Monday Mornings

Watch your back. Just stay with us, man.

Coming through!

Attempted suicide, single vehicle, telephone pole.

Starred windshield and bent steering wheel.

Still got a pulse, but weak. Let me see.

Raccoon eyes.

Probably a basilar skull fracture.

What did you say happened? Tried to flatten her sedan into a telephone pole...

No skid marks.

Hey.

Attempted suicide by car.

Bullshit.

She just had a bomb go off in her head.

Let's get her on the ventilator, get her more fluids.

This was no suicide.

- Call Wilson. - Yes, doctor.

It's very serious. I won't kid you.

Your daughter's in rough shape. Well, what are the odds?

The odds improve with Ty Wilson doing the procedure.

There are about five brain surgeons

the rest of us in neurosurgery aspire to be.

This doctor is one of them.

Here you go.

Give me that penfield.

Schoolteacher. 25, no prior history.

Have you found the aneurysm? I will.

Here you go.

Help you, sir?

Yeah, I thought you might be interested

in some new state-of-the-art scopes. Yeah, we're fine.

Okay, but I think if you try them, doctor... not a good time.

I need you to leave, sir. Now.

Sure.

I'll, uh, just come back at another time.

Great.

Remind me never to cross you, Dr. Ridgeway.

Gotcha.

There it is. There... pushing down on the oculomotor nerve.

You see that? Barely. Straight clip?

Uh, fenestrated.

All right. Let's see how we do.

She's gonna be fine.

We clipped it off. We expect a full recovery.

Oh. Sheila will be sedated through the night.

I recommend you all try to get some sleep.

I'm gonna be here all day tomorrow, and we can talk.

Thank you, doctor.

Mrs. Sutcliff. Look at me.

Your daughter will be fine.

Thank you.

I don't want anyone touching me!

This is a racket, if you ask me.

You give me one pill after another one,

after another one, after another one.

I've been up in here five times already!

Everything okay? Not for me, it isn't.

I think you people all want me to die.

Is that it?

We actually don't, ma'am.

In fact, we've implemented a new policy

where we now want our patients to get well.

Oh, you think this is funny?

I will jump out of this bed and crush you like a little bug.

What's going on? I got me a damn phlegm rattle in my chest.

She first arrived three months ago with headaches and a persistent cough.

They did an h&p, suspected it was a viral infection, and discharged her.

And y'all try to tell me it's all in my head. Ain't nothing in my head!

Then she came two weeks later with a fever. This is supposed to be some great hospital.

She was prescribed Amoxicillin, Bactrim, codeine.

Back again a month later, diagnosed with bronchitis.

That's what I'd like to see. And now she's here for shortness of breath.

Who's the attending? Lieberman.

Weren't you supposed to be getting engaged tonight?

Sorry, there... there... There... there was a rumor.

Yeah, well, maybe you could be less curious about my social life,

a little more so on this patient's condition.

Find out what tests were ordered,

see if she was exposed to any airborne irritants

or toxic chemicals, then contact the attending.

Yes, ma'am.

Dr. Ridgeway.

Hey, buck.

I'm sure you did get the directive

affording instrument reps access to the O.R.

Yeah. I did, buck. Thanks.

Don't you be snide with me.

The fact is these reps know as much if not more

about the devices we implant than we do, and...

They also influence the surgeons, and not for the better.

What surgeons? Name one surgeon.

Sy Greenberg.

Last year, a rep told him during a TKA

to shave a little more bone off the tibia

so his high-tech prosthetic would fit.

That patient can barely walk now. Well, hey, Dr. Wilson.

How interesting to find you

in bed with Dr. Ridgeway on this.

Is there a problem? Yes, there's a problem.

Dr. Ridgeway rudely expelled

a manufacturer's rep from the O.R., which just jeopardizes

our very valued relations with Barton devices.

Yeah, the same company, it so happens,

that's paying for Dr. Tierney's heart and ambulatory wing.

I resent your implication.

Dr. Ridgeway, I appreciate your concern,

but the matter was put to a vote,

which authorized the reps to be present.

Excuse me? I didn't vote. Neither did I.

Well, it seems I did.

Room 311. Morbidity and mortality.

Who for, do we know?

I didn't kill anyone this week. You? Not me.

Buck, you didn't kill anybody this week, did you?

You want to check your notes?

It's 007.

Dr. Martin. Yeah.

Why call Ty for aneurysm, huh?

Discriminate. Sorry to hear that, Sung, baby.

All right. Let's get started, Uh, wait.

Can I have the floor for one brief second, please?

I implanted a pacemaker this past week on a man

with severe cardiomyopathy as a result of Chagas' disease.

Good for you. Listen... We are seeing a lot more diseases

once reserved for the third world and tropical climates.

Thank you, doctor. We now have a patient, Joanne Whitman.

She has been in five times...

Come on, doctor.

Hey! You know what?! Forgive me for caring. Shoot me.

Oh, okay! Bang! There's an idea.

Settle down.

Come on.

Dr. Martin.

Let's talk about Mary Michaelidos, shall we?

Please.

Mary Michaelidos, age 39,

presented on August 12th with soreness of her left hip.

She was an avid runner, 30 Miles a week.

I thought the hip irritation was due to all the running.

I prescribed 1,000 milligrams of extra strength Tylenol

until the pain subsided.

Did the pain subside?

Well, I didn't know. I... didn't hear from her.

The next I saw her was on, uh, December 19th.

She was in the E.R. with a broken hip.

From all that running?

No, sir.

I ordered an MRI with contrast,

which revealed stage iv bone cancer.

Doctor, that first time you saw her,

did you do a full physical examination?

Did you order any x-rays?

Blood work?

No, sir.

Did you do anything other than

prescribe extra strength Tylenol?

In retrospect...

"In retrospect."

We all so love to separate the conjoined twins, don't we?

Rebuild the shattered faces,

but sometimes it's the little things.

Isn't it, Dr. Martin?

This is what can happen when you let a runner with a sore hip

limp out of here without a second thought.

You allowed metastatic cancer to run amok for four months.

So, please, tell us.

How does this particular fairy tale end?

Ms. Michaelidos was admitted to the I.C.U. On December 19th,

aggressive cancer treatments were started immediately.

She died yesterday.

Three weeks from diagnosis.

Yes, sir.

Dr. Martin, you're affectionately known

among your peers and colleagues as "007."

Do you know why that is?

Please tell us, doctor.

I believe it has something to do with...

License to kill.

Hmm, that's not a very nice nickname for a surgeon,

is it, doctor?

I shall be recommending to the board of this hospital

that your medical privileges be pulled immediately.

You're excused, 007.

Any further conversation in this room you shall not be privy to.

That's it?

Is that it?

So, he can kill people

as long as he does it at a different hospital?

You're out of line, doctor.

There's at least three people that we know of

who might be still alive if it wasn't for this hack.

And everyone in this room is feeling sorry for him? Gato.

"Mary Michaelidos, 39, beloved wife of Stephen Michaelidos,

"beloved mother of Eric, 10, Darren, 8,

"and little Danielle, 6,

"who adored her mother's everyday kindness,

"beloved daughter of Frank and Martha Kelly,

"who couldn't have prayed for a daughter

as loving, kind, and beautiful as their Mary."

They should have prayed she got a better doctor!

Dr. Villanueva! I've been paged.