ER (1994–2009): Season 3, Episode 11 - Night Shift - full transcript

It's a quiet night shift in the ER. Carol Hathaway is told she has to fire two of her nurses because of a budget shortfall. Her creative solution doesn't sit well with the staff however. Dr. Weaver needs another volunteer for her sleep deprivation study. After getting negative feedback from Dr. Benton, Dennis Gant decides it's all too much and takes drastic action. Dr. Greene has to deal with a patient who is refusing treatment and neither legal nor psych services will allow him treat her against her wishes. Doug Ross has to treat Charlie the street kid, who has been beaten up by a pimp. Benton catches Abby Keaton and Carter canoodling in her office.

(male narrator)
Previously on ER.

No, she said she had to stay
in Baton Rouge and work.

Oh, damn! I thought you guys
were going to work it out.

I thought, I could
crash with you.

You're 14 years old.
You stole my wallet.

'You've been nothin'
but a pain in the ass.'

Some folks are getting
a little too fond

of the manager part
of nurse manager.

I am not management.

I know you're trying to help,
but you didn't.

You made it worse.



You're a very good
surgeon, Peter

'but I can't give up a space
that could possibly be filled'

'by a future pediatric surgeon.'

[Chuny and Greene shivering]

(Chuny)
'My God, it is cold!'

(Mark)
'It must be 20 below
with the wind chill.'

This is no place
for a Mexican.

I thought you hated
to work night shift.

I'm filling in for Haleh.

I think we're going to see
plenty of frostbite tonight.

(Chuny)
And bumsicles.

I hate the smell
when they thaw.

[grunting]

Oh, place looks dead.



Well, this guy certainly is.

Randi, you know we got
a DB in the hallway?

The morgue's slow.

I put him next to the door
to keep him cool.

‐ Ah, good thinking.
‐ Is this board right?

Yeah. Not a single patient.

Yeah, it's too cold
to be sick.

I guess I'm gonna have some time
to work on my curriculum vitae.

What's that?

That's a fancy word
for resume.

I've got tenure review
this week.

You want to join
the faculty?

‐ Ah, it'd be nice.
‐ 'Dr. Greene?'

Legal sent you this letter
and these charts to be signed.

They're writing me up
for not co‐signing charts.

Will that hurt
your chance for tenure?

It won't help.

Competition pretty stiff?

It's about 5' 4",
red hair with a limp.

Lydia?

How'd you like
to make an easy 50 bucks?

How?

I got a grant to study
the effect of exercise

on the circadian rhythms
of night‐shift workers.

Is that why E‐Ray's doing

jumping jacks
in the suture room?

Yes, but we need
one more subject.

See, my publishing deadline's
in two days

'so I'm kind of in a bind.'

Sorry. Not interested.

Alright, we'll keep looking.

Wendy.

[speaking Hindi]

(man on tape)
'Repeat.'

[Abby speaking Hindi]

(man on tape)
'Very good.'

'How much are a dozen bananas?'

[speaking Hindi]

'Repeat.'

[Abby speaking Hindi]

‐ Very good.
‐ Thank you.

Aren't you supposed
to be on a plane

in 12 hours, to Karachi?

I left the packing
till the last minute.

I'm going to be here
all night.

Well, that presents
certain opportunities.

‐ I have to pack.
‐ Please.

Why don't you
come back at 3:00?

I'll set my watch alarm.

'Doctor Keaton?'

[knocking on door]

Hey, have you seen Carter?
Someone said he came in here.

Um, doesn't look like it.

Oh, sorry.

‐ Have a safe trip.
‐ Thank you. Bye‐bye.

Carol?

‐ Mary, what's up?
‐ Budget just came out.

We've got a crisis conference
tomorrow morning, first thing.

‐ Crisis conference?
‐ ER Nursing's $94, 000 over.

(Carol)
Well, can't we add
to the budget?

No, you're gonna have
to let two nurses go.

(Carol)
Oh, but, Mary,
I'm understaffed as it is.

Name me a department
that isn't, Carol.

The county's out of money.
There's just no way around it.

Now, you've got
three junior RN's.

‐ You've got Malik‐‐
‐ Malik.

Malik McGrath, Chuny Marquez
and Connie‐‐

‐ Oligario.
‐ You can keep one of them.

Well, which two
get the axe?

That's your decision.

Oh, Mary, I don't know.
I've never done this before.

I got to have an answer
by the meeting tomorrow.

Are you on tonight?

‐ Yeah.
‐ 'Leave it on my e‐mail.'

Make sure I get it
by 8:00 in the morning.

[theme music]

[music continues]

(Malik)
'Okay, if you could choose
how to check out'

'how would you do it?'

(Connie)
'Hmm, that's morbid.'

I guess if I could choose
how to die, I'd go by OD.

A quick stroke
would be better.

If you survive,
then you're an end table.

Still no patients, Malik?

Nope, but we got
takeout, Antonio's.

We couldn't find you,
so we ordered your usual.

