ER (1994–2009): Season 2, Episode 1 - Welcome Back, Carter! - full transcript
While victims of a gang shootout are being brought in, Carter is late and a new group of third year medical students arrives.
[theme music]
[instrumental music]
[indistinct chatter]
[engine revving]
Mommy. Mwah.
[screaming]
[gun shots]
[screaming]
Oh, my God.
[child crying]
Help me!
‐ Whoa, I got a pumper.
‐ He's going to need an airway.
‐ Hey, stop moving around.
‐ Scissors, scissors. Anybody?
We got a pressure?
70/40. Pulse weak
and thready at 150.
Buddy, you see
who shot you?
You get a plate number?
He's not talking
right now.
Start the O‐neg on infuser
and somebody find Lewis.
‐ I feel a bullet.
‐ I don't want to die.
You'll be fine.
Let's get a head CT.
‐ Where's Lewis?
‐ How should I know?
Please don't let me die!
[indistinct chatter]
Jerry!
Jerry, have you
seen Dr. Lewis?
Uh, curtain area three
with a heart attack.
(female #1)
'Yo‐your ma plays the Cello.'
[indistinct chatter]
Pregnant woman's coming in
with a gunshot to the abdomen.
‐ How far out?
‐ Two minutes or less.
Got it.
Your history suggests that
the pain may be heart‐related.
Susan, Mark needs you
in trauma two.
‐ Gunshot wound to the neck.
‐ Okay, be right there.
Does CCU
have any beds?
Still backed up
from last night.
Okay, we're gonna have
to hold you down here
until a bed opens up
in the cardiac care unit.
And then, we'll send you up
as soon as we can.
Whoa, whoa, whoa.
Aright, Do, go, go, go.
BP's 90/60.
Pulse is 120.
[grunting]
She's full term.
I need a fetal monitor from
L and D and a doctor's scope.
‐ Peter, are you okay?
‐ Watch the damn gurney.
Damn. Type and cross four units.
We need a fresh gurney
in here.
Belenzela with a V or a B?
Connie, get ultrasound
in here.
Do the paper work later.
CBC, type and cross four units.
Please, please!
Is my baby alright?
Uterus tender, no exit wounds.
Let's prep for a pelvic.
Call OB.
Okay, we need a type
and cross four units.
Where's everybody?
Twelve GSWs, four critical.
Glass is flying.
It's a real mess.
Pulse ox95, BP's 90/60,
pulse 120.
‐ Two hours late.
‐ What?
‐ Carter.
‐ Damned, upstairs.
I'm gonna have to run
the blood up myself.
Alright, not dilated.
Vertex presentation.
Fetal heart rate's 145.
That's very good.
(Peter)
'Lydia, I need you to stay put.'
‐ 'We need you.'
‐ 'I'm not done next door.'
Where the hell is Carter?
[instrumental music]
[car horn honking]
Oh, God.
Oh, God.
Oh, God. Oh, God.
Oh, God! What is all this?
Traffic.
Ah, can't you do something?
Like what?
Stop the cab.
No problem.
Keep the change.
[indistinct chatter]
[horn honking]
Oh, God.
Oh, God.
[theme music]
It still hurts so bad.
It started when I was shopping
in the store with my children.
You need, actually,
you fill that out, please.
Would you like to see
pictures of my grandchildren?
I always bring them with me.
I have four sons..
[phone ringing]
ER. yeah.
‐ Yeah, I'll hold.
‐ Isn't he darling?
‐ Excuse me?
‐ And here's Jeff..
Where the hell
is psych?
‐ ...all blonde and very..
‐ Excuse me.
Hang on, will you, please?
Oh, they're
so sweet.
I miss them so much.
I miss them.
Oh, Dr. Lewis.
Bipolar.
I called psych, but there is
something wrong with her leg.
Got another gunshot coming.
Put her on the board
and hope psych shows up.
Son of a bitch
cardiologist.
My sister met
the president.
‐ Excuse me!
‐ What?
Thank you.
We're new third‐year students
looking for Dr. Greene.
‐ You're a med student?
‐ Yeah.
Anybody know how to take
a history?
Sure.
[laughing]
‐ Mrs. Constantine?
‐ I was not a cat person. I‐‐
Mrs. Constantine, this is..
‐ Harper. Harper Tracy.
‐ Harper?
‐ 'This is Dr. Tracy.'
‐ Harper!
I knew someone
who played
in the New York
philharmonic named Harper.
I played with him.
You're going to go
to exam two
right over there.
Do you like Paul Newman?
I love those blue eyes.
‐ More patients..
‐ Alright, hang two units.
Alright, Peter,
what have you got?
Full‐term abdominal GSW,
no exit wound.
Baby's moving,
heart's beating.
I think the bullet's
in the uterus.
Sounds like
a section.
Fetal heart rate's
falling, 100.
‐ How's mom?
‐ 80/50, pulse 140 and climbing.
Is my baby okay?
Free blood in the peritoneum.
Alright, we're movin' her now.
Call the OR, let them
know we're on our way
with an emergency section
and get OB.
‐ Peter, what happened to you?
‐ Don't ask.
‐ Can you handle this?
‐ Yeah, yeah, yeah.
‐ I just need to walk it off.
‐ You're having your baby!
[train chugging]
Oh, no.
(male #1)
'GSW to the head.'
Two large‐bore IVS, pressure's
60/40, bradycardic at 50.
Alright, Lee, trauma one.
‐ What happened?
‐ Gang fight. Nice shirt.
I'm a dead man.
Hey! Welcome back, Carter.
‐ Hey, Dr. Carter, I presume.
‐ What's up, Carter?
‐ Great tan.
‐ Thanks.
Jerry, where's Dr. Benton?
And has he been asking about me?
Yeah, once or twice,
and he's up in surgery.
Crash section.
Pregnant woman got shot.
'He just limped up.'
‐ Hi, Dr. Greene!
‐ Hey! Who is that?
Carter, I think.
Dr. Benton's student.
Well, tell him
to slow down.
I am on the phone
with cardiology every day.
They claim
the CCU's full.
I go up and
there are empty beds.
We had a rule out MI down
here for two days.
Hey, you're
an attending now.
You got a problem with another
department you solve it.
Oh, and you've got new
third‐years coming in today.
‐ Today?
‐ Four of them.
Bright‐eyed
and bushy‐tailed
and staff meeting
at 4 o'clock, don't forget.
Forget what?
Um, my first staff meeting's
today at 4:00.
Hey, little boss, what'd
the big boss want?
Uh, something about
me accepting
the heavy mantle
of my new position.
‐ You set the tone, right?
‐ You got the drift.
Hey, how are you
set for cash?
Oh, If you need
that 200 bucks back
I'm little strapped
for cash right now.
No, no, no, I'm making out
the schedule for next week.
I thought you could pull
a graveyard attending shift
put a little extra cash
in your pocket?
‐ Really? Great.
‐ Yeah, consider it done.
‐ Dr. Greene?
‐ Yeah.
I got three lost sheep
claim to be medical students.
Oh.. I thought they supposed
to be were four of them.
You know, one's doing
a history of a bipolar.
Should be done by next Tuesday.
Uh, alright. Uh, this way, guys.
I'm Dr. Greene.
Jerry, you got
anything
of the pediatric
persuasion up there?
I've got a Scandinavian
flight attendant
with a bum ankle
and an earache.
And you saved her
all for me?
I love you, big man,
you know that.
'Nine months pregnant.
Couldn't find the bullet?'
Uh, It's got to be in the uterus
here somewhere.
Her pressure's barely holding.
There's no time to waste.
Dr. Benton.
Carter, don't bother
coming in here.
I'm sorry. I came straight
from the airport.
‐ Retract the bladder flap.
‐ Big storm in the gulf.
Hurricane Phyllis.
‐ Your student?
‐ Don't remind me.
Nice tan.
'So, student, what is
the most important'
anatomical
structure to identify?
‐ Uh, the uterus?
‐ Ureter.
Cut that, you're in trouble.
She can't pee.
‐ What's its name?
‐ Carter.
Carter, basic anatomy,
what muscle forms the floor
of the pelvis?
‐ Uh..
‐ 'Levator ani.'
‐ Ah!
‐ The ovarian artery.
Comes off the aorta
just above the‐‐
I know the ovarian artery
comes off the aorta to, uh..
Inferior mesenteric artery.
And the word student
doesn't that imply
that you're actually supposed
to be teaching him
something, Peter?
[beeps]
‐ Hello.
‐ I'm Dr. Ross.
‐ And you must be..
‐ Hulda.
Hulda.
What a beautiful name, Hulda.
What seems to be the problem?
I hurt my ankle,
and it hurts very much.
Let's take a look at it.
A man dropped his little vodka
bottle in the aisle
and she slipped.
[giggles]
It tickles.
[chuckles]
Haleh, lateral AP
and oblique views, please.
