ER (1994–2009): Season 2, Episode 9 - Home - full transcript
Jennifer and Rachel have been involved in a car accident and Mark rushes to Milwaukee where they're in the hospital.
[theme music]
Doug.
‐ Doug!
‐ He's not here.
I need you to take
a look at little Susie.
I'm not on yet, am I?
You're a pediatrician.
You're always on.
[clearing throat]
Yes, but I'm not
your pediatrician.
What time is it?
Uh, 6.00 A. M. She was up
half the night coughing.
‐ Alright.
‐ Oh, yeah.
Hey, there,
little one.
What's going on?
Let's see.
[babbling]
Seems pretty agreeable.
Well, yeah, that's
'cause I kept her company
for the last five hours.
‐ Ah..
‐ What's the matter?
I got elbowed in the mommy
and me class yesterday.
‐ Hmm. Sounds vicious.
‐ Oh, yeah, it was.
I had the blue end
of the parachute
and little Susie
was underneath
and this yuppie mother came by
and yanked it and shoved me.
I'm telling you,
this mother thing is not easy.
You wouldn't know it by her.
No temperature.
‐ Lungs are clear.
‐ Hmm.
No sore throat.
This is the healthiest happiest
baby that I have ever seen.
Oh, God, I am never going
to make Gymboree tonight.
Doug, paramedics
are at the back door
with an infant, unresponsive.
‐ You need a hand?
‐ Always.
Okay. Bye‐bye.
Can you hold her for sec?
‐ Sure.
‐ Thanks.
Hey, little Susie.
What do you got?
(female #1)
'Two‐month‐old male'
'found unconscious
and cyanotic in his crib.'
‐ What is it? What's wrong?
‐ He was fine last night.
Unresponsive at scene.
Gave him two rounds of EPI
and atropine in the field.
Got nothing.
He just had a little
bit of a cold.
I just took him to our
pediatrician yesterday.
Let's tube him.
Number four uncuffed.
‐ Take over compression?
‐ Got it.
Number one, straight
laryngoscope.
‐ I need tape on the tube.
‐ Give me that. Yeah.
Here you go.
‐ Temperature?
‐ It's 93.
It wasn't a bad cold,
not even a fever.
Deep tendon
reflexes absent.
He's unresponsive to pain.
Let's try a high dose EPI.
‐ What's he weigh? Ten pounds?
‐ Twelve.
‐ Asytole.
‐ Okay. Point five.
Did our doctor miss something?
What's your name?
Mr. and Mrs. what?
‐ 'Kenway.'
‐ Okay, Mr. and Mrs. Kenway.
We need you
to wait outside.
[sobbing]
What's wrong with him?
Haleh.
I'm Haleh Adams.
Let the doctors do their work.
I want to stay
with my baby, please.
‐ That's okay.
‐ Come on, sweetie.
‐ 'It's okay.'
‐ 'Anterior fontanel is flat.'
‐ 'Anything on the monitor yet?'
‐ No petechiae or ecchymosis.
‐ Another dose of EPI?
‐ What's his down time?
45 minutes.
‐ Any pulse?
‐ 'No.'
‐ Pupils fixed and dilated.
‐ 'Defibrillator?'
No rhythm.
I'm gonna shock him.
Charging.
Susan..
Susan, it's over.
Susan, it's over.
It's over.
[flat‐lining]
I'll mark the chart.
SIDS?
Lydia, take him off the monitor.
I'll get his parents
back in here.
Will you stay with him?
[Mrs. Kenway sobbing]
You got to look
at that face.
She was fast asleep.
Weren't you?
‐ Thank you, Connie.
‐ You're welcome.
[gurgling]
Ooh, yeah.
Mmm, yeah.
What?
Oh, yeah.
My little girl.
Ooh, my little girl.
Yeah.
I love you.
Yeah. I love you.
Yeah. I love you.
[babbling]
Oh, yeah.
[theme music]
[music continues]
‐ Hi.
‐ Hi.
You look awful.
Uh, post‐op,
two hours' sleep.
How's tonight look?
Good, if Benton
ever lets me out.
It's been, like, two days.
It's been, like,
over two days.
Well, I have a couple
of hours tonight
between six and eight.
‐ Your place?
‐ Mm‐hmm.
‐ Dr. Wolverton.
‐ Hi.
‐ Come with me.
‐ Where we going?
This way.
Hold the elevator.
Where are the films
on that Spencer kid?
Radiology's backed up.
[beeper beeping]
Damn, Four West again.
Gabriel's calcium back yet?
Normal.
It's on his chart.
Neuro's consulting
on Weingast.
The films are..
Yeah, in the reading room.
Next time,
leave it bedside.
Uh...this way.
Oh!
‐ I'm sorry.
‐ Hey.
Hey!
Hey, I could use
some help here.
‐ Now?
‐ No! Next Labor Day.
We'll send somebody.
Whoa!
‐ We'll clean it up.
‐ Later.
‐ When we get back from, uh..
‐ Radiology.
Yeah.
Connie?
Oh, hi.
Dropped the lateral decubitus.
'Could you hand me
those charts?'
Well, we just came here
looking for the films on‐‐
Smith, John.
They don't appear
to be here, so..
‐ We'll be back.
‐ Later.
Close call.
Hey, could you guys
give me a hand?
‐ Uh, sure.
‐ No problem.
[snorting]
‐ Uh, right here, okay?
‐ Great.
‐ Want a bite?
‐ I don't think so.
Oh, God, I do.
I missed breakfast.
‐ What's in the boxes?
‐ Something for me?
Mm‐mmm.
For the children's
Christmas drive.
Oh, yeah, there's
gonna be one lucky
four‐year‐old
who gets this.
I haven't sorted
through it yet.
Is it Secret Santa
time already?
Almost, and I arranged for you
to get me, so make it good.
My mom sold the house.
‐ Helen's moving?
‐ Yeah, to the 'burbs.
She's been storing this stuff
in her basement for years.
Now Carol's pawning it off on
some unsuspecting four‐year‐old.
No, I'm gonna
toss half of it.
You never throw
away this stuff.
[laughing]
My mom's the saver, not me.
KC and the Sunshine Band.
You can toss that.
‐ Whoa...this..
‐ Ah, come on.
Now, you've never
twirled a baton.
No, I did.
I did.
I did.
Something like this.
[drops baton]
[laughing]
Okay, scalp lac in three.
Anyone seen Carter?
Nope.
[door opening]
[both laughing]
[whispering]
What is it?
You're not a catholic,
are you?
[both laughing]
Say good‐bye to
the old homestead?
Yep.
‐ Must be hard.
‐ No, not really.
You know, when my folks sold
their place I went back there
and I carved my name
into every closet.
It's just a house.
It's a home, Hathaway.
It's got little height
measurement on the kitchen door.
It's got a bannister where I
fell and I broke my collarbone.
It's got this
cool crawlspace
where my brothers and I
used to hide our playboys.
"Playboys?"
Yeah, when we
were kids.
Uh‐huh.
So, um, no ID
on this patient?
(Shepard)
'Nope. Nothing.
We found him at The Goodman.'
He's been sitting
there for a while.
Yo, Shepard.
Got to move your rig.
I need someone
to cover a shift.
Not tonight.
I'm sorry.
Bet she'd take
a rain check.
Sorry, this is something
I can't move.
Hit‐and‐run's here.
‐ You need a hand with this one?
‐ Yeah.
What's open?
Trauma one.
Dorris?
35‐year‐old male,
auto versus pedestrian.
BP 110/65, pulse tachy at 112.
Possible mandible fracture
500cc bolus, normal saline,
O‐2, ten liters
and hare traction
on the left leg.
On my count,
one, two, three.
(Pickman)
'Back to the slopes.
See you.'
‐ What's his name?
‐ 'Ethan Brown.'
Mr. Brown,
you're in the ER.
You were hit by a car.
Let's get a cross table
C‐spine, chest
pelvis, left femur, mandible.
CBC, type and cross
four units, chem seven.
‐ My wife!
‐ Try not to talk, Mr. Brown.
Your jaw might be broken.
We'll contact your wife.
I'll get a Foley in.
Pressure's good.
125/80.
Mid‐shaft fractured femur.
'Good distal pulses.'
Abdomen's benign.
'Droperidol, 2.5.
Slow IV push.'
‐ And let's watch his pressure.
‐ What happened?
Someone ran him down.
Hit‐and‐run.
'Interviewing witnesses now.'
‐ No! No!
‐ TM's are clear.
No battle's sign.
Alright.
Clear, CT.
'No, no, no, Mr. Brown.'
'Mr. Brown, leave
the mask on.'
Okay, calm down.
Calm down.
Hi.
I'm Carol.
What's your name?
Why do you ask that?
Just curious.
Mr. Sullivan.
Can't smoke in here,
Mr. Sullivan.
Suture kit.
Thanks.
Can you hang out?
I'm not sure he's
gonna need any.
