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We've got a quote in progress here.
Bring him this way.
Transferred from St. Gregory ER.
Chronic lung disease with congestive heart failure. He arrested on the way
over. Steve!
When did he stop breathing?
A few minutes ago. He threw up and started asphyxiating.
They gave him valium and transferred him like this.
I want two amps of bicarb and one of epi.
This is lidocaine drip, 200 milligrams, 500 cc, 55 W. This is bicarb.
We're going to defibrillate. Okay.
Ready?
Ready?
Okay, clear.
I'm gonna go again.
Ready? Yeah.
We got a normal sinus rhythm.
Great.
And a good pulse.
It's getting up to IT.
Unbelievable, giving valium to a chronic lunger. No wonder he stopped breathing.
Who okayed the transfer? I did, but the guy at St. Gregory's said he was stable.
What else did he say?
They didn't have any free beds?
No. You stay with me. You told me Mr. Simmons here has no insurance. If you
don't have money, don't get sick.
Who's the doctor you talked to?
Christopher Rand.
Do me a favor and follow them up to ICU. Make sure you get someone in the
respirator, okay?
I'm going to call this guy Rand.
Transferring a medically unstable patient just because he's indigent.
Criminally negligent.
Okay. There you go. Oops.
I appreciate this.
Anytime.
Hi, Jack.
Hi, Pete.
Guess he must be pretty upset about Eve Layden.
Everybody is. It's a damn shame.
So, you wanted to see me?
Yes, I do. Come on back here.
Sit down, Shirley.
Uh-oh.
You look just like Mrs. Bratz.
I don't follow.
Teacher of mine at nursing school yelled at me for sloppy corners in Bedmaking
101. No, no.
This is about the entrapment case.
Oh, don't tell me I've got to meet with those lawyers again.
Shirley, there was a meeting this morning of all the head nurses, and we
feel very strongly that you shouldn't have released those drugs to Dr. White
without a prescription. You know, that violates a basic rule. Come on, Helen.
Everyone does it once in a while. Look, I explained it in my report. Viscous and
I were treating a burn patient.
Okay, okay.
You don't have to tell me how hectic life is in ER.
In fact, maybe you need to change for a while till this blows over.
What are you saying?
I'd like you to come up and work on this floor.
Sure, so you can keep an eye on me.
Well, I think it's up to the nurses to police our own activities. I mean, we
don't want anyone to think we're covering anything over.
I get it. I'm being punished so you guys look good with the administration.
Now, wait a minute.
This is for your own good.
Well, I think it stinks.
There's a great line.
Victor,
this was a fantastic idea.
Well, I said you didn't want to go anywhere noisy.
Shh. Sorry.
Here.
Oh, my gosh.
I'll get another. No, no, no.
Dr. Weiss doesn't want me eating junk food anyway. He thinks the sugar is
playing ping-pong with my libido.
Weiss.
What's to hear?
So, uh, did Weiss, um, say anything about the other evening?
You mean when we found you naked in my apartment?
Not so loud, okay?
He said it showed your heart was in the right place.
What do you think?
I... I think you're the most unusual man I've ever met.
You're kidding.
More than Swami X? Oh, much more.
How much?
Victor.
I've got to tell you something.
I've never been as comfortable with a woman as beautiful as you.
Victor. Really. You're the most extraordinary person in the whole world.
Except for, I don't know, Albert Schweitzer, maybe.
He's dead.
What are you, uh...
What do you want to do when the film is over?
It is over.
Of course.
You want to go for a late night dinner? Stroll in the park?
Rum toddy at the Ritz?
Well, I thought maybe we could stay for the second feature.
I was hoping you'd say that.
You keep a diary?
It goes back almost a year to before all this started.
I miss them so much.
Any more headaches?
Not since I checked in last night.
I'm afraid your test results haven't been much help.
Your blood sugar is a little low. That might explain your food cravings. We're
still waiting for the special chemistries. Dr. Morrison, there is
something wrong with me.
It's a little early to figure out if there's a connection between your
migraines and the erratic changes in your behavior.
When the pain gets bad, I go just... insane.
And if you can't find out what's wrong, I'm never going to get my family back.
Do they know you checked in?
My husband took the kids a couple of weeks ago and went to his mother's
house. My first Christmas alone.
I can't blame him, actually. I drove them away.
