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ER
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Previously on ER:
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Do you want to catch a movie tomorrow night?
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- You applied for the space program? - My second year.
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Tonight's dinner is semi-formal. So any slinky black number will do.
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You want me to conduct a study at County General.
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And the drug is for the treatment of fracture pain?
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Comparing it against acetaminophen with codeine.
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- What's your son's medical condition? - ALD, Adrenoleukodystrophy.
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- How old is he? - Eight. Why?
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They usually don't make it past 10.
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This must be Ricky. I'm Carol.
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"Double Blind"
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I could have taken Lucy out for a pizza.
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That's what my Residents did when I finished a rotation.
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In my day, Residents always had their students over for a meal.
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Makes for better mentoring.
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- That's why I invited Peter to join us. - Dr. Benton's coming?
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He was your Resident. Now Lucy's working with him.
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It's much more civilized. John, don't! No, no, no.
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I thought peppers went in the blender.
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- We want separate colors for the sauce. - Good save.
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You cool and peel them first. Why don't you seed the Persian cukes?
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You know, it's funny. I'm actually gonna miss having Lucy around.
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That's how it works. The instant students know enough to be of use...
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...they move to another rotation.
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Lengthwise. Lengthwise.
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And then you seed them. Okay?
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Emergency medicine may not be a bad choice for Lucy.
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Well, she might feel differently after she has her Surgical rotation.
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You know what? Why don't you...? Why don't you chill the Pinot Grigio?
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In the freezer?
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Keep your day job, Carter.
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Well, let's see how you handle these. Got it?
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All right, let's do it.
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Do you have inside information on this drug?
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- This stuff really works? - Amazing.
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Aaron broke his arm before, the pain was excruciating.
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But this. I'd like to buy stock in this.
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This may be acetaminophen with codeine.
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I know some patients in the study aren't getting the wonder drug.
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- Aaron is, and it's remarkable stuff. - Yeah.
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They keep docs in the dark?
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It's a double-blind study. Get your "insider trading" elsewhere.
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See you in three weeks.
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- Jeanie's gonna be late. - Probably stuck in the snow.
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- She overslept. Had a late night. - I wish we'd overslept.
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We are going to kick-start the a. m. with a wake-up call from my main men:
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- Hetfield and Hammett. - It's coming down.
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I didn't expect to see you today. The clinic's closed.
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I organized a seminar on STDs and cervical cancer.
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A gab session for the women in the community.
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- That's a great idea. - Is that Metallica?
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You're a metalhead? You know this tune?
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Yeah. Because it's banned in my house.
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I thought women should know more about screening and prevention.
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Absolutely. I wish I could pay you overtime.
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Don't worry about it. I scored some grant money to pay for it.
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Really? That'll run through the clinic?
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Yeah. I got lucky. I caught some dribbles off the gravy train.
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Mark.
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I thought that was you.
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Listen, I got your memo about the NASA offer.
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The opportunity came out of the blue.
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A full year of training in Houston?
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It could be 18 months if they delay the launch.
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- Don't do it. - What?
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Obviously do what you must. I wish you wouldn't.
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- You kept me awake last night. - I kept you awake?
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I do not want to run the Emergency Department without you.
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What'll it take to get you to stay?
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Full tenure, effective today.
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Well, I probably can't swing that. But I could push up your eligibility.
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Considering you in '02.
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- Two thousand two? - Aught two.
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Will somebody tell us what to call the future?
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You'd consider me for tenure in three years?
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We need you. Think about it.
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- I think you have a flair for this. - Yes, I found my niche. Pulling drains.
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Get the Penrose and not the T-tube.
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Pull that, it's not a pretty sight.
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Miss Knight, you found your way to Dr. Corday.
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All the preop labs were in the charts. I nearly kissed her.
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Oh, none of that. Not unless I get to watch.
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I insisted you get a decent student.
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- You could use backup with the scut. - I live for scut.
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I'd like you to assist this afternoon on a choledochojejunostomy.
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- Choledochojejunostomy? - Oh, you can say it.
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Would you like to do it?
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- I'm waiting for the other shoe to drop. - No catch. You've suffered enough.
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I started the groundwork today to get your fellowship reinstated.
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I'll be damned.
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Should I feel special, or does he stare at everyone's breasts?
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No. Only the females...
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...as far as I know.
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It's good for the clinic.
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You have the right to know what grants are applied for.
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- Lynette does have some good ideas. - And you are the boss.
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What the hell is that?
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- That is our new music program. - You call that music?
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- I told you to start with Erykah Badu. - It's for patients in Chairs.
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Music helps people handle stress.
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You're getting ready to DJ a party.
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That's just a coincidence. Somebody signed off on this.
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- Who signed off on it? - Dr. Lee.
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Jerry, there is no Dr. Lee. There never was a Dr. Lee.
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- Is that siren in the music? - It's in the music.
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Hey, we could use some extra muscle out here!
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Jerry, turn the music down and give Conni and me a hand.
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Oh, boy! Gird your loins.
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36-year-old woman found at the scene of a fire.
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- This is one big woman. - Probable anaphylaxis.
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Her med alert bracelet said peanut allergy.
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- Don't pull until we get a grip. - Another gurney?
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Yeah. A double-wide and a winch.
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I hope the wheels don't snap.
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Trauma 1, I'll be right there.
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- Talk to me, Doris. - Second victim is Fred Danziger.
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He singed his mustache putting out the flame.
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It's the first call this week where something was on fire.
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She drags me away for nothing.
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She could be right. Singed facial hair could mean a burned airway.
123
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Chuny, let's put Fred on a pulse ox and get a chest x-ray.
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I had to force him. This new policy sucks.
125
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- Adding paramedics to fire trucks? - Yeah. And the guys resent it.
126
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They blame me for having to answer so many medical calls.
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Nobody likes change. You did the right thing.
128
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So you passed out and took a fall?
129
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Angie found me.
130
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- Is Angie your home-health aide? - She was.
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They burn out fast with me.
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You see my chart?
133
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Yes, sir. Pancreatic cancer and mets to the liver.
134
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I keep hoping that "end-stage" means it can't get any worse.
135
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Nausea pretty bad?
136
00:08:00,810 --> 00:08:03,098
We're gonna hydrate you, see if that helps.
137
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Would you like me to put your own robe back on? It can get chilly.
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- Did Angie call my son? - I can find out.
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Is that yours?
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Ten years ago...
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...I kicked my son out of the house over this stuff.
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Now he gets it for me.
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Helps with the nausea?
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- Do you have to take it? - Take what?
145
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- Can you open your eyes? - Unresponsive since the Valium.
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Pulse ox is 99%. Can you imagine lugging around all this fat?
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It didn't stop her from eating noodles at 9 a. m.
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Does Radiology stock extra-extra large?
149
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- Better call the vet school. - Okay, everybody, settle down.
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Miss Meredith, you've had a bad allergic reaction.
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- The tube is to help you breathe. - BP's 90/60.
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Let's start dopamine at five mics per kilo.
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- How many kilos? - You want a calculator?
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- What do you think, 275 pounds? - Oh, I'll take the over.
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- Hey, were you looking for me? - Yeah.
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Conni, start her at 750 mics. Let me know how she does.
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You're gonna be fine. We got it under control.
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As part of your workload...
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...you'll teach patient/doctor class to second-years.
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Patient/doctor class?
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Students practice H & Ps on simulated patients.
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I remember. Bad actors pretended like they were sick. I hated it.
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Yeah? Why is that?
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Because it's fake. Everybody knows it's fake.
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It's a waste of time.
