ER (1994–2009): Season 3, Episode 9 - Ask Me No Questions, I'll Tell You No Lies - full transcript

[theme music]

(male narrator)
Previously on "ER.."

Can I get
a couple of condoms?

‐ How old are you?
‐ Eighteen.

Starting tomorrow,
the hospital's floating me

to neuro
three times a week.

(Gail)
'It's a miracle.'

Abby.

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

Susan, you wanna
go out tonight?

Um, I can't.
I have something planned.



I waited too long, huh?

That's my chance.
I blew it.

I'm leaving my residency.

You're quitting?

Transferring.

Where?

Phoenix.

[baby crying]

Okay, if you don't
have your child's card

with you, let me know.

[speaking Spanish]

Chuny, can I get
a hand in here, please?

[Chuny speaking Spanish]

Okay, listen. I'll be with all
of you in just a second.



Everybody get a cookie?
Get a cookie? Excuse me, pal.

Listen, I need you to explain
to her about the lead.

[speaking Spanish]

[speaking in foreign language]

Sorry. That ain't Spanish.

Uh, we need
to take some blood

to see if the baby's
been exposed to, uh, lead.

‐ Lead is very bad for children.
‐ Okay.

And then, if there's a problem,
we'll call you.

‐ Okay.
‐ You know, uh..

If you just..
You sign this

'and then the nurse
will take some blood.'

‐ Okay.
‐ Next, please.

Think that was,
uh, informed consent?

Close enough.

‐ Hey, old man.
‐ Hey.

You again?

Yeah. I know, uh...Halloween.

Uh, um, Charlie, right?

Yeah, you gave me
some condoms.

Guess you were
a couple years late.

Uh‐huh. You're telling me
that's yours?

Why not? His dad's
a Pakistani dude.

And his name is
Lopez because?

[sighs]
Okay.

His mom Gloria
is a friend of mine.

She's got a job today.
So I'm babysitting.

She heard they were giving out
free shots.

And Ahmed hasn't been seen
since he was four months old?

‐ Yeah, I guess.
‐ Let me see.

Ahmed, come here.
Let's take a look.

What's he now?
About a year and a half?

Alright. Well, we're gonna
need to have

his mother's address
for a follow‐up.

They live at Sisters,
over on Grand.

The Shelter?

Dr. Ross, don't we need
parental consent?

That's why I told you,
I'm the mom.

Alright, Miss Lopez,
why don't you sign right there?

I don't know about this.

Want me to send him home?

Okay, next.

Hey, Charlie?

Shouldn't you be in school?

We're off.
It's career day.

BP's 200 over 140.

Try to relax,
Mr. Reynolds, okay?

Ultrasound's ready.

Alright. Take a look,
tell me what you see.

You want me to get him started
on beta blockers?

Ah, you read my mind. Esmolal,
five grams in 500 mil.

[groaning]

‐ And four of morphine.
‐ It's a triple‐A.

I'd say about
four centimeters.

Dr. Lewis, great.

‐ 'Afraid I was gonna miss you.'
‐ I'm on till 2:00.

You know, it's not gonna be the
same around here without you.

Stop it. It's hard enough.

Okay, Dr. Doyle,
give Dr. Carter the bullet.

Seventy‐year‐old male,
history of hypertension

and hypercholesterolemia,
one previous MI.

'Pain began in left
lower quadrant a week ago.'

The ultrasound shows
an abdominal aneurysm

four centimeters.

Yeah, we'll take him
off your hands for you.

Ah, not so fast, Dr. Carter.

Check his femoral pulses.

The ultrasound
indicates surgery.

‐ What do you think, Dr. Doyle?
‐ I agree with Carter.

‐ There's chance of rupture.
‐ Ten percent.

‐ How are his femoral pulses?
‐ Two plus, bilaterally.

So he has good blood flow
to his lower extremities.

But the ultrasound
indicates a risk.

Shows no leakage.

(Lewis)
'Let's get a CT
to confirm it.'

So you want to manage
it medically?

(Lewis)
'Yes. I'd like to try.'

'The machines
can give us test results'

But they like to keep us
around here

for our diagnostic judgment.

(Carter)
'You see,
this is her last shift'

Maybe, our last patient
together.

‐ Mm‐hmm.
‐ She's just trying to bust me.

Someone has to hold
you surgeons back.

[grunts]
Page me if you need me.

Okay, let's get him to CT.

Guess, I got a lot to learn.

Yeah, it takes practice.
Don't be afraid to step up.

You should have seen me
in my first year.

Don't believe her.
She was always this good.

Are you with
the moving company?

No, I'm Mark Greene,
a friend of Susan's.

Then you're the one
who's interested

in taking over the lease?

‐ Yes.
‐ Ah, Phyllis Dodds.

‐ I'm the landlady.
‐ Hi, Phyllis.

‐ Are you okay?
‐ Ah, it's just a muscle spasm.

‐ Probably stress.
‐ Yeah.

It's a great one‐bedroom.
Lots of closet space.

Nice cross breeze
and a quiet street.

Yeah, I've spent
some time here.

‐ You worked with Susan?
‐ About three years.

Uh, actually,
more than three years.

Are you single?

Divorced, and I've got my
daughter every other Saturday.

No live‐ins,
no parties, no pets.

None of the above.

‐ 'There it is.'
‐ A landlady's dream.

Ah, at least
it worked for someone.

[chuckles]
Oh, good.

All the boxes go,
the luggage stays.

