ER Episode Scripts

s10e17

previously on E.
R.
If it's a choice between something serious or nothing, maybe serious is the way to go.
You still on for dinner tonight? Looks like you're dating a teacher.
I am.
You take care, big man.
Please don't go over.
I'm going to have a baby, and chuck's the father.
You're going to be a grandpa.
You're marrying her? If she'll have me.
That's it.
Hey, what is that? Little bit of sikh rap.
Wait a minute.
- He's stable now.
He'll be fine.
- I know, but just if I don't get out of here, I'm going to lose it.
Do you understand? Kertzenstein, lester.
Lester.
Lester, lester, lester very polite.
Hmm.
He should try pathology.
Yeah.
That way, his patients will be dead before he gets to them.
I heard he wants radiology anyway.
Second tier.
Lockhart, abby.
Very strong clinical skills.
Efficient when she needs to be.
Knows where to spend her time.
The only person who's not sure about abby is abby.
Does she want emergency medicine? As much as she wants anything.
All right.
Rank to match.
Rasgotra, neela.
Intelligent, very sweet.
Studious.
Studious? She's the smartest one on the floor.
Come on.
She could be more assertive.
She has a tendency to hang back, avoid getting into traumas.
She's cautious.
That's good.
She's not er.
She'll be a star in internal medicine, or research-- something using your intellect-- but she's not an er doc.
Uh, since when did intellect become a liability to working in the er? There was a memo while you were in africa.
I think she's excellent.
She basically saved frank's life.
She's thoughtful, yeah, but she's deliberate.
Is that code for passive and slow? She's a student.
She's going to get faster.
Yeah, and in four months, she'll be a doct.
I say rank to match.
That's not the consensus.
Consensus is wrong.
Okay.
The nrmp list doesn't have to go out right away.
Carter, change our minds.
Well, at least you have some time for your reclamation project.
Not really.
I'm on a plane to africa tonight.
For how long? About a week or so.
How's kem doing? She's pregnant.
She asked me to fill a suitcase with ho-hos.
Yeah.
Save some for me.
I need you to sign off on these dispos? My shift's over.
Dr.
Carter, 27-year-old healthy male, knee versus circular saw.
Chuck said he'd be waiting for you outside.
Chivalry-- time of death, 8:07.
How long has he been here? Sat in triage for seven hours, and back in a room for the last two.
Good luck, carter.
Um, you irrigated, yeah? I was concerned that the lac might extend to the joint.
For nine hours? Well, I thought I should wait on you.
You think ike's serving burgers this early? I really need a burger.
What is up with you? I think we've got a case of, uh, sympathetic pregnancy going on here.
Excuse me? I have all the symptoms-- nausea, gas, increased salivation, cravings.
I got to pee all the time.
You had all that before I got pregnant.
You know, I have to sit down.
Just get me whatever you're getting, okay? All right.
See? We're together in this.
Oh.
Morning.
Morning.
When are you due? Oh, another month or so.
I love kids.
When my wife was pregnant with ours, it was it was the best thing ever.
Yeah, it's pretty great.
Yeah.
We're divorced now.
Oh, I'm sorry.
Women are never more beautiful than when they're pregnant.
Ooh.
I wish it felt that way.
Hey don't let anyone ever tell you you're not sexy.
Because you are sexy.
Thank you.
Any real man knows that there's nothing better than making love to a round, smooth, nurturing, mother-to-be.
I-I hope you don't take that the wrong way.
There's a right way to take that? I didn't mean to offend you.
You know what? It's okay.
Can I touch it? Excuse me? Your belly-- can I touch it? Whoa, hey, what's going on? What are you doing? I was just talking to the lady.
He wanted to touch my belly.
Was he hitting on you? Ease up, pal.
I don't see a ring on her finger.
Oh.
whoa.
Oh, god, my lip.
Must be the hormones.
it was flagrant assault.
I already called the cops.
My lawyer's on the way.
You molested me first.
I asked u an innocent question.
It was not innocent.
That caveman decked me for exercising my freedom of speech.
Sit still.
As long as I'm stitching your lip, you have no freedom of speech.
He was defending me.
You didn't need defending.
