St. Elsewhere (1982–1988): Season 1, Episode 6 - Legionnaires: Part 1 - full transcript

When several patients die with symptoms of Legionnaires' disease, Dr. Westphall considers shutting down a ward. Cavanero clashes with a disrespectful nurse. White continues to struggle with his job, marriage, and finances.

- TONIGHT ON ST. ELSEWHERE.
- OKAY. HOW LONG?

- THIRTY-FIVE MINUTES.
- GIVE IT UP.

TWO, THREE... SOMETHIN' FUNNY?

- NO, SIR.
- MR. ROECKLEIN, A YOUNG LADY
JUST DIED IN HERE!

YOU HAVE A ROTTEN SENSE
OF TIMING. YOU KNOW THAT?

IT'S GOING, "LUB-DUB,
LUB-DUB." NO, NO, EHRLICH.

IF THERE'S A MURMUR, IT WOULD
BE, "LUB-SCHTUB, LUB-SCHTUB."

OH, I SEE. "LUB-SCHTUB."

DON'T YOU EVER, EVER QUESTION
MY AUTHORITY AGAIN, LADY,

OR I'LL SLAM THE DOOR SO HARD ON
YOU, YOU WON'T KNOW WHAT HIT YOU.

YOU'RE A GOOD DOCTOR, BUT
YOU'RE AN INADEQUATE WOMAN.



I KNOW IT. EVERYBODY KNOWS
IT. YOU'VE GOT A COLD HEART.

YOU CAN HAVE $300
FOR A NEW BEEPER,

BUT WE CAN'T GET $20
FOR A DIAPER SERVICE.

I'M TIRED OF IT, PETER!
I'M JUST SICK OF IT!

THREE PEOPLE HAVE DIED WITH
SYMPTOMS OF LEGIONNAIRES'.

DONALD WOULD LIKE TO
CLOSE DOWN THE WARD.

I'M NOT A DOCTOR, BUT DON'T YOU THINK
CLOSING IT DOWN IS A LITTLE EXTREME?

NO, I DON'T, NOT IF
IT'S LEGIONNAIRES'.

I ASK HIM WHAT THE
WORD "IMPALE" MEANS.

HE STUCK THIS LETTER OPENER ON HIS
HAND AND SAID, "STICK THAT SUCKER THROUGH."

I GAVE IT A GOOD LISTEN, AND
IT'S GOING, "LUB-DUB, LUB-DUB."

NO, NO, EHRLICH. IF THERE'S A MURMUR,
IT WOULD BE, "LUB-SCHTUB, LUB-SCHTUB."

OH, I SEE. "LUB-SCHTUB." TRY
TO REMEMBER THAT, WILL YOU?

IT COULD BE THE DIFFERENCE BETWEEN
YOUR PATIENT BEING ALIVE OR DEAD.



IF HE'S A C.O.P.D.-ER, YOU'RE GONNA NEED
A BASELINE PULMONARY FUNCTION TEST.

IS HE STILL GIVING YOU THAT STORY
ABOUT COUGHING UP BLOOD? MM-HMM.

HAVE PULMONARY SCOPE HIM AND CHECK FOR
LESIONS, THEN GET A BIOPSY WITH BRUSHINGS.

NEVER A DULL MOMENT.

WHERE'S MY... HMM?

I FOUND THIS ON THE BODY
OF A 78-YEAR-OLD PATIENT.

"WHERE ARE THE DOPE FIELDS?
THE HELICOPTERS ARE GREEN."

HE CAME DOWN FROM C.C.U. HE WAS
THERE FOR FOUR STRAIGHT WEEKS.

I.C.U. PSYCHOSIS.

WHERE ARE THE DOPE FIELDS?

THERE ARE SOME CALCIFIED
GRANULOMAS ON HIS CHEST X-RAY.

THAT MEANS THE FIRST THING
WE HAVE TO WORRY ABOUT IS C.A.

CALL FELDMAN AND HAVE
HIM BRONCHED. EXCUSE ME.

HEY, HEY. I'M GOING DOWN TO CHESTNUT HILL
RESERVOIR LATER, DO SOME NIGHT FISHING.

YOU WANNA COME? WHAT
ARE YOU, HIGH ON VITAMIN "C"?

FISHING'S ILLEGAL
AT CHESTNUT HILL.

I KNOW THAT, BUT
EVERYBODY DOES IT.

ILLEGAL, AS IN PUT YOU IN THE SAME CELL
AS SON OF SAM, THE BOSTON STRANGLER,

JOHN WILKES BOOTH.

COME ON. FISHING'S FUN.

EHRLICH, SITTING ON
CONCRETE, HOLDING A

STICK WITH A STRING
DANGLING IN THE WATER...

AND DUCKING INTO THE WOODS EVERY
TIME A COP CAR PASSES IS NOT FUN.

A CARDIAC ARREST IN THE
MIDDLE OF REM SLEEP... THAT'S FUN.

A WINO WITH AN E.E.G. OF
TWO SPIKES... THAT'S FUN.

A LITTLE DALLIANCE
IN THE ON CALL ROOM...

OH, WAIT A SECOND. I SEE.
YOU HAVE OTHER PLANS.

UH-HUH. MM-HMM.
CATHY MARTIN, I PRESUME.

OH, LUCKY FOR HER,
I'M NOT PUMPIN' IRON.

YEAH, WELL, MY
SISTER HAD A MIDWIFE.

SHIRLEY, THIS DOCTOR'S WIFE IS
NOT GONNA GIVE BIRTH AT HOME.

THERE WERE NO
PROBLEMS WHATSOEVER.

YEAH, BUT STILL,

I WANT NINA TO HAVE
THE BABY IN A HOSPITAL.

I WANT HER TO HAVE
THE BEST CARE POSSIBLE.

JACK, IF YOU'RE SO WORRIED, WHY
DON'T YOU DELIVER THE BABY YOURSELF?

MRS. WEINGROT COULD HAVE
WAITED UNTIL ROUNDS. WHO?

338. THE WOMAN YOU WOKE ME FOR.

SHE COMPLAINED OF STOMACH PAINS.

MISSING A BOWEL MOVEMENT
IS NOT AN EMERGENCY.

DID YOU LOOK UNDER IT?
WELL, COME ON! LOOK UNDER IT!

IT ISN'T? DAMN IT! I WOULDN'T
DO THAT IF I WERE YOU.

YES, I LOOKED IN THE CAFETERIA. I
LOOKED IN EVERY INCH OF THIS PLACE.

ALL RIGHT. IT'S $260. I'LL GET
THE MONEY. I'LL GET THE MONEY.

PETER. LOOK, I GOTTA GO NOW.

TELL YOU WHAT... IF YOU
FIND IT, YOU CALL ME, OKAY?

OKAY? BYE-BYE.

HELL OF A TUMOR BOARD
THIS MORNING. YEAH, I HEARD.

WHERE WERE YOU? MEGAN FELL
OFF A SWING IN THE PLAYGROUND.

OH, NO. ANYTHING SERIOUS?
YEAH, IT'S ALWAYS SERIOUS.

IT WAS FUNNY AS HELL THIS MORNING.
JACKSON GETS UP AND STARTS CARRYING ON.

HE GOES... "DEATH CERTIFICATES
PROVE THAT THYROID CANCER...

"HASN'T INCREASED
IN THE LAST 10 YEARS.

WHAT ARE WE DOING ABOUT IT?"

CRAIG GETS BENT OUT
OF SHAPE AND SCREAMS,

"BECAUSE DEATH CERTIFICATES ARE
WRITTEN BEFORE THEY DO AN AUTOPSY!"

I THOUGHT THEY WERE
GONNA MIX IT UP RIGHT THERE.

