All language subtitles for ER (1994) - S04E21 - Suffer the Little Children (1080p WEB-DL x265 MONOLITH)_track3_[eng]

Previously on e.R.:

It was lovely last night.

I would really like you
To consider, um, a date.

Seeing as I-I do
Work for you

I don't think it
Would be such a good idea.

Oh, I see,
You have a policy.

Yeah, yes.

No fraternization with
People at work. Okay.

( baby fussing )

Okay. It's okay.

He's in heroin withdrawal.

The mother's been
Stealing his methadone.

So she split?

( clearing throat )

( coughing )

Peter, have you ever heard
Of the velvet lounge?

Of course.

I saw in the tribune

They're having
A jam session there tonight.

That's on the
South side.

You don't want
To go there.

You mean it's
A rough area?

No, I just mean it's not
A good idea.

Listen, when I was in belfast,
I went to the bogside

To hear lick the tins.

It's an I.R.A. Stronghold.

It's not the same thing.

All right, what are
The plans for his discharge?

Well, his vitals
Are stable.

Any vomiting or diarrhea?

No.

He's keeping
Down p.O.S

And he's back on his
Dose of methadone.

I'd like to start
Him on a course

Of long-term
Withdrawal.

Did mrs. Thorvaldsen

From d.C.F.S. Come by?

Yes. We had a team meeting.

Everybody understands he
Cannot live with a mother

That steals
His methadone.

We all agree the home
Environment is unsuitable.

Social services
Has found a foster family.

People that have experience
With drug babies?

Mother's a retired nurse.

Yeah.

Hi.

Just making sure you don't
Slip through the cracks, kiddo.

( baby fussing )

I know.

Hi, carter.

I wanted to catch you
Before you got in.

Anything wrong?

No. Everything's great.

Actually,
You met my friend

The other night,
From philly.

Max? Yeah. You
Showing him the town?

Remember I told you
I was involved

With somebody
And it wasn't quite over?

Yeah, I figured
He was the guy.

Yeah.

What about his
Heroin addiction?

It wasn't heroin.

It was painkillers,
Percocet.

He's doing okay.

Actually, he's here
For a job.

He's coming in this morning
To do a feasibility study

On setting up
A pedes unit in the e.R.

That doesn't sound
Like a coincidence.

Listen, uh...

Carter, before
You run into him

I've given you a really
One-sided picture of max.

He's smart,
He's very dedicated.

He's a...
He's a really good guy.

You want me to like him?

I don't want you
To judge him

For things I've said.

Sounds like you guys are
Already back together.

I don't know about that.

Honestly, I don't.

Where is he now?

My place.

Malik, who left this
With my mail?

A mr. Dougherty
From salutech.

Yeah, well,
See that it gets returned.

Some salesman from
Salutech left me a pen.

Well, yeah,
I got mine right here.

He also left a bunch
Of free samples.

I won't be bribed
Into using their products.

Kerry, mark. You
Know dr. Keinholz

Chief of pediatrics

And dean of
The med school.

Nice to
See you.

This is dr. Rosher.

Doctors greene
And weaver.

Nice to meet you.

Dr. Rosher's
A pediatrician

And assistant professor
At chop.

He's evaluating
The need

For pediatric emergency
Centers at urban e.R.S

And we feel
Very fortunate

That he's responded
To our call for a study here.

I thought
This matter

Was still under
Discussion.

It happens
That dr. Rosher

Is free at this time.

I just finished
A similar study

At hennepin.

I have to scrub,
But I'm sure

You'll provide support
For dr. Rosher.

Sure, no problem.

Thank you, doctors.

So?

They sprung me on you.

Sorry.

No, it's fine. I'd
Be happy to review

Our pediatric census
Statistics with you.

First, I'd like to get
A sense of the place.

You can follow me around,
Dr. Rosher.

I hate formality.

I'm max.

Mark.
Kerry.

Is there any place

To stash these things,
Maybe get coffee?

Randi, could you show
Dr. Rosher to the lounge?

Sure.

You know where
This comes from?

Doug ross,
Lobbying upstairs.

It's just
A feasibility study.

You think he doesn't
Have an agenda?

He's trying to find fault

With the way we handle
Pediatric patients.

We take great care of kids.

Jeanie, do you have
A busy morning?

Not so bad. Why?

Our talk on managing
Abdominal pain

With the med students
Is next week.

Could you see if the slides
Are ready at graphics?

Sure.
Thank you.

I would warn you--

If you don't see me
Making the coffee

I would avoid it.

Mocha

Vanilla, amaretto.

It's my own
Very personal stock.

Mm.

Thanks. You're...?

Randi, acting unit
Service coordinator.

Oh.

How's it going?

Hi.

Meeting everyone?

Yeah.

I encountered
The usual dynamic.

The attendings
See me as the spy

Sent in to undermine
Their authority.

