ER (1994–2009): Season 7, Episode 10 - Piece of Mind - full transcript

(female narrator)
Previously on "ER."

‐ A brain tumor?
‐ It's a GBM.

The speech arrest that
you were experiencing

was probably the result
of a focal seizure.

'You'd lose all ability
to comprehend'

'interact with
the world around you.

I had a biopsy.

While the tumor's
adjacent to Broca's

it hasn't invaded yet.

We'll do an
awake craniotomy.

You'll be conscious
and talking



while I map out Broca's
and resect the tumor.

[car honking]

Don't you pull out,
you dumb ass.

I asked you a question.

I just don't want
to play anymore.

Oh, you think I like waking up
at 5:30 in the morning

for the past ten years
to drive you to a cold arena?

My toes are frozen,
my ass is numb

and that damn coffee machine

gives me heartburn
all freaking day.

Wake up, dad.
I'm not gonna make the NHL.

Not with that attitude.

'You wanna end up
working in a factory'

like me and your Uncle Don?



‐ No.
‐ You're damn right, you don't.

If you wanna good job,
you gotta go to college.

If you wanna go to college

you've gotta
get a scholarship.

I mean, you're
a bright kid and all

but you're not gonna
get a scholarship

'with those grades.'

Well, maybe my‐my
grades would be better

if I wasn't playing
hockey all the time.

Oh.

♪ Come come my lady ♪

♪ You're my butterfly
sugar baby ♪

♪ Come my lady you're my
pretty baby..♪

Dad!

It's okay, keep it.

Nice tip.

It's New Year's Eve.

He's gotta long day
ahead of him.

Sounds okay to me.

Drive around Manhattan

listen to the radio,
talk to people.

No brain surgery.

Ha‐ha‐ha,
very funny.

It's weird, you know,
I've sent a couple thousand

people to the OR.

‐ And?
‐ And, I've never been myself.

Oh, you're a virgin?

I still have my
appendix, my tonsils.

The only general anesthetic
I've ever gotten

was in the dentist's chair.

Oh, it's no different, really.

Ah, sure,
pull a tooth

have my skull
sawed open

it's pretty much
the same thing.

I mean the anesthesia.

Except for that part
where they wake me up.

At that point, you'll know
things are going well.

Yeah, right.

[cars honking]

Are you ready?

Let's do it.

[saw blade whirring]

(Malucci)
'Come on, we've gotta get
them out of there!'

No, take my dad.

We've gotta get you out,
to get to him.

Alright.

Blunt head trauma
and an open tib‐fib fracture.

‐ Dad, you okay?
‐ Uh, I don't know. You?

I think I'm‐I'm
hurt pretty bad.

(Malucci)
'Okay, easy..'

[groaning]

Paul?

That's good.

Paul!

'Hey, Paul, you hear me?'

How you doing, sir?

‐ What's wrong with my son?
‐ He's going to the hospital.

‐ What's your name?
‐ Uh, Dan Harris.

Can you tell me
what day it is, Mr. Harris?

‐ December 31st.
‐ 'That's good. Alright.'

Let's get a C‐collar.
I need another backboard here.

Paul!

Pupils, equal and reactive.

Okay, let's roll 'em!

[theme music]

[music continues]

[music continues]

‐ Did you pass out?
‐ 'I don't know.'

(Harris)
'It happened so fast.'

Are you in pain?

I think that airbag
gave my chest

a pretty good shot.

Give him another two
of morphine.

Dave, I didn't know
you were riding along.

Yeah, residency requirement

I've been putting it off.

I always thought you'd make
a good paramedic.

That's funny.

Dan Harris, auto
versus garbage truck.

Restrained passenger.

Air bags deployed.

I cleared his neck
on the ride.

My son, Paul Harris.
Did they bring him here?

Yeah, I think so.
We'll find out for you.

‐ Taking any medications?
‐ No.

‐ You got any drug allergies?
‐ No.

‐ This, the other MVA?
‐ Yeah. 46‐year‐old male.

Not really, no.
I don't think so.

Any past surgeries?

Uh, appendix when I was a kid.
Where's Paul?

That's his son.

Weaver's got him in Two.

Who's Weaver?

End of the line,
Mr. Harris, good luck.

