ER (1994–2009): Season 1, Episode 12 - Happy New Year - full transcript

Susan Lewis has a run-in with Dr. Jack Kayson, the cardiology attending, when he accuses her of not providing him with all necessary information on a patient who subsequently died. He makes it very clear that Susan will bear all r...

[theme music]

[footsteps]

[engine revving]

Excuse me.

‐ Bob, who's in?
‐ Dr. Greene.

Dr. Greene, there's
a guy on the street.

Gunshot wounds, I think.
There's blood everywhere.

Alright,
you heard the doctor.

Here we go.

We got a GSW.
It's on the street.

We're gonna need
some hands out there.



Clear Trauma 1.

A patient's gonna strangle
on Christmas lights.

Let's get a move on.

'There he is,
between these cars.'

‐ I see him.
‐ Okay, I see him.

Alright, yeah,
he's still breathing.

'I got a pulse.'

'We got to get him out of here.'

'Just lift him up.'

'Alright, alright.'

'Easy. Watch his head.'

'You got him?'

[groaning]

Bag him.



Connie, notify the OR.

'Get Benton in here
and order up'

eight units
of O‐negative.

Bob, call security.
We got a gangbanger here.

‐ Gangbanger?
‐ Dial 432 and say, "help."

Coming to Trauma 2.

In the winter, I wish
they'd dump the bodies inside.

Yeah, pretty
inconsiderate of 'em.

Trauma 2,
call the blood bank.

We need eight units
of O‐neg down here

and I need a page
on Benton. Now.

Set up two large‐bore IV.

Okay, I got that.

Get his clothes off.

Gary, can you grab that?

Abdomen, chest, neck, legs.

‐ 'Pulse 160 and thready.'
‐ 'Increased breath sounds.'

'Hyper resonant on the right.'

‐ 'I'll decompress.'
‐ '14 gauge?'

‐ 'Oh, get your souvenirs here.'
‐ 'Yeah.'

'I'll get it out of here.'

Alright, let's intubate him.

Carter, why don't
you jump in here.

‐ Me?
‐ Seven point five?

You've seen about
50 of these by now, right?

Okay.

[beeping]

Alright, good. Advance the blade
to the epiglottis and then lift.

‐ I can't see a thing in here.
‐ Here, I'll suction.

Alright, good.

Visualize the vocal cords

and pass the tube
through them.

Stay away from
that esophagus.

Good.

‐ I got it.
‐ Uh, nice work, Carter.

OR's waiting.
What do we got?

Tube's in.
Let's go.

Multiple gunshot wounds to the
neck, chest, abdomen and legs.

Intubated. Tension
pneumo on the right.

Gave two litres of saline, needs
a thoracotomy and a laparotomy.

Paul, clear that elevator.

Dr. Benton, I'd like
to follow him through the OR.

There're gonna be enough bodies
roaming around here.

Still haven't been in there yet.

I'll take him from here.

Dr. Benton, I'm the one
who found him in the street.

Yeah, well, you probably
saved his life.

Let's go.

[theme music]

You got a dead shovel in 2

and a paper cut
in suture room.

‐ Paper cut?
‐ Yeah.

Guy says that
his newspaper

jumped up and attacked him.

We're waiting
for psych.

Isn't it comforting
to know that

1995 isn't going to be
any different than 1994?

‐ Excuse me, is it Carter?
‐ Yep.

Uh, can you call
the medical examiner's office

and have them pick up
the dead shovel in 2?

Sure. What's
a dead shovel?

A fat man
shoveling snow.

This is our lady
with heart palpitations

and a fractured femur

who's waiting
on the orthopods.

Excuse me? Excuse me?

Uh, I‐I've been here
for hours now

and I feel
absolutely fine.

Mrs. Davis is the mitral
prolapse with resolve SVT.

Yeah. Resolved and forgotten.

Um, where's Dr. Lewis?

She'll be with you
as soon as she can.

Well, I‐I hope so, because
I have a seven year old

at home with the mumps.

So do I. Gets on
your nerves, doesn't it?

‐ Yeah.
‐ Thank you.

[coughing]

‐ You can do it.
‐ I can do it.

Just swing on.

You mean hang on?
I‐I can't do it, Bob.

I‐I can't do it.

Yes. Yes, you can.

