×ÖÄ» On a scale of 1 to 10, pain-wise,
×ÖÄ» How would you describe the headache?
×ÖÄ» Uh, right now it's like a 5.
×ÖÄ» Before it was more like a 9.
×ÖÄ» And you're still feeling nauseated?
×ÖÄ» A little.
×ÖÄ» Everything...
×ÖÄ» Getting there. Thanks.
×ÖÄ» I got to...
×ÖÄ» Yeah, sure.
×ÖÄ» Tina?
×ÖÄ» I just want to thank you again for helping out.
×ÖÄ» Uh, much appreciated.
×ÖÄ» Yeah, we know who's helping who, gato.
×ÖÄ» Let's get lab, stat! What the...
×ÖÄ» Respiratory, come get gasses, and I want a 12 lead.
×ÖÄ» Can you at least go out on a date
×ÖÄ» And not come back here humping on somebody?
×ÖÄ» You're really funny, gato. Just keep pushing me to c.C.U.
×ÖÄ» Do not pass "Go." Move it!
×ÖÄ» Backboard! Let's get a gurney in here now! Man: I'll get it.
×ÖÄ» He came in with nausea and a migraine.
×ÖÄ» 10 milligrams of midazolam I.M.
×ÖÄ» Okay. We're taking him into trauma.
×ÖÄ» I need a glucose level, stat.
×ÖÄ» Yes, doctor. Got his head.
×ÖÄ» Get him on. Get him on. 1, 2, 3. Lift.
×ÖÄ» Protect his airway.
×ÖÄ» Has he taken any medication today that you know of?
×ÖÄ» He said no. Give him dilantin.
×ÖÄ» As soon as he's postictal, get a c.B.C. And lytes.
×ÖÄ» I'll do it.
×ÖÄ» All right, roll him on his other side.
×ÖÄ» Syringe.
×ÖÄ» Careful.
×ÖÄ» Good.
×ÖÄ» Roll him back. Suction.
×ÖÄ» Gloves.
×ÖÄ» Dr. Wayne?
×ÖÄ» suction and rotund forcep.
×ÖÄ» Okay, then. How are we all doing?
×ÖÄ» Well, I see you're all trying to save me a little time.
×ÖÄ» Uh, not to worry -- my morning is remarkably free today.
×ÖÄ» What do?
×ÖÄ» Dr. Park!
×ÖÄ» what a pleasure.
×ÖÄ» Uh, are you here to assist or -- or learn or...
×ÖÄ» from the rumors I'm hearing,
×ÖÄ» Perhaps I should be learning from you.
×ÖÄ» what do here?
×ÖÄ» Uh, I beg your pardon?
×ÖÄ» What do? Why here?
×ÖÄ» Well, I'm here to, uh,
×ÖÄ» remove this man's meningioma,
×ÖÄ» My good man.
×ÖÄ» That's why they pay me the big bucks.
×ÖÄ» Scalpel, please.
×ÖÄ» Not meningioma. Aneurysm.
×ÖÄ» Not man. Woman.
×ÖÄ» Not morning. Night.
×ÖÄ» Not your patient. Mine.
×ÖÄ» Honor to have you,
×ÖÄ» but aneurysm, woman, night, mine.
×ÖÄ» Right.
×ÖÄ» What the hell was that? Quiet.
×ÖÄ» Respect. Man legend.
×ÖÄ» ŠčĢżŅė
×ÖÄ» What's going on?
×ÖÄ» He has some serious regurgitation.
×ÖÄ» How old is he? Only 48.
×ÖÄ» God, look at that. The infection is everywhere.
×ÖÄ» It's widespread throughout the heart.
×ÖÄ» this is not good.
×ÖÄ» Janeway lesions.
×ÖÄ» This man has bacterial endocarditis.
×ÖÄ» Bacterial what? Endocarditis.
×ÖÄ» It's an infection
×ÖÄ» In the lining of the heart chambers and valves.
×ÖÄ» Will he be okay? We think so.
×ÖÄ» We need to pump him full of antibiotics
×ÖÄ» And then surgically replace the valves.
×ÖÄ» Oh, my god.
×ÖÄ» I mean, I knew he was tired, but other than that...
×ÖÄ» Has your husband been to a dentist recently?
×ÖÄ» Yes, a couple weeks ago. He had his teeth cleaned. Why?
×ÖÄ» Well, teeth-cleaning can sometimes cause bacterial infections.
×ÖÄ» My bet is that's where it started.
×ÖÄ» From getting his teeth cleaned?
×ÖÄ» His valves can rot?
×ÖÄ» E.E.G.'s normal. Any history of epilepsy?
×ÖÄ» No.
×ÖÄ» You've never seized before?
×ÖÄ» I've never even been sick.
×ÖÄ» Recent head trauma? No.
×ÖÄ» Sports?
×ÖÄ» ŠčĢżŅė
×ÖÄ» I swim at oregon, and olympic trials are coming up.
×ÖÄ» How's your hydration?
×ÖÄ» I spend half the day in water.
×ÖÄ» Yeah, I know, but you need to drink it.
×ÖÄ» When did you first start to feel nauseated?
