864 Why didn't you call me? Get the pacer- 548 00:30:00,077 --> 00:30:01,904 - Can't. DNR. - What? 549 00:30:02,121 --> 00:30:05,490 - She said you talked her into it. - There goes your godsend. 550 00:30:05,708 --> 00:30:07,368 - She say where she's going? - No. 551 00:30:07,584 --> 00:30:09,707 If she comes back, keep her here. 552 00:30:10,879 --> 00:30:13,252 Laura, Dr. Sarafini can take you. 553 00:30:16,468 --> 00:30:17,927 What's wrong? 554 00:30:19,013 --> 00:30:20,886 I just keep thinking. 555 00:30:21,724 --> 00:30:23,301 It's a mortal sin. 556 00:30:24,935 --> 00:30:27,605 - Do you believe that? - It doesn't matter what I believe. 557 00:30:27,771 --> 00:30:29,147 What do you think? 558 00:30:29,690 --> 00:30:31,149 I don't know. 559 00:30:33,444 --> 00:30:36,398 Anyone in your family you can talk to? A sister maybe? 560 00:30:36,614 --> 00:30:38,737 What about your mom? 561 00:30:39,366 --> 00:30:40,695 She'll kill me. 562 00:30:43,621 --> 00:30:45,993 Look, Laura, this isn't gonna be easy. 563 00:30:46,207 --> 00:30:47,915 But it's a very big decision. 564 00:30:49,877 --> 00:30:54,040 I don't think you know what to do. You really need to talk to someone. 565 00:31:02,014 --> 00:31:03,556 Can you call my mom? 566 00:31:05,142 --> 00:31:09,638 Yeah. I can. I'll call her. I'll call her. 567 00:31:14,985 --> 00:31:17,737 - She's not back yet? - No. He just went into V-tach. 568 00:31:17,905 --> 00:31:19,280 Damn it! 569 00:31:21,242 --> 00:31:22,784 I got a faint pulse. 570 00:31:22,993 --> 00:31:26,694 Give him 50 of lidocaine. Get the paddles, I'll take responsibility. 571 00:31:26,914 --> 00:31:28,788 Yeah, and I'll lose my license. 572 00:31:29,250 --> 00:31:31,408 - What are you doing? - I'll code him myself. 573 00:31:31,585 --> 00:31:33,993 - You're crazy. - You can't ignore her wishes. 574 00:31:34,213 --> 00:31:35,542 You wanted a miracle? 575 00:31:35,756 --> 00:31:40,217 These two kids arriving on the same day is as close as it gets. 576 00:31:40,428 --> 00:31:43,879 - She may not see it the way you do. - I'll bet she does. 577 00:31:44,098 --> 00:31:48,392 - You're only thinking of yourself. - And a dying 16-year-old girl. 578 00:31:49,687 --> 00:31:51,478 Charging at 200. 579 00:31:55,526 --> 00:31:57,400 Move them. Move them! 580 00:31:58,613 --> 00:32:00,321 - Clear! - You're both crazy. 581 00:32:01,407 --> 00:32:03,483 - Back in sinus. - Oh, now you did it! 582 00:32:03,701 --> 00:32:07,070 Page me if he goes south. I'm going to find his mother. 583 00:32:07,788 --> 00:32:11,204 So which section of the orchestra are you going out with now? 584 00:32:11,626 --> 00:32:15,540 I've been unattached since I started the tour. Six months now. 585 00:32:15,755 --> 00:32:19,005 - That's a long time to be on the road. - Yeah. Sure is. 586 00:32:19,217 --> 00:32:21,921 Swarms of groupies in every city? 587 00:32:22,428 --> 00:32:25,002 Well, a classical soloist doesn't quite... 588 00:32:25,223 --> 00:32:27,548 ...lead the life of a Rolling Stone. 589 00:32:27,934 --> 00:32:30,425 But if I'd known I was gonna lose my prostate... 590 00:32:30,645 --> 00:32:33,266 ...I would have made more of an effort. Believe me. 591 00:32:33,731 --> 00:32:36,353 Are you still anxious about the surgery tomorrow? 