1 00:00:04,992 --> 00:00:06,545 Previously on E.R: 2 00:00:07,624 --> 00:00:09,445 - How's your dad doing? - Okay. 3 00:00:09,480 --> 00:00:11,482 Got a nurse for him 16 hours a day, 4 00:00:11,517 --> 00:00:13,517 and then from 11:00 to 7:00 it's just me. 5 00:00:13,552 --> 00:00:15,334 What happened there, doctor? That was your patient. 6 00:00:15,369 --> 00:00:18,238 No, it's a trauma. No medical record number yet, thanks. 7 00:00:18,273 --> 00:00:19,779 Don't say please and thank you to the blood bank, 8 00:00:19,814 --> 00:00:21,049 and don't let the boys bully you. 9 00:00:21,084 --> 00:00:22,639 I wa... I wasn't letting the boys... 10 00:00:22,674 --> 00:00:23,875 You play with your hair when you're nervous. 11 00:00:23,910 --> 00:00:24,952 Want to get some dinner? 12 00:00:25,720 --> 00:00:27,743 Thanks. I have plans already. 13 00:00:28,233 --> 00:00:30,183 Not with anyone, if that's what you're wondering. 14 00:00:30,183 --> 00:00:31,034 Not a problem. 15 00:00:31,035 --> 00:00:33,314 - You abandoned that kid. - My shift was over. 16 00:00:33,349 --> 00:00:34,540 He was counting on you. 17 00:00:34,575 --> 00:00:36,564 - I had a gig. - Screw your gig! 18 00:00:36,599 --> 00:00:38,351 Medicine isn't a day job! 19 00:00:43,958 --> 00:00:46,020 Jing-Mei! 20 00:00:48,555 --> 00:00:50,710 Jing-Mei! 21 00:01:02,275 --> 00:01:05,849 - Come when I call you. - Why do you do this? 22 00:01:26,657 --> 00:01:31,788 - Please? - Papa, I can't. 23 00:01:49,948 --> 00:01:51,647 Okay. 24 00:01:52,194 --> 00:01:53,539 Okay. 25 00:01:54,297 --> 00:01:56,100 I promise. 26 00:01:57,773 --> 00:02:00,678 So how come your brother's staying with you? Your parents live in Winnetka. 27 00:02:00,679 --> 00:02:01,680 Ben's in the Peace Corps. 28 00:02:01,681 --> 00:02:03,960 My parents are always bugging him to get a real job. 29 00:02:03,961 --> 00:02:05,260 That sounds familiar. 30 00:02:05,695 --> 00:02:07,492 If I can just get the sofa bed. 31 00:02:07,527 --> 00:02:09,024 They're checking to see if we have it in stock. 32 00:02:09,025 --> 00:02:10,208 All right. Thanks. 33 00:02:10,243 --> 00:02:13,428 - You the youngest? - No, oldest. 34 00:02:13,640 --> 00:02:15,066 Ben and my little sister Tess. 35 00:02:15,101 --> 00:02:16,791 She's a junior partner in my dad's firm. 36 00:02:16,826 --> 00:02:18,353 I wonder who the favorite is. 37 00:02:18,913 --> 00:02:20,169 Do you have siblings? 38 00:02:20,204 --> 00:02:21,989 My brother died when I was 11. 39 00:02:22,024 --> 00:02:23,206 I'm sorry. 40 00:02:23,241 --> 00:02:27,023 We have the sofa bed in stock, but only in moss green, not black. 41 00:02:27,444 --> 00:02:29,846 All right, green's fine. Can you deliver it today? 42 00:02:29,847 --> 00:02:31,130 On Christmas Eve? 43 00:02:32,688 --> 00:02:34,904 I could probably tie that to the roof of the car. 44 00:02:34,939 --> 00:02:35,925 You think? 45 00:02:35,960 --> 00:02:39,148 It's why you brought me along, isn't it? A little brawn? 46 00:02:39,626 --> 00:02:42,849 - We'll take it. I'll go pay. - I'll go find some rope. 47 00:02:43,139 --> 00:02:45,088 - Meet you at the checkout. - All right, thanks. 48 00:02:52,292 --> 00:02:54,110 Can you say anything? Can you talk? 49 00:02:56,222 --> 00:02:59,163 Okay, you're choking, so I'm going to do this really hard, okay? 50 00:03:01,998 --> 00:03:03,095 Mom! 51 00:03:04,815 --> 00:03:07,508 No, no, it's okay. I was actually helping her. 52 00:03:07,509 --> 00:03:08,777 She was choking on the little piece.... 53 00:03:10,582 --> 00:03:12,617 I'm a doc... I think we should get out of here. 54 00:03:13,258 --> 00:03:15,914 - What happened? - I saved that little girl's life. 55 00:03:15,915 --> 00:03:17,786 - What's he saying? - Uh, "thanks"? 56 00:04:11,150 --> 00:04:13,043 We did it when I was a kid. 57 00:04:13,078 --> 00:04:15,994 No way. Gifts get opened on Christmas morning. 58 00:04:16,029 --> 00:04:18,285 Tell Dr. Lewis we'll be back for more as soon as we can. 59 00:04:18,320 --> 00:04:19,511 Where are you taking them? 60 00:04:19,512 --> 00:04:21,413 Harold Washington Library on State Street. 61 00:04:21,448 --> 00:04:22,417 The library? 62 00:04:22,452 --> 00:04:24,979 They keep opening up public buildings until everybody's in. 63 00:04:25,446 --> 00:04:27,588 If Alex opens a gift tonight... 64 00:04:27,623 --> 00:04:29,751 No, it's cheating if you open a gift the night before. 65 00:04:29,786 --> 00:04:31,723 Then he won't be so desperate to get up, 66 00:04:31,758 --> 00:04:35,429 which means he'll sleep in, which means we get to sleep in. 67 00:04:35,464 --> 00:04:37,716 - Oh, okay. - Plus it's just fun. 68 00:04:38,049 --> 00:04:40,732 Is that a trick so you can open your gift tonight? 69 00:04:41,482 --> 00:04:43,066 Robert Sanders, 42. 70 00:04:43,101 --> 00:04:46,012 Syncopal episode at home. Hit his head on a chair on the way down. 71 00:04:46,047 --> 00:04:48,125 Mr. Sanders, I'm Dr. Kovac. 72 00:04:48,126 --> 00:04:51,440 190/100. 110 and 130. Glucose 125. 73 00:04:51,475 --> 00:04:53,500 - I can't get a sat. - It's too cold to read. 74 00:04:53,501 --> 00:04:55,896 - You guys need some help? - So it seems. 75 00:04:55,897 --> 00:04:58,168 Increased work breathing, crackles bilaterally. 76 00:04:58,203 --> 00:04:59,333 Wife's a few minutes behind us. 77 00:04:59,368 --> 00:05:00,609 Gonna be below ten degrees tonight. 78 00:05:00,644 --> 00:05:01,705 Merry Christmas. 79 00:05:02,526 --> 00:05:05,157 Excuse us, please. You have to keep this pathway clear. 80 00:05:05,192 --> 00:05:06,206 - Medical history? - Read it and weep. 81 00:05:07,709 --> 00:05:08,730 Get out of the way now. 82 00:05:08,765 --> 00:05:11,227 Okay. "Systemic lupus erythematosis." 83 00:05:11,262 --> 00:05:12,626 Diagnosed 20 years ago. 84 00:05:12,661 --> 00:05:14,306 "Dialysis-dependent renal failure." 85 00:05:14,341 --> 00:05:16,443 I dialyzed yesterday, two hours. 86 00:05:16,478 --> 00:05:17,946 "Coronary artery disease." 87 00:05:17,981 --> 00:05:19,033 Yeah, come on. 88 00:05:19,068 --> 00:05:19,945 Okay, let's go. 89 00:05:19,980 --> 00:05:20,825 "Hypertension, Hepatitis "C." 90 00:05:20,825 --> 00:05:22,497 And a partridge in a pear tree. 91 00:05:23,181 --> 00:05:24,849 Sorry. I'm a handful. 92 00:05:24,850 --> 00:05:27,330 Hey, Morris, stop eating. We got a hundred people in the waiting area. 93 00:05:27,365 --> 00:05:28,589 Lewis already loaded me up. 94 00:05:28,624 --> 00:05:30,980 Pratt, is your CVA out of trauma one? 95 00:05:30,981 --> 00:05:32,038 ICU just called for him. 96 00:05:32,039 --> 00:05:34,269 - Sats correlating at 89. - Okay. Crank up the O2. 97 00:05:34,270 --> 00:05:35,706 Abby, I have six charts for you. 98 00:05:35,741 --> 00:05:37,505 I haven't even taken my coat off yet. 99 00:05:39,196 --> 00:05:41,616 Oh, Carter, stay on with DHS. 100 00:05:41,651 --> 00:05:43,489 You have to pound them to pick up the homeless. 101 00:05:43,490 --> 00:05:44,337 Right. Squeaky wheel. 102 00:05:44,338 --> 00:05:46,259 Yeah, it'll calm down soon enough. 103 00:05:46,294 --> 00:05:48,000 If they're not in by midnight, they'll be frozen. 104 00:05:48,035 --> 00:05:49,940 Susan, you guys going to be around tomorrow? 105 00:05:49,975 --> 00:05:52,356 Oh, yeah. Well, I'm on at 3:00, but we'll be hanging till then. 106 00:05:52,391 --> 00:05:53,335 You should bring Henry by. 107 00:05:53,336 --> 00:05:57,041 Oh, I will. I got something for Cosmo and I want you to see Henry in his Santa suit. 108 00:05:57,776 --> 00:06:00,119 - You got a headache? - No, I got a backache. 