ER (1994–2009): Season 2, Episode 8 - The Secret Sharer - full transcript

Doug gets the opportunity to stay at the ER thanks to the publicity surrounding his rescue of a drowning boy the week before.

[theme music]

[panting]

‐ Hi. Sorry I'm late.
‐ Grab a bite.

‐ He's not here yet.
‐ Of course not.

‐ Why would Ross be on time?
‐ Neil.

'He puts a kid in an
unsecured news chopper'

and the hospital's going
to give him an award.

Neil, face it.

Ross is a bona fide hero.

He's brought terrific
press to the hospital

and the board wants
to acknowledge that.



Well, why don't they
ask him to stay?

Why do I have to do it?

Because you're the one
who fired him

a fact the board is
none too happy about.

(Mark)
Is there any more
cream cheese?

Sorry I'm late.

Please.
Sorry to drag you out so early.

Um, juice? Bagel?

No, I just ate.

Have a seat.

Got your tux
ready for tonight?

I'm renting one.
Mine's still drying out.

It's going to be
quite a gala.

We've got two
aldermen coming



so be prepared
for pictures.

I've asked Mark to be
the presenter.

Demi Moore wasn't available?

[chuckling]

You jest, but
the truth is..

...we're all proud
of you, Doug.

All of us.

Yes.

So much so, we want
to extend your fellowship

'for another year.'

Uh, well, who would
be my supervisor?

Him.

Hope you'll stay, Doug.

We'd hate to lose you
in the ER.

Well, uh, thanks.

But being as I thought
that I was fired

I have taken...another position
at a private practice.

I know, we'd like you to
reconsider that decision.

Wouldn't we, Neil?

[coughing]

Yes, indeed, we would.

[clears throat]

[theme music]

You going to stay?

You need to know now?

Pretty soon.

Well, can I have four
extra attending shifts a month?

I could use
the extra dough.

‐ Possibly.
‐ How 'bout Saturday nights off?

Don't push your luck, pal.

You think I'm kidding.

Ah, mail, from
your newfound fans.

Mostly female,
by the handwriting.

Ah, the wages
of heroism.

And we got a marriage
proposal on the fax.

Does it include
a bank statement?

Morning.
I'm Dr. Carter.

You must be Romero.

Uh, Wilbur.

That's my American name.
I pick it.

Interesting choice.

I understand
your face feels funny.

Uh, the right side.

Yeah?
Can you show me your teeth?

'How about those?'

‐ 'I can't.'
‐ 'No?'

Can you squeeze your eyes
really tight for me like that?

Es muy joven
para ser medico.

What was that?

She, uh, thinks you're
too young to be a doctor.

(John)
'Ah, thank you.'

You speak English?

She don't, but I do.

Okay.

You have an inflammation
of the facial nerve

also known as Bell's Palsy.

It's not serious.

No es serioso.

No creo que es medico.
Es muy joven.

Uh, she still doesn't
think you're a doctor.

Well, tell her
in four months, I will be.

Sera un medico
en cuatro meses.

We want to see a real doctor.

I gotta see the schedule.
Am I working thanksgiving?

‐ No.
‐ Cool.

But I need you to work
tomorrow night.

Uh, I haven't found
a night nanny yet.

I can't keep covering
nights for you.

I did four
in a row last week.

Yeah, you're right.
You've been great.

I appreciate it.
I'll figure something out.

‐ Peter?
‐ Yeah?

I thought Zeidenberg
was covering the ER today.

Schedule change. Why?

I'm supposed to spend the day
with the surgeon

on call
to practice my suturing.

‐ If it's a problem‐‐
‐ It's not a problem for me.

‐ Is it a problem for you?
‐ No.

Alright.
Knee lac in bed five.

Hey, Hathaway.

Hey, what do you got?

Apparent suicide attempt.

Brother found her next to
an empty bottle of Tylenol.

What's her name?

‐ Julia.
‐ Okay.

Hey, Jerry, could you
go find Greene, please?

‐ Vitals?
‐ She's normal.

Hey, listen.

I got the number
of that roofer for you.

Oh, great. Thanks.

I hear you bought yourself

a real money pit, Hathaway.

Yeah? Where'd you hear that?

Tylenol OD?

Yeah.
How much did you take, Julia?

Huh?

When did you take it,
sweetheart?

She hasn't
said a word.

(Mark)
'We need an acetaminophen level,
liver function tests'

gastric lavage,
50 grams activated charcoal.

(Lydia)
'Coming up.'