Oh, Hulda, it doesn't seem
to be broken.
We're going to get
some x rays and we may
wanna consider a cast,
just to be safe.
Oh. Oh and my ear.
It's very sore.
'For many months,
all this'
going up and coming down,
I think.
Yes?
[chuckles]
Look, we're
really busy today
and I didn't know
you were coming
so you're gonna have
to park yourselves
in here for a while,
and I'll come round you up
when I get
a minute, okay?
Here you go.
"Harrison's principles
of internal medicine."
"Rosen" volumes one,
two and three.
Start reading.
‐ Hey, who's that?
‐ Med students.
I gave them Harrison's.
Wow. That‐that'll
keep them busy.
‐ I need you in curtain two.
‐ Yeah, sure.
Uh, listen, there's
another student
floating around some place
with a bipolar.
Could you try
and find them for me?
Yeah. So who's gonna be
the new chief?
‐ You.
‐ Yeah, I wish.
Maybe next year
when I'm eligible.
Who do you think
it should be?
Jane Pratt,
she's smart, nice
easy to work with,
everybody likes her.
‐ Jane's great.
‐ Yeah.
It's your
decision, right?
Well, I'll find out
this afternoon.
You guys were roommates
for a while, right?
Yep.
[beeper beeping]
Me.
[man yelling in Spanish]
How you doing, sir?
I'm not so good.
I got a headache.
It's probably the nitro.
Why is he
still down here?
CCU's full again.
Sir, you're gonna
have to stay down here
for a little longer
so if you can just relax
and enjoy the peace and..
Jerry! For God's sake!
Shut him up, will you, please?
Silencio, por favor.
[man yelling continues]
I'll try cardiology again.
Thanks. So it's Jane
for chief resident?
Why not?
Carter, get ready
to suction.
Here she comes.
[crying]
How does she look?
She's breathing.
Color, tone, fair.
'Apgar?'
‐ 'Eight.'
‐ 'Cord's cut.'
Benton, you stay
with the mother.
‐ Carter, come with me.
‐ Alright.
[baby wailing]
No exit wounds
in the uterus.
Okay, Carter.
See the holes?
Uh, oh, yeah,
thighs.
We got through and through
gunshot wounds
through both thighs.
Doesn't look
like it hit any bone.
‐ Got it! In the placenta.
‐ 'Cut the umbilical line.'
Good. Carter, you can start
dressing the wounds.
Rocephin and oxacillin,
250 milligrams each.
Displace the uterus
anteriorly.
Check the other organs
for penetrating injury.
Hi. Hell of a way
to make an entrance.
(Janet)
'This is your lucky day.'
(Peter)
'I'll run the bowel.'
Oh, you're going to be fine,
just fine.
‐ Yes.
‐ 'You're fine now.'
‐ You jet ski?
‐ Yeah that's me.
(female #2)
Haleh, diet or regular?
Unleaded.
Hey, hey.
Listen up, everybody.
We don't have
a lot of time.
Admin sent us
another action memo.
"Excessive use
of surgical supplies."
'Personnel must
exercise prudence'
'in the use
of expendables..'
...i.e. four by four's, gloves
surgical tape,
suture kits.
Why don't I just bring
a needle and thread from home?
And alcohol wipes.
Next, ACLS.
Steph, you're up October first.
And, Wendy you've
never certified.
‐ What is it?
‐ Don't worry, honey.
You're gonna love it.
Okay, CPR recertification.
Lily, Lydia, Haleh
'Saturday afternoon, 1 o'clock.'
This week?
Aw, man, I've got
sox tickets.
Okay, MICN ride‐alongs.
'Joanie, you got to get your
hours in before Halloween.'
'And Lily, if it makes
you feel any better'
'I've procrastinated
and now I have to do'
a paramedic ride‐along
in the next ten days
or I lose my certification.
‐ 'Are you happy?'
‐ Mm‐hmm.
[laughing]
Last but not least..
...the hated peach.
They have stopped making this
particularly delightful shade.
[cheering]
Take a look at the catalog
and get back to me
with your choice.
And not green,
I look bad in that green.
Carol, 47's three minutes out
and they're in trouble.
Okay, everybody,
I need your picks
by the end of the day.
Most votes wins
unless I hate it
and then,
whatever I like goes.
[indistinct chatter]
What is this all about?
Air conditioning repairs.
‐ Mark, hi.
‐ Oh, hey, Jane.
How you doing?
Susan told me she
had talked to you
about my becoming
chief resident.
Well, I just wanted you to know
that I didn't put her up to it.
I know you two are good friends
and I've been wantin' the job
but I didn't ask her
to approach you.
No, no, I didn't think you had.
I hear Kerry Weaver's
interested.
Weaver? Really?
Over at Mount Sinai?
She'd do a good job.
I'll do it better.
Alright.
Thanks.
Thank you.
‐ You're welcome.
‐ Thank you.
I thought I'd
left enough time.
You get here an hour
before me, you leave
an hour after me,
you pre round my patients
before I arrive you order
tomorrow's labs after I leave.
You check out my
surgical schedule
and you study the cases
the night before.
What'd you get read
this summer?
"Schwartz's principles
of surgery?"
"Sabiston's Essentials?"
"Surgical Secrets?"
Let me get a turkey breast
on whole grain
lettuce, tomato,
extra sprouts, no mayo.
Carter, you reflect
on me now.
You screw up, I screw up.
You don't know the answer
to some question
that's because
I didn't teach you.
Hey, no mayo.
What do you
want, Carter?
Oh, uh, could I get
a polish dog
with extra onions, extra peppers
and, uh, cheese?
A lot of cheese, please.
Surgery is the most difficult
specialty of all.
Fifteen students wanted
this spot
and at least a 100 will want
the surgical residency
that you're applying
for next year.
Now, you want to be a surgeon?
Then you start acting
like a surgeon.
I've got a thyroidectomy
this afternoon.
What do you know about
the arteries in the neck?
There's a lot of them.
You have an hour
and 25 minutes.
I suggest you locate
a Gray's
and start memorizing it.
Hi. I'm Dr. Greene.
What seems to be
the problem?
I have a rash
on my thighs.
‐ Anywhere else?
‐ Not this time.
Why don't you hop up on
the bed and we'll take a look.
‐ Um, miss, uh‐‐
‐ Sweet. Loretta Sweet.
Sweet.
Are you sexually active?
No. Mostly,
I just lie there.
You use condoms?
If I owned the factory,
I'd be rich by now.
‐ Looks like contact dermatitis.
‐ Is that bad?
No. A little cortisone cream
will clear it right up.
You must be allergic
to something you came
in contact with.
Right.
I'd try to avoid coming
into contact with it
in the future, okay?
I got two kids at home,
you know?
Is there anything else
I can do for you?
No, thanks.
Any time.
[siren blaring]
Adult male found passed out
in his own vomit.
BP 80/50 on arrival.
Pulse is 132.
Resps shallow at 24.
Tremulous.
Stopped breathing
two minutes out.
I can't ventilate him.
Cyanotic pulse up to 170.
Hey, that's airway obstruction.
We've got
to move him fast. Go.
He's had glucose
and narcan.
‐ Daddy!
‐ The kid found him.
He called 911.
‐ Daddy!
‐ Out of the way!
‐ Out of the way!
‐ Daddy!
Nope?
Damn it!
Somebody get Mark in here.
We need a crike tray now.
‐ He's puking.
‐ Here. Take over.
Pupils are four millimeters,
equally reactive.
No sign of trauma.
Two IVs with saline
wide open, one liter so far.
We've sucked 500 cc's of blood
from his upper airway.
‐ Two, three.
‐ 'Again.'
‐ How much time do we have?
‐ Almost three minutes.
‐ Where's the damn doctor?
‐ Daddy!
‐ Again.
‐ 'One, two, three.'
We're out of time.
Crike him.
‐ Again. Harder.
‐ Daddy!
Get this kid out of here!
Get him out of here.
You're not going to die
on my shift
you son of a bitch.
Come on, come on.
I got it.
Alright, hyperventilate him.
‐ 'Daddy.'
‐ Get out of the way.
‐ Alright, what do we got?
‐ Airway obstruction. Male.
One, two, three.
Approximately
35 years of age.
Tremulous. Possible
impending DT's.
Maybe septic,
maybe stroke.
‐ Metabolic derangement.
‐ 'Daddy!'
CBC, chem 19, coag panel,
UA and a chest.
'Push D‐5 normal saline.
He's dehydrated.'
Get a banana bag going.
Carol, get a blood gas.
Coming up.
Doctor!
Doctor!
Who the hell is that?
Some drunk
looking for a hot meal.
‐ Doctor!
‐ How long he been at it?
About an hour.
It's damn irritating,
isn't it?
At least he hasn't learned
how to say nurse yet.
‐ Nice tan.
