Original subtitles

Fifteen pints in the entire hospital? How the hell did we get so low? Our

supply's still down from summer. We haven't had it. You're in charge of the

blood bank.

Why wasn't it built back up?

It takes time.

Besides, our levels are practically the lowest in the city. It's always been

that way. That's no excuse. I need six pints just to prime the bypass machine.

I know that. What if she hemorrhages? What about post-op complications?

I'm trying to tell you. No, I'm telling you.

I am performing this heart transplant in 30 minutes. I'll expect 12 pints of A

negative blood in the OR when I get there. Craig,

what

is it?

Absolutely not. I'm in OR too.

I know the lighting is better and true. That's why I'm using it.

He's doing a double hernia for crying out loud. He ought to be able to do that

in the dark.

You tell Hoffman he uses one or nothing.

Dr.

Craig.

What is it, Earl? I just want to let you know the support team is assembled and

ready. I'm aware of that.

Also, Mrs. Leighton has been prepped and moved to pre-op.

Try selling me something I don't know.

Like what about the blood? The blood, sir?

There's a shortage of A-.

I'm sorry. I wasn't aware of that.

Ehrlich, I picked you for this job because I thought you could handle it.

Making sure there's an adequate supply of blood for the operation is a part of

that job.

I'm not assisting you. You're assisting me. Yes, sir. I want to assist you.

Well, then do it.

Right.

California mentality. No sense of responsibility.

Donald. Yes, Mark. What's this? We're down to 15 pints of A-.

I have no intention of going in that OR and run short.

Now, don't worry about it. I'm going to make sure you get everything you need.

Any other problems?

Nothing out of the ordinary for this rat hole. Has the transport team left Porter

General yet? Well, the cardiac demy should be finished in a few minutes, and

then they'll leave in ten.

Excellent. Everything's timing out perfectly. Good thing, too. This way I

don't have a chance to get too keyed up.

See you later.

Good luck.

I'm here for Nina Morrison.

To identify her.

I'm her husband.

She was brought in earlier this morning.

She's gone to the OR.

What?

That's what it says here. Is she alive?

You'd better speak with Dr. Byerly. Just a minute.

No, wait a minute.

Dr. Byerly?

Mr. Morrison.

I'm Dr. Byerly. Where's my wife?

When I admitted your wife this morning, there was... Is she alive?

Well, no.

Then what the hell is she doing in the OR?

Well, I'm sure you're aware your wife designated herself as an organ donor.

I want to see a chart.

Well, it won't make much sense to you.

Mr. Morrison, your wife's injuries were quite extensive.

Did she respond to any deep pain stimuli?

No. Then why isn't it charted? It is.

Nothing is here.

I know. I'm a doctor.

Well, then you're aware that those things don't always get written down in

situations. Did she respond to any stimulus or not?

No. Are you sure you didn't miss anything?

I'm positive. There was degordicate posturing.

Did you get a CAT scan?

It wasn't necessary.

You were supposed to save her life.

Your wife was in deep shock when they brought her in.

She'd lost over four units of blood, had no BP, and a heart rate of 40.

Now, we didn't even have a chance to get her stabilized before she flatlined.

The EEG failed to show any wave patterns.

There was nothing more anyone could do.

I'm sorry.

What do you mean, free money?

I'm telling you, Silver is in for a long overdue correction and we're talking

about big bucks. Yeah, what makes you so sure?

You follow the charts and you pick your timing right, it's practically a lot.

There's no such thing.

I know this guy who got heavy into bean futures or something. He even mortgaged

his house against this big deal he said couldn't miss.

And now he lives with his wife and kids in a three-room flat on Calm Avenue.

Sure, things like that can happen, but only if you're a stupid player. You have

to pick your spots like a good running back.

I mean, on a day trade, that means by 4 o'clock, I'm out.

Profit at hand.

Yeah? What do you figure you'll make?

Three or four? A hundred.

Stearns. A thousand?

There's something I can do for you.

Oh, no, sorry. Explain how this works again, from the beginning.

Okay, Stearns.

You know, sometimes you're a real dim light bulb.

Now, let's say you have a few thousand put aside and you want to invest it.

Maybe in precious metal. Right.

