01x15 - Scope of Practice

Episode transcripts for the TV show, "Trauma". Aired: September 28, 2009 – April 26, 2010.*
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The series was about a group of paramedics from San Francisco, California.
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01x15 - Scope of Practice

Post by bunniefuu »

[ALL CHEERING]

[CROWD CHEERING]

[MAN SHOUTING]

MAN: Nice work!
[REFEREE BLOWS WHISTLE]

CHEERLEADERS: Let's go!

[CROWD CHEERING]
Let's go, Lions, let's go!

[CROWD EXCLAIMING]
[REFEREE BLOWING WHISTLE]

TRAINER: What happened?

Back up, back up, back up.

Jasmine?

WOMAN: Jasmine?
Excuse me. Excuse me.

Jasmine?

Can you hear me?
Baby!

[STAMMERS] Oh, I'm sorry.
Are you the mother?

Yes!
I'm sorry,
but I don't think

we should touch her.
She fell on her head.

Then call the paramedics!
Call 911!

[SIREN WAILING]
DISPATCHER: Medic 114,
respond to a fall victim

at Waverly High School
Gymnasium, 17-year-old female.

NANCY: Okay, guys,
coming through.

[PEOPLE CHATTERING]
Can you make space?
Thank you.

I think she
broke her neck.

Okay, you just keep
hold very tight.

Please help
my daughter.

GLENN: Listen, we're gonna
do everything we can for
your daughter.

Just give us some
space to work with.

What's your
daughter's name?
Jasmine.

Jasmine, can you
hear me? Jasmine.

Okay, I got her.
All right, Nance.

Pulse ox, 82%.
Respiration's at 12. You
want me to start bagging?

No, her neck's not
stable enough.

She needs air.
You need to get oxygen
on her right away...

Yeah, I know, but we
need to get her med line.

Oh, God!

TRAINER: It's okay.
She's gonna be fine.

[CROWD CHATTERING]

You got her?
Got her.

Hold it still.
Go. Go.

[EXHALES]

Yeah. Hold on.
It's Nancy.

[SIGHING]

Nancy, what have you got?

I've got a 17-year-old
cheerleader with a probable
neck fracture.

Airway's compromised.
I need to do a rapid
sequence intubation.

This is a "Mother,
may I?" call, Joe.

[SIGHING] I can't
officially say yes.

She's gonna die if
I don't. So, I'm just
letting you know.

You're the
medic on scene.

Okay.

[PHONE BEEPS]

Okay. We're going to
gently get her on a mask
and pre-oxygenate.

I'm going to
prep her meds.

BP's 80 over 50.
Respiration's at 8.

[JASMINE BREATHING DEEPLY]

Copy that.

I need you to keep
neck stabilization.

GLENN: All right. Got it.
NANCY: Thank you.

GLENN: I got it.

How do you
remember all this?
Seven Ps.

Preparation, preoxygenation,
premedication, paralyze,

pass the tube,
proof of placement,
post-intubation care.

All right, there we go.
Pulse ox is coming back up.

Tube is secure.
Thank you.

TRAINER: See?
She's going
to be okay.

Okay, it's a
load and go, guys.
Bring in the board!

MRS. WEST: It's okay,
baby. I'm right here.
I'm right here.

This is Jasmine.
She's a 17-year-old
cheerleader

with a probable neck fracture
from a stunt gone wrong.

You did an RSI?

I needed to quickly
establish an airway.

Painting outside
the lines again, huh?

No. Saving
a patient's life.

She's alive. Bay four.
What are her vitals, Glenn?

BP's 80 over 50,
pulse is 110, bagging
at 12 per minute.

All right, let's change
out the gurneys and get
a quick X-ray.

This could be an
atlanto-occipital
dislocation.

Internal decapitation?

Let's get a cross-table
lateral C-spine right away,
Gina.

GINA: Yes, Doctor.
JOE: On my count.

One, two, three.

[TYLER PLAYING GUITAR]

[TYLER SCATTING]

[KNOCKING ON DOOR]

[SIGHING]

[KNOCKING ON DOOR CONTINUES]

All right, all right.
Coming, coming, coming.
Hello.

Hey.
Hey.

Termites, man.

Are bugs that eat wood.

No. They're
fumigating my house.

Sela and the kids are
staying at her mom's.

Oh, that's terrible!
Where are you
gonna stay?

Dude, I need
a place to crash.
You do?

Yes.
Maybe you should come in.

We'll call somebody that
cares. Maybe they'll let
you stay at their house.