‐ Thanks.
‐ What's that?
‐ Anatomy of the neck.
‐ Forget it. Too many arteries.
‐ Exactly.
I don't know, I thought this
year was gonna be easier.
Wait till you start
your residency.
Want to show a third year
how to start an IV?
[laughing]
No.
You haven't seen her yet.
'I shave my legs.
I used to wax them.'
But that hurts so much.
I love candlelight
and Christmas music
and the smells the mulled cider
and chestnuts.
I haven't had a
chestnut in years.
Hi. You the new
med student?
Yes. Thank you.
‐ Harper Tracy.
‐ John Carter. How's it going?
Well, I've been trying
to take her history
but so far, we haven't gotten
past the Crimean war.
...over and over again.
You're very handsome.
Are you a doctor?
'My son's a doctor.'
I play the cello.
Do you like music?
‐ Yes. Sometimes.
‐ The cello is the most..
This is Mrs. Constantine.
I think she has cellulitis
in her left
lower extremity.
It's swollen,
warm and tender.
...Haydn, Bach,
Saint‐Saens.
Cellulitis sounds
about right.
‐ Are you in any pain, ma'am?
‐ The pain?
♪ The pain the pain stays
mainly in my brain ♪
'I think she's got it.
By Jove, she's got it.'
She's also clearly bipolar.
Right. Dr. Lewis wanted me
to show you how to start an IV.
So pull this little gizmo out
find your vein
go in bevel up skin taut
advancing slowly
till you see a flash.
‐ Needle out, cath in‐‐
‐ Thanks. Got it.
‐ Really?
‐ Yeah, I got it.
'Madrid, Tokyo, Milano'
Buenos Aires, Barcelona..
[screams]
I'm sorry, ma'am.
Oh, you hit it the first time.
Second chair.
I should have been first chair.
But the conductor,
that bastard
was sleeping with
a fat, Italian girl
who could not
carry a tune.
Sex! Sex! Sex!
Same with my husband.
'He doesn't care. He doesn't
care if I'm telling..'
Thanks, John.
I think I can take it from here.
But I could
dance all night.
Okay, then, uh..
‐ I would like to..
‐ Great.
...put the moon
under my heels
and go flying up,
up, up into the sky.
Hey, Jerry, do you know
where the kid is
from that alcoholic
airway obstruction?
Hmm.
Thanks.
You sure it's
not that one?
Nice shirt.
It's all I had.
What you doing?
Noah's fixing
the VCR.
Has a tape
stuck in it.
You be cool now, Noah,
you hear? Right.
[indistinct chatter]
‐ Your dad's gonna be okay.
‐ I know.
He's gonna have to stay
with us for a while.
Is your mom coming?
She lives in Florida.
Well, is there someone else
who could come get you?
My dad'll take me
home in a while.
He never stays
in the hospital.
He's done this before?
And you called 911.
That was very smart.
Have you done that
before, too?
Lots of times?
Do you have
a Phillips head?
Sure.
You really know
what you're doing.
Is he still down here?
Kayson says
he doesn't have beds.
I think we're being followed.
‐ Student.
‐ Uh, harper Tracy.
Greene, Mark.
No, actually,
my first name is Harper.
‐ The bipolar?
‐ Off her meds.
Psych got her
back on lithium
admitted her
for IV antibiotics.
How's the Jell‐O,
Mr. Kuzner?
Delightful.
We are going to have you
out of here as soon as we can.
Jerry, how long
is it going to be
until we get this
air conditioning fixed?
‐ A week ago Thursday.
‐ Ah!
[groans]
Oh!
Oh, didn't they
find asbestos
in this building
a couple of years ago?
[beeper beeping]
No, not again.
‐ Kiss little Suzie for me.
‐ Yeah.
‐ Ah!
‐ Dr. Lewis, pour vous.
A little taste
from the islands.
Oh, thank you.
‐ Hi.
‐ Hi.
Dr. Greene.
Yeah?
I have something
for you.
‐ There you go.
‐ Oh, thank you.
‐ Carol?
‐ Hmm?
Oh, Carter,
it's beautiful.
Thank you.
[indistinct chatter]
[chuckles]
Alright.
Carter?
Where are my charts?
[drilling]
Maybe you should have saved
one of these for yourself.
Oh, but I did.
‐ Hey.
‐ Hey.
Here you go.
Jerry, why are there
three kids in cheap ties
reading textbooks
in exam three?
Oh, damn, the med students.
I forgot.
Oh, Dr. Greene,
staff meeting's in five.
Oh, could you see
if they need anything
and tell them
I'll be back in an hour?
Sure. Right.
Uh, Dr. Ross, a little taste
of the islands.
Carter, you
shouldn't have.
It's Wondoa.
He's the God of fertility.
Just what you need, Doug.
Come on, Mark,
I'll walk with you.
To the
staff meeting?
Yeah, I'm nurse manager.
I always go.
Nice hat.
See ya.
Yeah, see ya.
‐ Carter.
‐ Yeah?
OR, let's go.
Here, you should really
put some ice on that.
I'm fine.
I think I've got
the neck arteries down.
It's the common carotid,
the superior thyroid.
‐ The ascending‐‐
‐ Thyroidectomy's called off.
We're doing a hernia.
I hope you know
your way around
Hesselbach's triangle.
(David)
'Folks, can we get started?'
'Please, can we start
on time?'
'Uh, for those he you
would don't know'
'Mark Greene is joining us
as an attending'
'now that he's completed
his residency.'
Mark, have you given
any thought as to
who should succeed you
as chief resident?
I was thinking Jane Pratt
would be an excellent choice.
Is she that blonde,
always wears sweaters?
Uh, no, brunette, tall.
She's very smart, uh,
well liked.
Uh, easy to get along with,
very competent.
Well, that's pretty much
how I would describe you.
You might want
to consider someone
who would complement
your weaknesses.
Which are?
Discipline, paper work,
administration.
Any other candidates?
She'd be my first choice.
Carol, any thoughts?
Pratt's the best
of this year's crop.
She'd take
the least babysitting.
Mark, you know Kerry Weaver
over at Mount Sinai?
Only by reputation.
‐ I'd like you to meet her.
‐ Okay.
Can we get this Ross thing
finally resolved today?
Oh, Neil.
Look, I know nobody thinks
this is important
but I don't understand
why my pediatric budget
is carrying the cost
of an ER fellowship
for Doug Ross.
(David)
'It's an ER pediatrics
fellowship, Neil.'
(Neil)
'Okay, then put him
under my supervision.'
I'll keep him in the clinic
where I'm severely understaffed
and when there's a real
pediatrics emergency
'you can call him down.'
They need him
in the ER full‐time.
'Well, then let them pay!'
They're severely
under budgeted
and you know it!
See, I like Ross,
but he is a bit of a cowboy.
'A bit?'
David, he's arrogant
and dismissive of my authority.
And I'm warning you right now
when his fellowship comes up
for renewal in November
I'm not gonna
sign off on it.
'You want him you find
the money for him.'
Let's jump off that bridge
when we get to it, shall we?
Okay, Mark, we need to talk
about who gets the covers
'the attending swing shifts.'
It's a nice piece of change.
Any thoughts?
Uh, no. I'll..
I‐I'll get you some names later.
Next on the agenda we've got
a JCAH inspection coming up.
Come on, people,
this is what allows us
'to call ourselves
a hospital.'
Help me, please!
Somebody help me!
‐ 'It's my brother. Please!'
‐ Okay.
He fell off the boat.
Grab the gurney on the side.
Come on, man. Come on.
‐ No spontaneous resps.
‐ Come on, Jimmy.
Get an ambu bag
and set up suction.
Jerry, trauma one open?
No, air conditioning guys
are down there. Curtain two.
Get respiratory
here stat! He's not breathing.
Stop. Lily, we're going
to need a scribe.
'Pulse ox is 80.
He's hypoxic.'
ET tray,
seven and a half.
Please, what's happening?
Sir, You gonna
have to wait outside.
Someone get these
air conditioning
guys out of here now.
Anybody get
a blood gas?
[drilling]
Please, please.
Tracy, get over here
where you can see.
'Oh, God.'
'Don't do this, man.'
Core temp's 82.
'CBC, chem 7,
coag panel and chest film.'
Don't die, please.
Are those meetings
always that much fun?
Kind of boring this week.
Nobody took a swing at anybody.
Do they always talk about
the residents like that?
Want to hear what they
said about you?
‐ No.
‐ That drunk with the kid?
He's trying check himself
out AMA.
Okay. And, Mark.
I know, it's none of my
business, but Jane Pratt?
I think Morgenstern
has a point.
Listen, buddy, I didn't
get a chance
to thank you for earlier
for the attending shifts.
It's going to make
a real difference.
I'm kinda behind
in my car payments, you know.
You did some of your
residency with Kerry Weaver.
