ER (1994–2009): Season 3, Episode 18 - You Bet Your Life - full transcript

Previously on "ER."

I told you that I was pregnant
weeks ago, okay? Then nothing.

‐ Perform an embolectomy?
‐ Damn right.

You're the only one around
here today

who seems to know what
the hell they're doing.

I think we should start
sleeping together.

Why didn't you ever
tell me I could be a lawyer

or a pilot
or a damn astronaut?

You wanted to be an astronaut?

Why doesn't she stay with me?

How you gonna do that and work?



I can handle it.

'Am I gonna be late again?'

No, and starting today

we are both gonna be on time.

‐ Who's picking me up?
‐ Tina's mom.

You're gonna play over
there and then I'll pick you up

'right after dinner.'

I hate Tina.

Don't say that. She likes you.

No, she doesn't.

Her mom's just
doing you a favor.

That's not true.

'I'm sure the
bell just rang.'

I hate going in late.



I'm sorry, sweetheart.

This is the last time, I swear.

I can't wait
till mommy gets back.

Have a nice day.

'Can I help you?'

Uh, yeah. I'm looking
for Carla Reece.

She went home last night.

Thank you.

What you doing?

Oh, um..

...I was, uh, just going over

Carla Reece's discharge summary.

That's confidential.

Yeah. I know.

Dr. Coburn, um,
I'm the child's father.

She told me.

It's still confidential,
and you know it.

Why did you order
a glucose tolerance test?

I'm not going to
answer that question.

Does she have
gestational diabetes?

Good‐bye, doctor.

Gestational diabetes
can put the fetus at risk

of heart problems,
metabolic problems.

Look, Dr. Coburn, I think
I have a right to know.

If you wanna know what's
going on with your child

then I suggest you
ask the mother.

Aha, thought I'd find you here.

Here I am.

It's supposed to
be a great weekend.

They say it'll get
up in the 70s.

Oh, yeah?
Damn it.

You're in a good mood?

I was doing fine until
the clinic called up

my blood test results.

‐ Oh?
‐ My viral load's up to 1,000.

A thousand's not significant.

It is to me.
Perfect timing.

What do you mean?

Today is Al and my anniversary.

It would
have been nine years.

Talk about the gift
that keeps on giving.

Jeanie, you had
the flu last week.

That's why your
viral load went up.

Give it two weeks. It will
be back to undetectable.

‐ Think so?
‐ Yeah.

And I'm the expert.

I also think we should
rechristen this date in history.

What do you mean?

I propose April 17th

be the anniversary of our first

weekend getaway.

‐ Keep talking.
‐ Alright.

How does a suite at
Indian Lake Resort sound?

They have great restaurants,
massages in the room.

We can leave tonight,
come back Sunday.

Sounds nice.

It will be, I promise.

Hey.

Stop worrying, okay?

Oh, come on. Don't lie.
You did not buy this car.

‐ Boxster, dude. I'm leasing it.
‐ How?

To afford those kind
of wheels means

you gotta be making
some doctor ducats.

Well, then just call me
Dr. Markovic.

Okay, doc.

Jerry, did that attending
meeting start on time?

Yeah, and Anspaugh was looking
for you, but don't bother.

I think it ended about
five minutes ago. "Catwoman?"

Yeah. Rachel left it in my car.

I should call the school to make
sure they're gonna feed her.

Mark, we need to talk.

‐ I'm sorry about the meeting.
‐ Uh, don't worry about it.

Listen, the search committee
received your application

for the teaching position
along with Kerry Weaver's.

I thought Kerry was going
for the research position.

She is. The teaching job
is just her fallback.

Now, between us, you're
the better candidate.

Kerry's intellect is superior

but she doesn't have
your people skills.

Thanks.

The hitch is, you
haven't published

where as, Kerry, she's
written seven articles.

‐ Two in the annals.
‐ Seven?

Exactly, which means
you have to find

an interesting case
and write it up.

Show the committee
you're not illiterate.

‐ A case?
‐ And soon.

I went out on a
limb to back you.

Don't make me look
like an idiot.

'Damn it.'

'Damn it. Damn it.'

Carol? What are you doing?
What is this? You're reading..

"...Harrison's Internal
Medicine?" What are you doing?

I'm checking the rate
of oxidative metabolism

in hypothyroidism.

This is important to you?

It was on the
medical board exam.

I put "Above normal"

the answer is "Below normal."

'Every day, I think of
another test question'

and when I go to look it up

I find out that I got it wrong.

‐ I'm sure you did fine.
‐ No, Doug.

I've looked up,
maybe 30 questions

all of which I missed.

I did not do fine, okay?

Okay, alright.
You're right.

But you do things for people

that doctors don't even
think about doing.

'Carol?'

This guy in the hall
needs a clean‐up.

