ER (1994–2009): Season 13, Episode 17 - From Here to Paternity - full transcript

A blizzard strands a family in the snow and Abby and Pratt quickly try to save the family. A gang shooting challenges Morris and Pratt. Meanwhile, Kovac and Abby begin making wedding plans, but their engagement might not be very secret; Gates struggles with the reappearance of his father and the possibility of losing Sarah; and Neela becomes jealous when Dubenko brings in a new surgical intern.

Previously on ER...

Alex, what happened?

No, you can't break
and steal things, Alex.

You know that.

Are you sending me to live

with Grandma and Grandpa?

That's who I used to be,
it's not who I am anymore.

No, it's okay.
It's no big deal.

I won't be a part of this.

Have Crenshaw get me a surgeon
who actually wants to operate.

Leaving so soon?



Did your drunk ass
hit that kid?

PRATT:
Look, you talk about raising
K.J. to be honest, right?

My dad's going
away, isn't he?

A secret engagement will be fun.

When is the last time you
actually went to mass?

That doesn't matter.

It's-it's a tradition.

Not mine.

Churches are beautiful.

A little bit creepy.

(chuckles):
I don't hear you
making any suggestions.

Well, the only thing
I know for sure

is that I
don't want it

to even remotely resemble
my first wedding.



Okay.

Where was
your first wedding?

In his parents'
backyard.

You?

A church.

Uh, did you wear
tule or taffeta?

(chuckles)

What do you know about
tule or taffeta?

You going soft on me?

I read about them online.

Look, tell you what.

Why don't you
plan the wedding,

and I'll plan the
real important stuff,

like the
honeymoon, hmm?

Okay.
Yeah?

She needs debridement
and IV antibiotics.

Admit to surgery,
we'll do it in the OR.

Ma'am, we're
gonna admit you

so we can fix these
bedsores, okay?

May I present the esteemed
Dr. Neela Rasgotra.

Neela, I
want you to

say hi to Mae Lee Park.

She's our new
surgical med student.

Hi. Nice to meet you.

Heard a lot
about you.

Oh, great.
All good, I hope.

More or less.

We left out the part about you
being our unwanted ER stepchild.

Hi, I'm Ray Barnett.
Pleasure.

Mae Lee published a paper
with Dr. Zimmer up at UCSF.

I jumped at the opportunity
to snap her up.

Anyhow, well,
that pretty much

concludes
our official tour.

I so appreciate you
taking the time.

Well, it's
my pleasure.

We should probably
get out of here.

I need you to sign off

on my obstructed CF'r.

PARK:
I've never seen
a transduodenal choledochostomy.

Yeah, me neither.

Sounds cool.

Didn't know we were
getting a new sub-i.

Really?

I'm shocked you
weren't notified.

You should bring that up
at your next plebe rally--

add it to your
list of demands.

Allez-y, Neela,
vite, vite.

HOPE:
Where do you work?

Connie's Cakes.

(chuckles)
Place is like Temptation Island.

Cakes as far as the eye can see.

My hips could not
cope with that.

You're telling me, sister.

Well, what's the deal
with the wedding cakes?

How come they're
so expensive?

Saw one
that costs $2,000.

Can you really
put a price

on the most special
day of your life?

Well, what if it sucks?

That's what the tasting's for.

Okay, Hope,
what's your plan?

Observe for a couple
hours, if no rebound,

home on Benadryl and a
three-day course of pred.

Great. And let's
write a scrip

for a couple of extra
EpiPens, just in case.

Copy that, 23,
we'll be ready.

Need you to sign off
on my food allergy.
Yep.

I need one
on my bum-sicle.

Hey, listen up, we got choppers
coming in, two minutes out.

Family crashed in the blizzard.

They were trapped
in their car for two days.

Devin Paxon,
40, hip fixed

in flexion,
probably dislocated.

Pulse 86, BP
90/60, sats good.

EKG, X-rays of pelvis,
right hip, femur,

C-spine and chest.

Charlotte, baby, we're okay.

You just be brave.

Come on, talk to me...
Everything's okay!

Charlotte, 10. Scalp lac,
dehydrated, hypothermic,

but alert.

BP 85 systolic.

Charlotte, we're gonna get you

warmed up
and feeling better, okay?

Let's get a
Bair Hugger,

heated saline and
warm humidified O-2.

WRIGHT:
Hey, Dad's definitely
more critical.

Julius Paxon, 45,

hypothermic,
bradycardic

in the 40s, BP in the 70s.

No sign of major trauma.

All right, EKG monitor,
chem panel,

CK, CBC, Foley
and a portable chest.

How you doing,
Lockhart?

You miss me?
Nope.

Can't say that I did.

