All language subtitles for ER (1994) - S07E01 - Homecoming (1080p AMZN WEB-DL x265 MONOLITH)_track3_[eng]

Previously on E.R.:

There's a drug rehab center

in Atlanta that specializes

in treating doctors
with addiction.

Forget it. Forget it.

This is your only
chance, Carter.

Great. I quit.

...like your cousin--
some babbling gork...

( crying )

It's all right, man.

Name?

Dr. Carter.

Somebody should
have called ahead.

Okay.

All the information
is confidential

and you can have
a seat over there.

Thank you.

Mm-hmm.

90 days?

This is a three-month program?

Yeah, I-I-I guess so.

Can you send me
some clothes

or they issue
prison garb here?

You okay?

This pen doesn't work.

Do you have a pen?

He's diaphoretic
and cramping.

We'll take care of it.

When?

Soon.

He's got the tremors.
He needs something.

You should go now.

What?

It's important that
he checks himself in.

Right.

Mm-hmm.

There.

You, uh...

You good from here?

Yeah, I guess so.

Carter, you can do this.

( heavy breathing )

Hey, you got
any Compazine?

I'll give you something after
group if you're still nauseous.

Group?

Yeah. For therapy.

When is that?

Now.

In the middle of the night?

The entire group meets
whenever a new patient arrives.

Ready?

No, I need to lie down.

You'll make it.

Group therapy is not
what I need right now.

If you want to be
in the program

you do the program.

Otherwise you can leave

and when you want a fix

you can score down
on Tenth and Piedmont

which is six blocks
down, one block over.

Those guys are out
there all night.

( clearing throat )

John Carter?

Yes.

Security! Security!

See, I put the needle down!

I said no needles!

I told you
to put him in restraints.

I did. Lily, could you get
extra security down here?

On their way!

Did you give
him Haldol?

What do you think
the needle was for?

The toilet's plugged
in the men's restroom.

So unplug it.

Hey, Malucci, what is Mr. Hunter
still doing out here?

Transpo's backed up.

Half the guys staged
a sympathy sick-out

to support the janitors.

Then take him
down there yourself.

Why can't we just give
these guys their raise?

I'll recommend you
for the negotiating committee.

What about
the maintenance closet?

I don't know, Malik!

Use some initiative--
pick the lock.

Take a fire axe to it.
I really don't care.

Oh, my God,
can somebody please

put Mr. Spencer
in an exam room?

Excuse me.
What?

We've been waiting
here for a while.

Shouldn't we

be doing something?

Any plumbing experience?

Well, what happened?

You know what, Mark?

Just don't start
with me, okay?

Custodial staff
is on strike.

Yeah, so they had to
destroy the Admit Desk?

This is a remodel--
open floor plan.

It's supposed to be safer.

I've already scratched myself
on a nail twice.

Make sure you update
your tetanus.

Where are my fans?

Working on it.

What's the deal?

I don't know. You know,
the construction workers

won't cross
the picket line.

Oh, you mean
those three guys

I saw out there
with signs?

Hey, Mark, how was
your vacation?

It was good.

Did you go anywhere?

Wisconsin Dells.

Come on, let's go
back to your room.

She got a needle!
I seen it!

Where's the board
supposed to go?

Don't ask.

I don't like needles.

Give him another...

We're not supposed
to talk about it.

Cleo, you got
that covered?

I hate needles!

Hi, Dr. Greene.

Take it easy.
Let's Go.

Relax, dude.

Is it me or do
those med students

look like 12-year-olds?

How long have
they been waiting?

Three hours.

Two and a half.

I'll take them.

Be my guest, but make sure
you see some patients.

Malik?

What?

Malik!

Strong, steady heartbeat.

The amount of amniotic fluid
is normal.

Everything looks fine.

Now, I've got a good angle here
if you want to know the sex.

Sure.

You are having
a boy.

Congratulations.

Thank you.

Your, um...
blood sugar level is normal

but you're
a little anemic.

You taking any iron?

Yes.

Have you arranged with Kerry
to take some time off

after the baby's born?

Oh, uh, no, not yet.

You still have time.

Actually, I haven't
told anyone yet.

I think you
may want to.