592 00:32:37,485 --> 00:32:41,483 I was never all that anxious about the surgery, per se. It was more the- 593 00:32:41,656 --> 00:32:43,316 What? 594 00:32:45,243 --> 00:32:47,816 - You really want to know? - Yes. 595 00:32:50,665 --> 00:32:54,497 Well, I went up to your clinic to deposit my... 596 00:32:55,920 --> 00:32:57,331 ...DNA. 597 00:32:57,880 --> 00:33:01,380 Of course, they directed me to the cubicle where they'd set up... 598 00:33:01,593 --> 00:33:03,834 ...the specimen jar and the... 599 00:33:04,971 --> 00:33:06,299 ...men's magazine. 600 00:33:06,556 --> 00:33:07,967 And I- 601 00:33:08,516 --> 00:33:10,176 And I just kept thinking: 602 00:33:10,476 --> 00:33:14,854 "Well, this is it. This is my last sexual experience. " 603 00:33:15,064 --> 00:33:17,900 And I- Well, you know the rest. 604 00:33:19,277 --> 00:33:24,022 First time in history somebody's had performance anxiety while by himself. 605 00:33:27,702 --> 00:33:30,703 David, would you like to grab a bite to eat somewhere? 606 00:33:31,790 --> 00:33:34,874 Yes, Elizabeth. I would like that very much. 607 00:33:35,418 --> 00:33:39,831 Mr. DeMisa, we got your x-rays back. They're clear, so you are- 608 00:33:40,882 --> 00:33:42,460 Mr. DeMisa? 609 00:33:45,762 --> 00:33:47,470 Mr. DeMisa? 610 00:33:48,264 --> 00:33:51,468 Takata, have you seen our 400-pound patient? 611 00:33:51,685 --> 00:33:54,223 - What? - I'm missing five patient dinners. 612 00:33:54,396 --> 00:33:57,065 - Damn it! - Mr. DeMisa? 613 00:33:57,232 --> 00:34:00,601 - Mr. DeMisa? - Mr. DeMisa? 614 00:34:02,737 --> 00:34:04,564 - Mr. DeMisa? - Over here. 615 00:34:04,739 --> 00:34:06,531 - What is it? - Cake crumbs. 616 00:34:06,700 --> 00:34:08,573 Looks like German chocolate. 617 00:34:09,411 --> 00:34:12,115 Mr. DeMisa? Damn it! 618 00:34:13,915 --> 00:34:15,409 He's unconscious. 619 00:34:15,625 --> 00:34:18,412 He vomited. There's at least a half a gallon here. 620 00:34:19,254 --> 00:34:22,041 No bowel sounds, abdomen's rigid. He really did it. 621 00:34:22,257 --> 00:34:23,751 - He blew a staple? - Yeah. 622 00:34:23,967 --> 00:34:26,588 - Need a gurney! - Prep an O.R., get an X-ray. 623 00:34:26,803 --> 00:34:28,760 Get Romano's ass back here. 624 00:34:37,105 --> 00:34:38,599 Mrs. Richards? 625 00:34:40,609 --> 00:34:42,566 I'm sorry to bother you... 626 00:34:43,278 --> 00:34:45,816 ...but an extraordinary thing has happened. 627 00:34:46,406 --> 00:34:50,107 A 16-year-old girl with the exact same rare blood type as Steven's... 628 00:34:50,327 --> 00:34:52,900 ...came into the ER in liver failure. 629 00:34:53,330 --> 00:34:55,536 Now, I can't help but to think... 630 00:34:55,791 --> 00:34:58,495 ...that if God meant for Steven to die tonight... 631 00:34:59,127 --> 00:35:00,705 ...at Christmas... 632 00:35:00,962 --> 00:35:03,963 ...then it must be so that this girl can live. 633 00:35:05,759 --> 00:35:07,218 I'm sorry. 634 00:35:08,762 --> 00:35:12,297 But I can't think about another child's problems right now. 635 00:35:13,016 --> 00:35:15,970 All I want is for my son to die peacefully... 636 00:35:17,646 --> 00:35:19,639 ...and to be buried whole. 637 00:35:25,112 --> 00:35:27,021 Excuse me. 638 00:35:46,341 --> 00:35:50,209 - Lots of free air under the diaphragm. - Yeah, he's perfed his stomach. 639 00:35:50,429 --> 00:35:52,053 - Romano? - I paged him five times. 640 00:35:52,264 --> 00:35:55,384 - Who's on call? - Guthrie. Just started a Triple A. 641 00:35:55,601 --> 00:35:58,555 BP's dropped to 80 palp. We can't wait much longer. 642 00:35:58,771 --> 00:36:00,348 He's got a fever. 643 00:36:01,106 --> 00:36:05,186 Give him a gram of cefotaxime, 500 of Flagyl. Hand me a scalpel. 644 00:36:05,360 --> 00:36:08,231 - You're starting without an Attending? - He's septic. 