You've got two choices. Options or futures.

Me? I choose options.

They're less risky.

You have a limited...

How

do I look?

Beautiful. How are you feeling?

Everything's going to be fine, I promise.

You sound pretty confident for someone who's never done this before.

I am.

You know, I remember lying here a year ago, just before you did my bypass.

You kept baiting me about school desegregation.

Picked a heck of a time to start an argument.

We weren't arguing, we were debating.

I remember you became rather adamant about your position.

And rather loud, too. But you finally agreed with me. It's the only way I

could get you into the OR.

I'm afraid I'm not going to come through the operation.

I'll never wake up again.

Don't you tell me to shut up. Hold it now.

Now, Mr. Chesky, I will take care of your arm for you. Come on with me. Yeah,

what about my cart? Jenny, will you come here and watch this man's cart for a

second? Mr. Chesky, please, come with me.

What? This... We gotta talk. This better be important, Luther.

It is. Listen to this.

Ladies and gentlemen, we've all worked hard to get here.

Being on call for a donor for the past two weeks wasn't simply an exercise in

patience. This is it.

It's going down.

We have an opportunity to extend this woman's life, and by God, we're going to

make sure we do it.

I want this operation to be flawless.

We're a team.

We're to function as a team. Now, each one of us has a job to do. If at some

point you don't feel up to the challenge, drop back.

Let someone else step in. This is a long and grueling operation.

I believe we have the skill and dedication to make it work.

Now let's prove it.

Dr. Morgan, may I begin?

Yes, doctor.

Patient is stable?

Stable.

Strain himself.

all these people reporters covering the transplant i wonder if there's anybody

from the globe i want to complain about my paper boy good luck okay bye-bye

louise how are you feeling

i know dr gavin's filled you in on the procedures is there anything you'd like

to talk to me about are you sure that's very simple they just stopped putting me

under cut my breast off and stitched me up

I just don't believe it. I'm only 29 years old. This isn't supposed to be

happening to me.

You know, I told this one guy that I go out with that I was losing a breast to

cancer.

You should have seen his face.

Not that I could blame him.

I know it's hard from where you are now to think you'll ever adjust, but it gets

easy. Oh, maybe it was easy for you. You know, you're already married, you have a

family, and...

You'll be surprised how much support you'll find out there.

But even so, don't you worry about the cancer coming back?

Sure.

You can't stand still.

Louise, I know it's hard to believe, but life goes on.

Oh, well, I guess you have to consider the alternative.

And after a while, you'll see there are options available.

You know, Dr. Gavin talked to me about having the reconstructive surgery.

Did you find that it helped you? I haven't had it done.

Why not?

I don't know.

Then what are we talking about here?

Options and alternatives. I mean, what right do you have to give me all this

motherly advice when you haven't done anything about yourself?

Just get out of here. Go away, please.

Sounds pretty risky.

Risky? Silver prices have been in a herd for a week now. As soon as they announce

the money supply numbers, that'll be the knockout punch and it'll go limit down.

We stand to make 5,000 big ones.

You heard what the man said.

What makes him the expert?

The man is batting 800 in his trades. I mean, I'll take those odds anytime.

Then I say do it.

All right.

Without my money.

What?

Pass. Want a hot dog?

You know, you don't know what it's like growing up where I did.

Being black and short.

I mean, my future doesn't look all that bright.

You know, Fiskus, you and I are from two different worlds.

You've gotten all the right breaks. I mean, plenty of money, nice home, good

schools. I remember taking the college boards and thinking, where should I go?

Yale, Princeton, Harvard.

I never even got a chance to take them. The only boys I was knocking down was

the ones at the unemployment office.

You see, you got a bright future ahead of you. You got nowhere to go but up.

You've been a doctor and all.

And someday, someday you're going to make 18 grand for telling people, take

two aspirins and call me in the morning.

Me?

Well.

I won't get many chances.

No.

And you can bet, when opportunity comes knocking around my door, I'm going to

open up and let it in.

I put up 80%, right?

$3,600, I'll do the other 20%. And we're out by the end of the day? Absolutely.

You got a deal.

You won't be sorry, Fiscus.

We're gonna be rich.

I'm gonna go call my broker right now.

