Yosh leads Susan to the yellow trauma room and tells her that the paramedics have brought in a woman who won't stop seizing. Her pulse ox is borderline, Yosh adds, so they might have to intubate. Susan snaps on gloves just as Luka charges into the room and barks out a dosage order. "Oh, you've got this one?" Susan asks, confused. Luka blinks. "Who are you?" he asks. Susan introduces herself and explains that it's her first day. "Resident?" Luka asks. "Attending," Susan retorts with a final snap of the rubber gloves. Staff meetings, I think, are woefully underrated. Luka exhales, then figures they can handle the patient together. The call came to the EMTs twenty minutes ago, so they can assume she's been seizing at least that long, but couldn't get a clear history from the husband because he only speaks Spanish. Luka calls for a gram of Dilantin, and just as he says, "I'll intubate," he hears Susan announce, "We should intubate." Let's all intubate! Come on, it'll be fun. But Luka stops talking and cedes control to Susan, who yells for seventy ccs of Zemuron. Yosh is puzzled. "Rocuronium," Susan clarifies. Yosh is puzzled anew. "I'll have to go to the pharmacy," he sputters. Susan calmly insists that it's just the absolute best nondepolarizing agent out there. "Uh, maybe, but we don't stock it," Luka says gently. He calls for 100 of sux -- is that like the ten of diamonds? -- and casually nudges Susan out of the way. He isn't rude about it, but rather seems to be trying to minimize reaction to her odd order for Rocuronium. He tells Susan to push the Dilantin, and she nods, embarrassed and a little peeved. A few people in the forums suggested that Susan rudely horned in on Luka's patient, but really, Yosh is the one who dragged her onto the case; Luka himself gave her the go-ahead to take control, so it isn't Susan's fault. My question is, was Susan on a true sabbatical from medicine all those years, or was Carter just being facetious with his pupils earlier? Because she makes it sound like she's picked up all this ritzy knowledge, which she probably wouldn't have done if she'd been on a break. Eh, but I'm already bored with the issue, so forget it.
Elizabeth and Shirley cardiovert a dying man, but the electric shock to his heart does no good. "How long since Cordarome?" Elizabeth asks. "Twenty minutes," Shirley sighs. Elizabeth wants to shock him again at a 260 charge, and tells Shirley to administer another amp of epi. "Just did," she murmurs. Dr. Robert "Ray of Sunshine" Romano strolls in and cheerfully wonders aloud whether "Lizzie" is trying to raise the dead. Elizabeth clicks the paddles and then informs Romano that this is septic hemicolectomy: "Maxed out on Dopamine and Levophed." The patient is in asystole, and Romano decides to pronounce him dead in his inimitable style, grinning, "Go directly to the morgue, do not pass Go, do not collect $200." Elizabeth winces, but does acknowledge the death and says she'll contact the family. "Not that I'm keeping score, but isn't this your third post-op death this week?" Romano asks, right in front of a passel of hospital workers. "Congratulations. We call that a hat trick."