ER (1994–2009): Season 1, Episode 22 - Men Plan, God Laughs - full transcript
Greene finds his marriage falling apart and is concerned at how little time he's spending with his daughter. He also treats an eight week old child with a heart murmur who requires surgery. Susan tries to get her pregnant sister C...
'News at this hour,
an investigation's underway'
'into a fire that claimed two
abandoned buildings..'
Oh..
'Mayor Dailey welcomes
tourists from Eastern Europe.'
'And Dante, the cat
is rescued from the parapet'
'of the Sears.'
'WAQ sports, White Sox
beat The Brewers'
'WAQ business, Dow Jones
industrial start today'
'fourteen points higher.'
'Fifty‐three degrees at 5:46.'
'I'm Pat Cassidy.'
'Now WAQ traffic and business'
'here's Capt. Tom Johnson
in jet copter six..'
Oh yeah, my mother's not
getting enough exercise.
We're doing
everything possible.
Why are you still
feeding her in her room?
We can't move every resident
into the dining hall.
No, I want her to eat
with everybody else.
She needs to be
around other people.
When she gets better, she can
participate in more activities.
She's not going
to get better
unless you
keep her mobile.
If your mother
were strong enough
she'd get
more exercise.
You promised
hydrotherapy.
You said you had
full‐time staff.
We'll do more,
when she's ready.
What do I have to do?
Do I have to come
down here and
supervise it myself?
Dr. Benton,
your mother broke her hip.
She won't heal overnight.
Yeah.
Thank you.
Mom, Chloe doesn't
have any insurance
if you could spare
a couple hundred dollars..
Dr. Lewis?
I gotta go, mom.
Bye.
‐ Yeah?
‐ Our chief resident in?
Uh, he should
be here any minute.
We have tourists tonight,
Joint Commission Surveyors.
I need him for two hours
after his shift.
Rolando!
Yeah?
I love chaos,
but this is overdoing it.
I'm a little slow today.
I got a cold.
I'm sorry.
Call a replacement,
go home.
Is he a jerk?
I don't know yet.
Carter?
Fadenhecht, Isidore.
Caught in a metal press.
Multiple lacs,
BP, 80/30
pulse 135, thready.
This guy's a mess.
How much blood loss?
Five hundred cc's.
Okay, let's move
him up slow.
He's busted up enough.
On three. Got it?
One, two, three. Gently.
'Mental status at scene?'
GCS 344, complained
of back pain.
No kidding.
'Stopped 18 minutes ago.'
‐ Cross table C‐spine and chest.
‐ I need his breath sounds.
‐ What size tube?
‐ Give me seven.
I'll start a flow sheet.
Any ID?
‐ Pulse ox 85.
‐ Put him on a ventilator.
Pulse is weak,
BP is falling.
Give me three, large‐bore IV's
normal saline, wide open.
Tube's in.
Bag him.
Dr. Ross, I'm not getting
a pulse down here.
Find a surgeon before
this guy loses his leg.
Call X‐ray..
Rolando, Dr. Ross is
waiting on the surgeon, man.
I'm on with him now.
20 minutes is no good.
Carter, I thought you were
reorganizing‐‐
Dr. Ross needs you
in Trauma One. Crush case.
‐ Somebody call me?
‐ He's in trouble, Peter.
He's absent
femoral, popliteal
and dorsalis pedis pulses.
Okay.
No cap refill.
X‐rays back yet?
Not yet.
Flexed, internally
rotated and shortened.
‐ What is it, Carter?
‐ Uh, a fracture?
Mm‐mm.
Posterior dislocation.
Alright, give me
some room here.
Carter, hold his pelvis down.
Doug, stabilize his neck.
One, two.
‐ Three.
‐ I felt a pop.
Good.
It's back in.
Distal pulse is back.
Well done, Peter.
Call ortho.
You saved his leg.
Yeah, well..
legs are something
I can save today.
Mark?
‐ Hi.
‐ Hi, how'd it go with Jen?
Oh, I never got there.
She didn't want me
to come up.
Oh. Uh, Wild Willie
wants you
to stay after
your shift.
Can't do it.
You wanna earn points
now's the time
if you still wanna
be an attending.
Mark?
She said
I could come up tonight.
I have to make
the 7:30 train.
You know, I remember
when we used to fight.
We wouldn't talk
for a couple of days but
I always knew
that things would work out.
This time,
I'm not so sure.
What do you use for
legionnaire's disease?
Erythromycin.
You studying for the boards?
They're four months away.
I'm bad on tests.
Oh, Doug,
you've gotta kid coming in
with sudden
hearing loss.
I'll take the baby
in two.
Okay.
Carter, you decide
about next year?
I'm waiting on that
surgical sub‐I.
What about
the ER sub‐I?
‐ Mark would recommend you.
‐ You think so?
Yeah.
He's studying again.
Really? I heard they raised
the boards' failure rate.
‐ What?
‐ Carter.
Dr. Benton needs
you in four.
Yeah, it went up
to ten percent.
‐ Seven students fail last year?
‐ Mm‐hmm.
‐ Seven?
‐ Yep.
‐ 'Dr. Ross?'
‐ Mm‐hmm.
Katie's got a problem.
Hey, Katie, what can we
do for you? Come here.
Katie's kind of
shell‐shocked.
Shell‐shocked,
as in combat?
She can't hear a thing.
It's take your
daughter to work day.
She pulled her muffs off
on the firing range.
Katie,
do you hear ringing?
‐ What?
‐ Come here.
You hear this?
What is that?
That's louder.
Alright, Wendy,
call ENT
for audiometry.
I wanna rule out
any middle ear damage.
Okay, where
do you work?
Great Lakes
naval base.
I took her to morning
gunnery exercises.
I always wondered why
there's a naval base
on Lake Michigan.
Who's gonna invade?
Canadians?
It only happens
when he's eating.
Uh‐huh.
Hold still, Henry.
B‐but not in the mornings.
'Bounding pulses.'
Every night,
his lips turn blue.
Leonard, please,
let him listen.
‐ It's his heart, isn't it?
‐ Leonard, don't start.
‐ It's not your fault.
‐ It's my family's genes.
And they always..
they all have heart problems.
Alright, we need a chest
X‐ray and an EKG.
‐ Go on, tell me.
‐ Okay.
Uh, I hear
a murmur.
There you go.
It's his heart,
isn't it?
I think so.
‐ Girl coming in. Head trauma.
‐ Page, Benton, will ya?
Fickle finger of fate
gets you every time.
Wanted my daughter
to be a doctor.
But you can get what you want
from life, she's a hostess
at a Hungarian restaurant, you
know, the capital is Budapest
where Zsa Zsa
Gabor was born‐‐
Mrs. Dibble, Mrs. Dibble
you need to stay in bed.
Why?
What's wrong with me?
You stopped taking
your Lithium.
Malik, can you take
Mrs. Dibble to Three?
‐ Okay, let's go, Mrs. Dibble.
‐ Don't touch me.
I am coming.
Ooh, you're a big man.
You could be a body builder.
You're so handsome.
We'll go to my place for dinner.
We'd have a
lot of fun..
Bi‐polar.
They found her in Grant park.
She was sweeping
the sidewalks.
I feel lucky to have
the right brain chemicals.
Yeah.
‐ You okay?
‐ Fine.
How's Chloe?
She wears
all my clothes
never washes
the dishes
forgets
to feed the cat.
She's coming in today
for an ultrasound.
You sound so
enthusiastic.
I'll help
her out but
she's not gonna
run my life, mark.
No, I'm not gonna do it,
not this time.
Dr. Greene.
I need you for two hours at
the end of your shift.
Joint commission survey.
I can't. It's
a bad night.
It sure is.
It's gonna rain.
I need you here.
I have personal business.
Personal? Since when
does a resident
have a personal life?
I'm sorry. I do tonight.
Well, I guess
I'll do it myself.
Screw him. Do what
you have to do.
‐ She's really pale.
‐ We found her passed out.
‐ She must have slipped.
‐ Are you her mother?
I'm her homeroom teacher.
She was bleeding
all over the place.
She's hypotensive,
Peter, 60 palp.
Let's take her and
shake her on my count
one, two, three.
Haleh, cut off this bandage.
‐ She's breathing really hard.
‐ Does she use drugs?
‐ No, not Samantha, I'm sure.
‐ Bleeding's controlled.
Does Samantha have
a history of seizures?
I don't know.
Pupils are equal,
round and reactive to light.
‐ What do you think, Carter?
‐ Could be a blood clot?
Bleeding in the brain?
Seizure disorder?
No, no, posturing.
Let's get a head CT
CBC, chem 7.
'Haleh,
run a blood sugar.'
BP's down to
60/nothing.
