ER (1994–2009): Season 12, Episode 17 - Lost in America - full transcript

Abby and Luka desperately try to keep a young woman brought into the ER with stab wounds to the neck alive. As her condition begins to worsen, Clemente steps in and tries a risky procedure on the girl in order to save her life. Meanwhile, Neela pulls an all-nighter in preparation for a speech at a surgeon's convention, Ray treats a man claiming to have swallowed a bottle of pills, and Sam decides to take a part-time job with Richard to help her with childcare expenses.

Previously on ER:

Anything for my roomie.

WOMAN:
Congratulations.

Thank you. It was supposed
to be a secret.

Everybody was saying
you were getting puffy.

I had to defend you.

It's a part-time job,
flexible hours, good pay.

You and Alex, you're
more than welcome

to come live with me.

Move in.

You need to undergo
an evaluation



by the Impaired Physician
Committee.

You're serious?

Yeah, well, I don't
need that, okay?
I do.

Oh! Don't shoot.

Sorry.

Did I wake you?

I couldn't find
my laser pointer.

I had to root around a bit.

Yes, I ate all your cereal
at 4:00 a.m.

and no,
there's no milk left, either.

I'm a terrible roommate.

It'll be fine.
You know, I've known

about this
trauma conference
for two months,

so the fact that I'm this
unprepared two hours before



is quite unsettling.

Well, you don't want
to over-rehearse your talk.

You should just wing it,

keep it fresh.
Wing it?

It's not open mic night,
you know.

Oh!
Oh, crap!

You know,
I blame this on you.
Me?

If you hadn't made me
watch every horror film

from the 1970s,
I might have actually

gotten some work done
this week.
Hey.

Not every horror film,
just the devil ones.

You're a bad influence.

Oh, thank you.

Hey, come here,
you got a little on your...

( sighs )

You know, I haven't pulled
an all-nighter since...

Ever. I have never
pulled an all-nighter.

It's good for a
person now and then.

Not for me. I'm used to being
in control of these situations.

What situations?

I'm usually so organized.

Dubenko's going to kill me

if I'm late.

Well, um...

don't worry about the cereal.

( door closes )

It's not about God.
It's about tradition.

Religious tradition.

What's wrong with that?

Nothing, if you're religious,
but I'm not religious.

( sighs )

Okay, you ever
been to a baptism?

Yes, I have.

I thought it was weird.

Weird?
Yes.

The ritualized
spiritual purification of a baby

kind of freaks me out.

You thought that was bad,
you should see a bris.

Hey, Rodney.
Hey, you and you.

I heard the good news.
Congratulations.

Thank you.
Two coffees, please.

You want decaf, right?

No, regular, black.

Look, I was baptized,
so were my brothers,

my cousins, my parents.

Baptism is what we
do in Croatia.

But it's an initiation
into a club

I don't want to belong to.

It would mean a
lot to my father.

Thank you.
Thanks.

Do you know
there's absolutely no evidence

that a moderate amount of
caffeine is harmful to the baby?

The American Academy
of Obstetrics...

Please, stop
changing the subject.

...people feel the need
to curtail my caffeine intake.

Why is that?
It's a little water,

a little prayer,
and a chance

to make a lot of
other people happy.
I don't know.

There's something so...
What?

...so Rosemary's Baby about it.

Victor Clemente.

All these people here
for drug testing, too?

Oh, yeah, you can't
tell me that.

Of course, you
can't tell me that.

Midstream,
in the cup.

All right, thanks.

Sample collection
has to be witnessed.

Come on, I'm not trying
to pull anything fancy.

Sample collection
has to be witnessed.

What are we,
in fascist Germany?

All right, fine.
( zipper whizzing )

Witness this.

It's okay, honey.
You know you want to look.

I have a budget committee
meeting until 9:30.

Page me if you
get a trauma.

Carter called?

Yeah, you were in
with an epistaxis,

whatever the hell
that is.

I didn't want
to bother you.

It's a nosebleed, Frank.
You could have pulled me out.

He said he'd call back,
it didn't seem that important.

If you're not sure,
transfer calls
back to the room.

I'll decide
what's important.

Oh, hey, Luka.
Huh?

Sign Kerry's
card for me.

How is she doing?

Good. A little stir-crazy,
but she's starting rehab soon.

I'm sending her flowers
from her department.

Nice.

Hey, I need someone
to parlez-vous a little Español.

Inez is off,
Marquez isn't in yet,

and goiter girl
has been waiting an hour

for a Spanish translator.

Get Clemente.
He's back?

Yep, should be.

