ER (1994–2009): Season 13, Episode 8 - Reason to Believe - full transcript
A mysterious illness leaves little hope when a group of homeless kids enter the ER and one of them believes that Neela is a guardian angel in blue; Abby and Kovac clash over a possible case of domestic abuse; Pratt makes a shocking discovery about his brother, and Weaver is unexpectedly called into action when her television appearance becomes a real emergency.
Previously on E.R.:
Nice to meet you.
You, too.
And thank you
for the hot dog.
It's my pleasure.
PRATT:
This is my brother, Chaz.
How you doing?
You, uh, moving in?
Yeah.
Up at First Mission Baptist,
Pastor Watkins does
a drug exchange program.
What you're doing
is dangerous, okay,
not to mention illegal.
That TV news gal,
Courtney Brown, called again.
Oh, Channel 5
Courtney Brown?
What did she want?
She offered me a
job as a reporter.
Figured it was about time
someone put something
worthwhile on television.
I called you
the other night,
Mm-hmm.
and a woman answered.
Yeah, I can
explain that.
Rise and shine, Mayday.
Too early to be taking a nap.
Is it morning already?
Yep. Has been
for awhile.
Crenshaw's been
running me ragged.
I've been on
since midnight Tuesday.
Mm. No wonder you
haven't return my calls.
Surgery is not for sissies.
(sighs)
Listen, I want
to talk to you
about our mutual groping
after the M and M.
That was a mistake.
Yeah.
You live with someone.
Yes, but not exactly.
And there's a little girl.
Right. Nice kid,
not mine.
Her father is my friend.
In the Gulf?
Yep.
After we came back,
he couldn't keep it together.
I always told him
that if something happened,
I would make sure that Sarah
and Meg made it through.
That's a big promise.
I always say,
"Go big or go home."
(door opening)
Hello.
Hi.
Gates, your DVT patient
is still waiting on
a ride to oncology.
And the nurses started a
pool on when somebody's
going to finally tap your
ascites guy's belly.
All right, I'll go take care
of the DVT guy first.
Ambulance on its way in.
Uh, stab wound, slash, OD...
nine minutes out.
Wake me up in eight.
WOMAN:
Whenever I move my head,
everything spins.
Mm-hmm.
My nephew says
it's a tumor.
Well, your neuro exam's
normal, ma'am,
so it's not a brain tumor,
it's not a stroke.
Stroke?
This is meclizine.
You're going to take one every
eight hours if you get dizzy.
Now, when you run out,
you can fill this
for a month's supply.
I take that to the pharmacy?
Yes, ma'am.
And I have to pay?
Yeah, but your insurance
will cover some of it.
WATKINS:
Dr. Pratt?
There you go.
Excuse me.
Yeah?
Mrs. Skinner's BP's 185/100.
She take the
Lameretic I gave her?
Sure, until she
used up the samples.
What about the
prescription?
It's $60
for a month's supply.
She's saving up,
but hopes her son
will send her a check
by Thanksgiving.
I'm going out of my way to get
your people set up right.
You gotta help make sure
they stay on the program.
All I need's an extra
hundred grand a year.
I think that'll cover
the cost for my congregation.
So what? I need to figure out
a way to pay for all this, too?
Hey, in for a penny,
in for a pound.
Who said that-- Jesus?
Clemens Daniel III.
My bookie.
Ellie said
just leave him here.
Don't let me get wet, Teller,
the water burns.
Gotta make sure
they see him.
Please, don't leave me.
We'll get
in trouble.
Them demons come through
the sewers when it rains.
Ah, she's here.
It's Bloody Mary.
Let go, let go, it's her.
It's okay.
You know what to do.
No, she sees us,
it's too late.
Do it, Paulie.
ALL:
One, two, three, four,
stay away forevermore.
See?
She can't hurt us.
(distant thunder rumbling)
GATES:
You kids okay?
Let's go, Teller.
He's a doctor.
LOCKHART:
Did she get Narcan?
DUMAR:
No response.
Teller!
We have to go back.
What happened?
To his ear,
what happened?
He climbed over a fence.
I'll be good now.
Did he fall?
Probably.
I'll be good now.
Hit his head?
Maybe.
GATES:
Get me a gurney, a backboard,
and a C-collar,
blunt trauma to the head.
Page surgery, ENT
and hold CT.
I'll come in soon as I'm done.
All right.
Thanks, Mayday.
There be demons on the Hancock.
You can see them from the lake.
Shut up, Paulie,
they don't know.
Couple Ativan
to calm him down.
What do you want to do
about the ear?
Uh... Unasyn? Two grams?
Try three, irrigate
the hell out of it.
Plastics will do a flap
in the OR.
LOCKHART:
Sats are good.
HOPE:
Pupils equal and reactive.
RASGOTRA:
Pinpoint pupils.
She had Narcan?
DUMAR:
Only point eight.
All right, let's
try two milligrams.
Sometimes they need more.
No wounds to the anterior
chest or abdomen.
Corneal reflexes
are... intact.
GATES:
Chest is clear.
Belly is soft, non-tender.
HOPE:
Tachy at 120.
(woman gasps)
DUMAR:
Looks like you got her back.
WOMAN:
Oh, my God.
Deep breaths for me now.
In...
(woman gasping)
GATES:
one percent lido
and update his tetanus.
RASGOTRA:
In... out.
It's going to be okay, Paulie.
You're gonna be okay.
The Blue Lady's here.
and I never got to it.
I was coming off an overnight,
and I figured
Gates could handle it.
He didn't and now he can't.
He's in with a trauma.
Well, it's just a paracentesis--
maybe you could do it?
KOVAC:
Look, you're an attending.
You shouldn't have left this
unfinished.
Look, I had somewhere
to be, okay?
What was so important
that you'd walk out on a guy
who'd been here all night?
Church. All right?
I had to go to church.
Pratt, you're a terrible liar.
Get back here and deal with this
right now, okay?
Hey. Hey!
What are you doing, you chipping
in on the water bill,
'cause I need...
Hey, Greg.
I thought you were at work.
Is this
your brother?
CHAZ:
Yeah.
Get out of here.
No, Greg, listen...
Hey, get the hell
out of here.
You, too.
By the time I get back,
I want you gone.
Let go! Why you wanna kill me?
Stop it,
or she ain't gonna come.
Are we charting this
as a John Doe?
I told you,
his name's Paulie.
Paulie what?
Does he have
any parents?
His father's locked up
in the tower by the water.
His mom was in the shelter
before she died.
Paulie left so they couldn't
send him to the Foresters.
Foresters?
The fake family
that don't ever love you.
A foster family?
GATES:
Where does he live?
Under.
Under what?
How's it here?
GATES:
Altered after
a ten-foot fall.
No ID, history unknown.
C-spine and, uh,
and chest are clear.
Lose the collar,
will ya?
JARVIK:
Head CT films.
I don't want to stay here.
Look.
JARVIK:
How about another two of Ativan?
Look.
No bleed or fracture.
What about drugs?
HOPE:
Tox screen negative for alcohol
and drugs of abuse.
Any fever?
JARVIK:
98.6.
HOPE:
I don't get why he's so altered.
Doesn't seem
like meningitis.
Has your friend
been acting differently?
Ever since his arm
started hurting.
You mean, before he fell?
He only fell last night.
How did he fall?
We was in the building
where nobody lives.
Paulie got scared
'cause of all the bats.
Bats?
Could be rabies.
Hope, page Kovac.
All right, put an
N-95 mask on him.
If he does have rabies,
his saliva
is extremely infectious.
RASGOTRA:
I need to check
for fractures.
No step-offs or deformities.
Full range of motion
at the elbow and wrist.
See, Paulie?
I told you she'd come.
GATES:
Step back, buddy.
Lunchtime starts at noon,
so I'll be there
with the crew by 11:00.
You know, Courtney,
this isn't quite
what I signed on for.
