Chicago Hope: Reading Between the Lines Ever watch tv and wonder what the e.r. physicians are really saying? The producers of Chicago Hope
were kind enough to let us translate the final scene from a recent episode. Click on the underlined
words below to see the "translations."
EXECUTIVE PRODUCER: JOHN TINKER
EXECUTIVE PRODUCER: BILL D'ELIA
EXECUTIVE CONSULTANT: DAVID E.KELLEY
SUPERVISING PRODUCER: JAMES C. HART
PRODUCER: JOHN HEATH
PRODUCER: ROB CORN
PRODUCER: DAWN PRESTWICH
PRODUCER: NICOLE YORKIN
PRODUCER: TIM KRING
DIRECTOR: BILL D'ELIA
"Lamb to the Slaughter"
A. DeSantis Martin
Zachary Martin, M.D.
MCNEILYou see what I see? Liver looks like ground-round.
NYLANDLooks more like pate.
Suction. Pull back retractor,
I can't see anything—too
NYLAND (CONT)Get me some gel foam.
What a freakin' mess... (to Nurse)
Keep the clamps coming.
WILKESWhat's the situation down there?
MCNEILNot much to work with. Liver's totally blown.
(to Nurse) Sponge sticks. More laps.
NYLAND (CONT)(to Nurse)
Clamps. Large hemo clips. Soak more gel foam.
(off McNeil's order)
A lot more sponge laps.
WATTERS (VOICEOVER)The survival rate for this kind of injury in the E.R. is nearly zero.
Yes, you've said that.
WILKESI've got a lacerated pulmonary artery—probably from a bullet fragment.
Nyland, I'm gonna need you up here.
We have a pulse yet?
NURSEYes, but it's thready.
Nyland moves up to chest with Wilkes.
NYLANDThe other vessels seem to be intact .
WILKESGood, good. Then let's check behind the lung.
Wilkes briefly glances up at monitors, checking levels as Nyland jumps in. To
WILKES (CONT)Jack, you holding up?
MCNEILC'mon, you serious?
I need some help tying off these vessels.
NYLANDI'm with you.
(to Nurse) Bovey.
Nyland helps McNeil, adding hemo clips, helping with clamps. To Wilkes:
NYLAND (CONT)You're working with way too many instruments here. I'm getting
some of these out of the way.
Nyland, back with Wilkes on Marcus' chest, impatiently removes
clamp from thoracic aorta. Wilkes notices. To Nyland:
WILKESHold it, what're you doing?
(sotto; re: Wilkes)
NURSE Pressure's falling.
WILKES(loud; to McNeil)
Jack, the aorta's clamped?
NYLANDI clamped it myself.
NURSEI'm not getting a reading. I
have no pulse.
Monitors START SCREAMING. The frenzy begins.
WILKES Internal paddles, charge to twenty joules.
WATTERS (VOICEOVER)They'll try and shock Marcus' heart into beating again. Joules is simply a measure of electricity.
Wilkes discharges paddles directly into Marcus' heart as Edna and
Nathan re-appear in doorway, both in tears.
NURSE Sinus Tach.
WATTERS (VOICEOVER)He's back to a fast heart beat.
WILKESWhat's our B.P.?
NURSEYou have none.
WILKESI'm watching the heart beat.
WATTERS (VOICEOVER)Even with all those clamps, there's still a massive bleed somewhere.
WILKESNyland, reclamp the damn aorta.
Nyland reclamps, Wilkes' adrenaline racing.
WILKES (CONT)He's in V-fib. (to Nurse) Paddles. Twenty Joules.
Nurse hands internal paddles to Wilkes. Wilkes shocks the heart, looks to
monitors, no response.
WILKES (CONT)Starting direct cardiac compressions.
Okay, tell me now, tell me—we got a pulse with that?
WILKESAre the IV's wide open? Ventilation okay? We need
more volume, more O-neg blood and lactated ringers.
MCNEILStill no pulse.
WILKESGet the Lidocaine ready and give him one amp Epi and repeat every three minutes
'til we get a pressure.
WATTERS (VOICEOVER)Lidocaine calms the heart. Epinephrine's a chemical jolt that
strengthens the beat.
WATTERS (VOICEOVER)No heartbeat. No electrical impulse to make the heart beat.
Edna is breaking down.
WILKESNyland, you sure you got a clamp on the aorta?
NYLANDAnyone else wanna second-guess me?
WILKESGive him one amp of Atropine, another of Epi.
Nurse injects Atropine directly into IV.
NATHANHe'll be okay, Mama.
EDNAMy boy, my boy.
MCNEILWhat're we doing, Keith?
An eternal beat of SILENCE, save for the solo TONE of the flatline and Edna's
WAILING. All eyes are on Wilkes, waiting.
MCNEIL (CONT)Wilkes... You're running the code?
What about it?
Wilkes shoots a look at Nyland. Then, realizing it really is hopeless:
WILKESTime of death, ten o'clock.
Edna breaks down completely, falling to the floor, Nathan trying, but unable,
to comfort her. Wilkes is stunned, without a clue as to what happened. As McNeil reaches
up and TURNS OFF EKG, SILENCING TONE.
(special thanks to Beth Zeeman, M.D.)
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