ER (1994–2009): Season 2, Episode 2 - Summer Run - full transcript
It's Weaver's first day and she doesn't exactly make a lot of friends. Carol rides along with the paramedics.
How you doing,
Nurse Hathaway?
If I were driving,
we would have been there by now
Paramedic Shepard.
You got to love these
late summer runs.
Especially up to Humboldt Park.
You ever been to
California and Division?
Yeah. That little outdoor cafe?
Cappuccinos every morning.
Yeah. Well, slip that vest on
before you order.
We always promise these rides
will be exciting.
Might have to wait on those
cappuccinos.
Yeah, right.
Excuse me. Excuse me.
Pardon me. Come on.
Well, we got this one.
Hathaway, come here.
Just relax, alright.
We're here.
'He's cyanotic. Oh man.'
'It looks like he's lost about
four liters.'
'It doesn't look good.'
'Pupils are fixed and dilated.'
Uh, multiple
gunshot wounds.
Chest, abdomen.
He's lost
a lot of blood.
‐ Hey, Raul!
‐ 'Yeah.'
We've got Payaso
over here.
He's not breathing,
no pulse.
We're in full arrest.
How about you?
I got brains all over
the asphalt, bro.
Well then, come over here.
We need you.
You can help me tube him.
Got it.
Here. You check
his rhythm.
‐ 'Come on!'
‐ 'Where's the ambu‐bag?'
'Alright, try this.'
'7.5?'
Come on!
A little
cricoid pressure.
Got it!
You bag him.
I'll try
to stick him.
God dammit!
His name's Payaso?
It's a nickname.
It means a little clown.
Worked on him, what,
about three times before?
Dumb‐ass little kid!
You're really
pissing me off, Payasito!
'Crackhead at 14.'
'We need a line.'
I can't get a vein
anywhere here.
Excuse me. Can we get a little
crowd control here, please!
'Move back, everybody!
Move back!'
'Back up, please.'
Esta bien, senora.
Esta bien, por favor!
Ma'am, please.
Gurney here, coming through!
Excuse me. Excuse me.
'Back up! Everybody, back!'
'One. Two. Three.'
Give them room.
Give them room.
Back it up, please.
Everybody back up.
Back! Back!
Everybody, back!
I need you all
to move back, please!
'Back up!
Out of their way!'
‐ 'Out of the way!'
‐ Talk to NAR.
'County General.
ETA, seven minutes.'
'Give him another amp of epi
in two minutes.'
'Got it.'
Welcome to hell.
Lydia, you seen Carter?
Not lately.
‐ Hey, Kerry.
‐ Hey, Peter.
These your sprouts?
One ER rotation together
and that's what
you remember about me, huh?
They're dead.
I need the space.
So, uh, how's it going?
Uh, my first day here,
and I've only upset Doug Ross.
That's not too bad, huh?
You must be losing your touch.
‐ Good to see you again, Kerry.
‐ Thanks, Peter.
No, can do.
It's not the kind of attitude
that we encourage
around here, Bob.
No can do, Dr. Ross.
You love saying that,
don't you? No can do.
Anybody seen Carter?
Anybody seen the
chocolate doughnut
that Bob refuses
to bring me from the cafeteria?
He's in exam four.
Dr. Weaver said
no more food errands.
Inappropriate use
of personnel.
You just love
Dr. Weaver, don't you?
It appeals to that whole
Germanic thing in you.
I am Polish.
Screaming twins,
curtain two.
Alright.
Morning, Susan.
Uh‐huh. What
have you got?
14‐year‐old, multiple
gunshot wounds, asystole.
Two amps epi,
two mgs atropine in the field.
How long's he been down?
‐ '35 minutes.'
‐ Looking for miracles?
Two liters of normal saline
already in.
‐ On my count. one, two, three.
‐ Here we go.
Slumming with the paramedics?
Yeah. Recertifying for
my MICN. So, pretty much.
Come on, Payaso. You've survived
worse than this before.
‐ He's in fib.
‐ Let's shock him. 200.
'Four units O‐neg.'
Crash cart.
Clear.
Three hundred.
‐ Clear?
‐ Clear.
‐ Three sixty?
‐ Yep.
Clear.
Amp of epi, here.
No breath sounds
on the left side.
Hemothorax.
Chest tube tray?
‐ Got your O‐neg.
‐ Another amp of epi?
Yeah. Let's high‐dose him,
five milligrams.
Scalpel.
Tube.
Oh, man,
the blood's pouring out.
Shh.
He's still asleep.
God, we had such a night,
last night.
'You wouldn't believe it.'
Triple MVA,
car versus horse trailer
in the middle of Chicago.
'What a mess.'
I had such a blast.
But we didn't get
to bed till 5:00
and now, I am late for rounds.
So, if you are still here
when he wakes up
will you tell him
I said thanks?
Thanks.
Carter.
Carter!
There's already 1,500cc's
in the pleurovac.
‐ Thoracotomy tray?
‐ 'Let's do it.'
Time down?
'Uh, 44 minutes.'
Aw, geez,
there's a bucket's worth.
Haleh, get
some lap pads.
Somebody get a light in here.
Double MVA at the back door.
What have you got?
Multiple gunshot, wounds to
the chest.
‐ He is in full arrest..
‐ Susan?
High dose of epi, atropine,
four units of O‐neg.
He's exsanguinated
into the left chest.
Your pals are pulling up
the curve.
You might wanna give
them a hand.
I work here,
nurse manager.
Kerry Weaver,
chief resident.
How long has he been in arrest?
Forty five minutes.
Too late for miracles.
Let's call it.
We need the room.
It's my case, Kerry.
We got a seven‐year‐old kid
and his mom coming in
who we can save.
We've got a 14‐year‐old
on the table.
Who we can't.
Call it.
What was that time?
Uh, 45 down.
Susan.
Susan.
Alright.
I'm calling it.
Time of death, 7:19.
Someone call housekeeping.
'Poor tidal volume.
No response.'
We need another gurney, please!
'Let's tube him and number six.'
‐ Mannitol?
‐ Thirty grams.
We need X‐ray in here!
Welcome to hell.
‐ 'Who's on for neurosurgery?'
‐ 'Carrera.'
'Page him. Stat.'
'Tube's in. Hyperventilate.'
Absolutely nothing happened,
I can assure you.
You know, she must have made
the other bed
'cause that's
where she was sleeping.
'Cause you know,
we didn't do anything.
Carter, do I look
like your father?
No. Actually,
not at all.
I don't care what
you did or didn't do
except for oversleep,
which you did.
And despite your
extended nap, I'm gonna assume
that you're fully prepared
for this morning's surgery.
‐ Absolutely.
‐ Good.
'Cause I'm going
to work your ass off.
Good. Great, 'cause we're
doing the, uh‐‐
Thoracic outlet syndrome.
Right.
I'll just be over there.
‐ Carol!
‐ You scared me.
I know. I do that
to a lot of people.
Sorry. And I'm sorry
I didn't realize
who you were earlier.
Oh, that's alright.
You, uh, enjoying
paramedic ride‐along?
Yeah. It's kinda fun
being out for a change.
Good. You know, I've been
reorganizing a little bit.
‐ Can I run some things by you?
‐ Okay.
The doctors really need to write
down their orders
when they give them.
No more of this
three‐hours‐later crap
and blaming the nurses
if it's not done.
That would be great.
And I think that
Residents are capable
of cleaning up
after procedure, don't you?
Are you gonna tell them that?
Sure. Why not?
They gotta stop
peeking through the charts
picking the most
interesting cases.
I mean, you don't
get a choice.
Why should they, right?
It's gonna be
a bumpy ride.
Already is.
So, thoracic outlet syndrome.
I really haven't had
a chance to, um..
It's the lung, right?
Don't get me started
on the Brigham.
What?
They bring me in
to set up
their emergency medicine
training program.
They keep me on the line
for six months.
Damn thing never got
out of committee.
Bunch of mud‐phuds.
Mud‐phuds?
MD‐PhD.
Bench scientists
doing research.
Running gels,
chopping up DNA.
Northern blots,
western blots
southern blots.
‐ Blots?
‐ Don't get me wrong.
They're good people.
They're smart people.
But they couldn't
diagnose a cold
if it stood up
and sneezed on them.
So, you must be pretty glad
to be back, then.
You betcha!
Give me a good sick body,
needs a little slicing
and I'm a happy man.
Go find Benton, will you?
I believe we're ready.
Maybe it's just
too complicated for tonight.
No, no. I want
to see you.
I just, um..
I promised Jackie
I would..
Uh, Dr. Benton, I think
that all he really needs
is some active
resistance therapy
for that left leg.
