1
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Previously on ER...

2
00:00:07,007 --> 00:00:09,393
So you quit your job and get
married in the same week?

3
00:00:09,478 --> 00:00:10,910
I'm a new guy now.

4
00:00:10,933 --> 00:00:14,040
Maybe some of that love will
rub off on all of us here

5
00:00:14,226 --> 00:00:17,304
and help us find someone
as special as you two have.

6
00:00:20,813 --> 00:00:23,888
I got them the honeymoon suite
at the Ritz for a few nights, but...

7
00:00:24,096 --> 00:00:26,608
they say they can't use it on
account of Joe and everything.

8
00:00:26,617 --> 00:00:28,085
Oh, it's go time.

9
00:00:28,627 --> 00:00:30,181
You're a real prick, you know that?

10
00:00:31,577 --> 00:00:33,010
Stop it!
Tony!

11
00:00:33,074 --> 00:00:34,573
I don't love you.

12
00:00:35,307 --> 00:00:36,413
So that's it?

13
00:00:37,574 --> 00:00:38,932
- We're done?
- Yeah.

14
00:00:39,439 --> 00:00:41,621
Because Ray couldn't get over you?

15
00:00:48,358 --> 00:00:50,671
Have you seen my other sock?
I just bought these.

16
00:00:50,847 --> 00:00:52,933
Nobody wears socks in Hawaii.

17
00:00:53,967 --> 00:00:58,532
- Ugh, I can't believe it's almost 9:00.
- I can't believe Joe's still asleep.

18
00:00:59,186 --> 00:01:01,630
Couldn't find anyone
to cover your shift for today?

19
00:01:01,657 --> 00:01:05,061
No, that's the problem with surprise
weddings. It's hard to plan.

20
00:01:07,285 --> 00:01:08,973
I'll stop by later.

21
00:01:09,686 --> 00:01:12,073
I have to tie up loose ends
with Anspaugh.

22
00:01:12,908 --> 00:01:15,983
- You've got to be kidding me.
- What?

23
00:01:17,585 --> 00:01:21,821
Married five days and I'm already getting
mail addressed to Mrs. Luka Kovac.

24
00:01:21,856 --> 00:01:23,052
Nice.

25
00:01:24,365 --> 00:01:27,462
You know, being married isn't gonna
change the fact that I don't cook...

26
00:01:27,725 --> 00:01:32,022
- or sew... or keep track of your socks.
- Okay.

27
00:01:32,048 --> 00:01:36,753
That's fine in Chicago,
but on our honeymoon...

28
00:01:36,928 --> 00:01:40,600
you're going to be serving me
Martinis wearing only this.

29
00:01:41,406 --> 00:01:43,330
Got me a bikini.

30
00:01:43,767 --> 00:01:47,260
I'm a liberated modern husband.

31
00:01:49,935 --> 00:01:51,830
I like to shop.

32
00:02:00,108 --> 00:02:02,740
Abby and Luka are crazy.
Who turns down

33
00:02:02,835 --> 00:02:06,542
three free nights in the honeymoon
suite at the Ritz? Hope?

34
00:02:11,158 --> 00:02:13,523
Oh, my... Oh...

35
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You know, when I was eight, I found
this book in my parents' bedroom,

36
00:02:20,285 --> 00:02:24,603
Sex and the Christian Marriage.
And the very first page, it said,

37
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"Orgasms bring a couple closer to God."

38
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So that night at the dinner table,
I asked my parents what an orgasm was.

39
00:02:31,686 --> 00:02:32,893
What'd they say?

40
00:02:33,495 --> 00:02:38,242
An orgasm is a very special kind of prayer.
Which is fine and actually kind of sweet,

41
00:02:38,276 --> 00:02:42,180
but, like, later that week, I had my first
sleepover at a friend's house.

42
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So her mom asks me what my bedtime
routine is and I said,

43
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- "bath, toothbrushing, orgasm, sleep."
- You did not.

44
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I did. I was never invited back.

45
00:02:54,986 --> 00:02:58,703
- Champagne? It's 8:00 in the morning.
- I have no sense of time in this place.

46
00:02:58,735 --> 00:03:00,921
Arch, you got to be at work in,
like, an hour.

47
00:03:01,095 --> 00:03:02,602
- Dirty word.
- What is?

48
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- Work.
- Oh.

49
00:03:04,946 --> 00:03:07,230
Well, I don't have to be
in till 4:00, so...

50
00:03:07,278 --> 00:03:09,863
you go ahead and then
I'll check us out of the room.

51
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No. No, no, no.
We're staying another night.

52
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- Another three nights.
- What? That's crazy.

53
00:03:17,996 --> 00:03:21,080
This room must be like
a thousand dollars a night.

54
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They comped us.

55
00:03:24,566 --> 00:03:26,013
Why would they do that?

56
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I guess we're spending so much on room
service, we made it worth their while.

57
00:03:30,355 --> 00:03:34,991
- Now... mimosa?
- Nimosa.

58
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Damn it.

59
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Hey, hey, Betina, hey.
Hold up.

60
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All right, all right, look, look.

61
00:03:53,276 --> 00:03:55,811
I got it now.
I figured you out.

62
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Figured me out?

63
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You've had it with the guys
who are trying to be cool

64
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and you're ready for someone real.

65
00:04:01,256 --> 00:04:03,051
Got someone you want
to set me up with?

66
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Come on now, help me out, okay?
I've seen the light.

67
00:04:05,775 --> 00:04:08,773
Or maybe you're just saying what you
think I need to hear to go out with you?

68
00:04:08,806 --> 00:04:11,613
Oh, it's not like that.
Really. Really.

69
00:04:12,186 --> 00:04:14,650
Greg... I like you.

70
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But I have been dating
guys like you for years.

71
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You will do whatever it takes
to get the girl, but in the end,

72
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it's just about the chase.

73
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Betina, I'm not like that anymore.

74
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I've changed.

75
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This is it?
They closed the ER for a paint job?

76
00:04:32,837 --> 00:04:36,082
Well, it's only been a few days.
You can't expect a drastic change overnight.

77
00:04:36,267 --> 00:04:38,381
Mine point exactly, Dr. Pratt.

78
00:04:38,577 --> 00:04:40,820
See you later.
I've got radiology rounds in the ICU.

79
00:04:40,845 --> 00:04:41,812
- Wait!
- Pratt...

80
00:04:41,837 --> 00:04:45,281
- I got a hypotensive patient here, 87/45.
- All right, what's the baseline?

81
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- She runs low. Always has.
- Why is it that you know that an I don't?

82
00:04:48,876 --> 00:04:52,571
- She's febrile, too, 103.
- Okay, any vomiting, any coughing?

83
00:04:52,618 --> 00:04:55,981
Just a little belly pain. I could see
my doctor tomorrow when I get home.

84
00:04:56,005 --> 00:04:57,102
- Where's home?
- Boston.

85
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- We're here for her physics conference.
- I'm gonna cut his eyes out

86
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- and send him home in a box!
- Need some help here!

87
00:05:02,917 --> 00:05:06,431
Sam, liter of saline, find her a monitored
bed, and I'll be in as soon as I can.

88
00:05:06,466 --> 00:05:07,923
Can't you just give me an antibiotic?

89
00:05:07,945 --> 00:05:10,173
We've been waiting in triage
nearly three hours.

90
00:05:10,197 --> 00:05:11,832
I know, I'm sorry,
that's the way it goes around here.

91
00:05:11,855 --> 00:05:14,662
You know what, let me see if there's
an open bed. I'll be right back.

92
00:05:15,806 --> 00:05:19,893
Sam... meet my parents, Barb and Len.
They're visiting from Long Island.

93
00:05:19,918 --> 00:05:22,883
- Oh, hi. Nice to meet you.
- Hey, Weston, come on, man, you're up.

94
00:05:22,918 --> 00:05:25,202
- This guy needs a chest tube.
- I'll find you guys later.

95
00:05:26,726 --> 00:05:29,582
Well, you must be very proud of Larry.
Have a good tour.

96
00:05:30,038 --> 00:05:32,392
You're even prettier
than he said you were.

97
00:05:32,968 --> 00:05:35,893
We're so happy
he finally found a girlfriend.

98
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Subtitles : Willow's Team

99
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Transcript : Raceman

100
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www.forom.com

101
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- Let me out of here, you bastard!
- Where had they move the ortho stuff?

102
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I'm sorry for springing
my parents on you like that.

103
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I am not your girlfriend, Larry,
you know that, right?

104
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Oh, come on.

105
00:05:55,636 --> 00:05:56,902
Sam...

106
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We made out... at a wedding.

107
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That's what drunk single people
do at weddings.

108
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Doesn't mean we're an item.

109
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Well, I'm not the type
to take sex casually, Sam.

110
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We did not have sex.

111
00:06:10,937 --> 00:06:14,361
- Depends on how you define sex.
- Larry, we did not have sex.

112
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Outercourse doesn't count?

113
00:06:16,105 --> 00:06:17,950
- Oh, my God.
- What?

114
00:06:18,865 --> 00:06:20,960
- Ace or splint?
- Ace is cool.

115
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So where are all the so-called improvements
you guys did while you were closed?

116
00:06:24,405 --> 00:06:26,532
Oh, what, you didn't see
the new admit desk?