[BOTH EXCLAIMING]

ANNOUNCER: [ON TV]
Long sh*t deflected...
[CAMERON EXCLAIMING]

What, what, what,
what, what, what?

Hey, man, I'm loving
this hockey.

[BOTH EXCLAIMING]

High-sticking!
High-sticking!

I got it right!
[LAUGHING]
That's it, man.

I've been thinking, man.

Oh, don't... Don't do that.
You're gonna hurt yourself.

No. I think you should
run calls tomorrow.

Huh?

[LAUGHS] All right,
look, you don't have
to pay me back

just 'cause I let
you stay here.

[SCOFFS] Please,
man, I'm not.
That's... Yes, you are.

That's exactly
what you're doing.

Dude, why are you always
giving me an argument?

I'm just trying to make
you feel more at home,

like your house.
[KNOCKING ON DOOR]

[BOTH EXCLAIMING]

Stop messing
with my family, bro.

No, man.
All right, all right!

[EXCLAIMS] Holla, holla.
What's up, man?
Hey, bro.

Come on in.
What's going on, man?

Oh, I didn't know
you had company.

No, it's all good.
Hey, Cameron, Asher.
How's it going?

Asher, Cameron.
Hey, what's up, man?

TYLER: Yeah,
Cameron's my
partner.

ASHER: Oh, cool.
Partner, huh?

TYLER: Yeah.
Not like that, though.

No, he's my work
partner. Dude, chill.
ASHER: Oh.

Hey, what do you
want, a beer?
[LAUGHS]

Yeah, yeah.
TYLER: Yeah, yeah.

How's the game?
TYLER: Oh, it's a good one.

ASHER: Let's go!
Come on!
[ASHER CLAPPING HANDS]

Come on,
where's the defense?
Let's go.

[EXCLAIMS] God!

Ah, there you go, sir.
ASHER: Ah, thank you, man.

Appreciate it. Cheers.
Cheers, big ears.

[ASHER AND TYLER LAUGHING]
TV ANNOUNCER:
Oh, just misses,

over the net, off the glass,
behind the net...

Upon impact, Jasmine's skull
separated from her spine.

The clinical term is
internal decapitation.

Luckily, it appeared the
spinal cord was intact.

So, we were able to reattach
the skull to the top vertebra.

We also added a device
called a halo
for extra support.

How is she doing?

The surgery went very well,
so we have reason to be
cautiously optimistic.

Which means?
Layman's term,
Doctor, please.

Jasmine's very lucky
to be alive.

Spinal injuries
are unpredictable.

Right now, she has slight
movement in her legs
and limited sensation.

This is a good sign,
a very good sign.

We shouldn't get
our hopes up too high.

This'll take some
time to resolve.

And when it does?
I need to know, what is
the worst that can happen?

With injuries of this type,
the concern is always
complete paralysis.

Oh, my God!

But that's the
worst-case scenario.

It's too early to tell,
but like I said,
things are going very well.

Right now,
we should hold on tight
to the good news.

Okay?
Okay, okay.
Yeah, okay.

Thank you, Doctor.

CAMERON: Man, that
was a good game.
ASHER: It was awesome.

[YAWNING] All right,
party's over. I'm b*at.

Here you go, man. Got
some linens and whatnot.

I got it. I'll take it.

If it stinks,
it's 'cause
I didn't wash it.

Got a boo-boo that
needs to be kissed
now, huh?

Get out of here, man.
You good? All right.

Hey.
[CHUCKLES] Uh-huh.

Hey, man.
Good meeting you, man.

Hey, pleasure, dude.

Yeah, you too.
Yeah.

TYLER: All right, man. Hey.
Huh?

Good night, huh?
CAMERON: Good night.

All right. All right.
CAMERON: Good night, man.

[ASHER AND TYLER LAUGHING]

[TYLER EXCLAIMS]

[LAUGHING CONTINUES]

Unbelievable, man.

[MOANING]

ASHER: [LAUGHS]
Oh, yeah. Oh, yes.

[BOTH EXCLAIMING]

[BANGING CONTINUES]

He's in 214.
This way, please.

Uh-huh.

Why can't I just stay
back at the copter?

'Cause it's more fun
when you're with me.

More fun?
What are you, needy?

No. Come on, I'm working
on my people skills.

[SCOFFS] Oh!
Yeah, right.

Hey, you like me.
What? Stop.

Yeah, you missed me.
Come on, admit it.

Okay, you know what? Just
stop talking right now.

Without me,
your life is
empty and alone.

[LAUGHING]
Alone, alone, alone.

I brought him over his lunch,
and I found him like this.
His name is Vaughn.

Hello, sir. Hello.

