ER (1994–2009): Season 14, Episode 17 - Under Pressure - full transcript

Previously on ER:

Too much has happened.

I have to move out.

Betina is pushing
you away

because she's afraid
to depend on you.

If you don't see that,
you're an idiot.

I can't reach the Zofran.

I don't know, Sam.
What if someone sees us?

They might get the wrong idea.

You've got 14 candidates

going for one attending slot.
It'll be gone



before you get a chance
to reschedule.

I want to be an
attending here

and I think I would
be a good one,

so, I was wondering if maybe
you could squeeze me in

like tomorrow
or the next day

or...
I have a few minutes
right now.

*

Watch out!

Come on, Marquez.
Talk to me!

MARQUEZ:
Got the fiber-optic.

There's too much blood
and swelling.

Bag him.
Was the driver drunk?

Who knows?
It was a hit-and-run.

80 systolic.



How about a central line?

Maybe I can try it?

This is not a
teaching case.

Yeah, but Dr. Brenner
will show his techniques to you.

MARQUEZ:
Sats are up.
All right, suction

on high.

Well, Laverne, I'm prepping
with antibacterial soap.

Don't want any nasty bacteria
into the bloodstream

where it could cause
a serious infection.

Hi, it's Dr. Gates.

Where's the chopper?

15 minutes?

That's cool.
We can wait.

So we got some
time to kill.

Uh-huh.

Hi.
Hi.

Um...

Luka asked me
to pick him up.

Where is he?
In the car?

At the park.

He's not downstairs?

I'm supposed
to meet him there.

He said you knew.
I did know about the park.

I just didn't know
he was going to send a courier.

That's all.

He wanted to make sure
you packed Joe's pajamas.

They're in there.

Come here, sweetie.

Oh, here we go.

Um, can you just
have him, uh...

...drop him off at the
hospital tomorrow.
Sure.

Okay.

Or, uh, you can do it.

Or whoever.

I'm sorry, Abby.

It's all right.

You ready
for crash intubation?

Well, you know me.

I'm always ready.

Oh, God.
What?

I already know.

Get over yourselves.

Rebecca Smith,
front seat

passenger with PSI.

Tachy at 120.

Systolic up to 110
with a liter.

Pulse ox 95.

Hey, welcome to County.

MORRIS:
How's your
breathing?
It hurts.

Her boyfriend Daniel.
The driver.
Why isn't he

on a backboard?
Refused it.
He's got an arm lac.

I'm okay.
All right, get
a wheelchair.

GATES:
Grab a wheelchair.

Come on.
No, man.

I'm fine.

I see.

Oh, Abby. Good.

Look, we got a lacrosse ball
versus chest waiting on films.

We got a six-year-old kid
who ate a live frog.

Chewed
or swallowed whole?

Your guess is
as good as mine.

And we got a guy
who turned blue

from drinking
colloidal silver.

Argyria?

I once saw
a photographer

who tried to poison himself
by drinking...

Wow, wow, Brenner, that's...
that's really great.

And I'm pretty sure

that Larry and Laverne
would love to hear all about it.

What's the rush, Dr. Pratt?

There's a personal appointment.

Well, how much is she?

Ha, ha, ha.

Luckily your mom gives me
a discount.

(chuckles)

Better watch it.

That's Anspaugh's sister
you're talking about.

You got a minute?
Yeah, but you got
to make it quick.

Dr. Pratt,
paramedics
Yeah?

bring in a 20-year-old,
hit-and-run?

Yeah, he's on the
second floor in surgery.

Two from the chopper.

One abdomen
with guarding.

Call surgery.
Upper extremity lacs.

Abby, we need you.

I'm in the middle
of something

right now.
Uh,

Brenner!
Your genius is required.

Thanks, Abby.

Okay.
Laverne, Larry,

let's go learn together.

So, what's the word?

What do you hear
from upstairs?

Well, you're still
in limbo land.

Well, what are
they doing?

Well, they're cutting
down the list.

Started out with 14.

Now they're down
to five,

but you're still
standing.

Do you think
it looks good?

Yeah, it looks good.

But I wouldn't put all my eggs
in one basket.

Well, what does that mean?
Do you know something?

