ER (1994–2009): Season 2, Episode 3 - Do One, Teach One, Kill One - full transcript
Carter gets his first official patient while Doug treats a four-year-old Asian boy who has AIDS.
[theme music]
[water gurgling]
[moaning]
‐ Good morning.
‐ Good morning.
To what do I owe this?
It's been
a great few days.
I kind of wish
it wasn't going to end.
Ah, me neither.
The thought
of getting on that train.
[sighs]
I was thinking..
...maybe I'd stay
in Chicago some nights
when I have
to work the next day.
Stay where?
I don't know.
Maybe Doug's.
Doug's?
You disapprove?
Oh, it's just the thought
of all those pretty girls
padding around
in their underwear.
(Mark)
'Yeah. Beats the YMCA.'
You have nothing
to worry about.
But it was
my understanding that
a sub‐internship involved
more responsibilities.
What do you wanna do? Cut out
whipple's? Trisegmentectomies?
I just thought I'd
be forming my own patients
around the service
assisting on yours.
Uh‐huh, what do we got?
‐ This is Ed.
‐ I'm thirsty, doc.
When we're finished here,
I'll get you some water.
‐ How about a scotch and water?
‐ Carter?
Patient experienced
shortness of breath
while sitting on his stool
in Molly's saloon.
BP 120/80, pulse 112,
respiration's 28.
History of emphysema, congestive
heart failure, pneumonia.
Upon auscultation, diminished
breath sounds were noted
at the base
of the patient's right lung.
Intrigued, I tested
vocal fremitus per bates
second edition, leading me
to a diagnosis
of pleural effusion confirmed
by this radiograph..
...which shows fluid
in the patient's right..
...costophrenic sulcus.
Thank you, Professor Carter.
So what do you want to do?
‐ Tap the fluid.
‐ Tap?
How many pleural taps
have you done?
‐ Eight or nine.
‐ Run the procedure.
Prep and drape in
the usual manner, anesthetize‐‐
‐ What's on tap?
‐ 'Procure a 14‐gauge needle‐‐'
Alright, Carter. Well,
call me if you need me.
'Oh, and Carter..'
...consider Ed here,
your patient.
Uh, Harper, have you
ever seen a pleural tap?
It's 2‐B, guys.
[yawning]
Getting tired of life
in the fast lane, Hathaway?
Just of your jokes, Shepherd. 15
more minutes, I'm recertified.
'I won't have
to hear any of‐‐'
‐ Yoo‐hoo.
‐ Those were jokes?
Up here.
Whoa, smells like
he's gone already, huh.
I wish.
♪ That hasn't got a ghost ♪
He's been sitting
there for weeks
'using himself
as a toilet.'
'He hasn't paid
his rent in six months.'
'I'm losing tenants
because of the smell.'
(Ray)
'This guy must weigh a ton.'
'How are we supposed
to move him?'
I brought a dolly.
Man, his BP's 220/130.
We'd better take him in.
(Ed)
'Do I have to?'
You don't want
to go to the hospital?
I‐I'd rather stay here
with my rabbits.
[chuckles]
Alright, well,
he doesn't want to go.
Oh, no. Now you wait
just a minute.
The sheriff said
you'd take him.
Hey‐y, lady, we don't run an
eviction service here, alright?
‐ We can't just leave him.
‐ He doesn't want to come.
He's not competent
to make that decision.
‐ But do do we know that?
‐ Look at him.
♪ Without a piece of cheese ♪
♪ I'm Vienna ♪
♪ Without the Viennese ♪
So, he's eccentric.
♪ I'm Da Vinci ♪
♪ Without the Mona Lees ♪
Mona Lees?
♪ When I'm without you ♪
I just cleaned the rig.
Shep.
♪ Without a hitching post ♪
♪ I'm a network
without a coast ♪
Raul?
♪ Just a poached egg ♪
♪ That hasn't got a toast ♪
♪ When I'm without you ♪
[chuckles]
‐ Ready?
‐ I'm ready.
One...two...three.
[theme music]
[music continues]
Good morning, Jerry.
Hey, Doctor Lewis.
Hello, little girl.
Yea‐ah.
‐ Yeah.
‐ Hello. How's Chloe?
Uh, she's become disenchanted
with computer classes.
She's now going
to find her bliss
at the Diesel Mechanics Academy.
Oh, good school.
How come I'm already signed up
for four patients already?
Huh, courtesy
of Doc Weaver.
I'm not on
for another ten minutes.
Eight. Morning, baby.
Kerry, I appreciate
the vote of confidence
but I'm used to signing up
for patients one at a time.
Mark and I decided
residents should carry
at least four patients
I got a memo on your email.
Jerry, are my labs ready?
I'm on a tight deadline. So
the interviews have to be today.
Harv from radiology's
coming down at noon
to take your picture.
Alright. Alright.
Morning, Susan.
Yeah, right.
What publication is this?
‐ Uh, nursing newsletter.
‐ The swimsuit issue?
I'm doing a cover story
on our newest attending.
And I want quotes
from all of you
so get your thinking caps out.
You're a shameless
self‐promoter.
Yeah, yeah.
Nice shirt, Jer.
[telephone ringing]
Consent on bed five.
Just leave it.
I need your Juan Hancock.
Hey, Jeanie.
Look, we need to talk.
7 O' clock, same spot.
Any problems,
beep me, alright?
Girlfriend?
♪ I'm a doctor
without a single pill ♪
♪ I'm a dentist
without a tooth to fill ♪
[humming]
Carotid bruits, papilledema.
‐ 'Mitchell?'
‐ Yes?
Do you have headaches
or loss of consciousness?
Uh, sometimes I‐I,
I sort of, sort of drift off.
Well, it's a good thing
that you're here.
He's at risk for
a cerebral hemorrhage.
Let's start him with
a nipride drip and get a CT.
‐ Okay.
‐ Can I borrow a pen?
Burning the candle?
Uh. Paramedic ride‐along
all night.
♪ I'm Las Vegas
without a slot machine ♪
♪ I'm a gypsy
without a tambourine ♪
♪ I'm Napoleon
without his Josephine ♪
‐ Hey! How's he doing?
‐ He's clean.
Yeah, that's more
than I can say for my rig.
[sobbing]
What's the matter, Mitchell?
What's going
to happen to my rabbits?
Oh, they'll be okay.
How?
Who's gonna to feed 'em?
No. No. No way.
If nobody feeds them,
they're all going to die.
Shep?
[sobbing]
Okay, what happened?
Mother couldn't
wake him up from his nap
‐ Is he breathing?
‐ Barely. Pulse is weak.
Could he have
swallowed something?
No, I don't think so.
‐ Has he been sick?
‐ Yes.
He been on
any kind of medication?
Yes. Bactrim,
phenytoin, AZT.
‐ AZT. He's got aids?
‐ Aids? Yes.
Dilantin.
You have him
on phenytoin and dilantin?
‐ Yes.
‐ At the same time?
‐ Yes.
‐ It's the same thing.
‐ He's OD'd on dilantin.
‐ He's not breathing.
Alright, let's get
an intubation tray, damn it.
‐ I give too much?
‐ Yes, you gave way too much.
Way too much. CBC, chem 7.
Pull that thing off.
There we go.
Get a dilantin level and set up
for a gastric lavage kit.
(Doug)
'We're gonna have
to pump his stomach.'
Yeah.
(Angela)
'I'll hold his head.'
Okay. Here we go.
‐ He's in.
‐ Alright, bag him.
'Let's get that lavage.'
Come on, little guy.
'Come on.'
[indistinct chattering]
'I need a pediatric [indistinct]
and some Cetacaine.'
'Grab some surgilube
with 30 grams of charcoal.'
(John)
'You go in'
'right over the top
of rib number eight'
at the posterior‐axillary line
advancing and aspirating
as you go.
‐ I got to call home.
‐ Your wife?
Oh, no, not for me.
Why buy the cow when
you get the milk for free?
(John)
'Take care to avoid
the neurovascular bundle.'
I got to call Olaf,
my roomie.
I left a half a sandwich
in the fridge.
and I don't want anything
to happen to it.
Now is not a good time 'cause
we're about to draw fluid.
(Ed)
'I'll bet he's
over at Molly's.'
‐ Who's Molly?
‐ She's a bar. My bar.
Voila.
[groaning]
That's better. That's better.
