ER (1994–2009): Season 2, Episode 22 - John Carter, M.D. - full transcript

[theme music]

[Sly & The Family Stone singing
"If You Want Me To Stay"]

♪ Oh oh yeah hee yeah ♪

♪ If you want me to stay ♪

♪ I'll be around today ♪

♪ To be available
for you to see ♪

♪ But I am about to go ♪

♪ And then you'll know ♪

♪ For me to stay here ♪

♪ I got to be me ♪

♪ You'll never be in doubt ♪



♪ That's what it's all about ♪

♪ You can't take me for ♪

♪ Granted and smile ♪

♪ Count the days I'm gone ♪

♪ Forget reachin' me
by phone.. ♪

‐ What do you got?
‐ LOL, ALOC.

‐ Where do you want her?
‐ Curtain area three.

I'll be right there.

Oh, yeah.
Turn it up, Jer.

♪ I hope that you have been.. ♪

Whoo!

♪ That you really are now.. ♪

‐ 'Hey, hey.'
‐ 'Whoo.'

[laughing]



Oh.

‐ Go, girl. Go.
‐ Yeah.

‐ So, have we got a deal?
‐ I don't know, Mark.

If you don't think I should
be an attending, say so.

I'm not comfortable
with this bargaining

on Susan Lewis' behalf.

‐ It lacks dignity.
‐ It's the way of the world.

Yeah, but whatever
happened to advancement

based solely
on merit and ability?

It went out with hoop skirts
and smoking jackets.

Damn it, Jerry.
Turn it down.

‐ So, do we have a deal?
‐ Jerry!

Hold on, hold on. This is
my favorite part right here.

♪ I'll be good ♪

♪ I wish I could ♪

♪ I'd get this message
over to you now ♪

♪ Ah‐h‐h.. ♪

Now you can turn it down.

‐ Thank you.
‐ Sorry, Dr. Weaver.

They made me do it.

That staff meeting
starts in four minutes.

So, you really think

Susan Lewis would make
a good chief resident?

‐ Honestly?
‐ Yes, I do.

Okay, then.

What was that all about?

I think I just sold
my soul to the devil.

‐ What do you got?
‐ LOL, vitals normal.

Oriented times zero.

Lady Godiva was au de natural

running around
Buckingham Fountain

singing songs
from "My Fair Lady."

Carousel,
"June is busting out all over"

is Rodgers and Hammerstein
not Lerner and Loewe.

Well, whatever.
Just keep her restrained

or little old Junie here will
be busting out all over.

And it ain't pretty.

CBC, Chem 7,
tox screen, glucose

non‐contrast head CT.

Ma'am, do you
know your name?

Eh, June. June.

‐ June? June what?
‐ Eh...A‐Allison.

‐ 'Allison.'
‐ June Allison?

‐ That's your name?
‐ 'Uh, huh.'

So, do you know
your real name?

Uh...uh...yes.
Yes, I know my name.

'It's...I do.'

It's okay. Don't worry.

‐ It's not important.
‐ 'I know my name.'

I‐I‐I know my name.

I‐I know my name. I know.

‐ Probably Alzheimer's.
‐ I know.

Call the police. See if
anyone's reported her missing.

A family, a residential home.
She belongs somewhere.

She's too clean
to be homeless.

‐ Oh!
‐ 'I know. I know.'

But, folks, if we can't
control our office supplies

particularly paper expendables

then admin's gonna come down
here and control them for us.

So please, tell your people
no unnecessary xeroxing.

‐ Okay?
‐ Fine.

‐ Okay?
‐ Alright, alright.

Thank you,
next item, uh, replacing

Marty Cannon
as an attending in the ER.

He's done a great job
for us, thank you, Marty.

But he's leaving
for greener pastures

at The University of Iowa.

[clapping]

(David)
'Godspeed.'

'Godspeed. Godspeed.'

As to a replacement
Kerry Weaver

has everyone's vote
except for Mark.

You've been dragging
your feet on this.

You had a chance
to kick this around?

Come to your senses?

I think Kerry's
a terrific choice.

Oh. Well,
that‐that's great.

(David)
'So you no longer have
any qualms about this?'

You'll be working
together every day

week after week,
pulling on the same oar.

Teammates, partners.

Seriously, Mark,
if you're not excited about this

I don't see
how it can possibly work.

I'm looking forward
to it, really.

Oh, that's great.
Just great.

Good. Well, case closed.

(David)
'Uh, parking..'

What are you
still doing here?

Timing seemed a little off.

You're gonna miss
your appointment.

I'll reschedule.

No, you won't.

It's a bunch
of crap, anyway.

