ER (1994–2009): Season 8, Episode 8 - Partly Cloudy, Chance of Rain - full transcript

When a torrential rainstorm pounds Chicago, patients deluge the emergency room while Weaver speeds to an accident site. There, she finds a pregnant woman, Vicki lying injured inside a wrecked ambulance while live power lines spark. Fourth-year student Michael Gallant makes a dangerous decision in order to help.

ANNOUNCER:
We had a break in the system for
a couple of hours around noon

but now a second
low-pressure cycle...

They clear
the Eisenhower yet?

Forget about it.

I swear I took out
$40 yesterday.

Are we doing this thing?

'Cause I have a pilonidal cyst
waiting for me.

She's finishing
her last patient.

Chuni, Wilmont's PTT is 96.

Hold off heparin
for an hour

then reduce
the rate to 1100.



Okay, after
the party.

How long is that?

Five minutes,
don't go anywhere.

You may want to stick
this in the fridge,
it's melting.

I'm still waiting
on that L-spine series.

She only had a couple
sutures to go.

Does she know we're
waiting for her?

No, it's supposed
to be a surprise.

Oh.
What surprise?

Dr. Finch's last day.

Already?

Yeah, and you owe
me ten bucks

for the massage and
facial we got her.

It's not here.
Can I pay you tomorrow?



Whatever, I offer
rolling credit.

Are you backing up?

No, kicking butt--
storm knocked out

six traffic lights
south of Division.

Three sets of multiple MVA's
all tucked in.

Check it out-- construction
on Wacker's all mud.

A crane fell in the river.

Hey, Abby, when you get a
chance, I need a repeat CBC

and a Beta HCG
in Four.

Where are you going?

Come get me when
she gets here.

Me, too.

No. You guys leave,
other people leave

and then no one will be here
when she gets out.

I have to pee.

Well, then pee.

Gallant-- I got a disimpaction
for you in Three

and then go help Finch with her
sutures when you're done.

You were going
to supervise
my first couple.

No, no don't send him,
she'll just take longer.

All right, just clean the old
girl out then.

Haleh, medical records needs
help downstairs.

I don't work for
medical records.

The basement is flooding.

They're losing charts...

Well, then call
housekeeping.

...payroll.

Be right there.

Dr. Weaver.
Yeah.

Michael Gallant. I'm a third
year on E.R. rotation.

I know. Frank,
did maintenance
get sandbags

out in the Bay yet?

I doubt it.
Okay.

I didn't see any.
Well, call them.

I don't want water coming
through the doors again.

And then you can help Haleh.

Can I talk to
you about this
warning letter?

Be specific. I write a lot
of letters.

Well, I had
to miss journal
club last night.

I had another
commitment.

Well, we all have a lot
of commitments.

E.R. conferences are a
requirement of your rotation.

Is she here yet?

Hey, Abby, can you call telecom?

The switcher is
in the basement

and I don't
want our internal
lines going down.

You know their number?

Find it.

Well, I had a mandatory exercise
involving my scholarship.

Financial aid
offers multiple
assessment meetings.

No, no this is
Army Reserve duty.

Oh, okay, all right.

Just review the notes.

So you'll remove the letter
from my file?

Yes. Give me
a schedule.
Dr. Weaver

stab wound to
the abdomen

en route. Five to ten depending
on traffic.

Prep Trauma Two

break out a cutdown tray

and page surgery.

So, did I miss
the cake or what?

We're still waiting
for her to finish her shift.

A messenger dropped this by
for you.

"Genetadine Labs."

What, are you having
yourself cloned?

Genetadine--
that's the cloning place, right?

They mainly do DNA analysis.

Yeah, cloning.

Hi.

Hey.

You need something?

No.

I said, "Any history
of heart disease?"

No, you didn't.
Yes, I did.

No, you didn't.
Yes, I did.

Mark, do you get Spiral CT's
to rule out P.E.'s now?

Hold on. How many
heart attacks have you had?

Just one. Angioplasty
fixed me right up.

Angioplasty?

Till this morning
when I woke up, that is.

So, instead of seeing a doctor

you stayed on your feet all day,
directing traffic.

Aren't you a doctor?

Now it's too late.

What, I'm
going to die?

No, I just meant

any damage you did
to your heart is already done.

I'm going to be okay though,
right?

I need you to stay overnight
for observation

and stay on the monitor.

No, we're still doing VQs

because they keep promising us
a better scanner.

Uh, what kind
of bedside manner
was that?

The idi has had an MI
after stenting

and he stands out in the rain
for eight hours.

I don't think
yelling is
going to help.

It might.

You know, you might want
to think

about getting out
of the E.R.

Oh, that advice is only

about nine years too late,
but thank you.

No, seriously.

You never use to talk
to patients like that.

I've had an epiphany.

ABBY:
Dr. Greene,
Medivac coming in

diverting from Children's--
near drowning.

Did he arrest?