Mm.

How you doing?

It's a little awkward
Seeing you here.

Was it awkward last night?

No.

No.

But now you're nervous.

I don't know.

I don't know.

You just show up
And you're back in my life

And that's not exactly
How I planned it.

I never planned it
Any other way.

Peter?

Yeah.

Have you got a case
To present for morning report?

Should I wait outside?

When have you ever
Waited outside?

Oh. You don't see me
As a shy english rose?

Elizabeth, I see you

As many things.

Shy is not one of them.

Busy morning?

A parathyroidectomy.

Mm-hmm.

Hey, um,
I know you like jazz

So maybe we could

Go to the coq d'or
At the drake hotel.

The guy on the piano
Is pretty good.

Sure. That'd be great.

Yeah?
Yeah.

Peter?

Oh, hi, lizzie.

Are we frequenting
The, uh, men's locker room?

Peter, I've got
A pyloroplasty

At 3:00 p.M.
Any interest?

I'm scrubbing in
With anspaugh.

Oh, uh, I'm free.

Oh, that's all right.

I got a backup.

Did he see us?

I don't know.

At least one exam room
With color murals and toys.

Then in chairs,
You section off

So the kids don't sit
Next to some nut case.

You're in favor
Of setting up

A whole department.

I'll get in trouble

Talking in front
Of my buddy.

No need for caution
On my account.

I'm keeping an open mind.

A department here
Would be great

But I would settle for
A full-time pedes attending.

That's the position
Doug is bucking for.

Whether it's me or somebody
Else, it's important.

I won't lie to you--
I want the job.

You have
A problem with that.

Set up a pedes department,
What's next--

Geriatric emergency
Medicine?

Dr. Del amico,
Meet dr. Rosher.

Stay on your toes, he's
Doing a study on us.

She was born
On her toes.

Max was my attending
At chop.

Ah, another ally.

I'm really feeling
Outnumbered

By pediatricians.

I'm double-boarded

In emergency medicine
And pedes.

Dr. Rosher.

I've pulled some charts
Which I believe

Could be relevant
To your study.

And I've set up
A place for you.

Actually, I'm
In the middle

Of a tour right now.

I have time
To go over them

With you right now.

I'll see someone gets you

If any special
Pedes cases come in.

One tina-marie chambliss.

She wouldn't give her age.

Complains of fever
And facial erythema

Following a facelift
Five days ago.

She came in
An ambulance?

It was a blepharoplasty
And a rhytidoplasty.

Looks like
A wound infection.

Could we sign her in
Under a different name?

I don't want her mobbed.

Em, let the doctors
Do their work.

Ma'am, if you could
Scoot over here.

Go on, honey.

I can tell you're
In good hands.

Uh, ma'am,
I'm going to have

To examine your face.

I just look so awful.

Emmet, stay by me, honey.

Don't leave me.

Oh, I'm right
Here, sweetie.

Channeling my love
To help you mend.

Temp's 102.

Let's get a c.B.C.,
Blood cultures...

Start a line.

Any allergies?

She's allergic
To sulfa antibiotics

And had a cough
From the ace inhibitors.

Dr. Emmet chambliss,
Her husband.

So you're her physician?

Uh, doctor of divinities.

I'm diabetic.

You probably
Should know that.

Malik, add a chem seven.

Give her a gram of ancef.

Do you take insulin?

She gets 24 n.P.H.
With ten of regular

In the morning,
12 of n.P.H., five at night.

He gives me the shots.

What's that you're

Putting on my face?

Saline-- salt water.

I hope it's

Not too harsh
For my skin.

This is the cleanser
We normally use.

It's hypoallergenic.

Dr. Del amico, I think you've
Got a handle on this.

Yeah, thanks.

What about our broadcast?

Don't worry, honey.

I can get a mobile truck
With a satellite uplink

With just one
Phone call.

But how long am I
Going to be sick?

You have
A serious infection.

You're going to need
I.V. Antibiotics.

Probably be
A couple of days.

Doug, I've got a two-year-old
With severe rat bites.

Can we give him
Something for the pain?

Yeah, I'll take
A look at him.

He's in exam two.

What's the weight?

14 kilos.

Hey.

When did this happen?

About 6:00 a.M.--
They heard him scream.

Ratas asi
Comiendo sus dedos.

Por sus gritos creiamos que
Estaba peleando con su hermano.

There were
Rats this big

Biting his fingers.

Because of his
Screams, they thought

He was fighting
With his brother.

He's current
On his vaccines

And his tetanus.

Atacan a todos los
Ninos en el edificio.

They attack the children
In the building.

Okay, we're going
To start an I.V.

Titrate morphine
For his pain.

This one's through
The palmar fascia.

Plastics should do it
In the o.R.

Let's irrigate
This wound.

I'll speak to the authorities

To make sure there are
No more rats.

