ER (1994–2009): Season 8, Episode 6 - Supplies and Demands - full transcript
Corday's ordeal, caused by the recent infection-related deaths of several of her patients, worsens when she is closely observed by a stern taskmaster. Corday is outraged when a county investigator accuses her of deliberately euthanizing the patients, who all happened to be elderly.
Previously on ER
He wasn't getting
in fights when he
was living with us.
Maybe he needs
to live in one
home for a while.
He's my stepson.
We've got an agreement.
Well, we need to think
about what's best for Reese.
Oh, no, no, no.
How much?
Our treat. We want to make sure
you're going to come back.
He fired me after a year
of working there
seven nights a week.
Okay, that's it.
I'll call the family.
Not that I'm
keeping score,
but isn't this
your third post-op
death this week?
His death triggered a formal
investigation by my department.
Excuse me?
You need to be cultured
in case you're body's
carrying bacteria
that's infecting
your patients.
Come on. One more shot.
One more shot.
Come on, dribble. Dribble.
Come on, come on.
Come on, come on, come on.
Five, four, three, two
one.
( applause and cheering )
Slam dunk.
( laughs )
We're going to see
Joanie on campus.
Oh, yeah? That's good.
Yeah.
Glad to see
you're getting out.
What time are
you getting him?
Roger's going
to pick him up at 4:30.
Roger?
Yeah.
Why?
His cousin's having some kind
of birthday party or something.
His cousin on
Carla's side?
No, on Roger's.
So it's not his
real cousin.
Well, anyway
he wanted him there, so...
So he's setting
his schedule now.
Jackie, we've already
had this argument.
It's important to the guy,
all right?
I'm sure he misses Reese.
But more importantly,
Reese misses him.
But you're just confusing him.
Roger isn't part of his family
anymore.
Jackie, I'm just
giving him time.
That's something
you should understand.
I didn't mean...
Jackie?
Say bye-bye to Daddy.
That's right.
I'll have him ready
at 4:30.
CORDAY:
Keep her pressure above 90.
When did she spike the fever?
Dad, how do you program numbers?
Read the instructions.
When was her last dose
of Imipenem?
Well, find out.
That's a pretty big hammer
for post-op fever.
Her kidney's are shutting down.
I missing Algebra, you know.
Just testing.
So, Rachel
Katherine has to leave
to 5:00.
Yeah.
So, Ella should
nap until 6:30
but, if she wakes up crying,
you got to give her
four ounces of breast milk
from the fridge.
You put it in the Avent warmer.
Yeah.
For two minutes on low, I know.
CORDAY:
Yeah.
Yeah, who's the ID
fellow on call?
What?
You're sparkling.
So?
You're starting a trend?
Dad, everyone wears glitter.
I'm pulling up
right now.
CORDAY:
Mix some dopamine.
I'll be there in five minutes.
Okay.
GREENE:
Good luck.
Thanks.
Sorry about the
detour, Rachel.
Which entrance?
What?
Your school-- North or South?
Oh, um...
how about a few blocks away?
I thought you were late.
I am, but...
You just don't
No. It's just...
You know, the van.
I'm not even breaking a sweat.
Aerobic activity is
a secondary benefit.
Primary effects are strength
and balance.
WOMAN:
Good, Warriors.
Now down to cat
and cow.
This is doing nothing
for my back.
Did you try
some Tylenol?
No.
Take some.
I avoid pain medication.
If you're going
to be macho about pain
then you can't whine
about it.
Downward Facing Dog.
How's your grandma?
Her doctor did an MRI,
MRA, stress echo, carotids.
Everything was fine.
He did all that
in one day?
Rich lady service.
She's been very smug
about the whole thing.
Straighten your legs
and exhale.
( exhaling )
Good.
I got singled out.
If it's too hard,
don't push it.
No. It's no problem.
So what's the deal
with you and the nurse?
Nurse?
Abby.
What do you mean?
It just seems
like there's something there.
No. We're friends.
( whispering ):
You're shaking.
I know.
I'm going back to cow.
( sighs )
It's actually kind of
undefined with Abby.
She just broke
up with Luka.
I get it.
What?
You don't want
to be the rebound guy.
Not exactly.
Good.
Downward Facing Dog
now with your leg extended
in the air.
( groans )
This is sadistic.
Pretend like
you're playing Twister.
Oh.
Are you breathing?
( laughs )
Are you seeing
the colors?
Oh, boy.
Carter?
Carter!
I've got three people heaving.
We're out of
emesis basins.
Central Supply's a little slow
today. A new runner.
What happened
to the old one?
County General
on Bravo One.
Go ahead.
I twisted my knee
doing that damn
Locust position.
No, it's Lotus--
like the flower.
Oh, well,
that explains
why it hurts.
I was doing the grasshopper.
I give up.
Good morning.
Is it raining?
Uh, no.
Susan dragged me to
this torture session.
JARVIK:
We've got an apartment fire.
One major, four minors.
It's mostly smoke inhalation.
ETA is ten to 15.
Page the burn unit.
Tell the Fellow
we got one sick player.
Abby, can you clear
the Trauma rooms?
Yup. Well, they're going
to have to puke on the floor.
Well, there she is.
Who?
Central Supply.
Hi.
Excuse me, we're completely out
of emesis basins
and I need at least
ten liters of...
Hi.
Hi, Abby.
Oh, Luka got me a job.
Oh, he did.
Yes. He knew
I was out of work
so he called me last week
about this opening and...
It was so nice
of him.
He's-he's nice.
Yeah.
Do you know
where these go?
Yeah. The linen closet.
It's down the hall
to the left.
Thank you.
And, oh, I'm sorry.
Do you need something?
Yeah. I'll get the Ringers.
Could you just bring down
some emesis basins?
What are those?
Barf bins.
Vomit buckets.
Okay.
Systolic BP is 70,
febrile to 104.
Bolus a liter of saline
and change all the IV
and central lines.
You did that yesterday.
We need to do it again
in case they're the source
of the infection.
I've never seen her so bad.
CORDAY:
It's reversible,
but we will need to start her
on cardiac medication
and dialysis immediately.
Put her on a machine?
Her kidneys aren't
removing the toxins
from the bloodstream
as they should.
No, no.
If this is her time...
It's not.
Not yet.
Jacy, start the dopamine
and titrate
to systolic above 90.
She's a DNR,
you know.
She never wanted
to end up
the way my dad did.
I understand.
She always said
push me over a cliff
before you put me on any tubes.
April, her kidney failure is
temporary.
She could bounce back
after a few treatments.
It's worth trying.
Page the nephrologist
and the dialysis nurse.
You really want to do that?
Yes. Now.
WOMAN:
The fire was right
outside our door.
Eden was choking.
She was holding
her daughter.
Broke the fall
for both of them.
And my legs.
We got a deformity
of the right tib-fib.
Left femur looks open.
Surgery and ortho?
Yup.
Took your daughter inside,
ma'am.
She'll be okay.
I'm sorry.
It's all right.
I know you wanted me
to wait.
Everyone is safe.
Here. Lean on me.
I'm good.
That ankle
doesn't look so good.
I don't want to crush you.
It's okay.
I'm used to it.
So, how is
it so far?
Great. Everyone's been
very friendly.
Yeah, we like her.
Has someone showed
you around?
I keep getting lost.
Yeah. Don't be afraid
to ask for help.
LOCKHART:
I need some help.
KOVAC:
Oh, sorry.
You want to have lunch?
NICOLE:
But you're busy.
No. 1:30.
Find me.
I was halfway up the ladder
and the lady just panicked
and jumped.
I think I would
panic, too.
Can you bear weight
on it at all?
I'm fine.
Just give me a bag of ice.
You've got some
burns, too.
Yeah. Occupational hazard.
No blistering,
skin's intact.
Polysporin then
dress with kerlix.
We'll probably need a splint
for him.
Oh, we're out
of fiberglass.
I might have
to call Central Supply.
I was going to tell you.
Whoa.
Ow!
Tenderness
of the fifth metatarsal.
Thought firefighters
were tough guys, right?
You're secret's safe
with me.
Let me take
a look, Eden.
Can you tell
me if your
throat hurts?
Trauma panel, C-spine,
chest and pelvis.
I want a C-spine, chest,
AP pelvis and a Foley.
Is that Eden?
Who?
Is that my daughter?
Yeah.
Is something wrong?
I don't think so.
Hey, Connie, can you have
Dr. Greene come in here
and talk to Miss Mintry
when he gets a chance?
What do we have?
Got a two-story fall
without LOC.
Multiple Fractures.
Who's this?
This is Carmen.
Follow the light
with your eyes.
MALIK:
Systolic's 90.
CARTER:
All right. Let's run
another liter of NS.
Pupils equal, round
and react to light.
I'm going
to do an ultrasound
to check for signs
of internal injury, okay?
Miss Mintry?
Yes.
Eden inhaled some smoke.
I think she has
some scrapes,
that's all.
Can I see her?
Wait.
What?
Your stethoscope.
You haven't
cleaned it
since using
it upstairs.
