ER (1994–2009): Season 11, Episode 4 - Fear - full transcript

Previously, on E.R.--

Who are you?
Dubenko.
Surgical attending.

I'm covering Trauma today.

What'd you do, wait until

I wasn't there to hire
the only candidate

I didn't endorse?

Maybe something's
opened up at the hospital.

I don't want to work
in the hospital.

Welcome to Jumbo Mart.
Can I help you?

What are you doing?
Working.

You can stay here
for tonight.



Actually, you can stay

as long as you'd like.

Sometimes I-I get nervous.

It didn't seem
like nerves to me.

Do you have OCD?

It's against the law
to harvest an organ

from an HIV-
positive patient.

The recipient is also
HIV-positive.

It doesn't matter--
UNOS won't approve,

and no surgeon's gonna
perform the operation.

It is absolutely ridiculous

to let a perfectly good organ
go to waste.

Prep him.
I'll mobilize the team.

( smooches ):
Mwa!



( pounding on door )

Go away!
Let me in!

Open this damn door!
Why can't you just

leave us alone!

Mama, what's wrong?

I'm never leaving you, bitch!

Just leave us in peace!

I'll kill all of you!
The kids, too!

( pounding )

Just let us alone!

( gunshot )

Oh, God! Oh, God!

Oh, God! Go. Go.
MAN:
Is that what
you want?!

You want me to
kill the kids?

( pounding )

Mama, please...
( crying ):
It's gonna be okay.

We just got to go.
Come on.

Open it, or I'll
kill 'em one by one

and make you
watch, bitch!

Go where he can't find you.

( pounding )
MAN:
Open this damn door!

( gasps )

( pounding continues )

You want me to
kill them kids?!

( pounding )

Saige!

Mama!

CORDAY:
You know, the transplant wasn't
a total success.

I still have to meet with

the medical
executive committee.

Yeah, makes me
nervous, too.

Mommy?
In the picture?

Uh, look, John,
I'll have to go.

I'll call you when I hear
something, all right?

Yeah, okay. Bye.

I'm sorry, sweetheart,
what were you saying?

Is this Daddy?

Yeah. You know that.

Who are they?

( chuckles ):
That's your nana
and your grandpa.

Are they dead, too?

I've been to the
science museum,
like, 10,000 times.

Why can't I just
stay home?

Because this way maybe
you'll learn something

instead of zoning out all day
in front of that Xbox.

You can learn
from that, too.

Luka taught me how to rob
all 15 stores in Vice City.

Looks cool
on his plasma.

You like it over there?
At Luka's?

I mean, like the neighborhood
and everything?

Guess so.

You like him, too, right?

Yeah. Why?

Just wondering.

Well, how would you feel
about, you know,

maybe moving in with him?

You serious?
He offered.

You want to?
I don't know.

We never really lived
with anyone before.

We lived with Dad.

Can I put our TV
in my room, then?

Mm... yes.

I don't know, I think
maybe we should think
about it some more.

ALEX:
Yeah.

Sir, please don't read
that paper

until you've paid for it.

( sneezes )

Just this, please.
Sure. $1.19.

One-one-nine.

I'll be right with you.

Is there a problem?
I got it.

I'll get it the next time.

I think Howard has
a touch of OCD.

Is that even possible,

to have a "touch" of OCD?

$3.10, please.

( siren wailing )
Busy over there today?

I wouldn't know.

I thought you'd gotten out

of your mandatory
ride-along.

Apparently it
doesn't matter

that windowless
vehicles make me sick.

I guess that's why
they call it mandatory.

How's it going over here?

$8.42, please. Great.

I get ten percent off
all my purchases.

DUMAR:
Abby.

We got to roll.

See you later.
All right.

I talked her
into doing it.

Your hand never
touched a scalpel.

Look, we're just
trying to determine

Dr. Corday's
understanding
of the law...

That's about to change.
Fine. The current law
regarding HIV-positive

organ transplant.

Look, the donor was
originally my patient.

I'm just trying to ask
for an opportunity to
speak in her behalf.

Attendance is limited
to department heads,

and last time I checked,
you weren't one.

Bring it on, people--
Dr. Pratt is on the clock

and ready to rock.
Which reminds me,

I'm concerned we have doctors
using work as therapy

for post-traumatic stress.
( chuckles ):
He's fine.

I'm not talking about him.

( sighs ):
Look...

I got your request
for extra shifts,

and it seems to me
you're glossing over

some of your
susceptibilities.

WOMAN:
Hold the elevator!

