ER (1994–2009): Season 1, Episode 1 - 24 Hours - full transcript

'Dr. Greene?'

'Dr. Greene!'

What is it?

Patient for you,
Dr. Greene.

Can't the intern take it?

No, it's for you.

What time is it?

Five o'clock.

Alright.

Can't the intern take it?

It's Dr. Ross.



Dr. Ross.

I'll be right there.

'What about payroll?'

'We got some up on Four South
to take care of too.'

Come on, Doug.

‐ Marky, boy.
‐ Yeah.

Oh, did I wake you up?

Yes, you did.

You are a real friend.

‐ And I want you to know that.
‐ That's alright.

‐ Real friend.
‐ Yeah.

‐ Can we have a room?
‐ Getting out of bed for me.

Yeah, room three is free.

Room three is free.



‐ Three is free.
‐ Three is free.

‐ Free for three. There we go.
‐ Yeah.

‐ Come on, Doug.
‐ Alright, I got you.

Hi.

Ow! Oh, man.

I got it.

I can't tell you how much

I appreciate this, Mark.

I'm a little under the weather.

‐ Yeah, here you go.
‐ Oh, yeah. I know. Yeah.

Alright.

Yeah.

D5, NS. I need the dextrose.

Give him 600 of ASA.

Aspirin. I almost
forgot aspirin.

So, anyway..

...she says to me,
she says..

"I didn't know that
pediatricians could be so sexy."

And I said, "Honey,
you ain't seen nothing yet."

Ow! Alright.

Alright. Give me a fast drip.

I need the hydration.

Don't worry, Doug.
Just lie back.

Ho, ho! How's your beautiful
wife? How's Jennifer?

‐ She's fine, really.
‐ You two settle your problems?

Yeah, yeah,
everything's okay.

Hate to lose you
in the ER, you know.

‐ Lie back.
‐ I am.

Oh, God. I can't tell you
how much I appreciate this.

Really do.

Here's your aspirin.

Give him 2,000 cc's
in a fast drip.

Keep an eye on it.
Don't let it run dry.

Does he always do this?

Only on his nights off.

I'm going to bed.
Wake me at 6:30.

Dr. Greene.

Dr. Greene?

‐ Mark!
‐ What is it?

Can I give Mrs. Williston
more Demerol?

She's complaining a pain.

‐ 50 milligrams IM.
‐ Thanks, Mark.

‐ 'Dr. Greene?'
‐ What is it?

6:30, Dr. Greene.

‐ Hey, Timmy.
‐ Good morning, Dr. Lewis.

‐ Oh, Dr. Lewis?
‐ Yep.

Thank you.

‐ Morning, Dr. Benton.
‐ Hey, Jerry.

Good morning, doctor.

'This was the scene at 6:15'

'this morning
in the Loop where a building'

'collapsed
during construction..'

'You got any estimate
on the injuries?'

How long before they arrive?

'...has left at least 12
people injured and two dead..'

Oh, yeah? That soon?

‐ Hey, what's up, Timmy?
‐ Hey, Dr. Benton.

Notify Trauma. They got
an accident in the Loop.

Twelve injuries,
seven critical.

It's a good day for us surgeons.

Mrs. Williston in room four
needs a CBC.

The man in five
is a rule out MI

waiting for cardiac enzymes
and another 12 lead.

And Dr. Ross, he's in three.
Sleeping it off.

Why don't you wake him?
Get him out of there.

Nine, I need a uric acid.

Do you know what
this is all about?

Building collapsed in the Loop.
They're sending upto dozen‐‐

Yeah, well, who's on?

‐ Just us.
‐ Okay, forget all that.

Call Susan Lewis. Call
the seventh and eighth floor.

Tell them we need
anybody they can spare.

‐ Why don't you do that now?
‐ Okay.

Take him to Trauma Room Two.

What's your name, sir?

Can you tell me your name?

Next to Three.
That way.

‐ Which way?
‐ That way.

Huh?

Surgical One, down
to the end on the right.

‐ Last door on the right.
‐ What's your name, sir?

Edward Wilson.

Uh, what is your address?

Forty, forty seven..

Mr. Wilson?

Okay, people. Let's go.
Let's bring them in.

Alright, move. Let's go.

And on my count.
On three. One, two, three!

How you doing, sir?

Don't worry.
Everything will be fine.

Sorry about your suit.
So, was it just your hand?

Well, well, let's have a look.

Light. Light, let's move.

Just have nice,
pleasant thoughts.

'Everything will be fine, sir.'

'Let's have a CBC
type and crossmatch.'

We got a pre‐op here.

Notify the OR.
Get us a room.

Call Vascular
and call Orthopedic.

Tell them to come down here now.

‐ On my way.
‐ This is their lucky day.

Mr. Wilson,
your hand is still attached

not by much,
but it's gonna be okay.

'Give me an EKG, and X‐ray
of his chest, wrist and hand.'

Mr. Wilson, can you feel
anything in your hand?

‐ No.
‐ We're gonna save your hand.

Don't worry about a thing, okay?

Clear!

'Mr. Jackson,
where does it hurt?'

Where does it hurt,
Mr. Jackson?

In my chest.

Does it hurt when
you breathe in?

Have you been
coughing up any blood?

Okay, let me
take a listen.

Dr. Lewis!

'Okay, where are we taking him?'

I just wanna check this, okay?

Alright now, do you have any
pain in your head?

‐ No.
‐ How about your neck?

‐ 'Any pain here?'
‐ No.

Alright.

What I want you to do, ma'am..

Okay, alright,
I want you to tell me

if it hurts you
when you breathe.

‐ Uh, no.
‐ I don't get a BP.

Start two large bore IVs,
saline, wide open.

Type and cross for ten units.

Get me four units
O‐negative down there, stat.

Drop an NG tube
and get Dr. Benton in here.

This is no place
for a pediatrician.

No sensation, radial,
median or ulnar. No pulses.

Color and temperature
as you see.

He's gotten 500 cc's saline.
Crits 32.5.

Type and crossmatch sent.
X‐rays waiting.

And the OR says they'll
have a room in ten minutes.

Okay. Let's get
him out of here.

So, uh, you think
you can save the hand?

Looks pretty good.
I think so.

Good, I told him you could,
so he's counting on you.

You‐you're a smartass.

You'd love to do this case
yourself, wouldn't you?

Yeah. I'm ready. I'm strong.
Yeah, I could do it.

You're a resident, Peter.

You're years
from a case like this.

‐ How many fingers?
‐ Three.

‐ What's your name?
‐ Jeff Barr.

‐ Where are you?
‐ Cook County General.

‐ What's today?
‐ St. Patrick's Day.

You're fine.
Get a set of facial bones.

You're gonna be
just fine, Mr. Barr.

‐ You're beautiful, doc.
‐ Thank you.

‐ Are you married?
‐ No, I'm a doctor.

‐ Well, then listen‐‐
‐ Take it easy, Mr. Barr.

You wouldn't wanna fall
on your face twice in one day.

How much did she vomit?

A couple of hundred cc's.
All over Dr. Ross.

Okay, ma'am. Would you
please take a deep breath?

Good. Now another.
Any pain there?

‐ No.
‐ 'Okay, how about here?'

Okay, okay. It's okay.

'Call the OR. Get a room.'

‐ What is her crit?
‐ Twenty three.

Whoa, wait a minute!
Here we go. No pulse.

'She's coding. Code blue! Call
the time. It just happened.'

‐ It's 8:37.
‐ Alright now, let's go.

Put up a shockable rhythm. Let's
go. This isn't the world's fair.

'Let's move.
Here we go.'

'Nice and easy.'

Clear!

Okay, give me an amp of epi
and 100 lidocaine.

