ER (1994–2009): Season 3, Episode 3 - Don't Ask, Don't Tell - full transcript
Donald Anspaugh has a new method to increase the staff's efficiency, new intern Maggie Doyle joins the ER and Susan asks Mark to come along to Hawaii.
(female narrator)
Previously on ER
‐ Repossessed.
‐ What? No. No, no..
No! Come on!
You know my schedule.
So, I don't have to‐‐
Just once it would be nice
if you called a day before.
All we'll see
is my neck.
Donald Anspaugh will become
county's new chief of staff.
‐ The guy's completely lumpy.
‐ Well, I rather like him.
Just sit there
and look.
You can't smoke around
this oxygen tank
either okay.
even at home.
‐ Okay, it's coming up.
‐ Alright.
So, if you were tested
positive, you'd have quit?
In a minute.
There.
[car honking]
(Greene)
'Susan.'
‐ Susan.
‐ 'Hey.'
‐ Good morning.
‐ Yes, it is.
I'd even go as far to say
it's a glorious morning.
Didn't your mother
teach you not to gloat?
What good's a vacation
if you can't gloat?
Just think, in eight days,
you'll be back here
slogging miserably through
life like the rest of us.
Yeah, but tomorrow,
I will be in Maui
with the sun on my face,
drinking a sea‐breeze.
‐ I hope you burn.
‐ Ha ha ha.
Thanks for house‐sitting.
My cat owes you big time.
I'll try to remember
to feed her.
Hope you recognize the hospital
when you get back.
Anspaugh's got a lot
of changes in store.
Like what?
I don't know.
I'm philosophically opposed.
That's my new motto,
change is not good.
Well, we're getting
more residents.
Maybe we won't have
to work as hard.
Work twice
as hard.
‐ What?
‐ They're from southside.
Their program is,
shall we say
less than
discriminating.
We're going to spend
half our time
trying to keep them from
killing the patients.
'Okay, I'm coming!'
Good morning, Dr. Carter.
I saw your car in the garage.
I didn't want you
to oversleep.
Well, I'm not on for another
two hours, but thanks.
I brought you
some borscht.
‐ Here, here.
‐ Alright.
They eat this for
breakfast in Russia.
Hmm.
Thank you for
helping me
fix my tank
the other day.
I hate this damn thing!
It's like dragging a‐a anchor.
Just don't light that
cigarette around it, okay?
Oh, by the way
I've been feeling
this waxy buildup in my ear.
Would you mind
taking a look at it?
You know, ears really
aren't my specialty
but there's a
family practitioner
who lives on
the second floor.
Really?
And he is so much more
qualified than I am.
Oh! Thank you,
Dr. Carter.
‐ I'll be back for that bowl.
‐ Okay.
Isn't this
exciting?
Yeah, like a junior
high assembly.
Mm, here's comes
the assistant principal.
Susan, I want you to
meet Margaret Doyle.
'One of our new interns
from southside.'
‐ Maggie.
‐ Pleasure.
Wonder what med school
she went to.
Guys, come on.
Saved you a seat.
You look like hell. Did you
pull an all‐nighter?
Price is sick so they
called me in at midnight.
Interrupted a very
promising date.
Morning, everybody.
Thanks for coming.
'I'm due on the surgical
floor in ten minutes'
so I'm going to make this
snappy. We're in trouble.
With the closing
of southside hospital
we can expect an increase
of at least 30%
'in our normal patient
load here at county.'
'To meet these demands, we're
going to be instituting'
'the efficiency standards
that made the southside ER.'
No offense, the best one
in the city.
'All residents and attendings
will see an average'
of 2.5 patients per hour.
Your patient quotient will
be checked on a daily basis.
The highest P.Q.
Wins a gum drop.
The lowest has
to wax my car.
‐ 'What about the dead?'
‐ I'm sorry?
DOAS? Train wrecks
who croak on the way in?
‐ Do we get points for them?
‐ 'Yes, you do.'
But, uh, try not to kill
all your patients
at once Dr. Greene.
'We wouldn't want
to draw suspicion.'
‐ And who handles scheduling?
‐ I do.
'Will you make sure
that I'm C. C.'d?'
‐ Chart review?
‐ That's, uh, me too.
I want a daily
summary.
‐ And budget?
‐ It's me.
Greene aren't you
an attending here?
I'm patient ombudsman.
I run the mentoring program
and I'm in charge
of staff morale.
Well, let's even out
the duties a bit.
Greene, you take
chart review.
‐ Get me a report by noon.
‐ Can I suggest‐‐
'People, change is like
a freight train.'
You're either on board
or you're grit in the gears.
Same time Tuesday.
Oh. I think he likes you.
[theme music]
[music continues]
[music continues]
It was ugly, the ugliest
thing I ever saw.
It was big like a bear
and fearsome.
‐ Well, look what he done to me.
‐ What's this?
Dante says a kangaroo attacked
him in Humbolt park.
‐ That's a nasty cut.
‐ He had a claw like a razor.
‐ Smelled like a elephant's ass.
‐ Yeah, exam six.
Jerry, who was
attending last night?
‐ Um, Mishkin.
‐ Okay, get him on the phone.
'Cause I can't read his
handwriting. It's like Sanskrit.
‐ Stuck in chart‐review hell?
‐ I've been here for an hour.
And I haven't
seen any patients.
Now you gonna pick it up or
you'll be waxing Anspaugh's car.
One down. Uh, anyone got
the broken tib‐fib?
Uh, actually, I'd rather
you stayed supervised.
‐ Doug, did you meet, uh‐‐
‐ Maggie Doyle.
‐ Maggie, I'm Doug. How are you?
‐ Hi.
I was handling my own
cases at southside.
It's your first day and I'd
like you to stick with Doug.
Jerry, get on the PA
and tell the idiot
with the red BMW
to get out of
my parking spot.
‐ Space 37?
‐ Yeah.
Security told me
I could park there.
Space 37 is my space.
It's been my space
for three years.
Maggie, I'd like you
to meet Carol Hathaway.
She's our head nurse.
She also heads the
welcoming committee.
I'll move.
Good.
‐ Who's that?
‐ Intern from the southside.
An Intern?
With a BMW?
I thought your car
was repossessed.
It's still
my spot.
[chuckles]
Before I do the stitches I'm
gonna give you some medicine
so they won't
hurt, okay?
You know what? I'll even let
you choose the color of thread.
I've got blue,
purple, black.
Jeanie.
Uh, can I talk to you
for a minute outside?
Yeah.
I'll be right back.
You should call a surgical
intern to do the sutures.
I'm sure the interns have
more important things to do.
Have you told the mother
and the patient that
you're HIV positive?
None of your
damn business.
Alright.
It's just gonna hurt
for a second.
Jerry, get these charts
out of my face
and get me a sick
person to fix.
Actually, the board
is covered right now.
Kleinman's been
turfed to neuro.
Figueroa has
been discharged
and Nguyen
signed out AMA.
Your labs on Otis
and Fenning came up.
Okay. Thank you.
‐ You're cooking.
‐ Ah, I heal 'em and deal 'em.
Besides, in..
...46 hours and 18 minutes
I will be in..
‐ Don't say it.
‐ Maui, Maui, Maui.
You're cruel. I haven't had
a day off since Christmas.
Why don't you
come with me?
Yeah, right.
You're kidding, right?
Uh, I don't know. I mean,
you have the time coming
and there's plenty of
people to cover for you.
‐ What about your cat?
‐ I can ask a neighbor.
Mark! This guy's
crashing.
I'm coming.
We'll talk later.
Sure.
Good morning.
How are you?
‐ I've been better.
‐ Me too.
So, did you see if the triage
nurse
brought your
chart back?
I don't know.
So, what seems
to be the problem?
Kidney stones.
I've had them in the past.
Woke up with the same
pain this morning.
It starts back here and it
works its way around front.
‐ And then down.
‐ Yeah, sounds like a stone.
They're probably gonna
want it to a cat scan.
Let's get you
in a gown first.
Do you eat a lot
of ice cream?
Yes, actually.
‐ Drink tea?
‐ Almost every day.
Why do you ask?
Well, the calcium from
the ice cream combined
with the oxylate in the tea
forms calcium oxylate stones.
A simple ionic bond.
‐ Makes sense.
‐ Mr. Sidowski?
That's right.
I was in your chemistry
class at Saint Monica's.
‐ Carol.
‐ Hathaway!
Second row..
...right near
the window.
God, I can't believe
you remember.
I remember
the good ones.
[groans]
I always knew
you'd do well.
There you are, a doctor.
Do you specialize in emergency
medicine or surgery or‐‐
No. I'm a nurse,
actually. Ahem.
‐ In the E. R.
‐ A nurse?
Well..
...that's wonderful.
What's the story?
They found him obtunded
at his board and care.
BP's 50 over 30.
Pulse weak at 130.
No tendon reflexes.
No response to pain.
This I. V.'s blown.
Vein's too weak to hold.
