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- Previously on ER: - Welcome to County General.
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- You do know how to do this, right? - Yes.
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You've broken every rule and regulation we have in the ER.
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It's in the child's best interest to complete what's begun.
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I'm asking you, Dr. Anspaugh, about the possibility of sponsorship.
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- You don't want to stay with Romano? - Romano doesn't wish to stay with me.
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I'm not sleeping since I've been an R.A.
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I took a day off to run the clinic. Can you spare any help?
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District Medical Director for EMS is open.
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We could use someone like you on our side.
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- Dr. Carter? - Dr. Carter, are you there?
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I'm so sorry, but we...
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We're locked out!
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All right. Hang on.
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Hang on, I'm coming.
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Yes?
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What's up?
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Dr. Carter, I'm sorry. I know it's late...
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- Really early, but we... - We're locked out.
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We were in the library. I thought he had his key...
21
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...he thought I had mine... - I did have a key, okay?
22
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But it wasn't my old dorm key.
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I had my apartment key, but my sister threw me out.
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Okay. I got a master key.
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Sorry to wake you.
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It's my job.
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Oh, Peter.
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I hope I'm not disturbing you.
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No, no. I didn't expect you to finish so soon.
30
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Well, I... It was just a spleen.
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I was thinking about you.
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So I thought I would come over...
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Come over and finish what we started.
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Peter, Peter, I...
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What?
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Before you jump to any conclusions...
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You're not alone.
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- Right. I was trying... - Sorry to wake you so early.
39
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This jet lag always...
40
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Oh, excuse me. I didn't realize anyone had arrived.
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Allow me.
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This is Peter Benton, a work colleague.
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Obviously a friend.
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Peter, this is Charles Corday, my father.
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Oh.
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Nice to meet you.
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The toilet's overflowing.
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- What? - In the women's bathroom.
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It's going all over the floor.
50
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Sounds like a call for Maintenance. I'm just the R.A.
51
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Well, they're not on until 7.
52
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You better come. It's getting bad.
53
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I'm calling to confirm an 8 a.m. Appointment.
54
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Carol Hathaway.
55
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- A/C working? - I'm on with them now.
56
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Thank you.
57
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Hey. Don't worry, you'll knock them dead.
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- Uh-oh. What did she do wrong? - Me?
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See a med student in two hours early, she must have screwed something up.
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She's checking her labs from yesterday.
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Just for fun.
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I just want to make sure nothing slips through the cracks.
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Don't burn out.
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- She's the Resident's pet. - I am not!
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- She got an IV her first day. - So I was lucky.
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- Good morning, all. - Good morning.
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Can somebody take a look at my grandson?
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Sure. Someone will be with you.
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- I'll look at him. Lucy, join me? - Sure.
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A month ago he started walking. Now he just lays there.
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- I'll join you as soon as I can. - There's no need.
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Take them to Exam 4.
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If you need me to sign off on any procedures...
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Check your calendar, Kerry. My probation was for 30 days.
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- I'm a free man again. - Thirty working days, Doug.
76
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- I don't think so. - Check on that.
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I'm sure you will. I got him.
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Good luck upstairs. Come on.
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John Carter.
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Dad, hi. How's the sailing?
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I think Gamma's being dramatic.
82
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Because it's not a slum, it's a dorm.
83
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Well, Dad, it pays the rent.
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I said, it pays the rent.
85
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No, I'm not turning my back.
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Because I'm still a doctor.
87
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It's just not clear whether they'll be able to pay me this year.
88
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The R.A. Position is for Residents.
89
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No, there's...
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...student advising and counseling.
91
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It's, you know, practically a faculty position.
92
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And it feels good to pay my own way.
93
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Dad?
94
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Dad?
95
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Hello? Hello?
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Yosh, I'm so sorry. I'm so excited. They said yes!
97
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- They said yes? - Yes!
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- You're hot stuff! - Thanks.
99
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Mark, thank you so much.
100
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- They said yes. - To your proposal?
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Thanks to Mark's letter of support.
102
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I just told the truth. I said your clinic deserved a salaried RN.
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There you go, baby.
104
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- Why's it flashing? - Calling on the landline.
105
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- He's learning the radio. - Are you taking the EMS job?
106
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I haven't decided yet.
107
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Just touch the screen.
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- On the number? - It won't bite.
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What did I do?
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When you touch it twice, you hang up.
111
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They'll call back.
112
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Jerry, what's going on with the A/C?
113
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It takes a couple minutes for it to cool down.
114
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They're on Med 9.
115
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I've gotta take this to the lab.
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I'll take over.
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Okay, go ahead. Just once.
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Check volume.
119
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Pulse 120. Gave 500 cc'sof normal saline. Copy?
120
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County General on Med 9. We didn't catch the first part.
121
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Can you repeat?
122
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You have to step on the pedal when you speak.
123
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- County General on Med 9... - You gotta switch over to Med 9 first.
124
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- Now. - County General on Med 9.
125
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Can you repeat the information?
126
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I said pulling up now.
127
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Single-vehicle MVA. 62-year-old restrained driver.
128
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What's with the radio?
129
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Mark's considering a future in EMS. We were teaching him the ropes.
130
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BP's 100/60. Tachy at 120, diaphoretic. Air bags deployed.
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Wife was a passenger.
132
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He groaned and slumped over the wheel.
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Thank goodness we were barely moving!
134
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I didn't know you were on today.
135
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I'm not. I'm just talking to paramedics. When you're done.
136
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We'll take very good care of your husband.
137
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So if I can't persuade my daughter, you'd be interested in the job?
138
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I have considered a cardiothoracic fellowship.
139
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As a specialty it has it all.
140
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The heart. The most magnificent machine in creation.
141
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I'm flattered you came all this way...
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...to convince me to join your practice.
143
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It was on my way. I can't appear too eager with this one.
144
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And I can't be so picky. It isn't as if I have other options.
145
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Darling, isn't that him? Romano?
146
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Oh, God! Don't let him spot us.
147
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He keeps leaving messages about some dreadful lap choly today.
148
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Well, he still is your sponsor.
149
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He only wants me because he's got a potential partner to see the Aesop.
150
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And he's not certified.
151
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The Aesop robot? Brilliant.
152
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It galls me to help him in any way.
153
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I wouldn't give him the satisfaction of seeing that.
154
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I expect my daughter to fight.
155
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Dive in there.
156
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Impress the hell out of him. Make the bugger rue the day he terminated you.
157
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Yeah, go for it.
158
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I feel ganged up on.
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Lizzie. Peter.
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Mr. Corday, what a surprise. I bet you're on your way to UCSF.
161
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I came to visit my daughter while she was still here.
162
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I'm sorry we were unable to continue the fellowship.
163
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I was never fond of her working with you in the first place.
164
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I recall that.
165
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You got my message about the Aesop?
166
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Wouldn't miss it.
167
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Although, technically, you'll be assisting me, right?
168
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Well, you got me on that one.
169
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You know, I haven't seen this gadget in action.
170
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If that's all right with Dr. Romano?
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I'd be honored.
172
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I should've brought him in before, but he seemed better at his cousin's.
173
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Temp's still 100.5.
174
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- Where's his cousin live? - Waukegan. On the lake.
175
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Sounds nice and cool. Miss Knight, what tests?
176
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A full metabolic workup.
177
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That sounds bad.
178
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We'll try something else first.
179
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- Yosh, can you find a fan? - There's one in the lounge.
180
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We'll cool the room, see if it helps your grandson.
181
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I turn the lights out, that seems to help.
182
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We'll try that too. Be right back. Want to keep an eye on him?
183
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- Questions? - An infant losing milestones.
184
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Sounds like a metabolic disorder.
185
00:10:19,389 --> 00:10:21,823
Ordinarily, you'd be right to check that first.
186
00:10:22,024 --> 00:10:24,219
But he's got a fever and he's not even damp.
187
00:10:24,427 --> 00:10:26,952
Why are the lights out in Exam 4?
188
00:10:27,163 --> 00:10:31,156
We're cooling a young boy down with anhydrotic ectodermal dysplasia.
189
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No sweat glands.
190
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I think it's the right hunch.
191
00:10:35,004 --> 00:10:36,471
You want to look it up?
192
00:10:38,941 --> 00:10:41,842
Hold on. The EMS Medical Director's a real person?
193
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He's an ER doctor.
194
00:10:43,546 --> 00:10:46,174
I thought it was just a name they stuck on the top of memos.
195
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Not when I do it.
196
00:10:47,884 --> 00:10:48,873
Somebody page me?
197
00:10:49,085 --> 00:10:52,486
Yeah. Abdominal mass in Trauma 1. It sounds like a triple-A.
