ER (1994–2009): Season 1, Episode 18 - Sleepless in Chicago - full transcript
Carol Hathaway goes ahead with her plans to adopt Tatiana, but her past history makes her ineligible. Benton continues to trade shifts so he can spend time with his mother but it all catches up with him and he has a run-in with Dr...
‐ 'Carter.'
‐ Morning, Dr. Benton.
‐ Did you pick up my labs?
‐ Right here.
‐ Where's Deb?
‐ She's sick.
Who said she could be sick?
What is that?
Two feet of necrotic bowel.
And what are you doing with it?
I'm taking it to the desk.
Research is picking it up.
‐ Ugh...soon I hope.
‐ Guy infarcted.
Needed a crash Hemicolectomy.
‐ When?
‐ Couple of hours ago.
‐ Who did the procedure?
‐ Jagman.
‐ Jagman? Damn!
‐ Peter.
Why didn't you admit the woman
with pressure sores?
Because her problem
isn't surgical. Carter.
She needs to be debrided.
If we don't admit her,
she's not going to heal.
Look, she's diabetic, maybe
medicine will take her home
but she's not coming
on my service.
Hey, Peter, those Dale Carnegie
classes are starting to show.
He's been on for
48 hours straight.
Really?
Traded a couple of shifts
with people last week
so he could be with his mom,
and now, it's..
‐ Payback time.
‐ Yeah.
Carter, there's a
code brown in Two.
Find a nurse.
Clean it up now. Move.
Unfortunately,
payback rolls downhill.
‐ Did I miss her breakfast?
‐ We're just starting.
Family development person came
by and stayed for three hours.
Ms. Brown called.
She said you passed
with flying colors.
Really?
They're expediting
your application.
Oh, Helen, I can't
thank you enough.
How's she been?
Fever's gone,
but I think she's homesick.
Ah.
She misses the nurse
she was close to in Russia.
Can I ask her if she wants
to come live with me?
Sure.
Tatiana.
Yes, I have a VCR.
‐ Hey, Doug.
‐ Hey.
Is that Mark Greene,
the future ER Attending?
Ha ha. You found out?
Not from you, schmuck.
Well, I didn't want it
to get out
you know...till Morgenstern
made the announcement.
Word's out. Congratulations.
Thanks.
So, what did Jen say?
She signed on for another year
with the judge.
In Milwaukee? Oh, no.
It's been awful,
but if I can make this shot
there's still hope
for my marriage.
'There's hope.'
When did the rash appear?
Two days ago,
with a fever.
It started on your chest?
Yeah...then it spread.
I think I'm allergic to one
of the medications I'm taking.
‐ What are you taking?
‐ Here.
P‐43B, ZX‐7.
'I've never heard of these.'
They're experimental.
I'm a test subject.
You know, answer those ads
in the school paper
if you suffer from...asthma
nicotine addiction,
panic attacks
call this number,
earn extra cash.
‐ They pay you?
‐ Oh, yeah.
I'm doing this one
where they inject..
...radioactive isotopes
into my brain.
That one pays real well.
Well, I guess we call
the numbers on these vials
to see which drug
is causing your reaction
but for now...your
test subject days are over.
'Oh.'
How much you make a year?
Did you stick Mr. Penny
for his blood gases?
‐ Stuck him.
‐ Well, alright.
‐ Discharge the absence.
‐ Just need your signature.
Uh, Dr. Hicks..
...a bowel infarction came in
this morning. I wasn't called.
You've been
trading shifts again.
That's irrelevant.
I was the resident on call.
And as a result, you've been
on for 48 hours straight.
I don't see what that
has to do with it.
Have you slept at all Peter?
Look, I require very little
sleep. I am perfectly capable‐‐
I didn't think so.
You shouldn't be treating
patients in your condition.
Much less doing surgery.
I've never done a bowel
infarction. Jagman is done two.
Oh, for God's sake, Peter,
this isn't a competition.
Oh no, then
why are we required to keep logs
of every procedure that we do?
As a record, not a scorecard.
Oh yeah, right. You're
keeping score, and you know it.
That's enough,
I'm concerned
that your fatigue
is impairing your judgment.
Find a room,
lie down two hours.
‐ That won't be necessary.
‐ This isn't a suggestion.
You will not see another patient
until you've slept. Got it?
Are you kidding, Susan.
We don't have time to sort
through these drugs.
Turf the kid, the medicine.
I tried. Got into a
screaming match with Warner.
She won't even
come down for consult.
Screaming doesn't work
with Warner.
You have to use
the soft sell. Observe.
Morning, Jerr. What do you got?
Full house. Take your pick.
Dr. Ross...Diane Leeds in risk
management just called for you.
Oh, yeah. What'd she want?
Uh, she said she wants
to go out with you.
‐ What?
‐ Just kidding.
It was something about that guy
you decked the other day.
Jerry, did I ever tell you
you're my least favorite clerk?
I'm not a clerk. I'm an
emergency service coordinator.
Doug, we've got a burn in one.
Carter, here. Write these labs.
I'll take the Knee Lac in Five.
You know, I noticed
Exam Four is open.
What?
In case you wanna go lie down,
take a nap or something.
It was a great catch, Joyce.
I never would have
thought of sickle‐cell.
Yes, you do.
A‐anyway, I do have a favor.
This kid on experimental
meds is getting worse.
Susan Lewis can't make
heads or tails of it.
Could you please come down
here and bail her out?
Thank you.
Here you go.
She's on her way down.
Thanks.
Ow! Ow!
It's okay. How'd this happen?
It's my fault.
The plastic knob came off
the radiator in the kitchen
and she grabbed the metal part.
Bonnie, can you wiggle your
fingers for me? Just wiggle.
Are you okay?
It's my fault. Ow! Ow!
She's got a second‐degree
burn, Mrs. Howe.
I don't think it's gonna
affect the use of her hand.
We're gonna clean it
up with some saline.
Okay, Bonnie,
you hang in there, okay?
I've never seen a star‐shaped
radiator knob before.
Nope, I'm gonna call
around to other hospitals
see if she's been
seen anywhere else.
'Excuse me. Can you help me?
Excuse me.'
'Hey, Malik, get a gurney.'
‐ Excuse me.
‐ What happened?
He was sitting
in the restaurant.
Just finished breakfast
when he keels over
starts shakin' and shiverin'.
His eyes roll back in his head.
Sounds like a seizure,
Grand Mal type.
Curtain Two's open.
No tongue abrasions.
Are you related?
Uh, no, no.
I manage the restaurant.
Thank you for bringing him in.
We'll take it from here.
Hey, just a sec...look, if
he's okay, have him call me.
Well, I know this sounds bad
but he didn't pay the check.
'He had the champagne brunch'
steak and eggs.
It was a $35 meal.
Neighbor heard a crash. Found
him at the bottom of the stairs.
‐ Vitals?
‐ 80/60.
Heart's raising at 128.
Did you get a, uh, IV In?
No. Couldn't find a vein.
Alright. Haleh,
prep for a central line.
'Okay, people.
Let's get him in.'
Let's get him across
on my counts.
Now listen. We're gonna do this
nice and gentle. You hear me?
One, two, three, go.
Here we go. Here we go.
‐ Watch the line, yeah.
‐ Here we go.
‐ 'Betadine.'
‐ Alright.
The old guy's got a T‐tube.
‐ Does anybody know his name?
‐ Joseph Klein.
BP's 50 palp.
‐ Fetal edema.
‐ Congestive heart failure.
No breath sounds. Tracheal
shift. Lung's collapsed.
‐ He must have broken a rib.
‐ This guy's a train wreck.
Let's get a chest tube tray now.
Also, can you understand me.
Talk to me.
Carter, he can't.
Look at his neck.
'No voice box.'
He's in pain.
Can we give him something?
Stand by with morphine.
Alright, Carter,
28 French. Move.
Let's start Lasix.
80 milligrams IV Push.
Let's get some restraints
in here.
He wants the morphine now.
Come on.
'Line's in.'
Load the dopamine
400 milligrams. 250 D5W.
We're gonna take care of you.
Everything's gonna be okay.
Pressure's 120/80. Not bad.
Reflexes are normal.
I‐I don't see any signs
of a seizure, do you?
No. He has
an irregular heartbeat.
Hey, he just opened his eye.
‐ Really?
‐ Yeah.