He just did
a major code brown.

You're right.
I wipe butts.

And take orders from
25‐year‐old interns.

Who's the jockey on Goosebumps?
Is that turf or dirt?

Uh‐huh. And what's
the conditions of the track?

Oh, easy.

Hey, listen. Put me
down for a double pop.

Goosebumps to win.

Either of you want any action?

I got the lowdown on a miler.

‐ You're a gambler, huh?
‐ Investor.

I wanna gamble, I'll
pay the stock market.

'This is scientific.'

‐ What about it?
‐ No, thanks.

Your loss.

‐ Doc?
‐ Uh, sure.

Put me down
for five bucks.

Five bucks.
A high‐roller.

So, you've been
vomiting, since yesterday?

Yeah. I think I caught
the flu from my cat.

Okay, we're gonna
run a few tests

and let's get an X‐ray
of his abdomen as well.

Uh, can I keep my hat on?

‐ Sure. Why?
‐ Oh, it's my thing.

Once I make a bet, I keep the
hat on till the payoff.

Well, scientific, huh?

Hey, Einstein wore
brown socks for luck.

Now, who am I to argue
with that, huh?

Hey, Jeanie, some guy
dropped this off for you.

Who?

I think it was your ex‐husband.

‐ When?
‐ Uh, he just left.

Al.

Hi. I see you
got the flowers.

‐ What's this about?
‐ Uh, nothing.

Just it's our anniversary

and I was thinking of you

like it says on the card.

It's inappropriate.

Jeanie, it's no big deal.

I don't wanna
celebrate a marriage

that was a disaster
from beginning to end.

I didn't mean to upset you.

Well, here. Just...here.

No. You keep them.

Give them to a
patient or something.

Oh, God!

Ida Blinnder, 55,
acute abdominal pain.

It's like my
stomach's exploding.

Uh, BP 100 over 70, pulse 90.

‐ I need surgery.
‐ Alright, draw the usual labs.

Add an amylase, some LFTs
and call a surgical consult.

Good Lord, it looks
like a railroad yard.

Mrs. Blinnder, I see
you're no stranger to surgery.

I've had five operations.

They never find anything.

You've had all these
for the same problem?

It comes back.

Oh.

Mrs. Blinnder,
do you ever suffer

the loss of sensation
in your arms and legs?

Yes. Yes, I do.

‐ Oh!
‐ Cancel the surgeon.

Why? What's going on?

There's a rare condition
called porphyria.

It's often misdiagnosed
as surgical.

It's really a metabolic disease.

You mean this poor thing had
five operations she didn't need?

It's possible, this could
be the perfect case

to write for the journals.

Let's get a CBC and lytes.

‐ What's happening?
‐ Don't worry, Mrs. Blinnder.

We're gonna get
to the bottom of this.

Excuse me.
A little help?

Malik, get a gurney.

Found her in a car
outside of Grayson Cemetery

just sitting there
bleeding to death.

These your belts?

Yeah, that's all we had
for tourniquets.

‐ How much blood has she lost?
‐ It's hard to tell.

The car had dark upholstery.

Alright, let's get
her in the trauma.

‐ 'Okay, over..'
‐ 'Move.'

She has an arterial bleed.
No spurting on this side.

Can I get a pulse
below the cath?

Must have used a dull knife.

'Guys, something
ugly is going on.'

Yeah? Get the suction.

Think she swallowed something?

Do you see any containers,
poisons, insecticides?

We didn't look,
just scooped her right in.

‐ What's her name?
‐ No ID.

Go back and check her car.

Get me an Ewald tube
and activated charcoal.

We're gonna pump her out.
Jeanie, can you hold her head?

Yes.

‐ Here it is.
‐ Oh, the pain!

"Unexplained abdominal crisis.

Symptoms include absence of
fever." What's her temp?

‐ Normal.
‐ Good.

"Porphobilinogen
in the urine." Let's get a UA.

You gonna write this up for the
"Annals of Emergency Medicine?"

Uh‐huh, and
the "New England Journal"

maybe the "New York Times."

‐ "New York Times?"
‐ Yeah.

Who knows how many
needless surgeries

are done in cases like this?

Porphyria, the hidden tragedy.

Am I gonna get an operation?

‐ Absolutely not.
‐ But I want an operation.

This is better,
you'll understand.

‐ I wanna look.
‐ Okay.

Mrs. Blinnder, you
don't need surgery.

What you have is porphyria.

‐ No, she doesn't.
‐ What?

She's psyche.

She enjoys having
surgery done on her.

‐ "Enjoys?"
‐ Mm‐hmm.

She's convinced five
different doctors

to cut her. She likes‐‐

It's a lie. I do need surgery.

‐ Mrs. Blinnder‐‐
‐ Oh, oh God, the pain! Oh.

