ER (1994–2009): Season 13, Episode 12 - Breach of Trust - full transcript

Previously on ER:

Stop.
It's over.

I told Meg it's over.

Maybe for you,

but any idiot could see
from the look on her face

that it's not over for her.

Meg, Sarah, this is Neela.

So I called the nursing director

and I signed on
for another month.

Hmm, well.

Enough meds for 90%
of your people.



You can fill this
for a month's supply.

...looking for cans
and bottles...

I can't believe
it's me up there.

Yeah, well, you better
get used to it.

I couldn't have done it
without my producer.

Um, I don't know and it's
too early to tell

who might have been responsible
for the attack.

Obviously, we will do
the forensics...

I can't even look at her.
You don't think
she's a role model?

I mean, not for me, but you've
got to admit she's impressive.

Yeah, if Shaquita needs a role
model, she should turn on Oprah.

Yeah, but what if Shaquita
wants to be Secretary of State?

Well, then she can look up
Madeline Albright.

Come on, Henry, we've got
to get you dressed.



Here we go, baby.
(phone ringing)

Would you mind
getting that?
Sure.

That's my boy.

Kerry Weaver's residence.

May I ask who's calling?

Yeah.

It's a news director

from Miami.

Hello.

Are you crazy?

What would I do with two iPods
and three Xboxes?

Fine, fine, have your fraud
department call me.

What happened?

My credit card was
declined this morning.

Yeah, it's time to dial back
on the escort service.

Yeah, that's what you get
for being such a big spender.

Ever since I bought
the beemer,

I've been living on
a tight budget.

That explains the pants.

Hey, Sam, can you check a sat
on my bronchiolytic?

No problem.
Thanks.

Do you need
any help?

Actually, I need
to move some stuff

to my new place, and
I hear you have a truck.

I only help people move if
they promise to feed me.

We can work that out.

Hey, everybody. Come over here.

Whoa.

This is Sarah.

Hey, Sarah.

Hi.
Cool hat.

I like your necklace.

Thank you.

My kid gave
it to me.

He's about your age.

Hey.

She's shadowing me
today.

You didn't clear
that with me.

I talked to Kovac
and Weaver about it.

Yeah, but you
didn't talk to me.

You must be that guy

that's always riding
Uncle Tony.

You know like
a bull in heat.
Shh.

So, uh, what else

does Uncle Tony
say about me?

The rest I'm not
allowed to say.

Just make sure she signs
a confidentiality form

and if she gets hurt,

she's your responsibility,
understood, Uncle Tony?

Aye, aye, Captain.

Kerry, this is huge.

Do you know how hard it is
to get your own morning show?

It's not my own show.

I'd just be the
health reporter.

Full time, with your own
daily segment.

It's flattering,
but I am a doctor.

Who just got demoted from
a hospital she worked at

for over ten years.

I love medicine.

I've never pictured myself
doing anything else.

You'd still be able
to do that.

On you own show.

Would you stop saying that?

I'm not leaving Chicago.

I'm not leaving my friends.

And I'm not pulling Henry
out of his pre-school.

You can find another
pre-school.

Yvonne Davillere, 37, tripped
and fell on the sidewalk.

My leg just gave out.

Any LOC?
Negative.
Good vitals.

I don't know
what happened.

I've got to take this.

Forehead contusion
and knee abrasion.

We need to clear her neck.
Let's roll.
This is hers.

Do you know
where you are?

I know I'm not home.

Kerry, it's Miami.
You've got to consider it.

When does the station
want an answer?
By tomorrow afternoon.

Well, you better start
thinking about it.

I already have.
I'm not doing it.

C-spine, access
trauma two.

Let's go.

Kerry, we're
talking Miami, Miami.

South Beach Miami.
C-spine's clear.

Getting naked at
the Delano, Miami.

Let's take her off the board.

Is my sketchbook here?

Yeah, it's in the corner.

Ready?

You can't steal my 15 minutes
and then punt them away.

Not now, Morris.

Are you an artist?

A painter.

Open your mouth,
please.

No intra-oral trauma
or dental fractures.

Glucose is 295.
Do you have diabetes?

My sugar's always
been a little high.

I'm supposed to watch my diet.

Are you on
any medications?

Clindamycin...
for my foot.

Chronic infection at the base
of the second toe

with some surrounding
cellulitis.

WEAVER:
Does this hurt?

I've been limping
for awhile, but I'm fine.

Okay, let's get a foot series
and culture the wound.