Is she going to live?

Yeah.

Haleh?

Come on, hon.

You want
something to eat?

♪ Rule Britannia ♪

♪ Britannia rules the waves ♪

[humming]

‐ Good morning.
‐ Oh!

I see you're making
yourself at home.

I hope you don't mind.

I find having a few
knickknacks around

makes a room more cheerful.

So, you're
feeling fatigued?

Uh‐huh.

Ah.
A bit fatigued, I'm afraid.

I‐I was hoping you
could give me something

to put me back on my feet.

‐ Any fevers? Colds?
‐ Hm‐mm, neither one.

‐ Any headaches? Vomiting?
‐ Oh, um, no.

Uh, a bit short of breath.

‐ Are you on any medication?
‐ No.

No, not a drop.

[baby crying]

Oh, listen to
that poor little lamb.

(Susan)
'Hmm.'

I'm wanna X‐ray
your chest

rule out pneumonia
and do a blood test, okay?

[humming]

Ah, tea time, is it?

Well past, I'm afraid.

[continues humming]

Hey, set up
an Albuterol nebulizer.

Let's get a pulse ox right away.

‐ 'What do you got?'
‐ Asthma attack.

(woman #1)
'He can't breathe.'

Respiration's 40.
Dusky nailbeds.

(Doug)
Uh, he's cyanotic.

'Let's start
a low flow O‐2.'

I got him
here as fast as I could

but he got worse on the bus.

‐ What's his name?
‐ Alan.

Alright, Alan.

Here buddy, I need you to take
a deep breath on this.

It's okay. Come on. Try
It's okay. This is medicine.

It's gonna
help you breathe.

Okay?
Here we go.

Take deep breaths.

‐ Pulse ox?
‐ Eighty‐seven.

‐ Is that bad?
‐ About what I expected.

Here you go. Yeah.
Here you go.

Nice and slow.
Slow, slow. Deep breaths.

Mrs. Corvalan,
I spoke to a doctor

and he agreed
with my evaluation.

This is a prescription.

Follow up in the clinic
in five days.

Vamonos, hijo.

You're welcome.

‐ Send a urine s‐‐
‐ It's not going in.

She's biting the tube.
Julia, you can't bite the tube.

We need to put
the charcoal in your belly

to clean out your
stomach...oh, oh!

Alright, that's it.
Restraints! That's it.

Settle down.
Don't make it any harder.

‐ Tie her hands.
‐ 'Julia.'

You don't stop, I'm gonna have
to put a tube down your nose

and you're really
not gonna like it.

Ow!
She's pulling the tube out.

Damn it!

‐ Alright, nasogastric tube.
‐ More charcoal?

Good idea.

I know.
I'm sorry I have to do this.

I know.

Malik, come hold
her head down.

I need a new
Cath‐Tip syringe.

‐ 'Here you go.'
‐ We're in.

‐ 'Tape it in.'
‐ '50 grams.'

Do we have
a washcloth?

'Alright.
Okay.'

It's okay.
The worst is over. I know.

(male #1)
'I'm gonna check
on that leakage.'

God, I hate this.

It's okay.
Shh.

Hey, Hathaway,
I love your new scrubs.

Yeah, right.

Let me know
when her level comes back.

‐ Okay.
‐ She put up a fight, huh?

Yeah, she was
really serious.

That's really
the exception you know

Most of these girls, they're
just looking for attention.

Yeah, they have a fight
with their folks

or their boyfriend,
swallow five pills

'instead of two
and then call the 911s.'

Yeah, I mean, come on, if you
really wanna kill yourself

forget about pills, get yourself
a straight razor

you find that artery,
you slice right on up.

You'd be dead in a minute.

Pills are for people
who don't really mean it.

I really meant it.

[chuckles]
Yeah, right.

She's kidding, right?

(Susan)
'Mom, it's not
a money kind of favor.'

'I was hoping you and dad
could look after'

Susie tomorrow night.

Uh, about 8:00 A. M.

Yes, it would mean she would
have to sleep there.

Jerry, we get
an acetaminophen level

on that suicide attempt?

Yeah, I'll call the lab.

I need to get on there
when you're done.

I'm...done.

Yeah? Thanks.

What time you
getting off tonight?

About six.

Do you want
to have dinner?

Uh, I got a presentation
...that's for next week

but I haven't started
preparing for it..

Hey, Carter, did you work up
this kid with facial paralysis?

I'm sorry, am I interrupting?

‐ No. See ya.
‐ Bye.

