ER (1994–2009): Season 10, Episode 22 - Drive - full transcript

Kovacs stops to help a woman and her son whose car broke down. Steve is getting close to Alex, and Sam panics. Abby is looking for her letter whether to see she passed her boards. Pratt ...

Previously on ER:

We belong
together,

Sam, Alex and I.

And Sam knows that.

MAN:
You get two

weekends a month...

That's not enough.

...at the discretion
of the Lopezes.

I get to see my son
at their discretion?

Does that make
any sense to you?

Worst thing
you could do



is violate the judge's
order as we're about to go

into a
custody hearing.

Remember that kid

with high blood pressure?

Call him, tell him
to get his butt

to the clinic sometime
before he's 30.

17-year-old with
pulmonary edema.

Elgin?

There's
no heartbeat.

Not genetic.

It was just bad luck.

( sobbing )

WOMAN:
Ow! Ow! Ow! Ow!
Ow! Ow! Ow!

I haven't
started yet.



Okay,
little pinch.

Ow! Ow! Ow...!

Hey, you put your
schedule request yet?

Yeah, why?

Because Alex this teacher/parent
thing next Monday,

and I'm on all week.

I can swap
Friday.

Find
another nurse.

Can't have one
of our interns

changing bedpans
during their residency.

Yeah, I'm, uh...

I'm still waiting
for my board results.

Well, call the USMLE.

It's multiple choice,
for God's sake.

It's not rocket science.

Okay.
Ow! Ow!

All done.
All done.

( panting )

You are God's gift
to nursing,

you know that?

So, Monday
for Friday?

Yeah, but I thought
you were starting.

Yeah, well, not till
I pass my boards.

I can't quit my day job.

Morning.

Hey, I thought
you had left already.

Orientation doesn't start
till this afternoon.

Figured I'd take care
of a few loose ends.

Return my microscope
to the histology lab,

hand over
supply room keys,

and sell
my textbooks.

You know, this is your
last day of freedom.

Why don't you, uh,
read the paper,

go to the movies,
sleep in?

Right, do as I say,
not as I do.

You find
a place yet?

I'll have a look
while I'm there today.

Um, are you
a doctor?

No, but...

Yes, actually, she's just
not on duty right now.

Uh, I got my hand
slammed in a car door.

I'm supposed to get
another dose of morphine.

Yeah, if you
just wait over there,

I'll take care of that
for you in a minute.

Okay.

You need to start referring
to yourself properly.

You'll never gain
the confidence

of your patients otherwise.

Doesn't feel
quite earned yet.

Fake it till it does.

Where did you match?

University of Michigan,
Ann Arbor.

Well, we'll miss you,
but I hear it's quite nice.

Yeah, AKA--
rich and easy.

Unlike my friend Abby,
who's decided to, uh,

stay at County
and do God's work.

Just like the rest
of us suckers.

Hey, check
this out.

( chuckles )

The doctor
is in.

Five-speed automatic,

340-horsepower,
5.7-liter Hemi,

V-8 with MDS and ESP.

I'm assuming those
are good things.

Man, this is tight.
What'd you drive before?

Nothin'.
I finally got the prize.

So, you won this
in a contest then?

What? No.

Paying for it
out of my own pocket.

Not everybody gets money
from Mom and Pop.

Really.
Really.

Hey, Jing-Mei, take a look.

I'm sorry. I'm late.

So, are you leasing this
or did you buy it?

What do you think?
I'm still a resident, remember?

Hey, get that beast out of here.
This is a hospital, man.

Yeah, which is convenient
for you,

'cause if you ding this baby,
you die.

Hey, is this
the intractable vomiting?

75, endstage colon cancer,

liver mets, fever,
and abdominal pain.

I'd better go.

There's a patient
I want to check on
before I leave.

Okay, give me a call.
Let me know how it goes.

Hold it. Hold it.
BP's 92/64.

Looks pretty jaundiced.

Who's your
oncologist, sir?
Don't have one.

Says that chemo
wasn't working,

so he signed himself out
a few weeks ago.

What about your
primary care doctor?

Fired him. I told him
I wanted to die at home.

Called 911 anyway.

Guess he changed
his mind.

Need any help?
Yeah, I do. Thanks.

Hey.

( sighs )

Thanks.

Now, you stay
in your seat, honey.

Stay in your seat, sweetie.

I-I-I need you to sit down
in your seat, okay?

But, Mommy,
I have to go.

I know, honey.
Just hold on.

Okay? I think
my battery's dead.

( honking )

Come on, lady. Move it!