If he's not here in
ten minutes, call me.

Hey, I heard they sent Clemente
to Atlanta for diversion.

Let's hope.
He's on house arrest.

And they're letting
him come to work?

Some kind
of special arrangement.

Well, it's his first day,
he's already late.

Yeah, ten bucks says
he doesn't show.

Okay, pirate guy
with testicular pain, Ray,

Abby, you get fever-rash,

I will take dog bite to earlobe.

Wait. Switch that.

No, you take dog bite,
I'll take the rash.

It could be rubella.

We wouldn't want
to risk our baby

getting a
torch infection.
What?

Torch infection:
herpes, tox.

I know what
a torch infection is.

Then you know it wouldn't
be good for our baby.

Why do you keep calling it
"our baby?"

I don't mean our baby
like you and me.

I mean like
our baby, right?

Like an ER mascot.

This baby
isn't anyone's mascot.

Good morning.

Bagels, anybody?

Hey. Dr. Clemente.

MAN:
Anybody?

Come on, Morris.
Let's clean the board.

Hello!

I think I've just
committed suicide.

A little stick here.

A gun's certainly the most
reliable method,

but it's kind of
against my politics.

Overdose just seemed like
the way to go.

Slow, tidy, not
a lot of fuss.

I suppose I have to be placed
on three-day hold now.

I don't get it.

If you're trying to die,
why come in at all?

Who wants to die alone?

All right, Mr. Sadler,
we're going to get you

an acetaminophen antidote

and then call a psychiatrist
to talk to you, okay?

That sounds great.

( clears throat )

Yikes.
No kidding.

That's some real
pathology there.

He's so calm it's scary.

More like sociopathic.
( chuckles )

You guys got
one to present?

We're good, Mucomyst, charcoal,
waiting on a tox.

I'll page Psych.

All right.

BARDELLI:
21-year-old, discovered
down in the dorm near UIC.

Multiple stab wounds
to the neck and shoulder.

Vitals?

Pulse: 97, resps: 32,
sat: 93 on six liters.

I came to pick her up
for class

and found her bleeding
on the floor.

Sam, what's open?
( wheezing )

TAGGART:
Trauma One.

CLEMENTE:
Oh, well, well,

if it isn't
the elusive Dr. K.

Okay, Vic, we'll have to catch
up later. Abby, come with us.

Hey, you're busy.
I get it.

KOVAC:
Why don't you stay out
and run the board.

Okay, got it, boss.
What happened?

Knife wound,
lacerated trachea.

Hi, I'm Dr. Lockhart.

Can you tell
us your name?

( wheezing )
Nimet.

Please... I can't... breathe.

Hang in there.

We're gonna
take care of you.
Frick!

I'm here, Nim.
Everything's going to be okay.

Abby, take the airway.

Sam, get another line.
Ready?

One, two, three.

I'm scared.

FRICK:
Shh. Don't try to talk.

Just let the doctors
take care of you.

Sats only 84.

Zone three stab wounds
with clear tracheal penetration

and an adjacent
pulsatile mass.

The police are here.

How is she doing?
Not right now.

Stridor with what appears to be
an expanding hematoma.

Haleh, can you stay?

Yeah.

You know her?
She's my girlfriend.

I need to take a statement.

Now? Can't this wait?

Just tell them what you can,
won't take long.

TAGGART:
She's hypoventilating.

HALEH:
Her pulse is taking a dive.

LOCKHART:
Nimet?

TAGGART:
Sats only 78.

She was just talking.

What do you guys want?

Okay, uh, 7-5 ET,
mac 2,

etomidate, and SUX.

KOVAC:
No paralytics,
could be a tough intubation.

What, are you trying
to make it tougher?

No, if you can't get the tube,

it's going to be very hard
for you to bag

through a lacerated trachea.

I'll get the tube.

HALEH:
Systolic's 81.

MAN:
Tote bag?

Uh, no, thanks.

That's a wrong answer.

You want this.
Okay.

WOMAN:
19, 20, 22!

Yay!

Come demo the LifeWind.
Free trip to Miami.

Uh, no, thank you.

Um, excuse me.

Can I get a nonfat
latte, please?

Coming up.

You familiar
with the Violet 4000?

Excuse me?

It's a new cataract
emulsifier for use

in the operating room.

Foam?

Never mind.

More cricoid.

I'm pressing as
hard as I can.

Towel roll--
the cords are turning anterior.

Okay, let me get that.

( grunts )

Haleh, suction.

You want suction
or cricoid?

I can't do both.

Let me take a shot.

No, that's all right. I'm in.

