ER (1994–2009): Season 15, Episode 12 - Dream Runner - full transcript

-The toughest thing
about being a doctor

isn't the terrible hours.

It isn't the loneliness,
the isolation,

or the knowledge that,
one day, we all lose out

to the relentless decay
of the human body.

No.
It's something else.

Ray, it's 5:00am.

Yes, I know.

But sometimes we do actually
get to sleep on call.

Good. You should be.

You know I have those stupid
interviews later today.



No, I didn't forget.

Happy birthday.

Of course I was going to call.

It's 5:00am, man,
give me a chance.

It's my intern.
I better answer.

I'll call you later, OK? Bye.

Hey, Ana.

You having a party
in here?

Something like that.

Tachy all night and then
the BP took a dive.

Crackles bilaterally.

I left mine in the ER.

Sensitivities come back
on the blood culture?

Vanco-resistant
enterococcus.



That's what you were
worried about, right?

Yeah. Let the picu know
we're coming.

Pick a colour and a number
between one and ten.

Blue and three.

B-L-U-E.

One, two, three.
Hey, at this point,

removing the source
of infection

is our best option.

You mean taking out my gall bladder?
Yeah.

Let's finally
get you better, OK?

Hurry up.
I'm getting sick of you people.

I'm going to go
call your mom.

Hang in there, Ana.

I'll check on you
in a little while.

Don't you want
to hear your fortune?

I'll be back soon, I promise.

Lucien, are you
sure about this?

No, but the conservative
approach

doesn't seem to be working out.

She's bacteremic
and hypotensive.
If we go in now...

'The toughest thing is making
the right call when it counts.'

Forget it.

What, you have another idea?

No, it's fine.
Neela, you're going to be

an attending soon, you better
get used to asserting yourself.

No, really, you're probably
right. I'll go let the OR...

You know what?
These sorts of decisions

are the hardest
part of our job.

You consider the alternatives,

follow through in your mind
and make a choice.

Can't control what
happens after that.

OR in ten minutes.
I'll meet you there.

Yeah, that's totally
going to make the elevator

come faster.

Sorry, uh...

Found it.

Dr Rasgotra,
perfect timing.

Page the intern, I'm not really here.
Nick Vasquez, 28,

fell through a second
storey window.

A closed window, unfortunately.

How'd you fall?

I was bailing out of a plane.

In my dream.
I'm a dream runner.

"Dream runner"? Most people are
paralyzed during REM sleep,

so they don't actually do what
they're dreaming about doing.

My brain chemistry's off,
so that

paralysis thing
doesn't work right.

So you act things out?

Big wave surfing, car chases,
dragon slaying...

I've done it all.

On my count -
one, two, three.

All right, vitals stable en route,

complaining
about abdominal pain.

Well, that's
understandable.

Tib-fib displaced.

I'm going to go get
a stryker probe.
What? Why?

-Gates missed
a bad compartment syndrome

last week. Doesn't want
to get burned again.

Well, it's a good pedal pulse,
no swelling.

I doubt it's
compartment syndrome.

I'll be right back.

Hey.

Hey.

Here.

What's this?

Those Blackhawk
tickets that we got.

It's, uh, this week.

You take them, Sam.
Take Alex.

No, no-no-no,
it was your idea.

You might want
to take someone else.

-Gates!

You have six patients
on the board,

including a fresh trauma,
so cut the chatter.

Dr Morris...

Four of your patients bounced back tonight.

It'd be OK if you did.
If I did what?

Take someone else.

Sam, will you stop it?

There's no-one else
I want to take.

Here.

Gates, get plain films,

then remove shards
and then irrigate.

Sam, we could use
you in there, too.

Poor guy's
IV keeps blowing.
No problem.

Check crit Q 30...
What the hell was that?

What was what?
Banfield, man.

One minute she's kind
of loose and cool,

and then snap, she's
back to piranha queen.

I think she was
actually annoyed at
me for being short.

She made Frank take off his tie
and throw it in the trash.

Dr Morris, come with me,
it's important.

Uh, good luck with
the interview thing.

Oh, right.

OK, you ready?

Uh-huh.

Ta-da!

I got under the mud flaps

and matched
the original colour.

You are kidding!
Mm-hmm.

I rebuilt the engine,
threw away the amels

and installed
Mikuni carburators.

