ER (1994–2009): Season 3, Episode 20 - Random Acts - full transcript

Jeanie asks Greg to help Al get into a special AIDS-program at the hospital. Olbes brings in her grandfather, who had a stroke.

Previously on "ER.."

Jeanie, this is Dr. Fischer
from infectious disease.

Hi.

If you still wanna
go to the light

we're gonna
need to leave soon.

I don't think so.

You don't know
a damn thing!

So why don't you back off?

And stay outta my face.

The truth is, I'm really,
really good at my job.

So why do I wanna
change that?



You never wanted this baby.

What are you talking about?
I didn't say that.

Just go home 'cause
I don't need you

here doing me no damn favors.

‐ Hi.
‐ Hi.

Can I come in?

Oh, my!

On the dance floor again.

Thank you, bubbles.

'Should I try a one?'

No. Use a three.
You got more control.

What did you get
on the last hole?

‐ Six, five.
‐ Uh, six.

Take a five.
Use your mulligan.



No, that was, uh,
six with my mulligan.

You know what you gotta do?
You gotta..

...go to the driving range
with me more often.

You.. You don't have
to carpool on Tuesdays, right?

Yeah, you know,
I think a, uh, car full

of screaming eight‐year‐olds
arguing over who's got shotgun

is less aggravating
than this.

Okay, you know what?

Straighten up your back,
like that.

Keep your head down,
I'll watch your ball.

Oh, you're in the fairway.

It's the wrong fairway,
but you're in the fairway.

I think it's this whole
doctor‐golf cliche thing

that's really throwing me‐‐

Buddy, you can't fight it,
you gotta play

nine holes twice a week
and then 18 on the weekends.

That way you'll be shooting
in the low 80s by Labor Day.

Dr. Benton, I see you have
a thymectomy scheduled.

Would you mind if I
gave it to Dr. Levin?

Uh, yes, I would.

Because the Doctors
Fecteau and Loesch

are looking for a resident
to assist them today.

On a transplant?

35‐year‐old with lupus.

Her brother is
giving her a kidney.

I thought you'd like
the opportunity.

Oh, yes, yes. I‐I would.

Dr. Carter can still
scrub in on the thymectomy.

Sure.

Unless, of course, uh..

...the transplant team
could also use Dr. Carter.

Perhaps Dr. Carter could assist
the donor's team. I'll ask.

‐ Alright.
‐ Dr. Benton, thanks.

It means a lot
to me that you‐‐

Carter, I'll see you
up there, okay?

Jeanie. Jeanie,
it's after seven.

Oh, my God.

Didn't my alarm ring?

Every ten minutes
for the last hour.

‐ And my seven o'clock‐‐
‐ Pills.

‐ Yeah.
‐ That's why I woke you.

I can't believe I overslept.

Here's some juice and toast
to take with it.

‐ You take AZT first, right?
‐ Yeah.

Then I can take my 9 o'clocks
on an empty stomach.

Thanks for
letting me stay..

...and for not
asking why.

Sure.

I didn't wanna be alone,
but I didn't feel right

calling anyone else.

I'm glad you called.

Minor meltdown, you know.

I was doing great
and then out of the blue..

...snuck up on me.

Yeah, I forget sometimes
for a couple of hours and..

...then I remember.

What's that?

Oh, they're playing around
with my meds.

Good news is, if I start
the day with this stuff

then I can work
in my Oreos at bedtime.

You still haven't outgrown
that Oreo thing?

Hell no.

Why are they adding
to your meds?

Is your viral load up?

I'm fine.

I gotta be on the job
in about an hour.

You wanna walk
to the El together?

Al, how are you doing?

You know, it seems I'm resistant
to something or the other.

What about some
of those new drugs

the nucleoside analogs?

Yeah, my docs are
trying to, uh

get me into a trial
study for those.

They only take 20 people.

Why didn't you tell me?

It's not your problem.

Well, I might be able to help.

I do know some doctors.

I don't wanna bother you.

I could probably
get you an interview.

Where's the study?

At county.

Some docs who work in,
uh, infectious disease

are running it.

It's a hassle.

No, no. It's, um..

‐ It's a simple request.
‐ Are you sure?

No problem.

'"She reached to hang his'

'"banana bag,
her breasts swelling'

'"under the pink
of her uniform.'

'"Carly. His voice
was hoarse with desire.'

"Call me Nurse Hallonan."

Carly Hallonan.
That's you, girl.

No, you gotta read
the part about

the gentle giant
at the admit desk.

You didn't mind
he was Neanderthal?

Oh, more brawn than brains.
He's a dude.

‐ Who wrote this trash?
‐ It had to be Randi.

‐ I found it under the desk.
‐ Or may be it was Lydia.

She had a poem in
"Good Housekeeping" once.

Yeah. It was definitely
written by a woman‐‐

‐ Wait, wait.
‐ No. No man thinks like this.

No. Listen to this.

"Witchcraft attracted
her as a child

"when Zulu tribesmen on
her father's game preserve

"tried sorcery
to heal her shriveled leg?"