Abby, I don't know anything.

But nothing will make them
focus on you

like getting
another offer.

See you.

MORRIS:
Breath sounds clear.

Sats are borderline.
She needs a chest tube.

Let's look
at the film first.

But with the mechanism
and the right-sided...

She's stable.
She may not need it.

Need what?

They're trying to decide
if you have a collapsed lung.

Yeah, but our X ray vision
isn't working.

You were the front
seat passenger?

(groans):
Yeah.

Must have been going
pretty fast.

We found out Daniel's mom might
not make it through the night,

so we were trying to get there.

What do you want
for labs?
Trauma panel,

type and cross four,
dip a urine.

What's his mom got?

Cancer.

Is he all right?

Uh, they're still
working on him.

I'll go check.

I'll prep the chest
just in case.

Fine, but don't cut.

I'll be a resident
in two months.
Wait for the films.

Come...

No sign
of head trauma.

122/72.

Abdomen's non-tender.

Four-centimeter lac.

Neck's clear.

How's she doing?

We're waiting
on some labs.

Can I wait with her?

Primary survey's
benign.

TAGGART:
Hemocue's 15.1.

You can visit as soon
as we get a few stitches in you.

Simon, Gates, why don't you guys
go clear some patients

off the board.

You sure?
We're not done
checking him.

I'll finish up here.

Laverne can suture.

Sam, I'm sure Gates
could use an assistant.

How long have you
and Rebecca been together?

Uh, six years.

People keep telling us
to get married,

but who needs a ring, right?

We know how we feel
about each other.

I hear that.

You have someone special?

I did, but she moved.

Come on, Doc.

You find the right person,
you don't let them get away.

Yeah, well, maybe
she wasn't the one.

4-0 nylon interrupted,
single layer closure.

One percent with epi okay?

Yeah.

Sorry to hear
about your mom.

Yeah.

Hey.

(knocking)

BETINA:
It's open.

Hey.

What are you doing here?

My job

was horrible.

I mean the boss would yell,
and then he'd be nice.

And then yell he'd yell,

"Jenkins! Jenkins!
Get over here."

I mean if I wasn't
sick with the flu,

my hair would fall
off from stress.

So you started
drinking silver?

Colloidal silver.

I mean it's like a
natural antibiotic.

It's not a good idea.

Well, I-I thought
my sinuses would clear up.

I mean, I had a
date last week

and this woman actually
thought I was a Blue Man.

Well, you kind of are.

No. I-I mean like,
with the group.

You know, Blue Man Group.

Hey, Abby, lacrosse
girl's ready to...

Wow.
You see that?

I get a lot of "wow"s.

You look like that guy
I saw on Oprah.

Is it-it...

Doc, isn't there
something I can do?

Yeah, quit drinking it.
Yeah.

The silver is deposited
into your skin like a tattoo.

There's nothing
that can help.

Dr. Morris?

Larry's doing a chest tube.

Give him Solaquin.

What-what is that?

Uh, fading cream.
I think it's

what Michael
Jackson used.

I told him to wait.

Larry is a free spirit.

(groaning)

All right, a little pain is
normal as the tube passes.

(screaming)
Wh-what's he doing?

I have the same
question.
I couldn't find you.

Where's the chest
x-ray?

Not back yet.
But her sats are down

and she lost
breath sounds
Okay, stop.

on the right.
It could be a contusion.

Go take care of the house
and see your mom.

I'm not going anywhere.

Another liter of saline
and up the oxygen.

Please, I don't need you here.

I'm not...
I'm not gonna leave you.

I'd never do that.

We don't... have...

(alarm beeping)

Yo. What's happening?

Her lung collapsed.
Larry, push it!

All right.

Oh, God.

No, no, this is
gonna help.

(gasping)

See? Much better.

(coughs)
Pulse ox is trending up.

Th-thank you.

Are you all right, baby?

You all right?

Better.

Much better.

I'm not gonna leave.
I'll be right back,

all right?
Okay.

I'll be right back.
Okay.

Hey, uh, I got
to call my family

and let 'em know
where we are.

Is there a phone
or something I can use?

Yeah, front desk.
I'll show you.

