ER Episode Scripts

s01e04

I'm sorry.
I will not let you do this to me again.
of all the 22-year-olds you could be screwing tomorrow or the next day? How long till you're reminded till you start wondering if there isn't someone better in the next room? For how long, Doug? How long Do you think that you love me? I'm sorry.
- I don't know.
- You have no right to do this! Is that what you imagined? I'll invite you back in my life? In my bed? Is that what you were thinking? That you can just show up? and I would find that as some sort of grand gesture of love? That you would come to my doorstep at midnight, drunk What could you possibly have thought would happen tonight? What were you thinking? I'm really sorry.
You know, I see the tow truck right there.
I'm late for my date.
I thought I would use your phone.
and the tow truck was taking so long Nothing.
My car broke down What are you doing? Doug Ross.
- This is a bad idea.
- Who is it? - Hey, Doug.
- Hey, John.
Yes! Yes! Over there.
Get the lock.
You got her? You all right? It's a girl! That's it.
That's it.
- Move the cord out of the way.
- That's it.
That's it, okay.
Push! Okay, one final push.
Come on, just push.
You're doing great! You're doing great.
You got it.
That's it.
Now move the cord back over the head.
You're doing great.
Okay.
One final push now.
Come on.
Come on.
That's it.
Push.
That's it, push.
That's it, just push.
Push! Okay? Whenever you're ready.
All you have to do is lie back and push.
You're gonna be fine.
Your baby's coming.
You take it.
I'll get help.
- That's the head.
- What do I do? It's coming.
I can feel it! Help! Help! My wife is having a baby! What kind of drugs is that guy on? I don't belong here.
And that was before today.
Benton told my adviser I was doing a generally adequate job.
You wanna be a doctor, right? I can't remember even why I'm doing this.
You serious? Tomorrow.
If I come back.
When you back on? Twelve whole hours.
- Yeah.
- Me too.
You off? when it comes to your family.
Funny how that happens I forgot, man.
I swear I'm sorry.
My next three nights off I'll come and sit with her.
I promise.
Okay.
All right, Walt And you act like you're doing us a favor! so your sister and I can be together.
Just that once in a while you come and sit with your mother We don't ask much.
Practically nothing.
Walt, I'm sorry.
I know how important your work is compared to the small events of my life.
No, no, no! Don't hand me that "O.
R.
" crap.
I know, I got held up in O.
R.
- Walt, I'm sorry-- - Our 10th anniversary.
I did.
- No problem.
In and out.
- Who performed it? How was the Whipple? I wish I knew.
I wish I could tell you.
Come here.
Then why is this happening? Listen, your mama loves you very much.
I don't think that's true.
I hate her.
But to help her get better, she's being sent to the psychiatric hospital.
It's not her fault.
She hasn't done anything wrong.
The truth is that your mother's very sick.
I can't stay with my mom? A social worker is going to take you to the Presbyterian Home.
Where are you taking me this time? You still got yours though, don't you? It's down there somewhere.
Must've been diseased.
What do you know? Someone took it out.
Where's the gall bladder? And this blob, that's the heart.
And these squiggly tubes here, these are the intestines, see? Dr.
Taglieri wants to see you outside supplies, about that missing kid.
ER.
Came in four weeks ago with mid- upper gastric Patient's a 62-year-old man with a history of pancreatic cancer.
A Whipple? Are you kidding? I'm doing a Whipple procedure.
Care to assist? The good ones do.
Because a lot of them don't take the time to listen to their patients.
That was a difficult diagnosis.
Lots of surgeons would've missed it.
Peter, listen.
Fine.
In and out, 20 minutes.
How is she? And I'm sorry.
but his injuries were too severe, and he died.
We used all of our capabilities And we tried to resuscitate him for 31 minutes.
And he was brought here by ambulance in full arrest.
Your son, David, was hit by a car this morning.
I'm John Carter.
Mr.
and Mrs.
Fisher? He sounds like a car alarm that you can't shut off.
- What's with this patient? - Addict having withdrawal.
Great.
Div's a great guy.
Really? We've kind of been together for a month or so.
Yeah.
Div Cvetic.
Oh, yeah? Anyone I know? That sounds nice, but I've got a date.
How about a cookout on the roof? - Some guys have all the luck.
- One gave me a dozen steaks.
I was embraced by two men today.
I find that highly unusual.
Happy Dr.
Greene Day! Hey, man, a handshake won't do it! Thank you.
I don't know what to say.
Well I'm gonna honor it every year for the rest of my life.
