ER (1994–2009): Season 3, Episode 7 - No Brain, No Gain - full transcript

[theme music]

(male narrator)
Previously on "ER.."

[instrumental music]

[indistinct chatter]

What's your name?

Gail.
She's only ten days old.

Please, is she alright?

Pulse ox is falling. You need
to get this baby off the table.

‐ 'Grab her faster, dammit.'
‐ I'm getting Keaton.

No. Go, go.

I don't you anywhere
near my patients.



I don't need your sanctimonious
approval of my life.

You arrogantly and blindly
think you have all the answers.

If the baby dies,
it'll be my responsibility

but it'll be your fault.

[car horn blaring]

Hi, Mark.

Hi, Susan.

Excuse me?

What?

You just called me Susan.

No, I didn't.

Yeah, you did.

I guess she's on
your mind, huh?

Not necessarily.



I wish you guys would
hurry up and get married.

What?

You're perfect for each other.

I mean, you almost went
on vacation together.

You knew about that?

Mark, everybody knew
about that.

What I don't get
is why you backed out.

She didn't want me to go.

Mark, she wanted
you to go.

She did?

Oh, yeah.

Nobody told me.

Look, just do us all
a favor. Ask her out.

We need some fresh
gossip around here.

Oh, man,
I need some sleep.

You? At least you
get off in 11 hours.

I've got 18 to go.

Where's Benton?
Still in the ER?

No. He's where he's been
most in the last six days.

Still with that baby, huh?

I'm telling you,
the man is obsessed.

Oh, damn it. Edson, I told you
to keep an eye on him.

That's what I told
the nurses.

‐ We must find him.
‐ I'll find him.

He's probably in the cafeteria.

Well, he better not
have eaten.

Oh, hey, you guys, listen,
have you seen a male patient

about, uh, this tall,
kinda peculiar?

‐ Sorry.
‐ Lost one, huh?

Yeah, great case.
Guy's got a tumor in his throat.

The size of a golf ball.
He needs an esophagectomy.

Anspaugh brought in
some hotshot from Japan.

We're all set to go
and the patient goes AWOL.

Phew. Tough break.

Listen, you guys,
help me find him

I'll get you in
on the surgery.

We'll keep
our eyes open.

Great, thanks, dudes.

Um, listen, he's got
a sweet tooth

so check
the vending machines.

Yeah, right.

You know, last shift

he left me three
lines to change.

I had to pick up his labs.

Did you have
breakfast yet?

I'm starving.

[machine beeping]

‐ You paged me?
‐ Yeah. Her abdomen's distended.

‐ 'Crit's down to 30.'
‐ 'She's hemorrhaging.'

Uh, we need to take her
off the anticoagulants.

That means taking her off
the machine.

Can she live off it?

I doubt she'll last a day
but there's no other choice.

Well then, maybe we should get
her back up to the OR.

Her platelets are too low.

Well then, we gotta
transfuse her.

‐ We just did.
‐ Look, Dr. Keaton.

I mean, we gotta
try something. We can't‐‐

At this point the best thing

we can do for her
is to do nothing.

'I also think that
for the time being'

you should be more
of an observer

than an active
participant.

‐ You mean on this case?
‐ On all the cases.

You know, Dr. Keaton,
I'd do anything

to undo what I did,
but I can't.

This isn't
a punishment, Peter

but you have a tendency
to act without thinking.

If you want to grow
as a surgeon

you've gotta learn
more patience.

[theme music]

Hear ye, hear ye,
who wants taffy?

Uh, homemade, perchance?

‐ Saltwater. Pulled it myself.
‐ Yeah, don't mind if I do.

Excuse me.

Do you have change
for the candy machine?

Um...let me see.

Yeah.
Quarters okay?

Yes.

Uh, excuse me, cuz.
You owe me a buck.

I‐I don't have one.

Then you're SOL.

Jerry, Connie's sick.
We gotta call in a float.

‐ I already did.
‐ Well, call them back.

I wanna approve
whoever they send.

Why?

(Rhonda)
'Could someone call security.'

There is a man urinating
in the phone booth.

‐ That's why.
‐ Did anyone hear me?

Yes, Rhonda, we heard you.

But you don't need security,
you need a mop.

‐ And the mop is in the corner.
‐ I don't mop.

[chuckles]

Way to go, Jer.

How was I supposed to know?

I wonder how long
we can sit here

before anyone notices
we're missing.

We'll never know.
You just jinxed it.

What do you mean?

[pager beeps]
Oh.

