ER (1994–2009): Season 1, Episode 5 - Into That Good Night - full transcript
Mark Greene's wife Jen gets a position clerking with a Federal judge. Unfortunately, it's in Milwaukee, 2 hours away and she wants Mark to look for a job there. Greene and Susan Lewis treat Samuel Gasner, a man who has been waiting for a heart transplant and who will not survive the night unless a donor can be found. John Carter is worried that his latest paramour may have left him with a souvenir of their sexual encounter. Doug Ross treats a young girl suffering from severe asthma but whose mother can't afford her medication. Benton treats Ivan the liquor store owner who is shot for the third time in as many weeks.
Doug...Doug! Come on,
up and at 'em. We're busy.
‐ No way. I'm on double shift.
‐ Get up. So am I.
And you wanted
a long weekend. Now, get up.
I was having a terrific dream.
I was beating my high school
football coach to a pulp.
Carter, med students don't
sleep at 4:00 in the afternoon.
Get up, Carter.
Woman in Three with a headache.
She thinks it's a brain tumor.
A little kid in Five
with chewing gum in his eye.
And there's an old lady in Four
just wants her hand held.
‐ I'm really hungry.
‐ Cookies at the desk.
Oh. Repeat H&H order
for abdominal pain in Two.
‐ Good morning, Susan.
‐ Oh, It's afternoon, Doug.
I knew that.
Your brain's rotted. At your
age, Ryne Sandberg retired.
At my age, Mozart was dead.
Yeah, Jen, Jen, I can't get out.
I've got two residents
on double shifts.
I'll be home before
Rachel goes to bed.
Tell Mark to see his wife.
Go see your wife.
Why can't you tell me
over the phone?
Hey! Hey, Jen, hang on.
Jen, hey, it's Doug.
Can you hold on a second?
We can survive without you.
I'll meet you there.
Alright? Bye.
Thank you.
I know you can survive
without me.
Rescue 51's bringing
in two victims.
Motor vehicle collision.
One major, one minor.
‐ How soon?
‐ Now!
‐ Where's Benton?
‐ I look like his travel agent?
Ask his student.
Read books of diseases, you
start thinkin' you have them.
Find Benton. Head‐on vehicle,
two victims on the way.
TC, seven months OB.
Vitals stable.
Second victim right behind her.
‐ What's your name, ma'am?
‐ Sally, Sally Niemeyer.
How far along are
you, Mrs. Niemeyer?
‐ Seven. Almost seven months.
‐ Okay.
Second one coming in!
Chest trauma, vitals stable.
Air bag didn't open.
Name's Suarez, gangbanger.
Stole the car,
hit the pregnant lady.
'Let's move, people.'
'Oh, my chest!'
Alright, CBC, type, cross
and hold four units.
'Hook her up to a fetal monitor.
Now, please.'
Your baby has a nice,
steady heartbeat.
I'm gonna have a boy.
Get a K&B.
Call OB for an ultrasound.
‐ Does this hurt?
‐ No.
Okay, do you have
any pain in your head?
No.
That‐that girl,
she just ran right into me
and didn't even stop.
What about me, man!
‐ Push down with your hand.
‐ Okay.
Push against it.
Okay, that's good.
Good. Now push down on
your foot like on a gas pedal.
Okay. You're doing great.
Alright, gently.
Oh! Oh!
What?
You're in labor. Two centimeters
dilated, 40% effaced.
‐ Can somebody call my husband?
‐ Twenty‐eight weeks.
‐ That's too early.
‐ You wanna stop labor now?
I wanna buy some time
for the kid's lungs.
What if it's 34 weeks
and the baby's fine?
Well, it doesn't feel
like 34 weeks to me.
We need ultrasound.
I don't know.
It's too early.
‐ We gotta try.
‐ Is my baby gonna be okay?
'Okay, let's try
and stop labor.'
Bolus her six grams
with magnesium sulfate.
Get a fetal lung profile.
Where the hell is OB?
‐ What about me, man!
‐ Is my baby okay?
It's okay. It's okay.
‐ 'It's okay. It's okay.'
‐ Okay.
That's incredible.
‐ It's terrific.
‐ I still can't believe it.
Why didn't you
tell me on the phone?
It's in Milwaukee.
It's only two hours away.
And a federal clerkship, Mark.
I never dreamed I had a chance.
I thought you wanted
to be a state's attorney.
They haven't made an offer.
I mean, the judge had a clerk.
The guy backed out
at the last minute.
That's why I'm getting this.
‐ It's a great break for you.
‐ Mm‐mm.
‐ You deserve it.
‐ Thank you.
You deserve it.
There's lots of hospitals
in Milwaukee.
Yeah, I don't‐I don't know
about chief residents, but, um..
We could live here.
You could take the train.
Four hours a day on a train.
When am I gonna
have time to sleep?
I'd never get to see Rachel.
I'll make some phone calls.
See what they got up there.
I made a lot
of compromises, Mark.
Doug, they're not stopping.
Contractions two minutes apart.
‐ Doug?
‐ I don't like this.
We're looking at
major lung trouble.
Fetal heart rate?
'135 and dropping.'
We've got 128.
Late decelerations.
Fetal distress, maybe acidotic.
What's wrong? What's wrong?
Is my baby okay?
Breathe deeply.
We're taking care of your baby.
Her water's broken.
Alright. We can't stop this.
Let's go for delivery.
Call OB.
Tell them we're on the way.
Call neonatal, tell them to
expect a preemie, 28 weeks.
Call third floor. Tell them
to send a team to Five.
'Mrs. Niemeyer,
we're taking you up.'
You're gonna deliver
your baby right now.
‐ Let's clear that, please.
‐ You got it?
‐ Yeah!
‐ There you go.
Hey, how's Jennifer?
Oh, she got a great job
in Milwaukee.
Oh, can she do it by phone?
I don't think that's what
the federal judge has in mind.
Milwaukee?
Don't ask. I don't know.
'Miss Suarez, you hit
a pregnant woman.'
'And we're not happy about that
but we've to take care of you.'
'Now you have to
tell us the truth.'
‐ Did you take any drugs today?
‐ 'No.'
170/100. Pulse 120.
'Do any cocaine?
Maybe a little crack?'
Nah.
Yeah, right.
CBC, tox screen, and let's get
a chest film...now.
Will you look at this board?
Don't worry.
It'll get quieter later.
Ah! Don't say the "Q" word.
You'll start a stampede.
Take the kid in One. Alright.
Hey, how's the preemie?
She deliver?
Yeah, right out of the elevator.
Baby's in neonatal.
Lungs are bad, hyaline membrane.
‐ Goodnight, doctor.
‐ Goodnight.
‐ Mom's okay, though.
‐ Bye, Phillip.
Dr. Ross?
Can I talk to you a sec?
Yeah, sure,
if you can keep me awake.
If a, uh, if a patient has,
like, a burning sensation
does he necessarily have a..?
‐ sexually‐transmitted disease?
‐ Yeah.
He probably does.
You've to do a culture.
‐ You ever do that?
‐ No.
No? Okay.
