ER (1994–2009): Season 6, Episode 8 - Great Expectations - full transcript
On Thanksgiving Day Carol goes into labor. She's able to get to the ER only thanks to Luka's help. She delivers the first baby in the ER, but the second causes some trouble. Greene leaves Elizabeth to deal with his father and daug...
Oh!
♪ Sun's up mm‐hmm looks okay ♪
♪ The world survives
into another day ♪
♪ And I'm thinking
about eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ I had another dream
about lions at the door ♪
♪ They weren't half
as frightening ♪
♪ As they were before ♪
♪ But I'm thinking
about eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ Walls windows trees
waves coming through ♪
♪ You be in me
and I'll be in you ♪
♪ Together in eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ Up among the firs
where it smells so sweet ♪
♪ Or down in the valley
where the river used to be ♪
♪ I got my mind on eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ And I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ Mm‐hmm I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ Aa‐ha‐ha‐ha ♪
‐ Guess winter's here, huh?
‐ Yeah.
Aren't you freezing?
Not once I get warmed up.
I used to be that thin,
you know.
The bitch stabbed me
right through the bird.
‐ Excuse me?
‐ I was stuffing the turkey.
‐ Hey, Kerry.
‐ Hey, Carol.
I thought yesterday
was your last day.
I know, but I still need
to show Lydia
how to do
the productivity report.
‐ She took off.
‐ What?
Yeah, she's driving
to Wisconsin.
You were supposed
to be here at 8:00.
I needed to sleep.
I‐I thought she had a shift.
Yeah, the night shift.
Well, why didn't
she call me?
I came all the way in.
She figured you'd bail.
She didn't want to bother you.
‐ Oh, man.
‐ Carol, do you feel alright?
No, my back
is killing me.
We're about to do
the potluck soon.
Why don't you stay
and rest a while?
No, you know what, I'm gonna
go home and take a nap.
Store up my energy
to deal with my family.
Wait a minute. Hold on.
I got you down for dessert.
Oh, sorry.
Casualty of pregnancy.
'What, no pie?'
No, wait! No fair!
Time out! Time out!
There's no time‐outs
in a snowball fight.
No fair! I'm a girl!
A girl who tried
to ambush me.
That's very mature,
Carter.
Oh, you want a piece
of this?
Don't even
think about it.
Well, okay,
now, you're dead.
♪ Sail into eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
Well, I'm glad
you're enjoying it.
♪ And I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
Oh, my God.
Carol?
Carol, are you alright?
My water broke.
‐ How long ago?
‐ 15 minutes.
You're already
having contractions?
‐ How many?
‐ Two.
‐ How far apart?
‐ Seven, eight minutes.
Did anyone
call an ambulance?
No, County's
just one stop back.
Why didn't you get
on that train?
You try walking
during labor pain.
Yeah. How far along
are you?
Oh, 38 weeks.
Was the amniotic fluid clear?
Kind of hard
to tell on the El.
So, no meconium then, huh?
‐ I don't think so.
‐ Good. Good. Good.
Don't worry.
I could be at this a while.
Tell you what...we wait
for the next train.
If it doesn't come
in five minutes
we call an ambulance, okay?
Oh, yeah.
‐ Denied.
‐ Oh, that ain't no fair, man.
‐ You can't use your hands.
‐ I'm a goalie, man.
‐ That's what we do.
‐ It's too easy. Use the chair.
Okay, whatever you say, bro.
I'll still own you.
‐ Hey, Cleo.
‐ Working hard, Dave?
Yeah, I'm fast.
What can I tell you?
Oh!
I'm cool. I'm cool.
Hey, Dr. Weaver.
Finished your notes,
Dr. Malucci?
Oh, absolutely, chief.
I was just, um,
waiting on a paramedic run.
Is it always this slow
on Thanksgiving?
Alright, if you're bored,
you can start studying
for your
national in‐service exam.
Yeah, wouldn't want
to bring down the average.
Ouch, and I thought
you liked me.
Whatever gave you
that idea?
It'll pick up once
people start eating dinner.
‐ Barf Central, huh?
‐ Already started.
Shelly Robinson, 18, persistent
vomiting and diarrhea.
Hypoglycemic, altered
mental status.
I gave her IV Fluids
and Compazine
but her glucose
is still 42 after D‐50.
Did you get
an endocrine consult?
Yeah, he's probably at home,
stuffing his face right now.
‐ Did you get a travel history?
‐ Not outside the US.
‐ Well, how about Florida?
‐ Yeah.
Actually, she just
got back from there. Why?
Well, ask her if she ate
an oily, yellowish fruit
with black seeds.
‐ Why?
‐ Ackee fruit.
Poisonous
before it's ripe.
Induces vomiting
and low blood‐glucose
by inhibiting
hepatic gluconeogesis.
‐ Known as JVS.
‐ JVS?
Jamaican vomiting sickness.
But the ackee also grows
in Southern Florida.
You're kidding, right?
You better start
a D‐20 infusion
because there's
a high fatality rate
if it's left untreated.
Hey, man, if you don't believe
me, just check the differential.
He might be a doctor
after all.
"Jamaican vomiting sickness?"
Look it up, John.
Jamaican vomiting sickness.
Okay, a little step.
Thank you for doing this.
Not a problem.
It's okay.
‐ Oh, God!
‐ What is it, a contraction?
‐ Oh, yeah.
‐ Okay, sit‐sit here. Sit here.
Oh!
So, maybe, maybe standing's
better, huh?
‐ Yeah.
‐ Okay.
Carol, have you, have you
taken a birthing class?
Mm‐hmm.
‐ Uh, just look at something.
‐ Oh.
Try to stare at something.
Stay focused on it, okay?
Uh, uh, is‐is she
having a baby?
Yeah, we‐we're okay,
she just started.
‐ Are you sure?
‐ Yeah.
It's alright.
I'm a doctor.
She doesn't look
alright to me.
‐ Ah!
‐ Oh.
Uh, I‐I think I better pull
the emergency cord.
‐ Uh!
‐ No, no, no.
‐ That stops the train.
‐ Well, she needs help.
No, we only have
to go one stop.
‐ It's okay.
‐ Better to be safe.
No, no, no,
don't pull the cord!
The sign says "Pull cord
in case of emergency."
No, this isn't
that kind of emergency.
"Police, fire,
medical emergency."
Don't pull the damn cord!
Oh! God!
Can she cook?
What kind
of a question is that?
‐ So, she can't.
‐ I don't know.
We eat out a lot.
My experience with English food,
it's always bland.
Would you rather
I cooked?
‐ Is she pretty?
‐ Yes, she's pretty.
Prettier than Cynthia?
‐ Different kind of pretty.
‐ Beauty is overrated.
She's pretty,
alright? Geez.
Happy Thanksgiving.
‐ See?
‐ What?
Nothing. Uh, Elizabeth, this
is my father David Greene.
‐ Nice hat.
‐ Thank you. Come in.
‐ This is Rachel.
‐ Hello, Rachel.
You're not supposed
to wear those.
They're for decoration.
Uh, uh, well, I saw it
in the drug store
and I thought it
looked cute.
‐ I got the wine.
‐ Great, I'll open it.
No, no, no, I'll get it.
Scotch and soda for me,
if you have it.
Actually, I think I might.
Rachel, would you care
for something to drink?
‐ Can I have some wine?
‐ No.
‐ I have soda.
‐ 'Okay.'
Mind if I turn on
the game?
'Oh, um, my telly's broken,
I'm afraid.'
‐ Doesn't work?
‐ 'Yeah.'
Apparently, my neighbor
was stealing his cable
so, the company
came and, um..
...they snapped
the wrong line.
‐ On Thanksgiving?
‐ No, no, this was a month ago.
I just haven't had time
to ring up and complain.
No football?
We can play charades
if you like.
Let me just sit
for a second, okay?
The contractions
are too close together.
‐ You're in active labor.
‐ Oh, gee, you think?
I'm sorry,
I'm just..
You might have progressed
more than you think.
No, I'm okay.
It just...hurts.
How dilated were you
on your last OB Visit?
Uh, three centimeters, Monday.
'Any back pain?'
Yeah, for the last three months.
Worse lately?
This morning.
Okay, let's go.
Oh, can't I have
the babies here?
If you want to make the news.
Come on.
Oh, God, they feel like
they're between my knees.
Yeah, that's the idea.
Oh, son of a bitch!
Okay, sit. Sit here.
Sit here. Come on.
Okay, okay, focus.
Focus, Carol, Carol.
‐ Try, try humming.
‐ Huh?
'I‐I know
it sounds very strange'
but it helped my wife.
Okay, just hum l‐like this.
'Yeah. Just do it.'
Okay.
Hey, remember
that renal‐failure patient?
Five‐minute ETA?
Yeah, let me guess,
diverted to mercy?
Now, she's
a trauma patient.
Some guy plowed
into the ambulance.
That was smart.
Hey, Dave, good call
on the ackee fruit.
She bought off
a curb‐side vendor.
Ah, I won't say
I told you so, but‐‐
‐ How'd you know about it?
‐ I'm a good doctor.
‐ No, really.
‐ Really.
And I might have
seen it before.
Where? No,
don't tell me.
You, uh, you did
the Peace Corps or something?
Yeah, exactly. I spent
some time in the jungle.
And if you're nice to me, I'll
even show you my piranha scars.
Oh, come on,
where'd you see it?
Let's just say you owe
me a favor, alright?
What is this,
a secret?
What, you're suddenly
sensitive, Dave?
Oh, did you, um,
lose a patient to this?
Fine, whatever.
I saw it in Grenada, okay?
You did a rotation
in Grenada?
No, Sherlock. I went
to med school in Grenada.
Oh...oh.
Your, uh, first choice?
I had fun in college,
what I can remember of it.
My grades sucked, my MCATs..
...a long story but I always
knew I could be a better doctor
than those ass kissers
whose only hard‐on
was for what
was on some test.
‐ Got you.
‐ So, I did Grenada.