Kerry, Kerry...

Listen, listen, listen.
You could be

the next Judge Judy,
Dr. Phil...

No, no, no, Ellen.

Go clear some
patients, Morris.

This is the big leagues, Weaver.
The majors.

Take your swing.

Looks pretty bad.

Yeah, she hurt her ankle
during dance class.

We're waiting on
surgical consult.

Surgical consult?

Yeah.
Her fiance
fell on her.

You okay, honey?

Well, good luck.

Hey.
Hey.

You remember Sarah.

Hi, Sarah.

She'll be shadowing
me today.

I got your message.
You're going to have fun.

Where does your
belly hurt?

All over.

Good bowel sounds.

GATES:
FAST exam was negative.

She doesn't look
like a whore.

Excuse me?
Sarah...

Did she just call me a...?
A whore.

She called you a whore.

No, nobody called you a whore.

My mom did.
Sarah...

Well, your mom's mistaken.

Are you calling
my mom a liar?
You want to go home?

Let's get a CT scan,
shall we?

Hey, did you see my infected
G-tube in Three?

I'm about to go
and check on him.

That little tosser just
called me a whore.

She seems so sweet.

I've never been
called a whore.

Did she say dirty whore
or filthy whore?

Is there a difference?

Depends on the whore.

Edgar Dixon, vomited blood,

passed out at
the hardware store.

Pressure was
80 palp.

Type and cross
four and call for 0-neg.

Pulse is 105.

Did you call my wife?
Sir, be still.

It's Thursday... she's
at the hairdresser.

We called her.
She's on her way.

First bag is in.

Hemocue's 12.4.

Okay, forget
the 0-neg.

20 of IV famotidine,
10 of reglan.

Another liter of saline
wide open.

Sir, have you had
any belly pain?

I felt nauseous today.

Ever had an ulcer?

No.

Drink much alcohol?

Not a drop.
ABBY:
Belly is benign.

Who's your doctor?

I don't really have one.

BEN:
Are you on
any medication?

Something from the drug store
for arthritis.

Ibuprofen?
Naproxen?

I don't know.

Some arthritis medicines
can cause an ulcer.

Is that serious?

If it keeps bleeding
it could be.

HALEH:
Hey, Sam.
What's up?

You have a guest.

Go ahead.

Says she's family.

Drove all the way
from Dallas.

Oh, no.

Thank you, Haleh.

Grandma?

Don't tell me we're out
of compazine again.

Pharmacy is coming
to restock.

Try tigan.

Good idea.

Listen, I, uh, I just heard
about your job offer.

Don't worry,
I'm not moving to Miami.

You're not considering it?

No, I like it here.

We may have our
occasional gunplay,

but at least we're
helping people, right?

I don't need to tell you
January is budget month.

Mm-hmm.

They're asking me
to, uh...

to make some cuts.

They want me to lose
an attending.

Well, maybe you can
send Morris to Miami.

Morris' salary
won't do it.

I need to cut at
least 200 grand.

Well, the only people who make
that much are you and...

You're kidding, right?

Kerry, I had to...

I need to cut costs.

You're firing me?

Since you have
this opportunity...

This is how you tell me?
There's no good way.

It's unbelievable.

Kerry, you've been
doing this for a long time,

and I know it's not
for me to say,

but lately it seems like-like
you've had enough, and...

What?!

Most of the time
you're out doing
news stories.

I do those stories
on my days off.

Excuse me,
I need some Unasyn.

I'm sorry, my hands are tied.
I'm just trying to...

To do what?

To do the right thing
or do the easy thing?

Kerry, I'm not happy about this.

You know what, when they were
going to fire you,

I stepped up, I took the fall.

That's the only reason
I ended up back in the ER.

And that's the only reason
that you're still here.

Blood count's
holding at 30,

which means you don't have
any ongoing blood loss.

We were in Atlantic
City last weekend,

and he started
getting ill then.

I knew he should have
gone to the doctor.

Honey, you were right, I know.

Could have an ulcer or a tear in
a small vessel in the esophagus.

LOCKHART:
We're going to have to admit
you, and have a specialist

take a look at your stomach
just to make sure.

Do you want to come with me
and fill out some paperwork?

I'll be right
back, honey.

I love you.

I love you, too, baby.

This is the first
you've heard of it?

He just told me.

Oh, I can't believe this.

Just let it go, Haleh.
Let what go?

Your guy is firing
Dr. Weaver.