I was just being friendly.
Order a nasal series and let me know when his x rays are back.
Aah! What a creep.
Chuck could have punched him in his teeth.
That way, they can't talk.
Did he apologize? No, but he called the cops.
To what, to turn himself in? No.
Come on, we have to have a little chat.
Oh, no, I understand.
Yeah, have a great time.
Yeah, next weekend.
Good morning.
Hey there.
What's wrong? Oh, it's alex's birthday tomorrow.
Yeah, I heard.
Well, I wanted to throw him a party or something, but austin's his only friend, and his folks are taking him skiing for the weekend.
Get him a clown.
Yeah, good idea.
What's wrong with a clown? Kids love clowns.
Okay, next time, just inject 5cc's of sterile fluroscein and observe under a woods lamp.
I wasn't sure about the fluroscein.
Well, then come find me.
Don't just wait, okay? I didn't want to interrupt the meeting.
Neela, we were ranking fourth year med students in there, and everybody agreed that you're really bright, and we really like working with you.
Someone spoke poorly of me? Well, nobody in particular.
Was it dr.
Chen? Because she's had it in for me neela, you have to be more decisive.
Okay, you have to be more proactive.
They feel I'm too passive? Tell you want-- for the next four hours, you are a doctor.
I want you to carry a minimum of three patients at all times.
Rescue 37, county base, go ahead.
Start their workups, order the labs and meds, and present back to me only after you've put your own diagnostic plan into action.
Today, you're a shark.
Shark? Keep swimming, or you die.
Car versus nursing home medi-van.
We're getting the driver and at least two passengers.
Anybody unstable? Good vitals on all of them, eta nine minutes.
I've got the first.
Okay.
Okay, so work up these three.
In fact, just work up these two.
That's enough.
And then go help gallant.
Hey, mike I'm leaving that stripper in curtain four with the broken toe just for you.
Try not to tube her.
What? What are you talking about? Totally unnecessary breast exam.
I think you're projecting.
Oh, michael, hi.
New onset seizure needs to go to medicine, post-op appy with fever needs a belly ct.
Call me if there's a problem.
Got you.
You feel like buying me some breakfast? Maybe another time.
Deb, there's a lady waiting for you in triage.
Gallant can take her.
Uh, it's not a patient.
She's a nurse.
She says she works for you.
Have a good shift, neela.
Lucia? I'm sorry to bother you at work.
Did something happen with my dad? No, the night nurse agreed to stay late.
I'm not coming back.
Your father won't wear the diaper, he throws food at me.
When I try to help dress him, he yells very bad words.
I appreciate your patience.
you know, this isn't really him.
I know dr.
Chen, but, I can't do it anymore.
Look, if you could just give me a few days until I can get a replacement? Here is my address.
You can send my last check there.
And give him this for me.
Lucia I pray for him.
I don't like working on old people.
Or children.
Or drunks.
And what's with all the sick people? They make it such a drag, huh? Listen, he's just motivating you.
For the match rankings.
You know, maybe they're right.
Maybe this job's just too fast for me, too unpredictable.
It's a big hospital.
If the er's not a good fit then what? The nicu made me want to jump off the roof.
Pedes is filled with screaming brats and anxious parents.
And ob/gyn's a lifetime of overnights and malpractice suits.
I could go into research or teaching, but is that really why I became a doctor? I'm sorry.
Were you talking to me? this-this place is so up-and-down.
I mean, you learn to ride through the rough days.
I did.
You were probably good from the start.
Are you kidding me? I came in young, dumb and scared.
At least you-- you're good with the books.
You really like it here? I wouldn't stay if I didn'T.
Luis sanchez, mva passenger.
Deformed upper right leg, probable femur fracture.
Oh, ouches.
Don't! You give anything for pain? Pressure's too low-- Make it stop.
It hurts.
Is this a change in mental status? I don't think it's from the crash.
Nursing home said he fell off a roof in december.
Can you call my wife? I have a wife.
I think he's got some kind of traumatic brain injury.
Lower extremity fracture with borderline pressure.
Need to rule out an intra-abdominal bleed.
Trauma one.
Two more mva's rolling in behind.
okay, on my way.
