ER s07e11 Episode Script
Rock, Paper, Scissors
E.
R.
Previously on E.
R.
I took two Vicodin.
Are you gonna tell Weaver? - I can't.
- I think you have to.
And I thought we were really hitting it off.
You're straight, and I'm not.
Kynesha, who's this? This is Tiny.
I hate the thought of her being in my house alone.
Now she's bringing friends over? I'm sorry.
That won't happen again.
Peter, she's manipulating you.
There has never been a more successful treatment for your tumor.
If you believe that and mobilize your inner resources you're gonna survive.
E.
R.
7x11 "ROCK, PAPER, SCISSORS" Hello? What? Who is this? Okay, tell me what happened.
- Who is it? - Kynesha, slow down.
Hey, it's me.
What's wrong? Did he put his hands on you? All right.
Where are you now? What intersection? All right.
No, just wait there.
I'll pick you up.
Yeah, I'll be there.
You're going? She got into it with somebody at the halfway house.
She got scared and took off.
Did she report it to the manager? I don't know.
I guess there's a problem there too.
So where is she? South Federal.
I thought that wasn't a safe neighborhood.
That's all she knows, Cleo.
Peter, don't you think that it's a little strange that she waited until 4:00 in the morning to call us? Yeah, but what you do you want me to do? Leave her out on the street? It's 10 degrees outside.
You're never going to get rid of her.
Hey.
Mark, go to sleep.
You feeling nauseous? No.
Have a bad dream? Please, Mark.
You've got to get your rest.
So do you.
You shouldn't be walking around.
You could fall.
Good thing you're a doctor.
How long you been up? I never went to sleep, really.
No point worrying about it.
There's nothing you can do.
Gordon didn't say anything else? Any indication why this meeting was so urgent? Just that Patterson's lawyers called it.
It's probably not bad.
They want to talk.
Yeah, but what about? You'll know soon enough.
Hurry! Open up! Open up! - Hurry up! - Kynesha, what the-? - Go! - Hey, hey! - Open up! Hey, hey, right here.
- Go! - You owe me, girl! - Hey man, come on back here.
I'm gonna find you! I'm gonna find you! - Kynesha, what the hell was that? - A bunch of fools used to be my friends.
I told them you were a doctor.
Ain't nothing on this radio? E.
R.
I don't understand.
You don't like the food? The room-service guy has seen all my pajamas.
So we'll get up earlier.
Or we could sleep in, at my place.
The paramedics are 10 minutes out with a possible hip fracture.
- Can you take him? - Yeah.
Guess you're having breakfast alone.
John, how'd it go last night? With what? Weaver.
Did you tell her? Right.
I think I'm gonna wait - until after my midyear evaluation.
- When's that? Sometime today.
You're procrastinating.
You're nagging.
- I'm being your sponsor.
- It's different than being my mother.
- Don't you think? - Okay.
Mr.
Lambert's in Curtain 3 with a fever Mr.
Mohlsick in Exam 1 with frostbite.
Carter, you got evaluation at 11:00.
- Yes, ma'am.
- Don't be late.
You want Mrs.
Furtado? She has vaginal bleeding.
She had it last month too.
It's called her period.
What else? Roger Pilarsky's back.
He has abdominal pain.
- Again? - It's the cold.
When it dips below 20 - I know.
Where is he? - Exam 2.
- Like a "bishop" bishop? - Yep.
- I think he may have confirmed me.
- Wow.
Started a line.
Gave him four of morphine.
Were you able to get up after your fall? He tried, but several of us had to help.
- I can speak for myself.
- Peripheral pulses plus two.
- Call him "Your Excellency.
" - Bishop is fine.
All right.
Let's get him inside and get him into a gown.
All right.
You have a rear window in stock? Great.
Great.
All right, thanks.
That shower felt good.
Don't worry about the window.
I'll pay for it.
- With what? - I don't know.
Something.
You know what, Kynesha? You need to learn how to start respecting people.
- I respect you.
- I called the halfway house.
They said you started a fight and took off.
I hate that place.
The lady that runs it's a bitch.
That's where you live now, so you better make it work.
Well, I'd rather live with you.
We've been over this.
You can't stay here indefinitely.
I could if you had your own place.
Be a lot easier.
- What do you think you're doing? - Depends.
What you want me to do? Kynesha, you better- - Where she at? At work? - Hey.
It's all good.
I'm too tired now anyway.
Mr.
Pilarsky, you haven't stopped taking your Mellaril, have you? - No.
- How long's your belly bothered you? A few days, but it's definitely gotten worse since I've been here.
He's afebrile.
BP's 180/70.
Blood pressure's a little high.
Are you upset, Mr.
Pilarsky? Depressed mostly.
I haven't had intimate contact in 11 years.
- It takes its toll after a while.
- Why don't we take a look at your belly find out what the problem is.
Oh, for God's sake! Conni? Mr.
Pilarsky, why do you do this to yourself? I'm an only child, you know.
- Are those ours? - Yeah.
Start a line, draw a trauma panel and set up the SonoSite.
Never did get married.
- You want a Psych consult? - No.
- Put my career first.
- Let's clear him surgically first.
You want to catch a movie later? - You didn't get my message, I take it.
- No.
Did something change? The meeting was canceled.
We took a conference call and agreed on a settlement figure.
That means we accept guilt? It means the hospital's gonna take it in the shorts to the tune of $1.
5 million.
But our insurance will pay that.
And so will we, with sky-high premiums.
It could've been worse.
We're not getting off cheap.
She didn't pay a dime.
There was a general recall on the endoscopic curettes that you used.
I didn't have trouble with the curette.
Nonetheless, there was a recall.
We signed a confidentiality agreement keeping the details of the suit private.
So you can't speak about it.
There was nothing faulty with the equipment.
Apparently, there was.
And the manufacturer has deeper pockets.
Well, that's wrong.
Look at it as a gift.
We pay big and you get a ding at the National Data Bank.
How lucky is that? Then my parents went through this whole charismatic phase.
But they're still pretty Catholic.
I mean, you know.
So, what religion do they practice in your country? - This is my country, Dave.
- That's not what I meant.
Smooth.
Excuse me.
I need- - Fill out your name and complaint.
- No, I need a laxative.
Amira, why don't you get an emesis basin for Miss? Never mind.
- I'm sorry.
- Why don't you take a seat over here? - My stomach hurts.
- Thank you.
- I need to go to the bathroom and I can't.
- Tell me your name.
- Anne.
- Anne, I'm Dr.
Carter.
Has this ever happened to you before? It started on the plane.
- From where? - Texas.
You just flew in? Did you eat anything unusual? - Airplane food.
- Well, that could do it.
Let's get you in a room and see if we can't find out what's going on.
- Oh, my God! It's blood.
It's- - I'm gonna need a little help over here.
Did you land on your side or on your back? On my keister.
Several small children found it amusing.
We were quite worried.
Any tenderness here? Not so much.
Joe, you're making me nervous.
Go get yourself a cup of coffee.
Please.
Last thing I need is an entourage.
Any physical conditions I should know about? Osteoarthritis.
Runs in the family.
Are you currently on any medications? Tylenol.
And the occasional glass of wine.
Where are you from? You have an accent.
Croatia.
- Any numbness in this area? - No.
