All language subtitles for ER (1994) - S05E01 - Day for Knight (1080p WEB-DL x265 MONOLITH)_track3_[eng]@@@

What happened?

Is he okay?

I think he might
Have slipped.

No. It looked to me
Like he fainted.

Okay. Uh, every...
Just get back,
Everybody, get back.

Come on. We got
A doctor here.

The hospital's around
The corner. Some guy
Ran for help.

My head hurts.

The pavement's hard.

All right. I'll help you.

I'll help you.

You shouldn't move
His neck like that.

Are you okay?!

I just told you.

My head hurts.

You're going to be fine.

We're all going to help you.

You want us to
Do something?

Hathaway:
Coming through.
We've got to.

Greene:
Excuse us.
Let us in here.

Hey, sir, are you okay?

Yeah. Can you help me up?

We're going to
Check you over.

What's your name?

Barry mahoney.

He fell down.

Thank you.

And he's bleeding
A little bit.

Thanks. We'll
Take it from here.

Okay.

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

T.K.O., c.B.C., and a chem 20.

Want a portable
C-spine?

Yeah. Thanks.
And a 12-lead e.K.G.

Can we help you?

Just wanted to make
Sure he was okay.

Family needs to
Wait out in chairs.

I'm not family.
I was passing by
And tried to help.

Didn't do much.

Just put her coat
Under my head.

Mr. Mahoney
Is very grateful

But passersby need
To wait in chairs, too.

Accucheck, 124;
Hemocue, 13.8.

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

I'm a third-year
Medical student.

I'm starting my e.R.
Rotation today.

Oh, man, is
That today?

So this lab coat
Must be yours.

Yes. So what should I do?

What's your name?

Ms. 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.

Man:
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.

You look like some
Geek pacing around.

I am a geek pacing around.

I'm taking dr. Weaver's
Audio tour of the e.R.

Who's dr. Weaver?

Kind of short, red hair,
Uses a crutch.

So, what, they
Just have you
Sitting here?

I don't know what
I'm supposed to do.
No one said anything.

I got to get back
To my tour.

Bernard, what are
You doing later?

I have to practice
Drawing blood.

They're not going to make you
Do procedures the first...

All right. I'll find you.

Come on! Out of the way!

Trauma one's clear.

What've we got, peter?

Multiple g.S.W.S--
Head, neck and face.

G.C.S. Seven, b.P. 60 palp, two
Large-bore I.V.S normal saline

A liter and a half
In the field.

Jerry:
Lucy knight?

Yeah, yeah.

Jerry markovic, unit
Service coordinator.

Listen, dr. Greene's
Going to show you around

As soon as he finishes
With a patient.

Why don't you throw
Your stuff in the lounge

And then 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 got to love that.

You must be
A new med student.

Yeah.

Jerry's the
Desk clerk.

He only pulls
That unit thing
On newcomers.

Takata:
It's his
Birthday.

Don't tell him
About the cake.

Chuny marquez.

Lily jarvik.

Yosh takata.

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

Excuse me. I'm
Looking for jerry.

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.

Oh, 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.

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, 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?

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,
Waiting on a head c.T.
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.
The place is
Lousy with them.

Right.

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

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.

Do you know mr. Gamely?

I just saw him.

As soon as he's done
With the headset tour

I'll find you.

I think you'll find
It very useful.

B.P.'s 40 palp.

Wright:
He's flatline.

Benton:
Thoracotomy tray.
Let's move.

Another five of epi.

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.

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.

This is exam
Room four.

Sorry to barge in.

Hey, have you
Got a minute?

Sure.

Be right back.

Lucy knight, third year;
Doug ross, pediatrician.

Hi. All right, ms. 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.

Treatment?

Amoxicillin or pediazole

Although current thinking holds
That we may be overtreating

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.

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 be their
Indentured servant.

See you later, mark.

Mark, labs are back
On that rule-out m.I.

Thanks, lily.

That's about the
Lay of the land.

I'm going to 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.

Malik:
Still no pulse.

Weaver:
How many units are in?

Wright:
Four o-neg, four type specific.

Benton:
Last epi?

Wright:
Five migs three minutes ago,
Total of eight.

How long has
He been down?

25 minutes.

