Private Practice s06e04 Episode Script
You Don't Know What You've Got Till It's Gone
Dr.
King? Dr.
Peterson.
Thank you for coming.
Please.
You can call me James.
Ah.
Is it warm in here? Are you warm? I'm perfectly comfortable.
Are you feeling all right? Oh.
Yeah, I'm just dealing with a a situation.
I thought I heard a touch of the South in you.
Am I right? I grew up in Tennessee.
Alabama.
We're practically kin.
Um, all right, look, so, uh, could we cut to the chase? I want you for this job, and I suspect you think you don't want this job because you're a USC hotshot at a level one trauma center, and St.
Ambrose is, relatively speaking, a a sleepy little ER in Santa Monica but you are young.
At a level one trauma center, you'll be in line behind other USC hotshots with decades more experience than you.
St.
Ambrose-- you'd run the department.
Seriously? Not today, not immediately, but eventually.
And "eventually" will come much sooner here than Oh, damn it.
Where's my trash can? You put it in the hall.
Wow.
He fell asleep already? It's barely even dinnertime.
Yeah, well, it could be something else time.
Oh, yeah? Mmm.
Did you hear that? - What? - Rain.
It is not raining.
- Kiss me.
- Mmm.
There's gonna be car crashes and mud slides, and everybody's water is gonna break at the same time.
If it were raining, which it isn't.
Mmm.
Oh, our entire night, our "Henry went to bed early" night is gonna be spent working.
Sweetheart, this is Los Angeles.
It doesn't even rain this time of year.
I'm not gonna even say it.
Oh.
Don't want to go now It's the ER.
What do you know? And the lights are on Ah.
I'll call the nanny.
Nobody cares if I'm here Madison Square Garden, lights, packed house.
You gonna score 8 points in 9 seconds for the win or choke away the lead? I hate when people say Ohh! Can I get a little help around here?! Are you okay? N-no, not me! My husband.
He can't move his legs.
I'm gonna need a gurney and a collar.
I got nothing to say Hi.
I'm Dr.
Peterson.
Your wife said you can't move your legs.
Did you get into an accident? No, it's all in his head, but he still can't move his legs.
I can't, but, uh, I'm sure it's nothing.
Well, it sounds like something, so why don't I check you out? Sure, don't mind me! I'll just push the kid out at the gas station! I'm fine! See if you can squeeze a few more gurneys into the curtain area.
I need two beds.
- Adjoining.
- Honey, it's not a hotel.
Next to each other.
OB setup in one, and I need to clear his C-spine.
Who are you? Dr.
Peterson, our new ER doc.
Uh, curtains three and four just opened up.
I don't want to let go You have no idea how happy I am to see you, James.
Excuse me.
Um, I was supposed to meet my doctor.
Maybe you should sit.
Whoa! Whoa.
Whoa.
Get me a monitor and set up a wide bore saline.
Why you wanna go now? You said it was a sleepy little ER.
It never rains in California.
Mm.
Ahh.
Sorry.
Welcome to St.
Ambrose.
Except me I'm totally gonna win! Dream on, pal.
- Touchdown! - Ohh! Oh, I told you! Hold on.
Hurry up.
Come on.
You know what, pal? I have a patient at the hospital.
You're gonna have to get Hildie to play with you.
Sorry.
Dad, I-I don't need a babysitter.
We've been over this.
You've been over this.
I'm telling you, I can stay alone.
You are absolutely right in about five years.
Mmm.
Wait.
Are you sure it's safe in here? No.
A security guard comes around every five minutes and delicenses any doctor he catches having sex.
I'm sorry.
I just-- I've never done this before.
I find that hard to believe.
Mmm.
I like the bed.
Mmm.
Beach is nice.
- Mm.
No? - Mm.
This is all we've got.
My break is over in 15 minutes - Mmm.
- So why don't you stop talking and shut me up? - That works.
- Mm-hmm.
Shut up.
How many steps? Five.
Four is too easy.
I was upstairs, unpacking her bags.
It's-- it's-- it's her weekend with me.
I had no idea she was practicing high jumps off the basement stairs.
I'm gonna be in the Olympics.
Oh, yeah? What event? Gymnastics.
- Ow! - Sorry, Sarah.
I need to know where it hurt so I can order the right X-rays.
Oh, Cooper.
Ron.
Sorry for the delay.
How are you? Oh, man.
Olympic tryouts again? Uh, Cooper Freedman, pediatrics.
James Peterson.
Looks like your patient has a colles' fracture of her left wrist.
- Mnh.
- I'm also ordering a skeletal series.
Oh.
Um, is that really necessary? What is that? Uh, it just means more X-rays, but Should we talk about it outside? Look, I-I get that you're new.
I'm not new.
I finished my residency five years ago.
I meant new here at St.
Ambrose.
We don't need a skeletal series.
I know this family.
I've been taking care of Sarah since she was born.
So you're probably not objective.
She's had three injuries in two months.
Sounds a lot like abuse to me.
No, it's not.
I've been taking care of kids for 20 years.
If there was something wrong here, I would know it.
Look, she's a kid, and she fell down.
I mean, didn't you ever play outside? I used to come home with scrapes and bruises.
Nobody ever accused my parents of neglect.
You were lucky to grow up in such idyllic times.
Look, the protocols are rigid and clear for a reason.
Any suspicion, you file a report with DCFS.
They come in, evaluate, and decide.
That way, no mistakes are made.
And as soon as you file that report, you subject this family to unwarranted scrutiny.
It's my job.
Hey.
Okay.
Okay, look.
I'm sorry, I I'm attached to this family.
I probably overreacted.
Let me make a call.
Okay? I-I've been down this road.
I can expedite it.
We need the bed, and I appreciate it.
It's time to get him back into his own bed.
Thank you, Clara.
I'm sorry I was late.
When you let him sleep in your bed, it makes it impossible for me to put him to sleep in his own.
He needs structure, perhaps even more now that his father-- What he needs in the wake of his father's death is psychologically debatable.
Thank you, Clara.
Your opinion is noted, and I will consider it.
Good night.
Oh, come on.
Clara? Yes? I'm sorry I took a tone with you.
I really do appreciate your input.
I know you've been here a lot more since Pete, - and I-I do appreciate-- - You've been paged back to work, haven't you? You're only at 4 centimeters, Pam, so it's gonna be a while yet.
Crap.
Maybe this time we'll get the girl you always wanted.
Not a chance.
Your sperm is totally sexist.
Mr.
Reiter, your X-ray is clear.
Yeah, I'm better now.
My legs have stopped tingling.
See? Everything works.
- Until it doesn't, right? - Am I missing something here? Addison Montgomery.
James Peterson.
Welcome, Dr.
Peterson.
What you're missing is that Todd here tends to develop sympathetic symptoms with each of his wife's pregnancies.
This is our fourth.
The first one, he got rashes.
Itched like crazy.
Second kid, abdominal cramps.
Worse than my labor pains.
You should've heard the man scream.
And the third one was fainting spells.
I had to pick him up off the L&D floor.
Scalp lac, 14 stitches.
You're gonna have to stay down here just a little while longer.
It's crazy tonight.
But I'll get you upstairs as soon as I can.
All the previous symptoms-- they just got better? Soon as the babies came.
I call it fun with crazy.
I'd still like to get a neuro consult.
He's fine.
He's a pain in my ass, but he's fine.
It'd make me feel better to have the consult.
And it gives me an excuse to keep checking on you, too.
Mm.
Careful, Todd.
I might leave here with a baby and a new husband.
What are you doing here? I told dad I could stay home alone.
- He's yours? - Yep.
What happened to Hildy? She's fine.
Got rear-ended.
No one in LA can drive in the rain.
Kid's got a point.
Are you Dr.
Peterson? Yeah, but "James" is fine.
Dr.
Shepherd.
Neurosurgery.