Place looks a lot bigger without
Susan's stuff, doesn't it?

Yeah. A whole lot emptier.

‐ 'It's not here.'
‐ 'I got it.'

[theme music]

So basically, we're screwed.

We can pull all the interns
off their electives

but unless the senior residents
lose their vacation time

we won't be able to cover
the schedule.

‐ Are you okay?
‐ Uh, yeah.

Just didn't
get much sleep last night.

I'm sorry. What did you say
after "we're screwed?"

It gonna be a pain
to lose Susan Lewis.

I know. Big mistake for her.
Phoenix?

I mean, what was
David Morgenstern thinking

letting her go?

You know, I want to be
supportive of lifestyle choices

but we're getting
the short end here.

Good morning, all.

Hang tough, Coach Pino.

We got a 35‐year‐old
roller hockey coach

got slammed
into the boards.

Possible hip dislocation.

Dr. Weaver,
can I take this one?

‐ Be my guest.
‐ What, did you guys nail him?

Well, he told us
to play the body.

And never apologize for a good
hip check. Right, coach?

[Mark groaning]

Are you sure
you're feeling okay?

Yes. Stiff muscles. I‐I might be
coming down with something.

You know, go home.
This might be your only chance.

Yeah, I think
I'm gonna stick around.

‐ Hey.
‐ Hey.

So, T minus five hours
and counting?

Yeah. I'm starting
to get nervous.

Oh, you'll do great
in Arizona.

The winters there
are like heaven.

I just don't wanna leave
anyone in the lurch, you know.

We'll muddle through.

Oh hey.
I, uh, I signed the lease.

Oh great.
That's great!

That would be a shame
to let that place go.

And I'll never
forget your address.

[both laughing]

You wanna help me
with a teaching demo?

Yeah.

Did you give him
five of morphine?

And valium
and a 100 methohexital.

But first, the nurse,
or in this case, Susan

applies countertraction.

Good job, Susan.

Then, you grab behind the knee
and you lift.

And you lift...until

you feel the..

...hip slip back
into place.

‐ That's it.
‐ Okay.

Thanks, Susan.

Anytime.

Anytime in the
next four hours.

Dislocations
aren't that tough.

You get the feel for it.

I know. I've done
a bunch of 'em.

‐ Why'd you ask for help?
‐ I didn't.

[camera shutter clicks]

‐ That was perfect.
‐ Will you take one for me?

We will do anything for you,
Dr. Keaton.

Say discharged.

(all)
Discharged.

‐ Great.
‐ 'Good. There's Dr. Benton.'

The Herlihys
are taking Megan home today.

‐ Finally.
‐ Oh, yeah.

I heard. Congratulations.

David, get one with Dr. Benton
in it, please.

‐ Oh, yes please.
‐ No, no, no, I..

It would mean so much.

Oh, it's okay.
It's okay.

(David)
'Smile.'

We owe both
of you so much.

Well, we're not usually shy
about taking credit

but in this case,
Megan deserves

all the congratulations.

Thank you, Dr. Keaton.
We'll be in touch.

‐ Bye. Bye.
‐ God bless.

‐ Well, that was awkward.
‐ Why?

Because I almost
killed their baby.

Never begrudge
a good outcome.

Well, it's nothing
to be proud of.

But sometimes,
the God smiles.

Hey, there you are..
Hi.

Carter?
What are you doing here?

Uh..

Actually, I was, um..
I was coming to..

Were you ready to go over
the literature review?

‐ Yes, I was. I am. If you are.
‐ The literature review?

(Keaton)
'Um, I kidnapped your intern.
I hope you don't mind.'

But I'm up against a deadline,
so I asked Dr. Carter

to contribute
to an article I'm writing.

[coughs]
Yes. She did.

Well, as long as it doesn't
interfere with your other work.

No, no. This thing
with Dr. Keaton..

This article won't get
in the way at all.

I can go over
your first draft at 3:00.

Okay. Okay?

‐ Yeah.
‐ Okay.

See you at 3:00.

Hey, cleaning out
your locker?

‐ Oh, this is too weird.
‐ What time's your train?

4:20. I have to go by my house
and pick up some stuff.

I'm not cutting it
too close, am I?

You're on until 2:00?

There's not any sort of farewell
thing going on, is there?

No, not that
I've heard of.

Okay, good.
Mark is acting so odd.

Well, he's gonna miss you.

He's the one who
thinks I should go.

If I have to hear how great
Phoenix is one more time..

[laughing]
I think he's just tryin'
to be a good sport.

You know, judging from
how miserable he looks.

You having second thoughts?

I never made a decision
that seemed so right.

You know, once I made it,
I just felt great.

[sighs]
Of course,
I'm having second thoughts.

Well, I wish you
weren't going

but you do look happy.

‐ Do I?
‐ Hmm.

I'm just afraid that I'm not
really happy at all.

I'm just barging in
on Chloe and Joe's happiness.

Yeah, well, she owes you
a couple of barge‐ins.

Susan, there you are.

‐ What's wrong?
‐ Uh, I need a second opinion.

Sure.

See? Odd.

[chuckles]

I want to get your opinion
on a patient.

You coming down
with something?

I hope not. Exam room one.

Twenty‐year‐old smoker,
on the pill

complains of
shortness of breath.

Diffuse low voltage
on her EKG.

I'm thinking pericarditis.

‐ Get an echo.
‐ Yeah. That's what I'd do.

You don't think it could be
a pulmonary embolism?

