ER Episode Scripts

N/A - s12e02

Previously on ER: - Don't go away mad, Jake.
- But do go away.
I don't want to have any more kids.
I'm done.
You're responsible for every little thing an intern does, but you question the history and they get all testy on you.
Sounds like you had a great day.
You told me to step it up.
Yeah, but your job isn't just to move the meat, Abby.
You're a resident now.
- Your name is Charlie Pratt? - Chas? Who is it? Is there a problem? Are you Charlie? Yeah, I'm Charlie.
Is Alex still here? Uh, no, he just left, why? You're up early.
- Are you okay? - I couldn't sleep.
I've been thinking about Hello.
This is Sam.
Yes, I did.
When? Okay, sure.
If I come by in 20 minutes, is someone still gonna be there? Great.
Okay, thank you.
Sorry.
What were you saying? My father's been bugging me to visit him.
I haven't been home in a long time and, I have some vacation coming up, so I was thinking about making a trip back to Croatia.
It would only be for a couple of weeks.
Might be good for us if we spent some time apart.
Alex and you can hang out and you know I already started looking for a new place.
- A new place? - For me and Alex.
You're moving out? You just said you think it'd be good for us to spend time apart.
That's not what I meant.
Well, I was gonna tell you.
I just think that it's I need to think things out by myself.
Where you going now? I'm going to look at an apartment before work.
So what, that's it? We don't talk about this? Never seemed to do us any good before.
Did he really? You've got to tell me later.
Okay, I've got to go.
Bye.
Let's go.
Hey, wait! Can you hold the doors? Hey, can you hold the doors? Thank you.
Good morning.
Well, maybe for you.
I was up half the night writing a paper on paint ball injuries for Morris.
Are they talking about us? Can we help you? We were just wondering where you got your shoes.
They look very comfortable.
They match your backpack.
Just ignore them.
They're on a bulimia high.
I don't understand what he said, but he was like, - Are you okay? - My foot.
- Can you stand on it? - No.
Oh, call 911.
- Should we check her out? - No.
Don't touch me.
Try not to move.
I'm a doctor.
You may have broken your ankle.
If you're a doctor, I want a second opinion.
Okay.
Dr.
Lockhart, would you care to give a second opinion? Sure.
Your ankle may be broken and you're a bitch.
All three of them are a liability.
Look at them.
Huddled together like a bunch of prairie dogs.
This is the best we have to work with? They should have made me chief a long time ago.
- And why's that? - Well, for one thing, I would have been a little pickier in choosing our residents.
- What are you talking about? - Abby, Ray, Neela.
No brain, no courage, no heart.
All they need is a trip to see the wizard.
And who's the wizard, you? That's why they pay me the big bucks.
Officer on deck.
- Me.
I'm the chief.
- Yeah, Chief Pain in the Ass.
Oh, Abby, if only you were as talented as you are funny.
At least I'm funny.
If making jokes at those with Native American heritage is humorous to you.
I happen to be 1/16th Choktaw Indian.
Hey, Jake sent us a postcard from San Francisco.
Right on.
How's he doing, Abby? Great.
I think he really likes it there.
Yeah, well, not according to this.
Guys, you know our new interns? Clemens, Munson and Babinski.
Abby, Neela and Ray.
They'll be showing you the ropes.
I'm Dr.
Morris, but everybody calls me chief, because Anyone? No? Well, I'm the chief resident.
You present to the residents, they present to Pratt and me.
And they present to the attending.
That's a lot of presenting.
Dr.
Kovac, do you have a patient in the cath lab? Yeah, why? I think he might have died.
Now, if you'll step over to the board, I will show you how I like things done around here.
This applies to you three as well.
I'm implementing some changes.
I'd like to stick an implement in his eye.
- Pick a number one through ten.
- Why? Neela? Seven.
Four.
Oh, so close.
It was six.
Neela gets to choose between Munson and Babinski.
- Babinski.
- Wait a minute.
Who's up? - Clemens, you're with me.
- I am? I trust you, girl.
Just don't let me down.
Claire Jansen, 24, unrestrained driver, rear-ended at moderate velocity.
Term pregnancy, good vitals.
Definitely having contractions.
Fetal heart rate looks good-- 160.
- Okay, any pain when I push? - Not now.
