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1
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E. R.
2
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Previously on E. R.
3
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You guys met my sister, Val?
4
00:00:07,572 --> 00:00:11,341
I was diagnosed with MS when I was 22
and before that, I was a normal girl.
5
00:00:11,442 --> 00:00:14,367
- How advanced is it?
- I'm still fully functional.
6
00:00:16,102 --> 00:00:18,773
Look, I know I said
I didn't need any help, but...
7
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...tonight I did.
Thanks for the help.
8
00:00:23,194 --> 00:00:25,461
Hey, Abby.
Did you get your trinket from Carter?
9
00:00:25,562 --> 00:00:27,679
Gone-native junk for everybody.
10
00:00:28,506 --> 00:00:31,252
It was my father's.
I want you to have it.
11
00:00:31,353 --> 00:00:33,258
I want you to come back
to the States with me.
12
00:00:33,359 --> 00:00:36,077
I want our baby to be born in America.
13
00:00:37,204 --> 00:00:40,039
E. R. 10x11 "TOUCH AND GO"
14
00:01:04,146 --> 00:01:07,729
Remind me to put the clock
on your side of the bed.
15
00:01:22,338 --> 00:01:24,876
Hey, Kem? You down here?
16
00:01:29,096 --> 00:01:33,508
- Been in the kitchen since dawn.
- She's still adjusting to the time change.
17
00:01:33,850 --> 00:01:38,013
- Insisted on making me eggs again.
- Well, that's nice.
18
00:01:40,648 --> 00:01:42,523
That's not nice?
19
00:01:48,448 --> 00:01:50,773
- Good morning.
- Hey.
20
00:01:52,076 --> 00:01:53,654
Good morning.
21
00:01:53,828 --> 00:01:57,827
You know, you have got 20 types
of tea, like, six sets of china...
22
00:01:58,000 --> 00:02:00,573
...and glasses for every possible drink.
23
00:02:00,752 --> 00:02:03,041
Did you have trouble sleeping again?
24
00:02:03,880 --> 00:02:06,585
I had trouble finding the kitchen again.
25
00:02:06,758 --> 00:02:09,676
- I need a map.
- You get used to it.
26
00:02:09,845 --> 00:02:12,799
You'll be sliding in the hall
in socks in no time.
27
00:02:12,973 --> 00:02:15,843
- Oh, and that wouldn't offend anybody?
- Nope.
28
00:02:16,018 --> 00:02:19,802
Although, you should probably
stop making breakfast for Emily.
29
00:02:20,356 --> 00:02:21,636
She doesn't like my cooking?
30
00:02:21,816 --> 00:02:24,223
Doesn't like feeling insecure
about her employment.
31
00:02:27,738 --> 00:02:29,804
I'm gonna miss you today.
32
00:02:32,827 --> 00:02:36,030
You want George to show you
the sights after your appointment?
33
00:02:36,205 --> 00:02:41,579
- Do some shopping, go to a movie?
- I might take a walk.
34
00:02:41,752 --> 00:02:44,373
Would you rather I not work
while we're here?
35
00:02:44,546 --> 00:02:46,587
Because I don't have to.
36
00:02:48,468 --> 00:02:51,255
What I'd rather you do...
37
00:02:52,138 --> 00:02:53,715
...is give me your socks.
38
00:02:55,599 --> 00:02:57,307
What are you doing?
39
00:02:59,062 --> 00:03:00,437
What are you doing?
40
00:03:02,440 --> 00:03:05,690
So where is the bedroom, again?
41
00:03:14,202 --> 00:03:16,278
You coming or what?
42
00:03:17,247 --> 00:03:20,117
Abby, sorry. It took forever
to get Alex out of the house.
43
00:03:20,291 --> 00:03:22,082
- Don't worry.
- You already sign out?
44
00:03:22,251 --> 00:03:25,787
Yes. Too bad I can't leave.
Lelma Ramirez in 1, vomiting times three.
45
00:03:25,964 --> 00:03:28,669
- Tolerating sips after 10 of Reglan.
- Stomach-flu season?
46
00:03:28,842 --> 00:03:31,130
Dr. Lewis would have us believe.
She called in sick.
47
00:03:31,302 --> 00:03:33,972
- Really? How'd she sound?
- Better than she should have.
48
00:03:34,138 --> 00:03:36,713
Repeat EKG and troponin
on Mr. St. John at 8 a. m.
49
00:03:36,892 --> 00:03:39,299
Lewis probably has that flight nurse
in her bathrobe.
50
00:03:39,478 --> 00:03:41,719
- Is he pain-free?
- Mrs. Clark's had three nebs.
51
00:03:41,897 --> 00:03:44,732
- She may need continuous.
- Should I call in another Attending?
52
00:03:44,899 --> 00:03:47,307
No. Carter's on. We're good.
53
00:03:47,485 --> 00:03:49,360
So, what's his story?
54
00:03:49,530 --> 00:03:52,780
Richer and better-looking
than you or I will ever be. The end.
55
00:03:52,950 --> 00:03:55,405
I just wanna know if the guy's a jerk.
56
00:03:55,577 --> 00:03:57,783
- Is he?
- She's not the best one to ask.
57
00:03:57,954 --> 00:04:01,158
- There a problem with the narcotics?
- Missing 10 migs of Valium.
58
00:04:01,333 --> 00:04:05,580
- If you sign off, the night nurses can go.
- Yeah. Or they could just learn to count.
59
00:04:05,754 --> 00:04:09,799
My onset-seizure guy went to Medicine.
Rack is empty. And I am off the board.
60
00:04:09,967 --> 00:04:11,710
Good. Go home.
61
00:04:11,885 --> 00:04:15,219
- Saying I can leave early?
- I'm saying it's slow and you're an intern.
62
00:04:15,389 --> 00:04:18,343
- We'll be fine.
- Alrighty, then.
63
00:04:19,685 --> 00:04:22,258
- Get some rest, Mike.
- Yeah. Hope it stays slow for you.
64
00:04:22,438 --> 00:04:23,848
- What have you got?
- "Gome" from the home.
65
00:04:24,022 --> 00:04:26,810
- An elderly patient from a nursing home?
- Breakfast special.
66
00:04:26,985 --> 00:04:30,353
Staff went to check Granny's vitals
first thing. She didn't have any.
67
00:04:33,199 --> 00:04:35,191
Hey, sis.
68
00:04:39,247 --> 00:04:41,916
Hey, you wanna turn that down?
69
00:04:49,632 --> 00:04:52,966
Valerie, it's 7:00 in the morning.
70
00:04:53,720 --> 00:04:55,179
Mike.
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00:04:55,346 --> 00:04:57,718
- You're home early.
- Baby, you have another razor?
72
00:04:57,932 --> 00:04:59,759
This one's dull.
73
00:05:06,858 --> 00:05:08,187
Good morning, Mike.
74
00:06:00,079 --> 00:06:01,988
- How many times?
- What?
75
00:06:02,164 --> 00:06:05,165
- How many times has he been here?
- None of your damn business.
76
00:06:05,334 --> 00:06:06,662
It's only my bedroom.
77
00:06:07,962 --> 00:06:09,456
Just a few.
78
00:06:11,632 --> 00:06:13,790
Now I know why you're interested
in my schedule.
79
00:06:13,968 --> 00:06:15,213
- Is there any coffee?
- No.
80
00:06:15,386 --> 00:06:16,666
Yes.
81
00:06:18,472 --> 00:06:21,723
I'm on the clock anyway.
I'll see you later?
82
00:06:24,812 --> 00:06:26,603
Peace, Mike.
83
00:06:28,274 --> 00:06:31,440
- What time you gotta be at the airport?
- My flight leaves at 2.
84
00:06:31,610 --> 00:06:33,318
Wake me up at noon.
85
00:06:35,532 --> 00:06:39,529
- Thought you were off.
- Not until she balances her narc count.
86
00:06:40,244 --> 00:06:42,118
- You wanna see me?
- January 18.
87
00:06:42,288 --> 00:06:46,333
Forget it. I've already got two Attendings
requesting Super Bowl Sunday off.
