ER (1994–2009): Season 1, Episode 14 - Long Day's Journey - full transcript

Dr. Kayson becomes Lewis' patient.

'Help me. Help me.'

Please, please.

‐ 'What are the leads..'
‐ Oh, God. Oh, God. It hurts.

(Doug)
'Pupils are sluggish.'

‐ Ophthalmoscope?
‐ She's out.

'Respiratory arrest.'

Alright. Give me ET tube, 7.0.

(Doug)
'I'll take that.'

Mrs. Horne?

(Doug)
Kathleen, can
you hear me?

Alright, let's give
her 500cc, normal saline.



Here we go. It's in.
Let's bag her.

Hyperventilate. Let's blow
off the CO2.

Alright, Doug,
Let me give you a hand.

(Doug)
'36 year‐old female,
fell off a ladder.'

BP 70/50. Pulse is 45.
Possible bleeding in the brain.

GCS 6, hematomas
of the left lower quadrant.

Got lacerations of the right
quadrant and left thigh.

Contusions on her back.

She fell off the ladder
and got this banged up?

(Peter)
'What'd she do, bounce?'

I see papilledema.

Alright. She's in trouble.
Decorticate.

Get a head CT.

Let's lavage first.
Abdomen's rigid.



Terry, call the OR. Get a
neurosurgeon down here now.

(Doug)
'Can I have a peritoneal
lavage kit..'

(female #1)
'Betadine in
the cut, please.'

(Peter)
'I'm not getting any
sound down here.'

'Let's get a chest
and KUB, too.'

(Carol)
'Hey. Hey, guys,
come over here.'

Come on.

My mom's going
to be okay, right?

We hope so.

Is your dad
coming?

Yeah, I tried
to call him.

What happened
to your hand?

I hurt it when my mom
fell off the ladder.

Well, we've got
to get you cleaned up.

Come on.

(Doug)
'Belly's full
of blood. Spleen.'

(Peter)
'See who's on for neuro.'

You look
awful, Carter.

Exhausted.

‐ Good morning, Carter.
‐ Morning.

You uh, shooting for high honors
on your ER presentation?

l was up all night.

It's really hard putting
surgical procedures

down on paper.

Can I have Dr. Benton's
charts, please?

His patients have
already been checked.

Deb. Been here
an hour.

Alright. I'll go get their labs.

Deb sent 'em.

Breakfast orders?

Gone to the kitchen.

John. Oh, I'm glad
you're here.

Jerry, thank you.

I've done a census
of all six‐month‐olds

with fever
in the past year.

I want to develop
a protocol. Can you help?

You checked
Dr. Benton's patients.

Now don't be upset.
You've been here a while.

Everybody likes you.

I want to make
a good impression.

Carter, the girl in two,
could you stitch her up for me?

Sure.

Um..

(Peter)
Let's go. This isn't a Sunday
stroll, people. Come on.

Coming through..

'Look out..'

Mrs. Horne's chart.

She's been here three times
in the last six months.

Mm‐hmm, she broke her arm
falling down the stairs.

But no bruises.

Orbital fracture
walking into a door.

[sighs]
Okay.

Hi, Mandy.
I'm Dr. Ross.

Dr. Carter, will you
let me finish up here?

I'm just about
to bandage it up.

Mm‐hmm. Let me do this.

‐ Yeah, okay.
‐ Okay. Thank you.

Hi.

Is my mom going
to be okay?

Well, we don't
know yet.

Hey. What's
your name, buddy?

David.

Listen, David. Come over
here for a second.

Okay, you guys, look.

Your mom got hurt
pretty bad today

and it could be a while

before she
comes home.

How long?

Well, we don't
know yet.

Want to tell me who's
been hitting your mom

for the last six months?

Mandy?

Mom can't take a whole lot
more of this. David?

Is there somebody else
staying at the house?

See, if we know, we can get
your mom some help

and find a safe place
for you to stay.

Things will get better
for all of you.

I promise that.

No?

Alright.

Okay, well,
I'll be back

when I know more
about your mom.

(David)
'It was Mandy.'

(Mandy)
'Shut up, David.'

It was Mandy.

‐ Don't you. Shut up!
‐ Hey, hey.

Just 'cause you didn't
like her dress!

You shut up!
Or I'll kill you! Lair!

‐ You did it this time!
‐ You're a lair!

‐ It's not true!
‐ Hey.

‐ I didn't. He is lying.
‐ Stop it.

‐ She hit her with my bat.
‐ Stop it.

She hits her all the time.

I didn't! I didn't!
She fell off the lad..

She fell down!

When can my mom go home?

[theme music]

Pregnant patient
in two.

‐ Suicide attempt's coming in.
‐ Okay, thank you.

