ER (1994–2009): Season 13, Episode 7 - Jigsaw - full transcript

Previously on ER:

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.

I want these two
out of my O.R.--
Shirley, call security.

Nice working with
you guys.

Bovie...

Stand back!

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.

Uh, is, uh...
is Tony there?

I'm sorry, he's a little
busy right now.

Nobody here goes
to the doctor?

Hell no.
Not me.

I just don't know
how to fix this.

MALIK:
Yo, Dr. K.

Hey, what's up, guys?

Oh, my God,
he's so cute.

Hi, Joe.

Don't let the good looks
fool you.

He's a tough one.

Takes after his
mom, huh?

Ain't that
the truth.



Let me give you
a hand, doc.

Thanks. Our babysitter
couldn't make it again.

We finally decided
to hire a nanny.

My mom raised eight
kids all by herself.

I don't know
how she did it.

She available?
(laughs)

PRATT:
So what about
your S.B.O. guy.

Waiting on surgery.

And your chemo boy in 4?

Up to oncology
about a half hour ago.

Who's this,
the new chief of ER?

Yep, training him so
I can retire early.

Good. We could use some
new blood around here.

I'm new.

You're too old
to be new, Gates.

Excuse me,
Dr. Weaver, hi.

Courtney Brown,
Channel 5.

Have you got
a minute?

Not really-- give me
the half-inch, please.

The station loved you

and our segment
that we did.

They've given us a green light
to do some more.

Wow, that sounds cool.

Yeah, I don't
think so.

I'm an ER doc,
not a TV personality.

That's exactly what we're
looking for: someone real.

You'd be really great,
Dr. Weaver.

That piece you did was so good.

You know what,
why don't you take over.

Pack all four quadrants
and Dawn can help you.

It wouldn't require
much of your time...

GYN has a bed,
but they can't take

the P.I.D. for two hours.

Dr. Weaver,
radiology on two.

Sorry, I got to take this. Oh, I
get it,
you're swamped.

I'll try to
buzz you later.

I think he has
Abby's eyes.

Yeah, and his
dad's head. Yeah.

He'll grow
into it.

Look how cute
you are.

You're so cute.
KOVAC:
Could you guys keep an eye

on him for a minute?
BOTH:
Yeah.

Mr. Ames.

Luka.

Can I, uh...

Can I help you
with something?

No, no.

Got a meeting with
Angela Gilliam upstairs.

About my appeal.

She didn't tell you?
No, no.

Yeah, need to copy
some of my hospital files.

You're appealing the case?

Only if I have to.

You know, a settlement
would save the hospital

a lot of time
and a lot of money.

Look, this hasn't been
easy on any of us.

Least of all you, but...

But what?

Maybe it's time
to move on,

put the past behind you.

I couldn't agree more.

I'm going to hop
up the stairs.

I'll see you around.

I can smell 'em.

You can't, but I can.

They're here now.

I can smell 'em,
you can't smell 'em.

I can smell 'em...

I can smell 'em.

(man mumbling)

(overlapping chatter)

(chatter grows louder)

You can't smell 'em,
I can smell 'em.

Hey.

Are those Hot Wheels?

Want one? Yeah.

I got lots of
Hot Wheels, too.

What is this one?

I don't know.

Number five.

(imitates engine revving)

(imitates car crash)

(chuckles)
Number five.

Get off the floor.

Come on, don't make me
embarrass you.

Mom, I'm racing!

Get over here now.

Come on.

(screaming)

Get out of
the way, man!

Fast food guy dumped
some hot oil.

Third degree burns
to his hands and wrists.

Exam Three is open.

I can smell 'em.

You can't, but I can.

I can smell 'em.
I can smell 'em, okay?

I can smell 'em.

(muttering)

Hey!

Maybe you haven't noticed,
but you got a few people

waiting out here.

You actually got any doctors
working back there?

What is it, golf day?!

Sir, please sit down.

Don't "sir" me, bitch,
just let me see a damn doctor!

Calm down,
or I'll call security.

Oh, oh, oh, call 'em--
go ahead, I'm right here.

Hey!

What?

Calm down now. You are not
the only patient here, okay?

