All language subtitles for ER.S15E06.Oh.Brother

[theme music]

(female narrator)
Previously on"ER.."

Couple months from now, I'll be
a first-year med student.

It's all thanks
to you, Greg.

Trying to show off to Daria
by making me look small.

You know what?
That is never gonna fly.

Hey, teaching the interns
is part of my job.

What do you want me
to do?

You know, you gave me some
great tips on our last shift.

I'm really glad
we're working together.

What are you doing here?

There's nothing going on
between us.

We work together
and that's it.

I know. I thought
we could have a drink.

I wanna stay with him.
I want to push his gurney.

We embrace the memory of our
colleague and our dear friend.

[car horn blaring]

[engine revving]

They're coming tonight?

We talked about this
two weeks ago.

It's not a good
weekend.

So when's good?
Pick a date.

I'm working a shift Saturday.
I won't even be around.

They're excited.
They've been planning this.

They're about
to drive five hours

to come see you,
see us.

You want me to tell 'em
not to bother?

I think you better.

Been doing that
since you got back.

- They're starting to wonder.
- Wonder what?

What's wrong.

I got a full day, alright?
The house is a mess.

- They need clean linens.
- Look.

Look, I've already
set up the guestroom.

We'll stay in tonight,
have dinner.

I don't have time
to cook dinner.

Then we'll go out.

After that drive, they're
not gonna want to go out.

It's just three days.

[scoffs]

They're your family.
And they miss you.

It's not my fault the pipes
froze up and burst.

What?

Okay, well, then you can
at least pay for the hotel.

No.

No.

No, no, no. Well, I don't care
what the law says. I..

Okay, you know what?
Forget it.

Thank you, you jerk.

I don't understand
how he can do that.

We have two days to find a place
while they fix the stupid pipes.

I don't..

You know, there is
an obvious solution.

[horn blaring]

Hey, hey! Excuse me, sir.
You can't be right there.

I gotta pick up
a Physiology syllabus.

I'll see you inside,
okay?

Alright.
Hey, come on, buddy.

We got sick people
in here. Let's go.

- Let's go.
- Come on, Jake, let's go.

[dog barking]

Order me around.
Don't order me around!

[groaning]

And today's the fourth time
in three weeks

that you crashed your bike?

[sighs]
Where does it hurt at,
exactly?

(Patti)
'Right side.
Shoots down my leg.'

Any weakness in the foot?

Are you for real?
I can hardly walk!

Chaz, my man,
how we doing?

Good. I put a splint
on your ankle guy

and restocked
the paramedic cart.

Already? Wow.

I need something
for the pain, damn it!

You've already had
ten of morphine.

- It ain't touched me.
- You know what, Patti?

Maybe you should start
thinking about taking the bus.

'I mean, not that
we don't thoroughly'

enjoy seeing you every week.

Dr. Morris, I'm concerned
about a L-4 motor deficit.

Huh? She's never
had that before.

Could be nerve root
impingement. Cord compression.

You know, we should check
for Cauda Equina Syndrome.

We're checking labs
and doing blood draws?

He's a first-year med student.
He should be observing.

Teacher's pet needs
to learn how to do a physical.

I heard he's an EMT,
he still works shifts.

I can't stand those
do-it-all guys.

Especially ones named Chaz.
What kind of name is that?

Chaz Pratt, nice coat.

[chuckles]
What's up, Tony?

Hey, Frank, page Neurosurge.

I need a stat lumbar
MRI on Patti.

You mean Patti,
the pain in the ass?

Yeah. You know, we all
assume she's full of it

but Chaz picked up
a foot drop.

She may need emergent
decompression surgery.

Nice job, buddy.

Healin' and dealin',
I dig it.

Hey, you guys should
take her up to Radiology.

Maybe the med student
could do that.

Good idea. You know what?
We'll all go.

I'll meet you guys
up there.

Cool.

Dude, Chaz, he's a natural.
Must be in the genes.

- Oh, yeah?
- Yeah. He's awesome.

- Smarter than I ever was.
- That ain't sayin' much.

Stable pneumonia,
had Ceftriaxone and Zithro.

Medicine's admitting.

Frank, why has my cellulitis guy
been here all night?

Oh, get in line, Gates.

I just got here.
I haven't had my coffee.

CHF'er with intractable nausea,
ultrasound's negative

so I'm thinking gastro.

No, Digitoxicity could
explain the symptoms.

She's right.
Good thinking.

Alright,
I'll add a level.

Why you all dressed up?
You got a hot date or something?

You're blushing.

No, Dr. Banfield just suggested
that I-I present myself more

you know,
professionally, so..

These are not gonna
cure themselves.