117
00:06:26,568 --> 00:06:30,031
Or how about our electrical outlets?
They are a new shade of red.

118
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All right. How did you hurt your ankle?

119
00:06:33,308 --> 00:06:35,650
Running all over the hospital
with Dr. Moretti.

120
00:06:35,708 --> 00:06:36,562
Who?

121
00:06:36,757 --> 00:06:39,471
Dr. Moretti.
He's head of the ICU.

122
00:06:39,745 --> 00:06:42,282
- I'm doing a month up there with him.
- Wiggle your toes.

123
00:06:42,908 --> 00:06:45,011
I'm wearing a pager for
the Rapid Response team.

124
00:06:45,215 --> 00:06:47,440
- The what?
- It's Moretti's latest invention.

125
00:06:47,477 --> 00:06:50,703
When nurses get a bad feeling about
the patients, they call us and we run.

126
00:06:50,806 --> 00:06:54,570
- Like a code team.
- More like a pre-code team.

127
00:06:55,158 --> 00:06:57,951
Why don't you let me have the docs
take a look at your ankle just to be sure?

128
00:06:58,206 --> 00:07:00,703
- As long as it's not Ray.
- Yeah, you got it.

129
00:07:02,838 --> 00:07:06,173
Okay, Morris... you finally
close the deal with Hope or not?

130
00:07:06,207 --> 00:07:11,053
Hey, all I can say... this is the first
time I left our hotel room in three days.

131
00:07:11,588 --> 00:07:15,551
Mostly we're just praying.
Lot of special prayers, huh?

132
00:07:16,006 --> 00:07:18,712
Hey, what about you and
our favorite radiologist?

133
00:07:18,777 --> 00:07:20,732
Come on, you got to respect
a woman's privacy, right?

134
00:07:20,778 --> 00:07:23,190
- You sly dog.
- Anybody seen Ray around?

135
00:07:23,215 --> 00:07:24,431
No. He's a couple hours late.

136
00:07:24,447 --> 00:07:27,402
He's probably still hung over from the
wedding. He was in pretty bad shape.

137
00:07:27,417 --> 00:07:31,722
- And, Sam, whoo, baby, wild night, huh?
- Please shut up.

138
00:07:32,126 --> 00:07:34,582
Katey Alvaro's in curtain two.
She twisted her ankle.

139
00:07:34,615 --> 00:07:39,272
- Doesn't look broken, but... take a look.
- I'm on it. Larry?

140
00:07:39,577 --> 00:07:41,160
I'm gonna kill him.

141
00:07:41,688 --> 00:07:44,772
Hey, anybody see our physicist
in curtain three?

142
00:07:44,805 --> 00:07:47,373
Yeah, I got to slow down in SVT,
but she's next for sure.

143
00:07:47,478 --> 00:07:49,550
Excuse me,
we're still waiting for a doctor.

144
00:07:49,574 --> 00:07:51,823
I'm sorry, we're really busy.

145
00:07:52,027 --> 00:07:54,773
- How are you feeling?
- Run down.

146
00:07:55,304 --> 00:07:58,612
I've been working my ass off for the last
six months prepping for this conference.

147
00:07:58,649 --> 00:08:01,510
Six months? Try 20 years.

148
00:08:01,696 --> 00:08:05,170
You've been working on quantum
processing your entire career.

149
00:08:05,975 --> 00:08:08,041
- Quantum processing?
- Oh, theory...

150
00:08:08,115 --> 00:08:12,240
in physics which says that an atom
can exist in two places at the same time

151
00:08:12,298 --> 00:08:14,750
and I showed that it can work
in a larger matrix.

152
00:08:14,916 --> 00:08:17,623
I have no idea what you just said,
but it sounds impressive.

153
00:08:17,676 --> 00:08:20,462
It pretty much blew
the lid off the entire field.

154
00:08:20,647 --> 00:08:22,960
Well, I think what
you've got is probably viral,

155
00:08:23,148 --> 00:08:25,601
but I'm going to send
some blood tests to be safe.

156
00:08:26,215 --> 00:08:29,800
Sam, we're gonna do dinner
at 8:00 at Osteria Angelo.

157
00:08:30,066 --> 00:08:32,221
Great! Have a good time.

158
00:08:36,476 --> 00:08:39,191
Yeah, I'm sorry. I don't mean
to sound like uptight mainlander,

159
00:08:39,226 --> 00:08:43,161
but I find it hard to believe that you
can't rent a car with a car seat in it.

160
00:08:43,807 --> 00:08:44,833
Okay.

161
00:08:45,535 --> 00:08:48,303
Right, we'll bring our own.
Yes, mahalo for nothing.

162
00:08:48,518 --> 00:08:52,083
Sophia Van Brummellen, 35,
fell down a 15-foot flight of stairs.

163
00:08:52,117 --> 00:08:53,602
I'm Dr. Morris.
Can you tell me your name?

164
00:08:53,618 --> 00:08:55,612
- I'm gonna be sick.
- Okay, roll her on her side.

165
00:08:55,637 --> 00:08:58,331
- Please be okay. Let her be okay.
- Abby, need some help here.

166
00:08:58,345 --> 00:09:00,711
- Um, hello.
- What happened?

167
00:09:00,746 --> 00:09:02,803
- She fell down stairs...
- I want to hear it from her.

168
00:09:02,878 --> 00:09:06,170
She slipped and she fell down--
her head was bouncing down the stairs;

169
00:09:06,258 --> 00:09:09,300
when she got to the bottom,
she wasn't moving and she wasn't talking.

170
00:09:09,318 --> 00:09:11,562
I'm Dr. Lockhart,
any medications or allergies?

171
00:09:11,578 --> 00:09:13,222
- No, she's healthy.
- My...

172
00:09:13,276 --> 00:09:14,123
Okay, hang in there,

173
00:09:14,137 --> 00:09:15,673
- we're going to take care of you.
- What's her access?

174
00:09:15,687 --> 00:09:17,833
- 18 gauge in the right antecube.
- She's seizing.

175
00:09:17,937 --> 00:09:20,212
Ativan, two migs,
let's get Trauma down here.

176
00:09:20,278 --> 00:09:23,083
I need a second line
and 50 of Manninol right away.

177
00:09:23,277 --> 00:09:26,913
We've got a dilated stomach with
exaggerated incisura. Call Ultrasound.

178
00:09:27,116 --> 00:09:27,911
Why?

179
00:09:27,947 --> 00:09:30,200
Caterpillar sign;
could be pyloric stenosis.

180
00:09:30,387 --> 00:09:33,400
Pratt, I need an antibiotics order
for our physicist in Three.

181
00:09:33,526 --> 00:09:36,182
Micro called, she's got gram
positive cocci on the stain.

182
00:09:36,277 --> 00:09:38,970
That's probably just contaminated,
she looks too good to be septic.

183
00:09:39,036 --> 00:09:41,702
She's still febrile and tachy,
and how would you know how she looks?

184
00:09:41,735 --> 00:09:43,560
You haven't seen her since
we brought her back an hour ago.

185
00:09:43,578 --> 00:09:46,543
I've got an obstructed newborn,
a perfed ulcer on his sixth unit of blood,

186
00:09:46,576 --> 00:09:49,312
and my aphasic boxer
just dropped his pressure in CT.

187
00:09:49,428 --> 00:09:52,821
Give her two grams of Ceftriaxone
and I'll see her as soon as I can, okay?

188
00:09:53,127 --> 00:09:56,203
Guess what? I'll be house-sitting
for Luby while they're away.

189
00:09:56,565 --> 00:09:58,871
- Luby?
- Luka and Abby.

190
00:09:59,108 --> 00:10:01,963
You know, like Brangelina,
Bennifer, Tomkat.

191
00:10:02,016 --> 00:10:05,030
I hear it's a nice place, and Abby
says it's okay if you sleep over.

192
00:10:05,076 --> 00:10:07,010
What? Are you for real?

193
00:10:07,046 --> 00:10:11,240
I didn't think it would be right to have
sex in their bed without at least asking.

194
00:10:12,276 --> 00:10:14,792
- Load with a gram of Dilantin.
- What is that?

195
00:10:14,876 --> 00:10:16,763
A medicine to keep her
from seizing again.

196
00:10:16,778 --> 00:10:19,512
If you want to be here, you're going
to have to step back. More suction.

197
00:10:19,558 --> 00:10:21,842
It's cranked all the way up.
Nothing's coming out.

198
00:10:21,877 --> 00:10:23,890
- Come on, Gates.
- I'm trying, I can't see crap.

199
00:10:23,906 --> 00:10:25,582
- Sat's are down to 86.
- Is that bad?

200
00:10:25,617 --> 00:10:28,112
- Abby, switch with Gates.
- I haven't even tried yet.

201
00:10:28,138 --> 00:10:30,273
- Exactly.
- I'm being blamed for equipment failure?

202
00:10:30,307 --> 00:10:32,273
Don't make this about you, please.

203
00:10:33,256 --> 00:10:35,781
- What are you doing?
- The tube will protect her airway

204
00:10:35,807 --> 00:10:38,292
- and allow us to breathe for her.
- Is he still mad about the Propofol?

205
00:10:38,316 --> 00:10:40,443
Yeah, that or the thing
that happened at the wedding.

206
00:10:40,476 --> 00:10:43,791
- What happened at the wedding?
- Nothing. Yeah, it's the propofol.

