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Спойлер!!!!12.13 "Body and Soul"
Lubasha Visnjic: Director: Paul McCrane. Work dates: 12/5 - 12/14 The James Woods episode. Woods' character is named Nate Lennox. Not much detail on this yet -- just a role for his doctor, and for a couple of students enthralled by his genius in a biochemistry lecture. If they're even doing a flashback and are going to try to pass The Abster off as twenty-five, they really shouldn't go there.
Ответов - 21
Lubasha Visnjic: Еще известно, что он болен ASL - генетической болезнью. И пока больше ничего.
Starley: И чё все больные?
Lubasha Visnjic: Starley пишет: цитатаИ чё все больные? кто все? я не поняла твоего вопроса.
Starley: да я так.... Вон, у Керри тоже учитель был....
Lubasha Visnjic: от Daisy ------------- -------------------------------------------------------------------------------- Helloooo, kids. This is not the first time Nate is treatet by County General's finest. We see Pratt, Neela, and Abby in Nate's flashbacks. Now, ready for this? We see Anspaugh in another flashback.. and.... Anspaugh talks about Romano! It's very simple sweetheart. It's a flashback episode and they've all treated Nate before, Luka, Abby, Pratt, Neela. In one of the past episodes, Anspaugh talk about Romano, and Pratt talks about Mark. We also see Pratt talking about going to Northwestern and Neela saying surgeons are evil jerks. In the present, Luka, Ray, Sam and Abby treat Nate. Snif. It's sad, kids, Horrible disease. Snif. -------------------------------------------------------------------------------- Sweethearts, it's going to be so hard to watch. Fran's his caregiver and also the woman of his life, though Nate decided that he had to devote himself to science and had no time for such things like love and enjoying life. In one of the flashbacks we see Nate telling Luka something along these lines, and Luka saying people can manage to balance carreer and personal life. Poor Luka put his foot in his mouth assuming Fran and Nate were married. Nate's condition is worse than the last time he was brought to County, and they have to decide if they are going to just let him go or try some medical procedures. Fran says she knows what he wants, and there's some discussion about what he wants. Abby pushes for surgery and Luka supports her. Nate didn't want to be kept alive. -------------------------------------------------------------------------------- Let me correct something kids. Luka supports Abby because he thinks that if there's the smallet chance Nate wanted to go through any procedure that could give him more time, they should do it. Neela and Dubenko performs Nate's surgery. But, sweethearts, this daisy knows nothing about the medical aspects of this show, someone else's going to explain this for you, ok? In one of the flashbacks, Nate asks Luka if he's married and he just shakes his head, no. Nate wanted a Nobel and he wanted to push the frontiers of science. He was brilliant and named the Teacher of the Year. He was praised by his pears and loved by his students. He lives in a weelchair and needs a computer to talk. So sad, kids. Lily and Malik are there. I have to run, kids, but I'm sure others will give you more details and explain better all the medical parts of the episode. Lou Ghering's disease is heartbreaking... Play nice, sweethearts! Bye! Sorry, sweethearts, Ray is very much in the present day scenes, even arguing with Abby that she's not doing what Nate really wants
