#smerSim: Quinn

[san-myshuno-er]

Quinn: Oh shit. Oh shit, oh shit, oh shit. (checks the clock) 9.20... shit, shit, shit!

Quinn: Ow, ow, ow... shit, shit, shit...

Quinn: Oh my God...

--------

11.05 am

Eric: Ah, look who it is!

Quinn: I'm so sorry, Eric... Mr. Landgraab, I'm so sorry to have kept you waiting!

Geoffrey Landgraab: Not to worry, Major Roe, I mean... Doctor Roe. Doctor Tanner here has already told me that you have been working a lot of overtime this week.

Eric: That is true. And Quinn is known for staying longer and helping out her colleagues, so we won't hold it against her... this time. (He winks) Why don't you put your things away and then take our patron here on your tour?

Geoffrey: Good idea. And will you entertain my wife in the meantime? Or would you like to join us, dear?

Nancy Landgraab: I would rather open my veins, darling.

Eric: Well, you'd be in the right place for it... but Nancy and I can use the time to catch up instead.

Quinn: So here we go. This is our waiting area, where minor patients wait their turn, and families and friends have the chance to wait for news.

Geoffrey: How practical to have it so close to the front desk! Then they always know what's happening.

Quinn: It's not as ideal for us, since we often don't have any news yet and they see us walking by all the time. But it's the only place where it makes sense.

Geoffrey: Do you often treat patients in the hall?

Quinn: Usually these patients wait for a transport to a different department, but of course they still need care. Hey there, Julio!

Julio Perez: Hey there, Quinn... Mr. Landgraab.

Quinn: Here is our dispensary, usually headed by the charge nurse. Most meds are openly accessible to all medical staff, but narcotics have to be signed out by the charge nurse, even for doctors.

Geoffrey: Do you have a lot of theft here? Especially so close to the door?

Quinn: No. The door is locked when there's nobody inside, and we have a lot of security and staff here at all times.

Geoffrey: You and Doctor Tanner seem to run the department quite well, I must say.

Quinn: Thank you, sir. We are all trying our best here.

Geoffrey: It must be all very different to what you're used to, right? Surely in the crisis areas you used to work in, it was all a bit more improvised?

Quinn: Well. We certainly didn't have some of the medical equipment we have here. So, it was more traditional medicine, if that makes sense.

Geoffrey: Any material you need here?

Quinn: Well... Our X-Ray machine loses its certification next year... and we could offer a lot more prenatal care for the community if we had the right equipment for it.

Geoffrey: I see. I'll see what I can do.

Quinn: Of course we are also a teaching hospital. Here is Doctor Kaminski with one of her students, and I for example will get new students on next friday.

Geoffrey: I should play it up to the board more what you do for the next generation of doctors. Surely they will then also be willing to invest more into the hospital.

Quinn: We'd appreciate it, sir.

Geoffrey: How are you holding up personally? With your physical... restrictions, surely a job here is not all that easy?

Quinn: Thankfully everybody here is always willing to help out. Just like I was promised in my contract, everybody is very accomodating, be it reaching high places, me needing a break... everybody is great.

Quinn: And finally, the trauma rooms. Some might say the heart of the operation here. We treat between 10 and 30 people a day per room over the different shifts in here, meaning in between everything needs to be restocked.

Geoffrey: Ah... I am jealous, I must say. When I was a child, I wanted to either go to the military, or be a doctor. I wanted to work in a room just like this. But my father needed me to take over the company. So it never happened. And you got to live both of my dreams... how exciting.

Quinn: Well. Hopefully you will only ever see this room as an onlooker, and never as a patient.

Geoffrey: But this also means I won't be able to get to watch what you do here.

Quinn: Unfortunately not.

Quinn: Sir, if I could ask for one more, not so small thing: We could really use another doctor. While we have a lot of young, excited people, we lack experience; we're having issues staffing the shifts with people who have done all the procedures we do here.

Geoffrey: And teaching the younger staff to advance is not the solution to that?

Quinn: Not really, sir. It's a question of qualifications, about residents and attendings. Myself and Doctor Tanner are the only attendings here at the moment; Doctor Kaminski and Doctor Perez the chief residents. Other than that, we only have second years, now that Peter Manson left.