Now,

here

the procedure differs slightly from Loa and Shumway's description.

Isn't that right, Dr. Ehrlich?

Yes, sir, that's right. I knew it well.

Might as well talk us through it for those who are not so familiar.

The procedure?

Okay, um, unlike Lower and Shumway's technique of orthotopic transplantation,

Dr. Craig will be leaving the posterior walls of the right and left atria in

place with their venous connections.

Make sure the ascending aorta stays in place.

I've got it.

Um, then Dr. Craig will suture the corresponding structures of the residual

atria. Cut.

And finally, Dr.

Craig, will anastomose be great vessels, end-to-end anastomosis of the aorta of

the pulmonary artery?

Don't do that here, please.

Use the stairwell like everyone else.

Dr. Westphal.

The conference room's full of reporters waiting for bulletins on the transplant,

and since they're a captive audience, the mayor thought this would be the

obvious time to announce the success of our health services task force.

He thinks it's a success, doesn't he?

Of course.

We're doing the first heart transplant in St. Allegiant's history while still

managing to significantly reduce expenditures.

Now look, you and I both know that that's a lopsided way of looking at

what's been happening here since the mayor appointed you.

The detrimental effects far outweigh the positive, and I'll tell you something,

I'm tired of it.

I'd appreciate you delivering the hourly bulletins to the reporters.

There'll also be a press conference right after the surgery. You, Dr.

Auschlander, and Dr.

Craig should be there.

We'll do our best.

Helen,

I'm going to need continuous updates on the transplant for the news people

downstairs. Lucky you.

Yeah.

Jack, what are you doing here? I want to talk about my schedule. It can wait. No,

it can't.

I want to keep working.

Come on, let's go to my office.

Jack, I really think you ought to consider taking some time off. I don't

want to.

I just want to change my schedule.

Look, I understand. I don't.

I'm sorry. I don't want to stop working.

I can't go home.

I can't face the fact that Nina is not going to be there.

Believe me, this is the last place I thought I'd want to be.

But I've got no place else to go.

No, look, Jack, I'm not asking you to leave.

But you've been going through a hell of a lot.

And until you've had some time to deal with that, I can't allow you to go on

treating patients.

I'm sorry.

Nurse Rosenthal.

Hello, Claire. I got here as fast as I could.

How is my sister? Is she all right? He's doing fine. They took her to surgery

about two hours ago.

But I just spoke to her on the phone a little while ago. She didn't say

anything about it. No, I'm sure she didn't know then.

Well, I haven't even reached my husband yet. Do you know how much longer she'll

be? Quite a while. Why don't you go home and get some rest? Oh, no, no. I have to

stay. I'm sure Dr. Cree will find you when the operation's over.

Why don't you wait down the hall?

Right. Right.

Mrs. Simmons.

Well, he was told he'd have 30 days to file an appeal.

It's been a month and a half.

No, you tell him to call me directly.

Right.

See you in 20 minutes.

Bye.

No fun being heavy.

Don't start.

I'm not in the mood.

You in the mood for lunch?

I can't. I've got too much to do at this press conference.

Put that thing out. It stinks.

I'm sorry.

I thought this was my office.

You know smoking drives me crazy and you still keep popping away. It's one of the

most filthy... Stop already, will you? I put the thing out.

Well, you should quit.

I've tried.

Maybe you haven't tried hard enough.

See you tonight?

Yeah. I'll make dinner.

Good.

Yeah, when your mustache smells and you taste terrible, too.

I should have been there.

Jack, that's... If I'd been there, none of this would have happened.

But you worked.

Yeah, because I was here.

Like every other morning.

While she was feeding Peter, getting ready to go to the sitters, so she could

go to work, I was here.

And for what?

So I could be a big hot shot. Big hot shot. Save people's lives. I couldn't

even save my own wife.

Jack, it was not your fault.

She fell in the bathroom and hit her head. It was a stupid accident. If I'd

been there to help, it would not have happened.

She wouldn't have been running around doing everything herself.

Because I could have helped.

I should have been there.

I'm sorry.

It's going to be all right.

Immediate post-op care, similar to that of other major cardiac surgeries.

George? Body temperature's 86.