Oh, great. How much
do I owe you, Chuny?

‐ 'Ah, put it away.'
‐' No, come on, Connie.'

‐ No, we've got you covered.
‐ Thanks, guys.

‐ Tell me, are my hands cold?
‐ Oh, God! Sadist!

Listen, I'm sorry about that
old surprise Christmas morning.

Santa didn't come?

No, I stuck in a tag
of Christian goodwill

and I opened my door
to a homeless street urchin.

Actually, Doug,
you opened my door.

That's right. I opened her door.

She stole
my mother's silverware.

Tell Helen I'll pay for it.

She won't accept
your money.

Alright, but I'm not
going to offer again.

My new year's resolution is
to resist charitable impulses.

Mark, risk management called

said we're overdue
for a safety check.

Why tell me?

You're the designated
safety officer.

They want it done tonight.
That's the checklist.

Wait, look, I've got 50
more charts to do here.

Why don't Carol and I take it.

Hey, what happened to resisting
charitable impulses?

Speaking of, anyone want to sign
up for our night shift study?

(All)
No!

Boy, it is dead.

Finished all my charts.
It's not even 9 o'clock yet.

‐ Want some action?
‐ What do you got in mind?

Edson's sick, If you're willing
to sprint at a moment's notice

you can take his place
on the code team.

Absolutely.

Hey, John, he boned me, man.

Benton wouldn't
let you off, huh?

Two days is all
I asked for.

Son of a bitch.

You know what, Dennis..

...if Monique is already
with this other guy

then there's probably nothing
you can do about it.

Even if you did
fly down there.

Well, I'd sure as hell
like the chance to try.

Hey, you want to go
to that place down the street

and get some of those
home fries with gravy?

No, I wish I could.
I've got all these charts to do.

Okay. I hear you.

Well, look, if Benton asks,
I'll be back in an hour.

Yeah.

I thought you finished
the charts.

I have been listening
to him moan

about that girlfriend
for two weeks.

Tonight is slow enough.

So who's our first
lucky customer?

Lady with a fever.
Fell asleep at Doc Magoo's.

Waitress brought her in.
She's kind of loopy, no ID.

Says her name's Shelly.

Ow, no needles.
I just want to sleep.

Temp's 103.
And look at this.

(Mark)
'Photophobia.'

Shelly, I'm Doctor Greene.
I need to examine you.

Leave me alone.

You have symptoms of meningitis
which is really serious.

We need to do a spinal tap,
just to be sure.

No.

At least, let me give you
a shot of antibiotics.

No! No needles, I said.

Shelly, if you do
have meningitis

and we don't treat you,
you could die.

Die, cry, let me fry.

Do you know where you are?

In the hospital,
talking to Doctor Greene

with a head like a bean.

‐ Do you know what day it is?
‐ Thursday, January 16th.

Bing! Correct, Alex Trebek.

Next, "stupid questions
for 200."

I'm 90 percent sure
it's meningitis

which is probably causing
her altered mental status.

She won't even
let me take blood.

She's not competent
to make her own decisions.

I need a consent override.

You've got to run it
by risk management.

No, I don't.

Yeah, you do.
It just came down.

All consent overrides
go through legal.

Fine. Call them and tell them
that I'm doing a spinal tap

on a demented woman
without her consent.

Well, we've got
some loose tile here

and some crumbling grout.

Faulty tile and grout.

Yeah, this could
be trouble

if it fell
into an open wound.

Trouble, indeed.
Good catch.

Hey, did you write down
those wobbly IV Stands?

Roger that. You know, you've got
a real flair for this, Carol.

Thank you.

You know..

...this clock looks like it
could fall right off the wall.

You know, I don't
know how you do it.

It's well established
that night work

disrupts circadian rhythms.

Yeah, I've heard that.

Our study hopes to prove

that moderate
physical exertion

can switch circadian rhythms
back into phase.

And when you say
"moderate physical exertion‐‐"

Oh, you know, just
a few minutes exercise

a jog around the block,
nothing strenuous.

It's all set up
in the suture room.

I don't know if I'll be
a really good subject, Kerry.

‐ I'm not in really good shape.
‐ You look plenty healthy to me.

‐ Ow!
‐ Whoa!

(Wendy)
'Oh, my God!'

‐ 'Kerry, are you alright?'
‐ What were you doing up there?

Oh, safety check.
You okay?

‐ I'm bleeding.
‐ Let me take a look.

‐ I‐I can stitch it up.
‐ Yeah, I‐I prefer Jeanie.

‐ Jeanie, come..
‐ Okay.

And we were doing so well.

[chuckles]

[instrumental music]

Hey, Maggie,
you got anything good?

Carol Hathaway dropped
a clock on Weaver's head.

‐ Deliberately?
‐ I'm foggy on the details.

Hey, kids, we got
paramedics pulling up.

Now we're talking.

Hey, nobody called for
a surgical consult.

I'm saving you the trouble
of having to page me.

