ER (1994–2009): Season 15, Episode 4 - Parental Guidance - full transcript
When a thirteen-year-old gymnast is brought into the hospital after having supposedly fallen off a wall, Dr. Banfield and Dr. Gates must sort out whether abuse is involved.
to get this
mother of a DIY project finished.'
Chris, throughout this build
you have been very calm, very
collected, no outbursts of emotion.
I wonder if there's a maelstrom
underneath the surface.
I think I've been pretty steady.
Confident we'd get through it
< and confident if we hit
any problems we had the equity
to get out of it.
< In terms of just the sheer volume
of work you've both had to do here,
< it must have, at times,
got you really down.
Sometimes it's been hard
to keep motivated,
especially in the winter months,
coming down here with three jumpers
and a coat on to do some work.
You have to motivate yourself
to get out of bed.
But we've enjoyed it, haven't we?
Yeah,
and we knew it'd be worthwhile.
'Their industrial look
was a brave design choice,
motivated primarily by budget, but
also by a dream of spacious living.'
'It wouldn't be my first choice,
on top of a windy hill up north,
but Chris and Leanne love it,
and it cost them just #150,000.'
'Have you had it valued?'
< Not since we've completed, but
we had it valued not so long ago,
and we were given a figure
in the region of #350-375.
Which would be
a net profit of #200,000. >
Not a bad return for a year's work. >
It's OK.
Beats selling records, doesn't it?
It does, doesn't it.
in terms of pounds per square foot
spent here, incredibly cheap. >
Was there no point
at which you said to yourselves,
in doing this place up, >
"This is just not worth it"?
No.
Oh no, absolutely not.
We've had highs and lows but
not once have we had that thought.
This is our dream house
and that motivates you.
< It might sound cliched,
but it really does.
< Plus we've invested everything
we've got and more into it.
You've got to finish, haven't you?
That's part of it.
Whatever it takes, we'll finish.
This is the story
of two unlikely heroes
and their rescue of a building
from the brink of oblivion,
with little money, no professional
help and absolutely zero experience.
despite all these incredible odds,
through sheer determination really,
they've won the day.
They've got exactly what they want.
And I think
it's what the building deserves.
OOHS AND AAHS
Intelfax Subtitles
LORRAINE FORREST
'Gas, leccy, insurance...' Oh.
'Letter from Jane.'
'I think I'll do these first.'
0870...
0845...
'As if it wasn't bad enough having
to make these calls...' Quotes.
..I have to PAY to make them!'
Unlike with most companies
calls to 0845 and 0870 numbers
are now free with BT. Free!
Hi, Jane.
Um, the answer's yes.
Daria's assessment was atypical
chest pain, which I agree with.
He's going home after two
normal troponins and EKGs.
Not during rounds.
And when he drops dead
in his own kitchen,
it will be because
we missed a...?
PE?
No.
Symptoms are
too intermittent.
Are you thinking
variant angina?
He complained
of abdominal pain.
Am I boring you, Dr Gates?
No. I'm sorry.
It's a 6am shift.
My brain's here,
but my body isn't.
If there's pain above
and below the diaphragm,
think aortic dissection.
Get a CT.
That's a great
teaching point, Dr Banfield.
If you can learn
something new
on every case,
you'll be brilliant by the time
you finish your training.
So, in order to get
to the next level,
each intern will get a mentor.
Gates, you get Wade.
Uh, Brenner, Martin.
Morris, Sanchez.
Mentors,
as they go, so you go.
Well, I guess Brenner's gone,
seeing as he likes
to demoralise when he teaches.
Bite me.
There will be two-way critiques
on a daily basis.
Now get to work.
Let's go get
a patient.
Well, the paramedics
just brought in an eye injury.
This is ridiculous. I don't need
interns critiquing me.
That's too bad, 'cause I was gonna
give you some advice on that tie.
What's wrong
with my tie?
Someone called
for a consult?
Yup.
This-this tie
is Italian.
(Looks fine.)
Don't touch me.
OK, present your patients
to me before you run any tests,
and, uh, we can
discuss a differential
and come up with
a plan together.
Or I could come up
with a plan myself,
and then you can tell me whether
or not you agree with it later?
Four of Ativan.
Hi, surgery.
Hey.
Triple hit of LSD,
peyote and crack
last night.
That's pretty hardcore.
Stabbed his belly
with a potato peeler.
OK. It looks superficial.
Andrew?
One percent with epi?
Exactly right.
You glad to be back?
Yes, I am,
and I appreciate
what you did for me.
Well, I just helped it along
a bit. It was really Neela.
Thought it was your idea.
Well, they need
you up there.
Well, if you ever need
anything, Dr Brenner,
you just let me know.
I owe you one.
I know. I know.
I love Lake Geneva.
I was just hoping
we could stay here.
Broken. Try down
the street.
(SIGHS)
I've been away
from Chicago so long,
just being home
feels like a vacation.
Next month, I promise
we will go to the lake.
OK, now go back to work and make
us some money. I'll call you later.
Agh! (SCREAMS)
Oh, God!
I got a gun.
I got a gun.
Just pass me
your wallet.
Doesn't have any cash in it.
Lady, are you stupid?
Come on. Hand it over.
THUD OF BLOW
(YELPS)
(GRUNTS)
(PANTS)
Me? Go out.
Come on, Ray.
Hey, I do have a life.
Last weekend, I went out
with friends for drinks.
I'm not lying.
Who are my friends?
All right, fine.
You know, I-I fell asleep
watching three
Tracy/Hepburn movies, and...
Stop laughing at me.
I am not a loser.
You saw how it cleaned up
the corneal rust, right?
Yeah. It was
kind of scary.
I mean, you can't drill
into the eye, right?
No, the blades only
go down a millimetre.
(GROANS) I can't breathe.
What the hell did you do
to me?
Another kick, I'd have
put you in the morgue.
Oh, hear that?
she's threatening me!
Victim of assault.
Self-defence.
He tried to mug me.
She crushed my chest.
Are you OK?
I'm fine.
Blunt chest trauma,
decent vitals; pulse OK.
Give me something
for the pain. Damn it.
Once we assess you,
sir. You need to be checked out.
No, forget it.
No, you've got a
pretty big contusion.
All I need is some ice.
Inferior orbit fracture.
All right, quickly.
Come on.
Decreased breath sounds
on the left.
I agree.
(GROANS)
I can't believe
I mugged a doctor.
Not just a doctor.
She's the chief.
What the hell's
that supposed to mean?
Is she an Apache or something?
She runs this joint.
Oh, God, kill me now.
OK, tenderness over
the fifth and sixth ribs.
Four of morphine.
Mid-axillary line.
What should we do, Tracy?
Uh, obvious rib fractures.
Collapsed lung.
He needs a chest tube.
That's right.
Oh, no, no.
Not necessarily.
If it's a pure
pneumothorax,
we can manage him
with a Heimlich valve.
OK, let's do it.
You're not holding back,
are you? No, I don't think so.
Me, either.
With a trauma,
he needs a chest tube
in case
there's any bleeding.
I like to use
a 32 french.
I'll open one up.
Whoa, whoa, whoa.
Why stick a garden
hose in his chest
when we can get by
with a swizzle stick?
Makes a lot of sense.
Pulse ox 98.
BP: 122/78.
Well, he's stable for now.
We can wait for the chest X-ray,
and then decide
on a course of action.
Yeah, and
when there's no haemothorax,
we can do it my way.
To the left. Right.
Up and then down.
Yeah, extraocular
movements are intact.
Yeah. You really did
a number on that guy.
Yeah. I took Tae Kwan Do for
the workout. Never thought
I'd have to use it.
Well, it came in handy.
When you have
an orbital blowout,
the inferior rectus
can get trapped,
and you can lack upgaze.
I'm thinking
facial series.
No, I don't need X-rays.
All right, how about bacitracin on
the, uh, abrasions. Is that OK?
It's broken, huh?
Yes.
My husband gave it to me
on our first anniversary.
Want me to call him,
have him come pick you up?
No, not while
the market's open.
He's a commodities trader.
Dr Banfield...
Besides, I'm not leaving. What?
You should go
home.
We have a full board.
We'll take care of it.
We got a run,
five minutes out.
Hmm.
You OK,
Dr Banfield?
Yeah, I'm fine.
Your tetanus
up to date?
Yeah. Of course it is.
How far in?
About three inches.
Now attach the
Heimlich valve.
I'm sorry.
I'm so sorry.
You put a gun
to her back,
and all you can say
is you're sorry?
It wasn't a gun. It wasn't a gun.
Who the hell robs somebody
with a pink highlighter?
A runner-up for
the Darwin Awards, that's who.
And the connective
tubing goes to this
collection bag.
Got it.
But the valve leaflets
only flow one way,
so no air or blood
can re-enter the chest.
Unusual approach
with the Heimlich.
Yeah, it's a pure
pneumothorax.
Let's get him off
to the jail ward.
Jail ward? I don't want to go
to the jail ward.
Yeah. They'll
ignore him there.
Let's keep him
for observation.
I thought the
jail ward nurses
could handle it.
He's a moron, but he's still
our patient.
Yeah, listen to her. She's the chief.