Alcohol wipe, please.
GREENE:
We want to keep her on oxygen
for a while.
Eden seems more concerned
about your dog than anything.
Okay?
He jumped out the window
before we did, then ran off.
Mm-hmm.
I'm sure
he'll make his way home soon.
Breath sounds clear bilaterally.
Dr. Carter, could you start
the ultrasound, please?
Mm-hmm. ABG,
carboxy-hemoglobins.
Titrate ten
of morphine
and ten liter
humidified 02 by mask.
How's Mrs. Wilson?
Not good.
She's not responding
to antibiotics or pressors.
Did you try Ampho?
She's still
in multi-organ failure.
Do you mind?
I'm talking
with my husband.
I need to watch you
at all times.
Fine. Watch.
I'd like
to deck that woman.
Infection control?
They feel the need
to follow me around
at all times.
Mark, I can't lose
another patient like this.
I know.
When's the last time
you cleaned your stethoscope
between patients?
She's justifying
her job.
( pager beeps )
ICU?
Damn it.
I can't let this happen again.
You can't save
everyone.
I shouldn't kill everyone,
either, should I?
MAN:
No, that's okay.
I-I'm going to wait
for the doctor.
LOCKHART:
Don't be embarrassed.
Uh-uh. I really
messed it up.
Let me see.
No!
No. I need
the doctor.
After you've been seen
by a nurse.
Believe me, miss.
What I got to show you,
you don't want to see.
Yes, but I can't help you
unless I see
what the problem is.
The problem
is is that...
I got a bum pair
of scissors.
Take the towel off.
I'm not going
to be shocked.
You can't say that.
You haven't seen it.
I'm a professional.
I'd never agree to this
if I didn't think I
might bleed to death.
Wow!
( sighs )
The pain is, like,
wrapped around my head.
LEWIS:
Did you drink last night?
There were a lot
of parties on campus.
Is that a yes?
I never felt this way
from being hungover.
I woke up all achy,
and I keep getting the chills.
Sounds like the flu, Lara.
That's what he said.
MAU:
So Dr. Kovac
has countersigned
my orders for Mrs. Ridley.
I picked up her CT scan
and her X-rays...
You saw Dr. Mau?
He asked me,
like, a thousand questions.
Okay, I'll be
right back.
Sophomore
at U of I
woke up with a
"hatband headache"
subjective fever
and myalgias.
History includes childhood
chicken pox
ER visit for
food poisoning
two years ago.
LEWIS:
What are you doing?
In this position,
there's hardly any pain at all.
Tylenol,
I'm telling you.
Yeah. We need to talk.
Stand up.
Let me see.
( groaning )
You know, I can help you
with that.
Pass.
Uh, hold still.
Patient carries an EpiPen
for allergy to hymenoptera.
History of recurrent
yeast infections
now in remission.
Cut to the chase,
Stanley.
What's the diagnosis?
I'd say a viral illness
of unknown etiology.
The flu.
I agree.
Ibuprofen and drink plenty
of fluids?
Sounds like
a winner.
Next time sign up
for it, Stanley.
Sorry.
How does this feel?
Mm, not as good
as squatting.
Hi.
Fresh pot.
Great.
Did you do the splint
in Two?
Not yet, but I'm going to.
So, um...
Listen, um,
about Nicole.
You don't have
to explain.
I want to.
No, really.
It's none of
my business.
It just seems like you're going
way out on a limb
for someone you
barely know.
She lost her job.
Yeah, but is that your problem?
Why not help?
Is she, like, your
girlfriend now?
I got her a job,
that's all.
So it's not like
she's living with you?
She's living
with you?
Just until
she can save some money
for her own place.
Luka.
She was staying
at a hostel.
So?
So, she's a sweet girl.
I'm trying to help.
You don't have to
help everybody.
CARTER:
What's your problem?
Nothing.
Still fighting?
No.
Luka has a new project.
Oh, like what?
Coin collecting?
Nicole.
That cookie girl.
She works here now.
Why do you care?
Well, I don't.
What? I don't.
I...
Okay.
BP's holding at 80.
Another run of ectopy
on the monitor.
Seven beats.
Lidocaine, 70
milligrams IV push.
Start a drip
at four cc's an hour.
Have the crash cart nearby.
Are you sure?
Stop saying that
and do as I ask.
Run a V-tach.
Pressure's dropping.
Systolic 59.
After the Lido,
get ready with Procainamide.
Elizabeth, what are you doing?
Treating my patient.
What are you waiting for?
Do I have to push the drug
myself?
She's a DNR.
I can save her.
You have
to respect her wishes.
If we can just
support her until
I find the source.
Map down to 40.
Start CPR.
No. Jacy, hold compressions.
Peter, this is none
of your business.
V-fib.
Look at that woman.
Look out the window.
That woman wants
to sit with her
mother, let her.
I can help her.
You can't help her.
Agonal.
Hi.
How you doing?
Is it still wet?
Yeah.
What do I do
when my foot itches?
You live with it.
Can I get you something?
Uh, water? Popsicle?
How about a soda?
Sure.
Will your boyfriend get mad
if I buy you one?
Well, I'm not thirsty,
but thank you.
Come on,
live it up.
Is this
the surgical consult?
Uh, yeah.
It's-It's a
delicate, um...
BENTON:
All right, so,
what's the problem?
She didn't tell you?
Rick tried
to circumcise himself.
All right.
Ice and sponges.
Let's have a look.
I'm not nuts, okay?
You didn't consider
having a doctor do this?
I thought
I could take the pain.
You know, just snip, snip--
done deal.
You know
there is no medical reason
for circumcision.
There's a personal reason.
Here you go.
All right.
Apply direct pressure.
Laceration's two inches.
No damage to the glans.
So, what now?
Well, you're halfway done.
I can finish the job,
or sew it up.
Can I ask my girlfriend?
Would that be
the "personal reason"?
Well, she's a-a neat freak,
and foreskin
just didn't do it
for her.
Sure. Why don't
you call her?
Either way, we can
do it upstairs.
Treat it as
plastic surgery.
Do you want me to get
a psych consult?
No. I just think
he's stupid.
Not to mention devoted.
You passed out.
Someone called 9-1-1.
People can't mind
their own business.
Sorry.
Am I too early?
No. Have a seat.
Your blood doesn't seem
to be clotting.
I have a Factor IX
deficiency.
Do you get regular doses
of Factor somewhere?
At Children's.
I guess I missed
a couple of rounds.
Mary, call Heme-onc.
Sure.
It's very important
that you go every time.
I know. I just couldn't
get there lately.
What's your dose?
2100 units.
See if the pharmacy
has that much.
I'll go check.
Do they have bag lunches here?
I don't know.
Some hospitals do.
Okay, after
the Factor
I want to clean
and irrigate that hand.
Is there someone we can call?
No.
Parents?
No.
Okay. Let's start an I.V.
I have a porta-cath.
For how long?
Two years.
Couldn't stand the needles
every day.
Okay. We'll use that.
I'll bring you a sandwich.
Thanks.
Oh, that thing.
Yeah, it ate
my dollar.
You want to borrow one?
No, I got it,
thanks.
So, is it hard
working with Dr. Kovac?
( chuckles )
Carter told me.
Oh.
Sorry. Am I not supposed
to know?
No. No, don't
worry about it.
Yeah. Dating at work
can be messy.
Yeah.
WOMAN:
Abby?
Yeah?
Want some change?
Uh, the girlfriend
of the guy is here.
What guy?
The self-circumcision.
Your patient?
Yes.
Sepsis.
Bad luck
you've had.
Did you find any nidus
of infection?
Well, not so far.
No abscesses
or localized infection
anywhere obvious.
Would you check
the bowel anastomosis?
You have any reason to
believe there was a leak?
I'm just trying to find
the source of these infections.
Do you mind?
No. I'll check.
( sighs )
She was a very nice woman.
For the record,
Dr. Corday
I don't agree with what people
are saying about you.
You know,
all this talk
about the breast-feeding
and the sleep deprivation.
That part's true.
Well, I mean...
motherhood's interfering
with your work.
That's sexist crap.
Yeah, well, it's not
a woman's world, is it?
Not until they
perfect cloning.
Right.
I thought you went
to the bathroom.
I'll let you know
what I find.
I can't believe you did this.
What do you mean?!
You said that
you wanted me...
I know what I said,
but it's so extreme.
So, are we repairing
or removing?
What do you say?
I don't know.
Whatever is
less traumatic.
Well, it's 50/50 now.
Well, I...
I mean, might as well
finish what I started...
don't you think?
I guess.
BENTON:
Okay.
Well, we'll get you up
to the O.R.
as soon as there's
a room available.
Nurse, do you
have a second?
Sure. What is it?
Outside.
Wh-What are you doing?
I'll be right back.
He'll be okay, right?
Oh, yeah, they'll fix it.
You'll never know.
I mean, except
for the foreskin.
This should never
have happened.
I thought this was
what you wanted.
Not really.
