ER (1994–2009): Season 9, Episode 12 - A Saint in the City - full transcript

Carter and Abby squabble when they attend a posh fund raiser where the Carter family foundation makes a large donation. She feels he should be more supportive of his grandmother and her request that John take a greater interest in the family's activities. He's happy working as a doctor and is convinced he can't do both. A well-known alderman comes into the ER with a knee injury but when he is diagnosed with syphilis, he asks Dr. Weaver to ensure nothing appears on his medical record. Pratt and Lewis disagree on how best to deal with two young children when their mother is brought into the ER with severe pneumonia. Kovac has to convince a man to undergo an operation but refuses to leave his dying wife's bedside. Pratt's friend Leon is arrested by the police. Carter offers financial help to Dr. McNulty and his street clinic.

Previously on ER:

This is Dr. McNulty,
formerly of Curtain Two.

He needs a head CT, CBC,
chem seven, urinalysis.

When's the last time
you had a tetanus shot?

1949.

You have a license for this?

Why'd you get
beat up?

I didn't have the gun
when they asked for it.

We got to get it back, G.
They want it.

I can't find
the heartbeat.

Here, let me try.



It's not there.

I'm sorry.

PRATT:
He's a hard worker,
he's strong

he's got a great attitude.

How's he going to work
with a bad hand?

It don't hurt.

Cast will be off
in three weeks.

Cool, G.

You said six before.

I've seen you around, right?

You, uh, work upstairs?

Yeah, I'm an
ER resident.

All part of
the County family.

I hate doctors.



You all think you're the queen
of the damn Rose Parade.

I'm not a doctor.

Not the sharpest nail
in the box.

Just give him a chance.
You'll see.

Okay, kid, let's talk.

Alone.

All right, look.
Listen, listen.

I got to get back
down to the ER.

Now you make sure
that you tell him

that you work
real hard, okay?

Okay, G.

I'll see you at home.

Right.
All right.

I work real hard.

I don't want to be here.

Sand truck rolled on I-40.

Three DOAs at the scene.

Jessie Callahan, 35-year-old
restrained passenger.

High speed T-bone,
BP 122/78.

Pulse 93, bloody scalp lac,
she got a liter.

Okay, Trauma One.

Where's Tom?

Jessie, can you tell me
where it hurts you?

I left Tom, I left
him all alone.

Her husband's still
in the car.

Fire department's
cutting him out.

Paramedics are working
on your husband, Jessie.

You got to let us
help you though, okay?

So just Neosporin on
the abrasion or what?

Yeah, and tell him
to stop for a while

or he's literally
going to jerk it off.

JERRY:
Dr. Lewis.

Paramedics pulling in
with a fall.

Okay. Oh, Jerry, could you call
those morons in engineering

and tell them to get down here?

We're okay.
Nobody panic,
nobody panic.

And call psych.

The sun goes down,
the nuts come out.

Are we ready for him?

Who?

The alderman.

( shouting )

Back up, you can't
come in here.

Keep them back.

John Bright, 55, eight
foot fall of a stage.

It was a dais.

BP 124/82, pulse 79.

No LOC, complains of neck,
hip and right knee pain.

Alderman, it's an honor
to have you here.

I'm Dr. Kerry Weaver.

Are you taking
any medications, sir?

No and call me John.

Gently, people.

CBC, chem panel,
type and hold UA.

Chest is clear.

Chest, chest is clear.

All right, pupils
four millimeters
and reactive.

Who are you
on the phone with?

Uh, the office.

She's my assistant.

Jennifer, try to breathe.

You need to shut
that cell phone

off when
you're in here.

You're welcome
to use

our phones if you'd like.

Just dial nine.

You don't
have to answer that, sir.

No, I haven't.

I'm on the program.

Just got my two year chip.

Okay, then.

Open wide and stick out
your tongue.

Okay, don't worry,
sir.

You're in the finest
hospital in Chicago.

Okay.

CARTER:
The emergency power will
kick on in a second.

Let there be light.

Shooting.

Thank God something's working.

Get that into exam two,
move it.

Jessie, we're going to take
a scan of your belly

to make sure you're
not bleeding internally.

Is Tom here yet?

We'll find out
for you.

Come on, get the lead out.

We got a VIP customer waiting.

Leon, come on,
what are you doing?

I work here.

Me, too, G.
I got the job.

Okay, good.
It's cool,
man.

Hey, hey, this
is Dr. Weaver in the ER.

Get, get your
fat union asses

down here and fix the power.

I got the job.

We're going to be
working together, man.

Pratt.

Hey, kiss your
friend good-bye

and get back to work.

Hello?