109 00:06:00,120 --> 00:06:02,535 I was helping a friend move a couch. Who else is on with me? 110 00:06:02,570 --> 00:06:04,399 Uh, Chen, but she's running a little late. 111 00:06:04,734 --> 00:06:07,636 It's becoming a habit. Merry Christmas. 112 00:06:09,015 --> 00:06:11,314 Did you just re-gift this right in front of me? 113 00:06:11,349 --> 00:06:14,021 Yep. I'm your Secret Santa. Enjoy. 114 00:06:16,752 --> 00:06:20,028 He's an established rheumatology patient, followed by Dr. Scheer. 115 00:06:20,063 --> 00:06:25,446 Spear, not Scheer. I'm the wife-- Carol Shoup-Sanders. It's Jared Spear. 116 00:06:25,447 --> 00:06:27,386 Sorry, that's Spear-- Dr. Spear. 117 00:06:27,421 --> 00:06:28,971 Can you touch your chin to your chest? 118 00:06:29,006 --> 00:06:31,366 I have a complete file of Robert's medical history right here. 119 00:06:31,401 --> 00:06:32,620 Yeah, and his pulse ox is borderline. 120 00:06:32,655 --> 00:06:33,579 We can order his records. 121 00:06:33,614 --> 00:06:35,374 Believe me, you'll prefer mine; more concise. 122 00:06:35,409 --> 00:06:37,024 Honey, let them work. 123 00:06:37,059 --> 00:06:38,526 Tilt your head all the way back. 124 00:06:38,527 --> 00:06:40,884 You need my help. You just don't know it yet. 125 00:06:40,919 --> 00:06:42,469 Uh, no, he needs to be admitted. 126 00:06:42,704 --> 00:06:43,688 Let's sit him up. 127 00:06:43,723 --> 00:06:45,848 We're gonna make you more comfortable, Mr. Sanders. 128 00:06:46,297 --> 00:06:47,441 Robert. 129 00:06:47,442 --> 00:06:49,023 Okay, how long was he unconscious? 130 00:06:49,058 --> 00:06:50,367 47 seconds. 131 00:06:51,463 --> 00:06:53,024 What happened before that? 132 00:06:53,059 --> 00:06:54,671 I stood up from the dinner table... 133 00:06:54,706 --> 00:06:56,488 He felt short of breath and dizzy. 134 00:06:56,523 --> 00:06:58,118 - Any chest pain? - No. 135 00:06:58,153 --> 00:06:59,629 Rheum's not coming in. 136 00:06:59,664 --> 00:07:00,719 Dr. Spear? 137 00:07:00,754 --> 00:07:01,804 He was unavailable. 138 00:07:01,839 --> 00:07:03,690 They said the primary complaint sounded cardiac 139 00:07:03,725 --> 00:07:05,780 so we have to give him nitrates and call Cardiology. 140 00:07:05,815 --> 00:07:10,500 We have a great cardiologist; Dr. Knauth. K-N-A-U-T-H. 141 00:07:12,312 --> 00:07:14,858 Shouldn't somebody be writing this down? 142 00:07:15,193 --> 00:07:18,740 Another shelter van's here. Let's go. I'll take the first 20 people. 143 00:07:18,775 --> 00:07:20,076 62-year-old male. 144 00:07:20,110 --> 00:07:22,190 Lives under a bridge says he's having chest pain. 145 00:07:22,190 --> 00:07:24,703 Get him registered and check a 12 lead pulse ox and take a chest film. 146 00:07:24,703 --> 00:07:28,277 Diagnosis: hunger, cold aftercare, food, warmth. 147 00:07:28,308 --> 00:07:31,193 Hey, Jake Scanlon, fourth year. Transferred from Creighton. 148 00:07:31,194 --> 00:07:32,655 Hey, Jake. 149 00:07:32,690 --> 00:07:34,921 This guy knows if he says "chest pain" 150 00:07:34,956 --> 00:07:37,439 he'll be here for 16 hours and he'll get a tray of food. 151 00:07:37,474 --> 00:07:38,365 So let me do you a favor. 152 00:07:38,400 --> 00:07:39,665 Listen up, everyone. 153 00:07:40,000 --> 00:07:42,527 The vans are here to take you all to the Holiday Inn. 154 00:07:42,562 --> 00:07:44,236 That is right. Thank the Mayor. 155 00:07:44,237 --> 00:07:46,224 There'll be plenty of food, and remember, 156 00:07:46,259 --> 00:07:48,299 it's all good at the Holiday Inn. 157 00:07:48,334 --> 00:07:49,200 Liar. 158 00:07:49,235 --> 00:07:51,019 It's working. Only the sick ones are staying. 159 00:07:51,054 --> 00:07:52,971 Don't give him any credit. 160 00:07:52,972 --> 00:07:54,714 Very good. Trick the needy. 161 00:07:54,802 --> 00:07:57,474 It's a holiday, and they're going someplace that's like an inn. 162 00:07:57,509 --> 00:07:58,665 All right, man, get in the van. 163 00:07:58,666 --> 00:08:00,516 You about ready? We got to pick up Alex in about 20 minutes. 164 00:08:00,551 --> 00:08:01,144 Yeah. 165 00:08:01,179 --> 00:08:03,595 Hey, Abby, is that a cardiology on Mr. Sanders? 166 00:08:03,630 --> 00:08:05,864 Yeah. I'm on hold. But you guys go. I'll present to Carter or Chen. 167 00:08:05,899 --> 00:08:06,859 Thanks, Abby. 168 00:08:06,894 --> 00:08:07,801 Sure? 169 00:08:07,836 --> 00:08:09,779 Well, you've been on since 7:00 this morning. 170 00:08:09,814 --> 00:08:11,098 Somebody should have Christmas. 171 00:08:11,099 --> 00:08:12,877 Yeah, Alex is pretty excited. 172 00:08:13,012 --> 00:08:14,653 Alex or you? 173 00:08:15,468 --> 00:08:17,428 - Go ahead. We're fine. We're fine. - Thanks. 174 00:08:18,163 --> 00:08:20,546 Hi, I'm calling about patient Robert Sanders. 175 00:08:20,547 --> 00:08:22,419 - Abby, is Kovac still here? - Admit. 176 00:08:23,365 --> 00:08:25,651 Yeah, cardiomegaly and pulmonary edema. 177 00:08:25,686 --> 00:08:26,664 Luka. 178 00:08:26,699 --> 00:08:29,603 Hey, I have a lupus patient for you in trauma one. Sanders. 179 00:08:29,604 --> 00:08:32,749 No, no, I can't stay. I'm just here to pick up meds for my dad. 180 00:08:34,140 --> 00:08:37,923 Look, I know it's a lot to ask, but can you cover my shift? 181 00:08:39,141 --> 00:08:40,502 It's Christmas Eve. 182 00:08:40,537 --> 00:08:43,025 I know. I'll do New Years. 183 00:08:43,060 --> 00:08:44,386 Ready, Freddy? 184 00:08:47,400 --> 00:08:49,046 I'm sorry. I can't cover for you. 185 00:08:49,046 --> 00:08:51,306 It's a family emergency. I wouldn't ask otherwise. 186 00:08:52,064 --> 00:08:53,735 Are you serious? For tonight? 187 00:08:54,800 --> 00:08:55,901 Come on. 188 00:08:56,236 --> 00:08:58,783 It's my first Christmas with Sam and Alex. 189 00:08:58,818 --> 00:09:00,928 I can't help you this time. I'm sorry. 190 00:09:04,633 --> 00:09:08,549 Dr. Chen, this is Margaret. She'll be temp clerking this evening. 191 00:09:08,781 --> 00:09:10,422 - Hi. - Nice to meet you. 192 00:09:10,423 --> 00:09:12,294 Not a big fan of the yuletide. 193 00:09:12,329 --> 00:09:14,222 Oh, is Lewis still here? 194 00:09:14,257 --> 00:09:16,142 Headed towards the exit as am I. 195 00:09:16,143 --> 00:09:18,106 - Merry Christmas. - Yeah. Merry Christmas. 196 00:09:18,169 --> 00:09:19,935 What does that mean exactly? 197 00:09:20,570 --> 00:09:21,853 What, Merry Christmas? 198 00:09:23,657 --> 00:09:26,326 You could at least examine him before you blow me o... 199 00:09:27,962 --> 00:09:29,555 Okay, BNP, fine. 200 00:09:29,590 --> 00:09:31,674 Happy Holidays to you, too. 201 00:09:31,709 --> 00:09:34,563 Never get sick on Christmas. Hey, did you call Psych? 202 00:09:34,849 --> 00:09:37,205 Yes. I suggested they bring Kibble. 203 00:09:37,240 --> 00:09:38,465 Okay. And you can go home. 204 00:09:38,500 --> 00:09:40,029 Med students don't have to work holidays. 205 00:09:40,064 --> 00:09:41,373 I volunteered. 206 00:09:42,008 --> 00:09:43,125 That's twisted. 207 00:09:43,126 --> 00:09:45,805 Next year I'm inventing a family so I don't have to work on Christmas. 208 00:09:47,878 --> 00:09:49,509 What did Dr. Knauth say? 209 00:09:49,544 --> 00:09:51,826 Cardiology thinks it's a kidney problem. 210 00:09:51,861 --> 00:09:53,332 How's the breathing, Mr. Sanders? 211 00:09:53,367 --> 00:09:55,398 Hanging... in there. 