St. Elsewhere (1982) s01e01 Episode Script
Pilot
1
Dr. Samuels, report to emergency.
Dr. Samuels, report to emergency.
♪♪
Sandy Malin in 330? She's going to
be up most of the night with nausea.
Limit her to ice chips and compazine, 10 milligrams, I.M.
I'll be checking in on her again tonight.
If she's under any kind of
distress, I want to know about it.
Sounds to me like you're sweet on that girl.
Just responding to the call of duty. Mm-hmm.
Jack, Mr. Gentry, the old guy in
c.C.U make sure you check on him.
I'm a little concerned. He's had
two runs of back-to-back p.V.C.'S.
Okay. When? Oh, in about an hour or so.
I want to make sure I'm long gone
in case there are any problems.
Boy, sun days.
Feels like the end of the week is just the beginning.
How'd you do it, Annie? First year's the worst.
I feel like I hit the wall, I still got 24 hours to go.
You get no sympathy from me,
pal. We've all been through it.
There's always another one, isn't there?
Good night, Dr. Cavanero. Fat chance.
How do I look? Uh
Like a soldier whose tour is over.
Don't get too jealous. My aunt charisse
is in from forestville, California.
Oh. Wine country? What can I say? She's into grapes.
She wants to take me out for an evening
on the town anything I want to do.
All I want to do is sleep. How do
you ask your aunt to sleep with you?
You gonna make grand rounds tomorrow morning?
I'm gonna try. You better do better than that.
Westphall was really burned when you missed
it last week. You don't have to tell me.
There was something oh, right.
Jacobson said you should check white's
patient's blood glucose at 2:00 A.M.
Where's white? He told Jacobson that you'd cover for him.
He did, huh?
That's what Jacobson said.
Anything else I can do for you out in the free world?
Drop in on my wife.
Tell her I'm alive, being held captive at St. eligius.
You got it.
I told the nurse to call me if you need me.
I'll be here all night. My mouth is so dry.
I know.
I'm sorry.
I'm afraid to give you any more water
until I know what's wrong with you.
I've scheduled a liver scan for tomorrow morning.
And that will finally tell you what's wrong with me?
'Cause I can't take any more of this throwing up.
I know.
I hope tomorrow we'll know for sure.
So, you hang in there.
Dr. Morrison, please hurry.
He stopped breathing. It's okay. Okay, okay.
I was just taking him to a room change. It's okay.
All right. Move the chair.
Get his head.
No pulse. Go to the desk, call a triple code blue.
One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.
One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.
One-1,000, two-1,000, three-1,000,
four-1,000. Give me the ambu bag.
Five-1,000. Okay.
One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.
Will you take this over? Code blue. Code blue.
Three-1,000, four-1,000, five-1,000.
One-1,000, two-1,000, three-1,000, four-1,000.
No way. He's dead.
- One-1,000, two-1,000.
- Keep it going.
Give him a little more time.
Forty-two-year-old white, obese female,
four-day history of right upper-quadrant pain.
No history of cholelithiasis or peptic ulcer disease.
Has the pain changed with time or position?
No. On physical examination,
temperature was 39.5 degrees centigrade,
blood pressure 130 over 80, no jaundice present.
Is the abdomen distended? No.
There's a plus-two over four
tenderness in the right upper quadrant.
The liver is 10 centimeters in breadth, two
centimeters below the right costal margin.
There is a palpable mass just below the
liver edge, with a positive Murphy sign.
Dr. Ehrlich, what is a Murphy sign?
A Murphy sign is a palpable mass
found below the liver margin
That is tender on deep palpation.
Go ahead, Dr. Chandler. Urinalysis is negative.
Abdominal series shows no obstruction,
stones or free air under the diaphragm.
There is a mild ileus.
Nice of you to join us, Dr. Morrison.
Has the patient ever had a similar episode? Uh, no, sir.
Does the patient have orthostatic hypotension?
Westphall started grand rounds 20 minutes ago.
I know, fiscus. I know. What happened?
The guy in 4w hadn't gone to the bathroom.
4w? That your patient? No. Peter white's.
Ultrasound and o.C.G. Are consistent
with cholelithiasis. Dr. Morrison.
Sandy Malin is a 15-year-old white female
With a history of travel to South America.
While in South America, the patient
went to a local medical doctor there,
who treated the supposed case of
montezuma's revenge with kaopectate,
to which the patient responded.
Six weeks later, after arriving home
and two days prior to this admission,
the patient again began to have
fevers, chills, sweats, nausea
And has been vomiting all foodstuffs and fluids.
She has had 12 loose bloody stools a day.
She has lost 15 pounds in the last 20 days.
Give me a differential diagnosis based on history.
Because the process has been ongoing for
several weeks, dysentery is a likely diagnosis.
I've ordered a liver scan to rule
out the possibility of an abscess.
I gotta I'm sorry.
Dr. Rowe, would you present your case, please?
This is a case of a 69-year-old white male
With a seven-day history of
increasing left lower-quadrant pain.
The patient has no history of tenesmus.
The patient's weight has been stable and
appetite adequate until the acute episode.
There's no history of cancer. Uh-huh.
Thanks. What more would you want to know about the history?
Has the patient had a barium enema in the past?
Was there any actual blood in the stool?
The stool is heme positive. Excuse me.
The patient has never had a
colitis diagnosis or a similar episode.
Ehrlich. Good morning.
Why are you clapping? Dr. Samuels has v.D.
Word is he's infected half the staff, Wendy.
Don't look at me. I never went out
with him. That's what they all say.
Blood pressure is 110 over 70 in a lying
position and 100 over 80 in a sitting position.
Heart rate is 106 and regular.
What's with the new clocks?
One of Dr. Craig's open-heart patients
donated them in everlasting gratitude.
Dr. Craig! Napoleon had nothing on that guy.
Every time I just think of him, I get my palms sweaty.
Nobody's forcing you to go into surgery.
You want to break my mother's heart?
Very good. Dr. Martin, what were the
results on the autopsy on Mr. Shuttleworth?
He had cirrhosis of the liver
and atherosclerotic heart disease.
What was the major cause of death? Who is that?
Cathy Martin, pathology. She certainly dresses the part.
Dr. Wade? What does a shift to
the left mean in a white blood count?
It indicates an acute infection.
Dr. Martin. Wayne fiscus, emergency medicine.
Apparently, we have a mutual friend. Oh, really?
Uh, Mr. Shuttleworth's liver.
I admitted it, along with the rest of Mr. Shuttleworth.
And white blood count, q12 hours.
Very good.
Excuse me. One final note.
Ramon in the laundry room has asked me to talk
to you people about ink-stained bedsheets.
I realize that paper isn't always available to us
And it's a long-standing tradition in this hospital
To write our patient's vital signs
and our scut lists on the bedsheets,
but it's driving Ramon crazy.
I suggest you use water-soluble ink if
you can't break yourselves of this habit.
All right. That's it. Thank you.
Dr. Armstrong, Dr. Chandler, I
want to see you in my office at 9:30.
Do-do-do, da-da-da-da ♪
is all I want to say to you ♪
do-do-do, da-da-da-da ♪
the innocence will pull me through ♪
do-do-do, da-da-da-da ♪
is all I want to say to you ♪♪
Get with it, Arthur. He's waiting for his bath in 318.
The mendoza kid you know, the
one with the cute dimple in his chin?
Tried to hang himself on his
traction again. A real phi beta kappa.
First you skin it, then slice it, then flour, egg whites
Hit him in the left cheek. The right
one's starting to look like Swiss cheese.
Um, give me the chart on our hepatitis case. Who is that?
I tell her to give him two milligrams of morphine sulfate.
She hits him with 10 right in front of the son.
Chronic active hepatitis down the hall
What's his name? How the hell should I know?
So I say to the son
What do you mean, we've got a
problem? It's nothing serious.
Uh, how are you feeling?