I don't see how you can
keep this a secret much longer.

Yeah.

So what are you
supposed to talk about

in an exit interview anyway?

That you don't have
all the answers.

No argument there.

You scared?

I don't remember the last time
I wasn't scared.

Good.

What? That's it?

"Be afraid. Be very afraid"?

We're like
the Army, okay?

We break you down, make
you face your addiction

and we build you up.

You start to function.

You feel healthy, confident.

Don't worry.

Pride is what got me into this.

Yeah. And deep down
you feel like this

is something
that just happened to you, huh?

No, I took responsibility,
I take responsibility.

I'm going to get my life back.

It's not going to beat me.

Yeah.

That's what
I thought--

the first
three times.

But I hope you do.

Day or night

if you ever
need to talk.

Are we done?

You're just
getting started.

Is this where I'm supposed
to say thank you?

Some people do.

Thank you.

You're welcome.

Someone's still
on vacation time, I see.

Sorry.

That's all right.

Peter was helping me
hang this straight.

How's that look?

Great.

You finish
the interview?

I was just getting
to that.

Okay, so where were we
before we left off last time?

You were just about
to give me the job.

Developing a sense
of humor, Peter.

That's progress.

You get points
for that.

Uh, why don't we discuss
faculty responsibilities?

Um, Peter, as an attending,
you'd be responsible

for supervising
resident research.

I look forward to that.

Liar.

I like working
with residents.

You mean you like
abusing them.

You don't exactly have
the best track record

in the research department.

That can change.

Uh-huh. Where else
have you applied?

What?

Where else did you apply?

You can't ask me that.

Oh, no. Someone call
the interview police.

Has anyone
offered you anything?

You're not supposed
to ask me that either.

Come on, Peter,
it's a simple question.

I've looked elsewhere,
as a backup

but I'd like to stay here
as an attending.

Okay. Was that so difficult?

Elizabeth

what are
you doing?

Uh... my hands itch
for some reason.

Well, cut it out.
It's distracting.

Linear vesicles,
probably a phytodermatitis.

You allergic
to any plants?

I don't think so.

You have a garden?

I went camping.

Tell me you know
what poison ivy looks like.

Poison ivy?

Is that in Wisconsin?

Oh, boy.

Sorry, Peter, I got to run.

We'll have
to finish this later.

When?

Um, my office
will reschedule.

Good luck
with that, Lizzie.

He's never going
to give me this job.

Of course he will,
he's just being Robert.

Don't scratch.

You should put

hydrocortisone
T.I.D. on it.

If it gets any worse

get a shot of steroids.

It won't spread, will it?

Well, that depends
on what you touched last

before you washed your hands.

Oh, dear.

These are your
orientation packets.

Why don't you guys
have a seat over there

and read them over, okay?

Then we'll give you the tour.

We'll go over charts,
order sheets

and discharge instructions.

Any questions?

Remember, you're students.

The only stupid question
is the one you don't ask.

Dr. Greene?
Yeah.

Well, I have a question.

What?

Something wrong with
the Australian boys?

Who?

You're scratching
Down Under.

Oh, yeah.

Doesn't make a good
first impression.

Pickman, what have you got?

Mike Palmieri, 17,
wide receiver.

Got hi/lowed in midair.

Brief L.O.C.; complains
of neck and chest pain.

Can he move extremities?

Yeah, but with
numbness in the hands

we didn't take
the helmet off.

Okay. Malucci, I got it.

Give the med students the tour.

I gave it last rotation.

Oh, then you're getting
good at it.

Okay, Mike, I'm Dr. Greene.

Can you squeeze both my hands?

My neck's not broken, is it?

We're going to check you out.

Mike, does your chest hurt?

A little. The safety speared me
with his helmet on the way down.

He's tachy at 120.

B.P.'s 110/68.

Good breath sounds
bilaterally.

That's illegal.
Second play of the game.

Let's get him
on a pulse ox.

They were looking
to take me out.

Who's that?

The other team?

Our rivals.
It's their homecoming.

You want to push
any drugs?

Sure, one amp of epi
and a mig of atropine.

She have a pulse?

Oh, she's dead.

I know.

Like blue dead.

Pulse ox 65.

