ER (1994–2009): Season 1, Episode 24 - Motherhood - full transcript

On a fateful Mother's Day, several staffers in the ER face possible life-changing events. Susan Lewis' sister Chloe gives birth to a beautiful - and healthy - baby girl. Things start to go wrong however when their mother Cookie - ...

[theme music]

[door creaks open]

(Chloe)
'Susie..'

'Susie!'

[moans]

Chloe, I worked till
1:00 in the morning.

'I, I think it's time..'

'....for the, you know,
the baby.'

‐ Are you sure?
‐ 'Uh‐huh.'

‐ Are you having contractions?
‐ 'Uh‐huh.'

'Every couple of minutes.'



Why did you wait so long?

I had some stuff to do,
I had to take a shower

pack the baby clothes.

Chloe, your contractions
are two minutes apart.

We should be at the hospital.

I thought you needed the sleep.

You picked a hell of a time
to start being considerate.

[screaming]

Chloe, Chloe..

Chloe, breathe.
Breathe, Chloe.

Hee, hee, hee.

Oh, my God.
I need my music.

‐ Get me my tape player, please.
‐ Lug that thing?

‐ Susie‐cakes, please.
‐ Okay, okay, okay.



Uh, wh‐wh‐which tapes?

"The White Album."

Okay.

[Chloe groans]

[Chloe groaning]

Oh, damn it! My keys!

Chloe, stop it.
I got to clap for my keys.

[beeping]

Got it.

Okay, Chloe.

Wow, this is scary.

Hee, hee, hee.

Carter, get over here.
I need your help.

Hee, hee, hee.
Keep panting.

We're almost there, Chloe.
Hee, hee, hee.

Oh, Carter, is that coffee?
Thanks.

Get me drugs!

Contractions
are 90 seconds apart.

Get her to OB now.

Breathe, Chloe.
Hee, hee, hee.

‐ Hee, hee..
‐ What hee?

What is with you people
and this hee‐hee thing?

Have you ever had a baby? Huh?
Do you think that really helps?

Just give me some drugs!

Janet, Susan Lewis.
It's, uh, oh, aah!

Um, it's 4:30.

My‐my sister's here,
membrane's ruptured

contractions are
90 seconds apart.

Right, get her up to OB.
Okay, I have.

Okay, okay.
I‐I'll see you in 20.

[Chloe groaning]

Coburn's on her way.

‐ Susan Lewis. I'm her sister.
‐ Marquez.

Somebody shoot me,
just please shoot me.

Chloe, hang in there
a little bit longer, okay?

No kidding.
This baby's crowning.

Oh, my God. Coburn's never gonna
make it. Who else is on?

O'Melveny, but she's
on a crash C‐section in four.

[screaming]

Okay, let's shift her up.

Remember your breathing.
Come on.

(Chloe)
'Susie, Susie, Susie.'

I‐I can't do this.

‐ I can't.
‐ Yes, you can. Yes, you can.

‐ No, no.
‐ Breathe through the pain.

‐ Blow through the pain.
‐ No, it's a bad idea.

'I can't do this, really.'

Chloe, on the next one,
you're gonna push, you hear me?

‐ I need my music.
‐ Carter, the cassette player.

‐ The tapes are in my bag.
‐ 'You're doing great.

(Chuny)
'Just hang on, okay?'

Okay, Chloe,
you're gonna push now.

‐ 'One, two, three, four.'
‐ Come on. Push.

Oh, good push.
Chloe, good, good.

[rap music]

No, not that one!

Is that French?

Seven, eight, nine, ten.

‐ Come on, Chloe.
‐ 'Doing great, honey.'

‐ Come on.
‐ Where's my tape?

Where's the "Blackbird"?
I need "Blackbird".

‐ Carter, "The White Album."
‐ "White Album."

Okay, Chloe,
you're doing a great job.

You really are.
Good job.

'Okay, another contraction.
Push!'

‐ 'One, two, three.'
‐ Push.

Four.

‐ Is this it?
‐ Carter, forget it!

♪ Blackbird singing
in the dead of night ♪

♪ Take these broken wings
and learn ♪

♪ To fly ♪

(Susan)
'Seven..'

...eight, nine, ten.

Susie, will you sing
with me please?

Please? Okay.

♪ Blackbird singing
in the dead of night ♪

♪ Take these broken wings
and learn to fly ♪

♪ All your life ♪

♪ You were always waiting
for this moment ♪

♪ To arrive ♪

The head's coming, Chloe.
Stop pushing.