What's his name?
‐ Johnson.
‐ Mr. Johnson? Mr. Johnson?
He seems plenty
gorked to me.
‐ How old?
‐ Eighty‐nine.
Does anyone know what his
quality of life was like?
I'm calling his
board and care.
'Find out if he's
got a living will?'
I don't want to get into
heroic measures if he's DNR.
‐ I don't get a pulse.
‐ 'He's bradying down.'
Lily, you getting
through?
[sighs]
They put me on hold.
All right, let's bag him.
Break out the atropine.
‐ This is ridiculous.
‐ It's a crime.
Every surgical intern
is in the OR today.
Everyone but us.
Benton let me spend more time
in the O. R. as a med student.
The man...the man
is a sadist.
Look at this.
‐ Edson's double bypass?
‐ No, no, but geez.
No, Keaton. That's
Abby Keaton.
Pediatric surgeon. She used
to be at southside.
[laughing]
‐ Oh, man.
‐ What?
Benton's going to try
for an elective with her.
‐ No way.
‐ Mm‐hmm.
He just signed up for thoracic
with the new chief.
Then why did I
see him reading
"Essentials of
pediatric surgery?"
Benton and kids?
See, it's the most
difficult specialty.
It is impossible
to get into.
It is exactly
what he'd go for.
I‐I don't
buy it.
Benton's no
Mr. Rogers.
It's a beautiful day in the
neighborhood boys and girls.
Gant, cover med‐surg.
I heard that you
uh, signed up
'for a thoracic
elective with Anspaugh.'
Carter. Pre‐ops
and transfers for you.
Any chance that we
might get into the OR?
'Today?'
Maybe, possibly.
Call surgery! Tell them we got
a major chest impalement!
‐ What happened?
‐ Motorcycle hit a glass truck.
Start an IV and set up
the rapid infuser.
'Okay, let's move him.'
Ready..
...and go. Oh!
Watch out.
'B.P.'s 70.
He's getting dusky.'
Try for a 16 gauge.
He needs more volume.
He's seizing. Someone
hold his arm.
Ativan, two.
Use both hands.
‐ 'Get the needle in.'
‐ He's moving.
Wait, wait.
Okay.
Now. Now!
‐ Rapid infuse the o‐neg.
‐ No breath sounds on the right.
'Tension pneumo.'
Damn. Connie?
Hold his head.
Jeanie, grab hold of this glass
and watch your hands.
'Pulse ox is
down to 70.'
Jeanie?
‐ Get over here now.
‐ I'll get someone.
Jeanie?
Jeanie!
Malik, they need
you in there.
‐ I'm going to the lab.
‐ I'll take them. Go.
Go!
[instrument beeping]
Do you pluck
your eyebrows?
Uh, wax.
They look good, girl.
You do yourself?
'No, I found this
place on dearborn.'
Time?
12 minutes.
More epi?
I guess.
What's going
on in there?
The board and care found medical
records but no DNR.
‐ Let's hear it.
‐ He's got COPD.
'Renal failure,
congestive heart failure'
'prostate cancer,
diabetes.'
Any family we can contact?
A son. They're trying to reach
him.
Ever get this
old, I want
"do not resuscitate"
tattooed on my forehead.
Get this.
His ph is 6.97.
Alright, he's been
down long enough.
Time of death,
10:06.
'Get a strip.'
I'll go next door.
[instrument beeping]
Mark. He's got
a rhythm.
It won't last.
B.P.'s 50 palp.
Guess we better put
him back on the mask.
Tough old geezer,
ain't he?
So, she asked you
to come to Hawaii.
Yeah, but I don't know
what she meant.
Oh, seems fairly
unambiguous.
Well, if she meant
it as a friend
then that means separate
hotel rooms, right?
Right, or you could
be sharing a bed.
Right.
Alright, when you get
adjoining rooms
with a broken lock
you see what happens.
You're not helping.
What do you think
she meant?
Well, I think she
meant something
a little more
than friendship.
‐ How do you feel about that?
‐ Well, um..
Oh, you're interested?
Get on a plane, Humphrey.
What if that's not
what she meant?
Three hours divided
by seven patients is 2.33.
‐ How's it going, Mark?
‐ Three hours, one patient.
I'm on a roll.
Jerry, I'll take that
plantar wart in five.
You got it.
Neuro come down
for Mr. Johnson?
‐ Who?
‐ Gomer that came back to life.
Oh, yeah. No they wouldn't take
him. Said he's a renal case.
Yeah, well, then
try Renal, okay?
We've got to get
him out of here.
Jawohl. Hey,
your wart.
Oh, right.
Thank you.
Could I have
some more soup?
‐ Whose patient is Johnson?
‐ Why?
He stopped breathing.
They need you in two.
I'll take it.
Did anyone see Jeanie?
She went on break.
More soup?
Shh, quiet.
(Broadcaster)
'...of a sighting of a kangaroo
in Humbolt park.'
Lydia, come here.
'The mystery marsupial
was recently sighted'
'hopping along
the Kennedy expressway.'
'The department of animal
control has issued a warning'
'that kangaroos
can be dangerous'
'and have been known to
attack when threatened.'
Soup?
So...you asked him
to go with you?
It just popped out.
Have you guys ever..
No!
But you asked him
to go to Hawaii.
I mean, that's,
that's pretty bold.
Oh, it's stupid.
I mean, Mark and
I are friends.
We work together
and I basically invited
him into my bed.
‐ What did he say?
‐ Oh, he was appalled.
He couldn't wait
to get away from me.
Oh, I'm such a fool.
Uh, how long is
Anspaugh going to be?
One never knows.
Dr. Benton.
Carter, what are
you doing here?
I just admitted
a woman with a lipoma.
‐ She's gonna need surgery.
‐ A fat tumor. It can wait.
She wants it out today.
Alright. Well, then go ahead
and book an OR, all right?
Can, uh. Can I
assist, please?
Yeah, whatever. Jus‐jus‐just
get out of here, alright?
Solid.
[sighs]
Hey, this guy in the picture
with Dr. Anspaugh, is that, um..
General Schwarzkopf.
They were roommates
at west point.
Judith, I'll be
in neonatal.
Hey, uh, Dr. Anspaugh,
I chose cardiothoracic
as my eight‐week elective.
Congratulations. Means
you're on my team.
Uh‐huh. But I just
found out today
that Dr. Keaton's
coming here.
Yes. Very, very
happy to have her.
Yes. I know,
I follow her work.
Do I sense a wind
shift, doctor, uh..
Benton. Look, Dr. Keaton
is one of the finest
pediatric surgeons
in the country.
An opportunity to work
with her is hard to pass up.
Well, she may not
have a slot for you.
Well, I'd
like to see.
I'll give you
until 6 'o clock
So, if I don't
get the pedes
I'm still on for
thoracic, right?
Dr. Benton, if I don't hear
from you by 6 'o clock
you get neither.
Jane, I'm Dr. Ross,
this is Dr. Doyle.
‐ Hi.
‐ Hi.
Uh, listen, I understand
you've been having some
uh, some pain
when you urinate.
Yeah. I think it's
a bladder infection.
‐ I had one before.
‐ Uh, when was that?
Last year.
Okay. Any soreness
or tenderness?
Um, just when I go
to the bathroom.
Are you sexually
active?
‐ Have you ever had intercourse?
‐ Oh, no.
Okay, we're going
to do some tests.
When we get those back,
we'll talk some more.
‐ Okay?
‐ Okay.
Alright.
So what do you think?
Either an STD.
Or she's pregnant.
‐ Based on?
‐ Her, sweater.
Cashmere, probably
neiman marcus.
Why does a rich girl
come to a county ER?
She doesn't want her
family doctor what's wrong.
Okay, so what
do you do?
Dip a urine and do a pregnancy
test for starters.
[clears throat]
Sounds good.
Sorry, the OR's
are booked.
Dr. Benton sends
his apologies.
He can send flowers
for all I care.
You've got a breast
reconstruction
a thyroidectomy
and a hemicolectomy.
‐ This is important.
‐ What is it?
‐ It's a pheochromocytoma.
‐ A pheo?
Her BP is through
the roof.
If we don't go in soon,
she'll stroke out.
Alright.
Tell Dr. Benton
he has his OR.
And tell him
I like tulips.
Jeanie, if you have an
explanation, I'm listening.
I'm sorry. I haven't
been feeling well.
I got nauseous.
If you're feeling
ill to the point
where it interferes
with your work
you should
let me know.
It won't happen again.
Everything else okay?
Yeah. Everything's fine.
How's Al?
He's, uh, he's
holding his own.
It's difficult.
I'm sure it is.
Can I help you?
Uh, yeah. I need
to see Dr. Keaton.
You're too late.
Well, the patient's
still conscious.
‐ Come back in three hours.
‐ I need to talk to her.
You don't know Dr. Keaton
very well, do you?
Just by reputation. Why?
I guarantee that if you
go in there right now
the only words she's going
to have for you are "get out."