I think I have cables
in here somewhere.

It's okay. I got it.

( whimpering )

( screaming )

Dr. Carter,
I was sorry to hear...

Thanks.

Wife says to
let us know

if you need her to
bring dinner over.

We will. Okay,
we've got eye pain.

We've got swollen ankle,

excessive coughing,
headache,

gout...
You all right?

Headache. Yeah.
How is Henry?

Haven't seen
him all week.

We're in court today.

Helps to keep busy.

Yeah.

Okay, Chuny, fluroscein,
saline bullets

and a wood's lamp
all in Exam Four.

You got it.

KOVAC:
We need paramedics.

There's a woman wedged

between two cars.

She's awake and alert!

Yeah, State and 14th.

Can you feel me
touching your legs?

WOMAN:
No. No.

Where's Michael?

Are you having
any trouble breathing?

Get me out!

How's the boy?
I-I don't know!

The door's jammed.
I'll be right there.

Michael!

Okay, help is coming.

Just hang in
there, okay?

That guy came barreling
through the cones.

It's crazy.
There's a first aid kit
in my trunk.

Hurry.
I'll get it.

Help me get it open.
Come on.

( grunting )

WOMAN:
Michael!

Hey, hey, where you think
you're going?!

Somebody stop him.
Damn it!

( gagging )

Temp's up. 102.8.

No septic workup,
though, right?

I don't need a workup.
I need ampicillin.

Well, we can't give you anything
until the doctor examines you.

Now, is there anyone
you'd like us to call?

No.

Hi, Richard.
I'm Dr. Chen.

It's Mr. Gould.

Doesn't anybody teach
manners anymore?

Looks like you're

a little jaundiced,
Mr. Gould.

Any advance directives?

Yeah, DNR,
but he wants antibiotics.

Sir...

it's entirely possible

these symptoms are due
to your colon cancer,

and antibiotics
will do nothing
to help that.

I'm not ready.

Well, we can try and figure out
why you have a fever

or we can just treat you
for your pain.

I said I'm not ready!

Okay.

CBC, lytes, liver panel,
blood cultures times two

Zosyn 3.75 piggyback?

Thought you were
a nurse today.

Abby's a nurse
every day.

That's why she's going
to kick ass as a doc.

How'd you score on the boards?
I never heard.

Me, either.

Ah. Pretty close
to the wire, isn't it?

Yeah. Listen, Dr. Chen,
is everything okay?

Um, give Mr. Gould
two liters of saline wide open,

ten of Reglan and four of
morphine once the pressure's up.

Hey.
Hey.

Where you been?
Pardon me.

Um, I took a few days off.

My dad had ten different
doctor appointments.

Nice car, by the way.
Wait a minute.

What happened there?

Nothing, really.

It doesn't look
like nothing.

My-my dad's not sleeping well,
so I'm not sleeping well,

and I forgot to turn on a light
and ran into a door.

Excuse me.

Dr. Pratt.

Damn, how many times
I gotta say good-bye to you?

I wanted to say bye
to Elgin.

He's going home today.
Were you planning on it?

Planning on what?

Seeing him.

Yeah, sure.
Because he asked.

I get the impression
he looks up to you.

Figured he was smarter
than that.

I'd imagine he could use

a positive male figure

in his life right about now.

Yeah, well...
I'm nobody's role model.

WOMAN:
Is he all right?

Don't worry. They are taking
good care of him.

Sir, you need
to clear the area.

I'm a doctor.
If this blade breaks,
you're going to catch metal.

Oh, please...
Get your ass
out of there!

Okay! Just hang on.

Okay, put direct pressure
on anything that bleeds.

Another four of morphine
and one more liter of saline.

Get me the biggest
BP cuff you've got.

How are you doing,
Linda?

Need to call my husband.

We will, but we need
to get you to a hospital first.

... of saline
on the pressure bags.

What's her BP?

108/70. Look, doc,
we have protocols to follow,

and you've already broken
most of 'em.

Pent her up to ten liters of O2.
Let's go!

Sorry, it's just us on the rig.

Oh, please, don't leave me.

You can follow us
in your car if you want.

I'm going with her.

Excuse me.
Looking for a kid named Elgin.

Down at the end
on the left.

Thanks.

Hey, what's up, man?

What's up, Doc?

How you doing?

Good. Just waiting
on my mother
to come get me.

My cousin's driving.

So, what have we learned
from all this?

Five a day, exercise some
and find myself a job

at a vegetable stand
or something, I guess.

Good man.

