ER s12e19 Episode Script

No Place to Hide

Previously on E.
Change the orders.
This means war, you know.
We never talked about being monogamous.
We never said anything about not being monogamous.
This surgery is gonna take away my crutch.
Who will I be then? You're sending me to Africa? Anyway, how did you get in here anyhow? I got lots of experience getting into dumps like this, Vic.
12x19 "NO PLACE TO HIDE" Hey, this is Jodie.
Leave a message and I'll call you back.
Hey, Jodes.
Yeah, I know it's late there and you're sleeping and whatnot.
I just wanted to call and say hi.
Yeah, well, board's a mess and it's the usual bunch of lowlifes.
Yeah, I don't know when I'm gonna get out.
Yeah, you know, I heard you got six inches of snow.
Yeah, in April.
Go figure, huh? All right.
I'll call you tomorrow.
I love you.
Clemente? Lateral ducubitus on the coin ingestion.
Lockhart said we could discharge the patient- - Hey, who are you? - I'm Jane.
I'm an intern.
Oh, yeah? How come I've never seen you before, Jane? I don't know.
I mostly work nights.
I work nights.
And? Did you wanna see these? I thought you were gone two hours ago.
I'm a dedicated guy.
What can I say, huh? - Wanna help me stock some shelves? - Do I wanna help you what? Dr.
Clemente, Dr.
Pratt for you on line two.
Yeah, it's about time.
Hey, Pratt? I got a patient here, Ottley.
Claims you promised him some Vicodin.
Right, he came in with a migraine.
I resolved it with Imitrex.
Said I'd gave him Vicodin in case the pain came back.
Yeah, well, I think he's playing us, drug-seeking and whatnot.
Vic, write him a scrip, man.
Know what I was thinking the other day? Remember that time on top of the roof? - And we talked, remember that? - What is the matter with you? - Is Jodie okay? - Yeah, Jodie's great.
It's just It's just her ex, Bobby.
He keeps sending these weird freaking sympathy cards.
This one, the latest, was filled with this bunch of little dead goldfish.
- What? - What do you think he's trying to tell me? That "sleeps with the fishes" thing? Okay, look, I think you should give Mr.
Ottley his drugs go home and get some sleep, all right? Okay, all right, all right.
Thanks, man.
- Have fun in the motherland, all right? - Right.
Two Vicodin? That's it? - Dr.
Pratt said- - Dr.
Pratt's not here.
Okay, Mr.
Ottley? What if my migraine comes back? You take those and you call your regular doctor in the morning, okay? You got any more questions? Hey, Jer.
What else you got for me? Possibly the slowest night on record.
And I am out of here.
- What, you're going? - Yeah.
- Well, hang on, hang on.
I'll go with you.
- Yeah, all right.
Wanna go to Ike's and grab a beer? I would, but actually, I'm waiting for my friend to pick me up.
It's all right.
Why don't he join us? What's the big deal? Well, it's actually a friend of the female variety.
Ah, I got you, got you, right.
- Next time.
- Okay.
So, well, I'll be going, then.
- Okay, good night.
- Yeah, take it easy.
You want to take me on, you little prick? Want to take me on? Is that what you want? Okay, you did it.
I can't believe I'm done.
Happy graduation day.
Looking forward to getting back to work? I've been back for about a week, trying to keeping up with my paperwork.
Well Here's one thing you don't need to keep up with anymore.
- Thanks for everything.
- No.
- Abdominal bracing.
Ten reps a day.
- Okay.
Lenore Bee, 43, 10-foot fall from a second-story window.
- Are we here? What are we doing? - What happened to the 12-year-old? - Morris, why are you wearing-? - A Prada suit? No reason.
Is he a doctor? I want him.
Archie Morris at your service, ma'am.
Twelve-year-old, MVC, complains of tenderness over the sternum.
- What's your name? - Ruthie Pooler.
- You got this? - Yeah.
And you get to have this too.
And I'd recommend a face mask.
Damn mutt farted all the way here.
Abdominal pain, low-grade fever.
Doc was worried about appendicitis so he figured he'd get a surgical consult.