SAMUELS IS GONNA
DO A RADICAL NECK.

PURE PHYSICAL MUTILATION.
YOU WANT TO WATCH? NO, THANKS.

OKAY. I'LL CATCH YOU LATER.

DR. MENLOW, CALL 10-14.

I WAS JUST, UH, TRYING
TO GET A LITTLE SLEEP.

YOU HAVEN'T SEEN MY BEEPER AROUND
HERE, HAVE YOU? OH, NO. NO BEEPER.

BEEPER.

IF, UH... IF I DO, I WILL LET
YOU KNOW. UH, THANKS.

DONALD! DO YOU HAVE A
SECOND TO LOOK IN ON A PATIENT?

WHO'S THE ATTENDING? GANNON,
BUT HE'S IN SURGERY ALL DAY.

I'M VERY WORRIED ABOUT HER. WHY?

HER NAME'S FRANCINE DELGADO.

SHE, SEVEN DAYS AGO, HAD A
MITRAL VALVE REPLACEMENT.

WHAT'S HER POST-OP
COURSE BEEN LIKE?

IT WAS EXCELLENT UNTIL
ABOUT 24 HOURS AGO.

SHE STARTED VOMITING, HAVING DIARRHEA.
HER TEMPERATURE WENT THROUGH THE ROOF.

IN THE LAST FEW HOURS, SHE'S BEEN
COUGHING WITHOUT SPUTUM PRODUCTION.

HMM. HAS SHE BEEN COMPLAINING
ABOUT ANY WEAKNESS?

YES, SHE HAS, AND I JUST
DON'T UNDERSTAND IT.

THIS IS THE FIRST TEMP
SPIKE AND G.I. DISTRESS

SHE'S HAD SINCE SHE
CAME OUT OF SURGERY.

WILL YOU SEE HER?
SURE. WHERE IS SHE?

FOLLOW ME.

I'M GOING DOWN TO X-RAYS RIGHT NOW
TO TAKE A LOOK AT IT FOR YOU, OKAY?

GOOD. PETER? I CAN'T TALK
RIGHT NOW. I LOST MY BEEPER.

MM-HMM.

EXCUSE ME.

DID YOU SEE THE HEAD OF
HAIR ON HIM? IT'S DISGUSTING.

NOW, MARK, HE'S ONLY
A KID. I KNOW. I KNOW.

SO, YOU'RE OFF TO CABO SAN
LUCAS? TOMORROW MORNING.

THAT'S TERRIFIC.
YOU DESERVE A REST.

THIS PLACE IS NOT GONNA RUN VERY
SMOOTHLY WITHOUT YOU THOUGH.

NONSENSE. BETWEEN DON WESTPHALL
AND B.J. CUMMINGS, I HAVE NO WORRIES.

YOU KNOW, THAT CUMMINGS KID MAY
BE A GOOD HOSPITAL ADMINISTRATOR,

BUT SOMETIMES HE CAN
BE A REAL HARDNOSE.

I DON'T LIKE PEOPLE LIKE THAT.

YOU'VE CAUGHT AN INFECTION, FRANCINE, BUT
IT HAS NOTHING TO DO WITH YOUR OPERATION.

I FEEL LIKE I'M ON FIRE.
I CAN'T STOP SHAKING.

I ALREADY ORDERED A CHEST X-RAY
AND SENT A URINE FOR CULTURE.

SPEED UP HER I.V. TO
A HUNDRED PER HOUR.

NOTHING BY MOUTH.

GET A SPUTUM, SEND
IT DOWN FOR ROUTINE

CULTURE AND SENSITIVITY
AND A DIETERLE STAIN.

BLOOD CULTURE TIMES
THREE, 15 MINUTES APART.

THEN GET HER STARTED ON
CEPHALOTHIN, ONE GRAM SIX HOURS,

AND ERYTHROMYCIN, ONE
GRAM EVERY SIX HOURS.

I.V. PIGGYBACK, STAT. OKAY.

I FEEL SO BAD, DR. WESTPHALL.

I KNOW, SWEETHEART. I KNOW.

SHOULD WE ISOLATE HER?

YEAH.

I'M SPITTIN' UP PHLEGM.

HAVE YOU CUT DOWN ON YOUR
CIGARETTES? YEAH, A LITTLE.

I GOTTA TELL YOU, MR. ANDOVER...

TWO PACKS OF CIGARETTES
A DAY, 40 YEARS...

YOUR LUNGS LOOK LIKE
THE HILLS OF WEST VIRGINIA.

I DON'T MIND SPITTIN' UP
SO MUCH, BUT IT'S GREEN.

HE COULD BE COMING
DOWN WITH PNEUMONIA.

GET RESPIRATORY THERAPY DOWN
HERE FOR A PULMONARY TOILET,

INCLUDING AN I.P.P.B.
WITH BRONKOSOL.

SAVE ME SOME OF THE
SPUTUM FOR A GRAM'S STAIN.

MR. ANDOVER, I'M GONNA
PUT YOU ON SOME MEDICATION.

I DON'T WANT YOU COMING DOWN WITH
PNEUMONIA ON TOP OF EVERYTHING ELSE.

PUT HIM ON METHICILLIN,
ONE GRAM Q6 HOURS, I.V.

MR. ANDOVER, CAN I
GET YOU ANYTHING ELSE?

BOY, I'M DYIN' FOR A SMOKE.

EH!

FIFTEEN BOXES OF HEMOSTATS HAVE
DISAPPEARED IN THE LAST TWO MONTHS.

I MEAN, IT'S GETTING
WORSE, NOT BETTER.

WHAT MAKES YOU THINK THEY'RE NOT
BEING USED FOR MEDICAL PURPOSES?

I SEEN THEM AT THE HEAD
SHOPS IN HARVARD SQUARE.

THEY USE THEM AS ROACH
CLIPS. YOU KNOW WHAT I MEAN.

I'M A BOURBON-STRAIGHT-UP MAN MYSELF.
YOU MEAN THEY USE THEM TO SMOKE POT?

YEAH, SO THEY DON'T
BURN THEIR FINGERS.

NECESSITY IS THE
MOTHER OF INVENTION.

IF IT DOESN'T STOP, WHEN
THEY REACH FOR ONE IN

AN OPERATION, THEY
MIGHT HAVE TO USE PLIERS.

GOT YA.

I NEED THE CHARTS ON TWO DECEASED
PATIENTS FROM LAST... LAST WEEK.

I DON'T HAVE THEIR
NUMBERS. SORRY.

THEIR NAMES ARE BRENDA PEREZ...

AND LILA ROTHLEIN...
R-O-T-H-L-E-I-N.

THEY WERE
DR. CHANDLER'S PATIENTS.

THANK YOU.

SOLITARY PULMONARY LESION. MMM.

PROBABLY CANCER. MMM.

YEAH, IT'S A CLASSIC LESION
OF BRONCHOGENIC CANCER...

UNEVEN MARGINS WITH
CALCIFICATIONS LIKE A CRAB.

SEE HERE? TRABECULAE
INVADING THE TISSUE.

DO WE HAVE AUTOPSIES ON THOSE
TWO PATIENTS THAT DIED OF PNEUMONIA?

PEREZ AND ROTHLEIN? NO,
WE DIDN'T SEE ANY REASON TO.

CAUSE OF DEATH WAS RESPIRATORY
ARREST... EMPHYSEMA WITH COMPLICATIONS.

OH. WHAT'S UP, DR. WESTPHALL?

I HAVE A SIMILAR CASE...
FRANCINE DELGADO.

WELL, THERE'S LOTS OF
INFECTIONS IN THESE OLD WARDS.

NO, THIS ISN'T
TYPICAL PNEUMONIA.