Yeah, I can see that.

I can see that.

You sign in?

Signed in what?
All I got's a little congestion.

You think you morons
can handle that?!

Fill this out.

If you sit down

and shut up, I'll bring you
back here in a few minutes.

I just got the flu,
for God's sake.

I want to apologize
in advance for the smell
in the break room.

Luka changed Joe's
diaper in there.

Wow, how bad is it?

We've got a men's room,
you know.

It's not carrots,
is it? I hate carrots.

You know, I said I'm sorry.
My babysitter flaked.

I feel bad enough
dragging him in here.

PRATT:
Hey, has Radiology
called back yet?

MORRIS:
Nah, I don't think so.

Excuse me, I'm here
to see Dr. Luka Kovac.

TAGGERT:
How long you been congested?

I don't know.
Does it matter?

No, I'm just making
conversation.

About a month or so.

All right,
what do we got?

Temp's 99.

U.R.I. symptoms.

The flu.

Deep breath
for me, please.

Get that damn thing
off of me! It's freezing!

I have to take
a listen, sir.

I told you ...
it's the flu.

Now just give me
some antibiotics or something,

and let me out of here.

Listen, Prince Charming,

the quicker we check you out,
the quicker you can go.

I need to check the oxygen
in your blood.

Part of the exam.

Omit that part.

All right.

Look, you have the flu,
that's an easy fix.

Then you can
go home.

Believe me,
I want you to go.

I need you to go.

LOCKHART:
Wow, Rio.

So Chicago must be
a big change.

Have you been here
for a winter yet?

No, but I love the cold.

In Brazil is always sunshine.

Geez, that must have been
hard to manage.

Um, why did you leave
your last job?

I didn't really like New York.

I wanted a change
around the scenery, huh?

Change of scenery.

You wanted change
of scenery.

Ah, sorry. My English.

I still make mistakes.

Great. Thanks
for coming by.

Discipline. Discipline.

Especially with the little boys.

This is key.

Amway money ran out
along with my husband.

So I asked myself,
"Jackie, what do you love?"

Kids, love kids.

Crazy little bastards.

Oh, hey, can I smoke in here?

WOMAN:
It was the best ten years
of my life.

I really loved those kids.

I don't want to brag,

but for all the families
I've worked for,

the kids always end up calling
me Mommy by the third week.

Okay, great.

Thanks for coming by.

What, you get lost?

Seems to be a little
problem with your heart.

Is that from the flu?

Normal heart's about
the size of a fist.

Yours is twice that big.

I don't think you
have the flu.

Your congestion,
shortness of breath--

definitely because
of your heart.

Sorry, I couldn't
find the sonosite.

How many times do I have
to tell you to lay down

and put the gown on.

I ain't wearing that dress.

Then lose the shirt.

You can at least
by me dinner first.

Do you get in
a lot of fights?

Have an accident
or something?

You got what look like
old fractures,

a lot of them--
a few ribs,

collarbone, your arm.

I was an active kid.

What about the scar
and those burns?

Yeah, well, my pop had
a two-pack-a-day habit.

(breathing heavily)

Whoa.

He's got a pericardial effusion.

A what?

Fluid around
your heart.
Which restricts

blood flow and makes it
hard for you to breathe.

I.V. Two of Ativan,

set up for
pericardiocentesis.

Hang on.

W-what are you doing?

Sir, we need to do a procedure
where I place a needle

into the sac around your heart.

It's no
big deal.
What?

(laughing)

No. No way.

You need this procedure.

No, I don't.

Yes, you do.
No!

You could die. No. Not a chance!

You son of a bitch!

Where'd you get the doctor
degree, through the mail?!

Get out while you can before
Kevorkian starts sticking you!

Let me the hell out of here!

(screams):
Now!!

What can we do for
you today, sir?

I just need my cholesterol
prescription refilled.

Cholesterol,
silent killer.

It is so good that
you're being vigilant.

Dr. Wong from the
Family Medical Center

prescribed this for you?

And why didn't you
go back to her?

Well, they can't take
me for a few months.

I'm supposed to get
a blood test, too.

Check my liver when
I'm on the stuff.

