All language subtitles for ER - 12x05 - Wake Up.en

Previously on E.R.:

I saw Charlie Pratt at
"Ceasefire". He said he stopped

by here last week.

- How'd it go?
- Quick.

Did the oncologist
you spoke with mention

anything about
prophylactic surgery?

You mean having
my breasts removed?

There have been a lot of advances in reconstructive
surgery and you need to protect yourself.

Can you promise me that giving
up my breasts would protect me?

I had my annual PSA screening.
Needle biopsy

showed a moderately
differentiated prostate cancer.

I'm so sorry.

Does this hurt, Blaire?

- She's in a coma, Inez.
- Not anymore.

What's the last thing
you remember?

Were we in an accident?

The reason I'm calling, Dr. Clemente,
is that, according to my notes,

you were supposed to start today.

So unless your plane went down
or you got hit by a bus,

you'd better get in here

as soon as you get this message.

Hey... Luka, I need you to wait.

Pratt's running behind; the
new attending's a no-show.

It's his first day. You'd think
he'd want to make a good impression.

You never did.

I have to go. Page me
if he doesn't show up.

- Whoa. Where are you rushing off to?
- I have to go upstairs.

Why?

Uh, never mind.

Last time I reached out to someone,

Dubenko tried to make me
his concubine.

- Ah, hello, my people.
- You're late.

- Not according to me.
- Yeah, according to me--

I got 20 patients on the rack.

Chest pain, I need a monitored bed!

We don't have one. Do a
12-lead in the hallway.

- Is Dr. Lewis coming in?
- Dr. Lewis is never coming in again.

She took a tenure track
position in Iowa City.

- Just like that?
- Just like that.

That's why Dr. Clemente
is supposed to be here now.

Who's this Clemente guy, anyway?

He was Residency Director
at Jacobi in the Bronx,

then did a stint in Newark.

Is he gonna be the
new department chief?

We're forming a search committee.

The guy wouldn't be here if he
wasn't angling for it, right?

- Hey Abby, vomiting blood.
- My favorite.

Ray, nosebleed...

Sorry, I'm on my tox elective.
I was just rolling down here to remind

everybody about my gig tonight.

The Pogo Lounge?

Isn't that a strip club?

It's behind the Lava Lounge, which
used to be called the Aqua Lounge.

Roomie, you gonna come?

It's why I wake up in the morning.

Okay, med students.
Burning urination.

- Seafood allergy.
- We're not really doctors.

That never stopped Morris.

Roswell and Marshall are pre-med.
They're collecting data

for my grant, tracking
patient through-put time.

Well, if we don't start moving the
meat, they're gonna be unemployed.

You want me to supervise
everyone else

and take on three new patients?

You're an R-4, stop whining.

- And where you going?
- The Weaver Lounge,

to work on my presentation.

Anything short of a meteor
crash, don't bug me.

Pratt, EKG looks good.

All right.

Where's your pain, sir?

It's not a pain. I... I just
feel something right here.

- BP 124 over 78.
- What's it feel like?

Just feels really heavy, like
a boulder. I can't breathe, Doc.

Say no more.

Sir, would you do me a favor
and open up?

Yo... yo, I did two lines
of coke last night.

- What?!
- And a bottle of tequila.

- You did?!
- Not to mention three Viagra.

Why didn't you say something?

Aren't you supposed to take
my history?

Who are you?

Victor Clemente,
your new attending.

And congratulations, Doc,
you just killed me.

Usually, Dr. Pratt
is very thorough.

Look, we're getting slammed.

It's okay; death becomes me.

I've got a Q-and-A upstairs, but
maybe I should stay down here.

No, no, go ahead. Take it.

Dr. Kevorkian and I--
we'll hold down the fort.

Hey, Jerry, you know where
to find me, right? Mm-hmm.

You know, you sure
know how to make an entrance.

Just trying to get the
lay of the land, that's all.

Yeah, but I think you
took it too far.

You should've seen me at St. Mary's,
I took it all the way to a rectal.

She was cuter than you, though.

Oh, look at that. Look at that.
You guys still using X-ray film?

I thought everybody
was digital by now.

- Oh, hey, nice job shaving my chest hair.
- No problem.

Now, it took 24 minutes
to get my vitals-- 24 minutes!

Now, come on, I know we can
all do better than that.

Yes, we can. Yes, we can.
That's totally what I think.

Archie Morris, chief resident.

