ER (1994–2009): Season 7, Episode 13 - Thy Will Be Done - full transcript

Weaver becomes concerned about Greene's cognitive skills and surreptitiously calls for an official evaluation of his competency. Corday plans her wedding to Greene. Bishop Stewart returns, and Kovac realizes the man has a terrible...

Previously on "ER."

I'll give you the Solu‐Medrol
if you promise to use a walker.

What, are we negotiating?

Do you want the steroids?

I'll use a cane.

‐ Spineless, spiteful ass!
‐ So screw me!

‐ Are you done?
‐ No!

You are in violation
of our divorce agreement.

I am hiring a lawyer and I am
getting my tuition money.

‐ What's going on?
‐ With what?

‐ With you and Carter?
‐ Nothing.



Umm, it seemed like
you were fighting.

We were.

‐ 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?

It's not a game!

She blew his brains out!

‐ Who is "she?"
‐ What?

You said "she."

He. He's dead.

Hey, Greg.

Hey, Dr. Greene.

Busy day, huh?



Yeah. Sorry I'm late.

Could we skip the gown?
I got a shift.

Oh, sure, yeah.
Let's go.

You know, they say we're
going to hit zero tonight.

Even with the snow?

Yeah, I thought my heating
bill was bad last month.

‐ Feel any side effects?
‐ Just the usual fatigue.

Well, in 8 days this
will all be a memory.

Believe me, I've been counting.

Okay, hold on, 'cause we're off
by about a millimeter or so.

Take your time.

I don't want
anything to get zapped

that doesn't have to be.

Here we go.

I'm gonna
lock you in now.

Here we go.
You okay?

‐ Yep.
‐ About three minutes.

Right.

‐ What have we got?
‐ 58‐year‐old male.

Collapsed at a birthday party.

‐ Intubated in the field.
‐ Whoa! That's a clown.

He aspirated a balloon in
front of a dozen six‐year‐olds.

Okay. Malucci, you take it.

Good air entry.
BP's 105/70.

Carter, will you help
Abby with this please?

‐ Why can't you do it?
‐ I...I just can't.

What's the matter, Dave?
You afraid of clowns?

Maybe he had a bad
circus experience.

‐ How long was he down for?
‐ Three to five minutes.

We found him
in respiratory arrest.

Okay, let's hook
him up to a vent.

EKG, CBC, lytes,
cardiac enzymes.

'Dr. Carter, will you
talk to this woman?'

Uh, and get a chest film, I
wanna check the tube placement.

‐ Yeah, what's up?
‐ I've got this dirty needle.

I want a clean one.

‐ Ma'am, we don't do that here.
‐ Like I said.

Look a doctor
here gave this to me.

He said if I come back today,
I can have a clean one.

There's a number you can call,
there's a van or something..

No, I don't wanna call the van,
I just want a clean needle.

I'm sorry, I cannot help you.

'Dr. Carter.'

He said I wouldn't have to wait.

Some girl called you. Said she
can't make it tonight, flu.

"Some girl?" That's it,
you didn't get a name?

You got more than
one date tonight?

Oh, great.

‐ Big date?
‐ It had potential.

So ask someone else.

No, it's this charity event.

It's gonna be boring.
Nobody's wanna go.

‐ Why? Ask someone in the ER.
‐ Like who?

‐ I don't know.
‐ Chuny?

‐ What?
‐ You wanna to go?

Not me.
I've got plans.

Don't even look at me.

'Dr. Carter?'

Hey, sorry about that.

I got, uh, pulled away there.

You were gonna give me
something for the canker sores.

Yes, I was. Mary, can you give
Jeff some viscous lidocaine?

They haven't taken
my blood yet.

No? Someone will be in there.

'Do you think it's
something serious?'

Probably not,
but with two weeks of fever

we should check
out a few things.

How are we doing in here?

Some spontaneous movement,
but he's still out.

Glasgow coma scale is 114.

So, what are you
doing tonight?

I've got an
appointment with my couch.

Pulse ox 98 on 50%.

Well, I hate to come
between you and your couch

but how does dinner and dancing
at the History Museum sound?

Dancing at the museum?

Pressure's down to 90/60.

Run a 500 of saline.

Yeah, it's a..

...it's a benefit for
an after‐school program.

Ah, a charity date.

‐ How's the EKG coming?
‐ Almost done.

Yeah, my grandparents, um..

...host this annual event,
and I have to go.

But I would
think of it as a favor...

Do I owe you a favor?

At the very least,
it's a free meal.

Tombstones on
the anterior leads.

Uh, let's push 6000 of heparin
and call the cath lab.

