ER (1994–2009): Season 6, Episode 15 - Be Patient - full transcript

[theme music]

So, is he standing
on the frozen lake

or will he be sitting in
one of those little huts?

It beats me.

What kind of fish do they catch?

‐ Beats me.
‐ Yo! Morning.

(Greene)
'I can't believe he rides
that thing in the winter.'

‐ Damn! Malucci.
‐ What?

Case conference with Romano.

Malucci admitted the patient

and I've left my
notes in my apartment.



Oh, that will teach you,
sleeping at my place.

Yeah. I'll see you later.

Oh.

You should get a U‐lock.

A pair of bolt cutters and
somebody's gonna leave you

with a broken chain and no ride.

Thanks, mom.

Tired of scolding me
for not wearing a helmet?

Dr. Dave, I'd never
want to get between you

and your personal
path to brain death.

Abdominal pain,
possible ischemic bowel

just went to CT and needs
a surgical consultant.

Got those X‐rays
back from Mr. Wyatt.

Good. Hey, Mark, could you
finish up with Luka, please?



‐ Sure. What's left?
‐ Exam two, Mr. Kechevsky.

Rule out MI and if
somebody could call

me with the enzyme results
I would like the follow‐up.

‐ Abby, can you handle that?
‐ Of course.

Okay. So, that's it?

‐ 'Yep.'
‐ Alright.

[telephone ringing]

ER.

Yeah. Hang on a second.

Abby, it's for you.

It's my job to
answer the phones.

‐ Just trying to help.
‐ And I appreciate it.

Abby Lockhart.

Yes, I did call.

Three days ago.

Look, whatever, I just,
I need to talk to you

about the late payments. I..

What?

Well, you'll just
have to sell them.

I don't.. Look, I really
don't care how you do it.

Just make the payments. I..

Just make the payments.

Bye.

[sighs]

That was my soon‐to‐be
ex‐husband.

Sounds bad.

Yeah, he's taking a flyer
on some text stocks

with my loan money.

Ow. Well, maybe they'll go up.

You don't know.
I'll never see the cash.

Okay, I'm leaving
before I fall over.

Till next time, ladies.

‐ Bye.
‐ Men.

[indistinct singing]

‐ Elizabeth?
‐ Morning.

I forgot some
notes for a meeting.

You look tired.

Were you watching
"Charlie Rose" again?

Not exactly.

[music continues]

Uh...morning, Elizabeth.

David came over for breakfast.

In boxers and slippers?

My slippers.

Um...hope you don't mind.

I thought you were ice fishing.

Well..

...I didn't make it.

I can see that.

[theme music]

[laughing]

‐ Goodbye, Elizabeth.
‐ See you.

Can I freshen your cup?

Good lord, mother,
I practically drank

the whole pot while the two
of you were saying goodbye.

[chuckles]

So, are you amused?

Bemused?

Irritated? Shocked? Chagrined?

That's a start.

I suppose you think at
my age I shouldn't be‐‐

'Mother, mother, please.'

Do you really think what
the two of you are doing

is a...good idea?

I'm a little older,
but I'm not dead.

His wife is, recently.

Then bloody well good
for him for getting on‐‐

Mother!

[scoffs]
Oh!

Is it so difficult to imagine

that two people could be
attracted to each other

and actually act on it?

Were you using,
you know, protection?

There are diseases.

You think he's diseased?

That's not the point.

And you really
want to discuss this?

No. No!

No.

‐ He's my boyfriend's father.
‐ Oh!

You've always cared too much

about what other people think

even as a little girl.

‐ I did not.
‐ Yes, you did.

Well, how would you know?
Did the nanny tell you?

Yes, Elizabeth,
you were so neglected.

Don't pretend to know
me when you don't.

I know you a lot
better than you think.

[sighs]
I'm just trying to say

this could get very complicated.

Why are you always so afraid

relationships will go wrong?

Well, perhaps because ours
hasn't exactly gone right.

I have to get to work.

Hey, no fair doing paperwork
when there are patients to see.

‐ I'm not even on yet, Dave.
‐ Oh, I get it.

Just making the rest
of us look bad?

I'm doing chart reviews

for Carter and Lucy's patients.

Sorry. Need my help?

‐ I've got it.
‐ Oh.

Hey, Abby, I got
a couple of cases for you.

Foreign body up the
nose and hemorrhoids.

Be right there.

Um, and the CPK was normal.

Good. Good.
Discharge him, Abby.

Yeah.

Yeah, he should follow
up with cardiology.

No, I have the night
shift all week, yeah.

Yeah, I'll see you tomorrow.

Okay. Bye‐bye.

Laura!

[tires screeching]

[horn honking]

[dramatic music]

Hey, stop! Stop!

[whimpering]

‐ It hurts!
‐ I know it hurts.