You need to see Dr. Wong.

I'll call up personally

and make sure they
know to give you

an earlier
appointment.

Doc, please, I don't know
when I can take another day off.

I work two jobs.
I got his Grandma

watching him
all the time.

Okay, I'll call
up right now

and let them
know you're coming.

Hope, please
discharge Mr. Batista

and point him
to the Family Center.

Hey, Morris, why is Grasso
still in Curtain Two?

Vertigo guy
is still here?

You know, mine felt better
after meclizine, O.T.D.
in 45 minutes.

Give him a break--

his first shift in a month he
hasn't killed anybody.

My case is a little bit
more complicated
than that, Ray.

You have an abnormal
neuro exam?

I just have a clinical hunch,
okay? Takes years to develop.

TAGGART:
CT results from radiology.

RAY:
That for your vertigo guy?

It's normal, isn't it?

Then we can all sleep
a little bit better
tonight, can't we?

Sam, could you please
get something from
the drug sample closet?

There's a limited
amount of samples.

You should ask an
attending to write...

Dr. Weaver asked me to get it

for one of her patients. Oh,
okay.

WEAVER:
No, yeah,
it's Batista.

B-a-t-i-s-t-a.
Thank you.

That TV news gal,
Courtney Brown called again.

Oh, Channel 5
Courtney Brown?

What'd she want?

She offered me a
job as a reporter.

What, you?!

I m... of course you.
What did you say?

I turned it down.

You turned down the chance
to be the next Sanjay Gupta?

Are you insane, woman?

I have no interest
in fluff pieces about
sunburns and bee stings.

What's wrong with fluff?
Half the patients who come
through here are fluff.

I'm the king of fluff. Word
is, you're the
best fluffer in town.

Hey, Hope, you ready for
that fecal impaction?

HOPE:
Sure am.

This is an extremely
uncommon error. (Joe crying)

Our personnel were clearly
distracted

by the ongoing debate.

It's all the more reason
why ER docs should
remain in the ER.

I know "ER" sounds a
lot like "O.R.", but it's not.

Our guys were up there
trying to keep your guys
from making mistakes.

Based on the information we had,

our decision to operate
was correct.

LOCKHART:
Well, you know what?
You know what? You didn't have

sufficient information,
because you didn't allow us
to complete a full evaluation.

DUBENKO:
Okay, okay, this isn't a witch
hunt, people. We're here

to learn from our mistakes
and improve.

You mean their mistakes, right?

Okay, let's not forget that
we're on the same team here.

DUBENKO:
Oh, Dr. Gates, come on in.

You missed a
case presentation.

Sorry, I had a patient.

You know what?
Sorry. I just got to...

DUBENKO: No, that's okay.
Timely enough, Dr. Gates.

No need to sit.
Come on down.

Why don't you, uh, why
don't you tell

us what the differential
diagnosis was

when this patient
presented.

GATES:
Um...

triple-A was on
the top of our list.

But there were other
possibilities.

Mm-hmm.

I should've stayed
a resident.

No responsibilities,
just heal 'em and deal 'em.

That was the life.

Morris, can I tell you
something as a friend?

Sometimes you are
such a little bitch!

You make three
times as much as I do.

And for what? To give orders
instead of take them?

Boo-hoo for you.

Mr. Batista!

Hey, Hope, we got a
double coming in, you
might want to jump on.

I'll be right there, Dr. Morris.
Mr. Batista, wait.

Um... I called the
Family Care Center.

I heard they can't
take you for another month.

I'm very sorry
about all that.
The system's...

Well... it needs work.

Lovastatin.

30 pills, 20
milligrams each.

Shh. This should hold you
till your next appointment.

Thanks a lot.

This is us, Hope. Hey,
guys, got a
present for you.

Unidentified
male, early 20s.

Altercation on a bus, blunt
trauma to the chest and face.

Ray, Malik, you take this.
Trauma Two is open.

Sam, Hope, you're with me.

He's tachy in the 120s,
resps in the 30s, BP 104/56.

CBC, I.V., type and
cross, let's go!

Fred Douglas, 38, blunt trauma
to the face with epistaxis.

