ER (1994–2009): Season 13, Episode 6 - Heart of the Matter - full transcript
Kovac anxiously awaits the verdict between himself and Curtis Ames but fears the worst. Meanwhile, Neela disobeys her chief's orders and also questions her feelings for Gates, and Weaver ...
Previously on E.R.
Have you been RedNoFive?
You want to check
it out tonight?
Maybe I can move
into your place.
I came in with a cough and
you sent me out a cripple.
Order!
(gavel pounding)
And it was reasonable to believe
Mr. Ames's numbness could wait!
It would be good to get
you in front of the press
as the doctor
found not guilty.
Oh, you're very optimistic.
I'm sorry.
I don't want to be alone.
(panting)
(knock at door)
Oh my God.
I'm coming!
I'll be there in a second!
Who is it?
It's Ray.
What are you
doing here?
You wanted me to look
at your TV?
It's 6:30.
We got to be
at work in an hour.
I brought Krispy Kremes.
Oh, God.
You okay?
Yeah, I'm just
a little out of sorts.
Look, uh, my
cable isn't working.
Okay, I'll take
a look at it.
Uh, I'm going
to go get dressed.
(nervous laughter)
The jury's been out
three days.
That's too long.
It's a lot of
complicated stuff.
You're going
to be fine.
And remember, we have
the Croatian Film
Festival tonight--
something I know I've really
been looking forward to.
Maybe it'll take
your mind off it.
That sounds good.
Morning, how's
the weather, Frank?
Hurricane Up Yours
is about to hit.
What do you want?
I'm filing.
I'm just making small talk.
How's it going?
Am I being Punk'd?
You never wonder how I'm doing.
'Course I do.
How's the family?
My wife has a goiter.
My kid has a hard time
holding a job...
Yeah.
I got to run, Frank.
Hey, Mayday!
What are you doing later?
You want to hook up?
Hook up?
Yeah, prep for the M&M.
Thought I'd give you a head's up
before I kick your ass.
This is an educational
exercise, not Survivor.
Wow, somebody has their
panties in a wad.
Who's talking
about my panties?
Look, I'll try
and find you later.
Women are weird.
No, Neela's weird.
Indian and Brit--
bad combination.
Channel Five wants a photogenic,
well-spoken E.R. professional
to do a health piece today.
Anybody interested?
Uh... let's start with "no"
and work from there.
Pretty boy,
you in?
Uh, sorry.
Bad hair day.
I'll do it.
You're a newbie.
Put your hand down.
What about Kovac?
He's worn out--
Gremlin's not sleeping.
What about you?
No one wants to hear
from a nurse.
Guess it's all you, Morris.
No. Me? No, I couldn't,
I couldn't possibly.
I mean, if you guys
are forcing me...
Okay, if you insist.
Okay, this is Lou Smith.
Head injury, altered,
possible blunt
abdominal trauma. BP 90.
Tachycardic.
Clipped by an SUV.
Yeah.
I almost redlined it.
Abby's got the driver.
Ray, you're with me.
Guy got hit by
a car on his Harley.
ANGELA:
Luka, I need to talk to you.
My wife wanted me
to get a bicycle.
She's going to
kill me for this.
ANGELA:
The jury's got a verdict.
C Spine, chest X-ray
and trauma panel.
I'm a little
busy right now.
Moving extremities but
sats are borderline.
I told the court we'd be there
within the hour.
15 liters O2
by mask.
Hope, what's
the RSI protocol
for intubation?
Etomidate for
sedation.
Trauma Two.
And succinylcholine
as a paralytic.
Kerry can cover for you.
He's got a head injury.
Wouldn't you want
to use Lidocaine first?
Uh, yeah, it reduces
the ICP response
to the intubation.
Good. Good.
Luka.
We have two major trauma
patients coming in.
This is important.
You need to be there.
One, two, three.
What are you doing?
My job!
You gotta talk
to Luka.
Knowing Ames's lawyers, they've
already called the press.
Do you know how bad
County's gonna look
if he doesn't show up?
Go. I'll make sure he
gets there. I promise.
Hang a liter of saline.
Luka. I just
talked to Angela.
You should go.
Why? So a bunch of people
who don't understand
what we do here
can pass judgment on me?
Think about how it
reflects on the department
if you don't
show up to address the press.
Gram of Ancef.
I think you already
asked for that.
It's hanging.
Let me take over from here.
What in the hell?
Chuny, get maintenance
down here.
He's going to need a portable
monitor for CT anyway.
Hook him up
and let's roll.
Hey, Luka,
I've been through this.
Five years ago I had
a patient with a runny nose
who I sent home
with meningitis.
I was sure the jury
was gonna nail me.
They didn't.
Look, I'm telling you
as your friend, hiding out here
is sending the wrong message.
Is that
what you want?
MVC. Borderline
pressure.
Open up the saline.
MAN:
I was trying to get
to Union Station
to pick up my wife.
Can somebody call her?
Uh, why don't we
just concentrate
on getting you better
right now, okay?
You going to be okay without me?
We're fine. Just go.
Excuse me. I looking
for Dr. Morris.
Miss Paik. Hi.
Hi. How's it going?
Uh, she's a
pre-med student,
wanted a tour
of the hospital.
Why am I here, Archie?
Shh.
500 CCs.
All right, another
liter, wide open.
Pass me the Betadine.
(phone rings)
CBC, trauma panel,
type and cross for six.
I'll prime the infuser.
(moans)
It says Helen?
That's my wife.
Can we put that
on speaker?
WOMAN:
Hello? Garrett?
Mrs. Palsey?
Who the hell is this?
(all talking)
This is Dr. Lockhart.
Who? Garrett,
are you still at work?
Is that why you didn't pick me
up at the train station?
Honey, I'm in the hospital.
The what?
Haleh, you do the foley.
Mr. Garrett, you'll
feel a stick here.
Mrs. Palsey, are you driving?
No, my daughter's driving,
thanks to Mr. Undependable
not being here.
All right, call
for a portable
C spine, chest and pelvis.
Mrs. Palsey, your husband's
been in an accident.
You need to get
to County General.
He's been seriously injured.
Oh, my God, he's what?
I'll be there as soon as I can!
Hey, you guys,
this is Dawn Archer.
She's moved here
from New Orleans.
She used to work
at Charity.
What's up,
Donna? Ray.
Hey, Katey.
Hi, I'm Neela,
work in surgery.
Hey, Neela.
Come check this out.
She's busy.
There's enough
of her to go around.
All right, let's do a fast scan
and we'll reassess.
All right, what?
15-year-old.
Everted ankle.
Mighty glad
to meet you.
And?
Well, it looks
pretty angulated,
don't you think?
Well, that's terrible,
but I'm not ortho.
Oh, sorry. I got confused.
Want me to get
the sonosite?
Uh... Gates, you know,
we're really busy over here.
I'll get it.
Might I suggest
you start off
with an X-ray?
Brilliant idea, Doctor.
Thank you.
All right, you guys
got it from here?
We've gotta go.
I'll call you after
the ultrasound.
Someone wheel her
to X-ray, please?
Dawn.
It's all you.
Dawn!
Meet Josie Weller.
Delightful
to meet you.
I've been so looking
forward to this day.
We're going to Radiology,
not Disneyland.
Marvelous squared.
Josie goes to Mountain View.
It's a school for kids
with special needs.
Did you know you can take
the Red Line to Roosevelt
and hop on the 12?
You have to walk a little bit,
but the whole
thing should only
take like half an hour,
unless you're a slow walker
and you miss your connection.
Do you know why she
goes to the school?
I study French and Math.
I'm just an aide, but
they all have some sort
of developmental disorder.
You have wonderful pecs.
(laughs)
Why do you hide them
underthat unflattering
white coat?
Do a tox screen after
the film, okay?
No problem.
Glad you made it.
GIRL:
Are we going to win, Daddy?
So, of course we're gonna win.
We didn't come
this far for nothing.
All right?
All right. Okay.
All right, I'm bagging
at a rate of 16.
Somebody call for a vent.
I'm having trouble
getting another IV.
All right, Neela,
throw in the femoral.
What about a sternal
intraosseous line?
We don't have
those down here.
Yeah, we do. We got 'em
three weeks ago.
The Army uses them
a lot in Iraq.
Well, 500 cc's out.
You guys have the
ultrasound in here?
Yeah, but we need it.
Hemacue's 8.5.
Okay, bleeding
into the chest.
And the cool thing is,
Abby's already prepped
the chest for me.
What have you got?
Still 80 systolic.
All right.
Damn it.
All right, I'm doing
a central line here.
Don't bother.
Let me try this.
Wait a minute.
Uh... n-n...
Got it.
Run the saline in.
Hook up the Thoraseal.
Yeah. I don't
think that's
the way...
Nice.
Very nice.
Wow. Ultrasound
to Neela.
Dr. Rasgotra,
I'm missing
an esophageal resection
to respond to
your trauma call.
I'd appreciate
the bullet now.
