ER (1994–2009): Season 1, Episode 20 - Full Moon, Saturday Night - full transcript

Dr. Greene is still haunted by the death of Jodi O'Brien and isn't sure he can function as a doctor. At Susan's urging, he takes the night off but unfortunately for him, the new head of the ER Dr. 'Wild Willy' Swift arrives unannounced. Susan impresses Swift with her handling of many cases on a busy night. She also has to deal with the case of a young man who has had the hiccups for two days but may in fact be suffering from something far more serious. Nurse Hathaway and fiancée Tag are still working out the details of their wedding. Peter Benton's mother is still hospitalized and he will not accept that her age and her injuries mean that she will need permanent nursing care. Dr. Ross is now dating Diane Leeds. John Carter and Deb Chen's attempts at oneupmanship is starting to take on ridiculous proportions.

You got patients waiting.

I know.

Are you gonna
stand here all night?

I don't know.

Are you okay?

I just can't stop
thinking about 'em.

Maybe you should
take some time off.

‐ I'm okay.
‐ Take tonight off.

I'll get someone
to cover for you.

If we get in trouble,
I'll have someone page you.

Yeah, okay.
Thanks.



No, no, no, Bob.

Intakes go here.

Discharges go there.

I have my own system.

Well, you're screwing
everything up.

Okay, Diane, listen,
I got to go.

I'll pick you up at 9:00.
Okay, bye bye.

‐ What's the problem?
‐ Oh.

Bob's reorganizing
the department.

Have you told her
to put me in for a raise.

Me first.

‐ 'Goodnight, all.'
‐ Goodnight.

Alright, what's my bid
for the Saturday night special?

A jilted
boyfriend on PCP.



Twenty two years old,
six foot eight

comes strapped
to his own gurney.

I'm going home.

Going once, going twice.

Sold to the doctor
in the pale green scrubs.

Doug, I said
I'm going home.

Susan, you take it.

He's still upset?

Still.

'Hi.'

‐ Busy night?
‐ Refreshingly slow.

‐ Are you going out?
‐ Well, it's Saturday night.

Oh, yeah.

You need a break, Peter.
Go home. Get some sleep.

Yeah, but my mother
gets anxious if no one is there.

How long can you keep this up?

Working here and staying
with her all night?

I don't know.
Till she goes home.

‐ Home?
‐ Yeah, home.

Why don't I sit
with her for a while?

We can, uh, finish up here,
grab some dinner.

Give me a chance to get
all the gory details

about your adolescence.

Alright. Yeah, yeah,
that sounds good.

Yeah, it sounds fascinating.
I'd like to come along.

Carter, finish your notes,
and mind your own business, huh?

'Carter, will you stop him?'

‐ Carter
‐ Whoa! You're speeding, sir.

Help! She's killing me!

Louie drank a six‐pack.

He has an enlarged prostate.

Been trying to put in
a Foley catheter for an hour.

Oh, but I'm off now.
So, Carol, he's all yours.

Oh, gee, thanks.

Alright, Louie.
Don't worry.

I'm gonna use
plenty of Lidocaine.

Your shift over yet?

Yeah, if Benton ever leaves.

Ever worked a full moon
Saturday night?

No. Is it that different?

Stick around and find out.

Call security!
Code white to Trauma Two!

Get me out of here!

Hey, hey, hey!

Watch it, watch it.
Stay back, stay back.

Rita! You cheating bitch,
I'll kill you!

Full moon Saturday night.

Cool.

'Only this American
luxury car was featured'

'on the covers of both leading
news magazines under the..'

What are you doing?

Just checking out
your procedures.

Well, hey.
Next time, ask.

You think you've done enough
to get high honors?

I don't know.
I don't count.

You should. I do.

Hey, Carol, Mark went home.

Could you call
Foster in at night?

‐ He broke his leg skiing.
‐ Oh.

Uh, what about Alonzo?

Doing ICU.
How about Ross?

Previous engagement.

‐ Oh.
‐ You care?

‐ Nope.
‐ Yes, you do.