I marked your initials
on the back of all the tags.

I can keep track of
my own clothes, you know?

Not you.

I don't know
those other kids.

This is really gonna suck.

If you keep saying
that, it will.

Come on, they got
a good soccer team,

an indoor pool-- huh?

Hey.

It's only a couple hours away.

I'm gonna visit every weekend.

Yeah, like that should help.

(door slams)

Got more saline.

Good. He's lost his
shivering response.

Pupils are sluggish
but reactive.

They were out there
for two days?!

WRIGHT:
Trapped in their car
after they veered off

the road,
skidded into a ditch.

The road they were
traveling on,

supposed to be closed
for the winter.

Shawnee National Forest.

Shawnee?!
That's far.

You were the closest
open to trauma.

How we doing over here, Ray?
I was driving when
the blizzard hit.

We were lost.

I couldn't see.

Okay, hip definitely
looks dislocated.
CHARLOTTE:
Mom!

Dad!
Other than that, just
cold and a few abrasions.

Pulse is 90,
BP's 95 over 60.
You have to go and find Spencer.

(screams)
Sats are good.

Four more of
morphine.

CHARLOTTE:
Mom! Dad!

Hope, talk to me.

She's just a
little dehydrated.
Dad, are you okay?

BP holding at
85 systolic.

All right, doesn't look too bad.
How do we proceed?

CBC, C-spine, chest
X-ray and a rectal temp.

Good. Make that happen.

Hey, your name
is Charlotte, right?

I know it
seems scary,

but we're gonna
fix you up, okay.

Your mom and
your dad, too.

What about Spencer?

Who's Spencer?

Her 14-year-old brother.
He's still out there.

What, is he on
another chopper?

No, he went to look for help
sometime last night.

That's how we found them.

Kid must have set fires
close to the location.

We followed the smoke to
the family, no sign of the boy.

Please, you have
to go and get Spencer.

Sats are dropping, only 83.

Okay, please tell Mr. Morales
there are things

that he can buy that won't
get stuck up there.

You know, with, like, a wide
base or a string attached.

My Spanish definitely
ain't that good.

Uh, señor, huh?

Esta una salida.

Huh?

No entrada.

No, okay.

Just get me
a translator, please.

Hey, Morris, you still
use that travel agent?

Angie. Yeah, yeah.
She's the best.

You gonna go
somewhere?

Oh, I just need to get
away from the cold.

I'll get you her number.

Hey, Sam, my ankle
guy's still waiting

for his
posterior splint.

Do I look like a magician?

It'll be done
when it's done, Archie.

You'll be the first to know.

Tread lightly,
my friend.

She's been barking
since she got here.

I can hear you, Frank.

What, do you want some, too?

Sam. Hey, hey.

Everything okay?

Yeah. I'm fine.

I, uh...

I'm gonna send
Alex away...

to a school for
at-risk teens.

You know, for emotional
problems and stuff.

Might be good.

He's dealt with a lot.

Yeah.

I just can't help but feel
like I'm giving up on him.

We both know that's not true.

Yeah.

ZADRO:
Little help here.

Mario Dunston, 42.

Single GSW
to the left chest.

How are you
doing, sir?

Hurts really bad when I breathe.

TAGGART:
Pulse ox 92 on
five liters.

Tachy at 120, BP 100 palp,
had four of MS.

MARIO:
How's the other dude?

Got another guy right behind us.

Okay, call X-ray
for a portable,

and set me up
for a chest tube.

Morris, Trauma Two.

Hey, Dawn.

Donnie Moore, 17, GSW, entrance
to the right temple, no exit.

Tubed him for
agonal resps.

Donnie? Donnie?

Purposeful hand movement.

Okay, hold CT and an OR.

This guy may have a chance.

Thanks for lending us
your truck, Tony.

Yeah.
We'll see you later tonight.

I shouldn't
be too late.

What are you doing?

Let your grandmother
sit in front.

It's fine. Makes me feel
like I'm being chauffeured.

GATES:
All right.

Be good. Don't steal
any paintings.

Don't kill any patients.

I'm allowed
one a day.

One.

Okay, curved Kelly.

Hemocue is 14.2.

Need to ask you
a few questions, Mario.

I'm a little
preoccupied, man.

What kind of beef you got
with your Two-Niner buddy?

What you sweating me for?

I ain't do nothing
but get shot.

Y'all need to get out there
and arrest somebody.

You got anybody in mind?

How should I know?

Y'all the cops.

All right, guys,
come on, let us work.

He's not
going anywhere.

Thanks.

That was for me,
not you.

32 French
on a vascular clamp.

How many times
you been shot?

This makes eight.

O silk on a driver.

Only 200 cc's out.

