ER (1994–2009): Season 9, Episode 6 - One Can Only Hope - full transcript

Corday clashes with new surgical resident Paul Nathan regarding his intervention into the treatment of a sickly young woman, Alison, who has signed a "do not resuscitate" order. Abby ...

Previously on E.R.:

I'm not working
with him.

Why?

Because he treats nurses
like idiots.

Whatever.

That's it.

I'm filing a grievance
against him.

You are such a jerk.

Why?

You slept with her?

I'll wait for you.



Okay, I'll
be right back.

Frank, take care
of my baby brother.

Is he potty-trained?

What the hell
are you doing?

Being a little hard on him,
don't you think?

What are you talking about?

Nathan. He's doing
a pretty good job, considering.

Considering what?

He has Parkinson's.

Excuse me.

How much did you take out?

CORDAY:
None of it.

None of it?

Metastatic lesions are studding
the entire abdominal cavity--



present on the outer surface
of the liver, the spleen

the small intestines,
the colon.

Shouldn't you take out
what you can?

Surgical removal won't
affect survival.

You'll need
to see an oncologist.

Survival?

You don't think
I'll survive it?

You'll need
to see an oncologist.

No.

Tell me.

Do I have a chance,
or don't I?

There's always a chance,
Mr. Willow.

How much of
a chance?

Given the extent
of your disease

with chemotherapy

less than a ten percent,
five-year survival.

What's the earliest?

The least amount
of time?

I'll have the oncologist
see you.

ROMANO:
Excessive therapy?

Excessive?
How's this for excessive?

I had my arm sliced off.

I mean, what do I have
to do to get full therapy?

I have to have a pack of wolves
come chew my leg off, too?

Look, my physical therapist,
my orthopedic surgeon

and the Chief of Staff
of the hospital

that pays your premiums...

What's his name again?
That's right-- me!

His insurance company.

...have all determined

I need a minimum
of five days a week

in order to regain
occupational use.

I need a solid tumor consult
for Mr. Willow.

It's not disability,
you gnat!

I'm-I'm still
working. It's...

Hello? Hello?

Coward.

The peek and shriek
still out of it?

No. I told him.
You told him?

You were in there for
all of 90 seconds.

Start a Dilaudid drip
at two milligrams q 30 minutes.

You know, I am
going to have

to get you your
own complaint box.

There's nothing I
can do for the man
but pain control.

No, no, your medical student,
the martini shaker.

He camped out in my office
and says

you refused to put him on call.

He has Parkinson's
disease.

Yeah. Hence the martini shaker
reference.

Come on, Lizzie, work with me.

Stress and sleep deprivation
only exacerbate his symptoms.

He says he's managing it.

Makes a good argument.

I don't think
it's fair to the others

to have to make them
pick up his slack.

I'm not going to put the man
on 36 hours straight.

He'll take a nap.
It's bad enough
he has to treat patients.

Oh, I get it.
What?

You have something against
doctors with disabilities.

Only on a case by case basis.

Look, if this guys
wants the full ream

surgical rotation
experience,
give it to him.

The last thing I
need is some dim
lawyer from the ACLU

coming in here
and telling me

I have to put
handrails on
the urinals.

And, oh, by the way,
the guy with the twitch--

he's suing your ass.

And we care nothing
about Mr. Nathan?

Who's Nathan?

Him. My Parkinson's student.

Oh. Uh, right.

Uh, no. I don't care.
This place is littered
with masochists.

Just make sure
he doesn't kill anyone.

MAN:
I found her asleep
on the El train.

LOCKHART:
Her name's Sara Paspalis.

She's 14.

Hey, Sara,
how you doing?

Sara, can you hear me?

Just let me sleep.

LOCKHART:
Did she fall?

She was in her seat
when we found her.

I don't see any signs
of trauma.

Abby, do you see any signs
of trauma?

You could suggest a head CT
and LP just to be safe.

Why are you so sleepy, Sara?

I'm tired.

Are you taking any medicine?

What about drugs?

Let's get a tox screen and APAP,
CBC and lytes.

Uh, foley

UA with dip and icon, too.

Multiple GSW coming in.

Weaver's stuck
in a waste management meeting.

She wants to push
your 12:30 meeting to 1:00.

Sure. Uh, wait. What meeting?

Uh, the one with HR.

You know, the nurses' petition.

What petition?

Hey.

Hey.

Hi.

Hi.
What are you
doing here?

I came here to see you.

I mean, I wasn't planning
on coming here, you know

here to see you, but I'm glad
you're working today.

I was going to call first,
but Jody got sick

so I figured
I'd just bring her in.

Who's Jody?

My girlfriend.
Your girlfriend?

Yeah, what do you think?

You approve?
She's cute.

Yeah? It's only been a couple
of weeks.

Come on.
Come on and meet her.

I want...
You'll like her.

Okay, just
one second.

Um, she's not
feeling well?

Yeah. I don't know.
Maybe the flu.

She has a bad headache,
and her stomach was upset.

We had some shrimp in Biloxi.

Uh, smelled kind of funny.