You know, usually, it takes me about ten
minutes to figure out who the kiss-ass is,

but, hey, at least we're
breaking records somewhere, huh?

Now, the EKG was prompt but the
resident's evaluation was sloppy.

- Come on, you know we were busy.
- It's always busy,

it's always chaos,
it's always out of control.

Look, I know you people don't have
enough hours to spend with every patient,

but our job is efficiency
and excellence.

We're marksmen-- we hone in
on what's important,

we hit our target with
one shot and we move on.

We should call psych on this guy.

And who are you?

Abby Lockhart, R-2.

Oh, yeah; Weaver was talking
to me about you.

I'd like to say it was all
good, but it wasn't.

Can we start by clearing this stuff?

- Okay, in Trauma One, we have...
- A grease board! God,

I haven't seen one of these since
the '80s. That's pretty cool.

Look, unless anybody has any
objections, I prefer walking rounds.

We all learn, okay? Let's go.

He's kinda hot.

I thought you had a boyfriend.

He's at war and so are my hormones.

Come in.

How are you?

This toothbrush feels like
a hundred-pound weight.

Well, it's normal, after such
prolonged bed rest.

Please tell me you brought some
Rocky Road and a cheeseburger.

Just came by to test
your muscle tone again.

So, no fries?

Well, at least you're
not Dr. Shulansky.

He brings tours in here like I'm
some freak at the Wild Animal Park.

He's excited that you're awake.

"She's alive."
"She's alive."

Squeeze my hand.

Okay, that feels a little
stronger than last week.

Try to lift up your leg.

That's good.

Very good.

Well, it's more than you could
do the last time.

That's thanks to three hours
a day with Helga,

the therapist from hell.

Oh, I see you had some visitors.

Yeah, that was my best
friend from college.

I haven't seen her since graduation.

I asked her for a joint and
she brought me a teddy bear.

Well, that's good for her.

The last thing you need
is to take anything

that will interfere with
your recovery.

I need...

to take the edge off.

Waking up and finding out
that your mom's dead

and your fiance's MIA and you've
literally slept through your 20s

is just a little stressful.

Has Dr. Shulansky said anything
about the accident?

All I know is you and your
mom were driving,

and it was some kind of
traffic collision.

Yeah, that much I remember.

We were on our way for my final
fitting for my wedding dress.

It was strapless...

with a tulle skirt.

I wouldn't even let Jason see it.

Your fiance?

You spoken to him?

Oh, that would fall under the
heading of "Scared as hell,

don't know how to do that one."

A lowered tidal volume of 6CC per kilo
decreased mortality from 40% to 31%.

You twirl a knob, you're gonna
save a life. Okay?

All right, let's go.

Gracias, Doctor.

- De nada, mami.
- Those a cool shoes, man. Adidas?

Get laid, Morris.

Boris Nadinovitz,
presenting with fever,

lymphadenopathy and night
sweats-- no obvious source.

So what's your
diagnostic approach?

Uh, skin test for TB
and Cocci, histo.

Good, good, good.

Dorsey Watson.

Greg Pratt! What's up, man?

Man, what's it been,
like, five years?

Uh, six. I was a second-year
when you graduated.

- Wow. So what are you doing here?
- I work here.

What's your excuse?
You know, last I heard,

you were in Winnetka,
doing lipo on rich chicks.

Still am, man. Still am.

One of my patients just got a half-price
tummy tuck from some hack, landed upstairs. Ah.

Hey, killer, killer, come on, come on!
We got patients to clear! Let's go!

- I gotta roll, man.
- Hey, do your thing.

- I'll holla at you before I go.
- Definitely. All right.

Okay, be relaxed, try to sound calm.
It'll be weird for him at first.

You think?

- It's ringing.
- Okay, take a deep breath.

What's going on?

Oh... hi, uh...

Is this Jason Clark's house?

She's calling her fiance.

Um, Blaire Collins. I'm an old friend
of his from the Art Institute.

- She's doing great.
- I'm amazed by her progress.

I been trying to help her for over
four years and, all of a sudden, this.

Hi...

Yeah, it's really me.

What were you treating her with?

Most recently, an experimental
cocktail:

Fluoxitine, sinemet
and dextroamphetamine.

- She still on them?
- Not anymore.

She's asked me about what happened.
You know, how she got hurt.

Um... I think it's better not
to talk to her about it yet.

Is there something
she should know?

The accident was violent,
to say the least.

