ER (1994–2009): Season 3, Episode 19 - Calling Dr. Hathaway - full transcript

Previously on "ER."

ER's a cakewalk
compared to surgery.

You and your husband
must be very excited.

It's just me and the baby.

I love having
Rachel around.

We haven't got the
routines down yet

but you know she
seems happy.

I can't wait till
mommy gets back.

What makes you think your
judgment's superior to mine?

I don't.

Why did you order a
glucose tolerance test?



Everyday I think of another
test question

and when I go to look it up,
I find out I got it wrong.

I wanna support you
through this, Carla.

I wanna be a
father to my kid.

Hey! What's going on?
What are you doin'?

I didn't know
you were in here.

‐ Do you mind?
‐ I thought you were at rounds.

‐ What time is it?
‐ 6:35.

Oh, oh God!

Anspaugh's gonna kill me.

Where's my, uh..

Give me my thing,
my stethoscope.

Uh, here, take mine.

Did you brush your teeth?



‐ Yes, dad.
‐ Did you floss?

‐ Yes, dad.
‐ Alright.

I was just checking.

See, I told you I could
make a good breakfast.

You're wearing your
brownie uniform.

It's Thursday.

Was I supposed to talk
to your troop today?

I'm sorry, sweetheart.

I‐I forgot to
change my shift.

‐ You promised!
‐ I have to work today.

'Can I do it next week?'

I knew you'd forget.

Listen, I don't have
to work Saturday.

'How about we go to Six Flags
ride the roller coasters?'

Dr. Edson present the case.

The patient is
fluid‐overloaded.

I gave her a Lasix sandwich
to reduce the ascites.

Oh, Dr. Carter.

How nice of you to join us.

What would you do
with Mrs. Pritzker?

What's her problem?

'As Dr. Edson
has just finished'

'saying she's fluid‐overloaded.'

Well, I, uh, wouldn't give
her anything to drink.

Let's continue our discussion
of diuresis, shall we?

Carter, what electrolyte
imbalance can

result from giving Lasix?

Hypokalemia.

Where does Lasix
affect the kidney?

At the loop of Henle.

‐ Ascending or descending limb?
‐ Ascending.

Where does Lasix
get it's name?

‐ I don't know.
‐ It lasts six hours.

Ah.

Dr. Ryke, present the next
patient, please.

'Looks like we've got an
interesting case here.'

Man, what did he
have for breakfast?

Me.

Hey, Carol, hey.

‐ Good mornin'.
‐ Says who?

Oh.. Guess I'm not gonna
ask how your day's going.

I got my MCAT results.

And?

I never should have
taken the test.

I don't know what I
was thinking, you know.

That you wanted
to be a doctor?

Why didn't you talk
me out of it?

‐ How bad did you do?
‐ I don't know.

Haven't opened it yet.

Are you nuts?
You gotta open that envelope.

No, I'm just not in the
mood for any bad news.

Okay, I know.

Let's see what I'll do,
I'll open that envelope.

Doug! Give it back.

Hey, does anybody have
a letter opener here?

Come on, Doug.

Doug, don't you dare.

‐ Doug..
‐ Good morning, Dr. Einstein.

‐ 'Einstein?'
‐ Excuse me?

I guess we'll have
to move fast to beat out

the other med schools.

‐ What?
‐ Your MCATs.

I'm on the admissions committee.

‐ They sent us your scores.
‐ You gotta open it up.

Uh, look don't consider
the Ivy League until

you've taken a good
look at our program.

We'll talk later.
Maybe lunch, huh?

‐ Oh, my God.
‐ 85th percentile.

Oh, my God.

Looks like Carol Hathaway's
going to medical school.

'So, you disappointed
the Brownies.'

I blew it,
I forgot I had to work.

Tough being a
doctor and a daddy.

‐ That's what Jen used to say.
‐ I rest my case.

Mark, I put you on the schedule
for Saturday seven to seven.

I can't
I got plans with Rachel.

There's no one else.

Walters and Foster
are on vacation.

‐ At the same time?
‐ Mark approved the schedule.

‐ Can't you cover for me?
‐ I've got the graveyard.

You blew it again.

Put the lancet in the pen,
put your finger on this end

and then push the trigger.

Okay, is this
absolutely necessary?

Yeah, yeah, you have
gestational diabetes

you need to test your
blood four times a day.

‐ Just get it over with.
‐ Um‐hm.

‐ Ow.
‐ Alright, now.

After you calibrate the machine
then you put in a strip, and

apply a drop of blood,
and wait for a reaction.