88
00:06:46,501 --> 00:06:49,122
- My last day here.
- Africa?
89
00:06:49,295 --> 00:06:52,000
I have to admit I'm surprised
you're still going back.
90
00:06:52,173 --> 00:06:53,667
Dr. Weaver!
91
00:06:53,841 --> 00:06:56,249
- She pulled out her Foley.
- Kovac will be there.
92
00:06:56,427 --> 00:06:59,097
Mrs. Webster's a boarder
being managed by Cardiology.
93
00:06:59,264 --> 00:07:01,422
Congestive failure and some dementia.
94
00:07:01,600 --> 00:07:05,051
Check her potassium and hit her again
with Lasix before she goes up.
95
00:07:05,228 --> 00:07:07,470
- So you'll notify Administration?
- About what?
96
00:07:07,647 --> 00:07:09,022
- My resignation.
- No.
97
00:07:09,190 --> 00:07:11,943
You will. Put it in writing
and leave it on my desk.
98
00:07:12,110 --> 00:07:15,028
I'll bring it to the Medical Executive
Committee in the morning.
99
00:07:15,197 --> 00:07:19,526
For the record, we need you here
as much as they do there.
100
00:07:21,953 --> 00:07:23,827
- Dr. Kovac.
- You're late.
101
00:07:23,997 --> 00:07:26,489
- Power outage at the Armitage station.
- Valerie again?
102
00:07:26,667 --> 00:07:29,205
I was gonna put a Swan-Ganz
in my cardiomyopathy guy.
103
00:07:29,378 --> 00:07:31,169
After load, reduce with enalapril.
104
00:07:31,338 --> 00:07:33,710
- How are you doing, Mrs. Webster?
- I wanna go home.
105
00:07:33,882 --> 00:07:36,124
- A mig of Bumex and 40 of K.
- I'm on it.
106
00:07:36,301 --> 00:07:39,801
Pressure's borderline.
I can't manage him without a Swann.
107
00:07:39,972 --> 00:07:42,011
- How are you doing?
- Give the ACE inhibitor.
108
00:07:42,182 --> 00:07:43,558
And support for dopamine.
109
00:07:43,725 --> 00:07:45,517
I love you.
110
00:07:46,520 --> 00:07:47,930
Thanks.
111
00:07:48,105 --> 00:07:50,643
If I know his wedge pressure,
I can do what I need.
112
00:07:50,816 --> 00:07:52,690
Dr. Kovac.
113
00:07:52,860 --> 00:07:55,529
My kids finished the chelation
therapy today.
114
00:07:57,239 --> 00:07:59,481
- They are coming home.
- That's good.
115
00:08:00,242 --> 00:08:03,659
You are going to be our only doctor
from now on, okay?
116
00:08:03,830 --> 00:08:06,202
Anyway, the Swann tells me
his output and PVR.
117
00:08:14,590 --> 00:08:19,715
Do walk rounds with the med students,
and I'll talk to you about it later, okay?
118
00:08:22,431 --> 00:08:24,388
- Patients really respond to him.
- Yeah.
119
00:08:24,558 --> 00:08:26,930
Give the differential diagnosis
of peripheral edema.
120
00:08:27,102 --> 00:08:28,432
- Cirrhosis.
- CHF.
121
00:08:28,605 --> 00:08:29,933
Thrombophlebitis.
122
00:08:30,106 --> 00:08:31,387
Lockhart.
123
00:08:31,566 --> 00:08:35,480
You belong to me at 4. You better
be sharper than that. Come on.
124
00:08:36,362 --> 00:08:38,070
What was that all about?
125
00:08:38,239 --> 00:08:39,899
Could this day suck more?
126
00:08:41,118 --> 00:08:43,240
Sign-in sheet's over there.
127
00:08:46,623 --> 00:08:49,374
- I'm not a patient.
- Hey, Dr. Carter.
128
00:08:49,542 --> 00:08:51,250
Nice to put a face to the name.
129
00:08:51,419 --> 00:08:53,662
- She with you?
- Yeah.
130
00:08:57,592 --> 00:08:59,917
Call me John. This is Kem.
131
00:09:00,095 --> 00:09:01,589
Hi. Sam.
132
00:09:01,763 --> 00:09:03,091
Pleasure to meet you.
133
00:09:03,264 --> 00:09:05,673
- So this is it?
- This is it.
134
00:09:05,851 --> 00:09:07,429
Double MVA, two minutes out.
135
00:09:07,603 --> 00:09:11,303
- Hey, stranger!
- How are you?
136
00:09:11,481 --> 00:09:13,189
Hi, everybody.
137
00:09:14,442 --> 00:09:16,684
- Hey, Malik.
- Welcome back, doc.
138
00:09:16,861 --> 00:09:20,278
- Good to see you.
- I heard you were coming in today. Hi.
139
00:09:20,449 --> 00:09:24,945
- And who is this lovely lady?
- Everybody, this is Kem Likasu.
140
00:09:25,120 --> 00:09:26,614
She's visiting from the Congo.
141
00:09:27,289 --> 00:09:28,699
- Welcome.
- Nice.
142
00:09:28,874 --> 00:09:30,665
- Good to meet you.
- Nice to meet you.
143
00:09:30,834 --> 00:09:33,954
Kem has an appointment
with Dr. Subramanian upstairs.
144
00:09:34,130 --> 00:09:35,789
Dr. Subramanian from OB?
145
00:09:36,382 --> 00:09:38,588
Prenatal checkup. Second trimester.
146
00:09:40,093 --> 00:09:42,798
- Congratulations.
- That's so great.
147
00:09:42,971 --> 00:09:45,428
- Hey.
- Hey, Pratt. How are you?
148
00:09:45,600 --> 00:09:48,470
Life is good.
But I see it's better for you.
149
00:09:49,228 --> 00:09:50,639
- How are you doing?
- Hey.
150
00:09:50,813 --> 00:09:53,814
- So are you back on shift yet?
- About five minutes ago.
151
00:09:53,982 --> 00:09:57,186
- Can somebody show Kem upstairs?
- Okay, this way.
152
00:09:57,820 --> 00:10:00,358
- You're coming, right?
- Yeah, yeah. Start the paperwork.
153
00:10:00,531 --> 00:10:02,488
- I'll be right there.
- Okay.
154
00:10:04,452 --> 00:10:06,029
- Behind you.
- What do you have?
155
00:10:06,203 --> 00:10:10,071
Larry Brodie, 44-year-old passenger.
Single car versus telephone pole.
156
00:10:10,250 --> 00:10:11,874
May have had a syncopal episode.
157
00:10:12,043 --> 00:10:14,795
- Bad bruising to the chest and belly.
- Who's worse off?
158
00:10:14,962 --> 00:10:17,169
- Dad by a long shot.
- Four units of O-neg...
159
00:10:17,340 --> 00:10:20,009
- ... and a portable chest, and an EKG?
- Sure.
160
00:10:20,176 --> 00:10:22,668
- Cool.
- I'm a second-year Resident too.
161
00:10:23,013 --> 00:10:25,504
- Barely.
- Pratt, take the driver.
162
00:10:27,976 --> 00:10:30,466
- Tell me his story.
-19-year-old restrained driver.
163
00:10:30,645 --> 00:10:32,721
Trying to wake his old man up
when he crashed.
164
00:10:32,897 --> 00:10:34,391
BP, 128/74.
165
00:10:34,566 --> 00:10:36,475
Cracked a few ribs. Got 6 of morphine.
166
00:10:36,651 --> 00:10:39,023
- What's with the collar?
- Custom-made by Dad.
167
00:10:39,195 --> 00:10:42,860
- What for?
- Ankylosing spondylitis.
168
00:10:43,741 --> 00:10:46,149
- Equal breath sounds.
- HemoCue's only 8.5.
169
00:10:46,327 --> 00:10:49,080
Well, he's profoundly anemic.
He's bleeding somewhere.
170
00:10:49,248 --> 00:10:51,573
- Pressure down to 76.
- You're back.
171
00:10:51,750 --> 00:10:54,157
- Where's my son?
- Let's squeeze in both units.