I get these attacks or whatever they are, and I'm dangerous to everybody,
including myself.
And I can't seem to still... Don't worry.
I'll figure it out.
Thanks again.
Dr. Westall, you have a minute.
Sure. Just let me get a newspaper.
Never mind. I shouldn't be bugging you this early.
I feel like I just want to get a paper.
Fine, answer it.
What's up?
I can handle it myself. I know you've got a lot to worry about. Alec, let me
tell you something. I've already been through this this morning. It took my
daughter 20 minutes to tell me our washing machine doesn't work. Now, I'm
not going to spend another 20 minutes second-guessing you, all right?
What is it?
I feel sort of silly, really.
There's this, um... You see, there's this girl.
Girl. A woman.
And I think, uh... I think I'm, uh... You're in love.
Does it really show?
I think I want to get married. Congratulations.
Well, then you think it's a good idea. I don't know.
Neither do I. That's why I need your advice.
No, Ehrlich, what I'm trying to tell you is I don't know the girl.
Believe me, Dr. Westphal, we're talking major league sweetheart here, the kind
of girl they write valentines about.
This isn't your average hound-tooth cocktail.
Sounds terrific.
But do I really want to get married?
I'm a first-year resident. I've got more pressures and responsibilities than I
can handle.
Which isn't to say she wouldn't help me handle them. She would. That's the kind
of girl she is. But what is wrong with being single, huh? Do we really have to
get married?
I mean, can't we share our lives together without some flimsy piece of
paper as a bond?
You present a strong argument, Ellie.
Darn it, you're right. I'm going to ask her.
Thank you, Dr. Westfall. I appreciate your help. Just invite me to the
wedding.
Wedding?
Oh, boy.
It's my fault.
Are you writing another book?
No, I'm not that crazy.
That's great. Thank you.
I guess you saw the tests on Janet Dalton. Yeah, I did. It's a puzzle,
isn't it?
I thought for sure that we'd see something in the hormonal studies.
Well, she seems so nice. Could it possibly be some form of schizophrenia?
I mean, she totally flips out and then she comes all the way back. I can spot a
schizo in a second.
The truth is...
I'd like to see a CAT scan.
I mean, the migraines could have an organic basis.
Okay.
But I'm wondering if she might unconsciously be trying to invent some
physical excuse for the fact that her marriage is breaking up. I had a talk
with her, and I'm sure we can rule that out.
She didn't mention, though, that she was getting her period.
I wonder, could you recheck the serum's LH, FSH, and... The other one? Estradiol
levels? Yeah, in a couple of days.
Yep.
Maybe we should trade jobs.
No, I'm only good at suggestions.
I appreciate all the help I can get.
Don't give me any excuses. Christmas is over.
It's time to take this junk down.
This place is a fire trap, for crying out loud. One spark and this stuff goes
up like that.
Hi, Mark.
In my home, the tree comes in on the 24th and it goes out on the 26th.
Otherwise, the needles start falling down and you're tracking them all over
the house. Bye, Mark. The holidays are over for Pete's sake.
So, how are we doing here? Any luck? Well, I think Mr. Medwood's records have
fallen into the black hole.
Oh, now this is kind of neat.
Looks like Arabic.
I tell you what. Why don't you call Walter Lankow over at Efficiency
Systems? I've been on the phone with him so much, people are beginning to talk.
Yes, this is... Okay, I'll hold.
Like I have a choice.
How's tricks?
Oh, working up here is a scream.
I never should have released those drugs to white without a prescription.
Come on, Cheryl's not that bad. You'll be back in the ER in no time.
Rosenthal barely lets me get near patients.
The biggest problem I had all morning was a 97-year-old man with the hiccups.
So, uh, how'd you get him to stop? I didn't. He died.
Yes, finally. This is Nurse Daniels over at San Jose. This is Dr.
Cavanero. Well, when Dr. Rand does decide to come in, would you please ask
him to call me?
Or Dr.
Fiscus.
What does Joan think?
I want to surprise her.
Cover it up again.
You're right.
Lose it.
You know, I had a girlfriend once who had a mustache.
I hated it. It made her look older than me.
You know, Fiscus, it's scary to think you took care of me in ER.
Morning, guys. How you doing?
Look, who's your designer here, Calvin Swanee?
What did you say, Fiskus? Don't get mad at me. Have you seen the back of your
jacket?