Well, all right, then.
Take care of yourself.

Yo, Doc, you got an office

somewhere?

Me?

We don't really have a doctor,

so I was thinking
maybe we could come see you.

Yeah, look...
I just work in the ER.

People come in,
I see 'em once, twice tops.

That's it, you know?

Well, maybe we could
hook up something then.

The family clinic can help you
with whatever you need.

Just give 'em a call.

Tell 'em I sent you.

Stay on your meds.

Guess he just got spooked.

Midshaft clavicular
fracture.

That's a dangerous sport.

He's usually steady...

except for that time
he refused a jump.

Well, there's
minimal tenting.

You're very lucky.
This is not going
to need surgery.

Broke my leg
in two places.

Immobilization,
Motrin for pain?

Yep. Month in a sling.

Well, the good news is
that's going to heal on its own.

But I'll miss
the Lamplight Classic.

Get her a follow-up with Ortho
in two to four weeks.

Be right back.

Wish I was that
fearless when I was 15.

Is that fearless
or is that reckless?

She is fearless.
I was reckless.

Hey, look, um, I didn't want
to bug you earlier,

because I'm sure
you've probably heard it
from everybody else, but...

Hey, Taggart, that juvenile
delinquent of yours is MIA.

What?

School called. He's a no-show.

Probably just out lighting fires
and torturing small animals.

Alex playing hooky?
More like his dad is.

Hey, it's me. Pick up.

Come on. Anybody home?

She's got it, uh,
pretty rough with
him, doesn't she?

Which one,
the kid or the ex?

Both.

How are you and Kem doing?

You'll get through this.

Hey, Peaches and Herb,

multiple MVAs
one minute out,

including the woman
nearly cut in half.

Got control of the major
bleeders, but she's tachy.

We need Trauma,
Ortho and Vascular
down here now!

Thought you were
working nights.
I am.

Give her another five
of morphine

and as much O-neg
as you can get.

CARTER:
What have you got?

Seven-year-old male,
unrestrained, tachy at 138.

BP: 102/56, multiple lacs
to scalp and face.

It hurts.

Oh, yeah. I'm
Dr. Carter.

We're going to take
very good care of you, okay?

Who are you?

My name's Abby.
What's your name?

Antwan Coles, 20-year-old driver

of Vehicle Number Three.

Airbag deployed.

Vitals are good, but
he's definitely altered.

Think I smell
a little ETOH.

How you doing, Antwan?

Need to get me out.
No sign of
head trauma.

Pinpoint pupils,
shallow resps, bradycardia.

Push two of Narcan.

Right here?
Yeah, right now,

unless you need some practice
intubating.

You been shooting up,
sniffin'?

No, nothin' like that.
MARQUEZ:
Pulse ox down to 82.

PRATT:
Just give it a second.

( groans )
PRATT:
Come on. Let's go.

You got to back me up, brother.

I'm Dr. Pratt.
You're under suspicion of DUI,

and you sure as hell
ain't my brother.

( alarms beeping )

( soft whimpering )

I can't feel my legs.

Got a flash.

Am I paralyzed?

You received a lot of pain meds,

and you're in shock.

It's affecting
your sensation.
I'm in.

Guidewire's ready.

How's she doing?

Pelvic fracture by exam,
small fluid in Morrison's.

And hypotension.

AP chest and pelvis
are on the way.

Uh, ma'am, I'm Dr. Corday.

I'm a trauma surgeon.

You're bleeding internally,

so we'll have to take you
to the OR.

What about my son?

Uh, I'm sorry.

I don't know.

Michael's in good hands, Linda.

CORDAY:
Were there distal pulses

before the cuffs were placed?

Ask Kovac. He examined
her in the field.

I couldn't tell.

Take down the cuffs,
and she bottoms out.

Better wait
till you're in the OR.

Gram of Ancef, 200 of gent
and DT, if you haven't already.

Why were you in the field?

Good Samaritan.

MALIK
Systolic's 74,
pulse: 130.

CHEN:
Hang another
unit of O neg

and get the
rapid infuser.
You got it.

CORDAY:
Page Ortho down here 911.

Shallow resps,
good femoral pulses.

You still need the infuser?

No. It's all yours.

Tachy at 165,
sats are only 84.

Mommy!

She's right next door, honey.

Mommy!

Okay, I can't get the labs.

He's thrashing around too much.

Belly's soft. Let's give
him two more of morphine.

Hey, Michael, we're going to try
and make you feel better,

but you got
to settle down, okay?

Daddy, Daddy!