Okay, looks like
you didn't bag a main vein.

You're one lucky guy.

Yeah, I'm what they call
black Irish.

LOCKHART:
He's having a lot of ectopy.

QRS is wide.

What's his temp?
Down 84.

What's happening?

He's vasodilating,
which means the colder blood

from his extremities
is lowering his core temp.

Charlotte, honey?

I'm okay, Mom.

That's my good girl.

Don't worry,

they're gonna find
your brother.

We're all gonna
be okay.

(grunting):
I can't get this hip
back in place.

PRATT:
All right, let me try.

Wait, hold on.
Hold on, hold on.

(grunts)
All right, I got it.

He's in V-fib.
All right, start CPR.

Charge to 200.

Okay.

Charging.

Clear.

No change.

What are they doing?

Your mom's asleep,
so they could fix her hip.

And right now, they're trying
to help your dad's heart.

LOCKHART:
Clear.

Still V-fib.

Charge to 300.

Dad?!

PRATT:
All right, Hope,

let's move her
out into the hallway.

Come on, Charlotte.
We got to let them work.

No, I want to stay.

Dad!

Clear.

No change.
One milligram epi.

BARNETT:
He can't stay in V-fib
for much longer.

Clear.

O'BANNON:
Mario Dunston.

Street name's Monster.

Got out of Stateville
a few weeks ago.

He's a real O.G., huh?

Did 20 years.

Gang-related shooting,
he left a kid paralyzed.

Well, if he remains stable,
you guys can talk to him soon.

How's he doing?

Still 250 cc's out.

You collapsed a lung,
minor bleeding.

Should take about
three days to heal.

The cops need to ask
you some questions.

What for?
KOVAC:
Faster with the
compressions, Gates.

DAWN:
Wanna switch out?
I ain't got any answers.

You just did
20 years.

You cooperate, maybe
they'll be lenient.

Lenient?

What they need to be
lenient for?

I didn't do nothing.
Well, then tell
them who did it.

I ain't see who did it.

Oh, you were just an
innocent bystander?

GATES:
Call neurosurge again.
Yeah, okay, Monster.

Suit yourself.

Name's Mario.

DAWN: Epi's in--
atro's ready!
Or Mr. Dunston.

Whichever you prefer.

Morris!

What's up?

You need anything?

Nah, I'm straight.

Is he gonna be all right?

I don't know.

MORRIS:
Sam!

Could you give us a hand
in here, please?

Junior?

Junior!

MORRIS:
Hey!

Junior!
Hey, lay down!

You're going to pull
your chest tube out!

Sam, call security! What the
hell are you doing, man?!

Come on! Get security now!

You don't need no security.
That's my son!

Junior! Junior!

That's my son.

Junior!

Is he all right?

They found him unconscious
at the bottom of some stairs,

not far from where
they found you.

Is he all right?

We won't know for sure
until he's had a CT.

He took a pretty
hard blow to the head.

And you still have absolutely
no idea what happened?

GATES:
Damn it! V-fib again.

Anything I can do?

KOVAC:
Charge to 360.
GATES:
Come on, Donnie.

Charged.

Blew a pupil.
Clear!

Clear. Another amp of epi.

Dr. Gates, why is this patient
in brain stem failure?

Multiple hematomas push
the uncus across the free
edge of the tentorium,

compressing the brain stem,

knocking out his
vegetative functions.
Charge!

This guy's a goner.

Clear!

Okay, another round.
Charge at 360.

Clear!

Okay, that's it.

Clear the room and have Social
Work try to contact the family.

Gates, call it.

Time of death, 11:12 a.m.

HOPE:
How does it feel?

Throbby.
That will go away.

Can I get you anything?

Hot chocolate?
Or some Jell-O?

Is my dad gonna die?

You know, there's some
great doctors

working very hard right now to
make sure that doesn't happen.

You just need to try and
think positive thoughts.

You are a tough
little girl.

I can tell.

BARNETT:
Film looks good, Mrs. Paxon.
Your hip is back in place.

Thanks, it feels much better.

Hi, baby. You okay?

She's good.

Mrs. Paxon, we're going
to need your consent

for a procedure on your husband.

What? What kind of procedure?

There's a problem
with his heart.

Oh, my God.

Charlie, baby,
Mommy will be right back.

PRATT:
Mrs. Paxon, your husband's heart
has stopped from being too cold.

We need to perform
what's called a thoracotomy.

What is that?

It's a procedure where
we cut open his chest

and then we're going
to pour warm water

directly onto his heart.

That sounds dangerous.

Is there another way?

PRATT: It's not a
standard procedure,

but it's the fastest way
to get his temperature up.

That's why we need consent.

I don't know. I-I...