198
00:10:53,089 --> 00:10:54,579
What? I pay attention.
199
00:10:54,791 --> 00:10:57,988
Carla called. She might not come to Reece's ear appointment.
200
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She said to call if that's a problem.
201
00:11:00,363 --> 00:11:01,694
No, that's cool.
202
00:11:01,898 --> 00:11:04,423
- What is it, 100 degrees in here? - I'm on it.
203
00:11:04,634 --> 00:11:07,034
Dr. Carter, I'm sorry. I was with Dr. Ross.
204
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- Coffee. - For me?
205
00:11:09,105 --> 00:11:11,164
Imagine me on caffeine? One sugar, right?
206
00:11:11,374 --> 00:11:13,501
Right. Thanks.
207
00:11:13,776 --> 00:11:15,903
Why am I signed up for two patients?
208
00:11:16,112 --> 00:11:19,240
I hope you don't mind. The right-arm weakness is interesting.
209
00:11:19,449 --> 00:11:23,408
I ordered up the previous charts, reviewed them and did the H & P.
210
00:11:23,619 --> 00:11:24,449
Already?
211
00:11:24,654 --> 00:11:27,817
To get a good Residency, you gotta fly out of the gates.
212
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You got a little time before worrying about that.
213
00:11:30,626 --> 00:11:32,025
Isn't it the same for you?
214
00:11:32,228 --> 00:11:34,594
- Residents buck for Chief as Interns? - Right.
215
00:11:34,797 --> 00:11:37,664
You've probably been laying the groundwork since day one.
216
00:11:38,334 --> 00:11:41,667
At school they say that's how you build a career. Right, Dr. Carter?
217
00:11:41,871 --> 00:11:44,806
Don't call him "Dr. Carter." There'll be no living with him.
218
00:11:45,007 --> 00:11:47,771
- What shall I call you? - He's just Carter.
219
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Dr. Carter will be fine.
220
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Oh, God, yeah. Right there.
221
00:11:53,216 --> 00:11:55,741
I was so tense talking to Admin.
222
00:11:55,952 --> 00:11:58,978
- You didn't need to be. - I should've asked for two nurses.
223
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You gonna hire yourself?
224
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I'm the only volunteer I don't mind asking.
225
00:12:02,725 --> 00:12:05,216
Besides, it'll be fun to hire someone good for the clinic.
226
00:12:05,428 --> 00:12:06,486
- Did I get it? - Yeah.
227
00:12:06,696 --> 00:12:10,757
Double GSW, two 16-year-olds. One shot in the head, one in the flank.
228
00:12:10,967 --> 00:12:12,525
Mark, did you answer the radio?
229
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All by myself.
230
00:12:15,771 --> 00:12:17,739
Single GSW to the left temporal scalp.
231
00:12:17,940 --> 00:12:20,636
BP is 120/78. Pulse 80.
232
00:12:20,843 --> 00:12:23,175
No neurodeficits unless being a macho jerk...
233
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...and attacking your friendly paramedic counts.
234
00:12:25,781 --> 00:12:28,045
- She was going for my piece. - No, your pulse.
235
00:12:28,251 --> 00:12:29,479
Bleed out next time.
236
00:12:29,685 --> 00:12:31,050
Get that lac taken care of.
237
00:12:31,254 --> 00:12:32,653
Doris, I'll look at it. Let's go.
238
00:12:32,855 --> 00:12:35,551
There's no palpable bullet. What's your name?
239
00:12:35,758 --> 00:12:38,056
Looks like he's been shot before.
240
00:12:38,261 --> 00:12:40,661
- First time above my neck. - Well, you the man.
241
00:12:40,863 --> 00:12:43,423
Pupils are equal and reactive. Know where you are?
242
00:12:43,633 --> 00:12:45,032
Sixteen-year-old African-American male.
243
00:12:45,234 --> 00:12:47,361
Yo, Toine. What's up, man? Where you been?
244
00:12:47,570 --> 00:12:50,004
Gunshot to the buttock. Single entrance wound.
245
00:12:50,206 --> 00:12:51,605
Oh, they capped you in the ass?
246
00:12:51,807 --> 00:12:54,435
- Oh, that's whack, man. - Nothing but a thang, B.G.
247
00:12:54,644 --> 00:12:56,544
On my count. One, two, three.
248
00:12:56,946 --> 00:12:58,413
There ought to be something to do.
249
00:12:58,614 --> 00:13:00,809
Maybe a central line, maybe a chest tube.
250
00:13:01,017 --> 00:13:03,611
- I'm not ready for that yet. - No, you aren't.
251
00:13:04,754 --> 00:13:07,416
- Pain here? - No, man. I ain't shot there.
252
00:13:07,623 --> 00:13:08,817
Normal sinus on the scope.
253
00:13:09,025 --> 00:13:09,889
Need any help here?
254
00:13:10,092 --> 00:13:11,684
Dr. Carter, so glad you asked.
255
00:13:11,894 --> 00:13:14,124
Get some Surgilube and a fresh pair of gloves.
256
00:13:14,330 --> 00:13:16,127
We'll check next door.
257
00:13:17,633 --> 00:13:19,624
- Tighter so I can't open them up.
258
00:13:19,835 --> 00:13:20,802
Anything we can do?
259
00:13:21,003 --> 00:13:23,665
No sister with no attitude's putting a shot in my head.
260
00:13:23,873 --> 00:13:26,967
Close your eyes, sir. We're checking your cranial nerves.
261
00:13:27,176 --> 00:13:30,543
Looks like they got it under control. There'll be more chances.
262
00:13:30,746 --> 00:13:31,974
I know.
263
00:13:32,181 --> 00:13:35,082
Sure, the guidelines say wait until the cops get there.
264
00:13:35,284 --> 00:13:36,945
Wait until the scene is secured.
265
00:13:37,153 --> 00:13:41,385
But when some kid is lying in the street bleeding, what do you do?
266
00:13:41,591 --> 00:13:46,858
I'm curious because the department's looking for a new medical director.
267
00:13:47,063 --> 00:13:48,257
You'd leave the ER?
268
00:13:48,464 --> 00:13:50,932
No, no. It would be part of my job here.
269
00:13:51,133 --> 00:13:54,125
It would be a good way to approach continuity of care.
270
00:13:54,337 --> 00:13:57,170
I hate to see it happen to such a decent guy.
271
00:13:57,373 --> 00:13:58,397
What do you mean?
272
00:13:58,608 --> 00:14:01,202
Seven years I've been working on a rig.
273
00:14:01,410 --> 00:14:04,004
We know that what we need is more paramedics.
274
00:14:04,213 --> 00:14:06,408
And every year for seven years...
275
00:14:06,616 --> 00:14:08,481
Right, right. They cut the budget.
276
00:14:10,486 --> 00:14:13,387
That part of the job would not be new.
277
00:14:16,392 --> 00:14:17,984
Am I gonna have a scar?
278
00:14:18,194 --> 00:14:20,754
No. I'm too good at this.
279
00:14:20,997 --> 00:14:24,489
Get an abdominal CT with oral IV and rectal contrast.
280
00:14:24,700 --> 00:14:27,430
If the bullet hit his colon, you'd think he'd be hurting.
281
00:14:27,637 --> 00:14:29,229
The kid was masking his pain.
282
00:14:29,438 --> 00:14:30,427
How's yours doing?
283
00:14:30,640 --> 00:14:34,440
He's stable. No blood in the urine. Stool trace positive for heme.
284
00:14:34,644 --> 00:14:37,408
I checked on your probation and it ended yesterday.
285
00:14:37,613 --> 00:14:39,979
Well, I guess the party's over.
286
00:14:40,182 --> 00:14:43,982
The committee asked me to sign off on your patients, I didn't want to.
287
00:14:44,186 --> 00:14:45,813
Yeah, but you got off on it, though.
288
00:14:46,022 --> 00:14:48,081
I do not relish babysitting.
289
00:14:48,290 --> 00:14:51,191
My life would be a lot easier if everyone did their jobs.
290
00:14:51,394 --> 00:14:52,793
I'm sorry to be a burden.
291
00:14:52,995 --> 00:14:57,295
This all meant nothing to you, did it? Just water under the bridge, right?
292
00:14:57,500 --> 00:14:59,161
I wouldn't say that.
293
00:14:59,368 --> 00:15:03,862
Do you know how many calls I get from people who want ultra-rapid detox?
294
00:15:04,840 --> 00:15:05,864
Forward them to me.
295
00:15:06,108 --> 00:15:09,134
Yeah. Can't do that. God knows what you'd say.
