ER (1994–2009): Season 12, Episode 21 - The Gallant Hero & the Tragic Victor - full transcript
Pratt struggles to get a straight story when two abused boys come into the ER with their father. Two U.S. Army officers enter the ER.
Previously on ER:
PRATT:
I never wanted to be
around this type
of suffering.
I mean who would?
I'm glad I came here.
Glad you came, too.
I've been evaluated
by the Impaired Physicians'
Committee, and you know what?
I'm in the clear.
You better start
showing me some respect.
Getting any sleep?
Bobby, I'm not doing this.
What time you going home
tonight?
I haven't been getting
any sleep lately.
And the thing is
that I've been really,
really needing some.
BARNETT:
I wish I didn't feel
how I feel.
You're the best friend
I've ever had.
Neela, I am
a soldier, remember?
And you're also a husband,
remember that?
( gunfire )
( gunfire )
( yelling )
One of the
drivers got hit!
( gunfire stops )
Corporal Milton,
can you hear me?!
Okay, you're
gonna be okay!
I want you
to hold pressure here.
I just called the CASH.
They're sending a chopper.
That's not
gonna work!
( gunfire )
How far are we from
the aid station?!
Eagle is only about four
kilometers due north!
Okay! Okay!
My count, we'll lift
him up onto the truck!
I want you to
keep pressure
on his neck.
Shouldn't we wait
for the chopper?
He'll bleed out before
they get here! Let's go!
One, two, three!
HODGKINS:
I don't even think
he's breathing.
Just keep holding pressure.
You're doing good.
Pupils are fixed
and dilated, sir.
We can stop.
Thanks for trying, sir.
He just got engaged.
You got a girl
back home, Captain?
Me? Yeah.
I'm married.
My wife Neela
is a doc...
( woman speaking Japanese )
( car alarm sounding )
( clattering )
( footsteps )
( creaking )
Mothers often eat
their own young in the wild,
and we just think
it's part of nature, right?
But when women kill
their children,
it's a crime and we
think they're crazy.
What?
Well, I mean, it just
makes you wonder, right?
Are the lions crazy, too,
or are women like Susan Smith
and Andrea Yates just acting
upon some primitive impulse
that's deep within our
genetic maternal makeup?
Am I interrupting something?
Just some girl talk.
MORALES:
Dennis Young, 34,
assault victim.
Blunt trauma
to the head and face.
LOCKHART:
He mugged?
No, it looked like a
home invasion thing.
They tuned
him up good.
KOVAC:
What's your name, sir?
Uh...
MORALES:
Airway's okay, decent vitals,
moves all extremities.
Pupils are five millimeters
and equal.
MORALES:
There were two kids
in the house with him.
17's bringing them in.
They got worked over, too.
One looks real bad.
Okay, Abby, Trauma One.
Head, facial and c-spine CT
as soon as you can.
And send Sam out here to help,
if you see her.
Okay.
BARNETT:
Get out of here.
I swear. She invited
me in for a drink.
Door wasn't even closed, she
was tearing my clothes off.
Yeah, right.
To quote my man Rick James,
the girl is a super freak.
* Super freak, she's
super freaky, yow! *
She had sex toys I've
never even seen before.
They must have been
German or something.
One took two
hands to operate.
Morris...
Check it out.
Oh, yeah. I
tapped that.
What exactly
am I looking at?
That's Albright.
Where?
Right there.
I've seen more convincing
photos of bigfoot.
But, but it was dark.
I couldn't use the flash.
HOLLIS:
Any chance he's gonna
be able to talk to us?
I don't think so.
Enlighten me, ladies.
Looks like we've got an open
skull and facial fractures.
HOLLIS:
We got nothing to go on.
Nobody saw anything.
MORRIS:
Glasgow Coma Scale?
LOCKHART:
Spontaneous eye opening.
( groaning )
Hey, what's he trying to say?
He's altered.
I don't think he knows
what he's saying.
Withdraws from pain.
For a grand total of...
12.
And we incubate at...
GCS of nine.
Excellent.
Any blood
in the belly, Abby?
We were focusing on
the primary survey.
If I wanted excuses, Morris,
I'd ask you directly.
Give me the sonosite.
ALBRIGHT:
Any idea why CT scan
on your trampoline guy,
Margolis, never got
to the OR?
I'll have a tech
run them up.
Dubenko wants you
to personally bring them up.
Hang a gram
of vancomycin.
Is this about
the oral contrast?
I have no idea.
You know, oral contrast
increases the risk
of anesthesia.
If you want
my professional opinion,
I'd find those CT results,
and haul my
ass up there.
MORRIS:
After we stabilize
the patient.
No. Now.
LOCKHART:
Neela, we got
this, okay?
Belly's clear.
Call me after the scan, Moe.
And have Neurosurg
and Head and Neck take a look.
Did she just call you Moe?
It's a nickname...
for Morris.
Or homo.
Hey, don't
worry, okay?
That little vixen's
getting punished tonight.
Oh, yeah.
She's in store
for a little...
* Mo-Mo-Morris
* How do you like it,
how do you like it *
* Oh, yeah, Morris...
Hey, stranger.
Welcome back,
Dr. Pratt.
Thanks.
Glad to see
you survived.
How was it?
Well, hot, sweaty,
fly-infested, you know.
But it was a little
overwhelming to be honest.
Save a lot of lives?
I tried.
PICKMAN:
Three-year-old Eddie.
Good pulses.
BP: 100/50.
Decided to stop breathing
as we pulled in.
Can you open your eyes?
Eddie?
PRATT:
He's posturing.
Little guy was awake
on the scene, but now this is
all we can get out of him.
Okay, Sam,
you're with me.
He's bradying down.
Probable head bleed.
30 migs of mannitol.
Call CT and let's get
neurosurg down here.
BARDELLI:
This is Sean, ten years old,
blunt trauma face and chest.
Tachy at 135. BP's good.
100% on room air.
PRATT:
How you doing, Sean?
I'm Dr. Pratt.
I want to stay with Eddie.
He's scared
when I'm not with him.
We'll have you in the room
right next to him.
Come on. Let's go.
Damn it. The IV blew.
Tube.
TAGGART:
Who did this?
( Clemente groans )
Must have been the same guys
who busted up the pops.
Looks like the work
of meth heads.
What's this kid's story?
Three-year-old,
hypertensive and bradycardic.
Looks like traumatic
head injury.
Okay, I'm in.
Bag him at a rate of 40.
Pupils dilated,
left greater than right.
Step-offs? Hematomas?
Could be head trauma.
All right.
Retinal hemorrhage.
Definitely head trauma.
Call Neurosurg
and get mannitol on board.
Already done that, Vic.
Pulse hanging
in the 60s.
I still don't have a line.
Okay, throw me an IO needle.
You don't want
to do that, trust me.
Oh, yeah?
I do. Betadine.
The IO drill's
the greatest, man.
Wait till you see this.
We don't have
the pedes model.
Yeah, we do; we got
it in last week.
I'm gonna show you
how to drive this baby.
( drill whirring )
Vic, let me do it.
No, I got it.
Come on, man.
I got it.
I got it.
I got it. Hey, Vic!
Come on, okay. I got it.
Okay, I'll talk you through it.
Tibial tuberosity,
one-finger breadth medial,
one-finger breadth medial.
That's what it is.
One-finger breadth medial--
listening to me?
TAGGART:
He's seizing.
KOVAC:
Two of Ativan.
I can't; I don't have access.
Hold on. Hold on.
CLEMENTE:
There you go. That's it.
Okay, now you do.
Nice job. Get a head CT.
Okay, what's
wrong with you?
Me? I'm trying to
help you. That's all.
You don't listen
to a word anybody says.
You're all over
the place.
Okay, I'm sorry.
I was... I just
didn't get a lot
of sleep last night, okay?
Seizing stopped.
150 of Dilantin and pack up
for the scanner.
Outside.
What?
Now!
( scoffs )
What?
What are you on?
I'm not on anything.
I just told you, all I needed
was a cup of coffee. That's all.
What? What?
Do you want a drug test?
You want a drug test right here,
right now? Go ahead.
Grab a cup, baby.
Come on. Come on, baby.
Grab a cup.
Okay, okay, look.
Why don't you take
20 minutes, and get
yourself together? Huh?
What? Because I repeated
an order, man?
Come on, please.
What are you? My moms?
Luka!
Frank, not now.
Look, you're
an attending.
I need you to
be on the ball.
Vic, I'm serious.
