ER s13e19 Episode Script
Family Business
- I'm in pain, I've been here three hours.
- I'm sorry, we're very busy.
- You haven't done crap.
- I'll try to - You said that an hour ago, bitch.
- I'm doing the best I can.
So why don't you just settle down? - No, you settle down.
- Oh! [GROANS.]
Okay.
So, what went wrong? - She didn't stay calm.
- Her tone was threatening.
She needed to keep her distance.
You okay? LITCHMAN: All right, good.
So let's review the key points of managing assaultive behavior.
I made coffee.
Thanks.
Is this your history project? - No, I'm paying the bills.
- Huh? - You've been late three months in a row.
- Sarah I don't want them turning off electricity.
- Is that my checkbook? - I make them out, you still have to sign.
Sweetie, I know you're trying to help - Morning.
- Hey.
- Nice outfit.
- Job interview.
- What kind of job? - Executive assistant.
That's a fancy name for answering the phone.
Maybe he can help with the rent.
[REFRIGERATOR DOOR CLOSES.]
We have $90 to get us through the week.
Look, if this thing comes through, I'll be out of your hair in no time.
- Yeah, right.
- Hey.
All right, shredded wheat or cornflakes? - So how you been? - I've been all right.
Hey, how about those Cubs, huh? Catch that game last night? Some win.
No.
All right.
Uh Okay, so you invite me to breakfast to talk about baseball.
No, it's something else.
I wanna fix things.
ALL: Neck.
- Ha! ALL: Knee.
LITCHMAN: Good.
ALL: Nuts.
- Good, good.
[ALL CHEERING.]
Now, remember the goal is to defuse violent behavior.
This training is just a last resort.
- Next.
- Come on, Sam, go, go.
Woo-hoo! TIM: Kick his ass, Sam.
MAN: Let's go.
LITCHMAN: You ready? Hm-hm-hm.
ALL: Nose.
Come on, you can do better than that.
ALL: Nuts.
- Show me some strength.
- I just don't wanna hurt you.
I've got enough padding on to stop a tank.
- Come on.
ALL: Neck.
I'm worried about you, Sam.
Bad guys will rip a little lady like you to shreds.
- Oh, really? You think? - Yeah, I know.
ALL: Knee.
LITCHMAN: Aah! ALL: Whoa! [LITCHMAN GROANING.]
Look, I've been thinking about it a lot.
I let you down.
I know that.
It doesn't matter what you wanna do or how you wanna live, I'm still your brother.
See, when I pushed you away, I messed up.
But I can do better.
I think we both can.
Look, it's just like when you moved in.
You know, you could've been a little bit more honest.
You could've told me what was really going on with you.
I didn't know how to tell you.
What, are you on some 12-step program or something? No, man, it's just I spent too many years pushing people away.
I don't wanna do that anymore.
That mean you gonna be talking to Dad? [SIGHS.]
Let me work my way up to it.
[CHUCKLES.]
I'll give you that.
[BOTH CHUCKLING.]
ABBY: It's been five days.
- So? So? Fever without source freaks me out.
- It's a virus.
- Yeah.
Or it could be a serious infection that we're missing.
Look, he's playing well, he's eating.
Joe's not sick.
Well, I'm gonna check this just to make sure.
- Abby.
- What? What? I got a little urine sample this morning, so? HALEH: Dr.
Kovac.
- Bad CHF, Trauma 2.
- Okay.
- Class over already? - It ended a little early.
[DOOR CLOSES.]
You're being silly.
If this were someone else's baby, you'd tell them not to worry.
All right, you're right.
He probably just caught my cold.
[ELEVATOR BELL DINGS.]
Hey, Timmy.
You're back.
- And better than ever.
- Can you send this for a UA? - Which patient? - John Doe.
All right.
I got it.
Officer Litchman needs a room.
Curtain 2, and hold for a chart.
Nice move.
We were supposed to be off till noon.
SAM: Sorry.
- Whoa.
Dislocated patella.
How did that happen? He was teaching the Assaultive Behavior class.
Nurse here got a little carried away.
Kicks like a mule.
- You said to bring it on.
- I wasn't expecting Bruce Lee.
- So how long is this gonna take? - Normally? All day.
But I'll try to get you out in less than an hour.
Yeah, right.
I'll bet you a doughnut I can.
Heh.
Man, you sure know how to get a cop excited.
[CHUCKLES.]
- Crackles to the apex.
- Forty of Lasix.
It feels like I'm drowning.
Ever have fluid in your lungs? A heart attack? High blood pressure and high cholesterol.
Can someone call my dad? " Rutley and Son Heating and Air Conditioning.
" - Your dad still works? - No, he lives with me.
I moved my office home so I can look after him.
BP's 195/120.
- Okay, nitro drip at 40 mics.
- What meds you on? Nothing, nothing for your pressure? - Cholesterol? - Ran out.
KOVAC: How long ago? - Long time.
Please call my dad.
He's expecting me.
HALEH: Twelve-lead's here.
What about your doctor? Who's your doctor? His name's on my insurance card.
I'll see him tomorrow.
You're in congestive heart failure.
You need to be admitted to the ICU.
I'm fine.
It's my dad I'm worried about.
I was really bummed out about the way we left things.
Hey, man, I'm glad you came down to meet me.
You know, if you ever need anything, I'm here for you.
Actually, I could use a favor.
I'm applying for a job and it'd help if you could write a letter or something.
- All right, what kind of work? - An EMT with the fire department.
- Really? - Yeah.
Money's good, flexible hours.
Perfect for a student.
- An EMT, huh? - What's wrong with that? They're not the most open-minded individuals if you know what I mean.
Yeah.
I mean, it's definitely a " don't ask, don't tell" type of situation.
I mean, if you're gonna fit in, you gotta just be one of the boys.
I know how to handle it.
And if it works out, who knows? Maybe I'll think about med school.
[CHUCKLES.]
- Don't do it, man.
- Really? I see what you do.
It's good work.
Really? So you're thinking about Emergency Medicine, huh? Oh, hell, no.
Plastic Surgery.
If I'm gonna put in all that work, I need to make some coin.
[CHUCKLES.]
[HIP-HOP MUSIC PLAYING OVER CAR STEREO.]
No.
The swabs were sent in three weeks ago.
Anthony Gates, Sarah Riley.
Yes, I can hold.
- Hey, trauma coming in? - Crohn's fistula.
- Paternity results never came back.
- How's Sarah holding up? She's all right.
She doesn't wanna talk about it.
- Must be on her mind.
- She's moving on.
Today, she finds my checkbook.
Pays all my bills.
Oh, really? Maybe she can become a CPA.
When I was 12, I stood in line all day for the Return of the Jedi premiere.
That's all I want her to do.
- Be a Star Wars nerd? - No, be a kid.
No.
They didn't come in the mail.
I didn't get them in the mail.
Can you just tell me over the phone? KOVAC: Gates.
- Fine, send them again.
- You okay? We'll catch up later? - Yeah.
GATES: ICU said one hour.
- We're going to the cath lab.
- Is he stable enough? - Well, we'll stay with him.
If they can open up an artery, maybe it will reverse his heart failure.
DANNY [WEAKLY.]
: My dad? - Oh, yeah.
We called him.
He's on his way.
I got 50,000 in mutual funds at First National.
Okay.
- See if his BUN and creatinine are back.
- Got it.
- Hey, Gates.
GATES: Hmm? Who do you know at the CFD in the Paramedic Training Program? Everyone.
- Any of them actually like you? - I'm popular everywhere I go.
Need to check postreduction film before he leaves.
- Going to the roach coach.
- She owes me coffee.
What? You owe me a doughnut.
So let's say I had a friend who wanted to be an EMT.
Oh, very tough.
Very competitive, a lot of applicants.
- It's my brother.
- Your brother? Family? Why didn't you say so? - I'll be his hook.
- His what? In City Fire, you need someone on the inside to help you move up.
I'll help your brother out.
No worries.
From now on, I'm his rabbi.
[SIGHS.]
- What makes you think I'm buying? - Least you can do.
- After you destroyed my knee.
- Oh.
It's not even broken.
The kneecap just slipped out of place.
- So where did you learn moves like that? - In high school.
That's a hell of a PE class.
Yeah.
A little Muay Thai, some Krav.
Whoa! Yeah, I had to learn to protect myself.
From mean football players who wanted a date to the prom? Ha-ha.