I don't think you are.

LOCKHART:
Oh, come on.

HALEH:
Sats only 72.

Abby?

Call surgery.
She needs a trach.

Paged them three
times already.

Page them again.
Heart rate is dropping.

I almost got it.

Damn it.

Where's the defibrillator?
HALEH:
Counter.

KOVAC:
Get ready with atropine.

I got it. It's heavy.
I got it. I'm right here.

TAGGART:
Pulse 23.

Atropine, one mig now.

Starting compressions.

If you want me to jump
in there and do that, I can.
I'm fine.

Yeah, but you don't
have to do that.
All right, enough.

I'm having a baby.
Get over it.

Let me do my job.

Amp of epi,
right away.

MORRIS:
Hey, Ray.

Have you seen the Wood's lamp?

These morgellons are supposed
to be autoflorescent.

What? Are you speaking English?

My patient thinks some
sort of fiber-producing bug

is crawling on her.

She brought some
in a jar.

It's lint.

No, it's fibers produced
by the morgellons.

Delusional parasitism.

DC home with a referral
for counseling.

I thought there might be
some therapeutic benefit

to looking at this
under the scope.

Make her feel I'm taking
her complaint seriously.

Morris, it's schmootz, okay?
It's schmootz.

Spend your time on patients that
you could actually help, okay?

Hey, guys, guys,
okay, look.

I know my time off
left you shorthanded.

Hey, no worries.

Okay, I'm sensing...

Look, if there's anything
you want to ask,

anything you want
to get off your chest,

anything you want to say...
It's all good, really.

MARQUEZ:
Crushing chest pain. Need a doc.

Exam three's open.

Holy crap,
it's like I'm in a vise.

Vitals?

Pulse: 92, BP: 110/65.

Five of MS.
Let's get him on O2.

You forgot the 12 lead.

Yeah, I was
getting to that.

Aspirin, oxygen,
beta-blockers, morphine.

It's cookbook.

Somebody say morphine?

Call the cath lab.

Yeah. This isn't
our first MI.

Any word from surgery?

Trauma's still in
with the liver lac.

What about cardiothoracic?
Did you try them?

Yeah, they're doing a
triple-A that choppered
in from Mercy.

What, and that's
all we have in-house?

Big surgical conference
this week.

Skeleton crews
at all the hospitals in town.

Here's your tube.

Come on, Nimet.

Abby, your GI bleeder is
altered, and the crit fell to 9.

All right, two
units of O-neg,

and tell GI to scope him
him before he codes.
Okay.

Guy needs
central access.

Go ahead.

I mean, if you want.

We're okay here.

HALEH:
Sats are coming up.

KOVAC:
Hold compressions.

TAGGART:
Back in sinus, 72.

Is she going to be all right?

This tube is helping her
breathe right now,

but she's going to need surgery
on her airway.

Have we tried
head and neck service?

I'll give them a call.

The girl's mom
and brother are here.

Oh, Nimet...

( speaks foreign language )

I'm Dr. Kovac.

What's he doing here?

Hey, let's just be cool,
all right?

Get out!

Mahir, calm down!

Get the hell off of me!

Settle down, guys!

Settle down!
Guys, settle down! Hey!

How dare you come here?

You're not family.

Stay away from my sister!

Please, for Nimet's sake,
show some respect.

How's your
first day back going?

It's great. Well, good.

Really, really good.

My day pretty much sucks.
Oh, yeah?

I pretty much lost it
in a code this morning.

Isn't it a funny thing that,
one minute, your whole life,

everything is in order, and then
wham, this split-second event,

and the whole thing just starts
to spin around, you know?

Yeah, I know.

I know exactly what you're
talking about because...

People at work,
I mean, they see

this tiny sliver
of what you're about,

and then they just make it
all about that one thing.

I know. They jump to all
sorts of conclusions...

Right, right, 'cause they don't
know what I'm going through.

And they're making
all these assumptions,

but they're only seeing
what they want to see.

RIZA:
Why must men always
resort to violence

to settle their differences?

My son idolizes his sister.

But he's never liked
this boyfriend of hers.

Our surgical team is working

on another critical patient
right now,

but Nimet is next.

Trauma room.

Yeah, this is she.

Yeah, who's this?

Yo, where the hell
do you get off calling me here?

I'm working, idiot!

Uh, since when do we get
personal calls

transferred back
to the trauma rooms?

I'm sorry.
That might be my fault.

Everything okay?

Yeah, nothing winning
the lottery couldn't help.

Sorry about that.

I'm going to clean
your son's cuts now.

Thank you.

