Original subtitles

Previously, on Chicago Hope.

I've been developing an artificial heart which is

ready for human testing.

But the ugly truth is, we first have

to experiment on dead people.

Up you go, paddock.

All right, down.

You start pumping.

If I can't operate, I'll die.

Before any artificial device is used in experimentation,

you are required to appear before the Subject

Protection Committee.

An exception being consent from next of kin.

Bottom line, you can't get me on this

one.

If you don't apologize, you could be terminated.

That's how angry they are.

They wouldn't dare throw me out.

They will throw you out.

I'll ask you once again.

Remove your finger.

I'll remove it if and when I choose

you obnoxious little snot.

Ahhhhh!

Just heard my soldier.

They said he's dead.

Um, excuse me, gentlemen, I'm Phillip Waters, look

out.

Um, Lieutenant Cantrell, excuse me, doctors.

We're from this department.

You gotta help me get out of here.

My God.

I can't move.

I haven't moved in two hours.

Listen, you gotta help me, please.

Angela?

Oh, no.

God.

Is that Hackett?

Hackett?

He's dead.

I found him.

Dead?

I think a coronary.

He seized, and that's how they got stuck.

Well, what were they doing in there?

Oh, Cleo, you've got to be kidding me.

That's a million-dollar machine.

Don't even think about it.

We have to get them out.

Get them out, doctor, please.

Angela?

What?

Get out.

I can't.

Okay, look, guys, just hold off for one

second, will you?

Angela, stop arching your back.

Straighten your legs and pinch them together, all

right?

I can't move.

Yes, you can.

Just pinch your legs together and straighten out.

I'm going to try something here.

This should work.

Okay, stay like that.

All right, stay that way.

Stay that way.

There you go.

There you go.

All right, help her out, guys, will you?

All right, Angela.

Take it easy.

We got you.

Oh, God, I have no feeling in my

legs.

That's Hackett.

Oh, yeah, it's Hackett, all right.

It's definitely Hackett.

I gave him that tie for Christmas.

Angela and Hackett?

Look, I've been made chief of staff pro

tem.

Until we find a replacement, I'm going to

need your support.

How'd they do it in the tunnel?

It's a good question.

It's not funny, Jeffrey.

A man is dead.

An expensive piece of equipment is gummed up

to the cost of $22,000 a day.

I got to see a patient.

Goodbye.

Mr. Lanier, how are you doing today?

My knowledge's still dying.

News is not great.

The heart went to the other candidate.

Ah.

So I guess that's that.

I really thought he died before the organ

became available, but the son of a bitch

hung in there.

I'm very sorry.

Me, too.

So how much time I got?

Uh-huh.

I could put you back on the assist,

but I don't think you'd sustain it, given

what happened before.

There is one last stopgap.

I can get a temporary heart.

Keep it going maybe up to a week.

I could at least buy us some time.

Then what are we waiting for?

Well, there's a catch.

A temporary heart.

It would come from a baboon.

Baboon as in monkey?

It's been done once with an infant, never

with an adult.

It is possible.

Organ is very compatible.

A monkey.

Right now it's our only hope.

Auto accident.

Busted humerus, collarbone, maybe some vertebrae.

I see.

Get a T-spinal, get an X-ray.

How you doing?

Come on, hit on the other one.

Got a little stab wound across the tip,

a giant stutter.

Looks like she lost a lot of blood.

Type and cross-match, give me six units.

I think she's hemorrhaging.

She looks acute.

One, two, three.

I'm right here, ma'am.

God, I need some...

Hook up the fluid stat.

I gotta work on this guy.

Looks like he's going into shock.

See if we can get another surgeon down

here stat.

I'll get one.

Hang on, ma'am.

We're gonna take care of you.

I am deeply, deeply sorry.

Sorry isn't good enough.

That machine being shut down costs this hospital

money.

It also jeopardizes the welfare of the patients.

The MRI was his idea, and he is,

was chief of staff, so I thought, you

know, there was permission.

Why in God's name did he want to

get in there?

I've already told all of this to the

police.

I don't care.

You'll tell it to me.

Austin Hackett was a friend of mine.

I know that.