Lubasha Visnjic: от Doc Sharon -------------------------------------------------------------------------------- We see Nate at the major milestones of his illness turning up in the ER. He slips and falls on the stairs, breaking his wrist and we hear that he can no longer navigate stairs successfully and should really be using a wheelchair. Luka treats him then, but doesn't remember it later. Pratt later treats him when he chokes on some food and he needs a feeding tube inserted. This occurs on the day he wins Teacher of the Year from the med school where Anspaugh is presenting. It's mentioned that Romano will do the surgerey. Pratt remarks that the ER is understaffed because as many as possible are attending a memorial service for Mark. We also see Nate when his speech has gotten so bad that he needs to start using the electronic device. His final appearance in the ER occurs when he is found at an ice rink, without a coat, disoriented. Turns out he has pneumonia and his pulmonary function is poor. There's some question as to how alert he is, he doesn't always respond appropriately, and,since he's both oxygen deprived and septic, most of the staff don't really seem to think he is aware enough to give consent. Initially, Luka, Sam and Nate's friend, Fran, who has durable power of attorney, discuss whether it might be best to let nature take its course at this time rather than doing anything heroic. However, Abby walks in, pitches a fit and immediately starts to intubate him despite Luka and Fran telling her they're not sure that's what Nate would want. Fran actually seems pretty sure that it isn't and she is present at every other ER visit over the years and seems to know him pretty well. Abby is unable to intubate and they can't get a line into Nate either. She also discovers that his Gtube is malfunctioning and needs replaced so he can be fed. Abby pushes for fixing all of these things right away, she asserts that Nate's poor lung function is due to the pneumonia and not the ALS, so she's sure he will get better once the pneumonia's treated. Ray points out that this is the very best case scenario and it is more likely that his lungs are not going to get better and he will spend the rest of his life in the ICU. Fran is pretty savvy about the lung parameters and points out that she knows that at the numbers Nate currently has, ALS patients are placed into hospice and made comfortable, not subjected to aggressive treatment. Abby asks Nate if he wants the tracheostomy. He answers, "I'm OK" which she decides means he wants the procedure while Fran thinks he means he is OK as he is and doesn't want anything else done. Abby overrules her and Ray, who also thought the same thing. Luka arrives and Abby tells him they must do everything because Nate wants it. Luka agrees that if there is any doubt, they have to do everything, although Abby seems to be the only one who thinks this is what Nate was saying. There's a fair amount of evidence from his previous visits to the ER that he was not particularly interested in the length of his life as much as the quality. They replace his Gtube, put in a central line and then Neela and Dubenko do the trach. There is major hemorrhage and concern that they will have to open his chest to control the bleeding due to some unusual anatomy, but it looks like they get it under control without anything more than making a huge incision in his neck. Initially, Nate is slow to wake up and there is concern he has brain damage. His caregiver wants to take him home and care for there, telling Abby that this is what Nate always wanted. Abby continues to insist he be admitted to ICU because he is going to get over the pneumonia and things will be great. She lays a little guilt trip on Fran, asking 'Don't you want him to get better?'. Nate wakes up and maked it clear that he never wanted the trach, as Fran indicated. He wants it removed immediately, but, of course, Abby tells him that is impossible. He also points out that his facial muscles are getting weaker and weaker and very soon he will be unable to blink or trigger the electronic voice box, so he will be 'locked in' and unable to communicate, he is ready to die. Nate wants to go home right away but Abby has a fit about that, he wants to invite his poker buddies over for one last game. Abby wants him to play poker with them in the ICU. Nate insists on going home even though Abby tells him she's not 'comfortable' with it. He tells her it's more important that he's comfortable. He also indicates that he intends to turn off the vent at bedtime and die in his sleep that night. Abby's not happy about that, either but she doesn't really have any choice and it looks like he leaves.