It's the Harvard
of the Caribbean actually.
I'm sure that it is.
Still says MD, Carter.
See? MD.
I know. I know.
Well, now I can appreciate
you that much more.
‐ Good.
‐ So..
...what did you get
on your MCATs?
Alright.
Hey, it started
snowing again.
‐ Yeah. You ready?
‐ Uh..
‐ I think so.
‐ Okay.
Oh.
So, how long
was your wife in labor?
Sixteen hours
for the first one.
How many has she had?
Two, at different times.
Yeah, well.
Do they still
live in Croatia?
No, not anymore.
Hmm.
‐ Oh!
‐ What?
Okay, sit.
Sit down. Come on.
‐ Deep breaths.
‐ Oh!
Hey, don't worry.
It's probably
a vagal reaction
to the contractions, okay?
‐ Deep breaths.
‐ Oh...ooh.
‐ I have to go to the bathroom.
‐ We're almost there.
No, I mean
I really have to go.
We must hurry.
Can you stand?
‐ Mm.
‐ What? What is it? What is it?
Another contraction?
Already?
Okay. Okay.
Uh, don't push.
Don't push.
Listen to me, Carol.
‐ Carol, don't push, okay?
‐ Mm..
Carol?
Carol?
78‐year‐old woman
with chronic renal‐failure
in respiratory distress.
Missed her dialysis.
Any other injuries
from the accident?
Maybe chest trauma.
She responded
to ten liters of O‐2
but decompensated
after the crash.
‐ Anyone else hurt?
‐ Yes, Zadro banged his elbow.
The jerk who hit them
is right behind us.
He's faking
a heart attack.
Kerry!
‐ Oh, my God.
‐ We need a gurney out here!
‐ What happened?
‐ Vagal reaction.
‐ Is she in labor?
‐ Oh, yeah.
Get a BP.
‐ She had a syncopal episode.
‐ I'm fine.
How far apart
are the contractions?
‐ About three minutes.
‐ Are the babies moving?
‐ All day long.
‐ What's wrong with her?
‐ What do you think?
‐ 'What's open?'
‐ 'Uh, trauma rooms.'
‐ Oh, no, Kerry.
Please, just take me upstairs
to labor and delivery.
Carol, you passed out.
I want to check your vitals
and your cervix.
‐ Who's your OB?
‐ McLucas.
Please, Kerry.
Kerry, just take me upstairs.
Yeah, in a minute.
Malik, can you
page Dr. McLucas?
‐ Is he on the on‐call list?
‐ She. OB Has it.
Hey, do you want
a fetal monitor?
No, no, no, she's just
going to check me..
‐ Get the Doppler scope.
‐ ...then I'm going upstairs.
Hey, I can use some help.
I got two here.
Luka, can you help him?
‐ Yeah, uh, sure.
‐ Should I call Mark?
‐ He's off.
‐ He's her Lamaze coach.
Uh, Carol, you want us
to call Mark?
'Okay. Let's go, nice and easy.'
I hope it's done.
I'm not used to serving
so early in the afternoon.
Well, we need time
to gorge ourselves
so that we can pass out
on the couch.
It says a 180.
You know, you didn't
have to do all this.
I mean, the two of them
together can be a bit much.
Don't be silly, all families
are eccentric in their own way.
I guess.
Okay, everybody,
dinner is served!
‐ Hit me.
‐ You have 18.
Soft 18 against
your 9, hit me.
Dinner's ready, guys. Rachel,
can you get the mashed potatoes?
‐ Smells good.
‐ I hope it's alright.
‐ What's that, on top there?
‐ Bacon.
Eww, on the turkey?
You don't have
it that way?
Rachel, I said
mashed potatoes.
I didn't think
you celebrated Thanksgiving.
Well, it's not really
my holiday, is it?
The pilgrims came
here to escape
persecution
from the British.
Yes, so they could go
about persecuting the Indians.
Okay, everybody.
‐ Now..
‐ I'll do that.
‐ I got it, dad.
‐ Mark, I said I'd do it.
Don't worry.
Sit down. Relax.
Mark doesn't think I can do
things for myself anymore.
‐ Be my guest.
‐ Oh.
Did you tell her you want
to put me in a nursing home?
It's a retirement community.
A retirement community
with nurses.
Can we talk
about this later?
It's all you wanted
to talk about last night.
Sorry.
That's alright. Uh,
I think I have instant.
‐ Are you on call?
‐ No, no, it's yours.
Um, look, let's clean
this up, shall we?
Okay, ready and lift.
Lungs are wet, some JVD
not making any urine.
Mrs. Olson, why did you
miss your dialysis?
I was having
my hair done.
Oh, it's nice
to look good
but your health
should come first, huh?
You think I look good?
Yeah, beautiful.
Oh, it's
for my birthday.
‐ Today?
‐ Yes.
‐ Oh. Happy birthday.
‐ Well, thank you.
BP's 102/54.
Pulse is 124.
Congestive failure.
Wet crackles,
halfway up.
‐ You want Lasix?
‐ No.
Start a nitro drip
and call the dialysis unit.
Can I call
a family member?
No, that's alright.
‐ Oh!
‐ I'm sorry.
I'm sorry.
Sternal tenderness.
Yeah, see, this is why idiots
need to stop for ambulances.
Muffled heart‐sounds.
Check for pulsus paradoxus.
Heart, what's wrong
with my heart?
Mrs. Olson,
you are fluid‐overloaded
from missing your dialysis.
Some fluid is collecting
around your heart.
It's probably
from the renal failure
but it could also be an injury
from the accident.
Oh, my.
Enalopril, 1.25 IV Push
and get me an ultrasound.
They're using it next door.
Then, get me another one.
‐ Oh.
‐ Carol, you're pushing, honey.
Don't push.
Betadine?
Doppler sounds good.
‐ Fetal heart‐tones are 140.
‐ Oh!
BP's 112/70, pulse 88.
‐ Legs up a little, Carol.
‐ Okay, it's over.
‐ The contraction's over.
‐ 'Almost, yeah.'
Okay, I'm gonna check
your cervix, Carol.
‐ Relax.
‐ Oh.
But you'll remember
this Thanksgiving, huh?
Yeah.
Kerry, what is it?
You're
at ten centimeters, Carol.
‐ What?
‐ Fully effaced, 2 plus station.
Haleh, open an OB Pack.
No, no, I don't want
to deliver down here.
I don't want to deliver
in the ER.
Well, do you wanna deliver
in the elevator?
Well, how can I be
ten centimeters?
Probably been contracting
all day.
‐ Oh, God.
‐ Call pedes.
Let's rotate the gurney
and give her some privacy.
No, no, no.
No, Kerry.
'I'll just hold it, okay?
I promise.'
I won't push. I won't push!
‐ Let's make a deal.
‐ Oh!
We'll deliver
this one down here..
...and you can have
the next one upstairs.
Okay, lift up your butt, Carol.
Okay, uh, I'm going to need
that fetal monitor.
We can do the second
on the ultrasound.
‐ Get out of here, Carter.
‐ It's okay, Carol.
Don't worry about a thing.
Give me some sterile gloves.
Carter, get out of here!
John, I've got it. Why don't you
see if Dr. Kovac needs help?
I've delivered
babies before.
Not this one.
‐ Dr. Weaver?
‐ She knows you.
‐ She doesn't feel comfortable.
‐ She just paged Dr. Greene.
Yeah, he's not delivering.
Get out.
Alright. Okay. Good luck.
Oh, God!
Okay, let's break
the bed down.
'Fifteen of etomidate,
hundred of sux.'
BP's down
to 80 systolic.
Pericardiocentesis tray
and get me an alligator clip.
‐ You need some help?
‐ Yes, please. Intubate.
‐ What is it?
‐ Pericardial effusion.
I can't tell if it's the trauma
or her renal failure.
‐ Pressure's down to 70.
‐ Number eight ET Tube.
Double up on the dopamine.
Is she having
the babies in there?
'At least one of them.'
'V‐fib!'
Charge the paddles.
Carter, CPR now!
What do you think
it is, hyperkalemia?
Probably high potassium.
Give an amp of calcium.
Come on, clear.
‐ Still V‐fib.
‐ 300, now!
You want insulin
and glucose?
Go ahead.
And an amp of, uh, bicarb.
‐ Paddles ready.
‐ Clear.
‐ Nothing.
‐ 360. Stand by with epi.
'Come on, come on.
Hurry up, hurry up.'
Okay, clear.
Tell her I'll be right there.
‐ What is it?
‐ Carol's in labor.
‐ Is she in the hospital?
‐ Yeah.
And I might miss the first one.
‐ Who's Carol?
‐ Uh, she's a friend of ours.
‐ Dad, we gotta go.
‐ Why?
Well, I'm the Lamaze coach
and so, I gotta talk
her through it.
‐ Where's the father?
‐ Dad, let's go.
Rachel, I'm gonna drop you guys
off on the way, come on.
‐ I'm hungry.
‐ Me too!
Mark, we might
as well eat dinner.
‐ It could be a while.
‐ 'Well, I can drive them home.'
Are you okay with this, Rachel?
'She's fine.'
Go coach. We'll eat.
Here, take a biscuit.
Call with all the details.
Boys, girls, weight,
length, all of that.
‐ You're sure about this?
‐ Carol needs you.
We'll be fine.
If they give you
any trouble
just lock them
in the closet.
Go.
No turkey for me.
Animal fat's bad
for your heart.
'Not today.'
Push, push, push.
‐ Good job, Carol. Almost there.
‐ Okay, I see the head.
Crowning. You've got
to keep breathing, honey.
Contractions subsiding.
Okay, Carol, I want you
to push hard for ten seconds.
I'm trying!
I know.
Come on. Come on.
Ten..
...nine, eight..
‐ ...seven..
‐ Count faster!
...six, five..
...four, three..
‐ Okay, okay, just relax.
‐ Is he out?
Not yet. Not yet.
Next contraction.
Good job.