Damn it. Hello?

LEON:
It's all going
to work out

just the way
it's supposed to.

Okay, I get
the overtime...

Hey, Leon, how's
it going?

I got a job.

Glad to hear it.

She's stable,
but I want you to check

another hemocue before
you send her to CT.

She may need some blood.

Okay.

You ain't got
nothing, man.

You got nothing
to worry about.

After I get off,
we'll go to Mario's

we'll get some pizza
and we'll celebrate.

No, G, I'm working tonight.

On the late shift.
Tonight?

I even get my own uniform.
Isn't that cool?

And you know where
to pick it up from?

Yo, I got the address
and everything.

They wrote it down.

I could find it
by myself.

All right, good.
Congratulations.

Quit worrying, man.

We're going to be working
together, man.

We'll be working together.

Shh. Shh.

All right, G.
I'll see you later, man.

JENNIFER:
Work on a press release

and fax it over.

Somebody get me a fax number.

All right, engineering is coming
down now to work on the power.

How are you feeling, Alderman?

Pampered.

I'm sure you have
other patients.

This ER sees about 90,000
a year, doesn't it?

Mm, that's why
I'm tired all the time.

More like 110,000.

It's a damn miracle
what you people do.

We have a great team
but we could do more

if we had better resources.

No medial or lateral
instability.

You probably tore a ligament
when you fell.

There goes my dream of
being an Olympic gymnast.

I'll page Dr. Hullverson.

He's our top orthopedist.
Excellent.

Give the alderman

six of morphine.

We should see
a tox screen first.

What?

Who are you?

Was it cocaine, Alderman?

Oh, my God.
What?

Ray MacGee,
Chicago Times...
Get out.

I have a right
to be here.

Leave this man alone.

This is a hospital.

Have you ever heard
of the First Amendment?

Have you ever heard
of an awake colonoscopy?

Wherever you stole that scrub
top from, I want it back.

Jerry, can you try and
keep out the fake nurses?

So many rules
to remember.

Fake nurses?

Uh, don't ask.

Don't we have enough trouble
with the real ones?

Ah, looks busy.

Lucky you.

Yeah, I hate nights.

MVA coming in,
two minutes.

Is that from the I-40
pile up?

Yeah, it's
that lady's husband.

I'm off. Can you make sure
somebody finds her if it is?

Sure.
Good.

Ooh, hot date?

No, I got to give a check

at this symphony
fund raiser thing.

Lifestyles of the rich
and famous, baby.

Hey, look what the patient
fairy brought you.

( chuckling ):
No.

Mrs. Hawkes, 44, fever,
cough times three days.

I'm juggling
ten patients already.

I'm just waiting
for a chest film.

If it comes back clear,
just write a little scrip

send her home,
easy dispo.

Okay, good,
it's probably just the flu.

Give it to Pratt. He'll hate it.

Done.

Ten minutes.

Oh, you two
have fun.

So you're sure
you want to go?

Definitely.

Free canapés.

What is a canapé, anyway?

Don't worry, I'll use
the right fork.

Next time,
we'll do something fun.

Next time, we'll do something
that you want to do.

Oh, you mean, like,
miniature golf or bowling?

Things my people
enjoy doing?

It's too bad Cats closed.

I'll just shut up now.

( whistling )

That's sexual harassment,
isn't it?

You bet.

I'm going to circulate
a petition.

Excuse me.
Dr. Carter, right?

I'm Sarah Wilson.

I work with Dr. Mac.

Um, you called the clinic,
said he needed to come back.

Oh, yeah, he left before
his chem panel came back.

Oh, he's dizzy,
he's dehydrated

and I'm worried
about his diabetes.

Yeah, well, he really
needs to come in.

Well, there are always
patients at the clinic.

He won't leave them.

Uh-huh, and there's nobody
to cover for him?

Well, he's a one-man show.

10:00 to 10:00,
seven days a week.

Another one from
the pileup.

Pulse 110,
20-minute extrication.

Take a deep breath,
Mr. Callahan.

My wife, Jessie...

Yeah, Mr. Callahan,
she's here, she's stable

and we'll make sure
that somebody knows

that you're looking for her.

I need you to come down to
the clinic and talk to him.

What makes you think he's
going to listen to me?

Well, he likes you.

Sure had a good way
of hiding it.

He's going
to kill himself.

He won't listen to me.

Stop by, please.

Carter!
Just for
a minute.

They're calling
for anesthesiology

back up in Scanner Two.

That's Pratt's
patient.

Jessie Callahan.
She crashed on the CT table.

Will you come?

Uh, if you leave the address
at the desk, I'll try.

She might not
even make it down.