See you.
Hey.
How was your
sleepover?
Fun.
Yeah?
You all ready
for your soccer tournament?
Judy's mom's picking me up
in an hour.
Good. I'm sorry
I can't be there.
It's her first time
being a left wing.
Oh, Daria, Sarah.
Sarah, Daria.
Hey. Kick butt today.
Thanks.
What are
you guys doing after?
Pizza, movie.
Why are you
talking like that?
Like what?
Like what?
Toothache.
Oh. Open
your mouth.
You're not a dentist.
Open your mouth.
A tongue ring?!
Ah, it's only a stud.
When did you
get that?
Last night
at Heather's sleepover.
Her big sister took us
to get it.
Isn't it cool?
no, it's not cool.
Look, don't you have
to get a-a parent
to sign off on
something like this?
You're acting like
I killed someone.
You did!
Me! now go wait
in the break room.
What...?
I don't get it.
What's this whole fad
about a tongue stud?
Girls do it, you know,
to pleasure the boys.
So I've heard.
Julie O'Fallon.
Fell off a six-foot wall
to cement surface.
Head trauma
and obvious femur fracture.
All right. How
you doing, Julie?
I'm OK. I'm just really dizzy.
Uh-huh.
Is she gonna get shots?
She hates shots,
and blood, too.
All right, let's just
check you out first.
You're gonna be OK,
sweetheart.
All right, let's
get a trauma panel
and portable
X-rays. Let's go.
I keep telling her that if she wants
to be a serious gymnast,
that she has to practice hard,
but that that wall
is not a balance beam.
Pupils equal
and reactive.
Good breath sounds.
It hurts. They're gonna
fix you up, sweetie.
105/70.
Tachy at 120.
Is that bad?
Uh, it could be
from all the pain.
So give her something.
Well, it also could be from
the internal bleeding,
in which case pain meds
could be dangerous,
so just give us
a second, OK?
Dr Gates?
Blunt head trauma,
femur fracture. I'm going
to clear the belly and
the neck,
and then, uh,
send her to head CT.
All right. Sounds like a plan.
What does
this thing do?
Oh, that's called
a rapid infuser,
but your sister
doesn't need that.
Liver and spleen
look good.
Is this where you keep
all the tubes and stuff?
No. Uh, move away from there.
Claire, what
did I tell you
about touching things?!
Will you come over here?!
Will you just stay
here next to me?
Foot pulses two
plus and equal.
ALARM BEEPS
Pressure's down
to 80 systolic.
All right, bolus
20 per kilo.
Julie, you OK?
Mommy.
Mom.
You OK, Julie?
Sats are only 88.
100% nonrebreather.
Give me an intubation
tray and a 6-0 tube.
What's happening?
Could be the head injury or maybe
there's blood loss in the thigh.
All right, give
her some oxygen.
OK, good news, Freda.
You didn't
break your hip.
Are you sure?
Feels broken to me.
It's a bad bruise.
I think it's broken.
What do you think
of the belly?
Pretty benign.
The epigastric pain's
an ongoing problem.
I, uh, saw your post-op
Billroth wound infection.
And?
We'll admit him.
Glad you agree.
Andrew, h and p
in curtain 2.
You mind if I go,
Dr Dubenko?
No, not a problem.
I've got reflux
esophagitis.
I've tried everything.
Nothing helps.
Well, maybe if you'd stop
smoking cigarettes...
I'm 80 years old.
This is my only joy.
Oh, I do a little X, too.
What do you have,
nursing home raves?
You'd be surprised what a girl's
libido does at my age.
Look, Freda, I don't want you
to fall again.
I've organised for a
nurse to come around
and give you a home
safety assessment.
You're gonna need
a night light
and a walker.
And I'd lay off the X.
Do you make house
calls, Simon?
I get up from my nap at 7:00.
You listen to Dr Brenner,
Freda. You'll be fine.
Listen to him. Dr Morris.
Interesting use of the
Heimlich valve this morning.
Yeah, how's he doing?
He's doing well
on room air. How's Dr Banfield?
Unfazed.
She's still working.
Hey!
What are you doing here?
Hey.
Oh, pilates.
I fell off the reformer.
Ryan, finish those charts,
then find me.
I will take it
from here.
This is one of my VIP patients.
(CHUCKLES)
Pressure's up
and so are the sats.
She's doing much better. Do we
really have to intubate her?
Trust me. You don't want her
off in CT without an airway.
We're gonna put a tube
in your mouth,
and when you wake up,
it's gonna help you breathe.
I don't want that.
It won't be too bad.
I promise.
Mom, I have to go
to the bathroom.
All right, premedicate
with Lido, Fent and atropine.
You have time.
We have to wait
at least three minutes.
OK, we'll be right back.
All right, etomidate
and sux. Let's go.
All right, bag her up.
Get ready.
My mom said I fell.
I checked the cuff.
I didn't fall.
She pushed me...
She pushed me.
OK.
It's been hard.
My whole life revolved
around my mom.
It's good you had that.
Yeah.
Packing up her
things was weird.
You know, our entire lives
get reduced to a garage sale.
And if you can't get rid
of your parents' stuff
on a Saturday morning,
then you're dropping it off
at Goodwill on Sunday night.
My dad died a year ago.
I'm still not over it.
You know, I haven't even
disconnected her phone yet.
Sometimes I
call it...
just to listen to the sound
of her voice on the machine.
Sit tight.
I'm gonna go order an X-ray.
Hey, did you see
my clotted dialysis shunt?
Yeah. I put
in a Quinton.
Lucien, wait up.
Got something
to discuss with you.
Uh, Dr Rasgotra
discovered
an abscess on
the, uh, Billroth patient.
Was there a delay?
no, no, not at all.
No, I just, uh...
What?
I thought
you could help me out.
What?
I wanted to thank her.
Oh. No, no, no.
Absolutely not.
Why?
I'm a surgeon,
not a yenta.
No, but...
but you're colleagues,
you're friends.
No, we're work friends. I know
nothing about her personal life.
You know what she likes,
what she doesn't like.
In the OR.
When I walk out
of the hospital,
that's the end of our
personal relationship, OK?
Can I make a
quick suggestion?
Find somebody else to bang
and cast aside, OK?
Neela doesn't deserve that.
Lots of times when parents
encourage their kids
to do their best,
they lose their patience.
I don't believe this.
She said you pushed her.
Are you kidding me?
We got her X-rays back.
She has multiple
old fractures.
She's an athlete.
She's 13.
Claire.
Get over here.
You saw your sister fall.
Tell them what happened.
All right, now is not
the time to be bashful.
What did you see?
I was in my room...
and I heard her scream.
Keep going.
Let her talk,
Mrs O'Fallon.
And then I looked
outside my window,
and she was
on the ground.
And I wasn't
anywhere near her, right?
Right.
That's when I
came and got you.
In your room.
There.
You heard her.
Claire, you can go back in.
Well, we're still gonna have
to call social services.
They're gonna have
to review this.
What?
What do you think,
I coached her?
This is crazy.
Do whatever you have to.
Just please take care
of my daughter.
This is your first
trauma with me.
Watch and learn.
OK. Great.
60-year-old belted passenger,
T-boned with intrusion.
Alert, tachy to 110.
Some guy ran a red light.
I didn't even see him coming.
Her son Chuck was walking
on scene, refused treatment.
I'm Dr Brenner.
This is Dr Martin.
Look, she's in a lot of pain.
How bad is she hurt?
Probable rib, humerus
and pelvic fractures.
None of that sounds
too serious.
She'll be fine.
We need to do a complete exam
before assessing
her prognosis.
How'd your respiratory
physiology exam go?
Uh, I think I flunked it.
I used to feel the same way
after every med school test.
Well, maybe I just
need a good mentor.
I hear you're
a real rock star.
You did?
Mm-hmm.
I've been looking for you.
Judy's mom's outside.
Well, good luck, and make sure
you come back after the game.
What about pizza and a movie?
I don't think
that's gonna happen.
I've instructed Judy's mom
to bring you
back here after the game,
and take that thing
out of your tongue.
No.
Yes! Take it out
of your tongue!
I'm not gonna do it!
You're gonna do it
when you come back!
If I have to get
the pliers out...
(GROANS)
You need to have the talk.
No, no, no, no,
no, no, no, no, no.
Tony, if she's gonna
have oral sex...
# La-la-la-la... #
She can get an STD.
Hey! it's not a joke.
I'm not laughing.
A woman should have
that talk with her.
In fact, why don't
you have the talk?
It's not my place.
Look, if-if Alex ever needs
to have the man talk,
I'll return
the favour.
Alex is 15.
I had that conversation with him
when he was ten.
Ten?
Yeah.
Isn't that a little young?
Trauma panel,
type and cross four,
C-spine, chest,
pelvis and left humerus.
Head CT, abdominal CT,
pelvic CT.
Easy, Tracy.
Foley, NG and...
Let's just start with the labs
and plain films first.
Where are you hurting,
Mrs Holmes?
Everywhere. Richard...
call the insurance company.
Those jerks tried
to rip me off in '67.
Mom, it's Chuck.
You got to calm down.
Flail chest
on the right,
decreased breath sounds.