You had shrimp
in Biloxi?

Yeah, I rented a Cessna
for a couple of days.

Hey, Jody this is
my big sister, Abby.

Hi.
Hi.

Kind of little
to be your big sister.

( laughs )

Eric says you're
not feeling well.

What seems to
be the, uh...

( retches )

...problem?

That's right,
mama-san. I'm
bulletproof.

Tachy at 110,
B.P. holding at 100/80.

He's going to need blood.

Get four units O-neg.

I don't need blood.
I need a beer.

Yeah. Happy hour isn't
until 4:00.

How about a nurse
to sit on my face?

Are you up for a
lap dance, Malik?

Maybe.

Stay away from me,
you chocolate homo.

How did you know
my stage name?

Abby, we're going
to need some extra hands.

Okay. I'll be
right there.

So, what do you think?
The shrimp?

Well, that's a
good theory.

How did you
guys meet?

She's really great.

She's smart, funny...

when she's not throwing up.

Does she go
to school

or is the bookstore
like a full-time thing?

She's 21... almost.

Twenty.

Yeah, she's trying
to become a writer.

I mean, she
is a writer.

She just hasn't been
discovered yet.

I've read her stuff.

I mean, it's good.
It's really good.

You guys are...
I think it's good.

You're flying
around the country?

Part of the Midwest,
and the South.

Her parents are
from Ohio.

And you can
afford a plane?

Rent, rent.
Renting the plane.

What's wrong?
Nothing?

It just seems
like a lot of
money, that's all.

We'll get out of your hair
if this is a bad time again.

Abby, we need your help.
No, it's not.

Okay. Um, it's
not a bad time.

I'll be back in a minute.

( alarm sounds )

Muffled heart sound.

I want the American doctor.

Chen is the
American doctor.

Betadine, seven-and-
a-half sterile gloves

and a 30 French chest tube
on a vascular clamp.

70 systolic.

Hey, Abby,
have you seen Sara?
Who?

The girl that the
cops brought in.

She fell asleep
on the El.

She was in
Exam One.

I was there,
remember?

She's gone.

CORDAY:
Ten blade,
sterile drapes.

Pericardial effusions.

Spinal needle and syringe.

Oh, me love you long time.

Right in the ass.

She's the one
with the big needle.

Hey, dude?

Can you hear me?

He's out,
but he's breathing.
Good.

I think she may have
wandered off. Abby?

We're in the
middle of a
trauma, Harkins.

What would you
like us to do?

Stop and help
you look for
your patient?

I'm in.
No pressure
and no pulse.

Needle out.

40cc's of pericardial blood.

No blood in the thoraseal.

Hold it.
Sinus rhythm.

Pressure's
coming up.

Nice needle.

LOCKHART:
Third unit's going up.

Dr. Corday?

Pressure's 110/72,
sats are at 95%.

Dr. Corday, we have a trauma
patient in here

in respiratory
distress.

CHEN:
Maybe we should
crack his chest anyway.

CARTER:
Getting no breath
sounds at all.

26-year-old female went down
in a crosswalk at Felton.

GCS 13, slightly altered.

HALEH:
Pulse ox 89,
tachy at 120.

She carries her
own oxygen, but
the tank's empty.

We've been going
easy on the O2

in case she's a
chronic retainer.

I don't hear anything.

Do you think
she has bilateral pneumos?

That doesn't
make any sense.

There's no real
signs of trauma.

What about the scars?

Looks like she's had lung volume
reduction surgery

and a liver transplant.

All right, everybody

quiet, just quiet.

There.

Coarse rhonchi bilaterally.

That's so faint.

ABG looks good.

I understand
you had a conversation

with Dr. Romano.

Yeah, he was very supportive.

Unfortunately, he's not the one
assessing your performance

so in the future,
if you have any concerns

regarding your rotation...

I've told you my concerns.

I'd appreciate it if you go
through the proper channels.

Well, I'll certainly try.

Alison, do you have emphysema?

Alpha-one... antitryp...

Alpha-one antitrypsin
deficiency?

What can you tell us

about Alpha-one
antitrypsin deficiency

Mr. Nathan?

It's a genetic disease.

It causes reduced serum levels

in Alpha-one blood proteins.

Why is that bad?

The abnormal mutation gets
hung up in the liver.

Causes cirrhosis.

And why can't she breathe?

Well, without Alpha-one,
trypsin is unopposed.

It's eating up

the alveolar surfaces
in her lungs.

Yes, and... ?

Pan-acinar emphysema.

She's got the lungs
of an 80-year-old chain smoker.

She's...

She's drowning in her own mucus.

Alison, you're not getting
enough oxygen.

We need to put a tube
down your throat.
No tube, no tube.

No, we need to.

How about a bipap?
Pressure mask?

Will that work?

It might.

Get one.
Call RT.

Good call.

LOCKHART:
Third unit's up.

MALIK:
Pressure's 100/72,
sats 96.

Haleh, do you
know anything

about some
petition?

Yeah. I signed
it. We all did.

Not me.

I can't believe
a guy comes in here

with three bullet holes,
and nobody pages me.