I asked you not to come.

And what did you expect me
to do,

pretend this isn't happening?

You could have sent a card.

It's more your style.

You know why
you didn't know I was sick?

Because you never
dug deep.

That's not true.

If we weren't talking about
who makes the best drinks,

we were talking
about the Bulls game.

You never once
asked about me.

Oh, come on.

We spent a lot of time together.

Doing what?

Avoiding opening up?

Avoiding getting personal?

Look, I don't...
I don't think it was like that.

You're one of those guys

that likes someone on his arm,

but the moment they start
opening up their heart,

you freeze.

All right, look, I...

I didn't come here to upset you.

No, you came out of obligation.

So do us both
a favor

and get out.

Get out!

So, how's it going?

Oh, pretty good.

Considering Luka moved out.

He what?

Why?

I don't know.
These past few months

between my stuff
and his dad,

he just needs some time.

And space.

How much space?
A lot of space.

I'm sorry.

I'm trying not
to freak out about it.

Um, you know, I'm sure things
will go back to normal soon.

Why don't we, uh,
have dinner tomorrow night?

That would be nice.

Okay. Good.
I'll call you, yeah?
Okay.

Frank...

here's the chart
for gymnast girl.

Did you forget
where to put it?

No, I told you
I was going to meet you,

but I need another car.

Just wait there.

I should be out of here
in an hour.

Yeah, I'm fine. Thank you.

NEWS REPORTER (on TV):
Well, Sandra, from the looks
of this next story...

You know where I can
get some coffee?

it seems Hollywood
has come to Chicago.
Jumbo Mart.

It's being described as a
modern-day Bonnie and Clyde.
(sighs)

What did Britney
do now?

At about 11:00 this morning,
Jumbo Mart's
across the street.

a young couple ran
into this jewelry store

and robbed the place
at gunpoint.

This early stage, there's still
a lot more questions

than there are answers
right now. As you can see

this is a very active
crime scene.

The police have put up the tape.

They're not letting us
through...

RASGOTRA:
You Americans
and your guns.

FRANK:
Scumbag kids.
That's what too many

"time-outs"
gets you.

...Sending the owner
of this local favorite

to nearby St. Jude's hospital.

Police right now still
are looking for the pair

who got away with an estimated
$40,000 worth of diamonds.

FRANK:
Sir.

If you wanted coffee,
it's that way.

That's okay. I'm good.

Sonosite's ready.
That was scary.

You okay?

Yeah, when, uh, when I made
my call, the news was on.

Something happened downtown.

A jewelry store was robbed
or something.

You saw it on the news?

MORRIS:
Spleen looks okay.
WESTON:
The supermarket

down the street
from me just got robbed;
so did the gas station.

It's the economy.

People are desperate.

You guys live nearby?
In Wheaton.

Wheaton? It's nice out there.

All those old houses.

Yeah, I worked my butt off
for a two-bedroom.

Fixed up the kitchen.

He did the roof, too.

I couldn't put a shelf up
from IKEA.

Yeah, I wasn't going
to pay ten grand

for something I could do
myself, you know?

Hey, you got a sec?

What do you need?

It's about an MVC.

MORRIS:
Oh, the hit-and-run?

Yeah, the kid's
still up in surgery.

Wanted to know if
he got a license plate
before he passed out.

Okay, uh, find Dr. Brenner.

He worked on him.

Thanks.

You guys all right?

Yeah...

Just thinking about
my mom, you know?

I don't know
where I should be.

I feel like I need
to be here and there.

Get Surgery.

I just called;
they're closing up.

Shouldn't be long.

Daniel, please go.

WESTON:
Looks like a liver hematoma.

What's that?

Some bleeding
around the liver,

usually heals
without surgery.

All right.
MORRIS:
Listen,

Rebecca's going
to be a while,

so maybe you should go.

I'm the only family
that Rebecca's got.

She's, she's stable.

Take my cell number, okay?

Call me when you get
to your mom's.

I'll give you a full update.
Daniel...

listen to the doctor.

Dawn, take him out

for Rebecca's admit forms,
and you call me.

Okay, I mean it.

Thanks, Doc.

Here. We need
Rebecca's doctor's info.