Bp: 95/60.
Somebody, turn on the grill.
I was thinking about
making some brisket.
Chuck:
She's got
Alzheimer's.
My mom can get loopy.
Tracy, start a second line.
Do you want a subclavian?
Just a peripheral 18 gauge.
Has she had any other
medical problems?
No, she used to be
healthy as a horse.
Wouldn't even take aspirin.
Loved the outdoors.
That's why I
was taking her for a drive.
BP's down to 80 systolic.
OK, call surgery.
She needs intubation,
chest tube, and central line.
Somebody, get the door.
Wow, this is
a great teaching case.
Where do you live,
Mrs O'Fallon?
We just moved to Bridgeport.
The company that I work for
opened a new store there.
This is our third move
in two years.
Must be tough
relocating all the time.
No, it's not hard.
We travel well.
You know, everyone gets mad
at their kids.
What do you do when that happens,
Mrs O'Fallon?
I, uh, count to ten.
I ask them to sit down,
think about what they did,
and then we talk about it.
Hey, we're out of
suction catheters.
Do you ever
raise your voice?
Yeah. What, is that not allowed?
Have you ever
been physical with Julie?
Be honest. She's gonna talk to both
your kids.
Yeah, maybe once or twice
when they weren't listening.
You know how you grab a kid,
say, "Stop touching the stove."
What was it like
when you did that?
What do you mean?
How did it make you feel?
Look, my father beat
the crap out of me.
And I wasn't gonna do that
to my girls.
ALARMS BEEP
What's going on
in there?
Sats are dropping.
I don't know what's wrong.
Do something.
I don't think she's breathing.
Pulse is weak
and thready.
Cycle the dynamap.
What's the story?
She's got a haemopneumothor...
MVA PSI, haemopneumothorax,
pubic ramus
and humerus fractures.
How's the belly?
Fast scan negative.
Were you drinking?
Is that how this happened?
Someone hit us, Dad.
How do we know that?
Chest tube output?
300cc's so far.
Not so bad.
Did you give him
a breathalyzer?
He's a drunk.
I've been clean
for eight months.
You haven't been clean
since you were 16.
Second two units are up.
Right-sided rib fractures.
Probably the liver.
There's nothing there.
Yeah, let's look again.
Shouldn't we check the pelvis?
It's unlikely with
an anterior fracture.
I think it's
in the chest.
It's probably a contusion.
We need to think about
a right-sided thoracotomy.
You crazy?
It's not the chest.
Bradying down.
Give me the ultrasound.
Heart rate 40.
Amp of atropine.
Look at this.
There's blood pooling
in the hemithorax.
Thoracotomy tray.
Neela?
We lost a pulse.
Start compressions.
If she's not OK...
so help me, God.
Systolic's down to 70.
Bolus 250 of saline.
What's happening?
Pulse ox in the low 80s.
Think she
dropped a lung?
Is she dying?
No. Breath sounds good bilaterally.
Call for
a portable chest.
Someone talk to me.
What about a fat embolus?
What is that?
Uh, when you break a large bone,
like she did in her thigh,
fat from the bone marrow
can travel up and
damage the lungs.
It can be
very serious.
Why is she only on 21% oxygen?
I had it at 100.
Somebody turned off the O2.
What?
That would explain it.
I had the rate at 16
after the ABG.
Oh, God, please.
Sure you didn't fiddle
with the FIO2?
No. I mean,
I don't think so.
It is a touch screen, though.
I could've...
Has this happened before?
No.
All right, repeat a blood gas
in 20 minutes.
Gates, recheck
Doppler pulses
in her foot and call Ortho
and see how long before
they can take her to the OR.
You people should
have been in here
instead of outside grilling me.
I'm not so sure
if the mom pushed her.
You heard her.
Yeah, she said, "She pushed me."
I think it was the daughter.
What, the
12-year-old?
The mother displays
all the classic signs
of child abuse.
Unrealistic
expectations.
She moves around a lot.
She's unemployed.
Dr Gates...
Depression.
She was abused
as a child.
Did you see the
way she grabbed
those kids? I've seen it.
I grew up with it.
We'll let
social services decide.
Fine.
How's that board look?
Oh, we're down to 44
in the waiting room.
That's great. I mean,
it's usually closer to 100.
And, uh, two tele admissions
are going upstairs.
That will free
up some beds.
So what's up?
No broken bones
on the X-ray.
Just a sprain.
Should I get a stirrup?
No, an ace bandage
is fine.
You know the drill: ice, rest,
elevation...
And early
weight bearing
gives superior
functional results
compared to
immobilization.
2004 Cochran review.
Are you back in school
for physical therapy?
Started a month ago.
Great.
All set.
Well, it was, uh, great
seeing you again,
Christine.
Hopefully you'll stay on the
pilates machine next time.
Uh, yeah, I'll try.
Oh, here.
Oh, uh, thank you.
Look, I was just
wondering if...
maybe you were free later.
Oh, um...
Well, I'm-I'm-I'm...
I'm flattered,
Christine, but, um,
we have a policy
against dating patients.
Technically,
she's my patient.
Yeah... well,
I'm sorry.
I can't.
Dr Morris?
I can't.
Well... (LAUGHS)
Here.
If you change
your mind...
call me.
Thanks.
What the hell
was that about?
Suction, Andrew.
Let's hope we don't have
to access the aorta.
I'll divert the tube
to the left main stem.
Why would you do that?
Makes it easier for Neela
to clamp the right hilum.
Fifth unit is up.
Satinsky to Neela.
That's better.
I see the hilum.
She's not perfusing.
And we're clamped.
More suction.
Breath sounds on the left.
Good call. Looks dry.
Heart rate up to 50.
Got a femoral pulse.
That's good, right?
It's great.
It's excellent.
Page Ortho.
We're gonna meet them
in the OR.
Can we follow?
You stay here. Until you prove
you're not drunk,
I don't want you
anywhere near your mother.
She likes salsa dancing
and screwball comedies.
You hurt her, I'll remove
your gallbladder.
Not good.
She implicated
the mother?
Yells, loses her temper
from time to time,
spanks them.
I need to get Child
Protective Services involved.
Think you'll be able to
keep the kids together?
Since the dad's not in the
picture, Claire will probably
go into
foster care.
By the time her
sister's released,
maybe a relative
will step up and take them.
If all goes well,
she'll be discharged in a week.
Great, I'll start the paperwork.
Well... that's settled.
This blood test will show
us your alcohol level.
Which will be zero.
Can you guys rush this,
so my dad can calm down?
One test is not gonna
solve the problem.
Trust me, I know.
All right,
you're all set.
Your mom will be out of
surgery in a coupla hours.
I'll go get some coffee,
give my dad some space.
Hate to get all Jerry Springer
in the waiting room.
Thanks.
And back in Oz,
we don't waste
tax dollars
on family disputes.
We talk it out
over a beer.
Well, that
was nice of you.
What's so funny?
Your accent. It's cute.
I dated this guy
in New Zealand once.
I spent a summer there
in college
teaching Maori kids
science.
New Zealand?
It's... it's
totally different.
Oh, well,
if you say so.
The shopping sucked.
Do you miss Sydney?
Every now and again.
Where are you from?
Newton, Mass.
You didn't want to
train at the Brigham?
No, I'm all about
Michigan Avenue.
Get Banfield!
My God, what happened?
Get security.
I saw a piece of
glass in Julie's leg,
and I wanted to get it out
with the tweezers, but I wanted
to sterilize them
with a flame first
so she didn't get
an infection.
But I accidentally dropped it
on the bedsheet.
Take her to another room,
and don't let her
leave your sight.
Looks like 15%
body surface area,
nothing circumferential.
Let's go.
I didn't mean it.
I was just helping!
What should I do?
Hang another litre
of Ringer's.
Dr Brenner,
call the burn unit,
and get back
to your other patients.
Who are you,
Stevie Wonder?
Did you see
her smile, her legs?
Isn't she lovely?
Forget lovely.
I'm not doing it.
Why? Give me
one good reason.
You're gay.
Not that there's anything
wrong with that.
I'm not gay.
You're seeing
someone.
She...
Impotent?
She's a patient.
A technicality.
Do it for the team.
OK, here it is,
Sanchez, OK?
She's a call girl.
Yeah, a whore,
an escort.
So it's even better
than I thought.
We're all whores.
You prescribe antibiotics
from some drug companies
that give you stethoscopes
and free lunch... whore.
Hey, look.
I am done with
dating, Ryan.
The last girl
I really liked
took my heart
to Caracas.
So you're just gonna sit
on the sidelines forever?
Yeah, that's the plan.
Then, I need another mentor.
Why?
Because I want someone
who's well rounded
and understands
interpersonal relationships.
I understand them.
Then, get in the game,
Archibald.
It's time.
Keep the Ringer's
at 85cc's per hour.
Ortho's ready for her in the OR,
and then she
has a burn unit bed.
Well, let's move her
to surgery.
Why does she need that?
They need
to pin the femur.
She gonna be OK?
She's gonna be fine.
But we need to talk
about something else.
I'm afraid Claire
is a danger to others,
Mrs O'Fallon.