I don't know,
but he must
be pretty sick

if they're flying
him in this rain.

It's supposed
to be a surprise.

I hate chocolate mint.

Yeah, I didn't
pick it.

You think I should
stick around?

Yeah, they're going
to gather everyone again soon.

Hey

you're not supposed
to see that.

I'll be upstairs.

Page me if anyone
needs me for anything.

I'm sure that we will.

Uh, Carter,
isn't it?

John Carter?

And you would be...?

The girl
by the pool.

Oh, right, yeah.

The one without
the answering machine.

It broke
in the move.

I haven't had time
to go shopping.

Well, that's convenient.

Hey, I called you.

Did not.

Yeah, I spoke
to your manservant-- Harry?

Henry? The
night butler?

He didn't say
anything about it.

Uh-huh.

You can get
voice mail.

And you need
to get better help.

Are you
volunteering?

Any benefits?

Well, there's
the outfit.

Dream on.

Hey, Carter.

Hey, how'd it go?

He did good.

A couple pounds of stool.
He only gagged once.

Yeah, those
old ladies can
surprise you, huh?

Yeah. How do I know
when I'm done?

You'll develop
a feel for it.

Chuni, where's the stab wound?

Should be
here by now.

Call dispatch,
make sure it's rolling up.

Gallant, you're
with me.

Don't worry about it.

It'll only hurt
for a day or two.

Do you think I'm mean
to the patients?

Only the ones
who deserve it.

What about the ones
who don't?

You're nicer
than I am.

That's not much solace.

Sorry.

Oh, my God!

I distinctly heard him.

Who?

The weatherman this morning.

He said, "Partly cloudy,
chance of rain."

Well, he warned you.

12-year-old boy.

One story fall
and near drowning.

Moderate
respiratory
distress

crackles on
the right.

What's his name?

Daniel.
Daniel, you having trouble
breathing?

I let go of him.

Who?
Joey.

I couldn't hold on.

His brother.
They were

playing by the river.

Where is Joey?

Rescue's still looking for him.

All right, let's slide him out.

Ah, here it comes.
( sirens approaching )

( siren fading )

Must be a police car.

Does it usually take
this long in the rain?

It shouldn't.

Do you need a jacket?

No. We won't be
out here long.

I can go get one for you

if you...
I'm fine.

Okay.

Sorry I haven't
looked at your file.

You're, uh, military?

Yes, ma'am.
U.S. Army Reserve.

ROTC?

No, I did a year
of active duty.

Now I'm in
a scholarship program.

Oh. So working the
E.R. might not be
so crazy to you.

Well, I think it's a whole
different kind of crazy, ma'am.

There you are.

I was upstairs looking
for you.

No, listen,
I need to see you.

Yeah, I'm going
to pick up my son

and I'm driving
to your office.

Well, if you're not there,
then I'll get another attorney.

You're damn right, I'm upset.

You told me not to...

You told me
not to fight this thing.

Now Roger is going to try
to hang me with it.

Fine.

I'll see you in a half an hour.

What happened?

The DNA analysis shows

that I'm not Reese's
biological father.

Oh, God, Peter,
I'm so sorry.

I told myself a long time
ago it wouldn't matter,
that I'm his father.

I'm not going to let
that son of a bitch change it.

Well, hold on,
I'm going with you.

No, they're getting
ready to throw
a party for you.

I don't give a damn
about a party.

Let's go.

Frank, where the hell is this
thing?

What thing?
Cleo, are you done?

I'll come back
to say good-bye.

What happened
to the stab wound?

I don't know. I was sloshing
around downstairs, remember?

I'm going to bill you
for these shoes.

Find out what happened,
see if it got diverted.

Dr. Weaver,
it's here.

24-year-old female pedestrian

hit by a car
in the crosswalk on LaSalle.

Can you tell me your name?

Jill. He hit my dog.

Probable LOC. GCS 13.

B.P.'s 100/70.

Pulse 95.

Where were
you stabbed?
What?

Dude, she was hit by a car.

Hey, where's the stab wound?

What stab wound?
Get her inside.

Your dispatch needs
to get it together.

We didn't know
you were coming

and the one we're
waiting on is

over a half
an hour late.

FRANK:
Dr. Weaver

Unit 37 got slammed by an SUV
at a downed intersection--

Ashland and Western.
Who's 37?

Our stab wound.
Pickman.

Rescue's trying

to cut them out.

I better go help.
Is she okay?

I don't know about the driver.
Sounds like the

pregnant woman's
in bad shape.
The stab wound's pregnant?

And bleeding.

Okay, wait! Wait!

I'm going with you.

What, you're leaving?!

She could be
abrupting.

Have Carter
cover my cases.

I'll be right back.

What do I do?

Get in.

( sirens blare )

( grunting ):
I couldn't... hold onto him.

Daniel, I need to listen.

He's retracting.

ABG, decreased on the right.

BP's 80/palp.

Did you get a hold
of the parents?

I think the firefighters did.