I know it hurts. I'm a doctor

I'm gonna help you, alright?

Okay. Look at me,
look at me please.

Try to breathe,
slow and easy, okay?

Now, tell me your name
and where it hurts, huh?

[grunting]

Laura. My leg..

Okay, try to keep
your head still.

I didn't think that you
removed nose piercings.

Uh, I got a new stud.

I thought I'd put
it in the old hole.

Okay, just inject two cc's
of air into the foley

and pull it back gently.

‐ Bless you.
‐ Hey, thanks.

You're welcome.

‐ Can I go now?
‐ In a minute.

Um, hemorrhoids next?

Do the initial work‐up,
then find me or Mark.

Okay. Hi.

You're not planning to use
that thing on me, are you?

We'll see.

‐ I'm Abby.
‐ Ron Perth.

Listen, I feel kind
of stupid coming in.

I mean, I didn't
expect to feel great

but I'm concerned.

I'm still bleeding from the,
you know...hemorrhoids.

Uh, what, they were
banded just last week?

Yeah.

You look kind of pale.
How much bleeding?

Oh, it's not that much.

Listen, uh, I'm supposed to
fly back to Denver at 5:00.

It's my girlfriend's birthday.

And I was kinda
hoping that you could

give me a cream or something,
you know to shrink it down.

Sorry.

I was planning to
take her dancing.

You might want to make it
just a candlelit dinner.

‐ 'You need a hand?'
‐ Uh...yeah.

Could you order a...CBC

chem seven and coags

and prep for anoscopy.

Mm‐hmm.

‐ Is that what I think it is?
‐ I'll be gentle.

Oh, man!

Where's my mom?
Somebody get my mom!

She'll be here, Laura.
Your sister went to get her.

Laura, I need to cut
open your pants now

so I can look at your leg, okay?

Laura! Oh, my God! Is she okay?

It's okay. I'm Dr. Kovac.

‐ I already called 9‐1‐1.
‐ Oh, Laura.

Hey, be careful.

Her left leg is broken,
and maybe a rib too.

‐ Mom, it hurts!
‐ I know, baby, it's okay.

It's okay.
Can't you do something?

[sighs]

Can you, can you go tell
that lady we need her broom.

‐ I'll get it.
‐ What are you doing?

‐ I'm going to splint her leg.
‐ Why?

'I need to check to
see if there is..'

any damage to the artery.

We..

We heard you can't tell
anybody anything we say to you.

Well, that depends
on what you tell me.

It's, uh..

It's about..

Sex?

Well, uh, if there's
no abuse involved

and the guys are under 18

then everything you tell me
has to remain confidential.

So you couldn't
tell our parents?

‐ No, I couldn't.
‐ You promise?

Go ahead. What is it?

Look, I can't help you

if you don't tell me what it is.

Well, um, we're afraid we
might've caught something.

Well, what do you
think you might've caught?

We heard some syphilis
was going around school.

I see.

Why don't you girls
come with me, okay?

‐ Okay.
‐ Okay.

‐ My chest hurts!
‐ What is it?

I'm worried she's
bleeding internally.

Oh, no.
Well, then do something.

‐ I mean, where's the ambulance?
‐ It'll be here.

No, let's just, let's drive her.

'It's okay baby.
It's gonna be okay.'

Sir?

You, the plumber! Yeah.

I'm Dr. Kovac, I need your help.

Can you make room for this girl?

You want to put her in the van?

Yeah. She needs to get
to the hospital right now.

It's urgent.

‐ Okay, let's, let's go.
‐ Okay, thanks.

In his underwear? My father?

I couldn't believe it, either.

‐ What did you say?
‐ What could I say?

I tried to talk to her
about it after he left

but it just turned
into an argument.

I didn't find it that amusing.

Well, it beats ice fishing.

Well, don't you find
it a little bizarre?

Well, they're adults, you know,
that's not such a bad thing.

So what, they're gonna
keep on doing it?

Where, your place or mine?

He's coming in to see the
pulmonologist this afternoon.

I'll talk to him, okay?

Yeah, thanks.

[Laura grunting]

‐ I can't breathe.
‐ Okay, hang on.

Her broken rib could've
punctured the lung.

Look to the right, Laura.

Now to the left.

Laura? Laura?

Oh, my God!

‐ No breath sounds.
‐ What's happening?

She has a tension pneumothorax.

An air leak has
collapsed her lung

and the pressure is keeping
her heart from beating.

I have to put this
needle in her chest

to relieve the pressure.

Oh!

Oh, my God! Damn it!

Wait, why is she bleeding?

I might've nicked an artery
when we hit that bump.

An artery?

Here, keep pressure where
the blood's coming out.

‐ Oh, God.
‐ Is something wrong back there?

These pads are soaked.

‐ Just keep pressing them, okay.
‐ Okay.