I only said that because I
wanted to break up with him
and didn't want
to hurt his feelings.
MALIK:
Abby, we need you!
Okay, hold on,
I'll be back.
Got a gag,
B.P. 130/70, pulse 100.
Did he take anything?
Nothing in the dorm room.
This is his roommate.
Does he use drugs?
No. He drank a little
at a party last night
but he was okay
when he went to bed.
Did he say anything today?
Just that
he felt sick
and his neck hurt.
Stiff?
Yeah. He thought
he slept on it funny.
Okay, on my count.
One, two, three.
Skin feels hot.
Let's get a rectal temp.
Did you see this?
LEWIS:
What?
Petechiae.
They don't blanche.
Oh, my God.
Sats are dropping to 91.
This is
meningococcus.
What's that?
Get T.B. masks
and post-exposure
meds for everyone.
CBC, Chem 20,
Accu check
blood cultures times two.
This could be
all over his dorm by now.
Where do you go
to school?
Uh, U. of I.
Get an L.P. tray.
Where's Carter?
He's in Exam Three.
Get him.
Get him now.
Give me a 16 French
triple lumen.
Carter, Carter,
Lewis needs you.
( inhaling deeply ):
What is it?
Some kid has menigococcus.
All right, take 'em out
Stanley.
Okay.
Ceftriaxone going up.
Meningococcemia?
Can you intubate?
28 of Dexamethasone.
Did you induce yet?
No.
20 of Etomidate.
Give me 120 of Sux.
Did our flu girl
go to U. of I.?
Who?
Uh, yes. Lara Avery.
I presented her to you.
LEWIS:
She needs to be
tapped immediately.
If she's been exposed
as long as
this kid has
we're out of
time already.
Uh, she was discharged.
What?!
You said she had the flu.
We need to find her.
I'll do it.
Tube him.
Prep a Swan-Ganz
catheter.
She was in Chairs,
waiting on a ride.
Mau.
CARTER:
Okay, he's loose.
Give me
some cricoid pressure, Malik.
Got it.
Go check triage,
find out the name of her dorm
and send an ambulance.
CARTER:
Talk to the unit?
Yeah.
What'd they say?
An hour, at least.
I found the introducer
but not the catheter.
Well, get one. We need to
monitor his pressure down here.
Well, nothing's where
it's supposed to be.
Frank, where's the girl
that was in Curtain Two?
Mm, pretty college girl?
Yeah.
She asked where
she could buy
some orange juice.
Where did you tell her?
The cafeteria.
Where else?
Oh, oh!
KOVAC:
Hey. Slow down.
Sorry. Sorry.
( speaking softly )
( laughing )
Where did you put
the Swan-Ganz catheters?
The what?
Swan-Ganz catheters.
Uh, they told me
in the trauma room.
Well, they're not there,
and we need them right now.
I thought that's
where I put it.
Well, show me.
Okay.
You got it?
Not yet. Here.
There's the Cordis.
You want me to set up
an art line?
Either.
I'll take either.
NICOLE:
Got it!
No. That is the introducer.
It looks like a
big, yellow snake.
Oh.
CARTER:
Forget it.
Call Central. Get me
somebody who knows
the difference.
She is new, Carter,
it's her first day.
This kid is
dying here.
I'm sorry.
CARTER:
Don't be sorry.
If you don't know
what you're doing
just get the hell
out of here!
Here it is.
Don't yell at her.
We're losing time here.
It's not her fault
he is sick.
Flush the ports.
Damn it.
Lara!
Lara!
Lara!
( groans )
Lara!
Hold on!
What is it?
Stay right there.
I'm coming down.
If she left a note, then
you shouldn't have been late.
I did tell her about the party.
You know what,
take it up with her.
I don't have time for this.
Nanny?
No, Roger.
He's my new shadow.
He should meet Carmen.
What do you have?
Revision of a failed
circumcision.
25-year-old.
Don't ask.
You?
Splenectomy
and a pilon tib/fib.
Hmm.
Listen, uh...
I'm sorry about earlier.
Oh, it's okay.
Uh, I thought
I could beat the odds.
Look, I know you're
stressed out--
the new baby
and everything.
It's okay.
What does that
have to do with it?
Not to mention the head trip
that's going
on around here.
My fuse would be short, too.
Have you ever seen me
do anything wrong?
Lazy? Sloppy?
No.
Look, I think you're
just having a bad run.
( sighs ):
It's not very comforting
to my next patient.
Elizabeth
if I needed surgery,
or Reese did...
I'd come to you.
ABBY:
BP's down to 60.
CARTER:
How much fluid is in?
Eight.
We're going to put him
into pulmonary edema.
Dopamine's
maxed out.
Levo's at 20 mikes.
No place left
to put the pulse ox.
God, this kills fast.
V-fib.
Crash cart. Charge at 300.
He's young.
Let's give him a chance.
Come on, Andy!
Clear.
Charge at 360.
Go get the conducting pads.
And clear.
Okay, Lara.
You're going to
feel pressure in
your lower back.
Can I call my mom?
As soon as we're done.
It's long distance.
Omaha.
Uh, is he going to be okay?
Andy?
They're working on him.
You know him well?
Everyone knows him.
He's on the soccer team.
Really popular.
Spend time with him lately?
Lara?
Fluid's clear.
Lara?
W-We sort of
kissed last night.
Did you kiss anyone else?
Why?
Andy has a
very contagious
bacterial infection.
We need to know
who might have been exposed.
Usually I only kiss
one guy a night.
Do you think Andy
shares the
same policy?
I don't know.
Last night was the first time
I talked to him.
Dr. Lewis?
What? What is it?
WES:
I can't pay
for this.
KOVAC:
Don't worry.
Half of our patients can't pay.
And if there's
a follow-up
or anything
I don't even know
where I'll be.
Your tox screen
is positive for opiates.
My joints bleed. It hurts.
What drugs do you do?
Demerol, if
I can get it.
And if not, heroin?
I don't see tracks.
It's not a regular thing.
Do you use your porta-cath
to shoot?
All right, look, you know,
I didn't ask to come here.
That's not what a porta-cath
is for.
Hold on. Hold on.
Let...
Let me call
somebody for you.
( scoffs ):
There's no one to call.
Let's talk about rehab.
I don't think so.
I'm not done
with your hand.
You can't leave it open
like that.
Please?
Is ham and cheese okay?
I'm not picky.
There's fruit in there, too.
Thanks.
Wait here.
I need to get
another suture kit.
Why were you fighting?
He's using his
catheter to
shoot drugs.
It has to be removed.
Can you do that?
You all right?
Me? Yes.
Dr. Carter
was under pressure.
It's okay.
Don't you think that guy would
find some other way to do drugs?
He was given the catheter
for clotting factor, not heroin.
This is Dr. Lewis again,
from the E.R. in Chicago
regarding your daughter, Lara.
Please call me right away.
CARTER:
Okay, I'm in.
Bag her.
Where's the vent?
MALIK:
It's on its way up.
MAU:
Her pressure's dropping.
More dopamine?
No, we're running
in the antibiotics.
There's nothing
else to do.
Portable chest?
Sure, check the tube.
Not that it makes
much difference.
It's a waiting game now.
Not so fast.
You don't want to
give her a pneumo.
I missed it.
I missed it, too.
You didn't see her.
Well, it presented
like the flu.
You call the college?
Mm-hmm.
Student health is going
to give antibiotics
to everybody in the dorm.
And the people
at that party.
Anyone sharing
glasses, kissing...
No, they'll get
the word out.
They don't want
an outbreak.
Abby.
600 milligrams of Rifampin
for anyone who worked
on either meningitis case.
It made me sick
last time.
Better than dead.
Here you go.
There she is.
Sorry, I got busy.
Thanks.
Now all you need
are crutches.
Do I have to?
Mm-hmm.
Nurse's orders.
Can I ask you something?
Yeah.
How late
are you here tonight?
Hmm. One more hour.
If I were going
to see you again
I'd probably be more subtle.
Would you like to go
for coffee, or something?
Oh, I'm sorry.
I'm... not available.
There is a boyfriend.
Uh, well...
You don't know?
I don't know.
But thank you.
Pressure's steady.
Excuse me.
Can I have a little
room, please?
I have to see the field.
And I have to work.
Careful. Mommy's watching.
Releasing the
splenophrenic vessels.
Let's pack it in
with lap pads.
Small vascular clamp.
Mobilizing the spleen.
Bowl, please.
Let's isolate
the hilar vessels.
We'll ligate.
Did you touch
the circulating nurse?
For God's sake.
Of course not.
It looked close.
Carmen, get out.
What?
I've had it
with your intrusive pettiness.
I'm doing my job.
No, you are driving
us all crazy.
Now leave the O.R.
I can't do that.
Well, then
we'll call security
to assist you. Shirley?
Are you serious?
I've never been more serious.
Catfight pending.
Dr. Corday.
What?
They want to see you
in Romano's office.
I'm operating.
He said to have
you scrub out
and to escort you
or I'm fired.
I'll take that spleen.
Don't follow me.