Can you hand me
that saline?
[clearing throat]
May I borrow a pencil, please?
Why is your arm
bleeding, Mr. Sullivan?
I work for the, uh..
I work for the committee.
I'm an architect.
This is, uh...this is a pen.
Here you go.
How's this?
Is there someone we can
call to take you home?
Why do you ask?
I mean, I know where it is.
Okay. No, he's not going
to need any stitches
but let's call psych
and social services.
Get Matthews to supervise.
Matthew's got the interview
for the project.
Then get Jones to do it.
Jones, Lieberman,
they all got interviews.
Vucelich is never
gonna pick a third‐year.
You ought to apply.
It'd be great for your career.
‐ Great for your resume.
‐ Yeah, not to mention yours.
You have a hematoma
on your neck.
‐ What do we have?
‐ 'Hit‐and‐run, slow velocity.'
'Left femur fracture,
head trauma.'
‐ What is he on?
‐ Droperidol for agitation.
We couldn't
control him.
Got Mr. Brown's films.
There's a shadow in
the right base.
Carter, hemothorax!
(Haleh)
'Pulse up, 120.'
(Wright)
'I'll set up a thoraseal.'
(Haleh)
'O‐2 sats falling.'
Number 32 French.
Hey, I know. I know.
Curved Kelly.
‐ I'm in.
‐ Anyone call CT?
(Wright)
'Yeah.
They're ready for him.'
Suction.
'It's draining.'
His real name
is Joshua Shem.
He's a diagnosed
paranoid schizophrenic.
Ran away from
his residential home.
They faxed us this.
Prolixin,
Thorazine, Trilaphon
even Clozaril,
won't stay on any of them.
This is the third time
he's run away?
Yeah, they said they won't
take him back again.
Three strikes and you're
out, huh? Any family?
His mother. I'm still
trying to track her down.
Okay.
Thanks, Jeanie.
Hey, Randi, could you find the
number to Campanelli's, please?
You don't want
to go there, Dr. Ross.
Excuse me?
Drafty, stuffy,
and the pasta's kind of iffy.
‐ Anyone we know?
‐ What's this?
You told Mark you
couldn't work tonight.
Personal obligations.
We got failure to fly in three.
Kid fell out of his bunk bed.
Care to join me?
Okay.
Ethan? My God!
Ma'am...is he hurt?
Is he going to die?
No, he's not going to die,
but you really can't..
'You can't go with him.'
Ma'am, I'm his wife!
Mrs. Brown, your husband
has been in a serious accident.
We're taking him up
for a head CT.
But his injuries do not appear
to be life‐threatening.
Then he's not going to die?
No, I think he's
going to be fine.
Well, come with me,
I'll show you.
(female #1)
'Oh, my God!'
‐ My sister, she's unconscious!
‐ What happened?
She had a skating accident.
They took care of her at
St. Anne's, sent her home
but in the car, she started
shaking all over.
Sounds like a seizure.
What's her name?
Reba.
I couldn't wake her up.
Reba?
Reba, can you hear me?
She's postictal. Let's start a
line, 15 liters O‐2 by mask.
Does she have a history
of seizures?
No, we were at the
skating rink practicing
and a boy ran into her.
Her legs were cut badly.
Pupils equal round reactive.
‐ Did she hit her head?
‐ I think so.
‐ She had a headache.
‐ Were x‐rays taken?
I don't know.
They‐they stitched up her legs.
Responsive to pain.
BP 120/70,
pulse 56.
‐ We need a head CT.
‐ What's going on?
Your sister had a seizure, which
can happen after a head injury.
We're going to take
a x‐ray of her brain
to make sure there's
no bleeding, Okay?
Okay.
A small, gold pendant
would be nice
earrings, Ford Explorer.
Thank you, Lydia.
I'll keep those in mind.
How serious?
‐ Seizure following head trauma.
‐ They saw her at St. Anne's.
Barkley's the chief over there.
You want me to give him a call?
Don't bother.
They didn't even do a CT.
Hey, doctor.
We wrapped up that hit‐and‐run.
‐ That quick?
‐ Witness ID'd the plates.
‐ Get this, it was his wife.
‐ Come on.
Lydia?
‐ Lydia, where's Brown?
‐ Who?
Ethan Brown, the guy
who got hit by a car.
‐ Oh, exam four.
‐ Call security.
[Ethan screaming]
Hey, hey, hey.
Come on.
You bastard! I hate you.
I'm going to kill you!
‐ Get her out of here!
‐ 'Let go of me.'
Cyanotic.
Pulse ox down to 70.
Hyperventilate him.
Blood gas?
[breathing]
‐ What was that about?
‐ Marital bliss.
After dinner, power
Christmas shopping.
Everything for everyone
in under three hours.
Actually, you could shop
for Jennifer and Rachel.
Rachel's getting a bike.
Jennifer already
has her present.
I agreed to spend four,
count them, four wintery days
with her folks in Sheboygan.
Four days with
the Reverend?
‐ Yeah.
‐ Go with god.
‐ How's she doing?
‐ She's coming around.
Hi, Reba.
I'm Dr. Lewis.
Do you know where you are?
Hmm...hospital?
Do you remember
what happened?
No.
It's normal to be confused
after a seizure.
'We wanna keep her in the
hospital for a while under‐‐'
Uh‐oh.
Valium five.
What's happening?
‐ Valium five.
‐ Pulse ox 85.
Put her back on the mask.
Oh, my God.
Help her, please!
[gasping]
Doctor..
Dr. Vucelich.
Uh, Carter,
John Carter.
Ah, Carter, yes.
I'm seeing your Dr. Matthews
at five, right?
Well, no.
I'm Dr. Benton's student.
Well, in that case
I guess, I look forward
to seeing him later, then.
Well, no. Actually, uh,
he's not signed up.
I know he wanted to be but
I believe your list was full.
You don't have to cover for him.
If the man isn't interested‐‐
No, no, no, no.
He's interested.
He's definitely interested.
But, to be honest,
I forgot to sign him up.
‐ Aha.
‐ And he was pretty upset.
I see. Well, I guess I'm gonna
have to cover for you then.
Why don't you send
him in at six?
I think it's a hickey you
have on your neck, Carter.
Yeah, yeah.
That makes 20 of valium.
‐ How long has she been seizing?
‐ Ten minutes.
Let's load her with Dilantin.
900 milligrams at 50 a minute.
She's probably tearing
her sutures out.
‐ Is she on any drugs?
‐ No.
‐ Diabetic?
‐ No.
Is she allergic to lidocaine?
‐ Lidocaine?
‐ Yeah, it's like Novocain.
They would have given it
to her before the sutures.
I don't know. They were
injecting a lot of stuff.
Hold the Dilantin!
800 phenobarb.
Could be lidocaine toxicity.
‐ Get a level.
‐ 100 in.
Connie, I want you to
get a hold of a Dr. Barkley
at St. Anne's and have him
fax her chart over ASAP.
I know, I gave you
nights off this week‐‐
I forgot to thank you.
Not that it did any good.
Hudson pleaded with
me to cover for him.
So, I guess you couldn't
cover for Bowers then?
I'm good, Mark,
but not that good.
Reba Siburry's seizures.
St. Anne's gave her
a toxic dose of lidocaine?
‐ Her level was nine.
‐ Missed all the fun.
This would make a
terrific case report.
Morgenstern's dying to
have somebody present
a paper at the
SAEM conference.
I could use the credit.
The hospital
pays for the trip.
‐ Trip?
‐ It's in Miami.
Sounds like a
terrific opportunity.
I can't write
and present a paper.
‐ Sure, you can.
‐ And take care of Susie?
I thought your dad was gonna
help pick up the slack.
Yeah, but, I still
barely have time
to get dressed
in the morning.
I can help with
your schedule here.
No, thanks that's great,
but I can't spend my days off
in the med library
doing research and a trip.
Okay.
‐ Are you disappointed?
‐ Of course, not.
‐ Do you think I should do it?
‐ Susan, it's your decision.
Do your voices tell
you to harm yourself?
Harm anyone else?
Voices, voices..
I don't‐I don't..
I don't hear, uh,
you know, voices.
You wanna stay
in the hospital?
I'm not, uh...crazy
or you know,
whatever, what you think.
No, no, but you might want
to try new medicines‐‐
Thank you, no.
I have work to do.
[pencil point breaks]
May I?
Here, Josh.
How are you gonna eat, Josh?
The‐the colonel
makes me chicken.
‐ And sleep?
‐ I'm, uh...building a house.
‐ It's cold outside.
‐ I‐I know!
I have, I have a jacket.
[stammering]
'I know, how to
take care of myself.'
‐ I'm...I am a man.
‐ Okay.
Josh, it was nice
meeting you. Okay?
'Come on, let's go.'
‐ Can you hold him?
‐ Nope.
Not even for a day? I've got
calls into some halfway houses.
I'm sure I can place him.