Alright, look, um
if I write a note will you
make sure that she gets it?
I'm not her secretary.
Leave it in her box.
Mr. Johnson, your father was
found unconscious this morning.
He has what we call
multisystem failure.
Heart, lungs, kidneys.
And he may have suffered
a stroke, as well.
‐ That's like Alzheimer's.
‐ No. But it's very serious.
Did you ever talk
with your father
about whether he wanted to use
machines to keep him alive
if his body were failing?
Not a lot, no.
‐ Were you and he close?
‐ About a hundred miles.
I live in Boone county.
I smoke hams.
Your father is very ill.
In all likelihood..
...he may never
regain consciousness.
And we can use a machine
to keep his body alive
or we can give him medication
to take care of his pain
and let nature
take its course.
As next of kin,
it's your decision.
What do you think?
For my father..
...I would try to make
him comfortable
in his final moments.
Okay.
So, I'll get somebody
to bring you papers?
And you're gonna
help him right?
‐ I'm sorry?
‐ You're gonna make him better.
I'm not sure
that we can.
Just don't let
him die, okay?
Alright, Carter, make the
incision below the costal margin
straight across
six centimeters.
Okay.
Now, just like carpentry,
measure twice, cut once.
Right.
Benton, you should have told
me you're doing a pheo.
Trying to keep the exotic
ones for yourself, huh?
What are you talking about?
I'm doing a lipoma removal.
It's on the board,
"pheochromocytoma"
in big red letters.
Who the hell put
it up there?
[knocking]
Hey, Carter, Simon's
letting me do an appi.
I'm going in.
No. It's called
gonorrhea.
It's sexually transmitted.
It is treatable.
But we have to
do it right away.
Are you gonna
tell my parents?
No. Whether you tell
your parents or not
that's up to you.
I would tell the,
uh, boy or boys
that you've
had sex with.
I only did it once.
Then you need
to tell him.
‐ I‐I can't.
‐ Why is that?
Because he won't
talk to me.
When I see him in the halls
he won't even look at me.
I feel really
disgusting.
Sorry.
That's all right.
I wanted it to be special.
And it was like
I wasn't even there.
He didn't even
drive me home.
Hey, Jane, guys who are
interested in having sex
with you aren't necessarily
interested in you. You know?
If you want it
to be special
you have to wait
for the right guy.
'I will suggest
waiting a long time'
like until
you can vote.
[laughs]
‐ So, Mr. Johnson's in V‐tach?
‐ Paddles.
‐ Why not?
‐ Charge?
‐ You pick.
‐ 200?
200 it is.
‐ Clear.
‐ Clear.
Next contestant.
Do I hear 300?
‐ 300, sure.
‐ 300 from the stunning woman.
‐ Clear.
‐ Clear.
I'll see your 300
and raise you 360.
Mark?
‐ What a joke.
‐ 360.
‐ Clear.
‐ Clear
And he's back.
What a trooper.
Congratulations,
Mr. Johnson.
You are the lucky winner
of a brand‐new ventilator
at a cost
of $5,000 a day
and as a bonus,
your very own chest x ray‐‐
Perfect for decorating
the small sterile hospital room
where you're going to spend
the rest of your brief,
unconscious life.
She's still in there?
It's 4:00.
She went back in. She's got
a four‐year‐old with a tumor.
Excuse me,
what are you doing?
I'm just seeing
if she got my note.
Look, uh, when
Dr. Keaton comes out
please, please make sure
that she gets this.
Yes.
I'm Peter Benton,
I'm a fourth‐year resident
and I'm interested in a
pediatric surgery elective.
I need to talk
to her about 6:00.
‐ My pager number is‐‐
‐ 3376. I can read.
Look, just make sure
she gets it, okay?
Okay.
(Gant)
So you always vomit
when you screw up?
Only when I get written up
by the chief of staff.
Yeah, well, ten migs
of Compazine
should get your stomach
back on its feet.
You missed a great
appendectomy.
I could lose
my residency.
Retracted the internal obliques,
clamped that sucker...
My career is over.
‐ Ow!
‐ Sorry, sorry.
Dr. Benton.
What makes you think
you can assist
on a surgery behind my back?
‐ Simon needed an intern.
‐ I'm your resident.
You don't blink
without asking me.
This afternoon,
you're on bedsore duty.
If there's a boil,
you lance it.
If there's a weeping decubitus,
you debride it, and if...
[pager beeping]
Anspaugh's leading chief rounds
in 20 minutes. Don't be late.
Especially you, Carter.
He asked for you by name.
I can't believe
I spent four years in med school
and four years as resident
so now I can take orders
from a guy who smokes hams.
Other than that,
how's your day going?
Just got worse.
Who does this
belong to?
Yep, that's mine.
Wear it.
We lose 20 or 30 a year.
Who invented
the stethoscope?
I have no idea.
Rene laennec, 1819.
You can see
I taught her well.
Keep hustling, boys.
You don't want
to end up
with the turtle wax.
Oh.
‐ Hi.
‐ Hi.
I haven't seen you
much today.
Yeah, it's been
a pretty busy one.
So you've been, uh..
...you've been busy.
Yeah, pretty much.
So, about Hawaii...
How much are
the hotel rooms?
Rooms?
Or a room...
For me.
Um...I'll have to
check on that.
You'll let me know.
Sure.
(Wright)
'Jerry! Jerry, turn on'
'channel five,
quickly!'
They've spotted him again.
He was at the rail yard
an hour ago. I hope he made it.
(Broadcaster #2)
'...remains unknown.'
That kangaroo watch continues.
'The kangaroo that
mysteriously appeared on'
'Chicago streets, was seen
entering this building'
'at the corner
of Kenzie and Maplewood.'
That's six blocks
from my house.
'Wildlife officers have
surrounded the building'
'in an attempt
to apprehend the animal.'
They're not going
to shoot him, are they?
I hope so.
That thing looks
like a giant rat.
Jeanie?
‐ You paged me?
‐ Yeah.
‐ Where's the patient?
‐ There is no patient.
We need to talk.
‐ About what?
‐ About my working here.
I need to know if you're
planning to tell anyone
that I'm positive.
No, I'm not.
Look, Jeanie, I don't agree
with what you're doing.
But how you handle
your patients
that's your responsibility.
Thank you.
But I do want you
to stay away from my patients.
And I don't want to be
in a trauma room with you.
That 13‐year‐old
with the clap
has had her ceftriaxone.
Should I write her a script‐‐
Ten days of doxycycline
and tell her to stay away
from insincere suitors.
You were good with her.
Thanks.
Listen, uh...
why don't you grab some lunch?
I was on all night.
I'm kind of beat.
I'm going to sack out
for about an hour.
Sure, I'll round
you up when I get back.
That's not necessary.
Thank you.
Susan, can you push
some potorlac?
Actually, I'm
suturing a thumb.
Do you know
where Mark is?
Mm, try the desk.
Hey, Malik,
have you seen Doug?
Haven't seen him.
Where are all
the doctors?
Um...are you
available?
Sure.
Exam one.
In a minute.
Next, we have a 73‐year‐old
post‐thyroidectomy
exhibiting both chvostek's
and trousseau's signs.
Treatment?
Dr. Carter?
Saline diuresis, three to six
liters per day plus pamidronate.
A textbook treatment
for hypercalcemia, doctor.
Unfortunately, this patient
has hypocalcemia
and you've just
stopped his heart.
Rest in peace,
Mr. Edmonson.
Next, we have a...
Man, he's gunning for you.
You okay?
I can't control
the muscles in my neck.
You're having a dystonic
reaction to the Compazine.
I am?
Yeah, muscle spasms
are one of the side effects.
[lips smacking]
So is lip smacking.
Help me.
The aortography on
this patient revealed
a small type "a" dissection
of the thoracic aorta.
Dr. Carter..
'differentiate between type "a"'
and type "b"
aortic dissection.
Type "a" involves the ascending
aorta and type "b"
the descending.
(Anspaugh)
'Correct.'
Next, a traumatic amputation.
'Patient is a 35 year old female
otherwise in good health.'
(male #1)
'How much longer
do I have to wait?'
They're prepping an O.R.
For you know, Mr. Sidowski.
In two hours,
you will be stone‐free.
I have some questions
for the doctor.
The surgeon will be
down in a minute.
He can answer
your questions.
Excuse me.
I'll be right back.
I had half a mind
to give him saline
instead of
the painkiller.
Why?
He flunked me
in chemistry.
You went to St. Mo's?
‐ Yeah, you?
‐ Yeah.
I think you were
in my history class.
‐ Mrs. Hester.
‐ Never had her.
You might be thinking
of my sister. So, listen‐‐
‐ What year were you?
‐ '88.
Oh, see, I was '85.
Mary's three years
older then me.
Check Sidowski's urine output
before moving him.
The last entry
was two hours ago.
Hey, Jer, animal control cop
got shot with a tranquilizer.
Where do you want him?
