ER (1994–2009): Season 1, Episode 16 - Make of Two Hearts - full transcript
Kayson, a married man, tries to start a romance with Susan by asking her to dinner. Deb unknowingly eats LSD-laced chocolates. Carol takes an interest in a Russian girl abandoned in the ER.
'She loves me.'
She loves me not.
She loves me.
She loves me not.
I'm not a nurse in training
I'm a nurse in decorating.
Valentine's Day,
can I help?
‐ Can't you just do it?
‐ Come on.
ER..
Carol, can you find
Dr. Ross for Mrs. Hall?
Gotta get these to the desk.
‐ Sure. Mrs..
‐ Hall.
Dr. Ross.
He's the pediatrician.
Yeah, what seems
to be the problem?
Tatiana is, uh,
she's very sick.
Oh, you don't feel well?
She has a fever and a cough.
‐ She just doesn't seem right.
‐ Okay.
‐ Come right this way.
‐ Thank you.
Mark, it's 10 o'clock.
So?
So, you got in at 8:00 remember.
You weren't here overnight.
I was taking a nap.
Is anything wrong
with taking a nap?
Certainly not.
Stomach ache in two.
Bounce back migraine in one.
Can I give
them an ETA?
Does that tickle?
Temperature's 100.
Does this hurt?
She doesn't speak much English.
She's Russian.
I adopted her in
St. Petersburg ten days ago.
When did the fever start?
I'd waited nearly six months.
Finally, all her
paper work was in order and..
Medical certificates..
She really seemed fine.
How long has she
had the fever?
‐ Almost a week.
‐ 'Uh‐huh.'
‐ Start her on oral amoxicillin.
‐ 'Okay.'
She has some upper respiratory
congestion and an ear infection
which is probably
what's causing the fever.
Don't worry, Mrs. Hall,
we'll take good care of her.
‐ Thank you, doctor.
‐ You're welcome.
Hi, Wendy, it's nice of you
to volunteer to put those up.
‐ I didn't volunteer.
‐ Okay.
Happy Valentine's Day.
Oh, thanks, Lydia.
Oh, and here's another one
for your stash.
‐ Thank you.
‐ Uh, hello.
Whoa‐hoa!
‐ Amy, Brooks.
‐ Hey.
Wendy, Patty.
Who are these women?
‐ I don't even remember them.
‐ Oh, Carter, you're so cold.
No, I mean, I don't
remember meeting them.
Please! Help! Quick!
I hit him. He dashed off
the sidewalk chasing a ball.
‐ I tried to swerve the car.
‐ 'We've got an MVA.'
‐ Please!
‐ I'll page Benton.
‐ Please.
‐ Okay, go in here.
'Alright, let's clear
a trauma room.'
'Thirty nine year‐old male fell
from a second‐story balcony..'
Watch yourself, ma'am.
Mrs. Hall.
Mrs. Hall, wait.
‐ Jerry.
‐ What?
Will you let me know when
Mrs. Hall comes back in again.
‐ Sure.
‐ Thanks.
I tried to dodge him, you know.
‐ Scalp laceration.
‐ I can't hear a thing.
She just came out of nowhere.
She's got a fracture
to the left front radius.
Where do you want the IV?
‐ Please help him.
‐ Okay, doc?
'Alright, give me the bullet.'
‐ Car versus canine. Possible‐‐
‐ Car versus canine?
Got a fractured left front leg
or maybe it's radius‐ulna.
'Nobody's quite sure
how to take the BP.'
A dog. You called me
down here for a dog.
We called a vet's office.
They're sending someone over.
So what do we do now?
I think, I'll name him Bill.
What are you, crazy?
You don't like the name Bill?
Yeah, well, you can
call him whatever you want to
but you better do it fast
'cause little Bill here
stopped breathing.
He's one of God's creatures.
For God's sake.
‐ I'm not a vet, Grabarsky.
‐ Man, you could try.
No, I'll be upstairs
trying to take a gallbladder
out of a Homo sapien.
Did I miss anything?
You were only gone ten seconds.
Poor little guy.
No collar, no tag.
He must be a lost
or a stray.
Instead of pig lab.
Digestive system,
abdomen, whoa.
‐ Look at that spleen.
‐ Wow!
Could we hurry
this up, please?
'IV goes in what vein?'
Try the, try the large one.
Then give him some saline.
Somebody find out where
the hell the vet is.
Okay, here it is, intubation.
'It's just like with a human,
except when you push back'
the tongue, you can see
the vocal cords.
Alright.
‐ Get an ambu bag.
‐ Thank you, Carter.
'Let's intubate.'
Pneumothorax right there.
‐ A what?
‐ Collapsed lung.
Oh, my God.
Lydia, could you
get a 20‐gauge needle
on a 60cc syringe
with a three‐way stopcock.
Which intercostal is it?
Ah, try the eighth
just below the heart.
'Alright.'
‐ Hold that.
‐ 'Yeah.'
Bill lives.
'Alright, all we have
to do is sew up the lac'
and, uh, get a cast
on him and he'll be, uh
chasing squirrels
by the afternoon.
Well, Carter, Chen, I think
you can take it from here.
Somebody call housekeeping.
Tell them to get a hose.
No problem.
That was pretty cool the way
you gave it mouth‐to‐mouth.
Yeah? Thank you.
You know,
they say the dog's mouth
is the cleanest part
of its body.
What do they say
about its nose?
'So, she said nothing
during the exam?'
‐ Nothing.
‐ I don't get it.
She brings in the little girl,
then disappears.
She leaves a fake phone number.
‐ Why would somebody do that?
‐ I have no idea.
How could somebody do that?
But we don't know
the whole story.
We know we can't
reach her anywhere.
You know what, I'm gonna move
Tatiana out to curtain two
so she doesn't feel
so alone back here.
Then I guess I'll have to call
children and family services.
‐ Thanks, Haleh.
‐ Sure.
Well, that wasn't
so bad, was it?
Tatiana.
My mother's Russian.
'How do you say hello?'
Uh, I'm Dr. Ross.
I'm Doug.
I'm, you know, I'm Doug.
Okay.
So you do speak
a little English?
Okay.
‐ Uh..
‐ Okay.
So you don't.
You just stay right here
and we're going
to take care of you.
Oh, um..
...Carol.
That was normal.
‐ What do you mean?
‐ It's Valentine's Day.
It's like full moons
all the crazies come out.
‐ Ow.
‐ What's wrong with your neck?
I slept on the sofa last night.
Ooh, sorry I asked.
You wanna tell me about it?
Well, it's, uh,
it's about five feet long.
It's got little
blue flowers on it
and there's
a spectacular stain
on the right cushion,
where Rachel
did some projectile vomiting.
Mark, still waiting on that
stomach ache and migraine.
I am going to go
get something to eat.
I'm loving this
semi‐foul mood of yours.
Yeah. Well, imagine
if we'd lost the dog.
‐ See you.
‐ 'Bye.'
‐ Doug.
‐ "Do not steal. Benton ."
Is there anything
good to eat in there?
Think Susan really
wants this yogurt?
No.
So you and Jen
valentining tonight?
She left for Milwaukee
this morning.
‐ You?
‐ No, no, no, never.
I always work the night
shift on Valentine's Day
to avoid any possible
dating conflicts.
Hmm, that sounds mature.
Believe me,
I learned the hard way.
Dr. Ross, an ambulance
is bringing a 17‐year‐old
in crushed legs.
Some kind of train accident.
Dr. Benton said to get you.