Do you have a primary care doctor I should notify? He's playing golf in Arizona.
Okay.
Someone will take you to X-ray.
- Would you like anything for pain? - I have a high threshold.
Croatia is a very Catholic country.
Yes.
- Are you Catholic? - No.
That's it? That's all you're going to tell me? She got into a fight and took off to hang out with friends.
So this whole "I was attacked" - was blown out of proportion.
- A little.
Did you take her back to the halfway house? Not yet.
- Then where did you take her? - Well, she needed to take a shower.
It's just for the day.
You said that when she stayed three weeks.
I'll handle it.
Small Mallory-Weiss tear.
- No active bleeding, though.
- Temperature's higher, 102.
Wait.
Foreign body obstructing the gastric outlet.
- Good call on the ultrasound.
- Okay.
Grasper.
Reminds me of one of those big claw things they have at the arcade.
What do you call them? Big claw things.
What the heck is that? Got it.
Okay, slowly extracting.
BP's rising.
160/100.
Up.
Up.
And out.
Pulse is 140.
BP's high, 240/100.
Is that a condom? Probably cocaine.
Must have leaked.
I need phentolamine and esmolol drips.
and four of Ativan in case she seizes.
She's a drug mule.
I just heard that Roger Pilarsky was treated for a self-inflicted injury.
Yeah, with a pair of our suture scissors no less.
- You sent him home? - It was superficial.
Didn't breach the peritoneum.
There should have been a Psych consult.
He's a frequent flier.
A new injury every week.
Could be an accelerating pattern.
He's never had a serious suicide attempt.
Your department's refused to admit him on three separate occasions.
He tried to harm himself.
We're supposed to be called.
All he wanted was food and company.
Frankly, I thought you'd be grateful that- Kerry, I- I think we should not let what happened between us interfere with patient care.
- What? - We're both professionals.
Excuse me.
I did what I thought was medically appropriate.
It had nothing to do with the fact you've been avoiding me? It doesn't, and I haven't.
But if you'd like me to call you every time someone disturbed comes into the ER, you've got it.
Thank you.
Where did you really fly in from? South America? Belize.
Well, you're lucky you didn't pop at 35,000 feet.
You might've died.
Maybe that would have been better.
You mind telling me how you got into all this? I was robbed.
They took everything: My money.
My passport.
My clothes.
Even my shoes.
So you decided to smuggle drugs to get back.
I met this man.
He was very nice to me.
He said he would help.
All I had to do was stop here in the United States for him.
But you knew what he was asking you to do.
I just wanted to go home.
That's all.
I wanted to go home.
That whole celibacy thing was always the sticking point for me, though.
- Yeah, me too.
But I got over it.
- Yeah, well Dr.
Kovac, did you know that St.
Peter was married? Anyway, I should get going.
- Nice talking to you, Bishop Stewart.
- Same here.
You have a lot of degenerative changes, but no fracture.
There will be bruising, but the worst should be over in a few days.
- Yeah, I know the drill.
- You fall a lot? Damned arthritis makes me wobbly, especially when it's cold.
Ever use a walker? That would cramp my style, don't you think? Might save your hips.
Last time I had a flareup, my doctor put me on this IV, gave me some some kind of steroid.
- Solu-Medrol? - That's it.
The stuff worked wonders.
You realize it's a temporary fix.
I'll take whatever I can get.
Just so it gets me through the hard bits.
Okay.
I'll give you the Solu-Medrol if you promise to use a walker.
- What? Are we negotiating? - Not really.
Do you want the steroids? I'll use a cane.
Yosh? 125 milligrams of Solu-Medrol for the bishop and order a cane from Central Supply.
You got it.
What was your confirmation name? Mihael.
After the patron saint of the sick.
How appropriate.
"He has questioned the decision-making of senior physicians in critical-care settings.
" I have a detailed list if you're interested.
Probably not.
Interpersonal skills, how you deal with patients and staff, all excellent.
In fact, it's hard to find fault with your work.
Really? You've made a remarkable comeback from a serious addiction.
And I think I speak for everyone when I say that we're proud of you.
Thank you.
Good.
We're pretty jammed up out there so unless there's anything you want to talk about, sign the bottom of the form.
Is there something you want to talk about? Sorry.
Multi-victim trauma.
We're gonna need everybody.
Let's go.
Seven-year-old hit in the crosswalk by a pickup doing 30.
Complains of chest pain and shortness of breath.
- Tachy at 120.
BP 90/60.
- Hi, honey.
Can you tell me your name? - Amy.
Where's my mom? - Next ambulance.
- Take a breath, Amy.
- Does your tummy hurt? No.
Is my dad okay? We'll find out when we finish with you.
We need a chest tube on the left.
Julie Hembree, 32 years old.
Chest and abdominal pain.
- I thought there were three.
- Father was DOA at the scene.
Systolic of 80 in the field.
Now up to 100.
Where's Amy? Where's my husband? It might be a rib fracture.
Okay, she needs an ultrasound.
Let's get Surgery down here.
Mandy, can you push the cholecystectomy to next week? - Sure.
- These are lovely.
Glad you think so.
They're for you.
- From Dr.
Greene? - Yes.
O.
R.
Hold on.
Dr.
Corday, they need you downstairs.
I'm on my way.
- Should I put these in your office? - Please.
Mr.
Patterson, what are you doing here? I came to see you.
I've been called to the Emergency department.
I'll ride down with you.
Okay.
Please allow me to say that I feel terrible about what's happened.
Which part? Me being crippled or you getting sued for malpractice? My concern was for your situation, not mine.
Yeah.
Doesn't really compare, does it? Strange how it all comes down to faulty equipment.
My lawyer tells me I can't really blame you.
But I can't quite forgive you either.
Imagine I'll always remember your face.
- I wonder whether you'll remember mine.
- Start in Trauma 1! Weaver needs that in 2.
They'll need you right away.
- I'm really sorry.
- Go, go.
I'm so sorry.
- What is it, Conni? - Auto versus peds.
Mother and daughter.
- Any critical? - The kid in Trauma 1 looks bad.
- Where's Benton? - I don't know.
- What is it? - Blunt chest, hemopneumo on the left.
- Did you scan the belly? - It seemed pretty benign.
- Where's ultrasound? - Next door.
- Why don't you examine her first? - Where's my mom? We'll take this collar off.
You'll feel better.
- Okay.
One percent with epi.
- Sats are down to 82.
Put her up to 15 liters.
Ten blade.
How's the abdomen? Non-tender.
I can't clear her until we have an imaging study.
That hurts! - Amy, it's okay.
- You want to intubate? - Let's wait for the chest tube.
- Green zone on the Broselow.
Give me a curved Kelly.
- I want my mom! - Slow breaths, Amy.
Slow, deep breaths.
Pressure's down to 60.
She's bleeding out.
Okay.
Hang two units of O-neg on the rapid infuser.
We need to intubate.
Let's pre-medicate with atropine.
Dr.
Corday, Dr.
Weaver needs you right now.
Let's keep up with the blood loss.
You need me? Rebound and guarding in the right quadrant.
Looks like a surgical belly.
- Please, how is she? My daughter.
- There's some bleeding in the chest.
What does that mean? Is she okay? She's stable for right now, but it is serious.