(Luka)
'Come on, damn it.'

Yeah, this is Kovac.

Yeah, I'm coming in
with a major trauma.

Clear a room, and
get four units of O‐neg.

Yeah.

Go faster!
We need to be there now!

(Luka)
Automobile versus
ten‐year‐old girl.

Blunt trauma to
the right lower chest

and fractured left femur.

Hang on, honey!

We need to set up
for a chest tube right away.

‐ Pulse is thready.
‐ Get on ten liters blood mass.

‐ You need any more help?
‐ 'No. Got it, thank you.'

(Luka)
She was stable, but
then I lost her pulse

with decreased breath
sounds on the right.

Some improvement with
needle thoracostomy

but I may have nicked
her intercostal.

(Mark)
What happened?

The van hit a bump when
the needle was inside.

Why didn't you wait
for the paramedics?

I waited seven minutes, but
I thought I might lose her

if I didn't get here right away.

(Mark)
The paramedics called in.

They arrived two minutes
after you left the scene.

I'm sorry, ma'am.
You'll have to wait outside.

Get a trauma panel,
UA‐type and cross for four.

(Peter)
Two large‐bore IV's,
squeeze in a saline.

‐ Prep the chest.
‐ BP's 80 palp, pulse 110.

I want my mom!

‐ Where's my mom?
‐ She's just outside.

‐ 'How are you doing?'
‐ 'Mom!'

We'll give you something
for the pain, huh?

‐ One percent lidocaine.
‐ Ten blade.

‐ I need ultrasound.
‐ '28 French, let's move.'

(Mark)
'Hey, Luka, you've
been off for an hour.'

‐ We got it from here.
‐ I'll stay.

Get X‐ray up here
for a portable chest.

Pulse ox 92
on ten liters.

(Luka)
We need to intubate.
Six‐and‐a‐half, 82‐‐

(Peter)
'Well, I'm in. Hook me up.'

‐ Whoa.
‐ Oh, chestful of blood.

‐ Pressure is down to 70.
‐ He did hit the artery.

(Mark)
Okay, Lydia, call the OR.
Have them hold a room.

It looks like it
was more than a nick.

(Peter)
'We got more than a liter out.'

(Lydia)
'Pressure's down to 50.'

Laura...Laura?

‐ 'She's unresponsive.'
‐ Chest tube output is 1200cc's.

(Peter)
'Alright, let's prep for
a right‐sided thoracotomy.'

Not much longer now, Andrea.

Is Terri okay?

She's fine.
She's sitting over in chairs.

There's cervical bleeding

and thick and white
dysplasia with papules.

Is that syphilis, dysplasia?

There's no sign of syphilis

but we have to wait for
the blood test to be sure.

(Elizabeth)
'You can go ahead
and get dressed.'

‐ So I can go?
‐ No.

Your HIV test won't take long.
I'd like you to wait.

Well, am I alright?

Let's wait and see
what the test says.

The other girl looks
okay but get pathology

to do a stat pap
smear on this one.

Okay.

Alright, let's get you dressed.

Well, Mr. Perth..

Ron, please.

Ron. Uh, your blood
count's normal.

That's good, right?

Right.

Uh, although sometimes
it takes a while

for a crit to show a blood loss.

Yeah, but I, I feel okay.

Yeah, but I'd hate to
have you on that plane

and start to bleed
out at 35,000 feet.

You want to do another test.

Yeah.

I'm going to...draw some blood

which is then tagged
with a radio nucleotide

which I then re‐inject by IV.

And then a scan lets
me trace for bleeding.

Yeah, okay, as long as
I won't glow in the dark.

No, quick and painless,
I promise.

So, honestly, is it really
the thought that counts?

Uh, about what?

Oh, uh, for
my girlfriend's birthday.

I was thinking of jewelry.

But if I go there,
I've gotta go big, right?

I don't know.

The best present my
husband ever gave me

was a surprise picnic
that he packed himself.

‐ How romantic.
‐ Or cheap.

‐ Hello.
‐ Hi.

Uh, Dr. Weaver, Mr. Perth.

‐ How's he doing?
‐ Rule out GI bleed.

I'm drawing some blood
for a nuclear medicine scan.

Well, we don't do this
very often down here.

'CBC and lytes come back?'

Yeah. They were normal.

Abby, can I talk
to you for a minute?

Sure.

Okay, the belly's benign,
there's no evidence of a bleed

so, so why order such
an expensive test?

He just doesn't look well to me.

His skin is pale,
his eyes are dull.

Yeah, that's hardly
diagnostic of a bleed.

I, I really don't think
this scan is necessary.

You should discharge him.

Is there a problem?

No.

I just have to..

...get this to the lab.

‐ More suction.
‐ Got it.

‐ You stick tie the bleeder?
‐ No, too close to the bone.

Alright, let me get o‐silk
on a Keith needle.

