ER (1994–2009): Season 9, Episode 20 - Foreign Affairs - full transcript

Dr, Kovac tries to arrange medical care for a young boy in urgent need of an operation and who is arriving that evening from Croatia. John Carter makes arrangements for his grandmother's funeral and he advises his father that the will stipulates that John is in charge of the family fortune. Abby has returned to Chicago with her brother Eric in tow. She makes the mistake of taking him to the funeral, with disastrous results. Romano and Kovac treat an up and coming baseball player who is seriously ill. Dr. Lewis and her husband Chuck decide to go ahead and have their quickie Las Vegas wedding annulled. The team treat a mother and her two children who were shot while sitting in their home, It was obviously a gang shooting and Carter tries to keep the oldest son from seeking revenge. Dr. Romano has a serious accident at home further damaging his re-attached arm. Kovac leaves for Africa to do volunteer work.

Previously on ER:

You two know
each other.

Gordana's here
to observe

a correctional
congenital heart repair

on a young boy from Croatia.

Eric... where are you?

I have to go get him.

Why?

I mean, Eric's been
gone for weeks.

What's one more day?

He's off his meds,
and if I don't go now,



he might disappear again.

John, you really need
to take this call.

He's in V-tach.

WEAVER:
It's your grandmother.

I'm sorry.

( sobbing )

GALLANT:
Okay, cough for me.

( coughs )

How much longer?

Chuny, can you call Psych
for this guy?

Already did.

A moth flew in my ear.

I'm trying
to lure it out.

HORVAT:
Is Dr. Kovac here?



What the hell
would you do?

Try Trauma One.

KOVAC:
V-fib,

charge again.

Hey.

Charged.

Okay, clear.

360 again.

Charged.

Clear.

Time of death:
9:37.

MAN:
Sorry to trouble you
with this today.

CARTER:
That's all right.
I understand.

These are
complicated issues.

They certainly are.

I wanted to give you time
to think about things,

and... look over
the papers

before the will
is officially read.

Mm-hmm.
I'll make sure to.

Cal.

Well, I didn't realize
you were here, Jack.

Well, I flew in
three days ago.

I telephoned you in New York.

Did you get my message?

That's Eleanor's
apartment now.

Oh.

I just... wanted to express
my condolences.

Well, I'll, uh, see you both
at the service.

I appreciate
the visit.

Bye.

Is red not somber enough?

No, you look fine.

She liked men
to wear red ties.

That's very
Republican of her.

I think
that's blue now.

I didn't realize, uh, estate
lawyers made house calls.

The Foundation Board

has called an emergency
meeting for next week.

He just wanted me
to be prepared.

Prepared for what?

Gamma stipulated it in her will
that I be put in charge.

She appointed me President.

I see.

Well, I think
that would be a good thing.

( chuckles )

For me or the Foundation?

Both.

It should be you, Dad.

Well, I guess that's
not what she wanted.

Well, I think she figured
I'm in Chicago,

it'd be easier
for me.

She put you in charge
of the family fortune,

and left me with a little
bachelor's trust fund.

I don't think it was
a question of geography.

I've also tried to stay
as involved as I could.

John, who are
you kidding?

Want me to tell you
the truth?

She was disappointed in you
as a son, as a father...

She didn't think
you were up to it.

You could sugar-coat it
a little.

It's an opportunity for you.

Not one
that I wanted.

Now I'm stuck having
to run the damn thing...

or walk away.

Looks like she managed
to screw us both.

Almost time.
Are we waiting on Abby?

She's meeting us
at the cemetery.

That's good.

You look like a hooker.

( crashing )

Eric!

What are you doing?

I broke into
your apartment.

I'm home.

I can see that now.

What happened to you?

I got into a fight with
a guy in the lunch room.

He took the last Jell-O cup.

God.

What? He cut the line.

You're a mess.

Yeah, I had to jump
through a window

and scoot through some bushes.

It's a voluntary program.

You can leave
whenever you want.

Where's the fun in that?

You're not taking
your meds.

I have, I swear.

I just lowered
the dosages a bit.

How?

By cheeking them.

They had me on too much.
It was a real downer.

Okay, so a few hours
after our conversation,

you pick a fight
with another patient...

Client.
They call us clients.

...and then skip out
on the whole thing.

Yeah, I think maybe we could
find a better situation,

you know, like in Maui.

You should've called me.

Give me that.

