1 00:01:56,094 --> 00:01:58,101 ×ÖÄ» On a scale of 1 to 10, pain-wise, 2 00:01:58,102 --> 00:01:59,854 ×ÖÄ» How would you describe the headache? 3 00:01:59,989 --> 00:02:01,965 ×ÖÄ» Uh, right now it's like a 5. 4 00:02:01,966 --> 00:02:03,513 ×ÖÄ» Before it was more like a 9. 5 00:02:03,565 --> 00:02:05,144 ×ÖÄ» And you're still feeling nauseated? 6 00:02:05,485 --> 00:02:06,486 ×ÖÄ» A little. 7 00:02:10,540 --> 00:02:11,899 ×ÖÄ» Everything... 8 00:02:11,900 --> 00:02:13,574 ×ÖÄ» Getting there. Thanks. 9 00:02:14,859 --> 00:02:15,776 ×ÖÄ» I got to... 10 00:02:15,777 --> 00:02:17,051 ×ÖÄ» Yeah, sure. 11 00:02:18,032 --> 00:02:19,099 ×ÖÄ» Tina? 12 00:02:19,760 --> 00:02:22,554 ×ÖÄ» I just want to thank you again for helping out. 13 00:02:23,313 --> 00:02:24,005 ×ÖÄ» Uh, much appreciated. 14 00:02:24,006 --> 00:02:25,797 ×ÖÄ» Yeah, we know who's helping who, gato. 15 00:02:25,798 --> 00:02:26,785 ×ÖÄ» Let's get lab, stat! What the... 16 00:02:26,786 --> 00:02:27,709 ×ÖÄ» Respiratory, come get gasses, and I want a 12 lead. 17 00:02:27,710 --> 00:02:29,188 ×ÖÄ» Can you at least go out on a date 18 00:02:29,189 --> 00:02:31,071 ×ÖÄ» And not come back here humping on somebody? 19 00:02:31,072 --> 00:02:33,267 ×ÖÄ» You're really funny, gato. Just keep pushing me to c.C.U. 20 00:02:33,268 --> 00:02:35,163 ×ÖÄ» Do not pass "Go." Move it! 21 00:02:38,341 --> 00:02:41,204 ×ÖÄ» Backboard! Let's get a gurney in here now! Man: I'll get it. 22 00:02:41,205 --> 00:02:42,560 ×ÖÄ» He came in with nausea and a migraine. 23 00:02:42,561 --> 00:02:43,902 ×ÖÄ» 10 milligrams of midazolam I.M. 24 00:02:43,903 --> 00:02:45,545 ×ÖÄ» Okay. We're taking him into trauma. 25 00:02:45,546 --> 00:02:46,811 ×ÖÄ» I need a glucose level, stat. 26 00:02:46,812 --> 00:02:47,908 ×ÖÄ» Yes, doctor. Got his head. 27 00:02:47,909 --> 00:02:50,675 ×ÖÄ» Get him on. Get him on. 1, 2, 3. Lift. 28 00:02:50,676 --> 00:02:51,887 ×ÖÄ» Protect his airway. 29 00:02:53,476 --> 00:02:55,578 ×ÖÄ» Has he taken any medication today that you know of? 30 00:02:55,579 --> 00:02:58,300 ×ÖÄ» He said no. Give him dilantin. 31 00:02:58,301 --> 00:03:00,973 ×ÖÄ» As soon as he's postictal, get a c.B.C. And lytes. 32 00:03:00,974 --> 00:03:01,945 ×ÖÄ» I'll do it. 33 00:03:03,503 --> 00:03:04,663 ×ÖÄ» All right, roll him on his other side. 34 00:03:04,664 --> 00:03:05,777 ×ÖÄ» Syringe. 35 00:03:06,253 --> 00:03:07,207 ×ÖÄ» Careful. 36 00:03:08,579 --> 00:03:09,565 ×ÖÄ» Good. 37 00:03:13,075 --> 00:03:16,093 ×ÖÄ» Roll him back. Suction. 38 00:03:20,898 --> 00:03:22,012 ×ÖÄ» Gloves. 39 00:03:28,634 --> 00:03:29,779 ×ÖÄ» Dr. Wayne? 40 00:03:30,874 --> 00:03:33,075 ×ÖÄ» suction and rotund forcep. 41 00:03:35,753 --> 00:03:37,859 ×ÖÄ» Okay, then. How are we all doing? 