- Hemocue is 14.
1.
- Pretty normal.
I don't think you're bleeding internally.
I should hope not.
I think my water broke.
Premature rupture of membranes.
Is that bad? No, but there's a good chance you could be having your baby today.
Oh, I wanted to have another home birth.
Your second pregnancy? Yeah.
Zoe's two.
This one's a boy.
Do you need me to call your husband? No, there's no such creature.
But you could call Toni Stillman.
She's my friend.
She needs to be here.
"prommed" after a TC.
Normal vitals and crit.
Ultrasound and send her up to OB for a sterile spec exam.
Do you have a minute? Uh, no, not really.
I've got to get labs off, do a cathed UA, assist Ray with a pelvic, and find an ultrasound.
Can you do some of this? Me? No, she can't.
Sorry, Inez, this is Dr.
Kovac.
- I'm helping her get the lay of the land.
- When you're finished? Sure.
Might be a while.
Welcome to County, Inez.
Thank you.
Sit tight, Claire, you're doing great.
We're going to have you upstairs before you can get comfortable.
I have a feeling it's going to be several hours before I'm comfortable.
Okay, Clemens, what's next? - A bimanual exam? - Not before the ultrasound.
Why not? Third trimester, you've got to rule out previa before the exam.
And the most important thing to remember in the ER, is if you don't get it, just fake it.
There's not enough time to ask all the questions, and the patients really don't want to see you scratching your head.
So In the meantime, could you go get me some Nitrazine paper? Come on, go, go.
Excuse me? Dr.
Barnett wanted me to get some Nitrazine paper, - but I don't know what it is.
- You didn't ask? He said if I didn't know something All right, listen.
The number one rule of the ER is if you don't know something, ask.
Okay? You're never going to learn this stuff by yourself.
And that's why we're here.
What do I do with the? Dr.
Rasgotra, could you tell me how to use the Nitrazine paper? Not until I finish suturing a very fidgety six-year-old.
You're an intern now, Clemens.
If you don't know how to do something - I know, fake it.
- What? No, of course not.
- Well, I already asked.
- Look things up yourself.
When someone gives you the answer, you forget five minutes later.
Read it, and it sticks.
Your primary responsibility is to educate yourself.
No one else is going to do it for you.
Thank you.
- How's it going? - Fine.
Great.
- Do you have any questions? - No.
Terrific.
- Uh, anything to present? - I'll let you know.
Okay.
Can I make a suggestion? Unless your patient has situs inversus, her heart should be on the left.
Tests came back on the girl in four? Looks like she's going to need Amphotericin B.
Your intern picked up histoplasmosis? Yeah, he just doesn't know it yet.
How's he doing? I don't think he likes me.
- Everybody likes you.
- Not this guy.
He's acting like I killed his dog or something.
He's probably just nervous.
Well, I don't think I'm going to be real great at this teaching-the-interns thing.
Yes, you will.
You did a great job with Jake.
- Too bad he didn't match here.
- Yeah, too bad.
Dr.
Pratt, can you get on the MICN? Paramedics need you to pronounce a GSW in the field.
Sure.
- Abby, got one.
- Munson, we're up! Unidentified kid, looks about ten, found down in the food court at City Center Mall.
Munson! Still hypotensive after 500 cc's.
Mental status waxing and waning en route.
Hi, I'm Dr.
Lockhart.
Can you tell me your name? Is he alone? Uh, with his buddies, but they split when we got there.
- Sats only 92.
- What's your plan? CBC, chem seven, tox screen? And? head CT? And? Try to find next of kin.
ABG, LFTs, oxygen, normal saline, activated charcoal.
Let's go.
- Don't worry, you'll get the hang of it.
- I know.
Okay, 57, I concur, we can pronounce.
What's the status on number two? All right, sounds good.
We'll be waiting for you.
County, clear.
Guy out there says he knows you.
Which guy? Sitting next to the old lady.
He a friend of yours? Not really.
- So you want me to bring him in or no? - No.
He can wait.
This is Dr Pratt.
I'm going to need one of these two trauma rooms in a couple of minutes.
- How are we doing in here? - I don't know about you, but I'm having contractions.
Nitrazine is positive.
Which means your water did break.
Follow it caudad.
Is everything okay? Looks like a breech presentation.
