ER (1994–2009): Season 7, Episode 11 - Rock, Paper, Scissors - full transcript

Previously on "ER"..

I took two vicodin.

‐ 'Will you tell Weaver?'
‐ I can't.

I think you have to.

Then I thought that
we were really hitting it off.

You're straight and I'm not.

‐ Kynesha, who's this?
‐ This is Tiny.

I hate the thought of her
being in my house alone.

Now she's bringing friends over?

I'm sorry.
That won't happen again.

Peter, she's manipulating you.



'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.

Hello?

What?

Who is this?

Okay, tell me what happened.

‐ Who is it?
‐ Kynesha, slow down.

Hi, it's me.
What's wrong?

Did he put his hands on you?

Alright, where are you now?

What intersection?
Alright, no, no, no.

Just, uh,
just wait down there.



Yeah, yeah, I'll be down.

You're going?

She got into it with
somebody at the halfway house.

She got scared and took off.

Did she report it
to the manager?

I don't know. I guess there's
some kind of problem there too.

So where is she?

South Federal.

I thought that wasn't
a safe neighborhood.

It's all she knows, Cleo.

Peter, don't you think
that it's a little strange

that she waited until
4 o'clock in the morning

to call us?

Yeah, but what
do you want me to do?

Leave her out on the street?
It's ten degrees outside.

You're never going
to get rid of her.

‐ Hey.
‐ Mark, go to sleep.

‐ You feeling nauseous?
‐ No.

Have a bad dream?

Please, Mark

you've got to get your rest.

So do you.

You shouldn't be walking around.

‐ You could fall.
‐ Good thing you're a doctor.

How long have you been up?

I never went to sleep, really.

No point worrying about it.

There's nothing you can do.

Gordon didn't say anything else

any...any indication

why this meeting was so urgent?

Just that Patterson's
lawyers called it.

It's probably not bad.

‐ They wanna talk.
‐ Yeah, but what about?

You'll know soon enough.

'Hurry! Open up! Open up!'

‐ Hurry up!
‐ Kynesha, what the hell‐‐

‐ Go! Go! Go!
‐ 'Hey, hey, open up!'

Hey, hey, right here,
open up! Open up the door!

'Hey! You owe me, girl!'

Hey man, come on back here.
I'm gonna find you!

I'm gonna find you!

Kynesha, what the hell was that?

Just a bunch of fools,
used to be my friends.

I told them you a doctor.

Ain't nothing on this radio?

♪ ...Trash skidded up pampers ♪

♪ Looking like some old ♪

♪ Washed up exotic dancers.. ♪

I don't understand.
You don't like the food?

The room service guy's
seen all my pajamas.

So we'll just get up earlier.

Or we could
sleep in at my place.

Dr. Kovac, paramedics
are ten minutes out

with a ground‐level fall,
possible hip fracture.

‐ Can you take him?
‐ Yeah.

I guess you're having
breakfast alone.

John, how'd it go last night?

‐ With what?
‐ Weaver.

‐ Did you tell her?
‐ Right.

Uh, I think I'm gonna wait

until after my midyear
performance evaluation.

‐ When's that?
‐ Some time today.

You're procrastinating.

‐ You're nagging.
‐ No, I'm being your sponsor.

Which is different than being
my mother, don't you think?

Okay.

I've got Mr. Lambert
in Curtain Three

with fever and cough

Mr. Mohlsick in
Exam One with frostbite.

Carter, you've got an evaluation
at 11 o'clock in the lounge.

‐ Yes, ma'am.
‐ Don't be late.

So you want
Mrs. Furtado in chairs?

She has vaginal bleeding.

Yeah, she had it last month too.

It's called her period.
What else you got?

Oh, Roger Pularski's back.
He has abdominal pain.

‐ Oh, no, again?
‐ It's the cold snap.

‐ When it dips below 20.
‐ I know. Where is he?

Exam Two.

‐ Like a "Bishop" bishop?
‐ 'Yeah.'

I think he may
have confirmed me.

Whoa.

I started a line and
gave him four of morphine.

Sir, were you able to
get up after your fall?

That he tried,
but several of us had to help.

‐ I can speak for myself.
‐ Peripheral pulse is plus two.

I think you're supposed
to call him "Your Excellency."

