ER (1994–2009): Season 7, Episode 12 - Surrender - full transcript

[theme music]

(male narrator)
Previously on "ER."

I feel terrible
about what's happened.

Which part?

Me being crippled

or you getting sued
for malpractice?

I took some Vicodin

out of a patient's
prescription bottle

and I swallowed them.

Did you successfully expel them?

Yes.



You coming back
to work soon?

Uh, next week, I hope.

I heard you're doing
immune therapy.

As soon as the
tumor vaccine's ready.

I'm sorry, I can't stay.

I'll send in a surgical
resident.

(Robert)
'Where do you think
you're going?'

‐ I'm sorry.
‐ Lizzie, get over here now!

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

and I really don't
mean it to be.

In a few weeks
we'll just be friendly

co‐workers all over again.

No, I'm not sure
that's what I want.

(Kim)
'Kerry, I'm gonna put a fresh
towel on the sink for you.'



Okay, thank you.

'What time does
your shift start?'

Uh...9:00.

'Oh, yeah, you
better hurry up.'

[giggling]
'Do you want some coffee?'

Sure. Thanks.

'Okay.'

‐ That looks good on you.
‐ What?

‐ My blouse.
‐ Oh, yeah.

‐ It's not too long?
‐ No.

It's a good thing I have
a 40‐gallon water heater.

‐ What?
‐ You take long showers.

‐ I'm sorry.
‐ 'No, no. So do I.'

'Sometimes, I have
to stand under there'

for 20 minutes
just to wake up

when it's cold.

'Especially in winter.'

‐ Is it cold outside?
‐ Low 20s.

‐ 'Do you want a bagel?'
‐ No, thanks.

You know, I've got to..
I'll get something at work.

‐ You okay?
‐ Yeah, I got it, I got it.

No, I meant about us.

First time
can be a little..

No, it's just..

It's just different.

That's true.

‐ But good.
‐ Really?

Yeah.

I'll see you at work.

‐ Yeah.
‐ Okay.

‐ I'll see you later.
‐ Hmm.

Hey, um..

I'm sorry, but I‐I know this
is understood, but I just..

This is just going
to be between us, right?

Of course.

I'll get the door.

Open a GAI‐50 and a TA‐55
on the resection.

'No need, Peter.'

‐ I gave it to Henderson.
‐ What?

Page us if the CAT scan
shows free air.

Come on, let's go.

‐ Where we going?
‐ I got a chore for you.

You know what?
I'm a little busy.

Yeah, so am I.
Let's go.

So, Peter...how is this

per diem situation
working out for you?

Could be a lot better.

‐ Really? What's the problem?
‐ Where are we going?

Are you dissatisfied
in some way?

Besides being
grossly underpaid?

Ah, well, would a
$10,000 a year raise

and a limited benefit
package help?

‐ What?
‐ Okay, let's make it $20,000.

But that's my final offer
and you'll have to take on

some administrative
responsibilities.

‐ You're serious.
‐ Yeah, yeah.

Look, you've been, uh,
you've been doing your penance.

You've been working hard,
displaying dedication

and an appropriate
amount of groveling.

I'd have to be
a complete sadist

if I didn't ease
up eventually.

What do I have to do?

A little of this,
a little of that.

Won't take you more
than a few hours a month.

What's in it for you?

Alright, fine.
Forget it.

‐ Go back to surgery.
‐ Hey, I'm just asking.

No look, do you want
the bump or don't you?

Sure.

So, we have a deal?

Yeah.

Okay, let's go.

This way please.

Sorry for the
delay, everybody.

'Dr. Benton had to finish'

'a complicated
pancreaticoduodenectomy'

on a gunshot wound
to the abdomen.

Come on in, Peter.
Don't be shy.

'Come on, come on.'

[indistinct chattering]

Okay, now, as you are all aware,
we at the County level

are very concerned
about the declining numbers

of minority medical school
students and faculty physicians.

Not only here in Chicago,
but nationwide.

The medical school is committed
to addressing this issue.

'And as part of that commitment,
I am appointing'

a director of diversity
for the medical center.

Dr. Peter Benton.

Dr. Benton's bio and resume

can be found in your
handout materials.

So, he's all yours.

(female #1)
'Dr. Benton, is
your appointment'

'the direct result of the
"Trip's investigative report"'

'about the declining numbers'

of African‐Americans being
admitted to medical school?

[cameras clicking]

I, uh..

Uh..

Well, I mean, you know,
it, uh..

...it could be a part of it.

How can you insure
minority representation

'at the medical school in this
post‐affirmative action era?'

[coughing]

[theme music]

‐ 'Is he drinking?'
‐ 'Just water.'

'He had a little rice
three days ago.'

Did you start an IV?

We can't give him
intravenous fluids

without a court order.

Call Dr. Samson.

Dr. Samson doesn't
work here anymore.

What?

Dr. Miller treats
your cousin now.

Fine. Call him.

That's probably not necessary
now that you're here.

Why is that?

I think he's
just lonely.

Can you get me a, uh..

