ER (1994–2009): Season 8, Episode 7 - If I Should Fall from Grace - full transcript
A new medical student, Michael Gallant, arrives in the ER. He's supposed to be working under Dr. Carter's supervision but his grandmother is unwell. Elizabeth Corday is convinced that other doctors are refusing to work with as a result of the mysterious deaths. Mark Green thinks she's overreacting but she's determined to find out what happened to her patients. Abby and Luka argue over the attention he is paying to a trainee nurse's aide. Dr. Benton's finds himself in court to retain custody of his son, Reese. Carter and Susan Lewis treat a young woman who is both a law and a medical student. Green has to collect his daughter at school when she is suspended.
Previously on E.R.:
You cannot leave.
Fainting can be
a warning sign
for a heart attack,
for a stroke.
I'll take my chances.
Luka got me a job.
Oh, he did.
Is she, like, your
girlfriend now?
I got her a job,
that's all.
I don't know what I was thinking
when I said I'd come back.
You weren't.
Reese has one father,
and that's me.
We both know that's
not true, don't we?
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.
Am I being accused
of something here?
You wouldn't be
the first angel of mercy
to help end patients' suffering.
( clears throat )
Sign in.
Uh, actually...
Where the hell are
our T-sheets?
Actually, I'm
a new med student.
Congratulations.
You said that yesterday.
Check in with the docs.
Okay, thanks.
Uh, do you guys have
a lost and found box?
Somebody stole it.
Excuse me, ma'am.
Are you Dr. Carter
by any chance?
Lewis. I don't think
he's in yet.
And I'm not old enough
to be a ma'am.
Sorry about that.
I'm supposed to meet him
here, around 8:00.
Hmm, you're a tad early.
Yeah, it's my first day.
I guess I was
a little excited.
You'll get over it.
So, Mr. Hopper
what seems to
be the problem?
I can't eat.
I can't sleep.
I just don't feel
like myself.
How long has this
been going on?
A few weeks.
Any stress?
Family? Work?
All my problems started
when I met this girl
at an after-hours bar.
She bit me.
She bit you, where?
In the alley
outside the club.
No, where on your body?
My neck.
I'm pretty sure
she was a vampire.
That's a hickey.
Is that a zygoma fracture?
Maybe.
Are you Dr. Carter?
Nope. Greene.
I'm Michael Gallant.
I'm supposed to be meeting
Dr. Carter.
Yeah, well,
you found the E.R.
That's half
the battle...
You called
for a surgical consult!
I changed my mind.
After I got down here.
He's got rectal pain.
It's probably prostatitis.
And that's why
I need to examine him.
If it is an appy,
he's probably going
to need surgery.
Somebody need
a second opinion?
Nope.
Yes.
He has a 22-year-old male
with right-sided tenderness.
Who also says it burns
when he pees.
What's his urine
and white count?
Still waiting.
Usually you won't
even come down
till labs are back.
Fine, when it bursts,
you can operate.
Dr. Carter?
Kovac.
Elizabeth? Hold on, Elizabeth.
What's going on?
Isn't it obvious?
No.
Kovac called for
a surgical consult
then changes his mind
the moment he sees it's me.
Yeah, well, that's a little
egocentric, don't you think?
People are afraid to have me
treat their patients.
You're being paranoid.
Am I?
Excuse me, excuse me.
Do you know
where Dr. Carter is?
He should be here
in a few minutes.
Hey, listen,
I know you're really busy
but maybe if you tell
me where he is
I can find him myself.
I don't know. Sorry.
How come there aren't any donuts
in the lounge?
No petty cash.
There was 50 bucks
in there yesterday.
I need a psych consult.
My patient thinks
he's a vampire.
Count Fred? Where is he?
Exam Two.
Is there a nurse
in there with him?
No. Why?
He's a vampire.
What do you mean
he's a vampire?
I mean, he drinks
people's blood.
You're kidding, right?
That's nasty.
MILLICENT:
I volunteered to drive
to the Royal Botanical Garden's
fund-raiser.
ALGER:
I'm sorry, but there's
just not much I can do about it.
MILLICENT:
You can stop lying to me.
Good morning.
ALGER:
Dr. Carter.
Did I miss something?
Yes, breakfast.
Your grandmother's upset
because the Jaguar's
being serviced.
For a week.
What's wrong with it?
Yes, Alger, what's
wrong with it?
They're waiting for a part.
What part?
The ignition coil.
Liar.
He's holding
me hostage.
What's the matter
with the town car?
I don't drive
the town car.
Well, you shouldn't be
driving anyway.
That's why we have Alger.
Having a driver was
your grandfather's idea.
Now that he's gone
it seems an unnecessary expense.
He's just trying
to look out for you, Gam.
I'm a big girl, John.
I don't need
a chaperone.
Oh, John, are you still planning
to come with me to...
Gamma!
Gamma?
The nurses do
most of the triaging, right?
That's right.
So maybe you could sneak me
a couple of minor cases?
Uh, maybe
you could sit down...
read your
orientation kit
and wait for Dr. Carter.
What's going on, Malik?
I'm teaching Nicole
to take a blood pressure.
Why?
Because it's part
of her training.
What training?
I'm learning to be
a nurse's aide.
Really?
Abby!
No helmet.
Alert at the scene. GCS 14.
Any blood loss
or seizure?
No.
Okay, let's get him
in Trauma One.
Nicole, come on.
Me?
Yeah, it will be good
for you to watch.
DUMAR:
He must've taken a header
right off his skateboard.
Bad scalp lac
and hematoma
right parietal-temporal.
Abby, show Nicole
how to take a pulse ox.
Uh, put some gloves on.
Can I watch?
When will you sell tickets?
You a med student?
Michael Gallant.
Dr. Finch.
Nice to meet you.
Road rash all the
way down the chest.
Big abdominal bruise.
( groans )
B.P.'s 90/60,
pulse, 115.
Full trauma panel, lateral
C-spine, chest and pelvis.
Jeremy, do you remember
what happened?
( groaning )
Right pupil is
sluggish
and slightly larger
than the left.
ABBY:
18-gauge
in the right A.C.
KOVAC:
What's his pulse ox?
I can't get it.
Abby.
Make sure the fingernail
has contact
with that red light.
No CSF or blood from the ears.
100 of Fentanyl,
and page Benton and Neurosurg.
Read the number
over this monitor.
Decreased breath sounds
on the right.
78!
What?
Pulse ox is 78 on 15 liters.
Okay, good job.
What do you think?
Hyper-resonant on the right,
decreased breath sounds
low Sats, hypotension...
Tension pneumothorax, right?
Yeah.
I had a fainting spell, John.
It happens.
It shouldn't happen.
In my day, it was
quite acceptable
for a lady to swoon.
Hey, Carter, there's a new
med student looking for you.
I'm a little busy.
Oh, hello, Mrs. Carter.
Hi, Evan.
I talked to your mother.
Hello.
She's on her way.
She found your inhaler
in the laundry.
Okay, Gam,
could you sit up for me?
Put your legs
over the end of the bed.
Yes, John.
You're not going to make me
do push-ups, are...?
Gam? Gamma?
Gamma? Susan?
Gamma, can you hear me?
John?
Okay.
You're okay.
I need to, uh, step
out for a minute.
I'll be right back.
Were you checking
orthostatics?
Yeah.
Is she anemic?
I don't know.
I think I'm going
to send her up
for a tilt test.
She might be dehydrated.
It's probably nothing.
Can I intubate?
Maybe next time.
All right, what am I looking at?
Teenage skateboarder.
Tension pneumo on the left
with a head injury.
Needs a central line.
He's anterior.
I can see the cords, I'm in.
Bag him, Nicole.
Come on.
One, two, three, squeeze.
He do all of this
on a skateboard?
Trying some
crazy-ass stunt no doubt.
Good breath sounds.
Probably has
a depressed skull fracture.
That's what they used to call
a ping-pong fracture, right?
Neurosurg is on the way.
Pressure's dropping.
Okay, he's bleeding
somewhere.
How much out on the chest tube?
Less than a liter.
First Hemacue is nine.
All right.
Let's hang the O-neg.
We need to get him up
to the O.R.
Has he had Dilantin yet?
Yeah, and 70 grams
of mannitol.
What about his head?
Who the hell are you?
Michael Gallant.
You're the trauma surgeon,
right?
You a med student?
Yes, sir.
Listen, why don't you
go and find something to do.
Let's, uh, get him
ready to go. I'm in.
I'll think I'll learn
more in here...
No, you'll learn a lot more
if you keep your eyes open
and your mouth shut, all right?
I think he's got a point.
What about his head?
It won't make a difference
if he bleeds out
in his chest first.
Okay, people. Let's go.
You did good.
Really? I was so scared.
Yeah, you get
used to it.
I don't know.
You saved his life.
Yeah, I hope so.
Me, too.
I better go back to work.
I'll see you later.
Okay.
What are you doing?
What?
"What?"
This morning she
was learning how
to take a B.P.
and now she's
in a trauma?
Yes, she's learning.
To be an aide,
not a nurse.
I know you
don't like her...
That has nothing
to do with this.
It is inappropriate for
her to be in a trauma,
and you know it.