I'm late.
Sorry.

I'm sorry to bring up

your history
of substance abuse,

but the fact is,
you're still an addict.

You've been through
an emotional roller coaster,

and believe me,
I know what it's like.

Why push it?
Why tempt fate?

God knows you don't
need the money.

There's no problem, Kerry.

Good.

Because I'm not in the
business of safeguarding
doctors' licenses--

not twice, anyway.
So no extra shifts?

Oh, go to the movies,
take weekend trips.

Do something other
than hang around this
godforsaken hellhole.

Uh, Kerry?
What?

I tried to make
an appointment,

but your assistant's
being a little snarky

about your schedule.
Let me guess,

you want to extend
your maternity leave.

Uh, I was wondering
if you'd found

a permanent replacement for
the Chief of Emergency Medicine.

Is there someone you
want to recommend?

Yeah. Me.
Tried to tell her
you were busy.

Well, I tried to offer you
the position before,

and you turned me down.
That was pre-baby.

Post-baby that bad?

Turns out I like kids
better when they're

not sucking the
life force out of me.

And, uh, Chuck
doesn't mind being
a stay-at-home dad

as long as we can make up
for the lost income.

A grand more per week,
with a two-year commitment.

Deal.

When do I start?
I need six-months worth

of variant X-ray interpretation,
unscheduled returns,

and pneumonia pathway compliance
by day's end.

Oh, and the toilets in the E.R.
are backed up.

Good luck finding maintenance.

MAN:
About time.
Getting crazy out here.

DUMAR:
How young are the kids?

Four and five.
Three-story fall from

a window ledge--
miracle both of them

are breathing and talking.

Any idea what happened?

Some sort of
domestic disturbance.

Mom's pretty worked up.

WOMAN:
Please, God, please!

He tried to kill
my babies!

Who did, ma'am?

( crying ):
My husband!

Looks like
an angulated fracture.

Spontaneous resps.
Get her vitals.

Get her on O2
and start a line.

I need a leg splint.

Hi. Hello?

Can you tell me your name?

( weakly ):
Kali...
Okay, Kali.

( crying ):
He had a gun...

Any idea where
he is now?

Oh, God, why did you

let this happen?!

All right,
it's okay.
Oh, God...

LOCKHART:
Can you wiggle your toes?

( sobbing continues )

Great.

That is perfect.

Are you an angel?

Vascular is okay. A what?

An angel...
gonna take me to heaven?

PRATT:
Somebody please
answer my question.

Are we talking urticaria?

LUDLOW:
We're not sure.

Insect bites?
Lymphadenopathy?

Erythema nodosum?
It's possible.

Which one is possible?

All of the above?

Come on, guys!

Were the bumps firm?
Were they non-tender?

Were they freely movable?

They're just... bumps.

All right, hold on,
hold on, hold on.

First of all,
read up on derm.

Secondly, learn to
describe lesions
systematically,

so your superiors
don't look at you all

like you're
complete dumb-asses.

( sighs ):
How you doing, Mr. Hayslip?

I'm Dr. Pratt.

Do you mind if I take
a look at you?

That's what I'm here for.

Good. All righty.

So, what are they?

Um, let me run some tests, and
we'll find out for you, okay?

In the meantime, take a
more thorough history

and get his labs cooking.

Jing-Mei. Hey. Hey.

What are you doing here?

Oh, Ortho's slammed--
borrowed a cast cutter,

figured I'd do it myself.

I know you're limber,
but you're not that limber.

Come on, let me help you.

Oh. Thanks.

Anytime.

It happened so fast.

BP's 106/60
after morphine,
pushing another two.

DUMAR:
I got it.

The way he came right at us,

and then my babies
were down here...

Ma'am, we're taking your kids
to County Emergency.

All right, up we go.
You can meet us there.

Do you have a family
member or friend that
can drive you?

What if he comes back?

The police are here
to protect you and your son.

No! We got to stay together!
I'm sorry,

it's against policy.

My children need me!
Let her in.

What?
Just let her in.

Hey, Pam?

What?
Will you take

the brother with you?

This way your sister,
won't be alone, okay?

Thanks.
You're just supposed

to be along for the
ride, remember?

You feeling that at all?

Mm-mm.

( groans )

So, no John Hancocks?

Hm?

Your cast.
Nobody signed it.

Oh. Well...

could've asked
the night nurse, I guess.

( chuckles )

You know, haven't left
the house in weeks.

Only reason why I'm here is
because I've decided to, um,

hitch a ride with my Dad's
transport ambulance.