[sighing]
Why'd it stop?
Sometimes, you hit
an adhesion.
Damn.
‐ Should I get Benton?
‐ No.
[yelling]
Whoops.
What'd you do? What'd you do?
‐ I'm gonna get Benton.
‐ No, he's my patient.
Uh, yeah. Get him,
get him, get him.
Dilantin level's 40.
Hmm, double dose.
No surprise.
[clears throat]
What's her name?
Ma'am, what's your name?
Mei‐sun.
‐ What's your little boy's name?
‐ Chia‐chia.
Imma tell you
what we're doing, okay?
Now, we've washed
all the medicine out
and now we're putting charcoal
into Chia‐chia's stomach
to absorb what's left.
‐ Doug?
‐ Hmm?
Hey. Hi, buddy.
Don't be scared, alright?
You got a little sick
and your mom
brought you to the hospital.
She's right here.
Hmm, come on.
[speaking in foreign language]
‐ What happened?
‐ I pushed it too far.
Oh, damn it, Carter,
you were supposed to tap
his lung
not biopsy his liver.
(Peter)
'Alright, let's get him up
to the OR, now.'
He needs a room. Move!
[screaming]
I don't believe this. There goes
next year's surgical residency.
(Peter)
'Carter.'
[indistinct chattering]
I've known Mark Greene
since he was
a wet‐behind‐the‐ears
med student.
He had the most beautiful
curly blonde hair
and so poilitepolite.
All I do was ask and he
would be cleaning the bedpans
and changing the sheets and..
...he was the best
scut puppy I ever had.
So would you say that, back
then, he was sort of "green"?
No, Wendy,
I would never say that.
Okay, retract
the liver inferiorly
and rotate the right lobe.
Oh, there she blows.
You hit the hepatic vein.
‐ Nice shot, Carter.
‐ 5‐O proline.
I'm really sorry,
Doctor Hicks.
It's just when
I felt resistance.
It felt like exactly
like an adhesion
I'd encountered before, with the
patient's history of ephysema‐‐
Hoo, one‐handed.
Peter, you've been practicing.
‐ I'm really sorry.
‐ Carter, it happens.
It's alright.
My best student
once did a sigmoidoscopy
punched through
and saw the appendix.
Sound familiar, Peter?
Metz.
What I'm more
concerned about now
is the condition
of this man's liver.
Feel that. Hard as a rock
and shriveled like an old shoe.
Gallon‐a‐day drinker.
At least, look at the size
of those mesenteric veins.
What does that suggest
to you, Carter?
Portal hypertension.
And what are the hallmarks
of portal hypertension?
Caput medusae,
esophageal varices
hemorrhoids, ascites
splenomegaly.
Good.
I wouldn't give
this liver three weeks.
‐ NG's returning blood.
‐ Varices are bleeding.
Lucky we're here.
We'll do something about it.
‐ Portal bypass?
‐ We could.
But with a liver this oozy..
Have you ever done
a tips procedure?
‐ No. But I'd like to.
‐ I bet.
In fact, it's an excellent case
for teaching.
Sylvia, round up all surgical
residents who aren't busy.
Tell them we're starting a tips.
Standing room only.
What do you know, Carter?
You did this guy a favor.
[high‐pitched tone]
[tone continues]
Mr. Holthouse?
‐ Yes?
‐ I'm Doctor Lewis.
‐ What is that?
‐ Tibetan singing bowl.
I get anxious in hospitals.
It helps me to relax.
Oh! I understand you're feeling
dizzy this morning.
Yes. I've had
this spinning sensations
on and off all week.
Headaches?
‐ No. Some nausea, though.
‐ Spots before your eyes?
No. Say, you're under a lot of
stress right now, aren't you?
Who isn't?
(Mr. Holthouse)
'Yes, I can see
the tension in your face.'
I could suggest some
relaxation techniques.
Thanks, but I'm really
a lot more relaxed than I look.
Open your mouth.
Hey, big guy.
‐ Love the tie.
‐ Thank you, Malik.
‐ Thank you very much.
‐ What's the occasion?
Well, since you asked
I've been promoted.
To what?
Supervising emergency
service co‐ordinator.
Ah, more money, huh?
Uh, unfortunately, no.
‐ Oh.
‐ Better benefits?
‐ No.
‐ More responsibility.
No.
Well, congratulations.
Mark, that big guy,
Mitchell, he's seizing.
[groaning]
Alright, let's make some room.
(Mark)
'Bite block.'
.5 ativan IV Push.
Positive Babinski.
Pinpoint pupils.
Does not bode well.
‐ Pressure's up, 250/140.
‐ Alright, jack up the nipride.
Let's load him up with dilantin.
‐ How much?
‐ Uh, let's see.
He's about, uh, 400 pounds
divided by 2.2 is, uh‐‐
181 kilograms.
Times 12 milligrams
per kilogram would be, uh‐‐.
Uh, 2,730.
I have a facility
for simple math.
[groaning]
Alright, we'll start with a gram
and we'll titrate up.
Come on, Mitchell,
stay with us.
Stay with us, Mitchell.
Come on.
Vitals are coming
back to normal.
Let's get him
to Pedes ICU, huh?
Hey, Chia‐chia,
how you doing?
'I'm Doug.'
He doesn't like doctors.
Bet he sees a lot of us.
Where do you take him?
Uh, Pediatric
clinic upstair.
(Doug)
'Who's your doctor?'
Always a different one.
Yeah, they're
pretty busy up there.
Yes, very nice but..
...sometime,
we wait four, five hour.
It's hard for him.
And I have to make sure
that this medication problem
doesn't happen again
so I have to ask you..
‐ ...can you read English?
‐ Yes. I follow direction.
This one from two week ago
'and this one from yesterday.'
He gave you two prescriptions
for the same thing.
[sighs]
You did exactly what
they asked you to.
I'm sorry that
I was angry with you.
This is not your fault.
'This is the doctors
at the clinic's fault.'
Okay, alright. Next time,
you bring Chia‐chia here.
You give this
to the nurse out front
and she will bring you
straight back, no waiting.
Okay?
[chuckles]
I thought
he didn't like doctors.
Chia‐chia, no.
That's okay. He can hang
on to it for a while.
You can keep that.
Mr. Holthouse?
(Mr. Holthouse)
'Over here.'
I see you're feeling
much better.
Yeah, but I still have
that spinning feeling
even upside down.
(Susan)
'Have a seat. Tony will take
you for a CAT scan.'
Doesn't that cause cancer?
(Kerry)
'Susan, a word, please?'
Why are you ordering
a CT For vertigo?
Why are
you questioning my order?
Because it's
a $1,500 procedure.
I have to rule out
acoustic neuroma.
He's had five bouts
of dizziness in a week.
Well, you wouldn't know
by looking his chart.
I haven't had time
to write down my notes here.
‐ I've had other patients.
‐ So do I.
And I manage to keep
track of the details.
So have I, on
my note cards.
Well, I don't
have access to those. Do I?
Here.
Put them on the chart,
and in the future
run all procedures by me.
[sighs]
Hey, what happened?
Subarachnoid hemorrhage.
He went just like that.
What are you doing with him?
Uh, landlady called
animal control.
They were rounding
them up. It was awful.
This guy followed me
down the hall.
‐ Is he clean?
‐ Sure, he's clean.
And he's soft too.
Poor fat guy,
he never hurt anybody.
Just sat around with his bunnies
singing that nutty song.
♪ I'm a mousetrap
without a piece of cheese ♪
♪ I'm.. ♪
What was it?
Vienna.
♪ Without the Viennese ♪
♪ I'm Da Vinci ♪
♪ Without the Mona Lees ♪
♪ When I'm without you ♪
Mona Lees?
No, he is a patient
of yours. Chia‐Chia Leow.
He's a four year old
with AIDS?
Well, try to remember,
because you almost killed him
by giving him
a dilantin prescription
when one of your cohorts
already had him on phenytoin.
Don't you people
talk to each other?
[grunts]
Making friends again?
Idiots at the Pedes clinic
doubled up a kid's prescription
and almost killed him.
‐ Get her off my back.
‐ Her?
Weaver, she just
dressed me down
on the hallway
for ordering a CT.
Ah, we're getting pressure
from upstairs.
She scours my
charts looking for errors
she treats me with disdain.
You want me
to talk to her?
Yeah. Tell her
to cut me some slack.
