ER (1994–2009): Season 13, Episode 19 - Family Business - full transcript
Kovac and Gates deal with a hopeless father whose son succumbs to heart failure; Pratt tries to resolve the tension between him and his brother; an Armenian man tries to be a good samaritan but ends up crashing near the ER; Abby sneaks in baby Joe when she worries his sickness may be worse than it seems; Also, Sam injures the instructor of a self-defense seminar.
Previously on ER:
You got one week,
Mike, one.
I want you to know,
I really
appreciate it.
You won't even
know I'm there.
There's just a lot
of stuff going on.
Gates?
I want to sort it out.
I'm trying to sort it out.
I just need a bit of time.
I work on gay patients
all the time.
I work with gay doctors.
Greg, you're a
lot more like Dad
than you realize.
No...
It's not coming
out like I mean.
I sure hope someday
you prove me wrong.
Are you my dad or not?
There's a simple test
we can take.
It's called a paternity test,
and, um...
if you want...
we can take it tonight.
I'm in pain.
I've been here three hours.
Yeah, I'm sorry, sir,
we're very busy.
You haven't done
crap for me.
I'll try to find
a doctor.
You said that
an hour ago, bitch.
You know what?
I'm doing the best I can,
so why don't you
just settle down, okay?
No, you settle down.
Ow!
(groans)
Okay, so what went wrong?
She didn't stay calm.
Her tone was threatening.
She needed to keep
her distance.
You okay?
All right, good.
So let's review the key points
of managing assaultive behavior.
I made coffee.
Thanks.
That your history project?
No, I'm paying
the bills.
Huh?
You've been late three months
in a row on everything.
Sarah...
I don't want them turning off
the electricity, okay?
Is that my checkbook?
You take my checkbook?
I'm just making them out,
you still have to sign.
Sweetie, I know
you're trying to help.
Good morning.
Hey.
Nice outfit.
Job interview.
What kind of job?
Executive assistant.
That's a fancy name
for answering the phone.
Maybe he can help with the rent.
We have $90 to get us
through the week.
Look, if this thing
comes through,
I'll be out of your hair
in no time.
Yeah, right.
Hey.
All right, shredded wheat
or corn flakes?
So how you been?
I've been all right.
Hey, how about those Cubs, huh?
Catch that game last night?
Some win.
No.
All right. Um...
Okay, so you invite me
to breakfast
to talk about baseball.
No, it's something else.
I want to fix things.
CLASS: Neck! Knees!
Ha!
Good, good.
Nuts!
Good! Good!
Ha!
All right, Lily.
(applause)
Now remember, the
goal is to diffuse
violent behavior.
This training is just
a last resort.
Next.
Come on, Sam.
Go. Go.
(groans)
Whoo-hoo!
Kick his ass, Sam!
Go!
You ready?
(chuckles)
CLASS:
Nose!
Come on, you can do
better than that.
CLASS:
Nuts!
Show me
some strength.
All right, I just don't
want to hurt you.
I've got enough padding
on to stop a tank.
Come on.
CLASS:
Neck!
I'm worried about you, Sam.
Bad guys will rip a little
lady like you to shreds.
Oh, really, you think?
Yeah, I know.
CLASS:
Knee!
(groaning)
Ah!
Look, I've been
thinking about it a lot.
I let you down.
I know that.
But it doesn't matter
what you want to do
or how you want to live,
I'm still your brother.
See, when I
pushed you away,
I messed up.
But I can do better.
I think we both can.
Look, it's just like
when you moved in.
You know, you...
you could've been
a little bit more honest.
You could've told me what
was really going on with you.
I didn't know how
to tell you.
What, are you in some 12-step
program or something?
No, man, it's just...
I spent too many years
pushing people away.
I don't want to do that anymore.
That mean you're going to be
talking to Dad?
Let me work my way up to it.
I'll give you that.
(chuckling)
It's been five days.
So?
So, fever without source
freaks me out.
It's a virus.
Yeah, or it could be
a serious infection
that we're missing.
Look, he's playing well.
He's eating.
Joe's not sick.
Well, I'm going to check
this, just to make sure.
Abby...
What?
What? I got a little urine
sample this morning, so?
HALEH:
Dr. Kovac.
Bad CHF, Trauma Two.
Okay.
Uh, class over already?
It ended a little early.
(door closes)
You're being silly.
If this were
someone else's baby,
you'd tell them
not to worry.
All right, you're right.
He probably just
caught my cold.
Hey, Timmy.
You're back.
And better than ever.
Um, can you send
this for a U.A.?
Uh, which patient?
John Doe.
A'ight, I'll
take care of it.
Officer Litchman
needs a room.
Curtain Two.
And hold for a chart.
This is a nice move, we were
supposed to be off till noon.
TAGGART:
Sorry.
Whoa.
Dislocated patella.
How'd that happen?
He was teaching
the Assaultive Behavior Class.
Nurse here got a
little carried away.
Kicks like a mule.
You said bring it on.
I wasn't expecting
Bruce Lee.
So how long's
this gonna take?
Normally, all day.
But under the circumstances,
I'll try to get you out
in less than an hour.
Yeah, right.
I'll bet you
a donut I can.
Man, you sure know how
to get a cop excited.
(chuckles)
Crackles to the apex.
40 of Lasix.
Feels like I'm drowning.
Ever have fluid
in your lungs?
A heart attack?
High blood pressure...
high cholesterol.
Can someone call my dad?
"Rutley and Son.
Heating and Air Conditioning."
Your dad still works?
He lives with me. I...
I moved my office home
to look after him.
HALEH:
BP's 195/120.
Okay, nitro drip at 40 mikes.
What meds you on?
Nothing?
Nothing for your pressure?
Cholesterol?
Ran out.
How long'd you go?
Long time.
Please call my dad.
He's expecting me.
12 lits here.
What about your doctor?
Who's your doctor?
His name's on my insurance card.
I'll see him tomorrow.
You're in congestive
heart failure.
You need to be
admitted to the ICU.
I'm fine.
It's my dad I'm worried about.
CHAZ:
I was really bummed out
about the way
we left things, too.
Hey, man, I'm glad
you came down to meet me.
You know, if you
ever need anything,
I'm here for you.
Actually, I could
use a favor.
I'm applying for
a part-time job, and...
it'd help if you could
write a letter or something.
Huh, what kind of work?
An EMT at the
fire department.
Really?
Yeah, money's good,
flexible hours.
Perfect for a student.
EMT, huh?
What's wrong with that?
Well, you know, they're not
the most open-minded
individuals,
if you know what I mean.
Yeah.
I mean, it's definitely
a "don't ask, don't tell"
type of situation.
I mean, if you're
gonna fit in,
you got to just be
one of the boys.
Well, I know how
to handle it.
And if it works out,
who knows?
Maybe I'll think
about med school.
(chuckles):
Don't do it, man.
Really?
I see what you do.
It's good work.
Really? So you're
thinking about
emergency medicine, huh?
Oh, hell, no.
Plastic surgery.
If I'm going to put in
all that work,
I need to make some coin.
(chuckles)
No, the swabs were sent in
three weeks ago.
Anthony Gates, Sarah Riley.
Yes, I can hold.
Hey, trauma coming in?
Crohn's fistula.
Paternity results never
came back.
How's Sarah
holding up?
She's all right, she just
doesn't want to talk about it.
Must be on her mind.
She's moving on.
Today she finds
my checkbook,
pays all my bills.
Really? Maybe she
can become a CPA.
You know, when
I was 12 years old,
I stood in line all day
and waited for
The Return of
the Jedi premiere.
That's all I want
her to do.
Be a Star Wars nerd?
No, be a kid.
No.
They didn't come
in the mail. I didn't
get them in the mail.
Can you just tell me
over the phone?
KOVAC:
Gates.
Fine.
Send them again.
You okay?
Yeah.
We'll catch up later?
ICU said one hour.
We're going to the cath lab.
Is he stable enough?
Well, we'll
stay with him.
If they can open up an artery,
maybe it'll reverse
his heart failure.
My dad.
Oh, yeah.
We called him, he's on his way.
I got 50,000 in mutual funds.
First National.
Okay. See if his B.U.N.
and creatinine are back.
Got it.
Hey, Gates.
Hmm?
Who do you know at the CFD in
the paramedic training program?
Everyone.
Any of them
actually like you?
I'm popular
everywhere I go.
Hey, Sam,
we need to check a post-
reduction film before he leaves.
Yeah, we're just going
to the roach coach.
She owes me coffee.
What?
You owe me a donut.
So let's say I had a friend
who wanted to be an EMT.