Call psyche. Tell them
to bring down the net.

And cancel the "New York Times."

Hey, Carla, it's Peter.
Are you there?

Alright, listen, uh, when you
get this, do me a favor.

Give me a call either
at the hospital or at home

or page me,
555‐0197, okay?

I hope you get this,
and I hope you call.

Alright. Bye.
Hey, what is it, Carter?

I got a 68‐year‐old guy

with diffuse abdominal pain,
no focal tenderness

some bowel edema,
but no acute obstruction.

And?

He's got a history
of peripheral vascular disease

so I was thinking
of getting an angiogram.

Uh, you know what?

Hand it off to Dixon
'cause you and I

are supposed to be covering
the wards two minutes ago.

I'd rather stick with him.

His temp's up,
he's looking great

and I just don't want him to get
lost in the shuffle, you know.

Alright. Alright,
stick with him.

If he needs surgery
Anspaugh's on call.

Cool.

'Heart rate's 40.'

Give two more of atropine

and get the contents
of her stomach

to the lab for analysis.

The cops found empty
pill vials in her car.

What kind of pills?

Three‐TC, ritonavir, AZT.

She OD'd on her AIDS pills?

There's more. Valium,
desipramine, Prozac plus

plus they found, uh, a jar

with some kind of mixture,
smells like sterno.

I guess she wanted to make sure
she got the job done, huh?

What's the name
on the prescriptions?

‐ Suzanne Alner.
‐ See if she has a chart.

Tube is coming out.

Wash cloth, please?

Okay, let's start with bicarb

for the tricyclics

Romazicon for the benzos

'Naracan to cover the narcotics'

and if she's positive for
methanol we need to dialyze her.

‐ What about the AIDS pills?
‐ I have no idea.

Greg Fischer would know.

Good. I'll call him.

Why would you wanna hurt
yourself like this?

I'm talking 200 horses,
zero to sixty in 6.1 seconds.

ER.
Who?

Yeah, I'll let
you drive it.

Jerry, someone
from cryogen lab

is calling for
a Dr. Markovic?

Uh, let me call you back.

Hello?

Yeah, speaking.

Um...uh, Monday at 4:30 would
be fine. Uh, thank you.

Jerry, isn't, uh, cryogen lab
that sperm bank?

Uh, yeah.

Don't tell me you're
representing yourself

as a doctor and trying
to sell your sperm?

‐ Shh. Just keep it down.
‐ Ah, that is reprehensible.

Well, what's in a title?

The fact of the matter
is women are paying

top dollar for the seed

of a tall man with
an IQ of 150.

Who took the test for you?

I took it.

Oh, you're IQ's not 150.

‐ Mine's only 145.
‐ What am I supposed to do?

Apologize because
I'm smarter than you?

What?

I'm gonna get
an IQ test from psych

and if you don't score 150

I'm gonna blow the whistle
on you, Dr. Markovic.

‐ 'Tech brought these gown.'
‐ She was positive for methanol?

Yeah. Dialysis is on the way.

Pumped her stomach
and given her charcoal.

That's all you can do
for the HIV pills.

Cops found two pictures in her
car, both of a little girl.

‐ 'Her daughter?'
‐ Who knows?

'Pharmacist who
gave her the pills'

'has to be living in a motel.'

I called, they said
she lived alone.

‐ She's got a wedding ring.
‐ 'Did we find an old chart?'

'Nothing came up.'

This kid looks familiar to me

what's the last name?

Patient's last name's Alner.

Suzanne.

‐ Where am I?
‐ You're in the hospital.

Oh, no.

You want us to call someone?

‐ Your husband?
‐ No.

We found these
pictures in your car.

‐ Is she your daughter?
‐ Mm‐hmm.

Where is she?

I killed her.

How you feeling, Mr. Bartok?

Bad. Like after I had
my second heart attack.

Well, what you're
having is a lot

like a heart attack,
except to your gut.

This is an artery that brings
blood into your small intestine.

As you can see right there,
it's completely blocked off.

‐ Sounds serious.
‐ It's very serious.

‐ Can you fix it?
‐ Yeah.

But we need to get you
into surgery right away.

What if we don't?

‐ You'll be dead in 72 hours.
‐ Cripes.

Listen, I don't
want you to worry.

The chief of staff is on call

and you're gonna get
the best care in Chicago.

Why don't we take
Mr. Bartok into pre‐op

and stat‐page Dr. Anspaugh?

‐ Where's my phone?
‐ Mmm.

It's around here somewhere,
I don't think

this isn't the best time for you

to be calling your bookie.

I wanna talk to my daughter.

Yeah. Sure.

Mr. Gearhart, the doctor ordered

a painkiller injection.

Take your best shot.

Marine, huh?

Master gunnery
sergeant, 22 years.

