ER s15e22 Episode Script

And In The End

GATES: Who we got coming in?.
TRACY: Fifty-four, he's got an unconscious kid.
-I should've asked if you wanted coffee.
-No, I had a hundred cups already.
I feel like I got ants all over me.
They're fleas from that homeless guy with the dogs.
I saw a rat by the dumpsters.
I thought it was a cat at first.
Call Jerry, he'll have Maintenance bring down a couple extra traps.
More like a couple of shotguns.
That thing was the size of a beaver.
GATES: Here we go, girls.
-All right.
GATES: What do we got?.
-1 5-year-old female.
Found passed out after playing a drinking game at a slumber party.
Unresponsive, sats 93 over 2 liters.
BP 72 palp, couldn't get a line.
-Name's Stacey.
-Stacey, can you hear me?.
Stacey?.
-How long has she been down?.
-Not sure.
Bunch of kids that were at the party are in a car behind us.
-Jerry, what's open?.
-They' re both open.
GATES: All right, access, ETOH level, tox screen, d-stick, and lytes.
Nonrebreather, she's hypoxic.
Ready for a transfer?.
One, two, three.
WRlGHT: Dr.
Morris?.
[SNORlNG] Dr.
Morris?.
Archie! Fire's bringing in an altered old lady, found her out in the rain.
MORRlS: How's escalator lady?.
-Ortho took her up to screw her hip.
GATES: Explosive-diarrhea guy?.
-Loperamide's working, he's sleeping.
MORRlS: Belly pain back from CT?.
-Nope.
MORRlS: Oh, I hate working nights.
-Really?.
I like it.
MORRlS: Nights?.
-Yeah, lets me babysit my grandkids.
[SlREN WAlLlNG] -What do you got?.
-Found her out in the rain.
Looks like she slipped and fell.
We called for a paramedic unit, but she passed out.
We were only a couple blocks away, be quicker to bring her in ourselves.
MORRlS: She's cold.
Warm saline, humidified O2 and the Bair Hugger.
NURSE: Right there.
MORRlS: Jerry?.
WRlGHT: Open your eyes.
MORRlS: Pulse is weak, thready.
-She broke her wrist when she fell.
-Maybe hit her head, she'll need a CT.
Some room.
-Pupils, equal and reactive.
-Fourteen liters by mask.
CBC, chem panel, UA, EKG and chest x-ray.
WRlGHT: Core temp is 90 degrees.
Hugger's ready.
What's your name, dear?.
Hello?.
We got a name?.
ID?.
-Nothing but her nightgown.
NURSE: Excuse me.
Blood alcohol level is back, 420.
-All right, no gag, she needs a tube.
MARQUEZ: Systolic's only 66.
TRACY: BA of 420.
What is that, like a gallon of tequila?.
Dr.
Gates.
The girl's friends wanna come back, see if she's okay.
Does she look like she's okay, Jerry?.
Look at that, another 250 into the lO.
Where's my access?.
MARQUEZ: Vein blows every time.
-Mac 3 and seven-oh.
-Damn it, lost it with the flush.
-Sterile gloves and a cordis.
-The tube won't pass.
-Try cricoid.
MARQUEZ: Breaths are shallow.
[EKG BEEPlNG] [CAR HORN HONKS] WOMAN [ON RADlO] : The rain is gonna continue and that cold weather will move across the lakes.
MORRlS: Still raining?.
I was thinking about renting a boat, and rowing to work.
FRANK: How are the inmates?.
-Cranky.
What's with the iCarly crew out in the waiting room?.
They came in with a kid with alcohol poisoning.
-Gates has been flogging her for hours.
-Okay.
Looks like it's just us, we'll work the board in 1 5 minutes.
-PV in three, needs an H & P, honey.
-Oh, lucky you.
-What's a PV?.
-Projectile vomiting.
Guy's like a champ.
Puke went 8 feet.
-Thought he might have broken a window.
-lsn't this a nurse's job?.
Why God created med students.
Did you finish your lab paperwork or leave your usual mess for me to clean up?.
Love you too, Frank.
And so long, sucker.
FRANK: Ah, ah.
-Ow! What?.
-Didn't see you put anything in the jar.
No pay, no eat.
-No, I swear.
Five bucks last week.
-Mm-hm.
Morris, your old lady standing in the rain is back from CT.
-Night, everybody.
-I even put a 1 0 spot in the week before.
Sure, you did.
Next time, write your name on it just so I know.
-You don't trust me?.
-You got it, champ.
Money with your name on it before you leave today, Morris.
I've got a 3-year-old with otitis media.
Mom poured hot garlic oil into the kid's ear.
Looks like he has second-degree burns.
CHAZ: Man.
MORRlS: What was that?.
PV patient, thought he'd be out of ammo by now.
-Otitis kid?.
-You know what?.
Find Brenner.
I'm off.
I gotta finish up with a few patients first.
CT negative for fracture or bleed.
No anemia, EKG is normal.
-And chemistries are okay.
BEVERLY: Okay?.
-She's awake?.
-Started coming around in CT.
MORRlS: Hello there.
-What's your name?.
-Beverly.
-What's your last name?.
-My name is Beverly.
Temp's up to 97.
Well, that means you don't need this big blanket anymore.
Hey, do you remember what happened to you, Beverly?.
-No.
-You were out in the rain, you got cold.
-You slipped and broke your wrist.
-Oh, my wrist hurts.
MORRlS: Tubular stockinette.
Ooh.
Oh.
Your hands are so warm.
Soft and strong.
Just like my Bobby's.
GATES: What do you see here?.
TRACY: She must've aspirated when she was unconscious in the bathroom.
-And?.
-And her brain is oxygen deprived.
And she still may be altered when she sobers up.
All right.
Two grams of ceftriaxone with 5OO clinda.
-And repeat an ETOH, please.
-So, what do we do now?.
And now we wait.
Do you mind if I take off?.
-My shift ended 20 minutes ago and-- -Yeah, go ahead, go.
Go.
Her friends are still out front asking if they can come back.
-Send them in.
TRACY: You think that's a good idea?.
-Letting them see her like this?.
-They should see the consequences.
-So it's okay with you if I go?.
-Yeah, go.
Get some rest.
Go ahead.
[PHONE RlNGS] -Tony?.
-Hey, did I wake you? -No, I'm just getting Alex off to school.
-Happy birthday.
-I got the day right, didn 't I? -Y ep.
-Do you want me to sing for you? -No.
God, no.
ALEX: Mom, I don't wanna be late.
-Are you gonna do anything special?.
-Like what? I don't know.
Get a tattoo?.
Go skydiving?.
Hang out with your friends?.
-Come on.
-I gotta go.
-Happy birthday.
-Thank you.
T ony?.
[GATES CLEARS THROAT] -Hi, I'm Dr.
Gates.
-Dick and Heather White.
Are you Stacey's parents?.
Stacey stayed at our house.
Her parents were in Springfield for a wedding.
GATES: So you've contacted them?.
Y es, they're already coming, they should be here soon.
Is she gonna be okay?.
She's in a coma and she may have brain damage and we're not gonna know until she wakes up.
Why does she need the tube?.
T o give her some oxygen and protect her lungs.
It keeps her from choking to death on her own saliva.
What were you guys drinking?.
Vodka.
Vodka and Kool-Aid.
We were playing I Never.
Stacey won.
Where'd you get the vodka?.
Kids drink, we all know that.
We just wanted them to be doing it somewhere safe.
So you supplied the alcohol?.
I'd rather they drink at home, than out where they could be driving.
Can I give her something?.
Come on, girls.
Let's go now.