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Yeah. Well, starting tomorrow, you're gonna learn to hate it all over again.
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It'll sharpen your teaching skills.
168
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Did Lucy give me a bad evaluation?
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Lucy gave you a fair evaluation.
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- I'll put the teaching guide in your box. - Patient collapsed push-starting a car.
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Slurred speech and right-side weakness. Resolved in 30 minutes.
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- Suggesting...? - A T.I.A.
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00:10:00,965 --> 00:10:03,919
Dr. Corday ordered doppler ultrasound in his carotid arteries.
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- Which demonstrates what? - A 50% lesion on the left side.
175
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This is a surgical candidate?
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- He's pretty old. - How old?
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- He was push-starting a car. - He claims not to know his age.
178
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Well, wasn't your Civil War in the 1860s?
179
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According to Mr. Barnes, he's roughly 140.
180
00:10:21,443 --> 00:10:24,812
- Elizabeth, is now a good time? - I'm not sure.
181
00:10:25,030 --> 00:10:26,488
Ms. Knight and I can handle this.
182
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- Peter, 8:00. - I don't know if I can make it.
183
00:10:29,242 --> 00:10:33,287
We need to compile our sternal saw data by tomorrow.
184
00:10:33,454 --> 00:10:35,992
Mr. Barnes, what are you doing out of bed?
185
00:10:36,749 --> 00:10:38,493
I asked you to call me Charley.
186
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You have to stay in your gown so Dr. Benton can examine you.
187
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Is that you?
188
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I don't mean no disrespect.
189
00:10:50,763 --> 00:10:53,633
But when you get to be my age and you loll around in bed...
190
00:10:53,849 --> 00:10:57,929
...them rheumatoids kick in. And pretty soon you can't move at all.
191
00:10:58,145 --> 00:11:01,181
Unfortunately, you have blockage in your neck artery.
192
00:11:01,648 --> 00:11:03,973
- It puts you at risk for a stroke. - No, no.
193
00:11:04,150 --> 00:11:06,641
I can't have that. Too many people counting on me.
194
00:11:06,819 --> 00:11:09,026
Charley helps the older people in his neighborhood.
195
00:11:09,197 --> 00:11:13,574
And the children. They need sitters, those people working all day.
196
00:11:14,035 --> 00:11:15,445
Are you...
197
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- ... her teacher? - At the moment.
198
00:11:19,039 --> 00:11:22,455
Then you know, you and I, we have the responsibility...
199
00:11:22,668 --> 00:11:26,037
...to pass on what life has taught us.
200
00:11:27,339 --> 00:11:29,331
Can you fix me up?
201
00:11:29,800 --> 00:11:32,172
Well, there is a surgical option.
202
00:11:32,385 --> 00:11:37,047
But I hesitate to use it on someone, well, your age.
203
00:11:37,265 --> 00:11:39,838
You ain't ever seen a patient my age.
204
00:11:40,059 --> 00:11:41,470
You don't have to worry.
205
00:11:41,686 --> 00:11:44,556
I can't be killed because I got a conjure on me.
206
00:11:45,439 --> 00:11:47,313
I don't know what that means.
207
00:11:47,525 --> 00:11:49,601
Of course you don't.
208
00:11:49,819 --> 00:11:52,523
Because you are a man of science.
209
00:11:52,738 --> 00:11:56,071
How else you gonna explain my being alive at all?
210
00:11:56,283 --> 00:11:59,984
When every other body, all the ones from slavery times...
211
00:12:00,204 --> 00:12:04,782
...done died 50 and 60 years ago.
212
00:12:10,296 --> 00:12:12,870
Miss Knight, what would you suggest?
213
00:12:14,509 --> 00:12:16,501
I'd call a Psych consult.
214
00:12:18,513 --> 00:12:20,920
Is that the doc for loonies?
215
00:12:23,601 --> 00:12:25,344
Yes, sir. Yes, it is.
216
00:12:27,104 --> 00:12:29,560
He's outrageous. He can be tasteless.
217
00:12:29,732 --> 00:12:32,436
He certainly likes to throw his weight around.
218
00:12:32,818 --> 00:12:37,563
So you can't corroborate any instances of sexual harassment?
219
00:12:39,074 --> 00:12:42,158
It's a very American thing, if I may say...
220
00:12:42,369 --> 00:12:45,987
...this penchant for turning personal issues into lawsuits.
221
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The hospital's hope, of course, is for me as ombudsperson...
222
00:12:51,919 --> 00:12:53,995
...to address problems and avoid lawsuits.
223
00:12:54,213 --> 00:12:57,914
Look, one has to be thick-skinned working around Dr. Romano.
224
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You roll with the punches, don't you?
225
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Whoever's complaining may be too fragile to practice medicine at all.
226
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Her identity is confidential...
227
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...until I can assess if any action is warranted.
228
00:13:11,521 --> 00:13:15,222
It's a delicate business. Rarely do I hear the kind of slam dunk...
229
00:13:15,400 --> 00:13:19,184
...where Dr. So-and-So made sexual advances. She declined.
230
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And then he either fired her or cut her funds.
231
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Right.
232
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Kerry...
233
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...is Robert aware of this complaint?
234
00:13:31,624 --> 00:13:33,949
He doesn't know who came to me.
235
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He could figure it out since I prevent the parties from working together.
236
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I see.
237
00:13:41,842 --> 00:13:44,083
It's my fault. I let it go on too long.
238
00:13:44,302 --> 00:13:46,627
It's not your fault. I'm gonna start a line.
239
00:13:46,846 --> 00:13:48,969
- What's going on? - Remember Ricky?
240
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He hasn't had a bowel movement in three days. His temp spiked to 101.
241
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I let him get septic. I've always been able to disimpact him.
242
00:13:56,773 --> 00:14:00,307
- You disimpact him at home? - I usually use a glove and Vaseline.
243
00:14:00,484 --> 00:14:04,268
- The morphine's made him constipated. - Why is he on morphine?
244
00:14:04,488 --> 00:14:07,738
He's having pain from contractures. That's what I think.
245
00:14:07,950 --> 00:14:10,571
Ricky stopped speaking about a week ago.
246
00:14:10,786 --> 00:14:13,656
- I'm sorry. - He still opens his eyes sometimes.
247
00:14:14,498 --> 00:14:18,281
- Is the morphine working for the pain? - I don't know.
248
00:14:18,501 --> 00:14:21,253
- Oh, God! - It's all right. I've got it.
249
00:14:25,216 --> 00:14:26,758
I'm sorry.
250
00:14:27,135 --> 00:14:28,545
It's just...
251
00:14:32,139 --> 00:14:34,179
I know. I know.
252
00:14:35,017 --> 00:14:37,140
Everything he's been through...
253
00:14:37,353 --> 00:14:40,389
- ... I fall apart over this. - It's okay.
254
00:14:40,606 --> 00:14:43,357
It's okay. I know.
255
00:14:51,241 --> 00:14:54,028
When we got to Michigan Avenue, he just passed out.
256
00:14:54,244 --> 00:14:56,948
- How long ago did he hit his head? - Four hours.
257
00:14:57,163 --> 00:15:00,698
He was fixing a floodlight over our garage. The ladder slipped.
258
00:15:00,875 --> 00:15:03,580
But he seemed okay. He just had a headache.
259
00:15:03,794 --> 00:15:06,879
When you have a head injury, it's best to call the paramedics.
260
00:15:07,089 --> 00:15:09,165
- I did call. - Paramedics didn't show up?
261
00:15:09,383 --> 00:15:12,052
No. They came, but Jim seemed okay.