Blaire and her mother
were carjacked;

her mom was raped.

And shot?

Blaire tried to fight them off
and was pistol-whipped.

They would've killed her, too,
but someone pulled up.

But still, uh, she has a
right to know.

She's in a fragile state.

Telling her could set her back.

Let's get her healthy first.

She needs to hear this at the right
time, from someone close to her.

She has no family.

She'll be told, Doctor.

All in good time.

22-year-old female, presenting
with recurring headaches.

- No history of migraine...
- Right, right--

but there is a history of ideopathic
intracranial hypertension.

When I get headaches, they usually just
take out a bunch of spinal fluid.

- Yeah, well, we don't do that anymore.
- We don't?

No. Now that we know that IIH
is caused

by sagittal sinus thrombosis,

resulting in a decreased CSF
reabsoroption

- at the arachnoid sinuses.
- I didn't know that.

- Heparin is the treatment of choice.
- Here you go, Doc.

I'm just going to place a drop
in your eye, all right? Lean back.

Well, she still needs
an LP for diagnosis.

Hey, hey, not so fast, no so fast.

Annals of Emergency Medicine,
May 2000...

- 2000... ?
- Five? Nope.

Three? Nope.

- Four?
- Ten points for the winner.

Intraocular pressure correlates
with intracranial pressure.

54, diagnosis made, and you
don't get a spinal tap.

Abby... Oncology's on the phone.

You say he's hot again,
I'll knee-cap you.

- Some patient of yours is freaking out.
- In Oncology?

- Who is it?
- Stephanie Lowenstein.

Double mastectomy. She's upset
because we couldn't

- do the reconstruction.
- Why not?

They found an enlarged lymph node.

We told her pathology isn't
back, but she won't listen.

She's says it's all your fault.

- She smashed a mirror.
- Stephanie...

- I don't want you here.
- I just want to help.

You call this helping? This
is not helping.

Okay, I understand... how you feel.

- You have no idea how I feel!
- Please wait, Ms. Lowenstein-- wait.

We'll just have to let the doctors get the results back from
the tests, and then we'll figure out how to proceed.

To do what? To do what?

To cut me up some more?
To hell with your damn tests!

Okay, Stephanie, listen to me,
please. Just listen.

- You ruined me!
- I know you're scared.

Is that what I am?

Just because they found a node
doesn't mean you have cancer.

I need a cab! Where's a cab?!

You need to come inside
and let us treat you, Stephanie.

I had money. Where's my
stupid money? Ow!

Listen to me: everything you're
feeling right now is normal.

It's just gonna take some time.
I don't have time.

That's not true.

Who's going to marry someone who could
need chemo for the next ten years?

Who's gonna have a kid
with someone who could die

before the kid goes to high school?

If they had trouble making a
diagnosis,

it may not be cancer, and if it is,
if it is, because you had the surgery,

- they caught it earlier.
- I don't believe you!

It's the truth.

You did what you had to do,
and it was incredibly brave.

- Then why do I feel like this?
- Because it's scary.

It's scary and it's unexpected. But you
don't have to go through this alone.

Get the hell away from me.

Stephanie, please, please.

Just-just let me take care of those cuts.
Just come inside with me and...

I tried all the Internet
dating sites.

I rewrote my profile so many times,
you would have thought it was my thesis.

Uh, what happened to Lou?

I liked Lou.

I don't think he could handle this.

He said he would come back
after the surgery,

but...

I never liked Lou.

Guy's a jerk. It's a good
thing you found out early.

I don't want to freeze my eggs
or buy milk on the Internet.

I wanted to breast feed.

This is a little bit of Neosporin.

Aren't you afraid you'll
wind up the auntie?

Be forced to adopt
some kid from Cambodia?

I think Cambodian kids are cute.

You know what I meant.

Stephanie, if all goes well,
you'll get the reconstruction,

you'll have an uneventful recovery
and lead a perfectly normal life.

That's doctor talk.
You don't get it.

My mother's sister died
of breast cancer.

So did my grandmother.

And you?

And I...

have never even had a mammogram.

Tony DeJesus, single stab
wound to the neck.

Vitals stable. Good airway.

- Hey, Tony, you having any trouble breathing?
- Nah.

- Time of arrival-- 14:42.
- Was this gang-related?

- No, my old lady stabbed me.
- Why'd she do that?!

'Cause she's a psycho bitch.

