ER (1994–2009): Season 6, Episode 4 - Sins of the Fathers - full transcript

Hathaway befriends an out-of-work waitress, Meg. Seven-months pregnant, Meg cannot afford prenatal care. Hathaway invites her to the hospital, performs free tests and helps her interview for a job in the cafeteria.

'Yeah, I said I wanted
the lap chole at eleven'

the gastric bypass at 3.30.

Yeah.

‐ Have you seen my earring?
‐ No.

Yeah, well, look, why don't you
try and get hold of him

and then call me back. Yeah.

You already dressed?

My schedule's all
jumbled up.

I need to get in.

Besides..

...Romano's got me buried
in paperwork.



Oh. There they are.

Oh, come on!

[laughing]

You're going to cover me
in shaving cream.

[telephone ringing]

Hi. Did you get him?

Uh...y‐yes. Um, hello.

Yes, uh, oh,
he's, he is.

He's right here, actually.

[whispers]
It's your father. I'm sorry.

Hi, dad.

Whoa, whoa, whoa!
Calm down.

What?

W‐what happened?



W‐was anyone hurt?

Is everything
alright?

Oh, well, that's good.

Yeah, um, so this
was last night?

Mm‐hmm.

‐ You want me to stay?
‐ I'll catch you later.

So...dad, d‐d‐dad.
Okay. Fine.

Look, it‐it's just a fender.

Okay, a fender
and a cypress tree.

Oh, you know what, um..

...just corn flakes and a
small orange juice, please.

‐ That's it?
‐ Yeah.

There's just no more
room left for food.

I'm eating like a horse.

Well, twins. They're
squishing my stomach.

I just have one.
It's squishing more than that.

(man #1)
'Meg, I can't read this.
What's this say?'

"Two over medium."

‐ Large coffee to go, please.
‐ Sure.

Hey, morning, Carol.

Hi.

What?

I think you have shaving cream
on your earlobe.

Oh.

Thank you.

‐ How is Mark?
‐ Clean‐shaven.

[dishes crashing]

That's twice
in one morning.

I'm sorry.

Just clean it up.
And get this guy another one.

(Meg)
'Okay, okay.'

How are you managing
without coffee?

Oh, you know,
it's not so bad.

It's actually the, uh

growing out
of my maternity wear

that's starting to worry me.

Not to worry.

You'll drop
a couple of those pounds

breast‐feeding.

‐ Well, thanks.
‐ See you later. Bye‐bye.

‐ Here.
‐ Oh, thank you.

‐ Not easy maneuvering, is it?
‐ No.

Do you know
what you're having?

‐ No.
‐ Nothing on the ultrasound?

I‐I haven't had one.

Oh, you really should.
It's important for the baby.

‐ Who's your OB?
‐ I got to pick up an order.

You do have an OB?

My boss is going
to yell at me again.

Can I borrow your pencil?
And your pad?

I'm a nurse at County.

I'm going to write down
my name.

You should come by
after your shift.

We'll examine you
and check out the baby.

See, I‐I don't know. I‐I don't
have insurance or anything.

It's okay. Where I work,
you don't need it.

‐ Morning.
‐ Hey, the celebrity herself.

‐ Beg your pardon?
‐ Dr. Corday, right?

Yeah, what are you
talking about?

"Prescription for danger.

Are you safe
at County General?"

Good picture.

Oh, my God!

[theme music]

[music continues]

'Dada, stop it!
Get that thing away from me!'

Leave me alone!
Let go!

‐ Robin, settle down.
‐ This isn't so bad, is it?

‐ I hate you!
‐ Robin?

Yosh?

Do you like koala bears, Robin?

Why?

Because I have a special bear

that wants to meet you.

Mr. Koala Bear.

‐ I hate bears!
‐ Robin, stop it.

[crying]

Maybe you could
hold her, Mrs. Burke.

If you're good, I'll take you
to the toy store.

No!

When did she
start vomiting?

This morning, right after
she drank her juice.

Mommy, make them stop!

(Burke)
'We had Chinese takeout
last night.'

My husband has
an upset stomach, too.

‐ I hate you!
‐ Any diarrhea?

Uh, a little.

‐ Childhood illnesses?
‐ Uh, just a few colds.

And prescription medicines?
You keep those out of reach?

Yes. Our home
is childproof.

Okay, okay, she probably has

just a little food poisoning.

I'll give her some Compazine
for the nausea..

Robin. I'm sorry.

...and observe her for
a couple of hours. Okay?

Honey, did
you hear that?

You're going to stay here
so they can take care of you.

‐ I hate it here!
‐ Wait. Okay.

‐ You were looking for me?
‐ Yo, Dr. Pete.

I definitely was. I've got one
seriously hot appy here for you.

‐ A hot appy?
‐ Ready to be sliced and diced.

Well, then why don't you call
for a surgical consult?

‐ I told you.
‐ I thought you'd want him.

He can't do
general surgery.

I don't do
general surgery.

‐ I told you.
‐ Thank you, Connie.

(Connie)
'You're welcome, Dr. Dave.'

You know what,
I don't blame you.

Hernias, appys

gallbladders. It's boring.

Am I right? I think
you're like me, man.

You like the guts, the glory

the bright lights,
the big city. We're cut from‐‐

Do you know what it means
to be skating on thin ice?

Okay, this is me backing off.

'That's good, stay up'

'here as long as you can.'