And what about my husband? Is he here too? Oh, God.
No.
Hey, we don't know anything for sure yet.
We've got a liver laceration.
You have some internal bleeding from the injury.
We need to get you up to the O.
R.
now so we can stop the bleeding.
Type-specific's up.
Squeeze in two units.
Tell the O.
R.
we're on our way.
Get her upstairs.
Let's go.
Over a liter out on the left.
- Get two more units of blood.
- Push the etomidate.
- We need to tube her.
- No, wait.
Just bag her.
- Bring your patient in here.
- I'm red-lining her to the O.
R.
We're not maintaining pressure.
What are you doing? - Her daughter should see her first.
- I want to see her.
- She has a critical liver laceration.
- How much blood do you have? - Four units.
- You'll be just fine.
Listen.
Her systolic's down to 80.
- Get two pressure bags for the blood.
- Push the etomidate, then the sux.
Amy, it's Mommy.
You're gonna be all right.
They're gonna take me to surgery now.
But I'll see you real soon, okay? She's out.
Five-and-a-half tube.
- Amy? - That's it.
We're going.
Now! Cricoid pressure right there.
I'm in.
Bag her.
Okay, call X-ray for a portable chest.
Good breath sounds bilaterally.
- Pulse ox is up to 92.
- Set up a vent.
FiO2, 100 percent.
Rate of 20.
Damn it! Lost her pulse! Starting compressions.
Charge the paddles to 100.
And get another 8 units from the blood bank.
Keep pouring it in.
Charged and ready.
Clear.
This the ex-lap? Yes.
Still a little shocky after five liters.
- Did you give FFP? - Not yet.
- What are you waiting for? - We were rather busy.
Will you be doing an atrial-caval shunt? I won't know until I open her up.
It would help if I knew what you were planning.
Yes.
Well, when I decide I'll tell you.
I think Anspaugh's in the lounge.
Can you ask him to assist? He's ready to go on a fem-pop in 4.
Any other Attendings around? They're all scrubbed in.
It's just you on this one.
- Give another epi.
- Sats are down to 70.
- Two more liters out of the chest.
- Autotransfuse.
Hang two more.
- She's losing it too fast.
- Hold the compressions.
P.
E.
A.
rate of 49.
Set me up for pericardiocentesis.
Take over here.
Think she's in tamponade? It's our last chance for treating P.
E.
A.
Give me the alligator clip.
- Hook it up to the V-1 lead.
- JVD's four centimeters.
- She's still hypovolemic.
- Bradying down to 40.
Watch for any injury current.
There.
Back off.
- Anything in the pericardium? - Nothing.
Resume compressions.
What's this? - I called for a consult.
- I'm admitting her.
- Why? - Danger to self.
Does the pound of cocaine she swallowed figure into this? It wasn't a pound.
We're not obligated to report drug use to the authorities.
But I'd imagine in the case of drug smuggling we'd make an exception.
She's not a dealer.
She's a kid.
She made a mistake and almost got killed.
Maybe, but she's not suicidal.
What's your problem, Kerry? - What? - She's 18 years old.
Could you excuse us, Dr.
Carter? Her going to prison isn't going to benefit anybody.
Excuse us.
Don't you ever talk to me like that in front of a resident again.
I wouldn't have to if you didn't insist on interfering with my admission.
- She's an ER case.
- Which I was called into.
I'm admitting her.
Agonal rhythm, rate of 29.
Has she had two doses of atropine? Fifteen minutes ago.
- What about thoracotomy? - No.
She had a fatal injury.
Probably tore her aorta.
That's it.
Asystole.
Call it.
Time of death 1:47 p.
m.
Paramedics just brought in another trauma.
We need a doctor in here.
I've got it.
Let me out of here! I gotta go! Let me out! Kevin Poole, 42, very drunk.
Under police pursuit until he hit a concrete column.
Needed the Jaws of Life to get him.
Vitals are stable, but he's a pain.
Settle down.
I'm Dr.
Kovac.
I'm going to examine your injuries.
- I need you to stay calm.
- What injuries? - Lovely.
- Why were the police chasing him? Hit-and-run.
Took out a family at a crosswalk.
They come here or Mercy? - Here.
- I gotta- I gotta go.
I gotta find my wallet.
I'm gonna put a tube in your nose.
- Want me to numb him up first? - No.
Just hold his head still.
Swallow, sir.
I can spray the back of his throat.
Just keep swallowing.
Hey.
This is good.
What's wrong? You ain't hungry? Hi, Kynesha.
- Who is she? - This is Adele Neuman.
She's a social worker.
Nice meeting you.
I thought you called me here so I could be with you.
I'm trying to find you a permanent place to live.
I have a husband and wife in Riverside who are both African-American.
And they have two other foster children your age.
I thought you said you cared about me.
I said I care about what happens to you.
Yeah, right.
You only doing all this because of Jesse.
You think I don't know that? That's not true.
- I know that bitch Cleo don't like me.
- Kynesha.
I knew that all along.
You are underage without a way to provide for yourself.
Now, it's either foster care or becoming a ward of the state.
Which would you prefer? Fine.
You don't want me.
I'm gone.
Kynesha.
Kynesha! Just let me take it from here.
She's got a stage-three stellate fracture into the deep parenchyma.
- More suction, Shirley.
- Canister's full.
Well, change it.
She's oozing all over the place.
- How about platelets? - Already gave them.
You need to correct her coagulopathy.
ET and bleeding time are normal.
It's your problem, not mine.
All right.
Right.
I'm gonna try and pack the liver and get out.
Okay, gel foam, Penrose.
- Come on! - BP's dropping.
90/60.
- You have to control the bleeding.
- The injury's too extensive.
Maybe I can get caval control.
Bovie, pickups.
I can't maintain her vitals unless you get hemostasis.
- I know that! - She's lost another liter.
Two more going up on the infuser.
- Call.
Call for six more.
- BP's still dropping.
Heart rate up to 120.
There's too much blood in the field.
I can't isolate the vena cava.
She's bleeding out.
Get Romano.
I don't know if he's available.
I said, get Romano.
Benton! Somebody! Come on, more laps! How's he doing? Blood alcohol level is 0.
35, but he's stable.
You're under arrest for vehicular manslaughter, Mr.
Poole.
- What? - Your Morrison's Pouch is dry.
- Liver intact.
- Three DUIs, revoked license - the idiot still gets behind the wheel.
- Let me out of here, damn it! Sir, you have to hold still.
His spleen looks good.
She said stop.
All right, what do we got? MVA with a lot of ETOH.
- No free fluid? - Crit is 42.
Excellent.
Sir, does it hurt here? Who the hell are you? Okay.
How about here? All right.
Some periumbilical tenderness.
Okay, let's call Radiology, order a CT.
Do you think it's necessary? It's hard to assess them when they're drunk like this.
I like to be sure.
Hey, it's Abby in the ER.
Yeah, I can hold.
How'd it go? The evaluation? It went very well.
- And? - What? - Forget it.
- I didn't get a chance.
- You interrupted with the trauma.
- Forget it.
- Yeah, hello.
- What's going on? Sorry.
Can you hold on? With what? - With you and Carter.
- Nothing.
- It seemed like you were fighting.
- We were.
I'd tell you, but it's a privacy thing.
His, not mine.