I'm fine.

No, it's not.

You need to see
somebody, Shep.

I don't need to see
no shrink, okay?

The hell you don't.

You're not sleeping,
you're losing weight.

God, I'm terrified
to get in a car with you.

I'm afraid if someone
cuts you off at the light

you're gonna get out and beat
them to death with a tire iron.

You're starting
to sound like Reilly.

He's right.

What?

I lied for you
to that investigator guy.

‐ You didn't lie for me.
‐ 'Yeah, I did.'

‐ And I'm not doing it anymore.
‐ No, you didn't lie for me.

And I'm not seeing a shrink.

Shep, you need help.

If you don't get it
something awful is gonna happen.

Know what I need?

I need for everyone
to stop pushing at me

and pushing at me,
telling me what to do.

I just need
a little time, okay?

I mean, is that okay?

Is that okay with you
and the whole city of Chicago?

Shep.

'It's only because
I care about you. Shep!'

[engine revving]

[theme music]

[music continues]

Everybody's gonna
be there, my folks

both sets of grandparents.

My sister
flew in from Paris.

My godparents,
my aunts, my uncles

whole bunch of my cousins,
Jeffrey, Jody, Rob

Sarah, David, Keith,
Barry, oh, Margaret..

Carter, Carter,
Carter, okay, okay, look

I don't need a whole family
tree. I get the picture, okay?

So, I was hoping that you
were maybe going to come.

‐ What?
‐ It's at 4:00.

And I was thinking you could
stop by and meet everybody.

Carter, I didn't even
go to my own graduation.

‐ Really?
‐ Really.

They've heard
an awful lot about you.

Yeah? All good, right?

Absolutely, nothing but
the best, the very, very best.

So, If you can't make the
graduation, my dad's throwing

a cocktail party for me
at six at The Drake.

Good food, great wine.

It's gonna be a bunch of my
mom and dad's stuffy friends

from the club but the mayor's
supposed to come by, so..

Carter, you've
got your residency.

I've turned in
the end‐of‐the‐year evaluation.

Just relax,
you don't have to keep

trying to brown‐nose me, okay?

I wasn't trying
to brown‐nose you.

[sighs]
Well..

...I appreciate
your invitation.

But I'm not going
to your graduation

and I'm not going
to some cocktail party

that daddy's throwing
at The Drake.

Look, Carter...you were
my assigned med student.

I was your assigned resident.

You don't owe me
anything, okay?

‐ Alright, What do we got?
‐ 86 year old..

‐ Morning, Carol.
‐ What's good about it?

Kerry, you got it.

Really?
The attending's job?

‐ Yeah.
‐ Oh, that's great.

When‐when, when do I start?

Uh, I don't know, I guess after
Marty Cannon leaves next month.

I‐is the salary
fixed or negotiable?

Uh, fixed, I guess.
I didn't negotiate mine.

There's usually
a little wiggle room.

Right. Well, you'd have to
discuss that with Morgenstern.

What about benefits?

Pension plan through
the hospital or can

you set up
your own 401k?

Uh, I don't know. Hospital,
I guess. I‐I never asked.

You know, this is very exciting.

We'll finally
be able to facilitate

some real change around here.

Have you read
"Managing Through Example

12 steps to a more
efficient workplace?"

‐ No, I haven't.
‐ Yeah? I'll loan you my copy.

I've highlighted
a number of passages.

I hope you don't find
that too distracting.

I'm sure I won't.

Mark, paramedics
are four minutes out.

Male infant,
respiratory distress.

And, Kerry,
I do have your support

for Susan Lewis
as chief, right?

Susan Lewis?

You know what, Linda Martin
would be awfully good too.

Kerry, we had a deal here.

Mark, I'm kidding.

Where's your sense of humor?

‐ No, you wouldn't?
‐ She isn't?

What are we talking about?

Weaver's the new attending.

Oh, my god!

Guys, don't look at me
like that 'cause she's

a good physician
and a terrific administrator

and an excellent
diagnostician.

Now, it was the right choice.

I'm glad I made it.
And that's it.

Oh, man. It's gonna
be a long year.

It's forever.

Two‐day‐old male infant,
full‐term vaginal delivery.

Found cyanotic in his crib.
Resps 50, heart rate 160.

‐ When was he born?
‐ Tuesday night.

‐ Heel stick of glucose?
‐ You bet.

When did he come back
from the hospital?

Yesterday morning.

‐ Twelve hours later?
‐ They said it was okay.

‐ We wanted to stay longer.
‐ He's in heart failure.

‐ Where's Ross?
‐ I'll find him.

I'm gonna put in
an umbilical line.