‐ Let's move, now. Here we go.
‐ Two, three, four..

Okay, what do we got here?
Where are the paramedics?

Get his clothes off.
Come on. Get his clothes off.

Give me something.
I can't stand it!

We'll give you something
for the pain. Just hold on.

Notify the orthopods.
We have an open fracture.

Give him tetanus and five
of morphine right away.

‐ Does it hurt anywhere else?
‐ My knee!

‐ You need any help?
‐ Yeah. Check his knee.

‐ Okay, there we go.
‐ Here we go.

Dr. Benton, we got patients
on Surgical Two

and Three,
and one of them looks bad.

Well, that's fine but
this woman's heart has stopped

and she needs it pretty badly.
Call the AR.

Now, the residents
are in surgery.

Well, get them out of surgery.
Can't you see I'm busy? Time?

‐ Two minutes.
‐ Come on, sweetheart.

You're getting me
a little nervous here.

Okay, paddles. Let's go.

‐ Clear!
‐ Okay.

‐ Is that a blip?
‐ Recharging.

‐ 'Whoo!'
‐ 'There it is!'

Come on. Come on back to us.

'Come on. Keep it pumping.
Keep it pumping!'

'I think she's coming back.'

'I think she's coming back,
Haleh.'

'Bring her back for me, baby.'

Come on back to us.
Come on, baby. Yes!

That one to Trauma Three.

That's down the hall
and to the left.

Call Pathology,
we got a customer

who isn't gonna be charged
services. The name's Canelli.

Canelli. I'm looking for
relatives of Robert Canelli.

Right here.

‐ I'm his son.
‐ Hi, I'm Mark Greene.

My father, he's, uh..

Your father was in an accident
today, Mr. Canelli.

‐ You know that?
‐ Yeah.

If‐if you'd come
with me, please.

No! Just tell me.

He's here, right?
Jus‐just tell me.

Mr. Canelli, your father
had a heart attack..

...and we were unable
to revive him.

I'm sorry, I'm..

Bastard.
You bastards!

You're sorry?

Through here.

The morphine should make you
feel a little better

and we'll have you
in the OR in no time, okay?

‐ Are there any others?
‐ 'No, that's it.'

‐ That's it?
‐ Yeah, the last two were DOA.

Well, that's, uh, it.

Yeah, for now.

'Orderly, please bring
a wheelchair to Admitting.'

'Orderly, please bring
a wheelchair to Admitting.'

What happened to Ross?

He went to change.

Somebody threw up
on him. That lady.

'The lady who arrested?'

‐ Yeah.
‐ She make it?

Yeah, we got her going again.

She's got a junctional rhythm
but she's goin'.

What about that guy's hand?

Yeah, they're still in surgery.

They're gonna be working
all day on that one.

Hey, anybody want any coffee?

‐ Yeah, I do.
‐ How do you take it?

Same as yesterday
and the day before that.

And they call me a smartass.

You get any sleep
last night?

‐ About an hour.
‐ Oh, damn it!

The nurses have been in here
raiding the coffee again.

Why don't they just make their
own? I'm gonna tell the boss.

‐ Never mind.
‐ Never mind.

Okay. Never mind.

Aren't we supposed to be getting
some new students today?

Ah, yeah. I think so.
I hope they're good.

The last two
were really hopeless.

Is something wrong?

Oh, you bet there is.

We're out of coffee again

because the nurses
have been taking it.

‐ That's what's wrong.
‐ So make some more.

Make some more?

We work 36 hours on 18 off

'which is 90 hours a week,
52 weeks a year.'

For that we are paid
$23,739 before taxes

and we also have
to make the coffee?

My heart is breaking.

‐ Where are the filters?
‐ In the refrigerator.

'Dr. Greene, your wife
is waiting in the cafeteria.'

‐ 'Dr. Greene..'
‐ Oh, damn it.

Everything's fine.

‐ 'Morning, Dr. Greene.'
‐ Morning.

Hey, mom, look.

Two more bites, baby, please

and you're done.

‐ Hi, Rachel.
‐ Hey, dad, look.

Oh, look.

A grilled cheese sandwich
for breakfast.

I gave in.
What can I say?

You're late.

Sorry, we had a big one.

Building collapsed.

Mommy's reading about tarts.

Torts.

Are you getting any sleep?

Yeah, yeah, yeah.
I'm okay.

‐ You look tired.
‐ Yeah, dad, you look tired.

Oh, I do, do I?

Are you gonna finish that?

Do you mind if I eat it?

Dr. Harris's office called
to confirm your meeting.

Oh, geez, that‐that is today.

You can still go, right?

Yeah. Yeah, I guess.

You're not gonna forget
or get too busy?

I'll go.

‐ What's so funny?
‐ You know you're gonna hate it.

Maybe not,
I mean, at least

there the patients
don't throw up on you.

Who threw up?

Who threw up?

Nobody threw up.

It's just that between
your hours and my studying

I feel like we never get to see
each other anymore, Mark.

I'll go meet Harris today, okay?

Okay.

I just hope you like it.

Oh, no. Would you look at this?

That's the first tailored
white coat I've ever seen.

‐ Oh, isn't he lovely?
‐ Lovely.

'Think he knows anything?'

‐ He knows how to dress.
‐ Well, he's my student.

I'll find out.

‐ John Carter?
‐ Yes, sir.

Peter Benton.

‐ You the surgical student?
‐ Yep. Third year.

Good. We gonna be spending
a lot of time together.

So let me show you around
so you'll be oriented.

This is the admitting desk,
if you need someone paged

or a chart called up,
you do it here. This is Timmy.

Don't shake his hand.
He's afraid of disease.

This is the way to the lab.

We do crits, counts, spindowns.

Chemistries are marked with
these slips in the front desk.

Mark everything stat whether
you want it fast or not.

The chem lab is 7022.

The heme lab is 6944.
Memorize it.

Everybody gets an IV the minute
they walk through the door.

Use an angiocath
with a 16 needle.

You need a large bore
in case they're bleeding.

and you need to transfuse them.
Do you know how to start an IV?

‐ Uh, actually, no.
‐ I thought you were third year.

I am but all I've done
is dermatology and psychiatry.

The well‐dressed specialties,
huh?

Well, you'll find that
surgeons actually try

to help people,
not just bill them.

Now, the best way to do this
is to pull the skin tight

so the veins don't roll,
and go in low.

Once you're in, pull the gizmo
out and hook it up to here.

This is Carol Hathaway,
the head nurse. John Carter.

‐ Hi.
‐ Hi.

She's terrific, isn't she?

She goes with an orthopod
that used to be

a big ten tackle
and looks like King Kong.

Now, what you wanna do is
you wanna tape it.

Moderate flow.

Two or three drips
per second.

That's it.
That's all there is to it.

‐ Okay?
‐ Uh..

Um, okay.

All along here you have
the medical examining rooms.

This is where the pill pushers
kill their victims.

But this..

This is the surgical room.

This is where
the real action is.

We use this phone
to call the OR. 6440.

X‐ray is around the corner.
They are a bunch of idiots.

They scare the patients
and make them wait too long.

So whenever you can,
make sure you go

with the patients to X‐ray.

Don't let them get scared.
Don't let them get hurt.

Ah, here's Dr. Morgenstern,
he's the head of ER.

Watch out!
He eats students for lunch.

‐ David Morgenstern.
‐ John Carter.

Ah, when did that
severed hand go up?

A vascular took it up
an hour ago.

I just hope they can
do it, alright.

Dr. Benton is one of the
best residents we have.

'You learn everything
you can from him.'

Except attitude.

‐ He didn't mean that.
‐ 'Yes, he did.'

Your room will be down here.
That's where you sew people up.