( sighs )

Why didn't you call me?

I don't know.

I really don't.

Maybe I should just go.

No, sit down,
sit down, sit down.

I could use a drink,
I know that.

Is your apartment spinning?

You feel that?
¿Le duele?

Dejalo.
¿Tiene otro médico?

Tu eres un hombre malo.

I'm working
for la migra.

No quiero que el toque mijo.

She says you're
a bad man

and she doesn't want you
touching her son.

Oh, get an abdominal scan
with contrast

to rule out appendicitis,

and tell Evita here I can
prescribe a good ESL class.

Rayos Equis.

23-year-old
minor leaguer.

Sinkable episode
after wind sprints.

Tu eres un jerk.

She says
you're a jerk.

Yeah, got that.

Parietal hematoma on the left.

BP 104/58.
Pulse 120.

He got dizzy,
so I walk him

to the dugout, he
must've hit his head

on the steps when
he passed out.

CBC, chem panel, UA, EKG,
lateral C-spine and head CT.

ROMANO:
No Battles.

Has he had incidents
like this before?

This guy's
a stallion.

He went from
instructional league

to Triple A
in a single season.

That's impressive.
Chest is clear.

Belly's benign.

He was on his way to be
called up to the show.

What show?

Ignore him. He's fine.

Shoot the neck film
and get him to CT.

Uh, you good here?

Yeah, sure, I'll use my foot

to put on the BP cuff.

That boy has gotten worse.

What boy?

Onta, the Croatian kid.

I thought it was all
set up at Mercy?

It needs to happen sooner.

No, no, no.

We have enough trouble taking
care of our own uninsured.

He's dying, Kerry.

His mother smuggled him
onto a plane.

I-I need you
to try again, please.

Look, even
if they donate

medical supplies
and facilities...

I know, the rest would be
for me to take care of.

The cardiothoracic team,
nurses, transport...

I'll do it.

Don't count
on anything.

Jaycee said she'd do it
on one condition--

she needs two weeks off in June

that the surgical N.M.
denied her twice already.

I-I can't control
vacation schedules.

Hey, everything's
on negotiation.

I thought nurses were supposed
to be angels of mercy.

Even mercy has a price.

Jerry, can you track
this flight for me?

Mm-hmm.
Air Flugelros?

Yeah, it has
a sick kid on it.

They don't have hospitals
in Germany?

And get Dr. DeFord on the phone.
I'll take it in here.

Checking out
of Loser's Lounge?

Try not to kill anyone, Lurch.

We'll do our best.

CT's back on
the ball player in Two.

Negative-- looks
like a concussion.

Except his 12-lead EKG shows a
corrected QT at a level of .49.

Long QT syndrome?
I doubt it.

He's just a young athlete
who's trying to...

Yeah, I know, "Baseball

been berry
berry good" to him.

Let's check a family history,
just to be sure.

Okay.

You know what?
I'll do it myself.

I thought you
were going home.

Well, you know me.
I live for this place.

She used to tell me
how much it meant

to have you in her life.

She was lucky to have you
looking after her.

Oh, I was the lucky one.

This is Gammy's good friend,
Vivian.

Hello.

Are you a relation?

I'm her son.

I'm so pleased to meet you.

Thanks for coming.
This way, please.

They're almost ready
to start, Dr. Carter.

Let's wait another
five minutes.

Abby not here yet?

Yeah, I sent
a car for her, but...

I guess she's running late.

MAN:
So what do you do for that?

Well, surgeons
can insert an ICD.

It's an implantable
cardioverter defibrillator,

and that can shock your heart
back into a normal rhythm.

He doesn't drink
enough water.

He was probably
just dehydrated.

If I get one
of those things, an ICD,

what then?

Well, then you'll be on
beta blockers and rest

for about six months,
after which we can

gradually increase your
level of strenuous activity.

Six months?

No, we can't stop
playing for...

Lucia, please. Por favor.

A guy with
a heart condition
who gets dropped out

for a whole season,

what team will ever take
a chance on you then?

With long QT, there's a risk of
cardiac arrest and sudden death.

You don't understand.

I'm about to get
my shot.

Tuesday night

at Wrigley Field.

Our whole life
has been waiting for this.

All right, well, we can
treat this less aggressively,

but just for the moment.

Dr. Lewis,
you have a minute?

Yeah.
Thank you,
doctor.

I'm expecting
box seats.