Call the cops, get them down here.
MORRlS: Hey, 9-month-old with bronchiolitis on continuous nebs, waiting on the PlCU.
In 2, we have testicular pain after a pommel horse incident.
That sport should be outlawed.
Oncology's gonna see him.
We have the DKA.
A is gone but still has K, he needs to come in.
-What is that smell?.
-The guy is a geyser.
-Who?.
-PV guy.
-It's like dodging artillery.
-I don't think the wipes will do it.
-Grab some scrubs and ditch the clothes.
-Don't ditch, burn.
Guy in 3 torched his fingers making creme brulee.
Displaced tib/fib going to Ortho.
Hallucinating trombone player in sutures needs a tox screen and a Psych consult.
And my job here is done.
Okay, Sanchez, testicular pain, trombone guy, and displaced tib/fib.
Julia, leukemia cutis, creme brulee, and the DKA.
Chaz.
Chaz.
We have prospective medical students coming in here today for their interviews.
Dr.
Anspaugh asked me to show them around, but as I don't really want to and you're low guy on this totem pole, you're elected.
-Med students?.
-Prospective med students.
They're just a bunch of over-educated, fiercely ambitious seniors trying to claw their way into a prestigious program.
So show them a good time.
[GRUNTlNG] -Morris?.
-Shh.
I'm gonna put it back.
FRANK: Hey! -Hey! -Money's in the jar, Frank.
JARVlK: Morris?.
-I'm out the door.
-Beverly's daughter showed up.
-Who?.
-Old lady with the broken wrist.
Hello, I'm Dr.
Morris.
Temp is 99.
All her labs check out.
God, she scared us half to death.
Mom, you scared us half to death.
I went in to make sure she was getting up and her bed was empty.
I looked around the house, around the yard I ran up and down the street in the rain.
T om got the car, he drove all over the neighborhood.
-Her CT-- -I went over to the church, to Emma's.
I called the police and 2O hospitals.
I was out of my mind with worry.
-Out of my mind.
-She's gonna-- Sometimes she wanders into the yard but she never, ever, leaves the yard.
You can't leave the yard, Mom.
-She broke her wrist-- -You're gonna give me a stroke! -You can get that from stress?.
-A stroke?.
-Stress can cause a stroke-- -What am I supposed to do about this?.
Am I supposed to sew a LoJack into your nightgown so I can find you?.
Well, we' re just glad she's safe now.
You have to bring her back in a couple days for a cast check come back sooner if there's pain, redness or swelling.
Take care, Beverly.
SANCHEZ: Dr.
Morris-- -No, no, no.
Get away from me or I'll hit you.
I mean it, right in the face.
Freedom! -What was that all about?.
FRANK: Hell if I know.
The police are here on your alcohol-poisoning girl.
DlCK: You've got to be kidding me.
Wait a minute.
-You called the cops?.
-Damn right, I called the cops.
-This isn't our fault.
-Whose fault is it?.
-Look, everybody does it.
-She had a blood alcohol level of 42O! That's not like giving a kid a sip of wine.
-You're gonna have me arrested?.
-Damn right, they're gonna arrest you.
That kid almost died.
She could have permanent brain damage.
Four-twenty?.
What were you doing when they were drinking themselves to death?.
TV?.
Mixing up another batch of vodka and Kool-Aid?.
COP: Get off! -Come on! -Daddy! COP: Stay down! Ma'am, please.
Stay down, stay down.
-Wanna call my lawyer.
-Have a good one.
Doc, you know what?.
Shut the hell up.
[THUNDER RUMBLlNG] Wow.
Should we be building an ark?.
The news said we could get as much as 5 inches today.
CHAZ: Glad I'm not an EMT anymore.
Day like this, you get wet early, you stay wet the whole shift.
You'll never get dry.
EMT: 37-year-old construction worker, took a 1 5-foot fall from the scaffolding.
-Diffuse abdominal pain, impaled thigh.
-No pulse in the right foot.
Bagged his femoral artery.
BP 9O, palp with 3 liters of saline over 45 minutes.
BRENNER: Kind of a long transport time.
Had to wait for City Fire to saw him off the rebar.
-His name's Dickie DeAngelo.
-That looks nasty.
FRANK: Look at this idiot.
Who drives into that?.
What, did he think it was, like, just a puddle?.
Dr.
Gates, that alcohol-poisoning girl's parents are here.
GATES: Hi.
-Hello.
Hey, doc.
You got time for a kid with a bellyache?.
Grandma only speaks Spanish.
My Spanish is pretty shaky, I've been taking a course-- It's gotta be better than mine.
All I got is: [SPEAKS SPANlSH] Four-year-old boy, only thing I can think of is something to do with his stomach.
The administrative social worker and counseling offices are all on the second floor along with the wellness classrooms and the therapy rooms.
WEAVER: Oh, my gosh.
LEWlS: This is-- This is beautiful.
WEAVER: John.
Thirty-six exam rooms, radiology suite.
Two dental suites, shower facilities for the homeless.
Ob-gyn, optometry, pharmacy, diagnostics rapid HlV testing and support, reproductive health.
Wow, I can't believe you were actually able to pull this off.
You had doubts?.
No, I was pretty sure you were gonna fail.
T ell me, are you gonna be able to get funding for the county to staff this?.
CARTER: No.
I'm gonna be fundraising for the rest of my life.
We have enough to keep us going for the first year while I try to build up some endowment.
LEWlS: Carter, I knew you were rich.
I didn't know you were this rich.
It's the ill-begotten gains of my Carter forefathers, put to good use.
-Redemption?.
-Maybe so.
Your grandma would be so proud.
Grandfather's rolling over in his grave.
He thought the Carter money was gonna last longer than the pyramids.
-You spent it all?.
-No, but most of it.
You've done a great thing here, John.
A truly great thing.
Paramedics are pulling in with a 47-year-old male with chest pain.
And I've got a 6O-year-old man short of breath.
Okay, Julia, take the short of breath.
Chaz, you're with me for the rule-out Ml.
He looked like crap so I brought him right back.
Sats were 72 percent.
So I went ahead and hooked him up with some oxygen.
Okay.
Hello, I'm Dr.
Wise.
And you are Mr.
Gandhi.
[GASPlNG FOR BREATH] My mom was a Mahatma fan.
And how long have you been sick?.
-About 2O years.
-More recently?.
Trouble breathing?.
Couple of weeks.
-Do you have lung disease?.
-Not that I know of.
-Heart problems?.
-No.
-Any fever?.
-Just can't breathe.
Okay.
Portable chest, 1 00 percent nonrebreather, EKG, first-day labs.
-lV?.
-Start a saline lock.
-Wear gloves.
-What?.
I have AlDS.
[SPEAKlNG SPANlSH] [WOMAN SlGHS] -Should we intubate?.
-Not yet.
T achypneic, still hypoxic on 1 OO percent?.
What do you see?.
Bilateral effusions, that explains his shortness of breath.
Mm-hm.
And that gives us something to fix.
Two thoracentesis trays, please.
We have to tube him if he has underlying pneumonia.
One step at a time.
What are you two talking about?.
You have a lot of fluid outside your lungs.
It's making it hard for you to breathe.
-What can you do for that?.
BRENNER: Well, we can drain the fluid.
Which is gonna make you feel a lot better.
So put your mask back on and let's lean you forward.
Just dangle your legs.
That's all right.
We're gonna clean the skin with Betadine.
You're gonna feel a sting while we numb the skin, Mr.
Gandhi.
-Gandhi?.
-Yeah, his mother was an admirer.
