ER (1994–2009): Season 8, Episode 9 - Quo Vadis? - full transcript
Peter Benton continues his court fight against Reese's stepfather, Roger, who seems to have the upper hand. When a woman is accidentally shot during a gas station robbery, Dr. Corday tries to convince the husband to let them harvest her organs. A 15 year old boxer is brought in with a head trauma after sparring with his older brother. Newlyweds are having trouble when she constantly breaks out in a rash; Carter thinks he knows the cause. Luka tells Abby hat he may marry Nicole, who has told him she is pregnant. Dr. Green lays down the law when the police bring in a high school student and he learns that his daughter is outside sitting in the police car.
ANNOUNCER:
Previously on E.R.
She's pregnant. Who?
Nicole.
Oh, yeah, yeah, my stuff
just leapt into her bag.
Nicole?
You know, I used to have
a crush on you.
I had a crush on you, too.
I'm glad you came back.
Me, too.
( crying )
Get in!
No, I'm good!
No, you're not!
Go on, get out of here.
Come on.
What was that about?
I'm being subpoenaed.
For what case?
Reese-- Roger's suing
for custody.
JACKIE:
He drew this?
Yesterday afternoon.
He's got talent,
don't you think?
Hey, Jackie.
Hey.
Thanks for dropping him off.
No problem.
Hey.
I missed you last night.
Me, too.
I know
I had to work late.
No, no, no, I can't play.
I'm going to come back
and put you to sleep.
Yeah.
Yeah?
Dr. Benton,
Romano wants you to assist
on a post-op colectomy.
I'm off at 8:00.
It's 7:55.
Call Edson.
Oh, damn it.
JACKIE:
What is it?
( sighs ):
It's the E.R.
I thought of something.
Remember how Carla
wanted Reese
to be with you
on Father's Day?
It says a lot.
The judge should know.
That's good, yeah.
We'll be okay, right?
Yeah,
it's his first day.
Maybe I should be
there to help.
Jackie, you are helping.
GREENE:
Rachel Greene--
I need a copy of her
attendance records.
You could have
told me.
I didn't know.
Okay, I'll hold.
Who's allergic
to lilies?
She may not have
appreciated the symbolism.
Symbolism?
Lilies are for funerals.
Oh, God,
I'm sorry.
I just wanted to send
her some flowers.
You got his
grandmother flowers?
I can't seem to get
in her good graces.
How's her leg,
anyway?
I think she's
still more concerned
with the girl she hit.
I already met
with the Vice Principal.
I thought that
girl was better.
Yeah, she's on her upswing.
About to have a much
bigger bank account.
She settled?
Very good offer.
Good, so you can fax it to me?
Who's paging me?
They need you in Room Two.
Where's Corday?
Upstairs.
Isn't she on for trauma?
We just got here.
I thought she was
out on leave.
She's been cleared
to operate.
What about
all the dead geezers?
You know, there's
no evidence
of any wrongdoing.
Good news.
( under breath ):
When the paramedics roll me in,
I'll take Romano.
Entrance left temple, no exit.
What type of gun?
Cops said a .32
at close range.
Pupils are five
millimeters and fixed.
Who shot her?
Does it matter?
Got caught in
a gas station holdup.
Absent blink reflex.
Probable
brain stem damage.
All right, did we
push mannitol?
Peter,
I'm still assessing her.
What the hell are
you waiting for?
We're checking
for signs...
Let's push the mannitol
load Dilantin and
hyperventilate.
I was taking Gallant
through the neuro exam...
Why don't you treat
the patient first?
ABG, gram of Ancef
and a head CT.
What's the GCS?
Elizabeth
it's 8:20.
Sorry, I had
to change.
Let's call Neurosurg if there's
something fixable on CT.
What's the rush?
I have to be
somewhere.
MARQEZ:
Heart rate's dropped to 50.
Push an amp
of atropine.
Is there a problem, Peter?
Yeah, you're late
and I have to get
the hell out of here.
What's the Caloric
reflex?
Slow deviation
to the stimulus.
And then?
Uh...
Saccadic return to the midline.
Date of birth,
9/12/73.
Dr. Benton ever
in a good mood?
He has his moments.
Go ahead.
No response.
Looks like she's a donor.
( sighs ):
I'll be right back.
KOVAC:
Is there
any other family
we can call for you?
( choked up ):
Her parents live
in Minnesota.
We were going to
drive there today.
This is Dr. Corday.
I'm so sorry, Mr. Pruitt.
Are you going to operate?
The bullet passed through
the brain stem.
I'm afraid no surgery
can repair that.
Well...
Is there any chance
that she'll s-survive?
She's no longer breathing
on her own.
We have to wait
and see
if she regains consciousness.
But it's highly
unlikely.
The medical exam is consistent
with brain death.
I was still asleep
when she left.
I know this is a difficult time,
but we found a donor card.
A what?
Your wife wanted to be
an organ donor.
Oh, yeah, I-I guess
that's what she wanted to...
Can I go see her?
Yeah, sure.
Elizabeth, we need you in here.
ZADRO:
Started an 18 gage
in the left AC.
Rudy Escalona,
15 years old, LOC.
from blunt head trauma--
one, two, three.
ZADRO:
Boxing league.
He took a lot of punches
during practice.
Any medical problems, Rudy?
Huh?
No-- my son's
in good shape.
Do you know
where you are?
I hit him, man.
I hit him good.
Pulse ox is 98
on two liters.
Pupils equal and reactive.
Do you know what year it is?
Nobody thought I could do it...
Answer the doctor.
...but I did it.
Squeeze my hand, Rudy.
Haleh?
He's not responding.
We need to get some
information from you, sir.
Airway's okay.
Still has gag.
No, I'll stay.
Uh, after
the X-rays, you can come back.
Abdomen soft,
no guarding or rebounds.
How late are you on?
Peter should be back by 6:00.
I'm on till 10:00.
Can you check Rachel's homework?
Sure... lateral C-spine
and a head CT.
She needs help
with her trinomials.
Normal Babinski.
I believe
I failed Algebra.
It's either that or
the Revolutionary War.
I'll stick with math.
Why can't you talk
to Human Resources?
It won't change
the outcome.
Nicole's had
a tough time.
She deserves
a second chance.
Is that your
objective opinion?
Okay, she made
a mistake
but I know it won't
happen again.
Look, Luka, the hospital
has a zero-tolerance policy
against stealing.
But, if you explain
the circumstances
they might
reconsider...
There is nothing
to explain.
Kerry, just do it
as favor to me.
I'm sorry, I can't.
Or you won't?
Please, I got her the job.
You should have
screened her first.
Carter, what is this abscess
still doing in Exam Four?
It's peri-rectal.
Yeah, it definitely
needs surgery.
So, you're on this too, Susan?
Carter wanted a
second opinion.
No. Call surgery, we're busy.
One doctor per patient.
Have fun suturing.
Have fun with
your rectum.
When was your last tetanus shot?
Uh, you better ask my Dad. I...
Jorge, this is Dr. Lewis.
Hi. How's his exam?
Uh, two centimeter lac
on the labial mucosa
I'd suggest an interrupted
four-oh vicryl.
How'd you get hurt?
Ow.
He was boxing.
And the other guy?
You tell me.
The patient
in Trauma One?
Jorge's little
brother, Rudy.
Yeah, he got in
a good one.
I kind of lost it
but I didn't mean
to hurt him-- not bad.
There you are.
How's Rudy?
They say he's
going to wake up.
He's going to be all right.
You okay?
He needs a couple
of stitches.
Does it hurt?
No.
This is one tough kid.
Be careful of your reaction
to the testimony.
No sighing, no faces.
What if I need to
ask you a question?
Write it down,
I'll answer.
Schedule change,
they switched judges on us.
Who did we draft?
Alter.
Is that good
or bad?
Well, he always
favors the mother.
It's not a problem
in this case.
It wouldn't hurt to show
your maternal side.
Right.
Is that the tie
you're wearing?
Mm, what's wrong
with it?
Well, it's
a little showy,
don't you think?
And when it comes
your turn
don't get
too emotional.
You don't want
to come across
as cold or
unfeeling, either.
You make it sound like
it's some kind of performance.
Well, it is.
That is the whitest tie
I've ever seen.
It's blue.
She's breaking out in hives,
like an allergic reaction.
To what?
I don't know.
Nobody's figured
it out.
We've been to three
ERs this week.
50 of Benadryl
in the field.
Push 125 of Solumedrol...
We've found guided
imagery helps.
Close your eyes, honey.
Who's your doctor?
Oh, he's in Syracuse.
We're on our honeymoon.
Oh, better hide
the good silver.
What's she doing here?
Meeting with personnel.
I heard she's
getting fired.
Let our souls
intermingle...
Uh, any new soaps or pesticides?
Everything's the same.
What do you mean?
What about latex?
Yeah, some people
are allergic to rubber gloves
tennis shoes, condoms...
Condoms?
We stopped
using them.
CARTER:
When?
A couple weeks ago.
We're trying to get pregnant.
Everything's
all right.
Feel the warmth of the sun.
Just embrace the joy...
Rudy's vital signs
and oxygen level are good.
Is he awake now?