‐ No, I don't.
‐ Diane Leeds.

‐ Really? The one with the kid?
‐ Mm‐hmm.

‐ Susan.
‐ Yeah?

Auto versus pedestrian ETA now.

Gangbanger in the suture room.

‐ And that sore throat‐‐
‐ Call someone.

‐ Moonlighter?
‐ Oh.

They're always senile
or dermatologists.

‐ Okay, e‐mail my orders.
‐ Okay.

It's gonna be one
of those nights.

'Kerstetter David,
18, intoxicated.'

played chicken with
a Taurus and lost.

He came out of nowhere.

I slammed on my brakes,
but it was too late.

Okay, don't worry.
We'll take care of him.

BP's 140/90,
tachy at 160.

Minimal blood loss considering
the chest laceration.

Gave him 300cc's of saline.

Mental status
at the scene.

Alert, GCS 15.

Notify his family.

Oh, nasty gash.

Malik, get chest
and abdominal films.

And throw in a head CT.
Carter, what do you want to do?

Check for pneumothorax,
do a quick neuro exam

rule out abdominal trauma

get an EKG to screen
for cardiac contusion.

'Good.'

Carter?

Oh, yeah. Uh...okay,
everybody, on my count, now.

One, two, three.

Nice and gently.
Nice and gently.

‐ Good.
‐ Go ahead.

‐ 'Does this hurt?'
‐ No. My chest.

Get a tox screen
and a blood alcohol.

'Reflex is intact.'

Pupils are equal
and responsive to light.

'Haleh, get a
cross‐table C‐spine.'

Breath sounds
clear bilaterally.

'God, it hurts!'

Abdomen is soft,
apparently nontender.

Give him 60 of Toradol.

Don't wanna mix
alcohol with morphine.

Need any help, Dr. Lewis?

‐ How are you with sutures?
‐ Excellent.

'Great, when we're finished
here, you can start.'

‐ Looks like he's gonna live.
‐ What are you doing here?

Heard you were staying,
so I'm staying.

‐ Susan, that banger's waiting.
‐ Okay.

Uh, Dr. Lewis, I was sort
of hoping I could follow‐‐

Carter, there's plenty
of wounds to go around.

Deb, you start there.
Carter, you start there.

Call me when you
reach the middle.

Okay, looks like we're
gonna need two suture kits.

How's it going?

Okay.

You work around here?

Yeah.

What's good on the menu?

Nothing.

Bagel looks safe.

Excuse me.

Friendly place.

Oh, doctor?

‐ Yeah?
‐ Uh, will he be alright?

Well, for a guy hit by a car,
he's in pretty good shape.

Can I see him?
Apologize?

Yeah. As soon as they're
done sewing him up.

Wait right here.

This isn't a race, John.

Yeah, well, you
could have fooled me.

You know, if you go
a little slower

your stitches wouldn't
invert so much.

Is he screwing up?

Relax.

What are the rules
for sharing procedures?

What?

You know, for our books.

Whoever's been here
the longest, I guess.

Hmm.

How about...whoever
sews more takes it?

You're on.

‐ 'No!'
‐ 'Hey, Carol!'

'I need a gurney!'

Mr. Travis,
are you in pain?

My...my chest.

Okay, okay. We're gonna
take care of you.

Get this off him.

Alright. On my count,
one, two, three.

Good.

‐ What do you got?
‐ 'Hank Travis.'

The driver who hit
the chest lac.

He collapsed with chest pain.

‐ Looks like an MI.
‐ Yeah.

What's going on?

Can't tell.

'Start an IV and get an EKG..'

John, um, finish up
for me, will you?

He's got an early
diastolic murmur.

BP's skyrocketing, 230/160.

‐ Aortic rupture?
‐ I don't think so.

Pressure's too high.
Do we have a crit?

‐ Yeah. 46.
‐ Not bleeding.

Do you have
high blood pressure?

‐ Yes.
‐ We got a section here.

We need to lower his pressure
before he strokes out

or rips his aorta.

‐ I'll call OR.
‐ Thanks, Malik.