[BREATHlNG HEAVlLY] Now, you're going to feel some pressure while the needle passes through the ribs.
[GASPlNG] Fluid looks a little bloody.
Let's send it for a cell count, culture and gram stain, AFB, and Cytology.
[COUGHlNG] Hey, you're gonna have some coughing as your lungs expand.
But that's a good thing.
That means it's working.
[COUGHlNG] [BEEPlNG] No change?.
We have to move her, we need the trauma room for an MVC.
Come on, guys.
Why don't you go home?.
We'll call you if anything changes.
Hey, Frank, I'm going home.
Call me if anything changes with the Taylor girl.
-Who?.
-Alcohol poisoning?.
Oh.
Another one of those kids showed up asking about her.
She's the one with braids out in waiting.
Hi, I'm Dr.
Gates, you're here to see Stacey Taylor?.
-Yeah.
-Okay, well, she's in a coma.
And we don't know when or if she's going to regain consciousness.
-Were you at the party last night?.
-No.
I heard what happened.
Are you here by yourself?.
You know, her friends and her parents are on the second floor.
Maybe you wanna go up there.
You might be more comfortable.
I should have done something.
Well, you weren't there, right?.
Stacey was texting me.
My parents wouldn't let me go.
I was really angry I wasn't there so she was texting me all night to tell me about the party.
She was told me she was sick, really sick, and throwing up.
And l.
I thought it was funny.
I should have called somebody.
I could have.
Maybe I could have.
[SOBBlNG] The ER is the nerve center where it all begins.
Between the ER and urgent care, we see over 2OO,OOO patients a year.
As med students, this is gonna be your first rotation.
Four years to see if you've got what it takes to be on the front line of urban medicine or if you're a little bit more suited for dermatology or plastics.
Something a little bit more-- A little bit more safe that you can practice out in the suburbs.
Triage is our first stop.
We rely on our talented nursing staff to determine who's gonna be first and who is gonna wait.
NURSE: And wait, and wait.
These trained professionals can tell the difference between a hot Ml and common indigestion just by looking at a guy.
After triage, the patient is brought back, their chart is racked.
You pick up the next in line, no matter what.
Swap fecal incontinence for knee pain, you'll never hear the end of it.
Glad you learned your lesson.
Our curtain areas are for our subcu patients.
Over there is the break room where we got bad coffee and stale bagels.
Trust me, you don't wanna be going over there.
Excuse me?.
Keep up, okay?.
So here's the deal about being a med student.
Some docs like to teach, but most just see us as being a pain in the ass.
So they' re not gonna be issuing no formal invitation to the cool stuff.
You gotta keep your eye open and go after the action it's not gonna come to you, come on.
BRENNER: Another epi, let's shock him-- Shock him again.
-Chaz?.
-This is Dr.
Brenner.
One of our fine ER attendings.
This is the tour of the medical students you asked me-- Chaz, get them the hell out of here! Okay.
So who wants to see the Suture Room?.
BRENNER: Clear! -Anybody seen Brenner?.
-Down in T rauma with a chest pain.
-You okay?.
-Just got results back on a patient.
Bad news?.
-You want company?.
-No, I should do it.
No time like the present.
Right.
Post-tap film came back.
Your lungs have re-expanded.
-No pneumonia, are you feeling better?.
-I can breathe again.
-You said you've been sick for years?.
-Well, I got the AlDS diagnosis in 1 987.
Started AZT soon as it was out.
It's great that you've been able to fight it off this long.
Come on, doctor, no holding back.
I can take it, believe me.
Your test results came back.
There were atypical lymphocytes.
Large immunoblastic cells.
And what does that mean?.
It means that you have cancer.
CARTER: It's a little nasty out there today.
Keeps up, we're gonna start handing out life jackets.
-How are you?.
CARTER: I'm on the mend.
-Everything working?.
-No complaints with the plumbing.
Wish I could say the same.
I was up six, seven times last night.
-Kind of a quiet day today, huh?.
-Yeah.
I'm pulling out a crossword puzzle to fill the time.
I had lunch with Susan Lewis, Kerry Weaver.
Really?.
How is the old dragon lady?.
She's good.
-Susan, actually, looks fantastic.
-What are they doing in town?.
T onight's the opening of the Carter Center.
They came in for it.
-Open bar, free food on fancy crackers?.
-All that.
Housekeeping needs to clean up Trauma 2.
-It's still a mess after that kid.
-They're trying to mop up a roof leak.
-What's up?.
-A pregnant woman coming in, MVA.
Here they are.
-Hey, store that for me, would you?.
-Sure.
EMT: 36-year-old female, nine months pregnant with twins.
-Broke her water at home.
LlSA: Contraction! Traffic collision on the way.
T -boned by a CTA bus.
BRENNER: Is this your first pregnancy?.
-Fourth.
Struck on the passenger side.
T achy to 1 2O, BP's normal.
LlSA: Get me off this.
-As soon as we assess you, ma'am.
-Let's get her inside.
LlSA: Ah! [WOMEN GRUNTlNG] BRENNER: On my count.
One, two, three.
LlSA: My husband should be here.
He was on his way to meet me at Mount Sinai.
Okay, check the perineum, I'll do a primary survey.
LlSA: I've gotta push.
-It's okay, not yet.
-Not yet.
LlSA: I gotta.
Sterile gloves and an OB kit.
What do we need, Julia?.
JULlA: CBC, coags, type, Rh.
BRENNER: And?.
CARTER: Fetal monitor.
-Right, fetal monitor.
-Would you care to pitch in?.
CARTER: Oh, I thought you'd never ask.
LlSA: Ah! Now, don't move your neck until we make sure that it's not broken.
LlSA: I'm fine.
HALEH: I guess the C-spine is clear.
CARTER: She's crowning.
-All right, Mom.
You can push now.
-Ah! CARTER: Get ready, twins, go quick.
JULlA: Delivering the shoulders.
[LlSA SCREAMlNG] [BABY CRYlNG] It's a girl.
-Umbilical clamp.
-ls she okay?.
She's got a great set of lungs.
Oh, baby looks great.
Apgar of 9.
One off for color.
[BABY CRYlNG] Congratulations, Mom.
One down, one to go.
[BABY CRYlNG] Hi, you're beautiful.
We paged OB down for the twins.
Has anybody seen them?.
Coburn's in an emergency C-section.
She'd send a resident soon as she could free one up.
The husband just showed.
He's the wet, anxious guy.
-Mr.
Salamunovich?.
-Yeah, Chris, is Lisa okay?.
First baby's out and healthy, we're waiting on the second.
CHRlS: Oh, God.
-Can I help you?.
-You don't remember me.
Should l?.
God, it's amazing how little has changed around here.
-My dad used to be on staff.
-Mm-hm.
Mark Greene.
I'm his daughter, Rachel.
We have three boys under the age of 1 0 at home.
-Three?.
LlSA: Yep.
It's a madhouse.
But I wanted a girl.
So before Chris went in to get snipped, we decided to try one more time.
We ended up with twins.
-Hey.
-What are the chances of that?.
Hey, little Camille.
Hey.
-We're still going with Camille?.
-Yeah, fine by me.
It was my grandmother's name.
Honey, keep an eye on the clock.
Preschool pick-up is in an hour.
-Oh, I'll just have my mom go get him.
-No, no, no, you should-- Oh! [LlSA GRUNTS] LlSA: Another contraction.
-Okay, big push this time.
Okay, big push.
[LlSA GRUNTlNG] -Fetal heart rate's down.
CHRlS: What does that mean?.
-lt could be a sign of distress.
-Okay, Mom, let's get this baby out.