If it means anything, I don't think he

suffered.

He just let out this kind of yelp.

I thought he arrived, but instead he went.

How's he doing?

Where's the wound?

Midline.

Vitals are stable.

He's unconscious.

The peritoneum may be perforated.

Did you check?

Got my hands full here.

Get me a cut-down kit.

Doctor, that patient has AIDS.

Scalpel, stat.

Get me another sterile drape.

Call and get OR1 ready.

Yes, sir.

Good God.

Clamp.

This patient is almost dead.

What in the hell are you working on,

doctor?

So, what do we do?

Chest X-rays, CBC, culture for infection.

Hi there.

She's actually quite gentle.

Yeah, she looks like my bookie.

We ran the tests at the lab, and,

um, she's clean.

Just the same.

I'll run them again.

Does she have a name?

Yeah, Marty.

Hey, Marty.

Nice monkey.

Not much of a future.

Jeffrey, does this have any chance of working?

Not much.

What do I do?

Just let the guy die?

Is she gonna make it?

She'll make it.

What's your name?

Dr. Nyland, sir.

This afternoon, get your ass in my office.

Am I dead?

No.

Everything will hurt for a while, but we

repaired you.

Yeah, what about the AIDS?

Don't suppose you got rid of that.

No, I didn't.

You have a lesion on your thigh.

Yeah, I know.

Bad for business.

You probably should have just let me die.

You want to die.

Don't get stabbed on my shift.

Hey.

You probably had to think about it, right?

I mean, you know, putting your hands into

all that contagious blood, you had to think

about it, right?

May I ask you something, young lady?

You warned the doctor that you had AIDS.

Do you tell your clients?

I make sure they wear condoms.

But you don't tell?

Look, if they wear a condom, they survive.

I gotta survive.

Do you want to survive, young lady?

That's him.

Marty?

Mr. Lanier.

Yeah, that's him.

Mr. Lanier, Marty.

He looks so small.

There's a real chance the experimentation board will

say no.

Even with your consent.

That's good.

I need to know before going to bat.

You really want to try this?

If I don't, I'm gone.

There'll be a lot of publicity.

Tabloids will be all over it.

There's also a dignity factor.

Some people might have opinions about a person

having the heart of an ape put inside

him.

There ain't no dignity in dying.

Okay.

There's one other thing.

If this doesn't work, the demise is kind

of sudden.

I hate to be brutal, but if there

are any affairs to settle or people to

say goodbye to, now would be a good

time.

For somebody who hates to be brutal, you're

pretty good at it.

I'm sorry about that.

I'm divorced.

My kids are on the west coast.

I'm not flying them out here to watch

me die.

You just fix me.

Okay, Mr. Lanier.

I'll do that.

A 49-year-old unidentified man went berserk

last night, opening fire with a 12-gauge

shotgun...

Ms. Russell, I'm Dr. Nyland.

I examined you briefly...

Yeah, I remember you.

I remember you exactly.

I'd just like to explain...

No, you don't got to explain nothing, Doc.

I can't imagine anybody making themselves more clear

than you did.

Oh, I've seen that look before.

In my business, men finish with me, and

then they get this look of disgust.

Che.

Like, how are they gonna...

go on?

I always wonder, what's the big deal?

They get to go back to their families

and their nice lives, and I'm still left

with being the hooker.

So cheer up.

You can go on being the doctor in

the big, fancy hospital.

Cheer up.

What?

You heard me.

A monkey.

It's in the hospital as we speak.

Geiger is gonna end-run subsections again.

Oh, he is.

He's scheduled a meeting with the subject protections

committee, but I didn't know what for.

Well, it's a baboon.

That's what for.

Animal rights groups are already demonstrating outside the

West Wing.

Hey, you're chief of staff now.

This falls to you.

God, my first day here.

He brings in a monkey.

This is not respectable.

Don't have to resign, Angela.

It's all over the hospital.

How can I stay here?

You stay here because your job is here.

Where are you gonna go?

I'm a decors the man to death.

How can I face people?

May I help you?

Are you Angela?

Yes.

I'm Vicki Hackett.

Vicki.

Evidently, there have been rumors.