Found him on the floor
of his house in acute distress.

Complains of chest
and belly pain.

Vitals normal.
Wouldn't let us start an IV.

‐ Does this hurt?
‐ Ow!

Looks like a surgical abdomen.

I haven't made
that assessment.

Since I'm here,
you don't have to.

Oh, should I call
for an attending?

‐ No.
‐ No.

Up and over.

Alright,
let's get an IV Started.

I think I hear a rub.

I may have a pulsatile mass.

Give me a 12‐lead
and a chest film.

‐ Give me a cross‐table abdomen.
‐ Which one first?

‐ Chest.
‐ Abdomen.

He could have
an aneurysm about to blow.

I don't want
to miss an acute mi.

I don't want to miss a triple‐a.

If it's an mi,
he needs TPA right away.

An aneurysm needs
to go to the OR.

Time is heart muscle.

You ever have an aneurysm
blow up in your face?

(Connie)
'Hey, guys.'

I'm feeling much better.

‐ Sir, you need to lie down.
‐ You need X‐Rays.

No, I'm fine,
except for a stuffy nose.

Could I have a flu shot?

(Malik)
'Oh, man. I remember this dude.'

When he wants a ride
to the hospital

he calls 9‐1‐1
and plays possum.

But I'm on social security.

I can't afford a cab.
And it's too cold for the bus.

You came in for a flu shot?

If it wouldn't be
too much trouble.

‐ He's all yours.
‐ Gee, thanks.

I'm just saying,
there's no point in me

going back to general surgery.

What, you've learned all
there is to know?

Well, I want to do another
pediatric rotation.

Why?

I wanna be
a pediatric surgeon.

Without Doctor Keaton's
recommendation

that's not very likely.

Look, Doctor Keaton and I had
stylistic differences.

She herself said that
my technique was excellent.

‐ Who would you work under?
‐ Kenner.

Well, you're in luck. He's doing
a jejunal atresia tonight.

Talk to him. If he'll take you,
you're back in pediatric.

Okay. Would it be possible
for me to cover pedes sicu?

That way, I can get an
opportunity to work with Kenner.

Anything else?

No, thank you.

Chuny, you got
that LP tray?

By the door.

Lydia, why don't you
give us a hand.

‐ We may need to muscle her.
‐ Uh, Mark, there's someone..

(Pat)
'Why won't you tell
me your address?'

(Mark)
'Excuse me. Who are you?'

‐ Doctor Greene?
‐ Yeah.

Pat Guinet,
Associate Hospital Counsel.

You want to do a spinal tap
on this patient?

‐ That's right.
‐ She's not keen on the idea.

Well, I've assessed her
as mentally incompetent.

We just had a fairly
coherent conversation.

Is that a medical diagnosis?

Look, doctor, she's clearly
a borderline case.

We have been sued
by these patients in the past.

I'm trying to save her life and
you're talking legal exposure.

Yeah. That's what
I'm paid to do.

Well, I'm paid to help sick
people get better. Excuse me.

Listen, I'm not going
to wrestle with you, doctor

but I'm writing on
the chart you're advised against

doing any procedure on this
woman without her consent.

And you and anyone who assists
you will be putting

your jobs in jeopardy.

Get a psych consult.

If they agree she's incompetent,
put her on a hold and proceed.

Until then,
don't touch her.

Just one more stitch.

So, have you given
any more thought

to participating in my study?

I've got a lot of paperwork
I need to catch up on.

Yeah, you know,
it won't take much time.

It's just 15 minutes
every couple of hours.

Well, if we get busy,
that could be a problem.

It's been slow so far.

My being HIV positive
won't skew the results?

Won't make a bit of difference.

Tonight's my last night
to collect data and if I..Ow!

My findings will be incom..

...well, worthless, really

but if you're too busy,
I respect your decision.

Just as I've always respected
and supported your decisions.

What would I have to do?

He scores.

Ah, we finally get
a bona fide patient?

Yeah, but we're not
allowed to touch her.

She asked for another
blanket and a snack.

Oh, so we're not a hospital,
we're a bed and breakfast.

‐ Did psych come down?
‐ No, not yet.

Then, try again.
I'll be in the lounge.

You call missing persons?

Yeah, but so far,
no one's missed her.

Ah, we got a wheelchair
with no brakes

and three IV stands,
I think are wobbling.

What are we supposed
to do with them all?

‐ Hey.
‐ Take them down.

Ugly.

Well, if it isn't
my favorite thief.

(Charlie)
Hey, you got your
wallet back.

What about
my mother's silverware?

(Charlie)
I didn't take it, I swear.

Alright, Charlie, do I have
to call security

or you going to leave
by yourself?

No. Listen, man.
I need some bread.

No, I'm serious.

There's this dude trying to pimp
me and I don't want to..

He says I got to pay him
100 bucks

'or he's going to kill me.'

Well, maybe we should
tell the cops.

No, man.
I don't deal with cops.

