ER Episode Scripts

s15e14

Frank, we got to get these tele admits up.
I'm all over it.
There's at least 30 in the rack.
What were you guys doing last night? Playing Guitar Hero and doing Jell-O shots.
Two messages from Kelly.
Kelly who? She said you'd know.
That's her phone number at Swissotel.
Car crash victim coming in.
Oh, OK, clear Trauma One and get surgery.
We're gridlocked.
Quick dispo in Curtain One.
Grady? Off duty and going to Jumbo Mart for enough caffeine to get me through my charting.
Well, who else is on? Well, we got, er, Brenner, Morris What do you need? That's OK.
I haven't picked up a patient yet.
No, go, er, meet the trauma.
It's busy.
I got time.
OK, fooling around with her boyfriend and they lost the condom.
She's fully dressed in the middle of the ER.
She should be in a gown in a private room with a chaperone for a pelvic.
Yeah, there's no need, actually.
What? Go on.
Go get the history.
Hello.
I'm Dr Gates.
Tammy.
So, the, er, proverbial lost condom, huh? Yeah.
It's kind of embarrassing.
Well, don't worry.
Tell me what happened.
The condom came off, and I couldn't reach it.
My boyfriend tried to help, but he's useless.
I went to the bathroom and gagged myself, but I couldn't vomit it up either.
I'm not gonna suffocate, am I? Dr Rasgotra.
Dr Brenner.
Mm.
How was your night? Four hours of sleep.
Well, you would've got a lot less than that if you were in my bed.
Next time, you should spend the night with me in the call room.
What, you mean on a twin bed with scratchy sheets and phone interruptions every hour? That's kind of hot.
You know, I was thinking of, um, getting Neil Young tickets for Saturday.
That sounds good.
You like him? Yeah, I love him.
Especially his early stuff.
Really? Yeah.
Old Man, Only Love Can Break Your Heart Heart Of Gold.
Heart Of Gold.
Neela! Uh, trauma coming in.
Thank you.
Are we out of sugar? I don't think so.
What are they doing? Our old medical records are going in remote storage.
Let me ask you something, kind of man to man.
Do you believe in the three-date rule? You seeing someone new? I don't know if we're actually "seeing" each other.
We had lunch together in the cafeteria.
I bought her a burger one night at Ike's.
Wow, sounds serious.
I like her.
I just can't tell if she's interested in me.
Well, I'm pretty sure I'm not the right guy to ask for relationship advice.
Hey.
The run got diverted to Mercy.
Whoa.
Whoa-whoa-whoa-whoa.
Hey.
You all right? Tony Archie, I need some help.
Grab a gurney.
Looks like this guy got beat up.
What's your name, sir? Oliver.
Oliver what? No wallet, no ID.
Pupils are equal.
You know where you are? Hospital.
Oriented to place.
What year is it? Who's the President? Sir, do you know who the President is? CROWD: Hey, hey, LBJ, how many kids did you kill today? Hey, hey! Chicago is a police state! Hey, hey, LBJ! You don't have to talk.
We'll take good care of you.
Relax, brother, enjoy the ride.
Decent breath sounds.
Looks like he got kicked a bunch of times.
Yeah, or fell.
He looks too good to be homeless.
No blood in the belly.
Abrasion where somebody stole his watch.
Definite assault.
We already called in the police.
Chest is normal.
The head CT's gonna be normal, too.
Not if there's a brain bleed.
These old altered guys, it's always something metabolic.
Just order some more IV fluids, and let me go clear the board.
No.
Stay on this.
Buff him up, find out where he belongs.
Scanner's ready.
Potentially unstable.
Dr Gates can monitor him in Radiology.
Last BP was Hold it, hold it! Excuse us.
Are you a student driver? I'm sorry.
I'm sorry you had to pull me out of my car.
Is the oxygen helping, Donna? I think so.
Have you ever had any trouble breathing before? Not till last week.
Mom, I parked the car.
Thanks, honey.
That's my son Dylan.
Hey.
She couldn't even talk.
So you were saying about last week? They told me I had lung cancer.
Where are you being treated? Uh, nowhere yet.
We were supposed to go to Northwestern, but in the car her breathing got so bad that I-I pulled into here.
I have papers and X-rays, if The Willow Ridge Medical Centre.