COMPROMISED HOST,
PRODROMAL DIARRHEA,

HIGH TEMPERATURE, SLOW
PULSE, PRODUCTIVE COUGH.

- SOUNDS LIKE LEGIONNAIRES'.
- MMM.

DID PEREZ OR ROTHLEIN
HAVE ANY FEATURES

THAT MIGHT BE CONSISTENT
WITH LEGIONNAIRES'?

I DON'T REMEMBER. THEY WENT PRETTY
FAST. HOW ARE YOU TREATING MISS DELGADO?

I GAVE HER ERYTHROMYCIN
AND CEPHALOTHIN.

I HAD A PATIENT WITH
DIARRHEA. OH, WAIT.

- WHAT?
- SHE CAME IN WITH IT. UH, FOOD POISONING.

OH. WELL, ALL THIS IS
PREMATURE, SO LET'S KEEP IT QUIET.

SURE, DR. WESTPHALL.
PEOPLE GET CRAZY.

HI, CATHY. HOW'S IT GOING?

POLICE JUST BROUGHT THIS ONE IN. FOUND
HIM LYING IN THE MEAT PACKING DISTRICT.

ALL HIS TEETH WERE PULLED OUT, AND
WHOEVER DID IT REALLY SMASHED IN HIS CHEST.

WHAT CAN I DO FOR YOU?

I HAVE A SPUTUM COMING
DOWN FOR ACID FAST,

FUNGAL STUDIES AND A
DIETERLE SILVER STAIN.

CAN YOU LOOK AT IT
RIGHT AWAY? DIETERLE?

HAVE WE GOT LEGIONNAIRES'?
LET'S HOPE NOT.

THE STAIN WILL TAKE
A WHILE. ALL RIGHT.

I ALSO HAVE A SERUM TITERS
FOR LEGIONELLA COOKING.

LET ME KNOW WHAT
YOU THINK, HUH? YEAH.

DONALD HAS COME TO ME QUITE CONCERNED
ABOUT THE RECENT DEATHS ON WARD 5.

- AND YOU THINK
IT'S LEGIONNAIRES'.
- POSSIBLY.

UH-HUH. UH-HUH.

HAVE YOU CHECKED WITH THE CENTER
FOR DISEASE CONTROL IN ATLANTA?

NO, NOT YET. WE HAVE A
DIETERLE DOWN IN PATHOLOGY NOW.

SO WE'LL JUST HAVE TO
WAIT UNTIL THE RESULTS

COME IN. I DON'T THINK
THAT'S VERY WISE.

DONALD WOULD LIKE TO
CLOSE DOWN THE WARD.

WARD 5 HAS 35 BEDS.

NOW, I'M NOT A DOCTOR,

BUT DON'T YOU THINK CLOSING IT
DOWN IS A LITTLE EXTREME, PREMATURE?

NO, I DON'T, NOT IF
IT'S LEGIONNAIRES'.

YOU SEE, THERE'S A SEPARATE
AIR CONDITIONER IN THERE.

ARE YOU AWARE THAT WE'RE
DUE FOR OUR QUARTERLY CENSUS?

OUR STATE SUBSIDY IS BASED
ON THE NUMBER OF BEDS USED.

IF WE CLOSE DOWN WARD 5,
EVEN FOR A COUPLE OF DAYS,

WE'LL LOSE SEVERAL
THOUSAND DOLLARS.

THREE PEOPLE HAVE DIED WITH
SYMPTOMS OF LEGIONNAIRES'.

THAT'S QUITE A COINCIDENCE.

WERE THE PATIENTS
IN GOOD HEALTH? NO.

TWO OF THEM WERE ELDERLY WOMEN WITH
HISTORIES OF CHRONIC RESPIRATORY DISEASE.

THE THIRD HAD JUST COME
OUT OF OPEN-HEART SURGERY,

BUT SHE WAS ON WARD 5
BEFORE THE OPERATION.

THERE ARE A LOT OF INFECTIONS
RUNNING LOOSE AROUND A HOSPITAL.

THERE WERE THREE MILLION CASES OF
PNEUMONIA IN THE UNITED STATES LAST YEAR.

ONE THIRD OF THEM
WERE OF UNKNOWN ORIGIN.

THIS IS OUR MOST RECENT
REPORT ON NOSOCOMIAL INFECTIONS.

WERE ANY OF THESE PEOPLE
ON A RESPIRATOR? TWO.

WELL, WE HAVE HOSPITAL-ACQUIRED
PSEUDOMONAS INFECTIONS FROM A RESPIRATOR,

TWO METHICILLIN-RESISTANT
STAPH INFECTIONS...

AND RECENTLY A RUN OF GRAM-NEGATIVE
ENTERIC BACILLI E. COLI KLEBSIELLA.

THEY'RE NOT SENSITIVE TO ANY OF
THE STANDARD ANTIBACTERIAL DRUGS.

THEY'RE NOT EVEN SENSITIVE TO THE
THIRD-GENERATION CEPHALOSPORINS.

IN EACH CASE... I KNOW.

WE ISOLATE THE PATIENT, PUT THEM ON
TRIPLE ANTIBIOTICS AND HOPE THAT ONE HITS,

BUT WE DO NOT CLOSE DOWN A WARD.

NO, WE DON'T.

I THINK WE SHOULD WAIT FOR THE
DIETERLE AND THE LEGIONELLA TITERS.

WE KNOW HE CHECKED OUT,
FISCUS. WAS HE "0" OR WAS HE "Q"?

"Q." DEFINITE "Q."

HEY, CATHY. SIT OVER HERE.

WHAT, WITH EVERYBODY? WHAT
EVERYBODY? EHRLICH? COME ON.

ALL RIGHT. I'LL GET THAT. HERE.

LET'S GET YOU A CHAIR. SIT DOWN.

ENJOY. OKAY, WHERE
WAS I? OH, YEAH.

SO I GO OVER TO THE WIFE
AND TELL HER SHE'S A WIDOW.

SHE GETS ALL UPSET AND SAYS, "I
KNEW HE'D PULL SOMETHING LIKE THAT."

AND THEN SHE PROCEEDS TO ASK MY ADVICE
IN HOW TO SPEND THE INSURANCE MONEY.

INTERESTING YOU SHOULD SAY THAT.

THE HISTORY OF THE RESIDENCY
PROGRAM IS QUITE FASCINATING ACTUALLY.

AS WILLIAM STEWART HALSTEAD,
THE NOTED ENDOCRINOLOGIST...

AND A CLOSE PERSONAL FRIEND
OF MY FATHER, ONCE SAID...

IT'S NOT A PSYCHOLOGICAL
PROBLEM, V.J.

NO? MM-MMM. IT'S ONE OF DICTION.

YOU DON'T NEED A THERAPIST,
YOU NEED A TUTOR. YES?

HMM. SURE. LOOK, V.J.

IT'S IMPOSSIBLE TO BE WITTY
OR CHARMING OR WARM...

IF YOU DON'T SPEAK THE LANGUAGE.

NO MATTER HOW SMART YOU ARE,
IT'S INTERPRETED AS BEING STUPID.

UH-HUH.

HE'S GOING ON AND ON
ABOUT HOW A CERTAIN

PATIENT DIED OF C.H.F.
FROM MITRAL STENOSIS.

TALKS FOR ABOUT TWO HOURS.

WHEN IT'S TIME FOR
PATHOLOGY TO GIVE ITS FINDINGS,

A THIRD-YEAR PATH RESIDENT STANDS
UP, LOOKS FRAZIER RIGHT IN THE FACE...

AND SAYS, "THE MITRAL VALVE
WAS PERFECTLY NORMAL."

FRAZIER GETS TOTALLY
BENT OUT OF SHAPE.