Okay, 50-year-old driver
versus motorcycle.
Hypotensive with a
pneumo-hemothorax and....
fluid in Morrisons.
O-neg's running
through a sternal IO.
Chest tube and airway are
secure, ready for the OR.
Let's pack up
and get him upstairs.
All right, fine,
but then I want you
to get right back
to the ER for consults.
Yeah, well, I want to
scrub in on this one.
I'm sorry? Uh...
That is at the discretion
of the chief resident--
that's me--
who, having
considered your request,
answers with
a resounding
"No!"
I want you
to stay down
here with your
little E.R. buddies
and cover E.R. consults.
Now, bistra! Bistra!
BARNETT:
Gosh. Poor Neela.
Is she why you
haven't called me?
What are you talking about?
I've been very busy.
It's okay. A few
"Who's your daddy's"
doesn't make us a couple.
Oh, whoa.
No worries.
It was good.
Just...
not that good.
What in the hell is
that supposed to mean?
You have to move
your hips, honey.
You're not touring
with the Grateful Dead.
I move my hips.
Then move them
over to Admit.
I'm going to need to check
the panel box and open the wall.
Well, do what
you have to do.
(laughing)
Do it quickly.
Get down! Get down! Here.
Something going on in here?
No. No. Benny... Benny
got jacked and passed out.
I'm just sewing him up.
And this is funny why?
Uh... He was... He was talking
in his sleep.
Yeah. Told
a real zinger, too.
Oh... oh.
These... these
two rabbits
walk into a bar
and, uh...
Okay, she's gone.
Ooh! Ooh! Watch
the cuticles, all right?
Last time, I was bleeding
like a hemorrhoid.
She's got a displaced
fibular fracture.
Needs reduction under fluro.
You going to sedate
her for that?
Yeah. Set up for
ketamine and versed.
You got it.
So how's it
going down here?
You like everybody?
Everyone seems
really friendly.
Happy birthday!
Even the patients.
All rise!
Has the jury reached a verdict?
Yes, we have, Your Honor.
In the matter of Ames v. Kovac,
docket #06CH75255,
we the jury find in favor
of the defendant.
Thank you, ladies and gentleman,
for your service.
The jury may now be excused.
Two units of oh-neg,
three of type specific,
and barely keeping
his systolic above 80.
Hemacue?
Dropped from 12
to 8.3.
We're ready for you,
Dr. Dubenko.
That's my cue.
You need some
help in there?
Isn't there something else
you should be doing?
Well, not if you
require my assistance.
All right, then. Scrub in.
15-year-old female,
twisted her ankle
during gym.
Displaced
fibular fracture.
Post production
films look good.
Dispo?
Home after casting,
pain meds and crutches.
Sounds good.
Follow up with ortho in a week.
All right. Well,
there's one
more thing.
I just got
off the phone
with her school,
and she has
Asperger's Syndrome.
And?
And she's a little
sexually forward for her age.
Ah! I'm guessing
that that's her.
Yeah.
You see that sometimes
with Asperger's.
Well, I was thinking
about giving her
some condom ed.,
and maybe start her
on Depo-provera.
Depo? That may be
a little too proactive.
Well, physically, she's
a teenager, but mentally
she's still a kid.
I don't know if she...
I don't need
no wheelchair!
I can walk!
You're in the hospital.
Hospital policy for
all of our patients.
MAKEUP ARTIST:
Let go of me, Morris!
Stop touching me.
Well, before you start any form
of hormonal birth control,
you need to check an ICON
and do a pelvic.
Call me when you're ready.
I'll supervise.
Hey, Kerry, can you
do me a favor
and see my guy
in Four?
He's been here
14 hours for a
pre-employment
physical.
Doesn't have a primary care doc?
Classic misuse of the ER.
Dr. Lockhart, five
pages in 45 minutes.
I hope
someone's dying.
Stab wound to
the right shoulder.
Thought you'd want to know.
Get Rasgotra.
I'm scrubbing in on
an esophageal jejunostomy.
Well, hold up.
Neela's in the O.R.
with an MVC.
No. Neela's here
covering consults.
No. Neela's in the O.R.
Are you trying
to irritate me?
Well, you make it so easy.
Take a bigger bite.
Don't be shy.
My wife is going
to be pissed.
You were hit by a car.
It's not your fault.
The only times
I've seen her mad
were the day
I brought the Harley home
and the day we met.
The day you met?
Yeah. She's...
she's a photographer.
She was in the park shooting
this Chicago Magazine thing,
and I kept getting
in the picture.
Intentionally?
No. Not at first,
but when I saw it
was getting to her,
I kept doing it.
I told her I'd stop
if she would
give me her number.
Well, I guess
that worked.
Six months later,
we were engaged,
looking at houses.
That's sweet.
I'm going to go
check on my hemopheliac.
Make sure you
evert the edges, okay?
We had some...
we been through
some tough times,
but she got us
through them.
It's nice to have
someone like that.
Yeah.
Lou Smith?
Came in as an MVC.
Hit on his motorcycle.
Should have
taken the train.
Who's taking
care of him?
I wish I was.
Why the hand delivery?
We could have seen
this on the PACS.
Come on, Rach. It's an excuse
to see me, right?
Wrong. Look at this.
Oh, man.
Those are brain mets.
What's his primary cancer?
Cancer? He came
in as trauma.
Ventricles look good,
no midline shift, no edema,
but sounds like there's
more to this story.
My husband-- Garret Palsey.
He was brought in!
Hi. I'm Abby Lockhart.
I worked on your husband.
What does that mean?
Worked on him?
Mom, it means
she treated him.
Let me see if he's
still in surgery.
Please, he needs me there
with him.
Another round
of platelets and FFP.
Neela, more lap pads.
He's oozing around the packing.
Think it's retroperitoneal?
Yeah. Probably. Hold pressure
over the portal triad.
Clamp. This is the
Pringle maneuver, right?
Yes, but...
No one calls it
that anymore.
Dr. Crenshaw.
Was I unclear this morning
when I assigned you to consults?
Hmm? Do I
speak too fast,
or is it that I accidentally
lapsed into Aramaic,
as I am prone to do.
No. I...
Then please
explain to me
what you're doing here
instead of seeing any
of the eight consults
currently waiting
on you in the ER.
You didn't mention you were
covering the ER, Dr. Rasgotra.
I'm sorry. I was up here, he was
unstable, and I thought...
No. You don't think.
You're years away from thinking.
If I tell you to do consults,
that is not
a suggestion.
That is an order.
Do you understand?
Pulse is dropping. 61.
Give her a break, Dusty.
The patient's crashing,
I needed another
pair of hands.
I lost out on a most excellent
esophageal jejunostomy because
I had to clean
up her mess.
Yeah. Well, there's plenty
to go around here.
Mobilize the left
triangular ligament
for me, will you?
He's still in surgery,
but I can bring you upstairs.
Did they say how he's doing?
I'm sure they'll
give us an update
once we we get up there.
Frank, can you page me
if my pediatrician
calls again?
I look like your girl Friday?
Hey, you're not in jail!
Not this time, Frank.
I just got off the
phone with Angela.
Congratulations.
Thanks for
the pep talk.
That's great
news, Luka.
Morris owes
me 50 bucks.
He swore you
were going down.
I'm not going anywhere.
I knew you
would win.
I prayed on it,
Dr. Kovac.
Well, it worked. Thanks.
How are your patients?
Oh, our motorcycle guy,
Mr. Smith, is thirsty.
Can I give him
some ice chips?
Yep. That's
a good idea.
He's going need more
than ice chips.
Look at his scan.
Called his oncologist
at Huntington.
Brain mets
from pancreatic cancer.
Is he in treatment?
He failed rescue chemotherapy.
From what
this scan shows,
he belongs in hospice.
What about radiation?
For metastatic
pancreatic cancer?
Hospice can probably help him
enjoy his remaining time.
Which is
just about up.
Uh... Dr. Kovac?
Uh... I'll talk
to his family.
I am the family.
This is his wife,
Mrs. Smith.
It's spread, hasn't it?
Can we...
Can we go over here?
Has it spread?
Yes. Yes.
I'm afraid so.
It's in his brain.
Oh, I thought we had
a couple of years.
Maybe even more.
We were supposed
to go on a bike
tour in Provence.
Sorry, Mrs. Smith.
Well, I guess this
was supposed to happen.
Wow. I think that it's best
that comes from me.
I think that I should
be the one to tell him.
Okay. We'll give you some time.
When you're ready, I can come in
and answer any questions.
Mr. Gallagher,
your slit lamp exam
was negative.
There is nothing
in your eye.
It still hurts.
Well, maybe it's because
you keep rubbing it.
Look, maybe I'm
missing something, okay?
I'd like to see
an eye specialist.
Your eye will be fine.
This doesn't warrant
an ophthalmology consult.
Dr. Weaver, the electrician
is ready to see you.
Okay. Give him a gram
of Acetaminophen.
Wait a minute.
What are you gramming about?
I got crap in my eye.
I want to see the doctor.