Isn't Surgery supposed
to take your messages?
Let me guess,
Roger or Jackie?
One of each.
Sounds like
they're feuding.
Let 'em.
SARAH:
I don't think I can.
ABBY:
Just temporarily.
Is he okay?
Yeah, he should be sore
for a week or so
but everything went well.
And he'll work
like normal?
Should be
just what you ordered.
Uh, Sarah didn't really have
an issue with the circumcision.
I was trying to
let him down gently.
Let him down?
I didn't want
to hurt him.
You need to go upstairs
and tell him the truth.
Huh-uh, three weeks.
No, now.
I backed over this guy's cat
one time
and I stayed two more weeks.
This has got to be worth
at least three.
Do whatever you want.
I'm so bad
at relationships.
I can never just say
what I feel.
I know what you mean.
You do know I was in the O.R...
ROMANO:
Sit down, Elizabeth.
No, thank you.
This is Edwin Bane,
Cook County Health Department.
Dr. Corday.
It couldn't wait?
Dr. Bane
is an investigator.
So, it's an investigation now?
Unfortunate record you've
accrued lately, Dr. Corday.
Yes.
We're a little baffled by it.
As am I.
Did something turn up
in my cultures?
No.
Does Carmen have a problem
with my technique?
We're looking at
other theories.
Other theories?
Has to be more than a
statistical anomaly.
What do you think
is happening?
Well, if I knew that,
I'd have fixed it by now.
And there's nothing
you want to tell us?
Uh... what are you insinuating?
The next step
is a criminal inquiry.
I beg your pardon?
All four of these patients
were elderly
in marginal health.
Yes.
All die of post-op sepsis
under your care.
And on at least
one occasion the
family asked you
to euthanize, correct?
No. No.
Adrienne Tanzi?
Uh... t-there was discussion
about the quality of life.
Um, I'm sorry, am I being
accused of something here?
Doctor, you wouldn't be
the first angel of mercy
to help end patients' suffering.
All right,
hold on, Doctor.
I thought you were fact-finding.
I am.
So, if there's
something you
want to tell us
you should
tell us now.
Like what?
That I'm going around with
a syringe full of bacteria
infecting these people
on purpose?
All right, that's it.
Let's adjourn.
The Chicago police
will be contacting you.
You might want to think
about hiring counsel.
( door closes )
Is that your dog?
Yeah, Speedy.
He's lost.
Somebody order
crayons?
Ooh, thanks.
You're welcome.
Did you finish
your shift?
I'm waiting for Luka.
Is it always like this?
Pretty much, yeah.
I really admire
what you do.
Oh, you get used to it.
No, I meant you.
I always wanted
to be a nurse.
Really?
At the hospital
where my mother died
the nurses treated me
like I was their daughter.
They gave me ice cream,
and dolls to play with.
They were like angels.
KOVAC:
Nicole, have you
seen my patient?
Which one?
Wes, the one you met.
Uh, I talked to him
maybe an hour ago.
Well, he's gone.
You finished stitching
his hand, right?
Yeah, but the social worker
has to see him.
Maybe he didn't want
to get that tube removed.
I didn't tell him
I wanted to do that.
Oh.
Did you?
No, I didn't say anything.
Abby, if you see Adele,
could you tell her
that my patient eloped?
Sure.
Don't worry
he'll be okay.
He's on the street with
a serious coagulopathy
drug habit, no money...
Well, if he left home,
and...
What?
And stayed away
this long
maybe he doesn't want
to be found.
( music blaring
and baby crying )
Rachel?
Damn it!
Rachel!
It's okay, honey.
Come on. Oh!
It's okay. It's okay.
I know.
Oh, it's all right, darling.
RACHEL:
He's really cute
but don't you think he
should cut off his hair?
Rachel, turn off the music
and get off the phone!
Two seconds.
Hang up!
I got to go.
My dad's wife is freaking.
What's wrong?
You're supposed
to be baby-sitting.
I am.
Ella was screaming.
Oh, sorry.
Did you feed her?
I wasn't supposed to feed her
until she woke up.
Well, she's up now, isn't she?
You want me to feed her now?
Yes, I want you
to feed her now.
Listen, I want you
to be responsible.
I want you to think
about something
other than yourself.
I said I was sorry.
I didn't hear her crying.
No, because you didn't
care to listen.
You were playing
that crap
and talking about
rubbish to your friend.
If you're so worried about Ella
then why don't you
just stay home with her?
I made the mistake
of thinking
that you were reliable enough
to do it.
Well, then, forget it.
I'm calling Lynn back.
Hey, no, you don't.
Elizabeth!
Warm up that milk.
No.
Now.
She's your kid.
You're living in my house.
Doesn't mean you can
tell me what to do.
Oh, yes, I bloody well can.
You know what?
You need to chill out.
This is my house.
You can't talk to me that way.
Boy, my dad sure can pick them.
Rachel, you do not want
to battle with me.
You'll lose, I guarantee it.
( crying )
Your shift's over, isn't it?
Yeah.
What are you,
a med student again?
I sent him home.
I loved being this age.
Having a crush on a guy,
finally meeting him at a party.
She probably went home
all excited
wondering
what would happen next.
She has a chance.
Yeah, I just want to be here,
whichever way.
Don't stay all night,
okay?
Dr. Lewis, there's
a woman on line two
calling from Omaha.
Thanks.
Good night.
Good night.
You make me drive
all the way over here?
What is your problem?
You'd know
if you'd take my calls.
Look, I have 100 things
to do during the day.
And that's more important
than your son?
It's more important than
refereeing you and Jackie.
I was 20 minutes late
and she uses that
to keep me from seeing him?
We need to rethink
this visitation thing.
It's getting complicated.
It's Jackie
who's messing things up.
Jackie is his aunt.
And I'm his father.
You're his what?
I'm one of his fathers.
Look, Roger, I, uh...
I appreciate you
caring for Reese
and I thought this
time was important
to make a transition.
A transition?
But right now,
you know what?
You need to let go.
Peter, look,
I'm willing to work out
a schedule,
or something.
No. Reese has one
father, and that's me.
We both know that's not true,
don't we?
Carla told me
you're not his real father
anymore than I am.
You want to back
up with that.
So don't think
you can just dump me
like you're
more important to him.
I am more important to him.
All right, listen.
You don't call me anymore,
you don't come to the house
you stay away from Jackie
and you stay the hell
away from my son.
Are you going
to do it again?
Seriously,
I think it worked.
It feels much better.
Needles in your back?
Yeah, it was a bonus.
I didn't realize
you were a masochist.
Whatever works.
I should run home
and get my whip.
Yeah, you do that.
You almost off?
Uh, yeah, 15 minutes ago.
What are you still
hanging around for?
And miss
this late-night stroll?
It's starting to get a
little chilly out here.
I got asked out
by a fireman tonight.
Really?
Mm-hmm.
The ankle guy?
Yeah. Hard to believe?
No.
He was good-looking.
Big?
Yeah... funny.
Invite me to
the nuptials.
All right,
you got to help me out.
I don't know what to do.
Rub your back?
I'm just not
exactly sure what I'm supposed
to do here.
I'm not exactly sure
how I'm supposed to
comment on your love life.
I said no because I was waiting
for something to happen...
with us.
You've been waiting?
You weren't doing much
to move it forward.
No, you gave me an ultimatum.
You stood right there
and gave me an ultimatum
and I did what you asked,
and you've done nothing.
What did I ask you to do?
I broke up with Luka.
First of all, you didn't
break up with Luka for me.
I didn't?
No.
Second of all, you
didn't break up with Luka.
( chuckling ):
Really?
I'm pretty sure I did.
Then why do you
care so much
about what he does
or what he thinks
or who he helps
or what he thinks
about you, or...
I dated the guy for a year.
There's going
to be some history.
Maybe too much history.
Well, yeah, I had a life
before John Carter.
( mirthless laugh )
If you want someone
with no history
you're going
to have to...
find yourself a virgin.
No, I'll settle for someone
who isn't hung up
on somebody else.
You don't have to settle
for anything, Carter.
( door opening )
I talked to her.
She's at Andrew's.
And?
He said he'd have
her back by 10:00.
End of a great day.
That investigator was
totally out of line.
He all but accused me
of homicide.
It's crazy.
What if people
believe him?
They won't.
You know
what's really crazy?
I feel guilty.
Elizabeth...
I do.
Four people are dead,
I was their doctor
and I can't explain
what happened.
Well, the answer
certainly isn't
that you were
euthanizing people.
Then I come back home
and I take it out
on a 14-year-old.
That's a fair fight?
She didn't do what she
said she was going to do.
That's worth a conversation.
I'm going to have
that with her.
I don't think
I can handle this, Mark.
I was barely handling working
and looking after the baby.
You can.
I can't.
Oh, hey, hey,
hey, hey, hey.
( sobbing softly )
Hey.
We'll work this out.
( crying softly )
We'll lay down the
rules for Rachel.
We'll get you a
lawyer if we have to.
Oh, God.
We got fights ahead
of us, we know that.