That's because
she's dead.

Her husband drove her in.

Oh. Right.

Luka, you okay in here?

I've got it, Kerry.

Still asystole.

As long as we're faking it,
can one of the med students

practice C.P.R.?

No. Go tell him we are

doing everything we can,
but his wife is very sick.

She can't get any sicker.

Malucci, please. Go on. Go on.

Give the poor man some time
to prepare himself.

No problem, Chief.

I can act with the best
of them. Watch this.

She's still flatlining.

Want to do a
fluid bolus?

No, that's okay.

Abby.

Abby!

Yeah.

The registrar didn't

put your name on my roster.

You sure you're back
on the E.R. rotation?

So my schedule says.

Okay, they must
be backed up

because of the strike.

Checking out?

Yeah.

Dr. Benton called
to confirm your flight

and said he'd pick
you up at the gate.

Thanks.

Good-bye, Margaret.

Good luck, Dr. Carter.

Where did he go?

He was in the hallway
with Malucci

a minute ago.

Here's her medication.
Forgot it in the car.

She's on Elavil and codeine
for arthritis.

Have a seat, Mr. Bristo.

You don't need these?

Mr. Bristo, your
wife has suffered

a massive heart attack.

We exhausted all
medical resources
available to us

but the damage
to her heart

was beyond our
capabilities
to save her.

She died, Mr. Bristo.

I'm sorry.

You see?

I should have called
the ambulance.

I should have
gotten her here quicker.

There was nothing

you could have done
differently

that would have saved her.

It was just
her time.

Would you like
to see her?

Okay.

Elizabeth:
How was I supposed
to know?

Excuse us.
Sorry.

Haven't you ever heard
of "Leaves of three, let it be"?

What?

"Leaves of three,
let it be"

as in don't touch.

Sorry.

We don't have
poison ivy in England

leaves of three
or any other kind.

Oh, man.

Let me see.
No, no.

Mark, don't be shy.

You've done
enough damage.

Well, do you have it?

Yes, I have it.

Who picks poison ivy?

I was making
a wildflower bouquet.

Mark, C-spine's back
on the football player.

Thanks.

When you went
skinny-dipping
in the lake

I got bored.

You do remember
what happened

after you got out
of the water?

Yes, a big
price to pay.

Mark...

Do I have to start
worrying about where
you've been?

It's not that horrible.

Yeah, you've only
got it on your hands.

Mike, X ray is normal.

The mom's here,
out in chairs.

Okay. Uh, get off
the helmet and pads

and I'll be right back.

Does that mean
I can go?

Not yet.

So, do you want the
cream or the shot?

Probably both.

Fine. I'll get them.

Mrs. Palmieri?

Yes?

Hi, I'm Dr. Mark Greene.

Good news.
Mike's neck X ray
came back normal.

No fractures
or swelling.

Why were his hands numb?

He's probably hyperventilating.

That can cause
a little numbness.

But no nerve damage?

No. No broken bones,
no spinal cord injury

no paralysis.

Thank you. Thank you.
Can I see him?

Sure.

What's your name again?

Priya Shailendra.

Priya, do you remember
where Trauma One is?

I think so.

Could you take her?

Certainly.
This way, please.
Thank you.

Malucci?

Hey, Dr. Greene.
How's that jock itch?

I thought I told you
to supervise the med students.

You told me to give
them the tour. I did.

Why don't you show them
the charting system?

I'm kind of juggling
eight patients here.

Have them help you.

Hold this.

Hey, Cleo, you're up
with the med students.

Says who?

Dr. Greene.

Then Dr. Greene can ask me.

It's not infected,
Mr. Fletcher

but I'm going to have
to debride it again.

No, leave it alone.

Well, I would

if you changed
the dressings

four times a day
like I told you.

I'm not a damn nurse.

How'd it go?

It didn't. Romano postponed.

Again? What's wrong with him?

He's a maniacal sadist.

What did you call me?

Not you, Mr. Fletcher.

Is this machine working?

I feel like I'm drowning.

It takes longer when
you're fluid-overloaded.

This happens when
you're three days late

for your dialysis.

I told you my son
didn't have time

to drive me
to the clinic.