‐ Prep 0.1 dig.
‐ Pulse ox 86.

‐ Sinus tach at 150.
‐ What's wrong with him?

His lungs
are filled with fluid.

Connie, would you please
show them to the waiting room.

‐ No, I want to stay!
‐ Come on, honey.

‐ Come on, honey.
‐ 'Dig 0.1.'

‐ 'Lasix?'
‐ 'Yeah, four migs.'

ABG, CBC, Chem 7

chest X ray and an EKG.

Temp's 98.2, glucose 110.

Paged Ross.

Somebody sent a mother and
a child home after one night.

Yeah, welcome to managed care.

Who gives a damn what
the insurance company wants?

What kind of hospital sends
a newborn home after one night?

Our kind.
Joseph Morgan Randall.

Delivered on the fifth floor,
in OB, two days ago.

[machine beeping]

Chuny, could you
do me a favor?

‐ What?
‐ I need you to draw some blood.

I'm kind of busy right now.
You can't do it yourself?

I need you
to draw my blood.

Al?

Yeah. I've been
putting it off.

Wow. Sure. Do you want
me to do it right now?

If you don't mind.
Nobody's in four.

'Yeah.'

[ECG beeping]

‐ Dr. Davitch?
‐ Yeah.

I'm John Carter.
I'm a med student.

I met you once last year.

‐ I'm on rounds, Mr. Carter.
‐ Yeah, I can see that.

Talia Lucas, the little girl
with biliary atresia.

I've sort of been
keeping an eye on her

and you moved her
up here last night.

Yes, I did.

I thought she was
Dr. Berglas' patient?

He's attending his
daughter's wedding in London.

I'm covering for him.

Her ascending
cholangitis worsened.

She's not responding
to the antibiotics.

I'm worried about pseudomonas
so I moved her to the ICU

and jumped her to status one
on the transplant list.

‐ Do you know her parents?
‐ Yeah.

They're in
the waiting room.

‐ Why don't you join me?
‐ They don't know yet?

It's been a busy morning,
Mr. Carter.

Hey, everybody. Miss me?

Oh, a little one.

Two days.
Cyanotic in the crib.

No detectable murmur, CHF

he's had dig and Lasix
with no improvement.

Pulse is up to 200.

(Carol)
'Mother gave birth
Tuesday night..'

...OB kicked her out
Wednesday morning.

‐ 'Get an EKG?'
‐ Right axis deviation.

‐ RAH, RVH, no Q wave in v6.
‐ Okay, hyperventilate him.

Get an amp of prostin
VR down here now, please.

What the hell is it?

Hypo‐plastic
left heart syndrome.

They sent the mom home
the next morning?

Yep. Wham, bam
thank you, ma'am.

Damn it, alright,
Let's get an echo.

Find out who's on call for
pediatric cardiology, please.

Is he going to make it?

If we can keep the ductus
arteriosus open he's got a shot.

Son of a bitch.

Mr. and Mrs. Lucas?
Hi. I'm Dr. Davitch.

Dr. Berglas is out
of the country for a few days.

You already know
Mr. Carter, I believe.

Jason, Annette.

They told us
down stairs T. C. had been

moved to intensive care.

Oh, unfortunately,
your daughter's condition

has worsened overnight.

She's not responding
to the antibiotics.

I don't have much confidence
that your daughter's liver

is gonna function much longer,
so, we have moved her

from status two to status one
on the transplant list.

[pager beeps]

We're gonna do
everything we can

for her while we wait.

So she'll be having
the transplant operation soon?

(Davitch)
'Well, that would
certainly be our hope.'

How soon?

[beeping continues]

Mr. Carter, you're familiar with
the unos procedures, aren't you?

Yeah, sure.

'Mr. Carter will
answer your questions'

and then he'll take you
back to see your daughter.

Okay?

Why don't we take a seat?

DA's open, so he's still
got a fighting chance.

I'm gonna go
tell his parents.

This is unbelievable.

Now there is an ugly, vicious
rumor going around, Kerry Wea‐‐

‐ Don't start with me.
‐ So it's true.

I don't know what
everybody's upset about.

‐ Kerry weaver's not that bad.
‐ She's great.

Well, she grows on you.

You been hitting
the Prozac again?

You know, I got
a call from a pharmacy

in the north side
looking for you.

Uh, you gave a, wrote a
prescription for 100 Percodan.

‐ What?
‐ Yeah, Karen Hines.

Isn't that that redhead
you've been seeing.

Yeah, she's got a bad knee.

‐ A hundred for a bad knee?
‐ 'Cause she travels a lot.

Doesn't know when
she'll be able to get them.