207
00:10:43,946 --> 00:10:45,203
Wants me to kiss the ring.

208
00:10:45,277 --> 00:10:47,412
Why don't you just apologize
and get it over with?

209
00:10:47,437 --> 00:10:49,192
'Cause I have nothing to apologize for.

210
00:10:50,685 --> 00:10:54,412
Post-op morbidity and mortality are
up seven percent this year.

211
00:10:54,456 --> 00:10:56,462
- Really? Why?
- I don't know, but I'm going to find out.

212
00:10:56,508 --> 00:10:58,833
I'm conducting an internal audit
into the post-op unit.

213
00:10:58,878 --> 00:11:02,130
I want every med, every hiccup
meticulously recorded.

214
00:11:02,177 --> 00:11:05,113
- Nurses are going to hate you.
- No, they're going to hate you.

215
00:11:05,207 --> 00:11:08,482
You're in charge of the investigation.
ER Trauma call.

216
00:11:08,518 --> 00:11:10,801
Not you, Dusty.
I want you hands-on at the PACU unit.

217
00:11:10,825 --> 00:11:13,212
You're not doing consults
till the audit's over.

218
00:11:13,247 --> 00:11:14,853
Oh, boo.

219
00:11:29,977 --> 00:11:31,211
Surgery's here.
What do you got?

220
00:11:31,237 --> 00:11:33,873
A 35-year-old fell down a flight of stairs.

221
00:11:33,977 --> 00:11:36,761
Head trauma, intubated,
FAST negative, labs pending.

222
00:11:36,807 --> 00:11:39,763
Came in altered,
five-centimeter scalp lac.

223
00:11:40,135 --> 00:11:41,202
Access?

224
00:11:41,278 --> 00:11:45,393
18-gauge times two.
First crit 37, second one cooking.

225
00:11:45,618 --> 00:11:47,422
- Want me to bag for you?
- No, I got it.

226
00:11:47,448 --> 00:11:50,253
- Bolus is done.
- Hey, Run D five half at 75 an hour.

227
00:11:50,278 --> 00:11:52,852
You don't want a fluid overload till
we know what's going on in her head.

228
00:11:52,876 --> 00:11:55,381
- It was a nice wedding.
- Thanks.

229
00:11:56,485 --> 00:11:58,093
Sorry I got so crazy.

230
00:11:58,127 --> 00:12:01,613
I think because I knew I was leaving.
I let it all hang out.

231
00:12:02,195 --> 00:12:05,802
I mean, you hardly even know me,
and then I had to go and be like that.

232
00:12:07,188 --> 00:12:08,240
Don't worry about it.

233
00:12:08,715 --> 00:12:12,491
- Dr. Morris, your TPA patient is seizing.
- I'm busy here. Find Pratt.

234
00:12:12,536 --> 00:12:14,173
Don't worry about it. I got it. Go.

235
00:12:14,378 --> 00:12:16,440
Mae Lee, call CT.
Tell 'em we're coming up.

236
00:12:16,845 --> 00:12:19,792
- Is there a Megan Strand here?
- That's me.

237
00:12:20,388 --> 00:12:22,762
Neighbors heard screaming
in your house this morning.

238
00:12:23,056 --> 00:12:24,842
We were having an argument.

239
00:12:28,318 --> 00:12:30,940
Where the hell is my Ceftriaxone?

240
00:12:31,636 --> 00:12:32,891
No, it's Pratt.

241
00:12:33,268 --> 00:12:35,083
P-R-A-T-T.

242
00:12:35,738 --> 00:12:37,511
Hell, no, I'm not new!
Are you?

243
00:12:37,626 --> 00:12:39,292
Listen, just send
the stuff down, all right?

244
00:12:39,317 --> 00:12:41,391
I ordered the antibiotics
over an hour ago.

245
00:12:41,578 --> 00:12:43,992
Learned helplessness
is pervasive in the ER.

246
00:12:44,017 --> 00:12:47,213
Can't have a home-schooled
pharmacy tech wag the dog.

247
00:12:49,635 --> 00:12:51,053
You rang?

248
00:12:51,198 --> 00:12:52,823
What's going on? Who are you?

249
00:12:52,876 --> 00:12:56,100
I'm Dr. Kevin Moretti.
I'm the clinical director of the ICU.

250
00:12:56,138 --> 00:12:58,880
They called me down here 'cause
your wife's condition is deteriorating.

251
00:12:58,906 --> 00:13:00,660
- Talk to me.
- Fever to 103.

252
00:13:00,678 --> 00:13:03,940
- Stain showed gram positive cocci.
- Yeah, we thought it was a contaminant.

253
00:13:03,975 --> 00:13:07,031
Which is stupid.
Katey, set up for a subclavian,

254
00:13:07,078 --> 00:13:11,531
prime the line and get a CVP monitor.
Draw a lactate now, you, and, uh,

255
00:13:11,577 --> 00:13:14,513
give me six units of packed blood cells
standing by in the blood bank.

256
00:13:14,837 --> 00:13:16,701
- Who was the attending on this case?
- Me.

257
00:13:16,727 --> 00:13:19,100
Really?
Well, you dropped the ball, didn't you?

258
00:13:19,337 --> 00:13:21,282
- Excuse me?
- She's septic.

259
00:13:21,315 --> 00:13:23,201
It's obvious.
You should have anticipated this.

260
00:13:23,217 --> 00:13:25,361
She's young, she's healthy.
She had no reason...

261
00:13:25,377 --> 00:13:27,212
She doesn't need a reason.

262
00:13:28,048 --> 00:13:30,363
A reason.
Breathe, please.

263
00:13:30,735 --> 00:13:34,421
Katey, do you see any signs
of impending shock here?

264
00:13:34,628 --> 00:13:37,762
Tachycardia out of proportion with
the fever, widening pulse pressure.

265
00:13:37,986 --> 00:13:41,531
See that? Even a medical student
could see it coming from a mile away.

266
00:13:41,548 --> 00:13:43,173
Must be some new-attending thing.

267
00:13:43,206 --> 00:13:44,982
We'll take care of your wife, sir.
Don't worry about it.

268
00:13:45,018 --> 00:13:47,051
- I can manage my own patients, thank you.
- Really?

269
00:13:47,107 --> 00:13:50,363
Then why did one of your nurses
activate my team? Excuse me.

270
00:13:50,918 --> 00:13:53,340
I knew you were getting slammed.
She needed attention.

271
00:13:53,558 --> 00:13:56,043
The Rapid Response team
doesn't even cover the ER!

272
00:13:56,108 --> 00:13:59,733
Well, if you can't handle slam dunk
cases like this, maybe we should.

273
00:13:59,975 --> 00:14:02,180
Give me one percent lido. Let's go.

274
00:14:02,956 --> 00:14:04,941
Explain this again.
I don't understand.

275
00:14:04,978 --> 00:14:06,982
- My wife is healthy.
- All right, calm down, sir. Look,

276
00:14:07,016 --> 00:14:09,053
the bacteria could have seeded
the bloodstream through the lungs,

277
00:14:09,108 --> 00:14:11,712
- a cut in the skin, her intestines.
- Second liter's in.

278
00:14:12,676 --> 00:14:15,553
Goal-directed resuscitation
for septic shock

279
00:14:15,705 --> 00:14:18,573
is so easy,
yet so difficult for you ED types.

280
00:14:18,597 --> 00:14:20,933
- She's in shock?
- Systolic's only 82.

281
00:14:21,018 --> 00:14:22,323
That would be a yes.

282
00:14:22,358 --> 00:14:24,641
The key is to preserve
effective tissue perfusion

283
00:14:24,677 --> 00:14:27,531
while avoiding excessive
myocardial oxygen consumption.

284
00:14:27,576 --> 00:14:31,090
Translation-- get oxygen to the body
without stressing the heart.

285
00:14:31,117 --> 00:14:35,121
We need CVP monitoring and continuous
central venous sats to keep track of that.

286
00:14:35,147 --> 00:14:37,143
See that?
He's learning already.

287
00:14:37,386 --> 00:14:41,163
That requires ICU-level monitoring. We're
too busy down here. We can't do that.

288
00:14:41,335 --> 00:14:44,271
Really? You can't?
You can, and you will.

289
00:14:44,307 --> 00:14:46,531
- Watch.
- We don't have the nursing capacity.

290
00:14:46,575 --> 00:14:50,150
Patients come in, we stabilize them,
then we send them up. That's how it works.

291
00:14:50,188 --> 00:14:53,870
Yeah? You forget about that eight
hours that they sit around in triage.

292
00:14:53,908 --> 00:14:58,260
- And wait another five to get a bed.
- Look, it's not great, but it's the reality.

293
00:14:58,307 --> 00:15:01,190
Reality is nothing more
than a persistent illusion.

294
00:15:01,215 --> 00:15:04,323
Einstein said that.
I'm a physicist.

295
00:15:04,338 --> 00:15:06,521
Memorized everything that guy ever wrote.

296
00:15:06,545 --> 00:15:09,161
See that? Even more reason
not to sit around and let your

297
00:15:09,186 --> 00:15:12,921
- organs rot away like rancid meat.
- Nobody's organs are rotting.

298
00:15:12,945 --> 00:15:15,502
Free air under the diaphragm.
Probably a perfed diverticulum.

