ER (1994–2009): Season 2, Episode 19 - Fire in the Belly - full transcript

‐ Hey, Carol?
‐ Hmm?

Carol, I got an idea.

Two more minutes.

It's beautiful out.

Let's call in sick.

Take a day trip somewhere.

A trip?

Yeah, and we‐we'll play hooky.

We'll just jump in the car

and we'll head North and

find a lake
and just sit there.



Mmm.

I can't skip work.

I need the hours.

Please?

The thought of
having to cart around

the wretched of
the earth all day long

with Reilly
yapping in my ear

about his stupid
beer can collection..

I can't. Not today.

Oh, you go, you go.

I don't wanna
go without you.

I mean, that's
the whole idea.

I want us to get
away together.

We'll just go
someplace where there..



There aren't
any sick people, and..

...just...just cows.

Healthy cows.

Good cows.

Someplace where we can, you
know, make love in the grass.

In front of the cows?

Sexy cows.

What?

We could take a trip
this weekend.

Yeah?

Yeah?

Sure.

Well...I might be persuaded
to be a little late for work.

‐ 'Next.'
‐ I repacked Mr.. Otto's
abscess.

‐ Is it granulating?
‐ Quite nicely, thank you.

Give Mr.. Otto my
best. What else?

Mrs. Mendoza in two,
she's had two days

of vomiting, diarrhea
and periumbilical pain.

‐ Her vitals?
‐ Normal.

The onset began
after dinner in Mexico city.

She and her husband came
straight here from the airport.

‐ White count?
‐ 12,000.

No rebound
or guarding.

It sounds like
Montezuma's revenge.

Give her loperamide.

Start her on
a clear liquid diet.

Do you wanna
see her?

No, you can send her home.

'Peter?'

You won't be scrubbing
in on Dr. Heizenbach's

jejunostomy this morning.

‐ Why not?
‐ He won't work with you.

'The word's out about your
difficulty with Doug Ross.'

'It spread
to the surgical floor.'

The prevailing view is
that you betrayed a colleague.

Is that what you think?

I think maybe you're in
for a chilly summer.

We still on
for tonight?

If you tell me
where we're going.

No. It's a surprise.

How am I gonna
know what to wear?

Dress nice.

Carter, got a call
confirming your reservations

for the moonlight dinner cruise
on lake Michigan.

Thanks, Jerry.

Ah, sounds romantic.

Oh, remind me to bring
my seasickness pills.

Harper!

Dale!

I been looking
for you, kid.

What are you
doing here?

Trauma sub‐I
until June

then I start
my residency.

‐ You matched here?
‐ I did.

‐ In medicine?
‐ Surgery.

John carter. He matched
in surgery here too.

Dale and I went
to college together.

Ah, and you're coming from?

Boston.

‐ Meaning...Harvard?
‐ Go Crimson.

So, last time you
e‐mailed me, you were

about to take out
your first appendix.

That's right.

You took out
an appendix?

Yeah. They let us
do appys, lipomas

pilonidal cysts,
all that small stuff.

God, it's great
to see you.

You too.

I don't know, Doug.

You, me, Inga, Hulda

and a Chinese restaurant.

What's not to know?

Inga's not
really my type.

That's what you said
about Kathy Snyder.

I am gonna get out there
at my own pace‐‐

Word to the wise, prostates
don't last forever.

Dr. Greene, does this
loan application belong to you?

‐ It's mine.
‐ Buyin' a car?

You know, that kid
I misdiagnosed?

I'm helping out with
his Cancer treatment.

Hey, Mark, I have to bail
on M&Ms this afternoon.

Can you change
the meeting?

No, and I don't have
a lawyer yet.

Do what you have to do.

Thanks. I'm on till 2:00.

What's that?

She's meeting with a judge.

Chloe wants
visitation rights.

God bless the child.

Morning, guys.

I'm sorry I'm late.

Traffic was a bitch.

‐ Hey.
‐ Peter.

Let me just clear this
out the way..

Mrs. Garvey, you're
having chest pains‐‐

‐ Where the hell have you been?
‐ And irritability.

I've been waiting so long,
the pain's gone.

She just got here.

I'm burning with fever.

‐ The temp's normal.
‐ 'Oh, sure!'

After sitting in your
drafty waiting room.

Your pain's gone?

It's coming back.

‐ Okay, let's get that EKG.
‐ What's that?

It monitors electrical
activity of your heart.

‐ How?
‐ The leads carry impulses.

From your heart to the monitor,
where we can read 'em.

I don't understand.
Explain it again.