Hi.
Yeah, Benton's on his way up with a blunt abdominal trauma.
Better be good.
Liver fracture with uncontrolled hemorrhage.
You called me out of a lunch because you can't tie off a liver? BP's 80/40, pulse rate 120.
- Ten units already in.
- Set up the argon beam.
- I tried to get caval control, but I- - You try the Pringle maneuver? You learned it in grade school, Dr.
Corday.
Ligate with 4.
0 chromic while I occlude the hepatic artery.
Get out.
- Argon's ready.
- All right.
I'll coagulate the parenchymal surface.
Tie off the vessels.
- Robert- - Not now.
- Get to work.
- You need another assistant.
- Make yourself useful and sew.
- Robert, I'm sorry.
I can't stay.
- I'll send in a resident.
- Where are you going? - I'm sorry.
- Get your ass over here now! Damn it! Mark? Hey, Luka.
- Need some help? - No, no, no.
I'm fine.
Thank you.
So, what are you doing here? Radiation therapy.
Every day for six weeks.
Elizabeth's giving me a ride back, but she's stuck in surgery.
- Doctor Chen still out on leave? - Yeah.
Yeah.
- You coming back to work soon? - Next week, I hope.
Fast recovery, huh? Yeah.
Speed of light.
I heard you were doing immune therapy.
As soon as the tumor vaccine's ready.
So everything okay around here? Okay as ever.
Don't worry.
I don't.
Honest.
Life's too short, you know? I know.
So how are you, Luka? The same.
- Good to see you.
- You too.
- Where is he? - Who? - The bishop.
- I think he went to Trauma 1.
- What for? - To give someone their last rites.
- Are you sorry for your sins? - What happened? - He crashed during CT.
- Yes.
May our Lord Jesus Christ grant you absolution, and by his authority - I can't hear! - May our Lord Jesus Christ Cross match another six.
- Pressure is 60.
- I absolve you of all your sins.
- Put him in Trendelenburg.
- He needs a central line.
- Let's get an eight French trauma kit.
- Okay, prep for a subclavian.
Sats down to 75.
He's not moving any air.
Bag him.
I'll intubate.
You should leave.
Oh, God Okay, one of Pavulon, 100 of sux.
I need a sterile drape in here, people.
Come on, let's move.
- Are you taking off? - Yeah.
I know a guy playing in a blues club later, if you're interested.
- No, I think I'm just gonna go home.
- Maybe tomorrow.
He'll be here all week.
Hey.
I need to talk to you about this Weaver thing.
Look, nothing happened.
I threw them up.
I know I'm fine.
You know I'm fine.
Weaver thinks I'm fine.
So why give her any reason not to? I don't know.
Maybe you can take that up with your next sponsor.
What? I don't want to be your sponsor anymore.
- Where's that coming from? - I care about you.
And I care about your recovery, but I can't keep saying the same things.
Because it's hard enough for me to do it for myself.
- You serious? - Yeah.
- Fine.
I'll get another sponsor.
- Okay.
I'll see you tomorrow.
Dr.
Finch, you lose your compass? - I'm here to see Julie Hembree.
- One lucky lady.
A Pringle maneuver courtesy of yours truly kept her from bleeding out.
I thought Corday did the surgery.
Long story.
I'll tell you over cocoa sometime.
She's all yours.
Mrs.
Hembree? You were one of the doctors for my daughter? Yes.
Is she all right? Amy was hit in the chest at a very high speed.
I know.
I was there.
She needed help breathing, so we intubated.
We gave her transfusions to treat the blood loss.
But despite all that, her heart stopped beating.
No.
We used intravenous drugs and shocked her heart for an hour.
But her injuries were too severe.
No.
And she died.
No.
I'm so sorry.
- No! - Okay With the type of injuries she had and the massive blood loss- - No! - I'm sorry.
- No! No! - Calm down.
Calm down.
Just calm down.
I'm sorry.
I'm gonna have you take prednisone for the next four days.
Bishop, our car is here.
Thank you.
I'll be right there.
What happened to Kevin Poole? The drunk? He died on the table.
At least he found absolution.
You don't believe that.
He ran down a family in the street.
The mother's upstairs in surgery.
I see.
Does that make him any less worthy of salvation? He was more afraid than sorry.
Yes.
But he found God in his final moments, and he asked for forgiveness.
So any fool can get into heaven if he's scared enough to say he's sorry right before he dies? Dr.
Kovac Everyone deserves to be comforted in their darkest hour.
Too bad you weren't there to comfort the little girl he killed.
I didn't need to be.
God was there.
Was he? You should arrange to see your doctor this week.
And use the cane for stability.
Okay.
Haleh, I am out of here.
- Good night, Dr.
Weaver.
- Good night.
- Hey, can I give you a hand with those? - Thank you.
- You going home? - Yeah, shortly.
Hey, do you have a minute to talk? Of course.
In there? Okay.
If you're concerned about what happened earlier, you don't need to be.
- I respect your judgment enough to say- - A couple weeks ago I took some Vicodin out of a patient's prescription bottle and I swallowed them.
And then I went into the bathroom and I stuck my finger down my throat.
Did you successfully expel them? Yes.
I don't know- I don't know why I did it.
I really don't.
I just found myself doing it.
I just thought you should know.
I appreciate you telling me.
I'll see you tomorrow, Carter.
What are you gonna do? Give it some thought.
Meanwhile, keep going to your meetings.
I can't believe you waited.
I thought you would have taken a cab.
Well, I thought you could use some company.
Are you all right? Yeah.
You should have seen me an hour ago.
I could have danced a jig.
How did the meeting go? We settled rather cheaply.
Something to do with a recall.
Great.
Shall we go out and celebrate? Get a bite to eat? What? With you like this? Or we could just go home, take a nap.
I don't feel like celebrating anyway.
You're off the hook.
It's okay to be happy.
I can't.
It's my fault, Mark.
Elizabeth, we're not saints, okay? We just try to get it right as often as we can.
- I don't want to talk about it.
- Elizabeth Mark, please.
You know what I noticed? What? Amy's shoes.
They were brand-new.
When she woke up this morning, she had no idea.
It's always harder when they're young.
Yeah.
So, what am I doing in Pedes? You're good at it.
You know what I want tonight? Climb into a hot bath get in bed and be taken care of? I won't hold you to the last part.
Oh, my God.
Look what she did to my house.
It's okay.
I'll take care of it.
No, it is not okay! - Look at this! - I know.
Come here.
I'll take care of it.
- Hey.
- Oh, hi.
I was just about to leave, if you want the table.
Actually, I called your office and they said you might be here.
I was hoping that we could talk.
I don't know.
We've already talked a lot today.
I know that it's been tense between us and I really don't mean it to be.
I'm sure it'll pass.
Kim, I want you to know that I respect you as a colleague.
Today notwithstanding? I miss you.
Well, that'll pass too.
In a few weeks we'll just be friendly co-workers all over again.
Yeah, I've been thinking and I'm not sure that's what I want.
- You have a good night.
Okay? - Kim, please.
I'd like you to stay.
Look I know you might not want to hear this right now.
I know it's been rough with everything Between us.
I'm not easy.
I haven't been there for you.
Not the way you've been there for me.
I've never worked at being with someone.
I've never even wanted to.