Exam four. Excuse me,
how did this happen?
I was trying to hit
that friggin' kangaroo
that's running around
Ukrainian village.
My partner
got in the way.
‐ How about the kangaroo?
‐ Hopped the wall.
He's still out there.
Mr. Johnson?
‐ Do you recognize this?
‐ What?
This was found at your
father's nursing home.
It's a living will.
It says that
your father did not want
any heroic measures
used to prolong his life.
A will? What'd I get?
What it means is,
we never should have
put him on
the ventilator.
We've kept him alive against
his expressed wishes.
See this?
Right here? This line?
Does that signature
look familiar?
‐ Yeah, it's mine.
‐ Yes, it is.
I got to go
put the hams to bed.
Except this one.
This one's for you.
So you'll call me
when he wakes up, right?
My work number.
Bye, pop.
What happened?
30‐foot fall off
an I‐beam. Head trauma.
Near amputation
of the left leg.
I'll get some o‐neg.
Eight units. And call
the reimplantation team.
'Let's go, trauma two.
Let's go.'
[knock on door]
Yeah?
Jane wanted
to say good‐bye.
Thanks for helping me.
You've both been really nice.
Well, okay.
Be careful out there.
[pager beeping]
You, uh, need
to get that?
Excuse me.
Uh...
(Jeanie)
'Faint dorsalis pulse.'
Decreased breath sounds
on the right side.
Set up for
a chest tube.
All right.
What's going on?
(Weaver)
'30‐foot high dive'
facial trauma, open fractures,
tension pheumo.
He's not breathing.
(Benton)
Laryngoscope, now. Move.
Lacerated femoral artery.
(Weaver)
'Get me a vascular
clamp and suction.'
Can't visualize the cords.
There's too much blood.
From where?
I don't know. Looks like
the nasopharynx.
Jeanie can pack the nose.
Get a 16 foley
and an umbilical clamp.
Peter can talk you through it.
I thought you were
staying out of my traumas.
(Jeanie)
It's not your trauma.
I was here first.
(female #1)
'Pulse ox is dropping, 78.'
Come on, let's go.
Thread the catheter
through the nose, lets move.
Can you visualize
the balloon?
‐ It's down there.
‐ Alright, inflate and retract.
Artery's clamped.
(Benton)
Can you come
take over for Jeanie?
She's got it.
I think I've
got it sealed.
Clamp it to keep it in place.
‐ It's clamped.
‐ Peter?
Bleeding stopped.
He's tubed.
Bag him.
‐ Nice job, guys.
‐ Good breath sounds.
All right.
Let's get him upstairs.
Good work.
What kind of greens?
Yeah, romaine,
spinach, alfalfa.
Right.
Who's he talking to?
Australian embassy.
Unfortunately,
there was some confusion.
We intubated him first,
and then, we found the D. N. R.
‐ Yes, I know.
‐ Mark...
No, no, no, he never should have
been on the ventilator
to begin with. I just need
the legal okay to take him off.
Mark..
Absolutely.
His pulse ox
barely registers.
There's not a single
functioning organ
left in his body.
He's got one foot
in the grave, okay?
‐ This man‐‐
‐ Is awake!
I'll call you right back.
Mr. Johnson, do you
know where you are?
You're very sick.
You were found
unconscious at your home.
Do you understand?
You want me to take that
tube out of your mouth?
There is a risk
of respiratory failure
if we take you off
the ventilator.
Are you sure that
that's what you want?
All right.
What I want you to do..
...is to blow real hard
on the count of three.
Okay. One, two
three, blow.
[coughing]
Good, good.
You okay, Mr. Johnson?
Call me Jack.
The Compazine wore off
and now, I'm sick again.
What a day, huh?
I just want to go
home and go to bed.
So, how much longer are we going
to put up with this?
‐ With what?
‐ With Benton.
What else we going to do?
I don't know if I
can take this abuse
for a year.
Betty!
Betty, what happened?
‐ Smoke inhalation.
‐ There was a fire.
Was anybody hurt?
Just me.
What about
your apartment?
[sniffles]
It's gone.
‐ Everything.
‐ Everything.
Everything.
The whole building.
The whole building?
‐ Yes.
‐ My floor too?
Yes, yes.
Yes!
She's not here.
I think she went home.
Damn.
So there he was,
naked as a jaybird.
I mean, not a stitch.
So I said..
..."son, what the hell
are you doing?"
He turns,
looks straight at me
and says,
"fishing, pop..
...Fishing."
He's a sweet boy.
Just slow.
You want me
to call him?
No.
I don't like him
driving at night.
We're going to transfer
you up to intensive care.
They'll make sure
you're comfortable.
Is there anything
else I can do?
No.
I had a good spin.
Saw two wars..
...ten Chevy's..
...Boston, San Francisco..
...Paris, France.
Married a woman..
...who put up with me..
...and died as beautiful
as the day we met.
Can't ask for more.
Hi. Uh, is
Dr. Anspaugh here?
He's not here.
He was supposed to
be here at 6 'O clock.
He was. He left
about five minutes ago.
Uh, listen, um..
...you have
his pager number?
Sorry, I'm new here.
Yeah, beautiful.
Thank you.
Hey, you're Benton,
aren't you?
Abbey Keaton.
I'd shake your hand,
but I've got pepperoni on mine.
Don's just letting me use
his computer till I move over.
Well, it's..
[snorts]
Sorry.
Uh..
...it's a pleasure
to meet you.
You know what, actually..
...I've been trying to get
in touch with you all day.
I got your note.
So, you're interested
in pediatric surgery.
‐ Yes, I am, very much.
‐ Mm‐hmm.
How do you feel about deep‐dish
pepperoni and anchovies?
Well, um, I don't
eat meat, but, hey.
‐ You could scrape it off.
‐ Okay.
Sit down.
Let's talk.
Gee, it's cold
out tonight.
Yeah, it feels
like fall.
You off?
Waiting for a break
in the rain.
How long have you and Al
been separated?
Almost a year.
No chance of
a reconciliation?
‐ No.
‐ Mmm.
Must be tough to
be sick and alone.
A good friend of mine
tested positive last year.
I think I'm one of
the two people he's told.
He's a lawyer.
Didn't want to
tell his coworkers.
Afraid he might
lose clients.
It's got to be hard to carry
that around all day.
It is.
I'm glad you decided
to keep working.
It would be a real
loss to the patients
if you quit.
Is there anything
you need?
No, I'm okay.
Okay.
It's freezing
out here.
‐ Well, good night.
‐ Good night.
Wait, wait.
You're serious?
‐ Yeah, yeah.
‐ Aah!
I've given it
a lot of thought
and I've decided
to be spontaneous.
What the hell,
I'm going to Maui.
Good for you.
Think I misread
the situation?
You don't invite
somebody to Maui
to play scrabble
by the pool.
So how's that
new intern?
Doyle? She's fine.
Competent, does her job.
What do you think,
keep her?
Sure, keep her.
Why not?
Mark, I need your signature.
Oh, more paper work
of Mr. Johnson's.
Surprise, surprise.
Transfer orders?
‐ Death certificate.
‐ What?
He arrested in
the elevator.
I.C.U. Never
admitted him
so technically,
he's still your patient.
Hey, that's my locker.
Gotcha.
So do you get back
to the neighborhood much?
Uh, every night.
I'm still living
with my parents.
Really?
Yeah, same room I used
to share with my sisters.
I'm trying to save money,
you know.
You could always
sell the beamer.
It was a gift
from my dad.
Bought it at
a police auction.
‐ Oh, he's a cop?
‐ Third generation.
He wanted me to be
the first female commissioner.
‐ But I took after my ma.
‐ Oh, she's a doctor.
'Nurse.
I was going to be'
'until I got kicked out
of nursing school.'
Never was very good
at taking orders.
See ya.
(female #2)
'Jerry, I don't want that thing
eating out of my mixing bowl.'
Oh, Ma, I'll clean it
when I'm done.
Lewis, Weaver, Weaver.
Ross, Lewis. Greene?
Did you work today?
Yeah.
‐ This it?
‐ Uh‐huh.
You mean to tell
me you worked
a 12 hour shift
and you saw only one patient?
It was unusually
time consuming.
‐ What was the outcome?
‐ He died.
On the other end of the scale
it looks like we have a tie
between Dr. Lewis
and Dr. Weaver.
Last patient,
out the door.
Well, congratulations, doctor.
You win the gumdrops.
Greene...
...it's the uh, black
Cadillac Seville.
Front row,
burgundy interior.
Don't forget
the sidewalls.
Is he serious?
No.
I want to talk to you
about that invitation.
I'm sorry about that.
No, no, I...
I hope you didn't
misunderstand me.
I mean, we can still
get you a room
if you still
want to come.
Oh.
But you can't,
that's okay.
I wasn't really
serious about it myself.
Right.
So, uh, I'll see you
in ten days.
Sure.
Don't worry
about the cat.
Thank you.