And I don't deal with liars

who take advantage of people
who try to help them.

‐ You're a creep, you know that?
‐ Yep.

A creep and a pervert.
That's right!

This doctor made me
go down on him.

He gave me VD.
He got me pregnant.

And now he wants me
to pay for the abortion.

Child molester!

Lovely girl.

Doctor Kenner,
I'm Peter Benton.

I wanted to talk
to you about doing

a pediatric surgical rotation.

‐ You were with Doctor Keaton.
‐ Yeah, She's leaving and I‐‐

This isn't a good time.
I'll find you later.

Okay, well, I'll be
in pedes sicu all night.

You were looking for me?

Uh, yeah, you're on sicu
with me tonight.

I thought Zeidenberg
was on sicu.

Order everyone's labs and
advance the drain on bed three.

[sighs]

Here's one for you.

"Longing for your embrace.

"financial officer
seeks life of adventure

"with very special lady."

‐ Forget it.
‐ Sounds like money, honey.

(Chuny)
'What are we gonna talk
about, dow averages?'

Keep going.

‐ "Sensual MD, 35, 6'1."
‐ 'I like tall.'

"Makes up in passion
what he lacks in hair."

Not me.

I'm not so desperate that
I have to use personals.

You calling me desperate?

No, no, no.
That's not what I meant.

(Chuny)
'So where do you
find all your dates?'

Actually, I haven't had one
in a while.

See? Don't knock it
till you try it.

Dr. Greene,
psych's here on that lady.

‐ Who is it? McDonald?
‐ No. It's some intern.

[groans]

I didn't realize we were
coming down this hallway.

(Doug)
Neither did I.

Hey, which room
was it, anyway?

(Doug)
I don't know.

Either this door or this one.

No, Doug, it's this one.

Oh, you're right.

A lot of stolen moments
in there, huh?

Yes, there were.

So should we?

‐ What?
‐ Open the door.

‐ Oh, yeah, sure. Why not?
‐ Come on.

‐ You got it?
‐ Mm‐hmm.

Oh! Did it always
smell like this?

I think it did.

Now, if I remember

I bet we've still got
some candles.

‐ What?
‐ Yep. Look at this.

Got a match?

Oh, my God.

Shelly, I'm gonna ask you to
commit three things to memory.

A fire engine,
a mobile home

and, um, a pen.

‐ Why?
‐ Just try to remember them.

Now, can you tell me
the date?

Get away!

Temp's up to 103.5.

Look, we're running
out of time.

Shelly, the date?

I already told
Dr. Green Bean.

Was she oriented to time?

More or less.

Oriented to time.

Shelly, can you spell
"world" backwards?

U‐O‐Y‐W‐E‐R‐C‐S.

'Screw you..'

...backwards.

Right.

Good concentration.

Now, can you remember
the things I told you earlier?

Yes.

What are they?

Fire engine, a pen,
a mobile home.

Now, leave me alone, cornpone.

She's oriented to person,
time and place

and her mental status
exam is normal.

She's uncooperative,
she speaks in rhyme

and she's indifferent
to the fact

that she could die
without treatment.

There are specific criteria

to define incompetence.
She doesn't meet them.

We're talking about
a woman with no ID

found passed out
in a restaurant.

She still doesn't
meet the criteria.

Do you realize that your
decision could kill her?

You know, that kind of hyperbole
isn't very helpful.

The fact is, patients have
a right to make bad decisions.

Not when they're demented.

That's where we disagree.

Get McDonald down here.
Tell him it's life or death.

[sighs]

‐ Dr. Benton?
‐ Yeah.

The Serena kid's
in second‐degree heart block.

Where's his chart?
This is Kenner's patient?

Yeah, but Kenner's back
in surgery.

(Peter)
Where're the labs?

‐ 'On the chart.'
‐ The calcium's not here.

Well, it must not have
been picked up.

Right, give him 30 of Lasix,
IV push

and run a liter of saline.
We've got to diurese him.

Where the hell is Gant?

‐ I don't know.
‐ Damn it.

Dr. Fogg at Cambridge did
a similar study with rodents

and found he could
double serum‐cortisol

with five minutes
on the treadmill.

How many more minutes do I have?

(Kerry)
'Fifteen.'

Dr. Weaver, I'm getting
a reading of 500 lux.

‐ 'Hmm, put the goggles on her.'
‐ Goggles?

Ah, the lights in here
are approximate daylight.

We want to make sure
your body thinks it's night.

Aha. What else
do I have to do, Kerry?

One more exertion test

heart and lung readings,
and that's it.

(Kerry)
'Yeah, Wendy, let's take
the RPMs up to 90.'

[groaning]

Okay.

You know, I met the guy once,
last summer.

Some type of mortgage broker.

Mm‐hmm.

I just don't know
when she started seeing him.

Gant, what are you doing down
here when there's a kid

up in the sicu dying of
hypercalcemia? Kenner's patient.

You were supposed
to monitor his calcium.