Well, this might
sting a little.

I think I can handle it.

Uh, Carol, what
are you doing?

You ordered 30 migs
of Ketorolac.

‐ He needs it IV.
‐ You didn't say that.

He's got kidney stones and
COPD. He needs to be hydrated.

Okay, I'll start an IV.

Sorry, sergeant.
We gotta stick you again.

Well, what's another needle?

Back at Fort Bragg,
my drill instructor

hammered my air‐assault
wings into my chest.

I heard about that
stuff on the news.

‐ Sounds awful.
‐ Proudest day of my life.

'If weak‐tit journalists'

'kept their noses
out of marine corp'

we'd be a lot better off.

Aah! Caught me
off guard there, cookie.

Ooh. Peanut butter and jelly
and a plain doughnut.

Rachel forgot her lunch.

Maybe she left it on purpose.

Hey, you know,
I'm new at this.

How's it going?

It's great. I mean,
I love having Rachel around.

We haven't quite got
the routines down yet

but you know,
she seems happy.

Hmm, so I hear you have
a psych case for me.

Yeah. Uh, curtain area three.

This lady has a predilection
for operations.

She's had five surgeries.

They've all been
completely unnecessary.

Not Ida Blinnder.

Yeah. She a patient of yours?

Total fruitcake.

You didn't leave
her alone, did you?

‐ Why?
‐ Oh, man.

Whenever she's
rejected from surgery

she likes to
force the issue.

‐ What do you mean?
‐ She eats things..

...batteries, paper clips, pens.

Then, they have to
be surgically removed.

Oh, boy.

Ida, what have
you been doing?

‐ Oh, no.
‐ What?

Haleh, did you take all the

instruments off of this tray?

‐ Uh‐uh.
‐ Okay.

This was
full when I left.

Ida, did you
swallow anything?

Oh.

Excuse me. Uh, is
Dr. Coburn around?

She's at the clinic.

'Wanna leave a message?'

No, no.

You know what? Actually,
maybe you can help me.

I need to see the ultrasound
tape for Carla Reece.

Oh, we only keep
them a week or so

before they get
recycled. Let's see.

Ah. You're in luck.

‐ You're a surgeon, right?
‐ Uh‐huh.

‐ Is she a surgical patient?
‐ Uh‐huh.

‐ How's she doing?
‐ BP's down.

'Breathing's labored.'

She's not responding
to anything.

Guess what I found

chart on the
little girl, Katy Alner.

'Father, Roger.
Mother, Suzanne.'

‐ The girl in the picture.
‐ Yeah.

Father brought her
to the clinic last year

for recurrent ear
infections and the flu.

I ran a CD‐4.

‐ Turned out she had AIDS.
‐ From her mother?

Yep.

Girl died last month.

AIDS‐related pneumonia.

‐ So that's what she meant.
‐ Yeah.

So sad.

I just talked
to her ex‐husband.

He's on his way in.

Soon, I hope.

‐ His celiac is shot.
‐ Mm‐hmm.

‐ White count's 18,000?
‐ Mm‐hmm. Correct.

He's had two MI's,
peripheral vascular disease?

CO‐2 14, fever 102,
BP's down to 90?

Yeah, that's why I called you.

I thought we should get
him up to the OR right away.

He's going into shock.
We open him up.

He won't get off the table.

‐ Turf him to ICU.
‐ Wait, wait, wait.

You‐you're not gonna take him?

He's septic, and he's
grossly unstable.

Yeah, he's septic because
he's infracting his bowel.

He's not gonna
get any better in the ICU.

Probably not,
but it's his only shot.

Oh, come on, don't you
think he's got a better shot

if he has the operation?

Carter, there's nothing we can
do for this man.

We operate, all we get is
a mortality statistic.

I'm a surgeon,
not an executioner.

Let's go, doc.
I'm dying here.

Uh, Mr. Bartok,
Dr. Anspaugh feels

that you won't
survive the surgery.

What's that mean?

It means that
we're gonna move you.

We're gonna move
you up to the ICU

the Intensive Care Unit.

I don't understand.

You said if I don't get the
surgery right‐right away

I'm through.

‐ That's true.
‐ So? What?

You writing me off?

You just gonna
send me someplace to die

like some animal?

‐ I'm sorry.
‐ You're sorry?

What the hell's that?

You told me I was gonna
get the best care

in the city
for God's sakes.

Should I call transpo
to come get him?

You gave me your word.

No. Keep him here.

Give him dopamine, uh

ten micrograms per minute.

Let me have that, uh..

Yeah. I'll be right back.

'Holy cow!'

'Sorry.'

‐ 'Mother!'
‐ 'Damn it! I'm sorry.'

‐ What are you doing?
‐ Trying to get a blood gas.

He's a hard stick.

I'll take that as a compliment.