Fine. No, uh, burning sensation?
What? Any discharge?
Bye-bye. See you in the morning.
Uh, nurse, Mrs. Szenvari, 302
She get her 4:00 A.M. keflex?
You wrote it, we gave it. Janice.
Dr. Prileck, 18-23.
Dr. Prileck, 1-8-2-3.
You
I want that Indian gas passer, v.J.
Kochar, out of my operating room!
Good morning, Mark. I love the new clocks.
What are they doing here? Who?
You'd think there was a glut of
third world anesthesiologists.
There is not a glut of third world anesthesiologists.
There's a glut of third world
sick people. Billions of them.
You can't operate without putting people to
sleep. Didn't you see gone with the wind?
Donald, I am serious!
My German Shepherd speaks better English than he does!
And don't give me any of that racist stuff.
Did you ever try eating with one of them? I've got rounds.
Four hours in the O.R. with his breath.
Disgusting!
Nauseating.
That stupid food. Donald, you rea
Hey!
Good morning.
Tetracycline four times a day till it's gone.
Five days, you'll be over it. I don't believe this.
I know how you feel, but it's not brain cancer.
Look, you're gonna be all right.
Thanks for the memories.
Janice!
Donna, can I talk to you for a minute?
You know, you look as bad as I feel.
I've been pretty busy.
I didn't get any sleep last night.
You've been up all night? Uh-huh.
You've been up all night, and I let you hook me up to this?
I looked in on you last night.
I think I like you better when you're sleeping.
This doesn't hurt at all. Mm-mmm. It's just like an X-ray.
I'm thinking about doing a report on
you medical guys when I get out of here.
- What kind of report?
- An exposé, now that I see how things really work around here.
Are you taking a course in cynicism at
that fancy finishing school of yours?
It's not a finishing school. It's a prep school.
Oh, I see. A prep school.
Where they take you on teen
tours in South America. That's right.
They should have taught you
not to buy from a street vendor.
How do you know anything about South America?
I've been there, and I didn't get sick.
Smile for the camera.
What were Spencer's numbers last night?
136, 5.1, 10125.
Donald. Dr. Auschlander. Elevator not working?
Trying to keep in shape.
I heard Dr. Auschlander's got cancer. Yeah. Liver.
How long's he got? He's the liver specialist, not me.
Pretty ironic isn't it, Dr. Westphall? What's that?
Dr. Auschlander's one of the top liver men in
the world and he gets hit with liver cancer.
It's a shame. I think we can save the eulogies.
Knowing Daniel auschlander,
he'll probably outlive all of us.
Dr. Cavanero.
What is it, Luther? I've been looking for you.
You better talk to that patient
of yours that animal Henry Smith.
Look, Luther, I know he gave you a hard time last week
Hard time? The next time he comes
at me with that wild look in his eyes
Patient or no patient I'm gonna shoot him.
I don't have time for this. You don't have time for it?
I just spent the last 20 minutes in
physical therapy, waitin' for him.
He didn't show up this morning? No.
The next time he has an appointment,
he better be there or else.
I mean, my time ain't cheap.
In fact, if it was up to me, Henry
Smith would not be in a hospital!
He'd be in a prison! The man's an animal.
Excuse me. Do you know where Mr. Smith is?
Ain't nobody been in that bed since I been here.
Dr. Cupperman, report to X-ray.
Dr. Cupperman, report to X-ray.
My patient, Henry Smith he's
not in his room, and I've been
Who?
Anemia, thrombophlebitis,
cellulitis, 6'6", drug abuser, white guy.
You can't miss him. Where is he? 324.
He's not there. Maybe he's in the bathroom.
- For the past 12 hours?
- Maybe he walked out.
I doubt it. His clothes are still in the room.
- Where does he live? I'll give a call.
- Roxbury state.
- The mental hospital?
- You got it. Find him.
Hey, Robin! Jasmine!
It was a tough call. The guy was in atrial flutter.
150 a minute.
- 40 over zilch.
The guy was, uh, hemodynamically compromised.
So what'd you do? Freddie buffalo
comes charging through the ward.
Freddie who? You know, two pink eyes, blue tongue.
Freddie says, "give me a defibrillator.
We have a very sick man here."
He takes the paddles, puts it on the
guy's chest, hits him at a critical point.
Highly compromised ventricle.
He hit him at a point in the cycle when he.
Freddie didn't want to wait. The guy
goes into v-fib, so he zaps him five times.
By the fifth time, the guy goes into asystole.
I say, "okay, call the arrest. Call the triple."
I tell the nurse to ring it up. She loves
it life or death, going for all the bananas.
He die? Nah, we brought him back.
- Any triples last night?
- One.
- Did he make it?
- Nope. White!
What's the blood brain diffusion potential for fluothane?
Sorry?
Forget it.
What the hell's going on? Jacobson
said you told her I'd cover for you.
I couldn't get ahold of you. What could I do?
Don't give me that! I haven't been home in three days.
I haven't slept in the past 36 hours. I know. Okay? I know.
Look, my kid was sick. What was
I supposed to do? I don't know.
I don't know.
How's your kid? He'll be all right.
Oh, man.
Thanks.
Ah, Dr. Cavanero. Looking a bit weathered.
A little too much hanky-panky in the on call room?
- Drop dead.
- Okay.
Give her a break. She lost a patient today.
- Ah. The beat goes on.
- Not dead, missing.
That guy that was in every mental
institution along the eastern seaboard?
- That's the one.
- Well, it's a good thing he's dangerous.
Does everybody know about this?
No. Only the staff, the patients, the immediate families.
My guess is that he's probably
running one of the departments by now.
Check gynecology. That's
where I'd go after being locked up.
- Does this psychotic have a name?
- Henry Smith.
Wait a minute. Henry Smith? I just left him in radiology.
I don't believe this place.
Sorry to disturb you from your work.
Henry Smith. I'd like to see him. Henry.
That's not Henry Smith.
Tell it to his mother.
Well, Sandy, we got the results of your liver scan.
There's an abscess on your liver.
An abscess. That sounds terrible.
Well, it's one of those words
that can sound worse than it is.
So, what are you going to do now?
I'd like to get a biopsy. Do you know what that is?
Sorta.
Okay.
I need to get some tissue from your liver.
Once we examine that tissue, we'll
know how to treat your abscess.
Do you follow me?
This biopsy will it hurt?
No. Promise.
I just want you to know that I wear
bikinis, so I don't want any biopsy scars.
No scars. It's very simple. One shot from a needle.
So when are you gonna do it?
Well, we've got to get your parents' permission first.
Oh, great. Well, we're all in for a treat.
Now mother will definitely come up to Boston.
You're smiling now, but wait she's gonna flip out.
It was bad enough the school
had to tell her I'm in the hospital.
She thinks I've got the flu or something,
but this biopsy stuff's gonna scare the pants off her.
Well, now you understand what's
going on, we'll have you explain it to her.
A lot of good that will do. Can't you
just ask the school for my permission?
No. Sorry. We gotta tell your mother.
It's gonna be a toll call. We live in Maryland.
Well, don't worry. We'll bill her.
I gained three pounds! That's good, Mrs. Sussman.
All my life I've been trying to lose weight.
Excuse me, nurse Daniels.
Could I talk to you for a minute? Sure.
In, uh, private.
Oh. You can go back to your room now, Mrs. Sussman.
Uh so uh, wh-why don't you sit down?
So
Um
How are you? H-How do you feel? Good, Ben. And you?
Oh, uh, good. Great.
Good.
Actually, uh, not so good.
I've got, um, gonorrhea.
Oh. That's too bad.
Yeah. It's dumb.
The thing is, Shirley,
if I've got the you know, this problem,
it's very likely that you, uh,
also likely h-have this problem.
- Oh?
- Yeah.
Oh, I see.
Shirley, I can't tell you how terrible this makes me feel.