But I want to with you.
I love you.
R.
Previously on E.
R.
I took two Vicodin.
Are you gonna tell Weaver? - I can't.
- I think you have to.
And I thought we were really hitting it off.
You're straight, and I'm not.
Kynesha, who's this? This is Tiny.
I hate the thought of her being in my house alone.
Now she's bringing friends over? I'm sorry.
That won't happen again.
Peter, she's manipulating you.
There has never been a more successful treatment for your tumor.
If you believe that and mobilize your inner resources you're gonna survive.
E.
R.
7x11 "ROCK, PAPER, SCISSORS" Hello? What? Who is this? Okay, tell me what happened.
- Who is it? - Kynesha, slow down.
Hey, it's me.
What's wrong? Did he put his hands on you? All right.
Where are you now? What intersection? All right.
No, just wait there.
I'll pick you up.
Yeah, I'll be there.
You're going? She got into it with somebody at the halfway house.
She got scared and took off.
Did she report it to the manager? I don't know.
I guess there's a problem there too.
So where is she? South Federal.
I thought that wasn't a safe neighborhood.
That's all she knows, Cleo.
Peter, don't you think that it's a little strange that she waited until 4:00 in the morning to call us? Yeah, but what you do you want me to do? Leave her out on the street? It's 10 degrees outside.
You're never going to get rid of her.
Hey.
Mark, go to sleep.
You feeling nauseous? No.
Have a bad dream? Please, Mark.
You've got to get your rest.
So do you.
You shouldn't be walking around.
You could fall.
Good thing you're a doctor.
How long you been up? I never went to sleep, really.
No point worrying about it.
There's nothing you can do.
Gordon didn't say anything else? Any indication why this meeting was so urgent? Just that Patterson's lawyers called it.
It's probably not bad.
They want to talk.
Yeah, but what about? You'll know soon enough.
Hurry! Open up! Open up! - Hurry up! - Kynesha, what the-? - Go! - Hey, hey! - Open up! Hey, hey, right here.
- Go! - You owe me, girl! - Hey man, come on back here.
I'm gonna find you! I'm gonna find you! - Kynesha, what the hell was that? - A bunch of fools used to be my friends.
I told them you were a doctor.
Ain't nothing on this radio? E.
R.
I don't understand.
You don't like the food? The room-service guy has seen all my pajamas.
So we'll get up earlier.
Or we could sleep in, at my place.
The paramedics are 10 minutes out with a possible hip fracture.
- Can you take him? - Yeah.
Guess you're having breakfast alone.
John, how'd it go last night? With what? Weaver.
Did you tell her? Right.
I think I'm gonna wait - until after my midyear evaluation.
- When's that? Sometime today.
You're procrastinating.
You're nagging.
- I'm being your sponsor.
- It's different than being my mother.
- Don't you think? - Okay.
Mr.
Lambert's in Curtain 3 with a fever Mr.
Mohlsick in Exam 1 with frostbite.
Carter, you got evaluation at 11:00.
- Yes, ma'am.
- Don't be late.
You want Mrs.
Furtado? She has vaginal bleeding.
She had it last month too.
It's called her period.
What else? Roger Pilarsky's back.
He has abdominal pain.
- Again? - It's the cold.
When it dips below 20 - I know.
Where is he? - Exam 2.
- Like a "bishop" bishop? - Yep.
- I think he may have confirmed me.
- Wow.
Started a line.
Gave him four of morphine.
Were you able to get up after your fall? He tried, but several of us had to help.
- I can speak for myself.
- Peripheral pulses plus two.
- Call him "Your Excellency.
" - Bishop is fine.
All right.
Let's get him inside and get him into a gown.
All right.
You have a rear window in stock? Great.
Great.
All right, thanks.
That shower felt good.
Don't worry about the window.
I'll pay for it.
- With what? - I don't know.
Something.
You know what, Kynesha? You need to learn how to start respecting people.
- I respect you.
- I called the halfway house.
They said you started a fight and took off.
I hate that place.
The lady that runs it's a bitch.
That's where you live now, so you better make it work.
Well, I'd rather live with you.
We've been over this.
You can't stay here indefinitely.
I could if you had your own place.
Be a lot easier.
- What do you think you're doing? - Depends.
What you want me to do? Kynesha, you better- - Where she at? At work? - Hey.
It's all good.
I'm too tired now anyway.
Mr.
Pilarsky, you haven't stopped taking your Mellaril, have you? - No.
- How long's your belly bothered you? A few days, but it's definitely gotten worse since I've been here.
He's afebrile.
BP's 180/70.
Blood pressure's a little high.
Are you upset, Mr.
Pilarsky? Depressed mostly.
I haven't had intimate contact in 11 years.
- It takes its toll after a while.
- Why don't we take a look at your belly find out what the problem is.
Oh, for God's sake! Conni? Mr.
Pilarsky, why do you do this to yourself? I'm an only child, you know.
- Are those ours? - Yeah.
Start a line, draw a trauma panel and set up the SonoSite.
Never did get married.
- You want a Psych consult? - No.
- Put my career first.
- Let's clear him surgically first.
You want to catch a movie later? - You didn't get my message, I take it.
- No.
Did something change? The meeting was canceled.
We took a conference call and agreed on a settlement figure.
That means we accept guilt? It means the hospital's gonna take it in the shorts to the tune of $1.
5 million.
But our insurance will pay that.
And so will we, with sky-high premiums.
It could've been worse.
We're not getting off cheap.
She didn't pay a dime.
There was a general recall on the endoscopic curettes that you used.
I didn't have trouble with the curette.
Nonetheless, there was a recall.
We signed a confidentiality agreement keeping the details of the suit private.
So you can't speak about it.
There was nothing faulty with the equipment.
Apparently, there was.
And the manufacturer has deeper pockets.
Well, that's wrong.
Look at it as a gift.
We pay big and you get a ding at the National Data Bank.
How lucky is that? Then my parents went through this whole charismatic phase.
But they're still pretty Catholic.
I mean, you know.
So, what religion do they practice in your country? - This is my country, Dave.
- That's not what I meant.
Smooth.
Excuse me.
I need- - Fill out your name and complaint.
- No, I need a laxative.
Amira, why don't you get an emesis basin for Miss? Never mind.
- I'm sorry.
- Why don't you take a seat over here? - My stomach hurts.
- Thank you.
- I need to go to the bathroom and I can't.
- Tell me your name.
- Anne.
- Anne, I'm Dr.
Carter.
Has this ever happened to you before? It started on the plane.
- From where? - Texas.
You just flew in? Did you eat anything unusual? - Airplane food.
- Well, that could do it.
Let's get you in a room and see if we can't find out what's going on.
- Oh, my God! It's blood.
It's- - I'm gonna need a little help over here.
Did you land on your side or on your back? On my keister.
Several small children found it amusing.
We were quite worried.
Any tenderness here? Not so much.
Joe, you're making me nervous.
Go get yourself a cup of coffee.
Please.
Last thing I need is an entourage.
Any physical conditions I should know about? Osteoarthritis.
Runs in the family.
Are you currently on any medications? Tylenol.
And the occasional glass of wine.
Where are you from? You have an accent.
Croatia.
- Any numbness in this area? - No.
Do you have a primary care doctor I should notify? He's playing golf in Arizona.