212 00:09:55,733 --> 00:09:57,588 Dr. MacPherson's our kidney guy. 213 00:09:57,623 --> 00:09:58,985 Right, he's on call tonight. 214 00:10:00,012 --> 00:10:01,573 I thought I told you to go home? 215 00:10:01,608 --> 00:10:06,484 BP 195/105, heart rate 115, resps 30, sats 93. 216 00:10:06,519 --> 00:10:09,861 CBC, troponin, chem seven and Cards suggested BNP... 217 00:10:09,896 --> 00:10:11,121 What the hell is that? 218 00:10:11,122 --> 00:10:13,043 B-type natriuretic peptide. 219 00:10:13,044 --> 00:10:15,494 I will double-check the dosage on that. Can you get me started 220 00:10:15,529 --> 00:10:17,521 on the other stuff and get me a suture kit for the head lac? 221 00:10:17,522 --> 00:10:18,728 You got it. 222 00:10:18,763 --> 00:10:20,068 What'd you say your name was? 223 00:10:20,103 --> 00:10:21,210 Jake. 224 00:10:23,665 --> 00:10:26,617 Jing-Mei, I am sorry about your dad, I really am, 225 00:10:26,652 --> 00:10:28,181 but I've been cutting you breaks for weeks. 226 00:10:28,216 --> 00:10:30,754 I know and I appreciate it. This'll be the last time. 227 00:10:30,872 --> 00:10:33,506 Oh, man. There is no way I can get anyone to cover tonight. 228 00:10:33,541 --> 00:10:34,740 It's impossible. 229 00:10:34,775 --> 00:10:35,828 Susan, please. 230 00:10:35,863 --> 00:10:38,446 I hate to be hardcore, but I can't. 231 00:10:38,781 --> 00:10:40,190 Can you stay? 232 00:10:40,725 --> 00:10:44,622 I have a baby and a guy who's been watching him 24/7. 233 00:10:44,657 --> 00:10:48,461 And I just worked a 14-hour shift. No, I can't. 234 00:10:48,676 --> 00:10:51,516 Maybe Carter can handle it, he's got Abby and Morris. 235 00:10:51,551 --> 00:10:53,785 We are inundated with homeless from the city roundup. 236 00:10:53,820 --> 00:10:54,512 I know. 237 00:10:54,547 --> 00:10:56,166 We're already understaffed. 238 00:10:56,201 --> 00:10:58,673 Jing-Mei, please, you have to understand. 239 00:10:59,621 --> 00:11:01,968 I do. It's okay. 240 00:11:02,521 --> 00:11:04,287 Good. Thank you. 241 00:11:04,813 --> 00:11:06,638 I'm sorry, Susan. 242 00:11:07,414 --> 00:11:08,714 I quit. 243 00:11:16,296 --> 00:11:20,569 And so the holiday begins. Happy, happy, joy, joy, everyone. 244 00:11:23,573 --> 00:11:26,052 Nine-year-old auto versus ped. Thrown ten feet to the pavement, 245 00:11:26,087 --> 00:11:27,700 transient LOC, hit and run. 246 00:11:27,701 --> 00:11:29,058 - Mom? - Right here, honey. 247 00:11:29,093 --> 00:11:30,290 Confused and agitated. 248 00:11:30,657 --> 00:11:32,370 - What's his name? - Harry. 249 00:11:32,405 --> 00:11:33,716 Hey, Harry, I'm Dr. Carter. 250 00:11:33,751 --> 00:11:35,914 We're going to take good care of you, all right? Hey, Ray. 251 00:11:35,915 --> 00:11:37,639 - I'll get Neela. My shift's over. - Neela's backed up. 252 00:11:37,640 --> 00:11:39,515 - I got a plane to catch. - I'm not asking! 253 00:11:40,153 --> 00:11:41,409 One, two, three. 254 00:11:41,444 --> 00:11:44,121 Large bore IV and 500 of saline wide open. What happened? 255 00:11:44,355 --> 00:11:46,168 - Car hit him. - Came out of nowhere. 256 00:11:46,203 --> 00:11:47,455 He's got a weak femoral-- was he thrown? 257 00:11:47,490 --> 00:11:48,978 Diffuse ecchymosis on the chest. 258 00:11:49,013 --> 00:11:49,985 He was outside. 259 00:11:49,986 --> 00:11:52,898 I parked the car and Harry was getting out when we got hit. 260 00:11:52,933 --> 00:11:54,031 - Harry flew up in the air. - Mattie! 261 00:11:54,066 --> 00:11:55,294 Systolic's 77. 262 00:11:55,329 --> 00:11:56,895 You guys are okay, though, right? You're not hurt? 263 00:11:56,930 --> 00:11:58,738 We're okay. Paramedics checked us. 264 00:11:58,773 --> 00:12:01,308 Tenderness and crepitus over the chest wall bilaterally. 265 00:12:01,343 --> 00:12:02,341 What's that mean? 266 00:12:02,376 --> 00:12:04,115 That means he has multiple rib fractures. 267 00:12:04,150 --> 00:12:05,685 - Mom, it hurts. - Baby, I'm here. 268 00:12:05,686 --> 00:12:06,672 Okay, CBC. 269 00:12:06,707 --> 00:12:11,671 Type and cross for four, head, chest and belly CT, trauma panel and a femoral line. 270 00:12:11,706 --> 00:12:13,069 Pulse is up to 138. 271 00:12:13,104 --> 00:12:14,475 Okay, rush the blood bank. 272 00:12:14,510 --> 00:12:16,399 He could be anxious or bleeding out. 273 00:12:16,434 --> 00:12:17,474 Bleeding out? 274 00:12:17,709 --> 00:12:19,245 It's okay, Mattie. 275 00:12:19,280 --> 00:12:20,523 We'll take care of your brother, okay? 276 00:12:20,558 --> 00:12:22,164 Why don't we take Mattie for a little walk? 277 00:12:22,199 --> 00:12:24,372 I want to stay here. Can I stay here? 278 00:12:24,373 --> 00:12:25,788 I'll set her up in the family room. 279 00:12:25,789 --> 00:12:27,350 Come on, Mattie. Let's go, hon. 280 00:12:29,799 --> 00:12:33,071 Dr. MacPherson, this is Lockhart again in the E.R. 281 00:12:33,106 --> 00:12:34,728 I'm calling about Robert Sanders. 282 00:12:34,763 --> 00:12:36,346 I know his wife can be a pain in the ass, 283 00:12:36,381 --> 00:12:37,715 but tonight I think he has a real... 284 00:12:37,750 --> 00:12:43,479 problem, and he, uh, he needs dialysis and call me back. 285 00:12:43,514 --> 00:12:46,540 Abby, take this thyromegally and be well. 286 00:12:46,575 --> 00:12:49,097 As you can see, I have a par-tay to attend. 287 00:12:49,132 --> 00:12:50,135 Where you going? 288 00:12:50,170 --> 00:12:51,328 Well, not that you would know about it, 289 00:12:51,363 --> 00:12:53,148 but I'm going to the Player's Ball at the Peninsula. 290 00:12:53,183 --> 00:12:55,528 Kanye West is performing, Twister, the whole Rockefeller... 291 00:12:56,398 --> 00:12:57,401 Hello. 292 00:12:57,436 --> 00:12:59,141 Hey, uh, I'm looking for a doctor. 293 00:12:59,176 --> 00:13:00,682 Well, that would be me. How can I help you? 294 00:13:00,900 --> 00:13:03,254 I'm looking for Dr. Morris. 295 00:13:03,709 --> 00:13:05,811 Morris. No, see, what you need is... 296 00:13:05,846 --> 00:13:06,723 Whoa, whoa, whoa, whoa, hey, hey, hey! 297 00:13:06,758 --> 00:13:07,769 ...somebody who has experience and... 298 00:13:07,770 --> 00:13:09,054 Hi, hi, glad you could make it. 299 00:13:09,566 --> 00:13:10,925 Come on, I'll show you around. 300 00:13:11,597 --> 00:13:13,497 - Bye. - Bye. 301 00:13:13,532 --> 00:13:15,297 She's with Morris? 302 00:13:15,332 --> 00:13:17,328 Chen just quit. Where's Carter? 303 00:13:17,571 --> 00:13:19,951 - Quit what? - The hospital. Where's Carter? 304 00:13:19,952 --> 00:13:21,021 I think he's in Trauma Two. 305 00:13:21,022 --> 00:13:22,287 - Quit for good? - Who? 306 00:13:22,481 --> 00:13:24,468 - Is she all right? - Oh, I don't know. 307 00:13:24,469 --> 00:13:26,509 She's burned out, and we're screwed. I can't believe it. 308 00:13:26,602 --> 00:13:27,389 Chen. 309 00:13:28,486 --> 00:13:30,366 Your, uh, Secret Santa gift. 310 00:13:30,401 --> 00:13:31,495 From you? 311 00:13:31,530 --> 00:13:33,322 No. Found it in the doctors' lounge with your name on it. 312 00:13:33,357 --> 00:13:34,207 What's up with Chen? 313 00:13:34,242 --> 00:13:35,555 I don't know; she's not answering. 314 00:13:36,299 --> 00:13:39,230 - Rats, Lice and History? - Ooh, that's a good one. 315 00:13:39,442 --> 00:13:43,005 Someone really likes you. I got a Pez dispenser. 316 00:13:43,040 --> 00:13:44,729 - Hey, I'll see y'all later. - Happy Christmas. 317 00:13:44,730 --> 00:13:46,608 Hey, I got a 39-year-old IVDU. 318 00:13:46,643 --> 00:13:48,900 - Narcotic withdrawal. - I'm dying. 