Don't worry, kuchuk hanem.

I won't leave

until we can walk
out together.

Her name Nimet,
it means "blessing."

That's lovely.

Her father called her Madame
Curie because when she was born,

she was looking at us
so intensely,

like she was studying
her parents.

We thought she might grow
up to be a scientist.

Is he coming in?

He died when Nimet was five.

He was a reporter
for the newspaper.

Kidnapped and shot
by the Turkish Hezbollah

while I was pregnant
with Mahir.

I had to leave.

Had to raise my children
in a country

where they wouldn't be killed
for speaking the truth.

I understand.

I only spoke a few words
of English when we arrived.

I had to work
two jobs.

I know how that is,

trying to adjust, to fit in.

It was worth it.

She thrived.

Earned a full
scholarship at UIC.

Journalism, like her father.

You've done well
by your children.

I've tried.

DUBENKO:
Neela.

"The Utility of
the Seatbelt Sign

in Predicting
Mediastinal Injury."

"Neela Rasgotra, M.D."

3:00 p.m.
in the Sunflower Room.

Sunflower Room--
sounds happy.

Holds 200 people.

There's a lot of interest
in your talk.

Lucian, hello!

Tim, hi, nice to see you.
How you doing?

Love to catch up,
but I've got to go mediate

the trauma panel.
Oh, yeah.

Looks like an interesting group
this year.
Very.

And wait.

Now, why aren't
you on it?

That's weird.

Too bad.

Timothy Weisner.

Remember when I said there's
always one ass in the audience

who's determined
to look smarter than you?

He's that guy.

You have his paper, right?

'Cause he's gonna
ask you about it.

Okay.

Yeah, not enough love
in the sandbox.

Needs to hear his own work
cited in other people's talks.

Relax. You'll be fine.

I played a tangerine

in the Christmas play
in primary school.

Lost my footing and
rolled off the stage.

I'm having flashbacks.

Just relax.

Read your slides,
don't go too fast, and...

well, memorize table three
of the Weisner paper,

and you'll do just fine.

Oh, I bought you this.

Take one of these.

It's a beta-blocker.

It's okay. I always
take one before I talk.

Takes the edge off
the catecholamines.

I told you, over-golding
is hazardous to your health.

Your skin's never
going to heal

if you don't give it
a chance to air out.

I did like you said.

I kept it off for a week.
Make it a month this time.

Hey, Ray, Neela called.
Said it was urgent.

Okay, another week of Keflex,
and give the bling a break.

I got to be me, man.

Yeah.

Hey, Neela wants you
to go to her locker

and find
the Weisner paper

in the February 2005 issue
of Trauma Annals

and fax it to her
at this number.

She said you'd know
the combination,

and you'd know
what it's about.

I do and I do.

And she said that
if you do this,

she'll watch any '70s
movie you want tonight,

even the extended version
of Dawn of the Dead.

And this came back
on your overdose.

You sure this is right?

I even had them
repeat it.

How you feeling,
Mr. Sadler?

About the same.

But I suppose I won't feel much
until most of the liver dies.

That's not gonna happen.

Your acetaminophen level
is almost undetectable.

Strange, I know
that's what I took.

Could there have been
anything else in the bottle?

No.

But that doesn't change
the course of action, right?

I mean, you still have
to keep me on a hold.

At least until
psychiatry sees you, yeah.

Yeah, that makes sense.

So what happened in there?

Nothing.

That wasn't nothing.

She shouldn't be
with someone like that.

He seems like
an okay enough guy to me.

He's a jerk.

He lives in Dorch.

It's the jock dorm.

Something bad happened there
last term.

What do you mean something bad?

A girl got gang-raped.

It was in the news.

They never figured out
who did it.

And you think
Frick was involved?

They all knew what was going on.

I'll be right back.

Where's the boyfriend?

Uh, staying away for now,
out of respect for the family.

Yeah, brother doesn't think
he's such a good guy.

Well, I'm sure the police are
investigating all possibilities.

The phone call before...

Ah, it's nothing.

Uh, surgery's still tied up?

Yeah.

Anything I can do?

No, I... I enrolled Alex
in this tutoring program

where they, you know,
help him with his homework

in the afternoons, and they
keep him out of trouble.

That sounds good.

Yeah.

Except for you have to pay
for the whole term up front.

So I maxed out my Visa
and now...

I'm a little late
on our rent.

Do you, do you need...

No, it's okay.

We're fine.

We're gonna be okay.

But thanks.

This thing has been transmitting
for 20 minutes.

Is this normal?

The machine is archaic.