I just asked you to help her.
That's not
my job, Luka.
Do you even realize
what I do in there?
You're not the only one
trying to save
that kid's life.
I'm going to go ahead
and scrub in.
I'll page
Neurosurg again.
Dr. Benton?
Yeah.
Yeah, are you
Peter Benton?
Yeah.
Consider yourself served.
Have a nice day.
What was that about?
Peter?
I'm being subpoenaed.
For what case?
Reese. Roger's suing
for custody.
So how extensive do you think
his brain injury is?
Um, it's too
early to tell.
How is he?
Skateboarder--
is he going to be okay?
Are you his father?
No, I'm David Hilliker.
I called 911.
Did you see
what happened?
Uh, screwing around in the mall
with his buddies.
Looked like he
hit his head.
Yeah, he wasn't wearing
a helmet.
Of course not,
that wouldn't be cool.
You don't need a helmet
to drive a motorcycle
in this state.
Why would you need one
for a skateboard.
Oh, you got a little limp.
Oh, yeah, I twisted it
chasing him
and his buddy
out of the mall.
You should let us
look at it.
Oh, ice pack
and a couple
of beers
I'll be fine.
Sit down.
We just need to change
the dressing.
But, uh, Dr. Carter
usually does that.
Yes, I'm aware
of that
but Dr. Carter's
not here right now.
We don't mind waiting.
I have no idea
when he's going to be in.
I'm very patient.
Look, Sister...
Helen.
...the sooner you let me change
the bandage...
I'm Monica.
...the sooner you guys can get
out of here
the sooner you can get back
to doing your stuff
and, quite frankly,
I need the bed.
( clears throat )
Perhaps if you told
Dr. Carter we were here.
Glad you're here.
Your fans are getting restless.
What is it with you
and nuns, Carter?
It's almost kinky.
Can you, uh, take care
of them for me.
They're looking for you.
My grandmother had a, um...
She passed out this morning.
I'm having Cardiology
work her up.
Is she okay?
I don't know.
Are you?
Me, I'm fine.
I just want to make sure
she gets settled
before I clock in.
I'll take care of it.
Thank you.
Come on, ladies, Tequila Willy
is still is in Exam One
he's covered in puke and
assorted body fluids.
He's making
this whole place reek.
This place always reeks.
Yeah, and it's
Abby's turn.
Oh, come on.
I did him last time.
You're up.
Fine.
Nicole.
You need something?
Yeah, uh, grab
some gloves.
I'm going to show you
how to bathe a patient.
Oh.
Robert, Robert,
I was scrubbing in
when I discovered Dale's
doing my Whipple.
Yeah, he's an arrogant ass
but he's becoming
a decent surgeon.
I thought I was back
on service today.
No, not yet.
Why not?
I've complied with
every insulting,
demeaning request.
I've even volunteered for
a damn lie detector test.
I know, but we have
to wait for the CDC
to finish with
their bug hunt.
The good news is
the criminal investigation
is essentially over.
They couldn't
find anything.
So what does that mean?
"We think you're killing
your patients.
We just can't prove it"?
If it makes you
feel any better
I don't think this has
anything to do with you.
Then why am I
not in surgery?
I'm sorry.
I know this is frustrating,
Elizabeth
but what choice does
either one of us have?
Take the opportunity to get
caught up with your dictation.
Spend some time
with your baby.
Enjoy the downtime.
What are you doing?
Excuse me?
That's my patient.
I'm drawing some blood.
No, you were injecting something
into her central line.
I couldn't get a draw,
it was clogged.
What did you inject
into my patient?
I didn't...
Don't lie to me,
I saw you.
Is there a problem here?
No, I...
Yes. She was injecting
my patient.
With urokinase-- to bust
the clot in her line.
Let me see it.
( sighs )
Where's the vial?
Elizabeth.
Sorry.
Excuse me.
26 years with
the Chicago P.D.
never fired my gun once.
That's good.
These are
different times.
Try and stay off your ankle,
and keep it elevated, huh?
Dr. Kovac,
Jeremy's mother's here.
Okay.
I'll have, uh, one of the nurses
give you a lesson
on using the crutches.
Mrs. Norris?
( sniffling )
Hi, I'm Dr. Kovac.
I was the first doctor
to treat your son.
How is he?
He suffered a hemothorax.
That's when blood collects
in the chest cavity
and collapses a lung.
But it's been repaired.
Can I see him?
He's been taken up to the O.R.
But he's going to be okay?
There was evidence
of a head injury.
Is he in a coma?
I'm afraid we won't know
till he's out of surgery
and the anesthesia
wears off.
Hey, there's the idiot who
was chasing him, right there.
A-Are you the boy's mother?
What did you do
to my son?
N-Nothing, I-I'm sorry...
He threw his stick
at him.
What?
You should get back
in bed, Mr. Hilliker.
No, he's the one who made Jeremy
wipe out in the first place.
Your boy was riding in the mall.
I asked him to leave.
You knocked him
off his skateboard.
I didn't!
You attacked my son?
No!
Yes, you did.
Can you put him back
in the suture room?
What did you do?!
Nothing. I was the one
that called the ambulance!
Where's the
suture room?
Last door on
your right.
He hurt my son?
I don't know, ma'am.
I saw him do it.
He's the reason Jeremy's here.
He should be arrested
or something!
I just want
to see Jeremy.
I just want to be
with my son.
I'll get an update
and find out
when you can go
to see him, okay?
I think he's having
a heart attack.
Good.
He started
hyperventilating
and complaining of chest pains.
What's going on, Mr. Hilliker?
I don't feel so good.
Your chest hurts?
Yeah, my head is spinning.
Okay, put him on oxygen
aspirin,
and let's get an E.K.G.
I didn't mean
to upset the mother.
I was just trying
to offer my condolences.
Okay, just relax.
He rode by me, stole my hat.
He's tossing it
back and forth
threatening to throw it
in the fountain.
They were terrorizing
the entire mall.
Did you throw your nightstick
at him?
( coughing )
Okay, okay.
Just relax.
Dr. Zogoiby.
Dr. Corday.
I've been reviewing
some charts
and I have a question
about a patient you
worked on with me.
Yes?
It was a few weeks ago,
a Mrs. Taylor?
I'm having a
little difficulty
reading
your notes.
You put in a central line.
No, I was called away.
That was the day my son
fell off the monkey bars
at school, remember?
The on-call anesthesiologist
stepped in for me.
And who was that?
Babcock.
( whispering )
Babcock...
ROMANO:
...this wasn't
a waste of time.
Think this kid
will ever wake up?
I don't know.
You're scaring
me, Peter.
You're not your usual
jolly self today.
You haven't developed
a drug addiction or
a drinking problem
like the rest
of your misfit
buddies in the E.R.?
Nope.
Give it time.
Jeremy Norris' mother is in
the waiting room.
Great.
Jacy, have you tracked down
my sister yet?
I left another message.
All right, thanks.
You want me
to talk to her?
No.
Good.
Mrs. Norris?
Hi, I'm Dr. Benton.
I'm one of the surgeons
that was with Jeremy.
How is he?
Well, we tied off the bleeding
vessels in the chest
but there's still some swelling
in the brain.
He's with the neuro team now.
With an injury like this,
it becomes a, uh...
a waiting game.
Waiting?
To see if he wakes up?
Waiting to see
if he's a vegetable? What?
All of that.
They've got to be able
to do something.
He's all I've got.
Yeah.
You ever gotten an
erythropoietic porphyria?
No.
What about a prophyria
cutanea tarda?
Nope.
What's the most unusual medical
case you've ever seen?
I had a guy with a live
bullfrog in his ass once.
You ever seen a
patient scratch through
the skin into the bone?
Are you serious?
We figure that he'll hit
gray matter by spring.
Mr. Elden, could you
show a young med
student your itch?
Ooh.
Save me.
What?
I have a med student
who is in need of a home.
Ah, no thanks
but he seems nice.
Oh, yeah,
of course he does.
That's how they all start.
Until they grow up to become
residents, like Carter.
I wish.
What?
"I wish"?
He turned into
a good doctor.
Uh-huh.
He is.
You and Carter
aren't, uh...?
Dr. Greene,
can I ask you something?
I'm sorry,
am I interrupting?
Not at all.
You don't mind me asking you
all these questions, do you?
No, of course not.
This is
a teaching hospital.
This is how you learn.
Bye.
Oh, hi. I was just talking
about you.
How's your grandmother?
What is it?
Looks like Shy-Drager.
I'm sorry.
They've been having a lot of
success with fludrocortisone
and desmopressin.
Yeah.
How'd she take it?
I haven't told her yet.
Kayson's still up there
running some tests
ruling out
some other things.
Is there anything
I can do?
I don't think so.
Let me know.
I will.
Carter.
Dr. John Carter, this is
your new med student, Michael...
Gallant.
Hi. I tell you what
why don't you go
to the admit desk
get the orientation
package.
When you're
finished with it,
just come find me.
I did that
while I was waiting.
Um, tried to keep busy.
Yeah, I had a
family emergency.
Nothing serious, I hope.
Want to talk about it?