319 00:13:48,901 --> 00:13:51,703 - This guy needs detox. - Exam Two. Point one of clonidine. 320 00:13:52,028 --> 00:13:53,614 Hey, what are you doing? 321 00:13:53,649 --> 00:13:55,247 This is a publicly funded hospital, 322 00:13:55,282 --> 00:13:57,927 and this is a, an illegal religious artifact. 323 00:13:57,962 --> 00:13:59,186 Well, it's Christmas. 324 00:13:59,221 --> 00:14:00,049 So? 325 00:14:00,084 --> 00:14:01,231 So... 326 00:14:03,022 --> 00:14:04,236 Put it back. 327 00:14:05,028 --> 00:14:07,088 Pericardiocentesis needle. 328 00:14:07,123 --> 00:14:08,668 Systolic's 82 on one liter. 329 00:14:08,703 --> 00:14:10,268 Carter, Chen just quit. 330 00:14:10,303 --> 00:14:11,715 Harry, you're going to feel a little pressure. 331 00:14:12,877 --> 00:14:13,983 She quit? 332 00:14:14,018 --> 00:14:15,140 Heart rate's trending up. 333 00:14:15,175 --> 00:14:17,852 Yeah, that's the tamponade limiting contractions. 334 00:14:18,240 --> 00:14:20,608 You got to up the rate to compensate. 335 00:14:20,643 --> 00:14:21,775 What's that mean? 336 00:14:21,810 --> 00:14:24,193 Uh, there's blood around his heart. Dr. Carter will relieve it. 337 00:14:24,194 --> 00:14:25,179 P VC's. 338 00:14:25,180 --> 00:14:26,762 Yeah, I know. I'm in, but I'm not getting anything. 339 00:14:26,797 --> 00:14:27,840 Lift up his head a little bit. 340 00:14:27,875 --> 00:14:30,601 Chuny, close the trauma and refuse to board any more homeless. 341 00:14:30,636 --> 00:14:32,563 Good idea-- did you get a whiff of triage? 342 00:14:32,598 --> 00:14:34,463 How can people stink so much in cold weather? 343 00:14:34,498 --> 00:14:36,984 Oil of wintergreen on a mask, or breathe through your mouth. 344 00:14:38,089 --> 00:14:39,538 You're not staying? 345 00:14:42,224 --> 00:14:46,188 There's blood's in there, but it's either clotted or it's collecting posteriorly. 346 00:14:46,189 --> 00:14:47,335 I can't get it with a needle. 347 00:14:47,370 --> 00:14:49,246 - Page CT Surge. - Oh, I'll get Neela. 348 00:14:49,247 --> 00:14:51,249 If I leave now, I can still make my plane. 349 00:14:51,250 --> 00:14:54,059 - You can forget about your plane. - I promised my mother. 350 00:14:54,308 --> 00:14:55,438 Your mother? 351 00:14:56,016 --> 00:14:57,555 Look, somebody's got to stay. 352 00:14:58,262 --> 00:14:59,467 I'll page Surgery. 353 00:14:59,872 --> 00:15:02,530 Ask for an echo-guided pericardial window. 354 00:15:03,919 --> 00:15:05,765 - Hey, Carter, do you have a minute? - Yeah. 355 00:15:05,800 --> 00:15:08,642 Titrate the dopamine to a systolic of 90. 356 00:15:08,677 --> 00:15:10,188 Keep paging CT Surge. 357 00:15:10,834 --> 00:15:13,849 All right, Harry's stable, and Dr. Barnett is here. 358 00:15:15,687 --> 00:15:17,075 Apparently. 359 00:15:19,284 --> 00:15:22,847 My lupus patient-- pulmonary edema's worse, and his pressure sucks. 360 00:15:22,882 --> 00:15:24,020 - Can you take a look? - Sure. 361 00:15:24,664 --> 00:15:26,883 So, Chen quit? What was it, her dad? 362 00:15:26,918 --> 00:15:30,783 Yeah. I'll go home, have dinner with Chuck and Cosmo, sing a couple of carols, come back. 363 00:15:30,818 --> 00:15:32,385 Chuck's been cooking a turkey all day. 364 00:15:32,420 --> 00:15:33,967 - My dad's there... - All right, all right, go home. 365 00:15:34,002 --> 00:15:35,706 If we get busy, I'll call you; otherwise, stay home. 366 00:15:35,707 --> 00:15:37,925 Thank you, thank you. You're amazing. Thank you. 367 00:15:37,960 --> 00:15:39,108 Come be amazing over here. 368 00:15:39,143 --> 00:15:40,110 I'll check in later. 369 00:15:40,145 --> 00:15:41,991 Did you, uh, call his primaries? 370 00:15:42,026 --> 00:15:44,381 Rheum says he's too sick for them, call Cardiology. 371 00:15:44,416 --> 00:15:46,015 Cards says it's not his heart, call Renal. 372 00:15:46,050 --> 00:15:48,283 Renal says he's just had dialysis, it's not their problem. 373 00:15:50,341 --> 00:15:52,736 BP's dropping, 88/59. 374 00:15:52,771 --> 00:15:54,510 Stop that BNP drip and lower his head. 375 00:15:54,545 --> 00:15:55,883 Yeah, I tried that-- he desats. 376 00:15:56,034 --> 00:15:57,724 Hard to breathe. 377 00:15:57,759 --> 00:15:58,863 Carol? 378 00:15:58,898 --> 00:16:00,636 She's going to come right back. 379 00:16:00,671 --> 00:16:03,421 Abby, you give nitro paste and BNP drip? 380 00:16:03,456 --> 00:16:06,086 Give two vasodilators, and his pressure'll bottom out. 381 00:16:06,121 --> 00:16:08,918 Well, you try getting three specialists on the phone on Christmas Eve. 382 00:16:08,953 --> 00:16:09,951 You're his doctor. 383 00:16:11,743 --> 00:16:13,650 Ah, he's got crackles in the apices. 384 00:16:14,239 --> 00:16:16,228 You have Renal coming in to take off the fluid? 385 00:16:16,263 --> 00:16:17,250 No. 386 00:16:17,385 --> 00:16:18,495 What do you mean, no? 387 00:16:18,530 --> 00:16:22,209 He was dialyzed yesterday, so Renal thinks there's another explanation for the edema. 388 00:16:23,165 --> 00:16:24,223 What do you think it is? 389 00:16:24,224 --> 00:16:27,214 I think he got half his usual dialysis time 390 00:16:27,249 --> 00:16:28,635 because they were jammed for the holidays, 391 00:16:28,636 --> 00:16:30,420 ate a salty dinner and flooded his lungs. 392 00:16:30,421 --> 00:16:31,649 So...? 393 00:16:31,684 --> 00:16:34,556 So I'm waiting to hear from MacPherson, the Renal attending. 394 00:16:35,180 --> 00:16:37,169 Dr. Agbo from Surgery's here. 395 00:16:37,204 --> 00:16:39,827 Agbo? I've never heard of him. 396 00:16:39,862 --> 00:16:41,513 You know, junior fellow, sweaty palms. 397 00:16:41,548 --> 00:16:43,781 - Nobody wants to be here tonight. - Including me. 398 00:16:43,879 --> 00:16:46,899 Okay, why don't you call Dr. Renal Mac Whatshisname again, 399 00:16:46,934 --> 00:16:50,157 and remember that nobody knows what your patient needs right now better than you do. 400 00:16:50,592 --> 00:16:52,106 Sats only 88. 401 00:16:52,141 --> 00:16:55,753 Uh, put him on a non-rebreather. That should help. I'll be right back. Okay? 402 00:16:58,658 --> 00:17:00,662 These are Robert's medical records. 403 00:17:01,743 --> 00:17:04,106 Listen, um, about today on the phone... 404 00:17:04,141 --> 00:17:07,026 Pain-in-the-ass that I am, I walked them down from Records myself. 405 00:17:07,061 --> 00:17:08,847 Otherwise, you would've received them tomorrow. 406 00:17:08,882 --> 00:17:12,032 Now, will you look at my file? 407 00:17:27,994 --> 00:17:29,115 Hey. 408 00:17:29,150 --> 00:17:30,383 What are you doing here? 409 00:17:30,418 --> 00:17:33,119 Heard a crazy story about you quitting. Can I come in? 410 00:17:34,654 --> 00:17:37,468 Uh, you know, thanks, Greg, but I'm fine. 411 00:17:37,503 --> 00:17:38,541 Thanks for coming by. 412 00:17:47,929 --> 00:17:49,493 Hey, you need some help? 413 00:17:50,133 --> 00:17:52,114 Yeah, give me some Ativan, please. 414 00:17:52,449 --> 00:17:54,713 - How much? - Two milligrams. 415 00:17:57,648 --> 00:17:59,358 What happened at work today? 416 00:18:00,041 --> 00:18:02,751 Sometimes he's cooperative and lucid. 417 00:18:02,786 --> 00:18:04,732 Sometimes he's like this. 418 00:18:04,767 --> 00:18:05,930 Sundowning. 419 00:18:05,965 --> 00:18:07,332 Sundowning? 420 00:18:07,367 --> 00:18:08,983 It's too nice a word for it. 421 00:18:15,360 --> 00:18:18,833 Give me my pants, please. 422 00:18:18,868 --> 00:18:20,400 You know you got a lot of Ativan here. 423 00:18:21,232 --> 00:18:22,902 Potassium, too. 424 00:18:27,104 --> 00:18:28,888 Jing-mei, what are you doing? 