You have got to be kidding me.
Ehrlich, you're a pig. That's very original. They didn't even spell Ehrlich
right. This is not funny. Whoever is doing this, it's not funny anymore.
Enough's enough.
I'm not an animal. I'm a man.
And if anybody here agrees with that, please oink.
You better move, Fiskus.
What about Mr. Delio's consult from cardiology?
Because of his history of TIAs and the left carotid brewing.
When's the big day?
I don't know.
I told you. I haven't asked you yet.
I'm hoping we'll see noticeable improvement in Mr. Delio's condition
over the next 24 hours.
I didn't know you were working today.
Victor, I traded with Jenny so I could have Friday off, remember?
Oh, that's right. I promised to take you to see that play.
The overcoat.
I hear it's wonderful.
Listen, Roberta, I know this isn't the most romantic place.
I never pictured myself asking you.
Victor, they're leaving without you. What?
Okay, I need to talk to you.
Dr.
Wade, for those of us who are still present, would you like to fill us in on
the Brody case?
His white blood count was 18,500.
Dr.
Stevens called me in for a surgical consult.
The abdominal obstruction series showed free air into the diaphragm.
and found that the patient had suffered a small bowel perforation in the right
lower quadrant.
Hope we didn't inconvenience you, Ehrlich. We resected a foot of video
cecum and lied several occasions.
Wow! It won't be long before the computer's as common in every home as a
phone or a television.
Can I use it for bookmaking?
Bookkeeping? Sure. Nah, bookmaking.
Good morning.
Conway, back in bed.
Matthew, I'm Dr. Craig. Hi. What's all this crap?
I didn't tell you Mr.
Brody made his own diagnosis using self-help medical software on his home
computer. He thought all he had was simple gastroenteritis.
Well, it takes all kinds, doesn't it?
I'm a student at MIT. I'm working on my degree in computer science.
This medical software is part of a class project. I helped design it. Dr. Wade?
Dr. Wade here has done a very fine diagnosis.
As you all probably know by now, a bowel perforation can be rather difficult to
pinpoint.
And you, young man, I hope you've learned a lesson.
Leave medical care to the professionals.
Well, actually, Dr. Craig, most common ailments don't even require a doctor's
attention, and they can easily be managed at home.
Yeah, well, if you've managed this at home much longer, it could have become
very serious.
Well, the computer gave the correct diagnosis.
If I had paid closer attention to the readout, I'd have been here much sooner.
Are you trying to tell me that a machine can diagnose as well as man?
No. Well, clearly the machine is superior.
I mean, compared with any of your doctors, it has a better memory, clearer
logic, and best of all, lower fees.
And do you expect it to operate on you, too?
Mr. Bonwit, are you ready for the big day tomorrow?
Well, I think my diverticulitis can be treated with antibiotics.
Antibiotics are not the preferred treatment in your case, Mr. Bonwit. Yes,
well, I figure that since my temperature is stable and I have no problems with
anything... What have you been feeding, Mr. Bonwit? Well, he wanted to see how
it worked. If I ever catch you diagnosing patients around here again,
I'll have you arrested for practicing medicine without a license.
Do you understand?
Then we'll see what kind of fun you have playing Pac-Man inside a prison cell.
Mr. Bonwit, we'll stop back at the end of rounds. Perhaps then you'll come to
your senses.
I finally got a hold of Rand over at St.
Gregory's. He gave me the usual song and dance.
I told him I was really tempted to file charges.
Is there someone in the family pushing you to do this?
What family?
I haven't found one.
Well, Annie, I don't see what the problem is. It happens all the time.
I guess after three years, I'm just sick and tired of it.
What do you mean this happens all the time?
It's a sort of unspoken tradition.
We are a public facility.
Private hospitals dump their unwanted patients on our doorstep every day.
This time, Mr. Simmons may die as a result of their lack of responsibility.
And St. Allegius is potentially liable if he does.
I mean, Dr. Fiscus did accept the transfer over the phone. I just think
something should be done.
Well, I can't promise anything, but I'll give Henry Judson over at St. Gregory's
a call.
I'd like to talk to him myself.
Leave it alone, Annie. It's out of your hands.
Dr. Ridley. Hi. I was just walking down the hall and thought I'd come in and say
hello. I'm glad you did.
You gonna finish your toast?
Thanks. I haven't eaten yet.