'You're doing great.'

‐ Kerry, hi.
‐ Morning, Gabe.

How much longer?

Uh, the expulsion
of flatus

marches to its own drummer,
Mr. Rineberry.

And the more I fart,
the better I'll feel?

'Yeah, well..'

...to put it somewhat
indelicately, yeah.

I...I'll be back.
Stay with it.

Keep your eye
on him, okay?

I was just gonna grab
a cup of coffee.

Great. I'll join you.

So you're starting
off your day

with a little splenic
flexure syndrome, eh?

The guy‐the guy didn't
want to stand on his head

until I reminded him,
gas rises.

That seems like you're
settling in well, huh?

Oh, yeah, everybody's
been terrific to me.

Mark Greene's still
pissing on trees‐‐

Do you want me
to say something to him?

‐ No, no. I think‐‐
‐ Dr. Lawrence?

‐ Yeah, Lily, yeah?
‐ Uh, it's Lucy.

‐ Lucy. Sorry.
‐ That's okay.

Did you want to order
the oxacillin

for the cellulitis in four?

Cellulitis in four,
yeah.

‐ You should, absolutely.
‐ You just didn't sign.

Oh?

Easily fixed.
There you go.

‐ Thanks.
‐ Sure.

Is it just me, or
are medical students

younger than
they used to be?

It's definitely
the students.

Hey, I haven't felt
this old since

your class graduated
from med school.

‐ My class?
‐ Yeah.

I remember your
mom came up to me

and she was thanking me
for, you know, for inspiring you

to go into
emergency medicine.

And the whole time
she's talking to me

all I can think is, "My God

we're practically
the same age."

Oh, no, she had a year

or two on you anyway.

How is she?
How's she doing?

She passed away
a couple of years ago.

I'm sorry.
Oh, that's rough.

Yeah, it is.

Uh, how is your family doing?

Oh, all my ex‐wives

are alive and living well.

And your son was going into
medicine too, wasn't he?

Well, that was my dream,
not his, as he would say.

Of course he doesn't say
much of anything to me any more.

Families, huh?

Get away from me!
Get away from me!

Get away from me!

Get away from me!

Sorry, excuse us.

Think I'll have
a little more cream.

Sure.

I certainly
never meant to convey

any deficiency at County.

I could hardly anticipate
a shoot‐out.

Not everything
in the account was negative.

You're right, you're right,
I particularly enjoyed

the description of Dr. Carter
clamping off

his first aortic rupture
on an eight‐year‐old.

Yeah, which, as the account
clearly states, was successful.

Do you remember, Lizzie,
the point of this article?

To toot County's horn.

Actually, it was
to toot my horn..

...which is why you understand
that I am disturbed

at not only getting heat
on this from upstairs

but at finding my picture
in a sidebar

next to the obituaries.

I'd gladly give up
the front page.

Lizzie, when I appointed you

associate chief,
it was for two reasons.

One, to serve.

Two, to protect my needs,
my interests.

But I have sensed
some reluctance.

‐ To what?
‐ Corralling Benton, for one.

‐ We've settled that.
‐ Oh? Have we?

So I haven't made
a mistake in appointing you?

No, Robert, you haven't
made a mistake.

Good, oh, by the way..

...there's been some slop‐over

from the Anspaugh
administration.

It seems Donald is still
scheduling his own surgery.

Speak to him
about that, would you?

You can't be serious!

It's interfering
with my schedule.

I am completely serious.

‐ Dr. Corday.
‐ Carter.

Is Elaine Nichols'
path report back yet?

You'll need to speak
to her about that.

Right, of course, I will
when she comes in

to have her sutures out,
which, generally

is about a week after
the operation, right?

Generally.

In Elaine's case,
that could be

some time today,
this morning even.

‐ Carter?
‐ Or perhaps this afternoon?

‐ Carter?
‐ Yes?

There's some chance
it'll be this afternoon.

‐ Say around 3 o'clock.
‐ Thank you.

By the way, loved the article.

Tommy Stevens, attempted
suicide by hanging.

Man, that makes one
nasty rope burn, huh?

What?

Finish up, Dumar.
Vital signs.

BP 80. Palp, pulse thready,
shallow resps.

I didn't want to intubate
in the field

in case he broke
his neck.

Okay, everybody,
nice and easy on my count.

One, two, three.

He's getting dusky.
We need to tube him.

‐ It's a tricky intubation.
‐ Tricky's my middle name.

And potentially dangerous.

Like I said, danger's
my middle name.

‐ Pulse ox down to 84.
‐ Okay, let's get in there.

I'm going to give you
in‐line stabilization.

Whatever you do,
do not extend the neck.

I'm as gentle...
as a kitten, sir.

BP is still 80.

Alright, run another
liter of saline.

It's too much edema,
I can't see the cords.

‐ We need to crike him.
‐ Whoa, hold on.

Let's bag him,
get his sats up.

We need a fiber optic
Laryngoscope.

I'll get it.

Fiber optics, that is cool.

‐ Have you ever done one?
‐ I've certainly seen them.

So that's a no, huh?

You, Dr. Greene,
could change all that.

Okay, I'll give you one shot,
then it's mine.

Yes.

Yeah, it doesn't look too bad.

Not very deep.

Probably just need
a couple of stitches.

Did the paramedics
bring you in?

Would you get us some
more four‐by‐fours?

We're running
a little low here, okay?

