ER (1994–2009): Season 2, Episode 18 - A Shift in the Night - full transcript
Mark has to work for the fourth night in a row while a lot of the staff are absent and the number of patients is towering.
(woman on radio)
'News time 4:31.'
'I'm Gail Reissmeyer
bringing you'
'traffic and weather
on the..'
'Rain all over Chicagoland
today. The rain continues to..'
Oh, shit..
(woman on radio)
'..causing flooding on I‐94'
'and other expressways.'
'The WMAQ weather calls'
'for the rain to
continue into tonight'
'and it stays in our
forecast through tomorrow.'
[car honking]
(woman on radio)
'Bring your umbrella'
'your raincoat and your..'
Son of a bitch.
Son of a bitch!
[door closes]
[thumps]
[keys clatter]
[squeaking]
[sighs]
[telephone ringing]
[sighs]
[recorded message]
Please leave a message
at the tone.
(female #1)
'Mark? Mark, if you're
there, it's Kerry Weaver.'
'Could you pick up?
We got a little problem here.'
'Neal Hansen's on tonight
but his mother‐in‐law died'
'so Morgenstern..'
The answer is no, Kerry.
I am not coming in.
I don't really care if his
mother‐in‐law died, okay?
I've been on three
nights in a row.
Well, tell Morgenstern
that I can't
and give the shift to Doug Ross.
He could use the money.
What do you mean, whiplash?
(male #1)
'No evidence of
fracture or dislocation.'
'Vertebral bodies
are in good alignment.'
There is, however, reversal
of cervical lordosis
suggesting the possibility
of acute cervical
ligamentous injury.
My headache just tripled
during that dissertation.
Does the name Evelyn Wood
mean anything to you?
You know, Doug, I like
you in that collar.
It's a good look.
Bold yet spiritual.
(Doug)
'No, I stopped, stopped
dead at the stoplight'
and this Pakistani
cab driver plows into me.
I get out. He doesn't
speak a word of English.
I look at his photo ID.
And it's some sandy‐haired
guy named Kroopf.
Kroopf? Isn't that
kind of a German name?
‐ Can I have your shoes?
‐ What?
Can I have your shoes?
Mine are sopping wet.
Sure, Mark,
absolutely, you know
I'll just walk home
barefoot in the rain.
Just so you know, I'm sorry.
I would have taken that shift.
No problem at all, Doug.
I've only worked graveyard
the last three nights
got off at 8 o'clock
this morning
drove to Milwaukee
to spend the day with Rachel
only to have
Jennifer tell me
that she got
the dates mixed up.
See, Rachel, it turns out
is on some brownie
troop camping trip.
So I drove back, three
and half hours this time
because of the heavy rain
and flooding on I‐94
and here I am
refreshed and full of
enthusiasm for my work.
‐ You on tonight?
‐ Uh‐huh.
Go with God.
[theme music]
[music continues]
Susan, why are all these
patients in the hallway?
‐ No beds.
‐ Oh, great.
‐ So, you're on tonight, right?
‐ No, wrong.
I have dinner with
my lawyer at 7 o'clock.
Oh, Dr. Lewis,
a Peter Kreidman called.
‐ Can't make dinner till 7:30.
‐ Oh. 7:30.
Listen, Susan, can you
change that to tomorrow night?
Hansen's out,
Doug has got whiplash
Benton's in some marathon
surgery and Kerry and I
we're gonna be
a little shorthanded.
No, Mark,
I'm sorry. I can't.
You know, I think
Chloe's gonna
try and fight this adoption.
You know,
I‐I can't miss this.
Mark, you made good time
I was afraid I'd miss you.
‐ You're leaving too?
‐ I've been on 14 hours.
Yeah, well, I've been on
for the last three nights.
Look, I'd stay,
but Morgenstern wants me
to present our QA at
the JCAH in the morning.
Whoever's been handling it
kind of dropped the ball.
I'll be up all night
pulling it together.
‐ It's a real mess.
‐ Yeah, I was handling it.
Oh, well, I'll
walk you through it
once I get it
straightened out.
Shall we make rounds?
Mr. PCP's sleeping it off.
Probably need
another six hours.
Second‐degree burns,
both hands.
Checking on a pot roast,
forgot the hot pads.
Gangbanger in a fistfight.
‐ Fistfight? That's quaint.
‐ Waiting on X‐rays.
Thirty eight years old,
AIDS, hand and foot spasms.
CMV retinitis, PCP pneumonia,
GI lymphoma, waiting on ICU.
Rule‐out MI. Waiting on
a cardiology consult.
Calls himself Bobby Darin,
claims he got a shark bite
while swimming in the pool
at the Four Seasons Hotel.
Waiting on psych.
Ten cm laceration sustained
while sliding into second.
Needs sutures.
Abdominal pain,
probably food poisoning
but surgery's
ruling out an APPY.
'Presented with severe
shoulder pain and nosebleed.'
Platelet count, 15,000.
Waiting on Hematology.
TPA patient on dopamine.
Pulmonary edema.
Intubated on a nitro drip.
Waiting on ICU.
Bicycle versus postal truck.
Multiple rib fractures
bilateral hemopneumothoraces.
Critical but stable.
‐ Let me guess. ICU?
‐ Mm‐hmm.
Anaphylactic shock..
...and septic shock.
I think that's about it.
How are things
in Glocca Morra?
[baby crying]
[crying continues]
(Kerry)
'Unbelievable, huh?'
It's been like this
since the rain started.
Who else is on besides me?
A few residents,
a psych intern
and maybe Carter.
Goodnight.
[baby crying]
LOL with burned hands
admitted to burn service.
Films on that gang kid
were negative, sent him home.
And the rule‐out APPY was
ruled out and discharged.
Excellent, Haleh, you get
three gold stars. Carter?
I have sutured the leg lac
in 4, the knee lac in 3
the arm lac in 2
and the head lac in 1.
That's it? Alright.
We have seven waiting for ICU.
Now, make it eight. Bounce‐back
hip replacement with DVT and PE.
We have 33 in the ER
and 41 in the waiting room.
Make that 42. Paramedics
pulling in with an altered LOC.
So, your mission, should
you choose to accept it
which you will,
because you have no choice
is to move these folks out
so we can move these folks in.
Okay? I want quick turnover.
No big workups.
No unnecessary labs,
X‐rays or consults.
‐ But, Mark‐‐
‐ And no comments.
Carol, Carter, let's
go meet the incoming.
Randi, I want a turkey sandwich,
okay, from the cafeteria
'cause Jerry, he's,
uh, he's not here yet.
Sorry, I'm late. And I can't be
responsible for him, Dr. Greene.
Ra..
Let me out of here!
‐ Hi, Chuny. You're late.
‐ I'm on at 8 o'clock.
Yeah, well, it's 8:04.
What have we got?
Omar Gandera, 15,
strolling down by The Loop
drunk out of his mind.
Vitals are stable. BP, 120/80.
Fell on his knees.
He's gonna need some stitches.
What, you guys got a party
goin' on here or what?
Don't start with me, Doris.
How much did you drink, Omar?
Don't touch me!
Get out of here!
Can I give Mrs. Layton
another 50 of Demerol?
‐ How long has it been?
‐ Three hours.
Alright, well, if you
help with this kid.
Alright. On my count.
‐ One, two, three.
‐ Uh!
‐ Put me down!
‐ Buckle him up tight.
We got him at the bars.
Party on.
‐ Let me out of here!
‐ Sinus tach at 110.
Alright, Carter,
what do you wanna do?
‐ BP's still 120/80.
‐ CBC, Chem‐7.
Blood alcohol, tox screen,
ABG and saline. Wide open.
[screams]
[clattering]
‐ She said tie him tight.
‐ I did!
Labs are back on
the kid with the fever.
‐ Yeah? Any films?
‐ Uh, not yet.
Alright, well, go
sit on radiology
and don't bug me until
you've got everything.
Carter, get the labs
going and I'll be back.
Oh, yeah, we're
having some fun now.
(male #1)
'There are non‐displaced
oblique fractures'
of the third and fourth
metatarsal shafts
with no significant
angulation or comminution.
The foot's busted, okay?
Splint him and ship him out.
Chuny, What are you
doing with this guy?
‐ Gonna fix his feet.
‐ Uh‐huh.
What did he do,
stick them in a blender?
No more mixed drinks.
Put him on the back burner.
We've got people who are
a lot worse than he is.
Excuse me, doctor, could you
just come and look at my mother?
In a minute.
What a mess, huh?
It's not helped by the fact
that you were late getting in.
‐ Are you the doctor in charge?
‐ The one and only.
I'm Ruth Huggins. My son has a
cut on his hand. He needs help.
We're gonna get to
him as soon as we can.
So I'll bring him in.
He's still in the waiting room.
Jerry, can you take Mrs. Huggins
to the waiting room?
‐ Sure.
‐ But please, it's bleeding.
‐ We've been waiting out there.
‐ Come on, ma'am.
Jerry, Jerry, don't let
people sneak in like that, okay?
Whoever's out there
has been triaged.
We'll see them
as soon as we can.
But no one gets in here without
a chart unless they're dying.
Right.
Malik.
Mrs. Votey, you're having
weakness in your right arm?
Yesterday and again today.
Everything's sort
of out of focus.
At one point today
she couldn't even speak.
Scared my students
half to death.
My mother teaches
self‐defense.
‐ To seniors.
‐ Squeeze.
Maybe I could just wait
here for my regular doctor.
‐ Dr. Randall. Jack Randall.
‐ I know him.
Mrs. Votey, you might be
experiencing what we call TIAs
Transient Ischemic Attacks.
They can be a warning
sign of impending stroke.
I'll call Dr. Randall,
but in the meantime
I'm going to admit you upstairs
where they can work you up.
Start her on heparin,
800 an hour.
Call Randall and get
her admitted to medicine.
‐ You want a CT first?
‐ Let them do it.
We need the room.
I don't get it.
He's still altered.
‐ But his tox screen's negative.
‐ I have to pee.
‐ Ethanol?
‐ None detected.
