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1
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E.R.
2
00:00:06,990 --> 00:00:08,184
Previously on ER...
3
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- When are you coming back?
- The hearing is in a couple of weeks.
4
00:00:12,362 --> 00:00:15,798
Nurse Hathaway is doing fine
on her own.
5
00:00:16,032 --> 00:00:18,440
Why two women on one night?
6
00:00:18,475 --> 00:00:19,490
Scheduling mix-up.
7
00:00:19,636 --> 00:00:20,969
I thought we were having drinks.
8
00:00:21,172 --> 00:00:24,096
Before or after the basketball game?
9
00:00:24,340 --> 00:00:26,433
I just took out your appendix.
10
00:00:26,609 --> 00:00:31,012
I'm afraid of liking you too much.
11
00:00:31,247 --> 00:00:34,007
- We're going to intubate him.
- He doesn't want that.
12
00:00:34,017 --> 00:00:35,878
Intubate him.
13
00:00:37,965 --> 00:00:40,777
"Faith"
14
00:00:40,812 --> 00:00:42,833
We're back at 8:30
on this Thursday morning.
15
00:00:43,009 --> 00:00:45,501
- It's really nice outside.
- It's beautiful out here.
16
00:00:45,680 --> 00:00:49,181
- I wish the sun was shining.
- Clouds are gonna be moving in.
17
00:00:49,352 --> 00:00:50,728
Temperature-wise, it is nice.
18
00:00:50,896 --> 00:00:54,148
A lot of Martha fans out here.
We should probably say a quick hello.
19
00:00:54,318 --> 00:00:58,069
This lady is a Martha fan. Can you do
the things she does as well as she does?
20
00:00:58,241 --> 00:00:59,440
- I try.
- You do?
21
00:00:59,619 --> 00:01:00,900
No, I'm not as good as her.
22
00:01:01,079 --> 00:01:03,868
- Mom?
- Oh, did I wake you?
23
00:01:05,002 --> 00:01:07,791
- What are you doing?
- I'm making you breakfast.
24
00:01:09,509 --> 00:01:11,253
Where's the coffee?
25
00:01:12,514 --> 00:01:16,514
- How are you feeling? Sleeping okay?
- Like a baby.
26
00:01:16,687 --> 00:01:19,440
- No nightmares?
- No.
27
00:01:20,151 --> 00:01:21,611
It would only be natural.
28
00:01:22,196 --> 00:01:25,650
Mom, I see worse stuff
at work every day.
29
00:01:27,371 --> 00:01:31,206
- Today's the big day, right?
- The test?
30
00:01:31,378 --> 00:01:32,873
No, find out about your job.
31
00:01:33,047 --> 00:01:37,759
Mom, they suspended me.
I might not get my job back.
32
00:01:38,514 --> 00:01:41,089
- Those eggs done?
- No, still too runny.
33
00:01:41,268 --> 00:01:45,815
- I like them runny.
- Just another couple minutes.
34
00:01:45,985 --> 00:01:50,613
- What test?
- Medical School Admissions Test, Mom.
35
00:01:50,783 --> 00:01:55,365
- I thought you gave up on that.
- No.
36
00:01:55,541 --> 00:01:58,295
Big commitment.
37
00:01:58,463 --> 00:02:01,501
Here we go. Perfect.
38
00:02:07,853 --> 00:02:10,939
- Doctor. That would be something.
- I could do it.
39
00:02:11,108 --> 00:02:12,519
- I know you could.
- I could.
40
00:02:12,693 --> 00:02:14,984
- I said so.
- Why do you always do that?
41
00:02:15,156 --> 00:02:19,108
- Do what?
- Make me feel like I'm incapable, stupid.
42
00:02:19,287 --> 00:02:21,116
I said I thought you could do it.
43
00:02:21,291 --> 00:02:23,415
I just wish for once
you would believe in me.
44
00:02:23,586 --> 00:02:26,078
- I believe in you.
- You always criticize, belittle...
45
00:02:26,257 --> 00:02:28,381
...make me feel like I can't do anything.
46
00:02:28,552 --> 00:02:31,590
Why didn't you tell me I could be
a lawyer or pilot or astronaut?
47
00:02:31,766 --> 00:02:35,386
- You wanted to be an astronaut?
- No, I wanted you to tell me I could.
48
00:02:35,563 --> 00:02:37,558
Fine. Go be an astronaut.
49
00:02:39,570 --> 00:02:44,151
I'm your mother, I love you whoever
you are. Doctor, nurse, housewife.
50
00:02:44,328 --> 00:02:47,615
Oh, right, housewife.
51
00:02:47,791 --> 00:02:49,334
You hold you back, not me.
52
00:02:49,502 --> 00:02:51,580
You're the one that
always quits everything.
53
00:02:51,756 --> 00:02:53,964
Always frightened
that you're not good enough.
54
00:02:54,135 --> 00:02:58,598
- I finish things.
- Ballet, cheerleading, the flute.
55
00:02:58,767 --> 00:03:02,767
- I was 13!
- Business school, your own wedding.
56
00:03:07,824 --> 00:03:11,776
- I finished nursing school, didn't I?
- Right. Exactly.
57
00:03:11,955 --> 00:03:15,872
You've got a great job you're good at.
So why is the grass suddenly greener?
58
00:03:16,045 --> 00:03:22,217
You have a good life. I'm proud of you.
Why aren't you proud of yourself?
59
00:03:27,980 --> 00:03:30,687
Carla! Carla!
60
00:03:31,736 --> 00:03:33,814
Hey, Carla.
61
00:03:33,990 --> 00:03:37,491
I was coming to see you. I didn't know
you had to be at work this early.
62
00:03:37,663 --> 00:03:39,657
I don't.
63
00:03:39,833 --> 00:03:44,415
Look, Carla, I'm sorry I haven't called.
A lot of stuff came up.
64
00:03:44,591 --> 00:03:48,211
I just had a lot of stuff going on,
you know?
65
00:03:48,388 --> 00:03:50,762
I had minor surgery and all this other...
66
00:03:50,934 --> 00:03:52,727
Sorry to hear that. Are you okay?
67
00:03:52,896 --> 00:03:56,516
Yeah, yeah. It was just my appendix.
I'm still a little sore, but I'm okay.
68
00:03:56,694 --> 00:03:59,185
- How about you? You okay?
- Peter, what do you want?
69
00:03:59,364 --> 00:04:04,076
- Well, we need to talk.
- I told you I was pregnant weeks ago.
70
00:04:04,247 --> 00:04:07,784
Then nothing. No phone calls,
no coming by to see how I was doing.
71
00:04:07,962 --> 00:04:10,917
Silence. I got the point. It's cool.
I got it.
72
00:04:12,635 --> 00:04:16,338
I wasn't trying to make a point!
73
00:04:17,810 --> 00:04:20,481
Carla, I realize there's going to be
a baby here...
74
00:04:20,648 --> 00:04:23,319
...and he's gonna be as much
my responsibility as yours.
75
00:04:24,321 --> 00:04:26,992
I just needed some time
to think about this thing.
76
00:04:27,159 --> 00:04:31,111
It's not the way I would've planned it,
but you're not doing this by yourself.
77
00:04:31,290 --> 00:04:34,994
- Are you going to marry me, Peter?
- That's not what I'm saying.
78
00:04:35,172 --> 00:04:37,212
So, what are you saying? What?
79
00:04:37,383 --> 00:04:39,792
Are you going to stop by
every so often...
80
00:04:39,971 --> 00:04:42,807
...and change a few diapers,
bounce the baby on your knee...
81
00:04:42,975 --> 00:04:45,349
...for a couple of Kodak moments?
82
00:04:45,521 --> 00:04:49,853
The child's gonna need a good school
and a nice place to live.
83
00:04:50,029 --> 00:04:53,400
- You're saying I can't provide those?
- I'm saying I can help.
84
00:04:53,576 --> 00:04:56,947
Money.
So that is what this is all about.
85
00:04:57,123 --> 00:04:59,413
Yeah. That among other things.
86
00:04:59,586 --> 00:05:01,994
The child will need a man in his life.
87
00:05:02,173 --> 00:05:05,793
Who says that this baby
will not have a man in his life?
88
00:05:07,306 --> 00:05:10,178
So, what you saying?