No, it was an accident
like she said.
There was no glass
in Julie's leg.
How do you know
if her legs were burned?
Look, I realize this is hard.
Claire is a good kid.
Has she been depressed lately?
No.
I mean, maybe a little.
Uh, her friend got hit
by a car last spring,
but I thought
she was over that.
Someone from Psychiatry
needs to talk to her.
Why?
She's just acting out.
Well, we'll see if they agree.
And if they don't?
Then she might need to spend
some time in the hospital.
My kids are OK.
Claire's down the hall.
You're welcome to go be with her.
You know, physical
and psychological things
can push kids to do
all kinds of stuff.
I know, Dr Gates.
And if this woman is hurting them,
then all of this
makes sense.
We're both trying to get
to the bottom of it.
Go clear some patients.
You score any goals?
They got to go get pizza
and see a movie,
and I'm stuck here.
Why can't I go home?
You take that thing out?
No, it's my body,
and I can do what
I want with it.
Sarah, I know it's your body.
This is something
we have to discuss.
You know, you're getting
to that age where you...
you know, you're starting
to get curious about boys
and... sex.
What does a tongue stud
have to do with sex?
Come on, Sarah.
Don't play dumb with me.
That's not why I got it.
Do you have a boyfriend?
No.
And I'm not having sex.
We thought it
would be fun.
I was gonna do
my belly button, but they
bet me ten bucks
to do my tongue.
Well, I'll give you 20 bucks
to take it out.
Tony.
Listen, I want you
to take that out
before you go back
to school on Monday.
Fine.
I think you're overreacting.
I know this is weird.
You know, and it's weird
for me, too,
but do me a favour.
Next time you think
about piercing something else
on your body or...
if you want to talk about sex,
then you come to me, OK?
Cos I'm here for you.
I'll just wait
over here.
All right, give
me a minute.
You know, it killed me
to put her
in a nursing home.
After a while,
I couldn't deny
that she put the eggs
in the hamper,
ice in the microwave.
Alzheimer's is hard.
It kills you.
She doesn't remember me
half the time. And him?
He can't even
help out.
His blood alcohol
level came back.
It was zero.
None detected.
The other driver ran a
red light, Mr Holmes.
Now, I know your son's
made mistakes in the past,
but let him show you
that he's changed.
He's trying.
How is she?
The surgery went well.
And we were able to repair
her pulmonary artery and vein.
Good... that's
good, right?
I mean, at her age,
her rehab could be a while,
but she's already
starting to wake up.
Thank God.
When can I...
when can we see her?
Come on, I'll take you to Recovery.
That seems like a cause
for a celebration.
Bringing Up Baby
is playing at the Limelight.
We should... we should go.
I... can't.
I'm working here late.
Or we could, we could
grab a quick coffee
at the Jumbo mart.
Think of it as an olive branch.
All right, coffee it is.
Great.
I will meet you
out front in one hour.
It's a good thing
you weren't seriously hurt.
Been a few muggings recently in
the area that didn't end so well.
How much time
will he get for this?
Depends on his priors.
You'll be called for a court date.
I don't have time for court.
Unless he takes a deal,
it's the only way
we can put him behind bars.
Here.
If you have any questions...
call me.
Thanks.
How you doing?
I'm fine, Dr Morris.
You know,
I don't get it.
You get mugged,
you beat him up.
You're injured, but you still
go through the day.
I don't buckle,
Dr Morris.
OK.
Sometimes you might want
to give yourself a break.
No.
Cos then I might have
to give someone else one.
DOOR OPENS
Just wait outside for me.
Mm-hmm, sure.
So how you doing, Claire?
I'm fine.
You know, you never told me
what grade you were in.
Sixth.
What do you think
of school?
It's boring.
You know, some kids,
when they're bored,
they cut class.
I've never
done that.
Your mom said you did.
School's a waste of time.
I'm smarter
than most of the teachers.
(CHUCKLES) How do you
and your sister get along?
OK.
She thinks she's going
to the Olympics.
What happens when you fight?
My sister and I
always fought.
It really sucks
cos she's always right.
She's little
Miss Perfect,
and even if she starts it,
my mom always sides with her.
That must bug you.
It's every day.
If she breaks a plate,
it's because I bumped into her.
How do you get back
at someone for doing that?
Teach her a lesson.
By doing what?
Nothing.
Are you sure?
Claire, we have video cameras
in the ceilings
of our trauma rooms.
We saw you adjust
the ventilator
and light the sheet
on fire.
I didn't want
to kill her.
I just wanted to mess her up.
You did?
If she's in
the hospital,
Mom will see what
a good girl I am.
She won't be blaming me
for everything.
Is that why you pushed her
off the wall?
Claire,
they're accusing your mother
of child abuse,
which means
she could go to jail
and your sister and you
could both go to foster homes.
Now... something tells me
that she doesn't hit you two,
and she didn't
push your sister.
Did you do it, Claire?
Did you?
It was cool seeing her
lying there
all pale with blood coming out,
and then when
she couldn't move
and her legs
were getting burned,
it was great.
That made you feel good?
Really good.
Hmm.
Well...
it'll probably be better
if you stay in the hospital
for a while.
Why?
I'm not sick.
We just think
it would be a good idea.
No.
I won't.
I won't!
Wha...
No, I won't!
I won't! I won't!
Claire, Claire!
No!
Mommy!
Call the psych ward!
Mommy, we can hang out now
that Julie is in the hospital.
All right, Claire,
relax, all right.
No! Mommy!
Come on.
Mommy, help me!
Let us take care of her,
Ms O'Fallon.
Relax.
Get off of me!
.5 of Haldol, Ativan.
Get the hard restraints.
It's just for a short time, right?
Then I can take her home soon.
She'll be all right.
I will kill you!
I will kill you!
I will kill you!
I'm going to cut you up
into little pieces!
I can't remember the last time
we did a right-sided thoracotomy.
That guy's lucky
to be alive.
Well, I, uh, lost
a trucker in Sydney
with a right
hilar tear.
You miss it once,
you never forget.
I guess you're right.
We should go, uh,
salsa dancing sometime.
How do you know I like
dancing and old comedies?
I do my research.
We're just going
to be friends.
I'm sorry if I gave you
the wrong impression.
What... you mean
sleeping with me?
An awkward shag...
on a horrible day
doesn't count...
as "sleeping with you."
It counts as poor judgment.
You romantic fool.
I thought we fit
well together.
OK.
All right.
I'm not going to hound you.
I'm not going to beg.
But one day you will
wake up next to me
and you're
going to wonder
"How did this happen?"
and I'm going to smile
and remind you
that I predicted this
over coffees
and chocolate-glazed doughnuts.
You're a cocky bastard.
Yeah, but I will
be a correct...
cocky bastard, and that's
all that will matter.
You ready to go?
Are you all right?
Oh, Claire left her coat
down here.
You know, about
a month ago,
I, uh, I caught her throwing
rocks at the neighbour's dog,
and then a few days later,
she was trying to stick
a metal rod through one
of the fish in our tank.
And I just tried to
pretend it was normal--
you know, just
a kid acting out.
I don't get it.
Why her? Why our family?
I don't know.
That's all you can say?
You can't
lie to me
and tell me that
she's going to be OK,
that she's going to grow up
to be a normal girl?
I mean, that's why we come here:
to get answers.
You're going to have
to do better than that.
I'm sorry. That's all I have.
Well, that's not good enough,
doctor.
That's not good enough.
VOICES ECHO, ALARMS BLEEP
FEMALE NURSE:
Ceftriaxone's in.
Then run fluids at 100 an hour.
Prep some atropine.
Epi's in.
Sats 91 on 100%.
Come on. Come on, Daryl!
PADDLES ZAP
When we will know
if it's working?
we have no choice.
Clear!
FLATLINE TONE BEEPS
(SNIFFLES, SIGHS)
'Previously...' What's this?
My letter of resignation.
I hate this part of you.
Nora, that's enough.
The very thing you like least about
Kitty is the thing I love most.
I want it to be different
with you.
William had another lover, and
they had a child together. Ryan.
We were impressed at the meeting.
We're keeping an eye on you.
Will Robert really make you
quit if you publish?
I certainly can't work with people
that I wrote a book about.
When you're ready to have a real
relationship with me, I'll be here.
It doesn't feel like
our company any more.
I'm quitting.
I was trying to find
Ryan Lafferty.
Not a problem.
I talked to Ruth Gavin
yesterday from Downtown Arts,
and she told me
everything I need to know
about starting up
a non-profit,
so welcome
to the nerve centre.
Nerve centre.
I could--I could see that.
She told me I need space
where I can
talk to potential donors,
interview volunteers, begin
to write proposals and grants.
And I need lines -
three telephone lines -
a printer that copies,
or a copier that prints.
I-I haven't even
raised a dime.
I'll be in debt before I begin!
Breathe! Everything'll be OK.
I'm breathing. I'm breathing.
All right? OK.
OK. First things first...
Uh-huh?
I want all this stuff out of here.
OK, what do you want to go?
The couch, the chair, the lamp,
the desk, the globe...
Wait, Dad's desk?
He's not using it.
Oh. I-I just figured
that maybe you'd want to.