Uh, yes, I did.

Kid had Bell's Palsy.
Classic presentation.

Okay, no vesicles or sores
in his ears?

I don't think so.

You're not sure?

I'm pretty sure. Why?

Well, the vesicles indicate
Ramsay Hunt Syndrome

which could infect the brain.

I wasn't looking
for vesicles.

If you think you missed him,
I would call his folks

get him in here
and make sure.

(Susan)
'Yeah. Mom, yeah.'

I know how you are
when you don't get enough sleep.

Okay, okay. Bye.

So much for "Ozzie and Harriet."

Any other ideas?

Uh, call in sick.

I'm kidding.

Just kidding.

Here, Julia,
if you need anything

you just press
this button, okay?

Carol?

‐ Level's back?
‐ 480.

Wow, she must have
swallowed two bottles.

Yeah, she could be in line
for a new liver.

Start mucomyst,
12 grams through the nose.

Let me know when
her LFTs come in.

‐ Okay.
‐ Contact her folks?

Don't have a number,
and she won't talk.

Have you seen
her brother?

Not I.

With your mouth.

There you go, now you're getting
the hang of it.

Pulse ox is up to 98.

You had me scared there
for a while.

Any idea
how this happened?

Granny's got a collie.

Let me see this.

Okay, Mrs. Almont.

Alan's going to be fine.

Uh, does he live with you?

No, just visiting
for the week

while his folks are out of town.

Okay, well, if he's gonna be
staying with you

'then you gonna have
to get rid of the dog.'

You're the doctor
who was on the TV.

Yes. That's me.

You gonna be okay, sugar.

That's the doctor
from the TV.

‐ Doug.
‐ Mm‐hm?

I talked to the boy's HMO.

They want him to go
to their urgent care.

‐ Where?
‐ Oak Park.

That's ridiculous.

This kid was
in acute respiratory distress.

I'm not gonna send him
all the way across town.

‐ His pulse ox is up to 98.
‐ That's right.

And I wanna make sure that it
stays that way.

‐ There.
‐ "Pulse ox 89?"

Tell his HMO that.
They'll let him stay.

What's going on?

Dr. Ross, I'm not gonna fudge
with my nursing notes.

Nobody's asking you to.

When this chart comes up
for review

there's gonna be a discrepancy.

I'm not sending him out.

Do you know
why she did it?

My mom died
in a car accident last May.

Might have something
to do with it.

She and Julia
were close?

Not really.

Does Julia get along
with your dad okay?

He ain't around.

Works a lot?

He just can't deal
with stuff.

I don't think he likes
being in the house.

[opens soda can]

Do you have a phone number
for him?

Yeah.

Somewhere.

No, no, no, no, senor, senor.

Es muy importante.

Por tu wife telefono mio.

Dr. Carter, County "keneral."

Okay? Hello? Hola?

Hel..
No, no, no, no, no.

What was
that all about?

Oh, I might have missed
a diagnosis, Ramsay Hunt.

‐ You forget to check the ears?
‐ No, no, I checked.

But I wasn't thinking
Ramsay Hunt

so I didn't
look for it.

Pretty big miss.

Bring him back
to make sure.

A lady with chest pain

history of lupus
and renal failure.

Benton said
you should take it.

Don't miss anything.

[woman humming]

Oh.
Your X‐rays are back.

Shh.

Poor dear
was exhausted.

Your lungs look fine.

[kettle whistling]
Oh, uh, would you?

Oh, uh, sure.

Thank you, love.

Oh, yeah.

I have another cup.

Oh, no. I'm fine. Thank you.

[humming]

Do you work with children?

Yes.

I raised three
right here in Chicago.

Of course, they grew up
and made me obsolete.

Are you looking
for work?

Well, yes,
actually.

‐ Work nights?
‐ Mm‐hm.

You, uh..

...pour it through the strainer,
if you would, please.

Oh.

Chuny, can I not read
your writing or is that a "98"?

That's a "98."

So you wrote down this
asthmatic kid's pulse ox as 98

and five minutes later,
Doug noted it "89."

Did he crash?

He didn't crash.

Could this be a case
of numerical inversion

due to temporary
dyslexia?

I don't know.
I'm just a nurse.

So I'm correct
in deducing

that there's
an inconsistency here?

‐ Looks that way.
‐ Someone made a mistake?

[sighs]

I didn't make a mistake.

Thank you.

Give me a sec.

‐ Carol.
‐ 'Yeah.'