Have a great trip.
Call me.
Yeah, from the pool.
‐ Bye.
‐ Bye.
[objects crashing]
[dramatic music]
[music continues]
[theme music]
Previously on ER
‐ Repossessed.
‐ What? No. No, no..
No! Come on!
You know my schedule.
So, I don't have to‐‐
Just once it would be nice
if you called a day before.
All we'll see
is my neck.
Donald Anspaugh will become
county's new chief of staff.
‐ The guy's completely lumpy.
‐ Well, I rather like him.
Just sit there
and look.
You can't smoke around
this oxygen tank
either okay.
even at home.
‐ Okay, it's coming up.
‐ Alright.
So, if you were tested
positive, you'd have quit?
In a minute.
There.
[car honking]
(Greene)
'Susan.'
‐ Susan.
‐ 'Hey.'
‐ Good morning.
‐ Yes, it is.
I'd even go as far to say
it's a glorious morning.
Didn't your mother
teach you not to gloat?
What good's a vacation
if you can't gloat?
Just think, in eight days,
you'll be back here
slogging miserably through
life like the rest of us.
Yeah, but tomorrow,
I will be in Maui
with the sun on my face,
drinking a sea‐breeze.
‐ I hope you burn.
‐ Ha ha ha.
Thanks for house‐sitting.
My cat owes you big time.
I'll try to remember
to feed her.
Hope you recognize the hospital
when you get back.
Anspaugh's got a lot
of changes in store.
Like what?
I don't know.
I'm philosophically opposed.
That's my new motto,
change is not good.
Well, we're getting
more residents.
Maybe we won't have
to work as hard.
Work twice
as hard.
‐ What?
‐ They're from southside.
Their program is,
shall we say
less than
discriminating.
We're going to spend
half our time
trying to keep them from
killing the patients.
'Okay, I'm coming!'
Good morning, Dr. Carter.
I saw your car in the garage.
I didn't want you
to oversleep.
Well, I'm not on for another
two hours, but thanks.
I brought you
some borscht.
‐ Here, here.
‐ Alright.
They eat this for
breakfast in Russia.
Hmm.
Thank you for
helping me
fix my tank
the other day.
I hate this damn thing!
It's like dragging a‐a anchor.
Just don't light that
cigarette around it, okay?
Oh, by the way
I've been feeling
this waxy buildup in my ear.
Would you mind
taking a look at it?
You know, ears really
aren't my specialty
but there's a
family practitioner
who lives on
the second floor.
Really?
And he is so much more
qualified than I am.
Oh! Thank you,
Dr. Carter.
‐ I'll be back for that bowl.
‐ Okay.
Isn't this
exciting?
Yeah, like a junior
high assembly.
Mm, here's comes
the assistant principal.
Susan, I want you to
meet Margaret Doyle.
'One of our new interns
from southside.'
‐ Maggie.
‐ Pleasure.
Wonder what med school
she went to.
Guys, come on.
Saved you a seat.
You look like hell. Did you
pull an all‐nighter?
Price is sick so they
called me in at midnight.
Interrupted a very
promising date.
Morning, everybody.
Thanks for coming.
'I'm due on the surgical
floor in ten minutes'
so I'm going to make this
snappy. We're in trouble.
With the closing
of southside hospital
we can expect an increase
of at least 30%
'in our normal patient
load here at county.'
'To meet these demands, we're
going to be instituting'
'the efficiency standards
that made the southside ER.'
No offense, the best one
in the city.
'All residents and attendings
will see an average'
of 2.5 patients per hour.
Your patient quotient will
be checked on a daily basis.
The highest P.Q.
Wins a gum drop.
The lowest has
to wax my car.
‐ 'What about the dead?'
‐ I'm sorry?
DOAS? Train wrecks
who croak on the way in?
‐ Do we get points for them?
‐ 'Yes, you do.'
But, uh, try not to kill
all your patients
at once Dr. Greene.
'We wouldn't want
to draw suspicion.'
‐ And who handles scheduling?
‐ I do.
'Will you make sure
that I'm C. C.'d?'
‐ Chart review?
‐ That's, uh, me too.
I want a daily
summary.
‐ And budget?
‐ It's me.
Greene aren't you
an attending here?
I'm patient ombudsman.
I run the mentoring program
and I'm in charge
of staff morale.
Well, let's even out
the duties a bit.
Greene, you take
chart review.
‐ Get me a report by noon.
‐ Can I suggest‐‐
'People, change is like
a freight train.'
You're either on board
or you're grit in the gears.
Same time Tuesday.
Oh. I think he likes you.
[theme music]
[music continues]
[music continues]
It was ugly, the ugliest
thing I ever saw.
It was big like a bear
and fearsome.
‐ Well, look what he done to me.
‐ What's this?
Dante says a kangaroo attacked
him in Humbolt park.
‐ That's a nasty cut.
‐ He had a claw like a razor.
‐ Smelled like a elephant's ass.
‐ Yeah, exam six.
Jerry, who was
attending last night?
‐ Um, Mishkin.
‐ Okay, get him on the phone.
'Cause I can't read his
handwriting. It's like Sanskrit.
‐ Stuck in chart‐review hell?
‐ I've been here for an hour.
And I haven't
seen any patients.
Now you gonna pick it up or
you'll be waxing Anspaugh's car.
One down. Uh, anyone got
the broken tib‐fib?
Uh, actually, I'd rather
you stayed supervised.
‐ Doug, did you meet, uh‐‐
‐ Maggie Doyle.
‐ Maggie, I'm Doug. How are you?
‐ Hi.
I was handling my own
cases at southside.
It's your first day and I'd
like you to stick with Doug.
Jerry, get on the PA
and tell the idiot
with the red BMW
to get out of
my parking spot.
‐ Space 37?
‐ Yeah.
Security told me
I could park there.
Space 37 is my space.
It's been my space
for three years.
Maggie, I'd like you
to meet Carol Hathaway.
She's our head nurse.
She also heads the
welcoming committee.
I'll move.
Good.
‐ Who's that?
‐ Intern from the southside.
An Intern?
With a BMW?
I thought your car
was repossessed.
It's still
my spot.
[chuckles]
Before I do the stitches I'm
gonna give you some medicine
so they won't
hurt, okay?
You know what? I'll even let
you choose the color of thread.
I've got blue,
purple, black.
Jeanie.
Uh, can I talk to you
for a minute outside?
Yeah.
I'll be right back.
You should call a surgical
intern to do the sutures.
I'm sure the interns have
more important things to do.
Have you told the mother
and the patient that
you're HIV positive?
None of your
damn business.
Alright.
It's just gonna hurt
for a second.
Jerry, get these charts
out of my face
and get me a sick
person to fix.
Actually, the board
is covered right now.
Kleinman's been
turfed to neuro.
Figueroa has
been discharged
and Nguyen
signed out AMA.
Your labs on Otis
and Fenning came up.
Okay. Thank you.
‐ You're cooking.
‐ Ah, I heal 'em and deal 'em.
Besides, in..
...46 hours and 18 minutes
I will be in..
‐ Don't say it.
‐ Maui, Maui, Maui.
You're cruel. I haven't had
a day off since Christmas.
Why don't you
come with me?
Yeah, right.
You're kidding, right?
Uh, I don't know. I mean,
you have the time coming
and there's plenty of
people to cover for you.
‐ What about your cat?
‐ I can ask a neighbor.
Mark! This guy's
crashing.
I'm coming.
We'll talk later.
Sure.
Good morning.
How are you?
‐ I've been better.
‐ Me too.
So, did you see if the triage
nurse
brought your
chart back?
I don't know.
So, what seems
to be the problem?
Kidney stones.
I've had them in the past.
Woke up with the same
pain this morning.
It starts back here and it
works its way around front.
‐ And then down.
‐ Yeah, sounds like a stone.
They're probably gonna
want it to a cat scan.
Let's get you
in a gown first.
Do you eat a lot
of ice cream?
Yes, actually.
‐ Drink tea?
‐ Almost every day.
Why do you ask?
Well, the calcium from
the ice cream combined
with the oxylate in the tea
forms calcium oxylate stones.
A simple ionic bond.
‐ Makes sense.
‐ Mr. Sidowski?
That's right.
I was in your chemistry
class at Saint Monica's.
‐ Carol.
‐ Hathaway!
Second row..
...right near
the window.
God, I can't believe
you remember.
I remember
the good ones.
[groans]
I always knew
you'd do well.
There you are, a doctor.
Do you specialize in emergency
medicine or surgery or‐‐
No. I'm a nurse,
actually. Ahem.
‐ In the E. R.
‐ A nurse?
Well..
...that's wonderful.
What's the story?
They found him obtunded
at his board and care.
BP's 50 over 30.
Pulse weak at 130.
No tendon reflexes.
No response to pain.
This I. V.'s blown.
Vein's too weak to hold.
What's his name?
‐ Johnson.
‐ Mr. Johnson? Mr. Johnson?