Well, get on the
radio and make sure.

Oh.

Sucking chest wound. Abby

Vaseline gauze and elastoplast.

Chest tube tray
and page surgery.

Daniel, you've got a hole
in your chest sucking in air

every time
that you breathe, okay?

We need to plug it up,
all right?

BP's 110/70, still no sats.

You ready?

Yeah.

Okay, that should be better.

Did they find Joey?

I don't know.

That's what we're going
to ask the firemen.

Please, you've got
to find my brother.

Relax, everything's going to be
okay, all right?

Ten blade.

Stay close to me
and watch where
you're going!

You okay here?

Yeah. Both airbags
deployed, but he has
a bad seat belt sign.

Sir, do you know
where you are?

In the middle of the street.

Blake had a flail chest.

We just moved him to Mercy,
but Pickman's stuck

in the back with
an open tib-fib.

Is she conscious?

Yeah, but her patient

might be
hemorrhaging.

Okay, listen to his lungs
on the way in.

You might need
to needle him.

( sawing )

Okay, got it.

You okay, Doris?

Uh, I messed up my leg
pretty bad.

It's open

but I got a pulse
in the foot.

I had to move it myself.

LOPEZ:
Ma'am, I need you
to stand back.

I'm an emergency physician

from County.
Good for you.

Stand back.

We need to open up this can.

You help us.

What's the status
of your patient?

One, two, three.

A 28-year-old-woman

eight-months pregnant,
mugging victim.

Ah! Son of a bitch!

You okay?

I cut my hand!

Gallant, help them!

WEAVER:
Do you have vitals?

Okay, again!
One, two...

BP 90/60.

...three!

Did you give yourself anything?

I couldn't reach the bag.

WEAVER:
Get her out,
then titrate

ten of morphine.
I got the board.

Get the C-collar.

What's her name?

Vicki.

Vicki, my name is Dr. Weaver.

Where are you having pain?

All over.

( screaming )

Can you see the bone?

Careful. Careful.

Does it feel like

you're having contractions?

( electrical crackling
and humming )

Brody!

No, don't touch him!

Gallant!

Brody! He's Not respnosive. Get
a monitor and lets roll him.
Checking for corated,

He's not breathing.

No pulse.

You know CPR?

Start compressions.

I'll do it.

No. I need you to check
on that woman.

He's in my unit!

Check on her.

Zadro, I need
the defibrillator

and an ambu bag.

Coming.

Come on, breathe.

That was stupid.
That was really stupid.

You could have both
been electrocuted.

Stop.

I'm sorry. It was instinct.

I told you not to touch him.

You're okay as long as your feet
don't touch the ground.

It's raining.
Water conducts electricity.

I'm all right.

You were lucky.

Still no pulse.

Bag him.

Charging to 200.

She's okay.

The tires are
insulating the rig.

I can't get in.

That hot wire keeps
lighting it up.

Is she conscious?

Yes. She's in labor.

You go back
and tell her

she's going
to be okay.

He's one of my men!

Do it.

300. Clear.

He's venting.

Got it.

Got a rhythm?

Intubate him.

100 of lido down the ET
until you get a line

then two milligrams a minute.

Please call
my husband.

Hang in there, honey.

We're going to get
you out of there.

Vicki, it's
Dr. Weaver again.

Did you feel a shock?

I don't think so.

Is he breathing?

We got him back for now.

Vicki, tell me if you're
bleeding from your vagina.

The baby's not moving!

I need you to feel
down there

and tell me if
you're bleeding.

( screaming )

Hold on.

I'm coming in.

I can't let you do that.

Her baby's probably
in distress.

First rule
of an accident site--

Don't create more casualties.

Casualties?

Hey, they're not
showing a fault

in the power grid.

LOPEZ:
It looks like
a fault to me.

What can
I tell you?

Hey, I told you

not to do that!

Just turn the damn power off!

Did you hit your head
at all?

Did you lose consciousness?

I don't know.

I just remember
walking into
the street

then seeing Gordon
lying in the rain.

Gordon?

Her dog.

B.P.'s 100/40.

He kept scratching
at the door.

I had to take
him for a walk.

LEWIS:
Breath sounds equal.

No hemotympanum, but I want
to get a head CT.

Is this the hit-and-run?

He didn't stop?

HALEH:
Pulse ox is 94
on four liters.

OFFICER:
Miss, can you describe

the car that hit you?

It was silver, I think.

You sure?

No... ( groans )

Does that hurt?

Yes.

Did you take my dog
to the vet?

I'm afraid
your dog died.

CARTER:
Okay, full trauma panel

c-spine, chest,
AP pelvis, foley.

Let's give her ten
of morphine, too.

LEWIS:
Hemocue is 9.8.

Let's get an ultrasound
before CT.

Dr. Green is using it next door.

Go see
if he's done.

What kind of dog was he?

Um, he was a terrier mix.

Yeah, those are
the best kind.