Yeah, I'm serious, too.
You're seriously starting
to piss me off. Okay?
'Cause if you don't want
to work with me,
that's fine, man.
I don't need you.
Vic... Vic.
FRANK:
Dr. Kovac.
What, Frank?
These gentlemen are looking
for Dr. Rasgotra.
One of them is
a military casualty officer.
Sats are falling: 89.
BARNETT:
Can't see the cords.
There's too much blood.
We need a surgical airway.
Crike tray.
Whoa, whoa, whoa,
slow your roll.
Open up a central line kit.
Abby, grab a MacGill.
We're gonna do
a retrograde intubation.
I've never seen that work.
That's because you've never seen
me do it, junior,
but today's your lucky day.
We're going to do
a Seldinger technique.
We're gonna wire up
through the cricothyroid.
I think it'd be faster
just to crike him.
No, 'cause you're gonna
get all kinds
of infection and bleeding,
not to mention
subglottic stenosis
and a big,
ugly-ass scar.
BARNETT:
Sats down to 84.
You know, hypoxia's not
so good for you, either.
Where's Neela?
She got called
up to Surgery.
Okay, we'll
aspirate air
and then,
we'll pass the wire through.
There are soldiers
looking for her,
and one of them is a chaplain.
You need to find her.
Yeah, I'm trying to page her.
Everything okay in here, Abby?
Yeah, I think so.
You know,
we'd be doing a lot better
if you'd stop talking
to the residents
when I'm trying to show them
how to save
this guy's life.
Listen, Vic...
Look, I'm all over this, Kovac.
I'm serious.
Go find Neela, please.
Okay, Abby, look
for the wire
in the oropharynx.
I can't see it.
You will. You will.
Just come on,
you son of a bitch.
( sniffing )
Damn it!
Come on.
Got it.
Hey, can you get this
CT to Dr. Dubenko?
I think he wants
to see you.
Yeah, well, I've just been
paged back to the ER,
so if you can just make sure
that he gets them...
He was very specific
about speaking with you
in person.
BARNETT:
Sat is 78, bradying down to 60.
I still can't see your wire.
Open up a crike tray.
No, no, we don't need
no damn crike tray.
Vic!
Stop staring at me.
Just focus on your patient.
Ray, give her more suction.
It's got to be there.
Wait, wait, wait!
I got it, I got it, I got it.
All right, keep going,
come on.
Stop, stop, stop, stop!
It'll guide you
right through the cords.
Okay, that's enough, Chuny.
Thank you..
Hard to pass.
Wiggle it, mamí.
Side-to-side,
wiggle it, wiggle it.
Okay, I think I'm in.
All right, wire out
and bag him.
Call for a portable chest.
All right, we all good here?
Yeah,
we're doing great.
Abby?
Why you asking her?
I mean, I just told you
we're doing good, right?
I'm going to go find Neela.
Can you believe this?
Ridiculous, huh?
DUBENKO:
What percentage
of liver injuries
have stopped bleeding
by the time
surgical exploration
is performed?
About half?
How about 86%?
It's okay. You have plenty
of time to learn all that
in the next five years.
What?
Well, it seems like
all my complaining
has finally paid off.
We've been funded
for an additional slot
in the surgical
residency.
It's yours
for the asking.
Are you serious?
Well, if you don't
want it...
No, I want it.
I want it!
I'm sorry. It's the ER.
Ignore it.
You're a surgeon.
We never answer
on the first page.
I'm kidding. Go!
Come find me
after your shift.
We'll grab beer at Ike's
to celebrate.
Yeah, that
would be great,
but the drinks are on me.
WOMAN:
So...
I guess congratulations
are in order.
Uh, yes, thank you.
Dr. Dubenko just told me.
I'm so excited.
I can't wait to get started.
Yeah, it's going
to be fun.
I'm really looking forward
to being your attending.
Right. Wonderful.
Neela, uh,
Luka's looking for you.
Yeah, I got his page.
Hey, guess what?
I got surgical residency.
Wow, that's great.
Uh, you should really try
to find Luka.
Yeah, I will.
Neela, hold up.
I need to talk to you.
I got it.
What?
Surgical residency.
That's good for you.
That's really great.
Well, try to contain
your enthusiasm.
Listen, I need
to tell you something.
Yeah, Luka's paging me.
I know,
because it's important.
Well, so is my news,
but nobody seems to care.
Neela, listen...
It's not like I'm leaving
the hospital or anything.
I'm going into surgery.
You'd think you people
would like having me up there.
Abby, have you seen Luka?
There are two men here
to see you... from the Army.
The Army?
BARNETT:
We, um, tried
to find you.
Dr. Rasgotra?
Yes.
I'm Captain Evans.
This is Father Marris.
Is there someplace more
private we can talk?
Can you tell me
why you're here, please?
I really think it
would be better...
Tell me.
Ma'am, the Secretary
of the Army
would like to express
his deepest regret...
Wait. There must be
some mistake.
that your husband,
Captain Michael Gallant,
was killed in action
No, I'm sorry.
You've got it mixed up.
in Iraq on April 29th.
Michael is a doctor.
He's not a soldier soldier.
He was killed when his truck
was hit by a roadside bomb.
Again, the Secretary extends
his deepest sympathies...
I'm sorry.
I'm working.
I can't do this right now.
Please tell Dr. Rasgotra
that we're here to help
in any way possible.
Um, have his parents
been notified?
No, but that's something
we can do if she would like.
What about Michael's, uh,
her husband's remains?
It will take
seven to ten days
for the deceased to
get here from Iraq.
Arrangements will be made
to fly him here to Chicago
or wherever she decides.
Okay, I'll pass that on.
All the pertinent information
is in the packet.
If she has any questions,
she can also contact
myself or Father Marris.
Okay, thank you.
Thank you.
Hey, was it friendly fire?
Sir?
I mean, how do we really know
what happened over there, huh?
I mean, doesn't this whole war
smell to you
a little bit
of, uh, right-wing cronyism,
with the oil and the
multi-billion-dollar
rebuilding contracts? Huh?
Hey, Vic...
You know what the real
psychological warfare is,
my friend?
Vic...
You coming in here,
feeding us a bunch of lies
to placate the masses, okay?
Vic, shut up!
Tell me about the deficit,
tell me about why do we
have to go over there
and kill everybody
for democracy!
Vic, Vic.
Is that what we're doing?
I need help
with Mr. Engle's blood gas.
Vic.
Excuse me, come on.
LOCKHART:
Sorry.
BARNETT:
I'm gonna go find Neela,
make sure she goes home.
Okay, he's doing better,
so why don't we
lower the FI02
to 70 and...
grab, uh...
grab an ABG in 20, okay?
You want me to look
at your nose?
No, I'm fine. I'm fine.
Thank you.
Look, I just want
to say I'm sorry, okay?
I'm sorry about what
happened over there,
but those guys coming in
here like storm troopers,
and just...
( coughs )
It's like I'm a stigmata.
Why don't you go crash
in the lounge.
I'm fine. I'm fine.
I'm really fine.
You know there's no rest
for the wicked.
You, Abby, should know that.
That intubation was cool,
though, wasn't it?
Got to put that in your bag
of tricks, I'm telling you.
( clears throat )
( sniffles )
Look, I got to take care
of this.
( clearing throat )
( sighs )
Hey.
Hey.
Did you find Neela?
Ray's looking for her.
You know,
I came here today
thinking about how nice it is
to be back, you know?
Figured I'd come back
and save a few lives,
maybe even bring somebody back
from the dead, you know?
I damn sure didn't expect
to lose a friend.
Yo, doc.
Ten-year-old won't say anything,
and we got nothing.
Did you find mom?
Yeah, she's been in
rehab since November.
Dad's out of it,
and baby's in a coma.
This kid's all we got.
Can you try
talking to him?
Yeah.
How are we
doing in here?
Oh, kind of quiet.
Hey, man, you want to see
something really, really, cool?
It's your skeleton.
And, uh...
If you look right here,
this is where you broke
your collarbone.
Uh, looks like old
rib fractures.
Do you remember hurting
your ribs?
No?
All right, look, I know
you're worried about your dad
and your little brother,
but we got the best doctors
helping them out.
So now, we need you
to help them, too,
by telling us
what happened.
You do want
to help Eddie, right?
Yeah?
Then you need
to talk to me.
Eddie wanted to play
with my Bionicle guy,
and I took it
away from him.
And he started crying,
and he wouldn't stop,
s-so my dad started
shaking him.