Rachel, Rachel Greene.

Oh, really? T‐that's great.

Um, could you tell
her that her dad called

and that he'll talk
to her later? Thanks.

Rachel's on a field trip
to an aquarium.

I wish I was
on a field trip.

Gunshot, hunting accident.

‐ He's waiting for discharge.
‐ Hm, so discharge him.

Oh, we decided I'm not
incompetent?

Nobody said you were
incompetent.

But I am the only one who has
to bring my charts to the chief.

What time is your review board
with Kayson today?

3 o'clock. Please don't
come to offer support.

God knows
what you'd say.

Does that happen?
She's just a kid.

She hit her mother
with a baseball bat?

Well, we see three
or four of them a month.

Doc, broken leg,
exam four.

There's a nice diversion.

Well, I‐I just
can't believe it.

‐ Well, you will get used to it.
‐ It's just, uh, Ross.

Send Mrs. Neely
up to the OR.

Oh, Dr. Benton, uh,
she wants her surgery

explained to her again.

Well, I've explained it
to her twice. That's enough.

Jerry, give me the Magnology..

Well, I could try.

You know, I'm taking
a course

on relating
to patients as people.

It's called
"The Whole Patient."

Just don't let it
interfere with your work.

He didn't mean that...did he?

I didn't throw him that hard.

I was showing him
a takedown move.

I must have done
the same move a 100 times.

This hurt, Zack?

Yeah. It hurts
a little.

I bet it hurts a lot.

I broke my arm when I was
nine years old.

Connie, two migs
of morphine, IV.

‐ Does this hurt?
‐ No.

Thirteen years
teaching Phys. Ed.

This is never
happened to me.

Mr. Allman, it's
a broken leg. Relax.

Posterior tibial
pulse is weak.

Alright, Zack. Push down on
my hand like a gas pedal.

Mm‐hm. Okay,
wiggle your toes.

Uh, femur films?

Mm‐hmm. Yeah. AP.
And lateral. Alright, Zack.

We're going to get you up,
get you some X‐rays

and see what's going on?

Is it gonna hurt more?

Oh, it's gonna hurt
a little bit

but think of the fun
you're going to have

getting everybody
to sign your cast.

Look, she's been throwing up.

Maybe you should
induce labor.

That's a little extreme
right now.

Mrs. Chang, have you had
any cramps, bleeding?

(Chang)
'It's just her stomach.'

You could have a condition
called pre‐eclampsia here.

Your blood pressure's
li'l elevated.

But we'll know a lot more
when we get your tests back.

Maybe the baby's
in trouble.

I mean, why not induce?
It's two weeks away.

We're gonna
take care of your wife.

Why don't you try
to stay calm?

(Doug)
'Who's on for ortho?'

Taglieri.

[Doug sighs]
Who else is available?

What about Dr. Nelson?

He's still up there,
isn't he?

Tell Dr. Nelson
ten‐year‐old, broken femur.

(Peter)
I need somebody
a few days a week.

Your mom's gotten worse, huh?

‐ You know anybody?
‐ A woman on eight.

Part‐time in physical
therapy. Jeanie Boulet.

You'll like her,
as much as you like anyone.

Haleh, can you get
a blood workup

on that pregnant
woman in two?

I don't think so, the lab's
completely shut down.

‐ What?
‐ Just kidding.

Mark, suicide attempt.

Harris Fran, 32.
Looks like an OD.

She wrote a note. They found
an empty bottle of imipramine.

Vitals?

BP 50, palp. Pulse 120.

I started to call her at seven.

I should have gotten
there sooner.

Get her on the bed.

[baby crying]

(Carol)
'On my count.'

‐ 'One, two, three.'
‐ 0.8 narcan.

(Mark)
'Haleh, gimme glucose.'

Dialysis or hemoprofusion?

Not with tricyclics.

(Mark)
'We got to pump
her stomach.'

'Get an ewald tube
and a charcoal.'

Draw a tox screen
and a ruds.

Was she on other
antidepressants?

I don't know.

Yeah, she kept saying
she wasn't that depressed.

Ma'am, maybe you should
take your baby outside.

He's not mine.
It's her's.

Take him outside.
Somebody help her please.

Millette, see the bottle
of pills, get the shrink's name.

(Carol)
'Find out what else she was on.'

(Mark)
'Ewald tube.'

Capillary refill is poor.

Three liters saline.

Lavage till clear.

(Haleh)
'BP is Falling. 40 palp.'

Sinus tach 140.

Seizures, Mark.

Ah, crap.

‐ Grab a‐‐
‐ Valium.

Ten milligrams, IV Push.

Dilantin, one gram
at 50 migs a minute.

[monitor beeps]

‐ Hold her.
‐ Tachycardic.