Malucci:
...cornerstone of drive-through
medicine.

What's wrong
with this picture?

Hmm?
Those med students.

Not a black face
in the bunch.

That doesn't
concern you?

I see five.

Not necessarily
a representative sample.

I'm glad you take
such an active interest.

Ow!

You're going to have

to hold your foot still,
Mr. Fletcher.

She your wife?

Hmm? No, no, no.

She talk like she your wife.

Yes.

( both chuckling )

Yes.

I brought you a chair,
Mr. Bristo.

Someone will be by
to take her downstairs

but it could
take a while.

Do you have
a funeral home
you'd like to use?

I could call them.

We've got two plots,
but Florence took care of it.

I forget the name.

Well, if you remember.

Can I stay with her?

As long as you like.

That's very
decent of you

to work on his
wife like that.

Part of the job.

Well, no.
He's really shaken.

It could be
a lot worse

if he thought he
was responsible.

He does.
He's alive; she's not.

I wonder how long
they were married.

I don't know.
Forever, probably.

How long have you?

What?

Been married?

I'm not.

I thought someone
told me you were married.

I was, but my-my divorce
became final last month.

Sorry.

Don't be. I'm not.

Lockhart-- Is that
your name or his?

It's his, but I'm keeping it

because it's the only good thing
I got out of the whole mess.

Why? What was your name before?

Wyczenski.

Right. Lockhart is better.

Have you seen
Dr. Greene?

Suture room,
I think.

Oh, Dr. Weaver's
looking for you.

Me?
Yeah.

Dr. Greene...
Sorry, sorry!

It's okay, Haleh.
I'm just getting a shot.

I didn't see
anything.

What's up?

Mike Palmieri is having
trouble breathing.

Complained of chest pains
when we removed the pads.

All right, I'll be
right there.

( snickering )

You done?

All done.

Keep laughing,
flower girl.

You're welcome.

Thanks a lot.

Mike, how's your breathing?

A little sore.

Okay, tell me
if this hurts.

B.P.'s stable,
115/70.

Satting at 98.

There.

Okay. Any belly pain?

No.

Are you sure?

( groans )

Okay. All right,
book a C.T.

and let's sit him up.

Where's your mom, Mike?

She went to check
on the score for me.

If we're losing,
I need to get back.

Well, we need to take
another picture

of your chest and belly

just to make sure
everything's okay.

Well, how long
does that take?

Relax, Mike.

You're going to be
with us for a while.

Mrs. Palmieri.

What happened?

Nothing serious.

Mike might have
a broken rib

and I need to get
a CAT scan

just to make sure that
it didn't nick his liver.

His liver?
What does that mean?

Well, it all depends

but it's really
a remote possibility.

I just want
to make sure.

I knew something like this
was going to happen.

I hate that he plays football.

I hate it, but it
keeps his grades up.

He's not a great student

but he has to keep
good grades to play

so I let him play.

I'm sure everything is going
to be just fine, okay?

I'll check back with
you after the scan.

Chen.

Chen!
Yes?

Are you okay?

Yes. Uh, yeah, great.

You find Dr. Corday
and her meet me at C.T.

Uh-huh, no problem.

B.P. 136/28,
pulse 125.

They nailed me
after the play.

The refs didn't even call it.

Open tibial fracture.

Titrate 100,
slow I.V. push.

55! That's the number
of the guy who hit Mike!

It was a clean hit.

GSW on the way
crashing in the rig.

Okay, Frank, what's open?

Stiff in Trauma Two.

Other than that,
we're booked.

Clear it.
Chen, take this guy.

Yep, got it.

You led
with your helmet.

Ma'am, you'll have to wait
back in chairs.

It was an accident!

It was a cheap shot!

What do you call
breaking my leg?!

Payback!

Thank you.

Flight Attendant:
Sir? Sir?

Thank you.

Can I get a gin
and tonic, please?

Anything for you, sir?

No, thank you.

From Atlanta or Chicago?

Uh, Chicago.

Atlanta on business?

No.

Vacation?

I was just visiting a friend.

So, what do you do
for a living?

I'm a teacher...
high school English.

Wow, and you fly
first class, huh?

They must pay teachers
pretty well in Chicago, huh?