Look, I just...
I'm really sorry

for being a jerk
back there before.

You know, I mean I didn't know.

Look, it's no big deal.

‐ Don't worry about it.
‐ No, no.

No, it is to me.

Can we get
together later?

Have dinner,
go to a movie, somethin'?

Look, I'm busy,
but I'll call you, okay?

I don't hear
anything unusual.

‐ Temp's normal.
‐ Mrs. Briggs, sit tight.

We'll be right back.

Let's order a CBC,
chem 7, ABG, EKG.

Chest film, abdominal series,
anti‐DNA, anti‐centromere

anti‐phospholipid antibody,
cryoglobulins‐‐

Whoa, whoa, whoa, That's going
to be $2,000, right there.

Mm‐hm, I don't want
to miss anything.

Is this because she's
Vucelich's patient?

She's Vucelich's patient?

Better get a cardiac echo too...
and a CT.

(Doug)
260? Good job, Alan.

Doug.

Let's get, um, one more
neb treatment

and then I'll okay him
for transfer, okay?

‐ Doctor?
‐ Mm‐hm?

Thank you
so very much.

You're very welcome.

You want to fill me in?

Kid had a bad asthma attack.

His HMO
wanted him transferred.

So you falsified
his chart to keep him here?

That sounds about right.

‐ Yes.
‐ It's illegal.

Well, should I put him
on a bus to Oak Park?

No, you should've come to me.
I could have called his HMO.

And backed you up, but now,
when they see this they're

not going to pay.

There's no way I can justify
a lie on a medical record.

We're just gonna
have to eat it.

Good. Eat it.

You know,
I can't keep banging heads

with you every other day.

'It's just
too much work.'

If you're gonna stay here
and work for me

this cowboy crap
has gotta stop.

Stay here and work for you.

Now there is
an attractive prospect.

Is that what
this is all about?

You can't take the fact
that I'm your boss?

Typically
narcissistic of you, Mark.

I can't take the fact
that anyone is my boss.

[ECG machine beeping]

I need to speak
to your sister alone.

Okay.

How are you feeling?

Okay.

These have to stay on?

(Carol)
'We took
some new tests.'

One of them
was a pregnancy test.

'It came back positive.'

You knew that?

Did that have something to do
with taking the pills?

You know, sometimes
keeping things inside

makes them seem worse
than they actually are.

You don't know.

I know about wanting to die.

I took a bunch of pills
a year ago.

I loved my mom.

When she died..

...it's like everything fell
apart..

...and Kyle was a mess.

[sighs]

At night, I'd hear him crying,
like when he was little.

[sighs]

We never meant
for it to happen.

'I only went in to hold him
until he stopped crying.'

And now I'm pregnant.

‐ It's okay.
‐ Hm‐mm.

[sobbing]

[sighs]

Man, if I'd had
recommendations this strong

I could have gone
to an Ivy League school.

Recommendations?

Yeah. This patient of mine.
She's a nanny.

Her agency faxed them over.

‐ Her name's not Ransom, is it?
‐ Yeah.

Well, I wouldn't be counting
on any long‐term commitments.

Oh, no!

Oh, no.

‐ Heads up.
‐ I got it.

51‐year‐old male,
vitals normal.

Involved in a civil war
re‐enactment of‐‐

Battle of Malvern Hill, took on
Lee, MacGruder and Stonewall.

Two‐ton cannon broke loose,
rolled over his toe.

Damn artillery sergeant
ought to be court‐martialed.

Let me take a look.

Oh.
oh, yeah.

That is pretty smushed up.

‐ What's open?
‐ Uh, Trauma 1.

It was musket butt to bayonet
all morning.

The damn rebels were thicker
than fleas on a dog's back.

Hi.

She told you?

Kyle, whatever your sister
told me is confidential.

‐ I'm not free to discuss it.
‐ She told me, she told you.

We're going to do everything
we can to help you guys. Okay?

Oh, man, she did tell you!

Kyle.

When my dad finds out,
he's going to kill me!

I mean kill me, man!
He carries a gun!

Kyle, I'm not going to tell
your father anything

you and your sister
don't want him to know.

You know I'm not waiting
around to find out.

‐ You know what I'm saying?
‐ Kyle!

Ay‐yi‐yi.

You wanted
to practice your suturing?

Here's your man.

Turned 25 years old today.

Celebrated by drinking
himself into a stupor

and walking through
a plate‐glass window.

It's a two‐man job.

‐ Carter will help.
‐ Okay.