You know what, Mrs. Dixon,

I'll meet you at that desk
over there.
Okay.

He's what?

Budget cuts.

I don't care if you have
another job offer.

You're the best
damn attending

in this place.

What do you mean
another job offer?
In Miami.

Plain films on
Yvonne's foot.
Kerry...

Oh, man.

What's going on?

This is bad.

I've got to deal
with this, guys.

I know. I'll talk to him.

Um, I looked at your X-ray.

And turns out you have
an infection in the bones

of your second and third toes.

Osteomyelitis,

what else is new?

You knew about this?

I cut my foot.

The clindamycin is supposed
to clear it all up.

Well, it isn't working,

and based on your increased
pain, it's getting worse.

So I give the antibiotics
a few more weeks.

WEAVER:
Your diabetes
has decreased

the blood supply
to your toes,

so the antibiotics
aren't working.

What are you saying?

Surgery's your only chance
for a cure.

Surgery?

Partial amputation.

You want permission
to cut off my foot?

Not your whole foot,
but two toes.

No.

Look, if you don't do this,

the infection could spread
and you could die.

I'll take my chances.

Mrs. Davillere?

I am walking out of here

on both feet.

Hmm?

Get out of my way!

They just kicked you out
of the retirement home?

Nobody cares about
the elderly.

Did you get in a fight
with your boyfriend?

Which one?

It was a horticultural
infraction.

A what?

They didn't like
my garden.

Why?

What were you planting?

The usual.

Lavender, basil...

Grandma...

Maybe a little cannabis.

You were growing weed?

It's medicinal.

You don't have glaucoma.

Guess why, sweetie.

I can't believe you.

You're 75 years old.

You're lucky they didn't
throw you in jail.

Then I could visit your mother.

She gets out next week.

Identity theft.

It's a victimless crime.

No, it's not.

You're right.

Well, she married

this nice electrician.

Sweet Mexican guy. Pablo.

Well, maybe
fifth time's the charm.

Look, Sam, I know we have drama,
but we're family.

How long you staying, Gracie?

Just till you throw me out.
Not a bit longer.

Okay, Mr. Richmond,
we'll see you next week

for your suture removal.

You're still here.

Bus is slow.

Oh. Thought maybe you were
having second thoughts.

I know this
is a difficult decision,

but the surgery
doesn't have...

I'm tired of
losing things.

I've lost my husband,
my house,

the city where
I grew up in.

Damn storm
took it all.

You're from New Orleans?

Couldn't tell from my bright
smile and stunning glow?

Is that how
you got injured?

Everybody begged
us to leave,

but we thought it would
pass over like Ivan

and all the other
ones before that.

When it finally hit,

my husband Duane and I
went up to the attic

and broke
through the roof.

A boat finally got us

and took us
to the 610 overpass.

That's when I realized
my foot was cut.

Something in the
floodwaters must
have hit it.

It's surgery, it's scary,

but you don't have
to die from this.

Too many tough choices.

I'm afraid to make
the wrong decision.

Then let me help you
make the right one.

(groans loudly)

Will you trust me?

I guess I ain't
got a choice.

You never said
it was Weaver.

You have
to fight for her.

I did, but sometimes

I have to make
tough decisions.

Why didn't you tell me?
It's not your concern.

That is, like,
your mantra lately.

What's that
supposed to mean?

Never mind. Look.

She's one of the best
doctors on the floor.

I know that,
but she's also

one of the most
expensive. Look.

This is the job, and I don't
like it any more than you do.

84-year-old with shingles.

Stop it, you freak!

Lenny Rivers, got punched

by a passerby,
fell on his tailbone.

Okay.

Analgesics,
doughnut pillow,
and discharge.

Whoa, whoa, whoa.
What about X-rays?

I got to file
for a disability claim.

You're not supposed
to talk.

Okay. Go ahead
and order the films.

Haleh, can I get a percocet?

Yeah, but you may need
to be patient.

GI lab can take him at 4:00.

Okay. Let's send off
a repeat CBC.

Ben, you got
the narcotics keys?

Oh. My bad. I meant to leave
them on the admin desk.

Pressure's down
to 70 systolic!

Open up the saline.
Okay, okay.

Put him in Trendelenberg.

Two units of packed cells,

and let's get Pratt in here.

He's going
to need a second line.

Yeah. Intubation tray.

Dawn's from
New Orleans, too.

What part?

Seventh ward, by
the Florida Canal.

I used to work at Charity.
What about you?