‐ Slow down.
‐ Alright.

Now, a blood glucose of 120
is where you want to be.

160 is too much, anything under
80 means you need to eat.

‐ You want me to write it down?
‐ No, no, I got it.

Okay. 210, alright, uh,
you need a shot of insulin.

‐ Where is it?
‐ The nurse is bringing it.

She'll be here
in an hour?

No, she's gonna be
here at 10 o'clock.

Okay, you'll be fine.

Alright, I got to go.

Already?

Yeah, I'm late for work.

Just go.

Hey, Carol, they need a
puke cleanup in Three.

‐ Why, thank you, Jerry.
‐ Hey.

Your puke‐cleaning
days are nearly over.

Yeah, reason enough
to go to medical school.

‐ Who's going to medical school?
‐ Carol.

She hit a home run
on her MCAT's.

‐ No kidding.
‐ Congratulations.

Hey, don't forget us when
you're in the big house.

‐ I haven't even applied yet.
‐ Jerry, what are you doing?

I saw a mouse by the elevator
soon to be deceased.

‐ Sounds like Heidi.
‐ You know this mouse.

Yeah, Dr. Russell in
the genetics lab lost

one of his gene‐knockout
founders.

‐ His what?
‐ Genetically‐engineered mouse.

He said it's worth
half a million bucks.

‐ You're kidding.
‐ There's a $5,000 reward.

‐ Dead or alive?
‐ Alive.

Jerry, it's worthless
if it's dead.

Carol, can you watch the phones?

It's not my job, Jerry.

Oh, I'm on break.

Uh, no, no.
Doctors don't do phones.

How were rounds?

‐ I got massacred.
‐ Aah.

‐ Anspaugh?
‐ Exiled me down here.

Ever since I second‐guessed
him he's been out to get me.

What are you doing?

I'm practicing
laparoscopic maneuvers

in case I ever get
back into surgery.

‐ 'Cool, can I try?'
‐ 'Yeah, here.'

Just put your hands
through those graspers.

Okay.

And you just try, and stack

the dice one on top
of the other.

‐ This is tricky.
‐ Try tying knots.

Carter, Benton needs
you in Trauma Two.

Mind if I tag along?

No, be my guest.

Hold still, Mrs. Meeks,
looks like you've

got a small fish
bone down there.

‐ Jerry, turn off the light.
‐ I can't.

‐ I'm looking for Heidi.
‐ We're the only ones in here.

Oh, Heidi's a mouse.

‐ A mouse?
‐ Yeah, a mutant mouse.

Jerry, we're in the
middle of an exam.

‐ Don't mind me.
‐ Oh, there it is.

Ah, Heidi.
Don't be afraid.

'Uncle Jerry
won't hurt you.'

Hey, what'd you do that for?

There you go.

Open wide.

‐ Hey, Doug?
‐ Um‐hm.

How much did you have
to borrow for med school?

Uh...110 grand.

‐ Oh, my God.
‐ Yeah.

How long did it
take to pay it off?

Are you kidding, I'll be
paying it off for 15 years.

‐ I've got a sick kid here.
‐ Yeah.

He was asleep in his crib.
I couldn't wake him up.

‐ How long was he down?
‐ Two minutes.

Couldn't get an IV.
Gave epi down the tube.

‐ Alright.
‐ Excuse me.

Joel has a hypo‐plastic
left heart.

They put a Blalock
shunt in last month.

‐ He was doing fine.
‐ What's your name, ma'am?

‐ Andrea Thompson.
‐ One, two, three.

I'm Carol Hathaway
this is Dr. Ross.

Give me an arm board,
and a 22‐gauge angiocath

I'll start an IV.

'His surgeon's
name is Dr. Lewis.'

His cardiologist is Ferris,
and pediatrician is Vargas.

Hook up a 12‐lead
and get an echo.

He's on dig, Lasix
and potassium.

Chuny, would you escort
Mrs. Thompson out of here?

‐ Come on, sweetheart.
‐ No, please, I want to stay.

‐ Carol?
‐ Alright.

But, uh, you stay back
there we need to work.

I'm in, Bolus 100 of saline.

Did he clot off his shunt?

‐ He may have, blood gas kit.
‐ What's that for?

Ma'am, I don't have
time to explain

everything to you
right now.

‐ She shouldn't be in here.
‐ It's her child.

Chuny, get this
up to the lab.

Bullet missed the spine.

Renal artery is intact.

More four by fours
he's still bleeding.

Let's hang another
unit of O‐neg.

Dr. Benton, Carla Reese
on the phone

she says it's kind
of an emergency.

