ER (1994–2009): Season 6, Episode 1 - Leave It to Weaver - full transcript
When Anspaugh decides to retire as chief of staff and return to surgery, he appoints Romano as his replacement. Greene expresses reservations about the decision, but Weaver does not support Greene. Romano makes Weaver the new chie...
[theme music]
[train chugging]
‐ You should be sitting.
‐ Oh, that's okay.
‐ I'm fine.
‐ Uh.
Uh, excuse me.
Would you mind
giving your seat to this lady?
‐ Didn't you hear me? I said‐‐
‐ I heard you.
It's okay, really.
I can stand.
‐ She's pregnant.
‐ So that's, like, my problem?
All I'm saying
is a little common courtesy.
Sorry, pops.
I got none.
Really, it's okay.
Thank you anyway.
Oh...you okay?
‐ Yeah.
‐ We're just learning.
Just a few scrapes.
‐ You alright?
‐ Yeah.
[indistinct chatter]
Ice blended double
mocha mocha supremo.
(male #1)
'Ice blended double
mocha mocha supremo.'
Oh, you're a lucky girl
having a baby.
‐ How far along are you?
‐ Almost six months.
‐ My, you're getting big.
‐ Thanks. Twins.
My niece had twins.
What a delivery
that was.
Eighteen hours
on the first one
and the second
one was breech.
Excuse me, ma'am?
Your order?
(female #1)
'Uh, just regular coffee,
please, for here.'
But I'm sure yours'll go
just fine. May I?
You know, I'd really rather
you not. Nothing personal.
It's just that when
you're pregnant, everybody‐‐
I know. Everyone wants to
touch you without even asking.
‐ Although I did ask.
‐ Regular coffee.
Thank you.
Hi. I'll have a tall
warm milk to go, please.
‐ 'Nasty.'
‐ 'Tall warm milk to go.'
‐ Excuse me?
‐ Warm milk is nasty.
Really?
And what are you having?
‐ Double tall vanilla latte.
‐ A latte.
Didn't you know that coffee
stunts your growth?
That is so not true.
Do your parents
let you drink it?
Who are you,
the coffee police?
‐ 'Tall warm milk.'
‐ Thanks.
'You're welcome.'
‐ 'Double tall vanilla latte.'
‐ 'Double tall vanilla latte!'
[balloon pops]
‐ My balloon!
‐ 'Oh, honey, that's okay.'
‐ 'We've got another one.'
‐ No! I don't want blue!
‐ But this one is just as good.
‐ No!
‐ 'Honey, don't make a scene.'
‐ I want yellow!
'Michelle, it's a perfectly
good balloon..'
‐ No!
‐ 'Michelle!'
(male #2)
'Oh, my god, watch out!
Get out of the way!'
[honking]
[screaming]
[theme music]
Carol..
Carol, what happened?
I'm fine.
Minor lacerations.
‐ Probable shoulder dislocation.
‐ Where's Kevin?
‐ Is he already here?
‐ Don't worry. I'll find him.
‐ What's open?
‐ I can take her in Two.
‐ Are you sure you're alright?
‐ Oh, man. What a morning.
Let's get a Trauma panel,
type and cross for Four.
‐ Set me up with a chest tube.
‐ Peter, what have we got?
Deep lacerations
to the chest.
Decreased breath
sounds on the left.
BP's 100 over 60.
Pulse 120.
Someone help me, will you?
‐ What's your name?
‐ Screw that! I'm hurting here.
I wanna speak
to the manager.
You wanted
the Trauma fellowship.
Yeah, well, be careful
what you wish for.
Alright, one percent lidocaine.
‐ You forget your Trauma gown?
‐ I'll tell you about it later.
‐ 'Pulse ox 92 on four liters.'
‐ You on any medications?
‐ Do you have any allergies?
‐ No, you sons of bitches!
Just, just, give me
something for the pain!
‐ 'Alright, titrate four of MS.'
‐ Yeah, you win, bud. Morphine?
I've seen you somewhere.
‐ The coffee shop.
‐ Right.
And before that,
the L train, remember?
‐ You work here?
‐ She's the manager.
‐ Oh, man!
‐ 'Thoraseal's ready.'
‐ Alright, hook me up.
‐ First crit, 35.
Pressure's down to 70.
Tachy at 130.
He's bleeding out. We've got
1,000ccs in the thoraseal.
Put the blood
on the rapid infuser.
'Give him what he's lost
and keep him four ahead.'
Uh, Dr. Corday just
took another critical
and I've got a ton
of lacerations in chairs.
Okay, close us to Trauma,
tell the patients in chairs
we'll get to them
as soon as we can.
‐ When's that guy coming on?
‐ What guy?
I need some help with
the girl in the rollerblader.
‐ She's in a lot of pain.
‐ Four of morphine.
One of versed,
and I'll come back.
The guy you know, the doc
who's moonlighting?
‐ Dr. Kovac?
‐ Yeah.
I don't know, check the board.
See when he's due.
‐ Who's this?
‐ 'The driver of the truck.'
Call transport,
and get him to the morgue.
Hey, you!
Are you a doctor?
I got one mother of a migraine.
We'll get to you
as soon as we can, sir.
Yeah, I had some compazine
at home, you know, suppository.
Shoved it right up my ass
but it ain't working, nothing.
Have a seat. Someone'll be
with you in a minute.
That's what they said
20 minutes ago.
‐ Really, they will.
‐ Uh, Dr. Weaver? Phone.
Peter, can you take it
from here?
I'm gonna go check on Elizabeth.
Yeah, we're just
waiting on an OR.
Carol?
(Mrs. Kinney)
'Please, you have
to find my daughter.'
I don't know what happened to
her, I don't know where she is.
What's her name?
I'll go look for her.
Michelle, Michelle Kinney.
You'd better
get that checked out first.
‐ I'll take a look, Carol.
‐ It's okay, Mark.
Mrs. Kinney, we're going to
look for your daughter
but you need to tell me
where it hurts.
All over my chest
and I can't breathe.
‐ Any pain here?
‐ No, not really.
Pulse ox is 88 on ten liters.
Okay, poor tidal volume.
I'll intubate.
Four of versed,
100 of sux.
We're going to give you
some medicine, okay?
It's gonna make you sleepy
and when you wake up
there'll be a tube down your
throat, helping you to breathe.
Get x‐ray down here
and I need an ultrasound.
‐ Dr. Corday?
‐ I'm in.
Uh, this man's here
to see you.
Charles Cameron
from Rush.
‐ We were gonna have coffee.
‐ Um, of course. I'm sorry.
Um, I'm a bit involved here.
‐ Mind if I hang out?
‐ No, sure, sure.
That'd be fine.
Dr. Cameron, Dr. Mark Greene.
Hey.
[pager beeps]
Oh, um...let me just
check this page.
I'll be right back.
[sighs]
I'd completely forgotten
we'd set up a coffee.
You know,
for an interview, at Rush.
‐ An interview for?
‐ Cardiothoracic.
I thought you had that
sewed up with Romano.
Yeah, that's just it,
the prospect of Romano.
Seemed like a good idea to
check out other opportunities.
You're right,
probably is a good idea.
I'm really sorry, Mark.
I thought I'd mentioned it.
You don't have to
tell me everything.
I'm looking for a little girl,
about five, Michelle Kinney.
‐ Not here.
‐ We got a rollerblader.
Oh, I'm looking for him too.
Is he alright?
If the lavage is positive,
we'll take him to the OR.
Okay, I'll go tell
the girlfriend.
Dr. Anspaugh,
the phone's for you.
Something about
revisions on the Jayco report.
They call in the middle
of a Trauma. My God!
The mind‐numbing,
day‐to‐day detritus of this job.
‐ You okay finishing the DPL?
‐ Oh, yeah.
Yes?
You gonna ask him?
Ask him what?
About the rumor he's quitting
as chief of staff.
‐ What?
‐ Going back to General Surgery.
I haven't heard anything.
Residents are out of the loop.
Why would he do that?
I don't know,
something about that
day‐to‐day whatever
of his job.
How we doing, Carter?
Alright, prep for transfer.
I don't get it, how tough is it
to get something for the pain?
Sorry, sir, we've got a lot
of critical cases right now.
And this jackhammer
in my head ain't critical?
What kind of
bush‐league joint is this?
Randi, can you kill
that guy with the migraine?
Happily.
Did a little girl come in
with this accident
about five,
Michelle Kinney?
‐ I didn't see her.
‐ She might be on her way.
Just got off the MICN, they're
sending two more criticals.
‐ Ten minutes out.
‐ Wh‐wh‐what do you mean?
I thought I told you
to close us to Trauma.
I know, but Dr. Romano
told me to keep us open.
‐ And who asked him?
‐ I did.
It's a protocol thing.
He is acting chief.
Get back on the radio
and tell them to go to Mercy.
You, get Romano on the phone.
What the hell's he thinking?
We're barely keeping our head
above water as it is!
Pressure's down to 75.
Another two units of O‐neg.
No bleeding in the belly.
Chest x‐ray shows diffuse
bilateral pulmonary contusions.
No signs of blood loss.
(Lydia)
Pulse ox falling to 80
on 100 percent oxygen.
Let me check the heart.
Could be a tension pneumo.
14‐gauge needle
on an open syringe.
Crit's 42.
No pericardial effusion.
No tension pneumo.
But she's got
a terrible ejection fraction.
Must be cardiac contusion.
She's bruised the hell
out of her heart and lungs.
‐ Another five of peep.
‐ Pressure's down to 60.
‐ Okay, mix up dopamine.
‐ Should I book an OR?
Nothing to repair
surgically.
‐ Right you are, unfortunately.
‐ What do we do?
Pressure and ventilatory
support, that's about it.
Wait, hang on a minute.
Run up to the OR.
We'll just try something.
Run up to the OR.
Bring down a bypass machine.
Cut down tray now.
Let's prepare the groin
for bypass catheters.
Put her on bypass?
That's pretty gutsy.
‐ It's worth a try.
‐ Betadine and sterile drapes.
Well, well, well, this
is quite a convention.
Charlie Cameron,
still at Rush?
Haven't seen you in,
oh, gosh, who really cares?