My, my dad...

showed up on this for
his first date with my mom.

Yeah.
She was mortified.

Made them walk
to the movies.

A month later,

she was riding
on the back of this thing

wearing nothing
but a macrame bikini.

Yeah, these have that
effect on people.

OK. Go ahead.

Try out your new bike.

No... My new?

No, Jerry, I said you
could have it.

No way.
This belongs with you.

Fire it up.

Keep the shiny side up!

-Take a few breaths
and when you wake up,

we'll be done.
- Dr Rasgotra, you're

gonna be here
the whole time, right?

Whole time.

Did you remember the music?

Sure did.

That's nice.

Suite for solo cello
number 1 in G.

Dr Rasgotra, you rock.

-OK. Let's get started.

Neela needs
to get out of here

to get to work
on her future.

It's OK.
I cancelled my appointments.

What? Why?
First litre's up.

I'm post-call
and exhausted.

I called in some favours to get
you those interviews, you know.

I understand you feel bad
about me not having a job here.

Who told you that?
All this time you've been acting

like you'd never let me leave,
but I get it.

Things change.

Where is all this coming from?

You and I have never

had a serious conversation about
the prospect of you staying.

Exactly. 11 blade.

Trocar.

Ooh, it's hot in here.

Is it hot in here?

Check this out.

It's fine.

Except for the pelvic
fracture, right?

Uh, grade two,
non-displaced.

Somebody's here
to see you.

Hey, honey.

Find someone to take
Oliver for the night?

Yeah, your mom
came over.

Thank God you're OK.
Give us some room.

You know, we've tried
everything:

sleeping bags, mitts,
even handcuffing him to the bed.

Hey, now.

But every few months,
he has a crazy dream

and ends up back
in the hospital.

Oliver's your son?

Yeah. Just turned one.

Crit dropped
another two points.

It's dilutional,
most likely.

All right, we'll
check another hemacue
in a half hour.

What, and meanwhile, we just

let it keep dropping?

I thought you said
it was "dilutional"?

Recheck it now, Sam.

I already signed out
to Suri.

I'll let her know.
What? You're leaving?

Yeah, my shift is over.
And they're waiting for me.

Shifts and breaks -
such a nurse-y concept.

Always hated them.

Bye, Mr Vasquez.

Damn it, I think I nicked
the common bile duct.

You think you did
or you did?

You did.

There's so much inflamed tissue,
I couldn't see.
Well, then you had

no business in cutting -
ten blade to me.

We're converting to open.
-Systolic's 86.

Everyone knows Samantha Taggart

from the ER, right?

I'm starting clinicals for my
nurse anesthetist program. Sponge.

Record the vitals

Q five minutes.
I'm going to check next door.

You're leaving?
I'm precepting another trainee.

I'll be in and out.

Bovie.
Something the matter?

It's probably not the best teaching case.
Neela!

Counter traction.
Thanks for the vote of confidence.

Don't take it personally.

It's a teaching hospital, Neela.

Yes, I'm aware of that.

Guys...
But operating on her

was dicey to begin with...
That's your call...

So at the very least,
we should have our A team

on the case. I will throw
both of you out of here,

I swear to God I will.
Focus on your job, let me do mine.

Oh, my God!

I dialed
the halothane down

when her pressures
started getting dicey.

I'm in.
I forgot to tell you

to turn it back up
after a few minutes.

You forgot?
I am so sorry.

Yeah, well, tell it to the girl
on the table.

OK, let's clean this mess up
and move on.

Run of six, giving lido
40 milligrams blous.
40 migs.

Right.
Then .5 per minute.

It's the ER.
They need a surgeon down there.

Surgery's got
an unstable kid on the table.

It's going to be a while.
Great.

Cordis in.
That wasn't so bad.

He's got a high tolerance
for pain.

Hang a unit
of type specific.

How's it going in here?

He's tachy and crit's down to 29.
All right,

let's pack him up and get him to angio.
Angio?

You mean CT, right?

No, I mean angio.

-He has a pelvic fracture.
-The fracture's

non-displaced,
unlikely to bleed.

The ultrasound was negative.

Could be
retroperitoneal.

-If the angiogram is normal,

we'll explore that theory.

Right now, the pelvis is
where the money is.

You know...
in all these dreams,

you're always there.

You're always the girl.

Nick?