That's our local hospital.
That's where they diagnosed me.
OK.
Do you smoke cigarettes, Donna? of lung cancer occurs in non-smokers.
We've been on the internet a bit.
It's in the left upper lobe.
Liver function tests are elevated.
OK.
And did they explain the brain CT results to you, Donna? Two spots.
They thought that, um, surgery and chemo and radiation could buy me some time.
Uh, stage-four lung cancer has a five-year survival rate of 5%, but 1 in 20 survive.
OK, well, we'll have our surgeons and oncologists consult.
I was hoping to go to Northwestern.
Yeah, you're too sick to move.
Yeah, I'm gonna cancel the audition, Mom.
No, Dylan, you're not cancelling anything.
No.
Get to orchestra hall on time, and you can stay with Aunt Harriet tonight.
OK? OK.
Dr Morris, I'm looking for an old guy, victim of assault.
He should be right back.
OK.
You know, I could be wrong, but I thought I saw you and Officer Diaz eating lunch the other day.
Yeah, we-we were on a case together.
Really.
Cos I've had cases with you, but we've never had lunch together.
Plus, it must've been a funny case, cos I noticed a lot of smiling.
Yeah, well, Officer Diaz is a nice lady.
We all know that.
And I know you know that cops stick together.
Yeah.
So be careful.
If you break her heart, we may have to break you.
Head CT was normal, just as I predicted.
And guess what? He's hypernatremic.
How bad is his sodium? Does this guy talk? Not really.
I'll check for Missing Person reports.
Did you calculate the free water deficit? Yep, six litres.
OK.
Hypernatremia shouldn't be corrected at a rate One milli-equivalent per litre per hour.
Need a doctor here.
You can have Dr Gates.
Well No, shouldn't I stay here and finish? No, you've been wanting off this case from the get-go.
See ya.
He's starting to open his eyes.
That's a good sign.
Mm-hmm.
Oliver Oliver, try to squeeze my hand.
Oliver Curtain Three is open.
Hi, I'm Dr Gates.
Damien.
My wife, Corazon.
Hello.
Sam, did you ever call Kelly? I didn't think so, cos now she's coming to see you.
Let me know when she gets here.
You don't see many of these.
It's a negative pressure ventilator.
When the air is sucked out of the chamber, it flows into his lungs.
I had polio when I was three.
Don't breathe too well on my own.
Is that why you're here today? Uh, no - fever, abdominal pain, possible appendicitis.
I'm a retired RN.
I need to get a BP.
Yeah, and I'm gonna need to examine his belly.
There are portholes on the side.
Just stick your arms through the neoprene.
All right.
Hmm.
Are you, er, in this all the time? We have three kids, so no, not all the time.
I use it 18 hours a day.
How long have you guys been together? I got an e-mail from Yale.
They want another two letters of recommendation.
Well, that seems a bit pointless if Dubenko can offer you a position here.
I'm not sure he thinks I'm right for the job.
Oh, man.
That's the head CT.
This must be the lung mass.
Yikes.
Where's the patient? LFTs and CBC.
Looks like the horse is out of the barn.
Mm.
Son's at bedside.
No dad.
Donna, this is Dr Rasgotra, Dr Dubenko.
Her son.
Dylan, hello.
Hi.
Nice to meet you.
Um, I've reviewed the films, and I'm sorry to say that the tumour is far too advanced for surgery.
Are you sure? With cancer in the liver, the brain and bones, I'm afraid that an operation would only mean pain and suffering without prolonging your life.
It's in my bones? We think so.
What about chemotherapy? It's possible, but We'll see what the, er, oncologists say.
Have you thought about your wishes for life support? Perhaps this is better discussed later.
I made a living will about ten years ago.
I don't want to be kept alive if I have a terminal illness.
Mom Then you might want to explore the hospices OK, we-we don't need to talk What's a hospice? What is that? It's a way to keep people comfortable in the final stages of their illness.
Are you saying that? Look, um, we're gonna come back, um, after you've had a little bit more time to consider.
Yeah.
OK.
Doctors? What are you doing? What? I asked for a surgical opinion, not for the Grim Reaper.
I was being truthful.