Get me a specialist! Now!
So we can fix it,
but it's going to
take about a week.
How much will it cost
for a rush?
It's not about the money.
I got to wait a week for parts.
I don't think
you understand.
If we shut down
the trauma,
patients get diverted
to other ERs,
and there'll be longer
transport times...
Tres jolie, Chante!
Can someone
say "Chante"?
* Chante, his name's Chante *
* Hooray... *
Morris! What the
hell you doing?
My... my eyebrows.
The camera picks
up everything.
Get out!
Dr. Weaver, please...
There's a rectal prolapse
in Curtain Two
with your name on it. Now, go.
Leave me
a little powder.
I tend to shine.
Let's go!
MAN:
So Josie's ankle will be fine?
Yeah. A month
in a cast, and
she's good to go.
I told you, dear.
He thought you
was gonna need
a wheelchair
or something.
No. None of that.
Tony's very good
for a neophyte.
May I speak with you
a second, please?
Sure.
I'd like to talk to you
about your daughter.
She's, um... She...
How do I say this?
She got
naked again?
So it wasn't just me?
Isn't he adorable?
Sometimes her condition
makes her act like that.
It's no big deal.
Well, this is a big deal.
Have you talked to her
about birth control?
Why would I do that?
Because you're her father.
The school
will handle it.
Well, that's not
really their job.
You don't understand.
Her school is different.
That's why we sent her there.
Look, Mr. Weller,
I realize this is
a difficult conversation.
You think birth control
is the answer to her...?
Honey, honey...
Josie's a pretty girl.
She's smart, she's open.
She takes her clothes off
in front of the wrong guy...
Josie likes Hilary Duff
and MySpace.
I'm sure she does.
But Josie doesn't have
the same ability to say no
like other kids.
Thank you, Lucien,
for letting me scrub in.
Wish it had ended better,
but I appreciate...
Listen to me.
Dr. Crenshaw is your
chief, and he owns you.
He owns you.
As smart as you think you
are, that guy is smarter.
You'll start
respecting that today.
And if you ever
play me like that again,
ever run to daddy when you
don't like mommy's rules,
you will be done
here, do you hear me?
This is your
only warning.
Now, Mr. Palsey's
family's waiting-- go.
Go!
This is Mr. Palsey's wife
and daughter.
This is Dr. Rasgotra.
How's Garret?
Is he all right?
Well, when we opened
your husband's abdomen
we found it full of blood.
But you can fix that?
The accident tore the vena cava.
We tried to repair it
for over an hour,
but he was bleeding too fast.
Okay, so what happened
to my father?
Mrs. Palsey... he died.
Oh, God...
Oh, God.
We made every effort.
Whoa! Whoa! Whoa! Whoa!
Okay, that's all right,
I got her.
I got her, I got her.
Mrs. Palsey?
You okay?
Mrs. Palsey?
Mrs. Palsey?
Mrs. Palsey?
Mrs. Palsey?
She should be
waking up by now.
Pulse ox only 91.
All right, I'll
bag her through this.
She's okay, right?
Yeah, she just needs
some time to come around.
Systolic's down to 88.
Donna, does your mother suffer
from a heart condition?
No.
High cholesterol?
What are you
talking about?
She vaso-vagaled, Neela.
Look at the monitor.
ST elevation, T-wave inversion
No way, the leads
must be reversed.
There's nothing wrong
with the leads.
Looks like a massive MI.
CBC, lytes and triponins.
An MI, I know
what that is.
V-tack, lost the pulse.
My mother can't be
having a heart attack.
Starting compressions.
She's 45,
no risk factors.
LOCKHART:
Charging to 360.
Clear!
No change.
All right.
Amp of epi.
Come on, Neela,
pick up the pace.
100 per minute.
Is she on any
medications?
No.
What's happening?!
Your mom's heart's
in a dangerous rhythm.
Abby,
shock again after five cycles.
Okay, have lido ready.
Acute LV dysfunction
after a sudden,
tragic event.
This is Broken Heart Syndrome.
Yeah, yeah, I read about that.
Never seen a real case, though.
Stress cardiomyopathy
from the catacholamine surge.
She has no cardiac risk factors.
It all fits.
You want the lidocaine?
Yeah, all right,
75 mac two.
Someone call cardiology.
All right, so we're going
to give you a shot.
I don't like shots.
Josie, it's going
to be fine.
It'll pinch
a little at first,
but it's going
to protect you.
Did you know the Blue Line
goes right from
O'Hare to Irving Park Road?
Jump off there and take the 80
towards the lake.
It'll drop you
right at Sheridan.
Josie, we're talking about
something very serious now, hon,
pay attention.
You're going to
have to come back
every three months
for a shot.
I've talked to your
father about it.
I'm going to give you some
education on condom use.
For when we have sex.
No, not when
we have sex,
when you have sex.
That doesn't mean
you're old enough
or you're ready,
but when
the time comes,
I just want to make sure
you're prepared, okay?
Can I get a pen and paper
and take notes?
Just no props or diagrams.
What the hell
is Morris doing?
Not his job,
that's for sure.
Here we see firsthand
the effect
of over exuberant Halloween
candy consumption.
Little Luke here has
a bowel obstruction.
Too much taffy
gummed up the works.
Now we're going to stick
this tube into his stomach.
He's not moving air.
Point three epi, sub Q,
Continuous albuterol,
intubation tray, call RT.
Hey, you guys
are in the way.
I'm just warning parents
so people don't abuse
the ER system.
Overeating Halloween candy
is not draining the system,
this is.
Can you explain the patient's
condition, doctor?
He's asthmatic.
He got laid off--
no job, no health
insurance.
Hey, hey!
I got more stuff.
It's costing his insurance
company ten bucks a month...
This is my show, people.
Taxpayers will spend
tens of thousands of dollars
taking care of him
in the ER and ICU.
So, you're a proponent of
a national health plan?
If we had one, this guy would be
home playing with his kids
instead of fighting
for his life.
That was gold.
What's her name?
Dr. Judas.
360 again. Clear.
Asystole.
It's V-fib.
Another 50
of lidocaine.
Let's try amiodarone.
Neela, she's in asystole.
All right, let's try
one more round of epi.
No, no, please don't stop.
The syndrome causes a transient
ventricular weakness.
It's temporary.
It's reversible.
She'll get better.
We've been flogging her
for 20 minutes.
Epi's in.
Her husband just died.
Please don't give up.
Five rounds of meds.
She's not responding.
All right,
hold compressions.
Oh, God.
Mom...
Neela, stop.
(beeps)
HALEH:
Back in sinus.
You signed them out?
No.
Mrs. Smith?
Hey...
Got a great team here, doctor.
Do you have any questions
you want me to answer?
No, I'm just praying
my Harley still runs.
Uh... Dr. Kovac,
I'd like to sign
those papers you
were talking about.
Yeah, sure.
Right over there.
Give us a second,
please.
You didn't tell your husband
about the brain mets?
No, he thinks
the chemo worked.
So let's just
leave it at that.
I don't lie to patients.
Look, when he first
diagnosed, he shut down.
And for the past six months,
he's been living it up--
he's been taking tango
lessons and scuba lessons.
And we're going to
France in December.
He has the right
to know the truth.
(knocking)
Why should he spend
his last months
Dr. Kovac.
in fear?
I mean, if he just
has a little hope,
at least there's still
chance for a miracle.
Ray, take them back
to the room, please.
Look, we wouldn't even
be here if it wasn't for
that stupid car accident.
Mrs. Smith, I'm giving
you a second chance.
Either you're going
to tell him now
or I'll tell him
when I come back, okay?
Mr. Ames.
You were celebrating.
In court today.
You were celebrating.
Mr. Ames,
we were just happy
the case was over,
that's all.
You were happy
that you got over,
isn't that what
you really mean?
Look, I have patients.
I was a patient.
Don't you remember?
Mr. Ames, you shouldn't
be back here.
Isn't this where the sick
come to get healthy?
'Cause I want
to get healthy.
Hey, do you need
some help here?
Do these people
know what you did?
It's under control,
it's okay.
I came in here
with a cough,
and I went out like this.
I gave you
the best
treatment possible.
While I was
having a stroke,
you ignored me.
Mr. Ames, that's...
You ignored me!
You did!
You should to go.
Go where?
Where am I going to go?
Security!
If you had just let me go
home in the first place,
then none of this
would've happened!
What do you want me to do?
(crying):
I want you...
I want you to give
me my life back!
Give me my life back!
Give it back!
Give it back to me!
Stop!
(crying)
Mr. Ames...
Mr. Ames, wait up.
I just...
I just wanted to make
sure you're okay.
You want to make
sure I'm okay?
No, I'm not okay.
I'm not okay at all.
See, when you came in
the court this morning,
I was telling my kids
about justice.
They were looking at
that lady with the scales.
And I said that justice
was going to be done today,
but I don't think it was.
I know you don't feel
that way, but...
Look, I just want
to hear it from you,
without the filters of lawyers
or judges, anybody...