Mac three and an 8-0.

Oh, my God,
what's happening?

5,000 units of heparin.

Do you want to give
protein C first?

It's not standard protocol,
but there've been some

good outcomes for DIC
with sepsis.

Go ahead. The thing is,
you have to give it

before you give the heparin
or it won't work.

It's something that
came up in a class.

OK, protein C,
and then heparin.

V tach!

I can't believe this.

Point four of epi.
-Going in.

Clear!

No change.

Again. Clear!

No change.
Again. Clear!

Hey.
What happened?

What did
the angio show?

Lost his pulse before
we could do the study.

Charged to 360.

Clear!

No change.

Give the amiodarone.

I'm sorry to belabour this,

but you don't
drop your crit

ten points
from a non-displaced pelvis.

It could happen.

If you'd scanned him,
you might've seen

what I'm seeing in time
to do something about it.

Go find an OR.

The belly is full of blood.

You know where it's coming from?
Go! Clear!

-Fourth epi's in.

OK, someone needs
to update the mother.

I should have
fought you on this.

Yes, maybe you should have.

Dream runner's bleeding
out in angio.

OK, go, Neela.
I promised I'd stay.

Hold compressions.

V-fib.
-Switch out.

Go, Neela.

Go.

Go!

Ray, I'll call later.

-Hold compressions.

-Still asystole.

This is over.

13:43.

Please know that we did
everything we could.

Excuse me.

This can't really
be happening.

I'm so sorry.

This feels like a dream.

-We can't see the future.

Sometimes we can,
actually.

With this handy new technology
called the CT.

Have you heard of it?

Fine!

Do I wish I could
do it over?

Yeah. I do.

But there was no way
to know

that that was
the wrong...

Gates was begging you to get the scan.
Gates is a resident.

Don't make this
about hierarchy.

If any of us, even you,

refuse to hear
another opinion,

the system breaks down.

What system?

You guys don't have
a system.

All I see here is chaos
and disorder.

Well, maybe that's
the problem.

Maybe that's why,
after five months,

you still don't
get it!

You still don't fit in!
Fit in?

This isn't junior high.

We are a team.

We work together.

But you think

that you're so much better
than all of us,

so much, so much smarter,

you will never let yourself
be part of it.

That is not...
If you want to be a queen,

go into private practice,
go back to Indonesia,

leave medicine
altogether.

But don't torture
us here.

Dr Banfield...

Jerry, turn this in
to human resources, OK?

What are you doing?

Going home.

This isn't your fault.

If I had come
down sooner,

I could have prevented...
It's not about you.

Dr Banfield, what's
really going on?

Are you sick?

I mean, this morning,
the injection...

Please. Leave me alone.

Hello?

Yes, I'll sign
the death certificate.

Wow.

Now what did that phone do
to deserve that?

Hi, Simon.
Great to see you.

How was Australia?

Good.

You OK?

It's just been
an unbelievably horrible day.

You know what you need?

A didgeridoo.

Banfield just quit and I just
helped kill two patients.

Ah...

Neela, I'm sorry.

Neela...

The care of every patient
is a twisty maze

that leads to an infinite
number of potential outcomes.

We hope that knowledge
and experience guide us,

but sometimes
it becomes obvious

a wrong turn was made.

Ray, it's 5:00am.

I know, but sometimes we do

actually get to sleep on call.

Pick a colour and a number
between one and ten.

Blue and three.

B-L-U-E.

Hey, at this point,
One, two, three.

removing the source
of infection

is our best option.

You mean taking out
my gall bladder.

Let's finally get you
better OK?

Hurry up, I'm getting sick
of you people.

I'm going to go call your mom.

Hang in there, Ana, I'll check
on you in a little while.

Don't you want to hear
your fortune?

I'll be back soon, I promise.

If only it were possible

to apply the wisdom
of our mistakes.

Go back to the fork in the road
and this time, be assertive.

Choose the road
we think we should take,

not the path
of least resistance.

Forget it.

No, wait.

Don't forget it.

She could die
on the table.

Yeah, well, she could die
if we do nothing.

These sorts of decisions are
the hardest part of our job.

Well, let's wait one more day.

We'll move her to the picu,

I'll get ID to approve
the synercid.

If there's no improvement,
we'll take her

to the OR
first thing tomorrow.

OK.

OK?
Yeah.