296
00:15:12,381 --> 00:15:16,477
I think it's a wise move for you. Great research opportunities in EMS.
297
00:15:16,686 --> 00:15:19,018
I'm more interested in coordinating paramedics.
298
00:15:19,221 --> 00:15:21,451
For once, we wouldn't be in competition.
299
00:15:21,657 --> 00:15:23,386
Field work was never my forte.
300
00:15:23,592 --> 00:15:26,493
You wouldn't want this job. There's no money, power or glory.
301
00:15:26,696 --> 00:15:29,358
It doesn't fit into my Machiavellian scheme...
302
00:15:29,565 --> 00:15:31,999
...to rule the Emergency Department. You going?
303
00:15:32,201 --> 00:15:34,465
Yeah, Rachel's got a soccer game.
304
00:15:37,540 --> 00:15:41,032
- Dr. Weaver, you have a minute? - Sure. Jerry, it is freezing.
305
00:15:41,243 --> 00:15:42,369
I know.
306
00:15:42,878 --> 00:15:46,075
- Did you notice my salary request? - I did.
307
00:15:46,282 --> 00:15:49,183
My finances have changed, and it's no longer feasible...
308
00:15:49,385 --> 00:15:53,082
Yeah, I approved it. And, frankly, I was glad to see it.
309
00:15:53,289 --> 00:15:56,918
If you practice medicine as a hobby, you risk looking like a dilettante.
310
00:15:57,126 --> 00:16:00,061
Ah, yes. Well, that's not me. It's not me.
311
00:16:00,262 --> 00:16:04,130
And that's what's been worrying me. While I was unpaid, it held me back...
312
00:16:04,333 --> 00:16:05,800
...from stating my long-term goal.
313
00:16:06,001 --> 00:16:07,263
Which is?
314
00:16:07,603 --> 00:16:09,571
I want to be Chief Resident.
315
00:16:10,072 --> 00:16:11,937
You don't have to worry about that yet.
316
00:16:12,141 --> 00:16:14,769
No? I want to come out of the gate strong.
317
00:16:14,977 --> 00:16:16,604
It's the only way to build a career.
318
00:16:16,812 --> 00:16:19,645
Well, you're off to a good start with your student.
319
00:16:19,849 --> 00:16:23,307
- Ms. Knight's organized and in control. - Lucy's on top of it.
320
00:16:23,519 --> 00:16:25,817
A good student is evidence of a good teacher...
321
00:16:26,021 --> 00:16:28,546
...and that's the first step toward being a Chief.
322
00:16:30,159 --> 00:16:31,490
- I say, Jerry? - I'm on it.
323
00:16:31,994 --> 00:16:32,961
They're turning it up now.
324
00:16:33,195 --> 00:16:34,958
Actually, I was asking if you paged me.
325
00:16:35,164 --> 00:16:38,224
That was me. Where's the man with the gunshot wound?
326
00:16:38,434 --> 00:16:39,765
Bangers to Curtain 3.
327
00:16:39,969 --> 00:16:42,597
Don't lead her by the nose too much, your student.
328
00:16:42,805 --> 00:16:44,466
I will keep that in mind.
329
00:16:46,308 --> 00:16:48,538
Jerry, it's like a meat locker in here.
330
00:16:50,546 --> 00:16:55,415
Nice work. Triple-A on an anterior left renal vein is never a picnic.
331
00:16:55,618 --> 00:16:57,017
Yeah, divide and conquer.
332
00:16:57,219 --> 00:16:58,516
What are you doing at 4:00?
333
00:16:58,721 --> 00:17:01,849
I've got a tricky retroperitoneal sarcoma.
334
00:17:02,057 --> 00:17:04,617
I'm taking my son upstairs for an audiology exam...
335
00:17:04,827 --> 00:17:06,920
...but I guess I could reschedule.
336
00:17:07,129 --> 00:17:08,562
Your son have a hearing problem?
337
00:17:08,764 --> 00:17:12,427
There was a concern. He had fluid in his ears, I'm just following up.
338
00:17:12,635 --> 00:17:14,626
But he tested normal at birth?
339
00:17:15,204 --> 00:17:17,297
- Wasn't he a preemie? - Yeah. That's right.
340
00:17:17,506 --> 00:17:19,997
They sometimes give gent to preemies.
341
00:17:20,876 --> 00:17:22,969
It can be ototoxic.
342
00:17:24,079 --> 00:17:27,173
No, no. He's fine. I'll be there.
343
00:17:27,383 --> 00:17:29,476
Well, if you're sure.
344
00:17:29,685 --> 00:17:32,882
How would you like to follow up on Mr. Specchierla in Recovery?
345
00:17:34,456 --> 00:17:35,946
Our triple-A?
346
00:17:36,158 --> 00:17:38,820
Oh, yeah. I'm on it.
347
00:17:40,963 --> 00:17:43,261
The CT scan showed a hole in your rectum.
348
00:17:43,465 --> 00:17:45,626
They ripped you another one, Little T.
349
00:17:45,835 --> 00:17:47,063
My belly's hurting.
350
00:17:47,269 --> 00:17:49,362
I gave him six of morphine.
351
00:17:49,572 --> 00:17:51,267
Hey, man! Come check me out too.
352
00:17:51,473 --> 00:17:53,668
I don't want no dents in my pretty head.
353
00:17:53,876 --> 00:17:54,968
Your head too big anyway.
354
00:17:55,511 --> 00:17:57,138
Are you gonna do my operation?
355
00:17:57,346 --> 00:17:59,974
You don't want no Chinese fag messing down there.
356
00:18:00,182 --> 00:18:01,308
Japanese.
357
00:18:02,184 --> 00:18:05,620
Your friend could use a little support. This isn't a joke.
358
00:18:05,821 --> 00:18:08,255
After surgery, you'll wear a colostomy bag.
359
00:18:08,457 --> 00:18:09,981
- Do you know what that is? - No.
360
00:18:10,192 --> 00:18:12,592
Lil Toine gonna be crapping in a bag?
361
00:18:16,098 --> 00:18:17,861
You gonna be crapping in a bag!
362
00:18:18,300 --> 00:18:19,324
Not me, man.
363
00:18:19,535 --> 00:18:22,003
This is not an accurate picture of a colostomy.
364
00:18:22,204 --> 00:18:24,638
Oh, baby. I heard they shot you.
365
00:18:25,040 --> 00:18:26,530
What you doing here, Moselle?
366
00:18:26,742 --> 00:18:28,972
- She come to see Toine. - I don't think so.
367
00:18:29,178 --> 00:18:30,645
What business is it of yours?
368
00:18:30,846 --> 00:18:33,542
- This is my business, girl. - Chill, girls, chill!
369
00:18:33,782 --> 00:18:36,979
Take it outside, both of you. Now, go. Go.
370
00:18:38,187 --> 00:18:41,418
We'll explain the process when your mother arrives. Okay?
371
00:18:43,025 --> 00:18:45,789
That's what happens when you run, man. Booty call.
372
00:18:45,995 --> 00:18:48,589
Yosh, get these two in separate rooms.
373
00:18:48,797 --> 00:18:49,991
Gonna miss that, I bet.
374
00:18:50,199 --> 00:18:52,827
Actually, I will. He's just a boy.
375
00:18:53,035 --> 00:18:56,368
You know, I was really sorry to hear that nothing worked out for you.
376
00:18:56,572 --> 00:18:58,972
I had my fingers crossed for a faculty spot.
377
00:18:59,174 --> 00:19:00,471
Well, it wasn't meant to be.
378
00:19:00,676 --> 00:19:03,509
You know, I have heard of foreign doctors...
379
00:19:03,712 --> 00:19:06,180
...who were willing to start over as Interns.
380
00:19:06,382 --> 00:19:07,440
Oh, God.
381
00:19:07,650 --> 00:19:09,117
I know. I can't even imagine.
382
00:19:09,318 --> 00:19:13,379
Actually, I do have one last-ditch, desperate chance in half an hour.
383
00:19:13,589 --> 00:19:14,487
Wish me luck.
384
00:19:14,690 --> 00:19:16,851
- I said, stay away from him! - You stay away!
385
00:19:17,059 --> 00:19:18,720
Call Security!
386
00:19:20,729 --> 00:19:22,924
Hey! Hey! I said to take it outside!
387
00:19:23,132 --> 00:19:24,690
- Shut up! - Take it out now!
388
00:19:24,900 --> 00:19:26,060
- Go! - She crazy, man!
389
00:19:26,268 --> 00:19:27,394
I called Security.
390
00:19:27,603 --> 00:19:29,230
I'm calling the police. Go, go!