645 00:36:08,447 --> 00:36:10,486 We keep him on the table, he'll die. 646 00:36:14,787 --> 00:36:16,696 What the hell? Hey, Carol? 647 00:36:16,872 --> 00:36:20,158 Hey, you see there's a priest in there with that girl? 648 00:36:20,376 --> 00:36:22,499 He'll pressure her into having the kid. 649 00:36:22,711 --> 00:36:25,629 - Maybe he'll counsel her too. - How'd he find out? 650 00:36:25,839 --> 00:36:28,413 She asked me to call her mom. He came with her. 651 00:36:28,634 --> 00:36:30,543 - I wish you'd told me about it. - Why? 652 00:36:30,719 --> 00:36:33,045 Because I would've tried to keep him out. 653 00:36:34,890 --> 00:36:36,384 Are those baked beans? 654 00:36:36,559 --> 00:36:38,053 Yeah. 655 00:36:38,227 --> 00:36:41,097 - And French fries. - That's rank! 656 00:36:41,313 --> 00:36:44,480 What's this? Coleslaw. 657 00:36:46,402 --> 00:36:47,813 Here's a good one. 658 00:36:48,153 --> 00:36:49,564 What's that, mystery meat? 659 00:36:49,780 --> 00:36:52,532 What the hell are you doing operating on him? 660 00:36:52,741 --> 00:36:54,615 Saving his life. You jerk. 661 00:36:54,827 --> 00:36:57,152 Get me a gown and gloves now! 662 00:36:57,371 --> 00:36:59,577 Peter, get your hands out of my patient! 663 00:36:59,748 --> 00:37:02,666 - Give me a little suction here. - Sucker's clogged. 664 00:37:02,877 --> 00:37:04,786 Yeah. It's a cranberry. 665 00:37:07,173 --> 00:37:08,667 Let's go, Shirley, gloves! 666 00:37:11,302 --> 00:37:13,010 - Where the hell is she? - Who? 667 00:37:13,220 --> 00:37:16,174 Who do you think? What'd you do, give her extra work? 668 00:37:16,390 --> 00:37:17,932 What are you talking about? 669 00:37:18,142 --> 00:37:19,969 Step away. 670 00:37:20,186 --> 00:37:22,724 - Fine. - Who gave you permission to start? 671 00:37:22,938 --> 00:37:26,058 - He was going into septic shock. - You are a Resident. 672 00:37:26,275 --> 00:37:28,564 You don't take a piss without permission. 673 00:37:28,778 --> 00:37:31,351 Where the hell's Lizzie? Off doing your scut? 674 00:37:31,572 --> 00:37:33,446 She left an hour ago. 675 00:37:36,285 --> 00:37:39,037 What'd you use to make this incision? A chain saw? 676 00:37:39,246 --> 00:37:40,871 - He's been drinking. - What? 677 00:37:41,040 --> 00:37:42,415 He's drunk. 678 00:37:43,542 --> 00:37:44,871 Go. Call Anspaugh now. 679 00:37:46,295 --> 00:37:47,873 Retract the bowel. 680 00:37:48,256 --> 00:37:49,750 Retract the bowel, please. 681 00:37:52,718 --> 00:37:54,094 Have you been drinking? 682 00:37:54,929 --> 00:37:57,254 Are you questioning my surgical fitness? 683 00:37:57,598 --> 00:38:00,136 - How many drinks have you had? - Go to hell. 684 00:38:00,351 --> 00:38:02,807 I'm gonna ask you to step back, please. 685 00:38:03,104 --> 00:38:04,812 - Sponge. - Dr. Romano! 686 00:38:04,981 --> 00:38:08,147 - Touch me again, I'll deck you. - Look, you're drunk! 687 00:38:13,698 --> 00:38:16,864 All right, Shirley. Get me some clean gloves and a gown. 688 00:38:17,827 --> 00:38:19,451 Coming right up. 689 00:38:20,204 --> 00:38:22,363 - Who ordered all this stuff? - What is it? 690 00:38:22,582 --> 00:38:25,951 Pizza, beer, brandy, whole bunch of spices- 691 00:38:26,169 --> 00:38:28,742 The provisions have arrived. How much do I owe? 692 00:38:28,921 --> 00:38:30,629 $212, plus a tip. 693 00:38:30,840 --> 00:38:32,667 - What's going on? - Christmas party. 694 00:38:32,884 --> 00:38:35,754 - I didn't know there was one. - There is now. My treat. 695 00:38:35,970 --> 00:38:39,588 It's really crowded. Can we take this stuff into the lounge? 