Thank you, Wendy.
Can you believe
I said thank you?
Thank you, Wendy,
for letting me know
I get to work on some kid
whose legs have
just been pureed. Weird.
Ah, I thought you'd
like some company.
Is that okay?
We had to clear
the trauma room anyway.
Thanks.
‐ Bill?
‐ Bill.
Carol, I could use you
in curtain area three.
Okay.
You know how Mark always says
Valentine's Day
is like the full moon
all the nutcases come out.
I never really thought about it.
Cheerleaders.
'Cheerleaders?'
On acid.
Sounds like Mark was right.
‐ Okay, are you Kirk Driscoll?
‐ Sure.
I'm Dr. Lewis.
This is Nurse Hathaway.
All three of these girls
ingested LSD?
‐ Yeah.
‐ It's not funny, Kirk.
Are you sure it was straight LSD
not mixed with anything else?
Oh, yeah. I got them right
here if you want to check.
You laced chocolates?
‐ Pretty stupid, huh?
‐ Huh.
I only let them eat two each.
You know, they could have
had a seizure
kidney damage, got into a coma.
We're gonna have to
keep them here for a while
make sure there's
no dangerous side effects.
You don't have to tell
the cops or anything, do you?
Yeah, we do, and better yet,
we get to tell your parents.
'Any Valentine's Day plans?'
Nope.
‐ No big date or anything?
‐ Nope.
So, what was that about?
The, you know, the flowers
and the chocolates
in the fridge?
What's that all about?
‐ Oh, that?
‐ Yeah, that. What's that about?
I met this pediatrician.
You what?
You what?
'Wait! Hey, Peter.'
'What?'
What do you got?
Michael Clifford, 17 years old.
He lost a dare
with a freight train.
Leg and head injuries,
hypotensive, 80/60.
Fluid resuscitated 2000cc's.
Brought the pressure
up to a 100.
Blood loss around
three to four units.
'Someone get on
the horn with OR.'
‐ 'Hang ten liters saline.'
‐ Pulse 130, pulse ox 82.
Start him on some Ancef,
one gram, IV push.
BP's dropped. 80/40.
'Where the hell's
that O negative?'
‐ It's coming.
‐ Another blood Y‐tubing.
Popliteal.
No dorsalis pedis on the left.
Let's get an angiogram.
Ow! God! He's got my hand.
‐ Don't leave him.
‐ He's seizing!
'He's seizing, guys.'
'He's grabbing!'
Calm down.
'He's breaking her hand.
He's breaking her hand.'
Grab a bite block.
No, he's crushing it!
Ten migs of Valium.
IV push.
No! Get him off!
Bounce back migraine
in six.
I already saw him.
No. You saw
the one in one.
This is
the one in six.
Don't you guys work?
‐ Oh, want one?
‐ No, thanks.
‐ Hello.
‐ Hi.
You thought I
was in a bad mood?
What?
‐ Oh, my God.
‐ I got to go.
‐ No. Don't you dare..
‐ Excuse me.
‐ Dr. Lewis.
‐ Dr. Kayson.
Will you be mine?
Excuse me?
Happy Valentine's Day.
‐ Still a 100.
‐ McGillis is here.
I'll be right back, okay?
Carol, how long is sparky
going to be with us?
Till Grabarsky gets
off duty tonight.
One of God's creatures.
‐ Hmm.
‐ Hmm.
'Hey, Deb.'
Deb, you alright?
What?
I said are you okay?
Yeah, sure.
Very okay.
She left over four hours ago.
Does that
constitute abandonment?
‐ It does in my book.
‐ Merits an investigation.
She dumps a child, who's six.
Speaks no English.
‐ Has no clue what's going on.
‐ Carol, it's okay.
Listen, Tatiana needs
to stay here
at least 24 hours, maybe longer
if she doesn't get any better.
And what happens when she does?
Assuming mom's
still out of the picture
children and family services
will find her a foster home.
Well, there's nothing
else we can do.
I have a lot of work to do.
I'm being released today.
You've made
a remarkable recovery.
Oh, I couldn't have
done it without you, Susan.
May I call you Susan?
Uh, sure.
So you said there was something
you needed to talk to me about.
Every cardiologist ought to go
through what I went through.
Lying on that gurney,
not knowing whether you're gonna
live or die,
and seeing the face
of this lovely young resident,
hovering over you.
Well, I can understand how
it must have been
very scary for you.
'Oh, sure.
It was terrifying at first'
'but then, exhilarating.'
And now I've got a whole
new perspective on life..
...my own and my patients.
That's terrific.
I, uh, I really
should get back.
'Have you thought
about cardiology, Susan?'
Uh, well‐‐
'Because I think you'd be
an excellent candidate.'
And I'd like to help you,
be a, a mentor of sorts.
Thank you, Dr. Kayson, but‐‐
No, please, call me Jack.
I'm still doing
my ER residency.
I think I should just
stick with that for now.
I think we should talk more
about this some other time.
Yeah, sure, that'd be fine.
Tonight, 8 o'clock?
Dinner?
How's the pain?
'I had a fifth of Demerol.'
You mean 50 milligrams
of Demerol?
‐ Yeah.
‐ Yeah.
Nice to see that it's working.
Can you wiggle
these fingers for me?
I should stick
with decorating.
Yeah, this guy crushed
your hand pretty good.
You got three
metacarpal fractures.
But I think you'll survive.
I'll get somebody
to put a cast on.
‐ How's the boy?
‐ Boy?
The one who squeezed me.
Got hit by that train.
He died, up in OR.
Ah, Dr. Greene
dueling meat‐packers
coming in
about five minutes away.
‐ Carol.
‐ What?
‐ Whoa.
‐ Sorry.
Are we not loving
our job today?
I am not loving
the limits of my job today
watching that little girl
sitting out there
completely abandoned.
Nothing we can do.
Maybe, you need
a change of pace.
How about a nice, greasy trauma?
Sunny‐side up or over easy?
I think, I can offer you both.
Okay, but, how long
do I have to wait?
That's the beauty of it.
You don't.
'Happy Valentine's Day, Doris.'
Likewise, Dr. Greene.
Meet Nr. Lorenzo Renzetti, 45
sturdy, aluminum meat hook
firmly imbedded
in his upper left bicep.
How's that feel, Mr. Renzetti?
Call me Lorenzo.
I don't know, it's not so bad.
Yeah, well, that's good,
'cause it sure looks bad.
Started one IV. BP is 140/90,
pulse 96, resps 16.
Good distal pulses,
normal cap refill
defensive lacerations
on both arms.
'Mr. Renzetti we're
going to take care of you.'
Alright, people,
we got to move him.
‐ Alright, on my count. One‐‐
‐ Watch your back.
Uh, on second thought
why don't you
just scoot over?
'Don't let the gurney roll.'
‐ I can do that.
‐ Okay.
Good. I got you.
Dorris, I thought you said
this was a twofer.
Second guy, second unit.
I drove circles around him.
'Alright.
Let's hang some Ancef.'
One gram IV piggyback
and let's update
Lorenzo's tetanus, please.
Okay, I'll start a chart.
I already had that. Took the
wife to the Caribbean last year.
‐ Oh yeah, how was it?
‐ It was alright.
It rained a lot.
'You want a chest film
plus humerus film?'
Yep.
Call radiology
and get a portable!
Okay, Lorenzo, Lorenzo, just lay
down, okay? Take‐take it easy.
I thought Paulie
would be here already.
They should have
bought him here first.
