All language subtitles for ER.S15E02.Another.Thursday.at.County

(male narrator)
Previously on "ER.."

Are you a sociopath?
A sadist? Stoned?

I heard that you were tightly
wound but I had no idea.

What am I giving up,
a dumpy OR?

Overnight call?
Below-market pay?

This is not what you want.

Everything was
going really well

'till the ambulance blew up.'

Morris..

...don't screw this up.

(Neela)
'There's an open artery.
I can either let him bleed out.'

Or we can accept
the risk of a stroke.

(Archie)
'His heart's gone.'

His brain's gone.
We're pronouncing him.

He was going to be
the chief of the ER.

(Archie)
'As we embrace the memory
of our colleague'

'and our dear friend..'

(Archie)
Helipad access, ortho supplies,
suture cart.

Nurses' station,
drug lockup, call room.

There's a call room?

Yeah, but don't
plan on sleeping.

Oh, I didn't
come here to sleep.

Hey, don't be snarky.
We just got here.

Nice dress.

Oh, Barney's sale,
1,800 bucks,

got it for a fourth,
I love that.

Okay, these
are the trauma rooms.

Take some time to familiarize
yourself with the equipment.

Ah, the new interns.

(Simon)
'Welcome to County.'

'Those are some shoes.'

Oh, I always wear heels.

Anything else hurts my feet.

[alarm rings]

Everybody get a chance
to look around Chicago?

No, we were at a friend's
wedding in Denver yesterday.

Drove all night.

Yeah, I washed my hair

in a gas station sink

and I came straight here.

Uh, you're from Texas, right?

Went to med school
in San Antonio

but I'm from New York.

[Archie speaks in Spanish]

I don't speak Spanish.

Oh.

Ah! Everybody meet
Dr. Tony Gates

third-year resident, and
Sam Taggart, one of our nurses.

- Welcome.
- Nice to meet you.

Gates oversees you,
I supervise him

and Sam's got her eye
on all of us.

Be careful
or she'll kick your ass.

Trust him, he knows.

[thudding]

[shouting]

(female #1)
'Security.'

Charts, forms, lab recs,
it's all here.

Is this..?
Are these who I think they are?

My friend, it's true.
Your replacements have arrived.

Tracy Martin,
it's nice to meet--

Thank you, God!

I'm not an intern anymore.

Kaya, come meet
your partners in crime.

Hey, you guys.
How's it going?

- You're an intern, too?
- Yep. Skipped the orientation.

Y'all need to get your newbie
behinds down to Personnel.

You can't work without I.D.

And this is Frank.

Donuts will make him
your friend.

Avoid coconut,
it gives him gas.

You can say that again.

Hi, I'm Tracy Martin.

And I'm an intern
in the Emergency Department.

Oh, wait!
I-I need a touch-up.

Andrew Wade,
intern, General Surgery.

- Surgeon, wow.
- Yeah.

Daria Wade, intern,
Emergency Department.

I should really go find where
I'm supposed to be right now.

- Call you later, Dar.
- Honey, honey, yeah, I know.

I gotta go now.
I love you, bye.

Ryan Sanchez, intern.

(Ryan)
'My wife,
she's home with the kids.'

Still getting
used to the new place.

[phone rings]
Hello?

I did my MBA
while I was at Stanford.

And the program
there is real..

Hold on. I wasn't ready.

(Cate)
That's enough, you're done.

(Cate)
Put the little penis away.

And you...
you're a doctor now.

Try to look like one.

And on that note,
three-inch heels

have no place
in the hospital.

Catherine Banfield,
Attending Physician

Chief of the ER.

Hello, everyone.

I'm your new boss.

[theme music]

We see an average
of 250 patients a day.

300 if it gets crazy.

A few years in this place,
you can handle anything.

Well, I'm sure.

So what made you come
back from Indonesia?

It was time.
Chicago's home.

I don't get the whole
medical mission thing.

Why chase tragedy overseas

when we've got disaster
right at our front door?

It's not for everyone.

I thought the nurse ratio
was four to one.

My ex-girlfriend went
on a medical mission.

- Total mistake.
- Where are all the nurses?

Doesn't look
four-to-one around here.

We're short, as usual.

This is Haleh Adams,
our charge nurse.

Haleh, meet Dr. Banfield,
our new chief.

- Welcome to County.
- Nice to meet you.

Coffee anyone?

I'm not into coffee,
it's a crutch.

Uh, meet me to run
the board in five minutes.

Do I know you?

You look so familiar.

I don't think so.

Ever work at St. Mark's?

I pick up shifts there
sometimes.

- No.
- Moonlight in urgent care?

You know, I could swear
I've seen you before.

No, it's my first day.

Well, if there's anything
you need to know

about this place, just ask.

Cuticle cream?

Latex gloves are murder
on your hands.

Do you think this used
to be a sandwich?

You guys get settled,
meet me out at the desk.

- You okay?
- Yeah.

You've been here for,
like, 96 hours straight.

We're a little short
staffed right now.

- Thank you.
- Us, too.

Abby took a few days
off with Luka

and you look like crap.

Look who's talking.
You live here.