What do I gotta do
to get some damn morphine

from you people!

- Okay, let's do this.
- Thank God!

So, Chaz, you'll see
a herniated disc at L4-L5

L5-S1 according to our
exam on Miss McPhee.

Dr. Morris can we go
in the booth?

No you cannot go
in the booth.

Now get her in here.
I haven't got all day.

(Chaz)
'Let me give you guys a hand.'

Can we go in the booth?

[Patti screams]

You didn't switch out
the gurneys?

- I thought he did it.
- I thought you did it.

I didn't know
it had to be done.

Can I get my morphine now?

[theme music]

How much? Does that come
with breakfast or anything?

Okay, thank you.

Frank, do you know
any good, cheap hotels?

Goodandcheap, no.
One or the other.

Hey, Sam, you think
about my solution?

- 'Solution?'
- Yeah, to your problem.

Well, if you got one,
spit it out.

Alright, I was
thinking that maybe you--

(Daria)
'Uh, sorry. Excuse me, Sam.'

Um, Mr. Rappaport in Three
needs a repeat trope drawn.

It should've been
sent an hour ago.

Sorry. I don't know why
night shift didn't tell me.

I'll get it.

And if he's got
two negative troponins?

Low-risk patient.

If Cards can do a treadmill
today, he'll go home.

Alright, good plan.

Hey, Crash, how's it goin'?
Radiology called.

Said you owe 'em 300 large
for a new scanner.

You heard about
that already?

Yeah, I heard
you almost killed a woman.

Her-her plain films were
negative. She's fine.

Oh, Chaz, I don't know
if anyone's told you

but the M in MRI
stands for magnetic.

Thanks for the tip.

Dr. Morris, Miss McPhee's
still pretty upset

about the whole gurney thing,
but her foot drop resolved.

She's got full range
of motion.

Ha!

Well, the accident
must've been some weird

chiropractic manipulation.

Nice job.

You cured a patient.

[chuckles]

I should go check the supply
carts in the exam rooms.

And through there
are the Trauma rooms

where all
the really serious cases go.

Hey, Brenner, I got your
unstable angina

admitted to cards.

Thanks. Morris, Frank, these
are my mates, Colin and Roger.

These your derelict countrymen
I've heard about?

- Pleasure.
- Good day.

Ah, good day to you, too.

Dr. Morris we gotta rig
coming in.

Oh, hello, there.

- Hi.
- 'Dawn Archer.'

- Hi, there.
- Charmed.

(Simon)
'Okay, that's about it, guys.'

There you have it.
County General.

- Beauty, man. It's impressive.
- Yeah, good on you.

Still can't believe you guys
still trust the bastard

with actual human lives.

- Us either.
- 'Much appreciated, Frank.'

- Where you guys headed?
- Big game.

Seven's against
the dreaded Kiwis.

It's rugby.
It's seven on seven

against some boys
from New Zealand.

Oh, I've always wanted
to learn rugby.

Maybe I can come out
with you sometime.

Yeah, maybe.

Yeah, I was a kicker for my
high school football team.

Yeah, if you ever,
if you ever need an extra.

Right now, we're good, bro.
I'm all signed out.

But I'll see you guys later.

Are you gonna play
in your stubbies?

(Colin)
'Yeah, I'm true blue, man.'

Somebody print out a recipe
for chicken piccata?

Do you read everything that
comes off the printer, Frank?

Yes. And if you need
recipes

I got some that can
knock your socks off.

Keep your recipes
to yourself.

Looks like maybe it's
just gastroenteritis.

Do think they'd call us down
here for a non-surgical problem?

Is this about my
two year old with vomiting?

- Mm-hmm.
- What's your differential?

Uh, right. Okay,
so something structural

'like, uh, maybe..'

I'm thinking malrotation
with a possible volvulus.

How do you think
we should proceed?

(Neela)
'I'll order an upper GI.'

Oh, you mind if I do
the cut down?

No, not today. Too busy.
Go back to the floor.

I'll just put in a line
and meet you back at rounds.

- Derek Taylor, 21.
- Move, please!

Facial and chest trauma from
a knockout in the fifth round.

- How you doing, Derek?
- Move!

Been better.

They didn't say nothing
about him being a Southpaw.

- Coming through!
- Dawn, what's open?

- Trauma Two's ready.
- I hate Southpaws.

Dr. Morris, I'd like
to discuss the case

of the levitating gurney
at some point.

- Be there as soon as I can!
- Looks like a broken nose.

Third time.

But I feel pretty good now.
I don't need all this.

Yo, Chaz, facial trauma
with LOC.

'We can review
the cranial nerve exam.'

Well, lookie what we got here.

Bards, what's up, baby?