No.
The metal-heads who wanted a quickie behind the Dairy Queen.
Ha-ha.
Damn.
You know, you're full of surprises.
Sam.
[SPEAKING IN ARMENIAN.]
[TIRES SQUEALING.]
Move, move, move.
[SHOUTING IN ARMENIAN.]
[AIR HISSING.]
[CLATTERING.]
[SIREN WAILING.]
- How's your guy? - Good vitals.
- What about the driver? - Ask Bardelli.
- Neck pain? LITCHMAN: Ahem.
Nope.
- Do not move.
- I'm okay.
Aah! God, I put my knee out again.
BARDELLl: Easy, fella.
[SPEAKING IN ARMENIAN.]
Is he altered? - Kind of hard to tell.
- Let's get him on a board.
- Hey, Sam, open up a trauma room.
- Got it.
Came out of nowhere.
You think he's drunk? - Don't know.
PRATT: One, two, three.
[PRATT GRUNTS.]
[SPEAKING IN ARMENIAN.]
Sir, what's your name? Do you speak English? - Gotta assume he's altered.
- Pupils equal and reactive.
ABBY: Hey, guys? Let's start with a trauma panel and C-spine.
Can you unlock the door? - I'll tape his head down.
ABBY: Just unlock the damn door.
- Whoa.
What's the matter? - Something's moving in there.
- Two more victims.
PRATT: Oh, man.
ABBY: Looks like we've got an adult male and a little boy, both unconscious.
Excuse me.
How much longer? - Well, your son's still up in the cath lab.
- So it will be a while? It's hard to say.
- Should I wait right here? - Let's get a cup of coffee, Mr.
Rutley.
- We can try 1.
25 of IV enalapril.
- Okay.
Is that you, Danny? Yeah, I'm Dr.
Kovac.
- Hi.
- Wayne Rutley, what is all this? During the cath, the fluid in his lungs got worse.
So we had to put a tube down his throat.
- Are you having any pain? - Sir, he can't talk with the tube in.
- Are you a relative? - A home health aide.
- Is this a heart attack? - It's a cardiomyopathy.
- A what? - His heart is squeezing very weakly.
He's young.
He's got a good heart.
He's had untreated high blood pressure for a long time.
Well, he's always working.
He never gets to a doctor.
GATES: Has he been short of breath lately? I just met him today.
Danny calls an agency when he goes out to bid on a job.
He thinks I need a babysitter.
His eyesight's not so good and he has memory problems.
Were they aluminum ducts? I told you.
You need galvanized sheet metal.
PRATT: Tight wheezing.
He's barely moving air.
Trauma 1, let's get Gates on this.
- Head lac, good vitals.
PRATT: Okay.
[CONTINUES SPEAKING IN ARMENIAN.]
Little guy's concussed.
GCS 14.
Okay, good.
Exam 2, both of them.
- Might take longer this time.
- Some of the others look pretty bad.
Hey.
Next time we go out, I'm driving.
[DRIVER SPEAKING IN ARMENIAN.]
Does anybody know what language this is? - Sounds like Farsi, maybe? - Kid needs a line.
- Grab a Buretrol from Trauma.
- Ahem.
Take slow, deep breaths, okay? Give the medicine a chance to work.
Hey, Bards.
Captain Mahoney still with 43s? - Had pancakes with him this morning.
- Have him check his e-mail.
- You picking up shifts? - No, it's about an EMT applicant.
Captain Mahoney's on the EMT selection committee.
Key player.
Hey, Pratt.
What am I missing? Tight asthma.
He might be biting plastic soon.
- Everyone else is stable.
- Dr.
Kovac.
[ALARM BEEPING.]
HALEH: V-fib.
Paddles are charged.
What happened? Clear.
[GASPS.]
HALEH: Normal sinus.
- Got a pulse.
- Thank God.
- Is your son married? - He never met the right girl.
KOVAC: And your wife? - She passed in '82.
You're doing better, Danny.
Open your eyes.
Ninety over sixty-five.
Up the dopamine.
Hang in there, pal.
Hang in there.
- More cricoid.
- Sats are dropping, pull out.
- Cords are way anterior.
- He's getting harder to bag.
Ah.
- Sam.
- Kid's starting to open his eyes.
Okay, good.
Look, I need an ET view now.
All right.
Be right there.
[DRIVER SPEAKING IN ARMENIAN.]
- Head CT's clear on flower guy.
- Oh, good news.
- You need a Farsi translator? - Oh, yeah.
He's got a head injury, so he might be disoriented.
[SPEAKING IN FARSl.]
[SPEAKING IN ARMENIAN.]
He doesn't speak Farsi.
I think that's Armenian, sorry.
Any Armenian nurses up there? [SPEAKING IN ARMENIAN.]
Hey, that's him.
- Hey, how do you know this guy? - He saved us.
And where's my brother? ABBY: Oh! Hey.
Hey, hey, hey.
- Julio, it's me, Tomás.
ABBY: Step back.
- Move it to the right.
- Is that better? - No.
- He has asthma.
- We figured that part out.
- They're brothers.
- Ahem.
So how'd this happen? - We were going to the drugstore.
He couldn't walk.
Then he couldn't talk.
The guy with the flowers threw us in the back and drove to the hospital.
So Yakov over there is the Good Samaritan.
Damn it, bag him up.
- He dropped his spray if you need it.
- Okay.
Come on, there's a better place to wait.
- I wanna stay with my brother.
- We'll be back in a few minutes.
- You wanna try fiber optic? - Nope, I want Sam.
- Got a guy who's not breathing.
- I can wait.
I'll be there soon.
Got everything.
- Pulse ox, 89.
- Sats are good enough to tube, huh? No, I want a cushion.
Let's get him up to 95.
All right, we'll wait.
There's a little, tiny camera at the end of this tube.
- You're all set.
- Slow down, Lily.
He's got a long expiratory phase.
Hey, I can get a copy of last year's EMT exam for your brother.
- Good.
- We're up to 92.
Grab an end-tidal detector, will you? We'll find out who's doing the interview.
Find out his hobbies, his favorite sports teams, stuff like that.
- Okay.
GATES: All right.
We're up to 95.
All right, cool.
Is it okay if I do this? I'll give you one shot.
- All right.
- You need a laryngoscope? - Yeah.
- No.
Watch the screen and pass it through the cords.
- All right, I knew that.
- All right, come on, let's go.
All right.
Taste buds.
Tonsils.
Epiglottis and the promised land.
- Straight shot through the cords.
- All right, bingo.
Stopping short of the carina, and bag him.
- Nice.
- Looks like Kovac could use a hand.
Oh, yeah.
Not so good.
All right, thanks for letting me do this.
This was a good thing for me to learn.
HALEH: V-fib.
KOVAC: Take over compressions? No problem.
- Another amp of epi, charge to 360.
WAYNE: Good.
Shock him.
It worked before.
Clear.
Still in fib.
- We're not making much progress here.
- What's that supposed to mean? His heart is too weak.
It's not responding to our medicine.
- But you're not giving up? - No, no, we're not giving up.
I just need you to understand that it's not looking good.
You're saying he could die? - It's a possibility, sir.
- Oh, he's my son.
[VOICE BREAKING.]
He's my little boy.
Don't leave me, Danny.
- Call the social worker.
WAYNE: Don't leave me.
Don't leave me.
- I'm in pain, I've been here for hours.
- Sorry.
You haven't done crap for me.
- Ho-ho-ho.
Don't start that again.
- Look where it got me last time.
All the docs are busy.
I need an order for IV sedation.
- Can't you pop it in? - Without painkillers? I've been shot before.
I can handle it.
I think a doctor should do it.
Come on, Sam.
Don't be a wimp.
Just pop this back in place so we Aah! Aah.
Hey.
Hey, tough guy.
Wake up.
[EQUIPMENT WHINING.]
Asystole.
GATES: Resuming compressions.
Mr.
Rutley, it's been 45 minutes.
- Should a cardiologist see him? - They'd do the same thing.
It's too late.
No.
- No, no.
KOVAC: Look, we're gonna stop now.
I'm sorry.
Danny.
Danny.
[CRYING.]
Oh, my God.
[EKG FLATLINING.]
Oh, my God.
What am I gonna do? Sir, there's a social worker here that will help you.
WAYNE: How could this happen? How could this happen? How could this happen? [WAYNE SOBBING.]
