ER (1994–2009): Season 7, Episode 17 - Survival of the Fittest - full transcript

A demented patient causes a shootout in the emergency room. After terrorizing people in the ER with a gun, she gets shot by a policeman. She soon dies. Benton later discover her dementia was caused by an aftereffect of his surgery that he and Cleo should have detected. Carter pursues a cute intern.

(male narrator)
Previously on ER..

I haven't had a contraction in
two weeks, you know.

You still need
to take it easy.

(Elizabeth)
You seem to have taken on
several additional

responsibilities
during my absence.

(Peter)
Romano told me to keep this
place running.

I don't usually do this.
Bring somebody home.

Trust me, I don't‐I don't
either.

Look I appointed you
associate chief

so that I'd have a lieutenant

on the front lines
that I could count on.



Now, you want to be barefoot
and pregnant in the kitchen

you have my blessing.

Go forth and multiply.

‐ How old are you?
‐ Twenty.

‐ In September?
‐ She's a teenager.

‐ Carter!
‐ I didn't know.

I like you
a lot, Rena.

You wish I was older.

(female #1)
'You can't keep me here.'

'I need to go!'

You've got to let me go.

My kids are coming home
from school.

I meet them at the bus stop
at 3:30 every day.

Relax, it's only 10:00
in the morning.



My ice box is empty.

I've got nothing
to cook for dinner.

You're in the
hospital, ma'am.

We're going
to take care of you.

I could get
some ground chuck

but they want
69 cents a pound.

Peter.

Have you heard
of such a thing?

I remember paying
29 cents a pound.

‐ Where have you been?
‐ Don't even think about T‐bone.

‐ Had to put a swan in upstairs.
‐ My husband would have to get..

‐ This the consult?
‐ Mrs. Howard.

‐ Before we could eat steak.
‐ So, what's the problem?

Nursing home sent her in
because she's not eating.

‐ But my son James won't eat it.
‐ Doesn't sound surgical.

Could be. You took out
her gall bladder last month.

But there's macaroni
and cheese..

Hello, Mrs. Howard.

Oh, so nice to see you.

(Peter)
I'm Dr. Benton.

I know.

I never forget a handsome face.

(Carter)
'Simon?'

'Simon?'

Simon!

Simon!

Whoop!

Who are you?

(Carter)
'Simon?'

Are you Simon?

No?

Yosh, have you seen a little guy

running through here
all by himself?

Sorry.

(Abby)
Hey, Carter.

‐ Lose something?
‐ Simon.

Where's his mom?

Mom went to the cafeteria

to get some chocolate milk.

But Simon 's not
getting any treats

until he lets me
draw his blood.

I don't want you
to take my blood.

He's only going to take
about this much.

If you sit still,
this won't hurt.

I don't want a needle.

‐ How about a papoose?
‐ I think we're okay.

You sure? I'd hate for you
to lose him again.

Can you just hold
his arm still?

Okay.

Be brave and
do not move.

There's a good one
at the wrist.

Antecube looks better.

No!

You want to try
an arm board?

Nope, let's take a break.

Abby, I need another nurse!

‐ You okay here?
‐ Go.

[screaming]

He kicked me in the face.

Hey, help me with the leathers.

We need some haldol.

Careful, he bit
a nurse's finger in psych.

‐ What's he doing down here?
‐ He cut up his face.

‐ You want some help?
‐ Yeah.

Ow!

[grunting]

(Malik)
'Hey!'

What did you do
that for?

It was an April fools' joke.

April fools'?

Was that haldol?

[theme music]

[music continues]

[music continues]

[music continues]

The board is full,
gurneys are lining the halls.

We've got another 30
in the rack.

We desperately need
to clear out the rooms

and you're wasting your time on

April fools' pranks.

No more shenanigans
for the rest of the day.

Have I made myself clear?

‐ Uh, yes. Yes, ma'am.
‐ Uh‐huh.

Dave!

Huh.
Yeah.

‐ How much did you give him?
‐ Ten milligrams.

Okay, I want you
to take a nap.

‐ I'm fine.
‐ What did I just say?

‐ Go take a nap.
‐ Before that.

Uh, no more
fooling around.

That's right. Now
get back to work.

[cans clinking]

Malucci!

It wasn't me,
I swear.

[all laughing]

What?

[chuckling]
Nothing.

What's the matter with him?

Ten of haldol.

Oh, yeah?

Hey.

Dr. Carter.

You were supposed to get this
after we took your blood.

I'm sorry. He was scared
and thirsty.

‐ I can get another one.
‐ No, that's okay.

You want another chocolate milk?

‐ No, really..
‐ I don't mind.

Be a good boy, Simon.
I'll be right back.

You know, I didn't
call you down here.

The nurses did. They said
you were having some trouble.

Not me.

Well, he's ready now.

Hey, Malik, can you give me
a hand over here?

Yeah, sure.

It's better if you don't hold
onto him.

Yeah, we tried
that once.

He ended up
in the closet.