Very tough,
very competitive.
Lot of applicants.
It's my brother.
Your brother?
Family?
Why didn't you say so?
I'll be his hook.
His what?
Well, in city fire,
you need someone
on the inside
to help you move up,
you know?
I'll help your brother
out, no worries.
From now on, I'm his rabbi.
(sighs)
What makes you think
I'm buying you coffee?
It's the least you can do,
after you destroyed my knee.
Oh, it's not even broken.
Your kneecap just
slipped out of place.
So where'd you learn
moves like that?
In high school.
That's a hell of
a P.E. class.
Yeah, took a little
Muay Thai, some Krav.
Yeah, I had to learn
to protect myself.
From the football players
who wanted a date to the prom?
(chuckles):
No.
From the metal heads
who wanted a quickie
behind the Dairy Queen.
(chuckles)
Damn, you know,
you're full of surprises.
Sam!
(yelling in foreign language)
(tires screech)
(screams)
Move, move, move!
(clattering)
How's your guy?
Good vitals.
What about the driver?
Ask Bardelli.
Any neck pain?
No.
Do not move.
I'm okay. Ow! God!
I put my knee
out again.
Easy, fella.
(speaking foreign language)
Is he altered?
Kind of hard to tell.
Let's get him
on a board.
Sam, open up a trauma room.
Got it.
That idiot came
out of nowhere.
You think he's drunk?
I don't know.
PRATT:
One, two, three.
Sir, what's your name?
Do you speak English?
(speaking foreign language)
Got to assume
he's altered.
Yeah, pupils equal
and reactive.
Hey, guys...
(speaking foreign language)
All right, let's start with
a trauma panel and a C-spine.
Can you unlock the door?
I'll tape his head down.
Look, just unlock
the damn door!
Whoa! What's the matter?
Something's moving
in there.
Two more victims.
Oh, man!
Looks like we got
an adult male and a little
boy, both unconscious.
Excuse me.
How much longer?
Your son's still up
in the cath lab.
So it'll be
a while?
It's hard to say.
Should I wait
right here?
Let's get a cup of coffee,
Mr. Rutley.
We can try 1.25
of I.V. enalopril.
Okay.
Is that you, Danny?
Yeah, I'm Dr. Kovac. Hi.
Wayne Rutley.
What is all this?
Uh, during the cath,
the fluid in his lungs got worse
so we had to put a breathing
tube down his throat.
Are you having any pain?
Sir, he can't talk
with a tube in.
Are you a relative?
A home health aide.
Is this a heart attack?
It's a cardiomyopathy.
A what?
His heart is squeezing
very weakly.
He's young.
He's got a good heart.
He's had untreated high
blood pressure for a long time.
He's always working.
He never gets
to a doctor.
Been short of breath
lately?
I just met him today.
Danny calls an agency
when he goes out
to bid on a job.
He... he thinks I need
a baby-sitter.
His eyesight's not so good,
and he has
memory problems.
Were they aluminum ducts?
I told you, you need
galvanized sheet metal.
Tight wheezing,
he's barely moving air.
Trauma One,
let's get Gates on this.
Head lac,
good vitals.
Okay.
Little guy's concussed.
GCS 14.
Okay, good.
Exam Two, both of them.
Might take a little
longer this time.
Yeah, I know. Some of the others
look pretty bad.
Hey, next time we go out,
I'm driving.
(man speaking
foreign language)
Does anybody know
what language this is?
Sounds like Farsi, maybe?
Kid needs a line.
Grab a buretrol from Trauma.
(man speaking
foreign language)
Hey, take some
deep breaths, okay?
Give the medicine
a chance to work.
Hey, Bards, Cap Mahoney
still with 43's?
Had pancakes with him
this morning.
Have him check
his e-mail.
You picking up shifts?
No, it's about an EMT applicant.
Cap Mahoney's on the EMT
selection committee.
Key player.
Oh...
Hey, Pratt,
what am I missing?
Uh, tight asthma.
He might be biting plastic soon.
Everyone else is stable.
Dr. Kovac!
V fib,
paddles are charged.
What happened?
Clear.
(gasps)
HALEH:
Normal sinus.
Got a pulse.
Thank God.
Is your son married?
He never met
the right girl.
And your wife?
She passed in '82.
You're doing better, Danny.
Open your eyes.
90/65.
Up the dopamine.
Hang in there, pal.
Hang in there.
More cricoid.
Sats are dropping.
Pull out.
His cords are way anterior.
He's getting
harder to bag.
All right.
Sam...
Kid's starting to open his eyes.
Okay, good.
Look, I need an
ET view now.
All right, be right there.
Head CT's clear
on flower guy.
Oh, good news.
You need a Farsi
translator?
Oh, yeah.
He's got a head injury,
so he... he might
be disoriented.
(speaking Farsi)
(speaking foreign language)
(speaking Farsi)
(speaking foreign language)
He doesn't speak Farsi.
I think that's Armenian. Sorry.
Any Armenian nurses
up there?
(speaking Armenian)
Hey, that's him.
(speaking Armenian)
Hey, how do you know
this guy?
He saved us.
Where's my brother?
Oh, hey, hey,
hey, hey, hey, hey!
Julio, it's me, Tomas!
You got to move it
to the right.
That better?
No.
He has asthma.
Yeah, we figured
that part out.
They're brothers.
So how'd this happen?
We were going
to the drugstore.
He couldn't walk.
Then he couldn't talk.
The guy with the flowers
threw us in the back
and drove to the hospital.
So Yakov over there
is the Good Samaritan.
Aw, damn it! Bag him up!
He dropped his spray,
if you need it.
No.
Okay, come on, Tomas.
There's a better place
to wait.
I want to stay
with my brother.
Yeah, but it's okay.
We'll be back
in a few minutes, okay?
You want to try
fiber optic?
Nope, I want Sam.
I got a guy
who's not breathing.
Okay, I can wait.
I'll be there soon.
Got everything.
Pulse ox 89.
All right, sats are good enough
to tube, huh?
No, I want a cushion.
Let's get him up to 95.
All right, we'll wait.
There's a little tiny camera
at the end of this tube.
Uh-huh.
You're all set.
All right, slow down, Lily.
He's got a long
expiratory phase.
Hey, I can get a copy
of last year's EMT
exam for your brother.
Good.
We're up to 92.
All right, grab
an end tidal detector, will you?
Also, we'll find out
who's doing the interview.
You know, find out
his hobbies,
his favorite sports team,
stuff like that.
Okay.
All right, we're up to 95.
All right, cool.
Is it okay
if I do this?
(sighs) I'll give
you one shot.
All right.
Need a laryngoscope?
Yeah.
No.
No.
Just watch
the screen.
And pass it through
the cords.
Right.
I knew that.
All right, come on.
Let's go.
All right, taste buds...
tonsils...
epiglottis...
and the promised land.
Straight shot
through the cords.
All right, bingo.
Stopping short of the carina,
and bag him.
Nice.
Looks like Kovac
could use a hand in there.
Oh, yeah.
Doesn't look so good.
All right, uh, thanks
for letting me do this.
This was a good thing
for me to learn.
HALEH:
V fib.
KOVAC:
Can you take over
compressions?
No problem.
Okay, another
amp of epi.
Charge to 360.
Good. Shock him.
It worked before.
Clear.
Still in fib.
Mr. Rutley, we're not
making much progress here.
What's that supposed
to mean?
His heart is too weak.
It's not responding
to our medicine.
You, you're not giving up?
No, we're not giving up.
I just need you to understand
that it's not
looking good.
You're saying he could die?
It's a possibility, sir.
Oh, he's, he's my son.
(voice breaking):
He's my little boy.
Don't leave me, Danny.
(quietly):
Call the
social worker.
Don't leave me!
Don't leave me!
I'm in pain.
I've been here
for three hours.
I'm sorry.
You haven't done
crap for me.
Oh, don't start that again.
Look where it got me last time.
All the docs are busy. I need
an order for I.V. sedation.
Can't you pop it in?
Without painkillers?
I've been shot before.
I can handle it.
Uh, I think
a doctor should do it.
Come on, Sam,
don't be a wimp.
Just pop this baby
back in place, so we...
Oh! Oh...
Hey,
hey, tough guy?
Wake up.
Asystole.
GATES:
Resuming compressions.
Mr. Rutley, it's been
45 minutes.
Should a cardiologist
see him?
They'd do the
same thing.
It's too late.
No!
No, no!
We're gonna stop now.
I'm sorry.
Danny...
Danny!
Oh, my God!
(sobbing):
Oh, my God!
What am I gonna do?!
