1
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Previously on ER...

2
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If you want to stay with me, you can.

3
00:00:08,831 --> 00:00:11,803
- What-What are you trying to do?
- I'm trying to wake you up.

4
00:00:15,779 --> 00:00:17,859
Doesn't anybody here watch the news?

5
00:00:17,877 --> 00:00:21,513
Homeland Security raised our
threat level to orange this morning.

6
00:00:21,536 --> 00:00:23,611
- And what does that mean exactly?
- It means it's an election year.

7
00:00:23,633 --> 00:00:26,733
It means there's a severe risk
of terrorist activity,

8
00:00:26,777 --> 00:00:29,100
and the hospital is on full alert.
Here.

9
00:00:29,659 --> 00:00:31,902
- What is that?
- Emergency Protocols.

10
00:00:32,305 --> 00:00:35,900
Biohazard Preparedness Plan,
Evacuation Procedures.

11
00:00:35,914 --> 00:00:38,003
There's your basic guide
to the apocalypse.

12
00:00:38,017 --> 00:00:39,623
Well, are we supposed
to do anything differently?

13
00:00:39,644 --> 00:00:42,622
Keep your ID handy and
report anything strange or suspicious.

14
00:00:42,649 --> 00:00:44,712
Everything down here
is strange or suspicious.

15
00:00:44,738 --> 00:00:47,211
Which reminds me,
the new warden is here.

16
00:00:47,245 --> 00:00:48,472
Moretti?

17
00:00:50,686 --> 00:00:52,951
- Oh, lucky you.
- Yeah, right.

18
00:00:53,118 --> 00:00:56,272
I heard the ICU nurses used to take
vacation when he was on service.

19
00:00:56,488 --> 00:00:59,070
Hey, well, can you blame them?
The guy fired half the ICU attendings

20
00:00:59,108 --> 00:01:00,711
when he took over up there.

21
00:01:00,748 --> 00:01:02,342
Hey, Dr. Moretti.

22
00:01:07,417 --> 00:01:10,830
- I wish we could all go.
- Ah, it's probably better this way.

23
00:01:11,546 --> 00:01:14,900
I'll get my father settled and be back soon
enough so we can still go on that honeymoon.

24
00:01:15,078 --> 00:01:16,953
- I don't need a honeymoon.
- I do.

25
00:01:17,637 --> 00:01:19,450
Besides, I'd like to meet your father.

26
00:01:20,047 --> 00:01:22,810
And Joe wants to meet his grandpa.
Don't you, Joe?

27
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Unless you don't want me to meet your family
because I'm hideously ugly by Croatian standards.

28
00:01:31,168 --> 00:01:32,221
I'll miss you both.

29
00:01:32,825 --> 00:01:33,942
I already do.

30
00:01:34,886 --> 00:01:36,653
Be good for your mom, okay?

31
00:01:37,265 --> 00:01:38,212
- Bye.
- Bye.

32
00:01:40,746 --> 00:01:42,293
I'll call you when I get there.

33
00:01:45,105 --> 00:01:47,042
Or you could call me from the airport.

34
00:01:49,048 --> 00:01:51,790
Or when you land in Frankfurt,
or from the plane.

35
00:01:55,445 --> 00:01:56,713
Say bye to Daddy.

36
00:01:57,477 --> 00:01:58,571
Say bye.

37
00:02:06,505 --> 00:02:08,503
Subtitles : Willow's Team

38
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Transcript : Raceman

39
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www.forom.com

40
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He's been sitting there for 20 minutes.

41
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It's a little creepy if you ask me.

42
00:02:41,876 --> 00:02:43,900
The guy is a burn-out.
That's why they sent him down here.

43
00:02:43,925 --> 00:02:46,913
The ER is the elephant
graveyard for doctors.

44
00:02:47,118 --> 00:02:48,943
You are an eternal
ray of sunshine, Frank.

45
00:02:48,978 --> 00:02:52,180
Yeah? Think about it. Where did they
send Romano after he lost his arm?

46
00:02:52,225 --> 00:02:54,531
Last year, it was Clemente,
now it's this guy.

47
00:02:54,595 --> 00:02:58,190
Dollars to donuts, we find him
hanging in an exam room by July.

48
00:02:58,217 --> 00:03:01,583
- Hey, what are you doing here?
- What, you and Kovac split up already?

49
00:03:02,037 --> 00:03:05,312
No. Uh, Luka's father got sick.
He had to fly back to Croatia.

50
00:03:05,498 --> 00:03:07,721
- Hope he's not flying today.
- Why?

51
00:03:07,738 --> 00:03:08,910
- Frank!
- What?

52
00:03:08,936 --> 00:03:11,080
- What's going on?
- Need a doc here.

53
00:03:12,645 --> 00:03:13,772
Uh, what happened?

54
00:03:13,968 --> 00:03:16,202
Was horsing around, put it
through a glass coffee table.

55
00:03:16,227 --> 00:03:18,212
He lost a lot of blood.
All over my carpet.

56
00:03:18,247 --> 00:03:19,881
Let's get him a room and clean him up.
Thanks, Sam.

57
00:03:19,905 --> 00:03:21,431
All right, keep this up.

58
00:03:27,016 --> 00:03:29,241
- Calder?
- That's me.

59
00:03:30,787 --> 00:03:32,003
This way.

60
00:03:36,247 --> 00:03:38,642
- 98/56.
- Yeah, I always run a bit low.

61
00:03:38,857 --> 00:03:41,282
Do paramedic patients stop at Triage?

62
00:03:42,028 --> 00:03:44,483
If they're ambulatory, they can.

63
00:03:44,848 --> 00:03:46,281
What meds are you on?

64
00:03:46,487 --> 00:03:50,560
- Enalapril, Lipitor and Glyburide.
- You diabetic?

65
00:03:51,037 --> 00:03:55,143
- Okay, let's get your blood sugar.
- How often is your Glucometer Q.A'd?

66
00:03:56,295 --> 00:03:58,700
Every morning at 7:00 by the day shift.

67
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You ask a lot of questions for
somebody who's supposed to be in charge.

68
00:04:02,037 --> 00:04:04,093
Well, he's... he's new.

69
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- Blood sugar's 128.
- It's been worse.

70
00:04:07,568 --> 00:04:08,822
It's not so bad.

71
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Once we get you registered,
they'll make you a chart,

72
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and a doctor will see you.

73
00:04:14,255 --> 00:04:16,343
- Is that you?
- Oh, no. No.

74
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Not today.

75
00:04:18,878 --> 00:04:21,273
I'm just a fly on the wall.

76
00:04:22,157 --> 00:04:25,533
Oh, sorry. You're through
the fascia into the extensor muscles.

77
00:04:25,555 --> 00:04:28,212
That one will need layered closure.
Any medical problems?

78
00:04:28,245 --> 00:04:31,900
Yeah, I got a detached retina.
Had a run-in at the local bar.

79
00:04:32,098 --> 00:04:34,973
- I got a bad back, service-related.
- You're in the military?

80
00:04:35,005 --> 00:04:36,973
Army. We did a tour in Iraq together.

81
00:04:37,005 --> 00:04:39,832
Yeah. I decided to head over to
the peace rally, pick up some chicks.

82
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- Were you three in combat?
- We were.

83
00:04:42,086 --> 00:04:43,723
Kyle here drove a desk.

84
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Hardly, man. As you can tell,
I'm the brain of this trio.

85
00:04:47,047 --> 00:04:49,020
I was with Intelligence,
worked as a translator.

86
00:04:49,058 --> 00:04:52,153
- He taught us how to swear in Arabic.
- Where'd you pick that up?

87
00:04:52,205 --> 00:04:55,431
I did some missionary work over in Jordan
for two years after high school.

88
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- Yeah, he's our Stormin' Mormon.
- Can you wiggle your fingers?

89
00:04:59,376 --> 00:05:01,872
- Oh, that hurts.
- Let's check the volar wounds.

90
00:05:04,295 --> 00:05:06,012
That would be an arterial injury.

91
00:05:06,046 --> 00:05:08,800
Okay, four milligrams morphine.
I'll be right back.

92
00:05:12,556 --> 00:05:14,262
- Hey, I got a good one for you.
- Oh, no, thanks.