391
00:19:29,471 --> 00:19:31,462
- Shut up! - Now!
392
00:19:32,141 --> 00:19:33,733
Nice work, Kerry.
393
00:19:34,109 --> 00:19:35,667
Glad I stayed on your good side.
394
00:19:35,878 --> 00:19:39,336
Excuse me, nurse, I'm Mr. Savage. I've been waiting a long time.
395
00:19:39,548 --> 00:19:41,607
Well, Mr. Savage, I am a doctor...
396
00:19:41,817 --> 00:19:43,250
...and you have to wait your turn.
397
00:19:43,452 --> 00:19:44,851
- You're not a nurse? - Rob Savage.
398
00:19:45,054 --> 00:19:46,612
I have your chart right here.
399
00:19:47,923 --> 00:19:49,891
You can't smoke that in here.
400
00:19:50,993 --> 00:19:51,891
Follow me.
401
00:19:52,094 --> 00:19:56,155
Get this mess cleaned up, and have Climate Control send down some parkas.
402
00:20:03,005 --> 00:20:04,597
Where's the Rowdies/Crush game?
403
00:20:04,807 --> 00:20:07,139
- Just started. - I'm looking for my daughter.
404
00:20:07,343 --> 00:20:11,336
- There's girls in this league. - She's not playing on a coed team.
405
00:20:11,547 --> 00:20:13,310
- Rachel? - Go!
406
00:20:13,515 --> 00:20:16,109
Go all the way, Brandon! Take her!
407
00:20:16,318 --> 00:20:17,808
She can't stop you!
408
00:20:18,020 --> 00:20:19,351
Easy as pie!
409
00:20:19,555 --> 00:20:20,715
Hang in there, Rach!
410
00:20:20,923 --> 00:20:22,151
Take her! Take her!
411
00:20:22,358 --> 00:20:23,620
Tough D!
412
00:20:25,627 --> 00:20:27,993
- Where's the flag? - Flag? Flag's right there.
413
00:20:28,197 --> 00:20:30,825
Penalty kick. This one's yours, son.
414
00:20:31,066 --> 00:20:33,159
Easy point. She can't stop you!
415
00:20:33,369 --> 00:20:35,064
Goalie's a girl! Put her away!
416
00:20:35,270 --> 00:20:38,535
Hang in there, Rach! This guy's got nothing!
417
00:20:38,741 --> 00:20:41,767
Don't worry, Rachel! Hang in! You'll do fine!
418
00:20:44,513 --> 00:20:45,775
Hang tough!
419
00:20:52,287 --> 00:20:53,754
What happened?
420
00:20:57,026 --> 00:20:58,823
I need a first-aid kit!
421
00:21:03,332 --> 00:21:04,822
Sorry to kick so hard.
422
00:21:05,034 --> 00:21:06,126
It wasn't that hard.
423
00:21:06,335 --> 00:21:07,302
Hey, you okay?
424
00:21:07,503 --> 00:21:09,232
- Dad, you're here. - Yeah.
425
00:21:09,438 --> 00:21:11,201
That was a great save.
426
00:21:11,407 --> 00:21:14,376
That first-aid kit was empty. Does she want some ice?
427
00:21:14,576 --> 00:21:17,739
No. No. She's tough.
428
00:21:20,149 --> 00:21:22,413
Hey, you got leaves in your hair.
429
00:21:23,719 --> 00:21:26,688
I've had it before. I just can't pee.
430
00:21:26,955 --> 00:21:29,549
- How long has it been? - About two and a half days.
431
00:21:29,825 --> 00:21:31,053
It's pretty uncomfortable.
432
00:21:31,260 --> 00:21:33,785
Put this gown on. I'll go check with the doctor.
433
00:21:33,996 --> 00:21:36,464
- Last time they stuck this tube... - Foley catheter?
434
00:21:36,665 --> 00:21:38,360
What are you doing?
435
00:21:38,600 --> 00:21:40,397
- Having a smoke. - You can't smoke.
436
00:21:40,602 --> 00:21:42,229
Not even in here?
437
00:21:42,538 --> 00:21:46,235
No. Get undressed. I'll be right back.
438
00:21:47,509 --> 00:21:48,942
Hold on. Hold on. I got you.
439
00:21:49,144 --> 00:21:51,135
- What's up? - I got you. Multiple stab wounds.
440
00:21:51,346 --> 00:21:53,974
- She was out in the bay. - Weaver kicked her out.
441
00:21:54,183 --> 00:21:56,617
- God! - Know where she is?
442
00:21:56,819 --> 00:21:58,218
- No. I don't know. - Page her!
443
00:22:00,856 --> 00:22:02,653
Peter? How have you been?
444
00:22:02,858 --> 00:22:06,089
Good. I was just checking something on Reece's chart.
445
00:22:06,295 --> 00:22:08,559
- Is he having a problem? - No, he's fine. Well...
446
00:22:08,764 --> 00:22:12,928
...he had an ear infection, but he was given furosemide as a neonate.
447
00:22:13,135 --> 00:22:14,602
He had pulmonary edema.
448
00:22:14,803 --> 00:22:17,294
- And gentamicin, right? - That's right.
449
00:22:18,307 --> 00:22:20,468
Was his hearing tested then?
450
00:22:21,210 --> 00:22:23,371
Right here. OAE, normal screening.
451
00:22:23,579 --> 00:22:27,174
Was that test done before or after he received the ototoxic drugs?
452
00:22:27,382 --> 00:22:30,613
Both. Dosages were in the safe therapeutic range.
453
00:22:30,819 --> 00:22:32,150
Does he have a hearing loss?
454
00:22:32,354 --> 00:22:35,187
No, no. I was just double-checking.
455
00:22:35,390 --> 00:22:36,288
Sorry to bother you.
456
00:22:36,492 --> 00:22:37,322
Not a bother.
457
00:22:37,526 --> 00:22:38,959
BP's up to 85.
458
00:22:39,161 --> 00:22:42,528
Chest tube's in. Thora-Seal to suction.
459
00:22:42,731 --> 00:22:45,131
- Why put in a chest tube? - To re-expand the lung.
460
00:22:45,334 --> 00:22:47,564
- Pulse ox is falling, 86. - What the hell?
461
00:22:47,769 --> 00:22:50,169
Three hundred cc's of blood out the chest tube.
462
00:22:50,372 --> 00:22:54,331
All right, let's check into the hemoglobin. Lucy, draw the blood.
463
00:22:54,543 --> 00:22:55,942
- Me? - Yeah.
464
00:22:57,379 --> 00:23:00,439
Look at that. Air bubbles.
465
00:23:01,049 --> 00:23:03,609
Sub-Q emphysema. Air bubbles from the stab wound.
466
00:23:03,819 --> 00:23:05,446
There's no oxygen to her lungs.
467
00:23:05,654 --> 00:23:07,019
Lucy, get to work.
468
00:23:07,222 --> 00:23:08,450
One cc venous blood.
469
00:23:08,657 --> 00:23:11,057
Pulse ox is down to 83. What's going on?
470
00:23:11,693 --> 00:23:15,151
She lacerated her right mainstem bronchus. Stop bagging.
471
00:23:15,464 --> 00:23:18,024
- What are you doing? - Lf I can intubate...
472
00:23:18,233 --> 00:23:21,498
...past the laceration, we shouldn't have an air leak.
473
00:23:22,037 --> 00:23:24,870
- You're only ventilating one lung. - Better than none.
474
00:23:25,073 --> 00:23:27,507
- Got it! - I'll check the hemoglobin.
475
00:23:27,910 --> 00:23:29,309
Hey.
476
00:23:29,511 --> 00:23:31,536
Pulse ox is 90. No air leak.
477
00:23:32,080 --> 00:23:33,672
- Nice work. - Nice work all around.
478
00:23:33,882 --> 00:23:36,316
Call Anesthesia. Tell them we need a Carlen ET tube.
479
00:23:36,518 --> 00:23:38,816
- Hang on. Hemoglobin's 8.9. - What?
480
00:23:39,855 --> 00:23:42,119
- What was it before? - 13.7.
481
00:23:42,824 --> 00:23:44,883
She dropped the hemoglobin five points?
482
00:23:45,093 --> 00:23:45,923
Hang on!
483
00:23:46,128 --> 00:23:47,720
She must've lacerated her liver.
484
00:23:47,930 --> 00:23:50,160
Hang two units of O-neg. Call the O.R.
485
00:23:50,365 --> 00:23:53,391
Let me do another hemoglobin. Machine wasn't calibrated.
486
00:23:53,602 --> 00:23:55,069
What is a sudden drop in crit?