Okay.
Someone will take you to X-ray.
- Would you like anything for pain? - I have a high threshold.
Croatia is a very Catholic country.
Yes.
- Are you Catholic? - No.
That's it? That's all you're going to tell me? She got into a fight and took off to hang out with friends.
So this whole "I was attacked" - was blown out of proportion.
- A little.
Did you take her back to the halfway house? Not yet.
- Then where did you take her? - Well, she needed to take a shower.
It's just for the day.
You said that when she stayed three weeks.
I'll handle it.
Small Mallory-Weiss tear.
- No active bleeding, though.
- Temperature's higher, 102.
Wait.
Foreign body obstructing the gastric outlet.
- Good call on the ultrasound.
- Okay.
Grasper.
Reminds me of one of those big claw things they have at the arcade.
What do you call them? Big claw things.
What the heck is that? Got it.
Okay, slowly extracting.
BP's rising.
160/100.
Up.
Up.
And out.
Pulse is 140.
BP's high, 240/100.
Is that a condom? Probably cocaine.
Must have leaked.
I need phentolamine and esmolol drips.
and four of Ativan in case she seizes.
She's a drug mule.
I just heard that Roger Pilarsky was treated for a self-inflicted injury.
Yeah, with a pair of our suture scissors no less.
- You sent him home? - It was superficial.
Didn't breach the peritoneum.
There should have been a Psych consult.
He's a frequent flier.
A new injury every week.
Could be an accelerating pattern.
He's never had a serious suicide attempt.
Your department's refused to admit him on three separate occasions.
He tried to harm himself.
We're supposed to be called.
All he wanted was food and company.
Frankly, I thought you'd be grateful that- Kerry, I- I think we should not let what happened between us interfere with patient care.
- What? - We're both professionals.
Excuse me.
I did what I thought was medically appropriate.
It had nothing to do with the fact you've been avoiding me? It doesn't, and I haven't.
But if you'd like me to call you every time someone disturbed comes into the ER, you've got it.
Thank you.
Where did you really fly in from? South America? Belize.
Well, you're lucky you didn't pop at 35,000 feet.
You might've died.
Maybe that would have been better.
You mind telling me how you got into all this? I was robbed.
They took everything: My money.
My passport.
My clothes.
Even my shoes.
So you decided to smuggle drugs to get back.
I met this man.
He was very nice to me.
He said he would help.
All I had to do was stop here in the United States for him.
But you knew what he was asking you to do.
I just wanted to go home.
That's all.
I wanted to go home.
That whole celibacy thing was always the sticking point for me, though.
- Yeah, me too.
But I got over it.
- Yeah, well Dr.
Kovac, did you know that St.
Peter was married? Anyway, I should get going.
- Nice talking to you, Bishop Stewart.
- Same here.
You have a lot of degenerative changes, but no fracture.
There will be bruising, but the worst should be over in a few days.
- Yeah, I know the drill.
- You fall a lot? Damned arthritis makes me wobbly, especially when it's cold.
Ever use a walker? That would cramp my style, don't you think? Might save your hips.
Last time I had a flareup, my doctor put me on this IV, gave me some some kind of steroid.
- Solu-Medrol? - That's it.
The stuff worked wonders.
You realize it's a temporary fix.
I'll take whatever I can get.
Just so it gets me through the hard bits.
Okay.
I'll give you the Solu-Medrol if you promise to use a walker.
- What? Are we negotiating? - Not really.
Do you want the steroids? I'll use a cane.
Yosh? 125 milligrams of Solu-Medrol for the bishop and order a cane from Central Supply.
You got it.
What was your confirmation name? Mihael.
After the patron saint of the sick.
How appropriate.
"He has questioned the decision-making of senior physicians in critical-care settings.
" I have a detailed list if you're interested.
Probably not.
Interpersonal skills, how you deal with patients and staff, all excellent.
In fact, it's hard to find fault with your work.
Really? You've made a remarkable comeback from a serious addiction.
And I think I speak for everyone when I say that we're proud of you.
Thank you.
Good.
We're pretty jammed up out there so unless there's anything you want to talk about, sign the bottom of the form.
Is there something you want to talk about? Sorry.
Multi-victim trauma.
We're gonna need everybody.
Let's go.
Seven-year-old hit in the crosswalk by a pickup doing 30.
Complains of chest pain and shortness of breath.
- Tachy at 120.
BP 90/60.
- Hi, honey.
Can you tell me your name? - Amy.
Where's my mom? - Next ambulance.
- Take a breath, Amy.
- Does your tummy hurt? No.
Is my dad okay? We'll find out when we finish with you.
We need a chest tube on the left.
Julie Hembree, 32 years old.
Chest and abdominal pain.
- I thought there were three.
- Father was DOA at the scene.
Systolic of 80 in the field.
Now up to 100.
Where's Amy? Where's my husband? It might be a rib fracture.
Okay, she needs an ultrasound.
Let's get Surgery down here.
Mandy, can you push the cholecystectomy to next week? - Sure.
- These are lovely.
Glad you think so.
They're for you.
- From Dr.
Greene? - Yes.
O.
R.
Hold on.
Dr.
Corday, they need you downstairs.
I'm on my way.
- Should I put these in your office? - Please.
Mr.
Patterson, what are you doing here? I came to see you.
I've been called to the Emergency department.
I'll ride down with you.
Okay.
Please allow me to say that I feel terrible about what's happened.
Which part? Me being crippled or you getting sued for malpractice? My concern was for your situation, not mine.
Yeah.
Doesn't really compare, does it? Strange how it all comes down to faulty equipment.
My lawyer tells me I can't really blame you.
But I can't quite forgive you either.
Imagine I'll always remember your face.
- I wonder whether you'll remember mine.
- Start in Trauma 1! Weaver needs that in 2.
They'll need you right away.
- I'm really sorry.
- Go, go.
I'm so sorry.
- What is it, Conni? - Auto versus peds.
Mother and daughter.
- Any critical? - The kid in Trauma 1 looks bad.
- Where's Benton? - I don't know.
- What is it? - Blunt chest, hemopneumo on the left.
- Did you scan the belly? - It seemed pretty benign.
- Where's ultrasound? - Next door.
- Why don't you examine her first? - Where's my mom? We'll take this collar off.
You'll feel better.
- Okay.
One percent with epi.
- Sats are down to 82.
Put her up to 15 liters.
Ten blade.
How's the abdomen? Non-tender.
I can't clear her until we have an imaging study.
That hurts! - Amy, it's okay.
- You want to intubate? - Let's wait for the chest tube.
- Green zone on the Broselow.
Give me a curved Kelly.
- I want my mom! - Slow breaths, Amy.
Slow, deep breaths.
Pressure's down to 60.
She's bleeding out.
Okay.
Hang two units of O-neg on the rapid infuser.
We need to intubate.
Let's pre-medicate with atropine.
Dr.
Corday, Dr.
Weaver needs you right now.
Let's keep up with the blood loss.
You need me? Rebound and guarding in the right quadrant.
Looks like a surgical belly.
- Please, how is she? My daughter.
- There's some bleeding in the chest.
What does that mean? Is she okay? She's stable for right now, but it is serious.
And what about my husband? Is he here too? Oh, God.
No.