They have barely processed the cancer diagnosis and you walk in there What, do you want me to sugar-coat it? You want me to lie? No, I want you to give them a little bit of hope.
Well, maybe there is something positive to offer - a thoracentesis? Yes, that's a good idea.
That should make her feel a better.
Good.
Well, why don't we lead with? Frank said you guys have fresh coffee.
I hope you have half-and-half.
OK I'll just just make afresh pot.
Oh, OK.
Hi, I'm Kelly.
Hi, I'm Dr Gates.
Oh.
What kind of doctor are you? Well, this is an ER, so That must be complicated.
You got to know a lot of stuff about everything.
How long you worked here? A couple years.
Cool.
Yeah, I've only been in town for two nights and I'm craving deep-dish pizza.
Oh, Lou Malnati's.
Oh, yeah? Yeah, that sounds great.
What are you doing for dinner? I don't think that would be such a good idea.
Why not? I just got out of a relationship.
Oh.
When you fall off a bike, you get right back on it.
Got a sesame seed Kelly? Sammy.
Wha? What are you? Oh, my God! Hi.
What are you? Oh, my God, l-look, look at you.
Look at you.
Hi.
I'm really sorry to barge in on you at work.
You know, I got your message, but I've been busy at work and That's fine.
So, how do you two know each other? Uh, Tony, this is my sister, Kelly.
If I can tie up a few loose ends, I could take a break.
I'll be fine - just, you know, me and the Home Shopping Network.
Ortho's on line four and they need you at the lung tap.
Go save some lives.
Stay out of trouble.
That's your sister, huh? She seems very nice.
Yeah.
-Ortho? Sam, cytology and culture on this.
-Take a deep breath.
Much easier.
Good.
We can pull three litres.
Dylan, it's late, you should go.
I'm not going.
He has an audition today for the Juilliard School in New York.
Impressive.
What instrument? English horn.
I used to play the viola.
The English horn is lovely.
Honey, they're only here once a year.
You might never get another shot.
I'm much better.
You think it's OK if he goes? Yeah, I don't see why not.
I think it'd be best to stay.
With the extent of your disease, things could suddenly take a turn for the worse.
You mean that could happen today? That's pretty unlikely.
Yeah, I should, I should stay.
Dylan Mom, I'm staying.
Let's wait a bit and see how she's doing, OK? Sam, you seen the old guy? Not in a while.
Oxygen's off, so are the monitors.
Looks like he eloped.
Great.
What happened? I think we lost a patient.
Check the bathroom.
-Sam, we can see your polio guy now.
I'm gonna need you on a paramedic run.
Hey, Frank, tell my sister it's gonna be a while.
I got to find a demented grandpa, pick up an incoming off a rig and pull a patient out of an iron lung.
-April Robinson, syncopal episode at Walgreen's, still altered.
Any seizure activity? No.
What's up with the handcuffs? She passed out after getting busted for shoplifting.
How convenient.
No, she's real - blood sugar's over 400.
I gave a litre of saline and got her sats up with suctioning.
What do we have? This lady fainted at Woolworth's! Any heart history? You got me.
She doesn't have a pulse.
When did she stop breathing? Doc, they pay me to drive them to the hospital, that's it.
She's lucky I had an oxygen tank.
She needs a cardiac arrest cart.
It may be too late for that.
Dilated appendix, non-compressible.
So I'll need surgery? Yes, most definitely.
Can it be done with the laparoscope? We'll try.
Sometimes, though, we have to convert to a conventional procedure.
You mean opening up my belly? I use my abdominal muscles to help me breathe.
His friend had colon surgery and ended up traked for life.
All right, well, we'll do the best we can.
Dr Rasgotra will be back with the consent form.
He's a perfect candidate for NOTES.
What? Natural Orifice Transluminal Endoscopic Surgery.
You want to remove his appendix through his mouth? Well, in his compromised state, he needs the least invasive procedure, and NOTES is it.
Yeah, we don't do that here.
It's experimental.
But there's a Dr Horta from San Diego doing clinical trials at Northwestern.
He's had over 50 cases.
You're cutting a hole in his stomach, Neela.
You're setting yourself up for peritonitis.
It's a two-millimetre incision that's occluded by a balloon and transport.
When you're done, you close immediately with G-prox.
They've had great success.