Let's get the chest films
and the echocardiogram.

‐ The echo guy was your first?
‐ I'll have him meet you there.

I got a heart and a spleen
waiting for me upstairs.

Well, can you give me
two minutes.

‐ 'Carter.'
‐ What?

‐ What the hell are you doing?
‐ Nothing.

Uh, She came in with a history

of lupus and renal failure
and complained of chest pains.

‐ 'I'm working her up.'
‐ Carter, come.

[stumbling]

(John)
'Excuse me.'

Carter..

...only an idiot would order
that many tests for chest pain.

I'm trying
to be thorough.

She's Dr. Vucelich's patient.

You're kidding.

‐ No.
‐ Oh, damn.

Dr. Benton.

Oh, God.

Tell me, did you order
these labs on my patient?

Dr. Vucelich, I apologize.
I left my student unsupervised‐‐

No, no, no, no, I‐I take
full responsibility.

Dr. Benton had absolutely
nothing to do with this.

Fine, well, then you're
the one I should thank.

‐ Thank?
‐ Yes.

The test for anti‐phospholipid
antibodies was positive.

Miss Briggs has a serious
blood disease and we need to put

her on Heparin right away
and get her upstairs.

So, tell me, what‐what was
your thinking, son?

Actually, there
was very little.

Uh, Miss Briggs has
a very complex history

so I took a...
shotgun approach.

Come on, don't underestimate
yourself, mister..

‐ Carter.
‐ Carter, yes, that's right.

Given the circumstances
your approach was valid

more than valid.

Not that I advocate
indiscriminate testing.

You don't need to run chem‐20s
on every runny nose

that walks in, right?

But...when someone has
a constellation of problems

you can't hold back.

Remember that, Benton.

‐ Good work, son.
‐ Thank you. Thank you.

Oh, by the way,
I'm running a fem‐pop bypass.

You wanna...you wanna assist?

Go, Carter.

So you're familiar
with the procedure?

‐ Fem‐pop bypass?
‐ Yeah.

(Carl)
'How many have you done?'

Mrs. Ransom?

Oh.

I must have drifted off.

Oh.
Oh, did you get my references?

Oh, yes.
Yes.

Very, very impressive.

Oh, thank you.

Uh, you know, I was
thinking that, um..

...I could drop around tonight

and make it a little less
intrusive on the little one.

Mrs. Ransom, we need to talk
about your blood tests.

Your red and white cells

and platelet count
are extremely low

which is suggestive
of aplastic anemia.

Which is very serious.

Perhaps you could, um...
give me a few pills.

You know, pep me up.

Mrs. Ransom, your condition
is most likely terminal.

You need to be admitted
to the hospital

for a bone marrow biopsy.

Oh, pishposh.

Not another one
of those. Mm‐mm.

‐ You've had one?
‐ Ha ha, yes, months ago.

Most unpleasant.

Have you been getting
transfusions?

Oh, from their description,
they are simply ghastly.

No, no, no, I would rather
just carry on and, uh...

you know, hope for the best.

I, uh..

I could come around
about, uh

seven tonight if..

...that's convenient with you.

Mrs. Ransom, your disease
has reached a stage

where you can't
work anymore.

You need to be admitted
to the hospital.

I think, uh..

...I'm the better judge of that,
don't you?

Hm?

[dramatic music]

Oh, man, that smarts.

Yeah, you've avulsed
most of the skin

off the top
of your big toe.

Just saw it off
and throw it in the basket.

I need to get back to the field.

Amputation isn't necessary.

I just launched a countercharge
at Jackson's center.

'Damn cannon
came off the blocks.'

‐ Are you General Grant?
‐ No.

Grant wasn't
at Malvern Hill.

'Major General
Fitz John Porter.'

Tactical genius.

Used the fifth corps
to outflank two rebel divisions

and drive them
back across the Chickahominy.

(Mark)
'I'm going to have
to rongeur the bone.'

Let's get Mr. Richter
some lidocaine.

(Mr. Richter)
'Oh, no, no, no.
Ether.'

That's all Porter had
when they cut off his leg.

Mr. Richter,
we haven't used ether

as an anesthetic
in over 40 years.

Lidocaine, two percent
digital block.

Just give me
a bullet to bite on.

We may be out.

I got it.

'Psst.'

[no audio]

Can we send out a private
to round up some bourbon?

No, Mr. Richter, we're fresh
out of privates as well.

I'm about to
use this tool

to grind down
the bone in your toe.