"Bishop" is fine.

Alright, let's get him inside

and get him into a gown.

Alright. You have
a rear window in stock?

Great, great.
Alright, thanks.

That shower felt good.

Don't worry about the window.
I'll pay for it.

‐ With what?
‐ I don't know. Something.

You know what, Kynesha?

You need to learn how to
start respecting people.

‐ I respect you.
‐ I called the halfway house.

They said you started
a fight and then took off.

I hate that place. The lady
that runs it is a bitch.

Yeah, well,
that's where you live now

so you better try
to make it work.

Well, I'd rather live with you.

We've been over this. You
can't stay here indefinitely.

I could if you had
your own place.

Be a lot easier.

What do you think you're doing?

Depends.
What you want me to do?

Kynesha, you better..

‐ Where's she? At‐at work?
‐ Hey.

It's all good.

I'm too tired now, anyway.

Mr. Pularski,
you haven't stopped taking

your mellaril, have you?

‐ No.
‐ Okay.

How long has your
belly been bothering you?

A few days, but it's
definitely gotten worse

since I've been here.

He's afebrile.
BP's 180/70.

Blood pressure's a little high.

Are you upset, Mr. Pularski?

Depressed, mostly.

I haven't had intimate
contact in 11 years.

It takes its toll after a while.

Well, why don't we take
a look at your belly

and find out
what the problem is.

Oh, oh, for God's sake. Connie?

Mr. Pularski,
why do you do this to yourself?

I'm an only child, you know.

‐ Are those ours?
‐ Yeah.

Start a line,
draw a trauma panel

and set up the sonosite.

‐ Never did get married.
‐ 'You want a psych consult?'

‐ No.
‐ Put my career first.

Let's clear him
surgically first.

You wanna catch a movie later?

You didn't get
my message, I take it.

‐ No. Did something change?
‐ The meeting was canceled.

We took
a conference call instead

and agreed on
a settlement figure.

Does that mean
we've accepted guilt?

It means the hospital's
gonna take it in the shorts

to the tune of $1.5 million.

But our insurance will pay that.

And so will we,
with sky‐high premiums.

It could easily
have been much worse.

'Don't make it out like
we're getting off cheap.'

She didn't pay a dime.

There was a general recall

on the endoscopic
curettes that you used.

I don't remember having
any trouble with the curette.

'Nonetheless,
there was a recall.'

We also signed
a confidentiality agreement

keeping the details
of the suit private

so you can't speak
to anyone about it.

But there was nothing
faulty with the equipment.

Apparently there was.

And the manufacturer
has deeper pockets.

But that's wrong.

Look at it as a gift.

'We pay out the nose
and you get a little ding'

at the National Data Bank.

'How lucky is that?'

And then my parents went through
this whole charismatic phase

but‐but they're still pretty
Catholic, I mean, you know.

So, well, what religion do
they practice in your country?

‐ This is my country, Dave.
‐ That's not what I meant.

Smooth.

Excuse me. I need..

Fill out your name
and complaint.

No. I need a laxative.

Amira, why don't you get
an emesis basin for Miss..

'Never mind.'

I'm sorry, I'm sorry.

Okay, why don't you just
take a seat right over here?

‐ My stomach hurts.
‐ Thank you very much.

I just need to go to
the bathroom and I can't.

Hold on. Do you wanna
tell me your name?

‐ Anne.
‐ Anne, I'm Dr. Carter.

Has anything like this ever
happened to you before?

‐ It started on the plane.
‐ From where?

‐ Texas.
‐ You just flew in?

Did you eat anything unusual?

‐ Airplane food.
‐ Well, that could do it.

Why don't we get you in a room
and see if we can find out

what's going on with you.

Oh, my God! It's blood!

I'm gonna need
a little help over here!

Did you land on your side
or on your back?

On my keister.

Several small children
found it amusing.

We were quite worried.

Any tenderness here?

Not so much.

Joe, you're making me nervous.

Go get yourself a cup of coffee.

Please.

Last thing
I need is an entourage.

Any physical conditions
I should know about?

Osteoarthritis. Runs in the
family.

Are you currently
on any medications?

Tylenol.

And the occasional
glass of wine.

Where are you from?

You have an accent.

Croatia.

Ah.

Any numbness in this area?

No.