Son of a bitch
broke my nose. Keep
pressure on it.

Dude was yelling at
some lady on the bus.
Heart rate 120, BP 105/75.

I tell him to shut up,
next thing you know
he's throwing punches.

MORRIS:
How you doing in there, Ray?
I'm doing good.

He could probably use
hand when you're done.

That guy I got in a
fight with-- I didn't
hurt him too bad, did I?

TAGGART:
Hemocue's 12.8.

First, we look for an
obvious source of bleeding
that can be cauterized.

Is it broken, Doc?
It sure fe...

(sneezes)
(groans)

God bless you.

Snuck up on me. Sorry.

You need a definitive triple-A
diagnosis before committing

an unstable patient
to major surgery.

Au contraire. Mortality of
ruptured triple-A is 90%.

We don't have time to
wait around for tests.

Ultrasound can be done very
quickly at the bedside.

Theoretically, perhaps,
but not in this ER--

besides, every textbook in print
says that this type of patient

should be taken
to the O.R. immediately.
Ultrasound in the ER is new.

It's not in every
textbook, and recent
studies have shown...

So I guess, what? ... it's a
very accurate
at identifying aneurysms....

We should just ignore decades
of experience because what?

You have a new toy?
People die with delays.

Valentine paper, 1993,
found that most patients

without triple-A's still need
surgery for one thing or...

Most, not all!

With severe heart failure,
surgery can be fatal.

The guy's lucky all you did was
torch him.

You could've killed him.

Okay, um...

what is your experience in
the ER with bedside ultrasound?

Well, it's been going on for a
few years now.

He's cute. Do you have any,
uh, data

on your diagnostic accuracy?
But I hear he
lives with somebody.

Really?
Uh, yes.

I think he has a kid.

We found 95% agreement with
final radiology interpretation,

no significant clinical
disagreements.

What about for a triple-A
specifically?

Uh...I don't know, exactly.

Well, finding
a gallstone
is one thing.

A ruptured aneurysm
quite another.

Well, if we'd seen a normal
aorta with an enlarged liver,

we... would've saved the
guy the risk of surgery.

But you couldn't do it in a
reasonable time frame.

That's because we weren't given
a reasonable time frame.

Well, he was unstable, and
surgery was necessary.

Lighting the guy onfire-- was
that necessary, too?

The Bovie wasn't grounded.

Whose fault was that?
Yours.
Mine?!

You shouldn't have
even been in the O.R.

We were up there trying to
stop unnecessary surgery.

You were up there being a pain
in the ass. We have certain O.R.

protocols for a reason,
and you interfered!
Our duty to the patient doesn't

end when you think
it should end.
Okay, that's
enough, that's enough.

Thank you, Dr. Gates.

I think we can all see
what the real problem is here.

Providing the best care

requires communicating openly,
and when we fail to do that,

lives are lost.

I think that's something
we can all learn from
today's M & M.

LOCKHART:
Crenshaw is such
a little prick.

You know what? I bet I
could take him, too.

Actually, I definitely
think I can take him, and
you could kick his ass.

ANGELA:
Luka? You're scaring me.

I was looking for you. Sorry I
didn't get back to you earlier.

Angela, you remember Abby.
Sure. Nice to see
you back at work.

Nice to be back.

So, I probably should've warned
you Curtis Ames was coming in.

Okay, what's all this
about, the settlement?

There is no settlement.

We agreed to the meeting
as a show of good faith,

in case we went
back to trial.

But don't worry.
The appeal's never
gonna happen.

Ames can't even find a lawyer to
take the case.

We're not settling.
It's over.

Good.

All right, what do we got?

Okay, hypotensive secondary

to what looks like a traumatic
pepericardial effusion.

Wow, guy's got a lot of
fluid around his heart.

Looks like I'm gonna do a
percardiocentesis.

BP's still
dropping. 88/52.

It's weird, I had
one this morning.

Okay, Malik, set me up.

How's your guy?

MORRIS:
Just a bloody nose.

Did you say there's something
wrong with my heart?

MALIK:
He's awake.

Sir, I'm Dr. Morris,
attending physician.

Wait a minute, it's you.
From this morning.