Are you okay?

New year's revolution.

Resolution.
I quit smoking.

‐ She had a mental.
‐ Menthols don't count.

My new year's resolution
was to quit doing scut work

after I take these urine
specimens to the lab.

He failed.
Why can't I?

Is Dr. Benton
back from surgery yet?

‐ Been and gone.
‐ Thank you.

‐ Ew. This is gross.
‐ Come here.

‐ Shut up, Stewey.
‐ No, you.

He started it!

Stop it. Let the doctor
do his work.

Perhaps Binkey wants
to wait outside.

I tell you,
you know, Mrs. Bimley

Stewey's eye
is gonna be just fine.

Here's just a word of caution.

You wanna keep all the guns

even the paint guns,
away from the kids.

Yeah, well, obviously.

What do you think
I am, an idiot?

Come on, Stewey, let's go.

Binkey?

I got a bumsicle for you.

Freeze dried
at the back door?

‐ Okay, let's clear Trauma 1.
‐ Gotta go.

Welcome back.

I found him under
the El on 43rd street.

His name's Gilbert McCabe.

Legs frozen
to the sidewalk.

I was just sleeping.

'I feel fine.
Put me down.'

You can't even
stand up, Gilbert.

We had to chip through
the ice with a tire iron.

They woke me up
is what they did.

Mr. McCabe, my name's
Dr. Greene, this is Dr. Hicks.

We're gonna
check you over, okay?

I don't want some
colored woman working on me.

Hey.

Like I said

'95's gonna be
just like '94.

I said put me down.
What are you, deaf?

(Chloe)
Dr. Kayson? Dr. Kayson?

‐ I'm very busy, Dr. Lewis.
‐ This will just take a minute.

I've got a patient
with mitral valve prolapse‐‐

You have to wait, Dr. Lewis.

I've got a patient
coming out of surgery.

Miss Davies,
everything checks out okay.

Your heart rate's
normalized.

We just need to increase
your verapamil.

Oh‐h, so I can go.

Not until the attending
cardiologist gives the okay.

[sighs]

Don't worry, Miss Davies.

You'll have plenty of time

to enjoy your daughter's mumps.

They last a good seven days.

‐ You have to take them off.
‐ The hell I do.

[indistinct grumbling]

‐ You need Carter?
‐ Not if you do.

Get off me.

Bowel disimpaction in one.

‐ Huh, how was surgery?
‐ Which surgery?

The gang kid from this morning?

He died ten minutes in.

This is supposedly
my surgical rotation.

Your ER surgical rotation.

I haven't stepped foot
in an OR yet.

Do you always treat
your students like this?

Like what?

Well, Dr. Benton,
I hate to complain

but all I do is your scut work.

Yeah, well, that's what I did
for my surgical resident.

It's what we all did and what
you will continue to do

until you can do it
in your sleep.

Look, you are
a medical student.

You're here to make
my life easier.

Yeah, I'm also here to learn.

And have you...learned?

Glove up and dig in.

And don't take all day.

Mr. McCabe, can you
feel anything here?

'Keep it where
I can see it.'

‐ Mr. McCabe.
‐ What?

‐ Are you feeling anything here?
‐ Where?

How 'bout that?
Can you feel that?

No.

A‐and don't touch those pants.

‐ Now?
‐ No, nothing hurts.

A‐and don't get
into those pockets.

I got all my money
in those pockets.

What do you keep poking for?

My feet feel fine.

It's just that they're..

...you know, a little heavy

like a chunk of wood.

A‐and I wanna take

those shoes with me,
do you hear me?

Connie, let's set up
a morphine drip

and a gram of ansef

and give him a
tetanus booster.

No, I don't want any drugs.

Yeah, and heparin, 5,000 units.

Mr. McCabe, you have
severe frostbite

in both your feet and legs.

Ice crystals in the tissues

and we need
to warm them up quickly

in the whirlpool bath.

You mean like a Jacuzzi?

Yeah, like a Jacuzzi.

After that we'll see
if there's any tissue damage

and then we'll decide
if you need surgery.

Oh, no.
I won't need that.

A perfectly good pair
of hoofers here.

Just need a little warmin' up.
That's all.

But tell 'em I'm takin'
my clothes with me.

Don't want some bonehead
stealin' 'em.