Maybe we could wait until he
wakes up and then we can ask.

Right now, the risk of
dying from hypothermia

could probably be greater than
the risk of this procedure.

I, I, I can't do this.

Mrs. Paxon...

...we cannot do this without
your permission.

What would your husband want?

Is he a fighter?

Yes. Yes, he is.

Then sign the consent.

Hey.
Hey there.

I haven't seen you.
Yeah, I've been buried.

Yeah, me too.
I'm knackered.

Lunch later?

Kovac has me on scut patrol
and this board is chock-full.

Maybe after your shift?

Yeah, I'll drive you home.
Okay.

Hey, Neela, they
need you in Trauma One.

I'm on my way.
I'll see you later.

Hey, uh, Angie's number.

I gave her the heads up,
she's expecting your call.
Thanks, Archie.

Said she has some great
family resort hook-ups.

Fun for the gremlin, swimming
with dolphins, water slides.

We might not be
bringing Gremlin.

Oh, a little kick start

to the old post-partum
love life.

I feel you, big guy.
All right.

Hey, Frank, I'm going
to get my caffeine on

if anybody's looking.

HOPE:
Hey, is uh...

Dr. Kovac going
on vacation?

Yeah-- little romantic
getaway, I guess.

They're getting married,
I just know it.

Abby was asking a
patient about wedding
cakes this morning,

and that little getaway
smacks of honeymoon.

Oh, have you met
Abby Lockhart?

Not exactly
the marrying kind.

We're female-- we're
all the marrying kind.

I can smell a wedding
a mile away, Archie.

It's like a sixth sense.

Still in v-fib.
No pulse.
Rib spreader.

All right.
Hold ventilation for a minute.

Okay, now...

as the lung deflates,
try to feel for the heart.

Okay, I feel it.
No effusion.

PRATT:
All right, good-- now you can
start internal compressions.

MALIK:
Got the first 10 liters.

Hey, Pratt.

Hey, Charlotte,
how'd you get in here?

The door.

We ready for
the saline?

Yeah, go ahead.

Uh, pour in the first liter
and get suction ready.

Come on, turn around.

You shouldn't see this.

BARNETT:
Okay, the first
liter is going in.

What are they doing to my dad?

Pouring warm water
on his heart

to help him fight off
the cold.

This is all my mom's fault.

You were in an accident,
Charlie.

It's nobody's fault.

She was driving
and they were fighting.

Well, families fight.

It doesn't mean that...

It's because she cheated.

That's why they're
getting a divorce.

Oh, thank goodness.

Sorry-- I came back
out and she was gone.

Come on, sweetie, your
mom's asking for you.

I want to stay with my dad.

All right.
Tell her mom she'll be fine.

It's okay.

I'm here.
Where do you need me?

Start internal compressions.
Sterile sixes to Neela.

What are you expecting a call?

Spencer.

I keep texting him,

but he hasn't written back yet.

BARNETT:
Charge!

Ladies and gentlemen,
we have a rhythm and a pulse.

DUBENKO:
Is this the father of the family
that got rescued?

PRATT:
Yeah, tried for 48
hours after an MVA.

Hypothermic to 84
degrees, v-fib arrest,

refractory to shocks.

Why is his chest open?

Bypass wasn't available,
so we did a thoracotomy

for a rapid re-warming.

Was that really necessary?

Well, we've got a rhythm back.

DUBENKO: Okay, we'll
close him up.

Suction fluids
from the chest.

Cover the incisions, so we
can take him to the OR.

Don't you want me to scrub in?

No, it won't be necessary.

This is a good teaching
case for Mae Lee.

Stay down and finish
your consult.

What's going on?

Oh, he wanted to
talk to his son,

so I was giving
him a few minutes.

Dr. Morris,
the police want to know

if they can
talk to the boy.

Yeah, yeah, yeah,
that's fine.

Hey, hey, man, what you doing?
We ain't finished yet.

Police need to
talk to your son.
What for?

They found him
at the scene.

They think he might
be involved.

Hey, don't say nothin', Junior.

Everything's gonna be
all right.

Damn, man!
Stop calling me that, man!

MORRIS:
We still gotta
wait for the CT

but, so far, it looks like
just a mild concussion.

My guess is he's fine.

So, did he tell you
what happened today?

Fell down some stairs.

He fell. That's it.

That's it.

SCANALONI:
You're only making this

harder on yourself,
you know.

O'BANNON:
Give it up, Junior.
Come on.

JUNIOR:
I told you
I don't know nothing!

O'BANNON:
88th Street Bishop
on Two-Niner turf--

what were you doing
over there, man?

We know you had beef
with Donnie.

Hey, where they taking him?
JUNIOR:
I don't know nothin'.

