ER Episode Scripts

s14e05

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Greg.
Greg, wait up, wait up.
Thyrotoxic crisis.
You give Propylthiouracil or Methimazole? You've got a patient in thyroid storm? Go with PTU.
What dose? I'll look it up for you.
MAKES BUZZER SOUND: Then why'd you ask? Written boards are in a week.
Failure is not an option.
If we quiz each other every day, we'll nail it.
Morris, if you don't know your stuff by now, then you never will.
MORRIS: Did you see that? See what? That, that vixen, the way she smiled at me.
What are you talking about? Yup.
They all want a bite of the forbidden fruit.
(SCOFFS) Seriously, at the coffee shop, at the gym, at the bank, women are coming on to me like crazy ever since Hope gave me this ring.
You and Hope got engaged? No, no.
It's a promise ring.
Yeah, what'd you promise? To be faithful while we're apart.
Aw, that's sweet.
FRANK: Or stupid.
No, no.
What's stupid is I should have put this ring on years ago.
Man, I could've tapped so many hotties.
Anybody seen Abby? No, she's not on until 10:00.
All right, Morris, belly-pain lady in 3.
No, no.
You got to keep me away from the ladies.
She's 85, man.
Perfect.
GATES: AC 14.
Moretti's looking for you.
I'm taking this guy to the ICU.
He's in the break room.
Well, he's going to have to wait.
He said it's important.
What the hell does he want? Don't shoot the messenger, geez! All right, I'll be right up.
You summoned me? Ah, Dr Gates Look,I'm playing by your rules - I'm doing my time upstairs.
I don't know what else I'm supposed to do.
I spoke with Dr Shuster Is this about my Coumadin overdose with the GI bleed? No.
I ordered FFP.
The blood bank was responsible for the delay, not me.
Well, I'm not familiar with that case, but Pneumothorax on the COPDER? Even the radiologist missed it.
All right, Dr Gates When the guy deteriorated, I had the chest tube in even before they processed the film.
Dr Gates, if, if I might? Go ahead.
What? OK.
I just wanted to congratulate you on your fine work in the ICU.
You do? Yes.
Dr Shuster has given you rave reviews for your performance.
She did? Yep.
And I think you're ready to come back to the ER.
I am? Really? Yes.
OK.
All right.
Then I'll, er, you know what? I'll finish up my work this week Well, you do whatever you have to do, but I want you back on the floor today.
Today? All right.
Thank you.
This was supposed to be a simple bowel resection.
I never should have promised his kid he'd make it to the Packers game.
The family here? Yeah, there's a son, er, named Jeremy.
He just drove up from Notre Dame.
Great.
Hello, I'm Dr Rasgotra.
Hi, yeah, I've been waiting for you.
Surgery took a little longer than expected.
That's OK.
I was fine here.
There were some complications, I'm afraid.
Sorry to hear that.
Would you like to sit down? No, I'm good.
Well, during surgery, we think he suffered a heart attack.
Really? Yeah.
He's on a ventilator and IV meds to maintain his blood pressure.
Oh, man, that's never good.
Are you all right? I got to admit, I'm a little bit nervous, but I am really, really, psyched to be here.
Your father's in critical condition.
What? Oh, no.
No, he's not.
I don't think you understand Actually, I do Jeremy, this is very serious Listen.
My name is Harold Zelinsky.
My father died ten years ago.
I'm your new intern.
You are? Uh-huh.
Excuse me.
Do you have any news about my dad? BABY CRYING CRYING CONTINUING PHONE RINGS Hello? Oh, hey, Luka.
No, I'm, I'm awake.
CRYING CONTINUING KOVAC: I've been calling for three hours.
ABBY: I was exhausted, so I, um, took the ringer off so I could get some sleep.
Is that Joe? Yeah.
So he's OK now? Yeah, he just woke up.
Hi, baby.
Good morning.
I'm sorry I wasn't around.
We got stuck at the hospital.
JOE CRYING MACHINE BUZZING LOUDLY I tried calling you at work.
'They filled me in.
Told me his MRI was normal.
' Yeah, yeah.
He's fine.
BOTH SPEAKING IN CROATIAN Sorry.