I'll do the coroner's paperwork.
I'll make sure he's taken care of.
- Tidal volume, 700.
AC of 10.
- Okay.
How's the x-ray look? Good? Well, he might have a small pneumo.
- Call Radiology for a wet read.
- Okay.
TOMÃS: How long's he gonna sleep? - Um, might be a while.
After he wakes up, we can go home? You know what? He's gonna have to be here for a couple days.
Can I stay with him? - Yeah, but you have to go home at night.
- By myself? No, we're calling your parents.
No.
It's just us.
Ever since Mom died, Julio's my guardian.
You don't have any aunts or uncles? Okay, we'll figure it out.
And you can hang out here for now.
- All right? - Good.
I'm staying with you, J.
I'm gonna stay right here.
Hey, tough guy.
Wake up.
- You need a doctor? - No, he just vagalled.
- I'll check his vitals.
- Abby, urine's clean on John Doe.
Great.
No leuks, no nitrates.
Thank you.
Hey, Timmy? Repeat knee on Litchman.
Okay, wait.
How does a 10-day cruise turn into two months? - Heh-heh-heh.
Gracie will fill you in.
- Yeah, she's not talking.
Okay.
After we docked in Singapore, I showed her some of my old haunts.
Climbed the temples of Penang, cycled the Quang Ninh coast.
Elephant-trekked through the Ratanakiri.
- Elephants? - Yeah.
We got hung up at the Cambodian border and we'd still be there if Gracie hadn't tapped into her 401 K.
Well, that's too much information.
Hey, Miranda.
How's he doing? One-oh-two? Well, did you give him a Tyleno? Okay.
Well, call me after his nap.
Bye.
No relatives, no long-term-care insurance.
Guy worked all day, took care of his dad, but didn't plan for this.
Take-home lesson? Don't assume that you're gonna outlive your dad.
Abby, Pratt says you need Social Work for your asthma kid.
Thanks.
Gates, don't get too busy.
There's a guy out in the lobby looking for you.
[CLATTERING.]
- Hey, I thought we could grab lunch.
- I got five minutes.
How did the interview go? - Not so great.
- Not so great.
- You didn't get the job, right? - No.
- What happened? - Well What? I don't know anything about Word.
And what the hell's Excel? So it wasn't a good fit.
Since when do you need a computer to do a day's work, right? What about Chuck Mooney's construction company? He sold it.
What about, what's his name? Your friend, Billy Prior's restaurant? Turned it into a yoga studio.
- Something will come up, hopefully.
- Yeah.
Actually, you could help me out tonight.
I don't want Sarah cooking.
Why don't you go to the grocery store, get some groceries? - And cook dinner tonight.
- No, no, I can't take your money.
You used to love to cook at the firehouse.
- Yeah.
- You love cooking.
Yeah, yeah, yeah.
I could do a chicken pot pie.
- Maybe a London Broil.
- Yeah, yeah.
- The boys always liked my London Broil.
- Surprise me, surprise me.
Patients are in the hall, Abby.
Water pipe burst.
Okay.
[SNIFFS.]
[RASPY VOICE.]
Rose Nichols? That's me.
ABBY: Ahem.
Hello.
I'm Dr.
Lockhart.
- Let's see, fever and a cough.
- For almost a week.
- Okay, how are you feeling? - I'm a little under the weather.
Yeah.
Well, there's a lot of colds going around.
And sometimes it takes a couple of weeks, but kids usually get over it.
[MACHINE BEEPING.]
Eighty-one? Could mean we're not getting a proper signal.
Let me see.
- Uh-oh.
- What? Sounds like pneumonia.
And her oxygen level is really low.
So I think we're gonna have to admit you.
Everyone said she was fine, but I knew it was more than a cold.
Okay, he's clear for discharge.
[BOTH SPEAKING IN ARMENIAN.]
- How are the boys? - Oh, they're doing well.
- What? - He's asking you for a date.
Oh.
Well, repeat the head CT.
I think he's still altered.
[DOOR CLOSES.]
- I didn't know you were here.
RAY: Yeah, just got here.
- There's lots of trauma today.
- I heard.
Hey, the guys from my old band are playing this Saturday night at Exit.
I might be on call.
- So we're still waiting? - It's only been a week.
Okay.
I'm gonna go clear some of these beds, all right? - Okay.
- See you.
Sarah? - Have you seen Tony? - Well, I can look around.
- No, I'll wait.
- Okay.
Or maybe you can help me.
Sure.
It's kind of personal.
Okay.
Come on.
I need a vaccine.
NEELA: Which one? - HPV.
- It prevents cervical cancer.
- Right.
But the school nurse gives it and you need your parents' permission or your grandparents' permission.
They wouldn't understand.
- Does Tony know about this? - Not yet.
- Are you gonna tell him? - No.
It's private.
It's okay.
I mean, you can tell him.
If you want to.
Why didn't you go to your pediatrician? He only takes care of little kids.
Besides, I think I need a new doctor anyway.
Do you know a good G YN? KOVAC: So you can't place him? Best I can hope for is a crappy nursing home that'll accept $ 100 a day from Medicaid.
Not sick enough for a nursing home.
He needs assisted living.
Medicaid nor Medicare will cover that, he can't afford it.
- The son's assets? - They'll be tied up in probate for a year.
I've tried three board-and-cares.
They want cash, today.
Greedy bastards.
But we got a bigger problem.
I'm not sure he's competent to consent to nursing-home placement.
Didn't seem that altered.
DADE: His Alzheimer's gets worse as the day goes on.
KOVAC: Sundowning.
We need someone with durable power for his health-care decisions.
The son had it.
Lot of good that does us now.
We're scrambling to get an emergency State Guardian.
Hey, any luck finding a foster home for Tomás? - Piece of cake compared to this.
BETINA: Dr.
Pratt? You called for a wet read? Yes, I did.
A possible pneumo.
Excuse me, please.
Haven't seen you in a few weeks.
I was doing an invasive fellowship in Dallas.
- For six months.
- Really? - Well, I sent you a few e-mails.
- Never got any of them.
- You must've changed your address.
- I've had the same address for years.
So you think there's some pathology here? Palpitations.
Like your heart's skipping a beat? - More like it races.
Every now and then.
- Ray, can I get you to look at a knee? - Yeah, excuse me.
- It's happening.
[ALARM BEEPING.]
- I'll get the crash cart.
- My chest is gonna explode.
- Got a pulse, a hundred of lido.
- Anything surgical? Stable V-tach.
- Responding to lidocaine.
- Ahh.
That's better.
I guess you won't be needing me.
Milligram a minute.
Titrate up, p.
r.
n.
Ectopy.
NEELA: Hey.
- Hey.
- I left a consult on your asthma guy.
- Thanks.
- Did you know Sarah's here? - Huh? - She's asking for the HPV vaccine.
- You're kidding me.
- Does that mean? - No, we didn't get that far.
She wants the world to know how grown up she is.
NEELA: I wouldn't worry about it.
It's just a phase that girls go through.
KOVAC: Gates.
- Coming.
NEELA: Good luck.
Thanks for your help.
I'll hold.
We got a Guardian assigned and two nursing homes to choose from.
- Great, thank you.
- Thanks.
Think he'll be able to decide which one? Well, let's hope so.
Hello, Mr.
Rutley.
Hello.
When am I leaving? Well, that's what we're here to talk to you about.
Well, what's there to talk about? We found a couple of places that can take you tonight.
- Well, what kind of places? - Convalescent homes.
Oh.
I have a home.
Well, you're gonna need help now, getting around, meals.
I have help.
I have meals.
We eat dinner at 7.
Someone ought to call Danny, tell him I'm gonna be late.
Wayne, you know about Danny.
Remember? Sure.
He went out to bid on a job this morning.
He ought to be home by now.
Wayne, you know, Danny was in this hospital today.
[CHUCKLES.]
What, Danny? No.
Danny's not sick.
KOVAC: He had a heart problem.
L Nobody told me anything about that.
His heart stopped beating.
GATES: We worked on him for over an hour.
Where is he? Uh He's better now? He died, Wayne.
[GASPS.]
KOVAC: Danny's dead.
[CRYING.]
No.
No.
No, I don't believe it.
It's not possible.
Where is he? I wanna see him, where is he? - He's in the morgue, Mr.
Rutley.
- What? Take me there.