The guy seems fine to me.
Nice to see you again.
- You didn't need to come in, Grandma.
- Of course I needed to.
- My eyes don't hurt.
- I'm checking for signs of head trauma.
I was only going like two miles an hour.
You were driving? Did you know about that? Did you tell your family everything you did when you were 12? I did not know.
I wanted to pick up your prescriptions and still get to school.
Let me see.
What about your parents? Oh, uh, Ruthie's mother and father died when she was 6 months old.
- I was about a year, Grandma.
- I'm sorry.
I would be too, if I remembered.
Ooh, he's a regular wind tunnel this morning, isn't he? Ruthie, we have to keep you here for a while for observation.
Grandma, maybe Dr.
Lockhart can ask you about your cough.
- Sure, we'll check that out.
- What about the dog? Oh, I think it's his diet.
No, he can't be here, even temporarily.
Is there some place you can keep him? - So should I call the SPCA? - Oh.
Bob's 13 years old.
Don't get me wrong, I support the SPCA.
But they take him, I'm stuck here a day or two and my Grandma can't get him out they might put him down.
So if Bob goes, I go with him.
You're sure you don't want this? - You'll be sorry.
- Lenore, did you lose consciousness? No, Dr.
Archie, I remember everything.
Cleaning my windows - BP's 90/50, 300 of saline.
- Gotta worry about the spleen.
Paramedics came.
Kind of cute, kind of like the two of you guys.
- Is she on meth? - Okay.
Possible left 1 Oth rib fracture.
- Whoa.
- Whoa.
You know-? You know what? If you don't mind.
- You want me to hold it? - What's with the suit, man? Uh, keep this on the QT, but I took a job with Ladokern Pharmaceuticals.
Doesn't start till July 1 st, but signing bonus.
Always been my dream.
Pushing overpriced meds to people who probably don't need them.
Always been my dream to hold Dr.
Archie's coat.
Okay, trauma panel, C-spine, chest, page Surgery and let's get an ultrasound.
Will Ruthie's x-rays take a little while? Only about 30 minutes.
- Isn't that what you said? - Something like that.
Can you take another deep breath in, please? How long have you had that cough? About three or four years.
Since Jimmy Carter was president, I guess.
Since you wish Jimmy Carter was president, right, Grandma? I write his name in every time.
Still waiting for Radiology.
Shouldn't be long.
Don't worry, dear.
They said it'd only take about 30 minutes.
Can you remind me again? When was Jimmy Carter elected? - I think it was back- - Mrs.
Pooler? Well, sometime before this latest bozo.
Oh, thank you.
You know, I don't much like any of them.
You wanna know why? I don't think Dr.
Lockhart cares much about our politics.
The price of stamps.
They all keep raising them.
This latest increase, can you believe it? Nineteen cents for first class.
Nineteen cents? Come on, Grandma, you know it's gone up a lot more than that.
Yeah, I know, I know, but I don't like to think about it.
If Ruthie has to stay in here it won't be more than a couple of days, right? Because I really do want her home for Easter.
- Grandma - I think Easter was last week.
Well, I certainly hope not.
We're picking up the ham on Saturday.
I've got four cases backed up in the O.
so this had better be real.
I'm Dr.
Albright from Surgery.
Does your belly hurt? - I guess so.
- Here you go.
- Fluid in Morison's pouch? - That looks like it.
Blood anterior to the bladder and in the splenorenal recess.
I've seen enough.
Prep her for the O.
I think we should get a CT.
- She's unstable, she's anemic.
- Could be chronic.
- She's hypotensive.
- BP normalized with a liter.
She's bleeding in her belly, end of story.
Get her upstairs.
Guess you told her.
Repeat the HemoCue, get a serum albumin and a urine protein.
- Yeah, but that could take- - Yes, Haleh, it could.
- I wanted to give you a heads up- - Steve's in Exam 2? I know.
- Hey.
- It's okay.
- We can get another nurse.
- Luka, thank you, but I can handle it.
Hey, Sam.
They thought it was appendicitis? Yeah, I was in a lot of pain on the drive over, but I feel okay now.
