All language subtitles for ER S05E01 Day for Knight.DVDRip.NonHI.cc.en.WB

Yeah, he's right
there. I called him.

What happened? Is he okay?

I think he might have slipped.

Naw, it looked to
me like he fainted.

Okay. Uh, every...

Just get back,
everybody, get back.

We got a doctor here.
Give him some room.

Hospital's around the corner.

Some guy ran for help.

My head hurts.

This pavement's hard.

All right. I'll
help ya. I'll help.

You shouldn't move
his neck, should you?

Oh, God. Are you okay?

I just told you. My head hurts.

Okay, don't worry.
You're gonna be fine.

We're all gonna help you.

You want us to do something?

We've got to... HATHAWAY:
Coming through.

Excuse us. Let us in here.

Hey, sir, are you okay?

Yeah. Can you help me up?

We're gonna
check you over first.

What's your name? Barry Mahoney.

He fell down. Thank you.

And he's bleeding a little bit.

Great. Thanks. We'll
take it from here.

Carol, we need to
stabilize his neck.

I'll get a C-collar
and a gurney.

So Jen's gone for a month?

She has to take a couple
hundred depositions in St. Louis,

so she figured it'd be
easier just to stay down there.

My head still hurts.

It's just a small scalp
laceration, Mr. Mahoney.

Nothing to worry about.

And she's letting Rachel
stay with you the whole time?

Rachel didn't want to miss
soccer camp, so she's staying.

Let's get a saline line going.
TKO, CBC and a Chem-20.

Want a portable C-spine?

Yeah. Thanks. And a 12-lead EKG.

Can we help you?

Just wanted to make
sure he was okay.

Family needs to
wait out in Chairs.

No, I'm not family.

I was passing by
and tried to help.

Didn't do much.

Just put her coat under my head.

I'm sure Mr. Mahoney
is very grateful,

but passersby need
to wait out in Chairs too.

Accu-Chek, 124. HemoCue, 13.8.

No, actually, I'm
supposed to be right here.

I'm a third-year med student.

I'm starting my
ER rotation today.

Is that today?

So this lab coat
must be yours. Yes.

So, what should I do?

What's your name? Lucy Knight.

Well, Miss Knight,
welcome to County General.

You need to check in,
so wait out in Chairs.

You don't want
me to do anything?

Carol?

Left down the hall
and then a right.

Should I at least observe?

Left down the hall
and then a right.

Hey, Luce.

Did you just get here?

Bernard, what are you doing?

What happened?

Oh, some fire
twirler burned his butt

and the whole troupe's
waiting for him. What is this?

You look like some
geek pacing around.

I am a geek pacing around.

Taking Dr. Weaver's
audio tour of the ER.

Who's Dr. Weaver?

Kind of short, red
hair, uses a crutch.

So they just have
you sitting here?

I don't know what to do.

No one's told me anything.

I gotta get back to my tour.

Oh, Bernard, what
are you doing later?

I have to practice
drawing blood.

They're not gonna make
you do procedures the first...

All right. I'll find you.

Come on, outta the way!

Trauma One's clear.

What do we got, Peter?

Multiple GSWs.
Head, face and chest.

GCS 7, BP 60 palp,
two large-bore IVs,

normal saline, a liter
and a half in the field.

Prep a Thora-Seal and set up...

Lucy Knight? Yeah, yeah.

Jerry Markovic, unit
service coordinator.

Listen, Dr. Greene's
going to show you around

when he finishes with a patient.

So throw your
stuff in the lounge

and come on back to the desk.

Oh, I'm sorry.

Did I interrupt something?

We thought you were Jerry.

The unit service
coordinator. I just met him.

You gotta love that.

You must be a new med student.

Yeah?

Jerry's the desk clerk.

He pulls that unit
thing on newcomers.

It's his birthday.

Don't tell him about the cake.

Of course not.

Chuny Marquez.

Lily Jarvik. Yosh Takata.

Lucy Knight. Uh,
should I use a lock...?

Excuse me. I'm
looking for Jerry.

Oh, he went down
to the roach coach

to get his breakfast burrito.

That's why my dad says he's...

What did you do?

Not much, actually.

I was hoping Jerry knew

if there were any
extra lab coats around.

Oh, they keep
them under the desk.

Great. So your dad works here?

Yeah. He's one of the bosses.

Well, he used to
be the only boss

until Dr. Weaver butted in.

Here they are. Thanks.

What's your name?

Rachel. I'm Lucy.

Hello again. Mark
Greene. Oh, hi.

Lucy... Knight. I remember.

Rachel, what are
you still doing here?