You know, he probably
went really fast.

No dorsalis pedis pulse.

Get me a doppler.

A little fluid in
Morrison's pouch.

Dr. Greene, can we have that
when you're done?

It's all yours.

Page pedes surgery.

Another crit
in 20 minutes.

You want a
cath'd urine?

And a CPK,
and another portable chest.

Daniel,
you're doing much better.

We just need
to keep an eye on you

for the next couple hours

just in case
you need any surgery.

He's dead, isn't he?

What?

Joey. He drowned.

I don't know.

They're still looking for him.

He didn't want to go.

Where?

To the river.

He was scared,
but I called him a baby.

You didn't know
this was going to happen.

He's only six.

Parents are
on their way.

They're really going
to hate me now.

LOCKHART:
They're going to be
happy that you're safe.

It should have been me.

Watch the monitor;
his heart's irritable.

Okay, looks like
regular sinus rhythm.

Okay, let's go!

Shut the door!

Okay. Okay.

Hey, stay clear of that rig!

( woman screaming )

It's okay, it's okay.
Is she okay?!

Hypertonic contractions!

B.P.'s dropping 68/40!

That's way too low, right?

What?!

Nothing, Vicki.

I need you to be quiet.

I just need to listen.

What was that?!

The power line!

( crying )

Fetal heart tones are 70.

Is that bad?!

GALLANT:
Maybe the transformer

will blow out and kill the line!

( labored yelling )

Dr. Weaver!

I need your help!

Can you get in here safely?!

Yeah, I'd have to jump!

Okay, then jump.

( Vicki yelling )

Got it.

Search through the cabinets.

Find me an amp
of cardiac lidocaine.

Lidocaine?

Just do it.

Vicki, your placenta
is detaching.

It's bleeding
into your uterus.

( sobbing ):
Oh, God!

Hey, I told you to stay away
from this damn vehicle!

She's bleeding out!

Why is the power still on?!

There's a crew on the way!

The only way
to stop the bleeding

is to deliver your baby
surgically.

It's too early!

No, it's not.

36 weeks is full term.

( sobbing ):
Take me to the hospital!

Honey, I want to, but I can't
right now, all right?

Shut it off
from the plant!

It's supposed to burn through
on its own!

They need to override it
at some panel!

Vicki, Vicki, I need you
to listen to me.

I'm an emergency
physician.

I'm trained to perform
a c-section

only after the mother has died

and in about 15 minutes,
that's what's going to happen.

Meanwhile,
your baby is in danger.

But I might be able
to save you both

if we take the baby now,
and stop your internal bleeding.

Are you willing
to take that risk with me?

( sobbing ):
I think so.

Are you sure?

( electricity crackles )

( sobbing )

You've observed
a c-section?

I haven't done
O.B. before.

So you'll be ahead of the curve.

Lidocaine.

You know how to take
a blood pressure?

Yeah.

Okay, take one.

I need it
every couple of minutes.

( sobbing )

Squeeze that saline bag

and find me every four-by-four
and bandage we have.

( screaming )

Okay, Vicki,
Vicki, hang in there.

I'm going to give you
a shot in your spine

that will numb
your belly and legs.

( screaming )

All right,
find me a ten blade.

That's a scalpel.

When's the last time
you've done this?

Peter, the DNA test
was inevitable.

There has to be
a precedent.

Not in a custody
battle between two men
without genetic ties

to a child they
both helped raise.

Stepfather versus
stepfather.

I'm not his stepfather.

I'm his father.

Sorry. Father.

Until Carla died

Roger never questioned
that Peter was Reese's dad.

Carla put my name
on the birth certificate.

And if she
were alive

Carla couldn't contest
the paternity.

But Roger can?
Ironically, yes.

Peter, you
are going

to have to allow Roger
to resume partial visitation.

No. No way.

As we speak, Roger's attorney

is drafting a pretrial motion

for visitation
until this is resolved.

If you don't
stipulate now

you will lose that hearing,
and be painted as the heavy.

I'm the heavy?

He's trying to take my son
from me, and I'm the heavy?

You need
to be seen

by the judge as someone

who's only interested
in Reese's well-being.

I am.

Good.
Then you need to listen to me.

You have to
stay focused
on the end game

and not let
anger or fear

impede that goal.

Vicki, stay awake.

I need you to stay awake.

B.P.'s dropping 50, I think.

Spike another liter.

What does "spike" mean?

Take the pointy end
of the bag and hang it up.

Hey, you!

Firefighter!

Lopez!

Lopez, I need more light!

Scotty! Scotty,
turn up your brights!

Get out of the way.

I need you over here.
Get out.

You're doing a
vertical incision?

Yeah. Be ready
with that hemostat.

We're going to clamp
the big bleeders

and pack off everything else
with gauze.

All right, here we go.

I need you to put your hands
there and pull back.

Where?

Just do what I do
from the other side.

( moaning )

Vicki, do you feel that?

I just... I'm
just so groggy.