El doctor va hablar
A los autoridades para evitar

Las ratas del edificio.

Ellos vienen,
Pero no hacen nada.

They come but never do anything.

Well, this time they will.

Hi, bob.

Hey, jeanie.
What's up?

I had the flu
A couple of weeks ago.

I can't shake a cough.

We're seeing
A lot of pneumonia.

You talk to a doc?

I didn't want to go
Through a big work-up.

You want a quick chest film?

Could you?

Two weeks ago,
I cut my hand

And I just wanted
A few stitches.

Next thing, I'm on a gurney
Hooked to an I.V. For six hours.

Some of these
Docs overreact.

Should I flash your name
For your medical record?

No, that's okay.

No problem.
No paperwork.

That's what I like.

Take a deep breath

Have you seen dr. Rosher?

I got a six-year-old
With pittoriasis.

Dr. Weaver's holding him
Hostage in the lounge.

I gave dr. Rosher
Enough reading material

To occupy his time.

I want him to see
How we work.

I'll get him
Out of there.

Lizzie, meet
Tancred baumgartner, 64.

History of hypertension
And peripheral vascular disease

80-pack-year smoker.

80 pack-years?

Two packs a day
For 40 years.

But I'm cutting back.

I'm going
To get hypnotized.

Mm-hmm. So what brought you
In today, mr. Baumgartner?

Terrible pain in my legs.

How far can you walk?

Six months ago,
I could walk two blocks

Before I had to rest.

Now he complains
Of calf pain

When he walks
To the toilet.

I've got him
On the schedule

For a fem pop bypass.

You should review
His films.

Don't worry,
Mr. Baumgartner.

We'll put a spring
Back in your step.

I've been meaning
To ask you

Uh, have you given
Any more thought

To that impressive offer
You got recently?

Which impressive offer?

There's been
More than one?

I'm talking about
The senior lecturer's position

At the gloucestershire
Royal hospital.

I decided to pass.

Really? Did you
Already let them know?

I've written them
A letter, yes.

Ouch.

What?

Takes guts, lizzie.

You don't know if you
Have a future here.

...And have him lay flat on
His back for the next two hours.

I'll hand-carry
The specimens to the lab.

Yeah, I'd appreciate that.

Kerry, would you take
A look at this x ray?

Sure.

Oh, and don't forget
To get a gram stain.

What have you got?

31-year-old woman
With a three-week history

Of dry cough and
Intermittent fever.

Is she a smoker?

No.

Any travel
Outside the country?

I don't think so.

Did you ask
About her hiv status?

I don't know if
She's been tested.

What do you see?

There might be
An early infiltrate

At the right base,
Or it may just be

Atelectasis.

Where's the lateral?

That's all we have.

Repeat the film, have
Her take a deeper breath

And get a lateral
This time.

There's no name
On this film.

Let the techs know that

That's really
Unacceptable.

Oh, and, jeanie,
Uh, the slides?

Sorry?

I asked you to get

The slides
From graphics.

Did you forget?

I haven't
Had the time yet.

Should I have

Someone else do it?

I'll get them

Right now.

Okay. Thanks.

We need some
Help here.

We were coming from visiting
My folks up in st. Lioba

And our son
Passed out in the car.

Need a gurney.

We'll also need
High-fill oxygen.

Any history
Of heart disease here?

Uh, no.

Is he on any medications?

No. He's perfectly healthy.

He never gets sick.

My god, what's wrong with him?

He's tachy at 150.

Resps are high, 28.

Uh, why is he
Breathing so fast?

Does he have asthma?

No.

Put him on a pulse ox
And an e.K.G.

I want a c.B.C., chem seven,
Blood gas, a chest film.

I'll start a line.

Sam, can you hear me?

What's wrong with him?

He's cyanotic.

See how blue
His lips are?

He's not getting
Enough oxygen.

We'll try to
Figure out why.

How are you doing?

Oh, just trying
To look decent again.

I don't think
That's a good idea.

Oh, I can't
Be seen on tv

Without my woolly bears
And makeup.

You ever see us
On jgcn?

No.

Jesus gospel cable network?

The makeup could make
Your infection worse

Mrs. Chambliss.

Honey, call me tina-marie.

Hello, doctor.

Isn't she an angel?

I'm seeing
The power of prayer

And modern medicine.

Well, we have her
Blood test results

And there is
Reason for concern.

My face?

No. Actually, your
Kidneys are the problem.

I'm passing water.

Your b.U.N. And
Creatinine are elevated

Indicating a problem
With your kidneys

Probably from
Your diabetes.

Emmet...

Doctor, what does this
Exactly mean?

It could simply
Be dehydration.

I'll give you I.V. Fluids
And, uh, hope

Your renal
Function improves.

I'll also do

A neuro exam, check sensation
In your extremities.

Whatever suits you, honey.