I'm watching the desk for Jerry.

Only for a moment.

Mrs. Williams doesn't
pick me up until 8:30.

Yeah? Well, it's 8:35.

Good luck on your game.

I'll pick you up at the
Williams' before dinner.

Okay. Bye. Bye. Bye.

Bye, Jerry. Happy birthday.

Thanks, Rach.

Settling in?
Actually, I haven't...

Jerry, will you call
Radiology and tell them

to hurry up on those films
for that clavicle in two?

I was waiting in Chairs.

That leg lac in
Four needs sutures.

Doyle or Carter.

Yosh Takata, Lucy Knight.

Hi. We met.

Sitting in Chairs, huh?
We better get you going.

Start off with charts, then
the board, quickie tour.

Then we'll see if you're
ready for some patients.

Aren't I supposed to be
assigned to a resident?

Later. First grab a chart
and pick up your patient.

No jumping over for a
more interesting case.

Then put your initials here,
patient's name, chief complaint,

and what labs or
films you've ordered.

Why don't you try one?

Patient's name is Clements

and chief complaint
is "mult lac"?

Multiple lacerations, right?

Waiting on a head
CT and suturing.

Doctor is M.D.,

which doesn't actually
stand for "doctor,"

that means Maggie Doyle.

Don't worry. You'll catch on.

So you thinking about
emergency medicine

for your residency?

I'm not sure. This
is my first rotation.

Curtain Area One,
Curtain Area Two.

Exam Room One, this
is Exam Room Two.

Oh, and this is
Dr. Carter. What?

Carter's one of our finest
second-year residents,

even though he does appear
to be sleeping on the job.

Lucy Knight,
third-year med student.

Hi. Hi. Sorry, Dr. Greene.

I haven't been
getting much sleep

since I took that R .A. job.

Life in the dorm, huh?

Better you than me.

Patients, Carter.

Place is lousy with 'em.

Right.

Hey, hey, hey,
hey, hey, hey, hey.

This is Trauma One,
which you've seen.

Who're we saving?

Nobody. He's arrested twice.

Another soldier to the drug war.

Tucked away in his pants.

I'd like you to meet
Lucy Knight, third-year.

Doctors Benton and Weaver.

Nurses Lydia Wright
and Malik McGrath.

Two units O-neg on the infuser.

You know Mr. Gamely?

Bernard? Uh,
yeah, I just saw him.

As soon as he's done
with the tour, I'll find ya.

I think you'll find
it very useful.

BP's 40 palp.

He's flatline.

Thoracotomy tray.
Malik, let's move.

Another five of epi.

Need another test tube.

Trauma Two, blissfully quiet,
which is the way we like it.

This is the Suture Room
where Dr. Doyle is suturing.

Lucy Knight, third-year.

Hey. Hi, nice to meet you.

Who's Sleeping Beauty?

Uh, Mr. Clements passed out.

He got way too drunk
and walked through

a plate-glass window. You idiot.

Dr. Doyle likes to
throw in a little attitude

when presenting a patient.

Is he going to be okay?

Oh, yeah. As long
as he doesn't mind

some big, gnarly scars.

You have now reached...

Mr. Gamely, I presume? Yeah.

Drug lockup's in here.
Lab is down the hall.

Radiology around the
corner. Exam Room Four.

Sorry to barge in. Got a minute?
- Hey.

Sure. Be right back.

Lucy Knight, third-year.
Doug Ross, pediatrician.

Hi. How you doing?

All right, Miss Knight,

why is otitis media found
primarily in children?

Because they have
short eustachian tubes,

so the fluid doesn't drain
properly and makes it

the perfect medium
for bacterial infections.

Okay. Treatment?

Amoxicillin or Pediazole,

although current thinking holds
that we may be over-treating

because many of
the cases are viral,

so antibiotics aren't
necessary and may contribute...

Okay. Pretty good.
Textbook answer.

You want to see some real
Pedes cases, you come see me.

Mark.

Elizabeth. Lucy
Knight, third-year.

Dr. Corday, Surgical
Resident in cowboy boots.

Aren't they fabulous?

Just back from an
interview in Denver.

How do you do? Nice to meet you.

How was your trip?

The interview was fine,
the mountains are lovely.

But the city's a
bit flat, isn't it?

Now, don't let the
Residents abuse you.

You're here to learn, not to
be their indentured servant.

See you later, Mark. Thank you.

Mark, labs are back
on that rule-out MI.

Thanks, Lily.

Okay, that's about
the lay of the land,

so I'm gonna go
check on a patient.

I'll find you later. What
am I supposed to do?

Well, grab a chart,
help someone out.