It prints on rolls
instead of sheets,

and forget about confirming
if it's been received.

This is just
press and pray.

Yeah, right.

Okay, could you send this
from the department office?

It's important.
Something wrong
with your feet?

I'm not
your personal secretary.

Frank, please.

I have six patients
ready to dispo,

and I haven't presented
any of them yet.
Fine.

I'll have a turkey club
for lunch, thank you.

Thank you.

Hey, you need to present?

Ah, that's okay.
That's cool.

What do you mean?

I just heard you say
you needed to present.

Right, and I already
started with Kovac,

so I'll just
wait for him.

Okay. Okay.

X-Ray, I'm not feeling
the love, man.

What's the problem?

No problem.

No, no, seriously,
what's the deal?

What's going on?
I don't know
what you mean.

Yeah, you do.

I mean, you've been giving me
attitude all day, man.

It's getting a little old,
frankly, okay?

I mean, so what, I had
a messy situation with a girl.

And that's all it was, okay?

Can we leave it in the past?
Hey, hey, hey.

Your personal life, it's
your business, okay, man?

Oh, so you want to know
the whole story, huh?

Mm.

Okay, here it is, here it is.

I had the weekend off,
went a little crazy.

There was some weed.
There was some blow, okay?

Come on, man, you're a musician.

You know what it's like.

No, actually, I don't.

So, what, are you
in a Christian band?

Just forget it, okay?

No, no, I'm not gonna
let you forget it

'cause let me
tell you something.

I want you to know
that I never

showed up to work
high once, okay?

Not once, you
understand?

Want a medal for that?

Where do you get off being
so self-righteous, man?

I've seen you
stumble out of Ike's

plenty of times, okay?

So, what, it's cool to
be obliterated on EtOH,

but you change the chemical,
all of a sudden, I'm a scumbag?

You're right.

It's not fair.

Listen, let's me and you get
something straight, okay?

I've been evaluated by the
Impaired Physicians Committee.

And you know what?
I'm in the clear.

And whether you like it or
not, I'm back at County,

I'm your attending,

and you better start
showing me some respect.

Now take this history,
examine that patient,

and present to me in ten,
you got it?!

( sighs )

Well, he's definitely got some
some axis two stuff going on,

but he's not actively suicidal.

I'm sending him home.
You're kidding.

No, he's a negative
tox screen,

doesn't seem to have
any plan to it try again.

It's a la casa,
bye-bye.

Whoa, you're comfortable
discharging him?

No, not exactly,

but the psych ward is full
and I can't hold him.

I'll put
a formal consult
in the chart.

Excuse me?

You'll refer him for
outpatient counseling
at least.

Sure, but the next
available appointment

is in 14 weeks.

Excuse me, sir?

What can I do for you,
little lady?

We're looking for a doctor
named Archibald Morris.

And who is "we?"

KOVAC:
Okay, type and cross
the thalassemia kid,

and I want post-reduction films
on the tib/fib

before the ketamine
wears off.

You got it.

So. How's it going?

Oh, it's going great.

Going real great.

You know, I just want to
thank you for making the effort

and easing my re-entry.

Good to have
you back, Vic.

Glad to hear it, because
if I didn't know better,

I would have thought
you're trying to avoiding me.

I'm not avoiding you.

I've been bouncing all day

between patients
and administrative crap.

Budget committee, admission...

Yeah, yeah, yeah,
you're important.

I get it. I get it.

Look, sorry
we didn't roll out

the red carpet
for you today...

Nimet's tanking again.

Right.

Can't get the sat above 80,

and she's getting
really hard to bag.

Okay, suction.

Zone three stab wound
to the neck.

Systolic's
only 72.

Will someone
explain, please?

I can't ventilate
at all.

Hematoma's expanding.
It's dislodged the tube.

All right,
let's crike her.

No, no,
too dangerous.

Lesion is low,
if we cut into it,

she can bleed out.

Good point.
Good point.

All right,
let's go to Plan B.

Sam, call
the perfusion team.

What?

Heart rate's dropping
into the 50s.

What does that mean?

We're going to put in
a cardiopulmonary bypass.

You need an OR
and a surgeon for that,

and we don't have either.

We're going
to cannulate
down here

and we'll bypass ourselves.

You can't do that.

If we work quickly,
we can get her on the machine

before she suffers
permanent hypoxic damage.

Go get the resident.

I'll find Abby.

Tell me
what's happening!

The bleeding is blocking
her airway.

We can't get enough oxygen
into her blood.

Oh, God.

