All language subtitles for ER (1994) - S15E20 - Shifting Equilibrium (1080p AMZN WEB-DL x265 MONOLITH)_track3_[eng]

[theme music]

(female narrator)
Previously on"ER.."

[gunfire]

I told you to get a desk job.

Bastard shot me
in the back.

Lucien, I've withdrawn
my application.

'I'm not staying at County.'

Talking about every stupid damn
thing that-that bothers me? No!

No!

You know, I truly believe

there's something better
out there for both of us.

Better?

Something more right.

[thunder rumbling]

- So.
- So.

- Listen--
- I'm sorry.

- I really didn't--
- I'm sorry things got so weird.

I know I kind of sprung
things on...you.

Okay...you go first.

[sighs]

I know I've been somewhat
closed off about all of this

but I was afraid that
if I discussed it with you

you'd convince me to stay.

Well, I certainly
would have tried.

But, you know what?
It's a good thing you're going.

- It is?
- Yep.

Adjusting to a new environment,
a new way of doing things

you will gain so much
confidence from that.

Oh, but I hope so.

And then when you're sick

of your third-rate
community trauma center--

Oh, now it's third-rate?
Demoted from b-list.

You will always, always,
always have a job here.

- Really?
- Yeah.

Six month, six years,
I don't know.

I'm not sure,
but you will be back.

County is in your blood.

And until then,
my friend, good luck.

Get out of here.

[sighs]

Lucien, I don't know
if I can do this without you.

Of course you can.

You'll see.

You'll see.

Now, go.
Get out of here, please.

Go. Please.

[sighs]

The MRI is gonna tell us
if there's blood in his brain.

That's the hard part.

And if there is,
then what?

Brain surgery?

Possibly.

Jay, I-I know how much
you need to talk to him.

Okay, I'm gonna do everything,
that I can, to make that happen.

Oh, no. He has to wake up.

(Jay)
'Dr. Brenner?
Dr. Brenner? '

(woman on PA)
'Your attention please,
the change of gate announcement'

'for flight J-R-2-3-0-9. This
flight has now been cancelled.'

Hey, where you been?
Frank really outdid himself.

Oh, yeah? I took Mr. Walters
up to the MRI suite.

They're going to try
and squeeze him in.

- What?
- Nothing.

If it does turn out
to be an aneurysm

they can embolize it
if it's caught early.

You don't think Neela noticed
that you weren't there?

I meant to go, but I was
dealing with this neuro--

You couldn't find
five minutes to stop by?

Gates, I'm signing out
to Morris for a while.

It's me. I'm at the airport.

I could really use some
of your sage wisdom right now.

Can you call me,
when you get this.

Thanks. Bye.

- What can I get you?
- Glenfiddich straight, please.

'Need some warming up, do we?'

Off to someplace sunny?

Yes, actually.

'Beach vacation?'

'Business trip?'

Sort of.

Sort of?

It's a new job. I'm moving.

Really? What do you do?

- I, uh--
- 'Neela?'

I couldn't let you go like this.

[theme music]

- What are you drinking?
- Uh, what do you got on tap?

No, uh, forget that.

I'll have soda water with a..

...with a lime. Thanks.

Oh, thank God for the storm

or you'd be somewhere
over Missouri by now.

Geography's pretty good
for a foreigner.

Look, I, um, I just..

...I thought that
if I didn't catch you now

then maybe we'd
never speak again.

Today's been strange
and difficult.

Yeah. Yeah, I know.

For me, too.

Oh, and don't mutter
in Spanish when you're angry.

It's a cliche.

I understand a lot more
than you think I understand.

Fine! You win. I'll stay home
with my hair in curlers

spending my days
knitting and baking.

You know that that's not
what I'm talking about.

No, no, honey, what would you
like? Apple pie or cherry?

Come on! If you just listen
to what I'm actually saying--

Give it up, Archie.
This conversation is over.

Well, well, okay!
Have a great day!

And, and please accept
my sincere apology

for giving a rat's ass!

- Everything okay?
- Everything's fine.

What've we got?

Uh, one storey fall with LOC.
That's all I know.

What the hell is that?

Uh, it's a little something
for Neela. It's her last day.

A pinata?
What is she five?

It's not just any pinata.
I-I had this custom-made.

It's a Gandhi pinata.

That is scary.

Ha-ha not to mention offensive.

Yeah, who's gonna want to bash
Gandhi's head in with a bat?