Prep the rapid infuser
in Trauma One.

Pneumonia. Her right lobe's
complete socked in.

So much for
an easy dispo.

Did you run labs?

White count was 27,000
with a left shift.

Gram negative rods
in the sputum.

Call ICU.

It's got to be klebsiella
or pseudomonis, right?

Yeah. Not good.

Sats are only 85
on two liters.

Okay, crank her
up to five liters
nasal cannula

and get a gram of
cefotaxime IV

and 500 of biaxin.

( coughing )

This is Dr. Lewis.

I've never had flu this bad.

She's coughing a lot.

Do you guys
have any cough medicine?

We're giving her all
the medicine we can right now.

I need to talk to your mom
for a minute, okay?

Hey, you guys
want a soda?

Go on.

Is our mom really sick?

Well, she has pneumonia.

It's a serious disease

but we're doing
everything that we can.

We should call...

No, Mom would freak.

Call who?

Doug. He's our brother.

Does he
live with you?

No, he's 20.

He has, like,
50 earrings.

I just need some sleep.

You know, Marten never
should have called 911.

Well, I'm glad he did.

This type of pneumonia's
very dangerous.

My kids have homework,
they need dinner...

Mrs. Hawkes, you're too sick
to leave the hospital.

Write me a prescription.

I'll get it filled
on the way home.

If we take you off the medicine,
you will probably die.

Is there anyone
we can call?

A relative to be here with you?

Someone to watch
your kids?

My husband died last year.

My Aunt Sarah.

She lives in Detroit.

But what about your son, Doug?

No, I don't want him here.

I don't want him near my kids.

Is there anyone else
nearby we can call?

No.

I'll call Sarah.
She'll come.

CHUNY:
Pratt!

Carter needs you now.

Your MVA, she crashed in CT.

CARTER:
Charge to 360.

All right, clear.

Still in V-fib.

Another milligram
of epi.

Let's charge
again to 360.

What happened?
Shut up and bag.

What was the second
hemocue?

Did you check it?

Yes, I did.

Coarse v-fib.

All right,
and clear.

Let's go.

Sats dropping to 91.

Push the lido.

Ten blade, say it.

Ten blade.

Can you find
my wife?

We will, Mr. Callahan.

Right down to the rib.

Curved peon clamp next.

Pressure's falling
down to 80.

Okay, elbow up.

Push harder.

Lean with
your hip.

Okay, tension pneumo.

Line's in, let's hook up
two units of O-neg.

Okay, pressure's coming up.

Nice work.

Malik, hook up
the thoraseal.

O silk on a driver
and Vaseline gauze.

What do you have?

Tension pneumo with
intraperitoneal blood.

Oh, yeah, ex-lap.
Don't even bother to scan him.

Come on upstairs, sir,
where the good drugs are.

Mr. Callahan, you're
bleeding in your belly.

You need an operation.

Is that Jessie?

Yes, the other
doctor

is taking
care of her

but we need to take you
up to surgery.

I just want to see her.

I need to know she's all right.

One minute, okay?

PRATT:
No pulse,
no pressure.

She should never
have left the department.

She's got a huge
retroperitoneal bleed.

Carter?
Not now, Luka.

Mag and
bicarb are in.

Round four.
Jessie!

Can you close that door?

V-fib. Shock again?

Yeah, charge 360 stacked.

Charged.

All right, everybody, clear.

Looks like sinus.

No pulse. It's PEA.

How long?

Ten minutes.

She's brain dead.

Her heart's
barely beating.

He wants to see her before
we take him up to the OR.

Should I bring him in?

Yeah.

I'll tell him.

Thanks.

All right, everybody,
see you tomorrow.

( sighing )

Hey, Jerry, can you
call housekeeping?

Pizza kid with braces
puked again in Three.

Sure.
Nacho?

Oh, thanks.

Cheesy.

Jerry, where's
our alderman?

Um, I think he's still
up in X-ray.

Damn it. I asked them
to put a rush on it.

Get them on the phone.

Mmm, Kerry, we need
to discuss our alderman.

Did you know
that he's the one

who wrote the bill to finance
the spousal abuse shelter?

He's one of the good guys.

Mmm, not too good.

When we were checking
for pelvic fractures

I found a sore on his penis.

I think it's syphilis.

Did you swab it?

Yeah, we're
waiting on labs.

Dr. Weaver? Uh, they just
finished with the alderman.

They're bringing him down now.

Thanks, Jerry.

How should I handle it
if it's positive?

You won't have to.

I will.

( weakly ):
Her heart's
still beating?

Her pupils are dilated.

That means her brain
was deprived of oxygen
for too long.