Yeah, well, it's
easier than going home.

- Sleep is overrated.
- Another day, bring it on.

These patients have been
on the board since yesterday.

Well, the hospital's full.
They never discharge at night.

Which makes it impossible
to admit anyone.

I'm friendly with the nursing
supervisor on med-surge.

I bet you are.

She can always
find a bed for me.

You get her
to open things up?

Lubricating the logjam?

Do it.

Oh, Dr. Banfield.

Hey, so I just wanted
to let you know

I have to take off
a little early tonight.

I'm starting the nurse
anesthetist program

and I have to drop my kid
off at a friend's house.

Leave when your shift's over.

I'm kind of a stickler
for that, Sam.

- It is Sam, right?
- Yeah.

It's only like 20 minutes.

We all have commitments,
just don't let them

bleed into your work.

Wow, new chief seems great.

You know, Alex can hang out
with me and Sarah tonight.

- Really?
- Yeah.

It's just he's been home a week.
I don't want him to be alone.

No problem, I'll pick
him up after work.

Thank you, Tony.
It's a big help.

(Archie)
'James Silcott, 26.'

Burns and minor trauma
from a chemical explosion

in the apartment
next to theirs.

Decca Richards,
24, same explosion.

Vitals good, complaining
of abdominal pain.

- Baby, you okay?
- Yeah, I think so.

I'm Dr. Gates.
What happened?

(Decca)
We were reading on the couch
when boom!

This blast just came
through the walls, man.

Both trauma rooms are both open.

(Simon)
'Okay, Kaya, with Dr. Morris.'

Gates, you're with me.
Trauma One, let's go.

Follow me.

You're gonna be right
next door, okay?

I'll bounce between
and supervise.

We're attendings,
we don't need to be supervised.

Just watch this time,
get a sense of how things go.

Screw that.

(Sam)
'Eighteen gauge
in the antecube.'

(Kaya)
'Tachy at 118,
pulses are good.'

(Archie)
'Second degree burns
to chest and arm.'

'Kaya, let surgery know.'

'Alright, on my count,
one, two, three.'

(Sam)
'What exploded?'

Don't know, just heard
this breaking glass.

'Probably like his meth lab
or something, guy's a freak.'

Sam, HemoCue,
trauma panel, type and cross.

Why the ultrasound?

Explosion, blunt trauma.
That's why.

(Kaya)
'How's your pain?'

It's pretty bad.
My arm is killing me.

We can get you
something for that.

Five of MS,
titrate up from there.

Get another set
of vitals before you go

dropping his pressure
with narcotics.

Is Decca okay?

(Cate)
'I'll go check.'

Good idea.

(Tony)
'So what kind of music
does your band play?'

It's hard to explain. Imagine a
punk version of 40's standards.

That makes no sense.

Okay, no fluid, looks good.

You'll have to come
check it out sometime.

- Ow!
- Sorry.

Do you want me to try?

I said stand back and watch.

(Tony)
'I had a band once.'

Bunch of sexually frustrated
adolescent boys.

Alright, I.V.'s in.
Hang a liter.

Liter of what?

- Normal saline.
- So be clear.

Everyone knew what he meant.

'We knew one song,
"You Got Lucky"'

'by Tom Petty
and we played it'

over and over again
in this guy's garage.

* You got lucky babe *
* You got lucky babe *

* You got lucky babe *
* You got lucky babe *

* When I found you *
* When I found you **

Over and over again.
I'm not kidding you.

It was, it was sad.

You have a patient on the table.

- A stable patient.
- It's cool, really.

A trauma case can
turn on a dime.

I know that. We're good here.

Every single patient
that comes through that door

is my responsibility.

And I have to know that
I can trust your judgment.

I'm sorry for calling so early

but I've got an obstructive
pancreatitis on the schedule.

(Lucien)
You know what? You gotta stop
doing this, Dusty.

(Dustin)
'Would you jump straight to'

pancreatojejunal anastomosis
or do a sphincteroplasty first?

If the proximal duct is open,
option one, otherwise two.

Intermittent dilation

'go with a Puestow procedure.'

- You are my hero.
- 'Yeah, yeah, I know.'

I gotta run.
I'm doing grand rounds at Rush.

- Dr. Crenshaw?
- What?

Oh, finally,
I've been looking for you.

Andrew Wade,
new surgical intern.

I'm supposed
to shadow you today.

Is black okay?

Fantastic.

Where is she?

You probably should be
getting back to work.

It's my day off. I only came
in because I wanted to--

Neela, I know where
this is going.

But Lucien's a fantastic teacher

and the patients love him.

And he's an amazing
trauma surgeon.

I don't disagree.

Well, then how can you
let him leave?

I don't like it either,
but he forced our hand.

Look, he was upset.
H-he didn't mean--

The board voted for dismissal.
It's done.

(Archie)
'Listen, Captain Hemolysis'

you guys use
the same excuse every time.

Spare me
the dog-ate-my-homework crap

and get me the damn
potassium level, thank you.

Impossible to get
anything done around here.

- You okay?
- Yeah.

When was the last time
you had a day off?