I'm not here for any retribution.

It's just that these rumors are eventually gonna

catch up with my children, and I have

to be able to address them.

I hope you'll pardon my abruptness.

Were you with my husband when he died?

Yes.

Was this a long-term thing?

No.

Oh, doctor!

It's a little premature.

I haven't even gotten approval from the board.

How large is a baboon's heart?

Small, tiny, like a lawyer's.

When will the board decide?

Can't you tell us anything?

I froze.

She said she had AIDS, and I froze.

I would have jumped in if you hadn't

come along, but first I wanted to see

if somebody else would come along.

I'll be recommending your dismissal, doctor.

That's all.

I said that's all.

Sir, I've treated plenty of patients with AIDS.

I don't know what happened to me.

The only thing that's relevant is that it

did.

You have no business being in trauma, and

certainly no business being head of the center

here at Chicago Hope.

Sir, I believe my record belies that accusation.

Your record?

Your record, Dr. Nyland, is that you withheld

emergency treatment from a patient in desperate need

of that treatment because you didn't like the

disease she had.

That is on your record, forever.

It'll never happen again, sir.

How do I know that?

You have my word.

This means nothing to me.

Tell you what.

You come back with a satisfactory answer, and

maybe I'll change my mind.

Okay.

But it better be more convincing than your

word.

Yes, sir.

How long could the heart stay viable inside

a human?

Not long.

The main thing to remember, though, is the

hospital has many exits, and I'm leading all

of you to one.

Okay, give us a break.

It's okay.

Come back and see us again, sir.

If I had a single issue, sir, I

would say...

What, you wackos?

I ain't gonna shoot unless you're clever!

I kill all the dolphins, I kill...

Oh, I'm...

What are you doing here?

I just came up to...

I needed a moment.

That's all.

It's nothing important.

Hackett.

I...

I liked him.

I know I'm probably the only one here

who...

It's stupid.

I found myself wanting to cry.

I snuck up here...

Too embarrassed for anybody to see me cry

over Hackett.

Me, too.

I mean, not...

Hackett.

Marty, the baboon.

Oh.

She's so sweet, and we're...

I didn't want anybody to see me getting

weepy about a stupid monkey.

Yeah.

Well, I guess if you need a place

to cry, this is it.

Yeah.

Oh, I'm sorry.

I'm sorry.

I'm sorry.

You're antagonizing the animal rights groups?

Doesn't help.

Look, they want to throw cranberry juice on

Minkos, that's one thing.

But when they charge into a medical hospital,

when we're trying to save human life...

And by the way, I happen to like

this monkey.

I already feel more for him than I

did...

What's his name?

Hackett.

Could I stop you there for one second?

Certainly.

That kind of tastelessness is a problem.

Experimenting with human body parts, with animal parts?

There are many people who are quick to

liken us to Nazis.

If anything, you might consider erring on this

side of the sensitivity fence.

Please don't ever dare compare what I'm doing

in this hospital with Nazi experimentation.

I'm not doing that.

I am saying others might.

Well, if they do to my face, don't

expect me to err on the sensitivity side

of the fence.

And he raises a point, Jeffrey, which goes

to this hospital's credibility.

This operation you're suggesting, using a baboon's heart,

it's never been done before.

And we risk condemnation.

I'm talking about trying to save a life.

I don't care about the politics.

You didn't care about the Siamese twins.

You disregarded the politics.

You're talking about a preposterous long shot with

cross-species experimentation.

Chief of staff, one day you got it

down cold.

You want to see how cold I've got

it down?

All right, all right.

Look, does this procedure have a chance?

That's the real question here.

Would it be sitting here if it didn't?

Frankly, yes.

You had a very quick trigger with your

artificial device.

You would love to be the first heart

surgeon to transplant a baboon heart into an

adult.

Is that right?

Jeffrey, just tell us, can it work and

how?

Probably won't work.

Could work.

The baboon has been injected with human adenoviruses.

He already expresses human genes.

I still don't understand why the patient can't

be put on the mechanical assist.

Mr. Lanier forms antibodies to his own platelets

when he's on the heparin, and the assist

requires constant heparin administration.

We've already begun, Arthur.