[beeping]
See how Peter's snaking the
sheath through the vena cava
to the right hepatic vein?
I'm in.
Now comes the fun part.
Remove the guide wire.
Rotate the needle
counterclockwise 90 degrees.
Pressure's dropping, 80/60.
Give him pressors
and keep me posted.
Now, puncture
the cirrhotic tissue
and enter the portal vein,
creating a new pathway.
Balloon stent's in.
Expand the balloon,
slowly. Easy.
‐ We have circulation.
‐ Portal pressure's coming down.
And the liver is reborn.
Hallelujah.
‐ He's getting tachy. 180.
‐ Now we fixed his liver.
There's not much we can
do for his heart.
‐ Run of five.
‐ Get out of there, Peter.
Alright, I'm getting...out.
‐ He's fibrillating.
‐ Carter, CPR.
‐ Come on, yeah. Come on.
‐ Charge it to 200.
‐ Stand back.
‐ Clear!
[thuds]
Hey, Kerry,
how's it going?
‐ Uh, pretty good.
‐ Good.
But there's something
we need to talk about.
‐ Oh?
‐ Susan Lewis.
This is a bit awkward.
I‐I mean, I know
you two are friends
but she seems
to resent my being here
and it's creating
some tension.
You know I picked up on that.
Are you sure? It has nothing
to do with her ability.
She's really quite competent
but her attitude
is openly hostile.
I‐It's probably
a communication thing.
You know, I mean,
you're, uh
you're very authoritative
which is great
but your assertiveness, i‐it
might be off‐putting to some.
Believe me I'm aware of that.
T‐that's why
I bent over backwards
to be sensitive with Susan.
I'd rather you not say anything,
but I wanted to make you aware
that this is
a potential problem area.
‐ Right. Thank you.
‐ Uh‐huh.
[indistinct chattering]
A picture‐perfect
procedure, Benton.
Bev, save the tape which
we'll show it at M and M.
Carter, you can present.
It'll be your first time.
I'll tell him.
My first official patient.
Carter, the guy was a train
wreck. He died of heart failure.
'It had nothing to do
with you perfing his liver.'
Come on, if the guy hadn't been
on the operating table‐‐
Then his liver would have failed
him in a month, maybe sooner.
‐ I'll tell the family.
‐ He didn't have any.
Carter..
...it's how you learn.
It'll make you
a better doctor.
What can I say about Mark Greene
that hasn't only been said?
I think everybody knows
how he‐he overcame
adversity as
a child of quakers
his years in exile, his
political writings and limericks
'his mod period
with the turtlenecks'
his blue period,
and, of course
his ruthless
march to power
and the silencing
of his rivals.
Doctor Ross?
‐ Doctor Ross?
‐ Hmm?
♪ I'm a doctor
without a single pill ♪
Which one do you think?
It's for
the nursing newsletter?
Yeah. You think this one?
I'm looking for the supervising
emergency service coordinator.
You've found him.
Oh! Hi, I'm Randi.
I'm the new clerk.
I understand
I'll be working under you.
Uh, right. I, uh
I was expecting a guy,
because of the name.
"Randi." Right, yeah,
I get that a lot.
(Randi)
'Uh, personnel said
that you would have'
'some immunization forms
for me to fill out.'
Right. Um, you're
going to need
a rubella and a heptovax.
Lab's on the second floor.
And they said I would need
an employee physical
and that somebody here
could do it.
Jerry, you have any charts
for me, any patients? Anything?
Oh, yeah. Well,
I'll be at Pedes ICU.
‐ Carol, you got to come quick.
‐ What's up?
Three hundred pound angel duster
broke out of restraints
climbed on top
of the ambulance.
What is this,
crazy, fat guy day?
Yeah, I'm telling you,
this dude is mad.
Call security,
go find Mark Greene.
The tests show there's
nothing seriously wrong.
I think your dizziness
is caused by labyrinthitis.
What's that?
Inflammation of the inner ear
very minor and nothing serious.
Don't aggravate it,
it'll go away. You swim?
No. I don't know how.
But I do spend a lot
of time floating
in my sensory
deprivation tank.
Not for the next two weeks,
you don't.
No standing on
your head, either.
(Mr. Holthouse)
'Doctor Lewis?'
I'd like for you to have this.
‐ No, thanks.
‐ Please. It's a spare.
It's not necessary, really.
I think it is. Really.
Oh, God, not another one.
‐ Watch out, Carol.
‐ Relax.
‐ Hey, buddy, relax.
‐ Hey, big fella. Take it easy.
Where's Mara? Mara?
Mara. Mara.
Wait‐wait, just
back off there, Mara.
‐ Mara!
‐ What's he on?
‐ PCP.
‐ I got him.
‐ Hey, hey!
‐ Get away from me.
‐ Don't you touch me.
‐ Are you alright? You okay?
‐ Nobody touches me.
‐ He's cut.
Stay here.
I'm taking him in. Come on.
‐ Mara!
‐ Where the hell is security?
‐ My God!
‐ Let's shoot him.
‐ I can't see.
‐ Let me talk to him.
‐ Make it stop!
‐ Fine.
Okay. Okay.
Hey, what you doing
up there, big guy?
‐ Mara.
‐ 'Yeah.'
Why don't you come
down here?
It's much
safer, okay?
‐ Mara?
‐ Yes, babe, come on down.
Mara! Where's Mara?
Mara, Mara.
What are you doing?
Hey, what're you doing?
Hey, Hey, no.
[screaming]
Oh, my God!
[screaming]
[thuds]
Oh, Mark, did you
and you‐know‐who
have a you‐know‐what?
‐ You bet.
‐ Good.
And then, these extensions
are for internal use only.
‐ Uh, Doctor Lewis?
‐ Yeah?
Can you do
an employee physical?
‐ On?
‐ Randi?
‐ Hi.
‐ Hi. Breathe in.
Breathe out. You're fine.
Where's the form?
[scribbling]
Uh, do you have my
roommate as a patient?
Uh, Ed Menke?
Yes. Uh, uh,
you must be Olaf.
Uh‐huh.
Uh, I'm afraid I have
some‐some bad news
about‐about Ed.
Oh.
He, well, uh, he had
fluid in his lungs
and during the course
of trying to remove it, we..
I, accidently
punctured his liver.
We took him to the OR
and successfully
stopped the bleeding
and did some additional surgery,
but, um, uh, unfortunately
his heart gave out,
and, uh..
...he died, on the table.
I'm very sorry.
Yeah, they told me
that upstairs.
They said you
had his property.
‐ Property?
‐ Yeah.
He took
the remote control doohickey.
It's his TV, and, uh
he's kind
of tightfisted about it
but, uh, I don't think
he's going to mind now.
Double dose of haldol.
‐ It's about time.
‐ 'I can't see. Stop.'
Look, why don't you
try and...you know.
Right, right, right,
right, right.
‐ Hey.
‐ No.
Hey. Hey!
Hey, big guy.
Hi. So, are you
from Chicago?
Ah, Geez.
Um, come on. Come on.
You can do
better than that, huh?
You weren't even close.
Come on.
Oh, God!
0 and 2, big guy. Come on.
(Carol)
'Why don't you just try
to put some mustard on it.'
'That's it. That's it.'
[screaming]
'Yeah. Yes.'
Bull's‐eye.
[screaming]
Nice work.
[laughs]
[thudding]
(Jeanie)
'With a regimen
of ultrasound and tens'
it's possible he could regain
the use of his legs.
Jeanie.
‐ You get my message?
‐ Yeah.
Alright, 7 O' clock.
Found a prisoner on the floor
of his jail cell spitting blood.
Swallowed a dozen razor blades.
‐ Suicide try?
‐ Who knows.
‐ Maybe he wanted a field trip.
‐ Set up for endoscopy?
Yeah, get a KUB and I'll need
a rat tooth on the scope
so I can grab the blades.
Coming through.
[baby bawling]
Hey, Chloe, what
are you doing up here?
Oh, hi. Just talking
to my baby.
[smirks]
Hey, w‐why don't you listen
to her breathing.
Sounds like she's got
pneumonia or something.
Okay. Hang on a second.
‐ No. She's just gurgling.
‐ Oh.
[smirks]
Come here. Yeah.
You picking Little Susie up?
‐ What?
‐ You picking Little Susie up?
[baby crying]
Oh, um, no. I'm just taking
her for a little walk.