299
00:15:15,528 --> 00:15:17,723
- What's that mean?
- Um, what that means is,

300
00:15:17,746 --> 00:15:20,251
an infection in your intestines
has eroded through the wall.

301
00:15:20,278 --> 00:15:22,333
We need to get in there,
clean up and repair the hole.

302
00:15:22,425 --> 00:15:25,411
Lucien, don't you tired
of ER docs waiting around

303
00:15:25,436 --> 00:15:27,932
for the surgeons to come down
and save the day?

304
00:15:28,006 --> 00:15:29,800
Give 'em a break, Kevin.
You know what it's like down here.

305
00:15:29,835 --> 00:15:31,662
I'm going to call the OR,
tell them we're bringing her up.

306
00:15:31,677 --> 00:15:36,882
It's true-- I know that we're just monkeys
on a minor planet on an average star, but...

307
00:15:36,907 --> 00:15:40,010
let's not pretend
that sepsis is beyond our reach.

308
00:15:40,038 --> 00:15:43,772
If you're trying to quote Hawking,
you mangled it.

309
00:15:43,998 --> 00:15:46,360
- I think I'm in love.
- Alison! What are you doing here, Blake?

310
00:15:46,416 --> 00:15:48,110
Hey, look, she called me, all right?

311
00:15:48,137 --> 00:15:50,513
- Hey, whoa, guys, hey!
- You don't get to do this!

312
00:15:50,557 --> 00:15:52,570
- Hey, hey, come on.
- She wants me here, okay?

313
00:15:52,605 --> 00:15:53,632
Take it easy, all right?

314
00:15:55,078 --> 00:15:57,392
Stay away from my wife!

315
00:16:02,307 --> 00:16:03,863
- Where are you taking her?
- CT scan.

316
00:16:04,257 --> 00:16:05,373
- Can I go, too?
- No, no, no.

317
00:16:05,386 --> 00:16:08,121
Why don't you stay here?
Dr. Gates will be with her the whole time.

318
00:16:08,886 --> 00:16:10,222
Is everything okay?

319
00:16:11,217 --> 00:16:13,422
No, my girlfriend's in a coma.

320
00:16:13,645 --> 00:16:16,390
It's all my fault, so, no,
everything is not okay.

321
00:16:16,847 --> 00:16:18,743
All your fault? How is that?

322
00:16:19,676 --> 00:16:22,273
I left my roller blades
at the top of the stairs.

323
00:16:22,377 --> 00:16:24,862
It's polished concrete.
It's very slippery.

324
00:16:25,085 --> 00:16:27,082
We were fighting, and she tripped.

325
00:16:28,325 --> 00:16:30,001
Well, did you explain
to the cops what happened?

326
00:16:30,038 --> 00:16:31,751
- I'm sure they'll sort it out.
- Yeah.

327
00:16:33,198 --> 00:16:35,402
No, it's been a bad year.

328
00:16:36,018 --> 00:16:37,432
How so?

329
00:16:39,165 --> 00:16:42,703
Moved to Chicago
five months ago for my job.

330
00:16:43,498 --> 00:16:46,702
Ever since,
we've been fighting constantly.

331
00:16:46,986 --> 00:16:51,723
These huge, dish-breaking fights.
And we never used to do that.

332
00:16:52,007 --> 00:16:55,662
You know?
It's like the city's changed her.

333
00:16:56,698 --> 00:16:59,190
Well, transitions are hard.

334
00:17:01,506 --> 00:17:03,793
Been together ever since college.

335
00:17:04,006 --> 00:17:05,593
Been through a lot.

336
00:17:06,056 --> 00:17:11,142
You know, us coming out to her family,
and her brother dying.

337
00:17:13,107 --> 00:17:15,302
You think you can make it through
that kind of stuff,

338
00:17:15,337 --> 00:17:17,652
you think you can make it
through anything.

339
00:17:21,066 --> 00:17:27,582
Who knew, after 15 years,
and everything would turn so much?

340
00:17:29,527 --> 00:17:31,020
It's scary.

341
00:17:33,627 --> 00:17:34,983
Yeah.

342
00:17:36,008 --> 00:17:39,472
Quantum information processing,
teleportation.

343
00:17:39,575 --> 00:17:42,412
You know, we've been chasing
the same questions since grad school.

344
00:17:42,537 --> 00:17:44,302
I'm sorry if he feels threatened by it,

345
00:17:44,335 --> 00:17:46,743
but there are certain conversations
she can only have with me.

346
00:17:46,775 --> 00:17:49,532
- Vice versa.
- But it's only work, right?

347
00:17:49,606 --> 00:17:52,180
Yeah, we're both married.
Happily married.

348
00:17:53,236 --> 00:17:56,000
Can't say that the idea has
never crossed my mind, but...

349
00:17:56,026 --> 00:17:58,843
Alison and I just really click.
I don't know anybody else, male or female,

350
00:17:58,875 --> 00:18:01,100
who challenges me like she does.

351
00:18:02,958 --> 00:18:05,043
They have this thing.

352
00:18:05,508 --> 00:18:07,652
They're together in the lab
all day, and then

353
00:18:07,677 --> 00:18:11,813
she gets home, and everything's,
"Blake said this, Blake did that."

354
00:18:12,057 --> 00:18:14,243
Something about it has always felt weird.

355
00:18:14,466 --> 00:18:16,262
He's her work husband.

356
00:18:17,338 --> 00:18:20,022
Yeah, people spend more time
at work than they do at home.

357
00:18:20,107 --> 00:18:23,941
Share experiences,
develop a verbal shorthand.

358
00:18:24,717 --> 00:18:26,770
Of course, some intimacy develops.

359
00:18:27,067 --> 00:18:29,922
The two men in my life--
they don't get each other.

360
00:18:29,956 --> 00:18:31,593
Really?
Never would have noticed that.

361
00:18:31,618 --> 00:18:33,333
- The OR's ready.
- Okay.

362
00:18:33,995 --> 00:18:36,382
Two planets revolving
around the same sun.

363
00:18:36,818 --> 00:18:38,340
Collision is inevitable, right?

364
00:18:38,376 --> 00:18:40,750
They try to stay out of each
other's orbits to keep the...

365
00:18:40,808 --> 00:18:45,021
solar system in order, but...
it's a useless exercise.

366
00:18:45,106 --> 00:18:47,393
- Disorder rules.
- Oh, yeah.

367
00:18:47,615 --> 00:18:50,403
The universe always
reverts to equilibrium.

368
00:18:51,347 --> 00:18:53,282
- I'll see you upstairs, okay?
- Wait!

369
00:18:54,687 --> 00:18:57,350
Honey, I'm sorry.
I went a little crazy.

370
00:18:57,376 --> 00:18:59,581
James. James.

371
00:19:00,416 --> 00:19:02,660
I want you to do something for me.

372
00:19:02,778 --> 00:19:05,472
- So, am I going to have a scar?
- No. The edges came together nicely.

373
00:19:05,517 --> 00:19:08,283
- It'll be small.
- Hey. I have to head back up to the ICU,

374
00:19:08,316 --> 00:19:11,963
but I wanted to suggest that you write
this case up for M and M next week.

375
00:19:12,015 --> 00:19:13,223
What's M and M?

376
00:19:13,456 --> 00:19:18,300
Uh, it's a conference where we present
our mistakes and learn from them.

377
00:19:18,315 --> 00:19:22,390
- You made a mistake with Alison?
- No. Will you please excuse us for a minute?

378
00:19:25,406 --> 00:19:28,173
- What-what are you trying to do?
- Trying to wake you up.

379
00:19:28,206 --> 00:19:30,791
Why are you talking like that in front
of a patient? How does that help anyone?

380
00:19:30,818 --> 00:19:32,600
Where'd you go to medical school?

381
00:19:33,106 --> 00:19:35,233
- Here.
- And your residency?

382
00:19:35,468 --> 00:19:37,652
- Here.
- Mm-hmm. Your internship?

383
00:19:37,688 --> 00:19:39,510
Why are you asking?
You know it was here.

384
00:19:39,537 --> 00:19:42,302
Because I think that you have
been lulled into complacency

385
00:19:42,328 --> 00:19:44,261
by too many years in this place.

386
00:19:44,768 --> 00:19:47,093
You know what? You got a problem
with the ER, you talk to Kovac.

387
00:19:47,115 --> 00:19:50,373
Well, no, it's too late for Kovac.
He's the old guard.

388
00:19:50,645 --> 00:19:53,010
I think you could really
turn things around here.

389
00:19:53,046 --> 00:19:55,132
You know what? Now, you're really
starting to bore me. How about this?

390
00:19:55,156 --> 00:19:58,500
How about you go up and harass your
own department, and stay out of mine?

391
00:19:59,158 --> 00:20:01,372
It's always nice to talk to you,
Dr. Pratt.

392
00:20:03,476 --> 00:20:05,421
Will someone please
make this jerk disappear?

393
00:20:05,457 --> 00:20:07,390
- Who?
- The guy is toxic.

394
00:20:07,426 --> 00:20:10,162
What guy?
Oh, hey, excuse me.

395
00:20:11,237 --> 00:20:12,452
Excuse me? Can you hold up?

396
00:20:12,476 --> 00:20:15,283
- Did you finish interviewing Megan Strand?
- Yeah.