Mrs. Davies
is 38 years old.

Known history of recurrent,
easily controlled SVT.

Should've released
her hours ago.

I did try to talk
to you about her

but you were on
your way to Recovery.

Should've come to me
a long time before that.

This patient's been
here for hours.

‐ Hi, Susie.
‐ Dr. Kaysen.

Not‐not now, Chloe. I did try‐‐

Well, I just gotta tell
you something.

Hey, you one of
Susie's teachers?

Here's your release.

Next time, Dr. Lewis,
try harder.

Oh, well, Mrs. Davies needs you.

‐ Okay.
‐ Wait.

I told you to stop coming
by the hospital.

Let me just tell you something.

It couldn't wait until tonight?

No, I'm not gonna
be here tonight.

Ronnie and I are
moving to Texas.

I've come to say goodbye.

[knock on glass]

Susan, you coming?

Yeah.

(Susan)
What are you going to do?

I don't know.

Learn how to cook chilli.

[chuckling]

This isn't funny.

You all sit in here and tell me

you and Ronnie
are moving to Texas.

You're not even sure
he can get a job.

I told you, he's got an uncle
that works in a refinery.

Where're you going to live?

I always figure
that stuff out.

You're pregnant, Chloe.

It's a different this time.

This is crazy.
I don't think you should go.

Why, you want me and Ronnie
and the baby to stay with you?

[sighs]

You don't even want me
to have the baby.

I just think‐‐

Well, I want to
and I'm going to.

Well, at least stay in Chicago.

Maybe I can talk
to mom and dad and you know‐‐

I don't want that.

I don't want
to stay with people

that always think I'm doing
the wrong thing.

I am gonna love this baby,
Susan, so much.

And I want everyone else
to love it too.

You're gonna eat that?

No.

Hey, I'll send you a postcard
from the Alamo, okay?

Chloe, wait.

You don't even have
a winter coat.

Thanks.

I'll wear it.

I'll wear it all the time.

[serene music]

(Dr. Greene)
'Alright, give him a liter
of ringers the first hour.'

'16 lines, start a foley.'

(nurse)
'BP 70/40,
resp shallow at 28.'

Full thickness burns
to both legs.

[beeping]

Check to see
who's covering plastics.

We need more
sterile saline.

Lydia's coming with it.

‐ Third degree, scalp and face.
‐ Abdomen burns are minor.

Burn unit's notified, Mark.

(Mark)
'Thanks, Lydia.'

Pulse ox, 85.
I'll start a flow sheet.

(Carol)
'Keep an eye
on his I and O's.'

'Give him ten of morphine.'

Want me to get rid of them?

No, no, let them stay.

Jose, you're missing
my point, man.

We are not a pizza joint
and we do not deliver.

Okay. Sure.

Take your business elsewhere.

Guy wants us
to make house calls.

How quaint.

You, however, Dr. Ross,
won the pick three lotto.

You got a runny nose in 1

cough and a sore throat in 4

and babies having babies
over at Curtain 2.

Babies, it is.

‐ Thanks.
‐ Wish you the same.

So how was New Year's Eve?

Sorry I didn't make it.

Neither did we.

Walt and I fell out
by 10:30.

‐ Oh, yeah?
‐ Yeah.

So what does he think
about your new job?

He's happy.

He kids me about it
all the time.

Says working
for parks and rec

is like being
an urban forest ranger.

Yeah, but I bet ma
is proud, right?

That's what we need
to talk about, Peter.

Walt and I saw
this really nice place

across from Grimwald park.

She'd have her own room.

People spend time with her.

Nurses would look
after her.

Jackie, what are
you talking about?

I don't think we can keep
caring for her, Peter.

Ever since the stroke,
she's been in and out

and you know that she needs
constant looking after.

I‐I don't know "constant."

No, you wouldn't know
"constant"

because you're never around.

Now, with this new job,
I'm not able to do it anymore

and I don't want
the kids to have to

take on that responsibility.

Hey, Steven made
the basketball team

and Joanie's doing plays

and I'm not gonna ask them
to give that up.

Why? Because that's
what you had to do

when you were looking
out after me?

When mom went
back to work

we didn't have much choice,
now, did we, uh?

Well, I do have
a choice about my own kids.

Okay.

Jackie, uh..