You are such a trauma queen.

What is it,
about cafeteria
hours again?

No. Dr. Kovac.

They figure you weren't going
to do anything, 'cause, well...

you know.
No.

Do anything
about what?

MALIK:
Don't sweat it.
They just whining.

You cut up Denise.

PRATT:
Looks like she
saved your butt.

We had to put in
a chest tube.

That was my wife,
you gook bitch.

Hey.
I'm coming back for you.

Me and my boys are going
to cut you up.

Only boys you're going to be
seeing are in the prison shower.

You okay?

Chen?

I'm fine.

Repeat ABG in 20 minutes

and get a portable chest
before we move her.

Dr. Corday, penetrating trauma
in Curtain Three.

Be right there.

I'd like to follow
through the evaluation

for heart-lung transplant.

Complete discharge summaries

and review all ER charts
for possible surgical consults.

Can I go to the ball after that?

There's an M&M at 3:00.
Don't be late.

She's a good teacher.

Yeah, that's what they keep
telling me.

How are you feeling?

Yeah, a little better.

Sorry I almost
puked on you.

Oh, it's okay.
It comes with the territory.

Where's Eric?

He went out
for a smoke.

A smoke?

I know. I-I keep
telling him to quit

but he doesn't
listen to me.

You should
talk to him.

Maybe he'll listen
to his sister.

Especially since
you're a nurse...

Can you excuse me one second?

Yeah.

( clears throat )

Hey.

I'm, uh, being sent

to the principal's
office because of you.

What?
I don't know.

You pissed off a bunch
of nurses this time.

How?

I think it's an
attitude problem.

I have a good
attitude.

Hey, Abby...
I do.

Abby, I still can't find her.

Jerry, could you help Harkins
find her patient?

Uh, big hospital,
many patients, very busy.

Abby...

Call security.

OLBES:
Darius here skateboarded
into a car door.

No LOC, normal vitals

obvious ankle deformity,
but good pulses.

Old geezer opened it
right in front of me.

Do you have a last name,
Darius?

It's just Darius.

Oh, like Cher.

Do you have any allergies,
Darius?

No.
Have you seen my brother?

Oh, you just
missed him.

He wanted to
buy cigarettes.

I sent him to
the newsstand.

He's getting me
lottery tickets.

( laughs ):
What?

He offered,
I figured what the hell.

It's 87 million.

You realize
you have a better chance

of getting hit by a car.

Is that supposed
to be funny?
Sorry.

You want to go in with me?
No, thanks.

Maybe you could use it
to cover my malpractice lawsuit.

Hey.

Hey.

Uh-oh.

National Enquirer.

Embarrassing, I know,
but Jody's a gossip junkie.

When did you start smoking?

Oh, a while ago.

What's a while?

What difference does it make?

I don't know.

Nobody starts smoking
over the age of 25.

Oh, what can I say?

I'm a late bloomer.

You know,
I'm serious.

Eric, it's really not good.

Well, you smoke

and you've been
smoking since you
were what, eight?

Oh, that's cute.

We're not talking about me.

You're right.
How's Jody?

( sighs )

I don't know,
she seems better.

She's not pregnant.

Was that a
possibility?

I don't know.
You tell me.

Well, yeah, I guess.

I don't know.

Oh, come on.
What if... ?

Okay, what if she was?

Then what?
But she's not.

But you just said she could be.

But she's not.

What are you doing, Eric?

What's going on?

Okay, Mom, I'm having sex

with my girlfriend.

I mean, what
are you, a nun?

You show up here with this girl
who's barely out of her teens

who may be, could be pregnant?

But isn't.

On some weird impromptu leave.

People take vacations.

You were renting a plane
that I know you can't afford.

Oh, I forgot,
you're a financial wizard.

Uh, don't. Don't mock me.

I'm not the one who's...

Who's what? In love?

Oh, you're in love?

I don't know. Maybe.

Okay.

Is that such
a bad thing?
No.

MAN:
Help!

Somebody, help!

Over here, help!

Can you go inside
and tell them I need a gurney?

Fast.

Sara?

Sara?

How long has she
been like this?

About two trains.

Is she dead?

Wake up, Sara.

She might wake up
if I kissed her.

Sats any better?

93 after a couple of nebs.

She wants to take the mask off.

Okay. Just keep an eye
on her rate.

Okay.

( wheezing )

Did you call my dad?

We left a message.

Do you take prolastin
for your Alpha-one?

No.

I got hives

then anaphylactic shock.

( wheezes )

Throat closed up.

A true anaphylactic reaction
to prolastin is pretty rare.

Lucky me.

They took me off
a few years ago.

( wheezes )

You have pneumonia.

Fifth time
this year.

A new record.

Well, we can clear that up.

Do you have an allergies
to any antibiotics?

No.

( wheezes )

I want to sign a D.N.R.

My liver's sick.

My lungs are shredded.

NATHAN:
Well, the antibiotics

will make you feel better.

( wheezing )

Don't take it personally.

I just don't want any more help.

I'm ready to die.

( wheezing )

Can you hold
her arm down?