‐ You're leaving?
‐ 'Yeah.'

(Malucci)
'Gotta save
some more lives.'

One, two, three.

Lets get a 12‐lead
and cut these clothes off.

Alright, C‐spine,
chest and pelvis

Trauma panel and a UA.

BP 130/92, pulse 116.

My wife just
bought those pants.

Have you ever been
in this hospital before?

(Harris)
'No, I haven't been in a
hospital since my son was born.'

Give me 20cc's of one percent
lido with bicarb.

Whoo, that's cold.

Who's your family doctor?

Ow! Ow!

Uh, Klizowski, uh,
Morgan Family Clinic.

What are you doing?

Putting a tube
in your chest

to re‐inflate your lung.

I got a collapsed lung?

It happens with
your type of injury

but you'll breathe easier
and feel better once it's in.

'Thora‐seal's ready.'

Is there anyone
we can notify?

Uh, my wife, Debra.

Alright.
28 French.

Do you have a number?

Uh, I can't remember.

I‐I got it on speed dial.

She lives, uh, she teaches at
Our Lady of Perpetual Hope.

Got an extra
Foley Kit in here?

A gram of Ancef,
100 of gent.

‐ Paul!
‐ Give me a large Kelly.

‐ Paul!
‐ Dad? Is that you?

Can you, can you
open that door?

I‐I need to see him.

‐ 'What are you doing?'
‐ This is the father.

I'm right here, son.

Irrigation saline,
sterile 4x4s.

‐ Oh!
‐ Dad?

Yeah, they...just stuck

a freaking tube
in my chest.

(Carter)
'I'm in, hook me up
to low suction.'

I'm okay, though.

Hey, you know,
your mom's gonna

really pissed off
about her truck.

I'm gonna tell her
you were driving, okay?

Hey, Cleo.

'I need some
Xeroform over here.'

Paul?

Don't be scared, Paul.

I'm not.

(Harris)
'Be strong, now.'

Be strong.

He's going to be okay, right?

Looks like a tough kid.

Yeah...he is.

You finished?

Yeah, I just need
you to sign this.

It's a power of attorney.

If something goes wrong.

If something
goes wrong, what?

No heroic measures.

No ventilators,
no feeding tubes

if there's no hope
of meaningful recovery.

You're going
to be fine, Mark.

Elizabeth, you're a surgeon,
you know that‐‐

That you're
going to be fine.

You don't want
the responsibility?

It's unnecessary.

I don't wanna
end up like that.

Now you're being dramatic.

So, if I end up in a
persistent vegetative state..

Fine.

Fine, give it to me.

What's in the Thora‐seal?

Um, minimal blood loss.

Oh, good, no hemothorax.

‐ Mr. Harris?
‐ 'Yes.'

I need you to sign
this consent

for medical treatment
for your son.

‐ Where is he?
‐ Radiology.

What's he doing there?

We had to get some
X‐rays of his leg.

He'll probably
need surgery.

Can't you just
put a cast on it?

‐ The bone penetrated the skin.
‐ Oh..

But there's
no joints involved

and it's mid‐shaft,
so it'll probably heal nicely.

Okay, Mr. Harris, I've gotta
take you for a head CT.

What's that?

Head CT, um, CAT scan.

It's a picture of your brain.

'It's pretty standard
after you hit your head'

'and lose consciousness.'

‐ Did you tell her yet?
‐ Who?

Weaver.

No, um...no.
Not yet.

But it's part of my
New Year's resolutions.

‐ Uh‐huh.
‐ No, really, it is.

You okay?

Am I bleeding?

No.

Then, I'm fine.

Did you call
the furnace guy?

‐ Yep, last week.
‐ Is he coming over?

You don't want
the pipes to freeze.

Larry let him in.

Who's Larry?

Larry Corbin,
the neighbor.

In the blue house?

No, in the brown,
actually.

Oh‐Oh!

I'm sorry.

No, no,
it's my fault.

Oh, damn.

You're gonna have to
put on scrubs anyway.

Scrubs?

You were planning
on coming in?

Uh, don't you think
Burke might object?

You're probably right.

It's gonna be pretty
crowded in there.

Mark, do you want me
to come in?

No, I'll be fine.

You go get cleaned up.