‐ PH?
‐ 7.30.
‐ Omar, what did you drink?
‐ Gotta pee.
Omar?
‐ Gotta pee.
‐ Go ahead and pee, Omar.
There's a tube in your bladder.
Paramedics five minutes out.
‐ Drive‐by shooting.
‐ Hey, who's on call for trauma?
Uh, Benton, you
want me to call him?
No. Call thoracic.
‐ "Thoracic?"
‐ You heard me.
Call Morgenstern, tell him that
we are closing the trauma now.
‐ 'Lytes?'
‐ Not back yet.
What the hell's wrong
with the lab tonight?
Same thing that's
wrong with us, Mark.
There's just
too many patients.
[beeping]
Okay. Say he has a gap.
Methanol, uremia, DKA..
Ethylene glycol?
‐ You think he drank antifreeze?
‐ Well, gotta rule it out.
Alright. Get a Wood's lamp.
‐ It's really jammed in there.
‐ What?
I said, it's really
jammed in there.
‐ Carter, what are you doing?
‐ Foreign body in the canal.
Have him lie down.
‐ Do you know what it is, sir?
‐ What?
A bead.
So, Carter, you having fun
paying your penance in the ER?
[scoffs]
I'm off surgical service.
I'm working nights in the ER.
What's not to be happy about?
Still it is better
than not graduating.
I thought Dr. Hicks
might suspend me.
Believe me, she would
if she could have.
I can't believe
I was that stupid
sneaking off
and drinking on call.
I can. You're a medical student.
Hmm.
Superglue?
Yes. Just touch the bead.
Hit the skin, you're in trouble.
‐ Don't move!
‐ Don't move!
Dr. Greene, paramedics are here.
[telephone ringing]
Got it!
[baby crying]
‐ How old is she?
‐ 18 months.
Two gunshots
to the right upper leg.
Through and through.
Hypotensive. Can't get a line.
'It's okay, baby. We're here.'
Cops got the boy who did it.
Black kid, 14 years old.
Shot him dead.
Can't say I'm sorry.
Cops never mind
shooting a black kid.
And he didn't much mind
shooting this one, did he?
CBC, type and cross for two.
Get a unit of O‐neg.
Right foot's cold. No pulse.
‐ Femoral artery.
‐ I'll call for X‐rays.
Sixteen‐gauge Jamshidi.
One percent with epi.
Faint pulse.
Dinamap's not reading.
One‐twenty of saline.
[baby crying]
Fill these tubes.
Haleh, page Netzley.
Malik, you're gonna
take her up to OR.
Got it.
Dr. Greene, about
closing the trauma
Morgenstern gave the big N‐O.
Yeah? Well, get him
on the phone for me.
He went back up to surgery.
‐ Alright, well, I'll find him.
‐ Mark, bingo on Omar.
[baby crying]
You got it?
[baby crying]
‐ 'Ethylene glycol it is.'
‐ What's that?
Antifreeze.
Get renal down here stat.
‐ Let's give him IV ethanol.
‐ We don't have any.
What?
I checked.
Pharmacy's out.
St. Luke's
is sending us some
but it won't be here
for another hour.
There's a bottle of bourbon
out in that shopping
cart in the hall.
‐ Bourbon?
‐ 120 cc oral loading dose.
Thirty cc's POQ one hour.
Otherwise, he's got brain
damage and renal failure.
Bourbon shooters it is.
[sighs]
[beeping]
[indistinct chattering]
Labs are finally back on
that coma in 2. It's DKA.
Start an insulin drip,
0.1 per kilo per hour.
‐ Mrs. Votey.
‐ Who?
The karate lady,
she had another TIA.
Yeah, she's supposed to
be admitted to medicine.
Yeah, but Dr. Randall
said to discharge her.
Discharge her?
What, is he nuts?
Page him 911 and tell him
to get in here now.
Here you go. Whoa!
[barking]
Who let this dog in here?
Try and take it away
from her and it bites you.
Mark, that puker
in 4 is still at it.
Give him ten of Compazine
and a liter of saline.
‐ Mr. Nathan in 5, he's‐‐
‐ Morgenstern finally made it.
‐ He's up at the front.
‐ What about the sandwich?
Oh! Damn, sorry, I forgot.
I can get it almost immediately.
‐ Who are we talking about?
‐ Mr. Nathan in 5.
High white count,
temp's 101
still has left
lower‐quadrant pain.
Probably diverticulitis.
Make him NPO.
Give him amp, gent, Flagyl
and get an abdominal series.
That's right. Bring him in.
‐ Answering the phones?
‐ I'm here to help.
Yeah, well, then why don't
you close up the trauma?
Sorry, Mark. No can do.
County's only
looking for excuses
to put us
out of business.
Well, it's 10:30.
We've got enough
business to last a year.
Thirty two in the ER,
Forty nine in the waiting room.
‐ Look, Mark, I'm sorry.
‐ Mark.
Got a little Benton fracas
goin' on in Trauma 2.
Board of Commissioners
wants to close the county ER
and save $80 million a year.
Every time we close,
we're sending a message
that we're not
capable of providing.
Yeah, well, we're not.
I now have nine ICU
patients draining my staff.
We have no monitored beds.
Here are the films on Robinson.
I have, I can't even help half
the patients here. It's insane.
Look, I talked to
the critical care coordinators.
We can move six patients
from ICU to telemetry
but we're staying open.
So what?
He's oxygenating well.
The tube heads medially,
striking the mediastinum.
Peter, Shelly.
Why the hell didn't you
page me when this came in?
‐ Shelly's handling it.
‐ I'm on call for trauma.
We didn't need you.
Look, if you
don't want my help‐‐
Gentlemen, please. Ladies!
I don't hear anybody
helping anybody here.
Now, what's going on?
Third‐year
Surgical Resident Leung
placed the chest
tube anteriorly.
Which has relieved
the pneumothorax.
But which will, in no way,
drain the hemothorax.
Which can be repositioned
when we prep for a lab.
Excellent idea!
Let's all scrub in.
'Come on, folks. Let's go.'
Mark, hang in there. If you
need anything, give me a call.
‐ How about a turkey sandwich?
‐ Too late.
Cafeteria closes at
ten now. County cutbacks.
It's called the growth plate,
it's a piece of cartilage
that doesn't turn to bone
until you're grown‐up.
‐ Dr. Greene.
‐ Carter. Chloe.
Hi, Mark, I‐I, uh,
came here to see Susie
but John says
she's not on tonight.
No, she isn't.
Chloe was curious about
how to read an x‐ray.
I guess the interest in medicine
must run in the family, huh.
[scoffs]
Yeah, right.
Junior gymnast in 5.
Fractured patella.
Time to break
the bad news. Excuse me.
Man, that hand is so little.
‐ Look at that.
‐ Yeah.
It's probably four
or five years old.
Little Susie's hand
is about that big, right?
So Susie probably told you
what's going on with us.
Yeah, she mentioned some things.
I understand why
she's upset with me.
I never thought I could
change, why should she?
I just want her to see that
things are different now
that I'm different now.
Did she tell you
that I'm engaged?
No, she didn't.
He's a great guy.
Steady. He's as
smart as Susie is.
He's the only person I
have known besides Susie
who's ever taken
the time with me..
...to get to know me,
you know, to..
...the thought that
there was something..
...in me worth finding out.
It's really busy out there.
I gotta get back to work.
Hey, Mark, um, the thing
is, I‐I really miss her.
I'm sure you do.
And I know it's hard,
but as far as babies go
little Susie's doing great.
Yeah. I‐I miss her too.
[indistinct chattering]
Jerry, put out
a page on Steve Flint.
‐ Uh‐huh.
‐ How's our score?
Bleak, bleaker, bleakest.
No, wait. We can
mark this one off.
Omar Gandera.
Renal finally got here.
They're gonna
take him upstairs.
‐ Did you call psych for him?
‐ Yeah.
They said to call
back in a week.
Oh, great,
kid OD'ed on antifreeze
and psych can't
quite fit him in.
Exam 2's open.
Good work, Chuny.
‐ Somebody help me, please!
‐ Alright, Chuny, park that guy.
‐ Jerry, clear Trauma 2.
‐ Get a doctor here, please!
‐ What happened? What happened?
‐ I don't know. It's his chest!
‐ What's your name?
‐ Corky.
‐ Corky, are you alright?
‐ Yeah.
It's just my dad, he's sick.
‐ He's really sick.
‐ Was he vomiting blood?
‐ You got some on your shirt.
‐ No, no, I just cut myself.
‐ What have we got?
‐ A possible MI.
‐ What's your father's name?
‐ Louis. Louis Etheridge.
Louis? Louis? Mr. Etheridge?
‐ Is he on any medications?
‐ I don't know. Maybe.
Louis..
‐ Air.
‐ Tachy at 120.
‐ 'BP, 160 palp.'
‐ EKG, portable chest.
ABG, first‐day CCU labs.
Fifteen liters
of O‐2, four of MS
titrate a nitroglycerine drip.
‐ O‐2 sat's 100.
‐ You nauseous, Mr. Etheridge?
Yes. Yes. Please help me.
‐ Inferior MI?
‐ Has he had any heart trouble?
No, that's not it.
What is it, Corky?
It's okay to tell us.
Dr. Greene, what
the hell are you doing
pulling me down here in
the middle of the night?
Wait outside,
please, Dr. Randall.
Corky, what's wrong
with your father?
‐ I need to talk to you.
‐ In a minute!
‐ Corky?
‐ I don't know. He's just sick!
Double lumen IVs.
Get a TPA tray.
'Let me know when
the 12‐lead's done.'
You got me out
of bed at midnight
for absolutely no reason.
Your patient's
just around the corner.
Why don't we step this way?
I gave the order to have her
discharged hours ago.
Yeah, well,
she's had three TIAs
in the last two days.
She needs to be admitted.
Stroke Council, AHA,
1995 recommendations
Hospitalize for four or more
TIAs in a two‐week period.
Or for findings suggesting
a worsening course.
I know the paper.
Her HMO will not
authorize her admission.