No one mentioned
she was seizing.

KOVAC:
She is not.

Six centimeter
jagged scalp lac.

Looks like it's torn
straight through
to the bone.

What was she in for?

Uh, we don't
know for sure.

Police found
her asleep

and hard to
rouse on the El.

LOCKHART:
Possible drug overdose.

Possible brain bleed.

I just don't understand
these girls

who'll take any pill
handed to them at a party.

Dr. Corday?
Yep?

Can you, uh,
witness a D.N.R.?

I need a second
physician's signature.

CORDAY:
Oh, there's no gag.

She's not protecting
her airway.

I got it.

Thanks, Luka.

Okay. Let's intubate her
and then get her up to C.T.

You care to do
the honors?

Uh, yeah, sure.

Scope in the left hand.

Sats are 98.

CORDAY:
Slide along the tongue.

Across and out
of the way.

Good.

That's excellent.
Now look for the cords.

That's it.
Excellent.

Lucky lottery ticket.

Since you're a friend,
it's only two bucks a pop.

They're one buck
across the street.

Not with my patented
number selection system.

She looks like
she's feeling better.

She should
after 125 milligrams of Demerol.

Well, she had a migraine.

So she needed
Demerol?

She failed Compazine,
she's allergic to Imitrex

and she's almost 21.

LOCKHART:
Oh, he mentioned that,
did he?

( chuckling ):
He's a funny guy.

Thinks he's in love.

Well, you can't have
enough love in the world.

What, you don't like her?

I don't know.
I just met her.

So did he.

Jerry, call me when the labs
for Fay Graham gets here.

You bet.

Speaking of betting

you feeling lucky
today, Dr. Chen?

Oh, reselling lottery tickets
is a felony.

Got an officer
needs some work here.

What happened?

She was involved
in a shooting earlier.

Her hand got shredded
by a driver's side window.

She keeps saying
it's no big deal, but...

It's not.
Here, let's sit down
right over here.

I think she's lost
a pint by now.

I'm okay, Hal.

Okay, let me take
a look at it.

JERRY:
Abby?

Director of Nursing's
calling for you.

You're late for some
meeting with Romano.

Okay. Here, someone
will be with you
in a minute, okay?

Nathan, you're
surgical, right?

Uh, yeah,
but I'm taking...

Somebody from trauma
or hand should

take a look
at this possible
flexor tendon lac.

Irrigate while
you're waiting

but she might need an O.R.

She collapsed on the street.

She's got pneumonia
and signs of liver rejection.

Why isn't she on a vent?

She declined
the use of one.

You just said she
had pneumonia again

and her lungs are
shot to begin with.

How the hell is she
supposed to breathe?

Mr. Deluca,
your daughter signed

a Do Not Resuscitate order.

She's just depressed.

She gets that way sometimes.

L-Let me talk to her.

I don't think that she wants
to be talked out of it.

Well, of course she does.
She's just a kid.

She's 26.

She gets tired.

Yeah, she's dying.

We're all dying.

Not like that.

She's in tremendous pain,
and she knows

that that's
never going to change.

She stopped taking
her antirejection meds

weeks ago.

Catch her up.

Can't do that.

Then I'll make her take 'em.

It won't work.

She's still going to be allergic
to the only medicine

that can keep her alive.

We'll find new meds!

And when those fail

she's going to need
a complete heart/lung transplant

for even a chance of survival.

Then I'll get her one.

So she can face the same disease
all over again?

If you don't want
to fight for her

I'll find a doctor who will.

Insert and cock your wrist
at 90 degrees.

Fired three rounds
before I knew it.

Department issue
semiautomatic.

If possible,
use your pinkie
to steady your hand.

It was all really fast,
you know?

I'm sure you did
the right thing.

It's my first week.

I've been scared
every day.

If it's not what
you were expecting

there's no shame in
exploring other options.

Dr. Corday, I need you.

I'll be back to
check the sutures.

Could you put some pressure
right here?

Yes, sir.

I'll be right back.

But she was so altered
when she came inside...
Excuse me.

Don't you think that officer

could possibly be suffering
from post-traumatic stress?

Yes. Call a social worker.

You know,
I just thought it was me

but you're kind of cool,
aren't you?

Pardon?

A social worker?

Isn't it our job
to take care of these people?

If you insist on being on
a surgical rotation, Mr. Nathan

then act like a surgeon.

Act like I don't
give a damn. Got it.

That woman's hand
is still bleeding
and in need of suture.

That's how you
can help her.

Now what was it?

She was so altered
when she came in

so I figured it was something
that wouldn't show up

on a tox screen--

a rave drug
like ecstasy maybe.

And then I remembered
I read this article

about special K...

Come on, Harkins,
get on with it.

Well, it's
replaced roofies.

It's mostly
a date rape drug.

It's sometimes recreational.

I just never thought
to look before, Dr. Corday.

Of course you
disagree, Kerry.

It flies in the face
of the culture

you've established.

What?
There is no culture.

We're too busy saving lives.

It's not funny, Kerry.