'With, er, with the spinal fracture, 'even after surgery, my dad can't move his legs.
' So when he gets home, he'll have to get around in a wheelchair.
We're building ramps for the steps and handrails for the bathroom Yeah.
How soon can you fly home? We need to fix up the house.
It's a lot of work.
You could just call the airline and just get on the standby flight.
Right? 'Abby' And I'm sure there's a seat available I'm sorry, but it's going to be at least another week.
Another week?! Luka, Luka JOE CRYING Why can't your brother just finish up? 'Hey, I know you don't like it.
I don't like it either.
' But I need to do this.
OK? 'Please just don't make it harder.
' JOE CRYING OK.
OK, but we miss you.
I miss you too.
We miss you a lot.
All right, let's set up for irrigation.
I'll come back once the skin is numbed up.
Serum osmolality calculation.
Serum "ozzims?" Two times sodium, plus glucose over 18, plus BUN over 28 Way to go.
FRANK: Morris, somebody's waiting for you.
You see what I'm talking about? Here's the Levaquin you ordered.
So you came to drop off an antibiotic? Sorry, Dr Morris, I can't say that I agree with your assessment.
And you're invited to my opening.
Youropening? Pharmacy's my day job, but sculpture's my passion.
I do a lot of figures, mainly nudes.
You like art? Uh, I love it.
Uh, you know what? I'm going to put this up in the lounge in case anyone's interested.
No, this invitation's just for you.
Assess that, Dr Pratt.
County General.
RASGOTRA: Dr Morris and Pratt are the attendings.
Frank is the grouchy clerk.
This is Harold Zelinsky, my new intern.
Neela, don't go far.
We've got two car crash victims en route.
Grab your coat from the second floor, meet me outside Trauma.
Oh! It's going to be awesome working with you guys.
That kid's an intern? What is he like, 12? They keep getting younger.
Or we keep getting older.
Looks like he's in high school.
I asked.
He said he was 25.
No way.
He's lying.
First one to verify his age wins the pot.
Who's in? I'm with that.
GATES: What do you got? Bevan Guang, driver of a solo car versus utility pole.
I'm Dr Gates.
Do you remember what happened? Not really.
WOMAN: I do.
He fell asleep at the wheel and went off the road.
Traci Martinez, front-seat passenger.
I didn't fall asleep.
Are you OK, baby? I think so.
How about you? I'm OK.
Any neck pain, chest pain? Dr Gates, back in the saddle, huh? Yep.
Possible syncope at the wheel.
TRACI: He works all night at a warehouse.
GATES: Wiggle your toes for me.
Good.
Now squeeze my hand.
I should have been driving.
I don't like you driving when you're pregnant.
Congratulations.
How far along are you? I got this.
No, I got it.
No,I'm good.
Were you wearing your seat belt? Always.
Great.
We'll check you and the baby out, make sure everybody's healthy.
The success or failure of your interns depends on you.
I'm looking forward to being a good mentor.
No, no, not a mentor.
You're not their friend, you're their taskmaster.
They need to be whipped.
Yeah, well, that's not quite my style.
You should make it your style then.
Fear is what motivates them to learn and excel.
They should hate you.
Well, you know, I think there are other ways It's worked for decades of surgical training.
You need to be Lou Gossett to their Richard Gere.
You're from Connecticut, right? Yeah.
AMERICAN ACCENT: There are only two things that come out of Connecticut - steers and queers.
Which one are you, boy? I don't see no horns.
Doesn't quite work with "Connecticut".
I'm not joking, Neela.
Without discipline, interns screw up.
And if he screws up, you screw up.
You want your first-choice elective? Bring him to his knees.
GRUFFLY: What have we got, Zelinsky? I thought I was supposed to wait out here for you before I went in.
Do you know what it means to be proactive? You could be halfway through your assessment by now.
But you Next time, get right on it.
Am I understood? Where are we? Uh, good vitals, no obvious injuries.
First crit is 39.
Very stable.
Is this your new intern? Harold Zelinsky, Nurse Marquez, Dr Lockhart.
Hello.
Hello.
Hi.
I'm Dr Rasgotra from surgery.
Nice to meet you.