Not much, ice cream man.
Looks good on you.

You know how to assess

for mandible fractures
with a tongue blade?

- No.
- Good. I'll show you.

- You sending him to CT?
- Definitely.

Dr. Banfield said
we should jump in on this.

Yeah, sure.
Kaya, on your count.

Okay, one, two, three.

Pleasure doing
business with you.

Chaz, don't screw it up.

Trauma panel, portable chest,
head and facial CT.

Kaya, eyes and nose.
Ryan, extremities.

Chaz, we'll do the
primary assessment.

(Dawn)
'Pulse ox 99
on two liters.'

Sixth round,
I was gonna make my move.

You were a round too late.

(Chaz)
'Breath sounds good
bilaterally.'

- A little tachycardic.
- I agree completely.

(Derek)
'Ithought I had him.
Damn.'

You cannot explain that sport
to me. Look at this poor man.

Lid edema, no hyphema.

Peripheral pulses intact.

They call it the sweet science
for a reason.

It's a lot harder
than it looks.

I'm not saying it
ain't hard, just stupid.

So, what are you,
a middleweight?

Welterweight.

You a fighter?

No, my dad just showed me
a little bit.

Mine, too.

My old man won the
Golden Gloves back in the day.

CT is starting a guided biopsy.

Okay, tell 'em if
they can't take him next

I'll talk to an attending.
Maybe Betina's on.

We had dinner together
the other night.

- Oh, yeah? How's she doing?
- Really good.

She's just putting
in a lot of work

on that after-school program
we starting in Greg's name.

You pretty young for a doctor.

I'm a med student.

- 'Brainiac, huh?'
- 'Not really.'

I just decided this
is what I wanna do.

Looks like
it's working out for you.

Trying.
It's not easy, though.

- I feel you.
- He's got a septal hematoma.

- 'I need an 11 blade.'
- It's okay.

I'll do the procedure
with Chaz.

[car horn blaring]

- Hey.
- Hey.

- Labs come back on taxi lady?
- What? Oh, yeah.

Uh, Isolated thrombocytopenia.
Yeah, just like you thought.

Did Hematology see her?

Uh, yeah, they want
to start an IVIG.

Blood bank's gonna
send it down.

- Perfect. Coffee?
- Okay.

No, no, I get this, uh,
this per cent latte thing.

Thanks, though.

[dog whining]

'Hey, you want a hot coffee?'

It's cold out here.
I have an extra.

Here.

You wanna come inside,
have us check you out?

'Have a shower,
hot meal?'

I hate hospitals.

Alright, offer stands.

L-shaped incision
from high to low

then along the floor
of the nose.

Okay.

Okay, if we don't drain
it, we get something

called pressure necrosis
of the septum.

Go for it.

Everything okay in here?

Yeah, draining
a septal hematoma.

Pressure down
to 80 systolic.

Squeeze in a liter of saline.

Pulse ox down to 85.

Set the packing
underneath the flap.

How you doing, sir?

Sir?

One hundred percent
non-rebreather.

Intubation tray
and repeat the hemocue.

Uh, prep a cordis
for the IJ.

(Banfield)
'Please tell me why
we're ignoring the ABC's'

of a critical trauma patient.

No, we were doing
an emergent procedure

and the patient was stable.

- Did you call surgery?
- They're on their way.

And who's your assistant
with the short coat?

- Med student.
- Fourth year?

First.

You got him with a scalpel
up a patient's nose.

Anything wrong with
that picture, Dr. Morris?

[ECG machine beeping]

Kaya, left upper quadrant.

No perisplenic blood.

And the subxiphoid view?

Negative for
pericardial effusion.

I'm not getting a flash.

- I'll give it a try.
- No.

Andrew,
45-degree angle.

'Aim for the
ipsilateral nipple.'

Level one is ready
with two liters.

Soon as they get
the line.

(Neela)
'A little higher.'

- No.
- I can't get it.

Okay, move.

- No blood in the belly.
- 'Got a flash.'

Chest is still clear
pupils are still equal.

(Dawn)
'Repeat hemocue is 14.2.'

Oh, I guess we didn't miss
any internal bleeding.

- He's just dehydrated.
- You got lucky.

Alright, you, you,
you and you, with me.

Was I not clear?
Now please.

Excuse me.
Dr. Wade's a surgical intern.

In my department.

And I wanna see the two of you
at the desk as well

as soon as you're
finished here.

Now is the time
when you acquire

the skills
you need for the future.

Do not let upper level residents
and attendings decide your fate.

You get in there.
This is your shot.

'Speak up for your right
to be educated.'

And if your supervisors
aren't respecting that right

then you talk to me.

Except for you.

You...stay quiet,
stand back and watch.

