ER (1994–2009): Season 13, Episode 20 - Lights Out - full transcript

Previously on ER...

It'd help if you could
write a letter or something.

All right. What
kind of work?
An E.M.T.

I'll help your brother
out, no worries.

I just don't know
how I fit in.

Oh, I understand that.

Well, you won't have
to wait long.

So, we're still waiting?

Oh, it's only
been a week.
Okay.

Well, I sent you
a few e-mails.

Never got any
of them.



Where are
the groceries, Mike?

I gave you $100.
How much you got left?

I don't know.

Smile for the camera,
birthday girl.

Ovarian cancer.
First time around.

First?

But they say
the third time's a charm.

Happy Birthday.

I'm going to
send Alex away.

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

And we both know
that's not true.

(spatula scraping pan)

It was so smoky,
I could barely see.

The flames were eating the walls
like maggots on dead meat.



So, where was the little boy?

Well, I looked
everywhere for him,

and when they radioed me
to get out,

something told me
to check again.
(phone ringing)

Was he there?

Hello.
Yeah.

Oh, hey, Neela.
He was behind
the dresser.

He could barely breathe.
Listen, can I, uh...

can I call you back
in five minutes? Thanks.

And just about the time
I went to get him-- boom!

The second floor caved in.

Tony, have you heard this?

It's time for you
to go to school.

Well, it's teacher
conferences today,

and me and Mike are having
a cartoon marathon.

Oh, really? Well, Mike needs
to go find a job,

and you need to go to Heather's.

Heather's sick, and I start at
Home Depot tomorrow.

Isn't that great?

Yeah, great.

We should recheck the K
on your diabetic in two.

I did. It was 3.6.

Still ketotic?
Yeah, but only
one plus now.

40-year-old female,
observed a syncopal event

with transient LOC
at a travel agency.

Oh, damn.

A & O times three,
pulse 88, resps 26, sat 96.

Well, listen to you.

He hasn't
hurt you, has he?
I'm fine.

I just got dizzy.

All right, I'm Dr. Pratt.

We're going to take
a look at you, okay?

I didn't eat
breakfast.

I-I just got dizzy.

I want to go home.

Well, we'll try
to make it quick, all right?

Just put her
in curtain two, okay?

I'll roll her in.
Newbie, you finish
up the run sheet.

No problem.

Not bad, man.
Tight, huh?

(laughing)
Very tight.

So, this your
first day?

Two MIs, an MVC
on a Dan Ryan,

and the shift's not
even half over.

How's Dumar
treating you?

He's cool, man.
Real cool.

He's not giving
you a hard time?

He made me stock the rig
and get the coffee.

(laughs)
But it's not like I had
to shine the rims or anything.

Just make sure it
doesn't get in the way
of your school work.

It won't.

Hey, Pratt,
you see this?

MARQUEZ:
Kovac is having a mandatory
department dinner next week.

Now, why would
I want to hang out

with you losers
on my free time?

(laughs)
Hey, it's better
than the time,

uh, Weaver took
us to the Olive
Plantation.

(laughter)

Yeah, I was hugging
the toilet for days.

Okay, too much information.

Hey, you guys
met my brother?

It's his first
day on the job.

Hey.
Hey.
Congratulations.

Oh. Hey, man.
GATES: Hey, buddy. Heard
you started today.

Thanks for
everything.
You got it.

Hey, be careful.
The ladies love the uniform.

We'll see.
TAGGART:
Look.

Here. Department dinner.

Sounds like fun.

Obviously,
you haven't been.

Yeah, beats work.

All right, all right,
speaking of which--

Marquez, staple
gun lady

in three, Sam,
liter of NS

and get an EKG for
the new one in two.

What's this, uh,
dinner all about?

Well, after County's lousy
Joint Commission survey,

Kovac probably just
wants to boost morale.

Hmm. Yeah.

ANSPAUGH:
What about

emergency power
for all the rooms?

We're getting to that.

And the bathrooms still
aren't ADA compliant.

First I need to upgrade
the nurse call systems
and get automatic fire doors.

Well, you'll have
plenty of time to do
that when we close.

Just-Just give me
another week, okay?
I gave you a month.

We're too busy.
We're busy
every day.

Soccer player has
a positive culture.

Start vancomycin.

Look, I haven't even
prepared the staff.

Well, you have the rest
of your shift to do so.

What about the patients?

We've increased capacity
at the urgent care clinic.

You promised shuttles
to other facilities.

We don't have enough
money for that.

You have no idea what it's like
to be down here.

I covered trauma in
this E.R. for 20 years.

We're trying to improve
the way it works.

How long are you going
to shut us down?

For as long
as it takes.

So we can comply
with trivial rules?

Without accreditation, we
can't run this hospital.

Come on, Donald...