Hello in there.
I know you're busy
having a coma.
Do you wanna tell us why,
mister..
Do we have a name?
Actually, we have several.
Art Moss, Sam Hart
and Gene Finch.
Hello, me again,
I just wanna let you know
that you actually do
have a medical problem.
We're gonna have to go in.
Rib spreader.
Hell of a way
to get a free meal.
‐ Okay, can you get blood's?
‐ BP?
Still low. 60 palp.
Increase the Dopamine
ten mics per minute.
You got a number ten blade?
Hang in there, Mr. Klein.
Let's have it.
He came in with congestive heart
failure tension pneumo.
He's on high‐dose Dopamine.
Peter's puttin' in a chest tube.
Okay, I'll take it from here.
‐ I got it.
‐ I'll take it from here.
Either get some
sleep, or go home.
I won't tell you again.
Mr. Klein's old chart came up.
Can I see it?
Check to see what meds he's on.
Chest tube's in.
We got breath sounds.
'Pulse ox up to 90 from 82.'
Train is back on the tracks.
'Nice job, everybody.'
Mr. Klein has terminal cancer.
And the last time he was here,
he signed a paper requesting
that no heroic measures
be taken to prolong his life.
You and Jen are gonna go
another year like this?
‐ I guess we're gonna have to.
‐ Hey, Dr. Greene.
Congrats
on that new attending gig.
Jen is adamant about keeping
her job in Milwaukee?
She wants me to move there.
I can't give up
this job as attending..
‐ Can I help you?
‐ Dr. Greene, right?
‐ Yes.
‐ John Koch, MIT.
‐ Sloan School of Management.
‐ What can I do for you?
‐ They didn't call you?
‐ No.
I made arrangements
to observe your department.
I'm doing research
for the Andover project
which you may have heard of.
White House press conference
profile on CNN?
Huh. Must have missed it.
In a nutshell, we're
building a new hospital
for the 21st century,
scrapping the old model
with its competing factions
in favor of a more
collaborative paradigm.
Like a team approach?
Yes, but on
a comprehensive scale.
We're reconceptualizing
the hospital.
Architecturally,
organizationally, ergonomically.
We hope to build the model
on which all future
hospitals will be based.
So you'd like to watch us
to see how it shouldn't be done?
On the contrary, this place
has a superior reputation.
I wanna keep what works
and change what doesn't.
Well, feel free to look around.
Great.
Oh, uh I couldn't help
overhearing.
I may have a solution
to you and your wife's
uh, geographic impasse.
‐ Excuse me.
‐ Kenosha.
Midway between
Chicago and Milwaukee.
Commute's less
than an hour each way.
You can live under one roof,
both keep your jobs.
Huh.
Mr. Klein.
Mr. Klein, I'm John Carter.
You might remember
me from earlier.
I brought a pad and pen,
in case you wanna say something.
I'll just put them here,
on the end of the table here.
Mr. Klein, I'm sorry
about what happened earlier.
Your blood pressure's
still pretty low
so I contacted your HMO.
And they're gonna
send an ambulance over
to take you to their hospital
once you've stabilized,
but that might be a while.
So...there's no next of
kin listed in your chart.
Is there anyone I can call?
Can you understand me,
Mr. Klein?
Okay.
Mr. Klein?
I'm sorry, I didn't under..
Roger.
Roger? Roger, that's a,
is he a family member?
I‐is it your son?
D‐do you know
his telephone number?
Blooming..
B‐Bloomington?
He lives in Bloomington?
He lives in Bloomington
and his name is Roger Klein.
Okay. Okay, great.
I will be back in a little bit.
Hey, Lydia, any interest
in becoming charge nurse?
‐ Me?
‐ Yeah.
‐ Not on your life
‐ Oh.
Why do you ask?
Because...Tag and I
are gonna be foster parents
to that little Russian girl.
The one with AIDS?
Tatiana. I wanna spend as much
time as I can with her.
So I'm cutting back
on my shifts.
‐ Really.
‐ What?
Well, It just seems like a tough
way to start off a marriage.
You think it's a bad idea?
No, I, uh..
Oh, look, Carol
it doesn't matter what I think.
I'm certainly
no expert on marriage.
Forget I said anything, okay?
Carol...Mercy General's
calling you back.
Somethin' about a kid
with a burned hand.
Okay. I'll be right back.
Sorry. I didn't
mean to wake you.
‐ You didn't.
‐ Came for a blood gas kit.
Any traumas come in?
Yeah, two car accident,
lacerated liver
went up to the OR.
Who's doin' it? No.
Never mind, don't tell me.
Uh, half hour to go.
Carter, uh...keep an
eye on the charts.
Anything surgical,
bring it to me.
Can I do that, I thought
we were just supposed to wait
until we were called
for a consult.
Carter.
‐ Just do it, alright?
‐ Okay.
Mrs. Howe, can we see you
outside, please?
‐ I will be right back.
‐ Okay.
What? What is it?
Your daughter was seen
at another hospital
with a star‐shaped burn,
and we'd like to know
what's goin' on.
She touched the radiator.
This is not
a radiator burn, ma'am.
Now, what really happened?
It's personal.
Maybe I can talk
with Mrs. Howe alone.
Sure.
Mrs. Howe, I'm sure there's
a reasonable explanation
for what's happening..
But if you want me
to help Bonnie
you have to let me know
what's going on.
It's okay to tell me the truth.
Most people don't understand.
I'm pretty understanding.
You promise you won't
tell the doctor?
Yes.
She touches herself
...down there.
I tell her not to.
I give her three chances...
and then I use the paperweight.
The paperweight?
I put it on the stove.
'I didn't mean to hurt her.'
I...guess I just left it
on too long.
It's not as bad as it sounds.
My mother did the same
thing to me.
Okay, the doctor is gonna
wanna plastic surgeon
to see Bonnie's hand,
so you need to stay here
a little longer.
Alright.
K‐L‐E‐I‐N. First name, Roger.
I don't know the street.
Jerry, I need a $20 taxi voucher
to send Mrs. Von Avery home.
I'm out of vouchers,
but I have petty cash.
Hey, Carter, when
is somebody going to come
and pick up this bowel?
I don't know, Jerr.
Uh, let's see..
‐ Twenty.
‐ Thank you.
Excuse me, could you change
a 20 for the vending machine?
Sure, sure.
One, two, three, four, five
five is ten, 15 and 20.
Actually, could I have a ten
for two of the fives?
Uh, okay.
Right there.
Here you are.
You gave me 19.
Nineteen?
You're an honest man.
‐ You wanna get that?
‐ I got it.
Actually, I have ones here.
Why don't I give you a buck?
That'll make 20.
You can give me
the 20 back that I gave you
and that'll make us even.
Okay.
Thanks, boy.
Jerry, when did this
one come in?
‐ Uh, couple minutes ago.
‐ Great.
'Patient's a 52‐year‐old male
with a history'
of calcium oxalate stones.
Intravenous pyelogram showed
a six millimeter kidney stone
in the calyx, consistent
with obstructive uropathy.
Lithotripsy unsuccessful,
urology's been paged.
We started an IV for hydration,
and gave him
five milligrams of morphine
for the pain.
I know and it ain't workin'!
Mr. Furst, I'm Dr. Benton.
When did the pain increase?
Been getting worse
for two days. Ah!
My internist
Dr. Fellman said
if the stone didn't
pass this morning
I should get it cut out.
Alright, well,
I couldn't agree more.
Let's move him. Let's get him
up there. Here we go.
Oh!
Oh, boy! Oh..
‐ Peter...holdup.
‐ What? What?
Uh, that's my patient.
Where are you taking him?
Up to the OR. He's got
an obstructed stone.
‐ Wait a minute.
‐ What?
‐ I haven't examined him yet.
‐ Well, I have.
You're supposed to wait
until I call for a consult.
Please, doc, let him go!
I'm dyin' here.
Alright, you wanna examine him?
Here, go ahead, examine him.
Don't pull this crap again, huh?
It's all so unnecessary.
‐ Excuse me?
‐ This territorialism.
The friction
between departments.
It's all part of an
outdated patriarchal system
based on confrontation, where
he who yells the loudest wins
even though he may
be totally wrong.
Yup. That's how it is, alright.
Doesn't have to be.
Picture this.
A hospital
without departments
where every floor
is staffed by a team
comprising of
various specialties.