Who's Paulie? You feel this?
Sure. Paulie's my stupid kid. He
made a crack about his mother.
‐ 'I told him to shut up.'
‐ Move your fingers.
I didn't wanna fight him
but he kept comin' at me.
Now your thumb.
Now your wrist.
He kept jabbing me
this way, that way.
You know, you shouldn't
disrespect your mother.
‐ Alright.
‐ Where is the son of a bitch?
I'm sure he's on his way,
Mr. Renzetti.
He'd better be,
'cause I'm telling you
he's in worse shape than I am.
Okay, listen,
we're gonna take you upstairs
'and take this out in surgery.'
'There he is!
There he is. Paulie!'
Hey, Paulie. Paulie, I'm over
here, son. Your dad's over here.
'Paulie! Hey, Paulie!'
Hey, Paulie, you okay?
‐ Son?
‐ Carol, come with me.
'Paulie, you alright?'
Alright, CBC!
'Hold him down!'
Paulie, I'm right here, son.
I'm right here.
'Damn it! Is he alright?'
‐ 'Two hundred.'
‐ 'Charging.'
'Clear!'
Paulie. Dad's over here,
son, you okay?
‐ Three hundred.
‐ Charging!
Hey, is he okay?
‐ 'Clear.'
‐ 'He's okay, right?'
‐ Damn it. 360!
‐ Charging.
Hey, Paulie!
Paulie!
He needs more volume.
Give me the tray.
It's okay.
It's gonna be okay.
You'll be fine.
'Exam two. Okay?'
‐ 'Here we go.'
‐ 'This way, you guys.'
'There you go.
Alright.'
'We'll be with you
in just a second.'
Come on. You have to admit,
they're pretty cute.
They have been spray painted
which has given them hives.
Children with hives
are not cute.
So, Peter, about
the flower and candy
in the refrigerator.
Mm‐hmm?
Are you going
to make me guess
who they're for?
‐ They're for my mother.
‐ Mm‐hmm.
‐ Really.
‐ Oh, yeah!
Oh, um, excuse me.
Where is exam room one?
‐ Thanks for moving her.
‐ Oh, sure.
She insisted
on bringing Bill.
Oh.
Hello and goodbye,
that and about ten other words
is the extent of my Russian.
'They're kind
of perfect together.'
No idea where they are
or what they're doing.
Neither one of them
seem to mind.
Yeah, except the dog gets
to go home with Grabarsky in it.
Maybe her mom
will come back.
I don't think "mom"
is the right word.
‐ Carter?
‐ Yeah?
Dr. Ross needs you
to help with some kids.
‐ Exam two.
‐ Okay.
Hey, how do you say goodbye?
Dosvedanya.
Dospen...nanya, Tatiana.
Okay.
Carter, tell Dr. Ross
I need him now.
Okay.
Hey, Deb.
Are you Wendy Goldman?
Yes...Deb.
Yeah, I'm Deborah Chen.
I know that.
I had the hardest time
finding you.
Um...I'm gonna be
doing your cast.
How long was he
in the hot tub?
‐ Half hour..
‐ Forty minutes. Maybe more.
‐ Any wine?
‐ Champagne.
‐ How much?
‐ A little.
‐ More than a little.
‐ A couple of bottles.
It's valentine's Day.
Eddie wanted
something special.
‐ He got light headed.
‐ Got nauseous.
‐ Then he threw up.
‐ It was horrible.
Then he sank
like a weight.
‐ We went under.
‐ Both of us pulled him out.
Got him on the steps,
ran into the house.
‐ Called 911.
‐ Called 911.
‐ You did the right thing.
‐ Good.
‐ We'll take it from here.
‐ Alright,
We're gonna take
his temperature now.
‐ Okay.
‐ Okay.
Rectally.
You might want
to wait outside.
We'll be right back, okay?
You still think
it's upper respiratory?
Well, now that she's hydrated,
I heard rales.
Could be pneumonia
or some other foreign virus
that we know nothing about.
Fever spiked up to a 104.
I'm gonna put
a rush on that x‐ray.
Did you give her acetaminophen?
Yeah, 15 per kilo.
God, all the times my mother
tried to teach me Russian.
What about the times your mother
yelled at me in Russian.
‐ Ha ha, you deserved it.
‐ Aye.
Dr. B, Mrs. Hayden, 85,
fell and cut her arm.
She's in the suture room
and she's a tad senile.
Alright. Give it to Carter.
Uh, he's busy taking care
of six small, red children.
Alright.
Well, where's the other one?
‐ Deb Chen?
‐ Yeah, huh.
Doing a cast.
Alright. Have her wait.
‐ I have to go to radiology.
‐ 'Is Dr. Ross here?'
Ah, what's wrong?
I'm Jake Leeds.
I need to talk
to Dr. Ross.
Uh, look, he's very busy
right now.
I can find
someone else..
'Jake, hey'
What's wrong?
My side
and my stomach
it really hurts.
Okay, we're gonna take
him to curtain two.
Do me a favor.
Call his mom, Diane Leeds.
‐ She's up in risk management.
‐ Sure, Dr. Ross.
‐ Carol?
‐ 'Yeah.'
Come on, buddy.
Alright, what's wrong?
Where's it hurt?
Here we go.
‐ It started here in my stomach.
‐ Mm‐hmm.
Now it feels
like it's over here.
Mm‐hmm.
‐ Alright, like this?
‐ Yeah. There.
‐ It hurts there.
‐ Mm‐hmm.
Any vomiting or nausea?
Uh‐huh.
‐ Right after gym.
‐ Temp's normal.
Okay, let's get
a CBC urinalysis
and set him up
for an ultrasound.
Okay.
Alright, Jake, hang tight.
We're going
to check you out, okay?
'Core temp's 103.'
'Where are we
gonna put him?'
Admitting him.
Straight upstairs.
Haleh, could you
tell those two hookers
that their friend Ed
is doing just fine?
I think they'd
rather talk to a doctor.
Oh, could you tell 'em
I'll meet 'em
in the waiting room?
Ah, so, what was
that with Kayson?
What? Oh.
Uh, you know, he just wanted
to tell me that he was fine.
Thank me, you know?
Oh, nice try.
I saw the bouquet.
Oh, God.
Did anyone else?
It was so embarrassing.
It's alright. He just
gave you flowers.
It's not like he asked
you out or anything.
‐ He asked you out?
‐ Dinner, tonight.
What did you say?
I said..
Oh, uh, Mark,
chopper on the way.
Some woman choked
on her valentine's dinner.
Okay.
I said, no. I couldn't that
I was doing something with you.
‐ Oh, you dragged me into it?
‐ Mark, he's married.
Yeah? Well, so am I.
You're looking better, Jake.
Are you feeling better?
Uh, no.
Uh‐huh.
Dr. Ross tells me that you're
a very good basketball player.
Yes, I am.
I'm probably better
than he is, except he's older.
‐ Is he divorced?
‐ What?
My mom says divorced
people have baggage.
Oh. Well,
he isn't divorced.
Then he doesn't have baggage.
Well, I wouldn't
say that, exactly.
He's faking.
How can you know that?
Because he has
that moany quality
in his voice like
when he wants to stay home
from school,
to avoid a test.
Could be appendicitis, which‐‐
Dr. Ross, he's done
this before.
Faked illness?
No, tried to set me up
with single men.
What?
He likes you.
I'm his mother
and he's stuck with me.
'He thinks if he can get'
us to spend a little
time together
then we will naturally,
you know..