Almost.

Suction.

(Carter)
'That's it, Chloe.
That's it.'

Okay, Chloe.

It's a girl, Chloe.

[panting]

‐ 'Good job, Chloe.'
‐ She's beautiful, Chloe.

Oh, my God.

(Chuny)
'You did it.'

Chloe, she's beautiful.

She's a beautiful baby girl.

Oh, my God.

[chuckling]

You did it, Chloe,
you did it.

We did it, Susie.

We did it.

[laughing]

[theme music]

Chloe says she looks like me.
What do you think?

Uh..

Yeah, well, I, I suppose.

Maybe.

Never thought
I'd deliver my own niece.

On Mother's Day,
no less.

‐ Hey, can I hold her?
‐ Sure.

Hey, little one.

So are you and Tag
gonna try for kids soon?

If we're still speaking
after the wedding.

Fifteen of his relatives
arrived yesterday a week early..

...to help us do some
of the things around the house.

Sounds scary.

Mm‐hmm.

Yep, when I left
this morning

they were planning on
painting the bathroom.

Oh, okay. Ooh.

Alright.

Goodbye, little one.

Gotta get back to work.

Congratulations, Carter.
You got the ER sub‐I.

Really?

Swift and I agree
you're the guy.

Thank you.

I didn't think you were
gonna decide so soon.

‐ I don't know what to say.
‐ Well, say yes.

You want it,
don't you?

I haven't heard
about the surgery sub‐I yet.

I gotta know
by the end of the day.

Carter, come on, get in here
and get the bullet.

James Schaeffer,
15 years old

horsing around
a construction site

fell off the second floor

got impaled on a strip of rebar.
We cut it at the site.

He's in shock,
pulse 140 and thready.

BP's 50/30.

Let's go! Go!

Rolando, there's a horse
in my parking space.

‐ Why are you riding a horse?
‐ It's not mine, Rolando.

Oh. Would I call security
about that?

I don't know. That's why
they pay you the big bucks.

(Rolando)
'Wait, Dr. Ross.'

'Eight little ranger scouts,
diarrhea.'

Mucho.

Which is why they pay you
the big bucks.

Josh got up early
to let me sleep in.

Our mothers
are coming for brunch.

He was gonna clean
the kitchen and bathroom.

Was he unconscious
when you found him?

Yes! He mixed ammonia
with bleach.

I thought he'd know
not to do that.

Okay, we'll take
care of him.

'Let's get him in here.'

You're gonna have to
stay out here, uh..

Michelle.

We'll take care of him,
okay?

On three.
One, two, three.

‐ He's wheezing.
‐ O2 10 liters.

‐ Albuterol nebulizer?
‐ Yeah.

And give him 125 milligrams
Solu‐Medrol IV push.

Malik, call Radiology.
Let's get a portable chest film.

You got it.

BP's going nowhere.
Still 50/30.

‐ Carter, should we yank it?
‐ No. Not here, never.

Right.

Go to OR for
exploratory laparotomy?

Right again.

That's my son, James.
Is he gonna be okay?

I'm Dr. Hicks, Mrs. Schaffer.

I don't know yet,
but we'll do everything we can.

Please wait out here.
What have we got, Peter?

Fifteen‐year‐old male
impaled on a rebar.

We need to get him up
to the OR for an ex lap.

(Hicks)
'Netzley's up there.
He'll take him.'

Carter, come on,
you're going with me.

Alright. Clear the hallway.
Let's get the elevator.

‐ Let's move. Go!
‐ Clear!

Get out of the way!
Let's move!

Heads up! Look out!

‐ Nice corsage.
‐ My kids. Mother's Day.

Shooting!

‐ You guys need any help?
‐ No, got it under control.

Chlorine gas poisoning.

He's on humidified oxygen
15 liters per minute.

Gave him Solu‐Medrol
125 milligrams IV.

‐ Respiratory's coming down.
‐ Call me if you need anything.

(Malik)
'Draw blood gas.'

They've had diarrhea all morning

in addition to abdominal cramps

and excessive flatus.

We farted the whole way
over here.

Pipe down, Palmer.

‐ And you are?
‐ Dolores Minky.

‐ Little Ranger Scout Mother.
‐ Hi, Dolores.

Mark. I've got a seven year old
in curtain two.

High temperature
and excessive vomiting.