172
00:10:54,336 --> 00:10:57,502
- I've been holed up at the house.
- And not alone, either.
173
00:10:57,714 --> 00:11:00,632
Central-line kit and size 8 gloves.
Kem, right?
174
00:11:00,801 --> 00:11:04,217
- Cordis introducer gives more volume.
- Excellent, Morris.
175
00:11:04,388 --> 00:11:06,629
She was setting up the ARV therapy
in Kinshasa.
176
00:11:06,807 --> 00:11:08,467
Where's my son?
177
00:11:08,642 --> 00:11:10,718
- He needs help.
- Don't worry, Mr. Brodie.
178
00:11:10,894 --> 00:11:13,433
Your son's in good hands.
Someone you want us to call?
179
00:11:13,606 --> 00:11:14,934
- Your wife?
- No.
180
00:11:15,107 --> 00:11:17,349
- She died.
- One percent lido.
181
00:11:18,068 --> 00:11:20,903
- Did you ever meet her?
- Nope. Must've gotten past me.
182
00:11:21,738 --> 00:11:23,612
Set up for ultrasound.
183
00:11:25,743 --> 00:11:28,412
- Good to be home.
- Need another doc in here.
184
00:11:28,913 --> 00:11:30,323
Here.
185
00:11:30,706 --> 00:11:32,663
Is my dad next door?
I can't turn my head.
186
00:11:32,833 --> 00:11:34,624
- He's hanging in there.
- How's he doing?
187
00:11:34,793 --> 00:11:38,293
Probable rib fracture. The neck film
shows fusion and a bamboo spine.
188
00:11:38,464 --> 00:11:41,548
- Ankylosing spondylitis.
- Unusual bone disease at his age.
189
00:11:41,717 --> 00:11:44,422
Similar to juvenile arthritis.
Weakens the spine, though.
190
00:11:44,595 --> 00:11:46,837
Sucks living life in bubble wrap.
191
00:11:47,014 --> 00:11:50,847
Also has a big pulmonary contusion
and a small pneumo on the right.
192
00:11:51,019 --> 00:11:52,810
- What?
- There's a bruise on your lung.
193
00:11:52,979 --> 00:11:55,552
- You're having trouble breathing.
- May need to tube him.
194
00:11:55,731 --> 00:11:57,807
Give my dad another reason
to keep me inside.
195
00:11:57,984 --> 00:12:02,195
Call Anesthesia. They can do an LMA
or awake naso-tracheal while he's stable.
196
00:12:02,363 --> 00:12:05,863
You wanna call in the whole team. Your
African buddy wants to ban all tests.
197
00:12:06,034 --> 00:12:07,777
- What should I do?
- Isn't he the Attending?
198
00:12:07,952 --> 00:12:11,701
Hey, Taggart. Principal at your kid's
school wants you over there lickety-split.
199
00:12:11,873 --> 00:12:14,577
- What for?
- Don't know. Can't be good.
200
00:12:14,750 --> 00:12:16,993
Hey, you find another nurse
to cover for you.
201
00:12:17,170 --> 00:12:20,171
- Let's try nasal BiPAP. Thank you.
- I'll get it.
202
00:12:20,382 --> 00:12:22,623
- Where are the BiPAP masks?
- Bottom right drawer.
203
00:12:22,800 --> 00:12:25,338
Got the EKG.
Pressure's up to 100 systolic.
204
00:12:25,511 --> 00:12:27,587
- Neela, read it for me.
- I can do that.
205
00:12:27,763 --> 00:12:30,338
Left bundle branch block.
Can't see the ST segments.
206
00:12:30,517 --> 00:12:34,645
Probably not an acute MI,
but send a troponin.
207
00:12:34,813 --> 00:12:38,016
Can't visualize Morrison's pouch
with all this fat and air.
208
00:12:38,191 --> 00:12:41,145
- Where does it hurt, Mr. Brodie?
- Everywhere.
209
00:12:41,319 --> 00:12:46,314
Stay ahead four units of type-specific.
Hope his pressure stays up for a CT.
210
00:12:48,660 --> 00:12:50,617
He's fragile.
211
00:12:53,456 --> 00:12:54,916
- Is he mad?
- Who?
212
00:12:55,084 --> 00:12:58,702
My dad. I talked him into
letting me drive today.
213
00:12:58,879 --> 00:13:00,503
Oh, I'm sure he's not mad.
214
00:13:00,672 --> 00:13:03,044
Rales are worse.
Sats are down to 88.
215
00:13:03,258 --> 00:13:05,049
Might need to think about an airway.
216
00:13:05,427 --> 00:13:08,512
There's plenty of room to move
on BiPAP.
217
00:13:08,681 --> 00:13:10,673
Up his inspiratory pressure to 10.
218
00:13:10,849 --> 00:13:14,016
Dr. Carter, Kem called.
Dr. Subramanian's seeing her now.
219
00:13:14,561 --> 00:13:17,396
- She took her in early.
- Go. We're all over this.
220
00:13:19,066 --> 00:13:22,020
Okay, I'm only covering for Sam
until Severa gets here.
221
00:13:25,030 --> 00:13:26,774
What?
222
00:13:30,035 --> 00:13:32,111
- Kem.
- Look.
223
00:13:33,873 --> 00:13:37,372
Normal extremities.
Good fetal movement.
224
00:13:37,585 --> 00:13:41,748
- Any neural-tube defects?
- No. Looks great.
225
00:13:43,674 --> 00:13:45,714
It's our son.
226
00:13:46,344 --> 00:13:48,917
I couldn't help it. I wanted to know.
227
00:13:49,889 --> 00:13:51,383
He's beautiful, isn't he?
228
00:13:51,599 --> 00:13:53,556
A son?
229
00:14:07,573 --> 00:14:08,818
- Well?
- Count's the same.
230
00:14:08,991 --> 00:14:12,028
- Abby, that's totally wack.
- Don't make me call the union rep.
231
00:14:12,204 --> 00:14:15,952
Okay, I'm gonna call Weaver at home,
see if she'll cut us a break.
232
00:14:21,254 --> 00:14:23,128
It's ringing.
233
00:14:25,926 --> 00:14:27,384
Hi.
234
00:14:27,552 --> 00:14:28,928
- Dr. Weaver?
- Yeah?
235
00:14:29,095 --> 00:14:30,590
It's Abby.
236
00:14:30,764 --> 00:14:34,014
- Yeah, we found the missing Valium.
- It was Weaver?
237
00:14:34,809 --> 00:14:38,428
Yeah. Someone actually left it
in their lab coat pocket.
238
00:14:39,356 --> 00:14:43,270
I'll pass that along.
Says whoever did it is an idiot.
239
00:14:43,443 --> 00:14:45,436
- I'm out of here.
- Make that a double.
240
00:15:04,799 --> 00:15:07,799
- Hi.
- Hey.
241
00:15:08,135 --> 00:15:11,551
- Hey, how are you?
- I'm good.
242
00:15:11,722 --> 00:15:13,799
- I'm Abby.
- Kem. Good to meet you.
243
00:15:13,975 --> 00:15:16,548
You too. Welcome. And welcome back.
244
00:15:17,770 --> 00:15:20,012
- How have you been?
- Good.
245
00:15:20,189 --> 00:15:23,059
- I'm back in med school.
- Really?
246
00:15:25,360 --> 00:15:26,986
What's this?
247
00:15:27,780 --> 00:15:30,069
That's an ultrasound.
248
00:15:37,206 --> 00:15:38,748
- Congratulations.
- Thank you.
249
00:15:38,916 --> 00:15:40,744
Must be Kem.
250
00:15:41,419 --> 00:15:42,794
- Are you Luka?
- Yeah.
251
00:15:45,715 --> 00:15:49,214
- Wasn't for you, we wouldn't have met.
- Yeah.
252
00:15:49,552 --> 00:15:52,008
So boy or a girl?
253
00:15:52,180 --> 00:15:54,007
- It's-
- It's a boy.
254
00:15:54,182 --> 00:15:56,471
- Handsome.
- Like his daddy.
255
00:15:58,770 --> 00:16:00,394
Well, I should probably...