Can we medicate him? Once his pressure's up.
Here's the sonosite.
Two liters of saline wide open.
Maybe we can draw up analgesics? Luis, do you have any allergies? I don't know, I don't know.
Are you taking any medications? Mary gives me my pills.
What kind of pills? A blue, a green, and three white.
Okay, morrison's looks good.
No blood in the belly.
Pressure's up to 100.
Can we push morphine? We need a med list and allergy history first.
Call the home.
Make it stop! It hurts! Pocket doppler and surgilube for the pedal pulses.
I don't like.
Cole's potassium is 3.
2.
Suze, I'm not going to do it.
Then he's going to press charges.
I have a couple of other things.
Hey, we're the ones who should be pressing charges.
Yes, this is neela rasgotra from county.
For what? Having a uniquely disturbing pick-up line? I need to speak to a nurse taking care of a luis sanchez.
I believe the name's mary? Just say you're sorry.
Subtherapeutic valproic acid level for mr.
Bernstein.
They're done patching up your freak.
Okay, come on, let's get this over with.
Give a half bolus, seven per kilo iv.
When will the nurse be available? Can you read me the list from the chart then? Why not? Can mrs.
Herrero eat? Two gram sodium diet, 1800 calorie ada.
I'm sorry you've had a bad morning, sir, but luis sanchez has had an even worse one, so could you please fax us the med list as soon as possible? magicians are cool.
Last year he wanted a pig embryo to dissect.
You really think a magician's gonna do it? Lucy kilmer, another van passenger from the nursing home.
History of laryngeal cancer, complains of low back pain.
Where was she sitting? Middle row, belted.
Vitals good, resps 12.
Any belly pain, ma'am? No.
I'm okay.
Carter needs some help with the van driver.
I have just the thing for him-- paint ball.
Good idea, put a gun in his hand.
Flail segment on the left with hemo pneumo.
Betadine and size eight sterile gloves.
What do you need? Tachy at 126.
The guy next door needs meds but we have no drug records or reliable medical history.
Call the nursing home.
I did.
They're going to get back, but i doubt it will be very quickly.
You tell them it was urgent? They seemed very disorganized.
I'll need a second thoraseal on the other side.
Mr.
Joss, do you keep paperwork on the patients you drive? He's not breathing.
Give me some in-line traction and let's get ready to bag him.
Need a doctor in here.
The lady's having trouble with her trake.
Ten blade, and a 32 french.
Neela, go with sam.
Bp holding at 106 systolic, sats still 91.
Okay, bag him up.
Her trake is out.
She needs a new one.
Number four shiley, uncuffed.
Okay, I'll call a doctor.
No, no, I can do it.
You need some surgilube.
Right.
Okay, ma'am, extend your neck and look up at the ceiling.
On your third breath.
Ready? In, out.
In, out.
Big breath in pulse ox is coming up.
Let's tie it in.
Got it.
Thank you.
Doctors? We don't need no stinking doctors Neela She could use some ice chips.
Assengers.
Found it in his jacket.
Go.
Go! Into the pleural space, chest tube's in.
I've got the discharge s okay, when was it? Three weeks ago.
Good.
Good enough.
Dr.
Gallant, mr.
Anderson is vomiting blood in ct.
Okay, titrate morphine to pain, start with four milligrams.
Hemocue's 15, I don't think he has any internal bleeding.
Stop.
Not the morphine.
Violent nausea and vomiting with morphine during his last hospitalization.
What do you want to do? I'll be right back.
Jerry, tell him.
It is not unmanly to apologize.
Come on, just do it and let's get out of here.
I'm exhausted.
Okay, okay, I'm going in.
Did dr.
Gallant go to ct yet? Yeah, he's already down there.
Has there been a fax for me? Were you waiting on a price list from crazy joe's party supply? Yeah, who knew piņatas were so pricey? Damn it.
Is everything okay, neela? I've got it taken care of.
Neela, mr.
Lavecchia's urine is four plus for blood.
Uh, kidney stone.
Push 30 of toradol.
I pulled demerol.
No, give the toradol 15 minutes to work before we try narcotics.
All right, I'll put it away.
