ER (1994–2009): Season 1, Episode 21 - House of Cards - full transcript

Doug.

Doug, you slept
through the alarm.

Hm.

‐ Doug.
‐ Hm?

Come on.

‐ Jake's gonna be up soon.
‐ Mm.

No, come on, you're gonna
get me started.

Two nights
in a row, huh?

Didn't you need
the bathroom?

No, there's,
there's one at work.

I'll lock it, okay?



You forgot
to lock it yesterday.

Okay, alright, yeah.
I'll‐I'll see you.

Later.

Carter, go to Radiology.
Pick up the film on O'Shields.

Chen, work on those
med renewals.

I've got a gallbladder
this afternoon.

Then I've got to start
those sub‐I evaluations.

Uh, but placements
aren't until next month.

I need your procedure books
by 7:00.

I thought we had
until next week.

Mm‐hm, well, you did,
now you don't.

Is that a problem?

It's not fair.
You have been here longer.

'You've done more procedures
than I have.'



Still a few
I haven't done yet.

How many intubations
have you done?

‐ Four or five. Loss count.
‐ Just tubes?

Did a femoral cut‐down
yesterday.

You didn't.

Oh, but I did.

How long have you had
this pain, Mr. McDowall?

Since Friday.
Bowling night.

When I can't bowl,
I'm not a happy man.

Well, we want you happy.

Okay, chem seven, CBC, LFTs

'and abdominal ultrasound.'

‐ An ultrasound?
‐ It could be appendicitis.

‐ Could be gas.
‐ Yeah, I know, but‐‐

'Is there a problem?'

‐ How you doing, sir?
‐ Not too good. Stomach ache.

It kept him from bowling.

Well, that's a shame.

Mr. McDowall,
this is Dr. Swift

'our attending physician.'

Cancel the CBC

chem seven, LFTs,
and ultrasound.

Excuse me?

Dr. Greene,
what's your diagnosis?

‐ Probable gastroenteritis.
‐ Stomach flu.

Why are you ordering
$1,000 worth of tests?

To rule out appendicitis.

It's ruled out, trust me.

He has pain
in the right lower quadrant.

'And so would you
if you were full of gas.'

Sir, go home.

'Take nothing by mouth
for six hours.'

And when you do,
take little sips of clear fluid.

If it gets worse

you come back and see us
immediately, alright?

You'll be there to get her
moved this afternoon?

I'll be there.

I'll tell her
she's going to the home

but I need you
to back me up, Peter.

Listen, Jackie, I, uh..

I wanna be the one
to tell her.

Please, Jackie.

Alright.

'Dr. Benton,
call to Urology Lab.'

Petey!

'Hey, ma.'

Hey, ma.

How you feeling?

‐ Mm?
‐ I'm leaving today.

I've been trying
to make my hair up

the way daddy liked it.

Could you help me, honey?

‐ Ma..
‐ Hm?

Uh, Jackie, and I,
and the doctors..

...th‐think you need more care
than we can give you.

'You need to have someone
around all the time'

'to make sure
that you're okay.'

We found this great place, um..

...The Melville Home.

We'll make it just as nice
as your house, mama.

Yeah, Jackie's gonna
make you curtains.

Yellow stripes, mama.
Your favorite.

Do I have to go, Peter?

Yeah, ma.

You‐you do.

‐ Swift was way out of line.
‐ He was right.

I ordered too many tests.

‐ You should talk to him.
‐ What for?

You still want the attending
don't you?

He's already made up his mind
about me.

What do we have?

Both arms, split‐thick.
We can't get an IV.

He worked for
the electric company.

'Took a 20 foot fall.'

High‐current burns.

Got it from here, Doug.
Thanks.

Start a central line.

Okay. Carter, over here.

Have you ever done
a central line?

No, but I've seen one.

You're gonna do one now.

‐ BP 120, palp, pulse 120.
‐ 'Right.'

‐ Prep for five migs morphine.
‐ Okay.

'Give him a liter
of Ringer's first.'

Aim at the sternal line.

Eighty, ninety kilos.

Okay, now
you have blood refilled.

Remove the syringe..

'...and feed
the guide wire through.'

Lucky guy.
No ST changes.

Slide it
in the subclavian here.

‐ Do you want a tetanus?
‐ Get it.

‐ 'Fluids?'
‐ '300cc of Ringer's.'

