ER s06e19 Episode Script

The Fastest Year

Previously on E.
I have Samantha Sobriki with me.
She's looking for her husband.
I got a message in my answering machine from Lucy Knight.
- When is Kerry coming back? - Who said she is? - No, Carter! What's the matter with you? - He's violent.
It was an accident! This is Pablo, they don't come any gentler.
I am not an invalid! I can still make it to the damn bathroom - by myself! - Dad.
Sit down.
Come on, sit down.
You don't give your mommy and daddy any trouble, do you? Beautiful family.
6x19 "THE FASTEST YEAR" - Keep it in, Dad.
- I have to cough, Mark.
Well, you don't have to talk.
Put it back in.
- Want me to bite down on it? - Dad.
End up with a mouthful of mercury.
- All right.
Say "E.
" - E.
- Once again.
- E.
- Last time.
- E.
Cripes! Sounds like pneumonia.
We have to get you a chest film.
- Hell, Mark! Do we have to? - Have something better to do today? - It's Sunday.
We could go to church.
- Yeah, right.
- Temperature's 101.
- Oh, big deal.
- Morning, Randi.
- Dr.
Weaver, welcome back.
- Kerry, nice to see you.
- Robert.
Have enough time to rethink your choices? You get buried here with Mark taking extra time off? No, I love being close with my troops.
You didn't answer my question.
- I don't intend to.
- I'll take your presence as a yes.
I didn't appoint you chief so you could turn soft on me.
I know you didn't.
And you do realize I can un-appoint you should you be unable to uphold our standards? - Yes, I do.
- Well, then, top of the morning to you.
John? - John.
- Oh, man! - What time is it? - Quarter past 7.
How about some breakfast? Maybe just some toast.
Did you get any sleep? I gave up trying around 2.
I came down and watched a couple of infomercials.
I ordered a machine so you can make your own beef jerky.
- You didn't! - I didn't.
Then I came in here.
Seems it's the only room in the house where you can sleep.
Maybe we should put a bed in here.
Somebody! John.
What? I wish you'd talk to somebody about your not sleeping.
I'll be fine.
You want a slice? Absolutely.
- Wanna play hoops? - She's bulking up now.
- I'm sorry.
- I can take it.
As soon as I'm done "bulking up.
" - You guys go ahead.
- She's so bad, it's no fun.
- I could kick your butt.
- Go, both of you.
I'd like to say excuse my kids, but there's no excuse.
I grew up with three brothers.
Peter tells me you're from Indianapolis.
- Your family still live there? - They do.
Could you go shut them up, please? - Don't ask her a million questions.
- Go, go! So Any of your brothers become doctors too? A couple of them work for my dad.
- And that would be in? - He's in insurance.
It's a good line of work.
You didn't want to do that? Working and living so close, family can be stifling.
Not all, of course.
Of course.
- Have another waffle.
- Thanks.
- Transfer.
One, two, three.
- Get a CBC, chem panel and urine dip.
Delia, what happened? Daddy was taking me to Shelly's house, and this car hit us really fast.
- She have any medical problems? - She had leukemia.
You know what kind? AML.
She's been in remission for eight months.
How's your arm? - Looks like you'll need sutures.
- I want to stay with Delia.
- Haleh.
- We can do it right here.
- You okay, Daddy? - It's a little cut.
They'll fix me.
- I had stitches once.
It's not bad.
- I'll try to be as brave as you are.
- Okay? - Okay.
Can't go wrong with a Chevy.
I have gone wrong many times, in a Chevy.
I always admired the Subaru.
I say go with something classic like an old Mustang convertible.
- Two babies, remember? - How about the police auction? - What do you drive, Luka? - An old Saab.
Swedes have a high suicide rate.
What's this all about? I'm gonna buy a new car.
I mean, a new used car.
What? Today? - My mom's got the twins.
- What time are you off? - About an hour.
Why? - Go to the place I got mine.
I know the guy.
He'll give you a good deal.
I can come with you.
- Take a guy with you.
- They only listen to Al.
- They listen to me.
But I'm on.
- Me too.
- Sure you don't mind? - I just have a few cases to finish.
- Okay.
- Good.
Corday? CBC's back on Delia Chadsey.
White blood count of 60,000.
Fifty percent blasts.
Her leukemia's back.