I highly recommend
that you take the lidocaine.

Not as long as I'm in command.

Go to it, surgeon.

Do your stuff.

Saw your sister, Jackie
last week..

...near the State of Illinois
building.

She was buying a Polish dog
from a vendor.

Don't think she saw me.

She's supposed
to be on a diet.

Uh‐oh, busted.

She works near there.

Thought she worked
at the botanical gardens.

Used to.

Always wanted to work outdoors.

She's allergic to pollen.

You're kidding?

[grunts]

(Peter)
'So we put her in this little
room with no windows.'

And a plastic plant.

Probably.

She told me she saw you.

Didn't tell me
about the hot dog, though.

I'm Richard Kazlaw.

I was told you have
my daughter Julia here.

Mr. Kazlaw,
I'm Dr. Greene.

Julia tried to kill herself

but the good news is
she's okay.

Where is she?

She's actually in
with the social worker right now

and you can see her
when they're done.

Um, if you could
just fill out this paperwork.

Consent form,
that sort of thing.

High‐speed
motorcycle collision.

Victim 1 complains
of abdominal pain.

BP in the field
of 80/50.

Repeat BPs came up
with a 300cc fluid challenge..

Head trauma, non responsive,
GCS seven.

Possible tib‐fib fracture.

‐ Wearing a helmet?
‐ No. Neither of them.

Let's get a CBC,
dip a urine for blood

get X‐ray to run the spine,
cervical, thoracic and lumbar.

'Chuny, see if he's oriented.'

‐ What's your name?
‐ 'Tom Spagnoli.'

(Chuny)
'What's the date?'

November something.
My stomach's killing me.

(Doug)
'He's got a tire track
on his belly here.'

Bowel sounds hypoactive.

Possible
intra‐abdominal hemorrhage.

‐ DPL?
‐ He's got a scar here.

I had an operation
when I was a kid.

‐ Laparotomy?
‐ Yeah.

Okay, we can't lavage him.
Let's call CT.

Tell them to hold a table.

'Drop an mg2,
let's get a foley in.'

He opened his eyes.

Alright, Jimmy,
can you here me?

Do you know
where you are?

Responds to pain.
Otoscope.

‐ Moves extremities times four.
‐ No obvious paralysis.

Uh, let's get X‐ray,
cross table C‐spine.

‐ He's got blood in the canals.
‐ Ross has X‐ray.

Fundi normal.

‐ Disks are flat.
‐ Maybe it's a skull fracture.

I'm worried about
the blood in his ears.

Alright, call CT, tell 'em
to hold a table.

Dr. Ross
is holding already.

What do you got?

Tire mark across the belly

bruising, tenderness.

He's got a lap scar
so I can't DPL him.

I'm sending him to CT.

‐ Rebound, guarding?
‐ Little bit.

My kid's got blood
in the canal

‐ He's sicker so he'll go first.
‐ Hold on.

This kid could have
a ruptured spleen.

‐ What's his crit?
‐ Forty‐two.

It's normal.
He can wait.

Ophthalmoscope.

Pupils are fine.
No Papilledema.

‐ There's blood in the canal.
‐ Otoscope.

What the hell do you
think you're doing?

This kid has a skull fracture
not intracranial bleed.

You're way outta line, Doug,
go back to your patient.

‐ My patient is going to CT.
‐ No, he's not.

This kid is going
to CT now.

Fine, then mine's going to
the OR for an exploratory lap.

Like hell he is, you are not
putting a patient

under the knife just tryin' to
win a pissing contest.

You're damn right, I'm not.

I'm doing it so he
doesn't bleed out

while you tie up the CT
for a skull fracture.

‐ Go home!
‐ What?

I'm taking over your patient.

‐ What?
‐ And writing you up. Go home!

Alright, let's get
a portable ultrasound in here.

Check out the belly.
Let's go! Come on!

So that's why she swallowed
two bottle of pills.

Yeah.

Awful.

He was forcing himself
on his sister?

No.

The way she tells it
it came out of grief

over losing their mother.

'She went in
to comfort him'

'and they ended up
sleeping together.'

And now she's pregnant. Ooh.

Can I help you?
Sir?

What?

The name on the consent.

[sighs]
Oh, God.

It appears that your father
may have overheard

two of our staff members
discussing your case.

Oh, man.

He's going
to kill me.

Do you really think
that he might hurt you?

Yeah.

Someone's going to stay
with you at all times.

I'm afraid that we didn't
handle this very well.