487
00:23:55,270 --> 00:23:56,999
Intra-abdominal hemorrhage.
488
00:23:57,206 --> 00:23:59,470
- Her vitals are okay. - Hold up on the O-neg.
489
00:24:03,345 --> 00:24:04,903
Hemoglobin's 12.8.
490
00:24:06,748 --> 00:24:08,010
That's more like it.
491
00:24:08,383 --> 00:24:11,409
Cancel the O.R. Send her to CT. Get that machine checked out.
492
00:24:11,620 --> 00:24:12,587
Yeah.
493
00:24:12,788 --> 00:24:13,880
You having fun?
494
00:24:14,590 --> 00:24:15,955
Oh, yeah.
495
00:24:20,762 --> 00:24:22,787
I knew that. I knew it.
496
00:24:22,998 --> 00:24:26,126
Never do a blood draw above an IV. The fluid dilutes the blood.
497
00:24:26,335 --> 00:24:27,495
That's right.
498
00:24:28,337 --> 00:24:30,328
Thank you for covering for me.
499
00:24:30,539 --> 00:24:33,337
I won't do it again. If you don't know something, ask.
500
00:24:33,542 --> 00:24:34,702
You're learning.
501
00:24:34,910 --> 00:24:36,969
I know, but you're judged from the word "go."
502
00:24:37,179 --> 00:24:38,669
I don't want to look incompetent.
503
00:24:38,880 --> 00:24:41,906
You are judged because it's life or death in here.
504
00:24:43,051 --> 00:24:47,784
I know. I just didn't think I'd have so much trouble with procedures.
505
00:24:47,990 --> 00:24:50,959
Your problem is you want to be perfect. Get over it.
506
00:24:51,159 --> 00:24:53,719
You're a beginner. It's not gonna be easy.
507
00:24:53,929 --> 00:24:57,626
Last night I went to the Procedures Lab and I practiced my IVs.
508
00:24:57,833 --> 00:25:00,028
I got them right every time on the first try.
509
00:25:00,235 --> 00:25:03,636
That's good. You keep it up. But know when to ask for help.
510
00:25:03,839 --> 00:25:05,636
You guys just missed a good one.
511
00:25:05,841 --> 00:25:08,275
Sent a guy to the O.R. Carrot perfed his intestine.
512
00:25:08,477 --> 00:25:09,671
A whole carrot?
513
00:25:09,878 --> 00:25:11,869
How do you swallow a whole carrot?
514
00:25:15,417 --> 00:25:17,078
He didn't swallow.
515
00:25:18,820 --> 00:25:19,809
Oh, I get it.
516
00:25:21,690 --> 00:25:22,714
Oh, God.
517
00:25:22,924 --> 00:25:24,858
"Swallowed a carrot."
518
00:25:25,193 --> 00:25:26,683
That is a classic, Lucy.
519
00:25:26,895 --> 00:25:29,830
Hey, can you work up this shoulder injury for me?
520
00:25:30,432 --> 00:25:31,421
Yeah.
521
00:25:33,201 --> 00:25:34,668
I lucked out with her, didn't I?
522
00:25:34,870 --> 00:25:36,838
I like her, but she's still a beginner.
523
00:25:37,072 --> 00:25:39,233
- What do you mean? - She's getting her bearings.
524
00:25:39,474 --> 00:25:41,101
She needs guidance in procedures.
525
00:25:41,310 --> 00:25:43,005
Come on. Relax, Carol.
526
00:25:43,211 --> 00:25:45,145
Lucy's a natural. Hell, I'm jealous too.
527
00:25:45,347 --> 00:25:47,815
No, no. Carter, you're way off base.
528
00:25:48,016 --> 00:25:50,007
I'm not jealous at all. L...
529
00:25:50,919 --> 00:25:54,013
I don't believe this. Excuse me.
530
00:25:56,992 --> 00:25:59,984
Mr. Savage, what part of "No smoking" didn't you understand?
531
00:26:00,195 --> 00:26:01,992
I have to go now. My nurse is here.
532
00:26:02,197 --> 00:26:05,166
Give it to me. What are you, an idiot?
533
00:26:05,434 --> 00:26:07,299
The doctor said I need a Foley catheter.
534
00:26:07,502 --> 00:26:09,197
You won't want me to put it in.
535
00:26:09,438 --> 00:26:11,303
- I'll be good. - Hand it over.
536
00:26:11,673 --> 00:26:14,267
- Come on. The whole pack. - Why?
537
00:26:14,476 --> 00:26:15,909
Because I said so.
538
00:26:17,879 --> 00:26:20,905
I'm not gonna wrestle you. Give me the cigarettes.
539
00:26:22,684 --> 00:26:24,276
Now, lie back.
540
00:26:26,588 --> 00:26:28,715
What about a rectal?
541
00:26:29,024 --> 00:26:30,184
That's next.
542
00:26:31,660 --> 00:26:33,184
Will it hurt?
543
00:26:34,196 --> 00:26:36,027
Only if I want it to.
544
00:26:38,500 --> 00:26:39,728
Aesop, move in.
545
00:26:44,039 --> 00:26:45,131
Stop.
546
00:26:45,540 --> 00:26:47,701
- Standing by. - Move left.
547
00:26:48,710 --> 00:26:51,008
- Stop. - That is a perfect view.
548
00:26:51,213 --> 00:26:55,274
- The arm responds whenever addressed. - I'm gonna zap this adhesion.
549
00:26:55,484 --> 00:26:57,577
Hold on. Everybody protected?
550
00:26:58,120 --> 00:26:59,417
Okay, looks good.
551
00:26:59,621 --> 00:27:01,054
Shooting.
552
00:27:01,990 --> 00:27:03,423
Isn't it risky to use a laser...
553
00:27:03,625 --> 00:27:05,320
...when contact cautery would do?
554
00:27:05,527 --> 00:27:07,688
Well, you do have to be precise shooting.
555
00:27:07,896 --> 00:27:11,832
But you can avoid inadvertent burns. Angie?
556
00:27:12,501 --> 00:27:14,765
Which you can have with a Bovie.
557
00:27:15,337 --> 00:27:18,306
Still, I wouldn't want a KTP laser in the wrong hands.
558
00:27:18,573 --> 00:27:20,404
And elevate the gall bladder.
559
00:27:22,377 --> 00:27:23,742
Standing by.
560
00:27:25,480 --> 00:27:27,345
Aesop, move back.
561
00:27:28,250 --> 00:27:29,444
Stop.
562
00:27:30,719 --> 00:27:32,448
You make it look easy, Dr. Corday.
563
00:27:32,654 --> 00:27:35,521
Bet she can walk and chew gum at the same time too.
564
00:27:36,091 --> 00:27:37,820
Oh, she can.
565
00:27:39,294 --> 00:27:40,659
Standing by.
566
00:27:40,862 --> 00:27:42,796
She's been stridorous for a month?
567
00:27:44,166 --> 00:27:45,599
The high-pitched wheezing?
568
00:27:45,801 --> 00:27:46,893
At least.
569
00:27:47,302 --> 00:27:49,270
Why did you wait to bring her in?
570
00:27:50,405 --> 00:27:54,364
The other hospital gave her stuff for croup, but it didn't help.
571
00:27:54,576 --> 00:27:55,634
Go like this:
572
00:27:56,878 --> 00:27:59,540
What kind of stuff? Steroids? Antibiotics?
573
00:28:00,882 --> 00:28:02,281
One of them was pink.
574
00:28:02,484 --> 00:28:05,783
I don't see edema or swelling. Did she swallow something?
575
00:28:06,455 --> 00:28:08,423
Maybe. I can't watch her every moment.
576
00:28:08,623 --> 00:28:11,148
Excuse me. Someone wants to see you, Doug.
577
00:28:11,359 --> 00:28:13,850
- I'm with a patient. - He's quite insistent.
578
00:28:14,062 --> 00:28:15,086
Okay.
579
00:28:15,997 --> 00:28:19,433
We'll do some x-rays of the neck and chest to look for an obstruction.
580
00:28:19,634 --> 00:28:22,194
If I don't see anything, we'll do an endoscopy...
581
00:28:22,404 --> 00:28:25,601
...take a look down the throat. I'll be right back.
582
00:28:26,208 --> 00:28:29,006
If you said that to get a reaction, I'm not biting.
583
00:28:29,211 --> 00:28:30,337
Said what?
584
00:28:30,545 --> 00:28:32,604
Endoscopy? That's pretty invasive.
585
00:28:32,814 --> 00:28:34,714
Kid's been stridorous for a month.
586
00:28:35,450 --> 00:28:38,010
Carter, can I borrow Lucy for a minute?