That's what I mean.

It's Benton.

It couldn't happen
to a nicer..

[pager beeps]

[laughing]
What's that?

‐ It's the ER.
‐ You want to trade?

No. No way.

‐ Oh. John, hi.
‐ Hi, Dr. Keaton.

I got that review article
you dropped off

for me on congenital hernias.

Yeah, I‐I heard you were doing
one and didn't know

whether or not
you've read it or..

Well, actually,
I‐I helped to edit it.

Oh. Well, then..

But it was‐it was
very sweet of you.

See you.

[indistinct chatter]

Something going on
I should know about?

Please.

[phone ringing]

And when was your last
bowel movement?

Uh, well,
technically

that would have been
Monday afternoon.

Monday afternoon.

Which is a little
unusual for me.

I'm generally a morning person.

(Rhonda)
'Morning person.'

And then, uh,
sometimes in the evening

I pass a little gas.

Gas in the evening.

We don't take lengthy
histories in the ER.

I believe in
being thorough.

Well, when your patient is in
for an extended stay on the ward

that may be appropriate,
but down here

we keep our notes
short and sweet.

That's not the way
I do things.

The longer it takes, the longer
the patient waits in distress.

Well, that's alright.

We were having
a nice little chat.

Anything else?

[scoffs]

Now, where were we?

‐ Gas in the evenings.
‐ Oh, yes.

We'll need some salines and
4‐0 nylon and a suture setup.

Comin' up.

I know the squirrels
look cute, Arthur

but, uh, I wouldn't try
petting one again.

‐ He was trying to eat it.
‐ Oh.

[Mr. Percy choking]

You alright, Wendy?

It's not me.

[chocking continues]

‐ Oh, he's choking!
‐ His airway's blocked.

Oh, my God.
It's my taffy!

I'm gonna try
and heimlich him.

‐ It was meant for the staff.
‐ He's dying, Wendy!

You wanna give me a hand?

One, two, three!

Oh, God!

Jesus, there's still
a lot more down there.

‐ How much taffy did you make?
‐ Two pounds.

Get a magill
and hook up the suction.

Arthur, go back
to the waiting room.

[panting]

What's a patient in a surgical
gown doing down here, anyway?

Call upstairs,
I think we might

have just found
Dale's AWOL patient.

Just lay back, sir.

Where do you want him?

‐ Alright. What's this?
‐ Thirteen year old.

Full arrest. Took two bullets
to chest and belly.

‐ How long he's been down?
‐ 'We're working on him for 15.'

‐ Any signs of life?
‐ Negative.

Let's transfer him over.
Give me four units O‐negative.

On my count.
One, two, three.

‐ Here's one entry.
‐ 'I got the other one.'

‐ What happened?
‐ Some gang thing.

'He's a banger.
Look at the tats.'

Flatline.

How long was he down
before you got there?

‐ About five, ten minutes.
‐ Anybody give him CPR?

'No, they were just
standin' around.'

So he was down
for 20 minutes?

'At least.'

Pupils are fixed
and dilated.

This kid is dead, very dead.

‐ You calling it?
‐ Yeah.

Time of death, 8:26.

This the GSW?

Time's too, he's been down
for 20 minutes.

‐ He's not coming back.
‐ You giving up on him?

There was no sign of
life in the field.

Lydia, start bagging him.

‐ Thoracotomy tray.
‐ Hey, Peter, I called it.

Gant, let's get to cut‐down
on the ankles.

[indistinct chatter]

Hold on, this kid's been down
for 20 minutes.

We're not gonna call,
we can bring him back.

‐ His brain is mush.
‐ Alright.

Ten blade, let's go, move.

His parents don't
want him ripped open.

I'm sure they want us
to do the most we can.

Lydia, go get Mark.
Go get Mark!

Get the O‐neg on
the rapid infuser.

Rib spreader.
Let's go, Chuny.

God, it's like rubber.

It's all in the cornstarch.

Scissors.

[choking]

Yeah.

I think it is
coming loose.

Carter, what are you
doing to my patient?

Oh, he swallowed two
pounds of taffy.

Saltwater.

[groaning]
'There it is.'

(Carter)
'Oh!'

Shame on you,
Mr. Percy.

You know better than
to eat before surgery.

‐ I'm sorry.
‐ No harm done.

Nothing can get
past that tumor.

We need to move.

Alright, let's take him up.

[coughing]

‐ Hey, Dale, remember me?
‐ Oh, yeah. John.