- Where are my residents? Where are my residents...?
- Time in treatment room 14:43. Got it!

Who are these clowns?
You're not coming in.

We're not putting
on a show for you.

What the hell's wrong with you?
Get the hell out of here.

The woman who answered
Jason's phone was his wife.

Eh, six years is a long time.

You know the thing that's so hard about all
of this is that everything has just gone on,

and I still feel like Jason had I

were just finalizing our
wedding list yesterday.

I'm sure he stayed by you
as long as he could.

He came by twice.
Shulansky told me.

No wonder he wanted us
to write our own vows.

He probably planned on omitting the
whole "in sickness and in health" part.

Did you want him to spend
the rest of his life hoping

for something everyone
said wouldn't happen?

Maybe I can be his mistress.

Which anatomic landmarks define
zone two of the neck?

The cricoid cartilage to
the angle of the mandible.

Very, very, very good.

Because management of zone two
injuries is very controversial.

Actually, some people advocate
surgical exploration for everything.

I'm pretty sure our surgeons
would not want to explore

an asymptomatic patient
with a superficial wound.

Could you guys hurry up? My old
lady's going to burn my truck.

Well, homes, maybe next time you won't
double dip with your moms-in-law.

You see my wife's mother?

- Then don't criticize.
- My bad.

Now, I'm sure you guys are
aware of all the indications

for immediate exploration,
right, Dr. Morris?

Uh... airway compromise, severe
hemorrhage or expanding hematoma.

- But he has none of those.
- Good, so then let me go.

Right, but we can always learn
from every case. Dr. Pratt...

talk to me about selective
management with neck injuries.

What?

Brother, keep it short.
Don't go Al Sharpton on his ass.

Duplex scan endoscopy
and gastrograffin swallow.

Which you would only
do if he had symptoms.

Well, slow your roll, bro,
because what proportion

of zone two vascular
injuries are asymptomatic...

Dr Rasgotra?

With a significant injury,

he might have signs of
bleeding or hematoma.

The guy is stable.

Maybe. Maybe, but nine out of a
hundred times, asymptomatic patients

have lesions that require
surgical repair.

How about that, Dr. Pratt?
How about that? Talk to me now.

You know what? How about I go check
on my asthma patient in Curtain Two?

There's no asthma patient
in Curtain Two.

Yeah, well, uh, maybe
he went out for a smoke.

I'll go find him.

Yes, Eve. I did. I put up
the sanitizers.

No, I didn't hand out the pins.

I am putting up the
poster as we speak. Yes.

That special tape that won't
ruin the walls. Okay, bye-bye.

Don't tell me-- Eve.

It's her day off, and
she still calls in.

Here.

She wants everyone's hands

to be sanitized before
they touch a patient.

"Scrub or Rub"?

- Yep. Sounds kinky.
- We should be so lucky.

No, I was thinking we could
get something to eat.

You know, maybe catch a movie
or something.

Nah, I haven't seen that one yet.

All right, cool.

I'll meet you out front.

Hey... how you doing, Greg?

What? You stalking me now?

No, I'm here for...

a sick friend.

You sure you don't have another
illegitimate kid up in there?

We need to talk.

- What are you doing after work?
- I've got a date.

With Olivia Evans?

Nice girl. I've known her since
she was in high school.

Oh, that's great.

What about tomorrow?
Maybe we could have dinner.

You like gumbo?

I know a great place
over at King Drive.

Then down the street, there's
a cat with a pool hall, and...

Listen, we're not eating any gumbo
together or playing pool, all right?

Then what would you like to do?

I would like for you
to leave me alone.

For real. We're done.

Okay. You don't want to have anything to do
with me. What about your little brother?

Whoa, don't use him like that.

He'd like to get
to know you, Greg.

He just met me.

I don't know what your mother
told you about me.

But I have an idea
it wasn't everything.

- Come on, man.
- I could explain,

but only if you give me the time.

I do not have the time.

I'm trying here.

Then stop.

Fine.

If you want to drop it
forever, that's your call.

But you'll have to live with it.

Your choice.

I never got the whole marriage
talk from my mom.

But you know what? The moment
that I told her that Jason proposed,

she pulled out this trunk. She had
every detail of my wedding planned.

It was crazy.

Oh, my God. Stop. Stop.

She wasn't going to
pressure you, huh?

Yeah. She wanted it to be special.

- Which way is Lake Michigan?
- That way.

You can see it from the
other side of the hospital.