Do you want a cards
consult for the ICD?

Nah, just give IV fluids

and a stress test
later in the day.

I thought you were
recommending...

I had an ER overreaction
kick in.

I worked through it.

All right.

( yawning )

* Wake up, Little Susie,
wake up *

* I promised your mama I'd
have you home by 10:00... *

Have the paperwork
for us

to look over.

What paperwork?

You know,
the end of the affair.

Oh, right.

Jerry, get me the surgical
nurse manager back on the phone.

You ever think about

getting a personal assistant?

Susan, drunk in Three's
waiting on his banana bag.

And you,
I need to talk to you.

I'll be back in a minute.

Okay.

What are you doing tonight?

Take it easy, cowboy,
I'm a married man.

Thanks.

( Road Runner cartoon plays )

O God, whose mercies
cannot be numbered,

accept our prayers on behalf
of your servant Millicent

and grant her an entrance into
the land of light and joy

in the fellowship
of your saints.

Tears have
been my meat

day and night.

While they daily
say to me,

"Where now
is your God?"

Now when I think
about these things

I pour out my heart
by myself

for I went
with the multitude

and brought them into
the house of God.

Why are you so full of
heaviness, O my soul?

And why are you so
disquieted within me?

Just as the deer

longs for the water brooks,

so longs my soul
after you, O Lord.

What are you doing?

There was a minibar
in there.

You know how vodka
goes through me.

Get back in the car.

I'm trying to make
this work, Abby.

You just
got to give me

a little
more room here.

I swear to God, if you do not
get back in this car this minute

I will get a gun
and I will shoot you dead.

Wow.

You learn that approach
in nursing school?

Get in the car.

ERIC:
Hey, hey,
hey, hey, hey.

Then stop
chasing me.

Eric...

Hey, John,
what's up?

Why are you so
disquieted within me?

Put your trust in God...

JACK:
You need to calm
down, son.

Sorry about your
grandmother.

It's tough to lose somebody.

Why don't we go...

This is quite
a send-off.

She must have been very loved.

Or very rich.

Eric...

Sorry.

I don't feel so good.

Brought your brother.

It's not exactly my
bowl of rice, Kovac.

Besides, I've
got a date.

Hot little brunette
in radiology.

Oh, you'll be disappointed.

Hey, listen, all you'd have
to do is be there

as a support surgeon.

Uh, some dying kid's
desperate mom stuck him

aboard a plane, huh?

You know, that's almost enough
to pluck at my heartstrings,

which I might add,
are notoriously unpluckable.

I'll really be disappointed.

Trust me.

Will Corday be scrubbing in?

Says here under
the Illinois

Marital
Dissolution Act,

"A marriage can
be invalidated

for only one of the
following reasons."

Okay, keep going.

Uh, fraud. Did you
ever fake anything?

No. You?

No. I'm just
a screamer.

Uh, "Unacknowledged
prior marriage?"

Right, like either
of us is a bigamist.

I have an uncle
who's a Mormon.

Next.

Uh... "Under the age
of legal consent."

Don't I wish.

Don't I wish.

"Lack capacity
to acquiesce

"to the use of
drugs, alcohol,

or some mind-altering
controlled substance."

I think we have a winner.

Which one of us
was trashed?

Split the difference.

Okay, you know,

let me be the
gentleman this
one last time.

Oh, I don't recall
any precedent for that.

Okay, so you're going
to have to sign these,

and I'll take them
into Family Court.

Here.
Okay.

All right.
Don't kick my ass.

Just, uh, initial paragraph two
and sign page three.

Done... and done.

All right,
there we go.

Unknotting the
bonds of love?

Yeah, something like that.

Or impetuous lust.

Maybe something in between.

Jennifer Rosen, 43.
See you later?

Yeah. Call me
when we're divorced.

Picked her up at home.

She was a neighbor's
Botox party last night.

Botox party?

Your day
will come.

She's having
trouble swallowing.

I'm sorry, Luka.
I just can't.

I'm getting DeFord
Steen from Rush

to do the Tet repair,
but I still need a County

support team.

It's just too far afield
for me.

Come on. I'll
do anything.

I'll-I'll mow
your lawn.

I'll-I'll
baby-sit Ella.

Over my dead body.

And this guy's, too,

if you don't tie off
that bleeder.

Suction from above.

Three-O proline
on a needle driver.

Look, Luka,

I appreciate your commitment.