‐ You're doing great, Carol.
‐ Carol, you're almost there.
Did you plan
a natural childbirth?
Hell, no.
‐ 'Okay, where's pedes?'
‐ 'I paged them.'
Somebody get Cleo
in here.
Dr. Weaver,
decels on twin A.
What? No, let me see.
Okay, get the OB on call
and have L&D bring down
'a vacuum extraction set‐up.'
Vacuum? No.
Carol, look
at me, honey.
It's just for safety.
The first baby's heart rate
is down to 90
but we're okay over 80,
alright?
Okay.
Okay, good.
Let's go
with a scalp electrode.
Oh, no, do you have to?
It just gives me
more accurate monitoring, okay?
You rest up.
In two minutes, you're gonna
push this baby out.
How much atropine
has she had?
Two amps.
How long since the last EPI?
‐ Five minutes.
‐ Let's check another rhythm.
Asystole.
That's it.
Time of death..
...13:17.
Happy birthday.
Oh!
Good job, Carol.
You've got it.
‐ Six, five..
‐ How close is she?
‐ She's there.
‐ Fetal rate is 85.
Okay, the head's out.
Bulb suction.
Don't push.
Carol, don't push.
Don't push, honey.
Is the cord
around his neck?
‐ Not anymore.
‐ Ah!
Alright, here we go.
Carol, say hello
to your daughter.
It's a girl?
Yes..
'...it's a girl.
Congratulations.'
Hi, hello.
Okay, let's check
the presentation of twin B.
Yeah.
‐ It's okay. It's okay.
‐ 'You're a mommy now.'
Looks like about six pounds.
She's so little.
So little
but that's a good size
for a twin.
'Okay, I have to take
her now, Carol.'
'Take a good look at her.'
She's healthy, right?
She's beautiful.
‐ Yeah. Okay.
‐ 'Okay.'
‐ 'Okay.'
‐ 'There we go.'
Have you picked out
a name yet?
Tess.
I think I'm going
to name her Tess.
Welcome
to the world, Tess.
'There we go.'
You did great.
Carol Hathaway?
Hi.
I'm Abby. I'll be
your OB nurse.
Heard you had a little
excitement downstairs.
Ultrasound showed second twin
is vertex and high.
Okay.
Just relax, Carol.
We'll get you
through this.
‐ Is the bag intact?
‐ Yes.
Hi, mom. I'm Sandra.
I have to tag you
and your baby
'before I can take
her to the nursery, okay?'
'Can't she stay with me?'
'No, we'll warm her up, give her
a bath and bring her back'
right after this one
is delivered.
What if she gets hungry?
I'm breast‐feeding.
Well, we can supplement
a little bit.
‐ Sure?
‐ Yes, I'm sure.
Here, I need you
to scoot over a little bit.
‐ Nice and easy.
‐ Oh.
There we go.
Uh, Kerry..
...could you go
with her?
Sure. I'll see that she
gets settled in, okay?
Thanks.
35164.
35164. All set.
Say "Bye‐bye, mommy."
Bye, honey.
'Bye.'
Thanks, Kerry.
Are the contractions
still strong?
Well, they're a little
spaced out, but, yeah.
Well, we'll do
another ultrasound
but if the baby's high,
it could take a while.
Is Dr. McLucas on her way?
'Yeah, we're working on that.'
Do you want
an epidural?
I can still have one?
Absolutely.
Oh, well, if I
wasn't sure before
I am now.
Wimp.
Mark.
‐ Heard I missed the party.
‐ Oh, God.
I'll call
the anesthesiologist.
‐ Hmm.
‐ A girl?
Hmm. A girl.
‐ Troublemaker already?
‐ Hmm.
You hanging in there?
It's brutal, Mark.
One down, one to go.
Uh‐uh, I quit.
I don't think
you have much of a choice.
Well, you know,
you could shoot me.
Yeah, if it
comes to that.
Oh, I'm sorry to pull you away
from your Thanksgiving dinner.
Are you kidding?
I'd rather be here.
D‐day
five beaches.
The Americans
take Utah and..
...here..
...the potatoes..
...and Omaha..
...the squash.
Now, the Brits land here
and share Juno,
the, uh..
...the stuffing...with
the Canucks.
"The Canucks?"
The Canadians.
Right. Right.
Are you with me?
Yes, yes, yes,
I'm with you.
All the heavy German resistance
is concentrated
on the American lines.
Massive casualties are
suffered by the Americans.
6,000 in the first day.
The Brits had their share,
too, didn't they?
Shouldn't the gravy
go with the potatoes?
Fine.
Now, instead
of pushing forward
and cutting off
the Germans at Cannes
Montgomery,
the British general..
Yes, I know
who Montgomery is.
Montgomery sat on his ass
and had tea.
I'm going to the bathroom.
Well, the British
were fighting the Germans
for nearly three years
before the Americans.
Perhaps, they were just
a little more cautious.
"Cautious" is one word
for it.
I suppose "Tea‐loving"
would be another.
'That's two words!'
It's a hyphenate, actually.
Well, anyway, the 82nd
airborne division..
Do you have to use
a straight cath?
The epidural numbs
your bladder.
You won't control
your urine.
‐ Great.
‐ Sorry.
We do it for everybody.
No catheter, no epidural.
Seems like a small price
to pay, Carol.
It's not your bladder.
Are we doing this?
‐ Carol?
‐ Hmm, yes.
Alright. All set.
Okay, Carol,
you have to sit up.
Oh, can't we do it on my side?
No, it's better upright
when you're pregnant.
I'm a nurse,
tell me why.
We get a clear shot
at the intervetebral space.
Yeah, you don't want him
fishing around.
Okay, come on,
up you go, up you go.
You better get it right
the first time.
I generally do,
if the patient cooperates.
‐ Mark, is it?
‐ Yeah.
Could you grab
her other shoulder?
‐ Mm‐Hmm
‐ Okay, Carol, lean into us.
A little bit more,
keep your back nice and round.
And you'll feel a little prick.
Carol Hathaway?
'Carol, it's you.'
Dr. Coburn.
Mark...I had no idea.
'Congratulations.'
No, he's my Lamaze coach.
Oh, I see.
How we doing?
Hymen intact,
six centimeters.
‐ Six?
‐ It's alright.
You shrink back down
between deliveries.
I know. But six?
Aah!
You need some more local?
Oh, no! Contraction.
You just hold on, Carol.
You're doing great.
Carol, Dr. McLucas
is in Wichita.
She asked me to cover
her practice over Thanksgiving.
‐ 'Is that alright?'
‐ I've got to lie down.
No, no, Carol. He's
in the middle of it right now.
‐ You have to hold still.
‐ No, I can't!
Yes, you can.
Yes, you can.
Here, hold my hand, okay?
You're gonna be much better
once we get
through this, okay?
Oh, it hurts, Mark!
I know.
No, I mean it
really hurts!
I know.
Hang in there.
Hang in there.
One night
Stu and I were on deck.
He asked me for a light
I reached in my pocket
and when I looked up,
he was gone.
What do you mean, gone?
Gone. He'd fallen overboard.
Oh, my God.
Did he drown?
If the fall
didn't kill him.
‐ That's terrible.
‐ Yeah.
About the only thing worse
than the working conditions
on that carrier was the food.
Probably took more men
than anything.
You mean worse
than the English?
Well, I was kidding.
This is great, I haven't had
a meal like this since..
...well, for a while.
Since your wife died.
‐ Yeah.
‐ I'm sorry.
I can only imagine
how difficult it must be.
As difficult as you
make it, I guess.
What do you mean?
How's Mark?
You know, dealing with it.
Oh..
...in his stride, I suppose.
'To be honest, he doesn't
speak of it much'
'and I've learnt
not to force the subject.'
There are certain things
he carries inside.
‐ But you must know that.
‐ Well, don't ask me.
His mother was the only one
who seemed to understand him.
He's not that big a mystery.
'Well, don't get me wrong.'
He's a good man.
It's just that..
...with Ruth gone..
...I don't know..
How about some pie?
With his mother gone, what?
Nothing.
Just seemed to have
lost a bridge, I guess.
‐ 'A bridge?'
‐ Yeah.
Maybe you both just miss her.
I'll get some plates.
Hey, Rachel! Come get some pie.
What's with her?
'She's been in there
a half hour.'
I'll check.
Rachel?
Are you alright in there?
Rachel?
Rachel, are you in there?
'Go away!'
What are you looking for?
I don't know.
Am I boring you?
No!
Wanna...just talk?
Sure.
What do you want
to talk about?
I don't know.
Hey, the post‐game show's on.
Whoo.
How're you feeling?
I'm in love
with the epidural man.
Some people call him
an anesthesiologist.
Oh, he will always be
the epidural man to me.
You know what? I'm just going
to go get a magazine.
So, uh..
...I should call
Elizabeth, too.
She's probably crawling
out on a ledge by now.
Hey, could you call my mom?
Sure, what do you
want me to tell her?
You know,
just what you said.
"One down, one to go."
'Her number's in my
organizer in my bag.'
Is there anybody else
you want me to call?
No, not yet.
Are you sure?
I just want
to get through this first.
Alright.
‐ What's wrong?
‐ Nothing.
Just lost the signal.
Where'd it go?
Hold on.
Sandra, could you call
Dr. Coburn and bring over
the ultrasound?
Right there.
Got it.
It's above the umbilicus.
What does that mean?
Baby could be rotating.
'It's fine. Heart rate's 140.'
Do we have an OR Clear?
I'll see.
Wait, I don't..
I don't need a C‐section, do I?
No, not necessarily
but if the baby
turns breech
we'll have to labor
you in the OR.
It's just
a precaution, Carol.
Oh, man.
What's going on
in there?
She sticking her finger
down her throat?
I'm afraid she's having
her first menstrual period.
Menstrual?
She's ten.
It can happen
at that age.
It's early
but not abnormal.
So, one of us needs
to go to the store.
Now, do you want
to stay with her
or shall I?