425 00:18:29,410 --> 00:18:31,729 Talk to me! What's going on? 426 00:18:35,866 --> 00:18:38,884 He's going to try and relieve the blood accumulating around the heart. 427 00:18:38,919 --> 00:18:40,169 - Is that the pericardium? - Yep. 428 00:18:40,204 --> 00:18:41,594 Ten blade and pickups to me. 429 00:18:41,629 --> 00:18:43,221 Watch over my boy. 430 00:18:43,256 --> 00:18:44,595 Let's give them a little more room to work. 431 00:18:44,630 --> 00:18:47,891 McAlpin catheter and a 60cc syringe, quickly. 432 00:18:47,926 --> 00:18:49,498 Whoa, a hundred ccs right there. 433 00:18:49,533 --> 00:18:52,864 - Keep him safe, Lord, I beg you. - Another 60cc syringe, quickly. 434 00:18:53,089 --> 00:18:54,586 - Hey, man. - Uh, Dr. Agbo? 435 00:18:55,125 --> 00:18:56,652 Maybe I nicked a vessel. 436 00:18:56,687 --> 00:18:57,861 All right, give me some sterile eights. 437 00:18:58,196 --> 00:19:00,473 PVCs... Bigeminy. 438 00:19:00,474 --> 00:19:02,424 - Pull the catheter back. - I can get it. 439 00:19:02,614 --> 00:19:04,481 It's my fault. I'm sorry, I didn't mean it. 440 00:19:04,516 --> 00:19:05,437 Shut up, Mattie! 441 00:19:06,614 --> 00:19:08,758 Mrs. Price, take your daughter outside right now. 442 00:19:08,793 --> 00:19:12,096 - No, no, I want to stay with my son. - I said pull that catheter back. 443 00:19:12,356 --> 00:19:13,537 The blood will just reaccumulate... 444 00:19:13,572 --> 00:19:14,786 Get out of the way, get out of the way. 445 00:19:14,821 --> 00:19:16,621 V-tach! Crash cart. 446 00:19:17,613 --> 00:19:19,125 Catheter is out. 447 00:19:19,126 --> 00:19:20,998 - Charged to 100. Clear. - Just wait, just wait. 448 00:19:22,023 --> 00:19:23,244 Normal sinus. 449 00:19:24,531 --> 00:19:26,340 All right, 3-O on a needle driver. 450 00:19:26,375 --> 00:19:29,285 That's good, right? That's good? 451 00:19:30,140 --> 00:19:31,296 Dr. Carter... 452 00:19:31,297 --> 00:19:32,822 Neela, can you take this little girl to the family room, 453 00:19:32,823 --> 00:19:35,496 page Social Services and then stay with her until they get here. 454 00:19:35,531 --> 00:19:36,578 No. 455 00:19:50,936 --> 00:19:52,149 Feeling better? 456 00:19:54,069 --> 00:19:55,126 A little. 457 00:19:55,161 --> 00:19:56,787 Don't lie, Robert. He's not better. Look at him. 458 00:19:56,788 --> 00:20:00,441 BP's stabilized. 119/85. Pulse down to 115. 459 00:20:00,476 --> 00:20:01,700 He's had lupus cerebritis? 460 00:20:02,190 --> 00:20:05,253 Two years ago. It calmed down after a steroid burst. 461 00:20:05,438 --> 00:20:08,520 Okay, I'd like to get a head scan to make sure the cerebritis isn't back 462 00:20:08,555 --> 00:20:10,982 and that there's no internal bleeding from the fall-- 463 00:20:11,017 --> 00:20:12,454 I have a discharge, and then I'll take you. 464 00:20:12,489 --> 00:20:13,498 I can take him. 465 00:20:17,005 --> 00:20:18,238 Do you know where it is? 466 00:20:18,941 --> 00:20:20,156 Can his wife come with us? 467 00:20:20,157 --> 00:20:21,088 - Sure. - Thanks. 468 00:20:21,089 --> 00:20:24,352 Put him on a portable monitor and O2 and call me if you have questions. 469 00:20:25,038 --> 00:20:26,080 Okay? 470 00:20:26,578 --> 00:20:27,454 Okay. 471 00:20:30,237 --> 00:20:31,919 Would you like to color? 472 00:20:34,949 --> 00:20:37,936 You excited about Santa coming tonight? 473 00:20:38,905 --> 00:20:42,662 - Why not? - Santa's not coming for me. 474 00:20:43,455 --> 00:20:45,420 Mattie, that's not true. 475 00:20:47,057 --> 00:20:48,340 Hey. 476 00:20:48,875 --> 00:20:50,990 I thought you had a plane to catch. 477 00:20:54,876 --> 00:20:57,570 Hey, Mattie, how you doing? 478 00:20:59,852 --> 00:21:03,871 You know, when I was a kid, I used to fight with my brother all the time. 479 00:21:03,906 --> 00:21:05,353 Did he get hurt? 480 00:21:06,522 --> 00:21:08,948 Yeah, he got hurt. I got hurt. 481 00:21:08,983 --> 00:21:11,782 Kids get hurt sometimes by accident. 482 00:21:11,817 --> 00:21:14,381 I was mad at him for not playing with me, 483 00:21:14,416 --> 00:21:18,643 so I threw his book out, and he went to get it and got hit. 484 00:21:18,678 --> 00:21:21,234 Mattie, it's not your fault that Harry got hurt. 485 00:21:21,269 --> 00:21:24,144 It is. I tried to help him, but I couldn't. 486 00:21:24,145 --> 00:21:26,035 I had to go get my mom. 487 00:21:26,070 --> 00:21:27,996 Your mom wasn't there? 488 00:21:28,331 --> 00:21:30,128 She was at work. 489 00:21:30,955 --> 00:21:33,201 You and Harry were alone in the car? 490 00:21:33,236 --> 00:21:35,161 We live in the car. 491 00:21:39,452 --> 00:21:42,586 Don't tell my mom. I'm not supposed to say that. 492 00:21:45,166 --> 00:21:47,731 My father's a doctor. He knows what he's asking. 493 00:21:48,824 --> 00:21:51,730 Without the G-tube and IV, he would've died weeks ago. 494 00:21:51,765 --> 00:21:53,916 Oh, so now life-saving technology is bad? 495 00:21:53,917 --> 00:21:55,511 If someone doesn't want it. 496 00:21:55,546 --> 00:21:58,076 How do you know he doesn't want it? He's not even in his right mind. 497 00:21:58,277 --> 00:22:00,472 After he sleeps, he's lucid. 498 00:22:00,507 --> 00:22:03,850 Each time, every day, he begs me to help him. 499 00:22:03,885 --> 00:22:06,551 Removing the support's not enough. 500 00:22:07,252 --> 00:22:11,256 I-It would take him days to die of dehydration, and he'd be in misery. 501 00:22:12,840 --> 00:22:14,477 Put him in a nursing home. 502 00:22:14,512 --> 00:22:16,120 What, so he could be somebody else's problem, 503 00:22:16,155 --> 00:22:17,882 someone who doesn't know him or love him? 504 00:22:17,917 --> 00:22:19,449 He won't even know that he's there. 505 00:22:22,800 --> 00:22:24,470 You're not Chinese. 506 00:22:25,726 --> 00:22:29,488 Oh, so it's Chinese to euthanize your elders? 507 00:22:29,523 --> 00:22:31,799 It's Chinese to respect them. 508 00:22:45,886 --> 00:22:47,032 There you go. 509 00:22:49,127 --> 00:22:52,082 You should go. I don't want you here. 510 00:22:52,711 --> 00:22:55,748 You've been through a hell of a lot this last year. You need a break. 511 00:22:56,685 --> 00:22:59,781 Put him in a home for a month so you can catch your breath. 512 00:22:59,816 --> 00:23:00,825 I can't. 513 00:23:02,409 --> 00:23:04,875 We fight to save lives every day. 514 00:23:05,697 --> 00:23:09,910 You know, we literally bust our asses to give people a few more hours of living. 515 00:23:09,945 --> 00:23:13,140 You're a doctor. You can't just cross that line like it's nothing. 516 00:23:13,462 --> 00:23:16,874 Quality of life is the only measure that matters. 517 00:23:17,472 --> 00:23:23,587 My proud father is lying in his own feces, he can't eat without vomiting, can't sleep. 518 00:23:24,967 --> 00:23:29,130 He knows what he's asking for and he knows he can get that from me. 519 00:23:29,131 --> 00:23:31,277 If you weren't a physician, you couldn't do this. 520 00:23:31,312 --> 00:23:33,609 But I am, and I can. 521 00:23:35,079 --> 00:23:37,330 Why haven't you done it up till now? 522 00:23:38,414 --> 00:23:40,993 If he's been asking so much? 523 00:23:42,096 --> 00:23:46,816 Because you know deep down inside, it would haunt you for the rest of your life. 524 00:23:47,946 --> 00:23:50,019 Why haven't you done it yet? 525 00:23:53,228 --> 00:23:55,367 Maybe I don't have the courage. 