You have no sense of culture.

Gary Walters, 53.

Fell head first down a flight
of stairs after a few too many.

'I slipped on the rug.'

Observed LOC, awake
at the scene, but disoriented.

Mr. Walters, do you know
what day it is?

I told you,
I slipped on the rug.

Okay, Gates,
what do you want?

Uh, head CT,
C-spine, trauma labs

tox screen,
and an ETOH level.

- I'm on it.
- Good.

And, uh, get him to surgery

they're gonna need to see him.

Neela's already
on the floor.

She's clotting,
how's the CBC?

- First one was good.
- The tides have changed.

- Send the repeat now.
- Does anything hurt you, ma'am?

Gravity is the horse's force.

(Neela)
Do you remember
what happened today?

'Nobody'll listen.'

She drove her motorcycle
into the museum

of science and industry,
warning people

about the end of the world.

- Psych history?
- Yeah, so it seems.

I'll check and see
if she has a record here.

- 'Equilibrium is shifting.'
- Oh, for you, too?

I thought that was
just me on account

of it being my
last day here.

It's Claudia's
first day back at work.

- 'Good for her.'
- Is it?

I mean,
I'm not sure it is.

LFTs and lipase are normal.

I think, ma'am, you might
be my last surgical case.

I thought I was okay with it.
You know, I really did.

It's her job and I respect that.

But she got shot.

Now why couldn't I fall for a
nice librarian or something?

You know, a librarian
in Springfield died last month.

'Bookshelf fell on her.'

I swear, it's in the paper.

Guys, we need a surgeon in here.

Andrew, check the tox screen
and let Dubenko know

we've got a possible
laparotomy.

- What have you got?
- 53-year-old male.

Fell down a staircase.

Multiple contusions to head,
hip and back.

32 French
and draw up some Lido.

Decreased on the left
with SATs in the 80's.

Hello, I'm Dr. Rasgotra.
Do you remember falling?

I was dizzy.
I guess I tripped.

Smells like ETOH
was involved.

Belly's benign, but I figured
you'd want to sign off.

Oh, happy to help.

(female #1)
'Oh, thank God.'

- I'm fine.
- You're not fine!

Just a few scrapes. And this
headache won't go away.

Alright,
little pinch here.

What are you doing?

Well, he may have broken a rib

when he fell, punctured a lung.

- The tube will inflate it.
- When is this gonna stop?

- It's not even 10:00 a.m.
- Hey, mom, don't start.

I woke up this morning
with a headache.

It's called a hangover.

I just needed a little
something for the pain.

He's a drunk, huh,
but you've probably

figured that out by now.

Come on. Let the doctors work.

Two people ahead
of us for CT.

Type and cross and let me know

when the scan is back, please.

Excuse, sorry, uh, my mother's

been through some messy stuff.

No worries.

(Neela)
We all have messes
in our past.

I shouldn't have
been so hard on you

it wasn't the best way
to end things, really.

You were right.

I was righteous. Which isn't my
best quality, honestly.

For my whole adult life,
I've been doing..

...exactly what you said.

I'm not sure
what you mean.

Disappearing.

Using sex as an escape.

Or worse, as a weapon,
a way of disarming people.

' Look at you two.'

So sweet. Like nobody
else is in the room.

You want another round?

- Uh...sure.
- Yeah.

I'm in.
O-silk, Elastoplast.

I'll get the thoroseal.

Hey, guys, look.

Irregular rhythm,
looks like A-fib.

Nice pickup.

Do you have a history
of atrial fibrillation?

He didn't tell you?
You didn't tell them?

I don't know. I forgot.

Forgot?
That's a load of crap.

It's okay.

What meds is he on?

Uh, calcium blockers

and-and some other
pill to thin his blood.

Coumadin.

He's bad
about taking his meds.

He drinks. He forgets.

Or at least that's what he says.

But really, it's a death wish.

He thinks if he doesn't
take his pills

he'll figure out a way
to disappear.

Don't talk about me
like I'm not here.

Today, of all days,
you couldn't control yourself?

What's so special about today?

- It's been ten years--
- Oh, here we go.

He has this pathetic
need to tell everyone.

Mom, please.

Um, today is the anniversary
of their son's death

so everyone's a bit...tense.

My dad blames himself.

I let Timmy go.

I'll be outside.

'Mom.'

Sam, add an INR and rush
the head scan, please.

I keep thinking it's
gonna get easier...doesn't.