Just jump right in.

Any output?

Still no pulse.

How many units are in?

Four O-neg. Four type-specific.

Last epi?

Uh, five mgs, three
minutes ago, total of eight.

How long has he been down?

Twenty-five minutes.

Let's call it.

All right. Time of death: 8:49.

Nice try, everybody.

I gotta get back upstairs.

Yeah. I'll handle the chart.

Hey, you want
to wrap, or shall I?

I'll do it. See ya.

Is that it?

I gotta get the death kit.

Hang out. I'll show
you how we do it.

Uh, excuse me?

Somebody?

Um, his phone's ring...

His phone's ringing.

Hello?

Um, no, I'm sorry.

He can't come to
the phone right now.

Well, yeah.

I-I suppose I could
take a message.

Remember where Radiology is.

Continue to your left, now,
on down to the end of the hall

and proceed seven steps forward.

You have now
reached the Admit desk,

the veritable heartbeat
of every emergency room.

It's not mine.

Bernard, what
is with this thing?

I'm never where she
says I'm supposed to be.

Neither was I. You know what?

This morning when
I saw you in Chairs,

I was supposed to
be in the Suture Room.

Do you think we're
starting at the wrong point?

I know I have. I wanted
Medicine rotation.

This Dr. Doyle has latched
on to me in a big way.

And we haven't even been
assigned a Resident yet.

Hasn't stopped her

from turning me into a
urine delivery service.

Can you remember
where the lab is?

All I know is it wasn't
where it was supposed to be.

Miss Knight. See ya.

Oh, Dr. Weaver.

Tour's very helpful, isn't it?

Yes, thank you.

Um, as Chief, will you be the
one assigning us to Residents?

I'm Acting Chief. Oh.

Kerry.

Yeah. Doug, you
were looking for me?

Yeah, I have to do an LP

on a 2-year-old
boy in Exam Three.

Rule out meningitis?

Yes. And what are the symptoms?

Will you excuse us for a second?

Just a second.

Kerry, I'm not here
to present the case.

I'm here to inform you about a
procedure that needs to be done.

Now, the parents are out
waiting if you'd like to join us.

Well, Don Anspaugh and
Legal mandated the terms

of your situation, not me.

Mm-hm. Well, and those
terms do not include me

having to justify a procedure.

Be right there.

You know, why don't you
finish the tour, grab Dr. Carter,

see if he can pull you
in on some patients.

Hey, can you hold this
corner up for a second?

Sure. Thanks.

Getting things ready for
my surprise birthday party.

This year's surprise:
there is no party.

Then why do you have
that cake in the lounge?

I didn't tell him.

I know. He sniffs
that out every year.

Well, you hide it in the
same place every year.

Patient's 8.

How long has he had the rash?

His mom said for
about three weeks.

I'm having a hard
time diagnosing it.

How's it going, Miss Knight?

Uh, fine.

Dr. Weaver suggested
I work with Dr. Carter

on some of his patients.

Carter, you want to fill her in?

8-year-old with
erythematous macules

and small papules
on the trunk and back.

Okay. What's the distribution?

Kind of spread out, like a fan.

Does it resemble
a Christmas tree?

Yeah. I guess
you could say that.

Sounds like pityriasis rosea.

Classic Christmas
tree pattern on the back.

I think she's right.

Using a computer.

Why don't you let, uh...

Dr. Ross take a look and
then, uh, you and Miss Knight

can move on to the
gentleman with hematuria.

Okay.

I'll meet you in Exam Four.

Sure.

Did I say the wrong thing?

In general, it's
probably not a good idea

to show up the Residents.

So I should give
the wrong answer?

Tricky, isn't it?

Welcome aboard.

When did you first notice

blood in your urine, Mr. Zwicki?

Oh, just a couple days ago.

This couldn't be related
to exhaustion, could it?

I've been finishing
up this renovation

on a two-story in Oak Park.

Working long hours?

Needed to bring it
in before the penalty.

I don't think that's
it. Any fever?

No. Back pain?

Well, just the usual from work.

How 'bout weight loss?

I always drop a little
at the end of a job.

You skip a meal here
and there. Mm-hm.

This going to be much longer?

I'm going to order some tests.

We'll know more then.

Conni, let's get a CBC,
coag panel, UA, Chem-7.

You got it.

Peed in this cup for you.

Thank you.

We'll be back in a bit.

I'm sorry about coming up

with that rash
diagnosis before you did.

No problem. Fair is fair.

I just hope this doesn't mean

I'm not gonna
get to do anything.

I spent two years learning
how take a history and physical.

I'm willing to
help with patients.

