ER (1994–2009): Season 6, Episode 2 - Last Rites - full transcript

[siren blaring]

'Got a 41‐year‐old male.
Status, post grand mal seizure.'

Any history?

I found an old bottle
of dilantin, he's postictal.

‐ What's open?
‐ Uh, Curtain Three, I think.

‐ Coming through.
‐ Can I help you?

‐ He's seizing again.
‐ Uh, no.

'Draw ten of ativan.
Give two now.'

'We need a dilantin level.'

Then give half a loading
dose seven per kilo..

'Did you mess with my IV?'



Look at it.

That's how it was
when I picked it up.

If the bag is empty
you ask them to change it.

‐ It's clotted off.
‐ I have to start a new one.

‐ That's a shame.
‐ Did you see my wallet?

‐ They took my wallet.
‐ Mr. Parker, stop worrying..

Four units of packed cells
chest film and pelvis..

We need him, we need
a foley and an NG. Let's go.

Okay, lift your tongue.

Alright, that should help
you with the pain, okay.

[indistinct chattering]

What time are you off?

Hey, what are you doing here?

It's almost midnight.



What time are you off?

Now.

‐ I'm going now.
‐ Okay.

‐ Thank you, Mrs. Anderson.
‐ Alright.

'I put the nice tablecloth
in the washer'

and you should
tumble dry on low.

And if you need anything,
you'll call me

because my number's
right there on the fridge.

Uh‐huh. I will.

Uh, and Mark..

...I'm really sorry.

‐ She was a lovely woman.
‐ Yeah, I know.

‐ Okay, goodnight.
‐ Goodnight.

[machine whirring]

You're not afraid about
waking up the neighbors?

Harold's deaf as a post.

They all leave?

Yeah.

Good.

What are you makin'?

I promised your mother
I'd build her a linen chest.

Okay.

‐ Goodnight.
‐ Yeah.

That was a good speech
you gave today.

Those things you said
about your mother.

‐ I had good material.
‐ Yeah.

Color guard was nice, dad.

‐ You okay?
‐ Depends what okay means.

Want me to stick around
a little longer, a few days?

Rachel loves San Diego.

Dad?

Doesn't seem real, Mark.

I buried my wife today.

[theme music]

‐ Fun stuff, huh?
‐ Yeah.

So, you get a good
look at the bastards?

All the skaters.
They all look the same.

‐ Dr. Malucci.
‐ It's Dr. Dave to you, Lucy.

‐ No new fractures.
‐ Aah.

Geez, Rick, it looks like you
banged up your chin before.

Uh, they don't
like the way I dress.

Last time, they slammed
my head in a car door.

Like they're the height
of fashion.

Hasn't your principal
done anything about this?

Where did you go to school?

Okay, buddy, I'll let
that get numb

come back
and stitch you up, right?

Uh, Mr. Zito, the COPD
ER is retaining.

‐ Uhm.
‐ Can I decrease his O2?

‐ Sure, why not?
‐ Two liters?

‐ That sounds like something.
‐ Hey, Dave. Excuse me.

‐ You call Plastics on that lip?
‐ Uh, nah, I got it.

If it's through and through
and crosses the vermilion border

we usually,
uh, call Plastics.

Well, he already has a scar
from the first time it happened.

That's all the more reason.
Randi's got the on‐call list.

‐ Two liters, okay?
‐ What?

How much should
I decrease his O2?

Ooh, I don't know.
Crank it down.

If he turns blue,
crank it back up.

‐ You're kidding, right?
‐ No. Purple ain't good.

Just keep his pulse ox
above 90, okay?

Okay.

Hey, it's Jackie Joyner.

‐ Hi, Jackie, nice spandex.
‐ Get a life.

[chuckles]
That's good.

‐ She's hot for me.
‐ Yeah.

You've been here three days,
she's hot for you?

Doesn't take long, bro.

Looks like your drunk is back.

Oh, dude, what happened?

I discharged you two hours ago.

You got to know
when to hold 'em.

He was passed out
in the middle of Wabash.

‐ When did he have the time?
‐ You haven't met Vodka Joe?

Someday, he's in Two or‐‐

You got to know
when to fold 'em.

I should have left his IV in.

Nice of you to bring
him back, officer.

Just doing my duty.

You go to know
when to walk away.

Exactly. You‐you got this?

‐ I got it.
‐ Thank you so much.

Hey, sweetheart, you want
to meet up with a gambler?

Hey, hey, watch it, cowboy.
That's my fiance.

‐ Reggie.
‐ What?

Fiance? You guys engaged?

‐ Not exactly.
‐ Pretty much.

Know when to run.

I want to commend
the surgical service

on their timely response
and clinical competence.

We had excellent outcomes with
no significant delays in care.