I mean, she's at risk.

Abnormal EKG,
i‐it could be lead placement.

No. I'd go
with the echo.

‐ You sure?
‐ Yeah. It's a no‐brainer.

You can always get a VQ scan
if the echo's negative.

You know, that's what
I was thinking.

‐ So, uh, I'll order an echo.
‐ 'There they are.'

The Mutt and Jeff
of emergency medicine

pooling their expertise before
she leaves us in the dust.

Doug, stop.

(Doug)
'Alright. Randi, call the lab.
Pick up these tests.'

‐ Where have you been?
‐ The hell mobile.

Still no reason
to make us miserable.

Diaper rash, curtain three.
Saved it just for you.

Wait, Anspaugh made you ride
the mobile again, so soon?

Anspaugh didn't make us do it.

The immunization program
was Dr. Ross' idea.

‐ Is this true?
‐ 'It keeps me off the streets.'

Check this out.
I got sunscreen.

I got a turquoise
belt buckle.

I got a
snake bite kit.

‐ What for?
‐ Susan's farewell.

And we got
a cactus‐shaped cake.

Oh, guys, I don't know.
I think, she's gonna hate this.

Of course, she's gonna hate it.
That's why we're doing it.

Let me know when
those labs get back.

You look lousy.

Yeah, well, I woke up
with this neck thing.

‐ You know, fever.
‐ Right.

There's a flu is going around.
But I refused to‐‐

Okay. So, you didn't do it.
Right?

You didn't tell her
how you feel?

‐ She's leaving.
‐ Right.

‐ She's made her decision.
‐ Mm‐hmm.

I don't see any point
in saying anything.

Mm‐hmm.

In two hours, we'll have
a one‐week‐old male baby

on this table.

And what do we know
about this poor soul?

He has a
distended, uh, abdomen

uh, visible peristalsis.

The upper GI series showed a
partial small bowel obstruction.

So, when we open him up,
we're expecting..

‐ A malrotation of the gut.
‐ Mm‐hmm. Meaning?

In the tenth week
of fetal development

the cephalic limb
of the intestinal loop

elongated and twisted
270 degrees.

Okay, but begin
with the duodenum.

What would you expect
to see in a normal one week old?

What, you mean, like the
duodenum leads to..

Mm‐hmm.
Close your eyes.

Try to see it.

[sighs]
The, uh..

...duodenum leads to the jejunum
which connects to the ileum.

Okay, but slow down
and tell me what you see.

What do you mean?

Um, start with the image
of a healthy gut.

I'm seeing the head
of the pancreas.

It's like a tiny fist
holding two straws.

You mean, the mesenteric
artery and vein?

Uh‐huh.

It's nestled in the open‐C
of the duodenum

and its surface is like
fine pebbles.

A beautiful shade of...
tannish yellow.

Go on. You try.

[scoffs]

Okay, the, um..

The pancreas is..

...shaped like...
a tadpole with a big head.

Uh‐huh.

Um...it narrows
into a tail that curls

into the hilum of the spleen.

Go on.
Now, see the spleen.

[sighs]

‐ Susan.
‐ Yes.

I know you
and I had a rocky start

but I thought we'd
worked on our relationship

and developed
a professional rapport.

‐ What are you talking about?
‐ The smoker in one.

I diagnosed him
with a pulmonary embolism

and consented
her for a VQ.

Well, I thought
it was Mark's patient.

He asked me
for my opinion.

Oh, I guess my beef
is with him then.

You know what,
I'll talk to him.

I think I know
what the problem is.

‐ Thank you.
‐ Okay.

‐ No. Absolutely not. No way.
‐ Oh, it just...it just..

It ticks me off. I mean, I
probably could go up there.

No. You can't.

Well, it wouldn't
kill me to finish off

just one shift of the neuro.

It's the principle.

Last week,
I let Lydia go up there

and that just encouraged
them to do it more.

‐ What's up?
‐ I got called up to the neuro.

‐ To fill in for the day.
‐ Yes.

May I speak to the nursing
administrator, please?

‐ Carol Hathaway in the ER.
‐ Hey, Haleh.

When do you max out
on your pension?

Two more years.

See. They are hassling
the senior nurses.

No. I'll hold.

Hey, what's in the box?
"Bridal Shoppe."

You and Al
finally set the date?

‐ No. The opposite.
‐ She broke off with Al.

I'm returning this ridiculous
fake virgin outfit

and they better not offer me
store credit.

Still holding.
Sorry, Lydia.

Oh, well,
what did Al do?

Nothing.
That's the problem.

He kept putting it off.
He didn't want to get married.

I don't know why
he ever proposed.

What's the matter
with you guys?

They're wimps.

They're all petrified
to make a move.

It's lack of spine,
isn't it?

Whatever you're talking about,
I'm sure you're right.

Hey, Mark, I need
to talk to you.

Ah, Mary. Yes. Hello.
Carol Hathaway in the ER.

Well, I'm not doing too good
at the moment.

One of my nurses
just got floated up to neuro.

Look, I'm trying
to run a department here

and it doesn't
benefit my nurses

to be shipped
all over the hospital.

No. You know what?
She's not going up.

She is not going up to neuro.

Right. Right.

‐ Hot stuff.
‐ Yeah.

Unfortunately,
you still have to go

but this is the last time.

I've made an appointment
with her this afternoon

and I'm gonna stop this.

Uh‐huh.

Hang in there, Lydia.