Well that's, um..
Obviously ridiculous.
Obviously..
Um...and he‐he's done
this before?
Oh, yeah.
I've been through five
or six departments
in this hospital alone
not to mention
hardware stores.
Jake feels that I should
either be with a doctor
or a man who knows his way
around nuts and bolts.
Mm. So, how do you
suggest we handle this?
Let's cut him open.
Mm.
The kid's faking it.
Dr. Ross, test result's are back
on that little Russian girl.
Okay.
Oh, man.
Her white count's at 2,000.
You mean 20,000.
No, two.
And she has pneumonia.
She's got AIDS.
Mrs. Hayden?
Mrs. Hayden?
Uh, yes?
Uh, how did you
get in here?
There, uh...there is no starch.
No, no.
You know what?
We're out of starch.
But I need it
for Joe's uniform.
Okay. Just sit right here.
Uh, you know what?
I'm going to..
I'm gonna have to take
a look at this arm, okay?
Uh‐huh.
Now..
...I don't suppose you remember
if you're allergic
to lidocaine or novocaine?
Some of the wives
don't bother.
Okay. Well, we're just going
to have to jump in here.
Joe likes his uniform
and his collar crisp.
Mm‐hmm.
Would, uh, would you like
me to, uh, iron your uniform?
Yeah.
‐ Yeah.
‐ Alright.
That'd be great.
Just don't understand
how that woman could do that.
It doesn't matter.
It sure as hell
does to Tatiana.
The situation is what it is.
We'll do what we can.
Yeah? Well, it isn't much.
I mean, we give
her some antibiotics
we bring down her fever
and we kick her out?
‐ Children and family services‐‐
‐ She's got AIDS, Doug.
She doesn't even
speak the language.
That barely makes
her a good candidate
for being a foster child.
That's right. So, what do
you suggest that we do?
Anything else.
There isn't
anything else.
I know.
You know,
these patients come in here
for an hour,
maybe two, maybe a day.
We treat them
as fast as we can.
We barely learn
their names
and then we send them home.
Which is usually
what they want.
Yeah. Well, they usually
have a home to go to.
Uh, Dr. Ross, you still got
those chicken pox in three.
Fine, Jerry.
I'm sorry that
the person who was
with you yesterday
isn't here today.
And I'm sorry that none of us
will be with you tomorrow.
And I'm...I'm glad
you can't understand
what's happening to you.
Neither can I.
Malik, move these hearts.
Let's go! Let's go!
We're going to trauma two.
‐ What have you got?
‐ Anaphylaxis.
She's allergic, my wife.
You know, to shrimp and scallops
and all that stuff.
Susan, this is Mr. Goodwin.
Mr. Goodwin, this is Dr. Lewis.
We didn't know. I mean,
we didn't order it.
It must have been
an appetizer.
Okay, we're gonna take care
of your wife, Mr. Goodwin.
You need to wait outside.
It happened once before
at a wedding reception
and her throat swelled up,
but nothing like this.
One, two, three.
Well, Lydia, show Mr. Goodwin
where he can wait.
Come on, Mr. Goodwin.
Upper airway obstruction
with stridor.
‐ You got the hypo O2?
‐ Yeah.
She's hypotensive.
‐ BP's 45 palp.
‐ I'll intubate.
Haleh, get a 6.5 and prep
for a crike just in case.
Epi, one to 10,000,
two cc's IV push.
Pipe down throat now.
Oh, man, this is hopeless.
Throat's completely swollen.
Let's crike her.
Grab a trach tube.
Benadryl IV, 50 milligrams
and cimetidine IV,
300 milligrams.
Okay.
Alright.
Pressure's stabilizing,
100/80.
'Pulse ox 96.
It's peaking up.'
‐ Nice.
‐ Thank you.
Alright, let's start
an epi drip
one milligram in 250
at 10 mics per minute.
Keep her on antihistamines
until the swelling comes down.
Oh, God, oh, God.
Mark, Susan, Get over here.
'What the hell happened?
She was just stable.'
Lydia, get her
husband in here, now.
'Pressure's crashing.'
We got to scope her.
'Okay.'
Did I perforate the esophagus?
No, you couldn't have.
‐ What did I do wrong?
‐ 'Nothing.'
'Get a CBC'
'Type and cross six units.'
'Lytes, LFT's, amylase.'
Oh, my God!
What happened?
What happened?
Lydia, call for o‐neg.
Mr. Goodman, has your wife
been vomiting recently?
‐ No.
‐ 'Any history of ulcers? .'
'No. No.'
She has bleeding varices.
SB Tube.
Varices? What the hell is this?
Mr. Goodwin,
is your wife an alcoholic?
Is she?
Yes.
Alright, get the catcher's mask.
‐ Oh, right here.
‐ Roll her over.
Okay, inflate the balloon
to 200cc's.
It's in the stomach.
Okay, inflate the esophageal
balloon to 40 millimeters.
It's stopped.
Great pickup, Susan.
Okay.
Well, her fever's
back down to 100.
You're feeling better,
aren't you?
Jerry, will you keep
an eye on her for me?
‐ Sure.
‐ Thanks.
I should have gone
into real estate.
That bad, huh?
‐ I got off two hours ago.
‐ Oh, I know. Me too.
‐ Carol, can I borrow a pen?
‐ Yeah.
But we gotta do
something, right?
You don't want Kayson
to think that you're a liar.
Carol, you wanna come?
Oh, thanks, but I'm on tonight.
Well, sorry.
Bye.
She's very ill.
I know.
You can't take
her home tonight.
I know.
After this morning,
I'm not sure
you'll ever be able
to take her home.
I don't want to.
Mrs. Hayden?
Mrs. Hayden?
I guess you found
the starch, huh?
When I found out that
I could adopt Tatiana
I bought a Russian‐English
dictionary.
Never got much beyond
"Hello" and "Goodbye."
Mrs. Hall‐‐
Can you imagine
anything worse..
...than abandoning
a child with AIDS?
No.
She was diagnosed
last Thursday at St. John's.
Look, Mrs. Hall,
or whatever your name is..
...I'm not exactly
sure why you're here
but I'm not
all that interested
in listening to you say
how sorry you are.
My husband died three years ago.
It was...long and slow.
'You know, I was young.'
'You get through, you go on.'
I never really felt
that loss until last week.
I never allowed
myself to feel it until I..
'...I looked at Tatiana..'
...and I said..
"There it is."
I cannot..
I will not let myself
get that close to someone
and lose them again.
I brought her things.
I forgot how
to say goodbye.
Dosvedanya.
Ma.
'Just a little neck sugar.'
'I don't know
where it came from..'
Ma!
Ma.
Ma.
Happy Valentine's Day.
This is fun?
This is fun.
It's 20 degrees out.
Okay, this is fun.
Did I tell you
that Morgenstern
offered me a job
as attending next year?
What? No, you
didn't tell me.
Oh, that's right.
It was last week.
You weren't
talking to me then.
So? You were
talking to me.
What'd you tell him?
That I had
to think about it.
Oh, please.
Well, you know, I mean,
there's Jennifer to consider
which I didn't.
What'd she say?
What do you
think she said?
That "I'm happy
for you, Mark
because I know this
is what you really want?"
The "This is what you really
want" part...that's right.
‐ Sounds bad.
‐ It was.
So? What are you
gonna do?
I...am going to skate.
Help! I need a doctor!
'Is there a doctor?'
I'm sorry. I'm sorry, Wendy.