You seeing somebody else?
89
00:05:11,354 --> 00:05:16,732
Peter, you and I, we've known
each other for a very long time.
90
00:05:16,905 --> 00:05:21,700
I never expected you to marry me.
I never expected a damn thing from you.
91
00:05:21,871 --> 00:05:26,037
You care about you.
And that is the way it has always been.
92
00:05:26,211 --> 00:05:30,674
But it's comforting, really.
It's one of the few constants in my life.
93
00:05:32,095 --> 00:05:34,766
You don't have to worry.
This baby is gonna be fine.
94
00:05:34,933 --> 00:05:39,563
Plenty to eat, nice clothes, a good man
around to call Dad. I'll take care of that.
95
00:05:39,733 --> 00:05:44,010
You go back to worrying about yourself.
Because that's what you do best.
96
00:06:39,858 --> 00:06:42,609
Dr. Benton! First day back.
97
00:06:42,777 --> 00:06:45,694
- Is the incision healing? Any discharge?
- It's fine, Carter.
98
00:06:45,863 --> 00:06:49,113
You shouldn't be back on your feet
for extended periods of time yet.
99
00:06:49,283 --> 00:06:51,738
Did you finish that
whole course of antibiotics?
100
00:06:51,910 --> 00:06:53,986
Hey, Peter, how's the scar?
Is it itchy yet?
101
00:06:54,162 --> 00:06:57,910
I made a Rocky-Davis incision,
running stitch, McBurney's Point.
102
00:06:58,082 --> 00:07:00,751
When that hair starts to grow back,
the itching worsens.
103
00:07:00,918 --> 00:07:03,669
You going to show us
your scar, Peter? Let's see!
104
00:07:03,837 --> 00:07:06,838
Yeah, let's take a look.
I did it one-handed.
105
00:07:07,007 --> 00:07:09,924
- Come on, Carter, stop!
- You know, that's really a shame...
106
00:07:10,093 --> 00:07:12,215
...because it's a great job.
107
00:07:12,386 --> 00:07:15,007
Good thing I took pictures.
108
00:07:16,431 --> 00:07:20,594
- What is that, a mole?
- Good morning. What are you doing?
109
00:07:20,769 --> 00:07:22,560
Yikes, what is that?
110
00:07:22,729 --> 00:07:25,848
That's Benton's appendix
in a jar on my mantle.
111
00:07:26,023 --> 00:07:28,561
Wow, they shaved him good.
Somebody got carried away.
112
00:07:28,734 --> 00:07:33,609
- Dr. Carter, we're still backed up.
- Okay, on my way.
113
00:07:33,780 --> 00:07:36,615
- Carter looks beat.
- He was on again last night.
114
00:07:36,782 --> 00:07:39,617
Surgical interns are still covering
all Dr. Gant's shifts.
115
00:07:39,785 --> 00:07:42,454
- What is that, like a 90-hour week?
- More like 95.
116
00:07:42,621 --> 00:07:45,112
Thank God for Pediatrics.
117
00:07:47,625 --> 00:07:49,416
Jerry, what is that all about?
118
00:07:49,585 --> 00:07:53,167
Nurses and management are still at
the table. Contract expires at midnight.
119
00:07:53,338 --> 00:07:57,122
Mark, paramedics are pulling up with
a 35-year-old female, respiratory failure.
120
00:07:57,300 --> 00:08:00,301
- Duty calls. Hey, lunch?
- Only if you're buying.
121
00:08:00,470 --> 00:08:02,177
- Carol finds out today, right?
- Yeah.
122
00:08:02,346 --> 00:08:05,133
The investigation is done,
and Nursing has the report.
123
00:08:05,307 --> 00:08:06,635
- You seen it?
- No.
124
00:08:06,808 --> 00:08:08,552
They haven't heard anything either.
125
00:08:08,727 --> 00:08:10,684
- How's she doing?
- She claims she's fine.
126
00:08:10,854 --> 00:08:14,436
Okay, Jeff, thanks.
Nothing yet. They're still at it.
127
00:08:14,607 --> 00:08:18,438
- I don't want to walk a picket line.
- Not in February, that's for sure.
128
00:08:18,610 --> 00:08:20,733
- We stand firm.
- Easy for you to say.
129
00:08:20,904 --> 00:08:23,858
- You've got a husband with a job.
- Believe me, they'll settle.
130
00:08:24,032 --> 00:08:26,024
They can't run this place without us.
131
00:08:26,200 --> 00:08:30,114
That's what air traffic controllers said
before they started parking cars.
132
00:08:30,287 --> 00:08:32,363
One, two, three.
133
00:08:32,539 --> 00:08:35,824
Down's patient, 37. Mother found
her in bed in respiratory distress.
134
00:08:36,042 --> 00:08:38,081
Resps shallow at 30. BP's 100/50.
135
00:08:38,252 --> 00:08:41,455
Mom said she had a respiratory
infection, never fully recovered.
136
00:08:41,630 --> 00:08:45,330
- Where's her mother now?
- Said she'd follow in her car.
137
00:08:45,509 --> 00:08:47,881
Two-plus pitting edema!
138
00:08:48,053 --> 00:08:52,299
Louise, I'm Dr. Greene.
You're having a little trouble breathing?
139
00:08:52,473 --> 00:08:54,512
We're gonna make you
feel better, okay?
140
00:08:54,683 --> 00:08:57,470
She's sweet, scared.
Held my hand all the way over.
141
00:08:59,437 --> 00:09:04,015
Louise, can you tell me what day it is?
No? You can't tell me? No, okay.
142
00:09:04,192 --> 00:09:07,145
Dr. Doyle, I want you to take a listen.
Tell me what you hear.
143
00:09:07,319 --> 00:09:10,652
- Chuny, come hold Louise's hand.
- You bet.
144
00:09:10,822 --> 00:09:15,365
CBC, lytes, EKG, chest film,
O-2, 6 liters by mask.
145
00:09:15,535 --> 00:09:17,657
Hi, Louise. My name is Chuny.
146
00:09:17,828 --> 00:09:20,449
- S3 gallop and mitral regurg?
- Indicative of what?
147
00:09:20,622 --> 00:09:23,244
Possible cardiomyopathy,
probably from viral infection.
148
00:09:23,417 --> 00:09:27,081
- Mark, she's trying to say something.
- Louise?
149
00:09:28,338 --> 00:09:31,124
Louise, do you need something?
150
00:09:32,049 --> 00:09:35,833
- Louise, what's wrong?
- Where's my mom?
151
00:09:36,011 --> 00:09:40,138
Your mom?
Your mom is coming real soon. Okay?
152
00:09:40,306 --> 00:09:44,350
Don't you worry. You can just relax.
You're doing great.
153
00:09:45,227 --> 00:09:49,520
Human Resources reviewed your
incident report in the ER procedures.
154
00:09:49,689 --> 00:09:54,018
They sent their recommendations along
with mine on to the Safety Committee.
155
00:09:54,193 --> 00:09:55,936
- And?
- And they agreed with us.
156
00:09:56,112 --> 00:10:00,987
That your mistake was a result of
systems problems and not of negligence.
157
00:10:01,158 --> 00:10:03,827
There will be a written warning
in your file for a year.
158
00:10:03,993 --> 00:10:08,156
And the three weeks you missed will
be deducted from your vacation time.
159
00:10:08,331 --> 00:10:11,699
- And that's it?
- You preferred a public flogging?
160
00:10:12,501 --> 00:10:14,540
You can start back today.
161
00:10:18,006 --> 00:10:22,466
- You don't have to start back today.
- No, thanks. I'm okay.
162
00:10:25,512 --> 00:10:28,513
I better get back to work.
163
00:10:31,059 --> 00:10:32,173
La Boh�me?
164
00:10:32,351 --> 00:10:34,759
Don't say it like it's
a new strain of bacteria.
165
00:10:34,937 --> 00:10:37,344
- What is it, five hours long?
- Forget it, really.
166
00:10:37,523 --> 00:10:39,431
I wouldn't take you now
if you begged me.
167
00:10:39,608 --> 00:10:43,439
It's just I'm not an opera fan. Marcus
Roberts tickets, I'd be there in a flash.
168
00:10:43,611 --> 00:10:46,528
I got it, Greg.