"I KNOW IT WAS MITRAL STENOSIS!

I HEARD THE MURMUR.
I SHOULD KNOW!"

THE RESIDENT HOLDS UP HIS HAND.

HE'S GOT THE VALVE IN A
JAR AND SAYS TO FRAZIER,

"I HAVE THE VALVE. HAVE
YOU GOT THE MURMUR?"

- IT WAS PERFECT.
- THAT'S GREAT.

DR. WHITE? YOUR PATIENT, MR. ANDOVER?
YOU PRESCRIBED METHICILLIN.

YES. ARE YOU AWARE THAT THE
MAN IS ALLERGIC TO PENICILLIN?

THE LAST THING HE NEEDS IS TO
GO INTO AN ANAPHYLACTIC REACTION.

I CAN'T BELIEVE I DID THAT. I'VE
BEEN REALLY PREOCCUPIED LATELY.

TRY TO CONCENTRATE ON
YOUR PATIENTS, DOCTOR.

THIS IS GOING DOWN
ON YOUR EVALUATION.

CALLING EVERY TIME A
PATIENT HAS CONSTIPATION

OR AN I.V. POPS OUT
ISN'T NORMAL PROCEDURE.

I MEAN, LOCEFF HAS NEVER
BEEN OVERLY FRIENDLY OR OPEN.

I ALWAYS CHALKED IT
UP TO A DIFFERENCE IN

PERSONALITIES, BUT THIS
IS JUST GETTING WORSE.

WHY IS LOCEFF GIVING YOU
SUCH A HARD TIME? I DON'T KNOW.

OBVIOUSLY SHE RESENTS YOU.

I MEAN, LOOK, FACE IT... SISTERHOOD,
TOGETHERNESS... THAT'S FINE UP TO A POINT.

THE BOTTOM LINE
IS YOU'RE A DOCTOR,

SHE'S A NURSE.

MY FIRST DAY IN THE O.R.,
WHEN I WAS A MEDICAL STUDENT,

THIS OLD NURSE SAYS TO ME,

"DON'T YOU WEAR A NYLON SLIP
UNDER YOUR SCRUB GOWN, YOUNG LADY.

"IT MIGHT SET UP
ELECTRICAL CHARGES...

AND CAUSE AN EXPLOSION OF THE
ANESTHETIC GASES AND DAMAGE THE O.R."

THEY DON'T EVEN USE
EXPLOSIVE GASES ANYMORE.

YOU WANT MY ADVICE?
FIGHT FIRE WITH FIRE.

MAKE HER MONITOR VITAL
SIGNS EVERY 15 MINUTES.

LET HER DO A HUNDRED
URINES AT NIGHT, HUH?

SHE'LL GET THE MESSAGE.
THAT'S NOT MY STYLE.

WAKING UP AT 4:00 IN THE MORNING
TO PUT IN AN I.V... THAT'S YOUR STYLE?

BEHAVIOR MODIFICATION
CAN BE A WONDERFUL THING.

WHY ARE THEY PUTTING ME INTO
THIS CONTRAPTION, DR. MORRISON?

WE HAVE TO WEIGH YOU
SO WE CAN MONITOR YOU...

FOR MALNUTRITION,
DEHYDRATION, THINGS LIKE THAT.

GEEZ! I SURVIVED THE DEPRESSION,
EIGHT YEARS OF BOXING...

THANKS, GUYS. BEING PANCAKED
ON A CARRIER IN THE PACIFIC.

HELL, I MADE IT THROUGH
THREE MARRIAGES.

BUT THIS DAMN HERNIA IS PUTTING
ME AWAY LIKE NOBODY'S BUSINESS.

IT WAS AN INCARCERATED
HERNIA, LEO.

DOESN'T SOUND
LIKE MUCH, BUT IT IS.

WE'RE GONNA LET YOU
REST UP HERE A WHILE, LEO.

IT'LL PREVENT BEDSORES.

WOULD YOU BELIEVE A
ROTTING DINOSAUR LIKE ME...

USED TO BE A HANDSOME YOUNG
BUCK LIKE DR. MORRISON HERE?

180 POUNDS.

- HEAVYWEIGHT, LEO?
- NO, I WAS A LIGHT-HEAVYWEIGHT.

I MADE NUMBER SIX. OH, YEAH?

YEAH. THEN UNCLE
SAM, HE GRABBED ME.

DAMN WAR PROBABLY KEPT
ME FROM GETTING KILLED.

I MEAN, I COULDN'T
JAB TO SAVE MY LIFE.

- MEAN UPPERCUT, NO DOUBT.
- YEAH, THAT'S RIGHT.

HEY, COME HERE. WHEN
CAN I YOU-KNOW-WHAT AGAIN?

WE'LL TRY AND TAKE THE
CATHETER OUT IN A DAY OR SO.

IT'S KILLING ME, DOC. I
MEAN, IT'S HUMILIATING.

OH, I WAS JUST ASKING
THE DOC IF A BEAUTIFUL

DOLL LIKE YOU IS
MARRIED. THAT'S ALL.

DR. CAVANERO, ROOM 254.

DR. CAVANERO, ROOM 254.

ANNIE.

HMM? THEY WANT YOU IN ROOM 254.

I WAS JUST ABOUT TO GIVE TOM
SELLECK A COMPLETE PHYSICAL.

SORRY.

TOO BAD, TOM. YOU'LL
JUST HAVE TO WAIT.

HI, CATHY. HI.

BYE.

ARE YOU OFF FOR THE
REST OF THE DAY? UH-HUH.

NICE DRESS.

YOU KNOW, I'VE NEVER
SEEN YOU WEAR WHITE.

I'M GOING TO A FUNERAL.

CATHY, USUALLY PEOPLE
WEAR BLACK TO FUNERALS.

I'VE NOTICED THAT.

BUT YOU SEE, IN ASIA, WHITE
IS WORN FOR MOURNING.

THEY CONSIDER WHITE...
THE ABSENCE OF COLOR...

THE ABSENCE OF LIFE.

WHEREAS BLACK... THE
COMBINATION OF ALL COLORS...

IS A SYMBOL OF LIFE.

I SEE.

WHO DIED?

I DON'T KNOW HIS NAME.

YOU DON'T KNOW THE
PERSON WHO'S BEING BURIED?

THEY BROUGHT HIM INTO
THE MORGUE YESTERDAY.

THEY'RE GOING TO DUMP HIM IN THE
CITY CEMETERY... NO MARKER OR ANYTHING.

OH, THAT IS REALLY...

WHY DON'T YOU COME OVER TO OUR
HOUSE FOR DINNER SOMETIME THIS WEEK?

I'D LOVE FOR MY
HUSBAND TO MEET YOU.

THAT'D BE NICE,
JACQUELINE. THANKS.

AND BRING FISCUS.
ROBERT LOVES FISCUS.

EVERYBODY DOES.

HE'S SO FUNNY.

YOU KNOW, I WISH ROBERT
HAD FISCUS'S SENSE OF HUMOR.

ROBERT JUST DOESN'T KNOW
HOW TO HAVE A GOOD TIME.

YOUR HUSBAND'S BORING?

NO. WELL, SOMETIMES A LITTLE.

HE'S A WORKAHOLIC.

HE'S VERY LOW-KEYED,
VERY ANALYTICAL.

AND IT DRIVES ME CRAZY
WHEN HE TRIMS HIS OWN BEARD...

BECAUSE HE LEAVES LITTLE
HAIR CLIPPINGS ALL OVER THE SINK.

UGH. HOW HORRIBLE.

I GUESS I'M BEING A
LITTLE HARD ON HIM,

BUT MY HUSBAND IS NOT
WHAT YOU'D CALL A ROMANTIC.