No time wasted on battles
about your service, my service.
They've been replaced by
a more evolved, harmonious
if you will, feminine model in
which the patient belongs to us.
Sounds good, but does it exist?
It will. I'm building it.
And you are again?
John Koch, MIT,
Sloan School of Management.
We have a problem.
She doesn't wanna wait
for the plastic surgeon.
‐ She wants to take her home.
‐ Where's the social worker?
‐ I paged her three times.
‐ What about the police?
They're supposed
to be on their way.
Okay, you follow my lead.
Mrs. Howe, we apologize
for the delay.
The plastic surgeon wants to do
some more tests
on Bonnie's hand.
Nurse Hathaway is gonna
take her up to radiology.
Can I go with her?
I'm sorry, hospital policy.
I wanna stay with my mommy.
It's okay, sweetheart.
Come on.
I want my mommy!
Wait, I don't want her to go.
This is her.
No! You lying bitch!
Give me back my baby!
Give me back my baby!
Mommy!
Alright, people, let's move.
Let's get him prepped.
Oh, God. Please, doc,
knock me out, will you?
Okay, Mr. Furst, take it easy.
Help is on the way, okay?
Alright, here we go.
Cripes, Peter,
I haven't put him out yet.
I didn't cut him.
What's goin' on?
Well, folks,
we can all scrub out.
The stone hath passed.
Oh, thank God!
How are you feeling?
You know, I saw in the
social history in your chart
that you used to teach
high school English.
Was that here in Chicago?
You know, the hospital
has a pretty good library.
I could bring you some books
if you'd like. Maybe Conrad..
I, uh, I spoke to three..
...Roger Klein's
in the Bloomington area.
None of 'em...were your son.
And I‐I had the phone company
check all the unlisted numbers.
I couldn't find him.
Is there anyone else
I could call?
How long has it been
since you spoke to‐to your son?
Ten years.
O‐oh, 20‐20‐20 years.
I'm sorry.
‐ Oh! Excuse me.
‐ Sorry.
‐ Uh, my fault. You're okay?
‐ Yeah, fine.
Six lousy bucks.
I've got it.
Where's the vial?
Here.
Quick, he's coming.
What?
You people have too much
time on your hands.
You should have heard
that little girl.
She cried for her mother
for 45 minutes.
When the social worker took her,
she was still crying.
She's better off.
What? Growing up
without a mother?
Her mother's a monster.
I don't believe that.
I think she was damaged
a long time ago.
I hope, with some therapy,
she can straighten out
and get her kid back.
You're more hopeful
than I am, thank God.
So I hear you're
fostering Tatiana.
You gonna try and talk me
out of it like everybody else?
No, I think it's a wonderful
thing what you're doing.
‐ Really?
‐ Absolutely.
I always said you'd
make a great mother.
‐ Doug?
‐ Yeah?
Got a 16 year old GSW.
To the neck.
‐ ETA Seven minutes.
‐ Okay.
Thanks.
Please, no dead kids today.
How is he?
BP's falling,
respiration's down.
I don't think
he'll make it till morning.
Thanks.
Hi.
I didn't know what you'd like,
so I brought a few.
Not a fan of Melville, I see.
Mmm‐hmm.
Oh, God.
Excuse me for a second.
Did you do the history and
physical on the leg pain in Two?
Not yet, I was about to,
but I thought I'd spend
a little bit more time
with Mr. Klein.
Well, that woman's been
waiting half an hour.
So, why are you wasting
time on a DNR?
Because he's dying
and he has no family.
Carter, this is your surgical
rotation, not pastoral care.
It's not your job to
become this man's family.
Dr. Benton, I think
there's more to patient care
than just cutting them open.
Mm‐hmm, and that's
what nurses are for, so..
Do the H and P on the leg pain
and renew everyone's meds.
I've got a drunk to stitch up.
Better go stitch him up.
It's interesting
how modern medicine
systematically dismantles
the rituals of death.
We do everything we can to make
it routine, a non‐event.
People don't die here,
they code.
We can do better.
I can't believe I didn't
think of it before.
‐ Kenosha!
‐ Kenosha?
Kenosha. We can live there,
be a family and commute.
Never actually been to Kenosha.
Oh, it's right on the lake,
they've got great schools.
Birthplace of Don Ameche.
Well, there it is.
Looks like our next
lucky contestant.
So, who is this Diane Leeds
who keeps calling?
A very desirable woman
who will never go out with me.
Why not?
One of her friends
is one of my exes.
Oh, turned you down?
No, I never bothered
asking her out.
Wait, you're telling me
you're afraid to ask her out?
Nobody likes rejection.
What've you got?
.38 caliber
clipped him in the neck.
He's bleeding profusely,
the BP's 60/40.
‐ How'd it happen?
‐ He was robbin' a store.
‐ A cop shot him.
‐ It's alright.
Turn him over to me.
I got it. Alright. Here we go.
‐ What's his story?
‐ He's the cop.
Get me a blood on pressure bag.
And get me an intubation tray.
‐ The bag's dry.
‐ Hang another liter of saline.
Squeeze it fast,
he's bleedin' out.
‐ One, two, three.
‐ Load up on the O‐negative.
No breath sounds.
I have to clamp this bleeder.
Where's Benton?
Anybody seen Benton?
Hey.
Hey, hey.
‐ Hey!
‐ I'll be back.
‐ I'm not gettin' a pulse.
‐ Blood‐Y tubing.
Oh God, he took it straight to
the heart. Thoracotomy tray.
‐ Thought they wear vests.
‐ They're supposed to.
'I need some help in here.'
‐ Coming. Susan, you got this?
‐ 'I got it. Where's Benton?'
Got a lot of blood
coming out of his mouth.
‐ Bullet holes in his chest?
‐ Tube's in.
No, just the neck.
He's bleedin' in his lungs.
How you doin', Carol?
If I press any harder,
he's gonna stroke out.
'Alright, What have we got?'
16‐year‐old,
bullet to the carotid artery
thready pulse,
blood in his lungs.
You're gonna need to clamp him.
Alright. What's going
on over there?
Cop took a bullet
into his heart.
Susan's cracking his chest.
Dr. Benton?
W‐w‐wait a second.
Get somebody else down.
‐ I'm gonna go help Susan.
‐ Okay.
‐ Suction..
‐ Scalpel. Thank you.
His lungs are full of blood.
Suction, right now. Here we go.
Retractor here.
This kid's not getting
blood to the brain.
Yeah, well, he's young.
He's got enough collaterals
to keep him perfused.
Okay, vascular clamp.
Right now.
Come on, Carol. Right now.
Thank you.
Okay, lungs are clear.
Okay. And he is clamped.
Move him right now.
Get him out.
Rib spreader.
Hanging more O‐neg.
Okay, now let's see.
What do we have in here?
Hole in the ventricle.
Give me suction,
Three‐O Proline..
...on an atraumatic needle. Now.
Call the OR.
We might have a save here.
Where the hell is Carter?
He's missing out
on a valuable education here.
Okay, I'm gonna do
a horizontal mattress
take two bites, twice
go into the coronary artery
both times
so I don't obstruct it.
Do it quick, Peter.
His pressure's dropping.
I hear that.
Okay, now listen up,
boys and girls.
The trick here, is
to plug up the hole..
...without
closing off the artery..
..which...is
what I've just done.
Peter?
A bullet through the ventricle,
I stitched it.
Who clamped the kid
who went up?
I did.
‐ I'm getting a pulse.
‐ Nice job, Peter.
Looks like that rest
did you some good.
Take him up.
Well, what a way
to end the day, huh?
‐ Taking off?
‐ Yeah.
‐ See you tomorrow.
‐ Alright, I'll see you.
‐ I don't believe you.
‐ Me?
I just finished
the file on the guy
you attacked last week
and I get a call
that you got another altercation
this time with a woman.
‐ This time, I was the attackee.
‐ Are you alright?
Well, it's not
the first time I've been
clawed by a hostile female.
You're finally paying
for your bad karma.
You have no idea.
I don't know what
legal's gonna say about the fact
that I have to defend you
a second time.
You defended me the first time?
That's my job.
Now, I need you to write
out a statement again.
And don't take so long gettin'
back to me this time, alright.
Listen, Diane?
You wanna get some
dinner sometime?
I don't think
that's a good idea.