Geoffrey: Well, you're right. Since Doctor Manson left, we should have enough in the budget for a more experienced emergency physician. If we'll be able to find someone as experienced as you, as someone who can work while actual bullets are flying, is doubtful though. (chuckles)

Quinn: (mumbles) Jesus fucking Christ...

Geoffrey: (rambles on)

Quinn: (quietly) what the-

Eric: I'm sorry, Nancy, I- Ah! Mr. Landgraab, did you enjoy your tour?

Geoffrey: Quite so. I will be able to report to the board that everything is going well, and I can recommend several new purchases for the ER down here.

Eric: Wonderful, wonderful.

Eric: That is good news. I don't have to tell you how grateful we all are to you and your continued support, not just for the ER and this hospital, but also for the Community here in San Myshuno. Now that the winter is coming, we-

Nancy: We are very glad to do our part. But now we must go, mustn't we? Darling?

Quinn: And we should probably go back to work. Lots of patience waiting, Eric... Thank you for taking the time though, Mr. Landgraab.

Geoffrey: We will continue our support, and of course our visits here. Thank you, Doctor, for your time, and for your insight.

Franny: I'm so sorry to interrupt; Doctor Roe, two minors coming in after an MVA, both hypothermic, with lacerations, the older boy seems to be critical. ETA 10 minutes!

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[san-myshuno-er]

Quinn: Alright, what did you want to talk about? Did something happen?

Eric: No, nothing happened. But there's something we need to discuss. Tomorrow, Geoffrey Landgraab is going to pay us a visit.

Quinn: Shit. What does he want? Annoy us to death or just torture us?

Eric: God knows... He says he wants to see the ER to see where the money goes to. Apparently there's a board meeting of the Landgraab Foundation coming up.

Quinn: Doesn't he know we just smoke his Simoleon bills?

Eric: It gets even worse. For you, that is. He wants you to take him around and show him everything.

Quinn: What?! Why?

Eric: You know he has a military kink, he keeps bragging about having ex-military working here, you know, the best and the bravest...

Quinn: Oh good Lord...

Eric: I'm sure you're flattered.

Quinn: Oh yes. Being mentioned in someone's military "kink" is extremely flattering.

Eric: I know. But we can use that to our advantage. He likes you, he admires you, and it will be harder for him to say no to you.

Quinn: My dear Eric, the way you say that makes it sound salacious! What exactly do you want me to do? Flirt with him? Or more?

Eric: Not at all. What I want is for you to tell him everything is going great, but it could be better. We could use new equipment for pre-natal care and our portable X-Ray machine is going to lose its certification next year.

Quinn: And we need another doctor. Since Peter left, our residents are almost all first or second years, apart from Jenna and Julio, we need more experience on the floor.

Eric: Exactly. Get it done, we're all counting on you. You're back on at 9, right? He's supposed to be here at 11.

Quinn: If he says yes to a new doctor... Can I be involved in the hiring process?

Eric: Sure.

Quinn: Good. Then I'm going to leave now, my shift ended half an hour ago, and I have some appointments.

Eric: Anything serious?

Quinn: No, just dentist, physio, stuff like that.

Eric: Alright. Then have a good night.

Eric: Hold on. Why do you want to be involved? Have I hired bad doctors in the past?! Because all the folks I hired are great! Except maybe for the one I'm looking at right now!

Quinn: (walking away, laughing) You lost that bet fair and square, Eric! Time to let it go!

Quinn: Alright, guys, have a good shift. I'm taking off.

Jenna: Have a good night, sweetie. And thanks again for last night.

Quinn: I thought you're not on until tonight?

Jenna: I'm not. But what's the point in going home now? I'm going to catch up on my charting.

Quinn: Good idea. I'll see you tomorrow?

Jenna: Yup! See you then!

Everyone: Bye Quinn!

(Hours Later)

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(long post, sorry! But I wanted to finish this day haha)

[san-myshuno-er]

Mike: He’s in V-fib!

Quinn: Damn it! We’re intubating, get me a size 8 tube and french blade! 5mgs of Epi! And where is Brad!?

Brad the Intern: Here, Ma’am!

Quinn: What do I have to remember for the intubation again, Brad?

Brad the Intern: After positioning the head, you, uh… tilt it, and… uh… open the mouth, and- uh…

Quinn: Faster, Brad, I know you know it!