Big susie know that you're here?
[crying]
You know, I'm going
to go wait outside.
You okay?
Yes, I'm just
a little tired, that's all.
Well, see you.
No bleeding in the esophagus
or antrum. H and H back yet?
Normal, 14 and 42.
Ah, got one. Razor
blade coming up.
‐ How's his pressure?
‐ 120/80.
Won't that slice up his throat?
Nope, because he
taped the blades.
So much for suicide.
What's this about, Curtis?
Not trying to escape, are you?
What's this?
Prisoner swallowed razor blades.
‐ No blood in the gut?
‐ No.
You're done.
Pull out the scope.
He's already tubed.
I'm not gonna stop now.
I told you no procedures
without going through me.
Go get mark.
Doctor Greene, we need
you in trauma one.
What's up, guys?
Person who swallowed
taped razors.
I wanna pull them out.
Kerry wants to leave them.
‐ His gut's not bleeding.
‐ It could.
Hasn't yet.
I say, let them pass.
It's a judgment call, guys.
Well, if he bleeds we go in,
we take them out.
For now, pull the scope out.
Excuse me.
Carter, you had a patient
named Menke, right?
Yeah. Why?
Doctor Hicks had pathology
take out his liver
'for some cirrhosis study
at the Stendhal clinic.'
'She said you should arrange
to get it over there.'
Ugh! Ugly little thing,
ain't it?
Ay, que feo.
An exciting case?
Here's one. Guy comes in,
hypervolemic shocked.
Defibrillated 10, 15 times.
'We maxed out on lidocaine
added bretylium.'
Finally, shocked
him back to sinus.
He goes bradycardic.
So, I float
a trans‐venous pacemaker
get capture,
he stops breathing.
I had to climb on
intubate him
cowboy‐style,
right there on the table.
‐ Wow!
‐ Yeah.
What happened?
He died.
[indistinct chattering]
(Kerry on tape)
'Please enter the patient
number before proceeding.'
Jerry?
Doctor Weaver loaded an audio
program on to the computer.
With her own voice!
Where's Greene?
Uh, he and Doctor Ross
went to the gift shop.
(Kerry on tape)
'Don't forget to log off.'
'Don't forget to log off.'
'Don't forget to log off.'
You sure don't mind?
Are you kidding?
Mark, anytime.
Yeah? Well,
how about tonight?
But, now, tonight,
I may have company
depending on the weather
patterns over Greenland.
‐ What?
‐ Doctor Ross?
Next time you get the urge
to pick up the phone
and start screaming at one
of my residents ask for me‐‐
One of your residents
screwed up‐‐
You're not in a position
to make that judgment.
[both arguing]
Your job is hanging by a thread
'and I'm the guy
with the knife.'
You pull this
prima donna crap again
and it'll take more than
your friend here to save you.
[Chinese bowl humming]
[Susan humming]
Hey! Didn't see
much of you today.
Whatever happened to old Ed?
‐ Ed?
‐ Yeah.
They transplanted him?
He died.
From the tap?
(John)
'No.'
Well, not directly.
So, are they taking
away your sub‐I?
Are you kidding? Hicks
and Benton were so excited
about getting
to do a tips on the guy
they were glad
I screwed up.
'Thing is, I didn't
really care, either.'
'When I put the needle
through, all I thought was'
there goes my surgical career.
So here he is.
What a way to go, huh?
Well, from the looks of things,
he knew how to have a good time.
What do you say
we give him a send‐off?
What?
Get your coat.
Hey, quite a day, huh?
I'm telling you.
‐ Head okay?
‐ Yeah.
Knock on wood.
Hey, I'm sorry about that.
Yeah. Don't worry about it.
Hey, we were..
we were pretty good
out there today.
Not bad, huh?
Uh, we should go out.
‐ Really?
‐ Definitely.
Well, right now's not a really
good time for me, but..
...I've got your number.
You going to blow me off
just like that?
No, look..
...I'm just getting over
a relationship, so..
Goodnight.
You know what your
problem is Hathaway?
You've gone out
with too many doctors.
You've been
checking up on me?
I'm interested, so I ask.
'You're shopping in
the wrong part of the store.'
‐ What?
‐ You're lost among the Guccis.
And‐and where should I be?
Automotive.
[laughing]
Shaw's, Friday night,
8 o'clock?
Okay.
Okay.
[indistinct chattering]
[indistinct chattering]
[monitor beeping]
[whispering]
Hey. Hey, buddy.
Hey, I got you something.
[crying]
Hey.
What's the matter?
It's my fault.
No, it's not your fault.
I told you.
It's the doctors
at the clinic.
No, it's my fault
he has AIDS.
I gave it to him.
No, that's nobody's fault.
I gave it to him, and now
he is sick and I'm not.
It is punishment.
No.
[dramatic music]
[crying]
It's okay.
[music continues]
It's okay.
[train chugging]
Peter, what are you doing here?
‐ I waited 45 minutes.
‐ Wait, just hold on‐‐
No, no, you hold on,
you couldn't even call.
I was gonna call.
‐ Now you're even lying to me?
‐ What?
I thought we had enough respect.
I thought we had enough going on
that we could at least
talk to each other.
‐ I needed time to think.
‐ Time? How much time?
Two weeks? A month?
What was I supposed to do?
‐ Get a postcard or something?
‐ Keep your voice down.
No, don't tell me what..
Hi.
It's easy for you, Peter.
I'm the one who's had
to go home to my husband.
You just hand down ultimatums,
you demand answers. I..
I knew your answer..
Last week.
‐ Peter.
‐ What?
I'm not ready to walk out
on my marriage.
Yeah, right.
You, uh..
...you take care
of yourself, alright?
[engine revving]
What about the weather
over Greenland?
There's this stewardess
I've been seeing.
‐ I actually, I met her at work.
‐ A patient?
Sort of. Put a cast on her
anyway with her flight schedule
I never know
when she might show up.
Oh, well, guess
the weather was bad.
Well, it's just well.
(Hulda)
'Is there a doctor
in the house?'
Hey.
Oh, hello.
Hulda, that's mark.
Mark, that's Hulda.
Hello.
The, uh, Finns are remarkably
un‐self‐conscious.
I see that.
I cooked you a lutefisk.
(Doug)
'Great.'
‐ Set your bag down.
‐ Yeah.
[siren blaring]
‐ And we are out of here.
‐ Susie! Hey, Susie.
‐ Hey.
‐ Chloe?
Hey, who are you with?
Oh, that's my friend, Ruth.
Oh, God, you're loaded.
Oh, come on.
Chloe!
Look, hey, everything
is going to be okay.
‐ What are you on?
‐ I'm going on a trip.
‐ The hell you are.
‐ To flea markets, Susie.
You can make a fortune
selling old stuff.
Just stay there, okay?
I'm gonna come around, alright?
No, no, Susie, I can't,
we gotta go, okay?
Damn it! Chloe, you are not
abandoning this baby.
I'll be back. I just
gotta make us some money
so I can buy us a house.
Chloe, what are you doing?
Don't, don't do this.
I'm dying inside, Susie.
I gotta go.
No, I know. Chloe, it's fine.
‐ Don't be mad, please.
‐ It's okay.
I just wanna do
something right, okay?
It's okay, I'm not.
I'm not. Chloe, it's okay.
Don't go, Chloe..
‐ Bye‐bye, baby.
‐ 'No, Chloe, it's okay.'
‐ Mama loves you.
‐ It's okay! Chloe!
‐ Bye‐bye!
‐ Chloe. Chloe!
Chloe!
‐ It's okay.
‐ Bye‐bye, baby.
Chloe!
[baby crying]
[instrumental music]
[jazz music]
This place is a lot nicer
than I expected.
Yeah, it's not bad.
‐ What's that?
‐ A liver.
What'll it be?
Whatever's on tap.
Cruel. Very cruel.
(Bartender)
'Two?'
Yes, please.
(Harper)
'Which stool is Ed's?'
Your boyfriend's sitting on it.
You friends of his?
Uh, we knew him.
‐ He's dead, you know.
‐ We know.
[music continues]
‐ To Ed.
‐ To Ed.
♪ I'm a mouse trap ♪
♪ Without a piece of cheese ♪
Thank you.
