ER (1994–2009): Season 8, Episode 3 - Blood, Sugar, Sex, Magic - full transcript

Previously on E.R.:

Stop compressions.

You killed him.

If I'm such
a horrible person

how could you possibly
want to be with me?

I'm done, okay?

Carter can have you.

She came in
without a blood pressure.

She had massive
internal bleeding.

It's too severe
to repair.

I found three pictures of Jesse
left on the roll.



I fell apart right
in the store.

You look lovely.

Thank you.

Promise me you won't grow up
too fast, okay?

Okay.

BENTON:
We were running late, so I just
threw a bunch of stuff in here.

I got some snacks
and a movie for later.

I'll pick him up
around 8:00, okay?

Jackie?

I'll pick him up around 8:00.

Yeah, sure.

Listen, I, uh,
really appreciate this.

I've got a nanny agency

setting up some interviews
for next week.



Don't worry about it, Peter.

All right.

*

MILLICENT:
John?

John?!

Are you all right?

Yeah.

I brought you
some aspirin.

I just need to stretch it out.

What you need is to
see my orthopedist.

I'm making you
an appointment today.

I'm covering half a shift today.

Then tomorrow.

I don't need
to see your doctor.

Your back is nothing
to trifle with.

You don't want to end up
with a hunch like Uncle Everett.

This isn't orthopedic, Gamma.

I was stabbed.

I know that, John.

All the more reason
to take care of yourself.

Oh, uh, sorry.

It's okay, Gamma, I'll get it.

No, don't move.
You have no shoes on.

All part of my ninja training.

Your what?

( music playing )

( loud crack )

Oh, no.

Sh...

Maybe we should go back
to taking shifts.

Are you going
to make it?

I thought this
walk was supposed
to wake me up.

I offered
to get you some coffee.

I don't need coffee.
I need more than two
hours sleep at night.

I think Rachel was seven before
she slept through the night.

Oh, God, bite
your tongue.

LOCKHART:
How big is

a 100-gallon tank
in feet? Like two by
four? Three by five?

Weaver's on the warpath.
Run for your lives.
Save yourselves.

I'm going upstairs.

Chicken.

Well, how much is
a 300-gallon tank?

Without fish?

Give me something.

I don't know
if it's saltwater.

I didn't taste it.

Chuny, this guy
checked in at
10:00 last night.

Don't look at me. Weaver's
taking her own histories

on every patient and ordering
every test in the book.

I don't know, you know--
like, fish.

Like, if there's a red one
and a yellow one...

Unnecessary tests?

HALEH:
You better do something
before somebody

shoots her.
I have to call you back.

All right, let's treat
and street some of these people.

Any candidates
for early parole?

Take your pick.
Who's on first?

Jenny.

Possible bladder
infection.

Dip's positive
for leukocytes,
icon's negative.

Okay, Jenny, are
you allergic to
any medications?

No.

All right, I'm going
to give you Bactrim--

one every 12 hours
for three days

and come back if you're
not doing any better.

Weaver's got this one waiting
on an ankle X ray.

I think it's broken.

Did you fall off
your horse?

Yes.
Really?

Yeah, it was
for the jousting
demonstration

at the
Renaissance Fair.

Cool. Any pain here?
No.

How about here?
No, not too bad.

Okay, I need you
to walk for me.

It hurts.

Yeah, it you can walk on it,
it's just a sprain.

Ice it, wrap it
and give him some ibuprofen.

That's it?

Well, normally, I'd do
some blood-letting

but we're low on leeches.

Don't forget about me,
Dr. Greene.

Hi, Candy.

Human bite
to the buttocks.

Again?

Some boys can't get
enough Candy.

Uh-huh. 500 of Augmentin
and prep her for suturing.

Who's sick,
you or the pig?

It's not funny.
My hand really hurts.

Ah, think how the pig feels.

Hey, Mark, what
are you doing?

Trying to treat some
of these patients

before they
eat each other.

He's already discharged two.

Oh, thank you, Haleh.

I think I
need Surgilube.

No kidding.
You didn't even
take enough time

to do a proper exam
on that girl.

I mean, you could've
missed pyelo, PID.

She was afebrile;
garden-variety UTI.

Make your hand
this shape.

Okay, I want all patients
to be examined thoroughly.

The moment we
become complacent,
we make mistakes.

Speak for yourself.

Haley, put Jenny in a gown;
set her up for a pelvic.

Dr. Weaver?
I'm listening.

22-year-old woman with chest
pain reproduced by palpation.

Pulse ox is 97;
EKG looks normal.

Okay, send her out.

Well, I'm only asking
because she's taking
birth control pills

putting her at risk
for a PE.

So I was wondering
if we should send
off a D-dimer...

I got it.

What?

Yeah, you can look at
last month's QI data.

No, no, I just need to know
if we should order a VQ...