Did you give me
the best possible care?
At any given point,
I'm responsible for
40 acute patients.
We try our best
to watch everyone.
It's hard,
we're not gods.
So you feel
you paid attention to me?
I followed your progress,
examined you once a shift.
Your wife and I were
in constant contact.
You talked to my wife.
Listen...
the stress of something
like this can cause...
No, no, no,
you don't understand.
After the stroke,
I came home one day
and all her stuff was gone.
Same with the kids.
So I called her sister,
I checked the machine...
Finally I get an E-mail telling
me that this was too much.
This-- me pursuing you,
pursuing this, it was...
it was too much.
She thought that...
that nothing was ever
going to come of this,
and that if I couldn't move on,
then she was going to have
to move on without me.
18 years and she leaves me
in an E-mail.
I figured that...
I just win this, you know,
I win this case,
and I'd send that E-mail back
and then...
then she'd come back home.
There are people who can
help you, groups...
But I don't want any help.
I want things back
the way they were.
I want to work.
I don't want some
government check.
I build things--
that's what I do.
I know.
But I just don't know
how to fix this.
How do I fix this?
(pager beeps)
I'm sorry, I have
to get back.
I got it, I understand.
Look, if you
need anything...
Curtis.
My name is Curtis.
Of course.
Curtis.
If you need anything,
give me a call.
If a laparotomy is indicated
to rule out
a life-threatening condition,
then the procedure
doesn't become unnecessary
just because the condition
is ruled out.
Huh? You lost me.
Well, the E.R.
keeps accusing us
of performing
unnecessary surgery,
but we really believed
the guy had a triple A.
If we waited, he'd die.
But he didn't
have a triple A.
Given his symptoms,
we would've been right
90% of the time,
and then surgery
would have saved his life.
Good. Do it like that.
Okay. Your turn.
I'm fine. I know
how to do this.
I'll just pull some
articles, I'll be fine.
Look if you're not prepared,
the surgery attendings
are gonna have you on a spit--
let me take a look.
I'll be fine. Hey!
Give it!
You're gonna see my
secret winning strategy.
My spelling is
awful, huh?
Tony...
Worse than awful.
My... my syntax,
my grammar.
Yeah, but how do you...
I'm... I'm a
little dyslexic.
I've learned to work
around it, and...
most of the time,
it's... fine.
Hi.
Hi.
We're having girls'
night tonight.
You in, Neela?
I'm busy.
I'm free.
NEELA:
We're preparing
for the M&M.
Nah, that's okay,
go with the girls.
Tony...
We'll talk
about this later.
Maybe it's a good thing
that you talked to him.
Yeah. He just feels alone.
Dr. Kovac,
looks like
we still need
to break the news
to Mr. Smith.
She didn't tell him?
She's sticking to her guns.
Okay, uh...
go ahead and sign out.
I got to do this.
Wait a minute,
though-- we have
tickets to Ig-Ig...
Igraci Sa Klupe.
Yes.
In an hour.
Oh, I can just see it
some other night.
You're canceling?
Oh, my God, you're
disappointed.
(laughs):
No, I guess
I just have to go
to Ike Ryan's
with everybody.
I'll come and pick you up.
I love Rome.
I figured
you'd like that.
Hey.
How's it going?
Hey, I'm ready
to get out of here, Doc.
How's my CT look?
Well, uh,
the good news is,
there is no, uh,
skull fracture,
there's no
hemorrhage.
Oh, thank God.
I don't know if my wife
told you, but three years ago
I was diagnosed
with pancreatic cancer.
I don't have time
for some brain injury, too.
I got trips to take,
friends to see.
Yeah, sounds like fun.
LOU:
Yeah. My wife and I, we're going
to Provence for the holidays.
Might even go to Paris,
eat some Grande Marnier crepes
and some of the best Bordeaux
we can find.
Yeah.
Well, I don't want to stand
in the way of your plans.
Uh, all you have
to do is, uh,
sign these papers,
and I'll start you
on some new
medications.
You can explain
to my wife.
She handles
all the medicines.
No problem.
Can we talk?
Oh, my God,
thank you, thank you so much.
He cannot ride
the Harley.
Okay, but what
about the trip?
You better rent a car
and do the driving.
He could have
seizures or a stroke,
and by letting you
walk out of here,
I want to make sure
I'm not setting someone
up to get hurt.
Okay, I promise.
Okay. Good luck.
(crying):
Thank you.
Provence is beautiful.
(laughing, crying):
Thank you!
How's your
promotion going?
I'm hanging in there.
Still got a few knuckleheads
I got to beat into shape,
but other than that,
it's all right.
Are they showing
you respect?
Eh, you know how it is.
They do what they do,
you keep pushing through it.
To pushing through it.
Huh.
To pushing through it.
(knocking)
You better get that.
No, no. It's probably
a Jehovah's Witness.
(knocking)
They're very persistent.
Yeah.
Save my spot, okay?
Mm-hmm.
(sighs)
All right, hold on.
(groans):
Oh...
Hey, what you
doing here, man?
Now's not a good time.
Aw, man, it's Thursday--
you said
I could move in Thursday.
No, no, no.
I said Friday.
Tomorrow. Mañana.
Nah, you said
I could move in
on Thursday.
I said...
BETINA:
What's up?
Oh. My bad.
Who's this?
(sighs)
This is my brother Chaz.
How you doing?
Hey.
How you doing?
Hey.
You, uh,
you moving in?
Yeah, but he's supposed
to move in Friday.
(mouthing)
Aw, Greg,
Greg, you cannot let
him sit out there
in the hallway.
Come on in.
Are you hungry?
(laughs):
I'm 18. I'm always hungry.
Betina, come on.
BETINA:
So, what can I get you?
(laughter,
indistinct conversation)
Okay, okay, okay,
I would...
shag...
I don't know,
I guess...
I would shag Pratt.
Mm!
I knew you had the fever.
(laughter)
And shoot Morris,
do us all a favor.
(laughter)
I think you're a little too hard
on Dr. Morris.
He has
potential.
(laughter)
Apparently,
Morris is in the process
of bringing God into his life.
Dr. Weaver,
is that you on TV?
HALEH:
Turn it up! Turn it up!
It is!
(gasps):
Oh...
the camera really does
show everything.
My hair looks like crap.
HALEH: Oh, my God, Kerry,
you look good.
HOPE:
Is that Morris?
HALEH:
Morris looks like a fool!
You okay?
Bad day.
And the nights are...
I've been having
these dreams.
About Michael?
No.
Gates.
(laughs):
Oh.
It's stupid,
it's my friggin' hormones.
It's not stupid,
it's... it's human.
And he's cute,
and he's nice.
And you can't just
sit and mourn forever.
Yeah, but it's only
been six months.
That's longer than
you were married.
You always thought
I rushed into it.
Well, Michael was a great
guy-- you were just...
young and impetuous, and...
I don't think he'd want you
to put your life on hold.
I know, you're right.
So, what exactly are these
dreams you're having?
Oh, your average
intubation. Extubation.
Re-intubation.
Okay, enough.
(laughs)
Why don't you
call him?
Oh, God, no.
No, come on, you
better do it quick,
'cause one of these
girls is gonna...
shag... shag, shoot
or marry him.
Well, we are studying
for the M&M together.
Ah.
Excuse me,
could you set my friend up
with some tequila?
(women whooping)
Hey.
Hey.
What are you up to?
Answering e-mail.
What's up?
Sarah got an A
on her English paper.
That's great.
She had to write an essay
on who she'd most like
to have dinner with.
Guess who she picked?
Me, of course.
Gandhi?
(laughs)
Madame Curie?
Keith.
She wants to ask him
why he died.
Let me see that.
Every time I think
she's gotten over
losing her father...
This isn't bad.
You think?
No, she wants to know
why he fought in that war,
why did he have to leave
before she got to know him.
These are good questions.
(whooping, cheering)
All right, all right, all right,
call him, call him.
(sighs)
Who is it?
It's Ray, isn't it?
NEELA (laughs):
Are you mad?
Somebody I met
at a conference.
Then hit those
digits, sister.
God, I miss him, T.
Me, too.
You do?
Yeah.
Yeah. Every day.
SARAH (calls):
Tony, my computer crashed again!
(chuckles):
In fact, yesterday I
went by our old school.
I thought about
all the...
touch football
we used to play.
(laughing):
You mean how he used to burn you
all the time?
Yeah. In his dreams.
Well, he did get the girl, huh?
Yeah, he sure did.
(sighs)
(ringing)
(clears throat):
Hello?
Uh, is, uh, is Tony there?
I'm sorry,
he's a little busy right now.
Can I take a message?
Never mind.
It's a wrong number.
Do you want
to try it again?
No, I'm good.
Is it Gates?
(woman shouting, gasping)
Wait, wait, wait.
Let's get back
to the game.
Okay.
Okay, Abby, shag,
shoot...
Not me, though.
Oh, come no.
No, no, no, no,
I don't... All right.