‐ Arrhythmia, V‐tach!
‐ Oh, she's crashing!
What the hell is happening?
Alright,
come on, paddles! Move!
100.
Clear!
No. I hate psychiatrists.
You've put this off
long enough.
A guy kicked his
daughter out a window
and I slugged him,
and he deserved it.
Go see the shrink,
Doug.
I got past
the residency review
and the guy didn't sue.
I need to close the file.
Allen murphy,
Room 607, 3:00 P. M.
Alright.
Are you saving my ass
because it's your job
or because I'm
so wonderful?
Why don't we just say
I'm sorta fond of you?
Ouch.
I tell you,
I get kidney infections.
As a urologist,
you should know better.
Why didn't you take Bactrim?
"Physician, heal thyself."
we never do.
Where do you practice?
Uh, Seattle. Evangeline.
We have a great ER there
but the weather stinks.
Ah, t‐that's it!
Flank tenderness right..
Temp, 98.9.
Get me 100 Meperidine
for pain.
Let's make
the diagnosis first.
Doc, it hurts
like hell.
Dr. Strong, I'm sure
your diagnosis is correct
but let's get
a urinalysis
just to make sure.
BP's still down.
‐ Glucose is through the roof.
‐ 600.
Oh, God,
it's not seizures.
Haleh, IV loading dose
regular insulin ten units.
Start an infusion
five units an hour.
Carter, come here.
The coma's not from head trauma.
Take a whiff.
It smells
like fruit.
Diabetic coma.
She's in ketoacidosis.
The breathing
is Kussmaul's.
Get a blood gas,
run in a liter
of saline wide open.
Did she eat anything today?
Uh, we had
a birthday party.
She had chocolate cake
and some ice cream.
‐ Will she be okay?
‐ I hope so.
Why is a diabetic
eating all that sugar?
I didn't know
she was diabetic.
Oh, great.
Haleh, let me know
when the chem seven's back.
I want a potassium
every 30 minutes.
Can I turn this
case over to Ross.
I said I want a potassium.
Carter, stitch her head.
‐ What do you want?
‐ 6‐0 nylon
I have nightmares
that I'm getting married
in a peach wedding gown.
I kinda like peach.
You don't wear it
every day.
Yeah. Why do nurses
wear colors
and doctors wear white?
Because doctors
are pure and good.
Does that include me?
No.
A Linda Farrell called.
Linda Farrell.
That sounds familiar.
Uh, you used
to date her?
Oh, that's right.
Dr. Greene, rescue 64's
bringing in
a bleeding drunk.
I thought he went home.
Oh, Mark, Tag and I
need a ring bearer
for the wedding.
We'd love to have Rachel.
Aw, that'd be great.
I'm not sure if we're
gonna be down in May
if Rach is gonna
be down here but
well, I'll have
to ask Jennifer but
I'm sure it'll be fine.
‐ Thanks.
‐ Susie! Hey.
Oh, my jacket fits nice.
You look great.
I don't feel so great.
‐ I'm kinda scared.
‐ Don't worry. It'll be okay.
I broke your blender.
I was trying to
make a milk shake.
Blenders break.
God, why are you being
so nice to me?
Because you're not gonna
screw up anymore, right?
Let's find your room,
get you a full physical.
‐ Vomiting blood.
‐ BP 90/60. Pulse threading 145.
Smells like he's been
putting it away all day.
‐ Did he hit his head?
‐ Negative.
What's your name, sir?
‐ Screw off, bitch!
‐ Just what I need today.
Let's move him on
one, two, three.
Ah! My stomach!
Chest X‐ray, LFTS EKG.
‐ Mary..
‐ Start an IV D5W.
I want that '66 Malibu.
‐ Best engine Chevy ever made.
‐ What's your name, sir?
Reicher.
I like that M‐MG '56.
That was a great car.
I like the Triumph myself.
Set up for endoscopy.
Who are you?
Where am I?
How much did you
drink today?
Ah, stuff it, will you?
We're gonna need
to sedate him.
Droperidol, 2.5 migs.
‐ Set up the suction.
‐ He'll need a Foley.
I'll do it.
Uh, you get the back.
I'm gonna puke!
Don't do it
on the floor.
We're gonna
get you a basin.
Give him 100 of Thiamine.
Suction on,
give me the scope.
Get suction ready.
'Is he, uh, doped up enough?'
He seems pretty out of it.
Run it in, wide open.
'Put it on.'
Alright, this is a test.
Are we looking at a
peptic ulcer, varices
or Mallory‐Weiss?
‐ 'Peptic ulcer.'
‐ Varices.
You're both right.
'Get the bi‐cap,
let's cauterize the bleeder.'
Mr. Reicher,
can you hear me?
You're gonna be fine.
'You drank yourself
into an ulcer'
and now the taxpayers are
gonna buy you out of it.
‐ Mark, is he stable?
‐ Mm‐hmm.
They need you on Seven
for residents' meeting.
‐ I'll finish this.
‐ Alright, thanks.
Let's get Radiology down here.
Blood sugar is 95.
Did you take care
of me today?
Yes, and you
should be lying down.
I'm getting my
medicine now.
Do I look old to you?
No, you don't.
I feel old.
I feel like nothing good
is ever gonna happen to me.
I'm sorry,
I've been begging
psych to take her.
Come on now.
It's hard to be happy.
You can't try.
It comes or it doesn't.
Blood pressure's
normal, pH 7.3
Run a rhythm strip. Give her
20 milli equivalents KCL.
‐ We go a hold of her mother.
‐ Good.
Well, at least her
heart is steady.
Looks like she didn't
take her insulin today.
Looks like she didn't
take it all week.
Run a Potassium every
30 minutes. Let me know.
Peter, she's not
a surgical patient.
You don't have to do this.
Just keep me posted.
I think it's the flu.
He told me to go home.
Can you come in?
Hurry.
Ronson's discharged.
Loomis to X‐ray.
Excuse me.
I'm looking for Lewis Reicher.
Oh, we have a Lew Reicher.
My husband,
is he alright?
Maybe we reached
the wrong family.
No, he's my husband.
Did he talk
about his cars?
He likes to talk
about his cars.
Mrs. Reicher,
your husband's fine now
but he does have
a bleeding ulcer.
The paramedics found him
on the street.
That's where he lives.
Don't ask me to explain.
I can't explain it
to my daughter.
I sure can't
explain it to you.
Uh, your husband's
been moved upstairs
if you'd like to see him.
I brought him
some clean clothes.
Could you see
that he gets this?
Sure. But he's awake, if
you wanna talk to him.
I just wanted to see
if he was alive.
So Chloe's staying
with you?
Not for long.
‐ Is she okay?
‐ Yeah.
Considering she's been living
on Twinkies and popcorn.
Mother of your diabetic's
on the way in.
Oh, thank you.
Dr. Strong's urine test.
Seems he belongs
to a different species.
He signs his name
Dr. Lyle Strong
and then follows it
with MD.
What is taking so long?
This pain is killing me.
I'm sorry.
Your test results
aren't good.
What?
You know the differential
diagnosis.
You have an aplastic
bi‐cystic renal neoplasm.
No, no.
It couldn't be that.
You're right.
Because there's no such thing.
The blood in your urine
was from a chicken.
There's some kinda mistake.
But your story's so
good we ought to give
you any painkiller
you want.
But then you'd only
be back for more.
What'd you do?
Read medical textbooks?
I...I'm a doctor.
You're a drug addict
looking for Demerol.
Connie, what do the cops do‐‐
Mr. Strong, stop!
'Mr. Strong!'
Is that the new
spring fashion?
Henry may have a hole
between his aorta
and pulmonary arteries.
He turns blue because
he's not getting
enough oxygenated blood.
I knew it.
My whole damn family.
It's not genetic, Mr. Offenbach.
‐ Everything's genetic.
‐ He said it can be corrected.
It can be right?
Open heart surgery
will close the hole.
Eight weeks old and they
have to cut his heart open.
It's a common operation.
Yeah, well, then, do it
to somebody else.
I'm sorry.
Shh.
I wanted everything
to be okay.
It's not your
fault, okay?
It just happens.
Doug.
Hey, buddy.
Do I have to call you
Dr. Ross in the hospital?
You can call me
anything you want.
How about an air head?
Wise ass.
Do you work
Saturday mornings?
Sometimes. Why?
Could you get, like
twelve Saturday mornings
off in a row
and some Tuesday
and Wednesdays?
Is this a test?
Well, my little
league team
we need an assistant coach.
It's 18 games
and two practices a week.
Give me a schedule,
I should be able to
make most of them,
is that okay?
Yeah. Great.
Dougie.
My name is Doug.
You never call
a grownup Dougie.
Since when did
you grow up?