‐ He's gonna need a full‐‐
‐ Here are the X‐rays.

They'll do that upstairs.

Now leave enough guide wire
at the ends

so you can pull it
back though.

‐ You're doing a central line?
‐ Yep.

Now, get an X‐ray to check
the placement.

'Excellent.'

‐ Get him ready for transfer.
‐ Portable monitor.

Alright, talk to me.

He fell
from a utility pole.

Circumferential
third‐degree burns

to upper extremities.

No cardiac changes.

C‐spine, chest, pelvis,
all are negative.

'No long‐bone fractures.'

Okay, well, let's get him up.

‐ 'Alright, here we go..'
‐ 'Here we go.'

Any fever, Mrs. Ryan?

'No, just the headache
and some, uh, dizziness.'

‐ I think I'm going to throw up.
‐ And nausea.

Okay, Janette, we'll get you
fixed up right away, okay?

Um, what's wrong
with her, doctor?

Oh, it's probably
just a flu bug.

That's what most of the kids
have been coming in with.

Her heart rate
is a little fast though.

So we wanna run some tests.

Wendy, you wanna put her
on a monitor

'and let's check
her rhythm stroke?'

A monitor?

Yeah, heart monitor.

Oh, is it that serious?

Well not necessarily, we just
wanna keep our eye on her

while we run the tests.

Um, doctor,
are these tests

going to cost
a lot of money?

You have insurance,
don't you?

No.

Well, we'll work
something out.

'How long have you had
that cough?'

You can give me medicine, okay?

How long, Mrs. Salazar?

A week. Two.

Have you been coughing
anything up, like, uh, blood?

It's not so bad.

‐ I have to go.
‐ Uh‐huh.

Could you have been exposed
to tuberculosis?

Tuberculosis?

I don't know
what you mean.

'Does anyone else in your family
have this cough?'

'Anybody you work with?'

I don't work, okay?

Mi esposo has green card.
He work.

My children at home.
I need to go.

Yeah. Mm‐hmm.
Have any of them been sick?

Uh, fevers, night sweats?

My daughter.

I have to go home.

Mi madre, she take care
of her now.

If your daughter
is sick

and you have
tuberculosis

we need to see her.

Okay?
It's very contagious.

Now, I can't make you stay,
Mrs. Salazar

but I would like
to strongly advise you

to take these tests.

There's no questions
asked, okay?

Okay.
I stay a little bit.

‐ What's she so afraid of?
‐ Uh, she's probably illegal.

'She doesn't wanna be
put into the system.'

Lydia, we've got
to get Mrs. Salazar

into an isolation room.

She needs a chest X‐ray,
acid fast stain

and a sputum culture.

Carter, why don't you try
and find her a mask?

Sure.

So I want you to stay
away from me, Shirley.

You could have killed
Mr. Munchy.

It was such luck
and it was your fault, Sari.

'You said the road
was clear!'

'Didn't say it would
stay that way!'

I told you to step on it!

It's not safe to speed.

You were going
five miles an hour!

Shut up.
This is all your fault.

Two sisters,
slow‐moving MVA.

One with a nose lac,
the other dizzy with headache.

Vitals stable.

The only danger they're in
is from each other.

Thanks, Zadro.

Somebody help!
Please! Please!

‐ Narrow complex tachycardia.
‐ Pulse is really thready.

Start a line,
get her some O2.

Wendy, you get the crash cart

with pediatric paddles,
now please.

Oh, my God. What's happening?

Mrs. Ryan, you're gonna
have to stay back right now.

BP 70/50.

Alright, Lydia, give me
some Adenosine.

'Janette, you're gonna
have to help me out.'

Okay, you're gonna have
to blow on your thumb.

Alright, like you're blowing up
a balloon, blow on really hard.

‐ Two milligrams Adenosine.
‐ Heart rate's still high.

‐ Three IV Push.
‐ Dynamo's not registering a BP.

I can't feel a pulse.

‐ She's out.
‐ Oh, my God.

Set it on 50.
Hit the synch switch.

‐ And clear.
‐ 'Stand back.'

'She's in V‐fib.'

'Turn off the synch switch'

'and charge to 100 joules.'

‐ And clear.
‐ Clear.

‐ 'We got a BP. 100/50.'
‐ Normal sinus rhythm.