Well, I can finish this.

I'll be right back.

Okay.

[sighs]

I've never been
so claustrophobic before.

Happens to a lot of people.

Is everything alright?

Looks good but a radiologist

has to review the films.

Can I sit up?

Sure.

Let me know if you
get light‐headed.

And we contacted
the school.

They're trying
to reach Debra.

Oh, God, I hope she doesn't
get in a car accident

rushing over here.

'Hey, can we see Paul
before his operation?'

That depends on when
the orthopedic surgeon

can schedule the surgery.

Well, it's just
his leg, right?

No, he had
a head trauma.

Trauma, what do
you mean, trauma?

Well, he hit his head,
just like you did.

And he's stable now
but we observe

head injuries
very carefully.

You mean he could
be unstable?

I'm sure he'll be
fine, Mr. Harris.

Oh, gosh, she's gonna think
it's my fault again.

What?

Our first son
died of SIDS.

He'd be about 20 now.

I'm sorry.

Yeah, he was
three weeks old.

I'd sent my wife out,
you know, to...get some rest

for herself
for a couple of hours.

So baby had been up all night,
and finally fell asleep.

I must have dozed off myself.

So I didn't wake until
I heard her scream.

She had come home to find
Nathan had died in his crib.

Well, I mean, we didn't have
the baby monitors and stuff

like you do nowadays.

I mean, she didn't blame me

but I know..

I know that she thought
if she'd stayed home that night

he'd still be alive.

There was no way
you could have known.

Stick out your tongue.

Show me your teeth.

Repeat after me..

"Ready to rock and roll."

Ready to rock and roll.

And that we are.

So..

...you know the procedure,
you've had your meds.

Anything on your mind?

That's why I'm here.

You won't
see me in there

but, uh,
I'll be talking to you.

Good luck.

We don't need it,
but thank you, Mark.

[sighs]
Oh..

(male boy)
'So, what are you here for?'

I'm Leo.

I'm Mark.

What are you here for?

I got something
growing on my heart.

I'm not sure how
to say it right.

‐ Myxoma?
‐ No, but it sounds like that.

‐ Teratoma?
‐ How'd you know?

‐ 'I'm a doctor.'
‐ Yeah, right.

Doctors get sick, too,
you know.

I got something
growing on my brain.

What do they do for that?

Same as you.

Operate, take it out.

Does it hurt?

They told me
it wouldn't hurt.

You'll be asleep
the whole time.

And when you wake up

if you're sore,
they'll give you medicine.

This sucks.

It'll be over
before you know it.

Still sucks.

Yeah.

Yeah.

Is Trauma One
still open, Randi?

Not for long, blast injury
to the face coming in.

Some guy testing
Roman candles

for a New Year's Eve party.

Okay, I have
to park you here

until I find you
a new room

but I'll be right back.

Alright, thanks.

♪ And surely ye'll be ♪

♪ your pint stowp ♪

♪ And surely I'll be mine ♪

♪ We'll take a cup
o' kindness yet ♪

♪ For auld lang syne ♪

Happy New Year.

Okay, okay, Gordy,
back to bed.

(Weaver)
'Hey, Randi!'

'Randi, get Blue Beacon
on the phone.'

'They cannot deny authorization
for retinal artery occlusion.'

Excuse me.

I got a page
for a surgical consult.

The guy in Curtain Two
has a beeper up his rectum.

‐ 'What?'
‐ 'He has it on vibrate.'

He can't figure out how
he slipped it in there.

Ma'am..

Never underestimate
the elasticity

of the anal sphincter.

Excuse me, excuse me

You‐you're the doctor
who's taking care of my son

Paul Harris?

‐ The car accident?
‐ Yes.

Is he, uh,
is he alright?

They've arranged to have
him sent up to the OR.

(male #1)
'Yo, Dr. Weaver, we need you,
his sats are dropping.'

‐ To what?
‐ Seventy‐four.

He was getting sleepy
on the table

but now we can't wake him.

‐ 'Heart rate's down to 50.'
‐ Paul!

‐ You want atropine?
‐ Push a milligram.

‐ 'Rapid induction, 20..'
‐ Paul!

'Hundred of sux,
number eight ET tube.'