Is this it?

I really got to go.

Yeah, just sign
here and here.

Oh, Sam, uh, they ordered
a splint

on your carpal tunnel
lady in 2.
Got it.

He wouldn't let me leave
if she wasn't okay, right?

Don't worry.

Dr. Morris knows his stuff.

What're you looking at?
None of your business.

Headhunters?
What, are you leaving us?

Frank, can you
get me the numbers

to Rush, Mercy and St. Joe's?

What, you want to find out
who dumped the meth head in 3?

No, it's personal.

Oh, good. Then find
the numbers yourself.

REPORTER (on TV):
We have an update

on an earlier story.
Maybe they caught these guys.

Police have now released
a sketch of the wanted suspects

in the jewelry heist downtown.

They're asking
if you have any information

to please call their hotline.

Again, the owner
of the jewelry store...

Here, this is the
hospital number

just in case you can't
get a hold of Dr. Morris.

...stable condition;
he is expected to survive.

Good luck.

RASGOTRA:
What room?
FRANK:
Trauma 2.

You brought eight units?
TAGGART:
Whoa, who's bleeding out?

Woman in 2
took a bad turn.

I want four of FFP
and a ten-pack of platelets

and hold an OR.

Fourth unit of "O"-neg is up.

Pressure down to 60.

Okay, let's look
at the liver again.

Where are we?
Rebecca?

Wait, why is the tube
in her mouth?

She stopped breathing.
Just got the page.

We're swamped up there.

MORRIS:
We've got persistent
hypotension.

Chest is clean.
Whoa.

Oh, God.

What's wrong?
What's happening?

Her belly's full of blood.
Must've blown a clot.

I thought you said
she was all right.
She was.

DAWN:
We lost the pulse, PEA.

Starting compressions.
Thoracotomy tray.

What are you doing?
She can't generate a pulse.

We need to open the chest

and clamp the aorta
at the diaphragm.

RASGOTRA:
If that works,
the bleeding stops.

I can take her to the OR

and repair
the abdominal injuries.

Sterile drapes.
Ten blade.

Come on, baby. Come on.

Really spread them.
Like this?

Okay, don't let me close them.

That's the ulnar nerve.
Very cool.

I got a kid who
fell off a unicycle.

Excuse me. I'm teaching.
Can you find a resident?

Hey.
What's up, Mommy Dearest?

Unicycle boy, a few leg lacs
and a probable fracture.

Pretty uncomfortable.

I see what the problem is.

Your bicycle's missing a wheel.

Very funny.

It hurts.
This is Dr. Gates.

All right,
can you feel this?

Wiggle your toes.
(groans)

Why do you ride
that thing anyway?

I'm into all types
of weird stuff.

So is she.

All right, I need
a tib fib and an ankle, okay?

We're gonna call your parents
and get you out of here.

Nah, don't bother him.

My dad's probably snaking
a toilet somewhere.

In order to give you an X-ray
and meds, we need consent.

I'm consenting.

Where do I sign?

It's the law.

In the meantime, we'll keep
you in a splint, okay?

I'll be right back.
All right.

$40,000 worth of diamonds.

You know where I'd be
with that kind of dough?

Home, with a big
bag of chips

watching a ginormous
flat-screen?

Bingo.

What else can you do?

Come on. There's got
to be something else you can do.

We're going to try, Daniel.

Her aorta's been clamped
for 45 minutes.

She's been given
a massive blood transfusion.

If she hasn't responded by now,
I don't think we can save her.

She was fine an hour ago.

You said I could go.

We, we could explore
the right chest.

She's bleeding in the belly.

Then operate on the belly.

What about it?

I can't send a woman
without a pulse to the OR.

She's young and healthy.

Yeah, listen to him. Come on!

You don't know Rebecca.

(gloves snapping)
Sorry.

No, don't... don't say
you're sorry. Keep working!

Neela, Neela.

The guy's mother is dying.

Can we at least
give it a try?

RASGOTRA:
We've already done everything.

We really have.

No, you haven't.

Whatever's
wrong with her,

you're going to fix it.

And-and you're going
to fix it now.

Close those blinds.