Hey, we don't know anything for sure yet.
We've got a liver laceration.
You have some internal bleeding from the injury.
We need to get you up to the O.
R.
now so we can stop the bleeding.
Type-specific's up.
Squeeze in two units.
Tell the O.
R.
we're on our way.
Get her upstairs.
Let's go.
Over a liter out on the left.
- Get two more units of blood.
- Push the etomidate.
- We need to tube her.
- No, wait.
Just bag her.
- Bring your patient in here.
- I'm red-lining her to the O.
R.
We're not maintaining pressure.
What are you doing? - Her daughter should see her first.
- I want to see her.
- She has a critical liver laceration.
- How much blood do you have? - Four units.
- You'll be just fine.
Listen.
Her systolic's down to 80.
- Get two pressure bags for the blood.
- Push the etomidate, then the sux.
Amy, it's Mommy.
You're gonna be all right.
They're gonna take me to surgery now.
But I'll see you real soon, okay? She's out.
Five-and-a-half tube.
- Amy? - That's it.
We're going.
Now! Cricoid pressure right there.
I'm in.
Bag her.
Okay, call X-ray for a portable chest.
Good breath sounds bilaterally.
- Pulse ox is up to 92.
- Set up a vent.
FiO2, 100 percent.
Rate of 20.
Damn it! Lost her pulse! Starting compressions.
Charge the paddles to 100.
And get another 8 units from the blood bank.
Keep pouring it in.
Charged and ready.
Clear.
This the ex-lap? Yes.
Still a little shocky after five liters.
- Did you give FFP? - Not yet.
- What are you waiting for? - We were rather busy.
Will you be doing an atrial-caval shunt? I won't know until I open her up.
It would help if I knew what you were planning.
Yes.
Well, when I decide I'll tell you.
I think Anspaugh's in the lounge.
Can you ask him to assist? He's ready to go on a fem-pop in 4.
Any other Attendings around? They're all scrubbed in.
It's just you on this one.
- Give another epi.
- Sats are down to 70.
- Two more liters out of the chest.
- Autotransfuse.
Hang two more.
- She's losing it too fast.
- Hold the compressions.
P.
E.
A.
rate of 49.
Set me up for pericardiocentesis.
Take over here.
Think she's in tamponade? It's our last chance for treating P.
E.
A.
Give me the alligator clip.
- Hook it up to the V-1 lead.
- JVD's four centimeters.
- She's still hypovolemic.
- Bradying down to 40.
Watch for any injury current.
There.
Back off.
- Anything in the pericardium? - Nothing.
Resume compressions.
What's this? - I called for a consult.
- I'm admitting her.
- Why? - Danger to self.
Does the pound of cocaine she swallowed figure into this? It wasn't a pound.
We're not obligated to report drug use to the authorities.
But I'd imagine in the case of drug smuggling we'd make an exception.
She's not a dealer.
She's a kid.
She made a mistake and almost got killed.
Maybe, but she's not suicidal.
What's your problem, Kerry? - What? - She's 18 years old.
Could you excuse us, Dr.
Carter? Her going to prison isn't going to benefit anybody.
Excuse us.
Don't you ever talk to me like that in front of a resident again.
I wouldn't have to if you didn't insist on interfering with my admission.
- She's an ER case.
- Which I was called into.
I'm admitting her.
Agonal rhythm, rate of 29.
Has she had two doses of atropine? Fifteen minutes ago.
- What about thoracotomy? - No.
She had a fatal injury.
Probably tore her aorta.
That's it.
Asystole.
Call it.
Time of death 1:47 p.
m.
Paramedics just brought in another trauma.
We need a doctor in here.
I've got it.
Let me out of here! I gotta go! Let me out! Kevin Poole, 42, very drunk.
Under police pursuit until he hit a concrete column.
Needed the Jaws of Life to get him.
Vitals are stable, but he's a pain.
Settle down.
I'm Dr.
Kovac.
I'm going to examine your injuries.
- I need you to stay calm.
- What injuries? - Lovely.
- Why were the police chasing him? Hit-and-run.
Took out a family at a crosswalk.
They come here or Mercy? - Here.
- I gotta- I gotta go.
I gotta find my wallet.
I'm gonna put a tube in your nose.
- Want me to numb him up first? - No.
Just hold his head still.
Swallow, sir.
I can spray the back of his throat.
Just keep swallowing.
Hey.
This is good.
What's wrong? You ain't hungry? Hi, Kynesha.
- Who is she? - This is Adele Neuman.
She's a social worker.
Nice meeting you.
I thought you called me here so I could be with you.
I'm trying to find you a permanent place to live.
I have a husband and wife in Riverside who are both African-American.
And they have two other foster children your age.
I thought you said you cared about me.
I said I care about what happens to you.
Yeah, right.
You only doing all this because of Jesse.
You think I don't know that? That's not true.
- I know that bitch Cleo don't like me.
- Kynesha.
I knew that all along.
You are underage without a way to provide for yourself.
Now, it's either foster care or becoming a ward of the state.
Which would you prefer? Fine.
You don't want me.
I'm gone.
Kynesha.
Kynesha! Just let me take it from here.
She's got a stage-three stellate fracture into the deep parenchyma.
- More suction, Shirley.
- Canister's full.
Well, change it.
She's oozing all over the place.
- How about platelets? - Already gave them.
You need to correct her coagulopathy.
ET and bleeding time are normal.
It's your problem, not mine.
All right.
Right.
I'm gonna try and pack the liver and get out.
Okay, gel foam, Penrose.
- Come on! - BP's dropping.
90/60.
- You have to control the bleeding.
- The injury's too extensive.
Maybe I can get caval control.
Bovie, pickups.
I can't maintain her vitals unless you get hemostasis.
- I know that! - She's lost another liter.
Two more going up on the infuser.
- Call.
Call for six more.
- BP's still dropping.
Heart rate up to 120.
There's too much blood in the field.
I can't isolate the vena cava.
She's bleeding out.
Get Romano.
I don't know if he's available.
I said, get Romano.
Benton! Somebody! Come on, more laps! How's he doing? Blood alcohol level is 0.
35, but he's stable.
You're under arrest for vehicular manslaughter, Mr.
Poole.
- What? - Your Morrison's Pouch is dry.
- Liver intact.
- Three DUIs, revoked license - the idiot still gets behind the wheel.
- Let me out of here, damn it! Sir, you have to hold still.
His spleen looks good.
She said stop.
All right, what do we got? MVA with a lot of ETOH.
- No free fluid? - Crit is 42.
Excellent.
Sir, does it hurt here? Who the hell are you? Okay.
How about here? All right.
Some periumbilical tenderness.
Okay, let's call Radiology, order a CT.
Do you think it's necessary? It's hard to assess them when they're drunk like this.
I like to be sure.
Hey, it's Abby in the ER.
Yeah, I can hold.
How'd it go? The evaluation? It went very well.
- And? - What? - Forget it.
- I didn't get a chance.
- You interrupted with the trauma.
- Forget it.
- Yeah, hello.
- What's going on? Sorry.
Can you hold on? With what? - With you and Carter.
- Nothing.
- It seemed like you were fighting.
- We were.
I'd tell you, but it's a privacy thing.
His, not mine.
Hi.