‐ Paul!
‐ 'Let's go.'

BP's 90/60.

‐ 'Bag him on 100%.'
‐ Paul!

‐ Call for a vent.
‐ Give me crichoid pressure.

‐ I'm in.
‐ 'Paul!'

Do you hear me,
be strong, Paul!

Don't quit!

Hey, Mr. Harris,
feeling any better?

‐ No.
‐ No?

You had a collapsed lung?

Blood bank's low.

Weaver wants
everybody to donate

before their shift's over.

I always do.

Oh, that's very generous
of you.

That, and I get drunk
for half as much

when I'm down a pint.

‐ Take it easy.
‐ Uh, yeah.

Good news, Mr. Harris,
your CT looks normal.

I know, but this‐this tube you
stuck in my chest is killing me.

Yeah?
Hey, Abby.

'Give Mr. Harris another
five of morphine.'

We're gonna admit you

and monitor you
for a day or two

and then we'll take
that tube out.

Okay, okay, listen, did you
find out anything at all?

Um, his oxygen level
was low for a while.

We're not sure why.

‐ Is that your son?
‐ Yes.

‐ What are his sats?
‐ 100 percent after intubation.

‐ GCS is ten.
‐ What‐what's that mean?

Um, it could be
a bruise to the brain

but we won't
know for sure

until after the scan.

‐ Well, when is that?
‐ Any minute now.

Mr. Harris?

Yes?

I'm Officer Darcy.
How you doin'?

Uh, well,
I've been better.

I have to write
an accident report.

Uh, can you tell me
what happened?

Well, I..

You know, I‐I‐I honestly
don't remember.

One minute I'm driving
the...car with my son

and then...next minute

the paramedics
are just dragging me out.

The guy came out of nowhere.

You failed to stop
for a red light.

I would never do that.

No, it wasn't my fault.

Several witnesses
say it was.

Guess it's too late
to change my mind now.

‐ Would you?
‐ No.

They took that kid
in for a teratoma resection

while you were gone.

He was pretty freaked out.

I'm sure they'll be
here soon.

Okay, time to go.

Okay, you need help?

Nope, I've got it.

You gonna go see a movie?

I'll be right outside.

Hey, your hands
are like ice.

Do you want a blanket?

Mark?
Mark, are you okay?

If I don't make it
through this‐‐

Sshh.
Don't talk like that.

If I don't make it

I left you
the life insurance.

It'll pay for the house
for you and the baby.

I'm sorry, Mark,
I can't go through here.

I love you, Elizabeth.

I love you, too.

You're going to be okay

and I'll see you
very, very soon.

[slow instrumental music]

Okay, Mr. Greene

I'm gonna lower
your head now.

Jesus, this is my
last guy, you done?

(Jesus)
'No, man, I gotta
pull a double.'

‐ Happy freaking New Year, huh?
‐ 'Tell me about it.'

[music continues]

[indistinct chattering]

Is all this for me?

Yep.

Slide on over
to the table for us.

Okay, Mark..

I'm Dr. Hammond,
your anesthesiologist.

You'll be looking at me

and talking to me throughout
the surgery, okay?

Okay.

(male #2)
'Then I'll switch to a
V‐1 for the bone flap.'

[indistinct chattering]

Excuse me, Dr. Burke?

Uh, you said you'd give
me a little something

to take the edge off.

Excuse me, Dr. Burke?

(Harris)
'So, what, it's a coma?'

It's not what you
think of as a coma.

He's having what we call
purposeful movements.

'And the CAT scan shows
there's no sign'

of hemorrhage
or skull fractures.

You know,
he's unconscious

but if you'd like
to talk to him

I'm pretty sure
he'll be able to hear you.

Hey, son.

It's time to wake up now.

You ready to go home?

Well, you gotta
open your eyes.

[sighs]

Every day I used to do this
to get him up for school.

Sometimes he'd fake it.

Till I tickled him.

Son.

Be strong, now.

[machine beeping]

Mark? Mark?
Hey, Mark?

Hey, Mark?

Mark?

‐ Breathe for me.
‐ 'Let's check the lapel line.'

‐ 'Testing, one, two, three.'
‐ How you doing, there?

Tell me your name.

M‐M..

Mark.

Mark what?