I'll go get one
of the attendings.

'No, I got it.'

Kerry, you might
wanna help Doyle.

She's using one of
the patients as a pincushion.

‐ 'Judas priest!'
‐ 'Sorry.'

Got to learn sometime.

I don't see why nurses
can't do blood gases

as if we wouldn't do
a better job than that.

Sounds like she's got it.

'Holy Shih‐Tzu!'

I'd say his chances
of surviving an anastomosis

is slim to none.

Oh, you never know.

His collaterals may still

be perfusing his bowel.

‐ I doubt it.
‐ His BP is up.

‐ He's not a good risk.
‐ Dr. Hicks.

Listen. Mr. Bartok knows

that he might not
wake up from this.

I think he still
wants everything done.

And I think we should
at least try to save his life.

If we get in and
out of there quickly

he may have a chance.

That's all he wants.

Alright. Let's take him.

I'll bring him up.

Good news, Mr. Bartok.

You're going to surgery.

Thanks.

Ah, my pen. I was
wondering where I left it.

Scissors. Tweezers.

She should be in a circus.

Nothing's left the stomach.

With a rat's tooth on a scope

I can grab all that stuff.

Well, looks like she's
back to being an ER case.

Yeah. Woman swallows
medical instruments.

The journals
would love this.

I didn't know you were
into publishing.

Oh, yeah, yeah,
life in the fast track

publish or perish.

She's throwing PVC's.

Probably the tricyclic's.
They're cardio toxic.

Who's talking?

My name's Jeanie.

Where are you?

Can't you
see me?

No.

You're experiencing
blindness

because of the methanol
you ingested.

Papilledema?

Yeah.

‐ Suzanne?
‐ Huh?

Roger's on his way.

‐ My Roger?
‐ Yeah.

No, God.

Oh, God, what will I say?

I don't know.

Is there anything
you'd want to tell him?

That I'm sorry.

Then that's what you should say.

‐ Psst. Dr. Ross‐‐
‐ Jerry.

It's a test,
not a survey.

'Doug! Got a minute?'

Uh, these kids were on
their way to the prom

when she had
a gallstone attack.

It's no big deal.
I've had them for years.

Guess, you're starting early,
it's barely 2 o'clock.

We had a pre‐prom party.

Betsy's folks
are out of town.

Why would you tell him that?

‐ He's a doctor.
‐ I just need some antibiotics.

Well, why don't you let me
check you out first.

Let's go to, uh..

...yeah, let's go exam one.

From now on,
let me do the talking.

Excuse me, Mr. Alner?

Yes?

Do you want
to see her?

I can see her.

She's dying.

Yes.

Is she in pain?

Some.

Good.

She...cheated on me.

Got herself infected with AIDS

and gave it to our baby.

I've been waiting
for this for a long time.

Retract the momentum.
Let's see what we've got.

Ooh!

Oh, is that gangrene?

All the way from
the proximal jejunum

to the transverse colon.

If we go forward,
we'll be here for hours.

And this guy won't have
any small bowel left.

I think it's worth a shot.

What is it, Carter,
he owes you money?

Alright, let's go.

Hemostat, and...couple of
scudders for the bowel.

What the hell
is going on in here?

Why? What's the problem?

I rejected this patient
as a poor surgical risk.

‐ Or didn't Dr. Carter tell you?
‐ No, he didn't.

I got a 23 year
jump on you, kid.

‐ You trying to outflank me?
‐ No, sir.

What , makes you think your
judgment is superior to mine?

I don't. I don't.

I just thought
that the patient‐‐

This has nothing
to do with the patient.

This is about the
practice of medicine.

Interns do not
make end runs

on the chief of staff.

I want you in my office
at 5 o'clock sharp

'to discuss your future
as a surgeon.'

'If you have any hope'

'of continuing in this program'

you will explain
your actions

with the appropriate
degree of contrition

and respect

and the assurance
that nothing like this

will ever happen again.

‐ Dr. Hicks..
‐ Scrub out, Carter.

Alright Mrs. Blinnder,
sign here so the doctor

can get back our property.

No. I want surgery.

Mrs. Blinnder, have you
ever had an endoscopy before?

‐ No.
‐ Uh..

I don't think you know
what you're missing.

Endoscopy is an
extremely traumatic

and invasive procedure.

See, I have to stick
this tube with a camera

down your throat..

Root around and grab the items
that you've swallowed

and yank them back up
through your gullet.

'And the best thing is'

you'll be conscious
the whole time.

You mean...I can watch?

In living color.

Hey, Mark, you got a call
from Rachel's school.

They want you to come
pick her up right away.

Uh, someone else
was supposed to.

‐ Apparently, they didn't.
‐ Ah, geez.

Well, they're holding.
You want to talk to them?

Uh, no. I'll uh...