So what brings you
to our fair land?
Coffee, actually.
I hear it's the best
in the city.
Mm‐hmm.
Well, there's enough cooks
in this broth, I think.
'I'll go and inspire
the rest of the troops.'
OR's ready.
Pulse ox,
99 on 100 percent.
‐ Peter, what's going on here?
‐ Penetrating chest trauma.
1,000ccs out of the chest.
Taking him up to the OR.
Uh‐huh,
and what's his pressure?
It's 95 systolic,
up from 70.
Whoa, whoa, whoa,
keep him here.
‐ What?
‐ 'Check another pressure.'
He needs a thoracotomy.
A liter of initial
chest tube output
is an indication
to go to the OR.
No, it's borderline. How much
blood have you given him?
Two units of O‐neg with
1,000ccs auto transfused.
What's in the thoraseal?
‐ '100ccs.'
‐ 'Uh‐huh, and the pressure?'
105 over 74.
Okay, so, Peter,
let's review.
His pressure's
in the normal range
and his chest tube output
has slowed to a trickle.
Now, as a surgeon,
I would say he's forming a clot.
As a Trauma fellow,
you would disagree?
‐ Maybe.
‐ Maybe, well.
If we're gonna crack
a kid's chest open
'expose him to the risks
of general anesthesia'
'and put him through
a painful six‐month recovery'
let's make sure "maybe" is not
a part of the equation, okay?
Thanks.
[radio chatter]
Hi.
'What's your name?'
My name is Luka.
It's a funny name, isn't it?
'Can you say it?'
"Luka?"
Does your arm hurt?
I'm a doctor, you know.
I want my mom.
I can help you.
So you wanna come out now?
In that case,
do you mind if I come in?
Yes, of course, Lucy,
I'd be happy to mentor you.
‐ I'm flattered that you'd ask.
‐ Hello!
I'm dying here!
Any of you putzes care?
I really want to focus
on emergency medicine
for my final year
and I think, it would be great
to have that one
person to go to.
I know that it will.
I had a great mentor
when I was in school.
What's it take, huh?
I got to get run over
by some truck?
I finished with the DPL.
And sent the head trauma to CT.
‐ Thank you, Carter.
‐ Oh.
Have you heard
any rumors about
Dr. Anspaugh quitting
as chief of staff?
‐ No. Where'd you hear that?
‐ 'I heard a scarier one.'
Not only is
Dr. Anspaugh quitting
Dr. Romano is the front‐runner
to take his place.
Romano as chief of staff?
‐ Carter, take this sheet.
‐ Oh! Ugh!
‐ You okay?
‐ 'Stand by with paddles.'
Malik, get ready
for chest compressions.
I'm in. Hook this up.
Mark, Mark,
when you have a moment
I need to speak with you.
‐ It's important.
‐ Sure.
Run of nine.
Charge 200.
Start the bypass.
[whirring]
[monitor beeping]
‐ She's stabilizing.
‐ Alright.
‐ Want to go in here?
‐ Wean off the dopamine.
BP's 120 over 80.
I just heard
Anspaugh's stepping down
and Romano's in line
for the chief's job.
I don't buy it. Anspaugh
would've said something to us.
You're right. It's probably
just crazy rumor mill stuff.
I'll‐I'll go upstairs
and talk to him about it.
Good idea.
Whoa, it's the fire alarm!
Please, tell me
this is a drill!
Okay, you better prep
your patient for transfer.
I'll cover
the main hall!
‐ Where is it?
‐ I don't know.
But start moving patients
to the ambulance bay.
‐ Are we gonna have to move?
‐ Maybe. Be ready to.
Dr. Benton, he's crashing.
Carter! Get in here now!
‐ He's in fib!
‐ Charge to 200.
‐ Another 1500 in the thoraseal.
‐ Epi's onboard.
Thoracotomy tray.
Let's move! Come on!
Scalpel.
Let's squeeze in the blood.
‐ 'Should I page Romano?'
‐ 'No time.'
Rib spreader.
Oh, man, there's like
a gallon of blood in here.
Come on, come on,
more suction!
Please don't run!
Everybody move slowly and
quietly to the ambulance bay.
Curtain three's clear.
Where the hell's the fire?
I don't know. Can you
clear exam one and two?
Got four units of type‐specific.
Hang it now!
Carter, come take over
internal compression.
‐ Sponge stick!
‐ Internal paddles are ready.
‐ What about the fire alarm?
‐ Let's save his life first.
Alright, I got it.
There, there, you see it?
There's a bleeder.
Alright, 2‐0 vicryl
and pickups, let's move.
‐ You want FFP?
‐ Yeah, two units.
‐ And a gram of ancef.
‐ Still in fib!
Good femoral pulse
with compressions.
Alright, mammary artery
is ligated.
Alright, paddles.
Charge to 20.
‐ Everybody clear?
‐ 'Clear.'
Don't tell me you
just pulled that thing.
Maybe now, I'll get
some attention.
‐ 'Whoa, Randi!'
‐ He pulled the alarm.
Hey, Chuny,
get back to admit.
'Let people know
it's a false alarm.'
And you, stay down!
You move and I'll
let her at you.
Everyone, please listen!
It's a false alarm.
You don't have to evacuate!
There is no fire!
Por favor, no se tiene
que salir.
'No hay nada de fuego.
Calmese, por favor.'
'Stay calm in your seats.
Thank you!'
‐ Normal sinus!
‐ BP's 80 systolic.
His oxygen tank
is almost empty.
Alright, Carter, go get
another cylinder. Let's move.
'Alright, everybody
let's get him up to the OR.'
'Here we go.
Give it here.'
'Carter, let's move!'
Go, people, go!
Watch it!
[screaming]
[glass shattering]
[alarm blaring]
Have you ever been
to the circus?
‐ No.
‐ You have now.
So all you have to do
is break off the little valve?
Yeah, you can rent one of these
stands and take them to a party.
Judy, Malik,
find Mr. Migraine.
Give him six milligrams
of imitrex.
Then call the police and report
him for inciting a riot.
Excuse me, which room
is open for Michelle?
Oh, thanks, Dr. Kovac,
but we have
a pediatric resident
who can take her.
‐ Uh, Cleo's not on yet.
‐ Yeah, she's due shortly.
Why don't you set her up
in the Pedes room?
She wants to see her mother.
That's probably not a good idea,
her mother's been intubated.
‐ And she's on bypass.
‐ Okay.
We got plenty of other
patients who need suturing.
Sure. Anything is fine.
Um, I'll check the board.
‐ Good.
‐ Kerry, I'm gonna run upstairs.
‐ And try and find Anspaugh.
‐ Dr. Weaver.
The films are
back on the rollerblader.
‐ Okay, let's go take a look.
‐ Dr. Weaver!
One last critical
coming in from that accident.
Someone they found
under the rubble.
‐ Now?
‐ At the back door.
Okay, Lucy,
follow me on this.
Carol, we got another lac
for Dr. Kovac.
Got it.
(Weaver)
'I'll give you two or three
articles a week'
and then we can go over them.
‐ Okay, great.
‐ Good morning.
Hey, Cleo, I'm glad you're here,
we got a Pedes case for you
and if you need help
you can pull Carter in.
‐ Sounds good.
‐ Dr. Finch.
Do you always jog to work?
It's only four miles.
Kind of makes you want to
dislike her, doesn't it?
(Kovac)
'This little tube right here?'
That's for giving
your mother medicine
to make her better.
(Michelle)
'And what's that?'
That's a machine..
...that helps her take
really deep breaths.
You know, like when you
go underwater to swim?
You take deep breaths.
I'm not allowed
to go underwater.
‐ I have to wear wings.
‐ Wings?
It's kind of like a life jacket
for little kids.
Oh.
They gave my mommy some medicine
to make her sleepy.
That's right, but she's
gonna wake up soon
and be very happy to see you.
Now we're gonna go
find the doctor
who will look at your arm.
‐ 'Okay?'
‐ 'Okay.'
(Romano)
'Well, Peter, I am impressed.'
'We're ten minutes in
on this teenager of yours'
'and haven't heard you so much
as whisper an "I told you so."'
Okay, we're ready for
the second chest tube.
Let's make it a 36‐french.
Alright, another
liter of irrigant.
Oh, uh, by the way, you've met
Charles Cameron, haven't you?
‐ From Rush?
‐ Uh, yeah.
He has privileges here.
‐ 'Uh.'
‐ Uh, cardiothoracic, I think.
Yeah, that's the,
uh, same specialty
that Elizabeth, Dr. Corday
is still interested in,
isn't it?
I wouldn't know.
Oh, she hasn't mentioned much
'about that, huh,
lately, huh?'
No, not to me.
Not to me, either,
which is odd
considering I sponsored her.
Why do you think that is?
I only ask you that because I
know you two have been friends.
'You obviously know her
much better than I do.'
Dr. Romano...
do all our conversations
have to revolve
around Elizabeth?
Well, Dr. Benton,
perhaps you and I
don't need to have any
further conversations at all.
Okay! Some number two
dexon, please
for the intercostals,
and, uh...I will close.
Is this the last one
from the accident?
Yep. Probably ruptured
her aorta.
Bled out
in a matter of seconds.
‐ Got a minute?
‐ Sure.
Lucy, good work.
Why don't you stay
and write the death note?
‐ Okay.
‐ I'll get the death kit.
I talked to Anspaugh,
and the rumors are true.
Both of them, he's quitting
and Romano's gonna be
chief of staff?
Donald is leaving
the job
but he's going to stay at county
and do General Surgery.
He wants to spend more time
with his daughter.
And Romano taking over
is a possibility.
We've got to do
something, Mark.
I got Anspaugh to agree
to a meeting.
We can weigh in on whether we
think Romano is the right guy.
Yeah, he's not
the right one for us.
I don't get this,
you're a regular old doctor.
‐ Yes.
‐ But you don't work here.
No, I do work here,
but only when they need me.
I am, uh, what they call
a "moonlighter."
Because you're from
another country?
No, because I only work here
from time to time,
when they need me.
And they needed you today
because of the truck crash.
[sighs]
No, uh..