I'd ask you to join us but, uh,
we're a little crowded.

Whoa, I think, we can make room.

After all, Carter saved
your keister.

‐ Did you consent Mr. Percy?
‐ I did.

All that's left to do is an art
line, he's ready to go.

Carter, you do the line and, uh,
Edson, you prep the OR.

Dr. Okida likes
the temperature

to be precisely 67 degrees.

Precisely.

Got the O‐neg running?

‐ Two lines, wide open.
‐ What's the story?

The kid is down 20 minutes.
I called it.

‐ Peter's now playing God.
‐ The kid was out in the cold.

Peter already started,
might as well him finish.

‐ He's dead, Mark.
‐ Maybe.

This was my patient.
I assessed him as unsalvageable.

And you should support
my assessment.

He's not just
your patient, Doug.

(Peter)
'Gant, get over here
put your finger in the hole.'

‐ High dose epi.
‐ 'Behind you.'

Alright, start internal massage.

‐ Like this?
‐ Just keep squeezing.

Anything?

Still flatline.

Whoa, it jumped.

(Haleh)
'He's got a rhythm.'

That's the epi, not his heart.

[beeping]

That's more than the epi.

Alright, you brought him back.

Great. His heart's back.
Now his head's dead.

You don't know that.

Alright. Call the OR.

Tell them we're
on our way up.

Okay. Here we go, people.

Let's move.
Thanks, Haleh.

Here we go.

[instrumental music]

‐ Hello, Dr. Lewis.
‐ What's the matter, E‐Ray?

‐ I don't feel like myself.
‐ You have a fever?

No, but I had an MRI
yesterday on my shoulder

an old conga injury.

And ever since
I just feel off.

Could it be
radiation sickness?

MRIs aren't
radioactive.

They just scramble
your electrons a bit.

Forever?

No, just for
a few seconds.

‐ That's odd.
‐ What?

My watch stopped.

‐ Oh, my God.
‐ What?

My watch stopped
last night right after the MRI.

And the toaster.

What toaster?

My toaster.

It shorted out this morning.

I've had that toaster
for ten years.

So?

Could the MRI have
rearranged my molecules

causing me to radiate

some sort of bizarre
electronic interference?

No.

Follow the light
with your eyes.

What light?

Oh, that's funny.

[clicking]

What have we got, Peter?

Thirteen year old, GSW

to the abdomen
and pulmonary artery.

We clamped him in the ER,
and got his heart back.

‐ Downtime?
‐ Fifteen minutes.

Well, actually closer to 20
but he was out in the cold

so we may be able
to save his brain.

You giving odds?

Dr. Greene and I both felt
we should keep trying.

This could take all day but
in for a penny, in for a pound.

He's bleeding
from the belly wound.

I'd go for a midline incision.

I thought I was just
supposed to observe.

In this case,
I'll make an exception.

It's all yours.

Alright.

Alright, mark a 9:35
start time.

Oh, Mark.
We've got a ten‐foot fall.

Well, where from?

A tree, taking pictures
in Grant Park.

Dizzy? Nauseous?

Dizzy, yes.
Nauseous, no.

What were you
taking pictures of?

‐ The birds.
‐ Turn.

(Lydia)
'Well, haven't most
of them gone south?'

(female #1)
'Uh, not the ones
I'm interested in.'

Okay. Well,
seems okay to me.

Why don't you take her
to curtain area two

and I'll be there
in a minute.

Susan.

Hi.

You wanna
go out tonight?

Uh, yeah, sure.
I'd love to.

But, um, I can't,
I have something planned.

So you can't.

I guess not.

Maybe some other time.

Sure.

Uh...we need to talk.

(Jerry)
'Dr. Lewis?'

Dr. Morgenstern's
on the line.

I'll call you tonight.

Okay, Mr. Percy.

We need..

Mr. Percy?

Mr. Percy?

'Who's there?'

It's Dr. Carter.

I take it you have some
reservations about the surgery.

Do you have change
for the candy machine?

No, you can't eat with
that tumor in your throat.

Eloise put
a Hershey bar

in the blender
and I drank it.

Do you know
that you're about

to have a very serious
operation?

There's no blender here.
I asked.

Has someone come in
to go over the risks with you?

Another time,
she blended up snickers.

Mm‐hmm.

The trouble was..

...the nougat got caught
in the straw.

[sighs]

You ever have a Zagnut?

I love Zagnut.

‐ They're my favorite.
‐ Mine too.

Mr. Percy?

Do you want to have
this operation?