In 12 hours, we
close the E.R.

End of story.

You heard what he just said.
We're closing down.

It's only temporary.
How do you know?
Old boys running around here

checking for cracks
in the ceiling,

and now we're having
some dinner.

Oh, we have the
dinner every few years.

Just drinks
and dancing.

Usually you can't
bring a date.

Maybe I'll bring Wilson.

The cop?
Mm-hmm.

They say white men
can't jump, but he sure can...

(both laugh)

Who you bringing?

I... I don't know.

You know, Sam, it's obvious
you got some stuff going on.

You don't need
to keep it all in.

Nurses stick together.

No, I...

Honestly, I don't know
who I'd bring.

It's the first time in my life
I've really been alone.

You're kidding me.

No, and now that Alex is out
of the house,

I got to find something
to do with myself.

Girl, it's called the rabbit.

It costs a grip,

but it's worth
every dime.

Oh, God.

You'll be saying
more than that, trust me.

Excuse me. Hold on.

Oh... get that look
off your face.

How are you?

Mets to the...

liver, lungs, bones.

Not a K...
Kodak moment.

I'm sorry.

Are you getting
chemotherapy?

No, I'm done.
KOVAC:
Keep him on the monitor,

and call for an ICU bed!

(Kovac
clearing throat)

Hey.

Hi. Uh, this is
Diana Moore.

She's, uh, here
for syncope.

History of
ovarian cancer.

I'm Dr. Kovac.

It's not history, Sam.

It's right now.

Metastatic.

End stage.

Doctors need to know that.

You two know
each other?

She's been here before.

Not as... a patient.

(loud breathing)

TAGGART:
Diana's a photographer.

She's, uh, doing a project
on hospice patients.

Oh, that's
right, yeah.

I re... I
remember you.

Wow, you've
got pretty bad
ascites here.

KOVAC:
Yeah.

Your abdominal cavity
is accumulating fluid.

(voice breaking):
I know what ascites is.

They took a picture of it.

It looks like

I'm pregnant.

BP's 92/58.

She's depleted
intravascularly.

Okay, run in a
liter of NS.

No, no IVs.

I told the paramedics,
I'm D... DNR.

It's just an IV for rehydration.

No. I know how... I know, okay?

I know... I know
how this starts,

and-and then you...

You get sucked
into the-the hospital vortex,

and it... and it

never ends
up well.

The fluids will make
you feel better.

No. Listen... to me. No.

No IVs,

no blood tests,
no... no-no monitors,

no-no medicines.

I'm going to Costa Rica.

BARNETT:
What's in Costa Rica?
The beach.

Sam,

give her a liter of oral
rehydration solution.

Just stay long enough to show us
you can hold that down, okay?

(quietly):
Okay.

Hey, shouldn't we at least drain
some of the fluid?

We can't do
a paracentesis.

Why? It'll help her
breathe easier,

it'll make her more comfortable.

You heard her--
no blood tests.

It's a needle in the belly.

It'll take you five minutes.

Come on, Luka.
Ray's right.

We can't tap the fluid
without checking labs.

She could be
dangerously anemic,

coagulopathic--
not a good idea.

She doesn't want any treatment,
Sam, so let's respect that,

all right?
LOCKHART:
Luka, your favorite skin popper

won't let me
I & D her abscess.

Sign her out AMA and
get her out of here.

Yeah, but she knows you.

Maybe if you could talk
to her, you could just...

No, we can't keep
convincing people

to stay if they don't
want to be here.

We can't even take care
of the ones we already have.

Okay, listen up.

We got reassignments for all
of you during the E.R. closing.

How are they just going
to tell us this today?

I thought I could prevent this,
but Anspaugh's not budging.

How long are we
shutting down for?
I'm not sure.

MARQUEZ:
Great.

I'm sure I'll wind up

giving enemas
in Geriatrics.

No, you're going to ICU.
Malik, Geriatrics.

Pratt, Family Medicine.

Abby, you're going
to the NICU.

I'm not going
to the NICU.

Right. I'll, uh, fix that.

Uh, Gates goes
to Anesthesia.

TIMMY:
What about me?

KOVAC:
You're going
to the cafeteria.

Cafa-what? Oh, why don't they
just give me a jockey suit

and sit me out
on the lawn?

Well, do we get
to keep the same shifts?

Will we still get our
choice of schedule?

Uh, you'll have to talk
to your supervisors

about shift scheduling.

Well, give it
to us straight.

Are they going to shut
down the residency?

These are just
alternate rotations

until the E.R. opens again.

BARNETT:
Yeah, that's what
they told the residents

at MLK in Los Angeles.

And now they're scrambling
for spots in other programs.