I just closed
a huge deal in neuro.
Wanna celebrate with me?
Uh, oh, Jake,
this is Linda.
Linda, Jake.
‐ Hi.
‐ Hi.
So, celebrate?
What happened
to what's‐his‐name?
Brian.
Boston. Business.
I'll buy you ribs
at Carson's.
‐ Hmm.
‐ 8:30?
I can't.
Why'd we stop seeing
each other?
I miss you a little.
All you had to do
was marry me.
I don't miss you
that much.
‐ Yeah.
‐ I gotta go.
Bye.
Did you go out with her
or something?
I used to.
‐ But not now?
‐ Listen, Jake.
‐ You know what flirting is?
‐ Yeah.
That's what
she was doing.
People do it
all the time
and it doesn't
mean a thing.
Okay?
Okay.
Guess I was hoping
for a miracle.
I'm glad you still
visit her.
I like her.
She's tough.
Anyway, it's
on my way to class.
‐ Keeping surgeon's hours?
‐ That's what Al says.
You know, how do you keep
a marriage together?
I couldn't do it.
When I get through the
physician's assistant course
we'll have
a normal life.
I get a break at 7:00.
You wanna grab dinner?
Uh, I..
I don't know.
It's just dinner.
Okay.
Dr. Benton,
can you see Charlie?
They brought him
from the friends school.
Yeah.
That's a fine
looking woman.
Married, huh?
So, what's the problem?
My leg feels funny,
and my arm, I can't move it.
Have you been
sick lately?
‐ I had the flu.
‐ Alright.
We drop a lot of people.
Get ready.
Okay.
Doesn't look surgical.
I'll work him up,
but find Dr. Ross.
When'd your leg
get sore?
This morning.
Maybe a little last night.
Have any headaches?
From the flu.
I'm still sorta sick.
Yeah, it's going around.
Everybody has it.
Have you fallen
ill the last few days?
On Saturday.
I tripped over
my little brother.
Yeah, they get in
the way, don't they?
Does your head hurt?
No. Just my arm.
And my back a little.
The diabetic girl's
mother's here.
Possible left‐side
hemi‐paresis onset 24 hours.
This is Dr. Ross. He's gonna
take good care of you, okay.
Thanks.
He's really nice.
Yeah, he's a prince.
'Carter!'
Your tests are okay, Chloe
but you need to
start eating more.
I never ate right.
Put that down, please.
Oh, I've been
screwing up so long
maybe I can't ever do
anything right.
‐ This time, you'll try harder.
‐ Alright.
Open wide.
Come on. Ahh.
Chloe, can't you listen
to me for one second?
Look at it this way,
I may not be a doctor
but I'm giving mom a grandchild.
That'll make her happy.
Yeah. Just what she wants,
to be a grandmother.
She'll be thrilled.
Okay. An OB's coming down
to do an ultrasound and then
you're gonna go shopping for
baby stuff, alright?
Shop till I drop.
Cool.
I know I shouldn't
eat ice cream.
You should have taken
your insulin today.
And yesterday,
and the day before.
What are you
talking about?
You took it, Sam,
didn't you?
Mommy, it wouldn't‐‐
Oh, Sam.
I'm tired of being sick.
I don't wanna be different.
'I'll go blind.'
I read it in the encyclopedia.
It's not fair.
You, uh..
You have an illness.
'You wanna pretend
you don't.'
Where's that
gonna get you?
Hmm?
I don't know.
You have to accept
the way things are.
So maybe you won't be
exactly like everybody else
but...if you don't take
your insulin..
...you'll die.
I'll be back
to check on you.
The way you
talked to her
that was great.
2:30. I have to do
a hydrocele.
Push down,
like on a gas pedal.
Okay.
You like to drive, Charlie?
‐ Yeah. I just got my license.
‐ Hey.
Now, squeeze my hand.
Harder.
‐ I'm trying.
‐ Mm‐hmm.
Alright Malik here's gonna
take you for an MRI
‐ You know what that is?
‐ Uh‐uh.
It's kinda like an X‐ray,
only you lay in this big tunnel
and they take pictures
of the inside of your head.
Why are you taking a picture
of my head when my leg hurts?
Because I'm the doctor,
and that's what
I wanna do.
Malik, can I talk to you
for a second?
He didn't have any
strength in his hands.
No, he didn't.
Find his parents.
Have Radiology
put him ahead
of anybody who's
not critical
and tell Benton
to look at the MRI
and get a neuro consult.
Head's okay.
It's a good position.
Mm, looks like
a little girl.
'Oh, a girl. Wow.'
‐ How's the weight?
‐ 'Look at her move.'
Look at it, look right here.
'Weight's a little
on the low side.'
What, is something wrong?
You have to improve
your nutrition
and take
pre‐natal vitamins.
Remember you're
eating for two now.
Come back, next week,
we'll take another look.
‐ Thanks, Janet.
‐ My pleasure.
‐ Susie..
‐ 'What?'
Look at her.
I'm looking.
I told you I was
gonna have a girl.
I'm gonna name her Susan.
She's mine.
'She's my baby, Susie.'
'Mine.'
Carol?
No, I will not type your
requisition forms.
‐ Where's Doug?
‐ Getting his head shrunk.
‐ When will he be back?
‐ About a half hour. Why?
We got the MRI
back on that kid.
Tell Doug to meet me
in Radiology.
Uh‐oh.
Yeah.
So, what do we do now,
stare at inkblots?
God, no.
I don't know
a thing about them.
Sit down, will ya?
'So..'
...you slugged a guy
in the ER..
That was dumb.
What?
That was really stupid.
Uh, you're a shrink.
Aren't you supposed
to talk about my neuroses?
I know all about
your neuroses.
You're a reasonably
normal guy
with sloppy
impulse control.
That's what it's called?
Yeah.
Take my advice.
You wanna lose your temper?
Go pop a guy in a bar.
Are you suggesting that
I hit someone?
I'm suggesting you
don't do it at work
or they'll fire your ass.
'My report will say
you had a bad week.'
You're a pediatrician, thus
you're particularly
sensitive to child abuse.
Now, say you'll
never do it again.
I'll never do it again.
Good. Or you could really
mess up your life.
Thanks for stopping by.
Dr. Murphy, I have been
a little unhappy lately.
Well, join the club.
Try therapy.
Might help.
Oh, and, uh,
have a nice day.
'Dr. Greene?'
Hi. I was
wondering, uh..
Dr. Lewis said you might be
willing to recommend me
for an ER sub‐I.
Thought you wanted surgery.
I won't get it,
and I wanna
consider an ER residency.
Carter, you might
have noticed that
a recommendation from me
might not be very helpful.
I'd like it anyway.
Sure.
You bet.
The MRI shows an aneurysm
at the juncture of the basilar
and vertebral arteries
in the brain stem.
‐ How old's the kid?
‐ Sixteen.
I'd say you better find
this kid's parents quick.
We're looking.
So, that explains paralysis
the aneurysm is pressing
on the spinal tract.
I'd say it could blow
any minute
or it could go
in a week.
Well, nothing like
a specific diagnosis.
Hey, Seymour.
Seymour Lassally, Doug Ross.
Doug took the case in.
Hi. What do we got?
I have an astrocytoma at 4:00.
Whoa! That's a huge aneurysm.
When did paralysis start?
‐ Yesterday.
‐ We can't do this, Peter.
He could die in 20 minutes.
Dr. Ross, the operation
requires hypothermia.
You have to cool him down
so the brain will survive
and shut off
the heart‐lung machine.
Get lucky and he'll come out
okay, but it's not for us.
Dyer over at Mercy's
done it a lot.
Call him and get
the kid over there.
You're gonna
pass this up?
Mike Dyer is good,
fast and confident.
Call him.
He jumped right over
and bit me.
Well, it's minor.
You'll be fine.
Well, the neighbor said
he had all his shots.
Could he have rabies?
There hasn't been
a rabid dog in Cook County
in 20 years.
Mm‐hmm.
You're sure
about the rabies?
Yeah.
You're sweet.
I'm gonna tell
all my friends
to come here
in emergencies.
Any word on
the kid's parents?
The mother's on the way.
I see it's raining finally.
Fifteen miles?
Where's he doing it?
Yeah. Thanks.
‐ Carter, give me your car keys.
‐ What?
‐ I need your keys.
‐ Are you on call?
They paged Dyer for emergency,
he didn't answer.
They won't take the aneurysm
without his approval
and he's out jogging,
come on your keys.
GSW to the chest
coming in.
‐ What's Benton doing?
‐ Looking for Dr. Dyer.
It's about
his mother though.
If he can't make her better,
he'll fix everything else.
Carter, I think you took
one too many psych classes.
Get somebody from surgery
down here to cover for Benton.