Give her an amp
of bicarb, IV push.

And then put two amps
into that liter.

Looks like torsade.

Magnesium sulfate, two grams.

Pulse ox is falling here.

lV's infiltrated.

Slow down.

Slow down.

Happened in gym class,
wrestling.

Okay. I won't need
you for the exam.

No problem.

And Doug?

Listen, I'm the attending
on call.

When I'm on you, you call me,
not somebody else.

Okay.

It's not personal,
it's professional.

Got that clear?

Yes, John.
That's clear.

Hey, Tiger.
How you doing?

Ma'am, would you like
to sit down?

No, I should stay.

When she wakes up, she'll
want to see her baby.

Ms. Eiger, we can't get in
touch with her therapist.

Is there anything else
she might have taken?

I should call Carl,
Fran's boyfriend.

He should be here.

Was she taking any other
prescriptions?

Uh, how could she do this?

S‐she was happy.

She had gone
back to school.

‐ Everything was fine.
‐ If you just let me, um..

‐ No, I'll take care of him.
‐ It's okay. It's okay.

That's okay.

Was she taking
any other drugs?

I should call Carl.

Where...do you have
a phone?

Where's the phone?

Hello, kiddo.

(Haleh)
'Pulse ox is 60.'

This isn't working.

(Carol)
'Still PEA.'

No pulse.

High dose epi, seven milligrams.

Another mig of atropine.

She's really cyanotic.

‐ Time down?
‐ 25 minutes at least.

l don't hear a thing.

She's in asystole.

(Mark)
'You had to take
tricyclics, huh?'

Why the hell didn't
you take painkillers?

Abnormal doll's eyes.
Pupils fixed and dilated.

[Mark panting]

Brain stem's shot.

[sighs]

She's gone.

[instrumental music]

It's okay, bud.

You'll be okay.

This mass around the bone
may represent an osteosarcoma.

I can't believe,
I did this.

Well, turns out to be
a good thing.

What the hell is good?
He broke my nephew's leg.

Oh, Ted. Please,
come on. Don't swear.

Because it happened,
we found out about

Zack's condition sooner
than we might have.

Wait a minute.
What condition?

We won't know for sure
till we get a biopsy.

A biopsy?

What is this, cancer?

(Ross)
'It would explain
why his leg broke so easily.'

My husband died
of liver cancer. Um.

Is Zack gonna die?

Ooh, really don't know.

I think it's much too early
to worry about that.

Ah, would you like me
to talk to Zack?

No. We'll tell him.

I'll talk to him,
alright?

Doctor, you have
to induce labor.

Your wife's tests
are normal.

The nausea was probably
caused by something she ate.

She...she had a drink
from the herbalist.

I tried to call
her gynecologist

but he was
out of town.

Your gynecologist
is an herbalist?

No, no, no.

I, she...the new year
is coming.

It's the "Year Of The Pig."

And right now, it's
the "Year Of The Dog."

And, I can't believe
I'm saying this.

People they think sometimes

the‐the babies born in the
"Year Of The Pig" will be lazy.

We don't believe that.

I mean, we sort of believe it.

I mean, my ma...my mother
believes it

and her mother believes it.

So, you used herbs to induce
because you didn't want

your baby to be born
in the "Year Of The Pig."

You wanted to be born
in the "Year Of The Dog."

I know it sounds crazy,
but yes, we want you to induce.

Mr. Chang, this is an emergency
room not an auto body shop.

We don't do procedures
just because you want them.

‐ Dr. Green?
‐ Yeah.

‐ I'm Dr. Noble.
‐ Hi, how are you?

‐ This is Mr. and Mrs. Chang?
‐ Yes.

I was about
to discharge them.

So, I'm checking them in.

I'm covering
for Dr. Whitbread.

They left a message
they wanted labor induced.

Some religious thing?

Oh, thank god.

She's not due for ten days.

Hey, we induce so people
can go on vacation.

We do it at Christmas
for the tax break.

What's the big deal?

Have a very happy
"Year Of The Dog."

Gently.

Let the water do the work.

I'm not a housekeeper,
Dr. Benton.

‐ I'm a therapist.
‐ Yeah, so I know. Look.

We just need someone
to take her for walks

and look at after her two or
three times a week, that's all.

Stroke victims need
a lot of care.

Now, I'm sure you love
your mother

but you should be
thinking nursing home.

‐ Hey.
‐ Slowly, Mr. Fayid.

You're in there for an hour.
No matter what.

Will you at least
consider it?

Can you afford me
on a resident's salary?

I'll, uh,
I'll find the money.

I have nursing classes
Mondays and Fridays.

I'm working
Saturdays here.

I could do a middle of the week
starting a week from Tuesday.