Yeah, we‐we crossed paths.
Morgenstern wants me
to consider her for chief.
Really?
That bad?
Did you ever see
cuckoo's nest?
I hear you're
going someplace.
Yeah.
Where's my kid?
Noah's in the lounge
watching cartoons.
Well, get him,
we're going home.
You're suffering from severe
electrolyte imbalance
your white blood
count is high
and you probably
have pneumonia.
I just need
to sleep it off.
You need to be admitted
for fluids and IV antibiotics.
So what, you can charge me
5,000 bucks like last time?
Let's talk about last time.
Paramedics found you
drowning in your own vomit
'on the living room floor.'
'Your son called it in.'
'Just like today.'
Where's my damn shirt?
We had to cut it off you.
I paid 30 bucks for that shirt.
Who's gonna pay me
for that, you?
[coughing]
Somebody..
I swear to God
somebody's gonna pay for that.
Find that shirt. Where the..
[violent coughing]
[wheezing]
[coughing and gasping]
You're not going anyplace.
I don't know why
but for some reason
that boy cares about you.
Why don't you stay,
get straightened out.
Give Noah something
to be proud of?
(Lewis)
'He's not warming up
fast enough.'
(female #3)
'He's in v‐fib.'
Damn it, let's shock him.
Two hundred.
'Clear. Harper, clear.'
'Nothing. Three hundred.'
Clear.
Oh man, someone get them
out of there!
‐ Hey! Hey!
‐ Still nothin'.
‐ Get down out of there!
‐ 'What?'
Come down now.
'Three sixty.'
Clear.
[groans]
[machine beeping]
'Hey!'
We've got a beat.
Hey, Davey, are you okay?
[groans]
What are the borders
of Hesselbach's Triangle?
Uh, there's some kind of vessel.
Deep inferior epigastric.
In a ligament? Poupon?
That's a mustard, Carter.
Poupart's ligament
and the rectus sheath.
You didn't get one of Dr. Hicks'
questions right. Not one.
Maybe that's 'cause you told me
we were doing a thyroidectomy.
So that's exactly‐‐
You embarrass me
in front of another surgeon
and you'll spend
the rest of your sub‐I
suturing bagel cuts
and baby falls.
Rescue 47's on its way.
The gang shooting this morning.
Somebody shot the shooter.
[indistinct chatter]
Uh, Dr. Greene?
Heard a lot of
great things about you.
I'm, uh, Kerry Weaver.
Oh. Hi.
Hi, I'm Mark, uh. Sit down.
Oh, thank you.
Just eatin' somethin'.
So, uh, Morgenstern
says you're gonna need
a lot of help around here.
Really?
Gonna finish those fries?
Oh, no.
So, when do I start?
Alright people, we all set
for this guy's airway?
‐ Yeah.
‐ 'What happened in there?'
Some guy fell through
the ceiling.
‐ Landed on a patient.
‐ You kidding.
Broke two of the patient's
ribs and his own leg.
15 year old male, shotgun
to the chest at close range.
No vitals, no pulses,
no nothin'.
(male #2)
'This the shooter
from the pregnant lady?'
(male #3)
'So they say.'
(female #4)
'And go.'
His chest is a mess,
you guys.
Carter, CPR,
six units O‐neg. Let's move.
‐ Tube's leaking.
‐ Asystole.
Oh man, I think I just punched
right through his ribs.
Alright. Skip it.
Let's tube him.
‐ Amp of epi.
‐ Carter, there.
‐ Seven and a half.
‐ I'm kind of rusty at this.
Find the cords
and thread it through, Carter.
‐ Do it now, Carter.
‐ Pull it. Pull it. Pull it.
‐ Alright, let's crack him.
‐ Ah! I got it.
Spreader!
Carter...retract that lung.
(Male #1)
'Here we go.'
‐ 'Oh man.'
‐ Come on.
‐ Take a deep breath, alright?
‐ Okay.
(male #1)
'Need you to stay
on your feet here.'
He's totally dry.
Trendelenburg!
‐ I think I'm gonna be sick.
‐ No, you're not.
Come on. Internal CPR
He's fibrillating.
Damn!
His right ventricle is hit.
'Twenty five.'
'Clear.'
(Marquez)
'We got a beat.
Nope. It's gone.'
50. Clear.
‐ Asystole.
‐ Oh, that helped a lot.
Man, smells kinda like
a barbecue in here, huh?
Oh, God.
Ha ha. Welcome back, Carter.
[indistinct chatter]
Oh, no. Please..
He's gonna be okay.
Thank you...thank you.
He, uh...he does have
a couple of broken ribs.
(Benton)
'Alright. That's it.'
Good try, people.
He was dead before
he came in the door.
‐ Who's got the death bundle?
‐ I'll get it.
You alright?
Good.
Sew him back up, nothin' fancy.
I'll see you in the morning.
6:00 A. M., sharp.
And, Carter..
Prostatectomy in the morning
adrenalectomy
for a pheochromocytoma
in the afternoon.
Hi, guys. Here's your equipment.
‐ Excuse me. The kid make it?
‐ No.
‐ It's Hathaway, right?
‐ Yeah.
This is Shep, Raul.
Well, see you around, Hathaway.
Oh. Hey, guys.
I have to do a ride along
for my MICN Recertification.
Do you mind if I tag along
with you sometime next week?
Sure. You bet.
Anytime, Hathaway.
‐ What?
‐ 'Nothing.'
It's not like that.
I didn't say a thing.
So, nurse Hathaway,
what are you doin' tonight?
Uh, thought maybe I'd rent a
movie, make some popcorn.
Sounds good to me.
Maybe I'll bring a pizza.
I don't remember inviting you.
No you didn't.
I invited myself.
‐ Hello.
‐ Night, all.
Goodnight.
Cardiology still hasn't taken
my rule out MI to CCU.
Susan, I can't miss this train.
What's the point of having
a cardiac care unit
if you can never
get anyone into it?
If I don't make it to
union station in 25 minutes
I'm gonna be walking
home to Milwaukee.
Mark, you need to do something.
I will. I promise.
First thing Monday, okay?
Hey, Mark, I heard you hired
Kerry Weaver as chief.
That's definitely a move
in the right direction.
Jerry, file those for me.
‐ You didn't hire Jane?
‐ No, I didn't.
Were you gonna tell me
or were you planning on
letting me read it
off the board?
It was my decision. I made it.
[beeper beeping]
I gotta pick Suzie up
from day care.
Oh. Hey, Dr. Greene..
...those medical students
are still down in exam three.
‐ You want me to send them home?
‐ Oh, God!
Hey. Excuse me. Excuse me.
Yes, yes. You're
the young lady
who helped me earlier
today, aren't you?
Mrs. Constantine.
Are you feeling better?
Well, I'm a bit tired.
Did I tell you
that I play the cello?
Once or twice.
Oh. I'm sorry.
Well, I would like to play
something for you
as a kind of thank you.
Oh, I don't think
that's necessary.
My son brought my cello to me.
It helps me pass the time
until I get better.
Really, you don't
have to do this.
I mean, maybe
you shouldn't do this.
[playing "Haydn melody"]
Hey, you okay?
Yeah.
No, I'm fine.
Tough first day back, huh?
Yeah.
Some days, like today,
I have to forget..
...or I'd never come back.
[sighs]
So, did you have
a good summer?
Yeah...it was great.
Really.
Did a peds rotation
over at children's.
Spent about five weeks
kicking around St. Bart's.
Really? I always wanted to go.
Was it nice?
Yeah.
(male #1)
'Hey doc, doc,
can you give us a hand?'
'Kid on a bike
got hit by a car. Full arrest.'
‐ I'll see you tomorrow, okay.
‐ Yeah.
See you tomorrow.
(Carter)
'Okay, give me the bullet.'
Sorry.
Hold on!...hold on!
No, no, hold on!
Thanks.
Chloe?
Oh, is dinner almost ready?
I am starving.
(Chloe)
'Yeah, all we got to do
is drop in the pasta'
'we're all set.'
Oh. Hello my beautiful girl.
Hi. Hi, prettiest girl.
How was school today?
'Uh, great.'
Uh, they're teachin' us
how to use the word and the..
...the spreadsheets.
Honey, you wanna come up,
say hi to mommy?
Okay, here we go.
Lemme get your head there.
Oh. Oh. Here we go.
Oh, oh, no! Oh, no!
Whoops! There we go.
There we go. That's the way..
...Oh..
'...yes. You're okay.'
'Yeah. Oh. No, no.'
[baby whimpering]
'It's okay.'
'Okay. Oh..'
'I missed you. Yeah.'
'Oh, God.'
'What time is it?'
Oh, God.
Oh, man.
Peter?
'Peter, hey, wake up.'
What?
'We fell asleep.'
It's almost midnight.
Oh, man.
What time does he get off work?
In ten minutes.
Hey.