Trust me.

Uh, purple
and a red top.

Okay, Simon..

...are you ready?

You might want to give Simon
here a, uh...friendly hug.

Uh, keep blowing bubbles,
Simon.

Blow right through
the pain, okay?

[blowing]

Fine.

Good.

That's it.

‐ 'Good boy.'
‐ 'What do you want for labs?'

CBC...lytes, BUN,
creatinine and glucose.

Okay.

We are...done.

You were very brave.

Let me hook you up
with a Band‐Aid

and you are good to go.

‐ 'Thank you.'
‐ No problem.

So how's your internship going?

‐ It's good.
‐ Yeah?

Haven't seen you
around lately.

'You've been busy?'

(Rena)
'Yeah.'

I should probably get back
upstairs.

Nice to see you again.

You, too.

‐ Is this the trauma?
‐ Yeah.

Eddie Palcynski, 32,
single gunshot wound

to the belly.
Hypotensive initially.

‐ I take it he's not‐‐
‐ They stole my purse.

‐ Tried to hold a liquor store.
‐ It wasn't me.

‐ BP 90 in the field.
‐ That other dude had a knife.

‐ Shut up.
‐ And 122 liters.

‐ Any pain in the chest?
‐ Just my stomach.

Hey, what happened to you?

Chased his partner over a fence.

‐ 'Did you get him?'
‐ Not exactly.

No, he actually would have had
to run to catch him.

‐ Heard you had a GSW.
‐ Right upper quadrant.

‐ Can you get this?
‐ No problem.

‐ Alright. Need a hand?
‐ Uh, yes.

Take a look
at that arm injury.

We just need a Band‐Aid.

Yeah, over your mouth.

‐ Officer?
‐ Be good, Kenny.

They'll give you a lollipop.

On my count.
One, two, three.

Where's my purse?!
I've lost my purse!

Hey, who's got the screamer?

Dr. Finch, Benton
cleared her belly.

‐ Can we put her in a room?
‐ If we had one.

(Mrs. Howard)
'Nurse, I need my wallet..'

Oh. That's a nice outfit
you got there, Randi.

Thanks, Dr. Carter.

(Mrs. Howard)
'...go anywhere
without my keys.'

You look nice, too.

So...are you Dr. Carter
now or Mr. Hyde?

Oh, I'm sorry
about that.

I guess I just needed
a cup of coffee.

Uh‐huh, and I suppose seeing

uh, Miss Bubbles
had nothing to do

with your sudden mood change?

‐ No.
‐ No?

Oh, come on. You've been moping
around here for days.

And then the minute
she shows up

you turn into
Mr. Congeniality.

[chuckles]
I was just being friendly.

‐ I was.
‐ Okay.

Did somebody order a school bus?

[bus engine revving]

[indistinct chatter]

Grace Linden. Stuart's having
an asthma attack.

I'm Dr. Carter. Let's get
a gurney and a hand‐held neb.

‐ Do you use an inhaler?
‐ Empty.

How long has
he been bad?

About ten minutes.

There were fumes
on the bus.

‐ Exhaust fumes?
‐ No, it's something else.

Lots of the kids have headaches.
Some of them are throwing up.

Now, we can't bring them in.
It's a hazmat situation.

Until we can confirm

there's no contamination
you're all

going to have to wait outside.

In the cold?

A gram of cefotetan

and then repeat the CBC
in pre‐op.

What's this?

Oh, small caliber
gunshot to the liver.

I want four units of type
specific in the OR.

I thought Benton was on.

Yeah. You need something?

How long is the case?

Couple of hepatic drains,
couple of sutures

and we'll be done.

Hmm, sounds quick.

‐ Should be.
‐ I hope so.

Mm‐hm.

‐ 'He needs a 125..'
‐ 'Come on keep moving now.'

(Linden)
We're walking,
we are not talking. Come on.

(John)
Alright, let's get him into
a gown and bag his clothes.

Okay, can you hop up here?

‐ Whoa.
‐ Stu. Stu.

‐ Stupid!
‐ Stupid!

Hey I think you broke your ass,
I can see the crack.

(Linden)
'When the hand goes up,
the mouth goes shut.'

‐ Arms up.
‐ 'Oh‐ho‐ho.'

(Abby)
You guys on a field trip?

Art institute.

Oh, yeah?
The Gauguin Exhibit?

‐ We never made it.
‐ Hey, nice rack, Stu.

‐ 'Make 'em bounce.'
‐ Okay, that's enough.

Hey, doc,
you do liposuction?

Toby, next time it is you,
me, and the principal.

‐ 'O‐o‐oh.'
‐ 'Come on. Keep moving..'

‐ Don't even listen to them.
‐ 'Oh man. He told you.'

Anything else?

Some number one chromic
on a liver needle.

Lizzie, I heard you're doing
an ex lap on a GSW.

You heard correctly.

Oh.

Sure you can
still reach the table?

At least I can see the table.

Oh‐ho‐ho‐ho.