Dr.
Barnett, can I get youradvice on something? This doesn't feel any different from my last pregnancy.
- The baby's been active.
- You're doing good, Claire.
The baby's heart rate is right on target.
Dr.
Pratt? Could you come and take a look at this, please? What is it? Well, it looks like you've delivered the feet.
But that's okay, right? I had a friend who delivered breech and her baby was okay.
Page OB and get them down here right now.
Don't worry, Claire.
We're going to take good care of you and your baby.
Dr.
Kovac, this is Toni Stillman, here to check on Claire's condition.
The pregnant MVA.
Somebody called and said she was in a car accident.
- Yeah, but she was uninjured.
- Oh, thank God.
What about the baby? You're a family friend? Claire's our gestational surrogate.
She's been living with my husband Rob and me - for the last six weeks.
- She's having your child? Yes, we had IVF and she's implanted with our embryo.
So is our baby going to be okay? I'm afraid I can't tell you that.
Not without Claire's consent.
She's carrying my baby.
I'm sorry.
I need the patient's consent.
We're best friends.
She'll want to see me.
Sam, this is Toni Stillman.
She's a friend of Claire's.
Oh, right, I spoke with you on the phone.
I'm Sam.
Come on in, she's been asking for you.
Sam, how's she doing? Pretty good.
When I get a chance, okay? - I was so worried about you.
- I'm fine.
Yeah, but you shouldn't be driving.
I can take you anywhere you need to go.
It was just a tiny fender bender.
- Sam, you have activated charcoal here? - Uh, yeah, bottom shelf.
Dr.
Pratt, there's a guy in the waiting room looking for you.
Yeah, I know.
Thanks, Malik.
- Are you okay? What's happening? - Another contraction? - What? She, she's in labor? - Yep.
But, but are you gonna stop it? Because she's not due for another week.
She's 39 weeks.
Junior here is more than ready to make an appearance.
- His feet are already popping out.
- His feet? He's breech? - You going to have to do a C-section? - We're waiting on OB to weigh in.
GSW's two minutes out, Dr.
Pratt.
All right, come find me when they get here.
You, you're with me.
Go ahead, I got it.
Have you ever been in a GSW trauma before? I grew up in the Bronx.
- Dr.
Pratt, can we present? - Not now.
Got a trauma rolling in.
Okay, what's next? Exam Three, possible talar fracture.
And I should warn you, she already took my head off for how long she's had to wait.
Oh, God.
Could this day get any worse? - This is Drew Filmore.
- We've, uh, met.
Greg.
You figured me out, huh? Five minutes after you left, I knew it was you.
I can't talk to you right now.
- Looks like you're busy.
- I am.
What do you want? I don't know.
What were you looking for when you came to find me? I guess I just had to see for myself.
And now I have.
- So how do we do this? - We don't.
I'm sorry I bothered you.
I had no idea you were in Chicago.
I heard you were still in Detroit.
Yeah, well, I'm not in Detroit anymore.
I can imagine what you think about me.
There's a lot of things you probably need me to explain.
No.
I don't need anything from you.
I never have.
I made a mistake going to see you that night.
So forget I came by.
Don't come back anymore.
Hey, hold on now.
I can understand you're mad, but I can accept some of that.
Some of it? You have a half brother and sister.
And they're your family, too.
Oh, so now family's important to you, huh? Single GSW left chest during a carjacking.
Jocelyn's at U of I and Chas is a senior at South Geary.
BP 100 systolic.
Decreased breath sounds on the left.
He's probably going to get a scholarship from Loyola if he wins the regional at tonight's swim meet.
Entry wound left parasternal.
No exit.
All right, intubation tray, I'm sorry I walked away.
Don't make the same mistake I made.
CT's good.
No blood, no mass effect.
- Barbecue's ready.
- What? Charcoal's in.
Resps down to 14.
Shallow but clear.
Another .
5 of Narcan.
I'm sorry.
Can you repeat that? Is that 140 or 114? If you do that, we'll have to restrain you, okay? Malik, get him two of Ativan.
Wait a minute.
Are you sure? I thought benzos could cloud the neurological picture? Yeah, fine.
- Soft restraints then.
- Narcan's in.
- Come on, talk to us, doctor.
- White count's 12.