I thought I'd be reporting
on topical medical issues,
not doing puff pieces on Botox
and unsanitary manicures.
Hey, that one was strong.
People all over Chicago
now think twice
before having
their cuticles cut.
See you at noon.
FRANK:
This came for you
special delivery.
Baby gift?
Uh, yeah. Yeah.
TAGGART:
Charles Hadley, multiple
wounds after a bar fight.
He passed out on the
couch last night,
this morning I couldn't
wake him up.
Look at me, sir.
Pupils equal
at four millimeters.
You all right
there, ma'am?
Oh, it's nothing.
Well, we should
take a look at it.
No, no, no, no, please,
I'm all right, really.
KOVAC:
CBC, chem panel,
blood alcohol.
C-spine,
head and facial CT.
Dried blood at
the left ear canal.
Positive battle sign.
TAGGART:
Have a seat.
KOVAC:
Chest is clear.
LOCKHART:
Abdomen soft,
no rebound or guarding.
Did he do this?
Uh, no, uh... No...
He didn't know
what he was doing.
Are you saying
your husband hit you, ma'am?
Uh, uh, it was an accident.
I was helping him down
on the couch and he slipped.
Uh, his elbow knocked me.
Pelvis is stable.
She's going
to need a facial series.
Dr. Kovac.
We got a pretty sick
little boy in 2, no parents.
Yeah, just keep trying
to reach them.
We think he's homeless.
Neela and Gates are
worried it's rabies.
Uh, you're good.
I'll be back.
Rabies?
He was in a building
infested with bats.
How was the trauma workup?
CT's negative, but he's
altered and ataxic.
A river runs
through the city.
On the other side's
the good streets,
but we can't get across.
KOVAC:
How is he doing?
He's responsive, but he's
not making much sense.
TELLER:
He's not crazy.
The stuff he's talking about
is real.
You're thinking rabies?
What else could it be?
Well, encephalitis from any
of a number of viruses--
West Nile, Epstein Barr,
mumps, measles, varicella, CMV.
He needs a spinal tap.
Can we do a rabies
vaccine in case?
Well, if you're right,
it's too late.
So let's first
confirm the diagnosis.
The quickest way is with a skin
biopsy. Keep a mask on him.
If we intubate, you'll all need
masks, gloves and goggles.
Tony, your buddy
Cue Ball's leaving.
What?
He still needs an X ray.
He says he feels fine.
You handle this, Mayday?
Mm.
All right, I'll be back
in a second.
Are you going to learn me
the hard song now?
Can you hold his head for me,
Teller?
GOLDSTEIN:
There, you see?
I'm just like a bouncer.
I'm the guy that gets you
out of here.
Yo, Cue Ball, where
are you going?
(coughs)
Home, man, they fixed me up.
Cue Ball?
Hey, I knew your parents
Eight Ball and High Ball.
Your lungs sound like
a bag of potato chips.
Yeah, como los nachos.
I was just translating.
Come on, I'm putting
you back in here.
No, no, no, no.
You need an X ray.
No, man, I been here
since last night.
Come on.
I got places to go,
people to see, baby.
Hey, sit down, Pancho.
We'll wheel you back
to Tijuana.
I ain't Spanish, man.
He's a new volunteer.
We're still
training him.
PRATT:
Gates.
Oh, here comes
your pimp.
I'm done with this.
Cue Ball, get back
here, come on!
One X ray,
Cue Ball!
Hey...
What?
Why didn't you tap my ascites
guy's belly like I asked?
I was in trauma.
What was I supposed to do?
What I told you.
Oh, so, I'm just supposed
to take all your scut, huh?
Yo, don't turn
your back on me.
I got stuff to do.
No, the only thing
that you have to do
is the stuff I
tell you to do.
You really don't want to do
this right now.
I don't want
to do what?
Get in my face.
Then stop acting like you
don't hear me when I talk.
(mumbles)
You want to have a
job this afternoon?
You better stay
where you are.
She can't cry;
there's only one dog.
Can you touch
your nose for me?
Paulie, can you hear me?
If you can hear me,
can you touch your nose?
GATES:
How's he doing?
Intention tremor with
worsening ataxia.
Bit my lip.
Skin biopsy came back
positive for rabies by DFA.
Rabies is 100% fatal.
99.9%. There was
a little girl in Wisconsin.
2004. She survived.
That was one case.
We're going
to make it two cases.
What's this?
New England Journal
of Medicine.
You need to order ketamine,
midazolam, ribavirin,
and amantadine
from the pharmacy.
We're going to
induce a coma?
Titrate the midazolam
to suppress brain activity.
Gives the brain a rest while
we administer anti-virals.
KOVAC:
Also, we need to
call neurology.
He's going to need
continuous EEG monitoring.
There are no isolation beds
in the PICU.
RASGOTRA:
He's gonna have to stay
down here for now.
Luka, this guy's
taking a nose dive.
I'm coming. Did you
notify public health?
Already on it. They're
bringing in CDC.
Okay, good.
Anyone else exposed needs
rabies prophylaxis vaccine
and immune globulin.
Our party animal's
more disoriented.
Head CT shows a basilar
skull fracture.
No intracranial
hemorrhage?
We got lucky there.
GCS is down
from 14 to eight.
Mr. Hadley,
open your eyes.
He's diaphoretic.
Are the labs back yet?
TAGGART:
No, not yet.
KOVAC:
We need to repeat
the head CT,
see if there's
a delayed bleed.
Sats dropping.
Okay, 100%
non-rebreather.
Dr. Kovac, some guy called
a couple of times,
didn't leave a message.
Did you get a name, Frank?
He wouldn't say.
Okay, why are you telling
me this, Frank?
Thought you'd want to know.
It's probably a creditor.
Great, thank you.
Thank you, Frank.
You doing
an accu-check?
He's not a diabetic.
No, but if he's a
chronic alcoholic
who's not eating, he
might be hypoglycemic.
There it is--
blood sugar is 34.
TAGGART:
That's pretty low.
Amp of D50
and 100 migs of thiamine.
Yeah, I guess he's
a bigger drinker
than we thought.
He wasn't always this bad.
Advanced liver disease
diminishes his glycogen stores.
His body can't respond
to low blood sugar.
(groans)
What the hell is going on?
Mr. Hadley, do you know
where you are?
Ch-Chicago.
TAGGART:
You're in the hospital.
LOCKHART:
When's the last time
you had something to eat?
It's been a
couple of days.
I guess I've been
on a bit of a bender...
Cancel the CT?
Yeah.
Here.
What the hell is that?
It's the belly tap
from my ascites guy.
Send it for a cell count,
culture and cytology.
Whoa, hope you didn't get
that hitting a patient.
Intern.
Why are you even here?
Paracentesis on a pass-on
Gates couldn't handle.
Uh-huh, welcome
to being an attending.
What, you-- you di--
you and Gates didn't--
You know what?
I don't need to know.
Hey, how's the lip?
Better than your hand.
You hit like a girl.
Yeah, okay.
Look, I'm sorry for
blowing my cool like that.
I was having a
terrible morning.
That's no excuse, so if you
want to file a grievance
with Human Resources,
you can call...
I was there, too.
It's not the first time
I let something
like that get
out of hand.
Have you tried getting
into a program
to help you
stop drinking?
Like I want to hear
everybody else's problems.
What good is a lot,
a lot of talking gonna do me?
Not gonna bring
my son back.
He died?
Was a DUI.
He got
his mother's looks...
...and my alcoholism.
What about what you're doing
to your wife?
I don't know
why she hasn't left me before.
It should be,
should be me, Doc.
Should be me that's dead,
n-not Kenny.
She came in with an injury.
Did you hit her?
What?
Did you hit her?
(stammers)
I would never,
never hurt my wife.
But you did.
(stammering)
If I did, it... no.
It w-wasn't on,
w-w-wasn't on purpose.
I love her.