First, you got to do
a chlamydia prep.
And then you have to do
a Gram's stain for gonorrhea.
Stick this bad boy in
about a quarter of an inch.
And then you spin it
around about ten times.
Ten times.
Who's the lucky girl?
Uh...uh, uh, Liz.
‐ The girl with the rash.
‐ Mm‐hmm.
Old hospital saying, Carter.
Don't dip your pen
in company ink.
Oh, hey, I hope you
used a condom.
Carol, we got a Code 3
from Rescue 63. Full arrest.
They're on their way in now.
Can I take her?
Not till her tests are back.
She's breathing, ain't she?
She stole the car,
and hit a pregnant lady.
Yeah...for all I know she
can have an aortic rupture.
You want her to die in jail?
Frankly, doc,
I wouldn't lose sleep.
Okay, neither would I.
But I'm liable, you're not.
Mom...mom, listen.
I can barely hear you.
Got a heart. Where to?
Trauma Two,
last door on your right.
‐ Susan, we need you.
‐ I got to go. Bye.
I'm alright.
I'm really okay.
‐ Are you doctors?
‐ I'm Dr. Lewis.
I'm Dr. Greene. I thought
this guy was in full arrest?
I was, until they
fried my chest hairs.
'Let's get a CBC, Chem 7,
blood gas and coag panel.'
On my count.
One, two, three.
He was in fib. Shocked him once.
Converted really fast.
Had 100 milligrams of lidocaine.
How'd it feel? Any pain?
I don't remember.
‐ I just sort of passed out.
‐ Can we get a monitor?
Do you have a history
of heart problems, Mr. Gasner?
Nothing that a transplant
wouldn't cure.
'I was up for a good one.'
A kid in a motorcycle accident.
It went to Minneapolis.
Who's your cardiologist?
Mike Dickey. Great guy.
He's at St. Luke's in Cleveland.
I'm in town
for the builders' convention.
My wife said I shouldn't travel.
But how could I miss 2,000
construction guys in one..
I don't get a pulse.
Mr. Gasner?
Mr. Gasner!
What? He's not in fib.
Give him an amp of epi.
Come on.
Come on back.
I'll call Cleveland
for his history.
Whoa.
I just pass out?
Start a dopamine drip.
400 in 250 D5W.
Ten drops a minute.
My chest feels
like someone sat on it.
Uh‐huh. That happens sometimes.
Yeah...I know.
'You gotta give her something.
She can't breathe.'
That's it.
Keep taking deep breaths.
Blood gases are back.
Not good. PO2's 70.
You taking any medication?
No, it's never been this bad.
'Handheld nebs,
albuterol 2.5 milligrams.'
'Peak flow, pre and post.'
Give her Solu‐Medrol,
50 milligrams IV.
Can I talk to you
outside just for a second?
Uh, listen, Sandy?
This is Lydia.
Now, she's gonna
take care of you.
You're gonna be fine, okay?
'Just keep breathing, honey.
Keep breathing'
Here we go. Mm‐hmm.
Your daughter's having
a very serious asthma attack.
Is she allergic to anything?
I don't know. I don't think so.
Mm‐hmm. Do you have any pets?
Um, this cat, a stray.
Sandy found her in the street.
She just loves her.
Okay, well, you're gonna have
to get rid of the cat.
We need to do some tests.
It's gonna take
about two hours. Okay?
Okay.
Alright, Sandy.
'Gasner, G‐A‐S‐N‐E‐R.'
'First name Samuel. Mm‐hmm.'
Can you fax us his chart
and have his physician call us?
Are you a doctor?
They said my wife
was here. Is she alright?
What's your name, sir?
Niemeyer. She was in a car
accident. Is she alright?
Jerry, Mr. Niemeyer.
Ah, your wife is fine.
‐ I'll take you up to neonatal.
‐ Neo‐what?
‐ You had a baby.
‐ Thanks, Jerry.
'Yeah, it's Dr. Mark Greene,
with an "E" at the end.'
'He's chief resident.'
Convention?
I got a little tired.
'Built 15 houses this year.'
I wanted to design them
but, uh, I just build them.
Can you stop talking
just a second?
Old inferior wall MI.
Low voltage.
Consistent with severe myopathy.
I've been through this.
I know what it says.
It's nothing new.
Am I gonna make it tonight?
I ask every time.
He's in fib!
Charging.
Ready. Two hundred.
Clear.
Another 50 of lidocaine.
Start a drip.
Two grams in 500.
Wow. I don't usually do that.
Could somebody please
call my wife?
That's a big, boggy heart.
Suppose we get a transplant.
Is it too late?
He's been defibrillated twice?
‐ He's in cardiogenic shock.
‐ Keeps going in and out.
Well, there can't be
much muscle there.
Jerry, call cardiology
for an echo
and wake up Dr. Flint, get him
down here from Lake Forest.
Oh, and call the transplant
coordinator
and see if they've
got any hearts around.
Alright, and your wife called.
Oh, great.
I missed calling Rachel.
Lydia, get a hold
of the Gasner family?
I'm trying Cleveland
every ten minutes.
Gasner doesn't think he's
gonna make it through the night.
Dr. Ross, peak flow's
gone from 190 to 300.
Mm‐hmm. How's her gases?
Much better.
Sandy, you are doing great.
Alright, she's gonna need
an appointment with your doctor.
'She's also gonna
need an inhaler at home.'
And a medication
called prednisone.
So you fill
this thing out tonight.
Hospital pharmacy
is open 24 hours.
And it's on the first floor.
Okay? There you go.
Thought you were off at 10:00.
'I'm on all night.
What are you still doing here?'
I'm on a double.
‐ Oh, thank you.
‐ Sure.
And why is Mark getting messages
from the University Hospital
in Milwaukee?
His wife wants to move.
She got a job up there.
Is he gonna do it?
I hope not.
'Can't imagine
he'd be happy there.'
Doesn't he ever go home?
Oh, he's waiting
for that gang girl
to come out of recovery.
What's he doing?
'Practicing one‐handed knots.'
'He'd do it with
his teeth if he could.'
No, I wouldn't. You can't
wear a glove on your teeth.
What are you listening to?
Snoop Doggy Dogg.
"Trends in Cardiac Surgery,
Volume 2."
'Blood pressure's
falling, 80/60.'
Mm‐mm. Add a dobutamine drip,
250 in 250.
4cc's a minute.
You feel crummy..
waiting around for a kid
to smash up his car
'so you can get his heart.'
We're getting great pictures.
'Frame one for me, will you?'
How's your heart?
It's, uh...pretty good shape.
Wanna lend it
to me for the weekend?
Nah...you got better
things to do with it.
Do 'em all.
You never know
when you'll get the chance.
'Left ventricle, please.'
‐ You got kids, doc?
‐ A daughter. She's five.
My girl's nine.
Her age,
I...I shouldn't really travel.
I miss too much of her life.
But what can I say?
I love the job.
How you doing, Mr. Gasner?
To tell you the truth..
...I felt a hell
of a lot better yesterday.
What's your wife do, doc?
She's a lawyer.