I'm here because one of the
regular doctors is on vacation.
I thought you said you were
one of the regular doctors.
I just...fill in when
someone else is absent.
Oh, I get it.
You're like a sub.
A sub.
Yeah, yeah.
I'm a sub, yeah.
‐ What kinda accent is that?
‐ Thick.
Neighbors heard the baby
crying for a couple days.
Finally called us
and the police.
Broke the door down,
what a mess.
‐ Any known relatives?
‐ Neighbors didn't think so.
Mom lived alone
with the boy.
‐ They also think she has AIDS.
‐ 'What about the baby?'
Don't know.
Need anything else?
No. We got it from here.
She's tachycardic, pulse
thready, severe hypoxia.
Possibly fulminant
pneumocystis.
Let's get her
started on bactrim
three amps IV,
125 migs of solu medrol.
Make sure the O2
is cranked up to 10 liters.
‐ She's not moving much air.
‐ You want a CBC and lytes?
Yeah. Check with the ICU,
we need to get a bed.
How's that baby?
‐ Temp's 102.
‐ He's dehydrated.
I've started an IV.
Rales bilaterally
at the bases.
'I think there's a
consolidation on the right.'
I need a complete blood count,
CHEM‐7 and a chest film.
‐ I'll get the portable.
‐ Pneumonia?
‐ It'd be a pretty safe bet.
‐ Want an HIV test?
Can't test the baby
without the mom's permission
which is not going
to happen.
Pretty likely
he's positive.
Yeah, but we have to wait
for the mom or the court
'to allow the test.'
For now, we'll start
him on cefurox.
HIV positive, goes ahead and has
a baby, no sign of any support.
What was she thinking?
(Haleh)
'Dr. Finch, films are back'
'on that little girl
with the broken arm.'
Thanks, Haleh.
Go ahead, I'll fill out
the labs on them both.
Okay. Thanks.
Haleh? Can you get these
to the lab for me?
‐ Oh, sure.
‐ Thanks.
Oh, wait a second.
I forgot.
Add an HIV test
to, uh, this one.
‐ Carlos Ortega?
‐ Right.
‐ No problem.
‐ Okay.
‐ Am I interrupting?
‐ No, no, no, not at all.
Please come in.
We are done here.
Hey, vanilla latte,
I wondered about you.
Glad to see
you're doing okay.
‐ You're the warm milk lady.
‐ That's right, I work here.
Yeah, but does that mean
you really work here?
Don't answer that one.
You're done.
‐ Feel okay?
‐ Yeah, I feel fine.
‐ On your way.
‐ Thanks.
Oh, my God.
That boy is relentless.
I think his parents feel
quite exhausted, huh?
[chuckling]
It seems like I need some
stitches. I already irrigated.
I heard you were
at that coffee place
when the accident
happened.
I had just left
ten seconds earlier.
I don't even want
to think about it.
Still, it seems like most
people came out of it okay..
...miraculously.
So, you took that little girl
in to see her mother?
Yes.
Even though Dr. Weaver
and Dr. Greene
didn't think it was
such a good idea?
Mostly, they're not sure
if I'm a good doctor.
Why do you say that?
This is, like, the second
or third time
you've worked here,
isn't it?
Yeah. Enough time for them to
stop calling me "Dr. Kovac."
You know, when people
are not sure
they tend to keep
things more formal.
I hope you will
be happy enough
with your sutures
to call me Luka.
I took the girl in
because, uh, children
need to know, need to see.
Even if what they
see is not good
it's still better than being
in the dark, you know..
Having that kind of fear.
You sound experienced
in these things.
Well, whatever experience
I have with children
didn't help me
with that boy.
‐ 'Carol, are you busy?'
‐ No, I just got sutured.
Their mother was
in that accident.
Massive blunt chest trauma.
They'd like to view the body.
‐ Sure, no problem.
‐ Thank you.
Hello.
I'm Carol Hathaway.
‐ I'm very sorry for your loss.
‐ Thank you.
Would you like me
to show you in?
Yes, please.
(Wright)
'Did I hear Romano's going
to be chief of staff?'
You are going to fight
this, aren't you?
Dr. Weaver and I have
an appointment with Dr. Anspaugh
and we're supposed to give
our honest opinion.
So you are going
to fight it. Good.
That baby boy, Carlos Ortega
needs to get up to Pedes.
‐ Sure.
‐ I can go with him.
We already sent
the mom to the ICU.
‐ I'll call you.
‐ Great.
Awfully long
cup of coffee.
Oh, he got paged,
had to leave
but he came back
for a bite of lunch.
‐ How'd it go?
‐ Whoever knows with interviews.
I'm late for
a lap chole.
I'll take that
back pain in Four.
‐ Sure.
‐ Do you need some help?
I think I'm okay,
but thanks anyway.
Mark, I don't mean
to pry.
How are things going
with you and Elizabeth?
Okay.
You guys are still
going out, right?
A little.
Am I going to have to beg
for information here?
Carol, I'd hate to see you beg.
Everything's okay, really.
Ah, I may have backed
off a little bit.
Which means she's
backed off.
These things just
kind of have a life
of their own,
don't they?
If that's not enough
you're going to have to beg.
An MVA, BMW
versus a Toyota.
Vitals are stable,
but she's complaining
of some neck pain.
She didn't want
to come to the ER
but she's been very
polite about it.
‐ What's MVA?
‐ Motor vehicle accident.
It was a little fender bender.
I'm completely fine.
‐ Elaine Nichols?
‐ Yes.
Huh, I'm John Carter.
Douglas' cousin.
Oh, yes. Of course.
Well, seeing as we're
practically related
could I get out of this
neck thing?
Sure.
You just have to hold still
while I examine you.
I can't believe you're
old enough to be a doctor.
Oh, yeah.
No midline tenderness?
Turn your head
to the right.
To the left.
Full range of motion.
‐ You're clear.
‐ Can I get up?
Mm‐hmm.
Is that better?
‐ I guess you are old enough.
‐ Yes. So, no neck pain?
It's my little finger, actually.
I think I jammed it when
they stuck me on this gurney.
Let's just check
them all out.
[gasps]
‐ Yeah, that's the one.
‐ Hand x‐ray?
‐ I'll go order it.
‐ Thank you, Chuny.
Yeah, we'll want to make sure
that you don't have a fracture.
Oh, I guess I'll be
staying here for a while.
If that's alright.
So, I can't really think
how long it's been.
Let's see, I divorced
your Cousin Douglas
three years ago.
I remember your wedding.
I didn't realize
you were there.
Oh, yeah. Douglas
looked nervous as hell
and you looked
incredible...ly calm.
[laughs]
Well, that must have been
the calm before the storm
given the way
our marriage went.
Ancient history.
But divorce suits me.
So I'm assuming
you were driving the BMW
and not the Toyota.
What makes you
think that?
(Boulet)
'X‐ray confirms pneumonia.'
‐ Pneumocystis?
‐ Looks more bacterial.
‐ Is this the Ortega baby?
‐ Yes. I'm Jeanie Boulet.
'I brought him up
from the ER.'
Robert Martin,
DCFS.
Any idea how long
he'll be here?
Needs IV Antibiotics.
At least a few days.
The longer the better. Give us
time to find a placement.
‐ Any ideas where?
‐ No.
Cases like
this are a mess.
Mother with AIDS
on her deathbed.
Probably have to go to court
to get the boy tested.
And if he's positive?
Then we need a foster family
willing to take on a child
of color with HIV.
‐ 'Not exactly a dime a dozen.'
‐ Yeah.
You're late.
Dr. Benton, Chris Hunegs,
family counseling services.
‐ 'Hey. How you doing?'
‐ Fine, thanks.
But you are a little late, so,
let's.. let me get right to it.
This, as you know, is a
mediation in which we hope to
negotiate an agreement regarding
the custody of your son.
'Now, I am not a judge and this
session is confidential.'
Nothing said here can be used
as evidence in court, okay?
Why can't we just go to court
and present the evidence?
Because this is a court‐ordered
mediation, Carla.
Yeah, 'cause you got
a restraining order
put out on me
and Roger.
No, a restraining order
on you and Roger
taking my son to Germany
where he has no chance
of developing his
language skills.
Dr. Benton.
‐ My son is deaf.
‐ Our son, and he knows it.
It's on the form,
and Reese would do just fine
with an American
sign language tutor.
Okay, Ms. Simmons..
‐ And you have this tutor?
‐ I will.
And what if you don't?
What is he‐‐
Now, the purpose
of this session
is to talk about
your child's needs.
He needs to be
with his mother.
And he needs to be
with his father.
Yeah, so, what?
You gonna bring
him home from work
put him to bed on the sofa
in your living room?
‐ He doesn't have his own room?
‐ O‐o‐of course, he does.
Since when?
We moved in with my sister
Jackie and her family
'so that, uh, you know,
Reese could have'
much more of a, um, complete,
you know, family unit.
As he would with us.
His black mother
and his black stepfather.
What the hell is that supposed
to mean? What is that, Carla?
Because I went out
with a white woman?
‐ I'm just saying..
‐ You know what?
‐ I can't, I can't do this.
‐ Oh, yes, you can.
Court‐ordered, remember?
‐ So, what's the prognosis?
‐ What are you doing in here?
You said something about waiting
in chairs, so I found one.
Huh. I didn't even know
we had a chair.
‐ Is that me?
‐ Yes.
Not much of a measure
of a hand, is it?
I mean, of what
a hand can do.
Looks too spindly.
Well, at least
there's no fracture.
Well, that's good.
So I'm free to go?
‐ I'll walk you out.
‐ Do you need a ride?
I'll be taking cabs
until my car gets fixed.
Guess I was hoping
for something
a little more
dramatic, you know?
A cast or a sling maybe.
Something to get me out
of this fund‐raiser
I promised I'd
go to tonight.
Oh, don't tell me.
That's right, the Carter
family foundation.
Even in divorce, Gamma still
has her claws into you?
How come we
never see you
at any of
these functions?
Oh, I managed to get
myself declawed.
So what is it tonight,
"Save the lake?"
No, no. It's
"Children's library?"
Close. "Children's
art league."