No. It's not me. It's this big,
clunky George Washington thing.
I want it light and airy
in here, not a book-lined tomb.
mother of a DIY project finished.'
Chris, throughout this build
you have been very calm, very
collected, no outbursts of emotion.
I wonder if there's a maelstrom
underneath the surface.
I think I've been pretty steady.
Confident we'd get through it
< and confident if we hit
any problems we had the equity
to get out of it.
< In terms of just the sheer volume
of work you've both had to do here,
< it must have, at times,
got you really down.
Sometimes it's been hard
to keep motivated,
especially in the winter months,
coming down here with three jumpers
and a coat on to do some work.
You have to motivate yourself
to get out of bed.
But we've enjoyed it, haven't we?
Yeah,
and we knew it'd be worthwhile.
'Their industrial look
was a brave design choice,
motivated primarily by budget, but
also by a dream of spacious living.'
'It wouldn't be my first choice,
on top of a windy hill up north,
but Chris and Leanne love it,
and it cost them just #150,000.'
'Have you had it valued?'
< Not since we've completed, but
we had it valued not so long ago,
and we were given a figure
in the region of #350-375.
Which would be
a net profit of #200,000. >
Not a bad return for a year's work. >
It's OK.
Beats selling records, doesn't it?
It does, doesn't it.
in terms of pounds per square foot
spent here, incredibly cheap. >
Was there no point
at which you said to yourselves,
in doing this place up, >
"This is just not worth it"?
No.
Oh no, absolutely not.
We've had highs and lows but
not once have we had that thought.
This is our dream house
and that motivates you.
< It might sound cliched,
but it really does.
< Plus we've invested everything
we've got and more into it.
You've got to finish, haven't you?
That's part of it.
Whatever it takes, we'll finish.
This is the story
of two unlikely heroes
and their rescue of a building
from the brink of oblivion,
with little money, no professional
help and absolutely zero experience.
despite all these incredible odds,
through sheer determination really,
they've won the day.
They've got exactly what they want.
And I think
it's what the building deserves.
OOHS AND AAHS
Intelfax Subtitles
LORRAINE FORREST
'Gas, leccy, insurance...' Oh.
'Letter from Jane.'
'I think I'll do these first.'
0870...
0845...
'As if it wasn't bad enough having
to make these calls...' Quotes.
..I have to PAY to make them!'
Unlike with most companies
calls to 0845 and 0870 numbers
are now free with BT. Free!
Hi, Jane.
Um, the answer's yes.
Daria's assessment was atypical
chest pain, which I agree with.
He's going home after two
normal troponins and EKGs.
Not during rounds.
And when he drops dead
in his own kitchen,
it will be because
we missed a...?
PE?
No.
Symptoms are
too intermittent.
Are you thinking
variant angina?
He complained
of abdominal pain.
Am I boring you, Dr Gates?
No. I'm sorry.
It's a 6am shift.
My brain's here,
but my body isn't.
If there's pain above
and below the diaphragm,
think aortic dissection.
Get a CT.
That's a great
teaching point, Dr Banfield.
If you can learn
something new
on every case,
you'll be brilliant by the time
you finish your training.
So, in order to get
to the next level,
each intern will get a mentor.
Gates, you get Wade.
Uh, Brenner, Martin.
Morris, Sanchez.
Mentors,
as they go, so you go.
Well, I guess Brenner's gone,
seeing as he likes
to demoralise when he teaches.
Bite me.
There will be two-way critiques
on a daily basis.
Now get to work.
Let's go get
a patient.
Well, the paramedics
just brought in an eye injury.
This is ridiculous. I don't need
interns critiquing me.
That's too bad, 'cause I was gonna
give you some advice on that tie.
What's wrong
with my tie?
Someone called
for a consult?
Yup.
This-this tie
is Italian.
(Looks fine.)
Don't touch me.
OK, present your patients
to me before you run any tests,
and, uh, we can
discuss a differential
and come up with
a plan together.
Or I could come up
with a plan myself,
and then you can tell me whether
or not you agree with it later?
Four of Ativan.
Hi, surgery.
Hey.
Triple hit of LSD,
peyote and crack
last night.
That's pretty hardcore.
Stabbed his belly
with a potato peeler.
OK. It looks superficial.
Andrew?
One percent with epi?
Exactly right.
You glad to be back?
Yes, I am,
and I appreciate
what you did for me.
Well, I just helped it along
a bit. It was really Neela.
Thought it was your idea.
Well, they need
you up there.
Well, if you ever need
anything, Dr Brenner,
you just let me know.
I owe you one.
I know. I know.
I love Lake Geneva.
I was just hoping
we could stay here.
Broken. Try down
the street.
(SIGHS)
I've been away
from Chicago so long,
just being home
feels like a vacation.
Next month, I promise
we will go to the lake.
OK, now go back to work and make
us some money. I'll call you later.
Agh! (SCREAMS)
Oh, God!
I got a gun.
I got a gun.
Just pass me
your wallet.
Doesn't have any cash in it.
Lady, are you stupid?
Come on. Hand it over.
THUD OF BLOW
(YELPS)
(GRUNTS)
(PANTS)
Me? Go out.
Come on, Ray.
Hey, I do have a life.
Last weekend, I went out
with friends for drinks.
I'm not lying.
Who are my friends?
All right, fine.
You know, I-I fell asleep
watching three
Tracy/Hepburn movies, and...
Stop laughing at me.
I am not a loser.
You saw how it cleaned up
the corneal rust, right?
Yeah. It was
kind of scary.
I mean, you can't drill
into the eye, right?
No, the blades only
go down a millimetre.
(GROANS) I can't breathe.
What the hell did you do
to me?
Another kick, I'd have
put you in the morgue.
Oh, hear that?
she's threatening me!
Victim of assault.
Self-defence.
He tried to mug me.
She crushed my chest.
Are you OK?
I'm fine.
Blunt chest trauma,
decent vitals; pulse OK.
Give me something
for the pain. Damn it.
Once we assess you,
sir. You need to be checked out.
No, forget it.
No, you've got a
pretty big contusion.
All I need is some ice.
Inferior orbit fracture.
All right, quickly.
Come on.
Decreased breath sounds
on the left.
I agree.
(GROANS)
I can't believe
I mugged a doctor.
Not just a doctor.
She's the chief.
What the hell's
that supposed to mean?
Is she an Apache or something?
She runs this joint.
Oh, God, kill me now.
OK, tenderness over
the fifth and sixth ribs.
Four of morphine.
Mid-axillary line.
What should we do, Tracy?
Uh, obvious rib fractures.
Collapsed lung.
He needs a chest tube.
That's right.
Oh, no, no.
Not necessarily.
If it's a pure
pneumothorax,
we can manage him
with a Heimlich valve.
OK, let's do it.
You're not holding back,
are you? No, I don't think so.
Me, either.
With a trauma,
he needs a chest tube
in case
there's any bleeding.
I like to use
a 32 french.
I'll open one up.
Whoa, whoa, whoa.
Why stick a garden
hose in his chest
when we can get by
with a swizzle stick?
Makes a lot of sense.
Pulse ox 98.
BP: 122/78.
Well, he's stable for now.
We can wait for the chest X-ray,
and then decide
on a course of action.
Yeah, and
when there's no haemothorax,
we can do it my way.
To the left. Right.
Up and then down.
Yeah, extraocular
movements are intact.
Yeah. You really did
a number on that guy.
Yeah. I took Tae Kwan Do for
the workout. Never thought
I'd have to use it.
Well, it came in handy.
When you have
an orbital blowout,
the inferior rectus
can get trapped,
and you can lack upgaze.
I'm thinking
facial series.
No, I don't need X-rays.
All right, how about bacitracin on
the, uh, abrasions. Is that OK?
It's broken, huh?
Yes.
My husband gave it to me
on our first anniversary.
Want me to call him,
have him come pick you up?
No, not while
the market's open.
He's a commodities trader.
Dr Banfield...
Besides, I'm not leaving. What?
You should go
home.
We have a full board.
We'll take care of it.
We got a run,
five minutes out.
Hmm.
You OK,
Dr Banfield?
Yeah, I'm fine.
Your tetanus
up to date?
Yeah. Of course it is.
How far in?
About three inches.
Now attach the
Heimlich valve.
I'm sorry.
I'm so sorry.
You put a gun
to her back,
and all you can say
is you're sorry?
It wasn't a gun. It wasn't a gun.
Who the hell robs somebody
with a pink highlighter?
A runner-up for
the Darwin Awards, that's who.
And the connective
tubing goes to this
collection bag.
Got it.
But the valve leaflets
only flow one way,
so no air or blood
can re-enter the chest.
Unusual approach
with the Heimlich.
Yeah, it's a pure
pneumothorax.
Let's get him off
to the jail ward.
Jail ward? I don't want to go
to the jail ward.
Yeah. They'll
ignore him there.
Let's keep him
for observation.
I thought the
jail ward nurses
could handle it.
He's a moron, but he's still
our patient.
Yeah, listen to her. She's the chief.
See you.
Hey.
How was your
sleepover?
Fun.
Yeah?
You all ready
for your soccer tournament?