...a protein shake,
or something?

Mm.

Hey, Chase.

It's John.

Mind if I sit down?

Hey, I'm, uh, sorry
that I haven't been

around here very much.

I've been busy.

For a year?

You're right.

You're right,
that's not an excuse.

Hey, your speech
sounds good.

You been, uh..

...getting around much?

No.

(female #2)
'Here you go.'

You know, you've got
to eat something, Chase.

‐ Nope.
‐ Why not? What's the matter?

Come on, just
take a sip.

‐ No.
‐ Just take a little sip.

No!

Maybe later.

Go away.

Okay, let me know
if this hurts.

‐ Ow! Hell, yes!
‐ Wuss.

You want another beating?
Keep talking.

I'm sitting
right here.

This is his sparring
partner, Walter.

Lip lac and a
possible broken jaw.

Aren't you guys too
old to be fighting?

Never too old to defend
a lady's honor.

Is this over
a woman?

"Grace is in
all her steps.

"Beauty in
her eyes.

In every gesture,
dignity and love."

Yeah, don't let
him fool you.

He stole that
from a book.

At least I know
how to read.

Yeah, with your
lips moving.

‐ Lip?
‐ Okay, okay, okay.

Let's start with,
uh, 6‐0 nylon.

And let's try and keep
these kids apart, shall we?

(Kerry)
'Hey, Mark?'

‐ Morning, Kerry.
‐ How's it going?

Uh, well, snow blower blew
a rock into a guy's larynx.

I had to trach him.

No, I meant with you,
you know, first day back.

‐ So far, so good.
‐ Good.

I'll let you know at the
end of my four hours.

You getting a little
backed up?

Three patients waiting
for a surgical consult.

Who's on the service?

Peter, but she's stuck
in a press conference.

‐ Who?
‐ Peter.

She's been in for an hour.

‐ Who's "she?"
‐ What?

Wait, I mean, I mean,
who's giving a press conference?

Oh, I don't know
what it's for.

But I heard
Peter's in it.

‐ 'Kerry.'
‐ Yep.

'Can you call radiology?'

'They sent this guy back
without his films.'

'And they won't
chase them down.'

Is there any
bone exposed?

Yeah, I have to rongeur it.
And I need the X‐ray.

How did it happen?

I don't know,
they just lost it.

No, the finger?

I don't know.
He won't say.

‐ Um, habla usted Ingles?
‐ No.

Chuny already tried.

‐ Como se corto el dedo?
‐ Fue un accidente.

(Luka)
'Looks like
some kind of saw.'

Con que se corto?

Me corte en el trabajo.

What did he say?

Donde trabaja?

'Donde?'

Told you.

‐ Did someone bring him in?
‐ 'I think he took a cab.'

What cab company?

‐ Nobody saw him arrive?
‐ Malik was out there. Why?

Okay, we should
put a call in to OSHA.

OSHA?

They monitor

workplace
safety requirements.

He's probably illegal and
he isn't saying anything

because he doesn't
want to lose his job.

That's his choice,
isn't it?

Until someone
gets seriously hurt.

I'll call, find out
where they picked him up.

I just need you
to call radiology.

I gave you a promotion.
What are you crying about?

You should have talked
it over with me first.

I did talk to
you about it.

I said a little extra money
for added responsibilities.

‐ I don't like being used.
‐ Everyone is used, Peter.

It's what makes
the world go round.

The only reason you gave me
that job is because I'm black.

Well, you're
discounting

your finely honed public
relations skills.

I don't want it.

‐ Sure you do.
‐ No, I don't.

You should've thought of that
before your press conference.

Looks surprised, yes.

I need a minority to be the
director of diversity.

But it's not gonna require
any real work.

It's going to get you
that much closer

to a full‐time
faculty position

so please get
over yourself.

You know what,
you can find somebody else

to be your
little poster boy.

Well, I‐I..

The truth is
I don't have anyone else.

'Which is a perfect example
of why the diversity issue'

needs your
immediate attention.

You don't even believe that.

Actually, I do.

But look, it doesn't
really matter, does it?

It's on your shoulders now.

Excuse me, I have a meeting.

Time's up, Peter.

‐ Did I misread the schedule?
‐ What schedule?

You canceled six elective
cases in the past week.

The weren't canceled.
They were rescheduled.

Which means canceled.

[sighs]
One had a fever. Another
had a family emergency.

All of them happened to be
the more complex procedures.

If that's true, it's simple
coincidence, I assure you.

Look, I've been completely
slammed by this JACHO review.

Nothing seems to be up
to standard at the moment.

I have every confidence that
you'll get them up to standard

but I also need
an associate chief of surgery

who actually
performs surgery.

I do.

I will, gladly, once I get
out from under all of this.

No. Today.
You're covering the ER.

Robert, they're coming
on Monday.

You only have to go down
there if they page you.

[sighs]

‐ Are you married?
‐ No.

Oh? A cute girl
like yourself?

Well, he didn't
crack your skull.

What?

There's no blood
behind your eardrum.

He didn't crack
your skull.