Mark, I need you
in there, rule out MI.

‐ Told 'em it was okay.
‐ Yeah, yeah, yeah, I did.

‐ I told them you'll call.
‐ Yeah.

[mumbles]

Hey, Jeanie. Hi.

Hi. How did your
appointment go?

They gave me a bunch
of stuff to read.

You should read it.

Uh, thanks
for staying last night.

Well, it's tough, that first
night home from the hospital.

My, uh, my health plan gave me,
assigned me a doctor, uh..

...Kernig's disease.
A Dr. Arabian.

‐ You know him?
‐ No. I can ask around.

Thanks.

He said that my..

...my CD4 count was...450.

Sounded excited about that.

Yeah, that's good.

What's it supposed to be?

Fifteen hundred.

He‐he gave me
a...lot of stuff.

Uh, AZT,
something called 3TC

and‐and this sacinaver..

Saquinavir.

Whatever, it's going
to cost a fortune.

And, uh..

...he gave me..

...a couple of
packets of condoms too.

[chuckles]

Kind of seems like the horse
is out of the barn on that one.

‐ It was a joke.
‐ It wasn't funny.

‐ You get tested yet?
‐ Yeah.

‐ And?
‐ Not back yet.

[sighs]

Doctor said I may
have been...HIV positive

for as long as ten years and..

...he wants me
to make a list of all my..

...past sexual contacts.

Let 'em know.

It's gonna be quite a list.

That's not much
to be proud of now.

Wasn't much
to be proud of then.

Well, I‐I better go home.

I've got a lot of
reading to do.

If that baby had stayed
in the hospital an extra day

somebody would've
picked up on it.

Most babies are fine
going home the next day.

Well, a lot of problems don't
declare themselves right away.

Intussusception,
pyloric stenosis..

People trust us,
the woman took her baby home

because we said
it was safe and it wasn't.

It's not a bottomless pit
every dollar we spend

on a perfectly healthy
postpartum mother

is another dollar we don't
have to help someone else.

♪ June is bustin' out all over ♪

♪ All over the meadow
and the hill ♪

♪ Buds are bustin'
outta bushes and.. ♪

There's something
you don't see every day.

♪ Wishes every little wheel ♪

♪ That wheels beside a mill ♪

♪ June is bustin' out.. ♪

I thought she
was in restraints.

She was.

(Lewis)
'Malik.'

‐ Give me a hand.
‐ Do I have to?

♪ Now the young
Virginia creepers ♪

♪ Have been huggin'
the bejeepers ♪

♪ Out of all.. ♪

[elevator bell dings]

(Carl)
'Hold that elevator!'

Dr. Benton.

Dr. Vucelich.

Congratulations on being
named resident of the year.

Thank you.

I understand you were
instrumental in my selection.

Well, I merely
expressed my opinion.

I'm glad that
others concurred.

[elevator bell dings]

I read your
aortic aneurism study.

Yes. Well, it's been
extremely well‐received.

The drug company's pleased,
they granted the hospital

over three million dollars
for phase four trials

additional research facilities.

You know, I, uh..

...I couldn't help
but notice the inclusion

of the negative
outcome patients

that we discussed.

Mm‐hmm.

It seemed the prudent course
given the circumstances.

They weren't, however,
statistically significant

in the final analysis.

Well, I was glad
to see them there, anyway.

[elevator bell dings]

Yes, I'm sure you were.

Um, Carter.

‐ Hmm, Armani?
‐ Hugo boss.

Nice. Um..

The parents of that kid with
the liver failure called down.

‐ Said they had some questions.
‐ Some more questions, you mean.

I spent an hour
with them this morning.

I'm supposed to meet
my folks at Trotters

for lunch in 20 minutes.

They called three times?

Five. I quit writing it down.

Okay, if they call again, will
you tell them I'll be up there

later, my father
hates it when I'm late.

‐ Mr. Carter, you got a minute?
‐ Huh.

I'm completing
the assignments

for the first‐year
surgical interns.

We're breaking all the surgical
residents into teams next year.

Now, you indicated
on your, uh, application form

that you were
interested in vascular

neurosurgery
and plastics rotation?

‐ Absolutely.
‐ Good, good.

I've got one spot
left on the red team.

Really?

It'll be primarily second

and third‐year
residents but seeing

as you're our only
locally grown prodigy

we'd give you
the home field advantage.

That would be great.

It'll be quite
a leg up on your peers.

Well, I'd be honored.

Dr. Langdon will be your
supervising resident.

Do you know Nancy?

Oh, sure.
Sure, yeah, she's great.

So I won't be working
under Dr. Benton anymore?