256
00:16:00,563 --> 00:16:03,434
...get back to work.
Come on. I'll walk you out.
257
00:16:03,608 --> 00:16:06,360
- Sure. Good to meet you both.
- Bye.
258
00:16:10,657 --> 00:16:12,780
They got together after I left.
259
00:16:16,204 --> 00:16:17,865
- You okay?
- Yeah.
260
00:16:18,040 --> 00:16:19,617
Okay.
261
00:16:21,752 --> 00:16:24,871
What? Did he knock her up
the minute he got there?
262
00:16:26,673 --> 00:16:28,333
- Going home?
- No.
263
00:16:28,508 --> 00:16:30,751
On-call room. Same thing.
264
00:16:37,100 --> 00:16:38,725
Got a messy one here!
265
00:16:38,894 --> 00:16:40,269
- Let me go!
- What happened?
266
00:16:40,437 --> 00:16:44,482
Two stab wounds to the upper left thigh.
Tachy at 120. BP 90 palp. Lost 2 liters-
267
00:16:44,650 --> 00:16:46,192
- Back off, man!
- Easy. Even with direct pressure.
268
00:16:46,360 --> 00:16:49,029
- Over the femoral artery?
- Okay, let's have a look.
269
00:16:50,614 --> 00:16:53,484
- Can we fit a BP cuff above it?
- The injury's too high.
270
00:16:53,659 --> 00:16:55,201
- Undo my belt.
- What?
271
00:16:55,369 --> 00:16:56,780
He needs a tourniquet now.
272
00:16:57,246 --> 00:16:59,322
- Mine's thinner and cheaper.
- Leave me alone.
273
00:16:59,957 --> 00:17:02,282
- Leave me alone!
- Okay, wrap it as high as you can.
274
00:17:03,377 --> 00:17:04,788
Leave me alone!
275
00:17:06,296 --> 00:17:08,622
I can't get it tight enough.
276
00:17:09,717 --> 00:17:11,875
Got it.
277
00:17:12,053 --> 00:17:14,508
- Let's get him in Trauma 1.
- Get off me, man.
278
00:17:14,680 --> 00:17:17,052
- Where did you learn that?
- Sitting on a patient?
279
00:17:17,224 --> 00:17:19,632
- Congolese nurse named Mwadi.
- You getting down?
280
00:17:19,810 --> 00:17:22,895
- Get off me, man.
- Not until he's restrained or sedated.
281
00:17:23,064 --> 00:17:24,642
Stab wound. Out of the way, please.
282
00:17:24,816 --> 00:17:27,900
- You taking Mr. Brodie to CT?
- No. Chuny is. Why, you need help?
283
00:17:28,069 --> 00:17:31,817
Your patient's pressure is borderline.
Two units and a med student with you.
284
00:17:34,200 --> 00:17:35,825
Mrs. Webster, this is a busy road.
285
00:17:35,994 --> 00:17:38,401
- How do I get out?
- By getting treated and released.
286
00:17:38,580 --> 00:17:42,529
Now, let's get you back into bed before
another gurney comes around the corner.
287
00:17:42,708 --> 00:17:45,116
Oh, you're a good boy.
288
00:17:45,294 --> 00:17:47,335
That's what all the ladies say.
289
00:17:48,006 --> 00:17:51,007
Thirty-year-old mom
with a history of migraines.
290
00:17:51,176 --> 00:17:54,627
- Neuro exam is normal.
- No neck stiffness or fever. Good vitals.
291
00:17:54,804 --> 00:17:56,512
- Morris, you all right?
- Yeah.
292
00:17:56,681 --> 00:18:00,181
Mrs. Hulsey, are you still going
to the headache clinic?
293
00:18:00,352 --> 00:18:04,848
No money for a sitter or anything.
I had to bring my kids.
294
00:18:05,023 --> 00:18:07,016
Any chance they can get
something to eat?
295
00:18:07,192 --> 00:18:10,276
- Sure.
- Maybe hamburgers or hot dogs?
296
00:18:10,445 --> 00:18:12,818
- For breakfast?
- Just something hearty, you know?
297
00:18:12,990 --> 00:18:17,118
Like mashed potatoes, gravy and giblets?
298
00:18:23,124 --> 00:18:24,619
Sorry.
299
00:18:25,669 --> 00:18:27,329
Think you should be working?
300
00:18:28,672 --> 00:18:31,210
Yeah. Maybe I should call
somebody else in?
301
00:18:34,719 --> 00:18:36,344
Sympathy hurl.
302
00:18:37,932 --> 00:18:39,723
Even a sandwich would be okay.
303
00:18:40,518 --> 00:18:42,142
We're not picky.
304
00:18:42,311 --> 00:18:45,181
Mrs. Hulsey, when's the last time
you had anything to eat?
305
00:18:47,691 --> 00:18:51,855
I know he's not happy,
but he can't be an ordinary boy.
306
00:18:52,071 --> 00:18:53,731
Man.
307
00:18:53,906 --> 00:18:56,479
Martin's 19. You need to let
the guy live a little.
308
00:18:56,659 --> 00:18:58,947
- Does he need oral contrast?
- No. Just IV.
309
00:18:59,119 --> 00:19:02,120
We'll be right on the other side
of the glass, Mr. Brodie.
310
00:19:03,041 --> 00:19:04,749
All right, fire it up.
311
00:19:04,917 --> 00:19:07,076
His son's the one with
all the osteophytes?
312
00:19:07,253 --> 00:19:11,749
It's not like he wants to play football.
Just wants to get out once in a while.
313
00:19:12,258 --> 00:19:14,084
Make sure you stay still, okay?
314
00:19:15,762 --> 00:19:17,671
- Mr. Brodie?
- His pressure's down.
315
00:19:17,847 --> 00:19:20,219
- Pull him from the tube.
- Define his pathology.
316
00:19:20,391 --> 00:19:23,143
- How fast can you do this? Come on.
- Well, fast, but-
317
00:19:23,311 --> 00:19:25,350
- Wait, what are we doing?
- Getting the scan.
318
00:19:25,521 --> 00:19:27,811
- Hey, you need to wear lead.
- He's not wearing lead.
319
00:19:27,983 --> 00:19:30,022
- He's only getting one scan.
- I do this every day?
320
00:19:30,652 --> 00:19:32,312
Ladies first. Leave that alone.
321
00:19:32,487 --> 00:19:35,274
Spike another unit and squeeze it in.
Hurry up.
322
00:19:35,448 --> 00:19:37,441
And page Corday.
323
00:19:44,666 --> 00:19:46,955
- They your patients?
- Mom was.
324
00:19:47,127 --> 00:19:50,661
Thought her migraines were kicking up.
Then I noticed the hair and nails.
325
00:19:50,838 --> 00:19:55,501
Dermatitis, loss of fat from the cheeks.
She and the kids are starving to death.
326
00:19:55,677 --> 00:19:58,133
They'll get sick if we increase
calories too rapidly.
327
00:19:58,305 --> 00:20:01,222
Yeah, I'm admitting to Pedes
for slow re-feeding.
328
00:20:01,391 --> 00:20:03,348
She's beautiful, by the way.
329
00:20:03,518 --> 00:20:06,010
- So when are you going back?
- Two weeks.
330
00:20:06,188 --> 00:20:07,848
On my way up to Weaver's office...
331
00:20:08,023 --> 00:20:10,977
...to drop off my resignation letter.
How long you gonna stay?
332
00:20:11,151 --> 00:20:14,484
Kem's gonna go back and see her family
for a couple weeks.
333
00:20:14,654 --> 00:20:16,398
Then come back here and have the baby.
334
00:20:16,573 --> 00:20:19,658
- She miss home?
- Yeah, we both do.
335
00:20:19,827 --> 00:20:23,990
Hey, give yourself a week of hot showers
and an unlimited glove supply...
336
00:20:24,164 --> 00:20:25,872
...you'll miss it less.
337
00:20:28,252 --> 00:20:30,742
Dr. Carter. Martin's respiratory distress
is worse.
338
00:20:31,339 --> 00:20:35,336
- I thought Anesthesia was coming down.