Why don't you stay?
You know I can't.
I love you.
I'll see you tomorrow.
[theme music]
[instrumental music]
[indistinct chatter]
[engine revving]
Mommy. Mwah.
[screaming]
[gun shots]
[screaming]
Oh, my God.
[child crying]
Help me!
‐ Whoa, I got a pumper.
‐ He's going to need an airway.
‐ Hey, stop moving around.
‐ Scissors, scissors. Anybody?
We got a pressure?
70/40. Pulse weak
and thready at 150.
Buddy, you see
who shot you?
You get a plate number?
He's not talking
right now.
Start the O‐neg on infuser
and somebody find Lewis.
‐ I feel a bullet.
‐ I don't want to die.
You'll be fine.
Let's get a head CT.
‐ Where's Lewis?
‐ How should I know?
Please don't let me die!
[indistinct chatter]
Jerry!
Jerry, have you
seen Dr. Lewis?
Uh, curtain area three
with a heart attack.
(female #1)
'Yo‐your ma plays the Cello.'
[indistinct chatter]
Pregnant woman's coming in
with a gunshot to the abdomen.
‐ How far out?
‐ Two minutes or less.
Got it.
Your history suggests that
the pain may be heart‐related.
Susan, Mark needs you
in trauma two.
‐ Gunshot wound to the neck.
‐ Okay, be right there.
Does CCU
have any beds?
Still backed up
from last night.
Okay, we're gonna have
to hold you down here
until a bed opens up
in the cardiac care unit.
And then, we'll send you up
as soon as we can.
Whoa, whoa, whoa.
Aright, Do, go, go, go.
BP's 90/60.
Pulse is 120.
[grunting]
She's full term.
I need a fetal monitor from
L and D and a doctor's scope.
‐ Peter, are you okay?
‐ Watch the damn gurney.
Damn. Type and cross four units.
We need a fresh gurney
in here.
Belenzela with a V or a B?
Connie, get ultrasound
in here.
Do the paper work later.
CBC, type and cross four units.
Please, please!
Is my baby alright?
Uterus tender, no exit wounds.
Let's prep for a pelvic.
Call OB.
Okay, we need a type
and cross four units.
Where's everybody?
Twelve GSWs, four critical.
Glass is flying.
It's a real mess.
Pulse ox95, BP's 90/60,
pulse 120.
‐ Two hours late.
‐ What?
‐ Carter.
‐ Damned, upstairs.
I'm gonna have to run
the blood up myself.
Alright, not dilated.
Vertex presentation.
Fetal heart rate's 145.
That's very good.
(Peter)
'Lydia, I need you to stay put.'
‐ 'We need you.'
‐ 'I'm not done next door.'
Where the hell is Carter?
[instrumental music]
[car horn honking]
Oh, God.
Oh, God.
Oh, God. Oh, God.
Oh, God! What is all this?
Traffic.
Ah, can't you do something?
Like what?
Stop the cab.
No problem.
Keep the change.
[indistinct chatter]
[horn honking]
Oh, God.
Oh, God.
[theme music]
It still hurts so bad.
It started when I was shopping
in the store with my children.
You need, actually,
you fill that out, please.
Would you like to see
pictures of my grandchildren?
I always bring them with me.
I have four sons..
[phone ringing]
ER. yeah.
‐ Yeah, I'll hold.
‐ Isn't he darling?
‐ Excuse me?
‐ And here's Jeff..
Where the hell
is psych?
‐ ...all blonde and very..
‐ Excuse me.
Hang on, will you, please?
Oh, they're
so sweet.
I miss them so much.
I miss them.
Oh, Dr. Lewis.
Bipolar.
I called psych, but there is
something wrong with her leg.
Got another gunshot coming.
Put her on the board
and hope psych shows up.
Son of a bitch
cardiologist.
My sister met
the president.
‐ Excuse me!
‐ What?
Thank you.
We're new third‐year students
looking for Dr. Greene.
‐ You're a med student?
‐ Yeah.
Anybody know how to take
a history?
Sure.
[laughing]
‐ Mrs. Constantine?
‐ I was not a cat person. I‐‐
Mrs. Constantine, this is..
‐ Harper. Harper Tracy.
‐ Harper?
‐ 'This is Dr. Tracy.'
‐ Harper!
I knew someone
who played
in the New York
philharmonic named Harper.
I played with him.
You're going to go
to exam two
right over there.
Do you like Paul Newman?
I love those blue eyes.
‐ More patients..
‐ Alright, hang two units.
Alright, Peter,
what have you got?
Full‐term abdominal GSW,
no exit wound.
Baby's moving,
heart's beating.
I think the bullet's
in the uterus.
Sounds like
a section.
Fetal heart rate's
falling, 100.
‐ How's mom?
‐ 80/50, pulse 140 and climbing.
Is my baby okay?
Free blood in the peritoneum.
Alright, we're movin' her now.
Call the OR, let them
know we're on our way
with an emergency section
and get OB.
‐ Peter, what happened to you?
‐ Don't ask.
‐ Can you handle this?
‐ Yeah, yeah, yeah.
‐ I just need to walk it off.
‐ You're having your baby!
[train chugging]
Oh, no.
(male #1)
'GSW to the head.'
Two large‐bore IVS, pressure's
60/40, bradycardic at 50.
Alright, Lee, trauma one.
‐ What happened?
‐ Gang fight. Nice shirt.
I'm a dead man.
Hey! Welcome back, Carter.
‐ Hey, Dr. Carter, I presume.
‐ What's up, Carter?
‐ Great tan.
‐ Thanks.
Jerry, where's Dr. Benton?
And has he been asking about me?
Yeah, once or twice,
and he's up in surgery.
Crash section.
Pregnant woman got shot.
'He just limped up.'
‐ Hi, Dr. Greene!
‐ Hey! Who is that?
Carter, I think.
Dr. Benton's student.
Well, tell him
to slow down.
I am on the phone
with cardiology every day.
They claim
the CCU's full.
I go up and
there are empty beds.
We had a rule out MI down
here for two days.
Hey, you're
an attending now.
You got a problem with another
department you solve it.
Oh, and you've got new
third‐years coming in today.
‐ Today?
‐ Four of them.
Bright‐eyed
and bushy‐tailed
and staff meeting
at 4 o'clock, don't forget.
Forget what?
Um, my first staff meeting's
today at 4:00.
Hey, little boss, what'd
the big boss want?
Uh, something about
me accepting
the heavy mantle
of my new position.
‐ You set the tone, right?
‐ You got the drift.
Hey, how are you
set for cash?
Oh, If you need
that 200 bucks back
I'm little strapped
for cash right now.
No, no, no, I'm making out
the schedule for next week.
I thought you could pull
a graveyard attending shift
put a little extra cash
in your pocket?
‐ Really? Great.
‐ Yeah, consider it done.
‐ Dr. Greene?
‐ Yeah.
I got three lost sheep
claim to be medical students.
Oh.. I thought they supposed
to be were four of them.
You know, one's doing
a history of a bipolar.
Should be done by next Tuesday.
Uh, alright. Uh, this way, guys.
I'm Dr. Greene.
Jerry, you got
anything
of the pediatric
persuasion up there?
I've got a Scandinavian
flight attendant
with a bum ankle
and an earache.
And you saved her
all for me?
I love you, big man,
you know that.
'Nine months pregnant.
Couldn't find the bullet?'
Uh, It's got to be in the uterus
here somewhere.
Her pressure's barely holding.
There's no time to waste.
Dr. Benton.
Carter, don't bother
coming in here.
I'm sorry. I came straight
from the airport.
‐ Retract the bladder flap.
‐ Big storm in the gulf.
Hurricane Phyllis.
‐ Your student?
‐ Don't remind me.
Nice tan.
'So, student, what is
the most important'
anatomical
structure to identify?
‐ Uh, the uterus?
‐ Ureter.
Cut that, you're in trouble.
She can't pee.
‐ What's its name?
‐ Carter.
Carter, basic anatomy,
what muscle forms the floor
of the pelvis?
‐ Uh..
‐ 'Levator ani.'
‐ Ah!
‐ The ovarian artery.
Comes off the aorta
just above the‐‐
I know the ovarian artery
comes off the aorta to, uh..
Inferior mesenteric artery.
And the word student
doesn't that imply
that you're actually supposed
to be teaching him
something, Peter?
[beeps]
‐ Hello.
‐ I'm Dr. Ross.
‐ And you must be..
‐ Hulda.
Hulda.
What a beautiful name, Hulda.
What seems to be the problem?
I hurt my ankle,
and it hurts very much.
Let's take a look at it.
A man dropped his little vodka
bottle in the aisle
and she slipped.
[giggles]
It tickles.
[chuckles]
Haleh, lateral AP
and oblique views, please.
Oh, Hulda, it doesn't seem
to be broken.