You know him?

Yeah. No, no.
You were here earlier?

No, I wasn't.

Hey, Sam?

Yeah?

He's our A.M.A. patient from
this morning, right?

Yeah, the flu jerk.

I don't know what you people are
talking about.

I don't have the flu.

I've never been here...
before.

Joe, hey, what's it gonna be?

Good-looking Brazilian
or big, mean Russian, hmm?

Joe? (speaking Croatian)

KOVAC:
Going home.

LOCKHART:
Say "bye."

(Lockhart giggles)

We use an ultrasound to see
while we insert the needle

into the pericardial
sac to drain the blood.

You use sound to see.

That's fascinating.

Just like bats and dolphins.

It'll release the pressure on
your heart and make it easier

for you to breathe.

And I won't feel a thing.

Not a thing.

Can I watch?

Yeah, sure.

Okay, cool.

Oh, come on!

This morning, bats and
dolphins here was ready
to rip my head off.

What are you trying
to pull, buddy?

Why is he so angry?

Sam, prep his chest and have two
of versed ready.

Mr. Payton, we'll be right back.
Morris, can we talk?

Morris!

I don't know what this
whack job's game is.

His game is he's probably
a little kooky from

a blow to his head.
He could easily be amnestic.

He's got to be on something.
He's totally different now.

Give the guy a break.
He just got his ass kicked.

I mean, he really didn't
want that procedure
this morning, right?

Maybe he was really
pissed off at you, Archie.

It wouldn't be
the first time.

Now...
(sighs)

I know this may sound
a little corny, but, um...

I always catch more flies with
honey, you know what I mean?

That... that's good,
that's good, Ray.

I li... I like that approach.

You'll make a great attending
someday, my man.

I'm sorry. I know my wallet's
in here somewhere.

(sighs):
Damn it.

AMES:
I got that.

And, uh, can I get
a Polish, please?

No, no. That's okay.

Don't worry about it.
I insist, really.

It's not necessary.
Really.

When you got
your hands full,

it's the least I can do.
It's just a hot dog.

My mom always taught me,

random acts of kindness make
the world a better place.

Well, I can't argue
with that. Thank you.

What is he,
about six months?
Five and a half.

He's really cute.

He's got a set of pipes on him
you wouldn't believe.

Are you driving
your mom crazy?

Nah. Nah.

Oop. Oop.

Here's your frog. Ribbit.

This yours?
There you go.

Excuse me, Dr. Weaver.
Yeah?

Something is weighing
on my heart

and I just can't
take it anymore.

What's the problem?

I gave Oscar Batista
Lovastatin samples.

That sweet,
hard working man--

I was afraid that he would
stop taking his pills

and then he would
come back here

with a heart attack
or a stroke...

Hope...
That precious
little boy...

it reminded me how moved I was
by your television piece.

I just thought some
tiny act of kindness

might really be... Okay, okay...
Okay, stop!

You did a good thing.

Really.

There might be
hope for you, Hope.

You told me those drug samples
were for Dr. Weaver's patient.

Well, they were...
technically.

Well, technically,
you lied to me.

There are rules for
breaking the rules, rookie,

and rule number one
is that you never ever

lie to the nurses, you got me?

I'm so sorry.

AMES:
Fell off a ladder at work.

Dude wasn't paying attention,
so I had to pay the price.

Oh, sounds like
a dangerous job.

Nah-- carpenter.

It's tough doing it
with one arm, though.

Well, sprains heal
pretty quickly.

Yeah, that's what they
told me at the hospital.

Uh, I'm, uh, I'm headed
for the red line.

Oh, I'm headed this way.

Well...nice to meet you.

You, too. Thank you
for the hot dog.

It's my pleasure.

I'll catch you later, Joe.

Hey, uh, any messages
for me yet, Frank?

No, Morris!

The TV producer lady
has not called back yet.

And if you ask me that
one more time,

I'm gonna slap you so hard,
you'll turn brunette.

Have you got it?

Position's
been filled.

What position?

And stop calling
the television station.

I'm getting complaints.

Oh, that... oh, that position,
right. They filled it, huh?

Who'd they...
who'd the find so fast?