I want that monkey.

Excuse me?

I want that monkey.

I have a patient with AIDS, Dina Russell.

I have just discovered she's a tissue match

to his baboon, and I want him.

What?

Baboon marrow cells are resistant to HIV.

I want that monkey for a day.

It's not yours.

It belongs to this hospital and can be

used more effectively with my patient than yours.

He's not getting my monkey.

Arthur, what are you talking about?

A bone marrow transplant.

It's a long shot, but it's more probable

than his procedure.

You're not getting that ape.

Quiet, quiet.

You want to get a bone marrow from

the baboon to your patient?

After we ablate the patient's marrow so the

baboon cells won't have to compete with it

for growth factors.

It'll never work.

So suppose it doesn't.

I'll have frozen a sample of the patient's

own marrow to re-infuse.

It won't kill the patient for trying, but

what you're doing will.

You don't know that.

Quiet, quiet.

All right, hold it.

I will say this out loud right now.

We're talking about two grossly experimental procedures.

There's very little evidence that they will benefit

the patients.

An enormous likelihood of radicalizing our reputation.

Not to mention the negative effects on the

baboon.

I won't kill the monkey, but he will.

You could throw him in a cardiac arrest,

in which case he's no good to me.

I'm on a clock here.

I'm not giving him up, not even for

a day.

I brought the baboon in.

I will not give him up, not even

for a day.

You're in the hall of derision.

Don't act like you can do whatever you

want.

Excuse me, nurse.

I'm a little cold.

Yes, we'll be right back.

You're up next.

Hi.

Hi.

I don't understand.

Well, things got complicated.

Somebody else came forward and made a play

for the monkey.

What?

It's not to worry.

You're status one.

You got an inside track.

Here's the deal.

You gotta appear before the committee.

Convince them you really want an ape's heart.

Meanwhile, the AIDS patient wants the baboon's marrow

to fight off the HIV infection.

We can give her the marrow.

You can still get the heart.

But take some time.

That's the one thing you don't have.

Is this making any sense?

Yeah.

There's a big fight over the ape.

I don't understand.

Basically, we take the baboon's bone marrow, which

produces the HIV-resistant cell, strain it through

a mechanical centrifuge, then we inject that back

into you a few weeks from now.

Sounds like voodoo.

Well, it is a little.

First, we'd have to harvest a sample of

your marrow for backup.

Then, we'd destroy the rest with very strong

chemotherapy.

It's a hell of an ordeal.

But it's very painful.

And the likelihood is it'll fail.

What's in it, then?

Hope.

Something new.

Police ain't even been by to question me

yet.

Can't be bothered trying to figure out who

stabbed a hooker, I guess.

What are

you talking about?

Right in the back.

That's it.

I did not betray you.

It's true, and I said it to your

face.

Now, maybe it's fun because it hit a

nerve.

I know why.

You're jealous, Aaron.

You're my best friend.

Why the hell didn't you back me?

Because maybe you aren't pushing the pioneering, Jeffrey.

You're talking about mixing a human being with

a monkey.

I got a dying patient.

I'm trying to save him.

It's not that simple.

What?

We're doctors.

We're supposed to save the sick.

Yeah, well, you start fast-forwarding.

Do research.

You're gonna end up killing more than you

save.

Trust me.

Hello?

Yes.

What?

Have either of you seen the baboon?

It appears he's missing.

What do you mean, missing?

All right, hand it over.

Don't be cute.

You got my monkey.

I want it back.

I haven't got your monkey.

What the hell are you talking about?

That baboon is missing.

What do you mean, missing?

Missing, gone, vanished like your wits.

I think you got her stashed someplace.

How dare you?

I think you've got her hidden to keep

me from doing the marrow.

Yeah, what's this?

What the hell are you doing?

That's mine.

I get potassium lows.

I got a patient, Arthur.

I'm trying to save.

You're not the only one in this hospital

with patients.

I want that monkey.

I want it now.

I'll tell you again.

I haven't got her.

Hands on your head.

Good girl.

Smile.

Flip.

Hey.

Hi.

This ape is a fugitive, you know.

Special circumstances.

It's all worth it, right?