WHY DO YOU STAY WITH
HIM? BECAUSE I LOVE HIM.

HMM.

WELL, WHAT DO YOU SAY? THURSDAY?

MY HUSBAND IS A TERRIBLE CHEF.

HIS LOBSTER ARCHDUKE
WILL KILL YOU. OH?

BUT WE'VE GOT A
GREAT WINE CELLAR.

OKAY. GOOD.

WILL YOU ASK FISCUS OR SHOULD I?

UM, I'M SEEING HIM TONIGHT.

I'LL LET YOU KNOW.

I'D BETTER GET GOING. I DON'T
WANT TO BE LATE FOR THE FUNERAL.

RIGHT.

- GOOD-BYE.
- BYE.

I TOLD HER THAT... SHH.

I TRIED TO TELL THAT NURSE
THIS WAS NO KIND OF BIG DEAL.

IT'S JUST A LITTLE UPSET
STOMACH. THAT'S WHAT I THOUGHT.

IT HAPPENS WHEN YOU
GO BACK ON SOLIDS.

I WANT YOU TO EAT REAL
LIGHT FOR A COUPLE OF DAYS...

JUICES, SOUPS, JELL-O's...
THAT KIND OF THING.

HOW 'BOUT FRUIT? MM-MMM.

YEAH, BUT MRS. SHALLO
ORDERED A BUCKET.

I DON'T CARE WHAT MRS. SHALLO
TOLD YOU ON THE TELEPHONE.

SHE CANNOT HAVE A BUCKET OF CHICKEN
TWO HOURS BEFORE HER OPERATION!

LOCEFF? WHY DID YOU
CALL ME FOR MR. PRENSKY?

HE WAS HAVING STOMACH
CRAMPS. IT WAS SIMPLE INDIGESTION.

I'M GONNA SAY
THIS ONE MORE TIME.

INDIGESTION, INSOMNIA, CONSTIPATION...
NONE OF THESE ARE EMERGENCIES.

THEY CAN WAIT UNTIL ROUNDS.

I'M NOT PAID TO MAKE THOSE
JUDGMENTS, DR. CAVANERO.

I HAVE BEEN UP FOR 36 HOURS. I
WAS TRYING TO CATCH A LITTLE SLEEP.

I'M SORRY, BUT THAT'S
NOT MY PROBLEM.

NURSE LOCEFF, I WOULD LIKE
YOU TO GIVE A TAP WATER ENEMA...

TO PATIENTS WEINGROT, MALIAN
AND O'CONNELL WHEN THEY WAKE UP.

ALSO I WOULD LIKE DAILY WEIGHTS
AND I&O's ON ALL MY PATIENTS.

IS THAT CLEAR?
YES, DR. CAVANERO.

GOOD.

FOUR, FIVE. ONE, TWO,
THREE, FOUR, FIVE.

- OKAY. HOW LONG?
- THIRTY-FIVE MINUTES.

- ONE, TWO, THREE, FOUR, FIVE.
- COME ON, FRANCINE.

COME ON. COME ON.

OKAY. STOP C.P.R. LET'S
GET A READING HERE.

ASYSTOLE.

CAN SOMEBODY
RELIEVE ME? I'M DEAD.

OKAY. WE'LL GO UNTIL THE
NEXT BLOOD GAS COMES IN.

NURSE, GIVE ME ONE
AMP I.V. EPI, ONE TO 1,000.

ONE AND TWO AND
THREE AND FOUR AND FIVE.

COME ON, SWEETHEART. LIVE.

ONE AND TWO AND
THREE AND FOUR AND FIVE.

- ONE AND TWO AND THREE
AND FOUR AND FIVE.
- GIVE ME THE NUMBERS.

65, 15, P.H. 7.05.

THREE AND FOUR AND FIVE.

ONE AND TWO AND
THREE AND FOUR AND FIVE.

- GIVE IT UP.
- ONE AND TWO AND THREE
AND FOUR... AND FIVE.

I'LL INFORM THE FAMILY.

MY HANDS ARE NUMB.

ONE, TWO, THREE.

CAUSE OF DEATH WAS
ACUTE RESPIRATORY ARREST.

EITHER THE MEDS DIDN'T
KICK IN FAST ENOUGH...

OR SHE WAS TOO WEAK AFTER THE OPEN
HEART SURGERY TO FIGHT THE INFECTION.

I WANT AN AUTOPSY. IT'S AFTER 4:30,
DR. WESTPHALL. PATHOLOGY'S CLOSED.

OPEN IT. YEAH, 'CAUSE
PEOPLE ARE DYING TO GET IN.

SOMETHING FUNNY?

- NO, SIR.
- WHAT'S YOUR NAME?

- JOE ROECKLEIN.
- MR. ROECKLEIN, A YOUNG LADY
JUST DIED IN HERE.

YOU HAVE A ROTTEN SENSE
OF TIMING. YOU KNOW THAT?

HEY, YOU!

WHAT DO YOU THINK
YOU'RE DOING? SORRY?

THAT'S MY FLYER
YOU JUST COVERED UP.

ENGLISH LESSONS?

YES, I WANT TO LEARN
TO SPEAK BETTER,

TO BE ABLE TO
COMMUNICATE BETTER.

YEAH, WELL, YOU SHOULD HAVE SAW
TO THAT BEFORE YOU CAME OVER HERE.

I WOULDN'T GO TO INDIA TO LIVE
IF I COULDN'T TALK TO THE NATIVES.

SHOWS A LACK OF RESPECT, KOCHAR.

SORRY, DOCTOR.

I DON'T HAVE TIME TO
DILLYDADDLE WITH YOU.

IF YOU WANT TO FIND A TUTOR,

CALL THE FOREIGN LANGUAGES
DEPARTMENT AT BOSTON UNIVERSITY.

¿COMPRENDE?

I HAVE A CAR TO SELL.

AND "LESSONS" IS SPELLED
WITH TWO S's, NOT A "C."

LEARN THE LANGUAGE.

$300? WHAT ARE YOU
TALKING ABOUT, $300?

LISTEN, A DOCTOR WITHOUT HIS
BEEPER IS LIKE A COP WITHOUT HIS GUN.

BUT I THOUGHT IT WAS $260.

WHAT DO YOU EXPECT? EVERYTHING
COSTS MORE. NOW, SIGN HERE.

CHECK OR CASH? BILL ME FOR IT.

BILL YOU?

HEY, WHAT DO YOU THINK
THIS IS, FILENE'S OR SOMETHING?

I'LL PUT A CHECK IN THE MAIL
TOMORROW. OH, NO, NO, NO, NO.

LOOK, YOU'LL GET YOUR
MONEY. I PROMISE YOU. MM-MMM.

JUST GIVE ME A
BREAK THIS ONE TIME.

PLEASE.

MMM. HERE.

THANK YOU.

READY FOR THE MAIN EVENT?

I'VE HAD MORE TEA THAN
THE BOSTON TEA PARTY.

LEO, I'D STILL LIKE TO
WAIT ANOTHER DAY.

NO, LISTEN, DOC.

I'VE BEEN IN TRAINING
FOR THE LAST 76 HOURS.

WHEN LEO RAUSCHKOLB GOES ON
THE CARD, HE'S ON THE CARD TO STAY.

IF YOU'RE NOT ABLE TO GO TO THE BATHROOM,
WE'LL HAVE TO PUT THE CATHETER BACK IN.

I GOT YA. FORTY-FIVE MINUTES.

YOU'RE LOOKING
AT LEO RAUSCHKOLB.

MY BLADDER DOES EXACTLY WHAT
I TELL IT TO. KNOCKOUT IN THREE.

OKAY, LEO.

THIS ISN'T GONNA
HURT A BIT. YEAH.