You're almost an attending, I
need to start listening to you.

Meet me in the unit
for rounds in ten.

Yeah, that's totally
going to make

the elevator come faster.

What, are you like
in seventh grade?

I look young, I know.

You know,
of course I realize

that pressing
a button ten times

is not going to make it
come any faster,

but sometimes, when you're
powerless in a situation,

you've got
to do something.

That's why you're
a surgeon, right?

You like to cut, fix, do.

I suppose.

Ah, but to choose inaction

is in and of itself action,
isn't it?

Who are you?

Ned Roth.

Patient transport
specialist.

Buddhist.

Omnivore.

Neela...
Rasgotra.

Yes. I know.

Have a nice day,
Doctor.

What are you doing?

And don't say it's
none of my business,
because it is.

It is?

How's that?

Because if you're doing
drugs, we need to know.

And if you really wanted
to keep it a secret,

you wouldn't be shooting
up in the break room.

It's 5:30 in the morning.

I didn't think anyone
would be in here.

It's recombinant FSH hormone.

We're trying to have a baby.

Oh.

Wow.

We're giving in vitro a try.

Well, that's exciting.

Well, we better all hope
it works the first time

because, I'll tell you,

these drugs and doctoring
is a dangerous mix.

Why do you say that?

I'm erratic, indecisive,

and I've been a real
bitch to the staff.

Really?

Even more than I usually am.

Everyone and everything just
seems to get on my nerves.

I don't know,
maybe I should quit.

Oh, no.

Don't be silly.

Neela...

this conversation...

It never happened.

Dr Rasgotra -
perfect timing.

Page the intern.
I'm not really here.

Uh, I got a guy who fell out
of a second storey window,

they need a surgeon in Trauma One.
All right.

Page Dubenko and
let him know, OK?

I hear you're interviewing
for attending positions

at the trauma
conference today.

You did?

Yeah, Lucien's whining

about losing you
to another institution.

He was?

Don't look so shocked,
you gotta know

he's been grooming you for a faculty position.
Really?

Cos he's the one
who set up all the interviews.

Neela, that's the game.
What do you mean, the game?

My brain chemistry's off,
that paralysis thing

doesn't work right.

So you act things out.

Big wave surfing,
car chases,

dragon-slaying -
I've done it all.

On my count -
one, two, three.

Mr Vasquez, please
meet our esteemed

surgical colleague,
Dr Neela Rasgotra.

Hello.

Am I going to need surgery?

I hope not.

Ah. Well, these
seem superficial

but let's get an X-ray
just to be sure.

What did the ultrasound show?

Just called for the machine.

Tib-fib displaced.

I'm going to get
a stryker probe.

Good pedal pulse,
and no swelling.

He doesn't have
compartment syndrome.

Gates missed

a compartment syndrome
last week, he's got

PTSD. Stay.
That's ridiculous.

It'll take five minutes.
You can't let a bad case

from last week derail
your focus

on the patient
in front of you, got it?

Whoa, someone ate
their wheaties this morning.

You guys looking for this?
Yeah, thanks.

Can we lower the
table, please?

Hey. Haven't
seen you all week.

I know. It's weird.
Yeah. Really weird.

Sam! We need a second
line over here.

I have something that I want
to give you later, OK?

I'm not getting a good
look at the spleen,

but the belly looks clear.

No sign of
internal injuries.

Morris, I'll stay here,
you go run the board.

What? I'm already in on this.
I know, but I am in no mood
to move the meat.

And I have the authority to do what I want.
"Move the meat"?!

hysterical parents--
they're all yours.

Shoo!

Okay.

I've gotta run to rounds
in the picu.

Hi.

How's the new digs?

Okay, except for no TV.

At least you have
your own room up here, right?

Her, uh, oxygen level
is still a bit low.

So what now?

We wait, and hope her own immune
system conquers the infection.

She can do it.
She's tough.

I need you to get better

so you can help me
download Scrabble

on my cell, OK?

Hey. How's she doing?

On 20 of dopamine.

Sats hanging around 90;
lactate's on the edge.

Well, the next 24 hours
will give us our answer.

Are you off to
your interviews?

Actually, I was thinking
of cancelling.

What, are you crazy?
Well, Ana's my patient.

I should see this through.

No-- go!
I'll take care of it.

I'll call you if
anything changes.