93
00:05:14,276 --> 00:05:16,011
No, it'll be quick--
hand through a glass coffee table.

94
00:05:16,048 --> 00:05:18,041
- Neurovascular?
- Maybe some tendon damage.

95
00:05:18,108 --> 00:05:21,420
Come on, I got Moretti circling around
down here like a turkey vulture.

96
00:05:23,427 --> 00:05:25,661
- Have you heard from Ray?
- Yeah, he's taking some time off.

97
00:05:25,707 --> 00:05:28,593
He won't return my calls,
and I've tried and tried his parents.

98
00:05:28,618 --> 00:05:31,222
- He's not at his apartment.
- I heard his band's back in town.

99
00:05:31,248 --> 00:05:33,510
Maybe he's playing rock star again.

100
00:05:34,916 --> 00:05:36,922
- All right, does it hurt when I press?
- No.

101
00:05:37,126 --> 00:05:40,810
- All right, how about, how about here?
- Uh, bingo.

102
00:05:41,357 --> 00:05:44,362
- It's bearable, though.
- What's in your chem panel, Doctor?

103
00:05:45,568 --> 00:05:49,232
Lytes, BUN, creatinine,
calcium, LFT's.

104
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These are liver function tests.

105
00:05:51,247 --> 00:05:52,783
I thought you weren't working today.

106
00:05:52,875 --> 00:05:55,230
Well, you make it very hard
to resist, Mrs. Calder.

107
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You're cute, but he's a flirt.

108
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Hey, are you ready to present?

109
00:06:00,348 --> 00:06:03,980
Yeah. This is, uh, Dr. Lockhart.
She's my supervisor.

110
00:06:06,478 --> 00:06:09,873
Type II diabetic with, uh,
gastroenteritis and dehydration.

111
00:06:09,975 --> 00:06:13,733
Afebrile, uh, abdomen's benign,
and she's getting fluids and Compazine.

112
00:06:13,778 --> 00:06:17,232
Okay, try Reglan in case it's gastroparesis,
and show me the labs when they get back.

113
00:06:17,336 --> 00:06:19,682
- Nice to meet you.
- Excuse me.

114
00:06:19,746 --> 00:06:22,362
We haven't officially met yet.
I'm Kevin Moretti.

115
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- I'll be replacing your husband.
- Excuse me?

116
00:06:24,576 --> 00:06:28,290
- No, as Chief, only as Chief.
- Yeah. I'm, uh... I'm Abby Lockhart.

117
00:06:28,395 --> 00:06:31,471
- Yes. You used to be a nurse.
- Yes, I was.

118
00:06:32,307 --> 00:06:34,501
That must give you
an interesting perspective.

119
00:06:34,817 --> 00:06:36,801
Uh, I guess so, yeah.

120
00:06:37,567 --> 00:06:41,333
Also, being married to one of the attendings
must prove very challenging at times.

121
00:06:42,186 --> 00:06:44,640
Hey, Abby, could use some help over here.

122
00:06:45,218 --> 00:06:47,802
Got Saltzman, 27,
fell off a roof with his brother.

123
00:06:47,816 --> 00:06:49,712
Brother-in-law--
I landed right on his back.

124
00:06:49,736 --> 00:06:52,522
- I think I knocked the wind out of him.
- What were you doing?

125
00:06:54,587 --> 00:06:56,990
I was putting up a satellite dish.

126
00:06:57,208 --> 00:06:59,050
How tall was the building?

127
00:07:00,415 --> 00:07:01,450
Two stories?

128
00:07:01,577 --> 00:07:03,883
Yeah, well, he refused to be boarded
and collared, so he's all yours.

129
00:07:03,937 --> 00:07:05,433
Come on, let's go.
Exam three.

130
00:07:06,688 --> 00:07:08,562
Is... uh, is he going to wake up?

131
00:07:08,587 --> 00:07:10,663
Let's just take care of you first, huh?

132
00:07:10,675 --> 00:07:12,732
Okay. I just... I need to talk
to him as soon as he does.

133
00:07:12,775 --> 00:07:15,213
Hey, Abby, can you give our soldier
guy another four of morphine?

134
00:07:15,238 --> 00:07:17,302
- First dose didn't touched him.
- There was no first dose.

135
00:07:17,315 --> 00:07:19,071
- He's addicted to codeine.
- What?

136
00:07:19,147 --> 00:07:22,381
He's followed at the VA.
They have to be notified of all ER visits.

137
00:07:22,406 --> 00:07:24,780
His caseworker said
he has a no-narcotic contract.

138
00:07:24,818 --> 00:07:26,873
Well, we can't assess his injury
without anesthesia.

139
00:07:26,917 --> 00:07:29,522
What, you want him backsliding
back into addiction?

140
00:07:29,848 --> 00:07:33,570
Do an axillary block. A nerve block
will control the pain without narcotics.

141
00:07:33,658 --> 00:07:36,630
I know. I was hoping to give our resident
a chance to figure it out.

142
00:07:36,678 --> 00:07:38,301
- Oh, you've done it before?
- Oh, yeah.

143
00:07:38,337 --> 00:07:41,140
I mean, usually it's
a pain team kind of thing.

144
00:07:41,204 --> 00:07:45,153
A couple of cc's of lido
in the-the axilla, right?

145
00:07:45,427 --> 00:07:48,723
Well, more like 40.
I'll walk you through it.

146
00:07:50,404 --> 00:07:53,532
My husband was a lieutenant
stationed near Mosul.

147
00:07:53,719 --> 00:07:55,001
What unit?

148
00:07:55,117 --> 00:07:57,762
He was a doctor with the 57th CASH.

149
00:07:57,797 --> 00:07:59,381
He's out now?

150
00:08:00,587 --> 00:08:05,560
No. Uh, he was killed in country
a little over a year ago by an IED.

151
00:08:06,208 --> 00:08:08,141
Sorry to hear that, ma'am.

152
00:08:09,246 --> 00:08:10,433
So, what's the verdict?

153
00:08:10,508 --> 00:08:14,600
Has a partial lac of the flexor carpi
ulnaris. Needs a volar splint.

154
00:08:14,777 --> 00:08:15,860
Good luck.

155
00:08:15,915 --> 00:08:18,441
Thanks.
Maybe I'll see you at the rally.

156
00:08:18,857 --> 00:08:19,970
Maybe.

157
00:08:20,736 --> 00:08:24,293
My arm still hurts like hell, Doc.
You got to give me something.

158
00:08:25,128 --> 00:08:27,742
I got a high tolerance for
pain meds 'cause of my back.

159
00:08:27,986 --> 00:08:29,910
Tolerance or addiction?

160
00:08:31,316 --> 00:08:32,803
We talked to the VA.

161
00:08:32,877 --> 00:08:34,950
They told us about your contract.

162
00:08:35,655 --> 00:08:37,692
So, what, they said I was an addict?

163
00:08:38,126 --> 00:08:39,522
That's crap, man.

164
00:08:39,575 --> 00:08:41,672
Look, I was at Walter Reed for six weeks.

165
00:08:41,737 --> 00:08:44,823
I was supposed to go get physical
therapy, see a pain guy.

166
00:08:44,847 --> 00:08:47,651
They're so busy with amputees
and guys worse off than me,

167
00:08:47,676 --> 00:08:49,701
that the wait was like four months.

168
00:08:49,737 --> 00:08:52,023
Got discharged before
I even got an appointment.

169
00:08:54,506 --> 00:08:57,730
- Hey, Neela.
- Hey. I'm just on my way home.

170
00:08:57,777 --> 00:08:59,910
- Long night.
- Yeah, well...

171
00:09:00,106 --> 00:09:02,441
nobody ever told you
to become a surgeon, right?

172
00:09:02,886 --> 00:09:06,433
Well, actually, yes, they did,
a number of people.

173
00:09:07,405 --> 00:09:10,813
Listen, this-this whole thing is weird
to me. I don't know how to do this.

174
00:09:10,936 --> 00:09:12,171
What? Break up?

175
00:09:12,207 --> 00:09:16,630
Yeah. Uh, you know, I know it's probably
over, and... and I deserve it, but

176
00:09:16,675 --> 00:09:20,442
I just wanted to know if we could still be
friends? Can I call you tonight just to talk?