MARISA: Hey, buddy.

Okay, skin is pale.

Cool to touch
with tenting.

Eyes open, vacant stare.
Pupils midrange and sluggish.

So, what are you thinking,
maybe pneumonia,

congestive heart failure,
possibly diabetes?

Wow. You're
getting better, huh?

I know.
RABBIT: You're
showing off now.

Do you know if Vaughn's
been sick recently?

Oh, he was in the hospital
a few weeks back
with nasal polyps.

They check him into ER,
or he stay overnight?

ORDERLY: He was in
the hospital for
a couple of days.

He got back,
and everything
was fine.

Okay, you got his
discharge papers?

Probably somewhere.
They might be in
the drawer.

Okay. Oh!

Here they are.

Oh, he has not
filled his prescriptions.

Why is that? Aren't you
supposed to do that for him?

Yeah, but I mean,
he has to tell us to...
You know.

Whoa, whoa.
I don't understand.

[STAMMERING] His son got
laid off, and they can't
pay for care anymore.

Ah, there it is.
All right, Marisa, QCP.

Gloves, mask, right away.

What's going on?

This man may have an infection
from his surgery because he
didn't get his antibiotics.

That's what I'm guessing.

So, what does that mean?
What are we looking at?

Encephalitis, meningitis.
Get a mask on him right away.

[CLEARS THROAT]

I'm gonna run a line of NS
and check his glucose.

Okay, glucose
reading is 44.

Oh, well, I guess
he is diabetic, huh?
Uh-huh.

Whoa. Did he get you?

Yeah. I think
I got some in my eye.

Here. Wipe yourself down.
Irrigate that eye.

Oh, crap.

Your administrator's
probably gonna get a call
from the hospital.

We're looking at
a quarantine situation
for infectious diseases.

Let's get him
out of here now.

Yeah.

All right, let's get
some fresh vitals on him.

Sounds like
meningitis to me.
Yeah, that's what I thought.

All right.
Took all the precautions.

Let's get him
to the flow room.

I need to put you
two in isolation.

What? Oh, no, no, I'm good.
I was wearing my mask
and gloves. I'm okay.

Oh, yeah, you don't have
to put us in quarantine.

Yeah, I do.
This is all standard
procedure. Sorry, guys.

All right. [GRUNTS]
Let's go.

DIANA: How are you
doing, Jasmine?

I'm never gonna be able
to walk again, am I?

Oh, no. You got to think
positive thoughts, okay?

I'll try.

Yeah. You've been through
a lot lately, and you're
really brave.

Can you feel this?

No.

DIANA: Looks like you
might be a little chilly.
Are you chilly?

A little bit.

You know what? I'm gonna
go get you a blanket, and
I'll be right back, okay?

Thanks, Doctor.

She's in spinal shock.
Prep for neurosurgery
right now.

Right away.
Can you get
her chart, please?

No problem.

Page Dr. Joe.

RABBIT: You nervous?

Nope. I've been vaccinated
eight ways till Sunday
in the army.

Yeah, well, vaccinations
last from, like,
one to three years,

and you've been out
for a year and a half.

Yeah, well, you know what?
If I got it, I got it.
Que sera sera.

Wow. You know, it's
hard to be a tough chica

once bacterial meningitis
sets in.

Most people die
within one to three days
of contact.

[RABBIT LAUGHS]

Dude! You're acting
like a total child.

Yeah, you know, and
others lose their kidneys,
limbs, and hearing.

Yeah?
Yeah, I was reading
about it on my phone

until you rudely
interrupted.

Symptoms start off with
you get real fatigued...

Mmm-hmm.
...and you get a backache.

Sounds like a typical day
after working a shift
with you.

Then, the bacteria
sets into the membranes

around the brain
and the spinal cord.
Uh-huh.

That gives you
a fever and a rash.

Then, the body, like,
turns from red to purple
in, like, a matter of hours.

It's like the pus,
it starts coming
out the eyes...

Dude, stop, okay?
...and out of the mouth,

you start vomiting blood...
Okay. Stop! What is
wrong with you?

[LAUGHING]

I can't help it.
I'm bored.

Just stop talking.

Something's going on
with that guy we
brought in.

Really?

[PEOPLE CHATTERING]

We don't have
what he has.

Don't even
think about that.

JOE: I just spoke
to the neurosurgeon.

Ms. West, I have
some bad news.
[SIGHS]

It appears Jasmine will
remain paralyzed from
the neck down.

How is that possible?

I'm sorry.

Sorry?

My daughter is paralyzed
from the neck down.

I can only imagine
how you must feel.