‐ Oh, Weaver's in it?
‐ Oh, man, you're cruel.

"Now she aimed her spells
at fellow‐attending Martin Bean.

"She nightly stirred
and whispered in a frenzy

of jealousy, and yes, perhaps
a perverted yearning?"

‐ Yikes.
‐ You know what?

We should be careful
with this.

Yeah. People's feelings
could get hurt.

So how many copies
should I make?

Yeah. A lot.

Hey, that LOL in curtain
one's still waiting.

I'll get it.

'Water cannot
wash away prophecy.'

Yeah. Still, we're gonna
start with a shower.

Those who minister to
the anointed must shun

the flesh of pigs. Refuse
the carnal touch of any man.

No meat, no men,
I'm your woman.

And all we know will crumble
unto dust and the face‐‐

‐ Doyle, did you call psych?
‐ They're on their way.

You know, you really shouldn't
play into their delusions.

I was telling
the truth.

The world is delusion!

And truth shall reign upon thee
with fists of thunder.

‐ Okay, let's go take a bath.
‐ Rejoice, lost man.

Chaos is your destiny!

‐ I am the prophet..
‐ I'll be in curtain area one.

Okay!

Good. I thought
I was late.

You are.

Dr. Coburn's later.

Oh.

So how you doing?

I'm glad to be
out of the house.

Yeah, I know.
How was the cab ride?

You know, I would have
picked you up.

The cab ride was fine. I'm fine.

‐ Peter, I'm fine.
‐ Okay.

And the lamaze class,
you were able to reschedule?

I did, but I'm not gonna
need you to be there.

You're fired.

What are you talking about?

Peter, I cannot work with you.

The way you
bark orders at me..

"Twenty seconds. Blow."
Uh‐uh. Please. Nah.

No, no, no.

You're gonna scare this baby.
It's not gonna wanna come out.

Carla, look,
I didn't make up the drills.

Well, I'm planning on a birth,
not a military maneuver.

'Folks, I'm sorry.'

But Dr. Coburn's been called
into another delivery.

She's gonna be delayed
at least another hour.

Oh, damn!

Peter, it's okay.
I know you're working.

Yeah, but I wanted to ask her
about your iron supplement.

Go save a life.

Okay.

Um, I'll call you later, okay?

Are you kidding?
Look at all the typos.

You think I'd put out
something so sloppy?

Sorry.

I'm gonna go to Rachel's school
for a conference.

I'll be back before‐‐

'Oh, no! No.'

...only a couple
of inches of water.

‐ So he puts on his waders‐‐
‐ We used that in school.

Oh, yeah!
Two under after 15.

Is Doug's fellowship
in question again?

No, he's just
angling an invite

to play golf at Fair Oaks.

Anspaugh's a member there.

Dr. Ross has gone
to the dark side.

Help! I need help. I'm looking
for the emergency room.

You found it.

Look, my daughter's leg
was cut with a saw.

‐ She's bleeding a lot.
‐ I'm Dr. Greene.

Why don't you come this way?

Call Doyle. Have her
meet us in trauma one.

‐ I thought you were leaving.
‐ I am soon.

It's not that bad, daddy.

This is why girls
shouldn't take shop.

But it was
Jim Rentschler who did it.

I'm gonna take a look at it.

Jeanie, I got your message.

You didn't need
to come down.

Ah, it's my pleasure.
I called last night.

‐ You didn't pick up.
‐ I got in late.

‐ I need to ask a favor.
‐ Shoot.

Dr. Kramer in
the AIDS clinic is doing

a trial study
of nucleoside analogs.

‐ Yeah.
‐ Are they looking for subjects?

Jeanie, you're having
trouble with your meds?

No, no, no. I'm fine,
knock wood.

That's a relief.

‐ Wanna have dinner tonight?
‐ I can't.

You'll tell me if I
should stop asking.

Yeah. I have someone I'd like
to recommend for the trial.

I'll make sure any
patient you recommend

gets an interview
and I'll flag their file

if they fit the protocol.

That's wonderful,
but it's‐it's not a patient.

Actually, it's my ex, Al.

I'll get him an interview
this afternoon.

Thanks.

Irrigate, debride. Single layer
closure with 4‐0 nylon.

Sounds right.

You're lucky it
didn't cut deeper.

Was she talking
about stitches, doctor?

That's right.

You're in good hands
with Dr. Doyle.

Are you going someplace?

Yeah. I'm not on
duty right now.

You're leaving us
with a student?

Dr. Doyle is an intern.
This is a simple skin repair.

Another attending
will consult with her

if there are any problems.

Look, there's
already a problem.

I don't really
want an intern.

I don't want my daughter to end
up with a scar on her leg.

‐ Am I gonna have a scar?
‐ A small one.

But I am a majorette!

'Get a plastic surgeon
down here.'

Mr. Gunther, we don't
consult plastic surgeons

for lacerations
of this kind.

Well, for God's sakes, don't
stick us with a student doctor.