I got a... I got a guy
with bullous pemphigoid

in curtain three,
you should check it out.

Why don't you get
out of here for a while?

It'll be good for you.

Hey. I need you to sign off
on a bunch of stuff.

I'm all yours.

One of the nurses
had me order bactrim

on tricycle girl.

Is that approved for kids?

You're missing the point.
She asked me.

Didn't need my order cosigned
or anything.

Hallelujah, I am so sick

of getting my orders co-signed.

I'm just saying,
there's always been someone

double-checking our decisions.

Making sure
we didn't mess up.

Now you're feeling
like you're flying

without a net, right?

- Exactly.
- It's completely normal.

Yeah, all this
responsibility, I mean..

...I want it,
it's just a little scary.

- Hmph!
- What?

Well, if you're not ready

then you shouldn't be here.

You're all ready,
it just takes

a little time to grow
into this job.

'You have complete
backup, okay?'

No one's expecting you
to run a code the first day.

Now, come on, let's
start with the basics.

Fever with a murmur.

What's the workup?

Surgery wants to admit
the explosion couple

for observation,
but they have no beds.

What else is new?
Okay, park them in the hallway.

I'll write orders for
vitals and fluids.

Hey. See this guy, will you?

He's been waiting
five hours already now.

Oh, s-sorry, Frank. We were
eating bonbons in a bubble bath.

Totally lost track of time.
Go say, "Hi".

Hey, I'm Sam.
I'm one of the nurses.

Finally. I was ready
to give up on you guys.

Check this out.

Do I have flesh eating bacteria?

No, I don't think so.

But, uh, I'll have one of

the doctors take a look at it.

Well, h-how long
is this gonna take?

I got a big test tomorrow,
I can't be here all night.

And if it were up to you,
what would you do?

I just got here 30 seconds ago.

Sometimes, that's all you get.

Okay, um...severe cellulitis.

- IV antibiotics.
- What kind?

I don't know. Um...Ancef?

No, IV Vanco
to cover the MRSA.

And don't
answer a question

with a question,
I hate that.

Well, you gonna
give me some medicine?

What was that?

Just trying to get a sense
of how you think

and what you're capable of.

Oh, well, that's kind of hard to
come up with a plan on the fly--

Hard? You're an ER nurse.

You're the first line against
gunshot wounds, stabbings

you scrape brain off your shoes.

Think a little
bedside teaching's hard?

Forty something male, found down
behind the explosion site.

I don't want this!
Let me go!

Sir, your leg's broken,
you can't walk.

Minor burns to the neck
and torso

probable tib-fib
on the left.

Alright, Gates,
take this with the interns.

- I'll be right in.
- Listen to me!

Why won't you
listen to me?

- Can I run it?
- No. I'm Dr. Gates.

- I don't need a doctor!
- 'What's your name, sir?'

- Shut up! I don't want this!
- 'We gotta call you something.'

Felix! You don't know
what you're messing with!

(Tony)
'Alright, ABCs.
Here we go.'

Yeah, but he's
really tachypneic.

(Daria)
'Could be edema from the fire.'

(Tony)
'On my count. One, two, three!'

Stop!

Okay, I'm only gonna listen.

- Don't touch me!
- Sats 91.

(Tony)
'Sir, your
oxygen level is low.'

We need to evaluate your lungs.

Leave me alone!

Come on, let me just
cut your shirt, okay?

Don't touch,
don't touch my stuff!

- Hold his arms.
- Sir, relax!

- Listen to me! Listen to me!
- Sir, relax!

- Oh.
- What the hell?

Oh, my God.
Now you did it.

- Is this cocaine?
- You cut through the damn bag.

- Bag of what?
- You shouldn't have done that!

- What powder is that?
- It's weaponized ricin.

It's extremely lethal.
I made it myself.

- Oh, ricin?
- You shouldn't have done that.

- I am so out of here.
- Whoa, whoa, whoa, stop.

You open those doors,
the whole ER is exposed.

I told you not to touch me!

Now we're all dead!

- ER.
- Frank, call Hazmat.

We have a situation here.

Cops said the guy
is a real whack job.

Had stuff on anthrax,
botulism, plague.

Alright, let's keep it down.

We don't want people to panic.

We're moving people out
into the waiting area.

I think they're gonna know
something's up.

Environmental Services
won't touch it.

- They said call Hazmat.
- Okay, did you?

Yes, but the fire department
is supposed to respond first.

- Well, what's their ETA?
- Ten minutes out.

Alright, I think we should
seal off Exam Two.

With what, duct tape?
I'll find some.

- Morris!
- Right behind you!

If they get sick, we need
to have access to that room.

Be a few hours before
any symptoms manifest.

Well, we can't just
leave them in there.

They got to be quarantined
till Hazmat

can figure out what
we're dealing with.

Let's, uh, let's just
concentrate on evacuation now.

Evacuation? Where?

You know this hospital,
you tell me.

- 'Hey, hold the elevator.'
- Hey, where are you going?

- Upstairs for observation.
- 'I thought you had no beds.'

Well, we can't
very well leave them here

in Hot Zone, can we?