I sent the labs in.

What good is sending the labs in
if you don't check them?

They said they were
gonna take an hour.

Gant, look at this.

13.5. The kid went
into a Bradyarrhythmia.

I was about to go get them.

You know, Gant, that's the kind
of excuse that kills patients.

'Now, look, if you
can't do the job'

or you don't want to the job
then you don't need to be here.

You make another stupid,
lazy mistake like that, man

you won't be.

Hey, hey, you okay?

[pager beeping]

Ah, oh, it's a code.
I'm on the code team.

Listen, we'll talk,
alright?

We'll talk when I get back.

It's weird
being down here again.

Makes me realize
how unhappy I was then.

‐ 'When you were with me?'
‐ Yeah.

I mean, it wasn't,
it wasn't your fault, you know.

I just didn't
think much of myself.

Yeah, I'm sure
I didn't help.

Well, a lot of stuff
didn't help.

But it's just different now,
you know?

I actually feel good.

So, what's different,
besides us not being together?

(Susan)
'Well, you know, I used to think
I couldn't do things.'

Now I'm taking a pre‐med course.

Well, I trust you did
well on your midterms.

B‐plus.

Clearly, you're not trying
hard enough.

Yeah.

I guess it's about feeling
in control, you know?

I guess.

(Susan)
'And then, of course'

'there's things
you can't control.'

Such as?

Administration's making me
fire two nurses.

‐ Really?
‐ Yeah, but don't tell anyone.

None of them know and I don't
know who it's gonna be.

I'm not gonna
say a thing.

You know what's
really depressing?

‐ What?
‐ Being here right now.

It makes me realize how much
happier I was back then.

[laughing]

‐ God. You're pathetic.
‐ Yes.

[laughing]

You're on the code team?

I was just going to ask
you the same thing.

Well, where the hell
is A‐360?

I was just going
to ask that too.

Hey, you know
where A‐360 is?

Somebody's having
a heart attack.

Uh, sorry. Have you
seen the men's room?

Got a report
of a toilet overflow.

(Maggie)
'Nope, can't help you.'

290, 310..

'...that's 320'

00:22:19,439 --> 00:22:20,574
It must be this way.

I'll do central line,
you intubate.

‐ I'll do the central line.
‐ Ever run the code before?

I've run more codes
than you have.

Well, here's the toilet.

‐ Code team?
‐ Yeah.

‐ You're a little late.
‐ Oh, no.

[monitors beeping]

‐ Alright, I'll take over.
‐ It's alright. I got it.

‐ He's got a rhythm.
‐ Yeah. Yeah,

I got
a pretty good pulse.

Oh, thank God.
CPR course finally paid off.

Now, if I could
just find that John.

Dr. Carter will show you.

Hey, you know why I hate
going to a shrink?

(Carol)
'Why?'

'Cause you have to talk
about yourself all the time.

That's kind
of the point, Doug.

No, it's embarrassing.

I tell her about my patients.

She lets you do that?

Sometimes she says
I prefer talking about them

'cause solving their problems
is easier than solving my own.

That's probably true.

(Doug)
'Sometimes yeah.
Sometimes no.'

[Doug yawns]

You thinking
about Charlie?

I was...I was
tough on her today.

Well, no.
You gave her a chance.

Several.

I mean, there's a certain point
you just got to say

no, it's over.

Hmm.

Why do those words
sound familiar to me?

[chuckles]

[sighs]

Hey, Mark. Connie and I wrote
a personal ad for you.

‐ You wanna hear it?
‐ Sure.

Okay. Sensitive doctor,
tall, white and handsome.

‐ Handsome, really?
‐ Sure. Why not?

(Maggie)
'Loves "The Cubs"
and "Kawasakis.."'

N‐n‐n yeah, hold on.
You know, I own a bike.

I don't know if I love it.

Say it anyway. Chicks
love guys with bikes.

That reminds me,
I got mine in the garage.

Your bike?

Yeah, the attendant let me keep
it here for the winter

but I haven't run it
in a while.

Your battery
is gonna die.

I know. I've got
to start it up.

Don't mention the bike
thing, you know.

I mean, I don't wanna
attract motorcycle chicks.

You mean someone like me?

No, I didn't mean..

Mark, Shelly's not in her room,
and her clothes are gone too.

‐ Check the rest rooms.
‐ I did that already.

Randi. Randi, did you see
a female patient leave here?

‐ Uh, Brown hair and red hat?
‐ Yeah.

Yeah, she just left.

I'll get security.

‐ Can you grab my coat?
‐ Yeah.

Shelly.

Shelly?

Shelly, y‐y‐you need
to come back inside.

‐ I want the bus.
‐ Shelly, listen to me.

You're very sick.

We need to treat you, okay?
Right away.

Go away.

‐ Shelly, come on.
‐ Hey. Hey!

‐ Come on.
‐ Put me down.

I want to go on the bus.

Hey!

Put me down!

Help.

Help! Help.