You wanted a consult on this Todd Reiter? Transient weakness.
His symptoms have resolved.
Have him me make an appointment to see me later this week.
On exam, he had a symmetrical increase in his reflexes.
Impressive and nondiagnostic, that could be any one of a thousand things.
Which is why I will see him for follow-up in my office.
- I really think he need-- - Send him home.
I need a CT of the cervical spine.
But she just said-- And I said, get the CT.
Okay.
It's game time, baby.
- Karen.
- Uh, that's him.
Oh.
Dr.
Peterson? Sheldon Wallace.
You paged me about, uh Nick Calhoun, curtain 2.
Yeah, did he, uh He has a history of depression, and, uh, I wasn't sure if, uh Attempted suicide? No, he's just having an adverse reaction to some new meds.
Nausea, vomiting.
He got dehydrated and nearly passed out.
I'll leave you two.
Where you headed, the prom? How you feeling? Better now.
I-I don't have to stop the treatment, do I? Please, I'll-- I'll try to be better about staying hydrated.
Adverse reactions are common when starting new drugs.
It may simply be about altering the dosage.
Good, okay, 'cause I feel like they're working.
And your sexual urges, your Your thoughts of children and your goddaughter? Less.
I feel like they're happening less, and I feel like I'm getting more control over them.
Maybe if I can just keep taking the drugs, you know? Maybe Well, maybe I could end up normal.
It's all about progress, Nick, and you're making progress.
Thank you, Dr.
Wallace.
Ooh.
Crap.
Why does this hurt more than the other three? Or did I just forget again? Well, it's hard to say, but every labor is different.
- At least for Todd.
- Funny, Pam.
Very funny.
You almost broke my hand on that last one.
Oh, I don't feel sorry for you.
Hi.
I'm Stephanie.
I'm your nurse.
Stephanie.
Welcome to the party.
Any halfway decent party has snacks.
Darling, who of the two of us actually needs medical attention right now? You, sweetie.
You do all the hard work.
- If it weren't for you-- - Yeah, enough sucking up.
We need to focus.
Don't tell them the baby's sex.
They like to be surprised.
Ohh.
How many years have you been together? Feels like a century? How long has it been now for you and Dr.
Bennett? Oh! No.
No, uh Sam and I aren't together anymore.
I'm seeing someone else.
- And so is he.
- Mm.
Is she as pretty as you? Prettier.
Thank you.
Oh! I I can't-- I can't believe I brought this up.
I-I-I'm in labor.
You can't listen to anything that I say, just ask Todd.
Way to stick your foot in it, baby.
It's fine, really.
It's fine.
Oh, here comes another one.
Hand, Todd.
Ooh.
I'm sorry it took so long to get a bed.
Not again.
Please.
Megan, I'm-- I'm sorry.
You You lost the baby.
Oh, but we made it to 12 weeks.
I know.
I told people.
There are gifts.
Megan, the miscarriage was incomplete.
I'm going to have to perform a D&C once an OR opens up.
All right? Daddy's out of town.
When can we try again? Let's take things one step at a time.
Okay? Excuse me.
I'm looking for Sarah Nelson.
She's a 7-year-old.
Curtain 1.
Are you the-- the new ER attending? Yeah.
You're from DCFS, right? No.
Uh, Dr.
Turner.
Psychiatry.
Vi, Sarah's this way.
Psychiatry? We agreed that DCFS would be called.
No, we agreed that I would make a call, and Dr.
Turner's more than qualified to evaluate Sarah.
- That's not the protocol.
- Really hung up on the protocol, huh? What's going on? Your pediatrician seems to have trouble with the rules, - and, well, the truth.
- Whoa.
Easy there, junior.
Look, DCFS could take hours.
Let me help you out with Sarah.
James, we're slammed.
Violet's a terrific psychiatrist.
Why does my kid need a shrink? She broke her arm.
The latest in a long line of questionable injuries.
- You think I hurt my daughter? - Ron, don't worry about him right now, okay? There are protocols for a reason.
Sarah? Honey, are you okay? You okay? Mommy, I'm getting a cast on my arm.
Why is everybody so mad? It's okay, baby.
It's okay.
Can I take her home after the cast? Sarah's with me this weekend.
If you can't keep her safe, then she is not gonna be with you anymore.
- I am suing you for sole custody! - No! I wanna be with daddy, too! - Let's-- let's discuss this somewhere else.
- You're not taking my daughter away from me.
I will do whatever it takes to protect my baby.
Mommy, daddy, stop fighting! Enough! Everybody out of here now.
Sorry it got so crazy before.
It's okay.
Hey, I like your raincoat.
Purple's my favorite color.
Daddy bought that for me.
You love your daddy a lot, don't you? And my mommy.
And they love you, too.
But sometimes they get mad and yell? They yell a lot.
At you? Well mommy did once.
How come? I colored on the wall in my room.
What about your daddy? When I'm not careful and I hurt myself, he says it makes him worry, and he doesn't want to worry.
So most of the time when they yell, it's at each other? Yeah.
Has it always been like that? Just since daddy was bad.
Mommy won't forgive him.
How do you feel when they fight? I wanna run away.
Damn, Sheldon.
You look like James Bond.
Yeah? Which one? I was always partial to Sean Connery.
Lytes within normal limits.
Liver enzymes look good.
- Time to send him home.
- Yeah, actually, I would like to observe him for a while.
I adjusted his meds.
I wanna make sure that he doesn't have another reaction.
We need the bed.
Well, he's in a very fragile state.
You know, he just needs a few more hours.
A few more hours won't make any difference for him.
What does that mean? I saw the chart.
I know what you prescribed.
Your patient can't be helped.
He's a sexual deviant.
No, he's a man afflicted with certain urges.
What's the difference? So you think I should just ignore his suffering, huh? - Send him on his way? - I think you should lock him up and throw away the key.
Wow.
I guess you missed that day in medical school when they discussed how a physician is supposed to heal his patients.
The ones we can, but we also have an obligation to society at large.
You know the rate of recidivism.
Recidivism implies a first offense, which my patient has not committed.
He tell you that? He hasn't done anything.
Even if that's true, we both know he will, and I don't want him infecting my ER.
Discharge him.
The bed should go to someone who matters.
Is Sarah okay? Yeah.
Yeah.
But in order to complete my evaluation, I would like to speak to both of you separately.
- Is that really necessary? - You don't want DCFS involved.
- Oh, my God.
This is all your fault, Ron.
- Of course it is, 'cause you've never done anything wrong in our marriage.
You're the one who couldn't keep it in your pants.
- Stop it! Stop it! Stop it! - I'm sorry, baby.
Everything's fine.
- Mommy's not mad at you.
- Come on.
I guess you're starting with me.
What's going on in here? I read this really creepy story where live people got buried in the walls, - so I'm listening to see if anyone's in there.
- Oh.
Um it's pretty busy around here, so I doubt anybody could get buried in a wall without being noticed.
Maybe we should just go back to the desk? What happens if you and Charlotte break up? What? That mom and dad uh, they broke up, and she said she was gonna take the little girl with her.
Um, what if you and Charlotte are like that? I-I love you 'cause you're my dad, but I-I love Charlotte, too.
And what about the babies? What's gonna happen to them? Okay, l-listen to me.
Charlotte and I have already been through so much, the kind of stuff that a lot of couples don't make it through, but we did.
We made it through, and we came out even stronger and even more in love.
And you know what that means? It means we are badass.
We are a badass family unit-- you and me and the triplets and Charlotte, and nothing's gonna change that.
- Okay? - Yeah.
Um, we can go back to the desk.
Actually, I know a better place.
Blocked the road is hot the sky is Hey.
I'm gonna need a-- BOA kit, delivery tray, and a few uterotonics.
Just in case.
The weather rolls Hi.
Sorry.
You're just terrific, you know? You're one of the best labor and delivery nurses I've ever worked with, and I do not say that lightly.