[LlSA GRUNTlNG] I can see the head.
-Meconium.
-Give me suction now, please.
-What's meconium?.
-It's in the baby's intestine prior to birth.
It can pass into the amniotic fluid and get into their lungs during birth.
Ah! -How bad is that?.
BRENNER: Clamp and cut.
If it gets into the lungs, then she has to be intubated.
It has to be sucked out.
[PANTlNG] It's another girl, honey.
-She's not crying.
CARTER: That's intentional.
-We don't want her to breath in the mec.
-Laryngoscope and suction, please.
Mom's heart rate's up to 1 40.
-Some bleeding.
-Two liters of saline, wide open.
-A lot of bleeding.
BRENNER: Let's get more access.
Put gentle traction on the cord.
Get two units from the blood bank.
BRENNER: Meconium at the epiglottis.
JARVlK: She's cyanotic.
LlSA: Honey?.
JARVlK: Poor tone.
-ls she okay?.
-Systolic's down to 9O.
-Prime the rapid infuser, where is OB?.
Ah! [EKG BEEPlNG RAPlDLY] Is that the placenta?.
That looks like uterine inversion.
-What?.
-Need some steriles.
The uterus has turned itself inside out and has pushed itself through the cervix.
I need you to push it back in.
Ah! -lt won't go.
-All right, lV nitro, right now! LlSA: Ah! Set up for an intubation on Mom.
Two units of FFP.
Let's have the blood bank stay ahead four units.
[EKG BEEPlNG RAPlDLY] [TRUCK BEEPlNG AND CAR HORNS HONKlNG] [SlGHS] [EKG BEEPlNG] Pressure's only 65/45.
Second unit's in.
-Hang two more.
CARTER: No, it won't go.
-Four units of mag.
-What's happening?.
If we can't get her uterus in, we have to take her to O.
R.
Put her under and see if we can relax the uterus a bit.
JARVlK: Heart rate's up to 1 4O.
CARTER: Try one more time, push hard.
Really push.
Come on, get in there, really push.
-It's in.
-It's in?.
JULlA: Yeah.
-Great.
Hold off on the nitro.
Keep pressure on the cervix.
Push in, all the way up to your forearm.
I want you to massage the uterus at the umbilicus.
OB's here.
Heard you had twins.
We just reduced an inverted uterus, she's bleeding with accreta.
-I'm bringing her up.
CHRlS: What are you going to do?.
-You're the dad?.
-Yes.
We need to stop the bleeding or else we give her a hysterectomy.
-How about the twins?.
BRENNER: Second one aspirated mec.
-I paged Pedes.
-Should I let go?.
CARTER: Don't let go till they tell you to.
-Should I go?.
Your wife is gonna be under anesthesia but we'll give you updates from the operating room.
Your wife mentioned something about having to pick up your kids at school.
If you need to make a call, you can use that phone on the wall there.
Sarah, Sarah! SARAH: Wait.
GATES: Hey! -I thought you couldn't pick me up.
-I couldn't sleep, get in.
But I was gonna go to Madison's to study.
I'll give you a ride, I have to meet Alex to finish the car.
So, what's up, Tony?.
You ever play I Never?.
A drinking game.
I haven't been drinking, okay?.
-I Never?.
-I've heard of it.
I mean, some kids from school who've played it at parties and stuff.
How many drinks do you think it takes to be drunk enough to die?.
-What?.
-What do you weigh, 90 pounds?.
How many drinks would you have to down before the alcohol would kill you?.
-What do you think?.
-I don't know.
-Five, 1 0, 20, 50?.
-I don't know, 20?.
-Try six.
-Six?.
Yeah, that could do it.
That could kill you.
Give me your phone.
I'll give it back to you.
I just wanna-- Give it.
Do me a favor.
Next time you're at a party and you're drinking, you've had too much to drink.
Or you're throwing up, or your friends are or somebody's texting you saying they're throwing up hit that.
""Help""?.
-Who's it call?.
-Me.
And I'll come, no questions asked.
I'll help you, I'll help your friends, I'll make sure you're okay.
No questions asked?.
CARTER: When did it stop raining?.
JULlA: How's that second twin doing?.
-lntubated, waiting for Pedes.
-Did Mom get to the O.
R.
okay?.
-Yeah.
I'm going for coffee, anybody want a latte?.
-Sure, non-fat, double shot.
-Non-fat, double shot.
Mocha frap, extra foam.
WOMAN: Excuse me, I'm not sure I'm in the right place.
My daughter-in-law's here somewhere, having twins?.
Is her name Lisa?.
Come with me.
Go right in and just check in with that nurse.
-Julia, there's a call for you, Oncology.
-Thanks.
Hey, you guys know a doctor used to work here named Greene?.
His daughter was on my tour, applying to med school.
-Rachel?.
-Yeah, I think so.
You're kidding me.
Is she still around?.
I dropped the tour at the Dean's office, they're doing interviews this afternoon.
Rachel?.
-Dr.
Carter! -Hey, look at you.
You're all grown up.
How old are you?.
-Twenty-two.
-Oh, my God.
I remember you when you were-- Now you're going to medical school, huh?.
-Took your MCATs?.
-Yeah.
-Where you doing your undergraduate?.
-Duke.
Elizabeth's on faculty there, so I get a good deal on tuition.
-Elizabeth Corday?.
-Yeah, actually she flew up with me.
Elizabeth is in Chicago?.
What are you both doing later tonight?.
I don't know.
I think we're seeing some friends.
No, no, no.
You have to come to this thing that we're doing.
BANFlELD: Rachel Greene?.
This is my number.
Give this to Elizabeth, have her call me.
-It's good to see you, good luck in there.
-Good to see you.
Thanks.
Thanks, yeah.
Path says it's primary effusion lymphoma.
-Who's this?.
-My guy who couldn't breath.
-What's his prognosis?.
-Median survival is two months.
And his options?.
Chemo and radiation could give him a couple months.
BRENNER: You told him he has cancer?.
-Yeah, a couple hours ago.
SANCHEZ: Brave.
-Or maybe he's just relieved.
-Relieved?.
-Dr.
Brenner?.
To finally know how and when after all these years.
GATES: Back and forth, keep it smooth.
Excellent.
That will do it.
Yeah, man, it looks good.
You were right about the color.
I don't know.
Cobalt blue would've been cool too.
No.
Red is more your mother.
-Yeah, all fire.
-Yeah, better than cold and distant.
-lf you say so.
-I know so.
-She's gonna love this.
-Definitely.
-Sorry, I've been gone so long.
-Oh, that's okay, Gerry came by.
Gerry Gugliemotto, Dr.
Wise.
She is very nice.
-Great to meet you.
-Nice to meet you.
Gerry brought me gardenias.
I just love gardenias.
Don't you?.
I mean, the smell.
The rest of your labs came back, everything looks clear.
Except for the cancer.
It means your body could tolerate chemotherapy.
-No, no, thanks.
-lt could buy you a few more months.
I've already had an extra 2O years, doc.
I should have died with my friends in the '8Os.
You're still here.
Tommy and Bill.
Jeff and David.
-Remember Michael Thomas?.
-Of course, I do.
Little Bobby?.
So many people I loved.
I've been trying to live for them, you know?.
Keep their memories alive.
But I've had my time, no regrets.
I went skydiving last year, in Hawaii.
It was the most remarkable thing.
I was floating, free.
I couldn't feel my body.
I'm afraid of heights, but I wasn't up there.
I guess that's kind of what I hope death is like, doc.
Floating, free in the air, above everything.
Just watching the world drift by.
-ls there anything I can do for you?.
-Y eah, there is.