AND THE CHECK IS IN THE MAIL.

♪♪

♪♪

♪♪

MEGAN, HONEY, I CANNOT
STUDY IF YOU MAKE THAT NOISE.

- WILL YOU PLEASE STOP IT?
- MEGAN, HONEY. MEGAN.

COME ON NOW. STOP
PLAYING WITH YOUR SPAGHETTI.

MOMMY? OH, HONEY, HONEY.

- MOMMY, I WANT KETCHUP.
- WE DON'T EAT KETCHUP
WITH SPAGHETTI.

PETER? NO.

DIAPER SERVICE WANTS
THEIR CHECK TOMORROW.

PETER! I HEARD YOU.
I'M TRYING TO READ.

WHY ARE YOU ALWAYS
READING, DADDY?

HE'S TRYING TO READ A
MEDICAL BOOK, HONEY. WHY?

SO HE CAN BE A GOOD DOCTOR.

LOOK, WHY DON'T
YOU TWO JUST TALK?

I'LL JUST DROP OUT OF THE
RESIDENCY PROGRAM. I WON'T STUDY.

I DON'T SEE WHY WE CAN'T
WASH THESE DIAPERS OURSELVES.

"WE" IS ME, AND I DON'T HAVE THE
TIME OR THE ENERGY TO CLEAN DIAPERS.

LOOK AT THAT. ALL
RIGHT. WELL, LOOK.

ALL RIGHT. WE'RE GONNA HAVE
TO LOSE THE DIAPER SERVICE.

NO WAY, PETER.

YOU WANT SOMEBODY TO CLEAN ONCE A WEEK,
WE GOT SOMEBODY TO COME CLEAN ONCE A WEEK.

YOU WANT SOMEBODY TO
WATCH THE KIDS WHILE YOU

GO TO GRADUATE SCHOOL,
FINE, WE GOT SOMEBODY.

WE ARE NOT TALKING ABOUT
EXTRAVAGANCES, PETER.

MOMMY, I WANT KETCHUP!

ALL I'M SAYING IS WE CAN'T DO
EVERYTHING. "WE" CAN'T, BUT YOU CAN.

MOMMY!

MOMMY! WILL YOU PLEASE BE QUIET!

I'LL GET THE KETCHUP. MOMMY!

LOOK, DON'T JUMP UP
FROM THE TABLE LIKE THAT...

YOU CAN HAVE $300
FOR A NEW BEEPER,

BUT WE CAN'T GET $20
FOR A DIAPER SERVICE.

I'M TIRED OF IT, PETER.
I'M JUST SICK OF IT.

YOU'RE NOT A HUSBAND
ANYMORE. YOU'RE NOT A FATHER.

YOU'RE JUST... NOTHING ANYMORE!

JUST A DAMN RESIDENT.
I CAN'T HANDLE IT.

ALL RIGHT. I'LL GET THE MONEY.

HI, MRS. SYLVESTER.

HELLO. MAY I SEE THE VITALS?

AS SOON AS I'M FINISHED.

STILL HAVING PAINS
IN YOUR ABDOMEN?

COULD YOU ROLL OVER FOR ME?

COULD YOU GIVE ME A HAND? HUH?

A LITTLE HELP. I'LL BE
FINISHED IN A MINUTE.

MISS LOCEFF, MAY
I SEE YOU OUTSIDE?

EXCUSE US, MRS. SYLVESTER.

WHAT ARE YOU TRYING TO PULL?

I DON'T KNOW WHAT YOU'RE
TALKING ABOUT. LIKE HELL YOU DON'T.

WHAT DO YOU CALL PUTTING
ME DOWN IN FRONT OF A PATIENT?

DON'T YOU EVER, EVER QUESTION
MY AUTHORITY AGAIN, LADY,

OR I'LL SLAM THE DOOR SO HARD ON
YOU, YOU WON'T KNOW WHAT HIT YOU!

AND WHEN I TELL YOU TO
DO SOMETHING, YOU DO IT!

IF YOU'VE GOT A
PROBLEM WITH THAT,

YOU TAKE IT UP WITH YOUR
UNION OR YOUR PSYCHIATRIST!

BUT WHEN I SAY JUMP, YOU JUMP!

NOW, DO YOU GET THAT?

MAY I SPEAK?

I DON'T LIKE YOU.

YOU'RE A GOOD DOCTOR, BUT
YOU'RE AN INADEQUATE WOMAN.

I KNOW IT. EVERYBODY KNOWS IT.

YOU'VE GOT A COLD HEART.

CAN YOU TRY SITTING DOWN?

I TRIED EVERYTHING.

COUPLE OF DAYS,
IT'LL BE A BREEZE.

DON'T PUT ME BACK ON THAT
CATHETER, PLEASE. A DEAL'S A DEAL.

JUST GIVE ME A COUPLE
MORE MINUTES. SORRY, LEO.

GET ME A NUMBER 16
FOLEY CATHETER, PLEASE.

THE WINNER! STILL
"CHAMPINE"! LEO RAUSCHKOLB!

- I SAW NINOTCHKA YESTERDAY.
- UH-HUH.

IT WAS UP AT THE ORSON WELLES CINEMA,
ON A DOUBLE BILL WITH IDIOT'S DELIGHT.

YEAH? I WAS KIND
OF DISAPPOINTED.

I THOUGHT THERE'D BE MORE
ACTION. GARBO WAS FUNNY.

ALL RIGHT. CHOOSE. WHAT'S THIS?

OPEN IT.

CONGRATULATIONS, MISS MARTIN.

YOU'VE JUST WON AN ALL-EXPENSE-PAID
TRIP TO NANTUCKET, MASSACHUSETTS,

WHERE YOU AND THE
LITHUANIAN OF YOUR CHOICE...

WILL SPEND TWO WONDERFUL
DAYS AND ONE TEMPESTUOUS NIGHT...

IN SHADY ACRES COTTAGE "B,"

WHERE YOU'LL WALK ALONG THE
BEACH, DANCE UNDER THE MOON...

AND ROMP WITH THE LOONS
TILL THE COWS COME HOME.

SO WHAT DO YOU
SAY? I CAN'T, WAYNE.

NO, NO. IT'S ALL SET. I TALKED TO BOBBY
ACKERMAN ABOUT COVERING FOR YOU.

EVERY SINGLE
DETAIL'S TAKEN CARE OF.

I EVEN BOUGHT YOU SOME NEW
THERMAL UNDERWEAR. YOU DID?

YEAH! BUT YOU CAN TRADE ALL THAT
FOR WHAT'S IN ENVELOPE NUMBER THREE...

AN ALL-EXPENSE-PAID
TRIP TO MARTHA'S VINEYARD!

I HEAR THEY'VE GOT
GREAT SUNSETS THERE.

OH, WAYNE.

WH... WHERE ARE YOU GOIN'?

OH, I GET IT. YOU WANT
NUMBER ONE, DON'T YOU?

I HAVE TO...

LISTEN, UH, I'VE GOT
TO GET OUT OF HERE.

WHAT? I'VE GOTTA GO.

YOU'VE GOTTA GO? GO
WHERE? ARE YOU SERIOUS?

YOU ARE SERIOUS. WAIT
A SECOND. TALK TO ME.

DON'T YOU UNDERSTAND? I'VE
GOT TO GET OUT OF HERE NOW.

WELL, TELL ME WHY! IF YOU
REALLY KNEW ME, THEN YOU'D KNOW.

IF... IF I REALLY KNEW
YOU, I'D KNOW WHAT?

WHAT DOES THAT MEAN? I
DON'T KNOW WHAT THAT MEANS.

PLEASE.

YOU CAN'T JUST... WAIT A SECOND.
YOU CAN'T JUST WALK OUT THE DOOR.