I guess you were right.
I'm...I'm right.
'You got a minute?'
Dr. Greene,
endocrinology on six.
I'll take it down
at the nurses station.
I just wanna make sure
that bleeding varices
gets presented next week.
‐ You won't be there?
‐ Nope. I'll be in Boston.
Oh, yeah?
I'm taking over the residency
program at the Brigham.
Dr. Greene here.
Can you hold on?
‐ Harvard?
‐ Always an ambition of mine.
‐ Congratulations.
‐ Thanks. I couldn't be happier.
As far as your becoming
an attending next year.
I took care of it.
I gave my recommendation
to the chief of staff.
You're the guy.
No need to look further.
‐ Thank you. Appreciate it.
‐ It's almost a lock.
Oh.
'Course, the new guy has to
approve it, but don't worry.
Listen, I'm in my office
another two weeks.
Come by. We'll have a drink.
"Sailing these seas
or on the hills
"or waking in the night
'"thoughts, silent thoughts
of time and space'
'"and death,
like waters flowing'
'"bear me indeed
as through the regions infinite'
"whose air I breathe
"whose ripples hear
"lave me all over.
"Bathe me, O God, in thee
"mounting to thee, I and my soul
to range, in range of thee.
O thou transcendent,
nameless, the fiber.."
Carter, did you do notes
on all your patients?
I'm doing them now.
They're supposed to be
in by end of shift.
Looks like you've just begun.
I'll have them first
thing in the morning.
You'll be up all night.
That's what happens
when you spend
too much time
with one patient.
I consider it time well spent.
He, um..
He died ten minutes ago.
Carter, why did you put in
for a surgical sub‐internship?
Because I wanna be a surgeon.
You're wasting your time.
You don't think like a surgeon.
Why? Because I don't
think like you?
I'd like those notes
first thing in the morning.
Cat. C.
‐ Da. C is for cat.
‐ And Carol.
Carol, Ms. Brown from family
development is here for you.
Oh, okay.
Okay.
‐ Hi.
‐ Hi.
Carol, something came up
in your background check.
You attempted suicide last year.
‐ Uh‐huh.
‐ I wish you had told us sooner.
I'm afraid we can't
place Tatiana with you.
There's no way
the state would approve it.
But I'm‐I'm‐I'm
fully recovered‐‐
If it had happened
three years ago, maybe.
But one year...we just can't.
I'm sorry.
Hi.
Hi.
I'm working on it,
uh, right now.
How about next Friday?
You're asking me out?
No, I'm respondin'
to you askin' me out.
That was three hours ago.
‐ You change your mind?
‐ No, I don't think so.
So, we're on?
If it means that
much to you, okay.
I don't think I like the way
this date is starting out.
It'll get better.
We'll see.
Hey, my man's on time.
Hey.
Where's everybody at, Walt?
Jackie and the kids
went up to the lake early..
...and mom went to bed.
Jackie said to remind you
that your mother wakes up
bright and early, 6 a. m.
She'll be wanting her medicine.
Alright, alright,
I'll, uh, I'll set the alarm.
So, you really
going down on the ice?
Uh, well, it's that or spend
the day in a three room cabin
with your sister,
the kids and no TV?
Hell, yeah,
I'm goin' out on ice.
Uh, what time y'all coming back?
About 8 o'clock tomorrow night.
Look man, thanks a lot.
I really appreciate this.
Yeah, yeah, yeah sure.
Uh, there's some leftover
meatloaf in the fridge.
Mm‐hmm.
Hey, Walt.
‐ Catch me a walleye, huh?
‐ Yeah, right. Later, man.
Yeah.
Alright.
Hi.
Carol.
Can I?
Yeah. Yeah, come on in.
What is it?
I lost her.
I've been in therapy.
I've worked hard for nine months
and it doesn't matter.
All they care about
is that I took some pills.
Who?
Ms. Brown. Foster care.
Tatiana?
‐ They won't let me have her.
‐ Oh, Carol.
It's like I'm defective
or something. You know.
No, no, no.
I'm so..
I mean, God..
I'm kidding myself,
you know that I could do this.
It's so stupid.
You're ice cold.
You should have seen her, Doug.
I mean, she's seven years old.
I tried to explain it to her‐‐
Carol, hey listen to me.
It's not your fault.
You hear me?
It's not your fault.
But I promised her
I'd be there
and now I'm not
gonna be there.
How could you have known?
God..
Maybe...maybe I..
...I shouldn't have
thought about doin' this.
No. You were exactly
what she needed.
You're the only person
who thinks that.
Well, I know you.
Can I stay here?
Has Tag heard yet?
He never wanted her.
‐ Carol, no.
‐ Please.
Why don't I drive you home?
‐ I know.
‐ Oh, oh, God.
The design's been approved.
We've set a construction
start date for June
and we've recruited
world‐class physicians
like Borges and Folkman
to our advisory board.
That's impressive.
Well, they know
we're onto something.
The high profile's
attracting resources
and I'm approached daily
by exceptional doctors
about joining the staff.
‐ Are you interested?
‐ Me?
From what I've observed,
your expertise, your temperament
auger a very
promising medical career.
Well, I'm flattered.
And yes, I am interested.
Excellent.
There he is.
Marty, we were
worried about you.
Why you gotta do this?
‐ Do I know you people?
‐ Marty, please, be good.
I've brought the restraints.
Don't make me use 'em.
‐ This is almost amusing.
‐ This is a mistake.
This is Dr. Koch
from MIT, Sloan‐‐
Sloan School of Management.
Yeah, I know. It's his latest.
'A few months ago,
he passed as an OB'
'And delivered two babies
before we caught him.'
He's real smart. Reads a lot.
Wait a minute. You're telling me
you're not even‐‐
Susan, it'll get sorted out.
It'll get sorted out.
I just...was planning to
observe the Psych ward anyway.
Come on.
Wait.
'Come on, Marty.'
Ho!
Hey.
I didn't expect you.
‐ Where's Rach?
‐ I didn't bring her.
We need to talk.
Yeah. Yeah, we do.
I can't do this anymore, Mark.
Not living together
and never seeing each other.
I know, so let's stop it.
You're willing
to leave the hospital?
A compromise.
We can live between Chicago
and Milwaukee. Kenosha.
It's just an hour
in each direction.
And we can be a family again.
‐ Mark.
‐ What? It can work.
You want me to commute two hours
a day so you can take a job?
So we can all be together again.
That's two hours
less for Rachel.
My God, it's bad enough she's
not growin' up with her father.
Whose fault is that, huh?
It was your idea
to go to Milwaukee.
Would you rather
I leave her here with you?
Do you know
that in seven years
you've never given
anything up for me?
Why are you so intent
on making me give up a job
I've spent years tryin' to get?
You do what you want,
when you want
and you just expect me
and Rachel to be there for you
'when you have time for us.'
Jen, come on.
I don't think we're gonna
make it, Mark.
We're gonna make it.
‐ No, this isn't working.
‐ So, we'll make it work.
We went a year.
We can go another year.
Mark!
I'll do better, okay?
I'll come up more often.
Rachel, she can come down here.
You're not listening.
Okay. I‐I am.
I'm listening.
I'm leaving you.
I'm sorry.
Freezing rain west of us
at this hour yesterday morning
'but that really didn't amount
to much of a problem.'
'Skywatch 5, our live camera,
we'll take a look outdoors'
'Jackie? I need my medicine.'
'Peter?'
'Peter!'
'Petey.'
'Uh!'
'Uh!'
Ma! Ma!
Okay.
‐ 'Dr. Benton.'
‐ Dr. Benton's mother.
75 years old, history of CVA.
She fell down the stairs.
Possible hip fracture.
BP's 90/60. Heart rate 110.
Legs shortened
and externally rotated.
I got an IV of
normal saline going.
O2 by nasal cannula,
ten liters, CCS 354.
‐ LOC at the scene.
‐ We got her ID.
Okay, she's waking up now.
Alright.
Let's move her.
Careful of her hip.
On three. One, two, three.
Call radiology
and get neuro down here.
Carter, check her pupils
and response to pain.
Dr. Benton, what happened?
What happened?
Mrs. Benton? Can you hear me?
If you can hear me,
squeeze my hand.
Carter, you try.
Mrs. Benton? I'm John Carter.
We're gonna take care of you.