Did your dad hit you?
He punched me,
then threw me into a chair.
And what about your brother?
Eddie kept crying...
and he kept shaking him...
telling him to shut up,
using the "F" word.
And then he grabbed Eddie's head
and slammed it against the wall.
Eddie was crying so hard
that he couldn't breathe.
So I got my baseball bat
and hit him.
You hit your dad?
I wanted him
to leave Eddie alone.
How many times did you hit him?
Until he stopped.
I was just talking
to him four days ago.
He was complaining
about the food,
and I was complaining about
how cold Abby's apartment is.
I honestly
don't even remember
what else we were
talking about.
I'm so sorry,
Neela, I...
We all are.
You know, I was probably
ordering a latte
or watching Celebrity Pokerwhen
he was being blown up by a
bomb.
Just like that, he's gone.
Listen, if you need
anything, um...
or you want me
to do anything...
No, Ray, I don't.
I don't need you to do anything.
I just...
I need to go back to work.
No, no, Neela, look.
You need to go home
and take care of things.
You need to take care
of yourself.
( sobbing ):
You know what?
I don't have a home.
I don't have a husband.
I don't have anything.
All I have is
this stupid hospital.
Just... just stay the hell
away from me.
You hiding?
Is it that obvious?
I can't believe
Michael's dead.
You want to go home?
I'll cover for you.
No. What about Neela?
Well, we can
take care of things.
Who, you and Clemente?
Weaver knew he had problems
before she hired him.
Now we're paying for it.
Well, Luka, it's your ER.
Let's go away someplace.
Where it's warm and where
nobody knows who we are.
Like a vacation?
No, not like a vacation,
a vacation, a real one.
I mean, even if it's just
for a couple of days
before the baby's born.
Can hang out by a pool...
or the ocean.
And I can dig a hole in
the sand for your big belly.
What is that, some sort
of Croatian mating ritual?
Mm-hmm.
What am I, a sea turtle?
Neela.
Neela, hey.
Hey, why don't you
let me take you home?
I have patients
to pass on.
We can take care
of that, Neela.
You need to go home.
Why is everyone so damn
insistent that I go home?
I have things to do.
I haven't even told
Michael's parents yet.
Well, the guys
from the army said
they could
take care of that.
No. I have to do it.
Well,
don't you think
it would be better to do it
from my apartment?
Get some privacy?
You know what, doubtless
they're both at work
and I want to tell them
at the same time
when they're together
tonight.
Neela, go home. Please.
Abby, Dennis Young's
crashing again.
All right, I'll check in
on you later, okay?
Hey, Neela,
I just want to...
Don't.
Um, the men from the army
left a package for you.
Frank has it at the desk.
Neela?
You know what?
If it makes everyone else
happy, I'll go home.
What's going on?
CLEMENTE:
He's bradying down.
Push the damn atropine.
Hey, Abby, you sure
he didn't have an epidural?
Nope, just diffuse
brain edema.
All right,
100 grams of mannitol.
We gave him mannitol.
Bilaterally
blown pupils.
Right. Check the ET tube.
Maybe it came out.
LOCKHART:
No, it's fine.
TAGGART:
GCS 3.
His brain stem is failing,
there's not... a whole lot
we could do about that.
Heart rate's down to 30.
I lost the pulse.
It's PEA.
An amp of epi.
Two angiocaths.
Maybe it's
a tension pneumo.
LOCKHART:
He's satting
on 100%.
Did he get dilantin?
15 per kilo.
All right, champ,
start compressions.
( moves stool )
( clears throat )
Okay, Sam, you call
those compressions?
Come on.
New AHA guidelines.
December issue,
Circulation.
100 per minute,
deeper and faster.
That's how you're going
to save a life, okay?
Okay, I need
to perfuse his brain,
and I need hypertonic saline
at 23.4%.
Well, we don't have that.
We don't have that?
We don't have that?
Hypertonic saline
reduces ICP
when mannitol fails.
That paper last fall
in the, uh... Lancet...
or was it the
New England Journal?
It was Neurosurgery.
That's right.
The author was, uh...
Weston or Williams
or something.
It was a "W." It was...
Wares! That's it. That's it.
Wares.
Neurosurgery,
2004, October.
Hold compressions.
( flatline alarm beeping )
Asystole.
Okay, let's just
call it, Vic.
Call it?
Lockhart, I never figured you
for a quitter.
All right.
He needs Burr holes.
We got to reduce the ICP.
He has an open skull fracture.
Burr holes are not
going to help.
Vic!
( sighs )
Okay, all right.
He should have had
ICP monitor,
and everybody knows it.
He should have had
a damn ICP monitor.
Time of death,
14:20.
Come on. We can do
better than this.
( metal crashing )
We got to do a lot
better than this!
A lot better than that.
Vic, I need
to talk to you.
Yeah, and I need
a cup of coffee,
and not the crap
they serve here in...
or the effluence they try
to pass at the Roach Coach.
I need a real
cup of coffee.
Vic? Hey.
Listen...
You ever been
to this Italian place,
Marrinaccio's,
on Randolph?
Oh, my God, the best coffee
this side of Milan.
They make their
own biscottis.
Man, you walk through
that door, smells...
You know, I'm going
to treat everybody.
Everybody.
I'm going to treat everybody
to espresso and biscotti, okay?
Luka?
48-year-old
complaining of chest pain.
Uh... Exam Three.
Is he on
any medication?
Lipitor and aspirin.
Should I go
get Clemente?
No, uh...
let him go.
Just pick me up as soon
as he comes back.
First day labs, 12 lead,
lopressor and nitro.
Sir, don't worry. We'll
take good care of you.
PRATT:
How many home visits
did DCFS make?
JANE:
One, following...
One!
Following an
accidental scalding
I'll be right in.
several years ago.
So I guess his little brother
accidentally
got his head slammed
up against a wall
today, huh?
Hey.
What's going on?
I got a kid
with a busted collarbone.
He's got signs of old rib
and humerus fractures.
And he's the lucky one!
His little brother's in the room
next to him in a coma.
Did you call
Social Services?
Uh, yeah, they're coming.
We got CTs, MRIs,
PET Scans, Dopplers,
4-D ultrasounds...
but we still can't save
one kid from getting
his brains beaten out.
That's right.
He had to kill his old man
because there was nobody else
there to help him.
I guess that would be too much
to ask, wouldn't it?
I mean... because
it's much better to have...
We spend, what is it now?
$6 billion a month in a war
all the way across the world?
To kill off a few more
of the other kids
who actually
get to make it
to their teens?
Did you tell the police?
So they could arrest him?
Yeah, because that's one thing
we do well in this country,
isn't it?
We got prison down
to a science.
Prison and war.
He and Dr. Gallant
were, um... friends.
God, this coffee's good.
Man, the Italians know
what the hell they're doing.
The French... French press,
anyhow, what the hell is that?
Forget about it.
But I know.
Oh, yeah?
You a killer.
No, no, I'm not a killer.
Jerry Lee Lewis
is a killer,
and you're the mayor
of Munchkin City, pal, okay?
You kill them
in the hospital.
You got blood on you.
Ah, damn,
my nice new shirt.
Right through
the trauma gown.
Ah, man!
I know what you do.
You cut them up
into little pieces...
Okay, pal.
You got to step off, okay?
and feed the surgical
waste to the dogs!
Just step off, please.
You've got to stop
the slaughter.
You know how I got this?
You know how I got this?
Saving someone's life, okay?
'Cause that's what I do: I save
pieces of crap like you, okay?
You crazy...
( tires screeching )
Hey, watch where
you're going, man!
Hey, what are you
doing, man?!
I'm walking here!
You trying to...
Watch where
you going, man!
Hey!
Watch where
the hell you going!
I'm a pedestrian.
I have the right of way!
You're not
even looking!
Listen, hey, you want me
to kick your ass? Huh?
Oh, now you're
gonna kick my ass?
Yeah.
Now you're gonna get
violent on me, right?
Yeah.
You're gonna kick my ass.
Come on, come on, come on.
Kick my ass.
Kick my ass up here, huh?!
Hey!
Try and kick my ass up here!
Hey! What the hell
you doing?!
You gonna go violent on me,
go ahead!
Get off there!
What are you doing?!
Hey, come on! Hey!
Hey! Hey! Hey!
What, are you psycho?!
Psycho?!
Yeah, psycho!
Psycho-- you don't know
about psychosis!
Man, I'm
the freaking doctor!
I'll show you psychosis?
Oh! Oh!