From now on, August 25th is gonna be Dr.
Greene Day in my book.
Frozen T-bone steaks.
The real deal.
All the way from Texas.
- Of course.
- A small token of my gratitude.
Bob Brickley.
One year ago today, you saved my life.
Damn! It's good to see you, man.
Dr.
Greene! Dr.
Greene! Oh, God! this isn't our son.
Doctor Dear God! Oh, no! Sure.
Can we see him? No.
No! I'm sorry, your son died.
We tried to revive him, but with no success.
in full cardiac and respiratory arrest.
At 9:30 this morning, your son was brought in Hi.
I'm Dr.
Benton.
Mr.
and Mrs.
Tierny? All right, come on.
You gotta learn this anyway.
- What's his name? - Steven Tierny.
The parents of the high- school kid are here.
- You seen Dr.
Lang-- - Why do you want her? Watch it! Come on, Sarah.
Yes, I do.
Do you need an assist? I assessed the patient wasn't a surgical candidate.
She consulted me.
A medical student would know better.
A patient has stabbing lower back pain and you don't get surgical consult? - She perfed? - Yes, she did.
Thanks to Dr.
Lewis.
Call the O.
R.
! We got a retrocecal appendix.
We need a room.
Excuse me.
Don't you? I suppose you all think this is very, very funny.
Priscilla? They have to be here somewhere, don't they? I'm not sure.
The clothes he was wearing when he was brought in here.
Where are they? Excuse me? Where are his clothes? Do you have a pen? What's this? I'm sorry.
This is my husband and I want to be wherever he is.
It's hospital policy.
I'm sorry.
Why do I have to wait outside if he's stabilized? I'm gonna have to ask you to wait outside.
He had a small heart attack.
We gave him medication and he's stabilized.
Patient's unconscious.
God! Neil, what happened? Patient's conscious.
Hurry, I gotta go! There's a Mrs.
Shearer outside.
Go to the left.
Go a little bit to the left, please! - Faster! You gotta-- Please! - Relax.
- Come on, come on! - I'm trying.
Okay-- Hang in there.
Oh, God! Call the O.
R.
Get Morgenstern down here now.
Oh, boy.
White count's 20,000! which is something you can't handle and avoid at all costs.
Sure you did.
You didn't want a big emotional scene I didn't lie.
Just who did you help by lying? when you knew she'd be put away, probably for a long time.
You told Ozzie he'd be with his mom What? - You don't wanna know.
- What? aimed at the world in general, or just me? Out of curiosity, is this free- flowing hostility Pick up the phone and dial.
What? Are your hands painted on? His insurance company wants information.
Will you call Medical Records for me? Not a clue.
A car accident about three months ago.
Carol, does the name Joey Skarneckia ring a bell? It's a Pedes case.
Very, very serious.
Thank you.
It's serious.
I think you should come down here right away.
His condition is serious.
Your son, Steven, has been involved in an accident.
I'm John Carter at the Emergency Room at Cook County General Hospital.
Hello, Mr.
Tierny? This is I'll find him.
Ozzie? Ozzie.
Mrs.
Shearer? Mrs.
Shearer? I'll be in the O.
R.
if you get a real surgical candidate.
I'll leave you two to chat.
Based on what the patient's telling me.
- Gall bladder, appendix-- - Based on what? What surgical problem does she have? She's got no Gl symptoms and guaiac negative stool.
- But her sed rate-- - Is high due to inflammation.
You pulled me off my first hernia for a lady with arthritis? - Right there.
- Okay, just sit tight.
All negative, but her sed rate's 50.
CBC, UA, Chem-7, amylase? - You did an abdominal series? - It was negative.
Just tell me when it does, okay? Not really.
Does it hurt anywhere in here? Come on.
- Excuse me.
- Oh, here.
Malik, you look like a surgeon.
Behind you.
Look out.
Jerry, show Mrs.
Shearer to the waiting room.
I'm her secretary.
- Oh, God! - Are you and Mrs.
Shearer acquainted? Mr.
Shearer's wife is at the desk.
- Excuse me.
- What is it? Thank you.
Thank you.
Here you go.
Sit down right here.
Give him 100 of lidocaine lV push and start a drip.
His rhythm's off.
He has multipulpal PVCs.
Wait here one second.
- What's his name? - Neil Shearer.
My husband was brought here in an ambulance.
Excuse me.
Check it out.
So.
You ever seen a picture of a diseased gall bladder? I'll be right back.
- Can you watch him for a while? - Sure, no problem.
Okay.
Okay.