I really do, but
don't you think

this is all just
a little bit...

rash?

It's the only chance
this boy has.

Is Dr. Dorset part
of this team?

Uh...

is-is that a problem?

Yes.

Okay, no, no. Fine.

F-Fine. I'll do it.

He's calmer now.

I gave him some
Depakote.

How much?

The whole bottle.

I was stuck.

I-I...

He couldn't
be left alone,

and I really wanted
to be here with you,

and I thought he would
just wait in the car,

and I'm really
sorry, John.

I'm going to drop him
off at the hospital,

and then I'll come
by the house, okay?

What for?

Because he agreed
to be evaluated,

maybe go into a locked ward.

No, I mean,
why come by the house?

I know...

what happened was terrible.

Unforgivable, really, but...

my brother is sick,
and he's struggling.

I'm just trying to
help him survive.

I know.

So go do that.

Didn't your
doctor tell you

that Botox is
not FDA-approved

for neck wrinkles?

They say botulism is beautiful.

Yeah, until you need
an NG feeding tube.

A what?

It's an internal
catheter

which goes from your
nose to your stomach.

Now, you'll have
to use that

to feed yourself
about four cans
of solution a day.

Will I lose weight?

GSW times three
en route.

That's not the point.

How long till they get here?

Now.

Gallant, let's take her
in suture.

Pratt, two kids coming in.

GSW to the right
hand, chest and arm.

My babies.

Where... where are my babies?

They are right behind us.

Turner Mitchell,
single GSW to
the upper abdomen.

Where does it hurt, Turner?

Where the bullet went in.

Nine-year-old girl.

Multiple abrasions
to the head and neck.

Denies LOC.

I'm okay.
Help my kids first.

They're being taken care of,
Mrs. Mitchell.

BP's 100/74
after two liters.

...over 64.

But he's tachy at 120.

Hold him steady.

I can't find any GSW.

Me, either.

My back hurts,
my neck.

What's your name,
pretty girl?

Noelle.

Well, Merry
Christmas, Noelle.

We're going to
fix you right up.

One, two...
Three.

BP's 90 systolic.

Single small-caliber wound
in the right lateral chest.

We were watching Bugs Bunny.

The window started...
Exit wound.

smashing and then...
Okay, hang
another liter.

Betadine the
right chest.
Nothing.

Good, Gallant.
Keep going.

My-my stuff'll

come around
for-for a second time.

Is there a husband
we can call?
No, he's gone.

It's just-just me now.
Okay.

Ma'am I'm going
to numb you up, okay?

What about my kids?
I'll go check
on them.

Prep and anesthetize.

I'll be back for the chest tube.

BP's down to 64/48.

Sterile gloves
and a seven French
triple lumen.

Gallant's going to need
the SonoSite when you're done.

Take it.

Dr. Kovac, there's
a telephone call for you.

They say it's important.

Take a message.

Let's prep a six-O
ET tube and a two mac.

80 of SUX
and ten of etomidate.

It's that airplane
that you asked me to track.

Okay, ask them
what the problem is.

Uh, hey, uh, what's the problem?

Okay, wire's in.

Needle back.

Is this the Unifo kid?

Yeah. Sounds like a Tet spell.

He's saying bad breathing
and "Blau."

Okay, hold out the phone.

Okay, catheter
is in.

Hook up
the infuser.

Morphine
from the medicine...

Pressure's only up
to 70.

Luka, go ahead.
I got it.

Okay.

Take it outside.

DPL kit for Pratt?
Over there.

What?

Says he's doing
DPL on the girl.

My pager's going mad.

Oh, start up here.

I got to go see
what the hell he is up to.

NG tube and a Foley.

What's his first Hemacue?
12.8.

Talk to me, Pratt.

She's persistently hypotensive
and bradycardic

with warm, dry skin
and good CAP refill.

Spinal shock.

Or complete transection.

Hi, sweetie.

Can you squeeze my hand?

Shrug your shoulders?

I can't feel anything.

Okay. Don't worry.

We're going
to take good care of you.

She has no motor
or sensory below C5.

Where's the GSW?

There isn't any.

Her mom pulled
a bookcase down

to protect her.

Oh, must have caused
a spinal cord injury.

Like, I said,
she needs a DPL.

Do a SonoSite,
and wait for Corday.

Start the steroids?

Uh... yeah.