You don't want to go. Fine.
169
00:10:46,906 --> 00:10:50,155
Is La Boh�me the one where they
lop off the nuns' heads at the end?
170
00:10:50,325 --> 00:10:53,160
It's set in Paris.
There's star-crossed lovers and artists.
171
00:10:53,328 --> 00:10:54,656
- Artists?
- Yeah.
172
00:10:54,829 --> 00:10:58,577
Jeanie, hang on a second. Look,
I'm sorry. If you want to go, we'll go.
173
00:10:58,749 --> 00:11:01,240
- Don't do me any favors.
- I'd love to go. What time?
174
00:11:01,418 --> 00:11:04,454
I just thought we could do something
spontaneous, romantic, fun.
175
00:11:04,629 --> 00:11:06,835
- Opera?
- I have to get back to my patient.
176
00:11:07,382 --> 00:11:11,082
Look, Jeanie, Let's hang out anyway.
We'll order takeout.
177
00:11:11,260 --> 00:11:12,884
The Bulls-Warriors game is on TV.
178
00:11:13,053 --> 00:11:15,129
You think you're charming,
but you're not.
179
00:11:15,305 --> 00:11:19,255
Lunch then? Come on,
at least let me buy you lunch. Jeanie!
180
00:11:19,434 --> 00:11:22,933
- That's one big, boggy heart.
- It's taking up most of her chest.
181
00:11:23,104 --> 00:11:26,887
EKG shows ST and T wave changes.
What do you want to do?
182
00:11:27,065 --> 00:11:29,770
Get an echo and page Cardiology.
183
00:11:31,444 --> 00:11:33,401
Mark, Louise's mother is here.
184
00:11:33,571 --> 00:11:36,026
Hi, Mrs. Cupertino,
I'm Dr. Mark Greene.
185
00:11:36,198 --> 00:11:37,942
- How's Louise?
- Not good.
186
00:11:38,117 --> 00:11:41,402
Her heart isn't pumping well,
and her lungs are filling with fluid.
187
00:11:41,578 --> 00:11:43,784
- Can I say hello?
- Yeah, sure.
188
00:11:46,624 --> 00:11:51,036
- Hello, Louise. It's Mommy.
- Hi, Mommy.
189
00:11:51,587 --> 00:11:54,457
Are you okay, baby?
You're not scared, are you?
190
00:11:57,634 --> 00:12:00,634
I brought some of her things.
191
00:12:02,429 --> 00:12:07,885
Just to make her feel more at home.
I'll just put this quilt on her.
192
00:12:08,393 --> 00:12:13,350
- Make sure she's good and warm.
- Mrs. Cupertino, can I speak to you?
193
00:12:21,154 --> 00:12:24,024
She had trouble understanding me.
Can she communicate?
194
00:12:24,198 --> 00:12:27,282
Oh, yes. She likes to talk.
195
00:12:27,451 --> 00:12:30,571
Is she suffering
from any dementia or Alzheimer's?
196
00:12:30,746 --> 00:12:33,532
No, she's a good girl.
197
00:12:33,707 --> 00:12:35,616
Echo's on its way.
198
00:12:36,751 --> 00:12:39,158
Is she competent to make her own
medical decisions?
199
00:12:39,336 --> 00:12:43,120
No. I'm her guardian. Louise can't
make decisions on her own.
200
00:12:43,298 --> 00:12:47,342
You are aware that
Louise's condition is very serious.
201
00:12:47,510 --> 00:12:52,302
Louise may need a heart transplant.
Is she on the UNOS waiting list?
202
00:12:52,473 --> 00:12:55,592
- The list? No.
- She's not?
203
00:12:55,767 --> 00:12:57,143
They wouldn't do it.
204
00:12:57,310 --> 00:12:59,184
- Wouldn't do what?
- Put her on the list.
205
00:12:59,354 --> 00:13:01,891
They wouldn't put Louise
on the heart transplant list?
206
00:13:02,065 --> 00:13:04,353
- No.
- Why not?
207
00:13:05,276 --> 00:13:08,609
My daughter is
mentally retarded, doctor.
208
00:13:11,531 --> 00:13:14,734
Peter, sorry to keep you waiting.
209
00:13:14,909 --> 00:13:18,028
Welcome back. We've missed you.
210
00:13:18,204 --> 00:13:21,453
I was surprised not to see my name
on today's schedule.
211
00:13:21,623 --> 00:13:24,826
- How are you feeling? Well-rested?
- Yeah.
212
00:13:25,001 --> 00:13:29,662
And mentally? Feeling sharp?
No post-operative depression?
213
00:13:29,839 --> 00:13:32,673
- No.
- No depression of any kind?
214
00:13:33,967 --> 00:13:37,964
Dr. Hicks, if you're asking if I can
perform my duties adequately, I can.
215
00:13:39,055 --> 00:13:41,546
I'm asking how you are, Peter.
216
00:13:45,102 --> 00:13:49,810
- I'm fine.
- Okay, then, let's see what we've got.
217
00:13:49,981 --> 00:13:54,808
Two Port-A-Caths,
a circumcision and a nevus removal.
218
00:13:54,985 --> 00:13:56,563
A mole?
219
00:13:56,737 --> 00:13:59,821
UNOS can't refuse to put her
on the list because she has Down's.
220
00:13:59,990 --> 00:14:04,532
- There must be other circumstances.
- She's a retard, so why bother, right?
221
00:14:06,245 --> 00:14:09,032
Dr. Kayson. Dr. Doyle.
222
00:14:09,707 --> 00:14:14,866
Echo shows left ventricular dilatation
with an ejection fraction of 18 percent.
223
00:14:15,044 --> 00:14:17,535
There are also
signs of wall-motion abnormality.
224
00:14:17,713 --> 00:14:19,587
I'm worried about her breathing.
225
00:14:19,757 --> 00:14:22,592
We've given her 40 Lasix,
she's still struggling.
226
00:14:22,760 --> 00:14:24,301
I'd like to try a vasodilator.
227
00:14:24,469 --> 00:14:27,505
Do what you can to make her
comfortable before you release her.
228
00:14:27,680 --> 00:14:31,891
- Release her?
- She will be much happier at home.
229
00:14:32,059 --> 00:14:34,811
She needs a heart transplant, right?
230
00:14:34,978 --> 00:14:37,303
That would be
the standard operative course, yes.
231
00:14:37,481 --> 00:14:38,939
Louise's mother told us...
232
00:14:39,107 --> 00:14:42,689
- ... that she's not on the transplant list.
- That's correct.
233
00:14:42,860 --> 00:14:46,560
UNOS can't refuse to put a patient
on the list because of a birth defect.
234
00:14:46,739 --> 00:14:50,273
- UNOS didn't refuse, we did.
- Cardiology?
235
00:14:50,450 --> 00:14:54,946
Hospital Transplant Committee. We
chose not to submit her name to UNOS.
236
00:14:55,121 --> 00:14:56,912
That's a death sentence.
237
00:14:57,915 --> 00:15:01,533
She's a 37-year-old Down's patient.
She is lucky to have lived this long.
238
00:15:01,710 --> 00:15:05,078
- Down's patients can live to be 60.
- That's extremely rare.
239
00:15:05,255 --> 00:15:07,580
- What are you, an intern?
- First-year Resident.
240
00:15:07,757 --> 00:15:10,248
Why don't we just step in here.
241
00:15:15,138 --> 00:15:18,471
Dr. Kayson, Dr. Doyle, I think,
is just expressing...
242
00:15:18,641 --> 00:15:21,558
...a frustration that we probably all feel.
243
00:15:21,727 --> 00:15:25,262
It seems that Louise is an obvious
candidate for the UNOS transplant list.
244
00:15:25,439 --> 00:15:28,938
I'm a cardiologist. I'd like nothing
better than to give her a new heart.
245
00:15:29,109 --> 00:15:32,145
If you have a problem with the decision,
speak to the committee.
246
00:15:32,320 --> 00:15:35,735
Short of that, send her home.
247
00:15:38,158 --> 00:15:40,032
Nice guy.
248
00:15:43,913 --> 00:15:46,071
- Carol, you're back?
- Yeah.
249
00:15:46,249 --> 00:15:50,376
Thank you, Jesus.
Hey, y'all, Carol's back.