696 00:38:39,766 --> 00:38:41,260 Grouch. 697 00:38:41,976 --> 00:38:43,435 Thanks, guys. 698 00:38:43,853 --> 00:38:46,771 Remember to punch out before boozing. Thanks. 699 00:38:47,148 --> 00:38:49,769 - Why do we need brandy and spices? - Hot toddies. 700 00:38:49,943 --> 00:38:52,897 - Sultan of Jahore's favorite. - If it's good enough for him... 701 00:38:53,112 --> 00:38:54,655 Yeah, make mine a double. 702 00:38:54,822 --> 00:38:58,523 - Jerry, where's my lab coat? - It was here a minute ago. 703 00:38:58,701 --> 00:39:00,361 Where did it go? 704 00:39:00,578 --> 00:39:04,410 - I don't even want to hazard a guess. - That's a wise choice, Jerry. 705 00:39:06,543 --> 00:39:09,080 I admit it. There's no such thing as miracles. 706 00:39:09,254 --> 00:39:11,127 You don't really believe that. 707 00:39:11,756 --> 00:39:13,796 I don't know what I believe. 708 00:39:13,967 --> 00:39:16,292 I was so sure that I was right. 709 00:39:17,178 --> 00:39:19,752 That I had the Big Kahuna on my side. 710 00:39:20,306 --> 00:39:22,595 - That's pretty arrogant, huh? - Very. 711 00:39:27,564 --> 00:39:29,889 - What's going on? - Apparently, Mrs. Richards... 712 00:39:30,108 --> 00:39:32,314 ...bumped into the Mikamis in the hallway... 713 00:39:32,485 --> 00:39:34,027 ...and they got to talking. 714 00:39:35,905 --> 00:39:38,278 She consented to the liver transplant. 715 00:39:38,491 --> 00:39:40,199 Oh, my God! 716 00:39:42,245 --> 00:39:45,579 Before you give Him all the credit you should know something. 717 00:39:45,790 --> 00:39:47,830 - What? - I introduced them. 718 00:39:50,170 --> 00:39:53,040 What do you know? You're an instrument of God. 719 00:39:53,381 --> 00:39:55,421 Oh, please. 720 00:40:02,766 --> 00:40:04,141 Sorry. 721 00:40:05,143 --> 00:40:06,602 How sorry? 722 00:40:08,188 --> 00:40:09,730 Well... 723 00:40:13,526 --> 00:40:17,856 Not sorry enough to go to Mass tonight, if that's what you mean. 724 00:40:19,032 --> 00:40:20,692 What I don't understand is... 725 00:40:20,867 --> 00:40:26,110 ...how I can care so much for a hot-tempered, pig-headed heathen. 726 00:40:26,331 --> 00:40:28,205 I'd prefer "pagan. " 727 00:40:32,587 --> 00:40:34,379 Heathen. 728 00:40:41,638 --> 00:40:43,844 I'm finishing up my disciplinary report... 729 00:40:44,057 --> 00:40:45,931 ...recommending you be terminated... 730 00:40:46,143 --> 00:40:48,431 ...for operating without an Attending. 731 00:40:48,645 --> 00:40:52,061 - You turn that in, I'll defend myself. - Well, good luck, Peter. 732 00:40:52,232 --> 00:40:56,312 I'll have to turn in these labs showing your blood alcohol was. 12. 733 00:40:56,528 --> 00:40:59,482 You shouldn't have been driving, let alone operating. 734 00:40:59,698 --> 00:41:02,734 Don't bluff me, Peter. You didn't draw my blood. 735 00:41:03,827 --> 00:41:05,405 Not from there. 736 00:41:18,133 --> 00:41:19,758 Mark, look here! 737 00:41:20,093 --> 00:41:22,584 - Gotcha. - These hot toddies are delicious. 738 00:41:22,763 --> 00:41:24,423 - I want the recipe. - No problem. 739 00:41:24,598 --> 00:41:28,430 Hey, Jerry. Want to try one of Dr. Lee's hot toddies? 740 00:41:28,644 --> 00:41:30,601 Just give me a beer. 741 00:41:38,654 --> 00:41:40,480 ...Christian soul out of this world. 742 00:41:40,697 --> 00:41:43,615 In the name of God the Father who created you. 743 00:41:43,784 --> 00:41:46,275 In the name of Jesus Christ who redeemed you. 744 00:41:46,495 --> 00:41:49,247 In the name of the Holy Spirit who sanctifies you... 745 00:43:45,406 --> 00:43:47,612 Merry Christmas, Amanda.