ER (1994–2009): Season 13, Episode 3 - Somebody to Love - full transcript

Previously on E.R.:

I am no longer
Chief of Staff.

I need my job back!

Kovac is going to
offer you the job.

We're colleagues.
We're contemporaries.

Hey, no,
no touch.

Every day,
I keep thinking

they're going to come
and arrest me.

Well, just stop
worrying about that.

Just focus on Alex.

He knows his dad is gone.



No, no, no, Gates!
You cannot put in an EJ.

E.R. said okay on the EJ!

I told you not to do that!
You're dead.

Take it easy!
All right!
Okay, okay, okay!

But you're in my E.R. now,
so put on the damn coat.

You're a new intern?

KOVAC:
Resident in-service
exam is Friday.

Practice questions
and instructions
are in the packet.

We just got
here, boss.

Shouldn't we
learn something

before you start
testing us?

It's to get a baseline.

We'll retest you at
the end of the year.

Um, is there a makeup date?



'Cause Friday's my day off.

I volunteer
at Big Sister/Little Sister.

Yeah, well, I'm post-call,

which means I volunteer
to sleep all day.

Too bad. Conference
Room, 8:00 a.m.

Come on, guys.
All right.
Who else is on?

Weaver's on at 12:00.
CHUNY:
Miss!

Until then,
you're in charge.

What about Morris?

He just called.
He's running late.

Says to start without him.

Late? For his first shift
as an Attending?

You can't use
that in here!
Did he say why?

I couldn't
really understand him.

It was windy, and the music

was loud.
Ma'am, here.
You have to sign...

"Windy"?

* Believe it or not,
I'm walking on air *

* I never thought
I could feel so free *

* Flying away
on a wing and a prayer... *

Rat-bite kid is in bed C.

Waiting on a shot
of penicillin and
a piece of pizza.

Ah! The surgeon is in.

I think I left
my badge here.

KOVAC:
Are you nervous?

No, I'm okay.
Happy rounding.

First day on rotation.

Don't let those eggheads
haze you!

WOMAN:
Sidewalk was
crooked, damn it!

I want to talk
to Johnnie!

CHUNY:
Ma'am! You're gonna have
to call them back later!

Look here, J-Lo!
I got ten minutes
left on my card,

and I ain't signing anything
until I talk to my attorney!

Don't you tell me
that Johnnie Cochran's dead!

Lady, give
me a break.
What about Al Sharpton?

It's not heavy.
They found some bad wiring

after the shootout.
Turns out the whole
place is like

a tinderbox.
Really? Got a light?

James Anderson,
shortness of breath,

history of congestive
heart failure.

Gave nitrospray
and 40 of lasix.

40? The guy's
a chronic CHF'er.

40 won't do the trick.
He needs 80.

Protocol says 40.

Not that I'd expect you to know,
or give a damn.

Picked him up
in the hall
of his apartment.

All right, on the count.
Ready?

Place had some wild stuff--

feather boas,
stiletto heels, wigs.

One, two, three!

Sounds like
your locker.

What meds is he on?

It's right there
on the paramedic sheet,

which is also part of the...

Protocol. Right.
I smell a theme.

80 of lasix.

Sats suck.

(alarm going off)

Must have a bad lead.
Oh, yeah, he does.
Look at this.

It's on his chest hair.

Is that part of the...

what do you call... protocol?

Isodril, bumex, glyburide...

Benzoin for the chest lead.

All right. Protonix,
diovan, carvedilol.

Let me help you.

All right, sats are up.

Lasix in.
Hey, can you look at me?

That's good.

Saved your ass again, Zades.

(labored breathing)

Hey, where's that famous
sense of humor of yours?

It was bad enough before.
Now I got to roll in here
and have you playing me

'cause somebody was dumb enough
to give you a white coat?

What are you so
pissed off about?

I'm on probation! For a month!

Limited shifts, no extra runs,

and one wrong move,
I'm finished.

What? Those two drunk guys
outside of Ike's?

They press charges?

No. The bar manager
filed a complaint,

so Chief's got to
make sure I feel it.

I didn't hear
anything about it.

Well of course not.
You're Mr. Teflon.

Only now it's Doctor Teflon.

This is no big deal.
What's probation? A month?

It's my job, man! My job.

You know, the one good thing
about you working here,

you may just have to
listen to somebody

besides yourself
once in a while.

And I can't wait to
see those sparks fly.

I'll catch you
later, killer.

Well, he didn't mean
"killer" killer. He meant...

You know. All right,
back to work, everyone.

Barack! Barack Obama!