‐ Could you take that?
‐ Happy to.

I suspect
it's a case of Giardia.

We had a camping trip
about three weeks ago.

‐ Contaminated stream water.
‐ Mm‐hm.

Beaver feces,
that sort of thing.

Gross! Jeffrey just cut one!
I'm gonna puke.

‐ I didn't do it. It was Andrew.
‐ Boys, now that's enough.

Guys, come on. Come on, guys,
you don't need that.

Come on, come on.
Come on, come on.

Oh, there you go.
There it is.

Told you.

(female #1)
'Temperature is 102.'

‐ 'Does that hurt?'
‐ Yeah.

(Mark)
'Has anyone else in your family
been sick recently?'

'No, we've all been fine.'

Your daughter has a very faint
heart murmur. Is that right?

Yeah, since birth, but they call
it an innocent murmur.

Not supposed to be dangerous.

No, it's fine, Mrs. Lafferty.

Joanie's probably got the flu.

I think she's dehydrated.

So I'd like to get her started
on some fluids.

I think it's best
if we get a spinal tap

to rule out meningitis.

Spinal tap?
That's very serious, isn't it?

We hope it'll rule out
anything serious.

What are they gonna do,
mom?

We're going to help you
get better. That's what.

Be right back.

Let's start an IV saline,
100 cc's per hour.

Get a CBC, Chem‐7
and prep for an LP.

You got it.

Retract the liver.

Suction.

I had a case like this
just a couple of weeks ago.

Rebar went straight through
the inferior vena cava.

Extend the incision
up through the chest

and divide the sternum.

(Peter)
'Scalpel.'

The guy was putting
a TV antenna on his roof.

It fell. Then he fell.
Right on it.

Ouch.

Alright. Bone saw.

Carter, can you see anything
back there?

Uh, not really.

Alright. Well, step up.
Hold the retractor.

Aluminum spike right
through his gallbladder.

Lungs down.

[bone saw whirs]

Sternal retractor.

(Peter)
'What happened?'

(Netzley)
'Well, ruined his reception
for one thing.'

[chuckles]

I'm a cable man myself.

Okay, open the pericardium and
put a 2‐0 Prolene purse string

around the auricle
of the right atrium.

IVC is dissected free.

‐ Carter, get ready to pull.
‐ We're close.

‐ Now.
‐ 'Okay, ease it out. Easy.'

‐ Get ready to advance the cath.
‐ 'Say when.'

Okay. Now!

Okay, tighten
the purse string around it.

‐ Pretty cool, huh, Carter?
‐ Very cool.

Okay, let's do
some repair work here.

[monitors beeping]

(Peter)
'V‐fib! Internal paddles.'

Carter, get over here,
stick your hands in here

and massage the heart.

Charge to ten.

Clear.

‐ Hey.
‐ Hey! Nice shirt.

Ha‐ha. Occupational hazard.

Listen, is there any chance
you can get off early today?

Jake and I are going
house hunting.

What's that about?

Well, the landlord gave us
two months notice.

He wants his daughter
to move in.

‐ That's a drag.
‐ Dr. Ross!

You're coming back in,
right?

Yes, Wendy.
I'm coming back in.

No, it's okay.

I'd like a bigger place

and Jake needs a backyard.

You know,
depending on how we feel

there could be room for you.

Are you talking about us
moving in together?

Maybe.
You know, at some point.

[stuttering]

You can stop stuttering, Doug.
It's just an idea.

I just, I mean, uh,
do you think that we're ready?

Well, I think I'm probably
more ready than you are

but, I mean,
I'm in no hurry.

Well, you let me know
if you find anything today..

...and I'll take a look.

‐ Call me later.
‐ Okay.

I've got an appendectomy
later this afternoon.

Make sure you do charts
and labs first.

Are you saying
I can scrub in?

‐ After charts and labs.
‐ Of course, right.

(Peter)
'Hi, Mrs. Schaffer.'

'I'm Dr. Benton.'

As you know, your son James,
was brought in

with severe head trauma
and internal bleeding.

His heart stopped
during emergency surgery.

'We tried for 33 minutes
to resuscitate him.'

'We used all of
our capabilities, but..'

'...his injuries were
too severe and he died.'

Tag, Tag, please,
I do like your mom.

I just don't wanna have dinner
with her three nights in a row.

Tag? Tag?

Don't say anything.

It's only a wedding.

So what if the caterers
just canceled and..