So...your parents
weren't with you

when this happened, huh?

No.

This is liable
to sting a little, Becky.

Okay?

How did it happen?

He wasn't outside.

Who‐who wasn't outside?

Tommy, my boyfriend.

Did he do this?
Did he cut you?

I didn't even know
they had a basement.

I saw a light bulb
hanging down there

and there he was,
right next to it.

Tommy was in
the basement?

He tied the rope
around a pipe..

...so I ran back up
to the kitchen

and got a knife..

And you used the knife
to cut the rope.

He just fell down.

I couldn't hold him
or anything.

That's when
the knife slipped.

And you cut yourself, huh?

Is he going to be okay?

Did the paramedics
bring him in?

They wouldn't let me
come with him.

I came in a different ambulance.

If you wait here,
I'll go check and see

what I can find out, okay?

Okay.

(Mark)
'Tell me when you're
at the cords.'

We are about
to make contact.

‐ I'm there.
‐ Okay.

Advance into the trachea

and slide down the tube.

Yep. The eagle has landed.
Let's bag him.

Okay, let's get
X‐ray down here.

Need a portable chest
and a C‐spine.

Good breath sounds
on both sides. Nice work.

Thanks, boss.

Pulse ox up to 91.

Is this the suicide, Tommy?

‐ Yep.
‐ How's he doing?

Great! The neck was
swollen up like a blimp.

'Couldn't even
see the cords.'

Dr. Greene, he let me
do a fiber optic

and I passed
that baby through

like I was threading
a needle.

‐ How's he doing?
‐ He's picking up.

But with the prolonged
oxygen deprivation

I'm not sure about
his neuro status.

Come on, he was too blue
for too long.

We might be looking
at veggie burger.

‐ 'Dr. Greene.'
‐ Oh, God!

‐ Tommy?
‐ 'Haleh!'

Tommy! Tommy!

(Gabriel)
'Let's get you outside.'

Tommy, is he alright?

Help her outside.

(Becky)
'What does he mean?'

‐ You a resident?
‐ Yeah.

Well, one thing you
still need to learn

is that every patient in here

is somebody's boyfriend

girlfriend, father,
mother, son.

They don't exist simply
for you to learn

new and interesting procedures.

Well, I didn't see
her standing there.

Well, next time,
open your eyes

before you open your mouth.

What's with the new guy?

Oh, which new guy
would that be, Malucci?

Dr. Lawrence or you?

He never said anything
about killing himself.

It's not your
fault, Becky.

You should be thankful
you found him.

He's got a good chance.

I almost didn't
go back inside.

I was going to be late
for school, but..

I don't know,
I just did.

‐ Were his parents there?
‐ No, at work.

His dad. His mom
lives in Florida.

You know where‐where
his father works?

Some kind of construction?

I don't really know him.
He's not around much.

Are you sick?
You don't look good.

Well, she's just
a little tired.

Who do you belong to?

Here, I'll make
you better.

‐ Say, "ah."
‐ Thank you.

But this patient
already has a doctor.

‐ No, let go of me!
‐ Okay, whoa, alright.

‐ Robin!
‐ Let go of me!

Wait, one‐one second.

Look, wait, your mommy
is right over here.

‐ No, let me go!
‐ Okay, come on.

‐ I'm so sorry, Dr. Lawrence.
‐ No, that's quite alright.

I have that effect on women.

‐ I want my mommy.
‐ Oh, okay.

May I have my stethoscope
back, please?

‐ When?
‐ 20 minutes ago.

He started triggering
the vent on his own.

Tommy? My name's Dr. Greene.

You're in the hospital.

Your girlfriend found you

and cut you down

and the paramedics
brought you in.

What's his PO2?

98 percent on an FIO2 of 21.

Tommy, we have this tube
down your throat

to help you breathe, but
we can take it out now, okay?

‐ You extubating him?
‐ Yep.

He's got good tidal volume.

You gave us
a scare there, Tommy.

I got it, thanks.

So, Tommy, what
I want you to do

is take a deep breath

and then blow out
as hard as you can

when I pull out
the tube.

Okay? Alright,
take a deep breath.

All the way in.
Good, good, good.

And...blow.

[coughing]

Good job.

[coughing]

Okay, it's going to
be a little tender.

Don't try
and speak right away.

‐ Where's Becky?
‐ Becky's here. She's fine.

She's worried about you,
of course.

She told me
your mom's in Florida.

So I guess,
we'll call your dad.

You know his
number at work?

I could talk to him
for you if you want.

Pager number?

Here, come on.

Why don't you write it?

Okay? Here.

Okay, okay, alright.

When you're ready.

Dr. Lawrence,
do you have a second?

‐ Yeah, sure.
‐ Tommy, I'll be right back.

What are you doing?

Getting his father in here.

Yeah, we're
working on it.

Chicago PD's
working on it.

Don't pimp the kid.
He just attempted suicide.

‐ Calling a psych consult?
‐ Yes.

Good.

Do you think I should
find out the sex?

Well, everyone's different.

Some people like to know
some people don't.

‐ What are you having?
‐ I don't know.

Oh, come on, you know.

‐ You're a nurse.
‐ So?

Seems like you'd know,
that's all.

Well, I figure there are few
really true surprises in life.

This is for
your scrapbook.

Thanks.

‐ Everything okay?
‐ Fine.

Little small for 32 weeks.