526 00:23:57,913 --> 00:24:00,295 It's over. Christ is born. 527 00:24:00,295 --> 00:24:02,632 It's only midnight? Feels like 4:00 in the morning. 528 00:24:02,667 --> 00:24:05,227 Margaret, if you turn off these lights one more time, 529 00:24:05,262 --> 00:24:07,398 I'm going to beat you to death with a fruitcake. 530 00:24:07,433 --> 00:24:09,215 This is totally Loser's Christmas. 531 00:24:09,250 --> 00:24:11,292 Give that back you little minx... 532 00:24:11,977 --> 00:24:16,879 Okay, Rudolfo, can you blow like you're blowing out candles on a birthday cake? 533 00:24:16,914 --> 00:24:18,505 Too many cold. 534 00:24:18,540 --> 00:24:20,019 Does it hurt to breathe in? 535 00:24:20,054 --> 00:24:23,071 Lockhart, your lupus patient's coding in the scanner. 536 00:24:23,106 --> 00:24:25,504 All right. Uh, Neela, chest film and O2. 537 00:24:25,539 --> 00:24:26,296 Got it. 538 00:24:26,744 --> 00:24:27,729 Hey. 539 00:24:28,186 --> 00:24:30,584 Hey. It was cool what you did with that little girl, 540 00:24:30,619 --> 00:24:32,165 telling her about your brother. 541 00:24:32,166 --> 00:24:36,102 Yeah, I think it helped... although I don't actually have any siblings. 542 00:24:36,137 --> 00:24:37,747 Why does that not surprise me? 543 00:24:37,748 --> 00:24:39,914 So Social Work's got Mattie. Carter says I can go. 544 00:24:39,915 --> 00:24:41,426 Can I sign out Harry to you? 545 00:24:41,461 --> 00:24:42,788 I thought you already missed your flight. 546 00:24:42,823 --> 00:24:43,922 I'll go standby. 547 00:24:43,957 --> 00:24:45,764 Don't want to disappoint Mom on Christmas. 548 00:24:46,888 --> 00:24:49,708 - Do something! - BP's 83 over 50. 549 00:24:49,852 --> 00:24:51,405 - Cycle the dynamap. - What happened? 550 00:24:51,763 --> 00:24:54,178 Central line got caught when we moved him and it pulled out. 551 00:24:54,213 --> 00:24:55,282 Bleeding won't stop. 552 00:24:55,317 --> 00:24:57,231 Not with lupus-associated coagulopathy. 553 00:24:57,266 --> 00:24:58,265 Heart rate's dropping. 554 00:24:58,300 --> 00:25:00,225 Okay. 8-O and a Mac two. Now. 555 00:25:00,260 --> 00:25:02,600 Ma'am, please step back and let us help your husband. 556 00:25:02,635 --> 00:25:04,019 Put pressure right here. 557 00:25:04,054 --> 00:25:05,576 Don't check it, don't let go. 558 00:25:05,611 --> 00:25:06,679 Sats 68. 559 00:25:06,714 --> 00:25:08,606 Yeah, he's hypoxic, I get it, thanks. 560 00:25:08,641 --> 00:25:10,313 Oh, God. Please don't let it be tonight. 561 00:25:10,879 --> 00:25:12,777 - I'm sorry. - Tube. 562 00:25:13,953 --> 00:25:15,356 Pulse 64. 563 00:25:15,633 --> 00:25:17,240 I'm not ready for him to die. 564 00:25:17,275 --> 00:25:18,326 I'm in. 565 00:25:20,993 --> 00:25:22,342 Sats coming up. 566 00:25:22,377 --> 00:25:24,551 Run, don't walk, to the blood bank, get four units of oh-neg, 567 00:25:24,586 --> 00:25:26,088 have them start working on type specific. 568 00:25:26,123 --> 00:25:27,304 I'll meet you in the trauma room. 569 00:25:27,339 --> 00:25:28,280 He's stable? 570 00:25:28,315 --> 00:25:29,543 He needs blood and fluids. 571 00:25:29,578 --> 00:25:30,983 We're gonna have to start another central line. 572 00:25:30,984 --> 00:25:32,222 Can we get an attending to do it? 573 00:25:32,257 --> 00:25:33,815 I put in lines all the time. 574 00:25:33,850 --> 00:25:36,574 He's been put through enough. I want a surgical attending. 575 00:25:40,004 --> 00:25:41,736 He's moving in the right direction. 576 00:25:41,771 --> 00:25:45,062 He's gonna spend the night in here tonight until an ICU bed opens up. 577 00:25:45,097 --> 00:25:46,853 You were at work when this happened? 578 00:25:48,901 --> 00:25:53,070 We've been living in the car since I left my husband three weeks ago. 579 00:25:53,756 --> 00:25:59,397 It wasn't bad when the kids were in school, but since Christmas vacation started... 580 00:26:00,110 --> 00:26:03,427 - You left them in the car? - I got to work. 581 00:26:03,599 --> 00:26:05,482 It's okay, Mama. 582 00:26:09,156 --> 00:26:10,889 Can their dad help? 583 00:26:11,663 --> 00:26:13,372 He's a violent guy. 584 00:26:14,444 --> 00:26:19,530 I could take it, but he was starting in on Harry, so, I... 585 00:26:19,565 --> 00:26:22,719 Yeah, we're a little concerned about the amount of strain that you've been under. 586 00:26:26,421 --> 00:26:31,546 I didn't want Mattie saying how it was 'cause I don't want anyone taking my kids. 587 00:26:32,369 --> 00:26:37,281 We're not homeless people. I got a job. This is just temporary. 588 00:26:37,375 --> 00:26:40,817 I can help you find a place to stay until you get on your feet. 589 00:26:40,852 --> 00:26:43,811 We tried the shelter. It isn't safe for the kids. 590 00:26:43,846 --> 00:26:45,565 No, this isn't a shelter. 591 00:26:45,600 --> 00:26:48,258 It's a house for families fleeing domestic violence. 592 00:26:50,782 --> 00:26:52,262 It's safe. 593 00:26:53,132 --> 00:26:54,605 Thank you. 594 00:26:58,067 --> 00:27:01,084 I'm sorry that I yelled at you, honey. 595 00:27:01,599 --> 00:27:04,384 Don't be scared of me, okay? 596 00:27:04,419 --> 00:27:06,243 I'm sorry, Ma. 597 00:27:06,278 --> 00:27:08,635 No, you didn't do anything wrong. 598 00:27:09,400 --> 00:27:10,633 Come here. 599 00:27:20,749 --> 00:27:22,180 So, what do you think? 600 00:27:22,215 --> 00:27:23,929 I think the bad guy's the hit and run driver, 601 00:27:23,964 --> 00:27:25,836 not the mother, and this lady needs a break. 602 00:27:25,837 --> 00:27:28,419 Cafeteria's serving up a holiday feast. Better get up there. 603 00:27:28,420 --> 00:27:29,184 Hey, Morris... 604 00:27:31,651 --> 00:27:33,836 Burgers probably would have been safer. 605 00:27:34,898 --> 00:27:36,983 Speaking of which, though, I'm a little hungry. 606 00:27:37,018 --> 00:27:38,589 - You want to get something to eat? - Just lost my appetite. 607 00:27:38,699 --> 00:27:41,945 Dr. Carter, phone call from Africa. Kim somebody. 608 00:27:42,382 --> 00:27:43,587 Catch you later. 609 00:27:44,727 --> 00:27:45,730 Hello. 610 00:27:46,267 --> 00:27:47,003 Hi. 611 00:27:48,373 --> 00:27:51,172 Um, I'm not doing anything. I'm just working. 612 00:27:52,485 --> 00:27:54,703 No, it's too cold to snow here. Maybe tomorrow. 613 00:28:08,028 --> 00:28:09,443 It's okay. 614 00:28:12,088 --> 00:28:13,411 It's okay. 615 00:28:14,900 --> 00:28:16,730 No, no, it's okay. No. Calm down. 616 00:28:16,731 --> 00:28:18,450 No, don't worry. I'm not gonna hurt you. 617 00:28:21,244 --> 00:28:22,188 Four of Ativan. 618 00:28:22,223 --> 00:28:24,386 I add five of Haldol when he's like this. 619 00:28:26,014 --> 00:28:27,458 Okay, calm down. 620 00:28:31,145 --> 00:28:34,005 - What is he saying? - To let him go. 621 00:28:42,272 --> 00:28:43,880 I'm sorry. 622 00:28:44,366 --> 00:28:45,775 I'm sorry, Papa. 623 00:28:48,438 --> 00:28:49,845 Okay. Now, squeeze. 624 00:28:49,880 --> 00:28:50,723 Hold on. 625 00:28:51,446 --> 00:28:53,897 Hold on. Both hands, both hands. Let go of my hand. 626 00:28:55,829 --> 00:28:58,843 - And squeeze the trigger. - My hands are shaking. 627 00:28:58,877 --> 00:28:59,804 Hey! 628 00:28:59,839 --> 00:29:01,902 - Hi. - Hi. 629 00:29:02,226 --> 00:29:05,135 Um, Neela, Raphaella Greenberg. 630 00:29:05,409 --> 00:29:07,215 Are you a medical student? 631 00:29:08,286 --> 00:29:09,497 Um, I-I'm his girlfriend. 632 00:29:10,264 --> 00:29:12,529 HIPPA? Patient privacy? 