He's in no imminent danger
to himself or to anyone else.
You think he can take care
of himself on the street?
He claims he can.
And you're gonna
take his word for it.
I didn't write the law.
He's an adult.
If he wants to go, he goes.
Guess Joshua is off
his checklist for the day.
No, he's a good guy.
He must gets 30 cases
like this a month.
‐ He does what he can.
‐ So what do we do?
'Well, we try
and stall him.'
Hope that
a home comes through
wait for the mother to show.
I got Benton's
interview at six.
It's what like 15 minutes
to your house, right?
That gives us an hour
and 20 minutes
tops before study group,
which is nothing.
Look what you
did to my neck.
You are an
incurable romantic.
Only one problem now.
(Benton)
'Carter!'
Oh, man!
I haven't told him yet.
See you later.
‐ Hi.
‐ Got a patient for you.
Hey, I was wondering,
do you have plans this evening?
The reason I'm asking
is 'cause I bumped
into Dr. Vucelich earlier‐‐
‐ And?
‐ And...what? Nothing.
‐ You sign me up?
‐ No, not really.
You better not have.
See, the thing is,
he requested you.
He thinks you're gonna
be great for this study.
He wants to talk to you
in his office at six.
Tonight. Today.
Do a two percent block,
irrigate, pull the nail.
‐ No stitches.
‐ Okay.
Hi, Josh.
I have‐I have to go.
But we're not finished yet.
What?
Hey, Josh,
this is really good.
I just draw what
they tell me.
I have to go, uh...home.
Where is your home?
‐ Oh, I just bought one.
‐ Oh, where?
Wicker Park on Hoyne Street.
Yeah, Jugendstil.
Proto‐modern.
I guess.
Maybe.
It's nice. Very solid.
Turn of the century.
Living room, fireplace,
copper inlay, tile.
[laughing]
No fireplace.
Just plaster walls.
No. Go behind.
It's...it's there.
You'll see that it's there.
Thanks. I didn't know
I bought a Jugen..
...joogen thing.
Stop it, stop it,
stop it, stop it.
Hey, Josh,
are you hungry?
‐ I..
‐ You should eat something.
I'll let you
keep the pencil.
Okay?
Okay?
Okay.
Just one minute.
Your psych
patient's still here.
‐ Aha.
‐ Consult been down?
‐ Yep.
‐ Not admitted?
Nope.
Why hasn't he
been discharged?
I'd like to put
a sterile dressing
on his abrasion,
maybe some antibiotic ointment.
As long as we have a bed, let's
get him fed and cleaned up.
‐ Good idea.
‐ Okay, seven o'clock?
You look beautiful
whatever you wear.
I love you too.
Bye.
Your personal obligation?
[phone ringing]
ER.
Hang on.
Dr. Greene?
'It's for you.'
'Hillsborough
Community hospital.'
Where's that?
Uh...Milwaukee.
Hello?
What happened?
Oh, God.
Is she alright?
And Ra..
Rachel, my daughter?
Yeah, of course.
I'll be there as soon as I can.
Mark?
Jen and Rachel.
They're at a hospital.
I got to catch a train.
‐ What happened?
‐ Car accident.
‐ Is Rachel okay?
‐ It's only Jen.
No, take my car.
‐ Thanks.
‐ Yeah.
‐ Greene. Jennifer Greene.
‐ 'Any news?'
No, they won't
tell me anything.
Yeah.
Okay.
Thank you.
Are we this bad
when people call?
No, I give them a
bucketful of complete
and accurate information.
Anybody know anyone
over there?
I used to date one
of their OR techs.
Oh.
I haven't talked
to him in six years.
Dial.
‐ Hey, that's cool.
‐ It is, isn't it?
A patient gave it to me.
What's a patient doing
drawing you a Sullivan arch?
Sullivan? Joshua calls
himself Sullivan.
Yeah. Louis...Lewis.
Something like that.
It's over at
the art institute.
He says it's his home.
Unfortunately,
it's about to be true.
Oh, Shep, no, no, no.
Give me that back.
‐ Oh, no. Come on‐‐
‐ No, Shep, please. Is that you?
‐ Oh, come on.
‐ Oh, come on. You were cute.
‐ Stop, stop, stop.
‐ Come on. Give it back.
"To the coolest
girl in the class."
Okay, very funny.
"I'll never forget what you did
for me last summer at the lake.
Love, P. J."
Oh, yeah? What did you do
that made him so grateful?
It's a "Her",
not a "Him."
I was calming her down because
she broke up with her boy..
I don't need to be telling
you any of this.
‐ This is great.
‐ This is trash.
No, this is going home.
You're gonna
thank me one day.
This is good stuff.
Food poisoning in four.
Oh, and Morgenstern
wants to see you.
‐ Uh‐oh.
‐ No, it's good news.
About presenting
the lidocaine toxicity.
Mark told Morgenstern
about that case?
No, I did.
He was very excited.
This is a great opportunity.
Finally got rid of
that migraine in five.
Oh, good.
Food poisoning in four.
I think I can make that
window of opportunity.
‐ My place at six?
‐ You got it.
Carter, Harper, I've gotta
pull drains on some post‐ops.
But you've got your
interview at six o'clock.
Which is why
you're gonna do it.
Harper, scalp lac
in the suture room.
I have food
poisoning in four.
'Well, after the food
poisoning in four.'
That's great.
Shem, Joshua. He's 28.
Diagnosed schizophrenic.
You've got to be kidding.
Six months?
No, I checked there too.
They don't have any beds.
Okay.
Yeah, I'll try
Carnegie House.
Okay, thanks. Bye.
[knock on door]
Doctor..
I see you found
all my patients.
And they're all grateful
to still be with us.
‐ Endarterectomies?
‐ Thanks, Claire.
Why don't you tell my wife
I'll meet her at the restaurant.
You wouldn't believe
the Christmas presents.
‐ Must be hundreds.
‐ At least.
Why don't you come
with me, Benton?
I think you're gonna
find this interesting.
‐ What about the interview?
‐ This is it.
Excuse me.
I'm Madeline Shem,
Joshua's mother.
Oh, hi. I'm Carol Hathaway.
I'm glad you came.
Was he hurt?
No, just a small
abrasion on his arm.
'We spoke to the
residential home.'
But they won't take him back,
I know. He's run away so much.
We've had no luck
getting him into another.
Took us nine months
to get him into that one.
Could you take him home?
Oh, I wish.
Joshua's let go of everything,
his past, his family, our home.
None of it means
anything to him anymore.
He'd never stay.
Hard to believe he was
gonna be an architect.
Had a breakdown
in college.
Hi, Josh.
I brought you pencils,
sharpened just the way you like.
Thanks very much.
We've been waiting
for these to arrive.
I, uh...give him money
which makes me feel better
and his pencils,
which makes him feel better.
It's really the only thing
he still cares about.
Still..
I love you, Josh.
Radial and ulnar
pulses are strong.
‐ He's gonna need a tetanus.
‐ Yeah.
Let's give him five
of morphine, slow IV push.
‐ Give me the bullet.
‐ 'Impaled foreign body.'
Fell off a ladder onto
a Christmas reindeer display.
They're gonna fire me.
Through and through
left deltoid.
Distal, neuro and
vascular intact.
I crushed Rudolph.
They aren't expensive,
those displays.
‐ Your last meal?
‐ 'Breakfast.'
No, no.
I don't know.
‐ Can you feel this?
‐ Yeah, yeah.
BP's 140/85, pulse 110.
OR been notified of this?
It's killing me.
OR's ready.
Gram of Ancef.
Spectacular case
earlier, Susan.
It's a shoo‐in for presentation
at the SAEM conference.
Might even make it
into the Annals.
Doctors forget that
a seemingly benign anesthetic
has the potential for cardiac
and neurological toxicity.
Okay. Let's get this puppy
up to the OR.
I presented at the conference
when I was a resident.
Terrific case,
terrific opportunity.
I left the visual aids
on the plane.
Well, I have to decline
your offer, Dr. Morgenstern.
‐ Personal reasons.
‐ You do realize, don't you?
You're a candidate for
Chief Resident next year?
I know that I need to start
presenting and publishing
but it's just that now
is not a very good time.
There's never a good time.
I'd just hate to see the
personal overwhelm the job.
I'm not overwhelmed, Dr. Morgan
and I'm doing my job.
Yes, but to build a career
you've got to take on
more responsibility.
I've taken on plenty
of responsibility
so you'll have to forgive me,
if I don't stay after school
these days to work
for extra credit.
Where's emergency?
My wife and daughter
were in an accident.
‐ Where's emergency?
‐ Over there.
‐ Where's the ER?
‐ This is the ER.
‐ Jennifer and Rachel Greene?
‐ Sorry?
I'm Mark Greene.
I'm an emergency physician.
My wife and daughter
been in an accident.
‐ Just sent up to the OR.
‐ What floor?
Second. Take the stairs.