‐ Pulse bounding.
‐ What is that?

It means she's okay.

'Welcome back, kiddo.'

'You're gonna be okay.
Your mom's right here.'

'Okay, you're fine.'

'"A‐R‐Q‐P‐T‐X."'

That was completely wrong.

Why don't you try
the same line

with your glasses?

Oh, yes.

Here we go.

'"N‐T‐O‐A'

W‐R."

Damn it, Shirley.

'I can't see squat.'

I'm gonna kill you.

We've lived together
for 50 years

and I'm not dead yet.

You're a bully, Sari.

Well, now I'm blind.

Are you happy?

Ladies, please.

She's no lady.

Hold still.

I'm concerned about your vision
and headache.

We need to get a CAT scan
of your head.

Which glasses are yours?

Uh, how should I know?

I can't see.

Why don't you try these?

Here.

Oh.

Oh!

I thought you'd be older.

‐ Young man..
‐ Just one second.

Carter, got a procedure
for your book.

‐ Really?
‐ Mm‐hm. Pelvic.

I already have
a ton of pelvics.

Lady asked for you
personally.

I'm so thirsty.

Some water, please.

Here you go.

Hey.

So, Janette has
supraventricular tachycardia.

It's sort of like
a short circuit in her heart

so she needs to be admitted
into Cardiology.

Now, somebody
from social services

is gonna come down here

and help you with your
applications for Medicaid.

Your daughter's gonna
be fine, Mrs. Ryan.

Just fine.

‐ Lunch later?
‐ Yeah, sure.

Uh, Doc McGoo's,
the cafeteria?

‐ Or the vending machines?
‐ It doesn't matter.

Wild Willy wants you to see
the lady in three.

Have you talked to him yet?

Nope. Don't plan to.

Why? What's to lose?

She's in her eighth month
complaining of stomach cramps

frequent urination.

Uh, why don't you take it?

Why?

'Cause I asked you to.

Do I know you
from someplace?

'No.'

Well, why did you ask to see me?

Well, um, you treated
my friend, Barbara.

She recommended you.

The truth is,
I‐I don't really have cramps.

Why are you here, Mrs. Blum?

Well, Barbara and her husband
have been trying

to have a baby for years.

I mean they've tried everything.

And last month,
she came in with cramps

and you examined her

and the very next week

she got pregnant!

You think I had something
to do with that?

Well, Barbara certainly does.
I mean..

And when I told her
that Dan and I were trying

she said, "Go see
that Dr. Carter.

He's got the magic touch."

Dr. Greene.

Your name's on the board
for that pregnant woman.

Why is Dr. Lewis with her?

I gave it to her.

I see.

I understand you lost
a mother during delivery

a couple of weeks ago.

Jody O'Brien.
Pre‐eclampsia.

She bled out.

I'd like you to present it
at the case conference today.

Today?

Two o'clock.

Well‐well, I need time
to prepare.

No, you don't.
You know what happened.

Mrs. Salazar

your tests are positive
for tuberculosis.

We need to get your family
in here as soon as possible.

I bring them manana.

No, no, no.
Today, Mrs. Salazar.

You shouldn't be
leaving the hospital.

You are very sick.

I feel better.

Really. I can go.

'Do you understand the
seriousness of your illness?'

What matters is your family,
Mrs. Salazar.

I don't care
if you're illegal.

I just wanna make sure
your kids are okay.

They're fine.

'You are going to infect'

every person you come
in contact with.

'Your children, husband,
the people you work with.'

Dr. Greene.

Your family at home
needs to come in

and be seen
in this hospital.

Mark.

What's the matter
with you?

Well, she's leaving AMA
with infectious TB.

I'm not supposed
to be angry about that?

Well, how do you expect her
to trust you

if you're screaming at her?

I wasn't screaming at her.

Now you're screaming at me.

Oh! Okay, fine.
Yeah, forget it.

She leaves, she leaves.

M..

Well, rule out sepsis,
we may need a suprapubic tap.

You're kidding.

Step right up, doc.

‐ 'Temp's a 102.'
‐ Did you liquid the eyes?

I gave him four ounces
of clear liquid like you said.

Nothing.
Gave him four more.

Eight ounces?
It's dry as a bone.

Well, isn't there some other way
that you can find

the source of the fever?

This is the easiest way.

Carter, I want you to..

...swab the area.