I don't want it to hurt.
We can help with that.
BRENNER: Going to the cath lab any second.
Hula girl needs an x-ray of her wrist.
We've got an SBO who's NPO and not happy about it.
A sickler with a fever.
Dislodged G-tube on an old gal that came in from Lakeshore.
And a 3-week-old with lethargy and cardiomegaly, admitted for echo.
As you can see, the hallucinating trombone guy's still here.
T ox was negative, but we're trying to find a psych bed somewhere in Chicago.
-My alcohol-poisoning girl still here?.
-Family didn't want her admitted here.
They're transferring her to Mercy, but Mercy hasn't picked her up.
FRANK: Hey, Jerry.
Look at this inbox, it's empty.
All of my day-shift paperwork is completed.
Look, it's a thing of beauty, it's a clerical Mona Lisa.
I just wanted you to see what an empty inbox looks like so you can try to replicate that for when I come in tomorrow, okay?.
-T ough day?.
-About the same as every other.
-Night, y'all.
-Good night.
Watch out for the guy in 3, he's a grabber.
MARQUEZ: Thanks.
Hi.
-You look nice.
-Oh, I got a thing to go to.
You saw a med-school applicant today.
Rachel Greene.
She's pretty great.
-She a student of yours?.
-She's Mark Greene's daughter.
Mm-hm.
So you have no first-hand knowledge of her academic qualifications?.
No, I've known her since she was a kid.
Mark was a pretty great doctor.
I'm sure the apple didn't fall too far from the tree.
She did well on the interview.
I can't say if she'll make our final list, but she made the first cut.
BRENNER: So he's a bit of a boozer?.
NEELA: Stinks of bourbon by noon.
BRENNER: It doesn't affect his work?.
-That's the irritating thing.
Drunk as a skunk and he 's still a wonderful surgeon.
-ls that Neela?.
-Y eah.
-Hey, how's the teaching going?.
-Hey! Oh, I've got mostly R-3s, very polite, following me around like ducklings.
I' m sure they' re in awe of the depth of your surgical brilliance.
It's either that or your exceptional beauty.
-They may just be stupid.
MORRlS: Is that Neela?.
CARTER: Y eah.
-Hey.
-Hey! MORRlS: How's life on the bayou?.
The bayou is like Dr.
Brenner?.
Pedes showed up to extubate the mec twin.
-I've gotta go, I'll speak to you later.
-Oh, okay.
-How's the mom?.
-Still in surgery, I think.
-She's still in the O.
R.
?.
-As far as I know, yeah.
Hey, you mind if I tag along with you?.
-See you, Neela.
-Okay, bye.
Hey, Joe.
How we doing?.
Suctioned out the trachea and the stomach.
No mec below the cords.
Satting at 1 OO percent.
Vigorous tone, good respiratory effort.
-I think we can extubate.
-Blow-by oxygen is ready.
Here we go.
Good air movement.
CHRlS: Can I hold her?.
-By all means.
How about you go and prep the rest of the kids?.
Oh, I gotta go.
Good work, doctors.
-Thanks, Joe.
-Yeah.
[BABY COOlNG] What's the mom still doing up in the O.
R.
?.
She's probably already out.
Sometimes, they forget to call.
Hey, guys.
You wanna meet your sisters?.
-Yeah.
-Yes.
-Come on.
-All right.
-Hey.
-Yes, you ready, kiddo?.
Look at this.
Hey, Ma.
-Look at this.
-Yeah.
You got sisters.
Where's my mom?.
and pyelonephritis on home lV therapy.
Now with altered mental status and respiratory distress.
BP's 6O palp.
Gave 5OO cc's of saline to get her pressure up but it's going to her lungs.
She's been coughing and groaning terrible.
-She's burning up.
-Pulmonary edema, probably septic.
This is the second time we've been here.
We've been taken care of by Dr.
Gates.
Her parents around?.
They've been here all day, they must be around somewhere.
Hey, T ony?.
Elderly MS lady just came in with sepsis.
Husband said you've been treating her.
-You look tired.
-Thanks.
-Are you okay?.
-Y eah, this-- This 1 7-year-old girl came in last night with alcohol poisoning.
BA 420.
Still hasn't come around.
She was texting her friend all night, telling her she was throwing up.
Friend thought it was cool.
Mr.
Manning.
Marjorie's not doing too well, huh?.
I know a lot of us never actually thought that this day would come.
In fact, I think I was one of them.
[CROWD LAUGH] But here we are in this beautiful facility.
Finally ready to provide state-of-the-art outpatient services to the HlV/AlDS community, the homeless, families in need.
Medical care, dental care, daycare, counseling services.
Services that have been sorely lacking at County for many years.
I don't wanna try your patience by rambling on too long.
But I hope you'll bear with me for a moment while I talk about why we chose to name this the Joshua Carter Center.
My wife and I had a son and we named him Joshua.
And he died.
Excuse me.
[VOlCE CRACKlNG] And it seemed so senseless that we-- My wife and l, we struggled to find some sort of meaning in it.
And in the aftermath of our small tragedy we realized that we could make a difference in other people's lives.
Other people experiencing their own small tragedies.
And that made, somehow, the loss of Joshua bearable.
Thank you so much for coming.
[CROWD CHEERlNG] Bravo.
-You done good.
-I didn't embarrass myself?.
I wouldn't go that far.
You came, I didn't think you would.
Neither did l.
Sorry I was late, flight was delayed.
That's.
-That was a beautiful speech.
MAN: Hey, John.
I want you to meet Wendy Spence from the Ford Foundation.
Right over here.
GATES: Your wife has low blood pressure from the sepsis.
But giving her lV fluids will only cause more damage to the lungs.
We discussed this when you wanted to take her home, Paul that this would most likely happen.
I didn't realize.
Please, do something.
Well, Marjorie has a DNR, she doesn't want us to intervene.
Oh.
I've got her power of attorney here.
Yeah, that means I can decide for her, right?.
Your wife has a degenerative disease that's left her debilitated without enough strength to fight off this infection.
Even with aggressive treatment she would only live a week or two in the lCU on machines.
A ventilator, dialysis, lV pumps to keep her blood pressure up.
It's only going to prolong the pain and suffering.
I'm not ready to lose her.
It's time to talk about how to make her as comfortable as possible.
Paul?.
Excuse me, I'm here to check on a patient.
-You are?.
-Dr.
Wise from the ER.
I called but I got put on hold.
We're swamped, couple of people called in sick, stomach flu.
We brought a woman up, inverted uterus, bleeding with an accreta.
Her name's Salamunovich.
Dr.
Zwerling went out to find the family.
They're downstairs, they have a bunch of kids.
One of the twins had mec.
Did she have to have the hysterectomy?.
No, she went into DlC, they coded her for over an hour and she died.
[EVERYONE SlNGlNG ""HAPPY BlRTHDAY TO YOU""] It wasn't me.
It wasn't me.
Here.
Make a wish and blow out the candles.
[ALL CHEERlNG] SAM: Very funny, very funny.
-What'd you wish?.
I wished that nobody told you guys it was my birthday.
LAVERNE: Cut the cake.
-What are you doing here?.
I wanted to give you your present.
-How'd you get here?.
-I drove.
-Drove?.
Drove what?.
-Well, wanna see it?.
Go ahead.
We got it, yeah.
ALEX: Maybe.
Hey, the twins are doing great.
They're keeping one overnight in the NlCU but the other one's already on the way to the nursery.
What?.
SAM: What are you doing?.
-Just one second.
-Give me one second.
-I'm working.
Mom, just one minute.
You'll love it.