‐ Shouldn't you be out of here?
‐ Uh, 20 minutes.
Look, this uh, woman
who had the dog bite
I think she was
hitting on me.
‐ That's been known to happen.
‐ Not to me.
‐ Did she smile a lot?
‐ Yes.
‐ Play with her hair?
‐ Yes.
‐ Touch you?
‐ On my arm.
She was hitting on you.
I hope I'm not sending
signals or something.
‐ I mean, you know, I mean‐‐
‐ You've been moody lately.
Women love to save
moody men.
Mark, GSW to the chest.
Susan?
Call Radiology.
Stat!
Why don't you intubate?
I'll check his lungs.
‐ Vitals?
‐ Lost 500cc's at the scene.
‐ BP 50 palp. Pulse 140.
‐ Six units O‐neg ordered.
Alright, alright.
Let's go on my count
one, two, three.
Alright.
Let's roll him.
Entry wound upper left chest.
Exit, below scapula.
Second entry wound..
...abdomen.
Exit, left flank.
Let him die.
‐ Who is she?
‐ Get her out of here.
Alright, let's get
a chest tube started
and let's get a surgical
resident down here.
I'm his mother.
Let him die.
'Ma'am, you have
to wait outside.'
Let him die.
‐ Es el diablo.
‐ Get her to the waiting room?
‐ Es el diablo.
‐ 'He's in fib.'
‐ 'Paddles, 200.'
‐ Es el diablo.
Charging.
‐ Clear?
‐ Clear.
Three hundred.
He's still in fib.
Hit it.
Charging.
‐ Clear?
‐ Clear.
He's back.
Sinus rhythm.
Hundred migs Lidocaine
IV Push.
Tension pneumo.
16‐gauge needle.
Got it.
Chest tube.
Mark, you wanna make
that train?
I gotta put in
a chest tube.
I'll help Susan.
You go.
‐ Alright. Thanks.
‐ Mm‐hmm.
'Seven and a half gloves.'
'Grey pin, please.'
‐ 'Lidocaine?'
‐ 'Don't need it.'
He killed two boys today
another last month.
He did no good
for anybody.
Murphy found you charming.
You must've turned it on.
I don't turn it on,
it's just there.
Like a force of nature.
Doug, this
Little League thing?
Yeah, it's great,
isn't it?
Yeah.
Now what did I do?
Was I supposed to say no?
Jake really likes you.
I'm glad.
You're good for him.
And?
And if you're not serious
about me I can handle it.
I don't expect men to
move in and stay forever
especially you
with your history.
Me?
Mr. Commitment?
But if you're gonna
leave Jake..
I need to know, Doug.
Not for me, but for Jake.
What's our future?
Six months, at least.
Diane, I don't know.
I hope we're
together a long time.
Maybe grow old together.
Maybe.
I hope.
Can I make the station
in 38 minutes?
Mark, it'll be okay.
This should've been the night
that Amtrak goes on strike.
Huh, watch Garrison in Four,
hypocalcaemia.
The girl in Three,
orbital fracture from softball.
Try and get a consult.
Back pain in Six‐‐
Mark..
I can read the board.
Yeah.
Bye.
You're Benton's
student, aren't you?
Uh, yeah.
John Carter.
Where is he?
I think he's in surgery.
I need his charts.
Joint commission's
breathing down my neck.
I want him the second
he gets back.
I'll tell him.
Jerry, is
Dr. Benton back yet?
Still out in the rain.
Probably smashed up
your jeep.
Can you get his charts
together for me?
You really want
that sub‐I?
Just get them for me,
Jerry, alright?
‐ Are you Mike Dyer?
‐ Who the hell are you?
Peter Benton. I'm a resident
over at County General.
I have an MRI
I want you to look at.
‐ You're joking.
‐ It's in the car.
Carol, what's the diagnostic
code for diabetic ketoacidosis?
250.11
Facial laceration repair?
120‐52.
Why are you doing that?
Round up some residents,
you never get to see this
woman hit by lightning.
Dr. Benton's charts are done.
I'll see them later.
Come on, Carter.
Nesbit, Leslie.
Struck by side flash lightning
on 23rd street.
Full arrest on scene.
Bystander started
CPR in seconds.
What's she had?
Two amps epi,
two milligrams atropine.
Look at this, Carter,
feathering burns.
Lichtenberg's flowers.
Yes. Very good.
She's cyanotic.
Hyperventilate her.
Get respiratory down here.
I'll bag her.
Handle it, Carter.
Okay, get ready
to move her on my count.
One, two, three.
Asystole.
How long since last epi?
Seven minutes.
Alright, Carter.
Give a high dose
of five milligrams.
Get a CBC, chem 24,
cardiac enzymes.
Pupils fixed and dilated.
Doesn't matter,
you get that temporarily
with lightning strikes.
Everybody should be
in here seeing this.
I got a weak pulse.
Sinus rhythm.
Dopamine, 400 milligrams
in 500 D5W.
Let's get a cross
table C‐spine, then a chest.
Let's order a head CT,
non‐contrast.
Well done.
‐ Good teachers.
‐ Who?
Dr. Benton, Dr. Greene,
Dr. Lewis.
Which one's the best?
They're all good.
They teach diplomacy too.
What do you wanna do
with this patient?
If the X‐rays are okay
we get the CT
and we ship her to the ICU.
Yes.
Shooting!
They picked up
your mother at O'Hare
she's on her way to Mercy.
‐ What'd she say?
‐ I didn't talk to her.
Well, it's just that, since she
and my dad have been divorced
she works and all, and I know
she's gonna be worried.
I don't just have
the flu, right?
No.
You have an aneurysm.
It's like a little balloon
in a blood vessel
in your brain.
It doesn't sound good.
It's not.
Why am I going
to another hospital?
It's a complicated operation.
Complicated?
Like I could die?
Yeah, you could die.
But that's not gonna happen.
Hmm?
I'm going over
there alone?
Don't worry.
You'll be in good hands.
‐ 'Alright?'
‐ Alright.
Dr. Benton,
your charts look good.
Thank you.
This student of yours
is terrific.
So you found
the neurosurgeon.
Yeah. Oh, uh..
Car keys.
My charts?
Dr. Swift wanted them,
so I finished them.
Yeah, well, uh,
thank you.
Excuse me?
I, uh, said thank you.
I know. I just wanted to
hear you say it twice.
I'll see you in
the morning, Carter.
What happened
to you?
I had to run an errand.
Huh.
Still interested in dinner?
Yeah.
Is this cool or what?
Does she really need
six pairs to start?
Aren't these cute?
Well, these are nice.
Maybe we can take
some of the others back.
Forget the bows.
Keep the patent leather.
Chloe, how much did you
put on my credit card?
I don't know, like 100,
maybe 150.
Chloe, this is easily 300.
Suse..
I'm gonna be
somebody's mother.
If mom could do it,
you can.
At least I didn't
drink Sangria all day.
Or smoke four packs
of Lucky's.
And we turned out okay.
And mom didn't have
you to help her.
It's gonna
be alright, isn't it?
Yeah, it's gonna be fine.
‐ Three plus three is six.
‐ Yeah.
And four plus four is eight.
And six..
Daddy, I don't have
any more fingers.
Well, I do.
Hold up six‐‐
Hey, banana fish,
it's time for bed.
But daddy's here.
Well, daddy can't stop
you from falling asleep
in school tomorrow.
Go brush your teeth.
If I get a story.
Mm, well..
daddy'll read you a story.
Go brush your teeth.
Go.
Jen?
It's been a long day, Mark.
Should I turn around
and go back?
I just.. I can't do this.
We need to talk about Rachel.
I miss her.
I need to see her more.
You live two hours away.
I'll move up here.
Mark...it's over.
No, I‐I mean,
I'll get a place here.
I'll commute.
I wanna raise my daughter.
You'll commute?
I'm not gonna get that
attending job.
I'll try to find a job here.
If that's what
you wanna do.
Look, uh, can I stay
here next week
while I'm looking
for a place?
It's not a good idea.
Can I stay here tonight
on the couch?
Daddy, aren't you coming?
I'll be there in a sec.
Get under the covers.
Please.
Okay. Okay.
‐ Thanks.
‐ 'Daddy!'
Why don't you
go read to Rachel?
Yeah.
So she stood up
and she started to applaud.
In the middle
of graduation?
The whole medical school
was staring at her.
When I graduated from college,
my father danced.
What's wrong with that?
On a table.
I hope my kids don't
sit around laughing at me.
Better than hating us.
You don't hate your mother.
Just 'cause your
mother's great
doesn't mean mine was.
So, uh..
...she's never gonna
get any better, is she?
There won't be
much improvement.
And there's not a damn thing
I can do about it?
No.