Hold the syringe in one hand.
That's okay, kiddo.

Then palpate
the pubic symphysis.

Uh, what now?

We use a small needle

to get a urine sample.

Be careful not to push too hard.

How do you know what's too hard?

Ugh. ugh!

That's probably too hard.

Your husband brought you in?

The old fuddy‐duddy.

He thinks I have
paranoid psychosis

with highly elaborated
delusional systems.

He reads too much, that's all.

Do you ever hear voices
when no one else is around?

Of course not.

Ever have
frightening thoughts?

No.

Are you ever afraid
that someone

is trying to harm you?

Of course.

The streets aren't safe
nowadays, are they?

Mrs. Gainsley,
have you ever been

under the care
of a psychiatrist?

Yes.
Would you like his number?

Let's see.
Where did I put it?

It's somewhere.

Just give me a second here.

Yikes.

Oh. Sig Sauer 228.

'Nine millimeter,
double action.'

Thirteen round clip.

Little heavy, but lethal.

Would you mind if I gave this
to security, just for now?

Not at all.

I've still got the Beretta.

Still here?

Waiting for the ambulance
to transfer her.

How are you, ma?

She's been quiet.

Let me talk to her
for a minute.

Ma, you're gonna
like the place.

I saw it.
It's nice and clean.

You'll have your own TV
in your room.

There's a little
courtyard outside.

I've got surgery.

Jeannie's gonna go
with you now.

I'll come by later, okay?

I love you, ma.

'We're ready.'

Hey.

It's conference?

‐ Yeah.
‐ You nervous?

Oh, no.
I love an inquisition.

You'll do fine.

Are you kidding?

They'll be out for blood.

Nah, we've all been there.

Oh?

How many young mothers
have you killed, Doug?

Mark, listen.

Hey.

Sorry, I can't be there
with you today

but you're gonna
do okay.

‐ Alright. Thanks.
‐ Uh‐huh. Good luck.

‐ Excuse me.
‐ Uh‐huh?

Isn't there supposed to be
a conference in here too?

Not enough space.

They moved it
to the sixth floor.

Oh, yeah?
Uh, what room?

The auditorium.

Finger lac in two.

I have to finish
the med renewals.

What's the matter, you got
enough finger lacs in your book?

‐ I told you, I'm busy.
‐ Yeah, right.

Carter, why in the hell
did you give Mrs. Baba water?

‐ Who?
‐ The old lady in two.

‐ She was thirsty.
‐ Ah, she was NPO.

Scheduled for gall bladder
surgery this afternoon.

No food, no water.

She was your gall bladder
patient?

Mm‐hmm, just read the chart.

Now, because of you,
she can't have surgery.

I'm doing a small bowel.

Chen, scrub in.

To the OR.

Really.

Ah, good. You're here.

I hope it's instructive..

...for the other residents.

Down there.

Do you know the diagnostic
criteria for pre‐eclampsia?

Blood pressure
greater than 140/90

persistent proteinuria
and edema.

She had hypertension.
It was an area‐‐

Which I attributed
to a urinary infection.

And her pressure was high
on only one occasion.

You should have taken it again
in six hours.

My index of suspicion
should have been higher.

She seized
in the parking lot.

I treated her seizure
aggressively

with magnesium sulphate
and Ativan.

Have you had a chance
to review the ultrasound‐‐

I missed
the placental abruption.

Did you know
what you were looking for?

The AFI and biophysical profile
were excellent.

It was a normal
fundal placement.

Yet, she abrupted.

'I had no clinical reason
to be suspicious.'

There was no vaginal bleeding,
shock

abdominal pain
or fetal distress.

What are the criteria
for operative vaginal delivery?

Mainly a favorable fetal lie

and a small baby
under 4,000 grams.

The baby was nine pounds
three ounces, macrosomia.

I used the Leopold maneuver
and fundal height

to estimate baby weight
and size.

I was off.

What risks do you run using
forceps on a macrosomic baby?

'A 23 percent chance
of shoulder dystocia.'

‐ Which happened.
‐ Yes.

What qualifies you to manage

high‐risk OB in an ER?

We're not here to question
Dr. Greene's training.

‐ Stick to the case.
‐ 'Why a C‐section in an ER?'

The baby was hypoxic
and bradycardic.

Had to do it in minutes or we
ran the risk of brain damage.