Ah, Randi? Can you call
a cab for Ms. Nichols?
‐ Sure.
‐ So, thank you, Dr. Carter.
You are welcome.
You're welcome.
And I'll be
thinking of you.
‐ You will?
‐ I mean, tonight.
Mixing it up with
the rest of the Carters.
Well, then, I'll just have
to be thinking of you.
It's nice to see you
again, Elaine.
John.
(Greene)
'Hope Anspaugh hasn't
already made up his mind.'
If enough of us come
down against Romano
how can Anspaugh
go ahead and appoint him?
Will there be enough of us?
That's the question.
You mean, if it comes down
to just you and me?
Don't even think about that.
(Flint)
'We all know he's eager,
not downright breathless'
'so I can find no compelling
reason not to support him.'
Although, as head of radiology,
I would like to point out
that no head of Radiology
has ever been considered
for chief of staff.
But perhaps that's a topic
for some other day.
No wonder it takes so long
to get our x‐rays read.
Thank you, Steve. Carl?
Up in Psych, we pretty much
run our own ship.
It was six months before I knew
Donald had taken over.
Seeing as this won't
rock my world much
Dr. Romano's fine with me.
How about you, Jack?
God knows, I'm
like you, Donald.
I've had more than enough
bureaucratic crap.
'I already had
one heart attack.'
You find a guy willing
to take that stuff on
I say "book him."
Mark?
Well, I hate to be
the voice of dissent
and it certainly
isn't personal, Robert
but, uh, I feel
I should be honest.
(Romano)
'Absolutely.'
As, uh, acting
chief of the ER
for the past few months,
Dr. Romano has..
...well, there hasn't been
a, a great deal of support.
His management style is,
I guess, abrupt
and, uh, several members
of our staff have, uh..
...well, they've
even found it offensive.
Go on.
Well, I guess I'd have to say
that, uh, I'd worry
uh, if Dr. Romano was to
have the responsibility
of the entire staff
and faculty.
Well, thank you, Mark,
for your candor.
Kerry?
As any of us who've been
in management know
it's never easy taking over
another department
and I agree with Mark.
There have been
a few bumps in the road.
But I feel Dr. Romano has
succeeded in stabilizing
the situation
and is now
'providing some genuine
leadership'
in the Emergency Department.
So you would support him
as chief of staff?
I think it's only fair
that we give him
all the support that we can.
‐ You hung me out to dry.
‐ Mark, I'm sorry.
But it was obvious Romano
was going to get the job.
Imagine how he would have
taken it out on the ER
if we'd both
gone against him.
It just seemed
politically smart.
Oh, I see, so you
were being smart
while I was sticking out my neck
being stupid and honest.
Oh, stop it.
I was only trying to
protect the department.
Well, you may believe that,
Kerry, but don't ask me to.
Donald throws the dullest
meetings, doesn't he?
No wonder we all need
a little kick of java, huh?
So...what do you think?
Gave it the old
remington heave‐ho.
New look for a new job, huh?
Oh, well, back to work.
Oh, uh, actually, Kerry,
uh, if you have a minute
there's something I want
to discuss with you.
Hey, did I leave my
sunglasses at your place?
I'm not sure.
We can check later.
Right, so, go on,
what else did the guy say?
Just that Carlos would
be really hard to place.
'Cause he's HIV positive?
Right, and I couldn't
even tell them that
I ordered the
test illegally.
Well, you'd think
they'd want to know?
‐ Get him on the cocktail.
‐ I know.
Anyway, I realized
that I would be
the perfect foster
mom for this baby.
I certainly know how
to deal with the HIV.
I think you're right,
you'd be perfect.
That's not what
the DCFS would say
considering my
HIV status.
You're healthier than half
the people in the city.
‐ Yeah, but I'm not married.
‐ Yet.
So there's no support system
in place for the baby
if something were
to happen to me.
‐ Yet.
‐ Reggie..
We can take care
of that part right now.
I've got to get to work.
Let's just drink our coffee.
Uh‐uh, not till you say
you'll marry me.
‐ Reggie.
‐ You don't think I'm serious?
‐ I think you're crazy.
‐ Uh‐huh.
Jeanie Boulet,
will you marry me?
‐ Good job, Dr. Greene.
‐ What's this all about?
‐ The meeting with Anspaugh.
‐ How'd you know?
'Nurses know
everything.'
You fought the good fight.
Thanks, Mark.
And a lot of good
it did us.
‐ Mark, do you have a minute?
‐ I was just heading out.
You know, um...
I think that we should talk.
I think we've talked
enough, Kerry.
This is about
something else.
30‐year‐old woman,
pregnant, MVA
T‐boned with passenger space
intrusion, no pulse
in the field, traumatic full
arrest, ten minutes down.
‐ Couldn't intubate.
‐ 'One, two, three.'
Oh, man, she's got
to be full‐term.
‐ Chuny, take over CPR.
‐ 'I need an 8‐0 ET tube now.'
See if you can
give me some suction.
Let's set me up
for a central line.
Four units of O‐neg,
and somebody get
another doctor in here.
Haleh, check
for fetal heart tones.
‐ Asystole on the monitor.
‐ Okay, cricoid pressure.
‐ IV's blown.
‐ Alright, I'm in.
Give me an amp of epi
to put down the tube.
‐ Blood's here.
‐ Hang it on the rapid infuser.
‐ 'I'll throw in a subclavian.'
‐ She looks full‐term.
‐ Fetal heart rate?
‐ Can't find it.
What's the mother's rhythm?
(Carter)
'Asystole, we got
her intubated.'
‐ Any pulse in the field?
‐ Paramedic said no.
‐ Down time?
‐ We're at 12 minutes.
‐ The mother is dead.
‐ Wait, why can't we..
No, she's dead. We need
to get the baby out now.
(Carter)
'Subclavian's in.
Go with the o‐neg.'
Chuny, keep
up compressions.
‐ I need retractors.
‐ Get a baby warmer in here.
‐ Open a cutdown tray.
‐ No time.
‐ Give me your hands.
‐ Hold it open like this.
Alright. Chest
tube, 32‐french.
I'm opening the uterus.
Bandage scissors.
Bulb suction.
It's a girl.
Come here, sweetie.
[crying]
Shh...shh.
That's a girl.
Okay, okay.
(Carter)
Left chest is full of blood.
‐ Full compressions.
‐ Still asystole.
Okay, let's rally here.
One more try.
Give me an amp of atropine
and repeat the epi.
‐ Chuny, continue CPR.
‐ Heart rate is 140.
She's pinking up.
One minute apgar,
eight out of ten.
‐ She's going to be fine.
‐ Yeah.
Alright, that's it.
That's it.
Time of death, 18:48.
[sighs]
‐ How's he doing?
‐ Better. Fever's down.
‐ He's resting comfortably.
‐ Good.
Any news on his mom?
No, I didn't realize
she has end‐stage AIDS.
Yep.
[cooing]
Let's get him started
on the triple cocktail.
He hasn't even
been tested yet.
Get him started, Kit.
Okay.
Hey, Randi, have
you seen Dr. Greene?
Uh, he left for the night.
Hey, Carter,
do you have a minute?
Yeah, sure. Hey, so
I heard it was true
the rumor about
Romano becoming chief.
Yes, and although I haven't
made an official announcement
he's appointed me
chief of the ER.
While they keep up
their endless search
for somebody permanent?
No. Actually,
I am the permanent.
Hey, wow!
Hey, congratulations.
Thank you. Thank you.
Thank you
for letting me know.
But what I wanted
to mention to you
is, you know, I'm not
so sure it's appropriate
for you to continue to rent
my basement apartment.
‐ What?
‐ Well..
It just feels like
who's ever down there
should be someone from
outside the department.
You asking me to move out?
Well, take your time,
of course. A week or two.
‐ Looking for something?
‐ Oh, no.
Just, uh, putting
back the suture kit.
I know you don't keep
the opened ones but, uh..
the scissors haven't
been used, the forceps..
Seems such a waste
to throw them away.
Are you okay?
Oh, you mean
after that trauma?
Yeah. I feel pretty lucky.
Good.
You know, Luka
whatever Greene
and Weaver think..
you're a good doctor.
Thank you.
What was it you said?
"I'll be thinking
of you tonight?"
I guess I meant it.
[chuckles]
So, how do you like jeeps?
It's not a BMW.
Well, it's also not a cab.
I like jeeps.
I was thinking maybe we'd
go get a drink or something.
I don't really want a...drink.
Oh, Dr. Weaver,
can I talk to you for a second?
I just checked on
the anaphylactic shock in Four
and her respiratory rate
and pulse are down
so I think she'll be fine.
We're admitting
the hematuria up to medicine
and we're ready to discharge
the contact dermatitis.
Excellent.
And I was just wondering
if I should be doing
any extra reading
or anything tonight.
Oh...Lucy, I'm afraid
I'm not going
to be able to continue
mentoring you.
I've just been appointed
the new permanent chief
of the Emergency Department.
But that's good, isn't it?
Yes, but I'm afraid
it would seem like favoritism
if I mentored one student
over another.
You should talk to Dr. Greene.
He might have some time.
Dr. Weaver, Randi's got a call
on two for Dr. Greene.
Well, take a message. He's left.
I think you need to take
this one, it's his father.
He said that, uh,
Dr. Greene's mother has died.
Hello. This is Kerry Weaver.
Can I help you?
So this is
what American males do
to vent their
anger and frustration.
I figured a Romano‐Weaver
double homicide was overkill.
How'd you find me?
I have my sources.
I heard what you did
in the meeting with Anspaugh.
What I did
was commit career suicide.
Opened the door
for Kerry to become chief.
Speaking your mind in front
of Romano took a lot of courage.
For what it's worth,
I'm really proud of you.
You did the right thing.
Thank you.
So what is all this
hitting‐the‐baseball thing?
Doesn't look that tough.
Ha. It doesn't, huh?
Well, you seem to be doing it.
You want to give it a try?
Come on.
Okay.
‐ Alright.
‐ Like, like this?
‐ Nice.
‐ Whoa.
‐ Got that one.
‐ 'Smack it.'
[grunts]
[both laughing]
Whoops.