We'll put you on
some prenatal vitamins.

It's not too late
for that?

‐ Meg, are you smoking?
‐ No.

I mean..

...not a lot.

You know, it's really bad
for the baby.

It can cause
prematurity

low birth weight.

I know, I know, I know,
I'm just..

I'm just really stressed.

You know,
I lost that stupid job.

At Doc Magoo's?

I didn't move
fast enough.

Excuse me, you know,
I'm seven months pregnant.

Well, you know, I could
call a social worker.

See if they could
get you some aid.

How about here?
Do they need people here?

Maybe the cafeteria?

I don't know,
I‐I could check, I guess.

That'd be great.
Thanks.

If you promise
to stop smoking.

Deal.

Well, dad, just have
the insurance guy call me here.

Hey, Mark. Mark..

We've got a double trauma coming
in. Can you take it?

Because Romano's called this

emergency meeting
for spin control.

Well, dad, if you want to handle
it why'd you call me?

‐ Where's Benton?
‐ He took up some MVA.

Okay, page Corday then.

‐ 'Hey!'
‐ You can't catch me!

‐ You can't catch me!
‐ No running.

Hey, no running. Stop!

And that stuff is expensive!

I don't care.
My dad is rich!

‐ I'm gonna call security.
‐ Brat.

Dad, I'm gonna
call you back.

‐ What's up?
‐ Oh, my dad.

He go his insurance canceled.
Don't ask.

So can you take it?

Because all
the department heads have to go

to this public relations
meeting.

This newspaper thing
is a disaster.

I don't know
what Elizabeth was doing.

‐ What newspaper thing?
‐ Has anybody seen Lawrence?

I've got the neighbor
of the suicide kid.

Says he's got
the dad's number.

‐ Calling Lawrence?
‐ That's what he said.

Yeah, I'll take it.

Hello, Dr. Greene here.

Thirty‐one‐year‐old male
in parachute accident.

Bilateral tib‐fib fractures.
Alert and oriented.

‐ Good vitals.
‐ Yeah, what happened?

‐ That chute didn't open?
‐ The lines got tangled.

Barely had time
to open the auxiliary.

We had four dead
at the scene.

‐ Oh, man!
‐ W‐What about Larry?

They said they were
working on Larry.

‐ Head trauma.
‐ What do you mean, head trauma?

Fifty‐one‐year‐old male.

Blunt head and chest trauma.

Intubated for
agonal respirations.

Blown pupil.
Dropped his BP to 90/60.

‐ I'll flip you for it.
‐ What?

Oh, the other guy just
has leg fractures.

Gee, Dave, that's too bad.

Oh, come on, call it.
It's your lucky day.

Set up O‐neg
on the rapid infuser.

I look at you, I think,
"lucky, you can't lose."

‐ I'm not calling it, Dave.
‐ Pulse ox is dropping 90.

But you're the man. It's your
world, I'm just living in it.

‐ Come on, call it.
‐ Heads.

Ouch, tails.
Sorry, buddy.

Stay away from
the Blackjack tables.

Get me a portable c‐spine,
chest and pelvis.

Send off a trauma panel,
type and cross for four.

Okay, on my count.
One, two, three.

‐ Talk to me, Carter.
‐ Got a fall from heights.

Hypotensive, severe head injury.

Regular rate and rhythm.
Tracheal shift to the left.

Survey says chest tube.

Ten blade, 32 French,
let's go.

Dave's your man.

I got a couple
of leg fractures

waiting on me.

Pressure's down to 80.
He's unresponsive.

Okay, pupils fixed
and dilated.

GCS five.

Brave son of a bitch
for an old guy, huh?

He's 51!

Yeah, well, he was
probably trying a canopy.

'It's a thing of beauty when
it's done right, actually.'

‐ I'm in. Thoraseal.
‐ You need me, Mark?

Uh, I think we're okay.
We just got to get him to CT.

‐ Horizontal mattress, Dave.
‐ Yeah, I know.

‐ Where's Peter?
‐ He took up a hernia.

‐ A hernia?
‐ Don't worry.

Evil Knievel's in good hands.

Excuse me.

How about I, uh,
throw in a subclavian?

I don't think so.
Pressure's good.

‐ We've got good access.
‐ Art line?

How about a thoracotomy
while you're at it?

‐ Really?
‐ Dave.

Oh.

Chest is clear,
he's gonna need a tetanus

and three grams of unasyn.

Apply traction
with dorsiflexion

to disengage the talus.

‐ Like this?
‐ Yeah, perfect, good.

Now, I apply anterior pressure
to the posterior..

TKO the fluids and
check the HemoCue.

‐ I felt a pop.
‐ Okay, good.

‐ You guys okay in here?
‐ Got it covered.

‐ Pedal pulse is stronger.
‐ Nurse, call X‐ray, please.

We'll get
a post‐reduction film.

You got it.

You ever do
the Wick Catheter technique?

‐ Read about it.
‐ Today you're gonna try it.

‐ Cool, can I help?
‐ Yeah, yeah.

Get a pressure monitor.

Dave, I need you to take
this guy to CT.

Well, can't you get
a nurse to do that?

God, he's had
a critical head injury.

Need a doctor
to stay with him.

Yeah, but I was gonna
help these guys out.

I think we've got
it covered, Dave.

Listen, I want a neuro check
every five minutes

and tell me if
his pressure drops.