Do you know how to suture?

‐ Uh..
‐ No. Okay, I'll teach you.

‐ Do we have anyone to sew up?
‐ How would I know?

You know, I love this great
spirit of camaraderie.

Everyone wants to help you know.
Okay, here's the suture room.

Let's see.

Good morning, ma'am.
I'm Dr. Benton.

This is Dr. Carter.

‐ Good morning.
‐ Oh, let's have a look.

Hmm. How did you do this?

Broke one
of the breakfast dishes.

Don't worry, we'll have
you fixed up right away.

Now, can you feel this?

‐ Uh, yes.
‐ Can you move your finger?

Of course. It's just a cut.

Dr. Benton, we have
a policeman coming in

with a gunshot wound
to the lower extremity.

Put him in Room Two. Notify
X‐ray. I'll be right there.

Now here's all your stuff.

Ask the patient
if she's allergic

to the locals
or any drugs.

And this is lidocaine.
We call it novocaine.

You've heard of that.

Ma'am, are you allergic
to novocaine?

‐ My teeth are okay.
‐ No reactions?

‐ Rashes, anything?
‐ No, of course not.

Now, you inject both sides of
the wound expelling as you go.

Then you have to put on
surgical gloves by yourself.

You know how to do that,
don't you?

Great. Here we go.

‐ Hey.
‐ 'Here you go, Dr. Ross.'

‐ Thank you, Nance.
‐ Mm‐hmm.

Dr. Ross.
Hi, Tracy Young.

I'm your third year student.

Well, hello, Tracy Young.
It's nice to meet you.

Listen, for the next few days,
we're gonna be

working very closely together.

Well, not that closely,
Dr. Ross

but I'll do my best
to help you out.

So if you tell me what to do,
I'd like to get started.

Just trying to be friendly.

I've got all the friends
I need. Thanks.

Shall we get started?

Yeah.

Now evert the wound edges
and space them

'cause the tissues will be
swelling over the next 48 hours.

Space them the way
that you see here.

'Dr. Benton,
the policeman's here.'

Okay, I'm coming.

Here. You finish.

Okay, this isn't
gonna hurt at all.

Now, can you tell me
what happened, Billy?

'His school sent him home.'

They said he vomited blood.

Can you tell me
how it happened, Billy?

He's a very high‐strung child.

Always has been very tense.
Very nervous.

Mrs. Logan,
maybe you better wait

outside while I examine
your son‐‐

‐ Why?
‐ It's just a procedure.

Well, I think I should be here.

I'm worried about Billy.
He needs me.

Please, wait outside.

Look, doctor, I don't know
who you think you are

but this is my son,
and I wanna be here

when he needs me,
he's a very high‐strung‐‐

Mrs. Logan,
you're absolutely right.

You love your son,
and you wanna see him

'treated as soon as possible.'

So it's best if you have
a seat outside here..

‐ Doctor..
‐ And we'll be right with you.

It's okay.

Hey, kiddo.
Alright.

Did you vomit blood, Billy?

Yeah. Do you have any pain?

Okay, can you point to the pain?

Right in here.

'Have you vomited blood before?'

'Many times?'

Okay.

It's okay.

First eight‐year‐old
ulcer patient I've seen.

Are you still here?

What do you think you're doing?
The Sistine Chapel?

Finish her up.
Start an IV in Room Two.

Bye, ma'am.

Nurse, could you bandage
this for me, please?

‐ Thank you, doctor.
‐ You're very welcome.

Uh, when do I come
to have my stitches out?

Oh, uh, three weeks.

When my son had stitches
in his foot, they said ten days.

Really? Well, ten days, three
weeks any time in there, okay?

Hey.

'We need an anesthesiologist
to ICU.'

'Please report to the ICU,
stat.'

Two hundred fifty milligrams
rocephin IM

for the gentleman in room four
and remind him

he has to come back
in two days, thank you.

Right.

Hey, Carol, are we
out of oral ampicillin?

Yeah, we ordered some yesterday,
call down again.

Hey, Carol,
Dr. Greene wants to know

if we have any more,
uh, Lasix.

We were out an hour ago.
Check it.

Hey, Carol,
Dr. Ross wants to know

if we have any PKU cards.

Tell him no,
he's gonna have to try

and get a blue top
from the baby.

He says he can't get one.

Carol, are you sure
that you don't have

a PKU card tucked away

in that special stash of yours?

Like this?

I can always count on you.

Even if you do prefer
football players.

You had your chance.

I was young.

I was a fool.

You're still a fool.

Do you happen to know
what is the worst paying

medical specialty?

Pediatrics?

You were right the first time.

'Hey, Carol, did that Lasix
come up yet?'

'Cause we need it now.'

Good morning. I'm Dr. Carter.

What seems to be the problem?

What's it look like?

I shot myself
in the freakin' leg.

Oh!

Well, uh..

...we'll have you
fixed up in no time.

Yeah, you guys keep saying that.

But first, we have
to start a little IV.

Just hurry it up, okay?

Yes, sir.

‐ Hey!
‐ Oh, excuse me, sorry.

'Okay.'

I tell you, I wanna belt her
right in the mouth.

‐ I really did.
‐ Uh‐huh.

Then I go
and shoot myself in the leg.

Well, these things happen.

I bet you see a lot of stuff

'working in a place like this.'

Yeah, oh, yeah.

All‐all the time.

Uh, okay.

Look, doc,
you don't mind my asking

have you done this before?

Officer, I'd hate to tell you
how often I've done this before.

Okay, you're gonna feel
a little needle.

Ow!

Come on, that wasn't that bad.

But we missed the vein.

I'm gonna have to try this
one more time.

My wife is not that bad.

We don't argue that much,
just once in a while.

I mean, in this case,
it's lucky I didn't kill her.

‐ 'Right, I mean..'
‐ Oh, man.

I'm afraid we missed again.

We have to try this
one more time.

You have...very tough veins.

My wife
is a very beautiful woman.

Uh‐huh.

I mean, I'm not proud
of beating up

any woman, even when
she's asking for it.

But just sometimes,
I mean, in this case

it's lucky I didn't throw her
through the wall.

I'd break her neck!

I got it. Don't move.

Don't move.

It is in the vein.

Just do not move at all.

There you go. Officer,
you got yourself an IV.

And everything's
gonna be fine now.

Can I move?

Yeah, sure.
Move around. You're fine.

Uh, well, that's about all I can
do for you for the moment.

They're gonna be coming along
to take you

to X‐ray soon,
and then to surgery.

‐ Surgery?
‐ Yeah.

But, uh, believe me,
the worst is over.

This happen when you woke up?

Yes, when I got out of bed.

‐ And are you seeing double now?
‐ No.

‐ How many fingers?
‐ Three.

Have you had any trouble
with your eyes before?

No, never.

Did you have any pain while

you were seeing double?

Headache? Trouble
with your balance?

Funny taste
in your mouth?

Flashing spots before your eyes?

Weakness in your arms and legs?

No, none of those things.
Never.

I'll tell you, Mr. Ervin,
I can call a neurologist

to go over you, but that will
cost you another $200.

If you don't have
any symptoms now

I'd leave well enough alone.

Come back if you have
any further trouble. Who's next?

You're just saying that
because I'm Black.

I was just trying to save
you some money, Mr. Ervin.

I know you don't have insurance.

Uh‐uh, you wouldn't talk
like this

if I wasn't Black.

You are Jewish, right?

Call a neuro consult
for Mr. Ervin.

CC transient diplopia
and bill him.

Okay.

Hello, hello, somebody, hello!

Oh, what is it?

I got a lady
pregnant in my cab outside.

‐ Why did you do that?
‐ Hey.