Do you have a primary care
doctor I should notify?

‐ He's playing golf in Arizona.
‐ Okay.

Someone will take you to X‐ray.

Would you like
anything for pain?

I have a high threshold.

Croatia is a very
Catholic country.

Yes.

Are you Catholic?

No.

That's it? That's all
you're going to tell me?

She got into a fight
at Creek side, took off

and went to hang out
with some friends.

So this whole "I was attacked"
was blown out of proportion?

A little.

Did you take her back
to the halfway house?

Uh, not yet.

Then where did you take her?

Well, she‐she needed
to take a shower.

Uh...Cleo,
it's just for the day.

That's what you said
when she stayed three weeks.

I'll handle it.

Small Mallory‐Weiss tear.

No active bleeding, though.

'Temperature's higher. 102.'

Ooh, wait.

Foreign body obstructing
the gastric outlet.

‐ Good call on the ultrasound.
‐ Okay, grasper.

Reminds me of one of
those big claw things

they have at the arcade.
What do you call them?

"Big claw things."

'What the heck is that?'

Got it.

Okay, slowly extracting.

BP's rising. 160/100.

Up.

Up.

And out.

'Pulse is 140,
BP's high. 240/100.'

Is that a condom?

Probably cocaine.

Uh, must've leaked.

I need phentolamine
and esmolol drips

50 grams of charcoal
and four of atavan

in case she seizes.

She's a drug mule.

Hey, Kerry, I just
heard that Roger Pularski

was treated for
a self‐inflicted injury?

Yeah, with a pair of our
suture scissors, no less.

You sent him home?

It was superficial

didn't breach the peritoneum.

Don't you think there should
have been a psych consult first?

Well, he's a frequent flyer

he has a new injury every week.

Could be part of
an accelerating pattern.

Look, he's never had
a serious suicide attempt.

Your department's
refused to admit him

on three separate occasions.

He tried to harm himself.
We're supposed to be called.

All he wanted was
food and company.

And frankly, I thought
you'd be grateful.

Kerry, I..

...I think that we should not
let what happened between us

interfere with patient care.

What?

‐ We're both professionals.
‐ Excuse me.

I‐I did what I thought
was medically appropriate.

And it had nothing
to do with the fact

that you've been avoiding me?

It doesn't and I haven't..

...but if you'd
like me to call you

every time someone
the least bit disturbed

comes into the ER,
you've got it.

Thank you.

Hey, where'd you
really fly in from?

South America?

Belize.

Well, you're lucky it
didn't pop at 35,000 feet.

You might have died.

Maybe that would
have been better.

Hey, you mind, uh, telling me
how you got into all this?

I was robbed.

They took everything

my money and my passport

my clothes

even my shoes.

So you decided to
smuggle drugs to get back?

I met this man.

He was very nice to me.
He said he would help.

All I had to do was stop here
in the United States for him.

But you knew
what he was asking you to do.

Well, I just wanted to go home.

That's all.
I wanted to go home.

That whole celibacy thing

was always the sticking
point for me, though.

Yeah, me too,
but I got over it.

Yeah, well..

Hey, Dr. Kovac, did you know
that St. Peter was married?

Anyway, I should get going.

It was nice talking
to you, Bishop Stewart.

Same here.

You have a lot of
degenerative changes

but no fracture.

There will be some bruising
but the worst of it

should be over in a few days.

‐ Yeah, I know the drill.
‐ You fall a lot?

Damned arthritis makes me wobbly

especially when it's cold.

Ever use a walker?

Now that would really cramp
my style, don't you think?

Might save your hips.

Last time I had a flare‐up,
my doctor put me on this IV.

Gave me some, uh

some kind of steroid.

‐ Solumedrol?
‐ That's it.

That stuff worked wonders.

You realize
it's a temporary fix?

I'll take
whatever I can get.

Just so it gets me
through the hard bits.

Okay.

I'll give you the solumedrol
if you promise to use a walker.

‐ What, are we negotiating?
‐ Not really.

Do you want the steroids?

I'll use a cane.

Yosh.

125 milligrams of solumedrol

for the bishop and order
a cane from central supply.

You've got it.

What was your confirmation name?

Mihael.

After the patron
saint of the sick.

How appropriate.