Well...I was going to offer

to assist after my AV shunt

but not if you're going
to go prenatal on me.

Actually, if you really
want to help

you can order me some pizza
and ice cream.

You think you need it?

‐ Razor wire?
‐ More like a cyclone fence.

Yeah, it's pretty deep.

I need to use the toilet.

‐ Okay, but we're going to..
‐ I need to go right now.

‐ ...move you to a quiet room.
‐ I need to go!

I need you to spread
your fingers like this.

Dr. Weaver, we've got
a status asthmaticus.

(Weaver)
Chuny. Can you help her
with a bedpan, please?

He needs continuous nebs.
Where do you want to put him?

(Chuny)
Just one second.

(John)
'Sit up for me, Stuart?'

(Malik)
Hey, your guy is
seizing in two.

Cock your wrist back
like this.

I'll do it by myself.
Can't keep me here.

(Peter)
'I want to make sure you didn't
damage any nerves. Stand up.'

You can let me go
if I want to go..

I need you to hold
your hands like this.

I'm not a prisoner. I'm not.

I'm going to press down.
Just keep them up, alright?

Let me go. I don't need
to be here.

‐ Good.
‐ Hey!

(Mrs. Howard)
This is not right.

‐ Drop the gun, ma'am.
‐ You can't do this to me.

'Drop the gun, ma'am.
Drop it now!'

‐ Just leave me alone!
‐ Everybody just calm down.

(Kenny)
Put the gun down.
Put it down now.

‐ And no one will get hurt.
‐ Leave me alone!

Just leave me alone.

Drop the gun.

[intense music]

Leave me!

[gunshots]

[intense music]

[music continues]

(Peter)
10 blade, set up a cell saver

and try for a pulse ox.

Central line is in.
Two units on the infuser.

‐ Rib spreader.
‐ We asked three times, right?

‐ Yeah, she didn't respond.
‐ Asystole.

‐ Start internal compressions.
‐ 'How'd she get your gun? '

‐ 'I don't know.'
‐ 'What are you going to say?'

‐ Put the suction on high.
‐ We'll talk about it.

The right atrium and ventricle
are completely shredded.

(Lisa)
'We should figure it out
before they get here.'

The aortic root is blown away.

I guess one shot wasn't enough.

Come here.

(Kerry)
Another amp of epi.

Side‐biting clamp
and pick‐ups.

Need a cordis introducer
for the atrium.

I need a lap pad.
Let's go.

Hope they get
their story straight.

[machines beeping]

‐ It's okay.
‐ All clear.

No carbon monoxide,
no flammables.

The kids smelled something?

Maybe, but
it's gone now.

Probably just
mass hysteria.

That's it?

Kids smell
nail polish remover

pretty soon everybody
thinks they're sick.

Do we need
to scrub them down?

No one's contaminated.

Alright, let's
split them up.

Who had vomiting?

‐ Me.
‐ Sir, I.

Luka, postural vitals
and a pulse ox.

Okay, come with me.

‐ What's your name?
‐ Emily.

‐ Are you still nauseated?
‐ Yeah.

Any stiff neck
or double vision?

No.

Are you really
a doctor?

Ah, when I'm not out
fighting crime.

Right this way.

Alright, guys,
let's go.

We like it out here.

Yeah, they say fresh
air is good for you.

Put out your
cigarette.

You got
a spare ashtray?

Come on.

(Peter)
Beck's suture.

(Kerry)
Fifth and sixth
units are in.

How's she doing?

Heart's empty,
not so good.

It looks like
hamburger in here.

Officer Kimble?

Did you discharge
your weapon?

You need to go with
Detective Westland.

Statinsky.

Officer Grant, you're with me.

Push another atropine.

I need the names
of the treating physicians.

‐ Dr. Weaver.
‐ 12 French foley.

‐ Come on. let's move, people.
‐ And Dr. Benton.

Okay, inflate balloon.

(male #1)
'Did you witness the shooting?'

Yes, we both did.

B‐E‐N‐T‐E‐N?

O‐N.

Okay, hold compressions.

Still asystole.

Is she going to make it?

Not if you don't let us
do our job.

Let me know if she expires.

(Peter)
Resume compressions.

(Kelly)
'You want
some more blood?'

(Peter)
How long has
she been down?

Half an hour.

Alright,
let's get, uh..

two more units and I need
some more O‐silk.

‐ Come on.
‐ 'I'll get some.'

(Luca)
'Deep breath.'

Excuse me.

Once again.

Is that stuff
still in my lungs?

I don't think so.
Everything sounds good.

What kind of chemical
was it?

We don't know.

Well, then, how
do you know it's safe?

Because your oxygen
level is normal

and your lungs
are clear.

Do you think it could
hurt my baby?

You're pregnant?

I think so.

(Pamela)
Laura Beckton, 23.

Put her car into a fire hydrant.
She's altered.

No response to verbal commands.

Whoa, this is a crime scene.

‐ We have a critical patient.
‐ You've got to go around.