177
00:09:20,818 --> 00:09:24,103
Well, I might go to this rally.
I kind of feel like I should.

178
00:09:24,287 --> 00:09:25,240
Gates!

179
00:09:25,487 --> 00:09:27,492
Your Mr. Pollard stopped breathing!

180
00:09:27,518 --> 00:09:29,842
Uh, he's just holding his breath.
He does that for attention.

181
00:09:29,877 --> 00:09:32,172
He was holding breath for ten minutes.

182
00:09:33,658 --> 00:09:35,632
All right, I'll-I'll try
to get a hold of you tomorrow?

183
00:09:35,658 --> 00:09:37,003
Yeah, sure.

184
00:09:54,916 --> 00:09:57,252
Can you wiggle your fingers?

185
00:09:58,576 --> 00:10:01,583
Hey, Dawn, can I get some Bacitracin
and some sterile gauze, please?

186
00:10:01,956 --> 00:10:03,423
Take it easy, sir.

187
00:10:03,608 --> 00:10:06,221
Well, it looks like
your brother-in-law's waking up.

188
00:10:06,438 --> 00:10:08,671
- Can I talk to him now?
- What the hell?

189
00:10:08,707 --> 00:10:11,162
Just relax, sir. You're in County
Hospital. You had a little fall,

190
00:10:11,207 --> 00:10:13,020
but you're doing okay now.

191
00:10:13,778 --> 00:10:16,481
- Yeah, I just need a minute with him.
- Go ahead.

192
00:10:17,046 --> 00:10:18,450
In private.

193
00:10:19,095 --> 00:10:21,770
All right, make it quick.
I'll be right back.

194
00:10:24,696 --> 00:10:26,622
Hey. Hey! Hey!
What's he doing here?

195
00:10:26,638 --> 00:10:28,741
Oh, oh, oh. No, no, no.
Whoa. I can explain.

196
00:10:28,776 --> 00:10:30,720
- No. Somebody call the cops.
- He's... No.

197
00:10:30,775 --> 00:10:33,113
- This is not what you think. He...
- All right, Mr. Saltzman,

198
00:10:33,147 --> 00:10:36,301
your brother-in-law accidentally landed
on you when you two fell off the roof.

199
00:10:36,328 --> 00:10:37,560
What roof?

200
00:10:37,746 --> 00:10:41,150
He's not my brother-in-law.
He's got a woman tied up in his apartment.

201
00:10:41,175 --> 00:10:43,812
- I heard her screaming.
- No, no, no, no, no, I can explain.

202
00:10:43,837 --> 00:10:46,441
- He beat me up when I tried to rescue her.
- I think you might have to explain it to the cops.

203
00:10:46,477 --> 00:10:48,411
That lady you and Gates worked up--
gave her two liters of saline,

204
00:10:48,448 --> 00:10:51,053
- her pressure's down to 90/65.
- Oh, crap.

205
00:10:51,678 --> 00:10:53,153
Well? I'm listening.

206
00:10:54,167 --> 00:10:57,593
Okay, are you familiar with RACK?

207
00:10:58,077 --> 00:11:00,651
Risk Aware Consensual Kink?

208
00:11:07,718 --> 00:11:09,010
No.

209
00:11:09,288 --> 00:11:11,290
I really need something for the pain.

210
00:11:11,516 --> 00:11:14,251
Well, we gave you a nerve block.
It should have kicked in by now.

211
00:11:14,278 --> 00:11:16,473
Well, it didn't.
It's killing me.

212
00:11:16,976 --> 00:11:21,141
You know why they named the largest military
hospital in the world after Walter Reed?

213
00:11:21,175 --> 00:11:22,171
No.

214
00:11:22,275 --> 00:11:26,102
Yellow fever was wiping out the troops
during the Spanish-American War,

215
00:11:26,128 --> 00:11:28,360
and Walter Reed was
the one who discovered

216
00:11:28,376 --> 00:11:31,911
that the disease was being
transmitted by mosquitoes.

217
00:11:32,127 --> 00:11:37,173
And he greatly reduced infection
with aggressive insect control.

218
00:11:37,326 --> 00:11:40,733
Of course, everybody ended up dying
of cancer from the pesticides, but...

219
00:11:41,035 --> 00:11:42,482
it was a valiant effort.

220
00:11:42,705 --> 00:11:44,983
Excuse us. Can I talk to you
for a second, Morris?

221
00:11:48,925 --> 00:11:51,730
Maybe the injection didn't
get into the sheath.

222
00:11:52,186 --> 00:11:55,971
I drew blood from his hand
with a needle, he didn't even flinch.

223
00:11:56,087 --> 00:11:59,483
- He's a soldier.
- No. He's lying. He can't feel his arm.

224
00:11:59,545 --> 00:12:02,320
- There's no problem with the nerve block.
- You think he's faking?

225
00:12:02,348 --> 00:12:04,891
I think he's either drug-seeking
or he has issues.

226
00:12:05,116 --> 00:12:08,483
- I'll call psych.
- No, no, not here, at the V.A.

227
00:12:08,758 --> 00:12:11,030
They have better continuity of care,
and they have a good support system

228
00:12:11,047 --> 00:12:12,990
- for returning vets.
- It could be months before he gets an appointment.

229
00:12:13,018 --> 00:12:14,602
They're overwhelmed.

230
00:12:14,905 --> 00:12:18,182
Then do a hospital-to-hospital transfer.
They'll have to take him today.

231
00:12:18,367 --> 00:12:20,061
Belly's still benign.

232
00:12:20,276 --> 00:12:23,871
- Could be an occult infection.
- An infection? But I feel so much better.

233
00:12:23,887 --> 00:12:26,330
- Even my nausea's gone.
- Well, with diabetes,

234
00:12:26,375 --> 00:12:29,502
there can often be nerve damage, so
you can develop an abdominal condition

235
00:12:29,516 --> 00:12:32,361
- without feeling any symptoms.
- You think she's septic?

236
00:12:32,385 --> 00:12:35,300
- No fever, no white count.
- Well, can't always count on those.

237
00:12:35,346 --> 00:12:38,592
Let's get two sets of blood
cultures, 3.375 of Zosyn,

238
00:12:38,607 --> 00:12:42,042
start dopamine at five mikes,
CT with IV and oral contrast.

239
00:12:42,076 --> 00:12:45,081
- Got it.
- More tests? Kevin...

240
00:12:46,037 --> 00:12:50,680
Um, you're a bit of a mystery, ma'am,
but we're gonna figure out what's going on.

241
00:12:50,956 --> 00:12:53,143
I came in here to get some medicine
to stop the vomiting.

242
00:12:53,175 --> 00:12:54,613
I've been here for six hours now.

243
00:12:54,638 --> 00:12:57,101
Well, we can't risk sending you
home with a serious condition.

244
00:12:57,165 --> 00:13:01,232
It's not serious.
Do you think it could be serious?

245
00:13:02,788 --> 00:13:07,633
Well, I've seen a lot of doctors in here,
but if you think it could be serious,

246
00:13:07,766 --> 00:13:09,733
you're the touchstone, Kevin.

247
00:13:11,545 --> 00:13:12,480
Okay.

248
00:13:13,005 --> 00:13:15,791
We're going to get started on these
right away for you, Mrs. Calder.

249
00:13:17,305 --> 00:13:20,943
- You're on top of this, Doctor.
- Touchstone? What's that all about?

250
00:13:21,107 --> 00:13:23,833
It's a black siliceous mineral used to test the purity of gold.

251
00:13:23,847 --> 00:13:25,963
- The miners used to take the metal...
- Yes, I know what it means.

252
00:13:25,975 --> 00:13:28,310
Well, then you should, you know,
take it as a compliment.

253
00:13:28,346 --> 00:13:30,792
- You might turn out to be gold.
- Fool's gold.

254
00:13:30,837 --> 00:13:33,732
Yeah, pyrite. But only an expert
can tell the difference.

255
00:13:34,078 --> 00:13:36,743
- Who is your boy friend?
-  Um, his name is Paxton...

256
00:13:36,876 --> 00:13:40,620
he came in with his brother-in-law,
I think.