By not occluding
it at the onset

you have allowed it
to proliferate.

You. You have anything
monosyllabic you care to add

other than apologies
for being late?

Sorry.

That's two syllables.

So, Mary... answer me this.

What are you looking for
from us?

As Nursing Director

I feel a full
investigation
is in order.

Of Dr. Kovac?

Of the entire
physicians' staff.

Oh, come on--

but it's true

we get no respect,
but this is one complaint

filed by one nurse
against one doctor

that she... knew.

That she what?

Nothing. She just
doesn't like him anymore.

CAIN:
I have a petition

signed by every nurse
in the department.

Right, all of whom
are tired.

They're overworked,
underpaid and pissed off.

Excluding the males.

And Nurse Lockhart.

Apparently, your
relationship
with Dr. Kovac

ended better
than Chuny's.

Did you really
just say that?

So it's true. You're all suckers
for the accent.

Robert.
The bottom line is

this will all be handled
by the medical exec committee

in three weeks.

So until then, how do we untwist
everybody's panties?

NATHAN:
Open your eyes,
I know you're faking.

Flowers from a doc.

( strained breathing )

I like this hospital.

Ah, they were half price
at the gift shop. Day old.

Pull off a few petals,
they're good as new.

Thanks.

Did he go outside?

Yeah, yeah, he's
taking a walk.

In circles?

Yeah.

He did that a lot
when Mom died.

( labored breathing )

Sometimes it's harder on
the people that love us.

He's in denial.

Thinks there's actually hope.

And so do I.

Excuse me?
Excuse me.

Malik, did Weaver
get down here yet?

I haven't seen her.
Hey, how'd it go?

Luka.

Hey, where'd you go?
I was looking all over for you.

I'm sorry,
I had a meeting.

Hey, she's resting now.

Can I talk to you
in just one...?

She's feeling
a lot better

and John was really great
with her.

( Lockhart sighs )

Who?

Uh, your boyfriend,
John Carter?

Carter?
Carter.

Hey, listen

can I borrow your keys?

I think we need to crash
for a while.

I was hoping that
we could stay at your place.

Oh, yeah, sure, no problem.

We'll grab a hotel
if it's a hassle.

I just figured

we could have some fun,
spend some time together...

No, you're right,
it would be fun.

You sure?

I mean,
there's not

a lot of room, but...

Doesn't matter--
Jody's great

and you should get to know her
while we're in town.

Okay, Eric, it's fine.

Good.
Great.

So...

So...?

The keys.

The keys.
Right.

I'm sorry.
They're in my locker.

Hold on.

Elizabeth, can you handle
the rape exam in Four?

I believe you did
her consult.

She's an E.R. case.

Yeah, well, at the moment,
I'm down an E.R. attending.

Sorry. I tried
to get to you first.

What'd she say?

Suspended, pending
an investigation.

I guess the nurses
don't like me.

Look, I'm sorry, but once they
got the director involved...

It's fine.

Right now, I'm not too
crazy about them either.

It could be as little
as three days.

You could use
the free time, right?

Thanks for the heads-up.

Pull inferiorly
on the speculum heel slowly.

I should've
checked sooner.

She was alone on the train,
out of it.

CORDAY:
Open and visualize
the cervix.

( Harkins sighs )

Whoop, not so fast.

I'm... sorry.

You sure this is the case
you should be learning on?

The patient's unconscious.
You have stricter criteria?

Father's here.
Should I let him in?

No.

Could you shut
the door, please?

Let's swab for a wet mount
and a Gram stain.

Is this the cervix?

I think it's the cervix.

A small tear
at the introitus.

What does that mean?

Semen present.

Check the culture for GC
and chlamydia.

You'll need consent

for a full kit.

What, are
they dating now?

CARTER:
I don't think he's
going to make

the best surgeon.

But he seems to have a way
with the patients.

Maybe he could be
a nursing liaison.

Need him for something?

No, not at the moment.

Dr. Corday.

Where is she?
Where is my daughter?

Mr. Paspalis. Uh, we're
examining her right now.

Why do they make
those shower knobs so sharp?

Hey, Pratt, head lac,
no L.O.C.

Sorry, cat, I'm off.

Good night, Lisa.

So, did you get
your lottery tickets yet?

And live on the dole
my whole life?

( chuckles )

I thought you
were off at 5:00.

Charts. I can't sleep knowing
that they're sitting here

waiting for me.

How come nobody told us
that being a doctor

was all about killing trees?

Mm.

You need some help?

I think I have it down.

How about a beer, maybe?

WOMAN:
No! I don't take trains!

I hate trains!
Stop it!

I want to get off...!

Haleh, Ativan's not working
on Dorothy.

Give her five of Haldol.

My pleasure.

Let me off!
Clicktey-clack...

That guy really spooked you
today.

Who?

You should go home.

We treat crazy people here.

It's nothing new.

Come on, get your things,
let's go.

We'll split a cab.

Trauma coming in?

Car jumped a curb, and ran
straight into a line of people

waiting to buy lottery tickets.

Huh. And some people
don't believe in luck.

We out of Haldol?