(Neela)
'Hey, we've got
a staircase fall in one'

with a pneumo and a headache

and motorcycle crash
in two with a seat belt sign.

Okay, sounds good. Who do
you want me to see first?

Well, motorcycle girl
looks like she might

need the OR,
and you know what?

- What?
- This'll be case number 2,500.

- 2,500? No way.
- Yeah, can you believe it?

I have logged 2,499
surgeries since internship.

Well, that's impressive.

- Serial crits?
- Not back yet.

Ah, surgeons perfect timing.
I have a question for you.

- How is she doing?
- FAST is negative. CBC's good.

Hi, I'm Dr. Dubenko.

- Reckoning is here!
- Okay.

Uh, why are
eschatological delusions

so common among
psychotic patients?

- Escha what?
- Eschatology.

Pertaining to the end
of the world.

I checked the records. No psych
hospitalizations at county.

Oh, she definitely doesn't
look familiar.

There's no hiding
from the fifth cycle.

Okay. Sweet dreams, my dear.

So, your girlfriend
gets shot on the job.

- Uh-huh.
- Okay.

And seeing that
you care about her

and want her to
I don't know, not die.

You gently suggest that
she might do another job.

- Is that sexist?
- No.

- Yes.
- No.

- Yeah.
- No, no.

- Tomato, tomahto.
- What?

Rigid abdomen,
probably needs the OR.

Andrew, you can
scrub in on this.

Awesome.
She's seizing.

- Look out.
- I see that.

- Two of Ativan.
- Crank up the O2.

Haldol lowers
the seizure threshold.

Call me when she's ready
for the scanner.

I'll swing by and take a look.
Andrew, let's go.

Do you want me to
stay back and cover the ER?

No, forget about the ER.
Meet us upstairs.

You've got to log
case number 2,500.

What's with him?

(Neela)
Denial. Avoidance.

Fear.

There's so many things
I've missed out on

'cause I was afraid.

Well, you're obviously
not afraid

to fly in really bad weather.

[chuckles]

You know, when I
was six, my, um..

...aunt took me to a toy store
and gave me five pounds

and said I could buy
anything I wanted.

I wandered around the store
for what seemed like hours

terrified that I'd
choose the wrong thing.

Wrong doll my
sister would laugh.

Wrong book,
my brothers would take it.

Wrong teddy, the kids at school
would think I was a baby.

I left the store
with nothing.

My father put the money
in the bank.

- Sensible kid.
- Well, the point is..

...is that, for as long
as I can remember

I've carried this irrational
dread of making a mistake.

It's with me
all the time.

And-and why on earth

I decided to become a doctor

where the cost of a mistake
is so high, it's insane.

- Yeah, it's masochistic.
- I know.

This is all my way of saying I,
I know I helped screw things up.

I'm not following.

Well, just..

[sighs]
...so many times
in my life, I've

I've failed to take a chance.

Even when it was clear
to everyone else

including me,
that I should have.

That's why I got to go

I, you know, even if it's..

...scares the hell out of me.
I just don't want to be

that person anymore, you know.

Me, either.

Don't worry, Neela.

I'm not here to try
and convince you to stay.

Then why are you here?

I really-really don't know.

[chuckles]

You know, how did you
get past security?

Don't you have
to have a ticket?

You bought a ticket.

So, you got any,
um, good ideas

of things to
do in Detroit?

Detroit?

Yeah, well, it
was the only way.

It just seemed wrong.

Just seemed
terribly wrong

to let you go and
not even say goodbye.

Do you want to take a walk?

Head looks good,
Mr. Walters, no bleeding.

Yeah.

You didn't need
to stay for this.

I know.
I wanted to.

Jay was my boy's best friend.

He pulled Tim out of the water.

Did CPR for an hour

'till the
Coast Guard got there.'

Let's not go there, okay?

After the funeral

everyone got on
with their lives.

But Jay came by every day
just to check on us.

That was just an excuse
to flirt with your daughter.

Well, looks
like it worked.

I've been married
three years now.

I lost Tim.

'But you became
like a son to me.'

Alright, alright.

At least you're
affectionate when you're drunk.

(Lucien)
'What, are you guys
having a party in here?'

'We need the scanner.'

Hello, mister..

Walters.

How are you feeling?

My head's killing me.

But the, uh,
CT is clear.

No bleed, no edema?

- Who is that?
- Uh, the other case.

Staircase fall.