42 00:03:38,745 --> 00:03:41,544 ×ÖÄ» Well, I see you're all trying to save me a little time. 43 00:03:41,545 --> 00:03:45,793 ×ÖÄ» Uh, not to worry -- my morning is remarkably free today. 44 00:03:45,848 --> 00:03:46,899 ×ÖÄ» What do? 45 00:03:47,303 --> 00:03:48,723 ×ÖÄ» Dr. Park! 46 00:03:48,967 --> 00:03:50,051 ×ÖÄ» what a pleasure. 47 00:03:50,052 --> 00:03:53,837 ×ÖÄ» Uh, are you here to assist or -- or learn or... 48 00:03:54,180 --> 00:03:55,706 ×ÖÄ» from the rumors I'm hearing, 49 00:03:55,707 --> 00:03:57,909 ×ÖÄ» Perhaps I should be learning from you. 50 00:03:58,650 --> 00:03:59,849 ×ÖÄ» what do here? 51 00:03:59,850 --> 00:04:01,477 ×ÖÄ» Uh, I beg your pardon? 52 00:04:01,547 --> 00:04:04,436 ×ÖÄ» What do? Why here? 53 00:04:06,730 --> 00:04:08,460 ×ÖÄ» Well, I'm here to, uh, 54 00:04:09,461 --> 00:04:11,758 ×ÖÄ» remove this man's meningioma, 55 00:04:11,759 --> 00:04:12,519 ×ÖÄ» My good man. 56 00:04:12,520 --> 00:04:14,742 ×ÖÄ» That's why they pay me the big bucks. 57 00:04:14,743 --> 00:04:15,636 ×ÖÄ» Scalpel, please. 58 00:04:15,637 --> 00:04:18,404 ×ÖÄ» Not meningioma. Aneurysm. 59 00:04:18,405 --> 00:04:20,175 ×ÖÄ» Not man. Woman. 60 00:04:20,964 --> 00:04:22,590 ×ÖÄ» Not morning. Night. 61 00:04:23,028 --> 00:04:25,023 ×ÖÄ» Not your patient. Mine. 62 00:04:26,788 --> 00:04:28,664 ×ÖÄ» Honor to have you, 63 00:04:28,665 --> 00:04:32,319 ×ÖÄ» but aneurysm, woman, night, mine. 64 00:04:39,218 --> 00:04:40,221 ×ÖÄ» Right. 65 00:04:53,456 --> 00:04:55,371 ×ÖÄ» What the hell was that? Quiet. 66 00:04:56,114 --> 00:05:00,987 ×ÖÄ» Respect. Man legend. 67 00:05:20,231 --> 00:05:21,999 ×ÖÄ» ŠčĢżŅė 68 00:05:22,326 --> 00:05:23,376 ×ÖÄ» What's going on? 69 00:05:23,398 --> 00:05:25,535 ×ÖÄ» He has some serious regurgitation. 70 00:05:25,685 --> 00:05:28,293 ×ÖÄ» How old is he? Only 48. 71 00:05:28,294 --> 00:05:29,989 ×ÖÄ» God, look at that. The infection is everywhere. 72 00:05:29,990 --> 00:05:31,727 ×ÖÄ» It's widespread throughout the heart. 73 00:05:32,021 --> 00:05:33,216 ×ÖÄ» this is not good. 74 00:05:43,792 --> 00:05:45,146 ×ÖÄ» Janeway lesions. 75 00:05:45,904 --> 00:05:48,106 ×ÖÄ» This man has bacterial endocarditis. 76 00:05:53,808 --> 00:05:56,351 ×ÖÄ» Bacterial what? Endocarditis. 77 00:05:56,352 --> 00:05:57,033 ×ÖÄ» It's an infection 78 00:05:57,034 --> 00:05:59,172 ×ÖÄ» In the lining of the heart chambers and valves. 79 00:05:59,546 --> 00:06:01,748 ×ÖÄ» Will he be okay? We think so. 80 00:06:01,817 --> 00:06:03,939 ×ÖÄ» We need to pump him full of antibiotics 81 00:06:03,940 --> 00:06:05,599 ×ÖÄ» And then surgically replace the valves. 82 00:06:05,600 --> 00:06:07,050 ×ÖÄ» Oh, my god. 83 00:06:07,329 --> 00:06:10,122 ×ÖÄ» I mean, I knew he was tired, but other than that... 84 00:06:10,143 --> 00:06:12,761 ×ÖÄ» Has your husband been to a dentist recently? 