We're going to get
some x rays and we may
wanna consider a cast,
just to be safe.
Oh. Oh and my ear.
It's very sore.
'For many months,
all this'
going up and coming down,
I think.
Yes?
[chuckles]
Look, we're
really busy today
and I didn't know
you were coming
so you're gonna have
to park yourselves
in here for a while,
and I'll come round you up
when I get
a minute, okay?
Here you go.
"Harrison's principles
of internal medicine."
"Rosen" volumes one,
two and three.
Start reading.
‐ Hey, who's that?
‐ Med students.
I gave them Harrison's.
Wow. That‐that'll
keep them busy.
‐ I need you in curtain two.
‐ Yeah, sure.
Uh, listen, there's
another student
floating around some place
with a bipolar.
Could you try
and find them for me?
Yeah. So who's gonna be
the new chief?
‐ You.
‐ Yeah, I wish.
Maybe next year
when I'm eligible.
Who do you think
it should be?
Jane Pratt,
she's smart, nice
easy to work with,
everybody likes her.
‐ Jane's great.
‐ Yeah.
It's your
decision, right?
Well, I'll find out
this afternoon.
You guys were roommates
for a while, right?
Yep.
[beeper beeping]
Me.
[man yelling in Spanish]
How you doing, sir?
I'm not so good.
I got a headache.
It's probably the nitro.
Why is he
still down here?
CCU's full again.
Sir, you're gonna
have to stay down here
for a little longer
so if you can just relax
and enjoy the peace and..
Jerry! For God's sake!
Shut him up, will you, please?
Silencio, por favor.
[man yelling continues]
I'll try cardiology again.
Thanks. So it's Jane
for chief resident?
Why not?
Carter, get ready
to suction.
Here she comes.
[crying]
How does she look?
She's breathing.
Color, tone, fair.
'Apgar?'
‐ 'Eight.'
‐ 'Cord's cut.'
Benton, you stay
with the mother.
‐ Carter, come with me.
‐ Alright.
[baby wailing]
No exit wounds
in the uterus.
Okay, Carter.
See the holes?
Uh, oh, yeah,
thighs.
We got through and through
gunshot wounds
through both thighs.
Doesn't look
like it hit any bone.
‐ Got it! In the placenta.
‐ 'Cut the umbilical line.'
Good. Carter, you can start
dressing the wounds.
Rocephin and oxacillin,
250 milligrams each.
Displace the uterus
anteriorly.
Check the other organs
for penetrating injury.
Hi. Hell of a way
to make an entrance.
(Janet)
'This is your lucky day.'
(Peter)
'I'll run the bowel.'
Oh, you're going to be fine,
just fine.
‐ Yes.
‐ 'You're fine now.'
‐ You jet ski?
‐ Yeah that's me.
(female #2)
Haleh, diet or regular?
Unleaded.
Hey, hey.
Listen up, everybody.
We don't have
a lot of time.
Admin sent us
another action memo.
"Excessive use
of surgical supplies."
'Personnel must
exercise prudence'
'in the use
of expendables..'
...i.e. four by four's, gloves
surgical tape,
suture kits.
Why don't I just bring
a needle and thread from home?
And alcohol wipes.
Next, ACLS.
Steph, you're up October first.
And, Wendy you've
never certified.
‐ What is it?
‐ Don't worry, honey.
You're gonna love it.
Okay, CPR recertification.
Lily, Lydia, Haleh
'Saturday afternoon, 1 o'clock.'
This week?
Aw, man, I've got
sox tickets.
Okay, MICN ride‐alongs.
'Joanie, you got to get your
hours in before Halloween.'
'And Lily, if it makes
you feel any better'
'I've procrastinated
and now I have to do'
a paramedic ride‐along
in the next ten days
or I lose my certification.
‐ 'Are you happy?'
‐ Mm‐hmm.
[laughing]
Last but not least..
...the hated peach.
They have stopped making this
particularly delightful shade.
[cheering]
Take a look at the catalog
and get back to me
with your choice.
And not green,
I look bad in that green.
Carol, 47's three minutes out
and they're in trouble.
Okay, everybody,
I need your picks
by the end of the day.
Most votes wins
unless I hate it
and then,
whatever I like goes.
[indistinct chatter]
What is this all about?
Air conditioning repairs.
‐ Mark, hi.
‐ Oh, hey, Jane.
How you doing?
Susan told me she
had talked to you
about my becoming
chief resident.
Well, I just wanted you to know
that I didn't put her up to it.
I know you two are good friends
and I've been wantin' the job
but I didn't ask her
to approach you.
No, no, I didn't think you had.
I hear Kerry Weaver's
interested.
Weaver? Really?
Over at Mount Sinai?
She'd do a good job.
I'll do it better.
Alright.
Thanks.
Thank you.
‐ You're welcome.
‐ Thank you.
I thought I'd
left enough time.
You get here an hour
before me, you leave
an hour after me,
you pre round my patients
before I arrive you order
tomorrow's labs after I leave.
You check out my
surgical schedule
and you study the cases
the night before.
What'd you get read
this summer?
"Schwartz's principles
of surgery?"
"Sabiston's Essentials?"
"Surgical Secrets?"
Let me get a turkey breast
on whole grain
lettuce, tomato,
extra sprouts, no mayo.
Carter, you reflect
on me now.
You screw up, I screw up.
You don't know the answer
to some question
that's because
I didn't teach you.
Hey, no mayo.
What do you
want, Carter?
Oh, uh, could I get
a polish dog
with extra onions, extra peppers
and, uh, cheese?
A lot of cheese, please.
Surgery is the most difficult
specialty of all.
Fifteen students wanted
this spot
and at least a 100 will want
the surgical residency
that you're applying
for next year.
Now, you want to be a surgeon?
Then you start acting
like a surgeon.
I've got a thyroidectomy
this afternoon.
What do you know about
the arteries in the neck?
There's a lot of them.
You have an hour
and 25 minutes.
I suggest you locate
a Gray's
and start memorizing it.
Hi. I'm Dr. Greene.
What seems to be
the problem?
I have a rash
on my thighs.
‐ Anywhere else?
‐ Not this time.
Why don't you hop up on
the bed and we'll take a look.
‐ Um, miss, uh‐‐
‐ Sweet. Loretta Sweet.
Sweet.
Are you sexually active?
No. Mostly,
I just lie there.
You use condoms?
If I owned the factory,
I'd be rich by now.
‐ Looks like contact dermatitis.
‐ Is that bad?
No. A little cortisone cream
will clear it right up.
You must be allergic
to something you came
in contact with.
Right.
I'd try to avoid coming
into contact with it
in the future, okay?
I got two kids at home,
you know?
Is there anything else
I can do for you?
No, thanks.
Any time.
[siren blaring]
Adult male found passed out
in his own vomit.
BP 80/50 on arrival.
Pulse is 132.
Resps shallow at 24.
Tremulous.
Stopped breathing
two minutes out.
I can't ventilate him.
Cyanotic pulse up to 170.
Hey, that's airway obstruction.
We've got
to move him fast. Go.
He's had glucose
and narcan.
‐ Daddy!
‐ The kid found him.
He called 911.
‐ Daddy!
‐ Out of the way!
‐ Out of the way!
‐ Daddy!
Nope?
Damn it!
Somebody get Mark in here.
We need a crike tray now.
‐ He's puking.
‐ Here. Take over.
Pupils are four millimeters,
equally reactive.
No sign of trauma.
Two IVs with saline
wide open, one liter so far.
We've sucked 500 cc's of blood
from his upper airway.
‐ Two, three.
‐ 'Again.'
‐ How much time do we have?
‐ Almost three minutes.
‐ Where's the damn doctor?
‐ Daddy!
‐ Again.
‐ 'One, two, three.'
We're out of time.
Crike him.
‐ Again. Harder.
‐ Daddy!
Get this kid out of here!
Get him out of here.
You're not going to die
on my shift
you son of a bitch.
Come on, come on.
I got it.
Alright, hyperventilate him.
‐ 'Daddy.'
‐ Get out of the way.
‐ Alright, what do we got?
‐ Airway obstruction. Male.
One, two, three.
Approximately
35 years of age.
Tremulous. Possible
impending DT's.
Maybe septic,
maybe stroke.
‐ Metabolic derangement.
‐ 'Daddy!'
CBC, chem 19, coag panel,
UA and a chest.
'Push D‐5 normal saline.
He's dehydrated.'
Get a banana bag going.
Carol, get a blood gas.
Coming up.
Doctor!
Doctor!
Who the hell is that?
Some drunk
looking for a hot meal.
‐ Doctor!
‐ How long he been at it?
About an hour.
It's damn irritating,
isn't it?
At least he hasn't learned
how to say nurse yet.
‐ Nice tan.
‐ Thanks.
‐ What's that?
‐ Anatomy of the neck.
‐ Forget it. Too many arteries.