Check his glucose in an hour.
(stammering)
I-I love her.
I'll be back.
Do you think
the concussion
and the low blood sugar
contributed to this?
To what?
Well, I think he's altered,
and he hurt her accidentally.
Well, we have
to report it.
If it's nothing,
it'll get dropped.
But the wife said
he never hit her.
The police will
sort it out.
Hey, hey.
What?
What? What? She's
got a bruised face.
So, you want to put him
in a locked facility
with a bunch of criminals?
You heard him.
He won't get any help
unless he's forced to.
It's time someone scared
some sense into him.
You might be right
about this,
but I-I have
a feeling...
Look, let's try this.
You be the resident, I'll
be the attending, okay?
Okay.
Can I help you find
something, Dr. Pratt?
What? No.
Yeah, yeah, yeah, yeah--
are we out of diuretics?
Uh, I think there are some
samples over here, but...
The free sample closet.
Hope, you genius.
(surprised yell)
I thought, uh...
Aren't you not
working this shift?
Yeah, that's right.
Oh.
Well, then,
why are you...
I'm running a little
low on some stuff
for some people I'm
helping out at church.
Church? I didn't know that
you volunteered at church.
Nah, this is not
going to be enough.
Do we have anything
anywhere else?
Uh...
(snaps fingers)
Come on.
There was a drug rep
here earlier.
Maybe they restocked?
Drug rep?
She even
brought pizza.
Very sweet girl
from Dayton, Ohio.
My family's
originally from Akron,
so we had a
lot in common.
I think her name was...
Dora.
Here you go, buddy.
I'm not hungry.
Well, it might make
you feel better,
and this soup
is the bomb.
I mean, seriously,
we call it the bomb
soup down here.
You eat this soup, you're
going to fart like a cannon.
JARVIK:
Ketamine's ready to go at
two migs per kilo per hour
with ribavirin loading
dose of 33 migs
per kilo.
When's Paulie
going to wake up?
I don't know.
We're going to make
Paulie sleep for a while,
maybe a couple weeks.
Hopefully, his
body can heal.
Amantadine needs
to be given by mouth.
All right.
Hey, Paulie, can you hear me?
I need you to take a
little sip of water here.
(chokes)
The rabies are making it hard
for him to swallow.
Drop an NG.
That's not why.
It's because
Bloody Mary saw his face.
I'm going to put a tube down
his throat to help him breathe.
Ten of SUX, 20 of etomidate.
JARVIK:
Pulse ox is only 82.
Ambu bag.
Yankauer with suction
on high.
Okay, let's move that.
Teller.
Teller!
* *
FORBES:
Neela, what do you know
about the placement
of the hernia mesh?
RASGOTRA:
Must be parallel
to the peritoneal sac.
And?
Laterally, the mesh covers
the abdominal wall,
reflects
on the iliopubic tract,
and covers several
centimeters
of the psoas.
Excellent.
Next time we do a hernia
repair, you can assist.
Paulie can't breathe!
You have to come help!
Who the hell is that?
You can't be in here, Teller.
You have to come help.
Paulie can't breathe!
FORBES:
Get him out of here now.
Go back downstairs.
I can't come with you.
You have to.
You're the Blue Lady.
Please? Please,
just help Paulie.
You need to wake him up.
I can't, Paulie's
very sick.
But I saw you.
That other girl,
she was asleep
and... you woke her up.
You brought her
back to life.
That was different.
You can't say no.
You can't!
I know your secret name.
Mayday.
And one day...
One day, every day
is going to be Sunday.
PRATT:
Diuretics, calcium channel
blockers,
oral hypoglycemics.
Non-steroidal
anti-inflammatories,
proton pump inhibitors,
beta-agonist inhalers.
Enough meds for 90%
of your people.
It was fast work.
How'd you manage it?
I sold my soul
to a drug company.
Well, not exactly
my soul.
Give me those. I'll go
lock them up in the closet.
Uh, Greg's told me
about what you're doing here.
I'd love to be a part of it.
That's why I took
my break time
to help out Dr. Pratt.
Uh... are you a
med student?
Hope Bobek.
I'm an intern.
It's the same thing
as a first year resident,
but they call us interns.
I don't really know why.
(gasps):
I love old churches like this.
Do you?
It's so big.
Yes, it is,
isn't it?
It's estimated
that between ten and 20%
of youth in this country
are obese.
A condition
which leads to increased risk
of diabetes, heart disease,
high cholesterol...
BOY (yells):
Lucy's choking!
Oh, geez. Okay.
Um... hey, uh...
Sweetie, honey,
can you breathe?
Can you speak?
Okay, here we go.
All right.
I need some help here.
Look out.
Kerry, what's happening?
Probably has a piece of food
obstructing her trachea.
Hang in there, Lucy.
Here we go.
All right.
Okay, get me a...
kitchen knife with a sharp point
and a drinking
straw. Now, go.
This is going to
hurt for a second.
Ready? One, two,
three...
(kids groan)
Oh, she's cutting her throat.
He's still sleeping?
Yes.
GATES:
He's got peripheral IV's
for continuous sedation
and anti-viral therapy.
He needs a central line
if he's gonna do
blood products and, uh...
clotting factors.
Central line is
too risky with a DIC.
He could bleed out.
Well, we gotta do something.
What about a saphenous cutdown?
Lily, betadine.
Thanks for getting
down here so fast.
I thought we were
gonna lose him.
She had to come.
RASGOTRA:
Ten blade.
Curved hemostat.
He says I'm
the Blue Lady.
Ahh.
When I was a paramedic,
we used to run
homeless kids like
this once in a while.
3-0 silk.
Survival.
They have to make up a
story about their world.
Helps them get through it.
It's not a story.
It's real.
God took a boat across the lake
'cause he couldn't fight
the demons in Chicago.
There were too many of them and
they're always out to hurt you.
Like Bloody Mary?
Demons turn you
into druggies or whores.
One shot my brother
from his black SUV.
Eleven blade.
What about good spirits?
Any of those?
The angels could save you.
They ate the Millennium light
and stop the Hawk
from frostbiting.
So the Blue Lady can save you
if you're hurt or sick, huh?
She has to.
If you know her secret name.
Triple lumen catheter.
Teller.
Look, Ellie.
I told you
not to stay.
I told you you'd
get us in trouble.
It's okay.
She's gonna fix Paulie.
LOCKHART:
Are you leaving?
I've tried to make
him get help.
He won't listen to me.
I've lost a son
and now it looks like
I'm gonna lose a husband, too.
Well, not if you
don't want to.
How bad does it have
to get before he realizes
that there's a problem?
Does he have to doze off
with a cigarette in his hand
and burn the place down
or fall through a glass door?
Well, alcoholism's
a disease.
I mean, maybe the
two of us together
can convince him to
get some treatment.
(crying)
I love him.
I really do.
And he's a good man.
He just... can't seem
to get over this.
I think he's starting
to understand
that he needs to
make some changes.
Okay.
Hemmerdinger's been DC'd,
Winston is in radiology
and Barnaby died.
Now, listen,
about the Hadleys...
Abby...
Look, they love each other.
They're struggling
right now.
You're defending
spousal abuse.
I don't think
that's what happened.
The guy's an alcoholic.
Yeah, well, so am I.
I already reported it.
The cops are on their way.
SAM (into phone):
Okay, 30 minutes.
WEAVER:
Criked for upper
airway obstruction.
What happened?
I was doing a stand-up
in a middle school
lunch room
and she started choking.
I know you probably
think that...
I wanted to move in
here because of this.
You told me that you wanted
to be closer to school.
I did, and I thought maybe
we could be brothers
like we talked
about last year.
Oh. Oh.
So you, uh...
just didn't need
a little bit more privacy
than living with the family
could get you, huh?
It's not like that.
You lied to me,
and I'm not cool with that.
I didn't lie.
I'm not cool with it.
So what, Greg?
