03x18 - How Green Was My Thumb?

[bunniefuu]

[SIRENS WAILING]

You men can make a search, huh?

Right.

Hello.

Hello!

Hello!

[PANTING]

I got him. You
all right? I got him.

[COUGHING]

[COUGHING]

I'll get the O2.

Here.

His sternum is retracting.

But it's just going...
Nothing is going in or out.

Something's jammed
down in there.

Give me a towel clip, will you?

Right.

I got it.

I can't get it.

Towel for you. All right.

Nothing. He's stopped
breathing. Here. Wait a minute.

That over-heated air
must have closed his larynx.

Breathing under
forced ventilation.

Rampart to Squad 51.

Go ahead, 51.

Rampart,
we have a male patient in his early 60's.

The patient is cyanotic and
comatose from smoke inhalation.

There's possible
laryngeal obstruction.

No evidence of foreign bodies.

ROY: Stand by for Vitals.

Pulse is 120.

Pulse is 120.

We've assisted him
on ventilation.

Stand by for BP.

BP is 180 over 100.

ROY: BP is 180 over 100,
Rampart.

He's choking.

Rampart, the patient
started choking.

JOE: Go ahead with
an esophageal airway, 51.

He's stopped breathing.

Rampart, patient
has stopped breathing.

Go ahead with an oral
pharyngeal airway, 51.

Continue on oxygen
and transport immediately.



He's not ventilating. He's
just taking more pressure.

Rampart,
patient isn't ventilating.

He's just taking more pressure.

The ambulance has just arrived.

I'll go with the patient
in the ambulance.

We'll hook up O2 in there

and then I'll maintain
communication with you in transit.

JOE.' 10-4.

All righty. Let's load him up.

Keep that oxygen on him,
would you?

Okay.

Dix, will you set up
Treatment Room 1 for me?

I'll need a laryngoscope,
an endotracheal tube.

And see if you can get some help for me,
okay? Right.

[SIREN WAILING]

Rampart, this is Squad 51.

Go ahead, 51.

The ventilation has stopped.
I can't get it started again.

How long ago did it stop?

About 15 seconds ago.

How far are you
from the hospital?

About one mile. 10-4.

[SIRENS WAILING]

Hi, Joe. What have you got?

We've got a laryngeal
obstruction coming in.

His breathing stopped


That means you have
less than three minutes

before he develops severe
brain damage. Mmm-hmm.

So let's get that laryngoscope
in as soon as possible. All right.

If we can't pull it out,
we'll do a tracheotomy. Good, good.

Here we go.

All righty, let's move it.

MIKE: Let's get him down.
Let's go. Move.

Fellas, let's go.

Get him in Room 1. Hurry up.

Let's get him in here
as fast as possible.

All right. Somebody
give me a tourniquet.

Get it under his shoulders.

All the way.

All right, stand by
with assisted ventilation.

Mike, can you get me
a blood sample?

His pulse is up to 130.

I see the obstruction.

His teeth.

Yeah, it's a
partial dental plate.

It's forming a valve
over the epiglottis.

It's stuck closed.

A lot of secondary edema
around the larynx. I think I can get it.

There you go.

Hey, Dix. Who's your friend?

Somebody left that
for one of our patients.

Mrs. Johnson, right?

Yeah, right.

I brought her in last night when I
was working overtime for Carlson.

She loves plants. Fell
when she was watering one.

Has Johnny met her yet?

No, no. She's more
Roy's type than mine.

Well, look, if you don't mind,
I think we'll deliver this right now.

Terrific. Yeah, go ahead.

PARAMEDIC ON RADIO: Rampart Emergency,
this is Squad 95.

Go ahead, 95.

We have a child, female,
about 10.

She is comatose from a fall.

Pulse 100, respiration 16.

Blood pressure 110 over 70.

Numerous cuts and contusions.

Plus deep laceration
on right forehead.

We are immobilizing
for possible spinal injury.


Have you checked the eyes?

Pupils are equal
and responsive, Rampart.


and restrict the fluid flow.

Transport immediately.

10-4, Rampart.

Dix, is Joe finished
in Treatment 1?