No. Our didactic programs
for the residents will continue,

and for our attendings,

there'll be some
administrative duties

to help correct
the JC deficiencies,

and we'll also be assigned
clinical shifts

in the urgent
care center, okay?

Great.

Med refills,
URIs and back pain.

Yeah. I bet we're
closing for good.

I'm with you.

Something stinks, and it's not
the diarrhea in four.

Uh, who has Johnson?

Oh, I did.

No pneumonia, but are you aware
he has multiple

rib fractures?

Yeah, the kid
plays rugby.
Oh.

So, uh, guess who's, uh...

(clears throat)

Guess who's going
to Family Medicine?

I don't know. Who?

Yours truly.

No nights, no weekends.

Now maybe you can come over
for some dinner.

We can crack open a bottle.

You know?

Yeah, maybe.

Hey, Betina, I saw your abstract
on neuroimaging and autism.

Pretty cool stuff.

Paper's coming out
in Neuroscience next month.

Wow. Very impressive.

But not surprising,
considering you managed

to enroll such a big cohort

of autistic children.

And the way you correlated
the MRI findings

with the tissue specimens...

I mean, no one's ever done that
on this scale before.

You actually read it?

I sure did,
and if you ever

have time to talk
about it more,

I'd love to chat.

I'm looking for some areas

to focus clinical research
in the E.R.

I'd be interested
in collaborating

with your department.

Well, are you free

for lunch
tomorrow?

MORRIS:
Sounds great.

Okay, great.

(sighs)

What just happened?

Blunt trauma to
the head and arms.

Assaulted with
a baseball bat.

Alert times three.

Got it.
Okay, put him
in trauma one.

What happened?

I was at a sci-fi convention,
and some Romulan...

(yelling):
...started beating me!

Aah!

Get a C-collar.

He accused
us Intergalactic Rebel Warriors

of being inferior.

He was just
being uppity,

'cause Romulans are
biological cousins to Vulcans.

Of course.

Where is your pain?

MAN:
Mostly in
my shoulder.

My arm hurts, too.

LOCKHART:
Okay, let's get a line in,
get him some morphine.

And a C-spine film

to his right shoulder
and left forearm.

It hurts.

Well, you dislocated
your shoulder anteriorly.

MAN:
Am I going to die?

Not...
(loud bump, man sobs)

...today.

Have you seen
that patient?

She stumbled off,
so did my doctor.

Can you find him?

Yeah, I'll send someone over.
Today?

Next year?
During Cinco de Mayo? When?

Have you seen Diana?
Who the hell is that?

The photographer lady,
she was in curtain two.
No.

Sam, where are
the glucometers?

They're all packed up.

They were supposed to leave
one in the trauma room.

And the test strips?
Uh, you're on your own.

I get that Klingons used
to be enemies of the Federation,

but we have nothing
to do with that.

Okay, move your toes.
(sobbing)

Good.

Can you feel me touching
your foot?
Yes.

I never heard of
Intergalactic Rebel Warriors.

What show were you on?

(sobbing):
We're still
in the conceptual stage,

but we're about to land a deal.

Looks like you're right.
Anterior shoulder dislocation.

C-spine is clear.

And he's got a nightstick
fracture of the left ulna.

Okay, let's get
a sugar tong splint.

All right.
Let's give him, uh,
100 of propofol...

(moaning loudly)
...for his
shoulder reduction.

Propofol?

Yeah, I just got credentialed
to use it.

Why don't we try, uh, scapular
manipulation, you know?

Put it in without
having to knock him out.

No, n-no,
reductions are much easier,

if you have good sedation.

Sedation has risks.

Morris, I need you
to dispo some patients out here.

We got a full waiting area, and
the clock is ticking. Come on.

Okay, uh... let's get set up
for the propofol,

and we'll do the reduction
when I get back.

All right, let's
get him prone,

and we'll try the
scapular manipulation.
(man sobs)

W-- He-- Morris said
he wants to use sedation.

He's a kid with
a new toy.
Well, the kid's
the attending,

so even if you're right, you
have to talk to him about it.
Well, let's try it.

If it goes in
easy, great.

If not, then we'll
try the propofol.

(moaning sobs continue)
Let me roll
you over.

Hey... I've been looking
all over for you.

I got to get an airline ticket
before the price goes up.

Come here.

Come on, sit down,
please.

(moans quietly)

I had malaria once.

I didn't feel...
as bad as this.

Look, the fluid in your belly
is compressing your lungs.

If you let us take
some of it off,

it'll make it easier
for you to breathe.

I just want to get
o-on the plane.

I understand that... okay?

But you are breathless

and you're pale,

and flight crews are trained
to spot people just like you.

I'll wear blush.

The paracentesis will
only take a few minutes.

Sam...

I have friends
i-in Costa Rica...

And they're
waiting for me.