Trauma programs will
be fighting over you.

All right, then.

You know, um, I don't get it.

Get what?

You seem to be dying
to get rid of me.

You keep mumbling about
the hiring freeze at County,

pushing me to do interviews
all over.

But then, I keep
hearing other things.

What other things?

If you want me to stay,
how come you've never asked?

We can't have
this discussion

until you've seen
what else is out there.

I'm serious.

Go. Get out of here.

Wow, look at you.

How's our dream walker
guy doing?

Runner. Dream runner.

He's stable,
waiting for ortho.

Good.

You know, I should
be on the el

right now, rushing to
this interview thing,

but instead, I'm here
obsessing over cheese

or ranch. Do you know what else
I'm thinking about?

Twinkies?

Sam.

I think I always sort of
underestimated her.

I feel bad about that.

And you know, you two should
never have broken up.

Yeah, well, it's
sort of complicated,

and I think it's best
if I lay low right now.

Well, inaction is in
and of itself action.

What?

Don't listen to me.

I'm post call,
and you know how I get.

Daria.

Hey, stranger.

Well, when did you get back?

Last night.

Sorry. I, uh... I haven't eaten
in, like, 24 hours.

Would you want to go
and get a proper lunch?

Uh... no, I can't.

I've got a bunch
of attending interviews.

Cool.
Is it?

I'm not so sure.

I'm supposed to know things
and have goals,

and how could I have gotten
this far in my life

and have no idea
what I want from my life?

Sorry. I'm rambling.
And self-absorbed.

How was your trip?

Neela, you don't have to know
exactly where you're going.

You just got to
keep moving forward.

That is the key to
happiness, really.

Well, you've got it all
figured out, don't you?

See you later, Simon.

Hello. I'm...

Neela Rasgotra.

I'm so glad you're here.

I thought you were in
London all this time.

It was great for a while,

but I'd been gone too long,

and England just
didn't really feel

like my home anymore.

Oh, believe me,
I know what you mean.

And then I got the
call from Duke.

How's Ella doing?

Amazing.

Eight, if you
can believe it.

Oh, wow.

She's beautiful.

Durham's a great
place to raise a kid.

I thought I was gonna miss
the city, but I don't.

So, uh, when
I left County,

you were still doing
emergency medicine.

Yeah, well, I saw the light.

Are you looking mainly

at academic positions
or community hospitals?

Uh, uh, I don't know.

Uh, both, I guess.
Mm-hmm.

And are you hoping to
focus on trauma surgery,

or are you open to
elective cases, as well?

I'm open.

And, uh, do you have
any research areas?

I haven't really
figured any of that out yet.

Not really the sort of thing

one says at a job interview.

No.

But I appreciate the honesty.

So, is Lucien helping you?

Helping me with what?

Figure things out.

Uh, sort of, but not really.

I-I don't think
County's really in my future.

County's an amazing place.

What I learned there...

It was a very intense period
in my life.

But it made me the doctor
that I am now,

the person that I am now.

Well, did you ever
consider coming back?

Yes. Briefly.

But there is something
to be said

for getting away from the place
where you trained.

Oh? They've known you since
you were a medical student.

And at some level,

the faculty will always see you
as little Neela.

You go somewhere new,
you'll be taken seriously

in a way that will not
happen if you stay.

You know, you really
should turn that off

during interviews.

Oh. Got to go back
to the hospital.

You don't have someone covering for you?
Oh, I am so sorry.

Neela, let's just finish up.
We're almost done.

Thank you so much,
Dr. Corday.

Maybe you should come by
and visit County some time.

Yeah.

Maybe sometime I will.

Sam, there's a bunch of
stuff I need to say to you.

Me, too.

I miss our...

These are yours.

Gates, Morris
is intubating

your sleepwalker guy.

What happened?
Suction.

Crit dropped,
and he got altered.

I'm in. Bag him.

Sam, call angio.

Tell them we're
on the way.

Angio?

Crit drop,
pelvic fracture.

He needs angio.
What's angio?

Run of V tach.

300 of amiodarone,

hang two units on
the rapid infuser.

Somebody please explain.

he's bleeding internally.

We have to find out where fast.
Dr. Banfield,

can I talk to you
outside for a minute?

All right, pack him up!
Let's get ready to move.

Hey, Ray.
I'll call you back later, OK?