Tell them,
I'm on my way.

Uh, I'll be back
in 45 minutes.

Don't leave her alone.

And don't let anybody else
do the endoscopy.

Who's your wife's
doctor again?

‐ Janet Coburn.
‐ Uh‐huh.

So why you coming to see me?

You're the expert
on fetal anomalies.

And since we discovered
that Carla

has gestational diabetes,
I wanted you to take a look.

Well, I can tell you
right now he looks fine.

‐ No cardiac abnormalities?
‐ 'Nah.'

‐ Macrosomia?
‐ Nope.

How's Janet managing your wife?

Uh..

Through diet
or insulin injections?

I'm not sure.

You don't know how
your wife's being managed?

Actually, we're not married.

But you talk to her,
one would hope.

Well, we had
a little falling out.

Uh‐huh.

You know, I don't
really know you.

And, I'm getting the feeling
I'm doing something

I shouldn't be.

And I'm starting
to resent it.

Alright.
Bad news, Betsy.

Your gallbladder's gonna
have to come out right away.

You mean,
first thing tomorrow?

No, I mean, right away.

No way, I paid $400
for that dress.

Well, I'm sorry.

But you're in
real trouble here.

Listen to him, Bets.

Shut up, Jeffrey.

I'll come back
right after the prom.

No. You'll get septic
and die by the end of the night.

‐ I'm willing to risk it.
‐ Bets!

Give me the antibiotics.

Betsy, no, you're
going to surgery.

Oh, no. I'm 18 years old.
I know my rights.

I'm walking out of here,
and you can't do squat.

Jeffrey, my dress.

‐ Can you be back by 10?
‐ No.

They crown the king
and queen at 10.

10:30, then.

We could leave at 10:30.

‐ Where's the prom?
‐ The Drake.

Okay, The Drake's halfway
across town. You leave by 10.

Forget it.
Jeffrey, zip me.

Alright.

Let's go.

Okay, hang on, wait, wait
I got an idea.

'Mr. Greene?'

Hi. Sorry about the mix‐up.

‐ It happens.
‐ Where's Rach?

She went down
to the library.

If you have a minute,
I‐I would like to talk to you.

Uh, sure.

I just wanna know
if there's..

...there's anything
we need to be careful about

with Rachel these days?

Such as?

Restricted physical
activities? Diet?

Why?

Because of her leukemia.

Leukemia?
Ra‐Rachel doesn't have leukemia.

‐ W‐where'd you get that?
‐ Rachel.

She told some of her
classmates that she's sick

and not expected to live.

Why would she say
something like that?

Well, Rachel's been having
some trouble socially.

I'm sure you heard
about the fight.

No.

It was with one
of the more popular girls.

And since then, Rachel often

winds up playing by herself.

Feigning an illness,
I'm sure was just

a way to get some attention.

Hey, Rach.
Ready to go?

Are we going home?

Well, I wish.

Better get back
to the hospital.

You can do your math homework.

‐ Big whoop.
‐ Hey.

Rachel, that is no way
to talk to Mrs. Hildebrand.

We'll see you tomorrow.

Say goodbye.

‐ Bye.
‐ Bye‐bye.

Bye.

What's the story?

Old guy was playing cards

with his pals
when he keeled over.

Must've gotten a bad hand.

One, two, three.

BP's 80/50.

‐ Heart rate's up to 130.
‐ You didn't start an IV?

Blew two on the ride.
His veins are shot.

I'll try stick on the hand.

‐ I'm hearing rales.
‐ Three‐plus pitting edema.

Uh, he's got congestive
heart failure.

Yep. Prep lasix and dopamine.

We need to get
the fluid off his lungs.

How's that IV coming?

Forget it,
his skin's like paper.

I'll do a central line,
grab me a kit.

Any attending's around?

Greene left the hospital
and Weaver's in radiology.

Betadine, please.

I want you to page Weaver
and call surgery.

Have them help us
put in the central line.

Cancel that.
I got it.

Give me an eight French.

Surgeons put in lines
all the time.

I said I got it.

BP's down to 60.

'Standing by with dopamine.'

How long is it gonna be?

If you're looking
for something to do

why don't you
grab the guy a pillow.

I'm calling surgery.

Line's in, run the dopamine
400 in 250.

And titrate the BP to 90.

Hold the lasix
till his pressure's back.

Okay, here we go.
Here's the deal.

Now the ambulance is gonna
take you to the dance

gonna pick you up
at 10 o'clock sharp.

‐ Take that.
‐ Ten fifteen.

Ten o'clock, no dancing around.

Keep that IV in,
nothing too wild, alright?

Don't worry. I won't.

And for her,
nothing to eat

no alcohol, no smoking.

You make sure she's back here
by 10:30, not a minute later.

Okay, Dr. Ross.
You can count on me.