Uh, did you think
of tapping him?

Uh, tap him? Why?

Well, I don't want to miss
a subarachnoid bleed.

Could be the cause of his
symptoms and not show up on CT.

Well, that-that's pretty rare.

Extremely rare.

I know, but the cause
of his dizziness

the headache before the fall--

Well, he was drinking.

Well, his ETOH level
wasn't all that high

not for chronic
alcoholic.

We don't tap
all our negative CTs.

Well, if it was
up to me, we would.

Let's not risk missing
something we could fix.

You on board with this?

Me? I-I trust her instincts.

She's going to be her own boss
starting tomorrow, so..

'Don't have
much leverage, really.'

The ad said,
snake charmer.

I brought
Tarantulas, too

if you think
she'd prefer that.

No, I was thinking of
a-a turban and a flute

and a-a snake in a basket.

Not this S and M get up.

People dig the outfit.

It won't work.

Go.

Here.

For your trouble.

What was that?

Ah, you know, when
Neela first got here

we kind of got off
on the wrong foot.

I said some things
I shouldn't have said

about her ethnic
background and..

Oh, Frank, come on.
That was six years ago.

I'm sure
she's over it.

Well, I would just
like to show her

how much I
have changed.

Why don't you try something
simple, like flowers?

- Flowers?
- Yeah.

Well, that's not even
remotely original or cultural.

Just because her
parents were born in India

doesn't mean she's
going to appreciate

some kind
of Indian cliche.

In fact, she may
very well find it offensive.

What?

She's English, Frank.

Okay, so
a Gandhi pinata

or a turbaned snake charmer

is gonna end up
working against you here.

Well, thank you, Sam.

I'll take that
under advisement.

No free fluid.

- Aorta's intact.
- And the IVC.

- Kidneys look functional.
- As do the ureters.

I know how to read
an abdominal scan.

- Of course you do.
- What's going on?

Make sure the head's clear.
I'll meet you in the OR.

The OR? But the scan's perfect.

She's got a rigid abdomen.
It's surgical.

Doesn't matter
what the scan says.

Her vitals are good.
Her counts are unchanged.

Why not watch her in the ICU

'move her at the
first sign of instability?'

Because, by then,
she'll be unstable.

Lucien, you--

Small bowel perforation,
mesenteric injury.

Let's not risk missing
something we can fix. Right?

Meet you in the OR in ten.

Sometimes there can be a head
bleed which we can't see on CT.

A more sensitive test

is to place a small needle
into the spinal canal

and remove some fluid.

If the lab finds
red blood cells

then we know there's a problem.

What are the risks?

Infection and bleeding
are the main ones, but we'll

we'll take precautions
to avoid both.

What do you think, Jay?

Alright, you know what, fluoro's
here so we should step out.

Hang in there, dad.

Dr. Brenner,
no disrespect but, uh..

This is stupid.

Look, his mental status
is getting worse.

We don't have a
good explanation.

Subarachnoid bleed is
a reasonable theory.

Except for the fact
that he's on Coumadin

which means
the chance of creating

bleeding complications
is much higher

than even finding a problem.

His INR is less than two.

Clearly, there
is something subtle

that led Neela
to ask for this.

Yeah, it's her last day. She
doesn't want to make a mistake.

But she'll feel
just as bad

if the procedure leads to an
uncontrollable spinal bleed.

Got your LP kit.

I'm not gonna do it.

We'll use fluoro, give FFP.

It will be fine.

You will be there
to assist.

(Neela)
'Maybe we can go in
laproscopically'

have a quick look.

We'll be doing
it open.

Her recovery time
would be so much easier.

I'm aware of the
advantages of laparoscopy.

Well, serial
ultrasounds are fine.

Normal CT, vitals are good.
Crit is stable.

You're the one who wanted
to log 2,500 surgeries.

Don't rush a patient's surgery
because you're mad at me.

I'm not mad
at you.

I'm amused by your narcissism

but the patient
has a surgical abdomen, okay?

I suggest, perhaps,
that it is your judgment

that's been clouded by the
significance of the day.

Lucien, please.

Why don't you just say
what you need to say?

I don't need to say anything.

You know, one minute,
you're strange and loopy.

The next, you're
gritting your teeth.

Look, it isn't personal.

Maybe you can just wish me luck.

I'd like to, but I can't.

What? I can't
accept the fact

that you've accepted a
job at an academically

and clinically inferior
institution just to spite me.

