ER Episode Scripts

N/A - s06e08

E.
R.
Previously on E.
R.
- ¿You're what? - I'm pregnant.
I wanted to have a baby with Doug.
I don't want to be a single mother.
There is another heartbeat.
¿Twins? My flight was overbooked, so I volunteered to take a later one.
Dad, you don't have to worry about saving a couple of hundred bucks.
You know? I can buy you a ticket.
I can afford my own ticket, Mark.
Taking a breather? You know, my breathing is fine but my ankles are about to explode.
Are you all right? Yeah, yeah, it's just they are active.
May I? I guess winter's here.
Yeah.
Aren't you freezing? Not once I get warmed up.
I used to be that thin, you know.
Stabbed me through the bird.
I was stuffing the turkey.
- Hey, Kerry.
- Hey! Wasn't yesterday your last day? I need to show Lydia the report.
She took off.
- What? - To Wisconsin.
- You should have been here at 8.
- She had a shift.
- Yeah, the night shift.
- Why didn't she call me? - She didn't wanna bother you.
- Do you feel all right? No, my back is killing me.
Why don't you stay for the potluck? I'll go home, store up my energy for my family.
- I got you down for dessert.
- Sorry, pregnancy casualty.
What, no pie? - Wait! Time out! - No time-outs in a snowball fight! - I'm a girl! - Who tried to ambush me.
- That's mature.
- You want a piece of this? - Don't even think about it.
- Now you're dead.
I'm glad you're enjoying it.
Oh, my God! Carol? Carol, are you all right? My water broke.
- How long ago? - Fifteen minutes.
You're having contractions? How many? - Two.
- How far apart? Seven, eight minutes.
- Did anyone call an ambulance? - County's just one stop back.
- Why don't you get on? - You try walking with labor pain.
Yeah.
How far along are you? Oh, 38 weeks.
Was the amniotic fluid clear? - Hard to tell on the El.
- No meconium then? - I don't think so.
- Good, good.
- I could be at this a while.
- We wait for the next train.
In five minutes we call an ambulance.
Oh, yeah.
-10-9! - That ain't fair.
- No hands.
- That's what a goalie does.
- Use the chair.
- Whatever.
I still own you.
Hey, Cleo.
- Working hard, Dave? - I'm fast.
Oh! - I'm cool.
I'm cool.
- Hey, Dr.
Weaver.
- Finish your notes, Dr.
Malucci? - Absolutely.
Is it always this slow on Thanksgiving? If you're bored, study for your National In-Service Exam.
Don't bring down the average.
- I thought you liked me.
- Why? - It'll pick up once people eat.
- Barf Central.
It started.
Shelly Robinson, 18, vomiting and diarrhea.
Altered mental status.
Gave her fluids and Compazine, but her glucose is still 42.
Get an endocrine consult? - He's stuffing his face.
- Get a travel history? - Not outside the U.
S.
- Florida? - She just got back from there.
- Ask her if she ate an oily fruit.
Akee fruit.
Poisonous if not ripe.
Induces vomiting and low blood glucose.
- Known as JVS.
- JVS.
Jamaican Vomiting Sickness.
But the Akee also grows in southern Florida.
- You're kidding.
- Start an infusion.
There's a high fatality rate.
If you don't believe me, check the differential.
Might be a doctor after all.
- Jamaican Vomiting Sickness? - Look it up, John.
Jamaican Vomiting Sickness.
Okay, a little step.
- Thank you for this.
- Not a problem.
It's okay.
- Oh! - A contraction? - Oh, yeah! - Okay.
Sit here.
Sit here.
- Oh! - Maybe standing is better? Yeah.
Carol, have you taken a birthing class? Look at something.
Try to stare.
Stay focused.
- Is she having a baby? - We're okay.
Just started.
- Are you sure? - Yeah, I'm a doctor.
She doesn't look all right to me.
I better pull the emergency cord.
- That stops the train.
- She needs help.
We only have to go one stop.
- Let's be safe.
- Don't pull it! - It says "Pull in case of emergency.