BP's only 70 systolic.

Abby, would you
go get Dr. Weaver?

Start dopamine at ten mics
per kilo per minute.

'I'll put him in Trendelenburg.'

Dr. Weaver,
this clown is crashing.

So what do you uh,
think about tonight?

I think it's the
least I can do.

No one should be alone
after killing a clown.

‐ You killed the clown?
‐ No.

Didn't save him.

Enough flu on the board?

'Tis the season.

Guy in curtain three
fell off a ladder.

Oh yeah, how far?

He was taking down
Christmas lights.

He fell from the top rung.

That's what you get
for procrastinating.

I'll take it.

Oh, there he is.

‐ This is my doctor.
‐ Hi, Janice.

They wouldn't give me a needle.

Haleh, take her needle
and give her a clean one.

You serious?

We I&D'd the abscess
on her forearm yesterday.

I got that.

Well, this will keep it
from happening again.

Thank you, Dr. Greene.

Come back tomorrow
for a wound check.

I'll try.

You're, uh, not gonna
fill her out a chart?

‐ Nope.
‐ No prescription?

Waste of time.

I can get behind that.

Excuse me.

I'm looking for Dr. Kovac.

I know you.

You're, you're
the bishop, right?

‐ Right.
‐ Right.

Where's that hat
you were wearing the other day?

Oh, I left that one
at home today.

Oh, I really liked it.

Me, too.

There he is.

Hello, again.

‐ Bishop, are you alright?
‐ Oh, yeah, sure.

I was just finishing
up my visitations.

Do you have a moment?

I don't see a cane.

No, you don't.

Have any more pain?

Not from the fall.

Your arthritis
is still a problem?

I was wondering if I
could get another prescription

for some prednisone
to keep me going.

Did you follow up
with your doctor?

No, I keep having to
change the appointment.

That should be
the priority, Bishop.

I know. Unfortunately,
he doesn't work on Saturdays.

‐ What's his name?
‐ Don Frost at St. Mary's.

‐ I should call him.
‐ You'll only get his service.

And frankly,
just between us

I'd rather not
get him going.

I so much as sneeze

and he wants to poke
and prod every inch of me.

I'd have to do some tests

before prescribing
anything more.

What kind of tests?

Blood, urine.

Check your
sugar level.

My sugar is
a little high.

I have a touch
of diabetes

but I control
it with diet.

Okay, let's
take a look.

‐ 'Ah.'
‐ Ah.

Ah. Ah.

Looks good.

It's strep throat, right?

No fever, no swollen glands.

I had the exact
thing last year.

It was strep.

You have a cold, Mr. Ramirez.

Antibiotics,
ten days, right?

No white spots
on your tonsils.

Antibiotics won't help.

Well, last year I took them,
and it cleared right up.

It would have cleared up anyway.

Come on, Doc, I've
been waiting three hours here.

Plenty of fluids,
and get some rest.

'Can you just give
me the prescription?'

Dr. Greene, we need you.

You don't have
strep throat.

I'll take them just in case.

85‐year‐old woman,
collapsed at her nursing home.

‐ You got a pulse?
‐ No. Found her in fine V‐fib.

Intubated,
shocked her five times

two rounds of drugs.

‐ How long you been at it?
‐ Twenty minutes.

She's pretty blue.

Okay, everybody,
nice and easy.

On my count.

One, two, three.

Any medical history?

Emphysema.
She's on home oxygen.

Asystole on the monitor.

When was the last epi?

Five minutes ago.

Push another amp.

What?

She didn't
respond to 20 minutes

of ACLS in the field.

She doesn't have a chance.

I know. The family
wanted us to bring her in.

Why? So we could
flog her for another hour?

‐ You want dopamine?
‐ Nope.

I'm sorry, Dr. Greene.

She should have died
in her own bed.

Abby, hold compressions.

Asystole.

Time of death, 14:09.

Family's in Chairs.

Don't worry about it.

Hey.

Hey.

Everything okay?

We just lost a patient.

Sorry.

That singer you like

is playing
at the hotel tonight.

‐ Really?
‐ 10 o'clock.

I told Carter I'd go somewhere
with him tonight.

Oh, okay.

It's a fund‐raiser thing.

His date stood him up.

It's not a problem I have
a pile of journals to read.

Well, I'm sorry. I wouldn't
have said yes if I knew that‐‐

Labs back on Bishop.

Blood sugar's high.

‐ Go, have fun.
‐ Okay.

Draw five units.

Take a look at his ANA.

Do you have his
BUN and creatinine?

Renal insufficiency.

'Hey, Jeff.'

You okay?

Just nervous.