Brad: You place the blade, avoid the teeth and the lips, and advance the blade until you see the epiglottis, push the blade to the left, lift, visualize the chords and pass the tube into the trachea.

Quinn: Excellent. We’re in. Bag him. Brad, start CPR. Where’s that damn crash cart?!

Mike: Still V-fib!

Quinn: Is the epi in already?

Mike: Yeah. No effect.

Quinn: Alright. Charge to 200.

Nurse: Charged!

Quinn: Clear!

(patient gets shocked)

Mike: No change.

Quinn: Charge to 300! Clear!

-----

Jenna: *snores*

(Door opens and paramedics come in with a patient, waking Jenna.)

Paramedic (to doctor): His head apparently hit the steering wheel on impact, and there was also a lot of glass at the scene, although in our rig we couldn’t see any that might-

Jenna: Oh my! Good morning…

----

Shawn (to Doctor Manchin): No sensation radial, median or ulnar, no pulses, temperature and color as you see, we elevated it, he’s gotten 500 ccs of saline by push, crit’s 30 to 5, he’s been sent for typing and cross matching; X-Ray is waiting and the OR says they’ll have a room for you in twenty minutes.

Dr. Manchin: Okay. Let’s get him out of here.

Shawn: Listen, you think you can keep that hand?

Dr. Manchin: It looks pretty good. I think so.

Shawn: That’s good. I told him you’d keep it for him. He’s counting on you.

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[san-myshuno-er]

Quinn: Canelli? Anyone here from the Canelli family?

Timothy Canelli: Yes, over here. I'm his son.

Quinn: Let's go over here, Mr. Canelli.

Mr. Canelli: My father... he's here?

Quinn: (quietly) As you know, Mr. Canelli, your father was in an accident this morning. If you would come with me...

Mr. Canelli: (loudly) No! Tell me, god damnit, tell me right now!

Quinn: (whispers) I'm very sorry, Mr. Canelli, as a result of the accident, your father had several heart attacks, until his heart stopped. We tried to revive him for almost an hour, but we were unable to-

Mr. Canelli: No... no... you're lying... you're lying... he cannot be dead...

Quinn: I'm very sorry, sir, but-

Mr. Canelli: ... you're sorry!?

Mr. Canelli: You bitch! You bitch, you fucking bitch, don't say that! My father! What are you bitch... damn... it can't be...

Quinn: Mr. Canelli, please stop! I'm so sorry, but he is gone. And he wouldn't want you doing this!

Mr. Canelli: Gone... he's gone... oh God...

Mr. Canelli: I'm sorry, Dad... I'm sorry, Doctor, please forgive me... I'm so sorry... I'm sorry... (crying)

Quinn: It's okay, Mr. Canelli... It's okay. It's going to be okay... Why don't I take you to him?

Mr. Canelli: Okay... thank you...

Quinn: (joins the others) Are there any others? I thought several more were coming?

Mike: No, that's it.

Jenna: What?! That's it?

Mike: Yeah. Last two were D.o.A.

Quinn: So that's it.

Eric: Yeah. For now. ... Quinn, can I speak with you before I go up?

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[san-myshuno-er]

Paramedic: ... about 3 liters at the scene.

Dr. Eric Tanner: Okay. Curtain 4, let's go.

Jenna: Do you need a hand, Dr. Tanner?

Eric: Dr. Kaminski, what are you doing here? According to my schedule, you're not on right now.

Jenna: I was here anyways and thought I could help out, but if you don't need me, I'll-

Eric: No, no. With me, with me.

------

Dr. Manchin: Shawn, you're a smartass. You'd like to do this case yourself, wouldn't you?

Shawn: I could do it. Yeah. I feel strong. I feel ready. I could do it, yeah.

Dr. Manchin: You're just a third year resident, Shawn. You're years away from a case like this. Hyper down.

Quinn: Clear!

Mike: No changes, still v-fib.

Quinn: How long has it been?

Mike: 47 minutes. ... Hey, Buddy, are you sure you don't want to switch?

Brad: Positive. I want to see this through until the end.

Mike: You must be exhausted though.

Brad: I'm fine.

Quinn: When was the last epi?

Mike: 7 minutes ago.