Okay.

Okay, fascia's exposed.

Okay, separate the rectus

down through
the fascia.

All right, more retraction.

Okay.

Pull back.

( groggily ):
Is that my baby?

Hang on, hang on, Vicki.

Okay. I'm into
the peritoneal cavity.

Here's the uterus.

Give me the scalpel.

You want me to let go?

Scanner One
will be ready in ten.

Let's add on a chest.

Jill, they're going
to take you upstairs now

and they're going
to scan your whole body

for other injuries.

I want you
to tell the nurse

if you need
any more pain medication, okay?

Okay.

Sorry about your dog.

What?

"He probably went
really fast?"

She was upset.

She could have
solid organ rupture.

The dog is the least
of her concerns.

It can be traumatic
to lose a pet

especially if you
saw it happen.

What was his name?

Who?
Your dog.

Happy. He was
a lhasa apso

and he got run over by
a car when I was 11.

Oh. Did he go
really fast?

No-- crushed his pelvis.

Someone drowned?

Brother of the boy
in Trauma Two.

Oh, sorry.

Did they find him?

Not yet.

Damn it, you can't leave
anything around here.

What?

Some derelict
stole my Palm Pilot.

Maybe you just
misplaced it.

No, I had it here
two minutes ago.

Dr. Carter!

Alger. Alger,
what are you...?

It's your grandmother.

Again? What happened?

I found her in the driveway
in the rain.

She may have broken her hip.

Get a gurney!

She said she slipped

but there's a cut
on her head.

She was driving?

She went out
during the break in the storm.

Gamma?

John, it's terrible. It hurts.

Okay, I know it does.

Just lay still.

( yelling )

Did she pass out?

Her right leg is
shortened and
externally rotated.

I think I broke my hip.

I think you did, too.
What happened to your head?

I thought it was best
if I drove home.

I didn't realize
how much I was bleeding

so I slipped on the driveway.

You were in an accident?

Well, I-I don't...

It was raining.

I couldn't see.

I think I hit a dog.

Where were you, Gam?

Where were you driving?

It was supposed to be clear.

It was supposed
to be sunny.

The autorecloser's
stuck open
or something.

He's trying to bypass it.

I don't care.
Just shut it down.

It ain't that simple, lady.

Damn it.
What?

I cut a uterine vein.
Another clamp, now!

BP's dropping, 60 systolic.

Keep squeezing
the saline.

Doesn't she need any blood?

I don't have any blood.

All right,
fundal pressure.
What?

Push the baby down towards me
from the top of the uterus.

Okay, right here? Okay.
Yes, yes.

Now, is the other ambulance
here?

Pulling up.

Call County General.

Tell them we need an
OR, an OB attending
and a neonatologist.

Grab the bulb syringe.

Okay.

Suck out his
nose and mouth.

Is he supposed to be
that blue?

Is there an exit wound?

Sure is.
Blew off his boot.

Transthoracic
current pathway.

You saw it happen?

He lit up like
a Christmas tree.

Mark, I need the room.
Post-arrest electrocution.

What's open
with a monitor?
Come on.

He's a fireman.

All right.

Daniel, we got to shuffle you
to another room.

CK's normal.

Tox screen tested positive
for marijuana.

Marijuana?

KOVAC:
C-spine,
chest, pelvis.

You were
smoking dope?
I'm sorry.

You're sorry? For getting
high and taking Joey out

to the river
in this weather?

I didn't smoke today.

I knew it, I knew it.

We saw the river on the news.
We just wanted to see it.

We? Joey's
six years old.

He said he wanted to see it.

Oh, you're going
to blame it
on him now?

No, it's my fault.

You're damn right,
it's your fault.

All right, hold on.
Hold on. I'm Dr. Greene.

We need to get Daniel
into a room

and then I'll come back out

and brief you
on your son's condition.

I'm sorry, Mom.
Have you
heard anything

from the fire
department
about Joey?

Not yet.
They're still searching.

It's between each
clamp, right?

Yes.
Okay.

Vicki, Vicki,
are you still with me?

Is that my baby?

Yes, honey, you have a boy.

( baby cries faintly )

He's crying.

You hear that?
He's crying.

It could be stronger.

You need to get a heart rate.

Okay, ten minutes.

They're going to shut
the entire grid off.

Why can't they
do it right now?

They have to warn
emergency facilities

they're going
off-line.

Okay, it's 88, I think.

You think, or you know?

It's 88.

One minute APGAR,
seven out of ten.

It'll get better, right?

You need to wrap him up.

Okay.

He needs fluids,
oxygen, maybe blood.

But you said
we didn't have any blood.

You need to get him
to the hospital.

Nine minutes.

Vicki?

Vicki, wake up.

Damn it, she's exsanguinating.

I have to... I have to clamp off
the uterine arteries.

Oh.

Okay, I'm going.

Get out of the way.

No.

It's this,
or I throw him to you.