Don't worry about me.
Ow.

But, you can't put me
in the middle

of your conflicts
with Kerry Weaver.

I mean, literally you can't,
because I'm not gonna be here.

I just trust
your judgment.

Look, I know
what this is about

and I'm having
a hard time too.

I think we've both been spoiled
by what we have.

‐ The shorthand.
‐ Uh‐huh.

It just makes our job
so much easier.

‐ Dr. Greene.
‐ Jobs. Right.

When I go to Phoenix,
I'm afraid that there won't be

a single person in the ER
that I can talk to.

They got great
doctors there.

They have great doctors here.

The best I've
ever worked with.

You can rely on them.

Thanks for
the pep talk.

Mark.

Is it something else?

No. No, nothing else.

I mean, I could ask you
to consult on the hives in four

but you know, time for us
to stand on our own two feet.

'Jeanie.'

Jeanie.

Jeanie, I'm glad
I caught you.

Did you get the
mortgage papers back?

No. Actually, that's what
I wanted to tell you.

‐ Al, you promised.
‐ I talked to this lawyer.

We were doing a remodel for.

He gave me
some advice, and...here.

You were right. Everything you
said about our marriage

and about how you carried
all the weight.

Well, that's gonna stop.

What is this?

Divorce papers.

I'm giving you the house,
the car, everything.

And don't say no.

It's not just because
you deserve them.

See, this guy
helped me figure out

that if I get
my assets down

and show that my job
doesn't have insurance

then I'll be able
to‐to get this state program

for the working poor.

They offer the drugs I need.
It's a good deal.

But, your income has to be
less than $15,000 a year.

You don't have to worry
about me anymore, okay?

You just take care
of yourself.

I got to go.

Hands off.

‐ I don't want to be here.
‐ Settle down. Hold her.

Thank God, she was
passed out at Cubby's.

The bartender started to worry
after she downed

that sixth double bourbon.

‐ She looks full term.
‐ Let go of me.

‐ I am out of here.
‐ No, you're not.

Security!
We need security!

[screaming]
Oh! Oh, damn!

Damn this damn thing!

Doyle, ativan,
two migs.

Ma'am, are you
having contractions?

I need a drink and I need
to get...out of here!

Restraints!

‐ You're not going anywhere.
‐ I'll do whatever I want.

Hold still,
so we wont hurt your baby.

Go ahead and kill it! I never
wanted the little bastard.

It's a little late to think
about that now.

‐ Just sedate her.
‐ I'll kill myself.

And I'll take it with me.

Damn thing. Ow!
Ruined my life.

You're pissing me off, lady.

Hold on, Doyle.

I want to die.

‐ Uh‐oh. Look out.
‐ What happened?

Her water broke.
We better Get her up to OB.

I'll alert peads.

Another kid with fetal alcohol
syndrome on the way.

‐ You guys need some help?
‐ 'Yeah.'

(Lewis)
'We could use
some muscle here.'

Doyle, take her up to OB.

She was trying
to kill her baby.

‐ She admitted it.
‐ Yeah, she's bombed.

Alert social services.

Will they do anything?

They'll try.

Oh, man.

(Connie)
'Keep your
legs together, honey.'

Yeah.

‐ That was ugly.
‐ It was criminal.

Excuse me, chaplain.
Do you have a minute?

‐ Did you call for last rites?
‐ No.

I wanted to see if you
were free to see this woman.

She's in labor.

Does she want a prayer?

No, but I think
her baby will.

Mark, I've got a brittle
diabetic in two.

Came in with a blood
glucose of 406.

Are you ill?
You look flushed.

‐ Uh, no, I'm fine.
‐ Anyway.

He hadn't taken his insulin
and his BP was 210 over 115.

Off his dilt. I gave him both,
but he wants to see Susan.

He says, he always
sees Dr. Lewis.

Oh, I can take it.

‐ Okay.
‐ Yeah.

Where's Dr. Lewis?

Well, she's busy right now.
I'm Dr. Greene.

We've debrided Mr. Ceebar's
ulcerated ankle.

Uh‐huh. Do you have
an endocrinologist?

Uh, sort of.

Well, the emergency room
is really not the best place

for you to manage
your diabetes.

My ex...stole
500 bucks from me.

Well, I'm sure
that was quite upsetting

but that's still
no reason for you

not to monitor
your glucose level.

I‐I wanted to tell Dr. Lewis.

Well, you can't see her
right now.

Diabetes is
a serious disease.

You can manage it
if you follow the regimen.

But if you neglect it, you're at
risk for kidney failure

blindness,
and vascular disease.

Why?

‐ Why can't I see Dr. Lewis?
‐ Should I try to find her?

Look, Dr. Lewis is leaving us,
Mr. Ceebar, okay?

She's not gonna work
here anymore. Malik.

I‐I‐I didn't tell
her about my car.

Someone ran into it
and didn't even stop.

Malik, will you get psych
for Mr. Ceebar?

‐ I can find Dr. Lewis‐‐
‐ Get psych!

(Ceebar)
Tell Dr. Lewis..

Dr. Ross, labs came back
from the health mobile.

Can you look
at this CBC?

Crit's 28.

Iron deficiency anemia?

Nope. Normal MCV,
no blasts.

We got to this kid back in
for follow‐up.

It's Ahmed Lopez,
the baby that kid brought in.

‐ Charlie?
‐ Mm‐hmm.

‐ Sisters Of Mercy Shelter?
‐ Yeah.