"On occasion, he has
questioned the decision‐making

of more senior physicians
in critical care settings."

Yeah, I have a more detailed
list, if you're interested.

Probably not.

Inter‐personal skills,
how you deal with patients

and staff, all excellent.

In fact, it's hard to
find fault with your work.

Really?

You've made
a remarkable comeback

'from a serious addiction'

and I think
I speak for everyone

when I say that
we're proud of you.

‐ Thank you.
‐ Good.

We're pretty jammed up out there

so unless there's anything
else you want to talk about

just sign
the bottom of the form.

Is there something
you want to talk about?

Sorry, multi‐victim trauma.
We're gonna need everybody.

Let's go.

Seven‐year‐old
hit in the crosswalk

by a pickup doing at least 30.

Complains of chest pain
and shortness of breath.

Tachy at 120. BP 90/60.

Hi, honey, can you
tell me your name?

Amy. Where's my mom?

‐ Next ambulance.
‐ Take a breath, Amy.

‐ Does your tummy hurt?
‐ No. Is my dad okay?

We'll find out as soon as we've
finished taking care of you.

Let's go, we need
a chest tube on the left.

Julie Hembree, 32 years old.

Chest and abdominal
pain on the right.

I thought
there were three patients.

Father was DOA at the scene.

Systolic of 80 in the field.
Up to 100 after a liter.

Where's Amy?
Where's my husband? Ah!

Sorry. Looks like
it might be a rib fracture.

Okay, she needs an ultrasound.

Let's get surgery down here.

Mandy, can you push
the cholecystectomy

to next week for me?

‐ Sure.
‐ These are lovely.

Glad you think so,
they're for you.

‐ From Dr. Greene?
‐ Yes.

OR. Hold on.

Dr. Corday,
they need you downstairs.

I'm on my way.

Should I put these
in your office?

Please.

Mr. Patterson,
what are you doing here?

Oh, I came to see you.

I'm afraid I've been called
to the emergency department.

‐ Well, I'll ride down with you.
‐ Okay.

Please allow me to say
that I feel terrible

about what's happened.

Which part?

Me being crippled or you
getting sued for malpractice?

My concern was for
your situation, not mine.

Yeah, it doesn't
really compare, does it?

Strange how it all comes
down to faulty equipment.

My lawyer tells me
I can't really blame you.

But I can't quite
forgive you, either.

Imagine I'll always
remember your face.

I wonder whether
you'll remember mine.

Dr. Corday!
Weaver needs that in Two.

‐ They need you right away!
‐ I'm really sorry.

‐ Yeah, go, go.
‐ I'm so sorry.

What is it, Connie?

Auto versus peds

mother and daughter.

‐ Any critical?
‐ The kid looks pretty bad.

‐ Where's Benton?
‐ I don't know.

What have we got?

Blunt chest,
hemopneumo on the left.

‐ Did you scan the belly?
‐ It seemed pretty benign.

‐ Where's ultrasound?
‐ Next door.

Why don't you just
examine her first?

'Where's my mom?'

Why don't we take
this collar off, Amy?

You'll feel a lot better.

‐ 'Okay, one percent with epi.'
‐ Sats are down to 82.

Put her up to 15 liters.

Ten blade.
How's the abdomen?

'Nontender,
but I can't clear her'

'until we have
an imaging study.'

‐ Ow, that hurts!
‐ Amy, it's okay.

Do you want to intubate?

No, let's wait
for the chest tube.

‐ Green zone on the Broselow.
‐ Okay, curved Kelly.

‐ I want my mom!
‐ Slow breaths, Amy.

Slow, deep breaths.

Pressure's down to 60.
She's bleeding out.

Okay, hang two units of
O‐neg on the rapid infuser.

We need to intubate now.
Let's premedicate with atropine.

Dr. Corday, Dr. Weaver
needs you right now.

'Okay, let's keep up
with the blood loss.'

Kerry, you need me?

Rebound and guarding
in the right upper quadrant.

Looks like a surgical belly.

Please, how is she..

...my daughter?

I'm afraid there's some
bleeding in the chest.

What does that mean?
Is she okay?

She's stable for right now,
but it is serious.

And what about my husband?

'Is he here too?'

Oh, God, no.

Hey, we don't know
anything for sure yet.

We've got a liver laceration.