You want to call this guy in? Well, it's a chance to be state-of-the-art.
See if he's willing to help and available today.
Long shot.
Neela wants me in Curtain Two.
Drop the insulin to five an hour before you go.
What's going on here? Your diabetes is out of control.
Paramedics brought you to the ER.
Think of it as a pit stop before jail.
What are you talking about? Why don't you take it easy? Why don't you step out until she's medically cleared.
I didn't do anything.
Well, surveillance camera shows you pocketing lipstick and mascara.
I was gonna to pay for that.
I got distracted.
You can't keep me.
My daughter needs me home with her.
You should of thought about that before you pinched Maybelline.
Hey, come on, Officer.
Can I ask you a question? "I was gonna pay for it"! What a load of crap.
You know, she doesn't seem like a crook.
Does she have any priors? Any priors?! You have been hanging out with Claudia.
Hey, Morris, we found him.
Excuse me.
Outside, barely conscious.
Pulse ox 78 on room air.
Probably blossoming some pulmonary contusions from the trauma.
All right.
Open an airway tray at 8-0.
Where's Sam? -On her way.
Are we really gonna do this? Yeah.
This guy could be sharp as a tack once his sodium's normal.
What do you need? Sublingual captopril, four of morphine.
Hey, Sammy, I've been here for, like, two hours.
It's kind of a bad time.
I know.
I just I can't really wait around.
I've got a bunch of appointments.
Ma'am, can you just let us? Has everyone met Sam's sister? I didn't know you had a sister.
Hello.
Hi.
Sam, take a break.
Chuny'll take over.
Yeah, you know, looks like you could use one.
Hey, Doc, we busted the mugger.
I got an empty wallet and a retirement watch from County.
Maybe he worked here.
Suction on high.
Call for a vent! End tidal CO2 detector.
'You look good.
' I mean, considering the last time I saw you, we were both in pigtails.
Yeah Yeah, it's been a really long time.
Mm.
We got some catching up.
You want to go to dinner? I get off at eight.
Uh, no, you know, my flight's at 7.
30 and I've got my last meeting at five.
What kind of meetings? Uh, well, I'm here for the apparel show.
Oh, my God! I remember those dresses you used to make for your Cabbage Patch Kids! Oh, my You actually turned that into a job?! Yeah.
Uh, my clothing line just got bought by Billabong for about $2 million.
You're kidding.
No.
You're kidding me.
Yeah, it's, er Well, I've got to travel to Europe and Japan to launch the new collection.
Wow! Wow.
What, did you just come all the way from Dallas to rub it in my face? No No, um, I came to talk about Mom.
I had to move her to assisted living.
You know, her emphysema got worse.
Yeah, well, three packs a day'll do that.
She also had a stroke.
You know, I visit her, like, twice a week.
And it's not a lot, but it makes her happy.
And I'm going to be travelling for months at a time, so You know, I I want to move her to Chicago.
No, don't.
Please don't.
Look, I'll pay for everything - her moving expenses, her living expenses.
All you've got to do is just go visit her.
Look, I've been doing this for a really long time now, OK? I think it's your turn.
No, it's not.
Look, she's your mother.
You know, even after everything, she's still your mother.
Who I haven't spoken to since I was 15.
Well, you know, maybe it's time that changed, too.
All right, I'm in.
Bag him.
AC 14, tidal volume 500.
Have Frank check personnel records, see if we can figure out who he is.
-Post-expansion pulmonary edema.
Let's get her son back over here now.
He went to his audition.
I thought he was gonna stay.
I told him he could go.
How soon can he get back? I don't know.
We need bipap and set up for an intubation.
Intubation? She has a living will, she asked for no heroic measures.
OK, Donna, Donna, I need to ask you a question.
Donna? Donna?! I should call her son.
Exactly what I didn't want to have happen.
OK, start with the bipap.
It's non-invasive, in the spirit of her wishes.
That's a good idea.
This isn't a surgical problem, Dr Brenner.
You're the primary physician on the case, so you call it.
Let's go, Neela.
Did you reach the son? No.
I might have to intubate.
With a DNR? Can you even do that? Well, temporarily.
I can always remove it later.
I promised her son that she would be alive when he got back.
I see.
-There's fluid around the heart.
We can drain that, buy her some time.