262
00:15:12,219 --> 00:15:15,553
And then there was a fire somewhere and they got called away.
263
00:15:15,722 --> 00:15:18,260
Jerry's gonna show you where you can park your car.
264
00:15:18,475 --> 00:15:20,135
Jerry, I want you to call Dispatch.
265
00:15:20,310 --> 00:15:23,430
Find out which unit responded to the Haggerty's call.
266
00:15:24,481 --> 00:15:25,679
Ricky's resting.
267
00:15:25,899 --> 00:15:29,398
His fever is due to an ear infection. They're treating it with antibiotics.
268
00:15:29,611 --> 00:15:32,184
- Thank you, Carol, for everything. - Oh, sure.
269
00:15:32,405 --> 00:15:34,978
Dr. Ross will be out to talk to you about it.
270
00:15:35,283 --> 00:15:38,568
You always see me when I'm such a wreck. I usually cope better.
271
00:15:38,786 --> 00:15:41,953
Well, sometimes coping too much can drive you crazy.
272
00:15:42,164 --> 00:15:45,414
I meant to thank you. The respite care has been wonderful.
273
00:15:45,584 --> 00:15:48,289
Oh, good. Did you get to your daughter's recital?
274
00:15:48,504 --> 00:15:51,955
I had the worker come back another time just so I could take a bath.
275
00:15:52,174 --> 00:15:55,756
- Good for you. - Yeah. We had great news last week.
276
00:15:55,969 --> 00:15:58,804
My daughter's blood test came back. She's not a carrier.
277
00:15:59,014 --> 00:16:01,006
- Oh, that's a relief. - Thank God.
278
00:16:01,224 --> 00:16:03,430
She'll never do this to her kids.
279
00:16:03,643 --> 00:16:05,600
Joi.
280
00:16:06,354 --> 00:16:08,845
We'll keep him until his fever comes down.
281
00:16:09,482 --> 00:16:11,521
I'll see you before you go, okay?
282
00:16:12,276 --> 00:16:16,689
Does this mean we have to reduce Ricky's morphine to prevent this?
283
00:16:16,906 --> 00:16:18,565
That's one thing we could do.
284
00:16:20,034 --> 00:16:22,785
This was the hardest part with Michael.
285
00:16:22,995 --> 00:16:25,949
I lost Ricky's older brother to ALD three years ago.
286
00:16:26,123 --> 00:16:30,619
- Right. - Now he can't tell me it hurts.
287
00:16:30,794 --> 00:16:34,626
Somehow it's worse to see him suffering.
288
00:16:35,215 --> 00:16:37,966
I'll check. There may be something we can do for the pain.
289
00:16:38,718 --> 00:16:40,876
- Okay. - Okay.
290
00:16:43,181 --> 00:16:44,639
I'm in. Hyperventilate him.
291
00:16:44,849 --> 00:16:47,803
- BP 160/90. Pulse 60. - Mannitol's in.
292
00:16:48,018 --> 00:16:49,975
Your husband has a blown pupil.
293
00:16:50,187 --> 00:16:54,185
I'm worried the bleeding in the skull could be putting pressure on his brain.
294
00:16:54,399 --> 00:16:58,314
- CT's ready. - We'll get a head CT to find out more.
295
00:16:58,487 --> 00:16:59,981
Take Mrs. Haggerty to Chairs.
296
00:17:00,197 --> 00:17:03,281
Chuny, call Neurosurgery down here right away.
297
00:17:05,285 --> 00:17:09,033
- I was afraid you weren't joining us. - I'm looking forward to it.
298
00:17:09,247 --> 00:17:12,616
You don't see a choledochojejunostomy every day.
299
00:17:12,834 --> 00:17:16,167
When they shuffled the schedule, I was afraid I was gonna miss out.
300
00:17:16,379 --> 00:17:20,328
Sorry about that. The Resident let the patient eat, and we had to postpone.
301
00:17:20,508 --> 00:17:23,711
That's the problem sometimes with Residents rotating in.
302
00:17:23,928 --> 00:17:25,635
They're not up to it or don't care.
303
00:17:25,846 --> 00:17:30,009
- Who was this Resident? - Third-year from Emergency.
304
00:17:30,183 --> 00:17:32,674
- Doyle. - Maggie Doyle?
305
00:17:33,019 --> 00:17:36,803
They think very highly of her. She's being considered for Chief Resident.
306
00:17:37,023 --> 00:17:38,980
The pickings must be slim this year.
307
00:17:39,192 --> 00:17:41,979
I've always found her to be extremely capable.
308
00:17:43,154 --> 00:17:45,312
I hear she makes a lot of women uncomfortable.
309
00:17:47,867 --> 00:17:49,326
This is gonna be nifty.
310
00:17:49,535 --> 00:17:53,200
Stones in the common bile duct distal to the sphincter of Oddi.
311
00:17:53,414 --> 00:17:54,825
No kidding?
312
00:17:55,291 --> 00:17:57,164
My whole team is tied up in the O.R.
313
00:17:57,376 --> 00:17:59,831
Someone needs to scrub out and join us.
314
00:18:00,003 --> 00:18:02,708
- That's why you have to wait. - Look at the size of the clot.
315
00:18:02,923 --> 00:18:05,840
It's compressing his brain. Every second counts.
316
00:18:06,718 --> 00:18:11,012
Chuny, shave the scalp. Malik, open the burr hole tray.
317
00:18:11,181 --> 00:18:13,007
You can't do burr holes in the ER.
318
00:18:13,183 --> 00:18:15,175
You're not giving me any choice.
319
00:18:15,351 --> 00:18:17,095
What size gloves do you take?
320
00:18:17,312 --> 00:18:18,854
I am not comfortable with this.
321
00:18:19,063 --> 00:18:21,305
We can't wait without risking brain damage.
322
00:18:21,524 --> 00:18:23,351
I'll try again to get someone down.
323
00:18:23,526 --> 00:18:26,195
- Twelve blade. - Pulse is down to 55.
324
00:18:26,362 --> 00:18:28,568
- Self-retaining retractor. - This is a mistake.
325
00:18:28,781 --> 00:18:30,690
Pressure's up to 180/95.
326
00:18:30,908 --> 00:18:32,366
That's the Cushing response.
327
00:18:32,576 --> 00:18:35,149
It'll herniate unless we relieve the pressure.
328
00:18:35,370 --> 00:18:37,244
Periosteal elevator.
329
00:18:37,456 --> 00:18:40,160
- My Chief can be down in 20 minutes. - Too long.
330
00:18:40,375 --> 00:18:42,866
Hudson brace and perforator.
331
00:18:46,840 --> 00:18:49,128
I can see the skull fracture line.
332
00:18:49,342 --> 00:18:54,716
ABG is back: pH 7.51, PCO-2's 25, PO-2's 350.
333
00:18:54,889 --> 00:18:56,217
That's what we want.
334
00:18:58,601 --> 00:19:00,724
Okay, I'm ready for the burr hole.
335
00:19:00,936 --> 00:19:03,225
Can't you wait a few minutes?
336
00:19:05,566 --> 00:19:08,401
Keep the irrigation coming. I need to see what I'm doing.
337
00:19:09,653 --> 00:19:11,978
Please, not too deep.
338
00:19:17,535 --> 00:19:18,946
That's okay.
339
00:19:20,246 --> 00:19:21,906
I'm through the inner table.
340
00:19:22,123 --> 00:19:24,116
Hey, there's the clot.
341
00:19:25,460 --> 00:19:27,037
I need a dural suction catheter.