I mean, like such a lowlife.
I can't tell you how humiliating
And degrading
- Ben, we just went to the movies.
- I mean, you
- What?
- You fell asleep halfway through the picture.
Really?
Oh!
Really? Oh, I can't tell you how good that makes me feel.
I think.
Uh, right.
Uh, listen.
Um, when this, uh, clears up,
can I call you?
We'll see. When it clears up.
Right.
Shrimp. Everything looks like shrimp.
Now, why do you think that is?
I told you six times already.
My daddy was a shrimper in gulfport, Mississippi.
H h "Hydrogenated palm kernel."
"Thiamine mononitrate."
Shrimp.
"Cornstarch.
Ar artificial flavorings. Lecithin."
Hey, you want to hold it right there, pal? Okay?
I'll be out of here in two minutes.
Louie came here to tune the piano. He never left.
"Reduced iron, riboflavin,
animal and vegetable shortening, lard."
Shrimp. Dr. Cavanero?
Not now, Louie. Dr. Beale. Annie?
Have you seen Henry Smith? Who?
The missing link. No. I haven't
seen him. Check physical therapy.
I did. Is there a problem?
I don't know. I can't seem to locate him.
He'd have to be crazy to come
up here. Is he on any medication?
Only what he brings in himself.
If I see him, I'll let you know.
Shrimp.
You authorized surgery for Sandy Malin? Yes, I did.
She's my patient. I don't appreciate
you superseding my authority.
Just wait a minute! What?
I was called in for a surgical consult. She's
got an abscess, and it should be taken out.
No, it shouldn't. Now, you wait a minute, Morrison!
We got problems?
Dr. Morrison seems to have a
problem with the way I practice medicine.
I don't want to disagree with a first-year resident.
Surgeons all they want to do is cut. Hold it, hold it.
What's the problem?
My patient, Sandy Malin I reviewed
her this morning at grand rounds.
She came in two days ago. She was
vomiting. She couldn't hold any food down.
I took her case history. She'd
been in South America this summer.
I made a diagnosis of dysentery,
ran a liver scan. It showed an abscess.
And now I see she's down on the
board for surgery tomorrow morning.
For your information, doctor, it is
routine to surgically remove an abscess.
Yeah? For your information, if you cut
through the abscessed wall, and it's amoebic,
the parasites could spread, and she could conceivably die.
Did you order a liver biopsy?
Yes. I called her parents and got their permission.
Dr. Robinson called 'em back
and got their permission to cut.
Is Sandy on the board for surgery?
Halpern's got her in for first thing tomorrow.
Anybody bother to tell Sandy she's supposed
to be operated on tomorrow morning,
or were you just gonna walk in and wheel her out?
- All right, Jack.
- No, it's wrong, and I don't like it!
I'm not prepared to see some prima Donna
surgeon come in now, wait a minute!
That's enough! That's enough! Stop it!
I think we can wait till we get
the results from the liver biopsy.
I don't see the point. I'd appreciate it.
Put it that way, okay.
Thank you. Jack.
You were late again for grand rounds.
Sorry. I got hung up with a patient.
Another patient? Yeah.
First-year residents can't
afford to miss grand rounds, Jack.
And they can't cover for everyone, not even their friends.
I don't care if it's the biggest thing to
hit the fashion industry since hot pants.
We need 300 more blue scrubs.
Well, Marty, it's not my problem that
you can get $28 apiece for them retail.
Thirty-five midtown? I told you.
All right. What about green?
Good. All right. He can get us 200 green. Three.
No, we need more. We need 300.
Well, I can't worry about Boston general, Marty.
They can buy their scrubs at
filene's. They can afford blue.
All right. 300 green tomorrow morning early. Thank you.
All right, Ramon. You're gonna get your scrubs. Thanks.
Hi. What can I do for you? Listen,
we got a real problem on the floor.
Half of ward 5 is panic-stricken over this Henry Smith guy.
Who's Henry Smith? Dr. Cavanero's patient.
He's been missing since last night. Missing?
- That's right. Missing.
- What's he look like?
Well, from what I hear, he's, like,
7'2", 380 and mean. Have you seen him?
If I had, I'd remember, wouldn't I?
- Okay. Tell Dr. Cavanero I want to see her.
- Okay.
Open? Closed? Don't matter.
What are you looking so happy about?
I've been vindicated.
I got the results of your liver biopsy
Amoebas one, bacteria nothing.
Meaning? Meaning that you're
not gonna be captured by surgery.
I get to keep treating you myself.
I'm gonna get you started on some medication.
Metronidazole, in case you're interested.
You should be feeling better in a few
days and out of here in a couple of weeks.
Great. Right.
Were you really in south america, Dr. Morrison?
Actually, it was Mexico.
I was in medical school there for two years.
Why'd you go there? I had lousy grades in college.
Did you speak Spanish? Not a word.
I had to buy two sets of textbooks.
After two years, I came back, finished up here.
So do you like being a doctor? I don't know yet.
Talk to me when I'm awake.
All right. Let's get you started on your medication.
Get you better and out of my hair.
- By the way, your mother's coming here today.
- Great.
Uh, Dr. Morrison?
You did say you're married, didn't you?
Come on. You're only 15 years old, for crying out loud.
And just how long has this Mr. Smith been missing?
Since last night.
Uh-huh. I imagine you told the charge nurse, who, in turn,
passed this information on to someone else. Yes.
Who, in turn I guess so.
It seems to me that everyone in the
hospital knew that this man was missing
Except security.
I didn't see any reason to get hysterical.
- You weren't thinking, cavanero.
- I thought I could handle it.
What's the trouble, Annie?
Dr. Westphall, there's no trouble.
Come on. A patient is missing,
and you don't notify security?
Your job is to treat him, you know, not to find him.
Now, what the hell's going on here?
Did you see the white sheet on Henry Smith? No, I didn't.
The man hasn't had a good day in his life.
No home, no family, nothing. A nobody.
The kind of trash you see washed
up on the streets every day,
but you never stop to look because
it makes you too uncomfortable.
Henry Smith is my patient. He's my responsibility.
Dr. Cavanero, we are all aware
of your skills as a physician,
and they're considerable.
But none of us is expected to
handle everything, not even a woman.
- Anything else, Dr. Westphall?
- Mm-hmm. Call security now.
You got x-rays? C-spine, chest, abdomen.
Yes. She's in sinus tach.
Give me a thoracotomy tray. Chest tube, 28 French.
I'll get stat lights four units.
Call ortho for her leg. Give thoracic a call.
Tell them we've got a pneumothorax
here, possibly secondary to fragments.
She's got a puncture wound to her gut. Call surgery.
Tell them to bump the board and get us a seat. And move it!
What the hell happened to this woman? She's a train wreck.
Terrorist set off a bomb in a bank.
She's the lucky one. Two people died.
What happened to the terrorist?
Weinstein's working on him in 4.
Yes?
You wanted to see me, Dr. Westphall? Come on in, Jack.
This is Mrs. Malin, Sandy's mother. Jack Morrison.
Well, hi. You've got a terrific daughter.
She thinks the world of you too.
I've just been explaining to Mrs.
Malin what's wrong with Sandy.
This really has been quite a shock.
Not only was I unaware that Sandy was in the hospital,
which, knowing Sandy, shouldn't surprise me,
but she got back from south america over six weeks ago,
and she's been perfectly fine ever since.
Well, these parasites can lie dormant
for a while before becoming active.
We should be able to treat the problem now,
and Sandy should be out within a week or two.
Uh, Jack, Mrs. Malin wants to move
Sandy to Boston general tomorrow.
Why?
Well, our doctor in Maryland told us
That Boston general is a newer, more modern hospital.
Mrs. Malin, her care won't be any better there than here.
I promise you that. Dr. Morrison, please.
I appreciate all that you've done
for Sandy. You have many patients.