Excuse me.

( water running )

( sniffs )

( sighs )

( unzips bag )

Mr. Bristo?

They needed the room.

Okay, well, don't worry.

We'll find her
another room.

Are they coming to get her?

Yeah, soon.
They're coming soon.

Lost a pulse!

Starting compressions!

What's in the monitor?

P.E.A.

Amp of epi,
squeeze in the blood.

Dr. Weaver, Malucci has
an assaulted cheerleader
coming in-- bat to the face.

Okay. Get Mark.

He's in C.T.

Got a pulse!

Increase dopamine.
Get him up to the O.R.

Are you finished
in the trauma room?

Yeah. Abby, I'm glad
I saw you.

I need to talk
to you.

Somebody find
Kovac, please?!

This man's wife died
and we told him

he could wait
until transpo comes...

I know.
We'll lean on them.

Look, I checked
with the medical
school registrar...

Out of the way!

and they've retracted
your clerkship.

B.P.'s 130/90.

Is that from the
football game, too?

Yeah, someone choked
her in the bathroom.

Something about
a delinquent
tuition notice.

My ex-husband was
supposed to pay that.
I apologize.

No need to apologize.

I'll get it paid
by tomorrow.

Abby, you don't understand.
You need to go home.

You're not covered
to work on patients.

I'll work it out
with the registrar.

Once a clerkship is pulled,
it's pulled.

Nothing I can do.

You have to wait till
the next academic quarter.

In three months?

Sorry, Dean's decision.

Turn in your lab coat
and your I.D. to Frank.

Okay, prep for an intubation.
Hang mannitol.

40 of Lasix.
She needs a Foley.

Give me some gloves, somebody.
Move!

God!

What's this for?

Kovac:
Whoa, whoa!

Sorry. Sorry.

Abby, what's wrong?

Abby?

Abby?

Oh, you got cleaned up, huh?

Looks good.

Thank you.

I'd choose the fish
if I were you.

The steak looks "ew."

I'm not hungry.

Excuse me, Dr. Carter.

Were you smoking
in the lavatory?

Yes.

Then you're in violation
of federal law

punishable by a $2,000 fine

and imprisonment.

Do I need to have the Marshals
meet us at the gate?

No. It won't happen again.

Do you have the butt with you?

All right then.

Doctor, huh?

Mrs. Palmieri.

What is it?

Apparently the blow
to Michael's chest

caused a little
internal bleeding--

some of it in the sac
surrounding his heart.

Oh, God,
that sounds serious.

It can be.

But right now there's
only a small amount.

But we need to operate
to drain the blood

before it restricts
function.

Open-heart surgery?

No, we go through
the upper abdomen.

A very small incision.

It's a really
simple procedure.

I just need you to...

Now?

sign the...

I just need you
to sign the consent.

You're going to do
the surgery now?

Right now Mike's blood pressure
is stable

which is a good sign

but more blood
could accumulate.

We need to do the operation
immediately

to avoid an emergency procedure
down here.

You just need the one signature,
right?

I couldn't find his father
if I wanted to.

One is enough.

All right, what's
the big emergency?

I'm here.

I didn't call you.

Robert.

Kerry, look, if you're
going to leave messages

with my assistant,
don't also page me.

It gets annoyingly
redundant after a while.

Sorry to inconvenience
you, Robert

but we have a real
crisis down here.

Yeah? And?

And it's become
a health hazard.

If somebody calls
the County,
we'll be fined.

But someone's
not going

to call the County,
is she?

Look, Robert, housekeeping
won't clean any sheets
or towels.

I need the nurses here.

It's not their job anyway
to be doing...

Look, Kerry, what
do you want me to say?

Troubleshoot.

It's called
being a manager.

You need to end
this strike.

Find me the
half million

it'll take to meet
their demands

I'll be happy
to do that.

Peter, keeping
banker's hours?

I've been on since 5:00.

Yeah, well,
you got a sec?

Actually, I've got
to go...

Wait, come on,
let's finish this.

What?

The interview.

What about Elizabeth?

I let her sit in
to make her feel important

but it's my decision.

So, let's talk turkey.

I know you've got
the surgical skills.

I don't question that.