250
00:15:50,544 --> 00:15:53,035
- Carol, you're back.
- Starting now.
251
00:15:53,213 --> 00:15:57,162
- Man, did we miss you.
- I didn't think we were gonna make it.
252
00:15:58,468 --> 00:16:01,041
- Did they dock your pay?
- No, just some vacation time.
253
00:16:01,220 --> 00:16:04,505
- It's been a disaster without you.
- A complete zoo.
254
00:16:04,681 --> 00:16:08,761
- I didn't do that bad a job.
- No, girlfriend, you did worse than bad.
255
00:16:08,935 --> 00:16:11,852
If you need to call a union meeting,
Haleh, do it after work.
256
00:16:12,021 --> 00:16:15,021
- No union. Carol's back.
- Oh, thank God.
257
00:16:15,190 --> 00:16:18,938
- We'll talk to you at lunch.
- We'll catch up later.
258
00:16:19,903 --> 00:16:22,607
- We're glad to have you back.
- Thank you.
259
00:16:22,780 --> 00:16:24,191
Are you okay?
260
00:16:24,365 --> 00:16:29,406
Yeah, you know, I'm sorry to disappoint
everyone's expectations, but I'm fine.
261
00:16:30,328 --> 00:16:33,282
It started a few hours ago
after breakfast.
262
00:16:33,456 --> 00:16:37,703
- Is it a sharp pain?
- No. Sort of all over.
263
00:16:37,877 --> 00:16:41,826
- I'd just started my morning walk.
- Any recent illness?
264
00:16:42,005 --> 00:16:46,880
I take digoxin for atrial fibril-
I can never say that word.
265
00:16:47,051 --> 00:16:50,218
- Fibrillation. Anything else?
- No.
266
00:16:50,388 --> 00:16:53,886
- What did you have for breakfast?
- The usual.
267
00:16:54,057 --> 00:16:58,553
Three fried eggs, bacon,
glass of buttermilk, toast and jam.
268
00:16:58,728 --> 00:17:01,349
The American Heart Association
breakfast.
269
00:17:01,522 --> 00:17:02,720
Don't lecture me, doctor.
270
00:17:02,898 --> 00:17:05,934
My mother had the exact same breakfast
every day of her life.
271
00:17:06,109 --> 00:17:10,023
She died last year at 96.
Car accident.
272
00:17:11,447 --> 00:17:13,855
- Vitals?
-130/90.
273
00:17:14,033 --> 00:17:18,944
- Heart rate, 110. Resps, 24.
- Did Dr. Weaver get a CBC?
274
00:17:19,121 --> 00:17:22,406
Yes. Crit's 53. White count is 12.2.
275
00:17:23,917 --> 00:17:27,285
- You drinking enough fluids?
- Is that what's wrong with me?
276
00:17:28,796 --> 00:17:33,291
- It's too early to tell. Chest film?
- Not back yet.
277
00:17:35,593 --> 00:17:40,089
Okay. I'm gonna call for another surgical
colleague to come down and take a look.
278
00:17:40,598 --> 00:17:42,258
Her breathing's improved.
279
00:17:43,350 --> 00:17:46,932
Hey, Louise, feeling better?
280
00:17:48,104 --> 00:17:51,555
- For you.
- She likes to share.
281
00:17:51,732 --> 00:17:55,231
- Malibu Barbie was my favorite too.
- I was kind of partial to Ken.
282
00:17:55,402 --> 00:17:56,777
- Ken?
- You don't like Ken?
283
00:17:56,945 --> 00:17:58,902
T oo pretty.
284
00:17:59,072 --> 00:18:01,064
I'm with you. Ken is trouble.
285
00:18:01,241 --> 00:18:03,778
Louise, can you hold on to her
while I do my work?
286
00:18:03,951 --> 00:18:05,860
Okay.
287
00:18:06,370 --> 00:18:08,446
She misses her friends
since she got sick...
288
00:18:08,622 --> 00:18:11,623
...and had to move back into the house.
It's been hard for her.
289
00:18:11,791 --> 00:18:15,242
- She had her own place?
- An apartment above the garage.
290
00:18:15,962 --> 00:18:19,793
And she had a job at the Jewel
helping people with their groceries.
291
00:18:20,924 --> 00:18:25,669
Father even let her be an altar girl
at the church. Everybody loves Louise.
292
00:18:25,845 --> 00:18:29,296
Excuse me, Dr. Greene.
I got that list from upstairs.
293
00:18:31,350 --> 00:18:32,678
Thanks.
294
00:18:33,602 --> 00:18:35,061
- Transplant Committee?
- Yeah.
295
00:18:35,228 --> 00:18:36,888
Who are the bastards?
296
00:18:37,981 --> 00:18:40,139
Excuse us.
297
00:18:40,316 --> 00:18:43,685
Your attitude can get in the way
of achieving your goals.
298
00:18:43,861 --> 00:18:47,644
What, you're not going to vote for me
for homecoming queen this year?
299
00:18:49,491 --> 00:18:52,064
Like that, you mean.
300
00:18:52,243 --> 00:18:54,650
- Recognize any names?
- One.
301
00:18:56,247 --> 00:19:00,955
- The vanquished return victorious.
- Hi, Doug, you miss me?
302
00:19:01,126 --> 00:19:04,245
You have no idea. I hear they
clipped you for some vacation time.
303
00:19:04,420 --> 00:19:07,587
I never take it anyway. I think
I have a couple of years saved up.
304
00:19:07,757 --> 00:19:09,749
This place is a mess.
How are you doing?
305
00:19:09,925 --> 00:19:12,961
No complaints.
T oday is the 20th, isn't it?
306
00:19:13,136 --> 00:19:17,134
- I think so.
- MCATs are this afternoon, aren't they?
307
00:19:17,307 --> 00:19:19,014
- Are you going?
- Got to work.
308
00:19:19,183 --> 00:19:24,058
- All that saved-up vacation time?
- You know, it was a stupid idea.
309
00:19:24,229 --> 00:19:28,725
I mean, four years of med school,
if I ever get in. All that debt.
310
00:19:28,900 --> 00:19:32,185
I would be 50 by the time I got out.
What's the point?
311
00:19:32,361 --> 00:19:36,608
I could bring you coffee in the middle
of the night to the med library.
312
00:19:36,782 --> 00:19:41,028
I could teach you how to cheat
on the biochem exams.
313
00:19:41,619 --> 00:19:44,869
- Doug. They need you in Pedes.
- Okay.
314
00:19:45,039 --> 00:19:46,912
Think about it.
315
00:19:47,875 --> 00:19:50,745
- Carter, where you been?
- Getting food. Do you have a spoon?
316
00:19:50,919 --> 00:19:52,911
No. Anspaugh's in there
with your patient.
317
00:19:53,088 --> 00:19:54,332
- Why?
- Said you paged him.
318
00:19:54,506 --> 00:19:56,297
- I paged Dr. Hicks.
- You got Anspaugh...
319
00:19:56,466 --> 00:19:58,672
...and he dragged down
all the surgical rounds.
320
00:19:58,843 --> 00:20:02,045
- What do you hear, Edson?
- Rales at the base of the lungs.
321
00:20:02,221 --> 00:20:06,716
I'm sorry to have dragged you here.
I actually called Dr. Hicks for a consult.
322
00:20:06,891 --> 00:20:10,675
Dr. Hicks is in surgery, and we were
on the prowl for an interesting case.
323
00:20:10,853 --> 00:20:16,013
- We heard you had a surgical abdomen.
- Yes. At least that's my suspicion.
324
00:20:16,191 --> 00:20:20,936
Pain vague and diffuse,
very little tenderness to palpation.
325
00:20:21,112 --> 00:20:27,280
The chest films show bibasilar effusions.
326
00:20:27,451 --> 00:20:29,988
Rales heard on auscultation.
327
00:20:30,161 --> 00:20:32,996
Would you consider this
a surgical patient, Dr. Edson?
328
00:20:33,164 --> 00:20:37,031
- No, I'd bet on CHF.
- Yeah, but...
329
00:20:37,209 --> 00:20:39,664
...I was more concerned with the CBC.
330
00:20:42,047 --> 00:20:46,423
Previously diagnosed
atrial fibrillation? Her diet?