What are you reading?
My diary.
Keeping a diary is a great idea.
It gives you a chance to get a perspective on your life.
At this point, it's my only connection with Brian and the kids.
You know...
I was wondering about your last pregnancy. You said we don't have any of
the charts here.
It was the C-section.
Was there anything unusual? Any special medication or problems?
There was a lot of morning sickness this time. I didn't have any with Roger.
I wonder... I wonder if there's anything in the diary that could help us at all.
I can't imagine.
You know, the diagnosis is a very peculiar art form. You just never...
Know when you're going to get a tip off.
So if there's anything in there you don't want me to read, then you just rip
it out.
Anything, if it could help.
Thank you very much.
I'll have you out here in no time.
Everything's going to be fine. Could you wait over here? Abby?
Dr. Christopher Rand, this is Dr. Annie Cavaniaro. Chris transferred Mr. Simmons
to us last night from St. Craig's.
Hi.
I've already given him my nickels worth.
I thought I'd try and give you an idea of what went on last night.
I really don't have the time. Please, it'll only take five minutes.
Maybe if you'd given Mr. Simmons five minutes of thought last night, his life
wouldn't be in danger now.
Are you...
Serious about bringing me up on charges. You're damn right.
Before you do, would you at least give me a chance to explain?
Well, here goes.
Just do it.
Can't stop now.
The attending insisted I give him the value.
I knew he was just buying time.
Buying time for his heart failure.
That's probably what threw him into cardiorespiratory arrest.
You think I wanted to send him out like that?
I knew he wasn't stable for transfer, but I had no choice.
Why didn't you admit him?
I don't have admission privileges. I'm just moonlighting there. You couldn't
find somebody to do it for you?
As soon as they found out he couldn't pay, they told me he was stable enough
to ship out.
Because the hospital doesn't want to eat an ICU bill.
If the on-call doctor says transfer, hospital doesn't ask twice, right?
I figured if he could last a ride, he'd be better off someplace else.
Believe me, I didn't get into medicine to kill people.
I feel terrible about this.
How long have you been moonlighting at St. Gregory's? About a year.
I'm an ortho resident at Boston General.
You do this a lot?
A couple of times a month.
I need the extra money to pay off my loans.
And I like the diversity.
Sounds like maybe this got a little too diverse.
It's Caldwell.
Yeah, how close to the eyes it okay, I'll break down
Wonderful
What are you staring at?
You think I'm crazy?
Ehrlich, I'm not Roberta's keeper, and if you ask me one more time... Will you
give me a break, Shirley?
Try geriatrics.
Billy, would you check on Mrs. Connell in 3320?
She just buzzed.
Third floor.
Leave the mess. I'll clean it up. Just leave it alone.
Did you want something, Mrs. Connell? Yeah, she wants to tell you how scared
she is. She's afraid I'm going to hurt her, right, Mrs. Connell?
Everything's going to be okay.
Nobody needs you.
Don't touch me. Stay away.
I'm not going to hurt you.
Dr.
Ridley? Mm-hmm?
I'm Brian Dalton, Janet's husband.
Yeah, of course.
I'm glad you could stop by. Come on in.
Um, I know these don't look so great, but what do you expect for Boston in the
wintertime, right?
Do you like one?
No, thanks.
Janet called me the other day. Said she was coming here.
But I didn't believe her.
Why not?
Because she's lied to me so much before.
She is in a lot of pain.
No kidding.
I'm through with her, Dr. Ridley.
You mind?
No.
I can't believe that this is the same woman.
I fell so hard for.
What I used to love.
She tells me that you took your children and went to live with your mother just a
few weeks before Christmas.
I couldn't keep pretending to the kid she was okay.
She'd become so irrational.
It seemed like every month it was something.
She wrote about a lot of this in her diary.
Arguments with people in the street.
Screaming and yelling.
She seemed like such a gentle person.
And then just a little while ago, she was involved in a small incident.
Did she hurt anyone?
No. Scared a few people, but nobody got hurt.
It's not always violent.
One time, she wanted to bake cookies.
But found there wasn't enough flour.
Next thing I know, she's on the floor, bawling like a baby.
I tried everything. I even ran out to buy more flour.
But nothing worked.
She cried for almost two hours.
I watched her tear this family apart for a year now.
I couldn't take it anymore, and neither could the kids.