Don't waste my time!

Put him on!
Barack!

WOMAN:
Barack? Is that you, Barack?

MAN:
Benny? Your neighbor's
on the phone.

Something about Jim.

(indistinct voices)

Triage desk.

No, I'm here for someone.
James Anderson.

They brought him in
about an hour ago, I think.

Triage desk.

Hello. I...

Fill out
this form, sir.

I'm here to see a patient.

Oh. Okay. Then
try this one.

(groans)

Easy, now. We got enough
patients already.

Charity, I got one for you.

Um... Hope.
My name is Hope.

Right. Eight-year-old
girl fell off her bike.

Oh, poor little angel.

Hey, think fast!

What's this?

It's your lucky day.

Residents get to wear
the transport beeper.

Wait a minute.
If this thing goes off,

I can sign out my patients
and go, right?

Well, if your Attending--
i.e. me--

agrees that the patient
is critical

and needs a physician transport,
then yes, Ray, you may go.

Sweet. I'm going to go check

the transpo locker.

Is Dr. Kovac around?

Hey, how you doing?

I think Dr. K
ran upstairs,

but I'm pretty sure I can help
you with anything you need.

You represent
this hospital,

and that's how
you approach people

asking for help
at this desk?

KOVAC:
Angela, I was waiting
for you upstairs.

I'm sorry.
My train was late,

but I had the lovely
opportunity to meet Dr. Pratt.

Impressive.
Got a minute?

Yeah, sure.

Haleh, what the hell
just happened?

I think you got served.

Greg Pratt, Timmy Rawlins.
Hey.

He's going to be filling in
for Jerry.

Really?
In fact, he was Jerry

before Jerry was Jerry.

Well...
Back in the mid-'90s,
I got stuck in a rut.

I had to get out of here.
Out of the hospital?

No. Out of Chicago.

I lived in the Kalahari
for a while,

selling biltong
outside of Kakamas.

Then I spent a couple years
mining uranium

in the Siberian tundra.

Ran into a misunderstanding
in Thailand.

That landed me
in a Bangkwang prison.

But most of the '90s
are still a blur.

Wow. Sounds rugged.

Hell, I'd take Bangkwang
over E.R. this time of year.

I hear that.
Yeah. You know,

them new interns will mess
you up worse than Chinese hash.

Ain't that the truth.

It's about the Curtis Ames case.

Risk management wants to meet
tomorrow at 9:00 a.m.

Curtis Ames?

Left-sided paralysis
following an embolic stroke.

You placed a central
line for pneumonia,

and he boarded down
here for three days.

February of '04.

Oh, oh, oh.

But I thought
the case had no merit.

The guy wants his day in court.

But the lawyers said...
I mean,

it's been over
a year since my deposition.

Excuse me?

Are you Angela
from Staff Affairs?

"Ms. Gilliam."

Ms. Gilliam, there's
a Dr. Tremons on the phone.

He says his privileges
have been suspended.

Tell him the Anesthesia Chair
has to keep his ACLS current

just like every other physician
in this hospital.

Okay. I got you, baby.

Look, malpractice suits are
a waste of time and resources,

but it happens
to almost every
doctor at some point.

It doesn't reflect on
your abilities as a physician.

See you tomorrow.

Ultrasound confirmed
cholecystitis.

Hang a bag of ertapenem,
and send her up
to surgery.

I'll give
the nursing report.

Scaphoid fracture.

Thumb spica.
In bed A.

Discharge with
clinic referral.

No problem.

This one over here?

Curling iron
upper inner thigh.

Dressing, tetanus,
and send her on her way.

How do you even do that?

Don't ask, don't tell.

Pratt, sign Gates up
for some more.

Man knows how to clear a bed.

Really? So why do I have
two patients with blank charts,

and I haven't heard
about your CHF guy yet?

He's stable.
We're waiting on labs.

Sats are 91.
He's hypoxic.

That was before oxygen
and lasix.

Well, what's
the EKG show?

Nothing to worry about.

This gentleman is here
for James Anderson.

You family?

We're business partners.

My name's Cray.
Bennett Cray.

All right, Dr. Gates
can take you in.

But keep me apprised.

All right. We're waiting
on some test results,

but we could use
some more information
on his medical status.

Yes, I can help that.
I brought in his meds.

Your, uh...
mascara's running.

Oh. It was
a long night.

You round twice a day,
5:30 a.m. and 7:30 p.m.

In between, you'll cover
floor patients and consults.

And, hopefully, scrub in
on a few cases.
Sure.

MAN:
You were there
and you were there.