Daddy!

He's on his way.

Let's run in a liter
of warm saline.

Let's get this mask
back on you, buddy.

Michael?
( alarm beeping )

BP's 74/37.
He's bottoming out.

Michael! All right,
we need to intubate.

4.5 uncuffed, two mac blade.

Come on! What are we
waiting for? Let's go!

( Antwan yelling )

Five-centimeter lac
over the deltoid.

Must've hit the doorframe

when he was trying
to leave the scene.

You don't know that.

You don't know nothing
about me, bitch.

Hey, watch
your language.

No attendings in here?

Got their hands full.

Urine tested
positive for
opiates.

Woke up cold
with Narcan.

My guess,
heroin by nose.

Get a CT, check for bleeding
or fractures.

Can I go after that?

Dawg, you caused
an accident.

No, an accident is

when bad things happen
for no reason.

You were high
and ran into people.

Sew him up.

Let the cops sort this out.

( alarms beeping )
Decreased on the left.

This one of the
MVC patients?

Yeah. Mom's next door.

Blunt chest trauma,
hypotensive, and hypoxic

secondary
to a tension pneumo.

How old?

Seven. Let's get an
18-gauge angiocath

and a chest tube tray.

Pulse is 78.
He's bradying down.

That's just gonna
keep getting worse

till we get this compressed air
off his chest.

C-spine, chest,
ab and pelvis?

No, he's not stable yet.

Pulse ox, 84.

Okay, I'll assist
Dr. Carter.

Ten blade to me.
I've got it.

Dr. Weaver?

Ten blade.

You'll be late
for court.

I don't need any help
with a chest tube.

( alarms beeping )
KOVAC:
Good breath sounds.

CHEN:
Systolic's drifting down.
Another liter of NS.

We need
more O neg.
Is my husband here?

Not yet.
Dr. Chen, can you
assist Dr. Carter

with a
pedes case?
Hey, Ortho's here.

We're gonna need bleachers
pretty soon.

And get X ray back
to check line placement.

Why? Is he in trouble?
No, it's just...

I hope this is more interesting

than the Achilles repair
we just did.

Bilateral open femurs,
and open book pelvic fracture.

I'm afraid he's too
emotionally vulnerable.

Not to mention
hypotension,

decreased sensorium and blood in
the pericolic gutters.

What, are you saying
that he can't...?
Do it.

Wow, pretty ugly stuff.

She can hear you.
She is conscious.

Diastolic's dropping.

What happened to
Dr. Chen's face?

If we move now, we might be able
to salvage with a BKA.

Which will be
a non-issue

when she bleeds out

from a massive hepatic lac.

Let's tube her, get her
to the OR for an ex lap.

No. I want to wait
for my husband.

A laparotomy and a BKA.

We're double-teaming.

What's BKA?

What are they saying?

You need surgery.

Oh.

( panting )

( radio plays classical,
country, talk, commercial )

WOMAN:
...And receive placement
assistance anywhere in the USA.

Don't wait any longer to enter
the exciting world of...

( alarms beeping )
Lost the pulse.

Let's PEA.
Epi, 3cc's.

Starting compressions.

Lung's
down again.

CHEN:
Abby, check the thoraseal.

CARTER:
That's not it.
Maybe the tube's kinked.

Or in a
false tract.

No, it's not it.

18-gauge angiocath
and another chest tube tray.

That mediastinum's not widened.
There's no crepitus.

Holding compressions.

V tach.

CHEN:
Charging to 40.

CARTER:
Normal heart,
no chronic

lung disease.
It doesn't make any sense.

Clear.

Still V tach.

Okay, come on.
Needle. Let's go!

( air hissing )

Sinus at 58.

Too slow.
Another round of epi.

Abby, that Gould guy's asking
for you.

Who?

Endstage cancer
with the antibiotics.

Well, did you
tell him I'm busy?

No, I told him
I wasn't going

to deal with
his cranky ass.

Come on. Who's in
and who's out? You in?

I'm in. I'm in.
I'm in.

Come on.
.6 of atropine.

You called?

When am I getting
my own room?

It's noisy in here.
It stinks.

You'll get
your own room

when one
becomes available.

Don't patronize me.
I'm not.

Fever's down.

What do you need?

I dealt with a million
smartalecks just like you.

You think you know everything,
but you know crap.

Okay. Well, then,

I'll be back to
check on you later.

I was a teacher.
Junior high. 37 years.

I bet you were
the kids' favorite.

Weaver's on Line One.

Yeah. Can you
take a message?