He's got pneumonia again,
for the third time.

And phlebitis and a UTI.

( groans )

Admitted him this morning.

Should've just called me--
I could've picked you up.

I think, uh, it's
gonna be a while

before I get into
a car with you again.

( chuckles )

( chuckles )

Don't forget your
range-of-motion exercises,

build up your gastroc.

You ever think about him?

Who?

Elgin.

LOCKHART:
Five-year-old,

displaced tibia fracture
after falling

from a third-story window
attempting to escape

an abusive father.

GCS 15, vitals stable
after six of MS.

Distal neurovascular
status?

Intact.
That the mom?

Yeah, it's a big red taxi,
thanks to Abby.

Brother and sister
are in the next rig.

All right, ma'am,
we're gonna do

everything we can
for them, I promise.

Tenderness at the olecranon

and distal radius,
multiple fractures.

MOTHER:
Her name's Kali,
after the Hindu goddess.

Any LOC?
Not according
to bystanders.

You switching teams
on us now, Lockhart?

MOTHER:
It's pretty, you know?

CBC, lytes, type
and cross for two,

lateral c-spine, chest, pelvis,
left elbow, wrist and femur.

And put CT on hold
for head and abdomen.

CARTER:
Very good, Howard.

But it means
"destruction."

DUMAR:
Dumar, go.

( crying ):
He only used to hurt me.

Why'd he have to
hurt my babies?!

Chuny, we need Social Services
down here right away.

And let's get Mom
to the family room.

Sure. Ma'am, you want
to come with me, please?

It's okay.

Good breath sounds,
good sats.

I'll check on number two.

They catch the bastard
that did this yet?

DUMAR:
Okay, we're out of here.

Old man found
down in Lincoln Park.

Trachea midline.
No JVD.

I'm scared.
I know.

DUMAR:
Abby, come on.

I'm right here.
Don't worry.

I'm gonna catch you
on the next run.

CARTER:
Set up for
the neck film.

Look, you don't do
the full 12 hours,

you're not gonna get
any credit.

On the right side
or the left side?

No hemotympanum.

Little sister's
stable for now.

TKO the saline
after 500 cc's.

DUMAR:
You coming or not?

Someone get me
a lead apron.

There was no next of kin.

And you know
that because the
hospital's policy

of "due diligence"
was exercised?

The organ had
to be procured quickly

for the operation
to be successful.

There wasn't time
for a 24-hour family search.

Was the rest
of the surgical
team aware

they were performing
an illegal procedure?

I'm sure they assumed
that consent

and UNOS approval
were in place.

Did they know
both patients
were HIV-positive?

( sighs ):
Universal precautions

are taken in surgery regardless
of a patient's HIV status.

Look, this was
a unique situation

requiring decisive action.

That now
exposes us

to huge civil
liabilities.

Yeah, only if negligence
or malice are proven,

which is clear not the case.

The recipient is thriving.

It's against the law, Elizabeth.

At the moment, yes.

But the bill changing
all of that is sitting

on the Governor's desk
as we speak.

Unsigned.

So, a perfectly good liver
that would have been destroyed

was transplanted into a man
who would never have qualified

for one a day or two earlier
than the law allows.

Where's the harm in that?

I saved a patient's life.

Actually, our patient died.

This other fellow just
happened to benefit from it.

You breached hospital policy,

state and federal
law, any of which

is grounds for dismissal

and/or loss of your license
should we report this

to the State Board.

Sorry.

Got stuck in a hemorrhagic
Meckel's diverticulectomy.

Why is he here?

He's on the Medical
Ethics Committee.

If you had
followed protocol

and presented to
them, you would
have known that.

What's the next step, then?

( sighs )

We'll make a decision.

You'll be notified
as soon as we reach one.

All right.

SAM:
Damn, these veins are tiny.

( screams )

You're going
to have to settle down

or it's going
to hurt even more, okay?

Mama...

C-spine is clear.
Mama!

Sat's 97.
Need some help?
Done it before.

Yeah, I bet you're
pretty good at it, too.

Mama!
Parietal abrasion,
no step off.

What do we have?

RAY:
I thought they
paged Dubenko.

Well, you got me.
Mama!

Four-year-old
with chest contusion.

Rib fractures eight,
nine, ten, on the left,

but the lung is up.

Sisters, right?

Let's check
for tamponade.

Soon as Sam sticks the kid.

Sorry. I get a flash,
but no return.

I'll try the other side.

Do we need
another nurse?

No.

Where's my mama?

Hey, Tamira,
do you like The Wiggles?