Ninth. Over near
Jackson Barracks.

I was born at Charity.

You need to
sign here, too.

You been back?

I'm not ready.

Are you sure I need this?

Oh, yeah. The infection's
deep into the bone

of the second and third toe.

Removing them
is the only way
to prevent spread.

How long have
you been a surgeon?

Um... almost 15 years.

Dr. Dubenko's
one of our best.

How many surgeries
have you done?

10,000.

What about toes?
How many toes?

I've done a lot of toes.

He's good.

You been working all night?

I beg your pardon?

You seem a little tired.

No, no, I'm fine.

I actually slept in my own bed
last night.

You have nothing
to worry about.

Can we have one
of those mirrors

so I can watch my operation?

Oh, no, no,.
You're going to be fast asleep.

Dr. Weaver said
I didn't have to go under.

Oh, really?
Is that what
Dr. Weaver said?

Just give us a sec.

Why in the world
would you tell her

that she could be awake?

Look, she barely agreed
to the surgery.

Just... just
give her an epidural.

The anesthesia is better
with a general.

She's afraid
of the dark.

She's a Katrina victim.

My heart goes out to her, but
an epidural can drop her BP.

Look, general anesthesia
isn't risk-free.

It's more efficient.
Okay, cut the crap, Lucien.

You don't want her awake
because you don't want to answer

a bunch of questions.

I'll go up with her.

I'll handle her.
She won't get in your way.

Okay.

Second unit is in.

Yeah? Well,
hang a third.

Sats are up to 90.
Call for a vent.

Already did.
Somebody better
get his wife in here.

Come on. Talk to me, Ray.

Upper GI bleed.
Systolic of 60.

Second IV is in.
Ready for blood.

All right.
Has he had ulcers before?

We couldn't get
a good history.

I think I know this guy.
Wasn't he in here last week?

No. First time
to County.

Wait a minute.
How long has he been here?

About an hour
and a half.

And he's just getting
a second IV?

We thought
he was stable.

No GI bleed is stable.

Hematemesis only once,
crit was over 30.

The guy needed
aggressive therapy.

Why wasn't
an attending involved?

Abby and I both agreed...

You're both
residents, Ray!

Get Abby
in here right now.

Call the blood bank, stay ahead
four units, and get FFP.

I'll fire up
the rapid infuser.

You should have
anticipated this.

How long will the surgery take?

About two hours.

Can you come sign off out
marshmallow girl

so she can get out of here?

Lucien, I'll be
up in a minute.

I know you will, Kerry.

What's his problem?

Aw. Control freak.
You okay?

It's kind of hard
seeing folks from back home.

Your whole
family come up?

My aunt let eight
of us move in.

Eight? Wow.

That must be hard.

Some moved back
to make sure

their houses
weren't seized.

The rest never
want to go back.

There's no way that that's me!

Well, where did you ship
two iBooks to?

See? I don't
even live there!

Is he still trying to work
out his credit problems?

Mine took years.

Come on. Go ahead, Gracie.

It says you're going
to live a long time.

My family lives well
into their 90s.

Come on, now.
Look in there

and tell me something
I don't know.

Well, it says you're going
to be very wealthy.

That's what
I'm talking about.

Hey, Sam, Curtain Three needs
bilateral leg ultrasounds

to rule out DVT.

Okay. Come on, Gracie.
I'll put you in the break room.

Hey, Gracie?

Am I going to have good luck?

We'll see.

Call me at 8:00.

(laughing):
I love that woman.

He's not even
your type, Grandma.

You know what they say:
Once you go black...

Grandma!

You still living
at the same place?

We were living at this house
while I was working part-time,

but it wasn't really the best
environment for Alex,

so we just moved.

Is he still playing soccer?

Uh-huh. Indoor now.

He's the best
left wing on the team.

How are his grades?

A's and B's.
He's doing amazing.

Sweetie, that's great.
I'm proud of him.

Of both of you.

Thanks, Grandma.

That means a lot to me.

How's my Xbox 360?

What are you
talking about?

Your little clepto of a son
is now a felon.

He stole my
credit card number,

and has been having stuff
sent to your house.

Are you kidding me?

Do I look like
the last comic standing?

I bet you that necklace
you have on is mine, too.

Amp of epi is in.

No, he needs volume, not epi.

Edgar?

What's wrong with him?

What's going on?

Six units in so far.

Getting harder to bag.

I just went to the cafeteria.

They said he was fine.