‐ When I'm done.
‐ Okay.

‐ Damn, this isn't working.
‐ Where's the source?

‐ Soft tissue arterials.
‐ Lost the BP.

‐ Third unit's in.
‐ He's bleeding out.

Hey, Maggie, get me a
Foley and some saline.

What you gonna do?

If I insert the Foley,
and inflate the balloon

the pressure might
stop the bleeding.

Alright, do it.

‐ Foley going in.
‐ Inject the saline.

Coming right up.

Where did you learn
this one, Carter?

‐ Journal of Trauma?
‐ People Magazine.

A story of a little girl
got stuck in a well

trying to rescue
her puppy.

Paramedic thought this up.

‐ What happened to the puppy?
‐ Don't ask.

‐ He's coming around.
‐ Alright.

‐ Let's get him back over.
‐ I got a pulse.

Alright people, let's
get him up to the OR.

‐ Good work, Carter.
‐ This is gunshot?

‐ Yeah.
‐ We'll take it.

‐ Can I, can I scrub in?
‐ We've got it.

You know, actually
Carter figured out a way

to tamponade the
bleed with a Foley.

‐ He saved the guy's life.
‐ Is that so?

Hold that elevator.

Edson, take his history,
get him prepped.

‐ Let's go.
‐ Yes, sir.

Can't win them all, Carter.

Man, are you
in the dog house.

Got the blood gas.
7.23, po2's 90.

‐ Call respiratory for a vent.
‐ Can't get a BP.

‐ Lost his pulse.
‐ What's wrong?

Chest‐tube tray,
tension pneumo.

‐ What are you doing?
‐ 18 French.

Carol, what's happening?

‐ His lung collapsed.
‐ Well, what is he doing?

‐ 'He putting in a chest tube.'
‐ Why are you cutting him?

Carol, poke a Kelly
in here, will you?

IV's infiltrated.

Have to do
a femoral cut‐down.

Will, somebody tell me,
what the hell is going on here?

Cut‐down tray, please.

Carol?

Come with me, Mrs. Thompson.
I'll explain it.

No, I‐I wanna stay
with my baby.

Not now, the doctor
needs to work.

Come on.

We've put a chest tube in
to re‐expand his lung.

And now, Dr. Ross is
giving Joel fluids

through a catheter
in his leg.

When the doctor's done,
can I come back?

Yes, but right now, it's best
if you wait in here, okay?

If he gets sicker,
come get me.

I don't want my baby
to die alone.

I will.

‐ Jerry, what are those things?
‐ Humane traps.

I borrowed them
from the lab.

‐ We're trying to trap a mouse.
‐ We?

Can you move 'em off the counter
there's no place to work.

Why not just call
an exterminator?

'Cause the mouse in question
is worth half a million bucks.

I got a hot one.
Brenda Smythe.

‐ What's the problem?
‐ Uh, well, uh.

'My wife, and I
were camping‐‐'

I needed to urinate, and
I found this old bucket.

Alright, let's get
Mrs. Smythe to a room.

Why didn't you go
in the bushes?

‐ That's irrelevant.
‐ And you are?

‐ Uh, her husband, John Smythe.
‐ And you are?

‐ Mark Greene.
‐ Oh.

Is Joel alright?

His blood pressure's up
and his vitals are good.

‐ Is he conscious?
‐ No, not yet.

I wanna talk to the doctor.

He's doing an
echocardiogram right now

but he told me to tell you that
he's giving Joel fluids

and he expects him to regain
consciousness anytime soon.

I wanna be there
when he wakes up.

He gets scared
when I'm not there.

I'll come and get you as soon as
Dr. Ross finishes the test.

Is there anything
I can get you?

A cup of coffee or
something to eat, maybe?

No.

‐ Thank you, Carol.
‐ Okay.

Why'd you let Edson
steal your thunder?

It's not like
I had a choice.

You made the save.

When Anspaugh
gives an order

you smile, and
nod your head.

Man, you couldn't pay me
enough to be a surgeon.

Ah, it's not that bad.

Too cut throat.

Besides, they're all jerks.

No offense intended.

None taken.

Could you get me
some crutches?

Think I saw some
in the hall.

Sure.

Carla, I can't just take off.

Can't you call another nurse?

Yeah, okay, okay look
just calm down.

Alright, alright,
alright, I'll be there.

Uh, I'll pick up some insulin.
I'm on my way.

‐ Damn it!
‐ Everything alright?

‐ Listen, I got to go.
‐ Go!

Yeah, if you have
any problems

uh, check with
Green or Weaver.