Oh, yeah. Yeah.
That's good. I uh..
I, uh, I promised Jackie
that I'd pick up Steven
after football practice.
Walt's down with the flu.
My class is
over at 7:00.
I could make it by 7:30.
How about 8:00?
Al's off at 10:00.
Oh, man.
Yes, you're my yummy yummy yum..
'Hey, Bob!
You seen Big Susie?'
At the desk.
You look very sharp.
Thank you.
Did you hear that, pumpkin?
She says I look sharp.
Hey..
Hi, Susie!
Chloe, what are
you doing here?
Oh, I'm running so late.
Will you take the baby
to day care, please?
We're learning windows. I cannot
miss class this morning.
It's very complicated.
How are things
at Midwest biz?
You know the academy?
Yeah, night school,
two years ago.
If you need help,
I'm actually pretty good
at all that computer stuff.
'Thanks Jerry.'
She should have been here
an hour ago.
I know, but don't
I look sharp, huh?
‐ Yeah, you do.
‐ Hello.
Okay. Thank you, Susie.
Okay. So, you're gonna pick her
up after work, okay
'cause I got
that job fair.
That's tonight?
I put it on our weekly schedule.
Oh, yeah. That's right.
That's right. I forgot.
Okay. Bye, Susie.
Bye, sweetie.
You need any help?
No.
Shh.
‐ Excuse me.
‐ Oh, yeah. Sorry about that.
Okay, yeah. Shh.
'So just hold up his arm?'
He's a pretty big guy.
'Oh, yeah.'
'380, easy.'
Big arm.
You know,
you'd think we'd have
some kind of pulley thing
for this.
Watch the pleura.
Don't wanna puncture it.
‐ We do.
‐ We do?
Hold it up higher, Carter?
Keep the neurovascular bundle
out of the way.
'Uh, let's bovie
this little fella, please.'
So, uh, the pulley thing,
it's not working?
Periosteal elevator.
'What did he do?'
'Overslept.'
Well, this will teach him
a lesson.
Yeah. Well, that's
what we're here for.
To teach him,
right, Carter?
Don't... move that arm.
Just out of curiosity,
how long is this surgery?
I need the rib cutter.
And, uh,
bovie, please.
So Rachel had her pancakes,
then threw up at 6:30.
Jen had a breakfast meeting.
I missed
the first train out.
While I'm waiting
for two hours at the station
I start talking
to this guy named Gozukizil.
So he's heard
I'm a doc, right?
Next thing you know,
he's pulling down his pants.
He wants to show me
some mole on his butt.
I don't think I'm cut out
for this commuting thing.
Yeah, Mark.
That's really interesting
but it's just been
a lousy morning.
I've got a crying baby
in my arms.
Here's the diaper bag.
So maybe we can talk
when I get back from day care.
Sure.
'Oh, I see Kerry Weaver
made it in.'
'Have you had a chance
to meet her, yet?'
Oh, yeah.
She's in, alright.
‐ And I've definitely met her.
‐ Good.
Great call on the new
chief resident, Mark.
Really special.
Hi, Al. It's me.
Hi.
Listen, I'm sorry, honey
I hate to do this again
but they changed
the study group schedule.
Yeah, for tonight.
I know, but what can I do?
No, I probably won't get out
till midnight.
No, no problem. It was running
fine this morning.
Started right up.
Yeah, I'll be careful.
Okay, thanks.
And, Al, I'm sorry.
Okay.
I'll see you tonight.
Okay, bye.
Sticky bag lady for you.
Maple syrup
would be my guess.
Yeah, it was a real mystery.
She fell while trying out
her new rollerblades
down Michigan Avenue.
‐ You want to take her, Susan?
‐ Gee, I really would.
But I've already taken
the next patient in line.
Rhinorrhea with otitis,
exam five.
Okay. Connie,
let's get a room.
Oh, man, I hate
the sticky ones.
Oh, you got another one?
'Yeah, hitchhiker.'
'She flagged us down
on the way in.'
'She asked for you personally'
Loretta, right?
Same room?
'Sure, why not.'
Looks like she's doing
the old PID Shuffle.
Pelvic inflammatory disease?
Occupational
hazard.
I just bring them in. I don't
need to know what they have.
500 milligrams tetracycline
'and a dose of mebendazole
for the baby with the pinworm.'
'Here you go. Now,
I've written them all down.'
Are you happy?
And those will be
generic, Dr. Ross?
Yes, Haleh,
those would be generic.
Mrs. Beals, I'm Dr. Ross.
This is Haleh Adams.
And you must be Byron.
Yeah, he burned himself.
I'll say.
Let's take a look.
Yeah, boy.
It looks kinda cool
and gory‐looking though, huh?
You feel that?
Yeah?
You say this happened
while you were at work?
The manager called me.
He had the cops
and the fire department there.
They were all yelling,
so I grabbed Byron
and I brought him here.
The manager?
Yeah, we live in a motel.
The Harbor View.
Although there's no harbor
and there's no view.
Byron set the room
on fire.
I guess we probably
don't live there anymore.
'What is the differential
diagnosis for pelvic pain?'
'Ectopic pregnancy?'
'Appendicitis?'
‐ And?
‐ Stress in the workplace.
What else?
Mittelschmerz, PID,
endometriosis
ruptured ovarian cyst
to name a few more.
My money's on PID
You had it before?
Yeast infection,
urinary tract infection.
Not much I haven't had.
Tests?
CBC, lytes, pregnancy cultures
for GC and chlamydia.
Barinski?
Pelvic ultrasound?
Not quite yet.
But let's assume for the moment
that it is PID.
How do you wanna treat her?
Ceftriaxone
and Zithromax.
She is way ahead
of you here.
Joanie, how is she?
Susan, thanks for
coming up so quickly.
Oh, what's wrong,
little one?
'Are you okay?'
Ah, she's burning up.
I think it's just
a slight fever, actually.
But you know the rules,
no fevers, no infections.
Yeah, yeah. Thank you
for calling me down.
I wanna get her
checked out, right away.
I'm sure it's nothing
serious, Susan.
Did you call Chloe?
No, this is one of her
class days.
You're the contact.
Oh, right.
I figured you might wanna take
her downstairs first.
Yes, yes. Thank you.
I don't know
who's in worse shape
mom or the kid.
Let's worry about
the kid first.
Get a hold of Jack Chandler,
Child Psychiatry.
I don't know if he's on today.
Track him down.
He owes me a favor.
‐ Okay?
‐ Okay.
Thank you, Haleh.
Doug. Doug, I need you
for little Susie.
Fever retrieval from daycare.
Maybe she should go
straight to pedes.
Let me just take a look.
What's the story with this
little one?
She's burning up.
Well, not really.
I'll check her out.
It might be roseola.
She looks like she might
be getting a little rash.
I don't actually see that.
Maybe she's bacteremic.
Is there anything
going around?
Always. Always.
Now listen.
Big Susie, why don't
you go on your break
and let your friendly
pediatrician take a look?
‐ Yeah, okay.
‐ Okay?
‐ Come here.
‐ Thanks.
‐ Bye.
‐ 'Dr. Lewis?'
Dr. Weaver asked
if you could take
the bounce‐back back pain
in exam six.
Bounce‐back back pain.
Right, sure.
And Bob could you do me a favor?
And call my sister for me,
Chloe Lewis.
Midwest business academy.
The number's on a card
in my wallet in my bag
in a drawer in a desk
in the lounge.
Tell her, Susie's sick and she
needs to come pick her up.
Bag, drawer,
desk, lounge.
‐ Thank you.
‐ Got it.
So what do
you want to do?
How about some Jim Beam
and call it a day?
Well, we should get a CBC
and a chem‐7.
Lytes?
Lytes are in the chem‐7.
But before we order any test
why don't we
observe the patient?
'What's wrong
with him?'
Okay, does the fact
that he's bright yellow
suggest anything?
He's jaundiced.
Probable
alcoholic hepatitis.
I'd start him on a banana bag
and check his LFT's.
Carter, take this
whiny guy.
Frequent flyer complaining
of stomach pain.
Exam four.
Betadine, kerlix,
adult no‐necks.
God, I love county.
There are these private
hospitals get all
bent out of shape if you try
to steal supplies.
'Who's stealing supplies?'
We were just saying how it's not
really considered
a theft, here at County.
I know. I was joking.
There's a Mrs. Rodriguez here.
You brought in her son
this morning, that 14‐year‐old.
Anyway, someone said
you knew the family.
I think it's probably best
if they hear it
from someone they know.
Sorry.
I don't know
the family.
I've never seen
them before.
This is..
This is not what I do.