Right. I'll set it up.

That doesn't smell.

Six.

WANDA: Wait, will you
hold the door, please?

Oops.

Whoa, whoa.

Boy, you got quite a load here,
don't you? Yeah.

What floor are you
going to? Four please.

Four? Okay.

We're going up to six.

[WOMAN SPEAKING ON PA]

My name is Johnny Gage.

Hi. This is Roy.

My partner, DeSoto.

He's... We're partners.

Could you put that back
on the cart, please?

The box?

Oh, sure. Thank you.

You came in and it fell off.

Listen, I think this is my floor. Oh,
that's...

Oh, yeah.

Well, can I help you?
Here, just...

You know, I can... Mrs. Johnson.

Huh? Mrs. Johnson.

Oh, fine. That's fine.

Oh! I'm sorry. Excuse me. Sorry.

Hey, what's your hurry?

I was about to ask you.

Hey, listen, I never
caught your name.

If you do,
just leave it for me at the reception desk.

Easy with her.

How far did she fall?

About 200 feet down a slope.

She landed in some bushes.
It's the only thing that saved her.

Babinski is normal,
and so are the deep tendon reflexes.

Pupils equal and reactive.

How are the vitals, Dix?

Blood pressure is 110 over 70.

Pulse is 95. Respiration
and temperature are normal.

There doesn't seem to be any
impairment to the motor-neural responses.

I think we better keep that pressure
bandage on that scalp laceration

till we know for sure
what we've got.

Dix, put an operating room
on standby.

What, do you think we might
have a fracture, Kel?

It looks like
a concussion to me.

But there might be
a depressed fracture.

We better check her vital
signs every 10 minutes.

I'm gonna need an x-ray of the skull,
cervical, spine and chest.

MIKE: Kel, look at this.

It looks like a dog bite.

Were there any animals
around where she fell?

Yeah, there was a big
yellow dog down the block.

I told the police about it.

She seems to be
regaining consciousness.

Maybe she can tell us
some more about it.

Just a second.

"He shall give us angels
charge over thee."

"They shall cover thee
with their wings."

Curtis, here comes the doctor.

Mr. and Mrs. Murdoch? Yeah.

Hello, I'm Dr. Brackett.
How do you do?

Your daughter seems
to have had a mild concussion.

I think she's gonna be fine.

Oh, Curtis, it's a miracle!

People told us
her neck was broken.

We saw where she fell.

They said she was all broken up.

We doubted the Lord.

Well, the x-rays we took of her head
and neck showed there was no fractures.

So she doesn't seem to be
in any immediate danger.

Would you like to see her?

Does Melissa have a dog?

A dog? No. No dog.

Well, we found what looks like
a dog bite on one of her arms.

A rabies vaccination
may be necessary.

Oh?

Well, just what
does that entail?

A series of sh*ts
over a 10-day period.

We don't have
to start immediately.

Rabies has a long
incubation period.

Give us a chance to try
and locate the animal.

Are you all right, honey?

Melissa.

The Lord has spared you.

A dog bit me. Iran and fell.

Was it a big yellow dog?

Yes. It was sick.

I only want to help.

Is she ready to go?

Well, I'd like to keep her
here for observation.

Doctor, two months ago,

we answered the altar call.

And now the Lord has
answered us.

When Melissa fell,

he caught her in his hand.

She has no need for a hospital.

They're only doing what
they think is right, Curtis.

Maybe.

May we be alone with her
for a minute to give thanks?

Yes, of course.

Please don't leave
without trying to see me.

I need some more information
for the rabies vaccine.

Mike?

This is where she fell,
over here, feeding Elmer.

Elmer?

Yeah, yeah, all the plants
have names.

Like, for instance,
this philodendron over here is Ophelia.

Oh.

And this Boston fern,
this is either Herman or Stephanie.

Can't remember which one.

Well, might as well start
feeding the begonias.

Give them a little water.

What's the name of this one?

What's the name of this one?

That's Sadie.

Sadie, huh?

Hey, Sadie. How you doing?

You know, I don't think
Sadie's feeling too well.

She's got yellow stuff
all over her leaves.