...the bridesmaids' dresses
are late

the relatives are early.

I'm sure this is gonna
make me a much better person.

[Susan and Mark chuckle]

So are you going up
to Milwaukee for Mother's Day?

Uh, Rachel's got a sleepover.

Jen's coming down
for dinner tonight.

‐ Mm. Sounds like a date.
‐ Yeah, that's the idea.

Oh, Carter!

Carter!

‐ How's Chloe?
‐ She's fine, the baby's great.

They're staying one more night,
then home to Mom and Pop Lewis.

So your folks
finally gave in?

Yeah, guilt's a wonderful thing.
See you later.

Carter, sit down.

So did you make a decision?

Uh..

Well, I'm grateful
for the ER sub‐I

but I guess
I'm gonna have to decline.

Mm. Benton came through
with the surgical?

No, not exactly.
Not yet.

But I think surgery
is what I want.

More like
being a real doctor?

No, no, of course not.

Surgeons, they get
all the glory.

You know, we're just
the middle men.

Don't worry, Carter.

You're gonna do great
whatever you choose.

Oh, excuse me.
Where can I find Chloe Lewis?

‐ Are you family?
‐ Yes, I'm Cookie Lewis.

‐ Room 304 on the right.
‐ Thanks.

Mom?

‐ Susie‐cakes!
‐ Mom.

What's that ridiculous shirt
you're wearing?

Do they allow you
to wear that to work?

Good to see you too.
Come on, Chloe's in here.

‐ Hi, Cookie, get in here.
‐ Oh.

What a cute little thing.
Oh.

‐ Yeah. It's pretty neat, huh?
‐ Oh, my, yes.

Almost makes me glad
you got yourself knocked up.

‐ Mom.
‐ What's the matter?

Am I embarrassing you?

Oh, God! She's got a mouth
like a staple gun.

Yeah, so did you.
Both of you.

‐ Will you take her, Susie?
‐ Yeah.

Yeah, I got her.

Mom, they do feed people here,
you know.

A little extra won't hurt.
She's gonna be here a week.

No, she's not. I told you.
She's leaving tomorrow.

I told your father
it'd be a week.

(Susan)
'He's putting up the crib,
isn't he?'

Yoo‐hoo.

You know how he is
with that sort of thing.

Mom, please..

I was always the one
putting things together

on Christmas Eve.

[laughs sarcastically]

Yeah, right.
Like what?

‐ Chloe, please, don't start.
‐ Don't start what, Susie?

How many little red wagons
did you see around the house?

Oh, I think she's gonna have
your father's curly hair.

(Chloe)
'Mom, Ronnie has
curly hair too.'

(Cookie)
'Well, how would I know that?'

‐ Have I ever met him?
‐ Well, you will next week.

Well, I had to call him
and tell him he's a father.

He's gonna come up and visit.

Don't worry,
he's not gonna stay.

Why would he stay?

He's only got a brand‐new baby
to support. Why stay?

I gotta get back to work.

Mom, please get dad
started on the crib.

We're gonna be there
tomorrow afternoon.

Oh, don't forget to call
before you come.

What?

Well, you know,
in case we're not home.

Oh, please.

Henry hasn't left
the Barcalounger in 15 years.

(Cookie)
'Don't talk about
your father like that.'

(Chloe)
'Why didn't he
even come down'

'and visit his first‐born
grandchild?'

'He's a lazy, fat pig freak.'

If you played catcher,
this wouldn't have happen.

Mom..

We play in a mother‐daughter
tournament every year.

This morning, bees everywhere.
Bees.

I don't think there's a problem,
Mrs. Sandburg.

Well, think again, doctor.
Kaitlin is allergic to bees.

There's no sign
of a reaction.

(Mrs. Sandburg)
'There will be. I know.
I'm allergic to bees.'

It's not necessarily genetic.

Oh, right.
Like you know that, huh?

I'm gonna get some forceps.
I'll be right back.

(Mrs. Sandburg)
'I don't like him.'

‐ Trade you?
‐ Um‐um.

‐ What happened in here?
‐ Mother's Day.

I had no idea
it could be so dangerous.

‐ Why's she sleeping?
‐ Passed out. Brunch. Pump Room.

Drank too many mimosas.
Stumbled in the parking lot.

Her kids brought her in.

I've got another mother
for you.

A little old lady in
exam room four. Arm laceration.

Check on her
when you're done.