Lubasha Visnjic: от deedee -------------- Nate (Woods' character) has been in and out of the ER over the years, and several of the staff know him. We get a flashback to the day of Mark Greene's funeral when Pratt treated him, for example. (Pratt mentions that they're short-staffed because everyone's at the funeral.) His current trip to the ER is because he's deteriorating rapidly from pneumonia. I had to almost laugh a little at one point because sure enough, Luka (a.k.a. The Grim Reaper) wants to withhold treatment immediately, saying in effect that this might be the time for Nate to die. Abby ignores him and does some suction on Nate's throat. He improves somewhat. She insists over Nate's caregiver's wishes that he needs a surgical procedure to further improve his breathing. Nate's unable to give clear consent (the caregiver thinks he hasn't, Abby thinks he has), and Dubenko proceeds. It doesn't go smoothly, and when Nate is awake and alert, he's clear he did not want it, wants the vent removed, and to die at home. There's a great part for Fran, his caregiver, who's been with him for over twenty years. This is Woods' spotlight so I can't see them going for another star name, but it'll be interesting to see the actress they cast. (I didn't see any mention of Clemente or Weaver in this, but everyone else makes an appearance. Anspaugh's even there in one of the flashbacks, and he and Nate mention Romano.) Nate is at crisis point *before* the surgery is mentioned, due to a mucus/phlegm plug in his throat. Luka doesn't want to do anything then, the caregiver is uncertain, Ray and Sam are standing by. Abby takes charge and uses suction to clear Nate's throat to ease his breathing a bit, in contradiction of what Luka tells her to do (nothing), and over Ray and Sam's reluctance to get involved. It's that scene where she's in defiance of the attending's orders, but does what she thinks is right over his objections. In that part, it's pretty clear cut that Abby was right. In the next, when she insists on surgery that the caregiver is sure Nate wouldn't want (and later says he didn't), she's in the wrong. 1. Nate is unable to breathe, his oxygen level is falling, the alarm is going off. 2. Abby walks in, quickly assesses the situation, and successfully suctions Nate's throat over Luka's repeated objections and without assistance from the others. Luka tells Abby to stop, not to do anything + Abby's action in spite of his instructions = Abby defying the attending. She seems in agreement enough with the attendings over the surgical procedure -- certainly enough for Dubenko to perform it. The person she defies there is his caregiver, who knows what Nate's wishes were.
Starley: Lubasha Visnjic пишет: цитатаAbby pushes for surgery and Luka supports her. Еще бы Лука ее не поддержал!
Starley: Вспомнили Романо....Не прошло и 2-х лет! Не помню, чтоб его в 11 вспоминали
Starley: Lubasha Visnjic пишет: цитатаNeela and Dubenko performs Nate's surgery. Может я не так что поняла, но почему Нила с Дыбенко оперирует? Или я не правильно перевела?
Lubasha Visnjic: Starley пишет: цитатаМожет я не так что поняла, но почему Нила с Дыбенко оперирует? Или я не правильно перевела? правильно. Нила стала интересовать хирургией. Дыбенко ей всячески способствует. Хотя я не понимаю, как она может быть хирургом ,если закончила курс не хирургический, если токо на повышение квалификации что ли.
Starley: Nate wants to go home right away but Abby has a fit about that, he wants to invite his poker buddies over for one last game. Abby wants him to play poker with them in the ICU. Эбби собралась в покер играть? И что она так с этим пациентом носится?
Starley: Lubasha Visnjic пишет: цитатаесли закончила курс не хирургический, если токо на повышение квалификации что ли. Ага! На переподготовку ее!
Starley: Lubasha Visnjic пишет: цитатаLuka tells Abby to stop, not to do anything + Abby's action in spite of his instructions = Abby defying the attending. Интересно, что ей будет за неподчинение старшему врачу?
Lubasha Visnjic: Starley пишет: цитатаИ что она так с этим пациентом носится? наставник он ее был когда-то....
Lubasha Visnjic: Starley пишет: цитатаИнтересно, что ей будет за неподчинение старшему врачу? это же ЭББИ. ЧТо ей будет?...
Starley: Lubasha Visnjic пишет: цитатаэто же ЭББИ. ЧТо ей будет?... Вот именно! НИЧЕГО! Любаш, я уже поняла, что это ее наставник. Просто не знала, как его по сериалу зовут
Lubasha Visnjic: Starley пишет: цитатаВот именно! НИЧЕГО! и это страшно...
Starley: Lubasha Visnjic пишет: цитатаи это страшно... Хе, а что поделаешь? Эй все мона!
Lubasha Visnjic: Starley пишет: цитатаЭй все мона! кто это сказал??
Starley: Lubasha Visnjic пишет: цитатакто это сказал?? ЭББИ!
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