...there's gotta be
something else.

What about Mrs. Lukey?

Mrs. Lukey's only
three years younger than mom.

Yeah, she looked out after
that old man on a corner.

She lives across the street.
She could come over.

She could spend the days.

Alright, I‐I'll make you
arrangements, I'll pay for it.

And since when do you
have all this extra money?

Look, Jackie, let me worry
about that, okay?

No, wait a minute.

What is this, some kind of
a done deal because you say so?

Well, where the hell have you
been for the past six years

while Walt and I
worried about it?

I can't put her in a home.

You won't have to.

It's our decision.

All of ours.

It can't always be
about what you want, Peter.

I'm gonna miss my bus.

Doc..

'...what's the story?'

'How's our boy?'

It's not great, guys.

Sorry.

He's got full thickness burns

'to 60 percent of his body.'

'He needs to go up
to OR for debridement'

and from there to the burn unit.

But he's gonna make it?

I'll know a lot more
in about 12 hours.

Yeah.

Okay, thanks, doc.

Uh, Dr. Greene, can I talk
to you for a second?

Yeah, can I borrow your pen?

Uh...I don't know
if this is appropriate.

I'm just not sure
that Dr. Benton's

all that interested in
supervising me anymore.

In fact, I'm fairly
certain that he's not.

So warm, fuzzy demeanor,
it's not getting through to you?

[chuckles]
Yes, that would be accurate.

When I was in medical school

I had a ton of residents
like Benton.

But in fact I think
Benton had a ton

of residents like Benton.

He's not the worst one
you're gonna get.

My advice, get used to it.

[indistinct chatter]

Lydia, I need some help
with those teenagers.

[muffled]
I can't, I'm on my way
to Radiology.

‐ What?
‐ She can't.

She's on
her way to Radiology.

She's trying to quit smoking.

She's chewing
that nicotine gum.

The whole pack?

[phone ringing]

You okay?

I've, uh..

I never seen
anything like that.

I just started,
uh...three weeks ago.

Maybe I shouldn't be doing this.

But I didn't think
it would scare me like this.

Hey...you need
to get some rest.

'Go home, okay?'

'Get some sleep.'

(Susan)
'Breathe.'

[breathing heavily]

(Susan)
'Breathe.'

The EKG's are normal?

That's right, Mr. Vennerbeck.

So are your blood tests

chest x‐rays and enzymes.

There doesn't seem
to be any damage

to the heart muscle.

So what was this pain, then?

Probably muscular.

You take all this time just to

tell me I pulled a muscle.

So what, I take
that anti‐inflammatory again?

Again?

A couple of months ago

my wife made me
clean the garage.

Threw my back out.

Two months ago?

That's what I said.

Oh, here it is.
They gave you feldene.

Well, your pain stopped now
so you don't need

to take it this time.

Okay, so I'm out of here.

I can't discharge
you exactly yet.

What's the deal?
You said I was fine.

I've got three customers
to see this afternoon.

I need to run your tests

by the cardiologist on call.

Then we can sign you out. Sorry.

‐ Have you seen Mark?
‐ Room 1.

Okay.

[tap on glass]

Mark.

‐ No.
‐ Oh.

It's okay, Mrs. Packard.
She's a nurse.

Sorry. Chopper setting down
in two minutes with an MVA.

‐ Yeah, well, get Benton for it.
‐ He's still at lunch.

Here's your pap tray,
Dr. Greene.

Thank you, Dr. Carter.
He's your man.

‐ Right this way.
‐ Okay.

Paramedics are bringing in
an MVA on the chopper.

Benton's outside.
I need you to bring him down.

Okay. Wait.
By myself?

‐ Uh‐huh.
‐ Excellent.

Carter, it's 34 degrees out.

You might wanna get your coat.

My coat.

Carter, is there
some kind of emergency?

Alright, come on.

Alright, what have you got?

MVA, school bus
crushing a two‐door.

Blunt abdominal trauma.

25 years old.
Pulse 150 and thready.

‐ BP is 50 palp.
‐ Go, go, go.

Couldn't intubate.
Just scooped and flew.

Alright, we'll take it.

‐ 'Cap refill slow.'
‐ Sinus tack at 150.

‐ Run the strip.
‐ What do we got?

MVA, blocked trauma
to the abdomen.