Up to that CT
I told you about.

SCANALONI:
Got one of Donnie's
homeboys saying

you two had words
this morning.
JUNIOR:
So?

O'BANNON:
Heard you guys got
pretty hot, got into it.

Why don't they just
leave him alone?

Hey, hey, lay
down, okay?

Come on, you don't want to pull
that chest tube out-- trust me.

Hey, yo, cop! Hey!

I'm in here!

O'BANNON:
What do you want?

Y'all want a statement?

Oh, now you're
ready to talk.

Yeah, I shot that punk.

Nine milli.

Would've capped
his ass again too,

but he got me before I could.

You shot him.

Yeah, that's right.

What, I stutter?

So why don't y'all
go on ahead and ask me

your little questions
for your little report.

What you wanna know?

We're treating the Paxon family,
so have search and rescue

contact us at County if
there's any information.

Dr. Lockhart--
L-O-C-K-H-A-R-T.

Didn't find
Spencer yet, huh?

Hey, guys, I made a latte run.

I remembered how much you
like extra cinnamon, Abby.

I'm gonna put them
in the Break Room.

Thank you, Hope.
Pratt, you got a minute?

Yeah. Come on, walk with me.

Hey, Pratt, I gotta sign out.

I have a family emergency.
Wait-- what?

It's really important--
I'll be back in the morning.

You know, there's always
something with that guy.

Hey, so check this out:
I got this OG with a GSW.

Just confessed to shooting
some kid from a rival gang.

But it doesn't add up.
I don't think he did it.

Okay, first he says he
had nothing to do with it.

Then he confesses.

I mean, if he did it,
why would he confess?

And if he didn't do it,
why would he confess?

How would I know?
Did you ask him?

Well, I thought maybe
you could talk to him.

Did you ask Kovac?
Why would I do that?

Uh, let me think.
Uh... chief of the ER,

great with people,
years of experience.

Yeah, but, you know,
this is kind of more
in your wheelhouse.

Whoa, whoa, whoa,
whoa, whoa.

And exactly what
wheelhouse is that?

You want me to talk to this dude
because I'm black.
Well, yeah.

I mean, you are
black, aren't you?
That's wrong, Morris.

What?! We do this
all the time.

If I had a pregnant girl,
I might get Abby.

Big Croatian-- Kovac.

I didn't come to you with
my autistic Irish kid.

You could've.
You should've.

Hey, what is the big deal?

You know that I love
the black man.

You don't want to get
into this with me.

Look, I got a black guy
from the inner city

confessing to a crime that
I don't think he committed.

Okay, last time I checked,

you were a black guy
from the inner city.

Forgive me if I thought you
could relate on a level I can't.

So you think that just
because we both grew up black

and poor, we somehow
magically relate.

Well, there's nothing
magical about it.

Black isn't just
one thing, Morris.

We don't all share some sort
of collective consciousness.

I know you may think we all
look alike, but we're not.

Thanks for making a coffee run.

Yeah, no problem.

There's sugar there, too.

Oh! Where is my
darn stethoscope?

It's the third
one I've lost.

I knew it!
What?

You're getting married.
Am not.

Well, why are you looking
at the wedding mags?

Because they're--
they're there.

And why were you asking

all the wedding cake
questions earlier?

I was... I was curious.

Okay. Fine.

Look me in the eye
and tell me you're
not getting married.

No.
Why not?

'Cause that's stupid. I...

I am not getting married.

You looked away!

I knew it,
I knew it, I knew it!

Oh, God... (gasps)

This one would look
so pretty on you.

Okay, listen, Hope,
Luka asked if we could just

keep this quiet.
It's in your eyes.

You have the glow.
I can't wait for the glow.

I can't wait to try
on wedding dresses...
Hope!

If you tell anyone,
I'll kill you.

(giggles)

Do you hear me?

Kill you.

As in dead.

Got it?

What's up, bruh?

Mr. Dunston,
I'm Dr. Pratt.

I'm gonna go get
his next dose of Ancef.

All right.

Looks like your bleeding
has slowed down.

Your lung should heal in
a few days with the chest tube.

Yeah, that's what
the other dude told me.

Y'all changing shifts?

No, no.

Not exactly.

Just thought maybe you'd
want to talk to somebody.

What, you like a shrink?

No.

I'm not a shrink.

But for some reason,
Dr. Morris thinks

you didn't commit the crime
you confessed to.

Oh!

So this like a black thing.

Hey, excuse me, nurse.

I'm sorry, you might
want to step out.

We about to have black man talk.
Ain't that right, Doc?

Hey, man, I'm trying
to help you.

Hey, go ahead,
break it down.