Sir, there's a social
worker here
that can help you.
How could this happen?
How could this happen?!
How could this happen?!
(sobbing)
I'll do the
coroner's paperwork.
(sobbing)
I'll make sure
he's taken care of.
(sobbing continues)
Danny...
Tidal volume 700,
AC of ten.
Okay.
How's the X-ray look?
Good?
Ah, well, he might
have a small pneumo.
Call Radiology
for a wet read.
Okay.
How long's he going
to sleep?
Mm, might be a while.
After he wakes up,
we can go home?
Well, you know,
he's gonna have
to be here for
a couple days.
Can I stay with him?
Yeah, but you're gonna have
to go home at night.
By myself?
No, we're calling
your parents.
No, it's just us.
Ever since Mom died,
Julio's my guardian.
You don't have
any aunts or uncles?
Okay, we'll figure
it out, and you can
hang out
here for now.
All right?
Good. I'm staying
with you, J.
I'm gonna stay
right here.
Hey, tough guy, wake up.
You need a doctor?
Uh, no, he just vagalled.
I'll check his vitals
in a few minutes.
Abby, urine's clean
on John Doe.
Oh, great.
No leuks,
no nitrates.
Thank you.
Hey, Timmy, repeat
knee on Litchman.
Okay, wait.
How does a ten-day
cruise turn into
two months?
(laughs)
Gracie will fill you in.
Yeah, she's not talking.
Okay. After we docked
in Singapore,
I showed her
some of my old haunts.
We climbed the temples
of Penang,
we cycled
the Quang Ninh coast
and we elephant-trekked
through the Ratanakiri.
Elephants?
Yeah.
In fact, we got hung up
at the Cambodian border,
and we'd still be there
if Gracie hadn't
tapped into her 401K.
That's too much
information.
Hey, Miranda,
how's he doing?
102?
Well, did you give him
the Tylenol...?
Okay, well, call me
after his nap. Bye.
No relatives, no
long-term care
insurance.
The guy worked all day,
took care of his
dad all night,
but didn't plan
for this.
Take-home lesson?
Don't assume
you're gonna
outlive your dad.
Abby, Pratt says
you need social work
for your asthma kid.
Thanks.
Gates, don't get too busy.
There's a guy out in
the lobby looking for you.
(clipboard clatters)
Hey, I thought
we could grab lunch.
You have five minutes.
How'd the interview go?
Not so great.
Not so great. You didn't
get the job, right?
No.
What happened?
Well...
What?!
I don't know
anything about Word.
And what the hell's Excel?
So it wasn't a good fit.
Since when do you
need a computer to
do a day's work, huh?
What about, uh, Chuck Mooney's
construction company?
He sold it.
What about, uh,
what's his name?
Your friend, Billy
Prior's restaurant?
Turned it into
a yoga studio.
Something will come
up hopefully.
No.
You know, actually you can...
you can help me out tonight.
I don't want Sarah cooking.
Why don't you, uh...
why don't you go
to the grocery store,
get some groceries,
and, uh, cook dinner tonight?
I can't take your money.
Just do it.
You used to love
to cook at the
firehouse, right?
You loved cooking.
Yeah, yeah, yeah.
I could do a
chicken pot pie.
Maybe a London broil.
Yeah, yeah, yeah.
The boys always liked
my London Broil...
Surprise me. Surprise me.
Patients are in
the hall, Abby.
Water pipe burst.
Okay.
Um, Rose Nichols?
That's me.
Hello.
I'm Dr. Lockhart.
Let's see... fever
and a cough.
For almost a week.
Okay. How you feeling?
I'm a little
under the weather.
Yeah, well...
There's a lot of colds
going around,
and sometimes it takes
a couple of weeks,
but kids usually get over it.
81?
Maybe we're not getting
a proper signal.
Let me see.
Uh-oh.
What?
Sounds like pneumonia.
And her oxygen level
is really low.
So I think we're going
to have to admit you.
Everyone said she was fine,
but I knew it was more
than a cold.
Okay, he's cleared
for discharge.
(speaking Armenian)
How are the boys?
Oh, they're doing well.
(speaking Armenian)
What?
He's asking you for a date.
Oh, well, we'll
repeat the head CT.
I think he's
still altered.
(speaking Armenian)
I didn't know you were here.
Yeah, I just
got here.
Ah, it's lots
of trauma today.
I heard.
The guys from my old band--
they're playing this
Saturday night at Exit.
I might be on call.
So we're still waiting?
It's only been
a week.
Okay. I'm gonna go clear
some of these beds, all right?
Okay.
See ya.
Sarah...
Have you seen Tony?
Well, I can
look around.
No, I'll wait.
Okay.
Or maybe you
can help me.
Sure.
It's kind
of personal.
Okay, come on.
I need a vaccine.
Which one?
HPV.
To prevent
cervical cancer.
Right.
But the school nurse gives it,
and you need your
parents' permission
or your grandparents'
permission.
They wouldn't
understand.
Does Tony know about this?
Not yet.
You gonna tell him?
No.
It's private.
It's okay.
I mean, you can tell him.
If you want to.
Why didn't you go
to your pediatrician?
He only takes care
of little kids.
Besides, I think I need
a new doctor anyway.
Do you know a good GYN?
KOVAC:
So you can't place him?
The best I can hope for
is a crappy nursing home
that'll except $100 a day
from Medicaid.
He's not sick
enough for a
nursing home.
He needs
assisted living.
Neither Medicaid
nor Medicare will cover that.
And he can't
afford it.
What about the
son's assets?
They'll be tied up in probate
for a year.
I've tried three
board and cares.
They want cash... today.
Greedy bastards.
But we've got
a bigger problem.
I'm not sure he's competent
to consent
to nursing home placement.
He didn't seem
that altered.
His Alzheimer's gets
worse as the day goes on.
KOVAC:
Sundowning...
We need someone with
durable power for his
health care decisions.
The son had it.
A lot of good that
does us now.
We're scrambling to get
an emergency state guardian.
Hey, any luck finding
a foster home for Tomas?
Piece of cake
compared to this.
Dr. Pratt.
You called for
a wet read?
Uh, yes, I did.
A possible pneumo.
Excuse me, please.
I haven't seen you
in a few weeks.
I was doing an invasive
fellowship in Dallas.
For six months.
Really?
Well, I sent you
a few e-mails.
Never got
any of them.
Well, you must
have changed your address.
I've had the same
address for seven years.
So, you think there's
some pathology here?
Palpitations like
your heart skipping a beat?
More like it races
every now and then.
Hey, Ray, can I get you
to look at a knee?
Yeah. Excuse me.
(monitor alarms beep)
It's happening!
Get the crash cart.
My chest is going
to explode!
He's got a pulse.
100 of lido.
Anything surgical?
Uh, stable V tach.
(alarms stop)
Responding
to lidocaine.
Ah, that's better.
Well, I guess you won't
be needing me, then.
BARNETT:
A milligram
a minute.
Titrate up. P.R.N. ectopy.
Uh, hey.
Hey.
I left a consult on your asthma
guy from the crash.
Thanks.
RECORDING: Diagnosis-- accute
lower G.I. bleed, probable...
Did you know Sarah was here?
Huh?
She's asking for
the HPV vaccine.
You're kidding me?
Does that mean she's...?
No. We didn't
get that far.
She wants the whole world
to know how grown up she is.
Well, I wouldn't
worry about it.
It's just a phase that
girls go through.
KOVAC:
Gates!
Coming.
RASGOTRA:
Good luck.
Thanks for your help.
I'll hold.
It's a miracle.
We got a guardian assigned
and two nursing homes
to choose from.
Great. Thank you.
You're welcome.
Think he'll be able
to decide
which one he wants
to go to?
Well, let's hope so.
Hello, Mr. Rutley.
Hello. Uh...
When am I leaving?
Well, that's what
we're here to talk
to you about.
What's there
to talk about?
We've found a couple
of places that can
take you tonight.
What kind
of places?
Convalescent homes.
Oh... I have a home.
Well, you're going to need help
now getting around... meals.
No, I have help,
I have meals.
We eat dinner at 7:00.
Somebody ought to call Danny--
tell him we're going to be late.
Wayne...
you know about Danny.
Remember?
Sure. He went out to bid
on a job this morning.
He ought to be home by now.
Wayne, you know Danny was
in this hospital today.
What? Danny?
Nah, Danny's not sick.
He had
a heart problem.
What?
Nobody told me
anything about that.
His heart stopped beating.
We worked on him
for over an hour.
Where is he?
I...
He's better now?
He died, Wayne.