Me.
You?

I thought you
turned it down.

Yeah, well I changed my mind.

Figured it was about time

someone put something
worthwhile on television.

So, Smitty, how long
you had the rash?

About two weeks now.

Got any food allergies?

No.

You on any medications?

Just my blood
pressure pills.

All right, come on,
have a seat.

What kind of pills?

All right.

Oh, you see,
that's the problem.

Rash is a common
reaction to enalopril.

Who prescribed
these for you?

Doc up at the clinic put me
on it 'bout ten years ago.

This and
something else.

Ten years ago?

Who gave you these?

See, my man T-Bone--
you know T...

Smitty, you can't take other
people's medications, man.

It's not safe.

Everybody does it.

Everybody who?

Up at First Mission Baptist,

Pastor Watkins does
a drug exchange program.

You should come up
there sometime.

Man gives
a powerful sermon...

Okay, okay, hold on, hold on.
He does a drug exchange program?

Hell, yeah.

I ain't got insurance.

You know how much
this stuff costs?

You can't possibly think
ultrasound was contraindicated.

I do if it can't
be done immediately.

You could've told me that
before the M and M.

Well, I didn't realize I had to
point out the totally obvious.

I can't... I can't
win with you.

Well, finally we
agree on something.

Finally. Yes.
Yes.

You don't have to take
the piss out on me, you know.

The piss? Piss?
Yes. Yes.

Yep, you got a nice
fluid pocket.

This is gonna
be a snap.

Sam, draw up some
one percent lido.

CHUNY:
Okay, little man, you're going
to feel a little pinch, okay?

Okay, before I start,
just a few things. I don't want
a shot-- Please!

Main risks here,
bleeding and infection. Just
relax.

Y-You-You could infect my heart?

Come on, let's not
make this any harder.

Well, the sterile technique
make infection

very unlikely.
Calm down
and let them work.

No!

What about bleeding?

I have trepidation
about bleeding.

Well, it's only
a minor risk

'cause we're using
such a small needle.

Well, not so small,
but... thin.

And you'll be
all numbed up,

so you won't
feel a thing.
No!

Relax. No! No!

Okeydokey.
Let's do this.
Stop it!

KOVAC:
It's going to hurt
only for a second, okay?

(boy screaming)

Get that thing
away from me, you clown!

I told you, I don't want that!

You agreed to the procedure,
Mr. Payton.

Screw that! Mr.
Payton...

And stop calling me that.

My name's Clyde Sandberg.

You people got short-term
memory loss or something?!

Huh?!

You ambushed me. You were
spewing
absurdities.

Do you not like me
or something?

I think you're a wanker.
A wanker?

You're cocky,
you're arrogant...
Ouch.

And you're not as smooth
as you think you are.

Oh, really, I'm not? No, you're
not.

I never said I was.

(clattering)

You know, I called you
the other night,

and a woman answered.

Yeah, I can
explain that.

Now would be a good time.

Here! Here!

Bats and dolphins guy,
I figured it out.

It's DID.

What?

Dissociative
Identity Disorder.

Multiple personalities.
You're kidding me.

Psych make
that diagnosis?

No, I paged them
three times.

They haven't
come down yet.

This is based off of what,

your extensive
psychiatric expertise?

No, he's a classic
presentation--

old abuse injuries,
keeps changing his name.

Okay, maybe it's you that
needs the psych evaluation.

No, I'm serious, Ray.

We have to double
doctor this guy.

Listen, he keeps
refusing treatment,

that effusion
will kill him.

And who knows how long
psych will take?

I mean, by the time
their resident sees him,

they present
to the attending,

they have their stupid
meeting, it could be hours.

Double doctoring--
that's a pretty big deal.

Can't we just treat
with NSAIDS and steroids?

He's refusing
vital treatment.

And that, my friend,

is grounds for
a double doctor.

Come on, come on,
get with me here.

What, so I'm back
on the case now?

Yeah.

Look, I tell you what.

I'll talk to him.

I'll try and get
some sort of read.

But maybe you
should hang back.

You already pissed
him off enough today.

So... I have a few
questions for you.

Can you tell me
what day it is?