♪ I'm Vienna ♪
♪ Without the Viennese ♪
♪ I'm Da Vinci ♪
♪ Without the Mona Lise ♪
♪ When I'm without you ♪
[theme music]
[water gurgling]
[moaning]
‐ Good morning.
‐ Good morning.
To what do I owe this?
It's been
a great few days.
I kind of wish
it wasn't going to end.
Ah, me neither.
The thought
of getting on that train.
[sighs]
I was thinking..
...maybe I'd stay
in Chicago some nights
when I have
to work the next day.
Stay where?
I don't know.
Maybe Doug's.
Doug's?
You disapprove?
Oh, it's just the thought
of all those pretty girls
padding around
in their underwear.
(Mark)
'Yeah. Beats the YMCA.'
You have nothing
to worry about.
But it was
my understanding that
a sub‐internship involved
more responsibilities.
What do you wanna do? Cut out
whipple's? Trisegmentectomies?
I just thought I'd
be forming my own patients
around the service
assisting on yours.
Uh‐huh, what do we got?
‐ This is Ed.
‐ I'm thirsty, doc.
When we're finished here,
I'll get you some water.
‐ How about a scotch and water?
‐ Carter?
Patient experienced
shortness of breath
while sitting on his stool
in Molly's saloon.
BP 120/80, pulse 112,
respiration's 28.
History of emphysema, congestive
heart failure, pneumonia.
Upon auscultation, diminished
breath sounds were noted
at the base
of the patient's right lung.
Intrigued, I tested
vocal fremitus per bates
second edition, leading me
to a diagnosis
of pleural effusion confirmed
by this radiograph..
...which shows fluid
in the patient's right..
...costophrenic sulcus.
Thank you, Professor Carter.
So what do you want to do?
‐ Tap the fluid.
‐ Tap?
How many pleural taps
have you done?
‐ Eight or nine.
‐ Run the procedure.
Prep and drape in
the usual manner, anesthetize‐‐
‐ What's on tap?
‐ 'Procure a 14‐gauge needle‐‐'
Alright, Carter. Well,
call me if you need me.
'Oh, and Carter..'
...consider Ed here,
your patient.
Uh, Harper, have you
ever seen a pleural tap?
It's 2‐B, guys.
[yawning]
Getting tired of life
in the fast lane, Hathaway?
Just of your jokes, Shepherd. 15
more minutes, I'm recertified.
'I won't have
to hear any of‐‐'
‐ Yoo‐hoo.
‐ Those were jokes?
Up here.
Whoa, smells like
he's gone already, huh.
I wish.
♪ That hasn't got a ghost ♪
He's been sitting
there for weeks
'using himself
as a toilet.'
'He hasn't paid
his rent in six months.'
'I'm losing tenants
because of the smell.'
(Ray)
'This guy must weigh a ton.'
'How are we supposed
to move him?'
I brought a dolly.
Man, his BP's 220/130.
We'd better take him in.
(Ed)
'Do I have to?'
You don't want
to go to the hospital?
I‐I'd rather stay here
with my rabbits.
[chuckles]
Alright, well,
he doesn't want to go.
Oh, no. Now you wait
just a minute.
The sheriff said
you'd take him.
Hey‐y, lady, we don't run an
eviction service here, alright?
‐ We can't just leave him.
‐ He doesn't want to come.
He's not competent
to make that decision.
‐ But do do we know that?
‐ Look at him.
♪ Without a piece of cheese ♪
♪ I'm Vienna ♪
♪ Without the Viennese ♪
So, he's eccentric.
♪ I'm Da Vinci ♪
♪ Without the Mona Lees ♪
Mona Lees?
♪ When I'm without you ♪
I just cleaned the rig.
Shep.
♪ Without a hitching post ♪
♪ I'm a network
without a coast ♪
Raul?
♪ Just a poached egg ♪
♪ That hasn't got a toast ♪
♪ When I'm without you ♪
[chuckles]
‐ Ready?
‐ I'm ready.
One...two...three.
[theme music]
[music continues]
Good morning, Jerry.
Hey, Doctor Lewis.
Hello, little girl.
Yea‐ah.
‐ Yeah.
‐ Hello. How's Chloe?
Uh, she's become disenchanted
with computer classes.
She's now going
to find her bliss
at the Diesel Mechanics Academy.
Oh, good school.
How come I'm already signed up
for four patients already?
Huh, courtesy
of Doc Weaver.
I'm not on
for another ten minutes.
Eight. Morning, baby.
Kerry, I appreciate
the vote of confidence
but I'm used to signing up
for patients one at a time.
Mark and I decided
residents should carry
at least four patients
I got a memo on your email.
Jerry, are my labs ready?
I'm on a tight deadline. So
the interviews have to be today.
Harv from radiology's
coming down at noon
to take your picture.
Alright. Alright.
Morning, Susan.
Yeah, right.
What publication is this?
‐ Uh, nursing newsletter.
‐ The swimsuit issue?
I'm doing a cover story
on our newest attending.
And I want quotes
from all of you
so get your thinking caps out.
You're a shameless
self‐promoter.
Yeah, yeah.
Nice shirt, Jer.
[telephone ringing]
Consent on bed five.
Just leave it.
I need your Juan Hancock.
Hey, Jeanie.
Look, we need to talk.
7 O' clock, same spot.
Any problems,
beep me, alright?
Girlfriend?
♪ I'm a doctor
without a single pill ♪
♪ I'm a dentist
without a tooth to fill ♪
[humming]
Carotid bruits, papilledema.
‐ 'Mitchell?'
‐ Yes?
Do you have headaches
or loss of consciousness?
Uh, sometimes I‐I,
I sort of, sort of drift off.
Well, it's a good thing
that you're here.
He's at risk for
a cerebral hemorrhage.
Let's start him with
a nipride drip and get a CT.
‐ Okay.
‐ Can I borrow a pen?
Burning the candle?
Uh. Paramedic ride‐along
all night.
♪ I'm Las Vegas
without a slot machine ♪
♪ I'm a gypsy
without a tambourine ♪
♪ I'm Napoleon
without his Josephine ♪
‐ Hey! How's he doing?
‐ He's clean.
Yeah, that's more
than I can say for my rig.
[sobbing]
What's the matter, Mitchell?
What's going
to happen to my rabbits?
Oh, they'll be okay.
How?
Who's gonna to feed 'em?
No. No. No way.
If nobody feeds them,
they're all going to die.
Shep?
[sobbing]
Okay, what happened?
Mother couldn't
wake him up from his nap
‐ Is he breathing?
‐ Barely. Pulse is weak.
Could he have
swallowed something?
No, I don't think so.
‐ Has he been sick?
‐ Yes.
He been on
any kind of medication?
Yes. Bactrim,
phenytoin, AZT.
‐ AZT. He's got aids?
‐ Aids? Yes.
Dilantin.
You have him
on phenytoin and dilantin?
‐ Yes.
‐ At the same time?
‐ Yes.
‐ It's the same thing.
‐ He's OD'd on dilantin.
‐ He's not breathing.
Alright, let's get
an intubation tray, damn it.
‐ I give too much?
‐ Yes, you gave way too much.
Way too much. CBC, chem 7.
Pull that thing off.
There we go.
Get a dilantin level and set up
for a gastric lavage kit.
(Doug)
'We're gonna have
to pump his stomach.'
Yeah.
(Angela)
'I'll hold his head.'
Okay. Here we go.
‐ He's in.
‐ Alright, bag him.
'Let's get that lavage.'
Come on, little guy.
'Come on.'
[indistinct chattering]
'I need a pediatric [indistinct]
and some Cetacaine.'
'Grab some surgilube
with 30 grams of charcoal.'
(John)
'You go in'
'right over the top
of rib number eight'
at the posterior‐axillary line
advancing and aspirating
as you go.
‐ I got to call home.
‐ Your wife?
Oh, no, not for me.
Why buy the cow when
you get the milk for free?
(John)
'Take care to avoid
the neurovascular bundle.'
I got to call Olaf,
my roomie.
I left a half a sandwich
in the fridge.
and I don't want anything
to happen to it.
Now is not a good time 'cause
we're about to draw fluid.
(Ed)
'I'll bet he's
over at Molly's.'
‐ Who's Molly?
‐ She's a bar. My bar.
Voila.
[groaning]
That's better. That's better.
[sighing]
Why'd it stop?
Sometimes, you hit
an adhesion.
Damn.
‐ Should I get Benton?