No, I'll take it.
pain scale eight out of ten.
We need to give him something.
He got post-op demerol in the hospital.
Good.
How much? Abby, triple lumen cvp kit? Go ahead.
I'll take care of it.
Oh, please please stop hurting please.
All right, luis, this is going to make you feel much better.
it's so sweet to see them growing.
Babies? Men.
Dr.
Lewis, mr.
Hemorrhoid in three is asking for you.
Oh, no, I'm not here.
I left an hour ago.
crazy bastard! Get off me! Pull his hair! Ow! Chuck, stop! Oh, my god! stop it, chuck.
Get your hands off me.
Come on, come on, guys.
Come on, chuck.
Okay.
All right, all right.
It don't hurt no more.
You made it go away.
Isolated femur fracture awaiting ortho.
No evidence of occult blood loss, vitals stable, medicated for pain.
Good.
Wheezing in two, sudden onset visual loss in the eye room.
Which one should I take? Both.
Keep it up.
I will talk to.
What? No.
No.
He's weirdt not nuts.
I will some sense into thrnia'stopped out the banal wall is that bad? ready to round? Deep breath, bobby.
Better? Yes thanks.
A surgery come to see you thing worry about.
Cool inguinalnia? Incarcerated.
Due to tion--the s H.
20-yold asthma me in a sat of his third aerol with atro, receivedof preD.
Aeration improved it still 92 on air.
Did you call medicine? Down now what.
Can I get some water? Tiilly lee, 24, compoft out for a couple month I'm parch all time.
History of polydipsia led me tock her bloodar-- 642.
New onset diabetes dkg you should give to teits of regularulin two liters of saline and I consulted endocrin Very good.
hey! Oh Neela She's looking much better.
Yeah,back to usual self viral gastroenteritis.
I consulted kovac, as you were too busy.
Thanks for you helping, doctor.
Mr.
Silvio, four ounces every hour, doler 'eshe'll just throw it back up.
Oral rehydration, avoided an iv, in and out in an hour.
Thrlon in fire.
Yeah, you told us so.
I told you so.
Told you what? Nothing.
Attendinssip.
Hey, did you check out the van driver? Heu yeah they need an explorating laparotomy.
We're moving him up.
So? His lungs re-expanded, 350cc's out the left tube no, no, no.
That.
Last night, the surgeon.
Oh.
Uh, it was splendid.
Is that british for "sweaty and hot"? I don't kiss and tell.
Abby, radiology's bouncing back your patient.
Mp's upan'sesive.
I'm gonna need some dirt later.
Our gift shop sucks.
You couldn't find anything? The best I could do is a novelized version of the matrix reloaded.
I had them fax over a menu so you could see.
"Mr.
Hyde's tavern.
" It's a haunted mansion restaurant.
Strawberry bloake? Stranges fries? That's cool, right? I want it to be something he'll remember, something special.
What, a blha special? This is frederika torrez.
Hurt her ankle during tennis team practice.
Who put this on? Is sister margaret.
Um, she's my coach.
Did she come with you? Yeah, she's out in the waiting room with the other girls.
Did you roll it inside or out? Uh I can't really remember.
Satoenail's bruised.
Did you do anything else besides twisting it? I don't think so Are you sure you didn't jam your toe, or kick something? Okay, there's this really creepy guy who keeps on flashing us during practice frutthe fence.
You know, opening his coat and he's naked underneath.
I mean totally.
It's really gross.
Yeah, I bet.
Sister margaret called thes t but he got aw be they showed up.
Uh-huh so today we just got sick of it,and we all ran out after him.
Got some pretty good whacks him gone away.
You beat this man up? Sister margaret also teaches us self-defense.
She's cool.
How bad did him ? I'm pretty sure we kicked his ass.
Need a little help here.
He's unresponsive,temp's 105.
8.
He didn't have a fev Luis? Luis.
He needs a septic workup.
Cbc, blood cultures times two,cathed ua, and do a spinal tap? Yeah, rule encephalitis and meningitis.
All right, roll him.
You want ativan? Four migs.
Come on, push it.
Is he on aphenothiazine? What does the medical record say? I'll see if it came in.