You are barely
qualified to speak.

'Okay, then.'

'Let's get back to work.'

Look, I know what
you're gonna say.

We are teachers
at a teaching hospital.

Which means we have a bunch of
young kids running around here

trying to learn
how not to kill patients!

I understand that--

Then why are you teaching
a first-year med student

a procedure that
your interns should be doing?

- Chaz was an EMT.
- That's irrelevant.

He is only here to observe.

Teach your interns,
Dr. Morris. Both of you.

They learn by doing,
let them do things.

Teach, educate, delegate.

That's your job.

Now go clear the board.

Um, excuse me, Dr. Banfield,
but with all due respect

we have a different culture
in surgery.

And?

And I'm going to supervise my
internas I feel appropriate.

And I don't appreciate you
undermining my authority.

Dr. Rasgotra, I prefer to handle
this at the attending level.

You have a problem,
have Dr. Dubenko give me a call.

Alright, keep him warm.

Keep the head of
the bed up 30 degrees.

Hey, Sam, I wanna
ask you something.

Uh, so I wasn't
so clear earlier.

About what?

What?

Move in with me.

You and Alex need a place
to stay, you stay with me.

[siren wailing]

No.
We're not a charity case.

Who said anything about charity?
We'll split the rent.

You mean, like, temporarily?

Yeah, if that's what you want.

Your place is too small.

We have an extra bedroom
downstairs we don't even use.

What am I supposed
to tell Alex?

Alex and Sarah get along.
Me and Alex are cool.

[laughs]

You're insane!

It's way too soon.
It would never work.

Why are you laughing at me?

I thought you wanted
to get serious.

I, no, I do.
I'm not laughing at you.

Well, it sure seems
like you're laughing.

You know,
you're something else.

Why do you have to do
everything the hard way?

You know what? Forget it.
Forget I even asked.

'Just forget it.'

- Tony..
- Need a little help over here!

(male #1)
'Hey! Help over here!'

Excuse me?

There's something
wrong with him.

[dramatic music]

Hey, sir?

'Sir!'

How long you gonna
keep this up, huh? How long?

Eight hundred bucks, pop.
Double if I win.

- We need that.
- Not this bad.

Dawn, he needs
three grams of Unasyn.

- I'm on it.
- Are you Derek's dad?

- Yeah. Louie Taylor.
- Dr. Morris.

Uh, the CT was negative.

No bleeding in the brain,
it's good news.

That means you're gonna be okay.
He's gonna be okay, right?

Derek, you have
a depressed zygoma fracture.

Basically means
your cheek bone is broken.

- 'But that's serious.'
- 'No, it's completely fixable.'

But it does require surgery.

How long's it take
to come back from that?

Good six weeks of recovery.

You should be able to train
with headgear after that.

Got another about
in two months.

- Damn it, Derek--
- Don't start, pop!

I ain't loading boxes
for nine dollars an hour.

No, you'd rather continue
getting your ass beat, right?

Let's-let's take it
one thing at a time. Okay?

We'll get you through
the operation first. Okay?

Surgery should be down soon
to take you up.

Hey, Dr. Morris.

You think he's really
gonna be able to fight again?

Yeah, there's a good chance.

Procedure's very routine,
and he's young.

- You okay?
- Spinal stenosis.

Up until a couple months ago,
I was able to work full time.

You know, hit the gym
a few days a week.

Oh. We got some
great surgeons here.

Yeah, I'm-I'm on the list.
18 month wait.

Derek's got in his head
he's gonna..

...make enough fighting,
get me the surgery.

That and a new car,
a new house.

- Seems like a great kid.
- Yeah.

He showed a lot of promise
when he was young, you know?

Then his mother died.

He's got a lot of heart, doc

but his-his
record's five and 28.

Well, nothing's easy at first
but he keeps at it, who knows?

Yeah, but-but, doc..

You know what they say
about a fighter like that?

He's a stiff, a bum.

A silent offering.

My son gets paid to lose.
They laugh at him.

Then they throw him in the ring
that somebody for real manhood

can use him to tune up on.

You know what I'm saying?
And for what?

[sniffles]

Man, I was good.

And still, I was barely
good enough to turn pro.

And Derek ain't half
the fighter I used to be.

Difference between us is that
I knew when to hang it up.

Now he won't listen to me.

But maybe
he'll listen to you.

Maybe you could
talk to him.

Help me out.

Give him a real reason
to stop, huh?

Due respect, Mr. Taylor,
but I can't do that.

He's a grown man.

If he's got something
he wants to do

there's-there's nothing
I can say about it.

He's killing himself.

But he's going
for what he wants.

Maybe you should...think about
giving him a little support.