We'll try it for a while,
see how it works.

Okay, okay.
I, uh..

...I appreciate it.

It's not a favor.

I get paid.

Alright. That's cool.

Mark, crispy
critters coming in.

Guy tried to rescue a kid
from a fire.

Okay.

(Carol)
'Come on, Tag.
you promised.'

I can't help it.
Staff meeting's at six.

We get the room at 7:30,
and I don't want to be late.

Carol.

I've been dreaming about
this romantic weekend

with room service,
without my mother, your dog.

I'll try to move
the meeting, okay?

Okay.

'Burning coming in.
Move over..'

Kane William. Entered a burning
building to save a kid.

Vitals normal.
Rerspiratory..

Kid's coming
right behind him.

My throat, it's burning.

Put him in trauma one.

‐ Alright.
‐ Potter, Nancy, 14.

Burns on her leg, chest abrasion
hit by a falling beam.

BP 90 over 50.
Pulse 90.

Alright, Connie.

We're going
to need blood gases

cross‐table C‐spine,
H and H type

and cross
with four units.

Give me o‐negative
in the meantime.

Alright, on my count.

‐ 'I can't breath.'
‐ Get that.

‐ Ready?
‐ Yeah.

One, two, three.

I can't breathe.

Let's get that mask on.

Start a gram
of Ancef.

‐ Connie, call the burn unit.
‐ Okay.

Throat's fine.

Pupils normal.

How long were
you in the fire, Mr. Kane?

A couple minutes.

A lot of smoke.

Pulse ox is only 80.

Respirator's high
at 36.

‐ Is the little girl okay?
‐ Come on, lie back now, sir.

Sounds like
fluid in here.

Let's get him on a mask,
15 liters of O2.

Get a chest film, quick.

No distal pulses.

BP's falling
70 over 50.

‐ Open the IV's wide.
‐ Okay.

Looks like
a bone fragment.

We've got an open
tib‐fib fracture here.

Alright, we're going to need
vascular and orthopedics.

Let's get her up
to OR now.

Watch her arm.

Alright. Here we go.

Coming through.

‐ Here we go.
‐ 'OR's been notified.'

‐ Hold that elevator, please.
‐ 'Blood's waiting.'

Carter, there's
this guy outside.

Can you go and take
a look at him?

Why, can't somebody
bring him in?

Uh, I don't think
that's going to work.

Yeah, come on, John.
Let's go.

Hey, Jerry.
I really need a cigarette.

Do you know where does
Lydia keep her stash?

I didn't know
you smoked.

I don't.

(John)
'Uncle Ed?'

Uh...how long has
he been...sleeping?

Uh, since breakfast.
I guess.

I don't know quite
how to tell you this

but your Uncle Ed
is dead.

My God.

I thought he was
awful quiet back there.

Jackie, Jackie. I said
I was gonna be there.

Yeah, Michigan and Wacker.

Alright. I won't be late.

Oh, my Lord.

That's dead.

Uh, we can take him
through to Denver.

Leave him with
his son.

Uh, n‐no, please move.
Please move.

You can't do that,
It's against the law.

Why? He's our uncle.

Medical examiner's
gotta come and get him.

His people are
in Denver.

We're sure as hell
not burying him here.

Carter, throw
a sheet over him.

S3 and S4 gallop.

Add nitro 50 milligrams
in 250 D5W.

‐ William?
‐ Willy.

Everybody calls
me Willy.

How's your breathing?
Okay?

How's the little girl?

Her name's Nancy.
She's gonna be fine.

Fire department said that you
inhaled some toxic chemicals.

Your lungs
are badly damaged.

It's not the...only reason.

CF.

You have cystic fibrosis?

Is there anyone
you want me to call?

Your wife or your family?

Dad.

Doug, get a pulmonary consult.

Mm‐hmm.

Haleh, do you know
Dr. Lubin's extension?

4230.

‐ Lungs goin', huh?
‐ Yeah, yeah.

Billy, go to the third floor
and get us some gauze.

Six gross of gloves
and no 4x4s.

Oh, thanks.

That must be hard
for you.

The overdose
this morning.

The girl with the kid.

I didn't have a kid.

Haleh, I really try
not to think about it..

...too much.

Can I ask?

Did you leave a note?

No.

I couldn't figure out
what to say.

And when did
your pain start?

This morning.

Mm‐hmm, is it constant
or intermittent?

‐ Both.
‐ What?

Think she means,
it comes and goes.

Yeah.

Is it sharp
or dull?

‐ Sharp.
‐ Uh..

Ask her if she's had
the pain before.

Oh, right.

Have you had
this pain before?

The pain is in my stomach.

'It hurts like hell.
I mean..'