‐ What are you doing?
‐ Kennedy Maneuver.

Transmural hemostatic suture.

‐ 'Second unit's in.'
‐ Hang another.

(Chuny)
'An auto transfuse
from the cell saver.'

Okay, take the superior
and the inferior

'and tie them tight
on the outside.'

Dry as a bone. Nice.

New seizure in two.

‐ Alright, I should get this.
‐ You okay, Peter?

Mm‐hmm. Check the BP.

‐ How about another crit?
‐ Yeah. Fine.

Luka, let's go
talk to the mother.

Alright.

(Chuny)
'Pressure's crashing!'

‐ But, the chest is dry.
‐ Ultrasound.

Check the belly again.

She dropped her pressure.
She must still be bleeding.

You're right.
Her belly's full of blood.

It's the liver.
She blew the capsule.

Maybe we should've checked
the belly all alone.

Alright, let's hang two
units and move to the OR.

'Let's move now!'

‐ What is it?
‐ We're taking her to surgery.

‐ This is her mother.
‐ Come with us. Come on.

(Peter)
Dr. Kovac, you've done enough.

Why don't you let us
take it from here?

I want to stay with her.
She's my patient.

No, no, no. Not anymore.

Why don't you go home,
get some sleep?

You think I'm going
to sleep right now?

Luka!

‐ That's hilarious.
‐ Oh, my God!

I can't believe it.
That's great.

Oh, wait, we gotta go. Bye.

Sorry. We were just
talking to some friends.

Terri, I need to talk
to Andrea privately.

Is she alright?

Uh, could you just go
wait in chairs, please?

Hey, it's okay.

Thanks.

Andrea, we got
your test results.

They found some abnormal
cells in your pap smear.

You might have cervical cancer.

We need to do a biopsy,
just to make sure.

Cancer?

Was it caused by having sex?

Well, you get it from
an infected partner.

It's called HPV.

Human Papilloma Virus.

But, not everybody
with HPV has cervical‐‐

No, you can't tell my parents.

Andrea, if you have this

you need to be admitted
to the hospital.

Anyway, they're in Europe

and you said everything
I told you was confidential.

If you're not treated,
you could get very sick.

We also have to
inform your partner.

Andrea.

I don't know who it is.

I mean which one.

Well, how many have you had?

I'm not sure.

We...we have these parties..

‐ Peter, I want to scrub in.
‐ No.

‐ Why not?
‐ You're not a surgeon.

I'm not asking to operate.
Come on!

I'll find you as soon as
I'm finished. Okay.

Chuny, I got it from here.
Let's go.

She'll be alright.

Coming back down to the ER?

Yeah, in a minute.

Come with me. I'll show
you where you can wait.

And then there was Mrs. Saltzman
in for shoulder pain

and you sent her out for an MRI.

And you were right,
C‐5‐6 herniated disc.

And, uh, Mr. Blandeleau,
chest pain.

Ruled in for
an MI had angioplasty

and, uh, he's doing okay.

That's it.

Thanks.

No problem.

Are you doing Lucy's cases too?

Told Weaver I didn't mind.

[sighs]

How was the memorial service?

Okay.

It was nice.

And a little weird.

How's everything
else downstairs?

[sighs]
Hey, same old thing.

How are you doing?

[sighs]

I'm doing fine.

I know everybody
who works here.

People drop by all day.

[chuckles]
I bet.

Even my grandmother came by.

I thought you didn't
talk to her anymore.

There's nothing like
a near‐fatal stab wound

to put a different
spin on things.

Hey, I'm gonna be back to work

in a couple weeks,
get rid of this bag.

‐ Maybe take up skydiving.
‐ Hmm, you do that.

[chuckles]

Right. Get out of here.
I need my rest.

Alright, um..

You need help back on the bed?

‐ No, I'm good.
‐ Okay.

‐ Well, catch you tomorrow.
‐ Yep.

Oh, uh, John, uh..

‐ Are you okay?
‐ Yeah, fine.

Listen, take it easy, okay?

Yeah, thanks, Deb.

Dad.

You're late.

Three minutes.
Appointment was 11:45.

Yeah, well, I didn't know
how long it'd take

you to drive back
to the lake and I was worried

you might
have fallen through the ice.

Yeah, very funny, Mark.
Like you don't know.

Just having a little fun..

...which is apparently
what you were doing.

I don't think
Elizabeth was too amused.

I'd say that's pretty accurate.

Yeah, I suppose it's wrong
being in her place and all.

Aw, don't worry about it.

‐ We'll go to a hotel tonight.
‐ What?

It'll be easier for everyone.

So it's kind
of an ongoing thing.

What do you think?

This is a one‐night stand?

I don't know.

What floor
is this pulmonologist on?

Fifth floor.

I like her, Mark.

She makes me happy.