Yeah, Benton's on his way up with a blunt abdominal trauma.
Better be good.
Liver fracture with uncontrolled hemorrhage.
You called me out of a lunch because you can't tie off a liver? BP's 80/40, pulse rate 120.
- Ten units already in.
- Set up the argon beam.
- I tried to get caval control, but I- - You try the Pringle maneuver? You learned it in grade school, Dr.
Corday.
Ligate with 4.
0 chromic while I occlude the hepatic artery.
Get out.
- Argon's ready.
- All right.
I'll coagulate the parenchymal surface.
Tie off the vessels.
- Robert- - Not now.
- Get to work.
- You need another assistant.
- Make yourself useful and sew.
- Robert, I'm sorry.
I can't stay.
- I'll send in a resident.
- Where are you going? - I'm sorry.
- Get your ass over here now! Damn it! Mark? Hey, Luka.
- Need some help? - No, no, no.
I'm fine.
Thank you.
So, what are you doing here? Radiation therapy.
Every day for six weeks.
Elizabeth's giving me a ride back, but she's stuck in surgery.
- Doctor Chen still out on leave? - Yeah.
Yeah.
- You coming back to work soon? - Next week, I hope.
Fast recovery, huh? Yeah.
Speed of light.
I heard you were doing immune therapy.
As soon as the tumor vaccine's ready.
So everything okay around here? Okay as ever.
Don't worry.
I don't.
Honest.
Life's too short, you know? I know.
So how are you, Luka? The same.
- Good to see you.
- You too.
- Where is he? - Who? - The bishop.
- I think he went to Trauma 1.
- What for? - To give someone their last rites.
- Are you sorry for your sins? - What happened? - He crashed during CT.
- Yes.
May our Lord Jesus Christ grant you absolution, and by his authority - I can't hear! - May our Lord Jesus Christ Cross match another six.
- Pressure is 60.
- I absolve you of all your sins.
- Put him in Trendelenburg.
- He needs a central line.
- Let's get an eight French trauma kit.
- Okay, prep for a subclavian.
Sats down to 75.
He's not moving any air.
Bag him.
I'll intubate.
You should leave.
Oh, God Okay, one of Pavulon, 100 of sux.
I need a sterile drape in here, people.
Come on, let's move.
- Are you taking off? - Yeah.
I know a guy playing in a blues club later, if you're interested.
- No, I think I'm just gonna go home.
- Maybe tomorrow.
He'll be here all week.
Hey.
I need to talk to you about this Weaver thing.
Look, nothing happened.
I threw them up.
I know I'm fine.
You know I'm fine.
Weaver thinks I'm fine.
So why give her any reason not to? I don't know.
Maybe you can take that up with your next sponsor.
What? I don't want to be your sponsor anymore.
- Where's that coming from? - I care about you.
And I care about your recovery, but I can't keep saying the same things.
Because it's hard enough for me to do it for myself.
- You serious? - Yeah.
- Fine.
I'll get another sponsor.
- Okay.
I'll see you tomorrow.
Dr.
Finch, you lose your compass? - I'm here to see Julie Hembree.
- One lucky lady.
A Pringle maneuver courtesy of yours truly kept her from bleeding out.
I thought Corday did the surgery.
Long story.
I'll tell you over cocoa sometime.
She's all yours.
Mrs.
Hembree? You were one of the doctors for my daughter? Yes.
Is she all right? Amy was hit in the chest at a very high speed.
I know.
I was there.
She needed help breathing, so we intubated.
We gave her transfusions to treat the blood loss.
But despite all that, her heart stopped beating.
No.
We used intravenous drugs and shocked her heart for an hour.
But her injuries were too severe.
No.
And she died.
No.
I'm so sorry.
- No! - Okay With the type of injuries she had and the massive blood loss- - No! - I'm sorry.
- No! No! - Calm down.
Calm down.
Just calm down.
I'm sorry.
I'm gonna have you take prednisone for the next four days.
Bishop, our car is here.
Thank you.
I'll be right there.
What happened to Kevin Poole? The drunk? He died on the table.
At least he found absolution.
You don't believe that.
He ran down a family in the street.
The mother's upstairs in surgery.
I see.
Does that make him any less worthy of salvation? He was more afraid than sorry.
Yes.
But he found God in his final moments, and he asked for forgiveness.
So any fool can get into heaven if he's scared enough to say he's sorry right before he dies? Dr.
Kovac Everyone deserves to be comforted in their darkest hour.
Too bad you weren't there to comfort the little girl he killed.
I didn't need to be.
God was there.
Was he? You should arrange to see your doctor this week.
And use the cane for stability.
Okay.
Haleh, I am out of here.
- Good night, Dr.
Weaver.
- Good night.
- Hey, can I give you a hand with those? - Thank you.
- You going home? - Yeah, shortly.
Hey, do you have a minute to talk? Of course.
In there? Okay.
If you're concerned about what happened earlier, you don't need to be.
- I respect your judgment enough to say- - A couple weeks ago I took some Vicodin out of a patient's prescription bottle and I swallowed them.
And then I went into the bathroom and I stuck my finger down my throat.
Did you successfully expel them? Yes.
I don't know- I don't know why I did it.
I really don't.
I just found myself doing it.
I just thought you should know.
I appreciate you telling me.
I'll see you tomorrow, Carter.
What are you gonna do? Give it some thought.
Meanwhile, keep going to your meetings.
I can't believe you waited.
I thought you would have taken a cab.
Well, I thought you could use some company.
Are you all right? Yeah.
You should have seen me an hour ago.
I could have danced a jig.
How did the meeting go? We settled rather cheaply.
Something to do with a recall.
Great.
Shall we go out and celebrate? Get a bite to eat? What? With you like this? Or we could just go home, take a nap.
I don't feel like celebrating anyway.
You're off the hook.
It's okay to be happy.
I can't.
It's my fault, Mark.
Elizabeth, we're not saints, okay? We just try to get it right as often as we can.
- I don't want to talk about it.
- Elizabeth Mark, please.
You know what I noticed? What? Amy's shoes.
They were brand-new.
When she woke up this morning, she had no idea.
It's always harder when they're young.
Yeah.
So, what am I doing in Pedes? You're good at it.
You know what I want tonight? Climb into a hot bath get in bed and be taken care of? I won't hold you to the last part.
Oh, my God.
Look what she did to my house.
It's okay.
I'll take care of it.
No, it is not okay! - Look at this! - I know.
Come here.
I'll take care of it.
- Hey.
- Oh, hi.
I was just about to leave, if you want the table.
Actually, I called your office and they said you might be here.
I was hoping that we could talk.
I don't know.
We've already talked a lot today.
I know that it's been tense between us and I really don't mean it to be.
I'm sure it'll pass.
Kim, I want you to know that I respect you as a colleague.
Today notwithstanding? I miss you.
Well, that'll pass too.
In a few weeks we'll just be friendly co-workers all over again.
Yeah, I've been thinking and I'm not sure that's what I want.
- You have a good night.
Okay? - Kim, please.
I'd like you to stay.
Look I know you might not want to hear this right now.
I know it's been rough with everything Between us.
I'm not easy.
I haven't been there for you.
Not the way you've been there for me.
I've never worked at being with someone.
I've never even wanted to.
But I want to with you.
I love you.