‐ Can you understand me?
‐ 'Peter, what happened?'
'Mrs. Benton,
Can you understand me?'
‐ 'Peter?'
‐ Talk to me.
‐ Morning, Dr. Benton.
‐ Did you pick up my labs?
‐ Right here.
‐ Where's Deb?
‐ She's sick.
Who said she could be sick?
What is that?
Two feet of necrotic bowel.
And what are you doing with it?
I'm taking it to the desk.
Research is picking it up.
‐ Ugh...soon I hope.
‐ Guy infarcted.
Needed a crash Hemicolectomy.
‐ When?
‐ Couple of hours ago.
‐ Who did the procedure?
‐ Jagman.
‐ Jagman? Damn!
‐ Peter.
Why didn't you admit the woman
with pressure sores?
Because her problem
isn't surgical. Carter.
She needs to be debrided.
If we don't admit her,
she's not going to heal.
Look, she's diabetic, maybe
medicine will take her home
but she's not coming
on my service.
Hey, Peter, those Dale Carnegie
classes are starting to show.
He's been on for
48 hours straight.
Really?
Traded a couple of shifts
with people last week
so he could be with his mom,
and now, it's..
‐ Payback time.
‐ Yeah.
Carter, there's a
code brown in Two.
Find a nurse.
Clean it up now. Move.
Unfortunately,
payback rolls downhill.
‐ Did I miss her breakfast?
‐ We're just starting.
Family development person came
by and stayed for three hours.
Ms. Brown called.
She said you passed
with flying colors.
Really?
They're expediting
your application.
Oh, Helen, I can't
thank you enough.
How's she been?
Fever's gone,
but I think she's homesick.
Ah.
She misses the nurse
she was close to in Russia.
Can I ask her if she wants
to come live with me?
Sure.
Tatiana.
Yes, I have a VCR.
‐ Hey, Doug.
‐ Hey.
Is that Mark Greene,
the future ER Attending?
Ha ha. You found out?
Not from you, schmuck.
Well, I didn't want it
to get out
you know...till Morgenstern
made the announcement.
Word's out. Congratulations.
Thanks.
So, what did Jen say?
She signed on for another year
with the judge.
In Milwaukee? Oh, no.
It's been awful,
but if I can make this shot
there's still hope
for my marriage.
'There's hope.'
When did the rash appear?
Two days ago,
with a fever.
It started on your chest?
Yeah...then it spread.
I think I'm allergic to one
of the medications I'm taking.
‐ What are you taking?
‐ Here.
P‐43B, ZX‐7.
'I've never heard of these.'
They're experimental.
I'm a test subject.
You know, answer those ads
in the school paper
if you suffer from...asthma
nicotine addiction,
panic attacks
call this number,
earn extra cash.
‐ They pay you?
‐ Oh, yeah.
I'm doing this one
where they inject..
...radioactive isotopes
into my brain.
That one pays real well.
Well, I guess we call
the numbers on these vials
to see which drug
is causing your reaction
but for now...your
test subject days are over.
'Oh.'
How much you make a year?
Did you stick Mr. Penny
for his blood gases?
‐ Stuck him.
‐ Well, alright.
‐ Discharge the absence.
‐ Just need your signature.
Uh, Dr. Hicks..
...a bowel infarction came in
this morning. I wasn't called.
You've been
trading shifts again.
That's irrelevant.
I was the resident on call.
And as a result, you've been
on for 48 hours straight.
I don't see what that
has to do with it.
Have you slept at all Peter?
Look, I require very little
sleep. I am perfectly capable‐‐
I didn't think so.
You shouldn't be treating
patients in your condition.
Much less doing surgery.
I've never done a bowel
infarction. Jagman is done two.
Oh, for God's sake, Peter,
this isn't a competition.
Oh no, then
why are we required to keep logs
of every procedure that we do?
As a record, not a scorecard.
Oh yeah, right. You're
keeping score, and you know it.
That's enough,
I'm concerned
that your fatigue
is impairing your judgment.
Find a room,
lie down two hours.
‐ That won't be necessary.
‐ This isn't a suggestion.
You will not see another patient
until you've slept. Got it?
Are you kidding, Susan.
We don't have time to sort
through these drugs.
Turf the kid, the medicine.
I tried. Got into a
screaming match with Warner.
She won't even
come down for consult.
Screaming doesn't work
with Warner.
You have to use
the soft sell. Observe.
Morning, Jerr. What do you got?
Full house. Take your pick.
Dr. Ross...Diane Leeds in risk
management just called for you.
Oh, yeah. What'd she want?
Uh, she said she wants
to go out with you.
‐ What?
‐ Just kidding.
It was something about that guy
you decked the other day.
Jerry, did I ever tell you
you're my least favorite clerk?
I'm not a clerk. I'm an
emergency service coordinator.
Doug, we've got a burn in one.
Carter, here. Write these labs.
I'll take the Knee Lac in Five.
You know, I noticed
Exam Four is open.
What?
In case you wanna go lie down,
take a nap or something.
It was a great catch, Joyce.
I never would have
thought of sickle‐cell.
Yes, you do.
A‐anyway, I do have a favor.
This kid on experimental
meds is getting worse.
Susan Lewis can't make
heads or tails of it.
Could you please come down
here and bail her out?
Thank you.
Here you go.
She's on her way down.
Thanks.
Ow! Ow!
It's okay. How'd this happen?
It's my fault.
The plastic knob came off
the radiator in the kitchen
and she grabbed the metal part.
Bonnie, can you wiggle your
fingers for me? Just wiggle.
Are you okay?
It's my fault. Ow! Ow!
She's got a second‐degree
burn, Mrs. Howe.
I don't think it's gonna
affect the use of her hand.
We're gonna clean it
up with some saline.
Okay, Bonnie,
you hang in there, okay?
I've never seen a star‐shaped
radiator knob before.
Nope, I'm gonna call
around to other hospitals
see if she's been
seen anywhere else.
'Excuse me. Can you help me?
Excuse me.'
'Hey, Malik, get a gurney.'
‐ Excuse me.
‐ What happened?
He was sitting
in the restaurant.
Just finished breakfast
when he keels over
starts shakin' and shiverin'.
His eyes roll back in his head.
Sounds like a seizure,
Grand Mal type.
Curtain Two's open.
No tongue abrasions.
Are you related?
Uh, no, no.
I manage the restaurant.
Thank you for bringing him in.
We'll take it from here.
Hey, just a sec...look, if
he's okay, have him call me.
Well, I know this sounds bad
but he didn't pay the check.
'He had the champagne brunch'
steak and eggs.
It was a $35 meal.
Neighbor heard a crash. Found
him at the bottom of the stairs.
‐ Vitals?
‐ 80/60.
Heart's raising at 128.
Did you get a, uh, IV In?
No. Couldn't find a vein.
Alright. Haleh,
prep for a central line.
'Okay, people.
Let's get him in.'
Let's get him across
on my counts.
Now listen. We're gonna do this
nice and gentle. You hear me?
One, two, three, go.
Here we go. Here we go.
‐ Watch the line, yeah.
‐ Here we go.
‐ 'Betadine.'
‐ Alright.
The old guy's got a T‐tube.
‐ Does anybody know his name?
‐ Joseph Klein.
BP's 50 palp.
‐ Fetal edema.
‐ Congestive heart failure.
No breath sounds. Tracheal
shift. Lung's collapsed.
‐ He must have broken a rib.
‐ This guy's a train wreck.
Let's get a chest tube tray now.
Also, can you understand me.
Talk to me.
Carter, he can't.
Look at his neck.
'No voice box.'
He's in pain.
Can we give him something?
Stand by with morphine.
Alright, Carter,
28 French. Move.
Let's start Lasix.
80 milligrams IV Push.
Let's get some restraints
in here.
He wants the morphine now.
Come on.
'Line's in.'
Load the dopamine
400 milligrams. 250 D5W.
We're gonna take care of you.
Everything's gonna be okay.
Pressure's 120/80. Not bad.
Reflexes are normal.
I‐I don't see any signs
of a seizure, do you?
No. He has
an irregular heartbeat.
Hey, he just opened his eye.
‐ Really?
‐ Yeah.
Hello in there.
I know you're busy
having a coma.
Do you wanna tell us why,
mister..
Do we have a name?
Actually, we have several.