Hey, can you cover
for me this morning?

I have outpatient clinic.

Yeah, but, uh, it's important.

Do you have something
to add, Dr. Benton?

No.

Then, please give us the
courtesy of your full attention.

As a final note,
you should all offer

Dr. Corday your congratulations

since most of you
will be working with her

in her new position as
associate chief of surgery.

All departmental concerns can
be funneled through her office

including OR schedules,
research funding

uh, committee assignments,
etc, etc.

Uh...thank you,
and have a good day.

Melanoma?

It started as a small mole
on her back

but it was stage four
metastasized all over.

Liver, lungs, then her brain.

She failed chemo?

Six cycles then immunotherapy.

Pulse ox 89 on two liters.

Possible pleural infusion.

There's fluid in her lungs.

Last time it was this bad
they had to drain it.

‐ She had a seizure recently?
‐ No. Why?

It might explain her
altered mental status.

No, she's been out of it
for the last month.

Her oncologist tells us

it's the brain mets
or the liver failure.

I see.

Let's get a chest
x‐rays CBC, PTPTT.

Look, you should know something.

She doesn't want
to go back to ICU.

She has a
"Do Not Resuscitate" order?

I just brought her in
because her breathing

and pain seemed worse
and I thought you could

make her more comfortable.

Well, that we can do.

Oh, Mark,
when did you get back?

Late last night.

The plane was delayed
four hours out of San Diego.

‐ How did it go?
‐ Alright, I guess.

‐ Rough, huh?
‐ Wow, you grew in a week.

Thanks, Mark.

‐ Dr. Carter.
‐ Hey, Dr. Greene.

I'm sorry about your mom.

Thanks. What do you got?

Uh, 20‐year‐old girl.
End‐stage melanoma.

Mark, can we have coffee later?

‐ Uh, you on all day?
‐ Yeah, just started.

She's DNR, father just
brought her in because

she's altered
and in a lot of pain.

‐ What is this all about?
‐ What?

Oh, that's Dr. Weaver's
new charting system.

Uh‐huh, what was wrong
with the old one?

It's actually kind of cool.

See, there's a separate form
for every chief complaint.

‐ Uh‐huh.
‐ Multiple‐choice medicine.

Yeah, sort of, some.

Hey, anyway I was thinking
about doing a thoracentesis

or tapping her belly.

‐ Did you get a chest x‐ray?
‐ Yeah, shooting now.

Alright, well, I'd pull up
the old ones for comparison.

‐ Mark, welcome back.
‐ Thanks, Kerry.

‐ Nice new, uh, check list.
‐ Oh, yeah. It's great.

The "T" system, I'll train
you on it later, okay.

Can't wait.

[sighs]

Lizzie, 20 minutes.

It took you 20 minutes
to come and see me.

I'm shocked. I thought
it would be five, ten tops.

What's all this about, Robert?

What, no, thank you,
I'm honored.

No, I hope
I don't disappoint?

Everyone thinks you're serious.

'That's because
I am serious, Lizzie.'

You know me. I'm bound to ruffle
a few feathers in this new job.

I need you to smooth
things over for me.

Walk with me,
I have to hit the head.

If you wanted
to offer me a position

why didn't you
ask me privately?

Aah, where's the fun in that?

Besides, I knew you'd take it.

I haven't taken it.

Oh, is that a no?
I didn't think so.

As much as you may view me
as a loathsome toad

I know you're pragmatic
and more predictably

your ambitious nature
will prevail.

You'll leapfrog
five or six years.

That's not the point.

No, the point
is I'm handing this to you.

A fast‐track career
independence in the OR.

The freedom to make your own
schedule with the minor

annoyance of course
of having to report to me.

I don't view you
as a loathsome toad, Robert.

Oh, I can't tell you how happy
I am to hear that, Elizabeth.

There's a smile.

Oh, he's a cutie, huh?

You're gonna break
some hearts, aren't you?

It's time for his cocktail.

Any side effects?

No, he's a trooper.

The pneumonia's cleared up.

'He's eating solids.'

‐ Normal white count?
‐ Yeah. 10,000.

All done. Such a good boy.

I'm gonna miss you.

‐ Is he being discharged?
‐ Hmm.

DCFS will be here soon.

So they found a foster family?

No, he's going to
an emergency intake center.

He needs foster care,
one‐on‐one nurturing.

Intake is temporary.

I'm sure they'll find someone.

Someone who'll want
to adopt an HIV baby?

That mother is not
gonna pull through.

That mother died yesterday.

‐ TMS are clear.
‐ You talk funny.

‐ Hunter!
‐ Thank you.

‐ Say, aah.
‐ Ah.

That's 'cause he's
from very far away.

How far?

How far, so far that
it's dark there already.