Not quite yet, but he
might be able to hear you.
Go ahead.
Thanks.
Even before I married Carla,
we discussed it.
I knew it would be
a challenge
but we agreed
that our first priority
would always
be Reese.
You took a variety
of steps
to be a good parent to him,
didn't you?
I learned
to sign, I...
I've always been in contact
with his teachers.
I've been volunteering at his
school ever since he started.
And you're
self-employed?
I run a Web site company
out of my home office.
What kind of hours
do you have?
Completely flexible.
I make my own work schedule.
Have you ever needed to hire
a baby-sitter for Reese?
No.
Ever needed to have
someone else
pick him up
from school?
No.
So you've never
passed
Reese's care-giving
on to anyone else?
Never wanted to.
But Dr. Benton often requires
help, doesn't he?
Objection.
Outside his scope.
Mr. McGrath
has direct knowledge.
He can testify
to what he's observed.
Overruled.
Peter has a long list of people
who pick Reese up from school.
His girlfriend, his sister
his niece--
they're all involved
in looking after him.
And even Dr. Benton himself
has asked you
to help him out,
hasn't he?
Yeah.
He asked me to get Reese.
But I don't mind.
I want to be with him.
Did Reese
ever mention to you
where he prefers to sleep?
Your house
or Dr. Benton's?
He likes my place.
Why is that?
He says it's his home.
CORDAY:
Once the procurement teams
arrive, we'll move her
to the O.R.
And she'll be on
a ventilator?
Yes.
So her heart will
keep beating.
So she'll be alive when
you remove her organs.
Mr. Pruitt, your wife's brain
is not functioning
at its most basic level.
There is no medical
distinction
between brain death
and cardiac death.
You said that
the machines
are keeping
her alive.
Not exactly.
They're merely keeping
her organs viable.
Can't you just let
her die naturally?
To get healthy organs
we procure while
the heart's still beating
and there's oxygen
in the bloodstream.
I don't know.
I don't know.
We never talked
about this.
Look, I know she
filled out the card
and everything, but...
I understand.
I'm not so sure
that I can do this.
Why don't you take
some time with her?
I'll come back
and we'll talk some more.
Dr. Corday,
pre-op's ready.
We're going
to wait a bit.
Abby, I need morphine now
for a perilunate dislocation.
How much?
Uh, get 20
just to be safe.
What's the
patient's name?
Bovard.
I saw Nicole.
They let her go?
I'm sure she'll
find another job.
It's not important.
She might want
to take it easy now
with the baby coming.
She's keeping it?
You thought she wouldn't?
Uh, I don't know, it's-it's
tough being a single mother.
Maybe she won't be.
Um, I'll need
some Versed, too.
You can't be serious.
She's a good person.
You met her, like,
five minutes ago.
It's the right thing to do.
Did she ever take
a pregnancy test?
Of course.
Did you see it?
I mean, in front of you?
I trust her.
And what, exactly,
has she done
to deserve that?
How can you be so...
Even if it
is yours, there's
other ways to help.
How much Versed?
I'll do it.
No, I'll do it...
I said I'll do it.
There was some bleeding
deep inside Rudy's brain.
How bad is it?
The problem's usually
a weak arterial wall.
If we can prevent
any further hemorrhage
he should be okay.
He's always begging
to get in the ring
with his brother.
I shouldn't
have let him do it.
This isn't from boxing.
It's a pre-existing
condition.
What do you
have to do?
The neural radiologist
can use a catheter
to mend the artery
from within.
And then he'll be okay?
He should be.
Look, you didn't
cause this, okay?
It could have happened
at any time.
It happened when I hit him.
Susan, you have Curtain
Two-- a woman with hives.
No, I've got
the thyrotoxicosis.
That's mine.
Is she ready
for dispo?
No, I'm still
working her up.
Have either one of you guys
ever heard
of an allergy to semen?
Maybe an aversion,
but not an allergy.
There's hundreds of proteins
that are potential antigens.
Is that
your best diagnosis?
It's a possibility.
You must be desperate.
This is Sean Gatley.
My foot's stuck.
You doing okay, buddy?
Dad wouldn't let us
break the thing.
The toilet?
It's a personal
hygiene system.
Oh, you're out
of your mind.
Hey, Dr. Weaver, right?
Sandy Lopez.
Right.
Good job last week.
I hear the lady and the baby
are doing okay.
Yeah.
Hey, Abby, I got this.
Okay.
Do you need something?
I was looking for Luka.
He's with a patient.
Oh.
Do you want
a cup of coffee?
So, based on
your extensive observation
of Dr. Benton
and Reese
how would you summarize
their relationship?
Peter's completely
devoted to Reese.
He's always focused
on what's best for him.
I can't imagine anyone
being a better father.
Thank you.
Are you and Dr. Benton married?
No.
Living together?
We've discussed it.
How long have you been a couple?
Almost three years.
So, you didn't break up in June?
It wasn't exactly
a break-up...
And get back together
two weeks ago?
Are you tracking
my love life?
Objection. Argumentative.
Sustained.
Let me ask
do you consider yourself
a stable factor in Reese's life?
I do.
How can we be sure
you won't break up again
next week, or next month,
or next year?
Objection. Calls
for prophecy.
Goes to the stability
of the home.
Point taken, but you can answer.
It's my intention to be around
Peter and Reese for a long time.
You occasionally
baby-sit for
Reese, don't you?
Quite often.
We get along well.
There was an incident
with a piano.
Could you explain?
Reese hurt himself.
Under your care.
It wasn't my...
So, that's the supervision
Dr. Benton entrusts
his son to.
Objection.
I looked away for two seconds.
When he's the one
who should have
been looking
after him.
Are you going to
ask a question?
Counselors, let's all breathe.
15 minute recess.
Is that decaf?
No.
Oh. I shouldn't have caffeine.
Oh, right, I forgot.
Luka told you?
Have you had
a pre-natal exam yet?
Not yet.
I used to work in O.B.
I could do an ultrasound.
That's nice of you,
but I'll take care of it.
How do you know you're pregnant?
Thanks for the coffee.
This is not the
way to get Luka.
What are you
talking about?
The truth.
What happened to your father?
I told you-- he killed himself
when I was little.
And then miraculously
came back to life again
so he could kick you out
when you were 16?
Is this funny to you?
No. I'm just trying
to figure it out.
You haven't told anyone
the same story twice.
My mother remarried
and my stepfather
didn't want me around.
Okay, I guess you have an answer
for everything.
I guess
everything's your business.
I just don't want
to see him hurt.
Maybe you don't want
to see him happy.
I know what won't
make him happy.
A made-up life.
I, you know, if, if this
if this is all for real,
that's great-- go for it.
But if it's not
he's going to figure it out.
He's not stupid.
You know, I never got a chance
to thank you for the...
Saving your life?
( chuckling ):
Uh, yeah, that.
Listen, no sweat.
It was a crazy night.
That's a pretty crazy job.
I haven't met too many
female firefighters.
The only one
in Company B.
Must be
pretty challenging.
No, not really.
I'm just one
of the guys.
Anyway, I'll see you around.
Did you get
a wound check?
Hmm?
Your hand.
Oh. Uh... I don't like doctors.
You should let me
take a look at it
before you go.
Maybe some other time.
What happened?
Rudy dropped his sats.
B.P.'s 230/120.
Pulse ox 78 on 15 liters.
He stopped
breathing.
One of pavulon,
100 of sux.
What's going on?
Let's check the fundi.
There's increased pressure
in your son's brain.
What are you going to do?
Well, we're going
to help him breathe first.
Multifocal PVCs.
Dr. Greene?
Push another 100
of lidocaine.
Heart rate 58.
It's Rachel.
I can't talk
right now.
Start nipride
at 70 mikes.
You told her
to check in.
Elizabeth will be home at 6:00.
I'm in.
Lily, another 60 of nimodipine.
I'll get it.
Looks like V Tach.
Oh, God.
No pulse.
Charge to 200,
and start compressions. Go.
Have you ever tried
a non-heartbeating protocol?
I observed one
at Case Western.
They take the patient
to the O.R.
turn off the vent
and wait for the heart
to stop beating.
Meanwhile, lack of oxygen
can ruin the organs.
You remove them after
only two minutes
of cardiac arrest.
They should
still be viable
and she'll get
a natural death.
She's dead either way.
This approach only compromises
the success of the transplant.
It's the only approach the
husband will consent to.
You know that for a fact?
You presented this
to Mr. Pruitt?
NICOLE:
Luka?
I suggested it
as an option.
Without consulting me.
She's my patient, too.
You're not the one
who needs approval
for an unconventional
procedure
nor are you the one
going to have to do it.
Can you
take a break?
Yeah.
Dr. Weaver, is there
anyone in Exam Four?
The middle bed
in there is free.
Uh, I don't want
to tie up a monitor.
Hey, do I have
to keep this in my arm?
Yeah. If I'm right,
you might even need
emergency meds.
What if someone comes in?
These doors lock
from the inside.
Oh, my God.
Is that
what I think it is?
Ah. Just give me one second.
Malik.
I thought this guy
was going to the morgue.
I was just about to.
( no audio )
HALEH:
We need epi in here.