I'll take it.

Okay.

Dr. Chen, I've got
an abandoned newborn female

maybe two hours old.

Okay, how's her color?

Some peripheral
cyanosis.

They dumped her
at St. Anthony's.

She's cold to the touch.

Airway's okay,
but a weak cry.

Uh-huh, Trauma One.

Have you tried letting him
fall asleep with you

then moving him
to his own bed?

It doesn't matter.
He still wakes up crying.

I ask him if he's having
a nightmare and he says yeah

but then he can't tell me
what they're about.

About Carla?

Yeah. I found him
wandering around
the apartment

with his little flashlight
looking for her.

Poor guy, he's confused.

Yeah.

It has to get better
eventually.

I don't know.

We were making breakfast
this morning

and it dawned on me--

my son's going to grow up
without a mother, you know?

Something so basic,
such a big part of who he'll be

and there's nothing
I can do about it.

Hey, Cleo, I reduced
your prolapsed rectum.

What?

Yeah, I used
the old sugar trick.

You treated
my patient?

Yeah, she was in a lot of pain.

With sugar?

Yeah, yeah.

You sprinkle a little on

the water escapes
from the mucosa

the edema subsides
and you pop that puppy back in.

You should have let me
take a look first.

It could've been
a prolapsed hemorrhoid.

Trust me...
that was no hemorrhoid.

No, wait,
who asked you to see her?

Hey, Dave?

What?

Don't treat my patients
unless I ask you to.

Why? I rectified
the situation.

No, anyone could've
shoved it back in.

Rectified...
You get it?
That was funny.

I was waiting
for a surgical consult.

Oh, come on, you
were in there gabbing
with your boyfriend.

Is there a problem,
Dr. Malucci?

Uh, yes, actually,
I never knew anyone

so possessive over
somebody else's butthole.

Just stay away
from my patients.

It's that Freudian thing,
isn't it?

Who keeps stealing
my ultrasound?

We need it
for that kid
in Curtain Three.

CARTER:
Who you hiding from?

You giving yourself
a pedicure?

I think I stepped on
a piece of glass.

Let me see.

Ow!

Yeah, you got something
in there.

Want me to try
to take it out?

Yeah, please.

Luka and I broke up

a few days ago.

Uh, why?

I think both of us realized

the relationship wasn't working
a long time ago.

Neither one of us wanted to be
the one to call it.

So it was amicable.

No, I wouldn't say that.

I'm sorry.

Is that why you're avoiding him?

Partly.

I had to go over to his place
this morning because I...

HALEH:
Carter...

Chen needs you in Trauma One.

What about your foot?

It's all right.

You're going to have
to find another excuse
to hide out in here.

Malik, have you seen
Mr. Fell's digoxin level?

Ask Abby.
She was working him up.

Carter, have
you see Abby?

Try the lounge.

CHEN:
Set up heated, humidified O2
for blow by.

What's this?

Abandoned newborn;
needs warm IV fluids,
but I can't get a line.

Can you try
a intraosseous?

Mm-hmm. Where'd
they leave her?

A church. They didn't even
bother to dry her off.

MARQUEZ:
Temp was 91.2.

Boy, she hardly
even reacts when
you stick her.

Ah, damn it.
What's the matter?

I went through
the bone.

I need some gauze.
Chuny, any luck?

I can't find
the scalp vein.

Carter?

Mm-hmm, I'm in.

Let's push
60cc's of saline.

How's the accu-check?
82.

We need a cath urine
for culture.

Carter? It's infiltrating.

Damn it.

HALEH:
Heart rate's 180.

Okay, this kid needs
fluids right now.

Let's call pedes surgery
to do a cutdown.

What about an
umbilical line?
I can't.

I did one during my internship.

We won't get it if she's more
than a few hours old.

It's worth a try.

Come on, fewer complications
than a cutdown.

We just need
two minutes.

Go get an
umbilical line kit.

No. Chuny,
page pedes surgery.

Just go get
the kit, Deb.

( sighs )

What's wrong with kids
these days?

They used to think
it was cool to see
me walking on stilts.

Maybe they're
more sophisticated
than we were.

You mean more vicious.

They knocked him over.

On purpose.

Little buggers were actually
cheering when I went down.

I made an appointment for him
to see ortho in two days.

Good. Until then, keep
your wrist elevated and iced.

Can I get a note
for work?

No problem.

Hey, boss,
can I ask you something?

Sure.

MALUCCI:
Hey.

Hey, hey.
Dave, what's
your question?

Nothing. Hold
the elevator

hold the elevator.

MAN:
We're full.

This is a
medical emergency.

Are you a doctor?

Yeah. I'm Dr. Dave.

So I've been warned.

( alarm sounds )

I told you we were full.

Open your eyes, sir.
I think he
got caught

in one of his
own booby-traps.
Traps?