Nope. Dr. Benton
will be anchoring

the blue team next year.

General surgery,
the ER, proctology

real meat and potatoes stuff.

Unless you'd rather
be with Benton.

No, no. I was hoping
for the red team.

Good. Excellent.

Dr. Morgenstern.

Peter.

Weaver's gonna
support you as chief.

Really? We should
talk about that.

Uh, Dr. Greene,
your wife called.

‐ Ex‐wife.
‐ Right.

She said
you're late for lunch.

She's mad as hell.

With weaver on board,
I think it's a lock.

So you wanna have dinner
tonight, celebrate?

Um, I don't know,
check with me later.

‐ Mr. Branigan?
‐ Kenny, please.

Hi, I'm Dr. Lewis.
Sorry to have kept you waiting.

Yeah. Well, at least,
she stopped singing.

Ha ha, so, you've had
a persistent cough?

Couple of months now. I haven't
been able to shake it, yeah.

‐ Coughing up any blood?
‐ No, no. Well, not much.

‐ But some?
‐ Once or twice.

But, it's no big deal.

I, uh, I pour
concrete for a living

so stuff gets in your lungs.

‐ Are you a smoker, Kenny?
‐ 'Yeah.'

You're not
gonna lecture me?

Doesn't sound
like I have to.

‐ So how much do you smoke?
‐ A couple of packs a day.

Sometimes more,
sometimes less.

120 over 80.

When was
the last time you had

a tuberculosis test?

I don't go
to doctors much.

Ah, all that lecturing,
I guess, huh?

[indistinct chattering]

Sorry I'm late.

Like old times.

Nice to see you too.

Look, if this
is about getting Rachel

this weekend
you can forget it, okay?

'Cause I got tickets
for the Cubbies on Saturday.

Rachel hates baseball.

That's not true.

This weekend's fine, Mark.

That's...that's fine.

Gonna finish those fries?

Go right ahead.

I can't eat this food.

This place should have been
cited and shut down

by the health
department years ago.

Hospital fights
to keep it open.

It's good for business.

Food poisoning,
stomach pumping gastroenteritis.

This joint's a gold mine.

Craig and I
are getting married.

What?

In September.

You're kidding.

I didn't want you
to hear it from Rachel.

‐ Rachel knows?
‐ She's excited.

She's helping me
pick out a dress.

Something non‐traditional,
I hope. Perhaps in red.

Look, I knew you
weren't gonna be happy

about this but I thought

I should be
the one to tell you.

You should have
kept the goatee.

Made you look dangerous.

‐ Hey.
‐ Hey, yourself!

[chuckles]

School let out early?

Oh, I was on all night.

Looks like you're
still being fully employed.

[chuckles]

Well, I'm on probation.

I lose another
two‐hundred and fifty grand

it's back to
card counting in Vegas.

Really? You did that?

In a previous lifetime.
Yeah. Don't ask.

So how's your knee?

It's, uh, okay.

How's yours?

[sighs]

The prescription
that I wrote out

for the Percodan?

‐ Yeah?
‐ Was for ten tablets.

You know,
I wondered about that.

Those damn things
cost me a for‐‐

So you didn't
change it to 100?

No, I didn't.

Prescription pads
for narcotics

they come in triplicate.

I can check my copy

Well, maybe you
should do that.

Maybe I should.

Count 'em, boyfriend.

They're all there.

I don't need to count 'em.

Sure, you do.

Mr. Branigan,
sorry it took so long.

Do you have
a personal physician?

No.

You have a density
in your left lung.

Tuberculosis?

I don't think so.

[sighs]
Cancer, huh?

We'll need to run
more tests to rule that out.

How much are these
tests of yours gonna cost?

Do you have insurance?

No. I work construction for
a lot of different companies.

Uh, no benefits.

Maybe you qualify for Medicaid?

Yeah, when my last kid
was born, we didn't.

It cost me,
uh, a couple of grand.

I'm still trying
to pay that off.

Well, I can't tell you exactly
how much the tests will cost.

We could get someone
down from admitting

if you have any questions.

I, uh, got a couple
of kids and a mortgage

and I'm just scraping
by as it is, huh.

You have a potentially
serious condition

for which you need
immediate evaluation.

Mr. Branigan,
you really need to stay here.

‐ Mark, Loretta's back.
‐ Oh, no. What this time?

Well, I think
she's just frightened

and overwhelmed
by the surgery.

They only released
her yesterday.

I started an IV.
She's in four.

Alright, well, tell her I'll
be down there as soon as I can

and make sure that
she's comfortable.

(Carol)
'So, we're just let him leave?'