'I, uh..'
I wouldn't be getting
through this thing if it..
...if it wasn't for you.
I think Peter Benton can
get through just about anything.
He used to think so.
an investigation's underway'
'into a fire that claimed two
abandoned buildings..'
Oh..
'Mayor Dailey welcomes
tourists from Eastern Europe.'
'And Dante, the cat
is rescued from the parapet'
'of the Sears.'
'WAQ sports, White Sox
beat The Brewers'
'WAQ business, Dow Jones
industrial start today'
'fourteen points higher.'
'Fifty‐three degrees at 5:46.'
'I'm Pat Cassidy.'
'Now WAQ traffic and business'
'here's Capt. Tom Johnson
in jet copter six..'
Oh yeah, my mother's not
getting enough exercise.
We're doing
everything possible.
Why are you still
feeding her in her room?
We can't move every resident
into the dining hall.
No, I want her to eat
with everybody else.
She needs to be
around other people.
When she gets better, she can
participate in more activities.
She's not going
to get better
unless you
keep her mobile.
If your mother
were strong enough
she'd get
more exercise.
You promised
hydrotherapy.
You said you had
full‐time staff.
We'll do more,
when she's ready.
What do I have to do?
Do I have to come
down here and
supervise it myself?
Dr. Benton,
your mother broke her hip.
She won't heal overnight.
Yeah.
Thank you.
Mom, Chloe doesn't
have any insurance
if you could spare
a couple hundred dollars..
Dr. Lewis?
I gotta go, mom.
Bye.
‐ Yeah?
‐ Our chief resident in?
Uh, he should
be here any minute.
We have tourists tonight,
Joint Commission Surveyors.
I need him for two hours
after his shift.
Rolando!
Yeah?
I love chaos,
but this is overdoing it.
I'm a little slow today.
I got a cold.
I'm sorry.
Call a replacement,
go home.
Is he a jerk?
I don't know yet.
Carter?
Fadenhecht, Isidore.
Caught in a metal press.
Multiple lacs,
BP, 80/30
pulse 135, thready.
This guy's a mess.
How much blood loss?
Five hundred cc's.
Okay, let's move
him up slow.
He's busted up enough.
On three. Got it?
One, two, three. Gently.
'Mental status at scene?'
GCS 344, complained
of back pain.
No kidding.
'Stopped 18 minutes ago.'
‐ Cross table C‐spine and chest.
‐ I need his breath sounds.
‐ What size tube?
‐ Give me seven.
I'll start a flow sheet.
Any ID?
‐ Pulse ox 85.
‐ Put him on a ventilator.
Pulse is weak,
BP is falling.
Give me three, large‐bore IV's
normal saline, wide open.
Tube's in.
Bag him.
Dr. Ross, I'm not getting
a pulse down here.
Find a surgeon before
this guy loses his leg.
Call X‐ray..
Rolando, Dr. Ross is
waiting on the surgeon, man.
I'm on with him now.
20 minutes is no good.
Carter, I thought you were
reorganizing‐‐
Dr. Ross needs you
in Trauma One. Crush case.
‐ Somebody call me?
‐ He's in trouble, Peter.
He's absent
femoral, popliteal
and dorsalis pedis pulses.
Okay.
No cap refill.
X‐rays back yet?
Not yet.
Flexed, internally
rotated and shortened.
‐ What is it, Carter?
‐ Uh, a fracture?
Mm‐mm.
Posterior dislocation.
Alright, give me
some room here.
Carter, hold his pelvis down.
Doug, stabilize his neck.
One, two.
‐ Three.
‐ I felt a pop.
Good.
It's back in.
Distal pulse is back.
Well done, Peter.
Call ortho.
You saved his leg.
Yeah, well..
legs are something
I can save today.
Mark?
‐ Hi.
‐ Hi, how'd it go with Jen?
Oh, I never got there.
She didn't want me
to come up.
Oh. Uh, Wild Willie
wants you
to stay after
your shift.
Can't do it.
You wanna earn points
now's the time
if you still wanna
be an attending.
Mark?
She said
I could come up tonight.
I have to make
the 7:30 train.
You know, I remember
when we used to fight.
We wouldn't talk
for a couple of days but
I always knew
that things would work out.
This time,
I'm not so sure.
What do you use for
legionnaire's disease?
Erythromycin.
You studying for the boards?
They're four months away.
I'm bad on tests.
Oh, Doug,
you've gotta kid coming in
with sudden
hearing loss.
I'll take the baby
in two.
Okay.
Carter, you decide
about next year?
I'm waiting on that
surgical sub‐I.
What about
the ER sub‐I?
‐ Mark would recommend you.
‐ You think so?
Yeah.
He's studying again.
Really? I heard they raised
the boards' failure rate.
‐ What?
‐ Carter.
Dr. Benton needs
you in four.
Yeah, it went up
to ten percent.
‐ Seven students fail last year?
‐ Mm‐hmm.
‐ Seven?
‐ Yep.
‐ 'Dr. Ross?'
‐ Mm‐hmm.
Katie's got a problem.
Hey, Katie, what can we
do for you? Come here.
Katie's kind of
shell‐shocked.
Shell‐shocked,
as in combat?
She can't hear a thing.
It's take your
daughter to work day.
She pulled her muffs off
on the firing range.
Katie,
do you hear ringing?
‐ What?
‐ Come here.
You hear this?
What is that?
That's louder.
Alright, Wendy,
call ENT
for audiometry.
I wanna rule out
any middle ear damage.
Okay, where
do you work?
Great Lakes
naval base.
I took her to morning
gunnery exercises.
I always wondered why
there's a naval base
on Lake Michigan.
Who's gonna invade?
Canadians?
It only happens
when he's eating.
Uh‐huh.
Hold still, Henry.
B‐but not in the mornings.
'Bounding pulses.'
Every night,
his lips turn blue.
Leonard, please,
let him listen.
‐ It's his heart, isn't it?
‐ Leonard, don't start.
‐ It's not your fault.
‐ It's my family's genes.
And they always..
they all have heart problems.
Alright, we need a chest
X‐ray and an EKG.
‐ Go on, tell me.
‐ Okay.
Uh, I hear
a murmur.
There you go.
It's his heart,
isn't it?
I think so.
‐ Girl coming in. Head trauma.
‐ Page, Benton, will ya?
Fickle finger of fate
gets you every time.
Wanted my daughter
to be a doctor.
But you can get what you want
from life, she's a hostess
at a Hungarian restaurant, you
know, the capital is Budapest
where Zsa Zsa
Gabor was born‐‐
Mrs. Dibble, Mrs. Dibble
you need to stay in bed.
Why?
What's wrong with me?
You stopped taking
your Lithium.
Malik, can you take
Mrs. Dibble to Three?
‐ Okay, let's go, Mrs. Dibble.
‐ Don't touch me.
I am coming.
Ooh, you're a big man.
You could be a body builder.
You're so handsome.
We'll go to my place for dinner.
We'd have a
lot of fun..
Bi‐polar.
They found her in Grant park.
She was sweeping
the sidewalks.
I feel lucky to have
the right brain chemicals.
Yeah.
‐ You okay?
‐ Fine.
How's Chloe?
She wears
all my clothes
never washes
the dishes
forgets
to feed the cat.
She's coming in today
for an ultrasound.
You sound so
enthusiastic.
I'll help
her out but
she's not gonna
run my life, mark.
No, I'm not gonna do it,
not this time.
Dr. Greene.
I need you for two hours at
the end of your shift.
Joint commission survey.
I can't. It's
a bad night.
It sure is.
It's gonna rain.
I need you here.
I have personal business.
Personal? Since when
does a resident
have a personal life?
I'm sorry. I do tonight.
Well, I guess
I'll do it myself.
Screw him. Do what
you have to do.
‐ She's really pale.
‐ We found her passed out.
‐ She must have slipped.
‐ Are you her mother?
I'm her homeroom teacher.
She was bleeding
all over the place.
She's hypotensive,
Peter, 60 palp.
Let's take her and
shake her on my count
one, two, three.
Haleh, cut off this bandage.
‐ She's breathing really hard.
‐ Does she use drugs?
‐ No, not Samantha, I'm sure.
‐ Bleeding's controlled.
Does Samantha have
a history of seizures?
I don't know.
Pupils are equal,
round and reactive to light.
‐ What do you think, Carter?
‐ Could be a blood clot?
Bleeding in the brain?
Seizure disorder?
No, no, posturing.
Let's get a head CT
CBC, chem 7.
'Haleh,
run a blood sugar.'
BP's down to
60/nothing.
‐ Arrhythmia, V‐tach!
‐ Oh, she's crashing!
What the hell is happening?
Alright,
come on, paddles! Move!
100.
Clear!