Mark Greene.

Hi, Mark, I'm Dr. Malcolm
from neurology.

How many fingers?

Can't see.

(Elisabeth)
'He needs his glasses.'

Elizabeth?

Elizabeth?

Fingers first, Mark.

How many?

‐ Three.
‐ 'Good.'

Elizabeth?

I thought you might
like some company.

Nice hat.

[chuckles]
Thanks.

Alright, Mark.

I'll be doing
the language testing

while Dr. Burke
maps the brain.

I have an itch.

Where?

Behind my knee.

‐ May I?
‐ Sure.

(Elisabeth)
'Left or right?'

Left.

Okay, Mark.

Name the months
of the year.

January, February

March, April..

Ah..

'That's it, a little lower.'

Uh, May, June, July..

Mr. Harris?

Mr. Harris.

Your wife is here.

Dan.

Debra.

What happened?

We got hit by a garbage truck.

OR's ready.

No, you said he'd
wake up on his own.

Yeah, the surgery
is for his leg.

We'll take him up
to the OR in a minute.

He looks so big
just lying here, doesn't he?

Remember, I used to hold him in
my hand and rock him to sleep?

Yeah.

You used to think I was
gonna drop him.

‐ 'Remember that?'
‐ Yup.

(Debra)
'Hey, Paul..'

Debra, I ran a red.

We were arguing about
him quitting hockey

and the music was really
loud like it always is and

I don't know, I must have,
missed the light change.

Honey, it was an accident.

Debra, I'm‐I'm sorry.

[groaning]

Mr. Harris.
You alright?

I think this tube is
getting my chest again.

Okay, maybe we should
get you back to bed.

No, I want to stay here
with my son.

Malik. I think you'll
feel more comfortable

if you're lying down.

No, I want to
stay here, damn it.

‐ How's your breathing?
‐ Debra.

‐ Okay, having any chest pain?
‐ Yeah, a little.

Yeah, he needs a 12 lead!

Turn him up to ten liters.
Let's get a BP.

‐ Debra, I'm sorry, honey!
‐ Give him a nitro spray.

'If his systolic is over 100.'

(Mark)
'Trumpet.'

'Hammer.'

'Dolphin.'

Guitar.

Tent.

Pachyderm.

Another name for this one?

El‐e‐phant.

It's Dr. Burke, Mark.

You're doing great, we're
mapping out Broca's, just fine.

Glad to hear it.

Four milliamps, please?

Catapult.

'Thermometer.'

[machine beeping]

[slurring his words]
Bull‐dozer..

Hesitation on that one.

Got it.

[machine beeps]

Window.

Hesitation again.

'Try to read
the card, Mark.'

How you doing
there, Mark?

'Mark?'

My...thumb..

He's diaphoretic.

I don't...good.

Elizabeth..

[machine beeping]

‐ He's seizing.
‐ Oh, my God.

(Burke)
'Cool saline, please.'

‐ 'Sats are 92.'
‐ 'What's happening?'

(male #3)
'The electronic stimulation
induced a seizure.'

'Dousing the brain with saline
should cool it down.'

Mark, you said you were gonna be
home at 5 o'clock.

‐ Mark!
‐ Now it's 9 o'clock.

‐ 'Give him some Ativan.'
‐ 'We can't sedate him.'

Or he won't be able to talk.
We'll cancel the surgery.

‐ Try a little propofol.
‐ Well, what else can you do?

Give it a minute.

(male #3)
'More irrigation, please.'

‐ 'We're too severe.'
‐ Mark? Mark!

‐ 'He's post‐ictal.'
‐ 'What now?'

(male #3)
'I can't resect the tumor
until he's awake and alert.'

Mark! Mark, it's Elizabeth.

'Wake up!'

(female #1)
'Mark, come on home!'

(Elizabeth)
'Mark, we need you
to talk to us.'

Mark!

[coughing]

That's a good gag
with the scope.

He might be lightening up.

Mark?

Come on, Mark.

Come on, buddy,
try and wake up.

Mark! Mark!

Ah, no response
to painful stimuli.

'His eyes are open,
but he's out of it.'

‐ 'How long since the seizure?'
‐ Half an hour.

Still no significant
change in GCS.