‐ Let us through.
‐ I can't.

BP 120/85,
pulse 90.

What's with all the cops?

We had a shooting.
Let's get X‐ray down here.

Laura, open your eyes.

Pupils are equal
and reactive.

Let's get a portable C‐spine,
chest and pelvis.

Head CT to follow.

Looks like Peter's
patient didn't make it.

What patient?

The old lady from the hall.

'That's my patient.'

Cop shot her.

What?

[air blowing]

Feeling better?

Starting to.

Did that lady die?

You think it'll be
on the news?

Yeah.

She could have blown
my head off.

Weren't you scared?

A little.

Then why'd you get
in front of me?

Guess I wasn't thinking.

I was really scared.

Me, too.

You're still wheezing.

Have you had a cold?

No.

Well, something
triggered your asthma.

You think it was the fumes?

Maybe, I don't know.

You're not sure?

I'm just trying
to help.

It was the fumes.

Where'd they come from?

You know, anything that
you tell me, it's a secret.

(Elizabeth)
Another 4‐0 prolene.

Shirley, can you
rub my back for me?

‐ Excuse me?
‐ Yeah, just above the waist.

On the right.

Oh, yes, yeah, that's it.

'Okay, release
the vessel loop.'

Oh, yeah, that's it, oh..

I'm sorry...
this must be the day spa.

'I was looking for the OR.'

'Everything's under control,
Robert.'

I hope so, you've been
in here long enough.

I've repaired the liver,
the diaphragm, and now the IVC.

Uh‐huh. What about the defect
to the ascending colon?

Where?

Little lower.

Yeah, right there.

I hadn't fully
run the bowel yet.

Or maybe this is
too big a case

given your
delicate condition.

We were doing perfectly well
until you came in, thank you.

Are you crying?

No.

We don't cry in the OR.

That's what the
ladies room is for.

I'm not crying!

Good.

Then you won't mind
if I scrub in.

[sighs]

Where's Malucci?

‐ He's with his new fan club.
‐ As if.

‐ Find him.
‐ Right now?

No, sometime in
the next two weeks.

‐ You don't have to be snippy.
‐ Dr. Greene.

Some of the kids on the bus
had a can of solvent.

‐ They were huffing?
‐ Trying to get high.

Great, I've got
a pregnant girl.

‐ What were they using?
‐ Uh, I don't know, actually.

They just held a rag
over my patient's face

and forced him
to take a hit.

Tox screens are negative.

They're solvents,
they don't show up.

We have to find out
what it was.

I know where to start.

Just don't implicate
Stuart, okay?

He's a little afraid
of payback.

‐ Tell them.
‐ Dr. Dave was talking to me.

And he fell asleep
in the chair.

Now he's drooling.

[snoring]

'Okay, Mr. Gunderson,
you need to change into a gown'

and then the doctor
will be in to examine you.

Just have a seat
on the...bed.

Dave.

Dave?

Dave!

I'm good.

I'm good.

No, man, you gotta
stick it up his butt.

Okay, guys.
What were you sniffing?

‐ What?
‐ 'On the bus.'

You smell something
on the bus, Eric?

Yeah, Mrs. Linden's farts.

We found chemical solvents
in your blood stream.

Some of your classmates
are really sick.

Uh, can I get
another Band‐Aid?

I need to know what it was.
Butane?

Paint thinner? Adhesive?

Okay, fine,
we'll do more tests.

Bo?

What kind of tests?

(Malik)
Just lie still, man.

We take the blood
and label it

with radioactive hydrogen.

Then we re‐inject it
into your body..

...and do a nuclear scan.

(Bo)
'Really?'

It's the only way to
identify the chemicals.

It was spot remover.

What kind?

Carbon tet.

Carbon tetrachloride?

Order liver panels
on all three of them.

Got it.

Am I going to be okay?

I hope so.

[indistinct chatter]

‐ Hey, can I help you?
‐ Yeah, I'm looking for Rena.

She's just finishing up
with a patient.

Dr. Carter, right?

Yeah, have we met?

No, I'll let her
know you're here.

[indistinct chatter]

[clattering]

(female #2)
'Dr. Carter?'

Yeah, hi.
I‐ I..

Don't worry about it.

This is always
falling apart.

Um, okay.

Actually, it goes
like this.

Are you sure
you're a doctor?

Yeah, I was a surgical
resident for a year.

I guess it's easier
taking things out

than, uh, putting it back in.

Hey, uh...I was waiting

and I accidentally
eviscerated this guy.

[chuckles]

I heard about the shooting,
are you okay?

Yeah. It was..

Did you need something?

I've been...doing
some thinking about you and me

and I realize
that I may have been, uh..

Stupid?

I was going to say wrong.

But maybe I was
a little of both.

Uh, look, I enjoyed the time
that we spent together.

I'd like to do it again.

So I was wondering
if you would have lunch with me.

What about the age thing?

Not an issue..

...anymore.

You dropped your spleen.

Right, so is that a "no"?