No, no, tell him to stop.

Go! Blow by O2 at 15 liters.
Have the paramedics start

an IO line if his heart rate
drops below 80.

Is he okay?

I got him.

Okay, get him out of here, go!

Come on.
Let's go, go, go.

The transformer just blew.

Does that mean
the circuit's dead?

I'm going to sew this up

and you won't feel anything.

You okay?

I see a lot of fathers
who come in here.

And they're upset
when their kids are
hurt or missing.

Sometimes they say things
that they don't mean.

He's not my father.
He's my stepfather.

Joey's their real kid.

And that makes you...?

A pain in the ass.

MRS. PENDRY:
Did it come back?

What?

You were waiting
for a chest X-ray.

Right, uh, lungs
re-expanded.

Tubes in a
good position.

I'm repairing
the chest laceration now.

Mom?

So, he's fine?

For now. He'll need to be
monitored in the PICU.

Mom, I'm sorry.

You shouldn't have been
out there.

I know.

Mrs. Pendry...

Why'd you take him there?

You didn't think.

You never think.
I-I know.

I should have been
the one that drowned.

It should have been me.

Yes.

But it wasn't, was it?

Mrs. Pendry?

It was Joey.

Mrs. Pendry?

I need to talk
to you outside.

In here.

( clears throat )

What are you doing?

My son is missing.
No one can find him.

Right, and your other son
is in there

who needs your comfort,
needs your love.

This is none of
your business.

You want him to feel
responsible?

Guess what.
He already does.

You want him to blame
himself, to hurt?
He already hurts.

You want him to
hate himself?
Keep it up.

They found him.

What?
They found him.

He's stuck downriver.
Is he all right?

I don't know.
They're trying
to get to him.

It'll be
okay, Peter.

Yeah.

We don't know that.

I see you two
together.

I know.

Hey, hey, hey.

What'd you do that for?

You wanted to?

( knock at door )

Are you expecting someone?

Yeah.

Peter.

No, no, Peter.
Get your foot
out of my door.

This doesn't have to
go any further, man.

Get your foot...
Look, look,
please.

Just hear me
out, okay?

Come on.

Look, Reese lived
under my care

and my roof for
most of his life.

All I'm asking
for is some kind

of arrangement that
recognizes that.

It's too late for that.

Look, come on, brother.

You really want to put
him through a trial?

I'm keeping my son.

I guess I'll
see you there.

Yeah, you will.

( TV plays indistinctly )

Swiftwater 43,
County General waiting.

Open channel two.

Is he alive?

I don't think they know.

Frank, call the burn unit.

Brodoff is going
to the OR for a
fasciotomy first.

Is that your electrocution?

Compartmental
pressure is
almost 60.

Otherwise,
he's lucky.

Does anyone want
anything from the store?

It's pouring outside.

Malik and Yosh don't like
the coffee in the lounge.

It hurts their stomach.

Grande Vanilla
Cappuccino.

It's okay.
It's on me.

Okay, he's in arrest.
In that case,
Venti.

But they're flying him in.
ETA, 15 minutes.
No cinnamon.

Does he
have a pulse?
PEA.

Luka, our new med student's
coming in, BOA.

Weaver opened up
a pregnant woman

trapped in an ambulance.

What do you mean
"opened up?"

C-section.
In the field?

She's going to have
some explaining to do.

Can I get you
something, Abby?

Nope.
Cigarettes?

( beeping )

Uh, no, thanks.

What's that?

What?

What time is it?

7:00.

What's wrong?
Give me your bag.

What?
Let me see
inside your bag.

No.

Hey, Frank,
what are you doing?

My palm pilot alarm
goes off at 7:00

to remind me to
take my Vioxx.

Come on, let go of her bag.

After I see inside.

Frank!
Where is it?

Fabulous.

First you steal it.
Then you break it.

That's not yours.
The hell, it isn't.

I'm calling
the police.
Wait, hold on.

This is a mistake.

Oh, yeah, yeah, my stuff
just leapt into her bag.

Nicole?

And it's not
just me, pal.

She's ripping
off everybody.
Ask Abby.

Nicole?

GALLANT:
I need some help here.

Newborn.

Luka, the baby.

Dr. Weaver says
he might need
a transfusion.

Is he premature?

No, we gave him O2
in the ambulance,
but he needs an IV.

Elevate her leg.
Cycle the Dynamap.

Tilt the monitor
toward me. I got it.

Hey, hey, I said I got it.
How bad is that hand?

It'll keep.

Sats are plummeting.
She's not moving air, Doc.

Stop! Airway box.

I thought you
had to move her.

I need to protect her airway.
Cricoid pressure.

There, cover.

Exposed flexor tendon.

You're going to need
a hand surgeon.

I need to control
the scene.

Get somebody else.
All right.

I'm in.

Bag her.

Let's go.

Draw a milligram of epi

and have atropine
standing by.

Get in.

No, I'm good.

No, you're not.