Why don't we put
this stuff down?
What was his name again?
Payaso.
No, it's a nickname.
It's, uh...
It's Carlos, I think.
Mrs. Rodriguez,
I'm Carol Hathaway.
I'm a nurse here
at the hospital.
Senora, no hablo ingles.
Go ahead.
Your son, Carlos,
was brought in this morning.
He had multiple gunshot
wounds to his chest.
'We tried to save him
for 45 minutes.'
We used
all our capabilities
but his heart stopped,
and he died.
I'm very sorry.
His name is Rawlings.
He's 51 years old.
Acute onset of right groin pain,
last evening
accompanied by nausea
and vomiting, times three.
No bowel movement
in the last 24 hours
and notes a previously
reducible mass
that suddenly became tender
and non‐reducible
after sneezing
several days ago.
'He's currently on no
medications'
'and has no allergies.'
Upon physical exam,
a small, tender
non‐reducible mass was
appreciated in the right groin
'we had it consistent with
a strangulated hernia.'
Alright, don't just stand there.
Let's get him upto the OR.
‐ Let's move. Come on.
‐ IV and Foley are in.
CBC and lytes are back.
OR's been notified.
‐ Carter, you ordered all that?
‐ Yeah.
Good pick‐up.
Thanks.
I was examining‐‐
Alright, let's just
get him up.
'Come on, move. Clear!
Clear.'
I think,
you're the only resident
whose handwriting
the nurses can read.
Well, that's something.
So, let them read it.
Break down the meds
when you're ordering them.
Okay?
I don't want a screw up
because some nurse
forgot the heparin.
Actually, the nurses here
are pretty good, Kerry.
The nurses here are damn right
great, Susan.
I think they deserve that
from the rest of us.
Oh, good.
Doug, how is she?
She's fine except
for the noise factor
and a slight cold.
She'll be fine
in a day or so.
‐ Thanks, Doug.
‐ Here you are.
Oh, it's okay.
It's okay.
'You just have a little cold,
is all. That's all.'
‐ Dr. Lewis.
‐ Yes?
‐ Dr. Lewis..
‐ It's okay.
...your sister isn't there.
Did they say
where she went?
No. They said she hasn't
been there in three weeks.
What do they call it,
drop off?
Dropped out?
Yes.
You're kidding,
Bob, right?
Shh. Shh.
Why don't you give me a hand?
Susan?
Susan, Bob tells me you've been
sitting here for 20 minutes?
Shh.
Are you in some kind
of a fugue state?
Shh.
We've got a trauma
coming in.
A bank robber.
Some little old lady
mowed him down
while he was fleeing the scene.
Hit him with her car.
It's all very exciting.
Malik will watch
the baby.
I slid the peanut
under the spermatic cord.
'What's a peanut?'
Hmm? Oh, duh. I'm sorry.
I keep forgetting
you haven't done surgery yet.
It's a small clamp
with some gauze on the end.
I'm sorry. Are you sure
you don't mind this?
I mean, I could probably
practice on some patient.
No, no. You're ac‐actually
pretty good at it.
Yeah, but I missed
one earlier this morning.
Oh, in that case. I think
the veins are over..
Yeah. It's a pretty
complicated surgery, actually.
I was really surprised
that Dr. Benton let me bovie
those bleeders.
You're kidding?
I didn't think med students
got to bovie anything.
It's very rare.
Did you do it in that
surgery this morning?
The thoracic outlet syndrome?
No. That's pretty much
standard stuff.
They don't need me
too much on that.
Hey, that looks pretty good.
Maybe I could draw
some blood later?
Sure.
Carter.
BP's 100 over 50.
Pulse 120.
Blunt trauma
to the abdomen
both legs and head.
Car threw him around 15 feet
knocked him right out
of his sneakers.
Cops kept questioning him
as if he wasn't gorked out
or something.
They were following us
all the way in.
On my count.
One, two, three. Now, please.
Love your work.
Always.
Lets go! Hurry up, Connie.
Oh, we have
a child bank robber.
Get a CBC, type and cross match
six units, chem‐7.
Get a foley in.
We need some X‐rays.
cross table c‐spine
chest, pelvis
and both lower extremities.
Connie, could you please
call for the portable now?
Connie, get some O‐neg down here
while you're at it.
‐ How're you doing, Susan?
‐ Really well.
Thank you, Mark.
Has your day gotten better?
'Good bilateral breath sounds.
Actually, no.'
Seems to be a little tension
in the workplace.
Holy moly! Check this out.
Ooh‐wee! Lottery time.
‐ You think anyone will notice?
‐ I know, I won't.
He needs a peritoneal lavage.
Can we get that prepped?
And where the hell's the foley?
Alright, let's get
that lavage going.
Hey, you boys,
want one of these?
What?
It's kind of a policy
thing with us.
Wetnaps are for wimps.
Oh, yeah? Might help clean off
some of that primordial ooze.
What?
Hey, why's 23 here?
'Maybe there are multiple
victims?'
Hey, Larkey.
The boys at dispatch
screw up again?
Nah. We were out
cruising for snow cones
heard the call.
Is this the seizure?
Heat prostration. Fell down.
Started mumbling in Lithuanian
which our junior
ticket‐taker there
diagnosed as a seizure.
Okay. Well, looks like you have
everything under control here.
'Your rig's a little sloppy,
though.'
Hey, some of us are trying
to work here.
Hey, Larkey.
So, where are
those snow cones?
You did excellent
work today, Carter.
Oh.
A lot of students freeze up
on their first bovie
but you were
calm, steady.
Morgenstern
was impressed.
Really?
So was I, vaguely.
Choledocholithotomy,
first thing in the morning.
‐ And then I‐I can scrub in?
‐ Seven A. M.
Dr. Benton, about the IV thing.
I had been‐‐
Carter, just don't oversleep.
Right.
'I'd always heard banks put dye
in with stolen money.'
'Well, guess it's
better than being puked on'
but harder
to get out, I hear.
Yeah.
I don't suppose
we get to keep the money.
God knows, County
could use it, huh?
No. I don't suppose.
I understand
your niece has a cold.
Mm.
Fluids and fever
control measures.
Yeah, Malik's looking after
her in room five.
I saw her.
She is quite adorable.
Thank you.
Susan
you got a little spot
right there,
under your chin.
Can I come in?
What is this,
Grand Central?
Are you alright?
It's just dye, Mark.
That's not what I meant.
It hasn't been
a very good day, okay.
I know you're worried
about the baby
but it's just a cold.
Rachel used to get them
all the time.
She still gets them
all the time.
I know you're
the expert, Mark.
But you don't need to tell me
children get colds.
Doug Ross' told me that.
Kerry Weaver's told me that.
‐ Believe me, I get it.
‐ Huh.
I didn't know you and Kerry
were close enough yet
to be, uh, talking
about little Susie.
She told me about calling
that code this morning.
Mark, she is irritating
as hell, and you know it.
I'll admit
she has a style..
‐ Problem?
‐ Challenge.
You would think
on her first day
she'd at least
try and be nice.
Well, maybe she thinks
that way about you.
Sorry.
You think you're going
to be able to handle this okay?
Do I have a choice?
'Take a look.'
'No, thank you.'
'It's great.'
It's high,
which means it's scary.
Compared to what
you do for a living?
‐ I'm very careful down there.
‐ I'm being careful.
Man, and I'm a wimp
for using a wetnap?
Yeah, that's different.
‐ Oh, it's a policy kinda thing?
‐ Yeah!
It's like, whosoever driving
the car, gets to pick the music.
Except for country,
which is unacceptable.
And whoever drives, gets to
pick, where we stop for lunch.
They decide...who stays
in the ambo and who goes up
on the Ferris wheel.
Raul never gets
to drive, does he?
No.
So if you're so
afraid of heights
what are we, um,
what are we doing up here?
I figured we should have
a little quality time.
So this is a sacrifice
on your part?
Yes. You could say that.
Not to mention
the sacrifice, Raul's making
in staying on the ground.
Who?
Okay, one more time.
‐ Excuse me, Dr. Ross.
‐ Mm. Ah.
Eh, Mrs. Beals?
Could you excuse me
just for a second?
It's not really
"Mrs." but that's okay.
Look, I really need
to make the afternoon shift
or I'm gonna lose my job.
Byron will be okay
with you, right?
‐ You can't leave yet.
‐ I have to or they'll fire me.
I'm just gonna have
to take Byron with me.
No, listen, Byron
has to still see
the child psychiatrist.
He's in there
with him, now.
Dr. Ross, please.
I really need this gig.
Um, yeah, okay.
Alright, we'll um..