Sit.

I've got
your blood tests back.

Okay, the bad news
is you have mononucleosis.

The good news is
if you rest up

you'll bounce back
in a couple weeks.

‐ Mono.
‐ Yeah, but you'll be alright.

How is my blood count?

Uh, white cells
were a little elevated

but that's consistent with mono.

What about my
CD‐4 count?

Are you HIV positive?

'Cause we only
do that if you are.

I think I need
an HIV test.

Have you ever
been tested before?

Five months ago.
I was negative.

That's good.

But since then,
I've been exposed.

You've had unprotected sex?

With an infected partner.

You know how unsafe that is?

I guess I just get caught up.

You've got to
put a stop to that, Jeff.

My sugar that bad?

348.

Maybe I should go
back on the glipizide.

Right now, you need insulin.

There was also protein
in your urine

so I ordered an ANA.

That's a test
for a disease called lupus.

I know.

I take Plaquenil.

'200 milligrams a day.'

You lied to me?

I wanted to avoid a debate.

I may have harmed you
by giving you those steroids.

The steroids help me.

'I can move around.'

'Make visits.'

Do my work.

Without them..

...I'm stuck in bed.

The steroids raise
your blood sugar so high

that the diabetes
destroys your body.

I need to continue my ministry.

You understand?

Anyway..

...thank you for your time.

I need to do a
complete physical exam.

Oh! No, I'm sorry.

I've got a lot
on my plate today.

I have to make sure I didn't
harm you with my treatment.

You owe me that much.

And what is it
you think I owe you?

Bishop..

...lupus is very serious.

It can attack your kidneys

lungs, your heart.

I know what it does, Dr. Kovac.

I even know
I'm gonna die from it.

Did I wake you?

No, I was just
resting my eyes.

So how's the heart?

EKG looks good.

That's what we
like to hear.

Do you want me to call
someone to come be with you?

No.

I called the archdiocese,
just in case.

What church
do you belong to?

I don't.

Haven't found
one you liked?

Haven't looked.

How long have you
been in Chicago?

I don't go to church anymore.

Really?

Why is that?

I don't remember.

You married?

No.

Haven't found one you liked?

Something like that, yeah.

Dr. Kovac, we've got a kid

with bad
congestive heart failure.

The nurse will be in.

‐ What's the pulse ox?
‐ 81.

16‐year‐old, collapsed
at a basketball game.

‐ Watching or playing?
‐ Watching.

‐ What's his name?
‐ Nick.

Hi, Nick,
I'm Dr. Kovac.

Whoa.

Have you had heart
surgery, Nick?

Transplant.

‐ How long ago?
‐ Six years.

Okay, did someone
call his parents?

'On their way.'

BP 115/72.

Lungs are full of fluid.

He's in pulmonary edema.

Sublingual nitroglycerine
and start a drip.

Open your mouth, Nick.
This will help.

Okay, titrate up
to 10 of morphine.

And I need a 12 lead, blood gas,

portable chest, and 40 of Lasix.

Pulse ox down to 78.

Notify the transplant team

and order a PICU bed.

They want to give me
a new heart?

Yes.

I don't want
another transplant.

Malucci, what have
you got in exam four?

Uh, lady with bronchitis sending
her out with amoxicillin.

Bronchitis?

Yeah, productive cough,
myalgias, arthralgias.

Sounds like the flu.

She's pretty
high‐maintenance

she wants antibiotics.

Antibiotics are
not indicated.

I told her that,
but she still wants them.

Well, you need
to educate her

about antibiotic resistance.

‐ Do I have to?
‐ Got to break the cycle.

Well, it's easier
to just write a prescription.

If you feed the bears

they'll come back for more.

'Food poisoning gets
another liter of saline.'

Check a post reduction
shoulder on this one.

This is a patient
who's waiting on an HIV test.

Okay, Malucci can take it.

This last one's pretty delicate,
he's high‐risk.

Well, Malucci
can be delicate.

‐ Thank you, Chief.
‐ No, really..

Dave, this one's..

...gonna require some tact.

You got it.

He's a patient with mono.

He's gay,
refuses to use condoms.

Think you can talk to him
without being insensitive?

Sure, I'll wrap it

all up in a nice big bow.

Carter.
A construction worker

had a pane of glass
dropped on him.

Could you help
with the suturing?

Actually, I'm off,
and I've gotta get going.

‐ Oh, yeah, the fund‐raiser.
‐ Yeah.

Yeah, you know, it's more
like a family obligation.

It's nothing really exciting.

What's the charity?

After‐school
enrichment programs.

Enrichment?