SAM: What are you doing?.
You drove that?.
Whose car is that?.
-Alex, do they know you have it?.
-Mom.
Nobody's gonna let a 1 6-year-old kid drive that car.
-Open this.
-Whose car is that, Alex?.
Just open the box.
Mom, it's yours.
It was pretty banged up at first, but T ony helped me fix it up.
-Alex did all the work.
-No, no.
-Get in, go.
-What?.
-Go, Mom.
-Oh, my God, are you kidding?.
It's beautiful.
Are you serious?.
Are you--?.
Mom, just turn it over.
[ENGlNE STARTS] Oh, my God.
JULlA: I don't know if I can do this.
Do what?.
This.
Everyday.
Sure you can.
People need help and you know how to help them.
And if I can't help them?.
You do the best you can, then you go home, you get some sleep and you come back the next day and you help the next one.
I'll see you tomorrow.
I should have grabbed a jacket.
It's freezing.
Feels good.
I like it brisk.
You could hang meat here, can't feel my feet.
Go wait inside, not like we need you to push gurneys.
Global warming?.
Those scientists should spend April in Chicago.
to the forehead from a bottle.
-Vitals stable en route.
-What happened?.
-Drunken brawl at the Marriott.
-Bitch cut me.
A free-for-all.
Chairs flying, champagne bottles.
We had to wait for the cops to arrive to break it up.
Take her, I'll get the next one.
blunt trauma to the head.
-Lacerations to the left forearm.
-She broke my damn arm.
-Tiffany, you're dead, you hear me?.
-You hit me with a chair.
It was like all-star wrestling in there.
-At a wedding?.
-My wedding.
You did this at my wedding, Mom.
That's what you wanted?.
To ruin everything?.
-That's your mother?.
-Worse, my new mother-in-law.
[LEWlS LAUGHlNG] LEWlS: That's not true.
CARTER: Totally not true.
LEWlS: Yes, it is.
You were there, yes.
No.
I never pulled a guy's Foley without deflating the balloon first.
You did.
The patient was so angry he threw an emesis basin at his head.
-A Foley is for collecting urine.
LEWlS: Y es.
Okay, what about the time where he got crazy with Dermabond?.
-And glued the lady's eye shut?.
-That I did do, actually.
What about the time when he spent three hours doing a one-inch head lac without an x-ray?.
He discovers there's still glass in it, he had to go and do it again.
Really glad you came.
Don't believe them, Reese.
-Should we head out for a nightcap?.
-Y eah, I'm in, you coming?.
BENTON: Gotta get this young man home.
LEWlS: Come on.
BENTON: No, no, no.
It's a school night.
Gotta go to-- No, get you home.
Go to sleep.
Drop Reese off with Cleo and come back out.
The night's young.
I was gonna try Elizabeth, see if they wanna drop by.
WEAVER: Great.
Elizabeth's an old friend.
No, a friend.
LEWlS: So?.
-So yeah?.
LEWlS: Yeah.
-You know, maybe, maybe.
Maybe.
WEAVER: All right, ready?.
-Yeah.
-Meet you there.
-Okay, great.
What were you talking about?.
-What?.
-With Kerry Weaver.
Africa.
She was just back last summer.
Visit friends.
It's gorgeous, John.
Do you wanna join us for drinks?.
I'm a bit tired.
And it's 5 a.
m.
in Paris.
How long are you staying?.
I leave tomorrow night.
It's hard for me to be here, John.
I know, I'm glad you came.
Me too.
Can I buy you lunch tomorrow?.
Go to Shaw's.
Eat too much seafood.
Take a walk by the lake.
It's supposed to be a nice day.
I was thinking about Joshua.
He'd be 5.
Nearly 6.
I think about him almost every day.
Lunch?.
Maybe.
Call me in the morning.
Kem?.
TRACY: 78-year-old man in from the nursing home.
Penile pain, deformity and bruising.
Sorry I called you in on this.
I just don't feel very comfortable with him alone, he's kind of randy.
Welcome back, doc.
You bring yourself a chaperone?.
Mr.
Thunhurst.
You're having penile pain?.
Hurts like a son of a bitch, doc.
Let's take a look.
-You're sexually active, I take it?.
-Oh, yeah.
I don't need Viagra either.
The odds at the nursing home are great.
I mean, women outlive men, it's at least 4-to-1.
[GRUNTS] -You use condoms, I take it?.
-Oh, you betcha, the big ones.
All right, you fractured your penis.
Fractured?.
-There's a bone in there?.
-No bone.
A tear of the fibrous sheath called the tunica albuginea.
Swelling, bruising, hematoma, standard eggplant deformity.
Usually happens when the female is on top.
Was your partner on top, sir?.
What?.
Cowgirl position?.
Oh, no, no.
That's not for me.
We were going at it in the Nurses' Station while they were running a movie night.
I slipped out and Mr.
Fred hit the edge of the desk.
He's gonna need retrograde urethrogram to make sure there's no damage and surgery to evacuate the hematoma and repair the albuginea.
SAM: T ony?.
THUNHURST: Surgery?.
-How long am I out of action?.
-Six weeks.
Good Lord.
What am I gonna tell the girls?.
Paramedics have a chest pain and MS lady's breathing is scaring the husband.
So do you like the car?.
It's incredible and amazingly cool, but I can't keep it.
Why not?.
Alex couldn't afford that.
I barely give him enough to support his iTunes habit.
-He worked his ass off on that car.
-I can't take a car from you, T ony.
It was a piece of junk, he did all the work, we found the parts.
It still must have cost you hundreds of dollars.
Thousands of dollars?.
Alex learned to rebuild a car.
If you don't take it, you'll break his heart.
Hey, that rule-out is pulling up.
T alk Mr.
Manning through what's going on.
I'll be there soon as I can.
If you're thinking about selling the Mustang I will give you $500 cash for it.
-Go away, Jerry.
-Seven hundred?.
PAUL: Oh, is Dr.
Gates coming?.
-Yeah, he'll be here soon.
-Because she stopped breathing.
And I thought she was gonna-- And then she started up again.
Yeah.
Her irregular breathing is completely natural.
It's all part of the dying process.
Seventy-two years.
-I'm sorry?.
-Seventy-two years.
I met her in the sixth grade.
That's how long we've known each other.
Seventy-two years.
And her family had moved in from Nebraska because they lost the farm, you know, during the Depression.
And Mrs.
Ross, our teacher she said to take the empty desk next to mine.
That was it.
You know?.
I never looked at another girl for 72 years.
You hear that, Mrs.
Manning?.
Not once, sweetheart.
LEWlS: Yeah, just, like, move it out.
Well, this is a thoroughly disreputable looking group.
WEAVER: Oh, my God, Elizabeth.
Oh, it's good to see you.
-How are you?.
-I'm good.
-Hi, Susan.
-Hi.
CARTER: Hello.
CORDAY: John.
-Thank God you showed.
-You were the bait we used to-- -Oh, come on, that's not true.
You remember Rachel.
LEWlS: Oh, my goodness.
-Hey.
-Hello, Peter.
-Hey.
-I remember you when you were this big.
-Yes, everyone's been saying that.
-I can imagine, look at you.
-What can I get you?.
-I'll have a cranberry juice.
-You look great.
-Thank you.
-And for you?.
-I'd like a margarita, no salt.
WAlTRESS: See some lD?.
RACHEL: Absolutely.
WEAVER: Oh, my God.
-So how's Ella?.
Oh, she's 9, gorgeous.
Now, Peter, you and Cleo are still together, right?.
Y eah, yeah, yeah.
She's an associate professor over at University of Chicago.