" - This isn't that kind! "Police, fire, medical emergency.
" Don't pull the damn cord! Oh, God! - Can she cook? - What a question.
- She can't.
- I don't know.
We eat out.
My experience with English food: it's bland.
- Would you rather I cook? - Is she pretty? Yes, she's pretty.
- Prettier than Cynthia? - Different.
- Beauty is overrated.
- She's pretty! Jeez! - Happy Thanksgiving.
- See? - What? - Nothing.
This is my father, David Greene.
- Nice hat.
- Thank you.
Come in.
- This is Rachel.
- Hello.
You don't wear those.
They're decorations.
Well, I saw it in the drugstore, and I thought it looked cute.
I got the wine.
- I'll open it.
- I'll get it.
Scotch and soda for me, if you have it.
I think I might.
Rachel, something to drink? - Can I have some wine? - No! - I have soda.
- Okay.
- Mind if I turn on the game? - My telly's broken, I'm afraid.
Doesn't work? My neighbor was stealing his cable.
The company came and snapped the wrong line.
- On Thanksgiving? - No, a month ago.
I haven't had time to ring up and complain.
- No football.
- We can play charades, if you like.
- Let me just sit, okay? - You're in active labor.
Oh, gee! You think? I'm sorry.
I just You might've progressed more.
No, I'm okay.
It just hurts.
How dilated were you on your last visit? - Three centimeters.
- Back pain? For the last three months.
- Worse lately? - This morning.
- Let's go.
- Can't I have the babies here? - Wanna make the news? - They're between my knees! - That's the idea.
- Son of a bitch! Okay, sit.
Sit here, come on.
Okay, focus.
Focus, Carol.
- Try humming.
- Huh? It sounds very strange.
But it helped my wife.
Just hum, like this.
Yeah, just do it.
Okay.
Hey, remember that renal-failure patient? Diverted to Mercy? - Some guy plowed into the ambulance.
- That was smart.
Good call on the akee.
She bought off a curbside vendor.
- I told you so.
- How did you know? I'm a good doctor.
And I might've seen it before.
Where? No, don't tell me.
You did the Peace Corps? I spent time in the jungle.
I'll show you my piranha scars.
- Come on.
- You owe me a favor.
What is this, a secret? Suddenly sensitive? Did you lose a patient to this? Fine.
I saw it in Grenada.
- You did a rotation there? - I went to med school there.
Oh Oh.
Your first choice? I had fun in college.
My grades sucked.
My MCATs- Long story.
I knew I'd be a better doctor than others who only cared for tests.
- Gotcha.
- So I did Grenada.
- The Harvard of the Caribbean.
- I'm sure.
Still says M.
D.
, Carter.
See? M.
D.
I know.
Now I can appreciate you that much more.
- Good.
- So, what did you get on your MCATs? All right.
- It started snowing again.
- Yeah.
You ready? - I think so.
- Okay.
How long was your wife in labor? - Sixteen hours, for the first.
- How many has she had? Two.
At different times.
- They still live in Croatia? - No, not anymore.
- Oh! - What? Okay, sit.
Sit down.
Come on.
Deep breaths.
And don't worry.
It's a vagal reaction to the contractions.
Deep breaths.
- I need a bathroom! - Almost there.
- I have to go! - We must hurry.
Can you stand? What is it? Another contraction? Already? Okay.
Okay.
Don't push.
Listen to me, Carol.
Carol, don't push, okay? Carol? Carol? Woman with chronic renal failure.
Missed her dialysis.
Any other injuries? Maybe chest trauma.
Responded to O2 but - decompensated.
- Anyone else? Zadro, his elbow.
The jerk who hit him is behind us.
Kerry! - My God! - We need a gurney here! - What happened? - Vagal reaction.
- Is she in labor? - Yeah.
- She had a syncopal episode.
- I'm fine.
- Contractions? - Every three minutes.
- Babies moving? - All day.
- What's wrong? - Think! - What's open? - Trauma rooms.
No, Kerry.