I have only one daughter,
and I must do what I think is best.
What's best for your daughter
There's no problem, Mrs. Malin.
We'll have Sandy moved tomorrow.
Thank you. Bye.
Bye. Thank you. Bye.
Why did you let her do that?
Because I'm not Sandy's parent.
But there was no reason for it. It's not personal, Jack.
Yeah, it's personal. She's my patient.
I've admitted her, diagnosed her,
stayed up nights taking care of her.
It's personal to me. I care about her.
Then I suggest you talk to her and make the
transition as easy as possible, all right?
Hello there.
How you doing, Dr. Martin?
Fine, Dr. Fiscus. Wayne.
Cathy. Cathy.
How are you?
I'm beat.
A little afternoon snack? What ya got in there?
Veggies. You on a diet?
No. Oh.
Is the cafeteria closed?
Not that I know of.
Would you like a radish? No, thank you.
I don't have much of an appetite.
Besides, I don't like anything that grows in dirt.
What are you reading?
John p. Gazength. Autobiography of a coroner.
Really?
So, you're into pathology.
How are things going down there?
Pretty quiet, I bet. Right.
It sure isn't quiet in the emergency
room. We just had a bomb victim in there.
Say, are you free for dinner tonight?
I know where you can get a good head of lettuce.
Thanks, but I'm on call tonight.
Oh.
Maybe I can drop by a little later.
Okay.
Great.
See ya.
- Got a bleeder here.
- Hemostat. ♪♪
All right.
Okay. Got that? Yeah.
Suture? In the day we sweat it out on the streets ♪
Cut. Of a runaway American dream ♪
at night we ride through mansions of glory good. Good.
Blood's looking a little dark here, v.J.
You wanna hit her with a little more O2?
Sprung from cages out on highway 9 good-looking woman.
Chrome-wheeled fuel-injected she's married.
And steppin' out over the line ♪
What's her name? McAllister, Katherine.
My grandmother could have been in that bank.
I hope the creep whoever did this rots in hell.
Now, now, Lucy. Don't go human on me.
'Cause tramps like us baby, we were born to run ♪
All right. Ehrlich.
You went out with Denise, right? Yeah.
I gotta talk to you about that.
Cut.
Cut!
His clothes are in 324, but he was never actually in 324?
I don't believe it! What?
Patient has vanished. Disappeared.
Beamed right out of the hospital. Who?
- Some guy.
- Henry Smith.
Big guy, 6'6"? Yeah.
Yeah, I know where you can find him.
When did he die?
Last night. He was on his way to a
room change when he tripled in the hall.
Who was on call? Me. I was covering for Peter white.
You should have seen who
filled out the death certificate?
I did. Well, where is it?
I forgot to turn it in. You forgot to turn it in?
You forgot to turn it in?
This isn't an ordinary hit and run.
This isn't a back alley knife
wound. This is kismet. Kismet?
Mark has been sharing his thoughts on how
best to deal with the terrorist situation.
The press is salivating.
Mark has called a press conference
for tomorrow morning, 7:30.
Why would you want to do a thing like that? Why?
Because that slug is a headliner,
and god knows we can use the publicity.
I was under the impression that
that slug was a patient of ours, Mark,
not some in-house celebrity.
No? Well, tell me, was the vermin
that shot that judge last month
Was he just a patient? Come on!
Boston general made certain
That everybody and his mother knew
they were treating that little scum.
You couldn't flip a channel
without seeing mousy Jimmy O'Toole.
Who's Jimmy O'Toole?
The hospital spokesman! Where has he been?
Why don't we hire an advertising
agency and do a whole campaign?
You know, Donald?
You can be a very negative-thinking person.
Do you know what people call this place?
Not St. eligius. St. elsewhere.
A dumping ground, a place you
wouldn't want to send your mother-in-law.
Now somebody around here is trying
to garner a little goodwill publicity
And possibly raise a few bucks for this rat hole,
and all I'm getting is problems.
Now, Mark no, no. I mean it!
I mean, what we're talking about here is initiative.
They said it couldn't be done,
but I secured the new clocks.
And for the first time, they all read the same time
Every single minute of every single day!
And what about the potholes in the parking lot?
Where's the money coming for that?
If my going on camera can
get the job done, I say let's do it.
Mark's been kind enough to
offer his service as a spokesman.
Now, I, uh I don't want to
rain on anybody else's parade.
- No problem.
- You will, of course, also be there.
Sure. Good. Great.
By the way, Donald, uh, what'll you be wearing?
- Oh, something simple.
- Right.
I have a Navy blue tie, if you're interested.
That'd be perfect. I appreciate it.
My pleasure. I'll be going red.
So you're blowing out of this joint, huh?
My mother. I knew she'd cause trouble.
God, the problems. There always are.
It doesn't matter what I want,
what I think. It's always best for me.
I'll tell you what I told her I'm not leaving.
If she wants me out, she can call an ambulance,
put me in a straitjacket, drag me out
Because that's the only way I'm leaving.
Look, Sandy.
We're friends, right?
So let's talk straight to each other.
Your mother didn't come up here to give you a hard time.
She didn't.
She came up here because she loves you and cares about you.
She thinks, like a lot of people,
that newer and bigger is better.
I don't know about better,
but Boston general's certainly newer and bigger.
You say that because my mom wants you to.
No, I say it 'cause it's the truth.
I thought you liked me.
I do.
Whether you leave today or a week from now,
I've done all I can do for you.
So, you're telling me to leave?
Mm-hmm.
Okay. Then I will.
You're not leaving till tomorrow.
I'll stop in and see you before I leave.
Get back in bed.
Uh, Nina Morrison, please.
No, I know. I know. She's a stringer.
She left a message to call her at the city desk.
I don't know. The message just said uh
Nina Morrison.
All right, look. Just tell her
that Jack, her husband, called
And I'm on again tonight.
Thank you.
Gary and I were going together for about five years.
I was really crazy about him.
Lucky stiff.
He was into pathology,
and since I was into Gary, naturally I got into pathology.
Naturally. I'll tell you one thing though.
I'm not going out with people I work with anymore.
I guess it kind of makes it hard
to carry on a conversation.
I mean with pathologists.
You know, you're very sweet, Wayne.
And you have really nice eyes.
Thanks. They're Lithuanian.
You know, this sounds weird,
but I haven't kissed a man since Gary died
Except for his father at the funeral.
I'd really like you to kiss me.
Would that be all right?
Yeah, I think that would be all right.
Wait. Not here.
All right.
Wayne.
You're a sick man, fiscus. Very sick.
Listen, about what happened, what I did
I just wanted to apologize.
I had no right. I lost it.
I've been working too hard.
Tell me about it. What?
I've had it with you.
I've had it with the patients, with the staff.
I've had it.
I have no privacy.
Everybody makes demands the nurses,
patients, patient's family.
Any time of the day or night.
That patient's got a little nausea,
a little constipation he wants me.
He expects me.
Well, fine. Anybody can handle that 12 hours a day.
But you start racking it up,
day after day
You're on every third or fourth day for 36 hours.
And I go to sleep in my room and I lie down.
And I'm in my dream.
And somebody beeps me for Mr. Jones
Who I never saw in my life.
And he wants something for nausea,
or his pain isn't quite in control
Or whatever it is!
It starts wearing on you!
It's, like leave me alone!
Why can't I have my privacy?
Why can't I eat my meal in peace?
Why must I always be available?
Constantly!
I don't even know who my wife is anymore!
I never see her.
She's sleeping when I come home at night,
I say good-bye in the morning.
You violate my territory.
You violate my ears.
You violate my privacy.
Still here, Dr. Westphall? Here today, here tomorrow.
They got a card game going in the
second floor lounge, if you're interested.
No, thanks. I have to see the kids.
You should get a wife, Dr. Westphall. I had one.
One dies, you should get another one.
Good night, erma. Good night.