No. I hate psychiatrists.
You've put this off
long enough.
A guy kicked his
daughter out a window
and I slugged him,
and he deserved it.
Go see the shrink,
Doug.
I got past
the residency review
and the guy didn't sue.
I need to close the file.
Allen murphy,
Room 607, 3:00 P. M.
Alright.
Are you saving my ass
because it's your job
or because I'm
so wonderful?
Why don't we just say
I'm sorta fond of you?
Ouch.
I tell you,
I get kidney infections.
As a urologist,
you should know better.
Why didn't you take Bactrim?
"Physician, heal thyself."
we never do.
Where do you practice?
Uh, Seattle. Evangeline.
We have a great ER there
but the weather stinks.
Ah, t‐that's it!
Flank tenderness right..
Temp, 98.9.
Get me 100 Meperidine
for pain.
Let's make
the diagnosis first.
Doc, it hurts
like hell.
Dr. Strong, I'm sure
your diagnosis is correct
but let's get
a urinalysis
just to make sure.
BP's still down.
‐ Glucose is through the roof.
‐ 600.
Oh, God,
it's not seizures.
Haleh, IV loading dose
regular insulin ten units.
Start an infusion
five units an hour.
Carter, come here.
The coma's not from head trauma.
Take a whiff.
It smells
like fruit.
Diabetic coma.
She's in ketoacidosis.
The breathing
is Kussmaul's.
Get a blood gas,
run in a liter
of saline wide open.
Did she eat anything today?
Uh, we had
a birthday party.
She had chocolate cake
and some ice cream.
‐ Will she be okay?
‐ I hope so.
Why is a diabetic
eating all that sugar?
I didn't know
she was diabetic.
Oh, great.
Haleh, let me know
when the chem seven's back.
I want a potassium
every 30 minutes.
Can I turn this
case over to Ross.
I said I want a potassium.
Carter, stitch her head.
‐ What do you want?
‐ 6‐0 nylon
I have nightmares
that I'm getting married
in a peach wedding gown.
I kinda like peach.
You don't wear it
every day.
Yeah. Why do nurses
wear colors
and doctors wear white?
Because doctors
are pure and good.
Does that include me?
No.
A Linda Farrell called.
Linda Farrell.
That sounds familiar.
Uh, you used
to date her?
Oh, that's right.
Dr. Greene, rescue 64's
bringing in
a bleeding drunk.
I thought he went home.
Oh, Mark, Tag and I
need a ring bearer
for the wedding.
We'd love to have Rachel.
Aw, that'd be great.
I'm not sure if we're
gonna be down in May
if Rach is gonna
be down here but
well, I'll have
to ask Jennifer but
I'm sure it'll be fine.
‐ Thanks.
‐ Susie! Hey.
Oh, my jacket fits nice.
You look great.
I don't feel so great.
‐ I'm kinda scared.
‐ Don't worry. It'll be okay.
I broke your blender.
I was trying to
make a milk shake.
Blenders break.
God, why are you being
so nice to me?
Because you're not gonna
screw up anymore, right?
Let's find your room,
get you a full physical.
‐ Vomiting blood.
‐ BP 90/60. Pulse threading 145.
Smells like he's been
putting it away all day.
‐ Did he hit his head?
‐ Negative.
What's your name, sir?
‐ Screw off, bitch!
‐ Just what I need today.
Let's move him on
one, two, three.
Ah! My stomach!
Chest X‐ray, LFTS EKG.
‐ Mary..
‐ Start an IV D5W.
I want that '66 Malibu.
‐ Best engine Chevy ever made.
‐ What's your name, sir?
Reicher.
I like that M‐MG '56.
That was a great car.
I like the Triumph myself.
Set up for endoscopy.
Who are you?
Where am I?
How much did you
drink today?
Ah, stuff it, will you?
We're gonna need
to sedate him.
Droperidol, 2.5 migs.
‐ Set up the suction.
‐ He'll need a Foley.
I'll do it.
Uh, you get the back.
I'm gonna puke!
Don't do it
on the floor.
We're gonna
get you a basin.
Give him 100 of Thiamine.
Suction on,
give me the scope.
Get suction ready.
'Is he, uh, doped up enough?'
He seems pretty out of it.
Run it in, wide open.
'Put it on.'
Alright, this is a test.
Are we looking at a
peptic ulcer, varices
or Mallory‐Weiss?
‐ 'Peptic ulcer.'
‐ Varices.
You're both right.
'Get the bi‐cap,
let's cauterize the bleeder.'
Mr. Reicher,
can you hear me?
You're gonna be fine.
'You drank yourself
into an ulcer'
and now the taxpayers are
gonna buy you out of it.
‐ Mark, is he stable?
‐ Mm‐hmm.
They need you on Seven
for residents' meeting.
‐ I'll finish this.
‐ Alright, thanks.
Let's get Radiology down here.
Blood sugar is 95.
Did you take care
of me today?
Yes, and you
should be lying down.
I'm getting my
medicine now.
Do I look old to you?
No, you don't.
I feel old.
I feel like nothing good
is ever gonna happen to me.
I'm sorry,
I've been begging
psych to take her.
Come on now.
It's hard to be happy.
You can't try.
It comes or it doesn't.
Blood pressure's
normal, pH 7.3
Run a rhythm strip. Give her
20 milli equivalents KCL.
‐ We go a hold of her mother.
‐ Good.
Well, at least her
heart is steady.
Looks like she didn't
take her insulin today.
Looks like she didn't
take it all week.
Run a Potassium every
30 minutes. Let me know.
Peter, she's not
a surgical patient.
You don't have to do this.
Just keep me posted.
I think it's the flu.
He told me to go home.
Can you come in?
Hurry.
Ronson's discharged.
Loomis to X‐ray.
Excuse me.
I'm looking for Lewis Reicher.
Oh, we have a Lew Reicher.
My husband,
is he alright?
Maybe we reached
the wrong family.
No, he's my husband.
Did he talk
about his cars?
He likes to talk
about his cars.
Mrs. Reicher,
your husband's fine now
but he does have
a bleeding ulcer.
The paramedics found him
on the street.
That's where he lives.
Don't ask me to explain.
I can't explain it
to my daughter.
I sure can't
explain it to you.
Uh, your husband's
been moved upstairs
if you'd like to see him.
I brought him
some clean clothes.
Could you see
that he gets this?
Sure. But he's awake, if
you wanna talk to him.
I just wanted to see
if he was alive.
So Chloe's staying
with you?
Not for long.
‐ Is she okay?
‐ Yeah.
Considering she's been living
on Twinkies and popcorn.
Mother of your diabetic's
on the way in.
Oh, thank you.
Dr. Strong's urine test.
Seems he belongs
to a different species.
He signs his name
Dr. Lyle Strong
and then follows it
with MD.
What is taking so long?
This pain is killing me.
I'm sorry.
Your test results
aren't good.
What?
You know the differential
diagnosis.
You have an aplastic
bi‐cystic renal neoplasm.
No, no.
It couldn't be that.
You're right.
Because there's no such thing.
The blood in your urine
was from a chicken.
There's some kinda mistake.
But your story's so
good we ought to give
you any painkiller
you want.
But then you'd only
be back for more.
What'd you do?
Read medical textbooks?
I...I'm a doctor.
You're a drug addict
looking for Demerol.
Connie, what do the cops do‐‐
Mr. Strong, stop!
'Mr. Strong!'
Is that the new
spring fashion?
Henry may have a hole
between his aorta
and pulmonary arteries.
He turns blue because
he's not getting
enough oxygenated blood.
I knew it.
My whole damn family.
It's not genetic, Mr. Offenbach.
‐ Everything's genetic.
‐ He said it can be corrected.
It can be right?
Open heart surgery
will close the hole.
Eight weeks old and they
have to cut his heart open.
It's a common operation.
Yeah, well, then, do it
to somebody else.
I'm sorry.
Shh.
I wanted everything
to be okay.
It's not your
fault, okay?
It just happens.
Doug.
Hey, buddy.
Do I have to call you
Dr. Ross in the hospital?
You can call me
anything you want.
How about an air head?
Wise ass.
Do you work
Saturday mornings?
Sometimes. Why?
Could you get, like
twelve Saturday mornings
off in a row
and some Tuesday
and Wednesdays?
Is this a test?
Well, my little
league team
we need an assistant coach.
It's 18 games
and two practices a week.
Give me a schedule,
I should be able to
make most of them,
is that okay?
Yeah. Great.
Dougie.
My name is Doug.
You never call
a grownup Dougie.
Since when did
you grow up?
I just closed
a huge deal in neuro.
Wanna celebrate with me?
Uh, oh, Jake,
this is Linda.
Linda, Jake.
‐ Hi.