Jungle Bob lives
in the park.

Some of these
homeless guys can
be very territorial.

Hey, Malik, I need a lateral
C-spine, chest and pelvis.

Abby's covering trauma.

I got this. Go.

My friend
Marty's a mime.
He carries a gun.

I hope you're kidding.

Hell, no. Some punks love
to hear the mimes scream.

Dr. Greene, Weaver
wants a wound culture
on your butt bite.

CANDY:
I've been on my own
since I was ten.

Rachel?

Hi, Daddy.

What are you doing here?

I came to see you.

How did you get here?

She took the train.

From St. Louis?
By yourself?

Mom kicked me out.

My mom kicked me out, too.

Best thing
ever happened to me.

CARTER:
Need a drape?

CHEN:
Somebody tied off

the umbilical cord
with a shoelace.

Ten blade and
umbilical tape.

Where the hell's pedes?

Now flush the catheter.

They should
be here by now.

Come on, Deb, stay with me.

( alarm beeping )
Can't get a BP.

Okay, turn off the alarm.

Somebody get Weaver.

And you hold on.
I'm cutting the cord.

What if we can't pass
the catheter?

It's okay.
The umbilical vein looks good.

Prep and drape the ankle
just in case.

What do you think she weighs?

About three kilos?

Hmm... maybe
a little more.

Let's get ready
with 20 per kilo.

Okay, in at
five centimeters.

Okay, try a drawback.

2cc return.

Got a good vein.
Yeah.

All right,
let's push a 60cc bolus.

That's nice work, Deb.

Thanks. 3-0 silk
on a needle driver.

Uh, yeah, okay.

Well, make it quick.

How much longer?

They're
working on it.

I don't know if I
can wait any longer.

It's so hot in here.

Everybody
just relax.

This happens
all the time.

They think
I have an ulcer.

Yeah.

Uh, if you get scared,
I'll-I'll hold you.

Scared of what?

Plummeting
to our deaths.

What?!

He's just kidding, ma'am.

Look, maybe it would be best
if you just stopped talking.

I think I'm going to be sick.

No. No. No one's
going to be sick

no one's going
to faint

and we're all just
going to relax...

Oh, God!

God...

( loud rock music plays )

Good song.

What?

I love this song.

Do you listen
to Abandoned Pools?

I do now, along
with everybody else

within a six-block radius.

It wasn't that loud.

Don't come
crying to me

when you need
a hearing aid.

Oh, yeah, and what about
those old Led Zeppelin records

you're always playing?

Okay, they're albums;
not records

and they're vintage;
not old.

Whatever. You still play them
way louder than this.

Chicken or beef?

Dad, I'm a vegetarian.

I knew that.

Mom thinks
it's just a phase.

Like, hello-- it's called
a healthy lifestyle.

Maybe you should try it.

Exactly what happened
between the two of you?

I told you.
She kicked me out.

( pops lid )

She did!

I came home
from my friend Stacy's

and she had thrown
all my clothes out on the lawn

so I left.

And why'd she throw
your clothes out?

She's crazy.

Seriously.
I think she needs therapy.

She grounded me last week
for being home a half hour late.

I mean, come on, Dad.

A half hour.
It's summer vacation.

( pops lid )

I'll call her.

Don't bother.
She's beyond reason.

Does she know
you're here?

Rachel, you got to let her know
you're here.

Why?

W-Why? Because she'll be worried
to death.

So what?

CORDAY:
Hello.

Rachel.

She dropped in
for a visit.

Well, that's a
nice surprise.

How long are
you in town for?

You here
for the consult?

Yeah. Rule-out appy.

That's mine--
end-stage dementia.

Mm-hm.

Okay, I'll be
right back.

Call your mother.

Bye.

Mark, you didn't tell me
she was in town.

I didn't know.
She ran away.

Why?
To join the circus?
I don't know.

She and Jen are having
mother-daughter issues.

I'm sure you know
what that's like.

I didn't run away
from home.

No, of course not
'cause your mother

would have set the
hounds out on you.

Ha, ha, ha, ha.

This guy's definitely
not breathing.

He needs an airway.

Hand me this
when I say "tube."

Okay?

There's no air
in here.

I can't see squat.
All right.

You, push on his neck.

What?

Give me your hand.

Like this.

There you go.

Okay.

Forget it. I'm never
going to see the cords. Oh!

Oh, God!

Oh...!

MALUCCI:
Roll him.
Oh, my God!

Damn it.
Blew the line.

Bag him.

I don't know how to...

Just squeeze the bag

every three seconds.

One, two, three...

squeeze, all right?

One, two...
hey, hey, hey!

Help her, help her.
Hey! Hey!

I said no fainting,
no fainting, okay?

KOVAC:
Run the fluids in
over two hours

and give him 50 of Librium
for the shakes.

Abby?

What?

Did you hear me?