I want to make sure
you guys are okay.

Tony's going
to stay with you.

Lydia, Carol.

You have no idea
how sorry I am.

It's stupid to talk
about it openly.

Really stupid.

Let's put protecting patient
confidentiality

on the top of the agenda
for tomorrow's staff meeting.

Right.
I got the girl an ICU Bed.

We should
move her upstairs.

Alert security just in case
there's trouble.

‐ Okay.
‐ Her, Dr. Ross.

Your tux came in.

‐ Great, Jerry. Thanks.
‐ Uh, wait, that's Dr. Greene's.

Okay.

Ready for your big award?

Yeah, I can't wait.

Doug, you got a sec?

No.

Hey, Dr. Ross.
Phone for you.

‐ Who is it?
‐ Your father.

‐ Who?
‐ 'He said he was your dad.'

Hello?

Uh‐huh.

'Fine.'

No, you..

Yeah, this isn't a good time.

So, yeah.
Okay, I got to go.

Mm‐hmm, yeah, here's fine.

Bye.

I thought he and his father
didn't speak.

As far as I know,
he hasn't seen

or heard from him
since he was 12.

This is going to be
an interesting evening.

One more.

Alright, last one.

Nice.

Fun.

I like the staple gun.

Hey, hey.

(John)
Hey, guys.

Carter,
how was surgery?

Incredible.

Watching Carl anastomose

is truly a humbling experience.

And I got to hold
the bulldog clamp

and I got it on tape in case
you want to see it.

‐ Pass.
‐ No?

No. I'll get
some xeroform dressings

for our birthday boy.

‐ 'Bye.'
‐ Bye.

Hm.

‐ Very attractive.
‐ Carter.

And smart, too.
And available.

‐ She's married.
‐ No, she's not.

‐ Yes, she is.
‐ No, she's not.

‐ What are you talking about?
‐ She told me she was divorced.

So, listen, if it's okay
I finished my notes

on your patients,
I'd like to take off.

‐ Is that okay?
‐ Yeah, yeah, Carter, go.

Okay, I'll see you tomorrow.

How's it going, huh?

Yeah.

That's right.

Please tell me
he's your father.

‐ He's my father.
‐ Thank God.

He showed me an expired
driver's license.

Dad, what are you
doing here?

Oh, I was
in the neighborhood.

You were?

Your mother and I had
a slight disagreement

about the responsibilities
of being a grandparent.

I'm here to apply
for the job of night nanny.

[cooing]

What did mom say?

Use your imagination.

I'd have to come
to your apartment.

I mean, I will.

I‐If you want me to.

Really? You'd do that?

I should have done it
a long time ago.

Uh, veinte...20...
Veinte minutos.

Right, okay.

‐ You taking off?
‐ Uh.

I got to make a run
to Humboldt Park.

Yeah? What for?

I had a kid this morning
with facial paralysis

which I diagnosed
as Bell's Palsy

but might have missed
vesicles in his ear

that suggest Ramsay Hunt
and it's been

driving me crazy all day.

So I guess this is a no,
then, to my dinner offer?

Uh, well, would you be
paying for this dinner?

Actually, I thought
I'd be cooking this dinner.

Know your way
around Humboldt Park?

I can read a map.

Mr. Kazlaw?

Mr. Kazlaw?

I took care of your daughter
today, Mr. Kazlaw..

...and I feel terrible because
you overheard something

you didn't want or need
to hear right now.

I'm so very sorry.

I don't know what to do.

There are people here
who can help you.

You should
talk to some..

Take this, please.

No sign of him?

Nope.

Isn't this dandy.

Give him five more minutes.

If he doesn't show we'll make
some sort of an excuse.

Say he's out scouring the sewers
for lost kids and stray pets.

Are you Dr. Greene?

You're missing
a really bad chicken dinner.

Shh, I'm shooting.

Ah, now you see?
You jinxed me.

Hey, Mark, you want to
hear my speech?

Ladies and gentlemen,
thank you all

very much
for this...tremendous honor.

I want to take this opportunity

to acknowledge...
some of my colleagues.

First, David Morgenstern

'for his stalwart support.'

One minute he's stamping
my walking papers

and the next he has his face
so far up my butt..

...if he had a moustache

it would tickle my throat.

Let's not forget
Neil Bernstein.

'Neil, proof that any idiot
who can nod his head'

can rise right to the middle
of pediatric medicine.

'And last,
and definitely not least'

Mark Greene.

Mark..

..."the self‐righteous
shall inherit the ER." Greene.