Surgical lobby.
Come with me.

Dr. Gates, the hazardous
materials team is on the way.

I have an unstable patient

three freaking interns,
please hurry up.

I knew the cops would be
all over my place

so I took my stuff and ran.

There are no masks in here!

There's no gowns either!

I didn't count on
the fire escape collapsing.

You know what, Felix?
Shut up.

This says inhalation
of aerosolized ricin

can kill in 24 hours.

Does it say if it's absorbed
though the skin?

Gloves, we should all
be wearing gloves.

How's his pulse ox?

They're trapping us in here.

[phone ringing)
Oh, my God.

Annie, honey, I'm with
a patient, gotta go.

Alright, let's stay focused.

Secondary survey, let's go.

I've got a year's supply
of Valium in here.

Don't forget the I.V.
tubing and the infusers.

I don't know what
they have upstairs.

How much you think this
would be worth on the street?

After today, I'm thinking
about an alternate career.

You doing alright?

I should bring
some fentanyl, too, right?

He's got a phone in there.

You can call and talk to him.

Nah, he's busy.
I'm busy, too.

Gotta start my new career
as a drug dealer.

I don't want that.

I'm not too interested
in what you want at this point.

I didn't mean
for this to happen.

You should have
told us about this

before we started
working on you.

I tried! Listen, my leg
is really killing me.

Yeah, because it's broken,
and unfortunately for you

we can't help you, because
we're stuck in this room.

Please, something's
really wrong.

(Daria)
'That doesn't look right.'

(Tony)
'Yeah, compartment syndrome.'

We have to do a fasciotomy.

You're bleeding from the
fracture' into the soft tissue

That's why blood is not
getting to your foot.

Ryan, go to the code cart,
get me some morphine.

Morphine? Wait, for this guy?

- We treat everybody the same.
- What's morphine look like?

It's a clear bottle,
black top, says "Morphine."

Man, it's really killing me!

I don't think there's any here.

Alright, alright, I'm sorry,
this is gonna hurt, man.

- 'You, uh, what's your name?'
- Daria.

- Daria, talk to him.
- What? What?

- Talk to the patient!
- Oh, um, okay.

So, so how did you
become a bioterrorist?

Damn it!

[Felix screaming]

Hey!

What's going on?

Hazmat team's about
ten minutes out.

In the meantime,
discharge whoever you can

and bring the rest to
the evacuation area.

You moved all the portable
monitors upstairs?

Grab your instruments,
medicines, whatever you need

because when Hazmat gets here

they're not gonna
let you back in.

- Okay, let's move the CHF-er.
- Excuse me, one minute.

Hey, Mr. Burke, you
can't leave yet.

What the hell is going on?
I heard bomb scare.

Now they're saying
anthrax or something.

It's not anthrax.

Yeah, whatever it is,
I don't need it.

Uh, stop for one
minute, okay?

You have a serious infection,
and you need to be admitted

to the hospital
for IV antibiotics.

Well, I can't be admitted.

I'm supposed to take
the GED tomorrow.

I'm finally gonna
get my diploma.

- 'Sam, we're going up.'
- Please, don't leave.

I'm gonna try to work
something out for you, okay?

[sighs]

Okay, go slow.
He needs an expiratory phase.

Any chance we could give oral
antibiotics to the--

- No!
- He's gonna go home AMA.

Change his mind.

Hey, I thought I said
we were taking

the rule-out MI's
to family practice.

We don't have enough staff
to cover an additional area.

But I got the clinic nurses
to agree to help out!

Dr. Morris, the rule-outs
will wait

upstairs like everyone else!

You just let me know when
you need my help, okay?

I'm here for you.

You think the docs in that room
are gonna be okay?

I don't know.

I hope so.

I, uh, I heard that you worked
in Thailand after the tsunami.

Indonesia.

Well, this must seem
pretty minor compared to that.

Yeah. It is.

ICU says they're not allowed
to lend out their EKG machine.

Don't ask, just take it!

Intubated patients,
through there.

How many more are
left down there?

Another 20 or 30.

We need to make
more space.

Respiratory's on the way
with more than two tanks

and rehab's sending
three vents they aren't using.

- Nice.
- Rehab was Marisol's idea.

- This one's a keeper.
- Sorry. Gotta take this.

Hey.

(Dubenko on phone)
'Eleven hang-ups, Dusty?'

We are under siege!

Yeah, you do know
your number shows up, right?

I can tell it's you.

'I am stuck with a new intern'

and the ER was the target
of a bioterrorist attack.

Mm-hmm. I used to
call that a Thursday.

'Oh, you love this, don't you?'

Me getting my ass kicked
while you get

to sleep in and go to yoga.

I wish that was the case,
but with all the, uh, lectures

conferences and interviews
out here, it's been grueling.

Speaking of which, I got to run.

Yeah. Okay, no, no, wait.
Lucien? Lucien?

You know,
the ER's being attacked

and you're catching up
on phone calls.

Any headway with Anspaugh?

No. But he knows it's crap.

He wouldn't even
look me in the eye.

We got a transplant kid
who pulled out his G-tube.