(gasps)
Danny's dead.
No.
No!
No, I don't believe it.
That's not possible.
Where is he?
I want to see him.
Where is he?
He's, uh... he's in
the morgue, Mr. Rutley.
What?
Take me there.
Take me there.
(sobbing)
Take me to my son.
Please, please,
I want... I want to see him.
I need to see him.
I want to say good-bye.
The CDC recommends
starting the HPV vaccine
when you're 11.
All right, we need to
talk about this.
Okay, let's talk.
HPV is a sexually trans...
I'm not having sex, okay?
But when I do,
I want to be responsible...
Even if I said yes,
your grandparents
have to sign off on...
Okay. Do you realize how
stupid this is, though?
I'm old enough to go and
get birth control on my own,
but you won't let me go
and get a vaccine
that could
save my life.
Sarah, you're 12 years old.
Yeah, I know.
What's the rush?
I'm not rushing.
But I can't help it if I'm
growing up now, can I?
(groans)
Need you to fill out
transfer papers
for Mr. Rutley.
All right, I'll be
there in a second.
Can we continue this
at home, please?
So I can't get it now?
Not today.
That's so unfair.
(sighs)
All right, we got you
five days off work.
Hmm, I have a self-defense
seminar tomorrow.
Want to fill in?
(chuckles)
(monitor alarm beeps)
Oh, crap.
V tach again!
It's the third time.
I need Ray.
I'm on lidocaine
and amiodarone.
Shouldn't I be in the ICU?
Hey...
(alarms stop)
Have you been faking this
this whole time?
No, I had an itch.
BARNETT:
What's going on, Sam?
What are you doing?
Is it his heart?
No, it's
his finger.
Ah.
(alarms beeping)
(gasps)
Uh-oh.
V tach again.
Sam...
It's a shockable rhythm.
Shockable?
KENNY:
Uh, no.
Clear!
No...
(yells)
Crazy bitch!
Yeah, you're
the crazy one.
Sam, have you
lost your mind?
Come on, it's
only ten joules.
Really?
Oh!
(gasps)
Yeah, I guess
that's not so bad.
It's called a negative
Mach band.
Looks like something's
there, but it's not.
Doesn't even exist.
Wow.
It's a retinal
phenomenon.
The eye is fooled at a
light-dark junction.
Always something
new to learn.
Glad you're back.
Thanks for the help.
Hey, hey, hey, hey.
How 'bout, um...
we grab some dinner
sometime after work?
Maybe.
Call me.
Danny.
Pick up the
phone, son.
If you can hear me,
pick up the phone.
Uh, you... Oh.
Is this one yours?
Yeah, yeah.
I don't like leaving
messages on the machine.
Mr. Rutley, let's get
you back to your room.
I need to call my son.
He doesn't know I'm here.
Please.
(men yelling in Armenian)
Guys...
Guys... hey, hey, hey, hey!
Hey! Knock it off!
(shouting stops)
I-I'm sorry. I-I'm upset.
My brother--
he totaled my van!
Yes, but aren't you happy
that he's okay?
Without van,
my business is dead!
All because he
drives like madman!
Sir, he saved
someone's life.
Yeah.
What are you talking about?
He was speeding because he
had a sick patient in the back.
(speaking Armenian)
(speaking Armenian)
I-I'm sorry.
I didn't understand.
(speaking Armenian)
Hey, Pratt.
Yeah.
I need you to
sign the discharge.
All right. You got
any questions, man?
Yeah, can I go
out on crutches?
(chuckles)
It's hospital policy.
Wheelchair is safer.
Oh, all right,
I'll make an exception.
All right.
(gasps) Hey, Joe.
Hey, how you feeling?
I missed you. Hello.
His temp's down, but he
didn't want the bottle.
Oh, my God, look how
big he's getting.
Yeah.
You need me to stay?
No, thanks.
Have a good night.
(Joe fussing)
Shh. Shh.
I know.
Hey, Sam, is
Exam Two open?
Uh, yeah.
Oh, look. This is
where Mommy works.
Look. Greg, I need a favor.
Okay.
You're taking me home?
You're going to
a nursing home.
No, those places
are for old folks.
That's where you're
going to live.
No, I told you,
I live with my son.
Mr. Rutley...
Hmm?
I, I spoke to your son.
Oh. Is he, is he picking me up?
He wants you at the new place.
He does?
Is he gonna be there?
I'm sure he'll,
he'll find a way.
So... so we can
have dinner together?
If that's what you want.
Eh, I guess it's okay.
Tell him I won't start
eating till he gets there.
Hey, Luka, I'll
be right with you.
Well, all right, Officer.
You're on your own.
Thanks, Sam.
You've been great.
I think your day
might have been
a whole lot better
if you never met me.
Not so sure about that.
Hope I see you around.
Yeah.
(mutters)
You need a pen?
Uh...
Oh, oh, see?
"Rutley and Son.
Since 1959."
Well. Thank you.
When we started,
it was just me.
Now Danny's got four guys
working for him.
He's a good kid. Hmm...
I'm a lucky guy.
Take care,
Mr. Rutley.
Yeah.
Are you okay?
Yeah. Yeah.
Are you, uh... still
in touch with your father?
Not since I
was three. You?
He's in Croatia. I haven't
been there in a long time.
(door opening)
Hey!
What's for dinner?
Spaghetti.
There's more in the pot.
I'll go shopping
after dinner, okay?
I don't think so.
We have to eat.
Come on, Sarah, I know
what you're doing.
What?!
Cooking, shopping,
paying the bills.
Somebody has to.
I want you to be a kid.
Please, just enjoy
being a kid, okay?
Right. I forgot.
I'm supposed to text
my friends all day
and hang out at
the mall, right?
What's wrong with that?
I like taking care of the house.
Just let me do it.
When you become older,
you'll have plenty
of responsibility.
(door opens)
Trust me.
(slurred):
Hey...
Smells pretty
good in here.
What is that, lasagna?
(dishes clattering)
Where are the
groceries, Mike?
Oh, shoot.
I knew I forgot something.
Right. Sarah,
go do your homework.
I'm not finished yet.
Now!
I gave you
a hundred dollars.
I know.
For food.
How much you got left?
I don't know.
Give me your wallet.
Tony...
Give me
your wallet!
Six bucks?
Six bucks?!
Well, it was
Lou Sanders' birthday,
and so I bought
a couple of rounds.
(groans)
No otitis, no
pharyngitis, no nothing.
You sure?
Yeah, I'm sure.
This is the
healthiest kid
I've seen in a long time.
Really?
Really.
Really.
Okay.
Well, you know, the
baby-sitter was in
the neighborhood,
and she was worried
so I, I thought
I'd get a second opinion.
I see.
Thank you.
(gasps) There's Daddy.
Say hi.
Hey. (speaking Croatian)
What's he doing here?
Um... I don't know.
It's a warm night.
I thought we could all take
a walk to the pier.
Nice. Let me go grab my coat.
I guess, uh... his urine
tested negative?
Pratt doesn't think
he needs a CBC?
No.
I know, you think
I'm acting crazy.
No, I think you're
acting like a mother--
a slightly crazy one.
Did you dispo the
Alzheimer's dad?
Yeah.
Poor guy.
It's so sad.
Ah... he's lucky.
What?
He doesn't have to remember
losing a son every day. Hey!
(cooing)
(babbling)
(murmuring)
How're you gonna keep a job if
every single little
problem sends you right
back to the bar?
I don't need
that kinda job.
Well, you need something.
I am a damn firefighter.
I rush into burning buildings,
I axe my way through
roofs that are collapsing.
I save people's lives,
and now some snotty rich kid
is trying to tell me
how to make his coffee,
how to answer his phone,
send me back to the copy room
because I made a little smudge
on his page.
It's not right.
For 35 years,
every time I thought
it was gonna be different
I could always count
on you to screw up.
I had a bad day.
"I had a bad..."
It's always something.
What are you going to do?
I don't know.
Ah. You don't know.
Well...
You, uh... you
can't live here.
I'm family.
I'm your father.
Is that what you think?
Oh, screw you,
you little bastard.
Screw you!
I worked my ass off for you
and for your mother.
I admit, I-I may not be
the best at home stuff,
but I supported my family.
I paid for your braces,
for your books
and for your mother's
fancy clothes
and I never got a moment's
thanks from either one of you.
Well, you may not like me,
but you owe me, you
ungrateful little prick.
(Mike shouting in distance)
(loud clattering)
(sighs)
Sarah.
(music plays over headphones)
Sarah.
What?!
Take those off.
So we didn't get
a chance to finish.