She never got a marrow transplant.
You want me to talk to the father? - No.
I can do it.
- Thanks.
- Mark, I heard your father's here.
- Malik's getting him settled in.
What is it? Rhonchi and consolidation in lungs.
Wanna go check on him now? I didn't wanna be here either.
But my son has the last word in medical things.
I know.
My son's a first-year med.
Only thing worse is first-year law: my daughter.
Mark, this is Sarah MacKenzie.
We're kindred spirits in being hospital hostages.
- How do you do? Nothing serious.
- My shin got infected.
- Hello, David.
How are you? - I'm still here.
Can't be too bad.
- Want a portable chest? - Go to Radiology.
Get a P.
and lateral.
He must stay on O-2.
This is Elizabeth Corday.
She and my son are, what you call it, "friends.
" - Hello.
- Looks like you have your hands full.
- I can do that.
- I got it.
Five of albuterol.
- Start a saline lock? - I can do that.
- Sure.
- Not bad.
Two doctors.
No waiting.
- Reece went out like a light.
- Not only can she eat, she can play.
Kids like her.
What about you? Since when do you care what I think? Do you like her? I wouldn't have brought her here if I didn't.
Are you serious about her? Jackie, it's early to be serious.
I hope so.
Because she's not serious about you.
All right.
What's that supposed to mean? I'm just saying.
She's having fun.
She's not ready to settle down.
- Who says I am? - You're not settled with a 3-year-old.
That doesn't mean marriage.
She's nice, we have fun.
But it's not serious.
Glad to hear it.
Then I like her too.
Female intuition again? - Certainly not.
- Did she say something? She had to.
I asked a million questions.
Edgar's mother is a nurse upstairs.
She's finding someone to fill in.
What are you thinking, meningitis? Fever, vomiting, headache.
I need help with the LP.
- Is he lethargic? - He's sleepy.
Can you roll him up in a ball? All right, don't worry.
Everything's gonna be just fine.
Good position.
Okay, here we go.
I'm ready.
I'm in.
I feel the pop.
Did you feel the pop? Keep going.
- I can't- - Yes, you can.
- Stop, please! You 're hurting me.
- Calm down! What's sticking in my back? Give him more Ativan.
Lucy, keep going! - It'll be a traumatic tap.
- It won't get any easier.
- Let's get this to the lab.
- Right away.
There you go, Edgar.
This isn't so bad, is it? Your medication will wear off soon, and you won't feel so sleepy.
Thanks, Carter.
Yeah, sure.
No problem.
Ever discuss a bone-marrow transplant? No HLA-matched relative.
I only matched three antigens.
- You've done this before.
- Big time.
She's gonna need reinduction chemotherapy.
Chemo again? Oh, man.
God, we were so hopeful.
Into her second remission, they can try a BMT.
- If they can find a donor.
- There are no other possibilities? - No.
Not exactly.
- Not exactly? - Her half sister hasn't been tested.
- Why not? She's from my first marriage.
Ugly divorce.
- My ex isn't inclined to help.
- Not to save a child? We should go ahead with the chemo.
Then just go from there.
I'll check with the National Registry in Milwaukee.
A match with an unrelated donor is better than nothing.
Thank you.
- Are you ready yet? - Just about.
CVA is being admitted to medicine, seizure patient can go home Edgar's LP says no meningitis, we're waiting for his lytes.
- His mom had to go back to work.
- I'll check on him.
Good luck.
- Thanks.
- Thank you.
Edgar, how are you doing? What's she got? Why does she have that stick? - It's okay.
- What's she gonna do? - Nobody's gonna do anything.
- Don't let her touch me! - It's- - Wait a minute now.
- Get her away from me! - It's all right.
Sweetie! - Get her away from me! - Okay.
Get her away from me! - I'm sorry, Dr.
- I guess he's feeling better.
Get him, Conni.
Get Malucci if you need help! - Mark - Hey.
- How is he? - Making new friends as usual.
I got the films back.
It is post-obstruction pneumonia.
- Gave him cefotaxime, IV piggyback.
- So are you going to keep him here? For a while.
Make sure he doesn't react badly to the antibiotics.
I'll stop in and say hello.
So can I do anything to help? Just gonna steal some supplies.
Don't tell.
Well, I love stealing.