But Jasmine suffered
a serious injury
in that fall.

As I said,
spinal injuries
are unpredictable.

No.

No, no, no, no, somebody
must have made a mistake
in that damn emergency room.

Ms. West...
And what about
the paramedics?

When... When they
brought Jasmine in,

[STAMMERING] the doctor
said that the paramedic

was painting outside
the lines. What does
that mean?

The San Francisco
Fire Department
and its paramedics

are among the finest units
in this country.

If they had not acted
as swiftly and decisively
as they did,

your little girl
might not be alive
at the moment.

That's your opinion.
Somebody else
might not think so.

A lawyer, for example.

It's natural to
want to assign blame

when something
this traumatic happens.

But I must tell you
that I stand by

the quality of care
provided by this hospital
and its physicians.

I'm sure you do.

Last night was awesome.
I can't wait for
tonight, man.

It'll be like...
[WHOOPING]
Right? Come on.

Dude, what's going on?

What do you mean?

You've been acting weird
toward me all morning.
What's... What's happening?

Look, I don't believe
you don't know.

[LAUGHS] What?

That thing with
you and Asher.

[LAUGHING]

You know, I mean,
dude, I heard that.

Okay, okay. Wait, wait,
wait, wait, wait.

I mean, look, I'm
a young man. I have
needs. I mean...

All right, listen, if I'm
gonna stay with you, don't...
Don't do that.

Yeah. Just don't get
any while you're
staying with me.

Yes.

So, you come to my house,
uninvited, I might add,

you eat my food,
drink my juice, tell me
to put my libido on hold.

I don't want to talk
to you about you
and your libido.

Yeah, but see, I want to talk
about my libido, and I am
the head of Medic 78 today.

I like this,
by the way,
you driving.

I'm sure you do.
Yeah.

All right.

[DANCE MUSIC PLAYING]

[MUSIC STOPS]

CLUB ANNOUNCER: The next
dancer coming to the stage
is the lovely Destiny.

[MUSIC RESUMES]
[PEOPLE CHEERING]

MAN: Hey, you all right?
Oh, my God.
Are you okay?

DISPATCHER: Medic 78,
respond Code Three to
severe nosebleed

at Centerfolds
in North Beach.

[MUSIC PLAYING]

I can't believe my first
call as head medic is
a nosebleed.

CAMERON: Can't choose
the calls we get, bro.

Yeah, but at least
it's such a classy joint.

Hey, hey, hey,
sweetie. [WHOOPING]

Hey, what are
you doing?

What, I can't look at girls
or get any at my house?

Man, I'm just
confused, that's all.

You got a lot
of rules, Boone.

Sir, how you feeling?

It's...
It's my nose.

The stripper,
she kicked me in the face.

I'm having a hard time
breathing right now.

Okay.
Hey.

Do you...
Do you mind if I...

Oh, go ahead,
head medic.

That's okay?
All right. Watch this.

Go ahead and lean
your head back, okay?

Blood out of the
way. All right. Ah!

Okay, now, sir, I'm
gonna touch your face
very gently, okay?

You tell me if
it hurts, okay?

BUSINESSMAN: Okay.
All right, ready?

Huh?
Yeah, that hurt, that's it.

Okay. All right, sir,

looks like you have
a broken nose with
a possible septal hematoma.

That's a blood clot.

Now, I got to ask you,
are you on any medication,

or are you allergic
to anything?

No, not...
Not that I know of.

Look, sir, I have a
really important meeting
that I've got to be at.

Important? Very important?
I really need to get going.

Well, you're not going
today. You're going to
the hospital today, okay?

Sir, is the address of this
place, is it gonna show up
on any of the paperwork?

Address of this place?

Yes.
Yes, the address
will be on the form.

Okay.

[STAMMERING] Look, fellas,
I changed my mind, all right?
I don't want to go anymore.

Look, if my wife
finds out that you two picked
me up at Centerfolds,

I'm toast, all right?
She's gonna divorce me.

Okay, listen. Only street
addresses show up
on our run sheet, okay?

You don't understand, okay?
My wife, she's like a damn
detective, all right?

She's gonna bust my ass.

Look, fellas...
Wow.

Look, I got money, okay?
Maybe we can work
something out.

I mean, how much do I got to
pay you guys just to get you
to change that address?

Dude, we cannot accept
your money, bro.

[SIGHING]

Well, to hell with it.
I'm not going.

You're not going?
Goodbye.

Oh, well,
one second, sir.

If you're not going, well,
you wouldn't mind signing
this form

that says you are going
against our medical advice.

Yeah. Oh, fine, yeah.
I'll sign it.
Yeah? Is that fine?