Well, what do you
wanna do? Tackle the guy?

He said he can't afford it.
Who am I to say that he can?

A full course of
chemotherapy and radiation

will cost him
minimum 50 grand.

I don't understand
what are we arguing about?

You let the hospital bill him.

He can declare
bankruptcy if he has to.

And if he dies and leaves his
wife and children in bankruptcy?

At least, he wouldn't be dead.

I advised him to stay,
he chose to leave.

That's his prerogative.

What are you doing out here?

Oh, just enjoying
the fresh air and the sunshine.

Last few months, whenever
I can, I like to get outside.

It's about time
you gave those up.

[sighs]
My last vice.

So they sent you
home yesterday?

Yeah. I don't
think I was ready.

You able to eat anything?

I haven't been able
to keep anything down.

How are the kids?

Hell on wheels.

I wanted to ask
you something.

Shoot.

I was wondering
if you'd be

guardian to my kids.

Not that anything bad is

ever gonna happen to me.

It's just that they
don't have anybody.

My folks are dead,
they like you.

I know it's a lot to ask

but they're really good kids.

[train chugging]

What about their father?

Fathers.

Plural.

Good luck.

I never could quite
figure that one out.

You don't have
to answer now. I have time.

At least,
a little bit, I think.

‐ I'm honored you'd ask‐‐
‐ But you can't.

No.

I can't. I'm sorry.

Besides, you're gonna make it.

Damn right I am.

[instrumental music]

Hey, you're up.
How you feeling?

‐ Kind of tired.
‐ Where are your folks?

They were looking
for me earlier.

They went downstairs
to get something to eat.

In the cafeteria?
Big mistake.

My mom just kept crying.

I think my dad was worried

'that she was
gonna scare me.'

Well, tell them that
I stopped by. I gotta go.

I'm graduating in
a half an hour, and I'm late.

Everybody in here
looks pretty sick.

Yeah, well, they get better.

It just takes time.

The boy who was
in that bed..

'...I don't think
he got better.'

[instrumental music]

Am I going to die?

You're very sick, T. C.

My mom says
I'm status one.

What does that mean?

That means that, as soon
as the next liver's available

you get first dibs.

But somebody has to die, right?

‐ Yeah.
‐ 'Kind of weird.'

Some kids out there,
and they're okay

and I'm here waiting for
something bad to happen to them.

You're not making
that bad thing happen.

I got to go.
I'll see you later.

How long till
I have an operation?

Could be a week,
could be two, could be less.

Could be anytime.

But what if nothing bad
happens to anybody this week?

It will,
unfortunately, something bad

is always happening
to somebody...somewhere.

Like what's happening
to me, right?

Want me to stay
for a little while

till your folks
come back?

Yeah. That'd be great,
if it's okay.

Sure. I can be
a couple minutes late.

Ah, man, this day just
gets worse and worse.

Hey, Mark,
Linda Martin?

What was she,
the only choice?

I think she's
kind of a bitch.

‐ 'For what?'
‐ Chief resident.

She is kind of a bitch.

Look, Linda Martin
is not going to be

chief resident,
so don't worry about it.

She is going to be chief.
It's on the memo.

Damn it!

Jerry, where the hell is Weaver?

Uh, trauma one.

You said you were going
to support Susan for chief?

Julius Cadena,
meet Mark Greene.

Mr. Cadena's small intestine
seems to be eviscerated.

IV's wide open.

We had a deal.

Rapid infuse
four units of o‐neg.

They offered it to her,
she turned it down.

She what?

Ask her yourself.

(Kerry)
'Gram of Cefoxitin IV.'

'Alert the OR and page
Benton to get down here.'

Hey, Peter.

‐ Hey.
‐ Got a minute?

Sure.

Al's got AIDS.

‐ I...Connie, give us a moment.
‐ I'm just after some coffee‐‐

Yeah, I'll bring you a cup
in a few minutes, alright?

Sure. Cream, no sugar.

I got tested today,
but I don't have the results.

'I know what you're thinking'

'because I was where you
are now a few days ago.'

'You want to feel
concerned for me'

'but you're wondering
what about me?'

Al and I barely had sex,
much less a marriage

these last few years.

'You and I were careful'

'but not that careful.'

Get tested. I'm sorry.

12‐year‐old girl hit by a bus
while riding her bicycle.

Complaining of pain
in the left ankle.

Obvious deformed fracture.

Good distal pulses.
No head or chest pain.

‐ She was wearing a helmet.
‐ Gently now.

IV Saline, TKO,
O2 five liters, cannula.

Gave three milligrams
morphine in the field.

‐ Name's Monique.
‐ It hurts!