Do me a favor, go upstairs
and check on my post‐ops.

I'll be back in an hour.

Ow!

'I'm sorry, Mrs. Smythe.'

It seems to be really stuck.

Must have created a vacuum.

What do you intend
to do about it?

I'm thinking, thinkin'.

Maybe, we could we
grease up a Foley

slide it in to break
the suction?

Uh, I need a church key.

‐ 'What?'
‐ 'A can opener.'

Maybe the kitchen has one.

Um, Ms. Wilkerson has a
Swiss army knife.

I thought you said
her name was Smythe.

Pet name.

Aah.

Here's your bucket,
Mr. Smythe.

Thank you, doctor.

‐ Carter?
‐ What?

It's Gunderson, the
gunshot, you admitted

him through ER, right?

‐ Yep.
‐ He's tachycardic.

BP's down to 60 palp.

Any surgical complications?

No, he was doing fine

and then he started gasping.

‐ What's he on?
‐ Morphine and Ancef.

‐ His tongue's swollen.
‐ What's going on?

Looks like an
allergic reaction.

‐ Where's Edson?
‐ In surgery with Anspaugh.

Okay, let's give epi,
three mils of one in 10,000 IV.

Give me a trach kit..
He's in respiratory arrest!

Betadine!

Needle.

Introducer.

Sat's falling.

I'm in, hook him up.

Pull Edson out of surgery.

I wanna talk to him now.

BP's up to 80.

Hey, look, the little
guy's wakin' up.

Hi, Joel.

Don't be afraid, your
mommy's right outside.

He's still got PVC'S.

Let's give him another
ten of procainamide.

Can we bring the mother
back in I told her

I'd get her as soon
as he woke up.

Wait, few minutes until
the procainamide kicks in.

'Carol, I got a
great case for you.'

Pseudocyst with
acute pancreatitis.

Oh, I can't,
I've got to push some meds.

‐ 'Let the nurses do that.'
‐ Yeah, let us lifers push meds.

You go play doctor.

It's okay, go ahead.
He's doing fine.

Alright, as soon as he's
stable bring the mom in.

You got it.

Wait till you see this
she has the biggest

pseudocyst I've
ever appreciated.

Now, they told me
they were gonna

send another nurse
at 4 o'clock.

But I didn't think I
should wait that long.

No, no, no, you did the
right thing by calling me.

Okay, and I'm sorry
you had to leave work.

It's okay.

Now pull your robe back.

I have to inject
this in your thigh.

Okay.

How often do I
have to do this?

‐ Twice a day.
‐ Okay, now, are you watching?

‐ Yeah, mm‐hmm.
‐ Alright, now.

Just stick the needle in..

...and push.

There you go.

I hate that push part.

Now do you think you can, uh,
do this by yourself next time?

Why, are you going
back to the hospital?

Yeah, I gotta get
back to work.

Make sure you eat something
in a couple of hours.

You don't want your blood
sugar getting too low.

Oh, gosh.

I'll have to go
to the grocery store.

No, no, what you doing you're
not supposed to be on your feet.

Oh, what else am I
supposed to do?

What about your sister?

Her little one's got strep.

It doesn't matter,
doesn't matter.

I can be down there,
and back in 15 minutes.

No, um...I'll do it.

Peter, no, you go back
to work, please.

Go back to work.

Carla, I said I'll do it.

Never mind, if you're gonna
get snippy about it.

Who you calling?

Uh, yeah.
This is Dr. Benton.

Listen, uh, tell Anspaugh
that I had a family emergency.

I'm taking a personal day.

'No, no, no.
I don't need to speak to him.'

'Just, uh, just give
him the message, please.'

Thank you.

What happened?

Anaphylaxis.

He almost died.

What did you give
him post‐op?

Uh, Ancef.

‐ He's allergic to it.
‐ What?

He's allergic to the
antibiotic you gave him.

Didn't you take
a history?

I thought you took one.

Don't give me that crap.

Anspaugh told you to do it.

Oh, I took
a full history.

Patient never mentioned
any allergies.

Then why is this space
under "Allergies" blank?

You better think up
an answer, Dr. Edson.

Anspaugh's gonna want one.

‐ Ow!
‐ Just a little bit further.

‐ There we go.
‐ Ah, oh.

‐ Aah.
‐ Alright.

We have an excellent faculty,
Carol, two Nobel laureates.

And I'd say you can't
beat our attending's.

What are the primary causes
of acute pancreatitis?

Oh, Kerry, I, uh, you're
putting me on the spot here.

Well, if you're gonna
be a med student

you better get
used to it.