What, if I hadda
told you the truth?
Then you would have been
cool with it?
You think this is
easy for me?
It's not like this has been
going on a long time.
It's just, just
something that happened.
(chuckles)
I don't know, man.
It's like a phase or something.
* *
* *
He's bradying down.
Mig of atropine.
Oh.
Where you been?
I was helping Dr. Pratt
with something. Sorry.
Lost the pulse.
Starting compressions.
I can do that.
Call Kovac.
Amp of epi.
It's hard to bag.
There's a lot
of resistance.
KOVAC:
What's the rhythm?
PEA.
He's absent breath
sounds on the left.
KOVAC:
Could have had
a small pneumo
that converted to tension
with intubation.
There's still
no pulse.
Looks like V-fib.
Charge of 360.
The rabies can damage
the conduction
system of the heart
Charged.
Clear!
No change.
The virus is
too advanced.
Hundred of Lidocaine.
I don't think he's
going to make it.
Hundred
of Lidocaine.
Paulie.
Teller!
Clear.
Hey, wait!
Come on, let's go!
Stop it! Please!
Let us help you!
You both need medicine
so you don't
get sick like Paulie!
I thought you were
going to save him!
It's not
her, Teller.
She's just a doctor.
Tell him you're
not the Blue Lady.
Please! You could have
what Paulie has!
Please!
Neela!
We need you inside!
We got him back!
What?
The rabies kid.
He's got a rhythm, a pulse
and a BP.
That's not possible.
Tony put the pulse ox
on his finger
and the kid grabbed his hand.
It's, it's
like a miracle!
Come on!
Hey.
Hey.
You're still here.
Oh, I wanted to make sure
that she was okay.
and I got permission
from her parents
to air what happened.
Why?
Are you kidding me?
If a male doctor
pulled that off on TV,
he'd have his own
syndication deal.
Yeah, well.
No, seriously, Kerry.
That was, that was
pretty incredible.
I'm, I'm still buzzing.
How do you come down
from something like that?
Uh... a glass of wine
and a hot bath
at the end
of the day help.
Mmm. Sounds
good to me.
All right.
TOMKINS:
Ketamine is at two
per kilo per hour.
He's got spontaneous
eye-opening.
That's a good sign, but we
need to deepen his coma.
Let's double up on the midazolam
drip and I'll check back later.
Boy, he's got
goosebumps.
I'll go get a
warming blanket.
He's putting
up a fight.
He still has
a long way to go.
Hope's right. It's a
miracle he's alive.
Maybe you are the
Blue Lady after all.
I mean, if I was those kids,
I'd sure as hell
want to believe that.
If you believe in
something hard enough...
What?
Well...
I've talked
myself into...
things that weren't
true plenty of times.
What sort of things?
I don't know. Like, uh...
stuff about myself,
my job,
people in my life.
Everything seems to be
a lot clearer now, though.
I have something to do.
I'll see you tomorrow?
Yeah, okay.
Okay.
Hey. You never
told me what your
secret name was.
(chuckles softly)
You're the one
that gave it to me.
Mayday?
Well, Teller must have
overheard you.
You never told me what it means.
She doesn't want
to press charges,
but the fact
is he hit her.
Can I talk to you
for a sec?
Just a minute.
That's...
Still need to get
a statement from the wife.
That's fine.
I'm going to Ike's
to get some dinner.
Okay. I'll pick
you up there.
Uh, listen, before
you do that,
there's something else I
need to ask you, in private.
You okay, doc?
What is it?
It belongs to my son.
It was sent
to me here.
See the initials?
C.A.-- Curtis Ames.
He was a patient
of mine.
I think he's trying
to threaten us.
Maybe he just wanted
to return it.
Look, he followed my wife
and child to the park.
I'd like you to
go talk to him.
Help me protect
my family.
Okay.
Okay, well, give him
four more ounces,
and I'll be back
in a half hour.
All right, bye.
Cell phones.
How'd we ever
survive without them?
Sorry.
That was my baby-sitter.
Aren't you a little old
to need a baby-sitter?
It was for my baby.
(laughs):
Oh.
Well, aren't you a little
young to have one of those?
(chuckles)
Can I buy
you a beer?
No, thanks.
I never touch the stuff.
So... boy or girl?
Boy.
Uh, six months.
Mm.
Do you have kids?
Five.
Five?
Yep, a boy and girl of my own
and three stepdaughters.
Do you live in Chicago?
Texas.
Texas?
Yep.
You're a long way from home.
Yep.
What are you doing here?
Uh...
(exhales)
Well, I came up to see
an old buddy of mine.
In the hospital.
But I walked
into the lobby,
I looked around,
chickened out.
Why?
Well, you know, you know,
I buried a few friends over
the last couple of years.
And hospitals
make me queasy.
Yeah.
Well, me, too.
And I work in one.
You're a nurse, huh?
Mm...
I used to be a nurse,
but now I'm a doctor.
(laughs)
Really?
Yeah.
(laughs)
What's so funny?
Ah, nothing.
Why are you laughing?
(laughs)
It's just, uh...
Well, the only doctors I ever
met were white-haired old guys
with glasses
and necks like turkeys.
Well, I guess I've got
that to look forward to.
(chuckles)
What do you do in Texas?
Oil.
Tycoon?
Don't I wish.
No, I work the rigs-- machinist.
Ever seen an oil fire?
Seen one?
Hell, I started one.
Can we have our chips, please?
What are you gonna eat
in the movie?
That's why we
got licorice.
Think fast, Horndog.
Think fast.
Ah!
Good hands.
Thanks.
What do you think
of this kid?
Seems okay.
Kind of polite, quiet.
Yeah, all the common traits
of a serial killer.
(chuckles)
I can't believe
she's gonna be dating soon.
Yeah.
Listen, Meg, there's been
something on my mind.
Yeah, me, too.
Really?
Yeah, I've been thinking
about moving forward.
I think Sarah's old enough
to accept it now.
In fact, I think
it would make her happy.
What would?
Us making this permanent.
We've danced around
it long enough.
No, no, no, no.
That's not what I meant.
Meg, I can't
do this anymore.
Us living together,
but not really living together.
Sleeping with each other
when we need to.
It's too easy, it's like
a placeholder.
I think it's stopping us
from getting on with our lives.
What are you
talking about?
This is our lives.
I don't want it to be.
We fell into this, Meg.
I care about you and Sarah,
but I have to do my own thing.
What's her name?
Come on, Meg.
What?
So you want to screw
some other girl,
it won't be the first time.
They never last.
It's more than that.
You think you can keep what you
want, and leave the rest?
Be part of our lives,
but not commit?
It doesn't work that way, Tony.
I've committed fully for a long
time, Meg, and you know that.
We love you... and you love us.
I know you don't want
to blow that.
You know, Chicago winters can be
pretty tough on asthma.
You should get a flu shot.
Nah, I hate needles.
Just come by the E.R.,
I'll do it myself.
I promise I'll be gentle.
Hey.
Hey.
Luka, this is...?
Eddie.
Eddie.
You the husband?
We're not married.
Gotcha.
You ready to go?
Yeah.
Well, Eddie, it was
nice to meet you.
And remember, flu shot.
Thanks for the advice
and the company.
Nice meeting you.
You, too.
Do you want to talk
about what's bugging you?
No.
No, you don't want
to talk about it,
or no, nothing's
bugging you?
Something was,
but I took care of it now.
Nothing to worry about.
Okay.
Dr. Rasgotra?
I'm sorry. I must
have nodded off.
You've been working a lot, huh?
It's coming up to 30 hours now.
Do you want me to
get you something?
Oh, no, I'm fine, thanks.
How is he?
He needs to be in a coma
for two weeks,
until increased levels
of rabies antibodies appear
in his cerebrospinal fluid.
And then we'll wean him
off sedation,
see if any neurologic
function returns.
I prayed for him
at church today.