He's gonna be with us for a while.
His mom's on the 5th floor.
How you doing? This is Ozzie.
We're gonna hang out with all the big people.
Hey, Jerry.
Thank you.
Neil Shearer.
- Exam Room 2, Jer? - Curtain 3.
What's the patient's name? This is so embarrassing.
We'll need bolt cutters for these cuffs.
And cut off these chaps.
- What about her? - They lost the key.
- 55-year-old with substernal chest pains.
- Thank you.
Mark, that chest pain rule-out Ml just got here.
Maybe I could be of service.
- That's not gonna happen.
- You just never know.
- Even the score? - So to speak, yes.
She goes out on you and then you could justifiably An affair, perhaps? No.
There would have to be more.
in, I don't know, Detroit, and she leaves you here.
Commit adultery? Yes.
Let's say Jen takes a job out of town You're asking if there are circumstances where I might possibly, conceivably-- You're saying that you would never act on it? Ever? Doesn't mean I'm not allowed to even speculate.
So what? I'm a married man.
You're telling me you haven't even thought about it, with Susan? Change your clothes.
Get them down here.
Let Langworthy break the news.
Should I? I gotta get up to the O.
R.
and do a hernia.
You call his folks? Kind of like me.
He was kind of a nerd.
A member of the marching band and on the debate club.
Yeah.
Steven Tierny.
A junior.
Find him? Yeah, sure.
I'll take care of it.
Von Stuben High yearbook.
A guy dropped it off for you.
You're supposed to screw the caps on.
I want you to take that phone out of this hospital, now! Now! - Get you half price.
- I don't want one.
The most powerful hand-held around.
Turbo dial, alphanumeric memory.
- You okay? - What kind of phone is that? Hang up that phone, now! Hang up that phone.
I can't hear you.
It's kind of noisy here.
Did you get the rate card I faxed? I can't hear you.
Who? Louise! Hello? Do you know who's in charge of business machine procurement here? You have the number for the gastroenterologist? I appreciate your advice.
My wife's been saying that for 18 years.
- Let me grab your records.
- Dr.
Lewis.
You don't have to worry.
You'll be okay.
I'll take you to Cardiology.
They're familiar with this.
You wanna hang out with me? I don't know if she can have visitors, but I'll check.
Can I see her? It looks like your mom may have to stay here for a while.
But that doctor said we can stay together.
They're gonna try and make her better.
The doctors took her upstairs.
She's very sick.
Where is she? They're not the good kind.
My mom got them from the cheapo store.
I like your sneakers.
My name's Carol.
I'll be there.
Look, man, I gotta split.
so she can look pretty for you.
But she had Jackie take her to the beauty parlor She'll be in the back yard yelling at the neighbors.
But you can't leave her alone for five minutes.
Well, no incidents this week.
How's she doing, man? And I appreciate you coming to sit with your mom.
What the hell? Your sister's worth it.
It's steep, but it's our ever since she heard that Oprah owned it.
I'm taking her to this real fancy place she's been dying to try - Peanut followed me in the truck.
- Is Jackie excited about tonight? How you getting back? - So it was the transmission? - That sucker was shot.
I parked in the first row near the dumpsters.
Walt! What's up? It's good to be back.
Fill out these slips and take those urine samples to the lab.
- I'm back.
- Good.
I have never missed the trip.
Know how long it's been since I missed the trip? Those who sell 10 million and win a trip to Palm Springs and those who don't.
In my office there are two kinds of guys.
Cut back? Cut back your work hours.
I don't exactly control the stress in my life.
decrease the stress in your life.
Increase the bran in your diet, and more important If that's what I have, how do I get rid of it? I think you have irritable bowel syndrome, which can become serious.
Based on your history and what I've seen, no.
You think that's what I've got? to rule out ulcerative colitis.
Which is serious.
Mr.
Stopak, you need to see a specialist for further tests Call me anytime, okay? I'm glad you guys are still friends.
Really.
No, it's okay.
I didn't mean to be.
I hear you've been quite attentive to Carol since she got back.
Hey, listen.
No problem.
John, thanks for coming down.
Right this way.
I don't need anything.
Carol will take Blair to X-ray and give her something for the pain.
Nothing is broken.
The game's gotten rougher than when I used to play.
From his teeth.
He speared me, so I popped him one.
He left some cleat marks on your knuckles.
If Billy Fleishell hadn't piled on, it never would've happened.
- Go.
- Okay.
I don't know.
Should I go back to Dr.
Benton, or--? - I wish I could do something more.