I'll think about it.

Okay.

I was just up at grand rounds.
Why didn't anyone get me?

There wasn't any time,
she arrested immediately.

She wasn't that agitated
when I left.

What did she want
with a gun?

She didn't want anything
with a gun.

‐ She was altered, alright?
‐ Dr. Benton.

The cop is still
waiting for his sutures.

[sighs]
Yeah, I'll see you.

‐ Got the film.
‐ I have to get out of here now.

No. No. No. No.
You need to sit down.

You were unconscious
from a car accident.

‐ I'm going to be late.
‐ For what?

For my gynecologist.

They have to harvest
my eggs by 6:00.

You're on fertility drugs?

Yeah, uh, I had ten days
of FSH injections

and yesterday
they gave me beta HCG.

Look, I'm ovulating now.

There's only a two‐hour window
to retrieve the eggs.

Well, I don't think that's
going to be possible now.

Why, did I damage
my ovaries?

Head CT looks normal.

We think you may have had a
small blood clot in your brain

which caused you to pass out
and crash your car.

But I'm okay now?

(Mark)
'Well, we need to give
you blood thinners.'

‐ To prevent any more clotting.
‐ Fine.

Then I'll go to the clinic
and I'll come right back.

No, you need heparin now

which means you can't have
an invasive procedure.

No. No‐no, when I come back,
you can do whatever you want

but I have to harvest
these eggs.

Hold on.
Who's your gynecologist?

Her name is
Dr. Alexander.

Let's call her,
and maybe she'll come here.

What is taking
so long?

Have a seat.

Did you
do the test?

[sighs]

You are pregnant.

[giggles]
I knew it.

Well, what about the fumes?

It shouldn't
be a problem.

Good. I want
a healthy baby.

Have you thought
about your options?

What do you mean?

Can you take care
of a baby?

Well, there's day care
in high school.

And my mum can help out
until I'm in ninth grade.

Does your mom know?

Maybe you should
tell her.

No! Don't tell her.

She'll freak out
completely.

It's a big decision.

No, it's not.

All my life
I wanted a baby.

(Kenny)
'She's a good cop.'

'Saved my ass
a couple of times.'

Well, no one ever wants
to draw their gun.

She was forced to make
a split‐second decision.

Oh, was she?

She followed
the guidelines.

Hmm. They teach you to shoot
little old ladies, huh?

Oh, she could've shot anyone
in that hallway. You know that.

No, all I know is that an
elderly black woman is dead.

No, man.

Lisa's not like that,
at all.

I would have done
the same thing.

Hold still.

Look, you don't
know her.

You can trust her.
She's a good person, she..

Look.

She's been raising
two kids on her own

ever since
her husband died.

She's had it rough.

I'm telling you, this
investigation goes the wrong way

and you could ruin
a good cop's life.

She was trying to protect
you and your patients.

That's all
she was doing.

You might wanna
consider that..

...when you talk
to these detectives.

[sighs]

'I know she's in the
middle of a procedure.'

I need you to page
Dr. Alexander.

Have her call Dr. Greene
at County General.

Hold on, Malik.

Yeah, the patient's name
is Laura Becton. Thanks.

Robert Borsalino?
This is Bo?

‐ Yeah.
‐ Alright.

We need a protime,
type and cross for four.

‐ You gonna admit him?
‐ Pedes ICU.

(Luka)
'She's in the
seventh grade.'

They're emancipated
for a reason.

When they're pregnant,
you can't tell her mother.

She'll have to tell
her eventually.

‐ Yes, she will.
‐ Yeah.

But don't you think
it's better for her

to tell her mother now?

Well, yeah, I do.

‐ So...you'll talk to her?
‐ What?

Maybe she'll
listen to you.

‐ What room?
‐ Exam two.

I don't need this. I can
just go home and rest.

I mean, you really need
to find your parents.

They don't back till
about eight or nine.

They have a cell phone
or a pager?

No. I don't
even bother.

We really do.

Well, what is it?

‐ You're in liver failure.
‐ How'd that happen?

You need to huff pretty much
every day to hurt your liver.

Well, people
drink every day.

This is worse.

We have to start
looking for a donor.

A donor?

You could die if you don't
have a liver transplant.

Is this another one
of your scare tactics?

No.

‐ Mark, Laura's crashing.
‐ I'll be back.

‐ What happened?
‐ She slumped over.

‐ Stopped breathing.
‐ Damn it!

I should've heparinized.

Pavulon and Sux.
Let's paralyze!

I don't think
you have to.

Number eight ET tube.

'Suction.'

No muscle tone
in the legs, either.

Blood clot knocked out
the corticospinal tracts.

She's a quadriplegic.

How about TPA? Maybe
we can bust up the clot.

Not after a car crash.
She has pulmonary contusions.

She could bleed
into her lungs.

Dr. Greene...
I took a message.

Dr. Alexander can't
come and see the patient.

Forget it.

She stroked out.