You didn't get it yet? Doctor, the headache's worse.
I'll have the nurse give you another shot.
Did you look at my x-rays yet? Soon, mrs.
Jenkins.
Hey, slow down, girl,yo sngall up.
Luis sanchez is seizing.
Who? Brain injury guy from the nursing home.
I thought he was stable.
Not anymore.
Six of ativan on board.
And load a gram dilantin.
I've got the med list.
Why didn't you have it before? The fax wasn't in.
The driver's transfer record was only three weeks old.
Baclofen, omeprazo exlterodine.
E only t new is they switched his antidepressant two weeks ago-- phenelzine? It's a monoamine oxidase inhibitor.
What'd you give him? Morphine.
All right, we need to start thinking about an airway.
No, demerol.
He had nausea with morphine, so oh, god, it's serotonin syndrome.
What? You never give demerol with an mao inhibitor.
It can be fatal.
Let's get him on o2 at 15 liters.
Spinal tap,come on.
Prep and drape! Your better half got that idiot to drop the whole thing.
She did? What do we have to do? You don't have to do anything.
Do you mind if I lift your shirt up a little bit? Don't push your , creep.
don't worry.
I'll get chuni to put battery acid in his iv.
Hey, jerry, will you check on my x-rays? What's up with you? I defended susan from some freak.
And ended up getting her molested.
I can't watch this anymore.
George deakins, mugged under the michigan avenue bridge.
Lovely spring day.
You'd think you could take a walk by the river.
Okay, mr.
Deakins,ld you remove your coat, please? I'd rather not.
In order to examine you, I need to listen to your chest.
It's all right, george.
Whoa, they steal your clothes? Uh, yeah.
Okay, get him a drape.
Cocktail napkin ought to do it.
So, they scratched you up pretty good.
How many guys were there ? I must have been like four or five.
With long nails and a tennis racket.
So, george you're a sports fan? Fllooks clear.
B.
P.
'S sky high,220/140.
Start an esmolol drip.
Hypertension part of the syndrome? Who pushed the demerol for you? They sd've verified.
Nobody.
I did.
There was no nurse? I was called out of the room.
It's not abby's fault.
I'm more than capable of pushing pain meds.
Shouldn't push anything without medical history.
Didn't want to wait for the nursing home-- he's in pain.
Who did you speak to,by the way? The receptionist.
Oh, so you didn't actually talk to a doctor or a nurse.
Dr.
Carter I couldn'T.
They were busy.
No.
What you can't do is take no for an answer when you have an unstable patient with an unknown history.
I gave her the order.
I thought you said morphine.
Neela saw it was contra-indicated,so I changed it to demerol.
Then what, you forgot? I was a bit preoccupied.
Had someone crashing in C.
T.
Dr.
Gallant myoclonus and hyper-reflexia.
Isn't there a serotonin antagonist we can give him? No.
We just have to wait.
For what? To see if he lives.
When can I go? You have to talk to the police first.
The police? About my mugging? Yeah.
Still haven't left? I don't want to talk about it.
I'm going to kill you.
Baby, please,I am sorry.
Listen, please how does a guy like that get to be such a freak? Born with a right chromosome? Oh, so all men are twisted? You said it.
You hate men.
If it wasn't for sperm and heavy lifting,you'd all be useless.
You know, I can't wait to pop this baby out so men'll quit looking at me either like I'm mother teresa or the cover of maxim.
It's not just men-- come on,the world's full of degenerates.
Yeah, and the sad part is they always get away with it.
temp's still up, 104.
Another 200 of I.
V.
Dantrolene.
How come there's no written order on this chart? We were busy-- I called it out on the run.
Demerol, 50-milligram I.
V.
Push,verbal order, 10:23.
Dr.
Gallant, can I speak with you for a moment? Sorry, you're right.
It's more like 10:45.
Pulse ox down to 82.
He's not moving any air.
Too much ativan? Maybe, or neurologic damage from the hyperthermia.
Okay, let's open an intubation tray.
Bag him on 100 percent,andetomidate and sux.
His wife and daughter are here.
Suction's ready.
Call respiratory for a vent.
Sats are up to 89 with bagging.