- I paged. Apparently, he's at a pain clinic.
339
00:20:35,509 --> 00:20:38,131
- What's his pulse ox?
- Eighty-six and dropping.
340
00:20:38,721 --> 00:20:41,009
- How are you doing, Martin?
- Not so good.
341
00:20:41,181 --> 00:20:44,681
Let's up his inspiratory pressure at 15
and give him 5 of albuterol.
342
00:20:44,852 --> 00:20:48,435
I'll be back with an anesthesiologist
if I have to pull one out myself.
343
00:20:48,606 --> 00:20:50,433
Heart rate's down to 58.
344
00:20:50,608 --> 00:20:53,063
Come on, you got a kid who needs you.
Push the drugs.
345
00:20:53,235 --> 00:20:56,022
- Start the scan.
- Need to get your hands out of there.
346
00:20:56,196 --> 00:20:57,905
Atropine's in.
347
00:20:58,074 --> 00:20:59,782
Go.
348
00:20:59,951 --> 00:21:02,702
- How long is this gonna take?
- Twenty seconds, tops.
349
00:21:02,870 --> 00:21:04,946
I thought this was
a third-generation scanner.
350
00:21:05,122 --> 00:21:06,664
Another 10 seconds.
351
00:21:06,832 --> 00:21:08,659
What in God's name are you doing?
352
00:21:08,834 --> 00:21:12,453
Keeping this guy alive so we can get
the CT and show you where to cut.
353
00:21:12,630 --> 00:21:15,715
- Systolic's down to 90.
- Come on. Have we got soup yet?
354
00:21:16,718 --> 00:21:18,876
There. Eight-centimeter Triple-A.
355
00:21:20,596 --> 00:21:23,800
He would've bled out while I focused
on the liver and the spleen.
356
00:21:23,975 --> 00:21:25,968
It's all in the wrist.
357
00:21:26,561 --> 00:21:28,637
Dr. Carter? My patient's
in respiratory failure.
358
00:21:28,813 --> 00:21:30,604
No.
359
00:21:32,275 --> 00:21:34,563
Dr. Carter is not in here.
360
00:21:35,237 --> 00:21:37,526
- Sats are 82.
- I can't find Dr. Kovac either.
361
00:21:37,698 --> 00:21:40,023
- Martin, stay with us.
- What the hell's going on?
362
00:21:40,200 --> 00:21:43,984
- Progressive hypoxia despite inspiratory-
- Meaning he's not breathing. Bag him.
363
00:21:44,162 --> 00:21:46,320
- Bradying down to 52.
- Carter call Anesthesia?
364
00:21:46,497 --> 00:21:48,705
- An hour ago.
- Forget them coming to the rescue.
365
00:21:48,876 --> 00:21:51,283
Mig of atropine. Twenty of etomidate.
120 of sux.
366
00:21:51,461 --> 00:21:53,750
- We're supposed to wait.
- Lost the pulse.
367
00:21:54,423 --> 00:21:56,249
No, can't wait anymore.
368
00:21:56,424 --> 00:21:58,583
- Amp of epi.
- What are you doing?
369
00:21:58,760 --> 00:22:01,596
- He needs oxygen.
- Sats are dropping. Seventy-four.
370
00:22:01,764 --> 00:22:05,263
- Is the stiffness part of his disease?
- Pull his arms down, 100 of lido.
371
00:22:08,061 --> 00:22:09,721
I can't visualize squat.
372
00:22:09,896 --> 00:22:11,556
Dr. Pratt, are you sure?
373
00:22:11,731 --> 00:22:13,606
- Lido onboard.
- Stop compressions.
374
00:22:14,735 --> 00:22:17,107
- Pratt.
- I think I got it.
375
00:22:20,574 --> 00:22:22,198
Oh, God.
376
00:22:31,460 --> 00:22:35,043
- Hook up the ambu-bag.
- Pulse is strong and regular.
377
00:22:41,554 --> 00:22:42,752
Did he break his neck?
378
00:22:53,274 --> 00:22:55,314
Sats are good, 98 with 5 of PEEP.
379
00:22:55,485 --> 00:22:57,976
There's still no motor tone in the legs.
380
00:22:58,154 --> 00:23:00,360
It's probably the intubation meds.
381
00:23:01,574 --> 00:23:03,532
Sux only paralyzes for 10 minutes.
382
00:23:04,411 --> 00:23:06,071
Could be a slow metabolizer.
383
00:23:07,664 --> 00:23:11,412
- I just broke off a bone bridge, that's all.
- No withdrawal to pain.
384
00:23:11,584 --> 00:23:14,585
Well, even if his neck is broken,
doesn't mean he's paralyzed.
385
00:23:15,713 --> 00:23:20,126
Hang the steroids. And we'll take him
up to MRI. We'll know for sure.
386
00:23:36,401 --> 00:23:38,643
It's okay, baby.
387
00:23:38,820 --> 00:23:41,822
Mrs. Webster, you have to
get back in bed before you get hurt.
388
00:23:41,991 --> 00:23:43,864
I know you're busy.
389
00:23:44,034 --> 00:23:47,154
Severa, can we get her some
soft restraints for her protection?
390
00:23:47,329 --> 00:23:51,161
- Yes, doctor.
- But Mama still loves you.
391
00:24:00,634 --> 00:24:02,591
- Hey, you're back.
- Not quite.
392
00:24:02,761 --> 00:24:04,588
- Go wait in the lounge.
- Hi, Chuny.
393
00:24:04,763 --> 00:24:07,551
- Hey, Alex.
- Mommy dearest, Nursing director called.
394
00:24:07,725 --> 00:24:10,014
You're one emergency break away
from probation.
395
00:24:10,186 --> 00:24:13,021
- Perfect.
- Everything okay with Alex?
396
00:24:14,315 --> 00:24:16,805
- No school today?
- Nope. Excuse me.
397
00:24:16,984 --> 00:24:18,526
Dr. Carter?
398
00:24:18,694 --> 00:24:22,277
- Start with 25 of meclizine. Yep?
- I know we just met, but...
399
00:24:22,448 --> 00:24:25,568
- ... I wondered if you could do me a favor.
- Yeah.
400
00:24:26,911 --> 00:24:30,529
35-year-old female with AIDS-related
lymphoma, shortness of breath...
401
00:24:30,706 --> 00:24:33,542
- ... and hypotension.
- HIV status was diagnosed but untreated.
402
00:24:33,710 --> 00:24:35,287
- Hospice care?
- Lives alone at home.
403
00:24:35,461 --> 00:24:38,083
- How long have you had AIDS, ma'am?
- Too long.
404
00:24:38,256 --> 00:24:39,454
One, two, three.
405
00:24:40,258 --> 00:24:41,502
Any advanced directive?
406
00:24:41,676 --> 00:24:44,510
- Hypotensive, 78/52.
- Hey, what are you doing here?
407
00:24:44,678 --> 00:24:47,550
I guess someone bought into the idea
Morris was really sick.
408
00:24:47,724 --> 00:24:50,475
A hundred percent 02
and mix up dobutamine.
409
00:24:50,643 --> 00:24:52,636
- Who's your doctor, Ruthie?
- Don't have one.
410
00:24:52,812 --> 00:24:56,512
EKG, ABG and a portable chest.
Sorry about this morning, man.
411
00:24:56,691 --> 00:24:58,020
You didn't look too sorry.
412
00:24:58,193 --> 00:25:00,600
Lungs are wet and there's a harsh
systolic murmur.
413
00:25:00,779 --> 00:25:04,112
- Could never get an appointment.
- Aortic stenosis?
414
00:25:04,282 --> 00:25:07,069
More like mitral regurge.
We need an echo ASAP.
415
00:25:07,243 --> 00:25:08,868
Got it.
416
00:25:09,036 --> 00:25:12,122
- How's Val getting to the airport?
- Cab.
417
00:25:12,291 --> 00:25:14,248
We'll take care of you, Ruthie, okay?
418
00:25:14,751 --> 00:25:16,957
I can't believe he sutured himself.
419
00:25:17,128 --> 00:25:20,996
Edges are everted.