There you go.

Okay, I'll take care
of that for you.

Yeah. Oh...
Look at that
penmanship.

Yeah.

BUSINESSMAN:
Have a nice day.
You, too.

[CAR ALARM BEEPS]

How much do you think...
How much do you think
he would have paid?

I don't know.
Now, you see the suit.

It wasn't gonna be
that much.

[CAMERON AND TYLER LAUGHING]

Yeah. Well, looks like
he got his change of address.

TYLER: Don't go anywhere, sir.
We'll be right there.

You are a dirty old man.
That's all I have to say
about that.

JOE: Hey, there they are.
Hey!

JOE: What do you got?
What do I got?

Got a little bit
of a strip club.
[EXCLAIMING]

Will you stop
saying that, please?

TYLER: All right,
cool breeze.
NANCY: What?

Oh, it was a fight.
I got it.

No, actually...
Platform shoe.

Bingo! There's a smart one
and a cute one
in every group, I swear.

I think he just
insulted all of us.

Your partner's in a very
special place today, Boone.

No, his partner just has a lot
of energy and doesn't know
where to put it.

I don't want to hear
this right now.
TYLER: Can I get an amen, bro?

That makes two of us.
Out of here.

TYLER: See you, ladies.

Okay, put on the brakes.

[LAUGHING]

Nancy Carnahan?

Yeah.
Glenn Morris?

Yeah, what's up?
What the hell's this?

It's a summons
for an interview
with officials

from the city and the
San Francisco Hospital.
Have a good day.

The cheerleader.

Thought she was
doing okay.

Yeah, so did I.

Hey, hold on.

Hey, Joe.

Joe, what the hell
is going on here?

The hospital legal counsel
advised me not to
discuss the matter.

Joe, this is me
you're talking to.

I know, Nancy.

I'm sorry.

Hey.
Hey.

You know what's going on
with the cheerleader?

[SIGHS] Yeah, I got
a summons, too.

At least we're all
in this one together.

We? No, Glenn,
we're not.

The hospital's getting
sued because the medics
made a mistake,

and I am being dragged
into this because of
your egomaniacal partner.

What? Hey, she saved
that little girl's life.

No,

she made clinical choices and
performed procedures outside
of the scope of her practice,

and now a little
girl's paralyzed.

Listen, had she not done
what she did, that little girl
would be dead right now.

So, what are you
trying to say?

You guys are with these
people 10, 15 minutes tops.

Yeah.
We're the ones that
have to deal with them

for the rest
of their lives.

What the hell
do you want from me?

I want you to stop
blindly aligning
yourself with Nancy.

Blindly aligning myself?
Yes.

You're talking about
my damn partner!

No, I am talking about
someone who is trying to
float between two worlds.

The boundaries between
hospitals and medics
exist for a reason.

Yeah, they exist
for a reason.
Damn right they do.

You know, you eat
with your mouth open.

Yeah, I do.
How else do you get
the food in your mouth?

Yeah, well, not
everyone has to
see it.

You have to open your
mouth to get the food
in your mouth.

No, I'm talking,
now I eat.
You got food in it.

What? What are you
talking about?

MARISA: Okay, but you don't
have to talk. I can see
everything that's in there.

Dr. Joe, thank goodness.
Am I so glad to see you.
She's driving me crazy.

So, what's the good news?

The patient
you brought
in here d*ed.

We treated him with the
most powerful broad-spectrum
antibiotics available.

Hey. Hey, Marisa, don't go
spinning out. We haven't even
got the test back yet.

Actually, we have.
Rabbit, you were
negative.

Marisa, your test
was inconclusive.

What does that mean?
It means we have to
do the test again.

I need more blood.
And you got to go.

RABBIT: Uh, no. I'm not...
I'm not leaving.

Yes, you are.
I'm not going, man.

This is my partner.
I'm not leaving her here.

If she's carrying,
you risk exposure.

I've already been exposed.
I mean, what's the point?

We're testing for
a second infection.

Rabbit, just...
RABBIT: I've already
been exposed.

Just do what he says.
Okay. All right.

Good. I'll be, um,
just out in the hallway.

[DOOR CLOSES]

JOE: It's okay.

You okay?

Glenn, this has been
a really hellish day.

I know.
Okay, Rabbit's
in quarantine.

I'm on the wrong end
of a lawsuit.

I don't want to
talk about it, okay?

Look, I'm just trying
to be here for you,
same way you were for me.

Oh, Glenn, please!
What is it?

I'm sorry, but just...
Please just give me time
to figure this out myself.