Judy's mom's picking me up
in an hour.
Good. I'm sorry
I can't be there.
It's her first time
being a left wing.
Oh, Daria, Sarah.
Sarah, Daria.
Hey. Kick butt today.
Thanks.
What are
you guys doing after?
Pizza, movie.
Why are you
talking like that?
Like what?
Like what?
Toothache.
Oh. Open
your mouth.
You're not a dentist.
Open your mouth.
A tongue ring?!
Ah, it's only a stud.
When did you
get that?
Last night
at Heather's sleepover.
Her big sister took us
to get it.
Isn't it cool?
no, it's not cool.
Look, don't you have
to get a-a parent
to sign off on
something like this?
You're acting like
I killed someone.
You did!
Me! now go wait
in the break room.
What...?
I don't get it.
What's this whole fad
about a tongue stud?
Girls do it, you know,
to pleasure the boys.
So I've heard.
Julie O'Fallon.
Fell off a six-foot wall
to cement surface.
Head trauma
and obvious femur fracture.
All right. How
you doing, Julie?
I'm OK. I'm just really dizzy.
Uh-huh.
Is she gonna get shots?
She hates shots,
and blood, too.
All right, let's just
check you out first.
You're gonna be OK,
sweetheart.
All right, let's
get a trauma panel
and portable
X-rays. Let's go.
I keep telling her that if she wants
to be a serious gymnast,
that she has to practice hard,
but that that wall
is not a balance beam.
Pupils equal
and reactive.
Good breath sounds.
It hurts. They're gonna
fix you up, sweetie.
105/70.
Tachy at 120.
Is that bad?
Uh, it could be
from all the pain.
So give her something.
Well, it also could be from
the internal bleeding,
in which case pain meds
could be dangerous,
so just give us
a second, OK?
Dr Gates?
Blunt head trauma,
femur fracture. I'm going
to clear the belly and
the neck,
and then, uh,
send her to head CT.
All right. Sounds like a plan.
What does
this thing do?
Oh, that's called
a rapid infuser,
but your sister
doesn't need that.
Liver and spleen
look good.
Is this where you keep
all the tubes and stuff?
No. Uh, move away from there.
Claire, what
did I tell you
about touching things?!
Will you come over here?!
Will you just stay
here next to me?
Foot pulses two
plus and equal.
ALARM BEEPS
Pressure's down
to 80 systolic.
All right, bolus
20 per kilo.
Julie, you OK?
Mommy.
Mom.
You OK, Julie?
Sats are only 88.
100% nonrebreather.
Give me an intubation
tray and a 6-0 tube.
What's happening?
Could be the head injury or maybe
there's blood loss in the thigh.
All right, give
her some oxygen.
OK, good news, Freda.
You didn't
break your hip.
Are you sure?
Feels broken to me.
It's a bad bruise.
I think it's broken.
What do you think
of the belly?
Pretty benign.
The epigastric pain's
an ongoing problem.
I, uh, saw your post-op
Billroth wound infection.
And?
We'll admit him.
Glad you agree.
Andrew, h and p
in curtain 2.
You mind if I go,
Dr Dubenko?
No, not a problem.
I've got reflux
esophagitis.
I've tried everything.
Nothing helps.
Well, maybe if you'd stop
smoking cigarettes...
I'm 80 years old.
This is my only joy.
Oh, I do a little X, too.
What do you have,
nursing home raves?
You'd be surprised what a girl's
libido does at my age.
Look, Freda, I don't want you
to fall again.
I've organised for a
nurse to come around
and give you a home
safety assessment.
You're gonna need
a night light
and a walker.
And I'd lay off the X.
Do you make house
calls, Simon?
I get up from my nap at 7:00.
You listen to Dr Brenner,
Freda. You'll be fine.
Listen to him. Dr Morris.
Interesting use of the
Heimlich valve this morning.
Yeah, how's he doing?
He's doing well
on room air. How's Dr Banfield?
Unfazed.
She's still working.
Hey!
What are you doing here?
Hey.
Oh, pilates.
I fell off the reformer.
Ryan, finish those charts,
then find me.
I will take it
from here.
This is one of my VIP patients.
(CHUCKLES)
Pressure's up
and so are the sats.
She's doing much better. Do we
really have to intubate her?
Trust me. You don't want her
off in CT without an airway.
We're gonna put a tube
in your mouth,
and when you wake up,
it's gonna help you breathe.
I don't want that.
It won't be too bad.
I promise.
Mom, I have to go
to the bathroom.
All right, premedicate
with Lido, Fent and atropine.
You have time.
We have to wait
at least three minutes.
OK, we'll be right back.
All right, etomidate
and sux. Let's go.
All right, bag her up.
Get ready.
My mom said I fell.
I checked the cuff.
I didn't fall.
She pushed me...
She pushed me.
OK.
It's been hard.
My whole life revolved
around my mom.
It's good you had that.
Yeah.
Packing up her
things was weird.
You know, our entire lives
get reduced to a garage sale.
And if you can't get rid
of your parents' stuff
on a Saturday morning,
then you're dropping it off
at Goodwill on Sunday night.
My dad died a year ago.
I'm still not over it.
You know, I haven't even
disconnected her phone yet.
Sometimes I
call it...
just to listen to the sound
of her voice on the machine.
Sit tight.
I'm gonna go order an X-ray.
Hey, did you see
my clotted dialysis shunt?
Yeah. I put
in a Quinton.
Lucien, wait up.
Got something
to discuss with you.
Uh, Dr Rasgotra
discovered
an abscess on
the, uh, Billroth patient.
Was there a delay?
no, no, not at all.
No, I just, uh...
What?
I thought
you could help me out.
What?
I wanted to thank her.
Oh. No, no, no.
Absolutely not.
Why?
I'm a surgeon,
not a yenta.
No, but...
but you're colleagues,
you're friends.
No, we're work friends. I know
nothing about her personal life.
You know what she likes,
what she doesn't like.
In the OR.
When I walk out
of the hospital,
that's the end of our
personal relationship, OK?
Can I make a
quick suggestion?
Find somebody else to bang
and cast aside, OK?
Neela doesn't deserve that.
Lots of times when parents
encourage their kids
to do their best,
they lose their patience.
I don't believe this.
She said you pushed her.
Are you kidding me?
We got her X-rays back.
She has multiple
old fractures.
She's an athlete.
She's 13.
Claire.
Get over here.
You saw your sister fall.
Tell them what happened.
All right, now is not
the time to be bashful.
What did you see?
I was in my room...
and I heard her scream.
Keep going.
Let her talk,
Mrs O'Fallon.
And then I looked
outside my window,
and she was
on the ground.
And I wasn't
anywhere near her, right?
Right.
That's when I
came and got you.
In your room.
There.
You heard her.
Claire, you can go back in.
Well, we're still gonna have
to call social services.
They're gonna have
to review this.
What?
What do you think,
I coached her?
This is crazy.
Do whatever you have to.
Just please take care
of my daughter.
This is your first
trauma with me.
Watch and learn.
OK. Great.
60-year-old belted passenger,
T-boned with intrusion.
Alert, tachy to 110.
Some guy ran a red light.
I didn't even see him coming.
Her son Chuck was walking
on scene, refused treatment.
I'm Dr Brenner.
This is Dr Martin.
Look, she's in a lot of pain.
How bad is she hurt?
Probable rib, humerus
and pelvic fractures.
None of that sounds
too serious.
She'll be fine.
We need to do a complete exam
before assessing
her prognosis.
How'd your respiratory
physiology exam go?
Uh, I think I flunked it.
I used to feel the same way
after every med school test.
Well, maybe I just
need a good mentor.
I hear you're
a real rock star.
You did?
Mm-hmm.
I've been looking for you.
Judy's mom's outside.
Well, good luck, and make sure
you come back after the game.
What about pizza and a movie?
I don't think
that's gonna happen.
I've instructed Judy's mom
to bring you
back here after the game,
and take that thing
out of your tongue.
No.
Yes! Take it out
of your tongue!
I'm not gonna do it!
You're gonna do it
when you come back!
If I have to get
the pliers out...
(GROANS)
You need to have the talk.
No, no, no, no,
no, no, no, no, no.
Tony, if she's gonna
have oral sex...
# La-la-la-la... #
She can get an STD.
Hey! it's not a joke.
I'm not laughing.
A woman should have
that talk with her.
In fact, why don't
you have the talk?
It's not my place.
Look, if-if Alex ever needs
to have the man talk,
I'll return
the favour.
Alex is 15.
I had that conversation with him
when he was ten.
Ten?
Yeah.
Isn't that a little young?
Trauma panel,
type and cross four,
C-spine, chest,
pelvis and left humerus.
Head CT, abdominal CT,
pelvic CT.
Easy, Tracy.
Foley, NG and...
Let's just start with the labs
and plain films first.
Where are you hurting,
Mrs Holmes?
Everywhere. Richard...
call the insurance company.
Those jerks tried
to rip me off in '67.
Mom, it's Chuck.
You got to calm down.
Flail chest
on the right,
decreased breath sounds.
Bp: 95/60.
Somebody, turn on the grill.
I was thinking about
making some brisket.