587
00:28:38,220 --> 00:28:40,415
- Sure. - Mr. Savage needs an IV.
588
00:28:40,655 --> 00:28:41,485
Oh?
589
00:28:41,690 --> 00:28:43,351
Don't worry. He's a pain in the ass.
590
00:28:43,558 --> 00:28:45,526
Doesn't feel a thing. He's perfect for you.
591
00:28:45,727 --> 00:28:47,456
- It's you? - That's right.
592
00:28:47,662 --> 00:28:49,254
I want the treatment.
593
00:28:49,464 --> 00:28:50,624
I'm a pediatrician.
594
00:28:50,832 --> 00:28:53,733
- You got that baby clean. - I'll give you names of clinics.
595
00:28:53,935 --> 00:28:56,062
I can't afford a clinic. You charge the kid?
596
00:28:56,271 --> 00:28:58,569
- That was special. - No, I'm special!
597
00:28:58,773 --> 00:29:01,071
- Maybe I don't look it... - I don't treat adults.
598
00:29:01,276 --> 00:29:04,336
- She said that only you do it. - I don't do it.
599
00:29:04,546 --> 00:29:06,241
Sit and I'll get you some numbers...
600
00:29:06,448 --> 00:29:08,848
I don't want numbers! I want that detox!
601
00:29:09,050 --> 00:29:10,142
You've made your point.
602
00:29:10,352 --> 00:29:13,719
I'm not making a point. It's a real fallout of your actions.
603
00:29:14,256 --> 00:29:16,190
Send all the requests my way.
604
00:29:16,391 --> 00:29:18,882
- A journal article... - He doesn't read journals.
605
00:29:19,094 --> 00:29:20,493
Justify your decision.
606
00:29:20,695 --> 00:29:22,959
I'm not interested in justifying anything.
607
00:29:23,164 --> 00:29:26,031
I'm concerned about false hopes from one good outcome.
608
00:29:26,234 --> 00:29:28,668
Was it good? Mother and baby are doing well?
609
00:29:29,070 --> 00:29:30,367
As far as I know, yes.
610
00:29:30,572 --> 00:29:33,040
Follow-up care is not part of your measures.
611
00:29:33,241 --> 00:29:34,799
I am an ER doc, just like you.
612
00:29:35,010 --> 00:29:38,946
Not like me, Doug. You acted without the consent of your colleagues.
613
00:29:44,252 --> 00:29:45,082
What have we got?
614
00:29:45,287 --> 00:29:46,845
Thirteen-year-old karate student.
615
00:29:47,055 --> 00:29:49,353
Collapsed after instructor's demo kick to the chest.
616
00:29:49,558 --> 00:29:51,822
Firefighters were first on the scene. They started CPR.
617
00:29:52,027 --> 00:29:53,892
We arrived on the scene about eight minutes after the call.
618
00:29:54,095 --> 00:29:56,222
Found him apneic and pulseless with rhythm of V-fib.
619
00:29:56,431 --> 00:29:58,797
- The teacher? - Drove behind. Parents are coming.
620
00:29:59,000 --> 00:30:00,467
- How long en route? - Seven minutes.
621
00:30:00,669 --> 00:30:03,001
About 15 minutes at the scene. Been down for 30.
622
00:30:03,204 --> 00:30:05,604
Okay, let's go. One, two, three.
623
00:30:05,807 --> 00:30:09,072
Yosh, take over compressions. Get him on a monitor.
624
00:30:09,277 --> 00:30:10,767
Stand by with high-dose epi.
625
00:30:11,012 --> 00:30:13,572
- Good breath sounds. - Nice intubation, Zadro.
626
00:30:13,782 --> 00:30:15,181
Hold compressions.
627
00:30:15,383 --> 00:30:16,907
Is it sudden-death condition?
628
00:30:17,118 --> 00:30:19,951
- I'm not sure, Curtis. Maybe. - Asystole.
629
00:30:20,155 --> 00:30:24,558
Resume compressions. Give him the epi, four milligrams IV.
630
00:30:24,759 --> 00:30:26,386
Pupils fixed and dilated.
631
00:30:26,595 --> 00:30:27,926
Should've driven to the morgue.
632
00:30:28,129 --> 00:30:30,962
Get the external pacemaker. Put on the pacing pad.
633
00:30:32,033 --> 00:30:36,026
Carol. Harriet Goodwyn, Mr. Savage's private-duty nurse.
634
00:30:36,237 --> 00:30:38,330
He called a while ago. Have I missed him?
635
00:30:38,540 --> 00:30:39,734
No, he's still here.
636
00:30:39,941 --> 00:30:42,000
Did he already have a Foley cath?
637
00:30:42,210 --> 00:30:44,701
Well, he complained of inability to urinate.
638
00:30:44,913 --> 00:30:46,938
I'm sorry he did this.
639
00:30:47,148 --> 00:30:48,080
Did what?
640
00:30:48,283 --> 00:30:50,114
Mr. Savage has a problem.
641
00:30:50,318 --> 00:30:54,914
He enjoys procedures, especially when administered by a nurse.
642
00:30:55,123 --> 00:30:56,954
Oh, my God. I sent a student in there.
643
00:30:57,158 --> 00:30:58,182
Don't scold him.
644
00:30:58,393 --> 00:31:01,191
- I already did that. - That's what he wants.
645
00:31:01,396 --> 00:31:04,422
- I'm sorry. I can't get it. - Try the foot.
646
00:31:07,202 --> 00:31:08,794
Lucy, you can stop now.
647
00:31:09,004 --> 00:31:11,097
- Mr. Savage? - Nurse Goodwyn.
648
00:31:11,306 --> 00:31:12,364
I couldn't get it.
649
00:31:12,574 --> 00:31:14,906
- He doesn't need it. - Maybe if you show me again?
650
00:31:15,110 --> 00:31:18,238
I'll show you later, okay? Doug Ross is looking for you.
651
00:31:19,714 --> 00:31:21,341
It's not Saturday, is it?
652
00:31:21,549 --> 00:31:22,447
It's Thursday.
653
00:31:22,651 --> 00:31:24,812
I just saw you yesterday. Couldn't you wait?
654
00:31:26,655 --> 00:31:28,714
- What are you doing? - I'm calling Psych.
655
00:31:28,923 --> 00:31:31,255
I can handle this.
656
00:31:32,060 --> 00:31:34,824
Hello. I need a Psych consult to the ER.
657
00:31:35,030 --> 00:31:36,497
Thank you.
658
00:31:36,998 --> 00:31:39,398
- Will you take me home? - We'll see.
659
00:31:39,601 --> 00:31:41,728
Release him to me. It's no sweat.
660
00:31:41,936 --> 00:31:45,428
- You're not a real RN, are you? - My clients like to think I am.
661
00:31:46,875 --> 00:31:48,866
You might want to see Psych yourself.
662
00:31:50,545 --> 00:31:54,447
Hey, it works for me. I'm in control.
663
00:31:56,384 --> 00:31:58,511
Yeah. Right.
664
00:31:58,953 --> 00:32:03,583
Coach was going crazy. Kept saying, "I barely hit him." 13 years old.
665
00:32:03,792 --> 00:32:08,525
Happened to my daughter. She got hit in the park. No first aid anywhere.
666
00:32:09,631 --> 00:32:12,691
For commotio cordis, you have to get hit right in the chest?
667
00:32:12,901 --> 00:32:14,266
Yeah. It's about timing.
668
00:32:14,469 --> 00:32:18,530
There's a split-second upstroke when the heartbeat resets itself.
669
00:32:18,740 --> 00:32:23,507
In that instant, a blow will send the heart into fibrillation.
670
00:32:23,712 --> 00:32:26,442
So by the time we got there...
671
00:32:26,681 --> 00:32:29,411
Don't fire trucks carry automated defibrillators?
672
00:32:29,617 --> 00:32:30,948
This one didn't.
673
00:32:32,220 --> 00:32:34,154
There's something we could change.
674
00:32:36,091 --> 00:32:38,082
We're moving to the higher frequencies.
675
00:32:38,293 --> 00:32:39,385
Okay.
676
00:32:39,828 --> 00:32:42,023
You may want your earplugs, Dr. Benton.
677
00:32:42,230 --> 00:32:44,061
Oh, yeah. Thanks.
678
00:32:45,500 --> 00:32:47,593
4-K at 100.
679
00:32:50,972 --> 00:32:52,337
That's a funny bear, huh?
680
00:32:52,540 --> 00:32:54,701
Please don't speak during the test.
681
00:32:55,510 --> 00:32:56,499
Sorry.