She needs help, Doctor.
I hope you can give it to her.
Well, I can tell you one thing.
She loves you very much, and the children.
And that's why she's here.
You're real lucky, pal.
Your eye's fine.
Yeah, there won't be any dysfunction of the island.
Damn dog.
Ain't there some hell for against him being in here?
Dog could freeze outside.
I meant the cop.
Why'd he bite you?
I mean the dog.
Let me guess.
You were just standing around, minding your own business?
Oh, for a guy without half a mustache, you got a pretty smart mouth.
We like to think of him as a guy with half a mustache.
Let's guess you want to finish up here.
Sure.
Why do you always call me for these sleazeballs?
Oh, hi, Victor.
Hi, Dr. Caldwell.
Oh, what a beautiful dog. Hello there, mister.
Wayne, have you seen Roberta? Maybe she's at my place.
No, she's allergic to mold.
I think I saw her heading for a pediatrics.
Oh, boy.
Okay, Dr. Kochar, without revealing the ailment of the anonymous patient chosen
at random, may I have the first symptom, please?
Yes, a sharp pain in the chest increased with the respiration.
That's easy, a heart attack. Yep, just a minute. Mr. Bond, what do you mind?
Okay, is the pain crushing and or does it radiate from the center of the chest
to the jaw, neck, or arms?
Uh, no.
Dr. Craig, this is a most wonderful intervention.
Oh, that means a lot coming from you, Coach R. You're still marveling at
indoor plumbing.
Are you short of breath?
Uh, yes.
Okay, have you recently had an operation, injury, or illness that has
kept you in bed?
Does my wife count?
There's nothing here.
Tell me something. If all the doctors are to rely on this for their answers
instead of using their head, what happens when the electricity goes off?
Port-a-pack batteries.
These guys have an answer for everything.
Hey, do you have a fever of 100 degrees or above?
Uh, no. And besides, what about a doctor's personal touch? His warmth, his
caring about his patients?
Can your machine provide that?
Little nerd.
Here, I got the computer's diagnosis here. It says, call physician
immediately. You may have a collapsed lung.
For more information, see pneumothorax.
Now, Dr. Kochar, will you verify that I have not previously seen the doctor's
diagnosis? Oh, yes, I can, Matthew.
Would you now tell us his actual diagnosis, please?
Pneumothorax.
Kochar, don't you have anything better to do?
Yes, sir.
As I told you over the phone, our position at St. Gregory's is firm.
In Mr. Simmons' case, we followed accepted policy for the disposition of
patients who present without third-party authorization.
You mean patients without insurance.
Mr. Simmons was transferred in complete accordance with our best medical
judgment. Come on, Henry.
You know the man won't last the night. Any med student could have told you
that. The city of Boston doesn't subsidize our budget.
We're self-supporting.
Therefore, St. Gregory's must be run like a business.
A bankrupt hospital isn't going to be taking care of any patients, indigent or
otherwise. It's not a question of money.
It's a question of abandonment.
Now, I hardly think that's the way to look at it.
Mr. Judson, didn't your hospital just complete a new wing?
Cardiac care.
But I don't see... And weren't you subsidized by the federal government
through the Hill-Burton Act?
The construction was partially financed in that way, yes.
Well, then you're aware that St. Gregory's is required to provide a
certain amount of medical care to the needy in return.
Miss Halloran, we meet our quotas.
I'm going to find that out for myself.
I'm recommending to the Department of Health and Human Services that they
launch an investigation.
Toward what end? Cut off funds, charges, removal of the present board of
directors, possibly.
Miss Halloran, I don't see what you expect us to do. I expect you to be in
my office tomorrow morning at 9 o'clock with the pertinent figures.
And if things don't jibe, all hell is going to break loose.
All right.
You know, I'm getting to enjoy being on your side, Joan.
Back again to cover your tracks?
I came back to see how he was doing.
Mr. Simmons died.
I'm sorry.
I finally located a cousin of his in Mattapoisett.
But you know what?
She didn't even care.
My supervisor over at Boston General found out about this.
She said I'd be kicked out of the residence program if I keep
moonlighting.
I suppose it's for the best.
Maybe you're just not cut out for emergency medicine.
Yeah, I would have burned out pretty quick anyway.
I really feel rotten.
That poor guy was so alone in the world.
He had nobody to complain for him.