You won him
fair and square, Dave.

Oh, and Gabe,
my patient, the kid..

...the neighbor called and
I got the dad's number.

‐ Okay, thanks.
‐ Oh, good.

I'll go get the transducer.

Urine dip is four plus

positive for blood.

Get a cystogram.

And let's get X‐ray in here

for a post‐reduction film.

I heard you the first time.

Right. Okay, um..

‐ Where was I?
‐ Uh, Wick Catheter technique?

Oh, right, yeah.

Alright, grab two pieces
of aught Dexon..

Alright.

I've opened
the peritoneal sac.

‐ You see the fascial ring?
‐ Almost.

Oh, I'm glad our schedules
synched up, Peter.

It's been a long time

since we operated together.

Yeah.

Alright, there are no adhesions
to the anterior wall.

Well, there's another defect.

We better do a Gore‐tex repair.

(Peter)
'Okay, metz.'

Hey, Elizabeth.

'Interesting article
in the paper this morning.'

Excuse me, Donald.

Peter, would you
please step out?

I'm in the middle
of operating here.

(Elizabeth)
'I'm sure Dr. Anspaugh
can handle it.'

‐ 'Please step out.'
‐ What is going on?

Peter's a trauma fellow,
he should be down in the ER.

Not up here
covering elective hernias.

Right, but this patient
needed surgery.

And I was called down to cover
your multi‐victim trauma.

I was down there all morning.

As you should be,
now for the third time,

please step out.

[sighs]

Dr. Anspaugh, would you,
uh, take over, please?

‐ Hey, I saw you touch that.
‐ Barely.

‐ Can't you make up your mind?
‐ Nothing looks good.

How about a grilled
cheese sandwich?

‐ Looks less than a day old.
‐ Mark, please.

‐ Here, this. It's on me.
‐ I'm not gonna eat that.

‐ You've gotta eat something.
‐ I have a mother, thank you.

She calls every Sunday
for weekly weigh‐ins.

Oh, that's nothing.

My dad called four times

this morning obsessing
about this cypress tree

that he crashed into last night.

‐ Is he okay?
‐ Yeah, well.

His pride's
a little wounded.

Front fender's
extremely wounded

and apparently,
the neighbors'

100‐year‐old
cypress tree

is circling the drain.

‐ Here, how about some Jell‐O?
‐ No.

Come on, everybody
has room for Jell‐O.

No.

Got your employee
discount card?

Yeah. And, um, I need to speak
to the manager.

Is someone around?

Viola Simpson acting
like she be the big boss.

Right over there.

‐ Great. Thank you.
‐ I saw you eating that carrot.

Gotta pay for it.

Okay.

(Cleo)
'She's kept down
the juice I gave her.'

And she doesn't have
any abdominal pain.

So she'll be fine at home.

Just give her some fluids

and come back for
vomiting or fever.

Thank you, Dr. Finch.
And you, too, Yosh.

You're welcome. She's been a
completely fascinating patient.

Robin, Robin,
we're going home.

You wanna thank
the nice doctor and nurse?

‐ No!
‐ 'Okay. Alright.'

‐ 'Then. Hold my hand.'
‐ I don't wanna hold your hand!

Thanks again.
Wait, Robin!

'No, no, no,
don't go outside!'

Okay, Mr. Raybush, here we are,
back safe and sound.

How was the CT?

Like someone scrambled
his brain with an eggbeater.

‐ Is it a subdural?
‐ Wanna take a look?

(Dave)
'No, mostly diffused swelling'

'microhaemorrhages.
Nothing we could fix.'

Dr. Greene, have you
seen Dr. Lawrence?

I think he's in the lounge.

Alright, hyperventilate him.

Call neurosurgery,
get an ICP monitor.

Great, then I'll check
the board, see what else is in.

'You track down his family.'

He's wearing a wedding ring.

He must have a wife.

Well, shouldn't
a nurse do that?

Only if you fail.

[sighs]

Elaine?

John.

‐ How are you feeling?
‐ Lighter.

Sorry, that was a stupid joke.

May I sit down?

Yeah.

I tried calling you.

Dr. Corday said
the tests are clear.

My cancer hasn't spread.

That's...that's great news.

Yeah, that's what
everybody says.

But you don't feel that way.

I don't know what I feel.

Well, I think that's..

...probably normal.

I think mo‐most people
probably‐‐

‐ John..
‐ Sorry.

I'll spare you
the platitudes.

You waiting for Dr. Corday?

Yeah, I'm, uh...early.

Well, maybe we can
get together later.

Go for a walk and get
a drink or talk.

‐ Talk?
‐ About anything.

Other than your surgery

and my miserable life
as an ER resident.

‐ And what would that leave?
‐ Sports.

[laughs]

Or music or art
or the Y2K thing.

Oh, yeah, the Y2K thing.

Yeah, I'm grasping
at straws here.

Yeah, I...see that.

But I'm not giving up.

Well..

I guess I'm..

Probably free at 7:00.

Mrs. Raybush, the parachute
accident was extremely serious

and he's‐he's in a coma.

Well, I think you need
to get here as soon as you can.

You're in Dallas?
Dallas. Right.

Um, of course,
a three‐hour flight.

I need to be
honest with you.

There's a good chance
he won't be able

to hold out that long.

I'm very sorry.

Excuse me?

You wanna dictate a message
and have it read to him?

Um, I don't think that's‐‐

Do it.