It's faster.
Jen, Jen, Jen, I'm here.
I'm okay, Mark.
Rachel's okay.
Where is Rachel?
Where's my daughter?
She's probably in
the waiting area.
‐ She's okay.
‐ I want to stay with my wife.
‐ You can't right now.
‐ 'I'm a doctor.'
I'm Dr. Shreiger.
‐ What are you, a resident?
‐ 'Yes.'
I'll be working
under Dr. Musgrave.
You can't be in here,
Dr. Greene.
I'd like to talk
to the attending.
Your wife suffered
multiple injuries
when she was broadsided.
'She's stable but she's got'
a compound
right tib‐fib fracture.
The films?
Abdominal CT showed
a small amount
of free blood
so we're doing an
exploratory laparotomy
and we'll have an orthopod
in to fix the fracture.
You should have a seat
in the waiting room.
Dr. Musgrave will find
you when we're through.
Susan, this came for you.
I had to sign for it.
Ooh, secret admirer?
‐ Uh..
‐ No. Is it from Chloe?
‐ The one and only.
‐ May as well open it.
These are 100‐dollar bills.
There's, like,
20 of them.
30 of them, she says.
$3,000?
Are they marked
and sequential?
[laughing]
What did she write?
You read it.
"Ho, ho, ho, little Susie.
"Aren't you surprised
your mommy is so rich?
"Give this green stuff to
Aunt Susie for helping out
"and doing so much for you.
"Do you remember me?
Loves and kisses,
your crazy mom."
She's trying
to pay her debt.
She must have been stoned.
It's a holiday thing,
you know.
Brings out the ghost of many
a deadbeat relative.
I come from a long
line of them.
I don't want her money.
My advice? You take
what you can get
and do not
expect more.
Hey. Hi.
Daddy! Daddy!
Hi, how are you, baby?
You alright? Hmm?
This is Craig, daddy.
Uh, Craig Simon.
This is my
daughter, Amanda.
We were all in
the accident together.
‐ Oh, hello.
‐ Hi.
We've spoken
on the phone before.
Oh, right.
The appeals court. Right.
The kids are fine.
Jennifer's got a bad break
to her leg. It's a..
Compound fracture, yeah.
‐ Talked to the doctor.
‐ Right.
Uh, we were going to
a staff Christmas party.
A guy came out of nowhere.
Oh, yeah, she's
a terrible driver.
But I was driving.
Our car was
squished, daddy.
Mm.
‐ Your head's alright?
‐ Yeah, it's nothing.
I wanna make sure that
Jennifer's gonna be okay.
If it's alright with you I think
we'll stick around for a while.
Sure.
Randi? Randi!
It's gonna be pretty hard
for people to see through that.
‐ They can walk around.
‐ Okay, I'm getting out of here.
If you hear anything about Mark,
will you call my machine?
Sure.
Bad news for Joshua.
St. Joe's, Lacey Street,
Carnegie House
all the residential homes have
a wait list of about 600 years.
Yeah, it's too late, anyway.
He left an hour ago.
He's too sick to
be out there.
He's not sick enough
to stay in here.
Maybe I'm not
cut out for this.
In rehab, I work
with a patient
I feel like I'm giving
them something.
We give them something.
We give them a Band‐Aid
and we send them
back to the front.
Treat them and street them.
We do the best we can.
And when that's
not good enough?
Most days, it has to be.
So you're familiar
with endarterectomy
for the prevention of stroke?
I've done some reading.
Then you also know that
symptomatic patients with
stenotic lesions
do better with surgery
than with medical care alone.
‐ Not all studies agree.
‐ True.
When do doctors
ever agree?
I assume you're familiar
with the Casanova trials.
Carotid artery stenosis
with asymptomatic narrowing
operation versus aspirin.
Right.
And what did they find?
No benefit
from endarterectomy.
Well, I'm about
to prove them wrong.
I really wasn't
planning on hiring
third years
for my studies.
‐ They don't have the skills.
‐ I've got the skills.
‐ Really?
‐ Mm.
You're arrogant as hell.
I like that.
Let's see
those skills, doctor.
Scrub in.
Jennifer Greene.
Hi. I'm her husband,
Dr. Mark Greene.
Doctor.
I'm Dr. Musgrave.
‐ Everything went well.
‐ Thank God.
I took a look at the spleen.
No rupture, no lacerations.
Ortho did an open reduction
and internal fixation
of the midshaft comminuted
fracture of the right tib‐fib.
No complications.
You can see her soon.
How long the screws
gonna stay in?
About six months.
You can hold onto it.
It's a copy.
Thank you.
Do you want to
translate for me?
‐ Hey!
‐ Oh‐oh!
[chuckles]
How are you?
Let me look at you.
Still ugly as sin.
[chuckles]
Let's get a drink.
So what about this fancy dinner?
Something wrong?
Can't I just take you
to a nice restaurant?
I would have been happy to throw
something together at home.
Mom, just let me
do this, okay?
Well, suit yourself.
Um...what do you want?
Champagne cocktail.
Moet, please.
I'll have a Manhattan,
straight up. Thanks.
So, how's my famous son doing?
I'm still fixing kids
for a living. How's Howard?
I never see him.
Year‐end tax deadline.
I'm a CPA widow.
What can I say?
Have you heard from anyone?
Besides "The Tribune"
calling about you?
Anyone else?
‐ What's up, Douglas?
‐ Nothing is up.
Now, don't even start.
I know you.
Dad called.
What does he want?
He saw me on TV and he
just wanted to touch base.
So, what did you say?
I told him to get lost.
'He wants money.'
He's not gonna
get any money, so..
What did he think, he can just
waltz straight into our lives
any damn time he wants to?
I didn't tell you
this to upset you.
[sighs]
He's up to something, Doug.
Forget about him.
Hey. He can't touch
us ever again.
Hi, Josh.
How are you doing?
Why do you ask that?
‐ It's beautiful.
‐ Mm.
[coughing]
They destroyed this
in 1970...something.
We're gonna go
and rebuild and‐‐
Josh, look.
You forgot these.
Thank you very much.
We've been expecting these.
Is there anything
else you need?
We can...
we can always use..
If you have pencils..
[whispering]
Here, Josh.
Try and stay warm, okay?
[Josh chuckles softly]
What did she say?
She said, "Okay, hon.
Let's go home."
Ah, the beauty
of codependency.
‐ Hey.
‐ Hey.
Jeanie and I are just
drowning our bad day.
‐ Over root beer.
‐ Ah.
‐ How was surgery?
‐ Slow. I held a clamp.
Sorry about tonight.
'Did you guys have a date?'
A date?
During med school?
What, are you kidding?
'How many more years?'
‐ Counting the Air Force?
‐ Air Force?
She felt like she needed
more direction in her life.
Did a lot of drugs as a kid.
Didn't do well in high school.
‐ 15th in a class of 2,000.
‐ Could have done better.
Um, in college, I knew,
I wanted more.
To be a fighter pilot..
And a doctor,
so one semester‐‐
This really good‐looking
recruiter comes by..
...and I signed up.
You have been listening.
Yeah, I've been listening.
They're paying
for med school.
And after residency,
I give four years of service.
Wow. My husband thought
I was an overachiever.
Mm. She hasn't even gotten
to the astronaut part.
[sighs]
Sorry! Ride's over.
I forgot my soap.
Oh, hi, Mrs. Bassett.
Oh, your baby's
getting so big.
Oh.
Well, actually, she's..
Oh, and beautiful,
just like your mama.
‐ Thank you.
‐ She's really cute.
Yes, you are.
‐ Goodnight.
‐ Goodnight.
Hmm.
[R.B. Greaves singing
"Take A letter Maria"]
I used to love this.
♪ Last night as I got home ♪
Well, there better not be
anybody behind this wall.
Ah!
[chuckles]
Watch out, watch out.
[scratching]
A fireplace!
It's beautiful.
How did you know
about this?
I met an architect today.
He knew about my house.
An architect?
Dance with me.
To this?
Oh, you don't know how.
Oh. Okay.
Now you've gone too far.
♪ You've been many things
but most of all ♪
♪ A good secretary to me ♪
♪ And it's time like
this I feel ♪
♪ You've always been
close to me ♪
♪ Was I wrong
to work nights ♪
♪ To try to build
a good life ♪
♪ All work and no play ♪
♪ Has just cost me a wife ♪
♪ So take a letter Maria ♪
♪ Address it to my wife ♪
♪ Say I won't be coming home ♪
‐ Hi, baby.
‐ Mm.
Mark.
[instrumental music]
I spoke with the doctor.
Everything went really well.
‐ Rachel?
‐ She's fine.
In the waiting room.
[music continues]
Is Craig still here?
Yeah, he is.
Oh, Mark.
Oh, I know.
We don't have to talk now.
When you come home.
[music continues]
I didn't want to tell
you before Christmas.
I know.
I know, Jen.