Let me help.
Saline flushes.
Need alcohol wipes.
Two-by-twos, extension tubing? Extension tubing, check.
- Needles and syringes.
- Syringes.
Mark? Needles and syringes.
I'm gonna I'll need to borrow more infusion bottles of cefotaxime.
He'll be on antibiotics for 10 to 14 days, depending on how he responds.
Yeah, of course.
- It would've been faster with my car.
- That's okay.
- Unfortunately, it's in the shop.
- What? Routine checkup.
Nothing wrong.
It's a good place.
Herb's great.
- Herb? - He and I are like this: He's my second cousin's wife's brother-in-law.
That would definitely make you like this.
- Excited? - About buying a used car? No.
- My mom thinks I should get a minivan.
- They're very good.
- Great.
My life is over.
- Don't say that.
We'll have them put a Porsche engine in.
- Really? - No.
I'm sorry.
I was kidding.
- Bringing you wasn't such a good idea.
- We'll get you a really good car.
- Mrs.
Pooler, any allergies? - What's wrong? Tachy at 120.
Pulse ox is 91 on two liters.
- You on medication? - Just a pill for high blood pressure.
- Proprana - Propranolol? - Propranolol.
- With asthma? That can kill you.
Who's your doctor? - Mr.
Pooler? - It's my medication for high BP.
Ruth has Medicare, and they won't pay for her prescriptions.
Enalo - Enalapril? - Yeah, it costs $50.
We just have our social security.
We thought she could take mine.
See, I'm in an HMO.
I get them for free.
If you're in an HMO, why isn't your wife? I take many pills for my heart.
She just has asthma.
Wanted to keep her own doctor, but the HMO won't let her do that.
- Found your runaway.
- Where? Cafeteria, eating tapioca pudding.
- He okay? - He seems fine.
His labs came back.
Elevated BUN and creatinine.
His potassium's low.
Give him a saline bolus, - You want me to take him? - Spiff him up.
Sure thing, chief.
I don't think this is right.
You'd have remembered if it had been across the street from a stadium.
Doesn't seem like a natural place for a used-car lot.
Gee, no, it doesn't.
- I'm hungry.
- Yeah.
Me too.
What do you think? A hot dog? - It's here.
- Sorry about this.
- Mr.
Chadsey? - I was getting Delia some water.
I spoke to the Legal department and there is nothing we can do to make your ex-wife- I didn't ask you to check on that.
What are you doing? - You should talk to her.
- I told you she won't help.
- Then let me try.
Chadsey- - I said no! I just want to be with Delia.
Don't make this harder than it is.
Is this really necessary? Propranolol lasts 24 hours.
She needs continuous breathing treatment.
Such a fuss.
I'm sorry.
Don't worry, the ICU will take good care of you.
I know.
They did last time after my operation.
You were here for an operation? For what? Oh, dear, let me think.
What was it called, Ralph? Gee, I'm not sure.
It had to do with her stomach.
Yes, that's it.
They took something out of my stomach.
- Does that make a difference? - No, but I just wanna make sure.
- Come on.
Here we go.
- Thank you.
- Randi, I'll be in Medical Records.
- Okay.
The infield fly rule is when the batter hits the ball and it goes way high up, you know, like over the pitcher's mound the guy on 2nd must go to 3rd before the guy on 1st can go.
I thought they're not supposed to run on a fly ball.
It's complicated.
You don't have any idea what the infield fly rule is, do you? Can we go now? I mean, you may have a new used car, but I don't.
- My first vehicle was a tractor.
- A tractor? Yeah.
My grandpa's farm.
He let me drive when I was about 11, 12.
Till I took out some fences and one of his cows.
- Was your dad a farmer too? - He was a train conductor.
I'd ride on his lap when I was little.
Sometimes my brother and I would go all the way to Zagreb with him.
We'd run through the cars, looking at the passengers, thinking: "My father drives the train.
" - You spent a lot of time with your dad? - Yeah.
Did you come here a lot with your father? Learn about baseball? - Why? Because I know so much? - Yeah.
No, actually.
My dad died when I was really little.
- I never knew him.
- I'm sorry.
So am I.
Must make you think about Kate and Tess about their knowing their father.
Yeah, I guess.
But you'd know what they're missing more than I do.