We just wanna make
sure that you're okay.

Don't patronize me.

You doctors are
all the same.

I came in here
for stitches.

I had to come
back five times

and my leg's never
been the same.

This place is filthy!

Mrs. Garver, your EKG
is abnormal.

We're gonna have
to draw some blood.

‐ Why?
‐ To check your cardiac enzymes.

'What are those?'

Elements in blood that tell
us if you've had a heart attack.

I don't understand.
Explain it again.

I may be the only
fourth year in the country

who hasn't done
an appendectomy yet.

I doubt it.

I'm about to start
my residency

and I'm three steps
behind the curve.

GSW to the chest
coming in.

ETA, two minutes.

‐ Let me run the code.
‐ Carter.

No, I'm ready, and
I need the experience.

Alright, everybody.
Listen up.

Carter's gonna
run the code.

Alright, everybody.
Gown up!

What do you
want us to do, Carter?

Uh...Malik,
you start the IV's.

We have IV's from the field.

'Scratch that,
Malik, you scribe.'

‐ 'Man, I don't wanna scribe.'
‐ Do it.

Okay. A, airway.
Dr. Greene will intubate.

B, breathing.
Haleh, call respiratory.

Tell them to get
their ass down here.

‐ Chuny, you set up the dynamap.
‐ Aye, aye.

C, circulation.
You! On the rapid infuser.

D, disability. Benton!

Dr. Benton.

Check the DTRs
and the Babinski

if that's okay.
Alright. What's left?

‐ Foley.
‐ Alright.

Who wants to hook up
the Foley cath?

You're the only
one left.

‐ What's coming in?
‐ Gunshot wound.

Dale! Hook up
the Foley cath

and Harper,
just jump in as needed.

‐ Hear, hear.
‐ Alright.

Man your stations.

Female found down,
GSW to the chest.

Traumatic full arrest.

‐ Heart sounds?
‐ No, asystole.

Get atropine
and epi in the field.

‐ She got it right in the heart.
‐ Let's get rapid infuser going.

Let's get some O‐neg down
and get a gas cooking.

‐ Let's move it people.
‐ Monitor's going.

Flat‐line.

Epi, five milligrams,
IV push.

‐ Pulse ox?
‐ Forty.

‐ Forty?
‐ Lowest I've ever heard.

‐ Where's respiratory?
‐ She looks kind of stiff.

‐ Let me see.
‐ Look, her jaw won't move.

She looks
really cyanotic.

Boxcars in the eyes.

Let's get the O‐neg going! Go!

‐ Should we even be doing this?
‐ How long was she down?

It could have been a long time.
I thought I should run her in.

From the degree
of lividity

I'd say she's been dead
at least three hours.

Let's move with the O‐neg!
Let's go!

I agree with Dale.

‐ 'Alright, let's call it.'
‐ No, I wanna crack her!

‐ Time of death‐‐
‐ No, I'll do it.

Time of death

10:32.

What a gyp.

She's got an engagement ring,
but no wedding band.

‐ She had a little boy too.
‐ No.

Yeah, 47 brought him in.

The boy wasn't hurt?

There doesn't seem to be
anything physical.

But he hasn't spoken
since they picked him up.

It could be
post traumatic shock.

‐ Did his mother make it?
‐ Umm‐umm.

Anybody know
what happened?

Yeah, neighbor
said she heard the mother

and her boyfriend
fighting this morning.

Poor kid must've seen
the whole thing.

What's his name?

‐ 'Where is the boyfriend?'
‐ 'In the wind.'

Hey, buddy. I'm Doug

'and that's Carol.'

'What's your name?'

I'm going to listen
to your heart, okay?

Doug, his name's Jeremy.

Jeremy..

...can you hear me?

Good reflexes.
It's not organic.

'I'll call psych.
Why don't you see'

'if you can track
down a relative?'

He witnessed a murder.

‐ The boyfriend could come back.
‐ Okay.

We'll get the cops
to post a guard.

Hey.

‐ 'Peter, come quick.'
‐ What?

‐ It's Mrs. Mendoza
‐ Who?

The woman I sent home
with Montezuma's revenge.

She's back. Pain's
moved from mid‐abdomen

to the right
lower quadrant.

‐ Are you a doctor?
‐ I'm a surgeon.

‐ 'Oh, my God!'
‐ She's in so much pain.

‐ 'It's her appendix.'
‐ You sure?

Don't worry, Mrs. Mendoza.
We'll take it out.

Let's get her up to surgery.

We were here earlier
but that nurse

sent us home,
we never saw a doctor.