×ÖÄ» Uh, I think around dinnertime.
×ÖÄ» After you trained? Yeah.
×ÖÄ» Mm-hmm, onset seizure. No apparent infection.
×ÖÄ» High hematocrits. C.T.'s clean.
×ÖÄ» Do you take steroids, son? What?
×ÖÄ» Olympic hopeful. You wouldn't be the first.
×ÖÄ» I do not take steroids. Are you kidding me?
×ÖÄ» Harding.
×ÖÄ» Dr. Wayne not right.
×ÖÄ» I beg your pardon?
×ÖÄ» Came into o.R. To operate on man with tumor
×ÖÄ» On woman with no tumor.
×ÖÄ» What are you talking about?
×ÖÄ» Wrong room, wrong patient, wrong time, wrong procedure.
×ÖÄ» Not well. Seemed confused.
×ÖÄ» Well, not to take sides, sung,
×ÖÄ» But confusion seems to be systemic
×ÖÄ» When it's you doing the explaining.
×ÖÄ» Please, harding.
×ÖÄ» Dr. Wayne not well.
×ÖÄ» Harding, I couldn't help but overhear that.
×Ö Yes, that's one
Ä» of the by-products of eavesdropping, buck, isn't it?
×ÖÄ» I had a similar experience with dr. Wayne myself last month.
×ÖÄ» We were doing a procedure together,
×ÖÄ» And he just left the room.
×ÖÄ» He just went, "Va-voom." He left. Va-voom.
×ÖÄ» Va-voom? He's a mercurial man, and a very busy one, at that.
×ÖÄ» ŠčĢżŅė
×ÖÄ» This was different. It was like he was off.
×ÖÄ» I'm sure you're mistaken. I'm sure I'm not.
×ÖÄ» You're speaking of one of the pre-eminent
×ÖÄ» Neurosurgeons in the world.
×ÖÄ» Yet I'm also speaking of an 85-year-old man.
×ÖÄ» And as much as you love him, harding,
×ÖÄ» You have a duty as chief of staff --
×ÖÄ» Now this is where I go, "Va-voom."
×ÖÄ» How are we doing?
×ÖÄ» much better. When can I leave?
×ÖÄ» grab my fingers. Squeeze.
×ÖÄ» All right. Did the tests show anything?
×ÖÄ» Uh, nothing bad. That's the good.
×ÖÄ» So, what's the bad?
×ÖÄ» We're a little stumped.
×ÖÄ» ŠčĢżŅė
×ÖÄ» I'm sure. And I do not take steroids.
×ÖÄ» He had to ask.
×ÖÄ» Do you smoke? Do I smoke?
×ÖÄ» Yeah, that's how I win a 400-meter.
×ÖÄ» I suck on as many cigarettes as possible.
×ÖÄ» I have to ask, too.
×ÖÄ» Push against my hands.
×ÖÄ» No weed, no bath salts, no vodka-soaked gummy bears.
×ÖÄ» Pull.
×ÖÄ» No girlfriend, either, if that was your next question.
×ÖÄ» It wasn't.
×ÖÄ» Yeah, sorry.
×ÖÄ» My -- my dad just once said,
×ÖÄ» "If you ever have a beautiful woman staring deep in your eyes,
×ÖÄ» You know, take your shot."
×ÖÄ» Even if she's looking for why you might have epilepsy, huh?
×ÖÄ» ŠčĢżŅė
×ÖÄ» No, not really.
×ÖÄ» ŠčĢżŅė
×ÖÄ» You've never seized before?
×ÖÄ» Promise.
×ÖÄ» Toxicology showed nothing. And he feels fine now?
xx
×ÖÄ» He says so.
×ÖÄ» Wants to get back in that pool.
×ÖÄ» Should we just discharge him?
×ÖÄ» Well, healthy kids don't seize for no reason.
×ÖÄ» There's no sign of traumatic injury,
×ÖÄ» No tumor, no fistula, no abscess.
×ÖÄ» Maybe it is epilepsy.
×ÖÄ» With onset at age 21? No.
×ÖÄ» We're missing something, people.
×ÖÄ» I don't know what it is, but we're missing something.
×ÖÄ» Should we call house?
×ÖÄ» Sorry.
×ÖÄ» My dentist did this to me?
×ÖÄ» I'm saying it's possible.
×ÖÄ» That putz! I don't understand what happened.
×ÖÄ» He had a stent put in.
×ÖÄ» This is unrelated to the stent.
×ÖÄ» Oh, come on. He had his teeth cleaned. Then he had a stent.
×ÖÄ» You're saying it's the former that damaged his heart?
×ÖÄ» Believe it or not, teeth-cleaning
×ÖÄ» Is among the leading causes of infective endocarditis.
×ÖÄ» Bacteria can get into the blood.
×ÖÄ» And if it does, it can migrate.
×ÖÄ» I'll tell you this -- I am very pissed off here.
×ÖÄ» The only consolation is I just got richer.
×ÖÄ» Let's hope that putz paid his malpractice premium.
×ÖÄ» Maybe we can get that boat now.
×ÖÄ» Don't look now, but we're being watched.
×ÖÄ» Actually, I believe it's me who's under observation.