‐ Okay, people, let's intubate.
‐ I got it.

You help intubate.
I'll get x‐ray down here.

Okay, Mr. Carter

he's all yours.

Connie, can I get a 7.5?

'Jim, it's Lily in ER.'

'We need portable x‐rays
in Trauma 2.'

C‐spine and abdominal
series to start.

‐ Okay, thanks.
‐ We got some towels over here.

Thanks.

He's got a lot
of secretions in here.

I need some suctions.

‐ Where's the O‐neg?
‐ On its way.

Advance the blade.

'BPs at 50 palp.'

Pass through the tube.

How much fluid has he had?

'Two liters in the field.
This will make four.'

‐ I got it.
‐ Give me a suction cap.

‐ Respirator?
‐ No, we're going to bag him.

‐ Use an 8 glove.
‐ Yeah.

His abdomen's rigid.
Peritoneal lavage?

And would you like to do
that also, Mr. Carter?

No, you can do that one.

‐ Oh, why, thank you.
‐ Don't bother, Peter.

I got a team scrubbing up.

Let's move him upstairs.
Okay, give me the bullet.

MVA, 25 years old

brought in pale and diaphoretic.

Pulse is 150,
BPs 50 palp

resp is 25.
Intubated.

Blunt abdominal trauma.

Probable ruptured spleen.

Thank you, one and all.
We'll take it from here.

Let's go.

Excuse us, people.

Morgenstern and I are doing
a gall bladder at 8 p. m.

Scrub in by 7:30.

[claps]

(Malik)
'We have made contact.
I repeat. We have made contact.'

It was you who was looking
for him, right?

Yeah. Dr. Kayson?

I'm on my way
to the cath lab, Dr. Lewis.

Then I'll ask you
to sign out Mr. Vennerbeck now.

A 38‐year‐old rule out MI

admitted with non‐radiating
left chest pain

reproducible
with movement.

Tenderness left sternal border.
Resolved without treatment.

‐ EKG is normal?
‐ Yes.

‐ Enzymes, chest x‐ray?
‐ Normal.

‐ Dizzy, palpitations?
‐ No.

‐ Diaphoretic?
‐ No.

‐ Hyperlypoproteinemia?
‐ No.

‐ History of chest pain?
‐ No, but‐‐

Risk factors?

None, but slightly
elevated blood pressure.

Nah, doesn't sound cardiac.

Have him see his doctor
for a stress test.

‐ Thank you, Dr. Lewis.
‐ Thank you, Dr. Kayson.

You're free and clear,
Mr. Vennerbeck.

You need to see your own doctor.
Get a stress test.

Oh, great. Missed
two appointments

and you take three hours to
tell me to see my own doctor?

Well, I'm sorry
that it took so long.

But we wanted to give you
a thorough checkup.

Sure, sure.
Thanks, okay?

‐ I'll send a nurse in.
‐ Great.

Dr. Lewis?

When I was a resident,
I was always worried

about getting
people's approval.

The attending,
the patients.

Maybe because I was a woman,
a black woman.

Life was a lot easier
once I got over it.

Don't let the patients
get to you, Dr. Lewis.

We treat them
as soon as we can

and there is no need
to apologize

for how long it takes.

We're a busy hospital,
not a restaurant.

‐ I did not.
‐ You did too.

Ladies, come on, you're sisters.
We can work this out.

Sally didn't want the name Emily
until I chose it.

Oh, oh, Emily is
grandmother's name.

You know there are plenty
of other names you can use.

You don't even know
if it's a girl.

Besides, I deliver
a week earlier.

Not if I have it
induced..

Oh, no!

Connie, get out of the way.

Connie, get a CBC
and a chem seven.

Get FHTS with a doppler
and call OB.

Hey, Susan, are you bored,
looking for something to do?

Come on, her name's Territa.

She's 19 years old.

She's complaining
of abdominal pains.

She needs narceine
and an amp of glucose.

Hook up the suction
to the yankower.

We need an amp of glucose.

Narceine given.

Where's that doppler?

BPs 70 over 30.
Resp shallow at eight.

‐ Crank up the IV.
‐ She's somnolent.

Pupils pinpoint.
What's she on?

Boyfriend says pills
and cocaine.

Let's get
a tox screen.