Art Moss, Sam Hart
and Gene Finch.
Hello, me again,
I just wanna let you know
that you actually do
have a medical problem.
We're gonna have to go in.
Rib spreader.
Hell of a way
to get a free meal.
‐ Okay, can you get blood's?
‐ BP?
Still low. 60 palp.
Increase the Dopamine
ten mics per minute.
You got a number ten blade?
Hang in there, Mr. Klein.
Let's have it.
He came in with congestive heart
failure tension pneumo.
He's on high‐dose Dopamine.
Peter's puttin' in a chest tube.
Okay, I'll take it from here.
‐ I got it.
‐ I'll take it from here.
Either get some
sleep, or go home.
I won't tell you again.
Mr. Klein's old chart came up.
Can I see it?
Check to see what meds he's on.
Chest tube's in.
We got breath sounds.
'Pulse ox up to 90 from 82.'
Train is back on the tracks.
'Nice job, everybody.'
Mr. Klein has terminal cancer.
And the last time he was here,
he signed a paper requesting
that no heroic measures
be taken to prolong his life.
You and Jen are gonna go
another year like this?
‐ I guess we're gonna have to.
‐ Hey, Dr. Greene.
Congrats
on that new attending gig.
Jen is adamant about keeping
her job in Milwaukee?
She wants me to move there.
I can't give up
this job as attending..
‐ Can I help you?
‐ Dr. Greene, right?
‐ Yes.
‐ John Koch, MIT.
‐ Sloan School of Management.
‐ What can I do for you?
‐ They didn't call you?
‐ No.
I made arrangements
to observe your department.
I'm doing research
for the Andover project
which you may have heard of.
White House press conference
profile on CNN?
Huh. Must have missed it.
In a nutshell, we're
building a new hospital
for the 21st century,
scrapping the old model
with its competing factions
in favor of a more
collaborative paradigm.
Like a team approach?
Yes, but on
a comprehensive scale.
We're reconceptualizing
the hospital.
Architecturally,
organizationally, ergonomically.
We hope to build the model
on which all future
hospitals will be based.
So you'd like to watch us
to see how it shouldn't be done?
On the contrary, this place
has a superior reputation.
I wanna keep what works
and change what doesn't.
Well, feel free to look around.
Great.
Oh, uh I couldn't help
overhearing.
I may have a solution
to you and your wife's
uh, geographic impasse.
‐ Excuse me.
‐ Kenosha.
Midway between
Chicago and Milwaukee.
Commute's less
than an hour each way.
You can live under one roof,
both keep your jobs.
Huh.
Mr. Klein.
Mr. Klein, I'm John Carter.
You might remember
me from earlier.
I brought a pad and pen,
in case you wanna say something.
I'll just put them here,
on the end of the table here.
Mr. Klein, I'm sorry
about what happened earlier.
Your blood pressure's
still pretty low
so I contacted your HMO.
And they're gonna
send an ambulance over
to take you to their hospital
once you've stabilized,
but that might be a while.
So...there's no next of
kin listed in your chart.
Is there anyone I can call?
Can you understand me,
Mr. Klein?
Okay.
Mr. Klein?
I'm sorry, I didn't under..
Roger.
Roger? Roger, that's a,
is he a family member?
I‐is it your son?
D‐do you know
his telephone number?
Blooming..
B‐Bloomington?
He lives in Bloomington?
He lives in Bloomington
and his name is Roger Klein.
Okay. Okay, great.
I will be back in a little bit.
Hey, Lydia, any interest
in becoming charge nurse?
‐ Me?
‐ Yeah.
‐ Not on your life
‐ Oh.
Why do you ask?
Because...Tag and I
are gonna be foster parents
to that little Russian girl.
The one with AIDS?
Tatiana. I wanna spend as much
time as I can with her.
So I'm cutting back
on my shifts.
‐ Really.
‐ What?
Well, It just seems like a tough
way to start off a marriage.
You think it's a bad idea?
No, I, uh..
Oh, look, Carol
it doesn't matter what I think.
I'm certainly
no expert on marriage.
Forget I said anything, okay?
Carol...Mercy General's
calling you back.
Somethin' about a kid
with a burned hand.
Okay. I'll be right back.
Sorry. I didn't
mean to wake you.
‐ You didn't.
‐ Came for a blood gas kit.
Any traumas come in?
Yeah, two car accident,
lacerated liver
went up to the OR.
Who's doin' it? No.
Never mind, don't tell me.
Uh, half hour to go.
Carter, uh...keep an
eye on the charts.
Anything surgical,
bring it to me.
Can I do that, I thought
we were just supposed to wait
until we were called
for a consult.
Carter.
‐ Just do it, alright?
‐ Okay.
Mrs. Howe, can we see you
outside, please?
‐ I will be right back.
‐ Okay.
What? What is it?
Your daughter was seen
at another hospital
with a star‐shaped burn,
and we'd like to know
what's goin' on.
She touched the radiator.
This is not
a radiator burn, ma'am.
Now, what really happened?
It's personal.
Maybe I can talk
with Mrs. Howe alone.
Sure.
Mrs. Howe, I'm sure there's
a reasonable explanation
for what's happening..
But if you want me
to help Bonnie
you have to let me know
what's going on.
It's okay to tell me the truth.
Most people don't understand.
I'm pretty understanding.
You promise you won't
tell the doctor?
Yes.
She touches herself
...down there.
I tell her not to.
I give her three chances...
and then I use the paperweight.
The paperweight?
I put it on the stove.
'I didn't mean to hurt her.'
I...guess I just left it
on too long.
It's not as bad as it sounds.
My mother did the same
thing to me.
Okay, the doctor is gonna
wanna plastic surgeon
to see Bonnie's hand,
so you need to stay here
a little longer.
Alright.
K‐L‐E‐I‐N. First name, Roger.
I don't know the street.
Jerry, I need a $20 taxi voucher
to send Mrs. Von Avery home.
I'm out of vouchers,
but I have petty cash.
Hey, Carter, when
is somebody going to come
and pick up this bowel?
I don't know, Jerr.
Uh, let's see..
‐ Twenty.
‐ Thank you.
Excuse me, could you change
a 20 for the vending machine?
Sure, sure.
One, two, three, four, five
five is ten, 15 and 20.
Actually, could I have a ten
for two of the fives?
Uh, okay.
Right there.
Here you are.
You gave me 19.
Nineteen?
You're an honest man.
‐ You wanna get that?
‐ I got it.
Actually, I have ones here.
Why don't I give you a buck?
That'll make 20.
You can give me
the 20 back that I gave you
and that'll make us even.
Okay.
Thanks, boy.
Jerry, when did this
one come in?
‐ Uh, couple minutes ago.
‐ Great.
'Patient's a 52‐year‐old male
with a history'
of calcium oxalate stones.
Intravenous pyelogram showed
a six millimeter kidney stone
in the calyx, consistent
with obstructive uropathy.
Lithotripsy unsuccessful,
urology's been paged.
We started an IV for hydration,
and gave him
five milligrams of morphine
for the pain.
I know and it ain't workin'!
Mr. Furst, I'm Dr. Benton.
When did the pain increase?
Been getting worse
for two days. Ah!
My internist
Dr. Fellman said
if the stone didn't
pass this morning
I should get it cut out.
Alright, well,
I couldn't agree more.
Let's move him. Let's get him
up there. Here we go.
Oh!
Oh, boy! Oh..
‐ Peter...holdup.
‐ What? What?
Uh, that's my patient.
Where are you taking him?
Up to the OR. He's got
an obstructed stone.
‐ Wait a minute.
‐ What?
‐ I haven't examined him yet.
‐ Well, I have.
You're supposed to wait
until I call for a consult.
Please, doc, let him go!
I'm dyin' here.
Alright, you wanna examine him?
Here, go ahead, examine him.
Don't pull this crap again, huh?
It's all so unnecessary.
‐ Excuse me?
‐ This territorialism.
The friction
between departments.
It's all part of an
outdated patriarchal system
based on confrontation, where
he who yells the loudest wins
even though he may
be totally wrong.
Yup. That's how it is, alright.
Doesn't have to be.
Picture this.
A hospital
without departments
where every floor
is staffed by a team
comprising of
various specialties.
No time wasted on battles
about your service, my service.
They've been replaced by
a more evolved, harmonious
if you will, feminine model in
which the patient belongs to us.