...we'll watch out for Byron.
You get back as soon as you can.
Thanks.
Okay.
Oh, thank you, Haleh.
When did you reach
Jack Chandler?
I haven't.
'Where's my mom?'
'She'll be back.
Probably gym class, right?'
I‐I don't even go to school.
I don't have to anymore.
Where's my mom?
Uh‐um‐uh, Dr. Meyers.
Can I see you
down the hall?
‐ Just for a second, please?
‐ Yeah. Sure.
Byron, we'll be right back,
okay, buddy?
So this kid is
a real mess.
Who the hell are you?
And what are you doing in there?
Psych resident. I'm trying
to help this nine‐year‐old.
This isn't the kinda case,
you can poach out of the ER.
‐ Hey, I was called down here.
‐ By who?
By whom. By Dr. Weaver.
Chief Resident?
Code red! Somebody call
the damn fire department!
‐ Just rip it out! Rip it out!
‐ Open the door! I got it.
Byron!
Byron!
‐ Byron! Where's the kid?
‐ What kid?
‐ What kid?
‐ Call security, will you?
'Byron!'
Hey. Hey, are you okay?
Come here. Let me see.
It's okay. Everything's
gonna be alright.
Where's my mom?
You kinda had me scared
there for a minute.
‐ Where is my mom?
‐ We'll get your mom.
‐ Where's my mom?
‐ It's okay.
‐ Where's my mom?
‐ It's alright.
This thing break down on you
again? You should've called me.
I would've come out
here and helped you.
Al...you know Peter Benton,
don't you? Remember I did some
'physical therapy
for his mother last year?'
‐ My husband, Al.
‐ Yeah.
You came by the house
once, right?
Yeah, you're right, man. Yeah.
Surgeon, right?
Uh...resident.
Well...yeah.
You know, surgical resident.
You know anything
about distributors?
'Peter's brother‐in‐law
is a mechanic.'
His mother talked
about her family.
A lot.
All the time.
Sounds like my mom,
doesn't it?
'Listen, is there anybody
you want me to call?'
No. No.
I‐I think we got it.
‐ Why don't you...give it a try?
‐ Yeah, okay.
There you go.
We got it.
I got to get us
some new wheels, man.
This...
this thing's shot.
Hey, it's good
to see you again.
‐ Yeah.
‐ Take care.
‐ Mrs. Beals‐‐
‐ I told you, there is no "Mrs."
Cindy, okay.
Please don't leave yet.
Byron's a very sick little boy.
He needs psychiatric help.
He could have burned
himself up in there.
Look, I'll take him
to work. He likes that.
‐ He'll be okay there.
‐ Listen, okay.
Taking him to work is not gonna
solve any of his problems.
Well, neither are you.
Look, I really
appreciate your help.
And I'll do all the follow‐up
stuff for his hand but..
...I got a cousin
who's gonna put us up.
She's waiting out in the car and
she's got a bunch of kids home.
So...we really
do have to go.
'Someone gonna
answer the phone?'
Hey, Bob, what's going on?
‐ What's happened to you?
‐ What do you mean?
Oh. We were goofing
around on that last run.
You know, sticking our heads
out the window and stuff.
The way, dogs like to do.
It's a good look, Carol.
Hey, Bob, have you
seen Dr. Weaver?
Suture room.
That bounce‐back
migraine's here again.
Not now, Jerry.
Only trying to get you out
in time for your train.
‐ Curtain two.
‐ Thank you.
We tend to run out
of vicryl before nylon
and the lidocaine with the EPI's
always low and 25 days‐‐
Kerry, excuse me but
will this be a good time?
Thank you, Dr. Carter.
‐ Appreciate your staying late.
‐ Sure.
Who the hell gave you
the right to call in
a psych resident
on one of my patients?
The nine‐year‐old pyromaniac?
Seemed appropriate.
We were waiting
for Jack Chandler
who as I think you know,
specializes in children.
Chandler's not
on call today.
He was giving me
a curbside consult.
‐ He's out playing golf.
‐ He was going to stop by.
Kerry, he owes me a favor.
You're asking an extremely
distraught nine‐year‐old
and his extremely
distraught mother
to hang around,
delay treatment
so you gonna have some
buddy come by and chat?
So instead, you send in
some prepubescent resident
who upsets the kid so much,
he sets the curtains on fire.
He set the curtains on fire
because you left him alone.
If Chandler comes in on
a curbside, he's not gonna write
anything in the chart.
He's not gonna be responsible
for any follow‐up.
Where does that leave the kid?
And where is that
kid left now?
His mother took him
out of here, AMA.
And whose fault is that?
The psych resident was not
managing this case, Doug.
You were.
‐ I'm out of here.
‐ Doug.
I said...that I'm off!
Doug, come on.
Wait a minute, okay?
Did I miss something
here, today?
Let's just say that
the last train to Milwaukee
is in 48 minutes
and I plan to be on it.
So now is not a good time
to tell you, you got a blunt
trauma to the chest
pulling up to the back door?
See you tomorrow.
'Dr. Erikson to ICU.
Dr. Erikson, ICU.'
You okay?
I'm afraid to move. Every time
I do, she starts to cry.
‐ It's an amazing sound, really.
‐ Tell me about it.
I got two of them at home.
And a new one on the way.
Congratulations.
I didn't even know.
No one does. I guess,
I just announced it.
But when you got to move 'em...
you got to move 'em.
Just...take your chances.
Hey.
Oh, Connie, I'm sorry about my
attitude today in that trauma.
You were pretty pissy, alright.
But it was worth it, just to see
you take that green splash.
Here. You want
to try a hand‐off?
Yeah.
‐ Oh.
‐ There she goes.
Shooting.
We need a 12‐lead EKG on him.
'Let this be a lesson
to you, Daniel.'
Never try to catch a running
back with your chest.
I can't breathe too well here.
Well, take it easy.
You're going to be okay.
‐ It's just a bruise, right?
‐ He's hyperventilating.
Yeah, you'd be, too, if you took
a helmet to your solar plexus.
'Stick on a pulse ox.'
'BP's falling, 70/40.'
‐ Pulse ox is 92.
‐ Great. Put him on a mask!
‐ Six liters!
‐ Is something wrong?
Yeah, Dan, you should've
tackled lower.
Blood gas is back.
P02, 65. PC02, 28. Ph 7.48.
Okay, he's hyperventilating
but his P02's way too low.
Shortness of breath.
Acute hypoxia
in an otherwise
healthy 15‐year‐old.
JVD, muffled heart sounds,
crashing BP.
Pericardial Tamponade?
‐ With blunt trauma?
‐ It happens.
What's a Pericarpal Tempernard?
Is that something bad?
I can't breathe too well.
I can't breathe.
‐ 12‐lead?
‐ No time!
Pericardiocentesis tray.
It's a bizarre thing, Daniel.
Which makes you a very bizarre
guy. But we like that out here.
There's bleeding
in the sac around your heart
so it's not beating right.
We're gonna
numb the area
and then, we're gonna insert
a needle and drain the blood.
You'll stick a needle
in my heart?
Don't worry, Dan. I've
done it a thousand times.
John, why don't you
move in for a better look?
Sure.
I'm using
a sub‐xiphoid approach.
45‐degree angle.
We're aiming at the left
shoulder, drawing back..
...as you advance the needle.
Cool.
See, Dan,
there's nothing to it.
BP's coming up.
100/60.
Mark, didn't you say something
about catching a train?
Oh, no. Oh, oh, God. Um, thanks.
‐ Goodnight.
‐ Night.
When were you
gonna tell me?
I tried...Susie,
I...really did.
Hey, I got another job
for a couple days, waitressing.
Made 110 bucks.
School was too hard.
They had all these
different programs.
You had to move this
file into this file.
It just...it made me
feel so stupid.
All the other girls
in the class, they already knew
how to type. And how
to write business letters.
I always thought
a letter was, like
a letter, you know.
They had all
the right clothes..
I didn't have any
of that stuff except
for what I borrow
from you and..
...even then, it doesn't
look right on me.
I really wanted this.
For Susie.
And to show you...
that I could do it.
I didn't tell you..
...because..
...I knew that
I would disappoint you.
And because I thought
that just maybe..
...this time, I wasn't
gonna screw up.
But..
What happened
to the waitressing job?
Goodnight, Chloe.
Hold on!
Hey. Hey.
Damn!
Enjoying the view?
I'm glad you came by.
I wasn't sure you would.
I wasn't sure
you'd want me to.
No, no, no,
I'm glad. I, uh..
Look. You know, Jeanie, I..
...I thought I could
do this but um..
We can't. I know.
We've talked about
all this before.