'What else
can I tell you?'

Ask about meds.

Oh, ah. D‐do you take
any medications?

Yeah. Ah, Norvasc and Tenormin,
for my blood pressure

'Allopurinol,
Colchicine.'

Sometimes
Indocin for gout.

Zoloft for depression,
Antivert for vertigo..

Ah, wait a minute.
What did you eat today?

Some granola.

A couple of poppy seed bagels

some cheese, a nice lamb chop.

Um, excuse us a second.

Yeah.

Bet you anything,
it was the poppy seeds

or the granola.

We better find
Dr. Benton.

I questioned Dr. Lewis about
every conceivable symptom.

‐ Is that the case, Dr. Lewis?
‐ I don't think so.

No, Dr. Kayson was in a hurry.

Well, Dr. Kayson, the patient

Mr. Vennerbeck died
under our care.

Now, you say you asked
about every symptom.

Including back pain?

Dr. Lewis should
have mentioned it.

You didn't tell him
about the back pain, Dr. Lewis?

It was on the chart.

Well, you should
have called it to my attention.

Please let's try to stay civil.

Are you, uh, sure you gave her
your full attention?

No, I don't think
that's the problem here.

But you did sign the chart.

David, I already told
you, I didn't have

all the relevant information.

Aren't you supposed
to obtain the information?

Oh, come on, we know
what this is about.

We all depend on
the residents to do their job.

Dr. Kayson, attendings are here
to help residents do their job.

Dr. Lewis..

...the, uh...back pain was
ascribed to a previous injury.

How would you assess
that information now?

I think I'd consider
it more carefully.

A possible sign
of unstable angina.

Well, we all make
those judgments

'and we learn
from them.'

(John)
'Ladies, gentlemen,
Dr. Lewis, Dr. Kayson.'

How you doing, buddy?

They're going to fix my leg now?

They'll do
a couple of things.

First, can I talk to
you quickly, please?

You haven't told him.

Well, we were going to, but..

...well, we discussed it
and we think..

We think he's just
too young to hear it.

We have to do a biopsy now.
Do you understand?

He doesn't need to know.
So just do it, okay?

Mrs. Meeker, we won't go through
with this unless he knows.

I won't do that to him.

Sweetie, Zack..

Sweetie, I...I've got
to tell you something.

I'm going to let
the doctor tell you. I..

Zack, you may have
a form of...of cancer.

You know what cancer is?

Yeah, well, my dad had
cancer and he died.

Am I going to die, too?

Oh, we don't think so,
but you're gonna have to

go through some tests.

And that's gonna hurt a little.

And then, you're gonna
have to take some medication.

And that's gonna make
you feel really sick.

Am I always going to be sick?

(Doug)
'No, I think when it's all over,
you're gonna be okay.'

Well, what kind of tests?

Okay, well, we're going
to put a needle

'in your leg today,
a little one.'

Are you going to do it?

No.

Will you come with me?

Sure.

So...so let's go
do it then, okay?

Okay, kiddo.

Let's do it.

A 49‐year‐old woman presented
with acute stomach pain.

Leukocytosis
with a high BUN.

Recent diet includes
both seeds and nuts.

Diagnosis likely diverticulitis.

Possible surgical candidate.

Okay, so what made
you ask about her diet?

Actually, it was Deb's idea.

‐ Oh, yeah?
‐ Yeah.

Well, the next
time Deb has an idea

let her present it.

[mumbles]

How did you come up
with that?

Well, I have
a photographic memory.

I‐it's kind of embarrassing.

But I saw a page
of the pocket manual in my head.

Uh, stomach pains
plus seeds or nuts

could be diverticulitis.

That's right.

You could have
inflammation in the colon.

(Peter)
'If it doesn't get better
in the next couple of hours'

'you might have
to have surgery.'

'Dr. Chen will come back
and check on you.'

Great.

You holding up?

Uh‐huh.

What happens now?

Well, Dr. Taglieri's going
to mark a spot on your leg.

This won't hurt.
It's just a pen.

This is going
to feel a little cool

while the nurse
cleans it.

‐ You're ready for the local?
‐ It's going to sting a little.

I‐it's a small needle
with some stuff in it

that's gonna dull the pain.

‐ You okay?
‐ Mm‐hmm.

Here's the needle gun.

This is the thing
I told you about, the gun.

Dr. Taglieri's gonna take
a little piece of the tumor

out of your leg with it.

You're going to feel it
when it goes in.

Okay? You ready?

I'm ready.

[gun snaps]

That's all she wrote.

That wasn't
so bad, was it?

Never got shot before.

[chuckles]

You're going to do okay.

(Peter)
'Look, this woman does
this for a living.'

(Jackie)
'Are you crazy? I've spent weeks
looking at nursing homes.'