Take me there.
Take me to my son.
Please? Please, I wanna see him, I need to see him.
I wanna say goodbye.
The CDC recommends starting the HPV vaccine when you're 11.
All right, we need to talk about this.
Okay, let's talk.
- HPV is a sexually transmitted - I'm not having sex, okay? But when I do, I wanna be responsible.
Even if I said yes, your grand Okay, do you realize how stupid this is, though? I'm old enough to go and get birth control on my own.
But you won't let me go and get a vaccine that could save my life.
- Sarah, you're 12 years old.
- Yeah, I know.
- What's the rush? - I'm not rushing.
But I can't help it if I'm growing up now, can I? Need you to fill out transfer papers for Mr.
Rutley.
I'll be there in a second.
Can we continue this at home? Please? - So I can't get it now? - Not today.
SARAH: That's so unfair.
[SIGHS.]
All right.
We got you five days off work.
I have a self-defense seminar tomorrow.
Wanna fill in? [ALARM BEEPING.]
Oh, crap.
V-tach again.
- It's the third time.
- I need Ray.
I'm on lidocaine and amiodarone.
Shouldn't I be in the ICU? Hey.
- Have you been faking this whole time? - No, I had an itch.
RAY: What's going on, Sam? KENNY: What are you doing? - Is it his heart? No, it's his finger.
Ah.
[ALARM BEEPING WHILE TAPPING.]
[GASPS.]
- Uh-oh.
V-tach again.
- Sam? - It's a shockable rhythm.
- Shockable? No.
- Clear.
- No.
Aah! - Crazy bitch.
- Yeah, you're the crazy one.
- Sam, have you lost your mind? - Come on, it was only 10 joules.
Really? Oh! Huh.
Yeah, I guess that's not so bad.
It's called a negative Mach band.
Looks like something's there, but it's not.
It doesn't even exist.
Wow.
It's a retinal phenomenon.
The eye is fooled at a light-dark junction.
Always something new to learn.
I'm glad you're back, thanks for the help.
Hey, hey, hey.
How about we grab some dinner sometime after work? Maybe.
Call me.
WAYNE: Danny? Pick up the phone, son.
If you can hear me, pick up the phone.
Are you? - Is this one yours? - Yeah, yeah.
I don't like leaving messages on the machine.
Let's get you back to your room.
I need to call my son.
He doesn't know I'm here.
Please.
[ARGUING IN ARMENIAN.]
Guys.
Guys, hey, hey, hey.
Knock it off.
I am sorry.
I am upset.
My brother.
He totaled my van.
Yes, but aren't you happy that he's okay? Without van, my business is dead.
- All because he drives like madman.
- Sir, he saved someone's life.
Yeah.
What are you talking about? He was speeding because he had a sick patient in the back.
[SPEAKING IN ARMENIAN.]
I am sorry.
I didn't understand.
[BUZZER SOUNDS.]
- Hey, Pratt? - Yeah? - I need you to sign the discharge.
- All right.
- Got any questions, man? - Yeah, can I go out on crutches? - Ha.
- Hospital policy.
Wheelchair is safer.
- Oh, all right, I'll make an exception.
- All right.
[BUZZER SOUNDS.]
[SPEAKING INDISTINCTLY.]
Ah.
Hey, Joe.
Hey, how are you feeling? I miss you.
Hello.
His temp's down, but he didn't want the bottle.
- Oh, my God, look how big he's getting.
- Yeah.
- Hey, you need me to stay? - No, thanks, have a good night.
Shh, shh.
- Hey, Sam, is Exam 2 open? - Yeah.
[JOE CRYING.]
Look, this is where Mommy works.
Look.
- Greg, I need a favor.
- Okay.
You taking me home? You're going to a nursing home.
Heh.
No.
Those places are for old folks.
- That's where you're gonna live.
- No, I told you, I live with my son.
[SIGHS.]
- Mr.
Rutley.
- Hmm? I spoke to your son.
Hmm.
Is he picking me up? He wants you at the new place.
He does? Is he gonna be there? I'm sure he'll find a way.
- So we can have dinner together.
- Lf that's what you want.
Well, I guess it's okay.
Tell him I won't start eating till he gets there.
Hey, Luka.
I'll be right with you.
Well, all right, officer.
You are on your own.
Thanks, Sam.
You've been great.
Ha-ha.
Your day might have been better if you never met me.
I'm not so sure about that.
- I hope I see you around.
- Yeah.
- You need a pen? - Uh Yeah.
Now, see " Rutley and Son.
Since 1959.
" Thank you.
When we started, it was just me.
Oh.
Now, Danny's got four guys working for him.
He's a good kid.
Hmm.
I'm a lucky guy.
Take care, Mr.
Rutley.
- You okay? - Yeah.
Are you still in touch with your father? Not since I was 3.
You? He's in Croatia.
I haven't been there in a long time.
[DOOR OPENS.]
- Hey, what's for dinner? - Spaghetti.
There's more in the pot.
- I'll go shopping after dinner, okay? - Oh, I don't think so.
- We have to eat.
- Come on, Sarah.
- I know what you're doing.
- What? - Cooking, shopping, paying bills, clean - Somebody has to.
I want you to be a kid.
Please, just enjoy being a kid, okay? Right, I forgot.
I'm supposed to text my friends and hang out at the mall, right? - What's wrong with that? - I like taking care of the house.
- Just let me do it.
- When you become older you'll have plenty of responsibility.
Trust me.
[DOOR OPENS.]
[SLURRING.]
Hey, smells pretty good in here.
What is that? [OBJECTS CLATTERING, BOTTLE ROLLING.]
Where are the groceries, Mike? Oh, shoot.
I knew I forgot something.
All right.
Sarah, go do your homework.
- I'm not finished yet.
- Now.
- I gave you a hundred dollars.
- I know.
- How much you got left? - I don't know.
Give me your wallet.
- Tony - Give me your wallet.
Six bucks? Six bucks.
Well, it was Lou Sanders' birthday and so I bought a couple rounds.
- No otitis, no pharyngitis, no nothing.
- You sure? Yeah, I'm sure.
This is the healthiest kid I've seen in a long time.
- Really? - Really.
Really.
Okay.
Well, you know, the babysitter was in the neighborhood.
And she was worried, so I thought I'd get a second opinion.
I see.
Thank you.
[ABBY GASPS.]
- There's Daddy.
Say hi.
- Hey.
[SPEAKS IN CROATIAN.]
- What's he doing here? - Um It's a warm night, I thought we could all take a walk to the pier.
Nice.
I'm gonna go grab my coat.
I guess his urine tested negative? Pratt doesn't think he needs a CBC? No.
[CHUCKLES.]
I know you think I'm acting crazy.
No, I think you're acting like a mother.
A slightly crazy one.
- Did you dispo the Alzheimer's dad? - Yeah.
ABBY: Poor guy.
- So sad.
- No, he's lucky.
[CHUCKLES.]
What? He doesn't have to remember losing a son every day.
Hey.
[SPEAKING INDISTINCTLY.]
[JOE CHUCKLING.]
[SOFTLY.]
Hi.
Yeah.
You gonna keep a job if everything sends you to the bar? - I don't need that kind of job.
- You need something.
I am a firefighter.
I rush into burning buildings.
I axe my way through roofs that are collapsing.
I save people's lives.
And now some snotty kid is trying to tell me how to make coffee? How to answer his phone? Send me back to the copy room because I made a smudge on his page? It's not right.
For 35 years, every time I thought it was gonna be different I could always count on you to screw up.
- I had a bad day.
- Yeah, yeah, it's always something.
- What are you gonna do? - I don't know.
You don't know.
Well You can't live here.
I'm family.
I'm your father.
That what you think? Oh, screw you, you little bastard.
Screw you.
I worked my ass off for you and for your mother.
I admit I may not be the best at home stuff, but I supported my family.
I paid for your braces, for your books, and for your mother's fancy clothes and I never got a moment's thanks from either one of you.
Well, you may not like me but you owe me, you ungrateful little prick.
[DOOR SLAMS.]
[GATES SIGHS.]
Sarah? Sarah? [LOUDLY.]
What? Take those off.
So we didn't get a chance to finish.
Do you wanna talk? [SIGHS.]
[SOFTLY.]
Here.
- When did this come? - Two weeks ago.
I was kind of hoping that you were my dad.
But maybe there's still a way I can live with you? We'll see.