900 milligrams
of Solumedrol,

then 5.4 per hour.

( screams )

It is an unfortunate situation,

but if Mercy is committed
to doing the surgery,

then they should follow through.

That's not going
to happen.

And our facilities
provide the best--

perhaps the only--
last-minute option.

I'm sorry to interrupt,
but I need an answer.

It's hard enough

to keep pace with
our own problems, Dr. Kovac.

If it were a wealthy businessman
in need of an artificial heart,

we'll find the reason to do it.

Artificial heart
implantation

is a cutting-edge
surgery

that has benefits
to medical science,

as well as the patient.
I know all that.

You don't have
to tell me.

We're talking about
one sick boy here...

Uniform and Tet Repair,
while important, are more...

who we have the ability to save,
but not the will to do it!

( sighs )

And after all the talk,
we won't save this boy

for only one reason:
because we don't want to.

It's more complicated
than that, Luka.

Yeah, you're right.

There's also the money.

( door closes )

I didn't know Gamma had
The Collected Oscar Wilde

in first edition.

Oh.

There was a story about him
late in his life

she... loved to tell.

I can't really remember.

He was on his deathbed
drinking champagne,

and a friend of his asked him
what he was doing,

and he said, "Isn't it obvious?

I'm dying beyond my means."

She was a society lady

with the heart
of Stonewall Jackson.

I didn't mean
what I said before.

Oh, it is what it is, John.

We can't pretend
it was anything else.

Not much of a party, huh?

Not much of a funeral.

It was certainly memorable.

More like embarrassing.

So, Abby's not here.

I was just having
a hard time mingling.

Sharing duck canapés and cosmos

with a bunch of people
that I don't really know.

You don't need to stay
if you don't want.

It's all right.

I'm sorry, Dad.

I'm really sorry.

I feel like I blew it.

Well, you didn't.

Neither did Abby.

Let it go, son.

Just let it go.

They're ready for her
up in CT.

So, you're on Harper, huh?

I live on Williams
about six blocks east.

I don't know any doctors
in our neighborhood.

So, what do
you want to be?

A fashion designer.

Oh, that's good,
but with a smile like that,

you should think
about becoming a model.

Stuff like that never happens.

Oh, sure it does.

I've seen it happen.

I'll come find you later, okay?

We'll bring you back
as soon as the CT's done.

I still can't
move anything.

Why can't I move?

We're going
to figure that out.

Dr. Romano,
did you forget something?

Yeah, I did.

Denzel, I
need my Ancef,

Exam Two, pronto.

IM or IV?

What's it matter to you?

Nurses always
give antibiotics.

And I've got to push this girl
through CT.

Well, let her do that.

You come with me now.

Come on.
I haven't got all day.

Romano's got
a new bitch, huh?

Malik, hook me up with
a portable defibrillator

and a drug box.

Is somebody going
on a run?

I'm not sure
why you'd want

an Affirmative
Action imbecile

fixing you up,

but if you're trying
to humiliate me...

Zip it.

You've demonstrated

a certain amount
of integrity.

Now, it won't last long
if you keep working here,

but for the time being,
it suits my purposes.

I'd prefer to keep this
between us.

How did that happen?

It's not important.

There's some tissue
that's devitalized.

It'll probably need
debridement.

Look, I don't know
much about burns,

but I'd say you're
going to need

a little bit more
than debridement.

Just do it.

Just do it?

Some of this is
circumferential.

The vessels under the
eschar look charred.

I don't even know if
I can take care of
an injury that severe.

All right, then.

I'll get Corday.

No, get Lewis.

She's the least annoying
of the bunch down here.

Look, Dr. Romano,

you need a surgeon
to examine that.

I am a surgeon.

Hey, Jerry, have you seen

Abby?

Ah, she's off today.

I thought you were, too.

Jerry, tell Malik
to let me know

when the postical
postal worker
in Four wakes up.

Postical... I don't think
I can even say that.

Carter, I thought you
went to the funeral.

Yeah, if you can call it that.

Excuse me.

Curtis Mitchell.

They say my family's here.

Uh, yeah,
I'll take you to them.

You going
to be here a while?

Did they tell you
what happened?

Yeah, they told me.

Your mom was lucky.

A bullet passed
through her chest,

but we were able
to reinflate her lung.

What about Turner?

Shot to the abdomen,
but he's stable.

And my little sister?