How many crash C‐sections
have you done?

‐ I've scrubbed in on several.
‐ And that qualifies you?

I give Dr. Greene credit
for crashing her when he did.

Knowing the outcome, what would
you have done differently?

I should have taken her
up to OB myself..

...immediately.

'I've induced before.'

Delivered babies before.

I assumed that I could handle
the situation.

I was wrong.

Anyone else?

Thank you, Dr. Greene.

That wasn't too bad.

I knew once you had a chance

to talk it through,
you'd feel fine.

I'm supposed to feel
some sense of relief?

Is that it?

I gotta get back to work.

By the way..

...th‐that stomach flu
this morning

the next time you disagree with
my diagnosis

don't do it
in front of the patient.

'Where are we going?'

You follow me.

Alright.
Hold that a second.

‐ What do you think?
‐ It's a little small for you.

‐ Ha ha. Yep.
‐ Whose is it?

Yours.

‐ Mine?
‐ Doug..

‐ It's the same as yours.
‐ That's right.

Eighteen speed,
grip twist shifter

hyper‐sprocket drive, and other
stuff I know nothing about.

Hey, come here.
Come here.

You ride bike,
you wear a helmet.

Where's your helmet?

I know you mean well,
Doug, but it's‐‐

‐ 'Come on, Doug, race ya!'
‐ Alright, you're on!

You should have talked to me
about this.

I'll be back.

Where's Anita Salazar?

‐ Eloped. Can't find her.
‐ Damn it.

Want me to send public health
out to get her?

Hm, give it a try,
but ten to one

it's probably a fake address.

Mark, we could use
your help.

We've got an MVA
coming in.

Rollover TC. Thrown 20.

Heavy ETOH.
Lac on his right leg.

'No apparent fracture.
He's yanked two IVs.'

Doesn't wanna be touched.
Calls himself Smiley.

‐ No ID.
‐ Get off of me.

I gotta burn..
Oh, I'm in the wrong place.

Get a portable down here.

Mr. Smiley, are you with us?

Watch his neck.

Transfer, one, two, three.

‐ Alright.
‐ BP's 90/50.

Some one get him undressed.

Hit your head?
Does it hurt?

How should I know?

‐ Drunk as a skunk.
‐ Scalp's okay. No lacs.

Alright, cap refill's slow.

He's hypovolemic.

Do you think it's his spleen?

‐ I don't know.
‐ 'Bloods are drawn.'

Shoot a cross‐table C‐spine.

CBC type and cross for four.

‐ 'Peripheral pulses are cool.'
‐ 'X‐ray is ready.'

Lungs clear.

‐ Shooting.
‐ Stand back.

‐ 'Okay, hold your breath.'
‐ What..

Clear!

O2's here.

‐ This hurt?
‐ Get your hands off me!

Alright, alright.
Alright, his abdomen's rigid.

I think it's the spleen.

Let's prep for a lavage.

Smiley, we're very concerned
about you.

We wanna make sure that you're
not bleeding internally.

We're gonna take this tube
and put it in your nose

and let it go down
into your stomach.

‐ Okay? It's not very pleasant.
‐ Go to hell!

It's not the highlight
of my day, either.

Don't come near me with no tube.

One percent Xylocaine with epi.

Smiley, you are drunk
out of your mind

and we need to take care of you.

So this is our decision,
not yours.

What?

Hey!

Just keep breathing.
Keep breathing.

Alright. Good.

Assisted on a laparotomy and
closed the incision in the OR.

Two new procedures.

‐ Finally, I have a chance.
‐ Uh‐huh.

Can I get you anything,
Haleh?

Coffee? Cake?

You wanna
get me coffee?

Sure.

Cream and sugar.

Where are we putting Fareau?

Oh, Exam Two.

Oh, and if you could

here is a list
of procedures I still need

so if any of them come in,
throw them my way?

Sure.

You can start by helping
Wendy get an IV going

on our junkie friend
in Two.

‐ Oh, IV's not on my list.
‐ 'It is now.'

Maybe we should
get a doctor.

I'll find a vein.

Always do.

Huh, there's one.

Uh, no good.

‐ 'I'll get Dr. Lewis.'
‐ What for?

He hasn't got a vein
left anywhere.

He's gonna need a central line.

'He's bleeding out, we've gotta
find out where the source is.'