Why are you hurting me?

(Mark)
'Grab her legs.'

Chuny, take her shoulders.

Malik, bring her knees
up to her chest.

(Shelly)
'What are you doing?'

I'm going give you a shot
to numb the skin.

No. No needles, please!

No!

I don't see a psych hold.

Help me.

I got tired of waiting.

[sobbing]

(Connie)
'Help. Help.'

‐ Hold still.
‐ Help me!

I want the names
of everyone here.

‐ Chuny Marquez.
‐ Lydia Wright.

Malik McGrath.

(Connie)
'No, please.'

'No.'

[sobbing]

'No.'

I got fluid.

(Doug)
'Nope. It's just
that there I was'

baring my soul in a way
I never really have before

and all of a sudden,
I hear snoring.

I'm sorry.
I'm so tired.

Oh, God, and I've got
five and half hours

to make my big
staff decision.

‐ What am I gonna do?
‐ I'm sorry.

I wasn't listening. What?

Oh, you're hilarious.

Oh, my God.

Charlie?

Connie, get a gurney!
Let's go!

What happened?
Let me see.

‐ He found me.
‐ The pimp?

Hang on. Hang on,
Hold on.

Get the gurney, Connie!

Hey.

Benton was out of line.

‐ Was he?
‐ Way out of line.

I felt like punching
out the bastard.

Well, that
would be unwise.

I suppose I could
tell Lance, probably.

Then again,
I don't know.

I‐I think Benton's right,
you know?

Lately, I been one step behind,
five minutes too late..

See you.

I thought you were
covering the ER.

It's dead. What I wouldn't give
for a good five‐car pileup.

[watch alarm beeps]

It's 3 o' clock.

Time for the
"Charlie Chan mystery movie."

(Jeanie)
'And what's the point
of this, exactly?'

We want to compare
your cortisol levels

after indoor
and outdoor exertion.

That's it.
Right, Kerry?

No more sweating after this.

C'mon, get your knees up
like a drum major.

That's it.
There you go.

Go, go, go.

Okay, sweetheart.
Now squeeze this hand.

Good, alright.
Now squeeze this hand.

Ow!

That's okay.
That's alright.

Okay, she's got
a broken right ulna.

Ears are clear.

Alright. Can you move
your jaw for me?

‐ Side to side.
‐ It hurts.

That's okay. You're going
to be fine.

Let's get her Panorex.
I think she's got a broken jaw.

Let's get a film of the chest,
right arm, orbits.

Doug?

She has bruising
around her groin.

She may have been raped.

Okay.

Alright, kiddo.

'It's okay.'

(Chuny)
'So you got an idea that's gonna
make you a millionaire?'

‐ Yeah. Money in the bank.
‐ Alright. Let's hear it.

‐ Flypaper in a can.
‐ Say what?

It's like aerosol.
You spray it on your car

so bugs'll stick to it.

Then, you peel off
one big sheet. Then, boom!

‐ Your car is clean.
‐ You're kidding, right?

(Malik)
'No. Imma call
it "bug‐off."'

That's the dumbest idea
I ever heard.

Yeah. Why not just clean
it off with a hose?

Okay, I got another one.
Stethoscope condoms.

Mm. I don't even want to know.

Take my advice.
Don't quit your day job.

[monitors beeping]

How's it going?

Oh, Dr. Kenner.

We had a bit of a scare
with this one.

His calcium
went up to 13.5

which sent him into
second‐degree heart block.

Uh, I had to diurese him

but we got him back
to a normal sinus.

[monitors beeping]

Well, looks fine now.

‐ Good work.
‐ Thank you.

Oh, uh, Dr. Kenner.

I‐I'd like to do another
pediatric rotation..

...and I'd like
to do it with you.

Uh, correct me if I'm wrong.

I understood that Dr. Keaton
isn't recommending you.

Hmm. She told you that.

Well, it is a pretty small club.
We do talk occasionally.

Dr. Kenner, I learned a lot
from Dr. Keaton but, um..

...our styles
were very different.

We didn't quite...mesh.

Why don't you talk
to her and, uh..

...tell her your perspective
about not meshing and so on

'and...maybe
she'll reconsider.'

And if she did?

Then we could talk.
But, um..

...without a recommendation,
I really can't help you.

‐ Where am I going?
‐ To radiology.

We're going to take some X‐rays
and then we're gonna use

a machine called a CAT scan,
make sure your head's okay.

I'm scared.

It's okay. I'm gonna
come with you.

Doug?

Hang on.

You want me
to get a rape kit?

I'm gonna talk to her, see if
I can find out what happened.

Okay.

(Malik)
'Which bone
would you choose?'

(Haleh)
'I don't know,
maybe a finger.'

No. If I had to choose

which bone to break,
I'd choose a clavicle.

Oh, that's good,
no surgical intervention.

Personally, I'd go
with a skull fracture.

‐ Oh, you would.
‐ Hey, Carol.

(Chuny)
'Are you crazy?'