Oh, hey, Carter. I am jammed.

Can you take Mrs. Lydell, a
foot ulcer in Curtain Three?

Sure. Thanks.

She's all yours.

Do the H & P, make an
assessment and a plan,

then come find me.

Mrs. Lydell?

Yes, I surely am.

I'm Lucy Knight.

Uh, would it be okay
if I just check you over

and ask you a few questions?

Child, the good
Lord has seen fit

to put me into your hands.

Now, I receive you just
as he receives us both.

Order a cross table
C-spine and portable chest.

Pelvis? Sure.

Dr. Carter. I'm a little busy.

Labs are back on Mr. Zwicki.

Pulse ox is 92, BP 90 palp.

Put 'em in his chart.

Let's get another
large-bore IV going.

We may need a
central line. I'll do it.

His crit doesn't look very good.

I'll check it as soon as I can.

Go ahead, Carter. I've got it.

No, really, it's okay.

Yep, we're covered
here. Go, go, go, go.

Go.

Devon gloves, Betadine,
and a sterile grey...

Hematocrit's 30?

So he's pretty
anemic, right? Yep.

Urinalysis shows red blood
cells too numerous to count,

but only two to three WBCs.

BUN and creatinine are normal.

Oh, with the gross
hematuria and the anemia,

we definitely need to
admit him for more tests.

Hey, can you give me
the differential diagnosis

at this point? Without
using a computer?

Um, with, uh, weight loss
and painless hematuria,

cancer's high on the list.

Uh, kidney tumor,
carcinoma of the bladder,

prostate cancer,
renal tuberculosis...

Good job. LUCY: Thanks.

Oh, good. I was just
coming to find you.

I gotta get going.

My poor wife, she's
been in that waiting room

for the last two hours.

Mr. Zwicki, your
lab results are back,

and they indicate that there
may be a serious problem.

We'd like to admit
you for a few days

to do a full
diagnostic evaluation.

No, I can't do that.

I start a huge
renovation tomorrow.

Townhouse on the gold coast.

Well, I'm sure it could
wait a couple of days.

No, it can't.

Your condition
could be very serious.

There is a
possibility of cancer,

and I really think you
should get it checked out.

Now, look, come on now.

A buddy of mine found
a little blood in his piss,

and it turned out to
be a urine infection.

So can't you just give
me some antibiotics?

Can't really do that.

We should bring
your wife up to speed.

If that's all right.

Yeah. Sure.

Okay. We'll be back. Uh-huh.

You have to let him go?

If he insists, but
you have to know

what technique to
use to get him to stay.

In this case, we use his wife.

What do you mean?

Give her the full picture,

the possibility of cancer,

the importance
of early detection.

Ten minutes alone
with him in the room,

she'll change his mind. Lydia?

Did Dr. Weaver do
that central line yet?

Just about to.

I'm gonna go check with
her, see if she needs any help.

I'm looking for Mrs. Zwicki.

Yes.

Mrs. Zwicki?

My name is Lucy Knight,

and, uh, I'd like to talk to
you about your husband.

His condition could
be very serious.

What do you mean?

Well, with the
painless hematuria,

there's a chance of
renal vein thrombosis,

polycystic kidney
disease, glomerulonephritis,

and renal or ureteral calculi.

Wait. I don't understand this.

Well, your husband
would like to leave AMA,

but we'd like to check him
in and do some more tests.

Tests? Do an IVP,

get an abdominal CT,
check his urine for AFBs,

maybe check a PSA and
possibly do a cystoscopy.

I don't think this
is a good idea.

It would just be
a couple of days.

I think we're out this way.

What's going on?

The Zwickis have
decided to leave.

Mrs. Zwicki, I,
uh, need to tell you

about your husband's condition.

Look, she explained everything.

He's incredibly stubborn.

Now, look, I am not stubborn.

I feel fine, and I got a
new job to start tomorrow.

You see, summer.
That's when I get my work.

And I can't blow this job off.

Uh, Mr. Zwicki...
I'll tell you what.

If this doesn't clear up,
I'll make arrangements

to get with my
regular doc, okay?

It will be okay.
Come on, let's go.

You talked to her.

Yeah, I thought you
said to go find her.

What did you say? I told
her about the chances

of hypernephroma, prostatic...

In those words? Yes.

Is there a problem, Carter?
- Mark?

Just a second, Carol.

Patient wanted to leave AMA.

Miss Knight mistakenly
explained his condition

in medical rather
than layman terms.

Why is a student explaining?

Where were you?

I was assisting Dr. Weaver.

I didn't tell her to
do it. Yes, you did.