Maybe she'll wake up.

No, she won't.

Mr. Callahan...
your bleeding is getting worse.

We have to take you up
to the O.R.

We wanted a family.

We couldn't.

I couldn't.

She didn't like talking
about donors or anything.

She's gone.

You're putting yourself
in danger.

I can't just leave her
here to die alone.

( knocking )

Okay, cowboy, I got
a vascular surgeon,
an anesthesiologist

and three surgical residents
waiting upstairs

in an O.R. suite that rents
for five grand an hour.

He wants to stay with his wife.

Well, isn't that touching.
She's dying.

Well, if she doesn't
die faster he's going
to be dying with her.

I've explained all that.
I'm going upstairs.

If he's not up there
in ten minutes

I'm going to take out
your spleen.

BRIGHT:
We're the richest country
in the world

and we can't provide

basic health services
for our citizens.

Yeah, it's not just
emergency care.

Prenatal screening,
drug and alcohol treatment.

We do what we can
with limited resources.

Everybody at City Hall
should come down here

and see what the
hell kind of war
you fight every day.

Well, you've been fighting
some pretty big wars yourself.

Don't tell me we can't
find a private room
for the alderman.

Nice to see you again, sir.
Robert Romano.

Heard you were down here.

Want to make sure you're getting
all the care you need.

We're just waiting
on a few tests.

I don't want
a private room.

Lets me experience
the kind of service

my constituents get
when they come in.

Of course. And you're
in good hands with Dr. Weaver.

But if you need anything-
anything at all--

hope you'll give me a call.

( sotto voce ):
Find him a room.

I was on the committee
that hired that man.

Well, he's an excellent
surgeon.

Tragic about his arm.

Lots of people downtown
wish it had been his head.

( chuckles )

Well, you haven't broken
your knee.

But it looks like
you have some blood
in the joint.

Is that serious?
No.

But you'll feel better
once we drain it.

That sounds unpleasant.

( sighs ):
Sounds worse than it is.

Could you give us a minute?

Oh, sure.

Espresso's calling.

Girl lives on caffeine
and chocolate.

Alderman...

when Dr. Lewis examined
you, she found a sore.

Yeah.

Uh, is it what I think it is?

We're still waiting
for the lab results.

Well, you have some idea.

It's probably syphilis.

Wasn't the diagnosis
I was hoping for.

How many partners
have you had in
the last year?

Oh, only one.

Okay.

We'll just give you
a shot of antibiotics

and you'll be fine.
Good.

But we'll need to report it
to the Health Department.

Any way we can keep it out
of my medical record?

It's automatic.

Once the labs are done, then...

But there's no need to worry.

Your records are confidential.

No, your health records
are confidential.

Every time there's an election,
they have to release mine.

And syphilis is not a word
voters love to hear.

I understand
your concerns.

We'll both get treatment.

You don't think everyone
deserves some privacy?

JARVIK:
Her sats are still falling.

Down to 83.

Okay, call Lewis
and put on a mask.

RACHEL:
Doug!

Aah, hey, monkeys.

( grunts ):
You making trouble?

Nice to see you.

Hey. I'm Dr. Pratt.

You must be Doug.

Yeah.

Hey.
Hey.

( laborious breathing )

DOUG:
Hey.

( breathlessly ):
What's he doing here?

He's worried
about you.

He doesn't worry about anyone
but himself.

Aah, yeah, good to
see you, too, Mom.

Did you find Lewis?

She's coming.

I told you not to call him.

I don't want you
near my kids, Doug.

Make him leave.

( raspy breathing )

LEWIS:
What's up?

Her sats are down
to 83.

Doug...

Doug, you're high,
aren't you?

No.

Get the hell out of here!

Who's he?

Her son.
RACHEL:
Mom, please.

Let Doug stay.

So you can sit around
and watch him get stoned?

Come on, they
live with you.

Watch you sit around
and get drunk.

Get the hell out of here!
Get out!

( hacks )

Get him...
LEWIS:
Take slow breaths.

( raspy breathing )
( alarm sounding )

RACHEL:
Oh, God.

Mom?

Sats down to 78.

Crank up the O2.

Get them out of here.

Come on. Come on.

She's not moving
any air.
Bag her.

Get 20 etomidate,
100 of SUX.

Set up for
an intubation.

You called him?
Aunt's in Detroit.

The brother's here.
I was just trying to help.

You can help
by learning to listen

when the patient asks you
not to do something.

Jerry, Dr. Lewis
mislabeled a swab.

Can we pull it
from the lab tray?

Labs went out an hour ago.

I need you to call
and cancel it.

It's under Bright.