Uh, no bullet wounds--
that's good,

but a bookcase fell on her,
so there's some paralysis,

which we're hoping
is temporary,

but we won't know more
until we get back her CT.

Hey, Mama.

How are the kids?

Did you see them?

No, not yet.

Are you all right?

I was trying to protect her.

It's not your fault.

I-I pulled the bookcase
down on top of her.

Did you see who did this?

Mama, did you see who did this?

Don't do anything, Curtis.

You hear me?

Don't you do anything.

Have them send type-

specific
to the OR.

That's my brother.

Cefoxitin's
on board.

Turner?
Second unit's in.

That's my brother.

What's going on?

We're taking him
to the OR.

He needs
exploratory surgery.

He's bleeding
internally.

Can you make it stop?

We think a bullet
ripped into his spleen.

We may need
to remove it.

Turner,
you all right?

We got to get
him upstairs.

You stay strong,
little man, okay?

Stay strong, little man.

Boy, the standard of care
really does suck here.

Miss Perez?

He's got a swing
like a young Ted Williams.

That's what everybody says
anyway.

Sounds like
a natural.

I just...

We can't give
up on that.

You don't have
to explain it to me.

Robert.

Shall we, uh,
step inside?

Gallant told me
what happened.

So much for
his integrity.

He was concerned.

( sighing )

May I?

It may be a little worse
than I thought initially.

Normally,
in order to determine

full assessment
for escharotomy...

We need to determine
pain in...

which we cannot
do in this case,

because I'm the guy with
the piece of driftwood
hanging off his shoulder.

There are other ways
to determine

if the procedure is called for.

No, no escarotomy.

Some of these
are full-thickness burns.

If the blood supply to the hand
is compromised...

No, as long as I can feel
a good radial pulse,

I am not going to let
the surgical "B" Team

start hacking
away at me.

It's possible
the arm could become eschemic.

In which case, it's already
too late to save it.

I know. I get it.
I understand.

Capice.

You should see Corday.

I don't want to see Corday.

At least get
a Plastics assessment.

Will you do that, Robert?

Hi, it's Abby.

Leave me a message
after the beep. Thanks.

Hey, I thought you were going
to be here with Eric.

Dr. Carter.
I was trying to catch you.

Dr. Carter.

I guess
there was a change of plan.

( whistling )

And I'm going
to hang up now,

because you're standing
right in front of me.

Where's Eric?

Upstairs
with Myers.

Are you okay?

Look, I'm
really sorry.

I feel like such
a terrible person.

Yeah, well, it's been
a bad time all around.

CURTIS:
Hey...!

I'm going to
wipe them out!

Look, I swear I
would kill them!

I would do them all,
and I'll take this whole

damn world
with me, man!

You going
to be cool...

I'll take them with me!

...or you want to be
in custody?

I'm cool,
all right?!

I'm cool, man.

Okay, I'll get a suture kit.

Sit.

I'm going to come back later.

Good.

Ain't you
a doctor?

Just a hobby, really.

What's that,
Black Pharaohs?

No, man, Righteous Lords.

How long
you been into that?

I'm not anymore.

I used to run with
them a while before.

I stopped, man. Ah!

Outgrew it?

My mama begged me.

I got a job bagging groceries.

Okay, this will
sting a little.

They were after me.

Who was?
The Dis...

( yelling )

The Disciples, man.
Uh-uh-uh...

They think they own my 'hood.

Probably think
I was an easy target

ever since I left my crew.

So, now Turner, Noelle and Mama,
they paying for it?

Luka, the board's answer
was no.

Oh, this is for
something else.

However,
I convinced them to agree

that if a boy with
no other options

shows up at County
General's doors

in need of an
emergency... repair,

well, he wouldn't
be turned away.

Hypothetically?

And completely off the record.

Kerry, thank you.

( woman
speaking German )

Ladies and gentlemen,
please remain seated.

You are Dr. Kovac?

Yeah.

Base line cyanosis.

...breather
at six liters.

That the X ray
the lady doc was talking about?

Come on, talk to me, man.

She has no return
of her reflexes.

She's having
difficulty breathing.

That could indicate
paralysis.

Will she walk?

If the swelling goes down,

we can put her
on a regimen of
physical therapy.

Will she walk?

I don't know.

Hey, there, baby girl.

Curtis. Mom's okay.

Yeah, I know.

We didn't do
anything.

Why did they shoot at us?