I understand that she did
it perfectly on the dog.
'We'll fix it tomorrow.'
'I think I'm going
to stay home tomorrow.'
'Hang in there.'
She loves me not.
She loves me.
She loves me not.
I'm not a nurse in training
I'm a nurse in decorating.
Valentine's Day,
can I help?
‐ Can't you just do it?
‐ Come on.
ER..
Carol, can you find
Dr. Ross for Mrs. Hall?
Gotta get these to the desk.
‐ Sure. Mrs..
‐ Hall.
Dr. Ross.
He's the pediatrician.
Yeah, what seems
to be the problem?
Tatiana is, uh,
she's very sick.
Oh, you don't feel well?
She has a fever and a cough.
‐ She just doesn't seem right.
‐ Okay.
‐ Come right this way.
‐ Thank you.
Mark, it's 10 o'clock.
So?
So, you got in at 8:00 remember.
You weren't here overnight.
I was taking a nap.
Is anything wrong
with taking a nap?
Certainly not.
Stomach ache in two.
Bounce back migraine in one.
Can I give
them an ETA?
Does that tickle?
Temperature's 100.
Does this hurt?
She doesn't speak much English.
She's Russian.
I adopted her in
St. Petersburg ten days ago.
When did the fever start?
I'd waited nearly six months.
Finally, all her
paper work was in order and..
Medical certificates..
She really seemed fine.
How long has she
had the fever?
‐ Almost a week.
‐ 'Uh‐huh.'
‐ Start her on oral amoxicillin.
‐ 'Okay.'
She has some upper respiratory
congestion and an ear infection
which is probably
what's causing the fever.
Don't worry, Mrs. Hall,
we'll take good care of her.
‐ Thank you, doctor.
‐ You're welcome.
Hi, Wendy, it's nice of you
to volunteer to put those up.
‐ I didn't volunteer.
‐ Okay.
Happy Valentine's Day.
Oh, thanks, Lydia.
Oh, and here's another one
for your stash.
‐ Thank you.
‐ Uh, hello.
Whoa‐hoa!
‐ Amy, Brooks.
‐ Hey.
Wendy, Patty.
Who are these women?
‐ I don't even remember them.
‐ Oh, Carter, you're so cold.
No, I mean, I don't
remember meeting them.
Please! Help! Quick!
I hit him. He dashed off
the sidewalk chasing a ball.
‐ I tried to swerve the car.
‐ 'We've got an MVA.'
‐ Please!
‐ I'll page Benton.
‐ Please.
‐ Okay, go in here.
'Alright, let's clear
a trauma room.'
'Thirty nine year‐old male fell
from a second‐story balcony..'
Watch yourself, ma'am.
Mrs. Hall.
Mrs. Hall, wait.
‐ Jerry.
‐ What?
Will you let me know when
Mrs. Hall comes back in again.
‐ Sure.
‐ Thanks.
I tried to dodge him, you know.
‐ Scalp laceration.
‐ I can't hear a thing.
She just came out of nowhere.
She's got a fracture
to the left front radius.
Where do you want the IV?
‐ Please help him.
‐ Okay, doc?
'Alright, give me the bullet.'
‐ Car versus canine. Possible‐‐
‐ Car versus canine?
Got a fractured left front leg
or maybe it's radius‐ulna.
'Nobody's quite sure
how to take the BP.'
A dog. You called me
down here for a dog.
We called a vet's office.
They're sending someone over.
So what do we do now?
I think, I'll name him Bill.
What are you, crazy?
You don't like the name Bill?
Yeah, well, you can
call him whatever you want to
but you better do it fast
'cause little Bill here
stopped breathing.
He's one of God's creatures.
For God's sake.
‐ I'm not a vet, Grabarsky.
‐ Man, you could try.
No, I'll be upstairs
trying to take a gallbladder
out of a Homo sapien.
Did I miss anything?
You were only gone ten seconds.
Poor little guy.
No collar, no tag.
He must be a lost
or a stray.
Instead of pig lab.
Digestive system,
abdomen, whoa.
‐ Look at that spleen.
‐ Wow!
Could we hurry
this up, please?
'IV goes in what vein?'
Try the, try the large one.
Then give him some saline.
Somebody find out where
the hell the vet is.
Okay, here it is, intubation.
'It's just like with a human,
except when you push back'
the tongue, you can see
the vocal cords.
Alright.
‐ Get an ambu bag.
‐ Thank you, Carter.
'Let's intubate.'
Pneumothorax right there.
‐ A what?
‐ Collapsed lung.
Oh, my God.
Lydia, could you
get a 20‐gauge needle
on a 60cc syringe
with a three‐way stopcock.
Which intercostal is it?
Ah, try the eighth
just below the heart.
'Alright.'
‐ Hold that.
‐ 'Yeah.'
Bill lives.
'Alright, all we have
to do is sew up the lac'
and, uh, get a cast
on him and he'll be, uh
chasing squirrels
by the afternoon.
Well, Carter, Chen, I think
you can take it from here.
Somebody call housekeeping.
Tell them to get a hose.
No problem.
That was pretty cool the way
you gave it mouth‐to‐mouth.
Yeah? Thank you.
You know,
they say the dog's mouth
is the cleanest part
of its body.
What do they say
about its nose?
'So, she said nothing
during the exam?'
‐ Nothing.
‐ I don't get it.
She brings in the little girl,
then disappears.
She leaves a fake phone number.
‐ Why would somebody do that?
‐ I have no idea.
How could somebody do that?
But we don't know
the whole story.
We know we can't
reach her anywhere.
You know what, I'm gonna move
Tatiana out to curtain two
so she doesn't feel
so alone back here.
Then I guess I'll have to call
children and family services.
‐ Thanks, Haleh.
‐ Sure.
Well, that wasn't
so bad, was it?
Tatiana.
My mother's Russian.
'How do you say hello?'
Uh, I'm Dr. Ross.
I'm Doug.
I'm, you know, I'm Doug.
Okay.
So you do speak
a little English?
Okay.
‐ Uh..
‐ Okay.
So you don't.
You just stay right here
and we're going
to take care of you.
Oh, um..
...Carol.
That was normal.
‐ What do you mean?
‐ It's Valentine's Day.
It's like full moons
all the crazies come out.
‐ Ow.
‐ What's wrong with your neck?
I slept on the sofa last night.
Ooh, sorry I asked.
You wanna tell me about it?
Well, it's, uh,
it's about five feet long.
It's got little
blue flowers on it
and there's
a spectacular stain
on the right cushion,
where Rachel
did some projectile vomiting.
Mark, still waiting on that
stomach ache and migraine.
I am going to go
get something to eat.
I'm loving this
semi‐foul mood of yours.
Yeah. Well, imagine
if we'd lost the dog.
‐ See you.
‐ 'Bye.'
‐ Doug.
‐ "Do not steal. Benton ."
Is there anything
good to eat in there?
Think Susan really
wants this yogurt?
No.
So you and Jen
valentining tonight?
She left for Milwaukee
this morning.
‐ You?
‐ No, no, no, never.
I always work the night
shift on Valentine's Day
to avoid any possible
dating conflicts.
Hmm, that sounds mature.
Believe me,
I learned the hard way.
Dr. Ross, an ambulance
is bringing a 17‐year‐old
in crushed legs.
Some kind of train accident.
Dr. Benton said to get you.
Thank you, Wendy.
Can you believe
I said thank you?
Thank you, Wendy,
for letting me know
I get to work on some kid
whose legs have
just been pureed. Weird.