I DON'T UNDERSTAND.
TELL ME WHAT'S GOING ON.

ALL YOU WANTED OUT OF THIS
WAS A GOOD TIME, REMEMBER?

THAT'S WHAT YOU SAID YOU
WANTED, AND THAT'S WHAT I WANT.

BUT NOW, WAYNE, IT'S... SAY IT!

I DON'T WANT TO
HAVE A RELATIONSHIP.

WHAT DO YOU MEAN?
WE HAVE A RELATIONSHIP.

ALL RIGHT. YOU DON'T WANT A
RELATIONSHIP? WE WON'T HAVE A RELATIONSHIP.

YOU WANT TO CALL IT SOMETHING
ELSE? IT'S JUST A WORD.

IT'LL BE A BROUHAHA, A
BAGATELLE, A BRIC-A-BRAC.

WILL YOU LISTEN TO ME? YOU
NEVER LISTEN TO WHAT I'M SAYING.

I DO TOO. I DON'T
WANT A RELATIONSHIP.

YOU MEAN YOU DON'T WANT A RELATIONSHIP,
OR YOU DON'T WANT A RELATIONSHIP WITH ME?

WITH YOU.

I LIKE YOU, WAYNE.

I DON'T LOVE YOU.

YOU'VE BEEN SO NICE TO ME. I
DON'T WANT TO HURT YOU. MM-HMM.

BUT EVERY TIME I TRY TO GET SERIOUS,
YOU ALWAYS TURN IT INTO A JOKE.

I'M SORRY.

WHAT ARE YOU DOING HERE? I
THOUGHT YOU TOOK THE NIGHT OFF.

WHAT CAN I SAY? I CAN'T, UH,
STAY AWAY FROM THE PLACE.

YEAH, I KNOW. IT'S
PARADISE. TO ME IT IS.

SEE, THE TROUBLE WITH THE REAL
WORLD IS IT JUST ISN'T REAL ENOUGH.

IT LACKS INTENSITY, EXCITEMENT,

THE ELEMENT OF
THE UNPREDICTABLE.

GIVE ME A G.I. BLEEDER, A FULL ARREST
OR A COMA OF UNKNOWN ETIOLOGY,

AND I'M IN HEAVEN.

NOT ONLY THAT, I
LOVE THE FREE FOOD.

ARE YOU OKAY? YOU LOOK TERRIBLE.

SURE, I LOOK TERRIBLE,
BUT I FEEL TERRIFIC.

MY PULSE IS RACING.
MY EYES ARE DILATING.

MY WHITE CORPUSCLES ARE
FIGHTING OFF INFECTION AT EVERY TURN.

BUT WHAT ABOUT YOU, CAVANERO?

I MEAN, I HATE TO BE THE ONE TO TELL
YOU THIS, BUT YOU'RE BEGINNING TO SAG.

TIME AND THE PRESSURES
OF THE MEDICAL

PROFESSION ARE BEGINNING
TO TAKE THEIR TOLL.

YOU SHOULD GET SOME OUTSIDE INTERESTS,
LIKE YODELLING OR BAREBACK RIDING.

ARE YOU SURE YOU'RE ALL RIGHT?

IF YOU WANT, I'D BE HAPPY TO
LET YOU RIDE BARE ON MY BACK.

THEY PUT YOU ON HOLD
AND THEY FORGET ABOUT YOU.

ALL RIGHT. LOOK,
WENDY. I'M STUCK.

WHAT, PETER? I NEED TO GO PICK
UP MY CAR. CAN YOU COVER FOR ME?

FOR HOW LONG? HOUR, HOUR AND A
HALF TOPS. PROBABLY NOT EVEN THAT.

YEAH, SURE.

HEY, THANKS.

I OWE YOU ONE.
REALLY. I OWE YOU ONE.

STILL PAINTING, HUGH?

STILL LIFES.

APPLES AND PEARS AND
STUFF LIKE THAT, HUH?

I'M NOT VERY GOOD
WITH THINGS THAT MOVE.

DO YOU TRY TO MAKE
THEM LOOK REAL,

OR ARE YOU A FAN OF
THAT ABSTRACT MALARKEY?

I GOT AN ARTIST TO PAINT A PICTURE
OF MY WIFE, MY SON AND MYSELF.

YOU SHOULD HAVE... BOY, I
HAD REAL PROBLEMS WITH IT.

I MEAN, HE CAUGHT
MY WIFE ALL RIGHT,

BUT WHAT HE DID TO MY SON...

YOU'D HAVE THOUGHT
HE HAD A CLEFT PALATE.

IT'S JUST A LITTLE
DIMPLE IS ALL.

NEVER HURT KIRK DOUGLAS.

DR. ROSS TO I.C.U.

DR. ROSS TO I.C.U.

DAMN SMOKE GETS INTO EVERYTHING.

A MAN WANTS TO KILL HIMSELF,
YOU'D THINK HE'D HAVE THE DECENCY...

TO NOT STINK UP EVERYTHING.

FOR CRYING OUT LOUD,
WE'RE IN A HOSPITAL!

I MEAN, WE'VE GOT ENOUGH
GERMS CRAWLING AROUND AS IT IS.

SURE, THEY WASH THE FLOORS, BUT, YOU
KNOW, THEY DON'T GET INTO THE CORNERS.

AND DID YOU EVER
CHECK UNDER THE BEDS?

TUMBLIN' TUMBLEWEED UNDER THERE.

HAIR ON THE SINKS.

WINDOW SMUDGES.

CRUD IN THE SOAP DISHES.

CHECK AND MATE.

HI, IRA. HI. LISTEN, HONEY. I'M
NOT GONNA BE HOME FOR A WHILE.

HELEN, DO YOU HAVE AN
ASPIRIN? IT'S IN THE BACK.

THANKS. WHAT? YEAH.
WE GOT A PROBLEM HERE.

THANK YOU.

CAN I GET YOU SOMETHING?

I JUST FEEL... SO LOUSY.

I DON'T EVEN KNOW WHY.

I'M 37 YEARS OLD.

I COME TO WORK, I GO HOME
TO AN EMPTY APARTMENT...

AND I GO TO SLEEP.

TWELVE YEARS. AND I HATE IT.

I USED TO FANTASIZE...
I'D MEET SOMEONE...

AND MY LIFE WOULD BE DIFFERENT.

NOW I CAN'T EVEN IMAGINE
LIVING WITH SOMEONE AGAIN.

YOU SEEM TO HAVE
EVERYTHING GOING FOR YOU.

THAT MAKES ME HURT EVEN MORE.

I HAVEN'T HAD A RELATIONSHIP...
A REAL ONE... WITH A MAN...

IN... LONGER THAN I
CARE TO REMEMBER.

WHEN I GO OUT WITH A GUY, EITHER
HE CAN'T HANDLE MY BEING A DOCTOR...

OR I'M AFRAID I'LL BE SWALLOWED
UP AND THEN LOSE MY INDEPENDENCE.

SO, CONSEQUENTLY,

I CAN'T SEEM TO GET THIS WORK-LOVE
THING TO WORK TOGETHER AT THE SAME TIME.

AND ONE WITHOUT THE
OTHER JUST ISN'T ENOUGH.

SOMETIMES I FEEL AS THOUGH I'VE
BEEN SOLD A BILL OF GOODS. YEAH.

IS IT BECAUSE EVERYTHING
HAS GOTTEN SO DIFFICULT,

OR IS IT BECAUSE
EVERYTHING IS JUST TOO EASY?

SO, YOU SEE, YOU'RE NOT ALONE.

WHERE THE HELL IS THAT ASPIRIN?

SECURITY, REPORT
TO E.R. IMMEDIATELY.