Oh! Oh, God...
That's psychosis, okay!
Hey, come on!
What? Are you on drugs?!
Yeah, I'm high.
I'm wasted.
I'm flipping...
You know, you want
to dip my urine?
Is that what
you want to do?
You want to dip
my urine? Go ahead.
Go ahead.
Oh!
Oh!
Ah!
Yeah, watch out, huh?
I'm gonna get you
all over the place.
Hi, Neela, it's Abby, um...
Uh, I was thinking
about stopping by tonight
on my way to Luka's, and we're
going to get some takeout.
So if there's anything special
you want to eat,
or if you need anything,
just give me a call.
You talked to her?
Tried.
I think she just
wants to be alone.
She's going to have
a lot of time alone.
It's probably best if she was
around people right now.
Yeah, well,
like I said,
I tried,
didn't seem to work.
Whoa. Abby.
Vic?
Sam. Sam.
I got jumped.
I got jumped.
I was going for a cup of coffee
and they ambushed me.
41-year-old male,
altered mental status...
I'm not altered.
You're altered, okay?
There's just no connection
with you.
No... on a human level.
Look, he was wandering
around in traffic--
combative,
uncooperative.
You know why
I'm uncooperative?
Because you're
tying me down.
That's why, man.
What is this, fascist Germany?
1984?
What are we living in?
TAGGART:
Take it easy, Vic.
Why is he in handcuffs?
He assaulted
several motorists.
You know what it is?
It's xenophobia.
That's what it is.
They keep us living in fear.
That's how they do it.
What about
Trauma One?
Full.
It's not a H5 in One.
Exam Two?
Take him
to Exam Two, yeah.
Pulse ox 99
on two liters.
Pulse ox 99?
Ha!
I'm room air,
you mouth breather.
Abby, get them away
from me.
He doesn't know
what the hell he's doing.
Dextrostick 102.
Sam. Sam, tell them
I'm an attending.
Tell them what a colossal
mistake they've made.
Yeah, listen, looks like
you cut your leg, Vic.
Yeah, I did,
but it's superficial.
I can feel the platelets
are already going
to take care of it.
I feel them. I gonna fix that
with a get well sticker.
Well, let's check it out
anyway.
Yeah, come on.
It'll only take a minute.
All right, all right,
okay, okay.
I get it.
It's-It's funny, guys.
The joke's on me.
I get it.
Everybody's laughing?
Okay, now get it off of me.
Okay? Come on.
Get it off me.
Take it off me!
Take it off me!
LOCKHART:
Five of Haldol,
IV push.
Five of Haldol,
IV push.
Hey, hey, hey!
Get it off me!
Where's...?
( panting )
Abby, you can't give me Haldol.
You can't give me Haldol, Abby.
I'm not crazy,
you understand?
It's okay. It's okay.
X-ray, come here, buddy.
Come here.
Come here, buddy.
Come here, buddy.
These freakin' chicks are losing
their mind, man.
Come over here.
Help me, man.
Get Luka.
What are you gonna do,
amputate my leg?!
Take it easy, Vic.
Hey! Oh, that's it.
That's it.
Run to Daddy, you little bitch,
run to Daddy,
little bitch.
Sam, don't you dare.
Don't you dare, Sam.
Sam, don't you dare.
Just try
and relax, okay?
Settle down, Doc.
Settle down.
See, he said it.
He said I'm a doc...
You heard him.
I'm a doc.
I'm a... I'm a freaking doctor,
not a freakin' patient.
Abby? Abby,
I'm your attending.
You hear me?
I'm your attending.
Do no harm, Abby.
Do no harm, Abby!
I know, I know.
I'm an attending at...
( panting )
Hi.
I thought it
would be okay.
Do you mind?
Oh, sure.
Sean, you want
some more Jell-O?
Can I?
Yeah, we got tubs
of it downstairs.
I'll be back in
a few minutes.
Eddie's gonna be hungry
when he wakes up.
( sighs )
You know, since your mom's away,
you're going to have to go stay
with a foster family,
probably until she gets back.
The Fosters?
No, their name's not Foster.
That's what they do.
They take care of kids.
Eddie, too?
No. Eddie's going
to have to stay
in the hospital.
'Cause he's still sick?
He's showing signs
of improvement, though.
And, um, we're gonna have him
in a very special part
of the hospital
that's just for kids.
And you can visit him there.
What about my dad?
His injuries were very...
very severe,
and, um...
the doctors--
they couldn't fix him.
He's dead?
Yeah, I'm afraid so.
But I didn't mean to kill him.
I know that.
But I'm gonna go to hell.
What?
For killing him.
God sends you to hell
if you kill someone.
Sean, I think that
God makes exceptions
if you were trying
to save someone else.
Really?
Really.
How is he?
He's settled down.
Okay, uh, I'm going
to get out of here.
I'm gonna go to my place,
check on Neela.
Okay, call me. Let me
know how she's doing.
Oh.
What's the deal
with Clemente?
Have to hear
what psych says.
Too bad. I was starting
to like the little guy.
Clemente's labs.
Tox screen's negative.
Not so sure
that's a good thing.
Okay, come on, guys.
Let's just give Vic
some privacy.
We still got a
board to clear.
Back to work, everybody.
Do you need me to
sign off on anything?
No.
Everything okay
with you?
Yeah. Why?
Well, sometimes it can be
a difficult transition
coming back to
this place.
No. I'll be okay.
I was just a little rattled
earlier,
'cause of the whole
Mike situation.
Well, good to have you back.
Hey.
Thanks for making me go there.
Some day maybe
you can tell me all about it.
Yeah, some day.
Neela?
Hi.
Hey.
( sniffles )
I brought you some dinner,
some groceries.
Thanks.
Did you call
Michael's family?
Hey, how about I
stay here tonight?
Um, I think
I'd like to be alone.
Really?
I could use a break
from Luka's snoring.
Michael used to snore
when he was drunk.
You know, I had to come home
and find a photograph,
because I couldn't picture him
in my head.
You know, one day
I'm not even going to be able
to remember what he looks like.
That's not true.
I'm-I'm gonna be fine.
Okay.
( quietly ):
I'm sorry.
I'm putting him on a 72-hour.
What are you calling him?
Gravely disabled.
He's blaming it on insomnia.
Tox screen was clean.
Well, there's no history
of schizophrenia
or bipolar disorder,
but he's had prolonged
sleep deprivation,
and was recently the victim
of a violent crime,
so there's probably
some PTSD going on, too.
But we'll know better
in a couple days.
Yeah. Thanks.
Yeah.
( sighs )
Hey, Vic.
What a day you had, huh?
Yeah.
How are you feeling?
I'm pretty good...
considering.
Just feel like such an ass
for flipping out in front
of the kids and everything.
I'm a passionate man.
That's what makes me
a good doctor, right?
Right.
You just can't keep up my pace
without spinning off the road
at some point.
I'm just sorry that it had
to happen on your watch.
That's okay. That's okay.
The important thing is
that you get some rest now.
Yeah, yeah.
I want to get some rest.
Oh, yeah.
I'm going
to get some serious R&R.
Catch up on my sleep,
and maybe do a...
Let me, uh...
Let me take you up...
upstairs, okay?
All right, sure.
Okay?
Yeah.
Personal escort treatment--
I like that.
I appreciate it, Luka.
I really do.
You helping me like this,
and, uh...
Don't be afraid to come up
anytime to see me.
Especially if you need to run
something past somebody, or...
I can still make a diagnosis
on the tough ones, you know?
Take care
of yourself,
okay, Vic?
Yeah. Be cool, man.
Yeah.
Get back to work.
Hey, it's, uh, it's me.
I'm, uh,
getting the camera ready.
Neela, te quiero.
Get out of here, you freak.
MAN ( laughing ):
I love you, Neela.
Get out of here.
Get out of here.
You see
what I got to deal with?
You see that?
( clears throat )
So,
hopefully, you're never going
to see this thing.
But if you are, well, then, um,
you know, something went wrong.
Maybe not wrong, but certainly
not according to plans.
I love you, Neela.
Marrying you was...
the happiest day of my life.
You make me strong.
( sniffles )
Now, I know you didn't want me
to come back to Iraq,
and I guess
if you're watching this,
you owe me a big
"I told you so," but, uh...
but I did what I had to do.
You're the most beautiful
and kind person that I know.
I just... I just want you
to be happy.
And, um, just know
that I'll always be with you.
I want you to find somebody,
get married, have babies.