Don't worry, Mr. Mendoza,
we're gonna take care of her.

Clear! Clear!

So, did psych come
down to that boy?

Yeah. She's in there now.

Jerry, will you
fax this for me, please?

A loan application. Sorry.

No more personal use
of the fax, per the Weaver.

Jerry, just do it.

Jerry, call pathology

to take that body out
of the trauma room.

These video people
need to get in there.

What video people?

‐ You didn't read the memo?
‐ No.

I wanna start
videotaping the traumas

so we can critique our work.

I don't think this
sounds like a good idea.

Well, David Morgenstern
thought it was.

He wrote the memo.

On a trial basis.

Fine.

Path's backed up. They asked if
we can keep that DB down here.

Put her in exam three.

These guys need
to get to work.

Come on.

Gown me quick.
Is that the appy?

‐ Knife.
‐ What, I can't do it?

‐ No.
‐ 'I've seen dozens‐‐'

I said no.
Carter, go cover the ER.

'Alright. Here we go.'

Retract the fascia.

Can you see?

‐ Suction.
‐ 'Pulse is up to 120.'

Here we go.

Ah, damn it.

‐ Belly's full of pus.
‐ She perfed.

‐ She done perfed good.
‐ Alright.

Let's load her with amp,
gent and flagyl.

Give me a liter
of warm saline.

We got to irrigate
before she goes septic.

‐ What a mess.
‐ Yeah.

It's too bad she didn't
come in sooner.

Damn.

Mrs. Garvey..

'You've got some nerve.'

Mrs. Garvey‐‐

"Patient is
uncooperative, demanding

prone to exaggerate symptoms?"

‐ Can I have my chart back?
‐ Give me a pen.

‐ Mrs. Garvey‐‐
‐ I want this changed.

"Doctor is unprofessional,
openly hostile."

Mrs. Garvey, your enzymes
suggest a heart attack.

We need to do
an echocardiogram.

‐ What's that?
‐ An ultrasound of your heart.

Why do I need one of those?

To make sure that your
artery is not blocked.

I don't understand.

Explain it again.

This is your heart.

This is an artery
going into your heart.

'If it is blocked,
it can explode!'

'Causing a massive
heart attack'

which would kill you
within minutes.

You are a sick woman.

'People said
they heard fighting.'

'Did your mom and her boyfriend
have a fight this morning?'

'Is that what happened, pal?'

‐ Is that what it was?
‐ Detective?

‐ Yeah.
‐ Can I talk to you outside?

‐ What are you doing?
‐ Trying to talk to him.

‐ What did you say?
‐ Just asked him what happened.

This boy's had
a psychological trauma

that's left him
practically catatonic

and you could have
set him back weeks.

‐ I didn't know that.
‐ Well, now you do. Okay?

Hey, where's
your e‐mail pal?

He took a hernia
up to OR.

‐ You're kidding.
‐ No, about an hour ago.

He should be back soon.

Seems like a great guy.

He is.

So, you guys went out?

Ah, we never
exactly went out.

Didn't go out, but you, um‐‐

Once. One night, anyway.

Harper, guy in six
needs a rectal.

Ooh, I have to take
these bloods up to the lab.

‐ See ya.
‐ Carter?

Pass.

Abdominal pain.
Could be surgical.

Haleh, have you seen that
cute guy from Harvard?

Yeah. He just came
down. Try the desk.

‐ Alright.
‐ Whoa! I'll take it.

Thanks.

'Max, try the 15 millimeter.'

Tilt down. Get the whole
bed in the frame.

Good. Pan left.

‐ Iris.
‐ Oh, Dr. Greene.

I would've thought
we were small potatoes

for an infomercial director.

I do educational tapes,
equipment rentals.

I'll take your money
any way I can.

Would you zoom into
a medium shot now, Max?

How's your eye?

'Oh, fine.'

'Nice profile.'

You sure you won't
go on the air?

I wouldn't feel right plugging
your hair growth products

since I don't
believe in 'em myself.

Well, you're more
secure than most men.

And you look like you're
in pretty good shape.

‐ You exercise?
‐ Run, push‐ups. Why?

I'm just about
to go national

with a new
Exer‐cycle, and uh

I haven't found
a pitchman yet.

You, uh, interested?

'He's had periumbilical pain'

localized to
the right lower quadrant.

Rebound, guarding,
nausea and vomiting.

‐ What's his white count?
‐ 9,000.

I'm thinkin' appendix.

Appys usually
present a bit lower

but they can fool you.

‐ Let's take him up.
‐ Can I do the procedure?

Does Benton let
you do appys?