Excuse me.
Excuse me, please.

Watch out.

Maybe he hit his head.

No sign of trauma.

Can we finish our talk later?

Daria, give us a hand, please.

Oh, um, no, actually,
Dr. Banfield really--

Now please.

What do you think
he's altered from?

- Probably ingestion.
- Of what?

Coma's pretty deep.

Benzos, barbs, Opiates.

No pinpoint pupils,
respirations aren't suppressed.

Do you want me to start a line
and draw some labs?

No. Sam can do that.

Actually, I think
it'd be really good for me

to have the practice.

- Thank you, Daria.
- Sam, vitals.

I'm putting him
on the machine now.

Alright.

Okay, um, what kind
of labs do you want?

I want Chemistry, I want CBC,
ETOH levels

'Acetaminophen
and Aspirin, please.'

- Tony.
- Huh?

- Looks like yours.
- 'Oh, yeah.'

Alright, we need to scan.
Can I have my light, please?

- Got to secure his airway.
- I don't wanna wait.

- Light, please. My light.
- Yes.

Um, you know what, it seems like
you two have this under control.

- I'm gonna just--
- No, actually, Daria.

Will you stay here and check
his Babinski, please?

- We should give him Dextrose.
- 'No, I wanna a finger stick.'

(Samantha)
'It'll take too long.'

[gasping]
'Whoa, whoa, whoa.'

Do you want me
to get some Ativan?

- Yeah, two migs.
- Mixing up Dilantin.

- Mix up Dilantin.
- Oh!

[clatters]

(Daria)
'Sorry!'

Get the Ativan!

Dilantin load's running.

So his tattoo,
that means he's Army, right?

Yeah, a paratrooper.

- Same as you.
- Yep.

Let's get some
antibiotics on board

two grams of Ceftriaxone
and one gram of Vanco.

I think maybe we should
get him on some steroids, too.

Listen, I'm sorry if I hurt
your feelings earlier.

Dr. Gates, uh..

...he's waking up.

[clears throat]
So steroids?

Yeah, Decadron,
ten milligrams.

Okay. Don't let me
tell you what to do.

Don't worry, you're not.

Alright.

Feeling okay?

Huh?

How you feeling?

Like I got my bell rung.

Yeah, you had a seizure.

You ever had
one of those before?

I don't know.

Can you tell me your name?

Max.

- And your last name?
- 'How-how'd I get in here?'

Uh, last thing I remember,
I was drinking coffee.

We found you passed out
on the street.

Where's Jake?

My dog.

Um, sorry, I don't know.

I-I gotta go.

- Where's my stuff?
- We got your duffel--

I got stuff I need
in my duffel.

Yeah, we got it,
don't worry about it.

- Hey.
- I-I gotta go.

- No, no, no.
- Jake needs me.

Whoa!
Alright. Oh, my God!

Okay, come on, sit down.

- 'Please!'
- Jake!

'You need to stay
in bed, sir.'

We're gonna find him, okay?
Don't worry.

And Neuro wants us
to send CSF for prions

and HSV
for our ataxic guy.

What? He's just stoned?
What's wrong with neurologists?

I don't know.
That's all I've got.

I've got an ingrown toenail
in Three with my name on it.

- So I'm gonna..
- Alright. Hey, hey, hey.

- Huh?
- Are you okay?

Yeah, no.
I mean, why wouldn't I be okay?

- DoI-do I not seem okay?
- You seem hasty.

No. No, no.

- I-I'm just busy, that's all.
- Okay.

Okay. Bye.

Hey, Frank, do you have
the LFT's on my jaundice guy?

Yeah. I'll-I'll find them.

- Excuse me, Dr. Banfield?
- Mm.

I can't just stand by
and watch.

Uh...here.

- Veal Frank-alini.
- I thought I told you--

Maybe you can't tell
this by looking at me.

I happen to be
a culinary genius.

I used to cook for all the guys
down at the precinct

all the time,
and Chicago cops know good food.

Now this is my variation
on a timeless classic.

Veal scaloppini with
a chanterelle cream sauce.

A little touch of heaven.

Now, the key is
the chanterelles.

A good chanterelle
is firm.

You don't want
a soft chanterelle.

Please stop saying
chanterelle.

Sorry.

Thank you...Frank.

You're welcome.

Hey, you.

[clears throat]

Russ, what are you doing here?

Didn't like the way
we left things.

- You-you got a minute?
- No, I don't. I'm busy.

You should've called.

I've been trying your cell
all day. Left messages--

You know, you just can't show up
at work like this.

- I need to talk to you.
- Well, not here.

Cate..

Uh..

Sorry, I-I can
come back later.

What is it, doctor?