-Neela.
Dr Horta's here on your porta-lung appy.
Peri-vac kit and betadine.
Well, um, good luck.
'Serum ketones are negative.
' Is that a problem? Well, medically, it's good news.
But it means we have no reason to keep you in the hospital overnight.
So I'm going to jail? I think they let you out if you pay a fine.
I don't have the money.
What about a loan? They won't give you credit if you don't have a job.
Ever since I got laid off, I've been cleaning houses.
Barely covers the rent.
My daughter.
Your daughter? Pregnant.
On bed rest.
I'm trying to buy her a crib and stuff.
You talk to a social worker about getting some help.
I have worked hard my whole life.
I've raised two babies.
Never been on welfare.
I had to get my medicine.
So why would you Steal a tube of lipstick? I return it for store credit.
Use the credit to buy my insulin.
It works.
Dr Morris.
We're making some progress ID'ing your old guy.
There's a patient missing from a nursing home on Dearborn.
Fits his age and description.
You hear that, Oliver? Sounds like we found out where you belong.
Systolic's down to 80.
Run in a litre.
You need a hand? I just need to thread the catheter over the guide wire.
There's the pericardial fluid.
It should help.
I'll check another blood pressure, Doctor? What's wrong? What do you need? You in pain? Relax.
You're OK.
Hit him with some Versed, Tony.
-"TB".
TB?! By any chance, does your lady have tuberculosis? No, she's got cancer.
You sure? Do you have confirmation on the path report? It'd be unusual, butTB could explain everything.
Infection in the lung, the bone, liver, the brain, around the heart.
You need a sputum stain for AFB.
Better get a mask on her.
You think your guy was a doctor? Oliver, were you a doctor? I'm sorry, I wouldn't have pulled you out if it wasn't important.
Real quick - what's the fine for shoplifting? And the maximum jail time? No, the guys didn't put me up to this.
Thank you.
Get back to class.
You don't look like you have good news.
Could be up to six months.
You know, all the jails are overcrowded.
It won't be that long.
No, her daughter's having her baby next week! Hey, Morris.
OK, I will be back as soon as I can.
Excuse me.
My captain wanted to know how much longer she's gonna be.
Uhthis needs to run in over an hour.
I thought she was ready.
Yeah, if I discharge her too soon, she'll bounce right back.
I got to call the station.
You know what sucks? There are guys out there stealing cars and shooting guns, and you're here all day baby-sitting a decent lady.
I'm just doing my job.
Where's Brenner? He ran to the lab.
We think this lady has TB.
Yeah, and this guy might have figured it out.
Really? How long does an AFB stain take? Less than an hour.
"To OMK.
35 years of service.
" Oh, my God.
Do you know who this is? Yeah, this is this is Dr Oliver Kostin.
As in Kostin's Textbook Of Emergency Medicine.
He's a legend.
Dr Morgenstern! The one and only.
Hey, Chuny.
So good to see you.
So good to see you.
This is Dr Morris and Dr Gates.
Hi.
Dr Morgenstern ran this place back in the day.
What are you doing here? I got a call from the nursing home - Ollie you gotta stop wandering.
Are you his doctor? No.
His proxy.
His wife died a few years ago.
They never had any children, so I got a durable power of attorney for health care.
You must have been close.
He taught me everything.
Treated me like a son.
He knows you're here.
Then he's having a good day.
What's his baseline? Multi-infarct dementia, and going downhill fast.
Oohhe had a great mind.
Now there's nothing left.
Well, something's going on in there.
He thinks that lady has tuberculosis.
Does she? -We don't know yet.
The The swelling behind the right ear.
Could be scrofula.
It's a TB-infected lymph node.
Used to be in the textbooks - it's not any more.
So if he's right, he's still capable No.
It's a flash of an old memory.
Every once in a while, a stimulus - a sight or a sound - brings up something from the past, but it doesn't last long.
For all intents and purposes, he doesn't interact with the present.
He hardly speaks.
I brought a copy of his DNR order.
So we shouldn't have tubed him? He never wanted to end up like this.
Could we take him off the vent? Maybemove him into a private room? Sure.
What about Trauma One? He might be getting a few visitors.
You know, the ER used to end right here.
He designed your trauma rooms.
And got 'em built 40 years ago.