Thank you.
Yeah.
You know, I-I hope it wasn't awkward when Pam was talking about Sam.
No.
No.
No, everybody has a past, right? Right.
Yes.
You know, we are totally in the past, Sam and me.
Totally.
You know, that's where it's gonna stay.
I mean, we've been friends for 20 years.
You know, it'd be nice to get that back.
Really? I-I didn't-- I didn't know you'd known each other that long.
Oh, yeah.
We went to med school together.
Anyway, you're terrific, and I'm glad things aren't gonna be awkward between us since we're gonna see each other all the time.
Yeah, I'd like to be on your rotation.
You get some interesting cases.
Oh, no, no.
No, I meant 'cause you're dating my next door neighbor.
I'm sorry? Yeah, he didn't Um What-- what exactly did Sam tell you about me? Absolutely nothing.
Stage rise I messed up, and in the most cliche and pedestrian way possible.
I screwed my assistant.
And you told Dana about it? That was my second mistake.
So she threw me out.
Did you try counseling? Dana prefers to focus her energy on staying angry at me.
Well, infidelity can be a very difficult thing to work through.
I was hoping that we could shield Sarah from all-- You're not shielding her.
You're fighting right in front of her.
I'm fighting for her.
Dana keeps changing the days I get Sarah.
She forgets to tell me about school events.
It's like she's actively trying to keep Sarah away from me.
And Sarah She's the best thing that I will ever do with my life.
I may have screwed up my marriage, but I would never hurt my child.
Never.
You have to believe me, Dr.
Turner.
Thank you.
Hey! Hey.
How's it going? Hey.
Yeah, about that, it's possible that I, uh, completely-- unintentionally, mind you-- but, um I may have Stephanie's mad at you.
- What? - There was a conversation-- just two women talking about work and guys.
I swear, Sam, I didn't tell her anything that I didn't think she already knew.
I Addison.
Hey, Sam.
Hey.
What's wrong with him? Oh.
My big mouth.
How's Megan doing? She miscarried again.
Needs a D&C.
This her third time? Fourth.
Huh.
"Huh" what? What does "huh" mean? - Nothing.
- Oh, is that so, Pinocchio? Yeah, I just think maybe-- I mean, her fourth time-- maybe it's time to stop? You mean time for me to stop? You know fertility is a numbers game.
Yeah, I also know how demoralizing it is when you're getting injections and mood swings.
It's hard to know when to stop, which is why you need the guidance of your doctor.
Look, I don't condescend to my patients.
They're all adults.
I give them all the necessary facts they need to make an informed decision.
Yeah, but when your mind's all over the place and all you see at the end of the yellow brick road is a baby, I mean, you You can't make an informed decision.
Well, look, if I don't do what Megan wants, she'll just go to another doctor.
So let her.
At least then you're not part of the problem.
Exactly what problem is that? You're giving Megan false hope.
You know, and maybe that's because you're a guy who doesn't like to say "no," - or - Or what? Maybe you like winning too much.
There is a tipping point, Jake, - and your judgment-- - Judgment? You thought my judgment was fine when I was your doctor.
Knowing how much you wanted to have a child, what would you have done if I told you back then, "hey, it's time for you to stop trying"? Yes, but you didn't tell me to stop.
I made that decision, and that's my point.
I'm a doctor, so I know how far is too far.
Do you? feeling the flood I'm gonna go see if an OR's opened up.
Dana.
Dana.
I was hoping we could all sit down, all of us, after I have a chance to speak with you.
Dana doesn't have time to talk.
She's too busy working.
Don't you dare.
It was your mistake, not mine.
That's right.
Always the victim.
You know, I'm not a victim, Ron.
I'm a fool.
I actually believed you when you vowed to love and cherish.
- Do you even remember? - Stop.
Let's-- let's not do this.
I owned up to my affair.
You don't wanna forgive me.
I can't do anything about that.
But I refuse to be reduced - to the role of spectator in my daughter's life.
- Oh, my God.
Well, you should've thought of that before you did what you-- Stop.
This This right here-- this is what's wrong with Sarah.
- Excuse me? - You are destroying your child.
She's a great kid, and she has a chance at a great future, but what you're doing right now is turning her into someone who's gonna spend about a decade on a therapist couch, trying to figure out why she can't form healthy adult relationships.
When you fight in front of her, when-- when you fight over her, when you make her feel like it isn't safe for her to love both of her parents equally, that is as damaging psychologically as throwing punches.
If you wanna get a divorce, fine, get a divorce, but stop fighting in front of her.
Stop like her sanity depends on it.
I need to give my kid her ice cream.
Hello.
Hi.
Where is Sarah? What do you mean? Uh X-rays are back, and the cast has been placed.
I was just waiting to discharge her.
Her raincoat's not here.
I-I was just gone for, like The nurses were all around.
Where is she? Sarah? - Sarah? - Well, Dana, let's Sarah? Sarah? - Dana.
- Sarah? Have you-- have you seen my daughter? Sarah? Oh, my God.
Oh, my God.
Sarah? - What's going on? - Sarah! - Their daughter's missing.
- Sarah! - Sarah? - This is Dr.
King.
I need security down here immediately.
- Oh, my God.
Sarah? Have you seen my daughter? - This is a code pink now.
- Oh, my God! - Ma'am? Sarah! Sarah! - Sarah, where are you?! - Dana.
Dana.
Sarah! Oh, my God! Sarah! No! Oh, my God! Sarah! No! Let go! You sure you didn't see a little girl in a purple raincoat? We've registered 30 patients in the last 2 hours.
I can't possibly remember one little girl.
I doubled the staff out there.
How could you miss her? Same way you did, I guess.
I don't know that a nurse was there.
They should have seen her.
The hospital's locked down.
Security will search every inch of every floor.
Nobody will be able to leave the building - without being checked.
- Aren't there Don't you have security cameras? Maybe they saw her when she-- the video's already being reviewed.
This can't be happening.
This cannot be happening! Dana.
Dana, they will find her.
They will find her.
Where are the ORs? Uh, turn right and take the elevator to 5.
Wait.
What's going on? Take a look at this.
What are you doing in my OR? Todd Reiter.
Transient weakness.
Yeah, I told you to send him home.
Yeah, you did.
Look at the film.
Dr.
Malone, you close.
I hate you, Todd! I love you.
You're doing so great.
We're never having sex again.
Late decels on the monitor with every contraction.
- W-what does that mean? - It means something's wrong, right? Okay, Pam, listen to me.
The baby's not getting enough oxygen.
We need to do a C-section right now.
- Can you call, uh-- - I did.
ORs are full.
Last one's being held for an emergent ER case.
Wait.
What are you doing? Setting up for spinal anesthesia.
We have to do the delivery here.
Here?! In the ER? Are you kidding me?! Everything's gonna be fine.
Don't worry, honey.
- We need to take Todd up to surgery.
- What?! His symptom's more than anxiety.
You have an infection next to your spinal cord.
- We need to operate now.
- No! - I love you, Pammie! - No, wait! - I love you! - Is he gonna be okay? Todd! Hey.
What's going on? Little girl.
Cooper's patient.
She's missing.
You okay? Yeah.
Yeah, I just I wanted to check up on you.
Hmm.
How you feeling? I'm good.
Can I go home? Yeah.
Yeah, I have your, uh, discharge papers for you.
Here you go.
So they can't find that little girl? I heard all the noise.
No.
No, she's still missing.
Look I'm sorry.
All right? I was worried.
But it doesn't mean the medication isn't working.
You know, and it-- and it doesn't mean that I-I don't-- It's okay.
I get it.
I would've thought it was me, too.
I'll see you next week.
Yeah.
Todd's gonna make it, right? Hang in there, Pam.
I feel dizzy.
BP's only 70 palp.
That spinal bolus must've bottomed out her pressure.