Oh, now who's being
a narcissist?

(Andrew)
Patient is prepped.
Ancef is running.

I can't wish you luck
because I want you to hate it.

You're unbelievable.

I haven't spent
all these years

helping you to become
this incredible talent

just so you could move away
to a second-rate city

and work at a
B-list institution.

- '10-blade to Dr. Wade.'
- Sweet.

It's not B-list.
You're being a snob.

You know you're better
than that place.

They have a busy trauma service

and a catchment area
that extends over half a state.

Come on.
No medical school, no research.

Which allows me
to have my time

in the OR
instead of a lab.

Why can't you
respect that?

I'd just imagined
something better for you.

No, it's not what
you imagined for you.

Which is fine,
but it's my life.

You know, if I stay here,
I'll always be your protegee.

'Little Neela.'

It's time to move on.

What the hell are you doing?
You just contaminated yourself.

Hyperpigmentation.

- Starting the incision.
- Andrew, wait, stop.

Go and run and get
the Wood's lamp.

- Why?
- Just get it! Go now!

- Bingo.
- Wow.

- 'Hey, what the hell?'
- 'Call Heme.'

- They'll need to admit her.
- Heme?

This woman doesn't
have an internal bleed.

- She has acute porphyria.
- What?

Disorder of the heme
synthesis pathway.

Rigid abdomen, hyperpigmentation
on the extremities

psychosis, seizures,
it all fits.

Yeah, she's the right age
for first presentation.

Okay, reverse the anesthesia.

'She doesn't
need surgery.'

I guess..

2,499 will have to be enough.

That's a big needle.

Yeah, well, if we've done our
job right he won't feel a thing.

You do a lot
for their family.

I've no choice.
I married into it.

Yeah, Lily's
worth it, though.

(Simon)
'That's better. I'm in.'

I don't feel right.

Hold on. Almost done.

- Gary, you okay?
- Take the needle out!

- I'm almost done.
- Take the needle out, Brenner!

- He's bradying down!
- Damn it! Another unit of FFP.

Mr. Walters?
Mr. Walters!

- Alright, Jay, talk to him!
- 'His heart rate is 48.'

- Wake up! Do you hear me!
- Mig of atropine

- 'And transcutaneous pacers.'
- 'Atropine in.'

Chase it with an amp of epi.
I've lost the pulse.

Oh, my God, what's happening?

His heart is beating
dangerously slow.

It could be a vagal reflex
or something to do with

'what's going on in his brain.'

(Tony)
'Overdosed on
calcium blockers?'

Good call. Let's get 500
of calcium gluconate.

Don't do this!

Atropine and let's
sit up for a Doppler infusion.

- Alright, let's pace him.
- 'It was a fight, okay?'

It was a stupid fight!

Increase the voltage. We need
another set of hands in here!

I meant to tell you so many
times it's not what you think.

- No capture.
- Increase the volume.

Look, it's not what you think
though. He slipped.

He slipped,
and it was an accident!

Alright, quiet!

We got capture.

It's a strong carotid.

This is good.

I'm sorry.

I'll go let the
family know he's okay.

Jay, what's going on?

(Brenner)
I met a man today

who accidentally killed
his best friend.

That's awful.

They were on the boat

and they got into
a fight over a girl.

And the guy
punched his friend

and he tripped
and fell overboard.

And that-that was that.

They brought the
friend to the ER?

This happened
ten years ago.

The guy never
told that family

the truth until today.

But for years, though..

Well, their lives
just stopped.

- It's sad.
- Yeah.

Thank you for helping me
see that I was stuck, too.

You know, I'm the last person
who should be telling..

Neela, look,
you were right.

I can't love anyone
until I sort some stuff out.

But maybe because of you,
I've started to do that.

Simon..

This is why I came here.

Neela, this really..

God, this mattered
so much to me.

Thank you.

[dramatic music]

Thank you for saying that.

You know, it's
going to be so weird

not to see you all every day.

Frank, the soft collar
ever come down from Central?

- Yes.
- Were you going to tell me?

Or keep me waiting?

I forgot.
So, shoot me!

Don't tempt me.
Could you get it, please?

- No.
- 'No?'

Oh, I'm gonna miss this.

Neela? Morris has
a complicated hand lac

'he wants you to look at.'

Okay, well, might be
my last consult.

(Samantha)
'Curtain three.'

Dr. Rasgotra? Can you lay hands
on my rule-out appy?