Did I ask for apple juice? No.
Neela, this is Jill Connely
and Ken Maser,

Did I ask for a club soda
your fellow interns.

sprinkled with the sweet urine
of a hairless eunuch?
This is Dr. Crenshaw.

Dustin? Dustin?
No, I don't think so.

Dustin!
What I asked for

was a freakin' ginger ale!
Dustin!

Dr. Crenshaw is our
new Chief Resident.

Neela Rasgotra.

Put in two years in the E.R.,

then defected
to become a real doctor.

Wow! Took you that long
to figure out you
were wasting your time?

Well, I don't think
of it that way.

Really? And why is that?

I developed clinical
and procedural skills.

I became proficient
at ultrasounds,

central lines,
chest tubes, cut downs.

Wow!

You know what
worries me?

Maybe all of this
is going to seem too easy.

You think? Maybe
there's a chance
you might actually be

oh, I don't know,
what's the word,
um... bored...

by what we do up here?

I don't think so.

Good.

Good. Then I think
I'll leave you all to it. Bye.

Someone want to explain to our
international prodigy here

how we do wound rounds?

Mr. Cray.

Doctor.

His oxygen
level is up.

He should be
waking soon.

Is there any family
he'd like here?

Uh, just me. That's all.

It's just the two of us.

We each come
from a long line

of homophobes
and bigots.

The closet reflex
dies hard.

How long have
you two been together?

It's been over 15 years now.

We found each
other late.

He thought no one
would ever love him,

and I'd already
resigned myself

to being a lonely
old drag queen.

In the right light,

he looks like Barbara Stanwyck

in The Lady Eve.

To you, maybe.

Now I look more
like Mrs. Doubtfire.

I'll let you two talk,
and I'll be back

as soon as I know
anything, okay?

Hey, Luka.

Can you sign a wrist X ray
order for the Obama lady?

Sure.
I hear the baby's
doing well.

He's starting to hold
his head up.

Ah, that's great.

You know, we never got to talk
about everything that happened.

It's not your fault, Sam.

Come on.
If it wasn't for me...

If it wasn't
for you, I'd be dead.

How is everything?

It's good.

You know, pretty
good. I, uh...

Alex is seeing
this shrink lady,

but he's not really into it.

You know how
he is.

He keeps everything
bottled up...

I meant with you.

I'm fine. Really.

You want me to try
talking to Alex?

No. You've got enough
on your plate.

But thank you.

Sam, hey.

Just don't beat yourself up.

You did what you had to do.
It was self-defense.

HOPE:
Born in a poor village in
central Guatemala,

Soledad Gutierrez is a deeply
devout immigrant

who works cleaning houses.

She's had a hard
time adjusting to
life in the U.S.

Wow, you really
bonded with her.

Okay, Felicity,
come on, hurry up

and get to the point, will ya?

Soledad is worried
every day

and prays all the time for her
husband and four-year-old son

back in their hometown of...

"Chichicastenango."
She still sends them money.

Oh, sure I got down to
Chichi for el dia de los
muertos back in '96.

But she's worried her
husband might have
another woman now

that she's been gone so long.
Still, there's no
denying that.

Her husband's mom has
to take care of the boy,

but she's getting older now
and might not be able to...
Look, look, look, look.

I don't need
her whole life story.

Why is she in
the ER today?

Well... she had a great-uncle
who died of a heart attack.

His wife and children
were left without

anyone to care for them, so they
actually had to move in

with her parents,
which was weird,
because...

All right,
stop, stop, stop.

What brought her to the ER?

Her heart.

Oh...
It's her heart.

Good. So do you think
it's an MI?

Pericarditis?
Dysrhythmia?

Well, she's been unable to find
a suitable church,

so I believe that she feels
so alone in this world

that her heart is aching

for her family and her homeland.

Okay, okay, well,

diagnostically, what you
just said is nothing.
(man yelling)

TAGGART: Need a hand here!
Group home resident,
23 years old.

Release me, you merchants
of destruction!

You need to stay
in bed, Ernie.

Good to see you.
Glad you could make it.
Pleasure's all mine.

The home thinks he might
have ingested something.

All right, ten of Haldol
and two of Ativan I.M.

Oh, this is Rodney King
all over again.

Hey, lady, no pictures in here.

You ain't fooling nobody,
brother.

Harriet, get back
to your bed.

Obama going to see this.

(both laughing)

How you feeling, Mr. Anderson?

Better.

Tell him he can go.

He's got
a show tonight.

We're having
a fund-raiser

for the Chicago
HIV-AIDS Coalition.