3 Still in here? I got a GSW to the chest.
I need you out of here right now.
Okay, this kid's ready to go up to PICU.
No, he's not.
He's getting worse.
We don't know why.
Head CT's fine, labs are normal, from the ER standpoint, the workup's done.
He could have infectious encephalitis.
- We should tap him.
- They can do it upstairs.
Sounds good to me.
Let's go.
Put him in sutures until I can get PICU to pick him up.
Need a hand? Not yet.
I'll let you know.
Did I do something wrong in there? Am I not handling this patient correctly? No.
Are you okay? Sam's moving out.
Why? I've got a feeling it's a communication problem.
Well, if you're not sure it probably is.
Sorry.
Uh, if you want to talk about it I mean, if I wanted to talk about it, Sam probably wouldn't be moving out.
Thanks, Luka.
I always thought it was my fault that things didn't work out between us, but now I know it was you.
Hey, no problem.
- She's going to need a C-section.
- I don't want surgery.
My friend Julia had a breech.
It was probably a Frank Breech, which is butt first You've got a footling breech.
The cervix doesn't dilate enough, the baby's head can get stuck and the umbilical cord will be compressed with each contraction, jeopardizing the oxygen supply.
You need to do what's best for the baby, Claire.
.
What happens if I don't have the surgery? Well, we allow the baby to be delivered up to the umbilicus to give the cervix time to dilate, and then use maneuvers to deliver the head and shoulders.
Then let's do that.
Uh, that's not a good idea.
All right, with a footling breech, there's a 25% chance of major complications.
It's less than 2% with a C-section.
But that's a 75% chance that the baby will be born without any problems.
We can wait while the labor proceeds, if the baby's heart rate gets too low, you may still need a C-section.
I don't want surgery.
I'll send somebody down as soon as we have a room ready.
Can you please find Toni for me? You know what? I'll get her.
Dr.
Coburn? Are you really not going to consent for surgery? Can't do it against her will.
What if the baby's in trouble midway through labor, and needs a rescue section? - I still can't do it.
- Are you kidding me? What about the intended parents? This is Toni's baby, isn't it? She's the genetic mother and the intended mother, but it's still Claire's body, and she has the right to refuse surgery.
- Abby! - What? PICU on line three.
Hey, Abby, what's the status on that kid running from the mall? I'm hoping this is the PICU calling to say they're ready for him.
Why? His buddies are asking about him.
Okay, don't let them leave.
Yeah, this is Abby Dr.
Lockhart.
Okay, great.
We'll send him right up.
Thanks.
- Is he okay? - No.
He's not okay Did he take something? You guys you need to tell me if he took something, okay? I've got to go.
Hey, hey! Chuny! Wait a minute.
Not so fast.
- Let me go! - No, settle down.
Here, sit down.
Your friend is very sick.
What's his name? Liam.
And what did he take? - Nothing.
- No drugs? Then why did you run away when the paramedics showed up? We were skipping school.
Has Liam been sick? - He hasn't been in school much.
- Why not? His parents are getting divorced and he has to go back and forth.
That's why we ditched, so we could hang out.
Does he have any, any medical disorders? - Like what? - Anything.
Mm his family are vegetarians.
Was he acting different today? Not really.
He was kind of bummed, maybe.
He ate two jumbo cheeseburgers.
I thought you told me he was a vegetarian.
Abby, he's getting worse.
- What's this? - The backpack.
Find out what's in it.
- What's going on? - He seems pretty unresponsive.
Check his gag reflex.
Liam.
Liam.
- You've got to wake up, big guy, okay? - He moved his hand a little bit.
- Barely has a gag.
- All right, this way.
- Okay.
You know the VITAMIN mnemonic? - Vitamins? Yes, for altered mental status.
"V" is for vascular, strokes or clots.
We ruled that out with CT.
"I" is for Infection.
What, this game's only for interns? Infection-- no pneumonia.
Normal white count, urine's clean.
- We're waiting on the cultures.
"T.
" "T"? - Trauma.
Or toxins.
Utox is negative, but that doesn't mean he didn't take something that we can't test for.
- What am I looking for? - I don't know.
- Drugs, meds.
Wait.
- What? It's "M.
" Sorry.
Um, "M.
" The "M" in VITAMIN stands for Metabolic.