Nice wound approximation.
420
00:25:21,466 --> 00:25:24,254
- Hurt much when you did it?
- I numbed it with an ice cube.
421
00:25:25,512 --> 00:25:28,003
- That was good thinking.
- Don't encourage him.
422
00:25:28,181 --> 00:25:31,348
I'm gonna put in another stitch
just to be on the safe side.
423
00:25:31,601 --> 00:25:35,433
And I think you'll find that lidocaine
works much better than ice cubes.
424
00:25:35,856 --> 00:25:38,643
- I didn't have any.
- Sutures stay in for about seven days.
425
00:25:38,817 --> 00:25:41,142
And then I'm sure Mom
can take them out for you.
426
00:25:41,320 --> 00:25:44,605
- I can do it.
- I don't think so.
427
00:25:46,199 --> 00:25:48,525
- I appreciate your doing this.
- No problem.
428
00:25:48,703 --> 00:25:52,486
You ever seen a kid do something
this crazy before?
429
00:25:52,665 --> 00:25:54,574
To be honest...
430
00:25:58,003 --> 00:26:00,245
Pressure's up to 100.
Try a nitro spray.
431
00:26:00,422 --> 00:26:02,332
- She's a grown woman.
- We work together.
432
00:26:02,508 --> 00:26:05,711
Some respect would've been nice.
No acute ST changes.
433
00:26:05,886 --> 00:26:08,673
Some respect for the fact that we're
consenting adults would be nice.
434
00:26:08,848 --> 00:26:11,338
Hey, enough. Take it outside.
435
00:26:16,147 --> 00:26:18,223
Just when it was getting good.
436
00:26:18,399 --> 00:26:22,728
- It's not like I don't want her to date.
- You just don't want her to date me.
437
00:26:22,903 --> 00:26:26,949
- Look, man, this is not personal.
- You thinking I'm not good enough isn't?
438
00:26:27,117 --> 00:26:29,239
I got news for you, Mike.
It's not your call.
439
00:26:29,410 --> 00:26:31,320
I give up.
440
00:26:31,496 --> 00:26:33,737
- You barely know her.
- Yeah, no thanks to you.
441
00:26:33,915 --> 00:26:36,666
MRI called. They finished
with the neck-fracture guy.
442
00:26:39,838 --> 00:26:43,337
Ruthie, it appears as though
you have a tumor in your heart.
443
00:26:43,508 --> 00:26:45,880
It's gonna require a surgery.
444
00:26:46,052 --> 00:26:47,463
Why?
445
00:26:48,388 --> 00:26:52,552
Because the tumor will eventually
make it impossible for your heart-
446
00:26:52,726 --> 00:26:56,142
That'll keep me in the hospital,
what, a month?
447
00:26:56,813 --> 00:27:01,938
- Maybe longer.
- Now you wanna spend money on me.
448
00:27:02,902 --> 00:27:07,114
- Ruthie-
- Just save it for the next patient.
449
00:27:07,282 --> 00:27:09,322
Too late for this one.
450
00:27:13,204 --> 00:27:17,284
Okay, how about a little
cramping and dizziness to ease back in?
451
00:27:17,459 --> 00:27:20,911
- I thought you weren't on until 4.
- I'm not. But since I couldn't sleep...
452
00:27:21,088 --> 00:27:23,164
...I figured I'd make myself useful.
453
00:27:23,340 --> 00:27:24,620
Hey...
454
00:27:24,800 --> 00:27:26,958
...do you know much about
our insurance policy?
455
00:27:27,135 --> 00:27:29,044
Does it cover...
456
00:27:29,220 --> 00:27:30,419
...therapy?
457
00:27:30,598 --> 00:27:32,721
Physical or psychological?
458
00:27:32,892 --> 00:27:37,138
Like couples or family counseling.
You know, nothing serious.
459
00:27:37,312 --> 00:27:40,349
I think it's 80 percent,
but there's a max per year.
460
00:27:40,524 --> 00:27:41,982
Excuse me.
461
00:27:42,609 --> 00:27:43,938
Hey.
462
00:27:45,404 --> 00:27:48,156
- Can you tell me where I can find-?
- Hey, Valerie.
463
00:27:48,324 --> 00:27:50,815
- What are you doing here?
- I'm looking for you.
464
00:27:50,993 --> 00:27:52,985
Yeah, right. Have you seen
Pratt anywhere?
465
00:27:53,162 --> 00:27:54,988
He's up in MRI.
You want me to call him?
466
00:27:56,290 --> 00:27:58,828
- I thought your plane left at 2.
- It does.
467
00:27:59,001 --> 00:28:01,457
You come all the way down to see him
before you leave?
468
00:28:01,629 --> 00:28:04,333
- It's gonna take an hour just-
- I came to see you, Mike.
469
00:28:04,507 --> 00:28:07,543
I didn't wanna leave things this way.
470
00:28:07,718 --> 00:28:09,795
For real?
471
00:28:09,971 --> 00:28:13,422
You're my brother.
That's gotta come first.
472
00:28:13,850 --> 00:28:18,227
- I'll be more considerate next time, okay?
- Yeah.
473
00:28:20,022 --> 00:28:23,855
- Need me to get you a cab?
- No, I got one waiting.
474
00:28:24,027 --> 00:28:27,561
- I'll call you when I get in?
- Okay.
475
00:28:30,825 --> 00:28:35,487
- Don't be so serious all the time.
- Have a safe flight.
476
00:28:36,414 --> 00:28:40,626
- Cord edema and contusion at C-5.
- That can resolve with decompression.
477
00:28:40,793 --> 00:28:44,411
Not with this degree of hemorrhage.
Kid thought he had it bad before.
478
00:28:44,589 --> 00:28:47,163
Broke it in an MVA, right?
479
00:28:50,429 --> 00:28:54,260
Pratt, Mr. Brodie's in recovery.
I've repaired his abdominal aneurysm.
480
00:28:54,432 --> 00:28:57,350
And he's gonna be just fine.
How's his son doing?
481
00:28:57,518 --> 00:29:02,015
- You don't wanna know.
- I do. His father's asking about it.
482
00:29:02,191 --> 00:29:05,144
Complete cervical-cord injury
with quadriplegia.
483
00:29:07,195 --> 00:29:09,235
His neck snapped during an intubation.
484
00:29:09,406 --> 00:29:10,781
Performed by whom?
485
00:29:12,117 --> 00:29:13,398
Me.
486
00:29:14,411 --> 00:29:15,989
I'm sorry.
487
00:29:16,371 --> 00:29:18,578
- You okay?
- Yeah.
488
00:29:26,257 --> 00:29:27,715
Hey.
489
00:29:33,430 --> 00:29:34,628
Hey! Taxi!
490
00:29:35,599 --> 00:29:36,879
Hey!
491
00:29:37,060 --> 00:29:38,969
Taxi! Hey.
492
00:29:39,979 --> 00:29:42,018
Greg? Unlock the door.
493
00:29:42,189 --> 00:29:45,772
Hey, if I'd known you were coming,
I would've stayed downstairs.
494
00:29:45,943 --> 00:29:48,778
Come on. Let me help you out.
495
00:29:51,074 --> 00:29:55,700
- You all right?
- Yeah. It's just a rough day, that's all.
496
00:29:55,870 --> 00:29:57,578
You know, it's been good with you.
497
00:29:58,581 --> 00:30:02,449
- Very good.
- Yeah, it has.
498
00:30:02,627 --> 00:30:06,162
Look, I got four days off next week.
How about I come out to D.C.?
499
00:30:06,339 --> 00:30:09,459
- We hang out, have a good time.
- That's sweet.
500
00:30:09,634 --> 00:30:13,762
- I'm serious.
- I'm sure you are, but...
501
00:30:13,929 --> 00:30:15,472
But what?
502
00:30:16,433 --> 00:30:17,713
Greg...
503
00:30:17,892 --> 00:30:20,300
...it's been fun, you know, a total blast.
504
00:30:20,478 --> 00:30:21,937
But...
505
00:30:22,105 --> 00:30:25,604
...this has been like being on vacation
for me, you know?