Yeah, it's like,
you know, extra education

in arts, music,
that kind of thing.

Actually,
Abby's saving me

from getting heat
from my grandparents.

They kind of insist
that I bring somebody.

I hope it's successful.

‐ Thank you.
‐ Welcome. See you.

Hey, Jeff,
I'm Dr. Malucci.

Dr. Carter went off duty.

Do you, uh, have
his lab results?

I'd like to talk
to Jeff about that.

Would you
excuse us, please?

Actually, I'd
like to stay.

I'm Sean,
Jeff's partner.

‐ Is that okay with you, Jeff?
‐ Yeah.

Okay, well,
it's all good, man.

Your HIV antibody test
came back negative.

‐ Really?
‐ Yeah, you got lucky.

'But now you need to avoid'

'risky behavior and uh..'

...and keep yourself healthy.

Yeah.

Am I missing
something here, guys?

I'm HIV positive.

Oh.

Jeff and I are together.

Through everything.

Right.

So what, are you trying

to contract HIV?

‐ You a bug chaser, Jeff?
‐ We don't call it that.

Really. Then what
do you call it, suicide?

HIV is treatable
with medication.

That doesn't mean
you should try and catch it.

Look, we both know

that his HIV antibody
could be negative

for six weeks after exposure

'so you can't
really tell us'

that he's definitely
negative, can you?

No.

'We'd have to take a direct'

measure of his viral load.

Okay, let's do that.

That's gonna take some time.

We'll wait.

Yeah, we'll wait.

Okay.

Flat T‐waves in
the lateral leads.

Okay, repeat
12 lead in an hour.

Something wrong?

You have some
non‐specific EKG changes.

And there's a friction
rub around your heart.

I'm creaky all over.

Have you had chest pain?

Occasionally.
I'm used to it.

How about today?

This morning.

For how long?

I don't know half an hour.

You may have fluid
around the heart.

You could be at risk
for a heart attack.

I feel fine.

I need to get a cardiac echo
and admit you.

No.

I have to observe your
heart for at least six hours.

Well, I'll stay
around six hours then

but I don't want
to be checked in.

I'd rather observe you
in the cardiac unit.

Look, I don't want my life
to end in a hospital.

You're not gonna die today.

I will not be admitted.

‐ Are you Nick's doctor?
‐ Yes, Dr. Kovac.

There's no doctor
with him, just a nurse.

Well, Nick is
stable right now.

'He was in heart failure?'

Yes, he's responding
to aggressive therapy.

He has pulmonary edema.

The same thing happened
after his second transplant.

He's had two?

One when he was four,
then again when he was ten

and now he's
on the list for a third.

They did angioplasty last year

but he's still so weak.

Has Nick ever told you he
doesn't want a new heart?

He says that
when he's depressed.

He takes 15 medications a day.

He's still so sick.

A lot for a 16‐year‐old
to go through, huh?

Can you call UNOS?

He should go to a higher status.

I was waiting to talk to you

to see if that's
what you wanted.

Of course we do.

Okay.

Dr. Greene, my flu patient

wants to see someone higher up.

‐ What's the problem?
‐ She wants antibiotics.

Says she gets them every year.

Refuses to leave until
she gets a prescription.

Where is she?

Right there,
curtain one.

Hello, my name's
Dr. Greene.

Sara Dell.

I've been sick
for three days.

Fever, runny nose

feel like my
head's in a vise.

Mrs. Dell, antibiotics

don't help the flu.

They always help mine.

I can assure you they don't.

You're not giving them
to me 'cause I'm poor.

If we give antibiotics

to millions of people
who don't need them

a resistance builds which
eventually makes the drugs

useless to the people who do.

And 'cause I don't have
insurance

that's persecution.

‐ You think so?
‐ I know so.

‐ You know what, follow me.
‐ Where are we going?

Come on, follow me,
pay attention.

Excuse me.

My name is
Dr. Greene.

'I'd like to see
a show of hands'

of people who
have a sore throat.

Cough.

Muscle aches, fever.

You all have the flu.

People who have the flu

will not be receiving
antibiotics today

so consider that
while you decide

'whether you want
to wait or not.'

‐ What are you doing?
‐ Clearing the board.

Isn't that an
EMTALA violation?

I didn't discharge anyone.

Hey, Greene.

Tell me you are not giving

free needles to junkies.

On a case‐by‐case basis.

No, no, no, no,
on no basis, it's illegal.

Not if there's
a public health emergency

which there is.

How much of your
brain did they cut out?

This does not put
extra needles on the street.

I don't care. We're not gonna
have a bunch of low‐life junkies

parading in and out of here.