He's in pulmonary edema

from the
transfusions.
What's going on?

He was stable when I saw him.

Your husband doesn't
have a doctor, ma'am?

Not a regular one.

Is he going to be okay?
So, what?

No past history?
No meds?
No. Renuvium.
He's on Renuvium.

Mrs. Dixon called
home, her son

read the name off the bottle.

Where the hell would
he get Renuvium?

Some church clinic

on the south side.
What church?

First Mission Baptist
on Calumet.

What? Do they have
a doctor there?

I don't know.
I wasn't with him.

God. Oh, God...

Units 11 and 12
are running.

All right.
Run the platelets through here.

Should we try more volume?

Maybe GI
can scope him.

Not without
a pulse or BP.

All right. What's our rhythm?
Asystole.

Edgar, honey, please!
Please be okay!

Get another four units!

Push another epi!
He's already had
five rounds of meds.

Should we try
an intraaortic balloon?
Too late for that.

Let's check a hemocue,
PT, PTT,

see where we are.

Pratt. Pratt.
It's time to stop.

No! Don't you stop!

This is a reversible condition.

LOCKHART:
Not anymore.

42 minutes. We're not
going to get him back.

Greg, you know
she's right, okay?

Nobody's called it yet.

Please! Please keep going.

Please.

Time of death 1648.

No!

Oh, darling!

(crying)

I won't feel anything?

Not with the
spinal anesthetic.

Especially since
it's me who placed it.

Do you want pulse lavage?

Three liters, with polymyxin,
all in one bag, please.

I was in
New Orleans once.

I became addicted
to beignets.

Cafe Dumonde's my favorite spot.

Where you from?

London.
Really?

I spent a year in college there.

Power set up?

Micro-E set
with sagittal saw.

They're prepping
to get rid of
the diseased bone.

Are you still planning
to scrub in

on the robotic prostatectomy
next door?

I certainly am.
As soon as we
finish here.

You should check out
this new machine, Kerry.

It's unbelievable.

Ensures perfect
nerve-sparing technology

all for the low, low price

of $1.5 million.

The budget committee
approved that?

Yeah. They finally cut us
a break this year.

NURSE:
Culture tubes?

DUBENKO:
Aerobic and
anaerobic, please.

Infusing.

Bovie.

Good. Now...

isolate the neurovascular
bundle.

What does that mean?

They're protecting
the nerves and arteries.

BP 80 systolic.

(alarm sounding)

What's happening?

One liter saline bolus,
and get her head down.

Is this a reaction
to the spinal?

Don't think so-- BP dropped
after the antibiotic.

Anaphylaxis?

Could be an allergy
to penicillin.

Sats are dropping, 88%.

What did we do?

I must have seen 300 or 400
patients at that church.

Didn't remember the guy.

Is this our fault?

Couldn't this
have happened

if he got the drug through
a regular prescription?

I don't know.

(sighs)

I have to go talk to her.

You're gonna tell her that we're
the ones from the church?

I'm not gonna
bring you into it.

But I'll let her know I was
the one running the clinic.

(sighs)
Well...

Yvonne, we're gonna
sedate you

and place a tube
to help you breathe.

No, I'm not going under.

Etomidate's
going in.
Honey,

you're not getting
enough oxygen.
No.

(gasping):
When they left me
on that bridge,

I woke up in
the darkness...
Listen,

Yvonne...

(muffled speaking)

Sats only 81.

What are you doing, Kerry?

I'm getting IV epinephrine.
She's anaphylaxing.

I can hear the wheezing
from here.

Ari can manage an airway.

No. Her hypoxia's worsening.
She needs this.

Hard to bag.
We only ever give IV epi
for a full arrest, Kerry.

Well, then you're about
to learn something new.
Are you kidding me?

Dr. Weaver, stop.

Pushing two cc's,
one to 10,000.

This should buy you some time
to do a controlled intubation.

Kerry, with all due
respect, this is my O.R.

I don't care about your O.R.

I lost my job
to pay for your robot.

I care about this patient.

SHIRLEY:
Easier to bag.

Heart rate's coming down.

Sats up to 95.
Go for it, Ari.

RASGOTRA:
Looks like the epi worked.

You just got very
lucky, Dr. Weaver.

None of this looks like
healthy tissue.

DUBENKO:
You're absolutely right.

It's into the tarsals.
So what are we gonna do?

(sighs):
She needs a BKA.

No, wait, wait, wait, you're not
gonna amputate below the knee.