Well, maybe we should
just close up

and come back in a few days.

In a few days? You've just
opened his skull.

(Mark)
'Hey.'

What's...what's going
on out there?

You had a seizure
during mapping, Mark.

'We had to wait.'

I'm okay.

Keep going.

You heard the man.

‐ Dr. Malcolm?
‐ 'Okay, Mark .'

Name things that start
with the letter "B."

Baseball.

'Broccoli.'

'Brazil.'

'Bamboo.'

'Burke.'

'Brain.'

Broca's.

You okay?

Fine.

How are you feeling?

Okay.

I'm sleepy.

Excuse me.

Uh, come on, now, Mark.

'Things that begin with "B."'

Uh...baby.

'Boy.'

So you think we're gonna
have a boy, do you?

Just a hunch.

We could find out,
if you like.

Let's...let's wait, see.

Well, then, we have to argue
about boy and girl names.

What about...Jesus?

"Jesus?"

That's Jesus...
Jesus Greene.

I'm sorry, Mark, but I need you
to work with me here.

More B's.

Okay.

Bobby.

Bill.

Bradley.

Bubba.

(Carter)
'Any more pain, Mr. Harris?'

Not since you put
that stuff under my tongue.

MVA with pneumothorax.

He had some
chest pain but responded

very nicely to the nitro.
I'm going off duty.

'Dr. Kovac, here is gonna
continue to manage your care.'

(Kovac)
'He flipped his T‐waves
in the anterior leads'

waiting for a tele‐bed.

Is that bad?

You could be at risk
for a heart attack.

We need to admit you
for observation.

Uh, did they start his surgery?
My son.

You know, they took him
to the operating room

to operate on his leg, but
nobody's told me how he's doing.

Dr. Kovac can find
that out for you.

Good luck, Mr. Harris.

Happy New Year.

Were you having chest pain
before your collision?

No, I don't, I don't
remember anything.

Did you pass out?

What do you mean?

With angina, you can get
an irregular heartbeat.

And that can cause
you to pass out?

Yeah, because your heart
doesn't pump enough blood

to your brain.

What, could that
have caused my accident?

It happens a lot.

[Dan groaning]

So, it wasn't my fault?

‐ What?
‐ The accident.

Probably not.

[groaning]
Oh, I gotta talk to my wife.

Does your chest hurt?

Oh, like a son‐of‐a‐bitch.

Malik, I need some help here!

Pressure's down
to 80 systolic.

ST elevation
on the monitor.

Mix up the dopamine.
He's having an MI.

‐ What's an MI?
‐ A heart attack.

‐ Oh, Jesus!
‐ We gotta go the cath lab now.

What are you
going to do there?

You've got a blocked
artery on your heart.

‐ We need to open it up.
‐ Hold on for a second.

I gotta talk to my wife.
Wait, wait!

Dr. Burke.

He's awake.

Hey, Mark.

‐ Do you know where you are?
‐ Hospital.

That's right.
You're in recovery.

What's the date?

New Year's Eve.

And who's that?

I've never seen her
before in my life.

[chuckles]

She's pretty darn cute.

Hold out your hands.

Wiggle your fingers.

Now wiggle your toes.

Very good.

How did it go?

Fantastic.

Resected the tumor
with clean margins.

'Chemotherapy wafers are in.'

You see, you made it.

I told you.

Now get some rest,
both of you.

I'll be back in an hour,
for a neuro check.

Do you remember anything?

Something about the baby.

We discussed a boy's name.

We're gonna have a boy.

(Harris)
'God, it feels like someone
parked a Volvo on my chest.'

‐ 'He's still throwing PVC's.'
‐ 'Could be his chest tube.'

I'll try to reposition.

I need to talk to my wife.

I'll explain what happened.
Just relax.

Oh, God.

Me and my son had to...
be arguing when this happened.

‐ How old is he?
‐ Fifteen.

Part of being that age.

He needs your support the most
when he wants it the least.

‐ You a dad?
‐ No.

Mrs. Harris would
like to come in.

For a minute.

You look like a nurse.

Paul's awake.

Is he okay?

Yeah, they, they
took the tube out

and he's breathing
on his own and..

Well, he's asking
for a cheeseburger.

Oh, God.

Thank you.