(Peter)
'Yeah, well, she's my mother
too and you don't'

'make these decisions
without me.'

Why do you keep fightin'
this thing?

I mean, this could be
the solution

that we've been looking for.

You're looking for.

I know the solution.

Okay, so she goes
to a nursing home

and you get the house
that we grew up in, right?

Oh, please, honey, don't give me
that sentimental crap.

You wouldn't care
if this house burned.

Hey, don't answer that.

I came all the way
across town to see you.

Jackie, I don't want
to see ma end up

in some warehouse
for old folks.

Look, look, Jackie, this woman
will come three times a week.

I'll look after her
two times a week.

No, you won't, Peter.
You never have before.

And tell me something.

Just how will you plan
on paying this

physical therapist person?

Look, i‐if it's three days,
I can swing it.

Three days? God, Peter.

When will you accept that
mommy needs full‐time care?

Okay, so how are you supposed
to pay for a nursing home, huh?

‐ Her savings.
‐ That's perfect.

You get the house,
you get to spend every penny

that she and papa
ever saved, right?

Except what she gave
you for med school.

Jackie, don't even go there.

'Cause I'm up
to my ass in debt, alright?

And in a couple of years,
you'll make more money

than Walt and I will ever see.

I'll tell you what, Peter.

Take the damn house,
okay? Take it.

You can even
have your old room back.

We'll clear out
of there tomorrow.

Then you can bathe
her and feed her

and keep her
from taking her clothes off

in front of
the damn neighbors.

Look, Jackie, we'll work it out.

Peter.

Peter.

Hold on.

Yeah, this is Benton.

He did what?
Okay, okay, okay.

Look, tell him I'm sorry
and I'm on my way.

I'll be right there, okay?

(Peter)
'Yeah, yeah, I'm leaving
right now.'

Look, Jackie, we can..

[sighs]

[indistinct chattering]

I couldn't move
the meeting.

‐ You're kidding.
‐ No, but it'll be short.

Anyway, we can still
get out of here by 8.

I hope so, or I'll be
feeling very...unromantic.

Well, if I'm not here,
just page me.

If you're not here, I'm going
to come up to that meeting

stark naked
and drag you out.

‐ I'll see you at 8, okay?
‐ Okay.

How was your review?

Fine, thank you.

I see you two are still
having a love fest.

(Haleh)
'Doug?'

‐ Yeah?
‐ Kid's been beaten up.

They hit him and wouldn't stop.

They just kept hitting him
and the cops

wouldn't even come, you know.

Hey, buddy.
You're pretty banged up.

What's your name?

Terry.

Alright, Terry.

‐ Does this hurt?
‐ No.

No, I‐I don't know why
the cops wouldn't come.

‐ How about this?
‐ No.

You okay, man?
You okay, man?

‐ Does this hurt?
‐ Uh‐uh.

Nothing looks broken.

(Haleh)
'I'm just taking
your temperature.'

We should've gone
away some place..

How old are you, Terry?

Eighteen.

Temp 102, Reps 24.

You got a fever, Terry.
You been sick?

Nah, I‐I got a cough.

His lungs are clear.
He's tachycardic.

Let's get a CBC, lytes,
ABG and a chest film.

Terry, this is Haleh.

(Doug)
'She's gonna clean
you up, give you some'

'bandages
and get some x‐rays, okay?'

Can I talk to you?

‐ Are you his girlfriend?
‐ No, I'm just his friend.

We need to call his family.

Do you, uh, do you know
their number?

Uh, they live, uh, someplace
in Georgia or someplace.

They threw him out or he,
he ran away, I don't know.

He's my best friend.
Is he going to be okay?

Where does Terry live?

We don't live no place.

We used to have this place
on the west side.

It got torn down, though.

How old is Terry?

You heard him. He's 18.

(Doug)
'How old is he?'

Fifteen.

He's got to say he's older
or the cops will pick him up.

Okay, fine.

C‐could you just take
care of him...sir?

Sure, sure.

Hey, bad day?

Pediatrics is fine
when the kids are healthy.

How was the, uh,
review board thing?

They crucified Kayson.
I hate to admit it.

But I loved watching him squirm.

So you going
to give Mark a break now?

‐ Does he deserve one?
‐ No. Can you people help me?

Can you just see
the nurse back at the desk?

Yeah, he deserves one‐‐

Um, I‐I've been waiting
40 minutes.

Yeah, I know.
Uh, we're very busy.

‐ Okay.
‐ Okay.

Sir. Sir.

Come here.

What is that?

Well, what does it look like?

The kids next door were playing
Cowboys and Indians.

How did you get here?

I took the bus.