Please come to X-ray, miss vocker.
Good night.
Dr. Samuels, report to emergency.
Dr. Samuels, report to emergency.
♪♪
Sandy Malin in 330? She's going to
be up most of the night with nausea.
Limit her to ice chips and compazine, 10 milligrams, I.M.
I'll be checking in on her again tonight.
If she's under any kind of
distress, I want to know about it.
Sounds to me like you're sweet on that girl.
Just responding to the call of duty. Mm-hmm.
Jack, Mr. Gentry, the old guy in
c.C.U make sure you check on him.
I'm a little concerned. He's had
two runs of back-to-back p.V.C.'S.
Okay. When? Oh, in about an hour or so.
I want to make sure I'm long gone
in case there are any problems.
Boy, sun days.
Feels like the end of the week is just the beginning.
How'd you do it, Annie? First year's the worst.
I feel like I hit the wall, I still got 24 hours to go.
You get no sympathy from me,
pal. We've all been through it.
There's always another one, isn't there?
Good night, Dr. Cavanero. Fat chance.
How do I look? Uh
Like a soldier whose tour is over.
Don't get too jealous. My aunt charisse
is in from forestville, California.
Oh. Wine country? What can I say? She's into grapes.
She wants to take me out for an evening
on the town anything I want to do.
All I want to do is sleep. How do
you ask your aunt to sleep with you?
You gonna make grand rounds tomorrow morning?
I'm gonna try. You better do better than that.
Westphall was really burned when you missed
it last week. You don't have to tell me.
There was something oh, right.
Jacobson said you should check white's
patient's blood glucose at 2:00 A.M.
Where's white? He told Jacobson that you'd cover for him.
He did, huh?
That's what Jacobson said.
Anything else I can do for you out in the free world?
Drop in on my wife.
Tell her I'm alive, being held captive at St. eligius.
You got it.
I told the nurse to call me if you need me.
I'll be here all night. My mouth is so dry.
I know.
I'm sorry.
I'm afraid to give you any more water
until I know what's wrong with you.
I've scheduled a liver scan for tomorrow morning.
And that will finally tell you what's wrong with me?
'Cause I can't take any more of this throwing up.
I know.
I hope tomorrow we'll know for sure.
So, you hang in there.
Dr. Morrison, please hurry.
He stopped breathing. It's okay. Okay, okay.
I was just taking him to a room change. It's okay.
All right. Move the chair.
Get his head.
No pulse. Go to the desk, call a triple code blue.
One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.
One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.
One-1,000, two-1,000, three-1,000,
four-1,000. Give me the ambu bag.
Five-1,000. Okay.
One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.
Will you take this over? Code blue. Code blue.
Three-1,000, four-1,000, five-1,000.
One-1,000, two-1,000, three-1,000, four-1,000.
No way. He's dead.
- One-1,000, two-1,000.
- Keep it going.
Give him a little more time.
Forty-two-year-old white, obese female,
four-day history of right upper-quadrant pain.
No history of cholelithiasis or peptic ulcer disease.
Has the pain changed with time or position?
No. On physical examination,
temperature was 39.5 degrees centigrade,
blood pressure 130 over 80, no jaundice present.
Is the abdomen distended? No.
There's a plus-two over four
tenderness in the right upper quadrant.
The liver is 10 centimeters in breadth, two
centimeters below the right costal margin.
There is a palpable mass just below the
liver edge, with a positive Murphy sign.
Dr. Ehrlich, what is a Murphy sign?
A Murphy sign is a palpable mass
found below the liver margin
That is tender on deep palpation.
Go ahead, Dr. Chandler. Urinalysis is negative.
Abdominal series shows no obstruction,
stones or free air under the diaphragm.
There is a mild ileus.
Nice of you to join us, Dr. Morrison.
Has the patient ever had a similar episode? Uh, no, sir.
Does the patient have orthostatic hypotension?
Westphall started grand rounds 20 minutes ago.
I know, fiscus. I know. What happened?
The guy in 4w hadn't gone to the bathroom.
4w? That your patient? No. Peter white's.
Ultrasound and o.C.G. Are consistent
with cholelithiasis. Dr. Morrison.
Sandy Malin is a 15-year-old white female
With a history of travel to South America.
While in South America, the patient
went to a local medical doctor there,
who treated the supposed case of
montezuma's revenge with kaopectate,
to which the patient responded.
Six weeks later, after arriving home
and two days prior to this admission,
the patient again began to have
fevers, chills, sweats, nausea
And has been vomiting all foodstuffs and fluids.
She has had 12 loose bloody stools a day.
She has lost 15 pounds in the last 20 days.
Give me a differential diagnosis based on history.
Because the process has been ongoing for
several weeks, dysentery is a likely diagnosis.
I've ordered a liver scan to rule
out the possibility of an abscess.
I gotta I'm sorry.
Dr. Rowe, would you present your case, please?
This is a case of a 69-year-old white male
With a seven-day history of
increasing left lower-quadrant pain.
The patient has no history of tenesmus.
The patient's weight has been stable and
appetite adequate until the acute episode.
There's no history of cancer. Uh-huh.
Thanks. What more would you want to know about the history?
Has the patient had a barium enema in the past?
Was there any actual blood in the stool?
The stool is heme positive. Excuse me.
The patient has never had a
colitis diagnosis or a similar episode.
Ehrlich. Good morning.
Why are you clapping? Dr. Samuels has v.D.
Word is he's infected half the staff, Wendy.
Don't look at me. I never went out
with him. That's what they all say.
Blood pressure is 110 over 70 in a lying
position and 100 over 80 in a sitting position.
Heart rate is 106 and regular.
What's with the new clocks?
One of Dr. Craig's open-heart patients
donated them in everlasting gratitude.
Dr. Craig! Napoleon had nothing on that guy.
Every time I just think of him, I get my palms sweaty.
Nobody's forcing you to go into surgery.
You want to break my mother's heart?
Very good. Dr. Martin, what were the
results on the autopsy on Mr. Shuttleworth?
He had cirrhosis of the liver
and atherosclerotic heart disease.
What was the major cause of death? Who is that?
Cathy Martin, pathology. She certainly dresses the part.
Dr. Wade? What does a shift to
the left mean in a white blood count?
It indicates an acute infection.
Dr. Martin. Wayne fiscus, emergency medicine.
Apparently, we have a mutual friend. Oh, really?
Uh, Mr. Shuttleworth's liver.
I admitted it, along with the rest of Mr. Shuttleworth.
And white blood count, q12 hours.
Very good.
Excuse me. One final note.
Ramon in the laundry room has asked me to talk
to you people about ink-stained bedsheets.
I realize that paper isn't always available to us
And it's a long-standing tradition in this hospital
To write our patient's vital signs
and our scut lists on the bedsheets,
but it's driving Ramon crazy.
I suggest you use water-soluble ink if
you can't break yourselves of this habit.
All right. That's it. Thank you.
Dr. Armstrong, Dr. Chandler, I
want to see you in my office at 9:30.
Do-do-do, da-da-da-da ♪
is all I want to say to you ♪
do-do-do, da-da-da-da ♪
the innocence will pull me through ♪
do-do-do, da-da-da-da ♪
is all I want to say to you ♪♪
Get with it, Arthur. He's waiting for his bath in 318.
The mendoza kid you know, the
one with the cute dimple in his chin?
Tried to hang himself on his
traction again. A real phi beta kappa.
First you skin it, then slice it, then flour, egg whites
Hit him in the left cheek. The right
one's starting to look like Swiss cheese.
Um, give me the chart on our hepatitis case. Who is that?
I tell her to give him two milligrams of morphine sulfate.
She hits him with 10 right in front of the son.
Chronic active hepatitis down the hall
What's his name? How the hell should I know?
So I say to the son
What do you mean, we've got a
problem? It's nothing serious.
Uh, how are you feeling?
Fine. No, uh, burning sensation?