So you're not interested

in cutting back on HIV and..

And?

'What? Sounds like..?'

‐ Hep..
‐ Hep?

‐ Hep.
‐ Hep?

Heparin?

'Heptathlon?'

Hepatitis.

Tough one.

Tell you what, you wanna
start a needle exchange

do it from your house.

♪ Forgetting all I'm lacking ♪

♪ Completely incomplete ♪

♪ I'll take your invitation.. ♪

‐ Hi.
‐ You're wearing a tuxedo.

‐ You didn't say it was formal.
‐ I didn't?

‐ No.
‐ Oh.

‐ Yeah, it's formal.
‐ You tricked me.

It doesn't really matter.
You look terrific.

Well, yet we
don't match, though.

‐ I mean, I can't..
‐ I can go change.

I don't even know
if I own a dress.

Wanna go buy one?

No, can you just..
Just wait one minute.

Are you mad at me?

Yes.

Did you get a haircut?

Yeah.

Who are my parents talking to?

Dr. Corday.
She's a surgeon.

I told you
I didn't want surgery.

You were in a lot
of pain when you said that.

I still meant it.

You won't survive
without the transplant.

I was hoping
to make it to my prom

but if I can't, I can't.

With a new heart, you will.

Do you know what it's like

to have your chest split open?

I know.

I can barely walk to class

I get so tired.

I take pills
every two hours

and I look like a freak
from the side‐effects.

It's not worth it.

He's at the top of the list?

Yes. Status 1‐A.

Now it's just
a matter of waiting

for a donor heart
with a tissue match.

We waited a month
on Status 1‐A last time.

Well, now that
he's a little older

there are more
possibilities.

Excuse me, uh,
Mr. and Mrs. Stevens

but Nick doesn't want
a new heart.

We explained
that to you.

He's thought it out.
He has good reasons.

I think you should
listen to them.

He's 16.

And he is tired
of living like this.

Well, I'm not giving up
on him because he's tired.

I'm only telling you
what Nick told me.

I understand.
When do we move him to the unit?

It shouldn't be too long.

Kerry, we have
a little personnel problem.

‐ Well, you do, Mark Greene.
‐ Mark?

Yeah, he's walking
around with attitude.

He's handing
out needles.

He's blacking
out on words.

Yeah, it's swelling

from the chemotherapy wafers.

Well, really..

He has a mild
expressive aphasia.

‐ It's temporary.
‐ Well, I don't like it.

Well, I don't think
he likes it, either.

Oh, come on, you haven't
noticed any personality changes?

Like what?

Like he got very
confrontational with me.

Oh, you're used to
confrontation, Robert.

We're not talking about me.

Isn't that
your favorite subject?

Just straighten him out.

Who's this with
you at the beach?

Eric, my brother.

You know, I never got the whole
concept behind dried flowers.

I mean, they're dead.

'They're dead as
soon as you cut them.'

Yeah, but they look nice.

'Dead ones look nice too.'

Right.

Right, no, I was just wondering.

'Wondering what?'

Wondering, um..

...why not just buy the, uh..

...fresh flowers?

'Because there's something sad'

'and dark about the dried ones.'

Oh, yeah, you like sad and dark?

'Yeah.'

Okay.

Just give those a couple days.

Wow, you found something.

'That looks nice.'

It's a bridesmaid's dress.

Oh, well, it works on you.

‐ You're lying.
‐ No, honestly.

I don't think
anybody would know that.

It looks like it was

um...made for you.

Okay, now I know you're lying.

Let's just go.

‐ Carter.
‐ What?

What is this?

Oh, come on, what,
do you want to take the El?

You're not gonna
take me to the airport

and tell me, by the way,
this party's in Paris?

No, we stay
in Chicago, I promise.

He needs bandages,
update his tetanus

and order a six‐pack of Keflex.

You lost your cap.

I decided to wear
my scar with pride.

It adds character.

It scared a little kid.

He called me Humpty Dumpty.

Well, Humpty

how do you feel about
an evening service?

‐ What service?
‐ The wedding.

The coordinator
double‐booked the afternoon

and they want to
push us back to 5 o'clock.

That would push
the reception back.

Yes. Well, I've already
spoken with the caterer.

He says he can do it

but we can't use
the patio for cocktails.

What's wrong
with the patio?

April, the evening,
it'd be really chilly.

Well, ask him
to move out the, uh..

...um, you know, uh..

...space heaters.

So it's alright with you?

Yeah, sure.

Okay, then.

Mark?

You're getting better.

'The aphasia's fading.'

I'm glad you think so.

No, it is.

In a couple of weeks,
this will all be gone.