Figured they'd assign me another nurse.
Just doing my job.
So things are going pretty well, huh? Alex writes me a lot of letters now.
Yeah, I know.
Your temp's 99.
I'm happy for you, Sam.
New job, new place to live.
What's with the cross? The chaplain gave it to me.
Are you keeping up on your Bible studies? Yeah.
I'm picking up a thing or two.
And it doesn't hurt that those are the guys who'll watch your back.
Your BP's 124/80.
That's good, right? It's normal.
You think I'm faking this pain, don't you? A lot of guys do just so they can get out.
- Yeah.
- I can't say I blame them.
If there's one thing you can say about jail, it's everything it's cracked up to be.
One of the docs will be in to check you out.
Steve Curtis, 35-year-old detainee with abdominal pain.
Rule out appy.
How'd we get a detainee? Pain was 10 out of 10.
It's resolved.
That's convenient.
I feel I should let you know that Mr.
Curtis and Sam- Neela.
It's my ex, my kid's dad.
Oh, that must be really tough on your little boy.
- It is what it is.
- Hello, Mr.
I'm Dr.
Are you feeling any tenderness at all anywhere? No, it's better now.
His white count's 10,000.
- That's not very impressive, is it? - Pulse is down after a liter.
- It was pretty painful for a while.
- Oh, yeah? Could be the stomach flu.
You live in close quarters.
That could run rampant through half the population.
Close quarters? You're a riot.
Anyway, anyway.
Well, you're feeling better, right? And Dr.
Rasgotra here will sign you out.
He has a low-grade fever.
We should observe him- Come on, it's barely a low-grade fever, please.
- CBC shows a left shift.
- Yeah, but there's no leukocytosis.
I can appreciate these guys wanting to get out of the can now and then.
But we're not running a timeshare here, okay? Just release him.
I'm sorry if you didn't want me to mention your relationship.
It's okay.
I just don't need people protecting me.
You wanna write up his aftercare? - No, repeat the CBC.
- Neela, you don't have to do that for me.
I'm not doing it for you.
His history tells me to do it.
- History? What, lies and deception? - You never really thought he was sick? I don't know.
Clemente examined him and released him.
- He's a patient like anyone else.
- Repeat the CBC.
So it's not Alzheimer's? No, but there are similarities in how it affects people.
And with this type of dementia, it can sometimes progress very quickly.
But that means sometimes it can be slow.
Ruthie, let the doctor talk.
There are some concerns, Mrs.
Pooler, about your ability to take care of Ruthie.
- To make decisions, to cook.
- I can cook, I can make decisions.
Like you did about driving this morning? And Social Services is going to wanna talk to you.
Most likely, they're gonna wanna discuss putting Ruthie into foster care.
They can't do that.
You can't do that, that's not fair.
- We're not gonna let them, are we? - Ruthie.
I don't take the car much and I've never hit anything before.
I know everything she needs, all of her prescriptions.
- Neurontin, 300 milligrams, twice a day.
- Ruthie.
Diltiazem, 240 milligrams a day.
- Stop it.
- Lanoxin, 0.
125 milligrams a day.
Stop it now.
Please, please, don't let this happen.
I don't want anything to change.
Ruthie? When your mama and daddy died I thought that nothing would ever be the same.
And then we took the worst possible moments and we turned it into years and years of the best possible moments.
- Didn't we? - Yeah.
Oh, now, I know that at least about this one thing Grandma is not confused, am I? - No.
- No, that's my girl.
Oh, yeah.
Okay, so you don't want me to hold the coat this time.
Had a talk with myself this afternoon.
I said, "Archie, you know what? You are Dr.
Archie Morris.
You don't need no stinking Prada suit.
" - What did you spill? - Coffee.
Little numbing medicine here, Lenore.
- Morris, what the hell are you doing? - Peritoneal aspirate.
- Is your name Morris? - Her crit was stable.
- So I decided to do- - I've been waiting for half an hour.
I discovered she's been on lithium for a year.
- Oh, and that changes everything? - Not quite everything, but - Whoa, wait, she's prepped and draped.