You guys must have
your hands full.
Did I get any tests back?
‐ On who?
‐ A patient.
I figured that.
Does the patient have a name?
Yeah, it's Car...tere.
‐ I'll watch out for them.
‐ Thanks.
And, Jerry, don't tell
anybody the results.
"Secret" is my middle name.
Gasner, Samuel.
We called it in.
Look, it doesn't
have to be perfect.
‐ We'll take any heart.
‐ Anything?
Uh...okay.
Type "A" blood.
Negative T‐cells
cross‐match, okay?
Alright. Well, keep us posted.
We need a heart. Thank you.
He's getting weaker.
I can't pull a heart
out of thin air.
Peter,
gunshot wound to the foot.
The liquor store guy again.
He's asking for you.
Ivan? What does he do wear
a sign that says "Shoot me"?
That hurts.
Ivan, Ivan, Ivan,
who did it this time?
‐ Me, I did it!
‐ Thought you didn't have a gun.
I could not take no more.
Bought a little Glock.
Oh, God, it hurts.
Let's get a gram of Ancef and
150 gentamicin IV. Book an OR.
And the last BP
was a little high, 180/110.
Alright.
Ten Procardia sublingual.
In Russia, it's crazy!
You need case of vodka
to get good doctor.
'God bless America.'
Yeah, well, God didn't
bless your neighborhood.
I was showing the gun to Nicky,
the dry cleaner, and bang!
Off went half your toe.
‐ I'm going to lose it?
‐ You already did.
Let's go.
'Still can't find a donor.'
There's one in Cincinnati,
but the blood type is "AB."
How hard is it to
find a type "A" heart?
The patient has, uh,
advanced dilated cardiomyopathy
with severe mitral regurgitation
and an ejection fraction
of less than ten percent.
This is not the best news
I've heard all day.
So, Steve,
do you have an opinion?
'Dr. Kayson and I
agree on very little'
but we're happy
not to be Mr. Gasner.
What if we take him upstairs,
put him on heart‐lung bypass
while we look for another donor?
With no muscle left,
I'd say the stress alone
would kill him
in a couple of hours.
I put the transplant
team on call.
You get a heart, we'll put him
on the table in 20 minutes.
Mr. Gasner's wife's on a plane.
She'll be here around 3:00.
'Somebody's gonna
have tell them.'
Have the desk beep me
when she gets here.
'Hey, Carter. Bend over.'
'There we go.'
I'm cooking now!
'Alright. Hold still.
Oh! Good one.'
‐ Carter, what is he doing?
‐ Ha ha.
I lost a bet.
He's my backboard.
No, Mark, I'm on a roll here.
Here we go. And the shot!
Oh! You ruined my concentration.
'Oh! Two.'
Doc‐Dr. Ross?
Yeah.
Baby in Four.
Seven inches taller..
I would have been a contender.
Bulls, Knicks.
Any luck with that heart?
No.
I, uh...I heard your wife
got a job in Milwaukee.
Yeah. She's, uh,
clerking for a federal judge.
That sounds exciting.
'It is.'
Are you gonna leave
the hospital?
I‐I don't know.
I thought you were
off at midnight.
Uh, yeah.
Um, yeah, I‐I am.
I just, uh...I just
thought I'd stick around.
You ever have one
like Mr. Gasner before?
One that took so long?
No.
You look like hell, Carter.
Yeah. I'm just waiting
for Bent‐Dr. Benton to leave.
Mm‐hmm. You need some sleep.
Oh, that hurt.
Hmm...well, you've taken
a bad fall, Mrs. Fadem.
I'm gonna have
to get some X‐rays.
No...no X‐rays.
They'll hurt my baby.
And how long
have you been pregnant?
Six months now.
Well, suppose I promise that
your baby will be protected.
We'll shield you with lead
and we'll use a real low dose.
Uh, just as long as you
promise not to hurt my baby.
I promise.
Lydia, would you take
Mrs. Fadem to radiology?
Oh, and be careful
of her pregnancy.
Goin' right away.
‐ Her what?
‐ Pregnancy.
'You worry too much.'
Kayson hates me.
He's a cardiologist.
He's on my review board.
I'll need his recommendation.
Why would you want it?
The man loses so many patients
he gets endorsements
from funeral homes.
Div!
When I was your age
I worried about
what every attending
thought of me, too.
Forget it. You're a good doctor.
You're better than my ex,
and I actually married her.
Div, there are a lot of subjects
that interest me and believe me
your ex‐wife tops my list.
Ah! That's me.
My knife‐wielding psychotic
must be up from his nap.
Later.
Your wife's on her way.
She'll be a wreck.
He's not putting out fluids.
One‐sixty of Lasix.
Hey, doc..
...do I look stupid?
'Why don't you tell me?'
You versus God.
We know who wins.
I don't think of it that way.
Yeah? You don't have to.
I'm the one on the table.
We looked at your echo, and
if we don't find a donor heart
you probably won't make it
through the night, Mr. Gasner.
It's 2:00 in the morning.
I'm dying.
So, please..
...call me Sam.
This is no time to be formal.
'Don't forget to check
on Ivan before you go.'
Can I take the Suarez girl now?
The gangbanger?
Aortic rupture.
I forgot to tell you.
She died in recovery.
Ah. Well..
I'll see you at 7:00.
‐ AM?
‐ Goodnight.
That's five hours.
Why bother driving home?
Three hours sleep,
I get to come back here..
Quinn, Daniel.
Hypotensive, 80/70, comatose.
Fraternity kid.
Drinking all night.
Ever see anybody intubated?
Uh...no.
Get respiratory in here.
Carter, start a second line.
D‐50, one amp,
2 milligrams Narcan.
Pam, get an EKG.
Mr. Quinn, do you hear me?
‐ Daniel?
‐ Respiratory's on the way.
He's cyanotic. Speed up
the drip. Add dopamine.
‐ Hyperventilate him.
‐ Line's in, Susan.
BP is 70/40 and falling.
Get a CBC, blood alcohol,
Chem 7 and tox screen.
‐ Let's tube him.
‐ Blood sats 80.
Do a dextrose stick.
Okay, Carter, pay attention.
This is where it counts.
Visualize the cords.
You don't wanna miss the trachea
and end up in his esophagus.
Okay.
It's in.
Bag him.
'Listen to the lungs
and the abdomen'
to make sure
the tube's in place.
Glucose is normal.
BP is steady, 80/65.
That's nice.
Draw a blood gas now.
Doug, they called from neonatal
if you wanna take a look
at the Niemeyer preemie.
‐ Hm.
‐ He's gonna be okay.
Alright. God smiled on him.
Since when do you
believe in God?
I've been contemplating my
insignificance in the universe.
I thought you were
the center of the universe.
Not always.
Are you a doctor?
I'm looking for Dr. Ross.
He's in the Emergency Room.
Yeah. I'm Dr. Ross.
Thank you very much!
‐ I can't thank you enough.
‐ You're welcome.
Who are you?
Oh, I'm‐I'm Randy Niemeyer.
My wife, my baby.
They said you took her up.