397
00:20:15,317 --> 00:20:17,953
We're just waiting to see if we can get
a statement from Sophia when she wakes up.

398
00:20:18,006 --> 00:20:20,223
Oh, that might be a while.
She's intubated, but, listen,

399
00:20:20,247 --> 00:20:24,003
I was talking to Megan, and
her affect seems totally appropriate.

400
00:20:24,025 --> 00:20:25,920
The injury matches her story,
and I'm just...

401
00:20:26,118 --> 00:20:27,871
I don't know.
I'm not getting that abuse vibe.

402
00:20:27,978 --> 00:20:29,000
- Thanks, Doc.
- Yeah.

403
00:20:29,065 --> 00:20:31,681
Make sure you write that in the record.
It'll be helpful if this goes to court.

404
00:20:31,716 --> 00:20:34,681
- Right. Thanks.
- How much ? No-no promotional rate?

405
00:20:34,967 --> 00:20:37,173
What about frequent flyer programs?

406
00:20:37,387 --> 00:20:38,712
Triple A?

407
00:20:39,297 --> 00:20:41,623
Fine. Uh, three more nights
at the honeymoon suite.

408
00:20:41,645 --> 00:20:44,170
Charge the card. Don't get snarky.
I'm too fragile.

409
00:20:44,216 --> 00:20:46,051
Oh, I thought things were going well
with you and Hope.

410
00:20:46,077 --> 00:20:47,992
Yeah, they are.
Really well.

411
00:20:48,236 --> 00:20:50,253
Staircase girl has a head bleed.

412
00:20:52,578 --> 00:20:54,142
Frontal parenchymal bleed?

413
00:20:54,177 --> 00:20:57,113
Yeah, less common than a sub or epidural,
but consistent with a fall.

414
00:20:57,145 --> 00:20:59,162
Okay, I'll call Neurosurge.
Thanks.

415
00:20:59,378 --> 00:21:00,911
Hey, Neela, hey.

416
00:21:01,257 --> 00:21:04,801
- Have you heard anything from Ray yet?
- Why, no. I thought he'd be here.

417
00:21:05,288 --> 00:21:09,143
Yeah, well, I mean, that the ER closed,
maybe schedules got confusing.

418
00:21:09,176 --> 00:21:11,743
- Yeah.
- I'll try paging him again.

419
00:21:11,955 --> 00:21:14,173
Hey, Mayday, I hear you're
taking the gastroschisis kid up.

420
00:21:14,215 --> 00:21:16,151
Yeah, I'm just about to write
the admission orders.

421
00:21:16,176 --> 00:21:18,501
Operating on adhesions
create new adhesions?

422
00:21:18,538 --> 00:21:21,612
Possibly, but we don't have a choice
if he's acutely obstructed.

423
00:21:21,657 --> 00:21:23,953
All right. I'll keep him NPO.
Thanks.

424
00:21:24,188 --> 00:21:26,562
Hey, Morris, you got a snake breeder
with a fang in her leg.

425
00:21:26,607 --> 00:21:28,821
Nice seeing you, Tony.
Thanks for the consult.

426
00:21:33,177 --> 00:21:35,532
Hey, what?
What did I do?

427
00:21:35,947 --> 00:21:37,880
- This is easy for you, isn't it?
- What?

428
00:21:37,925 --> 00:21:40,710
"Hey, Mayday, did you see my gastroschisis
kid?" Like nothing happened.

429
00:21:40,738 --> 00:21:42,932
- Come on, Neela, you're not being fair.
- I mean, how can you be so casual?

430
00:21:42,946 --> 00:21:45,273
Hey, you're the one that broke up
with me, remember?

431
00:21:45,476 --> 00:21:47,693
- Everything just rolls right off of you.
- All right, you know what?

432
00:21:47,725 --> 00:21:49,462
Why don't you tell me
how upset you want me to be?

433
00:21:49,556 --> 00:21:51,280
On a scale of one to ten, what, a seven?

434
00:21:51,335 --> 00:21:53,393
And then, when you're feeling needy,
we'll crank it up to an eight,

435
00:21:53,436 --> 00:21:55,420
put it down to a five when
you want to get your work done.

436
00:21:55,466 --> 00:21:57,771
- Now you're just being an ass.
- You think this doesn't upset me?

437
00:21:57,786 --> 00:22:00,702
It does. This is painful for me,
but you want what you want.

438
00:22:00,735 --> 00:22:03,772
You know, so I just... We're trying to
figure how to work without the drama.

439
00:22:03,828 --> 00:22:06,840
But now I realize something-- you,
you like this. You want the drama.

440
00:22:06,875 --> 00:22:08,243
- That's not true.
- It is true.

441
00:22:08,276 --> 00:22:09,422
- I don't want the drama.
- No matter how I act,

442
00:22:09,447 --> 00:22:11,613
- you're gonna be upset.
- You're the one at the wedding being...

443
00:22:11,635 --> 00:22:14,663
Because that's the only way you can
maintain this stupid, narcissistic game.

444
00:22:19,805 --> 00:22:22,683
Wow. I hope that never happens to us.

445
00:22:25,866 --> 00:22:29,283
They managed to repair her damaged intestine,
but her blood pressure dropped very low.

446
00:22:29,315 --> 00:22:31,560
It'll be a while before we know anything.

447
00:22:32,405 --> 00:22:36,362
Six hours ago she was giving a talk
in front of hundreds of people.

448
00:22:37,097 --> 00:22:38,950
How did she end up here?

449
00:22:39,665 --> 00:22:45,623
Well, sometimes things just... happen.
There's really no way to make sense of it.

450
00:22:46,015 --> 00:22:47,640
She's not in pain?

451
00:22:47,925 --> 00:22:50,391
I'll make sure she has a morphine order.

452
00:22:52,315 --> 00:22:53,523
How's she doing?

453
00:22:53,658 --> 00:22:57,412
Still needs dopa to keep her systolic above 85.
And I think she's third spacing.

454
00:22:57,475 --> 00:23:00,470
She had a touch of DIC,
lost two liters in the OR.

455
00:23:00,748 --> 00:23:02,490
Hey, um, why didn't you scrub in?

456
00:23:02,645 --> 00:23:04,393
Well, I wasn't sure that you'd want me to.

457
00:23:04,437 --> 00:23:05,730
Why wouldn't I?

458
00:23:06,877 --> 00:23:08,950
- Men are impossible.
- Listen, Neela, about...

459
00:23:09,095 --> 00:23:11,100
Do you think I'm a narcissist?

460
00:23:11,848 --> 00:23:15,560
Well, to a certain extent, all surgeons are.
Yeah, it's good for the job.

461
00:23:15,607 --> 00:23:17,650
Hey, guys, uh, Mae Lee's off to the airport.

462
00:23:17,675 --> 00:23:21,172
I just wanted to thank you guys
for an amazing experience.

463
00:23:21,245 --> 00:23:24,631
- Good-bye, Mae Lee.
- Yeah, strong work this month, Mae Lee.

464
00:23:25,345 --> 00:23:28,270
- It's the ER.
- One final consult before you go?

465
00:23:30,965 --> 00:23:33,753
Call me if you're ever
in San Francisco.

466
00:23:36,085 --> 00:23:38,571
Little freak tried
to kiss me at the wedding.

467
00:23:39,295 --> 00:23:41,432
What's she still doing here?
Get her to the ICU.

468
00:23:41,446 --> 00:23:43,203
Oh, runs of v-tach,
she's not ready to move.

469
00:23:43,217 --> 00:23:45,542
Oh, come on.
It's a hundred feet of corridor,

470
00:23:45,576 --> 00:23:47,642
and it'd be better for her to code
in the ICU instead of here.

471
00:23:47,677 --> 00:23:49,573
- Well, for her or for us?
- I'm serious, Neela.

472
00:23:49,606 --> 00:23:52,292
You know, we got five full ORs,
we need to make room.

473
00:23:52,455 --> 00:23:53,641
Let's go.

474
00:23:54,976 --> 00:23:57,483
She loves tulips.
uh... yellow.

475
00:23:57,516 --> 00:23:59,782
No, no, no, no, no, uh, white. White.

476
00:23:59,825 --> 00:24:01,681
Two, two dozen white tulips...

477
00:24:01,865 --> 00:24:05,192
Hey, newlyweds, to be delivered
to room 1258 at the Ritz.

478
00:24:05,236 --> 00:24:06,732
How, how's it feel, guys?

479
00:24:06,906 --> 00:24:09,221
You know Morris is staying
in our honeymoon suite?

480
00:24:09,247 --> 00:24:11,131
- What?
- Yup. With Hope.

481
00:24:11,176 --> 00:24:12,170
They won't leave.

482
00:24:12,328 --> 00:24:14,512
Did you wake up the next
day feeling different?

483
00:24:14,546 --> 00:24:15,592
- Uh, not really.
- Yeah.

484
00:24:15,616 --> 00:24:17,272
- Just a little.
- Well... not that much.

485
00:24:17,466 --> 00:24:18,712
Well, your wedding was awesome.

486
00:24:18,747 --> 00:24:21,153
I just hope that thing I did didn't
make you lose your security deposit.

487
00:24:21,207 --> 00:24:22,900
- What thing?
- What?

488
00:24:23,037 --> 00:24:28,482
Hey, everyone, in the ER, for
the first time, Mr. and Mrs. Luka Kovac!