257
00:13:42,545 --> 00:13:45,921
- And his name is...?
- You know what? I got this, Frank.

258
00:13:46,148 --> 00:13:48,341
- Okay.
- Hi, I'm Dr. Lockhart.

259
00:13:48,476 --> 00:13:50,743
Hillary Milbauer.
So you saw my boyfriend?

260
00:13:50,777 --> 00:13:55,283
I did. And you're... you're
the woman that was tied up?

261
00:13:57,565 --> 00:13:59,202
And gagged and screaming.

262
00:13:59,527 --> 00:14:01,873
- That's me.
- Right, okay.

263
00:14:02,077 --> 00:14:04,781
I told you, I was just trying to defend myself.

264
00:14:04,807 --> 00:14:06,891
Then why didn't you call the cops?

265
00:14:07,818 --> 00:14:10,371
Because I'm not supposed to be running
a business out of my apartment.

266
00:14:10,406 --> 00:14:13,531
- That's her! That's his victim!
- That is my girlfriend.

267
00:14:13,558 --> 00:14:16,062
- All right, Abby, what's going on?
- This is Hillary Milbauer.

268
00:14:16,106 --> 00:14:18,670
Apparently, these two operate
an adult Web site out of their apartment.

269
00:14:18,708 --> 00:14:20,983
Yeah, I already got that part
from Scorsese here.

270
00:14:21,207 --> 00:14:23,812
- He broke in and attacked us.
- You were screaming!

271
00:14:23,856 --> 00:14:26,522
- I was trying to save you.
- I told you, it's just an act.

272
00:14:26,555 --> 00:14:29,161
It's like erotic performance art.

273
00:14:29,705 --> 00:14:33,400
Um, do you think it's possible you
misinterpreted the situation, Mr. Saltzman?

274
00:14:33,436 --> 00:14:36,482
I know what I saw.
What he was doing to her was unnatural.

275
00:14:36,696 --> 00:14:39,330
Unsanitary.

276
00:14:41,485 --> 00:14:44,333
It's still throbbing, dude.
You got to give me something for the pain.

277
00:14:44,407 --> 00:14:47,473
We're transferring you to the V.A.
Someone there will see you today.

278
00:14:47,488 --> 00:14:49,932
I'm going to recommend you
speak with a psychiatrist.

279
00:14:49,946 --> 00:14:52,673
You think this is all in my head?
Is that what you think?

280
00:14:52,706 --> 00:14:55,331
Hey, I can't get her finger out without
tearing it apart. Can you help me?

281
00:14:55,377 --> 00:14:58,051
- Yeah. I'll be right back.
- Why am I being punished?!

282
00:14:58,108 --> 00:15:00,102
It's real, okay?!
The pain's real!

283
00:15:00,126 --> 00:15:03,902
- Vivian here loads her own shotgun shells.
- My father taught me years ago.

284
00:15:03,916 --> 00:15:06,050
He used to pay me a penny a shell.

285
00:15:06,107 --> 00:15:09,963
- Now I sell custom loads on the Internet.
- I love this country.

286
00:15:09,977 --> 00:15:12,960
- See, it's wedged in there, right?
- Got to get this skin out of the spring.

287
00:15:12,976 --> 00:15:15,020
Tried to open it.
I'm trying to get the...

288
00:15:15,077 --> 00:15:16,113
Look.

289
00:15:16,486 --> 00:15:19,013
Kyle?

290
00:15:19,446 --> 00:15:20,501
Hang on.

291
00:15:20,688 --> 00:15:22,791
Kyle, you need to stay in bed.

292
00:15:24,385 --> 00:15:25,841
- What are you doing?
- Hey!

293
00:15:26,455 --> 00:15:27,230
Kyle!

294
00:15:27,668 --> 00:15:30,052
Kyle, open...!
Open the door.

295
00:15:30,306 --> 00:15:31,143
Can you open it?

296
00:15:31,176 --> 00:15:33,752
- He took my swipe card.
- Find another one. Security!

297
00:15:33,775 --> 00:15:35,551
Kyle, Kyle, don't do this.
Come on, man.

298
00:15:35,578 --> 00:15:37,460
- Come on, stop!
- Leave me alone, man!

299
00:15:37,486 --> 00:15:39,730
Kyle, open this door!
Open it!

300
00:15:39,746 --> 00:15:42,680
- We'll get you something for the pain!
- Come on, don't!

301
00:15:42,795 --> 00:15:45,673
Security! Kyle, stop!
Please, come on!

302
00:15:45,775 --> 00:15:47,221
Kyle, stop!

303
00:16:50,515 --> 00:16:52,532
Sam, where the hell's that key?!

304
00:16:52,706 --> 00:16:55,501
Move away from the door, sir!
Please, move away!

305
00:16:55,657 --> 00:16:57,032
Move away from the door!

306
00:16:57,275 --> 00:16:59,152
- Kyle! Move, move, move.
- Watch your head.

307
00:16:59,295 --> 00:17:01,081
Come on.
All right, spit it out! Spit it out!

308
00:17:01,116 --> 00:17:03,711
- What'd he take?
- You name it, he took it.

309
00:17:03,737 --> 00:17:05,432
Set up to lavage.
Let's go!

310
00:17:05,507 --> 00:17:07,660
No. No! No...!

311
00:17:07,885 --> 00:17:09,991
Kyle! Kyle, calm down!

312
00:17:11,396 --> 00:17:13,161
Monitor, Foley, start a line.

313
00:17:13,206 --> 00:17:16,471
- What labs do you want?
- Acetaminophen and aspirin levels.

314
00:17:16,646 --> 00:17:20,412
No. There's no point in sending that now.
We'll get a four-hour level.

315
00:17:20,505 --> 00:17:23,461
Foley, alkanalize his urine,
and let's put in an Ewald tube.

316
00:17:23,505 --> 00:17:26,400
That's the plan-- just mixing up
nebulized lido for the OG.

317
00:17:26,418 --> 00:17:27,773
No, there's no time for that.

318
00:17:28,235 --> 00:17:30,722
You're going to place an Ewald
without anesthesia?

319
00:17:30,906 --> 00:17:32,782
Thing's like a garden hose.

320
00:17:34,205 --> 00:17:35,641
Hard restraints, please.

321
00:17:35,676 --> 00:17:37,703
Come on, lidocaine neb takes five minutes.

322
00:17:37,726 --> 00:17:39,840
Yeah, which is 12% of gastric transit time.

323
00:17:39,876 --> 00:17:41,571
Do you want him to get 12% poisoned?

324
00:17:41,608 --> 00:17:44,872
You want 12% of the arrhythmias, 12%
of the liver failure? I don't think so.

325
00:17:44,906 --> 00:17:47,640
Not while we still have time
to get the junk out of his stomach.

326
00:17:47,836 --> 00:17:51,451
- Okay, okay, okay, okay.
- No! Get it away!

327
00:17:51,468 --> 00:17:53,213
- Okay!
- Get it away from me!

328
00:17:53,406 --> 00:17:56,763
Sir, hey, hey! Please, come on,
we're trying to help you.

329
00:17:57,378 --> 00:17:59,131
Would you put a little muscle
into it, please?

330
00:18:01,808 --> 00:18:02,912
All right.

331
00:18:03,775 --> 00:18:06,730
All right, come on, screw the V.A.
This guy needs Fentanyl and Versed.

332
00:18:06,747 --> 00:18:10,533
Nope. The risk of aspiration is too high
when you try to sedate during lavage.

333
00:18:10,558 --> 00:18:12,390
So we'll intubate, we'll protect his airway!

334
00:18:12,418 --> 00:18:14,440
No. The risk is too high;
it's not worth it.

335
00:18:14,477 --> 00:18:17,133
GI bleeder just puked a liter of blood.

336
00:18:17,216 --> 00:18:20,190
Okay. Put the tube in, and lavage until

337
00:18:20,228 --> 00:18:23,622
all the pill fragments come out
and until that fluid runs clear.

338
00:18:24,748 --> 00:18:27,260
Please... please... Please!

339
00:18:34,746 --> 00:18:36,991
They tried to save my legs,

340
00:18:37,456 --> 00:18:43,193
but the... the crush injuries
were too severe.