Can I just have change
for the candy machine?

Is it ready?

‐ Not quite.
‐ What are you doing?

Mixing an enema.
White and brown, I call it.

‐ Milk and molasses.
‐ Did the doctor order this?

After 22 years, I know when
somebody needs an enema.

When somebody needs
an enema, we give them

one in a boxes
and send them home.

We don't spend half an
hour mixing up a recipe.

‐ I do.
‐ Not anymore, you don't.

I'll take it over from here.

Go change the beds
in exam four.

‐ You can't do that.
‐ Sure I can.

I'm the charge nurse
which means I'm in charge.

‐ But I don't want a new nurse.
‐ Well, you're in luck.

'Cause the chart here
says you can go home.

Where are your clothes?

[mumbles]

[camera shutter clicks]

Hello.

Your CT is fine.

I don't see
any birds in here.

I'll let you in
on a secret.

I'm more than just
a bird watcher.

Really?

I'm a comparative anthropologist
doing a field study

on the mating rituals
of man and bird.

Sounds like
interesting work.

It is. For instance,
you take those two over there.

Notice the occasional
lateral body contact

'initiated by her,
then reciprocated by him.'

Yeah?

Identical to
the courtship dance

of the sharp tailed grouse.

‐ Really.
‐ Oh, yeah. Oh, yeah.

Check out
those two at the desk.

'Do you see how he puffs his
chest and strokes his goatee?'

(Mark)
'Yeah.'

Same as the slender‐billed
shearwater.

‐ Oh, look at that.
‐ What?

'Her frontal
neck presentation.'

What does that mean?

In the nuthatch
it's an invitation to love.

‐ Oh, she is shameless.
‐ What?

You see how she strokes
her throat with her finger?

Yeah, what does that mean?

'The corresponding
behavior'

'in the spoonbill would be
to bend over'

and shake her tail feathers
in his face.

I need some moist lap pads
to pack off the liver.

‐ Thank you.
‐ Bad news for the gall bladder.

A bullet tore through
the common duct.

‐ 2‐0 prolene.
‐ What's your plan, Peter?

Pack and stitch off the liver,
put in three or four

Jackson Pratts and
move on to the gallbladder.

Sounds good. I'd love
to stay and watch.

But I've got
a cystic hygroma.

Shirley, is Dr. Maxwell
available to supervise?

He's resecting a bowel
but Dr. Breedlove is around.

Breedlove?
I thought he died.

‐ I just saw him in the hall.
‐ Breedlove would be perfect.

Track him down,
would you, Shirley?

3‐0 on a needle.
Let's move.

Jerry, did my blood
test come back?

Not yet.
Damn.

What?

The computer just went down.

Why don't you have
a seat right there.

Here's your aftercare

your prescription
and your enema.

The instructions
are inside.

I know all about them.

Someone from the home's
gonna be pick you up.

They should be here
in a few minutes.

I'll believe that
when I see it.

Mark, what
are you doing?

Do you see what I see?

(Carol)
'Susan's talking to
Morgenstern. So what?'

He's stroking himself,
puffing out his chest

just like a slender‐billed
something or other.

'She's giving him
full‐frontal neck.'

I pulled a couple
of strings and they're..

What are you
talking about?

You'd know if you
were a nuthatch.

Mark, are you okay?

She turned me down.

‐ Susan?
‐ Now I know why.

(Mark)
'Oh, God,
she's stroking her neck.'

(Carol)
'So?'

So why doesn't she
just bend over

and shake her tail feathers
right in his face?

‐ Did you consent Mr. Percy?
‐ Yeah. Why?

He couldn't reiterate
the risks to me.

All he wants to do is
talk about chocolate.

He's just in denial.
Candy's his way of coping.

No, no, we're talking him into
putting a high‐risk procedure

on a guy that can't
carry a conversation.

He signed the consent.

He's not qualified
to make treatment decisions.

‐ I disagree.
‐ Let's get a shrink down here.

And see what he says.

You wanna delay
Anspaugh's surgery

with Dr. Okida
because you aren't comfortable

with a patient's
mental status?

[sighs]
I'll get a stat
psych consult.

And if he agrees with me,
then I'll tell Anspaugh.

What happened?

Doug was trying
to explain things

and the guy just
went postal.

It's a damn scratch on his
finger for crying‐‐

It's a serious infection.

Look, who are you to tell me
what to do with my son.

I'm his doctor and
he's gonna be treated.

‐ Or I'll have to call the cops.
‐ Doug, what's this about?