Can we go?

I shouldn't even have
you out of your room.

Please?
No.

Come on.

What does a girl have to do
to get a break with you?

Hope this Clemente doesn't
become chief of the department.

- I thought you liked him.
- I did, until I had to present to him.

"Sure, the patient doesn't have
flesh-eating bacteria right now,

but if he did, what signs or
symptoms might he have?"

"Is that muscle spasm in the jaw any
chance it could be acute tetanus?"

You know, I'm all for teaching, but
this guy doesn't know when to stop.

Yeah, he's annoying.

You just said you liked his
bloody shoes, you wanker.

Just because he's annoying doesn't
mean I can't like his shoes.

- You going to Ray's gig tonight?
- Oh, the hell with Ray.

He's probably upstairs
having a blast.

Jerry, it's Ray. Save me.
I'm bored stiff.

Try picturing every woman up there
naked. That always works for me.

Come on! Are there any drug
cases down there?

- Couple of traumas rolling in.
- Lola Simon, seven-year-old

with crush injury. B.P. 70 palp.

- What crushed her?
- Your next patient.

Lola, move your legs for me.

Seven-year-old girl.
No sign of drugs.

Yeah, I'm king of the world!
Whoo-hoo! King of the world.

Looks like you forgot
how to fly, King.

Tommy Bonetti, stood up
on the tilt-a-whirl

at the Saint Ignatius Fair.

- Is he on drugs?
- Aw, he might have just hit his head.

Sounds like drugs.
I'm on my way down.

Move away from the light!

- Okay, we're trying to take care of you, man!
- You-You look like an alien!

Don't probe me!

Please sedate him!

I have to assess
his neuro status first.

Taking the hemocue.

Process the spinal films before
you take the rest. Here you go.

- Hey, I'm rolling out, man.
- What, you scared of a little blood?

- Hey, squeeze my hand.
- Systolic's 65.

All right, no fluid in the
abdomen, pericardium is clear.

Looks like spinal shock
with a high thoracic injury.

Am I right?

I'm way out of my league, man.

Don't you remember Bartlett's
lecture on blunt trauma?

All right, sweetie, listen up. I'm gonna
poke you, okay? Tell me when you feel this.

Okay, start dopamine
at five mikes.

900 of methylprednisolone. Ow!

Sensory level at T-four.

How you doing, Lola?

- That's a big bug.
- Man, you just killed our mascot.

Oh, here she goes.

Log roll. Keep her on
the backboard. Come on.

Suction.

Look, uh, you know, some of the older U of I
crews are hooking up at Cherry Red tonight.

You got plans?

Pratt, we need you in here.

- Yeah, I'll try to roll through.
- Pratt, now!

Go see what's up. I'll intubate.

Dude, I swear, if you don't
stay still,

I'm going to put this needle
through your heart.

Morris... Shouldn't we
sedate and paralyze?

I would if I had a line.
He took his I.V. out.

Since when did Alfred E.
Newman become a doctor?

Ha-ha-ha! What about I.M. versed?

Gave five. It's not touching him.

- Okay, what did he take?
- Maybe ice, coke.

- Pupils are dilated.
- Tachy at 140.

- Dude, what the hell are you on?
- Her in a minute.

- I can't find the vein.
- How about Haldol?

No, he could seize.

Morris, let me try the line.

Dr. Pratt! Go ahead and
push the sux.

This guy's unstable as hell,
and we can't get a line.

- I'm tied up.
- We need help.

You got to get Clemente.

- Is there another attending on?
- Clemente's the only one.

We're never gonna handle
this ourselves.

I'm gonna do a femoral cutdown.

- Are you serious?
- He needs access.

- Pulse keeps going up.
- Mix up esmolol.

- We need to slow down his rate.
- Ten blade.

Hey, we got sugar in here?

Oh, wow, we got a trauma.
I didn't know.

Pager's probably not working.

No, my pager's working.

20-foot fall complicated
by unknown intoxication.

- What? What are you guys doing?
- A femoral cutdown.

Hey, whoa, whoa, whoa, whoa. Everybody
take a deep breath. Take a deep breath.

Get my briefcase under admit.

- Banana cheese!
- Yeah, banana cheese. What'd he take?

Won't say. Tachy with mydriasis.

My guess is a sympathomimetic.

Bad, bad guess.

Skin and membranes are dry.

It's an anticholinergic.
Electrolytes are back yet?