Yeah.

You want a blood
alcohol level?

Um, just a liver panel.

Did you find your sweater?

Yeah.

Good.
I thought you maybe

had some trouble.

Why would you think that?

I haven't seen you
all morning.

Yeah.
Well, we've been busy.

Abby, I'm sorry
if I hurt you.

I didn't want
to hurt you.

You didn't hurt me.

I just want you
to be happy, Abby.

You never seemed
to be happy with me.

That's all
I want to say.

Well, you said it.

Yeah.

So, what now?

You tell me.

Should I send a protime?

Yeah.

What's your
biggest angiocath?
14 gauge.

Give it to me.

What are you
going to do?

Retrograde intubation.

Hold that.

Wire...

...should come out the mouth.

Okay, hold onto that, Sparky.

I got the line.

Squeeze in a liter.

Hold onto that.

Don't stick anyone.

And... tube.

I said tube!

WEAVER:
Doctors are human.

We make mistakes.

Speak for yourself.

If this guy
had been properly diagnosed

and sent straight to the O.R.
without T.N.K.

he'd still be flipping burgers
at McDonald's.

Marfan's is
difficult to detect.

The residents had
never heard of it.

Which is why
we have attendings.

I can't be everywhere
at every moment.

Wrong answer.

As we speak

the Trib is writing
a feature story

on this screw-up

and the rise in
preventable deaths.

So you either come up
with a better excuse

than "doctors are human"

or find yourself a good
old-fashioned scapegoat.

MALUCCI:
Good breath sounds.

Very cool.

Who's the man?

She's pinking up.

She's breathing quietly
without retractions.

Heart rate is
normal at 140.

Temperature's up to 97.

All right,
somebody's
got to call

Social Services
and D.C.F.S.

This little girl's
going to need

foster placement
eventually.

WOMAN:
Dr. Carter?

This is Mirissa.

She's the woman

who found the baby
at the church.

Oh.
She wanted to know
how she's doing.

She's doing very well

but it's a good thing
you found her when you did.

Would you like
to see her?

Hi.
This is my
sister, Carmine.

Doctor, can you
show my sister

the mark on her chest?

The birthmark?

Oh, yeah.

There you go.

Ya vez?

Te lo dije!

Es una senal
de la virgen.

CARMINE:
Es un milagro.

Se me desaparecio
mi artritis.

Thank you.

Thank you.

Okay, did I
just miss something?

( chuckles )

She thinks the birthmark
is the sign of the Virgin Mary.

CHEN:
Oh. Oh, it
does look like

a bleeding heart.

( laughs )

Hey, John...

thanks for the help.

Anytime.

No, no, really.

Really.

Anytime.

Hey.

Can I get you
a cane?

I've heard that women
find helplessness charming.

In puppies, maybe.

You still evading Luka?

No. Well, yeah,
sort of.

It's complicated.

Most breakups are.

Here, sit down.

Well, not that way.

This morning I had
to go over to his place

to get
one of my sweaters...

and I smashed
his fish tank.

Why?

It was an accident.

Oh.

Did you replace it?

No, not yet.

I haven't even told him.

Is it too broken
to fix?

Well, it was more
like a crack.

Ow!

Want some lidocaine?

No. Just do it.

That's one big piece of glass.

You really should
replace it.

Otherwise, he's
going to think

you're a little...
vindictive.

It wasn't like that.

Oh, I know.

I'm getting him
another one.

I think that's
a great idea.

I just need some help

getting it
into his apartment.

Don't even...

Come on.

I can't lift it up by myself.
We could get there.

We could replace it
before he gets home.

You can tell Luka
what happened

and the two of you
can fix it together
without me.

May I remind you I just removed
a thorn from your paw?

John, did you
discharge Ravitz?

Who?
Please?

All right, I'll
think about it.

I owe you one.

22-year-old woman
with chest pain.

She was taking
birth control pills.

Yeah. Yeah, why?

Well, Weaver
took her from me.

Oh.

She gave her to you?

Maybe she thought
you were swamped.

Yeah, more like
incompetent.

She made you
Chief Resident, you know.

You're the chosen one.

Yeah, by default.

We met when
we were kids.

Her family had the
cottage next to ours.

We used to go
waterskiing together.

But now she can't
feed or dress herself

and she doesn't
even recognize me.

What will happen
if we don't operate?

Her appendix will burst

and she'll develop
a life-threatening infection.

Is that a painful
way to die?

She doesn't have to die,
Mr. Tanzi.

It's a fixable condition.

I'm not so sure she
wants to be fixed.

It's a simple surgery,
Mr. Tanzi.

Look, I don't want
her to suffer, but...

I want to let her go.

Can you do that?

Sure, we can.

Give her five milligrams
of morphine.

Keep her hydrated.

Excuse me.

Mark, are you not at least
going to try and convince him?