I don't think I can count on you
for an unbiased opinion.

No, you can't.
I am biased.

I'm also right.

Dr. Corday,
Nick Stevens just arrested.

‐ Whose patient?
‐ Kovac.

‐ I'll grab him.
‐ Oh, God.

‐ What's the rhythm?
‐ Still V‐tach.

‐ Charge to 300.
‐ Nick, come on, Nick.

Excuse me, sir,
you'll have to stand back.

Okay, I need to intubate.

100 of lidocaine.

Stand by with amiodarone.

‐ Charged and ready. Clear.
‐ Clear.

‐ Still no change.
‐ 'Please save him!'

360.

Okay, I need
some cricoid pressure.

I'm in.

Rebolus 50 of lidocaine in five.

‐ Clear.
‐ 'Clear.'

Got a rhythm.

There's a weak radial pulse.

Mix up the dobutamine.

Open your eyes, Nick.

Come on, Nick, wake up for me.

Good breath sounds bilaterally.

Unresponsive
to painful stimulation.

He wasn't down long.

He should wake up.

Maybe.

You got the three
separate light settings.

That's an essential amenity.

‐ So I talked to Luca.
‐ Me, too.

He didn't seem
to mind about tonight.

No.

He doesn't get...jealous.

Ever.

Do you know,
all the years I've lived here

I've never been to the..

‐ Natural History Museum?
‐ Mm‐hmm.

Oh, that's criminal.

They've got dinosaurs.

‐ Cavemen, it's great.
‐ Dinosaurs and dancing?

Yeah, my grandparents
like spectacle.

It's not gonna be
that big of a deal.

A few people.

You are so dead.

‐ It's kind of a scene.
‐ Kind of.

I told you, they like spectacle.

Did you grow up going
to these kind of things?

Yeah, this is
par for the course.

If you hate it,
we can leave in a half an hour.

I won't hate it.

Should we duck around
this photographer here?

‐ Can we?
‐ Yep.

Hey, Jeff.

Where's Sean?

He went to move the car.

Well, I don't want to
wait to tell you the news.

Your viral test is back.

No virus detected.

So I'm really
HIV negative.

Definitely negative.

You and..

You and Sean are close, huh?

Been together
almost a year.

‐ That's nice.
‐ Yeah.

But nothing's
worth dying for, is it?

I'm not dying.

No, you're safe right now

but you have to protect
yourself.

I'm gonna get
it sooner or later.

Not if you practice safe sex.

I don't want to treat Sean
like he's contaminated.

If we use a condom,
that's how he feels.

HIV can kill you, Jeff.

I know a lot
of people living with it.

Well, I've seen
a lot of people

who'd rather
be living without it.

Look, look, uh..

How old are you, man?

Twenty‐three.

Because you've got
50, 60 years ahead of you.

I love him.

Well, if he loves you he should
want you to stay healthy.

He thinks that
this is the only way

that we can really be intimate.

That's easy for him to say.

He's got the virus.

I don't have anybody else.

You have yourself.

‐ Whoa.
‐ Yeah, those are the bouncers.

‐ I know them.
‐ Oh, yeah?

Bark is much worse
than their bite.

I can see how they
keep people in line.

‐ John, there you are.
‐ Hi, grandpa.

Finally, someone I
really wanted to talk to.

Not so loud.

Is this your friend
from the auction?

No, no, she had the flu.

‐ And you are?
‐ Abby Lockhart.

Jonathan Truman Carter Sr.

Delighted. We don't get to see
too many of Johnny's friends.

No, you got lucky tonight.

You're very good
to get all dressed up

and come out
on such a cold night.

I'd much rather stay at home

in a bathrobe.

Don't let grandma
hear you say that.

‐ Oh, she knows me by now.
‐ Sure.

‐ I'd love to meet her.
‐ Yeah, where is she?

Talking to the
keynote speaker, back there.

‐ Go on.
‐ Shall we?

‐ Nice to meet you.
‐ Have a good time.

Friend from the auction?

The last family
event I was at

the daughter of
the host, she, um..

‐ Never mind.
‐ No, come on, tell me.

You ever take
dance classes?

‐ No. Have you?
‐ Mm‐hmm.

Yeah, actually,
I have a few moves.

I'm sure you do.

Care to give it whirl?

‐ Mm. I don't know.
‐ Come on.

‐ Just follow me.
‐ I'm not sure that I can.

I got you.

I feel like I'm back at my
spring formal in high school.

I went with this guy, Seth

but really I had
a crush on this guy, Tim.

I'm feeling for Seth.