I am an emergency
medicine resident.

No, you're learning
on the job, dear.

This is a teaching facility
and a county hospital.

If you want to investigate
a plastic surgeon

on your own,
that's your right.

Oh, like I can afford that.

Dr. Doyle is fully qualified
for this kind of repair.

Now I'm running late,
so I'm leaving now.

Well, you're not the only one
that's leaving, Dr. Greene.

Alyssa, get your shoes on.

My daughter's injury
may be nothing to you

but I bet if it were your kid

you'd make sure
she got the best!

Yeah, whatever you think,
Mr. Gunther.

Yeah, great.
Just walk away!

I owe you one, Kerry.

Don't worry. I got it.

...doctor!

Is this gonna
put me to sleep?

No. This is just
for IV access, Mr. Twomey.

They won't start
the anesthesia

till you get to the OR.

Oh, good, 'cause um..

...I was hoping I could see
my sister before I went under.

It's a great thing you're doing,
giving her a kidney.

She practically raised me.

Our family wasn't
too interested and..

...then she got lupus
and she's been through so much

you know, with dialysis
and all.

Hang on a second.
This might be her.

‐ Jean Twomey?
‐ Yeah?

Got someone here
who wants to see you.

Oh, my God!

He is gonna bug me until
the last minute, isn't he?

If I can.

Change of heart, cry baby?

Of course not.

I already offered him
my stereo in a trade.

A stereo for a kidney? No.

You're gonna have to throw
in the jet ski too.

Okay. As long
as that settles it.

And I'm not beholden
to my kid brother

for the rest of my life.

Uh, does this sound fair
to you, Dr. Carter?

Hey, hey, fair and square.

Alright, it's a deal then.

Deal.

Are you going to be
with my brother?

I sure am.

Well, take care of him.
He's a wimp.

Excuse me. I'm looking
for a head doctor.

Which one?

Bald, White guy,
little glasses.

Uh, Dr. Greene. He's not here.
What do you need?

Well, a few weeks ago
he took care of my brother.

Now I got this.

Yeah, you're gonna have to take
this to the third floor

'past reception
to the east wing.'

They can help you there.

Thank you.

'Now the secret to putting'

since you didn't ask,
is you gotta change your focus.

These machines
are for idiots.

Anybody can sink the same shot

over and over again.

I'm really
getting hooked on this.

You know, I think Randi
has a hidden talent.

She said she
didn't write it.

Well, a nurse
didn't write it.

Nurses go home too tired
to write, so..

Maybe a doctor did.

No. The medicine's too cheesy.

She has got you down.

"The suave resident
cocked his head boyishly

'"and winked, a quick wink.

"Almost a reflex.

"she trembled,
her resolve crumbling."

‐ Who's he winking at?
‐ Huh?

My character.
Who's he winking at?

Oh, you know, a lot of these
characters are just made up.

Well, Douglas,
there you are.

Hey, Donald, how are you?

I sure am glad to see
you're not swamped.

‐ I need your help.
‐ Yeah, okay. Sure. Absolutely.

‐ Do you mind?
‐ There.. No. Here, go.

Go ahead.

Listen, I just got a, uh,
phone call from a friend of mine

P.K. Palmer
of the Railroad Palmers?

Sure. Yeah.

Oh, dammit!

Well, I know P.K.
from the club, of course.

He's a hell of a guy,
two handicap.

Yeah.

You know, this floor
must be sloped.

Yeah, it slopes.

'Anyhow, P. K. uh, just called
from Hilton Head.'

He's down there
with his missus.

Seems their little one
stayed home with the nanny

and, uh, took a spill.
Could be a fracture.

Their pediatrician's
out of town

and he called me
and asked for a referral.

Well, have his nanny
bring him in.

I know, they're on their way.

'There we go,
right in the heart.'

Anyway, their parents
are flying home now.

And I promised them that
their son would get the best.

I'll take good
care of him.

By the way,
if you're, uh, interested

you couldn't ask
for a better recommendation

to the Fair Oaks
than P. K. is.

Yeah. I hadn't
thought of that.

Fair Oaks is one
of the...oh

25 best courses
in the country.

Really? Well, maybe you
could take me as your guest.

You don't play golf.

Oh, well, that's a good thing

because, um, they
don't allow women.

‐ Mm‐hmm.
‐ Or Blacks.

‐ Jews either.
‐ No. I think they changed that.

Nope!

Pretty sure
they changed that.

Dammit. Dammit.

'Hey!'

Hello.

Chris Law.

My brother was Kenny.

Yeah. I remember.
How you doing?

Not so good.

My mother got this yesterday.

A $19,000 bill from a hospital
that killed her son.

My mother didn't
have insurance.

I'm sure the billing
department can‐‐

Well, what, w‐what? Be happy to
make a payment schedule?

See, they‐they don't
understand that

my mother
who pays every bill

is not gonna pay
one penny of that one.

She's not gonna pay 'cause..

...well, I'm telling her that
that bill's a mistake.

That you don't get bills
from people who kill your child.