Alright.
I'll get the number.

(Al)
'I need a hand here.'

[coughing]

What's the problem?

‐ I never felt better.
‐ The guy is sick.

He's, uh,
coughing his head off.

I thought I better
bring him in here.

So, now it's a crime
to cough.

Shut up and be grateful.

‐ I'll get a history.
‐ Lydia.

Cops get stranger
all the time.

Don't worry.
This isn't about you.

Lydia..

Oh, she hates me,
doesn't she?

Well, she's
pretty fed up.

I don't know how
she got the idea

that I didn't wanna
get married.

Al, you kept
putting it off.

Yeah, but that didn't mean
I didn't want to, you know?

‐ I know.
‐ I don't.

If you wanna be with her,
be with her.

Yeah, you're right.

You know, I woke up
this morning

and it was like I was dyin'.

I couldn't breathe.

‐ You ever get that?
‐ Yeah.

I got so crazed.
I‐I tried to get the license.

I‐I drove up to the church.
I tried to drag the priest

over here to marry us
right now, today.

‐ You know, if she'd have me.
‐ What happened?

Uh, they were all
at a CPR class.

Well, you know, we do have
a chaplain here in the hospital

if you're serious.

‐ Oh, yeah?
‐ Mm‐hmm.

He's in trauma one,
giving last rites.

[chuckles]

Oh boy, oh boy, oh boy.
Look at that.

Where's the cecum?

Can't see it
for all the small bowel.

It's pretty blue
in here.

Um, let's eviscerate.

Peter, you wanna take care
of that obstruction?

Sure. Metz.
Retractor.

Look different
from a healthy gut?

I'll say.

Visualize the transduodenal
peritoneal bands

attached to the cecum
and the ascending colon.

I am.

I'm putting some traction
on this mass

twisting it
counterclockwise.

‐ It's pretty tangled.
‐ Like a drawer full of socks.

Uh, I'll have to remember
that one.

Okay, it's pinking up.

I don't think
we have dead bowel.

‐ Do you have it?
‐ Uh, yeah, it's..

[scoffs]
Everything's turned
around in here.

Tell me if you need me.

I..

Uh..

You better take it.

Okay, retract
the intestine.

Metz.

Pick up.

The baby's name is Ahmed.

The mother's name is Gloria.

And I don't know
what she looks like.

He doesn't remember
the mother.

He took the blood
without consent.

‐ I didn't hear that.
‐ That's great, Doug.

I know that all of your
residents are single moms.

If, you..

Okay, sister,
maybe I will. Okay.

Thank you. Thank you.

[sighs]

Don't ask.

Don't worry, I won't.

Has anybody seen
Mr. Ceebar?

Mr. Ceebar, uh...
a brittle diabetic?

Yeah, Psych is here
but he's flown the coop.

Uh, all he just needs is
five minutes of TLC

and a cup of hot tea.

Well, he's gone now.

Hey.
Look at that.

[chuckles]

Well, think he'll talk her
into it?

Oh, shouldn't
be too hard.

It's what she wants.

Talk her into what?

Living happily ever after.

Sorry, I couldn't
step up in there.

Well, at least, you knew
you weren't ready.

The malrotation was more
disorienting than I expected.

Ninety percent of correcting
a congenital anomaly

is knowing your embryology.

Yeah, and I
reviewed that.

Well, then you had 90 percent
of the job aced.

So, what was the other
ten percent?

Being able to stand there
and let the confused anatomy

start to make its own sense.

‐ How?
‐ By letting it happen.

Abnormalities in neonates
can be overwhelming

if you try to break it down
into parts.

Aristotle would have made
a lousy pediatric surgeon.

Sorry to interrupt,
Dr. Benton.

They're calling for us
from the ER. They need us.

‐ What is it?
‐ A wedding.

[sighs]

Oh, my God,
it wasn't a joke.

‐ This is crazy.
‐ Yeah, this is crazy.

Good thing you had this
old rag lying around.

We'll make it snappy, girl.

They only gave me
a 20 minute break in neuro.

Oh, this veil's
a little crushed.

I'm gonna see
if the coast is clear.

Hold, sir.
I don't want to stick you.

I don't want to stick you.
Hold still.

‐ How do we look?
‐ No traumas coming in.

Let's go
while the radio's quiet.

‐ Am I too late?
‐ No, right this way.

Bride's side or groom's?

‐ Okay, they're a little drippy.
‐ Yeah.

Alright, everybody.
They're ready, okay?

Right over there.
That'd be good. Okay, ready?

[all humming
"The Wedding March"]

[whistles]

Uh, dearly beloved,
friends and colleagues.

'We have come here today as a
part of God's eternal plan..'

...and on the spur of the moment
to this holy place

'of‐of life and death
and healing.'

To join Lydia Wright

'and Alfred..'

‐ G‐G‐Grabarsky.
‐ Grabarsky.

Anybody get a stool culture
on curtain..

Oh, my God.

I'm sorry.

It's okay. I'll go.

(Lydia)
'I did the rectal swab.'

‐ His chart's in exam one.
‐ Thanks.

‐ Now‐‐
‐ Best wishes, man.

Like all of us here

'they have chosen
as their life's work'

'to care for and protect
their community.'

'It's taxing and draining'

'and at times,
it's dangerous work.'

And now, Lydia and Alfred
are choosing to take on

the care and protection
for each other

and the love
they share.

Dr. Benton
sends his apologies.

He was called
into an emergency.