633 00:29:12,564 --> 00:29:15,186 Stapling is nothing. This guy's totally out of it. 634 00:29:15,187 --> 00:29:16,508 This is so wrong. 635 00:29:17,732 --> 00:29:19,547 I'll staple, you watch. 636 00:29:20,820 --> 00:29:23,322 Security! Security! 637 00:29:23,807 --> 00:29:25,526 Somebody get Security! 638 00:29:25,561 --> 00:29:28,315 - Give me a reason. - Whoa, whoa, stop it, stop it. 639 00:29:28,316 --> 00:29:30,684 - Whose patient is this? - Mine. 640 00:29:30,785 --> 00:29:32,288 I need help. 641 00:29:32,289 --> 00:29:33,998 All right, get Security to cuff him to a bed, huh? 642 00:29:34,033 --> 00:29:36,445 And get him on a monitor until we can figure out what he took. 643 00:29:36,480 --> 00:29:37,037 Okay. 644 00:29:37,072 --> 00:29:38,818 - Should have let him OD. - Come on, up, up. 645 00:29:38,819 --> 00:29:40,804 - That's the Christmas spirit. - Yeah. 646 00:29:40,805 --> 00:29:43,997 - Back to bed, Mr. Beidermeier. - At least have him arrested. 647 00:29:44,598 --> 00:29:46,395 - What's your name again? - Margaret. 648 00:29:46,396 --> 00:29:47,665 Margaret, we're good here. 649 00:29:49,686 --> 00:29:50,805 Crap! 650 00:29:51,566 --> 00:29:53,482 Got a flash. Guidewire. 651 00:29:53,483 --> 00:29:56,027 Didn't you come in because the wife wants you to do this? 652 00:29:56,028 --> 00:29:57,083 Not her call. 653 00:29:57,118 --> 00:29:59,648 I like to make a small nick with an 11 blade. 654 00:30:00,380 --> 00:30:02,507 She's afraid Abby might kill her husband. 655 00:30:02,813 --> 00:30:04,377 I don't think she will. 656 00:30:05,241 --> 00:30:06,954 Okay. Catheter. 657 00:30:06,989 --> 00:30:11,376 Tachy at 110, B.P. 94/79, sats 86. 658 00:30:11,411 --> 00:30:14,360 Yeah, and that's as good as he's gonna get until he's dialyzed. 659 00:30:14,395 --> 00:30:16,087 His lungs are swimming in fluid. 660 00:30:17,350 --> 00:30:19,421 Nice. Threading easily. Good. 661 00:30:19,456 --> 00:30:21,830 - Thank you for coming in. - It's my job. 662 00:30:22,189 --> 00:30:24,260 Yeah. Well, you want to admit him to your service? 663 00:30:24,295 --> 00:30:25,784 All his other docs are blowing me off. 664 00:30:25,819 --> 00:30:27,779 Ah, Santa Claus is coming to town. 665 00:30:27,814 --> 00:30:30,445 Okay, removing the introducer, 10cc syringe. 666 00:30:30,480 --> 00:30:33,518 You know, legally and morally, they have to come when you call, 667 00:30:33,553 --> 00:30:34,942 or they can lose staff privileges. 668 00:30:34,977 --> 00:30:36,825 Oh, really. I don't think they've heard the news about all my power. 669 00:30:36,826 --> 00:30:37,894 Oh, they're aware, they're aware, all right. 670 00:30:37,895 --> 00:30:40,161 They like to take advantage of submissive interns. 671 00:30:40,196 --> 00:30:41,487 I'm not submissive. 672 00:30:41,522 --> 00:30:42,656 - Nice return. - I know. 673 00:30:43,312 --> 00:30:46,515 Like many interns, and, well, many females, 674 00:30:46,550 --> 00:30:49,755 you incline yourself toward popularity and equate it with success. 675 00:30:49,790 --> 00:30:54,815 Well, when an ER doc is popular, someone's losing out, and it's usually the patient. 676 00:30:54,850 --> 00:30:56,480 All this guy has is you. 677 00:30:56,515 --> 00:30:58,563 Infusing well. Needle driver. 678 00:30:59,098 --> 00:31:02,196 All right, well, good job. Really good job, Abby. 679 00:31:02,231 --> 00:31:03,460 I'll-I'll finish up. 680 00:31:04,024 --> 00:31:06,689 Yeah, go. Go out there and do what you have to do. 681 00:31:08,753 --> 00:31:11,490 And by the by, did you, um, get the book? 682 00:31:14,453 --> 00:31:16,353 Rats, Lice and History? 683 00:31:17,739 --> 00:31:19,295 You're my Secret Santa? 684 00:31:19,330 --> 00:31:20,996 Yeah, I'm quite excited to discuss it with you. 685 00:31:21,473 --> 00:31:24,910 The chapter on the influence of louse and vermin epidemics on political 686 00:31:24,945 --> 00:31:30,236 and military history and the relative unimportance of generals is outrageous. 687 00:31:32,761 --> 00:31:34,478 Uh, 4-0 silk. 688 00:31:39,148 --> 00:31:40,324 Submissive. 689 00:31:40,359 --> 00:31:42,639 Not a word I would use to describe you. 690 00:31:43,066 --> 00:31:44,380 Okay. 691 00:31:45,054 --> 00:31:46,352 Time to get unpopular. 692 00:31:46,798 --> 00:31:51,341 Look, uh, I take full responsibility for what happened with Sanders. 693 00:31:51,376 --> 00:31:53,258 You didn't do it, the Tech did. 694 00:31:53,259 --> 00:31:55,226 And I should not have sent a student to CT. 695 00:31:55,227 --> 00:31:58,497 I want you to send me, okay? It won't happen again. 696 00:31:59,184 --> 00:32:01,085 So, what'd you learn from all this? 697 00:32:02,178 --> 00:32:04,356 Always go home when you tell me. 698 00:32:05,627 --> 00:32:07,988 Hi, is this the dialysis tech? 699 00:32:08,625 --> 00:32:11,081 Yeah, I know it's 2:00 a.m. I'm sorry to wake you. 700 00:33:03,140 --> 00:33:04,757 What did he say? 701 00:33:06,697 --> 00:33:08,399 He thanked me. 702 00:33:09,727 --> 00:33:11,807 Said I was a good daughter. 703 00:33:16,088 --> 00:33:17,390 You are. 704 00:33:29,534 --> 00:33:31,259 You want me to do it? 705 00:35:08,214 --> 00:35:12,215 Lab called on Vivadee Sanito The coags were QNS. 706 00:35:12,250 --> 00:35:15,508 Okay. And, uh, Betty Muldoon was admitted to Medicine. 707 00:35:16,380 --> 00:35:19,377 Can I get a cab voucher? Huh? 708 00:35:19,958 --> 00:35:23,099 I don't think we're quite ready to discharge you, Mr. Claus. 709 00:35:25,170 --> 00:35:27,232 Dialysis for patient Sanders. 710 00:35:27,267 --> 00:35:29,332 - You want me to...? - No, no, I got it. Thank you. 711 00:35:29,367 --> 00:35:32,778 - Hi. Thanks for coming in. - Double overtime on holidays. 712 00:35:33,036 --> 00:35:34,930 But I just did Robert Sanders yesterday. 713 00:35:34,965 --> 00:35:37,306 Yeah, he's, um, he's fluid overloaded. 714 00:35:37,341 --> 00:35:39,890 - MacPherson call in orders? - Well, I spoke to him on the phone. 715 00:35:39,891 --> 00:35:43,479 - What did he want? - Usual... the standard... run. 716 00:35:43,480 --> 00:35:46,389 2K bath, 35 bicarb, pull off a couple liters. 717 00:35:46,390 --> 00:35:48,731 - Two or four hours? - Uh, I'm not sure about that. 718 00:35:48,766 --> 00:35:49,879 I'll give him a call. 719 00:35:49,914 --> 00:35:51,301 Well, actually, you know, Dr. MacPherson 720 00:35:51,336 --> 00:35:54,233 very specifically said he did not want to be disturbed, so... 721 00:35:54,268 --> 00:35:55,552 He wouldn't come in? 722 00:35:56,821 --> 00:35:58,078 He wouldn't come in. 723 00:35:58,753 --> 00:36:01,274 What a prick, but I need orders. 724 00:36:02,062 --> 00:36:03,094 Okay. 725 00:36:03,246 --> 00:36:06,816 Okay, well, do you think you could get started, and then call him? 726 00:36:06,851 --> 00:36:08,659 - Sure. - Thank you. 727 00:36:09,444 --> 00:36:11,280 - Thank you. - You're welcome. 728 00:36:13,371 --> 00:36:15,474 MacPherson ordered dialysis? 729 00:36:17,193 --> 00:36:19,845 No... I did. 730 00:36:19,880 --> 00:36:22,295 You? You can't order... 731 00:36:25,472 --> 00:36:27,050 Thank you. 732 00:36:27,720 --> 00:36:29,607 Merry Christmas. 733 00:36:32,252 --> 00:36:33,727 Tetanus up to date. 734 00:36:33,762 --> 00:36:37,802 I was putting a sled together, and I sliced myself on the metal runners. 735 00:36:38,682 --> 00:36:41,206 Well, it doesn't look too bad to me, Mr. Rotolo. 