Mm‐hmm.

The results of
the spinal tap are negative

so we can rule out
meningitis.

Murmur is a little louder,
3/6.

BP's 80/50,
but her pulse is 120, resp 36.

Can I see your hands?

They are very pretty.

You know, I have
a daughter about your age

and her favorite color
is pink.

Unfortunately,
we're gonna have to take it off

so I can look
at your nails, okay?

Okay.

Find some acetone
and take off the nail polish.

Mrs. Lafferty, can I please
speak to you for a minute?

Is it her heart? They said
the murmur wasn't dangerous.

We need to do more blood work
and get a chest x‐ray.

It could be pneumonia
or possibly early heart failure.

Oh, my God.

Has your daughter had
any other injuries recently?

Any medical or dental work?

She went to the dentist
two weeks ago.

Had her teeth cleaned.

She could have
what's called endocarditis.

Bacteria spreads
into the blood stream

and causes an infection
around the heart valves.

It can be treated
with antibiotics.

Excuse me, I ordered a burger..

...fries and a vanilla shake.
Very, very thick.

Look at you,
working on a Sunday.

No rest for the ambitious.

Do you have Mother's Day
plans?

No, thankfully, I do not.

Well, you're welcome
to join me and mine.

We're drinking Manhattans
at Shaw's.

‐ And boyfriend Brian?
‐ Couldn't, couldn't keep up.

Had to cut him loose.

Well, thank you,
but I can't make it.

‐ How about afterwards?
‐ No, I can't do that either.

God, you're being good.

Glad I knew you
when you were bad.

See you.

He was eating the Sunday Special
at Chulack's on 23rd

turned blue and collapsed.
Tried the Heimlich, got nothing.

‐ Heart attack?
‐ Yeah, sounds like it.

He's cyanotic, pulse 58,
BP's 50/palp.

Stopped breathing
at the back door.

We got two IV's
of normal saline going

500 cc bolus in the field.

Alright, people, on my count.
One, two, three.

Grab the IV.

Cap refill is no good.

Give him a mg of Atropine
and start a Dopamine drip.

Pulse is still 58.
BP's 40/palp.

Mr. Carter, this gentleman
has stopped breathing.

And he would appreciate
being able to do so.

Would you intubate him,
please?

Sure. Of course.

Laryngoscope.

‐ Start a second IV.
‐ Carter, hurry up.

I can't. I think
there's an obstruction.

Joe said he was eating, right?

Again.

Yeah, there's an obstruction.
Get the Magill forceps.

‐ I need you to learn this.
‐ Pulse ox is falling.

Susie‐cakes,
can I talk to you for a minute?

‐ Pulse ox is falling.
‐ Mom, not in here.

I'll be out,
I'll be out there in a minute.

I got something.

‐ 'Suction.'
‐ Damn, that's nasty.

Alright, let's hyperventilate
him and get a blood gas.

Let's move.

Mom? Mom?

I'm sorry about that,
but we don't want anyone

in trauma room while
we're working with a patient.

Hello. I'm John Carter.

Dr. Benton told me
that you cut your arm.

Oh, no, no.
It's not me.

I'm Ethel.

It's my mother, Ada.

Oh, hello, Ada.
Can I look at your arm?

Ada?

‐ So what did you need?
‐ I can't do it, Susie.

I can't take the baby
and I can't take Chloe.

‐ Somebody help! Code blue!
‐ I said I would, but I can't.

Quite honestly, I don't think
it was fair of you to ask me.

I mean it's not fair to me
and you should've known better.

‐ Mom..
‐ I mean..

You know, the crib's
not gonna be up in time

the‐the wallpaper isn't right
in that room.

Uh, your father and I
still might take that cruise

in Alaska this summer.

So I just think you better
make other plans.

Mom! What happened?
Did Chloe say something?

‐ Do something?
‐ No.

So you're just
changing your mind

after agreeing to do this,
is that it?

Yes.

Well, what the hell
am I supposed to do?

She doesn't have any money, she
doesn't have a place to live.

This is your granddaughter
we're talking about.

Susan, don't you throw that
in my face.

Now, I did my best
with you girls.

But I just,
I can't do it again.

I don't wanna do it again.

I had my kids, Susie.

I'm done.

Now, I have to stop by
the market on the way home

'cause we're out of beer.

You know how your father hates
it when we're out of beer.

Where are you going
on your honeymoon?