I'm doing okay.
You've got a good eye.
(Greene)
'Keep your eyes on the ball.
Here it comes.'
'Very good.'
[theme music]
[train chugging]
‐ You should be sitting.
‐ Oh, that's okay.
‐ I'm fine.
‐ Uh.
Uh, excuse me.
Would you mind
giving your seat to this lady?
‐ Didn't you hear me? I said‐‐
‐ I heard you.
It's okay, really.
I can stand.
‐ She's pregnant.
‐ So that's, like, my problem?
All I'm saying
is a little common courtesy.
Sorry, pops.
I got none.
Really, it's okay.
Thank you anyway.
Oh...you okay?
‐ Yeah.
‐ We're just learning.
Just a few scrapes.
‐ You alright?
‐ Yeah.
[indistinct chatter]
Ice blended double
mocha mocha supremo.
(male #1)
'Ice blended double
mocha mocha supremo.'
Oh, you're a lucky girl
having a baby.
‐ How far along are you?
‐ Almost six months.
‐ My, you're getting big.
‐ Thanks. Twins.
My niece had twins.
What a delivery
that was.
Eighteen hours
on the first one
and the second
one was breech.
Excuse me, ma'am?
Your order?
(female #1)
'Uh, just regular coffee,
please, for here.'
But I'm sure yours'll go
just fine. May I?
You know, I'd really rather
you not. Nothing personal.
It's just that when
you're pregnant, everybody‐‐
I know. Everyone wants to
touch you without even asking.
‐ Although I did ask.
‐ Regular coffee.
Thank you.
Hi. I'll have a tall
warm milk to go, please.
‐ 'Nasty.'
‐ 'Tall warm milk to go.'
‐ Excuse me?
‐ Warm milk is nasty.
Really?
And what are you having?
‐ Double tall vanilla latte.
‐ A latte.
Didn't you know that coffee
stunts your growth?
That is so not true.
Do your parents
let you drink it?
Who are you,
the coffee police?
‐ 'Tall warm milk.'
‐ Thanks.
'You're welcome.'
‐ 'Double tall vanilla latte.'
‐ 'Double tall vanilla latte!'
[balloon pops]
‐ My balloon!
‐ 'Oh, honey, that's okay.'
‐ 'We've got another one.'
‐ No! I don't want blue!
‐ But this one is just as good.
‐ No!
‐ 'Honey, don't make a scene.'
‐ I want yellow!
'Michelle, it's a perfectly
good balloon..'
‐ No!
‐ 'Michelle!'
(male #2)
'Oh, my god, watch out!
Get out of the way!'
[honking]
[screaming]
[theme music]
Carol..
Carol, what happened?
I'm fine.
Minor lacerations.
‐ Probable shoulder dislocation.
‐ Where's Kevin?
‐ Is he already here?
‐ Don't worry. I'll find him.
‐ What's open?
‐ I can take her in Two.
‐ Are you sure you're alright?
‐ Oh, man. What a morning.
Let's get a Trauma panel,
type and cross for Four.
‐ Set me up with a chest tube.
‐ Peter, what have we got?
Deep lacerations
to the chest.
Decreased breath
sounds on the left.
BP's 100 over 60.
Pulse 120.
Someone help me, will you?
‐ What's your name?
‐ Screw that! I'm hurting here.
I wanna speak
to the manager.
You wanted
the Trauma fellowship.
Yeah, well, be careful
what you wish for.
Alright, one percent lidocaine.
‐ You forget your Trauma gown?
‐ I'll tell you about it later.
‐ 'Pulse ox 92 on four liters.'
‐ You on any medications?
‐ Do you have any allergies?
‐ No, you sons of bitches!
Just, just, give me
something for the pain!
‐ 'Alright, titrate four of MS.'
‐ Yeah, you win, bud. Morphine?
I've seen you somewhere.
‐ The coffee shop.
‐ Right.
And before that,
the L train, remember?
‐ You work here?
‐ She's the manager.
‐ Oh, man!
‐ 'Thoraseal's ready.'
‐ Alright, hook me up.
‐ First crit, 35.
Pressure's down to 70.
Tachy at 130.
He's bleeding out. We've got
1,000ccs in the thoraseal.
Put the blood
on the rapid infuser.
'Give him what he's lost
and keep him four ahead.'
Uh, Dr. Corday just
took another critical
and I've got a ton
of lacerations in chairs.
Okay, close us to Trauma,
tell the patients in chairs
we'll get to them
as soon as we can.
‐ When's that guy coming on?
‐ What guy?
I need some help with
the girl in the rollerblader.
‐ She's in a lot of pain.
‐ Four of morphine.
One of versed,
and I'll come back.
The guy you know, the doc
who's moonlighting?
‐ Dr. Kovac?
‐ Yeah.
I don't know, check the board.
See when he's due.
‐ Who's this?
‐ 'The driver of the truck.'
Call transport,
and get him to the morgue.
Hey, you!
Are you a doctor?
I got one mother of a migraine.
We'll get to you
as soon as we can, sir.
Yeah, I had some compazine
at home, you know, suppository.
Shoved it right up my ass
but it ain't working, nothing.
Have a seat. Someone'll be
with you in a minute.
That's what they said
20 minutes ago.
‐ Really, they will.
‐ Uh, Dr. Weaver? Phone.
Peter, can you take it
from here?
I'm gonna go check on Elizabeth.
Yeah, we're just
waiting on an OR.
Carol?
(Mrs. Kinney)
'Please, you have
to find my daughter.'
I don't know what happened to
her, I don't know where she is.
What's her name?
I'll go look for her.
Michelle, Michelle Kinney.
You'd better
get that checked out first.
‐ I'll take a look, Carol.
‐ It's okay, Mark.
Mrs. Kinney, we're going to
look for your daughter
but you need to tell me
where it hurts.
All over my chest
and I can't breathe.
‐ Any pain here?
‐ No, not really.
Pulse ox is 88 on ten liters.
Okay, poor tidal volume.
I'll intubate.
Four of versed,
100 of sux.
We're going to give you
some medicine, okay?
It's gonna make you sleepy
and when you wake up
there'll be a tube down your
throat, helping you to breathe.
Get x‐ray down here
and I need an ultrasound.
‐ Dr. Corday?
‐ I'm in.
Uh, this man's here
to see you.
Charles Cameron
from Rush.
‐ We were gonna have coffee.
‐ Um, of course. I'm sorry.
Um, I'm a bit involved here.
‐ Mind if I hang out?
‐ No, sure, sure.
That'd be fine.
Dr. Cameron, Dr. Mark Greene.
Hey.
[pager beeps]
Oh, um...let me just
check this page.
I'll be right back.
[sighs]
I'd completely forgotten
we'd set up a coffee.
You know,
for an interview, at Rush.
‐ An interview for?
‐ Cardiothoracic.
I thought you had that
sewed up with Romano.
Yeah, that's just it,
the prospect of Romano.
Seemed like a good idea to
check out other opportunities.
You're right,
probably is a good idea.
I'm really sorry, Mark.
I thought I'd mentioned it.
You don't have to
tell me everything.
I'm looking for a little girl,
about five, Michelle Kinney.
‐ Not here.
‐ We got a rollerblader.
Oh, I'm looking for him too.
Is he alright?
If the lavage is positive,
we'll take him to the OR.
Okay, I'll go tell
the girlfriend.
Dr. Anspaugh,
the phone's for you.
Something about
revisions on the Jayco report.
They call in the middle
of a Trauma. My God!
The mind‐numbing,
day‐to‐day detritus of this job.
‐ You okay finishing the DPL?
‐ Oh, yeah.
Yes?
You gonna ask him?
Ask him what?
About the rumor he's quitting
as chief of staff.
‐ What?
‐ Going back to General Surgery.
I haven't heard anything.
Residents are out of the loop.
Why would he do that?
I don't know,
something about that
day‐to‐day whatever
of his job.
How we doing, Carter?
Alright, prep for transfer.
I don't get it, how tough is it
to get something for the pain?
Sorry, sir, we've got a lot
of critical cases right now.
And this jackhammer
in my head ain't critical?
What kind of
bush‐league joint is this?
Randi, can you kill
that guy with the migraine?
Happily.
Did a little girl come in
with this accident
about five,
Michelle Kinney?
‐ I didn't see her.
‐ She might be on her way.
Just got off the MICN, they're
sending two more criticals.
‐ Ten minutes out.
‐ Wh‐wh‐what do you mean?
I thought I told you
to close us to Trauma.
I know, but Dr. Romano
told me to keep us open.
‐ And who asked him?
‐ I did.
It's a protocol thing.
He is acting chief.
Get back on the radio
and tell them to go to Mercy.
You, get Romano on the phone.
What the hell's he thinking?
We're barely keeping our head
above water as it is!
Pressure's down to 75.
Another two units of O‐neg.
No bleeding in the belly.
Chest x‐ray shows diffuse
bilateral pulmonary contusions.
No signs of blood loss.
(Lydia)
Pulse ox falling to 80
on 100 percent oxygen.
Let me check the heart.
Could be a tension pneumo.
14‐gauge needle
on an open syringe.
Crit's 42.
No pericardial effusion.
No tension pneumo.
But she's got
a terrible ejection fraction.
Must be cardiac contusion.
She's bruised the hell
out of her heart and lungs.
‐ Another five of peep.
‐ Pressure's down to 60.
‐ Okay, mix up dopamine.
‐ Should I book an OR?
Nothing to repair
surgically.
‐ Right you are, unfortunately.
‐ What do we do?
Pressure and ventilatory
support, that's about it.
Wait, hang on a minute.
Run up to the OR.
We'll just try something.
Run up to the OR.
Bring down a bypass machine.
Cut down tray now.
Let's prepare the groin
for bypass catheters.
Put her on bypass?
That's pretty gutsy.
‐ It's worth a try.
‐ Betadine and sterile drapes.
Well, well, well, this
is quite a convention.
Charlie Cameron,
still at Rush?
Haven't seen you in,
oh, gosh, who really cares?
So what brings you
to our fair land?
Coffee, actually.
I hear it's the best
in the city.
Mm‐hmm.