506
00:30:25,775 --> 00:30:27,233
What?
507
00:30:38,788 --> 00:30:40,616
Bye, baby.
508
00:30:52,218 --> 00:30:54,792
I thought he needed to be reminded.
509
00:30:56,932 --> 00:31:00,550
- No chips?
- Carrot sticks are better for you.
510
00:31:00,727 --> 00:31:04,641
- I got this. Thanks.
- Yeah. Look, he told me what he did.
511
00:31:04,814 --> 00:31:06,440
Really?
512
00:31:07,443 --> 00:31:11,061
I just wanted you to know
that I didn't show him how.
513
00:31:11,905 --> 00:31:14,657
I know. I did.
514
00:31:14,992 --> 00:31:17,280
Didn't think he'd ever try it.
515
00:31:17,828 --> 00:31:20,070
I guess that wasn't such a good idea.
516
00:31:22,124 --> 00:31:24,698
I'm trying to call Sharon,
see if she'll babysit...
517
00:31:24,877 --> 00:31:26,786
...but I haven't heard from her yet.
518
00:31:27,379 --> 00:31:29,170
Okay.
519
00:31:30,215 --> 00:31:31,675
Eat.
520
00:31:35,096 --> 00:31:39,556
- She's, like, wigging out over nothing.
- Hey, just do as your mother says, okay?
521
00:31:50,069 --> 00:31:53,105
- Did he seem okay to you?
- Yeah. Why?
522
00:31:53,739 --> 00:31:58,201
It's just really hard doing it all
by yourself, you know? I mean, I try.
523
00:31:58,370 --> 00:32:01,703
- You're doing great.
- Everyone says my kid's a freak.
524
00:32:01,873 --> 00:32:03,533
People talk. So what?
525
00:32:03,708 --> 00:32:06,625
I stuck tweezers into an electrical socket
when I was his age.
526
00:32:06,794 --> 00:32:09,251
- And I knew better.
- Then why did you do it?
527
00:32:09,423 --> 00:32:12,708
Because I was a kid.
Kids do stupid things sometimes.
528
00:32:15,637 --> 00:32:17,925
- You think maybe he needs-?
- Hey, he'll be fine.
529
00:32:25,480 --> 00:32:28,896
- Severa, where's Mrs. Webster?
- Who?
530
00:32:29,067 --> 00:32:31,688
Older black woman, wanderer.
She finally go up to Cards?
531
00:32:31,861 --> 00:32:34,352
Had to park her in the hall.
Morgue hasn't come yet.
532
00:32:34,530 --> 00:32:37,817
- Didn't think she was your patient.
- She wasn't.
533
00:32:52,508 --> 00:32:54,299
Damn.
534
00:33:05,938 --> 00:33:08,476
16-year-old male, multiple GSW
to the chest and abdomen.
535
00:33:08,649 --> 00:33:11,318
- Lost his pulse en route.
- Is he a gang kid?
536
00:33:11,485 --> 00:33:16,028
Whatever happened to playing cops and
robbers? Two dead, another on the way.
537
00:33:16,198 --> 00:33:17,313
Open up!
538
00:33:18,409 --> 00:33:21,030
- Trauma 2's clear.
- Hey, I got another one behind me.
539
00:33:21,203 --> 00:33:24,120
Come on, Sheila, Lester, go with Carter.
Neela, stay with me.
540
00:33:24,289 --> 00:33:25,915
- Where do I go?
- They need hands in 2.
541
00:33:26,084 --> 00:33:29,287
9- year-old caught in the crossfire.
Shotgun wound, pressure steady...
542
00:33:29,462 --> 00:33:32,581
- ... 92/64 after a liter.
- Sam, prime the rapid infuser.
543
00:33:32,757 --> 00:33:34,381
- What's your name, big guy?
- David.
544
00:33:34,550 --> 00:33:38,216
Don't be scared, David.
Dr. Kovac is one of the best here.
545
00:34:05,332 --> 00:34:06,874
Martin.
546
00:34:13,339 --> 00:34:15,166
Your dad's gonna be okay.
547
00:34:18,887 --> 00:34:22,054
I need to talk to you
about your intubation.
548
00:34:23,850 --> 00:34:26,008
There was...
549
00:34:28,021 --> 00:34:31,889
...a problem involving
your spinal cord.
550
00:34:36,196 --> 00:34:39,731
And it seems as though
you're gonna be paralyzed.
551
00:34:59,637 --> 00:35:02,092
- V-tach.
- All right, shock him once before we cut.
552
00:35:02,264 --> 00:35:05,929
Two hundred. This guy's got an entrance
wound for every two years of his life.
553
00:35:06,101 --> 00:35:07,976
Missed one in the right axilla.
554
00:35:08,146 --> 00:35:10,222
- Charged.
- Clear.
555
00:35:10,398 --> 00:35:12,106
- It's no change.
- Give me a 10 blade.
556
00:35:12,274 --> 00:35:13,769
Two units of O-neg infusing.
557
00:35:13,943 --> 00:35:15,353
Suction.
558
00:35:17,154 --> 00:35:18,945
Rib spreader.
559
00:35:25,037 --> 00:35:27,363
All right, everybody. Watch your feet.
560
00:35:29,333 --> 00:35:31,906
All right, four units of O-neg,
then type-specific.
561
00:35:32,086 --> 00:35:34,210
Come around here
and do internal compressions.
562
00:35:34,381 --> 00:35:38,592
The most survivable lesion is myocardial
penetration with tamponade.
563
00:35:39,427 --> 00:35:42,048
- Heart's empty.
- All right, Satinsky.
564
00:35:42,221 --> 00:35:43,550
You want FFP too?
565
00:35:43,806 --> 00:35:47,057
- Why FFP?
- If you get a dilutional coagulopathy...
566
00:35:47,227 --> 00:35:48,935
...after five units.
567
00:35:51,564 --> 00:35:54,316
- Aorta is cross-clamped.
- Big hole in the left ventricle.
568
00:35:54,484 --> 00:35:57,770
- Let's plug it with a Foley, 30 cc balloon.
- That'll work?
569
00:35:57,946 --> 00:36:02,026
- Paramedics said he had a pulse.
- It's worth a try.
570
00:36:02,200 --> 00:36:04,821
Fifty mics of fent. He's out.
571
00:36:04,995 --> 00:36:07,699
Vascular's in the O.R. with a fem-pop.
It'll be a while.
572
00:36:07,872 --> 00:36:09,366
He doesn't have a while.
573
00:36:09,540 --> 00:36:12,459
The longer we wait,
the greater loss of arm function.
574
00:36:12,628 --> 00:36:14,454
- Get me a vascular clamp.
- From where?
575
00:36:14,630 --> 00:36:16,622
Thoracotomy kit.
576
00:36:17,132 --> 00:36:19,919
Neela, I'm rolling back with pressure.
577
00:36:20,593 --> 00:36:25,303
When you see the end of the artery,
press down hard with your finger.
578
00:36:25,474 --> 00:36:29,139
- Have an 0-silk stitch ready on a driver.
- Wound's down through the biceps.
579
00:36:29,311 --> 00:36:30,556
I see humerus.
580
00:36:30,729 --> 00:36:34,145
- Can a vascular clamp repair that?
- It's our best shot.
581
00:36:34,316 --> 00:36:36,938
If the arm is ischemic too long,
we'll have to amputate.
582
00:36:37,111 --> 00:36:39,103
All right, hold compressions.
583
00:36:39,280 --> 00:36:41,106
- V-fib.
- Charge to 30.
584
00:36:41,282 --> 00:36:44,033
- You gotta let go of the Foley.
- No, no. It won't conduct.
585
00:36:46,453 --> 00:36:47,733
Still fib. Shock again?
586
00:36:47,913 --> 00:36:49,657
No. Resume compressions.
587
00:36:49,832 --> 00:36:51,741
Hold this. And give me a 10 blade.
588
00:36:51,917 --> 00:36:55,832
Heart won't respond to defibrillation
until you've restored volume until it's full.
589
00:36:56,005 --> 00:36:59,919
- So, what are you doing now?