Top drawer.

Chuny forgot to restock.

It's nothing personal, Abby.

I like Dr. Kovac.

Really? It's hard to tell.

He'll be back to work
tomorrow.

We have to do this
every couple of years

to send a message.

Do you even know
what happened?

I don't care
what happened.

Cared enough
to sign a petition.

Another nurse asks
for my support

I'll give it, every time.

Whether she's
right or not?

I've been doing this job
for 17 years, honey.

Doctors come and go,
but nurses make this place run.

We don't get much credit
or much pay.

We see a lot of misery,
a lot of dying

but we come back every day.

I've given up
on being appreciated

but I sure as hell
won't let any of us

be taken for granted.

ALISON:
I can't even get
to the bathroom anymore.

Well, nobody said it
was going to be easy.

But you have a brain
that works

a father who loves you.

You hold on to that.

You hold on to that
as long as you can

and, who knows,
anything could happen.

A cure could happen.

We need to move her.

There are multiple traumas
coming in.

Fine. Just about to head
up to Six West anyway.

Start looking
for that liver.

He's cute but annoying.

Only because I'm right.

Come on, they need
to prep this room.

Have you ever been to the ocean?

Better. I used to have
a lakeside condo.

I dream about it.

I dream I'm down on the bottom

and no matter what,
I can't swim up.

I try to breathe and it's just
water-- breathing water.

And then when
you wake up,
it's true.

But you do wake up.

You know, you open
your eyes, you breathe

it's another day.

That's because
you're still alive.

Your body knows
it isn't over.

Dr. Corday!

What?
She woke up.

( coughing )

CORDAY:
Good.

Very good.

Sara, do you know
where you are?

( weakly ):
Daddy?

You're all right now, honey.

What happened?

Sara, do you know
where you are?

The hospital.

What's the last thing
you remember?

I... I was on the train
with Pat and Andy

going into the city.

My head.

Oh, you hit it outside

on the stairs.

Do you remember anything else?
Anything you did?

No.

No. We were laughing
about something.

And then...

We were laughing.

Sara, we think
there may have been

a drug in your system--
a sedative.

No. I don't do drugs.

Daddy, I don't do drugs.

I know, honey.

Sara, upon examination...

Doctor, um

I need to speak to you outside.

Yes, in a minute.

No, I would like to speak to you
now, please.

Sara, we'll be right back.

Start O2 humidified mask.

I don't want you
to tell her what happened.

We don't know
what happened.

I don't want her to know.

Mr. Paspalis...

Look, I will check her out.

I will take full
responsibility...

Mr. Paspalis,
your daughter was
probably raped.

She could be pregnant.

She might have a sexually
transmitted disease.

I promise you, I will
get her fully checked out.

She may not remember now,
but she could easily...

Look, look,
someone hurt her body.

That doesn't mean
that he has to ruin her life.

Please, I couldn't protect her
from this guy

but if she doesn't know,
I could protect her now.

Dr. Corday.

B.P. 110/70,
pulse 106.

Uh, I'm so sorry.

Can you just
wait here a minute.

Lottery line guy.

Good airway, no L.O.C.
Refused treatment at the site.

You thought
to bring him anyway?

I made an
executive decision.

I'm next in line.

I just want to buy a ticket.

The call was for multiples.
Who's behind you?

No one. Five minors
went to Mercy.

Nine-centimeter penetrating lac
over the right frontal...

Oh, bollocks.

What?

Sir, stay very, very still!

Foreign body goes right through.

More tachy, pulse 120.
Abby...

Abby, your brother's
on the phone.

Lung sounds are clear,
bilaterally.

Maybe the keys don't work.

We'll need a neurosurgeon.

B.P.'s dropping 100/70.
Eric?

ERIC ( over phone ):
Hey, sounds busy.
Should I call back?

What's wrong?

No step off
or other deformity.

I was looking
for the blender.

Mr. Gasmer, when was
your last tetanus?

Yeah, we were thinking
about making milkshakes.

High school, I think.
The blender?

Milkshake sounds
really good.

I think it's
in the cabinet

underneath the coffeemaker.

Mr. Gasmer, we're going
to need to take you

to the operating room
for this.

Aw, jackpot's 87 million.

Hey, your breadmaker's still
in the box.

Sats are at 96. Pulse 110.

Hey, Eric,
how's Jody doing?

Hey, John, she's better.

She was thinking we should go
out tonight, down Navy Pier.

Maybe we can get my sister
to go dancing.

Yeah, she
looks excited.

Abby, get off the phone.
Call for a C.T. scanner.

Ow!

Oh, here it is.

Crisis averted.

They're making
milkshakes.

Okay, let's pack him up to go.

We need Ativan
and an airway box.

Uh, Dr. Carter, Alison Deluca
would like to speak with you.

Is she moving air?

Yeah. Sats 93.
Her temp's down to 99.

Send her home with Biaxin
and a fresh O2 tank.

Uh, she's not ready to go.

She wants a consult
from the transplant service.

Did I say the last
ticket sold is at 6:00?

He did it.
He talked her into it.