Lucien, I-I promised her that
she wouldn't lose the foot.

The MRI was fine.

The MRI was three weeks old.
And apparently,
it's progressed.

Prep for BKA.
Let's move the drapes.

No, can't you just take the toes
and give her six weeks...

She's diabetic with vascular
disease, Kerry, okay?

She'd never heal.

Get me the Zimmer saw.

I love Italian food.

When I was in Venice,
they had this tight little joint

had the best fettuccini
you ever tasted.

Well, there's no gnocchi
like my gnocchi.

So, maybe we can go
to the movies this Saturday.

There's a really cool
space movie.

But it's supposed to be
good for adults, too.

I'll see if
I'm working.
You're not.

I just made the schedule.

Cool.
Then it's a date.

Grandma?

Hi, Alex!

Look at you!

So grown up.
Hey! Hey,
come here,

you little
Artful Dodger!

Alex, what the hell
is going on?

What?
Did you steal from Dr. Morris?

No. Why?

Where'd you get
your Xbox from?

Well, um... uh, Mr. Elliott
bought it for me.

Did he buy me
this necklace, too?

No. I bought you that necklace.

(chuckles)
Alex,

you come here.
What?

Now, don't give me
any attitude, Mr. Man.

If this was 20 years ago,
I could knock you back to China

and not have Social Services
on me, but it's not.

So I'm gonna ask you

one time and one time only,

did you steal
Dr. Morris's credit card?

Yes or no?

Gracie, just...

I, um...

No, don't stammer,
don't stutter.

And look me in the eye.

Did you or did you not
steal his credit card?

I'm sorry, okay?

GRACIE:
No, don't you say sorry to me,
you say sorry

to Dr. Morris.

You know better!

I'm sorry, Dr. Morris, for
stealing your credit card.

Well, all right.

We'll figure it out.

You can start paying me back
in installments.

That's fine.

Alex, why would you do that?

Hey! No, you...
you work and I'll get him.

Hey, Nelson Wilcox, 39,
vomiting and abdominal pain.

Hypotensive after a liter.
Sam! We need you.

TAGGART:
Dr. Morris, I don't even know
what to say.

MORRIS:
What about my necklace?

Vitals?
92/58.
Pulse is 97.

I'm Dr. Kovac.
Where does it hurt?

(grunting):
My stomach.
We were getting fitted

for snow board boots,
he started feeling queasy.

'Kay, let's get him on a monitor
and start a second line.

He's got chronic pancreatitis
from gallstones.

He's supposed to have surgery
next month.

CBC, Chem 7, LFT's,
lipase and calcium.

He's been feeling good,

so we planned this trip
to the Rockies.

(weakly):
Call my dad.

He turns 40
in February.

We got 15 people
coming.

Don't forget a d-stick.
Check for hyperglycemia.

He's gonna be all
right, isn't he?

Systolic's down to 78.

All right, another liter,
wide open.

Hold on-- lungs are wet.
He's either in failure

or he's thirdspacing.
Yes, well, either way

he's hypotensive--
he needs volume.

You want to try albumin, 25%?

No. That won't work.
I've seen Weaver do it.

IV's blown, and his
veins are crap.

All right, sterile sixes

and coitus to me-- I'm gonna
throw in a subclavian.

H-He ate this huge plate
of waffles yesterday.

I mean, I told him
not to do it.

Abdomen's tense.
All right, I'll get
the ultrasound and call

for surgery.
Wait, we don't even know
what we're dealing with yet.

I think we have
a pretty good idea.

Even if it is
acute pancreatitis,

first-line management
is supportive care, not surgery.

They need to be involved.

(soft grunts)

Got a flash.
Sats dropping, 82.

Mr. Wilcox?

Mr. Wilcox?

You told her you were
the doctor at the church?

And that I prescribed
the Renuvium.

And she's okay
with that, or...?

Well, she understands
it was a mistake.

and she's trying to digest
what's happened.

You've got to talk
to Pastor Watkins.

Oh, yeah, we're
shutting it down.
Yeah.

I can't leave my post.
Yeah.

You're gonna have to page
Dr. Gates from the desk!

Oh, come on, there's, like,
50 people over there.
I don't care...

It's okay, Jim, it's okay.
She's with me.

What is he protecting,
Fort Knox?

Well, I didn't know you
were coming down here.

I was in the neighborhood.

Wanted to see
how she was doing.

You having fun, huh?