342
00:19:27,253 --> 00:19:30,088
Pulse up to 170. BP's 140/70.
343
00:19:30,256 --> 00:19:32,414
- Pupils are equal. - That's more like it.
344
00:19:32,633 --> 00:19:35,041
Wet sterile gauze. Let's get him to the O.R.
345
00:19:35,261 --> 00:19:36,755
I'll alert the team.
346
00:19:37,179 --> 00:19:38,922
Tell them to take their time.
347
00:19:42,225 --> 00:19:43,636
Hey, Dr. Greene.
348
00:19:44,603 --> 00:19:46,061
Nice job.
349
00:19:48,106 --> 00:19:51,391
- You got time for a quick question? - Yeah, sure.
350
00:19:51,568 --> 00:19:54,189
How do I account for a broken container in the study?
351
00:19:54,404 --> 00:19:55,981
- One of the vials busted? - Yeah.
352
00:19:56,197 --> 00:19:58,106
The powder spilled into the envelope.
353
00:19:58,282 --> 00:20:00,690
I'd just make a note of it. Shouldn't be a problem.
354
00:20:00,910 --> 00:20:03,317
We don't have as many patients as anticipated.
355
00:20:03,496 --> 00:20:05,287
We won't use all the samples.
356
00:20:05,456 --> 00:20:08,125
That's all I wanted to know. You gonna make your lecture?
357
00:20:08,292 --> 00:20:10,166
The guy from NASA at the med school?
358
00:20:10,377 --> 00:20:12,251
Oh, right. I almost forgot.
359
00:20:12,671 --> 00:20:16,122
Mrs. Haggerty, your husband's been stabilized and sent up to the O.R.
360
00:20:16,341 --> 00:20:18,547
- What? - Jerry.
361
00:20:19,636 --> 00:20:23,468
Your husband has been sent up to Surgery. Someone will take you up.
362
00:20:23,640 --> 00:20:25,015
I'll take her up.
363
00:20:25,225 --> 00:20:28,309
Dr. Greene stabilized your husband. He's doing fine.
364
00:20:29,145 --> 00:20:32,312
Did you find out which paramedic unit left him with a brain bleed?
365
00:20:32,482 --> 00:20:37,190
It was an engine company that went out. Doris Pickman was the paramedic.
366
00:20:37,403 --> 00:20:40,569
- Oh, boy. - The deputy chief will handle it.
367
00:20:40,781 --> 00:20:45,158
No. Listen, call Dispatch back and tell them that I'm gonna follow up.
368
00:20:45,327 --> 00:20:49,159
Oh, and Jerry, if you put that music back on, you're fired.
369
00:20:50,707 --> 00:20:52,450
I'm sorry it's taking so long.
370
00:20:52,667 --> 00:20:55,158
We put my fingertip on ice. It'll be okay, right?
371
00:20:55,337 --> 00:20:59,797
It's a possibility we won't be able to reattach. The surgeon will decide.
372
00:21:00,008 --> 00:21:03,174
- Hey. You're still waiting on Plastics? - Yep.
373
00:21:03,344 --> 00:21:05,752
I called again. They swore he's on his way.
374
00:21:06,556 --> 00:21:09,473
Did you find another candidate for that fracture study?
375
00:21:09,684 --> 00:21:13,847
No. Just recording a broken container.
376
00:21:14,355 --> 00:21:17,521
- Is he a plastic surgeon? - No. Sorry.
377
00:21:18,192 --> 00:21:19,650
You want something to drink?
378
00:21:19,860 --> 00:21:22,481
- My dad's getting me a Coke. - Okay.
379
00:21:22,696 --> 00:21:24,735
It shouldn't be that much longer now.
380
00:21:28,243 --> 00:21:29,986
Did you find my son?
381
00:21:30,203 --> 00:21:32,955
His office said he was out on a sales call.
382
00:21:33,164 --> 00:21:36,165
He's not picking up his cell phone. We'll keep trying.
383
00:21:36,376 --> 00:21:37,751
Thank you.
384
00:21:38,544 --> 00:21:42,293
- Is the Zofran helping the nausea? - No.
385
00:21:42,506 --> 00:21:44,878
I'm gonna ask the docs to add Reglan.
386
00:21:45,092 --> 00:21:48,295
Don't bother. They don't work.
387
00:21:52,099 --> 00:21:56,559
Any chance you could wheel me outside for some fresh air?
388
00:21:58,271 --> 00:22:00,394
Mr. Ackerman...
389
00:22:00,565 --> 00:22:05,523
...I can't take you to smoke marijuana. Maybe your son can help you.
390
00:22:05,737 --> 00:22:08,738
- I'm really sorry. - Don't be.
391
00:22:10,450 --> 00:22:14,198
I'm probably not able to inhale anyway.
392
00:22:19,416 --> 00:22:22,417
The neuromuscular response can be studied since...
393
00:22:22,586 --> 00:22:26,749
...there's no gravitational force in the usual Z axis from head to toe.
394
00:22:26,924 --> 00:22:28,382
Gentleman in the back.
395
00:22:28,592 --> 00:22:31,083
What are the applications of this study?
396
00:22:31,261 --> 00:22:33,752
A loss of muscle tone in microgravity is an issue...
397
00:22:33,930 --> 00:22:36,421
...that sci-fi movies have largely ignored.
398
00:22:36,641 --> 00:22:38,930
Cosmonauts who spent months on Mir mission...
399
00:22:39,102 --> 00:22:41,557
...had to be carried from the spacecraft on return.
400
00:22:42,271 --> 00:22:45,272
I'd like to kick off the Q and A with a question to you:
401
00:22:45,483 --> 00:22:47,890
What interested you in the astronaut program?
402
00:22:48,110 --> 00:22:51,194
I ask because a lot of candidates admit to childhood dreams...
403
00:22:51,405 --> 00:22:53,777
...of adventure...
404
00:22:54,116 --> 00:22:57,615
...the adrenaline of takeoff, the vastness of space.
405
00:22:57,786 --> 00:23:00,953
The doctor who just walked in, would you respond?
406
00:23:01,123 --> 00:23:06,247
Well, for me, it was pretty much adventure.
407
00:23:06,461 --> 00:23:09,213
The adrenaline of takeoff, the vastness of outer space.
408
00:23:10,423 --> 00:23:12,463
Thank you for your candor, Dr...?
409
00:23:12,800 --> 00:23:15,635
- Mark Greene. - Dr. Greene.
410
00:23:15,803 --> 00:23:17,511
Doug Lowrey wanted me to look you up.
411
00:23:17,722 --> 00:23:20,639
Dr. Greene may be joining us as a payload specialist.
412
00:23:20,808 --> 00:23:23,513
The real picture of your schedule, should you make it...
413
00:23:23,727 --> 00:23:25,601
...is one of routine.
414
00:23:25,813 --> 00:23:28,304
In training, you'll spend a year repeating tasks...
415
00:23:28,524 --> 00:23:31,643
...following checklists, adapting to a regimen.
416
00:23:31,818 --> 00:23:34,356
Everything you do is dictated by the ground crew.
417
00:23:34,571 --> 00:23:37,821
You follow a precise minute-to-minute itinerary.
418
00:23:39,117 --> 00:23:41,655
I'm sorry to disturb you. I didn't know what to do.
419
00:23:41,870 --> 00:23:44,621
I screwed up bad. But the guy seemed fine at the scene.
420
00:23:44,831 --> 00:23:48,116
The engine got the fire call, the guys were all so jazzed, I told the wife-
421
00:23:48,334 --> 00:23:49,828
Doris, slow down.