I do, however, question
your loyalty.

My loyalty lies
with my patients.

As it should, but...

and don't take this
the wrong way, Peter

but you have a real
propensity

for being
a pain in the ass.

Now, I...

I'm not going
to jump you,
you homophobe.

Damn janitors.

You should try paying them.

You see?

Now, that's
exactly my point.

Instead of trying
to understand my problems

you immediately champion
the opposition.

The janitors?

Whoever.

Peter, if I'm going to give you
a faculty position

I've got to be sure
that you're going to
be part of my team.

Of course.

Of course, what?

Of course
I'll be a part of the team.

I can expect
your full commitment?

No whining, no complaining,
no excuses about your kid

or your cat or whatever.

I don't have
a cat.

Splendid. You're hired.

Congratulations, Peter.

You're a free man.

Delivered from
the shackles

of your residency
and fellowship.

You're going to have
to dry your hands first.

Right.

Oh, well, it wasn't me.

You selfish
son of a bitch!

Well, hello,
Abby.

Is this fun
for you?

Or is it like
an addiction?

Do you wake up in the morning

thinking, "How am I going
to screw Abby today?"

Okay, what's the problem?

I just lost

three months of med school--

three months I can't make up.

Three months that
put me exactly one year

behind on my residency.

This is about your tuition.

Yes, it's about
my tuition!

Will you calm down?

I was going
to call you.

The IRS disallowed our
'97 home office deduction.

I don't want to hear
one more lie

or lame excuse out
of your arrogant,
condescending mouth.

They were going to hit us
with a huge penalty.

This was important to me.

And you knew it,
so you ruined it!

Can you be a little
more dramatic?

I put you through med school.

You were going to put me
through med school.

You did not put me
through med school.

What?

My student loans
put me through.

I fed, clothed,
sheltered you.

Loans I'm paying
for along with

a house, your condo
and two cars.

Don't forget the apartment

for the whore.

I assume
you're cheating

on the whore with another whore.

All right, just stop it.

No, you stop it.

Haven't you done
enough already?

I didn't make you unhappy,
depressed and miserable.

You did that all by yourself.

Screw you, Richard.

Right, screw me.

That's right, screw you.

Screw you!

Yeah, you're the one

who decided
you wanted more.

Cheating...

You're the one who decided
you could change your life.

...spineless... spiteful... ass.

So screw me!

Are you done?

No.

You are in violation
of our divorce agreement.

I am hiring a lawyer

and I am getting
my tuition money.

Hell, Abby, do me a favor.

Why don't you take it all?

Take the debt with it.

Shut up, jag-off.

Hey, Nat.

Hey, Dr. Benton.

Still plugging
away, huh?

You know it.

What are you doing?

Go around the other
way, would you?

Yeah, Nat, I'm late.

The news is here.

All right, brother.
Good luck.

Thanks.

Chen?

I'm on break.

Right.

( sniffling )

You all right?

Uh... yeah.

Peter, good.
You're still here.

We got a mass cas
coming in--

a riot at a high school
football game.

I was just leaving
to pick up somebody.

Man 1:
Get off of me!

Man 2:
We've got an emergency
coming through.

Stay back.

Take it easy.

Blunt abdominal trauma.

B.P.'s low at 90 palp.

I gave him two liters
of saline.

What happened?

Bleachers collapsed.

Get two units O-neg,
draw pre-op labs.

Ultrasound?

You bet.

Page me if
anything changes.

Chen:
Drop an N.G.
and check his urine.

Shoot a chest
and a pelvis.

Sorry.

Man:
The game was getting
way too ugly.

I mean the refs
they called it
before the end

and everybody
just started
swinging.

You okay, Cleo?

Yeah.

Hey, Doc,
they need you.

Damn kids jumped
a teacher in the
parking lot.

Head trauma,
maybe a collapsed lung.

Short of breath.

B.P. 100/70,
pulse 120.

Mitch, do you have any
pain in your chest?

It hurts.

Titrate another six
of morphine.

Page ortho
and vascular.

Elizabeth, what
are you doing here?

I thought you'd
be operating.

Mitch, is that you?
What happened?

Half the rooms are empty
but dirty

because of the work stoppage.