My husband,
Russell Banfield.

Hello.
I'm Neela Rasgotra.

- Nice to meet you.
- You, too.

Would you wait
for me outside, please?

[door buzzing]

Um, you know,
it...really can wait.

- I didn't mean to--
- I'm here now. Go.

Okay. Uh, so,
I spoke to Dr. Dubenko

and he feels that
I should handle our..

...issue on my own,
especially--

- 'Dr. Banfield?'
- You know what, Dr. Rasgotra?

We'll do it your way, hmm?

Make things
nice and easy for you.

And you let me know if
there's anythingelseI can do.

[door buzzing]

What happened here?

- Rugby match.
- 'You win?'

23-6. I think that
qualifies as a massacre.

Can't we get on with this?
All I really need is a drink.

Yeah, I'll go
and get you wrapped up.

We'll get some Ibuprofen
and some ice.

Hey, uh, you should come
celebrate with us.

Bring some of your pretty
little nurse friends along.

I don't think mysurgeon
friends would be interested.

Well, we're gonna
head over to Ike's.

Stop by if you're free.

Yeah, maybe you could
have a spot of tea.

You know, leave
the real drinking to us.

Unasyn finally came up
from the pharmacy.

Yo, med student,
what's up, man?

- You graduate yet?
- Not yet.

(Louie)
'How much longer you
gonna keep us down here?'

I thought you said
he needed surgery.

He's next. I'm sorry. They're
swamped with emergency cases.

But isn't he an emergency?
I mean, look at him.

- Give the guy a break, pop.
- It's okay.

Gives me time to do
a full neural assessment.

Chaz, will you cover
that eye for me, please?

(Chaz)
'Sure.'

Okay, I want you to look into my
eye and not move yours

and tell me when you
see my finger moving.

- Now.
- Alright.

Tell me again
when you see it moving.

How about now?

Now.

There's a
visual field deficit.

- Translate.
- Well, your retina's fine.

Which means it could be
a problem in your brain.

- What?
- You said my brain was okay.

Well, it might be something
called a diffuse axonal injury.

It doesn't show up on a CT.

Usually happens
with repetitive head trauma.

You mean like getting
punched over and over again!

Which is why you keep getting
hit by all those shots, man.

Look,Icould step in there
and take you out.

Imagine what somebody
half my age would do.

He's got brain damage, right?

Well, we need to get
an MRI to be sure.

You can't keep doing this
to yourself, Derek.

I'm doing this for us.

(Louie)
'This doesn't do
us any good, son!'

Pulse ox is down.

What's going on, huh?
What's going on?

- My chest..
- Where? Where?

- The left, the left.
- Decreased breath sounds.

Let's get him to Trauma.

I'll get the
non-rebreather.

Derek?

Derek?

[clears throat]

Best I could do.

Got you an extra Jell-O.

Is there anyone
we can contact for you?

Family or friends?

Just Jake.

I'm fine on my own.

Yeah, well,
you don't seem fine.

No one likes to be alone
all the time.

What doyouknow?

I've been on my own
most of my life.

But it is up to me to fix that.
You know?

Well, could I-could I get
some mustard or something?

(Morrison)
'The incision is along the
fifth rib, midaxillary line.'

Tunnel superiorly
to the next interspace.

Curved vascular clamp
around the tube.

You know what?
You should push it through.

No, that's okay. Dr. Banfield
said I shouldn't touch anything.

I-I did the whole
procedure, alright?

We'll push it in together,
just so you can get the feel.

Wait, wait, time out.
He's astudenthere, right?

This is a teaching
hospital, sir.

Right here.

'Just above
the rib line.'

Right there.

Heard you guys needed help.

I'm sorry if this hurts
a little, man.

Okay. It takes a little force
to get through the muscle.

Dr. Morris, shouldn't
Chaz be observing?

He's assisting.

- Feel it?
- Mm-hmm.

Okay.

(Morris)
'Push it in.'

'Harder.'

'A little harder.'

Harder.

[gasps]

Pulse ox coming up.
Strong pulse.

Way to go, Chaz!

Now...we just sew it in.

You meanyousew it in.

Yes.

0 silk.

- The Thora-Seal--
- Dropped his pressure again.

- 500 cc's.
- What are you guys doing?

Hang two units of blood.

I thought you said
he had a collapsed lung.

Morris?

We bagged
an intercostal artery.

Chaz...when you pushed
the tube in, did it slip?

- No.
- Huh?

I-I don't know. Maybe.

- He's not breathing.
- What?

(Morris)
'Intubation tray.
Page Surgery.'

(Louie)
'Derek?'

[instrumental music]

Honey, I-I've been
out here for half an hour.

I'm busy.
You should've called.