We'll see what we can do.
- I'm sorry, we're very busy.
- You haven't done crap.
- I'll try to - You said that an hour ago, bitch.
- I'm doing the best I can.
So why don't you just settle down? - No, you settle down.
- Oh! [GROANS.]
Okay.
So, what went wrong? - She didn't stay calm.
- Her tone was threatening.
She needed to keep her distance.
You okay? LITCHMAN: All right, good.
So let's review the key points of managing assaultive behavior.
I made coffee.
Thanks.
Is this your history project? - No, I'm paying the bills.
- Huh? - You've been late three months in a row.
- Sarah I don't want them turning off electricity.
- Is that my checkbook? - I make them out, you still have to sign.
Sweetie, I know you're trying to help - Morning.
- Hey.
- Nice outfit.
- Job interview.
- What kind of job? - Executive assistant.
That's a fancy name for answering the phone.
Maybe he can help with the rent.
[REFRIGERATOR DOOR CLOSES.]
We have $90 to get us through the week.
Look, if this thing comes through, I'll be out of your hair in no time.
- Yeah, right.
- Hey.
All right, shredded wheat or cornflakes? - So how you been? - I've been all right.
Hey, how about those Cubs, huh? Catch that game last night? Some win.
No.
All right.
Uh Okay, so you invite me to breakfast to talk about baseball.
No, it's something else.
I wanna fix things.
ALL: Neck.
- Ha! ALL: Knee.
LITCHMAN: Good.
ALL: Nuts.
- Good, good.
[ALL CHEERING.]
Now, remember the goal is to defuse violent behavior.
This training is just a last resort.
- Next.
- Come on, Sam, go, go.
Woo-hoo! TIM: Kick his ass, Sam.
MAN: Let's go.
LITCHMAN: You ready? Hm-hm-hm.
ALL: Nose.
Come on, you can do better than that.
ALL: Nuts.
- Show me some strength.
- I just don't wanna hurt you.
I've got enough padding on to stop a tank.
- Come on.
ALL: Neck.
I'm worried about you, Sam.
Bad guys will rip a little lady like you to shreds.
- Oh, really? You think? - Yeah, I know.
ALL: Knee.
LITCHMAN: Aah! ALL: Whoa! [LITCHMAN GROANING.]
Look, I've been thinking about it a lot.
I let you down.
I know that.
It doesn't matter what you wanna do or how you wanna live, I'm still your brother.
See, when I pushed you away, I messed up.
But I can do better.
I think we both can.
Look, it's just like when you moved in.
You know, you could've been a little bit more honest.
You could've told me what was really going on with you.
I didn't know how to tell you.
What, are you on some 12-step program or something? No, man, it's just I spent too many years pushing people away.
I don't wanna do that anymore.
That mean you gonna be talking to Dad? [SIGHS.]
Let me work my way up to it.
[CHUCKLES.]
I'll give you that.
[BOTH CHUCKLING.]
ABBY: It's been five days.
- So? So? Fever without source freaks me out.
- It's a virus.
- Yeah.
Or it could be a serious infection that we're missing.
Look, he's playing well, he's eating.
Joe's not sick.
Well, I'm gonna check this just to make sure.
- Abby.
- What? What? I got a little urine sample this morning, so? HALEH: Dr.
Kovac.
- Bad CHF, Trauma 2.
- Okay.
- Class over already? - It ended a little early.
[DOOR CLOSES.]
You're being silly.
If this were someone else's baby, you'd tell them not to worry.
All right, you're right.
He probably just caught my cold.
[ELEVATOR BELL DINGS.]
Hey, Timmy.
You're back.
- And better than ever.
- Can you send this for a UA? - Which patient? - John Doe.
All right.
I got it.
Officer Litchman needs a room.
Curtain 2, and hold for a chart.
Nice move.
We were supposed to be off till noon.
SAM: Sorry.
- Whoa.
Dislocated patella.
How did that happen? He was teaching the Assaultive Behavior class.
Nurse here got a little carried away.
Kicks like a mule.
- You said to bring it on.
- I wasn't expecting Bruce Lee.
- So how long is this gonna take? - Normally? All day.
But I'll try to get you out in less than an hour.
Yeah, right.
I'll bet you a doughnut I can.
Heh.
Man, you sure know how to get a cop excited.
[CHUCKLES.]
- Crackles to the apex.
- Forty of Lasix.
It feels like I'm drowning.
Ever have fluid in your lungs? A heart attack? High blood pressure and high cholesterol.
Can someone call my dad? " Rutley and Son Heating and Air Conditioning.
" - Your dad still works? - No, he lives with me.
I moved my office home so I can look after him.
BP's 195/120.
- Okay, nitro drip at 40 mics.
- What meds you on? Nothing, nothing for your pressure? - Cholesterol? - Ran out.
KOVAC: How long ago? - Long time.
Please call my dad.
He's expecting me.
HALEH: Twelve-lead's here.
What about your doctor? Who's your doctor? His name's on my insurance card.
I'll see him tomorrow.
You're in congestive heart failure.
You need to be admitted to the ICU.
I'm fine.
It's my dad I'm worried about.
I was really bummed out about the way we left things.
Hey, man, I'm glad you came down to meet me.
You know, if you ever need anything, I'm here for you.
Actually, I could use a favor.
I'm applying for a job and it'd help if you could write a letter or something.
- All right, what kind of work? - An EMT with the fire department.
- Really? - Yeah.
Money's good, flexible hours.
Perfect for a student.
- An EMT, huh? - What's wrong with that? They're not the most open-minded individuals if you know what I mean.
Yeah.
I mean, it's definitely a " don't ask, don't tell" type of situation.
I mean, if you're gonna fit in, you gotta just be one of the boys.
I know how to handle it.
And if it works out, who knows? Maybe I'll think about med school.
[CHUCKLES.]
- Don't do it, man.
- Really? I see what you do.
It's good work.
Really? So you're thinking about Emergency Medicine, huh? Oh, hell, no.
Plastic Surgery.
If I'm gonna put in all that work, I need to make some coin.
[CHUCKLES.]
[HIP-HOP MUSIC PLAYING OVER CAR STEREO.]
No.
The swabs were sent in three weeks ago.
Anthony Gates, Sarah Riley.
Yes, I can hold.
- Hey, trauma coming in? - Crohn's fistula.
- Paternity results never came back.
- How's Sarah holding up? She's all right.
She doesn't wanna talk about it.
- Must be on her mind.
- She's moving on.
Today, she finds my checkbook.
Pays all my bills.
Oh, really? Maybe she can become a CPA.
When I was 12, I stood in line all day for the Return of the Jedi premiere.
That's all I want her to do.
- Be a Star Wars nerd? - No, be a kid.
No.
They didn't come in the mail.
I didn't get them in the mail.
Can you just tell me over the phone? KOVAC: Gates.
- Fine, send them again.
- You okay? We'll catch up later? - Yeah.
GATES: ICU said one hour.
- We're going to the cath lab.
- Is he stable enough? - Well, we'll stay with him.
If they can open up an artery, maybe it will reverse his heart failure.
DANNY [WEAKLY.]
: My dad? - Oh, yeah.
We called him.
He's on his way.
I got 50,000 in mutual funds at First National.
Okay.
- See if his BUN and creatinine are back.
- Got it.
- Hey, Gates.
GATES: Hmm? Who do you know at the CFD in the Paramedic Training Program? Everyone.
- Any of them actually like you? - I'm popular everywhere I go.
Need to check postreduction film before he leaves.
- Going to the roach coach.
- She owes me coffee.
What? You owe me a doughnut.
So let's say I had a friend who wanted to be an EMT.
Oh, very tough.
Very competitive, a lot of applicants.
- It's my brother.
- Your brother? Family? Why didn't you say so? - I'll be his hook.
- His what? In City Fire, you need someone on the inside to help you move up.
I'll help your brother out.
No worries.
From now on, I'm his rabbi.
[SIGHS.]
- What makes you think I'm buying? - Least you can do.
- After you destroyed my knee.
- Oh.
It's not even broken.
The kneecap just slipped out of place.
- So where did you learn moves like that? - In high school.
That's a hell of a PE class.
Yeah.
A little Muay Thai, some Krav.
Whoa! Yeah, I had to learn to protect myself.
From mean football players who wanted a date to the prom? Ha-ha.
No.