There we go. She's one
of your HMO patients.
They're the only
ones who have
patients anymore in
case you haven't noticed.
So we're supposed
to wait until she
strokes out so they can
keep their costs down?
You don't have to wait
for anything, Dr. Greene.
She is discharged.
That bounceback migraine in 4
is still complaining of pain.
Try a milligram of DHE
and ten of Reglan.
‐ What's the story?
‐ His father's an alcoholic.
Yeah?
Corky says his
mother's been putting
Antabuse in his coffee.
‐ While he's still drinking?
‐ Uh‐huh.
‐ And not telling him?
‐ Right.
So he's still drinking
and now he's having
an Antabuse reaction.
Well, that could
have been fatal.
The kid knew all along?
‐ Hey, Corky!
‐ Mark.
The kid's scared enough, okay?
Yeah, well, he should be.
His father could have died.
Call the mother
and get her in here.
Excuse me, doctor.
I know you said to wait.
But my son's hand.
It really is a bad cut.
Mrs. Huggins, your son has
been triaged as a minor injury.
There are much more
urgent cases ahead of you.
You have to wait
in the waiting room.
Jerry, I asked you to keep
these people out of here.
Now, I am running over to Doc's
to pick up my sandwich, okay?
I'll be back in two minutes.
Get this dead guy out of here.
[car honking]
[tires screeching]
[crashes]
[intense music]
Here! Give me that!
Give me that!
Call for help, okay?
‐ Call for help.
‐ Okay.
[hissing]
You alright. Hang on in there!
I'm gonna get you out!
Hang on! Hang on!
[indistinct shouting]
Hang on!
[indistinct shouting]
Leita! Leita!
Try and crawl out!
If you just crawl out
the window we can get you out.
Anything?
Still waiting for
the other unit to show up
with the extrication equipment.
(Mark)
'Get the mother
and daughter out.'
Her mother's unconscious.
Alright, well, tell
her, tell her to grab
your hand. You
can pull her out.
[speaking in foreign language]
(male #2)
Over here.
I got it!
[indistinct shouting]
Alright. I'll try to get in!
‐ Come over to this side!
‐ Alright. Hold it.
[speaking in foreign language]
I can't reach her!
[siren wailing]
Let me get in. Let me get in.
Grab my hand!
Come on, grab my hand!
‐ Grab my hand.
‐ Get out of there.
I can grab ahold of her.
‐ Let me get in there.
‐ I almost got her hand.
Doc, I can get her
out of there, okay?
Move!
Let me get her out, okay?
We'll bring her in. Why don't
you go dry off, alright?
Get the trauma rooms ready.
[whirring]
Jerry.
‐ I wouldn't ask if I were you.
‐ Jerry?
Folding chairs
for the waiting room.
Maintenance ordered
them four hours ago.
Alright, let me know when
those accident victims get in.
I'm gonna go grab some
coffee and dry scrubs
and clear those trauma rooms.
Hey, you don't have any
coffee filters in here, do you?
‐ 'Are you kidding?'
‐ No.
And we can't even do
the folded paper towel trick.
[grunts]
Mr. Carter,
you are in luck.
Now, if we had a hair dryer,
it'd really be our lucky day.
How do you do this?
You gotta get the coffee grounds
out without ripping the paper.
No, I mean this.
Patients stacked
up everywhere
and no end in sight.
It's like the O'Hare of
emergency rooms in there.
It was a lot easier
when I was younger.
I was newly married,
I'd just had a baby.
Jennifer used to come down
in the middle of the night
with chicken sandwiches.
She'd have Rachel
in the car seat.
And we'd picnic between
the waiting‐to‐be‐sutured
and the bounce‐back migraine.
I guess it helped,
having a family.
Yeah. Yeah, it did.
What are you gonna do?
That is really bad.
I'm gonna go change.
That's a lovely little pup
you got there, Mrs., uh..
...excuse me, Ms. Decksley.
Absolutely charming.
Hey, Stinky,
want a few little stitches?
Shut that yappy
little mouth of yours?
‐ 'You're not a dog‐lover, huh?'
‐ This is not a dog.
This is a small, furry
object suitable for punting.
Mm‐hmm. I bet you can't get
him over that desk back there.
Don't tempt me.
But tempting, that's
what I do for a living.
‐ I'm a lap dancer.
‐ Okay.
So I hooked up with this
polyester guy tonight.
And I slipped right
off his knee and bam!
Sliced my butt on his spurs.
I mean, why would you wear
cowboy boots with polyester?
I don't think I would.
Are you gonna
stitch me up next?
Because this cut,
it really stings.
You want something
for the pain?
Drugs? Sure.
‐ Any word from outside?
‐ Yeah. They radioed over.
Probably be about
another ten minutes.
Jerry, call ICU.
This ventilator guy has
been down here for days.
Okay, uh, do you want me to
page Benton for that
rule‐out APPY in 4?
No, I'll check it out. Lydia,
get those labs on Cromley.
I thought you were trying
to get that girl out.
‐ So did I.
‐ Mm‐hmm.
I can't even get the lab to get
a CBC in under three hours.
I can't get an X‐ray
shot in under two
and I can't get any
ICU beds to open up.
Mark, Jennifer's on the phone.
‐ Jen, what's up?
‐ 'They brought Rachel home.'
‐ 'She's not feeling well.'
‐ So, it's one in the morning.
They drove her
back from the lake?
(Jennifer on phone)
'Yeah. Just a stomach..'
‐ Stomachache and what else?
‐ 'She threw up.'
Does she have a temperature?
Maybe it's altitude sickness.
Well, how do I know
where the lake is?
You didn't even tell me she was
going on a camping trip.
[indistinct shouting]
Jen, I don't wanna
fight right now.
Listen, just put
Rachel in bed.
Keep her on clear fluids
and I'll call
you in the morning.
Well, what do you want
me to do from down here?
Well, I'm sorry you called too.
Jerry, get Carter in here.
[screaming]
‐ She's gonna be okay.
‐ Get this out of here.
‐ Do you want me to page Benton?
‐ Yeah, might as well.
The ankle's deformed.
No cap refill or pulses.
BP's 80 palp. Pulse, 110.
Hey, doc, listen.
Fracture dislocation.
'We need to reduce.'
'Let's sedate her.'
Prep 35 migs ketamine,
0.3 atropine.
I was just trying
to get her out‐‐
Start another line.
Hang half a gram of Ancef.
‐ Bolus 20 per kilo?
‐ Yes.
CBC, Chem‐7, UA, portable
chest and get an ankle.
We got her out, damn it.
[beeping]
‐ Let's hear it.
‐ Pulse, 140. BP, 90/60.
Probable flail chest but good
bilateral breath sounds.
Fractured left femur. Abdomen's
rigid, x‐ray's on the way.
‐ O2 sat 90.
‐ Blood ordered?
Two units O neg are up,
type and cross for eight.
‐ Iris 30.
‐ Atropine, now.
Good work, Carter. Prep for
a lavage. You okay with that?
I'm okay with that, yeah.
‐ Jimmy..
‐ Clear!
Got a C‐spine and a
post‐intubation chest next door.
Ketamine's onboard. She's out.
Wanna wait for the films?
No, let's do it.
Countertraction.
[beeping]
‐ That's it. Back in.
‐ She's coding!
Where the hell's Benton?
Page him, stat!
Alright, everybody, off! Off!
‐ Okay, sinus brady.
‐ Mig of atropine.
‐ Mix up dopamine.
‐ I paged him 911.
Muffled heart sounds.
Neck vein distension.
‐ And another pulse.
‐ Thoracotomy tray.
Chuny, do compression.
‐ Tamponade?
‐ Yeah.
It could be
a cardiac laceration.
[beeping]
Ten blade.
‐ Did you page him?
‐ Twice.
‐ Rib spreader.
‐ O‐neg's here. Four more units.
(Mark)
'Throw them on the infuser.'
Oh, yeah.
Sac's tense with blood.
Metz!
‐ She's bleeding out.
‐ Rib punctured the heart.
Now, keep your finger over
the hole and do compressions.
Should we wait for Benton?
Let's try a 16 Foley,
30cc balloon.
‐ Foley?
‐ Yeah, clamp the end.
And saline, not air.
Last thing she needs
is an air embolism.
‐ She's in fib.
‐ Alright, uh, internal paddles.
One second.
Carter, pay attention.
There we go.
Catheter is going into
the hole in the heart.
‐ Okay. Now fill the balloon.
‐ Two units O‐neg in.
[beeping]
Excellent.
Now, traction.
‐ What have we got?
‐ 'Charging.'
Charge 20.
Zapping.
‐ Sinus.
‐ Got a pulse.
Let's get her up to the OR.
Where the hell
have you been?
We have a double trauma
and you don't even respond?
I was closing on
a mesenteric infarction.
Yeah, with how
many other residents
who could've closed for you?
Well, it was my surgery.
‐ I was busy.
‐ 'No, no, Peter.'
Down here is busy.
In there is busy.
In there is where we
ignore everything else.
I ignore my
patients for in there.
I ignore my
child for in there
my marriage for in there.
Don't ever pull this again!
Maybe the rain will
keep the people home.
I thought it stopped raining.
Nope.
‐ Going..
‐ 'Going..'
(female #2)
'Gone.'
[telephone ringing]
‐ Is there a problem?
‐ 2 o'clock.
‐ Bars are closing.
‐ They're getting in their cars.
‐ Going too fast.
‐ Swerving.
‐ Crashing.
‐ Paramedics are rolling out.
Scooping them up.
Dropping 'em off
on our doorstep.
Dr. Greene, that was a 911
call from our waiting room.
‐ It's a jungle out there.
‐ I know.
Doctors Lewis, Ross, Weaver
and Treloggen will be on
in 4 hours and 58 minutes.
They will not be pleased.
By the way, Jerry,
that light bulb's out.
Carter, did you discharge
that ankle sprain?
‐ About an hour ago.
‐ The rule‐out MI in 4?
Uh, cardiology took him up.
What about that Huggins kid,
the one with the cut hand?