682
00:32:57,712 --> 00:32:59,839
4-K at 90.
683
00:33:07,489 --> 00:33:10,014
4-K at 80.
684
00:33:14,963 --> 00:33:17,193
Reece? Come on, man. Pay attention.
685
00:33:18,299 --> 00:33:20,267
4-K at 85.
686
00:33:24,272 --> 00:33:25,705
Moving to the 8-K frequency.
687
00:33:25,907 --> 00:33:27,670
8-K at 90.
688
00:33:32,480 --> 00:33:33,469
Let's try again.
689
00:33:43,458 --> 00:33:44,755
Glad they found you.
690
00:33:44,959 --> 00:33:47,120
I was on my way out when I got the page.
691
00:33:47,328 --> 00:33:50,229
Not as sexy as our afternoon with Aesop, but hey...
692
00:33:50,431 --> 00:33:52,729
...even a gangbanger shot in the butt has needs.
693
00:33:52,934 --> 00:33:54,925
Yeah. I met him earlier.
694
00:33:55,303 --> 00:33:59,569
You were outstanding with Aesop. I rethought my decision to let you go.
695
00:33:59,774 --> 00:34:00,763
You did?
696
00:34:00,975 --> 00:34:04,877
I even called upstairs. Unfortunately, the money's no longer there.
697
00:34:06,247 --> 00:34:07,544
I see.
698
00:34:08,283 --> 00:34:11,582
Well, maybe you should apply again next year. Ready?
699
00:34:11,786 --> 00:34:12,878
Sure.
700
00:34:14,956 --> 00:34:16,924
All right. Why are we scoping her?
701
00:34:17,125 --> 00:34:21,186
Her films were negative, and sometimes plastics don't show up on x-rays.
702
00:34:21,396 --> 00:34:24,524
You hear the one about the patient that swallowed a carrot?
703
00:34:24,732 --> 00:34:26,290
Dr. Carter told you?
704
00:34:26,501 --> 00:34:28,901
- No, Jerry told me. - Great.
705
00:34:29,537 --> 00:34:31,095
I found the mom. She's on the phone.
706
00:34:31,306 --> 00:34:32,739
We're gonna have to talk to her.
707
00:34:32,941 --> 00:34:34,306
Take a look at that.
708
00:34:35,710 --> 00:34:38,611
It's a classic case of pedunculated papilloma.
709
00:34:38,913 --> 00:34:40,972
Her mother had a sexually transmitted disease...
710
00:34:41,182 --> 00:34:43,309
...and the baby caught it through the birth canal?
711
00:34:43,518 --> 00:34:44,917
Gold star.
712
00:34:46,988 --> 00:34:49,218
No small bowel injuries. We're ready for the colostomy.
713
00:34:49,424 --> 00:34:53,053
Hold on. The path of the bullet is awfully close to the ureter.
714
00:34:53,261 --> 00:34:56,321
Janet, I need an amp of IV methylene blue.
715
00:34:56,531 --> 00:34:58,226
Looks like the bullet cleared the ureter.
716
00:34:58,433 --> 00:35:02,369
Sometimes you can't see a tear close to the UV junction. Fresh lap pad.
717
00:35:02,637 --> 00:35:05,003
I'd argue, but I've seen their soccer fans.
718
00:35:05,206 --> 00:35:06,867
GAA stapler, please.
719
00:35:08,343 --> 00:35:11,107
If you're dreading your dinner with your dad, we can delay.
720
00:35:11,312 --> 00:35:13,337
I look forward to dinner with my father.
721
00:35:13,848 --> 00:35:14,940
I need suction.
722
00:35:15,149 --> 00:35:16,514
Suctioning.
723
00:35:18,686 --> 00:35:21,746
So I expect your father's eager to have you back.
724
00:35:21,956 --> 00:35:23,423
Didn't he want you in his practice?
725
00:35:23,625 --> 00:35:26,093
He's made that offer before, yes.
726
00:35:26,394 --> 00:35:29,329
Kocher. Terrific specialty, the heart.
727
00:35:29,530 --> 00:35:32,465
Very romantic, but working with a family member...
728
00:35:32,667 --> 00:35:34,328
- Shall I Bovie? - Please do.
729
00:35:34,535 --> 00:35:36,162
I couldn't do it, work with family.
730
00:35:36,371 --> 00:35:37,998
Robert, you can't work with anyone.
731
00:35:39,274 --> 00:35:42,505
Doctor, there's blue urine in the Foley bag.
732
00:35:44,779 --> 00:35:45,837
Let's check.
733
00:35:47,882 --> 00:35:52,319
Well, I'll be damned. I guess the bullet nicked the ureter after all.
734
00:35:57,792 --> 00:35:59,487
Is she okay? I want to see her.
735
00:35:59,694 --> 00:36:01,161
She's fine. She's resting.
736
00:36:01,362 --> 00:36:04,729
Ms. Brown, were you ever diagnosed with genital warts?
737
00:36:05,633 --> 00:36:06,759
What's this about?
738
00:36:06,968 --> 00:36:10,062
Ever been treated for a sexually transmitted disease?
739
00:36:10,805 --> 00:36:11,863
None of your business.
740
00:36:12,073 --> 00:36:16,169
Did you know a C-section prevents you from giving the illness to your child?
741
00:36:16,377 --> 00:36:17,537
What are you saying?
742
00:36:17,745 --> 00:36:20,236
You infected your daughter with papilloma...
743
00:36:20,448 --> 00:36:22,575
My daughter...
744
00:36:22,784 --> 00:36:24,274
...is adopted.
745
00:36:33,127 --> 00:36:35,960
Ms. Brown, I owe you an apology.
746
00:36:38,766 --> 00:36:42,566
The loss is more profound at the higher frequencies. That's a common finding.
747
00:36:42,770 --> 00:36:46,137
In lower pitches, Reece begins perception at 70 decibels...
748
00:36:46,341 --> 00:36:48,502
...which is considered a severe loss.
749
00:36:48,710 --> 00:36:50,473
Shouldn't a doctor take a look at that?
750
00:36:50,678 --> 00:36:52,737
He will. And he'll want to meet with you.
751
00:36:52,947 --> 00:36:54,938
But I know you wanted the results.
752
00:36:55,149 --> 00:36:57,174
Yeah, I did. Look, I mean...
753
00:36:57,418 --> 00:37:01,252
...you're jumping to conclusions after one subjective test.
754
00:37:02,357 --> 00:37:05,793
The good news is that Reece tests within the aidable range.
755
00:37:05,994 --> 00:37:09,828
With digital hearing aids, he'll come up into this speech banana.
756
00:37:10,031 --> 00:37:14,468
In this range, he could develop language skills.
757
00:37:14,769 --> 00:37:15,599
"Could"?
758
00:37:17,505 --> 00:37:20,338
Reece can't hear talking, crying or the telephone.
759
00:37:20,541 --> 00:37:23,101
It's a severe-to-profound loss.
760
00:37:25,213 --> 00:37:26,771
You're saying this after one test.
761
00:37:26,981 --> 00:37:28,778
Reece wouldn't even wear the headset.
762
00:37:28,983 --> 00:37:29,972
Most toddlers won't.
763
00:37:30,184 --> 00:37:32,448
Two weeks ago ENT said it was an ear infection.
764
00:37:32,653 --> 00:37:34,382
But his ears are clear now.
765
00:37:34,589 --> 00:37:39,026
I don't want to argue with you, okay? I just want to talk to a doctor.
766
00:37:39,227 --> 00:37:41,752
- As soon as possible. - Okay, we'll set that up.
767
00:37:42,764 --> 00:37:43,822
Did I miss Doug?
768
00:37:44,032 --> 00:37:44,862
Yeah, just.
769
00:37:45,066 --> 00:37:47,626
He went up to Pedes to talk to Alex Babcock.
770
00:37:47,835 --> 00:37:50,235
The pediatric anesthesiologist? What's that about?
771
00:37:50,438 --> 00:37:52,201
You'd probably have to ask him that.
772
00:37:52,407 --> 00:37:54,671
You know, you are so right.
773
00:37:55,743 --> 00:37:59,645
Tell him I can't make it tomorrow. Rachel's got soccer practice.
774
00:37:59,847 --> 00:38:00,711
Good for you.
775
00:38:00,915 --> 00:38:02,780
Has anybody noticed the temperature in here?
776
00:38:02,984 --> 00:38:05,350
It feels like a perfect 72 degrees.
777
00:38:05,553 --> 00:38:06,485
I was thinking it's...
778
00:38:06,687 --> 00:38:07,676
- Stuffy. - Chilly.