85 00:06:12,832 --> 00:06:16,362 ×ÖÄ» Yes, a couple weeks ago. He had his teeth cleaned. Why? 86 00:06:16,607 --> 00:06:19,788 ×ÖÄ» Well, teeth-cleaning can sometimes cause bacterial infections. 87 00:06:19,789 --> 00:06:21,559 ×ÖÄ» My bet is that's where it started. 88 00:06:22,413 --> 00:06:24,085 ×ÖÄ» From getting his teeth cleaned? 89 00:06:24,380 --> 00:06:25,813 ×ÖÄ» His valves can rot? 90 00:06:29,372 --> 00:06:33,270 ×ÖÄ» E.E.G.'s normal. Any history of epilepsy? 91 00:06:33,339 --> 00:06:34,261 ×ÖÄ» No. 92 00:06:34,443 --> 00:06:35,670 ×ÖÄ» You've never seized before? 93 00:06:35,671 --> 00:06:37,461 ×ÖÄ» I've never even been sick. 94 00:06:37,462 --> 00:06:39,393 ×ÖÄ» Recent head trauma? No. 95 00:06:39,574 --> 00:06:40,646 ×ÖÄ» Sports? 96 00:06:40,647 --> 00:06:43,744 ×ÖÄ» ŠčĢżŅė 97 00:06:44,615 --> 00:06:45,613 ×ÖÄ» ŠčĢżŅė 98 00:06:45,614 --> 00:06:48,120 ×ÖÄ» I swim at oregon, and olympic trials are coming up. 99 00:06:48,366 --> 00:06:49,704 ×ÖÄ» How's your hydration? 100 00:06:50,238 --> 00:06:52,362 ×ÖÄ» I spend half the day in water. 101 00:06:52,528 --> 00:06:55,225 ×ÖÄ» Yeah, I know, but you need to drink it. 102 00:06:55,679 --> 00:06:57,832 ×ÖÄ» When did you first start to feel nauseated? 103 00:06:57,904 --> 00:07:00,388 ×ÖÄ» Uh, I think around dinnertime. 104 00:07:00,389 --> 00:07:02,303 ×ÖÄ» After you trained? Yeah. 105 00:07:02,304 --> 00:07:04,972 ×ÖÄ» Mm-hmm, onset seizure. No apparent infection. 106 00:07:04,973 --> 00:07:07,718 ×ÖÄ» High hematocrits. C.T.'s clean. 107 00:07:12,445 --> 00:07:15,661 ×ÖÄ» Do you take steroids, son? What? 108 00:07:15,662 --> 00:07:19,369 ×ÖÄ» Olympic hopeful. You wouldn't be the first. 109 00:07:20,734 --> 00:07:24,056 ×ÖÄ» I do not take steroids. Are you kidding me? 110 00:07:32,103 --> 00:07:33,073 ×ÖÄ» Harding. 111 00:07:35,319 --> 00:07:36,866 ×ÖÄ» Dr. Wayne not right. 112 00:07:37,031 --> 00:07:37,791 ×ÖÄ» I beg your pardon? 113 00:07:37,792 --> 00:07:40,301 ×ÖÄ» Came into o.R. To operate on man with tumor 114 00:07:40,302 --> 00:07:41,929 ×ÖÄ» On woman with no tumor. 115 00:07:42,472 --> 00:07:43,953 ×ÖÄ» What are you talking about? 116 00:07:44,007 --> 00:07:46,959 ×ÖÄ» Wrong room, wrong patient, wrong time, wrong procedure. 117 00:07:46,960 --> 00:07:49,178 ×ÖÄ» Not well. Seemed confused. 118 00:07:49,179 --> 00:07:50,616 ×ÖÄ» Well, not to take sides, sung, 119 00:07:50,617 --> 00:07:52,714 ×ÖÄ» But confusion seems to be systemic 120 00:07:52,715 --> 00:07:54,661 ×ÖÄ» When it's you doing the explaining. 121 00:07:54,874 --> 00:07:56,388 ×ÖÄ» Please, harding. 