But we're together.
And we got children.
We're happy.
That's a lot.
That's a lot.
Hey.
I called your mom.
She's flying in.
You had us a little worried.
He wasn't getting
in fights when he
was living with us.
Maybe he needs
to live in one
home for a while.
He's my stepson.
We've got an agreement.
Well, we need to think
about what's best for Reese.
Oh, no, no, no.
How much?
Our treat. We want to make sure
you're going to come back.
He fired me after a year
of working there
seven nights a week.
Okay, that's it.
I'll call the family.
Not that I'm
keeping score,
but isn't this
your third post-op
death this week?
His death triggered a formal
investigation by my department.
Excuse me?
You need to be cultured
in case you're body's
carrying bacteria
that's infecting
your patients.
Come on. One more shot.
One more shot.
Come on, dribble. Dribble.
Come on, come on.
Come on, come on, come on.
Five, four, three, two
one.
( applause and cheering )
Slam dunk.
( laughs )
We're going to see
Joanie on campus.
Oh, yeah? That's good.
Yeah.
Glad to see
you're getting out.
What time are
you getting him?
Roger's going
to pick him up at 4:30.
Roger?
Yeah.
Why?
His cousin's having some kind
of birthday party or something.
His cousin on
Carla's side?
No, on Roger's.
So it's not his
real cousin.
Well, anyway
he wanted him there, so...
So he's setting
his schedule now.
Jackie, we've already
had this argument.
It's important to the guy,
all right?
I'm sure he misses Reese.
But more importantly,
Reese misses him.
But you're just confusing him.
Roger isn't part of his family
anymore.
Jackie, I'm just
giving him time.
That's something
you should understand.
I didn't mean...
Jackie?
Say bye-bye to Daddy.
That's right.
I'll have him ready
at 4:30.
CORDAY:
Keep her pressure above 90.
When did she spike the fever?
Dad, how do you program numbers?
Read the instructions.
When was her last dose
of Imipenem?
Well, find out.
That's a pretty big hammer
for post-op fever.
Her kidney's are shutting down.
I missing Algebra, you know.
Just testing.
So, Rachel
Katherine has to leave
to 5:00.
Yeah.
So, Ella should
nap until 6:30
but, if she wakes up crying,
you got to give her
four ounces of breast milk
from the fridge.
You put it in the Avent warmer.
Yeah.
For two minutes on low, I know.
CORDAY:
Yeah.
Yeah, who's the ID
fellow on call?
What?
You're sparkling.
So?
You're starting a trend?
Dad, everyone wears glitter.
I'm pulling up
right now.
CORDAY:
Mix some dopamine.
I'll be there in five minutes.
Okay.
GREENE:
Good luck.
Thanks.
Sorry about the
detour, Rachel.
Which entrance?
What?
Your school-- North or South?
Oh, um...
how about a few blocks away?
I thought you were late.
I am, but...
You just don't
No. It's just...
You know, the van.
I'm not even breaking a sweat.
Aerobic activity is
a secondary benefit.
Primary effects are strength
and balance.
WOMAN:
Good, Warriors.
Now down to cat
and cow.
This is doing nothing
for my back.
Did you try
some Tylenol?
No.
Take some.
I avoid pain medication.
If you're going
to be macho about pain
then you can't whine
about it.
Downward Facing Dog.
How's your grandma?
Her doctor did an MRI,
MRA, stress echo, carotids.
Everything was fine.
He did all that
in one day?
Rich lady service.
She's been very smug
about the whole thing.
Straighten your legs
and exhale.
( exhaling )
Good.
I got singled out.
If it's too hard,
don't push it.
No. It's no problem.
So what's the deal
with you and the nurse?
Nurse?
Abby.
What do you mean?
It just seems
like there's something there.
No. We're friends.
( whispering ):
You're shaking.
I know.
I'm going back to cow.
( sighs )
It's actually kind of
undefined with Abby.
She just broke
up with Luka.
I get it.
What?
You don't want
to be the rebound guy.
Not exactly.
Good.
Downward Facing Dog
now with your leg extended
in the air.
( groans )
This is sadistic.
Pretend like
you're playing Twister.
Oh.
Are you breathing?
( laughs )
Are you seeing
the colors?
Oh, boy.
Carter?
Carter!
I've got three people heaving.
We're out of
emesis basins.
Central Supply's a little slow
today. A new runner.
What happened
to the old one?
County General
on Bravo One.
Go ahead.
I twisted my knee
doing that damn
Locust position.
No, it's Lotus--
like the flower.
Oh, well,
that explains
why it hurts.
I was doing the grasshopper.
I give up.
Good morning.
Is it raining?
Uh, no.
Susan dragged me to
this torture session.
JARVIK:
We've got an apartment fire.
One major, four minors.
It's mostly smoke inhalation.
ETA is ten to 15.
Page the burn unit.
Tell the Fellow
we got one sick player.
Abby, can you clear
the Trauma rooms?
Yup. Well, they're going
to have to puke on the floor.
Well, there she is.
Who?
Central Supply.
Hi.
Excuse me, we're completely out
of emesis basins
and I need at least
ten liters of...
Hi.
Hi, Abby.
Oh, Luka got me a job.
Oh, he did.
Yes. He knew
I was out of work
so he called me last week
about this opening and...
It was so nice
of him.
He's-he's nice.
Yeah.
Do you know
where these go?
Yeah. The linen closet.
It's down the hall
to the left.
Thank you.
And, oh, I'm sorry.
Do you need something?
Yeah. I'll get the Ringers.
Could you just bring down
some emesis basins?
What are those?
Barf bins.
Vomit buckets.
Okay.
Systolic BP is 70,
febrile to 104.
Bolus a liter of saline
and change all the IV
and central lines.
You did that yesterday.
We need to do it again
in case they're the source
of the infection.
I've never seen her so bad.
CORDAY:
It's reversible,
but we will need to start her
on cardiac medication
and dialysis immediately.
Put her on a machine?
Her kidneys aren't
removing the toxins
from the bloodstream
as they should.
No, no.
If this is her time...
It's not.
Not yet.
Jacy, start the dopamine
and titrate
to systolic above 90.
She's a DNR,
you know.
She never wanted
to end up
the way my dad did.
I understand.
She always said
push me over a cliff
before you put me on any tubes.
April, her kidney failure is
temporary.
She could bounce back
after a few treatments.
It's worth trying.
Page the nephrologist
and the dialysis nurse.
You really want to do that?
Yes. Now.
WOMAN:
The fire was right
outside our door.
Eden was choking.
She was holding
her daughter.
Broke the fall
for both of them.
And my legs.
We got a deformity
of the right tib-fib.
Left femur looks open.
Surgery and ortho?
Yup.
Took your daughter inside,
ma'am.
She'll be okay.
I'm sorry.
It's all right.
I know you wanted me
to wait.
Everyone is safe.
Here. Lean on me.
I'm good.
That ankle
doesn't look so good.
I don't want to crush you.
It's okay.
I'm used to it.
So, how is
it so far?
Great. Everyone's been
very friendly.
Yeah, we like her.
Has someone showed
you around?
I keep getting lost.
Yeah. Don't be afraid
to ask for help.
LOCKHART:
I need some help.
KOVAC:
Oh, sorry.
You want to have lunch?
NICOLE:
But you're busy.
No. 1:30.
Find me.
I was halfway up the ladder
and the lady just panicked
and jumped.
I think I would
panic, too.
Can you bear weight
on it at all?
I'm fine.
Just give me a bag of ice.
You've got some
burns, too.
Yeah. Occupational hazard.
No blistering,
skin's intact.
Polysporin then
dress with kerlix.
We'll probably need a splint
for him.
Oh, we're out
of fiberglass.
I might have
to call Central Supply.
I was going to tell you.
Whoa.
Ow!
Tenderness
of the fifth metatarsal.
Thought firefighters
were tough guys, right?
You're secret's safe
with me.
Let me take
a look, Eden.
Can you tell
me if your
throat hurts?
Trauma panel, C-spine,
chest and pelvis.
I want a C-spine, chest,
AP pelvis and a Foley.
Is that Eden?
Who?
Is that my daughter?
Yeah.
Is something wrong?
I don't think so.
Hey, Connie, can you have
Dr. Greene come in here
and talk to Miss Mintry
when he gets a chance?
What do we have?
Got a two-story fall
without LOC.
Multiple Fractures.
Who's this?
This is Carmen.
Follow the light
with your eyes.
MALIK:
Systolic's 90.
CARTER:
All right. Let's run
another liter of NS.
Pupils equal, round
and react to light.
I'm going
to do an ultrasound
to check for signs
of internal injury, okay?
Miss Mintry?
Yes.
Eden inhaled some smoke.
I think she has
some scrapes,
that's all.
Can I see her?
Wait.
What?
Your stethoscope.
You haven't
cleaned it
since using
it upstairs.
Alcohol wipe, please.
GREENE:
We want to keep her on oxygen
for a while.
Eden seems more concerned
about your dog than anything.
Okay?