‐ The one with the mother?
‐ Yeah.
No, he's still
in the suture room.
(male #1)
'There's a metallic foreign
body of 14 millimeters'
located one centimeter medial
to the distal femoral condyle.
‐ Morning, Harry.
‐ Labs back on that OD in 6.
Excellent! Stick
them on the chart.
Films are back on
that busted collarbone.
Excellent. Stick
them on the chart.
‐ Mrs. Huggins.
‐ This is my son, Danny.
‐ Hello, Danny.
‐ Hi.
Mark, I need to
see you a minute.
‐ Can't it wait?
‐ No, I don't think so.
[sighs]
Excuse me.
‐ Why Trauma 1?
‐ She's not doing so well.
And there's no exam rooms.
‐ Is her son with her?
‐ Yeah.
Carol, why don't you
take Corky outside?
You drink coffee yet?
He's not supposed to,
but he does.
Me too. Come on,
let's go get a cup.
Mrs. Etheridge,
I'm Dr. Greene.
Corky didn't tell
you about his father
because I
told him not to.
I told him not
to tell anybody.
His condition tonight
was very serious.
Antabuse is
a deterrent to alcohol.
Mixing them can be fatal.
It's not that I
want him to die.
It's just that when he drinks,
it can get pretty bad.
[sniffling]
There's blood
on Corky's shirt.
Does your husband
beat him as well?
No. Corky got in the middle.
I think it's from my nose.
[sniffles]
There are places you
can go, Mrs. Etheridge.
Shelters where you
and your son can be safe.
I know.
In cases of
domestic violence..
...I'm legally obligated
to inform the police.
I know that too.
[sniffles]
Jerry, call the police.
Domestic violence case.
Sure.
Carol, order a facial series
and clean up the abrasions.
Okay.
Did he wanna talk about it?
Say anything?
No. Not a word.
(Mark)
'Bend your finger.'
He was helping me
hang a mirror.
(Danny)
'It weighed a ton.'
Needless to say, we dropped it.
Seven years of bad luck.
Nah. I don't
believe in that stuff.
It's a fairly deep cut, but I
don't see any tendon damage.
See? That's good luck.
‐ 'What time did it happen?'
‐ After dinner.
After "Hard Copy," mom.
Unfortunately, I
can't stitch it up.
What?
After six hours, the risk
of infection is too high.
We've been sitting
here half the night
and now you can't
even do anything?
I'll put him on
antibiotics and you can
bring him back in three
days for a delayed closure.
Do we have to wait again?
Carol, did they admit that,
uh, bowel obstruction in 5?
He's under the knife
as we speak.
‐ The room's free.
‐ Good work.
Whoever's got gastrointestinal
distress, rise and shine.
[grunts]
‐ Loretta.
‐ Hi, Dr. Greene.
‐ Wow. These gurneys aren't bad.
‐ Are you alright?
Yeah, I'm fine. I mean, no.
You know, of course,
I'm not. But i‐it's Jimmy.
He's got a fever.
He's been throwing up.
Come on, baby. Wake up. Come on.
Swing your feet over there.
Hey, how are you
doing there, fella?
I puked twice in
the waiting room.
He's kind of embarrassed.
There were six other men
in line for the bathroom.
Yeah, it's a little
crowded out there. Sorry.
Your‐your stomach feels okay?
Open your mouth.
'There you go. Tongue out. Ah.'
Yeah, I don't think
it's anything serious.
Your garden‐variety
24‐hour virus.
'Nothing by mouth
for six hours.'
'Then, sips of clear liquids.'
And if he keeps those down,
you can try a little
toast and applesauce for dinner.
Okay. Thanks, Dr. Greene.
I'm sorry you
had to wait so long.
Oh, it wasn't so bad.
We got in before
a lot of the others did.
Chuny, you wanna help
me grab some stuff?
Sure. What do you need?
Uh, gauze, syringes, Ace wraps
saline, suture sets,
eye patches.
‐ 4‐0 nylon.
‐ Check.
‐ Skin staplers.
‐ Check.
‐ Tetanus boosters.
‐ Double check.
Haleh, Lydia, what are you doing
for the next couple of hours?
[indistinct chattering]
He's kidding, right?
Can we treat them
without a chart?
How's the hospital
going to bill them?
Does that metal detector work?
You're not gonna
make an announcement
or anything, are you?
And start a stampede?
These are some
of the more minor cases.
Explain to them
what we are doing.
No labs or X‐rays
without a chart.
Richard Tomco!
Anderson. Anderson?
Mark, we know this guy.
What do you want
this time, Ricky?
Percocet? Demerol?
No, no. I'm telling you,
this time it really hurts.
Yeah, yeah, it's abscessed.
Pretty nasty in there.
5 cc's Marcaine,
27‐gauge needle.
‐ Have any allergies?
‐ Uh‐uh.
Open up.
You're gonna be numb
for about...six hours.
Dental clinic's
on the second floor.
‐ Opens at nine.
‐ Do I need stitches?
No. I don't think so. When
was your last tetanus shot?
‐ Probably high school.
‐ Okay.
We're gonna give you
one now, but I want you
to come back
if there's any redness
or swelling or red
streaks, okay?
(Anderson)
Okay.
Impetigo. Write him for Keflex.
Urticaria, 0.2 Susphrine sub‐Q.
Subungual hematoma. Drain it.
Do you think he's, you know,
lost his grip on reality?
‐ No. I think he's having fun.
‐ Vaginal bleeding.
Haleh, do you think we can do
a pelvic in the waiting room?
Just kidding.
Take her back.
Spin a crit, dip
a urine and do an ICON.
Sudden‐onset blindness.
Woke up this morning
couldn't see a thing.
Carter?
(Carter)
'Differential includes'
retinal detachment,
central retinal
artery occlusion, CVA.
Diabetic retinopathy,
retinitis, macular degeneration.
She's too calm.
I think it's psychogenic.
Lydia, try and find
that optokinetic drum.
If the eyes move when
the drum spins, she's faking.
Molly and Sarah
were roughhousing.
Don't ever buy bunk beds.
And then Molly got
pulled off the top.
Your arm hurts, Molly?
Did you hit your
head or anything else?
‐ Want me to order an X‐ray?
‐ No, we don't need it.
Ms. Taylor, one of
the ligaments in Molly's elbow
slipped out of place.
I'm gonna fix it.
She's gonna cry, but it'll
only hurt for a second.
Ow!
Jeffrey fed his brother
a couple of those
little button batteries.
‐ You sure?
‐ Yeah.
I saw the second
one go down myself.
Why'd you do that, Jeffrey?
‐ Because he likes them.
‐ He likes them.
Well, he's gonna need
some X‐rays, Mr. Alexander.
If they're stuck
in his esophagus
there's potential
for a perforation.
Carter? Carter,
hold on for a second.
Can I borrow this?
Try that.
[beeping]
[chuckling]
It's below the diaphragm.
No need to worry.
Check his stool. They'll
probably pass in a day or two.
That's great.
Thank you.
He's right. Psychogenic.
‐ 'Lois.'
‐ Hmm.
I'm gonna give
you some eye drops.
I think they're gonna help
you with your vision, okay?
So just lean your head back.
Always give
the patient a way out.
One more. Okay.
That ought to do it.
‐ Oh, wow, yeah.
‐ Yeah?
I can see everything.
It's still a little
blurry, though.
Yeah, well, by
the time you get home
everything should be fine.
Mark, Mrs. Lipshultz,
83, flushed, headachy.
[retches]
Oh...and nauseous.
Sorry.
That's alright.
They're Doug's shoes.
Uh, give her ten
of Compazine, IM.
What's bothering
you, Mr. Buchanan?
Where does it hurt?
Here.
How you doing, Mr. Buchanan?
It's my back,
i‐i‐it's killing me.
‐ Not your shoulder?
‐ No, no, no. My back.
BP both arms.
Don't worry, Mr. Buchanan.
We're gonna take
care of everything.
Where can I get one
of these things, huh?
Her arm feels absolutely fine.
What do you say?
‐ Thank you.
‐ You're very welcome.
We still have an eye pain,
a neck pain, an abdominal pain
and a boil that
needs to be lanced.
Be there in a minute.
I know it's early,
but I knew you'd be up.
(Rachel on phone)
'How did you know?'
Because "Bananas
In Pajamas" is on.
No, no. Don't turn it up,
Rachel. You'll wake up mommy.
Listen, I'm glad you're
feeling better, sweetie.
‐ I'll see you next weekend.
‐ 'Okay.'
‐ Love you.
‐ 'Love you too.'
[taps]
‐ Hey, breakfast?
‐ Thanks.
‐ Breakfast?
‐ Thank you.
Mm.
[indistinct chattering]
Be careful. It's ugly out there.
Not as ugly as
it's been in here.
‐ Goodnight.
‐ Goodnight.
[indistinct chattering]
[sighs]
What a night.
You ever have to sleep
in one of these things?
Listen, Doug, I'm gonna put
your shoes by your locker, okay?
'Cause mine are
probably dry by now.
[both laughing]
Thanks for
the great work, Carol.
That's why they
pay me the big bucks.
Hey, Peter.
We're gonna have
to find some way
to work together.
Yeah, I guess we are.
How was dinner?
‐ I fired him.
‐ What?
I have to find a new
lawyer this morning.
The guy was a lightweight.
He said Chloe could
possibly have a case
'if in fact...
she does have a job..'
Yada, yada, yada..
What do you think?
I've seen her go through
hundreds of jobs, Mark.
What am I supposed to think?
‐ Hey, Kerry.
‐ Oh, hi, Mark.
I think I finally made
sense of that QA review.
But I know, you're on your way
out. We can go over it later.
Thank you.
I appreciate that.
Goodnight.
[indistinct chattering]
I thought it would've
stopped by now.
Yeah.
Tonight was great.
The waiting room.
When I started med school
that's what I thought
it was gonna be like.
Really helping people.
At least, that's what I
thought it was supposed to be.
That is what it's
supposed to be.
What are you gonna
do today, Carter?