He has durable
power of attorney.

It's his decision.
Dad?

Yes, I know, but...

Dad?

Rachel,
what's wrong?

I called her.
Yeah?

She started freaking out.
I told you.

All she ever cares about
is her stupid job, and...

Call if you
need me, okay?

...she said she's going
to send me to summer school

and I swear I'm adopted!

Rachel, what
did she say?

She hates me.
She's such a bitch.

Now, Rachel...
She is! You don't know
what she's like.

You don't live with her.

Well, I did.

You couldn't stand it,
either.

Hey, Mark,
we got a G.S.W. coming in.

Okay,
I'll be right there.

Haleh, prep the trauma room.
Where's Malucci?

Said he was going
to Radiology.

What are they
waiting for?

104's bringing them.

( laughter )

Chief!

You're fired.

I'm on my break.

I'm between calls.

Go home, Malucci

and get this rig
out of here.

What? Two days? You want
to suspend me for a week?

You no longer work here,
Dr. Malucci.

What do you want, like
a formal apology or something?

I want you to empty
out your locker.

What?
Dr. Chen, you need
to check the baby.

GREENE:
Jen, Jen, calm down.

She's right here.
Do you want to
talk to her?

No.
Fine, when do
you get in?

I don't want her to come.

She's calling
from the plane.

I'm not going home
with her.

Whoa, don't
yell at me.

I didn't tell her
to come here.

Okay, okay, yeah.
I got to run.

Uh-huh, we'll
figure this out
when you get here.

Bye.
She was freaking out,
wasn't she?

She was worried.

Mr. O'Groat, Mr.
O'Groat, where
are you going?

Back to the game.

No, I still need
to check your X-ray.

No, I'm good to go.

No, I think you may have
separated your shoulder.

It's okay.
I saw the baby.

Cheers.
What baby?

Are you taking
her side?
What?

Hey, boss,
can you talk to Weaver?

She thinks
she fired me.

What'd you do now?
Nothing.

I don't even want
to see her.

Why are you
still here, Malucci?

See?
Kerry, what's going on?

He's out of here.

MR. TANZI:
Dr. Greene?
Just a second.

Are you going to
talk to her?

Dr. Greene, my
wife's gone.

What?
I went to
call our son.

When I got
back, she
was gone.

Well, maybe the nurses took
her to the bathroom.

But her walker's
gone, too.

Well, she couldn't
have gone far.

Well, the last
time she wandered
off like this

she nearly got
hit by a car.

Randi, can you call security
and let them know

that Mr. Tanzi's wife
might be missing?

We'll find her.
Dad, I really want
to stay here with you.

Rachel, not now.

Okay, so, you'll talk
to her then, right?

You talk to her.
She didn't fire me.

You ready?

One more patient.

Okay, I'll be
in the car.

I don't want
Luka to see us.

Aren't we going to be
wearing ski masks?

FINCH:
Thank you for calling me.

Ooh, yes.

You win
the lottery?

Better.

My labs came back.
My HIV test is nonreactive.

Hey, congratulations,
that's great.

I have to take it again
in three months, but...

Yeah, but if you haven't
converted by now

chances are, you
probably won't.

God, I feel like
I just got my life back.

I don't think
this is working.

Give it time, Yolanda.

What's this?

Oh, she just had
an allergic reaction.

She probably
would breathe
a little easier

if you'd take the
corset off of her.

Be my guest.

No, thank you.

Slow, deep breaths,
Yolanda.

You got this?

Yeah, sure.

What happened? She
dropped her sats?

Sinus tach.
Heart rate's 180.

Is she dehydrated?

Uh, definitely not dry.
She's making good urine.

She spike a fever?

Repeat temp is 98.4.

Chuny, I need
that hemoglobin.

It's coming.

Well, last one was 12.2.

She's not anemic.

You're not anemic, are you?

Did you check a tox screen?

Mm-hmm, negative.

Hmm, maybe she's
just worn out

from performing
all those miracles.

Second hemocue's 8.2.

Aha.

I knew she was
looking pale.

Well, that's too low
to be dilutional.

Maybe hemolysis.

Or GI blood loss.

I'll check a
stool guaiac.

What are you
doing out of
bed, dear?

The baby was crying.

Well, let's get
you back to your
room, all right?

CHEN:
Send off a
retic count

haptoglobin, Coombs, direct
and indirect bilirubin.

I want to transfuse
2cc per kilo per hour

over the next
five hours.

Good pick-up, Deb.

I would never have thought to
repeat the blood count so soon.

Tachycardia will resolve
with transfusion.

Yeah, baby's anemic,
you give blood.

Not exactly one
for the journals.

What?

Thanks, Carter.
That was great.

Where was she?

Wandering
the halls,
apparently.

I was detained
by Malucci

who seems to think
he's out of a job?

He is.

The baby
was crying.