He couldn't
crack a smile.

You know I'm a big
proponent of marriage.

Of course, you've got to be
married to the right person.

Is that a proposal?

We have to get to know
each other first.

We're gonna have to wait
on the X‐ray of your hand

but I don't see
any other injuries.

Does anything else hurt?

Nothing I want to talk
about in mixed company.

Well, I'm a nurse.

Just the same,
if I'm gonna talk to you

about my private parts

I'd prefer to do it
in a social setting.

Does it hurt
when you pee?

Yeah, how'd you know?

Do you have an
enlarged prostate?

It's large enough.

Well, it could
be prostatitis.

I'm gonna need
a urine sample.

You're gonna have to
hold it a little lower.

I'm going to show you
to the bathroom.

You know, actually,
it feels more like

something you pick up.

‐ Pick up?
‐ Yeah, burning.

I got it once before
when I was stationed in Korea.

From sex?

Well, I didn't get
it from dancing.

Abby, we need you.
Grab a 100 mannitol.

‐ Gunshot wound to the head.
‐ Okay.

I'll be right back.
Pee in that.

From here?

Pressure's only
80 systolic after two liters.

‐ What do you want for labs?
‐ Full trauma panel.

Get a C‐spine,
cross him for four.

On my count.
One, two, three.

Sinus at 65.

‐ Rate's coming down.
‐ What is it?

15‐year‐old with
self‐inflicted gunshot

to the right temple
at close range.

‐ Pupils are fixed and dilated.
‐ Was there a suicide note?

No, his friend claimed they
were playing Russian Roulette.

‐ Oh, God.
‐ Guy's right behind us.

Bullet blew through this one
and grazed his cheek.

There's no response
to painful stimuli.

I smell alcohol.
He could just be drunk.

(Abby)
'Dropped his systolic to 70,
bradying down to 50.'

Amp of atropine.
Open the fluids.

‐ Pump in O‐neg.
‐ What are you doing?

Massive blood loss
from the scalp.

That could be the cause
of his low blood pressure.

Or he could have blown
out his brain stem.

(Abby)
'Crit's 39.'

(Mark)
'Doesn't sound like
blood loss.'

(Haleh)
'So do you want O‐neg?'

But if you want to try
transfusing him..

Uh, yes, hang two units
on the rapid infuser.

I'll put in a central line.

‐ What?
‐ Nothing.

‐ Is this the other guy?
‐ Yeah.

Superficial abrasions, left
cheek cranial nerves intact.

You were playing
Russian Roulette?

What?

Olbes said they were playing
Russian Roulette.

‐ It was his idea.
‐ Gram of Ancef is up.

‐ How old are you?
‐ Why?

How old are you?

‐ He wanted to play.
‐ Mark, I got this.

‐ What, 20?
‐ 19.

He's 15 years old.
He's drunk.

I could smell the alcohol
from across the room.

He came over that way.

You didn't give her anything
to drink?

‐ Who?
‐ Your friend.

He brought a case of beer
along with his dad's gun.

Then you made him hold
the gun up to his head.

I didn't make
him do anything.

Hell, I went first.

It was his idea,
but you went first.

Yeah, better odds.

‐ Better odds!
‐ Hey.

That's the point
of the game.

It's not a game.
She blew his brains out.

‐ Who's "she"?
‐ What?

‐ You said "she."
‐ He! He's dead.

He loaded the bullet.
He knew what could happen.

Where are the police, huh?

Why aren't they
arresting this idiot?

I didn't kill him.

The hell you didn't.

Did you call it?

Yeah, after
6 units of blood

and 45 minutes of CPR.

I should never
have started.

You wanted to make sure.

Rubbish. You would have called
it from the beginning.

Yeah, but I'm lazy.

Mark, please.

You wanted to give it a chance.
No big failure.

‐ I'm going back upstairs.
‐ Later gator.

‐ Hey, you taking it easy?
‐ Yes, mom.

‐ Sour milk?
‐ Yeah.

Yeah, it came back from
the dry cleaners like that.

‐ Smell it.
‐ It's fine, right..

So anyway,
he's not psychotic?

Uh, no. Sociopathic maybe,
but, no, I can't hold him.

We'll leave it
up to police.

‐ Thanks.
‐ Anytime.

‐ So, Elizabeth..
‐ Yeah.

‐ Is Mark doing okay?
‐ Very well.

There's no change
in personality, or..

He's a little tired, why?

Have you noticed that
he's mixing his pronouns?

Uh, mixing, how?

Well, like saying
"she" when he means "he."

Uh, it's nothing
that I've noticed.

Has he said anything
to you about it?

No, I don't think
he realizes.

Well, maybe you've misheard.

Yeah. Maybe.

‐ Dr. Weaver.
‐ Yep.

‐ I'm starting my shift.
‐ Okay.

You wanted to see me
before I started my shift.

[whispers]
Right.

Well, uh, I've been
thinking about it

and the fact that you told me
that you claimed responsibility

I, I think is
a positive sign.

Therefore, I feel that I can't
summarily dismiss you.