What? Any discharge?
Bye-bye. See you in the morning.
Uh, nurse, Mrs. Szenvari, 302
She get her 4:00 A.M. keflex?
You wrote it, we gave it. Janice.
Dr. Prileck, 18-23.
Dr. Prileck, 1-8-2-3.
You
I want that Indian gas passer, v.J.
Kochar, out of my operating room!
Good morning, Mark. I love the new clocks.
What are they doing here? Who?
You'd think there was a glut of
third world anesthesiologists.
There is not a glut of third world anesthesiologists.
There's a glut of third world
sick people. Billions of them.
You can't operate without putting people to
sleep. Didn't you see gone with the wind?
Donald, I am serious!
My German Shepherd speaks better English than he does!
And don't give me any of that racist stuff.
Did you ever try eating with one of them? I've got rounds.
Four hours in the O.R. with his breath.
Disgusting!
Nauseating.
That stupid food. Donald, you rea
Hey!
Good morning.
Tetracycline four times a day till it's gone.
Five days, you'll be over it. I don't believe this.
I know how you feel, but it's not brain cancer.
Look, you're gonna be all right.
Thanks for the memories.
Janice!
Donna, can I talk to you for a minute?
You know, you look as bad as I feel.
I've been pretty busy.
I didn't get any sleep last night.
You've been up all night? Uh-huh.
You've been up all night, and I let you hook me up to this?
I looked in on you last night.
I think I like you better when you're sleeping.
This doesn't hurt at all. Mm-mmm. It's just like an X-ray.
I'm thinking about doing a report on
you medical guys when I get out of here.
- What kind of report?
- An exposé, now that I see how things really work around here.
Are you taking a course in cynicism at
that fancy finishing school of yours?
It's not a finishing school. It's a prep school.
Oh, I see. A prep school.
Where they take you on teen
tours in South America. That's right.
They should have taught you
not to buy from a street vendor.
How do you know anything about South America?
I've been there, and I didn't get sick.
Smile for the camera.
What were Spencer's numbers last night?
136, 5.1, 10125.
Donald. Dr. Auschlander. Elevator not working?
Trying to keep in shape.
I heard Dr. Auschlander's got cancer. Yeah. Liver.
How long's he got? He's the liver specialist, not me.
Pretty ironic isn't it, Dr. Westphall? What's that?
Dr. Auschlander's one of the top liver men in
the world and he gets hit with liver cancer.
It's a shame. I think we can save the eulogies.
Knowing Daniel auschlander,
he'll probably outlive all of us.
Dr. Cavanero.
What is it, Luther? I've been looking for you.
You better talk to that patient
of yours that animal Henry Smith.
Look, Luther, I know he gave you a hard time last week
Hard time? The next time he comes
at me with that wild look in his eyes
Patient or no patient I'm gonna shoot him.
I don't have time for this. You don't have time for it?
I just spent the last 20 minutes in
physical therapy, waitin' for him.
He didn't show up this morning? No.
The next time he has an appointment,
he better be there or else.
I mean, my time ain't cheap.
In fact, if it was up to me, Henry
Smith would not be in a hospital!
He'd be in a prison! The man's an animal.
Excuse me. Do you know where Mr. Smith is?
Ain't nobody been in that bed since I been here.
Dr. Cupperman, report to X-ray.
Dr. Cupperman, report to X-ray.
My patient, Henry Smith he's
not in his room, and I've been
Who?
Anemia, thrombophlebitis,
cellulitis, 6'6", drug abuser, white guy.
You can't miss him. Where is he? 324.
He's not there. Maybe he's in the bathroom.
- For the past 12 hours?
- Maybe he walked out.
I doubt it. His clothes are still in the room.
- Where does he live? I'll give a call.
- Roxbury state.
- The mental hospital?
- You got it. Find him.
Hey, Robin! Jasmine!
It was a tough call. The guy was in atrial flutter.
150 a minute.
- 40 over zilch.
The guy was, uh, hemodynamically compromised.
So what'd you do? Freddie buffalo
comes charging through the ward.
Freddie who? You know, two pink eyes, blue tongue.
Freddie says, "give me a defibrillator.
We have a very sick man here."
He takes the paddles, puts it on the
guy's chest, hits him at a critical point.
Highly compromised ventricle.
He hit him at a point in the cycle when he.
Freddie didn't want to wait. The guy
goes into v-fib, so he zaps him five times.
By the fifth time, the guy goes into asystole.
I say, "okay, call the arrest. Call the triple."
I tell the nurse to ring it up. She loves
it life or death, going for all the bananas.
He die? Nah, we brought him back.
- Any triples last night?
- One.
- Did he make it?
- Nope. White!
What's the blood brain diffusion potential for fluothane?
Sorry?
Forget it.
What the hell's going on? Jacobson
said you told her I'd cover for you.
I couldn't get ahold of you. What could I do?
Don't give me that! I haven't been home in three days.
I haven't slept in the past 36 hours. I know. Okay? I know.
Look, my kid was sick. What was
I supposed to do? I don't know.
I don't know.
How's your kid? He'll be all right.
Oh, man.
Thanks.
Ah, Dr. Cavanero. Looking a bit weathered.
A little too much hanky-panky in the on call room?
- Drop dead.
- Okay.
Give her a break. She lost a patient today.
- Ah. The beat goes on.
- Not dead, missing.
That guy that was in every mental
institution along the eastern seaboard?
- That's the one.
- Well, it's a good thing he's dangerous.
Does everybody know about this?
No. Only the staff, the patients, the immediate families.
My guess is that he's probably
running one of the departments by now.
Check gynecology. That's
where I'd go after being locked up.
- Does this psychotic have a name?
- Henry Smith.
Wait a minute. Henry Smith? I just left him in radiology.
I don't believe this place.
Sorry to disturb you from your work.
Henry Smith. I'd like to see him. Henry.
That's not Henry Smith.
Tell it to his mother.
Well, Sandy, we got the results of your liver scan.
There's an abscess on your liver.
An abscess. That sounds terrible.
Well, it's one of those words
that can sound worse than it is.
So, what are you going to do now?
I'd like to get a biopsy. Do you know what that is?
Sorta.
Okay.
I need to get some tissue from your liver.
Once we examine that tissue, we'll
know how to treat your abscess.
Do you follow me?
This biopsy will it hurt?
No. Promise.
I just want you to know that I wear
bikinis, so I don't want any biopsy scars.
No scars. It's very simple. One shot from a needle.
So when are you gonna do it?
Well, we've got to get your parents' permission first.
Oh, great. Well, we're all in for a treat.
Now mother will definitely come up to Boston.
You're smiling now, but wait she's gonna flip out.
It was bad enough the school
had to tell her I'm in the hospital.
She thinks I've got the flu or something,
but this biopsy stuff's gonna scare the pants off her.
Well, now you understand what's
going on, we'll have you explain it to her.
A lot of good that will do. Can't you
just ask the school for my permission?
No. Sorry. We gotta tell your mother.
It's gonna be a toll call. We live in Maryland.
Well, don't worry. We'll bill her.
I gained three pounds! That's good, Mrs. Sussman.
All my life I've been trying to lose weight.
Excuse me, nurse Daniels.
Could I talk to you for a minute? Sure.
In, uh, private.
Oh. You can go back to your room now, Mrs. Sussman.
Uh so uh, wh-why don't you sit down?
So
Um
How are you? H-How do you feel? Good, Ben. And you?
Oh, uh, good. Great.
Good.
Actually, uh, not so good.
I've got, um, gonorrhea.
Oh. That's too bad.
Yeah. It's dumb.
The thing is, Shirley,
if I've got the you know, this problem,
it's very likely that you, uh,
also likely h-have this problem.
- Oh?
- Yeah.
Oh, I see.
Shirley, I can't tell you how terrible this makes me feel.
I mean, like such a lowlife.