He seems plenty
gorked to me.
‐ How old?
‐ Eighty‐nine.
Does anyone know what his
quality of life was like?
I'm calling his
board and care.
'Find out if he's
got a living will?'
I don't want to get into
heroic measures if he's DNR.
‐ I don't get a pulse.
‐ 'He's bradying down.'
Lily, you getting
through?
[sighs]
They put me on hold.
All right, let's bag him.
Break out the atropine.
‐ This is ridiculous.
‐ It's a crime.
Every surgical intern
is in the OR today.
Everyone but us.
Benton let me spend more time
in the O. R. as a med student.
The man...the man
is a sadist.
Look at this.
‐ Edson's double bypass?
‐ No, no, but geez.
No, Keaton. That's
Abby Keaton.
Pediatric surgeon. She used
to be at southside.
[laughing]
‐ Oh, man.
‐ What?
Benton's going to try
for an elective with her.
‐ No way.
‐ Mm‐hmm.
He just signed up for thoracic
with the new chief.
Then why did I
see him reading
"Essentials of
pediatric surgery?"
Benton and kids?
See, it's the most
difficult specialty.
It is impossible
to get into.
It is exactly
what he'd go for.
I‐I don't
buy it.
Benton's no
Mr. Rogers.
It's a beautiful day in the
neighborhood boys and girls.
Gant, cover med‐surg.
I heard that you
uh, signed up
'for a thoracic
elective with Anspaugh.'
Carter. Pre‐ops
and transfers for you.
Any chance that we
might get into the OR?
'Today?'
Maybe, possibly.
Call surgery! Tell them we got
a major chest impalement!
‐ What happened?
‐ Motorcycle hit a glass truck.
Start an IV and set up
the rapid infuser.
'Okay, let's move him.'
Ready..
...and go. Oh!
Watch out.
'B.P.'s 70.
He's getting dusky.'
Try for a 16 gauge.
He needs more volume.
He's seizing. Someone
hold his arm.
Ativan, two.
Use both hands.
‐ 'Get the needle in.'
‐ He's moving.
Wait, wait.
Okay.
Now. Now!
‐ Rapid infuse the o‐neg.
‐ No breath sounds on the right.
'Tension pneumo.'
Damn. Connie?
Hold his head.
Jeanie, grab hold of this glass
and watch your hands.
'Pulse ox is
down to 70.'
Jeanie?
‐ Get over here now.
‐ I'll get someone.
Jeanie?
Jeanie!
Malik, they need
you in there.
‐ I'm going to the lab.
‐ I'll take them. Go.
Go!
[instrument beeping]
Do you pluck
your eyebrows?
Uh, wax.
They look good, girl.
You do yourself?
'No, I found this
place on dearborn.'
Time?
12 minutes.
More epi?
I guess.
What's going
on in there?
The board and care found medical
records but no DNR.
‐ Let's hear it.
‐ He's got COPD.
'Renal failure,
congestive heart failure'
'prostate cancer,
diabetes.'
Any family we can contact?
A son. They're trying to reach
him.
Ever get this
old, I want
"do not resuscitate"
tattooed on my forehead.
Get this.
His ph is 6.97.
Alright, he's been
down long enough.
Time of death,
10:06.
'Get a strip.'
I'll go next door.
[instrument beeping]
Mark. He's got
a rhythm.
It won't last.
B.P.'s 50 palp.
Guess we better put
him back on the mask.
Tough old geezer,
ain't he?
So, she asked you
to come to Hawaii.
Yeah, but I don't know
what she meant.
Oh, seems fairly
unambiguous.
Well, if she meant
it as a friend
then that means separate
hotel rooms, right?
Right, or you could
be sharing a bed.
Right.
Alright, when you get
adjoining rooms
with a broken lock
you see what happens.
You're not helping.
What do you think
she meant?
Well, I think she
meant something
a little more
than friendship.
‐ How do you feel about that?
‐ Well, um..
Oh, you're interested?
Get on a plane, Humphrey.
What if that's not
what she meant?
Three hours divided
by seven patients is 2.33.
‐ How's it going, Mark?
‐ Three hours, one patient.
I'm on a roll.
Jerry, I'll take that
plantar wart in five.
You got it.
Neuro come down
for Mr. Johnson?
‐ Who?
‐ Gomer that came back to life.
Oh, yeah. No they wouldn't take
him. Said he's a renal case.
Yeah, well, then
try Renal, okay?
We've got to get
him out of here.
Jawohl. Hey,
your wart.
Oh, right.
Thank you.
Could I have
some more soup?
‐ Whose patient is Johnson?
‐ Why?
He stopped breathing.
They need you in two.
I'll take it.
Did anyone see Jeanie?
She went on break.
More soup?
Shh, quiet.
(Broadcaster)
'...of a sighting of a kangaroo
in Humbolt park.'
Lydia, come here.
'The mystery marsupial
was recently sighted'
'hopping along
the Kennedy expressway.'
'The department of animal
control has issued a warning'
'that kangaroos
can be dangerous'
'and have been known to
attack when threatened.'
Soup?
So...you asked him
to go with you?
It just popped out.
Have you guys ever..
No!
But you asked him
to go to Hawaii.
I mean, that's,
that's pretty bold.
Oh, it's stupid.
I mean, Mark and
I are friends.
We work together
and I basically invited
him into my bed.
‐ What did he say?
‐ Oh, he was appalled.
He couldn't wait
to get away from me.
Oh, I'm such a fool.
Uh, how long is
Anspaugh going to be?
One never knows.
Dr. Benton.
Carter, what are
you doing here?
I just admitted
a woman with a lipoma.
‐ She's gonna need surgery.
‐ A fat tumor. It can wait.
She wants it out today.
Alright. Well, then go ahead
and book an OR, all right?
Can, uh. Can I
assist, please?
Yeah, whatever. Jus‐jus‐just
get out of here, alright?
Solid.
[sighs]
Hey, this guy in the picture
with Dr. Anspaugh, is that, um..
General Schwarzkopf.
They were roommates
at west point.
Judith, I'll be
in neonatal.
Hey, uh, Dr. Anspaugh,
I chose cardiothoracic
as my eight‐week elective.
Congratulations. Means
you're on my team.
Uh‐huh. But I just
found out today
that Dr. Keaton's
coming here.
Yes. Very, very
happy to have her.
Yes. I know,
I follow her work.
Do I sense a wind
shift, doctor, uh..
Benton. Look, Dr. Keaton
is one of the finest
pediatric surgeons
in the country.
An opportunity to work
with her is hard to pass up.
Well, she may not
have a slot for you.
Well, I'd
like to see.
I'll give you
until 6 'o clock
So, if I don't
get the pedes
I'm still on for
thoracic, right?
Dr. Benton, if I don't hear
from you by 6 'o clock
you get neither.
Jane, I'm Dr. Ross,
this is Dr. Doyle.
‐ Hi.
‐ Hi.
Uh, listen, I understand
you've been having some
uh, some pain
when you urinate.
Yeah. I think it's
a bladder infection.
‐ I had one before.
‐ Uh, when was that?
Last year.
Okay. Any soreness
or tenderness?
Um, just when I go
to the bathroom.
Are you sexually
active?
‐ Have you ever had intercourse?
‐ Oh, no.
Okay, we're going
to do some tests.
When we get those back,
we'll talk some more.
‐ Okay?
‐ Okay.
Alright.
So what do you think?
Either an STD.
Or she's pregnant.
‐ Based on?
‐ Her, sweater.
Cashmere, probably
neiman marcus.
Why does a rich girl
come to a county ER?
She doesn't want her
family doctor what's wrong.
Okay, so what
do you do?
Dip a urine and do a pregnancy
test for starters.
[clears throat]
Sounds good.
Sorry, the OR's
are booked.
Dr. Benton sends
his apologies.
He can send flowers
for all I care.
You've got a breast
reconstruction
a thyroidectomy
and a hemicolectomy.
‐ This is important.
‐ What is it?
‐ It's a pheochromocytoma.
‐ A pheo?
Her BP is through
the roof.
If we don't go in soon,
she'll stroke out.
Alright.
Tell Dr. Benton
he has his OR.
And tell him
I like tulips.
Jeanie, if you have an
explanation, I'm listening.
I'm sorry. I haven't
been feeling well.
I got nauseous.
If you're feeling
ill to the point
where it interferes
with your work
you should
let me know.
It won't happen again.
Everything else okay?
Yeah. Everything's fine.
How's Al?
He's, uh, he's
holding his own.
It's difficult.
I'm sure it is.
Can I help you?
Uh, yeah. I need
to see Dr. Keaton.
You're too late.
Well, the patient's
still conscious.
‐ Come back in three hours.
‐ I need to talk to her.
You don't know Dr. Keaton
very well, do you?
Just by reputation. Why?
I guarantee that if you
go in there right now
the only words she's going
to have for you are "get out."
Alright, look, um
if I write a note will you
make sure that she gets it?
I'm not her secretary.