‐ But?
‐ What chip are you up to?

‐ What?
‐ Your AA chip.

‐ Oh, uh‐‐
‐ How many days of sobriety?

Two hundred and forty..

Okay, give it to me.

It's, uh, it's at home.

Alright. Well, you're
starting over. Day one.

Another 90 days,
another 90 meetings

and I need
documentation.

And you'll go back to not
administering or distributing

any Schedule II
narcotics or benzos

until further notice.

But that's it, Carter.

Even the smallest infraction

and you no longer work
here, is that clear?

‐ Understood.
‐ Good.

Thank you.

Don't make me
regret it, John.

How are you doing,
Mr. Nicoladies?

‐ 'Call me Walter.'
‐ Walter.

I'd be doing a whole lot
better with a sponge bath.

‐ You want a bath?
‐ Yes, please.

Malik.

Yo.

‐ What?
‐ Oh, no.

I'm fine, really.

‐ Okay, never mind.
‐ I was just kidding.

‐ Whatever.
‐ Jeez!

Boy, you're a real
firecracker, aren't you?

That's me.
Nurse Firecracker.

‐ Hmm, married?
‐ None of your business.

My second wife
was a spinster.

Married her
when she was 32.

Well, just waiting
for the right guy, I guess.

Yeah, damn right.

We were married for another
32 years before she passed.

You know, but don't you worry
because feisty gals like you

always take a little longer.

I wasn't the one who was
brought in for fighting.

Oh, well, Earl started that.

He was flirting
with my Victoria.

‐ Who's Victoria?
‐ My lady friend.

Are the two of you
intimate?

Well, I still get up
a full head of steam

if that's
what you're driving at.

I see.

Uh, tell me, Walter

have you been experiencing
any burning when you pee?

I mean, it was cool at first but
then my girlfriend went to work

and it just stayed
like that.

You taken any drugs
lately, uh, Gary?

A little coke.

Okay, that'll do it.

You tried masturbating?

No, I'm a Christian.

Oh, well, too bad.

Sometimes that helps.

Guess we'll have
to drain it.

‐ How?
‐ With a needle.

Do you have
a men's room around?

Yeah, down the hall
to the left.

I'll check back.

‐ 'How you know she's gay?'
‐ 'It's obvious.'

(Luka)
'Are the fibroids
actively bleeding?'

Crit is down to 28.

I mean, why risk
multiple transfusions

if she's not gonna
use it anyway?

‐ Use what?
‐ Her uterus.

‐ Oh, come on!
‐ Come on, you can tell.

‐ Check her out.
‐ These files.

Dr. Benton's on the med school
admissions committee..

(Dave)
'...it doesn't ensure
they won't come back.'

'A hysterectomy is the
safest way to go, man.'

(Frank)
'Dr. Weaver?'

Uh, lounge.

I mean, I'll just make sure
she understands the risks.

Hey, Malucci, be careful.
I don't want a lawsuit.

Hey, I'm the king
of couth, chief.

(Frank)
'Great. Storm's back.'

'It's snowing again.'

(male #1)
'Is this my hand X‐ray?'

Does it have
your name on it?

‐ 'Yes.'
‐ Then it's yours.

Orbie Coronado from OSHA called
back said thanks for the address

wanted to let you know someone
from the INS may be calling.

Wait a minute, I didn't
want them to call the INS.

Is that my patient?

Apparently, they've
been having problems

with furniture sweatshops
in that area.

Call them back, I need
to find out what he said.

That's great, Kerry.

Hey, we have a responsibility

to report unsafe
working conditions.

You don't know that. He
wouldn't even say how he cut it.

He was scared.

Yeah, scared of
getting deported.

Nobody's getting deported.

Why the hell not? If he's
illegal, he's illegal.

I mean, who's paying
for this guy?

Shut up, Frank.

‐ 'Hi.'
‐ Hey.

Hey, I heard you got stuck
with a couple of grumpy old men.

Well, horny old men
is more like it.

They both have
chlamydia.

‐ How old are they?
‐ Late 70s.

Seems to be going around
the nursing home.

It's nice to know
there's more

than shuffleboard
in our futures.

You want Mr. Baker

20‐year‐old sickler
in crisis?

‐ Better not.
‐ Why not?

Because I'm back
to not pushing narcotics.

‐ You told Weaver?
‐ Yeah.

She was okay?

Well, not okay,
but she let me stay

with a few reinforced
restrictions.

Good for you.

‐ I guess.
‐ No, I mean it.

‐ Well, thanks for the push.
‐ 'Carter?'

‐ Wound check in five‐‐
‐ I'm coming, I'm coming.

‐ He's getting difficult.
‐ I'll be there.

(Mark)
'Both EKGs are normal.'

Cardiac enzymes
are normal.

I just talked
to his cardiologist.

He said that he should
have a treadmill test

and maybe an angiogram.

He probably meant
as an outpatient.

He didn't say that.

That's what he meant.

Keep taking
your medications as directed

and come back
if there are any problems.

That's it!