What happened?
Why is she so
much better?

Uh, her appendix
probably burst.

Once the pressure's
relieved, the pain

temporarily
goes away.

For how long?

Within 24 hours,
peritonitis
will take over.

Causes high fevers
and severe abdominal pain.

Thank you for taking care
of me, Lawrence.

Malucci is not the first doctor
to get caught performing

an unauthorized physical
in the hospital.

She knows I've been
taking care of her.

Excuse me?

It's been two years
since she said my name.

Is it too late to
perform the surgery?

She's perforated.
We'd have to do

an open procedure,
which will take much
longer to heal.

I want you to operate.

Mr. Tanzi, your
wife's moment

of lucidity was
probably a fluke.

The surgeon says it's
a simple operation.

Mr. Tanzi, why don't you stay
down here with your wife

and we'll have
the surgeon come down

and speak with you,
all right?

She deserves to
have everything
done for her.

She will.

What are you doing?

His wife's end-stage dementia.

I'm trying to help
both of them.

Well, apparently,
you're not.

Oh, you want
this one, too?
She's yours.

In fact, why don't you take
all the patients

seeing that you're firing
all the doctors.

Hey, he had it coming.

For what?

Unacceptable behavior.
Insubordination.

I mean, he has no
respect for anything.

So what?
Reprimand him.

I am tired of his attitude.

You can't get rid of him

just 'cause the two of you
don't get along.

Hell, if that were the case,
you'd have to fire all of us.

You know what? I'm not going to
justify my point of view to you.

Where is she?

Good to see you,
too, Jen.

Don't break it.

You owe me so
big for this.

Oh, my God!

What's wrong?

I left the keys
in the apartment.

That's it.
Mission aborted.

Wait, hold it, wait.

He sleeps
with the window open.

Wouldn't it make more
sense just to leave
this out front?

What? So someone
can steal it?

Who steals a
fish tank?

Come to think of it,
who breaks a fish tank?

I told you,
it was an accident.

That's good.

Okay, that's Luka's.

Can you give me
a boost up there?

No.

Just bend over.

You could at least buy me
dinner first.

I got a bad back,
you know.

What are you
implying?

I'm saying, if, what
if somebody sees us?

All right, just
relax, Opie.

Are you ready?

Yep.

Okay.

( groans )

God.

Wait.

Okay.

It's stuck.

Darn it, it's stuck.

Whoa.

Carter!

She doesn't listen
to a thing I say.

She ignores
her curfew.

She doesn't do
a damn thing
around the house.

How would you know?
You're never home.

I just made partner.
Excuse me for working

so hard so I can put
a roof over your head.

You made partner?

Yeah.

Congratulations.

Thanks.

Dad?

Rachel, sit down.

Obviously, there's a lack
of communication here.

And it sounds like,
to me, Rachel

you could be
a little more responsible.

And Jen, maybe you could spend
some more time...

I am responsible.
She's unreasonable.

I've given her 14 years.
I am tired of being her maid.

Tired of being a mother
is more like it.

Can you blame me?
Time out.

We'll finish this at home.

We're getting
on a plane at 5:30.

Maybe I'm not going back.

Rachel, I had to
cancel my whole
day to be here

and now, I'll be up
all night doing a brief.

Well, I'm sorry I'm
such a pain in the ass.

Dr. Greene,
we need you.

Remember when she used to flush
crayons down the toilet?

Seriously, Mark, you've
got to help me here.

Now, Doctor.

Okay, I'll be right back.

Auto versus pedestrian
at moderate velocity.

Altered with GCS
of 2-4-4.

BP is 80 palp.

Full trauma panel,
type and cross for four.

Any sign of head trauma?
Nothing I
appreciated.

Witnesses
say she was
already lying

in the crosswalk
when she got hit.

She may have
been struck
more than once.

Set me up with
a central line.

HALEH:
Pulse ox 98
on two liters.

Contusion,
left upper quadrant.

Pupils four
millimeters
and reactive.

Dr. Benton?

Whoa, we got
a severed umbilical cord.

Where's the baby?

She's got a
retained placenta.

Okay, I'll try
to extract. Call OB.

She's missing a shoelace.

Think we can resuscitate him?
I think he's been
down too long.

Think we should flush him?
Think Luka
will miss him?

Maybe he'll think
one of the other fish ate him.

They're not piranha.
Oh, fine.

I was never
any good with pets.

I used to like
those little turtles

you could get
at the Woolworth's.

Don't they carry
salmonella?

I don't know.

They didn't live long,
especially

if you paint them
with nail polish.

Can we get out
of here now?

Yeah, I just have
to wipe the place
down for prints.

( knocking at door )

( whispers ):
Should I get it?

No.

No pneumothorax.

Are you ready
with the ultrasound?

All set.

Systolic's up to 100.
She's coming around.