Let's call it.

All right. Time
Of death: 8:49.

Nice try,
Everybody.

Benton:
I got to get
Back upstairs.

Weaver:
Yeah. I'll
Handle the chart.

You want to wrap,
Or shall I?

I'll do it.
See ya.

Is that it?

I got to get
The death kit.

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

( phone ringing )

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.

Weaver:
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.

We'll return for
A complete orientation

Later in our...

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 to
Residents yet.

It hasn't stopped
Her from turning me

Into a urine
Delivery service.

Remember where
The lab is?

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

Ms. Knight.

See ya.

Oh, dr. Weaver.

The 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.

Kerry.

Doug, you were
Looking for me?

Yeah. I have
To do an l.P.

On a two-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.

The parents are out
Waiting if you'd
Like to join us.

Don anspaugh and legal
Mandated the terms

Of your situation,
Not me.

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 eight.

How long has he had
The rash?

His mom said
About three weeks.

I'm having a hard time
Diagnosing it.

How's it going,
Ms. Knight?

Uh, fine.

Dr. Weaver
Suggested

I work with dr.
Carter on some
Of his patients.

Carter, you want
To fill her in?

Eight-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

Dr. Ross
Take a look

And then you
And ms. 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?

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 about weight loss?

I always drop
A little

At the end
Of a job.

You skip a meal
Here and there.

Mm-hmm.

This going to be
Much longer?

I'm going to
Order some tests.

We'll know more then.

Connie, let's get
A c.B.C., coag panel

U.A., chem seven.

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 going to get
To do anything.

I've spent
Two years learning

How to take a history
And a 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.

( humming tune )

Mrs. Lydell?

Yes, I surely am.

I'm lucy knight.

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.

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,
B.P. 90 palp.

Put them
In his chart.

Let's get another
Large-bore I.V. 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.

We're covered here.
Go, go, go.

Hematocrit's 30?

So he's pretty
Anemic, right?

Yep.

Urinalysis shows
Red blood cells

Too numerous to count

But only two
To three w.B.C.S.

Bun and creatinine
Are normal.

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
The computer?

Um, with weight loss
And painless hematuria

Cancer's high on the list.

Kidney tumor,
Carcinoma of the bladder

Prostate cancer,
Renal tuberculosis...

Okay. Good job.

Thanks.

Oh, good.

I was just coming
To find you.

I got to 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
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.

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.

Do 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?

We'll 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?

Just about to.

I'm just going

To go check with her

To see if she needs
Any help.

I'm looking for
Mrs. Zwicki.

Yes.

Mrs. Zwicki?

My name is lucy knight

And 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 a.M.A.

But we'd like to check him in
And do some more tests.

Tests?

Do an I.V.P.

Get an abdominal
C.T., check his
Urine for a.F.B.S

Maybe check a p.S.A.
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 need
To tell you about

Your husband's
Condition.

She explained
Everything.

He's incredibly
Stubborn.

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.

I thought you said
To go find her...

What did you say?

I told her about
The chances

Of hypernephroma,
Prostatic...

In those words?!

Is there a problem?

Mark...

Just a second, carol.

The patient wanted
To leave a.M.A.

Ms. 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.

Hathaway:
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.

Ms. 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.

B.P. 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!

8.0 e.T. Tube, suction.

B.P.'s 160/95,
Pulse 62.

Wright:
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.

I'll check his belly.

Locked out?
Yes.

Happened to me once.

Takata:
Second line is in.
18 gauge, left forearm.

Greene:
Okay. I'm in.

Good bowel sounds.

Peritoneal lavage?

No. He's
Hemodynamically stable.

Let's get a head
And abdominal c.T.

All right. Pulse ox...

92...

95, 96.

Corday:
Good breath sounds
Bilaterally.

No tracheal shift

Or jugular venus distention.

Thank you, doctors.

Call us when
The c.T.'s back.

He needs a foley
And an n.G. Tube.

We thought maybe you decided
To leave on that chopper.

Takata:
First hemoglobin 14.2.

Why don't you come here?

I need more tubes.

He was a firefighter?

He is a firefighter.

Hathaway:
Urine's clear;
Dip's negative for blood.

Glasgow coma scale--
How do you do it?