Take 'em to the family room.
Neela, come on, come on,you're doing the tube, let's go.
Welcome to the poorboard mr Deakins you put me in a special room? Don't worry,they're all special.
Uh, pervert's a relative term, honey.
Call me honey again,I'll come over there and give you the longest catheter in the world.
Neosporin to the lac,B.
I.
D.
So, I've got our problem solved.
Alex's birthday party.
Aw, thanks for thehelp, luka, but i think it's my problem.
You see, that's your first mistake.
Anyway, a plan is in motion,arrangements are being made,and everything is under control.
Keegan's C.
B.
C.
Isn't back yet,and I need a head C.
T.
On hong.
Do me a favor, would you: Call united and check on my departure time? What, are you flying through paris? Amsterdam.
Hello? Frank.
Hey, frank.
What's up? How are you? Just thought I'd stop by on my way out from rehab.
How's that going? How do you think? They split my chest open like a baked montana trout.
You don't just bounce back, you know.
Want to see my scar? No, but there's a guy in two who might want to touch it.
You look good.
You do.
I can do two miles on the treadmill.
I haven't been able to do that since well, ever.
Where the hell are my last two paychecks? Ah, I've been holding them for you.
Where, in your wallet? When are you coming back? I don't know, you know? Rehab's like a spa vacation.
My old police benefits are a charm.
I don't really miss this sideshow.
Is dr.
Pratt around? He's off today.
Tell him I owe him a beer.
Sure thing.
Lookmy doctor's not ready for me to come back to work yet.
It's going to be a while, but i do miss everybody.
Just wanted to say that.
Four-year-old wieft upper quadrant pain.
Found by father with shortness of breath and confusion.
He kept asking for me even though I wasi was standing right there.
It was like he couldn't see.
Tachy at 144, resps 42.
B.
P.
86/55.
Hey, big guy,when did your tummy start up she's on her way, buddy.
He's not making ans@sense.
Any medical problems? No, he's always been healthy.
How are you doing,tevin? I don't like horses.
He's altered.
Have a pedes intubation tray ready and squeeze in those fluids.
Hey, do you know what this is? Your son's spleen is enlarged-- it may be acting like a sponge,soaking up his blood so it can't circulate.
So, what can you do to stop it? Hopefully, transfusions will keep him stable until we know what's causing it.
First liter in,pulse in the 70s.
Okay, keep the N.
S.
Coming.
Femoral line kit.
I'm with him every day.
I-I-I-I take care of him.
Nothing like this has ever happened.
Does your son have a history of thallassemia or sickle cell disease? My wife has the trait,but I tested negative.
I want to go on the ferris wheel.
Okay, asn't as you're better, buddy.
I-I-I don't know what that other thing is Thallassemia? It's a hereditary anemia.
Here you go.
Huh? Keep talking to him-- it's the best thing you can do right now.
Blood's here.
Femoral line's in.
Run them on the infuser.
You think it's occult trauma? Should we call in social work? I don't know.
It could be malignancy, emoglobinopathies that's some differential.
Yeah.
Add a sickle screen and hiv to the labs.
We didn't realize luis was recently put on phenelzine.
There's an interaction between the drugs that creates a condition known as serot you get very sick.
Like when they gave him the morphine that time? Uh, worse.
You get high fever,high blood pressure,rapid heart rate,muscle spasms.
How long does that last? A few days at least.
But it's very serious.
Up to 30 percent of people with serotonin syndrome die from it.
So 70 percent survive? Yes, ma'am.
They didn't think he'd ever wake up after fall, but he did.
Good.
Good.
That means he's a fighter.
He's really smart, you know? I mean, he was going to go back to school before the accident.
Then I got pregnant again.
My dad hired him on at his roofing business.
They don't usually work when it's icy,but there was a job that he wanted to finish before christmas.
Why are you saying you did this? It doesn't change anything,and I'm partially to blame.
And that makes it okay to lie? Neela, do you want to match,or don't you? Only if I deserve to.
You do, so let this be my fault.
Hey, patellar dislion in curtain four needs a reduction.
How's luis? He's, um he's stable.
It's looking pretty good.
Is there something that I should know about? No.