I did my good deed. I complained.
What did you do?
I tried to save his life.
Maybe you should have tried harder.
Yeah,
one second. Sure.
Janet's CAT scan was negative.
Okay, well, we'll just keep trying, all right? I'm on my way over to my office.
I just got her postpartum chart from the clinic.
What for?
Oh, I'm going to try a little statistical plotting.
All right, keep your fingers crossed, okay?
Helen, Helen, have you seen Roberta Sloan? Yeah, she's in physical therapy
right now.
Anything I can do?
Will you marry me?
i'm dr westfall director of medicine what can i do for you hi hey watch this
just broke into your computer
when
we installed the system five years ago we took precautions against this sort of
thing well then your technology is a little outdated isn't it walter this man
has access to all our records accounting maintenance patient files, you name it.
Ever since the home computer boom and that movie War Games, it's the latest
craze.
Crime without ever leaving the comfort of your own home.
Matthew, this is Walter Lanko, Efficiency Systems, the company that
installed our computer here at the hospital.
Hi, I'm really impressed with what you're doing with speech synthesizers.
Wow, thanks.
Can I ask you a question, though? Mm-hmm. Do you achieve satisfactory
results on an 8-bit microprocessor by linear predictive coding?
Well, when you go from pulse code modulated speech at 64,000 bits per
second down to 12 or 1,400, it does sound strange.
Awful lot of compression there.
Yeah, well, what about reconstituting the raw code to make it recognizable
again? Hmm, that seems to be the way to go.
Oh, I'm sorry, Dr. Westfall.
It's tough not to talk shop.
Well, now you know what it's like when doctors speak to patients.
Matthew, could you show us how you gained access to our system?
You want to know what modifications I think you should make? I think Dr.
Westfall prefers to start with how you got in.
Oh, well, it's nothing unusual, really. Well, first I got an outside line and
dialed into VVC using the Boston area code 617.
And then I just dialed in a five-digit code at random.
What's VVC?
It's a nationwide network owned by Veracorp. It connects over 1,200
computers and has about 150,000 authorized users.
Yeah, but with the number of users, the chances of getting caught are virtually
nil.
Now, by using the area code, does that mean anyone in this country has access?
Yeah. Well, anywhere in the world, really.
Wonderful.
Anyway, once I've gotten into the computer over VVC, the way it dials back
tells me what kind of computer it is.
And then this redialer just keeps hitting numbers until it gets the one
I'm looking for.
And then, once I get that and I break the password, I'm in.
How did you break the password?
Well, usually that's the really fun part.
But since I didn't have a whole lot of time, I just went straight to the
harbor. Oh, that's sort of an electronic bulletin board where hackers leave codes
and messages for other hackers.
Hackers? Oh, people who play with computers just for the thrill of it.
Electronic joyriding.
All right, now, if Matthew got our code off that bulletin board, that means that
anyone could have access, is that right?
Yeah, it does.
Oh, boy.
Oh, I'm sorry, Dr. Ehrlich. This is the nurse's lounge. I'm afraid you'll have
to leave.
I'm sorry.
Hey, I'm kidding.
Do you want some of this? No, I don't.
Did Roberta say no?
I haven't even had the chance to ask her yet.
Helen, do you get the feeling if something's supposed to happen, it would
have happened? I mean, if I'm supposed to marry Roberta, I would have had the
chance to ask her by now.
It doesn't sound like you, Victor.
You're usually the type to go after things, aren't you? I am usually. This
seems different.
You've never lived with anyone, have you?
What's that got to do with it?
Well, you know, it's a big change.
You live with someone day in, day out. That person starts to have an effect on
you. I think I could stand a little change, a little self-improvement.
That's not what I'm talking about. I mean, you know, like, what if she starts
wanting to go out at night?
Movies, dancing, museums, Tupperware party.
I like doing anything with Roberta. After you've been on call 16 hours a
day? And you do back at 8?
When are you going to get your sleep, Victor?
I know. She won't ask me to go out on nights like that.
Oh, no, she may not ask, but you're not going to want to disappoint her either.
Helen, why are you doing this to me?
Oh, Victor, I'm sorry. I don't mean to upset you, but I think what I'm really
trying to say is be sure you both know what you really want out of life. It
makes everything so much easier.
And the only way you'll know if you're supposed to get married is if you're
absolutely sure you want to get married.