Good. I'll defibrillate at 20 watts per second.

Sometimes the heart begins a regular rhythm of its own.

Possibly, you'll get a tachycardia, but in most cases, you'll have to

defibrillate.

Ready.

Clear.

Start an IV of isoprobe 1 to 1000.

This will stimulate the heart and improve cardiac output.

In addition, we'll initiate immunosuppressive therapy.

Cardiac arrest.

Give me 20 once per second, Stan.

Ready. Clear. Begin cardiac massage.

Latino. Give me an amp of epinephrine stat.

Start the icicle drip. One to one thousand. I don't want to lose it,

dammit! Hurry!

Get through with it again. Twenty watts per second.

Ready, doctor.

Clear.

Blood pressure 120 over 80.

Heart rate 74 in regular.

Ventilation adequate.

All right.

While bringing the body back to normal temperature, we need to check for

residual bleeding, especially from the aorta, and get her off the pump.

PJ. PJ, what's bothering you?

I'm all right. Thanks.

PJ, you're still upset because Craig didn't pick you for the support team?

Yeah, a tad.

Come on, look, don't let it bother you.

You know, he didn't invite me for the Sven Holstrom party.

And he never calls on me for his lectures.

And now this.

You think it means something?

He's forgotten your name.

Hey, hey, hey.

Am I in time?

Be our guest, Luther.

We've owned 5,000 ounce silver future for almost three hours now.

And? How we doing? I don't know. I'm waiting to hear the financial news.

When did the MX figures come out?

M1, M1.

Might as well BMX. It's going to rocket us to another tax break.

And how are you guys going to make all this money? Silver futures. You see, we

bought the right to sell silver at a certain price.

Here it is. Here it is. Quiet.

While the beans and bellies, having broken their declining tops... What does

he mean by beans and bellies? Gold and silver opened sharply lower this morning

in moderate trading.

Due to higher interest rates, many traders are selling short, anticipating

higher money supply figures throughout late this afternoon.

Gold is currently down 560, while silver, with a limit at $1 today, is

down 52 cents.

What'd I tell you? What'd I tell you? As soon as the prices drop, we sell.

And run to the bank. Yeah, we talk about megabucks.

You know, aren't there some places that 80% of all commodity trades go south?

Who asked you?

Excuse me.

How's your work going at the breast clinic? Well, I like the preventive

clinic, and the group sessions are fine, but one-to-one is rough.

I have a patient on my floor, Louise Garrison. She's due for a mastectomy

tomorrow. Young girl.

I'm worried about her. I tried telling her about reconstruction, but... Want me

to have a talk with her?

Yeah, maybe in a few days.

What do you normally say to your patients?

That I think it can be wonderful.

Never a dissatisfied customer.

Sure, that happens.

But the majority of women who undergo the procedure have their lives changed

for the better.

Really? The techniques that have been developed are amazing.

It's not just a mound of silicone.

We can rebuild a whole new breast with a nipple.

It looks and feels just like a natural breast.

Maybe to you.

Well, it couldn't be worse than my prosthesis. It feels like a bra full of

wet sand.

Maybe you ought to consider an implant for yourself.

My husband's all for it if that's what I want.

What do you want?

I don't know.

But I'll think about it. I better be going or I'll be late for the clinic.

Thanks.

You got a minute?

I gotta talk to you.

Sure, but I'm parked in a no-smoking zone. Can you walk and talk at the same

time? Yeah, sure.

You keep a pretty close eye on the stock market, don't you?

I mean, I always see you reading the business section of the newspaper,

right? Well, I'm really a millionaire, Piscous. I just do this for a hobby. No,

seriously. You see, I'm thinking of trading my silver future for an option.

What are you talking about? Luther Hawkins and I got in on a 5,000-ounce

silver contract.

You're crazy.

We got it all figured out. It's a one-day trade. We can't miss.

Listen, take a little piece of friendly advice.

Don't do what you don't know. Go call your broker and get out.

Bobby, clearly you don't understand.

No, clearly I do understand.

Listen, a few years back, I made this trade.

Forget it. Look, it's none of my business, okay?

Well, wait a minute. Finish the story. No, no, I shouldn't have said anything.