Do you want to, uh,
do you want to talk?
Here.
When did this come?
Two weeks ago.
I was kinda hoping
that you were my dad.
But maybe there's still a
way I can live with you.
We'll see.
We'll see what we can do.
You got one week,
Mike, one.
I want you to know,
I really
appreciate it.
You won't even
know I'm there.
There's just a lot
of stuff going on.
Gates?
I want to sort it out.
I'm trying to sort it out.
I just need a bit of time.
I work on gay patients
all the time.
I work with gay doctors.
Greg, you're a
lot more like Dad
than you realize.
No...
It's not coming
out like I mean.
I sure hope someday
you prove me wrong.
Are you my dad or not?
There's a simple test
we can take.
It's called a paternity test,
and, um...
if you want...
we can take it tonight.
I'm in pain.
I've been here three hours.
Yeah, I'm sorry, sir,
we're very busy.
You haven't done
crap for me.
I'll try to find
a doctor.
You said that
an hour ago, bitch.
You know what?
I'm doing the best I can,
so why don't you
just settle down, okay?
No, you settle down.
Ow!
(groans)
Okay, so what went wrong?
She didn't stay calm.
Her tone was threatening.
She needed to keep
her distance.
You okay?
All right, good.
So let's review the key points
of managing assaultive behavior.
I made coffee.
Thanks.
That your history project?
No, I'm paying
the bills.
Huh?
You've been late three months
in a row on everything.
Sarah...
I don't want them turning off
the electricity, okay?
Is that my checkbook?
You take my checkbook?
I'm just making them out,
you still have to sign.
Sweetie, I know
you're trying to help.
Good morning.
Hey.
Nice outfit.
Job interview.
What kind of job?
Executive assistant.
That's a fancy name
for answering the phone.
Maybe he can help with the rent.
We have $90 to get us
through the week.
Look, if this thing
comes through,
I'll be out of your hair
in no time.
Yeah, right.
Hey.
All right, shredded wheat
or corn flakes?
So how you been?
I've been all right.
Hey, how about those Cubs, huh?
Catch that game last night?
Some win.
No.
All right. Um...
Okay, so you invite me
to breakfast
to talk about baseball.
No, it's something else.
I want to fix things.
CLASS: Neck! Knees!
Ha!
Good, good.
Nuts!
Good! Good!
Ha!
All right, Lily.
(applause)
Now remember, the
goal is to diffuse
violent behavior.
This training is just
a last resort.
Next.
Come on, Sam.
Go. Go.
(groans)
Whoo-hoo!
Kick his ass, Sam!
Go!
You ready?
(chuckles)
CLASS:
Nose!
Come on, you can do
better than that.
CLASS:
Nuts!
Show me
some strength.
All right, I just don't
want to hurt you.
I've got enough padding
on to stop a tank.
Come on.
CLASS:
Neck!
I'm worried about you, Sam.
Bad guys will rip a little
lady like you to shreds.
Oh, really, you think?
Yeah, I know.
CLASS:
Knee!
(groaning)
Ah!
Look, I've been
thinking about it a lot.
I let you down.
I know that.
But it doesn't matter
what you want to do
or how you want to live,
I'm still your brother.
See, when I
pushed you away,
I messed up.
But I can do better.
I think we both can.
Look, it's just like
when you moved in.
You know, you...
you could've been
a little bit more honest.
You could've told me what
was really going on with you.
I didn't know how
to tell you.
What, are you in some 12-step
program or something?
No, man, it's just...
I spent too many years
pushing people away.
I don't want to do that anymore.
That mean you're going to be
talking to Dad?
Let me work my way up to it.
I'll give you that.
(chuckling)
It's been five days.
So?
So, fever without source
freaks me out.
It's a virus.
Yeah, or it could be
a serious infection
that we're missing.
Look, he's playing well.
He's eating.
Joe's not sick.
Well, I'm going to check
this, just to make sure.
Abby...
What?
What? I got a little urine
sample this morning, so?
HALEH:
Dr. Kovac.
Bad CHF, Trauma Two.
Okay.
Uh, class over already?
It ended a little early.
(door closes)
You're being silly.
If this were
someone else's baby,
you'd tell them
not to worry.
All right, you're right.
He probably just
caught my cold.
Hey, Timmy.
You're back.
And better than ever.
Um, can you send
this for a U.A.?
Uh, which patient?
John Doe.
A'ight, I'll
take care of it.
Officer Litchman
needs a room.
Curtain Two.
And hold for a chart.
This is a nice move, we were
supposed to be off till noon.
TAGGART:
Sorry.
Whoa.
Dislocated patella.
How'd that happen?
He was teaching
the Assaultive Behavior Class.
Nurse here got a
little carried away.
Kicks like a mule.
You said bring it on.
I wasn't expecting
Bruce Lee.
So how long's
this gonna take?
Normally, all day.
But under the circumstances,
I'll try to get you out
in less than an hour.
Yeah, right.
I'll bet you
a donut I can.
Man, you sure know how
to get a cop excited.
(chuckles)
Crackles to the apex.
40 of Lasix.
Feels like I'm drowning.
Ever have fluid
in your lungs?
A heart attack?
High blood pressure...
high cholesterol.
Can someone call my dad?
"Rutley and Son.
Heating and Air Conditioning."
Your dad still works?
He lives with me. I...
I moved my office home
to look after him.
HALEH:
BP's 195/120.
Okay, nitro drip at 40 mikes.
What meds you on?
Nothing?
Nothing for your pressure?
Cholesterol?
Ran out.
How long'd you go?
Long time.
Please call my dad.
He's expecting me.
12 lits here.
What about your doctor?
Who's your doctor?
His name's on my insurance card.
I'll see him tomorrow.
You're in congestive
heart failure.
You need to be
admitted to the ICU.
I'm fine.
It's my dad I'm worried about.
CHAZ:
I was really bummed out
about the way
we left things, too.
Hey, man, I'm glad
you came down to meet me.
You know, if you
ever need anything,
I'm here for you.
Actually, I could
use a favor.
I'm applying for
a part-time job, and...
it'd help if you could
write a letter or something.
Huh, what kind of work?
An EMT at the
fire department.
Really?
Yeah, money's good,
flexible hours.
Perfect for a student.
EMT, huh?
What's wrong with that?
Well, you know, they're not
the most open-minded
individuals,
if you know what I mean.
Yeah.
I mean, it's definitely
a "don't ask, don't tell"
type of situation.
I mean, if you're
gonna fit in,
you got to just be
one of the boys.
Well, I know how
to handle it.
And if it works out,
who knows?
Maybe I'll think
about med school.
(chuckles):
Don't do it, man.
Really?
I see what you do.
It's good work.
Really? So you're
thinking about
emergency medicine, huh?
Oh, hell, no.
Plastic surgery.
If I'm going to put in
all that work,
I need to make some coin.
(chuckles)
No, the swabs were sent in
three weeks ago.
Anthony Gates, Sarah Riley.
Yes, I can hold.
Hey, trauma coming in?
Crohn's fistula.
Paternity results never
came back.
How's Sarah
holding up?
She's all right, she just
doesn't want to talk about it.
Must be on her mind.
She's moving on.
Today she finds
my checkbook,
pays all my bills.
Really? Maybe she
can become a CPA.
You know, when
I was 12 years old,
I stood in line all day
and waited for
The Return of
the Jedi premiere.
That's all I want
her to do.
Be a Star Wars nerd?
No, be a kid.
No.
They didn't come
in the mail. I didn't
get them in the mail.
Can you just tell me
over the phone?
KOVAC:
Gates.
Fine.
Send them again.
You okay?
Yeah.
We'll catch up later?
ICU said one hour.
We're going to the cath lab.
Is he stable enough?
Well, we'll
stay with him.
If they can open up an artery,
maybe it'll reverse
his heart failure.
My dad.
Oh, yeah.
We called him, he's on his way.
I got 50,000 in mutual funds.
First National.
Okay. See if his B.U.N.
and creatinine are back.
Got it.
Hey, Gates.
Hmm?
Who do you know at the CFD in
the paramedic training program?
Everyone.
Any of them
actually like you?
I'm popular
everywhere I go.
Hey, Sam,
we need to check a post-
reduction film before he leaves.
Yeah, we're just going
to the roach coach.
She owes me coffee.
What?
You owe me a donut.
So let's say I had a friend
who wanted to be an EMT.
Very tough,
very competitive.
Lot of applicants.
It's my brother.
Your brother?
Family?
Why didn't you say so?
I'll be his hook.
His what?
Well, in city fire,
you need someone
on the inside
to help you move up,
you know?