You fell in love with him?
[music continues]
I didn't mean to.
[music continues]
[theme music]
[music continues]
Doug.
‐ Doug!
‐ He's not here.
I need you to take
a look at little Susie.
I'm not on yet, am I?
You're a pediatrician.
You're always on.
[clearing throat]
Yes, but I'm not
your pediatrician.
What time is it?
Uh, 6.00 A. M. She was up
half the night coughing.
‐ Alright.
‐ Oh, yeah.
Hey, there,
little one.
What's going on?
Let's see.
[babbling]
Seems pretty agreeable.
Well, yeah, that's
'cause I kept her company
for the last five hours.
‐ Ah..
‐ What's the matter?
I got elbowed in the mommy
and me class yesterday.
‐ Hmm. Sounds vicious.
‐ Oh, yeah, it was.
I had the blue end
of the parachute
and little Susie
was underneath
and this yuppie mother came by
and yanked it and shoved me.
I'm telling you,
this mother thing is not easy.
You wouldn't know it by her.
No temperature.
‐ Lungs are clear.
‐ Hmm.
No sore throat.
This is the healthiest happiest
baby that I have ever seen.
Oh, God, I am never going
to make Gymboree tonight.
Doug, paramedics
are at the back door
with an infant, unresponsive.
‐ You need a hand?
‐ Always.
Okay. Bye‐bye.
Can you hold her for sec?
‐ Sure.
‐ Thanks.
Hey, little Susie.
What do you got?
(female #1)
'Two‐month‐old male'
'found unconscious
and cyanotic in his crib.'
‐ What is it? What's wrong?
‐ He was fine last night.
Unresponsive at scene.
Gave him two rounds of EPI
and atropine in the field.
Got nothing.
He just had a little
bit of a cold.
I just took him to our
pediatrician yesterday.
Let's tube him.
Number four uncuffed.
‐ Take over compression?
‐ Got it.
Number one, straight
laryngoscope.
‐ I need tape on the tube.
‐ Give me that. Yeah.
Here you go.
‐ Temperature?
‐ It's 93.
It wasn't a bad cold,
not even a fever.
Deep tendon
reflexes absent.
He's unresponsive to pain.
Let's try a high dose EPI.
‐ What's he weigh? Ten pounds?
‐ Twelve.
‐ Asytole.
‐ Okay. Point five.
Did our doctor miss something?
What's your name?
Mr. and Mrs. what?
‐ 'Kenway.'
‐ Okay, Mr. and Mrs. Kenway.
We need you
to wait outside.
[sobbing]
What's wrong with him?
Haleh.
I'm Haleh Adams.
Let the doctors do their work.
I want to stay
with my baby, please.
‐ That's okay.
‐ Come on, sweetie.
‐ 'It's okay.'
‐ 'Anterior fontanel is flat.'
‐ 'Anything on the monitor yet?'
‐ No petechiae or ecchymosis.
‐ Another dose of EPI?
‐ What's his down time?
45 minutes.
‐ Any pulse?
‐ 'No.'
‐ Pupils fixed and dilated.
‐ 'Defibrillator?'
No rhythm.
I'm gonna shock him.
Charging.
Susan..
Susan, it's over.
Susan, it's over.
It's over.
[flat‐lining]
I'll mark the chart.
SIDS?
Lydia, take him off the monitor.
I'll get his parents
back in here.
Will you stay with him?
[Mrs. Kenway sobbing]
You got to look
at that face.
She was fast asleep.
Weren't you?
‐ Thank you, Connie.
‐ You're welcome.
[gurgling]
Ooh, yeah.
Mmm, yeah.
What?
Oh, yeah.
My little girl.
Ooh, my little girl.
Yeah.
I love you.
Yeah. I love you.
Yeah. I love you.
[babbling]
Oh, yeah.
[theme music]
[music continues]
‐ Hi.
‐ Hi.
You look awful.
Uh, post‐op,
two hours' sleep.
How's tonight look?
Good, if Benton
ever lets me out.
It's been, like, two days.
It's been, like,
over two days.
Well, I have a couple
of hours tonight
between six and eight.
‐ Your place?
‐ Mm‐hmm.
‐ Dr. Wolverton.
‐ Hi.
‐ Come with me.
‐ Where we going?
This way.
Hold the elevator.
Where are the films
on that Spencer kid?
Radiology's backed up.
[beeper beeping]
Damn, Four West again.
Gabriel's calcium back yet?
Normal.
It's on his chart.
Neuro's consulting
on Weingast.
The films are..
Yeah, in the reading room.
Next time,
leave it bedside.
Uh...this way.
Oh!
‐ I'm sorry.
‐ Hey.
Hey!
Hey, I could use
some help here.
‐ Now?
‐ No! Next Labor Day.
We'll send somebody.
Whoa!
‐ We'll clean it up.
‐ Later.
‐ When we get back from, uh..
‐ Radiology.
Yeah.
Connie?
Oh, hi.
Dropped the lateral decubitus.
'Could you hand me
those charts?'
Well, we just came here
looking for the films on‐‐
Smith, John.
They don't appear
to be here, so..
‐ We'll be back.
‐ Later.
Close call.
Hey, could you guys
give me a hand?
‐ Uh, sure.
‐ No problem.
[snorting]
‐ Uh, right here, okay?
‐ Great.
‐ Want a bite?
‐ I don't think so.
Oh, God, I do.
I missed breakfast.
‐ What's in the boxes?
‐ Something for me?
Mm‐mmm.
For the children's
Christmas drive.
Oh, yeah, there's
gonna be one lucky
four‐year‐old
who gets this.
I haven't sorted
through it yet.
Is it Secret Santa
time already?
Almost, and I arranged for you
to get me, so make it good.
My mom sold the house.
‐ Helen's moving?
‐ Yeah, to the 'burbs.
She's been storing this stuff
in her basement for years.
Now Carol's pawning it off on
some unsuspecting four‐year‐old.
No, I'm gonna
toss half of it.
You never throw
away this stuff.
[laughing]
My mom's the saver, not me.
KC and the Sunshine Band.
You can toss that.
‐ Whoa...this..
‐ Ah, come on.
Now, you've never
twirled a baton.
No, I did.
I did.
I did.
Something like this.
[drops baton]
[laughing]
Okay, scalp lac in three.
Anyone seen Carter?
Nope.
[door opening]
[both laughing]
[whispering]
What is it?
You're not a catholic,
are you?
[both laughing]
Say good‐bye to
the old homestead?
Yep.
‐ Must be hard.
‐ No, not really.
You know, when my folks sold
their place I went back there
and I carved my name
into every closet.
It's just a house.
It's a home, Hathaway.
It's got little height
measurement on the kitchen door.
It's got a bannister where I
fell and I broke my collarbone.
It's got this
cool crawlspace
where my brothers and I
used to hide our playboys.
"Playboys?"
Yeah, when we
were kids.
Uh‐huh.
So, um, no ID
on this patient?
(Shepard)
'Nope. Nothing.
We found him at The Goodman.'
He's been sitting
there for a while.
Yo, Shepard.
Got to move your rig.
I need someone
to cover a shift.
Not tonight.
I'm sorry.
Bet she'd take
a rain check.
Sorry, this is something
I can't move.
Hit‐and‐run's here.
‐ You need a hand with this one?
‐ Yeah.
What's open?
Trauma one.
Dorris?
35‐year‐old male,
auto versus pedestrian.
BP 110/65, pulse tachy at 112.
Possible mandible fracture
500cc bolus, normal saline,
O‐2, ten liters
and hare traction
on the left leg.
On my count,
one, two, three.
(Pickman)
'Back to the slopes.
See you.'
‐ What's his name?
‐ 'Ethan Brown.'
Mr. Brown,
you're in the ER.
You were hit by a car.
Let's get a cross table
C‐spine, chest
pelvis, left femur, mandible.
CBC, type and cross
four units, chem seven.
‐ My wife!
‐ Try not to talk, Mr. Brown.
Your jaw might be broken.
We'll contact your wife.
I'll get a Foley in.
Pressure's good.
125/80.
Mid‐shaft fractured femur.
'Good distal pulses.'
Abdomen's benign.
'Droperidol, 2.5.
Slow IV push.'
‐ And let's watch his pressure.
‐ What happened?
Someone ran him down.
Hit‐and‐run.
'Interviewing witnesses now.'
‐ No! No!
‐ TM's are clear.
No battle's sign.
Alright.
Clear, CT.
'No, no, no, Mr. Brown.'
'Mr. Brown, leave
the mask on.'
Okay, calm down.
Calm down.
Hi.
I'm Carol.
What's your name?
Why do you ask that?
Just curious.
Mr. Sullivan.
Can't smoke in here,
Mr. Sullivan.
Suture kit.
Thanks.
Can you hang out?
I'm not sure he's
gonna need any.
Can you hand me
that saline?
[clearing throat]
May I borrow a pencil, please?