Make sure you see your
cardiologist when you get back.

You're not gonna admit
him to the hospital?

‐ Nope.
‐ Georgia, honey, it's alright.

‐ I want him checked in.
‐ This isn't a hotel.

I told you we shouldn't have
gone to a County hospital.

‐ Georgia..
‐ Is there another doctor?

I want a second opinion.

Okay.
Here's your second opinion.

Your husband's overweight.
He suffers from stable angina.

He needs to stop
drinking and smoking.

He needs to lay off the pizza

burgers and fries
and get some exercise.

Otherwise, all the second
opinions in the world

are not going to keep him

from dropping dead
in the next two years.

‐ Notify the respiratory in ICU.
‐ 'I'm calling the blood bank.'

Can I get eight
units of O‐neg

and every bag of ringer's
that central has.

Carter, what's going on?

Rescue's bringing in multiple
victims of a basement fire.

Smoke inhalation,
crush injuries and flash burns.

‐ How many?
‐ I don't know.

They were too busy to count.

‐ Call the OR?
‐ Yeah, and the burn unit.

‐ ETA?
‐ They're rolling in.

Mark, you get this,
I'll take the one on the end.

Partial thickness burns
to the right arm and face.

‐ What happened?
‐ Some kind of raid.

Bunch of workers
got trapped.

BP 120/60 pulse 92.

Keep her on O‐2 and check
her carboxyhemoglobin level.

[screaming]

Have respiratory put
him at 0.5 albuterol.

‐ Mark, I thought you were off.
‐ Not anymore.

‐ You need to take it easy.
‐ Not much chance of that.

‐ Why don't you go triage?
‐ I'm fine.

Flush out the
joint upstairs!

I just threw her
in the front seat

as I pulled out with a critical.

Any burns?

Just a superficial lac

to the right calf
with bony tenderness.

[speaking in Spanish]

What's she saying?

She's saying
she wants her mom.

[indistinct]

Smoke inhalation
with pleuritic chest pain.

Malik, I need a blood gas
on this guy right away.

‐ 'Portable chest?'
‐ Yeah, get me a twelve lead.

(female #3)
'Got an INS officer
who crushed his pelvis.'

'Decreased tidal volume.'

(Kerry)
'Any shortness of breath?'

‐ Did they get out?
‐ Who?

We only got half of them out.

They had the windows
to the place barred shut.

What place?

We got a tip
on an illegal sweatshop.

We went to case it,
it just started burning.

(female #3)
'Sats are down to 82.'

'Dr. Weaver, his pulse ox
is falling.'

Put him on 15 liters,
open an intubation tray.

He needs a trauma consult now.
Go.

[siren wailing]

Ay, me duele mucho!

Decreased breath sounds
on the left.

Carter, can you take this?

'Possible pneumothorax.'

‐ Yeah, trauma two.
‐ Luka?

30‐year‐old male, full thickness
burns over most of his body.

‐ BP 100/70, pulse 120.
‐ Where should we go?

Just get him
out of the hallway.

How much fluid in?

One liter Ringer's
and ten of morphine.

Okay, give another
round of both.

I need a sterile gown
and gloves.

[speaking in Spanish]

‐ 'You know each other?'
‐ 'Ustedes se conocen?'

Si. Trabajamos juntos.

They work together.

Mark! Mark, what's open?

I don't know.
Try the suture room.

Suture Room. Go!

He needs an NG tube and a Foley.
Open an escharotomy tray.

Use suture removal kits
for debriding.

(Dave)
'CBC, chem panel
and cardiac enzymes.'

‐ Donde esta?
‐ What have you got?

Possible electrical burns.

She may have touched
a high‐power line

when she pulled some rubble
off her daughter.

‐ Por favor, buscala.
‐ Vamos a investigar.

She doesn't know
what happened to her.

‐ How old?
‐ Five. First name Araceli.

Haleh, call dispatch.

See if they have a 20
on a five‐year‐old girl.

[indistinct]

Good air entry,
scattered rales bilaterally.

Put her on a pulse ox.

‐ Got an exit wound here.
‐ Here's the entry.

Damn, she's burned
from the inside out, huh?

What was the voltage
on the line?

‐ I don't know.
‐ Get on the phone and find out.

‐ 'Pulse ox 89.'
‐ 'Put him up to five liters.'

‐ Me duele mucho!
‐ Just take it easy.

Just lay back,
just lay back!

Here we go,
here we go.

Titrate another
ten of morphine.

I think we got about 20 percent
partial thickness burns here.

He needs a chest tube
on the left.

(Chuny)
'Lily, I need to prep
for an escharotomy.'

That doesn't
sound very good.

Can you set up a fiber‐optic
laryngoscope?

‐ In a sec.
‐ I need it now.

Go, go, go. I got it.

'Carter, can you help
me prep the chest.'

Hurry up.
I'm losing pulses.

How fast do you
need the fluids?

I'm estimating 92 percent
surface area burns.

Start Ringer's at
1700 cc's per hour.

Setting at 91 on 15 liters.