Susan, you want
a beta blocker?

Yeah, a bolus
and 3.5 migs of Esmolol

and let's do
a transesophageal echo

to check out the damage, okay?

‐ I'll get the echo.
‐ Okay.

Any batch free
in the cardiac unit?

‐ Who's in charge?
‐ Dr. Lewis.

'Someone call his wife.'

Sir, you're gonna have to
wait outside.

I'm Dr. Swift.

Oh, moonlighter's here.

Spandex. Nice look.

'There you go.'

Well, don't just
stand there, glove up

and get your butt over here.

'How's his pressure?'

It's falling, 190/130.

'I bet you've never seen
a transesophageal echo.'

‐ There you go.
‐ One or two.

Mr. Travis, this
isn't gonna hurt.

I'm gonna look at your heart

by putting this
instrument down your throat.

‐ Two versed?
‐ Okay.

Yeah.

Let's see what we've got here.

Look, it's gonna get
real hairy here tonight

so, pick out what you
think you can handle.

Sutures,
weak‐and‐dizzy‐all‐overs

kid with the croup.

All the easy stuff, okay?

I'll try and keep up.

'There it is.'

Call a thoracic surgeon.
This guy's in trouble.

Okay, get him up to the OR now.

He's got a type A dissection
of the ascending aorta.

You sure about that?

Acute chest pain, hypertension,
water hammer pulses

nonspecific ST changes.

‐ Could be an aortic rupture.
‐ I don't think so.

You don't think
you should consider that?

Who the hell are you?

I'm William Swift,
your new ER chief.

I'm taking over from
David Morgenstern.

Nice to meet you,
Dr. Swift.

William. So where are these
weak‐and‐dizzy‐all‐overs?

Okay.
Short end takes the lice.

'Oh, man.'

Uh‐huh‐uh.

‐ Oh‐oh.
‐ It's 50‐50.

Yeah, in theory,
but I never wi‐win.

Cheer up, Carol.

Your bedpan days
will soon be over.

Yeah, not with my luck.

Once you marry Tag,
you can do whatever you like.

So, you're gonna leave us
when you get rich?

What? And leave
all this beauty?

‐ 'Uh‐ho.'
‐ Hey.

‐ Hey.
‐ What do you have here?

"Twelve common errors
that can ruin your wedding."

‐ Hey.
‐ "Modern bride?"

There's some
great articles in here.

Hey, did somebody page me?

‐ 'No, not me.'
‐ No?

Okay, check out number six.

"Make sure you audition
the band before you hire them."

So, I guess
your brother's band is out?

They had actually have
to know how to play.

So what kind of band
should we get?

I thought maybe we'd do some
polka music or something, right?

‐ You're hysterical.
‐ Tag?

‐ Taglieri?
‐ What's up?

‐ Did you get my page?
‐ Yeah.

So how come you
didn't you tell me

you were kicking
my mother out, huh?

‐ He's been in the computer.
‐ Yeah, yeah, you're damn right.

Hey, we talked about you
staying out of your mom's file.

Why are you discharging her?

Hospital's breathing
down my neck, okay?

Put them off a week.
Medicare won't pay any more.

Look, she needs more time
to recuperate.

It got her three more days.
It's the best I could do.

Get your family together
and talk over your options.

She's not ready to go home yet.

Face reality, Peter.

She's had a stroke
and a hip replacement.

She can't go home.

She's gonna require skilled
nursing the rest of her life.

I will take my mother home

and care for her myself
if I have to.

She's not going home.

The hell she isn't.

Dr. Susan, we are running
out of rooms.

Ah, midnight,
the witching hour.

Let's make room for the punks,
skunks and drunks.

Man with hiccups and 18‐year‐old
female weak and dizzy after sex.

‐ Her first time?
‐ Hmm.

An orgasm.
God, I'm jealous.

‐ Been a while?
‐ I'll take the hiccups.

I got a woman
with abdominal pain

and a wheezer
who needs a blood gas.

Carter, do a focused H and P
on the abdominal pain.

Hiccups sound
more interesting.