Why is your arm
bleeding, Mr. Sullivan?
I work for the, uh..
I work for the committee.
I'm an architect.
This is, uh...this is a pen.
Here you go.
How's this?
Is there someone we can
call to take you home?
Why do you ask?
I mean, I know where it is.
Okay. No, he's not going
to need any stitches
but let's call psych
and social services.
Get Matthews to supervise.
Matthew's got the interview
for the project.
Then get Jones to do it.
Jones, Lieberman,
they all got interviews.
Vucelich is never
gonna pick a third‐year.
You ought to apply.
It'd be great for your career.
‐ Great for your resume.
‐ Yeah, not to mention yours.
You have a hematoma
on your neck.
‐ What do we have?
‐ 'Hit‐and‐run, slow velocity.'
'Left femur fracture,
head trauma.'
‐ What is he on?
‐ Droperidol for agitation.
We couldn't
control him.
Got Mr. Brown's films.
There's a shadow in
the right base.
Carter, hemothorax!
(Haleh)
'Pulse up, 120.'
(Wright)
'I'll set up a thoraseal.'
(Haleh)
'O‐2 sats falling.'
Number 32 French.
Hey, I know. I know.
Curved Kelly.
‐ I'm in.
‐ Anyone call CT?
(Wright)
'Yeah.
They're ready for him.'
Suction.
'It's draining.'
His real name
is Joshua Shem.
He's a diagnosed
paranoid schizophrenic.
Ran away from
his residential home.
They faxed us this.
Prolixin,
Thorazine, Trilaphon
even Clozaril,
won't stay on any of them.
This is the third time
he's run away?
Yeah, they said they won't
take him back again.
Three strikes and you're
out, huh? Any family?
His mother. I'm still
trying to track her down.
Okay.
Thanks, Jeanie.
Hey, Randi, could you find the
number to Campanelli's, please?
You don't want
to go there, Dr. Ross.
Excuse me?
Drafty, stuffy,
and the pasta's kind of iffy.
‐ Anyone we know?
‐ What's this?
You told Mark you
couldn't work tonight.
Personal obligations.
We got failure to fly in three.
Kid fell out of his bunk bed.
Care to join me?
Okay.
Ethan? My God!
Ma'am...is he hurt?
Is he going to die?
No, he's not going to die,
but you really can't..
'You can't go with him.'
Ma'am, I'm his wife!
Mrs. Brown, your husband
has been in a serious accident.
We're taking him up
for a head CT.
But his injuries do not appear
to be life‐threatening.
Then he's not going to die?
No, I think he's
going to be fine.
Well, come with me,
I'll show you.
(female #1)
'Oh, my God!'
‐ My sister, she's unconscious!
‐ What happened?
She had a skating accident.
They took care of her at
St. Anne's, sent her home
but in the car, she started
shaking all over.
Sounds like a seizure.
What's her name?
Reba.
I couldn't wake her up.
Reba?
Reba, can you hear me?
She's postictal. Let's start a
line, 15 liters O‐2 by mask.
Does she have a history
of seizures?
No, we were at the
skating rink practicing
and a boy ran into her.
Her legs were cut badly.
Pupils equal round reactive.
‐ Did she hit her head?
‐ I think so.
‐ She had a headache.
‐ Were x‐rays taken?
I don't know.
They‐they stitched up her legs.
Responsive to pain.
BP 120/70,
pulse 56.
‐ We need a head CT.
‐ What's going on?
Your sister had a seizure, which
can happen after a head injury.
We're going to take
a x‐ray of her brain
to make sure there's
no bleeding, Okay?
Okay.
A small, gold pendant
would be nice
earrings, Ford Explorer.
Thank you, Lydia.
I'll keep those in mind.
How serious?
‐ Seizure following head trauma.
‐ They saw her at St. Anne's.
Barkley's the chief over there.
You want me to give him a call?
Don't bother.
They didn't even do a CT.
Hey, doctor.
We wrapped up that hit‐and‐run.
‐ That quick?
‐ Witness ID'd the plates.
‐ Get this, it was his wife.
‐ Come on.
Lydia?
‐ Lydia, where's Brown?
‐ Who?
Ethan Brown, the guy
who got hit by a car.
‐ Oh, exam four.
‐ Call security.
[Ethan screaming]
Hey, hey, hey.
Come on.
You bastard! I hate you.
I'm going to kill you!
‐ Get her out of here!
‐ 'Let go of me.'
Cyanotic.
Pulse ox down to 70.
Hyperventilate him.
Blood gas?
[breathing]
‐ What was that about?
‐ Marital bliss.
After dinner, power
Christmas shopping.
Everything for everyone
in under three hours.
Actually, you could shop
for Jennifer and Rachel.
Rachel's getting a bike.
Jennifer already
has her present.
I agreed to spend four,
count them, four wintery days
with her folks in Sheboygan.
Four days with
the Reverend?
‐ Yeah.
‐ Go with god.
‐ How's she doing?
‐ She's coming around.
Hi, Reba.
I'm Dr. Lewis.
Do you know where you are?
Hmm...hospital?
Do you remember
what happened?
No.
It's normal to be confused
after a seizure.
'We wanna keep her in the
hospital for a while under‐‐'
Uh‐oh.
Valium five.
What's happening?
‐ Valium five.
‐ Pulse ox 85.
Put her back on the mask.
Oh, my God.
Help her, please!
[gasping]
Doctor..
Dr. Vucelich.
Uh, Carter,
John Carter.
Ah, Carter, yes.
I'm seeing your Dr. Matthews
at five, right?
Well, no.
I'm Dr. Benton's student.
Well, in that case
I guess, I look forward
to seeing him later, then.
Well, no. Actually, uh,
he's not signed up.
I know he wanted to be but
I believe your list was full.
You don't have to cover for him.
If the man isn't interested‐‐
No, no, no, no.
He's interested.
He's definitely interested.
But, to be honest,
I forgot to sign him up.
‐ Aha.
‐ And he was pretty upset.
I see. Well, I guess I'm gonna
have to cover for you then.
Why don't you send
him in at six?
I think it's a hickey you
have on your neck, Carter.
Yeah, yeah.
That makes 20 of valium.
‐ How long has she been seizing?
‐ Ten minutes.
Let's load her with Dilantin.
900 milligrams at 50 a minute.
She's probably tearing
her sutures out.
‐ Is she on any drugs?
‐ No.
‐ Diabetic?
‐ No.
Is she allergic to lidocaine?
‐ Lidocaine?
‐ Yeah, it's like Novocain.
They would have given it
to her before the sutures.
I don't know. They were
injecting a lot of stuff.
Hold the Dilantin!
800 phenobarb.
Could be lidocaine toxicity.
‐ Get a level.
‐ 100 in.
Connie, I want you to
get a hold of a Dr. Barkley
at St. Anne's and have him
fax her chart over ASAP.
I know, I gave you
nights off this week‐‐
I forgot to thank you.
Not that it did any good.
Hudson pleaded with
me to cover for him.
So, I guess you couldn't
cover for Bowers then?
I'm good, Mark,
but not that good.
Reba Siburry's seizures.
St. Anne's gave her
a toxic dose of lidocaine?
‐ Her level was nine.
‐ Missed all the fun.
This would make a
terrific case report.
Morgenstern's dying to
have somebody present
a paper at the
SAEM conference.
I could use the credit.
The hospital
pays for the trip.
‐ Trip?
‐ It's in Miami.
Sounds like a
terrific opportunity.
I can't write
and present a paper.
‐ Sure, you can.
‐ And take care of Susie?
I thought your dad was gonna
help pick up the slack.
Yeah, but, I still
barely have time
to get dressed
in the morning.
I can help with
your schedule here.
No, thanks that's great,
but I can't spend my days off
in the med library
doing research and a trip.
Okay.
‐ Are you disappointed?
‐ Of course, not.
‐ Do you think I should do it?
‐ Susan, it's your decision.
Do your voices tell
you to harm yourself?
Harm anyone else?
Voices, voices..
I don't‐I don't..
I don't hear, uh,
you know, voices.
You wanna stay
in the hospital?
I'm not, uh...crazy
or you know,
whatever, what you think.
No, no, but you might want
to try new medicines‐‐
Thank you, no.
I have work to do.
[pencil point breaks]
May I?
Here, Josh.
How are you gonna eat, Josh?
The‐the colonel
makes me chicken.
‐ And sleep?
‐ I'm, uh...building a house.
‐ It's cold outside.
‐ I‐I know!
I have, I have a jacket.
[stammering]
'I know, how to
take care of myself.'
‐ I'm...I am a man.
‐ Okay.
Josh, it was nice
meeting you. Okay?
'Come on, let's go.'
‐ Can you hold him?
‐ Nope.
Not even for a day? I've got
calls into some halfway houses.
I'm sure I can place him.
He's in no imminent danger
to himself or to anyone else.
You think he can take care
of himself on the street?