MORRIS:
Daniel, what are you doing?

You! Close those blinds.

MORRIS:
Daniel, I'll get it.

You stay there!

Get that.

What about these?

Why are you doing this?

What about these windows?
Cover them.

MORRIS:
Come on, man.

This doesn't need
to happen, Daniel.

You don't need to do this.

Let's just talk
for a minute, all right?

Get this one. Come on.
Up here, let's go.

There's nothing to...
Just do it before I use this!

Use the sheet!

Get up there!

MORRIS:
Daniel, look at me.
Come here.

Come here, just
for a second, please!

You, come here.
Help her.

Okay! Okay! Okay!

Daniel, look at me.
I think you misunderstood me.

Listen, I need you to operate.
Okay, okay.

I want you to do it now.

I am.
Now!

Okay.

Here!

Ladies, come on.

You've got
to hurry up.

Quickly.

Got it. I've got it.

Let's go. Get down. Operate.

I haven't got
the right supplies.

Then get what you need!

Whoa, what are you doing?

What are you doing?!

I'm calling the OR for...
No, no, no phones.

Well, then you have to come
upstairs with me.

I'm not leaving this room!

She has to.

We don't have a choice!

Fine. Dial.

You do something stupid,

I'm going to use this.

Hello, this is Dr. Rasgotra...

What happened?

Whatever is going on,
we can work it out,

I promise you.
No, we can't, man.

Yes, we can. We can!

RASGOTRA:
I need it right now!

Dawn, prep the belly.

I know you love this woman.

Okay, I know you do,

but if you want
to help Rebecca, we need

to take her to the OR!
You have to let us

to the OR!
Did you hear me?!

I'm not leaving this room!

I'm on the news.
They know who I am, all right?

Morris, I need you to assist.

Please, doc, don't push me.

All right.

Listen... what did you do?

Did you, did you
hurt someone?

Did you rob someone?

Let me help.

You're the guys
from the jewelry store?
Oh, my God.

Shut up.

Shut up! Everyone needs
to focus on Rebecca!

We're going to do that.
We're going to focus on Rebecca,

but I need you
to settle down, please.

We're out of masks.

I'll go get some
from next door.

No, stop! Where are you going?

Where are you going?
Get back here!

Okay! Okay!

We have to have masks.

We have to have them.

I said forget it.
All right.

You got to save her.

You got to save her right here.

Right now or no one's leaving.

Okay.

I don't understand
why you're even in Chicago.

Oleg Popov was speaking
at the Art Institute.

Morphine's on board.

Who's Popov?
A clown?

You missed your mathlete
competition for a clown?

TAGGART:
Five-oh nylon?

Yeah, go for it.
You're willing to give up

nationals for a Russian clown?

Dad.
Mathlete?

Sounds serious, huh?

MIT's already
got their eye on this kid.

Dad, Popov never
comes to Chicago.

I thought you were
finished with this.

Didn't tightrope-walking
across the football field

teach you anything?

You did not.

It was so cool.

All right, I'm going to get
a few stitches in here.

Sam, can you check to see
if his X-rays are ready?

Sure, I'll check.

Down to the symphysis pubis.
Okay.

Okay, let's drop an NG
to decompress the stomach.

Why aren't you
operating?

Well, we don't have
what we need.

It's okay, all right?
We're prepping for surgery.

What's going on?

Thank you, Jacy.

Are you guys actually
going to...?
Yes, we are.

Do you need some help?

Just leave the tray.

Does Crenshaw know about this?

Yes, he does! Now go.

(cars passing)

(murmurs)

How you feeling?

(sighs)

It didn't go exactly as planned.

I had polyps in the
distal sigmoid colon.

They couldn't do
a simple anastomosis.

So that means a colostomy?

Mm.

No, you can't call
it a colostomy.

They removed my entire colon.

I have a loop ileostomy.

Well, that's not that bad.

It's only temporary.

Won't last forever.

It's disgusting.

Well, you know, we could put
a little Gucci bag around it,

make it a little bit
more vogue.

He said you sat there

and waited through
the whole thing.

Yeah, well... you know me.

Sometimes I'm hardheaded.

You know what you said
to me earlier?