Just take me upstairs.
I wanna check you out.
Who's your OB? McLucas.
Please, Kerry.
Take me upstairs.
In a minute.
Malik, page Dr.
McLucas.
- Is he on the on-call list? - She.
Want a fetal monitor? - Get the Doppler scope.
- I'm going upstairs! - I could use help.
- Luka, can you help him? - Yeah, sure.
- Should I call Mark? - He's off.
- He's her Lamaze coach.
You want us to call Mark? Okay, let's go nice and easy.
I'm not used to serving so early.
We need time to gorge ourselves so we can pass out.
- It says 180.
- You didn't have to do all this.
Those two can be a bit much.
All families are eccentric.
I guess.
Okay, everybody, dinner is served.
- Hit me.
- You have 18.
Soft 18 against your nine.
Rachel, can you get the potatoes? - Smells good.
- I hope it is.
- What's that on top there? - Bacon.
On the turkey? - You don't have it that way? - Rachel? Potatoes.
I didn't think you celebrated Thanksgiving.
It's not really my holiday.
The Pilgrims tried to escape British persecution.
So they could persecute the Indians.
Okay, everybody.
Now.
- I'll do that.
- I got it.
- I said I'd do it.
- Don't worry.
Relax.
- Mark doesn't think I can do things.
- Be my guest.
He wants to put me in a nursing home.
- It's a retirement community.
- One with nurses.
- Can we talk later? - You wanted to talk last night.
Sorry.
That's all right.
I think I have instant.
- Are you on-call? - It's yours.
Let's clean this up, shall we? Okay, ready? And lift.
Lungs are wet.
Not making any urine.
Why did you miss your dialysis? I was having my hair done.
It's nice to look good, but your health comes first.
You think I look good? Yeah, beautiful.
It's for my birthday.
- Today? - Yes.
- Happy birthday.
- Well, thank you.
BP's 102 over 54.
Pulse is 124.
Congestive failure.
Wet crackles halfway up.
You want Lasix? No.
Start a drip, call the dialysis unit.
Can I call a family member? No, that's all right.
I'm sorry.
Sternal tenderness.
This is why idiots need to stop for ambulances.
Muffled heart sounds.
Check for pulsus paradoxis.
Heart? What's wrong with my heart? Your fluid overloaded from missing your dialysis.
Fluid is collecting around your heart from renal failure.
It could also be an injury from the accident.
Oh, my! Enalapril 1.
25 IV push, and get me an ultrasound.
- They're using it next door.
- Then get me another one.
Carol, you're pushing, honey.
Don't push.
Betadine? Doppler sounds good.
Fetal heart tones are 140.
BP's 112 over 70.
- Legs up, Carol - The contraction's over? Almost, yeah.
I'm gonna check your cervix, Carol.
Relax.
- You'll remember this Thanksgiving.
- Yeah.
- Kerry, what is it? - You're at 10 centimeters, Carol.
- What? - Fully effaced.
Haleh, open an OB pack.
I don't wanna deliver in the ER! - How about the elevator? - Ten centimeters? Probably been contracting all day.
Let's rotate the gurney for some privacy.
No, Kerry, I'll hold it.
I promise I won't push! Let's make a deal.
We'll deliver this one down here and the next one upstairs.
Lift up your butt, Carol.
We'll do the second one on the ultrasound.
- Get out, Carter! - It's okay, Carol.
- Sterile gloves.
- Carter, get out! I got it.
See if Dr.
Kovac needs help.
- I've delivered before! - Not this one! - Dr.
Weaver? - She knows you.
- She paged Dr.
Greene.
- He's not delivering.
- Okay.
Good luck.
- Oh, God! Okay, let's break the bed down.
- Fifteen of Etomidate, 100 of sux.
- BP's 80 systolic.
- Get me an alligator clip.
- You need some help? - Please intubate.
- What is it? Pericardial effusion.
It's the trauma or her renal failure.
- Pressure's down to 70.
- ET tube.
- Is she having the babies in there? - At least one.