- Oh, that's Neela's specialty.
- Oh, you owe me.

The guys in the moon suits
are here.

Oh, good, I feel
so much better now.

They must have
an exit strategy.

Fracture must have severed
the tibeal artery.

'I can't see crap.'

It says here that low-micron
ricin particles

may be suspended
in the air for hours.

That's it. We're screwed!

Put the phone down
and get me a suture kit.

I'm gonna have to make
this incision bigger

to find the bleeding vessel,
okay?

(Tony)
'You ready?
Here we go.'

- One, two, three.
- Ow!

Alright, four by fours!

- Give me four by fours!
- I don't feel so good.

You need to lie down.
What are you being admitted for?

Asthma.
It's really bad this time.

We were here all night, my mom
went home to take a shower.

I can't get any air!

No, it's gonna be okay,
I promise.

Alright, Daria,
find a large BP cuff

and put it around his thigh.

Heart rate's up to 135.

Look in the drawer
for a hemostat.

- Like a clamp?
- 'Yeah.'

(Tony)
'A needle driver,
anything, come on!'

Do we have any albuterol
in here?

- It's too much!
- He's not moving air very well.

Alright, so, Felix, talk

to me, who was the ricin for?

It doesn't matter.

Listen, if we're all
gonna die in here

you can at least tell us why.

You owe us that much.

I was gonna send it to

a few officials, prove my point.

- Systolic's only 84.
- This cuff is way too small!

- I'm not finding any clamps.
- Okay!

I'm serious,
this guy needs a neb.

We don't normally keep
respiratory meds in here.

Check-check the cart,
look through all the bottles.

(Felix)
'Homeland Security,
what a joke!'

We let anyone in. Anything can
happen! It's not right!

Well, neither is exposing
a bunch of innocent people

to a deadly biotoxin.

She has a point there, Felix.

'My wife, she used to work
near the Pentagon.'

She got killed
by one of the planes.

Alright, I need prolene.
Get me prolene.

What's prolene?

So this is a dose
of Vancomycin now.

You're gonna go home
with this IV tonight.

In the morning,
before your test

you're gonna come in,
show your bracelet.

They're gonna bring you back and
give you a second dose. Deal?

Deal. Thanks.

I think it's cool you're
getting your GED, you know.

I got tired of telling people
I dropped out of high school.

You're challenging yourself.
I admire that.

(Archie)
'This is Devon,
eight years old.'

'Floor collapse,
fell into a basement.'

Crush injuries to
chest and pelvis.

His mom, Hannah, jumped through
the hole to get to her kid.

Arm looks broken, vitals okay.

Okay, this way.

- Mommy?
- Devon, honey, I'm right here.

- Where are you?
- Get me off of this thing!

- In a minute, ma'am.
- I need to see my son!

What's going on?
We're closed to trauma.

The accident
was four blocks away.

The rig got
authorization to come.

- I never authorized--
- I did.

Diverting an unstable
kid across town

would have been crazy.
I authorized them to come.

(Sam)
'Come on, wake up.'

Morris, throw me that bag.
This kid's not breathing.

- 'Devon.'
- 'Five-oh and a Mac two.'

Alright, I think I got it.

There we go.
God, crap!

- Another prolene?
- Oh, his sats only 81.

Alright, turn up the O2.

It's up. It's all the way up.

Felix, Felix?

(Jacob)
'I can't..'

under the...she
went out of snow.

Dr. Gates, he's altered and
there's no Albuterol in here.

Alright, mac three
and a seven-oh.

Jacob, hang in there,
I'm gonna be right back.

What's a mac?

Macintosh laryngoscope,
size three

seven-oh ET tube.

Got it. We're going to intubate?

Yeah, looks like
we might have to.

V-tach, I can't feel a pulse.

Alright, start CPR.

I can't take my
hand out of here.

Come on, let's go!
Ryan, start compressions.

Daria, bag him. Tracy, charge
the defibrillator, let's go.

Let's do real thing now.

- Three sixty?
- Yeah.

Put the paddles on his chest.

'Come on, put the
paddles on the chest!'

Clear.

Go!

- Still V-tach.
- Alright, resume compressions.

Daria, switch with me.

Alright, put
pressure on the artery

like your life depends upon it.

Tracy, give me that tube.

It's for Jacob,
there was only one.

Yeah, well, this guy's
not breathing, Jacob is.

- Let's go.
- 'He's just a kid--'

Shock him again.

- Clear.
- Alright.

Okay, so you're gonna
let some innocent kid

suffer and maybe
even die to save

a lowlife who tried to kill us?

(Ryan)
'Still V-tach.'

I'm sorry, but why do you
even want to save this guy?

Because we prioritize
the sickest patient.

That's what we do here.

If you guys don't get it,
you don't belong.

Fine...then you tell
that to the kid's mom.

(Gates)
'Alright, I'm in.'

- Tape.
- Got it.

(Tracy)
'Two milligrams, right?'

Yeah, give it to
Daria and, uh...

Always hold the tube
against the soft palate

until it's secured in.

Going again.

Clear.

- Still V-tach.
- Alright.