We've got a helicopter

landing with a
blunt head trauma.

You told me to give
her the full picture.

I didn't mean you.

Miss Knight, why
don't you come with us.

27-year-old firefighter.

Fell 20 feet onto concrete
with blunt head trauma

and loss of consciousness.

BP 150/90, pulse 60.

Apneic and intubated on scene.

Pupils four millimeters
and sluggish.

I thought you
said you intubated.

We lost the tube en route.

We didn't have a
laryngoscope up in the air.

Why the private chopper?

It was already on the scene.

Help! Oh, no.

God, please, help me.

Please!

Please.

8.0 ET tube. Suction.

BP's 160/95, pulse 62.

Pulse ox 92.

Carol, stabilize the neck.

What do we got?

Emile Fernandez,
27-year-old firefighter

fell 20 feet onto concrete.

Blunt head trauma,
loss of consciousness.

All right, I'll check his belly.

Locked out? Yes.

Miserable. Happened to me once.

Second line is in,
18-gauge, left forearm.

Okay. I'm in. Good bowel sounds.

Peritoneal lavage?

No. He's hemodynamically stable.

Let's get a head
and abdominal CT.

All right. Pulse ox: 92, 95, 96.

Good breath sounds bilaterally.

No tracheal shift or
jugular venus distention.

Thank you, doctors. Call
us when the CT's back.

He needs a Foley and an NG Tube.

We thought maybe you
decided to leave on that chopper.

Sorry. TAKATA:
First hemoglobin, 14.2.

Why don't you come over here?

I need more tubes.

He was a firefighter?
He is a firefighter.

Urine's clear. Dip's
negative for blood.

Glasgow Coma Scale.
How do you do it?

Check for eye-opening,

verbal activity, motor response.

CT's ready. No verbal with ET.

Anything in the field?

Nothing at all. All
right. That will be a one.

What about eye-opening?

Um, spontaneous
eye-opening is a five.

All right. Well, we
definitely don't have that.

Emile, open your eyes.

Emile, open your eyes!

Now what?

Painful stimulus.

No eye-opening with pain.

That's a one.

How much for decorticate
posturing? Two.

That would be four out of 15.

You get a three for being alive.

Pulse ox 98. ABG.

Absent corneal reflex.

What does that indicate?

No brain stem activity.

Ready for the C-spine.

Back up.

So, what are you thinking?

Subdural or epidural hematoma.

That'd be great.

Something we could actually fix.

What if there's no
bleeding in the skull?

Diffuse brain swelling.

So we'd be looking at a
chronic vegetative state,

or a potential organ donor.

Dr. Greene, Captain Matson.

The guys want to
know. How's he doing?

Well, it's, uh... It's
too early to say.

We'll know more when
the CT comes back.

We screwed up, didn't we?

Bringing him in on
that private chopper.

Airfield was right there.
It was the fastest way.

But we lost his ET tube.
We had no equipment.

If you waited for the Medevac,

it could have been
another 15-20 minutes.

At least we would
have had more supplies.

You didn't screw anything up.

You bagged him,
kept the airway open.

Truth is, I probably would
have done the same thing.

Any family?

Wife and two kids.

Thanks, doc.

You didn't tell
them his condition.

Well, I don't really
know what that is yet.

You're right. I
didn't... I didn't tell 'em.

Why don't you stick
with me on this case?

I'll call you when
the CT comes back.

We should just have the
cake at the Admit desk.

No surprise in that.

Could put it in an exam room,
have him check on a patient.

Didn't we do that last year?

The last two years.

Kind of noisy, huh?

There's no place
to work around here.

Nope. But, hey, at
least you get a locker.

I didn't get one for the
first two months I was here.

Yeah. I guess some Resident
left the program or something.

Right. Dr. Del Amico.

She went back to Philadelphia
to work in the pediatric ER.

We don't have one here?

Mm-mm. Might get one
if Dr. Ross has his way.

Anyway, Anna... Dr. Del Amico.

Thought it was a better
opportunity for her.

Her family's there.

That's where she's from.

There was this boyfriend
that she was involved with.

Hm.

Anyway, you got
a locker out of it.

I'm sorry about Mr. Zwicki.

I really thought you
asked me to talk to his wife.

Sometimes the Suture
Room is pretty quiet.

Baker, Shelly,
chart number 13940.

Admitted January 12,
1998, with a fever of 102.

Respiratory distress.

It's been a crazy day.
I've been swamped.

So Reese couldn't even
get the hearing test?

No, he had an ear infection.

That's probably been the
cause of all this stuff anyway.

That's good, anyway.