- Give her-- - Ephedrine, 5 milligrams.
Slow IV push.
Going in.
I'll run in a fluid bolus.
We can get this baby out now.
- Need an extra set of hands? - Yeah.
There's blood everywhere.
Must've been a uterine artery laceration.
Okay, suction.
Oh vicryl.
I'm gonna hand-tie the vessel.
Pressure's still down.
Come on, baby.
Breathe.
Okay, got it.
Bleeding has stopped.
Pam's pressure's coming up.
What's happening? Come on, breathe.
Breathe.
What's wrong? Is my baby okay? That's a girl! Good girl! A girl? We have a girl? I got it.
It's okay.
Come on.
Hey.
Yeah.
You okay? Yeah.
You guys have a lot more channels here than we do at home.
Come here.
- Mm.
- What-- what's wrong? Can't a father give a son a hug? I can't breathe.
Something happened, didn't it? My patient, that little girl-- she, um is missing from the ER.
You want me to help look for her? We can look together.
Oh, Stephanie.
I've been looking for you.
- I'm busy.
- Whoa.
Wait.
Hold up.
Steph, wait.
Let me explain myself.
Okay.
Give it your best shot.
All right.
Uh - Ugh.
Save it, Sam.
I'm working.
- S-Stephanie.
Hey.
D-- um, thank you for your help with Pam.
Did an OR open up for Megan? I'm headed over there now.
Jake, how many more times are you gonna let her go through this? I mean, you saw her.
She's devastated.
And every time, it's just gonna get worse.
You don't know Megan, all right? I do.
Megan and Danny have been trying to get pregnant for years.
Met with every fertility doctor across the country, who all said it was a long shot.
I told them I like a long shot, so they moved here because of me.
Yeah, but some women just can't get pregnant.
Not if you give up on them.
I don't give up on my patients, but this is insane because you are playing the odds way too far in favor of doing more damage than good, and your patient is the one who will suffer.
Look, Addison, you may be very good at what you do, but I am excellent at what I do-- one of the best in the country.
I didn't ask you for your opinion, and I don't want it.
How they doing? How would you be? I just gave Dana a sedative, but Ron didn't want one.
He wants to stay clear.
I'm putting a GPS on Mason for reals.
I know.
I just called the nanny three times, checking on Lucas.
This new guy's a douche.
He's just doing his job.
Well, Pete did it better.
You okay? Well, I'm the one who told Charlotte to hire his replacement.
I can't very well get mad at her for doing it.
But now, I mean, I Seeing him here, right in front of me He should be Pete.
Hey.
Any news about the missing girl? No.
Security's still searching the building.
Hey, I heard you made a pretty slick diagnosis.
What are you talking about? The epidural abscess with progressed neurological symptoms? James told me, in a couple hours, the patient would've never walk again.
Sounds like a one-in-a-million catch.
Dr.
King, may I talk to you? It stopped raining.
That's good.
What difference does it make? Maybe Sarah got scared by the thunder.
You know, she could-- she could be hiding.
Right? She could, yeah.
That's-- t-that's Sarah's.
I'm sorry, ma'am, it's-- it's evidence.
It needs to be processed.
Where did you find it? It was on a bench out front.
- You-- - I don't understand.
- You found it outside? - W-what about Sarah? I'm sorry.
She's not here.
Security's turned the case over to the police.
As of now, Sarah is a missing person.
No.
Oh Oh! Oh, my God! Oh, my God.
Oh, my God.
Where is she? Hell of a night.
You did good.
I think I pissed off a few people.
The, uh doctor you replaced-- he pissed off people, too.
I never held it against him.
Can't stop thinking about that kid and the parents.
Yeah.
You're what, 12, 13 weeks? How'd the hell did you know that? I'm a really good doctor.
Plus you yakked on my shoes.
I'm not the jealous type.
I know women who say that usually end up torching their boyfriend's cars, but, really, I'm not.
I just don't like be played.
I'm not playing you.
That's-- that's not what I'm doing, Stephanie.
Addison.
You dated her.
I did.
You live next door to her.
I do.
And, uh, apparently you're trying to get back to being the besties you were for years.
How did you think that would make me feel when I found out? Honestly, I didn't think it would matter because it's over.
- How recently? - Four months.
Well, why did it end? Sam? I proposed to her, and she turned me down.
- Oh, damn.
- But wait.
Wait, wait, wait.
- Damn.
- I'm telling you now that it's done.
Damn it, Sam.
I thought you were the one.
Seriously, I After our first date, I was all, oh, my God.
I know I think women who feel butterflies and see candy hearts and paper flowers on their first date are idiots or crazies or girls who don't date enough, but this guy this guy is amazing.
And I am all about the butterflies and the candy hearts and the paper flowers.
This is my guy.
Thank you, Jesus.
He finally showed up.
The man of my dreams is here.
But you-- you're on the rebound.
And you have a lot of baggage, and you're just a mess.
Aren't you? And because you are a heart surgeon who looks like you, and because you are a truly kind man with a wonderful spirit, I'm gonna bet every woman who meets you thinks they feel the butterflies and the candy hearts and the paper flowers.
Damn.
Damn.
Damn! Damn it, Sam! I'm sorry, Stephanie.
I-I I didn't mean-- Nobody-- nobody ever does.
I really do like you.
Because I'm fantastic.
You are fantastic.
Bye, Sam.
Mm.
I have a picture Am I okay? Yes.
Everything went fine.
My wall Did they find that little girl? You and of me No.
Ohh.
Those poor parents.
I mean, God.
Our life now Megan.
Tattered and torn There are other ways to give you a child to share your life with.
And we fight and delight I think maybe it's time that we talked about other options.
Whoa, hold me now whoa, warm my heart stay with me let loving start, let loving start Who's that? Is-- is he She.
- She? - Mm-hmm.
She's mine? We had a girl? Way to go, Pammie.
Wait.
Where-- where is she? Is she okay? She's fine.
She's just sleeping it off.
Oh.
Can I hold her? No, you can't.
You just had surgery.
But would you settle for a kiss? So far away Ohh.
But you know that there's no place that I'd rather be than Are you headed home yet? Seriously? That's how you apologize? I have nothing to apologize for.
Look, we disagreed, and it won't be the last time.
So, look, you can either stay mad or we can head home and pick up where we left off.
Your call.
We're still fighting.
I'm not opposed to angry sex.
Me let loving start, let loving start oh, hold me now That was a good catch.
Warm my heart Dr.
Shepherd.
Right.
Thank you.
Look, I appreciate you giving me the credit, but in the future, please don't.
But I stand by the call that I made given the information I had.
You followed your instincts, which I respect, but You take your credit.
I'll take mine, okay? I need a drink.
I need three drinks.
I know the feeling.
Dr.
Shepherd? Uh I was hoping I could buy you three drinks.
You know, to make up for the-- the wholly inappropriate kindness I showed you earlier.
Won't happen again.
I don't drink.
Come on.
Never? Hmm.
Just one of those games Have you ever seen an anencephalic baby? What? So I sing you a new song I gave birth to one not that long ago.
Cry anymore I held him for a few minutes, and then I donated his organs.
They took him out of my arms, then they took him apart.
And if I let myself drink, I would never stop.
Oh, whoa, oh, whoa Oh, you.
You're asking me out because you look at me, and you think we're about the same age and we could have fun.
And I might've made the same mistake if I were you.
But we're not the same age.
With me I'm about a hundred years older than I look.
Let loving start oh, hold me now Enjoy your drinks.
Let the loving the start oh, warm my heart warm my whole entire heart stay with me stay with me let loving start, let loving start oh, hold me now let the loving start oh, warm my heart warm my whole entire heart stay with me Do you need a ride home? Let loving start We can't go home.
Oh, hold me now Dana, the police have taken statements, and the hospital has been thoroughly searched.
It's time to go.