It's just‐it's hard.
Yeah, well,
so is this.
You got to tell him.
You got to tell him.
Nurse Hathaway?
If I were driving,
we would have been there by now
Paramedic Shepard.
You got to love these
late summer runs.
Especially up to Humboldt Park.
You ever been to
California and Division?
Yeah. That little outdoor cafe?
Cappuccinos every morning.
Yeah. Well, slip that vest on
before you order.
We always promise these rides
will be exciting.
Might have to wait on those
cappuccinos.
Yeah, right.
Excuse me. Excuse me.
Pardon me. Come on.
Well, we got this one.
Hathaway, come here.
Just relax, alright.
We're here.
'He's cyanotic. Oh man.'
'It looks like he's lost about
four liters.'
'It doesn't look good.'
'Pupils are fixed and dilated.'
Uh, multiple
gunshot wounds.
Chest, abdomen.
He's lost
a lot of blood.
‐ Hey, Raul!
‐ 'Yeah.'
We've got Payaso
over here.
He's not breathing,
no pulse.
We're in full arrest.
How about you?
I got brains all over
the asphalt, bro.
Well then, come over here.
We need you.
You can help me tube him.
Got it.
Here. You check
his rhythm.
‐ 'Come on!'
‐ 'Where's the ambu‐bag?'
'Alright, try this.'
'7.5?'
Come on!
A little
cricoid pressure.
Got it!
You bag him.
I'll try
to stick him.
God dammit!
His name's Payaso?
It's a nickname.
It means a little clown.
Worked on him, what,
about three times before?
Dumb‐ass little kid!
You're really
pissing me off, Payasito!
'Crackhead at 14.'
'We need a line.'
I can't get a vein
anywhere here.
Excuse me. Can we get a little
crowd control here, please!
'Move back, everybody!
Move back!'
'Back up, please.'
Esta bien, senora.
Esta bien, por favor!
Ma'am, please.
Gurney here, coming through!
Excuse me. Excuse me.
'Back up! Everybody, back!'
'One. Two. Three.'
Give them room.
Give them room.
Back it up, please.
Everybody back up.
Back! Back!
Everybody, back!
I need you all
to move back, please!
'Back up!
Out of their way!'
‐ 'Out of the way!'
‐ Talk to NAR.
'County General.
ETA, seven minutes.'
'Give him another amp of epi
in two minutes.'
'Got it.'
Welcome to hell.
Lydia, you seen Carter?
Not lately.
‐ Hey, Kerry.
‐ Hey, Peter.
These your sprouts?
One ER rotation together
and that's what
you remember about me, huh?
They're dead.
I need the space.
So, uh, how's it going?
Uh, my first day here,
and I've only upset Doug Ross.
That's not too bad, huh?
You must be losing your touch.
‐ Good to see you again, Kerry.
‐ Thanks, Peter.
No, can do.
It's not the kind of attitude
that we encourage
around here, Bob.
No can do, Dr. Ross.
You love saying that,
don't you? No can do.
Anybody seen Carter?
Anybody seen the
chocolate doughnut
that Bob refuses
to bring me from the cafeteria?
He's in exam four.
Dr. Weaver said
no more food errands.
Inappropriate use
of personnel.
You just love
Dr. Weaver, don't you?
It appeals to that whole
Germanic thing in you.
I am Polish.
Screaming twins,
curtain two.
Alright.
Morning, Susan.
Uh‐huh. What
have you got?
14‐year‐old, multiple
gunshot wounds, asystole.
Two amps epi,
two mgs atropine in the field.
How long's he been down?
‐ '35 minutes.'
‐ Looking for miracles?
Two liters of normal saline
already in.
‐ On my count. one, two, three.
‐ Here we go.
Slumming with the paramedics?
Yeah. Recertifying for
my MICN. So, pretty much.
Come on, Payaso. You've survived
worse than this before.
‐ He's in fib.
‐ Let's shock him. 200.
'Four units O‐neg.'
Crash cart.
Clear.
Three hundred.
‐ Clear?
‐ Clear.
‐ Three sixty?
‐ Yep.
Clear.
Amp of epi, here.
No breath sounds
on the left side.
Hemothorax.
Chest tube tray?
‐ Got your O‐neg.
‐ Another amp of epi?
Yeah. Let's high‐dose him,
five milligrams.
Scalpel.
Tube.
Oh, man,
the blood's pouring out.
Shh.
He's still asleep.
God, we had such a night,
last night.
'You wouldn't believe it.'
Triple MVA,
car versus horse trailer
in the middle of Chicago.
'What a mess.'
I had such a blast.
But we didn't get
to bed till 5:00
and now, I am late for rounds.
So, if you are still here
when he wakes up
will you tell him
I said thanks?
Thanks.
Carter.
Carter!
There's already 1,500cc's
in the pleurovac.
‐ Thoracotomy tray?
‐ 'Let's do it.'
Time down?
'Uh, 44 minutes.'
Aw, geez,
there's a bucket's worth.
Haleh, get
some lap pads.
Somebody get a light in here.
Double MVA at the back door.
What have you got?
Multiple gunshot, wounds to
the chest.
‐ He is in full arrest..
‐ Susan?
High dose of epi, atropine,
four units of O‐neg.
He's exsanguinated
into the left chest.
Your pals are pulling up
the curve.
You might wanna give
them a hand.
I work here,
nurse manager.
Kerry Weaver,
chief resident.
How long has he been in arrest?
Forty five minutes.
Too late for miracles.
Let's call it.
We need the room.
It's my case, Kerry.
We got a seven‐year‐old kid
and his mom coming in
who we can save.
We've got a 14‐year‐old
on the table.
Who we can't.
Call it.
What was that time?
Uh, 45 down.
Susan.
Susan.
Alright.
I'm calling it.
Time of death, 7:19.
Someone call housekeeping.
'Poor tidal volume.
No response.'
We need another gurney, please!
'Let's tube him and number six.'
‐ Mannitol?
‐ Thirty grams.
We need X‐ray in here!
Welcome to hell.
‐ 'Who's on for neurosurgery?'
‐ 'Carrera.'
'Page him. Stat.'
'Tube's in. Hyperventilate.'
Absolutely nothing happened,
I can assure you.
You know, she must have made
the other bed
'cause that's
where she was sleeping.
'Cause you know,
we didn't do anything.
Carter, do I look
like your father?
No. Actually,
not at all.
I don't care what
you did or didn't do
except for oversleep,
which you did.
And despite your
extended nap, I'm gonna assume
that you're fully prepared
for this morning's surgery.
‐ Absolutely.
‐ Good.
'Cause I'm going
to work your ass off.
Good. Great, 'cause we're
doing the, uh‐‐
Thoracic outlet syndrome.
Right.
I'll just be over there.
‐ Carol!
‐ You scared me.
I know. I do that
to a lot of people.
Sorry. And I'm sorry
I didn't realize
who you were earlier.
Oh, that's alright.
You, uh, enjoying
paramedic ride‐along?
Yeah. It's kinda fun
being out for a change.
Good. You know, I've been
reorganizing a little bit.
‐ Can I run some things by you?
‐ Okay.
The doctors really need to write
down their orders
when they give them.
No more of this
three‐hours‐later crap
and blaming the nurses
if it's not done.
That would be great.
And I think that
Residents are capable
of cleaning up
after procedure, don't you?
Are you gonna tell them that?
Sure. Why not?
They gotta stop
peeking through the charts
picking the most
interesting cases.
I mean, you don't
get a choice.
Why should they, right?
It's gonna be
a bumpy ride.
Already is.
So, thoracic outlet syndrome.
I really haven't had
a chance to, um..
It's the lung, right?
Don't get me started
on the Brigham.
What?
They bring me in
to set up
their emergency medicine
training program.
They keep me on the line
for six months.
Damn thing never got
out of committee.
Bunch of mud‐phuds.
Mud‐phuds?
MD‐PhD.
Bench scientists
doing research.
Running gels,
chopping up DNA.
Northern blots,
western blots
southern blots.
‐ Blots?
‐ Don't get me wrong.
They're good people.
They're smart people.
But they couldn't
diagnose a cold
if it stood up
and sneezed on them.
So, you must be pretty glad
to be back, then.
You betcha!
Give me a good sick body,
needs a little slicing
and I'm a happy man.
Go find Benton, will you?
I believe we're ready.
Maybe it's just
too complicated for tonight.
No, no. I want
to see you.
I just, um..
I promised Jackie
I would..
Uh, Dr. Benton, I think
that all he really needs
is some active
resistance therapy
for that left leg.
Oh, yeah. Yeah.
That's good. I uh..