Yeah, it's been great--
we treated

this mime guy, and a lady
who broke her ankle.

Oh, cool, babe.

So this is

where you work, huh?
Yeah, this is it.

You want to see
the trauma rooms?

They're right back there.

Yeah.
Come on.

Is your
little girlfriend there?

Meg.
Or is she out buying

IKEA furniture?
You know what, we're not
gonna do this right now.

Oh, no, now is the perfect time.

Mom, let me show you
the break room,

No, Sarah...
so Tony can get
back to work.

Tony has to clear
a few things up.

You're drunk.
You were gonna walk out

and move in with
that little bitch?
Meg...

You're a liar.
Sarah, he's done nothing

but lie to us--
that's all he ever does is lie.

Mom, don't.

Oh, speak of
the bitch...

Don't walk away from me!
Meg...

No, you need to hear this.
No, I don't think I do.

Mom, stop it!

I did everything
for him!
All right, Meg.

I straightened him out
Meg...

when he was a mess, when
he was just a useless vet!

I used my husband's

insurance money to put him
through medical school!

You don't get to have him,
do you hear me?!

You don't get to
take him from us!
Meg!

Where's Kovac?

Trauma two.

Increase the peep.
I can't--
I'll give him a pneumo.

PVCs. 100 of lido.
He's okay, isn't he?

I mean, he's okay!
Isn't he?
His oxygen is low,

and it's causing his heart
to beat in an abnormal rhythm.

Pulse ox 78.

(crying):
He's not dying.

Luka, surgery orders
some million-dollar toy

Not right now, Kerry.
am I'm too expensive?

We need to talk.
Uh, V-tach.

No pulse.
Starting compressions.

Charging to 200.

What do you got?
Acute pancreatitis,
hypotensive despite six liters.

What's happening?

What's happening?!

'Kay, clear.
Get back,
get back.

Will somebody talk to me?!

He's in cardiac arrest,

and you're gonna have
to stand back, okay?

Is he bleeding
from somewhere?

His crit's stable.
Has surgery been here?

They just want to observe
in the ICU.

Well, get 'em back in.
18-gauge spinal needle,

connector tubing,
and a manometer.

The guy's in arrest--
we don't have time for that.

What are you doing?
Checking for
abdominal compartment syndrome.

He's got a fatal arrhythmia.

We should focus on the heart.
Look,

his BP sucks
because the abdominal pressure

is crushing the vena cava.

Can't ventilate,
because his belly's

compressing his lungs.

Okay, hold compressions.

42 centimeters.

More than enough
to cause end-organ damage.

Okay, resume compressions.

Ten blade.

Ma'am, what's
your name?

Marnie.

Your husband's pancreatitis
is causing swelling

of all the abdominal organs.

KOVAC:
Another 50 of lido.

Pushing it.

He doesn't need
cardiac meds.

He needs to be
decompressed.

Luka, you know I'm right.

(gasps)
Pick-ups, two sets.

Retract superficial layers.

I'm doing CPR.

He won't need it after this.

Back in sinus
with a pulse.

Saline and
sterile towels.

I've still got a few
tricks up my sleeve.

I can't lose you, T.

This ain't just
the booze, is it?

You can't walk out
on us!

We're your family!

Family?! Meg, what
you did out there,

you call that family?!
I work here!

You've been avoiding me.

What did you want me to do?

Move on.

You don't love
me anymore.

(sighs):
Not the way
you want me to.

I'll change!

It's not about that.
You can't change.

You'd rather be
with that little bitch.

Knock it off.

She has nothing
to do with this.

She has everything
to do with this.

I'm going to tell you
one last time, Meg.

I'm sorry, but it is over.

You don't care about Sarah?

Of course I do.

Well, I mean, do you not want
to see her anymore?

I never said that Meg.

Because...

that's what's going
to happen if you do this.

You would hurt her
just to get back at me?

You're a damn liar.

You prick!

Damn little prick!
Knock it off!

Listen.

Listen to me, Meg.

There's nothing you could do
to keep me away from Sarah,

do you understand that?

Do you understand that?

It's cold out here.

You should come back in.

I hate her.

You don't mean that.

She's crazy.

That's why
Tony's leaving.

He loves you.

You know that
won't ever change.

Can I ask you a favor?

Sure.

Find somebody else.

Sorry?

He doesn't love you.

He's just having
sex with you.

Sarah...
That's what he does.

But he always comes back to us.

When we opened you up,

we learned that the
infection had spread.