The metal-heads who wanted a quickie behind the Dairy Queen.
Ha-ha.
Damn.
You know, you're full of surprises.
Sam.
[SPEAKING IN ARMENIAN.]
[TIRES SQUEALING.]
Move, move, move.
[SHOUTING IN ARMENIAN.]
[AIR HISSING.]
[CLATTERING.]
[SIREN WAILING.]
- How's your guy? - Good vitals.
- What about the driver? - Ask Bardelli.
- Neck pain? LITCHMAN: Ahem.
Nope.
- Do not move.
- I'm okay.
Aah! God, I put my knee out again.
BARDELLl: Easy, fella.
[SPEAKING IN ARMENIAN.]
Is he altered? - Kind of hard to tell.
- Let's get him on a board.
- Hey, Sam, open up a trauma room.
- Got it.
Came out of nowhere.
You think he's drunk? - Don't know.
PRATT: One, two, three.
[PRATT GRUNTS.]
[SPEAKING IN ARMENIAN.]
Sir, what's your name? Do you speak English? - Gotta assume he's altered.
- Pupils equal and reactive.
ABBY: Hey, guys? Let's start with a trauma panel and C-spine.
Can you unlock the door? - I'll tape his head down.
ABBY: Just unlock the damn door.
- Whoa.
What's the matter? - Something's moving in there.
- Two more victims.
PRATT: Oh, man.
ABBY: Looks like we've got an adult male and a little boy, both unconscious.
Excuse me.
How much longer? - Well, your son's still up in the cath lab.
- So it will be a while? It's hard to say.
- Should I wait right here? - Let's get a cup of coffee, Mr.
Rutley.
- We can try 1.
25 of IV enalapril.
- Okay.
Is that you, Danny? Yeah, I'm Dr.
Kovac.
- Hi.
- Wayne Rutley, what is all this? During the cath, the fluid in his lungs got worse.
So we had to put a tube down his throat.
- Are you having any pain? - Sir, he can't talk with the tube in.
- Are you a relative? - A home health aide.
- Is this a heart attack? - It's a cardiomyopathy.
- A what? - His heart is squeezing very weakly.
He's young.
He's got a good heart.
He's had untreated high blood pressure for a long time.
Well, he's always working.
He never gets to a doctor.
GATES: Has he been short of breath lately? I just met him today.
Danny calls an agency when he goes out to bid on a job.
He thinks I need a babysitter.
His eyesight's not so good and he has memory problems.
Were they aluminum ducts? I told you.
You need galvanized sheet metal.
PRATT: Tight wheezing.
He's barely moving air.
Trauma 1, let's get Gates on this.
- Head lac, good vitals.
PRATT: Okay.
[CONTINUES SPEAKING IN ARMENIAN.]
Little guy's concussed.
GCS 14.
Okay, good.
Exam 2, both of them.
- Might take longer this time.
- Some of the others look pretty bad.
Hey.
Next time we go out, I'm driving.
[DRIVER SPEAKING IN ARMENIAN.]
Does anybody know what language this is? - Sounds like Farsi, maybe? - Kid needs a line.
- Grab a Buretrol from Trauma.
- Ahem.
Take slow, deep breaths, okay? Give the medicine a chance to work.
Hey, Bards.
Captain Mahoney still with 43s? - Had pancakes with him this morning.
- Have him check his e-mail.
- You picking up shifts? - No, it's about an EMT applicant.
Captain Mahoney's on the EMT selection committee.
Key player.
Hey, Pratt.
What am I missing? Tight asthma.
He might be biting plastic soon.
- Everyone else is stable.
- Dr.
Kovac.
[ALARM BEEPING.]
HALEH: V-fib.
Paddles are charged.
What happened? Clear.
[GASPS.]
HALEH: Normal sinus.
- Got a pulse.
- Thank God.
- Is your son married? - He never met the right girl.
KOVAC: And your wife? - She passed in '82.
You're doing better, Danny.
Open your eyes.
Ninety over sixty-five.
Up the dopamine.
Hang in there, pal.
Hang in there.
- More cricoid.
- Sats are dropping, pull out.
- Cords are way anterior.
- He's getting harder to bag.
Ah.
- Sam.
- Kid's starting to open his eyes.
Okay, good.
Look, I need an ET view now.
All right.
Be right there.
[DRIVER SPEAKING IN ARMENIAN.]
- Head CT's clear on flower guy.
- Oh, good news.
- You need a Farsi translator? - Oh, yeah.
He's got a head injury, so he might be disoriented.
[SPEAKING IN FARSl.]
[SPEAKING IN ARMENIAN.]
He doesn't speak Farsi.
I think that's Armenian, sorry.
Any Armenian nurses up there? [SPEAKING IN ARMENIAN.]
Hey, that's him.
- Hey, how do you know this guy? - He saved us.
And where's my brother? ABBY: Oh! Hey.
Hey, hey, hey.
- Julio, it's me, Tomás.
ABBY: Step back.
- Move it to the right.
- Is that better? - No.
- He has asthma.
- We figured that part out.
- They're brothers.
- Ahem.
So how'd this happen? - We were going to the drugstore.
He couldn't walk.
Then he couldn't talk.
The guy with the flowers threw us in the back and drove to the hospital.
So Yakov over there is the Good Samaritan.
Damn it, bag him up.
- He dropped his spray if you need it.
- Okay.
Come on, there's a better place to wait.
- I wanna stay with my brother.
- We'll be back in a few minutes.
- You wanna try fiber optic? - Nope, I want Sam.
- Got a guy who's not breathing.
- I can wait.
I'll be there soon.
Got everything.
- Pulse ox, 89.
- Sats are good enough to tube, huh? No, I want a cushion.
Let's get him up to 95.
All right, we'll wait.
There's a little, tiny camera at the end of this tube.
- You're all set.
- Slow down, Lily.
He's got a long expiratory phase.
Hey, I can get a copy of last year's EMT exam for your brother.
- Good.
- We're up to 92.
Grab an end-tidal detector, will you? We'll find out who's doing the interview.
Find out his hobbies, his favorite sports teams, stuff like that.
- Okay.
GATES: All right.
We're up to 95.
All right, cool.
Is it okay if I do this? I'll give you one shot.
- All right.
- You need a laryngoscope? - Yeah.
- No.
Watch the screen and pass it through the cords.
- All right, I knew that.
- All right, come on, let's go.
All right.
Taste buds.
Tonsils.
Epiglottis and the promised land.
- Straight shot through the cords.
- All right, bingo.
Stopping short of the carina, and bag him.
- Nice.
- Looks like Kovac could use a hand.
Oh, yeah.
Not so good.
All right, thanks for letting me do this.
This was a good thing for me to learn.
HALEH: V-fib.
KOVAC: Take over compressions? No problem.
- Another amp of epi, charge to 360.
WAYNE: Good.
Shock him.
It worked before.
Clear.
Still in fib.
- We're not making much progress here.
- What's that supposed to mean? His heart is too weak.
It's not responding to our medicine.
- But you're not giving up? - No, no, we're not giving up.
I just need you to understand that it's not looking good.
You're saying he could die? - It's a possibility, sir.
- Oh, he's my son.
[VOICE BREAKING.]
He's my little boy.
Don't leave me, Danny.
- Call the social worker.
WAYNE: Don't leave me.
Don't leave me.
- I'm in pain, I've been here for hours.
- Sorry.
You haven't done crap for me.
- Ho-ho-ho.
Don't start that again.
- Look where it got me last time.
All the docs are busy.
I need an order for IV sedation.
- Can't you pop it in? - Without painkillers? I've been shot before.
I can handle it.
I think a doctor should do it.
Come on, Sam.
Don't be a wimp.
Just pop this back in place so we Aah! Aah.
Hey.
Hey, tough guy.
Wake up.
[EQUIPMENT WHINING.]
Asystole.
GATES: Resuming compressions.
Mr.
Rutley, it's been 45 minutes.
- Should a cardiologist see him? - They'd do the same thing.
It's too late.
No.
- No, no.
KOVAC: Look, we're gonna stop now.
I'm sorry.
Danny.
Danny.
[CRYING.]
Oh, my God.
[EKG FLATLINING.]
Oh, my God.
What am I gonna do? Sir, there's a social worker here that will help you.
WAYNE: How could this happen? How could this happen? How could this happen? [WAYNE SOBBING.]