Tag's going to Paris.
I'm going to Hawaii.

‐ Can I go with you?
‐ Sure.

You can leave Chloe and the baby
with his 15 cousins.

‐ Good. Thanks.
‐ I might stay.

‐ In Hawaii?
‐ Yeah.

Okay, I can do that.

You think Tag will mind?

He'll get over it.

Think Chloe will mind?

I don't think
she'll even notice.

Think they've noticed
that we've been gone?

Probably.

‐ Think we should head back?
‐ Probably.

[pager beeping]

[both sigh]

[elevator dings]

See, that was
your first elevator ride. Yeah.

Here.
This is a window, see?

That's gum stuck
to the window. Yuck.

‐ And then this is the hallway.
‐ Send him to OR three.

Metcalf's on his way.

And then that's
whatever that is.

Chloe?
Hey, is this little Miss Lewis?

Yeah, isn't she perfect?

She sure is.
What's her name?

Susan, Susie
or maybe Little Susie.

Do you know
where Big Susie is?

Uh, Big Susie? No.

Chloe, you really shouldn't have
the baby out here so soon.

Oh, no, no, no, no.
It's okay. She likes it.

Well, I'm sure she does.

But you might wanna
wait a month or so.

Please! Help me!
Somebody help me!

Nina's in trouble here.

Lydia, I need some help!

'Jerry, get a gurney.
Clear Trauma One.'

‐ 'What's her name?'
‐ 'Nina'.

(Doug)
'Nina, can you hear me?'

‐ 'What'd she take?'
‐ 'I don't know.'

(male #1)
'She did a speedball
and maybe some downs.'

‐ 'What kind of downs?'
‐ 'I don't remember.

‐ 'Please help her out.'
‐ 'She's crashed.'

(Doug)
'Let's get her out of here!
Let's go. Trauma One.'

‐ What's your name?'
‐ 'Everett.'

(Doug)
'Everett, you're gonna
have to try and remember'

'if she took red
or if she took blue.'

(Everett)
'We had everything.
I don't know.'

Watch her head.

(Doug)
'Get the paddles over here too.'

Stay out here, please.

(female #2)
'Look, a little baby.
What a doll!'

‐ Can you please take her?
‐ 'What?'

Back to the nursery. She's not
supposed to be down here.

Sure, I'll take her up.

You said the pediatric surgeon
would be coming in?

Yes, Dr. Netzley.

We'll schedule surgery with him
as soon as he gets here.

‐ And he's done this before?
‐ Mitral valve replacement?

Yes, many times.

I know it's a lot
to take in, Mrs. Lafferty

but it's a routine procedure.

Is your husband
able to come?

We're divorced.
He lives in Tucson.

[sobbing]

Hey, Chloe.

What are you doing here?

What happened?

What's wrong?

The baby is so small,
Susie.

I just started
thinking about

all the bad stuff
that can happen, you know

and how do I keep it
from happening?

What are you talking about?

Mom and dad couldn't keep it
from happening.

Nothing's going to happen.
The baby is fine.

She is..
She is now, but..

Oh.

Alright, I'm just scared.

I guess I'll feel better
when I get home.

Even if it is
with Cookie and Henry.

Yeah, you'll feel better
when you get some sleep.

[grunts]

Get up to your room

and I'll come
see you later, okay?

Thanks, Susie.

(Hicks)
'Decision's made, Peter.
That's all there is to it'

Look, I've trained this guy
all year.

Peter, Susan,
we need you down here.

Yeah.

Dueling gang chicks.

This one's Rosario Guitterez,
also known as La Puppet.

'Stab wound to the chest.
Pulse 140, thready.'

BP 60/30. Decreased breath
sounds on the left.

That one's Angelina Figueroa,
La Blue Eyes.

GSW to the head.
Pulse is 60, BP 90/60. GCS 5.

(Peter)
Alright, people, let's lift her
on my count. One, two, three.

‐ Have a nice day.
‐ O2 15 liters.

‐ Tracheal shift.
‐ She's really cyanotic.

‐ Hyper resonant on the left.
‐ Capillary blanch is positive.

‐ Hey, Dr. Ross.
‐ Tension pneumo.

‐ Use a 16‐gauge needle.
‐ You got it.

‐ Give me a 6.5 tube.
‐ No respiratory effort.

‐ 'What have we got?'
‐ Gray matter all over her hair.

(Susan)
'Alright,
let's hyperventilate her.'