This kid could have a metabolic disease that keeps him on a restricted diet.
What diet? His buddy told me that he was a vegetarian.
What buddy? And then, today he had two cheeseburgers.
I'm lost.
- We need to get this guy upstairs, Abby.
- No, what we need is an ammonia level.
Go get some ice.
Ammonia has to go to the lab cold.
Run.
That's my Frappuccino! They can do this upstairs, Abby.
Yeah, after they do their assessment, review labs, and repeat X rays.
Meanwhile, his brain is being pickled by whatever metabolite is growing in there.
Okay.
Get that to the lab.
Go.
Hang in there, Liam.
Good signal.
Fetal heart rate 158.
That's still good, right.
For the time being.
If your baby gets in trouble, and is deprived of oxygen, every second counts.
But that's not happening.
- Not yet.
- You trying to scare me? No, I'm just trying to prepare you for what might happen.
Listen thousands of C-sections are performed every day.
It's a simple procedure.
I want to have more kids of my own one day-- naturally.
And lots of women go on to have vaginal births after having Cesareans.
Excellent variability of the FHR.
Could I consent, but only as a last resort? Only if the baby's in serious danger? Absolutely.
Sam has a consent form right here.
Okay, but only as a last resort.
You need to be made aware of the risks.
What sort of risks? Bleeding, infection, paralysis, stroke These are minimal risks.
- Can I speak with you outside, please? - I don't want this.
No, just think about it, okay? Okay, what the hell is going on in there? If she's going to consent, she needs to be made aware of the risks.
That's why it's called informed consent.
You made it sound like Dr.
Frankenstein's brain transplant.
It is not your job to explain the procedures to the patient! No, that's your job, and you're not doing it.
Look out! - What's going on? - You tell me.
How are we on the packed cells? Units 5 and 6 infusing.
- What about Kovac? - I've got this.
- Okay, what can I do? - Nothing.
Internal paddles again.
Charge to 30.
- You're shocking asystole? - It's fine V-fib.
Clear.
- How long she's been down? - Resuming compressions.
Hang another unit.
Charge the paddles again.
Shouldn't we save the blood for someone who's got a chance? Proximal great vessel injury, man.
She's been down too long.
Oh, so what, now that you two are residents, you're experts? - If we restore her volume - It's time to call it.
- Call it.
- Me? Call it.
Death at 14:40.
What's the survival rate in patients who reach this hospital alive after a penetrating chest trauma? When you two can answer that, then you can start second guessing me.
You want to do something? Notify her next of kin.
Abby, sats are down to 76.
Can't get a good seal.
He needs a tube.
Get me a Miller two and a six-five.
What? What's wrong? What's going on? Hypoventilating at a rate of six.
Is this the mall kid? I told you to send him up to PICU hours ago.
Suction.
I wanted to check one more thing.
Great, so you kept him down here just long enough for him to crash.
Tube.
I got some history that suggested further workup.
Which you should have given to the team upstairs.
I'm in.
Good chest rise.
Equal breath sounds.
Ammonia's back.
214.
You were right.
The kid has a metabolic disorder.
Some kind of protein intolerance.
Okay, run to the pharmacy.
See if the sodium phenylbutyrate is ready.
Sodium what? It's a nitrogen scavenger.
It'll help bring down the ammonia - and reverse the encephalopathy.
- Got it.
The kid's family are strict vegetarians.
But his friends told me today that he had two cheeseburgers, because he was depressed.
Because his parents are getting a divorce.
So it was probably some sort of fast-food rebellion, only he can't handle the protein.
Any family members to confirm this? Chuny's still trying to track them down.
Can you switch him to D10 half at 150 an hour? You got it.
- Luka, I've got a hot MI on its way in.
- Be right there.
So, lower the ammonia, get him out of his catabolic tailspin, he'll start to wake up, right? nice pickup.
Lockhart comes up big.
- You call that a jump shot? - Hey, Luka.
I hear your mom's looking at apartments.
Who knows, might be even close enough for you to walk to my place.
It's not.
It's only a few blocks from here.
You know, it's not my idea.
Back to work.
We're going to still go camping again on your birthday, right? - Yeah? - Absolutely.
- Dr.
Rasgoata? - Rasgotra.
Neela's fine.
Miss Filmore's freaking out about how long she's been waiting - to have her ankle splinted.