779
00:38:07,889 --> 00:38:10,357
- Good day today. Don't work late. - I won't.
780
00:38:10,558 --> 00:38:12,651
- Gotta be bright-eyed tomorrow. - I will be.
781
00:38:12,927 --> 00:38:14,019
Did you even eat today?
782
00:38:14,228 --> 00:38:16,389
If you're hungry, I didn't finish my lunch.
783
00:38:16,597 --> 00:38:19,794
- Oh, no. I'm okay. - Well, all I have is a carrot.
784
00:38:20,935 --> 00:38:22,425
Okay. So I'm an idiot.
785
00:38:22,637 --> 00:38:24,696
- What's up? - Ma��ana.
786
00:38:29,610 --> 00:38:30,770
- Carol? - That's me.
787
00:38:30,978 --> 00:38:34,675
Lynette Evans. I've been working per diem up on the third floor.
788
00:38:35,183 --> 00:38:37,481
Don Anspaugh hasn't told you a word about me yet.
789
00:38:37,685 --> 00:38:38,743
I'm afraid not.
790
00:38:38,953 --> 00:38:41,513
What can you expect of Admin but to drop the ball?
791
00:38:41,722 --> 00:38:45,783
He was supposed to blow my horn so I wouldn't have to myself.
792
00:38:45,993 --> 00:38:49,087
There's an opening for a nurse practitioner in your clinic?
793
00:38:49,297 --> 00:38:52,061
I'd settle for an RN. Our budget got approved today.
794
00:38:52,266 --> 00:38:55,997
A nurse practitioner, which I am, would serve you better...
795
00:38:56,204 --> 00:38:59,935
...since I can write prescriptions. I know you can't always call a doc.
796
00:39:00,141 --> 00:39:01,733
Have you worked here already?
797
00:39:01,943 --> 00:39:05,276
No, I ran my own clinic at Southside. That's where I know Don.
798
00:39:05,480 --> 00:39:07,675
Right. I heard about that clinic.
799
00:39:07,882 --> 00:39:11,318
Bye for now, suckers. See you next time.
800
00:39:11,519 --> 00:39:13,817
Are you talking to anybody in particular?
801
00:39:14,021 --> 00:39:16,888
You addressing the nurses and doctors who took care of you?
802
00:39:17,091 --> 00:39:18,422
Did you fall on that head?
803
00:39:18,626 --> 00:39:19,718
No, I got shot.
804
00:39:19,927 --> 00:39:21,394
I beg your pardon?
805
00:39:21,596 --> 00:39:23,029
I got shot, ma'am.
806
00:39:23,231 --> 00:39:27,292
Then I think you'd better say, "Thank you for saving my sorry life."
807
00:39:27,502 --> 00:39:28,491
She wasn't my nurse.
808
00:39:28,703 --> 00:39:32,230
At the rate you're going, she will be next time. Just say it.
809
00:39:34,208 --> 00:39:37,234
- Thank you for saving my life. - You're welcome.
810
00:39:40,815 --> 00:39:44,546
All that boy needs is somebody to smack him upside his head.
811
00:39:46,120 --> 00:39:48,054
Here's my number. Keep me in mind.
812
00:39:48,256 --> 00:39:49,518
I will.
813
00:39:51,025 --> 00:39:52,322
In fact...
814
00:39:54,095 --> 00:39:55,585
...I think you're great.
815
00:39:57,331 --> 00:40:02,234
Actually, I shouldn't waste our time. I'm just going to...
816
00:40:02,436 --> 00:40:04,404
I'll hire you right now.
817
00:40:04,605 --> 00:40:06,573
I'm gonna like your style.
818
00:40:06,774 --> 00:40:09,299
Great. Good.
819
00:40:09,510 --> 00:40:11,740
Adele Neuman thought you'd know something.
820
00:40:11,946 --> 00:40:13,436
Is Adele the social worker?
821
00:40:13,648 --> 00:40:18,347
I called her when the mom failed to bring the baby in for a follow-up.
822
00:40:18,553 --> 00:40:20,020
That was two weeks ago.
823
00:40:20,421 --> 00:40:22,946
- So they disappeared? - It's not bad news.
824
00:40:23,157 --> 00:40:24,556
The mom's a junkie.
825
00:40:24,759 --> 00:40:28,661
She had a sister in the Carolinas who sounded pretty stable.
826
00:40:28,863 --> 00:40:31,331
For Josh's sake, I'm hoping that's where they wound up.
827
00:40:31,532 --> 00:40:33,830
I'm just lucky she doesn't want to sue me.
828
00:40:34,035 --> 00:40:36,799
She appreciated what you did for her baby.
829
00:40:37,004 --> 00:40:40,496
- Enough to take care of him herself? - Dr. Ross?
830
00:40:40,975 --> 00:40:43,466
Remember me? You're Dr. Ross, right?
831
00:40:43,678 --> 00:40:45,839
Yeah. You're the skateboard champ, right?
832
00:40:46,047 --> 00:40:48,379
Fractured arm? Good thing you wore a helmet.
833
00:40:48,583 --> 00:40:51,017
- Yeah, that's me. - What are you doing here?
834
00:40:51,219 --> 00:40:53,050
You should've seen Ruben two days ago.
835
00:40:53,254 --> 00:40:55,279
- My arm was killing me. - Yeah?
836
00:40:55,489 --> 00:40:58,515
You couldn't even touch me like that, it hurt so bad.
837
00:40:58,726 --> 00:41:00,785
Yeah, you were in rough shape.
838
00:41:01,329 --> 00:41:02,591
From the fracture?
839
00:41:02,797 --> 00:41:04,731
Been on morphine for months. No relief.
840
00:41:04,932 --> 00:41:07,059
- Sounds like neuropathic pain. - Exactly.
841
00:41:07,268 --> 00:41:09,964
My brain was like, getting its signals crossed.
842
00:41:10,171 --> 00:41:11,103
Switch to gabapentin.
843
00:41:11,305 --> 00:41:15,401
Yep. Gotta know what kind of pain you're dealing with.
844
00:41:17,011 --> 00:41:19,809
So, what you're saying is, you saved two lives today.
845
00:41:20,014 --> 00:41:24,678
I saved the boy from sepsis and a second trip to the O.R., at least.
846
00:41:24,885 --> 00:41:27,183
To a wonderful doctor.
847
00:41:30,691 --> 00:41:32,818
And a partner I'd be proud to have.
848
00:41:35,296 --> 00:41:38,959
Actually, Daddy, I'm gonna have to turn you down.
849
00:41:39,700 --> 00:41:41,190
I know this doesn't make much sense.
850
00:41:42,169 --> 00:41:44,364
But I have given it a lot of thought.
851
00:41:46,073 --> 00:41:48,473
After we sewed up that gangbanger...
852
00:41:48,676 --> 00:41:51,611
It wasn't a fancy save or high-tech.
853
00:41:51,812 --> 00:41:56,146
In fact, it was the kind of surgery one could almost do as an Intern.
854
00:41:57,418 --> 00:42:00,012
You're not thinking of starting all over again?
855
00:42:00,655 --> 00:42:05,820
Why not? I mean, yes, it will be a blow to my ego.
856
00:42:06,027 --> 00:42:08,996
But on the other hand, I'll be practicing medicine still.
857
00:42:10,898 --> 00:42:12,627
It's not so shabby, saving lives.
858
00:42:13,367 --> 00:42:16,461
And it's a means to what I really want, which is to stay here.
859
00:42:18,906 --> 00:42:21,841
How much does Peter Benton figure in this plan?
860
00:42:22,476 --> 00:42:26,105
I have to be a little protective after he stood us up tonight.
861
00:42:28,616 --> 00:42:32,017
Peter's complicated. He had something else on his mind.
862
00:42:32,219 --> 00:42:35,017
And you know I'd never make a decision based on a man.
863
00:42:36,324 --> 00:42:37,552
That said...
864
00:42:42,330 --> 00:42:43,763
I don't know what to say.
865
00:42:44,965 --> 00:42:47,490
I couldn't tolerate going back to the beginning...
866
00:42:47,702 --> 00:42:50,296
...once I'd finished the fifth year.
867
00:42:51,539 --> 00:42:55,100
It's only for a year. Then I'll have a license to practice here.
868
00:42:57,478 --> 00:42:58,911
Does it seem like I'm giving up?
869
00:42:59,113 --> 00:43:03,106
On the contrary, I've never seen you fight harder.
870
00:43:04,218 --> 00:43:05,446
Thank you.
871
00:44:06,881 --> 00:44:07,870
Reece.
872
00:44:21,929 --> 00:44:23,055
Come on, man.
66801
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