Coma Page #3

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complete muscular paralysis.

She's got three minutes

to breathe or she'll suffocate.

So now we intubate.

Taking a laryngoscope like so.

Hold her head

in an extended position.

Enter laterally, put up

the base of the tongue, up and out...

...visualizing the trachea.

There it is, fellas. Take a look.

You see it?

It's right over there.

Come on, guys!

Take our tube and enter here.

In the middle of surgery,

I'll switch over to the telothane.

Stirrups up?

How is John?

His fever broke today.

He'll go back to school tomorrow.

Now we can check

the pupillary reflexes.

Though she's unconscious,

the pupils should react to light...

...and let us know

that the old brain is okay.

That's it. Anesthesia's the easiest job

in the world until something goes wrong.

It's 99% boredom

and 1% scared-shitless panic...

...which we try to avoid.

The patient's yours, Dr. Richards.

If you move in behind me...

...you'll see what I am going to do

for this young woman.

Some music, please.

Actually, what I'm going to do

is get her out of a hell of a mess.

She's pregnant.

She doesn't want her husband to know.

It's none of my business.

I'm just her surgeon.

I don't run her life.

So in fact, our task is simplified...

...when the uterus is

anteverted and anteflexed.

This is a function of the muscular

attachments, of which there are five.

You should know them.

They're the broad ligaments,

the round and cardinal ligaments...

...and the endopelvic fascia,

the uterosacral ligaments.

Something wrong?

She just threw a PVC,

and her blood pressure's falling.

I got 90 over 60.

She's fully oxygenated.

Red as a cherry down here.

How much longer you got?

Just a couple of minutes.

I don't like this.

Her blood pressure is still falling.

Damn!

We should stop. She may be getting

too much vagal stimulation.

Jesus Christ.

What's the matter?

I don't know.

Nothing's the matter!

Something's the matter.

She's going to arrest!

I can't find anything!

I get a 100 over 80.

Her pressure's climbing.

Let's finish up. I'd like to get

this mother off the table.

Sponge, please.

One-twenty over 80 and climbing.

She's okay.

- These tissues can go to pathology.

- Can I start bringing her out?

Yeah, bring her out, Jim.

Okay, Mrs. Greenly,

it's time to wake up.

Okay, Nancy?

Mrs. Greenly? Wake up.

Nance, can you give me

a cough, please?

Jesus Christ!

Her pupils are fixed and dilated.

The pupils, they're fixed.

Dilated.

Oh, my God!

Pre-op diagnosis,

acute gastric ulceration.

Post-op diagnosis, the same.

Surgeon, Dr. Wilson.

- Where's Schwartz? Cholecystectomy?

- Bed three.

- Mr. Schwartz, I'm Dr. Bellows.

- You don't got to talk so loud.

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