‐ No.
[yelling]
Whoops.
What'd you do? What'd you do?
‐ I'm gonna get Benton.
‐ No, he's my patient.
Uh, yeah. Get him,
get him, get him.
Dilantin level's 40.
Hmm, double dose.
No surprise.
[clears throat]
What's her name?
Ma'am, what's your name?
Mei‐sun.
‐ What's your little boy's name?
‐ Chia‐chia.
Imma tell you
what we're doing, okay?
Now, we've washed
all the medicine out
and now we're putting charcoal
into Chia‐chia's stomach
to absorb what's left.
‐ Doug?
‐ Hmm?
Hey. Hi, buddy.
Don't be scared, alright?
You got a little sick
and your mom
brought you to the hospital.
She's right here.
Hmm, come on.
[speaking in foreign language]
‐ What happened?
‐ I pushed it too far.
Oh, damn it, Carter,
you were supposed to tap
his lung
not biopsy his liver.
(Peter)
'Alright, let's get him up
to the OR, now.'
He needs a room. Move!
[screaming]
I don't believe this. There goes
next year's surgical residency.
(Peter)
'Carter.'
[indistinct chattering]
I've known Mark Greene
since he was
a wet‐behind‐the‐ears
med student.
He had the most beautiful
curly blonde hair
and so poilitepolite.
All I do was ask and he
would be cleaning the bedpans
and changing the sheets and..
...he was the best
scut puppy I ever had.
So would you say that, back
then, he was sort of "green"?
No, Wendy,
I would never say that.
Okay, retract
the liver inferiorly
and rotate the right lobe.
Oh, there she blows.
You hit the hepatic vein.
‐ Nice shot, Carter.
‐ 5‐O proline.
I'm really sorry,
Doctor Hicks.
It's just when
I felt resistance.
It felt like exactly
like an adhesion
I'd encountered before, with the
patient's history of ephysema‐‐
Hoo, one‐handed.
Peter, you've been practicing.
‐ I'm really sorry.
‐ Carter, it happens.
It's alright.
My best student
once did a sigmoidoscopy
punched through
and saw the appendix.
Sound familiar, Peter?
Metz.
What I'm more
concerned about now
is the condition
of this man's liver.
Feel that. Hard as a rock
and shriveled like an old shoe.
Gallon‐a‐day drinker.
At least, look at the size
of those mesenteric veins.
What does that suggest
to you, Carter?
Portal hypertension.
And what are the hallmarks
of portal hypertension?
Caput medusae,
esophageal varices
hemorrhoids, ascites
splenomegaly.
Good.
I wouldn't give
this liver three weeks.
‐ NG's returning blood.
‐ Varices are bleeding.
Lucky we're here.
We'll do something about it.
‐ Portal bypass?
‐ We could.
But with a liver this oozy..
Have you ever done
a tips procedure?
‐ No. But I'd like to.
‐ I bet.
In fact, it's an excellent case
for teaching.
Sylvia, round up all surgical
residents who aren't busy.
Tell them we're starting a tips.
Standing room only.
What do you know, Carter?
You did this guy a favor.
[high‐pitched tone]
[tone continues]
Mr. Holthouse?
‐ Yes?
‐ I'm Doctor Lewis.
‐ What is that?
‐ Tibetan singing bowl.
I get anxious in hospitals.
It helps me to relax.
Oh! I understand you're feeling
dizzy this morning.
Yes. I've had
this spinning sensations
on and off all week.
Headaches?
‐ No. Some nausea, though.
‐ Spots before your eyes?
No. Say, you're under a lot of
stress right now, aren't you?
Who isn't?
(Mr. Holthouse)
'Yes, I can see
the tension in your face.'
I could suggest some
relaxation techniques.
Thanks, but I'm really
a lot more relaxed than I look.
Open your mouth.
Hey, big guy.
‐ Love the tie.
‐ Thank you, Malik.
‐ Thank you very much.
‐ What's the occasion?
Well, since you asked
I've been promoted.
To what?
Supervising emergency
service co‐ordinator.
Ah, more money, huh?
Uh, unfortunately, no.
‐ Oh.
‐ Better benefits?
‐ No.
‐ More responsibility.
No.
Well, congratulations.
Mark, that big guy,
Mitchell, he's seizing.
[groaning]
Alright, let's make some room.
(Mark)
'Bite block.'
.5 ativan IV Push.
Positive Babinski.
Pinpoint pupils.
Does not bode well.
‐ Pressure's up, 250/140.
‐ Alright, jack up the nipride.
Let's load him up with dilantin.
‐ How much?
‐ Uh, let's see.
He's about, uh, 400 pounds
divided by 2.2 is, uh‐‐
181 kilograms.
Times 12 milligrams
per kilogram would be, uh‐‐.
Uh, 2,730.
I have a facility
for simple math.
[groaning]
Alright, we'll start with a gram
and we'll titrate up.
Come on, Mitchell,
stay with us.
Stay with us, Mitchell.
Come on.
Vitals are coming
back to normal.
Let's get him
to Pedes ICU, huh?
Hey, Chia‐chia,
how you doing?
'I'm Doug.'
He doesn't like doctors.
Bet he sees a lot of us.
Where do you take him?
Uh, Pediatric
clinic upstair.
(Doug)
'Who's your doctor?'
Always a different one.
Yeah, they're
pretty busy up there.
Yes, very nice but..
...sometime,
we wait four, five hour.
It's hard for him.
And I have to make sure
that this medication problem
doesn't happen again
so I have to ask you..
‐ ...can you read English?
‐ Yes. I follow direction.
This one from two week ago
'and this one from yesterday.'
He gave you two prescriptions
for the same thing.
[sighs]
You did exactly what
they asked you to.
I'm sorry that
I was angry with you.
This is not your fault.
'This is the doctors
at the clinic's fault.'
Okay, alright. Next time,
you bring Chia‐chia here.
You give this
to the nurse out front
and she will bring you
straight back, no waiting.
Okay?
[chuckles]
I thought
he didn't like doctors.
Chia‐chia, no.
That's okay. He can hang
on to it for a while.
You can keep that.
Mr. Holthouse?
(Mr. Holthouse)
'Over here.'
I see you're feeling
much better.
Yeah, but I still have
that spinning feeling
even upside down.
(Susan)
'Have a seat. Tony will take
you for a CAT scan.'
Doesn't that cause cancer?
(Kerry)
'Susan, a word, please?'
Why are you ordering
a CT For vertigo?
Why are
you questioning my order?
Because it's
a $1,500 procedure.
I have to rule out
acoustic neuroma.
He's had five bouts
of dizziness in a week.
Well, you wouldn't know
by looking his chart.
I haven't had time
to write down my notes here.
‐ I've had other patients.
‐ So do I.
And I manage to keep
track of the details.
So have I, on
my note cards.
Well, I don't
have access to those. Do I?
Here.
Put them on the chart,
and in the future
run all procedures by me.
[sighs]
Hey, what happened?
Subarachnoid hemorrhage.
He went just like that.
What are you doing with him?
Uh, landlady called
animal control.
They were rounding
them up. It was awful.
This guy followed me
down the hall.
‐ Is he clean?
‐ Sure, he's clean.
And he's soft too.
Poor fat guy,
he never hurt anybody.
Just sat around with his bunnies
singing that nutty song.
♪ I'm a mousetrap
without a piece of cheese ♪
♪ I'm.. ♪
What was it?
Vienna.
♪ Without the Viennese ♪
♪ I'm Da Vinci ♪
♪ Without the Mona Lees ♪
♪ When I'm without you ♪
Mona Lees?
No, he is a patient
of yours. Chia‐Chia Leow.
He's a four year old
with AIDS?
Well, try to remember,
because you almost killed him
by giving him
a dilantin prescription
when one of your cohorts
already had him on phenytoin.
Don't you people
talk to each other?
[grunts]
Making friends again?
Idiots at the Pedes clinic
doubled up a kid's prescription
and almost killed him.
‐ Get her off my back.
‐ Her?
Weaver, she just
dressed me down
on the hallway
for ordering a CT.
Ah, we're getting pressure
from upstairs.
She scours my
charts looking for errors
she treats me with disdain.
You want me
to talk to her?
Yeah. Tell her
to cut me some slack.
[beeping]
See how Peter's snaking the
sheath through the vena cava
to the right hepatic vein?