The alderman?
Yeah.

I can try.

LEWIS:
She's oxygenating well.

Turn her down to 80%

and check a gas
in half-an-hour.

I.C.U. is full.

Call again,
she needs a bed.

Hey, listen,
I'm sorry about that

but I was just trying
to do the right thing.

You exacerbated
a terrible situation.

I told you
to call the aunt.

I did.
She's 69 with MS.

She can't take care
of those kids.

Well, you think
stoner boy is going
to do any better?

Doug?

Hey, you guys, I've got to talk
to the doctors, all right?

You okay?

Uh, yeah,
I smoked a little

this afternoon, you know,
but I-I'm fine now, so...

Hey, did I kill her?

No.

We had to put a tube
in her throat

to help her breathe.

Why did she cough
up all that blood?

She has an infection
in her lungs.

Hey, look, I'm sorry
I said all that stuff.

It's just... she just
gets to me.

( exhales heavily )

Your mom's in stable condition
right now

but she's going
to have to be in I.C.U.

for at least a week.

Rachel and Marten
need a place to stay.

Tonight, at least.

Yeah, I guess.

Well, it doesn't look
like your mom's aunt

is going to be able
to help out.

Oh, Aunt Sarah?

She can't even feed herself.

Is there anyone else
who can take care of those kids?

No.

There's nobody.

Packed cells are in.

Tom, listen to me.

You have to go
to the O.R.

( weakly ):
I won't leave her.

( sighs )

You could die, too,
if you don't.

She's not dead.

Malik, can you see
if the next two units are ready?

MALIK:
Yeah.

You remember when we went up
to Lake Louise

biking that summer?

( machine alarm sounding )

Is that it?

Yes.

She's gone.

( crying softly )

Time of death 1934.

Mr. Callahan...

Thank you for letting me
be with her.

Okay, let's move him.

I'll call surgery and catch up
to you at the elevators, Malik.

You got it.

( machine beeps rhythmically )

Labs came back
on your alderman.

Positive
for syphilis.

I asked Jerry to pull his swab.

It was mislabled.

When you want labs,
you can't get them.

When you don't want
them, suddenly they
get all efficient.

Chuny, do you know
where Lily is?

I need a repeat potassium
on Mrs. Callahan.

What is she
still doing here?

She's an M.V.A.

I know; Kovac
pronounced her
an hour ago.

She's in and out of V-tach,
but she's got a pulse.

Jerry, I thought I asked you
to pull the alderman's labs.

I called them.
I'll call them again.

No, it's all right.

I'll take care
of it myself.

Hey, paramedics
are pulling up with a kid.

Took a fall.

Don't they call
ahead anymore?

Jerry, make sure
those TV news vans

are out of the
ambulance bay.

Hey, Luka, why is
Jessie Callahan
still in Trauma One?

I-I'm curious
because she died an hour ago.

Her husband wouldn't
go up to the O.R.
until she passed

so I unhooked her leads
and pronounced her.

Good God.

What happens when
he gets back down
from surgery

and finds out his
wife is still alive?

I'll tell him
it was a miracle.

Need a doctor over here.

This isn't funny, Luka.

You unhooked the monitors
of a critically injured woman.

That's hardly in the best
interests of your patient.

She wasn't my
patient, he was.

David Scott, nine years old,
altered after a fall

from the top bunk of a bunk bed.

Neighbor was baby-sitting,
heard a crash and called 911.

G.C.S. 235.

The real one
will be bigger.

I hope so.

Oh, thank you.

Have you tried these?

They're like perfect
little salty things.

Don't fill up on those.

With any luck,
we might get out of here

early enough
to get some real food.

How much money
are they trying to raise?

58, I think.

I know we're
throwing in ten.

Thousand?

Million.

Right.

So, I guess that means
you get great seats forever?

Gamma will.

What do you do
with $58 million?

You get architectural
significance.

I mean, what's the point to
building a cultural edifice

if you're not going to prove
your civic superiority?

Well, that's a lot
of civic superiority.

Hey, you know,
McNulty's clinic's
not too far from here.

What do you think
he would do with
58 million bucks?

Hot hors d'oeuvres
in his waiting room.

Hello, John.

Hello, Gamma.

Hi, Steve.

I'm Millicent Carter,
John's grandmother.

Hi, uh, Abby Lockhart.

Gamma, you've met Abby before.

Oh, I'm sorry.

So many people
in John's life.

Don't you look
beautiful?

What exactly are canapés?

I mean, are they different
from... appetizers?

I'm not sure, dear.

There's a foundation
board meeting

on Thursday, John.

Can you come?
No, thank you.

I'd appreciate it.