331
00:20:46,592 --> 00:20:52,345
I'd assume that she went into fib
or ate a salty meal...
332
00:20:52,514 --> 00:20:55,468
...and that was enough to push her
into congestive heart failure...
333
00:20:55,642 --> 00:20:59,224
...as demonstrated by the rales
and chest effusions.
334
00:20:59,395 --> 00:21:03,262
The diffuse abdominal pain is
probably due to congestion in the liver.
335
00:21:03,440 --> 00:21:04,934
Secondary to CHF.
336
00:21:05,108 --> 00:21:07,267
In other words, boys and girls...
337
00:21:07,485 --> 00:21:11,234
...congestive heart failure
secondary to a-fib.
338
00:21:11,697 --> 00:21:17,533
- Wouldn't you agree, Dr. Carter?
- Yeah, that sounds about right.
339
00:21:17,703 --> 00:21:19,742
- Is Dr. Pomerantz available?
- And you are?
340
00:21:19,913 --> 00:21:21,822
- Mark Greene from the ER.
- She knows you?
341
00:21:21,998 --> 00:21:25,034
Yeah, Steph, I do. It's okay. Hi.
342
00:21:25,209 --> 00:21:27,036
- You got a minute?
- Sure.
343
00:21:28,962 --> 00:21:31,667
Just move those,
put them anywhere.
344
00:21:33,049 --> 00:21:34,378
What can I do for you?
345
00:21:34,551 --> 00:21:37,919
You're on the committee that evaluates
prospective transplant patients?
346
00:21:38,095 --> 00:21:40,171
- Yeah.
- I have a patient dying downstairs...
347
00:21:40,347 --> 00:21:41,628
...Louise Cupertino.
348
00:21:41,807 --> 00:21:45,970
Dr. Kayson tells me that she was
denied access to the UNOS list.
349
00:21:46,144 --> 00:21:50,473
Kayson wanted to, so it doesn't look like
she was excluded for medical reasons.
350
00:21:50,648 --> 00:21:53,814
- What do you want?
- Five on the committee. Kayson's a yes.
351
00:21:53,984 --> 00:21:57,649
If I can get you and another person to
sign on, Louise can get a new heart.
352
00:21:57,821 --> 00:22:00,656
Our decisions must be unanimous.
353
00:22:00,823 --> 00:22:02,816
But I'm the one
that turned Louise down.
354
00:22:03,826 --> 00:22:05,617
- Why?
- Do you know how many people...
355
00:22:05,786 --> 00:22:09,119
...die each year because an organ
doesn't become available?
356
00:22:09,289 --> 00:22:11,827
-3500.
- She had a job, an apartment...
357
00:22:12,000 --> 00:22:13,328
...a mother who loves her.
358
00:22:13,501 --> 00:22:14,829
Is her life less valuable...
359
00:22:15,002 --> 00:22:18,335
...than a businessman with a family
and a two-pack-a-day cigarette habit?
360
00:22:18,505 --> 00:22:21,459
Don't patronize me, Mark.
I agonized over this.
361
00:22:21,633 --> 00:22:25,417
Louise has an IQ of 40. She can't
comprehend the surgical risks.
362
00:22:25,595 --> 00:22:30,719
She had a job, but she was always late.
Do you know why? She can't tell time.
363
00:22:30,891 --> 00:22:34,057
How will she adhere to the rigors
of the post-transplant regime?
364
00:22:34,227 --> 00:22:37,181
Her mother will give her her meds,
get her where she needs to go.
365
00:22:37,355 --> 00:22:39,347
She's a 120-pound 8-year-old.
366
00:22:39,524 --> 00:22:43,521
We do the operation, and assuming
she doesn't die for lack of care...
367
00:22:43,694 --> 00:22:45,817
...she's in a state home in two years.
368
00:22:46,321 --> 00:22:50,069
And her mother's adamant
she not end up in a home.
369
00:23:05,213 --> 00:23:08,747
Those are all bureaucratic, perfectly
logical reasons we give ourselves...
370
00:23:08,924 --> 00:23:11,000
...so that we can sleep at night.
371
00:23:11,176 --> 00:23:17,011
Louise can make people smile,
she can laugh and cry and hold someone.
372
00:23:17,181 --> 00:23:19,719
I have an 8-year-old.
If she never grew a day older...
373
00:23:19,892 --> 00:23:24,055
...I would still cherish every moment
we've spent together.
374
00:23:24,229 --> 00:23:28,013
It's not our place to decide
whether Louise lives or dies.
375
00:23:28,191 --> 00:23:31,524
She has as much right to be here
as you do or I do.
376
00:23:33,404 --> 00:23:35,526
Nina, don't let her die.
377
00:23:42,328 --> 00:23:44,866
- I'm freezing.
- I thought you liked picnics.
378
00:23:45,039 --> 00:23:48,075
I love picnics. I'm just not used
to breathing on my sandwich...
379
00:23:48,250 --> 00:23:50,326
...to try and thaw it out so I can eat it.
380
00:23:50,502 --> 00:23:52,993
- Where's your spontaneity?
- This isn't what I meant.
381
00:23:53,171 --> 00:23:55,543
- Your sense of romance?
- The dip is frozen solid.
382
00:23:55,715 --> 00:23:58,668
- It's a p�t�.
- It's a brick.
383
00:24:02,762 --> 00:24:06,546
Okay, I'm sorry. I was wrong.
You're very romantic.
384
00:24:06,724 --> 00:24:09,297
You're very spontaneous,
and you're very crazy...
385
00:24:09,477 --> 00:24:11,683
...so put your parka on
before you freeze to death.
386
00:24:11,854 --> 00:24:14,807
- I'm fine.
- You can't be fine. It's 10 degrees.
387
00:24:16,232 --> 00:24:19,233
I think we should
start sleeping together.
388
00:24:20,528 --> 00:24:22,485
- What?
- Sex.
389
00:24:23,739 --> 00:24:29,777
I think we should have some.
In fact, I think we should have a lot.
390
00:24:31,621 --> 00:24:36,033
- Are you sure?
- Hell, yeah, I'm sure.
391
00:24:38,669 --> 00:24:40,542
This isn't a joke, Greg.
392
00:24:41,212 --> 00:24:44,663
No, it isn't. Jeanie Boulet...
393
00:24:46,759 --> 00:24:49,332
...would you please sleep with me?
394
00:25:04,733 --> 00:25:08,315
- How is she doing?
- Her breathing is worse.
395
00:25:08,486 --> 00:25:11,522
- How is the pain?
- It hurts.
396
00:25:11,697 --> 00:25:14,651
- Hi, who are you?
- Her daughter, Yolanda.
397
00:25:14,825 --> 00:25:17,446
She's so stoic. If she says it hurts,
it must be awful.
398
00:25:17,619 --> 00:25:19,410
Okay, let's take a look.
399
00:25:19,913 --> 00:25:22,664
Oh, God!
400
00:25:22,832 --> 00:25:25,749
I need to order a repeat CBC
and a blood gas.
401
00:25:25,918 --> 00:25:28,835
- Want me to page Dr. Anspaugh again?
- No. God, no.
402
00:25:29,004 --> 00:25:31,376
Call Dr. Hicks. Don't page her. Call her.
403
00:25:31,548 --> 00:25:34,833
When you get her on the phone,
tell her I need her here right away.
404
00:25:35,343 --> 00:25:38,960
My fianc�e has been begging me
for years to get this thing taken off.
405
00:25:39,138 --> 00:25:42,672
- Betadine.
- I'm not very religious, but...
406
00:25:42,849 --> 00:25:45,221
...her family, oh, boy...
407
00:25:45,393 --> 00:25:49,011
...they wouldn't even consider
letting us get married if I didn't convert.
408
00:25:51,482 --> 00:25:52,857
Stuff's cold.
409
00:25:53,442 --> 00:25:57,819
I probably wouldn't have dated her
if I'd known this was part of the deal.
410
00:25:57,987 --> 00:26:02,234
Lidocaine. You'll feel a small prick
in the area that I'm going to anesthetize.
411
00:26:02,408 --> 00:26:05,658
- Please don't move.
- Good, you haven't started yet.
412
00:26:05,828 --> 00:26:09,326
I have three eager premed students
visiting today from Evanston.