LEWlS: No, no, no, I'm dating again.
RACHEL: A much younger man.
LEWlS: Yeah, it's shameful.
CORDAY: No, no.
Roger Anderson, 48, with eight hours of substernal chest pain.
-Why wait so long?.
-I thought it would go away.
-Good vitals, no ST changes.
ROGER: Am I having a heart attack?.
GATES: T oo soon to tell.
LlNDA: First she traps Donnie into getting married by getting herself pregnant.
TlFFANY: Right, innocent Donnie, perfect little Donnie.
I have news for you, Donnie about raped me in the back seat of his Camaro.
I warned him that all she was after was his paycheck and health benefits.
Right, his incredible salary working for the post office.
Ow! Then she insisted on inviting her inbred Kentucky relatives to the reception.
It wasn't my Uncle Phil who was found pissing in the lobby fountain! Ouch! LAVERNE: Keep still then.
-Am I gonna have a scar?.
-A little one.
-You hear that, Tiffany?.
-I'm gonna have a scar.
-Yeah?.
I'm gonna be on my Caribbean beach honeymoon with a cast on my arm! -Tiff, are you okay?.
-Oh, honey, baby, she broke my arm.
-Donnie, Donnie, is that you?.
-Yeah, Mom, it's me.
Donnie, she cut me.
-I'm getting stitches in my face.
-Hold my hand, please.
-Come here and see what she did to me.
-Donnie, sweetheart?.
Hold my hand.
-Donnie, Donnie?.
-Donnie, Donnie?.
-Come here now.
-Come here.
-Donnie.
-You come here right now.
SAM: I want to prepare you, your mom's unconscious and the sepsis has made her breathing more difficult.
We have her on oxygen to help and morphine to relieve any pain.
-So she's dying?.
-Y eah.
-Soon?.
-Probably.
Would you look at that?.
How much he loves her.
I never could understand how he put up with that woman.
T ough as nails.
Hard on him, hard on us.
Then she gets sick and he takes care of her for all these years.
I would've left her by the side of the road somewhere.
You know what I was doing in the car the whole way down from Milwaukee?.
Crying.
Crying my eyes out.
Beating myself up trying to remember what it was we fought about last time we talked.
Isn't that something?.
As if it mattered anymore.
Hey, you mind if I eat this last piece of cake?.
-No, knock yourself out.
-Thank you.
[PHONE RlNGS] JERRY: ER.
Yeah.
What's up?.
I know.
Soldier Field.
No, Tommy's gonna get us tickets.
Yeah.
Mom.
Hey, did I wake you?.
Uh-- Yeah.
Oh, who does Leno have on?.
No.
No, I'm working tonight.
How was your day?.
Yeah, they got me a cake.
Chocolate.
That crazy grandson of yours, Alex, tell you what he got me for my birthday?.
A car.
No, he rebuilt.
LEWlS: Ah.
WEAVER: Whoa.
RACHEL: How did it get so cold?.
CARTER: You wanna come and see what a real doctor does for a living?.
Oh, yes, a doctor in an underfunded, over-utilized, insane asylum that passes for an urban medical center.
-I'm in.
-Oh, no, it's very late.
-Don't start.
-How are you gonna get to the hotel?.
-I'll call a cab.
-Come on, she's not a baby anymore.
-We'll make sure she gets back safe.
-You gonna come, Kerry?.
-No, I've got an early flight.
-Peter?.
No, 7 a.
m.
rounds.
WEAVER: That's a cab.
-Come here, bye.
-Bye.
-So good seeing you.
WEAVER: All right.
-Bye, guys! RACHEL: Bye! CARTER: Well?.
Ready?.
Hey, our flight leaves at 9.
Car's coming to pick us up at the hotel at 7.
[SlGHS] Kids.
She's not a kid anymore.
Her mother would absolutely kill me if she knew I'd let Carter haul her off to the ER in the middle of the night.
Hey, want me to get you a cab?.
Oh, no.
I've got a rental car.
All right, well, you want me to walk you?.
Um.
Sure, thanks, yeah.
So is Cleo good?.
Yeah, really good.
-Do you have any more children?.
-No, no, no.
-What about you?.
-What about me?.
-Do you have any more kids?.
-Oh, no, no.
-Are you in a relationship?.
-No.
-Dating?.
-No, not really.
Well, I've got a 9-year-old at home and a busy career.
Maybe when Ella's a little older, I might, but.
So [HORN BEEPlNG] this is me.
[BENTON LAUGHlNG] As usual, there was a problem with the rental reservation.
This is all they had.
I-- It's big.
Well, you know, if you need to transport an infantry for any reason.
[LAUGHS] Yeah, or a rap star's entourage.
Anyway.
It was really nice seeing you again, Peter.
Take care.
[AMBULANCE SlREN WAlLlNG] CARTER: Jerry, you remember Rachel.
-Hey, I heard you were around.
RACHEL: Hi, Jerry.
-Hi, you remember me?.
-No way.
-Jerry! JERRY: Oh, my God.
There's a spirit of camaraderie here, that's what makes this place work.
Everybody helps everybody else out.
Oh, God, maggots.
Tracy, this is Rachel.
She's thinking about a career in emergency medicine.
Run, don't walk, to Radiology.
Trust me.
You don't ever, ever want to have to do this.
MAN: I am the chosen one, come to be known as Uhdia.
Ten of Haldol and restraints.
MAN: And he who believeth in me shall have eternal life.
CARTER: Hey, Morris.
-Hey, Carter.
-How did the opening go?.
-Good, you missed it.
You know, work.
Can't wait to see it finished.
-Give me a call, I'll give you a tour.
-Rachel, Rachel Greene?.
-Hi, Chuny.
-Oh, my God, look at you.
You'll be around for a while?.
Don't you dare leave before we get to catch up.
And I will deliver.
Haldol, miracle drug.
CARTER: Laverne, what have you got?.
Mr.
Meyer here polished off a few too many bottles of fine burgundy.
Fell off the curb in front of Spiaggia, broke his ankle, hit his head.
-Waiting on CT and Ortho.
-Mind if I take over the lV?.
Sure, no problem.
-You ever done one of these before?.
-No.
Okay, well, we use an angio-cath with a 1 6 gauge needle.
That's a large bore.
You need that in case there's bleeding and you have to transfuse them.
What you wanna do is pull that skin tight so that the vein doesn't roll, go in low, bevel up.
Once you're in the vein, you pull this little gizmo out and tape it down.
Gates, is it my imagination, or is Dr.
Carter who is not on duty by the way, in Trauma 1 with a patient demonstrating lV placement to a college student?.
-What?.
-Never mind.
Jerry, why is Dr.
Carter performing medical procedures on our patients?.
Because he's a doctor?.
T ony?.
Excuse me for one second.
Perfect timing.
That poor bastard, his son-- Marjorie Manning died.
[EKG BEEPS] So that's it?.
[SOBBlNG] Can I stay with her a little longer?.
Of course, stay as long as you'd like.
Oh, yeah.
Pizza.
What is that?.
A meat-lovers special, you want a piece?.
You better call a cardiologist and schedule your first angioplasty.
-It's good.
-How old are you?.
Thirty-seven.
Make an appointment three years from now.
You keep eating like that, MARQUEZ: No.
LEWlS: It's true.
[MARQUEZ & LEWlS LAUGHlNG] -They don't get it, they don't get it.
-Who are you?.
Oh, hi, I'm Dr.
Susan Lewis, I used to work here.
Hi.
What is it with men and their penises?.
LEWlS: I've been trying to figure that one out for years.
LAVERNE: Amen to that.