Dr Horta cleared his entire schedule to come operate on you.
Thanks, Doc.
My pleasure.
We'll see you upstairs.
I'll be right behind you, honey.
I'mreally looking forward to this.
It's gonna blow your mind.
Oh, Lucien.
This is Dr Horta from San Diego.
Oh, um, hi.
Yeah, I've heard all about you.
So, um, this thing's really gonna happen? We're all set to go.
You should scrub in.
I can't.
I've got a couple of cases, pre-op cases, to check in on.
Let the residents do it.
Go ahead.
I'll be in and out, you guys.
Let's take the stairs.
OK.
Nice to meet you.
Yeah.
Lucien, heard about the NOTES appy.
Pretty cool.
Yeah, it ispretty cool.
Excuse me, Officer.
How can I stay at home when they're sending you off to jail? You need to be on bed rest.
This is crazy, Mom.
This isn't you.
Dr Morris, this is April's daughter, Kendra.
Hello.
Hello.
Is she OK now? Her diabetes is back under control.
Mom! Why would you do something like this? I don't know.
I guess I wasn't thinking.
Your mother was trying to help.
This is between her and me, thank you.
Mom, talk to me.
BP's way up - 170/100.
We should let her rest.
Yeah, I think you're upsetting her.
What do you think she's doing to me? Sam, cycle the dinamap.
Ow! Is that a contraction? Kyle, grab a gurney, let's get her up to OB.
No problem.
Slow, deep breaths.
I'm OK.
I don't need all that.
No, we have to monitor your baby.
Morris, positive AFB.
Whoa! Well, the whole ER's been exposed.
Everybody needs testing and follow-up.
We all assumed it was a tumor, but the other hospital cytology was equivocal.
Chuny, we're intubating.
You are? Positive TB stain.
She doesn't have cancer, she has a treatable infection.
-All right.
Glide-scope's ready.
Good call, Oliver.
TB is the great imitator.
That's what he taught us.
-20 of etomidate, -'Dr Kostin Dr Kostin, are you mad?' You can't give succinyl choline down here.
I just did.
Paralytics and intubation require an anaesthesiologist.
I'll keep that in mind.
Your patient's too sick for the emergency ward.
Patients like this die up to the ICU without an airway.
OK, gentlemen.
My work is done.
-Beautiful shot of the cords.
Passing the tube.
Nice.
Sats are fine.
-Cuff is down.
All right.
Deep breath in, Oliver.
And out.
David.
Where do we start rounds? Right here, Ollie.
You're right where you need to be.
Look, I I have to get back.
But I'm really glad you got in touch.
Yeah.
Yeah, you know, I've been trying for 15 years.
Hasn't been easy.
One day I had a big sister.
.
and then the next day, you took off, just pregnant by some dude.
I didn't take off.
Mom kicked me out of the house.
Well, you could have called.
She wouldn't let me talk to you.
Written a letter.
I did.
She must have tore them up.
I I I never knew that.
I had a baby.
I had to work.
After a while, I just stopped trying.
I figured you probably hated me.
I didn't.
Umyou know, um, after you left, this is the only guidance that I got.
My diary?! Yeah, yeah, you must have left in a hurry, cos I found it underneath your mattress.
Oh, my God.
Are you kidding me? What?! Did you read this? Yeah, of course.
Like 100 times.
You taught me how to how to French kiss, how to pierce my ears, how to roll a joint.
Six Flags? Yeah, when I was seven, that was like the happiest day of my entire life.
Oh, my God.
Mom took us home early because you puked your funnel cake all over Shock Wave.
Ah! you are so wrong.
No, sheshe took us home because, when she went to the bathroom, you went and tried to bum a cigarette off the hot dog guy.
I did not! Yes, you did.
Geez You were grounded for an entire week.
Oh! I was so stupid.
She's really bad, huh? Yeah, it won't be long.
'Well, ICU could take Trauma One.
' OK, let's move Dr Kostin.
Dylanhow'd it go? It's OK.
Where's my mom at? She's in a different room on a breathing machine, but, um, something amazing happened.
It turns out your mom doesn't have cancer.
Are you serious? It's tuberculosis.
Um, th-they told us tha The cells from the other hospital were suggestive of cancer, but they weren't definitive.