Hey, honey?

What happened?
You okay?

I gotta blocked artery

on my heart.

I guess those sliders
finally caught up with me.

Yeah.

Well, the docs figure
that the blockage

made me pass out this morning.

That's what
caused the accident.

Oh, God...I'm..

I'm really sorry
about downstairs.

I just..
He was lying there and uh‐‐

And you thought
I did it again.

Dan, stop.

Okay, I think it's time
for visiting hours to end.

Mrs. Harris.

Tell Paul I'll see
him in a bit.

You better.

I'm going on break, Dr. Corday.

Can I bring you back
a frozen yogurt or something?

No, thanks,
I'm fine, Terry.

I have to go now,
I'm late.

Hey, it's good to see you still
have your sense of humor.

I suppose that's
a good sign.

Mark? Mark!

I left the oven on.

He's off the monitor.

I know, I know.

He's altered.

Now, where are my car keys?

Can you give him
some valium?

I don't have
an order for that.

Lie back down,
Dr. Greene.

No, not the lasagna,
it's gonna burn.

Look, he needs sedation
and a stat head CT.

No, I need to
leave right now.

I can't take
your orders, doctor.

You're not on
the medical staff.

He could have an epidural bleed.
Get Dr. Burke.

He's called to
an emergency consult.

What do you think this is?

What's going on?

Trauma patient had
a coronary thrombosis.

Yeah?
Why wasn't I consulted?

‐ Cardiology is handling it.
‐ Yeah, I can see that.

What about our glycoprotein
2B3A inhibitor study?

He didn't meet
the criteria.

[sarcastic chuckle]

I decide who meets
the criteria.

What? You mean I didn't
have to have this?

If you'd been on
a low‐fat diet you wouldn't

have to have any of this.

‐ Damn it!
‐ What's wrong?

There's a dissection
in the left vein.

‐ Nice work, Jack.
‐ What?

What's wrong?
What's happening?

The catheter made a small tear
in your blood vessel.

What?

He's dropping his pressure.
Multifocal PVC's.

(male #3)
'Hundred of lidocaine.'

Well, looks like he's
a surgical patient now.

Up the dopamine to 20 mics.
Notify the OR.

Wh‐wh‐what's wrong?

You've had a complication.

The only way to save your heart
now is with bypass surgery.

‐ Open heart surgery?
‐ Yup.

‐ When?
‐ Right now.

(Harris)
'Wait, can't we
talk about this?'

[coughing]

Hey, Mark.

You had us a
little worried.

No, no sign of
post‐op bleeding.

But the steroids made
you a little crazy.

What did I say?

I've heard much worse.

Look, I'll check on
you in a little bit.

Call me if you
need me, okay?

Mark, I'll be right back,
alright?

Dr. Burke?

[machines beeping]

[instrumental music]

Hey.

Hey.

Hey.

Pressure's down to 70.
Dr. Karis?

Put him in Trendelenburg.
Squeeze in two units.

‐ 'Get me a staple remover.'
‐ 'A liter out of the chest.'

Get him off the vent.
Bag him at a 100 percent.

Tell the blood bank
we need another six.

'Splash him with Betadine.'

'Open a thoracotomy tray.'

‐ 'Wire cutters.'
‐ 'He's tachy at 130 .'

'Ready for rib spreaders.'

[instrumental music]

'He's ruptured his
aortic trunk.'

'Side biting clamp.'

I'll see you in recovery.

You're not coming with me?

No, you're with
the surgical team now.

Say goodbye to Dr. Kovac.

Good luck.

I don't want surgery.

‐ You don't have a choice.
‐ What about a second opinion?

You could get that,
but uh, you'd be dead

before another doctor
could examine you.

Alright, let's move, people!
We got no time!

I want to be cutting
in five minutes!

(female #2)
'Okay, we're gonna
scoot you over now.'

'Ready, and..'

...lift.

[grunting]

Mr. Harris,
I'm Dr. Babcock.

The anesthesiologist.

Are you allergic
to any drugs?

Uh, no.

Are you taking
any medications?

Just the stuff
they gave me today.

‐ 'What's he on, Shirley?'
‐ 'Dopamine, lidocaine.

(Babcock)
'Ever have a bad reaction
to an anesthetic?'