I, uh, I promised Jackie
that I'd pick up Steven
after football practice.
Walt's down with the flu.
My class is
over at 7:00.
I could make it by 7:30.
How about 8:00?
Al's off at 10:00.
Oh, man.
Yes, you're my yummy yummy yum..
'Hey, Bob!
You seen Big Susie?'
At the desk.
You look very sharp.
Thank you.
Did you hear that, pumpkin?
She says I look sharp.
Hey..
Hi, Susie!
Chloe, what are
you doing here?
Oh, I'm running so late.
Will you take the baby
to day care, please?
We're learning windows. I cannot
miss class this morning.
It's very complicated.
How are things
at Midwest biz?
You know the academy?
Yeah, night school,
two years ago.
If you need help,
I'm actually pretty good
at all that computer stuff.
'Thanks Jerry.'
She should have been here
an hour ago.
I know, but don't
I look sharp, huh?
‐ Yeah, you do.
‐ Hello.
Okay. Thank you, Susie.
Okay. So, you're gonna pick her
up after work, okay
'cause I got
that job fair.
That's tonight?
I put it on our weekly schedule.
Oh, yeah. That's right.
That's right. I forgot.
Okay. Bye, Susie.
Bye, sweetie.
You need any help?
No.
Shh.
‐ Excuse me.
‐ Oh, yeah. Sorry about that.
Okay, yeah. Shh.
'So just hold up his arm?'
He's a pretty big guy.
'Oh, yeah.'
'380, easy.'
Big arm.
You know,
you'd think we'd have
some kind of pulley thing
for this.
Watch the pleura.
Don't wanna puncture it.
‐ We do.
‐ We do?
Hold it up higher, Carter?
Keep the neurovascular bundle
out of the way.
'Uh, let's bovie
this little fella, please.'
So, uh, the pulley thing,
it's not working?
Periosteal elevator.
'What did he do?'
'Overslept.'
Well, this will teach him
a lesson.
Yeah. Well, that's
what we're here for.
To teach him,
right, Carter?
Don't... move that arm.
Just out of curiosity,
how long is this surgery?
I need the rib cutter.
And, uh,
bovie, please.
So Rachel had her pancakes,
then threw up at 6:30.
Jen had a breakfast meeting.
I missed
the first train out.
While I'm waiting
for two hours at the station
I start talking
to this guy named Gozukizil.
So he's heard
I'm a doc, right?
Next thing you know,
he's pulling down his pants.
He wants to show me
some mole on his butt.
I don't think I'm cut out
for this commuting thing.
Yeah, Mark.
That's really interesting
but it's just been
a lousy morning.
I've got a crying baby
in my arms.
Here's the diaper bag.
So maybe we can talk
when I get back from day care.
Sure.
'Oh, I see Kerry Weaver
made it in.'
'Have you had a chance
to meet her, yet?'
Oh, yeah.
She's in, alright.
‐ And I've definitely met her.
‐ Good.
Great call on the new
chief resident, Mark.
Really special.
Hi, Al. It's me.
Hi.
Listen, I'm sorry, honey
I hate to do this again
but they changed
the study group schedule.
Yeah, for tonight.
I know, but what can I do?
No, I probably won't get out
till midnight.
No, no problem. It was running
fine this morning.
Started right up.
Yeah, I'll be careful.
Okay, thanks.
And, Al, I'm sorry.
Okay.
I'll see you tonight.
Okay, bye.
Sticky bag lady for you.
Maple syrup
would be my guess.
Yeah, it was a real mystery.
She fell while trying out
her new rollerblades
down Michigan Avenue.
‐ You want to take her, Susan?
‐ Gee, I really would.
But I've already taken
the next patient in line.
Rhinorrhea with otitis,
exam five.
Okay. Connie,
let's get a room.
Oh, man, I hate
the sticky ones.
Oh, you got another one?
'Yeah, hitchhiker.'
'She flagged us down
on the way in.'
'She asked for you personally'
Loretta, right?
Same room?
'Sure, why not.'
Looks like she's doing
the old PID Shuffle.
Pelvic inflammatory disease?
Occupational
hazard.
I just bring them in. I don't
need to know what they have.
500 milligrams tetracycline
'and a dose of mebendazole
for the baby with the pinworm.'
'Here you go. Now,
I've written them all down.'
Are you happy?
And those will be
generic, Dr. Ross?
Yes, Haleh,
those would be generic.
Mrs. Beals, I'm Dr. Ross.
This is Haleh Adams.
And you must be Byron.
Yeah, he burned himself.
I'll say.
Let's take a look.
Yeah, boy.
It looks kinda cool
and gory‐looking though, huh?
You feel that?
Yeah?
You say this happened
while you were at work?
The manager called me.
He had the cops
and the fire department there.
They were all yelling,
so I grabbed Byron
and I brought him here.
The manager?
Yeah, we live in a motel.
The Harbor View.
Although there's no harbor
and there's no view.
Byron set the room
on fire.
I guess we probably
don't live there anymore.
'What is the differential
diagnosis for pelvic pain?'
'Ectopic pregnancy?'
'Appendicitis?'
‐ And?
‐ Stress in the workplace.
What else?
Mittelschmerz, PID,
endometriosis
ruptured ovarian cyst
to name a few more.
My money's on PID
You had it before?
Yeast infection,
urinary tract infection.
Not much I haven't had.
Tests?
CBC, lytes, pregnancy cultures
for GC and chlamydia.
Barinski?
Pelvic ultrasound?
Not quite yet.
But let's assume for the moment
that it is PID.
How do you wanna treat her?
Ceftriaxone
and Zithromax.
She is way ahead
of you here.
Joanie, how is she?
Susan, thanks for
coming up so quickly.
Oh, what's wrong,
little one?
'Are you okay?'
Ah, she's burning up.
I think it's just
a slight fever, actually.
But you know the rules,
no fevers, no infections.
Yeah, yeah. Thank you
for calling me down.
I wanna get her
checked out, right away.
I'm sure it's nothing
serious, Susan.
Did you call Chloe?
No, this is one of her
class days.
You're the contact.
Oh, right.
I figured you might wanna take
her downstairs first.
Yes, yes. Thank you.
I don't know
who's in worse shape
mom or the kid.
Let's worry about
the kid first.
Get a hold of Jack Chandler,
Child Psychiatry.
I don't know if he's on today.
Track him down.
He owes me a favor.
‐ Okay?
‐ Okay.
Thank you, Haleh.
Doug. Doug, I need you
for little Susie.
Fever retrieval from daycare.
Maybe she should go
straight to pedes.
Let me just take a look.
What's the story with this
little one?
She's burning up.
Well, not really.
I'll check her out.
It might be roseola.
She looks like she might
be getting a little rash.
I don't actually see that.
Maybe she's bacteremic.
Is there anything
going around?
Always. Always.
Now listen.
Big Susie, why don't
you go on your break
and let your friendly
pediatrician take a look?
‐ Yeah, okay.
‐ Okay?
‐ Come here.
‐ Thanks.
‐ Bye.
‐ 'Dr. Lewis?'
Dr. Weaver asked
if you could take
the bounce‐back back pain
in exam six.
Bounce‐back back pain.
Right, sure.
And Bob could you do me a favor?
And call my sister for me,
Chloe Lewis.
Midwest business academy.
The number's on a card
in my wallet in my bag
in a drawer in a desk
in the lounge.
Tell her, Susie's sick and she
needs to come pick her up.
Bag, drawer,
desk, lounge.
‐ Thank you.
‐ Got it.
So what do
you want to do?
How about some Jim Beam
and call it a day?
Well, we should get a CBC
and a chem‐7.
Lytes?
Lytes are in the chem‐7.
But before we order any test
why don't we
observe the patient?
'What's wrong
with him?'
Okay, does the fact
that he's bright yellow
suggest anything?
He's jaundiced.
Probable
alcoholic hepatitis.
I'd start him on a banana bag
and check his LFT's.
Carter, take this
whiny guy.
Frequent flyer complaining
of stomach pain.
Exam four.
Betadine, kerlix,
adult no‐necks.
God, I love county.
There are these private
hospitals get all
bent out of shape if you try
to steal supplies.
'Who's stealing supplies?'
We were just saying how it's not
really considered
a theft, here at County.
I know. I was joking.
There's a Mrs. Rodriguez here.
You brought in her son
this morning, that 14‐year‐old.
Anyway, someone said
you knew the family.
I think it's probably best
if they hear it
from someone they know.
Sorry.
I don't know
the family.
I've never seen
them before.
This is..
This is not what I do.
Why don't we put
this stuff down?
What was his name again?
Payaso.
No, it's a nickname.