I'm going to go home,

and I'm going
to get things fixed up.

You just stay here
and get better, okay?

Neural ICU's
ready to take her.

When can I visit?

It's open 24 hours.

Am I going to have to stay here?

For a while, yeah.

I can't go home
with you tonight?

No, not tonight,
baby girl, not tonight.

But these folks going
to take care of you.

You try to get some
sleep, all right?

The car is outside.

Are you back?
Yeah.

Too bad it's like this,
though, man.

Where you going, Curtis?

Like I said, fix things.

Yo, they shot up
Jamal's crib, too.

That's not the way
to get it done.

You did a good thing
for your mom.

Don't undo it now.

The Disciples undid it

when they shot up
my family.

Your family needs you.

Yo, Doc...

Hey, Curtis.

Hey, Curtis.

You just didn't
do that, right?

All right, what am I supposed

to tell
that little girl upstairs

when you don't show up?

You tell her I'm a warrior.

You tell her that.

( engine starting )

Sats are falling!

Can't get a good angle!

PVCs, we've got to bag him!

No, will have
to wait!

He's going to go
into arrest!

Let me give it a shot!

I don't think
it's possible!

We do it all the time!

Here,

bag for me!

You've got to get low,

like you're having sex
in a Volkswagen,

you know what I mean?

He's about to go
into V-tach!

Don't miss!

You're a real motivator!

Did anyone ever tell you that?

CORDAY:
Are the bypass tech
and machine ready?

On their way.
Where can I plug in?

Uh, you are?
The echocardiologist.

Kovac promised me
Cubs tickets.

Dr. Corday.

What a pleasant surprise.

Oh, I didn't realize

that Kovac had
recruited you.

He's a persuasive man.

They're three
minutes out.

( hangs up phone )

( helicopter approaching )

( speaking Croatian )

Are they ready?

Standing by
in the OR.

Okay.

Let's roll.

Be careful of the tube.

Bradying down,
looks like 65.

KOVAC:
Half mig of atropine.

Let's keep moving.

No, he might arrest.

Eagle Scout, Doc.

Stats are off
the chart, low.

No pulse.

Okay, starting CPR.

You want epi?

.5 escalating doses.

Okay, pushing it.

...doesn't work.

Nothing works.

I just want his heart
to beat.

I got a pulse.

Okay. Go! Go! Go! Go!

Pressure's only 60
on maximum dopamine.

He needs suctioning.

Where's the CD Team?

They're on
their way in.

You intubated?

Yeah, he's in pulmonary edema.

CORDAY:
All right,
let's get started. Here we go.

Is he stable enough
for general

anesthesia?
I'll scrub in.

KOVAC:
Okay, let's prep the chest.

It's all right, Luka.

We have it.
Porcine pulmonary

valve and Dacron conduit.

Let's get a look
at his coronary

anatomy.
All set.

It's been
a pretty good gig

being married to you,
all in all.

No complaints.

If you ever need a letter
of recommendation.

My resume speaks
for itself.

Is that split move you do,
is that a special skill?

( laughing )

Ah, so...

I guess we'll be running
into each other.

You know, just because
we're splitting up

doesn't mean, you know,
we have to end it.

Makes sense to me.

I hear divorcees
have the best sex.

We're technically annulled,
not divorced.

Work with me here.
I will.

I got a roommate.

That's okay.

I know a bench
in Lincoln Park.

SURGEON:
Are we ready
for bypass?

SURGEON 2:
Ready.

Run up the pump starting
at... 9:37.

There'll be some
outrage at the top

but we'll handle that.

So, he's doing well?

Yeah, stable on bypass.

... pericardium.

SURGEON:
Pump prime gradient
less than ten.

CORDAY:
Low dose epi
at 0.5 started.

Pressure's
up to 120/70.

I thought if I could save him,
it would make me feel...

I don't know, like, uh...
maybe I was a doctor again.

Hey, does this look like
a pubic ramus fracture to you?

No.

Avulsion of the
ischial tuberosity.

Abby's on her way down.

Dr. Romano,
how's it going?

How's what going?

Nothing.

Back to work.

NURSE:
Gallant.

I'm putting Mrs. Mitchell
in One.

I'll be back from Ortho
in a minute.

What's the chest tube
output like?

Less than 50cc's an
hour. Normal sats.

Mrs. Mitchell,
how are you feeling?

Is Curtis here?

He had to go out
for a little while.