Look, we don't do
deliveries here. I'm sorry.

You have to take her up to OB.

Now, what was that?

She's gonna have a baby

whether you deliver 'em
or not!

‐ Hey, you busy?
‐ No.

Why don't you come with me?

Get us an OB Nurse.

Okay, okay, ma'am. Come on.

Let's get out, okay?

'You're gonna be fine.'

When did it start snowing?

Come on, doctor.
Give me a hand.

Alright, ma'am.
Up on the gurney.

There you go.

Is this your first child?

No, no?

Okay, let's go.

It's starting. It's coming.

Hold the head in. We don't want
her to deliver in the hallway.

What?

Put your hand between her legs

hold the head in.

'Keep breathing, ma'am.
Blow through the pain.'

'Blow through the pain.
Get me Anesthesia.'

'Call the pediatrician.'

'Hook up those stirrups.'

You doing an episiotomy?

'I don't have any time.
She's already crowning.'

'Blow through the pain, ma'am.'

'Blow through the pain.'

'Blow through the pain,
that's right.'

Oh, what should I do?

Just what you're doing, doctor.

Is it snowing out there?

And when I'm done scrubbing

I'll take over,
and you can scrub.

'Where's the OB resident?'

'They're on call, doctor.'

You want a gown?

I don't think
I'm gonna have time.

I'm gonna have to catch
this one any way I can.

No kidding.
Alright, dear.

You're gonna be just fine.

You just have to blow, okay?
Blow.

‐ Is it snowing?
‐ Yeah, it's snowing.

It's snowing on March 17th.

This is unbelievable.

It's okay, ma'am.

You are going to be just fine.

Okay, okay, let me take over.
There we go.

Okay, ma'am, we're gonna
push on the next one, okay?

Well, well, well.

One, two, three.

Okay, one more.
This is it. This is the one.

'And push. Push.'

Push, push, push.

Okay, one more push.
We're gonna get him out.

Here we go.
One, two, three, push.

Push, push.

Good, good, shoulders are clear.

You have a beautiful,
little boy.

'Clamp.'

Okay. There you go.

God.

He's a cutie pie.
Yes, he is.

You did a good job there.

Dr. Carter, you have three
suture cases waiting for you.

You're not
on the medical services.

These people don't need your
help, they can botch

things up on their own.
Come on. Let's get cracking.

'Patient Martin, Jonathan.'

'Anterior and lateral
right lower extremity.'

'Femur articulation'

patella, tibia,
fibula all appear normal.

There is a radiolucent
density in the soft tissue

superficial to the mid‐shaft
of the fibula.

A bullet. A bullet is what
it's called, Steve, a bullet.

There is no
apparent fragmentation

of the foreign body.

Distal tibia and fibula
all appear within‐‐

‐ Come on, Steve.
‐ Normal limits.

Impression, foreign body

in the right lower extremity

consistent
with possible bullet.

Is that it?
Thank you.

I'll take these.

There's a guy upstairs
with a bullet in his leg

who'd like to go to the OR
and have it out.

Sure you're not
feeling any pain?

No pain here in your back?

No.

You know what?

All you got is
a fracture to your ankle.

Everything else is fine.

Alright, now,
wh‐what's the story, doc?

Alright,
do I get worker's comp?

The story?

The story
is you're still alive.

Great, but
I got a few bills, and..

Alright. There it is,
nice and red.

He has otitis media.
He'll be fine. He'll be fine.

Give him 50 milligrams
of oral amoxicillin for this.

If he doesn't get any better
by tomorrow morning

you give me a call.

‐ Alright? It's nice to see you.
‐ Nice to see you.

Bye, tiger.

‐ He's very handsome.
‐ He knows it.

'Yeah, th‐that's right.
We got a UA and a sed rate.'

The patient's Rebecca Morton.

M‐O‐R..
What do you mean?

We sent this to you an hour ago.

Don't give me that. It is 1:40
and it was a stat determination.

What are you guys doing down
there, picking your noses?

Chest pains, two hours.
Question AMI.

Look, I will talk to you
any damn way I want to.

If I send for a stat chemistry

I want it within an hour,
not sometime next month.

Oh, yeah, we're a little busy
here too.

Wait till they start
going to lunch, then things

are gonna really
start slowing down.

Everybody's all sewed up.
What do you want me to do?

‐ Alright, go to lunch.
‐ Actually, I'm alright.

If there's something else
that you want me to do

Excuse me a minute.

Don't be a hero.

If I tell you to go
to lunch, you go.

It's a long time
before dinner and we may be

too busy then
to stop and eat, okay?

You never know how long it's
gonna be until your next meal

so whenever you can,
you eat.

Now, get the hell out of here

and don't take more
than half an hour.

Okay.

Hi, I'm Dr. Greene.

What's seems to be the trouble,
Mrs. O'Rourke?

I'm not Mrs. O'Rourke.

Mrs. O'Rourke?

Is there a Mrs. O'Rourke here?

‐ Tyrone?
‐ What is it?

Crack dealer.
Took five shots from an Uzi.

‐ We need some muscle in here.
‐ He's just a kid.

Thirteen.

‐ Call security.
‐ Why?

I think the other
gang members may come

and try to finish him off.

Alright, everybody. Let's keep
it calm. Let's keep it tight.

‐ Here we go.
‐ Uh, this is Tracy Young in ER.

I need someone
in Trauma Room One.

Thanks.

Strap! Strap!

Surgical Two.
Turn right and down.

Tell the surgeons we have

a motorcycle accident
coming in.

The guy
wasn't wearing a helmet.

Oh, terrific.
Those are stat labs.

I'm going across
the street for a minute.

Promised my wife
I'd go to this appointment.

Can you get Susan
to cover for me?

Okay. No!

Not there.
Surgical Two! Two!

I'm Dr. Greene
to see Dr. Harris.

'Everyone has a family, Mark.'

My wife wants to shop,
kids grow up.

You want a private school,
college.

You gotta think about that.

Now, the office for our next
associate is here.

As a junior man,
you'll do all calls

and weekends for a year or so.

Compensation,
you'll start out

at a 120,000 per year
plus bonuses.

Now, the group has a condo
in Jamaica, and one in Aspen.

Do you ski?

Uh, I haven't had
the opportunity.

Oh, you should.
It's a great sport.

Um, David Morgenstern tells me

that, uh, you're the sharpest
guy the ER ever had.

But I'll tell you the ER
is a young man's game.

You think
you're doing good

but there's a lot to life,
especially this one.

And we find the practice
intellectually challenging

so we send our physicians

to all the major conferences.

Last year,
Maui, Paris, Rome.

We're proud to practice the best
possible medicine we can here.

‐ It seems great.
‐ You like this?

We had Prescott redesign it

and we redesign
every couple of years.

Keeps us looking fresh.

Terrific.

Oh, you have time for lunch?

Now, we can go
to the Crown Club.

They have a great porcini pasta.

‐ I gotta get back‐‐
‐ No oil.

Sorry.

Melissa, would you bring
Dr. Greene's coat?

‐ Yes.
‐ Maybe next week?

Mark, we'd really love
to have you.

Thank you.

‐ Mrs. McCormick, how are you?
‐ 'There you go, Dr. Greene.'

I thought the Field Museum Ball
was wonderful.

Oh, aren't you sweet?
Thank you.

Margo loved
the flower arrangements.

‐ Thank you.
‐ 'You're welcome.'

Cheer up, doctor.
It's only 3 o' clock.

Three o' clock?
What am I doing this for?

I must be crazy, huh?

That's a very good insight.

When did it start raining?

It's raining.

It has been for an hour.

How's your new student?

Very capable. Tough.

Uh‐huh.