Which one is your favorite, huh?
Anthony?

Murray-- he plays guitar.

DTR's two plus and equal.

Good answer.

I like Jeff

'cause he's always sleeping.

Got it.

Thanks.

Good bowel sounds.
No guarding.

How on Earth do you know
about The Wiggles?

I try to keep up
with kids TV.

Gives me something
to talk to them about.

You're kidding
me, right?

Okay, she's stable
enough for CT.

I hate
the bloody Wiggles.

Kali, you have big,
beautiful brown eyes,

and they are both equal
and reactive.

No murmur, rub or gallop.

How's it going
in here?

Pretty severe
pelvic fracture.

Call Ortho?

Yeah, in the meantime,
let's use sheet traction.

Pocket Doppler
to Dr. Corday.

How'd it go upstairs?

I'm not sure.

I'll know in a couple of hours.
Thanks for asking.

Can't imagine they'll give you

anything more
than a slap on the wrist.

Good pedal pulses.

Foley's in.

Dip it for blood.

Angel?

Angel?

Uh, Abby, I think
she's talking to you.

Oh.

Hi.

You're still here, right?

Yeah, we're all still here.

CORDAY:
She'll need
a second IV.

I can start a central line.

Dr. Pratt?
What?

We have the chest X rays
back for Mr. Hayslip.

Who?
The guy
with the bumps.

He has a huge
left hilar mass.

Okay, go.
I've got Abby.

Yeah, but she's
playing paramedic.

Yeah, well, I got Howard, too.

Howie?

How's the urine?

Negative, but I should
try with a re-agent strip

from another bottle.

I only dipped it twice.

Why? Once is
sufficient.

Dr. Corday?
We need you in here.

What happened?

Sats dropped to 79.

Probably a pulmonary contusion.

Tamira? Tamira,
can you hear me?

She's barely
moving air.

We need an ambu bag
and intubation tray.

Should we get
the mom in here?

Why, I'm not planning
on her dying, are you?

Is the universe punishing me
for being a bad mom?

There are charts here

that haven't been picked up
in six hours.

Good help is
hard to find.

Like if you order
a no-foam latte,

there should be
no foam on it.

Yeah, Neela burned
my bagel earlier.

You finish
those Q.a. reports?

Not yet.

Yeah, I thought you'd be
a little rusty.

Where's Dr. Corday?

In Trauma.

Okay, tell her to find me
the minute she's out.

It's important.

Oh, and St. Joe's
is closing

its E.R. next week
for renovations.

Plan on doubling
your intake down here.

Congratulations
on your promotion.

What's this?

That is
my time-off request,

demand for five percent
pay increase

and my letter
of resignation

if neither condition
is met.

Ah...
Welcome to management.

How are you
doing, Kali?

I'm not hungry.
Tachy at 130.

We got a big pelvic bleed.
Let's take some O-neg

and let's get a pressure bag
on that saline.

Got it.

Where are they?

No, I don't want to!

Okay, Kali,
you need to relax.

Somebody needs to tell me
what's happening to my kids!

We're doing absolutely

everything
we can for 'em, ma'am.

Mommy, no!

No, you're hurting her!

What are you
doing to my baby?

No, no, Nichelle.
Abby...

Oh, my God, what
are they doing
to Tamira?

Come on, Abby.
Listen. You have
to listen to me, okay?

Why aren't
they helping?!

Why aren't they
helping my kids?!

Shh. They are.
They are, okay?

Okay, come on.

Let's go.

Let's just let the doctors
do their work, okay?

Okay.

( sobbing ):
Okay.

It's nonproductive.

Any hemoptysis?

Cough's chronic,
but getting worse.

Yeah, after two packs a day
for 25 years, no kidding.

Should I cancel
the Derm consult?

The guy's got stage-four
lung cancer,

with a hundred skin mets.

What do you think?

He have a primary care doctor?

No.
( coughs )

Mr. Hayslip.

Let me guess,
more tests.

Actually, that won't be
necessary.

Good. Give me
a nice little cream

for my rash
and I'm outta here.

It's not a rash.

Look, I don't know
how to say this,

so I'm just going
to come right out
and say it.

You've got
advanced lung cancer.

What?

Which has metastasized
to your skin.

These are little cancers?

You need to see
Oncology.

They'll have the results
of your biopsy

and can recommend
a course

of chemotherapy.

I'm sorry.

Stay with the patient.

He'll need somebody
to hold his hand.

CARTER:
Blood pressure's up
with 40 per kilo.