We've talked about it.

Well, there's a first
time for everything.

Mr. Kennerly, you're
going to the OR.

But there's
no reason to worry.

Everything's going
to be fine.

Thanks.

You clean her out yet?

I've still got
to drain the abscess.

She's tachy. 180.

Temp's 104.

I'll get a cooling blanket.

This is making me
nervous, Peter.

‐ Just hold on.
‐ 'Another liter‐‐'

Peter, isn't that your
med student next door?

‐ What?
‐ 'I found the cooling blanket.'

What's going
on over there?

Another appendix.

When it rains it pours.

Somebody close those blinds.

Run of five.
Your time's about up, peter.

Come on, just give
me two minutes.

Too late!

‐ 'She's fibrillating.'
‐ God, damn it!

'Charging at 200.'

‐ Come on, don't do this to me!
‐ Clear!

'There are three enzymes that
are released by the heart'

after a heart attack,
CK‐MB, AST and LDH.

'By graphing the levels of each
enzyme, we can determine'

that you had your
heart attack back here

at approximately 4:00
this morning.

'Oh, thank you, doctor.'

‐ She's the one.
‐ Susan.

Yes, Kerry?

One of the nurses
alerted me

that Ethel was about
to sign out AMA.

Which, in her condition,
might well have killed her.

I thought it best to indulge her
in order to save her life.

Good thinking.

I know it's frustrating

dealing with
difficult patients but

you have a tendency
to become

anger‐locked
and inflexible.

Thank you for
pointing that out.

If you feel yourself
getting dug in

just call me.

I'm here to help.

Retractor.

Let's expose
the internal oblique.

Can I have some suction?

Good. Now cut it open.

I'm in.

Okay, now put your hand
in the peritoneum

'and feel around until
you find the appendix.'

I got it.

Okay. Let's see.

Well, that is
the pinkest

'most healthy appendix
I've ever seen.'

But he had all the symptoms.

They can fool ya.

Well, as long
as we're here‐‐

'Uh, better not.'

Uh, besides, I think I see

the cause
of Mr. Kennerly's bellyache.

What?

Toothpick
in the terminal ileum.

I think if you pull
on the gold tassel

it'll slide right out.

Congratulations,
Mr. Carter

on your first
toothpick‐ectomy.

Now let's start
irrigating.

‐ Mr. Mendoza.
‐ Yes?

Your wife is out of surgery,
but she's very sick.

Her appendix burst
before I could remove it

and, uh, the bacteria
invaded her bloodstream.

We're giving her antibiotics
to fight the infection.

I expect her
to pull through it.

Are you saying that
she could die?

It's a possibility.

When we first came
in was there

no way to tell
that it was the appendix?

Well, the symptoms and the story
suggested food poisoning.

That woman sent us home

without ever
seeing a doctor.

She consulted a doctor..

...who ordered
your wife discharged.

How could this happen?

Hey.

How's the kid doing?

Oh, the same.

Think I could take
a peek in there

give him this?

Yeah. Sure.

Did you draw
that yourself?

I did.

Hey.

‐ Where is he?
‐ I don't know. Jeremy?

‐ Oh, man.
‐ Jeremy?

'Oh, no.'

'Jeremy!'

Jeremy! Jeremy!

‐ Hey, have you seen the kid?
‐ What kid?

‐ The one who won't talk.
‐ No.

Jeremy! Oh, god.

Jeremy.

Jeremy.
Hey, sweetie.

Hey, come on, let's go back
to your room, okay?

Come on.

Okay?

The Pedes attending's
name is Keller

and there's a med student named
Amber said, she'd sit with him

for a while until his
aunt came to pick him up.

‐ Okay, you got it.
‐ Thanks.

Hey, um..

Who does this belong to?

I told you
to hold onto him.

I just turned
around for a second.

We picked him up in the middle
of Michigan avenue

'zonked out
of his gourd.'

He's tachy,
diaphoretic.

Could be coke, PCP.

Alright. Well,
let's get him a room.

‐ Hey, Dr. Ross.
‐ Yeah. What's this?

Some guy dropped
it off for you.

Wanna order something
from psycha‐deli?

‐ I'm starving.
‐ No, thanks.

Could someone release the guy
in four? I gotta get outta here.

Sure. You okay?

I'm having
a walking anxiety attack.

Call me.

Hi. You're
all wired up.

‐ Oh, Great.
‐ 'I'm uh..'

Gotta show you how the bells
and whistles work but

I wanna eat something.
How about you?

‐ Uh...not really hungry.
‐ 'Oh.'