(winces)

Yeah, let's talk
about it later.

You were right.

I don't go there.

I never have.

I kind of...

used what I learned for patients
in my personal life.

Don't get too involved.
Don't... get too attached.

But I don't want that anymore.

Remember that day
we went to see that condo?

I was thinking, "Why the hell
am I buying a condo?

"Pretty soon
Betina and I, we...

we could be getting
a house."

You never told me that.

I know.

I ignored it,

but that little voice
in my head--

it wouldn't go away.

So I'm here,

and not out of obligation,

but because I'm...

because I'm in love.

Okay?

I'm in love with you.

(sighs)

RASGOTRA:
Metz.

Elevate
the peritoneum.

Like this?
Mm-hmm.

Does he know what he's doing?

He's doing fine.

I don't want a student
operating on her.

I need an assistant.

Well, then, you do it.

You're more senior.
No problem, no problem.

Go, come on. Switch it up.
All right, okay, okay.

I need, uh...
I got it.

...exposure
on the right upper quadrant.

Bovie.

We were this close.

Everything was going to be done.

Looks like a bad

hepatic laceration.

You know,
we get this house.

Friend gets us a loan.

Two years later,
the payments double.

Stellate, chromic...
Came home and found a...

...on a liver needle.

...foreclosure notice
on my door.

I don't know.

But, Doc, hey, we never meant
to hurt that old guy.

We just wanted to get the rocks,
sell them off, keep the house.

Guys, look at this.

What?

Cardiac activity.

Is she better?

The heart is
beating on its own.

See, I knew it.

You were right.

He was right.

Now, all you guys need to do

is, is finish
operating on her

so Rebecca and I
can get out of here.

All right?

Come on.

We'll, uh...

w-we'll get a helicopter
or something.

Something to take us
somewhere.

You know?
All we did
was open her up.

We haven't repaired
anything yet.

No, no, come on.
It's working,

Right, Doc?
It's working.

It's working, right?

Yep.

Yep, it's
working.

If we c... if we can fix
the liver, we have a chance.

Then keep going.

'Cause she's going to make it.

Come on. Keep going.

Pickups
and needle driver.

More lap pads.

You broke both your bones
in your lower leg:

your tibia and fibula.

Shoot, I was going to take
pantomime class next week.

I'm gonna take him
into Trauma

and do a reduction
under fluoro.

(stammering):
A what?

Oh, that's when we put
the bones back in place

using X ray guidance.

Does it hurt?
Don't worry.

We'll put some good stuff
in your IV, buddy.

How about some
etomidate?
12 migs.

I'll see you
in a few minutes.

I'm gonna call Charlie
and tell him

I need the rest
of the day off.

My dad doesn't get me.

I'd give my left testicle

to go to clown college
in Florida.

All the greats study there.

Well... he's just looking out
for you.

He doesn't like clowns.
He doesn't like circuses.

I feel like he found
me on a doorstep.

Every kid says that
at some point in his life.

Well, I don't want to be
one of those people

who sit around miserable all day

working for retirement.

You sound
pretty insightful.

You must have given this
a lot of thought, huh?

I pay attention.
That's all.

All right.

Here's what
we're going to do.

We're going to watch
that monitor back there,

look at the X rays
while I manipulate your leg.

Okay?

Impressive.

Hmm. You got a deck of cards?

Not on me.

I also don't have
a tubular stockinette.

All right, I'll be right back.

Don't juggle any needles.

MORRIS:
Another suture pack?

Cut.
No, liver's oversewn.

MORRIS:
Another lap pad.
What are you guys doing?

Exploratory laparotomy.

Why are you guys
doing this here?

Why aren't you in the OR?

It's too busy.

All right,
let's check hemostasis

and unclamp
the aorta.

WESTON:
Okay...

there.

Whoa, whoa!
Clamp it!
Clamp it!

What happened?
Did you mess up?
More suction,
lap pads.

DANIEL:
I thought you fixed it.

MORRIS:
We're trying, Daniel, okay?

We need more blood,
another eight units.

No cardiac activity,

resuming compressions.
Wh-What?

Did her heart stop again?
It doesn't look good.

It's a retrohepatic injury.