He jumped out the window
before we did, then ran off.
Mm-hmm.
I'm sure
he'll make his way home soon.
Breath sounds clear bilaterally.
Dr. Carter, could you start
the ultrasound, please?
Mm-hmm. ABG,
carboxy-hemoglobins.
Titrate ten
of morphine
and ten liter
humidified 02 by mask.
How's Mrs. Wilson?
Not good.
She's not responding
to antibiotics or pressors.
Did you try Ampho?
She's still
in multi-organ failure.
Do you mind?
I'm talking
with my husband.
I need to watch you
at all times.
Fine. Watch.
I'd like
to deck that woman.
Infection control?
They feel the need
to follow me around
at all times.
Mark, I can't lose
another patient like this.
I know.
When's the last time
you cleaned your stethoscope
between patients?
She's justifying
her job.
( pager beeps )
ICU?
Damn it.
I can't let this happen again.
You can't save
everyone.
I shouldn't kill everyone,
either, should I?
MAN:
No, that's okay.
I-I'm going to wait
for the doctor.
LOCKHART:
Don't be embarrassed.
Uh-uh. I really
messed it up.
Let me see.
No!
No. I need
the doctor.
After you've been seen
by a nurse.
Believe me, miss.
What I got to show you,
you don't want to see.
Yes, but I can't help you
unless I see
what the problem is.
The problem
is is that...
I got a bum pair
of scissors.
Take the towel off.
I'm not going
to be shocked.
You can't say that.
You haven't seen it.
I'm a professional.
I'd never agree to this
if I didn't think I
might bleed to death.
Wow!
( sighs )
The pain is, like,
wrapped around my head.
LEWIS:
Did you drink last night?
There were a lot
of parties on campus.
Is that a yes?
I never felt this way
from being hungover.
I woke up all achy,
and I keep getting the chills.
Sounds like the flu, Lara.
That's what he said.
MAU:
So Dr. Kovac
has countersigned
my orders for Mrs. Ridley.
I picked up her CT scan
and her X-rays...
You saw Dr. Mau?
He asked me,
like, a thousand questions.
Okay, I'll be
right back.
Sophomore
at U of I
woke up with a
"hatband headache"
subjective fever
and myalgias.
History includes childhood
chicken pox
ER visit for
food poisoning
two years ago.
LEWIS:
What are you doing?
In this position,
there's hardly any pain at all.
Tylenol,
I'm telling you.
Yeah. We need to talk.
Stand up.
Let me see.
( groaning )
You know, I can help you
with that.
Pass.
Uh, hold still.
Patient carries an EpiPen
for allergy to hymenoptera.
History of recurrent
yeast infections
now in remission.
Cut to the chase,
Stanley.
What's the diagnosis?
I'd say a viral illness
of unknown etiology.
The flu.
I agree.
Ibuprofen and drink plenty
of fluids?
Sounds like
a winner.
Next time sign up
for it, Stanley.
Sorry.
How does this feel?
Mm, not as good
as squatting.
Hi.
Fresh pot.
Great.
Did you do the splint
in Two?
Not yet, but I'm going to.
So, um...
Listen, um,
about Nicole.
You don't have
to explain.
I want to.
No, really.
It's none of
my business.
It just seems like you're going
way out on a limb
for someone you
barely know.
She lost her job.
Yeah, but is that your problem?
Why not help?
Is she, like, your
girlfriend now?
I got her a job,
that's all.
So it's not like
she's living with you?
She's living
with you?
Just until
she can save some money
for her own place.
Luka.
She was staying
at a hostel.
So?
So, she's a sweet girl.
I'm trying to help.
You don't have to
help everybody.
CARTER:
What's your problem?
Nothing.
Still fighting?
No.
Luka has a new project.
Oh, like what?
Coin collecting?
Nicole.
That cookie girl.
She works here now.
Why do you care?
Well, I don't.
What? I don't.
I...
Okay.
BP's holding at 80.
Another run of ectopy
on the monitor.
Seven beats.
Lidocaine, 70
milligrams IV push.
Start a drip
at four cc's an hour.
Have the crash cart nearby.
Are you sure?
Stop saying that
and do as I ask.
Run a V-tach.
Pressure's dropping.
Systolic 59.
After the Lido,
get ready with Procainamide.
Elizabeth, what are you doing?
Treating my patient.
What are you waiting for?
Do I have to push the drug
myself?
She's a DNR.
I can save her.
You have
to respect her wishes.
If we can just
support her until
I find the source.
Map down to 40.
Start CPR.
No. Jacy, hold compressions.
Peter, this is none
of your business.
V-fib.
Look at that woman.
Look out the window.
That woman wants
to sit with her
mother, let her.
I can help her.
You can't help her.
Agonal.
Hi.
How you doing?
Is it still wet?
Yeah.
What do I do
when my foot itches?
You live with it.
Can I get you something?
Uh, water? Popsicle?
How about a soda?
Sure.
Will your boyfriend get mad
if I buy you one?
Well, I'm not thirsty,
but thank you.
Come on,
live it up.
Is this
the surgical consult?
Uh, yeah.
It's-It's a
delicate, um...
BENTON:
All right, so,
what's the problem?
She didn't tell you?
Rick tried
to circumcise himself.
All right.
Ice and sponges.
Let's have a look.
I'm not nuts, okay?
You didn't consider
having a doctor do this?
I thought
I could take the pain.
You know, just snip, snip--
done deal.
You know
there is no medical reason
for circumcision.
There's a personal reason.
Here you go.
All right.
Apply direct pressure.
Laceration's two inches.
No damage to the glans.
So, what now?
Well, you're halfway done.
I can finish the job,
or sew it up.
Can I ask my girlfriend?
Would that be
the "personal reason"?
Well, she's a-a neat freak,
and foreskin
just didn't do it
for her.
Sure. Why don't
you call her?
Either way, we can
do it upstairs.
Treat it as
plastic surgery.
Do you want me to get
a psych consult?
No. I just think
he's stupid.
Not to mention devoted.
You passed out.
Someone called 9-1-1.
People can't mind
their own business.
Sorry.
Am I too early?
No. Have a seat.
Your blood doesn't seem
to be clotting.
I have a Factor IX
deficiency.
Do you get regular doses
of Factor somewhere?
At Children's.
I guess I missed
a couple of rounds.
Mary, call Heme-onc.
Sure.
It's very important
that you go every time.
I know. I just couldn't
get there lately.
What's your dose?
2100 units.
See if the pharmacy
has that much.
I'll go check.
Do they have bag lunches here?
I don't know.
Some hospitals do.
Okay, after
the Factor
I want to clean
and irrigate that hand.
Is there someone we can call?
No.
Parents?
No.
Okay. Let's start an I.V.
I have a porta-cath.
For how long?
Two years.
Couldn't stand the needles
every day.
Okay. We'll use that.
I'll bring you a sandwich.
Thanks.
Oh, that thing.
Yeah, it ate
my dollar.
You want to borrow one?
No, I got it,
thanks.
So, is it hard
working with Dr. Kovac?
( chuckles )
Carter told me.
Oh.
Sorry. Am I not supposed
to know?
No. No, don't
worry about it.
Yeah. Dating at work
can be messy.
Yeah.
WOMAN:
Abby?
Yeah?
Want some change?
Uh, the girlfriend
of the guy is here.
What guy?
The self-circumcision.
Your patient?
Yes.
Sepsis.
Bad luck
you've had.
Did you find any nidus
of infection?
Well, not so far.
No abscesses
or localized infection
anywhere obvious.
Would you check
the bowel anastomosis?
You have any reason to
believe there was a leak?
I'm just trying to find
the source of these infections.
Do you mind?
No. I'll check.
( sighs )
She was a very nice woman.
For the record,
Dr. Corday
I don't agree with what people
are saying about you.
You know,
all this talk
about the breast-feeding
and the sleep deprivation.
That part's true.
Well, I mean...
motherhood's interfering
with your work.
That's sexist crap.
Yeah, well, it's not
a woman's world, is it?
Not until they
perfect cloning.
Right.
I thought you went
to the bathroom.
I'll let you know
what I find.
I can't believe you did this.
What do you mean?!
You said that
you wanted me...
I know what I said,
but it's so extreme.
So, are we repairing
or removing?
What do you say?
I don't know.
Whatever is
less traumatic.
Well, it's 50/50 now.
Well, I...
I mean, might as well
finish what I started...
don't you think?
I guess.
BENTON:
Okay.
Well, we'll get you up
to the O.R.
as soon as there's
a room available.
Nurse, do you
have a second?
Sure. What is it?
Outside.
Wh-What are you doing?
I'll be right back.
He'll be okay, right?
Oh, yeah, they'll fix it.
You'll never know.
I mean, except
for the foreskin.
This should never
have happened.
I thought this was
what you wanted.
Not really.
I only said that because I
wanted to break up with him
and didn't want
to hurt his feelings.
MALIK:
Abby, we need you!
Okay, hold on,
I'll be back.
Got a gag,
B.P. 130/70, pulse 100.