Yeah, so he's gonna
be on Augmentin

for another week.

Then he'll take the test
and clear this thing up.

Mm-hm.

What?

I, uh... I can't believe
you're wearing those boots.

When in Rome.

So, uh... Whew, how was Rome?

Denver is not Rome. BENTON: Mm.

I went to a fantastic
rodeo, though, but, um...

I didn't care for the hospital.
It's... It's rather regimented.

Yeah, well, it is a
surgical program.

Look, I want to stay in Chicago.

You know, Cromley may
offer me a sponsorship.

Good.

I'm glad you're, uh, staying.

Well, trying to stay.

Hm, you are, are you?

Yeah.

I missed you.

That's very nice
of you to say, Peter.

I missed you too.

It was a little...

Cold between the sheets. Uh-huh.

Elizabeth, what are you doing?

Stop being so shocked
and come over here.

Has it been six months?

Seems like it, doesn't it? Mm.

Lucy, right?

Yeah.

And you are...? Malik.

Yeah, Carter was
looking for you.

He's checking on that
pregnant lady in Exam Two.

Thanks.

Exam Two.

Exam Two? Uh, no. Curtain Three.

Exam Two is back towards Admit.

Thanks.

Exam Two?

Just past Curtain
Two. Take a left.

Exam... Curtain Two. Exam Two.

Oh, excuse me. I'm sorry.

Are you the doctor?

No. I'm Lucy Knight.

I'll be assisting the doctor.

Oh.

Who should be here any second.

Hi, Mrs. Draper, I'm Dr. Carter.

I understand you're
about nine weeks pregnant.

This is my third pregnancy.

Mrs. Draper's had two
previous miscarriages.

Mm. I see that you've
been experiencing

some cramping and some bleeding.

Spotting. I had some
spotting yesterday,

and it's heavier today.

And, I, uh, passed some clots.

BP's 110/75. Pulse 100.

And how many pads have you used?

Um, one yesterday
and four today.

Have any fever? No.

Burning on urination? - No.

Good.

Let's get a CBC, type and RH.

Dip a urine, and check an ICON.

Are there any family
members we can call for you?

I've already talked
to my husband.

Okay.

Okay. We're gonna to
do a few tests, ahem,

then I'm gonna come
back and do a pelvic exam.

Then we'll know better
where we stand. Okay?

Okay. We'll be right back.

Tell me when the
ICON's back. Okay.

I should probably stay out
while you do the pelvic, right?

Aren't gonna learn
much if you do.

I just thought she
seemed really distraught.

She is. But it doesn't
have anything to do

with you being in the room.

Miss Knight?

CT's back on that firefighter

if you want to take a look.

Yeah, let me put my stuff down.

Okay, tell me what you see.

Any intracranial bleeding?
I'll give you a hint.

Blood appears
white on a CT scan.

I don't see any.

Right. No subdural
or epidural hematoma.

Which means there's
nothing they can do surgically.

That's not good, huh?
It's not good at all.

Look at the ventricles.
The brain is so swollen

that they're all squashed down.

All along the border of
the white and gray matter,

tiny, punctate hemorrhages
and axonal shearing.

Most of his brain's
been destroyed.

So, what do you do now?

Give him steroids,
hyperventilate him.

Have Neurosurgery
put in an ICP monitor

- and wait for the wife.
- Dr. Greene.

Not too good, is it? No.

Thanks for talking
with us afterwards.

The captain and I
get into it sometimes.

Your basic turf war? I
hate to call it that, but...

You must have worked with
paramedics in the field before.

Mostly just in here.

Want to think about doing it?

There's a position opening up.

District medical
director for EMS.

And what exactly is that?

Oversee paramedic
education, ride-alongs,

help determine new
procedures, that kind of thing.

I've already got a job
here. This is a side deal.

Only a few hours a week.

Can't be much pay.

It pays nothing.

And the perks?

There aren't any.

No salary, no
perks. Sounds great.

See you.

Hell of a way
to get a job offer.

And proceed seven steps forward.

You have now
reached the Admit desk.

You already took the audio tour.

Yeah, I know. But
Dr. Doyle doesn't know that.

Bernard, you owe me.

Okay. Okay.

How many times is he
gonna take that thing?

Hey, Carter's about
to do that pelvic.

We're gonna to take a look
inside with the speculum.

I need you to relax.

There's tissue in the os.

Ring forceps.

Let's get that to Pathology.

I need to check
your ovaries now.

You tell me, uh,

is there any pain here?

Hm?

No. Mm-hm.

How about here?

Uh, no.

Okay. No adnexal
masses or tenderness.

You can put your legs
back down, Mrs. Draper.