Why don't you tell me
what kind of help you think

I need, Doc.

You know what?
Forget it.

That's right, we ain't
got nothing to talk about.

You don't know me, fool.

No, I don't know you,
I know I work on

a parade of dudes
just like you every day.

Where you from,
Dr. Pratt? Huh?

You one of them
North Shore brothers?

Nah.
I'm from right here.

55th and Michigan.

So you think 'cause you got
your little doctor degree,

you got out the ghetto,
you can come back and judge me?

Nobody's judging you.

The mistakes you made
are all yours.

That's right.
And 20 years I spent paying.

I did my time, brother.

Strip searches,
nasty-ass food,

piss when they tell you,
take a dump when they tell you.

It's like you didn't even exist.

Everything--

your family, your friends,

your whole life
just disappears.

And you still didn't
learn a damn thing.

Hey, man, look here, I learned.

Yeah, but you're
still banging, right?

I ain't say that.

But, yeah.

(chuckles)

Yeah, I used to bang.

Back in the day, boy,
couldn't tell me nothing.

But then my son came.

I gave all that up, man,

years ago.

Now I'm just...

I just get
through the day...

trying to raise my boy right...

make up for lost time,
you know.

Then how come

your boy is concussed,
the other kid is dead,

and you're sitting here
with a bullet in your chest?

Mario?

Hey, Mario!

Hey!

When was his last morphine?

Four migs, about
an hour ago.

(groans)

All right, we got
muffled heart sounds.

Pressure's down, 80/60.

All right, give
me the sonosite.

Is there more blood
in the thoraseal?

No. Not a drop.

(groans)

All right, squeeze in
a liter of saline.

Mario! Mario!

Keith.

Hey, Ton', how you been?

I'm all right. Where is he?

He's over there.
You know I wouldn't

have called you
unless it was bad.

He started up with
one of my customers.

He almost got
himself killed.

GATES:
How much does he owe?

KEITH:
Tony, your pop, he's
on a bender, you know.

Most of the time, it's
just the weekends, but...

GATES:
Yeah, yeah,
yeah, I got it.

Mike.

What the hell
are you doing here?

Shouldn't you be off

playing doctor with
somebody's wife somewhere?

All right, that's enough.
Let's go.

Get your hands off me!

That's enough, you're done!

Let's go!

Little Tony.

(laughing)

Can't drain with a catheter.

We'll never get it all out.

This the tamponade?

He's a perfect candidate for
a subxiphoid pericardial window.

She's right.

Prep from nipples to umbilicus.

Pressure's only 80
after two units.

All right, he needs to be
decompressed now.

Masks and sterile gloves
for me and Mae Lee,

30 cc's of one percent lido.

You ever seen

a subxiphoid
pericardiostomy?

I've read about them.

Dr. Dubenko, I can...

It's a little crowded in here,
Neela-- could you run down

and tell the
Paxon family

dad's chest closure
went really well.

They can see him
in Recovery.

Two of versed.
Take the edge off.

MARIO (groggily):
What are y'all
doing to me?

Uh, we need to

drain some blood caught in
the sac around your heart

keeping it from
beating normally.

The CT on the Dunston boy

was clear-- no fractures,
no bleeding.

PRATT:
Okay.
MARIO:
Is that Junior?

Yeah, he's gonna be fine.

H... Hey.

Take a look at him, make sure.

TAGGART:
Versed's going in.

Here you go, Morris.

Hey, man, when y'all
gonna let me out of here?

Oh, my bad.

You got someplace to be?

Man, don't worry
where I got to be.

Just do your little chart,
and let me up out of here.

What, you got
a job to go to?

You going to school
or something?

(sighs)

Look, you got
a mild concussion.

Gonna get out
of here today.

It's too bad I can't say
the same thing about your pops.

Man, he ain't my pops.

Only time I ever seen that
fool was on visiting day.

Yeah, well, looks like you're
gonna be visiting him again.

What, you didn't know?

Yeah, man, he's going back in
for shooting that Two-Niner.

Hey, Dawn, what was
his name again?

Like, Donnie, right?

DAWN:
Mm-hmm, Donnie Moore.
Right.

Let me tell you
something, Junior,

your pops,
he ain't no joke.

He told five-oh everything.

Man, he must really want
all the credit for this.

Come on, man, you don't
have to front for me.

I mean, tell the truth, it's got
to be kind of cool, right?

To have a pops like that
with that kind of rep.

I mean, look at him,

the man's been shot eight times
and he's still here.

Yeah, that's one bad dude
right there, Junior.

Look, man,
don't call me that, man!

Look, he ain't
even do nothing!

I shot that fool!

(chuckles):
Yeah, right.

It was me!
(chuckles):
Yeah, okay.