And it's all planned out.

This is your only chance
to get there.

(stomping foot)

Come on,
trust me on this.

(sobs)

ICU has beds
for our intubated patients.

Well, there are only
three stepdown beds,

but these others
can go to telemetry.

Yeah, we have 11 patients
going to medicine.

They can use the GYN floor
for overflow.

Uh, what about the
waiting room?

Send them to urgent care.
The E.R. is closing at 8:00.

GATES:
How do you say
"This is going to hurt"

in Intergalactic
Rebel Warrior?

(screams)

What the hell are you doing?

He did it.
What?!

Gates thought he'd
try it this way.

Yeah, and it worked.

No need for propofol.

Well, who made that call?

I did.
His shoulder's back in.

That's not the point,
I gave you an order.

So do what a boss does.

Take credit
for my resourcefulness.

I'm writing you up.

Why, because my approach
was better than the attending?

Go home, you're done.

You can't send me home.
You should have thought
about that before, cowboy.

I helped the guy
without sedation.

You went
against my orders.

Oh, come on, Morris.

You're supposed
to be a soldier.

I am a soldier.

A real one.
Could have fooled me.

Y-You're acting like
I killed the guy.

I am sick and tired
of you not taking orders.

In the time
that you got here,

you have placed a subclavian
line without supervision,

you tapped a VP shunt without
even calling neurosurgery,

you overrode an attending
to give Digibind

to a guy that was
already brain dead...
What, you keeping score?

You transpose numbers,
you falsify charts.
You know what? You sound...

you're slow as hell
with documentation...
You sound like, uh,

like my high
school girlfriend.

And still you act like you're
God's gift to medicine,

like, like you're too good
to seek advice or need help.

You're arrogant and dangerous,
and I've had enough.

We all have. Go home.

Where's Kovac?

This is my call, not his.

Okay.

What was that about?

I sent him home.

I tried that once.

Yeah, well, this time he's
getting a letter in his file.

So how did you cut your leg?

I was trying
to get the chip out.

What kind of chip?

A neurogenic biomatrix
nanosilicate chip.

The aliens put it there.

And, uh, did the aliens do
anything else to you?

Not that I didn't consent to.

Look...

They want me to go back
and report my findings.

(whispering):
Really?

I'm willing to
give them a report,

but I don't want
them tracking me!

Hey, Sam, can you page Psych
for a consult, please?

Katey's already down here.

Katey?

We're gonna move you
to exam three

to do the procedure,
and you're all set.

One ticket to
Costa Rica.

Tomorrow
evening, 7:55.

Seat 13B.

You ever been
to Costa Rica?

Only on the Discovery Channel.

That's where my dad bought me
my first camera.

My family lived there...

when I was 15
for six months.

It was very magical.

(sniffs)

Very beautiful.

The sunsets,
the beaches.

Sounds romantic.

(whispers):
Yeah.

It's where I met Paul.

He was a journalist
for the BBC.

The only guy
who ever got me.

Is he going
to meet you there?

No.

He died in Baghdad.

He was embedded
with a Marine unit,

and they drove over an IED.

I'm so sorry.

Sorry... yeah...

I never had his kid.

What do
you think?

Please hide me.
We should, uh, put her
on a 72-hour hold.

She cut her leg open.

She's a danger
to herself.

She's a crazy bird.

(laughs)

Aren't we all?

My best friend thinks
I'm nuts

sitting around
waiting for you to call.

Okay, look,
I'm sorry.

No, I'm sorry.

The moment I jump in the pool,
you get out.

Katey, that's not--

Hey, this is Katey Alvaro,
fourth year on Psych.

Do we have any beds?

You know, I pulled
out my best for you.

Hey, don't get me wrong.

The sex was great.

I'm not talking
about the sex.

No, that's great.

I-I'll bring her
right up.

I should have
called you.

You should have call...?

You dropped off
the face of the Earth.

Okay, it was wrong.

No, it was,
it was more than wrong.

It was wussy,
immature, tenth-gradish.

You're right.

What happened?

You start dating Neela
or something?

(laughs)

Okay, can we talk about this?

What's there to talk about?

You're stupid, and I'm done.

KOVAC:
Did Morris tell you

not to do the procedure?

Well, yes, but...

b-but scapular manipulation
doesn't pose any real risk.

That's not the point.

I saved the guy
from being sedated.
Doesn't matter.

You were out of line,
and now you're going

over his head to me.
My way was better,

and it doesn't merit
being written up.
Actually, it does.

When an attending tells
you to do something,
you do it or discuss it.

Oh, come on, Dr. Ko...
Now you're
gonna go home

and think
about that, okay?

Am I, am I
in trouble?

Morris...

that's one of the best
moves you ever made.

See? I knew it!
He can't go against me.