She's in her car.

Hi, Dr. Weaver.

Have you called the USMLE
for your board results yet?

No, I haven't had a chance yet.

Well, are you going to?

Yeah. Fine.

Fine.

Okay.

I'll be back.

Whatever.

Frank, you have the number
for USMLE around anywhere?

Do I look like 411?

Here.

Let your fingers
do the walking.

Excuse me, nurse.

Uh, my family was
in an accident.

Sinus.

Weak carotid.

It's better than nothing.

500 of NS, another hemocue

and let's get
some warm blankets.

( alarms beeping )

Heart rate's dropping. 48.
Damn it!

Starting
compressions.

All right, epi, come on.
Let's go. Mark time.

Michael?

This the father?
Yeah.

What happened?

Holding
compressions.

He, uh, suffered
severe trauma

to his chest
in the accident.

His lung's collapsed,
and it's compromising his heart.

( alarms beeping )
We lost
the pulse.

Oh, my God.

Okay, let's
let the doctors work.

Oh, you have
to do something.

All right,
pericardiocentesis needle.

He's not
in tamponade.

I know.

Hey!

( knocking ):
Open up.

You're home early.

What the hell do you
think you're doing?

We're watching TV. Why?

Because Alex is supposed to be
in school; that's why.

Dad said it was okay.

Well, it's not exactly his call,
is it?

I'm out of here. Later.

I'll speak
to you soon.

Can I speak with you a minute?

You cannot keep doing this,
Steve.

You can't just pull
him out of school

whenever you
feel like it.

Look, I just wanted
to take the kid and with me...

You're high.

W-What?

You smoked dope in front of him?

No, I went outside.

I took a few rips
when he was watching TV.

And it's no big deal, okay?

Maybe not to you,
but to me it is.

Listen, the only reason why
I kept him out of school

was because I wanted
to take him somewhere.

Where? To an arcade or a movie?

Or your dealer's house?

To my interview, okay?
Interview.

All right?
What?

He got, like, the
coolest job ever.

He's gonna manage this
apartment building,

and they're gonna give
him a place to stay.

Yeah, it's on Upper Dearborn.
It's two-bedroom,

two-bath, fully remodeled.

So now I can live with Dad, too.

BROOKS:
The judge will ask questions

about how you plan
on caring for him

while you're at work.

WEAVER:
Meaning I'm somehow
less of a parent

if I have to
hire a nanny.

The Lopezes
are retired.
They're elderly.

They may not be
alive long enough

for Henry to get
to high school.

And can offer
a larger support system.

So now I'm being
penalized for not
having a big family?

This is a conservative judge.

Her idea of what represents
the best interests of the family

is pretty basic:
two parents-- a man and a woman.

Unless she's planning to
take away the children

of every other single
parent in Chicago

and place them with a
heterosexual couple,

she's a damn hypocrite.

I don't disagree.

It's a myth, you know.

This idea that there's
some perfect setting

that everyone gets raised in.

You need to outline how
you're going to provide a stable

consistent lifestyle.

They brought him.

Sit back down.

If you interact, it
could get volatile,

and that's not going
to help you in court.

He's grown.

( knocking )

You okay in here?

Who was that guy?

He's just some guy who had
a business proposition for me.

Look, Sam, just
so you know,

I wasn't planning
on staying, okay.

It just all kinda
fell into my lap,

which makes me think it
was supposed to happen.

You know, this manager
job is no great shakes,

but, you know, it'll keep
here and, I don't know,

maybe I can go to night
school or something.

You know what Alex said
to me the other day?

What?

He said, "I love you, Dad."

Anyways, um...

I've got a whole
bunch of furniture

with a buddy down in Dallas
and I figure I leave today,

and come back
maybe this weekend.

Hey, maybe when I get back,

you and Alex can
help me paint.

Sam.

Okay.

I'll see you soon.

Hey, buddy.

Hey.

I'm gonna take off.

You, uh, you want
to walk me to my car?

Why can't I just go
to Dallas with you?

Because you got
school, that's why.

( groaning )

( sighing )

LOCKHART:
Mr. Gould, you
have to stay in bed.

Need to use the restroom.

All right, but
you're dehydrated,

and your blood
pressure is low.

Let me get you a bedpan.

Can't a person die
with dignity around here?!

I want a toilet!

Okay, okay, okay,
okay, okay, okay.

You have to let me help you.

( groaning )

Hold on.

So, what have I got,
a week?

Three days, huh?

( sighs )

Never mind.
Doesn't matter.

What subject?

