St. Elsewhere

Dr. Samuels, report to emergency.

Dr. Samuels, report to emergency.

Sandy Malin in 330? She's going to be up most of the night with nausea.

Limit her to ice chips and compazine, 10 milligrams, I.M.

I'll be checking in on her again tonight.

If she's under any kind of distress, I want to know about it.

Sounds to me like you're sweet on that girl.

Just responding to the call of duty. Mm-hmm.

Jack, Mr. Gentry, the old guy in c.C.U... make sure you check on him.

I'm a little concerned. He's had two runs of back-to-back p.V.C.'S.

Okay. When? Oh, in about an hour or so.

I want to make sure I'm long gone in case there are any problems.

Boy, sun days.

Feels like the end of the week is just the beginning.

How'd you do it, Annie? First year's the worst.

I feel like I hit the wall, I still got 24 hours to go.

You get no sympathy from me, pal. We've all been through it.

There's always another one, isn't there?

Good night, Dr. Cavanero. Fat chance.

How do I look? Uh...

Like a soldier whose tour is over.

Don't get too jealous. My aunt charisse is in from forestville, California.

Oh. Wine country? What can I say? She's into grapes.

She wants to take me out for an evening on the town... anything I want to do.

All I want to do is sleep. How do you ask your aunt to sleep with you?

You gonna make grand rounds tomorrow morning?

I'm gonna try. You better do better than that.

Westphall was really burned when you missed it last week. You don't have to tell me.

There was something... oh, right.

Jacobson said you should check white's patient's blood glucose at 2:00 A.M.

Where's white? He told Jacobson that you'd cover for him.

He did, huh?

That's what Jacobson said.

Anything else I can do for you out in the free world?

Drop in on my wife.

Tell her I'm alive, being held captive at St. eligius.

You got it.

I told the nurse to call me if you need me.

I'll be here all night. My mouth is so dry.

I know.

I'm sorry.

I'm afraid to give you any more water until I know what's wrong with you.

I've scheduled a liver scan for tomorrow morning.

And that will finally tell you what's wrong with me?

'Cause I can't take any more of this throwing up.

I know.

I hope tomorrow we'll know for sure.

So, you hang in there.

Dr. Morrison, please hurry.

He stopped breathing. It's okay. Okay, okay.

I was just taking him to a room change. It's okay.

All right. Move the chair.

Get his head.

No pulse. Go to the desk, call a triple code blue.

One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.

One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.

One-1,000, two-1,000, three-1,000, four-1,000. Give me the ambu bag.

Five-1,000. Okay.

One-1,000, two-1,000, three-1,000, four-1,000, five-1,000.

Will you take this over? Code blue. Code blue.

Three-1,000, four-1,000, five-1,000.

One-1,000, two-1,000, three-1,000, four-1,000.

No way. He's dead.

- One-1,000, two-1,000. - Keep it going.

Give him a little more time.

Forty-two-year-old white, obese female,

four-day history of right upper-quadrant pain.

No history of cholelithiasis or peptic ulcer disease.

Has the pain changed with time or position?

No. On physical examination, temperature was 39.5 degrees centigrade,

blood pressure 130 over 80, no jaundice present.

Is the abdomen distended? No.

There's a plus-two over four tenderness in the right upper quadrant.

The liver is 10 centimeters in breadth, two

centimeters below the right costal margin.

There is a palpable mass just below the liver edge, with a positive Murphy sign.

Dr. Ehrlich, what is a Murphy sign?

A Murphy sign is a palpable mass found below the liver margin...

That is tender on deep palpation.

Go ahead, Dr. Chandler. Urinalysis is negative.

Abdominal series shows no obstruction, stones or free air under the diaphragm.

There is a mild ileus.

Nice of you to join us, Dr. Morrison.

Has the patient ever had a similar episode? Uh, no, sir.

Does the patient have orthostatic hypotension?

Westphall started grand rounds 20 minutes ago.

I know, fiscus. I know. What happened?

The guy in 4w hadn't gone to the bathroom.

4w? That your patient? No. Peter white's.

Ultrasound and o.C.G. Are consistent with cholelithiasis. Dr. Morrison.

Sandy Malin is a 15-year-old white female...

With a history of travel to South America.

While in South America, the patient went to a local medical doctor there,

who treated the supposed case of montezuma's revenge with kaopectate,

to which the patient responded.

Six weeks later, after arriving home and two days prior to this admission,

the patient again began to have fevers, chills, sweats, nausea...

And has been vomiting all foodstuffs and fluids.