Chuck:
She's got
Alzheimer's.
My mom can get loopy.
Tracy, start a second line.
Do you want a subclavian?
Just a peripheral 18 gauge.
Has she had any other
medical problems?
No, she used to be
healthy as a horse.
Wouldn't even take aspirin.
Loved the outdoors.
That's why I
was taking her for a drive.
BP's down to 80 systolic.
OK, call surgery.
She needs intubation,
chest tube, and central line.
Somebody, get the door.
Wow, this is
a great teaching case.
Where do you live,
Mrs O'Fallon?
We just moved to Bridgeport.
The company that I work for
opened a new store there.
This is our third move
in two years.
Must be tough
relocating all the time.
No, it's not hard.
We travel well.
You know, everyone gets mad
at their kids.
What do you do when that happens,
Mrs O'Fallon?
I, uh, count to ten.
I ask them to sit down,
think about what they did,
and then we talk about it.
Hey, we're out of
suction catheters.
Do you ever
raise your voice?
Yeah. What, is that not allowed?
Have you ever
been physical with Julie?
Be honest. She's gonna talk to both
your kids.
Yeah, maybe once or twice
when they weren't listening.
You know how you grab a kid,
say, "Stop touching the stove."
What was it like
when you did that?
What do you mean?
How did it make you feel?
Look, my father beat
the crap out of me.
And I wasn't gonna do that
to my girls.
ALARMS BEEP
What's going on
in there?
Sats are dropping.
I don't know what's wrong.
Do something.
I don't think she's breathing.
Pulse is weak
and thready.
Cycle the dynamap.
What's the story?
She's got a haemopneumothor...
MVA PSI, haemopneumothorax,
pubic ramus
and humerus fractures.
How's the belly?
Fast scan negative.
Were you drinking?
Is that how this happened?
Someone hit us, Dad.
How do we know that?
Chest tube output?
300cc's so far.
Not so bad.
Did you give him
a breathalyzer?
He's a drunk.
I've been clean
for eight months.
You haven't been clean
since you were 16.
Second two units are up.
Right-sided rib fractures.
Probably the liver.
There's nothing there.
Yeah, let's look again.
Shouldn't we check the pelvis?
It's unlikely with
an anterior fracture.
I think it's
in the chest.
It's probably a contusion.
We need to think about
a right-sided thoracotomy.
You crazy?
It's not the chest.
Bradying down.
Give me the ultrasound.
Heart rate 40.
Amp of atropine.
Look at this.
There's blood pooling
in the hemithorax.
Thoracotomy tray.
Neela?
We lost a pulse.
Start compressions.
If she's not OK...
so help me, God.
Systolic's down to 70.
Bolus 250 of saline.
What's happening?
Pulse ox in the low 80s.
Think she
dropped a lung?
Is she dying?
No. Breath sounds good bilaterally.
Call for
a portable chest.
Someone talk to me.
What about a fat embolus?
What is that?
Uh, when you break a large bone,
like she did in her thigh,
fat from the bone marrow
can travel up and
damage the lungs.
It can be
very serious.
Why is she only on 21% oxygen?
I had it at 100.
Somebody turned off the O2.
What?
That would explain it.
I had the rate at 16
after the ABG.
Oh, God, please.
Sure you didn't fiddle
with the FIO2?
No. I mean,
I don't think so.
It is a touch screen, though.
I could've...
Has this happened before?
No.
All right, repeat a blood gas
in 20 minutes.
Gates, recheck
Doppler pulses
in her foot and call Ortho
and see how long before
they can take her to the OR.
You people should
have been in here
instead of outside grilling me.
I'm not so sure
if the mom pushed her.
You heard her.
Yeah, she said, "She pushed me."
I think it was the daughter.
What, the
12-year-old?
The mother displays
all the classic signs
of child abuse.
Unrealistic
expectations.
She moves around a lot.
She's unemployed.
Dr Gates...
Depression.
She was abused
as a child.
Did you see the
way she grabbed
those kids? I've seen it.
I grew up with it.
We'll let
social services decide.
Fine.
How's that board look?
Oh, we're down to 44
in the waiting room.
That's great. I mean,
it's usually closer to 100.
And, uh, two tele admissions
are going upstairs.
That will free
up some beds.
So what's up?
No broken bones
on the X-ray.
Just a sprain.
Should I get a stirrup?
No, an ace bandage
is fine.
You know the drill: ice, rest,
elevation...
And early
weight bearing
gives superior
functional results
compared to
immobilization.
2004 Cochran review.
Are you back in school
for physical therapy?
Started a month ago.
Great.
All set.
Well, it was, uh, great
seeing you again,
Christine.
Hopefully you'll stay on the
pilates machine next time.
Uh, yeah, I'll try.
Oh, here.
Oh, uh, thank you.
Look, I was just
wondering if...
maybe you were free later.
Oh, um...
Well, I'm-I'm-I'm...
I'm flattered,
Christine, but, um,
we have a policy
against dating patients.
Technically,
she's my patient.
Yeah... well,
I'm sorry.
I can't.
Dr Morris?
I can't.
Well... (LAUGHS)
Here.
If you change
your mind...
call me.
Thanks.
What the hell
was that about?
Suction, Andrew.
Let's hope we don't have
to access the aorta.
I'll divert the tube
to the left main stem.
Why would you do that?
Makes it easier for Neela
to clamp the right hilum.
Fifth unit is up.
Satinsky to Neela.
That's better.
I see the hilum.
She's not perfusing.
And we're clamped.
More suction.
Breath sounds on the left.
Good call. Looks dry.
Heart rate up to 50.
Got a femoral pulse.
That's good, right?
It's great.
It's excellent.
Page Ortho.
We're gonna meet them
in the OR.
Can we follow?
You stay here. Until you prove
you're not drunk,
I don't want you
anywhere near your mother.
She likes salsa dancing
and screwball comedies.
You hurt her, I'll remove
your gallbladder.
Not good.
She implicated
the mother?
Yells, loses her temper
from time to time,
spanks them.
I need to get Child
Protective Services involved.
Think you'll be able to
keep the kids together?
Since the dad's not in the
picture, Claire will probably
go into
foster care.
By the time her
sister's released,
maybe a relative
will step up and take them.
If all goes well,
she'll be discharged in a week.
Great, I'll start the paperwork.
Well... that's settled.
This blood test will show
us your alcohol level.
Which will be zero.
Can you guys rush this,
so my dad can calm down?
One test is not gonna
solve the problem.
Trust me, I know.
All right,
you're all set.
Your mom will be out of
surgery in a coupla hours.
I'll go get some coffee,
give my dad some space.
Hate to get all Jerry Springer
in the waiting room.
Thanks.
And back in Oz,
we don't waste
tax dollars
on family disputes.
We talk it out
over a beer.
Well, that
was nice of you.
What's so funny?
Your accent. It's cute.
I dated this guy
in New Zealand once.
I spent a summer there
in college
teaching Maori kids
science.
New Zealand?
It's... it's
totally different.
Oh, well,
if you say so.
The shopping sucked.
Do you miss Sydney?
Every now and again.
Where are you from?
Newton, Mass.
You didn't want to
train at the Brigham?
No, I'm all about
Michigan Avenue.
Get Banfield!
My God, what happened?
Get security.
I saw a piece of
glass in Julie's leg,
and I wanted to get it out
with the tweezers, but I wanted
to sterilize them
with a flame first
so she didn't get
an infection.
But I accidentally dropped it
on the bedsheet.
Take her to another room,
and don't let her
leave your sight.
Looks like 15%
body surface area,
nothing circumferential.
Let's go.
I didn't mean it.
I was just helping!
What should I do?
Hang another litre
of Ringer's.
Dr Brenner,
call the burn unit,
and get back
to your other patients.
Who are you,
Stevie Wonder?
Did you see
her smile, her legs?
Isn't she lovely?
Forget lovely.
I'm not doing it.
Why? Give me
one good reason.
You're gay.
Not that there's anything
wrong with that.
I'm not gay.
You're seeing
someone.
She...
Impotent?
She's a patient.
A technicality.
Do it for the team.
OK, here it is,
Sanchez, OK?
She's a call girl.
Yeah, a whore,
an escort.
So it's even better
than I thought.
We're all whores.
You prescribe antibiotics
from some drug companies
that give you stethoscopes
and free lunch... whore.
Hey, look.
I am done with
dating, Ryan.
The last girl
I really liked
took my heart
to Caracas.
So you're just gonna sit
on the sidelines forever?
Yeah, that's the plan.
Then, I need another mentor.
Why?
Because I want someone
who's well rounded
and understands
interpersonal relationships.
I understand them.
Then, get in the game,
Archibald.
It's time.
Keep the Ringer's
at 85cc's per hour.
Ortho's ready for her in the OR,
and then she
has a burn unit bed.
Well, let's move her
to surgery.
Why does she need that?
They need
to pin the femur.
She gonna be OK?
She's gonna be fine.
But we need to talk
about something else.
I'm afraid Claire
is a danger to others,
Mrs O'Fallon.
No, it was an accident
like she said.
There was no glass
in Julie's leg.
How do you know
if her legs were burned?
Look, I realize this is hard.