MALIK:
How many amps?
As much
as you can carry.
Maybe this
isn't such a good idea.
No, it'll be fine.
JARVIK:
Charged to 360.
Clear.
GALLANT:
Asystole.
How long
has he been down?
45 minutes.
Resume compressions.
How much epi?
Push another
four milligrams.
HALEH:
How much longer
are we going?
I'm going
to bring him in.
You're calling it?
Not yet.
Rudy hasn't had
a heartbeat in
almost an hour.
How could this happen?
He had a massive
hemorrhage.
No.
It damaged the
part of his brain
that controls his heart
and his breathing.
You said
they could fix it.
There wasn't
enough time.
Keep trying, please.
We've shocked
him repeatedly.
We've used every drug.
Nothing is working.
Do you want to
say good-bye
before we stop?
You fought hard, Rudy.
You never gave up.
I'm proud of you.
We'll never
forget you.
Shut up.
We love you, mijo.
( sobbing ):
You'll always be
in our hearts.
Shut up! Shut up!
Can you hear me?!
Shut, shut up!
( sobbing )
Shut up!
( frustrated yell )
( crying )
Just let us know
when you want us to stop.
( crying continues )
I hope it snows.
I'd like to see the
city covered in white.
Yeah, it's pretty.
Till your car won't start.
Maybe I can get a job
shoveling sidewalks.
Might be good
if you don't work
for a while.
Take care of yourself.
The baby.
I need to work.
You don't need to worry
about the rent.
I talked to my friend.
I think I found a job.
Wow, that was quick.
He's opening a
cafe in Montreal.
He wants me to
help run it.
I can't move to Montreal.
You've been very generous.
I'm thankful for everything.
So...
What are you saying?
That's it?
You could leave
like that?
Listen, my shift's over at 7:00.
Let's talk about this tonight.
I'll call you
in a few days.
Are you angry with me?
No, of course not.
Do you think
I'm angry with you?
I hope not.
Then why?
I-I thought
we both felt the same.
You're a good person
but you talked yourself
into loving me.
This isn't real.
I'll leave the
key inside.
I made an OB appointment
for Friday.
It's not necessary.
It is.
No, it's not.
I'm not pregnant.
I felt safe for the first time
in a long time.
I didn't want to lose you
so I made it up, Luka.
I'm sorry.
I made it all up.
( rhythmic squeaking )
I think we need
two layers.
You know how
to bury the knot?
Take your first bite
in the center deep...
and then come up sub-Q.
( pounding )
You hear
something?
You're nuts.
I hear banging.
What's that noise?
Oh, I think they were working
on the pipes or...
( moaning )
Oh, that don't
sound like pipes.
You got this?
Yeah, yeah,
I think so.
Who is in there?
My allergy patient.
The lady with hives?
And her husband.
Don't tell me you
are tying up
a room so they
can have sex.
I'm... conducting
a clinical trial.
Send them to
an allergist.
No, that'll take weeks.
They're young.
They're aroused.
They want
their answer now.
Does Weaver know
you're running
a brothel?
It's not a brothel
if they're married.
Dr. Lewis,
lab's back
on Escalona.
I didn't order any labs.
Rudy? Kid who arrested.
Oh, I had the brother.
That's mine.
It wasn't your fault.
Sometimes things happen
you can't explain.
Rudy's labs came back.
Did he ever take
any stimulants?
I'd never let him
do that.
There was ephedra
in his bloodstream.
Ephedra?
It's a natural supplement.
It's in power formulas.
He drinks
Beta-Morph
sometimes.
From where?
From the store.
He wanted to
drink a six-pack
before we sparred.
He said he wanted
to dust me for once.
The ephedra
probably raised
his blood pressure,
causing one of the vessels
in his brain to rupture.
Why would he do it?
To enhance his performance.
He wanted to make
you proud, Dad.
You knew about this?
He was never tough
enough for you.
Why didn't you stop him?
You kept pushing him
and you never let up.
Calm down, guys.
No, he was
just a kid.
No, he wanted
to be a champ.
Look, that's
what you wanted.
It's over.
I'm through.
This is not the way
to honor your brother.
It's my choice.
It's not your choice.
You were born with a gift.
Look,
come on, Jor--
No, here's your gift.
Here's your gift.
( sighs ):
Man...
He's spinning everything
his way.
We'll get it all
back on your
testimony.
Hey.
Hey, everything
all right?
Yeah, I just couldn't
sit at home
not knowing
what was going on.
We're just
getting started.
You testify yet?
No, Roger
went first.
What'd he say?
That I was
the world's
greatest father.
Peter...
I asked him to help
out with Reese a
couple of times.
He made it seem
like it happens
all the time.
( sighs )
He lied.
It's his version
of the truth.
Isn't that perjury?
Isn't there something
you can do?
Jackie!
Wait a minute.
Why were
you lying?
Jackie?
Leave us alone.
BENTON:
Jackie, don't.
Get away from me.
Wait a minute, stop it,
and tell the truth.
Ma'am, step away.
BENTON:
Jackie, this isn't
helping, all right?
Get your own family.
He got us here.
His choice.
Reese is our boy.
Jackie...
He's our boy!
Jackie...
( rhythmic squeaking
and pounding )
( sighs and moans )
What are you doing?
Getting caught
up on my charts.
You were listening.
No.
You were, you were listening
to them have sex.
I am not.
You usually chart at Admit
or in the lounge.
I can chart
wherever I want,
and I don't need
to listen to
your porno patients for kicks.
( squeaking and pounding stops )
They stopped.
See? You were listening.
She okay? Do you think
we should check?
What's going on in there?
Ask Carter.
You broke
your fifth metacarpal.
Damn.
Hey, that's what they
call a boxer's fracture.
You're going to be
in a cast
for about six weeks.
Good.
Dr. Greene? Teenager with
a ten-foot fall
coming in.
Get Carter.
Clear Trauma One.
Hey, you want
me on that?
Numb him up first.
Hematoma block.
Does my dad know?
Uh, not yet.
Can you tell him?
It would be better
coming from you.
Listen, Jorge, uh...
everybody has a hard time
talking to their father.
Yeah, well, it's
different with him.
I mean, he's
old school.
He grew up in Cuba.
When did he come over?
Before I was born.
( clears throat )
He was a great fighter.
When he tried to leave,
they broke his hands.
Well, that's why
he pushes you so hard.
Yeah.
I guess he just wants us to have
what they took away from him.
You ever talk to him about this?
Well, maybe
you should.
I'm sorry, honey.
Maybe you just need
a little break.
Carter...
Well, you never
used to have
a problem
finishing.
That dead guy
freaked me.
Well, you need
to use condoms
until you can try again
under medical supervision.
I never used
to be allergic
to sperm.
It's the semen,
actually.
Oh, what would
cause that?
Sometimes multiple
sex partners...
Have you had
more than ten?
Ten?
Let's go, honey.
I thought it was just
me and Kenny Markowitz.
What else haven't
you told me?
That's a very good job there.
It's very diplomatic.
It was your
diagnosis.
No, I bring people
together, Susan.
Oh, yes,
you and Cupid.
16-year-old male
fell from a lamppost.
Carter.
Uh-huh.
Good vitals.
No LOC.
Obvious ankle fracture.
No meds, no allergies.
Okay, everybody,
grab hold and on my count.
One, two and three.
Pulse ox 99 on two liters.
Got any
pain here?
No, I'm fine.
Turn your head
towards me.
GREENE:
You need help?
Yeah, could you
Doppler the foot?
You got it.
Okay if I
cuff him, Doc?
Yeah, do it on
the right side.
Turn away from me.
MARQUEZ:
BP's 124 over 78.
Does it hurt?
No.
Neck's clear.
Let's get him
off the board.
Bounding
dorsalis
pedis.
Go.
What's he in
custody for?
Kids were stealing
street signs.
Anybody
else hurt?
No, girl's fine.
She's in the car
with my partner.
Okay, we're
going to sit
you up now.
What's your name?
Andrew.
Don't I know you?
That your daughter?
She's not under arrest?
No, situations like
this, we just like
to scare them
a little bit.
Take them down
to the station,
call their parents.
They release
her to me?
I'll call the Sergeant.
Shouldn't be
a problem.
I'd appreciate that.
Got a phone
I can use?
Yeah.
WEAVER:
I adjusted
her meds.
Have the nurse call
if she has any questions.
Hey.
Lopez.
Still got time
for a wound check?
Uh, I thought you
had to leave AMA.
Oh, it wasn't
bothering me
until I jammed it
rolling some hose.
Still bleeding?
I don't think so.
Come on, let's
take a look.
Okay.
WHARTON:
What happens when
you're on call?
We work 12-hour shifts.
7:00 AM to 7:00 PM?
Half the time.
And the other half,
you work overnight?
There's always a surgeon
in-house.
So, you cover weekends, too?
Sometimes.
Looking at
your schedule
it appears that
over half your shifts
are weekends
or overnights.
Well, I'd have to check.
Take me through
what happens when
a gunshot victim
enters the ER.
Well, I evaluate the patient
and I take them
to the O.R., if necessary.
Gunshot to the chest.
How long of an operation
is that?
Well, that depends.