Um, alcohol
and gallstones?

Excellent.
Now, you try.

Go on.

You feel the pseudocyst?

I'm not sure.

‐ Ow!
‐ Sorry.

Use both hands
and press hard.

‐ Ow!
‐ Sorry, sorry.

‐ No, like this.
‐ Ow!

‐ Sorry.
‐ You feel the cyst?

Yeah, I think so.

Order two more units of blood
for the kid in Trauma One!

Excuse me, Kerry.

Wait, I‐I wanna teach you
how to do an ultrasound.

‐ 'His SAT's are falling.'
‐ Oh, my God.

He thrombosed his shunt,
I'm trying to repair the graft.

We've lost the rhythm.

‐ How long has he been down?
‐ Ten minutes.

‐ Why didn't you get his mother?
‐ Doc said not to.

‐ I'm getting her.
‐ No, I don't want her in here.

‐ Doug, I promised.
‐ Carol.

I've got this boy's
heart in my hands.

I cannot have her in
here over my shoulder.

I'm getting her.

Is Joel awake?

‐ Come quick.
‐ What happened?

Joel had a blood
clot in his shunt.

It sent him into
cardiac arrest.

The doctor had
to cut open his chest.

Oh, my God.

Andrea, it's really
bloody in there.

Are you sure you
wanna see this?

Okay, come on.

Time of death?

11:52.

Oh!
Oh, my god!

Oh, my God!

I thought he was
gonna make it.

Aah, I feel awful.

You know, I promised the mother
I wouldn't let him die alone.

There was no way of knowing
he'd go so fast.

Yeah, but I should
have been there.

Instead, I was off with
Kerry appreciating a cyst.

‐ Dr. Ross?
‐ Yeah.

A kid with a fever in Five.

Alright, you want
to do this?

Um...no,
I'm not done yet.

Andrea, I'm so sorry.

I called the mortuary.

They're on their way.

What am I gonna do
with all his clothes?

I can give them
to my sister.

Would you like to see him?

Hold him one last time?

The doctor closed his wound.

I have to make a call.

The call can wait.

Andrea, I know this is hard..

...but I've learned that
parents need to say good‐bye.

Come on.

Don't worry, Mr. McCollum I'll
have you stitched up in no time.

Leg hurts like hell.

I'll get you some lidocaine.

Hey.

What kind of dump is this?

‐ There's a rat.
‐ That's Jerry's mouse.

Tomorrow, I'm
bringing in my cat.

Board of health ought to
close this place down.

Well, I sure could
use the time off.

‐ Aah.
‐ What's wrong?

‐ My foot.
‐ Are you alright?

Damn it, it's one
of Jerry's stupid traps.

Wendy, grab hold.

On my count
one, two, three.

It‐it's not coming.

‐ Where are the wire cutters?
‐ In the suture room.

Tell Jerry to get these things
out of here before I kill him.

Where's Benton, he was
supposed to be back hours ago.

I heard he took
a personal day.

Dr. Benton?

Carter..

Dale alerted me that
Mr. Gunderson

had a crisis earlier.

‐ I'm glad he told you.
‐ Anyone have his chart?

Yeah, right here.

Hmm, a nasty little
anaphylactic reaction.

‐ That's right.
‐ You think it was caused by‐‐

The antibiotic given
post‐operatively, Ancef.

Doesn't look like there's
anything we could've done.

Excuse me?

Patient states
"No known drug allergies."

‐ That your handwriting, Edson?
‐ Uh, yes, sir.

‐ Can I look at the chart?
‐ Certainly.

A proper, thorough history

best defense
against malpractice.

Good work.

I thought this would
be more comfortable.

Thank you.

Do you wanna hold him?

You take all the
time you need.

You're back.

Um, he‐he got a‐a button
stuck up his nose.

Well, that's pretty unusual.
How'd it get there?

I was just, I was wiping
my nose on my cuff

and I felt an urge
to sneeze

and I inhaled the button.

The button's still
on his cuff.

He changed his shirt.

Perhaps an ear, nose and
throat specialist is in order?

Perhaps not.

Why don't you lie
back, Mr. Smythe.

W‐what are you doing?

I want you to hold the
unblocked nostril closed

while I put this mask
over your mouth.

Don't worry, it's
not gonna hurt.

Haleh, can you hold the
basin under his chin?

Alright, just relax.

‐ Oh.
‐ Very impressive.

Uh, huh.

‐ May I, may I, keep the button?
‐ Sure.

You sit tight while I get your
discharge papers.

Can you get a psych
consult down here

before they hurt themselves?