Ah, I thought you'd
like some company.
Is that okay?
We had to clear
the trauma room anyway.
Thanks.
‐ Bill?
‐ Bill.
Carol, I could use you
in curtain area three.
Okay.
You know how Mark always says
Valentine's Day
is like the full moon
all the nutcases come out.
I never really thought about it.
Cheerleaders.
'Cheerleaders?'
On acid.
Sounds like Mark was right.
‐ Okay, are you Kirk Driscoll?
‐ Sure.
I'm Dr. Lewis.
This is Nurse Hathaway.
All three of these girls
ingested LSD?
‐ Yeah.
‐ It's not funny, Kirk.
Are you sure it was straight LSD
not mixed with anything else?
Oh, yeah. I got them right
here if you want to check.
You laced chocolates?
‐ Pretty stupid, huh?
‐ Huh.
I only let them eat two each.
You know, they could have
had a seizure
kidney damage, got into a coma.
We're gonna have to
keep them here for a while
make sure there's
no dangerous side effects.
You don't have to tell
the cops or anything, do you?
Yeah, we do, and better yet,
we get to tell your parents.
'Any Valentine's Day plans?'
Nope.
‐ No big date or anything?
‐ Nope.
So, what was that about?
The, you know, the flowers
and the chocolates
in the fridge?
What's that all about?
‐ Oh, that?
‐ Yeah, that. What's that about?
I met this pediatrician.
You what?
You what?
'Wait! Hey, Peter.'
'What?'
What do you got?
Michael Clifford, 17 years old.
He lost a dare
with a freight train.
Leg and head injuries,
hypotensive, 80/60.
Fluid resuscitated 2000cc's.
Brought the pressure
up to a 100.
Blood loss around
three to four units.
'Someone get on
the horn with OR.'
‐ 'Hang ten liters saline.'
‐ Pulse 130, pulse ox 82.
Start him on some Ancef,
one gram, IV push.
BP's dropped. 80/40.
'Where the hell's
that O negative?'
‐ It's coming.
‐ Another blood Y‐tubing.
Popliteal.
No dorsalis pedis on the left.
Let's get an angiogram.
Ow! God! He's got my hand.
‐ Don't leave him.
‐ He's seizing!
'He's seizing, guys.'
'He's grabbing!'
Calm down.
'He's breaking her hand.
He's breaking her hand.'
Grab a bite block.
No, he's crushing it!
Ten migs of Valium.
IV push.
No! Get him off!
Bounce back migraine
in six.
I already saw him.
No. You saw
the one in one.
This is
the one in six.
Don't you guys work?
‐ Oh, want one?
‐ No, thanks.
‐ Hello.
‐ Hi.
You thought I
was in a bad mood?
What?
‐ Oh, my God.
‐ I got to go.
‐ No. Don't you dare..
‐ Excuse me.
‐ Dr. Lewis.
‐ Dr. Kayson.
Will you be mine?
Excuse me?
Happy Valentine's Day.
‐ Still a 100.
‐ McGillis is here.
I'll be right back, okay?
Carol, how long is sparky
going to be with us?
Till Grabarsky gets
off duty tonight.
One of God's creatures.
‐ Hmm.
‐ Hmm.
'Hey, Deb.'
Deb, you alright?
What?
I said are you okay?
Yeah, sure.
Very okay.
She left over four hours ago.
Does that
constitute abandonment?
‐ It does in my book.
‐ Merits an investigation.
She dumps a child, who's six.
Speaks no English.
‐ Has no clue what's going on.
‐ Carol, it's okay.
Listen, Tatiana needs
to stay here
at least 24 hours, maybe longer
if she doesn't get any better.
And what happens when she does?
Assuming mom's
still out of the picture
children and family services
will find her a foster home.
Well, there's nothing
else we can do.
I have a lot of work to do.
I'm being released today.
You've made
a remarkable recovery.
Oh, I couldn't have
done it without you, Susan.
May I call you Susan?
Uh, sure.
So you said there was something
you needed to talk to me about.
Every cardiologist ought to go
through what I went through.
Lying on that gurney,
not knowing whether you're gonna
live or die,
and seeing the face
of this lovely young resident,
hovering over you.
Well, I can understand how
it must have been
very scary for you.
'Oh, sure.
It was terrifying at first'
'but then, exhilarating.'
And now I've got a whole
new perspective on life..
...my own and my patients.
That's terrific.
I, uh, I really
should get back.
'Have you thought
about cardiology, Susan?'
Uh, well‐‐
'Because I think you'd be
an excellent candidate.'
And I'd like to help you,
be a, a mentor of sorts.
Thank you, Dr. Kayson, but‐‐
No, please, call me Jack.
I'm still doing
my ER residency.
I think I should just
stick with that for now.
I think we should talk more
about this some other time.
Yeah, sure, that'd be fine.
Tonight, 8 o'clock?
Dinner?
How's the pain?
'I had a fifth of Demerol.'
You mean 50 milligrams
of Demerol?
‐ Yeah.
‐ Yeah.
Nice to see that it's working.
Can you wiggle
these fingers for me?
I should stick
with decorating.
Yeah, this guy crushed
your hand pretty good.
You got three
metacarpal fractures.
But I think you'll survive.
I'll get somebody
to put a cast on.
‐ How's the boy?
‐ Boy?
The one who squeezed me.
Got hit by that train.
He died, up in OR.
Ah, Dr. Greene
dueling meat‐packers
coming in
about five minutes away.
‐ Carol.
‐ What?
‐ Whoa.
‐ Sorry.
Are we not loving
our job today?
I am not loving
the limits of my job today
watching that little girl
sitting out there
completely abandoned.
Nothing we can do.
Maybe, you need
a change of pace.
How about a nice, greasy trauma?
Sunny‐side up or over easy?
I think, I can offer you both.
Okay, but, how long
do I have to wait?
That's the beauty of it.
You don't.
'Happy Valentine's Day, Doris.'
Likewise, Dr. Greene.
Meet Nr. Lorenzo Renzetti, 45
sturdy, aluminum meat hook
firmly imbedded
in his upper left bicep.
How's that feel, Mr. Renzetti?
Call me Lorenzo.
I don't know, it's not so bad.
Yeah, well, that's good,
'cause it sure looks bad.
Started one IV. BP is 140/90,
pulse 96, resps 16.
Good distal pulses,
normal cap refill
defensive lacerations
on both arms.
'Mr. Renzetti we're
going to take care of you.'
Alright, people,
we got to move him.
‐ Alright, on my count. One‐‐
‐ Watch your back.
Uh, on second thought
why don't you
just scoot over?
'Don't let the gurney roll.'
‐ I can do that.
‐ Okay.
Good. I got you.
Dorris, I thought you said
this was a twofer.
Second guy, second unit.
I drove circles around him.
'Alright.
Let's hang some Ancef.'
One gram IV piggyback
and let's update
Lorenzo's tetanus, please.
Okay, I'll start a chart.
I already had that. Took the
wife to the Caribbean last year.
‐ Oh yeah, how was it?
‐ It was alright.
It rained a lot.
'You want a chest film
plus humerus film?'
Yep.
Call radiology
and get a portable!
Okay, Lorenzo, Lorenzo, just lay
down, okay? Take‐take it easy.
I thought Paulie
would be here already.
They should have
bought him here first.
Who's Paulie? You feel this?
Sure. Paulie's my stupid kid. He
made a crack about his mother.
‐ 'I told him to shut up.'