Throat's red, alright.

Probably an upper
respiratory infection.

‐ So he'll need antibiotics?
‐ No, usually it's viral.

Uh, just give him
lots of fluids.

‐ Okay.
‐ I'll come back soon, okay?

Uh, we should do
a rapid strep to be sure.

Okay, you got it.
So where are you from?

‐ Croatia.
‐ Oh, wow.

Here's a prescription
if it's positive.

Great, uh,
you forgot Tylenol.

Usually, the docs give us
a standing order for fever.

Yes, but, uh,
fevers have a purpose.

Yeah, they tell us
when someone's sick.

And it's the body's natural
way to fight infection.

That's good, no?

I suppose.

So...uh, why stop it?

Make the kid feel better?

[chuckles]
Okay.

Uh, got a LOL in three
dumped by rosewood.

Needs a nurse.
Not much I can do for her.

Hey, how you doing?

Oh, I told the mediator I'm not
trying to take Reese from Carla.

But I can't let Carla
take Reese from me.

Do you think she's doing
this to hurt you?

Well, she doesn't seem to care.

'Do you care about
her situation?'

What is it?

I've just never talked to a..

...therapist before.

Dr. Benton, I'm not here
to psychoanalyze you.

I only need to assess the
family dynamic for the court.

Well, it's simple,
Carla and I both love our son

but she's trying to
take him away from me

so her new husband
can pursue his career.

How do you feel about him?

‐ Who? Roger?
‐ Yes.

‐ He's a decent guy, I guess.
‐ Good to your son?

‐ Yeah, sure.
‐ Loves him?

Look, why are we talking about
Roger? Who cares about Roger?

This is about me,
Reese and Carla.

Like it or not
he factors into this.

'How do you think
you'd deal with it if Carla'

'was able to take Reese
out of the country?'

‐ That's not gonna happen.
‐ If it did?

The two most recent chest films

on June 28 and July 17.

Uh, I'll take the folder.
Hey, congratulations.

Nice to know you're in the loop.

So it's true.

Sorry, Carter,
I have a patient.

‐ Aye aye, chief!
‐ Please.

'Here you go.'

Vanessa?

I'm sorry, I didn't mean
to disturb you.

[speaking in Spanish]

You're in the hospital.

The nursing home sent you over.

[speaking in Spanish]

One of the nurses
brought this by.

She said you don't usually
let it out of your sight.

‐ Maggie.
‐ I think so.

[speaking in Spanish]

Wish I had the discipline
to keep a journal.

Oh, it's not mine.

Paul kept it.

I just like it near me.

Is that the Sacred Heart?

You're Catholic?

Eastern orthodox..

...sort of.

I hope it works out for you.

I'm sorry?

In the end,
it doesn't help much.

It didn't help Paul.

Hard to believe in a God that
does that to a man like him.

[sighs]
Too bad.

Heaven sounds good right now.

Would you like
to talk to a priest?

Oh, God, no.

We have them on call.

Oh, don't trouble yourself.

It's really no bother.

Oh, really, don't.

‐ Bob...hi.
‐ Hi.

‐ Did you get my page?
‐ I'm sorry, I'm swamped.

What's up?

You're discharging the
Ortega baby to intake?

Yeah, I couldn't find anybody.

I'll take him.

‐ What?
‐ I'll take him, home.

I'll take him.

You're a licensed
foster parent?

No, but I can become one.

That's nice of you, but I'm
afraid not very realistic.

Why not?

Well, you have to be
screened first.

Then have
a few months' training‐‐

Well, I‐I can do
all of that

and take care of him
in the meantime.

It has to be better than intake.

[sighs]

He needs a mother.

Do you have
any other children?

No. I can focus on him.

‐ Support system?
‐ I can do it.

I don't know,
it's not policy.

Maybe it'll be a good
short‐term solution

until I can find
a licensed foster parent.

Or until I get licensed.

Let me look into it.

No promises.

Okay.

Hey.

Hey, Reese.

How you doing?

Hey, Carla.

Peter.

Miss Simmons.

‐ I'm Debra Wexler.
‐ Hi.

Whenever you're ready.

‐ Uh.
‐ Go ahead.

It's pretty painless.

[sighs]

Go ahead, Reese.
Go to mommy.

Go ahead.
Go. Go on.

[Reese crying]
Oh, I know, I know.

It's okay.
Hey, man, it's okay.

It's okay. Hey, Reese.
Hey, see you later, huh?

See you later.
I love you.

I know.
I love you.

[crying continues]

Loculated fluid around the
lungs and lots of mets.

Is this going to help?

Belly was pretty tense.

It's gonna relieve
some abdominal pain

and take pressure
off the diaphragm

but she's still gonna
have trouble breathing.

This is three liters.