I heard that his friends
have a whole story
about demons and spirits.
Who are we to judge,
right?
Everybody needs something
to believe in.
I will see you tomorrow,
Dr. Rasgotra.
Good night, Hope.
Nice to meet you.
You, too.
And thank you
for the hot dog.
It's my pleasure.
PRATT:
This is my brother, Chaz.
How you doing?
You, uh, moving in?
Yeah.
Up at First Mission Baptist,
Pastor Watkins does
a drug exchange program.
What you're doing
is dangerous, okay,
not to mention illegal.
That TV news gal,
Courtney Brown, called again.
Oh, Channel 5
Courtney Brown?
What did she want?
She offered me a
job as a reporter.
Figured it was about time
someone put something
worthwhile on television.
I called you
the other night,
Mm-hmm.
and a woman answered.
Yeah, I can
explain that.
Rise and shine, Mayday.
Too early to be taking a nap.
Is it morning already?
Yep. Has been
for awhile.
Crenshaw's been
running me ragged.
I've been on
since midnight Tuesday.
Mm. No wonder you
haven't return my calls.
Surgery is not for sissies.
(sighs)
Listen, I want
to talk to you
about our mutual groping
after the M and M.
That was a mistake.
Yeah.
You live with someone.
Yes, but not exactly.
And there's a little girl.
Right. Nice kid,
not mine.
Her father is my friend.
In the Gulf?
Yep.
After we came back,
he couldn't keep it together.
I always told him
that if something happened,
I would make sure that Sarah
and Meg made it through.
That's a big promise.
I always say,
"Go big or go home."
(door opening)
Hello.
Hi.
Gates, your DVT patient
is still waiting on
a ride to oncology.
And the nurses started a
pool on when somebody's
going to finally tap your
ascites guy's belly.
All right, I'll go take care
of the DVT guy first.
Ambulance on its way in.
Uh, stab wound, slash, OD...
nine minutes out.
Wake me up in eight.
WOMAN:
Whenever I move my head,
everything spins.
Mm-hmm.
My nephew says
it's a tumor.
Well, your neuro exam's
normal, ma'am,
so it's not a brain tumor,
it's not a stroke.
Stroke?
This is meclizine.
You're going to take one every
eight hours if you get dizzy.
Now, when you run out,
you can fill this
for a month's supply.
I take that to the pharmacy?
Yes, ma'am.
And I have to pay?
Yeah, but your insurance
will cover some of it.
WATKINS:
Dr. Pratt?
There you go.
Excuse me.
Yeah?
Mrs. Skinner's BP's 185/100.
She take the
Lameretic I gave her?
Sure, until she
used up the samples.
What about the
prescription?
It's $60
for a month's supply.
She's saving up,
but hopes her son
will send her a check
by Thanksgiving.
I'm going out of my way to get
your people set up right.
You gotta help make sure
they stay on the program.
All I need's an extra
hundred grand a year.
I think that'll cover
the cost for my congregation.
So what? I need to figure out
a way to pay for all this, too?
Hey, in for a penny,
in for a pound.
Who said that-- Jesus?
Clemens Daniel III.
My bookie.
Ellie said
just leave him here.
Don't let me get wet, Teller,
the water burns.
Gotta make sure
they see him.
Please, don't leave me.
We'll get
in trouble.
Them demons come through
the sewers when it rains.
Ah, she's here.
It's Bloody Mary.
Let go, let go, it's her.
It's okay.
You know what to do.
No, she sees us,
it's too late.
Do it, Paulie.
ALL:
One, two, three, four,
stay away forevermore.
See?
She can't hurt us.
(distant thunder rumbling)
GATES:
You kids okay?
Let's go, Teller.
He's a doctor.
LOCKHART:
Did she get Narcan?
DUMAR:
No response.
Teller!
We have to go back.
What happened?
To his ear,
what happened?
He climbed over a fence.
I'll be good now.
Did he fall?
Probably.
I'll be good now.
Hit his head?
Maybe.
GATES:
Get me a gurney, a backboard,
and a C-collar,
blunt trauma to the head.
Page surgery, ENT
and hold CT.
I'll come in soon as I'm done.
All right.
Thanks, Mayday.
There be demons on the Hancock.
You can see them from the lake.
Shut up, Paulie,
they don't know.
Couple Ativan
to calm him down.
What do you want to do
about the ear?
Uh... Unasyn? Two grams?
Try three, irrigate
the hell out of it.
Plastics will do a flap
in the OR.
LOCKHART:
Sats are good.
HOPE:
Pupils equal and reactive.
RASGOTRA:
Pinpoint pupils.
She had Narcan?
DUMAR:
Only point eight.
All right, let's
try two milligrams.
Sometimes they need more.
No wounds to the anterior
chest or abdomen.
Corneal reflexes
are... intact.
GATES:
Chest is clear.
Belly is soft, non-tender.
HOPE:
Tachy at 120.
(woman gasps)
DUMAR:
Looks like you got her back.
WOMAN:
Oh, my God.
Deep breaths for me now.
In...
(woman gasping)
GATES:
one percent lido
and update his tetanus.
RASGOTRA:
In... out.
It's going to be okay, Paulie.
You're gonna be okay.
The Blue Lady's here.
and I never got to it.
I was coming off an overnight,
and I figured
Gates could handle it.
He didn't and now he can't.
He's in with a trauma.
Well, it's just a paracentesis--
maybe you could do it?
KOVAC:
Look, you're an attending.
You shouldn't have left this
unfinished.
Look, I had somewhere
to be, okay?
What was so important
that you'd walk out on a guy
who'd been here all night?
Church. All right?
I had to go to church.
Pratt, you're a terrible liar.
Get back here and deal with this
right now, okay?
Hey. Hey!
What are you doing, you chipping
in on the water bill,
'cause I need...
Hey, Greg.
I thought you were at work.
Is this
your brother?
CHAZ:
Yeah.
Get out of here.
No, Greg, listen...
Hey, get the hell
out of here.
You, too.
By the time I get back,
I want you gone.
Let go! Why you wanna kill me?
Stop it,
or she ain't gonna come.
Are we charting this
as a John Doe?
I told you,
his name's Paulie.
Paulie what?
Does he have
any parents?
His father's locked up
in the tower by the water.
His mom was in the shelter
before she died.
Paulie left so they couldn't
send him to the Foresters.
Foresters?
The fake family
that don't ever love you.
A foster family?
GATES:
Where does he live?
Under.
Under what?
How's it here?
GATES:
Altered after
a ten-foot fall.
No ID, history unknown.
C-spine and, uh,
and chest are clear.
Lose the collar,
will ya?
JARVIK:
Head CT films.
I don't want to stay here.
Look.
JARVIK:
How about another two of Ativan?
Look.
No bleed or fracture.
What about drugs?
HOPE:
Tox screen negative for alcohol
and drugs of abuse.
Any fever?
JARVIK:
98.6.
HOPE:
I don't get why he's so altered.
Doesn't seem
like meningitis.
Has your friend
been acting differently?
Ever since his arm
started hurting.
You mean, before he fell?
He only fell last night.
How did he fall?
We was in the building
where nobody lives.
Paulie got scared
'cause of all the bats.
Bats?
Could be rabies.
Hope, page Kovac.
All right, put an
N-95 mask on him.
If he does have rabies,
his saliva
is extremely infectious.
RASGOTRA:
I need to check
for fractures.
No step-offs or deformities.
Full range of motion
at the elbow and wrist.
See, Paulie?
I told you she'd come.
GATES:
Step back, buddy.
Lunchtime starts at noon,
so I'll be there
with the crew by 11:00.
You know, Courtney,
this isn't quite
what I signed on for.
I thought I'd be reporting
on topical medical issues,
not doing puff pieces on Botox
and unsanitary manicures.
Hey, that one was strong.
People all over Chicago
now think twice
before having
their cuticles cut.