And I don't want you missing it
on account of me.

He never misses
a show.

All right, listen,
we have some test results

and the good news
is, you did not
have a heart attack.

Oh, thank God.

But you're not
making urine,

which means your kidneys
aren't working

so you'll have
to go on dialysis.

I don't think so.

Jim...

It's pretty urgent.

I've been to enough
doctors already.

I've had enough tubes
and machines and treatments.

No, I'm not going to do it.

Don't ask me...
It's okay, Jim.

It's okay.

So what else can we try?

What are his other options?

His options?

He'll die. Very soon.

No, it's enough already.

Jim, there's
no choice.

Dialysis can substantially
prolong your life.

I've already got
the bad heart.

I'm sick of being sick.

I'm not going to be
some broken-down cripple.

You're tired,
I know that...

It's enough, it's enough.
But remember what
we always said--

Whatever's
going to happen...

You choose more life
no matter what, remember?

I don't want
to do this to you.
More life,
no matter what.

You promised.

Okay.

Okay.

But you've got to do
something for me.

Call Lorraine,

and tell her
what's going on.

Jim...
Call her.

Just tell her to bring the boy.

I want to see him.

It's not a good idea.

Don't get into it all.

Don't try to explain it.

Just tell her
I want to see them.

It's been too long.

Please, Benny.

You... you got do...

(weak gasp)

Okay.

His sister and her son.

I've never met them.

So, dialysis?

Yeah. Let's get him up
as soon as we can.

I'll make the call.

He was already 50 by the
time he figured it out.

He wanted to tell
his family, but
they shut him down.

So he just left.

Disappeared one day.

Found me.

No openings now.

I told them we could
start him down here.

His Serum K level
is still high.

All right, amp of bicarb,
25 grams of D50,

ten units of regular insulin.

May I use that phone?

Sure. There's one
down the hall if you
want more privacy.

Thank you.

Oh, excuse me.

Gates, rheumatology came down on
your polymyositis patient

and there was no H and P
on the chart.
Didn't get to it yet.

No, that's not good enough.
Sam, you got this?

You come with me.

All right. Give me an ETA
on the dialysis.

Listen, I've got
enough problems

without you pissing off
the other departments

by not keeping current
on your charts.

I'm just trying to use
my time well.

No, not well enough.
Get that up to date.

Oh, thank God, someone who
understands this game.

Rough morning, Greg?

I'm glad to have you
on the floor.

HOPE:
Dr. Pratt, will you
come check

my vertical mattress?

I think I everted
the edges too much.

Not until he listens
to my bronchiolytic.

You try a neb yet?

Don't worry,
I'll show you.

Uh, I'm with
Dr. Pratt today.

Okay.

And I still need to present
my barbell-on-the-toe guy.

Well, I can help
you with that.

Hey, guys, this is the esteemed
Dr. Weaver in the house, okay?

So take advantage--
present to her.

Soak up all her
decades of experience.

Decades? What
am I, a fossil?

All right, go,
run and hide, all right?

We'll be in there
in a minute.

You know what, I'm fine.

I'll push charts,
help clear some beds.

I hope this
isn't awkward.

What? That you and I
are equals now?

I guess.

Hector Rodriguez, 38,
found down on the sidewalk.

Hey, there's Tony...
Tony man!

Cue Ball, what are
you doing here?

Some kind of misunderstanding.

History of ETOH.
Yeah, we know.

Did you vomit
any blood?
Not this time, bro.

I was just sleeping and some
skank called 911.

Where do
you want him?

Did you fall?

No, no, that's old.

A junkie rolled me
a couple of weeks ago.

Occupational hazard.
Oh!

Get this dude to Exam Three.
I got him. I know him.

Check a crit and look
for signs of occult trauma.
Yes sir, Dr. Pratt.

I can get him.

You finish that.

Is that the bleeding heart
of Jesus?

Sure is.

Isn't God great?

You ain't so bad
yourself, honey.

There are no open
spots upstairs,

so we're starting him
on dialysis here.

Is that Uncle Jimmy
in there?

Hello. Lorraine?

You're the man I talked
to on the phone?

Bennett Cray.

My brother Harold

and my son Brian.

James asked you to call us?

He wanted to see his family.

Now, like this?

That's par for
the course, I guess.

He's having ectopy, runs of six.

Damn it.
Get Gates and Pratt in here.

His K's going up again.

Ejection fraction is
ten percent.

What does that mean?

It means his heart's not
pumping well enough.

Does he have an
advanced directive?

You mean like a DNR?

No. I talked to the other
doctor about this.