You don't pay people
who lose your son's body

between their morgue
and a coroner

so that you have to postpone
a funeral for two days.

I'm sorry. I had no idea
that that happened.

Nobody has any idea.

But you tell them,
that she doesn't get

another piece of mail
from this hospital.

Unless it's an apology.

I'm very sorry
for your loss.

I'm not threatening to sue.

I'm sure you have
a department for that too.

But if my mother
gets another bill

'from this hospital..'

...maybe I'm gonna
kick some ass.

Maybe I'll start with yours.

Yeah, if it were me,
I'd report it to security.

He was just
blowing off steam.

He had a good point.
Actually, I called the morgue.

And they did mix up
the body transfer.

‐ How's Rachel?
‐ That's the good news.

She's doing a lot better.

She's made Marco Polo
in the school play.

Save me a seat.

Hey, they didn't have
chocolate chip. It's chocolate.

Okay. Thanks. Hey, aren't you
in there with me?

Lydia's on it.
One RN per collarbone.

Even for
the Country Clubs there.

Who's getting
the VIP treatment?

I get yogurt for kids
when they have to wait.

Alright.

I've got some
chocolate yogurt

for the big guy
with the sore clavicle.

Thank you very much.

You're very welcome.

You wanna see why it hurts?

Yeah? Here. Hop down.

Will you give me an ice
and a sling, please, Lydia?

‐ Come on!
‐ Be right back.

There is his anomalous
left renal vein..

...posterior to the aorta.

Can you see that,
Dr. Carter?

Yes.

We're standing by.

Houston, do you read me?

Loud and clear.
This is very cool.

Our first time on intercom.

We usually have a nurse
running back and forth

between the donor
and the recipient.

Ready for countdown, Fin?

Uh, ready and waiting.

Clock starts.

And why does it become
interesting now, Dr. Carter?

You want to monitor
your ischemic time.

Bingo! I'm lifting
the kidney out!

Basin, please.

Ever passed the baton
in a relay, Dr. Carter?

Ran the 440 in high school.

Good. Perfusate.

Good. That's it.

Well, Dr. Carter.
Don't get lost.

'Dr. Carter
is bringing the kidney'

'your way, gentlemen.'

'Oh, my God!'

Is there a problem,
Dr. Benton?

No, no. Not at all.

Somebody wants
to sign for this?

What's your name, doctor?

John Carter.

Well, John Carter,
why don't you scrub in?

You can join us
for the second act.

Great!

Can you see this line,
right here?

Hey, come here.
Take a look.

See that? You know
what that is?

That is your first broken bone.

You're officially a man.

I shouldn't have let him
talk me out

of bringing him last night.

He said it didn't hurt.

Well, he's such a tough guy.

No. Because he didn't
want to get in trouble.

He's not supposed to
play outside after dark.

You know, it's tough to stay in
when it's this warm.

My mom says I'll get hurt.

She does?
What does your dad say?

I'm a klutz.

He does?

P.K. gets a lot
of bumps and scrapes.

His father's
quite an athlete, you know?

Mm‐hmm. Do you
fall down a lot?

Yeah. I'm not supposed to let
him run around without watching.

Mm‐hmm. You know..

Listen, you and I
play a game, okay?

I'm gonna cover my eye,
you do the same thing.

You cover your own eye.

Okay. Alright, now. Tell me
if you can see my finger.

Tell me when you see it.

Uh, don't‐don't
do that. Don't look.

Look straight ahead.

Cover your eye.
There you go.

Okay.

‐ See it?
‐ I see it.

Good.

Okay.

Okay. Let's try
the other eye, okay?

‐ So you found it, huh?
‐ Certainly did.

How much have you read?

I've gotten past the part

where the alpha
bitch attending

goes to a faith healer
to cure her limp.

The seduction scene
after that is‐is really hot.

Really?

I mean, I don't think
whoever wrote it

was being mean‐spirited.
It's just a sleazy romance.

Tongue and cheek. You know,
you gotta take it that way.

Sounds like
you got into it.

Yeah! It's kind of a hoot.

I think it's meant to be.

Oh, my God!
Kerry, you wrote it.

‐ I did not.
‐ You did too.

‐ Why would I waste my time?
‐ Well, for the money.

I mean, there's a big market
for this kind of thing.

Too bad I didn't write it.

Hey, somebody!
I need help now.

Is this the ALOC 57
called in?

‐ He had a stroke.
‐ Why aren't you in uniform?

My day off.

It's okay, gramps.
We're here now.

You're gonna be okay.

‐ Take these to family.
‐ Got him.

‐ He had a stroke, I know it.
‐ Okay. Okay.

We had acute stroke
training last week.

‐ I did the SAS test on him.
‐ Slow down.

It's my arms squeezed.
He's got one‐sided weakness.

I went by to take him
grocery shopping.

I always go by
on my day off.

'Bullet. Oh, just give me
the bullet.'

73‐year‐old
African‐American male

ALOC, slurred speech.

Loss of motion
on the left side.