413
00:26:09,497 --> 00:26:12,783
I thought they might enjoy watching
you perform a circumcision.
414
00:26:12,959 --> 00:26:15,628
- Don't mind us, sir.
- I'm converting to Judaism...
415
00:26:15,795 --> 00:26:18,368
- ... for my fianc�e.
- She must be quite a girl.
416
00:26:18,547 --> 00:26:22,924
- Dr. Hicks, phone call from the ER.
- Make them feel welcome.
417
00:26:23,093 --> 00:26:26,176
You're in very capable hands.
418
00:26:26,345 --> 00:26:28,717
Number 15 blade.
419
00:26:29,848 --> 00:26:35,767
- I'm Dr. Ross. Someone paged me?
- I paged you. Hi. Samantha Ewing.
420
00:26:35,937 --> 00:26:38,309
I got a CF kid up here,
Jad Heuston. Know him?
421
00:26:38,481 --> 00:26:41,316
He's been on a respirator for weeks
at his mother's request.
422
00:26:41,483 --> 00:26:42,942
I'm the one who put him on it.
423
00:26:43,110 --> 00:26:46,063
Today's his 18th birthday,
and he wants off.
424
00:26:46,238 --> 00:26:49,404
- So why page me?
- He wants you to do it.
425
00:26:52,660 --> 00:26:54,652
Hi, Norma. Hi, Katy.
426
00:26:56,288 --> 00:26:57,616
Happy birthday, Jad.
427
00:26:57,789 --> 00:26:59,829
His first act as an adult
was to sign a DNR...
428
00:27:00,000 --> 00:27:02,371
...and demand we remove him
from the respirator.
429
00:27:02,543 --> 00:27:04,868
I explained the dangers,
but he's insistent.
430
00:27:05,046 --> 00:27:07,168
Are you still sure?
431
00:27:07,339 --> 00:27:11,882
I told him, with the nature of his disease
and the time he's been on the machine...
432
00:27:12,052 --> 00:27:15,883
...he's unlikely to live more than a couple
minutes. Can you talk him out of it?
433
00:27:16,055 --> 00:27:17,763
What's his tidal volume?
434
00:27:17,932 --> 00:27:22,011
350. PCO-2, 38. PO-2, 120.
435
00:27:22,185 --> 00:27:25,020
This is what you really want?
Okay, then.
436
00:27:25,188 --> 00:27:28,272
Have you said your goodbyes?
437
00:27:28,441 --> 00:27:30,599
Yes.
438
00:27:35,697 --> 00:27:37,191
Okay.
439
00:27:38,950 --> 00:27:42,200
All right, buddy. You know the drill.
440
00:27:42,370 --> 00:27:45,406
I'm gonna count to three.
You're gonna take a deep breath.
441
00:27:45,581 --> 00:27:49,163
You're gonna blow out while I pull.
Can you give me a hand with this?
442
00:27:55,798 --> 00:27:58,289
I love you.
443
00:27:59,259 --> 00:28:03,126
All right. Here we go.
On three. Ready?
444
00:28:03,596 --> 00:28:07,973
One, two, three.
Blow, blow, blow.
445
00:28:22,905 --> 00:28:24,862
Is he gonna be okay?
446
00:28:36,333 --> 00:28:39,998
Good afternoon. What's so important
to call me off the surgical floor?
447
00:28:40,170 --> 00:28:43,621
Sixty-four-year-old woman. Onset
of abdominal pain five hours ago.
448
00:28:43,798 --> 00:28:46,798
Pain was vague and diffuse.
Belly wasn't too tender.
449
00:28:46,967 --> 00:28:50,550
Takes digoxin for a previously
diagnosed atrial fib. Rales.
450
00:28:50,721 --> 00:28:53,804
Chest x-ray shows basilar
infiltrates bilaterally.
451
00:28:53,973 --> 00:28:57,223
Dr. Anspaugh was here, and he
diagnosed congestive heart failure...
452
00:28:57,393 --> 00:29:01,722
...with diffuse abdominal pain due to
congestion in liver secondary to CHF.
453
00:29:01,897 --> 00:29:06,309
- We gave her 40 of Lasix.
- Good story. What's the problem?
454
00:29:07,402 --> 00:29:11,185
- I think Dr. Anspaugh is wrong.
- Page Dr. Anspaugh, please.
455
00:29:11,363 --> 00:29:15,824
- He's still eating lunch with Dr. Weaver.
- Get him quickly.
456
00:29:15,992 --> 00:29:18,032
You have a better story?
457
00:29:18,203 --> 00:29:21,820
Her abdominal pain is worsening.
Resps are 39, and she's acidotic.
458
00:29:21,998 --> 00:29:25,366
When she came in, she was dehydrated.
So why was there fluid on her lungs?
459
00:29:25,542 --> 00:29:29,492
The pain isn't explained by congestive
heart failure. It doesn't all add up.
460
00:29:29,671 --> 00:29:33,620
- And what is your thinking?
- She suffers from atrial fibrillation.
461
00:29:33,800 --> 00:29:37,049
That puts her at risk for developing
clots. She threw an embolus...
462
00:29:37,219 --> 00:29:40,220
- ... and it's blocking her small bowel.
- What is going on?
463
00:29:40,389 --> 00:29:43,140
Dr. Carter believes you diagnosed
his patient incorrectly.
464
00:29:43,308 --> 00:29:45,347
- He what?
- Her pain is worsening.
465
00:29:45,518 --> 00:29:47,676
Her resps are up to 39,
and she's acidotic.
466
00:29:47,853 --> 00:29:52,349
CHF made sense at the time, but I think
she has ischemic small bowel disease...
467
00:29:52,524 --> 00:29:55,525
...secondary to an embolism
in the mesenteric artery.
468
00:29:55,694 --> 00:29:59,442
- Pretty good story.
- Damn it! I diuresed her.
469
00:29:59,614 --> 00:30:04,192
Normal saline, 200 cc's per hour.
Call the O.R., we're moving her now.
470
00:30:04,368 --> 00:30:06,941
- What's happening?
- Your mother needs surgical attention.
471
00:30:07,120 --> 00:30:10,536
- An operation?
- Yes, but she's gonna be just fine.
472
00:30:10,998 --> 00:30:14,034
- Dr. Anspaugh, can I assist?
- Assist? You're going to do it.
473
00:30:14,210 --> 00:30:16,036
- Perform an embolectomy?
- Damn right.
474
00:30:16,211 --> 00:30:20,837
You're the only one here who seems
to know what the hell they're doing.
475
00:30:21,007 --> 00:30:23,712
- It's going to fall.
- Is not.
476
00:30:23,885 --> 00:30:26,506
- Yes, it is.
- No, it's not.
477
00:30:27,638 --> 00:30:31,386
- She looks like she's feeling better.
- Yeah, she ate a little bit.
478
00:30:31,558 --> 00:30:33,846
- Seems to be breathing okay.
- Who's her friend?
479
00:30:34,018 --> 00:30:36,011
That's my brother.
My mom brought him down.
480
00:30:36,187 --> 00:30:37,978
I figured Louise needed some company.
481
00:30:38,147 --> 00:30:41,931
Hey, Jimmy, say hi to Dr. Greene.
That's my boss.
482
00:30:42,109 --> 00:30:45,442
- Hi, Jimmy, how are you?
- What did they say?
483
00:30:47,780 --> 00:30:49,274
Come here.
484
00:30:52,243 --> 00:30:54,994
Psych doesn't think she can
handle the post-op regime...
485
00:30:55,162 --> 00:30:58,411
...and the mother won't be around
long enough to get her through it.
486
00:30:58,581 --> 00:31:01,072
That's a lot of crap.
She can go to a group home.
487
00:31:01,250 --> 00:31:05,663
- Jimmy takes classes out of Glenkirk.
- Mom doesn't want her in a home.
488
00:31:05,838 --> 00:31:08,922
She has guardianship.
I called Loyola and Rush.
489
00:31:09,091 --> 00:31:13,040
They both have transplant centers.
Maybe they can get her on the list.
490
00:31:14,887 --> 00:31:18,754
- Mark.
- Dr. Doyle, this is Dr. Pomerantz...
491
00:31:18,932 --> 00:31:21,850
...from Psych.
She's the one who evaluated Louise.
492
00:31:22,018 --> 00:31:23,512
- Hi, Louise.