Check for eye opening

Verbal activity,
Motor response.

C.T.'s ready.

No verbal with e.T.

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.

( loudly ):
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.

Hathaway:
Pulse ox 98. A.B.G.

Absent corneal reflex.

What does that indicate?

No brain stem
Activity.

Takata:
Ready for the c-spine.

Back up.

So what are
You thinking?

Subdural or
Epidural hematoma.

That would 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 too early
To say.

We'll know more
When the c.T. Comes back.

We screwed up, didn't we

Bringing him in
On that private chopper?

The airfield was
There. It was the
Fastest way.

But we lost
His e.T. Tube.

If you waited
For the medevac

It could have been
Another 15 minutes.

At least we would
Have had more supplies.

Guys, 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 tell them.

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

I'll call you when
The c.T. Comes back.

Oligario:
We should just have the cake
At the admit desk.

You 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. 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.

Went back to philadelphia
To work in the pediatric e.R.

We don't have one?

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.

Hmm.

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.

Benton:
It's been a crazy day.

I've been swamped.

Corday:
So reese couldn't even get
The hearing test?

Benton:
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 going
To be on augmentin
For another week.

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

Mm-hmm.

( laughs )

( laughing continues )

What?

I can't believe you're
Wearing those boots.

Corday:
When in rome.

Benton:
So-- whoo!--
How was rome?

Denver is not rome.

I went to a fantastic
Rodeo, though

But I didn't care
For the hospital.

It's rather regimented.

There's a surgical program.

Look, I want to stay
In chicago.

You know, cromley may
Offer me a sponsorship.

Benton:
Good.

I'm glad you're staying.

Well, trying to stay.

Hmm, 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?

It seems like it,
Doesn't it?

Mm-hmm.

Malik:
Lucy, right?

Yeah.

And you are...?

Malik. Yeah, carter was
Looking for you.

He's checking on that
Pregnant lady

Over in exam two.

Thanks.

Exam two.

Exam two?

Curtain three.

Exam two is back
Towards admit.

Thanks.

Exam two?

Just past curtain two.

Take a left.

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.

He 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 passed some clots.

B.P.'s 110/75,
Pulse 100.

And how many pads
Have you used?

One yesterday
And four today.

Any fever?

No.

Any burning
On urination?

No.

Good. Let's get
A c.B.C., 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 going
To do a few tests

Then I'm going to come back

And do a pelvic exam.

We'll know better
Where we stand, okay?

Okay.

We'll be right back.

Let me know when
The icon's back.

Okay.

I should
Probably stay out

While you do
The pelvic, right?

You won't learn much
If you do.

Yeah, but I just thought
She seemed really distraught.

She is, but
It has nothing
To do with you.

C.T.'s back
On that firefighter

If you want
To take a look.

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 the c.T. Scan.

I don't see any.

Right.

No subdural or
Epidural hematoma.

Which means there's
Nothing we 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
From the 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 I.C.P. 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 seem like you must
Have worked

With paramedics before.

Mostly just in here.

Want to think
About doing it?

There's a position
Opening up.

District medical director
For e.M.S.

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 ya.

Hell of a way
To get a job offer.

Weaver:
...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
Going to take that thing?

Hey, carter's about
To do that pelvic.

We're going to take a look
Inside with this speculum.

I need you to relax.

( quietly ):
There's tissue at the os.

Ring forceps.

Let's get that to pathology.

I need to check
Your ovaries now.

Tell me, is there
Any pain here?

No.

Mm-hmm.

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 sure?

Mm-hmm.

The fetus was pushed
Out of the womb.

Your bleeding has slowed

But we need to
Observe you for
A little while.

I'm going to come back

And I'm going to do
Another pelvic exam.

Make sure the bleeding
Has stopped

And that, uh, the
Cervix is closed.

A doctor from ob/gyn
Is going to stop by.

Ms. 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.

( sobbing )

I don't know why
This is happening.

Why is this happening?

I don't know.

I'm sorry.

What are you doing?

I have no idea.

Ms. Knight.

Just thought we could...

Just a moment.

Jerry, I thought you
Were notifying the morgue

For a pick-up.

I did.

Sorry, dr. Weaver.

I'll call them again.