Well, there's enough cooks
in this broth, I think.
'I'll go and inspire
the rest of the troops.'
OR's ready.
Pulse ox,
99 on 100 percent.
‐ Peter, what's going on here?
‐ Penetrating chest trauma.
1,000ccs out of the chest.
Taking him up to the OR.
Uh‐huh,
and what's his pressure?
It's 95 systolic,
up from 70.
Whoa, whoa, whoa,
keep him here.
‐ What?
‐ 'Check another pressure.'
He needs a thoracotomy.
A liter of initial
chest tube output
is an indication
to go to the OR.
No, it's borderline. How much
blood have you given him?
Two units of O‐neg with
1,000ccs auto transfused.
What's in the thoraseal?
‐ '100ccs.'
‐ 'Uh‐huh, and the pressure?'
105 over 74.
Okay, so, Peter,
let's review.
His pressure's
in the normal range
and his chest tube output
has slowed to a trickle.
Now, as a surgeon,
I would say he's forming a clot.
As a Trauma fellow,
you would disagree?
‐ Maybe.
‐ Maybe, well.
If we're gonna crack
a kid's chest open
'expose him to the risks
of general anesthesia'
'and put him through
a painful six‐month recovery'
let's make sure "maybe" is not
a part of the equation, okay?
Thanks.
[radio chatter]
Hi.
'What's your name?'
My name is Luka.
It's a funny name, isn't it?
'Can you say it?'
"Luka?"
Does your arm hurt?
I'm a doctor, you know.
I want my mom.
I can help you.
So you wanna come out now?
In that case,
do you mind if I come in?
Yes, of course, Lucy,
I'd be happy to mentor you.
‐ I'm flattered that you'd ask.
‐ Hello!
I'm dying here!
Any of you putzes care?
I really want to focus
on emergency medicine
for my final year
and I think, it would be great
to have that one
person to go to.
I know that it will.
I had a great mentor
when I was in school.
What's it take, huh?
I got to get run over
by some truck?
I finished with the DPL.
And sent the head trauma to CT.
‐ Thank you, Carter.
‐ Oh.
Have you heard
any rumors about
Dr. Anspaugh quitting
as chief of staff?
‐ No. Where'd you hear that?
‐ 'I heard a scarier one.'
Not only is
Dr. Anspaugh quitting
Dr. Romano is the front‐runner
to take his place.
Romano as chief of staff?
‐ Carter, take this sheet.
‐ Oh! Ugh!
‐ You okay?
‐ 'Stand by with paddles.'
Malik, get ready
for chest compressions.
I'm in. Hook this up.
Mark, Mark,
when you have a moment
I need to speak with you.
‐ It's important.
‐ Sure.
Run of nine.
Charge 200.
Start the bypass.
[whirring]
[monitor beeping]
‐ She's stabilizing.
‐ Alright.
‐ Want to go in here?
‐ Wean off the dopamine.
BP's 120 over 80.
I just heard
Anspaugh's stepping down
and Romano's in line
for the chief's job.
I don't buy it. Anspaugh
would've said something to us.
You're right. It's probably
just crazy rumor mill stuff.
I'll‐I'll go upstairs
and talk to him about it.
Good idea.
Whoa, it's the fire alarm!
Please, tell me
this is a drill!
Okay, you better prep
your patient for transfer.
I'll cover
the main hall!
‐ Where is it?
‐ I don't know.
But start moving patients
to the ambulance bay.
‐ Are we gonna have to move?
‐ Maybe. Be ready to.
Dr. Benton, he's crashing.
Carter! Get in here now!
‐ He's in fib!
‐ Charge to 200.
‐ Another 1500 in the thoraseal.
‐ Epi's onboard.
Thoracotomy tray.
Let's move! Come on!
Scalpel.
Let's squeeze in the blood.
‐ 'Should I page Romano?'
‐ 'No time.'
Rib spreader.
Oh, man, there's like
a gallon of blood in here.
Come on, come on,
more suction!
Please don't run!
Everybody move slowly and
quietly to the ambulance bay.
Curtain three's clear.
Where the hell's the fire?
I don't know. Can you
clear exam one and two?
Got four units of type‐specific.
Hang it now!
Carter, come take over
internal compression.
‐ Sponge stick!
‐ Internal paddles are ready.
‐ What about the fire alarm?
‐ Let's save his life first.
Alright, I got it.
There, there, you see it?
There's a bleeder.
Alright, 2‐0 vicryl
and pickups, let's move.
‐ You want FFP?
‐ Yeah, two units.
‐ And a gram of ancef.
‐ Still in fib!
Good femoral pulse
with compressions.
Alright, mammary artery
is ligated.
Alright, paddles.
Charge to 20.
‐ Everybody clear?
‐ 'Clear.'
Don't tell me you
just pulled that thing.
Maybe now, I'll get
some attention.
‐ 'Whoa, Randi!'
‐ He pulled the alarm.
Hey, Chuny,
get back to admit.
'Let people know
it's a false alarm.'
And you, stay down!
You move and I'll
let her at you.
Everyone, please listen!
It's a false alarm.
You don't have to evacuate!
There is no fire!
Por favor, no se tiene
que salir.
'No hay nada de fuego.
Calmese, por favor.'
'Stay calm in your seats.
Thank you!'
‐ Normal sinus!
‐ BP's 80 systolic.
His oxygen tank
is almost empty.
Alright, Carter, go get
another cylinder. Let's move.
'Alright, everybody
let's get him up to the OR.'
'Here we go.
Give it here.'
'Carter, let's move!'
Go, people, go!
Watch it!
[screaming]
[glass shattering]
[alarm blaring]
Have you ever been
to the circus?
‐ No.
‐ You have now.
So all you have to do
is break off the little valve?
Yeah, you can rent one of these
stands and take them to a party.
Judy, Malik,
find Mr. Migraine.
Give him six milligrams
of imitrex.
Then call the police and report
him for inciting a riot.
Excuse me, which room
is open for Michelle?
Oh, thanks, Dr. Kovac,
but we have
a pediatric resident
who can take her.
‐ Uh, Cleo's not on yet.
‐ Yeah, she's due shortly.
Why don't you set her up
in the Pedes room?
She wants to see her mother.
That's probably not a good idea,
her mother's been intubated.
‐ And she's on bypass.
‐ Okay.
We got plenty of other
patients who need suturing.
Sure. Anything is fine.
Um, I'll check the board.
‐ Good.
‐ Kerry, I'm gonna run upstairs.
‐ And try and find Anspaugh.
‐ Dr. Weaver.
The films are
back on the rollerblader.
‐ Okay, let's go take a look.
‐ Dr. Weaver!
One last critical
coming in from that accident.
Someone they found
under the rubble.
‐ Now?
‐ At the back door.
Okay, Lucy,
follow me on this.
Carol, we got another lac
for Dr. Kovac.
Got it.
(Weaver)
'I'll give you two or three
articles a week'
and then we can go over them.
‐ Okay, great.
‐ Good morning.
Hey, Cleo, I'm glad you're here,
we got a Pedes case for you
and if you need help
you can pull Carter in.
‐ Sounds good.
‐ Dr. Finch.
Do you always jog to work?
It's only four miles.
Kind of makes you want to
dislike her, doesn't it?
(Kovac)
'This little tube right here?'
That's for giving
your mother medicine
to make her better.
(Michelle)
'And what's that?'
That's a machine..
...that helps her take
really deep breaths.
You know, like when you
go underwater to swim?
You take deep breaths.
I'm not allowed
to go underwater.
‐ I have to wear wings.
‐ Wings?
It's kind of like a life jacket
for little kids.
Oh.
They gave my mommy some medicine
to make her sleepy.
That's right, but she's
gonna wake up soon
and be very happy to see you.
Now we're gonna go
find the doctor
who will look at your arm.
‐ 'Okay?'
‐ 'Okay.'
(Romano)
'Well, Peter, I am impressed.'
'We're ten minutes in
on this teenager of yours'
'and haven't heard you so much
as whisper an "I told you so."'
Okay, we're ready for
the second chest tube.
Let's make it a 36‐french.
Alright, another
liter of irrigant.
Oh, uh, by the way, you've met
Charles Cameron, haven't you?
‐ From Rush?
‐ Uh, yeah.
He has privileges here.
‐ 'Uh.'
‐ Uh, cardiothoracic, I think.
Yeah, that's the,
uh, same specialty
that Elizabeth, Dr. Corday
is still interested in,
isn't it?
I wouldn't know.
Oh, she hasn't mentioned much
'about that, huh,
lately, huh?'
No, not to me.
Not to me, either,
which is odd
considering I sponsored her.
Why do you think that is?
I only ask you that because I
know you two have been friends.
'You obviously know her
much better than I do.'
Dr. Romano...
do all our conversations
have to revolve
around Elizabeth?
Well, Dr. Benton,
perhaps you and I
don't need to have any
further conversations at all.
Okay! Some number two
dexon, please
for the intercostals,
and, uh...I will close.
Is this the last one
from the accident?
Yep. Probably ruptured
her aorta.
Bled out
in a matter of seconds.
‐ Got a minute?
‐ Sure.
Lucy, good work.
Why don't you stay
and write the death note?
‐ Okay.
‐ I'll get the death kit.
I talked to Anspaugh,
and the rumors are true.
Both of them, he's quitting
and Romano's gonna be
chief of staff?
Donald is leaving
the job
but he's going to stay at county
and do General Surgery.
He wants to spend more time
with his daughter.
And Romano taking over
is a possibility.
We've got to do
something, Mark.
I got Anspaugh to agree
to a meeting.
We can weigh in on whether we
think Romano is the right guy.
Yeah, he's not
the right one for us.
I don't get this,
you're a regular old doctor.
‐ Yes.
‐ But you don't work here.
No, I do work here,
but only when they need me.
I am, uh, what they call
a "moonlighter."
Because you're from
another country?
No, because I only work here
from time to time,
when they need me.
And they needed you today
because of the truck crash.
[sighs]
No, uh..
I'm here because one of the
regular doctors is on vacation.
I thought you said you were
one of the regular doctors.
I just...fill in when
someone else is absent.
Oh, I get it.