- Hi.
493
00:31:23,687 --> 00:31:25,228
How are you doing?
494
00:31:25,396 --> 00:31:27,934
Mrs. Cupertino.
495
00:31:29,316 --> 00:31:32,187
- She's doing better.
- She's out of heart failure.
496
00:31:32,361 --> 00:31:34,234
- You need to fill this out.
- What is it?
497
00:31:34,404 --> 00:31:36,231
Transplant candidate
registration form.
498
00:31:36,406 --> 00:31:39,739
She can't get on the network without it.
Kayson filled out most of it.
499
00:31:39,909 --> 00:31:44,617
I need today's history so that I can
rank her. Get it back to me soon.
500
00:31:46,498 --> 00:31:48,122
Nice meeting you, doctor.
501
00:31:52,753 --> 00:31:54,247
Nina...
502
00:31:55,339 --> 00:31:57,212
...thank you.
503
00:32:01,344 --> 00:32:04,214
Jad, why don't you come and go?
504
00:32:04,388 --> 00:32:07,223
You take off during the day
and do what you want to do...
505
00:32:07,391 --> 00:32:10,557
...and you come back at night,
we hook you up with IV antibiotics.
506
00:32:10,727 --> 00:32:13,562
We get a PT to pound your chest
in the morning.
507
00:32:13,730 --> 00:32:15,971
- No, thanks.
- A lot more comfortable.
508
00:32:16,149 --> 00:32:17,975
You might even...
509
00:32:18,150 --> 00:32:21,566
...squeak out a couple
of extra weeks out of this thing.
510
00:32:22,821 --> 00:32:24,897
I said, no, thanks.
511
00:32:28,159 --> 00:32:31,243
All right. Here is my beeper number.
512
00:32:31,412 --> 00:32:36,488
That's my home number.
You can call me any time, day or night.
513
00:32:42,463 --> 00:32:44,171
Let's go.
514
00:32:57,893 --> 00:32:59,221
Thanks.
515
00:33:02,939 --> 00:33:06,355
- Where are you going?
- Anywhere but here.
516
00:33:27,002 --> 00:33:28,959
Sorry, Dr. Ross.
517
00:33:29,129 --> 00:33:32,497
I raided the cafeteria.
Bought every piece of cake they had.
518
00:33:32,673 --> 00:33:35,045
Ladies! Here's your cake.
519
00:33:37,845 --> 00:33:40,631
- What's going on?
- The nurses got their new contract.
520
00:33:40,805 --> 00:33:43,806
- They get what they wanted?
- Current employees are protected...
521
00:33:43,975 --> 00:33:48,553
...but the hospital won rights to replace
existing RNs with unlicensed technicians.
522
00:33:48,729 --> 00:33:51,813
- Technicians?
- It's the wave of the future.
523
00:33:51,982 --> 00:33:55,101
- Come on, doctor. Dance.
- No, thanks.
524
00:33:55,276 --> 00:33:58,360
No, I'll get the next song.
I'll get the next song.
525
00:33:58,529 --> 00:33:59,857
- You seen Carol?
- Hathaway?
526
00:34:00,030 --> 00:34:02,948
Changed her mind about working today,
went home before lunch.
527
00:34:03,116 --> 00:34:06,070
- I'm starving. Want a piece of cake?
- No, thanks.
528
00:34:10,206 --> 00:34:13,871
Hey, I just dropped off all the
paperwork with Nina Pomerantz.
529
00:34:14,043 --> 00:34:18,538
Louise will be on the transplant list
tomorrow. All we can do is wait.
530
00:34:18,713 --> 00:34:22,876
- Where's your brother?
- In the lounge watching TV.
531
00:34:23,050 --> 00:34:24,959
She won't sign the release.
532
00:34:25,136 --> 00:34:27,887
Louise's mother,
she won't sign the surgical release.
533
00:34:28,055 --> 00:34:32,134
Kayson was just here. She doesn't
want Louise to have the transplant.
534
00:34:32,308 --> 00:34:34,881
Did he explain that she
will die without the operation?
535
00:34:35,061 --> 00:34:39,556
Twice. Then I tried.
She wants to take her home.
536
00:34:46,571 --> 00:34:49,061
Mrs. Cupertino...
537
00:34:49,240 --> 00:34:52,240
...you don't want Louise
to have the operation?
538
00:35:06,213 --> 00:35:09,996
I was 41 when Louise was born.
539
00:35:10,175 --> 00:35:14,587
And I knew right away
that something was wrong.
540
00:35:15,679 --> 00:35:17,755
I couldn't see Louise,
but I saw the doctor.
541
00:35:17,931 --> 00:35:22,972
He was frowning and snapping
his fingers over the little bassinet.
542
00:35:23,144 --> 00:35:26,477
They took her away
before I had the chance to see her.
543
00:35:28,107 --> 00:35:32,815
I thought maybe she'd died.
Maybe that umbilical cord had gotten...
544
00:35:32,986 --> 00:35:36,401
...wrapped around her neck.
Nobody told me anything.
545
00:35:36,572 --> 00:35:40,985
Then they put me in another room
with mothers with their babies.
546
00:35:41,160 --> 00:35:45,027
And I waited there for hours...
547
00:35:45,205 --> 00:35:48,455
...until the doctor finally
came back.
548
00:35:48,625 --> 00:35:50,700
He looked very sad.
549
00:35:50,877 --> 00:35:53,877
And he told me Louise was mongoloid.
550
00:35:55,005 --> 00:35:58,872
He said that I should put her
in a state hospital...
551
00:35:59,050 --> 00:36:01,458
...and never ever see her again.
552
00:36:01,636 --> 00:36:05,384
She will die if she doesn't have
this operation.
553
00:36:07,057 --> 00:36:08,848
We all die, doctor.
554
00:36:10,060 --> 00:36:15,017
Louise has been the light of my life
for 37 years.
555
00:36:15,189 --> 00:36:19,934
God blessed me with this wonderful girl,
and I wouldn't change a thing.
556
00:36:21,862 --> 00:36:24,862
I'm not going to be here much longer.
557
00:36:27,658 --> 00:36:31,490
I'm her whole life,
just as she has always been mine.
558
00:36:31,662 --> 00:36:35,908
There are group homes.
Places where she can make friends...
559
00:36:36,082 --> 00:36:39,949
...enjoy life, even if it's
only for a few more years.
560
00:36:41,337 --> 00:36:46,497
I went to a home 20 years ago
when my husband died.
561
00:36:46,675 --> 00:36:52,048
I was afraid that if something happened
to me, who would take care of her?
562
00:36:52,221 --> 00:36:56,634
And there were women there like her
with Down's...
563
00:36:58,018 --> 00:37:01,850
...wandering around half-naked.
They didn't even know their names.
564
00:37:03,356 --> 00:37:05,763
I couldn't put Louise
in a place like that.
565
00:37:08,736 --> 00:37:11,736
You want to save people, doctor.
566
00:37:11,905 --> 00:37:15,071
If my daughter dies, you'll lose.
567
00:37:15,241 --> 00:37:18,076
But I'm not afraid of death.
568
00:37:18,870 --> 00:37:22,119
Jesus is there, waiting for us.
569
00:37:22,289 --> 00:37:25,705
To hold us
and bring us into the light.
570
00:37:25,876 --> 00:37:28,960
To show us the kingdom of heaven.
571
00:37:29,879 --> 00:37:33,413
And if Louise dies before I do...
572
00:37:34,258 --> 00:37:39,299
...I know where I will see her next.
With angels, where she belongs.
573
00:37:39,596 --> 00:37:42,383
Because she is an angel.
574
00:37:44,350 --> 00:37:46,389
My angel.
575
00:37:56,152 --> 00:37:58,856
- Something new?
- Mesenteric embolectomy.
576
00:37:59,029 --> 00:38:01,318
- Who's doing it?
- Dr. Carter.
577
00:38:01,490 --> 00:38:05,154
- Dr. Carter?
- Just rolled the woman into 3.
578
00:38:05,326 --> 00:38:08,944
Sweet God in heaven.
I hope someone's helping him.
579
00:38:09,121 --> 00:38:14,115
We're putting in a Port-A-Cath,
a catheter used to deliver chemotherapy.