It's, uh...
It's Carlos, I think.
Mrs. Rodriguez,
I'm Carol Hathaway.
I'm a nurse here
at the hospital.
Senora, no hablo ingles.
Go ahead.
Your son, Carlos,
was brought in this morning.
He had multiple gunshot
wounds to his chest.
'We tried to save him
for 45 minutes.'
We used
all our capabilities
but his heart stopped,
and he died.
I'm very sorry.
His name is Rawlings.
He's 51 years old.
Acute onset of right groin pain,
last evening
accompanied by nausea
and vomiting, times three.
No bowel movement
in the last 24 hours
and notes a previously
reducible mass
that suddenly became tender
and non‐reducible
after sneezing
several days ago.
'He's currently on no
medications'
'and has no allergies.'
Upon physical exam,
a small, tender
non‐reducible mass was
appreciated in the right groin
'we had it consistent with
a strangulated hernia.'
Alright, don't just stand there.
Let's get him upto the OR.
‐ Let's move. Come on.
‐ IV and Foley are in.
CBC and lytes are back.
OR's been notified.
‐ Carter, you ordered all that?
‐ Yeah.
Good pick‐up.
Thanks.
I was examining‐‐
Alright, let's just
get him up.
'Come on, move. Clear!
Clear.'
I think,
you're the only resident
whose handwriting
the nurses can read.
Well, that's something.
So, let them read it.
Break down the meds
when you're ordering them.
Okay?
I don't want a screw up
because some nurse
forgot the heparin.
Actually, the nurses here
are pretty good, Kerry.
The nurses here are damn right
great, Susan.
I think they deserve that
from the rest of us.
Oh, good.
Doug, how is she?
She's fine except
for the noise factor
and a slight cold.
She'll be fine
in a day or so.
‐ Thanks, Doug.
‐ Here you are.
Oh, it's okay.
It's okay.
'You just have a little cold,
is all. That's all.'
‐ Dr. Lewis.
‐ Yes?
‐ Dr. Lewis..
‐ It's okay.
...your sister isn't there.
Did they say
where she went?
No. They said she hasn't
been there in three weeks.
What do they call it,
drop off?
Dropped out?
Yes.
You're kidding,
Bob, right?
Shh. Shh.
Why don't you give me a hand?
Susan?
Susan, Bob tells me you've been
sitting here for 20 minutes?
Shh.
Are you in some kind
of a fugue state?
Shh.
We've got a trauma
coming in.
A bank robber.
Some little old lady
mowed him down
while he was fleeing the scene.
Hit him with her car.
It's all very exciting.
Malik will watch
the baby.
I slid the peanut
under the spermatic cord.
'What's a peanut?'
Hmm? Oh, duh. I'm sorry.
I keep forgetting
you haven't done surgery yet.
It's a small clamp
with some gauze on the end.
I'm sorry. Are you sure
you don't mind this?
I mean, I could probably
practice on some patient.
No, no. You're ac‐actually
pretty good at it.
Yeah, but I missed
one earlier this morning.
Oh, in that case. I think
the veins are over..
Yeah. It's a pretty
complicated surgery, actually.
I was really surprised
that Dr. Benton let me bovie
those bleeders.
You're kidding?
I didn't think med students
got to bovie anything.
It's very rare.
Did you do it in that
surgery this morning?
The thoracic outlet syndrome?
No. That's pretty much
standard stuff.
They don't need me
too much on that.
Hey, that looks pretty good.
Maybe I could draw
some blood later?
Sure.
Carter.
BP's 100 over 50.
Pulse 120.
Blunt trauma
to the abdomen
both legs and head.
Car threw him around 15 feet
knocked him right out
of his sneakers.
Cops kept questioning him
as if he wasn't gorked out
or something.
They were following us
all the way in.
On my count.
One, two, three. Now, please.
Love your work.
Always.
Lets go! Hurry up, Connie.
Oh, we have
a child bank robber.
Get a CBC, type and cross match
six units, chem‐7.
Get a foley in.
We need some X‐rays.
cross table c‐spine
chest, pelvis
and both lower extremities.
Connie, could you please
call for the portable now?
Connie, get some O‐neg down here
while you're at it.
‐ How're you doing, Susan?
‐ Really well.
Thank you, Mark.
Has your day gotten better?
'Good bilateral breath sounds.
Actually, no.'
Seems to be a little tension
in the workplace.
Holy moly! Check this out.
Ooh‐wee! Lottery time.
‐ You think anyone will notice?
‐ I know, I won't.
He needs a peritoneal lavage.
Can we get that prepped?
And where the hell's the foley?
Alright, let's get
that lavage going.
Hey, you boys,
want one of these?
What?
It's kind of a policy
thing with us.
Wetnaps are for wimps.
Oh, yeah? Might help clean off
some of that primordial ooze.
What?
Hey, why's 23 here?
'Maybe there are multiple
victims?'
Hey, Larkey.
The boys at dispatch
screw up again?
Nah. We were out
cruising for snow cones
heard the call.
Is this the seizure?
Heat prostration. Fell down.
Started mumbling in Lithuanian
which our junior
ticket‐taker there
diagnosed as a seizure.
Okay. Well, looks like you have
everything under control here.
'Your rig's a little sloppy,
though.'
Hey, some of us are trying
to work here.
Hey, Larkey.
So, where are
those snow cones?
You did excellent
work today, Carter.
Oh.
A lot of students freeze up
on their first bovie
but you were
calm, steady.
Morgenstern
was impressed.
Really?
So was I, vaguely.
Choledocholithotomy,
first thing in the morning.
‐ And then I‐I can scrub in?
‐ Seven A. M.
Dr. Benton, about the IV thing.
I had been‐‐
Carter, just don't oversleep.
Right.
'I'd always heard banks put dye
in with stolen money.'
'Well, guess it's
better than being puked on'
but harder
to get out, I hear.
Yeah.
I don't suppose
we get to keep the money.
God knows, County
could use it, huh?
No. I don't suppose.
I understand
your niece has a cold.
Mm.
Fluids and fever
control measures.
Yeah, Malik's looking after
her in room five.
I saw her.
She is quite adorable.
Thank you.
Susan
you got a little spot
right there,
under your chin.
Can I come in?
What is this,
Grand Central?
Are you alright?
It's just dye, Mark.
That's not what I meant.
It hasn't been
a very good day, okay.
I know you're worried
about the baby
but it's just a cold.
Rachel used to get them
all the time.
She still gets them
all the time.
I know you're
the expert, Mark.
But you don't need to tell me
children get colds.
Doug Ross' told me that.
Kerry Weaver's told me that.
‐ Believe me, I get it.
‐ Huh.
I didn't know you and Kerry
were close enough yet
to be, uh, talking
about little Susie.
She told me about calling
that code this morning.
Mark, she is irritating
as hell, and you know it.
I'll admit
she has a style..
‐ Problem?
‐ Challenge.
You would think
on her first day
she'd at least
try and be nice.
Well, maybe she thinks
that way about you.
Sorry.
You think you're going
to be able to handle this okay?
Do I have a choice?
'Take a look.'
'No, thank you.'
'It's great.'
It's high,
which means it's scary.
Compared to what
you do for a living?
‐ I'm very careful down there.
‐ I'm being careful.
Man, and I'm a wimp
for using a wetnap?
Yeah, that's different.
‐ Oh, it's a policy kinda thing?
‐ Yeah!
It's like, whosoever driving
the car, gets to pick the music.
Except for country,
which is unacceptable.
And whoever drives, gets to
pick, where we stop for lunch.
They decide...who stays
in the ambo and who goes up
on the Ferris wheel.
Raul never gets
to drive, does he?
No.
So if you're so
afraid of heights
what are we, um,
what are we doing up here?
I figured we should have
a little quality time.
So this is a sacrifice
on your part?
Yes. You could say that.
Not to mention
the sacrifice, Raul's making
in staying on the ground.
Who?
Okay, one more time.
‐ Excuse me, Dr. Ross.
‐ Mm. Ah.
Eh, Mrs. Beals?
Could you excuse me
just for a second?
It's not really
"Mrs." but that's okay.
Look, I really need
to make the afternoon shift
or I'm gonna lose my job.
Byron will be okay
with you, right?
‐ You can't leave yet.
‐ I have to or they'll fire me.
I'm just gonna have
to take Byron with me.
No, listen, Byron
has to still see
the child psychiatrist.
He's in there
with him, now.
Dr. Ross, please.
I really need this gig.
Um, yeah, okay.
Alright, we'll um..
...we'll watch out for Byron.
You get back as soon as you can.
Thanks.
Okay.
Oh, thank you, Haleh.