422
00:23:50,503 --> 00:23:54,417
- How's Mr. Haggerty? - Epidural hematoma, but he's okay.
423
00:23:55,091 --> 00:23:58,341
They pulled me off active duty. They're doing an investigation.
424
00:23:58,510 --> 00:24:02,674
He's worried about bad press. Fire engine leaves an accident scene.
425
00:24:02,848 --> 00:24:04,840
That's a medical error. That's my call.
426
00:24:05,017 --> 00:24:08,682
Maybe I was influenced by the firefighters. They wanted to go.
427
00:24:08,895 --> 00:24:11,896
That shouldn't cloud my judgment. It'll ruin my record.
428
00:24:12,107 --> 00:24:14,514
Doris, take a breath. I'll see what I can do.
429
00:24:14,734 --> 00:24:17,190
- Will you? - I'll call the deputy chief now.
430
00:24:17,862 --> 00:24:20,187
- Come on, doc. - I'm not gonna do that.
431
00:24:20,365 --> 00:24:22,357
You heard me. Roll up your sleeves.
432
00:24:22,533 --> 00:24:25,024
I'm not gonna arm-wrestle over surgery.
433
00:24:25,244 --> 00:24:27,817
- Are you scared to? - Yeah. Yeah. Yeah, I am.
434
00:24:28,039 --> 00:24:31,703
Well, I want the surgery. That's all there is to it.
435
00:24:31,875 --> 00:24:36,205
And that one doctor calculated that I was fit in the head.
436
00:24:36,421 --> 00:24:39,625
Because you didn't mention you thought you were at Appomattox.
437
00:24:39,925 --> 00:24:42,083
But there was another doctor who also said...
438
00:24:42,260 --> 00:24:47,171
...my FEV-1 was over 120 percent.
439
00:24:47,390 --> 00:24:48,968
I think that's darn good.
440
00:24:49,184 --> 00:24:50,891
They cleared you physically.
441
00:24:51,060 --> 00:24:53,551
You're giving me that second-rate pill idea.
442
00:24:54,439 --> 00:24:58,732
You think the medical treatment isn't convincing. I use my judgment.
443
00:24:58,901 --> 00:25:02,815
Your judgment is to put your arm next to mine, clasping my hand...
444
00:25:03,405 --> 00:25:05,315
...and we will arm-wrestle.
445
00:25:05,532 --> 00:25:09,826
You will find out that old Charley's not as weak and puny as you think.
446
00:25:10,037 --> 00:25:12,528
I never said- I don't think you're puny.
447
00:25:12,748 --> 00:25:14,574
But you don't believe I can't die.
448
00:25:15,167 --> 00:25:16,744
I don't believe that one either.
449
00:25:17,085 --> 00:25:19,291
I'll give you something you can believe.
450
00:25:19,504 --> 00:25:22,374
- Put your elbow right here. - Mr. Barnes, come on.
451
00:25:22,590 --> 00:25:26,208
Listen, if you don't give a man his measure of respect...
452
00:25:26,427 --> 00:25:29,926
...and you don't believe his history, you're talking about a fight.
453
00:25:31,432 --> 00:25:34,433
Oh, come on. Don't make your elder beg.
454
00:25:34,602 --> 00:25:36,096
Come on.
455
00:25:47,280 --> 00:25:48,609
Go.
456
00:25:50,242 --> 00:25:51,652
Dr. Benton?
457
00:25:52,285 --> 00:25:53,910
There is an O.R. available.
458
00:25:57,582 --> 00:25:59,290
Hey, don't humor me now.
459
00:26:02,211 --> 00:26:03,919
Oh, boy.
460
00:26:07,800 --> 00:26:09,175
You win.
461
00:26:10,970 --> 00:26:13,425
You win. All right, go ahead.
462
00:26:13,639 --> 00:26:15,133
Book the O.R.
463
00:26:19,644 --> 00:26:22,894
It's a brand new policy putting paramedics on fire trucks.
464
00:26:23,106 --> 00:26:26,309
It'll take a while to work the kinks out. I know Doris.
465
00:26:26,526 --> 00:26:31,069
I work with her. She deserves to be counseled, not put on a desk.
466
00:26:31,281 --> 00:26:33,653
No, no, no. This is my job.
467
00:26:34,033 --> 00:26:36,904
- Is Doug Ross around? - Try Admit.
468
00:26:37,328 --> 00:26:40,245
Deputy Chief Mead, please? Mark Greene again.
469
00:26:41,415 --> 00:26:45,247
- Doug. - Heather, they let you out of the lab?
470
00:26:45,461 --> 00:26:47,702
I make deliveries for some customers.
471
00:26:47,921 --> 00:26:51,005
I got the toxicology results on that powder you brought us.
472
00:26:51,174 --> 00:26:53,333
Negative for codeine.
473
00:26:53,510 --> 00:26:56,215
- Is that all you needed? - That'll do it.
474
00:26:56,429 --> 00:26:59,099
When I heard you hand-carried it, I thought...
475
00:26:59,349 --> 00:27:02,184
...well, maybe you were back on the market.
476
00:27:02,352 --> 00:27:03,846
Me? No. I-
477
00:27:04,020 --> 00:27:07,970
I called the HandiVan for the Abbotts. Joi said you wanted a prescription.
478
00:27:08,191 --> 00:27:09,934
- I'm on my way. - Nice to see you.
479
00:27:10,151 --> 00:27:13,685
- See you later. - Ricky's temp is 98.8.
480
00:27:13,904 --> 00:27:17,356
- Which is good. - You know back there that was nothing?
481
00:27:17,574 --> 00:27:19,152
Yeah, of course.
482
00:27:19,368 --> 00:27:22,487
Hey, Kerry, I'm afraid Lynette has appropriated the lounge.
483
00:27:22,704 --> 00:27:25,705
The staff will have to gossip someplace else.
484
00:27:25,874 --> 00:27:27,072
You knew about it?
485
00:27:27,292 --> 00:27:32,001
She showed me her proposal last week. It's a good area for the clinic.
486
00:27:33,798 --> 00:27:36,040
I know you can tell if he's cheating. But some-
487
00:27:36,217 --> 00:27:38,375
Your man don't take a shower before he leaves...
488
00:27:38,594 --> 00:27:40,386
...but he does when he gets home?
489
00:27:40,555 --> 00:27:42,512
He's cheating!
490
00:27:42,723 --> 00:27:45,048
The number of partners you have...
491
00:27:45,226 --> 00:27:48,143
...and he has can put you at risk for cervical cancer.
492
00:27:48,312 --> 00:27:50,684
It can put you at risk for being a damn fool too.
493
00:27:51,357 --> 00:27:55,817
How young you were when you started having sex and smoking are factors.
494
00:27:57,195 --> 00:28:01,110
That's right. This is Carol Hathaway. She runs the clinic here.
495
00:28:01,324 --> 00:28:02,700
Nice to meet you all.
496
00:28:03,994 --> 00:28:08,287
Oh, carry on. I think it's a really important topic to be informed about.
497
00:28:08,498 --> 00:28:11,119
Please feel free to come see us at the clinic anytime.
498
00:28:11,459 --> 00:28:12,918
Thanks, Carol.
499
00:28:14,337 --> 00:28:16,376
My apologies. I'm Dr. Baker.
500
00:28:17,173 --> 00:28:19,082
Jeanie Boulet. This is Donna.
501
00:28:19,300 --> 00:28:23,048
- Her father should be back soon. - This is the x-ray, Ms. Boulet?
502
00:28:23,929 --> 00:28:26,716
I did a digital nerve block with Marcaine.