Claire is a good kid.
Has she been depressed lately?
No.
I mean, maybe a little.
Uh, her friend got hit
by a car last spring,
but I thought
she was over that.
Someone from Psychiatry
needs to talk to her.
Why?
She's just acting out.
Well, we'll see if they agree.
And if they don't?
Then she might need to spend
some time in the hospital.
My kids are OK.
Claire's down the hall.
You're welcome to go be with her.
You know, physical
and psychological things
can push kids to do
all kinds of stuff.
I know, Dr Gates.
And if this woman is hurting them,
then all of this
makes sense.
We're both trying to get
to the bottom of it.
Go clear some patients.
You score any goals?
They got to go get pizza
and see a movie,
and I'm stuck here.
Why can't I go home?
You take that thing out?
No, it's my body,
and I can do what
I want with it.
Sarah, I know it's your body.
This is something
we have to discuss.
You know, you're getting
to that age where you...
you know, you're starting
to get curious about boys
and... sex.
What does a tongue stud
have to do with sex?
Come on, Sarah.
Don't play dumb with me.
That's not why I got it.
Do you have a boyfriend?
No.
And I'm not having sex.
We thought it
would be fun.
I was gonna do
my belly button, but they
bet me ten bucks
to do my tongue.
Well, I'll give you 20 bucks
to take it out.
Tony.
Listen, I want you
to take that out
before you go back
to school on Monday.
Fine.
I think you're overreacting.
I know this is weird.
You know, and it's weird
for me, too,
but do me a favour.
Next time you think
about piercing something else
on your body or...
if you want to talk about sex,
then you come to me, OK?
Cos I'm here for you.
I'll just wait
over here.
All right, give
me a minute.
You know, it killed me
to put her
in a nursing home.
After a while,
I couldn't deny
that she put the eggs
in the hamper,
ice in the microwave.
Alzheimer's is hard.
It kills you.
She doesn't remember me
half the time. And him?
He can't even
help out.
His blood alcohol
level came back.
It was zero.
None detected.
The other driver ran a
red light, Mr Holmes.
Now, I know your son's
made mistakes in the past,
but let him show you
that he's changed.
He's trying.
How is she?
The surgery went well.
And we were able to repair
her pulmonary artery and vein.
Good... that's
good, right?
I mean, at her age,
her rehab could be a while,
but she's already
starting to wake up.
Thank God.
When can I...
when can we see her?
Come on, I'll take you to Recovery.
That seems like a cause
for a celebration.
Bringing Up Baby
is playing at the Limelight.
We should... we should go.
I... can't.
I'm working here late.
Or we could, we could
grab a quick coffee
at the Jumbo mart.
Think of it as an olive branch.
All right, coffee it is.
Great.
I will meet you
out front in one hour.
It's a good thing
you weren't seriously hurt.
Been a few muggings recently in
the area that didn't end so well.
How much time
will he get for this?
Depends on his priors.
You'll be called for a court date.
I don't have time for court.
Unless he takes a deal,
it's the only way
we can put him behind bars.
Here.
If you have any questions...
call me.
Thanks.
How you doing?
I'm fine, Dr Morris.
You know,
I don't get it.
You get mugged,
you beat him up.
You're injured, but you still
go through the day.
I don't buckle,
Dr Morris.
OK.
Sometimes you might want
to give yourself a break.
No.
Cos then I might have
to give someone else one.
DOOR OPENS
Just wait outside for me.
Mm-hmm, sure.
So how you doing, Claire?
I'm fine.
You know, you never told me
what grade you were in.
Sixth.
What do you think
of school?
It's boring.
You know, some kids,
when they're bored,
they cut class.
I've never
done that.
Your mom said you did.
School's a waste of time.
I'm smarter
than most of the teachers.
(CHUCKLES) How do you
and your sister get along?
OK.
She thinks she's going
to the Olympics.
What happens when you fight?
My sister and I
always fought.
It really sucks
cos she's always right.
She's little
Miss Perfect,
and even if she starts it,
my mom always sides with her.
That must bug you.
It's every day.
If she breaks a plate,
it's because I bumped into her.
How do you get back
at someone for doing that?
Teach her a lesson.
By doing what?
Nothing.
Are you sure?
Claire, we have video cameras
in the ceilings
of our trauma rooms.
We saw you adjust
the ventilator
and light the sheet
on fire.
I didn't want
to kill her.
I just wanted to mess her up.
You did?
If she's in
the hospital,
Mom will see what
a good girl I am.
She won't be blaming me
for everything.
Is that why you pushed her
off the wall?
Claire,
they're accusing your mother
of child abuse,
which means
she could go to jail
and your sister and you
could both go to foster homes.
Now... something tells me
that she doesn't hit you two,
and she didn't
push your sister.
Did you do it, Claire?
Did you?
It was cool seeing her
lying there
all pale with blood coming out,
and then when
she couldn't move
and her legs
were getting burned,
it was great.
That made you feel good?
Really good.
Hmm.
Well...
it'll probably be better
if you stay in the hospital
for a while.
Why?
I'm not sick.
We just think
it would be a good idea.
No.
I won't.
I won't!
Wha...
No, I won't!
I won't! I won't!
Claire, Claire!
No!
Mommy!
Call the psych ward!
Mommy, we can hang out now
that Julie is in the hospital.
All right, Claire,
relax, all right.
No! Mommy!
Come on.
Mommy, help me!
Let us take care of her,
Ms O'Fallon.
Relax.
Get off of me!
.5 of Haldol, Ativan.
Get the hard restraints.
It's just for a short time, right?
Then I can take her home soon.
She'll be all right.
I will kill you!
I will kill you!
I will kill you!
I'm going to cut you up
into little pieces!
I can't remember the last time
we did a right-sided thoracotomy.
That guy's lucky
to be alive.
Well, I, uh, lost
a trucker in Sydney
with a right
hilar tear.
You miss it once,
you never forget.
I guess you're right.
We should go, uh,
salsa dancing sometime.
How do you know I like
dancing and old comedies?
I do my research.
We're just going
to be friends.
I'm sorry if I gave you
the wrong impression.
What... you mean
sleeping with me?
An awkward shag...
on a horrible day
doesn't count...
as "sleeping with you."
It counts as poor judgment.
You romantic fool.
I thought we fit
well together.
OK.
All right.
I'm not going to hound you.
I'm not going to beg.
But one day you will
wake up next to me
and you're
going to wonder
"How did this happen?"
and I'm going to smile
and remind you
that I predicted this
over coffees
and chocolate-glazed doughnuts.
You're a cocky bastard.
Yeah, but I will
be a correct...
cocky bastard, and that's
all that will matter.
You ready to go?
Are you all right?
Oh, Claire left her coat
down here.
You know, about
a month ago,
I, uh, I caught her throwing
rocks at the neighbour's dog,
and then a few days later,
she was trying to stick
a metal rod through one
of the fish in our tank.
And I just tried to
pretend it was normal--
you know, just
a kid acting out.
I don't get it.
Why her? Why our family?
I don't know.
That's all you can say?
You can't
lie to me
and tell me that
she's going to be OK,
that she's going to grow up
to be a normal girl?
I mean, that's why we come here:
to get answers.
You're going to have
to do better than that.
I'm sorry. That's all I have.
Well, that's not good enough,
doctor.
That's not good enough.
VOICES ECHO, ALARMS BLEEP
FEMALE NURSE:
Ceftriaxone's in.
Then run fluids at 100 an hour.
Prep some atropine.
Epi's in.
Sats 91 on 100%.
Come on. Come on, Daryl!
PADDLES ZAP
When we will know
if it's working?
we have no choice.
Clear!
FLATLINE TONE BEEPS
(SNIFFLES, SIGHS)
'Previously...' What's this?
My letter of resignation.
I hate this part of you.
Nora, that's enough.
The very thing you like least about
Kitty is the thing I love most.
I want it to be different
with you.
William had another lover, and
they had a child together. Ryan.
We were impressed at the meeting.
We're keeping an eye on you.
Will Robert really make you
quit if you publish?
I certainly can't work with people
that I wrote a book about.
When you're ready to have a real
relationship with me, I'll be here.
It doesn't feel like
our company any more.
I'm quitting.
I was trying to find
Ryan Lafferty.
Not a problem.
I talked to Ruth Gavin
yesterday from Downtown Arts,
and she told me
everything I need to know
about starting up
a non-profit,
so welcome
to the nerve centre.
Nerve centre.
I could--I could see that.
She told me I need space
where I can
talk to potential donors,
interview volunteers, begin
to write proposals and grants.
And I need lines -
three telephone lines -
a printer that copies,
or a copier that prints.
I-I haven't even
raised a dime.
I'll be in debt before I begin!
Breathe! Everything'll be OK.
I'm breathing. I'm breathing.
All right? OK.
OK. First things first...
Uh-huh?
I want all this stuff out of here.
OK, what do you want to go?
The couch, the chair, the lamp,
the desk, the globe...
Wait, Dad's desk?
He's not using it.
Oh. I-I just figured
that maybe you'd want to.
No. It's not me. It's this big,
clunky George Washington thing.
I want it light and airy
in here, not a book-lined tomb.