When did you reach
Jack Chandler?
I haven't.
'Where's my mom?'
'She'll be back.
Probably gym class, right?'
I‐I don't even go to school.
I don't have to anymore.
Where's my mom?
Uh‐um‐uh, Dr. Meyers.
Can I see you
down the hall?
‐ Just for a second, please?
‐ Yeah. Sure.
Byron, we'll be right back,
okay, buddy?
So this kid is
a real mess.
Who the hell are you?
And what are you doing in there?
Psych resident. I'm trying
to help this nine‐year‐old.
This isn't the kinda case,
you can poach out of the ER.
‐ Hey, I was called down here.
‐ By who?
By whom. By Dr. Weaver.
Chief Resident?
Code red! Somebody call
the damn fire department!
‐ Just rip it out! Rip it out!
‐ Open the door! I got it.
Byron!
Byron!
‐ Byron! Where's the kid?
‐ What kid?
‐ What kid?
‐ Call security, will you?
'Byron!'
Hey. Hey, are you okay?
Come here. Let me see.
It's okay. Everything's
gonna be alright.
Where's my mom?
You kinda had me scared
there for a minute.
‐ Where is my mom?
‐ We'll get your mom.
‐ Where's my mom?
‐ It's okay.
‐ Where's my mom?
‐ It's alright.
This thing break down on you
again? You should've called me.
I would've come out
here and helped you.
Al...you know Peter Benton,
don't you? Remember I did some
'physical therapy
for his mother last year?'
‐ My husband, Al.
‐ Yeah.
You came by the house
once, right?
Yeah, you're right, man. Yeah.
Surgeon, right?
Uh...resident.
Well...yeah.
You know, surgical resident.
You know anything
about distributors?
'Peter's brother‐in‐law
is a mechanic.'
His mother talked
about her family.
A lot.
All the time.
Sounds like my mom,
doesn't it?
'Listen, is there anybody
you want me to call?'
No. No.
I‐I think we got it.
‐ Why don't you...give it a try?
‐ Yeah, okay.
There you go.
We got it.
I got to get us
some new wheels, man.
This...
this thing's shot.
Hey, it's good
to see you again.
‐ Yeah.
‐ Take care.
‐ Mrs. Beals‐‐
‐ I told you, there is no "Mrs."
Cindy, okay.
Please don't leave yet.
Byron's a very sick little boy.
He needs psychiatric help.
He could have burned
himself up in there.
Look, I'll take him
to work. He likes that.
‐ He'll be okay there.
‐ Listen, okay.
Taking him to work is not gonna
solve any of his problems.
Well, neither are you.
Look, I really
appreciate your help.
And I'll do all the follow‐up
stuff for his hand but..
...I got a cousin
who's gonna put us up.
She's waiting out in the car and
she's got a bunch of kids home.
So...we really
do have to go.
'Someone gonna
answer the phone?'
Hey, Bob, what's going on?
‐ What's happened to you?
‐ What do you mean?
Oh. We were goofing
around on that last run.
You know, sticking our heads
out the window and stuff.
The way, dogs like to do.
It's a good look, Carol.
Hey, Bob, have you
seen Dr. Weaver?
Suture room.
That bounce‐back
migraine's here again.
Not now, Jerry.
Only trying to get you out
in time for your train.
‐ Curtain two.
‐ Thank you.
We tend to run out
of vicryl before nylon
and the lidocaine with the EPI's
always low and 25 days‐‐
Kerry, excuse me but
will this be a good time?
Thank you, Dr. Carter.
‐ Appreciate your staying late.
‐ Sure.
Who the hell gave you
the right to call in
a psych resident
on one of my patients?
The nine‐year‐old pyromaniac?
Seemed appropriate.
We were waiting
for Jack Chandler
who as I think you know,
specializes in children.
Chandler's not
on call today.
He was giving me
a curbside consult.
‐ He's out playing golf.
‐ He was going to stop by.
Kerry, he owes me a favor.
You're asking an extremely
distraught nine‐year‐old
and his extremely
distraught mother
to hang around,
delay treatment
so you gonna have some
buddy come by and chat?
So instead, you send in
some prepubescent resident
who upsets the kid so much,
he sets the curtains on fire.
He set the curtains on fire
because you left him alone.
If Chandler comes in on
a curbside, he's not gonna write
anything in the chart.
He's not gonna be responsible
for any follow‐up.
Where does that leave the kid?
And where is that
kid left now?
His mother took him
out of here, AMA.
And whose fault is that?
The psych resident was not
managing this case, Doug.
You were.
‐ I'm out of here.
‐ Doug.
I said...that I'm off!
Doug, come on.
Wait a minute, okay?
Did I miss something
here, today?
Let's just say that
the last train to Milwaukee
is in 48 minutes
and I plan to be on it.
So now is not a good time
to tell you, you got a blunt
trauma to the chest
pulling up to the back door?
See you tomorrow.
'Dr. Erikson to ICU.
Dr. Erikson, ICU.'
You okay?
I'm afraid to move. Every time
I do, she starts to cry.
‐ It's an amazing sound, really.
‐ Tell me about it.
I got two of them at home.
And a new one on the way.
Congratulations.
I didn't even know.
No one does. I guess,
I just announced it.
But when you got to move 'em...
you got to move 'em.
Just...take your chances.
Hey.
Oh, Connie, I'm sorry about my
attitude today in that trauma.
You were pretty pissy, alright.
But it was worth it, just to see
you take that green splash.
Here. You want
to try a hand‐off?
Yeah.
‐ Oh.
‐ There she goes.
Shooting.
We need a 12‐lead EKG on him.
'Let this be a lesson
to you, Daniel.'
Never try to catch a running
back with your chest.
I can't breathe too well here.
Well, take it easy.
You're going to be okay.
‐ It's just a bruise, right?
‐ He's hyperventilating.
Yeah, you'd be, too, if you took
a helmet to your solar plexus.
'Stick on a pulse ox.'
'BP's falling, 70/40.'
‐ Pulse ox is 92.
‐ Great. Put him on a mask!
‐ Six liters!
‐ Is something wrong?
Yeah, Dan, you should've
tackled lower.
Blood gas is back.
P02, 65. PC02, 28. Ph 7.48.
Okay, he's hyperventilating
but his P02's way too low.
Shortness of breath.
Acute hypoxia
in an otherwise
healthy 15‐year‐old.
JVD, muffled heart sounds,
crashing BP.
Pericardial Tamponade?
‐ With blunt trauma?
‐ It happens.
What's a Pericarpal Tempernard?
Is that something bad?
I can't breathe too well.
I can't breathe.
‐ 12‐lead?
‐ No time!
Pericardiocentesis tray.
It's a bizarre thing, Daniel.
Which makes you a very bizarre
guy. But we like that out here.
There's bleeding
in the sac around your heart
so it's not beating right.
We're gonna
numb the area
and then, we're gonna insert
a needle and drain the blood.
You'll stick a needle
in my heart?
Don't worry, Dan. I've
done it a thousand times.
John, why don't you
move in for a better look?
Sure.
I'm using
a sub‐xiphoid approach.
45‐degree angle.
We're aiming at the left
shoulder, drawing back..
...as you advance the needle.
Cool.
See, Dan,
there's nothing to it.
BP's coming up.
100/60.
Mark, didn't you say something
about catching a train?
Oh, no. Oh, oh, God. Um, thanks.
‐ Goodnight.
‐ Night.
When were you
gonna tell me?
I tried...Susie,
I...really did.
Hey, I got another job
for a couple days, waitressing.
Made 110 bucks.
School was too hard.
They had all these
different programs.
You had to move this
file into this file.
It just...it made me
feel so stupid.
All the other girls
in the class, they already knew
how to type. And how
to write business letters.
I always thought
a letter was, like
a letter, you know.
They had all
the right clothes..
I didn't have any
of that stuff except
for what I borrow
from you and..
...even then, it doesn't
look right on me.
I really wanted this.
For Susie.
And to show you...
that I could do it.
I didn't tell you..
...because..
...I knew that
I would disappoint you.
And because I thought
that just maybe..
...this time, I wasn't
gonna screw up.
But..
What happened
to the waitressing job?
Goodnight, Chloe.
Hold on!
Hey. Hey.
Damn!
Enjoying the view?
I'm glad you came by.
I wasn't sure you would.
I wasn't sure
you'd want me to.
No, no, no,
I'm glad. I, uh..
Look. You know, Jeanie, I..
...I thought I could
do this but um..
We can't. I know.
We've talked about
all this before.
It's just‐it's hard.
Yeah, well,
so is this.
You got to tell him.
You got to tell him.