‐ Okay.
‐ I'll take this to the lab.

You have a pay phone
around here?

I'm have to
call her mother.

Sure.
I'll take you.

Okay, sweetie.

Be right back.

Okay?
I'll be right back.

Okay.

You didn't call.

Oh, hi.

'I'm sorry.
I got in late.'

You okay?

Yeah.

How's your dad?

We'll see.

He was shaken up,
but...I don't know.

Numb.

I mean, mom was okay..

...and, then, boom,
heart attack.

It's gonna take a while

for it to sink in
for him, I guess.

And you?

I don't know.

I did hear a vicious
rumor about you.

Really?
Which one?

Well, it was actually, uh,
more of an announcement.

Oh, It was as much
a shock to me as anyone.

What is he up to?

Oh, you know Robert.

He always
has to be dramatic.

‐ Yeah, but why'd he pick you?
‐ I don't know.

Perhaps he thinks
I'm a talented surgeon.

Uh, that's not what I meant.

You're not gonna
take it, are you?

I was
considering it, yes.

‐ Okay.
‐ What?

Nothin'.

So, I'm going to have
to deal with Romano.

Well, he's a small price
to pay for such an advancement.

It's better than anything
I could get at Rush.

‐ If you say so.
‐ Oh, stop it.

If you feel a need
to express an opinion

at least articulate it.

Fine.
You can't trust that guy.

He's screwed you in the past.

He's not gonna hesitate
to do it again.

But I think you know that.

Yes, and it's
my problem, isn't it?

I think it will be.

Okay, Rick, you're
on soup and milkshakes

for a couple of days,
stitches come out in five.

When can I
get this pierced?

You gonna put
that thing back in?

Screw that, I'm not gonna
let those losers win.

Good for you, bro.

I'll see you
next time, then.

Finally got hold
of plastics, huh?

Ah, nice job, huh?

Did you even
call them, Dave?

Yeah, I called them.

They tried to recruit me.

Hey, I need two milligrams
of morphine for Mrs. Braga.

‐ Braga..
‐ Your LOL.

Oh, yeah, sure.

Don't you wanna see her?

No, I trust you.

Is that roach coach
out there all day?

Yeah.
Hi..

I sent up
some peritoneal fluid.

Patient named Stehly,
"S‐T‐E‐H‐L‐Y.

Medical record number 452986."

[blowing]

Hi.
Okay, thank you.

‐ Hi.
‐ How are you?

‐ How are you?
‐ I'm famished.

I was in the neighborhood,
so I thought I'd stop by

and see if you wanted
to get some lunch.

In the neighborhood?

Yeah, I had a meeting
in the Hancock building.

Ah.

So, can you slip away?

I don't know.
Um..

Hey, whose rig is that?

‐ Yo, Nancy, whose rig is that?
‐ What are you screaming about?

The paramedics who drive
that rig, where are they?

I don't know.
Try the cafeteria. Why?

‐ Cafeteria.
‐ Hey, Dave, what's going on?

Call 911, construction‐site
accident, down the street.

Well, hang on a second!
Hold on!

‐ Oh, you're busy.
‐ Tonight?

Tonight's a given.

‐ What are you doing, Dave?
‐ I got to help this guy.

‐ His friend is trapped.
‐ What happened?

I don't know.
He was working the crane.

He dropped an H‐beam and
now we can't get him out.

‐ He ran here for help.
‐ Just a block and a half away.

‐ Oh, is your friend conscious?
‐ No.

‐ Is he breathing?
‐ I don't know!

‐ Are you coming?
‐ Hold on.

County to dispatch,
we have reports

of a construction‐site accident
on the 1200 block of Clayburn.

We need you there, Code Three.

Come on, man, let's go.
We don't have time.

‐ Come on!
‐ Docs responding.

(John)
If he's breathing,
we don't touch him.

(Dave)
Yes, mom.

‐ It's right there.
‐ How'd it happen?

‐ Oh, God!
‐ The choker must have slipped.

(Kevin)
It swung right into him.

(Kevin)
Coming through.
Come on, doctors.

(John)
Watch out. Hey, I want
you to be careful there.

‐ I don't want you to burn him.
‐ I almost got it!

‐ Anybody call 911?
‐ Ain't you the 911 guys?

Nah, you get the
real deal, my friend.

(John)
Kevin, go back to the trailer

and make sure Gordy called!
Call now!

(John)
Sir, sir, can you
tell me your name?

‐ What's his name?
‐ Uh, Joe, Joe Sanders.

(Carter)
'Mr. Sanders!'

(Dave)
Radial pulse, weak and thready.

(John)
Mr. Sanders!

‐ He's dusky.
‐ His leg is totally crushed.

‐ I don't see his chest moving.
‐ We gotta tube him, now.