341
00:18:46,238 --> 00:18:49,101
But it could be a lot worse, you know?
I could be dead.

342
00:18:58,426 --> 00:19:04,542
They're going to fit me for prosthetics
as soon as the flaps IO.

343
00:19:08,847 --> 00:19:11,221
So I guess, in the meantime, I can...

344
00:19:12,007 --> 00:19:16,310
pimp out my wheelchair,
maybe put some flames down the side.

345
00:19:16,347 --> 00:19:20,100
I'll have a whole new
set of legs, a cool van.

346
00:19:20,488 --> 00:19:23,500
- Hey, I can park in the good spaces now.
- Ray, stop.

347
00:19:24,808 --> 00:19:26,622
Uh, do you want something to drink?

348
00:19:26,836 --> 00:19:29,432
- I'm going to get a coffee.
- No, thanks, I'm good.

349
00:19:29,666 --> 00:19:32,441
Um, I'll call your parents,
see if I can get an ETA.

350
00:19:33,065 --> 00:19:35,332
That's... great.

351
00:19:45,718 --> 00:19:47,850
Is there anything I can do?

352
00:19:49,145 --> 00:19:50,103
No.

353
00:19:54,316 --> 00:19:56,092
Would you like me to tell anyone at County?

354
00:19:56,116 --> 00:19:57,290
No.

355
00:19:58,775 --> 00:20:00,772
I really don't want you to do anything.

356
00:20:03,326 --> 00:20:06,453
I was so worried about you.
I even went to our...

357
00:20:09,038 --> 00:20:10,553
...your apartment.

358
00:20:16,177 --> 00:20:18,790
Well, it's up for lease
if you want to move back in.

359
00:20:21,377 --> 00:20:22,661
No ramps.

360
00:20:31,506 --> 00:20:34,013
You know, the night this...

361
00:20:37,785 --> 00:20:39,751
After you left the wedding...

362
00:20:41,606 --> 00:20:43,382
I tried calling you,

363
00:20:43,595 --> 00:20:47,771
- 'cause I wanted to talk. I was hoping...
- I know, I know.

364
00:20:51,576 --> 00:20:53,873
I was checking the message when I got hit.

365
00:20:58,937 --> 00:21:00,212
So I know.

366
00:21:05,148 --> 00:21:06,822
How much bicarb is he getting?

367
00:21:06,845 --> 00:21:11,313
Two amps per liter, quarter normal at 200 per hour.

368
00:21:11,335 --> 00:21:14,843
Okay, check his urine pH.
I don't get it.

369
00:21:15,108 --> 00:21:18,531
- What's going on with this guy?
- Looks like textbook PTSD to me.

370
00:21:18,545 --> 00:21:20,271
No, he never saw combat.
That's what his buddies said;

371
00:21:20,287 --> 00:21:21,941
- he was an interpreter.
- Oh, he saw plenty.

372
00:21:21,978 --> 00:21:24,602
Who do you think translates
during those interrogations?

373
00:21:25,476 --> 00:21:26,950
I seem to have misplaced...

374
00:21:27,835 --> 00:21:29,301
Hello, what's this?

375
00:21:30,407 --> 00:21:33,483
Uh, we had to intubate.

376
00:21:34,155 --> 00:21:36,461
I thought I specifically told you not to.

377
00:21:37,218 --> 00:21:39,951
Maybe I was using my inner voice again.
I know that's a bad habit.

378
00:21:40,005 --> 00:21:42,943
He was losing his gag reflex,
became hypoxic.

379
00:21:43,558 --> 00:21:45,480
I don't see anything about hypoxia here.

380
00:21:45,516 --> 00:21:50,050
Uh, well, it was, you know, hectic.
I haven't had a chance to update the chart.

381
00:21:51,057 --> 00:21:52,512
Do you have any pill fragments?

382
00:21:52,737 --> 00:21:54,902
Yeah, we, uh, we did.

383
00:21:55,638 --> 00:21:56,931
We got this.

384
00:21:57,795 --> 00:21:58,863
Not enough.

385
00:21:59,735 --> 00:22:03,062
Gates, it's Sarah.
She doesn't sound good.

386
00:22:05,535 --> 00:22:07,860
Move away from that, please.
Can I see that?

387
00:22:08,386 --> 00:22:10,852
- Toxic bradycardia.
- We're on it.

388
00:22:10,878 --> 00:22:13,430
Yeah? Are you?
Really? On it?

389
00:22:13,537 --> 00:22:16,180
Because one might argue
that you are in fact underneath it,

390
00:22:16,545 --> 00:22:18,583
that if you hadn't dicked around
so long with the intubation,

391
00:22:18,616 --> 00:22:21,463
you wouldn't be digging your way
out of an overdose right now.

392
00:22:23,018 --> 00:22:25,412
Let me know when you learn to roll over.

393
00:22:35,027 --> 00:22:36,960
Parents coming to take you home?

394
00:22:38,276 --> 00:22:40,592
My mom's been here for a few days.

395
00:22:42,545 --> 00:22:44,510
I've never been to...

396
00:22:45,577 --> 00:22:47,350
Baton Rouge.

397
00:22:49,578 --> 00:22:51,463
Maybe I could come visit you.

398
00:22:52,157 --> 00:22:53,653
Don't.

399
00:22:55,225 --> 00:22:56,392
What?

400
00:22:56,876 --> 00:23:00,813
Just don't tell me you're going to do
something when I know you won't.

401
00:23:02,346 --> 00:23:04,680
Why don't you think I'd come visit you?

402
00:23:06,688 --> 00:23:09,180
Because that's what
our relationship is, Neela.

403
00:23:09,867 --> 00:23:13,980
You give me hope, and I,
like a fool, believe you.

404
00:23:14,338 --> 00:23:16,933
- Ray, that's not true.
- It is true.

405
00:23:18,408 --> 00:23:20,361
I've waited for you...

406
00:23:21,826 --> 00:23:23,481
I trusted you.

407
00:23:24,555 --> 00:23:26,211
I fought for you...

408
00:23:27,066 --> 00:23:29,581
And I even fell in love with you.

409
00:23:31,085 --> 00:23:34,932
But for what? So you could just
keep running back to Gates?

410
00:23:35,258 --> 00:23:38,852
I'm not. That's what I've been
trying to tell you. It's over.

411
00:23:39,786 --> 00:23:41,961
Tony and I are done.

412
00:23:46,007 --> 00:23:48,472
Well, it doesn't really
matter now, does it?

413
00:24:03,087 --> 00:24:06,461
- Yeah, baby, that's good! Don't stop.
- Oh, yeah, you like that, don't you?

414
00:24:06,506 --> 00:24:09,080
Am I a bad girl?
Do you want to spank me?

415
00:24:09,107 --> 00:24:12,460
Yeah. I'm gonna spank you.
You're a bad girl.

416
00:24:12,477 --> 00:24:16,072
- What's going on in here?
- I told you it was too loud. Come here.

417
00:24:16,145 --> 00:24:17,491
What are you guys watching?

418
00:24:17,645 --> 00:24:20,481
Oh, it's a website hosted
by a couple of our patients.

419
00:24:21,156 --> 00:24:24,371
- Does that look consensual to you?
- Oh yeah, that's sensual.

420
00:24:24,637 --> 00:24:27,043
- Consensual.
- What, did you fail anatomy?

421
00:24:27,118 --> 00:24:29,853
You cannot do that with your body
unless you really want to.

422
00:24:29,878 --> 00:24:32,082
- Is that woman in this hospital?
- Abby...

423
00:24:32,117 --> 00:24:34,712
Mrs. Calder's pressure dropped
down to 65 systolic again.

424
00:24:34,737 --> 00:24:36,492
I gave orders for dopamine
over an hour ago.

425
00:24:36,518 --> 00:24:37,941
She maxxed out at 20 mikes.

426
00:24:38,007 --> 00:24:40,153
- She's hypotensive?
- It's impossible.

427
00:24:48,608 --> 00:24:51,412
- Don't stop, baby.
- Yeah, you like that, don't you?

428
00:24:51,535 --> 00:24:52,982
How do you like that,
is that what you want?

429
00:24:53,015 --> 00:24:54,833
Oh, yeah, baby, that's good!