You'll see a thousand
acute abdomens

for every case
of the hiccups.

She need the practice.

Do a pelvic and a rectal.

Ooh.

Patient fumigation.

‐ Hey, hey.
‐ Hey.

‐ Walking in space?
‐ Lice.

‐ Uh, sounds sexy.
‐ Yeah?

‐ You wanna hear some bands?
‐ Might as well.

What do you think?

I think your brother is starting
to sound better every minute.

Is that Wild Willy?

You know Dr. Swift?

Know him? We played ball
together at Ohio State.

Hey!

Hey, Lewis, special delivery.

‐ Where do I sign?
‐ On the dotted line.

It's for Beta Tau Sigma pledges
dumped on rush street.

Possible frostbite
to all extremities.

They left us in Lincoln Park
with just our shoes and socks.

‐ What have we got here?
‐ Popsicle pledges.

Uh, could we get some blankets
over here to warm these guys up?

Help me.

Somebody..

...help me.

Ma, ma.

It's Peter.
I'm here, okay?

Why did they do that to me?

It's okay, ma.
It's okay.

I told them not to,
but they wouldn't listen.

I know, I know.
It's okay, ma.

I asked them to stop it,
but they wouldn't listen!

‐ They won't do it again.
‐ They never listen!

Okay, I know, I know.

Ma‐ma, listen to me.

Uh, I'll be right back, okay?

You okay? Alright, alright.

I love you, alright?

I, uh..

I thought you were
sitting with her.

I went out to get
a cup of coffee.

Mm‐hmm, well..

...how could you let
them do that to her?

Do what?

My mother doesn't need
to be restrained.

She was trying
to crawl out of bed.

Still, you shouldn't
have let them do it.

I'm the one
who asked them to do it.

Oh.

Don't bother to come back.

‐ What?
‐ I don't want your help.

Peter,
she needs to be restrain..

'Mm‐hmm and take a deep breath.'

'And let it out.'

‐ Ahh!
‐ Oh.

‐ Does that hurt?
‐ Uh, a lot.

Uh‐huh. Have you had
this pain before?

Never.
It's the moon.

It's in the fifth house.

Something strange
is going on inside me.

Uh, could you be pregnant?

Well,
with this month's aspects

the unlikely
is probably definite.

Uh‐huh.
Uh...okay, uh.

I'm gonna go ahead
and order a pregnancy test

and then we'll just
take it from there, okay?

Okay.

Um...are‐are you by
any chance a Gemini?

Yeah.

When's your birthday?

June 4th.

Um...year?

Um, you‐you know,
I don't, I don't‐‐

1970?

Yeah.

Time of birth?

For that, you're gonna have
to ask my mother.

What's her number?

Timmy's tried everything.

‐ Breath holding.
‐ Drinking ice water.

Uh, tickling,
breathing into a bag.

‐ Scary movies‐‐
‐ I haven't slept in two nights.

We're getting married
in two weeks.

Will he be alright?

Probably just a case of
the pre wedding jitters.

Look, is there anything
you can give me?

Thorazine sometimes
works, Mr. Falco.

We'll try that,
and we'll run some blood tests

and take an abdominal X‐ray just
to cover all the bases, okay?

You know, I just can't decide
between Hawaii or Paris.

I kind of had my heart
set on the beach.

You burn so easily though.

No, I don't. I tan.

Hawaii it is.

But Paris sounds so romantic.

Have you any chance to check out
those China patterns yet?

When was I supposed to do that?

People are starting to ask.

Really?

Got a call from the Tiki Torch
down the street.

They got a guy on a porta‐potty
with our name on it.

That would be Louie.

Could you get a cab
to pick him up, please?

‐ Mm‐hmm.
‐ Thanks.

Where were we?

How are we doing?

Swift's looking for Mark.

Where's Dr. Greene?
Board says he's on tonight.

Uh, he went home
with a touch of the flu.

‐ Thank you.
‐ You're welcome.

Your unsolved mystery
is solved.

Congratulations.

‐ You're pregnant.
‐ Oh.