I know it does,
I know it does, honey.

‐ Does your neck hurt?
‐ 'No.'

‐ Any tenderness?
‐ No. No. Just my leg.

You were wearing your helmet,
Monique. That's really good.

Monique, do your parents
know you're here?

‐ 'No.'
‐ Give me your phone number.

I can call them,
so they can come down

'and be with you, okay?'

[groaning]

Good dorsalis pedis
and posterior tibial pulses.

‐ BP's 90 over 60.
‐ Pulse ox 99.

Let's get an ice pack, an H&H,
and dip of urine for blood.

[groaning]
My sister's going
to be so mad at me.

I bet she is just
gonna be happy you're okay.

‐ No.
‐ Sure she will, sweetheart.

[groaning]

Now, let's get a left ankle

and tib‐fib films.

And give her another three
of morphine for the pain.

[Monique screaming]

(David)
'Dr. Randa Jane Berkowitz.'

[audience clapping]

Dr. John Truman Carter.

[clapping]

Dr. Carter? Well..

[clears throat]

I think Dr. Carter must have
found a facial laceration

to practice a Z‐plasty on.

[all laughing]

Dr. Ming Wu Chang.

Two, three, flip.

You taking them
off the top?

‐ Yes, I am.
‐ Go.

Okay, one more time.
Two out of three.

You already lost five times.

Yeah, but I'm getting better.

She always wins.

(Annette)
'Thanks for
staying with her.'

How's she doing?

‐ I'm okay.
‐ Yeah, she's hanging in there.

Hope you didn't
have to be anywhere.

Nope. Not anymore.

I'm gonna go and then,
I'm going to come back.

Make sure you're not
getting into too much trouble.

Thanks.

Hi, sweetheart.

Comminuted trimalleolar
ankle fracture.

‐ What a mess.
‐ Definitely unstable.

Yeah, gonna need surgery.

‐ Are her parents here, yet?
‐ In the waiting room.

Monique was right
about her sister.

She was mad
about her bike.

So splint her leg and I'll call
an ambulance to move her.

Move her?
Move her where?

Her insurance company
wants her transferred

to Midway
for orthopedic admission.

I can't apply
a plaster splint

without moving the ankle.
It's gonna hurt like hell.

We'll medicate her.

Do her parents
know about this?

I'm going to tell them now.

Mark, we're gonna splint
an unstable ankle fracture

send a 12‐year‐old
girl across town

for an operation
we can do upstairs?

Look, I don't like this
anymore than you do

but that's what her
insurance wants done.

I thought
you were the doctor.

I am the doctor,
but if I admit her here

her very nice parents
are gonna get slapped

with a surgical bill for
tens of thousands of dollars.

‐ I quit.
‐ What?

(Carol)
'I quit!'

‐ You can't just leave.
‐ Watch me.

We sent a newborn home
with a congenital heart problem.

'A guy comes in
with lung cancer'

'and he can't
afford the treatment.'

And now, we're shipping kids

across town
with unstable fractures.

Don't give me
that holier‐than‐thou crap

we also treated
a couple hundred other people

who had nowhere else to go.

You're gonna feel stupid
about this in the morning.

I'm going to feel great
about this in the morning.

You okay, Dr. Benton?

‐ Yeah. Yeah, I'm fine.
‐ Have you seen Dr. Morgenstern?

He left a message for me
saying he wanted to talk to me.

He started a ruptured
appendix about a half hour ago.

Well, I'll catch up
to him tomorrow.

Hey, how was your
cocktail party?

I missed it.

You missed
your own party?

Yeah.

My parents
had a good time, anyway.

It was mostly their friends.

I missed my graduation too.

‐ Oh, really?
‐ 'Yeah.'

You missed yours, right?

What were you doing?

An emergency hemorrhoidectomy.

What were you doing?

I was playing cards
with a scared little kid.

'T.C., that little girl
with liver failure.'

They moved her
up to status one.

I was just keeping her
company while her folks

talked to the doctor.

[chuckling]

Now, you're the doctor.

You graduated, right?

Yeah. That's right. I am.

It's kind of weird.

I, uh..

I don't know any more
than I knew this morning.

[both chuckling]

I really wanted
to graduate too.

[instrumental music]

Anyway..

'Take care
of yourself, Carter.'

[chuckles]

Right.

[inhales sharply]

[clears throat]
Hey.

Hey, yourself.

Carol Hathaway just quit.

I know. I heard.
What was that all about?

You got me.

You turned down chief?

Yes, I did.

I agreed to support
Kerry Weaver as attending

because she agreed
to support you as chief.

I didn't ask you
to do that.