I'm in.
Now comes the fun part.
Remove the guide wire.
Rotate the needle
counterclockwise 90 degrees.
Pressure's dropping, 80/60.
Give him pressors
and keep me posted.
Now, puncture
the cirrhotic tissue
and enter the portal vein,
creating a new pathway.
Balloon stent's in.
Expand the balloon,
slowly. Easy.
‐ We have circulation.
‐ Portal pressure's coming down.
And the liver is reborn.
Hallelujah.
‐ He's getting tachy. 180.
‐ Now we fixed his liver.
There's not much we can
do for his heart.
‐ Run of five.
‐ Get out of there, Peter.
Alright, I'm getting...out.
‐ He's fibrillating.
‐ Carter, CPR.
‐ Come on, yeah. Come on.
‐ Charge it to 200.
‐ Stand back.
‐ Clear!
[thuds]
Hey, Kerry,
how's it going?
‐ Uh, pretty good.
‐ Good.
But there's something
we need to talk about.
‐ Oh?
‐ Susan Lewis.
This is a bit awkward.
I‐I mean, I know
you two are friends
but she seems
to resent my being here
and it's creating
some tension.
You know I picked up on that.
Are you sure? It has nothing
to do with her ability.
She's really quite competent
but her attitude
is openly hostile.
I‐It's probably
a communication thing.
You know, I mean,
you're, uh
you're very authoritative
which is great
but your assertiveness, i‐it
might be off‐putting to some.
Believe me I'm aware of that.
T‐that's why
I bent over backwards
to be sensitive with Susan.
I'd rather you not say anything,
but I wanted to make you aware
that this is
a potential problem area.
‐ Right. Thank you.
‐ Uh‐huh.
[indistinct chattering]
A picture‐perfect
procedure, Benton.
Bev, save the tape which
we'll show it at M and M.
Carter, you can present.
It'll be your first time.
I'll tell him.
My first official patient.
Carter, the guy was a train
wreck. He died of heart failure.
'It had nothing to do
with you perfing his liver.'
Come on, if the guy hadn't been
on the operating table‐‐
Then his liver would have failed
him in a month, maybe sooner.
‐ I'll tell the family.
‐ He didn't have any.
Carter..
...it's how you learn.
It'll make you
a better doctor.
What can I say about Mark Greene
that hasn't only been said?
I think everybody knows
how he‐he overcame
adversity as
a child of quakers
his years in exile, his
political writings and limericks
'his mod period
with the turtlenecks'
his blue period,
and, of course
his ruthless
march to power
and the silencing
of his rivals.
Doctor Ross?
‐ Doctor Ross?
‐ Hmm?
♪ I'm a doctor
without a single pill ♪
Which one do you think?
It's for
the nursing newsletter?
Yeah. You think this one?
I'm looking for the supervising
emergency service coordinator.
You've found him.
Oh! Hi, I'm Randi.
I'm the new clerk.
I understand
I'll be working under you.
Uh, right. I, uh
I was expecting a guy,
because of the name.
"Randi." Right, yeah,
I get that a lot.
(Randi)
'Uh, personnel said
that you would have'
'some immunization forms
for me to fill out.'
Right. Um, you're
going to need
a rubella and a heptovax.
Lab's on the second floor.
And they said I would need
an employee physical
and that somebody here
could do it.
Jerry, you have any charts
for me, any patients? Anything?
Oh, yeah. Well,
I'll be at Pedes ICU.
‐ Carol, you got to come quick.
‐ What's up?
Three hundred pound angel duster
broke out of restraints
climbed on top
of the ambulance.
What is this,
crazy, fat guy day?
Yeah, I'm telling you,
this dude is mad.
Call security,
go find Mark Greene.
The tests show there's
nothing seriously wrong.
I think your dizziness
is caused by labyrinthitis.
What's that?
Inflammation of the inner ear
very minor and nothing serious.
Don't aggravate it,
it'll go away. You swim?
No. I don't know how.
But I do spend a lot
of time floating
in my sensory
deprivation tank.
Not for the next two weeks,
you don't.
No standing on
your head, either.
(Mr. Holthouse)
'Doctor Lewis?'
I'd like for you to have this.
‐ No, thanks.
‐ Please. It's a spare.
It's not necessary, really.
I think it is. Really.
Oh, God, not another one.
‐ Watch out, Carol.
‐ Relax.
‐ Hey, buddy, relax.
‐ Hey, big fella. Take it easy.
Where's Mara? Mara?
Mara. Mara.
Wait‐wait, just
back off there, Mara.
‐ Mara!
‐ What's he on?
‐ PCP.
‐ I got him.
‐ Hey, hey!
‐ Get away from me.
‐ Don't you touch me.
‐ Are you alright? You okay?
‐ Nobody touches me.
‐ He's cut.
Stay here.
I'm taking him in. Come on.
‐ Mara!
‐ Where the hell is security?
‐ My God!
‐ Let's shoot him.
‐ I can't see.
‐ Let me talk to him.
‐ Make it stop!
‐ Fine.
Okay. Okay.
Hey, what you doing
up there, big guy?
‐ Mara.
‐ 'Yeah.'
Why don't you come
down here?
It's much
safer, okay?
‐ Mara?
‐ Yes, babe, come on down.
Mara! Where's Mara?
Mara, Mara.
What are you doing?
Hey, what're you doing?
Hey, Hey, no.
[screaming]
Oh, my God!
[screaming]
[thuds]
Oh, Mark, did you
and you‐know‐who
have a you‐know‐what?
‐ You bet.
‐ Good.
And then, these extensions
are for internal use only.
‐ Uh, Doctor Lewis?
‐ Yeah?
Can you do
an employee physical?
‐ On?
‐ Randi?
‐ Hi.
‐ Hi. Breathe in.
Breathe out. You're fine.
Where's the form?
[scribbling]
Uh, do you have my
roommate as a patient?
Uh, Ed Menke?
Yes. Uh, uh,
you must be Olaf.
Uh‐huh.
Uh, I'm afraid I have
some‐some bad news
about‐about Ed.
Oh.
He, well, uh, he had
fluid in his lungs
and during the course
of trying to remove it, we..
I, accidently
punctured his liver.
We took him to the OR
and successfully
stopped the bleeding
and did some additional surgery,
but, um, uh, unfortunately
his heart gave out,
and, uh..
...he died, on the table.
I'm very sorry.
Yeah, they told me
that upstairs.
They said you
had his property.
‐ Property?
‐ Yeah.
He took
the remote control doohickey.
It's his TV, and, uh
he's kind
of tightfisted about it
but, uh, I don't think
he's going to mind now.
Double dose of haldol.
‐ It's about time.
‐ 'I can't see. Stop.'
Look, why don't you
try and...you know.
Right, right, right,
right, right.
‐ Hey.
‐ No.
Hey. Hey!
Hey, big guy.
Hi. So, are you
from Chicago?
Ah, Geez.
Um, come on. Come on.
You can do
better than that, huh?
You weren't even close.
Come on.
Oh, God!
0 and 2, big guy. Come on.
(Carol)
'Why don't you just try
to put some mustard on it.'
'That's it. That's it.'
[screaming]
'Yeah. Yes.'
Bull's‐eye.
[screaming]
Nice work.
[laughs]
[thudding]
(Jeanie)
'With a regimen
of ultrasound and tens'
it's possible he could regain
the use of his legs.
Jeanie.
‐ You get my message?
‐ Yeah.
Alright, 7 O' clock.
Found a prisoner on the floor
of his jail cell spitting blood.
Swallowed a dozen razor blades.
‐ Suicide try?
‐ Who knows.
‐ Maybe he wanted a field trip.
‐ Set up for endoscopy?
Yeah, get a KUB and I'll need
a rat tooth on the scope
so I can grab the blades.
Coming through.
[baby bawling]
Hey, Chloe, what
are you doing up here?
Oh, hi. Just talking
to my baby.
[smirks]
Hey, w‐why don't you listen
to her breathing.
Sounds like she's got
pneumonia or something.
Okay. Hang on a second.
‐ No. She's just gurgling.
‐ Oh.
[smirks]
Come here. Yeah.
You picking Little Susie up?
‐ What?
‐ You picking Little Susie up?
[baby crying]
Oh, um, no. I'm just taking
her for a little walk.
Big susie know that you're here?
[crying]
You know, I'm going
to go wait outside.