(Malik)
'Sinus brady 52.'

Mannitol 75 grams
and a gram of Ancef IV.

‐ 'O2 15 liters.'
‐ That's right.

Second intercostal space,
midclavicular line.

‐ O‐neg's here, six units.
‐ You doing a chest tube?

‐ Yeah, let's get one prepped.
‐ La Puppet's breathing easier.

Rosario, can you hear me?
Hey, Rosario?

'Can you hear me?
Rosario?'

Get off of me!
Stay off of me!

Whoa, baby, I guess you can.

I'm fine.
Let me go, cabrones.

Let me go, I said.

Let her die! Let her die!

You stabbed me with my own
knife! I hope you die!

Connie, get her restrained
and 2.5 of Droperidol IV now!

‐ Guess that one woke up.
‐ BP's down 80/40.

Let's get CBC, Chem‐7,
type and cross two units.

Get a chest film and do a CT
on the way to ICU.

Pupils are blown.

(Susan)
'No reflexes,
flaccid paralysis.'

You want me to track down
the family?

Yeah. Haleh, why don't you
check her wallet?

See if there's a donor card
on her driver's license?

Yeah, that's likely.

She stole my boyfriend
and stabbed me with my knife!

I want her to die!

[screaming in Spanish]

Lydia, call ICU, tell them we'll
be up in a few minutes, now.

You damn bitch!
Look what you did to me!

You cut my ear off!

[indistinct screaming]

Where the hell is security?

Get her off me!

Malik!

Focus, Carter.
Do the chest tube.

I'll get you!

Dr. Benton. Your mother's
nursing home is on the phone.

Tell them I'll have to
call them back.

‐ 'Uh, they say it's urgent.'
‐ Go. Go, go.

Alright.
Get her up to the ICU.

‐ Everything alright in here?
‐ Hunky‐dory.

‐ More Droperidol?
‐ Yeah, 2.5.

Trauma team's on its way down.

(Carol)
'Clamp the suction tube.'

‐ 'Okay, let's move her.'
‐ Carter?

‐ Grab the monitor.
‐ Hand me the saline.

‐ Where's Dr. Benton?
‐ Uh, he had to go.

Uh, Mr. Carter.

I know Dr. Benton wanted
to talk to you about this..

...but I need to notify
some people.

We had a number of
excellent candidates this year

for the surgical sub‐internship.

The selection process
was very difficult.

And while you've done
some excellent work

another applicant
was more qualified.

I'm sure you'll do well
in whatever else you choose.

Having fun in here,
Big Susie?

‐ What did you call me?
‐ Big Susie. I like that.

Hey, starting nose tackle
for Chicago Bears

Malik Williams,
ladies and gentlemen!

Security's got her restrained
in the suture room

if anyone wants to
check out that ear.

‐ She brought the ear?
‐ 'Carol! Hey!'

Ow!

Thanks, Malik.
We'll be right there.

Carter, you seen Benton?

‐ Carter? You alright?
‐ What? Yeah, I'm fine.

‐ Dr. Benton?
‐ What is it, what happened?

‐ I'm sorry I couldn't get to‐‐
‐ 'Look, what's going on?'

They wouldn't tell me
anything on the phone.

Dr. Benton, your mother
arrested at 5:15 this afternoon

'while I was in attendance.'

'We tried to resuscitate her
for 25 minutes.'

'We used all our capabilities..'

'...but her heart was too weak
and she died. I'm sorry.'

Are you alright?

Yeah, we're okay,
Uncle Peter.

Mom is still in with her.

Hey.

[sobbing]

I'm gonna go check
on the kids, okay?

I thought you were off
at 8:00.

I'm on my way home. I thought
you and Jen were having dinner.

She's running late.

You in the mood to give
a little personal advice?

Not really.

Diane's thinking about us
moving in together.

Sorry, Doug, I'm not
gonna touch that one.

Did you and Jen live together
before you got married?

She says we barely
live together now.

The answer is no.
Her dad would've killed us.

So you bowed
to the reverend's wishes?

I try not to look at it
that way exactly.

So what are you gonna do?

I don't know. Did you know
when you were ready?

Yeah.

So, I mean, if I don't know
then I'm not ready?

[chuckles]
That's what I thought.

Does your lack of readiness
have anything to do..

...with Carol getting married
next week?

‐ What's that supposed to mean?
‐ It might be liberating.

Does your lack of readiness
have anything to do

with me making this next shot?