You're like a sub.
A sub.
Yeah, yeah.
I'm a sub, yeah.
‐ What kinda accent is that?
‐ Thick.
Neighbors heard the baby
crying for a couple days.
Finally called us
and the police.
Broke the door down,
what a mess.
‐ Any known relatives?
‐ Neighbors didn't think so.
Mom lived alone
with the boy.
‐ They also think she has AIDS.
‐ 'What about the baby?'
Don't know.
Need anything else?
No. We got it from here.
She's tachycardic, pulse
thready, severe hypoxia.
Possibly fulminant
pneumocystis.
Let's get her
started on bactrim
three amps IV,
125 migs of solu medrol.
Make sure the O2
is cranked up to 10 liters.
‐ She's not moving much air.
‐ You want a CBC and lytes?
Yeah. Check with the ICU,
we need to get a bed.
How's that baby?
‐ Temp's 102.
‐ He's dehydrated.
I've started an IV.
Rales bilaterally
at the bases.
'I think there's a
consolidation on the right.'
I need a complete blood count,
CHEM‐7 and a chest film.
‐ I'll get the portable.
‐ Pneumonia?
‐ It'd be a pretty safe bet.
‐ Want an HIV test?
Can't test the baby
without the mom's permission
which is not going
to happen.
Pretty likely
he's positive.
Yeah, but we have to wait
for the mom or the court
'to allow the test.'
For now, we'll start
him on cefurox.
HIV positive, goes ahead and has
a baby, no sign of any support.
What was she thinking?
(Haleh)
'Dr. Finch, films are back'
'on that little girl
with the broken arm.'
Thanks, Haleh.
Go ahead, I'll fill out
the labs on them both.
Okay. Thanks.
Haleh? Can you get these
to the lab for me?
‐ Oh, sure.
‐ Thanks.
Oh, wait a second.
I forgot.
Add an HIV test
to, uh, this one.
‐ Carlos Ortega?
‐ Right.
‐ No problem.
‐ Okay.
‐ Am I interrupting?
‐ No, no, no, not at all.
Please come in.
We are done here.
Hey, vanilla latte,
I wondered about you.
Glad to see
you're doing okay.
‐ You're the warm milk lady.
‐ That's right, I work here.
Yeah, but does that mean
you really work here?
Don't answer that one.
You're done.
‐ Feel okay?
‐ Yeah, I feel fine.
‐ On your way.
‐ Thanks.
Oh, my God.
That boy is relentless.
I think his parents feel
quite exhausted, huh?
[chuckling]
It seems like I need some
stitches. I already irrigated.
I heard you were
at that coffee place
when the accident
happened.
I had just left
ten seconds earlier.
I don't even want
to think about it.
Still, it seems like most
people came out of it okay..
...miraculously.
So, you took that little girl
in to see her mother?
Yes.
Even though Dr. Weaver
and Dr. Greene
didn't think it was
such a good idea?
Mostly, they're not sure
if I'm a good doctor.
Why do you say that?
This is, like, the second
or third time
you've worked here,
isn't it?
Yeah. Enough time for them to
stop calling me "Dr. Kovac."
You know, when people
are not sure
they tend to keep
things more formal.
I hope you will
be happy enough
with your sutures
to call me Luka.
I took the girl in
because, uh, children
need to know, need to see.
Even if what they
see is not good
it's still better than being
in the dark, you know..
Having that kind of fear.
You sound experienced
in these things.
Well, whatever experience
I have with children
didn't help me
with that boy.
‐ 'Carol, are you busy?'
‐ No, I just got sutured.
Their mother was
in that accident.
Massive blunt chest trauma.
They'd like to view the body.
‐ Sure, no problem.
‐ Thank you.
Hello.
I'm Carol Hathaway.
‐ I'm very sorry for your loss.
‐ Thank you.
Would you like me
to show you in?
Yes, please.
(Wright)
'Did I hear Romano's going
to be chief of staff?'
You are going to fight
this, aren't you?
Dr. Weaver and I have
an appointment with Dr. Anspaugh
and we're supposed to give
our honest opinion.
So you are going
to fight it. Good.
That baby boy, Carlos Ortega
needs to get up to Pedes.
‐ Sure.
‐ I can go with him.
We already sent
the mom to the ICU.
‐ I'll call you.
‐ Great.
Awfully long
cup of coffee.
Oh, he got paged,
had to leave
but he came back
for a bite of lunch.
‐ How'd it go?
‐ Whoever knows with interviews.
I'm late for
a lap chole.
I'll take that
back pain in Four.
‐ Sure.
‐ Do you need some help?
I think I'm okay,
but thanks anyway.
Mark, I don't mean
to pry.
How are things going
with you and Elizabeth?
Okay.
You guys are still
going out, right?
A little.
Am I going to have to beg
for information here?
Carol, I'd hate to see you beg.
Everything's okay, really.
Ah, I may have backed
off a little bit.
Which means she's
backed off.
These things just
kind of have a life
of their own,
don't they?
If that's not enough
you're going to have to beg.
An MVA, BMW
versus a Toyota.
Vitals are stable,
but she's complaining
of some neck pain.
She didn't want
to come to the ER
but she's been very
polite about it.
‐ What's MVA?
‐ Motor vehicle accident.
It was a little fender bender.
I'm completely fine.
‐ Elaine Nichols?
‐ Yes.
Huh, I'm John Carter.
Douglas' cousin.
Oh, yes. Of course.
Well, seeing as we're
practically related
could I get out of this
neck thing?
Sure.
You just have to hold still
while I examine you.
I can't believe you're
old enough to be a doctor.
Oh, yeah.
No midline tenderness?
Turn your head
to the right.
To the left.
Full range of motion.
‐ You're clear.
‐ Can I get up?
Mm‐hmm.
Is that better?
‐ I guess you are old enough.
‐ Yes. So, no neck pain?
It's my little finger, actually.
I think I jammed it when
they stuck me on this gurney.
Let's just check
them all out.
[gasps]
‐ Yeah, that's the one.
‐ Hand x‐ray?
‐ I'll go order it.
‐ Thank you, Chuny.
Yeah, we'll want to make sure
that you don't have a fracture.
Oh, I guess I'll be
staying here for a while.
If that's alright.
So, I can't really think
how long it's been.
Let's see, I divorced
your Cousin Douglas
three years ago.
I remember your wedding.
I didn't realize
you were there.
Oh, yeah. Douglas
looked nervous as hell
and you looked
incredible...ly calm.
[laughs]
Well, that must have been
the calm before the storm
given the way
our marriage went.
Ancient history.
But divorce suits me.
So I'm assuming
you were driving the BMW
and not the Toyota.
What makes you
think that?
(Boulet)
'X‐ray confirms pneumonia.'
‐ Pneumocystis?
‐ Looks more bacterial.
‐ Is this the Ortega baby?
‐ Yes. I'm Jeanie Boulet.
'I brought him up
from the ER.'
Robert Martin,
DCFS.
Any idea how long
he'll be here?
Needs IV Antibiotics.
At least a few days.
The longer the better. Give us
time to find a placement.
‐ Any ideas where?
‐ No.
Cases like
this are a mess.
Mother with AIDS
on her deathbed.
Probably have to go to court
to get the boy tested.
And if he's positive?
Then we need a foster family
willing to take on a child
of color with HIV.
‐ 'Not exactly a dime a dozen.'
‐ Yeah.
You're late.
Dr. Benton, Chris Hunegs,
family counseling services.
‐ 'Hey. How you doing?'
‐ Fine, thanks.
But you are a little late, so,
let's.. let me get right to it.
This, as you know, is a
mediation in which we hope to
negotiate an agreement regarding
the custody of your son.
'Now, I am not a judge and this
session is confidential.'
Nothing said here can be used
as evidence in court, okay?
Why can't we just go to court
and present the evidence?
Because this is a court‐ordered
mediation, Carla.
Yeah, 'cause you got
a restraining order
put out on me
and Roger.
No, a restraining order
on you and Roger
taking my son to Germany
where he has no chance
of developing his
language skills.
Dr. Benton.
‐ My son is deaf.
‐ Our son, and he knows it.
It's on the form,
and Reese would do just fine
with an American
sign language tutor.
Okay, Ms. Simmons..
‐ And you have this tutor?
‐ I will.
And what if you don't?
What is he‐‐
Now, the purpose
of this session
is to talk about
your child's needs.
He needs to be
with his mother.
And he needs to be
with his father.
Yeah, so, what?
You gonna bring
him home from work
put him to bed on the sofa
in your living room?
‐ He doesn't have his own room?
‐ O‐o‐of course, he does.
Since when?
We moved in with my sister
Jackie and her family
'so that, uh, you know,
Reese could have'
much more of a, um, complete,
you know, family unit.
As he would with us.
His black mother
and his black stepfather.
What the hell is that supposed
to mean? What is that, Carla?
Because I went out
with a white woman?
‐ I'm just saying..
‐ You know what?
‐ I can't, I can't do this.
‐ Oh, yes, you can.
Court‐ordered, remember?
‐ So, what's the prognosis?
‐ What are you doing in here?
You said something about waiting
in chairs, so I found one.
Huh. I didn't even know
we had a chair.
‐ Is that me?
‐ Yes.
Not much of a measure
of a hand, is it?
I mean, of what
a hand can do.
Looks too spindly.
Well, at least
there's no fracture.
Well, that's good.
So I'm free to go?
‐ I'll walk you out.
‐ Do you need a ride?
I'll be taking cabs
until my car gets fixed.
Guess I was hoping
for something
a little more
dramatic, you know?
A cast or a sling maybe.
Something to get me out
of this fund‐raiser
I promised I'd
go to tonight.
Oh, don't tell me.
That's right, the Carter
family foundation.
Even in divorce, Gamma still
has her claws into you?
How come we
never see you
at any of
these functions?
Oh, I managed to get
myself declawed.
So what is it tonight,
"Save the lake?"
No, no. It's
"Children's library?"
Close. "Children's
art league."
Ah, Randi? Can you call
a cab for Ms. Nichols?
‐ Sure.
‐ So, thank you, Dr. Carter.
You are welcome.
You're welcome.