Why are you asking
about a DNR?

We need to know how far
he'd want us to go.

Whatever you can do.
We knew he was
sick, but...

I talked to him on the phone.
He said he was having problems

with his diabetes
and having some trouble

with his congestive
something.

He called you?

In June,
when I graduated.

What are his chances?

Well, it's possible if we put
him on dialysis,

and avert a cardiac incident...

Can he take all that?
He's very resilient.
He's been through a lot.

HAROLD:
He's been sick
for years. He's not

the type to want
to be kept alive on machines.

Your brother and I
have discussed these
matters quite a bit.

Look, we need a few minutes
to figure this out.

Sure.

Maybe I can be
of some help.

Jim and I are good friends.

We've been working together
for quite awhile now.

Thank you. This is
a family matter.

We appreciate
all you've done.

We'd like some
privacy now.

Oh, yes, all right,
I'll... I'll just step outside.

TAGGART:
QRS complex is widening.
TECH: Ready to start the run.

PRATT:
Wait a minute,
hold on.

Sam.

Where the hell is Gates,
and why is this chart blank?

He goes fast.

He probably fills out
the paperwork later.

You got this guy's meds
in your nursing notes?
Yeah.

Okay, amp of calcium chloride.

TECH:
We doing this?
In a minute.

I'm going to give him calcium
to stabilize his heart.

Once we do that,
we'll figure out
what's next.

Okay.

Hey, Haleh, can you pass me
a head sheet

and a three-pack of Vicodin?

I'm getting him started
on something for the pain.

Sorry. We got rid
of head sheets about a year ago.

And we're not allowed
to dispense meds
from the ER anymore.

So what's a patient supposed
to do

if they can't get
to a pharmacy?

You are preaching
to the choir, sister.

I liked it better when
you ran the joint.

PRATT:
Charged. Clear.

Still v fib.
Resuming compressions.

What happened?

PRATT:
Amp of epi.

Why isn't he
dialyzed?

QRS widened,

we gave him calcium,
now he's crashing.

Is-Is-Is my uncle dying?

(beeping)
What's that alarm?

It's time for his meds.

He gets afternoon doses of
glyburide, lasix and didge.

What? Did you say didge?

Digoxin. 0.25 milligrams.
It's right here.

Okay, can everybody
step back for a minute

while we work on him, please?

Charge to 360 again.

LORRAINE:
You help my brother
with his medications?

BENNETT:
Sometimes, yes.

No one said
anything about didge.

You showed me
diovan, Sam.

That's what I was told.

By who? The paramedic?

What's Zadro's sheet say?

Digoxin.

You don't look
at his med bottles?

We didn't have them yet.

Here's the deal--
he has high levels

of intracellular calcium
from the didge,

and I pushed
a whole bunch more--

enough to stop
his heart-- why?

Because you couldn't

slow down enough to read
the med sheet right.

BENNETT:
Can you tell me
what's going on?

(sighs)

The drugs we gave
him to treat his QRS

has irritated his heart.

Clear. Clear

No change.

Uh, so what now?
What else can we do?

What about digibind?

Depends on his DNR status.

Have you all come
to a decision?

We've decided
it's enough now.

It's time to let him go.

What? No.
Our brother's
an old man.

He's been very sick
for a long time.

No, no, no.
He wants to fight.

He's got no one
to look after him.

He has friends,
he has a support system.

And who's gonna take
care of him, you?

I always have.
But we're his blood,

and we don't think
he'd want

to suffer through all this
for a little extra time.

Well, you don't know that,

because you don't
know him, but I do.

And that was his
choice, not ours.
I know him, I live with him.

I... love him.

I love him.

I asked you once
politely to go.

You have no part in this.

We could treat your brother

with something
called digibind.

It'll give him a
fighting chance. Pratt.

He's been in arrest
for seven minutes.

His heart isn't
salvageable.

I'm sorry, Mr. Cray, but...

this is what
his family wants...
Please, wait.

We'll continue CPR
as long as there's hope

for a meaningful
recovery, but...

TAGGART:
You can all come closer

if you'd like
to be with him.

Call it in five minutes.

Excuse me.

I'll be right back.

Hey, we caused this to happen.

No, you caused
this to happen.

All right, so give me
a shot at fixing it.

You're never gonna save him.

The family are not the
caretakers here-- that man is.

There's no living will,
no durable power.

You gotta go
with the blood relatives.

We have a chance.

This is a teaching hospital.
Teach me.

Oh, you want to learn. Okay.

Well, here you go--
that man's gonna die.

That's what needs
to happen right now.