Quinn: Alright, that's it.

Brad: Wait, there's still a chance!

Quinn: We've been shocking him for almost an hour. Even if we got him back somehow, his brain is fried. Hold CPR.

Quinn: Time of death: 11.27.

Mike: God, damnit. He didn't seem too bad when he came in.

Quinn: Yeah.

Mike: ... I'll go see what else is coming our way.

Quinn: You did good there, Brad.

Brad: I had hoped I could save my last patient.

Quinn: We did everything we could for him. We're not Gods, and he coded before we could even alert cardiology. It was... bad luck.

Brad: Does it ever get easier?

Quinn: Some. But not a lot. ... You'll be a good doctor, Brad. Don't feel defeated.

Brad: But not a good Emergency Doctor.

Quinn: You don't have to be... I'd be a lousy dermatologist. (smiles) Why don't you just go home? It's your last day, I handed in your evaluation last week, and I'm sure you have laundry to catch up on before you start your next rotation.

Brad: If you don't mind?

Quinn: I don't. You were a good student, you deserve it.

Brad: Is there nothing I can do for you before I go? Charts, labs?

Quinn: You could get me my crutch from the lounge, but other than that... no.

Brad: Alright, Ma'am. Thank you.

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[san-myshuno-er]

Terry: Good morning, Dr. Jones.

Shawn Jones: Hey, Terry.

Parker Frye: *on the phone* Do you have any estimates on the injuries?

Shawn: What do we have here?

Parker: *still on the phone* And how long before they arrive? That soon?! *hangs up*

Shawn: How are you doing, Parker? How’s the second week going?

Parker: Hey, Dr. Jones. Sorry, I gotta concentrate. I have to… notify trauma. Yes. Big accident in the Spice Quarter. Twelve injuries, seven critical. Now I have to…

Shawn: (to himself) Good day for us surgeons.

He leaves to get changed.

Quinn: Mrs. Willis in 4 needs a CBC. The man in 5 is a rule-out MI waiting for cardiac enzymes and another 12 units in. Dr. Kaminski is in 3, sleeping it off; why don’t you wake her and get her out of there.

Brad the Intern: Really?

Quinn: Yes. For curtain 1 I need, uric acid-

Quinn: Hey Shawn, any idea what this is all about?

Shawn: Big accident in the Spice Quarter, they’re sending us a dozen hot ones.

Quinn: Yeah, but who’s on?!

Shawn: (leaving) Just us!

Quinn: Oooookay. Forget all that. Call Julio Perez. Call the 7th and 8th floor. Tell them we need anybody they can spare.

Brad the Intern: I think Dr. Perez has an appointment and won’t be in until later.

Quinn: Right. Then call the Chief’s office, and tell him we could use some extra hands down here.

Intern: The chief?

Quinn: Dr. Tanner’s office? Chief of Emergency Medicine.

Brad: Oh-Yes. Sorry.

Quinn: It’s okay. Why don’t you do that now. Tell him it’s urgent.

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[san-myshuno-er]

Shawn: Alright, here we go! Let's get this gentleman to Trauma 2.

Cam Landry: What's your name, Sir? Sir, can you tell me your name?

Patient: It's Wilson.

Shawn: Okay, Mr. Wilson, I'm Dr. Jones, this is Nurse Cam, and we're going to take very good care of you.

Mike Davis: What's your name, sir?

Patient: It's Canelli. George Canelli.

Paramedic: Suspected MI, 500cc of Saline are in. Slight head trauma, he must have hit his head on the steering wheel.

Quinn: Alright, Mr Canelli. I'm Dr. Roe, let's get you down to Trauma 1.

Mr Canelli: Could someone perhaps call my son and daughter? I was... (heavy breathing) on my way to my son's house to see my grandchildren...

Quinn: Of course. Why don't you give the number to Nurse Mike here, he'll see to it.

Mr Canelli: (chuckles) men are nurses, and women are doctors...

Quinn: It's a changed world, sir.

Quinn: Alright, let's have a listen.

Mike: Pulse Ox is 97, BP is 117 to 87. Pulse is 135.

Mr. Canelli: That's not so bad, is it, Doctor?

Quinn: Sir, if you speak I can't hear your heart. I hear some crackling there. Let's get a EKG, CBC, Chem-7-

Mr. Canelli: What's that?