Feel that?

Mm-hmm. Little
Pricks of pain.

Mm-hmm.

That's good.
That means

You're not losing feeling
In your feet and toes.

Look out, emmet,
She might test your heart.

I'm just kidding, sweetie.

Just kidding.

So, if my kidneys fail

What then?

If it progresses
To renal failure

You'll need
Dialysis.

This means a full
Prayer vigil, emmet.

Yes. Yes.

We'll pray
For those kidneys.

Malik, I've got to find
Somebody in public health

Who can deal with a rat problem.

There's an office
Of rodent control.

I've got a contact there.

They're eating
This kid alive.

In philly,
I got better effort

Out of animal control
Than public health.

This woman, miss weldon--

She's a real
Crusader.

She'll get them in there--
Poison, traps--

Whatever they have to do.

Dr. Greene,
Dr. Carter wants

To see you
In trauma two.

Thanks, yosh.

Here. Mention my name.

I treated
Her son once.

Come on.

You picked a good day
For pedes cases.

He seems a
Little better.

Why won't
He wake up?

Isn't the oxygen
Helping him?

Yeah, it's helping.

He's relatively stable.

I just haven't determined
What's wrong yet.

Dr. Carter,
Meet dr. Rosher.

We've actually met.

What do you got?

This is sam adams,
11 years old

Altered, presented with
Cyanosis, tachypnea,
Tachycardia--

Driving back from his
Grandparents' farm.

He's still cyanotic
Despite o2, ten liters.

Greene:
What are you thinking?

Either a v.Q. Mismatch or
Something toxic-metabolic.

Pulse ox?

92. It's pretty good.

Was he in a camper
Or the back of a pickup?

No. He was in
A car with us.

Chest and cardiac exam?

No wheezing or rales,
Regular rate

Without murmur,
Rub or gallop.

Blood gas?

Pc02's 35,
Po2's 380.

Suggesting?

There's oxygen
Dissolved in his blood.

What kind of farm
Was he on?

My father
Raises tulips.
Greenhouses.

Yeah, I asked
About that.

Because some pesticides
In hothouses contain cyanide.

He would have pinked up
With the oxygen.

I've got good
Pulses and there's

No smell
Of almonds.

So your best
Educated guess?

Methemoglobinemia.

Do another blood
Gas, check that.

Go for it.

Tough case, leaving
It with an intern.

Think it's ill-advised?

You know dr. Carter.

I don't.

He's figured it out.

Diagnosis was correct.

But you didn't
Tell him.

He's here to learn,
Not to be told.

Is that
A mark against me?

Not in my book.

500cc fluid bolus
Is on board.

T.K.O. The line.

There it is.

There's the answer.

Look at that arterial blood.

That's his blood?

It looks more
Like chocolate.

It's methemoglobin.

What?

Hemoglobin that
Can't carry oxygen.

How did he
Get that?

It's from a drug or toxin.

Take that
Up to the lab

And bring back methylene blue.

Peter?

Hey. I thought
You had a fem pop.

Done. I'm assisting
Anspaugh on a lung biopsy

And then shenk
On a triple-a.

Look, I think
Romano saw us.

Why? What did he say?

You know
How he is.

He didn't say
It directly

But he told me I
Should have accepted

That position at
Gloucestershire royal.

In so many words,
He was saying

He wasn't continuing
My sponsorship.

I suppose it's a matter
Of insult to injury.

Why? Because
He came onto you?

Peter, the man has
An elephantine ego.

I'm not going for that.

Maybe it was
Inevitable.

Being sponsored by him

Was difficult
At the best of times.

You know what?

Elizabeth,
Listen to me.

He doesn't own you.

He can't do
This, okay?

Yeah, look,
We'll talk later.

I have to scrub, okay?

Yeah.

We'll need to explore and see

If there's
Any flexor tendon injury.

Chuny, take
The parents

To the surgical waiting room

And see if pedes has
A post-op bed assignment.

Doug, dr. Nagarvala
Is here to see you.

I'm sorry
To bother you

But a woman came from
D.C.F.S., a miss newman.

She said there'd been
A change in the case status

And she's taking josh
Back to live with his mother.

When did
That happen?

Just now. I came down
As soon as she left.

None of the doctors agree.

We're going to make
A formal appeal.

There's no time for that.

I need the number

For the county health department
In st. Lioba.

Home of the
White corn festival.

I went there
With bikers once.

They had pig calling.

Ever see that? Gross.

Can't say
That I have.

Will you page me?

How's it going?

I got a kid with
Methemoglobinemia.

Oh, that's a great case.

What was the inducer?

Tox screen was negative

But he was on a farm,
So I'll get

The local
Health authorities

To check it out.

Are you taking care

Of dr. Chambliss
And tina-marie?

Yes.

My mom watches them
And she called.