You know what you're doing.

Well, I mean, we're colleagues, sort of, and I want to hear what you have to say.

All right.

A few years ago, I did this commodities deal.

You know, it all worked out. I figured I'd make a bundle, you know, move down

to San Diego, open up a small private practice.

Figured I couldn't lose.

I got killed by a margarine cult and lost 20 grand.

Yeah, but...

Early detection,

leading to diagnosis and treatment, is your best hope for the control of breast

cancer.

I can't stress enough the importance of at-home self-examination.

Almost 90% of all breast cancer symptoms are discovered in this way.

And if you catch it in its early stages, you have a chance to save breast tissue

and possibly eliminate the cancer entirely.

Had I been conducting my own exam on a regular basis once a month for just a

few minutes, I probably wouldn't have had to lose my breast.

And I'm a nurse.

I should have known better.

Take the time to do it.

If it's a chore, ask your lover to help.

Now we're going to watch a tape from the American Cancer Society on self

-examination. And afterwards, we can talk about it.

Could you get the lights, please?

Dr.

Solomon. Dr. Gus Solomon.

Luther,

where have you been? I've been leaving messages for you all over the place.

I've been out adding to my wardrobe.

Who says you can't buy off the rack?

Luther, I called Weinstock down at the commodity house and I sold our contract.

What?

Talking to Caldwell and... Caldwell?

What does he know about anything?

He ain't even hardly a real doctor.

We were way in over our heads and I just saved us a lot of money. I can't believe

this is happening to me. You're nuts, you know that? You're crazy. Just when

the goose was about to lay the golden egg, you had to go and cook it.

Man, you're crazy.

Real crazy.

I can't believe it. You call yourself a doctor?

Huh? Oh!

I want to thank you all. You've managed to perform beyond what I anticipated.

You all deserve to be congratulated.

George, what have you got?

BP steady, 110 over 65.

Arterial blood gas is normal.

Excellent. Dr. Craig, next to tissue rejection by the host, what's the

biggest problem to be overcome in respect to heart transplants?

The public's ignorance and their reluctance to participate as a donor.

From what I can see, the tissue is more cooperative.

How many of you here remember receiving your donor consent forms, the ones that

were sent out along with your driver's license?

Did you bother to sign them and send them back?

Suction. Dr. Morgan, how's she doing?

Everything looks normal.

It's going to be a smooth landing.

If you didn't sign them and you die, you might as well leave your body to the

vultures. You either look at organ donation as preserving the dead... or

perpetuating the living, I believe that life should be passed on.

What's the history of this donor?

Dr. Morgan, read the history, please.

Cause of death, severe head trauma, resulting in massive brain hemorrhage.

Admitted Porter General, ER, 9.17 a.m. Time of death, 9.30 a.m.

Donor, white, female, weight 125 pounds, age 28. Name, Morrison Nina L.

Yeah.

Yeah. Uh, could you look on to Mr. Gugino in 438?

Sure.

You know where Erlich is?

Yeah, he's still in surgery. They found a donor this morning for the heart

transplant.

I want to get her to the ICU as soon as possible.

Let me know immediately if there's any change in her status.

Yes, sir.

I'll be in Dr. Westphal's office.

Mrs. Layton did very well.

Chances are good.

If it's any comfort, your wife has given that woman a second chance.

She's a living example of Nina's compassion for others.

I'm sorry.

Congratulations.

I hear Eve Layton's doing very well.

Word travels fast.

Yeah, it's my hourly updates.

You should have seen our heart.

Practically fell apart in my hands.

The extent of ventricular necrosis was...

It's a wonder she lived this long.

Well, let's be thankful she did.

Yes.

Yes, he is.

Okay. Thank you.

The reporters are becoming impatient.

Donald, I know you've been at it all day with these guys, but would you do me a

favor and pinch it again?

Everything okay?

Well, I still have to get Eve to ICU.

And rounds.

I just don't feel up to it.

I understand.

You know, I waited a long time for this day.

And it's hardly the way I thought it would be.

Sort of feel like a kid the day after Christmas.

I'll see you tomorrow.

Betty, see you tomorrow.

Excuse me. What?

What do you want?

My cousin had a heart transplant today. I was wondering if I could see her.