My little boy's gonna be okay.
Uh, in fact, I'm just on my way
up to see your baby right now.
‐ You wanna..?
‐ Yeah, yeah.
Yeah. Okay.
Yeah.
We're hydrating like crazy
and his blood pressure's
not moving.
Order LFTs, BUN and creatinine.
His friend's here.
He says the guy didn't
have that much to drink.
Yeah, and the Cubs
are a shoo‐in for the pennant.
'This is Elliot.
This is Dr. Lewis.'
Can you tell me how much
Mr. Quinn drank tonight?
We were playing this game,
Whale's tales.
You say numbers
around the table.
If you can't remember them,
you have to drink.
How much did Mr. Quinn drink?
Listen, his father's
an assistant dean.
If he finds out about..
What was he drinking
and how much?
Beer.
Beer and shots of tequila.
He must have had 15, 20 shots.
‐ Did he do any drugs?
‐ No.
‐ Will he be alright?
‐ I hope so.
Blood alcohol's back, 832.
Call dialysis.
Let them know we're on the way.
And let's move him.
Mrs. Gasner.
I'm Elaine Gasner.
This is Sarah.
Hi, Sarah. I'm Dr. Greene.
Sit down, honey.
Where's my husband?
Can I see him?
He's sleeping.
'I need to tell you
about his condition.'
His heart muscle
is badly deteriorated.
They‐they said he could
get a transplant.
If there was one available.
There isn't one tonight.
He can wait till they find one.
Your husband's heart
is failing.
Unless we find a heart donor
in the next couple of hours
I don't believe he'll make it
through the night.
I'm sorry.
Sam?
Mark.
Your wife and daughter are here.
I was thinking.
Did you hear the one..
'...about the guy
on the country road?'
'Flat tire..'
...doesn't have a jack.
Never mind.
You think you can avoid it.
'It all counts.'
'Decisions you don't make.'
The real joke is..
...I'm still gonna die.
I guess I'm
getting ready for it.
I'm not ready!
Damn it, I'm not!
I don't wanna leave them.
Sarah needs me.
Could you please have my wife..
...bring Sarah in?
Sure.
Don't say it.
What?
That I should
be grateful to be alive.
That's not what I was thinking.
What were you thinking?
I don't know.
'Is‐is there any chance?'
'Type "A", negative
crossmatch, 43 years old.'
He can handle the surgery.
It just seems that
marriage should be easier.
Mm‐mm. I never
heard it called easy.
Sometimes I think we did it
just to make our parents happy.
You're good at
making people happy.
Not this week.
What?
Well, how soon will you know?
Nineteen year old flatline EEG.
They can't find the parents
to sign a release.
So, what are you
gonna do about Milwaukee?
I can be a junior resident
at a suburban hospital.
That'd do wonders
for your career.
It all counts.
‐ What?
‐ Nothing.
Oh, Susan,
they called from Five.
Your dialysis
kid's coming around.
Good.
Well, can you keep trying?
Yeah, I need that heart.
Thanks.
Jerry, can you do me a favor
and get a hotel for
Mrs. Gasner and her daughter?
Sure.
You okay, Dr. Greene?
I'm fine, Jerry. Thanks.
'Dr. Ross?'
Lydia, what is
a seven‐letter word for dumb
beginning with an "M"?
Moronic.
Your asthma patient's back.
She tried to sleep.
Where's the inhaler?
I'll check the dose.
I didn't get it.
Your daughter's having
another attack.
I told you to fill out
that prescription tonight!
‐ Actually‐‐
‐ She could have died.
You understand that?
The medicine cost $30.
I don't have the money and
Medicaid don't come through
for another week.
I'll be back.
Carol, do we
have a spare inhaler?
Just the one.
If it's that bad,
he should come in.
What about Proventil samples?
Nope. We can't
diagnose over the phone.
If that's what you wanna do.
Thank you.
'Prednisone, any of that?'
Plenty.
It's on the top shelf.
‐ Yeah?
‐ Yeah. Mm‐hmm.
It's gonna take more than this
to get her through the week.
You seem awfully interested.
She must be very pretty.
She's 12.
I'll see what else
I can turn up.
Jerry, I don't get it.
I sent that Gram stain ages
ago and it's not back yet?
Who was that for again?
Mine. For me.
Ah, yes.
Came in about 3:00.
Where is it, Jerry?
Bulletin board.
Excuse me.
Carter!
'You gotta do something.'
I feel like I'm gonna throw up.
Well, we wouldn't want that.
Not here in the hall.
Come with me.
Hi, John.
Oh!
Hi, puppy.
'You're up pretty late.'
'I fell asleep on the plane.'
Did you have fun with grandma?
She gave me a present.
Blood sats 80%.
‐ 'What did you get?'
‐ 15 liters O2.
'A diary.'
Grandma made the cover herself.
Grandma likes
to make things for you.
Oh!
My mom says
my dad's gonna die.
Uh...yes, he is.
Why can't you fix him?
We can't fix everything.
I can breathe now.
Alright, we don't
have a spare inhaler.
Take the Prednisone every day
and you visit the clinic
first thing in the morning.
Tomorrow?
I can't go tomorrow.
Well, you have to.
It's important.
I gotta go to work.
It's only my second week.
‐ 'Dr. Ross?'
‐ Mm‐hmm.
There's a kid, uh,
throwing up in Three.
Okay. You're gonna
have to take off work.
I can't.
Your daughter has to
have the medication.
'It has to be done. Okay?'
So do it.
'I know, Elaine.'
'I know.'
I forgot a long time ago.
I was always sure of you.
You never let me down.
'Sam?'
'Sam!'
'Sam?'
Please! Please, I have to tell
him one more thing.
You have to make him hear me!
Sam?
Elaine.
Forever, honey.
Forever.
Sarah will be fine.
Remind her...I love her.
Sam. Sam. Sam.
'Mr. Quinn?'
'Daniel?'
'I'm Dr. Lewis.'
'You're on dialysis
because you drank too much.'
'Would you blink
if you understand me?'
We'll be taking that tube
out of your windpipe soon.
Your kidneys are functioning,
your liver's fine
and you lost
a few million brain cells
but you can spare them.
Blink if you will
never do this again.
Playing one‐on‐one against
yourself is the easy way.
Here you go.
Here you go. Come on.
Come on, you wussy.
Get by me.
I'm the short guy out here.
But you said you could
have been a contender.
You distracted me.
It's the game. What do you want?
Can I borrow 40 bucks?
‐ For what?
‐ I gotta run an errand.
Thank you, sir.
Go home, Mark.
This will get your daughter
through the next three weeks.
Make sure that she uses
the inhaler every day
and bring her back
if she's not feeling better.
You bought this yourself.
I'll get her
to the clinic, I promise.
Thank you.
You're welcome.
Honey.
‐ Hi.
‐ What time is it?
‐ It's 7:30.
‐ Mm‐mm.
I was thinking about Milwaukee.
And, uh, I know it will be hard.
It's okay. Don't worry about it.
But if you want me to go..
I'll go.
I'll go.
No, you'd hate it.