They announced
On the station

That they're broadcasting
From here live

Saying she's dying.

No. That is not happening.

She's not dying?

No, and they're not doing
The broadcast from here.

Dr. Greene said no way.

She and my aunt
Are in front of the tv.

Are you guys talking
About those televangelists?

They must have
Some kind of clout.

I just got a call
From administration

Saying we're to let
Them do a broadcast.

Adele! Hey, adele.

Hi. You're tough
To catch up to.

Josh is my patient.

I read the report.

You understand the situation
He's in with his mother?

Sure, but there's been
A substantial change

In the environmental
Circumstances.

Josh's mother now
Lives with her aunt

And children's services
Feels that the aunt

Can take care of josh.

Josh was born
Addicted to methadone.

I've got an obligation
To return the child.

Can you hold this?

We'll carefully monitor
Josh's progress.

We understand
The situation.

The mother will steal
The methadone from him.

I'm sorry. He
Has to go home.

How's the aunt going
To pay for the meds?

Well, he's on medicaid.

Some of these meds

Are off formulary.

I have to fill out
An authorization request

For him to get
Them, right?

Let's give him an exam

And send him home
With everything he needs.

How long
Will this take?

The mother's waiting.

Long enough to fill out
Some forms, that's all.

Here we go,
Come on.

Okay. Okay.

All right. Okay,
Come here.

I got him.
I got him.

All right.
All right.

Just give me a second
To lock up my car.

All right, here we go.

You got it?

Yep. Got everything.

Ross:
All right, josh,
Deep breaths for me.

I'm hearing basilar rales
On the left.

Do a c.B.C., blood culture
And a chest film.

Why? What's wrong?

Could be pneumonia.

Pneumonia?

You want to hear
For yourself?

So what do I say
To the mother?

How long does he
Have to say?

Well, three or four hours
For the test results

And if it
Is pneumonia

We have to put him
On I.V. Antibiotics.

So that means
He'll spend the night?

Could be. Yeah.

Okay.

All right.

Kid looks pretty good.

No fever.

You sure you
Heard rales?

There's no rales.

I'm keeping him.

What's going on, doug?

A seven-month-old baby

Admitted two times
For withdrawal--

I'm not sending him home
To be a methadone source

For his mother.

Can't child services

Take care of it?

I'm doing ultrarapid detox
And end his addiction today.

Ultrarapid?

You quickly
Withdraw the kid

Under deep sedation.

He'll go cold turkey
Here in the e.R.?

I talked to a pediatric
Anesthesiologist in california.

I know the procedure.

It can be done here safely.

How long?

12-18 hours.

You're going to keep him
Hidden here for 12 hours?

Carol, I don't

Have a choice.

Well, you can't
Do it alone.

Yes, I can.

No, you can't.

I don't want you

Putting anything
At risk.

Yeah, well, we get caught

We'll both help each other
Through real estate school.

I'm going to put him

On a cardiac monitor
And a pulse ox.

I'll do an
Arterial line.

We're going to need a ventilator

Okay?

Okay.

Here's the second dose.

Just run that
Over five minutes.

How you doing?

I feel a bit tired,
But otherwise I'm okay.

Are my mom
And dad around?

Yeah, yeah. They went to make
Some phone calls.

I can have somebody

Go get them.

No hurry.

How's your patient?

I mean, aside
From his color?

It's improving.

Good call, john.

I just got to figure out
What caused it.

See if anybody else
Is at risk.

I heard a lot
About you from anna.

Really?
Yeah.

She told me you'd
Become close friends.

I heard what you went
Through with your cousin.

I'm sure she was
A big help.

She told you
About that, huh?

You know anna.

She doesn't keep secrets.

Yeah. I don't really see how
That concerns you, though.

What she's learned
About drug addiction

She had the misfortune
To learn through me, john.

I understand it's
A private thing.

I meant no offense.

Forget it.

Dr. Romano.

Peter, I
Thought you were

A dried-fruits-and-nuts
Kind of guy.

Nothing healthy in here.

I'm not here to eat.

I was looking for you.

You found me.

You don't mind
If I eat?
No.

So, what's up?

What elizabeth
And I do

In our personal lives
Should not impact her career.

"Doing in your
Personal lives."

What would that be?

I know you saw us
In the locker room

Then hinted to her
That she wouldn't receive

Your sponsorship
Next year.

Now, we both know
That's not right.

( chuckling ):
Look, I had no idea

You and lizzie
Were an item.

I swear I didn't.

But don't worry.

I'm happy for you.

So you didn't see us?

No, but you're
Having an affair.

Terrific.

Actually, it puts certain
Things in perspective.

Hey.

Congratulations.

Excellent choice.

Need some help?

No, thanks, lydia.

I got it.

Who needs a vent?
Nobody.

Uh, respiratory called.

They need it
Upstairs.