489
00:24:29,067 --> 00:24:33,311
Oh, sorry, Abby, Dr. and Mrs. Luka Kovac.
Doctor and doctor. Sorry.

490
00:24:33,355 --> 00:24:35,353
Hey, Chief, aren't you supposed
to be in Bora Bora by now?

491
00:24:35,376 --> 00:24:38,393
Uh, Hawaii. And I just attended
my last department head meeting

492
00:24:38,436 --> 00:24:41,251
- so I'm officially no longer your chief.
- You're kidding.

493
00:24:41,685 --> 00:24:45,133
It's like your wedding happened
and now everything's changed.

494
00:24:45,205 --> 00:24:49,112
You're married, uh, I'm with Hope,
uh, you're not the chief anymore,

495
00:24:49,158 --> 00:24:51,811
there's new ramps in the bathroom--
It's a brave new world.

496
00:24:51,835 --> 00:24:54,823
Gates is still a pain in the ass, though.
At least there's something you can count on.

497
00:24:54,858 --> 00:24:56,543
You done, Morris?
You had enough?

498
00:24:56,706 --> 00:24:59,222
Tony, there's a lawyer out there
who says he needs to talk to you.

499
00:24:59,248 --> 00:25:00,232
Thanks, Dawn.

500
00:25:00,256 --> 00:25:02,492
Hide, Gates.
I'll tell him you went home sick.

501
00:25:02,758 --> 00:25:05,340
- I'm going. See you at home.
- Okay.

502
00:25:05,747 --> 00:25:08,501
Uh... being married does
feel a little different.

503
00:25:08,527 --> 00:25:10,082
Yeah, it does.

504
00:25:10,298 --> 00:25:12,951
Aww... look at that.

505
00:25:13,915 --> 00:25:15,150
- Lucien.
- Hey, Luka.

506
00:25:15,208 --> 00:25:16,702
Abby, I saw the Cheetos bezoar.

507
00:25:16,737 --> 00:25:18,911
Send him home on Miralax,
have him follow up with GI.

508
00:25:19,017 --> 00:25:20,901
- Okay, done.
- Nice wedding, by the way.

509
00:25:20,956 --> 00:25:22,790
I offered to replace the bidet.

510
00:25:23,595 --> 00:25:24,753
What bidet?

511
00:25:24,927 --> 00:25:28,013
Abby! Your head injury
in Trauma Two lost her pulse.

512
00:25:28,298 --> 00:25:29,571
Clear!

513
00:25:30,605 --> 00:25:32,443
- Still v-fib.
- Going again.

514
00:25:32,576 --> 00:25:34,351
And... clear!

515
00:25:36,176 --> 00:25:38,340
I was on the phone, they paged me.
What's going on?

516
00:25:38,408 --> 00:25:40,103
Sophia's heart went
into a dangerous rhythm.

517
00:25:40,127 --> 00:25:41,370
- Oh, my God.
- Epi's in.

518
00:25:41,406 --> 00:25:43,800
All right, back up, back up!
Clear!

519
00:25:44,715 --> 00:25:47,380
- Resuming CPR.
- Oh, no, no, baby, don't do this.

520
00:25:47,396 --> 00:25:49,711
- Lidocaine's ready.
- Okay, is neurosurge involved?

521
00:25:49,736 --> 00:25:52,112
No, there's nothing to evacuate,
the bleed's parenchymal.

522
00:25:52,137 --> 00:25:55,042
- You can't leave me now, you hear me?
- Go ahead, give the lido.

523
00:25:55,115 --> 00:25:58,731
Things that we said and the way we were,
it's not us, right?

524
00:26:00,148 --> 00:26:03,260
- You're my rock, always calm.
- Another epi, charge 360.

525
00:26:03,307 --> 00:26:06,021
Megan, when you said Chicago changed her,
what did you mean?

526
00:26:06,216 --> 00:26:10,422
That she's so testy, and, and paranoid.
Please don't die.

527
00:26:10,866 --> 00:26:13,201
Okay, clear. Please clear.
Watch out.

528
00:26:20,356 --> 00:26:22,182
- We have a pulse.
- She's back.

529
00:26:29,218 --> 00:26:30,673
What do you think of this film?

530
00:26:31,347 --> 00:26:34,082
Uh... Frontal lobe bleed, no shift.

531
00:26:35,736 --> 00:26:39,971
You think it could be a preexisting AVM
exacerbated by the head trauma?

532
00:26:40,325 --> 00:26:44,160
I mean, a frontal lobe mass would explain
the personality and the behavioral changes--

533
00:26:44,796 --> 00:26:47,043
- You're a romantic, Abby.
- What?

534
00:26:47,325 --> 00:26:49,482
You don't want to believe
that after years of partnership,

535
00:26:49,516 --> 00:26:51,333
they started hating each other.

536
00:26:52,217 --> 00:26:54,742
Call Radiology.
If you're right, she needs angio.

537
00:26:57,527 --> 00:26:59,521
The girl's lived with you for ten years.

538
00:26:59,547 --> 00:27:01,573
You're the closest thing
she's had to a father.

539
00:27:01,596 --> 00:27:03,143
So, that's gotta count for something, right?

540
00:27:03,155 --> 00:27:07,013
It does. Given the situation, I'd say
you have equal standing to seek custody.

541
00:27:07,035 --> 00:27:09,960
Equal? The same as her grandparents?
Even though I'm not a blood relative?

542
00:27:10,006 --> 00:27:12,463
Yep. Especially if Sarah wants
to stay with you.

543
00:27:12,637 --> 00:27:15,032
Wow. Well, I just thought
because I wasn't related...

544
00:27:15,046 --> 00:27:18,002
This is good. All right, okay, good, good.
What, what else? What's next?

545
00:27:18,028 --> 00:27:20,983
Well, first thing is to talk to Sarah.
Make sure she wants to stay.

546
00:27:21,006 --> 00:27:22,270
She does. I know she does.

547
00:27:22,327 --> 00:27:25,212
12-year-olds can be fickle.
I've got two adolescents at home.

548
00:27:25,248 --> 00:27:26,863
- Talk to her.
- All right, then what?

549
00:27:27,077 --> 00:27:29,752
Then call the grandparents
and let them know.

550
00:27:29,958 --> 00:27:31,802
- So, that's it?
- That's it.

551
00:27:33,385 --> 00:27:34,453
Okay.

552
00:27:35,767 --> 00:27:38,221
Injecting the cyanoacrylate.

553
00:27:38,615 --> 00:27:42,023
Amazing pickup, Abby.
What made you think of AVM?

554
00:27:42,358 --> 00:27:44,732
Well, her girlfriend kept going
on about how she'd become

555
00:27:44,777 --> 00:27:46,532
like a totally different person lately.

556
00:27:46,558 --> 00:27:48,093
Lots of couples go through that,

557
00:27:48,118 --> 00:27:51,443
they don't all have arterio-venous
malformations in their brain.

558
00:27:52,075 --> 00:27:54,402
Well, it was just a hunch, I guess.

559
00:27:55,547 --> 00:27:57,042
Congrats on the wedding.

560
00:27:57,246 --> 00:28:00,143
You think it's going to be strange to be
a husband and wife working together?

561
00:28:00,235 --> 00:28:03,361
No, it's definitely strange
to have people refer to us that way.

562
00:28:03,376 --> 00:28:05,431
Get used to it. Contrast.

563
00:28:05,628 --> 00:28:07,322
- Are you married?
- Oh, no.

564
00:28:07,346 --> 00:28:12,210
Only people I ever meet are doctors.
And doctors make crummy husbands.

565
00:28:12,407 --> 00:28:13,762
No offense.

566
00:28:15,127 --> 00:28:19,772
You know, I used to think it'd be cool
to end up with a composer or an artist,

567
00:28:19,806 --> 00:28:22,942
someone that would bring something totally
different to the dinner table, but...

568
00:28:23,816 --> 00:28:27,110
you know, it's really nice to go home
to somebody who understands all this.

569
00:28:27,925 --> 00:28:29,172
I can see that.

570
00:28:29,598 --> 00:28:33,002
Look. No more antegrade
opacification of contrast.

571
00:28:33,037 --> 00:28:35,031
- So the embolization worked?
- Yep.

572
00:28:35,245 --> 00:28:36,912
- Great.
- Very nice.

573
00:28:37,966 --> 00:28:39,760
What are you doing here?

574
00:28:41,375 --> 00:28:43,132
Oh, I just came to check on the patient.

575
00:28:43,207 --> 00:28:47,500
Uh... wait a minute, I thought that
Morris was the attending, so you...

576
00:28:48,955 --> 00:28:52,592
Okay, uh, thanks, Betina.
I'm going to give Megan the good news.

577
00:28:53,246 --> 00:28:56,082
I was on a little break, so I thought
I'd bring you some coffee.

578
00:28:56,117 --> 00:28:58,141
Oh, don't drink coffee.

579
00:28:58,618 --> 00:29:01,013
Well, that's, uh... good to know.

580
00:29:01,876 --> 00:29:03,421
Now, listen, Betina...

581
00:29:04,168 --> 00:29:06,400
I just want to hangout
with you for a while.

582
00:29:07,235 --> 00:29:12,180
- No plans, no games, just me.
- And the patient here on the table.