We're electing
new officers.

Oh, well... I always thought
that was a sort of

"whoever's in the bathroom
gets elected president"

kind of thing.

I'm stepping down.

I'd like you to take
your father's place
as treasurer.

How did Dad
get off so easy?

I've asked your father to
take my place as president.

Don't you think
you're getting

a bit long in the
tooth for the
disaffected youth

role, John?

Gamma, thank you,
but no, thank you.

I already have a day job.

Ow!

David,
can you open your eyes?

Ow!

Looks like
a Colles' fracture.

Excuse me, I'm trying to assess
his mental status.

It's a response
to painful stimuli.

David, do you know
where you are?

( moaning )

All right,
let's get a head C.T.

Lots of old bruises.

Active kid--
hockey, maybe?

We should do a long bone survey.

First we have to rule out
intercranial bleed.

You guys seen Pratt?

Mrs. Callahan's
potassium's 3.2.

Okay, add 20 of K.C.L.

to her next liter.

She's a D.N.R.

If she arrests,
we'll let her go.

Until then, we treat her.

She's dead, Kerry.

( knock at door )

Oh, great, just what I need.

This is a decision
her husband should be making.

He's in surgery.

If you had told him the truth

he could have given us clear
instructions on his wife's care.

Now we
have to decide.

Give her the "K."

What can I do for you,
Robert?

So, I'm finished
for the day

and I come
downstairs to say

good night and godspeed,
and lo and behold

who should I find still
sitting on his ass

in the middle
of the E.R.?

We're still waiting
on a few tests for the...

Alderman? Right,
that's right.

Five hours later.

Did I or did I not

He didn't want a private room.

You should have given
him one anyway.

He should have had two
doctors and five nurses

hovering over him
every minute.

"Can I get you
anything, Alderman?

A little more ice for
your knee, Alderman?"

Yeah, we only have
five nurses...

I don't give a damn.

Whatever he needs,
whatever he wants

you do it and you do it now.

That was a little rude.

Stay out of it.

Excuse me, if I could have
your attention, please.

So was that.

With 200 fewer seats

much larger rehearsal hall
and dressing rooms

world-class...

My grandmother doesn't
want me to be the treasurer
of the family foundation.

She wants me
to quit working.

She's old.

She's probably looking for you
to take on some of her load.

Embrace my familial
responsibilities.

Join the family business.

Which is... what, exactly?

It's this.

It's giving away money,
it's cutting ribbons

it's waving to
the common man.

It's Prince Charles
without the castle.

I don't know about no castle.

I've seen your family's house.

Abby, I know that
you mean well

but don't try to tell me

what to do with
my life, please?

It is a great pleasure
for me to introduce...

Okay.

John Carter.

( applause )

C.T.'s ready,
and he's waking up.

Where's my dad?

We called him.

How did you
get hurt, David?

I fell off the top bunk.

Okay, we're going
to take care of you.

This is Chuny, and
she's taking you up

to get a few
more tests, okay?

Will you find my dad?

We've already
called him, honey.

He should be here any minute.

Dr. Kovac,
the kid's X rays are back.

Finally.

I thought Tuesday nights
were not busy, eh?

Who told you that?

Oh, damn it.

What?

Is D.C.F.S. still around?

Excuse me, um, they told me
my son was back here.

Uh, David Scott.

An ambulance brought him in
just a few minutes ago.

He fell out of his bed.

Mr. Scott?

Yeah.

Where is he?
Is he okay?

Your son has a broken wrist,
and he hit his head.

( sighing )

He gets hurt all the time.

More since his mom left.

His exam showed
some old injuries.

Yeah, well, he
doesn't pay attention.

The injuries are suspicious.

What?

Are you suggesting
that I hurt my own son?

Do you?

No. No, of course not.

We're giving her
all the right antibiotics

but her sepsis
is very advanced.

So, her chances...?

I'm afraid
they're not very good.

I, I just need
to determine

what is the best
living situation

for your brother
and sister.

Yeah.

Do you think
living with you

is the best
thing for them?

Uh, probably not.

So, I should find
someplace else
for them to stay?

Wait a minute.

You're not trying
to keep them together?

Is this coming from you?

I think Doug agrees
that foster care

is the best option
for his brother and
sister right now.

Doug, do you know
what foster care is like?

Most likely they
won't even be able
to stay together.

We do our best
to keep siblings together.

But that doesn't always happen,
right?

We do our best.

Do you know what that means,
hmm?

That means that
they're going
to get split up.

Their mom's dying,
and they're going
to be separated.

Living with strangers--
is that what you want?

Hey, Doug, Doug.

No, she's right!