I'll help your brother
out, no worries.
From now on, I'm his rabbi.
(sighs)
What makes you think
I'm buying you coffee?
It's the least you can do,
after you destroyed my knee.
Oh, it's not even broken.
Your kneecap just
slipped out of place.
So where'd you learn
moves like that?
In high school.
That's a hell of
a P.E. class.
Yeah, took a little
Muay Thai, some Krav.
Yeah, I had to learn
to protect myself.
From the football players
who wanted a date to the prom?
(chuckles):
No.
From the metal heads
who wanted a quickie
behind the Dairy Queen.
(chuckles)
Damn, you know,
you're full of surprises.
Sam!
(yelling in foreign language)
(tires screech)
(screams)
Move, move, move!
(clattering)
How's your guy?
Good vitals.
What about the driver?
Ask Bardelli.
Any neck pain?
No.
Do not move.
I'm okay. Ow! God!
I put my knee
out again.
Easy, fella.
(speaking foreign language)
Is he altered?
Kind of hard to tell.
Let's get him
on a board.
Sam, open up a trauma room.
Got it.
That idiot came
out of nowhere.
You think he's drunk?
I don't know.
PRATT:
One, two, three.
Sir, what's your name?
Do you speak English?
(speaking foreign language)
Got to assume
he's altered.
Yeah, pupils equal
and reactive.
Hey, guys...
(speaking foreign language)
All right, let's start with
a trauma panel and a C-spine.
Can you unlock the door?
I'll tape his head down.
Look, just unlock
the damn door!
Whoa! What's the matter?
Something's moving
in there.
Two more victims.
Oh, man!
Looks like we got
an adult male and a little
boy, both unconscious.
Excuse me.
How much longer?
Your son's still up
in the cath lab.
So it'll be
a while?
It's hard to say.
Should I wait
right here?
Let's get a cup of coffee,
Mr. Rutley.
We can try 1.25
of I.V. enalopril.
Okay.
Is that you, Danny?
Yeah, I'm Dr. Kovac. Hi.
Wayne Rutley.
What is all this?
Uh, during the cath,
the fluid in his lungs got worse
so we had to put a breathing
tube down his throat.
Are you having any pain?
Sir, he can't talk
with a tube in.
Are you a relative?
A home health aide.
Is this a heart attack?
It's a cardiomyopathy.
A what?
His heart is squeezing
very weakly.
He's young.
He's got a good heart.
He's had untreated high
blood pressure for a long time.
He's always working.
He never gets
to a doctor.
Been short of breath
lately?
I just met him today.
Danny calls an agency
when he goes out
to bid on a job.
He... he thinks I need
a baby-sitter.
His eyesight's not so good,
and he has
memory problems.
Were they aluminum ducts?
I told you, you need
galvanized sheet metal.
Tight wheezing,
he's barely moving air.
Trauma One,
let's get Gates on this.
Head lac,
good vitals.
Okay.
Little guy's concussed.
GCS 14.
Okay, good.
Exam Two, both of them.
Might take a little
longer this time.
Yeah, I know. Some of the others
look pretty bad.
Hey, next time we go out,
I'm driving.
(man speaking
foreign language)
Does anybody know
what language this is?
Sounds like Farsi, maybe?
Kid needs a line.
Grab a buretrol from Trauma.
(man speaking
foreign language)
Hey, take some
deep breaths, okay?
Give the medicine
a chance to work.
Hey, Bards, Cap Mahoney
still with 43's?
Had pancakes with him
this morning.
Have him check
his e-mail.
You picking up shifts?
No, it's about an EMT applicant.
Cap Mahoney's on the EMT
selection committee.
Key player.
Oh...
Hey, Pratt,
what am I missing?
Uh, tight asthma.
He might be biting plastic soon.
Everyone else is stable.
Dr. Kovac!
V fib,
paddles are charged.
What happened?
Clear.
(gasps)
HALEH:
Normal sinus.
Got a pulse.
Thank God.
Is your son married?
He never met
the right girl.
And your wife?
She passed in '82.
You're doing better, Danny.
Open your eyes.
90/65.
Up the dopamine.
Hang in there, pal.
Hang in there.
More cricoid.
Sats are dropping.
Pull out.
His cords are way anterior.
He's getting
harder to bag.
All right.
Sam...
Kid's starting to open his eyes.
Okay, good.
Look, I need an
ET view now.
All right, be right there.
Head CT's clear
on flower guy.
Oh, good news.
You need a Farsi
translator?
Oh, yeah.
He's got a head injury,
so he... he might
be disoriented.
(speaking Farsi)
(speaking foreign language)
(speaking Farsi)
(speaking foreign language)
He doesn't speak Farsi.
I think that's Armenian. Sorry.
Any Armenian nurses
up there?
(speaking Armenian)
Hey, that's him.
(speaking Armenian)
Hey, how do you know
this guy?
He saved us.
Where's my brother?
Oh, hey, hey,
hey, hey, hey, hey!
Julio, it's me, Tomas!
You got to move it
to the right.
That better?
No.
He has asthma.
Yeah, we figured
that part out.
They're brothers.
So how'd this happen?
We were going
to the drugstore.
He couldn't walk.
Then he couldn't talk.
The guy with the flowers
threw us in the back
and drove to the hospital.
So Yakov over there
is the Good Samaritan.
Aw, damn it! Bag him up!
He dropped his spray,
if you need it.
No.
Okay, come on, Tomas.
There's a better place
to wait.
I want to stay
with my brother.
Yeah, but it's okay.
We'll be back
in a few minutes, okay?
You want to try
fiber optic?
Nope, I want Sam.
I got a guy
who's not breathing.
Okay, I can wait.
I'll be there soon.
Got everything.
Pulse ox 89.
All right, sats are good enough
to tube, huh?
No, I want a cushion.
Let's get him up to 95.
All right, we'll wait.
There's a little tiny camera
at the end of this tube.
Uh-huh.
You're all set.
All right, slow down, Lily.
He's got a long
expiratory phase.
Hey, I can get a copy
of last year's EMT
exam for your brother.
Good.
We're up to 92.
All right, grab
an end tidal detector, will you?
Also, we'll find out
who's doing the interview.
You know, find out
his hobbies,
his favorite sports team,
stuff like that.
Okay.
All right, we're up to 95.
All right, cool.
Is it okay
if I do this?
(sighs) I'll give
you one shot.
All right.
Need a laryngoscope?
Yeah.
No.
No.
Just watch
the screen.
And pass it through
the cords.
Right.
I knew that.
All right, come on.
Let's go.
All right, taste buds...
tonsils...
epiglottis...
and the promised land.
Straight shot
through the cords.
All right, bingo.
Stopping short of the carina,
and bag him.
Nice.
Looks like Kovac
could use a hand in there.
Oh, yeah.
Doesn't look so good.
All right, uh, thanks
for letting me do this.
This was a good thing
for me to learn.
HALEH:
V fib.
KOVAC:
Can you take over
compressions?
No problem.
Okay, another
amp of epi.
Charge to 360.
Good. Shock him.
It worked before.
Clear.
Still in fib.
Mr. Rutley, we're not
making much progress here.
What's that supposed
to mean?
His heart is too weak.
It's not responding
to our medicine.
You, you're not giving up?
No, we're not giving up.
I just need you to understand
that it's not
looking good.
You're saying he could die?
It's a possibility, sir.
Oh, he's, he's my son.
(voice breaking):
He's my little boy.
Don't leave me, Danny.
(quietly):
Call the
social worker.
Don't leave me!
Don't leave me!
I'm in pain.
I've been here
for three hours.
I'm sorry.
You haven't done
crap for me.
Oh, don't start that again.
Look where it got me last time.
All the docs are busy. I need
an order for I.V. sedation.
Can't you pop it in?
Without painkillers?
I've been shot before.
I can handle it.
Uh, I think
a doctor should do it.
Come on, Sam,
don't be a wimp.
Just pop this baby
back in place, so we...
Oh! Oh...
Hey,
hey, tough guy?
Wake up.
Asystole.
GATES:
Resuming compressions.
Mr. Rutley, it's been
45 minutes.
Should a cardiologist
see him?
They'd do the
same thing.
It's too late.
No!
No, no!
We're gonna stop now.
I'm sorry.
Danny...
Danny!
Oh, my God!
(sobbing):
Oh, my God!
What am I gonna do?!
Sir, there's a social
worker here
that can help you.
How could this happen?
How could this happen?!
How could this happen?!
(sobbing)
I'll do the
coroner's paperwork.
(sobbing)
I'll make sure
he's taken care of.