‐ Bye.
‐ Yeah, bye‐bye. Have fun.

Be good.

Close the door.

I have never seen
as devious, under‐handed

and ultimately self‐destructive
a maneuver as you pulled today.

What the hell
were you thinking?

I thought the patient
deserved a chance

and I had reservations about
Dr. Anspaugh's assessment

that the patient
was unstable for surgery.

I know that if
I was the patient

I would've liked
a second opinion.

You led me to believe,
that mine was the only opinion.

If I'd known otherwise, it's
unlikely I would have proceeded.

Certainly not without
consulting Dr. Anspaugh first.

Before Dr. Hicks and I decide
whether or not to terminate

your residency.

Is there anything
you'd like to say?

Yes.

I apologize...for not being
more forceful

in making my case to you
when I spoke to you.

And I apologize
to you, Dr. Hicks

for not telling you
Dr. Anspaugh's assessment.

But I still believe
that we owed this patient

a chance in saving his life.

I'm glad we gave it to him.

Anything else?

‐ I have a question.
‐ 'What?'

Did Mr. Bartok
survive the surgery?

Yes, he did.

Labs are back.

BUN's 45, creatinine is 3.5.

He's in renal failure.

Anyone page Weaver?

‐ 'I did.'
‐ BP's down to 50.

We got to increase his output.
Prep some Vasotec.

You can't give ace inhibitors
to someone in renal failure.

We got to get
his heart pumping.

Louie, give him 1.25.

It'll shut his kidneys down.

If we can improve his
cardiac output

it will help
his renal failure

believe me, give the Vasotec.

Do you want me to read
the contraindications?

I can read as well as
you can, but if we don't get

his heart pumping,
he's gonna croak.

It's a mistake.

Load the Vasotec.

What's going on?

Patient is in congestive heart
failure and renal failure.

BP is crashing.
I have ordered 1.25 of Vasotec

but I can't convince
the nurses to carry it out.

Come on, give him the Vasotec.
We got to get his heart going.

What about his kidneys?

Got to get the
heart going first.

Where is she?

‐ 'Why didn't you tell me?'
‐ Still hanging on?

‐ She's delirious.
‐ From what?

The organophosphates, methanol,
tricyclics. Take your pick.

BP's falling.
She's getting shocky.

Better get Kerry.

Looks like impending
respiratory failure.

You may need to intubate.

Roger, is that you?

She's blind from
the methanol.

Roger...Roger, I'm sorry.

She thinks you're her husband.

'Roger, I'm sorry.'

‐ For‐forgive me.
‐ Roger's not here.

Please, please, Roger,
please forgive me, man.

'Please. Please, Roger.
Please forgive me.'

Just say it.

‐ What?
‐ Tell her you forgive her.

'Please.'

Please, please.

It's not my place to do‐‐

Just say it.

Greg, say it.
Say you forgive her.

‐ 'Just say it.'
‐ P‐please.

It's okay, it's okay.

‐ 'What's her rate?'
‐ 140.

Okay, let's tube her.

No! Roger!

'Hold her.'

Shh, shh, shh.

Hold her.

'It's okay, sweetheart.
It's okay, it's okay.'

It's okay, sweetheart.

It's okay, it's okay.

Seeing as the test
was multiple choice

with a possible five answers

you could guess randomly
and expect to score 20%.

‐ You got 15.
‐ Fifteen?

Your days as a sperm
donor are over, Jerry.

But‐but I was,
I was nervous.

I mean, I don't perform
under pressure.

You wanna call
or should I?

Kerry, I'm back on.

‐ Hey, Rachel.
‐ Hi.

Oh, Mark.

One of your patients,
Mrs. Blinnder

was complaining
of abdominal pains.

'I had to scope out
her stomach.'

I believe uh,
this is yours.

Thank you.

I‐I was thinking we could
co‐author an article about her

and send it out
to the "Journals."

I've even got a title‐‐

"The woman who ate the ER."

Great.

Fifty‐seven, fifty‐eight,
fifty‐nine, sixty, sixty‐one‐‐

What's your problem?

‐ Excuse me?
‐ The attitude?

I don't know what
you're talking about?

You second‐guess me,
you give me a hard time.

‐ What is going on?
‐ Nothing's going on.

Whatever you say, but
don't ever disregard my orders

like you did in that trauma.

I may be younger than you,
but I am the doctor

and you are the nurse.

Keep that straight.

Sweetheart, you've got
to do your homework

before you watch TV.

'I don't want to.'

Well, those are the rules.

'Can you help me?'

I got to help
some sick people.

You're always taking
care of sick people.

Rach..

...Mrs. Hildebrand told me
that you told

some of your friends at school
that you were sick.

Is that true?

They're not my friends.

You wanted them
to be nice to you?