So, I hear you went up
to Harris' today.

Did he offer you a job?

Yeah, I think
I'd have to go

to a lot of charity balls.

Now, there are worse things.

I guess.

Must be.

By the way,
what's this I hear

about you and that tech
up on Surgical Four?

I'm a married man.

So?

So whatever you heard
is not true.

Alright.

Heard that she was
seriously cute

but you are faithful
to your wife.

Is that what
you're telling me?

Yes.

Why would you do
something like that?

'Cause I'm too tired
to do anything else.

We'll know more
when we have the X‐rays.

How much do you smoke?

Two, three packs
a day sometimes.

Well, and how long
you been doing this?

Since I was about 14,
I guess.

You really
should stop that.

Yeah, I know.

Excuse me.

You can put your clothes
back on.

Hello?

Uh, hi.

Uh, listen, I can't talk
at work unless it's..

It is?

Well, what?

No, I'm on all night.

I get off tomorrow night
at, uh, 6:00.

Paul, I‐I thought we broke up.

Oh, Paul, come on.

Damn.

What? No. Not you.

It's just, uh..

I have to tell
a patient something.

Listen, um,
is everything alright?

I'm sorry, but I just..

Yeah. Okay. Fine.

We have your X‐rays,
Mr. Parker.

You can see there's a density
in the right middle lobe there.

What does that mean?

It means
there's something abnormal

within the structure
of your lung.

There's something
in my lung?

‐ Yes, that's right.
‐ What is it?

Well, it could be any number
of things, it could be

an infiltrate, a dense area
of tissue from an old infection.

It could be
an inhaled foreign body.

It could be
a granuloma of some sort.

It could be a lot of things.

What do you think it is?

There's no way to know.

You'll have to undergo
a bronchoscopy

and possibly,
exploratory surgery

before we know for sure.

I understand, but..

...what do you think
in the meantime? Just..

I think in the meantime,
you could consider it

a potentially
serious finding.

So, you're saying I got cancer?

I'm not saying that.

I'm saying we don't know
anything for sure.

Doctor, let me just explain
something to you, okay?

I'm 40 years old.

I have a wife.
I have three children.

I have a house
that is not paid for.

I have a mother who has
a house that isn't paid for.

I have a lot
of responsibilities.

So I need to know.
I need to know what you think.

I think you should regard
your condition as very serious

but should await
a final determination.

I‐I don't understand
the problem.

Is it so hard. Are you afraid
to tell me the truth?

Your history
of coughing blood

weight loss,
and this X‐ray

is suggestive of cancer

but the diagnosis
has not been confirmed

and it may very well
be something else

'and none of us should jump
to any conclusions'

until we know.

That's what I think.

How long do I have?

Six months to a year.

Do I have six months for sure?

No, not for sure.

Okay, yeah, I was just
wondering because, uh

you know, I always wanted
to take my wife to Nassau.

We, uh, talked about it a lot,
that's all we talked about

but we never did it so I just
figured spring's coming.

It's getting too late
to go to Nassau and..

...she always wanted
a...suntan in the winter

to show off to the neighbors
and stuff, you know.

I understand.

Yeah, yeah.

So, I guess I better go.

'Summer's gonna be here
before you know it.'

'So I guess
I better go pretty soon, huh?'

Doctor, I wanna thank you.

I wanna thank you for your help

and thank you for
being straight with me.

I really appreciate it.

I guess I don't
have to quit smoking.

Mr. Parker, if there's one thing
you learn in my job

it's that nothing is certain.

'Nothing that seems very bad'

'and nothing that seems
very good.'

Nothing is certain.

Nothing.

I'm sorry.

Oh!

Good evening.

How's it going tonight,
Mrs. Raskin?

Timmy, I have a problem
that requires medical attention.

See Dr. Greene.

He's on duty tonight.

‐ Oh!
‐ ER?

Dr. Greene. How nice.

‐ And‐‐
‐ Good Evening, Dr. Greene.

He says he doesn't drink,
then Corman shows up‐‐

I require medical attention,
Dr. Greene.

Give me a minute, Chris.

What is it, Mrs. Raskin?

Oh, I have
this troublesome hangnail.

Mrs. Raskin‐‐

I'm afraid it may be infected.

Mrs. Raskin, if we treat you

it's gonna cost you $180,
you do know that?

Oh, I wish you'd do it for me.

You're such a nice,
young doctor

and I do appreciate
your taking the time.

Okay.

We'll handle this
in the lab.

The lab?
Oh, gracious.

I had no idea how
complicated it was.

I'll be excising
Mrs. Raskin's hangnail.

I'll stand back.

Well, at my age
you can't be too careful.

Please, have a seat,
Mrs. Raskin.

Thank you.

Dr. Greene,
you look tired.

How have you been?

Fine, thanks.

And your wife?

Is she still studying
for her bar exams?

Next month.

We won't see
much of each other.

This alcohol may feel
a little cool.

Hey, Mark,
you got time for coffee?

Maybe in
a half an hour.

She's very cute.

She work here
at the hospital?

‐ She's a medical resident.
‐ Ah.

Did I tell you
my sister got remarried?

No.

Well, how long has it been

since I've seen you?

Hmm...just a week or so.

‐ Here we go.
‐ Oh, don't make such a fuss.

Thank you, Dr. Greene.

Now..

...you be a good boy..

...and go home to your wife.

‐ Another day, another dollar.
‐ Goodnight, Timmy.

‐ See you, Wendy.
‐ Good night, Connie.

Hey, Rick.

‐ Hey, Tim.
‐ How you doin'?

‐ I'm good.
‐ Yeah?

Yeah. Ready to work.

Hey, Carol, can you get me‐‐

‐ Sorry. I'm off.
‐ Oh, I forgot.

‐ Alright, see you later.
‐ Goodnight.

In Three, the lady
with pulmonary edema

she gets Lasix and
a nitroglycerin drip.

In Four, there's some kid.
Dr. Ross is looking after him.

Five, there's a question
pulmonary embolism.

Labs are comin'.

Hathaway, can I get
two grams of chloramphenicol?

Sorry. You're gonna have to
get it from the next shift.

‐ See you tomorrow.
‐ Goodnight.

Malik needs two grams
of chloramphenicol.

‐ Comin' right up.
‐ Alright.

‐ Goodnight.
‐ See you.

‐ Goodnight.
‐ See you guys tomorrow.

ER.

Come on,
it's not that bad.

It's a very minor cut.

‐ Three stitches.
‐ It's not the cut.

It's the car.

I smashed the car.

Oh.

I wasn't supposed to drive it

and I took the keys

and I smashed it up.

And it was brand new.

My father loves that car.

Well, it might not be
as bad as you think.

Oh..

...it was a brand‐new Cadillac..

...with power steering and..

...air conditioning.

Oh, God, he'll kill me.

It was the first
new car he ever had!

Ow!

Suzanne!

‐ Daddy.
‐ Suzanne.

‐ Oh, my God.
‐ Oh, daddy.

Uh, uh, could we
not move, please?

‐ Is she gonna be alright?
‐ Yeah, she's gonna be fine.

Oh...oh, honey.

‐ Daddy?
‐ Yeah?

‐ I trashed the car.
‐ It's okay.

It is alright.

The important thing
is that you're okay.

Oh...oh, daddy.

What car?

You mean the Caddy?

Oh, daddy, I am so sorry.

You totaled my new Seville?

'Suzanne!'

God!

'Oh, God!
My Cadillac!'

'Oh.'

It doesn't matter.

It doesn't matter.

Dr. Carter,
you have six in backup.

That's not good.
Look, this is St. Patrick's day.

The worse is yet to come.
Let's move, huh?

Okay.

Who was that idiot?