Page Andrew.
I have a plane to catch.

Alright, cool.

(Neela)
'Wow, what happened here?'

Oh, Dr. Rasgotra,
This is Ed McDow.

And this is what happens when
a tug-of-war gets out of hand.

Get it?
Out of hand?

'Company picnic.'

The winning team gets
the closed parking for a year.

Wow.

Rope was wrapped around my hand
so tight it went numb.

I didn't even feel it
cutting through the skin.

Well, you're lucky because it
almost took the whole thing off.

I was so focused
on the game, you know.

I just couldn't let go.

I was going
to have Ortho do it

but the edges
approximate nicely

and there's no neurovascular
damage so thought I would.. Ow!

- Did it go through the glove?
- Uh, yes.

Damn it.

I'm sorry.

It's not your fault, really.

I'll be right back.

You know what? You need
to, uh, irrigate that

and go see Employee Health
to make a report.

A large bore needle
is a very low risk.

I know.

But you still need to check
for hepatitis

and HIV serologies
on that guy.

I know! Hey, what's
going on today?

A PCP vigilante chucks
a mayo stand at my head.

A seven-year-old
Republican bit me

while I was
irrigating his lac

and now this..

Oh, my God.

- I am an ass.
- I'm not following.

Dr. Rasgotra,
come with me, please.

Frank, I can't.
I'm gonna be late.

It's important,
I swear.

Frank, I'm be
late for the plane..

Surprise!

[instrumental music]

[laughing]

[cheering]

It's amazing!

Frank did it all.

- 'Wow!'
- Thank you.

Admit it,
you thought we forgot.

No.

- Or didn't care?
- Well, maybe.

How could you think that?

Nobody stands up to our
bonehead attendings like you do.

Who's going to get all
the tough central lines?

Or chew out the lazy
radiology residents?

Or teach me how to do,
like, everything?

To Neela!

(in unison)
Neela!

Haleh?

I think this is what
you were looking for.

I didn't know if this wall
really existed

or if it was just a rumor.

I knew this day would come.

- But so soon?
- Stop it, Haleh.

You'll make me cry.

[dramatic music]

(Neela)
Excuse me.
Can you help me, sir?

You need to find a triage nurse.

- No, I'm sorry, I work here.
- Lucky you.

Uh, I'm supposed
to start today.

Neela Rasgotra.

Rag what?

[dramatic music]

(Lucien)
You're a really
good surgeon, Neela.

A few more years
and you could be great.

Thank you.

(Abby)
I was wondering you,
If you didn't mind too much

do you think you could
lead the way

and stand up there with me
when we do this?

Do you mean, uh..

Like, be your maid of honor?

I'd be honored.

[dramatic music]

(Michael)
But out in the bay
this morning, I was, uh..

I was thinking
about asking you out.

I was thinking of saying yes.

(Gregory)
32-year-old mother of two.

With a rare blood disorder.

Still alive tonight.

[dramatic music]

(Jay)
'Dr. Brenner.'

'Dr. Brenner!'

[dramatic music]

[phone ringing]

Oh, God.

Thank God, it's you.

Please tell me, I'm not
making a horrible mistake.

Of course you're not
making a mistake.

But how does one know?

How-how does one ever know?

[sighs]
You're doing that thing you do.

What thing?

That existential crisis
spin-out thing

that never leads you anywhere.

Hey, maybe
you should have a drink.

I've had three.

Oops. Ooh, ooh.

Hey, slow down everybody.
Slow down!

Thursday's my day
to do this childcare swap thing.

I hate, Thursdays.

Abby..

You'd tell me if you thought,
I was making a mistake, right?

I would.

Promise?

Neela, if this doesn't make
sense, I don't know what does.

Now, just, get off the phone
and get on the damn plane.

Okay.

I'm hanging up now.

Okay.

- You still there?
- Yes.

I'm getting on the plane.

Good idea.

'Bye.'

[sighs]

(man on PA)
'Ladies and gentlemen,
tower's telling us'

'it'll be at least an hour'

'before they clear us
for take off.'

'We apologize for the delay..'

'We'll keep you advised.'

[buzzing]

Hey, Sam, um..

What happened to
our staircase guy?

OP came back positive
for blood

right as they were
signing him into the MRA.

Tony is upstairs
with them in angio.

Okay. Thanks.

Hey, Dr. Brenner, have
you seen Archie around?