Uh, right here.

Hyperchloremia, anion gap
is minus four.

How could that be?

Skittles, people. Skittles.

Very popular with the
kids these days.

It's cold pills with

dextromethorphan hydrogen bromide.

The lab analyzer thinks
bromide is chloride,

you get a reversal of the gap.

Anything to calm him down?

- Two migs of I.M. physostigmine.
- He still needs access.

- Here you go.
- I'm Rick James, bitch!

Close your eyes. Go to your
happy place, son.

Now, what time did the chem
panel come back?

He's got weird anatomy. We
couldn't find the subclavian.

There it is, right there.

See, the probe allows us to cannulate
the vein under direct visualization.

That's... very cool.

You carry that around with you
all the time?

It's just a demo. I ran the
phase three trials.

Beautiful, beautiful.

It's like shooting
fish in a barrel.

Heart rate's down to 80.

I guess we didn't need
the beta-blockers, did we?

- I trust you guys can finish without me?
- No problem, boss.

Hey, even if you think
I'm a pain in the ass,

it should never get in the way
of the patient care. You with me?

Good.

Dr. Lockhart.?

Hey. What's up?

Well, everything.

And almost twice a day.

Congratulations. Hear you're
getting out of here today.

You thought it
stunk to work here.

Try being a patient.

By the way,

thanks for the date.

- She told you?
- Someone had to pay her.

- Well, it was supposed to be a freebee.
- It was the first time.

Look, initially, it kind of turned me off
when I learned that she was a professional.

Then when I thought about it,
it, uh, it turned me on.

We're both professionals.

So you didn't need me, after all.

Well, I guess not.

- Hey, I don't remember your name.
- Abby.

And, uh, you're a little
late, Lou.

I came to see how Stephanie
was doing.

She had her breasts removed. Why don't you
pick up a pink ribbon on your way out?

- What? She did?
- Yeah, she did.

What are you talking about?

Stephanie says you
disappeared on her.

She told the nurse
not to let me in.

And every time I called, she
wouldn't say why she was here

and kept going on about

how she couldn't handle
dating anyone right now.

- Why would she do that?
- I don't know.

All I know is I can't stop thinking
about her and I'm a little worried.

Come on. Come on.
Do it, do it, do it, do it.

Oh, Dr. Clemente.

- Aw, damn it!
- Do you have a moment?

You know, you should really
consider getting one of these.

It might keep you from
hacking up the patients.

I'm sorry I didn't call
you in earlier.

Bonetti's gone up to the ICU.

We got to really consider
preemptive orders.

That was really unprofessional
of me.

Nurses transporting
patients;

- what a waste of resources.
- Dr. Clemente, are you listening to me?

Actually, no.

I lost.

Okay, look, a femoral cutdown
has to be a last-ditch effort

in a peri-arrest patient.

Okay, and Skittles boy
wasn't quite there yet.

Well, I thought he was.

Oh, you thought he was.

Look, look, I know, I know. I was a resident, too,
and I thought I had the keys to the kingdom,

but the great thing is
that we can always learn.

That's why I'm here.

Sometimes you want to do it yourself.

Sometimes your ego does,

but the patient would rather
that I do it, believe me.

- You're right.
- No, it's not about being right.

It's... Okay, look. I consider
you, Pratt, Morris, every resident

and every student here
an investment in the future.

My dividend comes

when something that I've taught
you saves a life.

That's it.

And you should really consider
surgery as an elective.

Well, why do you say that?

Because you're quick to cut
and you like

to use a scalpel more than
your brain.

Come in.

Hi. Hey.

I brought you some company.

Lou.

Hello. I heard what happened.

Hi. Come in. Sit down.

Chocolate.

Hi.

I'd like to schedule
an outpatient mammogram.

Sure. Patient's name?

Abby Lockhart.

First, you miss morning rounds,

and now they tell me you're
avoiding Poison Control.

No, I got stuck with a consult.

Look, a bunch of Zen monks made tea
from this plant in their garden.

Now they have vomiting, diarrhea.

Some are tachycardic,
some bradycardic,

some hypotensive,
some hypertensive.

Not a clear-cut toxidrome.

I haven't been able to identify
this plant on the Internet.

I even sent digital photos
to the botany department, but...

It's not jimson weed,
not foxglove, not oleander.

Well, maybe, uh,

it's tabaco gigante.

You know something?
You may be right.

I saw this once in Mexico.