Sacrificing this animal, we're going to preserve human

life, and it's all going to be worth

it.

No doubt.

We certainly apologize for putting you through this,

Mr. Lanier, but this proposed operation is so

experimental that we have to be sure your

consent is completely informed, if we even decide

to open it.

I'll authorize it.

Could you try to speak in shorter sentences?

I could be dead before you get through

the next one.

That tone is not constructive.

My heart has just about stopped.

You gave the last transplant to somebody else,

and I'm left with the monkeys.

Now you want to be sure I really

want it.

I do.

Let's go.

So you understand that the odds against this

procedure...

I prefer not to look at the odds,

doctor.

Odds these days depress me.

What the hell am I doing in this

room?

I know.

But getting upset is not going to solve

things.

Nothing seems to solve things.

I'm dying.

I got one last chance.

How dare you tell me I don't have

the right to take it?

Who are you people?

I'm trying to survive, and you're making me

jump through hoops.

Who the hell are you people?

This may not be what you want to

hear, sir, but there are bigger concerns to

this committee than your individual health.

We're a hospital.

We're here to serve the masses, and we

cannot jeopardize this institution for the sake of

one life, particularly one that we probably can't

save anyway.

So since you're down to your final breaths,

I suggest you not waste them trying to

influence us on policy.

The purpose of this meeting is to establish

your consent, and that's all.

I consent, you putrid pompous ass.

Ms. Lanier, on behalf of this hospital, I

apologize for Mr. Weymouth's last remarks.

They do not reflect the attitude of this

board.

No.

I'm sure not.

You shouldn't be doing this.

You were supposed to be off to the

mortuary a half hour ago.

Just give me a minute, and I'll be

gone.

Hi, Austin.

I-I-I don't really know how to

talk to dead people, whether I should, uh,

look up to the sky or...

You always stood by me.

Everybody here, they call me the eel.

Not respect.

You...

You always called me a little bug, but

you stood by me.

Oh.

Thank you.

Not many people liked him, Alan.

He was misunderstood.

But when it came to absorbing litigation as

an expense of health care, he was a

beacon.

And I'll tell you this.

There was simply no greater crusader for clinical

fiscal management on the outpatient level.

He was there by himself.

I killed him.

This place killed him.

You just happened to be on top of

him when it happened.

He told me he couldn't get an erection

outside of this hospital.

Be with God, Austin.

You've earned your peace.

I'm not talking to you as a member

of the subject protection board.

I'm talking to the chief of staff.

The final approval rests with you.

And as your friend, I think it's...

Look, these experimental procedures are a public relations

nightmare.

Now, the heart transplant will be condemned as

aberrant, if not perverse.

And the marijuana is...

Well, it's less radical, but on a rush

-rush basis, it isn't sound.

We have to rush it in order to

get the heart to the other guy.

What I'm trying to say is...

we are Chicago Hope.

That name means something everywhere in the medical

world.

Now, these operations are so...

so radical, Philip.

We could jeopardize many of our programs that

depend on our pedigree.

With Geiger and Thurman, our integrity should be

protected.

Maybe.

See, here's the other thing.

And this could be the spirit of hackett

living on inside of me.

I don't know.

But these procedures, being experimental, they're not covered

by insurance.

Which means the hospital has to eat it.

It'll be over a million.

And this just after we swallowed two million

on the Siamese twins.

All right.

If you do harbor some hope of being

made the permanent chief of staff, they're

both gonna die anyway.

You know it.

I know it.

Even they know it.

I'll make a lousy chief of staff.

Transport for radiology.

We're a little bit behind, but they'll be

by to take you back upstairs.

Okay?

You the lady after my monkey?

Sorry.

Their idea.

AIDS?

Uh-huh.

Heart?

Uh-huh.

Trade?

Hey, you got at least a month.

I could be gone tomorrow.

Trade?

Uh-huh.

Both procedures are scheduled for this morning, which

would certainly have to make this a rather

historical day, even for this hospital.

Meanwhile, both Drs. Geiger and Thurman had to

arrive with the help of security as angry

protesters clogged the hospital entrance, obviously upset over

the donor's plight.

It's okay, Marty.