503
00:28:27,182 --> 00:28:31,725
Amputated the distal phalanx. We'll rongeur and do a V-Yflap.
504
00:28:31,937 --> 00:28:33,431
You can put it back on, right?
505
00:28:33,605 --> 00:28:37,733
Not with a cut here. The blood vessels are too small. Did you explain to her?
506
00:28:37,901 --> 00:28:40,142
I told her it may be a possibility.
507
00:28:43,406 --> 00:28:46,276
But you guys put arms and stuff back on.
508
00:28:47,201 --> 00:28:50,902
If you had cut your finger at the base, we'd have bigger arteries.
509
00:28:51,414 --> 00:28:54,498
We'll trim down the bone and create a flap over the defect.
510
00:28:56,418 --> 00:28:57,877
You mean I'll have a stump?
511
00:28:58,087 --> 00:29:00,162
Maybe we should talk to Donna's father.
512
00:29:00,380 --> 00:29:03,880
Yes. If we can get a Trauma Room, I'll do the procedure right away.
513
00:29:06,595 --> 00:29:09,679
Don't worry. We'll make you a small prosthetic tip.
514
00:29:11,599 --> 00:29:13,508
I'm just saying oldies are played out.
515
00:29:13,726 --> 00:29:16,597
- People like the classics. - Not ones you can't dance to.
516
00:29:16,813 --> 00:29:18,058
You're gonna lose them.
517
00:29:18,272 --> 00:29:21,357
- Jerry, what is this? - You wanted the rap turned off.
518
00:29:21,567 --> 00:29:24,734
Actually, I said we need a desk clerk here, not a DJ.
519
00:29:24,945 --> 00:29:27,317
Fine. It's no more. Forever gone.
520
00:29:27,531 --> 00:29:30,567
What possessed you to pick that particular song?
521
00:29:30,784 --> 00:29:34,449
I don't know. Just instinct. I'm just going with the flow.
522
00:29:34,621 --> 00:29:37,492
My mom used to play this album when I was a kid.
523
00:29:37,708 --> 00:29:41,123
It was always, like, the ultimate freedom. You know?
524
00:29:41,336 --> 00:29:43,708
Leave ground control behind and float way.
525
00:29:43,922 --> 00:29:45,546
- Escape. - Yeah.
526
00:29:46,466 --> 00:29:50,510
The folks in the Waiting Area wanna know if you could put Bowie back on?
527
00:29:50,887 --> 00:29:54,386
Jerry, do whatever you want, okay? Just use your best judgment.
528
00:29:54,599 --> 00:29:58,299
All right. Now, you give this to him every six hours if needed.
529
00:29:58,477 --> 00:30:01,146
You don't exceed four doses in 24 hours.
530
00:30:01,313 --> 00:30:04,896
Call me if it isn't working for him. Watch your head.
531
00:30:05,818 --> 00:30:08,605
Why didn't the genetics clinic suggest this medication?
532
00:30:08,820 --> 00:30:12,984
It's new. It's still part of a clinical trial with kids with fractures.
533
00:30:13,200 --> 00:30:15,904
Perfectly safe for Ricky. It might give him some relief.
534
00:30:16,119 --> 00:30:19,452
- Do I need to fill any of this out? - I wouldn't bother.
535
00:30:19,664 --> 00:30:22,036
He's not a candidate for the study.
536
00:30:22,250 --> 00:30:23,827
Thank you.
537
00:30:30,674 --> 00:30:32,584
Trauma 2 is open. Can you assist me?
538
00:30:32,801 --> 00:30:35,636
I insist on it. You blew by that 12-year-old girl...
539
00:30:35,846 --> 00:30:38,088
...like she was an annoyance in your busy day.
540
00:30:39,683 --> 00:30:41,806
You said there's a parent here to give consent.
541
00:30:42,019 --> 00:30:44,972
- Yes. - Find him. I'll explain the procedure.
542
00:30:45,188 --> 00:30:46,599
I'll do that.
543
00:30:49,025 --> 00:30:51,646
I can't believe I get to scrub in on my first day.
544
00:30:51,861 --> 00:30:53,937
- That's the best way to learn. - Masks?
545
00:30:54,155 --> 00:30:55,946
Charley has a crowd in the Waiting Room.
546
00:30:56,157 --> 00:30:57,532
Does anyone know where he's from?
547
00:30:57,700 --> 00:30:59,657
Been in the neighborhood for years.
548
00:30:59,869 --> 00:31:04,495
That car he was push-starting? Registration expired in 1956.
549
00:31:04,707 --> 00:31:05,738
He had terrible stories.
550
00:31:05,958 --> 00:31:08,200
The first two branches of the internal carotid?
551
00:31:08,419 --> 00:31:11,455
The ophthalmic artery and the posterior communicating.
552
00:31:11,672 --> 00:31:14,875
Okay, that's it. You're ready. Let's go.
553
00:31:22,307 --> 00:31:25,426
Gown and glove Miss Knight. She doesn't know the ropes.
554
00:31:25,643 --> 00:31:26,972
Just about to put him under.
555
00:31:27,186 --> 00:31:31,231
Keep your hands in front of you. Don't reach for anything unless you're told.
556
00:31:31,399 --> 00:31:34,068
- What if I have an itch? - Tell the nurse where it is.
557
00:31:34,277 --> 00:31:35,391
What is that?
558
00:31:35,611 --> 00:31:37,271
- Dr. Riggs? - He's bradying down.
559
00:31:37,488 --> 00:31:39,860
- Atropine. - One milligram onboard.
560
00:31:40,074 --> 00:31:42,362
- Blood pressure's dropping. - He's in V-fib.
561
00:31:42,576 --> 00:31:44,367
- Grab the crash cart. - I'm sterile!
562
00:31:44,578 --> 00:31:46,202
It doesn't make a difference.
563
00:31:46,413 --> 00:31:49,200
Amp of epi. Let's move. Come on. Clear!
564
00:31:50,375 --> 00:31:52,284
- Asystole. - Start compressions.
565
00:31:52,502 --> 00:31:55,337
- Epi and atropine onboard. - Right. What's the rhythm?
566
00:31:55,547 --> 00:31:58,085
- Got an idioventricular rhythm. - Faint pulse.
567
00:31:58,299 --> 00:32:00,458
- Try to get a BP. - Can he still have surgery?
568
00:32:00,677 --> 00:32:03,512
No. Let's get him a room in the ICU.
569
00:32:09,435 --> 00:32:11,427
Hey.
570
00:32:11,896 --> 00:32:13,555
How long till spring?
571
00:32:13,772 --> 00:32:18,481
- This is the shortest day of the year. - That's December. We're past that.
572
00:32:19,236 --> 00:32:22,355
I made up my mind. I'm not going to Houston.
573
00:32:23,281 --> 00:32:26,152
- Really? - It's an old dream.
574
00:32:26,952 --> 00:32:30,036
You fooled me. I thought you were ready to blast off.
575
00:32:30,246 --> 00:32:33,164
I realized I didn't wanna go.
576
00:32:34,167 --> 00:32:36,124
I don't wanna go anywhere.
577
00:32:36,961 --> 00:32:39,915
This is what I do. This is where I belong.
578
00:32:40,131 --> 00:32:41,708
Yeah.
579
00:32:41,924 --> 00:32:44,296
Lost that old restlessness, huh?
580
00:32:44,468 --> 00:32:45,927
I guess.
581
00:32:51,558 --> 00:32:54,476
- Coming in? - Yeah.
582
00:32:56,188 --> 00:32:58,476
Come on in! It's cold!