Leave it in her box.
Mr. Johnson, your father was
found unconscious this morning.
He has what we call
multisystem failure.
Heart, lungs, kidneys.
And he may have suffered
a stroke, as well.
‐ That's like Alzheimer's.
‐ No. But it's very serious.
Did you ever talk
with your father
about whether he wanted to use
machines to keep him alive
if his body were failing?
Not a lot, no.
‐ Were you and he close?
‐ About a hundred miles.
I live in Boone county.
I smoke hams.
Your father is very ill.
In all likelihood..
...he may never
regain consciousness.
And we can use a machine
to keep his body alive
or we can give him medication
to take care of his pain
and let nature
take its course.
As next of kin,
it's your decision.
What do you think?
For my father..
...I would try to make
him comfortable
in his final moments.
Okay.
So, I'll get somebody
to bring you papers?
And you're gonna
help him right?
‐ I'm sorry?
‐ You're gonna make him better.
I'm not sure
that we can.
Just don't let
him die, okay?
Alright, Carter, make the
incision below the costal margin
straight across
six centimeters.
Okay.
Now, just like carpentry,
measure twice, cut once.
Right.
Benton, you should have told
me you're doing a pheo.
Trying to keep the exotic
ones for yourself, huh?
What are you talking about?
I'm doing a lipoma removal.
It's on the board,
"pheochromocytoma"
in big red letters.
Who the hell put
it up there?
[knocking]
Hey, Carter, Simon's
letting me do an appi.
I'm going in.
No. It's called
gonorrhea.
It's sexually transmitted.
It is treatable.
But we have to
do it right away.
Are you gonna
tell my parents?
No. Whether you tell
your parents or not
that's up to you.
I would tell the,
uh, boy or boys
that you've
had sex with.
I only did it once.
Then you need
to tell him.
‐ I‐I can't.
‐ Why is that?
Because he won't
talk to me.
When I see him in the halls
he won't even look at me.
I feel really
disgusting.
Sorry.
That's all right.
I wanted it to be special.
And it was like
I wasn't even there.
He didn't even
drive me home.
Hey, Jane, guys who are
interested in having sex
with you aren't necessarily
interested in you. You know?
If you want it
to be special
you have to wait
for the right guy.
'I will suggest
waiting a long time'
like until
you can vote.
[laughs]
‐ So, Mr. Johnson's in V‐tach?
‐ Paddles.
‐ Why not?
‐ Charge?
‐ You pick.
‐ 200?
200 it is.
‐ Clear.
‐ Clear.
Next contestant.
Do I hear 300?
‐ 300, sure.
‐ 300 from the stunning woman.
‐ Clear.
‐ Clear.
I'll see your 300
and raise you 360.
Mark?
‐ What a joke.
‐ 360.
‐ Clear.
‐ Clear
And he's back.
What a trooper.
Congratulations,
Mr. Johnson.
You are the lucky winner
of a brand‐new ventilator
at a cost
of $5,000 a day
and as a bonus,
your very own chest x ray‐‐
Perfect for decorating
the small sterile hospital room
where you're going to spend
the rest of your brief,
unconscious life.
She's still in there?
It's 4:00.
She went back in. She's got
a four‐year‐old with a tumor.
Excuse me,
what are you doing?
I'm just seeing
if she got my note.
Look, uh, when
Dr. Keaton comes out
please, please make sure
that she gets this.
Yes.
I'm Peter Benton,
I'm a fourth‐year resident
and I'm interested in a
pediatric surgery elective.
I need to talk
to her about 6:00.
‐ My pager number is‐‐
‐ 3376. I can read.
Look, just make sure
she gets it, okay?
Okay.
(Gant)
So you always vomit
when you screw up?
Only when I get written up
by the chief of staff.
Yeah, well, ten migs
of Compazine
should get your stomach
back on its feet.
You missed a great
appendectomy.
I could lose
my residency.
Retracted the internal obliques,
clamped that sucker...
My career is over.
‐ Ow!
‐ Sorry, sorry.
Dr. Benton.
What makes you think
you can assist
on a surgery behind my back?
‐ Simon needed an intern.
‐ I'm your resident.
You don't blink
without asking me.
This afternoon,
you're on bedsore duty.
If there's a boil,
you lance it.
If there's a weeping decubitus,
you debride it, and if...
[pager beeping]
Anspaugh's leading chief rounds
in 20 minutes. Don't be late.
Especially you, Carter.
He asked for you by name.
I can't believe
I spent four years in med school
and four years as resident
so now I can take orders
from a guy who smokes hams.
Other than that,
how's your day going?
Just got worse.
Who does this
belong to?
Yep, that's mine.
Wear it.
We lose 20 or 30 a year.
Who invented
the stethoscope?
I have no idea.
Rene laennec, 1819.
You can see
I taught her well.
Keep hustling, boys.
You don't want
to end up
with the turtle wax.
Oh.
‐ Hi.
‐ Hi.
I haven't seen you
much today.
Yeah, it's been
a pretty busy one.
So you've been, uh..
...you've been busy.
Yeah, pretty much.
So, about Hawaii...
How much are
the hotel rooms?
Rooms?
Or a room...
For me.
Um...I'll have to
check on that.
You'll let me know.
Sure.
(Wright)
'Jerry! Jerry, turn on'
'channel five,
quickly!'
They've spotted him again.
He was at the rail yard
an hour ago. I hope he made it.
(Broadcaster #2)
'...remains unknown.'
That kangaroo watch continues.
'The kangaroo that
mysteriously appeared on'
'Chicago streets, was seen
entering this building'
'at the corner
of Kenzie and Maplewood.'
That's six blocks
from my house.
'Wildlife officers have
surrounded the building'
'in an attempt
to apprehend the animal.'
They're not going
to shoot him, are they?
I hope so.
That thing looks
like a giant rat.
Jeanie?
‐ You paged me?
‐ Yeah.
‐ Where's the patient?
‐ There is no patient.
We need to talk.
‐ About what?
‐ About my working here.
I need to know if you're
planning to tell anyone
that I'm positive.
No, I'm not.
Look, Jeanie, I don't agree
with what you're doing.
But how you handle
your patients
that's your responsibility.
Thank you.
But I do want you
to stay away from my patients.
And I don't want to be
in a trauma room with you.
That 13‐year‐old
with the clap
has had her ceftriaxone.
Should I write her a script‐‐
Ten days of doxycycline
and tell her to stay away
from insincere suitors.
You were good with her.
Thanks.
Listen, uh...
why don't you grab some lunch?
I was on all night.
I'm kind of beat.
I'm going to sack out
for about an hour.
Sure, I'll round
you up when I get back.
That's not necessary.
Thank you.
Susan, can you push
some potorlac?
Actually, I'm
suturing a thumb.
Do you know
where Mark is?
Mm, try the desk.
Hey, Malik,
have you seen Doug?
Haven't seen him.
Where are all
the doctors?
Um...are you
available?
Sure.
Exam one.
In a minute.
Next, we have a 73‐year‐old
post‐thyroidectomy
exhibiting both chvostek's
and trousseau's signs.
Treatment?
Dr. Carter?
Saline diuresis, three to six
liters per day plus pamidronate.
A textbook treatment
for hypercalcemia, doctor.
Unfortunately, this patient
has hypocalcemia
and you've just
stopped his heart.
Rest in peace,
Mr. Edmonson.
Next, we have a...
Man, he's gunning for you.
You okay?
I can't control
the muscles in my neck.
You're having a dystonic
reaction to the Compazine.
I am?
Yeah, muscle spasms
are one of the side effects.
[lips smacking]
So is lip smacking.
Help me.
The aortography on
this patient revealed
a small type "a" dissection
of the thoracic aorta.
Dr. Carter..
'differentiate between type "a"'
and type "b"
aortic dissection.
Type "a" involves the ascending
aorta and type "b"
the descending.
(Anspaugh)
'Correct.'
Next, a traumatic amputation.
'Patient is a 35 year old female
otherwise in good health.'
(male #1)
'How much longer
do I have to wait?'
They're prepping an O.R.
For you know, Mr. Sidowski.
In two hours,
you will be stone‐free.
I have some questions
for the doctor.
The surgeon will be
down in a minute.
He can answer
your questions.
Excuse me.
I'll be right back.
I had half a mind
to give him saline
instead of
the painkiller.
Why?
He flunked me
in chemistry.
You went to St. Mo's?
‐ Yeah, you?
‐ Yeah.
I think you were
in my history class.
‐ Mrs. Hester.
‐ Never had her.
You might be thinking
of my sister. So, listen‐‐
‐ What year were you?
‐ '88.
Oh, see, I was '85.
Mary's three years
older then me.
Check Sidowski's urine output
before moving him.
The last entry
was two hours ago.
Hey, Jer, animal control cop
got shot with a tranquilizer.
Where do you want him?
Exam four. Excuse me,
how did this happen?
I was trying to hit
that friggin' kangaroo
that's running around
Ukrainian village.