But what if Sarah walks through that door and we're not here? Let loving start Sarah's not gonna walk through that door.
King? Dr.
Peterson.
Thank you for coming.
Please.
You can call me James.
Ah.
Is it warm in here? Are you warm? I'm perfectly comfortable.
Are you feeling all right? Oh.
Yeah, I'm just dealing with a a situation.
I thought I heard a touch of the South in you.
Am I right? I grew up in Tennessee.
Alabama.
We're practically kin.
Um, all right, look, so, uh, could we cut to the chase? I want you for this job, and I suspect you think you don't want this job because you're a USC hotshot at a level one trauma center, and St.
Ambrose is, relatively speaking, a a sleepy little ER in Santa Monica but you are young.
At a level one trauma center, you'll be in line behind other USC hotshots with decades more experience than you.
St.
Ambrose-- you'd run the department.
Seriously? Not today, not immediately, but eventually.
And "eventually" will come much sooner here than Oh, damn it.
Where's my trash can? You put it in the hall.
Wow.
He fell asleep already? It's barely even dinnertime.
Yeah, well, it could be something else time.
Oh, yeah? Mmm.
Did you hear that? - What? - Rain.
It is not raining.
- Kiss me.
- Mmm.
There's gonna be car crashes and mud slides, and everybody's water is gonna break at the same time.
If it were raining, which it isn't.
Mmm.
Oh, our entire night, our "Henry went to bed early" night is gonna be spent working.
Sweetheart, this is Los Angeles.
It doesn't even rain this time of year.
I'm not gonna even say it.
Oh.
Don't want to go now It's the ER.
What do you know? And the lights are on Ah.
I'll call the nanny.
Nobody cares if I'm here Madison Square Garden, lights, packed house.
You gonna score 8 points in 9 seconds for the win or choke away the lead? I hate when people say Ohh! Can I get a little help around here?! Are you okay? N-no, not me! My husband.
He can't move his legs.
I'm gonna need a gurney and a collar.
I got nothing to say Hi.
I'm Dr.
Peterson.
Your wife said you can't move your legs.
Did you get into an accident? No, it's all in his head, but he still can't move his legs.
I can't, but, uh, I'm sure it's nothing.
Well, it sounds like something, so why don't I check you out? Sure, don't mind me! I'll just push the kid out at the gas station! I'm fine! See if you can squeeze a few more gurneys into the curtain area.
I need two beds.
- Adjoining.
- Honey, it's not a hotel.
Next to each other.
OB setup in one, and I need to clear his C-spine.
Who are you? Dr.
Peterson, our new ER doc.
Uh, curtains three and four just opened up.
I don't want to let go You have no idea how happy I am to see you, James.
Excuse me.
Um, I was supposed to meet my doctor.
Maybe you should sit.
Whoa! Whoa.
Whoa.
Get me a monitor and set up a wide bore saline.
Why you wanna go now? You said it was a sleepy little ER.
It never rains in California.
Mm.
Ahh.
Sorry.
Welcome to St.
Ambrose.
Except me I'm totally gonna win! Dream on, pal.
- Touchdown! - Ohh! Oh, I told you! Hold on.
Hurry up.
Come on.
You know what, pal? I have a patient at the hospital.
You're gonna have to get Hildie to play with you.
Sorry.
Dad, I-I don't need a babysitter.
We've been over this.
You've been over this.
I'm telling you, I can stay alone.
You are absolutely right in about five years.
Mmm.
Wait.
Are you sure it's safe in here? No.
A security guard comes around every five minutes and delicenses any doctor he catches having sex.
I'm sorry.
I just-- I've never done this before.
I find that hard to believe.
Mmm.
I like the bed.
Mmm.
Beach is nice.
- Mm.
No? - Mm.
This is all we've got.
My break is over in 15 minutes - Mmm.
- So why don't you stop talking and shut me up? - That works.
- Mm-hmm.
Shut up.
How many steps? Five.
Four is too easy.
I was upstairs, unpacking her bags.
It's-- it's-- it's her weekend with me.
I had no idea she was practicing high jumps off the basement stairs.
I'm gonna be in the Olympics.
Oh, yeah? What event? Gymnastics.
- Ow! - Sorry, Sarah.
I need to know where it hurt so I can order the right X-rays.
Oh, Cooper.
Ron.
Sorry for the delay.
How are you? Oh, man.
Olympic tryouts again? Uh, Cooper Freedman, pediatrics.
James Peterson.
Looks like your patient has a colles' fracture of her left wrist.
- Mnh.
- I'm also ordering a skeletal series.
Oh.
Um, is that really necessary? What is that? Uh, it just means more X-rays, but Should we talk about it outside? Look, I-I get that you're new.
I'm not new.
I finished my residency five years ago.
I meant new here at St.
Ambrose.
We don't need a skeletal series.
I know this family.
I've been taking care of Sarah since she was born.
So you're probably not objective.
She's had three injuries in two months.
Sounds a lot like abuse to me.
No, it's not.
I've been taking care of kids for 20 years.
If there was something wrong here, I would know it.
Look, she's a kid, and she fell down.
I mean, didn't you ever play outside? I used to come home with scrapes and bruises.
Nobody ever accused my parents of neglect.
You were lucky to grow up in such idyllic times.
Look, the protocols are rigid and clear for a reason.
Any suspicion, you file a report with DCFS.
They come in, evaluate, and decide.
That way, no mistakes are made.
And as soon as you file that report, you subject this family to unwarranted scrutiny.
It's my job.
Hey.
Okay.
Okay, look.
I'm sorry, I I'm attached to this family.
I probably overreacted.
Let me make a call.
Okay? I-I've been down this road.
I can expedite it.
We need the bed, and I appreciate it.
It's time to get him back into his own bed.
Thank you, Clara.
I'm sorry I was late.
When you let him sleep in your bed, it makes it impossible for me to put him to sleep in his own.
He needs structure, perhaps even more now that his father-- What he needs in the wake of his father's death is psychologically debatable.
Thank you, Clara.
Your opinion is noted, and I will consider it.
Good night.
Oh, come on.
Clara? Yes? I'm sorry I took a tone with you.
I really do appreciate your input.
I know you've been here a lot more since Pete, - and I-I do appreciate-- - You've been paged back to work, haven't you? You're only at 4 centimeters, Pam, so it's gonna be a while yet.
Crap.
Maybe this time we'll get the girl you always wanted.
Not a chance.
Your sperm is totally sexist.
Mr.
Reiter, your X-ray is clear.
Yeah, I'm better now.
My legs have stopped tingling.
See? Everything works.
- Until it doesn't, right? - Am I missing something here? Addison Montgomery.
James Peterson.
Welcome, Dr.
Peterson.
What you're missing is that Todd here tends to develop sympathetic symptoms with each of his wife's pregnancies.
This is our fourth.
The first one, he got rashes.
Itched like crazy.
Second kid, abdominal cramps.
Worse than my labor pains.
You should've heard the man scream.
And the third one was fainting spells.
I had to pick him up off the L&D floor.
Scalp lac, 14 stitches.
You're gonna have to stay down here just a little while longer.
It's crazy tonight.
But I'll get you upstairs as soon as I can.
All the previous symptoms-- they just got better? Soon as the babies came.
I call it fun with crazy.
I'd still like to get a neuro consult.
He's fine.
He's a pain in my ass, but he's fine.
It'd make me feel better to have the consult.
And it gives me an excuse to keep checking on you, too.
Mm.
Careful, Todd.
I might leave here with a baby and a new husband.
What are you doing here? I told dad I could stay home alone.
- He's yours? - Yep.
What happened to Hildy? She's fine.
Got rear-ended.
No one in LA can drive in the rain.
Kid's got a point.
Are you Dr.
Peterson? Yeah, but "James" is fine.
Dr.
Shepherd.
Neurosurgery.
You wanted a consult on this Todd Reiter? Transient weakness.