Oh. We join them today

'to witness and declare
this sacred union..'

Testicular torsion.

(Miller)
'...souls feed each
other with that love.'

'It's a love that sustains
all their outer efforts.'

'A love that is rare,
and that should be treasured.'

[woman on radio]
'73‐5, coast check..'

A‐a love that, at times
will burn..

(male #1)
'I need a hand here!'

And yet, at other time‐times,
it‐it will flicker.

'Uh, and now the vows.'

'Uh. Do you, Lydia'

'take Alfred
to love and cherish'

'from this day forward
till death do you part?'

(Lydia)
'I do.'

(Miller)
'And do you, Alfred,
take Lydia'

'to love and cherish
from this day forward'

'till death do you part?'

(Alfred)
'I do.'

(Miller)
'I now pronounce you
husband and wife.'

'You may kiss your bride.'

[applause]

So then, he‐he just handed you
the divorce papers?

‐ Yep. It wasn't like him.
‐ What do you mean?

It was the most unselfish
thing he's ever done.

She's throwing
the bouquet.

Oh, come on, come on.

No pushing now.
Come on.

‐ Hey, Carol.
‐ Yeah?

‐ It's bouquet time.
‐ No. Thank you.

‐ Come on.
‐ No, no.

Hey, you think we should do
the goodbye for Susan now

while we've got
everyone here?

No. We'll do it
in an hour or so.

Hey, did you see
those two?

(Carol)
'Yeah. Did you see them
during the ceremony?'

(Doug)
'I know. It's pathetic.'

I always figured
those two would make a go of it.

They're best friends.
What more do you want?

No, it's not what I want.
It's what Mark wants.

I don't know.
Things happen for a reason.

Things don't
happen for a reason.

‐ Then why is she leaving?
‐ She doesn't have a life here.

And one, two, three!

[cheering]

Oh, my God!

‐ Oh, yes, Susan!
‐ Oh, yeah.

Congratulations.

‐ You're next.
‐ Yeah, funny.

That was kind
of great, huh?

Yeah. They seem happy.

Hey, Mark?

I guess I proved
I'm no good at goodbyes.

No, me neither.

I'm sorry that I snapped
at you earlier.

I just don't want to go

unless I know
we'll always be friends.

We will.

[knock on door]
You ready for me?

Um, come on in.
Almost there.

Um, why don't you
shut the door?

So, um, about your
literature review

it's very complete.

I have a few quibbles
about emphasis.

I mean, I'm not..
Yes.

I'm not sure th‐that Ladd
warrants an entire paragraph.

Probably not.

But you have
a very nice style.

Easy to read,
not a lot of jargon.

Thank you.

Um, I would ask you
to co‐author

if you weren't first year,
but I think that‐that we need

to be careful and not draw a lot
of attention considering..

‐ Considering us?
‐ Yes.

‐ What happened last Thursday?
‐ Mm‐hmm.

And Saturday afternoon
and evening?

Yes. And T‐and Tuesday
before rounds.

Yeah, we could talk
about that.

I mean, the only thing that
we need to keep straight

is that this is separate.

‐ Completely separate.
‐ Yes, from our work.

I mean, it shouldn't matter.
I am not your boss.

No. You're
my boss' boss.

‐ Did you lock the door?
‐ Mm‐hmm.

Okay, so that we both understand
this is strictly personal.

It has nothing to do
with work.

Oh, I love that.

There are so many things I'm not
going to miss about this place.

Aftercare documentation
is one of them.

I can't tell you how many hours
I've spent doing this.

You're the only one
who ever bothers.

‐ You kidding me?
‐ No.

She said she's gonna
leave at 2 o'clock sharp.

‐ Setting up?
‐ In the lounge.

Hey, Mark. I got a call
from the DA today

about a drunk woman
who came in, in labor.

Uh‐huh.

They're bringing charges
against her, attempted murder.

Social services
really jumped on that one.

No, actually they're
acting on a call from us.

So you've seen the
crayon in the nose trick before?

Millions of times.

Doctor, I took out that address
for you, Sisters Of Mercy.

No, we can handle
it together.

Dr. Doyle, did you make the call
to the 32nd Precinct today?

Yeah, I got a cousin there.

She said she wanted to kill
her baby. I was a witness.

(Mark)
'We get a lot of women
with alcohol and drug problems.'

If we let social services
handle it‐‐

It can fall
through the cracks.

That's not what happens.

More to the point,
initiating

a criminal investigation
wasn't your job.

What about protecting the health
of the baby? Is that my job?

Well, we're not gonna
improve prenatal care

for high‐risk infants
if we scare off the mothers.

Well, how about this.

If I get to testify
against the bitch

I'll do it on my own time.

I think we're
going to like her.

Randi, could you try
and find me some Aspirin?

It doesn't work for us.

We never use tough floats
in and out of the department.

Budgets are tight, Carol.

Yeah, well, we're all
aware of that.

Look, the hospital
values its RN's.

Registered nurses
are the best trained

and most versatile part
of the entire nursing staff.

Thank you.

We are also the most expensive
part of that staff.

County has got
to figure out ways

to utilize RN's
more effectively.

Well, at least,
have the floats make sense.

Go on.

ER and ICU
have more skills in common

than ward nurses,
recovery or neuro.

That's a very good point, Carol.

That is precisely why I keep
trying to get you managers

who are in the trenches
more active on the committees.

We need your perspective.

Oh, Mary. I‐I'm swamped.