Won't be much longer, sweetie.

Getting a good sample.

It's okay, sweetie.

Hang in there, young monkey.

I just wanted to, uh...

Anybody who works in trauma just assumes that

every patient has AIDS.

It's automatic.

I think that what happened was that I

decided that you weren't worth the risk.

You're a prostitute, maybe a junkie, and why

should I take a chance to save something

like that?

I mean, it's not something that I was

thinking consciously, but I think that's what was

going on.

So why are you telling me this?

Because you should know.

I'm gonna have my share of screw-ups

in my time, and I might even kill

someone.

I hope not.

But I'll never owe a patient a bigger

apology than the one I owe you.

You're drunk.

Damn right I am, and you know why?

Because it's against hospital policy.

Because it's sacrilege to win this holy house.

This place killed your marriage, you know.

Okay, Angela, I'm gonna call you a cab.

It sucked your insides out.

It sucked out Camille.

Your marriage died because you put all your

priorities in a place that sucks.

Well, I'll keep that in mind.

And Hackett, he always wanted to make love

here, and you know why?

It was his power source.

He got sexually stimulated by all the technology,

by all the symbols of Chicago, hope, the

great hope, where he was the chief of

staff.

The man wasn't making love to me.

It was to this hospital, of which I

was just another prop.

And I went along with it because exchanging

bodily fluids with the chief of staff put

me higher up on the food chain here.

So what if his wife could cry?

Or his kid might not understand?

They didn't count because this place comes first.

Sylvie?

Here it is.

A little suction right here?

Suction.

Neonat.

Okay, give me a cross clamp.

Here's a clamp.

Here's your tubing.

Okay, get ready to go on bypass.

We're ready.

Check it.

Clamp's off?

Yeah, it's fine.

Here she goes.

Clamp?

Clamp.

Another?

Here you go.

Are the other teams waiting for you?

Okay.

Rock and roll.

Let's get out of here.

Some monkey.

Scissors.

Pickups.

Thank you.

I'm sorry it's taken me so long to

get back to you, but my satisfactory answer...

Well, there isn't one.

So if I'm finished here, then I'm finished.

I understand you spoke to the patient.

Yes, I did.

And you told her she wasn't worth operating

on and that's why you balked?

Yes.

Do you have any idea the exposure you

caused this hospital with that kind of an

admission?

Do you?

You told me to come up with a

satisfactory explanation.

And the more I thought about it, the

more I realized it was owed to her.

I see.

So you put that prostitute before the hospital?

Yes, sir.

Well, then, there's hope for you.

Scrawl up.

You can assist in the marrow.

What?

You mean really?

Hurry!

I'm old.

I change my mind a lot.

Go!

We're almost there.

Okay, Basin.

Here we go.

Okay, we're on the timer.

Let's move.

Glove.

Come on.

Okay, Franny, re-glove.

I need the loops.

Give me it, Basin.

Right away.

Tract a little.

I need more room.

Got it.

Flamp.

Basin.

Donor heart.

That's the first.

200 to go.

Give me a squirt.

Okay, cut.

Let's get ready to go.

Bypass.

We're ready.

Flamps off.

It's fibrillating.

Charge the paddles.

Here's some saline.

Ready.

10 joules.

Ready.

Clear.

Fire.

What do you got?

He's still fibrillating.

Ready.

Clear.

Fire.

He's still fibrillating.

Come on.

Come on.

Got normal sinus rhythm.

You bet you do.

Stay right there.

There you go.

It's way too soon to tell.

All I can say is that the procedure

itself went well and the patient is resting

in recovery.

Where is Dr. Geiger?

There isn't any sign of rejection.

Dr. Geiger is, of course, fairly exhausted.

He'll be available for questions tomorrow.

What about Mr. Lanier?

Is Mr. Lanier still unconscious?

Mr. Lanier is also in recovery.

I'm told he has regained consciousness.

He will, of course, be started on anti

-rejection therapy.

And we remain hopeful that he'll be receiving

his permanent donor heart in the very near

future.

What's that all about?

How you doing?

Still alive?

Tomorrow we start right in with the powdered

eggs and watery jello.

We'll be right back.