OK, er, foetal doppler and Surgilube.
Is there anything I can do to help? RASGOTRA: No, just stand back and observe.
So, Harold, how do you like your iPod? Yeah, it's cool.
Abdomen's soft and non-tender.
I remember when you had to go to the record store to buy music.
I bought my first CD when I was ten.
MARQUEZ: Sonosite's ready.
So when was that, like mid-'90s? Eminem, huh? He wasn't around yet.
Right, right.
Probably, er, Spice Girls then? Mozart clarinet concerto in A major, Richard Stoltzman, soloist.
Dr Zelinsky, take a look.
You might learn something.
No abruption.
That's good? Very good.
OK, serial crits, foetal monitor, and send off a, um A what? You know The test, the test, for, for, for foetal-maternal blood exchange.
Kleihauer-betke.
Right.
RASGOTRA: No evidence of praevia.
Type and RH to the blood bank.
Are you all right? Yeah, I was just up all night with a bad stomach.
It's probably a virus.
So what do you need, an IV? No.
Why don't you go take a nap, get some rest? No, it's all right.
I just need Look, it's slow right now.
Go, before we get slammed.
Really? Yeah, go.
What are you doing? Just taking this off for the X-ray.
Please, don't lose it.
It was my grandma's.
C-spine's clear, let's sit him up.
Do you want cardiac enzymes? No.
How about a head CT? No.
No headache, no focal findings.
BEVAN GROANS I forgot to eat breakfast.
Maybe that's why I got dizzy.
Well, you've got a lot on your mind.
Boy or a girl? We want to be surprised.
You got kids? Yeah, I have a little girl.
She doesn't live with me, but OK if I send him to get a chest X-ray? That's up to Dr Gates.
We'll get a better film in radiology.
You know what? Let's leave him here.
If it's simple fainting, symptoms could last a couple minutes.
His dizziness only lasted a few seconds.
That could indicate a dangerous cardiac arrhythmia.
Valid point.
I've got something dangerous? Probably not, but we're going to keep you on a heart monitor.
Give you another listen, huh? Anybody seen the Wood's lamp? TAGGART Nope.
Are you still OK? TRACI: Yeah.
You know what? You're working too hard.
How's the baby? OK.
Shh.
They did an ultrasound? Yeah, they did.
We'll let you guys chat in a minute, OK? TAGGART: Come on, lie down and relax.
I don't feel so good.
ALARM BEEPING: V tach! Bevan! Bevan! Unresponsive.
No pulse.
Charge to 360.
Everyone clear? BEEPING OK, back in sinus.
He's a healthy 22-year-old.
You need me? No, just the Wood's lamp.
Sorry.
I'll put up a "do not disturb" sign.
Thank you.
Mm-hmm.
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Is this going to keep happening? I don't know.
You ever have chest pain? Your father have heart disease? No.
Any drug use? Look we live in a studio apartment.
I'm trying to save up for a two-bedroom before the baby comes.
I work at a print shop, then pull the graveyard at a furniture warehouse.
So, you took something to stay awake.
Couple a nights ago, I took a pill.
Like speed? I don't know.
My friend gave it to me.
You think it messed up my heart? You know, it probably wasn't that.
Your, er, EKG has a different kind of abnormality.
It could be a condition that you were born with.
You want to tell cardiology to come down? Yeah.
I want to be a good dad.
I'm trying.
I'm really trying.
Harold? Hey, er, security needs a-a photocopy of your driver's licence.
I don't have one.
You don't? I took driver's ed in high school.
I never got around to taking the test, though.
Uh, Dr Rasgotra's waiting for this.
If you don't have a driver's licence, how do youhow do you get places? I take the EL.
If the weather's good, I ride my bike.
Do you want a copy of my hospital ID? No, no, I'll talk to the authorities.
Find out what we need.
Repeat crit is 38.
You figure it out? No, he's crafty.
Dr Zelinsky, your progress notes and dressing changes? They're all done.
Does that baby have ascites? We're focusing on the placenta.
Looks like pleural effusions, too.
I think you're right in the way of my screen.
Step back, please.
What's-what's wrong? Is my baby OK? No.
The heart's beating well.