All right, well, you did what you were told.
Gallant's a supervising resident.
He should've known better than to order up a drug without verifying a current medical history.
He didn'T.
I did.
You ordered the demerol? I assessed it.
I ordered it.
I pushed it.
And you didn't run it by an attending or a resident? No.
And you did it because I asked you to be more autonomous? We found an arabic interpreter for your belly pain lady.
Thank you.
All right,we need to talk about this-- the three of us.
Everything okay? Fantastic.
Oh, lavecchia's results.
Kidney stone from this morning? No hydro, pain free with toradol and ready to go home.
Just like you said.
Didn't need the demerol after all.
You still have the vial? Put it back in drug lock-up.
I used it for another patient.
Sam, did you get labs back on tevin? How's tevin doing? He's doing much better, thanks.
I want to go home.
Mr.
Walker hey, you want to pick out a sticker? Tevin tested positive for, uh, sickle cell anemia.
That's impossible--I told you, I don't carry the gene.
Maybe there was a mistake with your test.
Maybe there was a mistake with your test.
What your son has--splenic sequestration-- is consistent with sickle cell,and I think he has a form that's very you're not listening.
I told you, I went to a genetic counselor.
He said I'm not a carrier,that our son could not get the disease unless both parents are.
That's true.
So, what, you're saying I'm not his father? What I'd like to do is send his blood for a more advanced testjust to be sure.
Send my blood, too.
Test me again.
Neela carter wants to talk to me after my shift.
I told him what happened.
You what? I didn't think it was right for us to lie about it,so I thought it'd be better to get it out now.
Nobody needed to know, neela-- that was kind of the point.
Please, someone! Please help!Something's wrong! He went into v-tach,unsuccessful cardioversion at 200.
Get him off the vent and bag him.
Please, he can't be dying.
Charged to 300.
Clear.
No change.
Try 360.
Need any help? Amp of epi after the next one.
Charged.
Clear.
V fib, 100 of lidocaine.
This is not supposed to happen.
Go find dr.
Carter now.
Let's go, 360 again.
Clear.
Come on, hit him again.
360.
Clear.
Still in fib.
All right, 360 again.
Clear.
Asystole.
How long has it been? Should we try the high dose epi? Run the dopamine wide open.
We still have time.
Or we can pace him.
Neela let's try pacing him.
Tie off the lines,leave the E.
T.
For the coroner.
Carter, go inform the family and then meet us in the suture room.
Are his tests back? They, uh, confirmed my diagnosisbut the good thing is most kids do very well with folate and prophylactic antibiotics.
Good.
That's good.
I, uh, also ran your blood through.
Is whether or not he's got my genes.
Either way,he's still my son.
I'm his father.
From a medical standpoint,it's a bit more complicated liza my wife and I-we, um we went through a rough patch about five years ago.
We broke up for a fewe've been happy ever since.
She's going to want to know about tevin's condition.
Mm.
I'll tell her that I'm a carrier.
He got it from both of us and he's gone to be okay.
He's in here,mrs.
Walker.
Honey, is he all right? He's fine, he's fine.
Did you get his labs back? is he the father? Yeah.
Hey, uh, I didn't mean to keep ragging on your suggestions before.
Maybe mr.
Jekyll's isn't such a bad idea.
Mr.
Hyde'S.
Look, I I know I'm not exactly carol brady,so I just really wanted it to be something special.
It will be.
Just be ready to go in half an hour.
I have to pick something up,okay? Was the med list current? Kerry, I think we should stick to protocol.
As the attending,I'd like to have a chance to review the case with my staff before we do this.
Was the med list current or not? It was recent.
It wasn't completely up to date.
And no one checked with the nursing home? I tried.
You tried? Abby, why didn't you push the meds? I was called out of the room,but the result wouldn't have been any different.
As the nurse, it's your responsibility to double-check allergies and interactions.
I thought that had been done,to the best of anybody's ability.
This is a case of trying to manage a patient's pan with incomplete information.
I suspect a jury isn't going to see it that way.
Who made the decision? I did.
You did? So now we let medical students push pain meds without any supervision? No, that's not what happened.
I was with a critical care patient.