- Such as? He's giving me a copy of the yearbook to try to find the boy's picture.
The janitor at the high school left a message for the principal.
- Dr.
Langworthy? - Yes? Sorry.
Did that hurt? The woman deserves a lobotomy or a hammer to the head.
Staph aureus, Eikenella.
Human mouth literally swims with bacteria.
Is this necessary? I'm not old.
You're a misanthropic old fart.
without being bitten, spat, puked or peed on.
not one week has gone by After 15 years Spoken like a true healer.
should be placed in four-point restraints and muzzled.
Any patient who's even potentially psychotic She really sank her teeth into you.
Call Cardiology.
- Can't you shut it off? - We're going to try.
Must be malfunctioning.
It's supposed to, but only when you're having arrhythmia, which you are not.
Why is it shocking me? The defibrillator in her chest is going off.
What's happening, doc? I definitely felt that.
Never.
What was it? Her heart's fine.
Has this happened before? Hold on.
Hold on.
Hold on.
Just relax.
Just relax.
- It's another attack! - Is she seizing? Thank you, doctor.
You saved her.
And I'd lay off the kielbasas for breakfast.
I'm gonna give you the name of an anti- gas tablet.
Your lab tests look fine, and your heart rhythm's normal.
Thank you, doctor.
- Damn it! - Get someone to look at this.
The kid's gone.
- Get her out of here! - No! Please! Stop this! Why are you doing this? I'll get you! Give her Haldol I.
M.
and get her upstairs! Damn it! Damn it! Thank you.
Calm down.
Get them off me now! Get your hands off me now! You son of a bitch! You son of a bitch, get your hands off me now! Get your hands off of me now! Let go! - You son of a bitch! - Can you hold on a second? Doug Ross.
We've got a little girl here who may have a broken hand-- ldentify the dead boy for Dr.
Langworthy, then you report back to me.
- Are you saying he's unavailable to me? - I'm saying next time you ask.
Well, he isn't.
I didn't know you owned him.
I thought he was assigned to surgery.
Who said you could assign duties to my student? Maybe someone can come and lD him.
His shorts say "Von Stuben High.
" Call them.
He was on his way to shoot buckets.
No lD, no name on the ball.
Carter, come here a minute.
Get some and be back in 15.
- You get any breakfast yet? - No.
But frankly, I saw you more in EM-250 R.
It's a good copier, Bob.
So you like the EM-250? Sorry, I gotta take this.
You got the brochure I sent over? Bob Wellman! How are you? Harry Stopak.
That's me.
If he was open nights and Sundays, but who's got the time? You haven't seen a doctor? Also, I get constipated and sometimes there's blood in the bowl.
- How long have you had this? - A year, off and on.
Never this bad.
It just sits there like a bayonet to the gut.
Does the pain move around? We lose them all the time, Carter.
Time of death: Time? Any heart activity? hemopneumothorax, ruptured diaphragm.
Skull fracture, C5 neck fracture The social worker's calling the Presbyterian Home.
What about the boy? Hearing voices.
I'm going to have to admit her.
Went off her meds, now she's delusional.
- Schizophrenic? - Floridly.
Yes.
She said she's been taking both Prolixin and Ativan.
You guys can take it from here.
Better.
Much better.
Feeling better? Blood pressure's coming down.
Oh, my God! - It hurts.
- Let's get her some morphine.
- I can't.
- Slowly.
She's hyperventilating.
Try and control your breath, Vilma.
- Feel like I'm dying.
- Respiration's 32.
Please, doctor.
Let's give her .
4 nitro sublingually.
Respiration is 28.
Pulse 120.
- How you feeling? - I can't breathe! - BP? - 150 over 105.
Come on.
Come on! You can do it.
Come on, kid.
Give me some help.
Give me some help here.
Autotransfuser! Let me in there.
His left side is full of blood.
His tube is loose.
Carter, hold his ET tube.
They're trying to bring him back.
- What's going on? - Kid was DO A.
Fire in the hole! Come on! Come on.
Move it! Move it! I always do when you're around.
Let's move, people.
Move it.
Protect your gonads, Peter.
- X-ray! - Wait! Aprons.
- Time? - Eighteen minutes.
- Heart sounds? - Negative.
We need more blood.
Give it half of epi.
Grab that lV, Peter.
Step on it, folks.
Coming through! Tell X-ray we need a cross- lateral C-spine.
Come on.
Get five units of O-neg to Trauma One.
- How long was he there? - Who knows? No one saw it.
- Vitals? - Negative.
Pupils are blown.