( panting )

Algebra.

37 years.

Taught over 4,000
13-year-olds.

What the hell for?

Well, I'm sure
you had an impact.

Oh, right.

And at the end, you're alone,
and you got cancer.

I'm here.

Yeah, only because
you're paid to be.

CORDAY:
More laps and suction.

JACY:
BP's down to 78/40.

Ligate the femoral proximal
to the popliteal artery.

I can't control the
damn SMA bleeder.

Okay,
periosteum's shredded up

to the midshaft,
and the perforating
arteries are gone.

Oh, Dr. Kovac, you
came after all.

How is she?

On a scale of one to ten,
probably a four.

Repaired the spleen,
still oozing from the liver.

( alarm beeping )
Maxed out on
dopa and levo.

Make that a three.

Anything I can do?

There's barely
anything I can do.

Perry, start neo
at 100 mikes per minute.

That'll totally screw up
her distal perfusion.

Yes, well, the
brain and heart

outrank the extremities,
don't they?

( drill buzzes )

CHEN:
This is crazy.

MARQUEZ:
Atropine's in.

He's got two
chest tubes.
Hold compressions.

Still pulseless.
There's a huge air leak.

He's got another pneumo.

That's his third.

Resume compressions.

He's been coding off
and on 40 minutes now.

Betadine and a ten blade.
Still PEA.

Another chest tube is
not going to fix it.

His injuries
are too severe.

Carter, somebody needs
to talk to his dad.

Well, come on then, think!
I don't know!

Another epi?
No.

No.

MARQUEZ:
Pulseless.

I'm calling it.

Wait, wait, wait.
Wait, wait, okay.

We're pumping air
into the pleural space

faster than the chest tube
can suck it out.

What are you doing?

I'm going to bypass the left,

and gonna put it all
down into the right lung.

He's lacerated

BOTH:
...his left mainstem bronchus.

Resume compressions.
Even if he did,

he's been deprived of oxygen
too long.

Just give it ten seconds.

Okay, hold compressions.

MARQUEZ:
Got a pulse back, 82.

Sats coming up.
Okay, call CT surg,

redline him upstairs.

We saved him.

Mr. Pryor?

We think your son has
a tear in his airway,

and he's going
to need surgery.

But he's going to be okay?

The injury's very serious,

but we hope to be
able to fix it.

Do you know anything
about my wife?

Just that she's in the OR.

I can have someone take you

to the waiting room,
if you'd like.

Can I be with her?

Um, well,
she is being operated on.

Oh, she'd want me there.

Dr. Carter, got a minute?

Uh, no, not really.

It's about Jing-Mei.

Can you give me
a second?

Can you just
have a seat right there?

Yeah, did she
seem okay to you?

No, neither one of us
are having the best day,
okay. Why?

Yeah, well, there's
this bruise on her face.

Yeah, I saw it...
She says it was an accident,
but I don't know.

She seeing somebody?
I don't think so.

She's pretty focused
on her dad these days.

Think it was him?
Maybe. Probably.

Look,
I'd get into it myself,

but things are complicated
between us.

I don't think
that she'll listen to me....

Hey, Pratt,
your DUI homeboy's back from CT.

I'll talk to her.

Thanks.

So, looks like in addition
to being high on "H"

you were also
legally drunk, too.

How you think
your boy out there

is going
to feel about that?

You know what
he says to me?
What?

He said 'cause it's
my third strike

I gonna have to
do 25 to life.

I'm 20 years old, Doc.

You hit a woman and a kid.

Yeah, but life?

What, you think
that's right?

I think it's the law.

Hey.

Lido and a 4-0 vicryl.

I ain't got nothi''
nowhere anyway.

I mean, what the hell
am I supposed to do?

I don't know, go to school,
get a job maybe.

Yeah, right, man.

Who the hell's
gonna hire me?

What, you grow up in Winnetka
or somethin'?

Cabrini-Green, so I don't want
to hear any excuses.

Oh, okay, I guess that makes you
one lucky son of a bitch.

Hey. It ain't about luck.

You know what?

You right.
It ain't about luck.

I guess it's about not
looking back once you're gone.

Doc.

ALEX:
Mom?

When are you making dinner?

Mom?

I'll deal with the clothes.

You put all the stuff that
you want to keep in these.

What?

We're moving.
No!

Come on. Hurry up.

I don't want to go.

You don't exactly
have a choice.

I'm not going!

Yes, you are.

I like it here.

Yeah, so did I.

You're just being a bitch.

What did you call me?