See you at noon.
FRANK:
This came for you
special delivery.
Baby gift?
Uh, yeah. Yeah.
TAGGART:
Charles Hadley, multiple
wounds after a bar fight.
He passed out on the
couch last night,
this morning I couldn't
wake him up.
Look at me, sir.
Pupils equal
at four millimeters.
You all right
there, ma'am?
Oh, it's nothing.
Well, we should
take a look at it.
No, no, no, no, please,
I'm all right, really.
KOVAC:
CBC, chem panel,
blood alcohol.
C-spine,
head and facial CT.
Dried blood at
the left ear canal.
Positive battle sign.
TAGGART:
Have a seat.
KOVAC:
Chest is clear.
LOCKHART:
Abdomen soft,
no rebound or guarding.
Did he do this?
Uh, no, uh... No...
He didn't know
what he was doing.
Are you saying
your husband hit you, ma'am?
Uh, uh, it was an accident.
I was helping him down
on the couch and he slipped.
Uh, his elbow knocked me.
Pelvis is stable.
She's going
to need a facial series.
Dr. Kovac.
We got a pretty sick
little boy in 2, no parents.
Yeah, just keep trying
to reach them.
We think he's homeless.
Neela and Gates are
worried it's rabies.
Uh, you're good.
I'll be back.
Rabies?
He was in a building
infested with bats.
How was the trauma workup?
CT's negative, but he's
altered and ataxic.
A river runs
through the city.
On the other side's
the good streets,
but we can't get across.
KOVAC:
How is he doing?
He's responsive, but he's
not making much sense.
TELLER:
He's not crazy.
The stuff he's talking about
is real.
You're thinking rabies?
What else could it be?
Well, encephalitis from any
of a number of viruses--
West Nile, Epstein Barr,
mumps, measles, varicella, CMV.
He needs a spinal tap.
Can we do a rabies
vaccine in case?
Well, if you're right,
it's too late.
So let's first
confirm the diagnosis.
The quickest way is with a skin
biopsy. Keep a mask on him.
If we intubate, you'll all need
masks, gloves and goggles.
Tony, your buddy
Cue Ball's leaving.
What?
He still needs an X ray.
He says he feels fine.
You handle this, Mayday?
Mm.
All right, I'll be back
in a second.
Are you going to learn me
the hard song now?
Can you hold his head for me,
Teller?
GOLDSTEIN:
There, you see?
I'm just like a bouncer.
I'm the guy that gets you
out of here.
Yo, Cue Ball, where
are you going?
(coughs)
Home, man, they fixed me up.
Cue Ball?
Hey, I knew your parents
Eight Ball and High Ball.
Your lungs sound like
a bag of potato chips.
Yeah, como los nachos.
I was just translating.
Come on, I'm putting
you back in here.
No, no, no, no.
You need an X ray.
No, man, I been here
since last night.
Come on.
I got places to go,
people to see, baby.
Hey, sit down, Pancho.
We'll wheel you back
to Tijuana.
I ain't Spanish, man.
He's a new volunteer.
We're still
training him.
PRATT:
Gates.
Oh, here comes
your pimp.
I'm done with this.
Cue Ball, get back
here, come on!
One X ray,
Cue Ball!
Hey...
What?
Why didn't you tap my ascites
guy's belly like I asked?
I was in trauma.
What was I supposed to do?
What I told you.
Oh, so, I'm just supposed
to take all your scut, huh?
Yo, don't turn
your back on me.
I got stuff to do.
No, the only thing
that you have to do
is the stuff I
tell you to do.
You really don't want to do
this right now.
I don't want
to do what?
Get in my face.
Then stop acting like you
don't hear me when I talk.
(mumbles)
You want to have a
job this afternoon?
You better stay
where you are.
She can't cry;
there's only one dog.
Can you touch
your nose for me?
Paulie, can you hear me?
If you can hear me,
can you touch your nose?
GATES:
How's he doing?
Intention tremor with
worsening ataxia.
Bit my lip.
Skin biopsy came back
positive for rabies by DFA.
Rabies is 100% fatal.
99.9%. There was
a little girl in Wisconsin.
2004. She survived.
That was one case.
We're going
to make it two cases.
What's this?
New England Journal
of Medicine.
You need to order ketamine,
midazolam, ribavirin,
and amantadine
from the pharmacy.
We're going to
induce a coma?
Titrate the midazolam
to suppress brain activity.
Gives the brain a rest while
we administer anti-virals.
KOVAC:
Also, we need to
call neurology.
He's going to need
continuous EEG monitoring.
There are no isolation beds
in the PICU.
RASGOTRA:
He's gonna have to stay
down here for now.
Luka, this guy's
taking a nose dive.
I'm coming. Did you
notify public health?
Already on it. They're
bringing in CDC.
Okay, good.
Anyone else exposed needs
rabies prophylaxis vaccine
and immune globulin.
Our party animal's
more disoriented.
Head CT shows a basilar
skull fracture.
No intracranial
hemorrhage?
We got lucky there.
GCS is down
from 14 to eight.
Mr. Hadley,
open your eyes.
He's diaphoretic.
Are the labs back yet?
TAGGART:
No, not yet.
KOVAC:
We need to repeat
the head CT,
see if there's
a delayed bleed.
Sats dropping.
Okay, 100%
non-rebreather.
Dr. Kovac, some guy called
a couple of times,
didn't leave a message.
Did you get a name, Frank?
He wouldn't say.
Okay, why are you telling
me this, Frank?
Thought you'd want to know.
It's probably a creditor.
Great, thank you.
Thank you, Frank.
You doing
an accu-check?
He's not a diabetic.
No, but if he's a
chronic alcoholic
who's not eating, he
might be hypoglycemic.
There it is--
blood sugar is 34.
TAGGART:
That's pretty low.
Amp of D50
and 100 migs of thiamine.
Yeah, I guess he's
a bigger drinker
than we thought.
He wasn't always this bad.
Advanced liver disease
diminishes his glycogen stores.
His body can't respond
to low blood sugar.
(groans)
What the hell is going on?
Mr. Hadley, do you know
where you are?
Ch-Chicago.
TAGGART:
You're in the hospital.
LOCKHART:
When's the last time
you had something to eat?
It's been a
couple of days.
I guess I've been
on a bit of a bender...
Cancel the CT?
Yeah.
Here.
What the hell is that?
It's the belly tap
from my ascites guy.
Send it for a cell count,
culture and cytology.
Whoa, hope you didn't get
that hitting a patient.
Intern.
Why are you even here?
Paracentesis on a pass-on
Gates couldn't handle.
Uh-huh, welcome
to being an attending.
What, you-- you di--
you and Gates didn't--
You know what?
I don't need to know.
Hey, how's the lip?
Better than your hand.
You hit like a girl.
Yeah, okay.
Look, I'm sorry for
blowing my cool like that.
I was having a
terrible morning.
That's no excuse, so if you
want to file a grievance
with Human Resources,
you can call...
I was there, too.
It's not the first time
I let something
like that get
out of hand.
Have you tried getting
into a program
to help you
stop drinking?
Like I want to hear
everybody else's problems.
What good is a lot,
a lot of talking gonna do me?
Not gonna bring
my son back.
He died?
Was a DUI.
He got
his mother's looks...
...and my alcoholism.
What about what you're doing
to your wife?
I don't know
why she hasn't left me before.
It should be,
should be me, Doc.
Should be me that's dead,
n-not Kenny.
She came in with an injury.
Did you hit her?
What?
Did you hit her?
(stammers)
I would never,
never hurt my wife.
But you did.
(stammering)
If I did, it... no.
It w-wasn't on,
w-w-wasn't on purpose.
I love her.
Check his glucose in an hour.
(stammering)
I-I love her.
I'll be back.
Do you think
the concussion
and the low blood sugar
contributed to this?
To what?
Well, I think he's altered,
and he hurt her accidentally.