It's not a big deal.
It's only two hours away.
I love you.
Love you too.
'Daddy, you're home!'
Hi, sweetheart.
Come on in.
Come here.
Hi.
I am so glad to see you.
Daddy, what's wrong?
Oh!
Nothing's wrong. Mm?
Nothing's wrong.
Nothing's wrong, okay?
up and at 'em. We're busy.
‐ No way. I'm on double shift.
‐ Get up. So am I.
And you wanted
a long weekend. Now, get up.
I was having a terrific dream.
I was beating my high school
football coach to a pulp.
Carter, med students don't
sleep at 4:00 in the afternoon.
Get up, Carter.
Woman in Three with a headache.
She thinks it's a brain tumor.
A little kid in Five
with chewing gum in his eye.
And there's an old lady in Four
just wants her hand held.
‐ I'm really hungry.
‐ Cookies at the desk.
Oh. Repeat H&H order
for abdominal pain in Two.
‐ Good morning, Susan.
‐ Oh, It's afternoon, Doug.
I knew that.
Your brain's rotted. At your
age, Ryne Sandberg retired.
At my age, Mozart was dead.
Yeah, Jen, Jen, I can't get out.
I've got two residents
on double shifts.
I'll be home before
Rachel goes to bed.
Tell Mark to see his wife.
Go see your wife.
Why can't you tell me
over the phone?
Hey! Hey, Jen, hang on.
Jen, hey, it's Doug.
Can you hold on a second?
We can survive without you.
I'll meet you there.
Alright? Bye.
Thank you.
I know you can survive
without me.
Rescue 51's bringing
in two victims.
Motor vehicle collision.
One major, one minor.
‐ How soon?
‐ Now!
‐ Where's Benton?
‐ I look like his travel agent?
Ask his student.
Read books of diseases, you
start thinkin' you have them.
Find Benton. Head‐on vehicle,
two victims on the way.
TC, seven months OB.
Vitals stable.
Second victim right behind her.
‐ What's your name, ma'am?
‐ Sally, Sally Niemeyer.
How far along are
you, Mrs. Niemeyer?
‐ Seven. Almost seven months.
‐ Okay.
Second one coming in!
Chest trauma, vitals stable.
Air bag didn't open.
Name's Suarez, gangbanger.
Stole the car,
hit the pregnant lady.
'Let's move, people.'
'Oh, my chest!'
Alright, CBC, type, cross
and hold four units.
'Hook her up to a fetal monitor.
Now, please.'
Your baby has a nice,
steady heartbeat.
I'm gonna have a boy.
Get a K&B.
Call OB for an ultrasound.
‐ Does this hurt?
‐ No.
Okay, do you have
any pain in your head?
No.
That‐that girl,
she just ran right into me
and didn't even stop.
What about me, man!
‐ Push down with your hand.
‐ Okay.
Push against it.
Okay, that's good.
Good. Now push down on
your foot like on a gas pedal.
Okay. You're doing great.
Alright, gently.
Oh! Oh!
What?
You're in labor. Two centimeters
dilated, 40% effaced.
‐ Can somebody call my husband?
‐ Twenty‐eight weeks.
‐ That's too early.
‐ You wanna stop labor now?
I wanna buy some time
for the kid's lungs.
What if it's 34 weeks
and the baby's fine?
Well, it doesn't feel
like 34 weeks to me.
We need ultrasound.
I don't know.
It's too early.
‐ We gotta try.
‐ Is my baby gonna be okay?
'Okay, let's try
and stop labor.'
Bolus her six grams
with magnesium sulfate.
Get a fetal lung profile.
Where the hell is OB?
‐ What about me, man!
‐ Is my baby okay?
It's okay. It's okay.
‐ 'It's okay. It's okay.'
‐ Okay.
That's incredible.
‐ It's terrific.
‐ I still can't believe it.
Why didn't you
tell me on the phone?
It's in Milwaukee.
It's only two hours away.
And a federal clerkship, Mark.
I never dreamed I had a chance.
I thought you wanted
to be a state's attorney.
They haven't made an offer.
I mean, the judge had a clerk.
The guy backed out
at the last minute.
That's why I'm getting this.
‐ It's a great break for you.
‐ Mm‐mm.
‐ You deserve it.
‐ Thank you.
You deserve it.
There's lots of hospitals
in Milwaukee.
Yeah, I don't‐I don't know
about chief residents, but, um..
We could live here.
You could take the train.
Four hours a day on a train.
When am I gonna
have time to sleep?
I'd never get to see Rachel.
I'll make some phone calls.
See what they got up there.
I made a lot
of compromises, Mark.
Doug, they're not stopping.
Contractions two minutes apart.
‐ Doug?
‐ I don't like this.
We're looking at
major lung trouble.
Fetal heart rate?
'135 and dropping.'
We've got 128.
Late decelerations.
Fetal distress, maybe acidotic.
What's wrong? What's wrong?
Is my baby okay?
Breathe deeply.
We're taking care of your baby.
Her water's broken.
Alright. We can't stop this.
Let's go for delivery.
Call OB.
Tell them we're on the way.
Call neonatal, tell them to
expect a preemie, 28 weeks.
Call third floor. Tell them
to send a team to Five.
'Mrs. Niemeyer,
we're taking you up.'
You're gonna deliver
your baby right now.
‐ Let's clear that, please.
‐ You got it?
‐ Yeah!
‐ There you go.
Hey, how's Jennifer?
Oh, she got a great job
in Milwaukee.
Oh, can she do it by phone?
I don't think that's what
the federal judge has in mind.
Milwaukee?
Don't ask. I don't know.
'Miss Suarez, you hit
a pregnant woman.'
'And we're not happy about that
but we've to take care of you.'
'Now you have to
tell us the truth.'
‐ Did you take any drugs today?
‐ 'No.'
170/100. Pulse 120.
'Do any cocaine?
Maybe a little crack?'
Nah.
Yeah, right.
CBC, tox screen, and let's get
a chest film...now.
Will you look at this board?
Don't worry.
It'll get quieter later.
Ah! Don't say the "Q" word.
You'll start a stampede.
Take the kid in One. Alright.
Hey, how's the preemie?
She deliver?
Yeah, right out of the elevator.
Baby's in neonatal.
Lungs are bad, hyaline membrane.
‐ Goodnight, doctor.
‐ Goodnight.
‐ Mom's okay, though.
‐ Bye, Phillip.
Dr. Ross?
Can I talk to you a sec?
Yeah, sure,
if you can keep me awake.
If a, uh, if a patient has,
like, a burning sensation
does he necessarily have a..?
‐ sexually‐transmitted disease?
‐ Yeah.
He probably does.
You've to do a culture.
‐ You ever do that?
‐ No.
No? Okay.
First, you got to do
a chlamydia prep.
And then you have to do
a Gram's stain for gonorrhea.
Stick this bad boy in
about a quarter of an inch.
And then you spin it
around about ten times.
Ten times.
Who's the lucky girl?
Uh...uh, uh, Liz.
‐ The girl with the rash.
‐ Mm‐hmm.