On what?
The path of the bullet,
extent of vascular damage
if bypass is necessary
for cardiac repair.
So, it could take
over an hour?
I'd say three hours was
a reasonable estimate.
Sometimes longer?
Five hours?
Sometimes.
So, if a patient
comes in at 6:30 PM
who takes over for you at 7:00,
when you go home to Reese?
Well, I try to get someone
to cover for me.
And if you can't?
Then I stay with the patient.
If an operation takes
five hours
you'll be there till midnight?
That's a rare situation.
But it happens?
It's possible.
So, when you're tied up
in surgery all night
who's looking
after Reese?
Well, I have the support
of family and friends.
Like Dr. Finch, for example?
Yes.
Cleo is very good with Reese.
Yes, we've already
covered that.
Who else helps you out?
My sister, Jackie, picks him up
from school, if I have to work.
And makes him dinner?
Sometimes.
And puts him to bed while you're
working the night shift?
That's right.
Is she always available?
Jackie's become
like a mother
to Reese these
last few months.
But initially,
after Carla died
Jackie wasn't
so receptive
to the idea
of caring for
Reese, was she?
It was a tough time.
She has her own children,
doesn't she?
Joanie, her daughter.
Wasn't there a boy?
Yeah, uh, Jesse,
my nephew.
He died last year.
The death was
gang-related, right?
Objection.
He can answer the question.
Yes.
How is your sister handling
that loss?
You know, I'm sorry.
I don't, uh...
I don't see how
this pertains
to my fitness
as a father.
PRAGER:
Your Honor, this is
far afield.
Goes to the
stability
of the person
he's identified
as primary
caregiver.
I'll give some latitude.
Is Jackie under
the care
of a psychiatrist...
I don't know.
...for situational
depression
and pathologic grieving?
She lost her son.
Is she
currently being
managed by medication...
This has nothing
to do with Reese
or my ability to
care for him.
...whose side
effects include
insomnia, sedation
and anxiety?
Gentlemen?
Why don't you ask me
what kind of father I am?
Why don't you ask me about
how I was there when he was born
prematurely, how I stayed
in the hospital in the NICU
watching over him,
making tough decisions
and praying over him
day and night?
Why don't you ask me that?
Your Honor,
a moment with my client.
Dr. Benton...
Your Honor,
there's
no question before the court.
No, why don't you ask me
about Reese
so I can tell you that there's
nothing more important
to me in this world
than my son?
Why don't you ask me that?
You can't let that
happen again.
They were
provoking him.
You better get used
to it, Peter.
I said what I had to say.
Well, I hope you feel better,
'cause it sure didn't help.
What did the judge
say in chambers?
That he was impressed
with Roger's availability.
Availability?
I'm available to Reese.
We're going to have
to make a better showing.
All right.
I'll do better tomorrow.
That's not going to do it.
Your hours are hurting us.
He's a surgeon.
It goes
with the job.
Do you want to keep your son?
What do you think?
That you need
to start setting priorities
and making some
hard choices.
That's what I think.
How well do you know Andrew?
What's that
supposed to mean?
Does he do drugs?
I don't think so.
Are you sure?
What's this?
Results of his tox screen.
He tested positive
for marijuana.
Aren't you supposed to
keep that confidential?
Were you smoking with him?
No.
Have you ever smoked with him?
I wouldn't do that.
Good.
Then you'll test negative.
Are you serious?
You don't trust me?
I trusted you to go home
after school.
Dad, he was going
to drop me off
but then he
wanted to stop.
We agreed no rides.
I missed the bus.
You should have called me.
I didn't want to bother you.
Sure didn't work out that way.
You want me to pee in a cup?
Yep.
Yes, a gram of Ceftazidime.
Michael, did the family choose
a mortuary yet?
What?
Rudy Escalona.
We need to get him
to the morgue.
No. Not the ICU, the ER.
Thanks.
Oh, you need me
to do something?
Ask Frank
for the decedent packet.
Luka?
Hmm?
You weren't here
so I gave Collins
the Gent first.
Thanks.
Um... I had to go out.
Everything okay?
She's leaving town.
Why?
I don't know.
Dr. Kovac,
Exam Four's vomiting blood.
What about the baby?
There is no baby.
I started another line
on Zahler.
Did you have a written order?
It was right
up there.
Why was Abby about to discharge
my bowel obstruction?
I have no idea.
Because you can't write
between the lines.
Oh, sorry.
BENTON:
Carter, is this
one yours?
Oh.
Mrs. Urman?
Gave her 50
of benadryl.
What happened?
I guess you were right.
We followed
our bliss.
Where?
To our pickup truck.
I figured
we'd be safe
right by the
hospital, so, uh...
I'll get her started.
300 of cimetidine.
I will be right there.
Ooh, that's a very nice suit.
Thanks. I was in
court all day.
A patient?
No.
Something wrong?
No. Everything's
cool.
Dr. Benton, they need you
in the O.R.
Mr. Escalona.
Uh, if you'd like,
the nurse said
that we can make arrangements
for the funeral home.
We used Rose
Hills when his
mother died.
But I-I never
thought that...
He was a good kid.
He made
everybody smile.
Jorge--
he was the serious one.
I didn't mean to
lose my temper.
It's been a hard day,
you know?
He doesn't want
to see me.
He doesn't understand.
You, uh, should give him
a shot.
He might surprise you.
( sighs )
( both crying )
Sorry to be brief
but my nanny gets
off in six minutes.
Diane Pruitt--
GSW to the head.
Transplant teams
are flying in
from Indiana
and Michigan.
The gas station robbery.
Yes. Romano
has agreed
to a non-heart
beating protocol.
When did we start
doing that?
Today,
apparently.
That's the husband
over there.
If you could review
the procedure with
him once more?
He's already consented, right?
Yeah, of course.
What is there to talk about?
The man needs some reassurance.
Elizabeth, you had him
for 12 hours.
You deal with him.
He wants to talk
to the operating surgeon.
( sighs )
Peter, what's the matter?
Nothing. Go home.
Mr. Pruitt?
Hi.
I'm Dr. Benton. I'll be
coordinating the procedure.
As soon as the out-of-state team
gets here
we'll take her
to the O.R.
Okay.
I, uh... I tried to explain it
to her, but, uh,
she's too young.
I don't know how
I'm going to do this by myself.
Well, you're going
to do the best you can.
You're supposed
to be on light duty.
I was moving
some gear.
No, you went on a run.
( chuckling )
I get a little
stir crazy.
Okay.
Looks pretty good,
no sign of infection.
That's it?
No. You need a new bandage.
So, is, uh...
Captain Devlin
still at the seven-five?
I know the name.
Those guys used to hang out
at a place called the...
"Moose and Squirrel."
( laughs )
Yeah. Every Friday night.
That was a fun place.
Uh, you should
have someone remove the stitches
in four days.
I know where
to find you.
Listen, Sandy...
Oh, gosh, I'm sorry.
I'm sorry.
Oh, I bunched it up.
That's all right.
What were you saying?
Do you want
to do something?
Excuse me?
Uh, sometime?
You know, something.
Something?
Uh, I don't know.
Lunch or a movie
or... ice fishing.
( laughs )
Like, go out?
Yeah.
I mean, unless I'm totally
off base here.
No.
No, you're on base.
How's it going?
Fine.
Your drug screen
came back.
Everything was
negative.
Don't look so disappointed.
I know
you're upset.
But I had
to do this
because I want
you to be safe.
I care more
about that
than about your
being angry with me.
I want to be able
to trust you.
It's something we
both have to work at.
Can I go now?
Is the recipient ready?
Yeah. All I need is a liver.
All right. The heart
team gets first crack.
But tell them
to make it snappy.
Sternal saw's up.
Open the oh dexon,
atraumatic needle.
( saw whirring )
All set?
Good to go.
After two minutes
of cardiac arrest
I'll call it,
and then we'll
begin procurement.
How's her
oxygenation?
Fine. Satting at 100%.
BENTON:
Good. Turn it off.
( vent goes silent )
Respiratory support discontinued
at 20:37.
( EKG monitor beeping )
Oh, they're sweet.
I hope they
get pregnant.
Shouldn't be a problem.
The endocrinologist can wash
the sperm
and then it's safe
to artificially inseminate.
Hmm.
That's a new one.
Just goes to teach you
never to doubt my diagnoses.
Yeah, no matter
how loony they are.
I can't believe
they did it
in the back of
a pickup truck.
They had a camper shell.
How do you know?
I saw it.
You did?
Yes. In the front
of the hospital.
It's their honeymoon suite.
Very weird.
Not so weird.
Ferris wheel--
that's weird.
Really?
I-I was young.
It was my first real boyfriend.
Where else?
Your turn.
Camping. Where else?
In a tent?
That's the best
you can do?
Uh...
( snaps fingers )
On a train to Seattle.
Really?
Mm-hmm.
With who?
I was by myself...
but it was memorable.
( laughs )
Mm. It's cold.
Yeah. We should probably go in.
Yeah.
Carter...
You don't have any allergies
I should know about, do you?
Oops.
( laughter )
Where were we?
( monitor beeping )
How long has it been?
49 minutes.
Tissues could be
getting ischemic.