I can't tell you how humiliating
And degrading
- Ben, we just went to the movies.
- I mean, you
- What?
- You fell asleep halfway through the picture.
Really?
Oh!
Really? Oh, I can't tell you how good that makes me feel.
I think.
Uh, right.
Uh, listen.
Um, when this, uh, clears up,
can I call you?
We'll see. When it clears up.
Right.
Shrimp. Everything looks like shrimp.
Now, why do you think that is?
I told you six times already.
My daddy was a shrimper in gulfport, Mississippi.
H h "Hydrogenated palm kernel."
"Thiamine mononitrate."
Shrimp.
"Cornstarch.
Ar artificial flavorings. Lecithin."
Hey, you want to hold it right there, pal? Okay?
I'll be out of here in two minutes.
Louie came here to tune the piano. He never left.
"Reduced iron, riboflavin,
animal and vegetable shortening, lard."
Shrimp. Dr. Cavanero?
Not now, Louie. Dr. Beale. Annie?
Have you seen Henry Smith? Who?
The missing link. No. I haven't
seen him. Check physical therapy.
I did. Is there a problem?
I don't know. I can't seem to locate him.
He'd have to be crazy to come
up here. Is he on any medication?
Only what he brings in himself.
If I see him, I'll let you know.
Shrimp.
You authorized surgery for Sandy Malin? Yes, I did.
She's my patient. I don't appreciate
you superseding my authority.
Just wait a minute! What?
I was called in for a surgical consult. She's
got an abscess, and it should be taken out.
No, it shouldn't. Now, you wait a minute, Morrison!
We got problems?
Dr. Morrison seems to have a
problem with the way I practice medicine.
I don't want to disagree with a first-year resident.
Surgeons all they want to do is cut. Hold it, hold it.
What's the problem?
My patient, Sandy Malin I reviewed
her this morning at grand rounds.
She came in two days ago. She was
vomiting. She couldn't hold any food down.
I took her case history. She'd
been in South America this summer.
I made a diagnosis of dysentery,
ran a liver scan. It showed an abscess.
And now I see she's down on the
board for surgery tomorrow morning.
For your information, doctor, it is
routine to surgically remove an abscess.
Yeah? For your information, if you cut
through the abscessed wall, and it's amoebic,
the parasites could spread, and she could conceivably die.
Did you order a liver biopsy?
Yes. I called her parents and got their permission.
Dr. Robinson called 'em back
and got their permission to cut.
Is Sandy on the board for surgery?
Halpern's got her in for first thing tomorrow.
Anybody bother to tell Sandy she's supposed
to be operated on tomorrow morning,
or were you just gonna walk in and wheel her out?
- All right, Jack.
- No, it's wrong, and I don't like it!
I'm not prepared to see some prima Donna
surgeon come in now, wait a minute!
That's enough! That's enough! Stop it!
I think we can wait till we get
the results from the liver biopsy.
I don't see the point. I'd appreciate it.
Put it that way, okay.
Thank you. Jack.
You were late again for grand rounds.
Sorry. I got hung up with a patient.
Another patient? Yeah.
First-year residents can't
afford to miss grand rounds, Jack.
And they can't cover for everyone, not even their friends.
I don't care if it's the biggest thing to
hit the fashion industry since hot pants.
We need 300 more blue scrubs.
Well, Marty, it's not my problem that
you can get $28 apiece for them retail.
Thirty-five midtown? I told you.
All right. What about green?
Good. All right. He can get us 200 green. Three.
No, we need more. We need 300.
Well, I can't worry about Boston general, Marty.
They can buy their scrubs at
filene's. They can afford blue.
All right. 300 green tomorrow morning early. Thank you.
All right, Ramon. You're gonna get your scrubs. Thanks.
Hi. What can I do for you? Listen,
we got a real problem on the floor.
Half of ward 5 is panic-stricken over this Henry Smith guy.
Who's Henry Smith? Dr. Cavanero's patient.
He's been missing since last night. Missing?
- That's right. Missing.
- What's he look like?
Well, from what I hear, he's, like,
7'2", 380 and mean. Have you seen him?
If I had, I'd remember, wouldn't I?
- Okay. Tell Dr. Cavanero I want to see her.
- Okay.
Open? Closed? Don't matter.
What are you looking so happy about?
I've been vindicated.
I got the results of your liver biopsy
Amoebas one, bacteria nothing.
Meaning? Meaning that you're
not gonna be captured by surgery.
I get to keep treating you myself.
I'm gonna get you started on some medication.
Metronidazole, in case you're interested.
You should be feeling better in a few
days and out of here in a couple of weeks.
Great. Right.
Were you really in south america, Dr. Morrison?
Actually, it was Mexico.
I was in medical school there for two years.
Why'd you go there? I had lousy grades in college.
Did you speak Spanish? Not a word.
I had to buy two sets of textbooks.
After two years, I came back, finished up here.
So do you like being a doctor? I don't know yet.
Talk to me when I'm awake.
All right. Let's get you started on your medication.
Get you better and out of my hair.
- By the way, your mother's coming here today.
- Great.
Uh, Dr. Morrison?
You did say you're married, didn't you?
Come on. You're only 15 years old, for crying out loud.
And just how long has this Mr. Smith been missing?
Since last night.
Uh-huh. I imagine you told the charge nurse, who, in turn,
passed this information on to someone else. Yes.
Who, in turn I guess so.
It seems to me that everyone in the
hospital knew that this man was missing
Except security.
I didn't see any reason to get hysterical.
- You weren't thinking, cavanero.
- I thought I could handle it.
What's the trouble, Annie?
Dr. Westphall, there's no trouble.
Come on. A patient is missing,
and you don't notify security?
Your job is to treat him, you know, not to find him.
Now, what the hell's going on here?
Did you see the white sheet on Henry Smith? No, I didn't.
The man hasn't had a good day in his life.
No home, no family, nothing. A nobody.
The kind of trash you see washed
up on the streets every day,
but you never stop to look because
it makes you too uncomfortable.
Henry Smith is my patient. He's my responsibility.
Dr. Cavanero, we are all aware
of your skills as a physician,
and they're considerable.
But none of us is expected to
handle everything, not even a woman.
- Anything else, Dr. Westphall?
- Mm-hmm. Call security now.
You got x-rays? C-spine, chest, abdomen.
Yes. She's in sinus tach.
Give me a thoracotomy tray. Chest tube, 28 French.
I'll get stat lights four units.
Call ortho for her leg. Give thoracic a call.
Tell them we've got a pneumothorax
here, possibly secondary to fragments.
She's got a puncture wound to her gut. Call surgery.
Tell them to bump the board and get us a seat. And move it!
What the hell happened to this woman? She's a train wreck.
Terrorist set off a bomb in a bank.
She's the lucky one. Two people died.
What happened to the terrorist?
Weinstein's working on him in 4.
Yes?
You wanted to see me, Dr. Westphall? Come on in, Jack.
This is Mrs. Malin, Sandy's mother. Jack Morrison.
Well, hi. You've got a terrific daughter.
She thinks the world of you too.
I've just been explaining to Mrs.
Malin what's wrong with Sandy.
This really has been quite a shock.
Not only was I unaware that Sandy was in the hospital,
which, knowing Sandy, shouldn't surprise me,
but she got back from south america over six weeks ago,
and she's been perfectly fine ever since.
Well, these parasites can lie dormant
for a while before becoming active.
We should be able to treat the problem now,
and Sandy should be out within a week or two.
Uh, Jack, Mrs. Malin wants to move
Sandy to Boston general tomorrow.
Why?
Well, our doctor in Maryland told us
That Boston general is a newer, more modern hospital.
Mrs. Malin, her care won't be any better there than here.
I promise you that. Dr. Morrison, please.
I appreciate all that you've done
for Sandy. You have many patients.
I have only one daughter,
and I must do what I think is best.