She's torn the liver

right off the vena cava.

DANIEL:
What, what does that mean?

Come on. Someone's got
to spell that out for me.

We really need to
isolate the liver.

RASGOTRA:
Daniel, the main blood vessel

from the liver
has been torn off,

and it connects to
an even bigger vein,

and it's a very
complicated procedure.

DANIEL
You can do that.
Come on, Doc. You can do that.

RASGOTRA:
20 silk

on an SH needle.

Come on, Doc.

Vascular clamp.

All right, gently...
elevate the left lobe.

How's that?

I can't get a good bite.

Come on.
Y-you did the other thing.

You can do this.

Come on. Come on.
I'm trying.
50 Prolene.

Come on.
Try harder.

MORRIS:
Daniel, Daniel, Daniel,
see this thread?

If we can sew the
veins back together

and stop the leaks,
she will have a...

(grunting)

Run, Neela!

(gunshot)

(panting)

You take another step,
I'll shoot you.

You hear me?

I'll kill you all.

Okay, everyone,
this way, this way.

What happened?

We'll explain everything
when you get outside.

Please, through the doors.

You in charge?
Yeah.

Sergeant Deturno.

Where are the people
who got out?

Over here.
Hey, are we going
to get seen?

Okay, Sophie,
can you help him out, please?

Yeah, yeah,
follow me.

We have shuttle buses outside.

Frank, have you called
County Dispatch?

Yes.

Yes, close us to trauma,

close us
to all paramedic traffic

due to internal disaster.

Dawn was in there.
So was our intern Larry.

I want you guys
down the hall.

Make sure the patients
are cleared.

Miss, please exit
through that door.
Tell me about the guy.

He's out of his mind.

He thinks his girlfriend
is going to wake up.

Who's still in there?
Neela, Morris, and Gates.

They're playing along.

Come on. Come
through here, please,

and exit all the way
out the doors to the street.

Have you seen my son?

Uh, he's probably outside.

N-N-No, I checked;
he's not there.

What room was he in?

Trauma 1 with Gates.

Then he's still
back there.

You left my son?
Sir, sir!

Sir!
Sir, sir, get back!

My kid is back there.

Sir, the police will get him.

Please...
When?
After this loony kills him?

He's got nothing
to do with this!
Sir!

Listen.

You're putting him
in greater danger.

Now, let us
do our job.

Okay?
Come on.

I'll take you outside,
okay?

RASGOTRA:
Oh-chromic.

Where is everyone?

MORRIS:
They're, they're evacuating
the building.

What are they doing?

GATES:
They probably have
the place surrounded, man.

If you'd have minded
your own business,

everything would have
been okay, you know?

Daniel, Daniel, hey, this
is about Rebecca, okay?

Don't do anything
you're going to regret.
Yeah,

a little late for that now,
don't you think?

(clanking)

What was that?

GATES:
That's my patient.

I got to get
him upstairs.

No way, no way.

Look at his leg.

It's broke in four places.

Yeah, that's not my problem,
is it?

The kid can't move.

He can't get blood to his foot;
if I don't get him

to the operating room,
he'll lose his leg.

You want that?
No one is leaving

until Rebecca's fixed.

You understand me?

Damn it.

(sniffles)

(sighs)

Let me...
let me take a look at that.

Cut short, right
to the knot.

GATES:
All right.

What are you doing?

Look, Gates is right.

You want him to be
able to walk, right?

Don't put this
on me, Doc.

I just want to get my girl help,
all right?
I know, I know, Daniel.

Daniel, he's a kid
who's petrified.

You ever, ever
been petrified?

(panting)

How's the repair
coming, Dr. Rasgotra?

Not bad, I'm, uh, just
tying off the bleeders.

Yeah, heart's filling well
now that it's clamped.

See, we're doing okay.

Let's not get
the kid into this.

BRENNER:
All right, get her in there.

Out of the way! Out of the way!

We need these guys
out of the way!

Sam, we need the criticals
taken care of first.

TAGGART:
Okay.

I'll be right back
as soon as I can, okay?

Hey, Frank!

Can you help me with this?

FRANK:
Yeah.
Excuse me.

Coming through
here, guys.