Listen, your mom might die.

You need to stay together.

They love you, man.

( bitter laugh )

Right. Right,
the dumb stoner

who makes them laugh.

You care about them;
that's all that matters.

Hey, I can't take
care of two kids.

You'd be surprised
at what you can do.

No.

Hey, trust me; I know.

You just need to step up.

Hey, you never should
have called me, all right?

My mom's right.

They're all right.

Make them wrong.

I can't, all right?

Bright to Williams,
right?

You have the new label?

Specimen tube
was mislabeled.

Happens. We don't want
the paperwork gods
to strike us dead.

We just need

a Dr. Hancock.

That's it?
That's it.

I think Shaw's is open late

if you still want to
get something to eat.

No, I'm not hungry.

Not hungry or pissed at me?

Look, I'm sorry

but I don't think
you have any right

to lecture me
about my family.

Was that an apology?

I don't owe you an apology.

Look, you want me to
end up like my father--

at Gamma's beck and
call handing out checks

so that the Art Institute
can have another De Kooning

or the symphony
can have travertine

instead of tile
in its bathrooms?

Get involved
with the foundation

and change
the priorities.

Give the money to health care,
education, needle exchange--

I don't know, anything
you feel passionate about.

I feel passionate about
what I'm doing, okay?

I feel passionate
about working at County.

Who says
you can't do both?

( rueful chuckle ):
I do.

Okay, look, you were born
really, really rich.

So what?

It's nothing
to be ashamed of.

I'm not ashamed
of who I am.

No? You drive a Jeep.

You wear a cheap watch.

You rent
a two-bedroom apartment.

What do you want me
to do, drive a BMW?

No. I don't care.

I couldn't care less,
but you care a lot.

You want everybody
to think

that you're just like them,
and you're not.

You just... signed a check
for $10 million in there.

You didn't even blink.

I write a check for over $100,
I get a stomach ache.

I give something more
important than money.

I give my time, and
I do it every day

to real people, and
it makes a difference.

And I think that's great.

I really, really do.

But money
makes a difference, too.

You know
where my money comes from?

Do you know where the money

for the Carter Symphony Hall
comes from?

My great-
grandfather

made a killing
during the Depression

cornering the coal market.

In the winter of 1933,
a lot of children froze to death

and my family made
out like bandits.

That was 70 years ago, Carter.

You can't give
the money back now.

Why not help give it to people
who really need it?

There are still lots of kids

freezing to death
every winter, Carter.

How's the knee?

Sore.

Well, the
swelling's down.

Looks like we can
get you started home.

Ah, almost 11:00?

Should be safe.

Local news usually packs up
and goes home

if they miss the 10:00.

I'll go get the car.

All right, your thigh will
probably be a little sore

from the penicillin shot.

How do we stand
on the medical records issue?

It's been handled.

Good, good.

Thank you for your discretion.

I'm glad I could help.

Bright is discharged, Jerry.

The alderman?

Did we ever get his labs back?

They were negative.

You're kidding.

That lesion
was right out of Netter's.

We should run it again.

It's fine.

He could have
untreated syphilis.

He's fine; let it go.

MAN:
Don't touch me!

Yeah, almost midnight.

Let the shouting begin.

He's scared.
He needs me with him.

This is you, right?

You better
calm down.

No, I'm okay.

But this is crazy.

I have never hurt my son.

What the hell
was that about?

A father
abusing his son.

Where's Social
Services?

They were busy.

So, you called
the police?

The kid has multiple
old fractures.

Did you even talk
to the child?

Of course I did;
he was scared.

Hey, you got the blue cast.

That's my favorite.

Is my dad coming back?

Well, he had to talk
to some people.

You get along pretty well
with your dad?

Better since Mom left.

He says we're like
Starsky and Hutch.

That's an old TV show
we watch on Nick at Nite.

That sounds nice.

Yeah.

You've been hurt a lot
in the last few months.

I don't pay enough attention.

Did you really
fall out of bed today, David?

I...

I jumped.

Is that the truth, David?

It's okay.

You can tell me.

Hello?

MAN:
We're closed.

Dr. McNulty?

If you're sick,
go to County.

Dr. McNulty,
we met the other day.

I'm Dr. Carter.

You left before your
tests came back.

Your blood sugar was 435.

Your diabetes is
way out of control.

I take my Orinase.

Orinase? They
still make that?

It works fine for me.

Not according
to your tests.

There are newer,
better drugs.

Yeah. Thanks.

Good-bye.

Listen, you're not going
to be able

to help anybody down here
if you're in a coma or dead.

Actos, six-month supply.

Hey, hey, hey.

You steal those
from County?