All right.

Look, yo, five-oh!

Yo, get your ass
in here, man!

Look, he ain't
do nothing!

He ain't got nothing
to do with this.

I shot that fool.

Then this mother...

He tried to stop me,
so I shot his ass, too.

And I threw my nine
down the garbage chute.

Y'all look,
y'all find it, all right?

Look, man, you ain't
my father, man!

Look, stay out
my life, all right?!

You ain't my father!
You a bitch!

The hell you think
you're doing?!

Get off me, man!
You a bitch, man!

Come on, let's go.
No! Get off me!

Get your hands
behind your back!

Put him down,
put him down.

(Junior grunting)

Grab you a hot chocolate,
then go up and see your dad?

You sure you don't
want anything?

Oh, no, thanks.
I'm fine.

Okay.
Why is she
so sleepy?

Oh, no, it's just the medicine,
sweetie. She's okay.

Pulse 48, BP 75 systolic.

Spencer!
He's unresponsive.

HOPE:
Oh, my gosh, how
did you find him?!

Damndest thing-- they
triangulated his cell phone

from text messages
someone was sending him.

Spencer, it's okay.
It's gonna be okay.

HOPE:
I'll go get Dr. Kovac.

LOCKHART:
CBC, chem panel,

EKG, CK, warm saline, a Bair
Hugger and a portable chest.

Honey, stay out there
while we work, okay?

Hi.

Hi.

Hey, I got to go
wake up the mom.

Oh, yeah, Dr. Pratt
gave her five of versed.

You might want to
try Flumazenil.
You got it.

Are they gonna cut open
Spencer like they did my dad?

No, only if they have to.

I hope they don't have to.

MORRIS:
Only 400 cc's

of mediastinal output.

BP is 124/82.

Everything's
back to normal.

How about his crit?

Holding steady at 40.

This guy's as
tough as nails.

Hey, about earlier...

Ah, no, no, no.
Don't sweat it.

I just want you to know you can
come to me for help anytime.

Likewise.

All right.

Oh.
(chuckles)

All right.

Hey.

Yeah, uh...

not supposed to hang on
that long, Morris.

Oh, okay, yeah.

Or that tight.

Oh, yeah. Sorry.
(both chuckle)

Peace out, man.

All right.

So it looks like
you're good.

No more bleeding in your chest,
nothing around your heart.

Those tubes, they
stay in a few days.

Could I get
something to drink?

Uh, yeah. Water okay?

Just wanted to
apologize about

how things went
down today.

Don't even trip.

I should be thanking you.

Saved my life, man.

I meant your son.

I mean, you bust your ass trying
to protect the ones you love,

try to keep them from
making mistakes...

Yeah, and they
make them anyway.

Kept telling him to forget it.

Shot that Donnie kid
over nothing.

'Cause he looked at him
the wrong way.

Kids, man.

Guess you try to hold on
to them as long as you can.

Then one day,

got to let go.

And maybe someday
they'll come back.

Yeah, maybe.

Hey, good luck
to you, man.

Thanks, Doc.

Hopefully, I never
see your ass again.

(chuckles)

Hey. They found
Spencer Paxon.

Get out of here.
How is he?

Not great.

Well, do they need
some help in there?

Uh, Kovac and Abby
are in there.

You have a
good night.

All right.

Asshole slumlord.

You got one week,
Mike-- one.

Should've been paying me
to live in that dump.

Then you're on your own.

You can stay in my room.

Listen, Ton',
I want you to know,

I really
appreciate it, Ton'.

I mean, I really do.

You won't even
know I'm there.

Hello.

You're home early.

Yeah.

Everyone, this is Mike.

Mike, everyone.

It's a pleasure.

These are the Rileys,

Meg's parents.

Oh.

I'm sorry about your girl.

It's a damn shame.

Oh.

Where's the head?

Over there.

Who is that guy?

That was, uh, my father.

He wasn't feeling so well,
so I thought I'd help him out.

Is he okay?
Yeah, he's fine.

So,

how many paintings
did you steal?

Just one.
A lovely Degas.

Yeah, it's a poster.

We're gonna get it framed
for my bedroom.

That sounds terrific.

Tony, a minute?

Sure.

Everything okay?

She behave herself?

Yeah, you bet.

Had a great day.

She seems to be
handling it well.

Well, she has good days
and bad days.

You know, she's a fighter
like Meg.

We don't want to disrupt
her school year,

we know she's
been through a lot.

But we should start

working out the
details for the move.

She'll adjust quickly,
she's young.

Yeah, well, family's best.

Oh, yeah.

We have six acres,

Yeah.
the horses and
the good schools.

And we'll want
you to visit--

you know, birthdays,
Thanksgiving,

you're always
welcome.