No, you didn't.

You know, my whole life,
I've always done

what everyone else
wanted me to do.

Today, I had this guy
come in with a cough.

Lung cancer,
46 years old.

I get one of these cases
every couple of months.

Children, husbands, wives

their faces all start to blend
together, but it hit me.

How long do we have?

'Any of us?'

'And how are we going
to fill that time?'

I had something,
little Suzie..

...and now, I don't.

'All I have
is this, work.'

'And you know what, Mark?'

It's not enough.

What are you doing here?

'Waiting for you.'

You don't have your keys?

Why are you still
wearing your scrubs?

I quit.

You're kidding?

Nah. To hell with them.

You can't quit.

You're great at it.

I'm sick of it.

They kept cutting
back my shifts

making me work
more nights.

I'll make more doing
home care or per diem.

You're never gonna see
that shrink, are you?

Uh..

Why couldn't we just keep
going the way we were?

I was happy.

Were you happy?

Things changed.

It's not my fault.
It's not your fault.

Raul died,
it‐it's a terrible thing

and something happened
to you, Shep.

You know it's true.

And you gotta
deal with it.

‐ I'm doing okay.
‐ No, you're not.

[instrumental music]

I can't do this, Shep.

I have finally gotten
my life together.

It's taken me a long time.

You need help.

I love you,
but you need help.

And if you
can't get it together

to get that help..

...I can't be with you.

[music continues]

I can't.

[exhales sharply]

[car door closes]

[engine cranking]

[engine revving]

Jennifer's getting
married again.

‐ Really? That was quick.
‐ No kidding.

I was hoping to be the
first to get remarried

or at least,
living with somebody.

I mean, it makes me
seem kind of pathetic.

Don't you think?

She's planning
a guest list

and I'm still
fumbling around

with pick‐up lines
in singles bars.

Ah, it gets you off
the hook with the alimony now.

I wasn't paying any.
She makes more money than I do.

You know,
I never really liked her.

What do you mean?
You acted like you did.

Well, I just did that
to make you feel better.

I never cared for her.

Unsupportive, controlling
and manipulative.

You want me
to go on with this?

Yeah, please.
I'm enjoying it.

Demanding,
uh, skinny legs‐‐

W‐wait, what were you doing
looking at my wife's legs?

I'm your buddy,
I'm not dead.

I'm just saying
you could do better.

‐ Thanks
‐ Much better.

‐ Thank you.
‐ Alright.

Listen to this, I talked
to Karen about the Percodan.

You didn't
prescribe that many?

The prescription
was for ten.

Yeah? What did she say?

She denied it, she said
it was some kind of a mix‐up

and she gave them back
to me, actually she

threw them back at me.

Yeah? Do you believe her?

[sighs]
I don't know.

Get away from her, Doug.
She sounds like trouble.

Yeah, I know,
You're right. I probably should.

But you're not going to?

She's kind of cute.

Yeah, she's got great legs.

You look
at my girlfriend's legs?

Look, I'm your friend,
I'm not dead.

So, what else
did you notice about her?

‐ You want a list?
‐ Yeah. I want a list.

[both laughing]

Dr. Morgenstern?
You were looking for me?

Yeah, we missed you
at graduation.

‐ Where were you?
‐ With a patient.

How was the ceremony?

Oh, one of the best
we've had in years.

Pomp, circumstance,
all the trimmings.

If you'll excuse me,
it's very late

and I'm finally
on my way home.

Hey, I was wondering
if it's too late

to change my choice
for surgical team next year.

I was hoping to sign up
for the blue team.

Once you switch
your selection

there's no going back.

Yes, sir, I know.

I was...still hoping
for the blue team.

I'm sure Dr. Benton
will be very pleased

to have you on his team.

‐ See you in a few months.
‐ Right. Thanks.

Hey, Carter, Dr. Benton left
something down here for you.

[instrumental music]

Hey, Carter, what do you
call the person who graduates

last in their class
from medical school?

‐ What?
‐ Doctor.

Hey, what are you
still doing here?

Oh, just hanging out.

Well, wanna try out
that new white coat?

MVA, drunk driver
hit a carload of kids

on the way to the prom.
The units are just pulling in.

Sure.

17‐year‐old male, head trauma

GCS eight,
BP 120 over 60, pulse 60

probable fractures of
the left femur right tib‐fib.

Dr. Carter! Okay, trauma two.

Notify the OR and see
who's on call for ortho.

Dr. Carter?

(female #1)
'We've got three more
on the scene.'

'Guy in a pickup came up
the off ramp on the Kennedy.'

'Clipped the front..'

[instrumental music]

[theme music]