‐ We gotta get in there first.
‐ You reach him, right?

Yeah, but I can't
see what I'm doing.

Uh‐huh. Well, then, we got
to do it without the scope.

Have you ever done
a blind intubation before?

No, but we got to do something.

Alright.
Well, I‐I'll do it, I'll do it.

Oh, come on, man, let me do it.

Hey, this isn't a teaching case.

Find a window, be my eyes.

Alright,
I'll talk you through it.

‐ Alright.
‐ Come on, move.

(John)
Alright, where am I?

(Dave)
'Move to the left.'

'No, wrong way, wrong way.'

My left or your left?

My left, your right.

Okay.

‐ Okay, that's his cheeks.
‐ Uh‐huh.

You gotta move over.
That's his ear.

(Dave)
'There you go,
there you go. Move up.'

'There you go,
there you go. Open it.'

Bingo!

‐ 'You got it?'
‐ Hold on.

‐ Have you done this before?
‐ 'Once.'

On a cadaver.

Alright, uh...there's
the epiglottis.

(John)
'I'm in the vulecula.'

Alright.

‐ Put it down the right pipe.
‐ Yeah.

[ambulance siren wailing]

I hear our EMS boys.

Too little, too late.

Alright, I'm in!

[gasping]

Amy...you need to keep
that mask on, okay?

Amy..

[gasping]

I can't...breathe.

Amy, my name is Dr. Greene.

You're in the hospital.

Your father brought you here.

Okay?

Now, I need you to
keep that mask on.

Okay?

Help me.

[gasping]

Amy..

I can give you some morphine

to make you more comfortable.

[mumbling]

What?

I don't want to die today.

[gasping]

Do you want me to put
you on a ventilator

to help you breathe?

Is that what you want?

There's a good chance..

...you'll never come off of it.

[panting]
I don't..

...want...to die.

[gasping]

Lydia.

I need rapid induction.

15 milligrams etomidate.

‐ 100 of sux.
‐ 'You're gonna intubate?'

‐ Yes.
‐ Well, she's a DNR.

Not anymore.

Let's go.

She was on a vent for
over two weeks in that ICU.

And she had a stent
for her liver

and needed over
eight units of blood.

Now she's had enough.

Okay, listen,
I understand your feelings

but this is what she wanted.

You don't know what she wants.
She signed a DNR, three months‐‐

Coming through! Watch yourself!

Altered mental status,
abrasions to the abdomen

crush injury with
deformity to the left leg.

‐ Where's Dr. Benton?
‐ He's on his way.

Now, this is a femur fracture.

Why didn't you use
a sager splint?

There was some
debate about that.

He was hypotensive.
We needed to get him here.

‐ You were in the field?
‐ 'Oh, yeah.'

(Dave)
Super docs had him intubated.

‐ He wasn't breathing.
‐ On my count, one, two, three.

(Peter)
Alright, what do we got, people?

(John)
Crane operator versus h‐beam,
plowed right into him.

'Multiple blunt trauma, crushed
left femur, hypotensive.'

Why wasn't he put in traction?

BP was crashing, waste of time.

‐ You got it from here, Peter?
‐ Yup, go.

You've known her for 20 minutes.
I'm her father.

How many times do
I need to tell you this?

She does not want this.
We decided.

Excuse me. I'm Dr. Weaver.

Chief of
the emergency department.

I've got it, Kerry.

Are you his supervisor?

What seems to be the problem?

My daughter is dying of cancer.

And she has
a "Do Not Resuscitate" order.

And when I left the room,
he put her on a ventilator

and now he won't take her off.

She asked me to.

She wouldn't do that.

Do you have the papers with you?

I can get them.

Maybe you should.

Now, that your
daughter's intubated

it, it gets
a little complicated.

What are you talking about?

I'm not sure that
we should extubate her

until she's
breathing on her own.

[machine beeping]

(Hathaway)
'BP's 90 over 60, pulse 110.'

(Dave)
He's bleeding.
Peritoneal lavage. Let's go.

Hold on, hold on, let the
doctors take it from here.

‐ Okay?
‐ Yeah, I am a doctor.

He only thinks he's a paramedic.

Dave Malucci,
new second‐year resident.

‐ Dr. Dave.
‐ Okay, good breath sounds.

‐ So, DPL, let's go.
‐ Hold on, hold on, Dr. Dave.

(Peter)
Alright, let's get
a Trauma panel, lateral c‐spine

chest and pelvis,
left femur, let's go.

‐ Who is this guy?
‐ Surgical Trauma fellow.

‐ Call him Dr. Pete.
‐ 'You want O‐neg?'

Yeah, let's get four units,
let's get a pressure dressing

on this, put him traction,
set me up for DPL.