736 00:36:41,241 --> 00:36:43,932 Santa's got to get home, Doc, know what I mean? 737 00:36:43,967 --> 00:36:48,082 Me and Mrs. Claus have things to take care of before the kids wake up. 738 00:36:48,117 --> 00:36:49,391 Won't take long. You feel that? 739 00:36:49,426 --> 00:36:49,901 Yeah. 740 00:36:49,936 --> 00:36:51,166 - Feel that? - Yeah. 741 00:36:51,979 --> 00:36:54,692 Excuse me, Dr. Carter, uh, when you have a minute? 742 00:36:54,727 --> 00:36:58,888 Sure. Um, irrigate, open up a suture kit. I'll be right back. 743 00:37:04,049 --> 00:37:05,191 I have something for you. 744 00:37:05,226 --> 00:37:07,319 Um, but I haven't wrapped it, and it's at home... 745 00:37:07,354 --> 00:37:09,419 Liar. But my birthday's in two weeks. 746 00:37:10,529 --> 00:37:12,227 - "Mildred"? - Ooh, sorry. 747 00:37:12,594 --> 00:37:14,834 Mildred didn't show. I was giving out a bunch of these. 748 00:37:16,270 --> 00:37:17,626 Just a little something. 749 00:37:18,923 --> 00:37:22,641 - So, how was your phone call? - It was good. She's good. 750 00:37:24,641 --> 00:37:26,498 Oh, yeah, very handy. 751 00:37:26,533 --> 00:37:28,887 For, uh, hooking up the VCR. 752 00:37:28,922 --> 00:37:30,088 Right, yeah. 753 00:37:31,728 --> 00:37:34,606 Yeah. You look like an old-fashioned doctor. 754 00:37:35,883 --> 00:37:37,866 Well... I am an old-fashioned doctor. 755 00:37:45,410 --> 00:37:46,609 Merry Christmas. 756 00:37:47,577 --> 00:37:49,021 Merry Christmas. 757 00:37:50,464 --> 00:37:51,744 Merry Christmas. 758 00:37:51,745 --> 00:37:53,356 - We got sliders. - Yes. 759 00:37:53,658 --> 00:37:56,386 You will never be more loved than you are at this moment. 760 00:37:56,421 --> 00:37:58,670 Oh, I could eat about three dozen of these. 761 00:37:58,705 --> 00:38:00,308 - Hi. - Hi. 762 00:38:00,343 --> 00:38:02,133 So is this the little homeless boy? 763 00:38:02,168 --> 00:38:03,786 Should we treat as inpatient? 764 00:38:03,821 --> 00:38:05,684 - Is he hypoxic? - No. 765 00:38:05,811 --> 00:38:07,923 - Tolerating POs? - Yeah. 766 00:38:07,949 --> 00:38:10,021 Then he only needs PO antibiotics. 767 00:38:11,479 --> 00:38:14,264 - And a warm bed. - I'll call the Pedes team. 768 00:38:15,176 --> 00:38:16,834 Hi, Rudolfo. 769 00:38:17,205 --> 00:38:19,813 - Hello, doctoras. - Hi. 770 00:38:20,521 --> 00:38:22,158 You got a chimney? 771 00:38:22,600 --> 00:38:24,247 I'm sorry, honey, what? 772 00:38:24,282 --> 00:38:27,037 How's Santa Claus going to find me if you don't got a chimney? 773 00:38:27,907 --> 00:38:31,078 You don't need a chimney. Santa sees everything--he'll find you. 774 00:38:31,079 --> 00:38:33,411 But you'll have to go to sleep before he comes, all right? 775 00:38:34,722 --> 00:38:36,371 Good night. 776 00:38:37,435 --> 00:38:39,881 Do you think Dad has a present for his son? 777 00:38:39,882 --> 00:38:42,391 Doubt Dad's got enough for their breakfast in the morning. 778 00:38:42,392 --> 00:38:44,699 I guess Santa Claus better come up with something. 779 00:38:44,734 --> 00:38:45,788 Jumbo mart? 780 00:38:45,823 --> 00:38:47,030 Do you have any cash on you? 781 00:38:47,065 --> 00:38:48,631 - No. - No. 782 00:38:52,100 --> 00:38:53,705 Jing-Mei? 783 00:38:54,967 --> 00:38:56,703 It's been over an hour. 784 00:39:02,664 --> 00:39:03,977 You okay? 785 00:39:06,112 --> 00:39:08,380 I'll call the mortuary in the morning. 786 00:39:10,479 --> 00:39:12,293 What are you going to do after that? 787 00:39:15,489 --> 00:39:19,971 Well, I have to go to China and bury my father next to my mom. 788 00:39:20,301 --> 00:39:22,231 Deal with his estate. 789 00:39:23,174 --> 00:39:26,931 Bum around, maybe visit the village where they were born. 790 00:39:26,966 --> 00:39:28,736 Meet some relatives. I don't know. 791 00:39:30,971 --> 00:39:32,531 I'm pretty tired. 792 00:39:34,199 --> 00:39:39,248 Well, you know, if there's anything I could do. I mean it-- anything. 793 00:39:39,283 --> 00:39:41,647 Thank you. Thank you. 794 00:39:41,682 --> 00:39:42,914 Thank you for... 795 00:39:45,143 --> 00:39:46,613 It's okay. Come here. 796 00:39:58,981 --> 00:40:01,745 - Where are we going? - Ho, Ho, Ho, and a jolly old soul. 797 00:40:01,774 --> 00:40:02,933 Sikhs don't have Christmas. 798 00:40:02,934 --> 00:40:04,420 I grew up in England with Old King Wenceslas, 799 00:40:04,455 --> 00:40:07,709 Boxing Day, and a family tradition of anonymous kindness. 800 00:40:09,217 --> 00:40:11,944 - Where'd you get that key? - Wendall from Social Work. 801 00:40:12,908 --> 00:40:16,089 - I have a plan. - A sly and cunning plan? 802 00:40:16,124 --> 00:40:18,654 Give these toys and books to the homeless kids in the ER. 803 00:40:18,655 --> 00:40:23,967 Oh... Stealing from the bad-off to give to the worse-off. 804 00:40:24,002 --> 00:40:26,666 And we buy new stuff tomorrow in the after-Christmas sales. 805 00:40:26,701 --> 00:40:28,602 A belated gift for the Child Life Department. 806 00:40:28,637 --> 00:40:30,442 Do we have ribbons or-or paper? 807 00:40:30,477 --> 00:40:33,182 We can steal bows from the decorations in the cafeteria. 808 00:42:14,569 --> 00:42:15,681 What's up? 809 00:42:15,716 --> 00:42:17,245 Hey, I thought you'd be in Miami by now. 810 00:42:17,246 --> 00:42:19,220 O'Hare's a mess. No seats until tomorrow. 811 00:42:19,283 --> 00:42:21,596 Miami? I thought your mother was in Philadelphia. 812 00:42:21,824 --> 00:42:23,642 Hey, it's snowing. Come on. 813 00:42:23,643 --> 00:42:26,512 Hey, if it's snowing, that means it's warming up. 814 00:42:26,513 --> 00:42:28,033 You knew he was in Miami? 815 00:42:28,068 --> 00:42:29,746 He's got a girlfriend that lives there. 816 00:42:30,081 --> 00:42:32,951 I worked his shift because he gave me some sob story about his mother. 817 00:42:35,317 --> 00:42:37,041 Barnett, you back already? 818 00:42:37,553 --> 00:42:39,036 I can't stay away. 819 00:42:39,780 --> 00:42:41,536 Ah... I love it. 820 00:42:41,571 --> 00:42:43,010 Does snow get polluted? 821 00:42:43,045 --> 00:42:44,175 Where's Lockhart? 822 00:42:44,863 --> 00:42:46,374 Dr. MacPherson. 823 00:42:46,709 --> 00:42:50,231 I didn't authorize dialysis for Sanders and you started it without my approval. 824 00:42:50,266 --> 00:42:51,647 I want to speak to your attending. 825 00:42:53,607 --> 00:42:56,389 Uh... your patient was drowning. He needed emergent dialysis. 826 00:42:56,563 --> 00:42:58,709 You're an attending, on call, I covered your ass. 827 00:42:58,744 --> 00:43:01,437 You can't just deceive attendings when you don't agree with them. 828 00:43:01,472 --> 00:43:05,397 Well, if you report me for working the system, I'll report you for abandoning your patient. 829 00:43:06,186 --> 00:43:07,511 Go, Abby. 830 00:43:07,863 --> 00:43:09,146 See you inside. 831 00:43:13,095 --> 00:43:14,340 Miami? 832 00:43:14,796 --> 00:43:16,512 Come on, let's get back to work. 833 00:43:18,993 --> 00:43:20,584 This is Jing-Mei Chen. 834 00:43:20,619 --> 00:43:24,236 I woke up this morning and found my father had passed away in the night. 835 00:43:25,321 --> 00:43:27,589 Yes, he's been very ill. 836 00:43:29,517 --> 00:43:34,289 Well, actually his physician is here. He can sign the death certificate. 837 00:43:38,722 --> 00:43:39,947 Thank you. 838 00:43:40,387 --> 00:43:45,686 It's 2753 West Cedar Drive. 839 00:43:48,639 --> 00:43:50,580 Transcript: RaceMan 840 00:43:50,615 --> 00:43:53,166 Synchro: Bendef 841 00:43:53,201 --> 00:43:55,763 Trad: Bendef 842 00:43:55,798 --> 00:43:58,093 www.forom.com 9999 00:00:0,500 --> 00:00:2,00 www.tvsubtitles.net