What is it? What's going on?

I am very sorry, but you
have had a miscarriage.

You're sure?

Mm-hm.

The fetus was pushed
out of the womb.

Your bleeding has slowed,
but we need to observe you

for a little while.

I'm gonna come back,

and I'm gonna do
another pelvic exam.

Make sure the
bleeding has stopped

and that, uh, the
cervix is closed.

A doctor from OB/GYN
is gonna stop by.

Miss Knight, would you
stay here until they do?

Of course.

Get some rest, Mrs. Draper.

Rest...

I thought this time
it would be all right.

I never made it to
nine weeks before.

I don't know why
this is happening.

Why is this happening?

I don't know.

I'm sorry.

I don't know.

Bernard, what are you doing?

I have no idea.

Miss Knight. Yes. Hi.

I just thought we could...
Just, uh, excuse me a minute.

Jerry, I thought you
notified the morgue

for a pickup.

I did.

Sorry, Dr. Weaver.
I'll call 'em again.

So I haven't had
much of a chance

to work with you today. I
trust everything's going well?

Yes. You know, pretty
well for a first day.

In other words, been
completely hateful, huh?

Kerry, I need to do
a needle aspiration

on a 15-year-old with a PTA.

Can I get the mother's
consent if you're available?

Yeah, Miss Knight was looking
for a good case to observe.

More the merrier. Come on.

You see that? Now, that's
a peritonsillar abscess.

Large pocket of pus
collected around the tonsils.

Now, we have to get
that fluid out of there.

We're gonna numb it first,
and we're gonna use a needle

to draw out the infected fluid.

Now, an alternative is to
open the pocket with a scalpel,

but that's more invasive.

The needle aspiration
should do fine.

If you're sure? Mm-hm.

You've been a "hit the
books" kind of medical student.

Is there any other kind?

Well, some are more
diligent than, say, I was.

You're a Pediatric
Emergency Fellow, right? Yep.

Which is different
from an Attending.

One rung under the boss.

So that's why you
need an Attending

to be a witness?

I mean, when you have
parents sign a consent form,

one of the Attendings
needs to witness that.

I recently performed a
procedure on a 7-month-old baby

who was born addicted to heroin.

I detoxed him. I didn't
get his mother's consent.

What happened?

Well, the powers that
be were a little upset.

So I'm now a Pediatric
Emergency Fellow on probation.

And the baby isn't
addicted to drugs.

Sometimes it's a tradeoff.

Good luck.

Every guy in that gym
thought I had a coronary.

They were all over
me like white on rice.

Asking me if they could help,
get me some water. Wow.

One guy even offered to
take me to his own doctor.

That's very generous. Yeah.

Miss Knight, what do we have?

Roxanne Please, 25.
She was at the gym...

I dropped a darn 15-pound
weight on my little toe.

I really hope it's not broken.

Jerry, what's open?

Uh, Curtain Area One.

Or, uh, uh, maybe Exam
One would be better.

Okay, we'll check it
out and get an x-ray.

You know, there's a
woman looking for you.

A Mrs. Fernandez?
Firefighter's wife.

Oh, okay. We'll get
you in the exam room...

You know, I can
take care of that.

Okay, Jerry. It is
your birthday, so...

Really? Mm-hm.

Happy birthday. Oh, thank you.

Mrs. Fernandez. Yes?

I'm Dr. Greene.
This is Miss Knight.

Where's Emile? We
came as soon as we could.

The whole family,
we just piled in the car.

I-I think it'd probably
be a good idea

if the family stayed here
in the waiting room. Okay?

Mrs. Fernandez, your
husband fell 20 feet

onto a concrete surface.

The paramedics were there,
and they brought him right in.

There was no internal
abdominal bleeding,

but the CT scan of his head

showed diffuse brain
injury and swelling.

Well, what does that
mean? How serious?

He can't breathe on his own.

He's on a ventilator.

He can't move any muscles.

He's not opening his eyes.

He's in a coma.

Well, does he need an operation?

Unfortunately, there
isn't any that can help.

The prognosis is not good.

We're going to
admit him to the ICU,

monitor the
pressure in his brain,

and treat the swelling
the best we can.

Is he brain-dead, Dr. Greene?

We're gonna have
to wait and see.

If the tests show
no brain activity

over the next few days,

you're gonna have to think about

continuing life support.

Lucy,

can you take Mrs. Fernandez
to see her husband?

Can he hear anything?

Uh, it's possible.

Uh, it's no way to really know.

You can talk to him.

Do you have any idea
what you cut your foot on?

No. I was diving
the Wellsburt...