‐ Why did he do it?
‐ I don't know.

He just got his hands on it
and he swallowed it.

‐ Jimmy, why'd you do it?
‐ Because.

‐ You see? He's impossible.
‐ 'Here's the KUB.'

Mm‐hmm.

'Ah, there it is, alright.'

You mean that's where it is?
It's in his stomach?

‐ You said he swallowed it.
‐ Ah, what do I do now?

Check his stools, Ms. Edmonds.
He'll probably pass it.

That's not what I mean.

I mean, how do I
get into my house?

I'm locked out.

You..

...you don't have another key?

‐ It's not funny.
‐ I'm sorry.

You know it is possible
to become pregnant

without an actual penetration.

I mean, just by fooling around.

I'm not pregnant.

It's very important
that you tell me any reason

why you think
you might be pregnant.

No reason.

Because if you are pregnant

you might have what we call
an ectopic pregnancy

in which case you'd have to
be operated on right away.

It's very serious.

It could be a matter
of life and death

and I'm not exaggerating.

I'm not pregnant.

Okay.

Excuse me for one second.

‐ 'How old?'
‐ 'She's 13.'

And she's got a pain
in her lower left quadrant

and she's not pregnant?

‐ Mm‐mm.
‐ Okay, let's see.

Hello, Ms. Murphy.

I'm Dr. Benton.

Can you tell me
how long has it been

since you've had
your last period?

‐ I don't know.
‐ Well, just think back.

Tell me roughly.

‐ It was after Christmas.
‐ Okay.

So it's been a few months?

I guess so.
I haven't really paid attention.

And you've had
sexual intercourse?

Yes.

Dr. Carter..

...what you have is
an ectopic pregnancy

and she needs to be
scheduled for ultrasound

and surgery right away.

'How'd it go?'

You've been to Harris's office.

You know what it's like. It's
like a nightclub or something.

‐ He offered you a job?
‐ Yeah.

‐ But I don't know.
‐ You don't wanna do it?

It just, it doesn't seem
like real medicine to me.

So what's the problem?

You know what the problem is.

‐ Jennifer?
‐ Yeah.

You can't live your life the way
someone else wants you to, Mark.

‐ I know.
‐ Especially a lawyer.

‐ She's not a lawyer yet.
‐ You know what I mean, Mark.

‐ It's gotta be your life.
‐ It is.

It's just,
she just keeps talking

about how she doesn't
see me anymore.

Well, she probably never does.
I mean I never see Paul.

I thought you guys broke up.

Well, we did, but..

...you know.

Yeah.

Dr. Greene.

Yeah, yeah. Right away.

‐ Come on, we gotta go.
‐ What?

‐ We gotta, we gotta go.
‐ Mark, what?

‐ Did you hear?
‐ Yeah.

Yeah, she's on her way.

It's incredible.

I don't know
how this happened..

...to her, of all people.

I don't know.

Okay, people, come on,
let's break it up.

Lots to do.
Let's get back to work.

Come on.
What do you expect to see?

Hey, let's get back to work!

We're going in here. We're going
in here, head first.

Oh, my God, it is Hathaway.

Alright, move her on three.
One, two, three.

Come on, people,
let's get her clothes off.

Let's go, let's go.

Let's go.

Call Respiratory.
We may need to intubate.

‐ Do you know what she took?
‐ I don't know.

She just went into
the medicine cabinet.

We've got a lot of stuff around.

So you have no idea
what she has taken.

I want a drug screen right away.

Two milligrams of Narcan
and an amp of D50.

‐ You wanna pump her?
‐ 'Yep.'

Malik, call Neuro,
call the nursing supervisor.

‐ Did you call her family?
‐ I don't know her family.

We were only
roommates three weeks.

‐ Why'd she do it?
‐ It doesn't matter.

We don't ask that
about any other OD

that comes through these doors

we don't ask it
about this one.

'I want blood gas
and electrolytes.'

'How hypotensive is she?'

'80 over 60.'

Did she have
anything to drink?

‐ She had a Scotch.
‐ Mm‐hmm. More than one?

I don't know.
Maybe. I don't know.

What are you people
standing around for, huh?

Do the arterial stick.
She got a Babinski?

Yeah. Positive.

‐ How's the oxygen?
‐ 15 liters and running.

Morgenstern's on his way.
Her serum barb is 45.

‐ 'Is that a mistake?'
‐ Repeated twice.

Malik, close the curtain.

This isn't a show
over here, people.

ER.
Yeah.

And what's
the nature of the..

Oh, I see.
Call Dr. Benton.

We got a shotgun wound
to the chest comin' in.

‐ Okay.
‐ What a night.

Gas distension distal to
the duodenum is apparent

with fluid levels
in the proximal ilium.

Impression, acute
small bowel obstruction.

This is a surgical candidate.

Oh, you guys are incredible.

What would we do without you?

It's nice to see you, Peter.

A man of many talents,
all unproven.

We got a new
barbiturate level yet?

It just came back.

Still 45.

Pupils mid‐range
and sluggish.

BP 90 over 70.

'We just got her
barbiturate level'

'it's 45 micrograms
per milliliter.'

She's intubated,
we're alkalinizing her urine.

We're getting her
ready for hemoperfusion.

But if she's decerebrating

you know the question mark.

Should we be trying
any of this at all?

It doesn't look hopeful

but I think for
the morale of the unit

we got to do everything.

I mean, she was..

is very popular.

The unit's looking to you, Mark.

You set the tone.

Yeah.

She was one of us.

We loved her,
we worked with her

and now something's
happened to her.

'It makes us feel guilty.'

'It makes us feel angry'

'and scares the hell out of us'

but we take care of her

and then we go on with our jobs.

Yeah.

You set the tone, Mark.

You get the unit through this.

‐ I'm fine.
‐ Okay.

Call me if anything happens.

Anything at all.

Boy, she really
did it, didn't she?

‐ Yeah, she did.
‐ She seemed okay today.

‐ Yeah. She seemed fine.
‐ She was making jokes.

Everything was great.
She was funny.

She was joking like always.

She was great.

Go get some coffee, Doug.

'We need a scrub
nurse to OR Six.'

'Scrub nurse, report to OR Six.'

Come on.
Let's get him up.

Let's get him up.

Alright.
Good, good.

Whoa! Knife wound.

I thought it was supposed
to be a gunshot wound, huh?

Excuse me.
I feel ill.

Oh, that's okay.
I didn't need you anyway.

Listen, notify the OR.
Let's get us a room.

Come on, let's go.
Move him out.

Here we go, buddy.

Jerry, can you hold that?

Feeling better?

Yeah.

I'll be okay in a minute.

Yeah, it just got to me
all of a sudden.

Keep your head down.

There's no rush.
Just relax.

It stopped rainin'.

I thought I was
gonna be sick.

I'm sorry.

Don't ever say
you're sorry.

'See, there's two
kinds of doctors.'

There's the kind that
gets rid of their feelings

and the kind
that keeps them.

If you're gonna
keep your feelings

you're gonna get
sick from time to time.

That's just how it works.

Keep your head down.

People come in here

and they're sick

dying and bleeding

and they need our help..

...and helping them is more
important than how we feel.

But it's still
a pain in the ass sometimes.

You know, sometimes
I just want to quit

and do something else.

Yeah.

Why don't you, uh,
take a few more minutes.

'By the way..'

...I was in medical
school with Benton.

He used to
get sick all the time.

So don't let him
give you any crap.

'You're gonna be fine.'

'Stephen Howard has
played behind Damon.'

'He, Johnny, he's gonna have
to come out in front of him'

'and take that
ball away from him.'

'...in the left corner..'

What's the score?

DePaul is down.

‐ You okay?
‐ Yeah.