Thursday.

Month and year?

You know, they got
this new thing out

called a "calendar."

My freakin' God-- November.

2006.

Do you know where you are?

What is this place,
Romper Room?

I see "Stupid" and
"Retard" and "Jerkoff."

I'm at County General Hospital.

RAY:
I am not double doctoring.

Ray, he's only
going to get worse.

He's hypotensive with
reduced cardiac output.

Look, he already hates
doctors, especially you.

Do you really want
to tie him down

and stick a needle
into his chest?

If it'll save his life,
hell, yeah.

I am out, Archie.

Fine, I'll get
somebody else.

Hey, Pratt.

No, no, no, no.
Hasta-la-bye-bye.

Pratt, I need you to
sign off on a double doctor.

(sighs)

What you got, a foster
kid or something?

No, he's a competent adult.

He's got a pericardial
effusion

and doesn't want treatment.

Morris wants to get medieval
on the guy because he thinks...

I think he's DID. Multiple
personalities.

Yeah, I know what it is.
What did psych say?

They're MIA.

Morris you do know that
multiple personality syndrome...

Dissociative Identity Disorder,
they changed it.

Yeah, whatever. Some docs
don't even think it exists.

There's a ton of
literature to support it.

Okay, so how are his vitals?

Systolic's holding
in the 90's.

And mental status?
Alert and oriented.

Tox screen and CT?

Clear.

You got to treat
him conservatively.

Wait for psych,
it's their call.

Pratt, you want me
to be more thorough.

That's what I'm doing.

Pratt, listen to me
for one second, please. Pratt!

RASGOTRA:
If a patient presents
within a week of surgery,

it's considered a bounce-back.

Make sure all bounce-backs are
logged in the follow-up book.

Hey, can I speak
to you for a second?

We're in seroma. Removing the
staples and packing the dermis.

Uh, wasn't actually
talking to you.

Oh.

Um, okay. Go ahead.

I'll just
get started.

So how's surgery
treating you?

(chuckles):
Like a stepchild.

Radiology's looking
better every day.

It'll be over
soon enough.

I hated my surgical
rotation.

So, um, do you
like hockey?

Tonsil or ice?

(laughs)

Uh, ice.

Mm, too bad.

But, yeah, I'll settle
for a Hawks game.

He still refusing treatment?

Last BP was 84 over 50,

and he's developed
pulsus paradoxus.

Found his old file.

Willis Payton
is his real name.

Probably be
the "host" personality.

His Clyde character must
be one of his "alters".

He was here a bunch of
times between '88 and '96.

Foster kid, abuse
related injuries--

some bad ones, too.

It's a classic DID history.

Psych's still
a no show?

I know everybody down here
thinks I'm a joke.

If Pratt said DID,
he'd be a genius.

But I...

I know that I'm
right about this.

And all I can do is suck on it
and watch this guy die.

You did what you could.

And you're not a joke, Archie.

You're an attending.

Thank you.

MAN:
Was a time when that
mountain seemed so high,

like it stretched up to
the Pearly Gates themselves.

(congregation responds)

Promised land seemed
like an idea.

Like no matter
how hard we worked,

it was only sand
between our fingers.

(congregation responds)

But we're still here.

Proud and strong, Lord have
mercy, we're still here.

But we got a whole lot

of work to do, because
the more things change,

the more they stay the same.

(congregation responds)

Young-Young brother
in the back.

You're new.

Stand up and introduce yourself.

No, no, you!

(chuckling)

Evening, everyone,
I'm Greg Pratt.

Welcome, Brother Pratt.
Come on up front.

Nice to see young folk in
the evening service, isn't it?

(congregation murmuring assent)

Heart's getting
worse, you know.

(sighs heavily)

Here we go again.

No!

You need me to spell it?

If you keep
refusing treatment,

it's gonna go down
one of two ways:

one, the doctors are
going to come in here,

tie you down, and
do the procedure.

They can't touch me,
I got rights.

Or two, we get
to watch you die.

Fun for you.

There's a third option.

You give consent,
we fix your heart,

and you go home.

All we want
to do is help.

Yeah, you've been loads
of help so far.

I know you're scared.