That's according to the
Pisces astrological forecast

in the "Tribune."

Oh, and these lab results.

Thank you, Dr. Gemini.

Uh, I had a feeling
you'd bring me good news.

But are you sure
there's not something else?

‐ What do you mean?
‐ Well, I..

I constructed your chart

and I'm certain we haven't
finished our journey together.

Saturn is aligned
with Mercury.

Is that bad?

It could be.

‐ For who?
‐ Uh, both of us.

You're conflicted,
searching to find your way.

Go with the voice inside you.

Fight the influence of others
who seek to destroy you.

I'll, uh order that ultrasound.

Welcome back, Louie.

Did you miss us?

Have you been drinking,
Louie, hmm?

You still have
your catheter in?

Louie.

Six pints, Louie.

It's time
to change your bags.

Okay.

Stay right there, Louie.

Hey, how are you holding up?

Not bad. It's kind of nice
not having the boys around.

Oh! Oh, my God!

Cherry bomb
in the trash can.

Pledges.

Hey, Carter.

Are you glad you stayed?

'There's a call on the radio.'

Read you, dispatch.

'Implement disaster protocol.'

'EMS Plan One at Wabash and
Balboa for nightclub fire.'

How many? Over.

'Fifteen to twenty.
Most with third degree burns.'

I'll set up a triage point.

Alright, I'll put out
call backs.

'What is it?'

Ah.

I'm getting beeped.

Huh, 2:00 in the morning?

Welcome to my life.

'Just better not
be another woman.'

Mm.

Oh, quit making so much noise.

I'm never gonna get back to
sleep before I really wake up.

Hey.

Mm.

So, can I come back?

There's a spare key
on the kitchen table

but you have to be back out

before Jake wakes up,
that's all.

Damn.

Twenty nine minutes,
thirty two seconds.

I beat you.

You what?

What's goin' on?
Where's the victims?

You're looking at' em.

Everyone, I'd like
to introduce Dr. Swift‐‐

William Swift, your new chief.
It's good to see y'all.

Which one of you
is uh, chief resident?

We haven't been able
to locate Dr. Greene yet.

Okay.

I find these drills ideal
for meeting my team

and assessing how quickly
the residents can mobilize.

Now, seeing
that I have you here

I'd like to take a few moments

and go over some of the basics
of ER Management.

‐ Thank you.
‐ At 2:30 a. m.?

Don't worry,
I'll have you home by 4:00.

John, could you please
help me with a patient?

Why, is it a procedure
you've already done?

No, it's a guy
who's really drunk

smashed his finger
in a car door

and he's pawing at me.

He also smells terrible.

And you have a problem
with that?

I can hardly wait
to get out of the ER.

Mr. Denardo,
this is John Carter

and we're here to take care
of that finger.

I want a real doctor,
not a couple of kids.

Great, then we're gonna go,
we're gonna let your finger

get infected swell up
and fall off, if you prefer.

Thanks, uh,
you numb the finger

and I'll drain the nail bed
with a cautery.

Okay. This is gonna feel
a little cool.

Wait, wait, wait!

Didn't I ever tell you
ethyl chloride is flammable?

Damn!

Oh, I'm really sorry.
Please don't tell anyone, okay?

A patient presents to the ER,
ptosis, miosis, and hidrosis.

Dr. Ross what does that
bring to mind?

The Osis Sisters.

I dated the short one.

Um, I believe you're describing
Horner's syndrome.

Correct. Otherwise,
a drooping eye.

What should you worry about?
Hmm?

Pancoast tumor of the superior
sulcus of the lung.

Correct. And you are?

Bob. I started in housekeeping
and now I'm a desk clerk.

Yeah.

‐ Dr. Greene for you on two.
‐ Okay.

Many of you have
a fondness for using antibiotics

prophylactically when dealing
with animal wounds.

Where are you?

In an arcade.
I didn't feel like going home.

What's up?

'The new chief called a drill.'

Okay.

One hour, 47 minutes,
a new record.

‐ Where are they?
‐ Trauma One.