Well, when he went
to the bathroom

Tim asked me if I wanted to go
outside and smoke a cigarette.

And, um...we never
went back inside.

‐ Mmm, that's cruel.
‐ I know.

Is that when you
started smoking?

I guess so.

See, it's all
Tim Stillman's fault.

Alright.

I didn't forget you.

Your...CPK is normal.

I watched you work on that boy.

Yeah.

You'll be going
for your echo soon.

It was remarkable.

You brought him
back to life.

Yes.

It won't do much good
if he doesn't have the surgery.

You can't find him a heart?

He doesn't want one.

But he's so young.

There are bound to be
medical advancements.

He's gotta fight.

One could say
the same to you, Bishop.

‐ I am fighting.
‐ Are you?

You say he should
prolong his life

but you want
to hasten your death?

I'm not looking forward
to dying, Dr. Kovac.

But I also don't want to be
enfeebled or bedridden.

I only wish I was
as brave as he is.

I think you've been
more than brave.

Have I?

I wanted to set a good example.

Serve my parish

do God's work
as long as I was able

and then go to glory..

...with a modicum of grace.

But there are times..

...when I'm alone
at a prayer or..

...trying to get to sleep.

But it just overwhelms me.

'I should never feel
the way I do sometimes.'

How's that?

Frightened.

You got the phone
number, right?

‐ Yeah.
‐ You should call tomorrow.

And make
an appointment, you know.

I'll see.

‐ Anyway, thanks.
‐ Yeah.

Uh, Jeff.

Are you gonna protect
yourself from now on?

Maybe.

Probably not.

‐ Big plans tonight, Malucci?
‐ Uh, nope, no.

‐ I'm just getting out of here.
‐ Go ahead, 104s.

'We're at the home
of a 65‐year‐old male.'

'Collapsed in the bathroom,
found him in V‐fib.'

Haleh, can I take the mike?

'Defibrillated times four,
gave epi and lidocaine'

'Now in asystole.'

He's gone.

This is Dr. Greene.
What's the down time?

'Been here 15 minutes'

'probably down
another ten before that.'

Any medical history?

'Two MIs.
Status post‐bypass surgery.'

When was the last
doctor's appointment?

'Hold on.'

If he's seen a PMD
in the last month

they can sign
the death certificate.

Save us the trouble.

'He saw his
cardiologist nine days ago.'

Still in asystole?

'For the last five minutes.'

‐ That's it. Stop CPR.
‐ 'What?'

I'm pronouncing him.

Time of death 21:18.

‐ Can you do that?
‐ Yeah, you can.

Let the family know
that everything was done

under a physician's guidance,
but he did not respond.

'You want us to transport?'

No, have them
contact a funeral home.

This is County General,
clear with Rescue 104.

I don't know why
that was necessary.

What's the point of going
through the motions?

I'm looking for Dr. Kovac.

I'm Dr. Frost

Bishop Stewart's
personal physician.

'See? You were great.'

I had a good partner.

Well, if we get really motivated
we could enter a contest.

'Well, that might be
too much of a good thing.'

Thank you.

‐ Oh, no.
‐ What?

Hello, Abby.

What are you
doing here?

What are you doing here?

I'm here with a friend.

John Carter.

Hi.

How you doing?

That's Richard.

So what are you doing
at a charity event?

Oh, I'm here with Alexis.

‐ Who?
‐ She went to get us drinks.

Is she old enough to drink?

Rich, who's this?

This is Abby.

‐ Oh. Hi.
‐ Hi.

We should probably be
heading to dinner.

Where have I seen
that dress before?

‐ You haven't.
‐ I swear.

No, I really
don't think

you've ever
seen it before.

My sister's wedding.
You were a bridesmaid.

Oh, always the gentleman,
Richard, thank you.

Rich, let's go sit down.

‐ Okay. Nice meeting you.
‐ Bye.

Am I awake or is
that just a nightmare?

Last week I gave
him IV Solu‐Medrol

and put him on high‐dose
steroids for his arthritis.

Last week?

Yeah, this is
his second time here.

He has diabetes.

Steroids put him in
the ICU last year with DKA.

I didn't know that.

Well, which is why you should've

contacted his primary physician.

‐ I was going to‐‐
‐ What's his sugar?

‐ 348.
‐ Oh, great work, doctor.

You're destroying his vision

his kidneys, his circulation.

Now that I know
about his diabetes

I'm checking
for end‐organ damage.

I've been treating
Bishop Stewart for 15 years.

He doesn't need
another physician.

Well, maybe you
should tell him that

because he came to me.

Underneath that robe,
he's just a man

like everyone else.

A man facing death.