He shouldn't even be able
to go against residents.

There was a resident
in the room?
Uh, let's leave me out of it.

You should have stopped him.

Oh, please,
like he's going to listen to me.

He doesn't even listen to you.

Well, maybe I should
send you home, too.

Okay.

Well... well, not today.

But I'll do it, Abby.

Don't test me.

(chuckles)

It wasn't
life threatening.

Doesn't matter.

Morris is the
attending.

It's his decision.

Got my Coltrane, my...

Margaret Bourke-White books,
new timer for my camera.

You seem at peace.

DIANA:
Yeah.

Why stress this?

My friend's gonna cook,
drink wine on the beach.

That necessary?

Uh, it's a precaution
for the invasive procedure.

I-I said no blood.

It's just platelets, your
count's a little low.

I'm still gonna
get out of here.

I promise you.

Platelets running,
belly's prepped.

Lido's drawn up
and ready.

Got to get my film
to my publisher.

And my camera to Yolonda.

Who's Yolonda?

She's a girl I mentor in a
photography... program.

Okay, a little sting,

so you won't feel
the big needle.

Vitals?

A little tachy,
but BP's good.

Okay.

You're gonna feel
some pressure here.

That's it.

If the bottle fills up,
clamp the tubing

before you switch
to an empty one.

Yeah, got it.

(sighs)

I need to see if I have
enough miles...

to upgrade.

Why skimp on your
last plane ride?

BARNETT: She refused
the morphine.
KOVAC: Okay, the
painful part is over, anyway.

Eh, fluid's bloody.

Just a little,
shouldn't be a problem.

(weakly):
I don't know.

(sighs)

I feel weird.

(alarm beeps)

Diana?

Diana, come on.

Systolic's only 84.

Get the crash cart.
Come on, Diana.

Sam, she's DNR.

No, no, no.

We talked her into this,
we at least

got to get her
back to where she was

when she walked
in here. Please?
No crash cart, no CPR.

Give her a
liter of NS

and lower the head of the bed.

(alarms blare)
TAGGART:
BP's 88over 45.

Damn it. Urticaria.

Another liter of NS

and DC the platelets, now.

Crackles at the bases.

KOVAC:
50 of Benadryl

and get her on the
non-rebreather.

Diana.

What happened?

You had a bad reaction
to some of the blood products.

BARNETT:
Okay, I'll start
another line.

Oh, no, I don't want that.
I don't want any of this.

You-You dropped your pressure,
you have no choice.

Yes, I do. Stop.

We need a way
to get her fluids, fast.

No, no.

Listen to me.

This is very serious.
Platelet allergy can be

life threatening.

Especially in your condition.

DIANA:
Great.

What is it about hospitals?

It's a toxic environment.

Everybody gets worse here.

125 of methylpred,
and have epi at the bedside.

It's gonna be okay, Diana.

Really?

I don't think I'm gonna be okay.

BARNETT:
Want me to start
a subclavian?

She's coagulopathic.

Let's give the meds a chance
to kick in and then reassess.

Hang in there, Diana.

We'll come and check
on you soon.

Sam shouldn't have
pushed that.

That was Diana's only chance
to get on that plane.

Dr. Kovac, people are asking
about this dinner thing.

Morris, just tell Marquez to
officially close us to trauma.

No problem. So how are we
affording such a fancy place?

It's not Ladokern, is it?
Don't worry about it.

You didn't get in bed with
a pharmaceutical company?

Guys, come on, we have
a lot of work to do.

Say it isn't so. They're
Satan. Trust me, I know.

PRATT:
Hey, I got a 14-year-old

with altered mental status
and respiratory distress.

We were walking home

from rehearsal,
he said his back hurt.

Then he just
sat down

and stopped
making sense.
Please...

(mumbling)
All right, Ray, can I
get a hand over here?

Come on, let's go.

What's your friend's name?
Demitri.

Does your friend have
any medical problems?

I don't know.

Demitri.

Hey, man.

Wake up, Demitri.
Wake up.

One, two, three.

Sat's only 76.

You sure it's
picking up?

Yeah, we got a good wave form.

All right.

We got shallow resps,
decreased at the bases.

Throw me the bag.

Does he take any medicine?

We're in orchestra
together.

We're not
really friends.

Anybody call
his parents?

MALIK:
Yeah, Timmy's on it.

Pulse is thready,
tacky at 125.

You guys take any drugs?

We don't mess
with that.
Okay, did he fall?

Did you guys
get in a fight?
He just passed out.

PRATT:
Okay, all right,
we're gonna need to

tube him-- seven-oh
and a Mac two.

MALIK:
I got access,
what do you want?

CBC, trauma panel,
tox screen, type and cross.

Call for a
portable chest

and let surgery know

that they need to come down
and do a trauma eval.