My trouble-urinating guy.
It turns out that he has erectile dysfunction and he can't afford Viagra.
He takes a tube of bathroom caulk, the kind you use around the tub and squeezes it into his urethra.
It's not a religious talisman.
Get that in a biohazard bag.
Police brought in an altered old woman, wearing one of our bracelets.
It had your name on it.
MORRlS: Beverly?.
-Hello.
-Hello, how's her temperature?.
Core is 96.
-My name is Beverly.
-Y es, I know.
She was in here yesterday.
Her daughter's name and number should be on the chart.
-Martha or Mary-- -Margaret.
Margaret, that's right.
You know, she's gonna be worried about where you are.
Oh, Margaret is a lovely girl.
Just quiet and thoughtful.
How's your wrist, any pain?.
-Oh, I broke my wrist.
-I know, I fixed it yesterday.
I fell out of a tree, Margaret was telling me to go higher and I fell.
Really?.
Margaret was telling you to go higher?.
Mm-hm.
She's-- Margaret's my sister.
Y eah, just a lovely girl.
You know, you really shouldn't leave your yard.
It's not safe.
Oh, you have such strong hands.
Warm and strong.
You can tell a lot about a man by his hands.
Yes, ma'am.
Where's the daughter?.
She went to call the mortuary, I think.
Thanks.
For what?.
For everything you do with Alex.
I really appreciate it.
GATES: A little cold out here to be playing basketball, huh?.
CARTER: I'm just trying to stay awake.
-Oh, yeah?.
Yup, I've got an important call to make in a couple hours.
I'm afraid if I close my eyes, I'll sleep through it.
Don't you own an alarm clock?.
Can't chance it.
Yeah?.
-Love or money?.
-What?.
Well, if it's that important, it can only be one of two things Iove or money.
-Love.
-Oh! Hey, put a towel around that guy.
There's women in there.
Thought streakers went out with disco and the Ford administration.
MORRlS: I'm going across the street.
-Want a burrito?.
Bean and beef.
-I'm fine.
I'll pass.
Man's a culinary freak of nature.
Nice.
Where's your little ward?.
Who, Rachel?.
The women stole her from me an hour ago.
-Are you coming back, boss?.
-What?.
You're hanging around here enough.
Take some shifts, get paid for it.
I don't know.
Maybe.
Hey, Tony, I need you.
Transport guys from Mercy finally showed up for your alcohol-poisoning girl.
They tried to move her, she started groaning, thrashing around.
Is she responsive?.
I didn't stick around long enough to find out, went looking for you.
-Stacey?.
-What?.
What's happening?.
Stacey?.
All right, responds to stimuli.
-What does that mean?.
-Stacey, can you hear me?.
MRS.
T AYLOR: Honey.
GATES: Stacey, you' re in the hospital.
I' m Dr.
Gates.
You were at a party, you had a little too much to drink.
-Please, is she all right?.
GATES: Stacey?.
Stacey.
Stacey.
I need another CT.
It's gonna take a while.
-How long?.
-Hour, maybe two.
I'll call Dispatch.
MR.
T AYLOR: Doctor.
She's responding, but not in a purposeful way.
It may be a sign of lack of oxygen to the brain.
I'm gonna order another CT, make sure there's no swelling in the brain.
MRS.
TAYLOR: But she's going to be okay?.
Well, it's too early to tell if her mental status will improve from what we're seeing now.
MR.
TAYLOR: But it could?.
GATES: Maybe in time.
-CT can take her now.
GATES: Okay, good.
-Can we go with her?.
-Of course, yeah.
My first ER rotation, they sent me to a jail ward to do a rectal on this prisoner with a Gl bleed.
So this guy is very sketchy, and he's kind of a leech but I don't wanna seem like a wimp.
So I close the door to give him some privacy I pull on my glove, lube up my finger and go ahead with the exam.
When I'm done, I go to the door to leave, and it's locked.
It's a jail ward.
The doors don't open from the inside.
So here I am, stuck with creepy convict guy who is now laughing pulling up his pants, asking me if it was as good for me as it was for him.
Oh, my God.
It took me 1 O minutes of banging on that door to finally get a nurse's attention.
Guy in Exam 2 is coughing red snappers.
Be sure and wear a mask.
-What's a red snapper?.
-TB.
-Tuberculosis?.
-Yup.
My first week in the ER, I forgot Haleh's name and called her ""nurse.
"" -As in, ""Nurse, can you get me 4-by-4s?.
"" -Oh, bad idea.
-Nurses hate being called ""nurse.
"" -Why?.
-Because we have names.
-Or we know more than med students.
-The interns.
-More than most doctors.
So anyway, Haleh decides to punish me by paging me for Tylenol orders every 2O minutes.
-I would have paged you every 1 O.
SAM: Every five.
TRACY: My first year in med school, the dean comes into our very first lecture and he says, "" I want you to look to your left and to your right.
A year from now, one of you'll be gone.
"" Our dean told us that when I was in med school too.
-Was it true?.
-No, but it scared the hell out of us.
I mean, as if we weren't worried enough already.
Hey, what are you doing here?.
Couldn't sleep.
I thought I'd come in, catch up on some charts.
Maybe check up on a baby in the NlCU I helped deliver yesterday.
-Where's Banfield?.
-ln Sutures.
Stitching up drunken disorderly guy.
Get her down here now.
-What is it?.
-Explosion at a power substation.
Burn and blast victims.
Three minutes out.
-How many?.
-At least eight.
MORRlS: Chuny, clear the trauma rooms.
Jerry, get the blood bank to send O-neg.
Dawn, make sure we have enough morphine and rapid infusers.
Yipee-kie-yay.
You wanna be an ER doc?.
This is the fun part.
Industrial explosion.
[SlRENS WAlLlNG] MARQUEZ: Dr.
C.
[SlRENS WAlLlNG] Morris, Triage.
EMT 1 : A 55-year-old man thrown against a wall.
-Diffuse abdominal pain, BP 80 palp.
-Rigid abdomen, probably spleen or liver.
-Tracy, two of O-neg, hold for the O.
R.
TRACY: Yup.
EMT 2: Open femur, good distal pulses.
-I'll take this.
Chuny.
MARQUEZ: Yeah?.
BANDFlELD: Gram of Ancef, 1 OO of gent.
, titrate Dilaudid and call Ortho.
Julia, you're up.
Laverne.
-I got Bardelli's rig.
-Good.
EMT 3: In V-fib on a high power line.
Epi, lidocaine and 1 0 shocks.
Put him into asystole.
-Trauma 2?.
-No, Curtain 3.
We have to hold Trauma for the ones we can save.
A 27-year-old male, short of breath, pulse ox, 82, decreased breath sounds.
-No facial burns?.
EMT 4: Pneumothorax.
MORRlS: Set up for a chest tube.
EMT 5: Arm was blown off.
-lntubated after 1 O of MS.
-All right.
Sam.
-Anything to reimplant?.
-Bits and pieces.
MORRlS: Go.
-Dr.
Carter?.
-What?.
I'm sorry.
-You okay?.
Y eah, just a little deja vu.
Carter, are you working?.
-Absolutely.
-Come on.
EMT 6: Burns over 9O percent of his body, soot at the vocal cords.
CARTER: Three liters of Ringers, let's call the burn service.
Okay, cool.
CARTER: Dr.
Greene.
Are you coming?.
EMT 7: Tight wheezing throughout the ride.
Pulse ox, 88.
MORRlS: Check for singed nasal hairs from smoke inhalation.
Set up for intubation.
EMT 8: A 38-year-old man.
[SlREN WAlLlNG]