I don't know.
What are you gonna do?
[chuckles]
I don't know.
[instrumental music]
[theme music]
'News time 4:31.'
'I'm Gail Reissmeyer
bringing you'
'traffic and weather
on the..'
'Rain all over Chicagoland
today. The rain continues to..'
Oh, shit..
(woman on radio)
'..causing flooding on I‐94'
'and other expressways.'
'The WMAQ weather calls'
'for the rain to
continue into tonight'
'and it stays in our
forecast through tomorrow.'
[car honking]
(woman on radio)
'Bring your umbrella'
'your raincoat and your..'
Son of a bitch.
Son of a bitch!
[door closes]
[thumps]
[keys clatter]
[squeaking]
[sighs]
[telephone ringing]
[sighs]
[recorded message]
Please leave a message
at the tone.
(female #1)
'Mark? Mark, if you're
there, it's Kerry Weaver.'
'Could you pick up?
We got a little problem here.'
'Neal Hansen's on tonight
but his mother‐in‐law died'
'so Morgenstern..'
The answer is no, Kerry.
I am not coming in.
I don't really care if his
mother‐in‐law died, okay?
I've been on three
nights in a row.
Well, tell Morgenstern
that I can't
and give the shift to Doug Ross.
He could use the money.
What do you mean, whiplash?
(male #1)
'No evidence of
fracture or dislocation.'
'Vertebral bodies
are in good alignment.'
There is, however, reversal
of cervical lordosis
suggesting the possibility
of acute cervical
ligamentous injury.
My headache just tripled
during that dissertation.
Does the name Evelyn Wood
mean anything to you?
You know, Doug, I like
you in that collar.
It's a good look.
Bold yet spiritual.
(Doug)
'No, I stopped, stopped
dead at the stoplight'
and this Pakistani
cab driver plows into me.
I get out. He doesn't
speak a word of English.
I look at his photo ID.
And it's some sandy‐haired
guy named Kroopf.
Kroopf? Isn't that
kind of a German name?
‐ Can I have your shoes?
‐ What?
Can I have your shoes?
Mine are sopping wet.
Sure, Mark,
absolutely, you know
I'll just walk home
barefoot in the rain.
Just so you know, I'm sorry.
I would have taken that shift.
No problem at all, Doug.
I've only worked graveyard
the last three nights
got off at 8 o'clock
this morning
drove to Milwaukee
to spend the day with Rachel
only to have
Jennifer tell me
that she got
the dates mixed up.
See, Rachel, it turns out
is on some brownie
troop camping trip.
So I drove back, three
and half hours this time
because of the heavy rain
and flooding on I‐94
and here I am
refreshed and full of
enthusiasm for my work.
‐ You on tonight?
‐ Uh‐huh.
Go with God.
[theme music]
[music continues]
Susan, why are all these
patients in the hallway?
‐ No beds.
‐ Oh, great.
‐ So, you're on tonight, right?
‐ No, wrong.
I have dinner with
my lawyer at 7 o'clock.
Oh, Dr. Lewis,
a Peter Kreidman called.
‐ Can't make dinner till 7:30.
‐ Oh. 7:30.
Listen, Susan, can you
change that to tomorrow night?
Hansen's out,
Doug has got whiplash
Benton's in some marathon
surgery and Kerry and I
we're gonna be
a little shorthanded.
No, Mark,
I'm sorry. I can't.
You know, I think
Chloe's gonna
try and fight this adoption.
You know,
I‐I can't miss this.
Mark, you made good time
I was afraid I'd miss you.
‐ You're leaving too?
‐ I've been on 14 hours.
Yeah, well, I've been on
for the last three nights.
Look, I'd stay,
but Morgenstern wants me
to present our QA at
the JCAH in the morning.
Whoever's been handling it
kind of dropped the ball.
I'll be up all night
pulling it together.
‐ It's a real mess.
‐ Yeah, I was handling it.
Oh, well, I'll
walk you through it
once I get it
straightened out.
Shall we make rounds?
Mr. PCP's sleeping it off.
Probably need
another six hours.
Second‐degree burns,
both hands.
Checking on a pot roast,
forgot the hot pads.
Gangbanger in a fistfight.
‐ Fistfight? That's quaint.
‐ Waiting on X‐rays.
Thirty eight years old,
AIDS, hand and foot spasms.
CMV retinitis, PCP pneumonia,
GI lymphoma, waiting on ICU.
Rule‐out MI. Waiting on
a cardiology consult.
Calls himself Bobby Darin,
claims he got a shark bite
while swimming in the pool
at the Four Seasons Hotel.
Waiting on psych.
Ten cm laceration sustained
while sliding into second.
Needs sutures.
Abdominal pain,
probably food poisoning
but surgery's
ruling out an APPY.
'Presented with severe
shoulder pain and nosebleed.'
Platelet count, 15,000.
Waiting on Hematology.
TPA patient on dopamine.
Pulmonary edema.
Intubated on a nitro drip.
Waiting on ICU.
Bicycle versus postal truck.
Multiple rib fractures
bilateral hemopneumothoraces.
Critical but stable.
‐ Let me guess. ICU?
‐ Mm‐hmm.
Anaphylactic shock..
...and septic shock.
I think that's about it.
How are things
in Glocca Morra?
[baby crying]
[crying continues]
(Kerry)
'Unbelievable, huh?'
It's been like this
since the rain started.
Who else is on besides me?
A few residents,
a psych intern
and maybe Carter.
Goodnight.
[baby crying]
LOL with burned hands
admitted to burn service.
Films on that gang kid
were negative, sent him home.
And the rule‐out APPY was
ruled out and discharged.
Excellent, Haleh, you get
three gold stars. Carter?
I have sutured the leg lac
in 4, the knee lac in 3
the arm lac in 2
and the head lac in 1.
That's it? Alright.
We have seven waiting for ICU.
Now, make it eight. Bounce‐back
hip replacement with DVT and PE.
We have 33 in the ER
and 41 in the waiting room.
Make that 42. Paramedics
pulling in with an altered LOC.
So, your mission, should
you choose to accept it
which you will,
because you have no choice
is to move these folks out
so we can move these folks in.
Okay? I want quick turnover.
No big workups.
No unnecessary labs,
X‐rays or consults.
‐ But, Mark‐‐
‐ And no comments.
Carol, Carter, let's
go meet the incoming.
Randi, I want a turkey sandwich,
okay, from the cafeteria
'cause Jerry, he's,
uh, he's not here yet.
Sorry, I'm late. And I can't be
responsible for him, Dr. Greene.
Ra..
Let me out of here!
‐ Hi, Chuny. You're late.
‐ I'm on at 8 o'clock.
Yeah, well, it's 8:04.
What have we got?
Omar Gandera, 15,
strolling down by The Loop
drunk out of his mind.
Vitals are stable. BP, 120/80.
Fell on his knees.
He's gonna need some stitches.
What, you guys got a party
goin' on here or what?
Don't start with me, Doris.
How much did you drink, Omar?
Don't touch me!
Get out of here!
Can I give Mrs. Layton
another 50 of Demerol?
‐ How long has it been?
‐ Three hours.
Alright, well, if you
help with this kid.
Alright. On my count.
‐ One, two, three.
‐ Uh!
‐ Put me down!
‐ Buckle him up tight.
We got him at the bars.
Party on.
‐ Let me out of here!
‐ Sinus tach at 110.
Alright, Carter,
what do you wanna do?
‐ BP's still 120/80.
‐ CBC, Chem‐7.
Blood alcohol, tox screen,
ABG and saline. Wide open.
[screams]
[clattering]
‐ She said tie him tight.
‐ I did!
Labs are back on
the kid with the fever.
‐ Yeah? Any films?
‐ Uh, not yet.
Alright, well, go
sit on radiology
and don't bug me until
you've got everything.
Carter, get the labs
going and I'll be back.
Oh, yeah, we're
having some fun now.
(male #1)
'There are non‐displaced
oblique fractures'
of the third and fourth
metatarsal shafts
with no significant
angulation or comminution.
The foot's busted, okay?
Splint him and ship him out.
Chuny, What are you
doing with this guy?
‐ Gonna fix his feet.
‐ Uh‐huh.
What did he do,
stick them in a blender?
No more mixed drinks.
Put him on the back burner.
We've got people who are
a lot worse than he is.
Excuse me, doctor, could you
just come and look at my mother?
In a minute.
What a mess, huh?
It's not helped by the fact
that you were late getting in.
‐ Are you the doctor in charge?
‐ The one and only.
I'm Ruth Huggins. My son has a
cut on his hand. He needs help.
We're gonna get to
him as soon as we can.
So I'll bring him in.
He's still in the waiting room.
Jerry, can you take Mrs. Huggins
to the waiting room?
‐ Sure.
‐ But please, it's bleeding.
‐ We've been waiting out there.
‐ Come on, ma'am.
Jerry, Jerry, don't let
people sneak in like that, okay?
Whoever's out there
has been triaged.
We'll see them
as soon as we can.
But no one gets in here without
a chart unless they're dying.
Right.
Malik.
Mrs. Votey, you're having
weakness in your right arm?
Yesterday and again today.
Everything's sort
of out of focus.
At one point today
she couldn't even speak.
Scared my students
half to death.
My mother teaches
self‐defense.
‐ To seniors.
‐ Squeeze.
Maybe I could just wait
here for my regular doctor.
‐ Dr. Randall. Jack Randall.
‐ I know him.
Mrs. Votey, you might be
experiencing what we call TIAs
Transient Ischemic Attacks.
They can be a warning
sign of impending stroke.
I'll call Dr. Randall,
but in the meantime
I'm going to admit you upstairs
where they can work you up.
Start her on heparin,
800 an hour.
Call Randall and get
her admitted to medicine.
‐ You want a CT first?
‐ Let them do it.
We need the room.
I don't get it.
He's still altered.
‐ But his tox screen's negative.
‐ I have to pee.
‐ Ethanol?
‐ None detected.
‐ PH?
‐ 7.30.
‐ Omar, what did you drink?
‐ Gotta pee.