You know, I think you're right.

What are we gonna do?

What are we gonna do?

We aren't gonna do anything.
I don't want that thing.

I didn't make any promises
to Mrs. Johnson.

Talking to the plants
and everything.

I don't want nothing
to do with this. "We."

Curtis, we ought to at least
hear what the doctor has to say.

Emma, we know our path.

[SIGHS]
Well, thanks for waiting.

I need to know
if Melissa's allergic

to any of the substances
used in the rabies vaccine.

Doctor, we trust in the Lord
to provide for Melissa.

Are you telling me you don't want
your daughter to be vaccinated?

That's about it.

Well, it's been a long day.

Please have Melissa ready
to go home when we get back.

Mr. Murdoch,
I don't think you understand.

If the dog was rabid,

Melissa is almost certain to
have contracted the disease.

Rabies is fatal.

CURTIS:
The Lord will decide that.

Hey, Roy, what are you reading?

"Plant Pathology"?

Yeah, he got it from that
little old lady in the hospital.

She's not so little.

You know, John, you should
give Roy a hand with those plants.

I understand you're
an expert at watering.

[LAUGHS] Yeah,
but he waters people not plants.

Ah.

You know, there's more to
indoor gardening than just watering.

Plants are susceptible to diseases.
They need special handling.

It's really kind of fantastic.

I'm beginning to worry
about you, man.

[ALARM SOUNDING]

DISPATCHER: Station 51,
Station 47, Engine 21, Truck 29,

Structure fire at the winery.


7-7-5-0 Commercial Avenue.

Cross street, Sixth Avenue.

[SIRENS BLARING]

Over here! Over here!

Right in here. Right in there.

[expl*si*n]

It's Fernando.
He was riding the tractor,

a wheel came off the trailer and the
whole thing piled up and caught fire.

Well, you better check
the rest of your men.

Make sure they're all accounted for,
huh?

Right.

JOHNNY: It's okay.
You're gonna be all right.

[GROANING]

Rampart, this is Squad 51.

DIXIE: Go ahead, 51.

Rampart, we have a man
in his late 50's,

extensive second-degree burns.

JOHNNY: He has severe,
crushing chest pains.

Vital signs to follow.

Marco, an inch and a half.

BP is 110 over 50.

Pulse rate's 110 regular.
Respiration's 30.

Rampart, BP is 110 over 50.

Pulse is 110 and regular.
Respiration is 30.

It's Squad 51.
There's a winery fire.



Normal saline,
give five milligrams morphine IV push.

Get him wrapped for transport
as soon as possible, 51.



[SIREN WAILING]

Normal saline,
five milligrams MS. IV push.

I'm gonna start wrapping him up.

All right.

[GROANING]

Okay, engine 47, take
the fermentation building.

There's a couple hundred
thousand gallons of alcohol in there.

Set up for light water.

I'm missing one man. Okay,
we'll go in and look for him.

He was working near
the wine pits.

All right.

[ALL CHATTERING]

All right.

The pits are right in the
center of the fermentation shed.

ROY: Cap?

Got a man trapped inside.

We're gonna go in
and look for him.

The pits are down in the
middle to your left there.

All right.

I'll take the high.
Here, you wanna take this?

Hello?

Is anybody here?

Hello!

Hey!

Hey! Hello!

ROY: Hello!

Hey!

Johnny, you got
anything up there?

No, I haven't seen a thing.
You seeing anything?

Nothing.
You going on further down?

Yeah.

Is anybody up there?

Hey, anybody over there?

[expl*si*n]

[MAN COUGHING]

JOHNNY: Roy?

Yeah? Over here.

Get him out.

You got him? Yeah.

[COUGHING]

Put your arm around my shoulder.

Take it easy.

[COUGHING]

[SIRENS WAILING]

[COUGHING]

We need some oxygen here. We
got a man who fell into a wine vat.

This guy's in a worst way.

Watch your head.

Rampart, this is Squad 51.

Go ahead, 51.

ROY: Right. We have a male
patient. Approximately 45 years of age.

He's cyanotic. Fell into a
wine vat. Nearly drowned.