This isn't just on you,
you know?
We did the right thing.

You know I think you're
one of the best I've got,

but I don't have much
wiggle room to cover
for you on this one.

I'm not asking you to.
Is it true?

You gave her an RSI
before transport?

Am I being deposed?

Not yet.

I think I should contact
my union rep before
I answer that.

That's probably
a good idea.

So, what happens now?

The hospital is gonna settle,
keep this from going to court.

But my gut
is telling me

that if you did anything
outside of protocol,

they're gonna try
and use that to make
you the scapegoat.

Your career is
on the line here.

Okay.

Playing doctor in the field
has finally caught up
with you.

Sorry, Nance.

Yo!

Hey, you want to get
a beer tonight, maybe
hit up Centerfolds?

"Remember to tip
your waitresses.
Cinnamon's up next."

No beer
after work, man.

Why do you
got your bag?

[LAUGHING]

You're still mad
about Asher.
Look, dude...

Dude, listen, no, no,
no, no, no, no.
I was saying...

I'm cool with you, okay?
As a person and as a friend.

But I am not into
what you do.

So, you don't
like to watch.
Look, we can...

We can discuss
this, man...
Look, that's not funny.

That's not funny, okay?
You're a funny dude,
but I am not laughing.

Thank you.
Boone, no, the whole
thing. Listen...

Dude, listen, the whole
thing at the apartment,
[STAMMERING] it wasn't...

No.
It's not what you think.

No, you listen
to me, okay?

It's always you, you know?
I'm listening to you
every day, all day.

You're always messing around
and playing around!
You do not respect me!

It seems to me that it's more
important to be what you are
than my partner!

[EXHALING]

Stop pacing.
You're driving me crazy.

You're driving me crazy.

You know what?
My dad, he dropped me on
my head when I was a baby.

If you look carefully,
my whole face is lopsided.
It's like this. See?

I feel like I'm coming
down with a fever
or something.

Nah. Probably just
the thermostat's up
too high.

I'll get them to change
it when they come back.
Will you stop?

What?
Just stop trying
to sugarcoat this.

I'm not.
Yes, you are.

I'm probably coming down
with symptoms of meningitis.

No, you're not.
You're being dramatic.

[SIGHING]

Hey.

Want to call your mom
or something?

No.

I don't want to burden her
until I know for sure.

That's probably
a good idea.

But I tell you,
this does kind of suck,
man, being alone.

I'm standing right here
in the hallway at, like,


Yeah, but it's
not the same.

You aren't the one locked up
with a virus in your body
that's gonna end your life.

Hey, look,
we went through
this together,

and we're gonna
get through it together,

and, you know,
it's what makes us a team.

Come on, partners.
Come on!

No, I'm not
fisting you.

Get off your butt.
Come here.

We're a team.

And then, yes, I carried out
a procedure which is usually
out of the scope

of normal paramedic practice,
but I am an MD,

and I am trained to carry out
that procedure correctly.

And this was a
life-and-death situation.

Noted.

Miss Carnahan, have you
ever performed procedures

outside the scope
of practice before?

Yes, I have.

HOSPITAL ATTORNEY:
How many times?

Once? Twice?

Whenever I deemed it necessary
to save a patient's life.

It's not something that
I went out of my way to do.

Miss Carnahan, I understand
you worked with a flight medic
named Reuben Palchuck.

Yes, I have.

Have you ever known him
to go outside the scope
of practice?

Please answer
the question.

I choose not to
comment on that.

Let it be noted that
Miss Carnahan has refused
to comment on instances

where Reuben Palchuck has
performed procedures outside
the scope of practice.

No further questions,
Miss Carnahan.
You're excused.

Jim, you'll stay
and sign off on this?

Sure.

[DOOR OPENING]

[EXHALING]

[ELEVATOR BELL DINGS]

Hey.

[MARISA CRYING]

Marisa?

Are you crying?

[CRYING]

No.

[SNIFFLING]

I'm scared.

[CLICKS TONGUE]

I don't want to die.

You know...

Everything's gonna be fine.
You know that, right?

You know,
you're a terrible liar.

Yeah, I know.

Would you do
something with me?

Sure. Sure,
anything you want.

You think you can
maybe pray with me?

What do you mean, like,
on my knees or something?

No.

I mean,
just stand with me.

[SNIFFLING]

You have to
close your eyes.

But you're not
saying anything.

I don't need to.

God knows what's in
our hearts and minds.

[SIGHING]

Due to a conflict of
interest concerning
my daughter,

I'm going to recuse myself
from these proceedings.