Is there an echo in here?
Didn't I just say that?

‐ Alright. You get out of here.
‐ What?

‐ 'I said out. Get out.'
‐ 'What did I do? Wait.'

‐ What, I don't understand.
‐ Come on, Dave. Let's go.

Come on, I'm not leaving.
This is our patient.

Hey, you want to be
the hero in the field

you gotta drop
'em off at the door.

‐ Carter, now!
‐ Shut up.

(John)
'Hey, hey, hey.'

[clattering]

Okay. Let's get a new kit.
You okay, Carol?

‐ Yeah, fine.
‐ Alright.

That's okay. Come on, let's go.

I'm gonna call my lawyer.

I can't believe you did this.

Mark, what are you doing?

My job, Kerry.
It's not your problem.

It is my problem.
I'm head of the department.

By title, remember?
You said so yourself.

I don't know
what's your problem is.

But, if you ever steal my gear
again, I'm gonna kick your ass.

Yeah, right,
he wasn't breathing.

Did they teach you the
importance of an air way

in paramedics?

Zadro, we didn't know
where the hell you were.

And it sounded important.
It was right down the street.

What if we were
called to another site

and didn't have our equipment?

Why don't you go rip
it out of his throat?

Let's break it up. This is not
the appropriate time or place.

You want to take it outside?

Oh, yeah, I'll take it outside.

Oh, come on, nobody
is taking anything anywhere.

‐ Zadro, go back to work.
‐ What's the point?

I got doctors to do it for me.

Go back to work.
Get out of here.

You two, hold on.

Hold on. Get back here.

‐ Can we tell you what happened?
‐ I heard what happened.

Do you have a brain between you?

‐ Dr. Weaver, we called them‐‐
‐ No, no! I talk, you listen.

You work in this hospital

not on the street.
You are not trained for it.

You are not covered for it

and you have patients here
who need your attention.

One of them might've coded,
or, or we might have been

hit with two or
three other Traumas

while you were off
playing paramedic.

Were you?

Don't even start with me,
Dr. Malucci.

I'm only cutting you this much
slack because you're new here

and you, Carter,
you should know better.

You're emergency residents,
not paramedics.

Is that understood?

Is it understood?

That was great, Dave.

Thanks, I appreciate that.

(Kit)
'We document all
consents in the chart.'

Is there a problem?

You didn't tell me you
tested the baby for HIV.

I told you he was positive.

I thought we were assuming.

I didn't know you tested him
without the mother's consent.

The mother was comatose.

We had to get him started
on the antiviral drugs.

Well, who authorized it?

I did.

I was looking out for the baby.

We gained ten days of treatment.

You broke the law.

Will this affect your
decision about foster care?

‐ I'll have to explain this.
‐ Will it?

No, you obviously
care about the child.

But..

It's not gonna work.

‐ Why not?
‐ The director won't approve it.

‐ Did you ask him?
‐ I'm sorry, Jeanie.

I said I'd look into it.

I did.

Is it because I'm black?

‐ What?
‐ I'm black.

The baby's Hispanic.

‐ What do you take me for?
‐ I'm not really sure.

'Cause you'd rather
put him in a facility

even after I told you
that I would take him.

You're not qualified.

It's as simple as that.

Is it because
of my HIV status?

It doesn't help.

Look, I'm healthy.

There's no reason
to think that I won't

continue to be healthy.

What about when
the child is five?

When he's ten?
Can you say that then?

Can anyone say that?

Look, I don't know how to
tell you no any other way.

I know his needs.

‐ I would be‐‐
‐ It's no, Miss Boulet.

The answer is no.

(Peter)
'Lavage is negative.'

He lost a few liters from
the popliteal artery.

What's the tibia look like?

Comminuted fracture
in 20 pieces.

Ah, it's a mess.

Whoa, whoa, whoa, where do
you think you're going?

Shirley cleared OR One.

Yeah, well, uh, thanks
for buffing him up, Peter

but Lizzie can
take it from here.

Yeah, but he's a Trauma patient.

Indeed he is and
this Trauma fellowship

of yours is through
the ER, correct?

‐ Yeah, so?
‐ So, that's an OR.

That's for surgeons.

Yeah, but I've been
operating the last three weeks

as a Trauma fellow.

Yes, I know, but now,
as chief of staff

I have to be concerned
with credentials.

You chose this, not me.

Elizabeth, I leave it up to you.

Under no circumstances
is that man

to go into that operating room.

Call security if you have to

and enjoy your
first solo surgery.

‐ Solo?
‐ Yes.

An associate chief
can operate by herself.

Dr. Benton.

Peter.

Hey, are you okay?

Uh, this case..

A dying girl..

Dad's called a lawyer..

Weaver, uh..

Forget it.

Mark...maybe you should
take a few days off.