Okay. How about a deal?

I confine ER floats
to ICU per your suggestion.

In exchange, you come sit

on the hospital‐wide
re‐engineering committee.

We only meet once a month.

[sighs]

Okay. I stalled her
with one last patient.

Better be a good one.
She was out the door.

Well, I think Mr. Freckles
will keep her busy for a while.

‐ Hey, you got any tape?
‐ Yeah, yeah. Is Mark coming?

I beeped him twice.

Sorry, folks,
we've got an MVA coming in.

Kindergarten car pool
versus joyriding teens.

Alright, let's go.

Could be
as many as eight victims.

‐ I'll clear the trauma rooms.
‐ Well, there goes the party.

What's the ETA?

‐ Oh, they are pulling up now.
‐ Let's go, come on.

That's me.
Runner‐up for Mr. Universe.

Call me a fool, doc,
but I'm betting on a comeback.

Haven't changed
a lick since 1947.

Well, I'm afraid
you may have lost

a little too much
weight recently.

Hey! I'm in training.

Midwestern finals.

American bodybuilders.

Seventy and older.

Ah! Oh, I gotta take care
of this damn sciatica.

Oh, man, that smarts.

Yeah, why don't you
take a seat again.

Do you know how
this injury happened?

Oh, my B‐12 shot.
Must have hit a nerve.

You're injecting vitamins?

Hey, don't worry.
I steer clear of the steroids.

Oh, that's good.
Scoot back.

Press against my hands.

Yeah. Good.

‐ Any other complaints?
‐ Nope.

Best I've looked
in ten years.

When's the competition?

Mid‐march.

I'll be 74 by then.

And ready for a comeback.

‐ You think?
‐ Yep.

Plenty of bed rest,
anti‐inflammatories

and start back slowly.

‐ Thanks, doc.
‐ Okay.

(Pickman)
'This one had a seat belt on'

'but there was passenger
space intrusion.'

'Fractured tib‐fib. Hey, honey,
you're gonna be fine.'

Order a portable C‐spine
and left tib‐fib.

Alright, come with me this way.
I'll find you a place to sit.

My mom and dad
are going to kill me.

I'll tell them
it was my fault.

[instrumental music]

‐ Signing out, Randi.
‐ Uh, thanks, Dr. Lewis.

‐ Good luck in Phoenix.
‐ Thanks.

No, this is the ER again.
We need a neurosurgeon now.

(male #1)
'I need Dr. Benton's X‐rays.'

Get him to the suture room.
Set me up with some 4‐0 nylon.

(female #1)
'Wait! Wait! Wait!'

Ma'am, you have
a ruptured spleen.

You're gonna need
immediate surgery.

But it's my car pool. All
the parents need to be called!

Randi, come take
these numbers down, okay?

I'm coming. I'm coming.

I told you not
to let him drive.

He told me he know how.
We were just goofing around.

Hush! Hold still.

Complains of chest pains,
shortness of breath.

Diminished breath
sounds on the left.

Let's get
a chest tube tray.

We need an abdominal CT
for the kid in trauma one.

(Carol)
'BP's comin' down,
190 over 130.'

(Lydia)
'Poor cap refill. Pulse ox 90.'

Type and cross two units,
get some O‐negative

on the rapid infuser.

X‐ray's coming for the C‐spine.

‐ Lower that IV bag.
‐ Anybody need any help?

‐ Susan, why are you still here?
‐ You're gonna miss your train.

Lavage is negative.
Get an X‐ray.

‐ Call us.
‐ 'O‐negative too.'

‐ I'm calling CT.
‐ 'BP's 200 over 140.'

‐ Left pupil's sluggish.
‐ Dusky. You want to intubate?

‐ Yes.
‐ Alright. You do it.

7.0 ET tube.

Possible subdural hematoma.

Mannitol.
90 grams IV.

Let's, uh,
hyperventilate him.

Alright?

‐ Here you go.
‐ Okay.

Use suction
if you need it.

(Mark)
'Visualize the cord.'

'Good, good.'

'Take your time.
He's breathing on his own.'

(Mark)
'She didn't even leave a note.'

Well, you know, she was saying
goodbye to everyone all day.

Dr. Greene, one of those car
pool kids crashed in radiology.

‐ Which one?
‐ The fractured tib‐fib.

How did it happen?

So if‐if it's okay with you, I'd
love to get out of here by 7:00.

What are you working on that
literature review for Keaton?

‐ No, actually, I got a date.
‐ Oh, yeah?

Well, just don't procrastinate
and keep Keaton waiting.

‐ I'm not‐‐
‐ It reflects poorly on me.

You know something? She's a hard
one to get, isn't she?

How do you figure?

Well, obviously,
she's a great surgeon

but she's not
much of a teacher.

‐ You don't think so?
‐ Oh, come on.

All that psychobabble?

Well, her explanations
can be a little bit eccentric.

She doesn't say
what she wants.

Sometimes, she does.

Then again, you know, I haven't
really been working with her

the same way that you have.

‐ Carter, she's soft.
‐ She can be.

She doesn't act
like a surgeon.

Well, you know, It is difficult
to learn from somebody

who teaches by intuition.

'Which is one of the things
I've always'

'appreciated about
your teaching.'

Excuse me, Carter.
Carla?

There you are,
you know I've been sitting

in that lot for half an hour.

‐ Why?
‐ Kingston Mines.

‐ Dinner before the early set.
‐ That's tomorrow night.