Neela did exactly what I told her to.
Do you all need a few minutes to get your stories straight? What does it say on the chart? Exactly what I've been saying.
I ordered up the drug and neela pushed it.
And is that accurate? Like I said,I wasn't in the room.
Simple question--is it accurate? Suppose, I know, yes.
A young man comes in here and dies of a lethal drug reaction that could have been prevented with one phone call.
Next time, why don't we just send a blank check to the family's attorney? Mom.
Mom.
Mom.
What are you doing here? Luka picked me up.
It's amazing.
We gotta go, though.
We gotta go.
Hold on.
I'll take those, sam.
Come on.
If we hurry now,we can get there by 11:00.
What are you talking about? And what are you wearing? Luka said I have to wear a life vest if I want to get on the boat.
Boat? Isn't it awesome? It's, like, bigger than our whole apartment.
Wow, you really went a whole other direction.
A weekend in the great outdoors,fishing, camping,burning s'mores.
S'mores? Do you even know what that is? Yeah, that white thing on a stick.
Come on, you got to see inside.
Wait, where are we going? I rented a spot at lake geneva.
Bottom of the ninth.
two outs, nobody on and here comes kovac with the clutch homer.
Is that baseball? Mm-hmm.
how are you going to back this thing out? Mr.
Joss' triple-a repair went well.
He's stable in the icu,and dr.
Edson's finishing up on the perirectal abscess right now.
Uh, and do you know a cheap red wine that goes with spicy food? I have a date.
Two nights in a row? It's with the teacher tonight.
Okay.
Zinfandel.
I'm not completely comfortable with waking up with one man and going out with another the next night.
Well, if we were guys,we'd be talking about carburetors right now.
So, you don't think it'S slutty? No.
I just won't sleep with him.
That sounds like a good plan.
Good-night.
Good-night.
Women plan, god laughs.
Hey, when did I become the guru of sluttiness? Did you start the banana bag on vern? Three times.
He keeps going off to the bathroom and coming back drunk.
I think I should delete emergency medicine from my match list.
It was one mistake, and I pushed you too hard.
No,What they said about me in your meeting was all true.
Look, you're a talented doctor,and you did a lot of good things on the shift today.
Nothing I did on this shift can convince me,or anyone else,that I belong here.
Well, yesterday, you were a little too cautious.
Today, you were a little too reckless.
Somewhere in the middle is the way to practice emergency medicine.
I just want you to know I shouldn't have left you alone with the patient until he was stable.
It's my fault.
What you did was the sweetest,dumbest thing anyone has ever done for me.
Well, something like this could've derailed your career.
The worst that'll happen to me isdiscipline, counseling.
I'll be all right.
You don't look all right.
Seems kind of silly now,but out in the bay this morning, I was, uhwas thinking about asking you out.
I was thinking of saying yes.
Neela, I have the cefoxitin for mr.
Martin.
I just need the extension tubing.
are you okay? I'm fine.
I'll take care of it.
Let me help you find it.
I said I can do it! Bottom drawer.
well, uh you're welcome to stay a little while.
No, no, no,I really should get going.
I'll get my coat.
I'll help you find it.
It was such a lovely evening,and, uh,I'm so glad that the girls like each other.
Ella's a great kid.
Oh, and it was really good of you to pick her up from school.
Thank you so much.
Uh, you want me to carry her to the car for you? No, no.
No, I'm fine.
I can manage.
So good night.
You should've come and talked to me.
You know why I backed you up in there? Because if weaver knew the truth until you falsified the chart.
But that's a felony.
Okay well, then I got to go tear it up.
It's too late.
Why? Why? Why? It's just it's just one entry on an otherwise blank order sheet.
Okay, nobody's going to even know it's missing.
We can go talk to weaver again.
It's too late! It's already up in legal.
You know, you guys you guys sit up there and you decide who's going to go and who's going to stay.
I mean,why did you have to push her? Hmm? Why'd you have to push her? The only reason she screwed up is because you scared her into thinking she wasn't good enough! She wasn't cutting it! We're talking about you now, michael.
I wasn't thinking I'm sorry.
Yeah.
Me, too.
Fin