His symptoms have resolved.
Have him me make an appointment to see me later this week.
On exam, he had a symmetrical increase in his reflexes.
Impressive and nondiagnostic, that could be any one of a thousand things.
Which is why I will see him for follow-up in my office.
- I really think he need-- - Send him home.
I need a CT of the cervical spine.
But she just said-- And I said, get the CT.
Okay.
It's game time, baby.
- Karen.
- Uh, that's him.
Oh.
Dr.
Peterson? Sheldon Wallace.
You paged me about, uh Nick Calhoun, curtain 2.
Yeah, did he, uh He has a history of depression, and, uh, I wasn't sure if, uh Attempted suicide? No, he's just having an adverse reaction to some new meds.
Nausea, vomiting.
He got dehydrated and nearly passed out.
I'll leave you two.
Where you headed, the prom? How you feeling? Better now.
I-I don't have to stop the treatment, do I? Please, I'll-- I'll try to be better about staying hydrated.
Adverse reactions are common when starting new drugs.
It may simply be about altering the dosage.
Good, okay, 'cause I feel like they're working.
And your sexual urges, your Your thoughts of children and your goddaughter? Less.
I feel like they're happening less, and I feel like I'm getting more control over them.
Maybe if I can just keep taking the drugs, you know? Maybe Well, maybe I could end up normal.
It's all about progress, Nick, and you're making progress.
Thank you, Dr.
Wallace.
Ooh.
Crap.
Why does this hurt more than the other three? Or did I just forget again? Well, it's hard to say, but every labor is different.
- At least for Todd.
- Funny, Pam.
Very funny.
You almost broke my hand on that last one.
Oh, I don't feel sorry for you.
Hi.
I'm Stephanie.
I'm your nurse.
Stephanie.
Welcome to the party.
Any halfway decent party has snacks.
Darling, who of the two of us actually needs medical attention right now? You, sweetie.
You do all the hard work.
- If it weren't for you-- - Yeah, enough sucking up.
We need to focus.
Don't tell them the baby's sex.
They like to be surprised.
Ohh.
How many years have you been together? Feels like a century? How long has it been now for you and Dr.
Bennett? Oh! No.
No, uh Sam and I aren't together anymore.
I'm seeing someone else.
- And so is he.
- Mm.
Is she as pretty as you? Prettier.
Thank you.
Oh! I I can't-- I can't believe I brought this up.
I-I-I'm in labor.
You can't listen to anything that I say, just ask Todd.
Way to stick your foot in it, baby.
It's fine, really.
It's fine.
Oh, here comes another one.
Hand, Todd.
Ooh.
I'm sorry it took so long to get a bed.
Not again.
Please.
Megan, I'm-- I'm sorry.
You You lost the baby.
Oh, but we made it to 12 weeks.
I know.
I told people.
There are gifts.
Megan, the miscarriage was incomplete.
I'm going to have to perform a D&C once an OR opens up.
All right? Daddy's out of town.
When can we try again? Let's take things one step at a time.
Okay? Excuse me.
I'm looking for Sarah Nelson.
She's a 7-year-old.
Curtain 1.
Are you the-- the new ER attending? Yeah.
You're from DCFS, right? No.
Uh, Dr.
Turner.
Psychiatry.
Vi, Sarah's this way.
Psychiatry? We agreed that DCFS would be called.
No, we agreed that I would make a call, and Dr.
Turner's more than qualified to evaluate Sarah.
- That's not the protocol.
- Really hung up on the protocol, huh? What's going on? Your pediatrician seems to have trouble with the rules, - and, well, the truth.
- Whoa.
Easy there, junior.
Look, DCFS could take hours.
Let me help you out with Sarah.
James, we're slammed.
Violet's a terrific psychiatrist.
Why does my kid need a shrink? She broke her arm.
The latest in a long line of questionable injuries.
- You think I hurt my daughter? - Ron, don't worry about him right now, okay? There are protocols for a reason.
Sarah? Honey, are you okay? You okay? Mommy, I'm getting a cast on my arm.
Why is everybody so mad? It's okay, baby.
It's okay.
Can I take her home after the cast? Sarah's with me this weekend.
If you can't keep her safe, then she is not gonna be with you anymore.
- I am suing you for sole custody! - No! I wanna be with daddy, too! - Let's-- let's discuss this somewhere else.
- You're not taking my daughter away from me.
I will do whatever it takes to protect my baby.
Mommy, daddy, stop fighting! Enough! Everybody out of here now.
Sorry it got so crazy before.
It's okay.
Hey, I like your raincoat.
Purple's my favorite color.
Daddy bought that for me.
You love your daddy a lot, don't you? And my mommy.
And they love you, too.
But sometimes they get mad and yell? They yell a lot.
At you? Well mommy did once.
How come? I colored on the wall in my room.
What about your daddy? When I'm not careful and I hurt myself, he says it makes him worry, and he doesn't want to worry.
So most of the time when they yell, it's at each other? Yeah.
Has it always been like that? Just since daddy was bad.
Mommy won't forgive him.
How do you feel when they fight? I wanna run away.
Damn, Sheldon.
You look like James Bond.
Yeah? Which one? I was always partial to Sean Connery.
Lytes within normal limits.
Liver enzymes look good.
- Time to send him home.
- Yeah, actually, I would like to observe him for a while.
I adjusted his meds.
I wanna make sure that he doesn't have another reaction.
We need the bed.
Well, he's in a very fragile state.
You know, he just needs a few more hours.
A few more hours won't make any difference for him.
What does that mean? I saw the chart.
I know what you prescribed.
Your patient can't be helped.
He's a sexual deviant.
No, he's a man afflicted with certain urges.
What's the difference? So you think I should just ignore his suffering, huh? - Send him on his way? - I think you should lock him up and throw away the key.
Wow.
I guess you missed that day in medical school when they discussed how a physician is supposed to heal his patients.
The ones we can, but we also have an obligation to society at large.
You know the rate of recidivism.
Recidivism implies a first offense, which my patient has not committed.
He tell you that? He hasn't done anything.
Even if that's true, we both know he will, and I don't want him infecting my ER.
Discharge him.
The bed should go to someone who matters.
Is Sarah okay? Yeah.
Yeah.
But in order to complete my evaluation, I would like to speak to both of you separately.
- Is that really necessary? - You don't want DCFS involved.
- Oh, my God.
This is all your fault, Ron.
- Of course it is, 'cause you've never done anything wrong in our marriage.
You're the one who couldn't keep it in your pants.
- Stop it! Stop it! Stop it! - I'm sorry, baby.
Everything's fine.
- Mommy's not mad at you.
- Come on.
I guess you're starting with me.
What's going on in here? I read this really creepy story where live people got buried in the walls, - so I'm listening to see if anyone's in there.
- Oh.
Um it's pretty busy around here, so I doubt anybody could get buried in a wall without being noticed.
Maybe we should just go back to the desk? What happens if you and Charlotte break up? What? That mom and dad uh, they broke up, and she said she was gonna take the little girl with her.
Um, what if you and Charlotte are like that? I-I love you 'cause you're my dad, but I-I love Charlotte, too.
And what about the babies? What's gonna happen to them? Okay, l-listen to me.
Charlotte and I have already been through so much, the kind of stuff that a lot of couples don't make it through, but we did.
We made it through, and we came out even stronger and even more in love.
And you know what that means? It means we are badass.
We are a badass family unit-- you and me and the triplets and Charlotte, and nothing's gonna change that.
- Okay? - Yeah.
Um, we can go back to the desk.
Actually, I know a better place.
Blocked the road is hot the sky is Hey.
I'm gonna need a-- BOA kit, delivery tray, and a few uterotonics.
Just in case.
The weather rolls Hi.
Sorry.
You're just terrific, you know? You're one of the best labor and delivery nurses I've ever worked with, and I do not say that lightly.
Thank you.
Yeah.