It's a shipwreck out
in Lake Michigan.

When I felt this
slice across my foot.

What's weird,
though, at that depth,

the water filters
out all the red,

so your blood looks green.

When was your last
tetanus shot? I don't know.

My mom used to keep
track of all that stuff.

Well, your laceration
is superficial,

but it's gonna
require a few stitches.

We'll give you a
dose of antibiotics

before we do the sutures.

Miss Knight, do you think
you can handle the IV?

Of course.

I'll be back.

You do know how
to do this, right?

Yes.

Oh, uh, could I ask you
something for a second?

Sure. Um.

It's just that this is
my first IV and I...

You don't want to
punish the patient.

Something like that. Okay.

Thank you.

You want to give it a try?

Oh, no. I'll just
watch this time.

All right.

First you're gonna
take the tourniquet

and you're gonna
tie it into a slipknot,

like that.

Miss Knight.

Films came back on that
woman who dropped the weight.

Small, non-displaced fracture
of the proximal phalanx.

Fifth toe. Just do a buddy tape.

A buddy tape? Uh-huh.

Yeah. You tape the little toe
to the one next to it. Okay?

Tell her she can
expect some discomfort

for the next couple of weeks
and to wear hard-soled shoes.

Okay.

When you look at
the actuarial tables,

term is definitely
the way to go.

Hm.

Miss Please.

Oh, please, call me Roxanne.

Been saying that my
whole life, haven't I?

Well, good news. It's just
a small hairline fracture.

How long will that take to
heal? A couple of weeks.

Um, I need to tape you up,

and you should wear
hard-soled shoes.

Roxanne sells insurance.

Really? Yup.

Life, disability,
umbrella policies,

you name it.

You, uh, you have insurance?

Just medical through school.

Oh! Sorry.

You should start
your coverage now.

Your age, premiums
are incredibly low.

Roxanne says disability
is more important than life.

Yeah. Statistically,
you're much more likely

to be maimed or
mutilated than killed.

Really? Who knew?

Roxanne's also
staying for the party.

What party?

Jerry's surprise party.

He says they always have one.

Okay. There we go.

That should do it.

Scuba Man is on his way.

Only took a half
a dozen sutures.

By the way,

nice job on that IV.

Good. No, seriously.

I kind of threw you
in the deep end there.

I didn't think you'd
be able to do it.

It's good to know.

You can swim. Thanks.

Can I see you? Sure.

Mrs. Fernandez is looking
for either you or Dr. Greene.

Okay.

Mrs. Fernandez, can I help you?

I-I... I couldn't
stay in with Emile.

I... I...

I can't see him that
way. I can't talk to him.

I'm sorry.

You don't have to be sorry.

Look, I need to take
my children home.

Tell Dr. Greene that I will
come back tomorrow and...

And I... I guess we'll
talk about what to do.

Okay. Okay, I'll tell him.

Jerry?

Jerry, get over here, please.

I mean, what...?
What does it take, huh?

I'm sorry. How many
times have I asked you

to get this body to the morgue?

I will call them
again. No, you will not!

No! You will not
call them again.

You will take this poor
soul over there yourself.

Dr. Weaver, I'm not... Come on.

It's just a corpse. It's
not like you've never seen

a dead body before.

Ha-ha!

♪ Happy birthday to you ♪

♪ Happy birthday to you ♪

♪ Happy birthday Dear Jerry ♪

♪ Happy birthday to you ♪

You got me, you got me.

Light the candles, so
we can cut the cake.

Happy birthday, Jerry.

Uh, I gotta go pick up
Rachel, get her some dinner.

Bring her over to our house.
We're having a barbeque.

About an hour? Yeah.

Maimed or mutilated, huh?

Yeah, I know. It's not
a pretty picture, huh?

No, no. Tell me more.

I can't believe this party.
It was a horrible day.

Well, tomorrow's
gonna be even worse.

I just found out I got
assigned to Dr. Doyle.

When did you hear that?

Dr. Weaver told me.
You're with Dr. Carter.

Oh, man. Naw, if I was you,

I'd consider yourself lucky.

He thinks I can swim.

Well, at least we
survived day one.

Yeah, I was incredibly busy.

I basically did nothing
and helped no one.

Well, at least you got
to see some patients.

Dr. Doyle won't let
me near a single one.

Yeah, I saw some patients.

Hey, you want a piece of cake?

We love you, Jerry!

Mr. Fernandez?

Emile?

My name is Lucy. I work here.

I met your wife.

I know how much she loves you.

And how much your kids love you.

And how they wish this
hadn't happened to you.

How we all wish this
hadn't happened to you.