She needs an
amp of D‐50 too.

[squealing]

We're gonna
help you, Territa.

Can you tell when
your due date is?

Lie back, everything's
gonna be fine.

It's coming.

She's fully dilated.

100 percent effaced.
Membrane's ruptured.

Let's get her up to OB.

Elderly couple's coming in.
Both comatose. ETAs two minutes.

Benton's in surgery and
Dr. Hicks is on her way down.

Please hurry. It's coming.

It's coming.

Just don't push.
Don't push.

‐ Take short breaths.
‐ Screw you.

Short breaths like you're
blowing out a candle.

Good, like that.

Oh, damn, we've got a foot
coming out and it's blue.

Okay, let's back her up
and take her in here.

Come on, people.
Excuse us, make some way.

Help me.

Call OB. Tell them
to get down here right away.

Can't get much worse than
a cocaine toxic footling breech.

Yes, it can.
Umbilical cord's prolapsed.

Grab those monitors.
Where are the leads?

‐ In the crash cart.
‐ Pull in a dinamap.

Oh, God, no.

Are they gonna be okay?

‐ Who are you?
‐ I live next door.

Their cat was scratching
to get in the apartment

but when I knocked,
nobody answered.

[door thuds]

Her skin is cherry red,
especially under the nails.

O2 at 15 litres.
Call respiratory in here stat.

It's probably carbon monoxide
poisoning with both of them out.

Carol, do a sodium
hydroxide test.

We need a couple of test tubes
from the rack.

Were they using
space heaters?

Oh, yeah. They got
those little ones.

It's not oil, but‐‐

‐ Kerosene.
‐ Yeah, that's it.

We need a portable x‐ray
in here now.

They're gonna be okay,
aren't they?

They've lived next door
to me all my life.

They're like
my grandparents.

COs present.
Both samples.

Carboxyhemoglobin.

Alright, let's get
the oxygen hooked up here.

What kind of lab test
you want?

[grunting]

‐ Turn the warmer on.
‐ Who's on in NICU?

Son of a bitch. It hurts.

No, no.

Guys, I can't..

Good. I got the other leg.

Who's on in NICU?

No, no, no.

Shoulder blades are free.

Okay, now rotate it sideways.

Keep the arms down
over the chest.

‐ What are you doing?
‐ Here we go.

No!

He's tremulous.
Suction.

[baby crying]

Breathe, keep breathing.

[beeping]

My baby.

I'll stick a butterfly
in his scalp vein.

Get me a heel stick.

Blood sugar is 25.

‐ Any vaginal tears?
‐ It's not too bad.

Let me get
some cord blood.

Give him six milligrams

of ten percent DW
over three minutes.

Susan, didn't you just release
a patient named Vennerbeck?

Honey, you're gonna be okay.
I just know it.

What happened?

I‐I don't understand.

The whole time
he was here, he was fine.

He's had
five of morphine‐‐

He's got a new holosystolic
murmur with a thrill.

Give me
an ET tube 7.5.

Why did you let him go?

‐ Why did you let him go?
‐ 500 cc's D5W.

Ten mics per kilogram
per minute.

Would somebody please
tell me what is going on?

38‐year‐old bounce back
with chest pain.

Holosystolic murmur.

Hypertensive
with possible

ventricular
septal rupture.

Give me 40 milligrams
lasix IV push.

Doctor, please someone tell me
what is going on.

Alright, let's get him upstairs.

Get him on the portable monitor.

Order up his lab results.

Come on, let's go. Alright.

That will be all, Dr. Lewis.

Mrs, uh...Vennerbeck,
I'm Dr. Kayson.

(Jack)
'We need to take
certain emergency measures'

'to stabilize your husband's
cardiac input.'

[woman crying]

Ms. Marianski?

Ms. Marianski, I‐I'm sorry,
it's not the news

that you
wanted to hear.

No, no, I want this baby.

[sobbing]

Is it your husband?

[wailing]

He doesn't wanna
have the baby?

Ms. Marianski,
this is something

that the two of you,
as a couple

really should discuss.

He's infertile.

Well, um..

[wailing]

In that case, uh..

Um...yeah, that would be..

These are the maxillary sinuses.

If you see opacification
on the affected site

that's a subtle clue
that the inferior wall

of the orbit's
fractured.