I haven't had
Much of a chance

To work with
You today.

Everything going well?

Pretty well
For a first day.

Been completely
Hateful, huh?

Kerry, I need to do
A needle aspiration

On a 15-year-old
With a p.T.A.

I'd like the mother's
Consent if you're available.

Ms. Knight was looking
For a case to observe.

That's a peritonsillar
Abscess--

Large pocket of pus
Collected around the tonsils.

We have to get that fluid
Out of there.

We numb it first

And use a needle
To draw out the infected fluid.

An alternative is to
Open the pocket with a scalpel

But that's
More invasive.

The needle aspiration
Is fine.

If you're sure?

Mm-hmm.

You've obviously 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?

Which is different
From an attending.

One rung under the boss.

So that's why
You need an attending

To be a witness?

When parents
Sign a consent form

One of the attendings
Needs to witness that.

I recently performed
A procedure

On a seven-month-old baby

Who was born
Addicted to heroin.

I de-toxed 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 trade-off.

Good luck.

Every guy in that gym

Must have thought
I had a coronary.

They were all over me
Like white on rice

Asking me if they could help,
Get me some water.

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

That's very generous.

Ms. 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.

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-hmm.

Happy birthday.

Oh, thank you.

Mrs. Fernandez.

Yes?

I'm dr. Greene.

This is ms. Knight.

Where is emile?

We came
As soon as we could.

The whole family,
We just piled in the car.

I think it would
Probably be
A good idea

If the family stayed here
In the waiting room.

( speaking spanish )

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 c.T. 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 I.C.U.

Monitor the pressure
In his brain

And treat the swelling
The best we can.

Is he brain dead, dr. Greene?

We're going to have
To wait and see.

If the tests
Show no brain activity

Over the next few days...

You're going
To have to think about...

Continuing life support.

Lucy, um,
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 a shipwreck
Out in lake michigan

When I felt a slice
Across my foot.

What's weird, though,
At that depth

The water filters
Out all the red

So your blood comes
Out looking green.

When was your last tetanus
Shot, mr. Reinhart?

I don't know.

My mom used to keep
Track of all that stuff.

Well, your laceration
Is superficial

But it's going to 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 I.V.?

Of course.

Carter:
I'll be back.

You do know how
To do this, right?

( nervous chuckle )

Yes.

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

Sure.

Um... It's just that this
Is my first I.V., and...

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 going
To take the tourniquet

And you're going to tie it
Into a slip knot

Like that.

Ms. 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?

You tape the little toe
To the one next to it.

Tell her she can
Expect some discomfort

For the next
Couple of weeks

And wear hard-
Soled shoes.

Okay.

When you look
At the actuarial tables

Term is definitely
The way to go.

Mmm...

Ms. 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.

At 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.

Carter:
Scuba man is on his way.

Only took a half
A dozen sutures.

By the way

Nice job on
That I.V.

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
For a minute?

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 guess we'll talk
About what to do.

Okay. Okay, I'll tell him.

Weaver:
Jerry?

Jerry, get over here,
Please.

I mean, what
Does it take, huh?!

I'm, I'm sorry.

How many times
Have I asked you

To get this body
To the morgue?!

I will call them
Again, dr. Weaver.

No, you will not! No!

You will not
Call them again.

You will take this poor
Soul over there yourself.

Oh, dr. Weaver...

Jerry, it's just
A corpse.

It's not like you've never seen
A dead body before.

( laughing )

* happy birthday to you

* happy birthday to you

* happy birthday, dear jerry

* happy birthday to you.

( whooping and cheering )

You got me, you got me.

Woman:
Light the candles.

Somebody cut the cake.

Happy
Birthday,
Jerry.

Uh, I got to go pick up rachel,
Get her some dinner.

Why don't you
Bring her over
To our house?

We're having
A barbecue.

Really?
About an hour?

Yeah.

Maimed or mutilated,
Huh?

Yeah, I know it's not
A pretty picture, huh?

No, no, no,
Tell me more.

Knight:
I can't believe
They're having a party.

It was such
A horrible day.

Yeah, well, tomorrow's
Going to 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!

No, 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.

You want a piece of cake?

( laughing
And loud conversation )

Chuny:
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.