(male #1)
'And you also heard
Officer Kimble'

'ask the woman
to drop the weapon?'

Yeah.

What happened next?

Mrs. Howard was startled,
and she raised the gun.

Pointed at anyone
in particular?

There were
other patients around

but no,
no one specifically.

[sighs]
Okay.

We'll notify you
if we need anything else.

That's it?

Yeah.

Something you'd
like to add?

Yeah. They could have grabbed
the gun.

What makes you
say that?

She was a frail,
frightened

demented,
elderly woman.

She didn't know where she was
or what she was doing.

But she still
could've fired it.

Uh...maybe.

But?

They didn't need
to shoot her.

‐ 'Was she huffing?'
‐ 'No.'

You should have talked
to her about drugs

but...you never know.

Uh, I don't think
she does drugs.

I shouldn't have let her
go on that field trip.

‐ Why?
‐ She's been sick.

She tells me she's been, uh,
throwing up every morning.

Yeah, could that be
gallstones?

You know,
my mother had them.

Do you know when
was her last period?

I don't keep track.

She has a boyfriend?

Is she pregnant?

‐ Oh, that little slut.
‐ Mrs. Perrault..

‐ How could you be so stupid?
‐ What?

‐ This is your mother?
‐ Yes, I'm her mother.

If you're gonna sleep around,
you could at least use a condom!

‐ He didn't want to.
‐ Hey, there's no need to shout.

Who is the little bastard?

Let's talk
about this outside.

‐ You're getting an abortion.
‐ I am not!

‐ Yes, you are!
‐ Leave me alone.

Why don't we all
just calm down for a second?

'No. You can't take care
of a baby!'

'You can't even take
care of yourself!'

‐ Get her out of here.
‐ I need you to step outside.

I need you to mind
your own business.

‐ Mrs. Perrault.
‐ I told you not to tell her.

She's a psycho.

She is not leaving here
pregnant!

Yes, I am!
I'm having this baby.

And I'm going to be
a much better mother than you..

...you bitch!

You doing
your homework?

‐ No. That lady brought it in.
‐ What lady?

The really cute one
with the curly hair.

She works
in pediatrics.

‐ Oh, yeah. Rena.
‐ Yeah.

Hey, we found out exactly
what caused your asthma.

You didn't tell
them I told you?

No, I didn't have to.
They told us.

They told you
or you asked?

Either way,
it's not going to be a problem.

‐ They think I squealed.
‐ No.

I know it.
Bo is gonna kick‐‐

You're not gonna have
to worry about Bo.

Everything's
going to be alright.

No, it won't.
They saw me naked!

They just saw you
from the waist up.

They're gonna
make fun of me forever.

Listen, I knew a boy
who was a little husky

and he didn't have
very many friends

and all the kids
used to make fun of him.

So he spent...
most of his time studying.

And he went on to college,
and he became a surgeon

and at his high school reunion,
he took out his scalpel

and he cut the tongues
off of every kid

who ever made fun of him.

That's supposed
to cheer me up, doc?

Okay. Help me mobilize
the small intestine.

Pancreas is fine.

Uh‐oh! Take a look
at this.

[sighs]
It's a hematoma
of the duodenum.

Yeah, the bullet went
through the medial aspect

of the second
portion.

[sighs]
You're kidding.

Have you known me
to kid?

Okay, open
a pancreaticoduodenectomy tray.

‐ He needs a Whipple.
‐ That's a five‐hour procedure.

Mm‐hmm. I'll
call in Peter.

No! No, it's my patient.
I'll finish.

No, no, no. No need
to torture yourself.

I just need
a bathroom break.

A bathroom break?

Well, I am seven months
pregnant.

You should have considered
that before you started.

[sighs]

I'll be back
in five minutes.

Fine. Shirley, call in
another scrub tech.

I need an extra pair
of hands.

Okay! Forget it.
I won't go.

‐ Go.
‐ No! I won't!

Bovie, pickups.

Shirley..

...can you crawl between my legs
and insert a Foley?

Alright, alright. Go on.
Go on, get out.

Go on. Get out of here.
Go ahead.

[equipments clang]

Don't you need a
cable or something?

Nope. It just sends
it right to your phone.

Done.

Okay, okay, call me.

["Last Resort" ringtone]

[laughs]
Papa Roach,
that is so cool!

Stuart, do one for me.

Blink 182.

Looks like he's found
some new friends.

How'd you do that?

Well, I guess
it's a little late for lunch.

Well, we got busy
with all these kids.

How about dinner?

I'll probably grab a Happy Meal
on the way home.

Okay, I deserved that.
Now you can forgive me.

‐ I don't know.
‐ Come on, I'm starving.

You, me,
a couple of big steaks..

I'm a vegetarian.

Or brussels sprouts?

It's a school night.

No, seriously.
I've got a midterm tomorrow.

Well, I can help you study.

Well, I might have to pull
an all‐nighter.

‐ So, is that a "yes"?
‐ Alright.

Excuse me.

So...where and when?