‐ Exactly.
I don't know, I thought this
year was gonna be easier.
Wait till you start
your residency.
Want to show a third year
how to start an IV?
[laughing]
No.
You haven't seen her yet.
'I shave my legs.
I used to wax them.'
But that hurts so much.
I love candlelight
and Christmas music
and the smells the mulled cider
and chestnuts.
I haven't had a
chestnut in years.
Hi. You the new
med student?
Yes. Thank you.
‐ Harper Tracy.
‐ John Carter. How's it going?
Well, I've been trying
to take her history
but so far, we haven't gotten
past the Crimean war.
...over and over again.
You're very handsome.
Are you a doctor?
'My son's a doctor.'
I play the cello.
Do you like music?
‐ Yes. Sometimes.
‐ The cello is the most..
This is Mrs. Constantine.
I think she has cellulitis
in her left
lower extremity.
It's swollen,
warm and tender.
...Haydn, Bach,
Saint‐Saens.
Cellulitis sounds
about right.
‐ Are you in any pain, ma'am?
‐ The pain?
♪ The pain the pain stays
mainly in my brain ♪
'I think she's got it.
By Jove, she's got it.'
She's also clearly bipolar.
Right. Dr. Lewis wanted me
to show you how to start an IV.
So pull this little gizmo out
find your vein
go in bevel up skin taut
advancing slowly
till you see a flash.
‐ Needle out, cath in‐‐
‐ Thanks. Got it.
‐ Really?
‐ Yeah, I got it.
'Madrid, Tokyo, Milano'
Buenos Aires, Barcelona..
[screams]
I'm sorry, ma'am.
Oh, you hit it the first time.
Second chair.
I should have been first chair.
But the conductor,
that bastard
was sleeping with
a fat, Italian girl
who could not
carry a tune.
Sex! Sex! Sex!
Same with my husband.
'He doesn't care. He doesn't
care if I'm telling..'
Thanks, John.
I think I can take it from here.
But I could
dance all night.
Okay, then, uh..
‐ I would like to..
‐ Great.
...put the moon
under my heels
and go flying up,
up, up into the sky.
Hey, Jerry, do you know
where the kid is
from that alcoholic
airway obstruction?
Hmm.
Thanks.
You sure it's
not that one?
Nice shirt.
It's all I had.
What you doing?
Noah's fixing
the VCR.
Has a tape
stuck in it.
You be cool now, Noah,
you hear? Right.
[indistinct chatter]
‐ Your dad's gonna be okay.
‐ I know.
He's gonna have to stay
with us for a while.
Is your mom coming?
She lives in Florida.
Well, is there someone else
who could come get you?
My dad'll take me
home in a while.
He never stays
in the hospital.
He's done this before?
And you called 911.
That was very smart.
Have you done that
before, too?
Lots of times?
Do you have
a Phillips head?
Sure.
You really know
what you're doing.
Is he still down here?
Kayson says
he doesn't have beds.
I think we're being followed.
‐ Student.
‐ Uh, harper Tracy.
Greene, Mark.
No, actually,
my first name is Harper.
‐ The bipolar?
‐ Off her meds.
Psych got her
back on lithium
admitted her
for IV antibiotics.
How's the Jell‐O,
Mr. Kuzner?
Delightful.
We are going to have you
out of here as soon as we can.
Jerry, how long
is it going to be
until we get this
air conditioning fixed?
‐ A week ago Thursday.
‐ Ah!
[groans]
Oh!
Oh, didn't they
find asbestos
in this building
a couple of years ago?
[beeper beeping]
No, not again.
‐ Kiss little Suzie for me.
‐ Yeah.
‐ Ah!
‐ Dr. Lewis, pour vous.
A little taste
from the islands.
Oh, thank you.
‐ Hi.
‐ Hi.
Dr. Greene.
Yeah?
I have something
for you.
‐ There you go.
‐ Oh, thank you.
‐ Carol?
‐ Hmm?
Oh, Carter,
it's beautiful.
Thank you.
[indistinct chatter]
[chuckles]
Alright.
Carter?
Where are my charts?
[drilling]
Maybe you should have saved
one of these for yourself.
Oh, but I did.
‐ Hey.
‐ Hey.
Here you go.
Jerry, why are there
three kids in cheap ties
reading textbooks
in exam three?
Oh, damn, the med students.
I forgot.
Oh, Dr. Greene,
staff meeting's in five.
Oh, could you see
if they need anything
and tell them
I'll be back in an hour?
Sure. Right.
Uh, Dr. Ross, a little taste
of the islands.
Carter, you
shouldn't have.
It's Wondoa.
He's the God of fertility.
Just what you need, Doug.
Come on, Mark,
I'll walk with you.
To the
staff meeting?
Yeah, I'm nurse manager.
I always go.
Nice hat.
See ya.
Yeah, see ya.
‐ Carter.
‐ Yeah?
OR, let's go.
Here, you should really
put some ice on that.
I'm fine.
I think I've got
the neck arteries down.
It's the common carotid,
the superior thyroid.
‐ The ascending‐‐
‐ Thyroidectomy's called off.
We're doing a hernia.
I hope you know
your way around
Hesselbach's triangle.
(David)
'Folks, can we get started?'
'Please, can we start
on time?'
'Uh, for those he you
would don't know'
'Mark Greene is joining us
as an attending'
'now that he's completed
his residency.'
Mark, have you given
any thought as to
who should succeed you
as chief resident?
I was thinking Jane Pratt
would be an excellent choice.
Is she that blonde,
always wears sweaters?
Uh, no, brunette, tall.
She's very smart, uh,
well liked.
Uh, easy to get along with,
very competent.
Well, that's pretty much
how I would describe you.
You might want
to consider someone
who would complement
your weaknesses.
Which are?
Discipline, paper work,
administration.
Any other candidates?
She'd be my first choice.
Carol, any thoughts?
Pratt's the best
of this year's crop.
She'd take
the least babysitting.
Mark, you know Kerry Weaver
over at Mount Sinai?
Only by reputation.
‐ I'd like you to meet her.
‐ Okay.
Can we get this Ross thing
finally resolved today?
Oh, Neil.
Look, I know nobody thinks
this is important
but I don't understand
why my pediatric budget
is carrying the cost
of an ER fellowship
for Doug Ross.
(David)
'It's an ER pediatrics
fellowship, Neil.'
(Neil)
'Okay, then put him
under my supervision.'
I'll keep him in the clinic
where I'm severely understaffed
and when there's a real
pediatrics emergency
'you can call him down.'
They need him
in the ER full‐time.
'Well, then let them pay!'
They're severely
under budgeted
and you know it!
See, I like Ross,
but he is a bit of a cowboy.
'A bit?'
David, he's arrogant
and dismissive of my authority.
And I'm warning you right now
when his fellowship comes up
for renewal in November
I'm not gonna
sign off on it.
'You want him you find
the money for him.'
Let's jump off that bridge
when we get to it, shall we?
Okay, Mark, we need to talk
about who gets the covers
'the attending swing shifts.'
It's a nice piece of change.
Any thoughts?
Uh, no. I'll..
I‐I'll get you some names later.
Next on the agenda we've got
a JCAH inspection coming up.
Come on, people,
this is what allows us
'to call ourselves
a hospital.'
Help me, please!
Somebody help me!
‐ 'It's my brother. Please!'
‐ Okay.
He fell off the boat.
Grab the gurney on the side.
Come on, man. Come on.
‐ No spontaneous resps.
‐ Come on, Jimmy.
Get an ambu bag
and set up suction.
Jerry, trauma one open?
No, air conditioning guys
are down there. Curtain two.
Get respiratory
here stat! He's not breathing.
Stop. Lily, we're going
to need a scribe.
'Pulse ox is 80.
He's hypoxic.'
ET tray,
seven and a half.
Please, what's happening?
Sir, You gonna
have to wait outside.
Someone get these
air conditioning
guys out of here now.
Anybody get
a blood gas?
[drilling]
Please, please.
Tracy, get over here
where you can see.
'Oh, God.'
'Don't do this, man.'
Core temp's 82.
'CBC, chem 7,
coag panel and chest film.'
Don't die, please.
Are those meetings
always that much fun?
Kind of boring this week.
Nobody took a swing at anybody.
Do they always talk about
the residents like that?
Want to hear what they
said about you?
‐ No.
‐ That drunk with the kid?
He's trying check himself
out AMA.
Okay. And, Mark.
I know, it's none of my
business, but Jane Pratt?
I think Morgenstern
has a point.
Listen, buddy, I didn't
get a chance
to thank you for earlier
for the attending shifts.
It's going to make
a real difference.
I'm kinda behind
in my car payments, you know.
You did some of your
residency with Kerry Weaver.
Yeah, we‐we crossed paths.
Morgenstern wants me
to consider her for chief.
Really?
That bad?