‐ No, that is tonight.
‐ Anything you need?

No, Carter.
Oh, I'm sorry.

Carla, this is Dr. Carter.
Carter, this is Carla Reece.

‐ Pleased to meet you.
‐ Same here.

I'm sorry. I'm on
till midnight tonight.

So this is where
you work until midnight?

Yeah, look, um, why don't
I walk you out to your car?

Oh, you haven't
been here before?

No, no, I haven't,
knock on wood.

‐ We should give you a tour.
‐ No, no, no, she's got plans.

Not anymore.
I've been stood up.

Well, if trauma one is open
we could start there.

Mmm. Really. Just don't
show me anything bloody.

No, no, no.
So what do you do, Carla?

I have this Caribbean
restaurant on Western.

‐ No kidding?
‐ Mm‐hmm.

My family used to sail
to the islands every spring.

Half day, Dr. Ross?

Hey, I was immunizing when you
were hitting the snooze button.

(Mark)
'I'm upset because
I don't understand'

how you could send
a surgical abdomen‐‐

I asked if I
should send him for a CT.

‐ You said go ahead.
‐ Yeah, I assumed he was stable.

No, Mark, I asked for your call.
You weren't listening.

‐ Well, you didn't ask me.
‐ You were distracted.

You were looking
for Susan Lewis

worried that she had left,
which is fine.

I understand that, but
don't yell at me now.

Hey, Mark, grab your coat.
Let's go talk.

(Haleh)
'Mmm, admin actually listened?'

So, no more floating?
You laid down the law?

Well, they won't be sending
any of you to neuro

or the wards anymore.

They're going to limit
our floats to ICU.

How is that any better?

Well, at least the nursing
skills are similar.

We're gonna have
to get it in our contract.

Only way
they'll respect us.

Honey, they'll
never respect us.

Uh, Dr. Weaver is wondering
where all the nurses are.

Look, I don't think it's
so bad floating to ICU.

‐ Uh, I'm not going.
‐ They won't send you.

You're not close enough
to your 20 years.

Look, I know
it's a compromise

but it's better
than what was happening.

Careful, Carol, you're
sounding a lot like management.

Wow.

I didn't even say goodbye.

Goodbye is not what
you need to tell her.

‐ Well, It's too late now.
‐ What time's the train leave?

‐ 4:20.
‐ Uh, It's less than an hour.

They're usually running
a little bit late.

And she probably had to go home
to get her luggage.

Yeah, well,
I'm on till 11:00.

‐ So I should just go?
‐ You could.

No, no, no, it's impossible.

She's getting on a train.
She's made up her mind.

It may be, but
that's not the point.

So what would I say now?

You would say to her
what you've been wanting

to say for years.

You tell her how you feel

or you can let her go
without saying a word

and you'll regret it
for the rest of your life

and make yourself and everybody
else around you miserable

like you have today.

‐ You're right.
‐ Mm‐hmm.

W‐w‐wait.
C‐can you tell Kerry‐‐

Yeah, go, go, go.

This is great!
Oh, my goodness.

Is this where you
operate on 'em?

No, no, no. We just
stabilize them down here.

Then we send them
upstairs to the OR.

Speaking of upstairs.

Yep, nice meeting
you, Carla.

Yes. Thank you, thank you
for showing me around.

‐ What's in here?
‐ Uh, it's just a suture room.

Oh, really?

'What goes on in here?'

Uh, we just
take patients down here..

Mmm.

[chuckles]

Oh.

You're going to mess up
my reputation around here.

I've been wanting to do that
since I came into this place.

‐ Oh, yeah?
‐ Yeah.

Um...well, I'm sorry
I got to work late.

Well, there's late,
and...there's later.

[instrumental music]

Taxi.

Hello. Hold on.

[music continues]

Susan?

Susan, are you here?

Oh, Dr. Greene, you just missed
her. She left you a note.

‐ W‐where?
‐ On the mantel.

Thank you.

Uh...i‐is the clock right,
sister?

‐ Oh, yes.
‐ It must be slow.

I got a friend
trying to catch a train.

Sister Ann, try to
get them to share.

Sorry. We haven't had
a Lopez all month.

Mm‐hmm, it's a mother
and an infant.

Yes, I know, doctor.
I'm sorry.

You could leave
a note on the board.

[instrumental music]

[panting]

[music continues]

Go, go, go..

[panting]

[music continues]

Southwest gate.

Track ten.

Looking for the chief, sir?

She got moved.

Track six.

Susan!

Susan!

Susan!

Susan, Susan!

(Male #2)
'All aboard!'

Susan!

Mark!
Are you okay?

‐ You came to say goodbye?
‐ No. Stay.

I want you to stay.

‐ But, mark..
‐ I love you.

And I'm stupid for
not saying it before.

No, i‐it's okay, I‐I knew.
In‐in a way, I‐I knew.

Stay.
We‐we belong together.

Tell me you don't
feel the same.

I'm sorry.

Train's leaving, ma'am.

We're right together.

Mark...you are
my best friend.

I don't know how I'm gonna
make it without you.

‐ Don't go.
‐ I have to.

I don't belong here anymore.
I have a new life.

It's going
in a different direction.

Susan, I don't want
to lose you.

Oh.

[instrumental music]

Ma'am, ma'am, we're leaving.
Come on.

I'll never forget you.

I do love you.

‐ What?
‐ I love you!

Bye.

[instrumental music]

[theme music]

[music continues]