Some jerk smashed my leg
with my shield.

Are you doing okay?

They got to operate.
Who won?

Where are
we going?

Nobody.

Try an exam room.

Get an EKG, chest x ray

and find me when
the femur film is up.

How long before
you can get an OR?

I don't know.

The nurses are cleaning

but there's a leaking triple-A
going up first.

We're going to keep
him down here

and do
a pericardiocentesis.

All of this
so housekeeping

doesn't get an extra
dollar an hour.

So, I don't need
the operation anymore?

No, you just have to wait
a little bit longer.

If you're going to chuck
my guy with your helmet

don't whine about
a little payback.

You did it on purpose,
you faggot!

Hold still or I'll
put you in restraints.

What did they
hit you with?

The pavement.

Frank, Frank,
what's open?

Nothing,
nothing's open.

I can't believe this.

I mean, it's
just a game.

Is the nurse
taking me up?

We're going to have
to drain some of
the blood down here.

You said he was going
straight to surgery.

I know, but it can
take a while to prep

and drape and
anesthetize him

and his cardiac echo shows

that the effusion's
actually growing larger...

Crush injury
at 70 palp

despite a fluid bolus.

Intubated for agonal
respirations.

Two units of O-neg
on the rapid infuser

and set up for
a supraumbilical
peritoneal lavage.

I'm never going
to get out of here.

Pulse 140,
satting at 92.

Med student,
what's your name?

Ryan. Ryan Bradford.

Ryan, I need your help now.
Move.

That's not so bad.

This is the
little needle
to numb you

for the big needle.

You're a tough guy.

You can take it.

B.P.'s 90.

I can't believe all this
fighting started over me.

You're a popular guy.

Mrs. Palmieri:
He looks so pale.

Mrs. Palmieri, perhaps
you should wait outside

during
the actual procedure.

I can't stay?

I'm okay, mom.

I'm just
a little tired.

Haleh.

This way, ma'am.

I love you.

I love you, too, mom.

Alligator clip.

He's in tamponade, Mark.

I know.

Mike, how you feeling?

Pulse ox down to 78.

Mike?

Mike? Mike, open your eyes.

8-0 ET tube.

I'll intubate.

He's still breathing.

Not for long.

Just keep an eye
on the injury current.

Just get that needle in.

( buzzing )

Bradford:
Dr. Carter?

Are you Dr. Carter?

Yeah.

Hi, I'm Ryan Bradford.
I'm a third-year.

The E.R. got slammed

and Dr. Benton asked me

to come down
and pick you up.
Oh... great.

Need a hand with that?

No, no. I-I got it.

We're back this way.

Benton:
Where are you going?

Pre-op.
He needs an ex-lap.

No, there's no room.
Forget it.

No, he's stable.
He can wait upstairs.

What's his B.P.?
B.P.'s 140/60.

Grab the head
injury in three.

All right.
Hey, Malik, you got this?

Yeah, I got it.
Go on.

( sighs )

Hey, sir?

Sir, are you all right?

Sir?!

Malik! I need a gurney now!

Oh, my God.

Malik!

Hey, you, come here!

What did I do?

Help me move this man.

Now! Come on!

Sats are up to 92.

You want me to try?

No, he has weird anatomy.

I have to go more anterior.

I should be there.

Run of five, pull back.

Pressure's dropping
down to 70.

Give him another
liter of saline.

Look at the monitor.

Profound
S-T elevation.

Damn it! He's
having an M.I.

More P.V.C.s.

100 of lidocaine.

You must have transected
the coronary artery.

No, no, no, no, no!

It's a known complication.

You went in blind.

Prep the chest.

He should be upstairs right now.

Corday:
Mark.

Thoracotomy tray!

What happened?

He swallowed a whole pharmacy
in the hall.

I found empty bottles
of Elavil, codeine
and Lorazepam.

Did you give him Narcan?

Yeah. Two migs
times two.

Sats are dropping.

Resps eight
and shallow.

Add an amp of bicarb.

Chem seven, C.B.C.
and a tox screen.

Yeah, I'm in.

Who's Florence?

What?

Well, the pills say "Florence."

His wife.
She died this afternoon.