- Resuming.
- Uh, what do I do with this?

Squirt it in the tube.

(Gates)
'Good.'

- Here you go.
- That one's for Jacob.

Two cc's in the IV.

Won't intravenous EPI
mess with his rhythm?

Maybe, but it'll
dilate his bronchioles

and help him oxygenate.
Alright, do it.

- Tracy, with a flush.
- Here it goes.

[gasping]

- No change.
- Alright, shock him again.

Might work now with
the drugs on board.

Clear.

Back in sinus.

Alright.

Aren't we the heroes.

Hey, come on.
We just saved a guy's life.

(Tracy)
'Dr. Gates, it worked.'

Jacob's sats are coming up.

'Good.'

[telephone ringing]

- Hello?
- 'It's Cate Banfield.'

How you guys doing?

Oh, honestly, we're
a little bored in here.

When you open the doors, you'll
be in a quarantine corridor.

[door creaks]

[machine beeping]

What thehell?

This is so surreal.

Gates, what have you got?

Severed tibeal artery.

I got vascular standing by.

Status asthmaticus.

He needs a terb drip
and the ICU.

I'll make sure they have room.

The four of us...dry martinis,
straight up, with a twist.

You'll all be decontaminated
and admitted for observation.

Well, I hope they can
decontaminate our insides

because we've been breathing
that crap for a long time.

Ow!

Positive Murphy sign, any fever?

Uh, yep, white count's 24.

Ultrasound showed
acalculous cholecystitis.

Okay, it looks like you're
gonna need an operation

to take out your gallbladder.

Will I have to stay
home from school?

Only for a few days. We'll
be doing it laparoscopically.

Which means we'll only
be making a tiny cut.

If you make a bigger cut,
could I stay home longer?

Don't like school, huh?

I just moved here.

And everyone already
knows each other.

- Did you write a pre-op note?
- Uh, not yet.

It's hard, I know.
I just moved here, too.

The girls in my new school..

...well, they're
all into being cool

and making out.

I miss Detroit.

Listen, you don't want to
be cool in seventh grade.

- I don't?
- 'No way.'

Seventh-grade cool
kids peak at 16

and spend the rest of their
lives missing the glory days.

Me and Dr. Rasgotra here?

Huge nerds at your age.

- Am I right?
- For sure.

[pager beeping]

We've got a trauma,
they're asking for you.

Make sure you get
consent from mom.

You know, the truth is,
every cool adult

will tell you they
were an unpopular kid.

- You're just saying that.
- No, it's like, um..

A rule of the universe.

You'll see.

- I will.
- Yeah.

The adventure is just beginning.

Somebody grab me another
cordis, this wire is kinked.

Fluid in Morrison's,
he needs a repeat HemoCue.

I'm on it.

Hey, hang in there.
I know it's hard to watch.

'This is all my fault.'

I took him with me on the job.

I don't have anyone to watch him

stay with him after school.

Believe me, I get that.

I'm a locksmith.

Banks have us running ragged

and changing locks
on foreclosed houses.

Sounds depressing.

Who knows why some
people's lives work out

and others don't?

'It all seems so random.'

Yeah.

Okay, subclavian's in.

'Get the blood bank to
rush our packed cells.'

(Hannah)
'Devon thought that he
saw a cat in the house'

and he went inside to see and..

'...the next
thing I know he was'

screaming through
a hole in the floor.

Your tube's in
the right main stem.

- I know.
- Why didn't you pull it back?

I put it there intentionally
to decrease the risk

of pneumo during line placement.

Then you should
decrease tidal volume.

Okay, you know what?

Youreallyneed to stop
micro-managing everyone.

Do your job, and
I won't have to.

(Rasgotra)
'Look, have this out later.'

We need to get
him to surgery now.

I'll get ortho in here,
to reduce that arm.

- OR's ready.
- Okay, let's go.

I'll update you
as soon as I can.

No, no, give her
a moment with her son.

You know, we don't
have time for this.

Two minutes?

[intense music]

Listen, baby boy.

I want you to be
strong in there.

Okay?

Because..

[sobbing]
...if anything happened to you

the world would stop.

You know that, right?

[indistinct chattering]

Felix made it to the OR.

(Ryan)
'Baby, they do it every year.
It's tradition.'

- What about Jacob?
- He's tucked away in the PICU.

They keep us overnight the
first day. It's a ritual.

Should be fun.

I love you, too.

Kiss the kids goodnight.

Bye.

Why are you lying to your wife?

She'd freak if she
knew the truth.

- Give her a little credit.
- Yeah, got it.

Thanks.

[sighs]

(Ryan)
'Annie grew up in west Texas.'

In a town with
like...4000 people.

Never meant to end up
with a guy from Brooklyn

and she was totally
against moving to the city.

But I fought for it.

Can't really practice emergency
medicine out in the sticks, huh?

Exactly.

I talked her into this.

Ooh, boy.

She was nervous about smog

traffic, purse snatchers.

So, I can't quite
bring myself to tell her

that on my first day,
I was the target

of a weapon of mass destruction.

- Hey, you.
- 'Hi.'