You have some internal bleeding
from the abdominal injury.

Hey, we'll need to get you
up to the OR right away

so that we can
stop the bleeding.

‐ Type specifics up.
‐ Squeeze in two units.

Carter, call the OR,
tell them we're on our way.

Connie, get her upstairs.
Let's go.

Over a liter out on the left.

Get another two units of blood.

'Push the etomidate,
we need to tube her.'

No, wait. Just‐just bag her.

‐ Bring your patient in here.
‐ I'm red‐lining her to the OR.

Luka, we're hardly maintaining
pressure. What are you doing?

Her daughter
should see her first.

Please, I wanna see her.

This woman has a critical
liver laceration.

‐ How much blood do you have?
‐ Four units.

You'll be just fine.

Listen, her
systolic's down to 80!

Okay, get two pressure
bags for the blood.

'Push the etomidate,
then the sux.'

Amy? It's mommy.

You're gonna be alright.

'They're gonna
take me to surgery now'

but I'll see you
real soon, okay?

'She's out.
Five and a half tube.'

‐ Amy?
‐ 'That's it, we're going, now!'

'Cricoid pressure..'

Right there.
I'm in, bag her.

Okay, call X‐ray
for a portable chest.

Good breath sounds bilaterally.

‐ Pulse ox is up to 92.
‐ Set up a vent.

FI‐02 100%, rate of 20.

'Damn it!
Lost her pulse.'

‐ Starting compressions.
‐ Charge the paddles to 100.

And get another eight
units from the blood bank.

Keep pouring it in.

'Charged and ready.'

Clear!

‐ This the ex lap?
‐ Yes.

Still a little shocky
after five liters.

‐ Did you give FFP?
‐ Not yet.

‐ What are you waiting for?
‐ We were rather busy.

Any chance you'll be doing
an atrial‐caval shunt?

I won't know
until I open her up.

It would help if I knew
what you were plannin'.

Yes, well,
when I decide, I'll tell you.

Shirley, I think
Anspaugh's in the lounge.

Can you ask him to assist?

He's ready to go on
a fem‐pop in four.

Any other attending's around?

They're all scrubbed in.
It's just you on this one.

‐ Give another epi.
‐ Sats are down to 70.

Two more liters
out of the chest.

Okay, auto transfuse
and hang another two.

She's losing it faster
than we can give it.

‐ Okay, holding compressions.
‐ PEA, rate of 49.

Okay, set me up for
a pericardiocentesis.

‐ Take over here.
‐ You think she's in tamponade?

It's her last chance. We're
treating PEA.

‐ Give me the alligator clip.
‐ 'Hook it up to the V1 lead.'

‐ 'JVD's four centimeters.'
‐ 'She's still hypovolemic.'

‐ 'Bradying down to 40.'
‐ Watch for any injury current.

There, back off.

Anything in the pericardium?

Nothing. Resume compressions.

What's this?

‐ I called for a consult.
‐ I'm admitting her.

‐ Why?
‐ Danger to self.

Does the pound of cocaine
she swallowed figure into this?

It wasn't a pound
and we're not obligated

to report drug use
to the authorities.

But I'd imagine in
the case of drug smuggling

we'd make an exception.

She's not a dealer.
She's a kid.

She made a stupid mistake

and she almost
got herself killed.

Maybe, but she's not suicidal.

What's your problem, Kerry?

‐ What?
‐ She's 18 years old.

Could you excuse us, Dr. Carter?

Her going to prison
isn't going to, uh

benefit anybody.

Excuse us.

Don't you ever
talk to me like that

in front of a resident again.

I wouldn't have to
if you didn't insist

on interfering
with my admission.

‐ She's an ER case.
‐ Which I was called into.

I'm admitting her.

Agonal rhythm, rate of 29.

'Has she had two
doses of atropine?'

Fifteen minutes ago.

‐ What about thoracotomy?
‐ 'No.'

She had a fatal injury.

Probably tore her aorta.

That's it.

Asystole.

Call it.

Time of death, 1:47 P. M.

'Paramedics just
brought in another trauma.'

We need a doctor in here.

I've got it.

'Let me out of here.'

'I've gotta,
I've gotta go!'

'Let me...out!'

Kevin Poole, 42 and very drunk.