( speaking Turkish )

KOVAC:
We'll get her on
the heart-lung machine

so we can buy more time before
we can get into an OR, okay?

Whatever you think
is right.

Brady to 45,
lost the pulse!

Starting compressions.

Mahir, you should
wait outside.

Mom...
Go.

Nimet, Nimet...

You're a strong girl.
You're a brave girl.

Don't leave me.
Don't give up.

Okay, what's this about, kids?
I'm a doctor, very busy.

You're Archibald Morris?

Yeah.
What do you need?

You better have a seat.

( sighs )

Here's the deal:

we four live with
different parents,

but we all share
the same dad.

BOY:
We're not supposed
to be able

to find out the identity
of our father.

But the Donor
Sibling Registry

allows us
to find out

the identity of each other.

So, I got in contact with
all of them via e-mail,

and it actually turns out

that little Max here is
actually a computer genius.

What's up?

GIRL 2:
He hacked into
the system

at the sperm bank

and found
our father's name:

"Archibald Morris."

GIRL:
So... are you
donor 140

from the Chicago
Cryo Bank?

Huh?

Did you donate any sperm
between 1991 and 1996?

( scoffs ):
Did I ever.

Oh, my God.

I'm... I'm your daddy.

Mr. Sadler.

Being a sitter
for crazy people

seems like a really
boring job.

Well, guess what,
Barry?

You and the sitter
can both go home.

What?

You convinced
the psychiatrist

that it's safe
to discharge you.

No.
You're free to go.

Well, well...
what about these?

Mr. Sadler, you took what,
three, maybe four pills?

Two.

Two.

But-but a gesture
is a gesture.

I was suicidal
when I did it.

The psychiatrist
is convinced

you're not going
to try it again.

What if I'm homicidal?

You have to keep me here
if I'm homicidal,

if I want to kill people.

Barry...

what's going on?

The thing is...

I, uh...

I need to stay here.

I can't go home
this weekend.

Why not?

I just can't.

You're going to have to do
better than that.

I'm in love with
my best friend's girl.

It happens.
You'll get over it.

They're getting
married tomorrow.

I don't trust myself
not to...

To what?

Object.

Or worse.

Lock me up till
the wedding's over, please.

I'm begging you.

I'll talk to psych again.

See what I can do.

Barry.

Does she know?

Who, Helen?

Yeah.

Have you told her
how you feel?

God, no.

That would be crazy.

Still in PEA.

Resuming compressions.

It's okay, Nimet.

It's going to be
all right.

Got a flash.
Introducer.

Have you ever
done this before?

Nope.

All right,
give us some room.

Give us some room. Come on.

I'll be right here.

Just listen to my voice.

LOCKHART:
This seems a little
unconventional.

Okay, fine.
What's the alternative?

LOCKHART:
Somebody call
surgery again.

KOVAC:
They were still working in
an open chest five minutes ago.

Did I tell you
Mrs. Kalter's daughter

has 14 bridesmaids
in her wedding?

This is gonna work.
We'll oxygenate her blood
till surgery's ready.

It's gonna be awesome.

Yeah, if she
doesn't bleed out
from all the heparin.

Threading easily.
Nine yards of silk organza
for each dress.

Hook me up, Lockhart.

Does surgery even know
we're doing this?

( sighs ):
They're not available.

We can't wait.

Silk flowers
all around her neck.

You must get better

so you can help me
with the embroidery.

pH only 7.02.

Yeah, well, we got
nothing to lose.

KOVAC:
Okay, good flush.

MOTHER:
You are such

a good girl,
such a help to me.

SAM:
Sats hanging
in the 60s.

Come on. Come on. This is
taking too long. Come on.

O-silk.

Okay.

Unclamping venous.

CLEMENTE:
Unclamping arterial.

Ready.

Okay, mark the time.

Okay, pump is on.
Four liters per minute.

Okay, you can stop.

Color's better already.

CLEMENTE:
Full flow, baby.

Sweet! Ha-ha!

Sats coming up: 92.

Is it working?

Her oxygen level
is improving, yes.

Thank you. Thank you
for saving my daughter.

( sobbing )

RASGOTRA:
Up to 15% of all deaths

following motor vehicle
collisions are caused

by injury to the thoracic aorta.

I...

Uh...

We... set out to document
the incidence and...

utility of the seatbelt sign
in predicting...

( clears throat )

Is there anyone from
audiovisual support here?

( crashing and splattering )

PROTESTERS:
Unseen they suffer!
Unheard they cry!

In agony they linger!
Alone they die!

( chanting ):
Rats have rights!
Rats have rights!