Now, I'm sorry
if that makes you unhappy.

I didn't say that, dad.

But she'll be back
in London in a couple of weeks

and I'll be back
on your sofa bed.

Then we can both be unhappy.

‐ How many has she slept with?
‐ I don't know.

Both girls have been
going to these

sex parties
that school friends‐‐

Oh, my God.
At their age?

I promised her I wouldn't tell
her folks and legally I can't.

W‐w‐wait. Sh‐she's a minor
and she needs surgery.

Well, maybe I can talk her into
letting me tell her parents.

Carol, I understand you don't
wanna break confidentiality

but this is a public
health issue now.

At least one of those
boys is spreading HPV.

And the girls at those parties

all need to have pelvic
exams and pap smears.

So whatever she says you
also need to call the school.

Hey, Malik, have you seen
a girl in a school uniform?

I saw two of them.
They went out that door.

Damn it!

Excuse me?

Uh...yeah.

My name is Barbara Knight.

I'm looking for Dr. Greene.

Uh, he was here
just a minute ago.

Or maybe Dr. Weaver?

And she was here
a minute ago, too

but it looks like right
now, I'm all you got.

Actually, I just need
to find your lounge area.

Can I help you?

We don't usually let people

wait in the lounge area.

No. No, I just need
to check my daughter's locker.

‐ Um, uh, sorry. Your name?
‐ Barbara Knight.

I'm Lucy's mother.

[dramatic music]

I don't have the combination.

Oh, it's okay.

The med school gave it to me.

Ah, good.

‐ Uh‐oh.
‐ Oh, let me just..

Thank you.

[music continues]

I've checked
into the Ritz‐Carlton..

...so I won't be needing that.

Mother, this is
completely unnecessary.

They have a lovely
view of the lake.

If you'll excuse me,
I have a meeting.

Oh, stop it.

Just being practical, dear.

At our ages, there's no reason

for mothers and daughters
to be living together.

You say that as if we ever
really lived together.

I love you, Elizabeth

but I swear, at times,
you can be insufferable.

Me?
I can be insufferable?

What exactly
do you blame me for?

I don't blame you for anything.

Then stop acting as if you do.

So, I wasn't
the conventional mother.

How much time did
your father offer you?

‐ This isn't about dad.
‐ No.

It's about what
I couldn't provide.

Fathers are rarely blamed
for working too much

where as mothers are blamed

if they choose to work at all.

Should you get married
sometime and have a child

will you give up your work?

I don't know.

I don't know
if that's gonna happen.

Then I'm sorry I set you
such a terrible example.

‐ Technicium?
‐ Yeah?

Didn't show any signs
of bleeding, did it?

No.

And why did you order a scan

that I said was unnecessary?

[sighs]
It's just a feeling that I have.
I don't know what it is.

Maybe it's a nursing
instinct or something

but the guy does not look well.

It's the middle of winter.

‐ Nobody looks well.
‐ I know.

And medical students
don't order tests

when they're told not to.

It's a waste of your time
and his money.

Cut him loose.

Abby, if Benton calls down
can you get me?

I'm going across the street
to grab something to eat, okay?

I thought you weren't on.

N‐no, I'm‐I'm not.

[telephone ringing]

‐ Abby, call the police.
‐ What?

Hey, hold on, man.
I'm not done yet.

Call them now!

Get out of my way!

‐ You're not leaving!
‐ Leave me alone!

What the hell
is wrong with you?!

‐ Get off of me!
‐ You just left her there.

I don't know what
you're talking about.

You hit her and then left.
Malik, call security.

I don't know what
you're talking about!

As you know, I saw you,
and I can identify you.

‐ It was an accident.
‐ Yeah?

And you just drove off,
hit and run?

I was scared, okay?
I‐I‐‐

‐ So was that little girl!
‐ I‐I panicked, alright?

I had a couple of DUIs

but‐but I wasn't
drinking today, okay?

I just.. It all happened so
fast, I didn't know what to do.

Yeah, but you knew enough
to run away, huh?

Did you, did you bring her here?
Is she alright?

You don't have the right to ask.

[indistinct chattering]

I don't know.

Maybe I was just
being a hypochondriac

thinking something was wrong.

No, you were right to come in.

And, and you'd
be right to come back.

Well, thanks.
I'll keep an eye on it.

I mean, say, for example
in 15 or 20 minutes

if you're feeling feverish
or sick to your stomach

you might wanna
get that checked out.

Yeah, but you just saw me.

Well, it might not
be me who sees you

but somebody would
have to see you and I'm sure

they'd wanna
examine you thoroughly.

Are you saying I'm not okay?

I'm just saying..

...that it's been
an awfully bad flu season.

[grunting]

‐ You wanna take a break?
‐ No, I'm okay.

‐ That's enough for today.
‐ Just hang on a second.