122 00:07:58,810 --> 00:08:00,388 ×ÖÄ» Dr. Wayne not well. 123 00:08:03,994 --> 00:08:06,106 ×ÖÄ» Harding, I couldn't help but overhear that. 124 00:08:06,107 --> 00:08:06,648 ×Ö Yes, that's one 125 00:08:06,649 --> 00:08:08,653 Ä» of the by-products of eavesdropping, buck, isn't it? 126 00:08:08,654 --> 00:08:12,914 ×ÖÄ» I had a similar experience with dr. Wayne myself last month. 127 00:08:12,915 --> 00:08:14,033 ×ÖÄ» We were doing a procedure together, 128 00:08:14,034 --> 00:08:15,952 ×ÖÄ» And he just left the room. 129 00:08:15,953 --> 00:08:18,902 ×ÖÄ» He just went, "Va-voom." He left. Va-voom. 130 00:08:18,903 --> 00:08:23,436 ×ÖÄ» Va-voom? He's a mercurial man, and a very busy one, at that. 131 00:08:23,437 --> 00:08:25,431 ×ÖÄ» ŠčĢżŅė 132 00:08:25,473 --> 00:08:27,267 ×ÖÄ» ŠčĢżŅė 133 00:08:27,268 --> 00:08:30,348 ×ÖÄ» This was different. It was like he was off. 134 00:08:30,349 --> 00:08:32,595 ×ÖÄ» I'm sure you're mistaken. I'm sure I'm not. 135 00:08:32,596 --> 00:08:34,279 ×ÖÄ» You're speaking of one of the pre-eminent 136 00:08:34,280 --> 00:08:35,725 ×ÖÄ» Neurosurgeons in the world. 137 00:08:35,726 --> 00:08:37,821 ×ÖÄ» Yet I'm also speaking of an 85-year-old man. 138 00:08:37,822 --> 00:08:40,015 ×ÖÄ» And as much as you love him, harding, 139 00:08:40,016 --> 00:08:42,191 ×ÖÄ» You have a duty as chief of staff -- 140 00:08:42,192 --> 00:08:44,212 ×ÖÄ» Now this is where I go, "Va-voom." 141 00:08:58,724 --> 00:08:59,886 ×ÖÄ» How are we doing? 142 00:09:01,024 --> 00:09:02,985 ×ÖÄ» much better. When can I leave? 143 00:09:04,336 --> 00:09:06,489 ×ÖÄ» grab my fingers. Squeeze. 144 00:09:08,400 --> 00:09:09,427 ×ÖÄ» All right. Did the tests show anything? 145 00:09:09,428 --> 00:09:11,822 ×ÖÄ» Uh, nothing bad. That's the good. 146 00:09:11,844 --> 00:09:13,311 ×ÖÄ» So, what's the bad? 147 00:09:13,894 --> 00:09:15,310 ×ÖÄ» We're a little stumped. 148 00:09:15,636 --> 00:09:17,233 ×ÖÄ» ŠčĢżŅė 149 00:09:17,234 --> 00:09:20,060 ×ÖÄ» I'm sure. And I do not take steroids. 150 00:09:20,105 --> 00:09:21,380 ×ÖÄ» He had to ask. 151 00:09:21,433 --> 00:09:22,866 ×ÖÄ» Do you smoke? Do I smoke? 152 00:09:22,867 --> 00:09:24,156 ×ÖÄ» Yeah, that's how I win a 400-meter. 153 00:09:24,157 --> 00:09:26,252 ×ÖÄ» I suck on as many cigarettes as possible. 154 00:09:26,253 --> 00:09:28,088 ×ÖÄ» I have to ask, too. 155 00:09:28,797 --> 00:09:30,183 ×ÖÄ» Push against my hands. 156 00:09:30,685 --> 00:09:34,209 ×ÖÄ» No weed, no bath salts, no vodka-soaked gummy bears. 157 00:09:34,210 --> 00:09:35,181 ×ÖÄ» Pull. 158 00:09:35,843 --> 00:09:38,093 ×ÖÄ» No girlfriend, either, if that was your next question. 159 00:09:38,754 --> 00:09:40,077 ×ÖÄ» It wasn't. 160 00:09:40,162 --> 00:09:41,309 ×ÖÄ» Yeah, sorry. 