‐ He's never been sick before.
‐ Vitals?

‐ 'BP 175/100.'
‐ I didn't have a cuff.

Pulse was 140.

‐ When did you find him?
‐ 20 minutes ago.

‐ I called it in right away.
‐ We were closer to Mercy.

But Pam insisted
on coming here.

Why?

I knew you'd set up a new

treatment program for stroke.

Call Dr. Greene.

How's the time,
Dr. Carter?

You're at 43 minutes.

And anastomosis
is completed.

Uh, Dr. Benton, why don't you
move the DeBakey clamps?

Can everybody see in here?

Okay. It's pinking up.

‐ Look at that.
‐ Wow!

Yeah, that's
what I live for..

...the sight
of urine flowing.

'Hey, Fin, we've got
trouble in here.'

‐ What is it?
‐ Our donor's hemorrhaging.

'Pressure's falling.
He's tachycardic.'

Sounds like a tie slipped off.

‐ The renal artery?
‐ That'd be my guess.

'Oh, let's open him up.
He's losing blood fast.'

'Get me a tonsil clamp.'

Okay, people, let's
stay in the game.

We got to close here.

Is that pedes ophthalmologist
still in three?

‐ He's got a bunch of messages.
‐ Yeah, he's finishing up.

Ophthalmologist?

You really are giving that boy
the million‐dollar work‐up.

What do you mean?

Well, I guess if you're a Palmer

you get the full
treatment around here.

You think I'd put a kid
through unnecessary tests

just to impress his family?

I guess not.

You were right,
retinitis pigmentosa.

‐ He's going blind.
‐ I was afraid of that.

Alright, getting
Carter tonight?

His parents are on their way.

They'll want to hear
all the options.

Possible brain attack?

Yes. This is paramedic
Olbes' grandfather.

Let's get a CBC, PT, PTT.
Platelet count, fibrinogen.

Type and cross four units.

Team's on alert.
Malik, record the BP.

Stick a glucose. Alert radiology
that we're coming in

for a non‐contrast head CT.

‐ BP's 185/110.
‐ IV Labetalol, 15 migs.

Sir, do you know where you are?

'Are you gonna be
able to help him?'

What's his name?

Ralph, but everybody
calls him gramps.

Hey, gramps, gramps,
can you tell me what happened?

Sir, can you squeeze my hand?
Can you squeeze?

Was he complaining
of any headaches?

No. I‐I talked to him
last night.

‐ Nausea, vomiting?
‐ No.

‐ Is he on any medications?
‐ No.

‐ Does he take Aspirin?
‐ No. He hates pills.

Are you going to give him TPA?

Tha‐that's what he needs, right?

That's what
we're trying to assess.

Do you know
when the symptoms began?

‐ No.
‐ 'You know anybody who might?'

Maybe his neighbor.

They‐they walk to get

their papers in the morning.

Can you call him? Go, go.

‐ CT's ready for us.
‐ Let's get him upstairs.

Mark, this is what I was afraid
of, with the stroke team.

People have heard
there's a miracle cure.

They don't understand the risks.

I understand the risks.

I've seen patients hemorrhage
with TPA. It's no cure‐all.

‐ That's why we follow protocol.
‐ The results aren't convincing.

Look, Kerry, I understand that
you have reservations.

That's why I'm on
the stroke team and you're not.

Fine, but if she can't
clarify the onset of symptoms‐‐

I'd be a fool to give TPA.

It's just an interview.

They're gonna ask
me a bunch of nosy questions.

Well, they have to make sure

they're getting
reliable candidates.

That's what makes me nervous.
I don't deserve all this help.

Everyone deserves help
from their friends.

Friends, huh?

It reminds me about
when we first met

before we even
started dating.

No, no, no, we were
never friends.

I always had
my eye on you

wondering when
I could make my move.

So you're a good liar.
You'll do fine in the interview.

The CT confirmed
an ischemic stroke

and gramps' neighbor
was able to verify

that he had no
symptoms two hours ago.

So he's easily within
the 180‐minute range.

Mark, if you're looking for
my blessing on this, forget it.

Actually, I was hoping
you could talk to Olbes.

She's already heard from
the neurologist and from me

that we think her grandfather
is a candidate for TPA.

I'd like her to hear
about the risks from you.

Why?

I happen to believe
that he'll respond

to thrombolysis.

But if I'm wrong, he could die.

She needs to hear that,
loud and clear.

And you want me to tell her?

Who better than
a respected colleague

who's on the other
side of the fence?

I suspect you won't
soft‐pedal it?

‐ I won't.
‐ Mark? Thank you.

How's he doing?

Looks like they got
the bleeding under control.

‐ 'They're starting to close.'
‐ 'Oh, this is a first.'

Usually, Keith has had a shower
by the time I get finished.

Uh, would you gentlemen
care to join us

for the post‐game wrap‐up?

We find that
debriefing can be useful

when there's been
a complication.

‐ Uh, yes. We'd be honored.
‐ Good.