Do you want to just,
yeah, if you would‐‐

‐ I'll get it.
‐ Mm‐hmm.

Doctors said he had
five or six years left.

[beeping]

He's not gonna make it, is he?

His lungs are
filling with fluid.

We'll suction them out but
they will fill back up again.

Eventually, we're gonna have
to put him on a respirator.

He never had kids.

Said it wouldn't be fair.

He wouldn't be around
long enough for them.

Five..

...six years.

It's a lot of time.

New blood gases. Not good.

PO2 is 50, PCO2 is 60.

You got the little girl
down from the fire?

Her mother says she
wants to talk to him.

Thanks.

The Versed has him under.

He may not be able to hear her.

It's okay?

‐ Sure.
‐ Okay.

What's his name?

Willy.

His name's Willy.

Willy, my name's Nancy.

(Nancy)
'Nancy Potter.'

You saved me from the fire.

Can you hear her, son?

Thank you, Willy.

Thank you for getting me.

Good afternoon to you,
Dr. Benton.

‐ I don't wanna talk about it.
‐ I didn't ask.

You know, for the first time,
I've missed grand rounds.

What the hell
do I tell Morgenstern?

You had something
more important to do.

(scoffs)
Yeah, right.

You know, pediatrics,
you guys got it made.

You all go into
the private practice.

But surgeons,
we all wanna be chief.

I have another day like this,
I don't have a prayer.

There are more important things
in life than being chief.

Yeah, right. Like what?

This morning, I had a little
girl who beat up her mom.

And her mom is dead.

Another kid with osteosarcoma
is probably gonna lose his leg.

Another one with
cystic fibrosis.

It is the middle of winter.

My apartment is freezing

and the woman that I vaguely
thought might stay with me..

...said that I'm not the kind
of guy that women marry.

So I'm gonna shoot some hoops.

[grunts]

Yes!

Oh!

Hey, you wanna share the court?

Play you one‐on‐one.

‐ I'm Doug.
‐ Jake.

Nickel a point.

A dime. To 21.

Dump that. Let's go. Right now.

My mom works at the hospital.

Diane Leeds. You know her?

Nope.

(Doug)
Up!

Lucky shot.

[Doug chuckles]

What's your mom do?

She's on the seventh floor.

I'm waiting for her
to get off work.

Oh! Very fancy.

(Doug)
Strains it.

Nice.

I'm going to the Bulls tonight.

Yeah? Who's your
favorite player?

B.J. Armstrong.

Yeah, mine, too. You know why?

'Cause he's short,
just like I was.

(Doug)
Whoo!

You're good for a short guy.

(Doug)
'Well, thank you.'

(Diane)
'Jacob!'

Damn it!

(Diane)
Jacob.

Hi, mom.

Hi, kiddo. I'm sorry I'm late.

You got a killer player there.

Yeah, he's a pretty tough guy.

Much longer, I'll be paying
his allowance for the week.

I wish you would.

With video games alone,
I could go broke.

Are you ready, hon?

I'm Doug Ross, um,
Pediatrics in the ER.

Oh. Diane Leeds,
Risk Management.

Yeah, we spoke
on the phone once.

‐ Dr. Ross..
‐ Doug.

Before you try any harder

Cindy Sadwick is
a very good friend of mine.

Mm‐hmm. And how is Cindy?

Well, she can't say your name
without adding a few words

I wouldn't want my son to hear.

‐ Button up, babe.
‐ Well, tell her I said hello.

[sarcastic chuckle]
Right.

I owe you a dime.

Oh, you'll win it back
from me next time. Okay?

Have fun at the game.

Ah! Rescue 61, MI on the way in.

53‐year‐old male, drunk out of
his gourd at Shaw's Crab House.

A drunken coronary. Can you
talk Mark into taking it?

Uh‐uh. He quit.

He's now the house
doctor at Field's.

Um, department meeting.

Benton's in surgery,
and Mintzer went home sick.

[sighs]
Wish I could go home sick.

(nurse)
'Susan, we got
a chest pain here.'

'Trauma Two, Trauma Two's open.'

Patient complained of
mid‐sternal chest pain.

Diaphoretic, vomited twice.

Sublingual nitro,
two migs morphine.

(female paramedic)
'Says he's a doctor.'

Sir, are you..?

Oh, my God.

‐ Dr. Kayson.
‐ Dr. Lewis.

In two.

[dramatic music]

[indistinct chattering]

This is aspirin,
Dr. Kayson. Can you chew?

‐ Yeah.
‐ Well, start chewing.

‐ BP, 150/100.
‐ O2, 15 liters.

Dr. Kayson, I know how
you feel about TPA.

Do you want it?

I don't know.

They're prepping in
the cath lab for angioplasty.

The choice is yours,
but make it now.