I'm sick of moving just
because you're screwed up.

You know what I'm sick of, Alex?

I'm sick of pretending
that your dad is a good guy.

I'm sick
of keeping my mouth shut

about all the crap
that he's done

and all the things
that he hasn't.

And I'm sick of him
tracking us down

every time he loses a job,
so he can come here

and buy you enough presents
to make you think

he's actually a father
because he's not.

He's a user and a loser,
and I am not gonna let him

turn you into one, too.

Now get your ass in that room
and start packing!

Last one.

Cover with ABD pads.

I'll write post-op notes.

So you saw
the whole thing happen?

Yeah, her car broke down.

I stopped to help.

She's lucky.

Most people would've
kept on driving.

We've got an audience.

Must be the husband.

I'll go talk to him.

How soon before she wakes up?

That's hard to say.

Mr. Pryor?
Yes.

I'm Dr. Kovac.

I was with your wife at
the scene of the accident

and during her surgery.

I'm going to check back
in with you later.

Is she going
to be all right?

She suffered massive
internal injuries,

and she lost a lot of blood.

Oh, God.

But, uh, we were able
to stop the bleeding,

and we're confident that
she's going to pull through.

But, uh, her legs
were severely injured,

and orthopedic surgeons were
not able to salvage them.

What?

We had to amputate.

Wh...? Both legs?

I'm sorry.

LOCKHART:
Yeah, I took it
a couple weeks ago.

Lockhart, Abigail.

I mean, I should've gotten them
by now, right?

Aren't you supposed to send them
to my home address?

You're kidding.

Yeah, I will.

Hey, Frank.

If I received a letter here,
would you tell me?

Hell, no.

If a letter came, it would
be filed alphabetically

in the mail drawer with
everyone else's crap.

As if I didn't
have enough to do.

Excuse me.

I'm looking for a patient,
last name "Gould."

Let's see if he's awake.

Mr. Gould?

Who the hell is that?

It's a former student.

Hey, Mr. Gould.

Ed Minyard?

I had you for algebra.

In both '73 and '74.

Flunked you because
you didn't follow directions

on your final.

Yeah, that'd be me.

What are you doing here?

I teach at Larchmont now.

Math, which is kinda karmic.

Someone called the school,
told us about your situation.

I've reviewed
all the written testimony,

and I have
a few follow-up questions.

Mr. and Mrs. Lopez,

I understand
you're both retired.

Yes, Your Honor.
Yes, Your Honor.

Can you describe

your physical condition
currently?

My wife and I are both
in good health, Your Honor.

And a statement from your
physician would verify this?

Yes.

Dr. Weaver,
just to clarify.

Both your parents are deceased
and you have no siblings?

That's correct, Your Honor.

I'll take this under submission,

and both parties will be
notified of my decision when...

Your Honor?

I love my son.

Mr. Brooks,

does your client
wish to address the court?

No, Your Honor, she...

And I loved Sandy very much.

Kerry, please.

Together, we decided
to have a baby,

we chose a
sperm donor,
got pregnant,

had a miscarriage,

and together,
we tried it again.

And that time,

thank God, we succeeded,
and we had Henry.

I was there when he was born.

I cut his cord.

We made our way
through every cold, every rash,

every colicky night.

We fed our son
and changed him and bathed him.

We were a family,
whether any city,

or state or country
gives us that recognition.

And we still are.

You'll be notified
of my decision.

Is that it?

Yeah.

All right, I'll
be right back.

FRANK:
ER.

Yeah, can I speak to Dr. Kovac?

Yeah, just a minute.

For you.

Hi, this is Dr. Kovac.

Hey, it's Alex.

Could you come over?

My mom's freaking out.
What are you doing?

Alex?

Hello?

The surgery said
that the lung repair
went very well.

He has my ears.

I was hoping he'd get my eyes.

Everything else was Linda.

That's probably a good thing.

You have kids?

No.

Honey?

I'm here, baby.

So is Michael.

He's right next to you.

What happened?

They had to take
your legs, honey.

But you're going
to be okay.

You're going
to be good.

( stifled sob )

LOCKHART:
"J, K..."

It's empty.

Look under "N."

For Lockhart?

For "Nurses."

HAMMOND:
Doctors' Lounge
is on the third floor,

where I'm sure you'll be
spending little or no time

if you know what's good for you.

My office
is on the second floor,

where hopefully you'll spend
even less time.

And in keeping
with orientation tradition,

some of our departing
third-year residents

will escort you
to a local eatery,

where you will eat, drink,
and pride yourselves

on having matched at one of the
finest hospitals in the country.