- Maybe you could help with this one.
- How we doing, Drew? - I've been here for six hours.
Is there anybody here who knows what the hell they're doing? Then what the hell are you waiting for? I've got a national sales conference I'm supposed to be at.
I'm sorry you had to wait.
Sometimes we lose track of time when we're trying to save people's lives.
Is that sarcasm? Because I don't need that.
I'm a customer here.
And if I'm not happy with the service, or the way I'm treated, I will go to your supervisors.
We have a contract.
I didn't agree to surgery.
You agreed to consent to all medically necessary procedures, associated with the pregnancy.
- What is going on? - This is my husband, Rob.
- Are you the OB? - No.
ER.
She needs a C-section and I have a legal document giving permission to do Can we go out to discuss this? If you don't do this, it's a breach of contract, and you won't get paid.
Look, I just want to have the baby naturally.
I'll get a court order forcing her to get a C-section.
- I don't think you can do that.
- Watch me.
She's endangering our unborn child.
Look, I am doing everything I can to convince her to get this surgery.
- But I can't force her.
- She's carrying our baby.
We've been trying to have kids for five years.
We spent a fortune at three tries at IVF and every time, I miscarried.
We gave the last of my embryos to Claire.
I'm sorry, but we can't do it like this.
- Let me go and talk to her again.
- Fine.
But I'm still getting a court order.
She had a late decel.
- How low? - 108.
- What does that mean? - Then let's get her to the OB.
- What's happening? - You guys need to wait outside now.
We're taking her to labor and delivery.
How we doing, Claire? - Are you moving me? - Yep, we're going upstairs.
Inez, go hold an elevator.
Your baby's heart rate dropped during the last contraction which could mean a sign of cord compression.
The baby could be in trouble.
- What's the heart rate now? - 112.
But that's still okay, though, right? - We're doing okay.
- 15 liters by mask.
You need to have a C-section, Claire, you know that.
I know you have to trust me.
I know my own body.
- We want to go with her.
- No! We want to be there when our baby is born! No, I don't want them to be there.
This is Karen Simms.
You treated her mother.
GSW.
Oh, right, thanks, Chuny.
No one will tell me what happened.
What's GSW? Is that gastric something? Is she okay? Would you like to sit down? GSW stands for gunshot wound.
Your mother was shot during a robbery attempt.
She was shot? We gave her blood transfusions, emergency surgery, everything we could to save her.
She's dead? I'm afraid that her injuries were too severe.
I'm very sorry.
How did you find me? We found your name in her address book.
Did she say anything? She talked a little when she was brought in, but she lost a lot of blood and lost consciousness as we were trying to save her.
Would you like to see her? It's too late.
We haven't spoken in a long time.
We had a falling out a while back.
We were both waiting for the other one to give in and admit they were wrong.
I guess I win.
- I need to push.
- No, not yet.
- Just breathe.
You're doing great.
- Fetal heart rate is 120.
- Where's pedes? - On their way.
Oh, God, it wasn't as hard the first time.
Take a rest.
- Umbilicus past the perineum? - Yup.
Good news, Claire.
The baby's hips are out.
You get to push next time.
I told you I could do this.
Sterile towel.
Some gentle traction can help us get to the axilla.
Okay, baby's heart rate's below 100.
Okay, we need to put her on - What's wrong? Is he okay? - Baby's heart rate is dangerously low.
The umbilical cord's getting compressed, and he's not getting enough oxygen.
It should rebound between contractions.
Look, we could still do a Cesarean, Claire.
We can push him back in and in less than two minutes-- start surgery.
- But he's almost out.
- We don't know that.
His head could be entrapped.
Okay, this is it.
Big push, Claire.
The difference between two minutes and five minutes of low oxygen can be the difference between a normal and brain-damaged baby.
Consent to the C-section.
I'm trying! I'm really trying! Okay, the head's stuck.
We're going to need to pull him out with forceps.
Okay, sling a towel under his body.
- Hold him up right here.
- 48 on the monitor.
Open the intubation tray.
Okay, Claire, once more.
One big push! Pretty cyanotic.
Clamp and scissors.
Okay, come on, baby.
Just give us one little cry.
He needs a little stimulation.
No respiratory effort.
Bag him.