- And bleeding internally.
- What's going on? - Wait, wait.
The lithium causes nephrotic syndrome.
Tell me something I don't know.
Her hypertension could be vasovagal from the rib pain.
- You wanna make that assumption? - Where am I going? - Hold on, honey, they're figuring it out.
- She may not need the O.
I feel very strongly about this, Dr.
- Oh, you do, do you? - Yes, I do.
Morris! Straw-colored fluid, not blood.
It's ascites from nephrotic syndrome.
She doesn't need surgery.
She needs steroids and a kidney biopsy.
Double trauma pulling up if you're looking for action.
No, I gotta head upstairs.
Sorry we missed you in your suit.
- How'd you know about my suit? - I know everything.
- Everything? - Dr.
Don't suppose I can get you to look at this open tib-fib in 4? - Sorry, Chuny, I'm not on today.
- All right.
- Dr.
- Dr.
- Don't worry, I am handling it.
- You haven't called Social Services.
I didn't say that.
I said they put me on hold.
I don't have the time- You really think you're gonna make things easier by keeping them around? No.
It's not easy.
They've always had each other.
I know, and it's horribly sad, but they can't stay that way.
We don't know that a hundred percent for sure, do we? This woman has bilateral lacunar infarcts.
She's gonna decompensate sooner rather than later.
And what? She's gonna raise a 12-year-old? Well, a very mature 12-year-old that seems so far to have done a very good job of holding it together.
They're a family, Luka.
Why aren't we fighting for that? Kids shouldn't be caretakers.
Sometimes they have to be.
I know in Croatia, you grew up like Ozzie and Harriet.
I'm sorry, I know you don't know what Ozzie & Harriet is.
But whatever.
The thing is, it's going to get harder and harder.
That doesn't mean that they're not better off together.
Like you were better off with your mother? - Sorry.
- You know, that girl is healthy.
She's in school.
She's in a loving environment.
The grandmother is still functioning.
She can handle her ADLs.
Yeah, for now, but what-? If you asked me if I wanted to be taken away from my mother I would have said no.
It's not our job to let the 12-year-olds decide.
Ruthie? Hey, Ruthie, stop.
Very mature.
Neela, your repeat blood work's back on your no doubt unfairly prosecuted wrongly incarcerated, rule-out appy.
- I told you to discharge him, didn't I? - His white count's up to 12,000.
- So what? - If his appendix burst on the way his pain might be temporarily relieved.
Wait, see if he declares himself.
- I examined him.
- His temperature's up to 100.
- Could be an appy.
- Right.
- No way.
It's impossible.
- Let me take a look.
The initial exam could've been in the post-perforation window.
- But he'd have signs of peritonitis.
- Takes a while to develop.
- Hey, Steve.
- He's diaphoretic, barely has a pulse.
Two liters, wide open, put him in Trendelenberg.
- Take the cuffs off, please.
- All right.
- His abdomen's rigid as a board.
- Can't be, can't be.
It was completely soft.
- Pressure's only 70 palp.
- He's gonna need a second IV.
- Give him a gram of cefoxitin.
- Are you gonna take him to the O.
If we get pressure up.
He's septic.
- Run a V-tach.
- Okay, get the crash cart.
They bumped your lap chole.
Hey, how are you? - I wasn't faking.
- Yeah, I know.
Rasgotra, Barney Fife here wants to know how long you're gonna detain him.
I was thinking, what? As long as possible? Yes, that would be correct.
Yeah? You've been working pretty long hours, Vic.
Getting any sleep? Bobby, I'm not doing this.
You hear me? I'm not doing it, man.
I've been wanting to talk to you all day.
Even stopped by to drop something off, but there was this sheriff's van outside.
What did you do, go and hire protection? I'm not playing your game.
You hear me? I'm not playing your little games.
Okay, okay, calm down, buddy.
I'll let you go.
Oh, and one last thing, though.
What time are you going home tonight? - Where's Dr.
Lockhart? - We'd have to check.
Please tell her Ruthie Pooler's here and I'll be in with my grandmother.
- Exam 3? - Sure.
Any word from Social Services? I think Dr.