He said he'd come back later
for a visit.

You're a doctor.
You dress so nice.

Yeah, I had a funeral.

Somebody close to you?

Yes, ma'am.

Oh, I'm sorry.

Must be hard.

Uh, Turner's doing better.

He's out of surgery
and Noelle is up

in the neuro ICU.

You can see her
tomorrow.

W-Will you wake me up
when Curtis comes back?

I'll make sure
that the doctor knows.

He's a good boy, my Curtis.

How did Kovac
get you on board?

Well, he asked.

Ah. That was easy.

So, what do you
want to do now?

Because, look,
normally, tonight,

I would just be
sitting at home

watching Trading Places.

But fortunately for you,
it's ladies night.

( giggling )

Yeah, you're right.
My daughter's waiting.

I see, well,
have I mentioned

how much I love kids?

My car's just up the street.
You want a ride?

Which way are you going?

Uh... whichever way
you point me towards.

I'm... really sorry, uh...

I-I just can't tonight.

Um... can I take a rain check?

Nice evening
for a stroll.

Lizzie.

How'd it go with Plastics?

What did Gallant do,

post it on the
bulletin board?

No, Plastics consulted me.

They knew that I'd examined
your other infection.

Well, he wants to admit
me for wound care,

daily debridements, and,
uh, pulse monitoring.

And in about a week,
do skin grafts

on the dorsum and
the volar aspect.

Well, that seems reasonable.

Does it?

I was making tea.

I put the pot on.

I, uh, got distracted.

My sling got caught on
the burner and, uh...

my arm was on fire...

and I didn't realize it
until I saw the flames.

It's ridiculous.

Unfortunately, things like that
can happen

during sensory recovery.

Yeah, but I'm not recovering.

I'll never get the feeling back.

Robert, listen to me.

Just because you're discouraged

don't do anything
that might cause a delay.

It's just going to keep going
like this.

You can't afford
to have another infection.
It's over.

Compartment syndrome,
vascular insufficiency...

Lizzie, you're not hearing me.
It's over.

It's time for me
to cut my losses.

Robert...

No, we both know I'll be
better off without it.

You as much as said so.

No, what I said was amputation

was always a possibility
down the line,

but I-I don't think...

I'm very, very glad
we had this chat.

Will you, uh, check
the OR schedule to set it up?

As soon as possible.

I just want to be rid
of the damn thing.

Hey.

Hey.

Have you seen Carter?

Uh, he was
here before.

Everything okay?

Hey, I heard about the boy.

Congratulations.

Thanks.

Okay, see you tomorrow.

Actually, uh,
you won't see me
for a while.

I'm going to the Congo.

What?

The Alliance
de Medicine
Internacionale.

I'm off tomorrow

and then I'm going
to West Africa.

I didn't realize
that was so soon.

Take care of yourself.

I mean it.

Yeah.

Hold down the fort.

She's in the lounge.

Who?

You're not going
to play that, are you?

PARAMEDIC:
GSW to the
chest and back.

PRATT:
No LOC, but
he's altered.

Who's attending?

Uh... Chen's in three
with hot MI.

So, who's going
to take this?

Pratt needs
an attending.

You're an attending.

PARAMEDIC:
BP 90/66 after a liter.

Hey!

Hey, where's Curtis?

I don't know, man.
I don't know.

Was anybody with him?
A bunch of them down.

A couple pronounced
on the scene.

PRATT:
Tachy at 130.

MAN:
I can't breathe.

PRATT:
Lost the pulse.

CARTER:
All right,

start compressions.
Let's go.

No pressure, no pulse.

All right, stop CPR.

I'm in, you bag.
Thoracotomy tray.

Carter, I'm here.

Betadine
and ten blade next.

Jing-Mei's got it.

Come on, Pratt!
Don't just stand there.

Do a central line.

This is my patient.
I got it.

CHUNY:
Still no pulse.

Carter, it's okay.
You don't have to do this.

All right, give me

the ten blade.
John, let them take it.

CHEN:
Fifth intercostal space

all the way
to the mid-axillary line.

ABBY:
Okay, why don't we just
get out of here?

You know I came in
to find you, right?

I shouldn't have
come in here.

I shouldn't have come.

It's okay.
Things are going to get better.

Can you do me a favor?
Yeah.

Can you leave me alone?

What?

I need some time.

Can you just go?

Okay.

( sobbing )