Um, I would
definitely shag Luka.
Oh, please!
(laughter)
SAM:
I totally forgot about him.
MARQUEZ:
I know. Me, too.
Have you been RedNoFive?
You want to check
it out tonight?
Maybe I can move
into your place.
I came in with a cough and
you sent me out a cripple.
Order!
(gavel pounding)
And it was reasonable to believe
Mr. Ames's numbness could wait!
It would be good to get
you in front of the press
as the doctor
found not guilty.
Oh, you're very optimistic.
I'm sorry.
I don't want to be alone.
(panting)
(knock at door)
Oh my God.
I'm coming!
I'll be there in a second!
Who is it?
It's Ray.
What are you
doing here?
You wanted me to look
at your TV?
It's 6:30.
We got to be
at work in an hour.
I brought Krispy Kremes.
Oh, God.
You okay?
Yeah, I'm just
a little out of sorts.
Look, uh, my
cable isn't working.
Okay, I'll take
a look at it.
Uh, I'm going
to go get dressed.
(nervous laughter)
The jury's been out
three days.
That's too long.
It's a lot of
complicated stuff.
You're going
to be fine.
And remember, we have
the Croatian Film
Festival tonight--
something I know I've really
been looking forward to.
Maybe it'll take
your mind off it.
That sounds good.
Morning, how's
the weather, Frank?
Hurricane Up Yours
is about to hit.
What do you want?
I'm filing.
I'm just making small talk.
How's it going?
Am I being Punk'd?
You never wonder how I'm doing.
'Course I do.
How's the family?
My wife has a goiter.
My kid has a hard time
holding a job...
Yeah.
I got to run, Frank.
Hey, Mayday!
What are you doing later?
You want to hook up?
Hook up?
Yeah, prep for the M&M.
Thought I'd give you a head's up
before I kick your ass.
This is an educational
exercise, not Survivor.
Wow, somebody has their
panties in a wad.
Who's talking
about my panties?
Look, I'll try
and find you later.
Women are weird.
No, Neela's weird.
Indian and Brit--
bad combination.
Channel Five wants a photogenic,
well-spoken E.R. professional
to do a health piece today.
Anybody interested?
Uh... let's start with "no"
and work from there.
Pretty boy,
you in?
Uh, sorry.
Bad hair day.
I'll do it.
You're a newbie.
Put your hand down.
What about Kovac?
He's worn out--
Gremlin's not sleeping.
What about you?
No one wants to hear
from a nurse.
Guess it's all you, Morris.
No. Me? No, I couldn't,
I couldn't possibly.
I mean, if you guys
are forcing me...
Okay, if you insist.
Okay, this is Lou Smith.
Head injury, altered,
possible blunt
abdominal trauma. BP 90.
Tachycardic.
Clipped by an SUV.
Yeah.
I almost redlined it.
Abby's got the driver.
Ray, you're with me.
Guy got hit by
a car on his Harley.
ANGELA:
Luka, I need to talk to you.
My wife wanted me
to get a bicycle.
She's going to
kill me for this.
ANGELA:
The jury's got a verdict.
C Spine, chest X-ray
and trauma panel.
I'm a little
busy right now.
Moving extremities but
sats are borderline.
I told the court we'd be there
within the hour.
15 liters O2
by mask.
Hope, what's
the RSI protocol
for intubation?
Etomidate for
sedation.
Trauma Two.
And succinylcholine
as a paralytic.
Kerry can cover for you.
He's got a head injury.
Wouldn't you want
to use Lidocaine first?
Uh, yeah, it reduces
the ICP response
to the intubation.
Good. Good.
Luka.
We have two major trauma
patients coming in.
This is important.
You need to be there.
One, two, three.
What are you doing?
My job!
You gotta talk
to Luka.
Knowing Ames's lawyers, they've
already called the press.
Do you know how bad
County's gonna look
if he doesn't show up?
Go. I'll make sure he
gets there. I promise.
Hang a liter of saline.
Luka. I just
talked to Angela.
You should go.
Why? So a bunch of people
who don't understand
what we do here
can pass judgment on me?
Think about how it
reflects on the department
if you don't
show up to address the press.
Gram of Ancef.
I think you already
asked for that.
It's hanging.
Let me take over from here.
What in the hell?
Chuny, get maintenance
down here.
He's going to need a portable
monitor for CT anyway.
Hook him up
and let's roll.
Hey, Luka,
I've been through this.
Five years ago I had
a patient with a runny nose
who I sent home
with meningitis.
I was sure the jury
was gonna nail me.
They didn't.
Look, I'm telling you
as your friend, hiding out here
is sending the wrong message.
Is that
what you want?
MVC. Borderline
pressure.
Open up the saline.
MAN:
I was trying to get
to Union Station
to pick up my wife.
Can somebody call her?
Uh, why don't we
just concentrate
on getting you better
right now, okay?
You going to be okay without me?
We're fine. Just go.
Excuse me. I looking
for Dr. Morris.
Miss Paik. Hi.
Hi. How's it going?
Uh, she's a
pre-med student,
wanted a tour
of the hospital.
Why am I here, Archie?
Shh.
500 CCs.
All right, another
liter, wide open.
Pass me the Betadine.
(phone rings)
CBC, trauma panel,
type and cross for six.
I'll prime the infuser.
(moans)
It says Helen?
That's my wife.
Can we put that
on speaker?
WOMAN:
Hello? Garrett?
Mrs. Palsey?
Who the hell is this?
(all talking)
This is Dr. Lockhart.
Who? Garrett,
are you still at work?
Is that why you didn't pick me
up at the train station?
Honey, I'm in the hospital.
The what?
Haleh, you do the foley.
Mr. Garrett, you'll
feel a stick here.
Mrs. Palsey, are you driving?
No, my daughter's driving,
thanks to Mr. Undependable
not being here.
All right, call
for a portable
C spine, chest and pelvis.
Mrs. Palsey, your husband's
been in an accident.
You need to get
to County General.
He's been seriously injured.
Oh, my God, he's what?
I'll be there as soon as I can!
Hey, you guys,
this is Dawn Archer.
She's moved here
from New Orleans.
She used to work
at Charity.
What's up,
Donna? Ray.
Hey, Katey.
Hi, I'm Neela,
work in surgery.
Hey, Neela.
Come check this out.
She's busy.
There's enough
of her to go around.
All right, let's do a fast scan
and we'll reassess.
All right, what?
15-year-old.
Everted ankle.
Mighty glad
to meet you.
And?
Well, it looks
pretty angulated,
don't you think?
Well, that's terrible,
but I'm not ortho.
Oh, sorry. I got confused.
Want me to get
the sonosite?
Uh... Gates, you know,
we're really busy over here.
I'll get it.
Might I suggest
you start off
with an X-ray?
Brilliant idea, Doctor.
Thank you.
All right, you guys
got it from here?
We've gotta go.
I'll call you after
the ultrasound.
Someone wheel her
to X-ray, please?
Dawn.
It's all you.
Dawn!
Meet Josie Weller.
Delightful
to meet you.
I've been so looking
forward to this day.
We're going to Radiology,
not Disneyland.
Marvelous squared.
Josie goes to Mountain View.
It's a school for kids
with special needs.
Did you know you can take
the Red Line to Roosevelt
and hop on the 12?
You have to walk a little bit,
but the whole
thing should only
take like half an hour,
unless you're a slow walker
and you miss your connection.
Do you know why she
goes to the school?
I study French and Math.
I'm just an aide, but
they all have some sort
of developmental disorder.
You have wonderful pecs.
(laughs)
Why do you hide them
underthat unflattering
white coat?
Do a tox screen after
the film, okay?
No problem.
Glad you made it.
GIRL:
Are we going to win, Daddy?
So, of course we're gonna win.
We didn't come
this far for nothing.
All right?
All right. Okay.
All right, I'm bagging
at a rate of 16.
Somebody call for a vent.
I'm having trouble
getting another IV.
All right, Neela,
throw in the femoral.
What about a sternal
intraosseous line?
We don't have
those down here.
Yeah, we do. We got 'em
three weeks ago.
The Army uses them
a lot in Iraq.
Well, 500 cc's out.
You guys have the
ultrasound in here?
Yeah, but we need it.
Hemacue's 8.5.
Okay, bleeding
into the chest.
And the cool thing is,
Abby's already prepped
the chest for me.
What have you got?
Still 80 systolic.
All right.
Damn it.
All right, I'm doing
a central line here.
Don't bother.
Let me try this.
Wait a minute.
Uh... n-n...
Got it.
Run the saline in.
Hook up the Thoraseal.
Yeah. I don't
think that's
the way...
Nice.
Very nice.
Wow. Ultrasound
to Neela.
Dr. Rasgotra,
I'm missing
an esophageal resection
to respond to
your trauma call.
I'd appreciate
the bullet now.
Okay, 50-year-old driver
versus motorcycle.
Hypotensive with a
pneumo-hemothorax and....
fluid in Morrisons.
O-neg's running
through a sternal IO.