Uh, what do you need
from the store?
Sanitary napkins.
You don't have
that...stuff?
I only have tampons, um..
...it's not really the best
for a young girl.
Oh, right.
Listen, um..
...there's a drug store
just on the corner..
Sanitary napkins.
That, that's the flat ones?
Ask the clerk.
Hmm.
What if he's a guy?
How are we doing?
We'll move her right
after this contraction.
Baby's in lotus position.
What's this for?
We have to prep you
for the OR.
What, even if I'm not
being operated on?
Don't worry.
I won't take any pictures.
Ha, ha.
‐ Uh‐oh.
‐ What is it?
I think my water
just broke again.
Sure did.
Nice and clear.
Alright, we'll clean
you up once we‐‐
What?
Fetal heart rate's
in the 90s.
Um, Carol,
I have to check you.
Yeah, but we're good
till 80, right?
Just relax, Carol, okay?
I have to check you again.
‐ What are you looking for?
‐ Hold on.
I have to wait till
this contraction finishes.
'Seventy‐five.'
‐ What's wrong?
‐ Damn it.
She's got a prolapsed cord.
‐ 'Prolapsed?'
‐ Yeah.
The cord gets pushed
out before the baby.
Cutting off the oxygen?
Stat page Coburn
to the OR, please?
Alright, fetal heart‐rate 65.
We have to get
this baby out now.
She's only six centimeters.
Alright, we'll have
to crash C‐section.
Oh, my God!
The OR is not clear yet.
‐ Well, we're going.
‐ What are you doing?
I'm keeping
the baby off its cord.
What? This can't be happening.
This isn't happening.
Just try
and stay calm, okay?
Oh, Mark, don't
let this happen.
Don't worry.
I am right here, okay?
‐ Oh, God.
‐ Now, keep breathing.
Is the baby hypoxic?
‐ We're okay.
‐ What's the heart rate?
‐ We're not on a monitor.
‐ What happened?
Prolapsed cord. Fetal
heart rate's is 65.
Okay. Scrub in, Abby.
She's got her hand on the cord.
Get somebody else.
‐ I've got it, Dr. Greene.
‐ Don't let go.
Okay, do you want
to assist on a C‐section?
‐ Not really.
‐ Then I need ten seconds.
For her to scrub in.
Take over, Sandra.
Okay, everybody, on my count.
Nice and easy.
One, two, three.
Alright, get your hand
on that cord.
‐ Mark, you gotta save the baby.
‐ We will.
‐ No, promise me.
‐ I promise.
‐ I got it.
‐ Let's prep her fast.
‐ 'Okay, where's anesthesia?'
‐ 'I just paged him.'
'Get anesthesia down here now!'
There's no time,
she had an epidural.
Keep a 100 mikes
of fentanyl standing by.
Okay, I'll monitor her vitals.
Please, save this baby.
Gloves, now.
Please.
Okay, mom's BP..
...118/84, pulse 102.
Satting 98 on room air.
‐ 'Okay, nasal oxygen.'
‐ 'I'm on it.'
Here we go!
One minute from skin to baby.
Scalpel.
There's skin.
And...mark the time.
Please, God. Please.
Don't worry. Don't worry,
we're going to get him out.
Stretch, Abby, stretch.
Come on, pull.
‐ I'm pulling.
‐ Come on, pull.
Someone working on pedes?
They're on their way.
Bladder blade.
Retract inferiorly.
'Scalpel again.'
Uterine incision.
Okay.
And another stretch.
Pediatrician's here.
Mark, what's happening?
I see the baby.
Blue towel.
Ah, looks like a girl.
Did you hear that?
You hear that?
You got another girl.
‐ Is she okay?
‐ Hold on.
Second shoulder.
Got to keep
the head flexed.
Another clamp. Scissors.
‐ Is she out?
‐ She's out.
‐ Why isn't she crying?
‐ She will.
‐ I got her.
‐ She looks okay.
‐ She's not crying.
‐ 'How did we do? '
Blow by 15 liters.
Fifty seconds.
Mark, she's blue.
‐ She'll pink up.
‐ Uterus is boggy.
She needs pit, 20 units.
‐ What's the Apgar?
‐ Don't worry.
Mark, what's the Apgar?
Five‐minute Apgar
is more predictive.
Oh..
Oh, my God.
What happened?
Damn ice. I slipped.
It was a pretty bad spill.
I saw it from here.
‐ Let me see.
‐ I'm fine.
You should throw
some salt out there.
Do you know what time it is?
Yeah, time my
ten‐year‐old granddaughter
started her period.
You got this?
Uh, yes.
Thanks for buzzing me.
Right, we need to get you
to a hospital
and stitch that up.
Like hell. It will stop bleeding
with a little pressure.
That's a nasty gash, you need
sutures and a tetanus booster.
What I need is a Band‐Aid
and a drink.
Fine. Well, if you sit still,
you'll even get a lollipop.
Five‐minute Apgar
is eight, Carol.
‐ Can I see her?
‐ 'Hold on.'
'Hold on, we've got some
active bleeding here.'
What's her pressure?
Hundred over sixty.
‐ What took you so long?
‐ They just paged me.
Well, she delivered
five minutes ago.
Profuse bleeding.
Uterus is still boggy.
How much Pitocin has she had?
Forty units in.
Another .2 methergine.
IM?
No, I'll do it intramyometrial.
Hemostat, more suction.
'She's oozing all over.'
‐ 'Sponge stick.'
‐ 'Check another pressure.'
Oh, my God.
I'm bleeding out.
It always looks like
more than there is.
How are we doing?
Pressure's down, 80/40.
Alright, let's pump in
some saline.
I'll put in another line.
I want to see my baby.
You will, Carol,
in just a little while.
I'll take her to the nursery.
'We're at 70.'
'Okay, she needs blood.'
'Type and cross for four.'
'Okay.'
Three liters are up.
Give her hemabate, .25 IM.
The blood will be here
in ten minutes.
We don't have ten minutes.
Open a hysterectomy tray.
A what?
H‐Hold on,
are we there yet?
Carol, your uterus is atonic.
It's not firming up and you're
losing a lot of blood
in spite of all the medication
we're giving you.
Don't do a hysterectomy.
We may not have a choice.
No, don't, please.
‐ Mark.
‐ What else can we do?
Uterus is still boggy.
‐ Another 500cc's of blood loss.
‐ Okay, Bovie.
There must be something short
of a hysterectomy.
Yes, losing the patient.
Can't you clamp off
an artery?
Please step out, Dr. Greene.
At least try it.
It's only 30 seconds.
Yes, 30 seconds
she may not have.
'She doesn't want it.'
She's a nurse.
She understands the risk.
Respect her decision.
'O'Leary stitch. O‐vicryl.'
O‐neg is up and ready.
Hold the transfusion.
'What's her pressure?'
‐ Systolic is 80.
‐ Cycle the dynamap.
Check it again.
'That's a hypogastric.'
Keep suctioning.
'Still boggy and that's
another 500ccs of blood loss.'
Okay, Bovie, keep suctioning.
She needs a name.
Tess needs to know what
her little sister's name is.
Is she alright?
'She's perfect.'
They are both perfect.
What happened?
You gave us a bit of a scare
'but you toughed it out.'
Yeah, you still
have your uterus.
You're up.
How're you feeling?
A little groggy.
Any pain?
Actually, no.
For the first time today.
'Drugs.'
Enjoy them while they last.
I wouldn't repeat this
outside of this room but, uh..
...you owe your friend here,
your future children.
You know, they both
came out so well.
You've got to think
about doing it again.
Yeah, I'm gonna get
right on that.
So, what's her name?
You wanna name her?
Me?
What was your mom's name?
Ruth.
Middle name, Katherine.
Kate. Oh!
I like that.
'Kate.'
Dr. Greene.
‐ They need you downstairs.
‐ What for?
'They brought your dad
in for a laceration.'
‐ What happened?
‐ Oh, I don't know.
Um...I'll be right back.
Mark..
...thank you.
You did good, mom.
Can you, uh, call long distance
on this phone?
Uh, I don't know.
You might need a calling card.
Where are you calling?
Seattle.
‐ You come in handy.
‐ Thank you.
How many stitches
do you think?
‐ Six, maybe seven.
‐ Dad, what happened?
‐ It's nothing.
‐ He slipped on the ice.
I would've caught myself
if I hadn't been
carrying such a big bag.
How many different kinds
of sanitary napkins
do they make?
‐ Thin, maxi, mini..
‐ What is he talking about?
‐ Rachel started her period.
‐ What?
‐ I had to buy every kind‐‐
‐ Dad, hold on a minute.
‐ Can I talk to you?
‐ They didn't just have regular.
R‐Rachel had a period?
‐ I was as surprised as you are.
‐ Uh, where is she now?
She's on the phone in the lounge
talking to her mom.
She wants to go back
to St. Louis.
Why did you let him go out
in this kind of weather?
You'd prefer I left him
with your menstruating daughter?
Excuse me, Dr. Greene.
Uh, did she have
the other baby?
‐ Carol Hathaway?
‐ Yes.
‐ And, uh, what‐what was it?
‐ A girl. Two girls.
Oh, and everything's alright?
Everything's fine now.
Good. Thank you.
Here, you stitch up
your father.
I'm gonna say "Hello."
I like her.
Sometimes, you'll have to tickle
her feet to wake her up.
‐ 'Cause new babies are sleepy.
‐ Hmm.
Okay, wait till
she opens her mouth
really wide.
That's it.
Yeah, make sure her mouth
covers the whole areola.
Yeah, see her
little jaw moving.
Oh, she's a barracuda.
‐ She's a natural.
‐ Oh!
And you listen
for the swallowing.
Hear it?
Okay, I have to go.
Your postpartum nurse
will take over from here.
‐ You're leaving?
‐ Yeah, you'll be fine.
Congratulations.
Thank you so much.
'You're welcome.'
You were very brave.
I don't know about that.
'Oh...trust me.'
Goodnight.