I'll do the coroner's paperwork.
I'll make sure he's taken care of.
- Tidal volume, 700.
AC of 10.
- Okay.
How's the x-ray look? Good? Well, he might have a small pneumo.
- Call Radiology for a wet read.
- Okay.
TOMÃS: How long's he gonna sleep? - Um, might be a while.
After he wakes up, we can go home? You know what? He's gonna have to be here for a couple days.
Can I stay with him? - Yeah, but you have to go home at night.
- By myself? No, we're calling your parents.
No.
It's just us.
Ever since Mom died, Julio's my guardian.
You don't have any aunts or uncles? Okay, we'll figure it out.
And you can hang out here for now.
- All right? - Good.
I'm staying with you, J.
I'm gonna stay right here.
Hey, tough guy.
Wake up.
- You need a doctor? - No, he just vagalled.
- I'll check his vitals.
- Abby, urine's clean on John Doe.
Great.
No leuks, no nitrates.
Thank you.
Hey, Timmy? Repeat knee on Litchman.
Okay, wait.
How does a 10-day cruise turn into two months? - Heh-heh-heh.
Gracie will fill you in.
- Yeah, she's not talking.
Okay.
After we docked in Singapore, I showed her some of my old haunts.
Climbed the temples of Penang, cycled the Quang Ninh coast.
Elephant-trekked through the Ratanakiri.
- Elephants? - Yeah.
We got hung up at the Cambodian border and we'd still be there if Gracie hadn't tapped into her 401 K.
Well, that's too much information.
Hey, Miranda.
How's he doing? One-oh-two? Well, did you give him a Tyleno? Okay.
Well, call me after his nap.
Bye.
No relatives, no long-term-care insurance.
Guy worked all day, took care of his dad, but didn't plan for this.
Take-home lesson? Don't assume that you're gonna outlive your dad.
Abby, Pratt says you need Social Work for your asthma kid.
Thanks.
Gates, don't get too busy.
There's a guy out in the lobby looking for you.
[CLATTERING.]
- Hey, I thought we could grab lunch.
- I got five minutes.
How did the interview go? - Not so great.
- Not so great.
- You didn't get the job, right? - No.
- What happened? - Well What? I don't know anything about Word.
And what the hell's Excel? So it wasn't a good fit.
Since when do you need a computer to do a day's work, right? What about Chuck Mooney's construction company? He sold it.
What about, what's his name? Your friend, Billy Prior's restaurant? Turned it into a yoga studio.
- Something will come up, hopefully.
- Yeah.
Actually, you could help me out tonight.
I don't want Sarah cooking.
Why don't you go to the grocery store, get some groceries? - And cook dinner tonight.
- No, no, I can't take your money.
You used to love to cook at the firehouse.
- Yeah.
- You love cooking.
Yeah, yeah, yeah.
I could do a chicken pot pie.
- Maybe a London Broil.
- Yeah, yeah.
- The boys always liked my London Broil.
- Surprise me, surprise me.
Patients are in the hall, Abby.
Water pipe burst.
Okay.
[SNIFFS.]
[RASPY VOICE.]
Rose Nichols? That's me.
ABBY: Ahem.
Hello.
I'm Dr.
Lockhart.
- Let's see, fever and a cough.
- For almost a week.
- Okay, how are you feeling? - I'm a little under the weather.
Yeah.
Well, there's a lot of colds going around.
And sometimes it takes a couple of weeks, but kids usually get over it.
[MACHINE BEEPING.]
Eighty-one? Could mean we're not getting a proper signal.
Let me see.
- Uh-oh.
- What? Sounds like pneumonia.
And her oxygen level is really low.
So I think we're gonna have to admit you.
Everyone said she was fine, but I knew it was more than a cold.
Okay, he's clear for discharge.
[BOTH SPEAKING IN ARMENIAN.]
- How are the boys? - Oh, they're doing well.
- What? - He's asking you for a date.
Oh.
Well, repeat the head CT.
I think he's still altered.
[DOOR CLOSES.]
- I didn't know you were here.
RAY: Yeah, just got here.
- There's lots of trauma today.
- I heard.
Hey, the guys from my old band are playing this Saturday night at Exit.
I might be on call.
- So we're still waiting? - It's only been a week.
Okay.
I'm gonna go clear some of these beds, all right? - Okay.
- See you.
Sarah? - Have you seen Tony? - Well, I can look around.
- No, I'll wait.
- Okay.
Or maybe you can help me.
Sure.
It's kind of personal.
Okay.
Come on.
I need a vaccine.
NEELA: Which one? - HPV.
- It prevents cervical cancer.
- Right.
But the school nurse gives it and you need your parents' permission or your grandparents' permission.
They wouldn't understand.
- Does Tony know about this? - Not yet.
- Are you gonna tell him? - No.
It's private.
It's okay.
I mean, you can tell him.
If you want to.
Why didn't you go to your pediatrician? He only takes care of little kids.
Besides, I think I need a new doctor anyway.
Do you know a good G YN? KOVAC: So you can't place him? Best I can hope for is a crappy nursing home that'll accept $ 100 a day from Medicaid.
Not sick enough for a nursing home.
He needs assisted living.
Medicaid nor Medicare will cover that, he can't afford it.
- The son's assets? - They'll be tied up in probate for a year.
I've tried three board-and-cares.
They want cash, today.
Greedy bastards.
But we got a bigger problem.
I'm not sure he's competent to consent to nursing-home placement.
Didn't seem that altered.
DADE: His Alzheimer's gets worse as the day goes on.
KOVAC: Sundowning.
We need someone with durable power for his health-care decisions.
The son had it.
Lot of good that does us now.
We're scrambling to get an emergency State Guardian.
Hey, any luck finding a foster home for Tomás? - Piece of cake compared to this.
BETINA: Dr.
Pratt? You called for a wet read? Yes, I did.
A possible pneumo.
Excuse me, please.
Haven't seen you in a few weeks.
I was doing an invasive fellowship in Dallas.
- For six months.
- Really? - Well, I sent you a few e-mails.
- Never got any of them.
- You must've changed your address.
- I've had the same address for years.
So you think there's some pathology here? Palpitations.
Like your heart's skipping a beat? - More like it races.
Every now and then.
- Ray, can I get you to look at a knee? - Yeah, excuse me.
- It's happening.
[ALARM BEEPING.]
- I'll get the crash cart.
- My chest is gonna explode.
- Got a pulse, a hundred of lido.
- Anything surgical? Stable V-tach.
- Responding to lidocaine.
- Ahh.
That's better.
I guess you won't be needing me.
Milligram a minute.
Titrate up, p.
r.
n.
Ectopy.
NEELA: Hey.
- Hey.
- I left a consult on your asthma guy.
- Thanks.
- Did you know Sarah's here? - Huh? - She's asking for the HPV vaccine.
- You're kidding me.
- Does that mean? - No, we didn't get that far.
She wants the world to know how grown up she is.
NEELA: I wouldn't worry about it.
It's just a phase that girls go through.
KOVAC: Gates.
- Coming.
NEELA: Good luck.
Thanks for your help.
I'll hold.
We got a Guardian assigned and two nursing homes to choose from.
- Great, thank you.
- Thanks.
Think he'll be able to decide which one? Well, let's hope so.
Hello, Mr.
Rutley.
Hello.
When am I leaving? Well, that's what we're here to talk to you about.
Well, what's there to talk about? We found a couple of places that can take you tonight.
- Well, what kind of places? - Convalescent homes.
Oh.
I have a home.
Well, you're gonna need help now, getting around, meals.
I have help.
I have meals.
We eat dinner at 7.
Someone ought to call Danny, tell him I'm gonna be late.
Wayne, you know about Danny.
Remember? Sure.
He went out to bid on a job this morning.
He ought to be home by now.
Wayne, you know, Danny was in this hospital today.
[CHUCKLES.]
What, Danny? No.
Danny's not sick.
KOVAC: He had a heart problem.
L Nobody told me anything about that.
His heart stopped beating.
GATES: We worked on him for over an hour.
Where is he? Uh He's better now? He died, Wayne.
[GASPS.]
KOVAC: Danny's dead.
[CRYING.]
No.
No.
No, I don't believe it.
It's not possible.
Where is he? I wanna see him, where is he? - He's in the morgue, Mr.
Rutley.
- What? Take me there.
Take me there.
Take me to my son.