You know, I-I hope it wasn't awkward when Pam was talking about Sam.
No.
No.
No, everybody has a past, right? Right.
Yes.
You know, we are totally in the past, Sam and me.
Totally.
You know, that's where it's gonna stay.
I mean, we've been friends for 20 years.
You know, it'd be nice to get that back.
Really? I-I didn't-- I didn't know you'd known each other that long.
Oh, yeah.
We went to med school together.
Anyway, you're terrific, and I'm glad things aren't gonna be awkward between us since we're gonna see each other all the time.
Yeah, I'd like to be on your rotation.
You get some interesting cases.
Oh, no, no.
No, I meant 'cause you're dating my next door neighbor.
I'm sorry? Yeah, he didn't Um What-- what exactly did Sam tell you about me? Absolutely nothing.
Stage rise I messed up, and in the most cliche and pedestrian way possible.
I screwed my assistant.
And you told Dana about it? That was my second mistake.
So she threw me out.
Did you try counseling? Dana prefers to focus her energy on staying angry at me.
Well, infidelity can be a very difficult thing to work through.
I was hoping that we could shield Sarah from all-- You're not shielding her.
You're fighting right in front of her.
I'm fighting for her.
Dana keeps changing the days I get Sarah.
She forgets to tell me about school events.
It's like she's actively trying to keep Sarah away from me.
And Sarah She's the best thing that I will ever do with my life.
I may have screwed up my marriage, but I would never hurt my child.
Never.
You have to believe me, Dr.
Turner.
Thank you.
Hey! Hey.
How's it going? Hey.
Yeah, about that, it's possible that I, uh, completely-- unintentionally, mind you-- but, um I may have Stephanie's mad at you.
- What? - There was a conversation-- just two women talking about work and guys.
I swear, Sam, I didn't tell her anything that I didn't think she already knew.
I Addison.
Hey, Sam.
Hey.
What's wrong with him? Oh.
My big mouth.
How's Megan doing? She miscarried again.
Needs a D&C.
This her third time? Fourth.
Huh.
"Huh" what? What does "huh" mean? - Nothing.
- Oh, is that so, Pinocchio? Yeah, I just think maybe-- I mean, her fourth time-- maybe it's time to stop? You mean time for me to stop? You know fertility is a numbers game.
Yeah, I also know how demoralizing it is when you're getting injections and mood swings.
It's hard to know when to stop, which is why you need the guidance of your doctor.
Look, I don't condescend to my patients.
They're all adults.
I give them all the necessary facts they need to make an informed decision.
Yeah, but when your mind's all over the place and all you see at the end of the yellow brick road is a baby, I mean, you You can't make an informed decision.
Well, look, if I don't do what Megan wants, she'll just go to another doctor.
So let her.
At least then you're not part of the problem.
Exactly what problem is that? You're giving Megan false hope.
You know, and maybe that's because you're a guy who doesn't like to say "no," - or - Or what? Maybe you like winning too much.
There is a tipping point, Jake, - and your judgment-- - Judgment? You thought my judgment was fine when I was your doctor.
Knowing how much you wanted to have a child, what would you have done if I told you back then, "hey, it's time for you to stop trying"? Yes, but you didn't tell me to stop.
I made that decision, and that's my point.
I'm a doctor, so I know how far is too far.
Do you? feeling the flood I'm gonna go see if an OR's opened up.
Dana.
Dana.
I was hoping we could all sit down, all of us, after I have a chance to speak with you.
Dana doesn't have time to talk.
She's too busy working.
Don't you dare.
It was your mistake, not mine.
That's right.
Always the victim.
You know, I'm not a victim, Ron.
I'm a fool.
I actually believed you when you vowed to love and cherish.
- Do you even remember? - Stop.
Let's-- let's not do this.
I owned up to my affair.
You don't wanna forgive me.
I can't do anything about that.
But I refuse to be reduced - to the role of spectator in my daughter's life.
- Oh, my God.
Well, you should've thought of that before you did what you-- Stop.
This This right here-- this is what's wrong with Sarah.
- Excuse me? - You are destroying your child.
She's a great kid, and she has a chance at a great future, but what you're doing right now is turning her into someone who's gonna spend about a decade on a therapist couch, trying to figure out why she can't form healthy adult relationships.
When you fight in front of her, when-- when you fight over her, when you make her feel like it isn't safe for her to love both of her parents equally, that is as damaging psychologically as throwing punches.
If you wanna get a divorce, fine, get a divorce, but stop fighting in front of her.
Stop like her sanity depends on it.
I need to give my kid her ice cream.
Hello.
Hi.
Where is Sarah? What do you mean? Uh X-rays are back, and the cast has been placed.
I was just waiting to discharge her.
Her raincoat's not here.
I-I was just gone for, like The nurses were all around.
Where is she? Sarah? - Sarah? - Well, Dana, let's Sarah? Sarah? - Dana.
- Sarah? Have you-- have you seen my daughter? Sarah? Oh, my God.
Oh, my God.
Sarah? - What's going on? - Sarah! - Their daughter's missing.
- Sarah! - Sarah? - This is Dr.
King.
I need security down here immediately.
- Oh, my God.
Sarah? Have you seen my daughter? - This is a code pink now.
- Oh, my God! - Ma'am? Sarah! Sarah! - Sarah, where are you?! - Dana.
Dana.
Sarah! Oh, my God! Sarah! No! Oh, my God! Sarah! No! Let go! You sure you didn't see a little girl in a purple raincoat? We've registered 30 patients in the last 2 hours.
I can't possibly remember one little girl.
I doubled the staff out there.
How could you miss her? Same way you did, I guess.
I don't know that a nurse was there.
They should have seen her.
The hospital's locked down.
Security will search every inch of every floor.
Nobody will be able to leave the building - without being checked.
- Aren't there Don't you have security cameras? Maybe they saw her when she-- the video's already being reviewed.
This can't be happening.
This cannot be happening! Dana.
Dana, they will find her.
They will find her.
Where are the ORs? Uh, turn right and take the elevator to 5.
Wait.
What's going on? Take a look at this.
What are you doing in my OR? Todd Reiter.
Transient weakness.
Yeah, I told you to send him home.
Yeah, you did.
Look at the film.
Dr.
Malone, you close.
I hate you, Todd! I love you.
You're doing so great.
We're never having sex again.
Late decels on the monitor with every contraction.
- W-what does that mean? - It means something's wrong, right? Okay, Pam, listen to me.
The baby's not getting enough oxygen.
We need to do a C-section right now.
- Can you call, uh-- - I did.
ORs are full.
Last one's being held for an emergent ER case.
Wait.
What are you doing? Setting up for spinal anesthesia.
We have to do the delivery here.
Here?! In the ER? Are you kidding me?! Everything's gonna be fine.
Don't worry, honey.
- We need to take Todd up to surgery.
- What?! His symptom's more than anxiety.
You have an infection next to your spinal cord.
- We need to operate now.
- No! - I love you, Pammie! - No, wait! - I love you! - Is he gonna be okay? Todd! Hey.
What's going on? Little girl.
Cooper's patient.
She's missing.
You okay? Yeah.
Yeah, I just I wanted to check up on you.
Hmm.
How you feeling? I'm good.
Can I go home? Yeah.
Yeah, I have your, uh, discharge papers for you.
Here you go.
So they can't find that little girl? I heard all the noise.
No.
No, she's still missing.
Look I'm sorry.
All right? I was worried.
But it doesn't mean the medication isn't working.
You know, and it-- and it doesn't mean that I-I don't-- It's okay.
I get it.
I would've thought it was me, too.
I'll see you next week.
Yeah.
Todd's gonna make it, right? Hang in there, Pam.
I feel dizzy.
BP's only 70 palp.
That spinal bolus must've bottomed out her pressure.
- Give her-- - Ephedrine, 5 milligrams.
Slow IV push.