Oh, thank you.
Wisconsin's a great place.

It is.

Hey, Grandpa?

Yeah?

What's up with
that secret ingredient?

It's secret now--
remember, don't look.

RASGOTRA:
You guys seen Tony?

Uh, he left early.

Gates leave me a
message, Frank?

Lemme check.

No.

BARNETT:
I'm out of here.

Uh, you leaving?

Yeah.

Hey!

I have info.

About Abby and Luka.

Excuse us, nosy Nellie.

Can you keep a secret?

(whispering):
It's confirmed.

The wedding is on.

No way. Wow.

I guess this means
I owe you dinner.

Have you ever known Abby
to be violent?

Your rescue kid is crashing.

Kovac wants you back in Trauma.

Please, can I go in there?

No, it's not a good
idea, sweetie.

Go back and wait
with your mom.

She'll be waking
up soon.

I won't freak out.
I promise.
Okay, fine, just
wait right there.

What happened?

Runs of V tach.
Need you for CPR.

Temp's 86.

Bypass should be
available by now.

Let's get the perfusionist
down here now!

I'm not cracking his chest.

Excuse me.
Mm-hmm.

Hi, I'm, uh,
Samantha Taggart.

This is my son, Alex.

Ms. Taggart, we've been
expecting you.

Nice to meet you,
Alex.

I'm Mrs. Dawson.

Need you to fill
this paperwork out.

Okay.
Okay.

Ho, yo, Greg,
what's up, man?
Hey.

How you been?

I'm good.
I'm doing good.

All right.

How about you?

How you think?

Yeah.

Stupid-ass question.

It's good to
see you, dawg.

Been a long time.
Yeah.

Too long.
Mmm.

But seriously,
I mean...

How you holding up?

(sighs)

It's hard, man.

Waitin' on trial
over a year now.

Food sucks.

Mostly, just miss
KJ, you know.

Miss seeing him
growing up.

Worry about him...

all the time, man.

Then I think about that kid
I hit when I was drunk.

His folks.

What I made them go through.

I don't want this for KJ.

I don't want him
to end up like me.

And ain't nothing I can do
about it in here.

Hey, D, um...

...man, I'm sorry I never wrote
you back, man.

So you got my letters.

Yeah, I got them.

Should've visited.

On the real, man,
I didn't know what to say.

I just know I hate
seeing you in here.

And believe me,

I tried to do everything
I could to keep you out of here.

But...
Yeah, yo, Greg,

don't even worry
about that, man.

All that's on me.

If it hadn't
been for you,

I'd probably still be
out there drinkin'.

It's all good, baby.

We straight.

You know I'll always be
your friend, man.

Thanks for coming.

For real.

Okay, Spencer,
can you squeeze my hand?

Come on, Spencer,
try to squeeze my hand.

There you go.
Good job.

Core temp is 94.

Nice work.

ICU ready for him?
Yep.

Is he gonna lose the
frostbitten toes?

Three of them don't
look salvageable.

Small price to pay.

I'm going to call Pratt.

He worked on the family,
I'll tell him the kid's okay.

Hey, do you want
to say hi?
Can he hear me?

Yeah... yeah,
yeah, yeah.

Spence, it's me, Charlie.

You saved us.

You saved us all.

Okay, let's go.

Move back, sweetie.

(sighs)

(phone ringing)

Hello?

Oh, hey, Abby.

Really?

Oh, wow, that's, that's,
that's great.

No. No.

No, I appreciate the call.

Thanks for calling.

No, no, no, no, I'm fine.

Really, that's really
great news.

I'm just... just tired.

Yeah, it's been a long day.

All right then.

All right.

Good night.

(sighs)

BARNETT:
You remember that?

RASGOTRA (laughing):
How could I forget?

Okay, yeah, that was,
that was a fun night.

That was a fun night.

Oh, God, it seems like
a million years ago.

Well, we need to do
that again sometime.

Minus the whiskey.

I can't bounce back
like I used to.
Ooh.

Yeah, tell me about it.

Well, thanks for the ride.

I'll see you tomorrow.

Mm, I'm off.

Okay, then...

I'll see you when I see you.

Neela...

We'll just show you
to the room then.

Okay, buddy.

Behave yourself, okay?

I'll see you
in a couple of weeks.

Mom, I don't want to stay here.

Come on, it's going to be okay.

Mom, please.

I'll be better. I promise.

Okay. I'm sorry.

I'm sorry.

Hey.

You gotta be brave,
okay, baby?

I love you.

Mom, I'm sorry, okay?

Mom, please!

Mom, I'll be better, okay?

Mom, I'm sorry!

I'm sorry.
Please.