SECURITY, REPORT TO E.R.

YOU'VE GOTTA BE CRAZY TO
EAT IN THIS PLACE VOLUNTARILY.

HEY, PETER WHITE.
SIT DOWN. YEAH.

BELIEVE ME, THE FOOD
HERE IS BETTER THAN

ANYTHING WE GET AT THE
COURTHOUSE CAFETERIA.

THEY SEASON EVERYTHING
WITH JURISPRUDENCE.

WHAT ARE YOU DOING HERE?
OH, I'M VISITING A CLIENT.

HER GARDENER HAD THE BAD
TASTE TO HIT HER WITH A SHOVEL.

HAVEN'T SEEN YOU FOR A WHILE.

MAN, THIS PLACE
KEEPS ME PRETTY BUSY.

I'VE BEEN MEANING TO GIVE YOU
A CALL. OH, YEAH? ABOUT WHAT?

LAST TIME I SAW YOU
AT DANNY'S BARBECUE,

YOU'D JUST QUIT LEVINE-LAMBERT.

YEAH, I WANTED OUT OF THE
CORPORATE GAME SOMETHING AWFUL.

YOU WERE SAYING HOW DIFFICULT IT IS
TO FIND CLIENTS FOR A NEW LAW FIRM.

IF YOU WANT TO GO OUT ON YOUR OWN,
YOU GOTTA BE WILLING TO PAY THE PIPER.

I DON'T EXACTLY GET THE
CRÈME DE LA CRÈME YET.

I RUN INTO A LOT OF POTENTIAL
LEGAL CASES HERE AT THE HOSPITAL...

HIT AND RUN, INSURANCE
CLAIMS, NEGLIGENCE.

THAT SORT OF THING,
YOU KNOW? UH-HUH. YEAH?

I-I THOUGHT MAYBE WE COULD
WORK OUT AN ARRANGEMENT...

WHERE YOU GET FIRST CRACK
AT SOME OF THESE CASES.

UH, YEAH, SURE.
GREAT. I'D LIKE THAT.

AS A MATTER OF FACT, I GOT A COUPLE OF
OTHER BUDDIES OVER AT BOSTON GENERAL...

ALSO RESIDENTS...

AND WE'VE WORKED OUT
A SIMILAR ARRANGEMENT.

EVERYBODY DOES IT THESE DAYS.

THEY GET A HUNDRED BUCKS FOR EVERY
REFERRAL THAT TURNS INTO A CLIENT.

BUT, UH, JUST SO WE BOTH KNOW
WHAT'S GOIN' ON HERE, PETER,

UNDER YOUR CITY CONTRACT,
IT'S NOT EXACTLY LEGAL...

FOR YOU TO SOLICIT BUSINESS
FOR SOMEONE LIKE MYSELF.

PUTTING YOUR CARD IN SOMEBODY'S
POCKET'S NOT GONNA HURT ANYBODY.

HEY, LOOK, PETER, WE DON'T KNOW
EACH OTHER ALL THAT WELL, BUT LISTEN.

WHY DON'T YOU THINK
THE WHOLE THING OVER?

OKAY. THANK YOU.

SURE.

HE WAS ADMITTED WITH AN
ANAPHYLACTIC REACTION...

WHICH REQUIRED
ADDITIONAL I.V. ANTIBIOTICS.

YOUR BASIC INFECTED BEE STING.

AT 6:30 THIS MORNING, HE COMPLAINED
OF SLIGHT DIZZINESS AND SOME DIARRHEA.

HE HAD A FEVER OF 99.6,

AND DR. EHRLICH PRESCRIBED
ANCEF, ONE GRAM Q6 HOURS.

1:30, HE HAD A TEMPERATURE
THAT HAD RISEN TO 101.

HE COMPLAINED OF
DIARRHEA, FEVER, CHILLS AND

HAD SOME DYSPNEA WITH
A PRODUCTIVE COUGH.

HOW OLD IS HE? NINETEEN.

ANY PREVIOUS RESPIRATORY
PROBLEMS? NONE.

102.6.

HI, PAL. I HEAR YOU HAD
A PRETTY ROUGH DAY.

IT REALLY BURNS
WHEN I BREATHE DEEPLY.

IS HE BRINGING UP PHLEGM? HE'S
ALSO GOT A STOOL THAT'S 90% WATER.

CAN'T YOU DO SOMETHING
FOR ME, DOCTOR?

START HIM ON ERYTHROMYCIN, ONE GRAM
EVERY SIX HOURS. I ALREADY ORDERED IT.

NOW, DON'T WORRY, SON. YOU'RE
GONNA BE ALL RIGHT. HELEN?

DR. BUCKINGHAM TO N.I.C.U.

DR. BUCKINGHAM TO N.I.C.U.

CLOSE DOWN THE WARD.

SORRY TO KEEP YOU WAITING.

YOU'RE IN YOUR SECOND
YEAR OF RESIDENCY? FIRST.

MARRIED? YES.

ANY KIDS?

YES. OUR DAUGHTER IS FOUR,
AND TIMOTHY IS ALMOST 10 MONTHS.

PLANNING ANY MORE?
NO. WE'RE ALL DONE.

EVERYTHING LOOKS FINE.
GIVE THIS TO SALLY OUT FRONT.

SHE'LL EXPLAIN OUR ENTIRE PROCEDURE
TO YOU AND WRITE YOU OUT A CHECK.

THANK YOU. MENTION
US TO YOUR COLLEAGUES.

WE'RE ALWAYS GLAD WHEN A
DOCTOR DECIDES TO DONATE HIS SPERM.

THE FOMITES AND THE CULTURE
MEDIA WILL ALL HAVE TO BE PICKED UP...

AND CHECKED FOR
CROSS CONTAMINATION.

THESE ARE YOUR FOMITES...
ISOLATION GOWN, TUBING,

BOTTLES OF SALIVA.

HOW ABOUT PAPERS OR
BOOKS... THAT SORT OF THING?

BASICALLY, ANYTHING THAT'S BEEN
IN CONTACT WITH THE INFECTION.

NOW, THE CULTURE MEDIUM...

FOOD, WATER, CUSTARD...

ANYWHERE THE BACTERIA CAN GROW.

NOW LISTEN TO ME.

EVERYTHING THAT YOU PICK UP WILL BE
RUN THROUGH DR. BOROVAY FROM C.D.C.,

SO IT'LL SAVE ME A LOT OF TIME IF YOU'LL
DIVIDE THINGS UP AMONG YOURSELVES, OKAY?

ARE YOU SURE WE'RE NOT
GONNA CATCH NOTHING?

WEAR YOUR MASKS AND KEEP YOUR
HANDS WASHED. YOU'LL BE ALL RIGHT.

WHAT ABOUT CATCHING IT
FROM ANOTHER PATIENT?

IT'S NOT TRANSMITTED
FROM PERSON TO PERSON.

WE'LL BE GRADING ALL OUR PATIENTS...
PUTTING THEM INTO TWO GROUPS.

LOW PROBABILITY...

YOUNG PATIENTS, FIRST DAY
PATIENTS, ASTHMATICS, PRE-OPS.

THIS GROUP WILL BE RE-SHUTTLED
INTO THE GENERAL HOSPITAL POPULATION.

GROUP TWO ARE THE
HIGH PROBABILITIES...

ANYONE WITH COMPROMISED
RESPIRATORY STATUS OR IMMUNE DEFICIENT,

AND ANYONE OVER 65.

WE TAKE THEM TO WARD 4 EAST.

TAKE SPECIAL CARE
WITH THE OLD PEOPLE.

NOTHING GOES IN,
NOTHING COMES OUT.

WARD 5 IS TO BE
COMPLETELY SEALED.