Amen.

I'd go with the
turkey tetrazzini.

Hey, Jackie,
how you doin'?

What are you doing here?

I'm shopping.
What does it look like?

In the middle
of the afternoon?

‐ I took today off.
‐ In your scrubs?

Peter, you never
take a day off.

Well, actually, I had to
leave Carla needed me.

‐ Is she alright?
‐ Yeah, yeah, yeah.

She just needs
to stay off her feet.

Ooh, boy are
you in trouble.

What, it's just for today,
her sister couldn't make it.

Yeah, you may think
it's just for today

but a pregnant woman
needs a lot of help.

When I was pregnant
with Steven I had

Walt cooking and
doing the laundry.

Jackie, it's crazy
I'm telling you, I mean..

It's like she's
a different woman.

It's just the
hormones, honey.

You know, one time

'Walt switched the channel
in the middle of Oprah.'

I chased him out of the
house with a croquet mallet.

Yeah, well,
I'm losing it.

I'm so proud
of you, Peter.

Taking the day off
to help her out like this.

Will you be able to take off
more time from the hospital?

I don't know, I hadn't
thought about that.

Well, start thinking.

Who's Carla gonna depend
on if you're not around?

Yeah.

Come on.

Let's go down
to the baby section.

You've got a lot
to learn.

Looks like he got it
with an ice pick.

‐ I'll get him undressed.
‐ Carol, let Chuny do that.

‐ No, I got it.
‐ No.

I want you to assess
the patient.

Start with the
ABC's, Dr. Hathaway.

His airway is patent.

His breathing shallow
appearance dusky

I'll get
the intubation tray.

Chuny can do it.
You're gonna intubate.

Okay, Carol, take a
deep breath and hold it.

If you run out of breath,
you're taking too long.

'Enter laterally sweeping
the tongue out of the way'

don't rock back,
you'll break his teeth.

‐ Can you see the epiglottis?
‐ Mm‐hmm.

Good.

Okay, now visualize
the cords.

Can you see 'em?

Pulse ox is falling 89.

You're doing
great, Carol.

Make sure you
lift the scope

Forty‐five degrees.

Good job.

Let's get him to X‐ray.

Wow, looks like Kerry
got a new pet.

Stop it, Chuny.

You actually saw her jam
the button up his nose?

And before that, she had a
bucket stuck on her butt.

What do you think's
wrong with them?

Sounds like
they're nuts.

'Button extraction
response time?'

'Um, 7.5 minutes.'

Mr. and Mrs. Smythe,
this is Dr. Pomerantz.

Psychiatric consult,
I presume?

Yes.

Well, we've been
expecting you.

As you no doubt
have ascertained

uh, Brenda, and I are

not what we appear to be.

‐ What are you?
‐ Uh, John Smythe.

And Brenda Wilkerson.

Um, clinical researchers.

'We're conducting a
study on creative'

'problem‐solving in
emergency departments'

and we found that
foreign body extractions

elicited the greatest
range of responses.

Yes, and I must say,
Dr. Greene you came up

with the most innovative
solutions we've ever seen.

'Oh, man, over at Mercy
the button in the nose'

took five hours,
and two consults.

Wait a minute.
They wanted to operate.

Just who is sponsoring
this study?

Uh, an independent consortium
of health care professionals

and, uh...
those in government.

The highest levels
of government.

No promises but you might be
contacted by HRC.

‐ Hillary.
‐ Oh.

Well, if she ever gets
her ass stuck in a bucket

she'll know who to call.

Well, I'll tell
her you said so.

Okay.

What you doin' out here?

‐ Hiding.
‐ Me, too.

You're a smoker!

A secret smoker.

Don't tell anyone.

‐ So who died?
‐ What?

Why the long face?

Edson falsified a chart
to cover his ass.

You're kidding.

Forgot to take
a patient history.

The patient almost died
from an allergic reaction.

Anspaugh must have roasted
his butt for that.

I didn't tell him.

You didn't?

Would you have?

Hell, yeah.

I mean, changing a
chart's unethical

not to mention illegal.

Surgeons don't rat
on each other.

You know, it's
like the Marines

"All for one, and one for all."

That's the Three Musketeers.

You know what I mean.

You gotta be, you gotta
be a team player.

Anspaugh gave me that
lecture last week.

I think you're scared.

Ahem, well, we'll
be in touch.

Bye, super doc.

‐ Bye.
‐ Bye.

What a couple of kooks.

‐ They can make you famous.
‐ Please.

What, you could be known
at the highest levels

as the most innovative
doctor in the country.