V- fib! Charge the paddles.
Carter, CPR! What do you think it is? Probably high potassium.
Give an amp of calcium.
Clear! - Still V-fib.
- Three hundred.
- Insulin and glucose? - And an amp of bicarb.
- Paddles ready.
- Clear! - Nothing.
-360.
Stand by with epi.
Come on, hurry up.
Okay, clear! I'll be right there.
- What? - Carol's in labor.
- She in the hospital? - I may miss it.
- Who's Carol? - Our friend.
We gotta go.
- Why? - Well, I'm the Lamaze coach.
- Where's the father? - Let's go.
I'll drop you guys off.
- I'm hungry! - Me too! - We might as well eat.
- Could be awhile.
I can drive them home.
- Are you okay with this? - She's fine.
Go coach, we'll eat.
Here, take a biscuit.
Call with all the details.
- Boys, girls, weight.
- You're sure? Carol needs you.
We'll be fine.
If they give you trouble, lock them up.
- No turkey for me.
Animal fat's bad.
- Not today.
Push, push, push! - Good job, Carol! Almost there! - I see the head.
Crowning.
- Keep breathing.
- Contraction subsiding.
- I want you to push hard.
- I'm trying! Come on.
Come on.
Ten, nine, eight, seven- - Count faster! - Six, five, four, three- - Okay, just relax.
- Is he out? - Not yet.
Next contraction.
- You're doing great.
Almost there.
- Did you want natural birth? - Hell, no! - Pedes? - I paged them.
- Better get Cleo in here.
- Details on twin A.
What? No, let me see.
Have L and D bring a vacuum extraction- Vacuum?! No! Look at me, honey.
It's just for safety.
The baby's heart rate is down to 90.
But we're okay over 80.
- Okay.
- Okay, good.
- Let's go with a scalp electrode.
- Do you have to? It gives me more accurate monitoring.
Rest up.
In two minutes you're gonna push this baby out.
- How much atropine? - Two amps.
- The last epi? - Five minutes.
Let's check the rhythm.
Asystole.
That's it.
Time of death: 1317.
Happy birthday.
- You got it.
- Five - How close? - She's there.
- Fetal rate is 85.
- Okay, the head's out! Bulb suction.
- Carol, don't push, honey.
- Is the cord around its neck? Not anymore.
All right.
Here we go.
Say hello to your daughter.
- It's a girl? - Yes.
- It's a girl.
- Congratulations.
Hi.
Hello.
Let's check twin B's presentation.
- It's okay.
It's okay.
- Looks like about six pounds.
- She's so little.
- So little.
But that's a good size for a twin.
I have to take her.
Take a good look.
- She's healthy? - She's beautiful.
- Okay.
Okay.
- Okay.
Okay.
There we go.
Have you picked a name yet? Tess.
I think I'm gonna name her Tess.
Welcome to the world, Tess.
There we go.
You did great.
Carol Hathaway? I'm Abby.
I'll be your OB nurse.
Heard about the excitement.
Second twin is vertex and high.
- Just relax, Carol.
Is the bag intact? - Yes.
I'm Sandra.
I have to tag you both before I take her to the nursery.
Can't she stay? We'll bring her back after the other one's here.
- What if she gets hungry? - We can supplement.
- Sure? - Yes, I am.
I need you to scoot over.
Nice and easy.
There we go.
Kerry, could you go with her? Sure.
I'll get her settled in.
- Thanks.
- Three-five-one-six-four.
Three-five-one-six-four.
All set.
Say bye-bye, Mommy.
Bye, honey, bye.
Thanks, Kerry.
Are the contractions still strong? They're spaced out.
But yeah.
We'll do an ultrasound.
But it could take a while.
Is Dr.
McLucas on her way? Yes.
Do you want an epidural? - I can still have one? - Absolutely.
- If I wasn't sure before, I am now.
- Wimp.
- Mark.
- Heard I missed the party.
- Oh, God.
- I'll call the anesthesiologist.
- A girl? - A girl.