Of course I could do that,
Mrs. Raybush.

Yeah, I have a pen.

Dr. Greene, it's your dad.

Hey, dad, what is it?

Okay, go ahead.

He wants a replacement
cypress.

Well, that seems reasonable.

How much?

Well, I know it's
a 100‐year‐old tree, but..

Connie, who's that talking
to Dr. Lawrence?

It's the father
of the kid, Tommy Stevens.

Listen, dad, I gotta go.

Don't worry, we'll
work something out.

No, I'll call you later.

Yeah.. don't.. I will.
I'll call you later. Bye.

(Lawrence)
'Well, that's‐that's
a hell of a lousy excuse.'

(Mr. Stevens)
'I had to take on
extra projects.'

‐ We need the money.
‐ What?

‐ More than you need your son?
‐ No!

Hi, I'm Dr. Mark Greene.
Can I be of some help?

Yeah, you can get this
guy outta my face.

Hasn't even let me
see my son yet.

Tommy is in a very fragile state
right now, Mr. Stevens.

I'm not sure that it's good
for him to see‐‐

What the hell?
I‐I am his father.

Wh‐what, like, you mean like,
for an hour a day?

Okay, Dr. Lawrence,
Dr. Lawrence, just a minute.

Mr. Stevens, yes, as a father

you do have a right
to see your son.

Haleh, can you take Mr. Stevens

down to curtain area three?

‐ This way, sir.
‐ What was that all‐‐

Shows up and he, did you know

he just expects to waltz
right in there.

Yeah, and I think somebody
ought to give this guy‐‐

‐ That's not your job.
‐ The hell it isn't, man.

‐ You don't know the details.
‐ Yeah, I know enough.

(Meg)
And what‐what did you say
her name was?

Viola Simpson,
she said she was

glad you had
food experience.

And was she glad to hear
I was pregnant?

Well, glad's an overstatement

but she didn't seem to care.

Your appointment's at 5:30.

Oh, well, that gives
me plenty of time.

I can pick up the rest
of my stuff at Magoo's

and still get
home and‐and change.

Thanks, Mrs. Hathaway.

Oh, it's Carol,
and you're welcome.

‐ Let me know how it goes.
‐ Okay.

Hey, and stay off
those cigarettes.

Well, it's scout's honor.

No, no, not a retraction, really

just simply
the other side of the story.

Yeah. Well, think about it.

Elizabeth, you
wanted to talk?

Please.
Yes, thank you.

If it's not a bad time.

No, not if you don't mind
my scrubbing.

Not at all.

Has this mirror
always been there?

I believe it is a recent
rocket addition.

Whatever for?

One can only imagine.

God, I hate these caps.

I look like
a Yorkshire pudding.

‐ Elizabeth?
‐ Yes, um..

I did need to talk
to you, Donald.

I'm sorry to even
have to mention it.

Oh, don't apologize.

Someone has to do
the devil's work.

Well, I'm relieved
you see it that way.

And it is not easy
managing colleagues.

Yeah, I'm beginning
to realize that.

When I was doing
my rotten job

much of which
you've recently taken on

I always tried to get
to the core of the issue.

Right.

Ask yourself this.

Do you believe Peter Benton
is a good surgeon?

‐ Peter Benton?
‐ Mm‐hmm.

Yes, of course.
He's an excellent surgeon.

Ah, even better.
Now ask yourself this.

Should County have
excellent surgeons

working on its staff?

Absolutely.

Then don't you think
we should all want Peter

to practice surgery
whenever he can?

Yes.
I‐I do, actually, um..

I don't agree
with Dr. Romano.

You know, one thing
to keep in mind

in your new position..

...if you don't agree
with the dirty work..

...don't do it.

Hey, Maluc, I've got a gnarly
split kneecap in exam two.

‐ If you're interested.
‐ Ah, you're teasing me.

No, it's a disgusting mess,
your kinda case.

I'm sorry, but I got
a little reading to catch up on.

Sure, you do.

What happened?

He coded.

Dr. Benton called it.

Wait, you called it? Why?

That's usually what I do
when a patient dies.

Oh, man!

What the hell am I
supposed to do with this?

‐ This the four‐year‐old?
‐ Yeah.

Full arrest, bounce‐back
from this morning.

‐ 'I remember.'
‐ 'I couldn't wake her up.'

(Burke)
'Dr. Finch said
she' be okay.'

(Pamela)
'Found her in v‐fib,
unresponsive'

'to defibrillation times three.'

‐ 'Epi and lidocaine.'
‐ Connie, get Cleo.

She's been down
at least 30 minutes.

‐ Do something!
‐ 'We will, Mrs. Burke.'

'Everything we can.'

'Here we go, on my count.'

'One, two, three, gently.'

‐ What happened?
‐ 'Cardiac arrest at home.'

Did you see any problems
this morning?

No, I thought
it was gastroenteritis.

Hold compressions.
Check the rhythm.

‐ 'She's still in v‐fib.'
‐ Paddles. Charge to 30.

‐ Is she gonna be alright?
‐ Clear!

‐ Clear.
‐ 'Oh!'

Oh, my God!

Procainamide. 17 per kilo.

Could she have
ingested anything?

Just the Chinese food.
I already told Dr. Finch that.

What about drugs?
Antidepressants?

‐ Poisons, insecticides?
‐ No!

Gasoline, cleaning fluids,
bleach?