- Uh..
- I'm here.

What is going on?

Come with me.

I stuck myself
with a needle today.

And it made me realize that
I was an ass, this morning.

About your work thing.

An ass.

I get it, Archie.

What's with the pie?

A symbol,
of my temporary chauvinism

and a gesture of apology.

My original idea was to..

Bake you a pie wearing nothing
but an apron, but, uh.

I had to work late,
and I don't own an apron.

Me either.

See?
We're perfect.

So, if you can handle
being with a guy

that gets stuck by needles
and kicked by patients and..

...takes an occasional slug of
radiation to his cojones.

[laughing]

What are you talking about?

Well, then I can certainly
stomach some occasional gunfire.

Hmm.

As long as your promise
not to get shot again.

Yo hare todo lo me posible,
Archie Morris.

What?

See, I just wanted to see
how much Spanish

you really understand.

[chuckles]

See that?

Yeah, I think so.

Ten millimeter aneurysm at
the tip of basilar junction.

Headache he had this morning
was probably the initial leak.

No, leak was tiny.

No way it would
show up on a CT.

More contrast, please.

By all rights, this thing
should've been missed.

- Nice work.
- Neela was right.

(Matthew)
'We use electrolytically
detachable coils'

'to fill the lumen.'

- 'Cool.'
- Clot forms around the coils.

Blocking off the aneurysm.

(Matthew)
'Leaving the vessel open.'

Down to neck racial..

[beeping]

Damn it!
Stop the Heparin.

- 'Stop!'
- What's happening?

Coil went beyond the confounds
of the road map.

You mean you ruptured
the aneurysm?

Looks that way.
Contrast!

What? Doesn't he
need the OR now?

Not necessarily,
If the bleeding stops.

We can potentially
continue with softer coil.

I'm not waiting around
to test that theory.

(Tony)
Heart rate's down again.

This is Dr. Brenner
from the ER.

I need an OR
and a neuro-surgeon

for an acute
cerebral hemorrhage.

Excuse me, doctor, I believe
that's my call to make.

Get the portable monitor,
get this out of the way.

- Out of the way!
- Systolic's only 62.

That's good. That's good.
It'll limit the bleeding.

And deprive the brain of oxygen!

- 'What're you doing?'
- I'm taking care of my patient.

- Get the thermostat covered.
- 'This is totally out of line.'

Maybe.

I'm gonna write you guys up!

[airplane droning]

Hey.

You're still here?

Yeah, I crashed
in the call room for a bit.

The, um, the surgeons were able
to clip the aneurysm quickly so

the bleeding was contained
to a very small area.

Is he gonna have brain damage?

He's got a very good chance
of doing well.

But we won't know the answer
to that for a while.

[sighs]

Where's your wife?

She went home
for a shower.

I don't know what
she's gonna do now.

About us.

You two will work
through it.

Easy for you to say.

The truth is a time bomb.

'But once it's out,
it can't hurt you anymore.'

You can move on,
You can move forward.

Get some rest, Jay.

I'll, um..

I'll drop by later.

Thanks.

I appreciate that.

(man on radio)
'Bill to crack down on
laboratory experiments'

'on animals is expected
to become law today.'

'Animals rights activist
have been pushing for the bill'

'over nine years..'

[indistinct radio chatter]

How're you doing?

Fine. You?

Sure. Fine.

Ah, Andrew, what do you think
of the patient's tachycardia?

Uh, probably volume-related

but could be due
to fever, pain, infection.

Mm-hmm, good. More?

Uh, drug withdrawal,
toxins, vascular.

More?

Uh, trauma..

Iatrogenic.

Neela never taught
you vindicate?

- No.
- 'It's my favorite mnemonic.'

For post-op rounds.
Excuse us, Dr. Brenner.

If you run through this
on all your post-ops

you will never miss
a major complication, okay?

- Mm-hmm.
- V is for?

(Andrew)
'Vascular.'

(Lucien)
'I is for?'

Um, infection?
Inflammation?

(Lucien)
'Don't ask me.
Tell me, okay?'

'And I love the fact that you
knew the meaning..'

[dramatic music]

[upbeat music]

[dramatic music]

You can come in now.

What happened to you?

Um..

I'm sorry.

I've been up all night.

I see.

So, how was your week?

[sighs]

[dramatic music]

[music continues]

Can you excuse me for a second?

Thanks.

Finally.

You're really here.

Yeah.

I really am.

[theme music]