There are laws
against that.

( sighing )

You got to watch your sugar,
too.

Sure.

Don't get your tux dirty
on the way out.

Looks like you could use

some new equipment
around here.

Nah, nah-nah-nah.

You're not doing that.

You could get yourself
a cardiac monitor.

Chemistry analyzer.

12-lead.

Anything else you might need.

What's this,
white liberal guilt?

Probably.

Lots of guilt.

No, thanks.

I'm not here
to make you feel better.

There must be something
I can do.

Yeah. You can sweep.

Hey, Malik, did I.C.U.
come for my pneumonia yet?

Yeah, she went up
a couple of minutes ago.

D.C.F.S. is taking the kids up
to say good-bye.

She's still alive, right?

Yeah. You came back.

I never really left.

You know, she said

I was the biggest mistake
of her life.

I don't want

to let them down...

you know, but I don't know
if I can do it.

You just do
the best that you can.

That will be enough.

Come on.

I'll take you
up to see them.

Go ahead.

Thanks.

He came back, huh?

Yeah.

Hey, uh, I was
out of line before.

Whatever. I'm an adult,
I can handle it.

You should worry
about those two kids.

Hey, Pratt,
phone call.

( sighing )

Hello, Dr. Pratt.

Hey, Mrs. Knightly.

What...?

Oh, man; when?

Okay.

Jerry, I'm
off in 15.

I'll come in early and
make it up in the morning.

Was that Pratt
leaving again?

Uh, yeah,
he had to go early.

Go where?

Didn't say.

Well, guess what?
I want to go, too.

Maybe I should just leave.

What do you think?

Just leave because
I feel like it.

Your child abuser
was the case of a boy

wanting to spend more
time with his father.

Who, the Scott kid?

Yes, the kid
hurts himself

so Dad will stay
home from work

and watch TV with him.

Luka, did you page me
for a post-op seroma?

Yeah, in Exam Four.

Your Mr. Callahan's
finally in recovery.

Send your patients
up to the O.R.

a little bit more promptly
in future, all right?

Next time,
get D.C.F.S. down here

before you call
the cops.

Tom's out of surgery.

He's going to be okay.

You can let go now.

Pratt left again.

Man, when I was an intern,
it was a full-time job.

Yeah, it still is.

( groaning ):
I just want to go home

and get into bed.

What do you think
the odds are

that Antonio Banderas
will be there waiting for me?

Oh, I almost forgot.

Here. I know
it's a little early

but I was in Fields
buying a gift for my niece

and I saw the infant stuff.

I pass those little clothes

and I just go
into a trance state.

I have
to buy something.

Susan...

Those little onesies
and jumpers--

they have
complete control over me.

And the little shoes.

I didn't know
if it was a boy or a girl

so, I got it in green,
like a neutral color

but if you hate it,
I have the gift receipt.

I'm not pregnant anymore.

I miscarried.

Oh, uh, God.

Kerry, I'm so sorry.

The embryonic loss rate
after implantation

is about 30% in I.V.F.

It isn't rare.

Thank you for
the thought.

Sure.

And when you see Pratt

why don't you remind him
this is a full-time job?

Good night.

They brought him in

on a 10-29--
possible stolen car.

The car was clean,
but they found a shotgun
with a clipped barrel.

And the other boys
have criminal paper

but your brother's
clear.

He was hanging next
to the wrong car
at the wrong time.

This is against,
like, 15 regs,
so make it fast.

Thanks.

Hey, if I ever
get shot

I want to end
up at County.

You guys always
take care of us.

Thank you.

Don't be mad.

Don't be mad, G, please.

It wasn't my fault.

It was Dukey's car.

He's the one
that had the gun.

What were you
doing with Dukey
and those boys?

Didn't I tell you?

I was just telling
them about the job
you had got for me

and when I was telling them,
that's when the cops they came.

Okay, okay, listen to me.

Do not talk to
anybody in here--

not the police, no one.

Not until I get you a lawyer.

Tell Mr. Keegan
I won't be late next time.

Yeah.

Was he mad?

Tell him I promise.

Leon, you didn't show up.

You probably lost that job.

( sobbing ):
No, G. No.

I-I, I don't want

to stay in here, G.

Come on, please?

Can we just go home?

Listen, the judge
sets bail in the morning.

Then I can take you home.

In the morning?!
Doc, you got to go.

( sobbing ):
G, I can't spend
the night here!

I don't even know these people.

First thing in
the morning, okay?

Doc...
( sobbing )

First thing.
G, don't leave me!

G, don't do that, G!

G, come on! G! G!!!

Don't leave me here!

Come on! G! G!