- We gonna buy a car or not? - We're going to buy a car.
I couldn't find Ruth Pooler's file.
It's probably in storage.
- I can get it in an hour.
- Okay.
I found that other one you wanted.
Paul Sobriki? Psych file.
That's the one.
Sign right here.
All right.
- Hey, Dr.
- Dr.
DeRaad, hi.
- How you doing? - Good.
Just going over an old chart.
Asthma patient.
- Getting back into work okay? - Pretty well.
I have good and bad days.
- Actually, today hasn't been that - Well - come on up and we'll talk.
- No.
I'm okay.
I know.
But I have time.
Say, 3:00? Sure.
- That was a hell of a time.
- Sam did two tours, wanted a third.
But I told him I'd kill him.
He heard me.
- What are you doing? - Talking to Mrs.
- Call me Sarah.
- Pulse ox, Dad.
- Gotta leave it on.
- I didn't know it was off.
Her husband's a Navy man too.
Served in Vietnam.
- Although later than I did.
- Is that so? Still thinks he's Navy, on the lake in his boat now.
Says it keeps him sane.
Isn't this supposed to be dripping? - I understand what he means.
- Keep your elbow straight.
I love being out on the water.
Sometimes in the middle of the night you get a storm.
Thirty-foot waves coming in different directions.
Rocking and rolling like you wouldn't believe.
Still, it puts you to sleep like a little baby.
I'd wake up at dawn, go out to the tip of the bow and the water would be clear and calm.
Ships slicing through it like cool air.
Calmest place on earth, I used to think.
Like the storm never even happened.
- Hi.
Jessamyn? - Yes.
- Jessamyn Chadsey? - Yes.
- Jessamyn, who is it? - Hi.
Lomax? - Yes? - Hi, my name is Abby Lockhart.
I work at County General.
It's something wrong? Did something happen to Terry? Please, come in.
I've been treating your former husband's daughter.
- Did he send you here? - No.
He didn't.
- You know about her leukemia? - Get out! Jessamyn, upstairs.
- No.
Mom, I want to stay.
- She's a child.
- Our closest match is unrelated.
- Get out! If Jessamyn matched, she'll more likely survive.
I don't care about him or anything to do with him! - Mom, calm down.
- Don't tell me to calm down.
- Please, leave.
- Mrs.
Lomax, if you could just- I asked you to leave.
Do I need to call somebody? '97 Camry, power steering, power brakes, power windows power locks, power seats, and all for only $18,000? - That's outrageous! - You're enjoying this.
Now, here we go.
Special deal.
Very low price.
- What is it? - It's a Dodge Dynasty.
Good year.
And only 90,000 miles.
- It's a Dodge Dynasty.
- Okay, it's not your thing.
How about a '91 Mercury Sable for $2900.
What more could you want? Four doors, windshield wipers, antenna - Hey, Malucci.
- Yeah, chief? Come here.
Your little runaway is hiding down the hall.
- What's he doing? - Spying on me.
Get him back to Exam Two.
We're treating her with antibiotics.
But her oxygen level is low.
Pneumonia can be a peaceful way for an elderly person to die.
- We don't want her to die! - She'll fall asleep, stop breathing.
There's no pain or suffering.
Can she put her on a breathing machine? It may be best for nature to take its course.
Last month I saw her sit up and eat.
She stopped eating a while ago according to the nursing home.
She's being fed through a tube now, directly to her stomach.
- We can't just let Grandma die.
- We won't.
- If you need time- - We don't need time! We need somebody to help us! That's not you! Excuse me for a moment - Have you seen Dr.
Weaver? - No.
I keep having these thoughts.
It's like I see moments of the accident.
Something reminds me.
Accident? I'd call it an attack.
A brutal attack for which you had no warning.
Well, that's the thing.
See, I assisted on the spinal tap on Paul Sobriki.
And he was aggressive.
And he was overreacting.
And he'd had Ativan.
And I numbed him with lidocaine.
But his response was as if we were stabbing him.
In his mental state, he thought you were.
I should've realized something was very wrong.
So should have Lucy, but she didn't either, did she? There's always "what ifs.
" What if I did the psych consult sooner? It'd be easy to see it as an accident.
But we can't.
I know.
I just want to get these thoughts out of my head.
It'll take some time.