It's not my fault,

I swear.

Let's get an ABG.

Hey.
Hey.

Didn't call me back
this morning.

What?
You didn't call me back
this morning.

Morris is such
a little bitch.

What happened?

He's sending me home.

What did you do?

I reduced a shoulder,
that's what I did.

I don't get it.
I was trying to do

what was safest for
the patient, right?

And then he shows up a-and he
pulls this big power trip.

So you went against him?

That's not the point.

Well, it kind of is.

Well, no, it kind of isn't.

It... the point...
You know what?

I don't even want to talk
about it, forget it.

Why don't you just
tell Morris you're sorry?

I'm not sorry.

So what?

So what? I'm not a kiss ass.

So you want to get written up?

He doesn't have the balls
to write me up.

Neela.
What?

Uh, since you've been
ignoring Dr. Crenshaw's pages,

he asked me to read
this to you.

"Get your ass into
the trauma room, now."

I got to go.

Where you going?
W-What'd you have to say to me?

Nothing. I'll call you later.

Just... go apologize to Morris.

Suction! All right, I'm in!

Bag him up.

MALIK:
Sat's are in
the 70s, Pratt.

Blood gas is ugly.

PH only 7.02.

What's happening?

He may have taken something
that's making him acidotic.

There's no gap, but...

Hey, you know what?
Listen, Todd.

It's very important
you tell us the truth.

Did you guys take any pills?

I told you, we were
at orchestra practice all day.

MALIK:
I can't bag
him above 80.

That's because of this.

Yikes. What is that, pneumonia?

PRATT:
Seems unlikely
without a fever,

but we got to cover it.

750 of ceftriaxone.

It hurts me when you
ignore my pages, truly.

It wounds me to the core.

You rang?

Yeah, we got
a 14-year-old

with severe hypoxia
and this film.
Pneumonia?

MALIK:
H and H is back.

Hemoglobin's 6.2.

Pulmonary hemorrhage.

That's what
I'm thinking.

CRENSHAW:
Any history of trauma?

We still don't know, and his
buddy's not being too helpful.

I told you,
I don't know anything.

Look, Todd,
if you know something,

you got to tell us
right now.

Hey, hey, Todd!

Get back here!
All right,
sonosite, please.

And a chest tube tray,

sterile sixes
and a ten blade.
Hey, Todd!

What did you do to him?

What did you
do to him?

Nothing, I swear.
Yeah?

Then why are you running?

You know, your friend could die?

He could?

Yes! Did you
do something to him?

I wanted the solo.

What did you do?

I kept praying he'd get sick,
but when that didn't work...

We did this experiment in
chemistry where we used sulfur,

and I saw what happens
when you heated it up,

so I figured eating it
couldn't be good.

You...

You put it in his food?

Listen, our school orchestra
goes to Milwaukee tomorrow,

and I wanted to play the solo.

I didn't mean
for all of this to happen.

I'm sorry.

I'm sorry this didn't
go the way we wanted.

Why don't you, uh...
just sign me out.

I have a plane
to catch.

Diana, you can leave,
but nothing's changed.

They're not gonna let
you on that plane.

Well, why?

We can send you home.

Hospice can bring you
pain medications.

No, but I'm not in pain.

Not right now, but
sometimes when people

die this way, they get... they
get really uncomfortable.

Well, what can you do?

Another para... paracentesis?

We can't... we can't
risk you bleeding.

Why can't...

Why can't I just fall asleep
and not wake up?

You've seen this.

It doesn't always work that way.

The fluid in your body
is gonna continue to build up,

and as it does, it'll
compress your lungs

and make it harder
for you to breathe.

I'll feel like I'm drowning.

TAGGART:
We're not gonna
be able to get

to everyone
before the E.R. closes.

But what about my headache?
It could be a brain tumor.

I can't wait till next week.

I've got the mother
of all yeast infections.

I'm sorry to hear that,

but you'll have to go find
a doctor somewhere else.

We've got a list
of local clinics here.

How long will
the E.R. be closed?
We don't know.

We need a room!

We're closed.
You guys know that.

You got to take this.
No, we can't.

Turn around and go
to Good Shepherd.

No, listen,
it's Dr. Pratt's brother.

KOVAC:
Chaz?
(coughs)

He kind of overdid it.

(mumbling):
Somebody, I'm not
feeling too good.

What happened?

DUMAR:
Happy hour overload.

Hey, we need a gurney over here!

Trauma Two's open.

Sam, we got this.

Go give the nursing
report on Diana.

We got a bed for
her upstairs.

MAN:
My appendix is bursting!
She's going home.

No, she wants to be admitted.

What? To the hospital?

No. She is not dying here.

Sam, just make

the call, okay?