[stammers]
Let‐let me think about it.

I'll call you
upstairs when I..

...when I know something
a bit more specific.

I thought you were
over this age thing.

I am, I am.

So what was that about?

[sighs]
Do you know Abby?

‐ No, but she seems nice.
‐ She's nice, yeah.

No, she's just..

She's always had
this thing for me.

You used to go out
with her?

Y‐yeah, y‐you know,
she's got some issues

and she gets
a little weird

around the other
nurses and stuff.

So it's probably best
not to let her on..

...let...let her on
about us.

I'll meet you down here
after your shift.

Uh, yeah.
Sounds like a plan.

Okay.

[sighs]

When you have a chance,
the family wants to talk to you.

'Peter.'

Hey.

‐ Mrs. Howard's sodium was 172.
‐ What?

She was delirious because of
profound dehydration.

Did you check her
mucous membranes?

I examined her abdomen
for post‐op complications.

That's it?

Well, didn't you
examine her?

I shotgunned her labs
and gave her to you.

Come here.

[sighs]
This whole thing
was preventable.

If I had recognized
the problem and started an IV.

Hell, if I had given her
a glass of water

she might still be alive.

You don't know that,
it always takes time

to make a diagnosis
when we're busy.

She wouldn't have
grabbed the gun.

That's no reason
for them to shoot her.

You'll see a tube
in her mouth

hooked up to
a ventilator.

Well, she's
not breathing?

The stroke affected
the part of her brain

that controls breathing.

Will that get better?

We'll have to wait and see.

Here.

You can sit down.

Laura...it's Greg.

I'm right here.

[sighs]

She's only 23.

How could she have
a stroke?

We think the fertility drugs
caused a blood clot.

Fertility drugs?

The injections.

What are you
talking about?

I talked to her
gynecologist.

Your wife was trying
to be an egg donor.

She was selling
her eggs?

There was an infertile couple...
willing to pay $80,000.

We have this, uh, this little
hardware store, um..

...bills are stacking up,
business is down, uh..

...we're about to file
for bankruptcy.

I guess she was
trying to help.

I'm sorry.

'You didn't have
to do this, honey.'

[sobbing]
You didn't have to do this.

[sobs]

‐ Is Dr. Carter around?
‐ He was here a minute ago.

Uh, will you tell him
that I'll be late?

There's a new admission
to the PICU.

No problem.

‐ Hi.
‐ Hi.

‐ I'm Rena.
‐ Abby.

‐ You're Dr. Carter's friend?
‐ That's right.

I hope you don't mind
me spending time with John.

Why would I?

[sighs]
Well, he told me.

‐ Told you what?
‐ About you and him.

Me and him?

I just don't want there
to be any hard feelings.

I understand
how some relationships

take longer to get over
than others.

He told you...we
had a relationship?

I find
his honesty refreshing.

He's different
than most guys.

Oh, yeah.

He's special.

Good view of the heartbeat.
There is the head.

"It's time to explore
new places

"even though Taureans cringe
at the thought of change

"trust what lies ahead
as a fantastic

"once‐in‐a‐lifetime
opportunity."

‐ That's so perfect.
‐ What?

My horoscope.
What's your sign?

I don't know.

Well, when's
your birthday?

Looks like you're
about ten weeks along.

So, when will
I have it?

November.

Early Christmas present.

Oh, look how cute!

Babies are a lot
of responsibility.

I know.

It's hard work, getting up
in the middle of the night.

It's easy...if you
love them.

How old was your mom
when you were born?

Sixteen.

Maybe if she had waited
a couple of years

she would have been
a better mother.

I'm way more mature
than she was at 16.

[sighs]

I'm gonna have a social worker
stop by to see you.

Good. I need
to sign up.

‐ For what?
‐ Money.

When my friend Gina
had her baby

she started getting
a check every month.

Your wife
wanted us..

Randi, any word
from the OR?

They're still working.

It'll only
take a few minutes

and we won't harm
her in any way.

Stay the hell
away from my wife!

Dr. Alexander?

Mark Greene.

Could you keep her
out of here, please?

What are
you doing?

We were discussing
his wife's condition.

Well, right now
you're a consultant.

‐ You talk to me first.
‐ I couldn't find you.

I was reviewing her records
when he walked in.

No, you weren't, you were
twisting his arm

because you want
to harvest the eggs.

I was presenting it
as an option.

He'll never
let you do it.

She's already given
her consent.

He just lost his wife.
Leave him alone.

Dr. Greene, she's gonna need
a lengthy hospitalization

and then round‐the‐clock
home‐nursing care.

That's a tremendous
financial burden.

Thanks to your
fertility drugs.

I don't think so.

I've been doing IVF
for 12 years and..

...I've never seen
this happen.

She must have a Protein S
or an Antithrombin deficiency.

Those are
pretty rare conditions.

Not as rare as a vascular
occlusion from FSH.

I'll send up the labs.

There's only an hour left
to retrieve the eggs.