161 00:09:41,538 --> 00:09:42,618 ×ÖÄ» My -- my dad just once said, 162 00:09:42,619 --> 00:09:44,921 ×ÖÄ» "If you ever have a beautiful woman staring deep in your eyes, 163 00:09:44,922 --> 00:09:46,772 ×ÖÄ» You know, take your shot." 164 00:09:46,984 --> 00:09:50,359 ×ÖÄ» Even if she's looking for why you might have epilepsy, huh? 165 00:09:50,360 --> 00:09:51,635 ×ÖÄ» ŠčĢżŅė 166 00:09:52,704 --> 00:09:53,964 ×ÖÄ» No, not really. 167 00:09:55,089 --> 00:09:56,172 ×ÖÄ» ŠčĢżŅė 168 00:09:58,993 --> 00:10:00,762 ×ÖÄ» You've never seized before? 169 00:10:01,089 --> 00:10:02,091 ×ÖÄ» Promise. 170 00:10:05,425 --> 00:10:07,957 ×ÖÄ» Toxicology showed nothing. And he feels fine now? 10171 00:10:06,034 --> 00:10:09,346 {\an8}xx 172 00:10:07,958 --> 00:10:09,072 ×ÖÄ» He says so. 173 00:10:09,414 --> 00:10:11,040 ×ÖÄ» Wants to get back in that pool. 174 00:10:11,541 --> 00:10:12,850 ×ÖÄ» Should we just discharge him? 175 00:10:12,851 --> 00:10:15,196 ×ÖÄ» Well, healthy kids don't seize for no reason. 176 00:10:15,197 --> 00:10:16,647 ×ÖÄ» There's no sign of traumatic injury, 177 00:10:16,648 --> 00:10:18,946 ×ÖÄ» No tumor, no fistula, no abscess. 178 00:10:19,463 --> 00:10:20,689 ×ÖÄ» Maybe it is epilepsy. 179 00:10:20,690 --> 00:10:22,971 ×ÖÄ» With onset at age 21? No. 180 00:10:23,696 --> 00:10:25,468 ×ÖÄ» We're missing something, people. 181 00:10:25,809 --> 00:10:28,442 ×ÖÄ» I don't know what it is, but we're missing something. 182 00:10:29,185 --> 00:10:30,427 ×ÖÄ» Should we call house? 183 00:10:33,248 --> 00:10:34,282 ×ÖÄ» Sorry. 184 00:10:35,026 --> 00:10:36,891 ×ÖÄ» My dentist did this to me? 185 00:10:36,892 --> 00:10:38,246 ×ÖÄ» I'm saying it's possible. 186 00:10:38,491 --> 00:10:40,838 ×ÖÄ» That putz! I don't understand what happened. 187 00:10:40,839 --> 00:10:42,089 ×ÖÄ» He had a stent put in. 188 00:10:42,090 --> 00:10:43,900 ×ÖÄ» This is unrelated to the stent. 189 00:10:43,901 --> 00:10:46,314 ×ÖÄ» Oh, come on. He had his teeth cleaned. Then he had a stent. 190 00:10:46,315 --> 00:10:48,498 ×ÖÄ» You're saying it's the former that damaged his heart? 191 00:10:48,499 --> 00:10:50,006 ×ÖÄ» Believe it or not, teeth-cleaning 192 00:10:50,007 --> 00:10:52,715 ×ÖÄ» Is among the leading causes of infective endocarditis. 193 00:10:52,716 --> 00:10:54,089 ×ÖÄ» Bacteria can get into the blood. 194 00:10:54,090 --> 00:10:56,215 ×ÖÄ» And if it does, it can migrate. 195 00:10:56,216 --> 00:10:58,963 ×ÖÄ» I'll tell you this -- I am very pissed off here. 196 00:10:59,095 --> 00:11:01,090 ×ÖÄ» The only consolation is I just got richer. 197 00:11:02,040 --> 00:11:04,275 ×ÖÄ» Let's hope that putz paid his malpractice premium. 198 00:11:05,888 --> 00:11:07,547 ×ÖÄ» Maybe we can get that boat now. 199 00:11:24,538 --> 00:11:27,652 ×ÖÄ» Don't look now, but we're being watched. 200 00:11:28,442 --> 00:11:32,468 ×ÖÄ» Actually, I believe it's me who's under observation.