Mr. Chambliss...
Uh, dr. Chambliss.

I just want you to know

That I think this broadcast
From the e.R. Is inappropriate.

I assure you, like I assured
Your public affairs people

You'll be referred to
In the most positive way.

Dr. Del amico?
Hmm?

Stay in the room
During the broadcast.

If you feel that
Mrs. Chambliss' health

Is being compromised
In any way, call me.

No problem.

A little help here!

I got it.

What do we got?

Cylla voliotis,
Age 12.

Blunt trauma
To the right eye.

Concussion, possible
Right facial fracture.

Let's go to trauma one.
You the mother?

No. I'm a phys. Ed.
Teacher.

It happened on the
School playground.

She was running
And hit a lamppost.

Did the school
Call the mother?

They're trying.

I have an emergency
Consent form.

Good, good.

Nice and easy on my count.

One, two, three.

It hurts so bad,
I can't stand it.

I know. Don't worry.

We'll take care of you.

Morphine?
Let's start with four.

Partially extruded
Globe.

Does she have vision?

Can you see, darlin'?

It's all red and blurry.

How many fingers
Am I holding up?

Three.

Good, good!

Iris and lens are intact.

No vitreous hemorrhage

Or detached retina.

( whimpering )

Okay, let's get one percent
Lidocaine with epi, betadine

And a steridrape.

No optho consult?

No. We've done this before.

All right, he's out.

Let's tube him.

How do we know when
The withdrawal's complete?

After 12 hours of the narcan
Blocking the narcotic

They have a 98% success rate.

When he wakes up

He shouldn't have any
Withdrawal symptoms.

I'm in.

Pulse ox 98.

B.P.?

110/70.

Good breath sounds.

Heart rate?

120. He's a little tachy.

All right.

We'll let him
Settle down a bit.

How's it going,
Cylla?

I'm scared.

Alcaine's in.

Good. Okay.

Well...

You feel that?

What?

I think we're
About ready to go.

So, what kind of music
Do you like?

Spice girls.

Really? Who's your
Favorite spice?

Yosh, methyl
Cellulose.

What is it--
Sporty spice?

Allspice?

Uh, cylla spice?

No. I like posh.

Okay, good. I need you
Just to hold still.

Okay, hold still.

Sterile
Applicator.

I'm just going to
Invert the lashes.

Okay...

There.

I can see a little better.

Yeah. Yosh, eye shield.

Yeah, it's
Going to be

A little blurry
For a while

And a little sore.

Let me know when
Her parents arrive.

She'll need
An orbital c.T.

And, uh, optho
Can see her.

Tina-marie:
Praise the lord!

Yes, praise him
For his blessing

Prompted by your prayers
And offerings.

It is only by your faith
That I will survive my ordeal.

Only hours ago
When pain coursed through me...

( sobbing ):
Emmet...

Emmet, you tell them.

Brothers and sisters

The lord has put
Another trial before us.

Tina-marie has just learned
From this lovely lady...

No, she's not a movie star.

This is tina-marie's doctor.

Now, will you tell us the nature
Of tina-marie's illness?

Well, she has
Cellulitis

And renal
Insufficiency.

And what does that mean?

Um... She has a problem
With her kidneys.

But she will survive?

Yes.

Yes! She will survive through
The power of christ jesus

And by your prayers
And golden offerings.

Oh, emmet, emmet, emmet!

I can feel the power
Of prayer right now!

I can feel it!

It has started!

We all feel it, honey.

Do you feel it, doctor?

No.

Well, come on!
Take tina-marie's hand.

We will have a
Prayer interface.

People are watchin'
And waitin' for you, honey.

Y-yeah?

Feel the power of the love
That courses through us.

God, through you,
Has saved my life!

Kerry, I've got
Another set of x rays.

Let's have a look.

Is there a name on these?

They're mine.

These are
Much better images.

Did you look at these?

No.

Well, it looks clean.

Why did you order them--
Cough? Fever?

Yeah.

Night sweats?

No, but I have
Trouble sleeping.

Forgetfulness?

Uh, those slides I put in
Your mailbox, but, um...

Yeah, there's been
Forgetfulness.

Jeanie, I want you
To know something.

Whatever your status--

Even if you have
A measurable viral count--

No one's going
To overreact.

There's going to be
A job for you here.

We should draw some blood.

Corday:
He didn't see us?

That's what
He claims.

I read him wrong

And you told him
All about us?

I told him our lives
Are none of his business

And nothing we do

Should affect
Your standing here.

You got heavy
With him.

Yeah. Maybe I should have
Kept my mouth shut.

Taking up my cause
Was very gallant of you, peter

But it seems
We've gone public.

Good breaths sounds
Bilaterally.

Heart rate's down to 100;
Pulse ox 99.

Let's start a second line.

I want to be ready for anything
Before we give him narcan.

Will there be side effects?