I, I just had a week off.

That wasn't a vacation, Mark.

Losing a parent
is as stressful as it gets.

I have to get back to work.

[Vanessa speaking in Spanish]

Vanessa?

I'm sorry.

‐ Is who coming?
‐ The padre.

‐ The priest?
‐ Why isn't he here?

[speaking in Spanish]

No, you told me not to.

I don't want to go alone.

[speaking in Spanish]

Okay, okay, he'll be here.

Jeanie, I didn't know that

you were considering
becoming a foster parent.

Robert Martin called me this
afternoon asking for a referral.

I think that would be great.

Yeah, unfortunately,
it's not gonna work out.

Why not?

I didn't get a clear answer.

I guess, too many things
stacked against me.

‐ Is there anything I can do?
‐ No, thanks, Kerry.

Some things aren't meant to be.

I'll see you tomorrow.

(Mark)
'Next time, wait till they
stop swinging at the pinata'

before you dive
for the candy, okay?

Excuse me. Mark.

Uh, Mr. Stehly's
making a lot of noise.

I'm gonna need a detailed record

regarding the care
of his daughter.

New charting system should help.

This is serious, Mark.

Do you understand the
position you've put us in?

I followed the standard
of care based upon

my patient's wishes.
She's over 18.

She signed a DNR.

And gave her father
power of attorney.

She still has rights.

Dr. Greene, Amy Stehly's
throwing PVC's.

‐ How many?
‐ Ten to 12.

‐ Did you give her lidocaine?
‐ Not yet.

I just want to make sure
she's no longer DNR.

‐ No.
‐ Yes.

So, what do I do if she codes?

‐ Resuscitate her.
‐ No, Carter, don't.

(Mark)
'Kerry, she's my patient.'

I can't allow you to
ignore a standing DNR.

She revoked her DNR.

‐ She can't.
‐ Yes, she can.

Not with altered mental status.

Did you see her CT? That girl
has mets all over her brain.

She's on morphine,
probably hypoxic.

(Mark)
'I talked to her, Kerry.'

She was clear,
conscious and alert.

‐ Well, I didn't see that.
‐ You're gonna have to trust me.

I'm not sure you're
in the state of mind

right now to be objective.

Perhaps I should
take over on this one?

I've got it covered.

Mark, I'm taking this patient.

You'll have to fire me first.

So, what do I do if she codes?

Nothing, Carter, you do nothing.

If she codes, call me, Carter.

Randi, are you sure,
this list is right?

I've paged Father Erps twice.

Oh, I think he's on
sabbatical in Brazil.

There's a junior
jesuit subbing for him.

‐ Well, where's his number?
‐ I don't know.

‐ It's around here somewhere.
‐ Find it, Randi.

The lady doesn't have much time.

Lucy, where's Malucci?

‐ He prefers Dr. Dave.
‐ Whatever. Where is he?

I don't know.
Try the coast guard.

Maybe he's off doing
search and rescue.

What's the problem?

This woman's bp
is down to 60 palp.

Her kidneys have shut down.
She needs dopamine.

‐ I got it.
‐ Really?

‐ Yeah.
‐ Thank you.

‐ Carol, have you seen Mark?
‐ He was just here.

‐ Is he still on?
‐ I think so.

(Robert)
'Hey, Elizabeth!'

I hear you laid up
today in the OR.

‐ "Laid up?"
‐ Golf term played it safe.

Lived to cut another day.

That's not a criticism.

We all get more conservative

when we're in the driver's seat.

Welcome to the big leagues.

Listen, Robert, about Peter.

(Robert)
Peter, Peter, Peter.

Don't you ever get
tired of that subject?

He accepted this
fellowship on the assumption

he'd operating on
his Trauma patients‐‐

‐ I know.
‐ He's a board eligible‐‐

I know.
I'm just messing with him.

[sighs]
So you'll let him operate?

Mmm, for you,
Lizzie...anything.

But only on Trauma

not elective cases and
no general surgery.

‐ Naturally.
‐ And I want you to police him.

‐ I don't have to deal with it.
‐ Fine.

So, is that an official

acceptance of my offer?

I suppose it is, yes.

Wise choice.
I'll see you tomorrow.

Oh, uh...here's
a termination list.

We need to cut
loose some dead weight

and it'll sound
better coming from you.

‐ Dr. Corday.
‐ Carter, have you seen Mark?

Uh, he's around here someplace.

Uh, I think you saw a patient
of mine in radiology today.

‐ Nicholas?
‐ Your patient?

Yeah, came in a couple
weeks ago. Fender bender.

Said she had some...minor
cervical tenderness.

Did I miss something?

No, it was nothing
to do with an accident.

She came for a second opinion.

Okay.

On, uh...on what?