Let's repeat the bolus.
All right,
I'll take that.

You chart.
Chuny, hang the blood.

On it.

You running
this trauma now?

Guy's sweatin' bullets.

All right, first
hematocrit is 34.

DUBENKO:
Dr. Corday?

One room over.

Circumferential traction?

Yeah, pelvic and
femur fracture

with retroperitoneal bleed.

T-POD's better.

You should get it
from Central

and mobilize angio.

Didn't know we stocked
the T-POD.

That must be new.

All right, let's give her
ten liters O2 by mask.

I'll call Central.

Yeah, you do that.

My sister gonna die?

Um, Saige, right?

Well, we're doing everything
that we can

to make sure that
that doesn't happen.

Want to up
the FIO2?

Howard, can you please
take him out?

That's the
social worker's job.

PRATT:
Yeah, but they're
not here right now.

Type specific's ready.
So, get a nurse

to talk to him.

I'm a little
busy right now.

I'd rather talk to him.

Who, him?

Go.

All right, come on.
I asked for some blood.

I want to repeat the crit,
I want a unit of FFP.

and I want to know
where the damn
social worker is.

Covering two hospitals
by herself till midnight.

That's my excuse
for being late.

What's yours
for being an ass?

Where's the hemacue?

Foot of the bed.

14 centimeters at the lip.

Can you see
well enough?

Most of the time we can't get
one trauma surgeon down here.

How'd we manage two?

Getting harder to bag.

There. Rib sliced up
the spleen.

The large amount
of free fluid

in the subdiaphragmatic
space is rather obvious.

Consent for an ex lap
and a splenectomy.

Whoa, sats are dropping.

Tachy at 140.

No breath sounds
on the left.

She must have
a tension pneumo.

The first chest
X ray was clear.

Okay, open a 20 French
and a thoraseal.

Toss in an 18-gauge angiocath.

SAM:
Dr. Corday?

Sometimes endotracheal
intubation

with positive airway pressure

exacerbates
an imperceptible pneumo.

Okay, sats are up.

I was about to perform
a needle thoracostomy.

You can go ahead and place
the chest tube.

O.R. can take her
as soon as that's in.

All right. Uh, who should I put
down as the attending?

Dubenko.
Corday.

LOCKHART:
Nichelle,
it might help

to talk about
what happened.

No... I can't.

Is there anyone
we can call for you?

I just need to pray.
for my children to live.

Pray for some peace in
my heart, in my mind.

Pray for him to die.

He's an evil man.

Oh, he's an evil man.

But he gave me my children.

( laughs )

Now he's gonna take them away.

Need me to answer some
questions for you?

Want to watch some TV?

Is my mom
gonna be okay, huh?

Well, it's pretty hard
for her right now.

She's worried and upset.

I'm sure you are, too.

But hopefully,
your sisters will
get better real soon

and they'll be back at home

getting on your nerves
in no time.

Hey... you see
those guys right there?

They're gonna do
everything that they can

to keep your family safe
from your father.

I'm sorry.

Oh, man.

There are scrubs
in the far supply closet.

Thanks.

Come on. It's okay.

Don't worry,
about it.

How's it going?

Not so good.

We can't find
this guy.

There's some indication

he may have left the state
a year or so ago.

But if he came back,
no one's seen him.

The neighbors
weren't any help?

Woman next door
was passed out drunk,

never heard a thing.
People on the other side--

they weren't
even home.

Well, she's still
very upset,

a little scattered.

Yeah, I would be, too,

if I saw my kid
fall three floors.

But I would want to catch
the guy who did it to 'em.

Hi. Wendall Meade,
Social Services.

Detective Maskins.

Ma'am, first let me say

how sorry I am
that this happened.

Who are you?

Nichelle,
this detective

needs to ask you
about your husband.

Ma'am, do you have any idea
where he's staying?

Where he might go?

The time.
What's the time?

Uh, 12:15.

He likes to drink.

Get drunk soon as
he could, every day.

Did he have
a favorite bar?

She's a survivor, this one.

CORDAY:
Let's hope.

Look, um...

I've been wanting
to congratulate you

on the transplant work you did
with the HIV patients.

Groundbreaking stuff.

I wasn't trying
to break any ground.

Right.

Well, in
a more perfect world,

you'd be given
an award for it.

Uh, Weaver's waiting
on you.

She says it's important.

Anyway, I think
what you did was brave.

Dr. Dubenko, T-POD's
ready in Trauma One.

I'll send another surgeon down.

Uh, the sheet traction method
you used is a little archaic.