You know, if this
isn't a good time..

Uh, sorry. It's,
it's been a long day.

Actually, it's not
a great time for me either.

I'm scrubbing with Dr. Benton on
a gallbladder in seven minutes.

Well, if I know Dr. Benton,
he'll be early.

‐ Better get out of here.
‐ Yeah?

Oh, Carter, remember
these three things.

Cystic duct, common duct, liver.

What?

Get out of here.

[beeping]

They're asleep.

Oh, you scared me.

Sorry.

The blood gases
have normalized.

The CO levels are down.

They're gonna be fine.
They're on a 2359 hold.

Yeah, I just wanted to check
on them before I head out.

Mr. Babcock owned a bakery.

Started it the year
they were married.

He still makes a three‐tier cake
every June 14th

on their anniversary.

They got lucky today.

I think maybe they've
been lucky every day.

Carter..

...you don't have
to butt in back

when you're
not sterile yet.

Okay.

Alright, now turn
on the faucet with your knee.

Pop open
a brush packet.

Come on, get it open.

Good.

Now, get
your hands wet

starting with
your fingernails.

Now, scrub your fingernails
ten times.

Front, side,
back, webbing.

Like this?

Yeah. Sort of.

Then scrub the palm ten times.

Back of the hands,
down the arm.

Front, side, back,
up to the elbows.

And rinse.

Let the water run down
your arms not your hands.

You got it?

‐ Yeah, think so.
‐ Good.

Remember, ten times.
And hurry up.

One, two, three, four, five
six, seven, eight.

One, two, three, four, five,
six, seven, eight, nine, ten.

(Peter)
Good. Just pull it
right back.

(David)
Sometimes you know
what I like to do?

Just pull the thing back
and hold it.

‐ Get it out of your way.
‐ Like this?

‐ There you go.
‐ Alright.

It'll spring right back,
so it's okay.

Good.

I'm going to get this
out of your way there.

So you saw
a piano showroom.

Yeah, a piano showroom

right on the Eisenhower
expressway.

'Drove right by it.'

Let's, let's bougie
this bleeder.

So what's so strange
about that?

You know I've been driving
that same route home

every night for six years

and I never even saw it
until last night.

But there it was

on the Eisenhower
right off central.

Well, I guess
that is strange.

‐ Scalpel.
‐ Scalpel.

(David)
'Okay, now, divide the
anterior rectus fascia.'

Yeah, yeah, let's
hoover that puppy.

'Good, good.'

'Shirley, is it
hot in here?'

No, Dr. Morgenstern.

I think it must be
the change of life.

"Pianos On The Expressway?"

Thank you, Shirley.
You may go now.

Let's zap it there,
will you?

Ah, Mr. Carter,
glad you could join us.

‐ Dry off.
‐ Tonsil clamp.

(David)
'Divide the rectus'

and grab the posterior
rectus sheath.

Straight arms.

Good. Very good.

‐ Scalpel.
‐ I got it.

Right hand. Right hand.

Sorry, I thought you
meant your right hand.

No, your right hand.

Left hand. Grab it.

We'll straighten it out.

Good. Spin.

Still with us, Carter?

Yeah. Right here.

You're done.

Huh, Dr. Benton.

Okay. There's
the fundus.

‐ Dr. Benton..
‐ Okay, grab it.

Dr. Benton.

‐ What is it, Carter?
‐ Where should I stand?

Well, not right there
and don't touch my shoulder.

(David)
'You just contaminated
yourself.'

Shirley, take
Dr. Carter out of here.

'Wanna play a round
of foreign capitals?'

[sighs]

(Peter)
'You know,
I hate this game.'

[groaning]

(woman #1)
'Yes, Doug. Yeah, Doug. Oh.'

'Oh, no.'

No, no, no, no, no, no, no.

'Don't move.'

[sighs]

[chuckles]

[panting]

What was your name again?

[sighs]

Someday I'm gonna believe
that line out of you.

What are you
talking about?

Can you remember
the names

of all the women
you've slept with?

[chuckles]

No.

So? Someday
you'll forget mine.

Now, you're assuming
that we won't last.

Well...yeah.

[chuckles]

Where are you going?

Huh, I've got that conference
in the morning.

Alright.

We treated
this older couple today.

They were married 48 years.