Sounds good, but does it exist?
It will. I'm building it.
And you are again?
John Koch, MIT,
Sloan School of Management.
We have a problem.
She doesn't wanna wait
for the plastic surgeon.
‐ She wants to take her home.
‐ Where's the social worker?
‐ I paged her three times.
‐ What about the police?
They're supposed
to be on their way.
Okay, you follow my lead.
Mrs. Howe, we apologize
for the delay.
The plastic surgeon wants to do
some more tests
on Bonnie's hand.
Nurse Hathaway is gonna
take her up to radiology.
Can I go with her?
I'm sorry, hospital policy.
I wanna stay with my mommy.
It's okay, sweetheart.
Come on.
I want my mommy!
Wait, I don't want her to go.
This is her.
No! You lying bitch!
Give me back my baby!
Give me back my baby!
Mommy!
Alright, people, let's move.
Let's get him prepped.
Oh, God. Please, doc,
knock me out, will you?
Okay, Mr. Furst, take it easy.
Help is on the way, okay?
Alright, here we go.
Cripes, Peter,
I haven't put him out yet.
I didn't cut him.
What's goin' on?
Well, folks,
we can all scrub out.
The stone hath passed.
Oh, thank God!
How are you feeling?
You know, I saw in the
social history in your chart
that you used to teach
high school English.
Was that here in Chicago?
You know, the hospital
has a pretty good library.
I could bring you some books
if you'd like. Maybe Conrad..
I, uh, I spoke to three..
...Roger Klein's
in the Bloomington area.
None of 'em...were your son.
And I‐I had the phone company
check all the unlisted numbers.
I couldn't find him.
Is there anyone else
I could call?
How long has it been
since you spoke to‐to your son?
Ten years.
O‐oh, 20‐20‐20 years.
I'm sorry.
‐ Oh! Excuse me.
‐ Sorry.
‐ Uh, my fault. You're okay?
‐ Yeah, fine.
Six lousy bucks.
I've got it.
Where's the vial?
Here.
Quick, he's coming.
What?
You people have too much
time on your hands.
You should have heard
that little girl.
She cried for her mother
for 45 minutes.
When the social worker took her,
she was still crying.
She's better off.
What? Growing up
without a mother?
Her mother's a monster.
I don't believe that.
I think she was damaged
a long time ago.
I hope, with some therapy,
she can straighten out
and get her kid back.
You're more hopeful
than I am, thank God.
So I hear you're
fostering Tatiana.
You gonna try and talk me
out of it like everybody else?
No, I think it's a wonderful
thing what you're doing.
‐ Really?
‐ Absolutely.
I always said you'd
make a great mother.
‐ Doug?
‐ Yeah?
Got a 16 year old GSW.
To the neck.
‐ ETA Seven minutes.
‐ Okay.
Thanks.
Please, no dead kids today.
How is he?
BP's falling,
respiration's down.
I don't think
he'll make it till morning.
Thanks.
Hi.
I didn't know what you'd like,
so I brought a few.
Not a fan of Melville, I see.
Mmm‐hmm.
Oh, God.
Excuse me for a second.
Did you do the history and
physical on the leg pain in Two?
Not yet, I was about to,
but I thought I'd spend
a little bit more time
with Mr. Klein.
Well, that woman's been
waiting half an hour.
So, why are you wasting
time on a DNR?
Because he's dying
and he has no family.
Carter, this is your surgical
rotation, not pastoral care.
It's not your job to
become this man's family.
Dr. Benton, I think
there's more to patient care
than just cutting them open.
Mm‐hmm, and that's
what nurses are for, so..
Do the H and P on the leg pain
and renew everyone's meds.
I've got a drunk to stitch up.
Better go stitch him up.
It's interesting
how modern medicine
systematically dismantles
the rituals of death.
We do everything we can to make
it routine, a non‐event.
People don't die here,
they code.
We can do better.
I can't believe I didn't
think of it before.
‐ Kenosha!
‐ Kenosha?
Kenosha. We can live there,
be a family and commute.
Never actually been to Kenosha.
Oh, it's right on the lake,
they've got great schools.
Birthplace of Don Ameche.
Well, there it is.
Looks like our next
lucky contestant.
So, who is this Diane Leeds
who keeps calling?
A very desirable woman
who will never go out with me.
Why not?
One of her friends
is one of my exes.
Oh, turned you down?
No, I never bothered
asking her out.
Wait, you're telling me
you're afraid to ask her out?
Nobody likes rejection.
What've you got?
.38 caliber
clipped him in the neck.
He's bleeding profusely,
the BP's 60/40.
‐ How'd it happen?
‐ He was robbin' a store.
‐ A cop shot him.
‐ It's alright.
Turn him over to me.
I got it. Alright. Here we go.
‐ What's his story?
‐ He's the cop.
Get me a blood on pressure bag.
And get me an intubation tray.
‐ The bag's dry.
‐ Hang another liter of saline.
Squeeze it fast,
he's bleedin' out.
‐ One, two, three.
‐ Load up on the O‐negative.
No breath sounds.
I have to clamp this bleeder.
Where's Benton?
Anybody seen Benton?
Hey.
Hey, hey.
‐ Hey!
‐ I'll be back.
‐ I'm not gettin' a pulse.
‐ Blood‐Y tubing.
Oh God, he took it straight to
the heart. Thoracotomy tray.
‐ Thought they wear vests.
‐ They're supposed to.
'I need some help in here.'
‐ Coming. Susan, you got this?
‐ 'I got it. Where's Benton?'
Got a lot of blood
coming out of his mouth.
‐ Bullet holes in his chest?
‐ Tube's in.
No, just the neck.
He's bleedin' in his lungs.
How you doin', Carol?
If I press any harder,
he's gonna stroke out.
'Alright, What have we got?'
16‐year‐old,
bullet to the carotid artery
thready pulse,
blood in his lungs.
You're gonna need to clamp him.
Alright. What's going
on over there?
Cop took a bullet
into his heart.
Susan's cracking his chest.
Dr. Benton?
W‐w‐wait a second.
Get somebody else down.
‐ I'm gonna go help Susan.
‐ Okay.
‐ Suction..
‐ Scalpel. Thank you.
His lungs are full of blood.
Suction, right now. Here we go.
Retractor here.
This kid's not getting
blood to the brain.
Yeah, well, he's young.
He's got enough collaterals
to keep him perfused.
Okay, vascular clamp.
Right now.
Come on, Carol. Right now.
Thank you.
Okay, lungs are clear.
Okay. And he is clamped.
Move him right now.
Get him out.
Rib spreader.
Hanging more O‐neg.
Okay, now let's see.
What do we have in here?
Hole in the ventricle.
Give me suction,
Three‐O Proline..
...on an atraumatic needle. Now.
Call the OR.
We might have a save here.
Where the hell is Carter?
He's missing out
on a valuable education here.
Okay, I'm gonna do
a horizontal mattress
take two bites, twice
go into the coronary artery
both times
so I don't obstruct it.
Do it quick, Peter.
His pressure's dropping.
I hear that.
Okay, now listen up,
boys and girls.
The trick here, is
to plug up the hole..
...without
closing off the artery..
..which...is
what I've just done.
Peter?
A bullet through the ventricle,
I stitched it.
Who clamped the kid
who went up?
I did.
‐ I'm getting a pulse.
‐ Nice job, Peter.
Looks like that rest
did you some good.
Take him up.
Well, what a way
to end the day, huh?
‐ Taking off?
‐ Yeah.
‐ See you tomorrow.
‐ Alright, I'll see you.
‐ I don't believe you.
‐ Me?
I just finished
the file on the guy
you attacked last week
and I get a call
that you got another altercation
this time with a woman.
‐ This time, I was the attackee.
‐ Are you alright?
Well, it's not
the first time I've been
clawed by a hostile female.
You're finally paying
for your bad karma.
You have no idea.
I don't know what
legal's gonna say about the fact
that I have to defend you
a second time.
You defended me the first time?
That's my job.
Now, I need you to write
out a statement again.
And don't take so long gettin'
back to me this time, alright.
Listen, Diane?
You wanna get some
dinner sometime?
I don't think
that's a good idea.
I guess you were right.
I'm...I'm right.
'You got a minute?'
Dr. Greene,
endocrinology on six.
I'll take it down
at the nurses station.