He claims he can.
And you're gonna
take his word for it.
I didn't write the law.
He's an adult.
If he wants to go, he goes.
Guess Joshua is off
his checklist for the day.
No, he's a good guy.
He must gets 30 cases
like this a month.
‐ He does what he can.
‐ So what do we do?
'Well, we try
and stall him.'
Hope that
a home comes through
wait for the mother to show.
I got Benton's
interview at six.
It's what like 15 minutes
to your house, right?
That gives us an hour
and 20 minutes
tops before study group,
which is nothing.
Look what you
did to my neck.
You are an
incurable romantic.
Only one problem now.
(Benton)
'Carter!'
Oh, man!
I haven't told him yet.
See you later.
‐ Hi.
‐ Got a patient for you.
Hey, I was wondering,
do you have plans this evening?
The reason I'm asking
is 'cause I bumped
into Dr. Vucelich earlier‐‐
‐ And?
‐ And...what? Nothing.
‐ You sign me up?
‐ No, not really.
You better not have.
See, the thing is,
he requested you.
He thinks you're gonna
be great for this study.
He wants to talk to you
in his office at six.
Tonight. Today.
Do a two percent block,
irrigate, pull the nail.
‐ No stitches.
‐ Okay.
Hi, Josh.
I have‐I have to go.
But we're not finished yet.
What?
Hey, Josh,
this is really good.
I just draw what
they tell me.
I have to go, uh...home.
Where is your home?
‐ Oh, I just bought one.
‐ Oh, where?
Wicker Park on Hoyne Street.
Yeah, Jugendstil.
Proto‐modern.
I guess.
Maybe.
It's nice. Very solid.
Turn of the century.
Living room, fireplace,
copper inlay, tile.
[laughing]
No fireplace.
Just plaster walls.
No. Go behind.
It's...it's there.
You'll see that it's there.
Thanks. I didn't know
I bought a Jugen..
...joogen thing.
Stop it, stop it,
stop it, stop it.
Hey, Josh,
are you hungry?
‐ I..
‐ You should eat something.
I'll let you
keep the pencil.
Okay?
Okay?
Okay.
Just one minute.
Your psych
patient's still here.
‐ Aha.
‐ Consult been down?
‐ Yep.
‐ Not admitted?
Nope.
Why hasn't he
been discharged?
I'd like to put
a sterile dressing
on his abrasion,
maybe some antibiotic ointment.
As long as we have a bed, let's
get him fed and cleaned up.
‐ Good idea.
‐ Okay, seven o'clock?
You look beautiful
whatever you wear.
I love you too.
Bye.
Your personal obligation?
[phone ringing]
ER.
Hang on.
Dr. Greene?
'It's for you.'
'Hillsborough
Community hospital.'
Where's that?
Uh...Milwaukee.
Hello?
What happened?
Oh, God.
Is she alright?
And Ra..
Rachel, my daughter?
Yeah, of course.
I'll be there as soon as I can.
Mark?
Jen and Rachel.
They're at a hospital.
I got to catch a train.
‐ What happened?
‐ Car accident.
‐ Is Rachel okay?
‐ It's only Jen.
No, take my car.
‐ Thanks.
‐ Yeah.
‐ Greene. Jennifer Greene.
‐ 'Any news?'
No, they won't
tell me anything.
Yeah.
Okay.
Thank you.
Are we this bad
when people call?
No, I give them a
bucketful of complete
and accurate information.
Anybody know anyone
over there?
I used to date one
of their OR techs.
Oh.
I haven't talked
to him in six years.
Dial.
‐ Hey, that's cool.
‐ It is, isn't it?
A patient gave it to me.
What's a patient doing
drawing you a Sullivan arch?
Sullivan? Joshua calls
himself Sullivan.
Yeah. Louis...Lewis.
Something like that.
It's over at
the art institute.
He says it's his home.
Unfortunately,
it's about to be true.
Oh, Shep, no, no, no.
Give me that back.
‐ Oh, no. Come on‐‐
‐ No, Shep, please. Is that you?
‐ Oh, come on.
‐ Oh, come on. You were cute.
‐ Stop, stop, stop.
‐ Come on. Give it back.
"To the coolest
girl in the class."
Okay, very funny.
"I'll never forget what you did
for me last summer at the lake.
Love, P. J."
Oh, yeah? What did you do
that made him so grateful?
It's a "Her",
not a "Him."
I was calming her down because
she broke up with her boy..
I don't need to be telling
you any of this.
‐ This is great.
‐ This is trash.
No, this is going home.
You're gonna
thank me one day.
This is good stuff.
Food poisoning in four.
Oh, and Morgenstern
wants to see you.
‐ Uh‐oh.
‐ No, it's good news.
About presenting
the lidocaine toxicity.
Mark told Morgenstern
about that case?
No, I did.
He was very excited.
This is a great opportunity.
Finally got rid of
that migraine in five.
Oh, good.
Food poisoning in four.
I think I can make that
window of opportunity.
‐ My place at six?
‐ You got it.
Carter, Harper, I've gotta
pull drains on some post‐ops.
But you've got your
interview at six o'clock.
Which is why
you're gonna do it.
Harper, scalp lac
in the suture room.
I have food
poisoning in four.
'Well, after the food
poisoning in four.'
That's great.
Shem, Joshua. He's 28.
Diagnosed schizophrenic.
You've got to be kidding.
Six months?
No, I checked there too.
They don't have any beds.
Okay.
Yeah, I'll try
Carnegie House.
Okay, thanks. Bye.
[knock on door]
Doctor..
I see you found
all my patients.
And they're all grateful
to still be with us.
‐ Endarterectomies?
‐ Thanks, Claire.
Why don't you tell my wife
I'll meet her at the restaurant.
You wouldn't believe
the Christmas presents.
‐ Must be hundreds.
‐ At least.
Why don't you come
with me, Benton?
I think you're gonna
find this interesting.
‐ What about the interview?
‐ This is it.
Excuse me.
I'm Madeline Shem,
Joshua's mother.
Oh, hi. I'm Carol Hathaway.
I'm glad you came.
Was he hurt?
No, just a small
abrasion on his arm.
'We spoke to the
residential home.'
But they won't take him back,
I know. He's run away so much.
We've had no luck
getting him into another.
Took us nine months
to get him into that one.
Could you take him home?
Oh, I wish.
Joshua's let go of everything,
his past, his family, our home.
None of it means
anything to him anymore.
He'd never stay.
Hard to believe he was
gonna be an architect.
Had a breakdown
in college.
Hi, Josh.
I brought you pencils,
sharpened just the way you like.
Thanks very much.
We've been waiting
for these to arrive.
I, uh...give him money
which makes me feel better
and his pencils,
which makes him feel better.
It's really the only thing
he still cares about.
Still..
I love you, Josh.
Radial and ulnar
pulses are strong.
‐ He's gonna need a tetanus.
‐ Yeah.
Let's give him five
of morphine, slow IV push.
‐ Give me the bullet.
‐ 'Impaled foreign body.'
Fell off a ladder onto
a Christmas reindeer display.
They're gonna fire me.
Through and through
left deltoid.
Distal, neuro and
vascular intact.
I crushed Rudolph.
They aren't expensive,
those displays.
‐ Your last meal?
‐ 'Breakfast.'
No, no.
I don't know.
‐ Can you feel this?
‐ Yeah, yeah.
BP's 140/85, pulse 110.
OR been notified of this?
It's killing me.
OR's ready.
Gram of Ancef.
Spectacular case
earlier, Susan.
It's a shoo‐in for presentation
at the SAEM conference.
Might even make it
into the Annals.
Doctors forget that
a seemingly benign anesthetic
has the potential for cardiac
and neurological toxicity.
Okay. Let's get this puppy
up to the OR.
I presented at the conference
when I was a resident.
Terrific case,
terrific opportunity.
I left the visual aids
on the plane.
Well, I have to decline
your offer, Dr. Morgenstern.
‐ Personal reasons.
‐ You do realize, don't you?
You're a candidate for
Chief Resident next year?
I know that I need to start
presenting and publishing
but it's just that now
is not a very good time.
There's never a good time.
I'd just hate to see the
personal overwhelm the job.
I'm not overwhelmed, Dr. Morgan
and I'm doing my job.
Yes, but to build a career
you've got to take on
more responsibility.
I've taken on plenty
of responsibility
so you'll have to forgive me,
if I don't stay after school
these days to work
for extra credit.
Where's emergency?
My wife and daughter
were in an accident.
‐ Where's emergency?
‐ Over there.
‐ Where's the ER?
‐ This is the ER.
‐ Jennifer and Rachel Greene?
‐ Sorry?
I'm Mark Greene.
I'm an emergency physician.
My wife and daughter
been in an accident.
‐ Just sent up to the OR.
‐ What floor?
Second. Take the stairs.
It's faster.
Jen, Jen, Jen, I'm here.
I'm okay, Mark.