All right. Send an ABG,
lytes and a lactate.
Who's in charge here?
I ordered liver an hour ago
and I haven't seen my waitress
since.
The patient's breathing
on her own.
Ugh. How inconsiderate.
Well, this could take hours.
Page me when she goes.
What do you want to do,
Dr. Benton?
Let's just wait.
Previously on E.R.
She's pregnant. Who?
Nicole.
Oh, yeah, yeah, my stuff
just leapt into her bag.
Nicole?
You know, I used to have
a crush on you.
I had a crush on you, too.
I'm glad you came back.
Me, too.
( crying )
Get in!
No, I'm good!
No, you're not!
Go on, get out of here.
Come on.
What was that about?
I'm being subpoenaed.
For what case?
Reese-- Roger's suing
for custody.
JACKIE:
He drew this?
Yesterday afternoon.
He's got talent,
don't you think?
Hey, Jackie.
Hey.
Thanks for dropping him off.
No problem.
Hey.
I missed you last night.
Me, too.
I know
I had to work late.
No, no, no, I can't play.
I'm going to come back
and put you to sleep.
Yeah.
Yeah?
Dr. Benton,
Romano wants you to assist
on a post-op colectomy.
I'm off at 8:00.
It's 7:55.
Call Edson.
Oh, damn it.
JACKIE:
What is it?
( sighs ):
It's the E.R.
I thought of something.
Remember how Carla
wanted Reese
to be with you
on Father's Day?
It says a lot.
The judge should know.
That's good, yeah.
We'll be okay, right?
Yeah,
it's his first day.
Maybe I should be
there to help.
Jackie, you are helping.
GREENE:
Rachel Greene--
I need a copy of her
attendance records.
You could have
told me.
I didn't know.
Okay, I'll hold.
Who's allergic
to lilies?
She may not have
appreciated the symbolism.
Symbolism?
Lilies are for funerals.
Oh, God,
I'm sorry.
I just wanted to send
her some flowers.
You got his
grandmother flowers?
I can't seem to get
in her good graces.
How's her leg,
anyway?
I think she's
still more concerned
with the girl she hit.
I already met
with the Vice Principal.
I thought that
girl was better.
Yeah, she's on her upswing.
About to have a much
bigger bank account.
She settled?
Very good offer.
Good, so you can fax it to me?
Who's paging me?
They need you in Room Two.
Where's Corday?
Upstairs.
Isn't she on for trauma?
We just got here.
I thought she was
out on leave.
She's been cleared
to operate.
What about
all the dead geezers?
You know, there's
no evidence
of any wrongdoing.
Good news.
( under breath ):
When the paramedics roll me in,
I'll take Romano.
Entrance left temple, no exit.
What type of gun?
Cops said a .32
at close range.
Pupils are five
millimeters and fixed.
Who shot her?
Does it matter?
Got caught in
a gas station holdup.
Absent blink reflex.
Probable
brain stem damage.
All right, did we
push mannitol?
Peter,
I'm still assessing her.
What the hell are
you waiting for?
We're checking
for signs...
Let's push the mannitol
load Dilantin and
hyperventilate.
I was taking Gallant
through the neuro exam...
Why don't you treat
the patient first?
ABG, gram of Ancef
and a head CT.
What's the GCS?
Elizabeth
it's 8:20.
Sorry, I had
to change.
Let's call Neurosurg if there's
something fixable on CT.
What's the rush?
I have to be
somewhere.
MARQEZ:
Heart rate's dropped to 50.
Push an amp
of atropine.
Is there a problem, Peter?
Yeah, you're late
and I have to get
the hell out of here.
What's the Caloric
reflex?
Slow deviation
to the stimulus.
And then?
Uh...
Saccadic return to the midline.
Date of birth,
9/12/73.
Dr. Benton ever
in a good mood?
He has his moments.
Go ahead.
No response.
Looks like she's a donor.
( sighs ):
I'll be right back.
KOVAC:
Is there
any other family
we can call for you?
( choked up ):
Her parents live
in Minnesota.
We were going to
drive there today.
This is Dr. Corday.
I'm so sorry, Mr. Pruitt.
Are you going to operate?
The bullet passed through
the brain stem.
I'm afraid no surgery
can repair that.
Well...
Is there any chance
that she'll s-survive?
She's no longer breathing
on her own.
We have to wait
and see
if she regains consciousness.
But it's highly
unlikely.
The medical exam is consistent
with brain death.
I was still asleep
when she left.
I know this is a difficult time,
but we found a donor card.
A what?
Your wife wanted to be
an organ donor.
Oh, yeah, I-I guess
that's what she wanted to...
Can I go see her?
Yeah, sure.
Elizabeth, we need you in here.
ZADRO:
Started an 18 gage
in the left AC.
Rudy Escalona,
15 years old, LOC.
from blunt head trauma--
one, two, three.
ZADRO:
Boxing league.
He took a lot of punches
during practice.
Any medical problems, Rudy?
Huh?
No-- my son's
in good shape.
Do you know
where you are?
I hit him, man.
I hit him good.
Pulse ox is 98
on two liters.
Pupils equal and reactive.
Do you know what year it is?
Nobody thought I could do it...
Answer the doctor.
...but I did it.
Squeeze my hand, Rudy.
Haleh?
He's not responding.
We need to get some
information from you, sir.
Airway's okay.
Still has gag.
No, I'll stay.
Uh, after
the X-rays, you can come back.
Abdomen soft,
no guarding or rebounds.
How late are you on?
Peter should be back by 6:00.
I'm on till 10:00.
Can you check Rachel's homework?
Sure... lateral C-spine
and a head CT.
She needs help
with her trinomials.
Normal Babinski.
I believe
I failed Algebra.
It's either that or
the Revolutionary War.
I'll stick with math.
Why can't you talk
to Human Resources?
It won't change
the outcome.
Nicole's had
a tough time.
She deserves
a second chance.
Is that your
objective opinion?
Okay, she made
a mistake
but I know it won't
happen again.
Look, Luka, the hospital
has a zero-tolerance policy
against stealing.
But, if you explain
the circumstances
they might
reconsider...
There is nothing
to explain.
Kerry, just do it
as favor to me.
I'm sorry, I can't.
Or you won't?
Please, I got her the job.
You should have
screened her first.
Carter, what is this abscess
still doing in Exam Four?
It's peri-rectal.
Yeah, it definitely
needs surgery.
So, you're on this too, Susan?
Carter wanted a
second opinion.
No. Call surgery, we're busy.
One doctor per patient.
Have fun suturing.
Have fun with
your rectum.
When was your last tetanus shot?
Uh, you better ask my Dad. I...
Jorge, this is Dr. Lewis.
Hi. How's his exam?
Uh, two centimeter lac
on the labial mucosa
I'd suggest an interrupted
four-oh vicryl.
How'd you get hurt?
Ow.
He was boxing.
And the other guy?
You tell me.
The patient
in Trauma One?
Jorge's little
brother, Rudy.
Yeah, he got in
a good one.
I kind of lost it
but I didn't mean
to hurt him-- not bad.
There you are.
How's Rudy?
They say he's
going to wake up.
He's going to be all right.
You okay?
He needs a couple
of stitches.
Does it hurt?
No.
This is one tough kid.
Be careful of your reaction
to the testimony.
No sighing, no faces.
What if I need to
ask you a question?
Write it down,
I'll answer.
Schedule change,
they switched judges on us.
Who did we draft?
Alter.
Is that good
or bad?
Well, he always
favors the mother.
It's not a problem
in this case.
It wouldn't hurt to show
your maternal side.
Right.
Is that the tie
you're wearing?
Mm, what's wrong
with it?
Well, it's
a little showy,
don't you think?
And when it comes
your turn
don't get
too emotional.
You don't want
to come across
as cold or
unfeeling, either.
You make it sound like
it's some kind of performance.
Well, it is.
That is the whitest tie
I've ever seen.
It's blue.
She's breaking out in hives,
like an allergic reaction.
To what?
I don't know.
Nobody's figured
it out.
We've been to three
ERs this week.
50 of Benadryl
in the field.
Push 125 of Solumedrol...
We've found guided
imagery helps.
Close your eyes, honey.
Who's your doctor?
Oh, he's in Syracuse.
We're on our honeymoon.
Oh, better hide
the good silver.
What's she doing here?
Meeting with personnel.
I heard she's
getting fired.
Let our souls
intermingle...
Uh, any new soaps or pesticides?
Everything's the same.
What do you mean?
What about latex?
Yeah, some people
are allergic to rubber gloves
tennis shoes, condoms...
Condoms?
We stopped
using them.
CARTER:
When?
A couple weeks ago.
We're trying to get pregnant.
Everything's
all right.
Feel the warmth of the sun.
Just embrace the joy...
Rudy's vital signs
and oxygen level are good.
Is he awake now?
Not quite yet, but he
might be able to hear you.
Go ahead.
Thanks.
Even before I married Carla,
we discussed it.
I knew it would be
a challenge
but we agreed
that our first priority
would always
be Reese.
You took a variety
of steps
to be a good parent to him,
didn't you?
I learned
to sign, I...
I've always been in contact
with his teachers.