‐ 'Mr. Harris?'
‐ No!

(Romano)
'Why the hell isn't
this guy under?'

(Babcock)
'I had to throw in
an art line.'

Alright, gown me.

You're the guy
in the emergency room.

‐ 'Dr. Benton does it all.'
‐ You were in a collision.

‐ You came in with your son.
‐ Yeah.

Mr. Harris, you're going
to go to sleep now.

No, wait, wait.

Wait, I gotta bad
feeling about this.

‐ Pump primed and ready to go?
‐ 'All set.'

No, no, I‐I'm not
gonna make it.

‐ I know it.
‐ You'll make it.

No, you've gotta tell
my son something for me.

You can tell him yourself
after the operation.

Not if we don't get
in there soon.

(Harris)
'Uh, please tell him
that I love him.'

and that I'm very
proud of him..

(Benton)
'Alright, let's tube him.'

Okay, let's go!
The clock's ticking.

His heart isn't.

(Burke)
'Okay, Mark, follow my
finger with your eyes.'

(Elizabeth)
'Mark, follow his finger.'

‐ 'Mrs. Street?'
‐ Sorry.

(Terry)
'They'll call you
with the updates.'

(Street)
'Oh...okay.'

Now, what were the three things
I asked you to remember?

Huh?

The three items?
Remember?

Um..

Giraffe, beach ball..

...123 Main Street.

Three for three.

Do you know what
happened to him?

‐ Who?
‐ The heart kid.

Uh, they got him
to the OR.

It's touch and go.

I gonna have somebody
from psychiatry

come down
and talk to you.

‐ No, thanks.
‐ No.

I recommend it
to all my patients.

Depression suppresses
the immune system.

It can hinder recovery.

Don't need a therapist.

Could get this Foley out.

Well, if you have
urinary retention‐‐

Nurse could throw
another one in.

Mark.

The sooner I get it out.

The sooner I can walk.

The sooner I can walk,
the sooner I get out of here.

No offense.

Okay, I'll take out
the Foley.

Bathroom privileges?

Only if somebody
walks you.

You're a lucky guy, Mark.

There has never been

a more successful treatment
for your tumor.

'If you believe that'

and mobilize
your inner resources

you're going to survive.

Time of death...20:48.

He didn't make it.

No.

But I did.

Yeah.

You fixed my heart.

Yep.

I didn't even know
I had a heart problem.

'That car accident
saved my life.'

You never heard
of a yearly checkup?

‐ Hey, son.
‐ You okay?

Yeah, I feel like
I got hit by a truck...again.

Did you sleep well?

Yeah, except when you
were yapping in my ear

asking me to wake up.

‐ I notice you didn't listen.
‐ I was in a coma.

You know,
you always got an excuse.

(Harris)
'Hey, son.'

'I guess this means, uh..'

...you're not gonna play hockey
any more this year, huh?

Well they said the cast will be
off in six to eight weeks.

Oh, your leg's broken.
It's weak. Let it heal.

Well, I mean,
I'll be doing physiotherapy.

Maybe we can start running
together or something.

Are you trying to give me
another heart attack?

(Paul)
'You gave me a scare, dad.'

You, too.

(male reporter on TV)
'We're under a minute, Dick.'

'And times square
is raring to go.'

Some rockin'
New Year's Eve, huh?

It'll do.

[groaning]

When are they gonna come
take this damn Foley out?

It's been over three hours
since he put in the order.

Well, I think she's busy
with another patient.

I can't wait any longer.
I gotta pee.

Then go.

Mark.

Come on,
you know how to do it.

I can't believe
I'm doing this.

[relieved groaning]

I don't think I can order those
for a patient ever again.

Are you sure
you're up to this?

Nature calls.

‐ Ahh.
‐ Easy.

I got it.

You're not supposed to do this
on your own, you know?

[groaning]

Once I get in there..

...can I stand on my own?

No.
You can sit.

[chuckles]

Okay.
Let me try.

Alright.

‐ Ooh..
‐ See?

It's not a race.
Just be careful.

Okay.
Small steps.

Mm‐hmm.

I know.
Small steps.

[fireworks bursting]

That's it.
See, you're doing it.

[theme music]

[music continues]