We can't wait any longer.

Please... I want
Neela here.

Sats 87.

I'm sorry, honey.
We need to do this now.

Ana, honey, you can do this.

You've been through worse.

Please... Mommy... the music.

I love you, sweetie.

Push the etomidate.

He's bleeding from the belly,
not the pelvis.

He needs a CT.

And if the angio's
negative, he'll get one.

He's about to code.

There's not enough time
for two studies.

We got to make the right decision right now.
Clock is ticking.

Neela, dropping crit,

status post abdominal trauma
and a non-displaced

pelvic fracture--
what's first, CT or angiogram?

This our dream runner guy?

Yeah.
I'd get a CT.

All right, take him
to the scanner.

Epi's in.
What happened?

Acute chest, sepsis.

She started third spacing
everywhere.

Still PEA.

Code team page.

Ana, honey, please,
I know you hear me.

Don't do this, OK?

This is my fault.
It's the infection's fault.

You wanted to take
her to the O.R.

You knew this was
the wrong call.

We could've been screwed
either way-- we made a choice.

You can't control
what happens after that.

I'll be there when I can.

Full arrest in the scanner; some
guy jumped through a window.

Ana, stay with us, OK?
please.

Get me
the transcutaneous pacer.

Hold compressions.

This is over.

For some patients,
there is no road to recovery.

Nothing we do as doctors
will alter the outcome.

At least
that's what we tell ourselves.

Ray, it's 5:00 a.m.

B-l-u-e.

One, two, three.
Hey, at this point,

removing the source
of infection is our best option.

You mean taking out
my gall bladder, right?

Let's finally
get you better, OK?

Hurry up,
I'm getting sick of you people.

I'm gonna go call your mom.

Hang in there, Ana.

I'll check on you
in a little while.

Don't you want
to hear your fortune?

I'll be back soon,
I promise.

When their way doesn't work,

and your way doesn't work,

you've got to accept defeat.

Or... find another way.

What about
percutaneous drainage?

Maybe the pus
re-accumulated

or she developed an abscess.

Not likely.

Less anesthesia, lower risk,

might still allow us to remove
the nidus of infection.

Okay, then what?

We switch her
to synercid,

watch her in the Picu, and...
Fine.

Set it up. I'll meet you
in the picu in ten.

Really?
Yeah, you're almost an attending.

I need to start listening
to you.

Ray, happy birthday.

No, I didn't forget.

Geez, man,
I've never heard

of someone being so psyched
to turn 30.

I'll call you back
later, OK?

Big wave surfing,
car chases, dragon slaying--

I've done it all.

Neela, Dr. Dubenko
says hurry.

He's in IR
with your girl.

I'm not getting a good look
at the spleen.

Sam, will you hand me
the DPL kit, please?

Are you serious?

We don't do DPLs any more.

It will give us
a fast answer

and spare him
the radiation.

Ten blade,
betadine, and lido.

Come on.

I'll give you a
hand with that.

Here you go.
Thanks.

Hey, listen, you know
those Hawks tickets that we bought?

Yeah, what about 'em?

Well, the game's coming up,

and, um, I was thinking
maybe I could take Alex,

if you were cool with that.
I don't know.

Well, he loves hockey,
and...

it'd give us a little guy
time, give you the night off.

I'll think about it.

Fluid's pink.

What's that mean?
it means you have internal
bleeding and you're going

to need an operation
to repair the injury.

Wow. Well, we got it in time, so
we're gonna be able to fix

everything up.
Morris,

let the O.R. know, OK?
Dubenko's waiting for me.

NPO and check the crit Q30.

What the hell was that?

What was what?

Gates following Sam around
like a puppy in there.

Guy does not know
how to play it cool.

Dr. Morris. Come with
me, it's important.

Sorry, Ana, I got stuck in the ER.

There, that's the liver.

Good.

Aspirating.

Sats up to 92.

Wow.

What?

A lot of purulent
material here.

You should go; I don't
want you to be late

for your interviews.
I can't leave in the middle of this.

It'll be hours before
we know anything here.

Go and mingle.

All the top trauma
programs will be there.

Flush.
If you say so.

And when you've weighed
all your options,

I hope you
decide to stay.

What?

Assistant professor--

full benefits, research
and admin time.

You'll get an official
offer letter in a few weeks.

Lucien.