Goodnight.
Happy Thanksgiving.
Happy Thanksgiving.
♪ Sun's up mm‐hmm looks okay ♪
♪ The world survives
into another day ♪
♪ And I'm thinking
about eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ I had another dream
about lions at the door ♪
♪ They weren't half
as frightening ♪
♪ As they were before ♪
♪ But I'm thinking
about eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ Walls windows trees
waves coming through ♪
♪ You be in me
and I'll be in you ♪
♪ Together in eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ Up among the firs
where it smells so sweet ♪
♪ Or down in the valley
where the river used to be ♪
♪ I got my mind on eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
♪ And I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ Mm‐hmm I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ Aa‐ha‐ha‐ha ♪
‐ Guess winter's here, huh?
‐ Yeah.
Aren't you freezing?
Not once I get warmed up.
I used to be that thin,
you know.
The bitch stabbed me
right through the bird.
‐ Excuse me?
‐ I was stuffing the turkey.
‐ Hey, Kerry.
‐ Hey, Carol.
I thought yesterday
was your last day.
I know, but I still need
to show Lydia
how to do
the productivity report.
‐ She took off.
‐ What?
Yeah, she's driving
to Wisconsin.
You were supposed
to be here at 8:00.
I needed to sleep.
I‐I thought she had a shift.
Yeah, the night shift.
Well, why didn't
she call me?
I came all the way in.
She figured you'd bail.
She didn't want to bother you.
‐ Oh, man.
‐ Carol, do you feel alright?
No, my back
is killing me.
We're about to do
the potluck soon.
Why don't you stay
and rest a while?
No, you know what, I'm gonna
go home and take a nap.
Store up my energy
to deal with my family.
Wait a minute. Hold on.
I got you down for dessert.
Oh, sorry.
Casualty of pregnancy.
'What, no pie?'
No, wait! No fair!
Time out! Time out!
There's no time‐outs
in a snowball fight.
No fair! I'm a girl!
A girl who tried
to ambush me.
That's very mature,
Carter.
Oh, you want a piece
of this?
Don't even
think about it.
Well, okay,
now, you're dead.
♪ Sail into eternity ♪
♪ Some kind of ecstasy
got a hold on me ♪
Well, I'm glad
you're enjoying it.
♪ And I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
♪ I'm wondering
where the lions are ♪
♪ Wondering where
the lions are ♪
Oh, my God.
Carol?
Carol, are you alright?
My water broke.
‐ How long ago?
‐ 15 minutes.
You're already
having contractions?
‐ How many?
‐ Two.
‐ How far apart?
‐ Seven, eight minutes.
Did anyone
call an ambulance?
No, County's
just one stop back.
Why didn't you get
on that train?
You try walking
during labor pain.
Yeah. How far along
are you?
Oh, 38 weeks.
Was the amniotic fluid clear?
Kind of hard
to tell on the El.
So, no meconium then, huh?
‐ I don't think so.
‐ Good. Good. Good.
Don't worry.
I could be at this a while.
Tell you what...we wait
for the next train.
If it doesn't come
in five minutes
we call an ambulance, okay?
Oh, yeah.
‐ Denied.
‐ Oh, that ain't no fair, man.
‐ You can't use your hands.
‐ I'm a goalie, man.
‐ That's what we do.
‐ It's too easy. Use the chair.
Okay, whatever you say, bro.
I'll still own you.
‐ Hey, Cleo.
‐ Working hard, Dave?
Yeah, I'm fast.
What can I tell you?
Oh!
I'm cool. I'm cool.
Hey, Dr. Weaver.
Finished your notes,
Dr. Malucci?
Oh, absolutely, chief.
I was just, um,
waiting on a paramedic run.
Is it always this slow
on Thanksgiving?
Alright, if you're bored,
you can start studying
for your
national in‐service exam.
Yeah, wouldn't want
to bring down the average.
Ouch, and I thought
you liked me.
Whatever gave you
that idea?
It'll pick up once
people start eating dinner.
‐ Barf Central, huh?
‐ Already started.
Shelly Robinson, 18, persistent
vomiting and diarrhea.
Hypoglycemic, altered
mental status.
I gave her IV Fluids
and Compazine
but her glucose
is still 42 after D‐50.
Did you get
an endocrine consult?
Yeah, he's probably at home,
stuffing his face right now.
‐ Did you get a travel history?
‐ Not outside the US.
‐ Well, how about Florida?
‐ Yeah.
Actually, she just
got back from there. Why?
Well, ask her if she ate
an oily, yellowish fruit
with black seeds.
‐ Why?
‐ Ackee fruit.
Poisonous
before it's ripe.
Induces vomiting
and low blood‐glucose
by inhibiting
hepatic gluconeogesis.
‐ Known as JVS.
‐ JVS?
Jamaican vomiting sickness.
But the ackee also grows
in Southern Florida.
You're kidding, right?
You better start
a D‐20 infusion
because there's
a high fatality rate
if it's left untreated.
Hey, man, if you don't believe
me, just check the differential.
He might be a doctor
after all.
"Jamaican vomiting sickness?"
Look it up, John.
Jamaican vomiting sickness.
Okay, a little step.
Thank you for doing this.
Not a problem.
It's okay.
‐ Oh, God!
‐ What is it, a contraction?
‐ Oh, yeah.
‐ Okay, sit‐sit here. Sit here.
Oh!
So, maybe, maybe standing's
better, huh?
‐ Yeah.
‐ Okay.
Carol, have you, have you
taken a birthing class?
Mm‐hmm.
‐ Uh, just look at something.
‐ Oh.
Try to stare at something.
Stay focused on it, okay?
Uh, uh, is‐is she
having a baby?
Yeah, we‐we're okay,
she just started.
‐ Are you sure?
‐ Yeah.
It's alright.
I'm a doctor.
She doesn't look
alright to me.
‐ Ah!
‐ Oh.
Uh, I‐I think I better pull
the emergency cord.
‐ Uh!
‐ No, no, no.
‐ That stops the train.
‐ Well, she needs help.
No, we only have
to go one stop.
‐ It's okay.
‐ Better to be safe.
No, no, no,
don't pull the cord!
The sign says "Pull cord
in case of emergency."
No, this isn't
that kind of emergency.
"Police, fire,
medical emergency."
Don't pull the damn cord!
Oh! God!
Can she cook?
What kind
of a question is that?
‐ So, she can't.
‐ I don't know.
We eat out a lot.
My experience with English food,
it's always bland.
Would you rather
I cooked?
‐ Is she pretty?
‐ Yes, she's pretty.
Prettier than Cynthia?
‐ Different kind of pretty.
‐ Beauty is overrated.
She's pretty,
alright? Geez.
Happy Thanksgiving.
‐ See?
‐ What?
Nothing. Uh, Elizabeth, this
is my father David Greene.
‐ Nice hat.
‐ Thank you. Come in.
‐ This is Rachel.
‐ Hello, Rachel.
You're not supposed
to wear those.
They're for decoration.
Uh, uh, well, I saw it
in the drug store
and I thought it
looked cute.
‐ I got the wine.
‐ Great, I'll open it.
No, no, no, I'll get it.
Scotch and soda for me,
if you have it.
Actually, I think I might.
Rachel, would you care
for something to drink?
‐ Can I have some wine?
‐ No.
‐ I have soda.
‐ 'Okay.'
Mind if I turn on
the game?
'Oh, um, my telly's broken,
I'm afraid.'
‐ Doesn't work?
‐ 'Yeah.'
Apparently, my neighbor
was stealing his cable
so, the company
came and, um..
...they snapped
the wrong line.
‐ On Thanksgiving?
‐ No, no, this was a month ago.
I just haven't had time
to ring up and complain.
No football?
We can play charades
if you like.
Let me just sit
for a second, okay?
The contractions
are too close together.
‐ You're in active labor.
‐ Oh, gee, you think?
I'm sorry,
I'm just..
You might have progressed
more than you think.
No, I'm okay.
It just...hurts.
How dilated were you
on your last OB Visit?
Uh, three centimeters, Monday.
'Any back pain?'
Yeah, for the last three months.
Worse lately?
This morning.
Okay, let's go.
Oh, can't I have
the babies here?
If you want to make the news.
Come on.
Oh, God, they feel like
they're between my knees.
Yeah, that's the idea.
Oh, son of a bitch!
Okay, sit. Sit here.
Sit here. Come on.
Okay, okay, focus.
Focus, Carol, Carol.
‐ Try, try humming.
‐ Huh?
'I‐I know
it sounds very strange'
but it helped my wife.
Okay, just hum l‐like this.
'Yeah. Just do it.'
Okay.
Hey, remember
that renal‐failure patient?
Five‐minute ETA?
Yeah, let me guess,
diverted to mercy?
Now, she's
a trauma patient.
Some guy plowed
into the ambulance.
That was smart.
Hey, Dave, good call
on the ackee fruit.
She bought off
a curb‐side vendor.
Ah, I won't say
I told you so, but‐‐
‐ How'd you know about it?
‐ I'm a good doctor.
‐ No, really.
‐ Really.
And I might have
seen it before.
Where? No,
don't tell me.
You, uh, you did
the Peace Corps or something?
Yeah, exactly. I spent
some time in the jungle.
And if you're nice to me, I'll
even show you my piranha scars.
Oh, come on,
where'd you see it?
Let's just say you owe
me a favor, alright?
What is this,
a secret?
What, you're suddenly
sensitive, Dave?
Oh, did you, um,
lose a patient to this?
Fine, whatever.
I saw it in Grenada, okay?
You did a rotation
in Grenada?
No, Sherlock. I went
to med school in Grenada.
Oh...oh.
Your, uh, first choice?
I had fun in college,
what I can remember of it.
My grades sucked, my MCATs..
...a long story but I always
knew I could be a better doctor
than those ass kissers
whose only hard‐on
was for what
was on some test.
‐ Got you.
‐ So, I did Grenada.
It's the Harvard
of the Caribbean actually.
I'm sure that it is.