‐ Move your fingers.
I didn't wanna fight him
but he kept comin' at me.
Now your thumb.
Now your wrist.
He kept jabbing me
this way, that way.
You know, you shouldn't
disrespect your mother.
‐ Alright.
‐ Where is the son of a bitch?
I'm sure he's on his way,
Mr. Renzetti.
He'd better be,
'cause I'm telling you
he's in worse shape than I am.
Okay, listen,
we're gonna take you upstairs
'and take this out in surgery.'
'There he is!
There he is. Paulie!'
Hey, Paulie. Paulie, I'm over
here, son. Your dad's over here.
'Paulie! Hey, Paulie!'
Hey, Paulie, you okay?
‐ Son?
‐ Carol, come with me.
'Paulie, you alright?'
Alright, CBC!
'Hold him down!'
Paulie, I'm right here, son.
I'm right here.
'Damn it! Is he alright?'
‐ 'Two hundred.'
‐ 'Charging.'
'Clear!'
Paulie. Dad's over here,
son, you okay?
‐ Three hundred.
‐ Charging!
Hey, is he okay?
‐ 'Clear.'
‐ 'He's okay, right?'
‐ Damn it. 360!
‐ Charging.
Hey, Paulie!
Paulie!
He needs more volume.
Give me the tray.
It's okay.
It's gonna be okay.
You'll be fine.
'Exam two. Okay?'
‐ 'Here we go.'
‐ 'This way, you guys.'
'There you go.
Alright.'
'We'll be with you
in just a second.'
Come on. You have to admit,
they're pretty cute.
They have been spray painted
which has given them hives.
Children with hives
are not cute.
So, Peter, about
the flower and candy
in the refrigerator.
Mm‐hmm?
Are you going
to make me guess
who they're for?
‐ They're for my mother.
‐ Mm‐hmm.
‐ Really.
‐ Oh, yeah!
Oh, um, excuse me.
Where is exam room one?
‐ Thanks for moving her.
‐ Oh, sure.
She insisted
on bringing Bill.
Oh.
Hello and goodbye,
that and about ten other words
is the extent of my Russian.
'They're kind
of perfect together.'
No idea where they are
or what they're doing.
Neither one of them
seem to mind.
Yeah, except the dog gets
to go home with Grabarsky in it.
Maybe her mom
will come back.
I don't think "mom"
is the right word.
‐ Carter?
‐ Yeah?
Dr. Ross needs you
to help with some kids.
‐ Exam two.
‐ Okay.
Hey, how do you say goodbye?
Dosvedanya.
Dospen...nanya, Tatiana.
Okay.
Carter, tell Dr. Ross
I need him now.
Okay.
Hey, Deb.
Are you Wendy Goldman?
Yes...Deb.
Yeah, I'm Deborah Chen.
I know that.
I had the hardest time
finding you.
Um...I'm gonna be
doing your cast.
How long was he
in the hot tub?
‐ Half hour..
‐ Forty minutes. Maybe more.
‐ Any wine?
‐ Champagne.
‐ How much?
‐ A little.
‐ More than a little.
‐ A couple of bottles.
It's valentine's Day.
Eddie wanted
something special.
‐ He got light headed.
‐ Got nauseous.
‐ Then he threw up.
‐ It was horrible.
Then he sank
like a weight.
‐ We went under.
‐ Both of us pulled him out.
Got him on the steps,
ran into the house.
‐ Called 911.
‐ Called 911.
‐ You did the right thing.
‐ Good.
‐ We'll take it from here.
‐ Alright,
We're gonna take
his temperature now.
‐ Okay.
‐ Okay.
Rectally.
You might want
to wait outside.
We'll be right back, okay?
You still think
it's upper respiratory?
Well, now that she's hydrated,
I heard rales.
Could be pneumonia
or some other foreign virus
that we know nothing about.
Fever spiked up to a 104.
I'm gonna put
a rush on that x‐ray.
Did you give her acetaminophen?
Yeah, 15 per kilo.
God, all the times my mother
tried to teach me Russian.
What about the times your mother
yelled at me in Russian.
‐ Ha ha, you deserved it.
‐ Aye.
Dr. B, Mrs. Hayden, 85,
fell and cut her arm.
She's in the suture room
and she's a tad senile.
Alright. Give it to Carter.
Uh, he's busy taking care
of six small, red children.
Alright.
Well, where's the other one?
‐ Deb Chen?
‐ Yeah, huh.
Doing a cast.
Alright. Have her wait.
‐ I have to go to radiology.
‐ 'Is Dr. Ross here?'
Ah, what's wrong?
I'm Jake Leeds.
I need to talk
to Dr. Ross.
Uh, look, he's very busy
right now.
I can find
someone else..
'Jake, hey'
What's wrong?
My side
and my stomach
it really hurts.
Okay, we're gonna take
him to curtain two.
Do me a favor.
Call his mom, Diane Leeds.
‐ She's up in risk management.
‐ Sure, Dr. Ross.
‐ Carol?
‐ 'Yeah.'
Come on, buddy.
Alright, what's wrong?
Where's it hurt?
Here we go.
‐ It started here in my stomach.
‐ Mm‐hmm.
Now it feels
like it's over here.
Mm‐hmm.
‐ Alright, like this?
‐ Yeah. There.
‐ It hurts there.
‐ Mm‐hmm.
Any vomiting or nausea?
Uh‐huh.
‐ Right after gym.
‐ Temp's normal.
Okay, let's get
a CBC urinalysis
and set him up
for an ultrasound.
Okay.
Alright, Jake, hang tight.
We're going
to check you out, okay?
'Core temp's 103.'
'Where are we
gonna put him?'
Admitting him.
Straight upstairs.
Haleh, could you
tell those two hookers
that their friend Ed
is doing just fine?
I think they'd
rather talk to a doctor.
Oh, could you tell 'em
I'll meet 'em
in the waiting room?
Ah, so, what was
that with Kayson?
What? Oh.
Uh, you know, he just wanted
to tell me that he was fine.
Thank me, you know?
Oh, nice try.
I saw the bouquet.
Oh, God.
Did anyone else?
It was so embarrassing.
It's alright. He just
gave you flowers.
It's not like he asked
you out or anything.
‐ He asked you out?
‐ Dinner, tonight.
What did you say?
I said..
Oh, uh, Mark,
chopper on the way.
Some woman choked
on her valentine's dinner.
Okay.
I said, no. I couldn't that
I was doing something with you.
‐ Oh, you dragged me into it?
‐ Mark, he's married.
Yeah? Well, so am I.
You're looking better, Jake.
Are you feeling better?
Uh, no.
Uh‐huh.
Dr. Ross tells me that you're
a very good basketball player.
Yes, I am.
I'm probably better
than he is, except he's older.
‐ Is he divorced?
‐ What?
My mom says divorced
people have baggage.
Oh. Well,
he isn't divorced.
Then he doesn't have baggage.
Well, I wouldn't
say that, exactly.
He's faking.
How can you know that?
Because he has
that moany quality
in his voice like
when he wants to stay home
from school,
to avoid a test.
Could be appendicitis, which‐‐
Dr. Ross, he's done
this before.
Faked illness?
No, tried to set me up
with single men.
What?
He likes you.
I'm his mother
and he's stuck with me.
'He thinks if he can get'
us to spend a little
time together
then we will naturally,
you know..
Well that's, um..
Obviously ridiculous.
Obviously..
Um...and he‐he's done
this before?
Oh, yeah.