This gives a better hug

around the hips
and upper thighs.

Sorry.

What about Weaver?

Tell her to wait.

Excuse me.

She's asking for you.

What's going on?

CORDAY:
Slowly, steadily
pull the handle

straight out from
the patient's side.

Kali?

I wasn't a bad girl.

No, of course
you weren't.

How's her pressure?
Down to 65.

Crit's dropping, even
with the transfusion.

So much for Dubenko
and his cutting-edge
contraptions.

KALI:
I don't want
to go there.

HOWARD:
Barely has a pulse.

KALI:
Want to go to Heaven...

Just hang on,
okay, Kali?

"When the pulley system
is closed,

"secure the compression
by wrapping the string

around the four
protruding arcs"

HOWARD:
Tachy at 150.

No radial pulse.

CORDAY:
Intubation
and central line kit.

No room for a femoral
with the T-POD, right?

We'll go subclavian.

On a five-year-old?
!
LOCKHART:
Kali, we're going to put

a tube down your throat
to help you breathe,

but you won't be able
to talk anymore, okay?

CARTER:
Prep the upper chest. Let's go.

Kali?

I want to go with you, Angel...

CORDAY:
Five-and-a-half E.T. tube...

Get the crash cart
in here!

HOWARD:
One, two, three, squeeze...

B.P's down to 56,
Systolic. Howard?

Need some more
ultrasound gel.

Come on, come on,
come on, come on!

CORDAY:
Show me
the subclavian.

Trying to... I can't
get in there tight enough.

Dammit, I can't
see anything.

I can't see
anything either.

Howard, you think
you can move?

Howard, swing it around.
...one, two,
three, squeeze...

All right, let's check
her urine output.

And where's that blood?

Here. Two units cross-matched.
Abby, you ready?

Right there, John.
Yeah, yeah.

Hold it steady.

...one, two,
three, squeeze.

One, two, three,
squeeze...

I've got a flash.

Guidewire.

Okay. Kali Richardson
medical record #331928.

Right.
Transfer another 20 per
kilo, round to 400.

A-positive unit number
KB 579111.

LOCKHART:
Good to go.

Cordis introducer.

LOCKHART:
Hang it. Three bolus
of 400, 1,200 total.

One, two,
three, squeeze.
Okay.

I'm in. Hook me up.
3-O nylon.

Pressure's
dropping. 50.
...three, squeeze...

Let's mix up
some dopamine.

LOCKHART:
Okay. 200 in 250 at
5 mikes per kilo...

Will you please shut up!

...squeeze.

One, two,
three, squeeze.

One, two, three,
squeeze.

KOVAC:
The youngest one made it
to surgery without arresting.

They've started the ex lap.

Still working on his
sister in Trauma One.

( sighing )

You okay?

I just called Alex.

Took everything
I had not to cry.

He accused me of
being on my period.

Then maybe I am, too.

Almost called him myself.

( sighs )

You two decide yet?

About moving in?

Don't. Not unless
you want to kill
the romance.

They're on their best
behavior at first,

then before you know it,

they're farting
in the kitchen.

Um, we've talked about it.

You know, we probably need
to talk about it some more.

Just so you know?

I'm not jealous,
I'm not crazy

and I won't be farting
in the kitchen, okay?

LOCKHART:
Can't get her
pressure above 60.

Must be a posterior bleed.

LOCKHART:
Third unit's in. We need
to check the fourth unit.

Howard, help Abby.

Give FFP after the fourth.

Up the dopamine to ten.

Okay. Kali Richardson,

331928.

9... 928 or 938?

28.
Show me.

928!

Oh, okay. Good.

Bradying down.
Give me some atropine.

Let's get the ultrasound.
We need to make sure

we're not missing
an intra-abdominal bleed.

...BT...
"BV" as in "Victor"

or "BT" as in "Tom"?
"T" as in "Tom." Next.

4524542.
Lost the pulse.
Start compressions.

HOWARD:
Okay, once more, slowly,
'cause I think you

may have transposed something.

Howard, hang
the damn blood!

Okay. It matches,
it matches.

We're in V fib.

Charge to 50.

I just didn't
want her to have

a transfusion
reaction.
And clear!

All right, young man.

Now, if you have
to go again,

just let me
know, okay?

Okay.

Feel better?
Yeah.

All right, now, let's
go find your mom.

( sighing )

You coming?

I was scared.

Of course you were.

I-I should've done
something to stop it.

Look, you're just a kid.

I'm the oldest.

You're nine.

Your father,
he's a grown man.