Lockhart called them, but no one has been down yet.
It's just I haven't been getting any sleep lately.
And the thing is that I've been really, really needing some.
It's been kind of rocky since Jodie.
- Is she okay? - Oh, yeah, yeah, yeah, she's great.
It's just I was wondering.
Can you write me a scrip for some Ambien? - Is herbal tea not working? - Ha-ha.
- Very funny.
- Did you ask your doctor? Docs don't have docs.
You know that.
Abby, thank you.
Thank you, I really appreciate it, I really do.
- What? You give me two? Just two? - Tonight, tomorrow night.
And I'm sure by the next day, you'll have your own primary-care physician.
Ruthie Pooler's back.
She's looking for you, she's in the room.
- Thanks, Jerry.
- Come on, you're killing me.
Have you tried those nature CDs? Birds chirping? Waves crashing? I wasn't running away.
I didn't think you were.
I didn't think you would leave your grandmother.
Or your dog.
Ruthie Believe me, I know this is not gonna be easy.
Keys to my grandmother's car.
El passes.
Three months' worth.
Italian Cooking Made Simple.
Rachael Ray's 30-Minute Meals.
Better Food for Dogs.
This one's for Bob.
This one's for us.
- Untranslated subtitle - I can do this, Dr.
We can do this.
For this to happen, Social Services has to follow up with you.
Probably once a week.
You're gonna need home health-care workers, probably every day.
You said it wasn't going to be easy.
- Don't you ever pull that crap on me again! - Excuse me.
Excuse me.
- But the last time I looked, I was right.
- You were lucky.
A hypertensive patient with a low crit and a positive ultrasound needs surgery.
It was vasovagal, it was chronic anemia and it was ascites.
I saved your ass.
She could've bled to death.
You would've sliced her open on the table for no good reason.
Hey, Jerry.
- Olivia, how you doing? - Where are we? - Pick your poison.
Trauma 1 or 2.
- Thanks.
Pratt dropped this for you before he took off for the airport.
- Untranslated subtitle - - Untranslated subtitle - - Untranslated subtitle - They're lovely.
Too bad they're not mine.
Good afternoon, ladies and gentlemen.
This is the captain speaking - and welcome to Flight 1117.
- Thank you.
- Here you go, sir, vodka tonic.
- Thank you very much.
You're welcome.
How you doing? I'm Greg Pratt.
Vatima Abika.
Nice name.
So if you don't mind me asking, what's taking you to Khartoum? I live there.
I work for the government, Ministry of Education.
I'm a doctor.
An emergency physician, actually.
And I'm on my way to Darfur, to do some work at one of the refugee camps.
You mean IDP camp.
They're not refugees, they're IDPs.
Internally Displaced Persons.
- Right, right.
- Why? - Why, what? - Why are you going? Um, I don't know.
Something new, I guess.
You know, something different.
And you've read up on Darfur? Oh, yeah.
It's a lot.
Yeah, well I work in Chicago, at County ER.
And I've treated hundreds of gunshot wounds, knife wounds - domestic violence.
- Ahem.
I think I know my way around.
AIDS, malaria, dysentery.
Two million people homeless.
Not to mention the nearly Boys, babies, tossed onto bonfires.
Women and young girls raped, sometimes by men, sometimes by bayonet.
The work of gangs, all things you have seen.
But in Darfur it's political and on a massive scale.
And while this insanity rages on and on and on the rest of the world continues its debate: Is it or is it not genocide? This is not debate, this is paralysis.
Can you treat that, Dr.
Pratt? Can you cure paralysis? I don't speak Arabic, only English.
Work? Where are you working? Yeah, I'm going to work in a refugee- An IDP camp.
I'm a doctor.
Is there a problem? Ibrahim, you're gonna run the battery down.
Come on, we need you.
I was wondering if you could help us, Mr? Mr.
Mudawi, we're here to pick up that gentleman right over there.
It would be a lot easier if they had someone who could speak English.
Yeah, the whole language thing, very inconvenient.
Giving me the third degree over a paperback.
They wanted to confiscate it like it was the Nazi master plan or something.