Okay, um, well,
I watched a trauma already
and helped Dr. Kovac
with a possible M.I.
both of which
were very interesting
but I was hoping
that once you got here
I could start working up
some of my own... cases...
He stepped into
the men's room.
Oh.
His grandmother's sick.
Do you want to see
if we can go find you
a case to work up?
Yeah.
Kit.
I want to apologize
for my behavior earlier.
It was completely
unprofessional.
I know it's not
an excuse
but I have been under
a lot of stress lately.
I understand.
That said, uh,
I also have a
couple of questions
about some recent cases.
Uh, do you remember
Mr. Durning?
Diverticulitis?
No, he was an
elderly gentleman.
Came in for a
hemicolectomy
for colon cancer.
With all the faded
Navy tattoos?
Yes. Yes. Uh, you
took out his central line
on October 16.
Yes. Well, no.
It came out on the 16th,
but we didn't do it.
Babcock did.
Babcock?
Why Babcock?
I don't know,
he just did.
Sometimes he likes
to pull his own lines.
In fact, occasionally
he insists on it.
So, Mrs. Reynolds
have long have
you had the spots?
About a week.
I gave her
some penicillin.
Oh, for what?
I got a cold-- cough,
sore throat, headaches.
Mmm, yeah.
Antibiotics won't help.
I told you.
Where did you get
the penicillin?
The medicine cabinet.
I had some left over
from an ear infection.
Yeah, you should never
share prescriptions.
And if you're given one, you
should try to use all of it.
What do you think's
wrong with her?
I believe she's experiencing
what we call
hypersensitivity vasculitis.
It's from the antibiotics.
Thank you,
Dr. Kevorkian.
Is it treatable?
Absolutely.
We'll get some
medicine for you
and, uh, have you
feeling as good as new.
You might want to get
a C.B.C.
I beg your pardon?
On account of her history.
Could be indicative of
undiagnosed thrombocytopenia--
you know, low platelets.
And you are...?
Grace. I'm a second-year
med student.
Ask her if she has
any unusual bleeding
when she brushes her teeth.
Are you a med student
at this hospital?
No.
I'd appreciate it if you kept
your comments to yourself.
Hello.
Is he your student?
Excuse me?
She's a second-year
med student
who thinks that
she can diagnose my patients.
He takes
a lousy history.
I will bet your lunch money,
she's got thrombocytopenia.
She's right.
Low platelets.
Needs additional labs,
head C.T.
and admission.
I'll take care of it.
You're welcome.
So, do you do
self-diagnosis, too?
As a matter of fact I do.
Um, I've let myself
get a little run-down
and I can feel
a flu coming on.
I can't afford to be sick
right now
so I was hoping
you could get me
a little Relenza or Tamiflu.
Yeah, I think we
can manage that.
What school
are you in?
I'm getting my law degree
simultaneously.
Really?
Mm-hmm. My parents
didn't want me to
go to med school.
I know that feeling.
( breathes deeply )
Excuse me, uh, can you
get a head C.T.
from Mrs. Reynolds
in Curtain Two?
I-I'm not a nurse.
I'm just training.
I-I'm sorry.
Ah, that's okay.
Sort of in
training myself.
Oh.
I'm a new med
student, Michael.
Nice to meet you.
Nicole.
How are you doing?
Oh, okay.
Everybody helping you?
Yeah. Abby showed me how
to bathe a homeless man.
It was a little...
Abby's pretty busy.
You should stick
with Malik and Haleh.
Oh.
Is this Mr. Hilliker's
12 lead?
Yeah.
Did he have an M.I.?
No. Probably just
an anxiety attack.
You want to give him
the good news?
Yeah, can I?
Yeah.
I've got a trauma
coming in.
Uh, Nicole,
we're going to need
some I.V. saline.
You're going to find it
in the suture room.
Okay.
It can get
a little crazy here.
Yeah, I know.
It's only my first day.
Are you liking it?
Ah, so far so good.
( choking )
Oh, my God.
Go-Go and get somebody!
Take a breath, Mr. Hilliker.
( gasps )
Somebody help me!
( gasping )
Somebody help me!
Okay, okay, hold on.
Okay, hang on.
Hang on.
( gasping for air )
Okay. Okay...
Hey, Gamma.
Sorry this is
taking so long.
Did you get some lunch?
No, I didn't get anything,
and that cardiologist
has never been
back to see me.
Yeah, that's 'cause I asked
to speak to you first.
Why?
I figured
it's the least I could do
since you've been
stuck in here all day.
John, don't beat around
the bush.
You have what's called
Shy-Drager syndrome.
It's a progressive
disease
that affects your blood pressure
and could put you at a greater
risk for heart attack
or stroke.
Is it going to kill me?
Most people die
within ten years.
Ten years?
I'm not even sure I want
to be around ten more years.
Ten days-- now that might have
put a kink in my plans.
Gamma...
Can I go home?
I think they're going to want
you to stay overnight.
John, I want to go home.
( crying )
You on a break?
No.
Can I get you a coffee?
No, thanks.
Uh, do you want to talk?
Is he going to die?
The guy that
hung himself? No.
Well, not today.
He's lucky you
and that med student walked in.
( sighing )
You should try not to let it
upset you too much.
Every once in a while,
some freak comes in
tries to off himself
in the hospital.
I wish they would
just do it at home.
My father hung himself.
I was only eight.
He'd lost another job.
I found him in the kitchen.
I was too little
to do anything.
Oh, God, I'm sorry.
It's okay.
Does Luka know this?
No, I never told him.
I never told anyone.
I don't think I can do this.
Well, it's not always this bad.
Look at me--
I'm crying like a baby.
We've all cried.
Sometimes it's the only thing
you can do.
I went through
my charts again
and I found
another commonality
to every one of my post-op
infection mortalities.
What am I looking for?
I highlighted his name.
Babcock?
Yeah, he was
in every case.
I only missed it before
because he stepped in
for Dr. Zogoiby--
whose handwriting
is illegible.
Sounds like Dr. Babcock
is going to have a date
with your friend from
the Health Department.
Phone call, Dr. Greene.
Take a message.
He knew I was being
investigated.
Why didn't he step forward
and say something?
Maybe he didn't want
to be probed
or forced
to give stool samples.
Mark, I'm being serious.
Who knows what
he's working with in his lab.
I'm sorry, Dr. Greene,
that's Rachel's school.
They need for you
to pick her up.
Is she all right?
She got suspended.
For what?
I don't know.
I really don't think
that's any of my business.
Suspended?
It must be some kind
of mistake.
Probably drug-related.
You'd better go.
I'll deal with this.
How's he doing?
Well, pulse ox
is 98 on 50%.
Good.
Mr. Hilliker, we
had to put a tube
down your throat
to help you breathe
but I'm going to take
it out now, okay?
I want you to take
some deep breaths
and when I say blow,
I want you to blow
as hard as you can.
Ready?
Okay, blow.
( blowing )
( coughing )
( raspy ):
I'm sorry.
Try not to speak, Mr. Hilliker.
Take some deep breaths.
( coughing )
Tell him.
Okay, Mr. Hilliker, just relax.
Just relax.
He doesn't want us to tell
the police what happened.
He's still got a lot
of buddies on the force.
I'm afraid we have to.
It's going to be okay,
Mr. Hilliker.
It's going to be okay.
( soft raspy breathing )
His wife died last year.
What?
Breast cancer.
He was a respected
and decorated police officer.
I mean, the only reason
he took the job at the mall
was so that he could still be
out there helping people.
Why are you telling me this?
I just thought you should know.
Keep an eye on his vitals
and uh,
call for a psych consult.
100.8.
Feels like 108.
B.P. is 140/80 and your
white count is 14,000.
You're a little anemic.
Hmm, 40% of menstruating
women are anemic.
So my diagnosis is that
you're a little run-down.
Maybe it's time
to pick a career.
Medicine beats
law any day.
My parents will only pay
for med school
if I graduate from law school.
If your parents
are both attorneys
how come you don't have
any health insurance?
Let's just say
I have a sad and complicated
relationship with them
that you couldn't begin
to understand.
I might surprise you.
You need to start taking better
care of yourself, Grace.
You need to make sure
that you're eating right
and getting plenty of sleep,
and laying off the caffeine.
I would if I could.
I haven't had eight hours' sleep
in months.
Do you think you could get me
some Halcion?
I don't think so.
Just one dose.
I mean, today is shot for me.
If I could just go home
and crash.
Please?
I diagnosed
your student's patient.
This is a one-time
special treatment,
and only if you
promise to do
the other things
we talked about.
Cross my heart.
What are the EKG findings
for hyperkalemia?
Peaked T-waves, prolonged PR
and short QT intervals.
You're good.
Mm-hmm.
Hey. Your day
getting any better?
Not yet.
Did you talk to your
grandmother?
Mm-hmm.
How'd she take it?
Sounded like it didn't
bother her. She went home.
You let her drive?
No, no. Her driver came
and got her.
You have to
notify the DMV.
I didn't tell her that yet.
Dying's one thing.
Not being able to drive,
that's a whole other story.
You have to mail in
the notice, Carter.
Technically, I didn't
see her as an ER patient.
I just brought her in.
It's the law.