So, I'll see you all
tomorrow morning

bright and early.

All right, who
likes Mexican?

Make sure Dr. Goodman sees me
before he leaves.

We need the PPD results
from his file.

Excuse me.

Dr. Rasgotra.

Would it be possible
to speak with you privately?

Transitional internship

leading to
Dermatology, right?

Right this way.

Ha!

( laughing )

Good news?
Yeah!

I passed my boards.

Really?
Yeah.

Congratulations.

Thank you.

( laughing )

Oh, God.

Sorry, I'm just...

You going home?

Yeah.

Give Kem my best.

I will.

Hey, Abby.

I never had a doubt in my mind.

DR. HAMMOND:
So, what can I do for you?

I, uh, I don't know
how to go about this, but, um...

I never actually made
this choice for myself.

I mean, I told my parents
in third grade

that I wanted
to be a doctor,

and ever since then,
it's been assumed.

Suppose it's a good thing

I never said I wanted
to join the circus.

I don't think I can do it.

I've been thinking about it
the whole way here,

and for the last year, actually,
and...

Are you withdrawing

from this residency program?

I'm sorry.

You're really leaving us
in quite a lurch.

What are you going to do, then?

I'm not sure.

You understand
you can't get licensed

without an internship.

I know.

So, you got into MIT after all.

What did you always
used to say?

"Math is the true
universal language..."

"...and love is for suckers."

Mr. Gould,
this is Dorrie.

She's going to
be taking care
of you tonight.

Hi, there.

He's waiting on a bed
in Medicine.

You might want to give them
another call.

GOULD:
Young lady?

Me?

Will you be my nurse
again tomorrow?

No, I won't.

Uh, but I will

be here.

Just ask for Dr. Lockhart.

Alex, come on.
Get in the car, please.

Alex, please.

I'll get you something to eat
on the way.

KOVAC:
Sam!

Luka!

What happened?

What's going on?

What are you doing?

Alex and I have to leave.

What?

It's complicated.

I don't understand.

No one does.

I can't let it happen.

I can't let him
get to my kid.

I'm sorry.

I don't want to go!

Wait. Why are you doing this?

Sam, talk to me! Hey!

Sam!

Hi.

Hi. We're running
low on ibuprofen.

Is that right?

I know it's none
of my business...

You know, I was just
trying to give him a bath.

Was it an accident?

He doesn't know what
he's doing anymore.

Well, did you talk
to anybody about it?

'Cause I think you should.

I'll be okay.

Wait. Hold up. Hold up.

Jing-Mei, look,
call his nurse.

Ask her to stay
an extra couple of hours

so I can take you to dinner
and we can talk.

Jing-Mei,

I'm still your friend,

whether you want to believe that
or not.

Pratt, cops need
you to sign off

on your DUI
ghetto kid.

He's medically
clear, right?

Sutured and good to go.

ELGIN:
She should have been here
by now, man.

What time is it?

Just about 5:00.

What's up, Doc?

He get all
his discharge instructions?

Four hours ago.

Can't get in touch
with my mom.

Phone ain't working
or something.

So, you need a ride?

I got the Chrysler outside.

For real?
Zero to 60

in 5.6 seconds.

Let's go.

( car stereo playing loudly )
Yo, this is one nice ride, man.

This is the best I've been in.

Hey, is your safety belt
fastened?

Like this song right here?

Want to turn this up, bro?

Hands don't even have
to leave the wheel.

Oh, how many speakers you got?

Eight with
a sub-woofer

and 380-watt digital amp.

Yeah, and you're going
to blow them all out,

not to mention
our high-frequency hearing.

ELGIN:
What'd she say?

The lady wants it down a notch.

Is that better?

( car honking behind )
Thank you.

All right, all right,
keep your shirt on.

Hey, jackoff.

Try to pay attention
to the road!

Hey, what's
your problem, man?

Why don't you get out of here?

ELGIN:
Pay attention to this.

Oh, nice.

All right,
we're out of here.

ELGIN:
See you, suckers!

( chuckling )

Feel that Hemi
power, baby.

It's a beautiful thing.

( laughing and whooping )

Do you want to slow down now?

Whoo!

Pratt, slow down.

PRATT:
There, everybody happy now?

Okay, good.

Greg.

( screaming )
Son of a bitch!

He's shooting at us!
Get down!

PRATT:
Come on. Hold on.

We got
to get out of here!

Hold on!

Where is he?

We got to get away from him!

( Jing-Mei screaming )