Omar?
‐ Gotta pee.
‐ Go ahead and pee, Omar.
There's a tube in your bladder.
Paramedics five minutes out.
‐ Drive‐by shooting.
‐ Hey, who's on call for trauma?
Uh, Benton, you
want me to call him?
No. Call thoracic.
‐ "Thoracic?"
‐ You heard me.
Call Morgenstern, tell him that
we are closing the trauma now.
‐ 'Lytes?'
‐ Not back yet.
What the hell's wrong
with the lab tonight?
Same thing that's
wrong with us, Mark.
There's just
too many patients.
[beeping]
Okay. Say he has a gap.
Methanol, uremia, DKA..
Ethylene glycol?
‐ You think he drank antifreeze?
‐ Well, gotta rule it out.
Alright. Get a Wood's lamp.
‐ It's really jammed in there.
‐ What?
I said, it's really
jammed in there.
‐ Carter, what are you doing?
‐ Foreign body in the canal.
Have him lie down.
‐ Do you know what it is, sir?
‐ What?
A bead.
So, Carter, you having fun
paying your penance in the ER?
[scoffs]
I'm off surgical service.
I'm working nights in the ER.
What's not to be happy about?
Still it is better
than not graduating.
I thought Dr. Hicks
might suspend me.
Believe me, she would
if she could have.
I can't believe
I was that stupid
sneaking off
and drinking on call.
I can. You're a medical student.
Hmm.
Superglue?
Yes. Just touch the bead.
Hit the skin, you're in trouble.
‐ Don't move!
‐ Don't move!
Dr. Greene, paramedics are here.
[telephone ringing]
Got it!
[baby crying]
‐ How old is she?
‐ 18 months.
Two gunshots
to the right upper leg.
Through and through.
Hypotensive. Can't get a line.
'It's okay, baby. We're here.'
Cops got the boy who did it.
Black kid, 14 years old.
Shot him dead.
Can't say I'm sorry.
Cops never mind
shooting a black kid.
And he didn't much mind
shooting this one, did he?
CBC, type and cross for two.
Get a unit of O‐neg.
Right foot's cold. No pulse.
‐ Femoral artery.
‐ I'll call for X‐rays.
Sixteen‐gauge Jamshidi.
One percent with epi.
Faint pulse.
Dinamap's not reading.
One‐twenty of saline.
[baby crying]
Fill these tubes.
Haleh, page Netzley.
Malik, you're gonna
take her up to OR.
Got it.
Dr. Greene, about
closing the trauma
Morgenstern gave the big N‐O.
Yeah? Well, get him
on the phone for me.
He went back up to surgery.
‐ Alright, well, I'll find him.
‐ Mark, bingo on Omar.
[baby crying]
You got it?
[baby crying]
‐ 'Ethylene glycol it is.'
‐ What's that?
Antifreeze.
Get renal down here stat.
‐ Let's give him IV ethanol.
‐ We don't have any.
What?
I checked.
Pharmacy's out.
St. Luke's
is sending us some
but it won't be here
for another hour.
There's a bottle of bourbon
out in that shopping
cart in the hall.
‐ Bourbon?
‐ 120 cc oral loading dose.
Thirty cc's POQ one hour.
Otherwise, he's got brain
damage and renal failure.
Bourbon shooters it is.
[sighs]
[beeping]
[indistinct chattering]
Labs are finally back on
that coma in 2. It's DKA.
Start an insulin drip,
0.1 per kilo per hour.
‐ Mrs. Votey.
‐ Who?
The karate lady,
she had another TIA.
Yeah, she's supposed to
be admitted to medicine.
Yeah, but Dr. Randall
said to discharge her.
Discharge her?
What, is he nuts?
Page him 911 and tell him
to get in here now.
Here you go. Whoa!
[barking]
Who let this dog in here?
Try and take it away
from her and it bites you.
Mark, that puker
in 4 is still at it.
Give him ten of Compazine
and a liter of saline.
‐ Mr. Nathan in 5, he's‐‐
‐ Morgenstern finally made it.
‐ He's up at the front.
‐ What about the sandwich?
Oh! Damn, sorry, I forgot.
I can get it almost immediately.
‐ Who are we talking about?
‐ Mr. Nathan in 5.
High white count,
temp's 101
still has left
lower‐quadrant pain.
Probably diverticulitis.
Make him NPO.
Give him amp, gent, Flagyl
and get an abdominal series.
That's right. Bring him in.
‐ Answering the phones?
‐ I'm here to help.
Yeah, well, then why don't
you close up the trauma?
Sorry, Mark. No can do.
County's only
looking for excuses
to put us
out of business.
Well, it's 10:30.
We've got enough
business to last a year.
Thirty two in the ER,
Forty nine in the waiting room.
‐ Look, Mark, I'm sorry.
‐ Mark.
Got a little Benton fracas
goin' on in Trauma 2.
Board of Commissioners
wants to close the county ER
and save $80 million a year.
Every time we close,
we're sending a message
that we're not
capable of providing.
Yeah, well, we're not.
I now have nine ICU
patients draining my staff.
We have no monitored beds.
Here are the films on Robinson.
I have, I can't even help half
the patients here. It's insane.
Look, I talked to
the critical care coordinators.
We can move six patients
from ICU to telemetry
but we're staying open.
So what?
He's oxygenating well.
The tube heads medially,
striking the mediastinum.
Peter, Shelly.
Why the hell didn't you
page me when this came in?
‐ Shelly's handling it.
‐ I'm on call for trauma.
We didn't need you.
Look, if you
don't want my help‐‐
Gentlemen, please. Ladies!
I don't hear anybody
helping anybody here.
Now, what's going on?
Third‐year
Surgical Resident Leung
placed the chest
tube anteriorly.
Which has relieved
the pneumothorax.
But which will, in no way,
drain the hemothorax.
Which can be repositioned
when we prep for a lab.
Excellent idea!
Let's all scrub in.
'Come on, folks. Let's go.'
Mark, hang in there. If you
need anything, give me a call.
‐ How about a turkey sandwich?
‐ Too late.
Cafeteria closes at
ten now. County cutbacks.
It's called the growth plate,
it's a piece of cartilage
that doesn't turn to bone
until you're grown‐up.
‐ Dr. Greene.
‐ Carter. Chloe.
Hi, Mark, I‐I, uh,
came here to see Susie
but John says
she's not on tonight.
No, she isn't.
Chloe was curious about
how to read an x‐ray.
I guess the interest in medicine
must run in the family, huh.
[scoffs]
Yeah, right.
Junior gymnast in 5.
Fractured patella.
Time to break
the bad news. Excuse me.
Man, that hand is so little.
‐ Look at that.
‐ Yeah.
It's probably four
or five years old.
Little Susie's hand
is about that big, right?
So Susie probably told you
what's going on with us.
Yeah, she mentioned some things.
I understand why
she's upset with me.
I never thought I could
change, why should she?
I just want her to see that
things are different now
that I'm different now.
Did she tell you
that I'm engaged?
No, she didn't.
He's a great guy.
Steady. He's as
smart as Susie is.
He's the only person I
have known besides Susie
who's ever taken
the time with me..
...to get to know me,
you know, to..
...the thought that
there was something..
...in me worth finding out.
It's really busy out there.
I gotta get back to work.
Hey, Mark, um, the thing
is, I‐I really miss her.
I'm sure you do.
And I know it's hard,
but as far as babies go
little Susie's doing great.
Yeah. I‐I miss her too.
[indistinct chattering]
Jerry, put out
a page on Steve Flint.
‐ Uh‐huh.
‐ How's our score?
Bleak, bleaker, bleakest.
No, wait. We can
mark this one off.
Omar Gandera.
Renal finally got here.
They're gonna
take him upstairs.
‐ Did you call psych for him?
‐ Yeah.
They said to call
back in a week.
Oh, great,
kid OD'ed on antifreeze
and psych can't
quite fit him in.
Exam 2's open.
Good work, Chuny.
‐ Somebody help me, please!
‐ Alright, Chuny, park that guy.
‐ Jerry, clear Trauma 2.
‐ Get a doctor here, please!
‐ What happened? What happened?
‐ I don't know. It's his chest!
‐ What's your name?
‐ Corky.
‐ Corky, are you alright?
‐ Yeah.
It's just my dad, he's sick.
‐ He's really sick.
‐ Was he vomiting blood?
‐ You got some on your shirt.
‐ No, no, I just cut myself.
‐ What have we got?
‐ A possible MI.
‐ What's your father's name?
‐ Louis. Louis Etheridge.
Louis? Louis? Mr. Etheridge?
‐ Is he on any medications?
‐ I don't know. Maybe.
Louis..
‐ Air.
‐ Tachy at 120.
‐ 'BP, 160 palp.'
‐ EKG, portable chest.
ABG, first‐day CCU labs.
Fifteen liters
of O‐2, four of MS
titrate a nitroglycerine drip.
‐ O‐2 sat's 100.
‐ You nauseous, Mr. Etheridge?
Yes. Yes. Please help me.
‐ Inferior MI?
‐ Has he had any heart trouble?
No, that's not it.
What is it, Corky?
It's okay to tell us.
Dr. Greene, what
the hell are you doing
pulling me down here in
the middle of the night?
Wait outside,
please, Dr. Randall.
Corky, what's wrong
with your father?
‐ I need to talk to you.
‐ In a minute!
‐ Corky?
‐ I don't know. He's just sick!
Double lumen IVs.
Get a TPA tray.
'Let me know when
the 12‐lead's done.'
You got me out
of bed at midnight
for absolutely no reason.
Your patient's
just around the corner.
Why don't we step this way?
I gave the order to have her
discharged hours ago.
Yeah, well,
she's had three TIAs
in the last two days.
She needs to be admitted.
Stroke Council, AHA,
1995 recommendations
Hospitalize for four or more
TIAs in a two‐week period.
Or for findings suggesting
a worsening course.
I know the paper.
Her HMO will not
authorize her admission.
There we go. She's one
of your HMO patients.
They're the only
ones who have
patients anymore in
case you haven't noticed.