Tell that to my daughter.

‐ What'd you do now?
‐ I stood up her brownie troop.

‐ Yikes.
‐ I know, I know.

I just can't seem
to get it together.

You mean to tell me that
"Super doc" can't figure out

a way to keep his
brownie commitments?

Carol, we've got
an intoxicated gentleman

who needs an
NG tube, you interested?

Wait, wait,
you can't go in there.

Why not,
there's a free bed.

This woman needs
to be alone.

Her child died today.

Your compassion
is admirable, Carol

but we've got a board full
of patients we can save.

‐ We need to put them somewhere.
‐ Treat the drunk in the hall.

The drunk is a
patient, too.

You've done it
before, Kerry.

When there were no
beds available.

Well, there aren't
any beds now.

Carol, if you're going
to be a med student

you've gotta stop
thinking like a nurse.

Well, I'm not a
med student yet.

CBC, chem seven.

Type and cross for four.

‐ Hey, Maggie.
‐ Is this the surgical belly?

Yeah, but I already
called upstairs'

I didn't know you
were down here.

Might as well
get started.

'What's the story?'

Painter fell off his scaffold

did a 20‐foot belly flop
onto a Volvo.

They say Volvo's
are the safest cars.

Alright, Edson,
start a central line.

Carter,
do a peritoneal lavage.

I'll get the DPL kit.

Carter, what are the criteria

for a positive diagnostic
peritoneal lavage?

Red blood cell count
greater than 100,000.

White blood cell count
greater than 500.

And if you can read a
newspaper through the fluid

It's negative.

I love those little pearls.

So, Dale?

Weren't you going
to give Dr. Anspaugh

some new information
about Mr. Gunderson?

‐ John filled me in.
‐ What?

The patient with the
allergic reaction?

Is there more to it?

Uh, as a matter of facts I
called Mr. Gunderson's mother

and briefed her
on the situation

and she'll be flying
in from Louisville.

Good, looking after the
patient's emotional state.

Is that it?

‐ That's it.
‐ Really?

John said there was more.

Something I should
know about?

Um..

No.

DPL, is positive.

‐ I'm in.
‐ Alright.

Let's get him up
to surgery.

Edson, we'll start
with an ex‐lap.

If he needs a splenectomy,
you'll do it.

Let's move him.

Well, you sure told him.

Liar, liar,
pants on fire.

Save it.

So, they teach
forgery at Harvard?

Go to hell.

What'd you say?

Look, John, all I did was make
an adjustment to a chart.

‐ Is that such a big deal?
‐ I don't know.

Why don't you run it
by Anspaugh

see what he thinks?

I can't do that.

Sure you can.

Look, if this goes
on my record my chance

for a fellowship are zilch.

You gonna make
me tell him?

John..

...please.

I'll do anything you want.

I'll put in a good
word with Anspaugh.

Anything.

Look, I'll make it
up to you.

I don't wanna have
anything to do with you.

If you ever try anything like
this again I'll bury you.

That's a promise.

These are
resuscitation paddles.

If someone's heart
stops beating normally

or has a strange rhythm

we zap them with a
surge of electricity

to get it going
like that, buzz.

It's kind of
like "Frankenstein."

Mark, got an MVA, coming in.

Kerry's got it,
but we need the room.

Alright, who wants to go
look at blood cells

under the microscope?

‐ I do!
‐ I do!

Alright, let's go to the lab.

Thanks, dad.

Very creative.

So I've been told.

How would you like
to go out with the

most innovative
doctor in the world?

I would be honored.

You like bowling?

"Like" may be too
strong a word.

Well, I got to take Rachel
maybe Emma could come, too.

Oh, it's that
kind of date.

It's the best
I can do.

Guess I'll just have to dust
off my bowling shoes.

You own bowling shoes?

There's all sorts of things you
don't know about me, doctor.

Thank you Carol for letting me
have this time with my baby.

Is there someone
I can call?

My sister's on her way.

I used to say this prayer
with Joel every night

"Now I lay me down to sleep

"I pray the Lord
my soul to keep.

"If I should die before I wake

I pray the Lord
my soul to take."

No, you think I'm a coward?

Who am I to say?
I'm not a surgeon.

'You guys got your own rules.'

Maybe that's just a load of crap
and I'm hiding behind it.

I don't know what to do.

'Maybe you should talk
to another surgeon.'

Yeah, right,
they'll all so empathetic.

There's got to be somebody
whose judgment you trust.

You think I should
talk to Benton?

I would.

‐ How about a Heine?
‐ Beer?