We had to do
the amputation.

I should have never trusted you.

With the new prosthetic legs,

you'll have complete
mobility.

Every time I make a choice,
it's wrong.

This was the right thing to do.

My husband and I were
on that bridge

for 27 hours before
a helicopter came

and took us
to the Superdome.

And when the buses came,
there was only one seat.

I didn't want to go,
but he insisted.

And I took that seat.

I left him there.

It was about a week later

when I found out he died
in that stadium.

It's not your fault.

I know. It's God's.

Why did he do this?

Take it all away?

He didn't take it all.

You're still alive.

You're getting
another chance.

For what?

What am I gonna do now?

You're gonna,
you're gonna accept this

and you're gonna go on.

Go home, paint.

Find a way to use
this gift

to make sure people never
forget what happened.

They can't forget.

You won't let them.

Dr. Pratt, arsenic
overdose has an ICU bed.

Call Hematology.

He'll need chelation.

Just the man
I want to see.

Did you work on
a Edgar Dixon today?

Yeah, yeah, yeah.
Why, what's up?

He was getting
Renuvium illegally.

Yeah, so I heard.

Apparently, First Mission
Baptist is dispensing meds

without a pharmacy license.

I'll need
his medical records.

Yeah, but the family's
not gonna sue.

The records are for
the State Medical Board.

There's gonna be
an investigation.

Angela, how's it going?

Okay, just following up
a record.

I meant you, your daughter.
How's Danielle?

She's better, thanks, Luka,

for everything.

Hey, Dr. Kovac, can I talk
to you for a minute?

Yeah.
In private?

GRACIE:
Whoo, this is nice, Sammy.

Thanks.

You remember when we
lived in that trailer?

ALEX:
You guys lived in a trailer?

It was a mobile home.

That's uppity
for "trailer."

Go unlock the door.

Sure.

Where you from, Ben?

I'm from Georgia.

A little town
called Richmond Hill.

I had a boyfriend once
in Chatham. He dumped me.

I swear it was
for his sister.

Grandma has lots of stories
about her antics with men.

Oh. I'm not scaring
you, am I?

'Cause you are one
of the sanest guys

that Sam has ever
been with.

We're just friends,
Gracie.

That's what Angelina
and Brad said.

Hey.

Upstairs,
do your homework,

brush your teeth
and go to bed, okay?

Tomorrow we talk
about the new rules.

Okay.
Go.

All right!

Oh!
I'm sorry.

You owe me dinner, right?

I'm so sorry.
I forgot.

Uh, okay,
we finish unloading

and then I will order
us a pizza or...

I've got a better idea.

I'm glad we got past
the awkward part.

Yeah.

You need a pharmacy license
to dispense meds

and your malpractice insurance
covers you only in the hospital.

I know. I...

I was trying to give back.

It's a felony, Pratt.

A man died.

What was I thinking?

I don't know.

This, this goes against
everything you've learned.

You okay, man?

I don't know what to do.

Were you the only one involved?

Yeah, yeah, it was just me.

Good. That's good.

I'll, uh,

talk to Angela,
see what I can do.

Take a minute, okay?

All right, see you guys later.

Dr. Weaver, I need
an attending order
for Vanco.

Yeah, can you sign off
on my retinal detachment?

Mm-hmm.

Okay, thank you.

Kerry, Kerry,
we need to talk.

Oh, it's okay.
I'm fine.

Hey, I made a mistake.

What I said before,

you know how it is
in this job.

I shouldn't give in
to the pressure.

Look, I'm gonna, I'm gonna find
budget cuts somewhere else.

There is no way
we're losing you.

Thanks, but, uh,

I resign.

You what?

I can't...

I've trained residents,

I've saved lives,

I even ran this place.

I loved it.

And I've probably gotten
more than I've given,

but now it's time to go.

Dr. Weaver, what are you saying?
Kerry?

It's easy here.
It's comfortable,

but that doesn't mean
it's the right thing to stay.

MORRIS:
Are you gonna go
to Florida?

Yeah, I mean, after Sandy died,
I... I thought I got over it.

I thought I moved on, but I...

I felt stuck,
like I'm treading water

and it's taken a few years,

but now I'm finally ready
to move forward.

So...

if you're ever in Miami,

turn on channel six and
that's where you'll find me.

And if I'm not there

I'll be on the beach
with my son.

Kerry, wait.

Kerry, Kerry...

please. Hey.

Luka, we're all right.

We're fine.