Uh, but before I go,

I'd like to say a few
words about my friend
and colleague,

Dr. Joseph Saviano.

Joe and I have known
each other for more
than 20 years,

and during that time,
I've come to know him
as a gifted doctor,

as an effective
communicator.

He's managed
our trauma department

with a grace
and a professionalism

that's made it
one of the finest
in the State of California.

However, over
the last three years,

he's developed this...
This blind spot

when it comes to our
paramedics, in general,

and my daughter
in particular.

That's totally
unfounded, Lynn.

Well, as a former chief
of staff at this hospital,

I know that leadership
starts at the top,

and under Dr. Saviano's
leadership, this hospital
has agreed to make

a multimillion-dollar offer
to the aggrieved party.

I have nothing further
to say. Good day, gentlemen.

HOSPITAL ATTORNEY: For the
record, we have before us
Dr. Joseph Saviano

to speak to the events
of March 8, 2010,

regarding the treatment
of Jasmine West
by Nancy Carnahan.

All right, the determination
made on scene is that

the girl would have d*ed
before she made it
to the hospital.

A paralyzed young girl
is always tragic, but,

to draw a link in this case
between cause and result
is absolutely unsubstantiated.

Is it true that you
allowed Reuben Palchuck,
also known as Rabbit,

to perform a tracheotomy
while using the patient's
mother as an assistant?

All of this done,
I might add,
in a rescue helicopter.

What does this have to
do with Reuben Palchuck?

Please answer the
question, Dr. Saviano.

No, I never authorized him
to perform that procedure.

Did you talk Nancy Carnahan
through a vascular surgical
procedure to clamp an artery?

The guy was
bleeding out.

A simple yes or no
will suffice, Doctor.

This is nothing but a
professional lynching,

and I'm not going to sit
here and put up with it
while I have a job to do.

No, you don't,
Dr. Saviano.

As of now, you're under
administrative leave.

Your privileges to
practice at this hospital
are suspended.

Don't come down here
unless you got some
good news to tell us.

So, now, you're
threatening me?

No. Just stating
the facts.

My partner and I cannot
take any more bad news.

Do you see me
wearing a mask?

[KNOCKING ON DOOR]

RABBIT: Hey.

Hey, wake up.

What are you
doing here?

Well...

We're clear.
No meningitis.

We repeated your test,
and you're free to go.

MARISA: Really?

[LAUGHING]

Yeah! Yeah!
Whoa!

Oh, my God!

This is just
so great!
Yeah.

Yeah! [EXCLAIMING]

Okay.

All right, partner.

Uh, you didn't see
that. It was...

No.
RABBIT: Yeah, right.

Cool. Well, I'm just gonna
check on the copter,
I guess, then.

[SNAPS FINGERS]

Cool.
Thanks, Doc.

Back to work.

TV ANNOUNCER: Just across
the line, a long sh*t right
side, off the glove...

Oh, God!

I'm from Louisiana.
Trust me,

sooner or later,
every team has its day.
Mmm.

Hey, guys.

Hey. Yo.

Um...

Look, uh, I want
to apologize.
I was out of line.

No, man,
you had a point.

A big point.
I'm sorry.

I'm glad you're here,
man. I got the game on.

I know how
you love hockey.

[LAUGHING]
Put the bag down, man.
Juice, right?

Yeah, juice, juice.
[SIGHING]

That was a check.
That was a hip check.

Hey, what's up, Asher?

What's going on, man?

[SIGHING] What's happening?
What's happening?

[ALL EXCLAIMING]

TYLER: There you go, sir.

[ALL EXCLAIMING]

Oh! Look at you!

Hey, boys.
Tyler, what's up?

What's up, Rebecca?
Hey, baby.

How are you?
Good. How are you?
You want a beer?

REBECCA: No, I'm
good. Thanks.
ASHER: You good? Okay.

So, who's winning?
ASHER: Uh, the Sharks.

Hey, Cameron,
this is my
wife, Rebecca.

Ew.

TYLER: [LAUGHS] Come on,
come on, come on, come on.

Go, go, go, go,
go, go, go, go!
[TYLER AND ASHER EXCLAIMING]

ASHER: [EXCLAIMING]
God, so close!

Hey, I got to go, y'all.
What? Why?

I'm saying, it's starting
to get a little too weird
in here.

Whoa, what...
Three of y'all.

Yo, whoa. Whoa, whoa, whoa,
hey. Hey, what are you...
What?

I'm saying, you guys
got something going on.

I really don't want to
be a part of it.

Dude, dude, this is
what I've been trying
to tell you, man.

The other night
when you were
here, I...