It's a ten minute procedure
but it'll give them

a nice
financial cushion.

Why don't you try and calm him
down and discuss the situation?

[equipment beeping]

Mm‐hmm.

Another Vicryl.

Why don't you go
take a nap?

[sighs]
Because I've got
my second wind.

Well, it's about time.

I'm happy to close.

Be my guest.

Skin stapler.

(Shirley)
'Dr. Greene
called again.'

'He'd like you to phone him
when the case is over.'

Oh, how sweet.

You are one...lucky lady.

Couple of ABDs.

(Shirley)
'You're gonna write
post‐op orders?'

Uh...yes.
Leave the clipboard for me.

(Shirley)
'Okay, here we go.
One, two, three.'

(Elizabeth)
Um...ABG in 20 minutes.

I'll meet you
in recovery.

His brother's
in the waiting room.

Can you
talk to him?

Yeah.

[sighs heavily]

Hey, Abby, can you update
the tetanus on my foot lac?

Sure. Why not?

You okay?

Oh, yeah, I'm peachy.

What's wrong?

[breathes heavily]

I don't know, maybe I'm still
getting over our breakup.

You talked to Rena?

I'm sorry. I panicked.

[chuckles]

Um...wh‐what did you
say to her?

‐ Nothing.
‐ No, really.

Really.

Against, uh, my
better judgment

and everything
I hold sacred in life..

...I covered for you.

So, you owe me.

‐ Thank you.
‐ Mm‐hmm, sure.

Also, I told her
I dumped you.

[smirks]
You dumped me?

And she believed you?

Of course she did.
Why wouldn't she?

Well, it's just..

...you'd never dump me.

I would dump you
like a bad habit.

Oh, no.

I definitely think
I'd dump you first.

In your dreams,
maybe.

‐ Oh, I would dump you.
‐ No, you wouldn't.

No.

You're acting
crazy now.

[equipment beeping]

[beeping loudly]

(Greg)
'What's that?'

Pulse ox came off.

That's it for the right side.

Is she in any pain?

No.

Left ovary looks good.

(James)
'She wrote
children's books.'

Did you know that?

Those were, um...
our bedtime stories.

I still can't believe
this is happening.

She's had dementia
for such a long time.

I know.

Usually, she's forgetful

or...thinks she's
still living at home

but...she's never
been agitated or violent.

I can't imagine her
fighting with the police.

So, you're sure it's nothing
from the surgery?

No, I'm not.

Dementia is
a progressive illness and..

...over time, there's worsening
of psychiatric symptoms.

[sighs]

You know, it's been so hard...
to watch her deteriorate.

Even little things
can lead to agitation.

You know, sleep deprivation,
a bladder infection.

Actually, we think it was
dehydration with your mother.

From not drinking enough?

I told you, there's too many
people at that nursing home.

They weren't even
giving her water.

I never should have moved
her out of the house.

It was too much
for you, okay?

I could have done it,
I could have cared for her.

I was the one who
put her in there.

This is not your fault.

[sighs]

Thank you,
Dr. Benton.

'I know she appreciated
your kindness.'

I was looking everywhere
for you.

Shh..

[whispering]
Is that Dermabond?

How's he going
to get it off?

Maybe he'll find
some Acetone.

[giggles]

[snoring]

Carter, can you pitch here
with some chart reviews?

It's okay.

Actually, I promised Rena

that I'd help her study.

‐ Tutoring?
‐ Yeah.

‐ It's a midterm, right?
‐ Yeah.

‐ Family studies.
‐ Psychology.

Goodnight, Dr. Carter.

Randi, could you
call up to the OR?

‐ Again?
‐ Yes.

Don't bother.

I thought you'd
never get out.

Neither did I.

How are you?

If I don't
get off my feet

my ankles are
going to explode.

‐ Oh.
‐ Your patient make it?

Yeah. How was your day?

The usual.

Did you save
any lives?

I hope so.

Oh, thank you.
That's wonderful‐‐

Dr. Corday,
your dinner has arrived.

"Nice work, mom."

It's from Robert.

Maybe we should
have someone taste it first.

Oh, I am so hungry.

‐ Pepperoni pizza.
‐ And ice cream.

"Cherry Garcia."

Oh, let's go
with the ice cream first.

[chuckles]

Oh...I had the most difficult
case today.

And I got through it.

Mmm. Mmm.
Oh, that's good.

Have some.
Mmm..

Mmm..

Now that it's over,
I'm thinking..

...why do I have to prove
that a pregnant surgeon

can...can be competent?

I don't know.

I mean...I can operate
until the day I deliver.

But what the hell for?

So, as of now..

...I am officially
on maternity leave.

I am going to rest

and I'm going to take
care of myself

and my baby.

Oops, no napkins.

["Happy Together"
by The Turtles]

Mark, can I just
sleep here?

I don't think I have
the strength to move.

I don't think I have
the strength to carry you.

[laughs]

‐ Keep it coming.
‐ I'm sorry.

[song continues]

[instrumental music]