Old hospital saying, Carter.
Don't dip your pen
in company ink.
Oh, hey, I hope you
used a condom.
Carol, we got a Code 3
from Rescue 63. Full arrest.
They're on their way in now.
Can I take her?
Not till her tests are back.
She's breathing, ain't she?
She stole the car,
and hit a pregnant lady.
Yeah...for all I know she
can have an aortic rupture.
You want her to die in jail?
Frankly, doc,
I wouldn't lose sleep.
Okay, neither would I.
But I'm liable, you're not.
Mom...mom, listen.
I can barely hear you.
Got a heart. Where to?
Trauma Two,
last door on your right.
‐ Susan, we need you.
‐ I got to go. Bye.
I'm alright.
I'm really okay.
‐ Are you doctors?
‐ I'm Dr. Lewis.
I'm Dr. Greene. I thought
this guy was in full arrest?
I was, until they
fried my chest hairs.
'Let's get a CBC, Chem 7,
blood gas and coag panel.'
On my count.
One, two, three.
He was in fib. Shocked him once.
Converted really fast.
Had 100 milligrams of lidocaine.
How'd it feel? Any pain?
I don't remember.
‐ I just sort of passed out.
‐ Can we get a monitor?
Do you have a history
of heart problems, Mr. Gasner?
Nothing that a transplant
wouldn't cure.
'I was up for a good one.'
A kid in a motorcycle accident.
It went to Minneapolis.
Who's your cardiologist?
Mike Dickey. Great guy.
He's at St. Luke's in Cleveland.
I'm in town
for the builders' convention.
My wife said I shouldn't travel.
But how could I miss 2,000
construction guys in one..
I don't get a pulse.
Mr. Gasner?
Mr. Gasner!
What? He's not in fib.
Give him an amp of epi.
Come on.
Come on back.
I'll call Cleveland
for his history.
Whoa.
I just pass out?
Start a dopamine drip.
400 in 250 D5W.
Ten drops a minute.
My chest feels
like someone sat on it.
Uh‐huh. That happens sometimes.
Yeah...I know.
'You gotta give her something.
She can't breathe.'
That's it.
Keep taking deep breaths.
Blood gases are back.
Not good. PO2's 70.
You taking any medication?
No, it's never been this bad.
'Handheld nebs,
albuterol 2.5 milligrams.'
'Peak flow, pre and post.'
Give her Solu‐Medrol,
50 milligrams IV.
Can I talk to you
outside just for a second?
Uh, listen, Sandy?
This is Lydia.
Now, she's gonna
take care of you.
You're gonna be fine, okay?
'Just keep breathing, honey.
Keep breathing'
Here we go. Mm‐hmm.
Your daughter's having
a very serious asthma attack.
Is she allergic to anything?
I don't know. I don't think so.
Mm‐hmm. Do you have any pets?
Um, this cat, a stray.
Sandy found her in the street.
She just loves her.
Okay, well, you're gonna have
to get rid of the cat.
We need to do some tests.
It's gonna take
about two hours. Okay?
Okay.
Alright, Sandy.
'Gasner, G‐A‐S‐N‐E‐R.'
'First name Samuel. Mm‐hmm.'
Can you fax us his chart
and have his physician call us?
Are you a doctor?
They said my wife
was here. Is she alright?
What's your name, sir?
Niemeyer. She was in a car
accident. Is she alright?
Jerry, Mr. Niemeyer.
Ah, your wife is fine.
‐ I'll take you up to neonatal.
‐ Neo‐what?
‐ You had a baby.
‐ Thanks, Jerry.
'Yeah, it's Dr. Mark Greene,
with an "E" at the end.'
'He's chief resident.'
Convention?
I got a little tired.
'Built 15 houses this year.'
I wanted to design them
but, uh, I just build them.
Can you stop talking
just a second?
Old inferior wall MI.
Low voltage.
Consistent with severe myopathy.
I've been through this.
I know what it says.
It's nothing new.
Am I gonna make it tonight?
I ask every time.
He's in fib!
Charging.
Ready. Two hundred.
Clear.
Another 50 of lidocaine.
Start a drip.
Two grams in 500.
Wow. I don't usually do that.
Could somebody please
call my wife?
That's a big, boggy heart.
Suppose we get a transplant.
Is it too late?
He's been defibrillated twice?
‐ He's in cardiogenic shock.
‐ Keeps going in and out.
Well, there can't be
much muscle there.
Jerry, call cardiology
for an echo
and wake up Dr. Flint, get him
down here from Lake Forest.
Oh, and call the transplant
coordinator
and see if they've
got any hearts around.
Alright, and your wife called.
Oh, great.
I missed calling Rachel.
Lydia, get a hold
of the Gasner family?
I'm trying Cleveland
every ten minutes.
Gasner doesn't think he's
gonna make it through the night.
Dr. Ross, peak flow's
gone from 190 to 300.
Mm‐hmm. How's her gases?
Much better.
Sandy, you are doing great.
Alright, she's gonna need
an appointment with your doctor.
'She's also gonna
need an inhaler at home.'
And a medication
called prednisone.
So you fill
this thing out tonight.
Hospital pharmacy
is open 24 hours.
And it's on the first floor.
Okay? There you go.
Thought you were off at 10:00.
'I'm on all night.
What are you still doing here?'
I'm on a double.
‐ Oh, thank you.
‐ Sure.
And why is Mark getting messages
from the University Hospital
in Milwaukee?
His wife wants to move.
She got a job up there.
Is he gonna do it?
I hope not.
'Can't imagine
he'd be happy there.'
Doesn't he ever go home?
Oh, he's waiting
for that gang girl
to come out of recovery.
What's he doing?
'Practicing one‐handed knots.'
'He'd do it with
his teeth if he could.'
No, I wouldn't. You can't
wear a glove on your teeth.
What are you listening to?
Snoop Doggy Dogg.
"Trends in Cardiac Surgery,
Volume 2."
'Blood pressure's
falling, 80/60.'
Mm‐mm. Add a dobutamine drip,
250 in 250.
4cc's a minute.
You feel crummy..
waiting around for a kid
to smash up his car
'so you can get his heart.'
We're getting great pictures.
'Frame one for me, will you?'
How's your heart?
It's, uh...pretty good shape.
Wanna lend it
to me for the weekend?
Nah...you got better
things to do with it.
Do 'em all.
You never know
when you'll get the chance.
'Left ventricle, please.'
‐ You got kids, doc?
‐ A daughter. She's five.
My girl's nine.
Her age,
I...I shouldn't really travel.
I miss too much of her life.
But what can I say?
I love the job.
How you doing, Mr. Gasner?
To tell you the truth..
...I felt a hell
of a lot better yesterday.
What's your wife do, doc?
She's a lawyer.
You guys must have
your hands full.
Did I get any tests back?
‐ On who?
‐ A patient.
I figured that.
Does the patient have a name?
Yeah, it's Car...tere.
‐ I'll watch out for them.
‐ Thanks.
And, Jerry, don't tell
anybody the results.
"Secret" is my middle name.
Gasner, Samuel.