No, I ain't scared
of nothing!

I know you've been hurt.

A lot.

But you are safe here.

I know you don't want to
trust us, but you can.

Was, um...

was-was...

was I sleeping?

No.

I lost time.

I lost time again.

Willis?

Yeah?

Clyde's been giving
us a hard time.

Oh.

I... I thought he was gone.

You know about Clyde?

Yeah.

My friends told me about him.

He's very negative.

Well, Clyde doesn't
want us help you.

So all we could do was
give you some medicine,

but that's not
working too well.

Um, well... can you,

can you still fix me?

Willis, I need
Clyde's permission.

I can't make him do anything.
I can't.

We can't start
and stop again.

We're running out of time.

No. No, no, no.

No.

Willis!

Damn it, let me talk
to Clyde right now!

Do not make me hurt you!

Let me talk to Clyde!

How many times I got to tell
you to get off me, bitch?

Huh, how many times?!
Huh?!

I saw Willis.

He's letting us
do the procedure.

He's a pansy!

Yeah, well, he's brave enough

to let us stick a needle
in his heart.

Piss off, bitch.

Fine. You be a tough guy
all the way to your funeral.

I'm done.

Hey!

You stick my heart, that means
I get out of here, right?

Yep.

Do it.

I told you
I ain't scared of nothing.

The drug exchange program
is only for people

who have prescriptions
but can't afford the drugs.

Smitty's prescription
was ten years old.

And he had Enalopril.

Enalopril is not
the first drug of choice

for black folks with
high blood pressure.

I suggest that you start
an exercise program.

Get your congregation
to stop eating salt

and fried foods
and start exercising.

Trust me, you'll do
a whole lot more good.

We don't just help people
with high blood pressure.

We have diabetics,
asthmatics, you name it.

Look, what you're doing
is dangerous, okay,

not to mention illegal.

I have an obligation to
this community, Dr. Pratt.

These people are
shackled by a system

over which they have
no control.
Yeah.

The one thing I will
not do is nothing.

Excuse me, Dr. Morris,

can I ask your advice
on something?

Yeah.
I lied to Samantha
about something

and now she's really steamed.

Ooh, bad move.

Piss one nurse off, piss 'em
all off, like the mafia.

You know, whenever I'm
in a precarious situation,

I always ask myself,
"What would Jesus do?"

Right.

What would Jesus would do
if the nurses hated him?

Well, he would do the
right thing, of course.

That's the problem,

I thought that I
was doing the right thing.

I guess... I just...
I did it the wrong way.

Hey, it's the story
of my life.

You know, sometimes
it doesn't matter

how much we kick
and scream.

Even when we're right.

"The prophet is without
honor in his own land."

Matthew 13:54.

Oh, I love that one.

Big Matthew fan.

(chuckles)

You have a good night,
Dr. Morris.

Feeling better?

Drained almost half a liter
of fluid from around your heart.

Your blood pressure and pulse
are back to normal.

Soon as a bed opens up, we'll
get you upstairs to a room.

So, you're doing great.

You got my glasses?

Uh... let me check, yeah.

(scribbling)

That kid gonna be okay?

Who?

Yeah, I'm sure he is.

Looks like he's leaving.

He was racing
Hot Wheels.

His mom, she was mean.

Uh...

Willis?

My name is Andre.

I like Hot Wheels.

I wish his mom
wasn't so mean.

Hey, hey...

...don't tell my dad
I'm here, okay?

He can be
pretty mean, too.

Your secret's safe with me.

Okay?

It's kind of dark in here.

You're not gonna
leave, are you?

No.

No way, buddy, no.

I'm here all night.

That's good.

(clears throat)

So, what kind
of Hot Wheels you got?

All kinds.

I collect 'em.

Yeah?

I used to collect them, too.

What kind you got?

I used to have
a '57 Chevy.

I got that one.
Got that.

Shelby Cobra.

Got it.

Okay, all right...
'65 Mustang Fastback.

I got two.

You got two?
Yeah.

Wow.

I used to have three,

but I gave one
to my friend.

Well, you'll have
to give one to me,

'cause I don't think
I have mine anymore.
Okay.