- It's called a clamshell incision.
590
00:37:00,092 --> 00:37:03,047
- He must be bleeding in the right chest.
- Six units in so far.
591
00:37:03,221 --> 00:37:04,881
Keep them coming.
592
00:37:05,598 --> 00:37:07,721
- Got it.
- Clamp.
593
00:37:13,605 --> 00:37:16,358
Push me the pad and get me
some IV tubing.
594
00:37:17,318 --> 00:37:19,607
I'll tie the proximal end,
you do the distal.
595
00:37:22,031 --> 00:37:25,696
- Purse-string it with 0 silk.
- That gonna hold a high-pressure artery?
596
00:37:25,868 --> 00:37:28,953
Just a bridge until Vascular can do
a real repair.
597
00:37:29,122 --> 00:37:32,657
- And this won't clot off?
- By then he will be in the O.R.
598
00:37:40,467 --> 00:37:42,459
Releasing proximally.
599
00:37:49,100 --> 00:37:50,678
A little oozing.
600
00:37:52,187 --> 00:37:56,054
- Nails are pinking up.
- Palpable radial-ulnar pulse.
601
00:37:57,109 --> 00:37:58,567
Didn't think you could do that.
602
00:38:02,572 --> 00:38:04,980
- Fine V-fib.
- Been five minutes since the last epi.
603
00:38:05,159 --> 00:38:06,902
Okay, push another amp.
604
00:38:07,077 --> 00:38:08,406
Clear.
605
00:38:10,414 --> 00:38:13,035
- Asystole.
- All right, another mig of atropine.
606
00:38:13,208 --> 00:38:14,999
- Is the heart filling?
- Yeah.
607
00:38:15,168 --> 00:38:18,752
After eight units, packed cells,
two FFP and a ton of platelets.
608
00:38:22,593 --> 00:38:24,087
Okay, that's it.
609
00:38:26,972 --> 00:38:29,973
- Pretty big mess.
- Can't say we didn't try.
610
00:38:30,142 --> 00:38:32,716
I'll get Housekeeping on it.
611
00:38:39,902 --> 00:38:42,060
I'm glad you went back.
612
00:38:43,698 --> 00:38:45,571
To med school?
613
00:38:46,784 --> 00:38:48,527
Yeah. Me too.
614
00:38:48,703 --> 00:38:50,446
You never should have left.
615
00:38:50,621 --> 00:38:51,901
Well...
616
00:38:52,081 --> 00:38:54,785
...timing is everything, right?
617
00:38:57,837 --> 00:38:58,916
What?
618
00:39:01,299 --> 00:39:03,624
- Nothing.
- What?
619
00:39:06,846 --> 00:39:08,126
You seem happy.
620
00:39:09,891 --> 00:39:11,136
Right back at you.
621
00:39:13,144 --> 00:39:14,935
So we're okay?
622
00:39:18,316 --> 00:39:19,514
We're okay.
623
00:39:21,153 --> 00:39:24,984
Good. Because Kem and I,
we're gonna go get some dinner later.
624
00:39:25,156 --> 00:39:26,816
Wanna come with us?
625
00:39:28,159 --> 00:39:29,618
Well...
626
00:39:29,786 --> 00:39:31,494
...I'm not that okay.
627
00:39:32,830 --> 00:39:34,658
- See you tomorrow.
- Yeah.
628
00:39:40,839 --> 00:39:42,831
Ready to go?
629
00:39:46,720 --> 00:39:48,095
Alex.
630
00:39:48,680 --> 00:39:51,171
Come on. It's time to go home.
631
00:39:56,187 --> 00:40:00,056
You can bring your car around.
I can help you carry him.
632
00:40:00,609 --> 00:40:02,353
He's pretty out of it.
633
00:40:14,707 --> 00:40:20,460
- You should have waited in the car.
- I haven't seen snow since I was a kid.
634
00:40:22,297 --> 00:40:24,587
- Did you arrange for it?
- Yeah.
635
00:40:24,759 --> 00:40:29,586
- Think it's too much?
- I think it's damn cold.
636
00:40:32,141 --> 00:40:36,434
- God, it's a good thing I love you.
- You want me to stop?
637
00:40:37,105 --> 00:40:38,848
Not necessarily.
638
00:40:50,618 --> 00:40:52,611
- We should go.
- Put him in the back seat.
639
00:40:56,541 --> 00:40:59,210
- Good night.
- Good night.
640
00:41:11,431 --> 00:41:14,265
- Thanks.
- Anytime.
641
00:41:15,394 --> 00:41:17,600
- You off now?
- Yep.
642
00:41:18,563 --> 00:41:19,761
You need a lift?
643
00:41:22,067 --> 00:41:24,059
I have something to take care of first.
644
00:41:25,028 --> 00:41:26,652
Okay.
645
00:41:40,753 --> 00:41:43,706
- What are you doing?
- Need to fix my resignation letter.
646
00:41:44,464 --> 00:41:47,216
- So you broke into my office?
- The door was open.
647
00:41:47,384 --> 00:41:50,587
- I'm changing the date on my last shift.
- Let me guess. Sooner?
648
00:41:50,762 --> 00:41:52,304
Actually, later.
649
00:41:53,139 --> 00:41:54,800
You wanna be a little more specific?
650
00:41:56,143 --> 00:41:57,721
No.
651
00:41:57,895 --> 00:42:00,730
- Not right now, anyway.
- Well, let me know when you decide.
652
00:42:00,898 --> 00:42:02,771
See you tomorrow, Kerry.
653
00:42:03,400 --> 00:42:04,645
Stay out of my inbox.
654
00:42:08,072 --> 00:42:09,649
You'll have another?
655
00:42:10,658 --> 00:42:12,484
Bring it on.
656
00:42:16,205 --> 00:42:18,493
Come by to give me some more?
657
00:42:19,167 --> 00:42:21,704
- Hey, I'll take one of those.
- You got it.
658
00:42:22,420 --> 00:42:24,993
To tell you the truth,
I'm really not in the mood.
659
00:42:25,840 --> 00:42:29,504
Yeah, I heard about that neck thing.
That's some hard stuff, man.
660
00:42:33,848 --> 00:42:38,557
Look, we got a big family, okay?
Lots of boys. Val's the only girl.
661
00:42:38,728 --> 00:42:41,931
So we all tend to be a bit
overprotective.
662
00:42:42,106 --> 00:42:45,523
I ever tell you my mom died
when I was 12?
663
00:42:46,319 --> 00:42:48,193
No, you didn't.
664
00:42:48,529 --> 00:42:51,364
That's some hard-ass stuff right there.
665
00:42:51,532 --> 00:42:54,403
You have to get used to being by yourself
when that happens.
666
00:42:55,911 --> 00:42:57,490
What about your father?
667
00:42:58,582 --> 00:43:00,124
The truth is...
668
00:43:00,292 --> 00:43:02,284
...all anybody's got is themselves.
669
00:43:04,921 --> 00:43:06,498
I'm not sure I agree with that.
670
00:43:07,048 --> 00:43:08,376
Look...
671
00:43:08,549 --> 00:43:11,800
...just say what you have to say
and leave me at peace, okay?
672
00:43:15,682 --> 00:43:18,137
- My sister-
- Played me.
673
00:43:19,269 --> 00:43:21,095
She played me.
674
00:43:23,649 --> 00:43:26,104
Well, you can't say I didn't warn you.
675
00:43:26,610 --> 00:43:28,898
So you were protecting me, huh?
676
00:43:29,821 --> 00:43:32,193
Look, anyway, I'm sorry.
677
00:43:32,365 --> 00:43:33,943
No worries.
678
00:43:34,117 --> 00:43:35,577
Okay, then.
679
00:43:35,744 --> 00:43:37,369
Have a good night.
680
00:43:39,248 --> 00:43:40,872
No, leave it.
681
00:43:41,041 --> 00:43:42,832
I'll drink it.
682
00:44:31,046 --> 00:44:33,122
Subtitles by SDI Media Group
Ripped by subXpacio and TusSeries
683
00:44:33,298 --> 00:44:35,378
[ENGLISH]
54542
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