Of course, he won't be
as fine as me, but...
( laughs )
you know, I guess you'll just
have to live with that.
I love you, Neela.
Forever.
PRATT:
I never wanted to be
around this type
of suffering.
I mean who would?
I'm glad I came here.
Glad you came, too.
I've been evaluated
by the Impaired Physicians'
Committee, and you know what?
I'm in the clear.
You better start
showing me some respect.
Getting any sleep?
Bobby, I'm not doing this.
What time you going home
tonight?
I haven't been getting
any sleep lately.
And the thing is
that I've been really,
really needing some.
BARNETT:
I wish I didn't feel
how I feel.
You're the best friend
I've ever had.
Neela, I am
a soldier, remember?
And you're also a husband,
remember that?
( gunfire )
( gunfire )
( yelling )
One of the
drivers got hit!
( gunfire stops )
Corporal Milton,
can you hear me?!
Okay, you're
gonna be okay!
I want you
to hold pressure here.
I just called the CASH.
They're sending a chopper.
That's not
gonna work!
( gunfire )
How far are we from
the aid station?!
Eagle is only about four
kilometers due north!
Okay! Okay!
My count, we'll lift
him up onto the truck!
I want you to
keep pressure
on his neck.
Shouldn't we wait
for the chopper?
He'll bleed out before
they get here! Let's go!
One, two, three!
HODGKINS:
I don't even think
he's breathing.
Just keep holding pressure.
You're doing good.
Pupils are fixed
and dilated, sir.
We can stop.
Thanks for trying, sir.
He just got engaged.
You got a girl
back home, Captain?
Me? Yeah.
I'm married.
My wife Neela
is a doc...
( woman speaking Japanese )
( car alarm sounding )
( clattering )
( footsteps )
( creaking )
Mothers often eat
their own young in the wild,
and we just think
it's part of nature, right?
But when women kill
their children,
it's a crime and we
think they're crazy.
What?
Well, I mean, it just
makes you wonder, right?
Are the lions crazy, too,
or are women like Susan Smith
and Andrea Yates just acting
upon some primitive impulse
that's deep within our
genetic maternal makeup?
Am I interrupting something?
Just some girl talk.
MORALES:
Dennis Young, 34,
assault victim.
Blunt trauma
to the head and face.
LOCKHART:
He mugged?
No, it looked like a
home invasion thing.
They tuned
him up good.
KOVAC:
What's your name, sir?
Uh...
MORALES:
Airway's okay, decent vitals,
moves all extremities.
Pupils are five millimeters
and equal.
MORALES:
There were two kids
in the house with him.
17's bringing them in.
They got worked over, too.
One looks real bad.
Okay, Abby, Trauma One.
Head, facial and c-spine CT
as soon as you can.
And send Sam out here to help,
if you see her.
Okay.
BARNETT:
Get out of here.
I swear. She invited
me in for a drink.
Door wasn't even closed, she
was tearing my clothes off.
Yeah, right.
To quote my man Rick James,
the girl is a super freak.
* Super freak, she's
super freaky, yow! *
She had sex toys I've
never even seen before.
They must have been
German or something.
One took two
hands to operate.
Morris...
Check it out.
Oh, yeah. I
tapped that.
What exactly
am I looking at?
That's Albright.
Where?
Right there.
I've seen more convincing
photos of bigfoot.
But, but it was dark.
I couldn't use the flash.
HOLLIS:
Any chance he's gonna
be able to talk to us?
I don't think so.
Enlighten me, ladies.
Looks like we've got an open
skull and facial fractures.
HOLLIS:
We got nothing to go on.
Nobody saw anything.
MORRIS:
Glasgow Coma Scale?
LOCKHART:
Spontaneous eye opening.
( groaning )
Hey, what's he trying to say?
He's altered.
I don't think he knows
what he's saying.
Withdraws from pain.
For a grand total of...
12.
And we incubate at...
GCS of nine.
Excellent.
Any blood
in the belly, Abby?
We were focusing on
the primary survey.
If I wanted excuses, Morris,
I'd ask you directly.
Give me the sonosite.
ALBRIGHT:
Any idea why CT scan
on your trampoline guy,
Margolis, never got
to the OR?
I'll have a tech
run them up.
Dubenko wants you
to personally bring them up.
Hang a gram
of vancomycin.
Is this about
the oral contrast?
I have no idea.
You know, oral contrast
increases the risk
of anesthesia.
If you want
my professional opinion,
I'd find those CT results,
and haul my
ass up there.
MORRIS:
After we stabilize
the patient.
No. Now.
LOCKHART:
Neela, we got
this, okay?
Belly's clear.
Call me after the scan, Moe.
And have Neurosurg
and Head and Neck take a look.
Did she just call you Moe?
It's a nickname...
for Morris.
Or homo.
Hey, don't
worry, okay?
That little vixen's
getting punished tonight.
Oh, yeah.
She's in store
for a little...
* Mo-Mo-Morris
* How do you like it,
how do you like it *
* Oh, yeah, Morris...
Hey, stranger.
Welcome back,
Dr. Pratt.
Thanks.
Glad to see
you survived.
How was it?
Well, hot, sweaty,
fly-infested, you know.
But it was a little
overwhelming to be honest.
Save a lot of lives?
I tried.
PICKMAN:
Three-year-old Eddie.
Good pulses.
BP: 100/50.
Decided to stop breathing
as we pulled in.
Can you open your eyes?
Eddie?
PRATT:
He's posturing.
Little guy was awake
on the scene, but now this is
all we can get out of him.
Okay, Sam,
you're with me.
He's bradying down.
Probable head bleed.
30 migs of mannitol.
Call CT and let's get
neurosurg down here.
BARDELLI:
This is Sean, ten years old,
blunt trauma face and chest.
Tachy at 135. BP's good.
100% on room air.
PRATT:
How you doing, Sean?
I'm Dr. Pratt.
I want to stay with Eddie.
He's scared
when I'm not with him.
We'll have you in the room
right next to him.
Come on. Let's go.
Damn it. The IV blew.
Tube.
TAGGART:
Who did this?
( Clemente groans )
Must have been the same guys
who busted up the pops.
Looks like the work
of meth heads.
What's this kid's story?
Three-year-old,
hypertensive and bradycardic.
Looks like traumatic
head injury.
Okay, I'm in.
Bag him at a rate of 40.
Pupils dilated,
left greater than right.
Step-offs? Hematomas?
Could be head trauma.
All right.
Retinal hemorrhage.
Definitely head trauma.
Call Neurosurg
and get mannitol on board.
Already done that, Vic.
Pulse hanging
in the 60s.
I still don't have a line.
Okay, throw me an IO needle.
You don't want
to do that, trust me.
Oh, yeah?
I do. Betadine.
The IO drill's
the greatest, man.
Wait till you see this.
We don't have
the pedes model.
Yeah, we do; we got
it in last week.
I'm gonna show you
how to drive this baby.
( drill whirring )
Vic, let me do it.
No, I got it.
Come on, man.
I got it.
I got it.
I got it. Hey, Vic!
Come on, okay. I got it.
Okay, I'll talk you through it.
Tibial tuberosity,
one-finger breadth medial,
one-finger breadth medial.
That's what it is.
One-finger breadth medial--
listening to me?
TAGGART:
He's seizing.
KOVAC:
Two of Ativan.
I can't; I don't have access.
Hold on. Hold on.
CLEMENTE:
There you go. That's it.
Okay, now you do.
Nice job. Get a head CT.
Okay, what's
wrong with you?
Me? I'm trying to
help you. That's all.
You don't listen
to a word anybody says.
You're all over
the place.
Okay, I'm sorry.
I was... I just
didn't get a lot
of sleep last night, okay?
Seizing stopped.
150 of Dilantin and pack up
for the scanner.
Outside.
What?
Now!
( scoffs )
What?
What are you on?
I'm not on anything.
I just told you, all I needed
was a cup of coffee. That's all.
What? What?
Do you want a drug test?
You want a drug test right here,
right now? Go ahead.
Grab a cup, baby.
Come on. Come on, baby.
Grab a cup.
Okay, okay, look.
Why don't you take
20 minutes, and get
yourself together? Huh?
What? Because I repeated
an order, man?
Come on, please.
What are you? My moms?
Luka!
Frank, not now.
Look, you're
an attending.
I need you to
be on the ball.
Vic, I'm serious.
Yeah, I'm serious, too.
You're seriously starting
to piss me off. Okay?
'Cause if you don't want
to work with me,
that's fine, man.