So we're supposed
to wait until she
strokes out so they can
keep their costs down?
You don't have to wait
for anything, Dr. Greene.
She is discharged.
That bounceback migraine in 4
is still complaining of pain.
Try a milligram of DHE
and ten of Reglan.
‐ What's the story?
‐ His father's an alcoholic.
Yeah?
Corky says his
mother's been putting
Antabuse in his coffee.
‐ While he's still drinking?
‐ Uh‐huh.
‐ And not telling him?
‐ Right.
So he's still drinking
and now he's having
an Antabuse reaction.
Well, that could
have been fatal.
The kid knew all along?
‐ Hey, Corky!
‐ Mark.
The kid's scared enough, okay?
Yeah, well, he should be.
His father could have died.
Call the mother
and get her in here.
Excuse me, doctor.
I know you said to wait.
But my son's hand.
It really is a bad cut.
Mrs. Huggins, your son has
been triaged as a minor injury.
There are much more
urgent cases ahead of you.
You have to wait
in the waiting room.
Jerry, I asked you to keep
these people out of here.
Now, I am running over to Doc's
to pick up my sandwich, okay?
I'll be back in two minutes.
Get this dead guy out of here.
[car honking]
[tires screeching]
[crashes]
[intense music]
Here! Give me that!
Give me that!
Call for help, okay?
‐ Call for help.
‐ Okay.
[hissing]
You alright. Hang on in there!
I'm gonna get you out!
Hang on! Hang on!
[indistinct shouting]
Hang on!
[indistinct shouting]
Leita! Leita!
Try and crawl out!
If you just crawl out
the window we can get you out.
Anything?
Still waiting for
the other unit to show up
with the extrication equipment.
(Mark)
'Get the mother
and daughter out.'
Her mother's unconscious.
Alright, well, tell
her, tell her to grab
your hand. You
can pull her out.
[speaking in foreign language]
(male #2)
Over here.
I got it!
[indistinct shouting]
Alright. I'll try to get in!
‐ Come over to this side!
‐ Alright. Hold it.
[speaking in foreign language]
I can't reach her!
[siren wailing]
Let me get in. Let me get in.
Grab my hand!
Come on, grab my hand!
‐ Grab my hand.
‐ Get out of there.
I can grab ahold of her.
‐ Let me get in there.
‐ I almost got her hand.
Doc, I can get her
out of there, okay?
Move!
Let me get her out, okay?
We'll bring her in. Why don't
you go dry off, alright?
Get the trauma rooms ready.
[whirring]
Jerry.
‐ I wouldn't ask if I were you.
‐ Jerry?
Folding chairs
for the waiting room.
Maintenance ordered
them four hours ago.
Alright, let me know when
those accident victims get in.
I'm gonna go grab some
coffee and dry scrubs
and clear those trauma rooms.
Hey, you don't have any
coffee filters in here, do you?
‐ 'Are you kidding?'
‐ No.
And we can't even do
the folded paper towel trick.
[grunts]
Mr. Carter,
you are in luck.
Now, if we had a hair dryer,
it'd really be our lucky day.
How do you do this?
You gotta get the coffee grounds
out without ripping the paper.
No, I mean this.
Patients stacked
up everywhere
and no end in sight.
It's like the O'Hare of
emergency rooms in there.
It was a lot easier
when I was younger.
I was newly married,
I'd just had a baby.
Jennifer used to come down
in the middle of the night
with chicken sandwiches.
She'd have Rachel
in the car seat.
And we'd picnic between
the waiting‐to‐be‐sutured
and the bounce‐back migraine.
I guess it helped,
having a family.
Yeah. Yeah, it did.
What are you gonna do?
That is really bad.
I'm gonna go change.
That's a lovely little pup
you got there, Mrs., uh..
...excuse me, Ms. Decksley.
Absolutely charming.
Hey, Stinky,
want a few little stitches?
Shut that yappy
little mouth of yours?
‐ 'You're not a dog‐lover, huh?'
‐ This is not a dog.
This is a small, furry
object suitable for punting.
Mm‐hmm. I bet you can't get
him over that desk back there.
Don't tempt me.
But tempting, that's
what I do for a living.
‐ I'm a lap dancer.
‐ Okay.
So I hooked up with this
polyester guy tonight.
And I slipped right
off his knee and bam!
Sliced my butt on his spurs.
I mean, why would you wear
cowboy boots with polyester?
I don't think I would.
Are you gonna
stitch me up next?
Because this cut,
it really stings.
You want something
for the pain?
Drugs? Sure.
‐ Any word from outside?
‐ Yeah. They radioed over.
Probably be about
another ten minutes.
Jerry, call ICU.
This ventilator guy has
been down here for days.
Okay, uh, do you want me to
page Benton for that
rule‐out APPY in 4?
No, I'll check it out. Lydia,
get those labs on Cromley.
I thought you were trying
to get that girl out.
‐ So did I.
‐ Mm‐hmm.
I can't even get the lab to get
a CBC in under three hours.
I can't get an X‐ray
shot in under two
and I can't get any
ICU beds to open up.
Mark, Jennifer's on the phone.
‐ Jen, what's up?
‐ 'They brought Rachel home.'
‐ 'She's not feeling well.'
‐ So, it's one in the morning.
They drove her
back from the lake?
(Jennifer on phone)
'Yeah. Just a stomach..'
‐ Stomachache and what else?
‐ 'She threw up.'
Does she have a temperature?
Maybe it's altitude sickness.
Well, how do I know
where the lake is?
You didn't even tell me she was
going on a camping trip.
[indistinct shouting]
Jen, I don't wanna
fight right now.
Listen, just put
Rachel in bed.
Keep her on clear fluids
and I'll call
you in the morning.
Well, what do you want
me to do from down here?
Well, I'm sorry you called too.
Jerry, get Carter in here.
[screaming]
‐ She's gonna be okay.
‐ Get this out of here.
‐ Do you want me to page Benton?
‐ Yeah, might as well.
The ankle's deformed.
No cap refill or pulses.
BP's 80 palp. Pulse, 110.
Hey, doc, listen.
Fracture dislocation.
'We need to reduce.'
'Let's sedate her.'
Prep 35 migs ketamine,
0.3 atropine.
I was just trying
to get her out‐‐
Start another line.
Hang half a gram of Ancef.
‐ Bolus 20 per kilo?
‐ Yes.
CBC, Chem‐7, UA, portable
chest and get an ankle.
We got her out, damn it.
[beeping]
‐ Let's hear it.
‐ Pulse, 140. BP, 90/60.
Probable flail chest but good
bilateral breath sounds.
Fractured left femur. Abdomen's
rigid, x‐ray's on the way.
‐ O2 sat 90.
‐ Blood ordered?
Two units O neg are up,
type and cross for eight.
‐ Iris 30.
‐ Atropine, now.
Good work, Carter. Prep for
a lavage. You okay with that?
I'm okay with that, yeah.
‐ Jimmy..
‐ Clear!
Got a C‐spine and a
post‐intubation chest next door.
Ketamine's onboard. She's out.
Wanna wait for the films?
No, let's do it.
Countertraction.
[beeping]
‐ That's it. Back in.
‐ She's coding!
Where the hell's Benton?
Page him, stat!
Alright, everybody, off! Off!
‐ Okay, sinus brady.
‐ Mig of atropine.
‐ Mix up dopamine.
‐ I paged him 911.
Muffled heart sounds.
Neck vein distension.
‐ And another pulse.
‐ Thoracotomy tray.
Chuny, do compression.
‐ Tamponade?
‐ Yeah.
It could be
a cardiac laceration.
[beeping]
Ten blade.
‐ Did you page him?
‐ Twice.
‐ Rib spreader.
‐ O‐neg's here. Four more units.
(Mark)
'Throw them on the infuser.'
Oh, yeah.
Sac's tense with blood.
Metz!
‐ She's bleeding out.
‐ Rib punctured the heart.
Now, keep your finger over
the hole and do compressions.
Should we wait for Benton?
Let's try a 16 Foley,
30cc balloon.
‐ Foley?
‐ Yeah, clamp the end.
And saline, not air.
Last thing she needs
is an air embolism.
‐ She's in fib.
‐ Alright, uh, internal paddles.
One second.
Carter, pay attention.
There we go.
Catheter is going into
the hole in the heart.
‐ Okay. Now fill the balloon.
‐ Two units O‐neg in.
[beeping]
Excellent.
Now, traction.
‐ What have we got?
‐ 'Charging.'
Charge 20.
Zapping.
‐ Sinus.
‐ Got a pulse.
Let's get her up to the OR.
Where the hell
have you been?
We have a double trauma
and you don't even respond?
I was closing on
a mesenteric infarction.
Yeah, with how
many other residents
who could've closed for you?
Well, it was my surgery.
‐ I was busy.
‐ 'No, no, Peter.'
Down here is busy.
In there is busy.
In there is where we
ignore everything else.
I ignore my
patients for in there.
I ignore my
child for in there
my marriage for in there.
Don't ever pull this again!
Maybe the rain will
keep the people home.
I thought it stopped raining.
Nope.
‐ Going..
‐ 'Going..'
(female #2)
'Gone.'
[telephone ringing]
‐ Is there a problem?
‐ 2 o'clock.
‐ Bars are closing.
‐ They're getting in their cars.
‐ Going too fast.
‐ Swerving.
‐ Crashing.
‐ Paramedics are rolling out.
Scooping them up.
Dropping 'em off
on our doorstep.
Dr. Greene, that was a 911
call from our waiting room.
‐ It's a jungle out there.
‐ I know.
Doctors Lewis, Ross, Weaver
and Treloggen will be on
in 4 hours and 58 minutes.
They will not be pleased.
By the way, Jerry,
that light bulb's out.
Carter, did you discharge
that ankle sprain?
‐ About an hour ago.
‐ The rule‐out MI in 4?
Uh, cardiology took him up.
What about that Huggins kid,
the one with the cut hand?
‐ The one with the mother?
‐ Yeah.
No, he's still
in the suture room.
