Getting On

Look what I got.

I bought a cello.

I know I really shouldn't be carrying heavy things anymore, but...

I saw it in this beautiful store that sold instruments.

Not a pawn shop.

And you know what? I'm gonna play it for my baby in the womb.

That's nice.

All your stuff here is taking up all the space.

Well, are you gonna leave this here for six months?

No, just till Patsy sees it.

We're going in for my 12-week scan today.

Okay, well, now there's no room for my feet.

Getting On - 02x03 Turnips...North Day...Yes, yes

Dr. James: Hello!

Good morning, Dr. James.

How was your three-day weekend?

It was so relaxing!

We took Renée to her fencing tournament in San Diego,

and then I snuck off to the Del for a two-hour Thai massage.

New lease on life.

Either of you, anything special? Weekends?

No?

Well...

Who's in comfort suite 109 now?

That is Hannah Doerr.

She's on respite care. She's deaf.

Oh, bless her heart.

Yeah, I ordered a video remote interpretation unit

from patient services, so...

Mm-kay.

You, I could step in if you'd like,

and we could do her after the rounds?

It's just that I've admitted a lot of deaf patients before,

and it can be kind of sensitive, Didi,

- and I've been trained. - Okay.

I actually know a little sign language.

This is, um, "pain." Pain.

All right. Mm-hm.

Okay.

Mrs. Weller.

What's happening?

Why can't anyone tell me?

Well, unless things have changed since last night,

you gonna be going over to the hospital soon.

What's wrong with me now?

Well, it's your heart valve repair.

You remember, don't you?

I don't want it.

Calm down, it's all right.

No, it's not all right.

I don't want it.

- Okay, okay. - I don't want it.

Then let's talk about it.

'Cause we don't force things on people that they don't want.

That's not generally the way we do things around here.

It isn't?

No, ma'am.

Okay, Mrs. Darlene Glennon.

She's here for a few days

to recover from an extensive hiatal hernia repair.

Well, good morning, Mrs. Glennon. What's cracking?

Oh, I can't get her bar code.

You had a hernia the size of a large cantaloupe,

I believe, Mrs. Glennon.

Substantial intestinal adhesions.

Okay, she's scanned.

Hey, you're looking much better, today.

I am feeling better.

That's what I said. You do look better.

Okay, we have increasing shortness of breath.

We have a persistent cough.

We have low blood oxygen

and a light fever and chills.

Respiratory distress. Could be?

Hospital-acquired pneumonia?

No, no, no, no, no. This is all wrong.

Resp rate, BP, and temp

all need to be on a whole separate page.

Could it be cardio myelitis?

Where's her medication file?

It's in the drop-down folder.

- What's that? - That's a pop-up alert.

Well, get that... make that go away.

So, now, what's this whole field want?

Uh, the procedure code.

Oh, well, then you put in the procedure code.

You go like this and cut and...

Shortness...

of...

breath...

Okay, it's not working, Dawn.

I don't really think you know how to use this cart.

I took the training seminar, so yeah.

All right, bring it up.

Uh, different tab.

Enter, different tab.

Well, now it's frozen.

This is completely...

What was that you said again?

Let's get a sputum culture,

and why don't you check your training seminar notes,

and maybe refresh yourself on how this thing works.

Okay? Yeah? Good.

"It matters not how straight the gate,

How charged with punishments the scroll,

I am the master of my fate,

I am the captain of my soul."

I wish I felt this way.

Someday I want to feel this way.

You know what I mean, Mrs. Anthony?

"Out of the night that covers me..."

Patsy: Are you kidding me, right now?

Oh, well, I just don't...

Mm-hmm. All right.

Bye.

Well, our server crashed.

Or... the network connecting us to our server crashed.

A virus began in S.W.A.D.D.L.E. in pediatrics,

and worked its way through to our system.

Uh, okay.

Okay, so, the system is down, people.

Dawn: We've got cascading failures.

Um, charts, histories, notes entry, all down.

So, we're going old-school.

Lab samples, you run them down.

Lab results, you run them up.

Pharmacy needs wet signatures.

That's signatures with a pen.

Now, Pyxis is on critical override.

If you don't know what that means,

you need to read the side of the machine.

Everything in longhand.

Spiral notebooks, people, spiral notebooks.

Pagers, beepers, old-school communication.

Communication is the key!

Everyone helps everyone.

We get each other's backs, we get through this.

Okay? Great.

Things are escalating quickly.

That means everything,

everything, needs to be run through me.

Dawn.

Oh, good morning, Mrs. Willey-Weller. Hi.

What the H is going on?

Ellen is back there, she is spitting kittens.

I... Yesterday, I'm told heart surgery, okay.

And then today I get a call...

heart surgery's been canceled,

and now I'm told there's an oncologist

who wants to remove a lung instead.

Uh, Didi?

Yes, um...

I spoke with your mother-in-law this morning.

We talked about the surgery,

and she changed her mind.

She changes her mind all the time, she has dementia.

Dr. Stickley: Excuse me.

Pardon me.

Um, I just got a call from my OR coordinator

that my valve repair,

that your mother's heart surgery, is canceled.

And then I find a sticky on my door.

"Patient reevaluated surgery.

Please see me, Nurse Ortley."

Well, you gotta talk to her.

Uh, that would be me.

Yes, I tried to notate her chart,

but the computer was frozen.

So, I ran down and I left you a note.

You canceled a scheduled surgery?

I explained the surgery to her and she got confused,

and then she said she didn't want the surgery anymore.

She just wanted to be with her family and her son.

Yeah, yeah, which is impossible.

Reminder, he's dead.

Okay, but with all due respect,

Mrs. Weller didn't understand what was happening.

You are absolutely wrong.

I went over it very thoroughly with her.

I sat with her and fully explained the risks

of the surgery to someone showing signs of dementia.

She asked me for a social worker,

then she asked for a hospice case manager.

Hospice? Is that where we're at?

We've given up all hope?

Hey, I'm herto take Mrs. Elleller down to the OA.

No, you're not.

Dr. James: Paul, are you here for my meeting?

I'm here because this LPN decided

that she knew better

and talked my patient into forgoing surgery.

Oh, Mrs. Willy-Wally?

Willey-Weller. Tell me, nurse, what are your opinions on Iraq?

On cap and trade?

I mean there must be a plethora of things

you can opine on about which you know absolutely nothing.

Ellen is agitated.

She won't talk to me, she wants to talk to her son,

Phillip, my husband.

Reminder, he is dead.