Whatever happens,

you got a backup
plan here.

I don't know what to say.
Shut up and go.

Wow, look at you.

Where are you going?
Bunch of job interviews.

I'm late.
Good luck.

Hey, um, did our dream runner
guy make it to the O.R. yet?

No, the beds were full; he's next.
Will you do me

a favor and repeat the
ultrasound, making sure you stay

ahead of the blood loss?
Yep.

Hello, Neela.

You're back.

I'm, uh, so sorry.

I'm late for these interviews
and I have to get the train.

I can't believe this.

Yeah,
I had the guy

replace all
the chrome...

Do you mind
if we borrow your bike?

You know, surfing, barbecues,
all the usual January stuff.

Bastard.

Still, I missed this dark, cold,
miserable place every day.

Really? And what, exactly,
did you miss?

I don't know.

It wasn't the weather
or, uh, my apartment.

It wasn't even
the job really,

although, there is
a certain surgeon--

am I, uh,
am I boring you?

I couldn't seem
to get her out of my head.

You, doctor...

need to go.

I do?

Oh, I do.

You're going to kick ass
in there, Neela, I know it.

Simon, I missed you, too.

A little.

O.R. is going to be
another hour, at least.

All right. You just did that
ten minutes ago.

I know, but I promised
Neela I'd check again.

I don't feel so good.

He looks pale.

Don't you think he looks pale?

All right, Sam,

hang two units on
the rapid infuser

and please call
the O.R. again.

What? What is it?

So the next thing you need
to do is come visit Durham.

Can you really see me
living down south?

It's a lovely city.

It's much more cultured
than you'd think.

Simon.

How'd it go?

Uh...

very well, I'd say.

Uh, Simon,
this is Elizabeth Corday,

chief of trauma surgery
at Duke;

and Simon is an ER
attending at County.

Nice to meet you.

Neela, give me a call

when you've thought about things
and we'll talk details.

Take her out
for some champagne.

That sounds
like you killed it.

I don't know, you spend
all these years scrambling

for the privilege of
becoming a doctor.

It feels crazy to be,
you know, wanted.

Well, get used to it.

What's this?

Second unit's up.

I'm in, call for a vent.

Introducer.
45 minutes

till they can give us
an O.R.

That's too long.
We'll never keep up.

Well, what choice do we have?
Sam, get a second infuser.

I'll hang an IJ.

I've got the subclavian.
We'll dump in the blood

and the FFP
until the room is ready.

Nick, hang on, OK?

I need you.

Oliver needs you.

V tach, no pulse.

You're charged.
Mig of epi.

All right.
Clear.

Units 11 and 12 are up.

Clear.

No change.
Resume compressions.

Please, baby, don't do this.

Okay, enough.

Sterile sevens
and a thoracotomy tray.

I cannot bear another
one of these right now.

Another what?

What are you doing?
A room shortage is
a stupid reason to die.

I will clamp the aorta and
fix this myself, if I have to.

Well, all right.

Where are you going?

I have to go to the hospital
and check on a patient.

You are kidding.

Have one of the
interns do it.

Just stay here;
I'll be back in an hour.

And don't say it.

Say what?

You know what.

I told you so.

Aah, it keeps slipping.

Try a bigger clamp.

The heart's
barely filling.

I got it!

All right, run in another litre
and shock him again.

All right.

Clear!

Sounds like you guys could use
a surgeon.

Back in sinus.
Hallelujah.

Thank you.

After I ran into you,
I came back and checked.

He was bleeding out.

Another five minutes, it could
have gone the other way.

This isn't a done deal.

Okay, well,
let's get him upstairs

while he's still got a pulse.

Hey, Tony.

I'm sure Alex would love to go
to that Hawks game with you.

Thank you.

Any time.

Get some sleep, Ana.

No more 2:00 a.m. Guitar
Hero with the clerks.

I'll see you
in the morning.

Don't you want
to hear your fortune?

it can wait, honey.

She's been awake
for two days.

Yeah, go home
already.

"Your actions are
the seeds of fate."

Not exactly a fortune--
more of a theory, really--

but I'll take it.

hey...

you never did
my fortune.

Pick a colour and a number
between one and ten.

Good night, guys.

Rounds are at 7:00.

Okay, green and six.

G-r-e-e-n.

One, two, three,
four, five, six.