You know I don't like
people knowing my business.

How can you work
in that place?

I know you didn't pull me
out here to talk about this.

Russ, please,
my board is full.

I-I made dinner reservations.
Mia Francesca, your favorite.

We are not going to dinner.

They'll be at our place
in about an hour.

That's not what
I meant, damn it.

I'm going to cook, okay?
I will cook!

I thought
you didn't have time.

I know what I said.

I'm just trying to make things
easier for you.

By making your mother think
that I can't make dinner

or keep a home?

That won't make a damn
thing easier, believe me.

Baby, I'm sorry.
I'm just trying to help.

[pager beeping]

Alright,
I'll be there at 7:30.

(Morris)
'Come on.'

Can't get control
of the bleeder.

BP's still in the toilet.

It's up inside
the costal groove.

Fourth unit's going in.

(Morris)
'Come on, come on, come on!'

- I got it.
- 'Alright, 120/80. Not bad.'

- Chest tube output's way down.
- Surgery's here.

- Where's Neela?
- Gone for the day.

- Crenshaw's on.
- Get in here.

'Keep your
finger on the vessel.'

- You got it.
- Is he gonna be okay?

We got to get him up
to Surgery.

What's going on?

We tore an intercostal,
but he's stable now.

And how'd you tear an
intercostal doing a chest tube?

Must've slipped.

- It happens.
- OR's ready for him.

Should be an
interesting M and M.

- Stay ahead four units.
- I'll call the blood bank.

Hey, Morris, you got a second?

He's got an 18-gauge
in each arm.

Get something central.

(Tony)
'Come here.'

What the hell are you doing?

Chaz isn't trained to do
chest tubes.

- This is his first year.
- He has EMT experience.

They don't do chest tubes
out in the field.

I was trying to teach him,
give him a head start, you know?

By letting him
kill a patient?

You put him in a situation
he wasn't ready for.

That's not giving him a head
start, that's setting him back.

[indistinct chattering]

(Roger)
'Hey! Look who it is!'

'Got a hot cup of Earl Grey
waiting for you, love.'

- Do you take milk with that?
- You made it.

Well, it looks that way.

'I'll make you some chamomile'

'you know,
since it's almost bedtime!'

Let's get you a drink.

Hey, I am so sorry that
I barged in the other night.

I didn't realize that
you and Ray were--

Oh, no, not at all,
it's fine.

He and I, we're friends. He was
in town, we were catching up.

- So we're good.
- Okay.

Oh, uh, Jimmy, another
round for my mates

and whatever
she's drinking.

Hey, Max. How you doing?

Your CAT scan looks good.

Okay.

So, you don't remember
anything like this

happening to you before?

I forget lots of stuff.

No head injury..

...anything,
maybe, uh, epilepsy?

Now, could I get a sandwich?

That nurse lady brought me one,
but I'm still kind of hungry.

Sure, no problem.

Can you remember
your last name for me?

I tried to see it on your
duffel, but I couldn't read it.

Alright.

Well, you let me know
if you can, alright?

What about this ink
on your chest?

'Paratrooper?'

Oh, yeah.

Thing hurt.

I got one, too.

101st Airborne.

Screaming Eagles.

Right.

Where'd you get yours?

This dude.

Mm.

Max, do you remember
where you served?

Tal Afar.

[chuckles]
Hot as hell.

Yeah, up north
by Mosul, right?

Tony..

...the homeless guy
you were just in with..

Yeah?

Neuro wants to discharge him.

Outpatient EEG
and clinic referral.

He won't get his
Dilantin filled.

He'll never
make it back here.

- Sam, I took care of it.
- You did?

Yep. Pulled some strings
and got him admitted

to the Neuro service.

Oh. Okay.

Well, there you go.

There you go.

- Listen, I feel like--
- Hey, mom.

Hey, you're early.

- What's up, Tony?
- Alex, how you doing?

I'm good.
Hey, can we go eat?

Uh, yeah.
Let me get my stuff.

See you tomorrow.

Later, Ton.

Night.

Daria, before you leave

can you get a read on my
pericarditis guy's echo?

Yeah, no problem.
Um, Dr. Gates?

I was, uh..

I was just wondering,
I wanted to make sure

that everything
was okay.

You know, with you and Sam.

Yeah, everything's fine.

Oh, okay.

Yeah, that's..
Well, no, that's great.

Um, it was just because,
you know, earlier

things got
a little bit weird.

Not bad-weird per se.

They just got
a little bit weird.

And so I just wanted
to make sure that..

Yeah, but everything's okay,
so that's-that's great.

- Yeah. You good?
- Yeah.

- You sure?
- Totally.

'Cause you're blushing again.