I've been volunteering at his
school ever since he started.
And you're
self-employed?
I run a Web site company
out of my home office.
What kind of hours
do you have?
Completely flexible.
I make my own work schedule.
Have you ever needed to hire
a baby-sitter for Reese?
No.
Ever needed to have
someone else
pick him up
from school?
No.
So you've never
passed
Reese's care-giving
on to anyone else?
Never wanted to.
But Dr. Benton often requires
help, doesn't he?
Objection.
Outside his scope.
Mr. McGrath
has direct knowledge.
He can testify
to what he's observed.
Overruled.
Peter has a long list of people
who pick Reese up from school.
His girlfriend, his sister
his niece--
they're all involved
in looking after him.
And even Dr. Benton himself
has asked you
to help him out,
hasn't he?
Yeah.
He asked me to get Reese.
But I don't mind.
I want to be with him.
Did Reese
ever mention to you
where he prefers to sleep?
Your house
or Dr. Benton's?
He likes my place.
Why is that?
He says it's his home.
CORDAY:
Once the procurement teams
arrive, we'll move her
to the O.R.
And she'll be on
a ventilator?
Yes.
So her heart will
keep beating.
So she'll be alive when
you remove her organs.
Mr. Pruitt, your wife's brain
is not functioning
at its most basic level.
There is no medical
distinction
between brain death
and cardiac death.
You said that
the machines
are keeping
her alive.
Not exactly.
They're merely keeping
her organs viable.
Can't you just let
her die naturally?
To get healthy organs
we procure while
the heart's still beating
and there's oxygen
in the bloodstream.
I don't know.
I don't know.
We never talked
about this.
Look, I know she
filled out the card
and everything, but...
I understand.
I'm not so sure
that I can do this.
Why don't you take
some time with her?
I'll come back
and we'll talk some more.
Dr. Corday,
pre-op's ready.
We're going
to wait a bit.
Abby, I need morphine now
for a perilunate dislocation.
How much?
Uh, get 20
just to be safe.
What's the
patient's name?
Bovard.
I saw Nicole.
They let her go?
I'm sure she'll
find another job.
It's not important.
She might want
to take it easy now
with the baby coming.
She's keeping it?
You thought she wouldn't?
Uh, I don't know, it's-it's
tough being a single mother.
Maybe she won't be.
Um, I'll need
some Versed, too.
You can't be serious.
She's a good person.
You met her, like,
five minutes ago.
It's the right thing to do.
Did she ever take
a pregnancy test?
Of course.
Did you see it?
I mean, in front of you?
I trust her.
And what, exactly,
has she done
to deserve that?
How can you be so...
Even if it
is yours, there's
other ways to help.
How much Versed?
I'll do it.
No, I'll do it...
I said I'll do it.
There was some bleeding
deep inside Rudy's brain.
How bad is it?
The problem's usually
a weak arterial wall.
If we can prevent
any further hemorrhage
he should be okay.
He's always begging
to get in the ring
with his brother.
I shouldn't
have let him do it.
This isn't from boxing.
It's a pre-existing
condition.
What do you
have to do?
The neural radiologist
can use a catheter
to mend the artery
from within.
And then he'll be okay?
He should be.
Look, you didn't
cause this, okay?
It could have happened
at any time.
It happened when I hit him.
Susan, you have Curtain
Two-- a woman with hives.
No, I've got
the thyrotoxicosis.
That's mine.
Is she ready
for dispo?
No, I'm still
working her up.
Have either one of you guys
ever heard
of an allergy to semen?
Maybe an aversion,
but not an allergy.
There's hundreds of proteins
that are potential antigens.
Is that
your best diagnosis?
It's a possibility.
You must be desperate.
This is Sean Gatley.
My foot's stuck.
You doing okay, buddy?
Dad wouldn't let us
break the thing.
The toilet?
It's a personal
hygiene system.
Oh, you're out
of your mind.
Hey, Dr. Weaver, right?
Sandy Lopez.
Right.
Good job last week.
I hear the lady and the baby
are doing okay.
Yeah.
Hey, Abby, I got this.
Okay.
Do you need something?
I was looking for Luka.
He's with a patient.
Oh.
Do you want
a cup of coffee?
So, based on
your extensive observation
of Dr. Benton
and Reese
how would you summarize
their relationship?
Peter's completely
devoted to Reese.
He's always focused
on what's best for him.
I can't imagine anyone
being a better father.
Thank you.
Are you and Dr. Benton married?
No.
Living together?
We've discussed it.
How long have you been a couple?
Almost three years.
So, you didn't break up in June?
It wasn't exactly
a break-up...
And get back together
two weeks ago?
Are you tracking
my love life?
Objection. Argumentative.
Sustained.
Let me ask
do you consider yourself
a stable factor in Reese's life?
I do.
How can we be sure
you won't break up again
next week, or next month,
or next year?
Objection. Calls
for prophecy.
Goes to the stability
of the home.
Point taken, but you can answer.
It's my intention to be around
Peter and Reese for a long time.
You occasionally
baby-sit for
Reese, don't you?
Quite often.
We get along well.
There was an incident
with a piano.
Could you explain?
Reese hurt himself.
Under your care.
It wasn't my...
So, that's the supervision
Dr. Benton entrusts
his son to.
Objection.
I looked away for two seconds.
When he's the one
who should have
been looking
after him.
Are you going to
ask a question?
Counselors, let's all breathe.
15 minute recess.
Is that decaf?
No.
Oh. I shouldn't have caffeine.
Oh, right, I forgot.
Luka told you?
Have you had
a pre-natal exam yet?
Not yet.
I used to work in O.B.
I could do an ultrasound.
That's nice of you,
but I'll take care of it.
How do you know you're pregnant?
Thanks for the coffee.
This is not the
way to get Luka.
What are you
talking about?
The truth.
What happened to your father?
I told you-- he killed himself
when I was little.
And then miraculously
came back to life again
so he could kick you out
when you were 16?
Is this funny to you?
No. I'm just trying
to figure it out.
You haven't told anyone
the same story twice.
My mother remarried
and my stepfather
didn't want me around.
Okay, I guess you have an answer
for everything.
I guess
everything's your business.
I just don't want
to see him hurt.
Maybe you don't want
to see him happy.
I know what won't
make him happy.
A made-up life.
I, you know, if, if this
if this is all for real,
that's great-- go for it.
But if it's not
he's going to figure it out.
He's not stupid.
You know, I never got a chance
to thank you for the...
Saving your life?
( chuckling ):
Uh, yeah, that.
Listen, no sweat.
It was a crazy night.
That's a pretty crazy job.
I haven't met too many
female firefighters.
The only one
in Company B.
Must be
pretty challenging.
No, not really.
I'm just one
of the guys.
Anyway, I'll see you around.
Did you get
a wound check?
Hmm?
Your hand.
Oh. Uh... I don't like doctors.
You should let me
take a look at it
before you go.
Maybe some other time.
What happened?
Rudy dropped his sats.
B.P.'s 230/120.
Pulse ox 78 on 15 liters.
He stopped
breathing.
One of pavulon,
100 of sux.
What's going on?
Let's check the fundi.
There's increased pressure
in your son's brain.
What are you going to do?
Well, we're going
to help him breathe first.
Multifocal PVCs.
Dr. Greene?
Push another 100
of lidocaine.
Heart rate 58.
It's Rachel.
I can't talk
right now.
Start nipride
at 70 mikes.
You told her
to check in.
Elizabeth will be home at 6:00.
I'm in.
Lily, another 60 of nimodipine.
I'll get it.
Looks like V Tach.
Oh, God.
No pulse.
Charge to 200,
and start compressions. Go.
Have you ever tried
a non-heartbeating protocol?
I observed one
at Case Western.
They take the patient
to the O.R.
turn off the vent
and wait for the heart
to stop beating.
Meanwhile, lack of oxygen
can ruin the organs.
You remove them after
only two minutes
of cardiac arrest.
They should
still be viable
and she'll get
a natural death.
She's dead either way.
This approach only compromises
the success of the transplant.
It's the only approach the
husband will consent to.
You know that for a fact?
You presented this
to Mr. Pruitt?
NICOLE:
Luka?
I suggested it
as an option.
Without consulting me.
She's my patient, too.
You're not the one
who needs approval
for an unconventional
procedure
nor are you the one
going to have to do it.
Can you
take a break?
Yeah.
Dr. Weaver, is there
anyone in Exam Four?
The middle bed
in there is free.
Uh, I don't want
to tie up a monitor.
Hey, do I have
to keep this in my arm?
Yeah. If I'm right,
you might even need
emergency meds.
What if someone comes in?
These doors lock
from the inside.
Oh, my God.
Is that
what I think it is?
Ah. Just give me one second.
Malik.
I thought this guy
was going to the morgue.
I was just about to.
( no audio )
HALEH:
We need epi in here.
MALIK:
How many amps?
As much
as you can carry.
Maybe this
isn't such a good idea.
No, it'll be fine.
JARVIK:
Charged to 360.
Clear.
GALLANT:
Asystole.
How long
has he been down?
45 minutes.
Resume compressions.
How much epi?
Push another
four milligrams.
HALEH:
How much longer
are we going?