She just needed
to regain her strength.

She wants to be considered
for transplant.

She signed a D.N.R.

Well, un-sign it.
Destroy it.

I don't care.

She was upset
for a few hours.

It doesn't disqualify her
for the liver, does it?

No. No, it shouldn't,
but she's not a great candidate.

Please, she wants
to keep fighting.

I'll be in to see her
in a minute.

Would you excuse us.

So do we call UNOS now,
or work her up first?

What are you doing?

She didn't have all the facts.

Do you know what
it's going to take

to keep her alive
for a transplant?

If she even qualifies
for a transplant this time

and they find a match?

It's not worth it?

If there's a shot
at a cure?

She's dying.
She's suffocating.

That's her reality.

Well, there are
a lot of realities.

Stem cell research is a reality.

Stem cells?

It's coming.

Whether the government approves
it or not, it's coming.

You know that.

Embryonic stem cells can be used
to grow

any tissue in the human body.

What, you told her that we could
grow her new lungs?

She's got a genetic disease.

Stem cells can fix
the defect at the
genetic level.

Yeah, maybe, in 50 years.

No, in five years.

The science is there
in five years

Do you know what it took
for her to face her mortality?

I think I do...

For me to convince her father
to accept it?

Oh, this is about your time?

No, this is about you

going in there
with your own agenda

and giving her false hope.

It's not false.

Oh, no? The flowers were
an interesting touch.

Well, you gave her ten minutes.

There is such a thing
as dying with dignity.

Listen, every time
a woman goes in

for in vitro and harvests eggs

there are extra blastocysts...

I know the issues.

She's suffering.
She doesn't care about politics.

It's the politics
that are killing her!

M.I. in one, cured.
All heart disease gone.

Cancer in four, cured.
Alzheimer's, cured.

The spinal cord injury
this morning, cured.

Parkinson's disease.

Cured.

We're out
of business, pal.

I know that you need
to believe that...

Pack up all this crap,
take it away.

And I would love to believe
in miracles, too

but she's dying.

She's dying, Nathan.

And the only question is

how well?

She's 26 years old;
there's no dying well.

You're giving up.

( sighs )

You were perfectly happy
when he was babysitting
your patient.

Because you don't want
to deal with him.

He's spending more
time in the E.R.

than on the
surgical ward.

If her mind was that
easily changed

she wasn't ready
to sign a D.N.R.

Not if he's distorting
reality for her.

He obviously believes
that reality.

It's not gangrene,
but he'll need Unasyn.

Listen, I'm all for big science
and I hope that he's right

but it's not going to save
this girl.

He offered her hope.
Is that so terrible?

For her?
Yeah, it is.

You want him on the ward,
I'll keep him on the ward.

No, just supervise him.

Look, the patients are
who they are.

I can't change
the way he sees them.

Well, it is a teaching hospital.

Quiet, everyone. They're
announcing the numbers.

Hey, move, I can't see.

TV REPORTER:
...$87 million.

To win the jackpot, all you have
to do is match all...

You better watch out.

They're choosing the next
Mega-Millionaire out there.

I thought you already
won the lottery.

Oh, I did, when I met you.

( laughing )

Is this going to be
warm enough?

I don't know.

Who dances outside
in November?

Eskimos.

He doesn't even like
to dance.

Well, love makes you
do crazy things.

What?

Nothing.

I just wish I could...

go be someplace quiet with him.

Well, give her
a chance.

Maybe she's mature beyond
her years.

I know.

( sighs )

It's not her,
really, it's him.

He's acting strange.

Strange how?

You know, flighty...
spontaneous.

Happy?

Too happy.

There's no such thing.

In my family,
yes, there is.

He's what? 27?

Yeah, but he's smoking
and he's flying around in planes

and he has this milkshake
obsession...

( laughs )

What?

Milkshake obsession?

Well...

You don't think
that your radar

might be a
little sensitive?
No.

I don't know, maybe.

Hey...

it's a double date.

I think we can all afford

to have some fun.

Only if you don't
make me dance.

I can't promise
anything.

You have real commitment issues,
you know that?

( sounds of passion )

( moaning )

( door opens )

Yo, Greg! Yo, Greg!

( gasps )
I won! I won, man!

Look at this!

What are you doing here, man?

Get out of here, man.

You're supposed to be
down at...

Who are you?
Get out!

You pretty.
Get out! Get out!

I'm a winner!

What the hell is wrong
with you?

I checked the
number three
times.

Look, I don't care, okay?

Give me some damn privacy.

But I won...
It's all right;
I should go.

No, no, no, no, no.
He's leaving.

Leon, leave,
get out of here.
I'm sorry.

I'm going to see you
at work, all right? Bye.

No, Jing-Mei,
it's-it's...
Ooh, uh...

Well, are you going
to be okay?

Yeah, I'll be fine.
Nice meeting you.

Damn it, Leon.

She was hot.

Anybody win anything?

This place is cursed.

WEAVER:
Abby!
I'm off.

Luka's coming in
for counseling tomorrow.

I want to get him back
on the schedule by Tuesday.