Chest tube and airway are
secure, ready for the OR.
Let's pack up
and get him upstairs.
All right, fine,
but then I want you
to get right back
to the ER for consults.
Yeah, well, I want to
scrub in on this one.
I'm sorry? Uh...
That is at the discretion
of the chief resident--
that's me--
who, having
considered your request,
answers with
a resounding
"No!"
I want you
to stay down
here with your
little E.R. buddies
and cover E.R. consults.
Now, bistra! Bistra!
BARNETT:
Gosh. Poor Neela.
Is she why you
haven't called me?
What are you talking about?
I've been very busy.
It's okay. A few
"Who's your daddy's"
doesn't make us a couple.
Oh, whoa.
No worries.
It was good.
Just...
not that good.
What in the hell is
that supposed to mean?
You have to move
your hips, honey.
You're not touring
with the Grateful Dead.
I move my hips.
Then move them
over to Admit.
I'm going to need to check
the panel box and open the wall.
Well, do what
you have to do.
(laughing)
Do it quickly.
Get down! Get down! Here.
Something going on in here?
No. No. Benny... Benny
got jacked and passed out.
I'm just sewing him up.
And this is funny why?
Uh... He was... He was talking
in his sleep.
Yeah. Told
a real zinger, too.
Oh... oh.
These... these
two rabbits
walk into a bar
and, uh...
Okay, she's gone.
Ooh! Ooh! Watch
the cuticles, all right?
Last time, I was bleeding
like a hemorrhoid.
She's got a displaced
fibular fracture.
Needs reduction under fluro.
You going to sedate
her for that?
Yeah. Set up for
ketamine and versed.
You got it.
So how's it
going down here?
You like everybody?
Everyone seems
really friendly.
Happy birthday!
Even the patients.
All rise!
Has the jury reached a verdict?
Yes, we have, Your Honor.
In the matter of Ames v. Kovac,
docket #06CH75255,
we the jury find in favor
of the defendant.
Thank you, ladies and gentleman,
for your service.
The jury may now be excused.
Two units of oh-neg,
three of type specific,
and barely keeping
his systolic above 80.
Hemacue?
Dropped from 12
to 8.3.
We're ready for you,
Dr. Dubenko.
That's my cue.
You need some
help in there?
Isn't there something else
you should be doing?
Well, not if you
require my assistance.
All right, then. Scrub in.
15-year-old female,
twisted her ankle
during gym.
Displaced
fibular fracture.
Post production
films look good.
Dispo?
Home after casting,
pain meds and crutches.
Sounds good.
Follow up with ortho in a week.
All right. Well,
there's one
more thing.
I just got
off the phone
with her school,
and she has
Asperger's Syndrome.
And?
And she's a little
sexually forward for her age.
Ah! I'm guessing
that that's her.
Yeah.
You see that sometimes
with Asperger's.
Well, I was thinking
about giving her
some condom ed.,
and maybe start her
on Depo-provera.
Depo? That may be
a little too proactive.
Well, physically, she's
a teenager, but mentally
she's still a kid.
I don't know if she...
I don't need
no wheelchair!
I can walk!
You're in the hospital.
Hospital policy for
all of our patients.
MAKEUP ARTIST:
Let go of me, Morris!
Stop touching me.
Well, before you start any form
of hormonal birth control,
you need to check an ICON
and do a pelvic.
Call me when you're ready.
I'll supervise.
Hey, Kerry, can you
do me a favor
and see my guy
in Four?
He's been here
14 hours for a
pre-employment
physical.
Doesn't have a primary care doc?
Classic misuse of the ER.
Dr. Lockhart, five
pages in 45 minutes.
I hope
someone's dying.
Stab wound to
the right shoulder.
Thought you'd want to know.
Get Rasgotra.
I'm scrubbing in on
an esophageal jejunostomy.
Well, hold up.
Neela's in the O.R.
with an MVC.
No. Neela's here
covering consults.
No. Neela's in the O.R.
Are you trying
to irritate me?
Well, you make it so easy.
Take a bigger bite.
Don't be shy.
My wife is going
to be pissed.
You were hit by a car.
It's not your fault.
The only times
I've seen her mad
were the day
I brought the Harley home
and the day we met.
The day you met?
Yeah. She's...
she's a photographer.
She was in the park shooting
this Chicago Magazine thing,
and I kept getting
in the picture.
Intentionally?
No. Not at first,
but when I saw it
was getting to her,
I kept doing it.
I told her I'd stop
if she would
give me her number.
Well, I guess
that worked.
Six months later,
we were engaged,
looking at houses.
That's sweet.
I'm going to go
check on my hemopheliac.
Make sure you
evert the edges, okay?
We had some...
we been through
some tough times,
but she got us
through them.
It's nice to have
someone like that.
Yeah.
Lou Smith?
Came in as an MVC.
Hit on his motorcycle.
Should have
taken the train.
Who's taking
care of him?
I wish I was.
Why the hand delivery?
We could have seen
this on the PACS.
Come on, Rach. It's an excuse
to see me, right?
Wrong. Look at this.
Oh, man.
Those are brain mets.
What's his primary cancer?
Cancer? He came
in as trauma.
Ventricles look good,
no midline shift, no edema,
but sounds like there's
more to this story.
My husband-- Garret Palsey.
He was brought in!
Hi. I'm Abby Lockhart.
I worked on your husband.
What does that mean?
Worked on him?
Mom, it means
she treated him.
Let me see if he's
still in surgery.
Please, he needs me there
with him.
Another round
of platelets and FFP.
Neela, more lap pads.
He's oozing around the packing.
Think it's retroperitoneal?
Yeah. Probably. Hold pressure
over the portal triad.
Clamp. This is the
Pringle maneuver, right?
Yes, but...
No one calls it
that anymore.
Dr. Crenshaw.
Was I unclear this morning
when I assigned you to consults?
Hmm? Do I
speak too fast,
or is it that I accidentally
lapsed into Aramaic,
as I am prone to do.
No. I...
Then please
explain to me
what you're doing here
instead of seeing any
of the eight consults
currently waiting
on you in the ER.
You didn't mention you were
covering the ER, Dr. Rasgotra.
I'm sorry. I was up here, he was
unstable, and I thought...
No. You don't think.
You're years away from thinking.
If I tell you to do consults,
that is not
a suggestion.
That is an order.
Do you understand?
Pulse is dropping. 61.
Give her a break, Dusty.
The patient's crashing,
I needed another
pair of hands.
I lost out on a most excellent
esophageal jejunostomy because
I had to clean
up her mess.
Yeah. Well, there's plenty
to go around here.
Mobilize the left
triangular ligament
for me, will you?
He's still in surgery,
but I can bring you upstairs.
Did they say how he's doing?
I'm sure they'll
give us an update
once we we get up there.
Frank, can you page me
if my pediatrician
calls again?
I look like your girl Friday?
Hey, you're not in jail!
Not this time, Frank.
I just got off the
phone with Angela.
Congratulations.
Thanks for
the pep talk.
That's great
news, Luka.
Morris owes
me 50 bucks.
He swore you
were going down.
I'm not going anywhere.
I knew you
would win.
I prayed on it,
Dr. Kovac.
Well, it worked. Thanks.
How are your patients?
Oh, our motorcycle guy,
Mr. Smith, is thirsty.
Can I give him
some ice chips?
Yep. That's
a good idea.
He's going need more
than ice chips.
Look at his scan.
Called his oncologist
at Huntington.
Brain mets
from pancreatic cancer.
Is he in treatment?
He failed rescue chemotherapy.
From what
this scan shows,
he belongs in hospice.
What about radiation?
For metastatic
pancreatic cancer?
Hospice can probably help him
enjoy his remaining time.
Which is
just about up.
Uh... Dr. Kovac?
Uh... I'll talk
to his family.
I am the family.
This is his wife,
Mrs. Smith.
It's spread, hasn't it?
Can we...
Can we go over here?
Has it spread?
Yes. Yes.
I'm afraid so.
It's in his brain.
Oh, I thought we had
a couple of years.
Maybe even more.
We were supposed
to go on a bike
tour in Provence.
Sorry, Mrs. Smith.
Well, I guess this
was supposed to happen.
Wow. I think that it's best
that comes from me.
I think that I should
be the one to tell him.
Okay. We'll give you some time.
When you're ready, I can come in
and answer any questions.
Mr. Gallagher,
your slit lamp exam
was negative.
There is nothing
in your eye.
It still hurts.
Well, maybe it's because
you keep rubbing it.
Look, maybe I'm
missing something, okay?
I'd like to see
an eye specialist.
Your eye will be fine.
This doesn't warrant
an ophthalmology consult.
Dr. Weaver, the electrician
is ready to see you.
Okay. Give him a gram
of Acetaminophen.
Wait a minute.
What are you gramming about?
I got crap in my eye.
I want to see the doctor.
Get me a specialist! Now!
So we can fix it,
but it's going to
take about a week.
How much will it cost
for a rush?
It's not about the money.