Go on, get out of here.
Come on.

You know, people think

kids don't listen
to their parents, but they do.

And if they tell you
you're nothing

you think you're nothing.

How cold do you
think that water is?

I don't know. 40?

Hope it's colder
than that.

Did you get a pulse?

No. No pulse.

No spontaneous resps.

GCS 3 for real.

How long was he under?

I don't know.

We found him tangled
in some debris about a mile

from where
he fell in.

I thought it was P.E.A.

No, asystole
the whole flight.

Hey, Gamm.

Does it still hurt?

On a scale of one to ten...

It hurts, John.

She had the full amount?

In two doses.

Let's give her four more
of morphine.

Okay, but I'll put her
on the monitor.

Well, Gamm, you
definitely broke
your hip.

Oh.

Looks like an
impacted fracture

of the femoral neck.

Please, speak English, John.

I need to get
a more sophisticated scan

to determine
if you need surgery or not.

I should have listened
to you about the car.

I'm sorry.

Gamma...

I think you hit
more than just a dog.

You also hit a young woman.

She's okay.

We're taking care of her here.

I called Mr. Stearn

in case you
need an attorney.

I hit a girl?

Yeah.
( knocking )

I left. I drove away.

You didn't know.

Well, I should
have checked to see.

Oh, my God.
No, Gamm...

Gamm, you
were confused.

Okay? It's crazy out there.
Visibility is terrible.

I'm going to be right back,
and when I come back

I'm going to take you
for that scan.

What's wrong? What-what is it?

Nothing. It's just
another patient.

Page surgery.
I need a hemocue.

What happened?

Dropped her sats
in the elevator. 88.

Any chest pain?

No, just passed out.

BP's 80/60.

Oh, I can't see
the cords.

I need a Fiber-Optic scope.

All right, ABG.

Set up the ultrasound

and mix up 7,500 units
of heprin.

There's a lot
of fluid in here.

It could be
pulmonary edema.

If we're lucky.

Grab the thomboylics box.

DIC panel, troponin, CK,
EKG and a portable chest.

Let's go!

Two large-bore IVs.

Nuke the saline
in the microwave.

Get that collar off him

and we're going to need
a bear hugger.

Coming.

Oh, God, he's blue.

Okay, number five-and-a-half
uncuffed ET tube.

Suction.

Still no pulse.

Asystole on the monitor.

Joey. Wake up. Baby, wake up.

Ma'am, you need to back up.

Oh, my God.

What is that?

What is that?!

River water.

Cords are closed.

I need a Fiber-Optic
laryngoscope.

Prep the neck.

I might have
to crike him.

Daniel...

get back to bed.
I'll come get you.

ABBY:
I can't get
a line in

and he's totally
clamped down.

GREENE:
Two cut down trays.

Daniel.

Now! Lily, can you...?

You heard him! Out!

Get out of here!

You, too.

What?

Out!

Cross and match her
for six units

two units FFP, stick her
and send the clot.

Is the O.R. ready?

Oh, they're waiting for you.

Have an emergency
C-section.

Yeah, no kidding.

I can see that.

Coburn called me
screaming when
she got the page.

I told her she
must've heard wrong.

28-year-old woman
trapped in an ambulance

abrupted and
hemorrhaging.

Yeah, and E.R. docs

don't perform C-sections
until the mother arrests.

Well, she will if we
don't get her upstairs.

BP's up to 90.

Okay, have dopamine
standing by.

Add a coag panel.

I got it from here, Kerry.

Go back in the E.R.
and stay dry.

Don't want you dying
of pneumonia

before your public flogging.

I could have let everybody die.

Yeah, well, that would
have been the safe play.

Now, if she lives,
you're a hero.

If she doesn't,
I don't know you.

The baby.

Chuny, where's the baby?

He's pinking up.

They're waiting
for the NICU fellow.

Nice save, Dr. Weaver

One milligram of vitamin K, IM.

Erytomycin opthalmic
ointment, .5 percent.

Good neuro check?

Moves all four
symmetrically.

Lungs are clear

no retractions.

You get a heel stick?

Glucose 70. Pulse 120.

You did it.

Okay. CBC, lytes, B.U.N.,
creatinine and a bilirubin.

Luka?

Can I talk to you?

Bradying down. 60.

Hurry up.
She's going to arrest.

I'm in. I think.

Sats are falling.

There's too much edema.

Is Mark done yet?

I need that Fiber-Optic.

No, you're in the stomach.

What are you doing?

I'm going to try
to suction the cords.

Deflate the balloon.

Keep it in, you'll
have a better shot.

No, just here.

Pull it back, really slowly.

All right, go.

Slowly, slowly.

A little more.

All right,
there are the cords.

Give me the tube.

We're in.

Open the crash cart.

Draw one of atropine
and an amp of epi.

Come on, hold on.

Hold on.

HALEH:
89. 90.

Pulse ox is climbing.

Good breath sounds.

Nice work.