430
00:24:55,225 --> 00:24:57,540
- Don't stop, baby!
- Oh, yeah, you like that don't you?

431
00:24:57,575 --> 00:25:00,860
- Am I a bad girl?
- Oh, yeah you are a very bad girl.

432
00:25:00,877 --> 00:25:04,263
- And I would love to spank you.
- Oh, yeah, girl!

433
00:25:06,416 --> 00:25:08,343
Hi, Dr. Morris, sorry,
I didn't mean to startle you.

434
00:25:08,375 --> 00:25:10,340
No, you didn't. I was, I was...

435
00:25:10,568 --> 00:25:12,410
looking up something medical.

436
00:25:20,405 --> 00:25:21,622
What's going on?

437
00:25:21,897 --> 00:25:25,003
Sorry, I called you at work.
I don't, I didn't know what else to do.

438
00:25:25,015 --> 00:25:26,160
That's okay.
Where are your grandparents?

439
00:25:26,178 --> 00:25:27,402
They're inside.

440
00:25:27,908 --> 00:25:30,723
- Hey, Jim? What's going on?
- Hey, Tony.

441
00:25:30,777 --> 00:25:33,192
We're taking Sarah
this weekend, remember?

442
00:25:33,907 --> 00:25:36,760
Yeah. So, uh, what's with all the boxes?

443
00:25:38,936 --> 00:25:42,401
Helen and I think it would be best for
Sarah to spend the summer with us.

444
00:25:42,425 --> 00:25:44,003
Really, that's,
that's what you think, huh?

445
00:25:44,038 --> 00:25:45,493
Shouldn't that be something
we should talk about that?

446
00:25:45,516 --> 00:25:51,293
- I never said I wanted to go.
- Sarah, you love staying with us, huh?

447
00:25:51,635 --> 00:25:53,752
This isn't helping.
We're trying to make it easy for her.

448
00:25:53,777 --> 00:25:55,270
Oh, you think this is easy?

449
00:25:55,318 --> 00:25:57,513
- Jim?
- It's okay.

450
00:25:58,177 --> 00:25:59,682
She doesn't want to go.
She clearly doesn't want to go...

451
00:25:59,708 --> 00:26:02,221
- We appreciate everything...
- Let me handle this, Hellen.

452
00:26:02,317 --> 00:26:04,861
You know what, no--
she's not going with you this weekend.

453
00:26:05,058 --> 00:26:08,113
- Yes, Tony, she is.
- You can't make me!

454
00:26:08,145 --> 00:26:09,422
What's this?

455
00:26:10,058 --> 00:26:12,860
It's an emergency court
order for custody.

456
00:26:14,007 --> 00:26:15,831
We heard you hired a lawyer.

457
00:26:17,067 --> 00:26:18,521
I'm calling the police.

458
00:26:19,198 --> 00:26:20,990
All right, let's mix up Levophed.

459
00:26:21,177 --> 00:26:24,441
Radiology's reading the CT right now.
Why don't you run in another liter.

460
00:26:24,675 --> 00:26:28,081
- Is she bleeding?
- Uh, repeat crit's 38, stable.

461
00:26:28,326 --> 00:26:30,781
- Could it be anaphylaxis?
- No. No new food or drugs.

462
00:26:30,818 --> 00:26:33,532
- And she doesn't have any skin lesions.
- Let's do early goal directed therapy.

463
00:26:33,548 --> 00:26:37,052
She needs a central line
with an 02 sat monitor.

464
00:26:37,188 --> 00:26:39,431
Is there anything else that we could be doing?

465
00:26:40,885 --> 00:26:42,732
- Dr. Moretti?
- I'll be right back.

466
00:26:42,757 --> 00:26:44,720
Hey, you know we could use some help in here.

467
00:26:44,908 --> 00:26:46,583
Man, that guy's a real weirdo.

468
00:26:46,778 --> 00:26:48,893
- Levophed's up.
- Okay, thanks a lot.

469
00:26:48,915 --> 00:26:52,271
No intra-abdominal pathology
whatsoever on CT.

470
00:26:52,307 --> 00:26:53,503
- No abscess?
- Nope.

471
00:26:53,525 --> 00:26:55,242
- Diverticulitis?
- Nothing.

472
00:26:55,285 --> 00:26:57,281
- What the hell is going on?
- I don't know maybe it's an infection

473
00:26:57,305 --> 00:26:59,723
from another source?
Urine? CSF?

474
00:26:59,788 --> 00:27:02,580
Her pressure's not moving, and her sats
are dropping. Do you want to intubate?

475
00:27:02,615 --> 00:27:04,961
Yeah, I'll tube her;
Abby, you do the central line.

476
00:27:06,395 --> 00:27:08,663
Hey, Mrs. Calder.
Hang in there, okay?

477
00:27:08,715 --> 00:27:11,330
- One percent lidocaine.
- 20 of etomidate, 100 of sux.

478
00:27:11,356 --> 00:27:13,543
- I'd wait on that if I were you.
- Let's get the suction on high,

479
00:27:13,578 --> 00:27:15,023
somebody check the cuff.

480
00:27:19,637 --> 00:27:21,633
Pressure is up to 110 over 70.

481
00:27:28,235 --> 00:27:30,731
- Am I dying?
- Not anymore.

482
00:27:31,366 --> 00:27:34,802
- So what'd you give her? Epi?
- No, please, that would be too easy.

483
00:27:34,838 --> 00:27:37,890
- What'd you inject?
- You tell me.

484
00:27:45,677 --> 00:27:47,802
Mr. and Mrs. Riley have legal custody of the girl.

485
00:27:47,815 --> 00:27:49,861
Oh, come on. That's crap.
I've raised her since she was this big.

486
00:27:49,907 --> 00:27:51,793
- She's practically my own kid.
- Technically, she's not,

487
00:27:51,818 --> 00:27:53,322
and they're the next-of-kin.

488
00:27:53,725 --> 00:27:55,110
She doesn't want to go.
Go ask her,

489
00:27:55,135 --> 00:27:57,851
- ask her if she wants to go.
- I'm afraid she doesn't have a choice.

490
00:27:57,875 --> 00:28:00,323
All right, you know what, let's just...
settle down, all right?

491
00:28:00,356 --> 00:28:02,251
- We'll handle this like adults.
- Hold on.

492
00:28:02,948 --> 00:28:05,781
- This is getting way out of hand, guys.
- Settle down, sir.

493
00:28:07,317 --> 00:28:09,141
So you're just gonna let them take her?

494
00:28:09,175 --> 00:28:11,531
I suggest you get yourself a lawyer
and try to work something out.

495
00:28:11,545 --> 00:28:12,871
I have a lawyer.

496
00:28:18,667 --> 00:28:20,951
Can I at least go say good-bye to her?

497
00:28:21,975 --> 00:28:23,290
- Please?
- Yeah.

498
00:28:41,036 --> 00:28:44,070
Look... it's going to be okay.
It's going to be okay.

499
00:28:44,117 --> 00:28:48,291
- Don't let them do this.
- It's okay, all right? I'll make sure it's okay.

500
00:28:48,756 --> 00:28:51,322
Look, it's not going to be for that long.
You'll go, you'll have fun.

501
00:28:51,375 --> 00:28:53,342
You know, you'll ride
the horses, it'll be good.

502
00:28:53,377 --> 00:28:56,563
I don't care about the stupid horses!
I don't want to go!

503
00:28:56,607 --> 00:28:59,381
I'll come visit you. I'll come visit you
this weekend, I promise.

504
00:28:59,405 --> 00:29:01,700
This is not permanent, okay?

505
00:29:01,948 --> 00:29:04,331
Look at me. Look at me.

506
00:29:05,456 --> 00:29:09,202
You know I love you. I love you more
than anything in this entire world, right?

507
00:29:09,718 --> 00:29:10,723
Right?

508
00:29:11,055 --> 00:29:13,491
Okay, so I need you to be strong for me.

509
00:29:13,687 --> 00:29:17,273
I need you to go with your grandparents
but you have to trust me, okay?

510
00:29:17,677 --> 00:29:20,472
All right, and it's not be
for a long time, I promise.

511
00:29:20,608 --> 00:29:21,812
I promise you.