'Aai‐yie‐yie.'

No, no, they seemed
pretty happy about it.

‐ 'That's them, not us.'
‐ How do you know?

How did they know?

Because if it were us,
we wouldn't be doing this.

We'd both be married.

Have daughters in girl scouts.

Be renting "The Lion King."

We would never
have met each other

because we would already
be committed to somebody else.

Mm‐hmm. Don't you want that?

Not now.

'Not with me?'

Same thing.

Then why don't
I want it?

Because you are afraid.

‐ Most men are afraid.
‐ Of what?

Responsibility,
aging, death.

Diminished sexual capacity.

[chuckles]

See you.

'Iceland.'

'Reykjavik.'

Don't move.

(Peter)
Bellarusk.

Minsk. Ha!

Okay, pack off the colon,
duodenum and stomach.

‐ Suction.
‐ Suction.

Zaire.

[laughs]

Kinshasa?

Perhaps your student should
step a little closer.

[sighs]

Yeah, I guess
you're right.

(Peter)
'Alright, we're all
packed off here.'

'Okay, peel it like a pear.'

Grab at the ampulla
and dissect Calot's triangle.

Mr. Carter..

Can you tell us
what defines Calot's triangle?

The cystic duct,
the common duct and the liver.

Hold this retractor,
will you?

(Peter)
'Alright, let's get
a little bovie here.'

Mr. Carter...have you ever
noticed that piano showroom

on the Eisenhower expressway?

And so then she blurts out,
he's infertile.

[chuckles]

Susan, that's my best
story of the new year.

[sighs]
Sorry, it's just
been another

incredibly hateful day
with Kayson.

Yeah?

Well, you buy into it.

You can't let him ride
you like that.

‐ I'd put salt on 'em.
‐ Shouldn't eat salt.

‐ What are you doing?
‐ I need more tabasco.

‐ You haven't tasted them yet.
‐ Don't need to.

Yeah, but if you
haven't tasted, you don't‐‐

You're gonna have
a problem with this?

No, no, absolutely not.

Saw Chloe wandering
around the halls today.

She was so calm.
I hardly recognized her.

‐ Thanks, Mark.
‐ Sorry, that was stupid.

Actually, they're
moving to Texas.

Ronny's going to dig for oil,
and she's going to

have his baby,
assuming it is his baby.

Why don't they
stay here?

Probably because I told her
she should get an abortion.

‐ Why'd you do that?
‐ Because I think she should.

Well, that's not
very supportive.

Supportive of what?

My sister's fantasy
of having a child?

She thinks it's like
having a pet, Mark.

A little puppy who
will follow her around

and love her forever.

'Who won't care
that she's an alcoholic'

that she abuses drugs, that
she's getting God knows what

diseases from sleeping
with every guy in the corner.

M‐maybe this baby will turn her
around, you don't know.

Yeah, like the one
we delivered this afternoon?

‐ Maybe, I don't know.
‐ Well, I do.

No, you don't, Susan.
That's the point.

None of us do.
Chloe will have a chance.

The baby will have a chance.
Who are you to decide?

I'm her sister.

I pick up the pieces.

It's still her choice.

And one that I would support

if she'd ever taken one ounce

of responsibility for her life

before wanting
to take on another.

I love my sister, Mark, but
she can't even part her hair.

So do I think she should
bring a child into this world?

No, I do not.

[pager beeping]

[sighs]

[phone ringing]

Kayson.

Vennerbeck is dead, Dr. Lewis.

Oh, God.

I reviewed this file
thoroughly.

The man should never
have been released.

You approved
his release.

I didn't have
all the information.

What information?

He came in here two months ago
with back pain.

The diagnosis was
musculoskeletal.

It was probably atypical angina

and you should
have told me about it.

You didn't ask for
his medical history.

Do I have to ask
for everything?

What are you suggesting?

I'm suggesting this case
was more complicated

than you thought.

And that your experience
as a resident

was not sufficient
to either determine that

or to present it
to those who could.

I presented what you asked for.

But not the entire picture.

And because of that,
a man is dead.

And his wife is consulting
their attorney.

Dr. Morgenstern has been
made aware of the situation

and I have requested
a full case review.

Susan, EMTs pulling up.

Woman in respiratory arrest.

[theme music]