It could be isoimmunisation if mom's RH-negative She's RH-positive.
What are you talking about? There are some fluid collections.
Are you with children a lot? I teach preschool.
Dr Zelinsky, can you page OB? If the kids gave her a virus I get colds all the time.
by Parvo or Fifth's disease.
It's a common infection amongst toddlers.
Is that serious? There's increased risk of foetal abnormalities and miscarriage.
SOBBING Oh, my God.
HAROLD: Parvo is one of the few treatable etiologies of Hydrops Fetalis, so actually, you're pretty lucky if that's it.
Harold Lucky? He just said I could lose my baby.
HAROLD: Oh, no, no.
Not with a UV transfusion.
Look I know this is hard, but we're going to do everything we can to help you and your baby, OK? SIGHS Vincent Greco, skin infection.
I got two boils - here, here.
OK, um, how long have you had them? About a week.
Started out like a pimple.
Tried hot compresses, but they just kept growing.
Mm-hmm, and do you work out a lot? Yeah, I'm a personal trainer.
Uh-huh, well, gyms have nasty germs.
It looks like I'm going to have to open Sorry.
Did you have a nice nap, Dr Lockhart? Yes, thank you.
Dr Moretti, can you tell me why Gates has two patients on the board? Yeah, he got stuck with a v tach arrest.
Well, is the patient in v tach right now? Cardiology is on their way.
Well, good.
Then he can come down and pitch in.
No, I think there is benefit to his staying with the patient.
Greg, you have something to ask me? No.
Oh, right, the boards.
Uh I don't know.
Antidote for aspirin overdose is what? Come on, you call that a question? OK, new-new deal.
New deal.
From now on, tough questions, and only when we're when we're stressed.
That'll recreate the anxiety of test day.
Come on, Morris.
Let me check some labs.
OK.
"Icecoldshower.
com?" What the hell is that? I'm ordering herbal anaphrodisiacs.
You need aphrodisiacs? No, no, no.
Anaphrodisiacs.
"Curbs your libido and puts the brakes on sexual energy.
"These tablets ensure a lust-free day.
" Come on, you've seen what's happening, guys, huh? I need this stuff.
You want to lose your libido, get married and have a kid.
Well, I'm impressed.
It usually takes an OB to pick up Hydrops.
It was not tough to diagnose.
Ascites was a clear tip-off.
Traci, this is Dr Coburn from OB.
Hi.
Hi.
Your blood test shows you had a recent parvovirus infection.
I had a bad cold in August.
That was it.
Well, we're concerned about the possible effects of the infection in your baby's bone marrow.
COBURN: Blood velocity in the brain is 44 centimeters per second.
That is not what we were hoping for.
Indicates a severe anaemia.
But I went to the clinic last week.
My blood count was fine.
You're not anaemic.
Your baby is.
COBURN: So, we need to give a transfusion directly into the umbilical cord.
Are you sure? Without it, there's a serious risk of foetal death.
SOTTO VOCE: With it, there's a very high probability of a cure.
SOTTO VOCE: You want to stick a needle in the umbilical cord? COBURN: It's the only way to help.
Although there is a slight possibility of a miscarriage.
Well, just look at the numbers.
The benefits outweigh the risks by a factor of 12.
I want to talk to Bevan.
He's, er, with the cardiologist.
Can he be here when you do it? If it's OK with Dr Kayson.
I need him with me.
COBURN: OK.
I'll go get things set up.
OK.
Uh, Dr Zelinsky will assist you.
TRACI: When I first found out I wasn't sure I wanted the baby.
But then Bevan stepped up.
He said we could do it together.
It made us closer.
Everything was really good.
It can still be good.
I thought it was a blessing getting pregnant.
Now I'm not so sure.
SIGHS LOCKHART: Is it sharp here? VINCENT: Can't feel a thing.
All right, let me know if anything hurts.
That's a lot of pus.
Good thing I came in.
Smells anaerobic.
You want a wound culture? Jin Kim? WOMAN: Right here.
Are you going to be my doctor? Nope.
Actually, no.
No, I'm not.
WHIMPERS MORRIS: Dr Lockhart, can I take over, please? There's a lady with foot pain in exam 2 I need you to see.