Did he take anything?
Nothing in the dorm room.
This is his roommate.
Does he use drugs?
No. He drank a little
at a party last night
but he was okay
when he went to bed.
Did he say anything today?
Just that
he felt sick
and his neck hurt.
Stiff?
Yeah. He thought
he slept on it funny.
Okay, on my count.
One, two, three.
Skin feels hot.
Let's get a rectal temp.
Did you see this?
LEWIS:
What?
Petechiae.
They don't blanche.
Oh, my God.
Sats are dropping to 91.
This is
meningococcus.
What's that?
Get T.B. masks
and post-exposure
meds for everyone.
CBC, Chem 20,
Accu check
blood cultures times two.
This could be
all over his dorm by now.
Where do you go
to school?
Uh, U. of I.
Get an L.P. tray.
Where's Carter?
He's in Exam Three.
Get him.
Get him now.
Give me a 16 French
triple lumen.
Carter, Carter,
Lewis needs you.
( inhaling deeply ):
What is it?
Some kid has menigococcus.
All right, take 'em out
Stanley.
Okay.
Ceftriaxone going up.
Meningococcemia?
Can you intubate?
28 of Dexamethasone.
Did you induce yet?
No.
20 of Etomidate.
Give me 120 of Sux.
Did our flu girl
go to U. of I.?
Who?
Uh, yes. Lara Avery.
I presented her to you.
LEWIS:
She needs to be
tapped immediately.
If she's been exposed
as long as
this kid has
we're out of
time already.
Uh, she was discharged.
What?!
You said she had the flu.
We need to find her.
I'll do it.
Tube him.
Prep a Swan-Ganz
catheter.
She was in Chairs,
waiting on a ride.
Mau.
CARTER:
Okay, he's loose.
Give me
some cricoid pressure, Malik.
Got it.
Go check triage,
find out the name of her dorm
and send an ambulance.
CARTER:
Talk to the unit?
Yeah.
What'd they say?
An hour, at least.
I found the introducer
but not the catheter.
Well, get one. We need to
monitor his pressure down here.
Well, nothing's where
it's supposed to be.
Frank, where's the girl
that was in Curtain Two?
Mm, pretty college girl?
Yeah.
She asked where
she could buy
some orange juice.
Where did you tell her?
The cafeteria.
Where else?
Oh, oh!
KOVAC:
Hey. Slow down.
Sorry. Sorry.
( speaking softly )
( laughing )
Where did you put
the Swan-Ganz catheters?
The what?
Swan-Ganz catheters.
Uh, they told me
in the trauma room.
Well, they're not there,
and we need them right now.
I thought that's
where I put it.
Well, show me.
Okay.
You got it?
Not yet. Here.
There's the Cordis.
You want me to set up
an art line?
Either.
I'll take either.
NICOLE:
Got it!
No. That is the introducer.
It looks like a
big, yellow snake.
Oh.
CARTER:
Forget it.
Call Central. Get me
somebody who knows
the difference.
She is new, Carter,
it's her first day.
This kid is
dying here.
I'm sorry.
CARTER:
Don't be sorry.
If you don't know
what you're doing
just get the hell
out of here!
Here it is.
Don't yell at her.
We're losing time here.
It's not her fault
he is sick.
Flush the ports.
Damn it.
Lara!
Lara!
Lara!
( groans )
Lara!
Hold on!
What is it?
Stay right there.
I'm coming down.
If she left a note, then
you shouldn't have been late.
I did tell her about the party.
You know what,
take it up with her.
I don't have time for this.
Nanny?
No, Roger.
He's my new shadow.
He should meet Carmen.
What do you have?
Revision of a failed
circumcision.
25-year-old.
Don't ask.
You?
Splenectomy
and a pilon tib/fib.
Hmm.
Listen, uh...
I'm sorry about earlier.
Oh, it's okay.
Uh, I thought
I could beat the odds.
Look, I know you're
stressed out--
the new baby
and everything.
It's okay.
What does that
have to do with it?
Not to mention the head trip
that's going
on around here.
My fuse would be short, too.
Have you ever seen me
do anything wrong?
Lazy? Sloppy?
No.
Look, I think you're
just having a bad run.
( sighs ):
It's not very comforting
to my next patient.
Elizabeth
if I needed surgery,
or Reese did...
I'd come to you.
ABBY:
BP's down to 60.
CARTER:
How much fluid is in?
Eight.
We're going to put him
into pulmonary edema.
Dopamine's
maxed out.
Levo's at 20 mikes.
No place left
to put the pulse ox.
God, this kills fast.
V-fib.
Crash cart. Charge at 300.
He's young.
Let's give him a chance.
Come on, Andy!
Clear.
Charge at 360.
Go get the conducting pads.
And clear.
Okay, Lara.
You're going to
feel pressure in
your lower back.
Can I call my mom?
As soon as we're done.
It's long distance.
Omaha.
Uh, is he going to be okay?
Andy?
They're working on him.
You know him well?
Everyone knows him.
He's on the soccer team.
Really popular.
Spend time with him lately?
Lara?
Fluid's clear.
Lara?
W-We sort of
kissed last night.
Did you kiss anyone else?
Why?
Andy has a
very contagious
bacterial infection.
We need to know
who might have been exposed.
Usually I only kiss
one guy a night.
Do you think Andy
shares the
same policy?
I don't know.
Last night was the first time
I talked to him.
Dr. Lewis?
What? What is it?
WES:
I can't pay
for this.
KOVAC:
Don't worry.
Half of our patients can't pay.
And if there's
a follow-up
or anything
I don't even know
where I'll be.
Your tox screen
is positive for opiates.
My joints bleed. It hurts.
What drugs do you do?
Demerol, if
I can get it.
And if not, heroin?
I don't see tracks.
It's not a regular thing.
Do you use your porta-cath
to shoot?
All right, look, you know,
I didn't ask to come here.
That's not what a porta-cath
is for.
Hold on. Hold on.
Let...
Let me call
somebody for you.
( scoffs ):
There's no one to call.
Let's talk about rehab.
I don't think so.
I'm not done
with your hand.
You can't leave it open
like that.
Please?
Is ham and cheese okay?
I'm not picky.
There's fruit in there, too.
Thanks.
Wait here.
I need to get
another suture kit.
Why were you fighting?
He's using his
catheter to
shoot drugs.
It has to be removed.
Can you do that?
You all right?
Me? Yes.
Dr. Carter
was under pressure.
It's okay.
Don't you think that guy would
find some other way to do drugs?
He was given the catheter
for clotting factor, not heroin.
This is Dr. Lewis again,
from the E.R. in Chicago
regarding your daughter, Lara.
Please call me right away.
CARTER:
Okay, I'm in.
Bag her.
Where's the vent?
MALIK:
It's on its way up.
MAU:
Her pressure's dropping.
More dopamine?
No, we're running
in the antibiotics.
There's nothing
else to do.
Portable chest?
Sure, check the tube.
Not that it makes
much difference.
It's a waiting game now.
Not so fast.
You don't want to
give her a pneumo.
I missed it.
I missed it, too.
You didn't see her.
Well, it presented
like the flu.
You call the college?
Mm-hmm.
Student health is going
to give antibiotics
to everybody in the dorm.
And the people
at that party.
Anyone sharing
glasses, kissing...
No, they'll get
the word out.
They don't want
an outbreak.
Abby.
600 milligrams of Rifampin
for anyone who worked
on either meningitis case.
It made me sick
last time.
Better than dead.
Here you go.
There she is.
Sorry, I got busy.
Thanks.
Now all you need
are crutches.
Do I have to?
Mm-hmm.
Nurse's orders.
Can I ask you something?
Yeah.
How late
are you here tonight?
Hmm. One more hour.
If I were going
to see you again
I'd probably be more subtle.
Would you like to go
for coffee, or something?
Oh, I'm sorry.
I'm... not available.
There is a boyfriend.
Uh, well...
You don't know?
I don't know.
But thank you.
Pressure's steady.
Excuse me.
Can I have a little
room, please?
I have to see the field.
And I have to work.
Careful. Mommy's watching.
Releasing the
splenophrenic vessels.
Let's pack it in
with lap pads.
Small vascular clamp.
Mobilizing the spleen.
Bowl, please.
Let's isolate
the hilar vessels.
We'll ligate.
Did you touch
the circulating nurse?
For God's sake.
Of course not.
It looked close.
Carmen, get out.
What?
I've had it
with your intrusive pettiness.
I'm doing my job.
No, you are driving
us all crazy.
Now leave the O.R.
I can't do that.
Well, then
we'll call security
to assist you. Shirley?
Are you serious?
I've never been more serious.
Catfight pending.
Dr. Corday.
What?
They want to see you
in Romano's office.
I'm operating.
He said to have
you scrub out
and to escort you
or I'm fired.
I'll take that spleen.
Don't follow me.
Isn't Surgery supposed
to take your messages?
Let me guess,
Roger or Jackie?
One of each.
Sounds like
they're feuding.
Let 'em.