And I'll be
thinking of you.
‐ You will?
‐ I mean, tonight.
Mixing it up with
the rest of the Carters.
Well, then, I'll just have
to be thinking of you.
It's nice to see you
again, Elaine.
John.
(Greene)
'Hope Anspaugh hasn't
already made up his mind.'
If enough of us come
down against Romano
how can Anspaugh
go ahead and appoint him?
Will there be enough of us?
That's the question.
You mean, if it comes down
to just you and me?
Don't even think about that.
(Flint)
'We all know he's eager,
not downright breathless'
'so I can find no compelling
reason not to support him.'
Although, as head of radiology,
I would like to point out
that no head of Radiology
has ever been considered
for chief of staff.
But perhaps that's a topic
for some other day.
No wonder it takes so long
to get our x‐rays read.
Thank you, Steve. Carl?
Up in Psych, we pretty much
run our own ship.
It was six months before I knew
Donald had taken over.
Seeing as this won't
rock my world much
Dr. Romano's fine with me.
How about you, Jack?
God knows, I'm
like you, Donald.
I've had more than enough
bureaucratic crap.
'I already had
one heart attack.'
You find a guy willing
to take that stuff on
I say "book him."
Mark?
Well, I hate to be
the voice of dissent
and it certainly
isn't personal, Robert
but, uh, I feel
I should be honest.
(Romano)
'Absolutely.'
As, uh, acting
chief of the ER
for the past few months,
Dr. Romano has..
...well, there hasn't been
a, a great deal of support.
His management style is,
I guess, abrupt
and, uh, several members
of our staff have, uh..
...well, they've
even found it offensive.
Go on.
Well, I guess I'd have to say
that, uh, I'd worry
uh, if Dr. Romano was to
have the responsibility
of the entire staff
and faculty.
Well, thank you, Mark,
for your candor.
Kerry?
As any of us who've been
in management know
it's never easy taking over
another department
and I agree with Mark.
There have been
a few bumps in the road.
But I feel Dr. Romano has
succeeded in stabilizing
the situation
and is now
'providing some genuine
leadership'
in the Emergency Department.
So you would support him
as chief of staff?
I think it's only fair
that we give him
all the support that we can.
‐ You hung me out to dry.
‐ Mark, I'm sorry.
But it was obvious Romano
was going to get the job.
Imagine how he would have
taken it out on the ER
if we'd both
gone against him.
It just seemed
politically smart.
Oh, I see, so you
were being smart
while I was sticking out my neck
being stupid and honest.
Oh, stop it.
I was only trying to
protect the department.
Well, you may believe that,
Kerry, but don't ask me to.
Donald throws the dullest
meetings, doesn't he?
No wonder we all need
a little kick of java, huh?
So...what do you think?
Gave it the old
remington heave‐ho.
New look for a new job, huh?
Oh, well, back to work.
Oh, uh, actually, Kerry,
uh, if you have a minute
there's something I want
to discuss with you.
Hey, did I leave my
sunglasses at your place?
I'm not sure.
We can check later.
Right, so, go on,
what else did the guy say?
Just that Carlos would
be really hard to place.
'Cause he's HIV positive?
Right, and I couldn't
even tell them that
I ordered the
test illegally.
Well, you'd think
they'd want to know?
‐ Get him on the cocktail.
‐ I know.
Anyway, I realized
that I would be
the perfect foster
mom for this baby.
I certainly know how
to deal with the HIV.
I think you're right,
you'd be perfect.
That's not what
the DCFS would say
considering my
HIV status.
You're healthier than half
the people in the city.
‐ Yeah, but I'm not married.
‐ Yet.
So there's no support system
in place for the baby
if something were
to happen to me.
‐ Yet.
‐ Reggie..
We can take care
of that part right now.
I've got to get to work.
Let's just drink our coffee.
Uh‐uh, not till you say
you'll marry me.
‐ Reggie.
‐ You don't think I'm serious?
‐ I think you're crazy.
‐ Uh‐huh.
Jeanie Boulet,
will you marry me?
‐ Good job, Dr. Greene.
‐ What's this all about?
‐ The meeting with Anspaugh.
‐ How'd you know?
'Nurses know
everything.'
You fought the good fight.
Thanks, Mark.
And a lot of good
it did us.
‐ Mark, do you have a minute?
‐ I was just heading out.
You know, um...
I think that we should talk.
I think we've talked
enough, Kerry.
This is about
something else.
30‐year‐old woman,
pregnant, MVA
T‐boned with passenger space
intrusion, no pulse
in the field, traumatic full
arrest, ten minutes down.
‐ Couldn't intubate.
‐ 'One, two, three.'
Oh, man, she's got
to be full‐term.
‐ Chuny, take over CPR.
‐ 'I need an 8‐0 ET tube now.'
See if you can
give me some suction.
Let's set me up
for a central line.
Four units of O‐neg,
and somebody get
another doctor in here.
Haleh, check
for fetal heart tones.
‐ Asystole on the monitor.
‐ Okay, cricoid pressure.
‐ IV's blown.
‐ Alright, I'm in.
Give me an amp of epi
to put down the tube.
‐ Blood's here.
‐ Hang it on the rapid infuser.
‐ 'I'll throw in a subclavian.'
‐ She looks full‐term.
‐ Fetal heart rate?
‐ Can't find it.
What's the mother's rhythm?
(Carter)
'Asystole, we got
her intubated.'
‐ Any pulse in the field?
‐ Paramedic said no.
‐ Down time?
‐ We're at 12 minutes.
‐ The mother is dead.
‐ Wait, why can't we..
No, she's dead. We need
to get the baby out now.
(Carter)
'Subclavian's in.
Go with the o‐neg.'
Chuny, keep
up compressions.
‐ I need retractors.
‐ Get a baby warmer in here.
‐ Open a cutdown tray.
‐ No time.
‐ Give me your hands.
‐ Hold it open like this.
Alright. Chest
tube, 32‐french.
I'm opening the uterus.
Bandage scissors.
Bulb suction.
It's a girl.
Come here, sweetie.
[crying]
Shh...shh.
That's a girl.
Okay, okay.
(Carter)
Left chest is full of blood.
‐ Full compressions.
‐ Still asystole.
Okay, let's rally here.
One more try.
Give me an amp of atropine
and repeat the epi.
‐ Chuny, continue CPR.
‐ Heart rate is 140.
She's pinking up.
One minute apgar,
eight out of ten.
‐ She's going to be fine.
‐ Yeah.
Alright, that's it.
That's it.
Time of death, 18:48.
[sighs]
‐ How's he doing?
‐ Better. Fever's down.
‐ He's resting comfortably.
‐ Good.
Any news on his mom?
No, I didn't realize
she has end‐stage AIDS.
Yep.
[cooing]
Let's get him started
on the triple cocktail.
He hasn't even
been tested yet.
Get him started, Kit.
Okay.
Hey, Randi, have
you seen Dr. Greene?
Uh, he left for the night.
Hey, Carter,
do you have a minute?
Yeah, sure. Hey, so
I heard it was true
the rumor about
Romano becoming chief.
Yes, and although I haven't
made an official announcement
he's appointed me
chief of the ER.
While they keep up
their endless search
for somebody permanent?
No. Actually,
I am the permanent.
Hey, wow!
Hey, congratulations.
Thank you. Thank you.
Thank you
for letting me know.
But what I wanted
to mention to you
is, you know, I'm not
so sure it's appropriate
for you to continue to rent
my basement apartment.
‐ What?
‐ Well..
It just feels like
who's ever down there
should be someone from
outside the department.
You asking me to move out?
Well, take your time,
of course. A week or two.
‐ Looking for something?
‐ Oh, no.
Just, uh, putting
back the suture kit.
I know you don't keep
the opened ones but, uh..
the scissors haven't
been used, the forceps..
Seems such a waste
to throw them away.
Are you okay?
Oh, you mean
after that trauma?
Yeah. I feel pretty lucky.
Good.
You know, Luka
whatever Greene
and Weaver think..
you're a good doctor.
Thank you.
What was it you said?
"I'll be thinking
of you tonight?"
I guess I meant it.
[chuckles]
So, how do you like jeeps?
It's not a BMW.
Well, it's also not a cab.
I like jeeps.
I was thinking maybe we'd
go get a drink or something.
I don't really want a...drink.
Oh, Dr. Weaver,
can I talk to you for a second?
I just checked on
the anaphylactic shock in Four
and her respiratory rate
and pulse are down
so I think she'll be fine.
We're admitting
the hematuria up to medicine
and we're ready to discharge
the contact dermatitis.
Excellent.
And I was just wondering
if I should be doing
any extra reading
or anything tonight.
Oh...Lucy, I'm afraid
I'm not going
to be able to continue
mentoring you.
I've just been appointed
the new permanent chief
of the Emergency Department.
But that's good, isn't it?
Yes, but I'm afraid
it would seem like favoritism
if I mentored one student
over another.
You should talk to Dr. Greene.
He might have some time.
Dr. Weaver, Randi's got a call
on two for Dr. Greene.
Well, take a message. He's left.
I think you need to take
this one, it's his father.
He said that, uh,
Dr. Greene's mother has died.
Hello. This is Kerry Weaver.
Can I help you?
So this is
what American males do
to vent their
anger and frustration.
I figured a Romano‐Weaver
double homicide was overkill.
How'd you find me?
I have my sources.
I heard what you did
in the meeting with Anspaugh.
What I did
was commit career suicide.
Opened the door
for Kerry to become chief.
Speaking your mind in front
of Romano took a lot of courage.
For what it's worth,
I'm really proud of you.
You did the right thing.
Thank you.
So what is all this
hitting‐the‐baseball thing?
Doesn't look that tough.
Ha. It doesn't, huh?
Well, you seem to be doing it.
You want to give it a try?
Come on.
Okay.
‐ Alright.
‐ Like, like this?
‐ Nice.
‐ Whoa.
‐ Got that one.
‐ 'Smack it.'
[grunts]
[both laughing]
Whoops.
I'm doing okay.
You've got a good eye.
(Greene)
'Keep your eyes on the ball.
Here it comes.'
'Very good.'
[theme music]