He's young man. He has an
infected human bite

on his finger,
his father won't let me

put him on
IV antibiotics.

It's a free country
and we wanna go home. Come on.

Hold on a second.
Can I see the X‐ray?

The infection could be
in the joint.

Uh‐huh. Uh, let me see
you guys outside.

We'll be right with you.

He could lose his finger.

There's no sign
of osteomyelitis.

It could develop
if he doesn't get it treated.

It took his dad two days
to bring him in.

And I doubt he's gonna
bring him back.

I agree, an IV course
is the best way to go

but I don't think
we should call the police

if he can be treated
with oral antibiotics.

Fine. You do what you want.

Your psych consult
come down?

‐ Still waiting.
‐ No, time's up.

Mr. Percy, do you want
to go through

with this
surgery or not?

Can I have change
for the candy machine?

‐ Art line in?
‐ It's in.

‐ Let's take him, Oki.
‐ Okey‐dokey.

Dr. Anspaugh, I think
you should know that

Mr. Percy seems
more interested

in talking about candy
than having surgery.

Uh, don't worry, Mr. Percy.

You can have all
the candy you want

just as soon as we get
that tumor out of the way.

You coming, John?

I'm due for my break.

Uh, we don't take
scheduled breaks.

When it gets slow,
we rotate out for ten minutes.

It's in the contract.

Is a little flexibility
too much to ask?

Nurse, whose patient is she?

Oh, she's not. She was
discharged to a nursing home.

Her nursing home
ain't gonna take her.

She's had an accident.

What kind
of an accident?

The loose, runny kind

that makes a puddle
on the floor.

Nurse. Oh, nurse.

I believe the mop
is over there.

More 0‐Chromic
on a liver needle.

Cut.

Box!

‐ You Benton?
‐ Uh‐huh.

Stan Breedlove.
Where are we?

Just finished
the pneumonectomy.

Almost done with the liver.

Got a gallbladder to go.

Take wider bites
and don't tie so tight.

Okay.

More 3‐0 vicryl.

Good stuff vicryl.

Closest thing to catgut.

Surgeons still use that?

Not these days.
It's a shame.

Nothing ties like catgut.

Ah! We got a bleeder.

‐ Is it new?
‐ Sure is.

Where is it
coming from?

Aorta.
Okay, more suction.

‐ Whoa!
‐ Whoa! We got a pumper!

Damn. Blew a clot.

‐ Put your finger on it.
‐ It is falling.

Satinsky!

Okay. Come on.
I got it.

‐ Clamps here.
‐ Clamp? Still falling.

Debride the hole and sew it
with some 3‐0 prolene.

Vascular needle now.

‐ Alright. Damn it.
‐ Internal paddles.

Let's move.
Alright.

‐ Charging, 20.
‐ 'Clear.'

‐ Still in fib.
‐ Charging 30.

Clear.

(Breedlove)
'No change.'

(Peter)
'Charging 40. Clear.'

(male #1)
'Got him back.'

Still at it, huh?

Yeah. A lot of work
to save an organ donor.

(Breedlove)
'Wait. Lost it.'

(Peter)
'Charging 40. Clear.'

Charging. Clear. 50!

Susan and Morgenstern?
I don't believe it.

The more I think about it,
the more sense it makes.

She's been preoccupied lately,
distracted, avoiding me.

You know, now that
I think about it

I did see Morgenstern and her
having lunch the other day.

See? I waited too long, huh?

Missed my chance.
Blew it.

I can't believe
that we got him back.

Yeah. Kid's got
good protoplasm.

Set him up
for an apnea test

see if he's got
any brain left.

You think he's got a chance?

Well, he's made it this far.

Dr. Benton,
the boy's mother.

'Do you wanna
talk to her?'

Not yet.

I wanna assess his
brain function first.

‐ I'll go talk to her.
‐ Alright.

Uh, don't get
her hopes up.

How's the Herlihy baby?

Still alive
last time I checked.

[sighs]

Ow! My foot! Oh!

Sal Urbanski.
Playing football in the street.

Went man for man
with a Buick.

Right foot ripped
off at the ankle.

In shock, he lost
a liter at the scene.

‐ Where's the foot?
‐ Wrapped up between his legs.

Why's he holding
a football?

‐ Says it's his lucky ball.
‐ How lucky can it be?

At least he
didn't fumble.

Alright. Let's get, uh,
six units O‐neg

CBC, type and cross.

Alright. On my count.

One, two, three.