You did great.
I'll get the chair.

I said I can do it!

I just wanna
get back to my room.

Dr. Carter?

What are you doing here?

‐ You narked us out.
‐ Andrea, I need to talk to you.

Get away!
You promised, you bitch!

You need to come back in.

You said there were rules and
that you couldn't break them.

I know what I said, but I can't.

‐ You lied to me.
‐ To both of us.

Look, it is a lot more
complicated than that.

Your health is in danger

and other girls
could get infected, too.

Everyone's gonna
know everything.

Andrea? Andrea!

So, uh, we'll have to reschedule

the bowel resection for 4:30.

Yep.

Hello.

Sorry. Didn't mean
to surprise you..

...certainly not twice
in one day.

You're here for
your appointment.

Uh, I think it's
on the fifth floor.

Oh, I've already been.

I got poked and prodded

and X‐rayed out the wazoo.

Damn doctors.

‐ No offense.
‐ None taken.

And I'm sorry if my presence
offended you this morning.

Oh...I was just, uh..

...well, you said it.

Surprised.

I didn't mean to make trouble

between you and your mother.

Oh, no, none that
wasn't there already.

‐ 'Excuse me.'
‐ And why is that?

I mean, why is
there trouble?

Mothers and daughters,
I suppose.

Oh, well, you don't get to own

the whole ranch on that one.

Let's save a little corner
for fathers and sons.

[laughing]

Although I will admit

mothers and
daughters are worse.

But that's just a woman thing.

You know, the only
problem with children

is they grow up to be adults.

Yes, we do eventually
have opinions of our own.

I know, but do you
have to express them?

It's a learned response.

I'll give you that.

I suggest that the four
of us go out tonight.

You know, sort of...bury
the hatchet.

Mark thinks it's a great idea.

He doesn't.

He will.

[laughing]

‐ 'Abby didn't discharge him?'
‐ 'No, she did.'

But he bounced back
with complaint

of fever and abdominal pain.

BP's falling, 80/60.

Hang a unit
on the rapid infuser.

‐ 'What happened?'
‐ GI bleed.

(Jing‐Mei)
'I began a rectal,
he started gushing.'

Probably a bleeding tic.

Type and cross four units
and call the OR.

Yep, I already did.

I'm in.

(Kerry)
'Okay, hook him up.'

Thank God he came back in.

[monitor beeping]

Chicago wasn't even
her first choice.

She was hoping for something
in San Francisco.

It took her
when she was about eight.

One ride on a cable car
and it was her city.

Although she grew
to love this one.

You don't need
to hear all this.

No, it's fine.

I really just wanted
to stop by and thank you.

Lucy always talked about you
when she called.

About how she was first
assigned to you and everything.

She had a lot of respect for you

and I know that you must
have taught her a lot.

[clears throat]

Well, she worked with all
the residents, not just me.

I know, but you're the one
she used to mention.

But she.. She loved her work.

Sh...she was better than
I ever gave her credit for.

Um...can I ask you something?

Yes.

When you were..

Well, when that man stabbed you

what did you think?

No.

I mean, what did it feel like?

Well, um..

It happened really fast

and I didn't really
know what was going on

but I didn't feel a thing.

No pain?

Mm‐hmm. No pain.

[indistinct chattering]

Hey, Steve,
did you get that venogram?

I ordered it two hours ago.

I had a CT guided biopsy.

Are you gonna be able to get it?

After my embolization.

So does that mean some
time tomorrow afternoon?

With that attitude.

Hey, did you read a chest CT
on a David Greene today?

‐ 'Who?'
‐ My father.

He came in for a scan.

I don't know.
Check the pile.

That's a big stack.

(Steve)
'Well, while you're at it,
maybe you can help me out'

'and read a few plain films.'

Oh, yeah, or maybe you could
just work a few more hours.

Don't start.

'ER guys come in
and want wet reads yesterday.'

Here we go.

'ICU orders portables'

'for every damn
feeding tube placement.'

'You guys think you have
high volume in the ER?'

'I get high volume
from the hospital.'

[dramatic music]

Hey, Mark, you okay?

'That's your dad?'

Yeah.

Wow, uh..

...I'm sorry.

So, he didn't tell
you where we're going?

Just an address.

It's the wear jeans
part that scares me.

Not to mention, I don't think
my mother owns a pair of jeans

and I don't know
if I want to see her.

Right.

I wish you were off so we
could face them together.

Yeah.

‐ Are you all right, Mark?
‐ What?

You've limited yourself
to one‐word responses.

Oh, you know, I'm sorry.

I just...I gotta
finish some cases.

I'm gonna have
to meet you there.

Alright.

I'll see you.

(Kerry)
'What did the school say?'

Oh, they said
they'd follow through.

but the girls saw me there.

I suppose they
didn't listen this time.