I don't need you.
Vic... Vic.
FRANK:
Dr. Kovac.
What, Frank?
These gentlemen are looking
for Dr. Rasgotra.
One of them is
a military casualty officer.
Sats are falling: 89.
BARNETT:
Can't see the cords.
There's too much blood.
We need a surgical airway.
Crike tray.
Whoa, whoa, whoa,
slow your roll.
Open up a central line kit.
Abby, grab a MacGill.
We're gonna do
a retrograde intubation.
I've never seen that work.
That's because you've never seen
me do it, junior,
but today's your lucky day.
We're going to do
a Seldinger technique.
We're gonna wire up
through the cricothyroid.
I think it'd be faster
just to crike him.
No, 'cause you're gonna
get all kinds
of infection and bleeding,
not to mention
subglottic stenosis
and a big,
ugly-ass scar.
BARNETT:
Sats down to 84.
You know, hypoxia's not
so good for you, either.
Where's Neela?
She got called
up to Surgery.
Okay, we'll
aspirate air
and then,
we'll pass the wire through.
There are soldiers
looking for her,
and one of them is a chaplain.
You need to find her.
Yeah, I'm trying to page her.
Everything okay in here, Abby?
Yeah, I think so.
You know,
we'd be doing a lot better
if you'd stop talking
to the residents
when I'm trying to show them
how to save
this guy's life.
Listen, Vic...
Look, I'm all over this, Kovac.
I'm serious.
Go find Neela, please.
Okay, Abby, look
for the wire
in the oropharynx.
I can't see it.
You will. You will.
Just come on,
you son of a bitch.
( sniffing )
Damn it!
Come on.
Got it.
Hey, can you get this
CT to Dr. Dubenko?
I think he wants
to see you.
Yeah, well, I've just been
paged back to the ER,
so if you can just make sure
that he gets them...
He was very specific
about speaking with you
in person.
BARNETT:
Sat is 78, bradying down to 60.
I still can't see your wire.
Open up a crike tray.
No, no, we don't need
no damn crike tray.
Vic!
Stop staring at me.
Just focus on your patient.
Ray, give her more suction.
It's got to be there.
Wait, wait, wait!
I got it, I got it, I got it.
All right, keep going,
come on.
Stop, stop, stop, stop!
It'll guide you
right through the cords.
Okay, that's enough, Chuny.
Thank you..
Hard to pass.
Wiggle it, mamí.
Side-to-side,
wiggle it, wiggle it.
Okay, I think I'm in.
All right, wire out
and bag him.
Call for a portable chest.
All right, we all good here?
Yeah,
we're doing great.
Abby?
Why you asking her?
I mean, I just told you
we're doing good, right?
I'm going to go find Neela.
Can you believe this?
Ridiculous, huh?
DUBENKO:
What percentage
of liver injuries
have stopped bleeding
by the time
surgical exploration
is performed?
About half?
How about 86%?
It's okay. You have plenty
of time to learn all that
in the next five years.
What?
Well, it seems like
all my complaining
has finally paid off.
We've been funded
for an additional slot
in the surgical
residency.
It's yours
for the asking.
Are you serious?
Well, if you don't
want it...
No, I want it.
I want it!
I'm sorry. It's the ER.
Ignore it.
You're a surgeon.
We never answer
on the first page.
I'm kidding. Go!
Come find me
after your shift.
We'll grab beer at Ike's
to celebrate.
Yeah, that
would be great,
but the drinks are on me.
WOMAN:
So...
I guess congratulations
are in order.
Uh, yes, thank you.
Dr. Dubenko just told me.
I'm so excited.
I can't wait to get started.
Yeah, it's going
to be fun.
I'm really looking forward
to being your attending.
Right. Wonderful.
Neela, uh,
Luka's looking for you.
Yeah, I got his page.
Hey, guess what?
I got surgical residency.
Wow, that's great.
Uh, you should really try
to find Luka.
Yeah, I will.
Neela, hold up.
I need to talk to you.
I got it.
What?
Surgical residency.
That's good for you.
That's really great.
Well, try to contain
your enthusiasm.
Listen, I need
to tell you something.
Yeah, Luka's paging me.
I know,
because it's important.
Well, so is my news,
but nobody seems to care.
Neela, listen...
It's not like I'm leaving
the hospital or anything.
I'm going into surgery.
You'd think you people
would like having me up there.
Abby, have you seen Luka?
There are two men here
to see you... from the Army.
The Army?
BARNETT:
We, um, tried
to find you.
Dr. Rasgotra?
Yes.
I'm Captain Evans.
This is Father Marris.
Is there someplace more
private we can talk?
Can you tell me
why you're here, please?
I really think it
would be better...
Tell me.
Ma'am, the Secretary
of the Army
would like to express
his deepest regret...
Wait. There must be
some mistake.
that your husband,
Captain Michael Gallant,
was killed in action
No, I'm sorry.
You've got it mixed up.
in Iraq on April 29th.
Michael is a doctor.
He's not a soldier soldier.
He was killed when his truck
was hit by a roadside bomb.
Again, the Secretary extends
his deepest sympathies...
I'm sorry.
I'm working.
I can't do this right now.
Please tell Dr. Rasgotra
that we're here to help
in any way possible.
Um, have his parents
been notified?
No, but that's something
we can do if she would like.
What about Michael's, uh,
her husband's remains?
It will take
seven to ten days
for the deceased to
get here from Iraq.
Arrangements will be made
to fly him here to Chicago
or wherever she decides.
Okay, I'll pass that on.
All the pertinent information
is in the packet.
If she has any questions,
she can also contact
myself or Father Marris.
Okay, thank you.
Thank you.
Hey, was it friendly fire?
Sir?
I mean, how do we really know
what happened over there, huh?
I mean, doesn't this whole war
smell to you
a little bit
of, uh, right-wing cronyism,
with the oil and the
multi-billion-dollar
rebuilding contracts? Huh?
Hey, Vic...
You know what the real
psychological warfare is,
my friend?
Vic...
You coming in here,
feeding us a bunch of lies
to placate the masses, okay?
Vic, shut up!
Tell me about the deficit,
tell me about why do we
have to go over there
and kill everybody
for democracy!
Vic, Vic.
Is that what we're doing?
I need help
with Mr. Engle's blood gas.
Vic.
Excuse me, come on.
LOCKHART:
Sorry.
BARNETT:
I'm gonna go find Neela,
make sure she goes home.
Okay, he's doing better,
so why don't we
lower the FI02
to 70 and...
grab, uh...
grab an ABG in 20, okay?
You want me to look
at your nose?
No, I'm fine. I'm fine.
Thank you.
Look, I just want
to say I'm sorry, okay?
I'm sorry about what
happened over there,
but those guys coming in
here like storm troopers,
and just...
( coughs )
It's like I'm a stigmata.
Why don't you go crash
in the lounge.
I'm fine. I'm fine.
I'm really fine.
You know there's no rest
for the wicked.
You, Abby, should know that.
That intubation was cool,
though, wasn't it?
Got to put that in your bag
of tricks, I'm telling you.
( clears throat )
( sniffles )
Look, I got to take care
of this.
( clearing throat )
( sighs )
Hey.
Hey.
Did you find Neela?
Ray's looking for her.
You know,
I came here today
thinking about how nice it is
to be back, you know?
Figured I'd come back
and save a few lives,
maybe even bring somebody back
from the dead, you know?
I damn sure didn't expect
to lose a friend.
Yo, doc.
Ten-year-old won't say anything,
and we got nothing.
Did you find mom?
Yeah, she's been in
rehab since November.
Dad's out of it,
and baby's in a coma.
This kid's all we got.
Can you try
talking to him?
Yeah.
How are we
doing in here?
Oh, kind of quiet.
Hey, man, you want to see
something really, really, cool?
It's your skeleton.
And, uh...
If you look right here,
this is where you broke
your collarbone.
Uh, looks like old
rib fractures.
Do you remember hurting
your ribs?
No?
All right, look, I know
you're worried about your dad
and your little brother,
but we got the best doctors
helping them out.
So now, we need you
to help them, too,
by telling us
what happened.
You do want
to help Eddie, right?
Yeah?
Then you need
to talk to me.
Eddie wanted to play
with my Bionicle guy,
and I took it
away from him.
And he started crying,
and he wouldn't stop,
s-so my dad started
shaking him.
Did your dad hit you?
He punched me,
then threw me into a chair.
And what about your brother?