Sounds good.
SIGHS Heart sounds good.
EKG shows S-T segment elevation in V one, two and three.
I'm thinking Brugada syndrome.
Hmm.
What? Dr Gates will be back to discuss all of my recommendations.
Please, can I go in with Traci? Yeah, as soon as I get back.
It's not Brugada.
Ventricular arrhythmia in an Asian man, classic EKG findings? That's not S-T elevation.
It's early repolarisation.
How do you explain the v tach? Gee, maybe it has something to do with the amphetamines in his urine.
All right, he took a pill three days ago, but nothing since then.
And every drunk with an ETOH of 500 only had two beers.
Repeat his cardiac enzymes.
If they're negative, I'll clear him for discharge, or jail for DUI.
He had a cardiac arrest.
From the amphetamines.
And you don't think it can happen again? Not unless he takes more drugs.
Well, I disagree with you.
If it's Brugada, it could happen anytime.
I think he needs an implantable defibrillator.
Well, let's continue this discussion after you complete a Cardiology fellowship.
This is This is a good guy here.
MARQUEZ: Excuse me.
Why are you writing him off? I'm not.
He's had eight hours of normal monitoring.
I don't think that's enough.
I think you need to keep him in overnight.
Don't tell me how to practice medicine! I am not admitting a speed freak.
Can you hold it down? It was a mistake, a one-time thing.
LOUDLY: A kid who's popping amphetamines doesn't need the CCU.
He needs rehab.
And you had better learn to take the advice of a senior consultant if you intend on finishing your residency.
Uh, any more pain, Mr Greco? No, I'm fine.
Dr Morris, my daughter, Layna.
WOMAN: Hey.
Hi.
Uhhe needs to be admitted to the IV antibiotics for the hospital.
I mean Uhyou know you know what I mean.
Let's get a dressing on this.
It looks pretty bad.
It's not that flesh-eating bacteria, is it? No, no, this'll clear up in a few days.
Thank God.
I've got your Clinda.
Are we out of Kerlix? I don't think so.
So, doctor, may I ask, what kind of car do you drive? Uh, yeah.
BMW 328.
Not bad, but I'd love to see you in Z4.
I sell luxury cars, and a man like you deserves something sexy.
LAUGHS Uh, anything else, Dr Morris? Some tape.
So, what's your wife in? Well, actually, I'm-I'm WHISPERS: Not married.
Oh, really? So, the ring's just to sweeten the pot? All we have is three-inch.
I've heard you can make that work.
GATES: Hey, Sam, where'd you move the boyfriend? Bevan Guang.
Exam 3 with Chuny.
We're still waiting on troponins.
Oh, we still have time.
Will you talk to Kayson? You want me to override the chief of cardiology and demand admission? Yeah.
We have to think about working with Dr Kayson in the future.
We have to think about saving lives now.
Well, sometimes you have to defer to the consultants.
Yeah, well, what if they're wrong? Get creative.
BEVAN: Could the needle hurt the baby? There's a small chance, but Traci wants to have the transfusion.
She decided on her own? Mm-hmm.
Can I talk to her about it? Uh, I don't think she wants to see you right now.
Because of the speed? It was only once.
It's not like I'm a tweaker or-or She's a little disappointed.
TRACI: I won't listen to his crap anymore.
I should have known.
SIGHS He used to DJ at warehouse parties.
He'd be out all night with his boys.
I thought he was different now.
I think he is.
He lied to me.
He was, like, "I'm going to work hard "and support you and the baby and be a good dad" He's trying to step up.
He's trying to step up, Traci.
By getting high? By almost getting us killed? People change, Traci.
I used to get high all the time.
Made a lot of dumb mistakes.
But I straightened out when it mattered.
He's not like that.
He proved it.
He messed up.
You know, sometimes things aren't always right or wrong or black or white.
My baby's sick.
Might not even make it.
Can we not talk about this right now? OK.
OK.
You look, er, very lost.
Um, yeah, I'm looking for Traci Martinez.
They pointed me in this direction.
They said she was in Trauma 1.
Yes, I'm Dr Gates, and the good news is you are very, very warm cos Trauma 1 is right there.
SIGHS Thank you.