We're ventilating him now.
Vitals to follow.


on the second victim.

Transport as soon as you can.



We're set up in Treatment 3.

Hello. My name is
Curtis Murdoch,

and I'm here to get
my daughter, Melissa.

One moment, please.

Maybe we ought to listen
to the doctor, Curtis.

Oh, Emma, we agreed.
Is Dr. Brackett available?

Our faith must stand firm.

If you say so, Curtis.

Dr. Brackett's in emergency.

All right. We'll wait.

How are the two patients
from the winery fire doing?

They're doing fine.

Listen, Kel,
the Murdochs are waiting.

They've come
to take Melissa home.

If they take that little girl out of here,
we'll never see her again.

I know.

Dix, call the chaplain for me,
will you, and fill him in?

I'll see if I can stall them
till he arrives.

All right.

Will you get me
the chaplain, please?

Where is she?

I'm having her brought down.

There's still the matter
of that dog bite, though.

That dog bite is
a test of our faith, Doctor.

We intend to stand firm.

Mr. Murdoch, do you know
what Russian roulette is?

Yeah.

Well, the game you're playing
with Melissa is Russian roulette.

Except that in her case,
instead of one b*llet,

she's got all six.

Pardon me. Maybe I can help.

Hello, Chuck.

I'm Chuck Miller, the hospital
chaplain. You must be Mr. Murdoch.

This is my wife Emma.

Hello, Emma. Hello.

I'm pleased to meet you both.

Mr. Miller, you have
something to say?

Well, I understand
that you folks believe

that God doesn't want you
to let Melissa be vaccinated.

Listen. Melissa had a fall,
a bad fall.

The Lord saved her
from that fall.

Why shouldn't he save her
from a dog bite?

Well, I think he will save her.

But I also think that
you have to do your part.

You have a Bible. May I see it?

Do you believe
what the Bible says?

It's the word of God.

Yes, I believe it is.

Do you recall that
when the devil said to Jesus,

"If are you the son of God, jump off
this high pinnacle and you won't be hurt."

Oh, yes, I remember.

Read his answer.

"And Jesus answering
said unto him,"

"It is said,"

“Thou shah hot tempt
the Lord, thy God.

Looks like the chaplain is
making some headway.

I hope so.

Curtis and myself,
we've only been saved a couple of months.

Maybe we have a lot to learn.

But don't you think God will be
disappointed in us for not having faith?

Well, I think God has a purpose
and a destiny for Melissa.

And he would be disappointed

if you risk her life,
needlessly.

Tell the doctor,
we'll do what he wants.

Good. Good.

Oh, look, there's Melissa.

Hey, Dix.

How's that guy doing
that swallowed his dentures?

Complaining. About his teeth?

I'm gonna go see Mrs.
Johnson just for a second.

Hey, wait a minute. Hang on.

Listen, I wanna
see this old lady, too.

You know,
she's becoming a large part of my life.

I have a feeling you're
gonna find her very interesting.

[SCOFFS] Yeah.
I don't doubt that.

Here we are, over here.

WOMAN: Come in.

Oh, hi, Roy.
I'm so glad to see you.

How are you? Mrs. Johnson,
this is my partner, John Gage.

Hi, John. It's nice meeting you.

Tell me, Roy,
how is poor Sadie doing?

Well, now, let's see.

Sprayed her with garlic water,
right?

And I dusted her stem
with sulfur.

That ought to fix her right up.

Roy's been such a help to me.

Oh, yeah, I know. He's that way.

[STAMMERING]
You know, we're partners.

We work together.

How long are you gonna be
here at the hospital?

The doctor promised me
I'd be out tomorrow.

Oh, that's great.

Oh, well, you know, here.

Your key.

Thanks again, Roy.

Bye. Pleasure. Bye-bye.

Nice... Well, see you later.

Man, you never cease
to amaze me.

Why?

I thought Mrs. Johnson
was an old lady.

Now, I never said that.

Now, look,
you never said that she wasn't.

Where's her husband?

She's divorced.

She's...

What's that got to do
with anything?

Man, you never cease
to amaze me.