Okay?
I missed you today.
Something wrong?
No.
Why are you acting so strange?
It's nothing.
Well, I've got a couple of patients to look in on.
Can you wait?
I thought maybe we'd get some dinner at Lillian's tonight.
Yeah, I'd love to.
You shaved your mustache.
Hi. Have you lost weight?
Jack. Oh, I'm glad you're here.
I got Janet's serum LHFSH and estradiol levels.
And you didn't find anything, right?
How'd you know? Because I did.
You mean it is psychological?
No. She has premenstrual syndrome.
Come on.
No, look.
Look at her symptoms.
Migraines, food cravings, spontaneous bruising, mood shifts, depression,
aggression, anxiety, and that asthma attack that she had today. You can't
prove the symptoms coincide with the onset of menstruation.
Oh, yeah?
I made a graph using the postpartum chart and Janet's diary.
Okay, I plotted the sudden and severe mood shifts, and more often than not,
they occurred towards the end of each cycle since she's been ovulating again
after the birth of her second child.
We need an HCG to be absolutely sure.
Okay.
I like this medical stuff.
Instant gratification.
I should have seen this.
Nice diagnosis.
Yeah?
Thanks.
I got lucky.
I'm gonna go talk to Janet.
Hi, Jack.
Hi.
Hi. How'd everything go?
Well, I changed the password, so that should stop anyone else from breaking
in. Good.
I suppose someday I should learn how this thing works.
I'd be happy to show you.
Not tonight.
Thank you very much.
Roberto,
let me in. We've got to talk.
Victor?
Victor, is that you?
Of course it's me. Open up.
Um... Sorry about the way I look.
I tried to talk to you all day.
Roberta, there's something that's going on here between you and me, and I've got
to stop it. What do you mean?
What I mean is... What I mean is I treasure this relationship very, very
much.
Me too, Victor.
Brother, you're not making this easy.
I'm sorry.
Oh, wait a minute before you go on.
Our tickets.
For Friday night, the overcoat, remember?
That's what I'm talking about.
Tickets? No, no, no, no, no. Not tickets. Us.
You and me.
I've got a career here that's very important to me. I've worked hard to
become a surgeon. And I don't intend to throw it all away just because you want
to go see some stupid play.
Victor, I...
I don't really think that just one play is going to... It's not just one play.
It's movies and museums and Tupperware parties.
Next thing you know, you're going to want me to stay home to have kids.
What? You know what I mean. Victor, I'm afraid I'm confused.
Don't you see what you're doing?
Do you have any idea?
You take today, for instance.
Someone please take today.
You should have seen me. I'm running around the hospital like a chicken with
its head cut off.
I know Westfall thinks I'm some adolescent whiner.
And just when things are starting to get civil between me and Craig, I'm back to
playing his fool.
What is that?
No, Roberta, honey, honey, please don't cry.
Victor, could you please go?
No, no, no, wait a second. Please let me explain.
Oh, Victor, I've been awful to you.
No, you haven't. No, I've been awful. I have, you're right.
I'm no good for you. No, that's not true.
Oh, Peter, I'm so sorry I hurt you.
No, honey.
No.
Roberta?
Roberta?
Baby?
Honeybunch?
Just look at that concentration, will you?
So how's he doing, Julie?
Oh, he had a nap and a bottle at three.
He's been mostly chirping away ever since.
Mostly?
Except when Kate bounced a clutch ball off his head.
He blew his stack.
How's his rash?
Desitin seems to help.
Try giving him a bath?
Yeah, our boiler's down in the building.
Haven't got any heat.
Hiya, Pete.
Hi.
Yeah, that's me, Dada.
That's right, that's me. That's your Dada. That's right.
That's me, Dada.
Yeah, Dada's here.
Yeah,
well, old myths die hard.
See, a lot of people just assume that it's natural for a woman to be moody and
irritable once a month.
They don't understand that PMS has a real physical cause. You mean my hormone
imbalance? Right. See, the thing is, though, that you're an extreme example.
Most women have milder symptoms, and they don't even know that anything is
the matter.
And it's treatable?
100%. Seems too easy. You're sure I'm not crazy?
I'm more sure about you than I am myself.
No more questions, all right? I've got a little surprise.
You ready?
It depends.
You're ready.
I know it's a little late, but Merry Christmas.
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