I can't rat out
my own grandmother.
Well, you want me
to? She already
doesn't like me.
Carter!
Your patient went down.
What happened?
LOCKHART:
She must have vagalled.
All right, let's
get the gurney.
Whoa.
All right, come on.
Robert, I need
to talk to you.
Somebody took target practice
on a school crossing guard.
I've got to plug her up
before she bleeds to death.
It's rather important.
Well, then give me
the Cliff Notes.
I'm listening.
Um, I'd prefer to have
your full attention.
Suit yourself.
Are you joining us,
Elizabeth?
No, I'm afraid not.
Uh, if you could have
your assistant page me
when you're done. Please?
Hey.
Hmm.
Thanks for coming.
Want something to eat?
No, no. So, what'd he say?
Well, I talked to
both Mitch and Sophie
my friend that works
in the Family Courthouse.
And?
They both said
the worst thing
you can do
is fight it.
But I can fight it
if I want to, right?
Then it looks like
you got something to hide.
Well, what if I'm just offended
by the whole principle?
Peter, you go in, you get
swabbed, they run the DNA
and you can prove once and for
all that Reese is your son.
What if he's not, Jackie?
Is that really a possibility?
( door squeaking )
Ooh.
BABCOCK:
What are you doing?
You're out of surgery?
Yeah, the uh, patient coded
before we even got started.
What are you doing down here?
I wanted to ask you
about a couple of cases.
Uh, you know, uh...
( pager beeps )
It doesn't matter anyway,
it'll have to wait.
I've just been paged.
Elizabeth.
Aren't you forgetting something?
I believe those are mine.
Thank you.
I must be dehydrated.
I, um...
All I've had is coffee
and a muffin since last night.
You want to tell us
about the scars?
I used to be a cutter.
My parents fought a lot
when I was a kid
and I was a
geek in school.
I developed an eating disorder.
It was my way of dealing
with the stress.
Did you ever see anybody
about it?
The only people
who really seemed to care
were the doctors and nurses.
Which is probably why
I'm in med school.
And what about now?
Are you still cutting?
No.
Show me your arm.
You don't believe me?
Grace, you have a fever,
you have
a borderline white count...
maybe from an infection,
maybe from using a dirty blade.
I told you I haven't eaten.
So the eating disorder
continues?
No.
I've just
been cramming.
Pull up your skirt.
Pardon me?
Let me see your thigh.
I don't think so.
You ass!
You're still cutting.
Hold on, Grace.
I have a pathology final.
If you don't agree
to speak to somebody
you'll force me to put
you on a psych hold.
On what grounds?
Danger to self.
That's not true.
Grace, Grace, wait.
Stop!
You're blowing this
way out of proportion.
LEWIS:
If you just see
one of our
psychiatrists,
we won't hold you.
Why are you doing this?
Because I know what it's
like to need help when
you least want it.
Please.
Please, just leave me alone.
I can't.
What are you staring at?
You couldn't
even diagnose
thrombocytopenia.
Get five
of droperidol.
No, no, no, no! Stop!
I don't need that!
Okay, just get back
in the bed, Grace.
Don't touch me!
Don't touch me.
Please, please.
Okay.
Just take it easy. It's okay.
Please, you'll ruin everything.
Please, you'll ruin
everything.
No, please. Stop.
Don't, don't, don't.
Please.
God, you can't even
give a half...
( crying )
I had to get another doctor
to cover for me.
I'm sorry.
Scissors, Rachel?
It's not like
they said.
Did you threaten
this girl?
It was Natalie
Curtis, and I
threatened
to cut off
her dreadlocks,
not stab her.
Why?
She's trying
to steal Andrew
away from me.
She keeps on
sending him
notes in class
and, you know,
asking him over
to her house
to study.
This is over a boy.
It's no big
deal, Dad.
Then why aren't you
in gym class right now?
Maybe because
they stopped
teaching "gym"
like, in the '70s.
Don't get smart
with me, Rachel.
This is serious.
You've been suspended.
Next time, you will be
expelled permanently.
There won't be
a next time.
You're right, because now
we have a new set of rules.
Like what?
Like, no more rides
to school
unless it's
with Elizabeth or me.
No more going out
on weeknights
or weekends
for that matter
for at least a month.
Why don't you just
send me to a convent?
I would,
but we need you
around the house
to do all your chores.
I have chores now?
Yup. From now on
think of yourself
as Cinderella
and I'm your
evil stepmother.
I've already got one
of those.
Keep it up, Rachel
you'll find yourself
back in St. Louis.
Why are you doing
this to me?
I don't know, Rachel.
Maybe because I love you.
Oh, really?
Yes, really.
Do you know
how many messed-up teenagers
I see day in and day out?
Drug addicts, suicides
ten-year-old homeless girls
who've been gang raped
'cause nobody gave a damn
about them.
Well, I give a damn
about you.
You may not
like it now.
Hell, you may
never like it
but this is how
it's going to be.
Get in.
Need any help?
Hey.
Did you page me?
No, but I figured
I might find you in here.
Hi, Reese.
How are you?
Good?
Did you talk
to Jackie?
Yeah, she thinks I should take
the test.
So what happens if you're not...
a genetic match?
Well, I guess
that makes it easier
for Roger to fight me
for custody.
Nothing's changed, Peter.
You're still
his father.
So, what are you two doing
for dinner?
Why don't you come
to my place tonight?
I still have those fish sticks
in the freezer Reese likes.
Hey, hey.
Take it easy.
Someone's getting
a little frustrated.
He's tired.
He wants to go home.
Daddy can't take
you home.
I have to work.
What's he saying?
He wants his other daddy
to come take him home.
CARTER:
Gamma, because
you cannot drive.
Because you
could black out.
No, hey.
I-I'm sorry.
No, I'm not.
No, I am not.
She doesn't want
to stop driving?
She just called me
from the car.
She's been driving
around for two hours
just to prove me wrong.
( chuckling )
It's not funny.
She could hurt herself
or somebody else.
What are you going to do?
What am I going to do?
What am I going to do--
call the cops on my grandmother?
You already made me
call the DMV.
Me? Don't make me the bad guy.
I should go home.
Wait for her.
I can wait with you.
Yeah?
I mean, yeah, if you want.
( knocking )
ROMANO:
Enter!
Ah, I was just
about to page you.
Have a seat.
So, Elizabeth,
Dr. Babcock says
that you were trespassing
in his office
and his research area.
Care to elaborate?
I wanted to
talk to him.
You knew
I was in surgery.
He's worked on every
one of my cases
that died from
a post-operative
infection.
Is this true?
Yes, it's true
and I have evidence
to prove it.
So what?
So, you have made it
abundantly clear
on more than one occasion
that you are not opposed
to euthanasia.
Can't imagine a humane doctor
who is.
I have four bodies
in the morgue.
That's not my fault.
You need to take
responsibility
for your own
gross misjudgment.
Time out!
This is a
load of crap.
You allow her to operate
on these elderly lost souls
who should never be
in surgery, and then
when they die
which they inevitably
will, she comes crying to you
looking for someone to blame.
They didn't die from surgery.
They died
from the same post-op infection.
The key word there
being "post-op."
ROMANO:
Okay.
If you hadn't operated on them,
they'd be alive.
Okay! Enough. This whole thing
has gotten out of hand.
The health department has yet
to conclude its investigation
so until they do,
neither one of you is in the OR.
Happy?
No.
That's not
a solution.
It works for me.
I'm not doing
another case with her.
No, you
certainly aren't.
Get out, both of you.
You're giving me
a headache. Go.
God is love.
LOCKHART:
You can go home, Gallant.
Carter already signed out.
Oh, yeah, I know.
I think I'm going
to stay and study.
Here?
Maybe I'll pick up some stuff
by osmosis.
Well, you'll pick
up something.
Hi.
Feeling better?
What do you want?
I heard you talking
about your pathology exam
and I thought you
might like to take
a look at Robbins.
Thanks.
( sighs )
I'm sorry about some of the crap
I said to you.
I think I was just
a little stressed.
Yeah, I know what that's like.
So, you, uh...
you obviously
know your vasculitities.
How are you with your, uh,
glycogen storage diseases?
Not so good.
Yeah, me, neither.
Mr. Benton?
I'm Asha.
You're here
for a DNA test?
Yeah.
Okay.
Don't worry,
it's painless.
I'm just going
to use this
little swab
to wipe the
inside of your
cheek, okay?
Yeah.
Say, "ah."
Ah.
Oh.
Okay.
All done.
That wasn't
so bad, now was it?
I can't believe it.
I didn't believe
it either.
Fentanyl.
If you're going
to abuse drugs,
abuse a good one.
Wow.
I've been clean and
sober for over a year.
You got it out of your system.
Well, I wouldn't say that.
What?
Nothing.
Disappointed in me?
No, no.
I'm just...
You were stabbed.
Twice.
I don't recommended it.
( giggling )
Can I see your scar?
What?!
Show me your scar.
No.
Why not?
Why?
Don't be bashful.
No, get your own.
( laughing )
Why do I feel like a school kid
sitting out here?
Must be the adolescent
sexual tension.
Mm.
That's it.