Infiltrating duct
cell carcinoma.

Breast cancer.

So, she's,
um...looking at surgery?

Has to have
a mastectomy, I'm afraid.

Hmm.

Carter!
This girl's in v‐tach!

‐ What?
‐ 'Trauma One!'

You need some help?

No...no, I got it.

‐ She have a pulse?
‐ A weak one.

‐ What's her BP?
‐ 60 palp.

(Haleh)
'Paddles are ready.'

(Haleh)
Dr. Carter?

[sighs]
Get Dr. Greene.

He might cardiovert.
Let's open up the pads.

(Kerry)
No need, Haleh.
She's a DNR.

‐ Dr. Weaver.
‐ It's alright, John.

I understand that you're
in an awkward position.

You're gonna let her arrest?

I'll take it from here.

How about a chemical code?

No. This woman is not
to be resuscitated.

Just an amp of lidocaine.

John, she has no chance
of a meaningful recovery.

She wanted this.
Her family wants it.

Don't touch her.

[Vanessa speaking in Spanish]

(Kovac)
'I know.'

[speaking in Spanish]

‐ I know.
‐ But I want to believe.

Now you can.

He forgives me?

He forgives you.

[sighing]

Can you bless me, Father?

[speaking in Spanish]

Padre.

[speaking in Spanish]

[speaking in Spanish]

Where is she?

‐ V‐fib.
‐ Damn you, Kerry.

Alright, Carter, start CPR.

Let's charge to 200.

Haleh, charge to 200. Now.

Okay, Kerry, you're chief.
You need to make a decision.

We do this or I go.

‐ Ready.
‐ Clear!

[speaking in Spanish]

(Mark)
'Clear!'

‐ 300.
‐ Charging.

‐ Push an amp of epi.
‐ How far you're gonna go, Mark?

She said she
wanted a ventilator.

Did she say she wanted this?

Clear!

[speaking in Spanish]

(Mark)
'Clear!'

[speaking in Spanish]

(Haleh)
'Still in v‐fib.'

Alright, one more time.
360. 100 of lidocaine.

Did she say she wanted you

pounding on her chest,
shocking her heart?

Shut up, Kerry,
or get out of here!

Clear!

[speaking in Spanish]

[machine beeps]

(Haleh)
'Asystole.'

You want atropine?

You want atropine?

No, it's over.

Time of death, 20:34.

[sighing]

Mark, I..

‐ Hey, there.
‐ Hi.

‐ What are you doin' here?
‐ I need to talk to you.

‐ What's wrong?
‐ I've been thinking.

‐ Ah...oh.
‐ No, listen.

That day when you proposed to me

most of me just
wanted to scream "yes"

and run to the courthouse
and do it right then.

Most of you?

But the rest of me was scared.

I...I knew that I loved you

but I'd just been
with this little baby

who needed a mother.

And I knew instantly that
I wanted to be that mother.

I didn't wanna say yes
for the wrong reason.

I see.

But they told me today
that I can't have him.

‐ Baby, I'm sorry.
‐ No, it's okay. It's okay.

Because I know that I
really do wanna marry you.

I know that now.

Mm. You still want to marry me?

[laughing]
Yes.

Okay.

Isn't it a sin
to fake a sacrament?

(Luka)
It was a blessing.

Anyone can give a blessing.

Not posing as a priest.

(Luka)
'It was her faith.'

That's what's
important, right?

So how did you know
what to say?

(Luka)
'I faked it.'

You know, a little bit of Latin,
a little bit of Croatian.

[Luka chuckles]
You faked it well.

Ooh.

‐ Are you alright?
‐ Yeah. Yeah.

It's just they're active,
moving around down there.

May I?

[breathing heavily]

What?

You know.

Don't you?

Yes.

[sighs]

[breathing heavily]

You should
just leave now.

Elaine.

[train passing]

Peter.

Peter!

Did you hire
a private investigator?

What?

Some guy talked to Dafina, asked
her if I've ever done drugs.

Whoa, whoa, whoa,
Carla, look.

The only person
I hired was my lawyer.

Well, did he get this guy to

start asking questions about me?

No.

Uh, I..
Look, I don't know.

‐ Why are you doing this?
‐ Why am I doing this?

The restraining orders
and lawyers..

Carla,
I only have one son.

Roger can get
another damn job.

This is a great opportunity
for us, Peter.

What about Reese, huh?
Do you ever think about that?

I mean, you wanna take him
away from his father?

You may not
even be his father.

What?

He might not be yours.
There‐there was somebody else.

It was just casual.
And then it was you.

I did it for Reese.

Now, he needed a father and
Roger can be that for him now‐‐

No, Reese is
my son, Carla!

Reese is my son.

[train brakes screeching]

[theme music]