I got to wait a week for parts.
I don't think
you understand.
If we shut down
the trauma,
patients get diverted
to other ERs,
and there'll be longer
transport times...
Tres jolie, Chante!
Can someone
say "Chante"?
* Chante, his name's Chante *
* Hooray... *
Morris! What the
hell you doing?
My... my eyebrows.
The camera picks
up everything.
Get out!
Dr. Weaver, please...
There's a rectal prolapse
in Curtain Two
with your name on it. Now, go.
Leave me
a little powder.
I tend to shine.
Let's go!
MAN:
So Josie's ankle will be fine?
Yeah. A month
in a cast, and
she's good to go.
I told you, dear.
He thought you
was gonna need
a wheelchair
or something.
No. None of that.
Tony's very good
for a neophyte.
May I speak with you
a second, please?
Sure.
I'd like to talk to you
about your daughter.
She's, um... She...
How do I say this?
She got
naked again?
So it wasn't just me?
Isn't he adorable?
Sometimes her condition
makes her act like that.
It's no big deal.
Well, this is a big deal.
Have you talked to her
about birth control?
Why would I do that?
Because you're her father.
The school
will handle it.
Well, that's not
really their job.
You don't understand.
Her school is different.
That's why we sent her there.
Look, Mr. Weller,
I realize this is
a difficult conversation.
You think birth control
is the answer to her...?
Honey, honey...
Josie's a pretty girl.
She's smart, she's open.
She takes her clothes off
in front of the wrong guy...
Josie likes Hilary Duff
and MySpace.
I'm sure she does.
But Josie doesn't have
the same ability to say no
like other kids.
Thank you, Lucien,
for letting me scrub in.
Wish it had ended better,
but I appreciate...
Listen to me.
Dr. Crenshaw is your
chief, and he owns you.
He owns you.
As smart as you think you
are, that guy is smarter.
You'll start
respecting that today.
And if you ever
play me like that again,
ever run to daddy when you
don't like mommy's rules,
you will be done
here, do you hear me?
This is your
only warning.
Now, Mr. Palsey's
family's waiting-- go.
Go!
This is Mr. Palsey's wife
and daughter.
This is Dr. Rasgotra.
How's Garret?
Is he all right?
Well, when we opened
your husband's abdomen
we found it full of blood.
But you can fix that?
The accident tore the vena cava.
We tried to repair it
for over an hour,
but he was bleeding too fast.
Okay, so what happened
to my father?
Mrs. Palsey... he died.
Oh, God...
Oh, God.
We made every effort.
Whoa! Whoa! Whoa! Whoa!
Okay, that's all right,
I got her.
I got her, I got her.
Mrs. Palsey?
You okay?
Mrs. Palsey?
Mrs. Palsey?
Mrs. Palsey?
Mrs. Palsey?
She should be
waking up by now.
Pulse ox only 91.
All right, I'll
bag her through this.
She's okay, right?
Yeah, she just needs
some time to come around.
Systolic's down to 88.
Donna, does your mother suffer
from a heart condition?
No.
High cholesterol?
What are you
talking about?
She vaso-vagaled, Neela.
Look at the monitor.
ST elevation, T-wave inversion
No way, the leads
must be reversed.
There's nothing wrong
with the leads.
Looks like a massive MI.
CBC, lytes and triponins.
An MI, I know
what that is.
V-tack, lost the pulse.
My mother can't be
having a heart attack.
Starting compressions.
She's 45,
no risk factors.
LOCKHART:
Charging to 360.
Clear!
No change.
All right.
Amp of epi.
Come on, Neela,
pick up the pace.
100 per minute.
Is she on any
medications?
No.
What's happening?!
Your mom's heart's
in a dangerous rhythm.
Abby,
shock again after five cycles.
Okay, have lido ready.
Acute LV dysfunction
after a sudden,
tragic event.
This is Broken Heart Syndrome.
Yeah, yeah, I read about that.
Never seen a real case, though.
Stress cardiomyopathy
from the catacholamine surge.
She has no cardiac risk factors.
It all fits.
You want the lidocaine?
Yeah, all right,
75 mac two.
Someone call cardiology.
All right, so we're going
to give you a shot.
I don't like shots.
Josie, it's going
to be fine.
It'll pinch
a little at first,
but it's going
to protect you.
Did you know the Blue Line
goes right from
O'Hare to Irving Park Road?
Jump off there and take the 80
towards the lake.
It'll drop you
right at Sheridan.
Josie, we're talking about
something very serious now, hon,
pay attention.
You're going to
have to come back
every three months
for a shot.
I've talked to your
father about it.
I'm going to give you some
education on condom use.
For when we have sex.
No, not when
we have sex,
when you have sex.
That doesn't mean
you're old enough
or you're ready,
but when
the time comes,
I just want to make sure
you're prepared, okay?
Can I get a pen and paper
and take notes?
Just no props or diagrams.
What the hell
is Morris doing?
Not his job,
that's for sure.
Here we see firsthand
the effect
of over exuberant Halloween
candy consumption.
Little Luke here has
a bowel obstruction.
Too much taffy
gummed up the works.
Now we're going to stick
this tube into his stomach.
He's not moving air.
Point three epi, sub Q,
Continuous albuterol,
intubation tray, call RT.
Hey, you guys
are in the way.
I'm just warning parents
so people don't abuse
the ER system.
Overeating Halloween candy
is not draining the system,
this is.
Can you explain the patient's
condition, doctor?
He's asthmatic.
He got laid off--
no job, no health
insurance.
Hey, hey!
I got more stuff.
It's costing his insurance
company ten bucks a month...
This is my show, people.
Taxpayers will spend
tens of thousands of dollars
taking care of him
in the ER and ICU.
So, you're a proponent of
a national health plan?
If we had one, this guy would be
home playing with his kids
instead of fighting
for his life.
That was gold.
What's her name?
Dr. Judas.
360 again. Clear.
Asystole.
It's V-fib.
Another 50
of lidocaine.
Let's try amiodarone.
Neela, she's in asystole.
All right, let's try
one more round of epi.
No, no, please don't stop.
The syndrome causes a transient
ventricular weakness.
It's temporary.
It's reversible.
She'll get better.
We've been flogging her
for 20 minutes.
Epi's in.
Her husband just died.
Please don't give up.
Five rounds of meds.
She's not responding.
All right,
hold compressions.
Oh, God.
Mom...
Neela, stop.
(beeps)
HALEH:
Back in sinus.
You signed them out?
No.
Mrs. Smith?
Hey...
Got a great team here, doctor.
Do you have any questions
you want me to answer?
No, I'm just praying
my Harley still runs.
Uh... Dr. Kovac,
I'd like to sign
those papers you
were talking about.
Yeah, sure.
Right over there.
Give us a second,
please.
You didn't tell your husband
about the brain mets?
No, he thinks
the chemo worked.
So let's just
leave it at that.
I don't lie to patients.
Look, when he first
diagnosed, he shut down.
And for the past six months,
he's been living it up--
he's been taking tango
lessons and scuba lessons.
And we're going to
France in December.
He has the right
to know the truth.
(knocking)
Why should he spend
his last months
Dr. Kovac.
in fear?
I mean, if he just
has a little hope,
at least there's still
chance for a miracle.
Ray, take them back
to the room, please.
Look, we wouldn't even
be here if it wasn't for
that stupid car accident.
Mrs. Smith, I'm giving
you a second chance.
Either you're going
to tell him now
or I'll tell him
when I come back, okay?
Mr. Ames.
You were celebrating.
In court today.
You were celebrating.
Mr. Ames,
we were just happy
the case was over,
that's all.
You were happy
that you got over,
isn't that what
you really mean?
Look, I have patients.
I was a patient.
Don't you remember?
Mr. Ames, you shouldn't
be back here.
Isn't this where the sick
come to get healthy?
'Cause I want
to get healthy.
Hey, do you need
some help here?
Do these people
know what you did?
It's under control,
it's okay.
I came in here
with a cough,
and I went out like this.
I gave you
the best
treatment possible.
While I was
having a stroke,
you ignored me.
Mr. Ames, that's...
You ignored me!
You did!
You should to go.
Go where?
Where am I going to go?
Security!
If you had just let me go
home in the first place,
then none of this
would've happened!
What do you want me to do?
(crying):
I want you...
I want you to give
me my life back!
Give me my life back!
Give it back!
Give it back to me!
Stop!
(crying)
Mr. Ames...
Mr. Ames, wait up.
I just...
I just wanted to make
sure you're okay.
You want to make
sure I'm okay?
No, I'm not okay.
I'm not okay at all.
See, when you came in
the court this morning,
I was telling my kids
about justice.
They were looking at
that lady with the scales.
And I said that justice
was going to be done today,
but I don't think it was.
I know you don't feel
that way, but...
Look, I just want
to hear it from you,
without the filters of lawyers
or judges, anybody...
Did you give me
the best possible care?
At any given point,
I'm responsible for
40 acute patients.
We try our best
to watch everyone.