RASGOTRA:
I would just
like to point out...

Rats have rights!

...that our study
didn't involve

any rats!

PROTESTERS ( chanting ):
Rats have rights!
Rats have rights!

Rats have rights!
Rats have rights!

Ray!
Meet my kids.

Your what?

Yeah, I needed some
extra cash in college,

donated to a sperm bank.

Best job I ever had,
by the way.
I'm Hana.

My eldest.

Stole her mom's car and drove
60 miles without a license

to get everybody here.

Michael is the regional Dance
Dance Revolution champion,

Melia is a professional
jump roper,

and my boy, Max,
is a computer whiz.

What's up?

It's nice to meet you all.

Yeah, I'm just
giving the tour.
Okay.

All right.
These are the trauma rooms.

Okay? This is where
Daddy saves lives.

Abby.

Come meet
my children.
Not now, Morris.

Okay, she hates kids.

How's she doing?

Stable for now.

Where'd
the family go?

I made them go get
something to eat.

It's going to be
a long night.
Yeah.

Uh, okay, I kind of
snapped this morning.

It's okay.
It's hormones.

No, I hate that excuse.
I just...

I just want to say that

I know you're trying
to help, and I apologize.

Apology accepted.

It's just...

( sighs )

strange being pregnant.

It's so weird having such
a personal thing be so public.

Well, for me,
being pregnant

was something everyone
was ashamed of.

My parents didn't want me
to leave the house.

I think it's nice
that everybody

wants to share
in this with you.

Luka!

Excuse me.
Excuse me.

MOTHER:
Please, tell us
what's happening.

Seventh unit, platelets,
and FFP going up.

Wide open at the femoral.

Somebody, explain.
What has gone wrong?

Heparin's off,
right?

The heparin's off,
right?!
It's off!

Okay, one gram
of protamine.

MOTHER:
Please, you have
to help her!

Can't get her mean
above 30.

She's losing blood faster
than we can put it in.

In order to put Nimet
on this machine,

we had to give her
a medicine

that thins her blood.

A possible side effect of
that is internal bleeding.

We think that might be
what's happening right now.

If you stop the medicine,
she'll be okay?

That's what
we're hoping, yes.

SAM:
Whoa.

Acidotic, 6.8.

CLEMENTE:
All right,
one amp of bicarb

and one gram calcium.

Let's go. Let's go.
Go! Go! Go!

Pupils are fixed
and dilated.

No corneal,
no gag.

Why? There's no
head trauma,

and there's no reason
for spontaneous bleed.

Heparin-induced thrombocytopenia

can cause acute
intracranial
hemorrhage.

She's been on heparin
for less than an hour, okay?

It doesn't make sense.
Does it make sense to you?

Check the oxygenator!

Get another ACT!

SAM:
Volume's too low.
No flow.

( brother praying in Arabic )

She's lost some very basic
neurologic reflexes.

( continues praying )
What does that mean?

We think that she's bled
into her brain.

Stop, Mahir. I can't
hear the doctors!

You can fix this?

No, we can't.

( resumes praying )

CLEMENTE:
Her brain is gone,

and as soon as we turn
that machine off,

her body's going
to die, too.

( praying forcefully )
Come back!

Nimet is strong!
She can fight!

Stop, Mahir!
Stop right now!

This never would have happened
if she stayed home!

You should have
made her stay!
Enough!

Please! There must be

another machine
or something!
I'm sorry.

I'm sorry.

I'll give my own blood...

It was a good
idea, Vic.

Yeah. Yeah,
if it had worked, right?

You gave her the only
chance she ever had.

Yeah. Yeah.

DUBENKO:
I'm sorry
about the beta-blocker.

Ten milligrams
was probably a bit much.

The fainting part just
makes for a better story.

You know, I once ate
a hash brownie

before giving a big talk
in Amsterdam.

I mistakenly thought

that it would take an hour
to kick in.

Suddenly,
I was up on a stage,

completely out of my head,

lecturing to a roomful
of biochemists

in a faux French accent.

Okay.

I feel better.

You know, today was
a complete disaster,

but at least I didn't
bring it on myself.

No, no, no, no.

No, you were the victim

of a truly astounding confluence
of technical problems,

miscalculated pharmaceuticals
and rat activists.

As crazy as that sounds,

that's totally in sync
with my life at the moment.

Your life sounds
pretty interesting.

Oh, no.

I know I may appear to be this
kind of wild, spontaneous girl

who plans a wedding in a day
and sits here getting drunk

with her attending
in a hotel bar,

but I'm not.

I'm boring.

Really boring.