No, they ran away.

Carol, you did the right thing.

I'm still gonna
call Andrea later.

Abby?

Your hemorrhoid patient,
Mr. Perth, is in the OR.

‐ They're doing a laparotomy.
‐ Yeah, I heard he went up.

‐ Is he gonna be okay?
‐ Yeah, he should.

He‐He's got
a bleeding diverticulum.

You know? It's pretty lucky
that he checked himself back in.

Yeah?

I'm gonna go check on him later.

Good.
You were right.

There was something
else wrong with him.

Just a gut feeling.

I mean he could
have bled to death

if he hadn't come back.

Well, it's a good thing
that he felt fluish.

That's exactly what he said.
Fluish.

(Peter)
'Mrs. Williams.'

Laura came out of surgery
very well.

[sighs]

The nurse will take you now
to see her, if you like.

Yes.

Thank you.

Both of you.

I was, uh, out of line before.
I'm sorry.

Yeah, come on, I understand.

Did you repair her hepatic vein?

Atrial‐caval shunt.

It'll be a long recovery,
but she should be fine.

‐ You saved her life.
‐ Yeah, I'm not so sure.

You had to open her chest
in the ER to fix my mistake.

Yeah, but we would
have had to do that anyway.

The liver laceration was
a life‐threatening injury.

Look, if you had waited
for the ambulance

she might not have made it.

It's impossible to know.

Listen to me.

You made a call.

Took a lot of guts.

[siren blaring]

‐ 'What do we got?'
‐ Andrea Parks.

Found down on the bathroom
floor. Presumed overdose.

No suicide note but
a lot of bottles in the cabinet.

‐ Any narcotics?
‐ No.

She's lethargic, but arousable.
BP's 110/65, pulse 80.

(Dave)
'How long since
she took the pills?'

Probably an hour or two.
Her friend found her.

‐ Where is she?
‐ On the way.

What kind of drugs
did you take?

‐ Leave me alone!
‐ 'Malucci.'

‐ Polydrug ingestion.
‐ God, Andrea. What'd you take?

‐ Shut up!
‐ 'Wait a minute you know her?

(Carol)
'She came in this morning.'

Newly diagnosed cervical cancer.

CBC, chem panel,
blood and urine tox screen.

On my count.
One, two, three.

We're gonna have to pump her
stomach. I'll get an Ewald.

Take it easy, Carol.
She may not need lavage.

Hey, did you
get the pill bottles?

Yeah, I had them in a bag.

They must have
fallen off that gurney.

Well, go and find them.
We're gonna need them.

Carol, maybe
you should step out.

‐ Did you send an aspirin level?
‐ Are you running this?

Pulse ox is 96 on two liters.

I'll run an EKG.

It could be tricyclics.

[monitor beeping]

So, tonight's the Jazz Club.

Yeah, it's a pretty good spot.
Good group is playing.

‐ Cleo knows it, too.
‐ Uh‐huh.

[scoffs]

What's that supposed to mean?

[Chuckling]
Nothing.

You're right on schedule.

Alright, Carter, give it to me.

Well, first
it was probably coffee

in the cafeteria
and then dinner

in a nice but well‐lit
restaurant. Nothing too obvious.

'Then maybe a sporting event,
and tonight's the Jazz Club.'

We all know what happens
after the Jazz Club.

Just when did you
lose the filter

between your brain and mouth?

I think you might have taken
it out in the OR last week.

‐ Yeah.
‐ Ow.

‐ Here, let me help.
‐ I got it. I got it.

Damn it!

Carter, Carter, Carter.

Carter, Carter, Carter,
it's alright.

It's alright.

‐ You okay?
‐ I lied to Lucy's mother today.

I told her
that it wasn't painful

to have an eight‐inch knife
shoved into your gut.

[clears throat]

[siren blaring]

‐ Andrea, Andrea!
‐ She's tachy at 120.

Terri, hold on.
Do you know what she took?

No, she was just lying
on the floor.

Was it something from
your medicine cabinet?

‐ It was my parents' bathroom.
‐ Do you know what was there?

I don't know.
Lots of stuff.

Tylenol, Aspirin.

Any prescription medications?

My dad sometimes takes
pills for his back.

(Carol)
'Do you know
what they were called?'

‐ 'Do you know the name?'
‐ Uh, Diaze..

‐ Diaze..
‐ Diazepam?

‐ Yeah, that sounds right.
‐ Sats down to 81.

She's barely responsive.

‐ Okay, lost her gag reflex.
‐ Let's intubate.

Not yet. I can bag her.
Alright?

She could vomit
and aspirate.

Were there any antidepressants?

‐ No.
‐ Are you sure?

‐ Yeah.
‐ Okay, any history of seizures?

‐ No.
‐ Push Flumazenil .2 milligrams.