[groans]

(Mark)
'Get this
foot on ice.'

(Rhonda)
'I got it.'

Someone call vascular and
page the reimplantation team.

(Malik)
'Aye, aye.'

Alright. Stand by with morphine,
four migs.

This pressure dressing
isn't working.

I need a thigh cuff.

Oh, thank you.

You see that Oki's freeing up
the esophagus posteriorly

with his fingers.

Dale, you're in a position
to displace it laterally.

I can free it up
anteriorly from here.

Yeah, you stick to suction,
Carter.

I can feel it
coming loose.

Suction. Suction.

(Okida)
'You falling asleep.'

As Oki cuts along
the sternocleidomastoid

down towards the carotid sheath

what's he got
to watch out for, Carter?

‐ Not to nick any arteries?
‐ Dale?

The, uh, vagus nerve which
runs through the sheath.

Very good.
Dale is smart.

Are those little bubbles
on the lung normal?

‐ Bubbles?
‐ 'What bubbles?'

Those ones right there, where
Dale just moved the esophagus.

Oh.

You poke hole in pleura.

‐ I didn't feel it tear.
‐ Congratulations, Edson.

You've just given Mr. Percy
a pneumothorax.

I'm in a good position
to put in a chest tube.

Yes, put in, tube in now.

Dale, you wanna hold
that for me, please?

Scalpel.

‐ Chest tube, 32 French.
‐ Scissors.

Got it.

That was a nice catch,
Carter.

Hey! Where's my suction?

Oh, I'm sorry.

Alright. Give me
the football, sir.

Don't lose it.
It's signed by Ditka.

Don't worry, I'm gonna
put it in with your clothes.

BP's down to 60.

Let's get
another line going.

Start the rapid infuser.

Hey there, sports fans. Someone
call for a vascular surgeon?

Ah, it's about time.

Don't get fresh with me,
Little Lassie.

BP is down to 40.

‐ Ice is here.
‐ Put it on the foot.

Uh‐oh. I'm in trouble here.

What? You can't
find a vein?

No. Itchy in my mouche.

‐ Your moustache?
‐ Would you be so kind?

Left side,
near my nose.

Yeah. Ah, that's it.
That's my spot.

Ah. Ha, ha,
that's my spot.

‐ You want me to help you?
‐ No, no, no.

Susan's got it.
Uh! Here we go. I'm in.

Okay. Hook it up.

Okay. Let's get him upstairs.

The reimplantation
team awaits.

‐ Have we got the foot?
‐ Right here.

‐ I'll see you later?
‐ Yeah.

[ECG machine beeping]

Dr. Benton.

The boy's mother
wanted to watch

and said I'd have
to come ask you.

Alright.

Tell her to come in.

This is Mrs. Dorsett.

I'm Dr. Benton.

I took your son off the
ventilator a minute ago

to test if his brain
will trigger him to breathe.

I don't understand.

Well, if‐if we see
your son take a breath

'then that means his brain
function is intact.'

If there's no attempt
to breathe, then..

...well, that's a sign
of brain death.

pCO2 is 60.

That's high enough
to make him breathe.

How long will it take?

We'll know in ten seconds.

[clicking]

[beeping]

Come on.

Come on.

I'm sorry.

[instrumental music]

[exhales sharply]

[crying]

You wanted to see me?

Yes, I did.

How many shifts
you work a week, Mark?

‐ Four?
‐ Usually.

As long as we don't work
the same four

we'll get along great.

Is this about that kid's finger?

This is about your inability
to respect my decisions.

Professional differences
happen, Doug.

You can't take it personally.

It's entirely personal, Mark.

You've been on
a moral high horse

ever since I came in
with that OD.

Yeah, well, what do
you expect when you drag

your dirty laundry
through the door?

But it's not personal, right?

Who are you kidding?

Mrs. Urbanski, your
husband's up in surgery.

The surgeons are gonna try
and reattach his foot.

‐ But is he alright?
‐ Well, he lost some blood.

We transfused him.
I think he's gonna be fine.

‐ Here's his stuff.
‐ Thank you.

He seemed, um, very concerned
about his Mike Ditka football.

‐ He loves the Bears.
‐ Yeah.

Well, I'm gonna
try and find someone

to bring you up to
the surgical floor.

Okay?

‐ Wendy.
‐ Yeah.

Can you bring Mrs. Urbanski
up to surgery for me?

‐ Sure.
‐ Thank you.

How we doing?

Ready when you are.

Let's bring on the foot.