‐ Hi.
So, celebrate?
What happened
to what's‐his‐name?
Brian.
Boston. Business.
I'll buy you ribs
at Carson's.
‐ Hmm.
‐ 8:30?
I can't.
Why'd we stop seeing
each other?
I miss you a little.
All you had to do
was marry me.
I don't miss you
that much.
‐ Yeah.
‐ I gotta go.
Bye.
Did you go out with her
or something?
I used to.
‐ But not now?
‐ Listen, Jake.
‐ You know what flirting is?
‐ Yeah.
That's what
she was doing.
People do it
all the time
and it doesn't
mean a thing.
Okay?
Okay.
Guess I was hoping
for a miracle.
I'm glad you still
visit her.
I like her.
She's tough.
Anyway, it's
on my way to class.
‐ Keeping surgeon's hours?
‐ That's what Al says.
You know, how do you keep
a marriage together?
I couldn't do it.
When I get through the
physician's assistant course
we'll have
a normal life.
I get a break at 7:00.
You wanna grab dinner?
Uh, I..
I don't know.
It's just dinner.
Okay.
Dr. Benton,
can you see Charlie?
They brought him
from the friends school.
Yeah.
That's a fine
looking woman.
Married, huh?
So, what's the problem?
My leg feels funny,
and my arm, I can't move it.
Have you been
sick lately?
‐ I had the flu.
‐ Alright.
We drop a lot of people.
Get ready.
Okay.
Doesn't look surgical.
I'll work him up,
but find Dr. Ross.
When'd your leg
get sore?
This morning.
Maybe a little last night.
Have any headaches?
From the flu.
I'm still sorta sick.
Yeah, it's going around.
Everybody has it.
Have you fallen
ill the last few days?
On Saturday.
I tripped over
my little brother.
Yeah, they get in
the way, don't they?
Does your head hurt?
No. Just my arm.
And my back a little.
The diabetic girl's
mother's here.
Possible left‐side
hemi‐paresis onset 24 hours.
This is Dr. Ross. He's gonna
take good care of you, okay.
Thanks.
He's really nice.
Yeah, he's a prince.
'Carter!'
Your tests are okay, Chloe
but you need to
start eating more.
I never ate right.
Put that down, please.
Oh, I've been
screwing up so long
maybe I can't ever do
anything right.
‐ This time, you'll try harder.
‐ Alright.
Open wide.
Come on. Ahh.
Chloe, can't you listen
to me for one second?
Look at it this way,
I may not be a doctor
but I'm giving mom a grandchild.
That'll make her happy.
Yeah. Just what she wants,
to be a grandmother.
She'll be thrilled.
Okay. An OB's coming down
to do an ultrasound and then
you're gonna go shopping for
baby stuff, alright?
Shop till I drop.
Cool.
I know I shouldn't
eat ice cream.
You should have taken
your insulin today.
And yesterday,
and the day before.
What are you
talking about?
You took it, Sam,
didn't you?
Mommy, it wouldn't‐‐
Oh, Sam.
I'm tired of being sick.
I don't wanna be different.
'I'll go blind.'
I read it in the encyclopedia.
It's not fair.
You, uh..
You have an illness.
'You wanna pretend
you don't.'
Where's that
gonna get you?
Hmm?
I don't know.
You have to accept
the way things are.
So maybe you won't be
exactly like everybody else
but...if you don't take
your insulin..
...you'll die.
I'll be back
to check on you.
The way you
talked to her
that was great.
2:30. I have to do
a hydrocele.
Push down,
like on a gas pedal.
Okay.
You like to drive, Charlie?
‐ Yeah. I just got my license.
‐ Hey.
Now, squeeze my hand.
Harder.
‐ I'm trying.
‐ Mm‐hmm.
Alright Malik here's gonna
take you for an MRI
‐ You know what that is?
‐ Uh‐uh.
It's kinda like an X‐ray,
only you lay in this big tunnel
and they take pictures
of the inside of your head.
Why are you taking a picture
of my head when my leg hurts?
Because I'm the doctor,
and that's what
I wanna do.
Malik, can I talk to you
for a second?
He didn't have any
strength in his hands.
No, he didn't.
Find his parents.
Have Radiology
put him ahead
of anybody who's
not critical
and tell Benton
to look at the MRI
and get a neuro consult.
Head's okay.
It's a good position.
Mm, looks like
a little girl.
'Oh, a girl. Wow.'
‐ How's the weight?
‐ 'Look at her move.'
Look at it, look right here.
'Weight's a little
on the low side.'
What, is something wrong?
You have to improve
your nutrition
and take
pre‐natal vitamins.
Remember you're
eating for two now.
Come back, next week,
we'll take another look.
‐ Thanks, Janet.
‐ My pleasure.
‐ Susie..
‐ 'What?'
Look at her.
I'm looking.
I told you I was
gonna have a girl.
I'm gonna name her Susan.
She's mine.
'She's my baby, Susie.'
'Mine.'
Carol?
No, I will not type your
requisition forms.
‐ Where's Doug?
‐ Getting his head shrunk.
‐ When will he be back?
‐ About a half hour. Why?
We got the MRI
back on that kid.
Tell Doug to meet me
in Radiology.
Uh‐oh.
Yeah.
So, what do we do now,
stare at inkblots?
God, no.
I don't know
a thing about them.
Sit down, will ya?
'So..'
...you slugged a guy
in the ER..
That was dumb.
What?
That was really stupid.
Uh, you're a shrink.
Aren't you supposed
to talk about my neuroses?
I know all about
your neuroses.
You're a reasonably
normal guy
with sloppy
impulse control.
That's what it's called?
Yeah.
Take my advice.
You wanna lose your temper?
Go pop a guy in a bar.
Are you suggesting that
I hit someone?
I'm suggesting you
don't do it at work
or they'll fire your ass.
'My report will say
you had a bad week.'
You're a pediatrician, thus
you're particularly
sensitive to child abuse.
Now, say you'll
never do it again.
I'll never do it again.
Good. Or you could really
mess up your life.
Thanks for stopping by.
Dr. Murphy, I have been
a little unhappy lately.
Well, join the club.
Try therapy.
Might help.
Oh, and, uh,
have a nice day.
'Dr. Greene?'
Hi. I was
wondering, uh..
Dr. Lewis said you might be
willing to recommend me
for an ER sub‐I.
Thought you wanted surgery.
I won't get it,
and I wanna
consider an ER residency.
Carter, you might
have noticed that
a recommendation from me
might not be very helpful.
I'd like it anyway.
Sure.
You bet.
The MRI shows an aneurysm
at the juncture of the basilar
and vertebral arteries
in the brain stem.
‐ How old's the kid?
‐ Sixteen.
I'd say you better find
this kid's parents quick.
We're looking.
So, that explains paralysis
the aneurysm is pressing
on the spinal tract.
I'd say it could blow
any minute
or it could go
in a week.
Well, nothing like
a specific diagnosis.
Hey, Seymour.
Seymour Lassally, Doug Ross.
Doug took the case in.
Hi. What do we got?
I have an astrocytoma at 4:00.
Whoa! That's a huge aneurysm.
When did paralysis start?
‐ Yesterday.
‐ We can't do this, Peter.
He could die in 20 minutes.
Dr. Ross, the operation
requires hypothermia.
You have to cool him down
so the brain will survive
and shut off
the heart‐lung machine.
Get lucky and he'll come out
okay, but it's not for us.
Dyer over at Mercy's
done it a lot.
Call him and get
the kid over there.
You're gonna
pass this up?
Mike Dyer is good,
fast and confident.
Call him.
He jumped right over
and bit me.
Well, it's minor.
You'll be fine.
Well, the neighbor said
he had all his shots.
Could he have rabies?
There hasn't been
a rabid dog in Cook County
in 20 years.
Mm‐hmm.
You're sure
about the rabies?
Yeah.
You're sweet.
I'm gonna tell
all my friends
to come here
in emergencies.
Any word on
the kid's parents?
The mother's on the way.
I see it's raining finally.
Fifteen miles?
Where's he doing it?
Yeah. Thanks.
‐ Carter, give me your car keys.
‐ What?
‐ I need your keys.
‐ Are you on call?
They paged Dyer for emergency,
he didn't answer.
They won't take the aneurysm
without his approval
and he's out jogging,
come on your keys.
GSW to the chest
coming in.
‐ What's Benton doing?
‐ Looking for Dr. Dyer.
It's about
his mother though.
If he can't make her better,
he'll fix everything else.
Carter, I think you took
one too many psych classes.
Get somebody from surgery
down here to cover for Benton.
‐ Shouldn't you be out of here?
‐ Uh, 20 minutes.
Look, this uh, woman
who had the dog bite
I think she was
hitting on me.