Okay.

So, what's
wrong with her?

‐ What is this?
‐ I don't know. Check it out.

Yowsa.

25,000 in ca.. It's a gift
from the old man.

10‐1, it's dirty.

Looks like your Cancer treatment
fund just got richer.

It's going back.
Penance doesn't mean

anything isn't that easy.

What do you know
about penance?

I used to date a lot
of Catholic girls.

You want their numbers?

'Her lungs are
filling up with fluid.'

'I have to put in a swan.'

‐ How is she?
‐ She might not make it.

Oh, God.

How could you miss
signs of appendicitis?

Periumbilical pain,
localizing to the right.

She told me the
pain was diffuse.

Did you check
for rebound and guarding?

‐ I told you I did.
‐ I'm asking you.

If you actually did.

Yes, and if you had any doubts

you should've
examined her yourself.

I trusted you to do that.

You know how difficult
appendicitis is to diagnose.

I asked you if you wanted
to see her, and you said..

The appendix that wasn't.

Well, there'll be
plenty more ahead of you.

I wish I had at least
one behind me.

It is cause for concern,
what with the pyramid system.

Pyramid system?

From now on,
surgical interns will be ranked.

Those that fall
in the lower third

won't be asked back
a second year.

'Oh, come on. You gotta
help me out here.'

Hey, come on, bud. Cooperate.

Here's the rolling stones.
That's a cool one.

"Ban the bra."

"All the way with LBJ."

‐ What's that about?
‐ I won't hurt your buttons.

I promise, I'll give your
buttons right back.

'You just gotta
take this off.'

Hey!

Security!

Let go of her!

This sucker's strong!

Hey!

'Shep, I don't think
he's breathing, Shep!'

‐ Shep!
‐ What?

No pulse.
He has no pulse.

Get the crash cart.

Get CPR.

Come on!

What are you doing
to my crash cart?

Where's the ET tube?

Wait, wait, wait!
He's got a pulse.

He's back.

‐ I got it!
‐ Damn!

Security!

'Security!'

Hey, did they call us in?

Oh, relax. We still
have a few minutes.

Where's mom?

Uh, she went to Northfield
to see Sally.

Called that one right.

This is upsetting
for her and for me.

When you have to choose
between your own daughters

it's not right.

What do you mean?

I'm not going in.

Dad!

I don't wanna
take sides.

For three weeks
you have been promising

to back me up
and you decide

you change your
mind now?

You haven't spent
five minutes with Chloe.

You haven't met Joe.

‐ Unbelievable.
‐ I'm telling you.

Your sister is like
a new person.

She went out and
got a job the first morning.

She insists on
paying for the food.

Joe is a good guy.

Did you check his
rap sheets?

He's a cop.

What?

‐ I'm not going.
‐ Look, it's all set.

‐ Inga's counting on you.
‐ I'm not going.

What's the problem here?

‐ I was married for 11 years.
‐ Uh‐huh.

To be faced suddenly
with dating again‐‐

Okay, you're
overthinking this

you just gotta
follow your id.

It's more complicated
than that.

‐ No, it's not.
‐ Look, okay.

What is about
to pass between us

must remain in the strictest
of confidence.

Okay.

‐ When I first met Jen..
‐ Mm‐hmm?

‐ Come here.
‐ Mm‐hmm.

When you
first met Jen..

I never had sex before.

Right. You were 17, right?

‐ Sixteen.
‐ Mm‐hmm.

And through all
those years

I've always
been faithful.

Mm‐hmm.

Wait, a‐are
you telling me that

you've only had sex
with Jen?

That so unusual?

In the 20th
century? Uh..

Yeah, you're right.
See? I'm a freak.

Well, that's
a little strong.

No, no, it's
true, I've only

had sex with my wife.

The thought of being
intimate with a stranger, I..

What if she can't
arouse me or..

You know,
I can't please her?

The thought alone
scares me to death.

Well, you're right.

Inga's not for you.

Uh..

'County, this is unit 52.'

'We have a 16‐year‐old male
beating victim'

'multiple injuries
to the face and torso'

'broken tib‐fib,
difficulty breathing.'

‐ Dr. Ross, 16‐year‐old trauma.
‐ Mm‐hmm.

'B.P.'s 80/50,
resps are shallow at 53.'

'Do you copy?'

We copy, 52.
What's your ETA?

'We're a ways out.
I'd say 15 minutes.'

‐ Copy that.
‐ Dr. Ross.

‐ I'd like to run this trauma.
‐ Sorry, Carter.

I promised Dale he could
run the next trauma.