Hey, Sam, I got these kids
doing fence plowing.

What the hell
is that?

A bunch of knuckleheads
run full-speed

into a fence
and try to break it.

Do we have time
to treat them?

Hurry up, they have to be
out of here in an hour.

Hey, Pratt...
Yep?

You got to get
to Trauma Two.

Your brother's here.
Yeah, I know,
he's working.

No, he's drunk.
What?

Demitri's parents just called.
He's got sickle cell.

You're kidding.

At least makes sense.

Yeah, means the white out
is acute chest syndrome.

What's that?

Um, Dr. Barnett will
explain everything.

Ray, take them upstairs, okay?

Where you going?

It's my brother.

All right, let's go.

I just spoke
to Dr. Kovac.

It's okay.

No, it isn't.

It's fine, Sam.

No, this isn't what you want.

It's the hospital vortex.

You said it yourself.

Come on, let me
take you home.

Okay? We'll tell your friends
to meet you there instead.

It's okay. It's okay.

Don't say that.

Come on.

Sam, look, actually,
there is no one, okay?

I-I-I just...

I did my thing...

my whole life.

And I... I didn't develop
any real relationships,

and I don't have any kids.

So...

Okay.

But you are still not
doing this here.

Not like this.

Sam, I can't.

Look at me.
I can't do this alone.

Pulse ox is dropping.

Breath sounds equal.

Chaz, wake up. Breathe
for us, buddy. Come on.

I have one beer.
Hell, I have four beers.

But 15 shots
of tequila?!

It's a paramedic
tradition.

Yeah, tradition
my ass!

What the hell were
you guys thinking?!

Sat's only 89.
He needs a tube.

No! 15 liters oh-two by mask.

That's not gonna work
if he's hypoventilating.

What are you, frat boys?

You guys see people die
from alcohol poisoning

all the time.

(gags softly)

Yep, he's still got a gag.

Barely.

Chaz, come on, man.

Chaz, hey!

Pratt, his GCS is trendingdown
and so are his sat's.

We need to tube him.
Not yet, he's arousable.

(mumbles softly)

See, look at that, he's talking.
Mac two and an eight-oh.

I said no. You're not putting
a tube in my brother.

Once he aspirates,
it's gonna be a mess.

It's easy to
extubate him later.
I'm not putting him

on a vent! Marquez,
place an NG.

We'll evacuate his stomach
so he can't aspirate.

That's gonna make him vomit.

Chaz, come on,
wake up, man.

He better wake
up or I'll kill

you guys, I swear,
I'll kill you.
Hey, come on.

Hey, hey.

Hey.

I'm sorry.

Sat's up to 92.

Good. That's good.

Let's put him
on a non-rebreather.

I'll call for a med-surge bed.

(sighs)

This is nice.

It's very... chic.

Thank you.

Here.

Did you do all these?

Uh... yeah, mostly.

Some... are
friends.

I thought you
had no friends.

Well, uh, kind of friends
that you bunk with in Kabul,

or let you sleep
on their floor in Marrakech.

I haven't told them.

Diana?

(exhales loudly)

They'll read about it
in the obit.

I bet you
underestimate them.

That's Paul.

Mm.

A week before
the bomb went off.

I'm sorry.

Oh, here,
let me help you.

Yeah, got you.

(grunts)

(murmurs)

Sit down.
You know something?

You don't have to...

You don't
have to stay.

I'm sure you have a
family to go home to.

Uh...

(sniffles)

Actually, uh, my son
is away at school, so...

He's been, you know,
having problems.

A picture?

What's that?
Picture?

Yeah.

Yeah, I do.

(clears throat)

Here. There's Alex.

(laughs)

It's an old one,
but he looks

pretty much the same.

Well, he's beautiful.

Thanks.
(laughs)

(gasps and
clicks tongue)

I used to think

you had to chose between

family and career.

By the time I figured
out you could have both,

it was too late,
'cause I was...

I was already sick.

Yeah, well,
I got pregnant at 14,

so by the time I realized
you could have a career,

my kid was in preschool.

So, nursing isn't
what you wanted?

Uh, I actually never thought
about what I wanted.

Feeding Alex
was the reality.

(exhales heavily)

Yeah.

Well...

It's never too
late to choose.

You have time.

The room is ready
for Mrs. Sherman on four south,

and the surgical step down says

they will make room
for our pertussis kid.

Do you think it's
a good idea to put
a coughing toddler

in a room with a bunch of
surgical post-op patients?

No, but it's
the only option.

Dr. Kovac,
can you sign this discharge?

You can't
send me out, Doc.

Look, we'll give you
a taxi voucher

to get to a shelter, okay?

Oh, you know what
them shelters like.

I'm afraid that's
all we can offer.

You don't need to
stay in the hospital.