And right now,
he's drug seeking.

He just wants
to feel right again.

Well, that's not possible.

Where is he?

'Okay, 104,
see you at the back door.'

‐ This is County base, clear.
‐ What's going on?

104's bringing in a full arrest.

I just talked
to that guy.

They called en route,
cardiac arrest.

I already pronounced him.

No, no, no, no, no.

We gave him
two of atropine en route‐‐

What's your problem?
We already did this.

The family freaked
they wanted us to bring him.

Do not unload
the patient.

We have to,
we're here.

He's been dead for an hour.

The family wanted
him to see a doctor.

‐ They're right behind us.
‐ 'Mark.'

Kerry, he's not
supposed to be here.

‐ Stop CPR.
‐ No, resume compressions.

I said stop. This is
the guy who died at home.

Keep going, Cleo.

Set up trauma two
for a full arrest.

He's dead.

When the paramedics
bring us a patient

we have to care for him.

Chuny, want to put
a shroud out on the bed.

Shroud?

Yeah, he's dead
it might save some time.

Mark.

You're not gonna
get him back, Kerry.

We still try. Are you
running this or am I?

Fine. What's his rhythm?

Still asystole.

Hmm? What do you
think, Kerry?

Another amp of epi
might get him back?

Pupils, fixed and dilated.

Hold compressions.

Dr. Finch,
would you concur

that the rhythm
is asystole?

Yes.

Code is over.

Take out the tubes
and clean the body.

That's the family.

I hope this
helped them.

I'll go talk to them.

So typical of him to cry poor

and then show up
at this fancy party.

And did you think
she was even pretty?

I don't think
I'm gonna answer that.

I don't see it.

I think this is silly.

It's a blue BMW.

What if they took her car?

What do you think
she would drive?

A Lexus?

Get it? Alexis?

No, I mean, what if,
what do you say we find it.

What are you
going to do, key it?

No, maybe
I'll just slash the tires.

I think that
would be overkill.

Oh, stop, stop.

Wait, there it is.

‐ Do you have a pen?
‐ Yeah, why?

I'm being restrained,
I'm just letting

the air out of the tires.

‐ How many tires?
‐ Two's fair.

‐ One's fair.
‐ Fine, pen please.

Uh‐oh, now what do we do?

I think we have to run.

'He's awake?'

Yeah, and oriented,
and passed his

mental status exam
with flying colors.

Where are you taking him?

Uh, well, he's got
no neuro deficits.

So, he'll go to the ICU
and be extubated shortly.

And the heart?

I'm gonna recommend surgery

to the transplant committee.

Dr. Romano?

Nick has requested
not to have the surgery.

Well, he's a minor.
His parents make that call.

You're gonna make him do it?

Knowing how he feels?

Look, Kovac,
he's a teenager.

What do they know about life?

He'll thank us
for this in a few years.

Mark.

I'm off, Kerry.

We have to talk about this.

And what might "this" be?

The way you've been acting.
Abrupt, cavalier..

Realistic?

Are you ready to be back?

Yes, I am.

Mark, you are still
reaching for words.

I'm fine.

But what happens
in a code if you need

a cardiac drug and you
can't think of the name?

That won't happen.

I am asking you
to take some time off.

And I'm telling you, no.

Dr. Frost is arranging for you

to have more tests on Monday.

Did he dress you down?

He was uh, pretty mad, yeah.

He's very
possessive about my care.

You were on his turf.

Well, as I told him

your EKGs and cardiac
enzymes are normal.

Thank you, Dr. Kovac.

For the treatment,
and for listening.

You're welcome.

I, uh, I saw
they took the boy away.

Is he gonna get
the operation then?

Yeah.

I'm sorry.

Me, too.

You think
he should've been

able to choose
how he wanted to live?

I think so.

Well, I want to work.

Do you still want the steroids?

I need to work.

'Poor guy doesn't
even have AAA.'

So he has to pay for this.

Maybe Alexis will chip in.

She looks about ready
to call a cab to me.

I'd say we've successfully
ruined their evening.

'Mission accomplished.'

Uh.

‐ Now I feel kind of bad.
‐ Why?

Because I kind of
ruined our night too.

Ruined? How?

‐ Besides the vandalism.
‐ Yeah.

Fact that we're freezing
to death.

Yeah.

Fact that you never even
saw your grandmother.

Oh, she knows I was there,
that's enough.

Okay, then I guess, nothing.

I had an okay time.

Me, too.

Yeah, this
is Kerry Weaver at County.

I need information
about evaluating

a physician who's possibly

cognitively impaired.

Could we speak
first thing Monday morning?

Thanks.