Rachel's okay.
Where is Rachel?
Where's my daughter?
She's probably in
the waiting area.
‐ She's okay.
‐ I want to stay with my wife.
‐ You can't right now.
‐ 'I'm a doctor.'
I'm Dr. Shreiger.
‐ What are you, a resident?
‐ 'Yes.'
I'll be working
under Dr. Musgrave.
You can't be in here,
Dr. Greene.
I'd like to talk
to the attending.
Your wife suffered
multiple injuries
when she was broadsided.
'She's stable but she's got'
a compound
right tib‐fib fracture.
The films?
Abdominal CT showed
a small amount
of free blood
so we're doing an
exploratory laparotomy
and we'll have an orthopod
in to fix the fracture.
You should have a seat
in the waiting room.
Dr. Musgrave will find
you when we're through.
Susan, this came for you.
I had to sign for it.
Ooh, secret admirer?
‐ Uh..
‐ No. Is it from Chloe?
‐ The one and only.
‐ May as well open it.
These are 100‐dollar bills.
There's, like,
20 of them.
30 of them, she says.
$3,000?
Are they marked
and sequential?
[laughing]
What did she write?
You read it.
"Ho, ho, ho, little Susie.
"Aren't you surprised
your mommy is so rich?
"Give this green stuff to
Aunt Susie for helping out
"and doing so much for you.
"Do you remember me?
Loves and kisses,
your crazy mom."
She's trying
to pay her debt.
She must have been stoned.
It's a holiday thing,
you know.
Brings out the ghost of many
a deadbeat relative.
I come from a long
line of them.
I don't want her money.
My advice? You take
what you can get
and do not
expect more.
Hey. Hi.
Daddy! Daddy!
Hi, how are you, baby?
You alright? Hmm?
This is Craig, daddy.
Uh, Craig Simon.
This is my
daughter, Amanda.
We were all in
the accident together.
‐ Oh, hello.
‐ Hi.
We've spoken
on the phone before.
Oh, right.
The appeals court. Right.
The kids are fine.
Jennifer's got a bad break
to her leg. It's a..
Compound fracture, yeah.
‐ Talked to the doctor.
‐ Right.
Uh, we were going to
a staff Christmas party.
A guy came out of nowhere.
Oh, yeah, she's
a terrible driver.
But I was driving.
Our car was
squished, daddy.
Mm.
‐ Your head's alright?
‐ Yeah, it's nothing.
I wanna make sure that
Jennifer's gonna be okay.
If it's alright with you I think
we'll stick around for a while.
Sure.
Randi? Randi!
It's gonna be pretty hard
for people to see through that.
‐ They can walk around.
‐ Okay, I'm getting out of here.
If you hear anything about Mark,
will you call my machine?
Sure.
Bad news for Joshua.
St. Joe's, Lacey Street,
Carnegie House
all the residential homes have
a wait list of about 600 years.
Yeah, it's too late, anyway.
He left an hour ago.
He's too sick to
be out there.
He's not sick enough
to stay in here.
Maybe I'm not
cut out for this.
In rehab, I work
with a patient
I feel like I'm giving
them something.
We give them something.
We give them a Band‐Aid
and we send them
back to the front.
Treat them and street them.
We do the best we can.
And when that's
not good enough?
Most days, it has to be.
So you're familiar
with endarterectomy
for the prevention of stroke?
I've done some reading.
Then you also know that
symptomatic patients with
stenotic lesions
do better with surgery
than with medical care alone.
‐ Not all studies agree.
‐ True.
When do doctors
ever agree?
I assume you're familiar
with the Casanova trials.
Carotid artery stenosis
with asymptomatic narrowing
operation versus aspirin.
Right.
And what did they find?
No benefit
from endarterectomy.
Well, I'm about
to prove them wrong.
I really wasn't
planning on hiring
third years
for my studies.
‐ They don't have the skills.
‐ I've got the skills.
‐ Really?
‐ Mm.
You're arrogant as hell.
I like that.
Let's see
those skills, doctor.
Scrub in.
Jennifer Greene.
Hi. I'm her husband,
Dr. Mark Greene.
Doctor.
I'm Dr. Musgrave.
‐ Everything went well.
‐ Thank God.
I took a look at the spleen.
No rupture, no lacerations.
Ortho did an open reduction
and internal fixation
of the midshaft comminuted
fracture of the right tib‐fib.
No complications.
You can see her soon.
How long the screws
gonna stay in?
About six months.
You can hold onto it.
It's a copy.
Thank you.
Do you want to
translate for me?
‐ Hey!
‐ Oh‐oh!
[chuckles]
How are you?
Let me look at you.
Still ugly as sin.
[chuckles]
Let's get a drink.
So what about this fancy dinner?
Something wrong?
Can't I just take you
to a nice restaurant?
I would have been happy to throw
something together at home.
Mom, just let me
do this, okay?
Well, suit yourself.
Um...what do you want?
Champagne cocktail.
Moet, please.
I'll have a Manhattan,
straight up. Thanks.
So, how's my famous son doing?
I'm still fixing kids
for a living. How's Howard?
I never see him.
Year‐end tax deadline.
I'm a CPA widow.
What can I say?
Have you heard from anyone?
Besides "The Tribune"
calling about you?
Anyone else?
‐ What's up, Douglas?
‐ Nothing is up.
Now, don't even start.
I know you.
Dad called.
What does he want?
He saw me on TV and he
just wanted to touch base.
So, what did you say?
I told him to get lost.
'He wants money.'
He's not gonna
get any money, so..
What did he think, he can just
waltz straight into our lives
any damn time he wants to?
I didn't tell you
this to upset you.
[sighs]
He's up to something, Doug.
Forget about him.
Hey. He can't touch
us ever again.
Hi, Josh.
How are you doing?
Why do you ask that?
‐ It's beautiful.
‐ Mm.
[coughing]
They destroyed this
in 1970...something.
We're gonna go
and rebuild and‐‐
Josh, look.
You forgot these.
Thank you very much.
We've been expecting these.
Is there anything
else you need?
We can...
we can always use..
If you have pencils..
[whispering]
Here, Josh.
Try and stay warm, okay?
[Josh chuckles softly]
What did she say?
She said, "Okay, hon.
Let's go home."
Ah, the beauty
of codependency.
‐ Hey.
‐ Hey.
Jeanie and I are just
drowning our bad day.
‐ Over root beer.
‐ Ah.
‐ How was surgery?
‐ Slow. I held a clamp.
Sorry about tonight.
'Did you guys have a date?'
A date?
During med school?
What, are you kidding?
'How many more years?'
‐ Counting the Air Force?
‐ Air Force?
She felt like she needed
more direction in her life.
Did a lot of drugs as a kid.
Didn't do well in high school.
‐ 15th in a class of 2,000.
‐ Could have done better.
Um, in college, I knew,
I wanted more.
To be a fighter pilot..
And a doctor,
so one semester‐‐
This really good‐looking
recruiter comes by..
...and I signed up.
You have been listening.
Yeah, I've been listening.
They're paying
for med school.
And after residency,
I give four years of service.
Wow. My husband thought
I was an overachiever.
Mm. She hasn't even gotten
to the astronaut part.
[sighs]
Sorry! Ride's over.
I forgot my soap.
Oh, hi, Mrs. Bassett.
Oh, your baby's
getting so big.
Oh.
Well, actually, she's..
Oh, and beautiful,
just like your mama.
‐ Thank you.
‐ She's really cute.
Yes, you are.
‐ Goodnight.
‐ Goodnight.
Hmm.
[R.B. Greaves singing
"Take A letter Maria"]
I used to love this.
♪ Last night as I got home ♪
Well, there better not be
anybody behind this wall.
Ah!
[chuckles]
Watch out, watch out.
[scratching]
A fireplace!
It's beautiful.
How did you know
about this?
I met an architect today.
He knew about my house.
An architect?
Dance with me.
To this?
Oh, you don't know how.
Oh. Okay.
Now you've gone too far.
♪ You've been many things
but most of all ♪
♪ A good secretary to me ♪
♪ And it's time like
this I feel ♪
♪ You've always been
close to me ♪
♪ Was I wrong
to work nights ♪
♪ To try to build
a good life ♪
♪ All work and no play ♪
♪ Has just cost me a wife ♪
♪ So take a letter Maria ♪
♪ Address it to my wife ♪
♪ Say I won't be coming home ♪
‐ Hi, baby.
‐ Mm.
Mark.
[instrumental music]
I spoke with the doctor.
Everything went really well.
‐ Rachel?
‐ She's fine.
In the waiting room.
[music continues]
Is Craig still here?
Yeah, he is.
Oh, Mark.
Oh, I know.
We don't have to talk now.
When you come home.
[music continues]
I didn't want to tell
you before Christmas.
I know.
I know, Jen.
You fell in love with him?
[music continues]
I didn't mean to.
[music continues]
[theme music]
[music continues]