583
00:32:59,149 --> 00:33:01,022
You went out of your way not to involve me.
584
00:33:01,234 --> 00:33:03,310
- Why would I? - You knew I would object.
585
00:33:03,486 --> 00:33:07,815
- Object to what? - All the women were African-American.
586
00:33:08,032 --> 00:33:10,523
- Yeah. - The clinic's for everyone.
587
00:33:10,743 --> 00:33:13,281
- I didn't exclude anyone. - Where did you advertise?
588
00:33:13,496 --> 00:33:16,413
I have a special interest in an underserved population...
589
00:33:16,624 --> 00:33:18,782
...that is particularly at risk.
590
00:33:19,001 --> 00:33:22,286
- Latinos are even more at risk. - Our death rate is higher.
591
00:33:22,504 --> 00:33:24,711
Vietnamese women have worse statistics.
592
00:33:24,923 --> 00:33:29,632
To get women to consider changing sexual habits, they need to feel open.
593
00:33:29,845 --> 00:33:32,217
Women talk more freely among their own.
594
00:33:32,430 --> 00:33:35,597
We'll have to hold seminars that target other populations.
595
00:33:36,518 --> 00:33:39,803
Look, I did this on my own time out of my own interests.
596
00:33:40,021 --> 00:33:43,390
I understand that. But I can't have you pulling against me.
597
00:33:43,900 --> 00:33:48,442
If you want to work in the clinic, adjust your project to include others.
598
00:33:49,905 --> 00:33:53,819
Well, I guess you've given me something to think about.
599
00:33:56,161 --> 00:34:00,787
Couple more stitches and the Yis closed. See?
600
00:34:02,501 --> 00:34:04,623
What kind of music do you play, Donna?
601
00:34:06,546 --> 00:34:08,586
Folk and classical.
602
00:34:08,798 --> 00:34:10,209
Some rock.
603
00:34:10,383 --> 00:34:13,716
Well, Ms. Boulet is right. More 5-0 nylon, please.
604
00:34:14,720 --> 00:34:17,046
A prosthetic will take some getting used to.
605
00:34:17,223 --> 00:34:19,892
But with time, you'll be able to play just fine.
606
00:34:20,059 --> 00:34:24,103
- What about computer games? - You'll never be able to touch them.
607
00:34:24,939 --> 00:34:26,730
Your dad paid me to say that.
608
00:34:28,942 --> 00:34:31,149
- Cut, please, Jenny. - It's Jeanie.
609
00:34:32,321 --> 00:34:34,194
Sorry, Ms. Boulet.
610
00:34:36,908 --> 00:34:40,158
- Honest. I owe you my first born. - You do that and you're on a desk.
611
00:34:40,328 --> 00:34:44,408
- Really, you saved my career. - I gave you a chance to turn it around.
612
00:34:44,624 --> 00:34:47,708
We'll work out a counseling schedule next week, okay?
613
00:34:47,919 --> 00:34:49,377
- Thanks. - Where's Jerry?
614
00:34:49,587 --> 00:34:52,671
- We're in between sets. - I was taking requests.
615
00:34:52,882 --> 00:34:54,292
- Hey, you off? - Yeah. Why?
616
00:34:54,508 --> 00:34:56,916
That guy in Exam 2 wanted to say goodbye.
617
00:34:57,136 --> 00:34:58,927
Mr. Ackerman? Pancreatic cancer?
618
00:34:59,138 --> 00:35:02,174
He's gonna have to stay the night. Nobody can come until tomorrow.
619
00:35:02,391 --> 00:35:04,716
Are you waiting for the health bus?
620
00:35:04,935 --> 00:35:08,517
We're all loaded up. I just had another question for Dr. Ross.
621
00:35:08,730 --> 00:35:12,810
- Dr. Ross is in a meeting. - Is there something I can do?
622
00:35:13,026 --> 00:35:16,608
He gave some new medication to us.
623
00:35:16,779 --> 00:35:20,528
I forgot to ask if it's all right to take with Robaxin. My son has ALD.
624
00:35:20,825 --> 00:35:22,070
He has a fracture?
625
00:35:22,285 --> 00:35:25,404
No. But he was in pain. Dr. Ross thought this might help.
626
00:35:26,080 --> 00:35:27,491
Where's your study envelope?
627
00:35:27,957 --> 00:35:31,539
- He said we didn't need to bother. - Dr. Ross did?
628
00:35:32,378 --> 00:35:35,082
Since my son isn't actually a candidate for the trial.
629
00:35:36,757 --> 00:35:38,085
I see.
630
00:35:42,804 --> 00:35:44,927
I heard your son couldn't make it.
631
00:35:56,192 --> 00:35:58,149
Okay.
632
00:36:03,490 --> 00:36:05,033
You need this?
633
00:36:05,200 --> 00:36:06,659
Please.
634
00:36:40,275 --> 00:36:41,769
Never mind.
635
00:36:42,194 --> 00:36:45,064
Oh, God!
636
00:37:01,170 --> 00:37:03,079
Again?
637
00:37:37,413 --> 00:37:40,497
- Hey, is Doug still upstairs? - I don't know.
638
00:37:40,708 --> 00:37:42,202
Well, I'm headed home.
639
00:37:42,876 --> 00:37:44,999
Mark, what are you doing?
640
00:37:45,921 --> 00:37:49,456
- Do you know about a boy with ALD? - Ricky Abbott?
641
00:37:49,675 --> 00:37:51,916
Why was he given meds for the clinical trial?
642
00:37:52,385 --> 00:37:54,295
He wasn't. Doug wouldn't do that.
643
00:37:54,930 --> 00:37:56,554
Looks like he did.
644
00:37:57,098 --> 00:38:01,890
Mark, talk to Doug. I'm sure there's an explanation.
645
00:38:03,855 --> 00:38:06,143
Yeah.
646
00:38:10,361 --> 00:38:13,860
Ms. Boulet, I wanted to thank you for assisting on the finger flap.
647
00:38:14,073 --> 00:38:15,104
Not at all.
648
00:38:15,282 --> 00:38:18,947
And for reminding me to take time with our young patient.
649
00:38:19,119 --> 00:38:23,247
I don't do well when I get behind schedule. But that's no excuse.
650
00:38:23,457 --> 00:38:26,161
- You were right, and I thank you. - You're welcome.
651
00:38:26,376 --> 00:38:28,665
I was wondering, would you join me...
652
00:38:28,837 --> 00:38:32,122
- ... for the Art Institute this evening? - This evening?
653
00:38:32,340 --> 00:38:35,424
I realize it's short notice. It may be interesting:
654
00:38:35,635 --> 00:38:37,627
Raghubir Singh, an Indian photographer.
655
00:38:37,804 --> 00:38:39,262
I don't know much about art.
656
00:38:39,472 --> 00:38:44,015
I don't care about art. I promised my wife, who died a few years ago...
657
00:38:44,226 --> 00:38:48,140
...I'd keep our membership and not become a Philistine without her.
658
00:38:48,314 --> 00:38:50,306
I'm sorry to hear you lost your wife.
659
00:38:50,482 --> 00:38:54,266
And my partner. Jenny and I had a practice together for 15 years.
660
00:38:54,486 --> 00:38:56,064
Her name was Jenny?
661
00:38:56,279 --> 00:38:57,822
You're a sweet angel.
662
00:38:57,989 --> 00:38:59,365
Called for a consult?
663
00:38:59,574 --> 00:39:02,279
- Self-inflicted knife wounds. - Quite a few of them.
664
00:39:02,494 --> 00:39:06,076
- He gave me a suturing refresher. - She's my angel.