My partner
got in the way.
‐ How about the kangaroo?
‐ Hopped the wall.
He's still out there.
Mr. Johnson?
‐ Do you recognize this?
‐ What?
This was found at your
father's nursing home.
It's a living will.
It says that
your father did not want
any heroic measures
used to prolong his life.
A will? What'd I get?
What it means is,
we never should have
put him on
the ventilator.
We've kept him alive against
his expressed wishes.
See this?
Right here? This line?
Does that signature
look familiar?
‐ Yeah, it's mine.
‐ Yes, it is.
I got to go
put the hams to bed.
Except this one.
This one's for you.
So you'll call me
when he wakes up, right?
My work number.
Bye, pop.
What happened?
30‐foot fall off
an I‐beam. Head trauma.
Near amputation
of the left leg.
I'll get some o‐neg.
Eight units. And call
the reimplantation team.
'Let's go, trauma two.
Let's go.'
[knock on door]
Yeah?
Jane wanted
to say good‐bye.
Thanks for helping me.
You've both been really nice.
Well, okay.
Be careful out there.
[pager beeping]
You, uh, need
to get that?
Excuse me.
Uh...
(Jeanie)
'Faint dorsalis pulse.'
Decreased breath sounds
on the right side.
Set up for
a chest tube.
All right.
What's going on?
(Weaver)
'30‐foot high dive'
facial trauma, open fractures,
tension pheumo.
He's not breathing.
(Benton)
Laryngoscope, now. Move.
Lacerated femoral artery.
(Weaver)
'Get me a vascular
clamp and suction.'
Can't visualize the cords.
There's too much blood.
From where?
I don't know. Looks like
the nasopharynx.
Jeanie can pack the nose.
Get a 16 foley
and an umbilical clamp.
Peter can talk you through it.
I thought you were
staying out of my traumas.
(Jeanie)
It's not your trauma.
I was here first.
(female #1)
'Pulse ox is dropping, 78.'
Come on, let's go.
Thread the catheter
through the nose, lets move.
Can you visualize
the balloon?
‐ It's down there.
‐ Alright, inflate and retract.
Artery's clamped.
(Benton)
Can you come
take over for Jeanie?
She's got it.
I think I've
got it sealed.
Clamp it to keep it in place.
‐ It's clamped.
‐ Peter?
Bleeding stopped.
He's tubed.
Bag him.
‐ Nice job, guys.
‐ Good breath sounds.
All right.
Let's get him upstairs.
Good work.
What kind of greens?
Yeah, romaine,
spinach, alfalfa.
Right.
Who's he talking to?
Australian embassy.
Unfortunately,
there was some confusion.
We intubated him first,
and then, we found the D. N. R.
‐ Yes, I know.
‐ Mark...
No, no, no, he never should have
been on the ventilator
to begin with. I just need
the legal okay to take him off.
Mark..
Absolutely.
His pulse ox
barely registers.
There's not a single
functioning organ
left in his body.
He's got one foot
in the grave, okay?
‐ This man‐‐
‐ Is awake!
I'll call you right back.
Mr. Johnson, do you
know where you are?
You're very sick.
You were found
unconscious at your home.
Do you understand?
You want me to take that
tube out of your mouth?
There is a risk
of respiratory failure
if we take you off
the ventilator.
Are you sure that
that's what you want?
All right.
What I want you to do..
...is to blow real hard
on the count of three.
Okay. One, two
three, blow.
[coughing]
Good, good.
You okay, Mr. Johnson?
Call me Jack.
The Compazine wore off
and now, I'm sick again.
What a day, huh?
I just want to go
home and go to bed.
So, how much longer are we going
to put up with this?
‐ With what?
‐ With Benton.
What else we going to do?
I don't know if I
can take this abuse
for a year.
Betty!
Betty, what happened?
‐ Smoke inhalation.
‐ There was a fire.
Was anybody hurt?
Just me.
What about
your apartment?
[sniffles]
It's gone.
‐ Everything.
‐ Everything.
Everything.
The whole building.
The whole building?
‐ Yes.
‐ My floor too?
Yes, yes.
Yes!
She's not here.
I think she went home.
Damn.
So there he was,
naked as a jaybird.
I mean, not a stitch.
So I said..
..."son, what the hell
are you doing?"
He turns,
looks straight at me
and says,
"fishing, pop..
...Fishing."
He's a sweet boy.
Just slow.
You want me
to call him?
No.
I don't like him
driving at night.
We're going to transfer
you up to intensive care.
They'll make sure
you're comfortable.
Is there anything
else I can do?
No.
I had a good spin.
Saw two wars..
...ten Chevy's..
...Boston, San Francisco..
...Paris, France.
Married a woman..
...who put up with me..
...and died as beautiful
as the day we met.
Can't ask for more.
Hi. Uh, is
Dr. Anspaugh here?
He's not here.
He was supposed to
be here at 6 'O clock.
He was. He left
about five minutes ago.
Uh, listen, um..
...you have
his pager number?
Sorry, I'm new here.
Yeah, beautiful.
Thank you.
Hey, you're Benton,
aren't you?
Abbey Keaton.
I'd shake your hand,
but I've got pepperoni on mine.
Don's just letting me use
his computer till I move over.
Well, it's..
[snorts]
Sorry.
Uh..
...it's a pleasure
to meet you.
You know what, actually..
...I've been trying to get
in touch with you all day.
I got your note.
So, you're interested
in pediatric surgery.
‐ Yes, I am, very much.
‐ Mm‐hmm.
How do you feel about deep‐dish
pepperoni and anchovies?
Well, um, I don't
eat meat, but, hey.
‐ You could scrape it off.
‐ Okay.
Sit down.
Let's talk.
Gee, it's cold
out tonight.
Yeah, it feels
like fall.
You off?
Waiting for a break
in the rain.
How long have you and Al
been separated?
Almost a year.
No chance of
a reconciliation?
‐ No.
‐ Mmm.
Must be tough to
be sick and alone.
A good friend of mine
tested positive last year.
I think I'm one of
the two people he's told.
He's a lawyer.
Didn't want to
tell his coworkers.
Afraid he might
lose clients.
It's got to be hard to carry
that around all day.
It is.
I'm glad you decided
to keep working.
It would be a real
loss to the patients
if you quit.
Is there anything
you need?
No, I'm okay.
Okay.
It's freezing
out here.
‐ Well, good night.
‐ Good night.
Wait, wait.
You're serious?
‐ Yeah, yeah.
‐ Aah!
I've given it
a lot of thought
and I've decided
to be spontaneous.
What the hell,
I'm going to Maui.
Good for you.
Think I misread
the situation?
You don't invite
somebody to Maui
to play scrabble
by the pool.
So how's that
new intern?
Doyle? She's fine.
Competent, does her job.
What do you think,
keep her?
Sure, keep her.
Why not?
Mark, I need your signature.
Oh, more paper work
of Mr. Johnson's.
Surprise, surprise.
Transfer orders?
‐ Death certificate.
‐ What?
He arrested in
the elevator.
I.C.U. Never
admitted him
so technically,
he's still your patient.
Hey, that's my locker.
Gotcha.
So do you get back
to the neighborhood much?
Uh, every night.
I'm still living
with my parents.
Really?
Yeah, same room I used
to share with my sisters.
I'm trying to save money,
you know.
You could always
sell the beamer.
It was a gift
from my dad.
Bought it at
a police auction.
‐ Oh, he's a cop?
‐ Third generation.
He wanted me to be
the first female commissioner.
‐ But I took after my ma.
‐ Oh, she's a doctor.
'Nurse.
I was going to be'
'until I got kicked out
of nursing school.'
Never was very good
at taking orders.
See ya.
(female #2)
'Jerry, I don't want that thing
eating out of my mixing bowl.'
Oh, Ma, I'll clean it
when I'm done.
Lewis, Weaver, Weaver.
Ross, Lewis. Greene?
Did you work today?
Yeah.
‐ This it?
‐ Uh‐huh.
You mean to tell
me you worked
a 12 hour shift
and you saw only one patient?
It was unusually
time consuming.
‐ What was the outcome?
‐ He died.
On the other end of the scale
it looks like we have a tie
between Dr. Lewis
and Dr. Weaver.
Last patient,
out the door.
Well, congratulations, doctor.
You win the gumdrops.
Greene...
...it's the uh, black
Cadillac Seville.
Front row,
burgundy interior.
Don't forget
the sidewalls.
Is he serious?
No.
I want to talk to you
about that invitation.
I'm sorry about that.
No, no, I...
I hope you didn't
misunderstand me.
I mean, we can still
get you a room
if you still
want to come.
Oh.
But you can't,
that's okay.
I wasn't really
serious about it myself.
Right.
So, uh, I'll see you
in ten days.
Sure.
Don't worry
about the cat.
Thank you.
Have a great trip.
Call me.
Yeah, from the pool.
‐ Bye.
‐ Bye.
[objects crashing]
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