Troublemaker already? - You're hanging in there? - It's brutal.
- One down, one to go.
- I quit.
- You don't have a choice.
- Well, you could shoot me.
Yeah, if it comes to that.
Sorry to pull you away from your Thanksgiving.
I'd rather be here.
D- Day.
Five beaches.
The Americans take Utah Here.
The potatoes.
And Omaha, the squash.
Now, the Brits land here and share Juno - the stuffing, with the Canucks.
- Canucks? - The Canadians.
- Right.
- Are you with me? - Yes, I'm with you.
The German resistance is concentrated on the American lines.
Massive casualties are suffered by the Americans that day, 6000.
The Brits had their share.
- The gravy goes with the potatoes.
- Fine.
Instead of cutting off the Germans at Caen, Montgomery - the British general- - I know.
- He sat on his ass and had tea.
- I'm going to the bathroom.
The British fought the Germans before the Americans.
Perhaps they were more cautious.
- Cautious is one word for it.
- I guess "tea-loving" is another.
That's two words.
It's a hyphenate, actually.
Anyway, the 82nd Airborne Division- Do you have to use a cath? - You won't control your urine.
- Great.
- Sorry, no catheter, no epidural.
- Seems like a small price to pay.
It's not your bladder.
Are we doing this? - Carol? - Yes.
All right.
All set.
Carol, you have to sit up.
- Can't we do it on my side? - It's better upright.
- I'm a nurse.
Why? - To get a clear shot.
You don't want him fishing around.
Up you go.
Get it right the first time.
I generally do if the patient cooperates.
- Mark? - Yeah.
Grab her other shoulder.
Okay, lean into us.
A little bit more.
Keep your back round.
And you'll feel a little prick.
Carol Hathaway? Carol, it's you.
Dr.
Coburn.
- I had no idea.
Congratulations.
- No, he's my Lamaze coach.
- How're we doing? - Six centimeters.
- Six? - You shrink between deliveries.
I know.
But six? - Need more local? - No, contraction.
Just hold on.
You're doing great.
Dr.
McLucas is in Wichita.
She asked me to cover.
Is that all right? I gotta lie down.
He's in the middle of it.
Hold still.
- No, I can't! - Yes, you can.
Hold my hand, okay? You're gonna feel much better.
- It hurts, Mark.
- I know.
No, I mean, it really hurts.
I know.
I know.
Hang in there.
Hang in there.
One night Stu and I were on deck.
He asked me for a light.
And when I looked up, he was gone.
- What do you mean, gone? - Gone.
He'd fallen overboard.
My God! Did he drown? If the fall didn't kill him.
- That's terrible.
- Yeah.
Worse than the working conditions was the food.
Probably took more men than anything.
You mean worse than the English? I was kidding.
I haven't had a meal like this since Well, for a while.
- Since your wife died? - Yeah.
I can only imagine how difficult it must be.
- As difficult as you make it.
- What do you mean? How's Mark? You know, dealing with it? In his stride, I suppose.
He doesn't speak of it much.
And I've learnt not to force the subject.
Certain things he carries inside.
You must know that.
His mother was the only one who understood him.
- He's not a mystery.
- Well, he's a good man.
It's just that with Ruth gone I don't know.
- How about some pie? - With his mother gone? Nothing.
Just seem to have lost a bridge.
- A bridge? - Yeah.
Maybe you both just miss her.
I'll get plates.
Rachel, come get pie.
What's with her? - She's been in there a half hour.
- I'll check.
Rachel? Are you all right in there? Rachel? - Rachel, are you in there? - Go away! - What are you looking for? - I don't know.
Am I boring you? No! No.
- You wanna just talk? - Sure.
Okay.
- What do you wanna talk about? - I don't know.
Hey, the post-game show's on.
- How are you? - In love with the epidural man.
The anesthesiologist.
He'll always be the epidural man to me.
I'm just gonna go get a magazine.
Oh, I should call Elizabeth too.
- Probably on a ledge.
- Could you call my mom? - What do I say? - What you said.
One down, one to go.