Well, we have
to report it.
If it's nothing,
it'll get dropped.
But the wife said
he never hit her.
The police will
sort it out.
Hey, hey.
What?
What? What? She's
got a bruised face.
So, you want to put him
in a locked facility
with a bunch of criminals?
You heard him.
He won't get any help
unless he's forced to.
It's time someone scared
some sense into him.
You might be right
about this,
but I-I have
a feeling...
Look, let's try this.
You be the resident, I'll
be the attending, okay?
Okay.
Can I help you find
something, Dr. Pratt?
What? No.
Yeah, yeah, yeah, yeah--
are we out of diuretics?
Uh, I think there are some
samples over here, but...
The free sample closet.
Hope, you genius.
(surprised yell)
I thought, uh...
Aren't you not
working this shift?
Yeah, that's right.
Oh.
Well, then,
why are you...
I'm running a little
low on some stuff
for some people I'm
helping out at church.
Church? I didn't know that
you volunteered at church.
Nah, this is not
going to be enough.
Do we have anything
anywhere else?
Uh...
(snaps fingers)
Come on.
There was a drug rep
here earlier.
Maybe they restocked?
Drug rep?
She even
brought pizza.
Very sweet girl
from Dayton, Ohio.
My family's
originally from Akron,
so we had a
lot in common.
I think her name was...
Dora.
Here you go, buddy.
I'm not hungry.
Well, it might make
you feel better,
and this soup
is the bomb.
I mean, seriously,
we call it the bomb
soup down here.
You eat this soup, you're
going to fart like a cannon.
JARVIK:
Ketamine's ready to go at
two migs per kilo per hour
with ribavirin loading
dose of 33 migs
per kilo.
When's Paulie
going to wake up?
I don't know.
We're going to make
Paulie sleep for a while,
maybe a couple weeks.
Hopefully, his
body can heal.
Amantadine needs
to be given by mouth.
All right.
Hey, Paulie, can you hear me?
I need you to take a
little sip of water here.
(chokes)
The rabies are making it hard
for him to swallow.
Drop an NG.
That's not why.
It's because
Bloody Mary saw his face.
I'm going to put a tube down
his throat to help him breathe.
Ten of SUX, 20 of etomidate.
JARVIK:
Pulse ox is only 82.
Ambu bag.
Yankauer with suction
on high.
Okay, let's move that.
Teller.
Teller!
* *
FORBES:
Neela, what do you know
about the placement
of the hernia mesh?
RASGOTRA:
Must be parallel
to the peritoneal sac.
And?
Laterally, the mesh covers
the abdominal wall,
reflects
on the iliopubic tract,
and covers several
centimeters
of the psoas.
Excellent.
Next time we do a hernia
repair, you can assist.
Paulie can't breathe!
You have to come help!
Who the hell is that?
You can't be in here, Teller.
You have to come help.
Paulie can't breathe!
FORBES:
Get him out of here now.
Go back downstairs.
I can't come with you.
You have to.
You're the Blue Lady.
Please? Please,
just help Paulie.
You need to wake him up.
I can't, Paulie's
very sick.
But I saw you.
That other girl,
she was asleep
and... you woke her up.
You brought her
back to life.
That was different.
You can't say no.
You can't!
I know your secret name.
Mayday.
And one day...
One day, every day
is going to be Sunday.
PRATT:
Diuretics, calcium channel
blockers,
oral hypoglycemics.
Non-steroidal
anti-inflammatories,
proton pump inhibitors,
beta-agonist inhalers.
Enough meds for 90%
of your people.
It was fast work.
How'd you manage it?
I sold my soul
to a drug company.
Well, not exactly
my soul.
Give me those. I'll go
lock them up in the closet.
Uh, Greg's told me
about what you're doing here.
I'd love to be a part of it.
That's why I took
my break time
to help out Dr. Pratt.
Uh... are you a
med student?
Hope Bobek.
I'm an intern.
It's the same thing
as a first year resident,
but they call us interns.
I don't really know why.
(gasps):
I love old churches like this.
Do you?
It's so big.
Yes, it is,
isn't it?
It's estimated
that between ten and 20%
of youth in this country
are obese.
A condition
which leads to increased risk
of diabetes, heart disease,
high cholesterol...
BOY (yells):
Lucy's choking!
Oh, geez. Okay.
Um... hey, uh...
Sweetie, honey,
can you breathe?
Can you speak?
Okay, here we go.
All right.
I need some help here.
Look out.
Kerry, what's happening?
Probably has a piece of food
obstructing her trachea.
Hang in there, Lucy.
Here we go.
All right.
Okay, get me a...
kitchen knife with a sharp point
and a drinking
straw. Now, go.
This is going to
hurt for a second.
Ready? One, two,
three...
(kids groan)
Oh, she's cutting her throat.
He's still sleeping?
Yes.
GATES:
He's got peripheral IV's
for continuous sedation
and anti-viral therapy.
He needs a central line
if he's gonna do
blood products and, uh...
clotting factors.
Central line is
too risky with a DIC.
He could bleed out.
Well, we gotta do something.
What about a saphenous cutdown?
Lily, betadine.
Thanks for getting
down here so fast.
I thought we were
gonna lose him.
She had to come.
RASGOTRA:
Ten blade.
Curved hemostat.
He says I'm
the Blue Lady.
Ahh.
When I was a paramedic,
we used to run
homeless kids like
this once in a while.
3-0 silk.
Survival.
They have to make up a
story about their world.
Helps them get through it.
It's not a story.
It's real.
God took a boat across the lake
'cause he couldn't fight
the demons in Chicago.
There were too many of them and
they're always out to hurt you.
Like Bloody Mary?
Demons turn you
into druggies or whores.
One shot my brother
from his black SUV.
Eleven blade.
What about good spirits?
Any of those?
The angels could save you.
They ate the Millennium light
and stop the Hawk
from frostbiting.
So the Blue Lady can save you
if you're hurt or sick, huh?
She has to.
If you know her secret name.
Triple lumen catheter.
Teller.
Look, Ellie.
I told you
not to stay.
I told you you'd
get us in trouble.
It's okay.
She's gonna fix Paulie.
LOCKHART:
Are you leaving?
I've tried to make
him get help.
He won't listen to me.
I've lost a son
and now it looks like
I'm gonna lose a husband, too.
Well, not if you
don't want to.
How bad does it have
to get before he realizes
that there's a problem?
Does he have to doze off
with a cigarette in his hand
and burn the place down
or fall through a glass door?
Well, alcoholism's
a disease.
I mean, maybe the
two of us together
can convince him to
get some treatment.
(crying)
I love him.
I really do.
And he's a good man.
He just... can't seem
to get over this.
I think he's starting
to understand
that he needs to
make some changes.
Okay.
Hemmerdinger's been DC'd,
Winston is in radiology
and Barnaby died.
Now, listen,
about the Hadleys...
Abby...
Look, they love each other.
They're struggling
right now.
You're defending
spousal abuse.
I don't think
that's what happened.
The guy's an alcoholic.
Yeah, well, so am I.
I already reported it.
The cops are on their way.
SAM (into phone):
Okay, 30 minutes.
WEAVER:
Criked for upper
airway obstruction.
What happened?
I was doing a stand-up
in a middle school
lunch room
and she started choking.
I know you probably
think that...
I wanted to move in
here because of this.
You told me that you wanted
to be closer to school.
I did, and I thought maybe
we could be brothers
like we talked
about last year.
Oh. Oh.
So you, uh...
just didn't need
a little bit more privacy
than living with the family
could get you, huh?
It's not like that.
You lied to me,
and I'm not cool with that.
I didn't lie.
I'm not cool with it.
So what, Greg?
What, if I hadda
told you the truth?
Then you would have been
cool with it?
You think this is
easy for me?
It's not like this has been
going on a long time.
It's just, just
something that happened.
(chuckles)
I don't know, man.