It could make him
Hypertensive.

We have nipride,
But no esmolol.

I want both ready
On drips.

I'll go get them.

I'll do it.

Kerry weaver might wonder

Why you're here
After your shift.

Romano:
Suction.

Lizzie, can you
Retract distally?

Good! I've got
The room I need.

We can all settle back.

So, shirley,
Let me ask you something.

Suppose you asked someone
Out on a date...

I'm married.

Yeah. Just hypothetically.

We have a lengthy procedure.

So, you ask this person
On a date and they beg off

Claiming they don't
Get involved

With fellow colleagues
From the workplace.

You've got some oozing.

I've got it.

Then you find out this person
Is having a love affair

With a fellow colleague.

Why do you suppose
They lied?

The fellow colleague
Is married.

A married person's
Response.

But let's say
That he's not married.

They didn't want to offend
Someone's overblown ego.

That's a thought.

But suppose this person
Made up that silly story

About keeping sex
And work separate

Just so they could continue
Playing the field?

That's absurd.

Clamp again, right here.

I don't know.

Shirley?

I agree.

They're probably still

Shopping around.

I thought your shift
Ended hours ago.

Yeah, I got involved.

Esmolol?

Teenager with
A tachyarrhythmia.

How about adenosine?

Already tried it.

Lasted for
A few seconds.

Dr. Carter,
I just got this fax for you.

Mm.

This is the explanation
For the methemoglobinemia.

It's from a local
Health service

Near the grandparents' farm.

See, ground water from several
Local areas has been found

To have heavy concentration
Of nitrites

Due to an inorganic
Waste contamination.

I'd draw blood
On the parents.

They might be borderline.

I did that already.

Just waiting
On the test results.

Randi, did you get labs back
On chambliss?

Yep, they're in here.

Thank you.

Is that a pedes case?

If it is,
I'll put it in my study.

Sorry. It's a repeat glucose
On the televangelist.

Oh. I heard you
Looked great on tv.

Someone saw me?

The nurses had
It on in the lounge.

What a nightmare.
They're total frauds.

Not serious?

But I phoned in a big pledge.

The woman used
Her disease

To milk money
Out of poor people

Who probably believe
All of it.

It's a living.

You know, at least
They're not practicing law

Or polluting streams,
Selling insurance.

So, what's the deal
On getting

A genuine philly cheese
Steak in this town?

I've looked everywhere.
They don't exist.

I'm on a very
Substantial per diem.

And I'm on call.

How about a candle-lit
Dinner for two

In the doctors' lounge?

Sure, I'd love to.

Jeanie, when you have a minute,
Could I see you?

Sure, kerry.

You can go now.

I'll bandage him up.

Thanks, yosh.

I got your labs back.

I'm very happy to say
It's all good news.

Your viral load remains
Non-detectable.

Your white count's normal
And you're not even anemic.

( sighs )

I was getting worked up
Over nothing.

I can understand.

But remember,
I took responsibility

For monitoring your health.

You shouldn't be

On your own
Looking at x rays.

Yeah, you're right.

That won't happen again.

What do you think
About the forgetfulness?

Well, you've complained
Of sleeplessness.

I haven't slept much
The last month.

Been taking anything?

Well, lately,
I've been taking halcion

Which could explain... Okay.

The fact is, jeanie

I mean, you've had
Such a rough time

With al moving away
And, and scotty.

That alone could explain
Your symptoms.

Yeah, you're right.

If you ever want to talk...

Thanks, kerry.

That'd be good.
I'd like that.

Good.

The figures are ten percent
Above our projections

And I think there'll be

Real cassette sales
On this one.

Well, what about
Next time?

Do I die on the tv?

Don't make
Stupid jokes.

Um, your blood sugar's
Still elevated.

I need to give you
A little more insulin.

I'm going to make some
Phone calls, sweetie.

How often do you, uh,
Test your blood sugar

At home, tina-marie?

Oh, uh, what-what's that
You're supposed to do?

Um... Oh, four times a day?

I don't know.

To prevent
Complications, yes.

Well, what kind
Of complications?

Um, blindness,
Heart attack

Loss of peripheral
Circulation.

Well, those are all
Good prayer vigils.

I'm not joking.

Take responsibility
For your health.

Take your problem seriously.

Honey, my problems
Are all I got.

You wouldn't make
A living without them?

Well, I sure as heck
Wouldn't have emmet.

You're such a lovely thing.

Are you married?

No.

Emmet and I were married
When we were in high school.

Oh, we were crazy in love.

You'd never know it
To see us now, would you?

Mm. It's not for me to make
A judgment about that.

I tell you one thing,
Emmet won't leave me.

Ever.

God has...

Has given me the way
To keep him close.

He may not love me

But he loves the way
Caring for me makes him look.

Well, I wouldn't be
In a marriage without love.