You know I used to have a crush
on you.
Used to?
It's all coming
back to me.
( laughs )
I used to have a crush
on you, too.
Liar.
I did.
You were cute.
Real cute, but...
But?
Well, you were a med student.
I was a resident.
Well, I'm a resident now.
Chief resident.
That's right.
I'm glad you came back.
Me, too.
Gamma's home.
You cannot leave.
Fainting can be
a warning sign
for a heart attack,
for a stroke.
I'll take my chances.
Luka got me a job.
Oh, he did.
Is she, like, your
girlfriend now?
I got her a job,
that's all.
I don't know what I was thinking
when I said I'd come back.
You weren't.
Reese has one father,
and that's me.
We both know that's
not true, don't we?
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.
Am I being accused
of something here?
You wouldn't be
the first angel of mercy
to help end patients' suffering.
( clears throat )
Sign in.
Uh, actually...
Where the hell are
our T-sheets?
Actually, I'm
a new med student.
Congratulations.
You said that yesterday.
Check in with the docs.
Okay, thanks.
Uh, do you guys have
a lost and found box?
Somebody stole it.
Excuse me, ma'am.
Are you Dr. Carter
by any chance?
Lewis. I don't think
he's in yet.
And I'm not old enough
to be a ma'am.
Sorry about that.
I'm supposed to meet him
here, around 8:00.
Hmm, you're a tad early.
Yeah, it's my first day.
I guess I was
a little excited.
You'll get over it.
So, Mr. Hopper
what seems to
be the problem?
I can't eat.
I can't sleep.
I just don't feel
like myself.
How long has this
been going on?
A few weeks.
Any stress?
Family? Work?
All my problems started
when I met this girl
at an after-hours bar.
She bit me.
She bit you, where?
In the alley
outside the club.
No, where on your body?
My neck.
I'm pretty sure
she was a vampire.
That's a hickey.
Is that a zygoma fracture?
Maybe.
Are you Dr. Carter?
Nope. Greene.
I'm Michael Gallant.
I'm supposed to be meeting
Dr. Carter.
Yeah, well,
you found the E.R.
That's half
the battle...
You called
for a surgical consult!
I changed my mind.
After I got down here.
He's got rectal pain.
It's probably prostatitis.
And that's why
I need to examine him.
If it is an appy,
he's probably going
to need surgery.
Somebody need
a second opinion?
Nope.
Yes.
He has a 22-year-old male
with right-sided tenderness.
Who also says it burns
when he pees.
What's his urine
and white count?
Still waiting.
Usually you won't
even come down
till labs are back.
Fine, when it bursts,
you can operate.
Dr. Carter?
Kovac.
Elizabeth? Hold on, Elizabeth.
What's going on?
Isn't it obvious?
No.
Kovac called for
a surgical consult
then changes his mind
the moment he sees it's me.
Yeah, well, that's a little
egocentric, don't you think?
People are afraid to have me
treat their patients.
You're being paranoid.
Am I?
Excuse me, excuse me.
Do you know
where Dr. Carter is?
He should be here
in a few minutes.
Hey, listen,
I know you're really busy
but maybe if you tell
me where he is
I can find him myself.
I don't know. Sorry.
How come there aren't any donuts
in the lounge?
No petty cash.
There was 50 bucks
in there yesterday.
I need a psych consult.
My patient thinks
he's a vampire.
Count Fred? Where is he?
Exam Two.
Is there a nurse
in there with him?
No. Why?
He's a vampire.
What do you mean
he's a vampire?
I mean, he drinks
people's blood.
You're kidding, right?
That's nasty.
MILLICENT:
I volunteered to drive
to the Royal Botanical Garden's
fund-raiser.
ALGER:
I'm sorry, but there's
just not much I can do about it.
MILLICENT:
You can stop lying to me.
Good morning.
ALGER:
Dr. Carter.
Did I miss something?
Yes, breakfast.
Your grandmother's upset
because the Jaguar's
being serviced.
For a week.
What's wrong with it?
Yes, Alger, what's
wrong with it?
They're waiting for a part.
What part?
The ignition coil.
Liar.
He's holding
me hostage.
What's the matter
with the town car?
I don't drive
the town car.
Well, you shouldn't be
driving anyway.
That's why we have Alger.
Having a driver was
your grandfather's idea.
Now that he's gone
it seems an unnecessary expense.
He's just trying
to look out for you, Gam.
I'm a big girl, John.
I don't need
a chaperone.
Oh, John, are you still planning
to come with me to...
Gamma!
Gamma?
The nurses do
most of the triaging, right?
That's right.
So maybe you could sneak me
a couple of minor cases?
Uh, maybe
you could sit down...
read your
orientation kit
and wait for Dr. Carter.
What's going on, Malik?
I'm teaching Nicole
to take a blood pressure.
Why?
Because it's part
of her training.
What training?
I'm learning to be
a nurse's aide.
Really?
Abby!
No helmet.
Alert at the scene. GCS 14.
Any blood loss
or seizure?
No.
Okay, let's get him
in Trauma One.
Nicole, come on.
Me?
Yeah, it will be good
for you to watch.
DUMAR:
He must've taken a header
right off his skateboard.
Bad scalp lac
and hematoma
right parietal-temporal.
Abby, show Nicole
how to take a pulse ox.
Uh, put some gloves on.
Can I watch?
When will you sell tickets?
You a med student?
Michael Gallant.
Dr. Finch.
Nice to meet you.
Road rash all the
way down the chest.
Big abdominal bruise.
( groans )
B.P.'s 90/60,
pulse, 115.
Full trauma panel, lateral
C-spine, chest and pelvis.
Jeremy, do you remember
what happened?
( groaning )
Right pupil is
sluggish
and slightly larger
than the left.
ABBY:
18-gauge
in the right A.C.
KOVAC:
What's his pulse ox?
I can't get it.
Abby.
Make sure the fingernail
has contact
with that red light.
No CSF or blood from the ears.
100 of Fentanyl,
and page Benton and Neurosurg.
Read the number
over this monitor.
Decreased breath sounds
on the right.
78!
What?
Pulse ox is 78 on 15 liters.
Okay, good job.
What do you think?
Hyper-resonant on the right,
decreased breath sounds
low Sats, hypotension...
Tension pneumothorax, right?
Yeah.
I had a fainting spell, John.
It happens.
It shouldn't happen.
In my day, it was
quite acceptable
for a lady to swoon.
Hey, Carter, there's a new
med student looking for you.
I'm a little busy.
Oh, hello, Mrs. Carter.
Hi, Evan.
I talked to your mother.
Hello.
She's on her way.
She found your inhaler
in the laundry.
Okay, Gam,
could you sit up for me?
Put your legs
over the end of the bed.
Yes, John.
You're not going to make me
do push-ups, are...?
Gam? Gamma?
Gamma? Susan?
Gamma, can you hear me?
John?
Okay.
You're okay.
I need to, uh, step
out for a minute.
I'll be right back.
Were you checking
orthostatics?
Yeah.
Is she anemic?
I don't know.
I think I'm going
to send her up
for a tilt test.
She might be dehydrated.
It's probably nothing.
Can I intubate?
Maybe next time.
All right, what am I looking at?
Teenage skateboarder.
Tension pneumo on the left
with a head injury.
Needs a central line.
He's anterior.
I can see the cords, I'm in.
Bag him, Nicole.
Come on.
One, two, three, squeeze.
He do all of this
on a skateboard?
Trying some
crazy-ass stunt no doubt.
Good breath sounds.
Probably has
a depressed skull fracture.
That's what they used to call
a ping-pong fracture, right?
Neurosurg is on the way.
Pressure's dropping.
Okay, he's bleeding
somewhere.
How much out on the chest tube?
Less than a liter.
First Hemacue is nine.
All right.
Let's hang the O-neg.
We need to get him up
to the O.R.
Has he had Dilantin yet?
Yeah, and 70 grams
of mannitol.
What about his head?
Who the hell are you?
Michael Gallant.
You're the trauma surgeon,
right?
You a med student?
Yes, sir.
Listen, why don't you
go and find something to do.
Let's, uh, get him
ready to go. I'm in.
I'll think I'll learn
more in here...
No, you'll learn a lot more
if you keep your eyes open
and your mouth shut, all right?
I think he's got a point.
What about his head?
It won't make a difference
if he bleeds out
in his chest first.
Okay, people. Let's go.
You did good.
Really? I was so scared.
Yeah, you get
used to it.
I don't know.
You saved his life.
Yeah, I hope so.
Me, too.
I better go back to work.
I'll see you later.
Okay.
What are you doing?
What?
"What?"
This morning she
was learning how
to take a B.P.
and now she's
in a trauma?
Yes, she's learning.
To be an aide,
not a nurse.
I know you
don't like her...
That has nothing
to do with this.
It is inappropriate for
her to be in a trauma,
and you know it.
I just asked you to help her.
That's not
my job, Luka.
Do you even realize
what I do in there?
You're not the only one
trying to save
that kid's life.
I'm going to go ahead
and scrub in.
I'll page
Neurosurg again.
Dr. Benton?
Yeah.
Yeah, are you
Peter Benton?
Yeah.