665
00:39:06,289 --> 00:39:09,290
That is not what he was calling me before the Haldol.
666
00:39:09,500 --> 00:39:13,000
No blood in the urine but these two needed two-layer closures.
667
00:39:13,212 --> 00:39:15,881
Good bowel sounds. Belly's soft.
668
00:39:16,090 --> 00:39:20,835
I wanted to mention to you I have been having a problem with Dr. Romano.
669
00:39:21,512 --> 00:39:26,304
Yeah, Kerry spoke with me this morning without actually saying it was you.
670
00:39:26,517 --> 00:39:29,007
I'm sorry I didn't ask before dragging your name in.
671
00:39:30,020 --> 00:39:32,345
I don't think I can be of any help.
672
00:39:35,984 --> 00:39:38,688
Well, no sign of any intra-abdominal bleed.
673
00:39:38,862 --> 00:39:41,815
He's got another one on his back. We'll have to lift him.
674
00:39:42,031 --> 00:39:45,115
I was hoping that Romano would cool it if I confronted him.
675
00:39:45,326 --> 00:39:47,532
Instead he threatened to blast me on my evaluation.
676
00:39:47,703 --> 00:39:49,862
- Got him? - Yeah.
677
00:39:50,081 --> 00:39:52,536
Dr. Romano can be volatile.
678
00:39:52,708 --> 00:39:55,495
You mean he's a mean-spirited little powermonger?
679
00:39:55,711 --> 00:39:58,996
That too. Well, the kidneys look fine as well.
680
00:39:59,923 --> 00:40:02,046
Whores! Whores! I wanna die.
681
00:40:02,217 --> 00:40:04,257
There's the Mr. Michaels I know and love.
682
00:40:06,596 --> 00:40:10,925
Look, Romano, he likes to push things to the limit.
683
00:40:11,935 --> 00:40:14,852
I guess he thought anything goes with the gay chick.
684
00:40:15,063 --> 00:40:17,600
I hope you're not going out on a limb.
685
00:40:19,609 --> 00:40:21,400
He's a star.
686
00:40:21,652 --> 00:40:23,396
Self-respect's a bitch.
687
00:40:26,407 --> 00:40:31,068
- Kerry, do you have a moment? - Mark needs me. You're leaving?
688
00:40:31,286 --> 00:40:34,073
- How about breakfast tomorrow? - That's more than a minute.
689
00:40:34,247 --> 00:40:36,821
I may have some things to add to your inquiry.
690
00:40:37,042 --> 00:40:39,414
- I'll call you. We'll set something up. - Great.
691
00:40:39,628 --> 00:40:41,786
There she is. Minnesota Fats.
692
00:40:42,005 --> 00:40:44,460
- I was afraid I'd missed you. - Hey, Reggie.
693
00:40:44,674 --> 00:40:46,667
You'll give me a chance to win my money back?
694
00:40:46,884 --> 00:40:49,422
Playing pool two nights in a row is bad luck.
695
00:40:49,637 --> 00:40:52,840
It's bad luck to play against you. Where'd you learn?
696
00:40:53,057 --> 00:40:55,014
Signs of a misspent youth.
697
00:40:55,559 --> 00:40:57,267
What do you say we go eat?
698
00:40:57,436 --> 00:40:59,559
I already have plans for tonight.
699
00:40:59,772 --> 00:41:01,563
Something a new friend can barge in on?
700
00:41:01,774 --> 00:41:03,850
Opening at the Art Institute.
701
00:41:04,067 --> 00:41:06,107
Say no more. I'll catch you on the weekend.
702
00:41:06,278 --> 00:41:08,069
Okay.
703
00:41:09,906 --> 00:41:13,856
I almost went straight to Anspaugh. What the hell was Doug thinking?
704
00:41:14,077 --> 00:41:19,202
If we were exposed for breaking protocol on a federally funded trial-
705
00:41:19,415 --> 00:41:22,618
They'd cut off research money and Medicare payments for years.
706
00:41:22,794 --> 00:41:24,620
Not to mention, it's against the law.
707
00:41:26,130 --> 00:41:28,170
They brought me the study.
708
00:41:28,549 --> 00:41:30,173
I got him onboard.
709
00:41:31,844 --> 00:41:33,552
Mark, given the implications...
710
00:41:33,762 --> 00:41:37,131
...I don't think we have any choice but to handle this internally.
711
00:41:37,391 --> 00:41:38,885
Cover it up.
712
00:41:40,560 --> 00:41:43,810
If Anspaugh finds out, he has to react.
713
00:41:46,441 --> 00:41:48,398
Nice position he put us in, huh?
714
00:41:48,985 --> 00:41:51,108
Do you have the key to the pain study cabinet?
715
00:41:52,071 --> 00:41:53,815
Come in and take a seat.
716
00:42:00,371 --> 00:42:02,079
Any changes?
717
00:42:02,957 --> 00:42:04,581
Will he wake up?
718
00:42:05,417 --> 00:42:06,876
What do you think?
719
00:42:08,253 --> 00:42:13,414
His brain was deprived of a lot of oxygen during the cardiac arrest.
720
00:42:13,634 --> 00:42:17,713
Old folks don't usually come back with full function after hypoxic insult.
721
00:42:18,430 --> 00:42:19,924
It's a wait-and-see.
722
00:42:21,683 --> 00:42:23,806
He could live like this for a while.
723
00:42:24,185 --> 00:42:27,471
Forever. Well, according to him.
724
00:42:32,818 --> 00:42:34,727
What's his Glasgow score?
725
00:42:35,321 --> 00:42:36,696
An eight.
726
00:42:37,406 --> 00:42:39,446
No spontaneous eye-opening.
727
00:42:39,658 --> 00:42:41,200
No speaking.
728
00:42:41,952 --> 00:42:44,525
Responds only to painful stimulus.
729
00:42:44,746 --> 00:42:46,655
Excuse me.
730
00:42:56,841 --> 00:42:58,964
I'm sorry. I just didn't expect this.
731
00:42:59,177 --> 00:43:01,216
Well, neither did I.
732
00:43:03,097 --> 00:43:05,006
Should I go tell his neighbors?
733
00:43:05,725 --> 00:43:07,966
No. I'll do it.
734
00:43:11,397 --> 00:43:13,188
Then to top it off, he goes...
735
00:43:13,399 --> 00:43:16,103
...to Kerry Weaver instead of coming to me.
736
00:43:16,818 --> 00:43:18,147
But you gave Joi the meds?
737
00:43:18,362 --> 00:43:21,315
Mark said himself that he wasn't gonna use all the samples.
738
00:43:21,531 --> 00:43:24,318
- That's not the point, is it? - What is the point?
739
00:43:24,534 --> 00:43:28,235
That breaking research protocol could damage the hospital's funding.
740
00:43:32,417 --> 00:43:34,243
So you agree with them?
741
00:43:34,502 --> 00:43:36,708
No, I see their point.
742
00:43:37,630 --> 00:43:38,958
You know how sick he is?
743
00:43:39,674 --> 00:43:43,588
Yeah, but that decision could have a larger impact.
744
00:43:45,346 --> 00:43:49,094
The hospital's only at risk if someone goes out of their way to report me.
745
00:43:49,308 --> 00:43:52,641
And believe me, it kills Kerry Weaver not to be able to do that.
746
00:43:58,400 --> 00:43:59,775
I don't know what to say.
747
00:44:09,035 --> 00:44:10,908
Doug, don't walk away.
748
00:44:18,794 --> 00:44:20,122
Doug.
61345
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