I'm Dr. Greene.
What's your name?

Anna. What
happened?

You were hit
by a car.

My stomach hurts.

Where's
your baby?

I don't have a baby.

HALEH:
Crit's only 28
after two units.

BENTON:
Hang another two.

She needs a
splenectomy.
What?

You need an operation.
Why?

You have internal bleeding
from the accident

and you haven't delivered
your placenta yet.

No, I'm not pregnant.

You were.

Did you leave your baby
at the church?

I don't have a baby.

All right, I'm
taking her off.
Hold on.

( baby cries )

Shh, it's okay.

How's she doing?

Oh, her crit's up,
but she needs

another four
per kilo.

Okay, I need to take her
for a second.

What?
Take her where?
Just next door.

Dr. Greene,
she needs more packed cells.

BENTON:
Send off another CBC
from pre-op

and I want plasma
in the OR.

Peter, wait.

What? Her
pressure's
borderline.

I got to
take her up.

Dr. Greene, I need
to put her back
on the monitors.

Anna, this is your baby.

I don't have
any children.

You tied off her umbilical cord
with your own shoelace.

No.

We need to finish
the transfusion.

You left her at the church

'cause you wanted her
to be safe.

I can't have a baby.

GREENE:
But you did.

Is she okay?

She's very sick

but we're helping
her now.

I never meant to hurt her.

I thought God would protect her.

CHEN:
He did.

Some people think
she's a miracle.

What?

They feel better
when they're near her.

Can I touch her?

Yeah, go ahead.

What are you doing,
ordering pizza?

I'm calling my lawyer.

They haven't charged
us with anything.

We are sitting in the
back of a police car.

What are they going
to arrest us for--

aquatic mischief?

I hope you're this
funny in handcuffs.

I am.

Oh, here we go.

Oh, he looks pissed.

Do you think
he's going to
press charges?

I don't know.

We did kill his fish.

We?

Oh, he's
really pissed.

I'm making my
phone call now.

All right, Bonnie and Clyde.

Your friend cut you loose.

Stay out of trouble.

Do you think we should
say something to him?

I think you should say
something to him.

Maybe tomorrow.

Rachel, your mom's waiting
out front for a taxi.

Thanks.

I know growing up
can be tough...

but you can call me anytime.

Yeah, until Mom takes away
my phone privileges again.

It'll be okay.

No, it won't.

Rachel, what do you
want me to do?

Well, you can
let me stay here.

Ah... you can't.

Why not?

Your mom would
miss you.

Right.

You'd miss your
friends.

They're only
a phone call away.

I'll make new ones.

What about school?

They have schools
in Chicago.

I just want to spend more time
with you and Ella.

I've got a baby sister
who doesn't even know me.

And Elizabeth
is totally smart and cool.

She's a great
role model.

Are you serious about this?

Yes.

It's a big move.

I miss you, Dad.

I'll talk to your mother.

Straight clamp,
then 2-0 Vicryl.

Any chance we could
speed this up?

I got tickets to the Cubs game.

If you're asking me to
compromise this woman's surgery

in order for you to attend
a sporting event

the answer is no.

BABCOCK:
I did a pre-op assessment

on this woman.

I've had more
intelligent conversations

with my neighbor's cat.

I need to irrigate
with two liters.

I've only got 500cc's
on the field.

Then get us
some more.

Coming right up.

Maybe this is God's way of
saying her meter's... out.

If I ever get to this point

I sure as hell don't
want a trip to the O.R.

I'll keep that in mind,
Dr. Babcock.

What happened

to dignity in death?

Elizabeth?

( loudly ):
Dr. Corday?

Where's my saline, Shirley?

Ready to go.

Right, then.

Did you just fall asleep?

No.

You did.

You fell asleep.

I was resting my eyes.

Peter, you missed
a good one.

Seven gunshots, it was
like a scavenger hunt.

What've you got?

A 20-year-old with
a fractured spleen

and retained placenta.

Did you call Coburn?

Yeah, she's on her
way down.

She's going to try
manual extraction

under general
anesthesia.

Well, hopefully
it's not accretia.

Dr. Benton.

There's a young man out here
looking for you.

Jackie?

I'm sorry, Peter.

What's wrong?

I can't do this...
not right now.

Jackie, I'm getting ready
to go into surgery...
I tried.

I really did.

Okay, okay, listen,
why don't we just

talk about this when
I get home, okay?

Reese is the sweetest
little boy I know.

I love him
like he was mine

but he's not mine,
and every time I see him...

It's just not fair.

Peter...

Jackie... Jackie.

Is he scrubbing in
with you, Peter?

BENTON:
I just need to find somebody to

keep an eye on him.

Uh, don't look at me.

I'm going to day care,
I'll be back in two minutes.

Oh, no, no, I
don't think so.

Go home, get
your personal
life sorted out.