What's best for your daughter
There's no problem, Mrs. Malin.
We'll have Sandy moved tomorrow.
Thank you. Bye.
Bye. Thank you. Bye.
Why did you let her do that?
Because I'm not Sandy's parent.
But there was no reason for it. It's not personal, Jack.
Yeah, it's personal. She's my patient.
I've admitted her, diagnosed her,
stayed up nights taking care of her.
It's personal to me. I care about her.
Then I suggest you talk to her and make the
transition as easy as possible, all right?
Hello there.
How you doing, Dr. Martin?
Fine, Dr. Fiscus. Wayne.
Cathy. Cathy.
How are you?
I'm beat.
A little afternoon snack? What ya got in there?
Veggies. You on a diet?
No. Oh.
Is the cafeteria closed?
Not that I know of.
Would you like a radish? No, thank you.
I don't have much of an appetite.
Besides, I don't like anything that grows in dirt.
What are you reading?
John p. Gazength. Autobiography of a coroner.
Really?
So, you're into pathology.
How are things going down there?
Pretty quiet, I bet. Right.
It sure isn't quiet in the emergency
room. We just had a bomb victim in there.
Say, are you free for dinner tonight?
I know where you can get a good head of lettuce.
Thanks, but I'm on call tonight.
Oh.
Maybe I can drop by a little later.
Okay.
Great.
See ya.
- Got a bleeder here.
- Hemostat. ♪♪
All right.
Okay. Got that? Yeah.
Suture? In the day we sweat it out on the streets ♪
Cut. Of a runaway American dream ♪
at night we ride through mansions of glory good. Good.
Blood's looking a little dark here, v.J.
You wanna hit her with a little more O2?
Sprung from cages out on highway 9 good-looking woman.
Chrome-wheeled fuel-injected she's married.
And steppin' out over the line ♪
What's her name? McAllister, Katherine.
My grandmother could have been in that bank.
I hope the creep whoever did this rots in hell.
Now, now, Lucy. Don't go human on me.
'Cause tramps like us baby, we were born to run ♪
All right. Ehrlich.
You went out with Denise, right? Yeah.
I gotta talk to you about that.
Cut.
Cut!
His clothes are in 324, but he was never actually in 324?
I don't believe it! What?
Patient has vanished. Disappeared.
Beamed right out of the hospital. Who?
- Some guy.
- Henry Smith.
Big guy, 6'6"? Yeah.
Yeah, I know where you can find him.
When did he die?
Last night. He was on his way to a
room change when he tripled in the hall.
Who was on call? Me. I was covering for Peter white.
You should have seen who
filled out the death certificate?
I did. Well, where is it?
I forgot to turn it in. You forgot to turn it in?
You forgot to turn it in?
This isn't an ordinary hit and run.
This isn't a back alley knife
wound. This is kismet. Kismet?
Mark has been sharing his thoughts on how
best to deal with the terrorist situation.
The press is salivating.
Mark has called a press conference
for tomorrow morning, 7:30.
Why would you want to do a thing like that? Why?
Because that slug is a headliner,
and god knows we can use the publicity.
I was under the impression that
that slug was a patient of ours, Mark,
not some in-house celebrity.
No? Well, tell me, was the vermin
that shot that judge last month
Was he just a patient? Come on!
Boston general made certain
That everybody and his mother knew
they were treating that little scum.
You couldn't flip a channel
without seeing mousy Jimmy O'Toole.
Who's Jimmy O'Toole?
The hospital spokesman! Where has he been?
Why don't we hire an advertising
agency and do a whole campaign?
You know, Donald?
You can be a very negative-thinking person.
Do you know what people call this place?
Not St. eligius. St. elsewhere.
A dumping ground, a place you
wouldn't want to send your mother-in-law.
Now somebody around here is trying
to garner a little goodwill publicity
And possibly raise a few bucks for this rat hole,
and all I'm getting is problems.
Now, Mark no, no. I mean it!
I mean, what we're talking about here is initiative.
They said it couldn't be done,
but I secured the new clocks.
And for the first time, they all read the same time
Every single minute of every single day!
And what about the potholes in the parking lot?
Where's the money coming for that?
If my going on camera can
get the job done, I say let's do it.
Mark's been kind enough to
offer his service as a spokesman.
Now, I, uh I don't want to
rain on anybody else's parade.
- No problem.
- You will, of course, also be there.
Sure. Good. Great.
By the way, Donald, uh, what'll you be wearing?
- Oh, something simple.
- Right.
I have a Navy blue tie, if you're interested.
That'd be perfect. I appreciate it.
My pleasure. I'll be going red.
So you're blowing out of this joint, huh?
My mother. I knew she'd cause trouble.
God, the problems. There always are.
It doesn't matter what I want,
what I think. It's always best for me.
I'll tell you what I told her I'm not leaving.
If she wants me out, she can call an ambulance,
put me in a straitjacket, drag me out
Because that's the only way I'm leaving.
Look, Sandy.
We're friends, right?
So let's talk straight to each other.
Your mother didn't come up here to give you a hard time.
She didn't.
She came up here because she loves you and cares about you.
She thinks, like a lot of people,
that newer and bigger is better.
I don't know about better,
but Boston general's certainly newer and bigger.
You say that because my mom wants you to.
No, I say it 'cause it's the truth.
I thought you liked me.
I do.
Whether you leave today or a week from now,
I've done all I can do for you.
So, you're telling me to leave?
Mm-hmm.
Okay. Then I will.
You're not leaving till tomorrow.
I'll stop in and see you before I leave.
Get back in bed.
Uh, Nina Morrison, please.
No, I know. I know. She's a stringer.
She left a message to call her at the city desk.
I don't know. The message just said uh
Nina Morrison.
All right, look. Just tell her
that Jack, her husband, called
And I'm on again tonight.
Thank you.
Gary and I were going together for about five years.
I was really crazy about him.
Lucky stiff.
He was into pathology,
and since I was into Gary, naturally I got into pathology.
Naturally. I'll tell you one thing though.
I'm not going out with people I work with anymore.
I guess it kind of makes it hard
to carry on a conversation.
I mean with pathologists.
You know, you're very sweet, Wayne.
And you have really nice eyes.
Thanks. They're Lithuanian.
You know, this sounds weird,
but I haven't kissed a man since Gary died
Except for his father at the funeral.
I'd really like you to kiss me.
Would that be all right?
Yeah, I think that would be all right.
Wait. Not here.
All right.
Wayne.
You're a sick man, fiscus. Very sick.
Listen, about what happened, what I did
I just wanted to apologize.
I had no right. I lost it.
I've been working too hard.
Tell me about it. What?
I've had it with you.
I've had it with the patients, with the staff.
I've had it.
I have no privacy.
Everybody makes demands the nurses,
patients, patient's family.
Any time of the day or night.
That patient's got a little nausea,
a little constipation he wants me.
He expects me.
Well, fine. Anybody can handle that 12 hours a day.
But you start racking it up,
day after day
You're on every third or fourth day for 36 hours.
And I go to sleep in my room and I lie down.
And I'm in my dream.
And somebody beeps me for Mr. Jones
Who I never saw in my life.
And he wants something for nausea,
or his pain isn't quite in control
Or whatever it is!
It starts wearing on you!
It's, like leave me alone!
Why can't I have my privacy?
Why can't I eat my meal in peace?
Why must I always be available?
Constantly!
I don't even know who my wife is anymore!
I never see her.
She's sleeping when I come home at night,
I say good-bye in the morning.
You violate my territory.
You violate my ears.
You violate my privacy.
Still here, Dr. Westphall? Here today, here tomorrow.
They got a card game going in the
second floor lounge, if you're interested.
No, thanks. I have to see the kids.
You should get a wife, Dr. Westphall. I had one.
One dies, you should get another one.
Good night, erma. Good night.
Please come to X-ray, miss vocker.
Good night.