I just wanna make sure
that bleeding varices
gets presented next week.
‐ You won't be there?
‐ Nope. I'll be in Boston.
Oh, yeah?
I'm taking over the residency
program at the Brigham.
Dr. Greene here.
Can you hold on?
‐ Harvard?
‐ Always an ambition of mine.
‐ Congratulations.
‐ Thanks. I couldn't be happier.
As far as your becoming
an attending next year.
I took care of it.
I gave my recommendation
to the chief of staff.
You're the guy.
No need to look further.
‐ Thank you. Appreciate it.
‐ It's almost a lock.
Oh.
'Course, the new guy has to
approve it, but don't worry.
Listen, I'm in my office
another two weeks.
Come by. We'll have a drink.
"Sailing these seas
or on the hills
"or waking in the night
'"thoughts, silent thoughts
of time and space'
'"and death,
like waters flowing'
'"bear me indeed
as through the regions infinite'
"whose air I breathe
"whose ripples hear
"lave me all over.
"Bathe me, O God, in thee
"mounting to thee, I and my soul
to range, in range of thee.
O thou transcendent,
nameless, the fiber.."
Carter, did you do notes
on all your patients?
I'm doing them now.
They're supposed to be
in by end of shift.
Looks like you've just begun.
I'll have them first
thing in the morning.
You'll be up all night.
That's what happens
when you spend
too much time
with one patient.
I consider it time well spent.
He, um..
He died ten minutes ago.
Carter, why did you put in
for a surgical sub‐internship?
Because I wanna be a surgeon.
You're wasting your time.
You don't think like a surgeon.
Why? Because I don't
think like you?
I'd like those notes
first thing in the morning.
Cat. C.
‐ Da. C is for cat.
‐ And Carol.
Carol, Ms. Brown from family
development is here for you.
Oh, okay.
Okay.
‐ Hi.
‐ Hi.
Carol, something came up
in your background check.
You attempted suicide last year.
‐ Uh‐huh.
‐ I wish you had told us sooner.
I'm afraid we can't
place Tatiana with you.
There's no way
the state would approve it.
But I'm‐I'm‐I'm
fully recovered‐‐
If it had happened
three years ago, maybe.
But one year...we just can't.
I'm sorry.
Hi.
Hi.
I'm working on it,
uh, right now.
How about next Friday?
You're asking me out?
No, I'm respondin'
to you askin' me out.
That was three hours ago.
‐ You change your mind?
‐ No, I don't think so.
So, we're on?
If it means that
much to you, okay.
I don't think I like the way
this date is starting out.
It'll get better.
We'll see.
Hey, my man's on time.
Hey.
Where's everybody at, Walt?
Jackie and the kids
went up to the lake early..
...and mom went to bed.
Jackie said to remind you
that your mother wakes up
bright and early, 6 a. m.
She'll be wanting her medicine.
Alright, alright,
I'll, uh, I'll set the alarm.
So, you really
going down on the ice?
Uh, well, it's that or spend
the day in a three room cabin
with your sister,
the kids and no TV?
Hell, yeah,
I'm goin' out on ice.
Uh, what time y'all coming back?
About 8 o'clock tomorrow night.
Look man, thanks a lot.
I really appreciate this.
Yeah, yeah, yeah sure.
Uh, there's some leftover
meatloaf in the fridge.
Mm‐hmm.
Hey, Walt.
‐ Catch me a walleye, huh?
‐ Yeah, right. Later, man.
Yeah.
Alright.
Hi.
Carol.
Can I?
Yeah. Yeah, come on in.
What is it?
I lost her.
I've been in therapy.
I've worked hard for nine months
and it doesn't matter.
All they care about
is that I took some pills.
Who?
Ms. Brown. Foster care.
Tatiana?
‐ They won't let me have her.
‐ Oh, Carol.
It's like I'm defective
or something. You know.
No, no, no.
I'm so..
I mean, God..
I'm kidding myself,
you know that I could do this.
It's so stupid.
You're ice cold.
You should have seen her, Doug.
I mean, she's seven years old.
I tried to explain it to her‐‐
Carol, hey listen to me.
It's not your fault.
You hear me?
It's not your fault.
But I promised her
I'd be there
and now I'm not
gonna be there.
How could you have known?
God..
Maybe...maybe I..
...I shouldn't have
thought about doin' this.
No. You were exactly
what she needed.
You're the only person
who thinks that.
Well, I know you.
Can I stay here?
Has Tag heard yet?
He never wanted her.
‐ Carol, no.
‐ Please.
Why don't I drive you home?
‐ I know.
‐ Oh, oh, God.
The design's been approved.
We've set a construction
start date for June
and we've recruited
world‐class physicians
like Borges and Folkman
to our advisory board.
That's impressive.
Well, they know
we're onto something.
The high profile's
attracting resources
and I'm approached daily
by exceptional doctors
about joining the staff.
‐ Are you interested?
‐ Me?
From what I've observed,
your expertise, your temperament
auger a very
promising medical career.
Well, I'm flattered.
And yes, I am interested.
Excellent.
There he is.
Marty, we were
worried about you.
Why you gotta do this?
‐ Do I know you people?
‐ Marty, please, be good.
I've brought the restraints.
Don't make me use 'em.
‐ This is almost amusing.
‐ This is a mistake.
This is Dr. Koch
from MIT, Sloan‐‐
Sloan School of Management.
Yeah, I know. It's his latest.
'A few months ago,
he passed as an OB'
'And delivered two babies
before we caught him.'
He's real smart. Reads a lot.
Wait a minute. You're telling me
you're not even‐‐
Susan, it'll get sorted out.
It'll get sorted out.
I just...was planning to
observe the Psych ward anyway.
Come on.
Wait.
'Come on, Marty.'
Ho!
Hey.
I didn't expect you.
‐ Where's Rach?
‐ I didn't bring her.
We need to talk.
Yeah. Yeah, we do.
I can't do this anymore, Mark.
Not living together
and never seeing each other.
I know, so let's stop it.
You're willing
to leave the hospital?
A compromise.
We can live between Chicago
and Milwaukee. Kenosha.
It's just an hour
in each direction.
And we can be a family again.
‐ Mark.
‐ What? It can work.
You want me to commute two hours
a day so you can take a job?
So we can all be together again.
That's two hours
less for Rachel.
My God, it's bad enough she's
not growin' up with her father.
Whose fault is that, huh?
It was your idea
to go to Milwaukee.
Would you rather
I leave her here with you?
Do you know
that in seven years
you've never given
anything up for me?
Why are you so intent
on making me give up a job
I've spent years tryin' to get?
You do what you want,
when you want
and you just expect me
and Rachel to be there for you
'when you have time for us.'
Jen, come on.
I don't think we're gonna
make it, Mark.
We're gonna make it.
‐ No, this isn't working.
‐ So, we'll make it work.
We went a year.
We can go another year.
Mark!
I'll do better, okay?
I'll come up more often.
Rachel, she can come down here.
You're not listening.
Okay. I‐I am.
I'm listening.
I'm leaving you.
I'm sorry.
Freezing rain west of us
at this hour yesterday morning
'but that really didn't amount
to much of a problem.'
'Skywatch 5, our live camera,
we'll take a look outdoors'
'Jackie? I need my medicine.'
'Peter?'
'Peter!'
'Petey.'
'Uh!'
'Uh!'
Ma! Ma!
Okay.
‐ 'Dr. Benton.'
‐ Dr. Benton's mother.
75 years old, history of CVA.
She fell down the stairs.
Possible hip fracture.
BP's 90/60. Heart rate 110.
Legs shortened
and externally rotated.
I got an IV of
normal saline going.
O2 by nasal cannula,
ten liters, CCS 354.
‐ LOC at the scene.
‐ We got her ID.
Okay, she's waking up now.
Alright.
Let's move her.
Careful of her hip.
On three. One, two, three.
Call radiology
and get neuro down here.
Carter, check her pupils
and response to pain.
Dr. Benton, what happened?
What happened?
Mrs. Benton? Can you hear me?
If you can hear me,
squeeze my hand.
Carter, you try.
Mrs. Benton? I'm John Carter.
We're gonna take care of you.
‐ Can you understand me?
‐ 'Peter, what happened?'
'Mrs. Benton,
Can you understand me?'
‐ 'Peter?'
‐ Talk to me.