(sobbing continues)
Danny...
Tidal volume 700,
AC of ten.
Okay.
How's the X-ray look?
Good?
Ah, well, he might
have a small pneumo.
Call Radiology
for a wet read.
Okay.
How long's he going
to sleep?
Mm, might be a while.
After he wakes up,
we can go home?
Well, you know,
he's gonna have
to be here for
a couple days.
Can I stay with him?
Yeah, but you're gonna have
to go home at night.
By myself?
No, we're calling
your parents.
No, it's just us.
Ever since Mom died,
Julio's my guardian.
You don't have
any aunts or uncles?
Okay, we'll figure
it out, and you can
hang out
here for now.
All right?
Good. I'm staying
with you, J.
I'm gonna stay
right here.
Hey, tough guy, wake up.
You need a doctor?
Uh, no, he just vagalled.
I'll check his vitals
in a few minutes.
Abby, urine's clean
on John Doe.
Oh, great.
No leuks,
no nitrates.
Thank you.
Hey, Timmy, repeat
knee on Litchman.
Okay, wait.
How does a ten-day
cruise turn into
two months?
(laughs)
Gracie will fill you in.
Yeah, she's not talking.
Okay. After we docked
in Singapore,
I showed her
some of my old haunts.
We climbed the temples
of Penang,
we cycled
the Quang Ninh coast
and we elephant-trekked
through the Ratanakiri.
Elephants?
Yeah.
In fact, we got hung up
at the Cambodian border,
and we'd still be there
if Gracie hadn't
tapped into her 401K.
That's too much
information.
Hey, Miranda,
how's he doing?
102?
Well, did you give him
the Tylenol...?
Okay, well, call me
after his nap. Bye.
No relatives, no
long-term care
insurance.
The guy worked all day,
took care of his
dad all night,
but didn't plan
for this.
Take-home lesson?
Don't assume
you're gonna
outlive your dad.
Abby, Pratt says
you need social work
for your asthma kid.
Thanks.
Gates, don't get too busy.
There's a guy out in
the lobby looking for you.
(clipboard clatters)
Hey, I thought
we could grab lunch.
You have five minutes.
How'd the interview go?
Not so great.
Not so great. You didn't
get the job, right?
No.
What happened?
Well...
What?!
I don't know
anything about Word.
And what the hell's Excel?
So it wasn't a good fit.
Since when do you
need a computer to
do a day's work, huh?
What about, uh, Chuck Mooney's
construction company?
He sold it.
What about, uh,
what's his name?
Your friend, Billy
Prior's restaurant?
Turned it into
a yoga studio.
Something will come
up hopefully.
No.
You know, actually you can...
you can help me out tonight.
I don't want Sarah cooking.
Why don't you, uh...
why don't you go
to the grocery store,
get some groceries,
and, uh, cook dinner tonight?
I can't take your money.
Just do it.
You used to love
to cook at the
firehouse, right?
You loved cooking.
Yeah, yeah, yeah.
I could do a
chicken pot pie.
Maybe a London broil.
Yeah, yeah, yeah.
The boys always liked
my London Broil...
Surprise me. Surprise me.
Patients are in
the hall, Abby.
Water pipe burst.
Okay.
Um, Rose Nichols?
That's me.
Hello.
I'm Dr. Lockhart.
Let's see... fever
and a cough.
For almost a week.
Okay. How you feeling?
I'm a little
under the weather.
Yeah, well...
There's a lot of colds
going around,
and sometimes it takes
a couple of weeks,
but kids usually get over it.
81?
Maybe we're not getting
a proper signal.
Let me see.
Uh-oh.
What?
Sounds like pneumonia.
And her oxygen level
is really low.
So I think we're going
to have to admit you.
Everyone said she was fine,
but I knew it was more
than a cold.
Okay, he's cleared
for discharge.
(speaking Armenian)
How are the boys?
Oh, they're doing well.
(speaking Armenian)
What?
He's asking you for a date.
Oh, well, we'll
repeat the head CT.
I think he's
still altered.
(speaking Armenian)
I didn't know you were here.
Yeah, I just
got here.
Ah, it's lots
of trauma today.
I heard.
The guys from my old band--
they're playing this
Saturday night at Exit.
I might be on call.
So we're still waiting?
It's only been
a week.
Okay. I'm gonna go clear
some of these beds, all right?
Okay.
See ya.
Sarah...
Have you seen Tony?
Well, I can
look around.
No, I'll wait.
Okay.
Or maybe you
can help me.
Sure.
It's kind
of personal.
Okay, come on.
I need a vaccine.
Which one?
HPV.
To prevent
cervical cancer.
Right.
But the school nurse gives it,
and you need your
parents' permission
or your grandparents'
permission.
They wouldn't
understand.
Does Tony know about this?
Not yet.
You gonna tell him?
No.
It's private.
It's okay.
I mean, you can tell him.
If you want to.
Why didn't you go
to your pediatrician?
He only takes care
of little kids.
Besides, I think I need
a new doctor anyway.
Do you know a good GYN?
KOVAC:
So you can't place him?
The best I can hope for
is a crappy nursing home
that'll except $100 a day
from Medicaid.
He's not sick
enough for a
nursing home.
He needs
assisted living.
Neither Medicaid
nor Medicare will cover that.
And he can't
afford it.
What about the
son's assets?
They'll be tied up in probate
for a year.
I've tried three
board and cares.
They want cash... today.
Greedy bastards.
But we've got
a bigger problem.
I'm not sure he's competent
to consent
to nursing home placement.
He didn't seem
that altered.
His Alzheimer's gets
worse as the day goes on.
KOVAC:
Sundowning...
We need someone with
durable power for his
health care decisions.
The son had it.
A lot of good that
does us now.
We're scrambling to get
an emergency state guardian.
Hey, any luck finding
a foster home for Tomas?
Piece of cake
compared to this.
Dr. Pratt.
You called for
a wet read?
Uh, yes, I did.
A possible pneumo.
Excuse me, please.
I haven't seen you
in a few weeks.
I was doing an invasive
fellowship in Dallas.
For six months.
Really?
Well, I sent you
a few e-mails.
Never got
any of them.
Well, you must
have changed your address.
I've had the same
address for seven years.
So, you think there's
some pathology here?
Palpitations like
your heart skipping a beat?
More like it races
every now and then.
Hey, Ray, can I get you
to look at a knee?
Yeah. Excuse me.
(monitor alarms beep)
It's happening!
Get the crash cart.
My chest is going
to explode!
He's got a pulse.
100 of lido.
Anything surgical?
Uh, stable V tach.
(alarms stop)
Responding
to lidocaine.
Ah, that's better.
Well, I guess you won't
be needing me, then.
BARNETT:
A milligram
a minute.
Titrate up. P.R.N. ectopy.
Uh, hey.
Hey.
I left a consult on your asthma
guy from the crash.
Thanks.
RECORDING: Diagnosis-- accute
lower G.I. bleed, probable...
Did you know Sarah was here?
Huh?
She's asking for
the HPV vaccine.
You're kidding me?
Does that mean she's...?
No. We didn't
get that far.
She wants the whole world
to know how grown up she is.
Well, I wouldn't
worry about it.
It's just a phase that
girls go through.
KOVAC:
Gates!
Coming.
RASGOTRA:
Good luck.
Thanks for your help.
I'll hold.
It's a miracle.
We got a guardian assigned
and two nursing homes
to choose from.
Great. Thank you.
You're welcome.
Think he'll be able
to decide
which one he wants
to go to?
Well, let's hope so.
Hello, Mr. Rutley.
Hello. Uh...
When am I leaving?
Well, that's what
we're here to talk
to you about.
What's there
to talk about?
We've found a couple
of places that can
take you tonight.
What kind
of places?
Convalescent homes.
Oh... I have a home.
Well, you're going to need help
now getting around... meals.
No, I have help,
I have meals.
We eat dinner at 7:00.
Somebody ought to call Danny--
tell him we're going to be late.
Wayne...
you know about Danny.
Remember?
Sure. He went out to bid
on a job this morning.
He ought to be home by now.
Wayne, you know Danny was
in this hospital today.
What? Danny?
Nah, Danny's not sick.
He had
a heart problem.
What?
Nobody told me
anything about that.
His heart stopped beating.
We worked on him
for over an hour.
Where is he?
I...
He's better now?
He died, Wayne.
(gasps)
Danny's dead.
No.
No!
No, I don't believe it.
That's not possible.
Where is he?
I want to see him.
Where is he?
He's, uh... he's in
the morgue, Mr. Rutley.
What?
Take me there.