‐ Yes, completely.
‐ Okay.

If I make it, you're ready
and if I don't, you're not.

(Susan)
'Look. Those are the stars.'

'That's the Little Dipper..'

'...and that's the Big Dipper.'

'And..'

...I don't know the names
of any of the others..

...but we'll find out, okay?

Dr. Lewis?

Carter, do you know the names
of the constellations?

Well..

Well, there's Moe.

Over there's Larry.

And that's gotta be Curly.

[chuckles]
You're worse than I am.

She's adorable.

I've delivered so many babies..

...and I've never realized
how little they are.

Look at her hands.

I'm sorry you're not doing
the ER sub‐I. Mark told me.

Actually, I wanted to talk
to you about that.

Um...maybe I made
the wrong decision.

Not if surgery
is what you want.

Yeah, yeah.

I was just thinking that maybe
the ER is really what I want.

What do you think
Dr. Greene would say

if I told him
I changed my mind?

Well, I think he'd say
it's too late.

He offered it to Garreau.

‐ I suppose she said yes?
‐ I think so.

What was that?

A baby burp?
Oh, yeah, a little one.

You look sleepy.

'Yeah, we should put you down.'

Carol, page Netzley
to Trauma One now!

When Jen arrives, tell her
I'll be out as soon as I can.

Lydia,
we've got pulmonary edema.

Draw up five of morphine,
start a nitroglycerin drip

and a blood gas.

Mark?

Jen, I got
a seven year old crashing.

Can you please wait?
Okay?

[laughter]

It's not what you think.
Diane, Diane, listen to me.

‐ I want you to listen to me.
‐ I've done that already.

‐ Don't do this.
‐ No, don't you do this!

Don't tell me
it's not what I think

when you're standing there
lying!

‐ You are lying, aren't you?
‐ Yes, I'm lying.

Maybe that's because
the idea of, of, you and I

moving in together was something
that I wasn't ready for.

‐ You could've just said that.
‐ It's because I'm scared.

And I was stupid
and I'm sorry.

‐ Give me another chance.
‐ No.

‐ It won't happen again.
‐ Yes, it will.

Come on. Diane!

[train chugging]

How long will
the surgery take?

Uh, a little over,
little over three hours.

And you're sure it's alright to
do it now even after all this?

Oh, yes, she's quite stable,
Mrs. Lafferty.

And believe me, this procedure
is really routine.

Joanie's gonna be fine.

There's a waiting room
just down the hall from Surgery.

Thanks, Mark.

Thank you.

Uh‐uh. It's a total myth
that it's the bride

that wants the splashy wedding.

How big is the church?

Well, it's too small for the
3000 people on the groom's side.

And too big
for the 12 people on mine.

He invited everyone
he ever met.

So did Mark.
It was a nightmare.

His relatives had every motel
for 20 miles.

‐ How did you get through it?
‐ Drugs.

[laughing]

‐ Hi. What's going on?
‐ Premarital advice.

Ah, she tell you about
how I wanted to elope

but she insisted on Notre Dame?

Yeah, right.

Sorry, uh,
sorry about dinner.

You had a patient, Mark.

She was supposed
to go up hours ago

but there were complications
and then, the usual..

These things happen.
What are you gonna do?

It's getting late.
We should get going.

Come on.

Peter?

All of our capabilities..

[scoffs]

Phew.

I've said those words
I don't know how many times.

Never actually heard them
until today.

I'm sorry, Peter.

Jackie, uh..

'Jackie brought
the kids home..'

..way past dinnertime.

I told her I'd stay here
and, you know, finish up.

You know something?
I, uh..

[scoffs]

...I thought I'd be
more prepared for this.

No one's prepared.

They said we could come back
tomorrow and pick up her things.

You know..

...I sat beside her.

And I held her hand.

I touched her face.

Her skin was so soft.

And just for a moment, you know,
just a second, I guess..

...I thought I could stay
there..

...forever.

But I can't do that, can I?

I mean..

...I can't hold her.

I can't,
I can't touch her.

I can't,
I can't do anything..

...to keep her.

[sobs]

[sobbing]

Hey, little girl.

♪ Black bird singing
in the dead of night ♪

♪ Take these broken wings
and learn to fly ♪

♪ All your life ♪

♪ You were only waiting
for this moment to arrive ♪

♪ You were only waiting ♪

♪ For this moment to arrive ♪

[theme music]