Eddie kept crying...
and he kept shaking him...
telling him to shut up,
using the "F" word.
And then he grabbed Eddie's head
and slammed it against the wall.
Eddie was crying so hard
that he couldn't breathe.
So I got my baseball bat
and hit him.
You hit your dad?
I wanted him
to leave Eddie alone.
How many times did you hit him?
Until he stopped.
I was just talking
to him four days ago.
He was complaining
about the food,
and I was complaining about
how cold Abby's apartment is.
I honestly
don't even remember
what else we were
talking about.
I'm so sorry,
Neela, I...
We all are.
You know, I was probably
ordering a latte
or watching Celebrity Pokerwhen
he was being blown up by a
bomb.
Just like that, he's gone.
Listen, if you need
anything, um...
or you want me
to do anything...
No, Ray, I don't.
I don't need you to do anything.
I just...
I need to go back to work.
No, no, Neela, look.
You need to go home
and take care of things.
You need to take care
of yourself.
( sobbing ):
You know what?
I don't have a home.
I don't have a husband.
I don't have anything.
All I have is
this stupid hospital.
Just... just stay the hell
away from me.
You hiding?
Is it that obvious?
I can't believe
Michael's dead.
You want to go home?
I'll cover for you.
No. What about Neela?
Well, we can
take care of things.
Who, you and Clemente?
Weaver knew he had problems
before she hired him.
Now we're paying for it.
Well, Luka, it's your ER.
Let's go away someplace.
Where it's warm and where
nobody knows who we are.
Like a vacation?
No, not like a vacation,
a vacation, a real one.
I mean, even if it's just
for a couple of days
before the baby's born.
Can hang out by a pool...
or the ocean.
And I can dig a hole in
the sand for your big belly.
What is that, some sort
of Croatian mating ritual?
Mm-hmm.
What am I, a sea turtle?
Neela.
Neela, hey.
Hey, why don't you
let me take you home?
I have patients
to pass on.
We can take care
of that, Neela.
You need to go home.
Why is everyone so damn
insistent that I go home?
I have things to do.
I haven't even told
Michael's parents yet.
Well, the guys
from the army said
they could
take care of that.
No. I have to do it.
Well,
don't you think
it would be better to do it
from my apartment?
Get some privacy?
You know what, doubtless
they're both at work
and I want to tell them
at the same time
when they're together
tonight.
Neela, go home. Please.
Abby, Dennis Young's
crashing again.
All right, I'll check in
on you later, okay?
Hey, Neela,
I just want to...
Don't.
Um, the men from the army
left a package for you.
Frank has it at the desk.
Neela?
You know what?
If it makes everyone else
happy, I'll go home.
What's going on?
CLEMENTE:
He's bradying down.
Push the damn atropine.
Hey, Abby, you sure
he didn't have an epidural?
Nope, just diffuse
brain edema.
All right,
100 grams of mannitol.
We gave him mannitol.
Bilaterally
blown pupils.
Right. Check the ET tube.
Maybe it came out.
LOCKHART:
No, it's fine.
TAGGART:
GCS 3.
His brain stem is failing,
there's not... a whole lot
we could do about that.
Heart rate's down to 30.
I lost the pulse.
It's PEA.
An amp of epi.
Two angiocaths.
Maybe it's
a tension pneumo.
LOCKHART:
He's satting
on 100%.
Did he get dilantin?
15 per kilo.
All right, champ,
start compressions.
( moves stool )
( clears throat )
Okay, Sam, you call
those compressions?
Come on.
New AHA guidelines.
December issue,
Circulation.
100 per minute,
deeper and faster.
That's how you're going
to save a life, okay?
Okay, I need
to perfuse his brain,
and I need hypertonic saline
at 23.4%.
Well, we don't have that.
We don't have that?
We don't have that?
Hypertonic saline
reduces ICP
when mannitol fails.
That paper last fall
in the, uh... Lancet...
or was it the
New England Journal?
It was Neurosurgery.
That's right.
The author was, uh...
Weston or Williams
or something.
It was a "W." It was...
Wares! That's it. That's it.
Wares.
Neurosurgery,
2004, October.
Hold compressions.
( flatline alarm beeping )
Asystole.
Okay, let's just
call it, Vic.
Call it?
Lockhart, I never figured you
for a quitter.
All right.
He needs Burr holes.
We got to reduce the ICP.
He has an open skull fracture.
Burr holes are not
going to help.
Vic!
( sighs )
Okay, all right.
He should have had
ICP monitor,
and everybody knows it.
He should have had
a damn ICP monitor.
Time of death,
14:20.
Come on. We can do
better than this.
( metal crashing )
We got to do a lot
better than this!
A lot better than that.
Vic, I need
to talk to you.
Yeah, and I need
a cup of coffee,
and not the crap
they serve here in...
or the effluence they try
to pass at the Roach Coach.
I need a real
cup of coffee.
Vic? Hey.
Listen...
You ever been
to this Italian place,
Marrinaccio's,
on Randolph?
Oh, my God, the best coffee
this side of Milan.
They make their
own biscottis.
Man, you walk through
that door, smells...
You know, I'm going
to treat everybody.
Everybody.
I'm going to treat everybody
to espresso and biscotti, okay?
Luka?
48-year-old
complaining of chest pain.
Uh... Exam Three.
Is he on
any medication?
Lipitor and aspirin.
Should I go
get Clemente?
No, uh...
let him go.
Just pick me up as soon
as he comes back.
First day labs, 12 lead,
lopressor and nitro.
Sir, don't worry. We'll
take good care of you.
PRATT:
How many home visits
did DCFS make?
JANE:
One, following...
One!
Following an
accidental scalding
I'll be right in.
several years ago.
So I guess his little brother
accidentally
got his head slammed
up against a wall
today, huh?
Hey.
What's going on?
I got a kid
with a busted collarbone.
He's got signs of old rib
and humerus fractures.
And he's the lucky one!
His little brother's in the room
next to him in a coma.
Did you call
Social Services?
Uh, yeah, they're coming.
We got CTs, MRIs,
PET Scans, Dopplers,
4-D ultrasounds...
but we still can't save
one kid from getting
his brains beaten out.
That's right.
He had to kill his old man
because there was nobody else
there to help him.
I guess that would be too much
to ask, wouldn't it?
I mean... because
it's much better to have...
We spend, what is it now?
$6 billion a month in a war
all the way across the world?
To kill off a few more
of the other kids
who actually
get to make it
to their teens?
Did you tell the police?
So they could arrest him?
Yeah, because that's one thing
we do well in this country,
isn't it?
We got prison down
to a science.
Prison and war.
He and Dr. Gallant
were, um... friends.
God, this coffee's good.
Man, the Italians know
what the hell they're doing.
The French... French press,
anyhow, what the hell is that?
Forget about it.
But I know.
Oh, yeah?
You a killer.
No, no, I'm not a killer.
Jerry Lee Lewis
is a killer,
and you're the mayor
of Munchkin City, pal, okay?
You kill them
in the hospital.
You got blood on you.
Ah, damn,
my nice new shirt.
Right through
the trauma gown.
Ah, man!
I know what you do.
You cut them up
into little pieces...
Okay, pal.
You got to step off, okay?
and feed the surgical
waste to the dogs!
Just step off, please.
You've got to stop
the slaughter.
You know how I got this?
You know how I got this?
Saving someone's life, okay?
'Cause that's what I do: I save
pieces of crap like you, okay?
You crazy...
( tires screeching )
Hey, watch where
you're going, man!
Hey, what are you
doing, man?!
I'm walking here!
You trying to...
Watch where
you going, man!
Hey!
Watch where
the hell you going!
I'm a pedestrian.
I have the right of way!
You're not
even looking!
Listen, hey, you want me
to kick your ass? Huh?
Oh, now you're
gonna kick my ass?
Yeah.
Now you're gonna get
violent on me, right?
Yeah.
You're gonna kick my ass.
Come on, come on, come on.
Kick my ass.
Kick my ass up here, huh?!
Hey!
Try and kick my ass up here!
Hey! What the hell
you doing?!
You gonna go violent on me,
go ahead!
Get off there!
What are you doing?!
Hey, come on! Hey!
Hey! Hey! Hey!
What, are you psycho?!
Psycho?!
Yeah, psycho!
Psycho-- you don't know
about psychosis!
Man, I'm
the freaking doctor!
I'll show you psychosis?
Oh! Oh!
Oh! Oh, God...
That's psychosis, okay!
Hey, come on!
What? Are you on drugs?!