Still says MD, Carter.
See? MD.
I know. I know.
Well, now I can appreciate
you that much more.
‐ Good.
‐ So..
...what did you get
on your MCATs?
Alright.
Hey, it started
snowing again.
‐ Yeah. You ready?
‐ Uh..
‐ I think so.
‐ Okay.
Oh.
So, how long
was your wife in labor?
Sixteen hours
for the first one.
How many has she had?
Two, at different times.
Yeah, well.
Do they still
live in Croatia?
No, not anymore.
Hmm.
‐ Oh!
‐ What?
Okay, sit.
Sit down. Come on.
‐ Deep breaths.
‐ Oh!
Hey, don't worry.
It's probably
a vagal reaction
to the contractions, okay?
‐ Deep breaths.
‐ Oh...ooh.
‐ I have to go to the bathroom.
‐ We're almost there.
No, I mean
I really have to go.
We must hurry.
Can you stand?
‐ Mm.
‐ What? What is it? What is it?
Another contraction?
Already?
Okay. Okay.
Uh, don't push.
Don't push.
Listen to me, Carol.
‐ Carol, don't push, okay?
‐ Mm..
Carol?
Carol?
78‐year‐old woman
with chronic renal‐failure
in respiratory distress.
Missed her dialysis.
Any other injuries
from the accident?
Maybe chest trauma.
She responded
to ten liters of O‐2
but decompensated
after the crash.
‐ Anyone else hurt?
‐ Yes, Zadro banged his elbow.
The jerk who hit them
is right behind us.
He's faking
a heart attack.
Kerry!
‐ Oh, my God.
‐ We need a gurney out here!
‐ What happened?
‐ Vagal reaction.
‐ Is she in labor?
‐ Oh, yeah.
Get a BP.
‐ She had a syncopal episode.
‐ I'm fine.
How far apart
are the contractions?
‐ About three minutes.
‐ Are the babies moving?
‐ All day long.
‐ What's wrong with her?
‐ What do you think?
‐ 'What's open?'
‐ 'Uh, trauma rooms.'
‐ Oh, no, Kerry.
Please, just take me upstairs
to labor and delivery.
Carol, you passed out.
I want to check your vitals
and your cervix.
‐ Who's your OB?
‐ McLucas.
Please, Kerry.
Kerry, just take me upstairs.
Yeah, in a minute.
Malik, can you
page Dr. McLucas?
‐ Is he on the on‐call list?
‐ She. OB Has it.
Hey, do you want
a fetal monitor?
No, no, no, she's just
going to check me..
‐ Get the Doppler scope.
‐ ...then I'm going upstairs.
Hey, I can use some help.
I got two here.
Luka, can you help him?
‐ Yeah, uh, sure.
‐ Should I call Mark?
‐ He's off.
‐ He's her Lamaze coach.
Uh, Carol, you want us
to call Mark?
'Okay. Let's go, nice and easy.'
I hope it's done.
I'm not used to serving
so early in the afternoon.
Well, we need time
to gorge ourselves
so that we can pass out
on the couch.
It says a 180.
You know, you didn't
have to do all this.
I mean, the two of them
together can be a bit much.
Don't be silly, all families
are eccentric in their own way.
I guess.
Okay, everybody,
dinner is served!
‐ Hit me.
‐ You have 18.
Soft 18 against
your 9, hit me.
Dinner's ready, guys. Rachel,
can you get the mashed potatoes?
‐ Smells good.
‐ I hope it's alright.
‐ What's that, on top there?
‐ Bacon.
Eww, on the turkey?
You don't have
it that way?
Rachel, I said
mashed potatoes.
I didn't think
you celebrated Thanksgiving.
Well, it's not really
my holiday, is it?
The pilgrims came
here to escape
persecution
from the British.
Yes, so they could go
about persecuting the Indians.
Okay, everybody.
‐ Now..
‐ I'll do that.
‐ I got it, dad.
‐ Mark, I said I'd do it.
Don't worry.
Sit down. Relax.
Mark doesn't think I can do
things for myself anymore.
‐ Be my guest.
‐ Oh.
Did you tell her you want
to put me in a nursing home?
It's a retirement community.
A retirement community
with nurses.
Can we talk
about this later?
It's all you wanted
to talk about last night.
Sorry.
That's alright. Uh,
I think I have instant.
‐ Are you on call?
‐ No, no, it's yours.
Um, look, let's clean
this up, shall we?
Okay, ready and lift.
Lungs are wet, some JVD
not making any urine.
Mrs. Olson, why did you
miss your dialysis?
I was having
my hair done.
Oh, it's nice
to look good
but your health
should come first, huh?
You think I look good?
Yeah, beautiful.
Oh, it's
for my birthday.
‐ Today?
‐ Yes.
‐ Oh. Happy birthday.
‐ Well, thank you.
BP's 102/54.
Pulse is 124.
Congestive failure.
Wet crackles,
halfway up.
‐ You want Lasix?
‐ No.
Start a nitro drip
and call the dialysis unit.
Can I call
a family member?
No, that's alright.
‐ Oh!
‐ I'm sorry.
I'm sorry.
Sternal tenderness.
Yeah, see, this is why idiots
need to stop for ambulances.
Muffled heart‐sounds.
Check for pulsus paradoxus.
Heart, what's wrong
with my heart?
Mrs. Olson,
you are fluid‐overloaded
from missing your dialysis.
Some fluid is collecting
around your heart.
It's probably
from the renal failure
but it could also be an injury
from the accident.
Oh, my.
Enalopril, 1.25 IV Push
and get me an ultrasound.
They're using it next door.
Then, get me another one.
‐ Oh.
‐ Carol, you're pushing, honey.
Don't push.
Betadine?
Doppler sounds good.
‐ Fetal heart‐tones are 140.
‐ Oh!
BP's 112/70, pulse 88.
‐ Legs up a little, Carol.
‐ Okay, it's over.
‐ The contraction's over.
‐ 'Almost, yeah.'
Okay, I'm gonna check
your cervix, Carol.
‐ Relax.
‐ Oh.
But you'll remember
this Thanksgiving, huh?
Yeah.
Kerry, what is it?
You're
at ten centimeters, Carol.
‐ What?
‐ Fully effaced, 2 plus station.
Haleh, open an OB Pack.
No, no, I don't want
to deliver down here.
I don't want to deliver
in the ER.
Well, do you wanna deliver
in the elevator?
Well, how can I be
ten centimeters?
Probably been contracting
all day.
‐ Oh, God.
‐ Call pedes.
Let's rotate the gurney
and give her some privacy.
No, no, no.
No, Kerry.
'I'll just hold it, okay?
I promise.'
I won't push. I won't push!
‐ Let's make a deal.
‐ Oh!
We'll deliver
this one down here..
...and you can have
the next one upstairs.
Okay, lift up your butt, Carol.
Okay, uh, I'm going to need
that fetal monitor.
We can do the second
on the ultrasound.
‐ Get out of here, Carter.
‐ It's okay, Carol.
Don't worry about a thing.
Give me some sterile gloves.
Carter, get out of here!
John, I've got it. Why don't you
see if Dr. Kovac needs help?
I've delivered
babies before.
Not this one.
‐ Dr. Weaver?
‐ She knows you.
‐ She doesn't feel comfortable.
‐ She just paged Dr. Greene.
Yeah, he's not delivering.
Get out.
Alright. Okay. Good luck.
Oh, God!
Okay, let's break
the bed down.
'Fifteen of etomidate,
hundred of sux.'
BP's down
to 80 systolic.
Pericardiocentesis tray
and get me an alligator clip.
‐ You need some help?
‐ Yes, please. Intubate.
‐ What is it?
‐ Pericardial effusion.
I can't tell if it's the trauma
or her renal failure.
‐ Pressure's down to 70.
‐ Number eight ET Tube.
Double up on the dopamine.
Is she having
the babies in there?
'At least one of them.'
'V‐fib!'
Charge the paddles.
Carter, CPR now!
What do you think
it is, hyperkalemia?
Probably high potassium.
Give an amp of calcium.
Come on, clear.
‐ Still V‐fib.
‐ 300, now!
You want insulin
and glucose?
Go ahead.
And an amp of, uh, bicarb.
‐ Paddles ready.
‐ Clear.
‐ Nothing.
‐ 360. Stand by with epi.
'Come on, come on.
Hurry up, hurry up.'
Okay, clear.
Tell her I'll be right there.
‐ What is it?
‐ Carol's in labor.
‐ Is she in the hospital?
‐ Yeah.
And I might miss the first one.
‐ Who's Carol?
‐ Uh, she's a friend of ours.
‐ Dad, we gotta go.
‐ Why?
Well, I'm the Lamaze coach
and so, I gotta talk
her through it.
‐ Where's the father?
‐ Dad, let's go.
Rachel, I'm gonna drop you guys
off on the way, come on.
‐ I'm hungry.
‐ Me too!
Mark, we might
as well eat dinner.
‐ It could be a while.
‐ 'Well, I can drive them home.'
Are you okay with this, Rachel?
'She's fine.'
Go coach. We'll eat.
Here, take a biscuit.
Call with all the details.
Boys, girls, weight,
length, all of that.
‐ You're sure about this?
‐ Carol needs you.
We'll be fine.
If they give you
any trouble
just lock them
in the closet.
Go.
No turkey for me.
Animal fat's bad
for your heart.
'Not today.'
Push, push, push.
‐ Good job, Carol. Almost there.
‐ Okay, I see the head.
Crowning. You've got
to keep breathing, honey.
Contractions subsiding.
Okay, Carol, I want you
to push hard for ten seconds.
I'm trying!
I know.
Come on. Come on.
Ten..
...nine, eight..
‐ ...seven..
‐ Count faster!
...six, five..
...four, three..
‐ Okay, okay, just relax.
‐ Is he out?
Not yet. Not yet.
Next contraction.
Good job.
‐ You're doing great, Carol.
‐ Carol, you're almost there.