- You okay?
- Yeah.

I'm not coughing up blood

but the night is still young.

Yeah, there's only
eight more hours

till we find out
if we're gonna die.

Okay, well,
they're looking for beds

for you guys upstairs.

'Uh, can I get you some lunch?'

Burgers, fries,
onion rings, all on me.

I mean, after all, it could
be our last day on this...earth.

What's up, Ryan,
you a vegetarian?

- Ryan!
- Whoa!

Hey, we need a gurney here.

Keloid cowboy can go home.

He has a follow-up
in surgery clinic.

Cholecystitis girl will have to
hang here till a bed opens up.

She won't mind. She's crushing
big-time on Dr. Andrew here.

Too bad I only
have eyes for you.

Dusty, that little
boy's going to the OR.

And I'm pretty sure
it's a liver lac.

Alright, tell them
to start prepping.

I'll be right there.

You want to grab a coffee?

You know, after
this settles down?

Or maybe a stiff
drink's more in order.

- It's been quite a day.
- Yeah, it has.

I just thought we could
talk about what happened.

Don't mind her.
She's in a foul mood.

Today's her day off.

She struck out with Anspaugh

and then got
sucked into this mess.

- Struck out with Anspaugh?
- Yeah.

She's on a campaign
to bring Lucien back.

I told her it was a lost cause.
But Neela's stubborn.

- Your uncle's worse.
- Yeah.

Marisol, you work here
on the surgical floor?

The elective
surgery guys were asking

how they could help
and I suggested they take

the obstructive pancreatitis
case off your plate.

I mean, that is, unless you
wanted to do that one yourself.

Are you for real?

We have blood pressure yet?

BP at 85 over 51.
It's too low to get access.

- Is he satting okay?
- Go back to the tent.

- Is it the ricin?
- Go back inside.

- You haven't been cleared yet.
- Hey, is this what happens?

Alright, let's let Dr. Banfield
fix him up. Come on.

You think it's the ricin?

It seems early,
but it's possible.

Brachial artery's here.

Slightly medial,
you'll hit the vein.

'Got a flash.'

Welcome back.

(Reidy)
'Drug overdose in PEA.'

Found him two blocks
away with a syringe

still connected to an IV.

We're closed to trauma.

Yeah, he's wearing a County ID

bracelet registered for today.

Must have wandered
off for a drug fix.

It's my cellulitis guy.

Alright, move him upstairs.

Let's go.

(Morris)
'Resuming compressions.'

Narcan's in.

[machine beeping]

It's the fourth dose.

Are we sure it's opiates?

Some guy told the
paramedics they shot heroin

together an hour ago.

He has track marks
all over his ankles.

It's called a head-to-toe
exam for a reason.

[machine beeps]

Hold compressions.

[machine beeping]

- Still PEA.
- Another epi.

He was taking his high school
equivalency test tomorrow.

He was not the type of guy who
was gonna walk out and shoot up.

Did you ask about IV drug
use before you sent him out

with a portal into
a mainline vessel?

Not specifically, no.

You cannot judge people
based on how they look

or what they're reading.
I expect you to know that.

Just heard from the CDC.

'The ricin powder was
too coarse to vaporize.'

No chance a toxic dose
could have got into the lungs.

[sighs]
Oh! That's good news, Frank.

(Frank)
Exam two needs to stay sealed
pending environmental detail.

That's just a precaution.
Otherwise, we're all clear.

(Banfield)
'Thanks, Frank.
Hold compressions.'

No change.

- That's it, we're done.
- What?

Four rounds of cardiac meds and
still he's in an agonal rhythm.

Core temp's dropping.
This guy's dead.

[machine beeping]

- What's our EBL?
- 400 cc's.

- Not bad.
- Sponge?

How's it going?

Liver lac, grade three,
just like you thought.

Repair's going well,
vitals are solid.

I think Andrew here's
a good luck charm.

- Irrigate right here.
- I'll let the ER know.

- Is it cool if I go then?
- Yeah.

Check out the, uh,
sit-in outside

Anspaugh's office
on your way out.

- 'What?'
- Yeah.

Brenner organized
some kind of protest.

'Everyone's talking about it.'

'The humanity of
this department.'

'I mean, Dr. Dubenko has
been an extraordinary--'

- What's going on?
- We want Dubenko back.

Dr. Brenner says
his uncle responds

to the whole strength
in numbers concept.

Sit down, join us.

Uh, no, I've, uh, got
some loose ends downstairs.

'And certainly not
under these circumstances.'

When can I see Devon?

As soon as he's in recovery,
they'll let us know, okay?

While you were asleep,
the police came by.

They investigated the house.

It seems the prior owner

intentionally broke
a water pipe, flooded

the whole first floor.

Kind of a screw-you to
the bank for repossessing.

We see that kind of thing.

With the heat and
humidity, the floorboards

rotted and just gave way.

Doesn't change the fact
that I've been dragging my son

all over the
Southside changing locks.

He's only eight years old.

He deserves to be
protected from the world.

You know, this idea

that we can
protect our children..

...you believe
it because you have to.

But it's an illusion.

So, what, it's all just luck?