I keep a couple in the back
for when I get off work.

You know, you're great.

So are you.

Seriously.

'I mean, you're honest..'

You're funny..

..you're beautiful.

I don't suppose that you..

Not a chance.

Cheers.

Cheers.

These things cost
60 bucks a piece.

Who's gonna pay for this?

Take it out
of your reward.

No trap, no mouse,
no reward.

He's under there.

She's under there?

Oh, no!

You killed her.

I didn't mean to.

She's still breathing.

She is?

‐ How much is that reward?
‐ Five grand.

Wendy, get a pediatric O2 mask,
the smallest you can find

and 5cc's of Dopram.

‐ And hurry.
‐ Jerry.

Start mouth to mouth
resuscitation.

‐ You're kidding.
‐ I was a vet in high school.

I saw them resuscitate
a guinea pig.

What, I'm not breathing
in a rat's mouth.

Alright, I will,
but we're splitting the reward.

Hook the mask up
to five liters O2.

She moved.

Think she's gonna
be alright.

I'll just take her
back up to the lab.

‐ Nothing doin'.
‐ Give me the rat.

No, I'm taking her back,
and collecting our reward.

‐ Whoa, 50‐50, right?
‐ Wrong.

I'll give you ten percent
for being in the room

while we resuscitated her.

Take it or leave it.

Damn it!

I'm headin' out.

Is Dr. Benton
coming in tomorrow?

Yes, he asked for his
surgery schedule

and copies of his
patients' charts.

We're sending them
over by messenger.

‐ Is this them?
‐ Yup.

Hmm. Must have moved.

Tell you what,
cancel your messenger.

I'll take these to him myself.

I've to talk to him anyway.

Lily, are you up for
Crockett's after work?

‐ It's nurses' night.
‐ Sure, I'm in.

‐ Me, too.
‐ Chuny, how about you?

‐ Be there or be square.
‐ Alright.

Hey, I hear you intubated
a guy like a pro today.

Oh, yeah, Kerry's been trying
to show me things all day long.

Made me feel just
like a beginner.

You know, the truth is I'm
really, really good at my job.

So why do I want
to change that?

‐ Watch me, mom.
‐ Yes.

Good try, honey!
What's the score?

That would be
two‐one, still.

Oh, we could be
here all night.

Did you get all
your paperwork done?

Uh, I am going
to be up late tonight

but I can access my patient
reports on‐line, so..

...figured it's
worth it then.

Easy, easy, honey.

Yikes.

So, think they're
getting along okay?

Uh‐huh.

'I think there's
something there.'

Yeah?

Well, I thought maybe we
should do this more often.

Next time without kids.

You read my mind.

That's my job.

Dad!
I got one!

That is great.
That is really great.

There we go,
it's two‐two.

One plate of spaghetti
marinara al dente.

Yes.

‐ Just one plate?
‐ Yeah.

Hospital's sending over
some charts so I got to, uh

go home and prepare
for tomorrow's cases.

Why don't you
do it here?

‐ I don't have my books.
‐ Well.

I'm gonna need another
shot in an hour.

Yeah, that's why I
taught you how to do it.

Fine.

Just go home.

Look, Carla.

Um..

Honey, I can't be
here all the time.

You said you wanted
to be involved.

‐ I am.
‐ Sure.

On your terms, as always.

You ever think about what
I need, what I want?

You never asked me what I want.

Now, what is that
supposed to mean?

Aah, nothing, baby.
Look, just, just drop it.

Uh‐uh.

You never wanted this baby.

What you talking about
I didn't say that.

No, but that's what
you meant.

Go home 'cause I don't
need you here

doing me no damn favors.

‐ What?
‐ Hey, Carla.

It's for you.

Carter, what are
you doing here?

I just came
to drop these by.

Oh. Thank you.

Goodnight, Carter.

'In the corner.'

Hey, girl, didn't expect
to see you here.

It's nurses' night out, right?

I thought Weaver was already
fitting you for a lab coat.

‐ Yeah.
‐ Well, white adds ten pounds.

I think I'll
stick to pink.

You having second thoughts
about med school?

No, let's just say I
really like what I do.

‐ Another round?
‐ You bet.

I'll get it.

‐ 'Alright!'
‐ 'Alright!'

‐ You wanna play?
‐ Sure.

‐ Alright.
‐ Come on, girl.

‐ 'It's a quarter a ball.'
‐ I think I can handle that.

‐ Go for it.
‐ Alright.

What am I, stripes?

Solid.

Two in the corner.

Alright.

Hey, alright!

'Whoo‐hoo!'