Please? Please, I wanna see him, I need to see him.
I wanna say goodbye.
The CDC recommends starting the HPV vaccine when you're 11.
All right, we need to talk about this.
Okay, let's talk.
- HPV is a sexually transmitted - I'm not having sex, okay? But when I do, I wanna be responsible.
Even if I said yes, your grand Okay, do you realize how stupid this is, though? I'm old enough to go and get birth control on my own.
But you won't let me go and get a vaccine that could save my life.
- Sarah, you're 12 years old.
- Yeah, I know.
- What's the rush? - I'm not rushing.
But I can't help it if I'm growing up now, can I? Need you to fill out transfer papers for Mr.
Rutley.
I'll be there in a second.
Can we continue this at home? Please? - So I can't get it now? - Not today.
SARAH: That's so unfair.
[SIGHS.]
All right.
We got you five days off work.
I have a self-defense seminar tomorrow.
Wanna fill in? [ALARM BEEPING.]
Oh, crap.
V-tach again.
- It's the third time.
- I need Ray.
I'm on lidocaine and amiodarone.
Shouldn't I be in the ICU? Hey.
- Have you been faking this whole time? - No, I had an itch.
RAY: What's going on, Sam? KENNY: What are you doing? - Is it his heart? No, it's his finger.
Ah.
[ALARM BEEPING WHILE TAPPING.]
[GASPS.]
- Uh-oh.
V-tach again.
- Sam? - It's a shockable rhythm.
- Shockable? No.
- Clear.
- No.
Aah! - Crazy bitch.
- Yeah, you're the crazy one.
- Sam, have you lost your mind? - Come on, it was only 10 joules.
Really? Oh! Huh.
Yeah, I guess that's not so bad.
It's called a negative Mach band.
Looks like something's there, but it's not.
It doesn't even exist.
Wow.
It's a retinal phenomenon.
The eye is fooled at a light-dark junction.
Always something new to learn.
I'm glad you're back, thanks for the help.
Hey, hey, hey.
How about we grab some dinner sometime after work? Maybe.
Call me.
WAYNE: Danny? Pick up the phone, son.
If you can hear me, pick up the phone.
Are you? - Is this one yours? - Yeah, yeah.
I don't like leaving messages on the machine.
Let's get you back to your room.
I need to call my son.
He doesn't know I'm here.
Please.
[ARGUING IN ARMENIAN.]
Guys.
Guys, hey, hey, hey.
Knock it off.
I am sorry.
I am upset.
My brother.
He totaled my van.
Yes, but aren't you happy that he's okay? Without van, my business is dead.
- All because he drives like madman.
- Sir, he saved someone's life.
Yeah.
What are you talking about? He was speeding because he had a sick patient in the back.
[SPEAKING IN ARMENIAN.]
I am sorry.
I didn't understand.
[BUZZER SOUNDS.]
- Hey, Pratt? - Yeah? - I need you to sign the discharge.
- All right.
- Got any questions, man? - Yeah, can I go out on crutches? - Ha.
- Hospital policy.
Wheelchair is safer.
- Oh, all right, I'll make an exception.
- All right.
[BUZZER SOUNDS.]
[SPEAKING INDISTINCTLY.]
Ah.
Hey, Joe.
Hey, how are you feeling? I miss you.
Hello.
His temp's down, but he didn't want the bottle.
- Oh, my God, look how big he's getting.
- Yeah.
- Hey, you need me to stay? - No, thanks, have a good night.
Shh, shh.
- Hey, Sam, is Exam 2 open? - Yeah.
[JOE CRYING.]
Look, this is where Mommy works.
Look.
- Greg, I need a favor.
- Okay.
You taking me home? You're going to a nursing home.
Heh.
No.
Those places are for old folks.
- That's where you're gonna live.
- No, I told you, I live with my son.
[SIGHS.]
- Mr.
Rutley.
- Hmm? I spoke to your son.
Hmm.
Is he picking me up? He wants you at the new place.
He does? Is he gonna be there? I'm sure he'll find a way.
- So we can have dinner together.
- Lf that's what you want.
Well, I guess it's okay.
Tell him I won't start eating till he gets there.
Hey, Luka.
I'll be right with you.
Well, all right, officer.
You are on your own.
Thanks, Sam.
You've been great.
Ha-ha.
Your day might have been better if you never met me.
I'm not so sure about that.
- I hope I see you around.
- Yeah.
- You need a pen? - Uh Yeah.
Now, see " Rutley and Son.
Since 1959.
" Thank you.
When we started, it was just me.
Oh.
Now, Danny's got four guys working for him.
He's a good kid.
Hmm.
I'm a lucky guy.
Take care, Mr.
Rutley.
- You okay? - Yeah.
Are you still in touch with your father? Not since I was 3.
You? He's in Croatia.
I haven't been there in a long time.
[DOOR OPENS.]
- Hey, what's for dinner? - Spaghetti.
There's more in the pot.
- I'll go shopping after dinner, okay? - Oh, I don't think so.
- We have to eat.
- Come on, Sarah.
- I know what you're doing.
- What? - Cooking, shopping, paying bills, clean - Somebody has to.
I want you to be a kid.
Please, just enjoy being a kid, okay? Right, I forgot.
I'm supposed to text my friends and hang out at the mall, right? - What's wrong with that? - I like taking care of the house.
- Just let me do it.
- When you become older you'll have plenty of responsibility.
Trust me.
[DOOR OPENS.]
[SLURRING.]
Hey, smells pretty good in here.
What is that? [OBJECTS CLATTERING, BOTTLE ROLLING.]
Where are the groceries, Mike? Oh, shoot.
I knew I forgot something.
All right.
Sarah, go do your homework.
- I'm not finished yet.
- Now.
- I gave you a hundred dollars.
- I know.
- How much you got left? - I don't know.
Give me your wallet.
- Tony - Give me your wallet.
Six bucks? Six bucks.
Well, it was Lou Sanders' birthday and so I bought a couple rounds.
- No otitis, no pharyngitis, no nothing.
- You sure? Yeah, I'm sure.
This is the healthiest kid I've seen in a long time.
- Really? - Really.
Really.
Okay.
Well, you know, the babysitter was in the neighborhood.
And she was worried, so I thought I'd get a second opinion.
I see.
Thank you.
[ABBY GASPS.]
- There's Daddy.
Say hi.
- Hey.
[SPEAKS IN CROATIAN.]
- What's he doing here? - Um It's a warm night, I thought we could all take a walk to the pier.
Nice.
I'm gonna go grab my coat.
I guess his urine tested negative? Pratt doesn't think he needs a CBC? No.
[CHUCKLES.]
I know you think I'm acting crazy.
No, I think you're acting like a mother.
A slightly crazy one.
- Did you dispo the Alzheimer's dad? - Yeah.
ABBY: Poor guy.
- So sad.
- No, he's lucky.
[CHUCKLES.]
What? He doesn't have to remember losing a son every day.
Hey.
[SPEAKING INDISTINCTLY.]
[JOE CHUCKLING.]
[SOFTLY.]
Hi.
Yeah.
You gonna keep a job if everything sends you to the bar? - I don't need that kind of job.
- You need something.
I am a firefighter.
I rush into burning buildings.
I axe my way through roofs that are collapsing.
I save people's lives.
And now some snotty kid is trying to tell me how to make coffee? How to answer his phone? Send me back to the copy room because I made a smudge on his page? It's not right.
For 35 years, every time I thought it was gonna be different I could always count on you to screw up.
- I had a bad day.
- Yeah, yeah, it's always something.
- What are you gonna do? - I don't know.
You don't know.
Well You can't live here.
I'm family.
I'm your father.
That what you think? Oh, screw you, you little bastard.
Screw you.
I worked my ass off for you and for your mother.
I admit I may not be the best at home stuff, but I supported my family.
I paid for your braces, for your books, and for your mother's fancy clothes and I never got a moment's thanks from either one of you.
Well, you may not like me but you owe me, you ungrateful little prick.
[DOOR SLAMS.]
[GATES SIGHS.]
Sarah? Sarah? [LOUDLY.]
What? Take those off.
So we didn't get a chance to finish.
Do you wanna talk? [SIGHS.]
[SOFTLY.]
Here.
- When did this come? - Two weeks ago.
I was kind of hoping that you were my dad.
But maybe there's still a way I can live with you? We'll see.
We'll see what we can do.