580
00:38:14,293 --> 00:38:17,661
Should you pursue a career in surgery,
you'll perform this procedure...
581
00:38:17,837 --> 00:38:21,253
...dozens of times in
your first year of Residency.
582
00:38:21,424 --> 00:38:23,333
This can be done
in the patient's room...
583
00:38:23,509 --> 00:38:26,463
...but you need to check the catheter's
position with a fluoroscope.
584
00:38:26,637 --> 00:38:29,127
Does everyone know
what a fluoroscope is?
585
00:38:29,306 --> 00:38:30,681
This is a fluoroscope.
586
00:38:31,141 --> 00:38:33,596
Can I steal Debbie?
We need her in O. R. 3.
587
00:38:33,768 --> 00:38:35,226
What's going on?
588
00:38:35,394 --> 00:38:38,146
Dr. Carter is performing
a mesenteric embolectomy.
589
00:38:38,313 --> 00:38:41,978
- By himself?
- Anspaugh and Hicks are supervising.
590
00:38:53,076 --> 00:38:56,575
- What's the score?
- Bulls are down by one.
591
00:38:57,580 --> 00:38:59,987
Oh, that was a nice shot.
592
00:39:02,501 --> 00:39:08,870
So I let a kid with CF leave the
hospital today. He's 18 years old.
593
00:39:09,048 --> 00:39:13,425
He went off to die with his girlfriend.
Didn't want any of my help.
594
00:39:13,594 --> 00:39:17,176
- Anything you could have done for him?
- No, not really.
595
00:39:17,973 --> 00:39:19,930
I spent the day...
596
00:39:20,100 --> 00:39:24,227
...trying to get a CHF patient with
Down's on the heart transplant list.
597
00:39:24,395 --> 00:39:25,854
Any luck?
598
00:39:26,021 --> 00:39:29,022
Mother wouldn't sign
the surgical release.
599
00:39:30,025 --> 00:39:33,144
Fine couple of doctors we are.
600
00:39:33,319 --> 00:39:36,320
Do you remember when
we were going to change the world?
601
00:39:36,489 --> 00:39:39,110
No. I was always in it for the money.
602
00:39:40,826 --> 00:39:43,780
All right. See you later.
603
00:39:43,954 --> 00:39:47,038
- Want to grab a pizza?
- No, I gotta be someplace.
604
00:39:47,206 --> 00:39:48,700
Anybody I know?
605
00:39:48,875 --> 00:39:52,041
No, I'm just helping out
an old friend. See you.
606
00:39:55,380 --> 00:39:57,289
- Hi.
- Are you ready to go?
607
00:39:57,465 --> 00:40:00,585
- Go where?
- Dinner at Morton's and La Boh�me.
608
00:40:00,760 --> 00:40:04,378
- I told Kerry we didn't want the tickets.
- I told her you were wrong.
609
00:40:04,555 --> 00:40:06,631
- I'm not dressed.
- We'll stop by your place.
610
00:40:06,807 --> 00:40:09,760
- We'll be late.
- You can tell me what happened.
611
00:40:09,935 --> 00:40:13,101
- What about the basketball game?
- Taping it.
612
00:40:13,271 --> 00:40:16,355
You know, Greg, you don't
have to prove anything to me.
613
00:40:16,524 --> 00:40:20,188
- I don't?
- This has all been pretty fast.
614
00:40:20,360 --> 00:40:22,649
We can slow it down.
Make sure it's right.
615
00:40:22,821 --> 00:40:25,572
So this means we don't
have to go to the opera?
616
00:40:26,407 --> 00:40:29,692
No, seriously.
Can we just slow it down?
617
00:40:35,040 --> 00:40:39,167
- Sure.
- Okay.
618
00:40:42,921 --> 00:40:46,705
- Hey. What are you doing here?
- Waiting for you.
619
00:40:46,883 --> 00:40:49,374
- Have you been waiting long?
- Oh, a while.
620
00:40:51,554 --> 00:40:54,804
- So you took it, didn't you?
- Yeah, I did.
621
00:40:54,974 --> 00:40:56,468
And?
622
00:40:56,975 --> 00:40:59,548
Well, I knew a lot more
than I thought I would.
623
00:40:59,769 --> 00:41:05,439
There were a lot of people taking it.
Kids. I felt about 100 years old.
624
00:41:05,608 --> 00:41:08,692
They seemed so confident and smart.
I guessed a lot.
625
00:41:08,861 --> 00:41:12,692
- I bet you did great.
- Thanks.
626
00:41:13,782 --> 00:41:18,775
- Was your day okay?
- You know, just saving lives, the usual.
627
00:41:19,578 --> 00:41:23,575
- Have you seen my mom lurking around?
- I banged on the door, nobody answered.
628
00:41:23,749 --> 00:41:26,204
Do you want to come in?
I'll make some coffee.
629
00:41:26,376 --> 00:41:30,325
No, I can't. I'm up early.
I'm going to go home.
630
00:41:30,504 --> 00:41:32,627
- Okay.
- All right.
631
00:41:32,798 --> 00:41:35,040
- See you tomorrow then.
- Yeah.
632
00:41:36,093 --> 00:41:39,591
Doug, I know everyone
is worried about me...
633
00:41:39,762 --> 00:41:45,052
...but I'm fine. I was scared
in that store, but I'm okay now.
634
00:41:46,226 --> 00:41:50,437
- So why did you go ahead and take it?
- The MCATs?
635
00:41:50,605 --> 00:41:53,689
For me. I just wanted to see
if I was good enough.
636
00:41:57,444 --> 00:41:59,437
You are.
637
00:42:15,085 --> 00:42:17,457
I love this place.
638
00:42:17,629 --> 00:42:22,254
You should. You're a wonderful
surgeon. You belong here.
639
00:42:24,927 --> 00:42:27,761
You know, you were right this morning.
640
00:42:27,929 --> 00:42:32,092
I haven't slept much
the last few months since Gant's dying.
641
00:42:32,266 --> 00:42:34,591
Before that,
me almost killing that baby...
642
00:42:34,768 --> 00:42:37,935
...and Keaton
not recommending me...
643
00:42:41,107 --> 00:42:43,680
Six months ago,
I thought I was invincible.
644
00:42:45,903 --> 00:42:48,061
And now I don't even...
645
00:42:50,115 --> 00:42:52,107
I don't even know.
646
00:42:54,369 --> 00:42:58,746
I guess life isn't working out
the way I thought it would.
647
00:43:00,124 --> 00:43:03,788
You're not responsible
for Dr. Gant's death, Peter.
648
00:43:04,961 --> 00:43:06,621
But I could have stopped it maybe.
649
00:43:06,796 --> 00:43:10,959
You know, told him he was doing well,
encouraged him.
650
00:43:11,926 --> 00:43:15,674
You know, I wish I could tell you
that it was all intentional.
651
00:43:15,846 --> 00:43:19,677
That it was part of some master plan
that I had going on.
652
00:43:20,850 --> 00:43:24,432
Truthfully,
I never even thought about Gant.
653
00:43:25,271 --> 00:43:26,813
I mean, he was just an intern.
654
00:43:27,022 --> 00:43:30,556
I was more involved with my career...
655
00:43:31,234 --> 00:43:33,523
...my ambitions.
656
00:43:34,654 --> 00:43:37,524
We all have to find our own way, Peter.
657
00:43:37,698 --> 00:43:40,367
You're not invincible.
You're a young doctor.
658
00:43:40,534 --> 00:43:44,994
Learning, making mistakes, saving lives.
659
00:43:45,163 --> 00:43:47,832
It takes a lifetime.
660
00:43:49,166 --> 00:43:51,918
You just have to have faith.
661
00:43:55,005 --> 00:43:57,839
Go home.
You've got a busy day tomorrow.
662
00:43:59,550 --> 00:44:02,385
More circumcisions and Port-A-Caths?
663
00:44:02,553 --> 00:44:07,298
No. I've signed you up
for a lap choly at 6...
664
00:44:07,474 --> 00:44:11,803
...and I would appreciate it if you'd
assist me on a splenectomy at 11.
665
00:44:13,896 --> 00:44:15,355
Thank you, Dr. Hicks.
666
00:44:16,857 --> 00:44:21,148
You're welcome, Peter.
See you in the morning.
57749
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