I'm going
to bring him in.
You're calling it?
Not yet.
Rudy hasn't had
a heartbeat in
almost an hour.
How could this happen?
He had a massive
hemorrhage.
No.
It damaged the
part of his brain
that controls his heart
and his breathing.
You said
they could fix it.
There wasn't
enough time.
Keep trying, please.
We've shocked
him repeatedly.
We've used every drug.
Nothing is working.
Do you want to
say good-bye
before we stop?
You fought hard, Rudy.
You never gave up.
I'm proud of you.
We'll never
forget you.
Shut up.
We love you, mijo.
( sobbing ):
You'll always be
in our hearts.
Shut up! Shut up!
Can you hear me?!
Shut, shut up!
( sobbing )
Shut up!
( frustrated yell )
( crying )
Just let us know
when you want us to stop.
( crying continues )
I hope it snows.
I'd like to see the
city covered in white.
Yeah, it's pretty.
Till your car won't start.
Maybe I can get a job
shoveling sidewalks.
Might be good
if you don't work
for a while.
Take care of yourself.
The baby.
I need to work.
You don't need to worry
about the rent.
I talked to my friend.
I think I found a job.
Wow, that was quick.
He's opening a
cafe in Montreal.
He wants me to
help run it.
I can't move to Montreal.
You've been very generous.
I'm thankful for everything.
So...
What are you saying?
That's it?
You could leave
like that?
Listen, my shift's over at 7:00.
Let's talk about this tonight.
I'll call you
in a few days.
Are you angry with me?
No, of course not.
Do you think
I'm angry with you?
I hope not.
Then why?
I-I thought
we both felt the same.
You're a good person
but you talked yourself
into loving me.
This isn't real.
I'll leave the
key inside.
I made an OB appointment
for Friday.
It's not necessary.
It is.
No, it's not.
I'm not pregnant.
I felt safe for the first time
in a long time.
I didn't want to lose you
so I made it up, Luka.
I'm sorry.
I made it all up.
( rhythmic squeaking )
I think we need
two layers.
You know how
to bury the knot?
Take your first bite
in the center deep...
and then come up sub-Q.
( pounding )
You hear
something?
You're nuts.
I hear banging.
What's that noise?
Oh, I think they were working
on the pipes or...
( moaning )
Oh, that don't
sound like pipes.
You got this?
Yeah, yeah,
I think so.
Who is in there?
My allergy patient.
The lady with hives?
And her husband.
Don't tell me you
are tying up
a room so they
can have sex.
I'm... conducting
a clinical trial.
Send them to
an allergist.
No, that'll take weeks.
They're young.
They're aroused.
They want
their answer now.
Does Weaver know
you're running
a brothel?
It's not a brothel
if they're married.
Dr. Lewis,
lab's back
on Escalona.
I didn't order any labs.
Rudy? Kid who arrested.
Oh, I had the brother.
That's mine.
It wasn't your fault.
Sometimes things happen
you can't explain.
Rudy's labs came back.
Did he ever take
any stimulants?
I'd never let him
do that.
There was ephedra
in his bloodstream.
Ephedra?
It's a natural supplement.
It's in power formulas.
He drinks
Beta-Morph
sometimes.
From where?
From the store.
He wanted to
drink a six-pack
before we sparred.
He said he wanted
to dust me for once.
The ephedra
probably raised
his blood pressure,
causing one of the vessels
in his brain to rupture.
Why would he do it?
To enhance his performance.
He wanted to make
you proud, Dad.
You knew about this?
He was never tough
enough for you.
Why didn't you stop him?
You kept pushing him
and you never let up.
Calm down, guys.
No, he was
just a kid.
No, he wanted
to be a champ.
Look, that's
what you wanted.
It's over.
I'm through.
This is not the way
to honor your brother.
It's my choice.
It's not your choice.
You were born with a gift.
Look,
come on, Jor--
No, here's your gift.
Here's your gift.
( sighs ):
Man...
He's spinning everything
his way.
We'll get it all
back on your
testimony.
Hey.
Hey, everything
all right?
Yeah, I just couldn't
sit at home
not knowing
what was going on.
We're just
getting started.
You testify yet?
No, Roger
went first.
What'd he say?
That I was
the world's
greatest father.
Peter...
I asked him to help
out with Reese a
couple of times.
He made it seem
like it happens
all the time.
( sighs )
He lied.
It's his version
of the truth.
Isn't that perjury?
Isn't there something
you can do?
Jackie!
Wait a minute.
Why were
you lying?
Jackie?
Leave us alone.
BENTON:
Jackie, don't.
Get away from me.
Wait a minute, stop it,
and tell the truth.
Ma'am, step away.
BENTON:
Jackie, this isn't
helping, all right?
Get your own family.
He got us here.
His choice.
Reese is our boy.
Jackie...
He's our boy!
Jackie...
( rhythmic squeaking
and pounding )
( sighs and moans )
What are you doing?
Getting caught
up on my charts.
You were listening.
No.
You were, you were listening
to them have sex.
I am not.
You usually chart at Admit
or in the lounge.
I can chart
wherever I want,
and I don't need
to listen to
your porno patients for kicks.
( squeaking and pounding stops )
They stopped.
See? You were listening.
She okay? Do you think
we should check?
What's going on in there?
Ask Carter.
You broke
your fifth metacarpal.
Damn.
Hey, that's what they
call a boxer's fracture.
You're going to be
in a cast
for about six weeks.
Good.
Dr. Greene? Teenager with
a ten-foot fall
coming in.
Get Carter.
Clear Trauma One.
Hey, you want
me on that?
Numb him up first.
Hematoma block.
Does my dad know?
Uh, not yet.
Can you tell him?
It would be better
coming from you.
Listen, Jorge, uh...
everybody has a hard time
talking to their father.
Yeah, well, it's
different with him.
I mean, he's
old school.
He grew up in Cuba.
When did he come over?
Before I was born.
( clears throat )
He was a great fighter.
When he tried to leave,
they broke his hands.
Well, that's why
he pushes you so hard.
Yeah.
I guess he just wants us to have
what they took away from him.
You ever talk to him about this?
Well, maybe
you should.
I'm sorry, honey.
Maybe you just need
a little break.
Carter...
Well, you never
used to have
a problem
finishing.
That dead guy
freaked me.
Well, you need
to use condoms
until you can try again
under medical supervision.
I never used
to be allergic
to sperm.
It's the semen,
actually.
Oh, what would
cause that?
Sometimes multiple
sex partners...
Have you had
more than ten?
Ten?
Let's go, honey.
I thought it was just
me and Kenny Markowitz.
What else haven't
you told me?
That's a very good job there.
It's very diplomatic.
It was your
diagnosis.
No, I bring people
together, Susan.
Oh, yes,
you and Cupid.
16-year-old male
fell from a lamppost.
Carter.
Uh-huh.
Good vitals.
No LOC.
Obvious ankle fracture.
No meds, no allergies.
Okay, everybody,
grab hold and on my count.
One, two and three.
Pulse ox 99 on two liters.
Got any
pain here?
No, I'm fine.
Turn your head
towards me.
GREENE:
You need help?
Yeah, could you
Doppler the foot?
You got it.
Okay if I
cuff him, Doc?
Yeah, do it on
the right side.
Turn away from me.
MARQUEZ:
BP's 124 over 78.
Does it hurt?
No.
Neck's clear.
Let's get him
off the board.
Bounding
dorsalis
pedis.
Go.
What's he in
custody for?
Kids were stealing
street signs.
Anybody
else hurt?
No, girl's fine.
She's in the car
with my partner.
Okay, we're
going to sit
you up now.
What's your name?
Andrew.
Don't I know you?
That your daughter?
She's not under arrest?
No, situations like
this, we just like
to scare them
a little bit.
Take them down
to the station,
call their parents.
They release
her to me?
I'll call the Sergeant.
Shouldn't be
a problem.
I'd appreciate that.
Got a phone
I can use?
Yeah.
WEAVER:
I adjusted
her meds.
Have the nurse call
if she has any questions.
Hey.
Lopez.
Still got time
for a wound check?
Uh, I thought you
had to leave AMA.
Oh, it wasn't
bothering me
until I jammed it
rolling some hose.
Still bleeding?
I don't think so.
Come on, let's
take a look.
Okay.
WHARTON:
What happens when
you're on call?
We work 12-hour shifts.
7:00 AM to 7:00 PM?
Half the time.
And the other half,
you work overnight?
There's always a surgeon
in-house.
So, you cover weekends, too?
Sometimes.
Looking at
your schedule
it appears that
over half your shifts
are weekends
or overnights.
Well, I'd have to check.
Take me through
what happens when
a gunshot victim
enters the ER.
Well, I evaluate the patient
and I take them
to the O.R., if necessary.
Gunshot to the chest.
How long of an operation
is that?
Well, that depends.
On what?
The path of the bullet,
extent of vascular damage
if bypass is necessary
for cardiac repair.
So, it could take
over an hour?
I'd say three hours was
a reasonable estimate.
Sometimes longer?
Five hours?
Sometimes.
So, if a patient
comes in at 6:30 PM
who takes over for you at 7:00,
when you go home to Reese?