'Any questions,
my door is always open.'

Dr. Bagel, come right in.

Man, you're in trouble.
Wild Willie's on a tear.

Wild Willie?

Hi. Uh, Mark Greene.

Yeah, I've heard.
William Swift, your new chief.

‐ How's the flu?
‐ The what?

Well, I guess
you're feeling better, huh?

Look. Go home.

Read that before your next shift
then we'll talk.

‐ The flu?
‐ Sorry.

Guess I should have stayed, huh?

Ma.

Ma?

I'm here. I'm here.

Are you in any pain, ma?

‐ No.
‐ Okay. Okay, I got you, okay?

I got you. Damn!

How'd it go?

I think I blew it
with the new chief.

Let's just say you didn't make
a strong first impression.

‐ You have to stay?
‐ No, he sent me home.

Alright, let's just get out of
here before he changes his mind.

'Move the transducer down
to visualize the adnexa.'

‐ 'Is that the ovary?'
‐ 'It sure is.'

'And that's the ectopic.'

'You have both
an intrauterine pregnancy'

'and an ectopic pregnancy.'

Twins?
That makes sense.

He's a Gemini.

Will they be alright?

You can carry the one
in your uterus

but we need to operate
and remove the other

before it ruptures.

If that happens,
you could die.

I'm sorry, Arlena.

Don't be.

I'm having a baby
and I'm gonna be just fine.

Mm‐hmm.

I scraped it climbing a cliff.

And why were you
doing that, Mr. Talbot?

Chasing cats.

Cats?

I'm a werewolf.

Oh, full moon, right?

Please put me in restraints
until sunrise.

It's only a couple of hours.

You think you might harm
yourself or somebody else?

There's no telling
what I might do next.

Okay. Well, I will go
and get you a doctor.

Never turn your back
on a werewolf!

I forgot. Sorry.

Oh!

Carter, I am so sorry.

Any good patients?

Nope. Just a couple of drunks.

Why don't you take a nap?
I'll beep you if anything good‐‐

I'll be in Four.

‐ What was that?
‐ Werewolf.

Huh?

Maybe you should
lock your door.

Oh, you cured his hiccups.
They're gone.

‐ I feel much better.
‐ I have some test results.

I should probably go over them
with you alone.

No. No, no, go ahead.

We‐we don't have any secrets.

You have some potentially
serious findings

in your CTs and ultrasound.

How serious?

These are abscesses,
pockets of bacteria

'invading your liver.'

'It's inflaming your diaphragm'

which is what caused
your hiccups.

We're gonna have to admit
you, run some tests

treat you aggressively
with IV antibiotics.

I see.

Well, but that'll cure him,
right?

I hope so.

I need to ask you
some questions.

Some difficult questions.

Okay.

In cases like these

in which an apparently healthy
young individual

like yourself has
such an unusual illness

we need to consider
the causes.

Have you ever used IV drugs?

Never.

'Have you had high risk
sexual contact'

unprotected sex
with men, prostitutes?

What are‐are you suggesting
I have AIDS?

It's an unusual condition

and is sometimes seen
in patients with HIV.

It's probably
just a bacterial infection

but I needed to consider
the risk factors.

I‐I can't believe
you're telling me this.

You didn't answer
my other question

about other sexual contacts.

No. Never.

What do you think
about Wild Willie?

I don't know.

Probably gonna make us do
pushups before every shift.

Yeah.

You think he'll take
Morgenstern's recommendation

'and make you attending?'

Yeah.

You know, I hear
that he's promoting Carter

to chief of surgery.

Uh‐huh.

You getting any sleep at all?

‐ 'Mark.'
‐ What?

Nothing, you just..

You didn't hear anything
I was saying.

‐ Sorry.
‐ You gotta let this OB case go.

Could have happened
to any one of us.

If you killed a patient,
you wouldn't be upset?

You didn't kill her, Mark.

You did everything
you could to save her.

Tell that to her husband.

A year from now that little boy
will be taking his first step

and his mother
won't be there.

His mother
will never be there.