512
00:29:24,657 --> 00:29:26,591
I love you, baby girl.

513
00:29:33,946 --> 00:29:35,670
Did you figure it out yet, Pratt?

514
00:29:35,857 --> 00:29:38,422
- Huh?
- What I gave to Mrs. Calder?

515
00:29:38,778 --> 00:29:40,761
Come on, think, think, think,
think, think, think.

516
00:29:40,776 --> 00:29:44,013
Where is that intern?
The one with the temper problem?

517
00:29:44,045 --> 00:29:47,012
- The who started all this...
- Oh, you mean Gates? He had to go.

518
00:29:47,407 --> 00:29:50,243
- Go?
- Yeah, family emergency.

519
00:29:51,856 --> 00:29:55,031
Well, he caused an emergency here.
He was the primary caregiver,

520
00:29:55,057 --> 00:29:56,931
and he dropped the ball
on that patient from the get-go.

521
00:29:56,975 --> 00:30:00,023
Come on, it was a tough call.
There's enough blame to go around.

522
00:30:00,337 --> 00:30:02,012
Backing up your interns?
That's good.

523
00:30:02,048 --> 00:30:04,491
Shows leadership and maturity
which, based on your record,

524
00:30:04,517 --> 00:30:06,843
I didn't think you were capable of.
Bravo, Pratt.

525
00:30:07,038 --> 00:30:08,562
- Thanks.
- Yep.

526
00:30:08,748 --> 00:30:10,831
And as for blame, you're right.
There is plenty to go around

527
00:30:10,857 --> 00:30:13,681
all the way up to the attending level.
That's why I called a staff meeting.

528
00:30:13,717 --> 00:30:16,960
Look, it wasn't perfect, but she's okay.
She got good care.

529
00:30:17,616 --> 00:30:19,430
The hell she did.

530
00:30:22,718 --> 00:30:26,592
Let me ask you something.
I mean, what's going on with you?

531
00:30:26,955 --> 00:30:30,663
I mean, you stand around all day
like some strange Peeping Tom.

532
00:30:30,718 --> 00:30:34,743
Now, all of a sudden you're the king of
the ER.  This is our department, Moretti.

533
00:30:34,778 --> 00:30:37,643
And I don't care how long you've been
a doctor, you haven't been here,

534
00:30:37,728 --> 00:30:39,761
and you haven't worked with all of us.

535
00:30:40,158 --> 00:30:44,673
Gee, I am so sorry that I skipped
my daily dose of testosterone.

536
00:30:44,965 --> 00:30:48,131
We do the best we can
with limited resources.

537
00:30:48,407 --> 00:30:50,671
No, you know, see,
that's where you're wrong.

538
00:30:50,777 --> 00:30:53,063
It is not the resources that are limited--

539
00:30:53,108 --> 00:30:56,551
it is the minds of the people
working on the floor.

540
00:31:00,646 --> 00:31:02,323
Hydrocortisone.

541
00:31:03,306 --> 00:31:05,002
That's what you gave her.

542
00:31:05,265 --> 00:31:07,860
I would have gotten there if you'd
given me another minute or so.

543
00:31:22,657 --> 00:31:23,702
Neela.

544
00:31:24,067 --> 00:31:26,590
This is Jacy, Ray's mom.

545
00:31:28,995 --> 00:31:31,371
- I'm so sorry.
- Uh, no, I...

546
00:31:31,647 --> 00:31:35,521
- I've heard a lot about you.
- Ray and I are good friends.

547
00:31:36,146 --> 00:31:39,162
He said you were the best
roommate he ever had.

548
00:31:39,658 --> 00:31:42,682
Well, that's 'cause I did
all his laundry for him.

549
00:31:44,248 --> 00:31:48,061
I used to think sometimes
that was the only reason he came home.

550
00:31:54,446 --> 00:31:57,110
I'm, um, going to take him home now.

551
00:31:57,277 --> 00:31:58,600
Gonna...

552
00:31:59,905 --> 00:32:01,821
I'm going to get him better.

553
00:32:10,006 --> 00:32:12,682
You'll get through this, I promise.

554
00:32:22,877 --> 00:32:26,890
Thank you, Katey.
You've been wonderful.

555
00:32:28,665 --> 00:32:31,842
You come on down to Baton Rouge
whenever you can get away.

556
00:32:32,007 --> 00:32:35,271
- You know I will, ma'am.
- Okay.

557
00:32:44,047 --> 00:32:46,880
- You're a good person, Katey.
- Shut up!

558
00:32:47,007 --> 00:32:49,200
- Shut up!
- Well, I know you're upset...

559
00:32:49,237 --> 00:32:51,540
You did this, you selfish bitch.

560
00:32:51,767 --> 00:32:55,533
Nobody else, okay?
You did. So live with that.

561
00:33:06,675 --> 00:33:09,570
Okay, you're going to be
a little hoarse for a while.

562
00:33:09,858 --> 00:33:11,160
Yeah.

563
00:33:15,917 --> 00:33:18,270
This is going to help you
breathe a little easier.

564
00:33:19,985 --> 00:33:22,221
You want to tell me why you did this?

565
00:33:24,215 --> 00:33:27,251
Kyle, obviously you're hurting,
man, let me help you.

566
00:33:31,295 --> 00:33:32,890
You were...

567
00:33:33,157 --> 00:33:36,511
you were shouting in Arabic
when we were trying to help you.

568
00:33:36,547 --> 00:33:40,152
Something, something about med...

569
00:33:46,607 --> 00:33:48,221
What does that mean?

570
00:33:49,218 --> 00:33:52,921
"Please, don't hurt me.
"I've done nothing wrong.

571
00:33:54,155 --> 00:33:56,003
God have mercy."

572
00:33:57,296 --> 00:34:02,613
I must have translated it a million
times in Iraq. Not that it mattered.

573
00:34:03,298 --> 00:34:06,440
They didn't listen to me any more
than they listened to prisoners.

574
00:34:09,507 --> 00:34:13,032
- Who didn't listen to you?
- The interrogators.

575
00:34:18,607 --> 00:34:20,761
You saw them beat the prisoners?

576
00:34:21,718 --> 00:34:26,270
Beat, burn, other things...

577
00:34:27,687 --> 00:34:29,860
You... you mean torture?

578
00:34:30,505 --> 00:34:33,631
Most of the men they questioned
didn't even know anything.

579
00:34:35,126 --> 00:34:37,082
They were innocent.

580
00:34:37,835 --> 00:34:41,822
I tried to convince the interrogators,
but they didn't believed me.

581
00:34:43,156 --> 00:34:45,501
So they just kept hurting them.

582
00:34:46,996 --> 00:34:50,023
And I just kept translating their cries.

583
00:34:50,335 --> 00:34:53,523
It's not your fault.
We're going to get you some help.

584
00:34:54,907 --> 00:34:57,450
I don't want to go back
to the V.A., man.

585
00:34:57,638 --> 00:34:59,023
You're not.

586
00:34:59,475 --> 00:35:00,721
Not right now.

587
00:35:01,398 --> 00:35:03,870
You're going to stay with us
for a while, okay?

588
00:35:04,055 --> 00:35:05,122
Okay.

589
00:36:21,287 --> 00:36:23,920
Hi, this is Neela, I'm not here
to take your call at the moment,

590
00:36:24,005 --> 00:36:26,380
but you can leave
your message after the tone.

591
00:36:36,387 --> 00:36:38,053
Forgot about this thing.

592
00:36:38,847 --> 00:36:40,431
Might take a while.

593
00:36:44,476 --> 00:36:46,462
Uh, I'll get out here.

594
00:36:55,208 --> 00:36:57,850
Look around and what do you see?

595
00:36:58,085 --> 00:37:01,760
I see faces of every different color,
men and women,

596
00:37:01,806 --> 00:37:07,551
young and old, rich and poor and yet
we all share something in common.

597
00:37:07,608 --> 00:37:10,182
We're all here today
for the same reason.

598
00:37:10,656 --> 00:37:12,620
We love our country!

599
00:37:12,838 --> 00:37:15,280
We might have gotten
here in different ways.