Hey, what did you think
of Mrs. Johnson?

Good night, Dix.

Good night, Doc.

See you. Guys-

Hey, Chuck, I sure
wanna thank you again.

Just doing my job, Kel.

The Murdochs are decent people.

I think they sincerely want
what's best for Melissa.

Yeah, I think so, too.

Kel, I just got a call from the police
about that dog you're looking for.

They found it.
Well, was it rabid?

No, it had been hit by a car.

The veterinarian has it now.

He's gonna keep it
under observation.

Well, the Murdochs
will be happy to hear that.

Melissa probably won't have
to take the vaccine sh*ts now.

Looks like something important
has happened either way.

All right. Out with it.

Out with what?

Come on.

It's nothing.

I just can't figure out why you didn't
tell me about Mrs. Johnson, that's all.

Tell you what about her?

Tell me that she was incredible.

Well, I never thought
to mention it.

That wasn't one of the
reasons why I helped her.

I'm real disappointed in you.
Really disappointed.

I mean, you were
taken in by a pretty face.

I am a happily married man,
remember?

Yeah.

Hey, Roy, what's Mrs. Johnson
gonna have you do today?

Plow the back 40?

[LAUGHING]

[ALARM SOUNDING]

DISPATCHER ON RADIO:
Station 51, man injured.

4576 Elm Street.


Cross street, Marsette.
Time out 9:47.

Station 51, KMG 365.

[HORN BLARING]

[SIRENS WAILING]

We got a live grenade
in the garage.

A lot of other
amm*nit*on in there, too.

Can't you move it to a
safe place and detonate it?

No, this grenade
is inside a man's belly.

Kel, we got a grenade inside
of a man's belly.

I just picked it up. It was wrapped in
brown paper and it suddenly went off.

Would you get a doctor
for my husband, please?

We're medically trained paramedics.
We'll take good care of him.

Save him,
Doctor. You'll have to wait out back, miss.

I don't want to wait outside.

This guy's a g*n collector.

He's got more illegal weapons here,
enough to start World w*r Ill.

Well, what kind of a grenade
was he hit with?

Well, one like this.
High expl*sive type of thing.

It's an M79 grenade.

Is there any chance
this thing might go off?

There sure is.

Rampart, this is Squad 51.



Rampart, we have a male
about 45 years old.

He's wounded in the upper left quadrant
of the abdomen by a large caliber grenade.

The round is embedded in his
abdomen. It has not exploded.

Okay, BP is 90 over 60,
pulse is 120.

Respiration's 20.

Rampart, vital signs are
BP 90 over 60,

pulse is 120,
and respiration's 20.


with Ringer's lactate.

Draw blood for type
and cross match.

Can the victim
be transported safely?

He wants to know.

That thing could go off
in the ambulance.

And at the hospital.

Rampart, we advise that
the patient not be transported.

KELLY: Okay,


And have the police rush that blood
to the lab for type and cross match.

I'm on my way. Rampart out.

Dix, you better make a list.

I'll need a complete laparotomy pack,
a tray and a stand,

a laryngoscope,
endotracheal tube,

portable generator
with suction unit,

flood light and you better line
me up an ambulance for transport.

All right.

Hey, would you clear all those
spectators away from the house?

Right. I'm Sergeant
Tompkins of the b*mb squad.

What have we got here?

This man has been
sh*t by a grenade g*n.

The round is still inside him.

M79.

Anti-personnel grenade,
very nasty customer.

I'll be right back.

Now get the pulse.
Get the pulse. All right.

Mike!

Yeah.

I've got a field emergency.
You wanna give me a hand?

Sure. Let's go.

Thanks, Dix.

Why can't the doctor just
come and operate on him in here

rather than risk moving him?

If that grenade explodes
in this confined space,

it'll k*ll everyone in the room.

Be better if we set
up a bunker outside

where the concussion
will dissipate.

We better hurry.
We haven't much time.

Now we'll need all the mattresses
and cushions from the house

to contain the fragments.
We'll set up in the backyard.

Can one of you guys come
show me what you need?

Yeah. Yeah. I'll stay with him.

Okay.