Consider yourself served.
Have a nice day.
What was that about?
Peter?
I'm being subpoenaed.
For what case?
Reese. Roger's suing
for custody.
So how extensive do you think
his brain injury is?
Um, it's too
early to tell.
How is he?
Skateboarder--
is he going to be okay?
Are you his father?
No, I'm David Hilliker.
I called 911.
Did you see
what happened?
Uh, screwing around in the mall
with his buddies.
Looked like he
hit his head.
Yeah, he wasn't wearing
a helmet.
Of course not,
that wouldn't be cool.
You don't need a helmet
to drive a motorcycle
in this state.
Why would you need one
for a skateboard.
Oh, you got a little limp.
Oh, yeah, I twisted it
chasing him
and his buddy
out of the mall.
You should let us
look at it.
Oh, ice pack
and a couple
of beers
I'll be fine.
Sit down.
We just need to change
the dressing.
But, uh, Dr. Carter
usually does that.
Yes, I'm aware
of that
but Dr. Carter's
not here right now.
We don't mind waiting.
I have no idea
when he's going to be in.
I'm very patient.
Look, Sister...
Helen.
...the sooner you let me change
the bandage...
I'm Monica.
...the sooner you guys can get
out of here
the sooner you can get back
to doing your stuff
and, quite frankly,
I need the bed.
( clears throat )
Perhaps if you told
Dr. Carter we were here.
Glad you're here.
Your fans are getting restless.
What is it with you
and nuns, Carter?
It's almost kinky.
Can you, uh, take care
of them for me.
They're looking for you.
My grandmother had a, um...
She passed out this morning.
I'm having Cardiology
work her up.
Is she okay?
I don't know.
Are you?
Me, I'm fine.
I just want to make sure
she gets settled
before I clock in.
I'll take care of it.
Thank you.
Come on, ladies, Tequila Willy
is still is in Exam One
he's covered in puke and
assorted body fluids.
He's making
this whole place reek.
This place always reeks.
Yeah, and it's
Abby's turn.
Oh, come on.
I did him last time.
You're up.
Fine.
Nicole.
You need something?
Yeah, uh, grab
some gloves.
I'm going to show you
how to bathe a patient.
Oh.
Robert, Robert,
I was scrubbing in
when I discovered Dale's
doing my Whipple.
Yeah, he's an arrogant ass
but he's becoming
a decent surgeon.
I thought I was back
on service today.
No, not yet.
Why not?
I've complied with
every insulting,
demeaning request.
I've even volunteered for
a damn lie detector test.
I know, but we have
to wait for the CDC
to finish with
their bug hunt.
The good news is
the criminal investigation
is essentially over.
They couldn't
find anything.
So what does that mean?
"We think you're killing
your patients.
We just can't prove it"?
If it makes you
feel any better
I don't think this has
anything to do with you.
Then why am I
not in surgery?
I'm sorry.
I know this is frustrating,
Elizabeth
but what choice does
either one of us have?
Take the opportunity to get
caught up with your dictation.
Spend some time
with your baby.
Enjoy the downtime.
What are you doing?
Excuse me?
That's my patient.
I'm drawing some blood.
No, you were injecting something
into her central line.
I couldn't get a draw,
it was clogged.
What did you inject
into my patient?
I didn't...
Don't lie to me,
I saw you.
Is there a problem here?
No, I...
Yes. She was injecting
my patient.
With urokinase-- to bust
the clot in her line.
Let me see it.
( sighs )
Where's the vial?
Elizabeth.
Sorry.
Excuse me.
26 years with
the Chicago P.D.
never fired my gun once.
That's good.
These are
different times.
Try and stay off your ankle,
and keep it elevated, huh?
Dr. Kovac,
Jeremy's mother's here.
Okay.
I'll have, uh, one of the nurses
give you a lesson
on using the crutches.
Mrs. Norris?
( sniffling )
Hi, I'm Dr. Kovac.
I was the first doctor
to treat your son.
How is he?
He suffered a hemothorax.
That's when blood collects
in the chest cavity
and collapses a lung.
But it's been repaired.
Can I see him?
He's been taken up to the O.R.
But he's going to be okay?
There was evidence
of a head injury.
Is he in a coma?
I'm afraid we won't know
till he's out of surgery
and the anesthesia
wears off.
Hey, there's the idiot who
was chasing him, right there.
A-Are you the boy's mother?
What did you do
to my son?
N-Nothing, I-I'm sorry...
He threw his stick
at him.
What?
You should get back
in bed, Mr. Hilliker.
No, he's the one who made Jeremy
wipe out in the first place.
Your boy was riding in the mall.
I asked him to leave.
You knocked him
off his skateboard.
I didn't!
You attacked my son?
No!
Yes, you did.
Can you put him back
in the suture room?
What did you do?!
Nothing. I was the one
that called the ambulance!
Where's the
suture room?
Last door on
your right.
He hurt my son?
I don't know, ma'am.
I saw him do it.
He's the reason Jeremy's here.
He should be arrested
or something!
I just want
to see Jeremy.
I just want to be
with my son.
I'll get an update
and find out
when you can go
to see him, okay?
I think he's having
a heart attack.
Good.
He started
hyperventilating
and complaining of chest pains.
What's going on, Mr. Hilliker?
I don't feel so good.
Your chest hurts?
Yeah, my head is spinning.
Okay, put him on oxygen
aspirin,
and let's get an E.K.G.
I didn't mean
to upset the mother.
I was just trying
to offer my condolences.
Okay, just relax.
He rode by me, stole my hat.
He's tossing it
back and forth
threatening to throw it
in the fountain.
They were terrorizing
the entire mall.
Did you throw your nightstick
at him?
( coughing )
Okay, okay.
Just relax.
Dr. Zogoiby.
Dr. Corday.
I've been reviewing
some charts
and I have a question
about a patient you
worked on with me.
Yes?
It was a few weeks ago,
a Mrs. Taylor?
I'm having a
little difficulty
reading
your notes.
You put in a central line.
No, I was called away.
That was the day my son
fell off the monkey bars
at school, remember?
The on-call anesthesiologist
stepped in for me.
And who was that?
Babcock.
( whispering )
Babcock...
ROMANO:
...this wasn't
a waste of time.
Think this kid
will ever wake up?
I don't know.
You're scaring
me, Peter.
You're not your usual
jolly self today.
You haven't developed
a drug addiction or
a drinking problem
like the rest
of your misfit
buddies in the E.R.?
Nope.
Give it time.
Jeremy Norris' mother is in
the waiting room.
Great.
Jacy, have you tracked down
my sister yet?
I left another message.
All right, thanks.
You want me
to talk to her?
No.
Good.
Mrs. Norris?
Hi, I'm Dr. Benton.
I'm one of the surgeons
that was with Jeremy.
How is he?
Well, we tied off the bleeding
vessels in the chest
but there's still some swelling
in the brain.
He's with the neuro team now.
With an injury like this,
it becomes a, uh...
a waiting game.
Waiting?
To see if he wakes up?
Waiting to see
if he's a vegetable? What?
All of that.
They've got to be able
to do something.
He's all I've got.
Yeah.
You ever gotten an
erythropoietic porphyria?
No.
What about a prophyria
cutanea tarda?
Nope.
What's the most unusual medical
case you've ever seen?
I had a guy with a live
bullfrog in his ass once.
You ever seen a
patient scratch through
the skin into the bone?
Are you serious?
We figure that he'll hit
gray matter by spring.
Mr. Elden, could you
show a young med
student your itch?
Ooh.
Save me.
What?
I have a med student
who is in need of a home.
Ah, no thanks
but he seems nice.
Oh, yeah,
of course he does.
That's how they all start.
Until they grow up to become
residents, like Carter.
I wish.
What?
"I wish"?
He turned into
a good doctor.
Uh-huh.
He is.
You and Carter
aren't, uh...?
Dr. Greene,
can I ask you something?
I'm sorry,
am I interrupting?
Not at all.
You don't mind me asking you
all these questions, do you?
No, of course not.
This is
a teaching hospital.
This is how you learn.
Bye.
Oh, hi. I was just talking
about you.
How's your grandmother?
What is it?
Looks like Shy-Drager.
I'm sorry.
They've been having a lot of
success with fludrocortisone
and desmopressin.
Yeah.
How'd she take it?
I haven't told her yet.
Kayson's still up there
running some tests
ruling out
some other things.
Is there anything
I can do?
I don't think so.
Let me know.
I will.
Carter.
Dr. John Carter, this is
your new med student, Michael...
Gallant.
Hi. I tell you what
why don't you go
to the admit desk
get the orientation
package.
When you're
finished with it,
just come find me.
I did that
while I was waiting.
Um, tried to keep busy.
Yeah, I had a
family emergency.
Nothing serious, I hope.
Want to talk about it?
Okay, um, well,
I watched a trauma already
and helped Dr. Kovac
with a possible M.I.
both of which
were very interesting
but I was hoping
that once you got here
I could start working up
some of my own... cases...
He stepped into
the men's room.
Oh.
His grandmother's sick.
Do you want to see
if we can go find you
a case to work up?
Yeah.
Kit.
I want to apologize
for my behavior earlier.