It's hard,
we're not gods.
So you feel
you paid attention to me?
I followed your progress,
examined you once a shift.
Your wife and I were
in constant contact.
You talked to my wife.
Listen...
the stress of something
like this can cause...
No, no, no,
you don't understand.
After the stroke,
I came home one day
and all her stuff was gone.
Same with the kids.
So I called her sister,
I checked the machine...
Finally I get an E-mail telling
me that this was too much.
This-- me pursuing you,
pursuing this, it was...
it was too much.
She thought that...
that nothing was ever
going to come of this,
and that if I couldn't move on,
then she was going to have
to move on without me.
18 years and she leaves me
in an E-mail.
I figured that...
I just win this, you know,
I win this case,
and I'd send that E-mail back
and then...
then she'd come back home.
There are people who can
help you, groups...
But I don't want any help.
I want things back
the way they were.
I want to work.
I don't want some
government check.
I build things--
that's what I do.
I know.
But I just don't know
how to fix this.
How do I fix this?
(pager beeps)
I'm sorry, I have
to get back.
I got it, I understand.
Look, if you
need anything...
Curtis.
My name is Curtis.
Of course.
Curtis.
If you need anything,
give me a call.
If a laparotomy is indicated
to rule out
a life-threatening condition,
then the procedure
doesn't become unnecessary
just because the condition
is ruled out.
Huh? You lost me.
Well, the E.R.
keeps accusing us
of performing
unnecessary surgery,
but we really believed
the guy had a triple A.
If we waited, he'd die.
But he didn't
have a triple A.
Given his symptoms,
we would've been right
90% of the time,
and then surgery
would have saved his life.
Good. Do it like that.
Okay. Your turn.
I'm fine. I know
how to do this.
I'll just pull some
articles, I'll be fine.
Look if you're not prepared,
the surgery attendings
are gonna have you on a spit--
let me take a look.
I'll be fine. Hey!
Give it!
You're gonna see my
secret winning strategy.
My spelling is
awful, huh?
Tony...
Worse than awful.
My... my syntax,
my grammar.
Yeah, but how do you...
I'm... I'm a
little dyslexic.
I've learned to work
around it, and...
most of the time,
it's... fine.
Hi.
Hi.
We're having girls'
night tonight.
You in, Neela?
I'm busy.
I'm free.
NEELA:
We're preparing
for the M&M.
Nah, that's okay,
go with the girls.
Tony...
We'll talk
about this later.
Maybe it's a good thing
that you talked to him.
Yeah. He just feels alone.
Dr. Kovac,
looks like
we still need
to break the news
to Mr. Smith.
She didn't tell him?
She's sticking to her guns.
Okay, uh...
go ahead and sign out.
I got to do this.
Wait a minute,
though-- we have
tickets to Ig-Ig...
Igraci Sa Klupe.
Yes.
In an hour.
Oh, I can just see it
some other night.
You're canceling?
Oh, my God, you're
disappointed.
(laughs):
No, I guess
I just have to go
to Ike Ryan's
with everybody.
I'll come and pick you up.
I love Rome.
I figured
you'd like that.
Hey.
How's it going?
Hey, I'm ready
to get out of here, Doc.
How's my CT look?
Well, uh,
the good news is,
there is no, uh,
skull fracture,
there's no
hemorrhage.
Oh, thank God.
I don't know if my wife
told you, but three years ago
I was diagnosed
with pancreatic cancer.
I don't have time
for some brain injury, too.
I got trips to take,
friends to see.
Yeah, sounds like fun.
LOU:
Yeah. My wife and I, we're going
to Provence for the holidays.
Might even go to Paris,
eat some Grande Marnier crepes
and some of the best Bordeaux
we can find.
Yeah.
Well, I don't want to stand
in the way of your plans.
Uh, all you have
to do is, uh,
sign these papers,
and I'll start you
on some new
medications.
You can explain
to my wife.
She handles
all the medicines.
No problem.
Can we talk?
Oh, my God,
thank you, thank you so much.
He cannot ride
the Harley.
Okay, but what
about the trip?
You better rent a car
and do the driving.
He could have
seizures or a stroke,
and by letting you
walk out of here,
I want to make sure
I'm not setting someone
up to get hurt.
Okay, I promise.
Okay. Good luck.
(crying):
Thank you.
Provence is beautiful.
(laughing, crying):
Thank you!
How's your
promotion going?
I'm hanging in there.
Still got a few knuckleheads
I got to beat into shape,
but other than that,
it's all right.
Are they showing
you respect?
Eh, you know how it is.
They do what they do,
you keep pushing through it.
To pushing through it.
Huh.
To pushing through it.
(knocking)
You better get that.
No, no. It's probably
a Jehovah's Witness.
(knocking)
They're very persistent.
Yeah.
Save my spot, okay?
Mm-hmm.
(sighs)
All right, hold on.
(groans):
Oh...
Hey, what you
doing here, man?
Now's not a good time.
Aw, man, it's Thursday--
you said
I could move in Thursday.
No, no, no.
I said Friday.
Tomorrow. Mañana.
Nah, you said
I could move in
on Thursday.
I said...
BETINA:
What's up?
Oh. My bad.
Who's this?
(sighs)
This is my brother Chaz.
How you doing?
Hey.
How you doing?
Hey.
You, uh,
you moving in?
Yeah, but he's supposed
to move in Friday.
(mouthing)
Aw, Greg,
Greg, you cannot let
him sit out there
in the hallway.
Come on in.
Are you hungry?
(laughs):
I'm 18. I'm always hungry.
Betina, come on.
BETINA:
So, what can I get you?
(laughter,
indistinct conversation)
Okay, okay, okay,
I would...
shag...
I don't know,
I guess...
I would shag Pratt.
Mm!
I knew you had the fever.
(laughter)
And shoot Morris,
do us all a favor.
(laughter)
I think you're a little too hard
on Dr. Morris.
He has
potential.
(laughter)
Apparently,
Morris is in the process
of bringing God into his life.
Dr. Weaver,
is that you on TV?
HALEH:
Turn it up! Turn it up!
It is!
(gasps):
Oh...
the camera really does
show everything.
My hair looks like crap.
HALEH: Oh, my God, Kerry,
you look good.
HOPE:
Is that Morris?
HALEH:
Morris looks like a fool!
You okay?
Bad day.
And the nights are...
I've been having
these dreams.
About Michael?
No.
Gates.
(laughs):
Oh.
It's stupid,
it's my friggin' hormones.
It's not stupid,
it's... it's human.
And he's cute,
and he's nice.
And you can't just
sit and mourn forever.
Yeah, but it's only
been six months.
That's longer than
you were married.
You always thought
I rushed into it.
Well, Michael was a great
guy-- you were just...
young and impetuous, and...
I don't think he'd want you
to put your life on hold.
I know, you're right.
So, what exactly are these
dreams you're having?
Oh, your average
intubation. Extubation.
Re-intubation.
Okay, enough.
(laughs)
Why don't you
call him?
Oh, God, no.
No, come on, you
better do it quick,
'cause one of these
girls is gonna...
shag... shag, shoot
or marry him.
Well, we are studying
for the M&M together.
Ah.
Excuse me,
could you set my friend up
with some tequila?
(women whooping)
Hey.
Hey.
What are you up to?
Answering e-mail.
What's up?
Sarah got an A
on her English paper.
That's great.
She had to write an essay
on who she'd most like
to have dinner with.
Guess who she picked?
Me, of course.
Gandhi?
(laughs)
Madame Curie?
Keith.
She wants to ask him
why he died.
Let me see that.
Every time I think
she's gotten over
losing her father...
This isn't bad.
You think?
No, she wants to know
why he fought in that war,
why did he have to leave
before she got to know him.
These are good questions.
(whooping, cheering)
All right, all right, all right,
call him, call him.
(sighs)
Who is it?
It's Ray, isn't it?
NEELA (laughs):
Are you mad?
Somebody I met
at a conference.
Then hit those
digits, sister.
God, I miss him, T.
Me, too.
You do?
Yeah.
Yeah. Every day.
SARAH (calls):
Tony, my computer crashed again!
(chuckles):
In fact, yesterday I
went by our old school.
I thought about
all the...
touch football
we used to play.
(laughing):
You mean how he used to burn you
all the time?
Yeah. In his dreams.
Well, he did get the girl, huh?
Yeah, he sure did.
(sighs)
(ringing)
(clears throat):
Hello?
Uh, is, uh, is Tony there?
I'm sorry,
he's a little busy right now.
Can I take a message?
Never mind.
It's a wrong number.
Do you want
to try it again?
No, I'm good.
Is it Gates?
(woman shouting, gasping)
Wait, wait, wait.
Let's get back
to the game.
Okay.
Okay, Abby, shag,
shoot...
Not me, though.
Oh, come no.
No, no, no, no,
I don't... All right.
Um, I would
definitely shag Luka.
Oh, please!
(laughter)
SAM:
I totally forgot about him.
MARQUEZ:
I know. Me, too.