Pericardium's
tight as a drum.

Metz.

Okay, start internal
compressions.

Need suction in here.

We've got a crowd.

Someone close the blinds.

Can you see anything?

Sponge stick.

( grunts )

Right there.

Laceration of the L.A.D.

Greene:
Can you repair it?

Not without bypass.

We've got
to do something.

I am not losing him.

Right. Let's open
some sterile I.V. tubing

Cut a one-inch piece
for a shunt.

Someone close the blinds.

I don't know how you
guys do that everyday.

It's pretty intense.

You sure get to do a lot.

You know,
you just-just jump right in.

I was interested
in surgery, but...

I don't know, maybe
the E.R.'s my thing?

I guess if today's
any indication...

never a dull moment, huh?

Yeah. Right.

Corday:
Tubing's in. There.

Greene:
Hold compressions.

It's a V-fib.

Charge internal
paddles to 15.

Charging.

Clear.

Still in V-fib.

Charge to 30.

Haleh.

Clear.

Another amp of epi.

Charge again.

50 of lidocaine.
Start a drip at
two per minute.

Mother:
What's going on?
Clear.

Still in torsade.

360. Magnesium
on board?

That's four grams.

Isuprel's pouring in.

Clear.

Asystole.

It's the tricyclics.

We'll never get
a rhythm back.

Maybe we could try
overdrive pacing?

No. He's been
down too long.

That's it.

Time of death:
1954.

Take him downstairs.

Make sure he's put
beside his wife.

You guys done in here?

I've got a stab wound
to the thigh.

Yeah, we are done.

Come on, Mike... come on.

How many units of blood?

Chen:
Six so far.

The heart's
filling well.

He's not hypovolemic.

When was the last epi?

Three minutes.

He's had two of atropine?

Both amps are in.

Someone should
prep the mother.

Dopamine's wide open?

For the last five minutes.

Son of a bitch.

Mark.

Let's keep going.

You want me to
talk to her?

No, I should do it.

Chen!

You come take over
chest compressions?

Okay, let's go again
with the paddles.

Charge to 30.

Clear.

Hey, man,
what's going on?

Is he dying?

What's happening to him?

Hey, come on!

He's our friend!

Someone said
you had to shock him.

Is that true?

We've... we've had
some complications.

What kind
of complications?

The needle poked a
hole in the artery

that supplies the blood
and oxygen to Mike's heart

which caused him to
have a heart attack.

We opened up his chest
to repair the artery

but his heart has
been deprived of
oxygen for too long

and it wasn't beating.

Oh, my God.

We're giving him
intravenous drugs

and shocking
his heart.

There's been
no response.

What does that mean?

What does
that mean?!

We might not
get him back.

What?

He could die.

But you said that this was
a simple procedure;

that he would be fine;

that he would sail through this.

I know. I know,
Mrs. Palmieri.

This is an exceedingly
rare complication.

I don't care.

I don't care.
You fix him.

You fix my son!

We'll try.

No...
But...

You promised me.

I have to go back.

You promised me.

Is he going to be all right?

You got to tell us, man.

We're working on him.

You got to
give us room!

Everybody back up!

Back up, guys.
Let the doctor through!

Corday:
Clear.

Anything?

No. Again.

How long are we going to go?

Until I say stop.

Clear.

We're out of epi.

Chen...

I want you to go
get some epi.

Sure.

Crash cart.
Curtain Three.

Clear.

Excuse me.

The doctor told

Mike's mom he
was going to die.

Hey!

Hey! Hey!

( screaming and yelling )

( grunting and shouting )

Malucci!

You okay?

Whoa! Whoa! Stop it!

Hey! Put it down!
Stop it!

Hey, Break it up!
Break it up!

Get off of him!

Security, we've got
a problem down here.

Geez!

( screaming and shouting )

What is going on
out there?

I don't know.
They just started fighting.

Clear.

Chen, are you okay?

Yeah.

Mark! Mark!
You okay?
You okay?

Mark!
What?

A rhythm...
We've got a rhythm.

( tires squealing )

What's that?

You never know.

I better get back.
You coming in?

No, I'm going to get
my car and go home.

Okay, well, it was good
to meet you.

Thank you.