Okay.
I'll see you tomorrow.

[sighs]

Oh! Oh, hi. Uh,
so you're ready for sign outs?

After you tell me
how today went.

Did Dr. Gates
instruct you well?

You know what,
these are the pass ons.

Goodnight.

Somebody had a poopy day.

- You sure?
- I don't know. Are you sure?

I mean, what else
are we gonna do?

A lot of things.
We can go to a hotel--

Mom, you hate hotels.

Hey, sorry to interrupt,
but since I am..

I want to tell you,
both of you that..

...that I want, I want you
to come stay with me.

'Because I really
like you guys.'

'And-and I know it's fast
but you know what'

if it doesn't work out,
then you guys

can just move out, you know?

I-I just think we'd
be great together.

'I think we'd
all be great, all of us.'

And Sarah's totally on board
and-and I have a flat-screen TV

and I live in a
great neighborhood--

Tony...we were actually
just talking about it.

[clears throat]
We're in.

- You are?
- Uh-huh. Right?

You had me at flat screen.

Alright, alright--

- Shut up, shut up.
- No pressure now, love.

Just don't miss.
Don't miss.

Calm it. Calm it down.

- Oh!
- Yes!

- Oh-ho-ho!
- Yes!

- You see that? You see that?
- Yes!

Oh, thank you.
And thank you.

And thank you.
Green is my favorite color.

Don't worry, mate.
It is a British game after all.

Yeah, yeah, yeah,
God save the Queen and all that.

She's your queen too,
you know.

Uh, excuse me,
who invited the Brit?

- You did.
- Sore loser.

Shut up.

Oh, what'd you just
say to me, convict?

Again, that's alright.

It's my shout.
Who's drinking?

- I am if you're buying.
- Alright, Jimmy.

So, surgery went well.

Then I'm okay now, right?

Well, your lung will heal
and so will your face.

But the damage
from repeated head trauma..

...that won't heal.

See? You got to
stop this mess.

Pop, please.

Just let the man talk.

Your dad's right.

Boxing is just
not a good idea.

You saying I can't fight..

...or I shouldn't fight?

I know, I know you think
that you don't have a choice--

You don't know
what I think.

I know that you wanna do
whatever it takes

to help your dad.

To make him proud.

But if you keep fighting,
you are risking

serious brain damage.

I know I've been
tough on you.

'I'm sorry.'

I take full
responsibility for that.

But where you go from
here is up to you, Derek.

You got nothing to prove.

What are we gonna do, pop?

We'll find a way,
like always.

'We'll figure it out.'

I'll come back,
check on you later.

(Louie)
'Hey, doc.'

Thank you.

Dr. Banfield, I-I thought
you were gone for the night.

I needed to follow up.

You don't have
to check up on me.

I was checking up
on your patient.

Right, my patient.

Yes, who thankfully survived

your little therapeutic
misadventure today.

May I ask you a question?

How can such a good doctor
be such a knucklehead?

I thought Chaz was different.

It was a mistake.

After Greg Pratt died..

...I lost some focus.

I'm working on it.

Well, I hope you find
clarity soon.

[elevator bell dings]

Dr. Morris.

Goodnight.

Goodnight.

(Frank)
'Dr. Banfield!'

Oh, I'm glad I caught you.

Here's everything you need.

Veal, cream, chanterelles.

You'll never find good ones.
I've got a guy.

No, Frank, I-I can't
accept that from you.

Please.
I insist.

[instrumental music]

- Let me know how it turns out.
- Frank!

Remember this never happened.

[music continues]

[door buzzing]

Hey, man.

So, how was your first day?

I'm so sorry about
that chest tube.

Dude, don't worry about it.
He's-he's gonna be fine.

All the interns hate me.

No, they don't hate you.

They probably hate me,
but not you.

Listen, all that stuff.

My fault.

I'm the one
that should be sorry.

It's just,
every time I see you..

...I see your brother.

And he was a hell
of a doctor.

And you will be, too.
One day.

But you've got a ways
to go, and I forgot that.

So, today, chalk it up.

Alright, it's your-it's your
first step

on a thousand mile journey.

I really appreciate you
looking out for me.

That's what Greg
used to do.

[instrumental music]

Yeah.

Hey, I'm off soon.

I was gonna go
grab a burger.

Forgot to eat today.

You wanna come?

Sure.
I'd like that.

Cool.

[music continues]

[sighs]

[door opens]

Hi.

They're here.

[sighs]

(Marie)
'Cate? Is that you?'

It's me.

- Hi.
- Hi.

George, get down here!
Cate's here!

Oh, it's so good
to see you, baby.

Let's get inside.
It's-it's freezing.

[music continues]

[theme music]