We called it in.
Look, it doesn't
have to be perfect.
‐ We'll take any heart.
‐ Anything?
Uh...okay.
Type "A" blood.
Negative T‐cells
cross‐match, okay?
Alright. Well, keep us posted.
We need a heart. Thank you.
He's getting weaker.
I can't pull a heart
out of thin air.
Peter,
gunshot wound to the foot.
The liquor store guy again.
He's asking for you.
Ivan? What does he do wear
a sign that says "Shoot me"?
That hurts.
Ivan, Ivan, Ivan,
who did it this time?
‐ Me, I did it!
‐ Thought you didn't have a gun.
I could not take no more.
Bought a little Glock.
Oh, God, it hurts.
Let's get a gram of Ancef and
150 gentamicin IV. Book an OR.
And the last BP
was a little high, 180/110.
Alright.
Ten Procardia sublingual.
In Russia, it's crazy!
You need case of vodka
to get good doctor.
'God bless America.'
Yeah, well, God didn't
bless your neighborhood.
I was showing the gun to Nicky,
the dry cleaner, and bang!
Off went half your toe.
‐ I'm going to lose it?
‐ You already did.
Let's go.
'Still can't find a donor.'
There's one in Cincinnati,
but the blood type is "AB."
How hard is it to
find a type "A" heart?
The patient has, uh,
advanced dilated cardiomyopathy
with severe mitral regurgitation
and an ejection fraction
of less than ten percent.
This is not the best news
I've heard all day.
So, Steve,
do you have an opinion?
'Dr. Kayson and I
agree on very little'
but we're happy
not to be Mr. Gasner.
What if we take him upstairs,
put him on heart‐lung bypass
while we look for another donor?
With no muscle left,
I'd say the stress alone
would kill him
in a couple of hours.
I put the transplant
team on call.
You get a heart, we'll put him
on the table in 20 minutes.
Mr. Gasner's wife's on a plane.
She'll be here around 3:00.
'Somebody's gonna
have tell them.'
Have the desk beep me
when she gets here.
'Hey, Carter. Bend over.'
'There we go.'
I'm cooking now!
'Alright. Hold still.
Oh! Good one.'
‐ Carter, what is he doing?
‐ Ha ha.
I lost a bet.
He's my backboard.
No, Mark, I'm on a roll here.
Here we go. And the shot!
Oh! You ruined my concentration.
'Oh! Two.'
Doc‐Dr. Ross?
Yeah.
Baby in Four.
Seven inches taller..
I would have been a contender.
Bulls, Knicks.
Any luck with that heart?
No.
I, uh...I heard your wife
got a job in Milwaukee.
Yeah. She's, uh,
clerking for a federal judge.
That sounds exciting.
'It is.'
Are you gonna leave
the hospital?
I‐I don't know.
I thought you were
off at midnight.
Uh, yeah.
Um, yeah, I‐I am.
I just, uh...I just
thought I'd stick around.
You ever have one
like Mr. Gasner before?
One that took so long?
No.
You look like hell, Carter.
Yeah. I'm just waiting
for Bent‐Dr. Benton to leave.
Mm‐hmm. You need some sleep.
Oh, that hurt.
Hmm...well, you've taken
a bad fall, Mrs. Fadem.
I'm gonna have
to get some X‐rays.
No...no X‐rays.
They'll hurt my baby.
And how long
have you been pregnant?
Six months now.
Well, suppose I promise that
your baby will be protected.
We'll shield you with lead
and we'll use a real low dose.
Uh, just as long as you
promise not to hurt my baby.
I promise.
Lydia, would you take
Mrs. Fadem to radiology?
Oh, and be careful
of her pregnancy.
Goin' right away.
‐ Her what?
‐ Pregnancy.
'You worry too much.'
Kayson hates me.
He's a cardiologist.
He's on my review board.
I'll need his recommendation.
Why would you want it?
The man loses so many patients
he gets endorsements
from funeral homes.
Div!
When I was your age
I worried about
what every attending
thought of me, too.
Forget it. You're a good doctor.
You're better than my ex,
and I actually married her.
Div, there are a lot of subjects
that interest me and believe me
your ex‐wife tops my list.
Ah! That's me.
My knife‐wielding psychotic
must be up from his nap.
Later.
Your wife's on her way.
She'll be a wreck.
He's not putting out fluids.
One‐sixty of Lasix.
Hey, doc..
...do I look stupid?
'Why don't you tell me?'
You versus God.
We know who wins.
I don't think of it that way.
Yeah? You don't have to.
I'm the one on the table.
We looked at your echo, and
if we don't find a donor heart
you probably won't make it
through the night, Mr. Gasner.
It's 2:00 in the morning.
I'm dying.
So, please..
...call me Sam.
This is no time to be formal.
'Don't forget to check
on Ivan before you go.'
Can I take the Suarez girl now?
The gangbanger?
Aortic rupture.
I forgot to tell you.
She died in recovery.
Ah. Well..
I'll see you at 7:00.
‐ AM?
‐ Goodnight.
That's five hours.
Why bother driving home?
Three hours sleep,
I get to come back here..
Quinn, Daniel.
Hypotensive, 80/70, comatose.
Fraternity kid.
Drinking all night.
Ever see anybody intubated?
Uh...no.
Get respiratory in here.
Carter, start a second line.
D‐50, one amp,
2 milligrams Narcan.
Pam, get an EKG.
Mr. Quinn, do you hear me?
‐ Daniel?
‐ Respiratory's on the way.
He's cyanotic. Speed up
the drip. Add dopamine.
‐ Hyperventilate him.
‐ Line's in, Susan.
BP is 70/40 and falling.
Get a CBC, blood alcohol,
Chem 7 and tox screen.
‐ Let's tube him.
‐ Blood sats 80.
Do a dextrose stick.
Okay, Carter, pay attention.
This is where it counts.
Visualize the cords.
You don't wanna miss the trachea
and end up in his esophagus.
Okay.
It's in.
Bag him.
'Listen to the lungs
and the abdomen'
to make sure
the tube's in place.
Glucose is normal.
BP is steady, 80/65.
That's nice.
Draw a blood gas now.
Doug, they called from neonatal
if you wanna take a look
at the Niemeyer preemie.
‐ Hm.
‐ He's gonna be okay.
Alright. God smiled on him.
Since when do you
believe in God?
I've been contemplating my
insignificance in the universe.
I thought you were
the center of the universe.
Not always.
Are you a doctor?
I'm looking for Dr. Ross.
He's in the Emergency Room.
Yeah. I'm Dr. Ross.
Thank you very much!
‐ I can't thank you enough.
‐ You're welcome.
Who are you?
Oh, I'm‐I'm Randy Niemeyer.
My wife, my baby.
They said you took her up.
My little boy's gonna be okay.
Uh, in fact, I'm just on my way
up to see your baby right now.
‐ You wanna..?
‐ Yeah, yeah.
Yeah. Okay.
Yeah.
We're hydrating like crazy
and his blood pressure's
not moving.
Order LFTs, BUN and creatinine.
His friend's here.