It was completely
unprofessional.
I know it's not
an excuse
but I have been under
a lot of stress lately.
I understand.
That said, uh,
I also have a
couple of questions
about some recent cases.
Uh, do you remember
Mr. Durning?
Diverticulitis?
No, he was an
elderly gentleman.
Came in for a
hemicolectomy
for colon cancer.
With all the faded
Navy tattoos?
Yes. Yes. Uh, you
took out his central line
on October 16.
Yes. Well, no.
It came out on the 16th,
but we didn't do it.
Babcock did.
Babcock?
Why Babcock?
I don't know,
he just did.
Sometimes he likes
to pull his own lines.
In fact, occasionally
he insists on it.
So, Mrs. Reynolds
have long have
you had the spots?
About a week.
I gave her
some penicillin.
Oh, for what?
I got a cold-- cough,
sore throat, headaches.
Mmm, yeah.
Antibiotics won't help.
I told you.
Where did you get
the penicillin?
The medicine cabinet.
I had some left over
from an ear infection.
Yeah, you should never
share prescriptions.
And if you're given one, you
should try to use all of it.
What do you think's
wrong with her?
I believe she's experiencing
what we call
hypersensitivity vasculitis.
It's from the antibiotics.
Thank you,
Dr. Kevorkian.
Is it treatable?
Absolutely.
We'll get some
medicine for you
and, uh, have you
feeling as good as new.
You might want to get
a C.B.C.
I beg your pardon?
On account of her history.
Could be indicative of
undiagnosed thrombocytopenia--
you know, low platelets.
And you are...?
Grace. I'm a second-year
med student.
Ask her if she has
any unusual bleeding
when she brushes her teeth.
Are you a med student
at this hospital?
No.
I'd appreciate it if you kept
your comments to yourself.
Hello.
Is he your student?
Excuse me?
She's a second-year
med student
who thinks that
she can diagnose my patients.
He takes
a lousy history.
I will bet your lunch money,
she's got thrombocytopenia.
She's right.
Low platelets.
Needs additional labs,
head C.T.
and admission.
I'll take care of it.
You're welcome.
So, do you do
self-diagnosis, too?
As a matter of fact I do.
Um, I've let myself
get a little run-down
and I can feel
a flu coming on.
I can't afford to be sick
right now
so I was hoping
you could get me
a little Relenza or Tamiflu.
Yeah, I think we
can manage that.
What school
are you in?
I'm getting my law degree
simultaneously.
Really?
Mm-hmm. My parents
didn't want me to
go to med school.
I know that feeling.
( breathes deeply )
Excuse me, uh, can you
get a head C.T.
from Mrs. Reynolds
in Curtain Two?
I-I'm not a nurse.
I'm just training.
I-I'm sorry.
Ah, that's okay.
Sort of in
training myself.
Oh.
I'm a new med
student, Michael.
Nice to meet you.
Nicole.
How are you doing?
Oh, okay.
Everybody helping you?
Yeah. Abby showed me how
to bathe a homeless man.
It was a little...
Abby's pretty busy.
You should stick
with Malik and Haleh.
Oh.
Is this Mr. Hilliker's
12 lead?
Yeah.
Did he have an M.I.?
No. Probably just
an anxiety attack.
You want to give him
the good news?
Yeah, can I?
Yeah.
I've got a trauma
coming in.
Uh, Nicole,
we're going to need
some I.V. saline.
You're going to find it
in the suture room.
Okay.
It can get
a little crazy here.
Yeah, I know.
It's only my first day.
Are you liking it?
Ah, so far so good.
( choking )
Oh, my God.
Go-Go and get somebody!
Take a breath, Mr. Hilliker.
( gasps )
Somebody help me!
( gasping )
Somebody help me!
Okay, okay, hold on.
Okay, hang on.
Hang on.
( gasping for air )
Okay. Okay...
Hey, Gamma.
Sorry this is
taking so long.
Did you get some lunch?
No, I didn't get anything,
and that cardiologist
has never been
back to see me.
Yeah, that's 'cause I asked
to speak to you first.
Why?
I figured
it's the least I could do
since you've been
stuck in here all day.
John, don't beat around
the bush.
You have what's called
Shy-Drager syndrome.
It's a progressive
disease
that affects your blood pressure
and could put you at a greater
risk for heart attack
or stroke.
Is it going to kill me?
Most people die
within ten years.
Ten years?
I'm not even sure I want
to be around ten more years.
Ten days-- now that might have
put a kink in my plans.
Gamma...
Can I go home?
I think they're going to want
you to stay overnight.
John, I want to go home.
( crying )
You on a break?
No.
Can I get you a coffee?
No, thanks.
Uh, do you want to talk?
Is he going to die?
The guy that
hung himself? No.
Well, not today.
He's lucky you
and that med student walked in.
( sighing )
You should try not to let it
upset you too much.
Every once in a while,
some freak comes in
tries to off himself
in the hospital.
I wish they would
just do it at home.
My father hung himself.
I was only eight.
He'd lost another job.
I found him in the kitchen.
I was too little
to do anything.
Oh, God, I'm sorry.
It's okay.
Does Luka know this?
No, I never told him.
I never told anyone.
I don't think I can do this.
Well, it's not always this bad.
Look at me--
I'm crying like a baby.
We've all cried.
Sometimes it's the only thing
you can do.
I went through
my charts again
and I found
another commonality
to every one of my post-op
infection mortalities.
What am I looking for?
I highlighted his name.
Babcock?
Yeah, he was
in every case.
I only missed it before
because he stepped in
for Dr. Zogoiby--
whose handwriting
is illegible.
Sounds like Dr. Babcock
is going to have a date
with your friend from
the Health Department.
Phone call, Dr. Greene.
Take a message.
He knew I was being
investigated.
Why didn't he step forward
and say something?
Maybe he didn't want
to be probed
or forced
to give stool samples.
Mark, I'm being serious.
Who knows what
he's working with in his lab.
I'm sorry, Dr. Greene,
that's Rachel's school.
They need for you
to pick her up.
Is she all right?
She got suspended.
For what?
I don't know.
I really don't think
that's any of my business.
Suspended?
It must be some kind
of mistake.
Probably drug-related.
You'd better go.
I'll deal with this.
How's he doing?
Well, pulse ox
is 98 on 50%.
Good.
Mr. Hilliker, we
had to put a tube
down your throat
to help you breathe
but I'm going to take
it out now, okay?
I want you to take
some deep breaths
and when I say blow,
I want you to blow
as hard as you can.
Ready?
Okay, blow.
( blowing )
( coughing )
( raspy ):
I'm sorry.
Try not to speak, Mr. Hilliker.
Take some deep breaths.
( coughing )
Tell him.
Okay, Mr. Hilliker, just relax.
Just relax.
He doesn't want us to tell
the police what happened.
He's still got a lot
of buddies on the force.
I'm afraid we have to.
It's going to be okay,
Mr. Hilliker.
It's going to be okay.
( soft raspy breathing )
His wife died last year.
What?
Breast cancer.
He was a respected
and decorated police officer.
I mean, the only reason
he took the job at the mall
was so that he could still be
out there helping people.
Why are you telling me this?
I just thought you should know.
Keep an eye on his vitals
and uh,
call for a psych consult.
100.8.
Feels like 108.
B.P. is 140/80 and your
white count is 14,000.
You're a little anemic.
Hmm, 40% of menstruating
women are anemic.
So my diagnosis is that
you're a little run-down.
Maybe it's time
to pick a career.
Medicine beats
law any day.
My parents will only pay
for med school
if I graduate from law school.
If your parents
are both attorneys
how come you don't have
any health insurance?
Let's just say
I have a sad and complicated
relationship with them
that you couldn't begin
to understand.
I might surprise you.
You need to start taking better
care of yourself, Grace.
You need to make sure
that you're eating right
and getting plenty of sleep,
and laying off the caffeine.
I would if I could.
I haven't had eight hours' sleep
in months.
Do you think you could get me
some Halcion?
I don't think so.
Just one dose.
I mean, today is shot for me.
If I could just go home
and crash.
Please?
I diagnosed
your student's patient.
This is a one-time
special treatment,
and only if you
promise to do
the other things
we talked about.
Cross my heart.
What are the EKG findings
for hyperkalemia?
Peaked T-waves, prolonged PR
and short QT intervals.
You're good.
Mm-hmm.
Hey. Your day
getting any better?
Not yet.
Did you talk to your
grandmother?
Mm-hmm.
How'd she take it?
Sounded like it didn't
bother her. She went home.
You let her drive?
No, no. Her driver came
and got her.
You have to
notify the DMV.
I didn't tell her that yet.
Dying's one thing.
Not being able to drive,
that's a whole other story.
You have to mail in
the notice, Carter.
Technically, I didn't
see her as an ER patient.
I just brought her in.
It's the law.
I can't rat out
my own grandmother.
Well, you want me
to? She already
doesn't like me.
Carter!
Your patient went down.
What happened?
LOCKHART:
She must have vagalled.
All right, let's
get the gurney.
Whoa.
All right, come on.
Robert, I need
to talk to you.
Somebody took target practice
on a school crossing guard.