Yeah, I'm high.
I'm wasted.
I'm flipping...
You know, you want
to dip my urine?
Is that what
you want to do?
You want to dip
my urine? Go ahead.
Go ahead.
Oh!
Oh!
Ah!
Yeah, watch out, huh?
I'm gonna get you
all over the place.
Hi, Neela, it's Abby, um...
Uh, I was thinking
about stopping by tonight
on my way to Luka's, and we're
going to get some takeout.
So if there's anything special
you want to eat,
or if you need anything,
just give me a call.
You talked to her?
Tried.
I think she just
wants to be alone.
She's going to have
a lot of time alone.
It's probably best if she was
around people right now.
Yeah, well,
like I said,
I tried,
didn't seem to work.
Whoa. Abby.
Vic?
Sam. Sam.
I got jumped.
I got jumped.
I was going for a cup of coffee
and they ambushed me.
41-year-old male,
altered mental status...
I'm not altered.
You're altered, okay?
There's just no connection
with you.
No... on a human level.
Look, he was wandering
around in traffic--
combative,
uncooperative.
You know why
I'm uncooperative?
Because you're
tying me down.
That's why, man.
What is this, fascist Germany?
1984?
What are we living in?
TAGGART:
Take it easy, Vic.
Why is he in handcuffs?
He assaulted
several motorists.
You know what it is?
It's xenophobia.
That's what it is.
They keep us living in fear.
That's how they do it.
What about
Trauma One?
Full.
It's not a H5 in One.
Exam Two?
Take him
to Exam Two, yeah.
Pulse ox 99
on two liters.
Pulse ox 99?
Ha!
I'm room air,
you mouth breather.
Abby, get them away
from me.
He doesn't know
what the hell he's doing.
Dextrostick 102.
Sam. Sam, tell them
I'm an attending.
Tell them what a colossal
mistake they've made.
Yeah, listen, looks like
you cut your leg, Vic.
Yeah, I did,
but it's superficial.
I can feel the platelets
are already going
to take care of it.
I feel them. I gonna fix that
with a get well sticker.
Well, let's check it out
anyway.
Yeah, come on.
It'll only take a minute.
All right, all right,
okay, okay.
I get it.
It's-It's funny, guys.
The joke's on me.
I get it.
Everybody's laughing?
Okay, now get it off of me.
Okay? Come on.
Get it off me.
Take it off me!
Take it off me!
LOCKHART:
Five of Haldol,
IV push.
Five of Haldol,
IV push.
Hey, hey, hey!
Get it off me!
Where's...?
( panting )
Abby, you can't give me Haldol.
You can't give me Haldol, Abby.
I'm not crazy,
you understand?
It's okay. It's okay.
X-ray, come here, buddy.
Come here.
Come here, buddy.
Come here, buddy.
These freakin' chicks are losing
their mind, man.
Come over here.
Help me, man.
Get Luka.
What are you gonna do,
amputate my leg?!
Take it easy, Vic.
Hey! Oh, that's it.
That's it.
Run to Daddy, you little bitch,
run to Daddy,
little bitch.
Sam, don't you dare.
Don't you dare, Sam.
Sam, don't you dare.
Just try
and relax, okay?
Settle down, Doc.
Settle down.
See, he said it.
He said I'm a doc...
You heard him.
I'm a doc.
I'm a... I'm a freaking doctor,
not a freakin' patient.
Abby? Abby,
I'm your attending.
You hear me?
I'm your attending.
Do no harm, Abby.
Do no harm, Abby!
I know, I know.
I'm an attending at...
( panting )
Hi.
I thought it
would be okay.
Do you mind?
Oh, sure.
Sean, you want
some more Jell-O?
Can I?
Yeah, we got tubs
of it downstairs.
I'll be back in
a few minutes.
Eddie's gonna be hungry
when he wakes up.
( sighs )
You know, since your mom's away,
you're going to have to go stay
with a foster family,
probably until she gets back.
The Fosters?
No, their name's not Foster.
That's what they do.
They take care of kids.
Eddie, too?
No. Eddie's going
to have to stay
in the hospital.
'Cause he's still sick?
He's showing signs
of improvement, though.
And, um, we're gonna have him
in a very special part
of the hospital
that's just for kids.
And you can visit him there.
What about my dad?
His injuries were very...
very severe,
and, um...
the doctors--
they couldn't fix him.
He's dead?
Yeah, I'm afraid so.
But I didn't mean to kill him.
I know that.
But I'm gonna go to hell.
What?
For killing him.
God sends you to hell
if you kill someone.
Sean, I think that
God makes exceptions
if you were trying
to save someone else.
Really?
Really.
How is he?
He's settled down.
Okay, uh, I'm going
to get out of here.
I'm gonna go to my place,
check on Neela.
Okay, call me. Let me
know how she's doing.
Oh.
What's the deal
with Clemente?
Have to hear
what psych says.
Too bad. I was starting
to like the little guy.
Clemente's labs.
Tox screen's negative.
Not so sure
that's a good thing.
Okay, come on, guys.
Let's just give Vic
some privacy.
We still got a
board to clear.
Back to work, everybody.
Do you need me to
sign off on anything?
No.
Everything okay
with you?
Yeah. Why?
Well, sometimes it can be
a difficult transition
coming back to
this place.
No. I'll be okay.
I was just a little rattled
earlier,
'cause of the whole
Mike situation.
Well, good to have you back.
Hey.
Thanks for making me go there.
Some day maybe
you can tell me all about it.
Yeah, some day.
Neela?
Hi.
Hey.
( sniffles )
I brought you some dinner,
some groceries.
Thanks.
Did you call
Michael's family?
Hey, how about I
stay here tonight?
Um, I think
I'd like to be alone.
Really?
I could use a break
from Luka's snoring.
Michael used to snore
when he was drunk.
You know, I had to come home
and find a photograph,
because I couldn't picture him
in my head.
You know, one day
I'm not even going to be able
to remember what he looks like.
That's not true.
I'm-I'm gonna be fine.
Okay.
( quietly ):
I'm sorry.
I'm putting him on a 72-hour.
What are you calling him?
Gravely disabled.
He's blaming it on insomnia.
Tox screen was clean.
Well, there's no history
of schizophrenia
or bipolar disorder,
but he's had prolonged
sleep deprivation,
and was recently the victim
of a violent crime,
so there's probably
some PTSD going on, too.
But we'll know better
in a couple days.
Yeah. Thanks.
Yeah.
( sighs )
Hey, Vic.
What a day you had, huh?
Yeah.
How are you feeling?
I'm pretty good...
considering.
Just feel like such an ass
for flipping out in front
of the kids and everything.
I'm a passionate man.
That's what makes me
a good doctor, right?
Right.
You just can't keep up my pace
without spinning off the road
at some point.
I'm just sorry that it had
to happen on your watch.
That's okay. That's okay.
The important thing is
that you get some rest now.
Yeah, yeah.
I want to get some rest.
Oh, yeah.
I'm going
to get some serious R&R.
Catch up on my sleep,
and maybe do a...
Let me, uh...
Let me take you up...
upstairs, okay?
All right, sure.
Okay?
Yeah.
Personal escort treatment--
I like that.
I appreciate it, Luka.
I really do.
You helping me like this,
and, uh...
Don't be afraid to come up
anytime to see me.
Especially if you need to run
something past somebody, or...
I can still make a diagnosis
on the tough ones, you know?
Take care
of yourself,
okay, Vic?
Yeah. Be cool, man.
Yeah.
Get back to work.
Hey, it's, uh, it's me.
I'm, uh,
getting the camera ready.
Neela, te quiero.
Get out of here, you freak.
MAN ( laughing ):
I love you, Neela.
Get out of here.
Get out of here.
You see
what I got to deal with?
You see that?
( clears throat )
So,
hopefully, you're never going
to see this thing.
But if you are, well, then, um,
you know, something went wrong.
Maybe not wrong, but certainly
not according to plans.
I love you, Neela.
Marrying you was...
the happiest day of my life.
You make me strong.
( sniffles )
Now, I know you didn't want me
to come back to Iraq,
and I guess
if you're watching this,
you owe me a big
"I told you so," but, uh...
but I did what I had to do.
You're the most beautiful
and kind person that I know.
I just... I just want you
to be happy.
And, um, just know
that I'll always be with you.
I want you to find somebody,
get married, have babies.
Of course, he won't be
as fine as me, but...
( laughs )
you know, I guess you'll just
have to live with that.
I love you, Neela.
Forever.