So are you a friend? Um, not exactly.
Julia Dupree.
Ah.
I'm the on-call chaplain.
Right.
Oh, so they called you for a consultation? Yeah.
Good.
Well, listen, I'm very familiar with the case, so, um, if you have any questions No, I think I can manage.
Thank you, doctor.
Gates.
CLANGING NEARBY The nerve gets, er, compressed and inflamed right here.
So what should we do? There's a pad for your arch, but you're going to have to stop with the high heels for a few months.
Are you serious? I'm sorry.
Can you, can you make her stop doing that? She's expressing her frustration.
Yes, well, so am I.
Emily, give that to Mommy.
EMILY SHRIEKING I'll be right back.
SHRIEKING CONTINUES Your lady has a Morton's neuroma.
Oh, I figured.
Thanks.
Well, looks like further surgery won't be necessary.
Mm.
How's it going, Dad? Ah, much better, sweetheart.
Thank you.
This guy guy's the best.
You ever been inside a Shelby? Those are some tight little numbers.
Didn't we talk about this? I mean, I was perfectly clear about my situation.
What situation? Hey, Sophia.
Hey.
I see you've met my sister? Twins? We were hoping we could take you out for a test drive.
Soyou two work together? We do everything together.
We do everything together.
WHIMPERS COBURN: Advancing the needle.
TRACI: When my friends had babies, they were all so happy.
I thought I could handle it.
It's OK to be afraid.
I'd be scared out of my mind.
SOBBING I'm not strong enough to do this alone.
Hey, I think you might surprise yourself.
RASGOTRA: There's the tip.
I'm not so sure.
TAGGART: Really shows up.
Do you want to say a prayer? COBURN: It's etched, echo tipped.
We can do it together.
Go to the right, toward Mom's feet.
There's the cord.
TAGGART: Packed cells and platelets are up.
HAROLD: How big is the umbilical vein? At 20 weeks, it's about a millimetre.
All right, I'm in.
You hit that with a 22-gauge? Sick.
Dr Zelinsky, I need you to check on the rule-out appy.
Right now? I don't want her to perf.
Go.
Pull off 1cc for the lab.
TRACI: It's OK so far? It's perfect.
It couldn't be better.
Must have been one hell of a prayer.
TAGGART: Don't worry, Harold.
She's having a bad day.
HAROLD SLAMS CAN LID I'll be in trauma if you need me.
Got it.
Gates, is that even your patient? I'm taking care of the boyfriend.
He's very concerned.
Yeah, well, I'm very concerned, too.
You've been working on this case for about eight hours now.
These two have a lot of special needs - you know, medical, social, psychological.
You know, that's just great, but you're not in the ICU anymore.
Quick.
Top three organisms for neonatal sepsis.
You need to be re-booted back to ER mode.
That means stabilise and pass off to the admitting team.
That might be appropriate if it were simple pneumonia or cellulitis Dr Pratt, I need an answer.
Shut up, Morris.
Let me just check on this transfusion.
What did I just say?! Kayson wrote the orders - I'm discharging Bevan.
No, you're not.
Gates! I got to deal with this.
I'll talk to you later.
OK, you're feeling some pressure - excellent.
Name three bacteria for neonatal sepsis.
Bend over and kiss my ass.
Those are not bacteria.
Group B Strep, E.
coli, and listeria.
Not bad, Abby.
COBURN: It's turbulent flow in the UV.
Excuse me.
My intern's in with your belly pain guy? Uh, OK, but, er, Dr Coburn, I had a question for you.
Another consult? No, not exactly.
Could you find me when you're done here? Let's go ahead with the platelet infusion.
TAGGART: So I hear Luka's in Europe.
Something about his dad? Multiple myeloma.
Oh, I'm sorry.
Well, things are a little bit better.
He should be home soon.
Must be hard.
You're managing with Joe? Joe's amazing.
You should see him.
He's walking, babbling, feeding himself.
He loves the books you got him for his birthday.
Goodnight Gorilla has to be the last book every night.
You drank? SIGHS When? Last night.
You want to get to a meeting? LAUGHING I don't have time to go to a meeting.
I don't need to go to a meeting.