Jerry, page me
in ten minutes.

Look at these
Kurley‐B lines.

What you looking at?

Pulmonary Edema.

Man, I'm hungry.
You guys had lunch yet?

We were just gonna
go in a few. Care to join?

Well, I really
should go up now.

I got some labs coming.

Well, Doc Magoo's?

Why don't we do the lunch room?
It's Nuremberg chicken day.

On October 10, 1994,
Chloe was arrested

for drunk and disorderly
conduct.

At this time, she swore that
she would seek treatment.

Six months later,
she was arrested

for driving
under the influence.

Dr. Lewis

we are here
to explore the possibility

of you and your sister
settling this

without the court's
help but I take it

you're not interested.

No, Your Honor.

And on the issue
of visitation rights?

‐ No. I don't trust her.
‐ Based on?

Based on her history
of drunkenness, addiction and

false claims of rehabilitation,
as outlined here.

I have a copy.

Chloe, is there anything
you'd like to say?

Well, everything Susan
said about me is true

but I've never stayed in rehab
more than a week before now.

And you've been free
of alcohol and drugs for..?

'Five months.'

Um, here are
the urine test results.

You've barely started taking
responsibility for yourself.

How do you expect to take
responsibility for a child?

I ask myself that a lot

but I am on the right track now

and I never, ever wanna
go back to who I was

'and I feel that
with the help of God'

and my friends

and my family..

...that I can be a good
mother to my baby.

And you've been employed
as a claims adjuster in Phoenix

for the past four months.

'Yep. Yep. Here
are the affidavits.'

And they're holding
a job for me

and I got a job here.

Um...could you
step outside, please?

I wanna speak to
Dr. Lewis alone.

I am going to
allow your sister

three overnight
visits a week

starting tonight

pending resolution
of the adoption issue.

What's more,
I'm telling you now

that if you proceed
with the custody fight

you will lose.

Chloe's the mother,
and as far as I can see

she presents no danger
to her child.

Given that, I want you to

consider
the cost of proceeding.

Not just financially

but in terms of
the disruption

to your life, Chloe's life
and to the baby.

We should've gone fishing.

We could be sitting on the pier
with our toes in the water

drowning a couple of worms.

Instead, here we
are two urban casualties

of the Button Man.

My throat's fine, by the way.

'We're not raising
our kids here.'

We're.. we're not?

No. Definitely not.

Okay.

What happened here?

Appendix ruptured.
She's septic.

I took a look at her chart

and lo and behold, you sent her
home without examining her.

Well, nothing in
the PA's exam

suggested appendicitis.

I disagree.

"Abdominal pain,
cramping, fever."

'You should've
laid hands on her.'

That's what a surgeon does.

'You were quick to
assign blame when Doug Ross'

made a mistake but when
your ass is on the line

you hide behind excuses.

If this hits the fan

don't expect your colleagues
to line up with support.

Reap as you sow.

$7.43.

‐ I got it.
‐ No.

No, no, you get
it next time.

Why don't you
go ahead.

Oh, damn it.

‐ Labs are up.
‐ They can wait ten minutes.

Better not.
You guys go ahead.

‐ I'll catch up to you.
‐ Your soup's gonna get cold.

Sixteen years old,
multiple lacerations

and bruises to face,
chest and abdomen.

‐ 'Possible fracture of‐‐'
‐ Excuse me.

‐ Yo anybody seen Dale?
‐ You got that?

This guy sure pissed
somebody off.

Kids at the scene said,
he got jumped out of a gang.

Can I do something?

'You wanna run it, run it.'

Airway?

Patent. No tracheal deviation.

Bruises on chest
and abdomen.

No blood in the canal.
Let's get a C‐spine

chest and head C. T.

Pupils?

Uh..

...round, equal and reactive.

‐ What's your name?
‐ Virgil.

‐ BP is down to 60.
‐ Carter?

He's bleeding
from somewhere.

Where?

‐ Good breath sounds.
‐ 'That clears the chest.'

There are no marks
on his back.

Must be the belly.

‐ The lavage kit!
‐ Lavage kit, please.

Number 11 blade.

‐ You ever done this before?
‐ Not until today.

Well, Mr. Carter I see you're
finally getting a procedure.

Hang on.
Okay, go.

Make sure you're
into the peritoneum.

I'm in.

Hook up the saline.

And...extension tubing.

Almost looks like
he knows what he's doing.

How is she?

A little better.

I put a catheter
in her artery

to make it easier
to draw blood.

I don't see any other doctor
sitting by her bed all day.

Thank you
for taking care of my wife.