So forget about
the digibind.

Lidocaine, one more round of epi
and then you can pronounce him.

Understood?

You need a break?

Sure.

All right, 100 of lidocaine,
get ready for some more epi.

And, uh...

ten vials of digibind.

Wait, I thought
the other doctor said...

Your brother expressed

a clear desire
for resuscitation earlier.

This is a fixable
condition,

we're gonna give it a go.

Did you discuss this with Pratt?

Yes. We discussed it.

Am I going blind?

Oh, bless your heart.
First thing--

check the intra-ocular
pressure with a tonopen.

I'm not sure how to use that.

All right, I'll be right back.

So how's that new
intern doing?

She's very, uh...
devoted.

Diligent, inquisitive,

likes to discover
new things-- all attributes

I like in a newbie. Ugh.

God, you're disgusting.

Who left this here?

MORRIS & TIMMY:
Ray.

Whoa, what?
If I get a page,

I got less than five
minutes to get on the roof.

Where's the tonopen?

Had two stolen,
wound up on eBay.

JAY-CO makes us
lock everything up now.

Syringes, eye drops,
even guaiac developer.

Only Attendings get a key.

I am an Attending.

Make sure you
check under the hood.

Ow.

Hey, look--
is there any rule

about desk clerks

dating doctors?

Shut up, Not-Jerry.
I got dibs.

(beeping)
Oh, sweet.

There's a pile-up in Northbrook.

I am so out of here.

(chuckling)

Let's see what we got.

Sinus tach at 110.

Got a pulse with that?
Strong carotid.

Excellent.
Cycle the dynamap.

We got him back for now.

Jimmy...
I'm right here, Jimmy.

BP's 105 over 62.

That's good enough
for dialysis.

Get the tech back down here.

Mr. Cray, there are

two friends
of yours here.

Would you tell them
I'll be out in a minute.

Uh, they work with us.

Our brother was a lot more
screwed-up than we realized.

I'm sorry he never told you.

We knew he was
an oddball, anti-social.

We thought he just
fell into

some sad, lonely life.

We never realized he was...

a degenerate.

LORRAINE:
Harold...

He's not a degenerate.

And his life hasn't
been a waste.

I know it would be easier
for you to believe that.

He lied to us for years.

He didn't want to--
he didn't see

any other way.

You need to go now.

I'm not going anywhere.

You want to take care of him?!

Fine.

It doesn't have to be like this.

We need another doc in here,
this guy is crashing!

All right, call for a vent.

100%, AC 14, tidal volume 600.

Yo, Cue Ball,
what's up?

unintelligible groan)

(Hope praying)
Oh, that didn't
sound good.

Pressure dropped
to 80.

All right, normal saline
wide open, five liters O2.

What is she doing?

I think it's the 23rd Psalm.

He doesn't have a line.
Why doesn't he
have a line?

Will you stop
that, please?

His vitals were stable,
crit's 32.

His only complaint
was shoulder pain

and the x-ray was negative.

Wait, wait,
calm down, calm down.

Did you just say shoulder pain?

Yeah.
Type and cross
four units.

What happened?

Alcoholic with
distant trauma history

presents with shoulder
pain and hypotension.

Prep the belly for ultrasound.

(indistinct talking)

NEELA:
Hey there!

Hey!

I thought you said
you were coming alone.

Oh, come on, it's me--
Uncle Archie!

Oh, he's so cute.

He looks more like Kovac.

LOCKHART:
They say they usually

look more like the father
in the beginning.

It's nature's way of
making sure daddy doesn't

get all insecure and
club us both to death.

Can I hold him?

Sure, he wants me
to hold him.

Oh, a little spit-up.
No problem.

Whoa... little bit more.

I missed this part
with my kids.

Oh, I'm so happy to see you.

I was going stir crazy
in the apartment,

so I thought I'd take
a walk and try paging you.

How's surgery?

Well, I thought it would
be nice to get back to work,

and distract myself from stuff,

but my new chief
is such rectal tissue,

it's all misery.

MORRIS:
Okay, you better
take him.

It's starting to get gross.

Thanks a lot, Morris.

Here you go.

So, are you loving
motherhood?

Yeah, it's a...
it's bizarre.

Sore nipples?

Shut up.

(pager beeping)

Oh, I think
he's hungry.

Yeah, maybe.

Oh, damn it.
I've got to get back.

Well, thank you for coming.

Well, it's very
nice to see you.

(kisses)

And nice to you.

And, uh, call me
if you need anything.

Okay. I'll be back
to work next month.