'Good.'

Don't worry about
what happened out there.

Just don't make a habit of it.

Okay.

'She's been on
dialysis for three hours.'

She's still comatose
and unresponsive.

She must have taken
short‐acting agents.

She knew exactly
what she was doing.

Has the family been notified?

I don't know. I think so.

Is she fully covered
on the hospital policy?

As far as I know, yeah.

Has anyone talked
to the press office?

Let's face it.
This is bad publicity.

Some damn TV network
could get a hold of it

and try to make
a sentimental movie about her.

I'm gonna get on it.
Anybody know why she did it?

No one has any idea. Her fiance
didn't know anything either.

Supposed to get married in June.

Who's next?

I am, doctor.

Now lean forward.
Uh‐huh.

You feeling any pain?

It's better when
I lean forward, yeah.

Okay, okay. Uh, Lydia,
can I borrow your pen?

Mr. Larkowski, I'm going
to admit you to the hospital

and start you
on a medical regimen.

There's some question in my mind
as to whether that's necessary

but I think it's better
to be safe than sorry.

Oh, God!

Mr. Larkowski, what is it?

What's the matter,
Mr. Larkowski?

I know the truth. You don't
have to hide it from me.

The truth.

I know you're being nice to me

but you can
tell me. It's okay.

I wanna know the truth.

Mr. Larkowski,
you have a duodenal ulcer

with complicating pancreatitis

rather mild pancreatitis,
judging from the lab figures.

That's all you have.

Come on.
You can tell me, please.

You don't have cancer,
Mr. Larkowski.

Geez! Oh, I knew it!

I knew it!
It's cancer!

And you were hiding it!

Mr. Larkowski..

...every person that
comes into this hospital

whether they have
a heart attack or a skin rash

everybody's worried
about cancer.

You don't have cancer.
I swear to you.

You do not have cancer.

‐ It's not cancer.
‐ No.

You have an ulcer
which flared up today

because you went to
a party and drank and smoked

both of which
you're gonna have to quit.

‐ Quit smokin' and drinkin'?
‐ Yeah, that's right.

Quit smokin' and drinkin'?

What, are you kidding me?

Uh, we're gonna have to get
some X‐rays on him right away.

‐ Right away, doctor.
‐ How did this happen?

He fell out of his crib.

Okay, okay.

He fell out of his crib.

And he, he was crying all night,
so I brought him here.

I bet he's been crying.
When did he fall?

I don't know. I don't
want to get into trouble.

Ma'am, your son has
multiple contusions.

He's not my son.

You know whatever,
whatever your relationship is‐‐

I'm his baby‐sitter.

This child has been beaten.

I'm gonna call
Children And Family Services.

Please!
But I'll get into trouble!

Stay here.

Yes, doctor.

I don't believe this.

You wanna make a guess on
the diagnosis of this one?

I burned my legs.

I see.

It's not funny.

Um, well, if you'll
just come with me, miss.

I'll take your name.

You're a college student?

Uh‐huh.
Sacred Heart.

And how'd this happened?

I was pouring some
hot water in to the sink

and it splashed onto my legs.

Well, it's not bad
just first‐degree burns.

There's no blistering and
there won't be any scarring.

It's very sensitive skin.

Uh‐huh.

Your touch is nice.

This medication will
make you feel a lot better.

Your fingers are very long.

Mm‐hmm.

Long and strong.

Hmm.

I wanted to change first
and put on some new underpants.

Hmm.

I knew you'd be
seeing my underpants..

...and touching them.

You're gonna wanna keep
these bandages very dry

for a day or so.

Um..

...don't take any
showers or baths.

Just, uh, sponge bath.

Why is that nurse in the room?

‐ Hospital policy.
‐ She's not doing anything.

She doesn't have to be here.

Are you afraid of me?

You're gonna be
just fine in a few days.

Thanks, Lydia.

Okay.

After dinner?

Yeah, right after dinner

I...I‐I‐I felt
this little aching

this burning, you know?

‐ Low?
‐ And you have an aneurysm?

Yeah. They're gonna
operate on me next month.

Okay, Mr. Harvey, uh,
we're just waiting

for your old film,
so you just rest easy.

We'll have you
fixed up right away.

We'll take care of him, ma'am.

Thank you, doctor.

Okay. Thank you.

This guy's leaking
blood into his belly.

He could go any minute.
Who's on the floor?

Ashley and Jimmy are
doing the appendectomy.

Gill and Levine will be another

couple of hours
with the knife wound.

They pulled Ed and
his intern off the floor

to do the lady
with the small bowel.

‐ Where's the vascular team?
‐ They're in Minneapolis.

‐ They had conference.
‐ Okay, where's Baker?

Baker's in the Bahamas
with his family.

Well, this guy could die
any minute. We can't wait.

I know, but there's
no one to do him.

Okay, okay.

Um, call Morgenstern

tell him to get
over here right away.

I'm starting
a ruptured aneurysm.

Peter, you can't.
You're just a resident.

What do you wanna do?
You wanna wait?

This guy could die while
we're out here discussing this.

I know that, but..

Look, I'm just
trying to keep him alive

until Morgenstern shows up.
That's all, okay?

'Now call the OR,
get me a team'

and tell them to set up
for a laparotomy, please.

Yes, this is Dr. Lewis.

Get me Morgenstern.
Well, find him.

We have a blown aortic aneurysm
and Dr. Benton's starting.

He'd like some help.
Yes, that's right.

Dr. Benton's starting.

‐ What's on?
‐ Ruptured abdominal aneurysm.

‐ Who's doing it?
‐ Dr. Benton.

Dr. Benton?

I'm doing anesthesia
for you, Peter.

Great. Listen, get down
to the blood bank.

Make sure they send up 20 units.

We need at least 20.
And get the nurses jumping.

Patient's on his way.

You, uh, you sure

you're okay about this?

Ed, I'm scared as hell

but the guy's already ruptured.

His belly's puffed up
like a balloon

and he's bleeding
to death internally.

I got to do him.
I'm his only chance.

Evenin', gentlemen.

Just wanted to let you know,
I'm gonna be starting

a ruptured abdominal
aortic aneurysm in Room Two

and I'd appreciate a hand
when you have a minute.

What did he say?

He said he's doing an aneurysm.

Now, that's a joke, isn't it?

Cheryl, go make sure
he's joking.

Dr. Ashley, he's doing it.

You're kidding.
Jim, break and help him.

I'll finish here and
get there as soon as I can.

Okay, boys and girls, let's go.
This isn't a picnic.

This is the late, late show.
Prep, please.

Prep, please. Come on,
quit staring at me.

Look, I'm just trying to
keep the poor guy alive, okay?

‐ Alright, plastic.
‐ Jimmy's coming in to help.

Oh, great.

The only guy in
the hospital that knows

less about vascular
surgery than I do.

Okay, is Mr. Harvey happy?

‐ He isn't complaining.
‐ Alright, then let's do this.

Knife, please. Thank you.

Mark the start of
the operation at 2:13 A. M.

Let's see how long it's gonna
take the chief to get off

of his girlfriend
and into his work clothes.

Ah, yes, nice and smooth.

Started without you, Jimmy.

‐ There you go, sir.
‐ Okay, now listen up.

We're going straight down
the linea alba, nothing fancy.

'The guy's got
a 50% mortality anyway.'

Alright, suction,
let's get there.

Thank you, for all
the good it will do.

Pick‐up, pick‐up.
Come on, Jimmy.

Work with me.
Pick‐up.

A lot of blood in there, Peter.

That's precisely his problem.

Okay. Here we go.

Wish me luck.

Knife.

Whoa!

Systolic's holding at a 100.

Mother. Okay, now.