You okay?
Yes, I'm just
a little tired, that's all.
Well, see you.
No bleeding in the esophagus
or antrum. H and H back yet?
Normal, 14 and 42.
Ah, got one. Razor
blade coming up.
‐ How's his pressure?
‐ 120/80.
Won't that slice up his throat?
Nope, because he
taped the blades.
So much for suicide.
What's this about, Curtis?
Not trying to escape, are you?
What's this?
Prisoner swallowed razor blades.
‐ No blood in the gut?
‐ No.
You're done.
Pull out the scope.
He's already tubed.
I'm not gonna stop now.
I told you no procedures
without going through me.
Go get mark.
Doctor Greene, we need
you in trauma one.
What's up, guys?
Person who swallowed
taped razors.
I wanna pull them out.
Kerry wants to leave them.
‐ His gut's not bleeding.
‐ It could.
Hasn't yet.
I say, let them pass.
It's a judgment call, guys.
Well, if he bleeds we go in,
we take them out.
For now, pull the scope out.
Excuse me.
Carter, you had a patient
named Menke, right?
Yeah. Why?
Doctor Hicks had pathology
take out his liver
'for some cirrhosis study
at the Stendhal clinic.'
'She said you should arrange
to get it over there.'
Ugh! Ugly little thing,
ain't it?
Ay, que feo.
An exciting case?
Here's one. Guy comes in,
hypervolemic shocked.
Defibrillated 10, 15 times.
'We maxed out on lidocaine
added bretylium.'
Finally, shocked
him back to sinus.
He goes bradycardic.
So, I float
a trans‐venous pacemaker
get capture,
he stops breathing.
I had to climb on
intubate him
cowboy‐style,
right there on the table.
‐ Wow!
‐ Yeah.
What happened?
He died.
[indistinct chattering]
(Kerry on tape)
'Please enter the patient
number before proceeding.'
Jerry?
Doctor Weaver loaded an audio
program on to the computer.
With her own voice!
Where's Greene?
Uh, he and Doctor Ross
went to the gift shop.
(Kerry on tape)
'Don't forget to log off.'
'Don't forget to log off.'
'Don't forget to log off.'
You sure don't mind?
Are you kidding?
Mark, anytime.
Yeah? Well,
how about tonight?
But, now, tonight,
I may have company
depending on the weather
patterns over Greenland.
‐ What?
‐ Doctor Ross?
Next time you get the urge
to pick up the phone
and start screaming at one
of my residents ask for me‐‐
One of your residents
screwed up‐‐
You're not in a position
to make that judgment.
[both arguing]
Your job is hanging by a thread
'and I'm the guy
with the knife.'
You pull this
prima donna crap again
and it'll take more than
your friend here to save you.
[Chinese bowl humming]
[Susan humming]
Hey! Didn't see
much of you today.
Whatever happened to old Ed?
‐ Ed?
‐ Yeah.
They transplanted him?
He died.
From the tap?
(John)
'No.'
Well, not directly.
So, are they taking
away your sub‐I?
Are you kidding? Hicks
and Benton were so excited
about getting
to do a tips on the guy
they were glad
I screwed up.
'Thing is, I didn't
really care, either.'
'When I put the needle
through, all I thought was'
there goes my surgical career.
So here he is.
What a way to go, huh?
Well, from the looks of things,
he knew how to have a good time.
What do you say
we give him a send‐off?
What?
Get your coat.
Hey, quite a day, huh?
I'm telling you.
‐ Head okay?
‐ Yeah.
Knock on wood.
Hey, I'm sorry about that.
Yeah. Don't worry about it.
Hey, we were..
we were pretty good
out there today.
Not bad, huh?
Uh, we should go out.
‐ Really?
‐ Definitely.
Well, right now's not a really
good time for me, but..
...I've got your number.
You going to blow me off
just like that?
No, look..
...I'm just getting over
a relationship, so..
Goodnight.
You know what your
problem is Hathaway?
You've gone out
with too many doctors.
You've been
checking up on me?
I'm interested, so I ask.
'You're shopping in
the wrong part of the store.'
‐ What?
‐ You're lost among the Guccis.
And‐and where should I be?
Automotive.
[laughing]
Shaw's, Friday night,
8 o'clock?
Okay.
Okay.
[indistinct chattering]
[indistinct chattering]
[monitor beeping]
[whispering]
Hey. Hey, buddy.
Hey, I got you something.
[crying]
Hey.
What's the matter?
It's my fault.
No, it's not your fault.
I told you.
It's the doctors
at the clinic.
No, it's my fault
he has AIDS.
I gave it to him.
No, that's nobody's fault.
I gave it to him, and now
he is sick and I'm not.
It is punishment.
No.
[dramatic music]
[crying]
It's okay.
[music continues]
It's okay.
[train chugging]
Peter, what are you doing here?
‐ I waited 45 minutes.
‐ Wait, just hold on‐‐
No, no, you hold on,
you couldn't even call.
I was gonna call.
‐ Now you're even lying to me?
‐ What?
I thought we had enough respect.
I thought we had enough going on
that we could at least
talk to each other.
‐ I needed time to think.
‐ Time? How much time?
Two weeks? A month?
What was I supposed to do?
‐ Get a postcard or something?
‐ Keep your voice down.
No, don't tell me what..
Hi.
It's easy for you, Peter.
I'm the one who's had
to go home to my husband.
You just hand down ultimatums,
you demand answers. I..
I knew your answer..
Last week.
‐ Peter.
‐ What?
I'm not ready to walk out
on my marriage.
Yeah, right.
You, uh..
...you take care
of yourself, alright?
[engine revving]
What about the weather
over Greenland?
There's this stewardess
I've been seeing.
‐ I actually, I met her at work.
‐ A patient?
Sort of. Put a cast on her
anyway with her flight schedule
I never know
when she might show up.
Oh, well, guess
the weather was bad.
Well, it's just well.
(Hulda)
'Is there a doctor
in the house?'
Hey.
Oh, hello.
Hulda, that's mark.
Mark, that's Hulda.
Hello.
The, uh, Finns are remarkably
un‐self‐conscious.
I see that.
I cooked you a lutefisk.
(Doug)
'Great.'
‐ Set your bag down.
‐ Yeah.
[siren blaring]
‐ And we are out of here.
‐ Susie! Hey, Susie.
‐ Hey.
‐ Chloe?
Hey, who are you with?
Oh, that's my friend, Ruth.
Oh, God, you're loaded.
Oh, come on.
Chloe!
Look, hey, everything
is going to be okay.
‐ What are you on?
‐ I'm going on a trip.
‐ The hell you are.
‐ To flea markets, Susie.
You can make a fortune
selling old stuff.
Just stay there, okay?
I'm gonna come around, alright?
No, no, Susie, I can't,
we gotta go, okay?
Damn it! Chloe, you are not
abandoning this baby.
I'll be back. I just
gotta make us some money
so I can buy us a house.
Chloe, what are you doing?
Don't, don't do this.
I'm dying inside, Susie.
I gotta go.
No, I know. Chloe, it's fine.
‐ Don't be mad, please.
‐ It's okay.
I just wanna do
something right, okay?
It's okay, I'm not.
I'm not. Chloe, it's okay.
Don't go, Chloe..
‐ Bye‐bye, baby.
‐ 'No, Chloe, it's okay.'
‐ Mama loves you.
‐ It's okay! Chloe!
‐ Bye‐bye!
‐ Chloe. Chloe!
Chloe!
‐ It's okay.
‐ Bye‐bye, baby.
Chloe!
[baby crying]
[instrumental music]
[jazz music]
This place is a lot nicer
than I expected.
Yeah, it's not bad.
‐ What's that?
‐ A liver.
What'll it be?
Whatever's on tap.
Cruel. Very cruel.
(Bartender)
'Two?'
Yes, please.
(Harper)
'Which stool is Ed's?'
Your boyfriend's sitting on it.
You friends of his?
Uh, we knew him.
‐ He's dead, you know.
‐ We know.
[music continues]
‐ To Ed.
‐ To Ed.
♪ I'm a mouse trap ♪
♪ Without a piece of cheese ♪
Thank you.
♪ I'm Vienna ♪
♪ Without the Viennese ♪
♪ I'm Da Vinci ♪
♪ Without the Mona Lise ♪
♪ When I'm without you ♪
[theme music]