Did you plan
a natural childbirth?
Hell, no.
‐ 'Okay, where's pedes?'
‐ 'I paged them.'
Somebody get Cleo
in here.
Dr. Weaver,
decels on twin A.
What? No, let me see.
Okay, get the OB on call
and have L&D bring down
'a vacuum extraction set‐up.'
Vacuum? No.
Carol, look
at me, honey.
It's just for safety.
The first baby's heart rate
is down to 90
but we're okay over 80,
alright?
Okay.
Okay, good.
Let's go
with a scalp electrode.
Oh, no, do you have to?
It just gives me
more accurate monitoring, okay?
You rest up.
In two minutes, you're gonna
push this baby out.
How much atropine
has she had?
Two amps.
How long since the last EPI?
‐ Five minutes.
‐ Let's check another rhythm.
Asystole.
That's it.
Time of death..
...13:17.
Happy birthday.
Oh!
Good job, Carol.
You've got it.
‐ Six, five..
‐ How close is she?
‐ She's there.
‐ Fetal rate is 85.
Okay, the head's out.
Bulb suction.
Don't push.
Carol, don't push.
Don't push, honey.
Is the cord
around his neck?
‐ Not anymore.
‐ Ah!
Alright, here we go.
Carol, say hello
to your daughter.
It's a girl?
Yes..
'...it's a girl.
Congratulations.'
Hi, hello.
Okay, let's check
the presentation of twin B.
Yeah.
‐ It's okay. It's okay.
‐ 'You're a mommy now.'
Looks like about six pounds.
She's so little.
So little
but that's a good size
for a twin.
'Okay, I have to take
her now, Carol.'
'Take a good look at her.'
She's healthy, right?
She's beautiful.
‐ Yeah. Okay.
‐ 'Okay.'
‐ 'Okay.'
‐ 'There we go.'
Have you picked out
a name yet?
Tess.
I think I'm going
to name her Tess.
Welcome
to the world, Tess.
'There we go.'
You did great.
Carol Hathaway?
Hi.
I'm Abby. I'll be
your OB nurse.
Heard you had a little
excitement downstairs.
Ultrasound showed second twin
is vertex and high.
Okay.
Just relax, Carol.
We'll get you
through this.
‐ Is the bag intact?
‐ Yes.
Hi, mom. I'm Sandra.
I have to tag you
and your baby
'before I can take
her to the nursery, okay?'
'Can't she stay with me?'
'No, we'll warm her up, give her
a bath and bring her back'
right after this one
is delivered.
What if she gets hungry?
I'm breast‐feeding.
Well, we can supplement
a little bit.
‐ Sure?
‐ Yes, I'm sure.
Here, I need you
to scoot over a little bit.
‐ Nice and easy.
‐ Oh.
There we go.
Uh, Kerry..
...could you go
with her?
Sure. I'll see that she
gets settled in, okay?
Thanks.
35164.
35164. All set.
Say "Bye‐bye, mommy."
Bye, honey.
'Bye.'
Thanks, Kerry.
Are the contractions
still strong?
Well, they're a little
spaced out, but, yeah.
Well, we'll do
another ultrasound
but if the baby's high,
it could take a while.
Is Dr. McLucas on her way?
'Yeah, we're working on that.'
Do you want
an epidural?
I can still have one?
Absolutely.
Oh, well, if I
wasn't sure before
I am now.
Wimp.
Mark.
‐ Heard I missed the party.
‐ Oh, God.
I'll call
the anesthesiologist.
‐ Hmm.
‐ A girl?
Hmm. A girl.
‐ Troublemaker already?
‐ Hmm.
You hanging in there?
It's brutal, Mark.
One down, one to go.
Uh‐uh, I quit.
I don't think
you have much of a choice.
Well, you know,
you could shoot me.
Yeah, if it
comes to that.
Oh, I'm sorry to pull you away
from your Thanksgiving dinner.
Are you kidding?
I'd rather be here.
D‐day
five beaches.
The Americans
take Utah and..
...here..
...the potatoes..
...and Omaha..
...the squash.
Now, the Brits land here
and share Juno,
the, uh..
...the stuffing...with
the Canucks.
"The Canucks?"
The Canadians.
Right. Right.
Are you with me?
Yes, yes, yes,
I'm with you.
All the heavy German resistance
is concentrated
on the American lines.
Massive casualties are
suffered by the Americans.
6,000 in the first day.
The Brits had their share,
too, didn't they?
Shouldn't the gravy
go with the potatoes?
Fine.
Now, instead
of pushing forward
and cutting off
the Germans at Cannes
Montgomery,
the British general..
Yes, I know
who Montgomery is.
Montgomery sat on his ass
and had tea.
I'm going to the bathroom.
Well, the British
were fighting the Germans
for nearly three years
before the Americans.
Perhaps, they were just
a little more cautious.
"Cautious" is one word
for it.
I suppose "Tea‐loving"
would be another.
'That's two words!'
It's a hyphenate, actually.
Well, anyway, the 82nd
airborne division..
Do you have to use
a straight cath?
The epidural numbs
your bladder.
You won't control
your urine.
‐ Great.
‐ Sorry.
We do it for everybody.
No catheter, no epidural.
Seems like a small price
to pay, Carol.
It's not your bladder.
Are we doing this?
‐ Carol?
‐ Hmm, yes.
Alright. All set.
Okay, Carol,
you have to sit up.
Oh, can't we do it on my side?
No, it's better upright
when you're pregnant.
I'm a nurse,
tell me why.
We get a clear shot
at the intervetebral space.
Yeah, you don't want him
fishing around.
Okay, come on,
up you go, up you go.
You better get it right
the first time.
I generally do,
if the patient cooperates.
‐ Mark, is it?
‐ Yeah.
Could you grab
her other shoulder?
‐ Mm‐Hmm
‐ Okay, Carol, lean into us.
A little bit more,
keep your back nice and round.
And you'll feel a little prick.
Carol Hathaway?
'Carol, it's you.'
Dr. Coburn.
Mark...I had no idea.
'Congratulations.'
No, he's my Lamaze coach.
Oh, I see.
How we doing?
Hymen intact,
six centimeters.
‐ Six?
‐ It's alright.
You shrink back down
between deliveries.
I know. But six?
Aah!
You need some more local?
Oh, no! Contraction.
You just hold on, Carol.
You're doing great.
Carol, Dr. McLucas
is in Wichita.
She asked me to cover
her practice over Thanksgiving.
‐ 'Is that alright?'
‐ I've got to lie down.
No, no, Carol. He's
in the middle of it right now.
‐ You have to hold still.
‐ No, I can't!
Yes, you can.
Yes, you can.
Here, hold my hand, okay?
You're gonna be much better
once we get
through this, okay?
Oh, it hurts, Mark!
I know.
No, I mean it
really hurts!
I know.
Hang in there.
Hang in there.
One night
Stu and I were on deck.
He asked me for a light
I reached in my pocket
and when I looked up,
he was gone.
What do you mean, gone?
Gone. He'd fallen overboard.
Oh, my God.
Did he drown?
If the fall
didn't kill him.
‐ That's terrible.
‐ Yeah.
About the only thing worse
than the working conditions
on that carrier was the food.
Probably took more men
than anything.
You mean worse
than the English?
Well, I was kidding.
This is great, I haven't had
a meal like this since..
...well, for a while.
Since your wife died.
‐ Yeah.
‐ I'm sorry.
I can only imagine
how difficult it must be.
As difficult as you
make it, I guess.
What do you mean?
How's Mark?
You know, dealing with it.
Oh..
...in his stride, I suppose.
'To be honest, he doesn't
speak of it much'
'and I've learnt
not to force the subject.'
There are certain things
he carries inside.
‐ But you must know that.
‐ Well, don't ask me.
His mother was the only one
who seemed to understand him.
He's not that big a mystery.
'Well, don't get me wrong.'
He's a good man.
It's just that..
...with Ruth gone..
...I don't know..
How about some pie?
With his mother gone, what?
Nothing.
Just seemed to have
lost a bridge, I guess.
‐ 'A bridge?'
‐ Yeah.
Maybe you both just miss her.
I'll get some plates.
Hey, Rachel! Come get some pie.
What's with her?
'She's been in there
a half hour.'
I'll check.
Rachel?
Are you alright in there?
Rachel?
Rachel, are you in there?
'Go away!'
What are you looking for?
I don't know.
Am I boring you?
No!
Wanna...just talk?
Sure.
What do you want
to talk about?
I don't know.
Hey, the post‐game show's on.
Whoo.
How're you feeling?
I'm in love
with the epidural man.
Some people call him
an anesthesiologist.
Oh, he will always be
the epidural man to me.
You know what? I'm just going
to go get a magazine.
So, uh..
...I should call
Elizabeth, too.
She's probably crawling
out on a ledge by now.
Hey, could you call my mom?
Sure, what do you
want me to tell her?
You know,
just what you said.
"One down, one to go."
'Her number's in my
organizer in my bag.'
Is there anybody else
you want me to call?
No, not yet.
Are you sure?
I just want
to get through this first.
Alright.
‐ What's wrong?
‐ Nothing.
Just lost the signal.
Where'd it go?
Hold on.
Sandra, could you call
Dr. Coburn and bring over
the ultrasound?
Right there.
Got it.
It's above the umbilicus.
What does that mean?
Baby could be rotating.
'It's fine. Heart rate's 140.'
Do we have an OR Clear?
I'll see.
Wait, I don't..
I don't need a C‐section, do I?
No, not necessarily
but if the baby
turns breech
we'll have to labor
you in the OR.
It's just
a precaution, Carol.
Oh, man.
What's going on
in there?
She sticking her finger
down her throat?
I'm afraid she's having
her first menstrual period.
Menstrual?
She's ten.
It can happen
at that age.
It's early
but not abnormal.
So, one of us needs
to go to the store.
Now, do you want
to stay with her
or shall I?
Uh, what do you need
from the store?
Sanitary napkins.
You don't have
that...stuff?