Her number's in my organizer in my bag.
Anybody else? - No, not yet.
- Are you sure? I wanna get through this first.
All right.
- What's wrong? - Just lost the signal.
- Where'd it go? - Hold on.
Sandra, call Dr.
Coburn and bring the ultrasound.
- Right there.
- Got it.
Above the umbilicus.
- What? - Baby could be rotating.
It's fine.
Heart rate's 140.
- Do we have an O.
R.
? - I'll see.
Wait, I don't need a C-section, do I? If the baby turns breech, we'll have to labor you in the O.
R.
It's just a precaution.
Oh, man.
Is she sticking her finger down her throat? I'm afraid she's having her first menstrual period.
Menstrual? She's 10.
It can happen at that age.
It's early, but normal.
One of us needs to go to the store.
Do you want to stay with her? What do you need from the store? Sanitary napkins.
You don't have that stuff? I only have tampons.
It's not the best for a young girl.
Oh, right.
There's a drugstore on the corner.
- Sanitary napkins.
The flat ones? - Ask the clerk.
What if he's a guy? How're we doing? We'll move her right after this contraction.
- What's this for? - We have to prep you for O.
R.
- Even if I'm not being operated on? - I won't take pictures.
- What is it? - I think my water just broke again.
Sure did.
Nice and clear.
We'll clean you up once you- - What? - Fetal heart rate's 90.
- I have to check you.
- But we're good till 80? - I have to check you.
- What're you looking for? - I have to wait for this contraction.
- Seventy-five.
- What's wrong? - Damn it! Prolapsed cord.
The cord gets out before the baby.
- Cutting off the oxygen? - Stat page Coburn.
Heart rate's 65.
We have to get this baby out.
- Only six centimeters.
- We have to crash C-section.
- The O.
R.
's not clear yet.
- We're going.
- What-? - Keeping the baby off its cord.
This isn't happening.
- Stay calm.
- Don't let this happen! - Don't worry, I'm right here.
- Oh, God! - What's the heart rate? - We're not on a monitor.
- What happened? - Prolapsed cord.
- Scrub in, Abby.
- She's got the cord.
- I've got it.
- Don't let go! - Do you want to assist? - No.
Then I need for her to scrub in.
Okay, everybody, on my count.
Nice and easy.
One, two, three.
- Get your hand on that cord.
- Save the baby.
- No, promise me.
- I promise.
- I got it.
- Let's prep her fast.
- Where's Anesthesia? - Got paged.
- Get Anesthesia down here now! - There's no time.
- Keep 100 mics of fentanyl near by.
- I'll monitor her vitals.
Please save this baby.
- Gloves, now.
- Please.
Okay, Mom's BP 118 over 84.
Pulse 102.
Satting 98 on room air.
- Okay, nasal oxygen.
- I'm on it.
Here we go.
One minute from skin to baby.
Scalpel.
There's skin.
And mark the time.
- Please, God.
- Don't worry.
- Abby, pull.
- I'm pulling.
- Someone working on Pedes? - On their way.
Retract inferiorally.
Scalpel again.
Uterine incision.
Okay.
And another stretch.
- Pediatrician's here.
- What's happening? - I see the baby.
- Blue towel.
- Looks like a girl.
- You hear that? A girl.
- Is she okay? - Hold on.
Second shoulder.
Head flexed.
Another clamp.
- Is she out? - She's out.
- She's not crying.
- She will.
- I got her.
- She looks okay.
She's not crying.
Blow by 15 liters.
- Fifty-one seconds.
- She's blue.
- She'll pink up.
- Uterus is boggy.
- What's the Apgar? - Don't worry.
- What is it? - Five-minute Apgar's more predictive.
- My God! What happened? - Damn ice.
I slipped.
- It was a pretty bad spill.
- Let me see.
I'm fine.
You should throw salt out there.
Do you know the time? Yeah, time my granddaughter started her period.
- You got this? - Yes, thanks for buzzing me.
We need to go to hospital and stitch that.
Like hell! It'll stop bleeding.