Okay, I think
I need to feed him.

Yeah, I'm down with that.

Breast feeding
is a beautiful,

natural thing, nothing
to be ashamed of...

You're not sneaking a peek
at my tits, Morris.

Okay.

Come on,
Mr. Rodriguez, wake up.

Got a 14 gauge in
the right wrist.

You got
a 14 gauge in?

Gonna have to teach
me that one.

This the ruptured spleen?

Foley's in.

(groaning)
Who's touching my dick?

Ah, not me, Cue Ball.

That was only one time
when I was extremely lonely.

It's a catheter, Mr. Rodriguez.
(chuckling)

Abdomen's flat.

Pressure's up to 100 systolic.

Hey... angel face.
What's going on?

I'd like to ditto that--
what is going on?

I thought we were going
upstairs, no?

Dr. Gates discovered that there
was some internal bleeding.

Based on Kerr's sign.

You caught that?

CUE BALL:
That's my boy.

Everybody knows, you be tripping
on some fent-laced powder.

Tony's the one you want
pushing that narcan.

WEAVER:
High praise indeed.

CUE BALL:
Check him out now

with his fancy MD.
Chest sounds clear.

What do you think you're doing?
Examining him.

Yeah, it's a little crowded.
Step back.

Write up the H and P.
Well, I can't
do that unless...

I will dictate to you.

Chest clear...

Cardiac S1, S2 without
murmur, rub or gallop.

Am I going too fast for you?

Hey, I heard Faith's guy
was crashing.

Her name is "Hope."

I think it's okay.

Good.
Well, we're done in there.

You guys called it?

Uh, no, actually.
The digibind worked.

Neela, check a quick rectal.

You want me to do
the rectal exam?
Gates!

What part of "no digibind"
did you not get?

It worked.
So what?

You got his heart back,
but his brain is shot.

Now he'll be comatose in the ICU
for three weeks until every one

of his organs fail.

You don't know that for sure.

What'd you just say to me?

Doctors.
I'm an intern, not an
idiot, all right?

I've been patching up
guys from...

Then maybe next time
you'll know the difference

between diovan and didge.
(indistinct shouting)

...if what I'm told doesn't
make sense to me, you got that?

I've been in this ER
for five years

working my way up as
an Attending, so if you think

that you're gonna stand there

and spout some crap
like that to me,

oh, then we got a lot more
to talk about.

Now get the hell out.

Okay, I was out of line.
Can I just check...

Get the hell out of here, Gates!

We're working on this guy!

Not anymore.
Shift's over.

Oh, yeah?
WEAVER:
Pressure stable.

OR is ready.

CHUNY:
Sats 92 on four liters.

Stool is brown,
guaiac negative.

CRENSHAW:
Good, let's
squeeze in two units,

portable monitor,
let's move him up.

Thank you, Jesus.

(sighs)

I thought you were gone.

Working on my charts.

So, I know I made a mistake,

but that guy would've needed
calcium anyway.

And if I'd known about
the didgie, I would've
used a much lower dose,

pushed it very slowly.
I said I was wrong--

what do you want from me?

How about "I won't ever
again flat-out disregard

something you tell me to do
or not do, Dr. Pratt"?

He would've wanted
the digibind--
his partner wanted it.

So what?
So what?
It's got to matter.

It was a judgment call
that wasn't yours to make.

If you can't give way
to my judgment

on a patient that
I've been treating...

(soft chuckle)

What?
No.

No, no, no,
go ahead, finish the sentence.
Nope.

Yeah.

From now on, you
chart as you go.

No more of this saving

the paperwork for
the end of the day.

And the next time you don't
do what I tell you to do,

or any other Attending
tells you to do,

you're gonna find yourself
getting bum-rushed

right out of this program.

I realize I was wrong
from your point of view...
From my point of view?

But because of the digibind,
that guy has a chance.

You really think
that you saved him,
is that what you think?

Oh, then he's got to have
a corneal reflex.

No.

Cold calorics?

Absent.

And negative
doll's eyes, right?

That means no sign
of brain activity,

no chance for recovery.

So as your, uh, your favorite
new mentor, let me just say,

great save, Dr. Gates.

Hey.

How's your first day going?

Guy comes in with a
few scrapes, ends up
with a spleenectomy.

Well, sounds like
a good case.

Yeah, it does.
Sounded like one.

Unfortunately,
I wouldn't know,

because Dr. Crenshaw
won't let me scrub in.

Sent me to do dressing
changes on the floor.

Yeah, he's a stern
taskmaster, that Dusty.

I'm an intern, Lucien.