But I'm getting ready
to perform a splenectomy.

Not anymore-- she stands a
better chance of surviving

if I do it.

Spend some quality
time with your son

at Chuck E. Cheese
or something.

( sighs )

Hey.

Weaver change her mind?

No, not yet.

She will. She's just mad at you.

She's always mad at me.

This is different.

Well, maybe it'll blow over.

I don't know, I...

I should have seen it.

I didn't focus on
the mediastinum.

I didn't even look
at the X ray, Dave.

Because I told you
it was clear.

I thought I was
doing the right thing.

I just wanted to
save the guy, I...

You know

they say you're not
a real doctor

until you've killed
a few patients.

What are you
going to do?

This is the only thing
that I've ever been any good at.

I'm going to be a doctor.

You were never arrested or
brought home by the police

or anything when
you were a kid?

No, you?

No, not for
anything serious.

What, no counterfeiting,
no grand theft auto?

Actually, I got
in trouble once

for taking this
guy's car.

You stole a car?

Barely. It was
a Gremlin

and I was only
borrowing it anyway.

No high-speed
chases involved?

It was a short one.

But it was an emergency.

We had to get
Wham! tickets.

Now, that's a crime.

Do you want to come in
for a coffee or something?

No, I got
to get up early.

Okay, well...

Thanks for
helping me.

You can find yourself another
wheelman next time.

That's too bad

'cause I had my eye on this
liquor store on the corner.

You heard the cop,
you stay out of trouble.

( bumping door )

I'm sorry I almost
got you arrested.

WOMAN:
What's your problem?!

MAN:
What's your problem?

My upstairs neighbors.

They sound like nice people.

They're at it again.

Somebody should go up there.

I'm sure they'll settle
down in a minute

Mrs. Gottschuck.

Why don't you go
back to bed?

( both chuckling )

I'll see you tomorrow.

All right, good night.

You'll tell Luka this
was all your idea?

Yes.

Don't worry, I won't
drop a dime on you, Carter.

You look beat.

I am.

How was Mrs. Tanzi's
appendectomy?

Uneventful.

Hey, Rachel's still here.

Yeah.

I thought Jen
was coming to get her.

Things didn't go
quite as planned.

How's that?

As in, how do you
feel about

Rachel staying
with us for awhile?

Like the rest of the summer?

Maybe, maybe longer?

It could be handy having
a live-in baby-sitter

and I'm sure she'll
help around the house.

She's your daughter, Mark.

Of course she's welcome
to live with us.

The fact that she's
still here suggests

you've already
told her she could.

You were in surgery.

So... do you guys
have a satellite dish?

No.

No singed nasal hairs.

If you lean back
far enough

the flame burns away
from your face.

That's the key
to fire-eating.

Yeah, so what
happened today?

Usually I smear my
'stache with Vaseline

but today I forgot, so
I used hair gel instead.

I, um, guess it
was flammable.

Yeah, guess so.

Let's shave off the rest of the
mustache and debride the skin.

You can't shave
my mustache.

It's my trademark.
Dude,
it's half gone.

I'll get an extension
or something.

I'll give you
some Neosporin.

Give this to Dr. Carter.

Hey!
He left.

So give it
to someone else.

Look, Chief, I know
you're pissed

but let's be real
about this.

If you really
wanted to axe me

you'd have to go through the
residency review committee

and the disciplinary
committee

and then they'd
want to counsel me.

The best you'll get
is a suspension.

You have five letters
in your file

for unprofessional
behavior...

Me and every
other doctor here...

You have been
counseled each time.

You have failed
two rotations.

Yes, there will be a meeting of
the residency review committee

and yes, they'll once again
offer you counseling

but I'm telling you right now

you will never work
in this E.R. again.

What the hell's
your problem?

You, Malucci,
you're my problem.

Why, because I don't
kiss your ass?

I like to have fun sometimes
but I'm a damn good doctor.

I had a half a dozen
great saves today.

Being a good doctor
is more than just great saves.

Oh, really, what?

I need to adopt your
cheery attitude

and sparkling
bedside manner?

This isn't about my
performance, is it;

or my rotations?

You just
don't like me.

You're right,
I don't like you.

You have no respect
for me, your coworkers

this hospital, anything--
you like to think

you have this whole "cowboy"
approach to medicine.

But the truth is

you don't have the
goods to back it up

so you make mistakes--

mistakes that kill people.

I need this job,
you can't fire me.

I have a kid to support.

Since when?

You never said anything
about being a father.

Did you ever ask?

You don't know a
damn thing about me.

Well, I know you're fired.

You're a sad,
cold-hearted bitch.

You know that?
Call Security.

You don't like me,
but nobody likes you.
Get out.

You know why this
stupid E.R.

is so damn important
to you, lady?

Do you know why?

'Cause it's the only thing
that you've got in your life.

Nazi dyke.