I can't find it.

Damn it!

There. No. No.

Jimmy, get your hand in there

and push away
the small intestine.

Come on, little leak,
where are you?

‐ How bad's his pressure?
‐ You won't like it.

‐ 'I won't like it?'
‐ Mm‐mm.

Think about him.

Carol, hang six more
units packed cells

and a unit of fresh‐frozen
plasma and platelets.

Wait a minute.

Wait a minute.

It's too much to hope, huh?

I got it. Yeah.
Yeah. I got it.

Time down.
Call it out in minutes.

Let's suck this
field clean, so we can see

what the hell
we're doing. I got it.

Dr. Benton, the chief resident

is in the hospital
and on his way.

We don't want him to
think we don't know

what we're doing here, huh?

‐ Pressure?
‐ 100 over 70 and falling.

Okay, I'm not
gonna sweat that.

Let's just keep
that blood going in.

Jimmy, what's the matter?
Your hands are trembling.

‐ I can't imagine why.
‐ Yeah, well, me neither.

But everything's cool here.

All we have to do
is sit and wait, huh?

'Dr. Benton, Dr. Ashley will
be with you as soon as he can.'

All of the sudden, I got
all the help I want, huh?

Okay.

Start a nitroglycerine drip,
50 in 250 D5W

80 of Lasix, IV push.

Get a CBC, lytes, cardiac enzyme

chest X‐ray and a 12‐lead EKG.

Do you take digitalis, dear?
Have you taken any today?

‐ No.
‐ This morning?

Add a dig level.

Meanwhile, three milligrams
of morphine, IV push.

I can't give this up.

No, no, no,
not you. You're fine.

Dr. Greene, your wife on 2204.

Yeah, I'll have
to call her back.

Sure taking a long time
getting in here, huh?

They've been out there
scrubbing for the last month.

You know, it's times like these

when I get into
a reflective mood

and I pause and think
of how wonderful‐‐

Good morning, Peter.
Give it to me quick.

57‐year‐old white
male in good health

when previously seen at
this hospital eight weeks ago

where he was found to have
a pulsatile abdominal mass

with aortic
calcification on X‐ray.

'Elective surgery was
scheduled for next month.'

'But this evening,
he was complaining'

of severe intermittent
pain in the mid back.

By the time
he got to the hospital

he had a distended abdomen

peritoneal irritation
and a reduced hematocrit.

So you decided to open him up?

That's one of
the ugliest incisions

I've seen in a long time.

'A good veterinarian would do
a better skin cut than that.'

Alright, hold on,
hold on, hold on.

Okay. Mm‐hmm.

Got it.
What's his pressure?

90 over 65 and
he's gotten 12 units.

Okay, we'll take over from here,
try to make something out of it.

Hey, humor me, will you?
Have some dopamine standing by.

‐ Hoover that, will you?
‐ 'Proximal, then secondary?'

Sounds like a plan.

Good. Give me a little
more room in there.

Thank you, ma'am.
Thank you.

Whoo‐hoo‐hoo!
Look at that.

Mm‐hmm.

Peter?

You did a good job.

You were lucky as hell but
you were right to open him up.

'Good work.'

Yeah, clear it out.

Okay, let me see if I can..

...I can pull it up
for a second.

'That's what
we want right there.'

'That's right.
Pull this up.'

Hyah!

Why is he still crying? Why
haven't you given him something?

Look, he's still crying.

Why aren't you
giving him something?

I can't give him anything

until I know the extent
of his injuries.

He's been to X‐ray, so we know
that he has a skull fracture.

Skull fracture? The baby‐sitter.
I never trusted her.

Ma'am, your child
has multiple contusions

that are at least 12 hours old.

He has a skull fracture.

He also has several
old healed fractures.

He's a battered child.

I'm not even
gonna respond to that.

‐ You think I'd harm my child?
‐ Happens all the time.

Look, if you're not gonna
treat him, I'm taking him home.

No, you're not.
Do you have anything to say?

He's my date.

Look, uh, I can
assure you, whoever you are..

Ross, Dr. Ross.

Well, Dr. Ross, let me tell you

your concerns
are unfounded, okay?

‐ How did he burn his legs?
‐ What?

These marks right here
on his legs?

Those. Those are
healed burn scars.

How did that happen?

He...I..

...I don't know anything
about burns on the legs.

I'm beginning to think
you're making this up.

Ma'am, you may wanna
call an attorney.

I am an attorney.

Well, then I'm sure
you'll know how the department

Child Services will handle this.

How dare you speak‐‐

How dare you treat
your child like this!

He's a little kid.

I try to be
understanding in my job

but, lady, this just stinks.

Did you find the chart
on the patient in Six?

‐ I don't know where it is.
‐ Well, find it.

Well, I don't know where it is.

Do you think that I am deaf?

I heard you.
Now find me the chart!

I told you,
I don't know where it is!

‐ Is it okay?
‐ You can go home now.

‐ You did the right thing.
‐ I mean, is the baby okay?

He will be.

Oh, man.

So how's Hathaway?

It doesn't look good.

They contact her family?

Yeah. They found them.

So how'd your
aortic aneurysm go?

Morgenstern showed.

'Dr. Benton to Trauma One.'

'Dr. Benton to Trauma One.'

Well, no rest for the wicked.

Gary, Perez, let's go.
What's the problem?

‐ We picked him up in old town.
‐ Orderly.

He was standing,
blocking traffic.

But he's got that smell,
so I thought I'd check.

You did the right thing.

We got a diabetic
ketoacidosis.

Let's go.

You probably saved his life.

What do you want, a medal?

Give him ten units
regular insulin, IV push.

Start a drip,
ten units per hour.

I want him hydrated as soon
as possible with normal saline.

‐ You want KCL?
‐ Not on your life or his.

Get a CBC and lytes.
Call me with the potassium.

And get a blood gas too.

Mark, did you get
the message your wife called?

No.

I'll call her in the mornin'.

Hello, Mrs. Harvey.

Okay, let's have a look here.

He seems to be doing
just fine, ma'am.

Oh, I'm so grateful.

Dr. Morgenstern came so quickly.

He saved his life.

Yes, well, Dr. Morgenstern
is a wonderful surgeon, ma'am.

He said you did a lot too.

Well, actually, I just helped
out a little bit, that's all.

I'll, uh, I'll check
on you later, okay?

I'm sorry,
I yelled at you.

You want some coffee?

Sure.

'Hey, I wouldn't
kid you about that.'

I had a few.

Maybe more than a few.

‐ Uh‐huh.
‐ Hell of a party, though.

Okay, Mr. Murphy, you are done.

Already?

Oh, yeah?

I didn't feel a thing.

No, I didn't.

I still don't.

'Oh, I guess ten days'

'You know what
it costs? $24,000.'

'More than $24,000,
that's what it cost'

'and I wanna know
where doctors get off'

'charging money like that.'

'Medical costs
certainly are on the rise.'

'That's why we're
going to have to have'

'national health insurance.'

'Well, I think it's a scandal.'

'I think doctors should
be ashamed of themselves.'

'Many of them are, I'm sure.'

'Let's hear what
you folks out there think.'

'You know the number. Call us.'

'Carl Barker on Nightline.'

'We'll be back
in just a minute.'

That's it?
Anybody else?

Well, actually,
I got a little problem.

‐ My throat's acting up.
‐ You need to see a doctor.

‐ Which room?
‐ Uh, Five and Six are open.

Five.

So is that it?

Um, well, if you could take a
look at my throat, I've got a‐‐

I'll be in down in Room Eight.

You got a pen?
Wake me at 6:30.

That gives you almost an hour
and a half. You're lucky.

6:30, Dr. Greene.

Wow.