I just I had a bad day, a very bad day, and it was just one time.
I'm not going to start drinking again.
Really? Are you an alcoholic? Yes, but Yes, but? All those years that you were sitting in meetings, were you an alcoholic then? Yes or no? OK, keep drinking.
Do the research, see what happens.
I can handle this.
Just let me know how it works out for you.
OK, I've got a clinic full of patients.
Janet, Janet, you're my sponsor.
I was your sponsor, but now it's very simple.
If you've decided you're not an alcoholic, I can't help you.
If you are, I'll be your sponsor again and I'll support you in recovery.
Let me know what you decide.
MORETTI: Really, it's OK.
You can call me any time.
OK.
Good luck on your midterms.
I love you, too.
Bye.
That was my son.
In Rhode Island.
He's having a hard time in college.
Really? Yeah, he's a long way from home.
I don't know if it's the normal school stress or if it's more But I feel like he's not telling me stuff.
CHUCKLING You know.
It's hard to know what's going on with someone even if they're your own kid.
Yeah.
I'm sorry, but they're waiting for me to sign out.
Oh, good night, Abby.
Migraine lady's still groaning.
Uh, four more of MS.
You out of here? I'm trying.
Frank, did ortho call back yet? FRANK: Oh, damn it, another dead end.
MORRIS: You said this would be easy.
PRATT: And you're sure you spelled his name right? FRANK: Yeah Frank? there's nothing.
There's no mortgage.
There's no credit cards, not even any student loans.
Well, maybe he had a full scholarship.
Hello! Ortho? Not yet.
I can't even find a birth record for this guy.
What are you guys doing? PRATT: Background check on Neela's intern.
Yeah, we're going to figure out his age.
Oh I'm here late because our clerk can't get CT results or call consults, and my attendings don't have time to hear about a migraine, DKA, femur fracture, or an incarcerated hernia because they're all too busy playing "how old is the intern"? It was just a couple of minutes.
What are you talking about? We've been here the whole time.
These are my pass-ons.
Hey, Harold, how old are you? That's an intern? How old were you during the OJ trial? Uhwell, that was, er, like 1995 You're not 25.
You're right.
I'm 19.
RASGOTRA: 19? No way.
I started college when I was 12, med school when I was 15.
I was home-schooled.
How is that possible? I got a perfect score on the SATs when I was 11, so I knew I was ready for college.
All right, let's go and check on that rule-out appy.
Dr Gates.
GATES: Mm.
Can I talk to you for a minute? Yep.
I understand that Dr Kayson wrote a discharge order for Bevan Guang.
Mm-hmm.
And that you cancelled it? Is this your idea of creative problem-solving? I didn't know what else to do.
Well, did you consider a holter monitor? What about a transfer? V tach, I need a doctor in here! Open the crash cart.
Call Kayson.
Dr Morris.
Dr Morris.
Your dad got moved upstairs.
We just wanted to say goodbye.
You've been very wonderful.
Uhjust doing my job.
It's too bad things didn't work out.
We could have had some fun.
Ciao.
See ya.
Frank! How about the LFTs on my hepatitis guy? Called five minutes ago.
Well, call again.
It's been three hours.
Abby's right.
Why can't anything get done around here? Tell me the Ottawa ankle rules.
Where's his chart? C'mon, Archie, the ankle rules.
There's only five of them.
I don't have time for your stupid games.
LAUGHS Clear.
Normal sinus.
Strong carotid.
What happened? Pulseless v tach.
You're kidding.
Well, take a look at the strip.
Recurrent ventricular arrhythmias in the absence of amphetamines.
It's possible he'll need an implantable defibrillator.
MARQUEZ: Glad I didn't discharge him.
He would have died on the way home.
Yeah.
Good thing we got busy with another trauma.
I'll go prep the EPS lab.
You all right, Dr Gates? Yeah.
MORETTI: Jack, hold on.
MOANS Welcome back.
You know, sometimes I wish I could just see the patients by myself without the residents.
Huh.
Life would be so much easier.
I know.
They don't listen.
They don't wanna learn.
They think they know everything.
And you know the worst part? Hmm.
Every now and then, they turn out to be right.