‐ 'How's the lavage coming?'
‐ 'Almost there.'

Chest normal.

Gotta find the bleeder.

He could be retroperitoneal.

'He's bleeding,
give me some more lidocaine.'

‐ Where's he bleeding?
‐ 'Any output?'

'Nothing yet.'

Hang two units now.
This is soaked through.

'Think four units
should be enough?'

‐ 'Get four more.'
‐ Cap refill's bad.

‐ 'Whoa!'
‐ 'Whoa!'

‐ Found it.
‐ Femoral artery.

It's a pumper.
Let's get vascular on the line.

Let's get an angiogram.

‐ And let's get him up.
‐ I called the blood bank.

Okay, I'll give pressure.

Get the blood
to the cath lab.

Let's move!

Deb?

'Almost...done.'

'Ugh, there.'

Are you crazy?

You're not allowed
to do a central line.

I was just gonna
get it started

but then it seemed so easy.

'You'll get in trouble.
I'll get fired.'

It's fine. Look.

Oh, my God.

‐ Where's the..
‐ What's wrong, Deb?

‐ Oh, my God.
‐ What's going on?

Where's the guide wire?

'You lost the wire.'

'Deb, where is it?'

Ah, there it is.

Cath lab. Stat.

What happened?

‐ Deb, what happened?
‐ 'I need a cath lab.'

‐ 'Oh, my God.'
‐ Two of them? Fine.

Come on, Carter, move.

Peter, we'd need to put
a line in and snare it.

Get a fluoroscope.

‐ 'And order an echo.'
‐ Call transport to take him on.

Find Deb?

No, and there's no answer
at her house.

I almost feel responsible.

Why? You're not the one
who nearly killed a patient.

‐ Carter, where's Chen?
‐ I have no idea.

Well, I don't care
how you do it, find her.

‐ Swift wants to talk to her.
‐ How's the patient doing?

Well, we got the wire out
if that's what you mean.

'But whether or not
we'll be sued is another story.'

Hey.

You shouldn't have bought
Jake that bike.

‐ Why not?
‐ He has one.

‐ He doesn't need another one.
‐ He wanted it.

Well, there's a lot of things
he wants he doesn't get, Doug.

Alright, well,
I'll take it back.

‐ You missed the point.
‐ Doug, it was at the back door.

with a 12‐year‐old hit
by a delivery truck.

Okay, I'll be right there.
Come here a minute.

I don't get it, I was just
trying to do something nice.

It's too much too soon.
He doesn't know what it means.

Neither do I.
What does it mean?

You can't go through him
to get to me.

Is that what you think
I'm doing?

That's what he hopes
you're doing.

'Doug, Trauma One!'

Twelve‐year‐old ran a red light
on his bike.

Hit and thrown 20 feet.

LOC at scene,
BP's crashing 60/40.

I think he's got
a left pneumo.

‐ Name's Billy Schmoo.
‐ Billy? Can you hear me?

'Jennifer left?'

I can't believe you waited
this long to tell me.

It's not like I was gonna
make an announcement

over the intercom.

What did you tell Rachel?

I took the high road
on that one.

Nothing.

I don't think
I could bear losing her.

I hardly see her
as it is.

Yeah.

Well..

...that's kind of the problem,
isn't it?

With Jennifer,
not just Rachel.

She wants to be in Milwaukee.

So what?

Figure something out.

Call her, go see her.

I'm going this weekend.

That's so like a guy
to wait four days.

‐ Go tonight.
‐ I work tomorrow.

I'll cover tomorrow.

I owe you.

Thanks.

Lacerations
look superficial.

Pulse is thready at 150.

He looks dusky.

Tension pneumo.
18 gauge.

Set up a pleurovac.

'There we go.'

Alright.

Pulse ox is 65.

‐ 'CBC, chem seven.'
‐ Where are his parents?

‐ 'How many units O‐neg?'
‐ 'Six.'

Start a 12 lead, call X‐ray.

Cross‐table C‐spine
and a portable chest.

He's on his way.

‐ Scalpel.
‐ What size?

‐ 'Twenty‐eight French.'
‐ 'Here's the chest tube tray.'

‐ 'There we go.'
‐ 'One percent Lidocaine.'

'His belly's soft.
Bowel sounds normal.'

‐ Get that chest tube ready?
‐ 'Yep. Hold on..'