Guess they don't put much money into road work.
I'm just gonna assume you're being facetious.
Doesn't look like they put much money into anything.
Money is not the real currency around here.
Life is mostly about a little bit of food, little bit of firewood.
Safety is the scarcest resource of all.
Well, it's hot as hell.
You got any cold sodas or waters in this cooler? Oxytocin, measles, Hep B and tetanus vaccines.
I can't believe it.
We're in middle of nowhere and he's got Sonny and Cher? Ibrahim speaks English, Pratt.
Hey, sorry about that, man.
How you doing? Whoa, what the hell is that? Keep driving, but slowly.
Maybe they won't stop us.
- Who are these guys? - Janjaweed.
Don't do anything, don't say anything.
- No, I'm not leaving you.
- He won't hurt me.
I'm not leaving.
He's not Sudanese.
He's an ex-pat doctor, only here to help.
He has no gun.
We have no guns.
We're on our way to Dumtala Camp.
Pratt, tell him.
Pratt, tell him who you are in English.
Tell him! I'm a doctor.
We're all doctors.
We're on our way to the Dumtala Camp to help the sick people.
We're not armed, we have no guns.
We're only here to help.
Okay, Ibrahim, let me take a look, man.
- Ouch! - Okay, okay, okay.
Yep, it might be broken.
No septal hematoma, so you'll be okay.
Just pinch it, keep the pressure on.
- Radio's no good.
- Yeah, what a surprise.
What are you looking for, a phone booth? Who feels like walking? Mouthwash? You've gotta be kidding me.
You're a weird dude, Pratt.
Do you need some help? What? No, take it easy.
Relax, I'm a doctor.
Take it easy, relax.
Sorry, sorry.
I'm a doctor.
Do you speak English? Do you need some help? Actually, I think it is you that needs some help.
I'm Stephen Dakarai, medical director here.
- Nice to meet you, I'm Greg Pratt.
- I know.
I was trying to see if I could do anything.
The girl was raped.
It's custom that only women take care of those patients.
But don't worry, Zahra is an excellent nurse.
She will handle it.
- Yeah.
- Come.
So you just got here.
- And not easily, I heard.
- Yeah, well, that's one way of putting it.
The Janjaweed, generally, they do not hurt the doctors or the NGO workers.
One never knows what might happen.
Are you okay? I caught myself a stomach virus.
- You must be careful what you eat here.
- Here you go.
This is the best we could come up with.
We don't have a supply sergeant.
- Thank you.
- We'll take up a collection for you later.
A young girl's outside.
Wants us to check on her grandmother.
What's the problem? She's got vomiting and diarrhea.
Too weak to walk.
Hey, Greg? You wanna take the 10-cent tour? Yeah, sure.
I'll be right out.
I'd offer to come too, but these IV poles, they don't run so well in the sand.
- Hey.
- Hey.
- Hey, Pratt.
How are your feet? - Still working.
- See you later.
- All right.
- Debbie and Dakarai, huh? - Yeah, they're an item.
Tell me the news.
What's the news from County? Uh, well, Susan Lewis left, took a job over in Iowa City.
Yeah, I talked to her.
She thinks she got kind of screwed.
She did.
Now we've got this guy named Clemente.
He's the new Attending.
Frank calls him Dr.
He's really not a bad guy.
He's just, I don't know, a little nutty.
And the R-2s? Well, we're still keeping our fingers crossed that they don't kill anybody.
Even Abby? Abby's always ahead of the rest.
You know, her and Kovac are back together again.
Really? Yeah, man.
They're about to have a baby.
Wow, that's news.
It's great news.
I'm happy for them.
I'm gonna have to send them something.
From here? Well, good luck with that.
Harun, stay with her.
Ishaak, what happened? He rode too close to the village by himself.
They took him off his horse.
He is Janjaweed.
- They're beating the hell out of the guy.
Stay back.
No, Pratt.
Let Ishaak handle it.
Is that vodka or gin? Something like that.
With a little green food coloring? It's a good trick.
Yeah, well, I'm a guy who really knows his way around.
Welcome to Darfur.