CAMERON: What?
TYLER: Asher's straight.

CAMERON: He's straight?
That's my neighbor. We were
messing with you, man.

I'm sorry. You...

[ALL LAUGHING]

Stop. Just stop
talking, man.
Just stop...

Man, you act like
I'm a sex addict, like
I can't stop myself.

CAMERON: You messed
with me on purpose.

I should be offended that
you thought I was actually
in there doing that.

I can't believe you start
messing with me
because you know...

You encourage me.
You want to talk about...

Okay, so, honey,
we're gonna go
and leave the partners

do their domestic thing.
We are not partners.
Thank you very much.

TYLER: We are partners.
This man is in denial.
I am not in denial.

You are in denial.
Dude, why would you...
Why would you do that, man?

I know it was
a bad joke. I know.

It was so bad,
it was good.

[TV ANNOUNCER CHATTERING]

[TYLER LAUGHING]

I snapped a little.

Look, work is work,
and here is here,

and I don't want to
talk about it anymore.

What I do want to talk
about is the fact
that you're spending

way too much money
on this meal.

Oh, I'm not
paying for dinner.

You should be
making up with me.

Really? Hmm.
Yes.

I don't know what
I think about that.

Seriously, the whole
thing, the lawsuit,
Dr. Joe getting fired.

That's what
I was talking about.

We're in a world
of trouble with this.

We?

May I pour, miss?

Yeah.

You really didn't
have to go this far.

GLENN: Me? I didn't.
I didn't order that.

WAITER: Compliments
of the gentleman.

Hope I'm not intruding.

Dr. Joe. Hey.
DIANA: Dr. Joe.

No. No,
pull up a chair.

[STUTTERS] Um, I heard
what happened, and I just...

I just wanted to say...
[LAUGHING] Please, please.

I'm free.

So, how long has this
been going on?

Um...
JOE: Never mind.
I'm kidding.

[JOE LAUGHING]

It's none of my business.
[LAUGHING]

Shouldn't even be
asking anyway.
[LAUGHING]

Doctors and paramedics,
you cannot intermarry
the two.

Uh, you can't help
who you fall for.

That's a very interesting
choice of words, my friend.

"Fall for." We really
do fall, don't we?

Maybe our brain entices us
to fall in love so we think
we're choosing a partner,

when, in fact,
we're just the
happy victims

of nature's cruel, little,
twisted, little joke.

That's pretty
deep, Joe.

Oh.
What do you
mean by that?

To tell you the truth,
Glenn, I have
no freaking idea.

[ALL LAUGHING]

Well, bored you
long enough.
I'll be on my way.

[STUTTERS] Yeah,
have a good night.
Thank you.

Thank you.
JOE: Pleasure.

[LAUGHING] We really are
in a world of trouble.

[WATER RUNNING]

[KNOCKING ON DOOR]

Who is it? I'm coming!

Joe?
[CHUCKLES]

[LAUGHS] Are you okay?
Come on in. Come on in.

Now, that is
a very good question.

[BREATHING DEEPLY]

Can I get you
a drink or anything?

Sure. Anything.

I think I've only got
beer, but...

That'll do.
Yeah?

[NANCY OPENING BOTTLE]

You look great.

Thank you.
You look like
a million bucks.

Joe, I am so sorry.

How could you screw me
like that, Nancy?

What? Come on,
I made a judgment call.

You, more than anyone,
would understand that.

You knew you shouldn't
do that procedure,
but you just had to push it.

What else did you
say to those guys
in that room?

You know me better
than that, come on.

The recommendation,
the faith I had in you,
the belief...

Right.

It's nothing now.
It's gone. It's nothing.

It's not nothing, Joe.
We're friends.
I thought we were friends.

So, you didn't know?
You weren't playing?

Gave me a little flirt,
gave me a little cuddle.

Joe.
I'm all yours.

I'll give you
whatever you want.
NANCY: Stop it now. Joe!

But you know what?
That's all over.
I've got nothing.

I've got absolutely
nothing now, Nancy!

Joe, you can't...
Joe, you can't
come in here...

I've got absolutely
nothing left!

You can't come here like
this, trying to blame people
for what's happened.

That's a hell of a way
to talk to the man

who put you back together,
piece by piece.

Joe, what do you want?

I want my job!

[LAUGHS] Well, that's...
It's not gonna come
back like this, man.

You okay?
Yeah, I'm fine.

[SIGHING] I think...

You better go.

Go home, Joe. Go on.

[RABBIT INHALING SHARPLY]

What the hell have we done?
What the hell have I done?

[SOFTLY] It's okay.

[SIGHING]
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