All I want to do is
hang out at home
with my roommate.

Your roommate?
Dr. Barnett?

Yeah. Ray.

Well, that's nice.

It's good the two of you
get along so well.

Yeah, we do.

Maybe that's
what I need.

I was thinking
of getting a dog,

but a roommate's probably
easier to house-train.

You ready
for another round?

Ah, no. No, thank you.

I, uh...

I should get going.

It was worth a try.

Yeah.

I need to go over
organ donation

and explain about
the coroner.

I don't want to rush her.

No, of course not.

This might take a while.

Maybe you should go home.
Don't wait for me.

Um...

I've been thinking, and if it's
that important to your family,

I'm fine with the baptism.

A little holy water
never hurt anybody, right?

Well, Archie, this was fun.

I'm glad we came.

Wait.

You're not leaving, are you?

I was gonna take you all out
for burgers and shakes.

Sorry, can't. I've got to get
everyone home before 8:00

or our parents
will start to worry.

Well...

I mean, what's next?

I wanna take you
guys to ball games,

Millennium Park, movies
your parents won't let you see.

There's just so much.

Perhaps.

We're all pretty busy,
and I don't know when

I'll be able to steal
my mom's car again, so...

Somebody hid the digital
on the code cart.

Ooh, great, Frank.
Thank you.

Come here, I want
to take a picture.

Really, we gotta run.
Please. Two seconds.
Come on.

Please.

Okay, everyone say, "freak."

Samantha.

Hey.

I'm glad you called.

Where's all your stuff?

Oh, I thought we were going
to conduct an interview first.

I thought we already did.

( sizzling )

( door opening )

Hey, how was it?

Endless.

Well, I'm making us
stir-fry.

Beer or wine?
Neither.

I'm exhausted
and already drunk.

All right, here,

taste this.

Freshwater chestnut.

Crazy, huh?

Thought they grew
in cans.

All right, well,
I rented The Omen,

and I was too scared
to watch it alone.

Ray...

It's better than
The Exorcist, I promise.

It's a classic.

That's what you said
about The Exorcist.

True, but...
Ray.

I know, you're tired.
Ray...

Okay, look, I know
you don't like devil movies.

It's the last one, I promise.

I think...

I should move out.

Why?

I think we both know why.

( speaking softly )

Where's Mahir?

I don't now.
I'm afraid for him.

He just needs some time.

I'm... I'm sorry
to bother you with this,

but, uh, you need to sign
for her things.

This is the hardest thing

for any parent
to experience.

How do you protect them
from all the evil in the world?

You can't.
( sobbing )

No matter what
you do, you can't.

Mahir was beaten up at school
after 9/11 for being Muslim.

They called him a terrorist.

Ever since then he became
very strict about his prayers.

He cut himself off
from everything

except his fundamentalist
friends.

He wanted the same thing
for his sister.

There's a park down the street
where we live.

I close my eyes and they're just
little children on the swings.

( sobbing )
Oh, God.

I'm so sorry.
I'm so sorry.

It's all right.
It's all right.

I brought them to this country
to find justice and freedom.

But I lose two children today.

Two children.

( sobbing ):
Oh, God.

Mahir... Mahir
will be all right.

I can't pretend that I don't
know what I know in my heart.

He loved his sister,

but he thought
she was disgracing the family,

disgracing herself.

Oh, God.

( sobbing ):
Doctor,

Doctor, Doctor.

Doctor, tell the police
to search my house first.

They should look in Mahir's room
for the knife.

Oh, God.

( speaking Turkish )

( sobbing )

This was an honor killing?

Yes. Yes.

That's what they call it.

But there is no honor here.

( speaks softly )

( sobbing )

Hey, Morris, what the hell
you still doing here, man?

Downloading a picture of my kids
from the ER camera.

Really photogenic,
aren't they, huh?

I'm going to use this one
for my Christmas card.

I hate Christmas
cards, man.

Hey, you want to go grab
some dinner together?

Uh, no, my oldest boy, Michael,
DJs an on-line radio show.

I want to check it out
tonight.

Hey, why don't we listen
to it right here?

No, I can't 'cause after that,
I gotta brush up on my trig

so I can help Melia
with her homework.

She's ten years old, she's
smarter at math than I am, huh?

Family really keeps
you busy, huh?

Yeah, but it's worth it,
though, right?

So, you, uh, heading home?

I heard your apartment
got pretty messed up.

No, it's fixed.

I mean, that's finally what it
took the landlord to paint it.

Okay then. Cool.

Welcome back, Vic.

You have a good night.

You, too, man.