[SIREN WAILING]

Make these mattresses
good and secure.

There's the ambulance.

Come on. I'll introduce
you to Dr. Brackett.

Hey, Doc, this is Sergeant
Tompkins from the b*mb squad.

We're all set up back here.

Get that OR equipment ready.
I'm gonna scrub up.

Get that endotracheal tube
in as soon as you can.

Right.

Let's go.

All right, fellas. Put these on.

Now, we're going to
lift him straight up.

Easy, easy, easy, easy.

Easy, easy-

How is he?

Not so good.
He's lost a lot of blood.

We got some O blood coming from
Rampart as soon as it's matched.

Hey, I need a couple of nurses
who aren't afraid of loud noises.

You got them.

Thanks, fellas.

JOHNNY: All right.

They're bringing him out.
Better move everybody back.

Okay, straight up.

Easy, easy-

Easy. Easy, now.

Dance if it goes.

Easy does it.

Okay. Come on. We're
getting him in here.

Let's just set him down.
You don't have to release him.

Okay, now, set him down
real slow. Real slow.

Watch your back, man.

Watch your back.

That's good.

When you raise up...

Y'all raise this up. Ready?

Okay, easy does it.
Easy does it.

KELLY: Easy.

Is it down? Grab those feet.

Okay, easy now.
Don't let it jerk.

MAN: We got him. Okay.

You slide away from this table.

Is it down there?

That's it, good.

Okay, I think it's latched.
Okay, real good.

You just keep on
ventilating him like this.

And I'm gonna prep him
and drape him, okay?

Stethoscope, please. Okay.

Looks like the round
deflected down and to the right.

I'll have to make a
mid-line incision. Skin Kn*fe.

Hemostat.

Another.

KELLY: Tie.

Pickups and scissors.

Retractors.

He's a lucky man.

The peritoneum has been penetrated,
but not the bowels.

Spleen is lacerated.

You want to do a splenectomy?

No, we'll pack it
and take it out later.

KELLY: How are the vitals?

BP is down to 50. Pulse is 130.

He needs blood.
I hope it's on its way.

Start another liter of Ringer's.

It's V-fib.

KELLY: Get the paddles ready.

What about the b*mb?

We'll just have to chance it.


Clear. Good.

No conversion.

Again.

Sinus rhythm.

Sponge.

Okay, I can see it.

It's lodged against his kidneys.

Get that b*mb man over here.

All right, now, careful.

It's a high expl*sive round.
I can tell by the shape.

So take it nice and easy.
That's right.

Easy does it.

Easy. That's the way.

Okay.

Easy.

Take it up.

Mike, get his abdomen packed
and let's get him to Rampart.

Right.

Here comes the blood.

All right. We'll transfuse
him in the ambulance.

Hey, guys, thanks a lot.
You did a hell of a job.

Gage, see you back at
the hospital. All right, Doc.

What happened? How is he?

Doctor seems to think
he's gonna be okay.

Thank God.

Come on over here. Why don't you
sit down? Are you feeling all right?

Are you sure you are?

You will remember,
we got to give these to the hospital?

Well, I'll think about it.

Roy, there's somebody here
to see you.

Hi. Have you got a second?

Sure. Hi, how are you?

Fine. Thanks. Good.

I wanted to give you something.

Oh.

Oh, you shouldn't
have done that.

Thank you.

Should I open it? Yeah.

I've never been really
good at opening presents.

That's beautiful.

Do you remember Lavinia,
my creeping wisteria? Yeah.

That's one of her babies.

[SNICKERS]

[EXCLAIMS]

I'm gonna give this
a real good...

Thank you very much. I'm
gonna give it a real good home.

Well, that's real nice.
Thank you.

Well, I've gotta be going.

Oh, okay.

My analyst says
I need a vacation.

Vacation?

But I couldn't impose upon you
to take care of my plants again.

Well, you can impose on me.

I mean, I'll keep
an eye on them if you want.

I love plants.
I grow alfalfa sprouts.

I grew up across the street
from 1,000 acres of beans.

My uncle manufactures
fertilizer.

Yeah, so do you.

[CHATTERING]