He says the guy didn't
have that much to drink.
Yeah, and the Cubs
are a shoo‐in for the pennant.
'This is Elliot.
This is Dr. Lewis.'
Can you tell me how much
Mr. Quinn drank tonight?
We were playing this game,
Whale's tales.
You say numbers
around the table.
If you can't remember them,
you have to drink.
How much did Mr. Quinn drink?
Listen, his father's
an assistant dean.
If he finds out about..
What was he drinking
and how much?
Beer.
Beer and shots of tequila.
He must have had 15, 20 shots.
‐ Did he do any drugs?
‐ No.
‐ Will he be alright?
‐ I hope so.
Blood alcohol's back, 832.
Call dialysis.
Let them know we're on the way.
And let's move him.
Mrs. Gasner.
I'm Elaine Gasner.
This is Sarah.
Hi, Sarah. I'm Dr. Greene.
Sit down, honey.
Where's my husband?
Can I see him?
He's sleeping.
'I need to tell you
about his condition.'
His heart muscle
is badly deteriorated.
They‐they said he could
get a transplant.
If there was one available.
There isn't one tonight.
He can wait till they find one.
Your husband's heart
is failing.
Unless we find a heart donor
in the next couple of hours
I don't believe he'll make it
through the night.
I'm sorry.
Sam?
Mark.
Your wife and daughter are here.
I was thinking.
Did you hear the one..
'...about the guy
on the country road?'
'Flat tire..'
...doesn't have a jack.
Never mind.
You think you can avoid it.
'It all counts.'
'Decisions you don't make.'
The real joke is..
...I'm still gonna die.
I guess I'm
getting ready for it.
I'm not ready!
Damn it, I'm not!
I don't wanna leave them.
Sarah needs me.
Could you please have my wife..
...bring Sarah in?
Sure.
Don't say it.
What?
That I should
be grateful to be alive.
That's not what I was thinking.
What were you thinking?
I don't know.
'Is‐is there any chance?'
'Type "A", negative
crossmatch, 43 years old.'
He can handle the surgery.
It just seems that
marriage should be easier.
Mm‐mm. I never
heard it called easy.
Sometimes I think we did it
just to make our parents happy.
You're good at
making people happy.
Not this week.
What?
Well, how soon will you know?
Nineteen year old flatline EEG.
They can't find the parents
to sign a release.
So, what are you
gonna do about Milwaukee?
I can be a junior resident
at a suburban hospital.
That'd do wonders
for your career.
It all counts.
‐ What?
‐ Nothing.
Oh, Susan,
they called from Five.
Your dialysis
kid's coming around.
Good.
Well, can you keep trying?
Yeah, I need that heart.
Thanks.
Jerry, can you do me a favor
and get a hotel for
Mrs. Gasner and her daughter?
Sure.
You okay, Dr. Greene?
I'm fine, Jerry. Thanks.
'Dr. Ross?'
Lydia, what is
a seven‐letter word for dumb
beginning with an "M"?
Moronic.
Your asthma patient's back.
She tried to sleep.
Where's the inhaler?
I'll check the dose.
I didn't get it.
Your daughter's having
another attack.
I told you to fill out
that prescription tonight!
‐ Actually‐‐
‐ She could have died.
You understand that?
The medicine cost $30.
I don't have the money and
Medicaid don't come through
for another week.
I'll be back.
Carol, do we
have a spare inhaler?
Just the one.
If it's that bad,
he should come in.
What about Proventil samples?
Nope. We can't
diagnose over the phone.
If that's what you wanna do.
Thank you.
'Prednisone, any of that?'
Plenty.
It's on the top shelf.
‐ Yeah?
‐ Yeah. Mm‐hmm.
It's gonna take more than this
to get her through the week.
You seem awfully interested.
She must be very pretty.
She's 12.
I'll see what else
I can turn up.
Jerry, I don't get it.
I sent that Gram stain ages
ago and it's not back yet?
Who was that for again?
Mine. For me.
Ah, yes.
Came in about 3:00.
Where is it, Jerry?
Bulletin board.
Excuse me.
Carter!
'You gotta do something.'
I feel like I'm gonna throw up.
Well, we wouldn't want that.
Not here in the hall.
Come with me.
Hi, John.
Oh!
Hi, puppy.
'You're up pretty late.'
'I fell asleep on the plane.'
Did you have fun with grandma?
She gave me a present.
Blood sats 80%.
‐ 'What did you get?'
‐ 15 liters O2.
'A diary.'
Grandma made the cover herself.
Grandma likes
to make things for you.
Oh!
My mom says
my dad's gonna die.
Uh...yes, he is.
Why can't you fix him?
We can't fix everything.
I can breathe now.
Alright, we don't
have a spare inhaler.
Take the Prednisone every day
and you visit the clinic
first thing in the morning.
Tomorrow?
I can't go tomorrow.
Well, you have to.
It's important.
I gotta go to work.
It's only my second week.
‐ 'Dr. Ross?'
‐ Mm‐hmm.
There's a kid, uh,
throwing up in Three.
Okay. You're gonna
have to take off work.
I can't.
Your daughter has to
have the medication.
'It has to be done. Okay?'
So do it.
'I know, Elaine.'
'I know.'
I forgot a long time ago.
I was always sure of you.
You never let me down.
'Sam?'
'Sam!'
'Sam?'
Please! Please, I have to tell
him one more thing.
You have to make him hear me!
Sam?
Elaine.
Forever, honey.
Forever.
Sarah will be fine.
Remind her...I love her.
Sam. Sam. Sam.
'Mr. Quinn?'
'Daniel?'
'I'm Dr. Lewis.'
'You're on dialysis
because you drank too much.'
'Would you blink
if you understand me?'
We'll be taking that tube
out of your windpipe soon.
Your kidneys are functioning,
your liver's fine
and you lost
a few million brain cells
but you can spare them.
Blink if you will
never do this again.
Playing one‐on‐one against
yourself is the easy way.
Here you go.
Here you go. Come on.
Come on, you wussy.
Get by me.
I'm the short guy out here.
But you said you could
have been a contender.
You distracted me.
It's the game. What do you want?
Can I borrow 40 bucks?
‐ For what?
‐ I gotta run an errand.
Thank you, sir.
Go home, Mark.
This will get your daughter
through the next three weeks.
Make sure that she uses
the inhaler every day
and bring her back
if she's not feeling better.
You bought this yourself.
I'll get her
to the clinic, I promise.
Thank you.
You're welcome.
Honey.
‐ Hi.
‐ What time is it?
‐ It's 7:30.
‐ Mm‐mm.
I was thinking about Milwaukee.
And, uh, I know it will be hard.
It's okay. Don't worry about it.
But if you want me to go..
I'll go.
I'll go.
No, you'd hate it.
It's not a big deal.
It's only two hours away.
I love you.
Love you too.
'Daddy, you're home!'
Hi, sweetheart.
Come on in.
Come here.
Hi.
I am so glad to see you.
Daddy, what's wrong?
Oh!
Nothing's wrong. Mm?
Nothing's wrong.
Nothing's wrong, okay?