I only have tampons, um..
...it's not really the best
for a young girl.
Oh, right.
Listen, um..
...there's a drug store
just on the corner..
Sanitary napkins.
That, that's the flat ones?
Ask the clerk.
Hmm.
What if he's a guy?
How are we doing?
We'll move her right
after this contraction.
Baby's in lotus position.
What's this for?
We have to prep you
for the OR.
What, even if I'm not
being operated on?
Don't worry.
I won't take any pictures.
Ha, ha.
‐ Uh‐oh.
‐ What is it?
I think my water
just broke again.
Sure did.
Nice and clear.
Alright, we'll clean
you up once we‐‐
What?
Fetal heart rate's
in the 90s.
Um, Carol,
I have to check you.
Yeah, but we're good
till 80, right?
Just relax, Carol, okay?
I have to check you again.
‐ What are you looking for?
‐ Hold on.
I have to wait till
this contraction finishes.
'Seventy‐five.'
‐ What's wrong?
‐ Damn it.
She's got a prolapsed cord.
‐ 'Prolapsed?'
‐ Yeah.
The cord gets pushed
out before the baby.
Cutting off the oxygen?
Stat page Coburn
to the OR, please?
Alright, fetal heart‐rate 65.
We have to get
this baby out now.
She's only six centimeters.
Alright, we'll have
to crash C‐section.
Oh, my God!
The OR is not clear yet.
‐ Well, we're going.
‐ What are you doing?
I'm keeping
the baby off its cord.
What? This can't be happening.
This isn't happening.
Just try
and stay calm, okay?
Oh, Mark, don't
let this happen.
Don't worry.
I am right here, okay?
‐ Oh, God.
‐ Now, keep breathing.
Is the baby hypoxic?
‐ We're okay.
‐ What's the heart rate?
‐ We're not on a monitor.
‐ What happened?
Prolapsed cord. Fetal
heart rate's is 65.
Okay. Scrub in, Abby.
She's got her hand on the cord.
Get somebody else.
‐ I've got it, Dr. Greene.
‐ Don't let go.
Okay, do you want
to assist on a C‐section?
‐ Not really.
‐ Then I need ten seconds.
For her to scrub in.
Take over, Sandra.
Okay, everybody, on my count.
Nice and easy.
One, two, three.
Alright, get your hand
on that cord.
‐ Mark, you gotta save the baby.
‐ We will.
‐ No, promise me.
‐ I promise.
‐ I got it.
‐ Let's prep her fast.
‐ 'Okay, where's anesthesia?'
‐ 'I just paged him.'
'Get anesthesia down here now!'
There's no time,
she had an epidural.
Keep a 100 mikes
of fentanyl standing by.
Okay, I'll monitor her vitals.
Please, save this baby.
Gloves, now.
Please.
Okay, mom's BP..
...118/84, pulse 102.
Satting 98 on room air.
‐ 'Okay, nasal oxygen.'
‐ 'I'm on it.'
Here we go!
One minute from skin to baby.
Scalpel.
There's skin.
And...mark the time.
Please, God. Please.
Don't worry. Don't worry,
we're going to get him out.
Stretch, Abby, stretch.
Come on, pull.
‐ I'm pulling.
‐ Come on, pull.
Someone working on pedes?
They're on their way.
Bladder blade.
Retract inferiorly.
'Scalpel again.'
Uterine incision.
Okay.
And another stretch.
Pediatrician's here.
Mark, what's happening?
I see the baby.
Blue towel.
Ah, looks like a girl.
Did you hear that?
You hear that?
You got another girl.
‐ Is she okay?
‐ Hold on.
Second shoulder.
Got to keep
the head flexed.
Another clamp. Scissors.
‐ Is she out?
‐ She's out.
‐ Why isn't she crying?
‐ She will.
‐ I got her.
‐ She looks okay.
‐ She's not crying.
‐ 'How did we do? '
Blow by 15 liters.
Fifty seconds.
Mark, she's blue.
‐ She'll pink up.
‐ Uterus is boggy.
She needs pit, 20 units.
‐ What's the Apgar?
‐ Don't worry.
Mark, what's the Apgar?
Five‐minute Apgar
is more predictive.
Oh..
Oh, my God.
What happened?
Damn ice. I slipped.
It was a pretty bad spill.
I saw it from here.
‐ Let me see.
‐ I'm fine.
You should throw
some salt out there.
Do you know what time it is?
Yeah, time my
ten‐year‐old granddaughter
started her period.
You got this?
Uh, yes.
Thanks for buzzing me.
Right, we need to get you
to a hospital
and stitch that up.
Like hell. It will stop bleeding
with a little pressure.
That's a nasty gash, you need
sutures and a tetanus booster.
What I need is a Band‐Aid
and a drink.
Fine. Well, if you sit still,
you'll even get a lollipop.
Five‐minute Apgar
is eight, Carol.
‐ Can I see her?
‐ 'Hold on.'
'Hold on, we've got some
active bleeding here.'
What's her pressure?
Hundred over sixty.
‐ What took you so long?
‐ They just paged me.
Well, she delivered
five minutes ago.
Profuse bleeding.
Uterus is still boggy.
How much Pitocin has she had?
Forty units in.
Another .2 methergine.
IM?
No, I'll do it intramyometrial.
Hemostat, more suction.
'She's oozing all over.'
‐ 'Sponge stick.'
‐ 'Check another pressure.'
Oh, my God.
I'm bleeding out.
It always looks like
more than there is.
How are we doing?
Pressure's down, 80/40.
Alright, let's pump in
some saline.
I'll put in another line.
I want to see my baby.
You will, Carol,
in just a little while.
I'll take her to the nursery.
'We're at 70.'
'Okay, she needs blood.'
'Type and cross for four.'
'Okay.'
Three liters are up.
Give her hemabate, .25 IM.
The blood will be here
in ten minutes.
We don't have ten minutes.
Open a hysterectomy tray.
A what?
H‐Hold on,
are we there yet?
Carol, your uterus is atonic.
It's not firming up and you're
losing a lot of blood
in spite of all the medication
we're giving you.
Don't do a hysterectomy.
We may not have a choice.
No, don't, please.
‐ Mark.
‐ What else can we do?
Uterus is still boggy.
‐ Another 500cc's of blood loss.
‐ Okay, Bovie.
There must be something short
of a hysterectomy.
Yes, losing the patient.
Can't you clamp off
an artery?
Please step out, Dr. Greene.
At least try it.
It's only 30 seconds.
Yes, 30 seconds
she may not have.
'She doesn't want it.'
She's a nurse.
She understands the risk.
Respect her decision.
'O'Leary stitch. O‐vicryl.'
O‐neg is up and ready.
Hold the transfusion.
'What's her pressure?'
‐ Systolic is 80.
‐ Cycle the dynamap.
Check it again.
'That's a hypogastric.'
Keep suctioning.
'Still boggy and that's
another 500ccs of blood loss.'
Okay, Bovie, keep suctioning.
She needs a name.
Tess needs to know what
her little sister's name is.
Is she alright?
'She's perfect.'
They are both perfect.
What happened?
You gave us a bit of a scare
'but you toughed it out.'
Yeah, you still
have your uterus.
You're up.
How're you feeling?
A little groggy.
Any pain?
Actually, no.
For the first time today.
'Drugs.'
Enjoy them while they last.
I wouldn't repeat this
outside of this room but, uh..
...you owe your friend here,
your future children.
You know, they both
came out so well.
You've got to think
about doing it again.
Yeah, I'm gonna get
right on that.
So, what's her name?
You wanna name her?
Me?
What was your mom's name?
Ruth.
Middle name, Katherine.
Kate. Oh!
I like that.
'Kate.'
Dr. Greene.
‐ They need you downstairs.
‐ What for?
'They brought your dad
in for a laceration.'
‐ What happened?
‐ Oh, I don't know.
Um...I'll be right back.
Mark..
...thank you.
You did good, mom.
Can you, uh, call long distance
on this phone?
Uh, I don't know.
You might need a calling card.
Where are you calling?
Seattle.
‐ You come in handy.
‐ Thank you.
How many stitches
do you think?
‐ Six, maybe seven.
‐ Dad, what happened?
‐ It's nothing.
‐ He slipped on the ice.
I would've caught myself
if I hadn't been
carrying such a big bag.
How many different kinds
of sanitary napkins
do they make?
‐ Thin, maxi, mini..
‐ What is he talking about?
‐ Rachel started her period.
‐ What?
‐ I had to buy every kind‐‐
‐ Dad, hold on a minute.
‐ Can I talk to you?
‐ They didn't just have regular.
R‐Rachel had a period?
‐ I was as surprised as you are.
‐ Uh, where is she now?
She's on the phone in the lounge
talking to her mom.
She wants to go back
to St. Louis.
Why did you let him go out
in this kind of weather?
You'd prefer I left him
with your menstruating daughter?
Excuse me, Dr. Greene.
Uh, did she have
the other baby?
‐ Carol Hathaway?
‐ Yes.
‐ And, uh, what‐what was it?
‐ A girl. Two girls.
Oh, and everything's alright?
Everything's fine now.
Good. Thank you.
Here, you stitch up
your father.
I'm gonna say "Hello."
I like her.
Sometimes, you'll have to tickle
her feet to wake her up.
‐ 'Cause new babies are sleepy.
‐ Hmm.
Okay, wait till
she opens her mouth
really wide.
That's it.
Yeah, make sure her mouth
covers the whole areola.
Yeah, see her
little jaw moving.
Oh, she's a barracuda.
‐ She's a natural.
‐ Oh!
And you listen
for the swallowing.
Hear it?
Okay, I have to go.
Your postpartum nurse
will take over from here.
‐ You're leaving?
‐ Yeah, you'll be fine.
Congratulations.
Thank you so much.
'You're welcome.'
You were very brave.
I don't know about that.
'Oh...trust me.'
Goodnight.
Goodnight.
Happy Thanksgiving.
Happy Thanksgiving.