Mr. Mendoza, um..

...when you asked
earlier if the appendicitis

could have been caught
I didn't, uh..

...give you a full answer.

I'm the doctor
who discharged your wife.

If I'd examined her I probably
would've caught it but..

...I didn't.

I made a mistake.

I'm sorry.

Nothing. No blood
in the belly.

‐ BP's down to 40.
‐ Where's the hell's the bleed?

'Did you check his back?'

Take a look.

Here we go.

'This doesn't make any sense.'

'Maybe it's
a faulty pressure cuff.'

Foley's clear.

Whoa! Spoke too soon.

Must've blown a clot.

Where is that damn wound?

What's that?

'That is a very small
puncture wound.'

‐ Probably an ice pick.
‐ Alright.

‐ It went right by me.
‐ Me too.

Let's get this kid
upstairs. Patch him up.

Where do you think
he took it, Carter?

‐ Kidney or renal artery?
‐ Uh, renal.

‐ Wanna come up and find out?
‐ Sure.

‐ Nice catch.
‐ Thank you.

‐ What's going on?
‐ Stumbled right into a trauma.

Ice pick to the kidney.
We're taking him up now.

Hi..

‐ This is weird, isn't it?
‐ Uh, yeah.

You know, you haven't
really met Joe yet, have you?

‐ Hi, Susan.
‐ Hi, Joe.

I uh, I brought
extra diapers and, um..

...some baby Tylenol
in case she gets a fever

and,
uh...oh, Mr. B.

She can't go
to sleep without him.

What's her
bedtime routine?

Um, well, a bath and then,
um, we read two picture books

and, uh, a bottle
while she's getting rocked

and usually,
I sing to her.

Alright. I better go.

Uh, we were hoping
you'd stay for dinner.

No, I don't think so.

Oh, please.

I know little Suzie
would want you to.

She doesn't
know who I am.

Come on.

'First, let's review
a relatively simple trauma'

'led by our own Mr. Carter.'

Note the uneven distribution
of personnel, screen right.

'Everyone clumped together
like a herd of wildebeest'

'getting in each other's way.'

'While, the left side
is under‐utilized.'

‐ How's it going?
‐ Very enlightening.

Next, we'll see an example of
poor trauma hygiene.

Observe Mr. Carter wiping
his nose with his gloved hand

just prior
to grabbing the scalpel.

Let's look one more time.

'The...wipe
and now, the grab.'

'One more time.'

'Wipe and...the grab.'

Good, now let's take a look
at a more organized trauma

led by Dale earlier in the day.

Want to have
dinner tonight?

Love to.

Are you saying
that you have

never had sex with
anyone but Jen?

Is that so unusual?

'Uh, in the 20th century?'

'You're right, I'm a freak.'

I may have gone too far back.

What if she can't arouse me
or I can't please her?

'The thought alone
scares me to death.'

'Well, you're right.'

'Inga's not for you.'

Oh, my God.

Mrs. Mendoza's
doing better.

Yeah, I know.

I spoke to her husband
and he said you told him

it was your fault.

It was my fault.

‐ Peter, do you hate me?
‐ No.

You don't even look
at me when we talk.

It's been like this all year.

Now, look, I'm sorry
that I hurt you

but I thought by now,
we'd be past it.

I am past it.

Way past it.

You have to admit,
it was funny.

It was the most humiliating
moment of my life.

‐ Dr. Ross, this came for you.
‐ 'Yeah.'

Uh, bad news?

Well, I've been
denied a loan

by a company whose motto is,
"We lend money to anyone".

There's always
your dad's dough.

Then I'd have
to thank him.

Penance has its price.

‐ Ready?
‐ As I'll ever be.

How's your appetite?

Uh, good.

‐ Oh, thanks.
‐ It's strong.

That's alright.

I hate to bring up
the elephant in the room

but I think you did
a wonderful thing.

'You mean taking care of Suzie?
I didn't have a choice.'

Even so, you
gave Chloe a chance.

When she first came to AA, she
had as low opinion of herself

as anyone could

'but she wanted
to get well.'

I thought you were a cop.

I'm also a recovering
alcoholic, nine years.

'To be honest, the program
frowns on old‐timers like me'

getting involved with newcomers

but we fell in love.

'We won't get married
for a while, though.'

'Not till Chloe
gets her year cake.'

If she makes a year.

‐ Hey.
‐ Hey.

I thought you were
gonna go home and change.

I did, but
I changed my mind.

‐ You don't wanna go?
‐ No.

I already bought
the tickets.