Okay, switch him to humidified
O‐2, non‐rebreather.

‐ Que tan mal estoy?
‐ What?

He's asking,
how bad it is.

Tell him very serious.

La situacion muy grave.

Me voy a morir?

Am I going to die?

‐ Most likely, yes.
‐ Probablemente, si.

(Lily)
'His finger's swollen.
I can't get his ring off.'

Hey, get the ring cutter.

(Mark)
'I'm in.'

No persistent pneumo,
good tube position.

(Malik)
'He's still hypotensive.'

‐ Do you know how it started?
‐ Paint thinner.

I think someone kicked
over a space heater

when they were running out.

‐ Where's that crit?
‐ I'm working on it.

Borderline widened mediastinum
and a left pleural effusion.

Might be his aorta.

Alright, chest CT.
Let's move him.

Hold on. Crit's low at 31.

Do you want to take
him up to the OR?

No, I don't want to open him
if I don't have to.

It could just be
an intercostal artery.

Fine, fine. We'll do
a transesophageal echo.

Somebody call upstairs,
tell them we're on our way.

‐ Neck is swollen.
‐ So are the upper extremities.

[girl speaking in Spanish]

‐ Where did you find her?
‐ She came in with Morales.

‐ 'Sats are dropping, 86.'
‐ 'Put her on high flow O‐2.'

Open saline,
push 80 of Lasix.

High voltage fried
every cell in its path.

(Dave)
'Look, her CK
is over 2,000.'

It's okay.

Esta bien.

‐ Did you check her out?
‐ She's fine.

She has a non‐displaced
fracture of the tibia.

Si, senora. Esta bien.

'Es posible que solamente tenga
fractura de la pierna.'

‐ Mama..
‐ She's okay, see?

Pulse ox
dropping, 82.

Okay, lets intubate.
Abby, take her out.

Por favor, cuida mela.

(Kerry)
'Abby, out.'

She wants you
to take care of her.

‐ Abby, go.
‐ Okay.

(Kerry)
'20 of etomidate, 100 of Sux.'

(girl #1)
'Ma..'

Todo va salir bien.

(Dave)
'8‐0 ET tube.'

[yelling]

Relax, relax,
relax.

No. Me duele!

Okay, okay,
Carter hold him down.

Dejame ir!

Hold on, hold on,
watch the drape.

[screaming]

Sats are down to 78.
He's getting hypoxic.

‐ Alright, push some Versed.
‐ What?

The Versed, right there
on the mayo stand, come on.

‐ I can't.
‐ Why not?

‐ I'm not allowed to.
‐ Carter, push the damn Versed.

I gotta get this tube in him.

Carter, where
are you going?

Hold on.

(Kerry)
'Inflate the tube. Bag her.'

Her complexes are widening.

Dave, go push some
Versed for Benton.

‐ I'm busy.
‐ Sats are still dropping.

‐ I got this.
‐ Go ahead.

‐ I'm not a nurse.
‐ She's hyperkalemic.

Give her ten units
of insulin and D‐50.

‐ Come on, just do it, man.
‐ You do it.

‐ Dave, go.
‐ What?

‐ Now. Help Benton.
‐ You got a run of six.

‐ Get a repeat potassium.
‐ She's in V‐tach.

Crash cart.
Charge to 200.

Got a weak femoral pulse.

Give an amp of bicarb. Clear.

(Haleh)
'Still V‐tach.
Charging 300.'

(John)
'Pressure's 60 palp.'

(Kerry)
'Clear.'

Pressure's 92/62, pulse 110.

Repeat crit is 28.

I can't isolate
the aorta.

You got to go in now.

Not blind, I don't.

Come on.

Come on.

Okay, there.

There's extra luminal fluid.
He's torn his aorta.

No kidding.

Set up a thoracotomy tray.
Call the perfusionist.

I'll scrub in.

‐ 'Scrub fast.'
‐ 'How much blood?'

Eight more units,
type specific.

Clear.

(John)
'Still in V‐tach.'

360. 100 lidocaine,
an amp of calcium.

‐ Clear.
‐ What happened?

Lost the pulse.

Damn it. She's in V‐fib.
Let's start CPR.

I've got it. Benton's
taking your patient up.

Did you get
the chest tube in?

That's not all.

(Kerry)
'Clear.'

You had to intubate, huh?

ARDS sats were low
after thoracostomy.

‐ I'm taking him up to the SICU.
‐ Well, I'm sorry.

I'm just not allowed to
push controlled substances.

‐ He was about to arrest.
‐ Part of diversion agreement.

‐ Sometimes you make exceptions.
‐ No exceptions.

Then you don't need to be here.

You can't treat a patient, you
don't need to be in the room.

I didn't set up the rules.

You know, sometimes you got
to use your own judgment.

It's not negotiable. If I push
the Versed, I'm out of here.

How long has it been,
eight months?

‐ Yeah.
‐ This is ridiculous.

‐ I'll talk to Weaver.
‐ No, no, no, don't.

(Malik)
'Dr. Benton,
post intubation film.'