Did you ever see
cuckoo's nest?
I hear you're
going someplace.
Yeah.
Where's my kid?
Noah's in the lounge
watching cartoons.
Well, get him,
we're going home.
You're suffering from severe
electrolyte imbalance
your white blood
count is high
and you probably
have pneumonia.
I just need
to sleep it off.
You need to be admitted
for fluids and IV antibiotics.
So what, you can charge me
5,000 bucks like last time?
Let's talk about last time.
Paramedics found you
drowning in your own vomit
'on the living room floor.'
'Your son called it in.'
'Just like today.'
Where's my damn shirt?
We had to cut it off you.
I paid 30 bucks for that shirt.
Who's gonna pay me
for that, you?
[coughing]
Somebody..
I swear to God
somebody's gonna pay for that.
Find that shirt. Where the..
[violent coughing]
[wheezing]
[coughing and gasping]
You're not going anyplace.
I don't know why
but for some reason
that boy cares about you.
Why don't you stay,
get straightened out.
Give Noah something
to be proud of?
(Lewis)
'He's not warming up
fast enough.'
(female #3)
'He's in v‐fib.'
Damn it, let's shock him.
Two hundred.
'Clear. Harper, clear.'
'Nothing. Three hundred.'
Clear.
Oh man, someone get them
out of there!
‐ Hey! Hey!
‐ Still nothin'.
‐ Get down out of there!
‐ 'What?'
Come down now.
'Three sixty.'
Clear.
[groans]
[machine beeping]
'Hey!'
We've got a beat.
Hey, Davey, are you okay?
[groans]
What are the borders
of Hesselbach's Triangle?
Uh, there's some kind of vessel.
Deep inferior epigastric.
In a ligament? Poupon?
That's a mustard, Carter.
Poupart's ligament
and the rectus sheath.
You didn't get one of Dr. Hicks'
questions right. Not one.
Maybe that's 'cause you told me
we were doing a thyroidectomy.
So that's exactly‐‐
You embarrass me
in front of another surgeon
and you'll spend
the rest of your sub‐I
suturing bagel cuts
and baby falls.
Rescue 47's on its way.
The gang shooting this morning.
Somebody shot the shooter.
[indistinct chatter]
Uh, Dr. Greene?
Heard a lot of
great things about you.
I'm, uh, Kerry Weaver.
Oh. Hi.
Hi, I'm Mark, uh. Sit down.
Oh, thank you.
Just eatin' somethin'.
So, uh, Morgenstern
says you're gonna need
a lot of help around here.
Really?
Gonna finish those fries?
Oh, no.
So, when do I start?
Alright people, we all set
for this guy's airway?
‐ Yeah.
‐ 'What happened in there?'
Some guy fell through
the ceiling.
‐ Landed on a patient.
‐ You kidding.
Broke two of the patient's
ribs and his own leg.
15 year old male, shotgun
to the chest at close range.
No vitals, no pulses,
no nothin'.
(male #2)
'This the shooter
from the pregnant lady?'
(male #3)
'So they say.'
(female #4)
'And go.'
His chest is a mess,
you guys.
Carter, CPR,
six units O‐neg. Let's move.
‐ Tube's leaking.
‐ Asystole.
Oh man, I think I just punched
right through his ribs.
Alright. Skip it.
Let's tube him.
‐ Amp of epi.
‐ Carter, there.
‐ Seven and a half.
‐ I'm kind of rusty at this.
Find the cords
and thread it through, Carter.
‐ Do it now, Carter.
‐ Pull it. Pull it. Pull it.
‐ Alright, let's crack him.
‐ Ah! I got it.
Spreader!
Carter...retract that lung.
(Male #1)
'Here we go.'
‐ 'Oh man.'
‐ Come on.
‐ Take a deep breath, alright?
‐ Okay.
(male #1)
'Need you to stay
on your feet here.'
He's totally dry.
Trendelenburg!
‐ I think I'm gonna be sick.
‐ No, you're not.
Come on. Internal CPR
He's fibrillating.
Damn!
His right ventricle is hit.
'Twenty five.'
'Clear.'
(Marquez)
'We got a beat.
Nope. It's gone.'
50. Clear.
‐ Asystole.
‐ Oh, that helped a lot.
Man, smells kinda like
a barbecue in here, huh?
Oh, God.
Ha ha. Welcome back, Carter.
[indistinct chatter]
Oh, no. Please..
He's gonna be okay.
Thank you...thank you.
He, uh...he does have
a couple of broken ribs.
(Benton)
'Alright. That's it.'
Good try, people.
He was dead before
he came in the door.
‐ Who's got the death bundle?
‐ I'll get it.
You alright?
Good.
Sew him back up, nothin' fancy.
I'll see you in the morning.
6:00 A. M., sharp.
And, Carter..
Prostatectomy in the morning
adrenalectomy
for a pheochromocytoma
in the afternoon.
Hi, guys. Here's your equipment.
‐ Excuse me. The kid make it?
‐ No.
‐ It's Hathaway, right?
‐ Yeah.
This is Shep, Raul.
Well, see you around, Hathaway.
Oh. Hey, guys.
I have to do a ride along
for my MICN Recertification.
Do you mind if I tag along
with you sometime next week?
Sure. You bet.
Anytime, Hathaway.
‐ What?
‐ 'Nothing.'
It's not like that.
I didn't say a thing.
So, nurse Hathaway,
what are you doin' tonight?
Uh, thought maybe I'd rent a
movie, make some popcorn.
Sounds good to me.
Maybe I'll bring a pizza.
I don't remember inviting you.
No you didn't.
I invited myself.
‐ Hello.
‐ Night, all.
Goodnight.
Cardiology still hasn't taken
my rule out MI to CCU.
Susan, I can't miss this train.
What's the point of having
a cardiac care unit
if you can never
get anyone into it?
If I don't make it to
union station in 25 minutes
I'm gonna be walking
home to Milwaukee.
Mark, you need to do something.
I will. I promise.
First thing Monday, okay?
Hey, Mark, I heard you hired
Kerry Weaver as chief.
That's definitely a move
in the right direction.
Jerry, file those for me.
‐ You didn't hire Jane?
‐ No, I didn't.
Were you gonna tell me
or were you planning on
letting me read it
off the board?
It was my decision. I made it.
[beeper beeping]
I gotta pick Suzie up
from day care.
Oh. Hey, Dr. Greene..
...those medical students
are still down in exam three.
‐ You want me to send them home?
‐ Oh, God!
Hey. Excuse me. Excuse me.
Yes, yes. You're
the young lady
who helped me earlier
today, aren't you?
Mrs. Constantine.
Are you feeling better?
Well, I'm a bit tired.
Did I tell you
that I play the cello?
Once or twice.
Oh. I'm sorry.
Well, I would like to play
something for you
as a kind of thank you.
Oh, I don't think
that's necessary.
My son brought my cello to me.
It helps me pass the time
until I get better.
Really, you don't
have to do this.
I mean, maybe
you shouldn't do this.
[playing "Haydn melody"]
Hey, you okay?
Yeah.
No, I'm fine.
Tough first day back, huh?
Yeah.
Some days, like today,
I have to forget..
...or I'd never come back.
[sighs]
So, did you have
a good summer?
Yeah...it was great.
Really.
Did a peds rotation
over at children's.
Spent about five weeks
kicking around St. Bart's.
Really? I always wanted to go.
Was it nice?
Yeah.
(male #1)
'Hey doc, doc,
can you give us a hand?'
'Kid on a bike
got hit by a car. Full arrest.'
‐ I'll see you tomorrow, okay.
‐ Yeah.
See you tomorrow.
(Carter)
'Okay, give me the bullet.'
Sorry.
Hold on!...hold on!
No, no, hold on!
Thanks.
Chloe?
Oh, is dinner almost ready?
I am starving.
(Chloe)
'Yeah, all we got to do
is drop in the pasta'
'we're all set.'
Oh. Hello my beautiful girl.
Hi. Hi, prettiest girl.
How was school today?
'Uh, great.'
Uh, they're teachin' us
how to use the word and the..
...the spreadsheets.
Honey, you wanna come up,
say hi to mommy?
Okay, here we go.
Lemme get your head there.
Oh. Oh. Here we go.
Oh, oh, no! Oh, no!
Whoops! There we go.
There we go. That's the way..
...Oh..
'...yes. You're okay.'
'Yeah. Oh. No, no.'
[baby whimpering]
'It's okay.'
'Okay. Oh..'
'I missed you. Yeah.'
'Oh, God.'
'What time is it?'
Oh, God.
Oh, man.
Peter?
'Peter, hey, wake up.'
What?
'We fell asleep.'
It's almost midnight.
Oh, man.
What time does he get off work?
In ten minutes.
Hey.
Why don't you stay?
You know I can't.
I love you.
I'll see you tomorrow.
[theme music]