Episode Report Card Heathen: B- | Grade It Now! YOU GRADE IT The Longer You Stay
By Heathen | Season 8 | Episode 2 | Aired on 10.03.2001
Luka chases her. "Could you be a little bit more rude?" he scolds. "Could you be a little bit more friendly?" she snaps. "I'm glad one of us is," Luka retorts, walking a bit behind her. Abby brats that he should just go back inside the bar and cure cancer for the UN, and he can damn well take back his letter jacket because she is so not going to the prom with him.
Paul is still in trouble. Chen administers lidocaine and prepares to cardiovert again. Carter strolls in and glibly calls out, "I'm not staying! I'm going to pack this woman's nose, and then you are going to take the rest of these misfits." Turning around after fetching the supplies he needs, Carter suddenly notices the palpable panic in the air. "Are you sure there wasn't [gastrointestinal] bleeding?" Chen freaks. Malucci replies that his stool was "quiet, negative, no contradictions." Just like Abby -- well, the "negative" part, anyway. Malucci briefs Carter that they're coping with a fatal MI, probably drug-related. Give it UP, Dave. Don't force a damn diagnosis. Carter contemplates the hanging x-rays and innocently asks, "Are you sure? He looks Marfanoid." Chen freezes. She's not authorized to treat robots. Malucci has the nads to ask what Carter means. "Marfan's syndrome," Carter explains. "Tall stature, pectus excavatum, loose joints." Ahem. That's no good to me. The best I could find was that Marfan's Syndrome is a disorder of connective tissues that often results in circulatory defects. Chen stares daggers at Malucci and hisses that she thought he got a medical history. "I did. The brother didn't say anything!" Dr. Dave insists defensively. Carter logically points out that Glenn might not have known. Chen dazedly walks to the x-rays and stares at them wanly. "They have weak connective tissue in the aorta," she breathes. "He's dissecting!" Essentially, I think his veins are falling apart. Carter suggests that they check the aorta for a rhythm, but Malucci admits that they administered tenecteplase. "What?" thunders Carter. "You gave thrombolytics to an aortic dissection?" He directs his oral dart at Chen, but it's Malucci who feebly argues, "We didn't know it was a dissection!" Carter seethes that the drug exacerbated the condition, creating ultra-thin blood that flooded the aorta and thus bathed Paul's chest in fluid. Throwing on a gown, Carter listens as Chen rejects Malucci's suggested thoracotomy tray on the grounds that Paul will bleed out all over the floor. "Well, we gotta do something!" he panics. Calmly, Carter steps in and calls out gentle instructions, though his eyes convey, "You're screwed."
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