It's not your fault, Mark.

That's my stop.

Listen, Mark, why don't
you come over to my place?

‐ We can talk.
‐ Yeah, what for?

See you tomorrow, Doug.

Alright, let's move him.

Okay.

On my count.

Ready. One, two, three.

‐ 'What happened?'
‐ 'Drunk.'

Took a 12‐gauge
to the lower chest.

Accidentally broke into
the neighbor's house.

‐ Laryngoscope.
‐ 'Get a couple of IV..'

'Seven and a half ET tube.'

Yeah, perfect.
Call Carter and Deb.

We could use
some help down here.

Deb doing lacs
and Carter's asleep.

Okay, get Carter.

Call respiratory for a vent

and call radiology
for a chest film.

Hang some O‐neg.

Cross and type
as many as you can.

Looks like a flail chest.

He's got at least four
or five broken ribs.

After a blast like that,
he's lucky to have a chest.

He's bradycardic.

‐ Pressure?
‐ 40 palp.

Okay, I'll start a central line.

He's bleeding out.

Tank him up with O‐neg.

‐ Hey.
‐ Good morning, Carter.

Morning, Carter.

He's in arrest.
Give him an amp of epi.

Carter, you ever done
external compressions?

‐ Uh, yeah.
‐ Okay, Carol, get him started.

A little lower. There you go.

Now, watch the right side
of his chest.

‐ It's about to fall off.
‐ 'Susan.'

‐ Yeah.
‐ Baby with hypothermia.

Cops found it
in a trash bag.

Okay.

Line's in.
Keep the compressions going.

Give him four units,
and someone call Swift.

Get another
body down here, now.

I'll call Tag.

‐ It's darkness before dawn.
‐ Mm‐hmm.

'More epi.'

Three to four week old male.

BP 60. Palp rate 80.

'No arrhythmias.
Temp 89 degrees.'

Okay, get him heated humidified
O2, get a dextrose stick.

Let's start an IV.

'Heated saline to 110 degrees.'

What kind of parent
would do this to a baby?

‐ How's he doing?
‐ We're rewarming him.

Pleural lavage?

No, we need a neonatal warmer.

Check his lytes for acidosis.

I got a date with thoracotomy
next door.

Go.

‐ How are we doing?
‐ Not so good.

'No pulse. That bullet
hit an artery.'

‐ 'Compressions aren't working.'
‐ 'We're losing him.'

‐ 'Thoracotomy tray.'
‐ 'Hey, hey!'

Heard you needed some help.

We're doing a thoracotomy.
Cut between the ribs.

I'll clamp the aorta.

I'm rusty on thoracotomies.

Don't worry, we'll walk you
through it.

'I'll support the right chest.'

'Bury the incision
through the intercostals.'

'Okay, let me get in here.'

'Vascular clamp.'

Rib spreaders.

Alright where is that little
gusher?

Got it. It's clamped.

‐ Heart's beating.
‐ That's teamwork.

'It's fibrillating.'

Carter, ever felt a live heart?

Make like a crocodile.

Okay, now..

'...gently compress the heart
between your fingers'

'about 80 times a minute.'

It feels like a bag of worms.

'Give him a couple
more units of blood.'

It's filling.

No pulse. Second unit's in.

He's still fibrillating. We need
to shock him back into sinus.

Internal paddles.

Start with five.

‐ Charging.
‐ Five. Clear!

'Clear.'

Five more.

Charging.

‐ Clear.
‐ 'Clear.'

We've got a rhythm.
Let's keep it.

'I've got a pulse.'

He's stable. Good work.

Okay, take him up to the OR.

How's he doing?

Temperature's 92.

I think he's gonna make it.

How's your guy?

Still ticking.

Hey.

You look exhausted.
Why don't you take a breather?

I'll call family services.
He'll need a foster placement.

Hey, Deb, how's it going?

Fine, thanks.

Wow.

Did you, uh, shave that scalp
all by yourself?

Uh‐huh.

What have you been up to?

Oh, internal cardiac massage.

See you later.