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E45 cream is designed to soothe and treat all the family's dry skin, even eczema.
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Every week, there are hundreds of new offers at Somerfield Less than half price on PG Tips pyramid tea bags is just one of them For fresh offers every week: WOMAN: Excuse me, miss.
Is that yours? MORRIS: Oh, I miss you, too, baby.
Is it hot down there? Really? So, er what are you, what are you wearing right now, like a, like a tank top? All hot and sweaty and clinging to your skin.
DRAPES OPEN SUDDENLY I need this bed.
Yes, er, thank you.
Uh, could you please page urology for Dr Morris in the ER? Thanks.
Hope, you still there? So when you're when you're all hot and steamy, what, what do you to cool off? Oh, I'm so jealous.
You're that close to the Caribbean? Yeah? Yeah, then, then, then I'll take you back to your tent Right, hut.
Oh, I'll, I'll sneak into your hut one of these nights and, er Hold on.
Hold on.
Uh, Bardelli.
Can I, can I use your rig for five minutes? I have an administrative tour.
Take your time.
I'm gonna grab some dinner.
OK, OK.
OK, where were we? Right, right, right, you you're, you're, you're, you're fast asleep My baby's OK? Yeah, everything looks great.
No contractions.
Hydrops should resolve in a couple of weeks.
Excellent.
So did you hear about Bevan? Heard his heart was bad again.
Yeah, but this time, there were no amphetamines in his system.
So we think it's something called Brugada syndrome.
That means he was born with an electrical problem in his heart.
So it wasn't the drugs? No.
And he'll need a shock box in his chest.
He promised from now on, nothing stronger than coffee.
You think he means it? I guess I should go see him.
If you're ready.
Hey.
Hey.
I'm gonna go talk to Bevan.
Good.
I think that's a good thing.
You know that guy, Robert Frost? He was right.
Robert Frost? He said, "the only way out is always through.
" Mmm.
Mm-hmm.
Done a great job with her.
Oh, I just held her hand.
Told her it was OK to be mad at God.
Is that right? Yeah.
I get mad at God all the time.
It's actually done wonders for our relationship.
And I haven't been struck down by lightning.
Yeah, not yet.
All right, so, how, how does someone like you become a, a chaplain? I mean is there a lot of training? No worse than med school.
Mm-hmm.
So, I guess, um, so I guess, you'd have to give up a lot of things, huh? Well, I don't know.
Aren't there like, like, like vows or something? Dr Gates, I'm not a nun and I'm not a saint.
I'm a woman who happens to be a chaplain.
And you don't really get that, do you? Yes, I do.
Get what? CHUCKLES That I have a spiritual life, Uh-huh.
and a spiritual career, but I live in the real world.
That sounds nice.
You should try it sometime.
I don't know.
Maybe it's not too late to switch to something else.
SIGHS Seriously, I don't think I can take a year of this.
WHISPERING Hey, listen, I gotta go.
Call you later.
Do you want to start evening rounds? No, trauma's coming in.
You all right? Yeah.
Are you You're not No.
No, I'm fine.
This is all because I've been riding you so hard? SIGHS Come on.
I'm not really a mean person.
It's just that my boss told me that I had to be that way so you'd work harder and learn more.
It's not working.
Yeah, I knew this was stupid.
But you were so convincing.
But I think you're doing a fine job and from now on, I'm gonna be a lot nicer, and a lot more supportive, OK? OK.
No more unnecessary scut, no more pimping just for the sake of humiliation, and no more taking credit for all your good ideas.
Oh, crap.
Don't believe a word I'm about to say.
What? Just play along.
What's coming in, Neela? Stab wound to the chest.
And don't think you can set foot in that trauma until you advance all the drains on the service, write your evening progress notes, and check pre-op labs for tomorrow's OR cases.
Am I clear, Zelinsky? Yes.
Yes, what? Yes, Dr Rasgotra.
Well, what are you waiting for? EXHALES Nice! That's what I'm talking about.
What do you got coming in? Stab wound under the left nipple.
I can stay if you want.
No.
We got it.
Good work today.
Nice to have you back.
Beautiful night, isn't it? Everything OK, Dr Morris? Oh, yeah.
Everything's good.
Real good.