Dr. Green,
quality assurance called

they'd like you to finish
these charts by 6:00.

Yeah, just leave them.

People aren't going
to like you because you're sick.

You help people
who are sick.

You don't have to be sick
for me to love you.

And I love you more than
anything in the world.

You know that, don't you?

Dr. Greene, Dr. Anspaugh's
on the phone for you.

‐ Yeah, I'll call him back.
‐ Okay.

N‐no, wait, wait, wait
I got to take this.

Please, daddy.

Rachel, I have
to do this, okay?

We'll talk more
when we get home, okay?

I'm sorry.

I wasn't comfortable
pretending to be her husband.

You don't have to apologize.

It's getting late, if..

...you still want
to go to the lake?

We're going to need
to leave soon.

I don't think so.

Because of what
happened with her?

No.

I don't know.

I guess,
I'm‐I'm not ready.

Okay.

No problem...if, uh..

Call me, if you, if you want
to get together this weekend.

How did it go?

Not bad.

We removed most of
your small intestine.

I'm afraid you're not going to
be able to eat solid food again.

Can I drink?

Yeah, actually.

Smoke?

If you must.

I'll be fine.

Your daughter is
flying in tonight.

Goosebumps.

You want, you want me
to get you a blanket?

No. Goosebumps, our horse.

How did she do?

Oh, oh, oh...I don't know.

Never mind.

Jerry, would you call the morgue
to pick up Suzanne Alner?

‐ I already did.
‐ Who put those here?

I did, someone threw
them in the trash.

They're perfectly fine.

Yeah. Mm.

Yeah, this is
Dr. McGrath speaking.

Yeah, Tuesday at 3:00
will be splendid.

Go for it, dude.

'Who's there?'

Hey, it's me, Peter.

'Peter who?'

Ha ha ha. Very funny, Carla.

'What do you want, Peter?'

I want to know how you
and the baby are doing.

'We're fine. See you.'

Carla.

I know things haven't been
right between us.

But I'm here and I'm trying
to do the right thing.

I want to support you
through this, Carla.

I want, I wanna be a father
to my kid, you know?

Carla...oh, excuse me.

Can you hold
that door, please?

Thank you.

Come by Saturday morning.

I could use some help
around the house.

Alright, I'll be here.

‐ Hey.
‐ Hey.

‐ You know what I hate?
‐ Uh, Maggie Doyle?

No, I don't hate her.
I just hate that she's right.

‐ About what?
‐ She's younger than me.

Yes, you're right
she's younger‐‐

We grew up in the
same neighborhood

and now she's a doctor,
I'm a nurse

I gotta take orders from her
all day long and I hate it.

You‐you're very competitive
person, you know that?

Well, I can't help it,
every time I look at her

I'm just reminded that she
got through medical school.

I can't even get
through the door.

You can get
through my door.

Anything in a bra can
get through your do‐‐.

No, no, I've, I've reformed,
ask anyone.

Alright, kids,
right on time.

Uh, she wanted to stay
for the best‐dressed contest

but I said, "No, Bets.
Your surgery's more important."

You're a good man, Jeffrey.

Thank you, Dr. Ross.

This was the best
night of my life.

Me too.

‐ I got to go.
‐ Goodnight.

Goodnight.

Which means if you live
close to a river

you need to keep
a close eye on this.

Rach? Rach, come on.

It's time to go home.

‐ I'm tired.
‐ I know, sweetheart.

It's late.

Can you carry me?

Yeah, yeah, sure.
Grab hold.

There we go.

Mark, I've got
a great case here.

Guy with takayasu's arteritis

on a dual‐chamber pacemaker.

Make a good article.

Tell Kerry
to take it, okay?

Going home.

Carter.

You're on probation

but you're still
in the program.

Thank you.

Thank Dr. Anspaugh.
I wanted you kicked out.

John Carter is not
a law unto himself.

I hope you've
learned that.

You won't get
another chance.

‐ Hi.
‐ Hi.

Can I come in?

Sure.

Come in.

I was just
finishing dinner.

‐ You hungry?
‐ No, thanks.

So...uh..

...you haven't been here.

What do you think?

Well, uh, honestly,
I'm glad I got the house.

Look, I'm sorry
about this morning.

No, you did a nice thing,
I was rude.

I'm the one
who should apologize.

It's okay.

You don't...really think

that our marriage was a disaster

from start to finish, do you?

We had a good beginning.

The middle wasn't bad.

Yeah, you're right.
We had a pretty good middle.

The end was my fault.

'And when I think about it'

I‐I don't blame you
for hating me.

I don't hate you.

I don't want
to be angry anymore.

I don't want to be
that kind of person.

I never meant to hurt you.

Hey...hey, come on.

No tears, okay?

'Cause I‐I'll start going..

I've missed you.

I miss you.