‐ That's been known to happen.
‐ Not to me.
‐ Did she smile a lot?
‐ Yes.
‐ Play with her hair?
‐ Yes.
‐ Touch you?
‐ On my arm.
She was hitting on you.
I hope I'm not sending
signals or something.
‐ I mean, you know, I mean‐‐
‐ You've been moody lately.
Women love to save
moody men.
Mark, GSW to the chest.
Susan?
Call Radiology.
Stat!
Why don't you intubate?
I'll check his lungs.
‐ Vitals?
‐ Lost 500cc's at the scene.
‐ BP 50 palp. Pulse 140.
‐ Six units O‐neg ordered.
Alright, alright.
Let's go on my count
one, two, three.
Alright.
Let's roll him.
Entry wound upper left chest.
Exit, below scapula.
Second entry wound..
...abdomen.
Exit, left flank.
Let him die.
‐ Who is she?
‐ Get her out of here.
Alright, let's get
a chest tube started
and let's get a surgical
resident down here.
I'm his mother.
Let him die.
'Ma'am, you have
to wait outside.'
Let him die.
‐ Es el diablo.
‐ Get her to the waiting room?
‐ Es el diablo.
‐ 'He's in fib.'
‐ 'Paddles, 200.'
‐ Es el diablo.
Charging.
‐ Clear?
‐ Clear.
Three hundred.
He's still in fib.
Hit it.
Charging.
‐ Clear?
‐ Clear.
He's back.
Sinus rhythm.
Hundred migs Lidocaine
IV Push.
Tension pneumo.
16‐gauge needle.
Got it.
Chest tube.
Mark, you wanna make
that train?
I gotta put in
a chest tube.
I'll help Susan.
You go.
‐ Alright. Thanks.
‐ Mm‐hmm.
'Seven and a half gloves.'
'Grey pin, please.'
‐ 'Lidocaine?'
‐ 'Don't need it.'
He killed two boys today
another last month.
He did no good
for anybody.
Murphy found you charming.
You must've turned it on.
I don't turn it on,
it's just there.
Like a force of nature.
Doug, this
Little League thing?
Yeah, it's great,
isn't it?
Yeah.
Now what did I do?
Was I supposed to say no?
Jake really likes you.
I'm glad.
You're good for him.
And?
And if you're not serious
about me I can handle it.
I don't expect men to
move in and stay forever
especially you
with your history.
Me?
Mr. Commitment?
But if you're gonna
leave Jake..
I need to know, Doug.
Not for me, but for Jake.
What's our future?
Six months, at least.
Diane, I don't know.
I hope we're
together a long time.
Maybe grow old together.
Maybe.
I hope.
Can I make the station
in 38 minutes?
Mark, it'll be okay.
This should've been the night
that Amtrak goes on strike.
Huh, watch Garrison in Four,
hypocalcaemia.
The girl in Three,
orbital fracture from softball.
Try and get a consult.
Back pain in Six‐‐
Mark..
I can read the board.
Yeah.
Bye.
You're Benton's
student, aren't you?
Uh, yeah.
John Carter.
Where is he?
I think he's in surgery.
I need his charts.
Joint commission's
breathing down my neck.
I want him the second
he gets back.
I'll tell him.
Jerry, is
Dr. Benton back yet?
Still out in the rain.
Probably smashed up
your jeep.
Can you get his charts
together for me?
You really want
that sub‐I?
Just get them for me,
Jerry, alright?
‐ Are you Mike Dyer?
‐ Who the hell are you?
Peter Benton. I'm a resident
over at County General.
I have an MRI
I want you to look at.
‐ You're joking.
‐ It's in the car.
Carol, what's the diagnostic
code for diabetic ketoacidosis?
250.11
Facial laceration repair?
120‐52.
Why are you doing that?
Round up some residents,
you never get to see this
woman hit by lightning.
Dr. Benton's charts are done.
I'll see them later.
Come on, Carter.
Nesbit, Leslie.
Struck by side flash lightning
on 23rd street.
Full arrest on scene.
Bystander started
CPR in seconds.
What's she had?
Two amps epi,
two milligrams atropine.
Look at this, Carter,
feathering burns.
Lichtenberg's flowers.
Yes. Very good.
She's cyanotic.
Hyperventilate her.
Get respiratory down here.
I'll bag her.
Handle it, Carter.
Okay, get ready
to move her on my count.
One, two, three.
Asystole.
How long since last epi?
Seven minutes.
Alright, Carter.
Give a high dose
of five milligrams.
Get a CBC, chem 24,
cardiac enzymes.
Pupils fixed and dilated.
Doesn't matter,
you get that temporarily
with lightning strikes.
Everybody should be
in here seeing this.
I got a weak pulse.
Sinus rhythm.
Dopamine, 400 milligrams
in 500 D5W.
Let's get a cross
table C‐spine, then a chest.
Let's order a head CT,
non‐contrast.
Well done.
‐ Good teachers.
‐ Who?
Dr. Benton, Dr. Greene,
Dr. Lewis.
Which one's the best?
They're all good.
They teach diplomacy too.
What do you wanna do
with this patient?
If the X‐rays are okay
we get the CT
and we ship her to the ICU.
Yes.
Shooting!
They picked up
your mother at O'Hare
she's on her way to Mercy.
‐ What'd she say?
‐ I didn't talk to her.
Well, it's just that, since she
and my dad have been divorced
she works and all, and I know
she's gonna be worried.
I don't just have
the flu, right?
No.
You have an aneurysm.
It's like a little balloon
in a blood vessel
in your brain.
It doesn't sound good.
It's not.
Why am I going
to another hospital?
It's a complicated operation.
Complicated?
Like I could die?
Yeah, you could die.
But that's not gonna happen.
Hmm?
I'm going over
there alone?
Don't worry.
You'll be in good hands.
‐ 'Alright?'
‐ Alright.
Dr. Benton,
your charts look good.
Thank you.
This student of yours
is terrific.
So you found
the neurosurgeon.
Yeah. Oh, uh..
Car keys.
My charts?
Dr. Swift wanted them,
so I finished them.
Yeah, well, uh,
thank you.
Excuse me?
I, uh, said thank you.
I know. I just wanted to
hear you say it twice.
I'll see you in
the morning, Carter.
What happened
to you?
I had to run an errand.
Huh.
Still interested in dinner?
Yeah.
Is this cool or what?
Does she really need
six pairs to start?
Aren't these cute?
Well, these are nice.
Maybe we can take
some of the others back.
Forget the bows.
Keep the patent leather.
Chloe, how much did you
put on my credit card?
I don't know, like 100,
maybe 150.
Chloe, this is easily 300.
Suse..
I'm gonna be
somebody's mother.
If mom could do it,
you can.
At least I didn't
drink Sangria all day.
Or smoke four packs
of Lucky's.
And we turned out okay.
And mom didn't have
you to help her.
It's gonna
be alright, isn't it?
Yeah, it's gonna be fine.
‐ Three plus three is six.
‐ Yeah.
And four plus four is eight.
And six..
Daddy, I don't have
any more fingers.
Well, I do.
Hold up six‐‐
Hey, banana fish,
it's time for bed.
But daddy's here.
Well, daddy can't stop
you from falling asleep
in school tomorrow.
Go brush your teeth.
If I get a story.
Mm, well..
daddy'll read you a story.
Go brush your teeth.
Go.
Jen?
It's been a long day, Mark.
Should I turn around
and go back?
I just.. I can't do this.
We need to talk about Rachel.
I miss her.
I need to see her more.
You live two hours away.
I'll move up here.
Mark...it's over.
No, I‐I mean,
I'll get a place here.
I'll commute.
I wanna raise my daughter.
You'll commute?
I'm not gonna get that
attending job.
I'll try to find a job here.
If that's what
you wanna do.
Look, uh, can I stay
here next week
while I'm looking
for a place?
It's not a good idea.
Can I stay here tonight
on the couch?
Daddy, aren't you coming?
I'll be there in a sec.
Get under the covers.
Please.
Okay. Okay.
‐ Thanks.
‐ 'Daddy!'
Why don't you
go read to Rachel?
Yeah.
So she stood up
and she started to applaud.
In the middle
of graduation?
The whole medical school
was staring at her.
When I graduated from college,
my father danced.
What's wrong with that?
On a table.
I hope my kids don't
sit around laughing at me.
Better than hating us.
You don't hate your mother.
Just 'cause your
mother's great
doesn't mean mine was.
So, uh..
...she's never gonna
get any better, is she?
There won't be
much improvement.
And there's not a damn thing
I can do about it?
No.
'I, uh..'
I wouldn't be getting
through this thing if it..
...if it wasn't for you.
I think Peter Benton can
get through just about anything.
He used to think so.