Dr. Benton, you had
a call from Carla Reese.

‐ Would you like the number?
‐ No, no, no, I got it.

‐ Carter, coming?
‐ Hey, Shirley.

Can you call recovery,
ask him to page me

when Jean Twomey wakes up?

Sure.

Dr. Kramer, I was wondering

if I could
interview this candidate?

Al Boulet? You know him?

No, but I'm familiar
with his treatment

I'm curious
to see what he's like.

Be my guest.

I'm Dr. Fischer.

Thanks for taking the time
to fill out all these forms.

I thought I was
meeting, uh, Dr. Kramer.

I'm helping him out.

Well, all the information
looks complete.

You mentioned
a couple of slip‐ups

with your drug regimen
in the past.

There were so many
pills to keep track of.

But I've got it
under control now.

You began treatment a year ago?

That's right.

And you contracted
AIDS through..

Heterosexual contact, I guess.

I mean since, uh, I never shot
up or had sex with a guy.

Uh‐huh. But you weren't able
to identify the partner

who infected you?

No, no. I contacted
all the women I could

to let 'em know, you know..

'No one had
any prior infection.'

But it was a lot of years
and a lot of women.

‐ Now you live alone?
‐ Right.

Well, that's the only factor
that mitigates against

your inclusion in the trial.

'Those who participate must
adhere to a strict regimen.'

Ideally, participants would
have someone to back them up.

I'm sure I can handle it.

And I have backup.

My ex‐wife
is around, off and on.

‐ Off and on?
‐ 'A lot, recently.'

I mean, she's, uh, kind of back
in my life. Stays over and all.

She's a physician assistant.

She'll keep on me.

‐ Make me stick to it.
‐ I see.

I mean, once Jeanie
takes something on

'she doesn't mess around.'

'Ten migs TPA over one minute.'

'Follow with 50 milligrams
over the next hour'

for a total dosage of 60 migs.

Monitor his vital signs

and maintain a diastolic
of under 110.

‐ Now we wait?
‐ Now we wait.

In retrospect, studying
Mr. Twomey's renal angiogram

we might have predicted
a potential problem.

Yeah, with the angiogram
and a crystal ball maybe.

No, no. Look at
the short renal vein.

Do you appreciate
that, Dr. Benton?

Uh, I think Dr. Fecteau
is being hard on himself.

'How did we do
on ischemic time?'

We can do better.

Yeah, we could do better
if you weren't

so chintzy with the ureter.

'Gimme a little
something to work with.'

'Let's go step by step.'

'I lost time
dividing the vein.'

'Well, our biggest
deviation was anastomosis.'

'21 minutes.'

'What are you saying?
Like, we weren't working..'

Of course, she denied it.
But I could tell it was true.

I bet she wrote it when
she had all that free time.

Yeah, when she was
on suspension?

Carol, did you
get that history

from the abdominal pain
in exam two?

Yep.

‐ What?
‐ You little slut.

What?

I see you in a whole new light.

‐ We know you wrote the book.
‐ I didn't write it.

Well, you oughta be proud of it.

Kerry, did you tell..

‐ 'She wrote the book.'
‐ Yeah. Nice try.

Like, I'd make myself
the villain?

‐ I knew it was you.
‐ I didn't do it.

You thought it was Jeanie.

'Or carol. It was
an incurable romantic'

'who was very warped.'

I'm not warped.

This is cool.

Watch it,
the big spinout, baby!

Look out for the folks, baby.
Now, hit the button.

Hit the button.
Hit the down button.

Hop off. Listen, I know you've
been given a lot of information.

It's kind of a tough time.

There are a lot
of new interventions

P.K.'s doctor will be able
to fill you in on those though.

I like Dr. Ross.

‐ We all do, sweetie.
‐ Well, I like you too, buddy.

You make sure you keep
these glasses on for me. Okay?

‐ Okay.
‐ 'Hey.'

Where's your sweater?
I know where I left it.

Alright, let's get
that sweater. Go get it.

One thing you need to be careful
about is you have to make sure

that he doesn't feel like
he's been bad in any way.

Sometimes, kids with RP, they
feel like it's their fault.

'Well, we'll be
careful of that.'

‐ Thank you, doctor.
‐ Okay, alright. Great. Thanks.

‐ Thank you.
‐ Bye, you guys.

There you go!
No holding you back.

‐ Bye.
‐ Bye, buh‐bye.

You know, some people
think of RP

as looking
through a telescope.

It's a good way to think of it.

Doug, I owe you an apology.

‐ No, forget it.
‐ No. I was wrong.

I have no reason to ever
question your integrity.

Not as a doctor at least.

But everything's so glib
with you these days, you know.

I don't know you anymore. I
don't know what matters to you.

‐ Me either.
‐ Great job, Carol.

Did you know
she wrote the book?

Wrote the book, are you kidding?
She stole the idea from me.

I did not write the damn book!

Welcome back.

You're doing well.

Why isn't Carl here?

Nobody will tell me anything.

He's still under anesthesia.