Under police pursuit until he
plowed into a concrete column.

Needed the "Jaws Of Life"
to pull him out.

His vitals are stable,
but he's a pain in the ass.

‐ Okay, settle down!
‐ Huh?

I'm Dr. Kovacs. We're going
to examine your injuries.

‐ I need you to stay calm.
‐ What injuries?

Ooh, lovely.

Why were the police chasing him?

Hit and run, took out
a whole family in a crosswalk.

‐ 'They come here or Mercy?'
‐ Here.

'I gotta, I gotta go!'

I gotta find my wallet.

We're gonna put
a tube in your nose.

You want me
to numb him up first?

No, just hold his head still.

Swallow, sir.

I can spray the back
of his throat.

Just keep swallowing.

Hey.

This is good?
What's wrong?

‐ You ain't hungry?
‐ Hi, Kynesha.

‐ Who's she?
‐ 'This is Adele Newman.'

‐ She's a social worker.
‐ Nice meeting you.

I thought you called me down
here, so I can be with you.

Kynesha, I'm trying to find you
a permanent place to live.

I have a husband
and wife in Riverside

'who are both African‐American'

and they have two other
foster children your age.

I thought you said
you cared about me.

I said I care about
what happens to you.

Yeah, right.

You're only doing
all this 'cause of Jesse.

‐ You think I don't know that?
‐ That's not true.

And I know that bitch
Cleo don't like me!

‐ Kynesha!
‐ I knew that from jump street.

Kynesha, you are
underage without any means

'to provide for yourself.'

'Now it's either foster care'

or becoming a ward of the state.

Which would you prefer?

Fine.

You don't want me, I'm gone.

‐ Kynesha! Kynesha!
‐ Just let me take it from here.

She's got a stage‐three
stellate fracture

into the deep parenchyma.

‐ More suction, Shirley.
‐ Canister's full.

Well, change it.

She's oozing all over the place.

‐ How about platelets?
‐ 'Already gave them.'

Well, you need to
correct her coagulopathy.

'PT and bleeding
time are normal.'

'It's your problem, not mine.'

Alright. Right.

I'm‐I'm gonna try and
pack the liver and get out.

'Okay, uh..'

...gel foam, Penrose. Come on.

BP's dropping, 90/60.

Dr. Corday, you have to
control the bleeding.

The injury is too extensive.

Maybe I can get caval control.

Um, um

Bovie, pickups.

I can't maintain her vitals
unless you get hemostasis.

‐ I know that!
‐ She's lost another liter.

Two more going
up on the infuser.

‐ Call. Call for six more.
‐ 'BP's still dropping.'

Heart rate up to 120.

'There's too much
blood in the field.'

I‐I can't isolate
the vena cava.

‐ She's bleeding out.
‐ Get Romano.

I don't know if he's available.

I said get Romano!
Get Benton! Get somebody!

Come on! More laps!

How's he doing?

Blood alcohol level
is .35, but he's stable.

You're under arrest
for vehicular

manslaughter, Mr. Poole.

‐ What?
‐ Your Morrison's pouch is dry.

Liver intact.

Three DUI's, revoked license

and the idiot still
gets behind the wheel.

Let me out of here, damn it!

Sir, you have to hold still.

His spleen looks good.

She said stop.

‐ Alright, what have we got?
‐ MVA with a lot of ETOH.

‐ And no free‐fluid?
‐ Hemocrit is 42.

Excellent.
Sir, does it hurt here?

‐ Who the hell are you?
‐ Okay, how about here?

Alright, some
periumbilical tenderness.

Okay, let's call
radiology, order a CT.

You think it's necessary?

Yeah, well,
it's hard to assess them

when they're drunk like this.

I like to be sure.

Hi, it's Abby in the ER.
Yeah, I can hold.

How'd it go?

The evaluation went very well.

‐ And?
‐ What?

‐ Forget it.
‐ Well, I didn't get a chance.

You interrupted
with the big trauma.

Forget it.

‐ Yeah, hello.
‐ What's going on?

Uh, sorry. Can you hold on?

‐ With what?
‐ With you and Carter.

Nothing.

You seemed like
you were fighting.

We were.

I would tell you,
but it's a privacy thing

his, not mine.

Oh.

Hi.