Good.

'Twenty eight French.'

'Alright.'

Breath sounds are good.

But his BP's crashing.

Distant heart sounds,
dilated neck veins.

Prep for pericardiocentesis.

Drape.

Alright, kiddo.

...alligator clamp?

Okay.

'BP's falling, 40 palp.'

Oh, come on now,
damn it.

Where are you, little heart?

Whoa, too far.

It's okay.

Come on, where are you?

Come on, little heart.

I know you're in there
somewhere.

‐ Alright, we've got it.
‐ Run the rhythm..

Oh, yeah,
that's much better.

Okay, call OR
and a thoracic team.

We've got a live one.
BP?

'Coming up. 60/40.'

Cross‐table C‐spine.
Let's get a chest film.

'You're gonna be
just fine, buddy.'

We'll take him up.

Great.

Are you okay?

I'm heading home.
What's not to be okay?

'Pepperoni or salami?'

What?

Pepperoni or salami?

'On your pizza.'

Salami.

Too bad, I win.

'Alright, alright,
but only on one‐third.'

Okay, see you in a bit, babe.
Bye.

Pizza will be there
in 20 minutes.

‐ Thanks.
‐ For what?

For staying.

Yeah, well,
you're buying the pizza.

Look at your daddy.

That silly hat.

Oh!

I am so tired.

Well, ma, why don't you
get some sleep?

Here.

Oh!

‐ Let me take this.
‐ Oh.

Pete..

...do you still wanna
be a doctor?

Ma..

...I am a doctor.

Your talent..

...is God's gift to you.

What you do with it..

...is your gift back to God.

Okay, go ahead, um,
get some sleep.

Okay.

Hi, Jen, how are ya?

Rach?

Good.

I wanna come up
and see you guys.

You know, I wanna talk.

No, no. Tonight.

How about tomorrow?

Okay, well, uh,
w‐will see you Saturday.

Rachel there?

No, no, no,
don't‐don't wake her.

I just, I miss her.

Jen, I love you.

You there?

Yeah, yeah, okay.

Oh, sorry.

Chloe?

Hi, Susie.

Hi.

Um, let's go to the kitchen.

I really didn't care
about the patient.

I just wanted the procedure.

By tomorrow,
everybody will forget.

I won't.

‐ I'm quitting.
‐ You can't quit.

‐ Sure, I can.
‐ Deb, listen.

You're smart,
and you learn fast.

What's that got to do
with taking care of people?

You're gonna be
a great doctor.

I don't really like it.

Uh, no, that's not
completely true.

I like the science of it

but the patients,
the sickness..

Uh, sometimes,
it almost scares me.

Scared the hell out of me.

When I was a kid, my older
brother was really sick.

In and out of the hospital.

When I saw how
the doctors treated him

and how they treated me,
I knew that this was

what I wanted to do.

See, that's the difference,
John.

You think
about treating patients.

You take the time
to talk to them.

You listen to them.

You care.

So what are you gonna do?

Join the party.

My parents'
wedding anniversary.

I'll wait to tell my folks
afterwards.

Mother will throw up.
Should be fun.

Thanks.

Mm‐hm.

'Mark?'

You've got visitors.

'Mrs. Salazar.'

‐ Hi.
‐ Hola.

Esta es mi madre,
Maria.

‐ Hi, Maria.
‐ En mi nina, Cristina.

Hi, Cristina.

You're the sick one, huh ?

You guys, grab the bags, huh?

Here, eat this.
It will warm you up.

I don't wanna put you
to any trouble.

Yeah, right.

Ronnie sold my stuff.

You're kidding.
I'm shocked.

You were so right about him.

Actually, you were right
about all of them.

Yeah, well, they're all
basically the same person.

Mm‐mm, that,
that is not true.

Norm was a good guy.

Sure, the two hours
of the day he was awake.

Chloe!

What did you do to my coat?

I hitched a ride
with this family.

A kid got carsick.

I switched to ultra lights.

You've seen a doctor
for the baby, haven't you?

A couple times.

‐ Once.
‐ Recently?

Sort of.

I am so glad
to be here, Susie.

I'm glad you're okay.

Sort of.

Oh.

I'm so tired.

I know.

I'm scared, Susie.

Don't worry, Chloe.

Don't worry.

We'll be okay.

We'll be okay.