(male #1)
'There's a metallic foreign
body of 14 millimeters'
located one centimeter medial
to the distal femoral condyle.
‐ Morning, Harry.
‐ Labs back on that OD in 6.
Excellent! Stick
them on the chart.
Films are back on
that busted collarbone.
Excellent. Stick
them on the chart.
‐ Mrs. Huggins.
‐ This is my son, Danny.
‐ Hello, Danny.
‐ Hi.
Mark, I need to
see you a minute.
‐ Can't it wait?
‐ No, I don't think so.
[sighs]
Excuse me.
‐ Why Trauma 1?
‐ She's not doing so well.
And there's no exam rooms.
‐ Is her son with her?
‐ Yeah.
Carol, why don't you
take Corky outside?
You drink coffee yet?
He's not supposed to,
but he does.
Me too. Come on,
let's go get a cup.
Mrs. Etheridge,
I'm Dr. Greene.
Corky didn't tell
you about his father
because I
told him not to.
I told him not
to tell anybody.
His condition tonight
was very serious.
Antabuse is
a deterrent to alcohol.
Mixing them can be fatal.
It's not that I
want him to die.
It's just that when he drinks,
it can get pretty bad.
[sniffling]
There's blood
on Corky's shirt.
Does your husband
beat him as well?
No. Corky got in the middle.
I think it's from my nose.
[sniffles]
There are places you
can go, Mrs. Etheridge.
Shelters where you
and your son can be safe.
I know.
In cases of
domestic violence..
...I'm legally obligated
to inform the police.
I know that too.
[sniffles]
Jerry, call the police.
Domestic violence case.
Sure.
Carol, order a facial series
and clean up the abrasions.
Okay.
Did he wanna talk about it?
Say anything?
No. Not a word.
(Mark)
'Bend your finger.'
He was helping me
hang a mirror.
(Danny)
'It weighed a ton.'
Needless to say, we dropped it.
Seven years of bad luck.
Nah. I don't
believe in that stuff.
It's a fairly deep cut, but I
don't see any tendon damage.
See? That's good luck.
‐ 'What time did it happen?'
‐ After dinner.
After "Hard Copy," mom.
Unfortunately, I
can't stitch it up.
What?
After six hours, the risk
of infection is too high.
We've been sitting
here half the night
and now you can't
even do anything?
I'll put him on
antibiotics and you can
bring him back in three
days for a delayed closure.
Do we have to wait again?
Carol, did they admit that,
uh, bowel obstruction in 5?
He's under the knife
as we speak.
‐ The room's free.
‐ Good work.
Whoever's got gastrointestinal
distress, rise and shine.
[grunts]
‐ Loretta.
‐ Hi, Dr. Greene.
‐ Wow. These gurneys aren't bad.
‐ Are you alright?
Yeah, I'm fine. I mean, no.
You know, of course,
I'm not. But i‐it's Jimmy.
He's got a fever.
He's been throwing up.
Come on, baby. Wake up. Come on.
Swing your feet over there.
Hey, how are you
doing there, fella?
I puked twice in
the waiting room.
He's kind of embarrassed.
There were six other men
in line for the bathroom.
Yeah, it's a little
crowded out there. Sorry.
Your‐your stomach feels okay?
Open your mouth.
'There you go. Tongue out. Ah.'
Yeah, I don't think
it's anything serious.
Your garden‐variety
24‐hour virus.
'Nothing by mouth
for six hours.'
'Then, sips of clear liquids.'
And if he keeps those down,
you can try a little
toast and applesauce for dinner.
Okay. Thanks, Dr. Greene.
I'm sorry you
had to wait so long.
Oh, it wasn't so bad.
We got in before
a lot of the others did.
Chuny, you wanna help
me grab some stuff?
Sure. What do you need?
Uh, gauze, syringes, Ace wraps
saline, suture sets,
eye patches.
‐ 4‐0 nylon.
‐ Check.
‐ Skin staplers.
‐ Check.
‐ Tetanus boosters.
‐ Double check.
Haleh, Lydia, what are you doing
for the next couple of hours?
[indistinct chattering]
He's kidding, right?
Can we treat them
without a chart?
How's the hospital
going to bill them?
Does that metal detector work?
You're not gonna
make an announcement
or anything, are you?
And start a stampede?
These are some
of the more minor cases.
Explain to them
what we are doing.
No labs or X‐rays
without a chart.
Richard Tomco!
Anderson. Anderson?
Mark, we know this guy.
What do you want
this time, Ricky?
Percocet? Demerol?
No, no. I'm telling you,
this time it really hurts.
Yeah, yeah, it's abscessed.
Pretty nasty in there.
5 cc's Marcaine,
27‐gauge needle.
‐ Have any allergies?
‐ Uh‐uh.
Open up.
You're gonna be numb
for about...six hours.
Dental clinic's
on the second floor.
‐ Opens at nine.
‐ Do I need stitches?
No. I don't think so. When
was your last tetanus shot?
‐ Probably high school.
‐ Okay.
We're gonna give you
one now, but I want you
to come back
if there's any redness
or swelling or red
streaks, okay?
(Anderson)
Okay.
Impetigo. Write him for Keflex.
Urticaria, 0.2 Susphrine sub‐Q.
Subungual hematoma. Drain it.
Do you think he's, you know,
lost his grip on reality?
‐ No. I think he's having fun.
‐ Vaginal bleeding.
Haleh, do you think we can do
a pelvic in the waiting room?
Just kidding.
Take her back.
Spin a crit, dip
a urine and do an ICON.
Sudden‐onset blindness.
Woke up this morning
couldn't see a thing.
Carter?
(Carter)
'Differential includes'
retinal detachment,
central retinal
artery occlusion, CVA.
Diabetic retinopathy,
retinitis, macular degeneration.
She's too calm.
I think it's psychogenic.
Lydia, try and find
that optokinetic drum.
If the eyes move when
the drum spins, she's faking.
Molly and Sarah
were roughhousing.
Don't ever buy bunk beds.
And then Molly got
pulled off the top.
Your arm hurts, Molly?
Did you hit your
head or anything else?
‐ Want me to order an X‐ray?
‐ No, we don't need it.
Ms. Taylor, one of
the ligaments in Molly's elbow
slipped out of place.
I'm gonna fix it.
She's gonna cry, but it'll
only hurt for a second.
Ow!
Jeffrey fed his brother
a couple of those
little button batteries.
‐ You sure?
‐ Yeah.
I saw the second
one go down myself.
Why'd you do that, Jeffrey?
‐ Because he likes them.
‐ He likes them.
Well, he's gonna need
some X‐rays, Mr. Alexander.
If they're stuck
in his esophagus
there's potential
for a perforation.
Carter? Carter,
hold on for a second.
Can I borrow this?
Try that.
[beeping]
[chuckling]
It's below the diaphragm.
No need to worry.
Check his stool. They'll
probably pass in a day or two.
That's great.
Thank you.
He's right. Psychogenic.
‐ 'Lois.'
‐ Hmm.
I'm gonna give
you some eye drops.
I think they're gonna help
you with your vision, okay?
So just lean your head back.
Always give
the patient a way out.
One more. Okay.
That ought to do it.
‐ Oh, wow, yeah.
‐ Yeah?
I can see everything.
It's still a little
blurry, though.
Yeah, well, by
the time you get home
everything should be fine.
Mark, Mrs. Lipshultz,
83, flushed, headachy.
[retches]
Oh...and nauseous.
Sorry.
That's alright.
They're Doug's shoes.
Uh, give her ten
of Compazine, IM.
What's bothering
you, Mr. Buchanan?
Where does it hurt?
Here.
How you doing, Mr. Buchanan?
It's my back,
i‐i‐it's killing me.
‐ Not your shoulder?
‐ No, no, no. My back.
BP both arms.
Don't worry, Mr. Buchanan.
We're gonna take
care of everything.
Where can I get one
of these things, huh?
Her arm feels absolutely fine.
What do you say?
‐ Thank you.
‐ You're very welcome.
We still have an eye pain,
a neck pain, an abdominal pain
and a boil that
needs to be lanced.
Be there in a minute.
I know it's early,
but I knew you'd be up.
(Rachel on phone)
'How did you know?'
Because "Bananas
In Pajamas" is on.
No, no. Don't turn it up,
Rachel. You'll wake up mommy.
Listen, I'm glad you're
feeling better, sweetie.
‐ I'll see you next weekend.
‐ 'Okay.'
‐ Love you.
‐ 'Love you too.'
[taps]
‐ Hey, breakfast?
‐ Thanks.
‐ Breakfast?
‐ Thank you.
Mm.
[indistinct chattering]
Be careful. It's ugly out there.
Not as ugly as
it's been in here.
‐ Goodnight.
‐ Goodnight.
[indistinct chattering]
[sighs]
What a night.
You ever have to sleep
in one of these things?
Listen, Doug, I'm gonna put
your shoes by your locker, okay?
'Cause mine are
probably dry by now.
[both laughing]
Thanks for
the great work, Carol.
That's why they
pay me the big bucks.
Hey, Peter.
We're gonna have
to find some way
to work together.
Yeah, I guess we are.
How was dinner?
‐ I fired him.
‐ What?
I have to find a new
lawyer this morning.
The guy was a lightweight.
He said Chloe could
possibly have a case
'if in fact...
she does have a job..'
Yada, yada, yada..
What do you think?
I've seen her go through
hundreds of jobs, Mark.
What am I supposed to think?
‐ Hey, Kerry.
‐ Oh, hi, Mark.
I think I finally made
sense of that QA review.
But I know, you're on your way
out. We can go over it later.
Thank you.
I appreciate that.
Goodnight.
[indistinct chattering]
I thought it would've
stopped by now.
Yeah.
Tonight was great.
The waiting room.
When I started med school
that's what I thought
it was gonna be like.
Really helping people.
At least, that's what I
thought it was supposed to be.
That is what it's
supposed to be.
What are you gonna
do today, Carter?
I don't know.
What are you gonna do?
[chuckles]
I don't know.
[instrumental music]
[theme music]