No femoral.
Starting compressions.
Three and a half uncuffed.
Can you please tell Rod and Toni that he's out? I'm in.
Epi point zero four by ET.
How is he? He doesn't have a pulse and he's not breathing.
- So what does that tell you? -Okay, Doctor, that's it, you're out.
I thought I could do it.
Hey, Chas! Have you been in to see your baby? - They're still doing tests on him.
- It's been over an hour.
It was a hard delivery.
What aren't they telling us? Your son was deprived of oxygen during the birth.
But but he's going to be all right? We'll know more in a few days.
There's a good chance that he suffered neurologic damage.
Well, did he or didn't he? I think that he probably did.
Come on, let's go.
- Go where? - Home.
What about our son? I'm not going to leave him.
The pediatrician will come to see you and he'll have some more answers.
You already gave us the answer.
We didn't pay to have a brain dead baby.
- He's not brain dead.
- He's not normal.
Which he would have been if you had done the C-section.
We were going to call him David, after Rod's father.
Toni, you still can.
Let's go.
Hey, Liam, how are you feeling? Cruddy.
Well, your parents are on their way.
They were very worried about you.
Good.
Okay, I'll send them up to the PICU as soon as they get here.
You'll like it up there.
They have video games.
My friend thinks you're a MILF.
Shut up.
Excuse me? It's a mother I'd like to Ah, well, I'm not a mother.
I'm a doctor.
Guess that makes you a DILF.
Okay, see you later, Liam.
Stay on your diet, and wear your Medic Alert bracelet.
Am I supposed to pretend I didn't see that? See what? Well, come on.
I don't hear from him and he sends the ER a postcard? Well, you practically chased him out of town with a torch.
- Where's Pratt? - He left.
Must be nice working banker's hours.
This is incomplete.
You didn't document the distal neurovascular exam.
Let me see No, urology needs to see this guy prior to discharge.
This this looks good.
Just right down the CBC and Chem 20 results.
- The lab slips are on the back.
- Not good enough.
You have to transcribe them to your H&P.
Since when? There's a new sheriff in town, ladies.
Let's see if you can do better than one for four, Lockhart.
Need me to sign off on some charts? You said you had stuff for me to sign off on.
That was Neela.
Aren't those your charts? Could someone show me how to do a filiform and follower? Where's Ray? He never came back down from labor and delivery.
He probably stayed upstairs to hit on one of those OB nurses.
Come on, I'll show you how to do it.
How's his muscle tone? Uh, it's not too good.
Is he overbreathing the vent? Hypoxic brain injury.
The chance for complete neurological recovery is slim.
Has his mother been in to see him? Claire doesn't consider him her child and the Stillmans don't want a ventilator baby.
There's nothing else you can do for him.
Little guy has had a rough day.
I don't think he should spend his first night all alone.
Hey, Chas.
I'll talk to you guys later.
Congratulations, man.
You swam a good race.
Oh, yeah, thanks.
I'm Greg.
Yeah, I remember you.
You came to the house a few weeks ago.
So did your dad say anything about me? He didn't? No, but he's right back here with my mom and my sister if you want to No, no, that's cool.
I actually just wanted to introduce myself to you.
Your father and my mother I'm your half-brother.
-Get outta here.
- No, it's true.
I'm just surprised your dad didn't mention it to you.
I mean, I've heard family rumors and stuff, but Oh, wow, this is trippy.
Good to meet you, man.
You, too.
Come on, Chas, I'm starving.
Hey.
Hey So you two've met.
Good.
Yeah, that's good.
We're going to get a bite to eat.
Do you want to join us? Uh, not tonight.
I just wanted to introduce myself to Chas, you know.
I'm glad you did, too.
- Okay, well, I've got to go.
- Wait, Greg.
Whatever you wanna eat it's fine with me.
This is my wife, Evelyn, and my daughter, Jocelyn.
This is Greg my son.
- Nice to meet you, Greg.
- Likewise.
Come join us.
I can't.
I got to get back to the hospital.
Maybe another time.
It was nice meeting all of you.
It was nice meeting you, too, Greg.
-Bye.
- Come on, Chas.
Hold up, Greg.
You know, this is hard.
For all of us.
So come on, man give it a chance.
This is your family.
No, this is your family.
Sam? Alex?