She has had 12 loose bloody stools a day.

She has lost 15 pounds in the last 20 days.

Give me a differential diagnosis based on history.

Because the process has been ongoing for

several weeks, dysentery is a likely diagnosis.

I've ordered a liver scan to rule out the possibility of an abscess.

I gotta... I'm sorry.

Dr. Rowe, would you present your case, please?

This is a case of a 69-year-old white male...

With a seven-day history of increasing left lower-quadrant pain.

The patient has no history of tenesmus.

The patient's weight has been stable and appetite adequate until the acute episode.

There's no history of cancer. Uh-huh.

Thanks. What more would you want to know about the history?

Has the patient had a barium enema in the past?

Was there any actual blood in the stool?

The stool is heme positive. Excuse me.

The patient has never had a colitis diagnosis or a similar episode.

Ehrlich. Good morning.

Why are you clapping? Dr. Samuels has v.D.

Word is he's infected half the staff, Wendy.

Don't look at me. I never went out with him. That's what they all say.

Blood pressure is 110 over 70 in a lying

position and 100 over 80 in a sitting position.

Heart rate is 106 and regular.

What's with the new clocks?

One of Dr. Craig's open-heart patients donated them in everlasting gratitude.

Dr. Craig! Napoleon had nothing on that guy.

Every time I just think of him, I get my palms sweaty.

Nobody's forcing you to go into surgery.

You want to break my mother's heart?

Very good. Dr. Martin, what were the results on the autopsy on Mr. Shuttleworth?

He had cirrhosis of the liver and atherosclerotic heart disease.

What was the major cause of death? Who is that?

Cathy Martin, pathology. She certainly dresses the part.

Dr. Wade? What does a shift to the left mean in a white blood count?

It indicates an acute infection.

Dr. Martin. Wayne fiscus, emergency medicine.

Apparently, we have a mutual friend. Oh, really?

Uh, Mr. Shuttleworth's liver.

I admitted it, along with the rest of Mr. Shuttleworth.

And white blood count, q12 hours.

Very good.

Excuse me. One final note.

Ramon in the laundry room has asked me to talk

to you people about ink-stained bedsheets.

I realize that paper isn't always available to us...

And it's a long-standing tradition in this hospital...

To write our patient's vital signs and our scut lists on the bedsheets,

but it's driving Ramon crazy.

I suggest you use water-soluble ink if you can't break yourselves of this habit.

All right. That's it. Thank you.

Dr. Armstrong, Dr. Chandler, I want to see you in my office at 9:30.

Get with it, Arthur. He's waiting for his bath in 318.

The mendoza kid... you know, the one with the cute dimple in his chin?

Tried to hang himself on his traction again. A real phi beta kappa.

First you skin it, then slice it, then flour, egg whites...

Hit him in the left cheek. The right one's starting to look like Swiss cheese.

Um, give me the chart on our hepatitis case. Who is that?

I tell her to give him two milligrams of morphine sulfate.

She hits him with 10 right in front of the son.

Chronic active hepatitis down the hall...

What's his name? How the hell should I know?

So I say to the son...

What do you mean, we've got a problem? It's nothing serious.

Uh, how are you feeling?

Fine. No, uh, burning sensation?

What? Any discharge?

Bye-bye. See you in the morning.

Uh, nurse, Mrs. Szenvari, 302... She get her 4:00 A.M. keflex?

You wrote it, we gave it. Janice.

Dr. Prileck, 18-23.

Dr. Prileck, 1-8-2-3.

You...

I want that Indian gas passer, v.J. Kochar, out of my operating room!

Good morning, Mark. I love the new clocks.

What are they doing here? Who?

You'd think there was a glut of third world anesthesiologists.

There is not a glut of third world anesthesiologists.

There's a glut of third world sick people. Billions of them.

You can't operate without putting people to sleep. Didn't you see gone with the wind?

Donald, I am serious!

My German Shepherd speaks better English than he does!

And don't give me any of that racist stuff.

Did you ever try eating with one of them? I've got rounds.

Four hours in the O.R. with his breath.

Disgusting!

Nauseating.

That stupid food. Donald, you rea...

Hey!

Good morning.

Tetracycline four times a day till it's gone.

Five days, you'll be over it. I don't believe this.

I know how you feel, but it's not brain cancer.

Look, you're gonna be all right.

Thanks for the memories.

Janice!

Donna, can I talk to you for a minute?

You know, you look as bad as I feel.

I've been pretty busy.

I didn't get any sleep last night.

You've been up all night? Uh-huh.