Yeah, Benton's on his way up
with a blunt abdominal trauma.

This better be good.

Liver fracture with
uncontrolled hemorrhage.

You called me out of a lunch

because you can't
tie off a liver?

BP's 80/40, pulse rate 120

ten units already in.

Shirley, set up the argon beam.

I tried to get caval
control, but I couldn't‐‐

Did you try
the Pringle maneuver?

You learned it in
grade school, Dr. Corday.

Ligate with 4‐O chromic

while I occlude
the hepatic artery.

‐ Get out.
‐ Argon's ready.

Alright.

'I'll coagulate the
parenchymal surface.'

'You tie off the vessels.'

‐ Robert‐‐
‐ Not now, Lizzie. Get to work.

I think it would be best
if you had another assistant.

Make yourself useful and sew.

Robert, I'm sorry, I can't stay.

I'll send in
a surgical resident.

'Where do you think
you're going?'

I'm sorry.

Lizzie, get your ass
over here now!

Damn it.

‐ Mark?
‐ Hey, Luka.

‐ Need some help?
‐ No, no, I'm fine, thank you.

So, what are you doing here?

Oh, radiation therapy,
every day for six weeks.

Elizabeth's
giving me a ride back

but she's stuck in surgery.

‐ Dr. Chen still out on leave?
‐ Yeah.

‐ You coming back to work soon?
‐ Uh, next week, I hope.

‐ Wow, fast recovery, huh?
‐ Yeah, speed of light.

I heard you were
doing immune therapy.

As soon as the tumor
vaccine's ready.

So everything okay around here?

Okay as ever. Don't worry.

I don't, honest.

Life's too short, you know?

I know.

So how are you, Luka?

The same.

‐ Good to see you.
‐ You too.

‐ Where is he?
‐ 'Who?'

‐ The bishop.
‐ I think he went to trauma one.

What for?

To give someone
their last rites.

Are you truly sorry
for all your sins?

‐ What happened?
‐ He crashed during CT.

There's a large
intra‐abdominal hemorrhage.

There's stranding
of the mesentery.

It's a slow leak
from a small artery.

I can't hear you.

'Blood bank is
sending two units.'

Alright, have them
crossmatch another six.

Pressure is 60.

Okay, put him in Trendelenburg.

'He needs a central line. Let's
get an eight French trauma kit.'

‐ 'Let's move.'
‐ Okay, prep for a subclavian.

‐ Sats down to 75.
‐ He's not moving any air.

Bag him. I'll intubate.

You should leave.

Don't go!

Okay, one of pavulon
and 100 of sux.

I need a sterile
drape in here, people.

Come on. Let's move!

‐ Hey, you taking off?
‐ Yeah.

I know a guy playing
in a blues club later

if you're interested.

No, I think
I'm just gonna go home.

Or maybe tomorrow.
He's gonna be here all week.

Hey!

I need to talk to you
about this Weaver thing.

Look, nothing really happened.

‐ I threw them up.
‐ Carter‐‐

I know I'm fine,
you know I'm fine

Weaver thinks I'm fine

so why give her
any reason not to?

I don't know.

Maybe you could take that
up with your next sponsor.

What?

I don't wanna be
your sponsor anymore.

Whoa, where's that coming from?

I care about you and
I care about your recovery

but I can't keep saying
the same things over and over

because it's hard enough
for me to do it for myself.

‐ You serious?
‐ Yeah.

Fine. I'll get another sponsor.

Okay.

I'll see you tomorrow.

Dr. Finch,
you lose your compass?

I'm here to see
Julie Hembree.

Oh, one lucky lady.

A Pringle maneuver,
courtesy of yours truly

kept her from bleeding out.

I thought Corday
did the surgery.

Mm, long story.

I'll tell you
over cocoa sometime.

She's all yours.

Mrs. Hembree?

You were one of
the doctors for my daughter.

Yes.

Is she alright?

Amy was hit in the chest
at a very high speed.

I know. I was there.

She needed help breathing,
so we intubated.

We gave her transfusions
to treat the blood loss

but despite all that,
her heart stopped beating.

No.

We used intravenous drugs

and shocked her
heart for an hour..

...but her injuries
were too severe.

‐ No.
‐ And she died.

No!

‐ I'm so sorry.
‐ No!

Ma'am..