I'll handle it. It's, you know,
it'll just piss her off anyway.

Yeah. well, you know what?
I'm pissed off.

You should be
pissed off.

Well, it's my problem.

No, Carter.
It's everybody's problem.

Listen, just don't talk
to Weaver, please.

Swelling of
the upper airway.

We'll intubate
after the escharotomy.

Don't. No.

Necesitamos hacerlo.
Esta cortando la circulacion.

Cuando, cuando me voy a morir?

When? When is
he going to die?

In about a week,
from infection.

[speaking in Spanish]

Your body won't be able
to keep the bacteria out.

[speaking in Spanish]

You'll also get
major fluid imbalances

and possible
kidney failure.

[speaking in Spanish]

We'll have to put a tube down
your throat to help you breathe.

[speaking in Spanish]

Pueden buscar
a mi esposa?

Can you find
his wife?

Does he have a number?

Hay algun numero?

No. Ella esta en Guatemala.

‐ No, she's‐‐
‐ No tiene telefono.

She's in Guatemala and
there's no phone there.

[speaking in Spanish]

He has $520 in a
little box by his bed.

[speaking in Spanish]

He lives in a garage
at 395, Londale Street.

[speaking in Spanish]

Can you get
it to her?

[speaking in Spanish]

Can you get her the money and
tell her what happened to him?

Yeah.

Si, Ernesto.

[speaking in Spanish]

Can you tell
her I love her?

[speaking in Spanish]

I love her very much.

Okay, 30 of etomidate
and six of Pavulon.

[ragged breathing]

(Kerry)
'Clear.'

(Dave)
'Fine V‐fib.'

Charge again. 360.

Potassium is 7.5.

‐ 'Pulse ox is 65.'
‐ How long has she been down?

(Haleh)
'25 minutes.'

Clear.

Asystole.

How much atropine
has she been given?

Two amps.

When was the last epi?

About three
minutes ago.

Okay, that's it.

Time of death 12:16.

(Dave)
'There was too much internal
injury, chief.'

Yeah.

There's more. Rescue found
a guy trapped inside

'with a blunt head trauma
and blown pupil.'

Alright, let's go.

(Haleh)
'I'll clear the room.'

[melancholic music]

[music continues]

I need better exposure.

Get a large Deaver in here.

That is
a large Deaver.

Then give me
more retraction.

(Alexander)
'I can't maintain
this pressure much longer.'

‐ Metz.
‐ 'We need a pump in OR‐4.'

Where's the
bypass machine?

Open hearts going
in two ORs.

First one will be off
the pump in 30 minutes.

‐ I need it now.
‐ Right now.

These are my last two units.

Debakey.
Lisa, you go in there.

You tell them we have an
unstable patient on the table.

I did. The pump's not available
for...now it's 29 minutes.

(Alexander)
'Pressure's 80.'

'You've got
to cross clamp him.'

No, if I, if I do that

I'll cut off circulation
to his spinal cord.

Or you could
let him bleed out.

I will not paralyze this man.

You want to kill him?

I can't isolate the aorta.

‐ Find Romano.
‐ We can't wait.

Lisa, now, go!

Carter, I've got
to go home.

Girl in exam one
needs a leg burn debridement.

Burn unit's full.
Does she need admission?

No, give him Thermazene
to use at home.

‐ Boy or girl?
‐ What?

You just said him.

Carter, I'm really tired.

So much for a
four‐hour shift, huh?

‐ 'See you Monday.'
‐ Have a good weekend.

(Kerry)
'It's none of your business.'

It is when it affects
patient care.

Dr. Carter did what
he was supposed to do.

The guy's SATs
were dropping.

Lily, this one
needs a tetanus

booster and
a sterile dressing.

There was
an unnecessary delay.

If I need a resident
to assist me‐‐

Peter, you are
a surgical consultant.

You do not dictate
ER policy.

This is not policy, Kerry,
this is punishment.

Peter, we're not going
to have this conversation.

This one needs xeroform
and a tube gauze dressing.

‐ In a second.
‐ Fine.

‐ What do you have against him?
‐ What?

Oh, yeah, he made a mistake
he got through it.

Peter, for the
last time, the terms

of Carter's diversion
program are not your concern.

You know what, Kerry,
it's time to let up.

He's been clean now
for, what, eight months?

Has he?

Tenth unit's up.

Proximal aorta is dissected.

He's taching at 120.

Damn it. There's a traumatic
pseudoaneurysm.

Where the hell is Romano!

‐ I paged him three times.
‐ Did you check his office?

'And the staff lounge
and his cell phone.'

‐ Get the resident on call.
‐ The resident?

Yes. Just get him.

BP's 70 and dropping.

Okay, we'll give him
two more units.

This is all I've got.

So, call the blood bank.

They're out of A‐positive,
I told you.

Then get O‐negative!

For God's sake,
just keep transfusing him!

'Don't you understand,
I need more time!'

(Alexander)
'You've got to cross
clamp him, now.'

(female #4)
'Do you want the Zanger
or the Crawford?'