Well, normally that'd bother me
but considering the occasion.

‐ I don't really care.
‐ What occasion?

My dumping you.

‐ You're dumping me?
‐ Yeah.

I gotta tell you,
I feel pretty good about it.

What's going on?

‐ You know.
‐ No, I don't.

I don't know.
Get out of here.

Look, we both know that you
lured Dale and me

upstairs so that you could
do a procedure.

Which is all you
care about these days.

‐ That's not true.
‐ Yeah, it is.

You're a weasel!

All that matters to
you is making suck points

with surgical residents.

Look, let's go
someplace and talk‐‐

‐ No, no.
‐ Harper, please.

No, it's too late.

I don't even know
who you are anymore.

Hey.

‐ Hey, you ready?
‐ Almost. Where's Reilly?

He's at Magoo's with
that cute tech he's after.

The boy doesn't
waste much time.

Yeah. Good luck.

‐ Hey, doc, you hear?
‐ No, why?

That kid that saw
his mom get shot.

'Finally started talking.'

Turns out that the boyfriend

was slapping mom around.

The kid runs, gets a gun
from the drawer

'he's gonna
protect his mom, right?'

'Only he's not
such a good aim.'

‐ No.
‐ Yeah.

Killed his own mother.

Nice world, huh?

I feel like I just plucked
the virtue of a virgin.

I'm so glad you did.

Wanna do that again?

I need a minute
to recuperate.

Okay.

You let me know.

In the meantime,
we can play back the tape

and critique
your technique.

Relax, sweetie. I'm kidding.

You're awful quiet.

Just thinking
about that kid.

He will never get
over what happened.

He will be, for the rest
of his life, damaged goods.

He'll probably end up
like the Button Man.

‐ No, he won't.
‐ Yes, he will.

He is a Button Man
in the making.

Hey, what's
goin' on here?

Idiots!

Unit 47 requesting police backup
at 46th and Hutchins.

Couple of guys bonking
each other

over the head with cue sticks.

‐ Hey!
‐ Geez!

‐ Come on.
‐ What are you doing?

What's wrong with you, huh?

You son of a bitch!

Hey, Shep!

'Shep! Get back here!'

'Shep! What're you doing?'

'Shep!'

Shep! Shep, stop.

Stop! For god's sake, Shep!

Stop it!

Get off of me!

‐ Hi.
‐ Hi. I'm looking for Ray.

He's not here.

Okay.

'Oh, come on in.'

Okay.

I'm Karen.

I'm Doug.

Can I get you
something to drink, Doug?

No. Thank you.

Do you have any idea
when Ray's gonna be back?

Not tonight.

‐ I'm his son.
‐ 'Oh, I know.'

I saw you the night
you came into the bar.

Oh, that's right.
He said that you were his boss.

Yeah.

I try to remind him
of that every chance I get.

So are you his boss?

Why don't you
just come right out and ask me?

'Ask you what?'

Do I sleep
with your father?

Do you?

I'm not going to answer that.

I only say that
'cause it's unusual

that your boss would be living
in your apartment.

‐ What's this?
‐ Scotch.

Who said I lived here?

What are you doing here?

I'm staying here tonight.

What are you doing here?

I have no idea.

What's this?

Names, dates case
numbers, that

Dr. Vucelich
dropped from his study.

I'm going on record to show
that the man is a fraud.

Why are you doing this, Peter?

Like you said it's uh

easy to make excuses
for not doing the right thing.

No more excuses.

She takes four ounces
of milk at night

heated for 40 seconds
at 50%.

Okay.

I'm so glad you stayed.

I know everybody thinks
you've changed, Chloe

and I hope to God
that you have

but forgive me if I'm not
rejoicing just yet.

Maybe I can't
be objective

because I've been so angry
at you for so long.

I mean, do you really think
you can be a good mother

to this little girl?

Yes. More than anything,
that's what I wanna be.

Well, I can finish up
in here.

Thanks.

A‐shoopoo.

A‐shoop‐a‐shoo.

I'm so glad Suzy's got an aunt
that will always be there.

Who's smart and a doctor.

Who's gonna give you
good advice.

Yes.
A‐shoo‐poo.

Hey, you wanna
say goodnight?

Yeah, yeah.

Goodnight, sweetie.

A‐shoop‐shoopy‐shoo‐shoo‐shoo.

♪ Blackbird singing
in the dead of night ♪

♪ Take these broken wings
and learn to fly ♪

♪ All your life ♪

♪ You were always waiting ♪

♪ For this moment to arise ♪

♪ You were always waiting
for this moment to arise ♪