Nurses do wound changes.
You know what? Uh...

That's his call.
You know, you assured me
this would be a step up.

Two months ago, I was
harvesting saphenous veins
for a CABBAGE procedure.

Now I can't hold
a friggin' retractor?
It's only the first day.

Well, why recruit me
to this program if you won't
allow me to do anything?

Look, he's tough, I
know that, but his
methods work, okay?

He needs to break you down
in order to unlearn you

of your bad habits.
Wha-What am I, a pony?

I don't need to be broken,

and I'm not gonna learn
or unlearn anything

by standing out in the hall.

Neela, you're in a
different culture now.

This is how we...
shake the E.R. out of you

and build you up
again as a surgeon.

Well, does it have
to be so humiliating?

No. It's just much more
effective that way.

I was wondering
where you went.

Yeah, I was taken
off the case.

Yes, I thought I
detected some tension.

Where are the Andersons?

Oh, they won't stay
as long as I'm here.

Even Brian.

Well, it's nice
your friends came.

They want me to
go to the club,
do the show.

Well, you know they're gonna
move him to ICU.

We won't know anything
for 24 hours.

Maybe you should...

go.

He's not coming back
from this, is he?

Mr. Cray, there's something
I should tell you.

You made a mistake,

got something wrong
about the didge.

It contributed to his
heart problems-- I've...

been around hospitals long
enough to get that much.

I'm so sorry.

No.

You treated him well.

Both of us.

We appreciate it.

Maybe they were right.

Maybe he was ready.

This has been coming
for a long time.

(sighs)

But here's the thing--

as bad as it all may sound,

I belong to a rare tribe,
constitutionally incapable

of giving up on fantasy.

I can get up like
a lady, and...

sell a torch song to a crowd.

And I sure as hell
can hold on to the hope

that maybe...

somehow Jimmy's
gonna be okay.

You make me wish
I were a drag queen.
(laughs)

Ah, we are all liars,

just like they said.

The makeup, the wig,
the padded dress.

All a beautiful lie
we tell ourselves.

But it makes us feel better.

Nothing wrong with that.

No. Nothing at all.

Thank you, Doctor.

MORRIS:
Hope.

Impacted cerumen needs
a washout in one,

and migraine lady needs
an H and P--

the abridged version,
please -- in curtain four.

Oh, and hey, uh...

you know, once
we're done here,

maybe-maybe we could
go over some procedures

and stuff,
help orient you...

maybe over dinner.

You're asking me out?

(laughs):
No, no, not... not exactly.

I mean, you know, yeah.

Have you accepted Jesus
in your life?

Jesus in Accounting, or...?

Oh. Yeah, well, sure.

Yeah, I mean,
I've thought about it.

You haven't, have you?
Yes, yes, I have.

Jes-Jesus is totally... cool.

I mean, to me anyway.

You should come
to my Bible group sometime.

I think you'd really like it.

(laughs):
Bible group?

Okay.

Great. Next one's
Wednesday night.

(quietly):
Wednesday.

Bible group.

That... that's hot, right?

Trust me, carrot boy,

you ain't anywhere
near tapping that.

NEELA:
You know, if there's...

anything you need...

I mean, if I can help make
your adjustment smoother...

in any way...
I'll let you know.

Um... things are a bit
complicated right now.

Yeah, for me, too.

But maybe we can...
get some...

Coffee.
coffee, something...

Yeah. Coffee
would be good.
...sometime.

Okay, then.

Um...

Good... good night.

(knocking at door)

Hey, kiddo.

Hey, Mom.

I, uh, talked to
Dr. Alice today.

She said you were quiet.

Do you not like her?

(sighs):
Scoot.

Now, you been through
a lot, you know.

We both have.

I just wanted you to
have her to talk to.

I can't.

Yeah, you can-- that's
what she's there for.
No, Mom, I can't.

(sighs)

I saw.

You know,

Dad on the ground
just sleeping.

I saw what you did.

Did you remember
the wine?

I knew there was a reason
I let you live here.

So,

were you the best one there?

How many people did you see?

Did you rock?

(inhales, exhales)

(jazz combo playing intro)

* You're nobody *

* Till somebody loves you *

* You're nobody *

* Till somebody cares *

* You may be king *

* You may possess *

* The world
and all of its gold *

* But gold won't bring you
happiness *

* When you're growing old *

* The world is still the same *

* You'll never change it *

* As long as the stars *

* Shine above *

* You're nobody *

* Till somebody loves you *

* So find yourself somebody *

* Get yourself somebody *

* Find yourself somebody to... *