There's only so
much you could do.

He was never there.

Who?

My father.

CORDAY:
Clear!

Still fib.

Should have rechecked
the blood.

Second bolus of
lidocaine's on board.

70 again.

Should we send
hemolysis labs

in case it was
a transfusion reaction?

That the mother?

Yeah.

Clear.

Seventh unit's in.

Are you sure this
is a good idea?

Nichelle, you need
to open your eyes.

You need to be with
your daughter now.

Another round of epi.

Let's go. 70 again.

Oh, God.

Clear.

( crying )

Asystole.

Could be fine V fib.

NICHELLE:
Kali...

Again.

Baby...

Careful, careful,
don't get shocked.

( monitor flatlines )

It's all right.

Go ahead.

( crying )

Kali...

( crying ):
Oh...

( kissing )

No!

No, no, no, no, no!

No! No! No!

No! No! No! No!

No! No! No!

Kali! Kali!

( choking up ):
Kali... Ka...

( sobbing )

Ka... Ka...

( crying )

I was hoping to have
seen you earlier.

Yeah, I got caught up
in a trauma.

So... I have good news.

Though certain members
of the committee lobbied

for your dismissal,
I was able to craft

a proposal that I think
will benefit all of us.

Really?

How would you feel about
accepting a non-tenure track

position as clinical instructor
here at County?

So, after giving seven years
of my service to this hospital,

I lose my tenure
over a single patient.

( sighing ):
Elizabeth, you broke the law.

What did you think
was gonna happen?

I don't know.

That, um... I might be
appreciated for saving a life,

that, uh... that friends
might have fought for me.

I did fight for you.

I had to beg, borrow and steal

just to keep them from giving
your name to the state board.

( wry chuckle )

What the hell...
let them pull my license.

Let them make it ugly.

I'll go public, I'll tell anyone
who cares to listen

that this hospital was willing
to let a man die

because a bloody bill

was signed on a Tuesday
rather than a Monday.

We did something extraordinary
here, Kerry.

You're right.

We did.

But that's not our purpose.

We can barely service

the community's basic
medical needs as it is.

And that's it?

Just stay open,
get through each day?

Isn't that enough?

( sighing ):
Howard?

You shouldn't
have stopped me.

Howard, you need help.

There are medications
for this.... therapies.

I'm fine.
( slamming )

I don't think you're fine.

I saw you check,

double-check
and triple-check every lab form,

and blood unit that went
into that trauma...

Probably ABO
incompatibility.

No, listen to me, the
transfusion was fine.

Nobody did
anything wrong.

Howard, we didn't kill her.

Her father did, and you're not
gonna get any better...

I'll go into Derm
or Radiology...!

You're not being rational.

I'm being thorough!

Why is that such a
problem for you people?!

Uh... what was
that all about?

Howard has OCD.

Please don't tell me
I just lost a doctor.

She would've started
kindergarten this year.

You all right?

Hanging in there.

How about you?

Personally or professionally?

First year resident...

it's probably one and
the same at this point.

Today was hard.

I can't imagine what it
must feel like to lose a child.

Yeah.

Yep.

Hey.

Big brother just told me
he hadn't seen Dad in a while.

Might be because he died
a year ago.

Any candidates at all
that didn't match
for an internship?

You know, he always seemed
reasonable to me.

There's only four in
the entire country?

A friend of mine's
taking a year off

after medical school
to live with wolves.

I can see if she's
still in town.

I'm sure that
if you just went

and talked to him
he would change his mind.

Right, and the one in
the Dominican Republic.

Can I do
a phone interview?

I did talk to Howard
in the parking lot,

but he kept locking
and unlocking his doors.

There's a doc in
Urology who says

he's looking to start over
in Emergency Medicine.

Oh, he's in Milwaukee?
How soon can I get an interview?

He's close to 60,
but I think he's
still spry.

Oh, yes, thank you.

Thank you so much.

( sighs )

Did you hear?

What?

The youngest died
in the O.R.

( sighs )

WENDALL:
The police went to
dad's favorite bar

and confirmed
he died last year.

Shot to death
in some sort of holdup.

After that, kid says
she couldn't eat,
couldn't sleep.

Yeah, after years
of abuse,

she probably didn't know
what to do with herself.

Is there any
psychiatric history?

No, but insurance
records show that

our outpatient clinic
had her on Valium
three times a day.

Stayed on it six
months, until she
ran out of money.

How long ago was that?
Last week.

So, she was hooked.

We're talking
Benzo withdrawal.