(Carter)
"Venture to Karachi
on the rugged

"Grand Trunk Road,"
which, while breathtaking

"is prone to landslides
and occasional firefights"

"by warring
sectarian factions."

Abby, don't go.

Put the book down.

(Peter)
'Dr. Keaton?'

‐ Did you lock the door?
‐ I thought you did.

‐ No, I..
‐ Dr. Keaton, I..

Peter, could you
wait outside, please?

[door closes]

Anything?

Just doing
the ink stain now.

I admire you, Dr. Greene.
That took guts.

Well, thank you
for your support.

And don't worry
about that lawyer

'cause I'm going to take
full responsibility.

‐ They can't fire all of us.
‐ Yeah.

Sorry if I offended
you earlier

with that motorcycle crack.

Takes a lot to offend me.

Yeah, but seriously..

...I'd be lucky to find
someone like you.

[scoffs]

‐ Want to get the lights?
‐ Oh, yeah.

Is it meningitis?

Cryptococcus.

You were right.

[chuckles]

Randi, have you seen
a big, black binder?

‐ The nursing budget?
‐ Yeah.

Uh, it fell out
of the cubby.

So, I sort of started
looking at it.

Well, where is it?

Bad news for some people, huh?

You shouldn't have
been looking at it.

I was curious.

I took an accounting course
for my fashion line, you know.

Well, that's no excuse.

It's the overtime
that's killing you.

What?

ER nurses work
12‐hour shifts

and after eight hours,
they get overtime

and that's what's screwin'
with your budget.

Well, I don't know
what else we can do.

Put everybody on
eight‐hour shifts.

You'd save
a 100 grand a year.

(Abby)
'I know how these
teacher/intern relationships'

can undermine reputations.
The innuendo and rumors.

I need to know if you're going
to be discreet about this.

Dr. Keaton, I came by to see
if you would reconsider

writing me a recommendation.

Oh.

I mean, you've always
complimented my surgical skills

and on recommendation
on that basis

I could get another
pediatric rotation.

And if I don't?

What do you mean,
if you don't?

Will you report my relationship
with Dr. Carter?

You think
I'm threatening you?

Are you?

Dr. Keaton,
if your recommendation

isn't based on
my abilities as a doctor..

...I don't want it.

I can't do that, Peter.

'You've got the makings
of an excellent surgeon..'

...but not
a pediatric surgeon.

[sighs]

(man on radio)
'..in Chicago today.'

'Cold spells will extend
throughout the week..'

Dr. Greene, another
letter from legal.

Ah, what do you know?

‐ I've been written up again.
‐ Wow. Twice in one night.

And they cc'd Anspaugh.
That was very thoughtful.

Jerks.

Why don't I just get
some 8x11 frames

and I can just put these
right up on the wall.

You should do it.

Dr. Greene,
this is George Dunleavy.

(Mark)
'Hi. What can I
do for you?'

The police said that you may
have found my sister, Shelly.

(George)
'She called a couple of days
ago and said she was sick.'

'I told her to go see a doctor.'

Haven't heard
from her since.

Does your sister have
any psychiatric problems?

No.

(Mark)
'She was pretty incoherent.'

Meningitis can cause
temporary dementia.

Will she be alright?

Take a day or two,
but she should be fine.

‐ Thank you, doctor.
‐ Sure.

[monitors beeping]

(man #1)
'Put an existing..'

'Dr. Benton, I just
want to let you know

that Dr. Keaton and I
never talked about you.

We never said anything about you
remotely negative, ever.

Carter, it never occurred
to me that you had.

Dr. Benton.

We were just
talking about you.

Dr. Gant feels that you've
treated him inappropriately

by publicly upbraiding him.

'Calling him lazy
and stupid, I understand?'

No, no, no. I said what
he did was lazy and stupid

and I don't think that was
inappropriate due to the fact

'that his inattention
almost killed a child.'

‐ That's not true.
‐ You neglected your duties.

If you feel that way,
then you come speak to me.

‐ 'You don't yell at me in..'
‐ 'You don't..'

Alright, settle down.

Carter.

‐ 'You were there, weren't you?'
‐ Mm‐hmm.

Do you feel Dr. Benton's
reaction was inappropriate?

Well, his language was strong

and I can certainly understand
how Dennis feels.

'But given
the circumstances..'

...I'm not sure
I'd call it inappropriate.

(Donald)
'Sounds like you have to develop
thicker skin, Dr. Gant.'

And if similar issues
arise in the future

'I suggest you take them up
with Dr. Benton directly..'

...before you come
crying to me.

[sighs]

The hard truth is,
we don't have any more money.

'Word came down that they want
me to let people go.'

‐ So who gets fired?
‐ Nobody.

I just sent up a proposal
that'll solve

our budget problems without
anyone losing their jobs.

‐ You're cutting back hours?
‐ No.

But instead of working
three 12‐hour shifts a week

everyone will work
five eight‐hour shifts.