It's like a phase or something.
* *
* *
He's bradying down.
Mig of atropine.
Oh.
Where you been?
I was helping Dr. Pratt
with something. Sorry.
Lost the pulse.
Starting compressions.
I can do that.
Call Kovac.
Amp of epi.
It's hard to bag.
There's a lot
of resistance.
KOVAC:
What's the rhythm?
PEA.
He's absent breath
sounds on the left.
KOVAC:
Could have had
a small pneumo
that converted to tension
with intubation.
There's still
no pulse.
Looks like V-fib.
Charge of 360.
The rabies can damage
the conduction
system of the heart
Charged.
Clear!
No change.
The virus is
too advanced.
Hundred of Lidocaine.
I don't think he's
going to make it.
Hundred
of Lidocaine.
Paulie.
Teller!
Clear.
Hey, wait!
Come on, let's go!
Stop it! Please!
Let us help you!
You both need medicine
so you don't
get sick like Paulie!
I thought you were
going to save him!
It's not
her, Teller.
She's just a doctor.
Tell him you're
not the Blue Lady.
Please! You could have
what Paulie has!
Please!
Neela!
We need you inside!
We got him back!
What?
The rabies kid.
He's got a rhythm, a pulse
and a BP.
That's not possible.
Tony put the pulse ox
on his finger
and the kid grabbed his hand.
It's, it's
like a miracle!
Come on!
Hey.
Hey.
You're still here.
Oh, I wanted to make sure
that she was okay.
and I got permission
from her parents
to air what happened.
Why?
Are you kidding me?
If a male doctor
pulled that off on TV,
he'd have his own
syndication deal.
Yeah, well.
No, seriously, Kerry.
That was, that was
pretty incredible.
I'm, I'm still buzzing.
How do you come down
from something like that?
Uh... a glass of wine
and a hot bath
at the end
of the day help.
Mmm. Sounds
good to me.
All right.
TOMKINS:
Ketamine is at two
per kilo per hour.
He's got spontaneous
eye-opening.
That's a good sign, but we
need to deepen his coma.
Let's double up on the midazolam
drip and I'll check back later.
Boy, he's got
goosebumps.
I'll go get a
warming blanket.
He's putting
up a fight.
He still has
a long way to go.
Hope's right. It's a
miracle he's alive.
Maybe you are the
Blue Lady after all.
I mean, if I was those kids,
I'd sure as hell
want to believe that.
If you believe in
something hard enough...
What?
Well...
I've talked
myself into...
things that weren't
true plenty of times.
What sort of things?
I don't know. Like, uh...
stuff about myself,
my job,
people in my life.
Everything seems to be
a lot clearer now, though.
I have something to do.
I'll see you tomorrow?
Yeah, okay.
Okay.
Hey. You never
told me what your
secret name was.
(chuckles softly)
You're the one
that gave it to me.
Mayday?
Well, Teller must have
overheard you.
You never told me what it means.
She doesn't want
to press charges,
but the fact
is he hit her.
Can I talk to you
for a sec?
Just a minute.
That's...
Still need to get
a statement from the wife.
That's fine.
I'm going to Ike's
to get some dinner.
Okay. I'll pick
you up there.
Uh, listen, before
you do that,
there's something else I
need to ask you, in private.
You okay, doc?
What is it?
It belongs to my son.
It was sent
to me here.
See the initials?
C.A.-- Curtis Ames.
He was a patient
of mine.
I think he's trying
to threaten us.
Maybe he just wanted
to return it.
Look, he followed my wife
and child to the park.
I'd like you to
go talk to him.
Help me protect
my family.
Okay.
Okay, well, give him
four more ounces,
and I'll be back
in a half hour.
All right, bye.
Cell phones.
How'd we ever
survive without them?
Sorry.
That was my baby-sitter.
Aren't you a little old
to need a baby-sitter?
It was for my baby.
(laughs):
Oh.
Well, aren't you a little
young to have one of those?
(chuckles)
Can I buy
you a beer?
No, thanks.
I never touch the stuff.
So... boy or girl?
Boy.
Uh, six months.
Mm.
Do you have kids?
Five.
Five?
Yep, a boy and girl of my own
and three stepdaughters.
Do you live in Chicago?
Texas.
Texas?
Yep.
You're a long way from home.
Yep.
What are you doing here?
Uh...
(exhales)
Well, I came up to see
an old buddy of mine.
In the hospital.
But I walked
into the lobby,
I looked around,
chickened out.
Why?
Well, you know, you know,
I buried a few friends over
the last couple of years.
And hospitals
make me queasy.
Yeah.
Well, me, too.
And I work in one.
You're a nurse, huh?
Mm...
I used to be a nurse,
but now I'm a doctor.
(laughs)
Really?
Yeah.
(laughs)
What's so funny?
Ah, nothing.
Why are you laughing?
(laughs)
It's just, uh...
Well, the only doctors I ever
met were white-haired old guys
with glasses
and necks like turkeys.
Well, I guess I've got
that to look forward to.
(chuckles)
What do you do in Texas?
Oil.
Tycoon?
Don't I wish.
No, I work the rigs-- machinist.
Ever seen an oil fire?
Seen one?
Hell, I started one.
Can we have our chips, please?
What are you gonna eat
in the movie?
That's why we
got licorice.
Think fast, Horndog.
Think fast.
Ah!
Good hands.
Thanks.
What do you think
of this kid?
Seems okay.
Kind of polite, quiet.
Yeah, all the common traits
of a serial killer.
(chuckles)
I can't believe
she's gonna be dating soon.
Yeah.
Listen, Meg, there's been
something on my mind.
Yeah, me, too.
Really?
Yeah, I've been thinking
about moving forward.
I think Sarah's old enough
to accept it now.
In fact, I think
it would make her happy.
What would?
Us making this permanent.
We've danced around
it long enough.
No, no, no, no.
That's not what I meant.
Meg, I can't
do this anymore.
Us living together,
but not really living together.
Sleeping with each other
when we need to.
It's too easy, it's like
a placeholder.
I think it's stopping us
from getting on with our lives.
What are you
talking about?
This is our lives.
I don't want it to be.
We fell into this, Meg.
I care about you and Sarah,
but I have to do my own thing.
What's her name?
Come on, Meg.
What?
So you want to screw
some other girl,
it won't be the first time.
They never last.
It's more than that.
You think you can keep what you
want, and leave the rest?
Be part of our lives,
but not commit?
It doesn't work that way, Tony.
I've committed fully for a long
time, Meg, and you know that.
We love you... and you love us.
I know you don't want
to blow that.
You know, Chicago winters can be
pretty tough on asthma.
You should get a flu shot.
Nah, I hate needles.
Just come by the E.R.,
I'll do it myself.
I promise I'll be gentle.
Hey.
Hey.
Luka, this is...?
Eddie.
Eddie.
You the husband?
We're not married.
Gotcha.
You ready to go?
Yeah.
Well, Eddie, it was
nice to meet you.
And remember, flu shot.
Thanks for the advice
and the company.
Nice meeting you.
You, too.
Do you want to talk
about what's bugging you?
No.
No, you don't want
to talk about it,
or no, nothing's
bugging you?
Something was,
but I took care of it now.
Nothing to worry about.
Okay.
Dr. Rasgotra?
I'm sorry. I must
have nodded off.
You've been working a lot, huh?
It's coming up to 30 hours now.
Do you want me to
get you something?
Oh, no, I'm fine, thanks.
How is he?
He needs to be in a coma
for two weeks,
until increased levels
of rabies antibodies appear
in his cerebrospinal fluid.
And then we'll wean him
off sedation,
see if any neurologic
function returns.
I prayed for him
at church today.
I heard that his friends
have a whole story
about demons and spirits.
Who are we to judge,
right?
Everybody needs something
to believe in.
I will see you tomorrow,
Dr. Rasgotra.
Good night, Hope.