What the hell?

[screaming]

Mrs. Urbanski,
what is it?

Oh, God!
Oh, my God!

Oh, I'm so..
Oh, my God.

‐ In and out, under two hours.
‐ Oki's amazing.

I really appreciate you
inviting me along.

I'm glad we did.

Otherwise we might not
have seen that pneumothorax.

I have two hours
until my flight.

‐ Want to eat?
‐ If you're buying.

[chuckles]

Why don't you join us, Carter?

Edson. Monitor Mr. Percy
in recovery.

It was an honest mistake,
a mix‐up.

It was the most incompetent,
horrifying thing I've ever seen.

And because you didn't ice the
foot, they can't reattach it.

‐ Please, don't write me up.
‐ Are you kidding?

If anyone deserves
to be written up, it's you.

Alright. Go ahead.
Do their dirty work for 'em.

That's just what they want.

Whose dirty work?

Hospital administration.

I'm nine months away
from getting my maximum pension

and they're trying
to force me out.

That's why they keep
floating me down here

where I don't know
what I'm doing.

You're right. You don't know
what you're doing.

They want to get rid of people
like me and replace 'em

with cheaper,
less experienced aides.

If they know the difference
between a football and a foot

I'll take them.

I am not gonna let you
put me through

the humiliation
of a review board.

Not after 22 years.

Watch me.

Don't bother.

I quit.

[instrumental music]

Dr. Keaton said her oxygen
level's as low as it can go.

It's only a matter of time.

Thank you for everything
you've done for Megan.

[Gail sniffles]

[indistinct chattering]

So, what happened
to that float?

She quit, thank God.

She told me the hospital admin
was trying to make her quit

before her
pension maxed out.

That's why they were
floating her down here.

Yeah. She gave me
the same line.

It's a bunch of bull.

They're floating me to neuro.

What?

Starting tomorrow,
the hospital's floating me

to neuro three times a week.

When's your pension max out?

In a year.

So, maybe it was personal.
Go ahead, say it.

I'm a sanctimonious,
judgmental, self‐righteous

sexually frustrated
little man.

Well, you're not little.

Thank you.

[chuckles]

I'd hate to think
that my personal pique

could color
my professional decisions

but it happens
and it probably happened today.

Hey, look, uh,
y‐you don't need to beat me up

about making a mess
out of my life.

I like to do that myself.

Well, it may not be
the healthiest approach.

Yeah.

Hey, you know,
I'm seein' a shrink.

‐ Oh, that's a good step.
‐ Yeah.

‐ Man or a woman?
‐ A woman.

Don't worry.
She's 62 years old.

‐ Oh. Freudian?
‐ Yeah.

Sorry, I couldn't resist.

I hate you, you know that.

I know.

♪ When
the whip‐poor‐will calls ♪

♪ When the
whip‐poor‐will calls ♪

♪ And evening is nigh ♪
♪ And evening is nigh ♪

♪ I hurry to my ♪
♪ My ♪

♪ Blue ♪
♪ Blue ♪

♪ Heaven ♪
♪ Heaven heaven ♪

♪ You see a smilin' face ♪

♪ A fireplace a cozy room ♪

♪ Chica‐boom chica‐boom ♪

♪ A little nest that's nestled ♪
♪ Ooh‐ooh‐ooh ♪

♪ Where the roses bloom ♪
♪ Chica‐boom chica‐boom ♪

♪ Just Molly and me ♪
♪ Just Molly and me ♪

♪ And baby makes three ♪
♪ And baby makes three ♪

♪ We're happy in my ♪
♪ My ♪

♪ Blue ♪
♪ Blue ♪

♪ Heaven ♪
♪ Heaven heaven ♪

Take it, Oki.

[kazoo music]

♪ Chica‐boom chica‐boom ♪

Rough day, huh?

[scoffs]

You knew it would be,
didn't you?

I had an idea.

Well, I guess I did exactly
what you said...you know.

Rushed ahead, didn't think.

Did you actually believe
you could save that boy?

[scoffs]

You know, I never worked so hard

performed more surgery
than I did today.

I took that vent off.

I absolutely thought
that kid would breathe.

You check on
the Herlihy baby?

Couple hours ago.

I, uh..

I can't face
those parents.

You should check on her
before you go.

[sighs]

I'm telling you, Wendy,
the guy walks in the room

and every vending
machine goes kaput.

I don't believe it.

‐ Ready?
‐ I got the keys.

Are we really
going through with this?

Yes, Wendy,
I'm desperate.