600
00:37:15,547 --> 00:37:20,650
Through a family member or a loved one,
through serving in Iraq,

601
00:37:21,218 --> 00:37:26,453
through an evolving sense not only of
right and wrong, but also the division

602
00:37:26,475 --> 00:37:30,941
between what is justified
and what can never be explained.

603
00:37:36,536 --> 00:37:38,231
Let's begin at the beginning.

604
00:37:39,218 --> 00:37:40,382
Triage.

605
00:37:41,657 --> 00:37:46,932
Three-hour wait for vitals,
eight to 12-hour wait for a bed.

606
00:37:47,028 --> 00:37:49,460
Well, we push them
through as fast as we can.

607
00:37:49,638 --> 00:37:52,231
Well, we almost pushed
Esther Calder six feet under,

608
00:37:52,277 --> 00:37:56,241
but a combination of blind faith,
dumb luck, her resilience

609
00:37:56,278 --> 00:38:01,523
and my attention to detail thwarted
all the attempts that we made to kill her.

610
00:38:02,066 --> 00:38:04,772
I triaged her.
She did not wait very long.

611
00:38:04,837 --> 00:38:08,400
She waited two hours
with intense nausea.

612
00:38:08,596 --> 00:38:11,693
Then after that, another two hours
before she got back to a bed.

613
00:38:11,727 --> 00:38:15,353
And then after that, another hour
before a doctor saw her.

614
00:38:15,406 --> 00:38:17,823
So, what's that, like five hours?
That's not so bad.

615
00:38:18,398 --> 00:38:20,842
It can be better.
It will be better.

616
00:38:21,655 --> 00:38:24,392
What if the triage nurse
had standing orders

617
00:38:24,587 --> 00:38:27,793
for labs and IV fluids and anti-emetics

618
00:38:27,978 --> 00:38:30,372
with a patient like this?
What would happen?

619
00:38:30,417 --> 00:38:33,532
The very charming Mrs. Calder
would be brought right back,

620
00:38:33,575 --> 00:38:37,673
she would get relief,
she would registered at her bedside.

621
00:38:37,705 --> 00:38:39,972
We would knock four hours off
her stay time,

622
00:38:40,007 --> 00:38:42,992
and we would be on top of her problems
before she crashed.

623
00:38:43,035 --> 00:38:45,162
That is a wonderful theory.

624
00:38:45,746 --> 00:38:50,131
- You're taking this personally, Sam.
- Yeah, I'm a nurse, I do triage.

625
00:38:50,375 --> 00:38:53,011
Yeah, I take it personally
when you criticize the job I'm doing.

626
00:38:53,068 --> 00:38:57,091
Good. Okay, good.
I'd be worried about you if you didn't.

627
00:38:57,138 --> 00:38:59,393
Now, the interns.

628
00:38:59,898 --> 00:39:05,801
The peripatetic Dr. Gates
did an inadequate history.

629
00:39:06,035 --> 00:39:09,003
He ordered tests
without consulting an attending.

630
00:39:09,037 --> 00:39:11,263
It was busy.
That's not unusual.

631
00:39:11,376 --> 00:39:15,003
See again, you're arguing that incompetence
and sloppiness are the norm,

632
00:39:15,075 --> 00:39:16,921
and that's no way to impress me.

633
00:39:17,056 --> 00:39:20,570
The resident-- Abby, right?

634
00:39:21,238 --> 00:39:24,551
You assumed that Gates had done
a thorough H and P, and he had not.

635
00:39:24,578 --> 00:39:26,183
It looked like gastroenteritis.

636
00:39:26,208 --> 00:39:30,792
Based on the incomplete H and P which
he took and you accepted at face value.

637
00:39:30,816 --> 00:39:32,940
Your intern led you down
the primrose path.

638
00:39:32,977 --> 00:39:35,312
You sold that to the attending Dr. Pratt,

639
00:39:35,405 --> 00:39:37,700
and then the three of you blithely

640
00:39:37,876 --> 00:39:41,870
walked Mrs. Calder right along
with you to death's door.

641
00:39:41,896 --> 00:39:45,452
- Oh, come on.
- Sepsis was a viable diagnosis.

642
00:39:45,726 --> 00:39:47,652
- Viable?
- Yeah.

643
00:39:47,708 --> 00:39:49,432
Viable?

644
00:39:50,666 --> 00:39:55,280
Nobody took a decent history!

645
00:39:57,176 --> 00:39:58,231
Fact:

646
00:39:58,277 --> 00:40:03,232
80 percent of all diagnoses can be
made on the basis of history alone.

647
00:40:03,608 --> 00:40:06,433
But nobody bothered
to talk to the patient.

648
00:40:06,638 --> 00:40:09,013
You knew what meds she was on
now, that's the easy part,

649
00:40:09,046 --> 00:40:10,782
but what meds was she on a month ago?

650
00:40:10,836 --> 00:40:12,301
One month ago...

651
00:40:12,527 --> 00:40:17,102
she did a two-week course of high-dose
prednisone for URI-associated bronchospasm.

652
00:40:17,135 --> 00:40:21,621
The steroids suppressed her adrenal
glands. She had adrenal insufficiency.

653
00:40:21,637 --> 00:40:24,920
Yes, fine, but that's a pretty rare
condition. We don't see it that often.

654
00:40:24,947 --> 00:40:26,213
No, you see it.

655
00:40:26,397 --> 00:40:28,792
- You just don't recognize it.
- All right, we get the point.

656
00:40:28,837 --> 00:40:30,330
You want us to be more careful.

657
00:40:30,345 --> 00:40:33,720
No, that's a very reductive version
of what I want. What I want is

658
00:40:33,745 --> 00:40:37,262
for us to live in mortal fear
of doing something wrong,

659
00:40:37,305 --> 00:40:41,161
of missing something and having
somebody else pay the price for that.

660
00:40:42,685 --> 00:40:46,612
And I want us to use that fear
to make us better.

661
00:40:47,605 --> 00:40:50,001
I am not here because I need the work.

662
00:40:50,626 --> 00:40:52,923
I'm here because I want
to save the world.

663
00:40:53,015 --> 00:40:54,881
And the way were going to do
it is we're going to reinvent

664
00:40:54,975 --> 00:40:57,533
the way we practice medicine every day.

665
00:40:57,576 --> 00:41:00,350
Right now, right here, on the front.

666
00:41:00,576 --> 00:41:02,913
I have another shift to start, so go.

667
00:41:18,378 --> 00:41:20,500
I've worked here
for a long time, and uh...

668
00:41:20,518 --> 00:41:25,382
you might think that this is the way
to motivate people, but it's not.

669
00:41:26,438 --> 00:41:27,932
Thank you for your input.

670
00:41:29,315 --> 00:41:32,091
- Yeah, listen, all I'm saying is...
- I know; I said thank you.

671
00:41:35,557 --> 00:41:37,570
I think that all of you are just going
to have to take a little time

672
00:41:37,617 --> 00:41:40,090
to get used to my management style.

673
00:41:44,487 --> 00:41:46,633
And you in particular, are going
to have to take a little time

674
00:41:46,678 --> 00:41:49,863
to get used to working with a chief
that you're not sleeping with.

675
00:41:59,545 --> 00:42:01,082
It's not political.

676
00:42:01,296 --> 00:42:07,753
It's not about Republican or Democrat.
It's about young lives lost every day.

677
00:42:07,966 --> 00:42:10,160
Every day.

678
00:42:10,818 --> 00:42:13,323
And knowing when to say,
"We've done what we could,

679
00:42:13,358 --> 00:42:15,791
"and maybe it's time for us to go home.

680
00:42:16,097 --> 00:42:18,930
Let those people sort this
out for themselves."

681
00:42:19,918 --> 00:42:22,032
That's what my brother came to think eventually.

682
00:42:22,076 --> 00:42:25,261
- Stay the course! Finish the job!
- After being over there two years

683
00:42:25,348 --> 00:42:28,942
and seeing what was going on,
seeing what the results were...

684
00:42:29,178 --> 00:42:31,641
- Get off the stage!
- Unfortunately, the letter in wich...

685
00:42:31,676 --> 00:42:35,861
he expressed that was written the night
before he got killed by a sniper's bullet...

686
00:42:57,336 --> 00:43:02,530
Subtitles : Willow's Team
Transcript : Raceman
www.forom.com