It's a tobacco plant.

Your patients have
nicotine toxicity.

Good call.

Dr. Clemente, why are my research
assistants sitting in the waiting area?

I don't know. Parking garage
was too cold?

They're collecting data for me.

Okay, all right. The looky-loos
were getting in the way of the work.

Then you just tell them to step back.

Yeah, well, you know, I didn't
want to overstep.

I thought maybe it should
just come from you.

Overstep? You pulled
the plug on my study.

Look, I meant that more
as a time-out kind of thing.

You told them that my study
was useless. Look,

I know what happened in Newark, and I
really do not want a repeat here, okay?

All right, look, bottom line:

You hired me to make
this place more efficient,

and that's what I'm trying to do.

And if and when we start
bedside registration,

�it's going to make your study,
I don't know, not so relevant?

Yeah, I've got a $100,000
grant that says that it won't.

You got $100,000? Why don't
we just go digital?

Listen, I run this hospital!

We start bedside registration,
that goes through me.

If you put my students on a
time-out, that goes through me.

If you want to wash the floors
differently, that goes through me.

Do I make myself clear?

Yeah, I got one more question for you.

Does my answer go through you?

My mom loved seeing the lake.

Look at the water.

At least some things stay the same.

We should really get back.

You always been such a worrier?

I've always had things to
worry about.

- Do you think this was God?
- What?

Me waking up.

I don't know.

You think it was science,
don't you?

I've seen deeply religious
people come to the hospital.

Prayer did nothing for them.

And then I've seen plenty
of skeptics

experience miraculous
recoveries.

So you think it was fate?

I think...

I'm glad we're both here,

able to wonder about it.

- Yeah. Man, how you gonna punk me like that?
- Hey, what's up, little man? You know where Olivia is?

- Yeah, she's down the hall.
- Thanks.

I hear you fellas. But you sound
like a bunch of knuckleheads.

Hey, all I'm saying is, you can't
feel nothin' with no jimmy on.

Get used to 'em. There's
no alternative.

Getting a girl pregnant
is 18 years of lock-down.

Half your check going to Uncle Sam,

the other half going to
your kids and...

The baby mama.

And what happen if you miss
a child-support payment?

Who's going to be blowing
up your pager?

My baby mama.

Having a kid at your age
ain't what you want to do.

Trust me.

- Do you miss Croatia?
- I have family there...

but there are more
opportunites for me here.

I like Chicago.

Except the winter sucks.

Yeah. You can always go
inside and warm up.

You know how I keep asking you
about the, um... accident?

It's because I keep having these
flashes that don't add up.

What kind of flashes?

I remember being scared.

We'd had just gotten coffee and
I remember seeing my mom's face...

Her eyes were

petrified.

And I hear her screams, but her
screams are muffled by the radio

and there's blood and laughter...

there's... lots of laughter.

And at first I thought it was just
a dream, but the images are so

vivid... they're so clear...

Come and sit down.

Sit down.

Something else happened that night and
not knowing what it is, is killing me.

But

I... need the t-truth.

Blaire. I want to be...

out... figure it...

Blaire! Come on, Blaire,
stay with me.

- Hey, I need a monitored bed.
- Trauma One. What's going on?

Page Shulansky in Neurology!

Hey, I'm Dr. Clemente.
So, what's the problem?

She's not talking.

All right, get me an accu-check,
a hemocue and a pulse ox.

She doesn't need that.

And can we have her friend
wait outside, please?

I'm not her friend!

Uh, this is Dr. Kovac.
He's one of our attendings.

Hey, Doc, sorry. I had no clue.

Ma'am?

- Can you hear me?
- Her name's Blaire.

- Can you hear me?
- Shulansky's at the V.A.

Damn it.

Gaze is fixed to the right.

Need a CBC, chem panel,
and a head CT.

No. She need fluoxitine, sinemet
and dextro-amphetamine.

Excuse me, Doc, but I don't know what
the hell you're talking about.

Abby, run to the pharmacy
and get the meds.

There is a standardized approach

to dealing with a patient
with altered mental status.

This not a standard patient.

She's been on
an experimental cocktail.

Hey... Abby, Fluoxitine,
sinement and dextroamphetamine.

Abby, please go!

Hey! Hey, need some help! Hey!

What's up?

Fluoxitine,

sinement,

- dextro-amphetamine.
- Write it up.

Hey, hey, what are you doing? Are
you crazy? You can't go back here!