‐ Cleo, are you running this?
‐ Yes, charge to 50.

Think, Mrs. Burke,
we need to know, uh

iron tablets, detergent,
shoe polish‐‐

No, we keep vitamins
on the kitchen table.

Vitamins with iron?

‐ Yes.
‐ It's iron poisoning.

‐ Clear!
‐ 'Clear!'

‐ 'Oh, God!'
‐ She's asystole.

Pupils are fixed
and dilated.

High‐dose epi.

Connie, move her out.

No, no, no, I wanna stay.

‐ I wanna stay.
‐ Come on, dear.

[mumbling]

No, please..

It's alright.
It's alright.

(Yosh)
'Dr. Finch,
you want atropine?'

Do you want atropine,
Dr. Finch?

No.

We got a case number
from the coroner's office.

Then why don't you see
if you can track down

the family pediatrician?

The nurses can do that.

I wanna do it.

I'm sorry.

You know, there'll be an M&M

and...there could also be

medicolegal issues.

Do you mind if I
look over your notes?

The chart's on the counter.

Now, what was your
discharge impression?

Food poisoning..

...or a mild case
of gastroenteritis.

Okay, did you ask
about household poisons?

The mom said...the house
was childproofed.

‐ 'Prescription meds?'
‐ Out of reach.

Did you ask about iron?

No.

I'm not sure
I would have, either.

Okay, the chart looks good.

'Everything you did was
within the standard of care.'

Risk management
won't have a problem.

Is that it?

Cleo, you saw the child

in the second phase
of the overdose.

When she looked and felt
completely normal.

You did exactly what any
one of us would have done.

I should've asked.
Iron is on a differential.

‐ So are 200 other‐‐
‐ I should have asked.

You did everything you could.

No, I didn't.
She's dead.

Malucci, did you call Public
Health about that bat bite?

‐ Huh?
‐ The guy in exam three.

He's gonna need
a rabies series.

He‐he died on me.

The parachute guy.

He suffered
massive head injuries.

He didn't stand
much of a chance.

I wrote down everything
his wife wanted

to tell him on this box.

But he died before I had
a chance

to read it to him.

You took the message
more for her than for him.

Yeah, I guess.

Just feels weird
throwing it away now.

I know, she said some
really nice things.

‐ Private things.
‐ I've got a bad nosebleed.

‐ Can someone take him?
‐ If we had any beds.

Hey, why is that rhinitis
still in four?

(Connie)
'I don't know.
Ask Dr. Lawrence.'

Here, let me.
I think I know where he is.

I used to work all the time.

Hell, I even volunteered

for the shift at Christmas.

Didn't mean I didn't
love my kids.

Dads are like that.

How you feeling, Tommy?

Okay.

His blood gas is back.
Good PO2.

Good. Thanks.

Tommy's father had to leave.
Back to work.

There was a problem
at the site.

Were you able
to talk to Dr. DeRaad?

The shrink?

I know it's hard talking
to somebody you don't know

but they're here to, you know,
they're here to listen.

‐ 'I'm not crazy.'
‐ Oh, I didn't say that.

I just..

I know you think it's stupid.

But I love her.

'I mean,
I really love her.'

Who? Your girlfriend?

And she loved me.

And then suddenly, she didn't.

'How could somebody love you
that much and then just stop?'

When did she tell you
about this?

I didn't believe her
until this morning.

Lizzie, did you talk
with Anspaugh?

‐ Yes.
‐ And how did he take it?

He didn't. I didn't
discuss it with him.

What you didn't get
around to it or what?

I hope when you
offered me this position

you did it because
my surgical skills

aside, you trust my judgment.

‐ Naturally.
‐ Now.

If I'm here
to protect your interests

then I have to tell you

it's in your best interests

to keep Donald Anspaugh happy.

Not only is he a great asset

to the surgical staff
and to you

but he's also earned
special consideration.

Now, if this interferes
with your

tennis lessons
in any way, then I'm sorry‐‐

‐ I don't play tennis.
‐ Well, whatever.

The point is, if you wanna push

Donald out
you'll have‐‐

Whoa, whoa, whoa!

Who said anything
about pushing him out?

Well, I assumed this
is just the first step.

Lizzie, when you assume

you make an ass of you and me.

‐ What?
‐ Whatever. Look.

I‐I just wanted Fridays off.

I thought you could
talk to Donald about

the OR schedule, but
if you're not comfortable

doing that, I understand.

‐ Oh?
‐ Okay?

Yeah, that's alright, yeah.

‐ You're feeding it wrong.
‐ What?

Try folding it long ways

and then flip up the corners

and fold it flat.

Or you can just tell me
to mind my own business.

‐ Go ahead.
‐ No. I'm kidding.

I use quarters myself.

‐ What do you want?
‐ Uh, Coke.

Caffeine, the ER doc's
best friend.

Tommy went up to medicine.

DeRaad put him on a hold.

You don't have to fill me in.

I jumped to conclusions
with the dad.

I‐I wanted to help.

‐ Wanna sit down?
‐ Yeah, sure, thanks.

Well, kid's in trouble.

You know, you go
to the parents first.

The dad was still an ass
for going back to work.

Yeah.

You have a family?

A daughter.

What, are you divorced?

Get to see her a lot?

She lives in St. Louis.

You know, when I was,
when I was about your age..

...my son was brought
into the ER.