...with the type
of injuries she had

and the massive blood loss..

‐ No!
‐ I'm sorry.

‐ No! No!
‐ Calm down. Calm down.

Just calm down.

I'm sorry.

'I'm gonna have
you take prednisone'

'for the next four days.'

‐ Bishop, our car is here.
‐ Thank you.

I'll be right there.

What happened to Kevin Poole?

The drunk?

He died on the table.

At least he found absolution.

You don't believe that.

He ran down a family
in the street.

The mother is
upstairs in surgery.

I see.

And does that make him any
the less worthy of salvation?

He was more afraid than sorry.

Yes, but he found God
in his final moments

and he asked for forgiveness.

So, uh, any fool
can get into heaven

if he's scared enough to say

he's sorry
right before he dies?

Dr. Kovac..

...everyone deserves to be
comforted in their darkest hour.

Too bad you weren't
there to comfort

the little girl he killed.

I didn't need to be.

God was there.

Was he?

You should arrange to
see your doctor this week

and use the cane for stability.

Okay.

Haleh, I am out of here.

‐ Goodnight, Dr. Weaver.
‐ Goodnight.

Hey, can I give you
a hand with those?

Uh...thank you.

‐ You going home?
‐ Yeah, shortly.

Hey, do you, uh,
have a minute to talk?

‐ Of course.
‐ In there?

Okay.

Look, if you're concerned
about what happened earlier

you don't need be.

I respect your
judgment enough‐‐

'A couple of weeks ago..'

...I took some vicodin out of
a patient's prescription bottle

and I swallowed them.

And then I went
into the bathroom

and I stuck my finger
down my throat.

Did you..

...successfully expel them?

Yes.

I don't know,
I don't know why I did it.

I really don't.

I just found myself..

...doing it.

Just thought you should know.

I appreciate you telling me.

I'll see you tomorrow, Carter.

What are you gonna do?

Give it some thought.

Meanwhile, keep
going to your meetings.

'I can't believe you waited.'

I thought you would
have taken a cab.

Well, I thought
you could use some company.

How's that?
Are you alright?

Yeah, you should've
seen me an hour ago.

I could've danced a jig.

How did the meeting go?

Oh, uh..

...oh, we settled,
rather cheaply..

...um, something
to do with a recall.

Great.

Shall we go out and celebrate?

Get a bite to eat?

What, with you like this?

Or we could just, uh..

...go home, take a nap.

I don't feel like
celebrating anyway.

You're off the hook.

‐ It's okay to be happy.
‐ I can't.

It was my fault, Mark.

Elizabeth, we're
not saints, okay?

We just try to get it
right as often as we can.

I don't wanna
talk about it, okay?

‐ Elizabeth.
‐ Mark, please.

You know what I noticed?

‐ What?
‐ Amy's shoes.

They were brand‐new.

When she woke up this morning,
she had no idea.

Yeah, it's always harder
when they're young.

Yeah, so what am I
doing in pedes?

You're good at it.

You know what I want tonight?

Climb into a hot bath

get in bed and be taken care of?

I won't hold you
to the last part.

Ah.

Oh, my God.

'Look what she did to my house.'

'It's okay.'

‐ I'll take care of it.
‐ No, it is not okay!

‐ Look at this!
‐ I know. Come here.

I'll take care of it.

‐ Hi.
‐ Oh, hi.

I was just about to leave,
if you want the table.

No, no, no, actually
I called your office

and they said you might be here.

I was hoping that we could talk.

I don't know, Kerry. We've
already talked a lot today.

Look, I know that
it's been tense between us

and I really
don't mean it to be.

I'm sure it'll pass.

Kim, I want you to know that
I respect you as a colleague.

Today notwithstanding.

I miss you.

Well, that'll pass too.

In a few weeks,
we'll just be friendly

coworkers all over again.

Yeah, I've been thinking..

...and I'm not sure
that's what I want.

‐ You have a goodnight, okay?
‐ Kim, please.

Look, I'd like you to stay.

Look..

...I know you might not
wanna hear this right now.

I know it's been rough..

...with everything..

...between us.

I'm not easy.

I haven't been there for you.

Not the way
you've been there for me.

I've never worked
at being with someone.

I've never even wanted to.

But I want to with you.

I love you.