I've got to plug her up
before she bleeds to death.
It's rather important.
Well, then give me
the Cliff Notes.
I'm listening.
Um, I'd prefer to have
your full attention.
Suit yourself.
Are you joining us,
Elizabeth?
No, I'm afraid not.
Uh, if you could have
your assistant page me
when you're done. Please?
Hey.
Hmm.
Thanks for coming.
Want something to eat?
No, no. So, what'd he say?
Well, I talked to
both Mitch and Sophie
my friend that works
in the Family Courthouse.
And?
They both said
the worst thing
you can do
is fight it.
But I can fight it
if I want to, right?
Then it looks like
you got something to hide.
Well, what if I'm just offended
by the whole principle?
Peter, you go in, you get
swabbed, they run the DNA
and you can prove once and for
all that Reese is your son.
What if he's not, Jackie?
Is that really a possibility?
( door squeaking )
Ooh.
BABCOCK:
What are you doing?
You're out of surgery?
Yeah, the uh, patient coded
before we even got started.
What are you doing down here?
I wanted to ask you
about a couple of cases.
Uh, you know, uh...
( pager beeps )
It doesn't matter anyway,
it'll have to wait.
I've just been paged.
Elizabeth.
Aren't you forgetting something?
I believe those are mine.
Thank you.
I must be dehydrated.
I, um...
All I've had is coffee
and a muffin since last night.
You want to tell us
about the scars?
I used to be a cutter.
My parents fought a lot
when I was a kid
and I was a
geek in school.
I developed an eating disorder.
It was my way of dealing
with the stress.
Did you ever see anybody
about it?
The only people
who really seemed to care
were the doctors and nurses.
Which is probably why
I'm in med school.
And what about now?
Are you still cutting?
No.
Show me your arm.
You don't believe me?
Grace, you have a fever,
you have
a borderline white count...
maybe from an infection,
maybe from using a dirty blade.
I told you I haven't eaten.
So the eating disorder
continues?
No.
I've just
been cramming.
Pull up your skirt.
Pardon me?
Let me see your thigh.
I don't think so.
You ass!
You're still cutting.
Hold on, Grace.
I have a pathology final.
If you don't agree
to speak to somebody
you'll force me to put
you on a psych hold.
On what grounds?
Danger to self.
That's not true.
Grace, Grace, wait.
Stop!
You're blowing this
way out of proportion.
LEWIS:
If you just see
one of our
psychiatrists,
we won't hold you.
Why are you doing this?
Because I know what it's
like to need help when
you least want it.
Please.
Please, just leave me alone.
I can't.
What are you staring at?
You couldn't
even diagnose
thrombocytopenia.
Get five
of droperidol.
No, no, no, no! Stop!
I don't need that!
Okay, just get back
in the bed, Grace.
Don't touch me!
Don't touch me.
Please, please.
Okay.
Just take it easy. It's okay.
Please, you'll ruin everything.
Please, you'll ruin
everything.
No, please. Stop.
Don't, don't, don't.
Please.
God, you can't even
give a half...
( crying )
I had to get another doctor
to cover for me.
I'm sorry.
Scissors, Rachel?
It's not like
they said.
Did you threaten
this girl?
It was Natalie
Curtis, and I
threatened
to cut off
her dreadlocks,
not stab her.
Why?
She's trying
to steal Andrew
away from me.
She keeps on
sending him
notes in class
and, you know,
asking him over
to her house
to study.
This is over a boy.
It's no big
deal, Dad.
Then why aren't you
in gym class right now?
Maybe because
they stopped
teaching "gym"
like, in the '70s.
Don't get smart
with me, Rachel.
This is serious.
You've been suspended.
Next time, you will be
expelled permanently.
There won't be
a next time.
You're right, because now
we have a new set of rules.
Like what?
Like, no more rides
to school
unless it's
with Elizabeth or me.
No more going out
on weeknights
or weekends
for that matter
for at least a month.
Why don't you just
send me to a convent?
I would,
but we need you
around the house
to do all your chores.
I have chores now?
Yup. From now on
think of yourself
as Cinderella
and I'm your
evil stepmother.
I've already got one
of those.
Keep it up, Rachel
you'll find yourself
back in St. Louis.
Why are you doing
this to me?
I don't know, Rachel.
Maybe because I love you.
Oh, really?
Yes, really.
Do you know
how many messed-up teenagers
I see day in and day out?
Drug addicts, suicides
ten-year-old homeless girls
who've been gang raped
'cause nobody gave a damn
about them.
Well, I give a damn
about you.
You may not
like it now.
Hell, you may
never like it
but this is how
it's going to be.
Get in.
Need any help?
Hey.
Did you page me?
No, but I figured
I might find you in here.
Hi, Reese.
How are you?
Good?
Did you talk
to Jackie?
Yeah, she thinks I should take
the test.
So what happens if you're not...
a genetic match?
Well, I guess
that makes it easier
for Roger to fight me
for custody.
Nothing's changed, Peter.
You're still
his father.
So, what are you two doing
for dinner?
Why don't you come
to my place tonight?
I still have those fish sticks
in the freezer Reese likes.
Hey, hey.
Take it easy.
Someone's getting
a little frustrated.
He's tired.
He wants to go home.
Daddy can't take
you home.
I have to work.
What's he saying?
He wants his other daddy
to come take him home.
CARTER:
Gamma, because
you cannot drive.
Because you
could black out.
No, hey.
I-I'm sorry.
No, I'm not.
No, I am not.
She doesn't want
to stop driving?
She just called me
from the car.
She's been driving
around for two hours
just to prove me wrong.
( chuckling )
It's not funny.
She could hurt herself
or somebody else.
What are you going to do?
What am I going to do?
What am I going to do--
call the cops on my grandmother?
You already made me
call the DMV.
Me? Don't make me the bad guy.
I should go home.
Wait for her.
I can wait with you.
Yeah?
I mean, yeah, if you want.
( knocking )
ROMANO:
Enter!
Ah, I was just
about to page you.
Have a seat.
So, Elizabeth,
Dr. Babcock says
that you were trespassing
in his office
and his research area.
Care to elaborate?
I wanted to
talk to him.
You knew
I was in surgery.
He's worked on every
one of my cases
that died from
a post-operative
infection.
Is this true?
Yes, it's true
and I have evidence
to prove it.
So what?
So, you have made it
abundantly clear
on more than one occasion
that you are not opposed
to euthanasia.
Can't imagine a humane doctor
who is.
I have four bodies
in the morgue.
That's not my fault.
You need to take
responsibility
for your own
gross misjudgment.
Time out!
This is a
load of crap.
You allow her to operate
on these elderly lost souls
who should never be
in surgery, and then
when they die
which they inevitably
will, she comes crying to you
looking for someone to blame.
They didn't die from surgery.
They died
from the same post-op infection.
The key word there
being "post-op."
ROMANO:
Okay.
If you hadn't operated on them,
they'd be alive.
Okay! Enough. This whole thing
has gotten out of hand.
The health department has yet
to conclude its investigation
so until they do,
neither one of you is in the OR.
Happy?
No.
That's not
a solution.
It works for me.
I'm not doing
another case with her.
No, you
certainly aren't.
Get out, both of you.
You're giving me
a headache. Go.
God is love.
LOCKHART:
You can go home, Gallant.
Carter already signed out.
Oh, yeah, I know.
I think I'm going
to stay and study.
Here?
Maybe I'll pick up some stuff
by osmosis.
Well, you'll pick
up something.
Hi.
Feeling better?
What do you want?
I heard you talking
about your pathology exam
and I thought you
might like to take
a look at Robbins.
Thanks.
( sighs )
I'm sorry about some of the crap
I said to you.
I think I was just
a little stressed.
Yeah, I know what that's like.
So, you, uh...
you obviously
know your vasculitities.
How are you with your, uh,
glycogen storage diseases?
Not so good.
Yeah, me, neither.
Mr. Benton?
I'm Asha.
You're here
for a DNA test?
Yeah.
Okay.
Don't worry,
it's painless.
I'm just going
to use this
little swab
to wipe the
inside of your
cheek, okay?
Yeah.
Say, "ah."
Ah.
Oh.
Okay.
All done.
That wasn't
so bad, now was it?
I can't believe it.
I didn't believe
it either.
Fentanyl.
If you're going
to abuse drugs,
abuse a good one.
Wow.
I've been clean and
sober for over a year.
You got it out of your system.
Well, I wouldn't say that.
What?
Nothing.
Disappointed in me?
No, no.
I'm just...
You were stabbed.
Twice.
I don't recommended it.
( giggling )
Can I see your scar?
What?!
Show me your scar.
No.
Why not?
Why?
Don't be bashful.
No, get your own.
( laughing )
Why do I feel like a school kid
sitting out here?
Must be the adolescent
sexual tension.
Mm.
That's it.
You know I used to have a crush
on you.
Used to?
It's all coming
back to me.
( laughs )
I used to have a crush
on you, too.
Liar.
I did.
You were cute.
Real cute, but...
But?
Well, you were a med student.
I was a resident.
Well, I'm a resident now.
Chief resident.
That's right.
I'm glad you came back.
Me, too.
Gamma's home.