Give me that.
Okay.

I'll take it.
WOMAN:
Were you guys inside?

Do you know what happened?

Excuse me. Can you move
out of the way, please?
Yeah, do you mind?

Have you guys seen Neela?

She's still inside.

What do you mean inside?

She's in there
trying to repair

a retrohepatic caval injury.

In the trauma room?

She told me
you knew.
Yeah.

Why would I let her do
something like that?

He had a gun on her.

What?

Will you fill him in?

All right, guys,
packed away.
Excuse me.

We need this area
cleared.
Excuse me...

Hey.
Is there any news?

No, nothing at all.

You know, if I get him
out of there alive,

he could unicycle Russia
for all I care.

If I find out anything,
you'll be the first to know.

Okay? Excuse me.

(commotion stirring)

Hey!

Excuse me.

Excuse me. Excuse me.

Excuse me, please.

Hey! You guys
can't go

back there!
This guy's good.

He's a doctor.
Dad?
Oh, my God.
Got to get him

to the Ortho Clinic
next door.

Thank you.

Hey.

You all right?

Yeah, I'm fine.
Good.

I'm glad you're okay.

Let's go!

(phone ringing)

Talk.

Hello?

Uh, yes. Good. Okay.

The, uh, blood bank tech's
in the hall.

DANIEL:
No, no.

Tell him to go.

She needs it, Daniel.

She needs more
transfusions.

We'll stay here. You go.

You get it.

Kick it.

Kick it down here.
Is there anything else
I can get you?

No, just give me the blood.

We want to work this out,
Daniel.

This doesn't have to happen
like this.

Just give me the damn blood!

Unclamp the aorta.

Okay... there.

Clamping again.

(phone ringing)

Hello.

Okay. Hold on.

They want to talk to you.

Hello.

Daniel?

Sergeant Deturno.

Yeah, what do you want?

We want to help you, Daniel.

If you want to help,

you figure out a way to get me
and my girl out of here

as soon
as she's better.

Then nobody gets hurt.

How about that?

Well, we can't get you anything

until you let me come in there
and talk.

I don't want to talk to you.

Daniel, this is the hard way.

Let's make this easier, huh?

Yeah, yeah.

You want, you want to see hard,
keep on your yap.

Daniel...

If we could wake her up,
we would.

Shut up.

This sucks.

I know.

I know, losing someone...

We had plans.

We were gonna get
our house back.

We're gonna
put a patio

in the yard.

She wanted to plant a garden.

You should say good-bye
to her, Daniel.

It's time to say good-bye.

Sooner you do this,
the sooner she can let go.

Then you can go see your mom.

My mom?!

Yeah.

She died five years ago.

Pancreatic cancer.

I was with her
when she took her final breath.

Okay, okay, so you've been
through this before.

I get it.

Doc, I won't do it again.

You don't have a choice, Daniel.

Okay, because she is
not waking up.

Okay, now, you have
done everything.

Everything that a man
would do for his family.

Even today.

You were trying to get
the pieces of your life back.

I get it.

Anyone can
understand that.

We never meant
to hurt anybody.

I know, so why...
why start now?

I mean...

even if we could get her back,

her brain has been deprived
of so much oxygen,

she would be bedridden,
unable to talk or function.

Don't say that.

It's true.

Don't say that.
It's true.

Is that what you want?

Is that what
she would want?

When I stop
these compressions...

she's going to leave us.

And you'll do what's right.

(sighs)

(sobbing)

You remember when we met
at the coffee shop that night?

That wasn't the first time
I had seen you.

Day before I was walking
down Hill Street,

and I noticed you
going into the bookstore.

So I went in and hid
behind a bookshelf,

and watched you work all day.

And when you were reading
Goodnight Moon to some kids...

I thought how can I get
a girl like that?

You know?

I'm so sorry.

I tried to fix it.

I tried to make it better.

It wasn't supposed
to go like this.

(sobbing)

Daniel...

why don't you hand me the gun

and I can tell the police
it's over.

(sighs)

I'm sorry for putting you guys
through this.

You tried, Doc.

I know you tried.

It's okay.

Just pass it to me.

(crashing)

Daniel?

Daniel?