583
00:29:13,628 --> 00:29:16,313
You can stay but don't touch anything.

584
00:29:16,955 --> 00:29:20,051
Hospital day 12 for this
72-year-old with a GI bleed.

585
00:29:20,117 --> 00:29:22,033
Vitals stable overnight,
pressures in the 90 to...

586
00:29:22,048 --> 00:29:24,733
Who was the first person to measure
blood pressure, anybody?

587
00:29:25,055 --> 00:29:27,972
It was a clergyman in the year 17...
blah, blah, blah.

588
00:29:28,137 --> 00:29:32,471
And he took a glass tube and he stuck it
into the carotid artery of a horse

589
00:29:32,486 --> 00:29:35,991
and he was very surprised to see the blood
rise up into the air about nine feet.

590
00:29:36,008 --> 00:29:38,513
Why he did this exactly, I have no idea.

591
00:29:38,538 --> 00:29:40,900
I mean it's very, you know,
impractical for human beings.

592
00:29:40,918 --> 00:29:43,262
And I'm sure the horse didn't appreciate
it. Sorry about that.

593
00:29:43,278 --> 00:29:45,472
Go ahead, go ahead.
F-Finish, Katey, go.

594
00:29:45,576 --> 00:29:48,310
Uh... next we have
a 64-year-old presenting...

595
00:29:48,325 --> 00:29:51,231
Hi, we need a room! This is Alison MacKenzie,
our septic with the bowel perf.

596
00:29:51,277 --> 00:29:54,400
Lost a lot of blood, having some ectopy, and
didn't tolerate the trip down the hall too well.

597
00:29:54,425 --> 00:29:56,663
Tachy, on two pressors.
CVP is only six.

598
00:29:56,676 --> 00:29:58,750
- Run of v-tach.
- Can I ask you a question?

599
00:29:58,776 --> 00:30:00,701
Why didn't you stabilize
this patient in post-op

600
00:30:00,725 --> 00:30:03,740
instead of bringing us
this shocky, fragile mess?

601
00:30:03,805 --> 00:30:05,581
Well, she got four units of blood and...

602
00:30:05,595 --> 00:30:08,703
Look, I'm not an idiot, I know about
the post-op audit that Dubenko's doing.

603
00:30:08,726 --> 00:30:11,482
He doesn't want this patient in his PACU
because it'll mess up his data.

604
00:30:11,506 --> 00:30:13,772
- No, that's not what's happening here.
- He'd rather have her code and die

605
00:30:13,787 --> 00:30:16,001
- in the ICU than on his watch.
- Die?

606
00:30:16,015 --> 00:30:17,943
Yeah, well, we'll try to avoid that.

607
00:30:18,108 --> 00:30:21,273
- You tell Lucien this can't happen again.
- You know, this wasn't his idea.

608
00:30:21,308 --> 00:30:22,671
- Yeah, right.
- You know, I...

609
00:30:22,697 --> 00:30:25,051
- I thought she was ready to move.
- V-tach!

610
00:30:26,078 --> 00:30:27,142
No pulse.

611
00:30:28,006 --> 00:30:31,490
- Starting compression.
- Oh, no, this can't be happening.

612
00:30:32,046 --> 00:30:34,241
- Charge to 200.
- Nice job, Neela.

613
00:30:34,275 --> 00:30:36,652
Let's just stay focused
on the patient, shall we?

614
00:30:36,918 --> 00:30:37,933
Clear.

615
00:30:38,065 --> 00:30:40,570
Katey, someone on the phone says
they've got to talk to you right now,

616
00:30:40,605 --> 00:30:42,433
- it's an emergency.
- I'm in the middle of a code.

617
00:30:42,447 --> 00:30:43,691
No, go, just go, just go.

618
00:30:43,925 --> 00:30:47,153
And there's a guy outside begging
to come in to see this patient.

619
00:30:47,445 --> 00:30:50,963
- He's not family. He can't be here.
- You might want to rethink that.

620
00:30:51,007 --> 00:30:51,833
What?

621
00:30:51,846 --> 00:30:54,671
Look, your wife is doing everything
she can not to die right now.

622
00:30:54,728 --> 00:30:56,692
She could probably use all
the support she could get.

623
00:30:56,716 --> 00:30:58,973
- Epi's in.
- Okay, going again.

624
00:30:59,508 --> 00:31:00,693
Clear.

625
00:31:05,115 --> 00:31:07,943
Well, her heart is beating
at a normal rhythm, but...

626
00:31:08,138 --> 00:31:10,793
her blood pressure
is still dangerously low.

627
00:31:10,817 --> 00:31:12,300
Isn't there something
you can do about that?

628
00:31:12,317 --> 00:31:15,000
We've maxed out the medications.
They're not helping.

629
00:31:15,028 --> 00:31:17,850
It's possible that the part of her brain
that controls the blood pressure

630
00:31:17,875 --> 00:31:19,423
isn't functioning properly.

631
00:31:19,616 --> 00:31:21,303
- What?
- Why not?

632
00:31:21,537 --> 00:31:24,220
Because she received 45 minutes of CPR.

633
00:31:24,236 --> 00:31:26,921
Her brain was deprived
of oxygen during that time.

634
00:31:26,947 --> 00:31:30,742
And when that happens, we often
see some degree of neurologic injury.

635
00:31:30,778 --> 00:31:34,552
She walked in here today with
a stomach ache and now you're telling me

636
00:31:34,577 --> 00:31:36,281
her brain is damaged.

637
00:31:38,636 --> 00:31:42,603
Look, I don't want to take away all hope,
but I want to be realistic here.

638
00:31:42,815 --> 00:31:44,623
If she survives...

639
00:31:44,868 --> 00:31:47,843
there most likely
will be neurologic deficits.

640
00:31:48,787 --> 00:31:52,143
- When will we know?
- Well, there's no way to predict.

641
00:31:52,407 --> 00:31:54,440
It's a waiting game now, I'm afraid.

642
00:31:55,696 --> 00:31:56,933
Sorry.

643
00:31:57,515 --> 00:31:58,681
I see.

644
00:32:03,227 --> 00:32:04,623
You can go.

645
00:32:06,875 --> 00:32:08,301
Please go.

646
00:32:16,407 --> 00:32:20,210
Before she went into surgery,
she asked me to give this to you.

647
00:32:20,238 --> 00:32:24,980
James. I resented it for so long
this thing you two have.

648
00:32:26,287 --> 00:32:28,713
Even now I've got to share her with you.

649
00:32:36,528 --> 00:32:38,052
What did he give him?

650
00:32:39,378 --> 00:32:40,471
I don't know.

651
00:32:40,878 --> 00:32:42,173
Data.

652
00:32:43,098 --> 00:32:46,480
- Some kind of treasured lab secret.
- Well, how do you know?

653
00:32:47,037 --> 00:32:49,312
Well, you work in the ICU long enough,

654
00:32:49,338 --> 00:32:52,680
you start to recognize these scenes
are frighteningly familiar.

655
00:32:53,608 --> 00:32:57,031
They kiss their spouse, their kids,
they say good-bye to friends...

656
00:32:57,317 --> 00:32:59,342
A certain percentage have a deep,
dark secret,

657
00:32:59,378 --> 00:33:03,413
like an illegitimate child or
a secret debt or something,

658
00:33:03,445 --> 00:33:06,712
but occasionally you see something
like this. Practicalities.

659
00:33:07,047 --> 00:33:09,372
Information that must be passed on.

660
00:33:10,287 --> 00:33:14,523
A computer password or a combo
to a safe or something.

661
00:33:15,388 --> 00:33:19,422
- You're pretty jaded.
- Many long, tortuous cases.

662
00:33:20,085 --> 00:33:23,482
You know, the human psyche was
not designed to deal with this.

663
00:33:23,925 --> 00:33:27,063
Cave dwellers had to deal
with a lot more actual death,

664
00:33:27,948 --> 00:33:34,151
but they were not subjected to the slow,
mechanized torture that is the ICU.

665
00:33:34,205 --> 00:33:35,623
Well, why do you do it then?

666
00:33:36,025 --> 00:33:40,701
To save the salvageable and
to give the rest a dignified death.

667
00:33:41,955 --> 00:33:44,511
Just a little low on dignity these days.

668
00:33:46,005 --> 00:33:49,330
Well, I'd have a hard time working here.

669
00:33:49,708 --> 00:33:53,200
Surgeons just like to get in,
do their job, and get out.

670
00:33:53,356 --> 00:33:55,793
Yeah, well, that's your job, but...

671
00:33:56,338 --> 00:33:59,781
we are left to deal
with the dregs and it's not pretty.

672
00:34:02,135 --> 00:34:04,012
I just want us all to do better.

673
00:34:05,107 --> 00:34:06,973
I'm sick of seeing people die.

674
00:34:10,856 --> 00:34:13,502
She had what's known as
an arterial venous malformation

675
00:34:13,526 --> 00:34:16,381
in the part of her brain that's
responsible for mood and personality.

676
00:34:16,416 --> 00:34:18,520
That explains why
she seemed different to you.

677
00:34:18,666 --> 00:34:19,881
And it's fixed now?

678
00:34:19,906 --> 00:34:23,340
Yes, the radiologist was able to clot off
the veins using a special kind of glue.

679
00:34:23,418 --> 00:34:27,292
- And she'll go back to the way she was?
- Uh, that's the hope, yeah.