Well, you'll have to check with the nurse at ICU.

Visitation's restricted.

But your cousin Claire's in the third floor waiting room.

Do you know how Eve is?

I understand she's doing well.

That's good news.

What are you doing standing out here in the cold?

Just killing time. Can't you find someplace warmer?

Well, actually, I'm out here for what's supposed to be my last cigarette.

I've decided to quit smoking.

Well, if you stand out here much longer, it very well could be your last

cigarette.

Thought about what we said at lunch?

Yeah, a little.

But I still don't think I want more surgery.

I guess you're the only one who's been able to make a decision today.

You'll know when you're ready.

I hope so.

Good night.

Good night, Helen.

We'd like to check in.

Something with a hot tub and women.

Yes, your best accommodation.

Luther, about me bailing out.

No problem.

No, I thought we were going to get killed. I don't worry about it. I

screwed it up. Everything that you said was going to happen, happened.

You're not mad?

Me? I feel like singing and dancing.

Well, we could go to my place and spin some discs.

Ah, no thanks, B.J. I don't think we're in the same kind of funk. Wait a minute.

What have you got to be so happy about? Because we finally got ourselves a piece

of the bike. I got a whole line stuck and bought another contract before the

market went down.

You didn't have enough money. My man, B.J., here came aboard and saved the

day. We did it. Not quite as big as the two of you might have been. But big

enough. See you later, Fiskus.

Yeah. Joey.

Joey. Joey.

Have you ever seen a stretch caddy, B.J.? No, I'm not into golf.

But I'm willing to learn.

Are you sure you want to go through with this press conference?

I never miss the opportunity to be quoted.

That's good. You can do all the talking. I hate these things.

Dr. Westphal, Dr. Ashlander.

Where's Dr.

Craig? Mark asked to be excused.

The reporters want to talk to the surgeon who performed the operation.

I would hope people would be more interested in the patient than the

doctor. Well, they probably are, but they still want to hear about it from

the doctor himself.

Six hours in the OR can be very exhausting.

And I know that if Mark felt up to it, he'd be here.

You don't think I care about St. Allegius, do you?

I never said that. You're convinced that all I want is to get my way, no matter

what the cost.

Well, it seems like it.

Since you've arrived... You've given us nothing but ultimatums, and I'm telling

you something, it makes things very difficult.

Joan, what Dr. Westfall is saying is, so far, our work together has hardly been

what you call a collaborative effort.

Now you've got a job to do, and so do we.

So why not put, instead of bang our heads together, while seeking what's

best for all concerned?

We're going out to dinner later.

Would you like to join us?

I'm sorry, I have other plans.

Maybe another time?

Ladies and gentlemen, Drs.

Elshlander and Westphal.

You know something, Dr. Craig?

What, Erlich?

I really admire you.

Thank you, Erlich. That's the truth. I mean it.

It's taken a lot of hard work.

I've committed in my life to be the best surgeon possible.

You never stop reaching.

And that's the best advice I can give you.

Her heart rate is up.

What's the blood pressure?

There's a lot of pleurovac drainage.

As soon as we get to the ICU, I want to administer an ampropotamine sulfate to

counteract the heparin she got in the old wall.

Okay, here we go.

Doctor, her BP is 80 over 50.

She may be bleeding.

Open the IV.

She'll start dopamine in the ICU.

Get this guy out of here.

Will you get that guy out of here for Pete's sake? All security.

She

had

some bleeding, but we've got it under control.

Everything's going to be fine. She's a strong woman.

Can I stay with her a little while longer?

Well, just for a few minutes.

Then I suggest you get some rest. It's been a long day.

Thank you.

You know, you can't hold me like this. I know my rights, and I appreciate you

getting up here so fast.

It's just going to take long.

You know you could have cost that woman her life. Oh, come on.

I just wanted a couple of pictures.

I freelance.

This kind of stuff brings a pretty good change, you know? You guys are

incredible. You're slugs.

Leeches. You make a living exposing other people's pain, invading their

privacy.

What? Are you crazy?

Who do you think you are coming up here like this?

You realize what that woman's been through?

A coal could kill her. You can't do that. Oh, no, I can do more than that.