I've been through five
or six departments
in this hospital alone
not to mention
hardware stores.
Jake feels that I should
either be with a doctor
or a man who knows his way
around nuts and bolts.
Mm. So, how do you
suggest we handle this?
Let's cut him open.
Mm.
The kid's faking it.
Dr. Ross, test result's are back
on that little Russian girl.
Okay.
Oh, man.
Her white count's at 2,000.
You mean 20,000.
No, two.
And she has pneumonia.
She's got AIDS.
Mrs. Hayden?
Mrs. Hayden?
Uh, yes?
Uh, how did you
get in here?
There, uh...there is no starch.
No, no.
You know what?
We're out of starch.
But I need it
for Joe's uniform.
Okay. Just sit right here.
Uh, you know what?
I'm going to..
I'm gonna have to take
a look at this arm, okay?
Uh‐huh.
Now..
...I don't suppose you remember
if you're allergic
to lidocaine or novocaine?
Some of the wives
don't bother.
Okay. Well, we're just going
to have to jump in here.
Joe likes his uniform
and his collar crisp.
Mm‐hmm.
Would, uh, would you like
me to, uh, iron your uniform?
Yeah.
‐ Yeah.
‐ Alright.
That'd be great.
Just don't understand
how that woman could do that.
It doesn't matter.
It sure as hell
does to Tatiana.
The situation is what it is.
We'll do what we can.
Yeah? Well, it isn't much.
I mean, we give
her some antibiotics
we bring down her fever
and we kick her out?
‐ Children and family services‐‐
‐ She's got AIDS, Doug.
She doesn't even
speak the language.
That barely makes
her a good candidate
for being a foster child.
That's right. So, what do
you suggest that we do?
Anything else.
There isn't
anything else.
I know.
You know,
these patients come in here
for an hour,
maybe two, maybe a day.
We treat them
as fast as we can.
We barely learn
their names
and then we send them home.
Which is usually
what they want.
Yeah. Well, they usually
have a home to go to.
Uh, Dr. Ross, you still got
those chicken pox in three.
Fine, Jerry.
I'm sorry that
the person who was
with you yesterday
isn't here today.
And I'm sorry that none of us
will be with you tomorrow.
And I'm...I'm glad
you can't understand
what's happening to you.
Neither can I.
Malik, move these hearts.
Let's go! Let's go!
We're going to trauma two.
‐ What have you got?
‐ Anaphylaxis.
She's allergic, my wife.
You know, to shrimp and scallops
and all that stuff.
Susan, this is Mr. Goodwin.
Mr. Goodwin, this is Dr. Lewis.
We didn't know. I mean,
we didn't order it.
It must have been
an appetizer.
Okay, we're gonna take care
of your wife, Mr. Goodwin.
You need to wait outside.
It happened once before
at a wedding reception
and her throat swelled up,
but nothing like this.
One, two, three.
Well, Lydia, show Mr. Goodwin
where he can wait.
Come on, Mr. Goodwin.
Upper airway obstruction
with stridor.
‐ You got the hypo O2?
‐ Yeah.
She's hypotensive.
‐ BP's 45 palp.
‐ I'll intubate.
Haleh, get a 6.5 and prep
for a crike just in case.
Epi, one to 10,000,
two cc's IV push.
Pipe down throat now.
Oh, man, this is hopeless.
Throat's completely swollen.
Let's crike her.
Grab a trach tube.
Benadryl IV, 50 milligrams
and cimetidine IV,
300 milligrams.
Okay.
Alright.
Pressure's stabilizing,
100/80.
'Pulse ox 96.
It's peaking up.'
‐ Nice.
‐ Thank you.
Alright, let's start
an epi drip
one milligram in 250
at 10 mics per minute.
Keep her on antihistamines
until the swelling comes down.
Oh, God, oh, God.
Mark, Susan, Get over here.
'What the hell happened?
She was just stable.'
Lydia, get her
husband in here, now.
'Pressure's crashing.'
We got to scope her.
'Okay.'
Did I perforate the esophagus?
No, you couldn't have.
‐ What did I do wrong?
‐ 'Nothing.'
'Get a CBC'
'Type and cross six units.'
'Lytes, LFT's, amylase.'
Oh, my God!
What happened?
What happened?
Lydia, call for o‐neg.
Mr. Goodman, has your wife
been vomiting recently?
‐ No.
‐ 'Any history of ulcers? .'
'No. No.'
She has bleeding varices.
SB Tube.
Varices? What the hell is this?
Mr. Goodwin,
is your wife an alcoholic?
Is she?
Yes.
Alright, get the catcher's mask.
‐ Oh, right here.
‐ Roll her over.
Okay, inflate the balloon
to 200cc's.
It's in the stomach.
Okay, inflate the esophageal
balloon to 40 millimeters.
It's stopped.
Great pickup, Susan.
Okay.
Well, her fever's
back down to 100.
You're feeling better,
aren't you?
Jerry, will you keep
an eye on her for me?
‐ Sure.
‐ Thanks.
I should have gone
into real estate.
That bad, huh?
‐ I got off two hours ago.
‐ Oh, I know. Me too.
‐ Carol, can I borrow a pen?
‐ Yeah.
But we gotta do
something, right?
You don't want Kayson
to think that you're a liar.
Carol, you wanna come?
Oh, thanks, but I'm on tonight.
Well, sorry.
Bye.
She's very ill.
I know.
You can't take
her home tonight.
I know.
After this morning,
I'm not sure
you'll ever be able
to take her home.
I don't want to.
Mrs. Hayden?
Mrs. Hayden?
I guess you found
the starch, huh?
When I found out that
I could adopt Tatiana
I bought a Russian‐English
dictionary.
Never got much beyond
"Hello" and "Goodbye."
Mrs. Hall‐‐
Can you imagine
anything worse..
...than abandoning
a child with AIDS?
No.
She was diagnosed
last Thursday at St. John's.
Look, Mrs. Hall,
or whatever your name is..
...I'm not exactly
sure why you're here
but I'm not
all that interested
in listening to you say
how sorry you are.
My husband died three years ago.
It was...long and slow.
'You know, I was young.'
'You get through, you go on.'
I never really felt
that loss until last week.
I never allowed
myself to feel it until I..
'...I looked at Tatiana..'
...and I said..
"There it is."
I cannot..
I will not let myself
get that close to someone
and lose them again.
I brought her things.
I forgot how
to say goodbye.
Dosvedanya.
Ma.
'Just a little neck sugar.'
'I don't know
where it came from..'
Ma!
Ma.
Ma.
Happy Valentine's Day.
This is fun?
This is fun.
It's 20 degrees out.
Okay, this is fun.
Did I tell you
that Morgenstern
offered me a job
as attending next year?
What? No, you
didn't tell me.
Oh, that's right.
It was last week.
You weren't
talking to me then.
So? You were
talking to me.
What'd you tell him?
That I had
to think about it.
Oh, please.
Well, you know, I mean,
there's Jennifer to consider
which I didn't.
What'd she say?
What do you
think she said?
That "I'm happy
for you, Mark
because I know this
is what you really want?"
The "This is what you really
want" part...that's right.
‐ Sounds bad.
‐ It was.
So? What are you
gonna do?
I...am going to skate.
Help! I need a doctor!
'Is there a doctor?'
I'm sorry. I'm sorry, Wendy.
I understand that she did
it perfectly on the dog.
'We'll fix it tomorrow.'
'I think I'm going
to stay home tomorrow.'
'Hang in there.'