Mark "the I am behind you 110%

"but you are out of here"...
Greene.

Thank you, kiss my ass,
goodnight, God bless.

What do you think?

This how you want
to end your career?

Can you think of a better way?

What'd your father want?

You got me.

I tell you something, though,
I bet he'll get a kick

out of what I'm about to do.

Don't do it, Doug.

It's a big mistake.

Well, you know my father
always said..

...if you're going
to make a mistake..

...make it a big one.

Still sewing.

Thanks for teaching me
the staple gun.

Well, goodnight.

Why didn't you tell me
you were divorced?

Separated.

We haven't had
many conversations lately

at least not civil ones.

Peter..

...Al and I had
a lot of problems

that had nothing to do
with you and me.

Goodnight.

(John)
Oh, whoa, whoa, whoa, whoa.

[Harper giggling]

I had no idea
you were this neurotic.

Coming all the way out here to
check a kid's ears?

Listen, I thought you came
to support me

not ridicule me.

Yeah, but, ridiculing you
is so much more fun.

This is it, 218.

Hey, your first house call.

[chuckling]

Hi, hi, how...Hey, Wilbur,
how's it going?

‐ You messed up, huh?
‐ Well, we'll soon find out.

Let's take a look, huh?

'That's one down.'

‐ Two down.
‐ 'All clear?'

‐ All clear.
‐ You done?

I'm done.
Thank you.

And I'm really, really sorry
to bother you at home.

(Mark)
It was no surprise to me
to see Doug Ross on TV

sloshing around
the freezing water

trying to save a kid in trouble

because, in a way,
that's what he does every day.

I don't know any doctor
who cares more for his patients.

I'm proud to present this award

for outstanding
community service

to a great pediatrician...
and a great friend, Doug Ross.

[applause]

Thank you.

Uh, I'd like to take
this opportunity to single out

a few people who have, uh,
influenced my career

'for better or worse.'

But I guess you all know
who you are

and how I really feel about you

so...perhaps the less said,
the better.

'I..'

Thank you for this.

Thank you.

[loud applause]

It's scary to think
that in four months

I'm going to be a doctor.

I'm not going to have residents
looking over my shoulder

checking my mistakes.

It's an awesome responsibility
if you think about it.

‐ Do we have to talk shop?
‐ What?

I'm sorry,
I just hate to think

that medicine's all
we can talk about.

No, we can talk
about something else.

Oh, good.

Great. You first.

No, you go first.

Did you do that because you
couldn't think of anything?

Well, at least take your hands
out of your pockets

and do it right.

(Mark)
Not thinking about
doing anything rash, are you?

‐ You mean like this?
‐ Whoa, what are you, crazy?

So awards really bounce.

Must be acrylic.

Thanks for the speech.

Thanks for not giving
your first draft.

Ha.

I'm an idiot.

You have your moments.

You know why my old man
called me today?

Because he saw me on TV.

I haven't heard
that voice

in...22 years.

Son of a bitch.

The scary thing is I'm doing
a pretty good imitation.

He never kept a job
more than two years.

Most of the time
it was two weeks.

He had a nasty habit
of getting drunk

and...punching out his boss.

Maybe it's just me.

I take a dim view
of that particular approach.

[chuckling]

Yeah.

Yeah.

So I still have a job?

If you still want it.

[hammering]

(Ray)
'Damn it!'

'Aw, damn!'

[hammering continues]

(Ray)
'Damn it!'

'Damn it, damn it,
damn it!'

What are you doing up there?

(Ray)
'I'm destroying
your roof.'

Oh, that's great.
That's just what I need.

(Ray)
'No, seriously, I saw some
of these rotting tiles'

and I...I‐I figured I'd start
pulling them off

and I sincerely think
I've ruined your roof.

Well, stop.

‐ Oh, my God!
‐ I know, I know.

This is horrible.

I just figured I'd save you
some money on roofing.

I'm sorry.

About what?

Putting a really
big hole in my roof?

The roof, the mouth..

...whatever odious behavior
I'm about to commit.

All of it.

I'm sorry.

Ah, look,
I shouldn't have made you

feel stupid this morning.

Hey, I did
that all on my own.

No. I blindsided you.

Well, that's true.

But look,
about what you said today..

...actually...it doesn't
matter to me.

You know I mean..

...I don't...I don't think
any less of you.

Most of all..

...I'm really glad

that it didn't work.

Me too.

[chuckles]

[dramatic music]

[theme music]