Found in a crosswalk in full arrest.
Hit-and-run victim, approximately 17.
Come on.
Step on it.
Step on it.
I'll take it.
Peter, you can assist.
Code 3, auto versus pedestrian.
Just pulled up.
Dr.
B.
wanted it there.
Jerry, get this fan out of here.
It's blowing in my face.
Stasis, trauma and hypercoagulability.
Sarah, what's Virchow's Triad? - You get the results on bed 4? - Not yet.
- So what? - So heads up.
Here comes the competition.
No? She's a year ahead of you.
That's no big surprise.
both put in for the Starzl Fellowship.
Word on the vine is, you and Langworthy Jerry, do me a favor.
Bring the fan.
I'm burning up.
That sounds like a board exam question.
One that I'd skip.
What is "Virchow's Triad" anyway? I'll come talk to you as soon as I can.
Sir, I need you to go with the nurse to the waiting room.
Vilma, you just relax and we're gonna take care of you.
- What's your name? - Vilma.
I want a 12-lead, CBC, Chem-7, cardiac enzymes and a coag profile.
Just relax.
Take deep breaths.
- A pacemaker? - No, a defibrillator.
Two heart attacks till they put the machine in her chest.
- My heart.
- Have you had heart problems? I'm Dr.
Greene.
Show me where it hurts.
She has chest pains.
- We need a doctor! - Get a wheelchair.
Can I get some help? Mr.
Madsen gets a Gl cocktail, and check with urology.
I said proceed.
- Proceed.
- You concur with my advice? I feel a venogram is indicated if the scan is inconclusive.
Given that two elements of Virchow's Triad are present All right.
Bye now.
I suggest a CBC, Chem-7, coag study and a duplex scan of the leg.
Okay.
So, what would you do? and deep vein thrombosis.
" Differential diagnosis includes cellulitis, hematoma and 4 centimeters larger than the unaffected side.
Patient's calf was found to be tender Recent history shows colon cancer and a 4- hour plane flight.
"Patient is experiencing pain in the right lower extremity.
That's what you sound like! Did you leave the money there? - we can stay together, right? - You bet you can.
Me and my mom What's up, kiddo? Leave the door open until he gets here.
Get Social Services for the boy.
Call Psych Services.
Tell them we need a consult.
Can you excuse us a second? The Princess of Wales! Does that ring a bell? Diana? Diana.
The ice cream man's.
My ex-husband's.
What are some of the other voices that Ozzie can't hear? But you still hear her? No, she's dead.
And your mother lives with you? She thinks that I'm a bad mother.
She says really terrible, terrible things.
Like my mother's voice, for one.
What are the things he doesn't hear? That's what's so frustrating.
He hears some things, but not others.
His hearing seems to be fine.
I'll tell you, Mrs.
Chap, there's no sign of infection, no injury.
- Yes.
- Okay.
Can you hear me whispering? My mom told me never to put anything in your ear smaller than your elbow.
You wouldn't stick things in your ears, would you? Ozzie, can you hear me? I thought something was wrong with his hearing.
It started last week.
People would speak to Ozzie, but he wouldn't respond.
With unlimited service for the first five years.
We guarantee every pinion, spindle, sprocket for the life of the machine.
Tomorrow then.
Have I told you about our five-year service plan? I'd like to offer a package for your phone, fax, e-mail needs.
Sam, if you're free this afternoon, say around 3 Be off in a jiff.
The price breaks on the photocopiers start with five unit orders.
Good morning.
And good morning to you, Nurse Hathaway.
Doug, I need you in 3.
- You haven't the faintest idea-- - I know exactly what I'm talking about.
other immediate temptations so close.
Tough.
Wife's so far away I am on Thursday night.
- Morning, guys.
- Susan, can you work Thursday night? Don't even start.
Oh, really? - What's that all about? - Job interview.
First two hours was great.
Then Rachel and Jen left for Detroit.
Mark, how was the big day off? Anything more and I'm sluggish all day.
The chart's there.
Three hours of sleep.
- You ever get used to this? - Used to what? When you're done, see an old lady with leg pain in 6.
This way.
This way.
Come on.
Please don't take off his shoes or socks.
God knows what you'll find.
Clean and stitch the wound.
We've got an undomiciled male with a laceration to the forehead in 2.
Carter, let's go! Come on! Come on, let's go.
You've got patients to see.
Keep it on your pillow so you don't sleep through a page.
It's right here.
Where's your pager? I've been beeping you for five minutes.
Carter, get up! Man, somebody get a drool bucket.
Carter?