Oh, honey, everyone thinks that.

But things change

And you make do.

So be careful.

Thank you.

I suppose the coq d'or's
A bit dressy.

Yeah, uh, but you know what?

Actually, I didn't make
Reservations there.

Our date's off?

No, no. We're going
To the velvet lounge.

( laughing )

That's fantastic.

People are going to look
At us like we're crazy.

Yeah, but you know
That doesn't bother me.

I wish I could
Say the same.

Look, I can't change what I am
Any more than you can.

Whatever feelings I have for you
Are based on who you are

Not what I
Want you to be.

Elizabeth, you're not from here.

You didn't grow up
The way I did.

I wish I could say
One, two, three

And all my feelings
About your skin color

Would disappear,
But it doesn't
Work like that.

Do you
Understand that?

Yes. But I don't want
To subject you to something

You're not ready for.

You know

I've never met anybody

That makes me laugh or blush
Or whatever the way you do.

I-I-I'm trying to
Work through this

But, you know,
You've got to trust me

All right?

Mm-hmm.

Come on, let's go
To the velvet lounge.

( laughs )

Hey. Philly cheese steaks.

Right here.

I found them in chicago
And they deliver.

Can you believe that?

Want one?

More than enough.

No, thanks.

Oh, come on, you get
A free angioplasty

With a small order

Free quadruple bypass
With the dinner special.

( chuckles )

No?

Listen, I was wondering

Maybe, uh, you'd like to join
Anna and I for dinner sometime.

You really want an ally,
Don't you?

No. It's about your friendship
With her.

I don't want her
To cut herself off

From people she likes.

Make it easier for her
To go back to you?

Am I hearing jealousy?

Maybe once, but not now.

It's just that I
Think you're trouble.

Maybe I'm wrong.

Sort of hope I am.

But that's what I think.

So I might laugh
At your jokes

And never give you any
Indication of how I feel

But I wanted you
To know that.

Enjoy your dinner.

Hey, mark,
I've been thinking.

There's a storage area
Off the hallway

That could be outfitted
As a pediatric exam room.

The janitor's closet?

It's small,
But children's beds are small.

We could hang I.V. Bags

On those hooks
They use for the brooms.

Uh-huh, this is a joke.

Well, maybe
I'm just facing reality.

You're obviously
Behind the idea.

You gave dr. Rosher
A grand tour.

And he was very impressed

With the way we handle
Our pedes cases.

Mark, doug is your friend.

You think rosher's report

Will help him get
An attending position.

I appreciate loyalty.

I just don't think

It should be at the
Expense of the e.R.

My friendship has
Nothing to do with this.

I don't believe
A pedes unit

Or a pedes attending
Is a big improvement.

Dr. Greene, jeanie wants you
To sign off on a suture job.

Will you go
On record with
That to anspaugh?

Absolutely,
When the time's right.

Where is she?

( beeping )

Pulse ox 89.

What's going on?

Decreased breath sounds
On the left.

Maybe it's a collapsed lung.

Should I get
A portable x ray?

It can't be.

His pressure's not that high.

Put him on 100% oxygen.

Could be a mucous plug.

I'll get a suction catheter.

Looks good.

Infected abrasion?

Right here.

She cleaned it up good, huh?

I'll change the dressing

When you come in
To see haleh.

Sure. On thursday.

Ross:
Hook up the vent.

Hathaway:
Pulse ox 98.

What the hell's this?

This boy is my patient.

Ketamine drip.

What are you doing?

An ultrarapid detox.
Everything's under control.

Like hell it is.

Is this baby even
A registered patient?

Is he on the board?

If you'll let me explain
The circumstances...

You don't have
Consent, do you?

You've got an intubated kid
Under deep sedation.

Gina, get in here.

We've got to move
This kid.

You're not going
To hear me out?

No, I don't need to.

B.P.'s 190/100.

Try .3 mikes
Per kilo per minute.

Gina, bag him.

Let's get
To the p.I.C.U.

We can do it here.

Where's the chart?

I don't have a chart.

Is this how you
Practice medicine?

I wrote everything down
On that piece of paper.

That's great.
I don't believe this.

Inga, call the p.I.C.U.

Tell them
A critical patient's coming.

I'll need a name.

What's the name?

We don't have
To do this.

The baby's name?
Josh mcneal.

Baby mcneal,
About six months old.

Ketamine drip, intubated.

What's going on?

I found doug in exam four
Detoxing this baby.

What?!

I found him
By accident.

Carol, did you know?

I was helping him.

Helping him?!

The baby was stable...

It's a violation
Of every e.R. Policy.

They've got a bed ready
In p.I.C.U.

Tell them I'll bring him up.

I'm going up with him.

You're damn right
You're going.

You're going
To explain this

To the hospital
Administration

And the executive
Committee.

You lied
To me, doug.

You looked me in the face
And lied.