So, we ran a special stain and we found TB.
Um, thank you.
Thank you.
That's incredible.
She's not out of the woods yet.
If it's a drug-resistant strain, then she's gonna have a very rough course.
But it's better than cancer, right? I mean, her prognosis, it's good? Now, we're gonna have to keep you in isolation for a couple of days until we find out you're not infectious.
Not a problem.
Donna, there's someone here to see you.
Mom, I heard the great news.
I kind of rocked it.
They're not supposed to give you any feedback but the head of the woodwind department said, "See you in September.
" Sam, I'm going to be up in the OR for a bit.
Prescription for insulin and, er, an appointment with a diabetes clinic.
Where you taking her? County jail.
Are you OK? I got some medicine to stop the contractions.
I have to wait a week till the baby's ready.
We should be going.
Hold on.
You've got nothing to say? You're not gonna explain this to me? Maybe later.
She's had kind of a rough day.
I thought I was going to have some help with this baby, but I'll do it on my own.
I just thought you wanted to be a part of it.
But if this is how you want it, fine! Come here You know what, come here.
What are you doing? Please come with me.
What's going on? I need you to understand what your mother has been doing.
Shoplifting make-up.
To trade for insulin.
She loves you.
She's made a lot of sacrifices for you and your baby.
She almost died today because she ignored her own health to buy you a crib.
I didn't know.
Yeah, she's too proud to say it.
I know it's hard, but try to appreciate what you have.
Stump is tied off.
Endo-shears.
Nicely done.
Tension as you pull, Neela.
-They're still at it.
Yeah, you're just in time for the big finish.
-Appendix is out.
How cool was that? Very.
-You heard about the TB case? Yeah.
- G-prox, please.
Yeah, we were all guilty of "diagnosis momentum".
Despite incomplete evidence, we heard the word "cancer" and we all ran down the wrong path.
It's a glimpse of the future in there.
Yeah, I wasn't on board at first, but Neela persisted, so Well, that's a good quality to have.
Especially in an attending.
There are a lot of candidates this year, you know.
It's going to be very competitive.
Well, whoever gets her will be lucky.
Think he's really mad at me? Well, it did undermine his authority.
But it was in the interest of the patient.
Yeah, I agree.
I think he must be in Trauma One.
I just hope it doesn't hurt my chances here.
Well, if it does, then they're all crazy.
I can't imagine anyone more brilliant and skilled and compassionate and sexy.
And you'd better take a nap, because you're going to need it for later.
I was pre-med, volunteering at the hospital, when they made him chief in '68.
Back then, the ER was a glorified walk-in clinic where you were seen by unsupervised interns and residents with no training.
And the community ERs were even worse, staffed by moonlighting dermatologists and psychiatrists, or drunks who'd been banned from private practice.
There was no 911 no paramedics.
And if you needed an ambulance, you called a funeral home.
What the hell is that? Hmm.
Ollie once said, "You stand a better chance "of surviving a gunshot wound in Vietnam "than a car crash in Chicago.
" But he changed all that.
He developed the 911 system, he trained thousands of paramedics, and started one of the finest residency programmes in emergency medicine.
You're all here 'cause of this guy.
Gunshot wound to the left chest, dumped from a moving car.
Lost the pulse.
Starting compressions.
Thoracotomy tray.
I'll tube him.
Four of O-neg and betadine.
Yankauer! -Rapid infuser is primed.
Prep for a subcalvian.
-I need a cricoid.
Hold compressions.
-OK, opening the chest, now.
Shot in the chest outside of a liquor store.
-Readyand lift.
Hold an elevator! He's got to go right up to the trauma ward! Someday, we're going to take care of guys like this down here.
The surgeons will never sign off on that.
You wait and see.
Dream on, Dr Kostin.
-Foley's in the heart defect.
Inflating to 20cc's.
Bleeding's slowing down.
He's had six of O-neg, six of FFP.
-I got a pulse, strong pulse.
-OK, cardio-thoracic Team's here.
-Take him away, guys.
-Door to OR, 12 minutes.
-Not bad.
Yep.
Could walk out of the hospital.
How you doing, Ollie? Another two of morphine.
Got it.
Let's TKO his fluids.
He's bradying down.
Might as well turn off the alarm.