‐ Why? What went wrong?
‐ Your brother's fine.

There were some complications,
some bleeding

and they had
to open him back up.

Oh, no. I was afraid
of something like this.

Jean, he's stabilized.
He's fine.

I wouldn't tell you
that if it wasn't true.

In fact, I'm gonna go and see if
they can move him here with you.

And I'll stay with him
until he wakes up.

Okay? Yeah? Great.

‐ Any response?
‐ Not yet.

‐ Seen Dr. Greene?
‐ You just missed him.

Dr. Ross, I'd like you to meet
a new resident, Anna Del Amico.

This is our pedes
fellow, Doug Ross.

‐ My pleasure.
‐ Mutual.

Uh, so you're starting early?

I'm doing an emergency
pedes elective

before my residency
starts in July.

Well, we always welcome
slave labor in pedes.

Uh, okay, I'll show you around.

Dr. Del Amico is a pediatrician.

She's double‐boarding
in emergency medicine.

Uh, great. What we need around
here are more overachievers.

‐ There you are.
‐ Hi.

Can you believe it, I'm actually
getting out of here on time.

Al qualifies for the trial.

He should read over
this material

and then come in
Tuesday to pick up his meds.

Well, shouldn't you
tell Al this?

We left him a message but I
figured you'd probably

be seeing him first.

Greg, what's going on?

You know, I've been asking
myself that question

for the last two months.

I thought that I was
pretty honest with you.

That I understood all the
reasons you might be hesitant

about getting
seriously involved.

‐ I guess I missed one.
‐ I don't know what you think‐‐

I think that you're still
involved with your ex‐husband.

After the way he treated you.

He can still manipulate you into
getting him the latest meds.

He did not manipulate me, Greg.

But you do still love him?

I don't know.

Dr. Greene, can I
ask you something?

Sure.

You ever think Carol Hathaway

might be interested
in me at all?

I mean, did you ever
p‐pick up on anything?

Uh, no. No, I can't
say that I have.

You haven't read
her book, have you?

‐ What book?
‐ Uh...Carol wrote a book.

There's some parts about me
that are pretty flattering.

She say anything about me?

'It seemed
a little amateurish.'

Really? I was impressed.

Well, I didn't..
I didn't read too much.

It was just a few pages.

Oh, you gotta give it a chance.

Chuny, didn't you think that
Carol's book was pretty decent?

The part I read was racist.
Don't tell Carol I said that.

You didn't like
the Latino nurse?

‐ It wasn't real.
‐ I've gotta go.

'Have you seen Mark? Gramps
blood pressure is coming down.'

‐ Well, that's a good sign.
‐ No. I was looking for him too.

Look who's here.

Hey.

You did it.

You did it.

Okay, no fighting. I did it.

Dr. Carter?

‐ They're doing really well.
‐ Where'd you go?

I wanted to make sure
they saw each other.

Carter, two of the best
transplant surgeons

in the country let us look
over their shoulders.

They're debriefing on one of
the most fascinating procedures

you and I have
ever participated in

and you just,
get up and leave.

Well, I promised his sister.
I knew she'd be worried.

Is that a problem?

I don't know.

Another message
from Carla Reese.

Oh, it's okay. I called her
at home and got her machine.

No, she left an extension.
OB, I think.

'I've never lived
anywhere but Philly.'

Kerry, will you take will you
take Dr. Del Amico back?

I'm intimidated enough already.

‐ Anna. Please.
‐ Alright, Anna.

‐ Welcome aboard.
‐ Thanks.

You find a place yet?

No. I don't know Chicago at all.

I figured I'll look
around this weekend.

‐ Is there a..
‐ Hey‐hey, you guys!

‐ Oh, my God!
‐ It's Mark.

‐ What happened?
‐ Stabilize his neck.

‐ Where do I find a c‐collar?
‐ I'll get one. You help Doug.

Hold his neck.

In‐line stabilization. I got it.

‐ Good breath sounds.
‐ Good pulse. Is he an ER doc?

Yeah. Attending.
Give me the collar, please!

‐ 'Oh, man!'
‐ Mark?

‐ 'Get the board ready.'
‐ 'Slowly, slowly, slowly.'

Slowly. Okay.

Okay, we're good.
Now, we're gonna roll him.

‐ 'Nice and easy.'
‐ 'Just roll him towards me.'

'Let's roll him.'

‐ Okay. Slide the board in.
‐ Be gentle.

Good. That's fine, right there.
Okay, roll him back.

Go. Roll, roll him. Gently.

Mark, you're gonna be okay,
buddy. Hang in there.

'Let's get him
monitored right away.'

'Cross‐table C‐spine,
chest, CBC'

'type and hold, dip a urine.'

On my count, we're gonna
lift him. Got that?

Nice and gentle. Real slow.
Alright, Malik?

One, two, three. Go.

Let's go.

Alert CT.

He's vomiting.
Watch out for aspiration.

Alright, let's roll him.

'What's going on?'

Oh, my God, Mark!

Pulse 120, resp's 24,
BP's 100/60.