Crit's fine. Sodium, potassium
are normal.

Told you that.

CT is ready.

Okay, let's move her now.

She needs the meds.

Dr. Weaver, we could be missing
a brain bleed, a mass effect.

- I know.
- So we don't have time to screw around.

The meds woke her up from a coma.

If they did, we'd have coma patients
waking up all over the country.

- All I know is they worked for her.
- Got 'em.

You're not gonna actually let
him go through this, are you?

Are you confident these meds
are gonna work?

Because, if not, there's going
to be a tall guy in a cheap suit

from the state asking questions.

It's worth a try, Kerry.

All right, hold this scanner.

I'll give him five minutes.

You know what? Don't sweat it.

Dr. Kovac, you're the physician
of record now,

cause I'm not gonna be on the
chart when the family sues.

Well, I'm in luck--
there is no family.

- And fluoxitine in at 20:19.
- Let's get up to CT.

As soon as I get a portable monitor.

Blaire. Blaire. Eyes opening to pain.

Incomprehensible verbal activity.

- I got a GCS of 2-2-4.
- Check her gag.

Whoa! Two of Ativan, now.

100% oxygen, non-rebreather.

Does she have a history of seizures?

No! Well, any of the meds you
pushed could have caused this.

So could falling drug levels.
So could withdrawal.

Another round of Ativan.

I really liked that last one.
Is it new?

- Yeah, it's call "Blood Wine."
- Oh, Blood Wine. How'd you think of that?

I cut my finger opening a
bottle of merlot.

So, um, you and your friend
headed home?

Uh... I don't know what
she's doing.

Do you know what you're doing?

Yeah, I know what I'd like to do.

Hold that thought. I'm gonna to settle up
with the boys, and I'll be right back.

Hey, you guys are late.
We were the opening act.

Clemente had us pull
current journal articles

to justify the treatment
of every patient.

You want to get something to eat?

- I have plans.
- Your plans have friends?

Let's see.

- Zoe.
- Yes?

- That's my boy, Archie.
- What up, ladies? You guys hungry?

We want to meet the band.

I play drums.

Yeah, no, I'm serious.

Like... It's my marching band.
We won the nationals.

Turning and the-- boom, boom,
and then the boom.

And then we did like a...

Guys? Ray!

Blaire?

Blaire, open your eyes.

Maybe she's post-ictal.

Or the Ativan didn't wear off.

I shouldn't have pushed the meds.

You don't know why she
had a seizure.

Maybe we overloaded her synapses.

Luka, there is no way to know
why she fell back into this. Yeah.

I have to go.

Are you okay?

The state conservator agreed

to admit Blaire to the
hospital for two days

to see if there's any improvement.

If not, she'll go back
to the nursing home.

I could have been a doctor,
but why poetry?

Why I? Why me? Why I?

I could have been a lawyer,
but why poetry?

Poetry.

Why...

poetry?

Thank you. Where's the waitress?

You know, to hell with her.
What do you want?

Uh... light beer.

Don't tell me the lipo doctor's
scared of getting handles.

Don't hate... I look good.

I'll be back.

Hey, what's up, bro?
Can I get two beers, one light?

- What, you want something?
- A conversation would be cool.

You haven't said anything
to me all night.

- Can barely hear in this place.
- You could hear everyone just fine.

What did I do, Greg?
Just tell me what I did.

You should have told
me he was in there.

You want me to survey the
building every time you come?

Yes!

Look, he's the one down there
helping those kids.

Who sews up those kids once
they leave your place?

Well, your father tries to help
them before they get to you.

Listen, Charlie Pratt
may be a lot of things,

but he's not my father,
my dad, or my pops.

He's just some guy who
got my mom pregnant.

So, basically, he made the same mistake
he's warning those kids about.

Greg, wait...

You want to hate him,
I can't stop you,

but Charlie's a good guy.

20 hours a week with the kids,

runs a basketball league,
rehab houses or poor people!

Yeah, see, that's the problem.

I've waited my whole life
to spit in my old man's face.

And not only is he not laying
face down in the gutter...

People change...

...but he's building houses
for people for free! No. No. Greg.

Blaire, I hope you can hear me.

On that night you and
your mom were driving,

you stopped at the red light.

Another car pulled up next to you.

There were three men inside.

They, uh...

pulled a gun.

They dragged your mom
outside of the car.

Transcript: RaceMan
Sous-titres: Bendef

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