ABBY:
Saline's running.

Dilute two migs of atropine and
one mig of epi down the tube.

How high does the temp go
on that vent?

40 centigrade.

Set tidal volume
at 200 on 100%.

Still no pulse,
and no pressure.

That's all right.

Keep warming him.

Got to get that foley in.

We're going to irrigate
the bladder.

We're going to save this one.

You want me to...?

No, no. He can stay.

Cycle the lavage fluids

repeat the temp,
max out the blower.

Cardiac activity on the monitor.

JARVIK:
What?

Looks like P.E.A.

That's good.

Amp of bicarb.

Charge the paddles to 60.

We don't have anything to shock.

We will.

Pacing pads.

Good lung sounds.

Come on, Joey. Come on.

V-tach.

Yeah, baby. Let's go.

Clear.

JARVIK:
Polymorphic.

Okay, charge to 120.

Check for a pulse.

Clear.

Bingo.

Normal sinus.

Thank you, God.

Fem stick him
for labs.

Full trauma panel, ABG

and art line.

Get a second cut down.

18 gauge angiocath.

ABBY:
Anything after the line?

GREENE:
Wait and see.

10 blade.

Hey. It stopped raining.

Impaction with mild
or no displacement.

Probably a Type I.

The fracture line traverses

straight from the greater
to lesser trocanters.

What do you think,
orthopedic surgery?

Depends on the orthopod,
but I'd try

to keep them away from her
if you can.

One third of the elderly

who go under the knife
for these kind of injuries

die within a year
from post-op complications.

MAN:
She's panicking.

Heart rate's up.

BP's falling.
Get her out.

Get her out!

Gamm?

John? John,
are you there?

It's okay,
I'm right here.

I want to go home.

We're all done.

Not quite yet.

Call your grandfather

to pick me up.

I want to go home.

Grandpa's not here.

Get him.

Grandpa's dead.

Where am I?

You're in the hospital.

You were in a car accident.

Remember, Gamm?

You broke your hip?

Oh, yes.

Of course.

I hit a dog. I hit a dog!

He was in
the middle of the street.

Is she okay?

No.

Not really.

That baby okay?

Yeah.

Dr. Greene revived a
drowned hypothermic
boy tonight.

He came in ice cold
and not breathing

no pulse and
he got him back.

It was a miracle.

You all right?

What is it?

She's pregnant.

Who?

Nicole.

( groans )

I see.

Is that why
she was stealing?

No, that's, uh...

that's a habit.

She doesn't know
how to trust people.

Her trusting people
isn't really the problem.

Her father kicked her
out when she was 16.

She's had to learn
to live on her own.

Her father?

She panicked, I-I guess.

I...I don't know.

I was just trying to help her.

I-I didn't think I'd...
be with her.

It just happened.

You sure it's yours?

Or that she's really pregnant?

She's not like that.

You don't know her.

Do you?

We gave him
what's called an EEG--

which is a brain scan--

and everything looks
completely normal.

So, that's good?

That's good.

You're going to get
your brother back, Daniel.

T-Thank you for saving him.

You're welcome.

Is my mom with him?

Yeah, they're going
to move him upstairs.

Then you're going to be
up in the same room soon.

I want to tell you something

but you can't tell
any other kids, okay?

Okay.

Parents don't always know
what they're doing.

Just because
they're adults

doesn't mean they know
what's right.

In fact...

some adults are wrong
most of the time.

I-I know that.

Good.

Then I want you
to promise me something.

W-What?

Don't listen to them.

Don't believe that you're not
just as good as your brother...

just as smart...

just as special.

One day they may realize that.

But you can tell them
it doesn't matter

because you already knew.

You knew before they did.

Dr. Weaver.

Dr. Romano
is looking for you.

The mother came out
of surgery.

They had to perform
a hysterectomy

but otherwise,
she's doing all right.

Crit is stable.

Yeah, I know.
Thanks.

He, uh, he also told me

if I'm going to survive
medical school.

Well, nobody
actually listens

to Dr. Romano
down here.

Yeah, I figured that.

It was, uh,
it was pretty amazing

what you did out there.

Oh, I was a little
out of my element.

You wouldn't know it.

Thank you.

So, why don't you go up
and take her baby to her?

Oh, they'd let me do that?

Yeah, it's one
of the perks.

She's going to think
you're an angel.

Yeah, well, she did
almost see me glowing.

Hey, you did great.

I mean,
you-you took a risk

stayed focused, listened.

You did what was necessary.

That's an E.R. doc.

Yeah, I was little scared
out there for a while.

Gallant, I was scared
the whole time.

Right.

The fireman
is sitting well in ICU.

He's going to keep
his hand.

His cardiac activity
is normal.

Good. He got
quite a jolt.

We saved everybody,
didn't we?

I mean, there are people
all right now

because we were there.

Some days are good days.

Yeah. I like the good days.

Enjoy them when they come.

I'll see you tomorrow.

Good night.