You guys are nuts.

MRIS do not cause
negative force fields.

I think we better
take the stairs.

♪ Blue heaven.. ♪

Dale, my hale and hearty friend.

‐ Today was a blast.
‐ Not bad.

Too bad Mr. Percy
stroked out.

What did you say?

‐ Didn't you hear?
‐ No.

I went to check on him
in recovery, couldn't even talk.

‐ You're kidding.
‐ Nope.

Nothing left to do
but turn him and water him.

Shame you backed off
on that psych consult.

Could have saved
his life such as it was.

Too bad you didn't
have the balls.

You smug son of a bitch!

What the hell
is going on here?

John and I were discussing
the finer points

'of informed consent.'

What is wrong
with you guys?

She and Morgenstern are going
out. I can live with that.

But what bothers me is that
she didn't tell me about it.

Well, if I was going out
with Morgenstern

I wouldn't tell anybody.

Now, Susan and I are supposed
to be friends, right?

I mean, how did this happen?

‐ How serious is it?
‐ Why don't you ask her?

What, you want me to
just go to her apartment

knock on the door and say

"So, what's up
with you and Morgenstern?"

That would be one way.

That's not my style.

Mark, you might want to think
about changing your style.

Okay, E‐Ray,
what's the‐the key sequence?

Control A‐Q‐R,
and then push the pound key.

Okay.

Hurry up! I hear someone coming!

Well, close the door.

Okay. Here goes.

Control A‐Q‐R, pound.

Good job, Jerry.
Don't leave me in too long.

Fifteen seconds should be enough
to reverse my polarity.

This radiology tech stuff
isn't so hard.

I can feel the difference.

I'm me again.

‐ Alright, Turn it off.
‐ Uh, okay.

‐ What's the sequence for that?
‐ Isn't there a switch?

Uh, which one?

Uh, the‐there should be like,
uh, uh, kill switch.

‐ 'A‐a big red button?'
‐ Uh, what about this?

Oh, my God!

‐ Jerry, what are you doing?
‐ Uh, I don't know.

Uh, what are you doing, Jerry?

I don't know, I don't know.

Pull the plug.
Pull the plug.

‐ 'Oh, my God!'
‐ Pull the plug!

Medicine is supposed
to be a noble profession

not a motorcycle club.

Why were you fighting?

Uh, it was...it was stupid,
Dr. Keaton.

Abby. I'm listening.

There was a patient scheduled
for a high‐risk surgery.

‐ Clearly non compos mentis.
‐ Mm‐hmm.

And I knew I should
have called a psych consult

down to clear him.

But...I‐I didn't.

I was too afraid of..
I don't know.

Pissing off the
surgeons to speak up.

What happened?

He stroked out.
He stroked out.

He should never
have had the surgery

And I knew it.

Well, at least you care
about your patients.

A lot of surgeons don't.

‐ They don't?
‐ Mm‐mmm.

‐ Dr. Keaton.
‐ Abby.

Abby.

(Lewis)
'Who is it?'

It's Mark.

‐ I just called you.
‐ Are you alone?

Yeah, yeah.

So, uh...I'll make this easy.

I know about
you and Morgenstern.

‐ You do?
‐ Yeah.

So, how long
you've been seeing each other?

You mean as...in going out?

Yeah.

‐ Mark, we're not.
‐ You're not?

No.

‐ Are you sure?
‐ Yes.

So, are you seeing anybody?

Maybe we should sit down.

Morgenstern has been helping me
get my transcripts together.

‐ Transcripts?
‐ I'm leaving my residency.

‐ You're quitting?
‐ Transferring.

‐ Where?
‐ Phoenix.

When I was there
visiting Chloe and Suzie..

...I just got this feeling

like this is where
I'm supposed to be right now.

And, uh, I don't have anything
here in Chicago really, and..

‐ I mean‐‐
‐ I know.

I know‐I know what you mean.

And after I've decided,
I...just feel happy

For the first time
in a long time.

Like I'm finally moving on
with my life.

That's great.

God.

So‐so, you're sure?

Yeah. I am.

I don't...I don't know
what to say.

[chuckles]

[instrumental music]

I know.
I'm gonna miss you.

I am gonna miss you too.

[music continues]

[instrumental
"Rock‐a‐bye Baby"]

Kit.
Is the pulse ox monitor right?

‐ Yes, it is.
‐ What'd you do?

Nothing. About an hour ago,
she just started getting better.

It's a miracle.

[music continues]

[theme music]