He‐he'd, uh,
he'd fallen out of a tree.

They patched him up
good as new.

And it wasn't till
later I realized

he had jumped out of the tree.

He wanted to come see me.

But that was then‐‐

Dr. Lawrence...uh,
Mr. Henderson

is on his way to the OR.

I just need you
to co‐sign this chart.

I can do that.

‐ Thanks for the coke.
‐ You bet.

Did you check
his second crit?

38s, um,
and the EKG was normal.

I reviewed the films with
radiology and you were right.

A comminuted tib‐fib

non‐displaced
calcaneal fracture

and the cystogram was normal.

Cystogram? Why did you
get a cystogram?

You ordered it when the urine
tested positive for blood.

He had microscopic hematuria.

‐ I ordered an IVP.
‐ No, you said cystogram.

I wouldn't order
a cystogram for 30 red cells.

You did.

Lucy, I've been treating
trauma patients for 30 years.

I think I know
what I ordered.

Get an IVP
before he goes up.

He's already on his way.

Then catch him and get him
into radiology.

He's not going to surgery
without an IVP.

Sutured the scalp lac in one,
alright? I'm out of here.

Did you sign out
your patients?

‐ Yep.
‐ Oh, hold on.

Forgot this.

(Mark)
'Hey, dad,
it's Mark.'

No. Nothing. I was just calling
to see how you're doing.

I'm sure it's a mistake.

See you, Mark.

‐ You taking off?
‐ Yeah.

I've gotta go home,
soak my feet..

...and the rest of my body.

‐ 'Carol?'
‐ Meg, how did it go?

‐ I screwed up.
‐ What happened?

I missed the interview,
I‐I thought you said 6:30

but it was 5:30
and I‐I blew it.

You know, it's not true.

I‐I couldn't
go through with it.

Why not?

No one wants to hire
a pregnant woman.

And I can't blame them.

I mean, why should I
waste their time?

It's not like I'm not gonna
quit in a month anyway.

Meg, stop.

We're gonna go there together
and work

something out, okay?

Okay.

Ben Sessa, six years old.

Two day history
of fever and vomiting.

‐ I'm off in 15 minutes.
‐ I got it.

‐ 'Pulse 140, BP 60.'
‐ What is it?

‐ Couldn't get an IV.
‐ Cleo, you don't have to.

‐ What is it?
‐ Altered with fever.

Could be sepsis,
maybe meningitis.

(Cleo)
'On my count.
One, two, three, lift.'

CBC, blood cultures,
chem panel.

'Okay, let's get
a line in this kid.'

He's dry as a bone.
Let's get a fluid bolus.

No response
to painful stimuli.

He's got no veins,
I can't get a draw.

Call surgery for a cut‐down.

I'll try a central line.

That's gonna be tough. His veins
are completely collapsed.

Prep the ankle. If I don't get
it, surgery can do the cut‐down.

Systolic's down to 50.
Pulse 145.

Okay, do it.
Cut‐down tray now.

Spike two liters of saline,
one at the ankle

and one at the head.

Pulse ox 92.

Got it.
Here's your blood.

Spin a crit
and get an accu‐check.

Stand by with saline,
I want a bolus

of 20 per kilo about 400CCs.

Run in a gram of ceftriaxone
and cath a urine.

I'm in. Let's go.

Dr. Weaver, I have
Robin Burke's pediatrician

on line two.

Cleo, you got this?

Yeah. I got this.

Send up a UA and culture.
After that, I'll do an LP.

Carter, do you
have a second?

Not really.

Did you hear Dr. Lawrence

order that cystogram
for Mr. Henderson?

No. Did he have
gross hematuria?

‐ No. Just microscopic.
‐ Then you don't need one.

That's what I thought
but he told me to order it.

You must have
heard him wrong.

No, he said cystogram.

Dr. Lawrence wouldn't
order a cystogram

for microscopic hematuria.

Right, it seemed
strange to me.

But I figured he knew
what he was doing.

He does know what he's doing.
You ordered the wrong test.

I'll see you tomorrow.

"I love you, Larry.
The girls love you.

"You have been the best husband,
the best father

"the love of our lives,
the light of our lives

"our true North.

"You can never leave us..

"...because you'll be
with us and in us.

We love you always."

So what did you
tell him?

That I spoke
to the adjuster

and they agreed to accept
the late payment.

Except they canceled
his policy.

Right.

So who pays
for the cypress tree?

You're looking at him.

[laughs]

The dutiful son.

Yeah, well, duty
comes at a price.

You're gonna have
to buy me dinner.

‐ Whatever you want.
‐ Well, good, 'cause I'm hungry.

What have you got there?

What have you got?

Mark, what is it?

Quit grabbing. Quit grabbing!

‐ I'm not gonna grab.
‐ Alright.

I got it framed
for your office.

You've just lost
dinner, mister.

‐ What?
‐ Hey, Dr. Lawrence.

Oh, please, it's Gabe.

‐ Are you off?
‐ Almost.

Uh, we're getting a bite to eat.
Care to join us?

No, thanks. I still have
some, you know, dictations and..

Well, we're just goin' across
the street to Doc Magoo's

if you change your mind.

‐ Right, thanks.
‐ Have a good night.

Yeah, you, too.
Good night.

(Greene)
'It's not everybody
who gets to be'

'on the front page
of the newspaper..'

[train chugging]

[instrumental music]