Dr. Barnett, I finished
packing up Trauma One,
and I found this.

Oh, it's a violin.
My patient must have left it.

I'll take care of it, thanks.

All right.
Hey, how's
he doing?

We're going
to monitor him overnight.

Hey, you know if
you get admitted,

you can't be
a paramedic?

CHAZ:
Is he for real?

I'm afraid so.
Oh, hell, no.

It's a joke.
Sit your ass down.
(laughs)

Oh!

What-What happened?

His first day
as an EMT.

Got initiated.

Damn traditions.

Um, I'll be up in a sec.

Mm.

Hey, Betina, Betina?

About earlier...

I'm sorry

about how
I came off.

"How you doing, girl?"
"Maybe we could have dinner."

(laughs)
"Crack open
a bottle of wine"?

Yes, yes, yes, but
I do want to hear
about your research.

Then you're going
to have to read up

like your buddy, Morris.

I'll do that, but I still
want to take you out.

There's this
E.R. department
dinner next week,

Thursday night.

An E.R. dinner?

You're kidding me.

And I thought maybe afterwards,
we could get a drink

in a bar in a public spot.

Sounds better.

Come on, what do you say?

Call me.

Hey, you forgot this.

Thanks.

Mm-hmm.

Demitri's still
not awake?

Well, he's got a tough road
ahead of him,

but the disease did this
to him, not you.

You sure?

Yeah, I'm positive.

Sulfur doesn't make you sick,
not like this.

You know you got lucky.

I know.

(sighs)

Look, when the time is right,
you'll get the solo, okay?

Have you ever felt,
like, jealous?

Wanted something
someone else had?

Sure.

Hey, but in the end,

I believe people get
what they deserve.

And if you're patient,
and you're committed,

then you can get
what you want--

whatever you want--

whether that means
a violin solo,

or a better grade,

or even a girl.

(soft chuckle)

Sarah?!

Sarah!

(keys clink on table)

I didn't like
Happy Feet.

What? What kind
of a kid are you?

Everybody likes
Happy Feet.

Well, I'm not
everybody.

Hey.

Hey, you're home?
Yeah, I got off early.

Where you guys been?

SARAH:
The video store.

We ran out of movies.

SARAH:
You know, if you want,
you can join us.

We got a bunch
of Jackie Chan movies.

(snorts)
Charlie Chan.

Okay, Charlie Chan.

Sarah, can you, uh, give Mike
and I a second to talk?

Sure.

(keys clink on table)

What's up?

What's in the thermos, Mike?

I haven't been drinking.

So, what's in the thermos?

I felt like having a
little bit of orange juice.

Yeah. Prove it.
What-What's
your problem?

Prove it.
I don't have to
prove a damn thing.

You need to relax.
I need to relax?

You've been drinking
while driving with Sarah?

I was not.
Oh, yeah?
Let's see.

What's gotten into
you? Let go of that.

Give me that.
No. Let go.

(grunting)

That's it!

I'm done with you!

Tony!

Come on, Tony.
No.

It was only
a little.

You're out,
you're moving out.

We just went
around the corner!
I should have never

let you in.
What are
you doing?

I fall for this crap
every time.

Now, wait. Please,
Tony, listen to me.

I'm done listening, too.

You're drunk.

You'll always
be a drunk.

Come on, Tony.

Get out of my way.

Look,

I'll change, okay?

That's what you want.

Yeah, how many times
have I heard that?

Tony, what are you doing?
GATES:
Stay here.

Tony?

I got a job.

Yeah, and the day
the rent's due,

you're going to go blow it
at a bar.

That's not true.

It's true.
It's always true.

And you know what else?

You weren't a fire chief.

You were a second-rate captain

who got demoted
because none of the other guys

wanted to go into the fire
with you.
Son of a bitch.

Face facts, old man-- you killed
that rookie, didn't you?

(grunting)

You left him.

You left him burning
in that building,

'cause you were too out of it
to go save him.

Why don't you just face it?

You can't talk to me like that!

Ow!

You killed him.

You killed
your career.

And the only way Mom could
escape you was to die

herself.
(grunts)

(both men grunt)

(violin playing)

* *

* *

* *

* *

* *

(camera shutter clicking)

(gasps)

You did it,
Dr. Kovac.

I don't like this.

Hey, it's not all
Mercedes and racquetball.

I know that,
but I'm beginning to feel

like the politics
aren't worth the paycheck.

First you make
me fire Weaver.

Then I spend half my time
in BS meetings.

I'm flooded with paperwork,
and now this.

(laughs)
Well, welcome to
management, Luka.

This isn't me.

I'm resigning as Chief.

Luka,

part of being the boss
is being the bad guy.

I'll leave that
to someone else.

I just want to be a doctor.

Have a good night.