Going in.
I'll run in a fluid bolus.
We can get this baby out now.
- Need an extra set of hands? - Yeah.
There's blood everywhere.
Must've been a uterine artery laceration.
Okay, suction.
Oh vicryl.
I'm gonna hand-tie the vessel.
Pressure's still down.
Come on, baby.
Breathe.
Okay, got it.
Bleeding has stopped.
Pam's pressure's coming up.
What's happening? Come on, breathe.
Breathe.
What's wrong? Is my baby okay? That's a girl! Good girl! A girl? We have a girl? I got it.
It's okay.
Come on.
Hey.
Yeah.
You okay? Yeah.
You guys have a lot more channels here than we do at home.
Come here.
- Mm.
- What-- what's wrong? Can't a father give a son a hug? I can't breathe.
Something happened, didn't it? My patient, that little girl-- she, um is missing from the ER.
You want me to help look for her? We can look together.
Oh, Stephanie.
I've been looking for you.
- I'm busy.
- Whoa.
Wait.
Hold up.
Steph, wait.
Let me explain myself.
Okay.
Give it your best shot.
All right.
Uh - Ugh.
Save it, Sam.
I'm working.
- S-Stephanie.
Hey.
D-- um, thank you for your help with Pam.
Did an OR open up for Megan? I'm headed over there now.
Jake, how many more times are you gonna let her go through this? I mean, you saw her.
She's devastated.
And every time, it's just gonna get worse.
You don't know Megan, all right? I do.
Megan and Danny have been trying to get pregnant for years.
Met with every fertility doctor across the country, who all said it was a long shot.
I told them I like a long shot, so they moved here because of me.
Yeah, but some women just can't get pregnant.
Not if you give up on them.
I don't give up on my patients, but this is insane because you are playing the odds way too far in favor of doing more damage than good, and your patient is the one who will suffer.
Look, Addison, you may be very good at what you do, but I am excellent at what I do-- one of the best in the country.
I didn't ask you for your opinion, and I don't want it.
How they doing? How would you be? I just gave Dana a sedative, but Ron didn't want one.
He wants to stay clear.
I'm putting a GPS on Mason for reals.
I know.
I just called the nanny three times, checking on Lucas.
This new guy's a douche.
He's just doing his job.
Well, Pete did it better.
You okay? Well, I'm the one who told Charlotte to hire his replacement.
I can't very well get mad at her for doing it.
But now, I mean, I Seeing him here, right in front of me He should be Pete.
Hey.
Any news about the missing girl? No.
Security's still searching the building.
Hey, I heard you made a pretty slick diagnosis.
What are you talking about? The epidural abscess with progressed neurological symptoms? James told me, in a couple hours, the patient would've never walk again.
Sounds like a one-in-a-million catch.
Dr.
King, may I talk to you? It stopped raining.
That's good.
What difference does it make? Maybe Sarah got scared by the thunder.
You know, she could-- she could be hiding.
Right? She could, yeah.
That's-- t-that's Sarah's.
I'm sorry, ma'am, it's-- it's evidence.
It needs to be processed.
Where did you find it? It was on a bench out front.
- You-- - I don't understand.
- You found it outside? - W-what about Sarah? I'm sorry.
She's not here.
Security's turned the case over to the police.
As of now, Sarah is a missing person.
No.
Oh Oh! Oh, my God! Oh, my God.
Oh, my God.
Where is she? Hell of a night.
You did good.
I think I pissed off a few people.
The, uh doctor you replaced-- he pissed off people, too.
I never held it against him.
Can't stop thinking about that kid and the parents.
Yeah.
You're what, 12, 13 weeks? How'd the hell did you know that? I'm a really good doctor.
Plus you yakked on my shoes.
I'm not the jealous type.
I know women who say that usually end up torching their boyfriend's cars, but, really, I'm not.
I just don't like be played.
I'm not playing you.
That's-- that's not what I'm doing, Stephanie.
Addison.
You dated her.
I did.
You live next door to her.
I do.
And, uh, apparently you're trying to get back to being the besties you were for years.
How did you think that would make me feel when I found out? Honestly, I didn't think it would matter because it's over.
- How recently? - Four months.
Well, why did it end? Sam? I proposed to her, and she turned me down.
- Oh, damn.
- But wait.
Wait, wait, wait.
- Damn.
- I'm telling you now that it's done.
Damn it, Sam.
I thought you were the one.
Seriously, I After our first date, I was all, oh, my God.
I know I think women who feel butterflies and see candy hearts and paper flowers on their first date are idiots or crazies or girls who don't date enough, but this guy this guy is amazing.
And I am all about the butterflies and the candy hearts and the paper flowers.
This is my guy.
Thank you, Jesus.
He finally showed up.
The man of my dreams is here.
But you-- you're on the rebound.
And you have a lot of baggage, and you're just a mess.
Aren't you? And because you are a heart surgeon who looks like you, and because you are a truly kind man with a wonderful spirit, I'm gonna bet every woman who meets you thinks they feel the butterflies and the candy hearts and the paper flowers.
Damn.
Damn.
Damn! Damn it, Sam! I'm sorry, Stephanie.
I-I I didn't mean-- Nobody-- nobody ever does.
I really do like you.
Because I'm fantastic.
You are fantastic.
Bye, Sam.
Mm.
I have a picture Am I okay? Yes.
Everything went fine.
My wall Did they find that little girl? You and of me No.
Ohh.
Those poor parents.
I mean, God.
Our life now Megan.
Tattered and torn There are other ways to give you a child to share your life with.
And we fight and delight I think maybe it's time that we talked about other options.
Whoa, hold me now whoa, warm my heart stay with me let loving start, let loving start Who's that? Is-- is he She.
- She? - Mm-hmm.
She's mine? We had a girl? Way to go, Pammie.
Wait.
Where-- where is she? Is she okay? She's fine.
She's just sleeping it off.
Oh.
Can I hold her? No, you can't.
You just had surgery.
But would you settle for a kiss? So far away Ohh.
But you know that there's no place that I'd rather be than Are you headed home yet? Seriously? That's how you apologize? I have nothing to apologize for.
Look, we disagreed, and it won't be the last time.
So, look, you can either stay mad or we can head home and pick up where we left off.
Your call.
We're still fighting.
I'm not opposed to angry sex.
Me let loving start, let loving start oh, hold me now That was a good catch.
Warm my heart Dr.
Shepherd.
Right.
Thank you.
Look, I appreciate you giving me the credit, but in the future, please don't.
But I stand by the call that I made given the information I had.
You followed your instincts, which I respect, but You take your credit.
I'll take mine, okay? I need a drink.
I need three drinks.
I know the feeling.
Dr.
Shepherd? Uh I was hoping I could buy you three drinks.
You know, to make up for the-- the wholly inappropriate kindness I showed you earlier.
Won't happen again.
I don't drink.
Come on.
Never? Hmm.
Just one of those games Have you ever seen an anencephalic baby? What? So I sing you a new song I gave birth to one not that long ago.
Cry anymore I held him for a few minutes, and then I donated his organs.
They took him out of my arms, then they took him apart.
And if I let myself drink, I would never stop.
Oh, whoa, oh, whoa Oh, you.
You're asking me out because you look at me, and you think we're about the same age and we could have fun.
And I might've made the same mistake if I were you.
But we're not the same age.
With me I'm about a hundred years older than I look.
Let loving start oh, hold me now Enjoy your drinks.
Let the loving the start oh, warm my heart warm my whole entire heart stay with me stay with me let loving start, let loving start oh, hold me now let the loving start oh, warm my heart warm my whole entire heart stay with me Do you need a ride home? Let loving start We can't go home.
Oh, hold me now Dana, the police have taken statements, and the hospital has been thoroughly searched.
It's time to go.
But what if Sarah walks through that door and we're not here? Let loving start Sarah's not gonna walk through that door.