He agreed to that?

Well, reluctantly.

I threw it
on Human Resources

I-I didn't ask to
be nurse manager.

Well, are you quitting?

Do you want me
to quit?
No.

Did you change to go home
and then clock out?

Whatever.

Just set a time to meet with him
after your shift.

Who?
Luka.

( chuckles ):
No, no, no, no.

No, he needs to be counseled
by the nurse manager.

You know that? Maybe
I do want to quit.

It's too late.

Abby, did we get the U.A. back
on the rape exam?

I called down
there twice.

If it's negative,
have Harkins dispo her.

You're sending
her home?

With a head injury
observation chart.

I mean without
telling her.

She's a minor.

What about
emergency
contraception?

It's the end of her cycle.

So you're going to lie
to her?

Her father has the right
to sign her out.

She's a 14-year-old
girl who was raped.

Doesn't she
have any rights?

Just check on the labs.

She wants to go home.

Sorry, I'm off.

What?

ICU admitted Alison.

She's getting her FFP
up there.

Fine.

Congratulations, Mr. Nathan.

You're on call tomorrow night.

Thank you.

32 hours straight.

Go home, get some rest.

You'll need it.

( sighing )

I can't wash my hair?

Only for a few days.

Your pediatrician will
take your stitches out

in a week.

You like being a doctor?

Some days are
better than others.

It must be weird seeing people
naked and stuff.

( chuckles ):
I suppose it's weird.

It depends on the patient.

I don't care
for the hairy ones.

( laughs )

Sara... I have to tell you
something very difficult.

Uh... when we examined you

we found evidence
of sexual assault.

Assault?

Yes, you were raped.

You told my dad
I was raped?

He's just trying
to protect you

but you do have the right
to know.

The scratches, the bruising--

there's more bruising
inside.

You looked inside?

We did a rape exam, yes.

Who said you could?

I didn't say
you could do that.

You were unconscious.

We had to make sure
you weren't injured.

I don't care. I didn't
say you could do that.

Look, I know
this is confusing

and scary and if you'd like
to speak to somebody...

I wasn't raped,
you stupid bitch!

Sara, there were drugs.

Yeah, Special K.

It makes the sex all kind
of swirly.

You took ketamine

and had sexual
intercourse?

It's like having 20 boyfriends
and they all totally love me.

That's incredibly dangerous.

No. I do it every weekend.

You could suffer
from long-term brain damage.

I seize sometimes

but we usually have
Ativan or Xanax.

And... all the guys say
I'm the best.

ERIC:
Catholic school refugees

both of us.

Uh, Abby was completely famous.

She had a Sex Pistols T-shirt
that she wore over her jumper.

( laughs ):
I hope you saved
that uniform.

And you were pretty
bad yourself.

Because you got
caught making out

( laughs ):
with, um... Justine Miceli

in the vestry.

Uh, church always brought
out the romantic in me.

Good to know.

How long
are you guys

going to stay for?

I don't know.
Not so sure.

We still got
some sightseeing
we want to do.

Oh, yeah, I heard
the art museum's really neat.

Yeah, but we're just playing it
by ear, you know?

Hang out for a couple
days before Ohio.

Aren't you due back at the base?

Not for a couple weeks.

I'm on extended leave.

Couple weeks?

Yeah, like I said,
I was overdue.

Did you tell her about
the interview?

Hmm-mm.

What interview?

O'Hare. They're looking
for experienced controllers.

H-Hello.

Don't you
have, like

another year left on your thing?

I do, but I'm just
exploring my options.

You know, I can't stay
in the Air Force forever.

I know, but...

Hey...

Is she always like this?

Don't do that.
You know what

you're a little tense.

I think you and I
should take a spin.

Oh, no, no, no...
Come on.

Do you want me to embarrass you

in front of your boyfriend
by telling more horror stories

from high school?
All right
Stop it.

did you hear about the one time
she almost set

the garage on fire?
Ah, Eric!

She used to like this guy
named Rafe...

Rafe?
Oh, okay, that's it.

No, wait, I want to hear more

about Rafe.
All right.

He was a rocker dude
I said okay!

who wore leather pants.

( country music playing )

She really loves you.

You think so?

Yeah, I mean, you're so
comfortable together, you know?

Intimate.

Without, you know,
needing to show off.

( chuckles )

Uh, Abby says that you guys
have know each other

for a couple weeks.

Yeah.

I love this song.

Don't you love
this song?

Do you want to dance?

Come on, let's dance.

Come on.

Come on.

( clears throat )

Hi.

Hey.

Uh, you hear the organ service
got Alison on the UNOS list?

Yes, I know.
Status two.

It's a nice feeling.

What?

When you realize
you've affected
someone's life.

Touched them
in some way.

You think she'll last
long enough?

One can only hope.

( train approaching )

You on your meds?

Uh, got a little
off schedule.

You can't get up, can you?

I'll catch the next one.

I can wait, if you...

No, no

it's all right.

They'll kick in.

You know, it's a nice night.

It's okay, go ahead.

I'll see you tomorrow.

I expect you will.