Well, I try to get someone
to cover for me.
And if you can't?
Then I stay with the patient.
If an operation takes
five hours
you'll be there till midnight?
That's a rare situation.
But it happens?
It's possible.
So, when you're tied up
in surgery all night
who's looking
after Reese?
Well, I have the support
of family and friends.
Like Dr. Finch, for example?
Yes.
Cleo is very good with Reese.
Yes, we've already
covered that.
Who else helps you out?
My sister, Jackie, picks him up
from school, if I have to work.
And makes him dinner?
Sometimes.
And puts him to bed while you're
working the night shift?
That's right.
Is she always available?
Jackie's become
like a mother
to Reese these
last few months.
But initially,
after Carla died
Jackie wasn't
so receptive
to the idea
of caring for
Reese, was she?
It was a tough time.
She has her own children,
doesn't she?
Joanie, her daughter.
Wasn't there a boy?
Yeah, uh, Jesse,
my nephew.
He died last year.
The death was
gang-related, right?
Objection.
He can answer the question.
Yes.
How is your sister handling
that loss?
You know, I'm sorry.
I don't, uh...
I don't see how
this pertains
to my fitness
as a father.
PRAGER:
Your Honor, this is
far afield.
Goes to the
stability
of the person
he's identified
as primary
caregiver.
I'll give some latitude.
Is Jackie under
the care
of a psychiatrist...
I don't know.
...for situational
depression
and pathologic grieving?
She lost her son.
Is she
currently being
managed by medication...
This has nothing
to do with Reese
or my ability to
care for him.
...whose side
effects include
insomnia, sedation
and anxiety?
Gentlemen?
Why don't you ask me
what kind of father I am?
Why don't you ask me about
how I was there when he was born
prematurely, how I stayed
in the hospital in the NICU
watching over him,
making tough decisions
and praying over him
day and night?
Why don't you ask me that?
Your Honor,
a moment with my client.
Dr. Benton...
Your Honor,
there's
no question before the court.
No, why don't you ask me
about Reese
so I can tell you that there's
nothing more important
to me in this world
than my son?
Why don't you ask me that?
You can't let that
happen again.
They were
provoking him.
You better get used
to it, Peter.
I said what I had to say.
Well, I hope you feel better,
'cause it sure didn't help.
What did the judge
say in chambers?
That he was impressed
with Roger's availability.
Availability?
I'm available to Reese.
We're going to have
to make a better showing.
All right.
I'll do better tomorrow.
That's not going to do it.
Your hours are hurting us.
He's a surgeon.
It goes
with the job.
Do you want to keep your son?
What do you think?
That you need
to start setting priorities
and making some
hard choices.
That's what I think.
How well do you know Andrew?
What's that
supposed to mean?
Does he do drugs?
I don't think so.
Are you sure?
What's this?
Results of his tox screen.
He tested positive
for marijuana.
Aren't you supposed to
keep that confidential?
Were you smoking with him?
No.
Have you ever smoked with him?
I wouldn't do that.
Good.
Then you'll test negative.
Are you serious?
You don't trust me?
I trusted you to go home
after school.
Dad, he was going
to drop me off
but then he
wanted to stop.
We agreed no rides.
I missed the bus.
You should have called me.
I didn't want to bother you.
Sure didn't work out that way.
You want me to pee in a cup?
Yep.
Yes, a gram of Ceftazidime.
Michael, did the family choose
a mortuary yet?
What?
Rudy Escalona.
We need to get him
to the morgue.
No. Not the ICU, the ER.
Thanks.
Oh, you need me
to do something?
Ask Frank
for the decedent packet.
Luka?
Hmm?
You weren't here
so I gave Collins
the Gent first.
Thanks.
Um... I had to go out.
Everything okay?
She's leaving town.
Why?
I don't know.
Dr. Kovac,
Exam Four's vomiting blood.
What about the baby?
There is no baby.
I started another line
on Zahler.
Did you have a written order?
It was right
up there.
Why was Abby about to discharge
my bowel obstruction?
I have no idea.
Because you can't write
between the lines.
Oh, sorry.
BENTON:
Carter, is this
one yours?
Oh.
Mrs. Urman?
Gave her 50
of benadryl.
What happened?
I guess you were right.
We followed
our bliss.
Where?
To our pickup truck.
I figured
we'd be safe
right by the
hospital, so, uh...
I'll get her started.
300 of cimetidine.
I will be right there.
Ooh, that's a very nice suit.
Thanks. I was in
court all day.
A patient?
No.
Something wrong?
No. Everything's
cool.
Dr. Benton, they need you
in the O.R.
Mr. Escalona.
Uh, if you'd like,
the nurse said
that we can make arrangements
for the funeral home.
We used Rose
Hills when his
mother died.
But I-I never
thought that...
He was a good kid.
He made
everybody smile.
Jorge--
he was the serious one.
I didn't mean to
lose my temper.
It's been a hard day,
you know?
He doesn't want
to see me.
He doesn't understand.
You, uh, should give him
a shot.
He might surprise you.
( sighs )
( both crying )
Sorry to be brief
but my nanny gets
off in six minutes.
Diane Pruitt--
GSW to the head.
Transplant teams
are flying in
from Indiana
and Michigan.
The gas station robbery.
Yes. Romano
has agreed
to a non-heart
beating protocol.
When did we start
doing that?
Today,
apparently.
That's the husband
over there.
If you could review
the procedure with
him once more?
He's already consented, right?
Yeah, of course.
What is there to talk about?
The man needs some reassurance.
Elizabeth, you had him
for 12 hours.
You deal with him.
He wants to talk
to the operating surgeon.
( sighs )
Peter, what's the matter?
Nothing. Go home.
Mr. Pruitt?
Hi.
I'm Dr. Benton. I'll be
coordinating the procedure.
As soon as the out-of-state team
gets here
we'll take her
to the O.R.
Okay.
I, uh... I tried to explain it
to her, but, uh,
she's too young.
I don't know how
I'm going to do this by myself.
Well, you're going
to do the best you can.
You're supposed
to be on light duty.
I was moving
some gear.
No, you went on a run.
( chuckling )
I get a little
stir crazy.
Okay.
Looks pretty good,
no sign of infection.
That's it?
No. You need a new bandage.
So, is, uh...
Captain Devlin
still at the seven-five?
I know the name.
Those guys used to hang out
at a place called the...
"Moose and Squirrel."
( laughs )
Yeah. Every Friday night.
That was a fun place.
Uh, you should
have someone remove the stitches
in four days.
I know where
to find you.
Listen, Sandy...
Oh, gosh, I'm sorry.
I'm sorry.
Oh, I bunched it up.
That's all right.
What were you saying?
Do you want
to do something?
Excuse me?
Uh, sometime?
You know, something.
Something?
Uh, I don't know.
Lunch or a movie
or... ice fishing.
( laughs )
Like, go out?
Yeah.
I mean, unless I'm totally
off base here.
No.
No, you're on base.
How's it going?
Fine.
Your drug screen
came back.
Everything was
negative.
Don't look so disappointed.
I know
you're upset.
But I had
to do this
because I want
you to be safe.
I care more
about that
than about your
being angry with me.
I want to be able
to trust you.
It's something we
both have to work at.
Can I go now?
Is the recipient ready?
Yeah. All I need is a liver.
All right. The heart
team gets first crack.
But tell them
to make it snappy.
Sternal saw's up.
Open the oh dexon,
atraumatic needle.
( saw whirring )
All set?
Good to go.
After two minutes
of cardiac arrest
I'll call it,
and then we'll
begin procurement.
How's her
oxygenation?
Fine. Satting at 100%.
BENTON:
Good. Turn it off.
( vent goes silent )
Respiratory support discontinued
at 20:37.
( EKG monitor beeping )
Oh, they're sweet.
I hope they
get pregnant.
Shouldn't be a problem.
The endocrinologist can wash
the sperm
and then it's safe
to artificially inseminate.
Hmm.
That's a new one.
Just goes to teach you
never to doubt my diagnoses.
Yeah, no matter
how loony they are.
I can't believe
they did it
in the back of
a pickup truck.
They had a camper shell.
How do you know?
I saw it.
You did?
Yes. In the front
of the hospital.
It's their honeymoon suite.
Very weird.
Not so weird.
Ferris wheel--
that's weird.
Really?
I-I was young.
It was my first real boyfriend.
Where else?
Your turn.
Camping. Where else?
In a tent?
That's the best
you can do?
Uh...
( snaps fingers )
On a train to Seattle.
Really?
Mm-hmm.
With who?
I was by myself...
but it was memorable.
( laughs )
Mm. It's cold.
Yeah. We should probably go in.
Yeah.
Carter...
You don't have any allergies
I should know about, do you?
Oops.
( laughter )
Where were we?
( monitor beeping )
How long has it been?
49 minutes.
Tissues could be
getting ischemic.
All right. Send an ABG,
lytes and a lactate.
Who's in charge here?
I ordered liver an hour ago
and I haven't seen my waitress
since.
The patient's breathing
on her own.
Ugh. How inconsiderate.
Well, this could take hours.
Page me when she goes.
What do you want to do,
Dr. Benton?
Let's just wait.