‐ I don't think I like this.
‐ What?

You coming and going
in the middle of the night.

Did you miss me?

You woke me up.

Aww.

Alright, you got 15 minutes.

Jake's an early riser.

Fifteen minutes?
That's not really my style but..

You can do it.

Come here.

Mark.

Hey.

Lovely place to sit around
and feeling sorry for yourself.

It has its charms.

It's freezing out here.

‐ How'd you find me?
‐ Doug.

He said he'd never
seen you so upset.

Things just, uh, aren't
working out the way I planned.

Sure they have.

You leaving me..

...I didn't plan for that.

People die, Mark.

You do the best you can.

You're human.

I'm not supposed to be.

Sure you are.

You're the only one
who doesn't know it.

What am I gonna do?

You could get breakfast.

I'll even buy.
Come on.

Come on, Mark.

Susan?

‐ Susan?
‐ Hmm?

‐ Susan?
‐ Hmm?

Mr. Falco's fiance is out here.
She needs to see you.

Oh, yeah. Yeah, sure.
Bring her in.

Dr. Lewis.

Sorry to bother you.

No, no problem.

Is there a chance
that I might be sick?

I don't know. To be safe
you should be tested for HIV.

We're getting
married in two weeks.

‐ I thought I knew him.
‐ I didn't say he had AIDS.

I know.

But I think
he hasn't been honest with me.

I'm sorry.

Who'd have
thought a case of hiccups

would turn out like this?

Can I help you?

Yeah. I'm, uh,
I'm Dr. Peter Benton.

Your wife, uh, she's been
taking care of my mother.

Oh, yeah, sure.

Al Boulet.

Is everything alright?

Yeah, yeah.

Jeanie!

Peter Benton's here.

What's wrong?

I, um...I left
the restraints off

and she fell out of bed.

‐ Is she okay?
‐ Yeah, yeah.

She, uh, she's got
a couple of bruises

but, um,
her hip's okay, so..

‐ I got to get to work.
‐ Alright.

‐ See you.
‐ Okay.

Nice meeting you.

I, uh..

I can't
do this by myself.

Uh..

I mean...take care
of my mother.

I've seen
a lot of children try.

You know, uh, i‐it..

It's just that I'm afraid of
what's going to happen to her.

And yeah, um..

...can you, uh..

Can you
help me to...you know..

...find a couple of names
of some good places?

Sure.

Oh.

I didn't think
we were gonna make it.

Oh, you were great
with that thoracotomy.

You weren't
so bad yourself.

Hey, every full moon
should be ladies' night.

Yeah, we were terrific.

Like
"Thelma and Louise", man.

More like
Lucy and Ethel.

Whose are those?

Tag brought them for me

so I could make some headway
on our wedding.

Bridesmaids
still wear peach?

Hey, don't say
anything you might regret.

You may
have to wear that.

Me? A bridesmaid?

Yeah. Would you?

Yes, I would be honored.

You may change your mind
when you see the dress.

See you later.

Hello?

Hello?

Sink's clogged
and somebody stripped

the damn threads.

Need some help?

I called
maintenance four hours ago.

I figured it'd be
quicker if I do it myself.

Maybe you
need a plumber's snake

you know like angioplasty.

Thread it in,
break up the clog.

You know, you're right.

Don't mention it.

You thought of
applying for chief resident?

I'm only
second year.

Really. That's all?

Huh.

‐ What?
‐ I find that hard to believe.

Well I can see
we're gonna have to make

some changes around here.

Really?

There's a few kinks
in the chain of command.

Oh.

Don't worry,
you did a good job.

Thank you.

Right now, I need
a plumber's snake.

Ask Bob.

‐ Bob?
‐ Yes?

Hey!

Hey! Hi, Dr. Lewis.

Good morning, Jerry.

Busy night?

Kind of crazy.

Not for me.
I had a blast.

Ah, we'll have to do
a Friday the 13th then.

'Ooh, those are really spooky.'

Yeah, ooh.

'From 1962, let's
"Twist And Shout" for Susan.'

Carter, did you do that?