‐ What happened?
‐ We need to put him on a mask.

15 liters.

We need to rule out
a pneumothorax.

Chuny, aren't you
with the stroke team?

‐ Yeah, but‐‐
‐ Go back to your patient.

‐ Kerry, he's really‐‐
‐ Go on. Now!

‐ Kerry, come on.
‐ Get back there!

Pupils are round and sluggish.

React to light.
Possible hyphema.

'DTR's two plus, bilaterally.'

‐ Babinski's negative.
‐ Radiology's on their way.

‐ Oh, my God, it's true.
‐ We got some crunchy ribs here.

I'll get this
bleeding under control.

‐ Who are you?
‐ New resident.

Guarding and tenderness.
Abdominal CT?

You bet.
Give him the works. Come on!

She was still in my office
when the contractions started.

The good news is,
her membrane hasn't ruptured

and the baby's not in distress.

‐ Is she dilated?
‐ Just two centimeters.

So I admitted her and put
her on complete bed rest.

'With some luck, we can keep
her from going into labor.'

‐ Thank you, Dr. Coburn.
‐ You're welcome.

‐ Hey, Carla.
‐ Hey.

Dr. Coburn said they
stopped the contractions.

Mm‐hmm.

‐ Do you mind if I sit?
‐ No.

So...you, uh, pretty much
have to stay like this, huh?

Exactly like this.

For eight weeks.

‐ Can I get you anything?
‐ No. Uh‐uh.

No. Just sit there
and entertain me.

Never mind.

What? No, no..

You know, I was
wondering about it

and I think I know when
this baby was conceived.

Yeah. Me too.

‐ Really?
‐ Oh, yeah. Really.

‐ You remember that morning?
‐ Mm‐hmm.

Oh, well..

Seems like a long time ago.

Yeah, it does.

Possible side effects bloating,
nausea, sustained diarrhea..

Oh, stop reading that.

I don't have a single vice left.
Forget beer.

Sometimes I'd double
my viral load

for an old‐fashioned
glass of milk.

I don't mind the soy stuff.

Well, you were
always a pushover.

Yes, I was.

And I took it for granted.

You know what
I miss most about us?

'Hearing you laugh.'

The sound of you laughing
in the dark.

We both took a lot for granted.

I don't take anything
for granted anymore.

I better go.

Sure.

Or stay.

On the couch, if you want.

I don't want to stay
on the couch.

Then you better go.

‐ Okay. I'll stay on the couch.
‐ Me too.

Oh, Jeanie.

Wait. Can you..
Can you stay right there?

‐ I doubt it.
‐ I'll be right back.

I don't have a condom
that's not over a year old.

And, I have to have one, right?

You're right.

I mean, I‐I could have
a different strain

or a stronger strain than you,
and we need to be safe.

Uh‐huh.

'I'll be two minutes.
Will you wait?'

Yeah. I'll try.

That's it.

That's what I missed.

Oh.

CT is negative.
He was really lucky.

Schedule ortho to take
a look at that broken hand.

I'll go see
what's keepin' 'em.

‐ Any change?
‐ Nobody saw anything?

I told the cops,
that basketball player's brother

was around earlier.

A psych guy kinda threatened
Dr. Greene this morning.

Cops are gonna
wanna hear about that.

‐ Uh, Dr. Ross?
‐ Mm‐hmm.

That kid with the allergic
reaction is still in exam two.

‐ Oh, I'll take it.
‐ That's okay.

You don't have to do that.

Can you rustle me up a lab coat?

I'll find you one.

It's usually not
this crazy around here.

Not a problem.

Dr. Weaver, can you
check this out?

I'll be back.
Keep working, people.

'We've still got
an ER to run.'

‐ What about Rachel?
‐ The sitter called.

She's gonna keep
Rachel overnight.

He had an on the table
response a few minutes ago.

His speech
is coming back.

‐ Something is wrong.
‐ Yeah, gramps.

You had a stroke.
You're gonna be better now.

I couldn't do that.

He's being
admitted upstairs.

Guess Dr. Greene
made the right call.

‐ I wanna thank him.
‐ I'll tell him for you.

He'll be very pleased.

GCS is still 13.

I know.

You just did a neuro check
ten minutes ago.

‐ How's his IV rate?
‐ Fine.

Don't want
to overhydrate him.

That's why I cut it back.

Yeah. I have him
on 80cc's an hour.

‐ He weighs about 80 kilos.
‐ Doug?

Why don't you go call ortho.
Find out what's keeping them.

I'm bugging you
that much, right?

Mm‐hmm.

‐ I guess I'll go call ortho.
‐ That's a good idea.

Alright.

'Doug?'

He's back.

Hey, Mark. Hi.

You're gonna be fine.

‐ Hey, buddy.
‐ What happened?

Well, you got beat up,
but you're okay.

You got some bruised ribs
and a concussion

mid‐shaft fractures
of two metacarpals

but other than that,
you're fine.

I signed you up
for a double shift on Saturday.

What happened?