If she quit cold turkey...
could be psychosis,

delusional thinking,
hallucinations...

Did the oldest kid
say what really went on?

No.

And you can forget about him
talking to the cops.

Hey, Lockhart.

EMS Coordinator called
for you.

Sounded pretty pissed
about your ride-along.

Sorry.

Hey, Chuny,
how's he doing?

Better. Gave her
ten of Valium P.O.

Psychosis should
start resolving.

Maybe now she can tell us
what really happened.

Only if she knows.

Hola, Doctora Guzman?

Ah, si. Buenas noches
to you, too.

Habla ingles?

No? Wonderful.

Uh... Estoy Doctora Susan Lewis

de County Hospital
in Chicago...

Hey, Jerry, how do you say
"we have an opening" in Spanish?

No clue. But I think
that resident

you wanted to
interview is here.

Hi. How are you?

Hi.

CARTER:
Nichelle?

You think you can
tell us what happened?

No...

I don't know.

Can you tell us
where your husband is?

Raymond?

He's dead...

Can you tell us how he died?

In a robbery.

You said he was trying
to break into your apartment.

You remember telling us that?

Mama, what's wrong?

CARTER:
You said he was trying
to kill you.

Oh, God! The door!
He shot the door!

Mama, let go!

( crying ):
We're just gonna leave.

SAIGE:
Mama, stop
it, please.

Go away!

Mama, what's wrong?

But he wasn't
there, Nichelle.

What happened to Kali
and Tamira?

NICHELLE:
We just got to...
we just got to leave.

SAIGE:
Mama, stop it.

Please.

We just got to... find...

find a place
where he can't find you...

where you'll be safe.

How did they get
over to that window?

( panting ):
It's the... it's the only way.

Hurry! Hurry.

Mama, don't...

please...

You'll be safe.

Mama, don't.
Stop it. Please!

Saige! Saige!

( cries )

How did they fall?

Mama!

Saige!
Mama!

You'll be safe!

Go!
No!

Go! Go!

Mama!

Go! Go!

Go...! Go...!

Mama, stop!

Mama, quit it!

Saige! Go!

Go!

Saige!

Mama, stop!

( crying ):
Saige!

Saige!

I made them go out...

I'm...

I'm sorry, Dr. Carter?

Dr. Corday was looking for you.

Said she got her answer.

Sir, I'm afraid that's
the only kind of cheese we have.

This isn't cheese.
It's orange crap.

Are you almost off?

Five, 50 and five make ten.
Thank you.

Want to go get a drink
or get something
to eat, or...?

I still have
another hour yet.

I work longer days than
I did when I was an intern.

Though I did learn
something new today--

how to clean
the hot dog machine.

Now there's a skill
I can take wherever I go.

One large coffee

and a first-year
resident, please.

Sorry?

Howard quit.
He did?

Yeah, are you
interested?

Well, Neela's going through this
delayed adolescent rebellion

slash premature mid-life
crisis thing right now.

Look, I've called
the NRMP,

I have scraped
the bottom of
the barrel,

I have seen or spoken with
more freaks than Dr. Phil.

I am desperate--
no offense--

for anyone even remotely
competent and/or sane.

I don't know, I mean,
I'm working now so...

Yeah, you're right.

You just keep ringing up
those pork rinds

and making Icees.

Hey, who labeled
these jalapeños?!

They say mild, but I'm
burning my damn tongue off.

Dr. Lewis?

When do you
need me to start?

Elizabeth?

Hi, John.

So, did you talk to Weaver?

Yes.

What did she say?

Well, she said that there
was a place for me here.

A lesser place,
but a place nonetheless.

I'm sorry.

Don't be.
I didn't take it.

I've decided to leave.

There's not enough of
a future for me here.

Whoa, whoa,
whoa, whoa.

Let me talk
to Weaver again.

We can go to the courts.
No, it's all right.

It's all right.

This whole transplant situation,

the new staff,
my four-year-old daughter...

it's all helped me
see things more clearly.

Mark's gone,
so many of my friends are gone.

There's... there's
no reason to stay...

not for me, not for Ella.

I suppose I've known that
for a long time now,

but it's, uh... it's just...

hard to move on, isn't it?

It's hard to close that chapter.

Several.

Where are you going to go?

Home, I think, for a bit.

Back to England?

Would you apologize
to everyone for me?

Aren't you gonna come by
and see everybody before you go?

I'm not much for good-byes.

They make me cry, truth be told.

If you want me to tell
anybody anything...

Tell them, uh...

it's been lovely.