680
00:34:29,407 --> 00:34:31,051
Did you hear that, baby?

681
00:34:31,915 --> 00:34:33,293
It's all going to be okay.

682
00:34:33,528 --> 00:34:36,651
All right, she's waking up, so we're going
to take out her breathing tube now.

683
00:34:36,705 --> 00:34:39,030
Nifs are good and
she's following commands perfectly.

684
00:34:39,085 --> 00:34:41,473
Okay, I'll need you to cough
on the count of three. Okay?

685
00:34:41,615 --> 00:34:44,503
Ready? One, two, three.

686
00:34:52,117 --> 00:34:53,383
Megan...

687
00:34:53,908 --> 00:34:58,431
I'm sorry. I am so, so sorry.

688
00:34:59,608 --> 00:35:01,760
I was upset. I just...

689
00:35:02,998 --> 00:35:04,921
I didn't mean to push you.

690
00:35:17,627 --> 00:35:20,500
Chocolate-covered strawberries,
room 1258.

691
00:35:21,225 --> 00:35:23,793
No. No, n-n-no, I haven't checked out.

692
00:35:24,518 --> 00:35:26,903
- No, there must be some mistake.
- There's not a mistake.

693
00:35:26,926 --> 00:35:30,281
- I checked out of the hotel.
- What? No. W-Why?

694
00:35:30,298 --> 00:35:33,921
- I-I paid for three more nights.
- I know you did, which is crazy.

695
00:35:33,976 --> 00:35:35,953
- I got them to refund your card.
- I don't, I don't want a refund.

696
00:35:36,007 --> 00:35:37,212
Let's call them.

697
00:35:37,246 --> 00:35:40,013
Archie, stop.
No, look...

698
00:35:40,046 --> 00:35:45,872
the flowers, the spa treatments--
it's all lovely, but I don't need it.

699
00:35:46,087 --> 00:35:48,671
- Time to get back to real life.
- I don't want real life.

700
00:35:48,706 --> 00:35:52,281
I-I-I like fake life where we,
where we wake up together

701
00:35:52,315 --> 00:35:54,810
and take bubble baths
and eat bonbons for breakfast.

702
00:35:54,838 --> 00:35:57,272
I don't want our crazy
wedding fling to end.

703
00:36:00,018 --> 00:36:02,312
Who said anything about it ending?

704
00:36:03,577 --> 00:36:04,923
I wasn't sure if...

705
00:36:06,516 --> 00:36:14,290
Dr. Morris, I have not done
this with anyone in a long,

706
00:36:15,017 --> 00:36:18,532
long time, and it's not because...

707
00:36:19,338 --> 00:36:21,663
I haven't had the opportunity.

708
00:36:23,415 --> 00:36:27,700
I decided to sleep with you
because it means something.

709
00:36:30,958 --> 00:36:32,412
This isn't a fling.

710
00:36:33,276 --> 00:36:35,953
At least not for me.

711
00:36:44,348 --> 00:36:47,433
She snapped; she had a momentary lapse.
It's not like she's a chronic abuser.

712
00:36:47,477 --> 00:36:50,041
We don't know that, and even
if we did, it doesn't matter.

713
00:36:50,078 --> 00:36:51,810
Hey, guys.
Did Ray ever show up?

714
00:36:51,877 --> 00:36:53,273
- No. - No.
- Well, did he call?

715
00:36:53,307 --> 00:36:55,681
It's not like Megan was trying
to throw her down the stairs.

716
00:36:55,716 --> 00:36:57,362
Oh, please, give me a break.
She pushed her.

717
00:36:57,418 --> 00:37:00,760
If this didn't happen, Sophia's AVM
wouldn't have been diagnosed.

718
00:37:00,805 --> 00:37:03,303
Excuse me, is Dr. Pratt still in?
Nurses' station.

719
00:37:03,335 --> 00:37:05,240
All I'm saying is one incident
doesn't make it abuse.

720
00:37:05,275 --> 00:37:08,280
She responded to anger with violence.
That's, like, the definition.

721
00:37:08,448 --> 00:37:10,472
- Dr. Pratt.
- Oh, boy.

722
00:37:10,517 --> 00:37:13,272
- I thought I was done with you already.
- Millicent Lawford.

723
00:37:13,308 --> 00:37:17,563
MI in the ER waiting room, sat there
seven hours without being triaged.

724
00:37:17,755 --> 00:37:19,003
Gertie Minton.

725
00:37:19,185 --> 00:37:23,701
Renal failure, 12 hours to be seen,
and then arrested from hyperkalemia.

726
00:37:24,097 --> 00:37:29,183
Derek Shank, in the ER three days
without DVT prophylaxis,

727
00:37:29,228 --> 00:37:33,872
died-- died--
of a PE before he made it to the floor.

728
00:37:34,708 --> 00:37:37,883
- We can do better for these people.
- Okay, look, look, I get your point, okay?

729
00:37:37,916 --> 00:37:41,252
But the problems are systemic.
Too many people, not enough resources.

730
00:37:41,278 --> 00:37:43,781
Now, how do you suppose
that we address that?

731
00:37:43,978 --> 00:37:48,232
Well, first, I think we start by not
believing that this is the best we can do.

732
00:37:48,438 --> 00:37:49,652
Because it's not.

733
00:37:50,327 --> 00:37:52,860
- Right.
- These are for you.

734
00:38:40,695 --> 00:38:43,980
So I could totally tell that Melissa
was copying off my paper,

735
00:38:44,016 --> 00:38:47,280
but if I tell on her,
then I'm a snitch, and if I don't,

736
00:38:47,316 --> 00:38:50,033
- then I'm like an accomplice, right?
- Right.

737
00:38:50,488 --> 00:38:53,940
And I know, I know,
she's just cheating herself,

738
00:38:54,028 --> 00:38:57,090
but it still seems like
she wouldn't do that.

739
00:38:59,805 --> 00:39:05,112
Yeah, and, uh, we learned in chemistry
today how to freebase cocaine.

740
00:39:05,157 --> 00:39:06,101
Really?

741
00:39:07,545 --> 00:39:10,922
Tony, you're totally not listening to me.

742
00:39:15,148 --> 00:39:19,370
Sarah, when your grandparents wanted
you to move in with them, I thought 

743
00:39:19,418 --> 00:39:22,262
that, maybe, it was the best thing.

744
00:39:23,517 --> 00:39:27,722
I don't want to go to a new school, Tony.
I don't want to go and live with them.

745
00:39:28,507 --> 00:39:30,272
I was scared and I...

746
00:39:30,595 --> 00:39:34,921
I just didn't think I had
what it takes to do this,

747
00:39:35,766 --> 00:39:39,491
but then when we took the test,
I realized that...

748
00:39:40,816 --> 00:39:44,400
I wish it had gone the other way.
I wanted to be your dad.

749
00:39:47,127 --> 00:39:48,620
I wanted that, too.

750
00:39:50,495 --> 00:39:51,571
So...

751
00:39:52,798 --> 00:39:57,232
I work a lot and I'm messy

752
00:39:57,518 --> 00:40:01,492
and I may embarrass you
at father-daughter dances...

753
00:40:06,497 --> 00:40:09,122
...but I really love you, Sarah.
You're my family.

754
00:40:10,935 --> 00:40:12,330
And it turns out that...

755
00:40:14,915 --> 00:40:19,031
if you want to stay with me, you can,

756
00:40:19,117 --> 00:40:21,642
if you-- I mean, if you still want to.

757
00:40:47,596 --> 00:40:50,142
- I missed you guys.
- Missed you, too.

758
00:40:54,478 --> 00:40:55,673
How was your shift?

759
00:40:55,875 --> 00:40:58,531
Oh... who cares?
It's done.

760
00:40:58,786 --> 00:41:01,881
No work for two weeks,
the honeymoon starts now.

761
00:41:02,427 --> 00:41:05,131
Does that mean you're ready
to change into the bikini?

762
00:41:05,378 --> 00:41:09,142
- Maybe after Joe goes to bed.
- Joe, go to bed now.

763
00:41:14,068 --> 00:41:15,061
I got him.

764
00:41:15,875 --> 00:41:17,062
Sweetie...

765
00:41:18,135 --> 00:41:19,450
You playing soccer?

766
00:41:20,775 --> 00:41:22,102
Hello.

767
00:41:49,425 --> 00:41:51,883
Hey, Donald, it's Kevin.
Yeah.

768
00:41:52,085 --> 00:41:53,880
Look, I'm glad I caught you.

769
00:41:54,576 --> 00:41:59,263
Do you remember the thing that
we discussed earlier about the ER?

770
00:41:59,876 --> 00:42:02,701
Yeah, well, I can't believe
I'm saying this, but, um,

771
00:42:03,236 --> 00:42:05,893
I think I've changed my mind.
I have changed my mind.

772
00:42:06,275 --> 00:42:08,032
I'll do it.
Okay.

773
00:42:08,105 --> 00:42:09,621
- Have a good one.
- Oh, good night.

774
00:42:10,005 --> 00:42:11,470
Oh, good night, good night.

775
00:42:11,676 --> 00:42:14,403
Stay out of the ICU.
That guy's a dick.

776
00:42:37,006 --> 00:42:41,002
Subtitles : Willow's Team
Transcript : Raceman
www.forom.com