‐ 'Susie, you have to‐‐'
‐ Run a 12‐lead.

‐ Where the hell is Steinman?
‐ He's in surgery.

Cardiology will be here
as soon as they can.

Tachy, 120, resps, 24.

Where is blood results?

What's the EKG say?

"ST elevation
in the inferior leads."

I'm going to die.

You are not going to die.

‐ BP's crashing.
‐ No.

He's in cariogenic shock.

Okay, ET tube, 7.0.

‐ Full respiratory down.
‐ Open up the IV.

Bolus one milligram atropine IV.

It's falling, Susan. 60/35.

Start a dopamine drip.

Tube's in.

Bag him.

Alright.
He may need a pacemaker.

‐ 'Carotid's okay.'
‐ Yeah.

Let's get him upstairs now!

[dramatic music]

Haleh, call cardiology.
Tell them he's stable.

He needs angioplasty.

And see if anyone's
gotten a hold of his wife.

‐ Coming through!
‐ Oh, man.

(Mark)
Come on, guys. Let's go.

What is this, a convention?

‐ Is that a joke?
‐ No.

Hey, Terry.

How you feeling?

Better.

I wanna talk to you
about your condition.

You heard of PCP,
Pneumocystis pneumonia?

[scoffs]

‐ Mmph.
‐ AIDS, huh?

We need to confirm the diagnosis

but if it's PCP, then yes,
you probably have AIDS.

[crying]

Angie, don't cry.
Don't cry, please.

Look, hey..

Listen, hey..

Would you get my‐my,
uh, coat and stuff?

Please? Go on. Get my coat.

(Doug)
'You still working
the streets, Terry?'

(Doug)
'You playing safe?'

Look, they don't want
you using rubbers.

(Terry)
'It's not what
they pay for, you know.'

Alright, we're gonna
check you in, do an HIV test

and we'll treat your pneumonia.

Hey, thanks anyway.
But, uh, no thanks.

I just wanna get out of here.

Terry, if you
have sex with people

you're gonna infect them, too.

[chuckles]
I gotta feed myself, right?

Some of my friends
too, you know.

Terry, you are sick,
and you're gonna get sicker.

Check yourself in.
We can stop the pneumonia.

And we'll put you
on a program for AZT.

‐ Hey, man. I'm okay.
‐ Listen to me.

You're not gonna get healthier
on the street.

Can you go home? Is there
anybody that will take you in?

They threw me out.

They won't be
taking me back now.

I want you to use these condoms.

I'll get you
a medicine called Bactrim.

I want you to
take that every day.

Only time I took medicine
every day was in jail.

Please try.

And use the condoms.

Terry, use the condoms.

Here's some numbers
for a shelter

and an AIDS treatment center.

Keep this.

You're gonna need it, okay?

Alright.

Thanks.

Your wife's on the way.

Dr. Steinman's coming
to take you to the cath lab.

Nod if that's what you want.

Do you want TPA?

Hi, Jack. You look great. We're
gonna blow your arteries out.

Dr. Steinman, he wants TPA.

Jack, I looked at your echo.
You need angioplasty.

Jack, you're scared.

Remember, we did a couple
hundred of these last year.

And when this is over,
you better stop smoking

and start jogging.

‐ Let's move him.
‐ You can't do that.

What?

He's my patient. He doesn't
want angioplasty, he wants TPA.

Dr... Lewis,
this man's under sedation.

(Dr. Steinman)
'He is no condition
to make a decision.'

No.

Stop this adolescent behavior
and get the hell out of my way.

If you take him out of here,
I'll see you

at a review committee
and they will fry

your ass so fast,
you'll be lucky

to keep your license.

Please, order the TPA.
Get it in here right now.

[beeping]

[both moaning]

Wow.

That was really dull.

[both chuckle]

I guess I'll have
to try it again.

Mm, maybe we
should use that stuff

you got in
New Orleans last year.

Really?

You still have some of that
edible massage oil left?

It gave you a rash.

We could try a different flavor.

Yeah. Where's my bag?

My bag? You know,
that little Gladstone bag.

What? You had it.

You're joking.

No. I'm not.

Where is it?

I brought the bags downstairs.
I stopped to get you.

Yeah?

Oh!

I'll never be able
to go to work again.

Where did you leave it?

Admissions.

‐ Under the desk.
‐ Um‐hmm.

(Mike)
Doug, you sleeping?

I wish.

How many kids am I
gonna see this year?

Uh! Based on last year...
3,000, give or take.

Hmm.

Feel like I saw them all today.

Baby with croup.

Gotta love the croup.

At least, it's something
I can fix.

You okay?

Yeah.

I'm coming.

[instrumental music]

[music continues]

[theme music]