(Chuny)
'For the same money?'

A little less.

But we have to work
four hours more a week.

That sucks.

Guys, the alternative is
that two of you are history.

‐ I don't buy that.
‐ They got the money.

I'm not giving up my OT,
I'll tell you that.

None of us are. We've got a
contract negotiation coming up.

If management pulls
this, we walk.

That's right.

[sighs]

I didn't think you'd
really go to Anspaugh.

'Look, I'm sorry.'

Don't worry about it.

I didn't know what to say

and with Benton
standing right there..

John, John, it's okay.

I didn't mean
to put you on the spot.

[sighs]

So, we're cool?

Yeah, we're cool.

I better get back to the ER.
I'll see you later.

[monitors beeping]

It's like an X‐ray
of your head

but there's nothing
to be afraid of.

Will you stay with me?

I'll be in the next room.

Charlie, were you raped?

Promise you won't tell the cops
or the social worker..

I'm not gonna tell anybody.

[monitors beeping]

Okay. You're going to be okay.

Here we go.

Okay, let's see.

[machine whirring]

Hey, Mark!

[engine revving]
Mark!

'Mark!'

Hey, you forgot
your curriculum vitae.

Oh, thanks.

But after tonight,
I figure my chances

for making tenure
are about nil.

But hey, I did my job

and I can do
my job somewhere.

‐ Tenure or no tenure.
‐ Same here.

They're trying to mess
with our overtime.

I say screw them.
I'll go someplace else.

‐ That's the spirit.
‐ Well, got to go.

Hey, Chuny, you hungry? You want
to grab some breakfast with me?

Sure.

Okay, first, I got to take
the bike for a spin

around the garage just
to charge the battery.

Why don't I charge
it up with you?

Sure. Hop on.

[engine starts]

[engine revving]

You want me to get
inside this box?

This box is
a body plethysmograph.

It's the most accurate method
for measuring lung capacity.

And why is that important?

I need accurate specifications
on all my research subjects

or I can't correlate the data.

I'm sorry, Kerry.
I get claustrophobic.

Jeanie, look‐look at all the
windows. You can‐can look out.

I'm sorry, I can't.

Jeanie, if you don't get
in the box

I have to throw
out the entire study.

‐ That's two months work.
‐ I'm not getting in the box.

‐ You're getting paid $50.
‐ Shut up, Wendy.

‐ Jeanie, please.
‐ No I'm sorry.

It's final, I can't.

Well, how about that?

‐ Wendy.
‐ What?

‐ Get in the box.
‐ Me?

First, we'll test
your lung volume

and then you're
getting on the bike.

But it's almost daylight.

Wait a minute.
Wear the goggles.

You won't know
the difference.

How is she?

She's got a broken arm.

A lot of bruises, concussion.
She was raped.

I'll get the rape kit
and call the police.

What time does that
social worker get here?

They should be on now.
You want me to call?

[inhales deeply]

No. I'll do it.

[machine beeping]

[sizzling]

Hey, the eggs
are burning.

Oh, well. I'll just
have to make some more.

Mm.

I don't remember
calling for a surgeon.

Well, this one's surgical.

Finally got a good one.
Some guy got hit by "the El."

‐ What you got?
‐ We got a mess.

'Take a look.'

Yuck. Which end is up?

Jumped or fell
in front of a train.

Open skull fracture,
multiple extremity fractures

flailed chest.

‐ Any signs of life?
‐ He's got a weak pulse.

Now all he needs
is a face.

BP's 60/40.
He ain't going to last.

Alright everybody.
Grab hold, on my count.

One, two, three.

'What is this?'

‐ Man versus moving "EL" train.
‐ Suicide?

One guy said he jumped, the
other guy said he tripped.

Just lost the pulse.

Put O‐neg on a rapid infuser,
set up a central line.

Somebody page Gant.

He's supposed to be covering
the ER this morning.

‐ I'll do it.
‐ 'Carter, how are his eyes?'

He's lost one. The other
one is swollen shut.

Grey matter in the hair.

Decreased breath sounds
on the right.

‐ I'll put in a chest tube.
‐ I'll do it.

No, I'll do it. It's
a surgical procedure. 32 French.

‐ Whose beeper?
‐ It's coming from the patient.

(John)
'Ten grade?'

Lydia, what number
did you page Gant to?

This room. 3376.

That's the number
on this pager.

‐ Oh, my God.
‐ What?

The patient.
It's Gant.

Dennis?

Oh, sweet Jesus!

‐ Carter, put the tube in!
‐ Oh, God!

Alright, set up
a Thoraseal. Let's move!

‐ Come on.
‐ Flatline.

Alright, give an amp of Epi
and Atropine one milligram.

Hang another two units.
Let's go, Carter!

I'm trying!
I'm trying!

Come on, Carter.
Get it in, get it in!

‐ That's it.
‐ Come on, Gant.

Come on.

Come on.
Come on.

[monitors beeping]

[theme music]