‐ Here's the tube. Intubate.
‐ Slow down, Carol.

Give the Flumazenil
a chance to work.

We have to protect her airway.

(Dave)
'Alright, good. It worked.'

W‐wh‐what am I doing here?

(Carol)
'Terri found you.'

Do you remember
taking the pills?

‐ What?
‐ You're gonna be okay, Andrea.

Oh, God, Andrea,
what did you do?

Let's give her charcoal now.

[indistinct chatter]

Oh.

Well...
it's an interesting game.

Don't worry, you'll get it.

A martini would help.

Do they have those here?

Well, that should do the trick.

Loosen you up a bit.

‐ You want anything?
‐ No, thanks.

‐ What's keeping Mark, anyway?
‐ He'll be here.

‐ I hope.
‐ Do you know how to keep score?

Not a clue.

But you're learning
these American games?

One by one.

At least, I'm trying.

(Isabelle)
'I think that's
rather adventurous of you.'

That meeting
I was running off to earlier.

I missed it.

Must be the first time
that's happened.

Yes, I think it was.

I was appalled at myself.

Just couldn't
be bothered to go.

Went and sat by
the lake instead.

I'll bet that was freezing.

The only thing colder
than sitting by that lake

was the conversation
we had this afternoon.

'Elizabeth.'

I know I'm not the mother
you wish you'd had.

[sighs]

That's not exactly true.

And I keep hoping
that somehow..

...you'll forgive me
for that.

The problem is you never
wanted forgiveness.

[sighs]
There's the rub.

[chuckles]

Mark's father thinks
children shouldn't express

their opinions.

Yes?

Well, he's absolutely right.

[laughing]

‐ I'll take over, Connie.
‐ Sure, thanks.

‐ How are you doing?
‐ Okay.

Andrea, I had to tell
the school

so the other students
could get tested.

But I haven't told
your parents or Terri's.

You haven't?

I was hoping you would.

If something happened
to one of them

wouldn't you wanna know?

Ow. Oh, my God.

‐ Now, that was ugly.
‐ Do I get penalized for that?

No, there's just
a little dent there.

'We can always move
to another lane.'

‐ 'There's no little dent.'
‐ I'm kidding.

‐ Hey! Hey, Mark.
‐ Hey.

Hey, what kept you?

Uh, nothing just..

‐ Hi, Isabelle.
‐ Sit down. Have a drink.

‐ I think my ball's stuck.
‐ That's 'cause you broke it.

‐ Oh, stop it.
‐ Press the button.

We'll work you in on
the next one, Mark.

No problem.

It's not gonna be
the boys against the girls.

It wouldn't be fair, neither
one of them is any good at all.

By the way,
I'll be back on the sofa.

Isabelle's going back
to Elizabeth's tonight.

It's sort
of a mother‐daughter fest.

‐ Sure.
‐ Grab a ball.

Alright.

Oh, no, no, Eliz‐Elizabeth

you're too far to the right.

Yeah, but last time,
it fell to the left.

You see those marks
on the floor out there?

‐ The arrows?
‐ Yeah.

Aim to the one just
on the right of center

'and pull your, pull the ball
all the way back'

and‐and don't drop it.

I mean, let it roll
on the floor

'and keep
your wrist straight.'

'Okay, that's an
awful lot to remember.'

'Here, let me, let me show you.'

I never knew
he was a surgical intern.

Yeah. Well, no, he was good.
He was smart, you know?

He wasn't really cut out
for it, he used to spend all

of his time talking
to the patients.

He used to drive me crazy.

Morgenstern you don't know him

but, uh, one time,
he made Carter

hold a retractor
for four hours.

Carter...never broke a sweat

never dropped it, no.

He's gonna be all right, Peter.

[jazz music]

‐ Yeah, I know.
‐ Tickets.

[sighs]

You sure you wanna go in there?

Oh, yeah.

We're not gonna be able to talk.

Let's go get some coffee.

Come on.

You're gonna
disappoint Carter.

What?

‐ Nothing.
‐ What?

Nothing.

What? Nothing.

That was fun tonight.

[chuckles]
Yeah, it was.

Dad, I need to talk
to you about something.

Sure.

I saw your scan today..

...and you have lung cancer
which has spread to your liver.

Yeah.

That's what the doctors
in San Diego said, too.

How long have you known?

For a while.

Why didn't you tell me?

You remember old
Rear Admiral Norris?

Yeah, how could I,
how could I forget him?

He was missing
a thumb, he used to, uh..

...scare me to death as a kid.

He had cancer.

Every time I laid eyes on him,
all I could think was..

...poor old bastard,
he's got cancer.

Hell, he lived
another 12 years.

But still,
every time I saw him..

I didn't want
it to define me, Mark.

I didn't want to see
it in people's eyes.

I didn't want
to see it at all.

And..

I'm scared.

[theme music]