Quinn: Some blood tests, we look for your blood urea nitrogen, carbon dioxide, creatinine, glucose, chloride, potassium, and sodium values. Other than that, I want cardiac enzymes and, just to be safe, a cross table head and chest X-Ray. Once we get those back, we'll know more.

Mike: First saline is in.

Quinn: Good. Let's see what those tests say.

Shawn: Okay, let's have a looksie. Lights, please! Oh wow. Have some nice and pleasant thoughts, sir. (to the nurses) Let's have a CBC, type and cross-match. We got a pre-op here... Notify the OR, we need a room.

Cam: It's not completely severed, is it?

Shawn: No... still some attachment left. That's a good sign, sir.

Shawn: Call Vascular and Orthopedic. Tell them to get down here right now. This is their lucky day! Mr. Wilson, your hand is barely attached, but it's gonna be okay. Get me an EKG and an X-Ray of his wrist and hand... can you feel anything in your hand?

Mr. Wilson: No...

Shawn: We'll save your hand, don't worry.

Quinn: Mr. Canelli, we are going to call Cardiology as soon as those tests are back, and then they can decide what kind of treatment you might need.

Mike: Quinn, pulse ox and pressure are going down!

Quinn: I'm losing his pulse; Mr Canelli? Mr Canelli?!

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(sorry this post took so long!! real life got into the way...)

[san-myshuno-er]

Jenna: 3 is free, 3 is free… Three for three.

Quinn: Come on now, Jenna, nice and easy.

Jenna: *continues to sing*

Jenna: *tries to take off her shoes* so anyway. He says to me, he says: I didn’t know doctors could be so sexy. And I said, honey, you ain’t seen nothing yet. Give me D5, NS. I need the dextrose.

Quinn: Franny, give her 600 of ASA.

Jenna: Aspirin! I almost forgot Aspirin. Give me the fast drip, I need the hydration.

Quinn: Don’t worry, Jenna, just lie back.

Jenna: You should come out with me some time… Someone like you shouldn’t be single and all alone.

Quinn: I’m fine, thank you.

Jenna: I’d hate to lose you here in the ER…

Quinn: Everything is just fine, Jenna, just relax.

Franny: I'll go get the Aspirin.

Jenna: ... ugh... my feet are going to... eh... *falls asleep*

Quinn: Give her 2000ccs in a fast drip. Keep an eye on it, don’t let it run dry.

Together they leave the room.

Franny: Does she always do this?

Quinn: Only on her nights off. *yawns* I’m going to bed, wake me at 6.30.

Franny: You got it.

Quinn: *back in bed*

Door opens again.

Franny: Dr. Roe? Dr. Roe. Quinn!

Quinn: *still half asleep* What is it?

Franny: Can I give Mrs. Williston more Demerol? She’s complaining of pain.

Quinn: 50 milligrams I.M.

Franny: Thanks, Quinn.

Door opens again.

Franny: Dr. Roe!

Quinn: What is it?

Franny: 6.30, Dr. Roe. *leaves*

Quinn slowly gets up, sighing.

Quinn: Okay. Here we go again.

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[san-myshuno-er]

Franny Sternhagen: Dr. Roe?

Quinn Roe: *snores*

Franny: *louder* Dr. Roe?

Quinn: *still sleeping* What is it?

Franny: Patient for you, Dr. Roe.

Quinn: Can’t the intern take it?

Franny: No, it’s for you.

Quinn: What time is it?

Franny: Five o’clock.

Quinn: Alright. *groans* Can’t the intern take it?

Franny: It’s Dr. Kaminski.

Quinn: Dr. Kaminski, is it… *sighs* I’ll be right there.

Jenna Kaminski: and I owe it all to youuuuu…

Clerk Terry: You have a nice voice, Doctor.

Jenna: Why, thank you, Terry… I think your blue coat makes your eyes- Quinnie!

Quinn: Come on, Jenna.

Jenna: Quinnie, baby… did I wake you up?

Quinn: Yes, you did.

Jenna: You are a real friend, I want you to know that! I appreciate you!

Quinn: That’s alright… do we have a room?

Jenna: … a real friend.

Terry: Ya, Room 3 is free.

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