- Have you seen him? - Paul Sobriki? Have you seen him or his wife? No.
You're curious about what's happening with them? No.
I just It's a 911.
I gotta go.
- Thank you.
- Anytime.
Come back.
It's been a pleasure.
Come back.
But you won't need to.
It'll last 10 years.
My name is Manny.
Did you get a number? Oh, God, I hope I won't be driving this car in 10 years.
It's a beauty.
Come on.
It's a small station wagon.
But thanks for your help.
Shall we celebrate? - Are you stealing? - I'm borrowing.
- I think he's stealing.
- Doctor, I need your help.
- I'm not on.
- I know.
I can't find Kerry.
Dad, I'll be right back.
- What is it? - Syncope.
Blunt head trauma.
In the ICU with his wife, he fell.
- You all right? - Lateral C-spine and chest? - CBC, lytes, cardiac enzymes, EKG.
- Whoa, look out! Let's get a head CT.
Where's the blood from? Occipital scalp lac.
No hemotympanum.
Systolic's 95, pulse ox 98.
Bolus 250 of saline.
Update his tetanus.
Here's the 12-lead from upstairs.
No ST changes.
It's not a heart attack.
She can't eat.
She has no quality of life.
If we intubate her, they'll take her to the ICU.
Hook her up to tubes and wires and machines.
And she'll die in perhaps two, three weeks.
If we leave her as she is now she'll die today, maybe tomorrow but peacefully.
You need to think carefully about her wants.
Hemmings, your mom's letting go.
You think we should do that? You should spend some time with her.
- Thank you, Dr.
- Sure.
I'll tell you what the head CT shows.
- How's it going? - All right.
You? I'll pack up the old man and take him for a spin.
- His labs and films aren't back yet.
- Okay.
I'll call the lab.
- You call Radiology.
- Okay.
- Oh, boy! - What? Remember that leukemia case? Hi, Jessamyn.
- Are they here? - This is Dr.
- Hi.
- They're waiting for a bed upstairs.
I wanna do this.
I want to help out if I can.
What do I have to do? Okay, well- - Did your mother drive you here? - No, I drove myself.
- Does she know you're here? - I'm old enough to decide.
When it comes to this subject, there's no talking to Mom.
- So she hasn't given consent? - My dad wants this.
I want this.
That has to count for something.
It does.
It counts for a lot.
But the rules are very clear.
It's your mother's decision.
She said she can't understand this.
A life's at stake.
I can't either.
I'm so sorry.
Abby, let me know when those labs are back.
- Let's see your dad.
- I don't want to.
He'll love that you want to do this.
I don't care what he thinks.
I'm only helping Delia.
Good eating today.
Hot dog, hamburger.
French fries? Thank you.
I haven't been through a drive-through for so long.
Would've been a pity to leave the car alone its first day.
Yes, I agree.
When I came to Chicago, I came here a lot to look at the city.
It's so beautiful.
- You grow up in a city? - No, by the coast.
Were you there during the war? No.
Then we were in Vukovar.
A small apartment.
I didn't have much money.
We kept the children in all the time for safety.
- They'd get crazy.
What do you call it? - Cabin fever.
I was going to the market.
Not for much.
Just for cheese and bread.
And they were climbing all over me.
"Please let me come.
Let me come.
" The answer was the same as always.
"No, it's not safe.
" My wife stayed with them.
- Luka.
- No, it's okay.
I was just 50 meters away when I heard the whistle in the air.
Artillery shell hit the building.
It's all redone now.
People rebuilt all during the war.
One day you're in a café, the next day it's bombed.
The next day, they're rebuilding.
That's what you do.
Something happens, you rebuild, you go on.
We should go.
Your mom will think you're joy riding.
Hey, Randi, where is Dr.
Malucci? - He was in Exam One a while ago.
- Thanks.
Hey, Malu- - Dr.
- Can I speak to you for a moment? I don't want to hear your reasons or justifications.
- Did you know I could fail you for that? - Yes.
- What are you-? - I wanted to help.
Her coming here was brave.
What you did is stupid.
Her sister will be in chemo two months before the transplant.
- The mother will know.
- She wanted to try.
It's our sometimes lousy job to say no.
There are rules this department must and will follow.
Clear? Yes.
Make sure she can drive home.
I don't think trying to help is ever stupid.