SARAH:
I don't think I can.
ABBY:
Just temporarily.
Is he okay?
Yeah, he should be sore
for a week or so
but everything went well.
And he'll work
like normal?
Should be
just what you ordered.
Uh, Sarah didn't really have
an issue with the circumcision.
I was trying to
let him down gently.
Let him down?
I didn't want
to hurt him.
You need to go upstairs
and tell him the truth.
Huh-uh, three weeks.
No, now.
I backed over this guy's cat
one time
and I stayed two more weeks.
This has got to be worth
at least three.
Do whatever you want.
I'm so bad
at relationships.
I can never just say
what I feel.
I know what you mean.
You do know I was in the O.R...
ROMANO:
Sit down, Elizabeth.
No, thank you.
This is Edwin Bane,
Cook County Health Department.
Dr. Corday.
It couldn't wait?
Dr. Bane
is an investigator.
So, it's an investigation now?
Unfortunate record you've
accrued lately, Dr. Corday.
Yes.
We're a little baffled by it.
As am I.
Did something turn up
in my cultures?
No.
Does Carmen have a problem
with my technique?
We're looking at
other theories.
Other theories?
Has to be more than a
statistical anomaly.
What do you think
is happening?
Well, if I knew that,
I'd have fixed it by now.
And there's nothing
you want to tell us?
Uh... what are you insinuating?
The next step
is a criminal inquiry.
I beg your pardon?
All four of these patients
were elderly
in marginal health.
Yes.
All die of post-op sepsis
under your care.
And on at least
one occasion the
family asked you
to euthanize, correct?
No. No.
Adrienne Tanzi?
Uh... t-there was discussion
about the quality of life.
Um, I'm sorry, am I being
accused of something here?
Doctor, you wouldn't be
the first angel of mercy
to help end patients' suffering.
All right,
hold on, Doctor.
I thought you were fact-finding.
I am.
So, if there's
something you
want to tell us
you should
tell us now.
Like what?
That I'm going around with
a syringe full of bacteria
infecting these people
on purpose?
All right, that's it.
Let's adjourn.
The Chicago police
will be contacting you.
You might want to think
about hiring counsel.
( door closes )
Is that your dog?
Yeah, Speedy.
He's lost.
Somebody order
crayons?
Ooh, thanks.
You're welcome.
Did you finish
your shift?
I'm waiting for Luka.
Is it always like this?
Pretty much, yeah.
I really admire
what you do.
Oh, you get used to it.
No, I meant you.
I always wanted
to be a nurse.
Really?
At the hospital
where my mother died
the nurses treated me
like I was their daughter.
They gave me ice cream,
and dolls to play with.
They were like angels.
KOVAC:
Nicole, have you
seen my patient?
Which one?
Wes, the one you met.
Uh, I talked to him
maybe an hour ago.
Well, he's gone.
You finished stitching
his hand, right?
Yeah, but the social worker
has to see him.
Maybe he didn't want
to get that tube removed.
I didn't tell him
I wanted to do that.
Oh.
Did you?
No, I didn't say anything.
Abby, if you see Adele,
could you tell her
that my patient eloped?
Sure.
Don't worry
he'll be okay.
He's on the street with
a serious coagulopathy
drug habit, no money...
Well, if he left home,
and...
What?
And stayed away
this long
maybe he doesn't want
to be found.
( music blaring
and baby crying )
Rachel?
Damn it!
Rachel!
It's okay, honey.
Come on. Oh!
It's okay. It's okay.
I know.
Oh, it's all right, darling.
RACHEL:
He's really cute
but don't you think he
should cut off his hair?
Rachel, turn off the music
and get off the phone!
Two seconds.
Hang up!
I got to go.
My dad's wife is freaking.
What's wrong?
You're supposed
to be baby-sitting.
I am.
Ella was screaming.
Oh, sorry.
Did you feed her?
I wasn't supposed to feed her
until she woke up.
Well, she's up now, isn't she?
You want me to feed her now?
Yes, I want you
to feed her now.
Listen, I want you
to be responsible.
I want you to think
about something
other than yourself.
I said I was sorry.
I didn't hear her crying.
No, because you didn't
care to listen.
You were playing
that crap
and talking about
rubbish to your friend.
If you're so worried about Ella
then why don't you
just stay home with her?
I made the mistake
of thinking
that you were reliable enough
to do it.
Well, then, forget it.
I'm calling Lynn back.
Hey, no, you don't.
Elizabeth!
Warm up that milk.
No.
Now.
She's your kid.
You're living in my house.
Doesn't mean you can
tell me what to do.
Oh, yes, I bloody well can.
You know what?
You need to chill out.
This is my house.
You can't talk to me that way.
Boy, my dad sure can pick them.
Rachel, you do not want
to battle with me.
You'll lose, I guarantee it.
( crying )
Your shift's over, isn't it?
Yeah.
What are you,
a med student again?
I sent him home.
I loved being this age.
Having a crush on a guy,
finally meeting him at a party.
She probably went home
all excited
wondering
what would happen next.
She has a chance.
Yeah, I just want to be here,
whichever way.
Don't stay all night,
okay?
Dr. Lewis, there's
a woman on line two
calling from Omaha.
Thanks.
Good night.
Good night.
You make me drive
all the way over here?
What is your problem?
You'd know
if you'd take my calls.
Look, I have 100 things
to do during the day.
And that's more important
than your son?
It's more important than
refereeing you and Jackie.
I was 20 minutes late
and she uses that
to keep me from seeing him?
We need to rethink
this visitation thing.
It's getting complicated.
It's Jackie
who's messing things up.
Jackie is his aunt.
And I'm his father.
You're his what?
I'm one of his fathers.
Look, Roger, I, uh...
I appreciate you
caring for Reese
and I thought this
time was important
to make a transition.
A transition?
But right now,
you know what?
You need to let go.
Peter, look,
I'm willing to work out
a schedule,
or something.
No. Reese has one
father, and that's me.
We both know that's not true,
don't we?
Carla told me
you're not his real father
anymore than I am.
You want to back
up with that.
So don't think
you can just dump me
like you're
more important to him.
I am more important to him.
All right, listen.
You don't call me anymore,
you don't come to the house
you stay away from Jackie
and you stay the hell
away from my son.
Are you going
to do it again?
Seriously,
I think it worked.
It feels much better.
Needles in your back?
Yeah, it was a bonus.
I didn't realize
you were a masochist.
Whatever works.
I should run home
and get my whip.
Yeah, you do that.
You almost off?
Uh, yeah, 15 minutes ago.
What are you still
hanging around for?
And miss
this late-night stroll?
It's starting to get a
little chilly out here.
I got asked out
by a fireman tonight.
Really?
Mm-hmm.
The ankle guy?
Yeah. Hard to believe?
No.
He was good-looking.
Big?
Yeah... funny.
Invite me to
the nuptials.
All right,
you got to help me out.
I don't know what to do.
Rub your back?
I'm just not
exactly sure what I'm supposed
to do here.
I'm not exactly sure
how I'm supposed to
comment on your love life.
I said no because I was waiting
for something to happen...
with us.
You've been waiting?
You weren't doing much
to move it forward.
No, you gave me an ultimatum.
You stood right there
and gave me an ultimatum
and I did what you asked,
and you've done nothing.
What did I ask you to do?
I broke up with Luka.
First of all, you didn't
break up with Luka for me.
I didn't?
No.
Second of all, you
didn't break up with Luka.
( chuckling ):
Really?
I'm pretty sure I did.
Then why do you
care so much
about what he does
or what he thinks
or who he helps
or what he thinks
about you, or...
I dated the guy for a year.
There's going
to be some history.
Maybe too much history.
Well, yeah, I had a life
before John Carter.
( mirthless laugh )
If you want someone
with no history
you're going
to have to...
find yourself a virgin.
No, I'll settle for someone
who isn't hung up
on somebody else.
You don't have to settle
for anything, Carter.
( door opening )
I talked to her.
She's at Andrew's.
And?
He said he'd have
her back by 10:00.
End of a great day.
That investigator was
totally out of line.
He all but accused me
of homicide.
It's crazy.
What if people
believe him?
They won't.
You know
what's really crazy?
I feel guilty.
Elizabeth...
I do.
Four people are dead,
I was their doctor
and I can't explain
what happened.
Well, the answer
certainly isn't
that you were
euthanizing people.
Then I come back home
and I take it out
on a 14-year-old.
That's a fair fight?
She didn't do what she
said she was going to do.
That's worth a conversation.
I'm going to have
that with her.
I don't think
I can handle this, Mark.
I was barely handling working
and looking after the baby.
You can.
I can't.
Oh, hey, hey,
hey, hey, hey.
( sobbing softly )
Hey.
We'll work this out.
( crying softly )
We'll lay down the
rules for Rachel.
We'll get you a
lawyer if we have to.
Oh, God.
We got fights ahead
of us, we know that.
But we're together.
And we got children.
We're happy.
That's a lot.
That's a lot.
Hey.
I called your mom.
She's flying in.
You had us a little worried.