- You need sutures and a tetanus shot.
- I need a Band-Aid and a drink.
If you sit still, you'll get a lollipop.
Five-minute Apgar is eight, Carol.
Can I see her? We've got active bleeding.
What's her pressure? Hundred over 60.
- What took so long? - Just paged me.
She delivered five minutes ago.
Profuse bleeding.
- How much Pitocin? - Forty units in.
- Another 0.
2 Methergine.
- I.
M.
? I'll do it intramyometrial.
Hemostat.
More suction.
She's oozing everywhere.
Sponge stick.
Check another pressure.
Oh, my God! I'm bleeding out.
It always looks like more.
How are we doing? Pressure's down 80 over 40.
All right, let's pump in some saline.
- I wanna see my baby.
- You will.
Just a little while.
I'll take her.
We're at 70.
She needs blood.
Type for four.
Okay.
Three liters are up.
- Hemabate? - Point-two-five I.
M.
- Blood's here in 10 minutes.
- We don't have that.
- Open a hysterectomy tray.
- Hold on.
Are we there yet? Carol, your uterus is atonic.
You're losing a lot of blood.
- No hysterectomy.
- We may have no choice.
- Don't, please.
Mark.
- What else can we do? Uterus still boggy.
Another 500 cc's lost.
- Bovie.
- There must be something else.
- Losing her.
- Clamp off an artery? - Step out.
- It's only 30 seconds.
It's 30 seconds she may not have.
She's a nurse.
She understands the risk.
- O'Leary stitch.
O-vicryl.
- O-neg is up.
- Hold the transfusion.
- Pressure? - Systolic is 80.
- Cycle the dynamap.
- That's a hypogastric.
- She lost 3 liters.
- Needle driver.
- Hang in there, Carol.
She needs a name.
Tess needs to know what her sister's name is.
Is she all right? She's perfect.
They are both perfect.
What happened? You gave us a scare.
But you toughed it out.
Yeah, you still have your uterus.
You're up.
How are you feeling? Little groggy.
- Any pain? - No, for the first time today.
Drugs.
Enjoy them while they last.
I wouldn't repeat this, but you owe him your future children.
They both came out so well, you should think about doing it again.
I'll get right on that.
So, what's her name? - You wanna name her? - Me? - What was your mom's name? - Ruth.
Middle name Katherine.
Kate? I like that.
Kate.
- They need you downstairs.
- What for? They brought your dad for a laceration.
What happened? I don't know.
I'll be right back.
Mark? - Thank you.
- You did good, Mom.
Can you call long-distance on this? You'll need a calling card.
Where are you calling? Seattle.
- You come in handy.
- Thank you.
- How many stitches? - Maybe seven.
- Dad, what happened? - Nothing.
He slipped on ice.
I would've caught myself but I had a big bag.
How many kinds of sanitary napkins are there? - Thin, maxi, mini - What? - Rachel got her period.
- What? - I had to buy every kind.
- Hold on.
Can I talk to you? Couldn't just have regular.
Rachel had her period? - I was surprised too.
- Where is she? On the phone with her mom.
She wants to go back.
- Why'd you let him go? - I should've left him with her? Dr.
Greene? Did Carol Hathaway have the other baby? - Yes.
- And what was it? - A girl.
Two girls.
- Everything's all right? - Everything's fine now.
- Good.
Thank you.
You stitch up your father.
I'm gonna say hello.
I like her.
Sometimes you have to tickle her feet.
New babies are sleepy.
Wait till she opens her mouth really wide.
That's it.
Make sure her mouth covers the areola.
See her little jaw moving? - Oh, she's a barracuda.
- She's a natural.
Listen for the swallowing.
Do you hear it? I have to go.
Your postpartum nurse will take over.
- You're leaving? - You'll be fine.
Congratulations.
- Thank you so much.
- You're welcome.
You were very brave.
- I don't know about that.
- Oh, trust me.
- Good night.
- Good night.
- Happy Thanksgiving! - Happy Thanksgiving.