'Dr. Corday?'

Dr. Corday, what clamp?

Dr. Corday?

The Crawford.

Crawford.

We'll establish
proximal control.

‐ Open a 20 millimeter Dacron.
‐ Okay.

We'll maintain blood flow
to the spinal cord

'by sewing his intercostal
arteries into the graft.'

(Alexander)
'BP's down to 60.'

Okay, the clamp's on.

Dr. Babcock,
I need another hematocrit.

Eleven blade.

(Alexander)
'Okay. Pressure's up to 80.'

‐ Better work quick.
‐ I'm okay.

I'm okay.

Collateral flow should reduce
the risk of paralysis.

Okay...cut.

3‐0 prolene.

Hey.

Boy, days like today

you look down
at your watch

and suddenly
your shift is over.

What are those?

Med school applications.

Oh, yeah? Where are
you applying to?

Why the two
separate stacks?

Interviews.
No interviews.

You have a special
secret formula there?

GPA times competitive factor
plus MCAT scores.

'Over 25,
you get an interview.'

You don't read
the letters of recommendation?

After the interview.

Poor kids.

I don't know if
I would have made it in

if I had to
interview with you.

How'd you get
on the committee?

I'm busy, Carter.

‐ Did you talk to Weaver?
‐ Yep.

It was nothing.

It was...a slip.
Not even a slip.

You know, I threw them up.

Urine output 75
in the last hour.

Hemoglobin's 10.8.

Less then 100 cc's
of chest tube output.

Is that good?

All good.

Just need to do
a quick neuro check.

‐ 'For what?'
‐ To check sensation.

Ow.

'What's so funny?'

Let me see
you wiggle your toes.

That's excellent.

Lizzie, you
called for me?

Yeah, over an hour ago.

Well, I'm here now.
What's so emergent?

Will you excuse me?

[sighs]
We had a little trouble
with an aortic graft

and I...I wanted
a second pair of hands.

Do I need to worry
about another lawsuit?

Uh, no. No.

Things got hairy for a moment,
but I pulled him through.

Well, that's your job,
isn't it?

Yes, it is.

And I am now
late for dinner.

Thank you, Elizabeth.

Thank you.

[door opens]

It's a good thing
they didn't frisk me.

It's chocolate.

Go away.

There's a reason I didn't
come to see you, Chase.

I thought about coming,
but I didn't.

And I didn't
because I was afraid.

And I was afraid because
I didn't want to admit..

When I got stabbed
last year at work

a friend of mine
got killed

and I, um..

...ended up addicted
to painkillers

and it caught up to me.

And I started to, um,
shoot morphine and Demerol

and fentanyl and whatever
else I could get my hands on.

And I don't know
what would have happened

if I hadn't gotten
busted, but I did

and I went to rehab..

But I wasn't like
any of those people.

I mean, I got into this
because of an injury

because of circumstance

because of a near‐death
experience.

And they..

[clears throat]
Anyway, it wasn't me.

I mean, it was me,
but it wasn't..

Anyway, I did the program.

I pretended
that I bought into it.

I did everything
that I was supposed to do.

Except...believe that
I had anything to do

with what had happened.

And then..

...I almost relapsed.

Or, I guess,
I guess I did relapse.

Anyway, I didn't come
to see you, Chase

because I didn't want
to admit to the fact

that...I was just like you.

The fact, the truth is..

...there's not
a day that goes by

that I don't think
about getting high.

It's the first thing
I think about

when I wake up
in the morning.

And it's the last thing I think
about when I go to bed at night.

And I think about it all day.

I'm a drug addict.

[groans]

Did you bring
any French fries?

[chuckling]

[woman speaking in Spanish]

Did the mom say anything about
any relatives in Chicago?

‐ No.
‐ How about in Guatemala?

‐ We didn't have time to ask.
‐ Alright, thanks.

Hey, um, what's gonna
happen to her?

Put her in a group
home for now.

Will she be deported?

Not unless we know
she's going back to family.

If we don't find anyone,
she becomes a ward of the state

and then we look for
a Spanish‐speaking foster home.

‐ You okay?
‐ Yeah.

[melancholic piano music]

♪ Drawn to the violence
of change ♪

♪ Charmed by
the sentimental praise ♪

♪ I hear the door slam
and look the other way ♪

♪ I hate the small talk
and the empty day ♪

♪ Silver ♪

♪ Lining ♪

♪ I bathe in your light ♪

♪ I'll always believe in ♪

♪ Your place in my life ♪

♪ Silver ♪

♪ Lining ♪

♪ I know that I'm blind ♪

♪ I'll always believe in ♪

♪ Your right to shine ♪

[instrumental music]

♪ Scared of the things
that people say ♪

♪ Knowing my confidence
might fail ♪

♪ I feel the world's weight
upon my breaking back ♪

♪ I see uncertainty
and the visible crack ♪

♪ Silver ♪

♪ Lining ♪

♪ I bathe in your light ♪

♪ I'll always believe in ♪

♪ Your place in my life ♪

[theme music]