Take me there.
(sobbing)
Take me to my son.
Please, please,
I want... I want to see him.
I need to see him.
I want to say good-bye.
The CDC recommends
starting the HPV vaccine
when you're 11.
All right, we need to
talk about this.
Okay, let's talk.
HPV is a sexually trans...
I'm not having sex, okay?
But when I do,
I want to be responsible...
Even if I said yes,
your grandparents
have to sign off on...
Okay. Do you realize how
stupid this is, though?
I'm old enough to go and
get birth control on my own,
but you won't let me go
and get a vaccine
that could
save my life.
Sarah, you're 12 years old.
Yeah, I know.
What's the rush?
I'm not rushing.
But I can't help it if I'm
growing up now, can I?
(groans)
Need you to fill out
transfer papers
for Mr. Rutley.
All right, I'll be
there in a second.
Can we continue this
at home, please?
So I can't get it now?
Not today.
That's so unfair.
(sighs)
All right, we got you
five days off work.
Hmm, I have a self-defense
seminar tomorrow.
Want to fill in?
(chuckles)
(monitor alarm beeps)
Oh, crap.
V tach again!
It's the third time.
I need Ray.
I'm on lidocaine
and amiodarone.
Shouldn't I be in the ICU?
Hey...
(alarms stop)
Have you been faking this
this whole time?
No, I had an itch.
BARNETT:
What's going on, Sam?
What are you doing?
Is it his heart?
No, it's
his finger.
Ah.
(alarms beeping)
(gasps)
Uh-oh.
V tach again.
Sam...
It's a shockable rhythm.
Shockable?
KENNY:
Uh, no.
Clear!
No...
(yells)
Crazy bitch!
Yeah, you're
the crazy one.
Sam, have you
lost your mind?
Come on, it's
only ten joules.
Really?
Oh!
(gasps)
Yeah, I guess
that's not so bad.
It's called a negative
Mach band.
Looks like something's
there, but it's not.
Doesn't even exist.
Wow.
It's a retinal
phenomenon.
The eye is fooled at a
light-dark junction.
Always something
new to learn.
Glad you're back.
Thanks for the help.
Hey, hey, hey, hey.
How 'bout, um...
we grab some dinner
sometime after work?
Maybe.
Call me.
Danny.
Pick up the
phone, son.
If you can hear me,
pick up the phone.
Uh, you... Oh.
Is this one yours?
Yeah, yeah.
I don't like leaving
messages on the machine.
Mr. Rutley, let's get
you back to your room.
I need to call my son.
He doesn't know I'm here.
Please.
(men yelling in Armenian)
Guys...
Guys... hey, hey, hey, hey!
Hey! Knock it off!
(shouting stops)
I-I'm sorry. I-I'm upset.
My brother--
he totaled my van!
Yes, but aren't you happy
that he's okay?
Without van,
my business is dead!
All because he
drives like madman!
Sir, he saved
someone's life.
Yeah.
What are you talking about?
He was speeding because he
had a sick patient in the back.
(speaking Armenian)
(speaking Armenian)
I-I'm sorry.
I didn't understand.
(speaking Armenian)
Hey, Pratt.
Yeah.
I need you to
sign the discharge.
All right. You got
any questions, man?
Yeah, can I go
out on crutches?
(chuckles)
It's hospital policy.
Wheelchair is safer.
Oh, all right,
I'll make an exception.
All right.
(gasps) Hey, Joe.
Hey, how you feeling?
I missed you. Hello.
His temp's down, but he
didn't want the bottle.
Oh, my God, look how
big he's getting.
Yeah.
You need me to stay?
No, thanks.
Have a good night.
(Joe fussing)
Shh. Shh.
I know.
Hey, Sam, is
Exam Two open?
Uh, yeah.
Oh, look. This is
where Mommy works.
Look. Greg, I need a favor.
Okay.
You're taking me home?
You're going to
a nursing home.
No, those places
are for old folks.
That's where you're
going to live.
No, I told you,
I live with my son.
Mr. Rutley...
Hmm?
I, I spoke to your son.
Oh. Is he, is he picking me up?
He wants you at the new place.
He does?
Is he gonna be there?
I'm sure he'll,
he'll find a way.
So... so we can
have dinner together?
If that's what you want.
Eh, I guess it's okay.
Tell him I won't start
eating till he gets there.
Hey, Luka, I'll
be right with you.
Well, all right, Officer.
You're on your own.
Thanks, Sam.
You've been great.
I think your day
might have been
a whole lot better
if you never met me.
Not so sure about that.
Hope I see you around.
Yeah.
(mutters)
You need a pen?
Uh...
Oh, oh, see?
"Rutley and Son.
Since 1959."
Well. Thank you.
When we started,
it was just me.
Now Danny's got four guys
working for him.
He's a good kid. Hmm...
I'm a lucky guy.
Take care,
Mr. Rutley.
Yeah.
Are you okay?
Yeah. Yeah.
Are you, uh... still
in touch with your father?
Not since I
was three. You?
He's in Croatia. I haven't
been there in a long time.
(door opening)
Hey!
What's for dinner?
Spaghetti.
There's more in the pot.
I'll go shopping
after dinner, okay?
I don't think so.
We have to eat.
Come on, Sarah, I know
what you're doing.
What?!
Cooking, shopping,
paying the bills.
Somebody has to.
I want you to be a kid.
Please, just enjoy
being a kid, okay?
Right. I forgot.
I'm supposed to text
my friends all day
and hang out at
the mall, right?
What's wrong with that?
I like taking care of the house.
Just let me do it.
When you become older,
you'll have plenty
of responsibility.
(door opens)
Trust me.
(slurred):
Hey...
Smells pretty
good in here.
What is that, lasagna?
(dishes clattering)
Where are the
groceries, Mike?
Oh, shoot.
I knew I forgot something.
Right. Sarah,
go do your homework.
I'm not finished yet.
Now!
I gave you
a hundred dollars.
I know.
For food.
How much you got left?
I don't know.
Give me your wallet.
Tony...
Give me
your wallet!
Six bucks?
Six bucks?!
Well, it was
Lou Sanders' birthday,
and so I bought
a couple of rounds.
(groans)
No otitis, no
pharyngitis, no nothing.
You sure?
Yeah, I'm sure.
This is the
healthiest kid
I've seen in a long time.
Really?
Really.
Really.
Okay.
Well, you know, the
baby-sitter was in
the neighborhood,
and she was worried
so I, I thought
I'd get a second opinion.
I see.
Thank you.
(gasps) There's Daddy.
Say hi.
Hey. (speaking Croatian)
What's he doing here?
Um... I don't know.
It's a warm night.
I thought we could all take
a walk to the pier.
Nice. Let me go grab my coat.
I guess, uh... his urine
tested negative?
Pratt doesn't think
he needs a CBC?
No.
I know, you think
I'm acting crazy.
No, I think you're
acting like a mother--
a slightly crazy one.
Did you dispo the
Alzheimer's dad?
Yeah.
Poor guy.
It's so sad.
Ah... he's lucky.
What?
He doesn't have to remember
losing a son every day. Hey!
(cooing)
(babbling)
(murmuring)
How're you gonna keep a job if
every single little
problem sends you right
back to the bar?
I don't need
that kinda job.
Well, you need something.
I am a damn firefighter.
I rush into burning buildings,
I axe my way through
roofs that are collapsing.
I save people's lives,
and now some snotty rich kid
is trying to tell me
how to make his coffee,
how to answer his phone,
send me back to the copy room
because I made a little smudge
on his page.
It's not right.
For 35 years,
every time I thought
it was gonna be different
I could always count
on you to screw up.
I had a bad day.
"I had a bad..."
It's always something.
What are you going to do?
I don't know.
Ah. You don't know.
Well...
You, uh... you
can't live here.
I'm family.
I'm your father.
Is that what you think?
Oh, screw you,
you little bastard.
Screw you!
I worked my ass off for you
and for your mother.
I admit, I-I may not be
the best at home stuff,
but I supported my family.
I paid for your braces,
for your books
and for your mother's
fancy clothes
and I never got a moment's
thanks from either one of you.
Well, you may not like me,
but you owe me, you
ungrateful little prick.
(Mike shouting in distance)
(loud clattering)
(sighs)
Sarah.
(music plays over headphones)
Sarah.
What?!
Take those off.
So we didn't get
a chance to finish.
Do you want to, uh,
do you want to talk?
Here.
When did this come?
Two weeks ago.
I was kinda hoping
that you were my dad.
But maybe there's still a
way I can live with you.
We'll see.
We'll see what we can do.