- I'm really sorry.
- Hope I didn't get you in trouble.
I'll live.
While you're here, why not see your dad? - No, I'm gonna leave.
- I really wish you wouldn't.
Weaver, I'm having trouble with an HMO.
A 76-year-old guy.
They want to transfer him, we should keep him here.
- Any EKG changes or ectopy? - No.
- What insurance? - Blue Beacon.
We transfer their stable patients.
It's complicated.
His wife's in the ICU.
- They won't authorize it.
- It's best if they're together.
They won't authorize it.
He can't be transferred.
He's dehydrated.
- Rehydrate him.
- He's hypokalemic.
- Replete his potassium.
- He's anemic.
- Actively bleeding? - No.
It's chronic.
He can go.
- He wants to stay with his wife.
- Does he want a $2000 hospital bill? All right, well, I'm leaving.
I don't know if I can oversee the transfer.
Then I'll do it.
They were filming a Swedish movie near my grandpa's farm.
They needed animals.
So you just rented out cows and chickens? Sheep and horses too.
My brother and I.
We made a lot of money for teenagers.
But it was a huge mess- - Luka? What's happening? - I don't believe this.
I'm gonna kill Herb! We didn't meet Herb! This happened when I bought mine.
Herb said it was a fluke.
- You're telling me this now? - I can fix it.
So you brought me to the water.
Good boy.
Good boy.
It's funny, Mark.
You know some years seem to pass faster than others? - Yeah.
- This year's been the fastest.
I was thinking how strange things can be.
You know in all the wars I served in I never watched a man die? On some ships you get lucky.
But I must have told you about that time we had an explosion at the base motor pool.
- When you were stationed in Guam? - Yes.
I was little.
Mom and I were at San Diego.
You called and told Mom about it over the phone.
We lost seven men.
I was in the Exchange when it happened.
I was looking for some shaving cream or something.
Everybody scrambled out.
I started to, me and a lieutenant in the aisle next to me.
The shampoo section, as I recall.
The next thing I know, I hear a crash.
I turn and all these bottles had come flying off the shelf.
And this poor son of a bitch is collapsing on the floor.
He had a heart attack.
- What'd you do? - I screamed for help.
No one came.
They were all at the motor pool.
I got down.
I loosened his tie and unbuttoned his collar.
He grabbed onto my hand begged me not to leave him.
So I stayed.
And I pulled him into my arms and I held him.
Just the two of us.
For the next four minutes I watched him die.
The longest four minutes of my life.
But in a crazy way four of the best minutes of my life.
There was some kind of value in just being there.
Thank you, Mark for bringing me out to the water.
You're welcome, Dad.
- Sam? - Dr.
Greene? Sam, I'd like you to meet my dad, David Greene.
Dad, Sam MacKenzie.
Sarah's husband.
- How do you do, sir? - What the hell? Dr.
Carter tried to keep me here.
It's tough with HMOs.
New Western will take good care of you.
Could you tell my wife I'll call as soon as I'm settled? There's no patient phones in ICU.
But you can call the main number to ask how she is.
Thanks again for everything.
My wife and I appreciate it.
You're welcome, sir.
How's Paul doing? He's at Chester.
I guess that's the main place for Illinois.
They put him on medication.
What did you want to talk about? I don't know.
I just keep thinking about what happened You're not the only one.
Sometimes my thoughts seem as loud as the voices Paul hears.
I lived with him, I slept with him.
I'm about to bear his child.
How could I not see it? I don't know.
- Keep trying! - I am trying.
It's not starting.
- Keep trying.
It'll start.
- "Keep trying.
It'll start.
" - It'll start.
- It's not starting.
It's been an otherwise really nice day.
- Thank you for calling.
- I'm sorry about all this.
Where are they? Your ex is in the cafeteria.
I'll take you to Jessamyn.
Everybody wants this, Mrs.
A lemonade stand? Yeah.
Me and my friends would set up a card table with a sign that says: "Lemonade, 10 cents a glass.
" Not as lucrative as the cow trade.
We rode high if we made $1.
- But less cleanup than the cow trade.
- True.
I look forward to that with Kate and Tess when that'll be a very important thing.
Wondering if they used enough sugar and when a car will drive by.
I expected the tow truck by now.
But then nothing has gone as expected today.