All you can do
is...hope for the best?

You love him.
You spend time with him.

That's all any kid wants.

One second, she's a raging bitch

and the next, she's
Mother Teresa. I don't get it.

Well, she's pretty good
at faking compassion.

Hey, I know you know this

but what she said about
the OD, that was crap.

It wasn't your fault.

Thanks, Archie.

(Frank)
'Hello?'

Hello?

They disconnected
every damn phone.

Pain assessment forms?

File them next to
the H and P sheets.

Okay, um, patient
satisfaction surveys?

- These are all filled out.
- I'll take those.

Okay, and-and-and this
looks like an old handout

on renal failure by Greg Pratt.

Should I toss it?
It's from 2002.

No, you should not toss that.
That's his work.

- That's-that's his legacy.
- Dr. Morris.

Mind if I give
you some feedback?

Oh, here we go.

You need to have better
control of your emotions.

- Act like a leader.
- Oh, come on!

All the, all the
criticism, the bullying.

You think that's how you
get people to respect you?

You have been storming
around here sulking all day.

You are an attending physician.

Not a toddler.

[door creaks]

Did you think
that I was finished?

You know what, lady?
Shut up!

We have been through hell...
here the last few weeks.

But somehow, we're getting
through it. And you know how?

By showing up here

every day and dedicating
ourselves to this work.

You don't know us.

You don't know this place.

And the last thing we
need is for some stranger

to come in here and
tell us how it's done.

I know that you lost a friend

and I'm sorry about that.

But we will never have
a conversation like this again.

Understand?

[door creaks]

[sobbing]

Hey.

- Hey.
- Can I, uh, talk to you?

Yeah, I'm all ears.

Uh, thank you for what you did.

I-I mean, the thing for Lucien.

Um, I don't know if it will work

but I appreciate it,
I really do.

No big deal.

And, um, now, maybe

I'm being presumptuous
here, but, um

if this was in any way some kind
of gesture intended for, well..

...me...I guess I just
want to be clear.

Clear?

We're work colleagues
and that's all.

I don't wanna go for
coffee or drinks with you.

Not now, not ever, okay?

So let me get this straight,
me going to bat for Lucien

is...actually, some sort of

uh, romantic overture
to impress you?

You've lost me there.

But, um, don't worry
about the drinks.

It's, uh, message received.

[bell buzzing]

Dr. Brenner, your favorite
water skier's asking for you.

Thank you.

I've got the old records
on your thalassemia guy.

Thank you.

I called the pneumonia
kid's insurance company.

Told 'em to go to hell,
we're not transferring.

Perfect.

Uh, listen, I-I know
things have been a bit rough

with you and Dr. Morris today.

I-I hope you don't mind
my saying, he's not himself.

He-he took Dr. Pratt's death
harder than any of us.

But he's a good guy,
he's a good doctor and I--

I don't have a problem
with Dr. Morris.

- You don't?
- Nope.

He cares about his patients,
has an opinion, takes a stand.

Works his ass off, which is more
than I can say about you.

Excuse me?

You better get
things in order, Frank.

It's a mess around here.

I can't believe they made
me throw away my shoes.

Louboutins, do you know
how much those cost?

No, but I'm sure
you're going to tell us.

That was quite
the first day, huh?

You could say that.

I got to perform a liver lac
on an eight-year-old boy.

- That is so cool.
- Wait.

- So, they're not admitting you?
- Well, no.

You all heard the ricin
isn't dangerous, right?

(Daria)
'What? So then what happened?'

I mean, why'd you faint?

I was reading
about psychosomatic

responses to
perceived toxic threats.

Apparently, it's pretty common.

Oh, so you're a hypochondriac.

I said psychosomatic.
It's different.

(Gates)
'Either way, you'll live'

to see another day of scut.

Welcome to internship.

The dream starts now. Cheers.

- Hey.
- Hey.

'Health department
said you're cool to go.'

You're free.

Oh! Sweet.

- Later.
- See you, kids.

- Bye.
- Bye.

- Cute couple.
- Yup.

So, when are you going to class?

Oh, forget it.

- It was a bad idea
- What? Why?

'Cause I'm missing things at
work. I'm barely there for Alex.

The last thing I need
is to complicate my life.

I don't know what
happened to you today

but you're a kick-ass nurse
and you're a good mother.

This is important to you and
this is something you should do.

You'll be great at it.

- Really?
- Yes.

Besides, I wanna spend time
with Sarah and Alex anyway.

Alright, uh, I mean, I guess I
can make it, if I really hurry.

'Course you can. Go.

I'm just going to get some beer

we're gonna play some quarters

spark up the bong.

[chuckles]
Hey!

I'm glad you didn't die today.

(Rasgotra)
'The whole
department was there.'

Doctors, nurses, techs, clerks.

They were all sat
outside Anspaugh's office.

'Demanding your return.'

You know, can we
talk about this later?

- I'm about to go out.
- What's there to talk about?

'Neela, these things usually
happen for a reason, you know?'

Maybe it really
is time to move on.

Time for a new chapter.

Yeah, you belong at county.

You know it and I know it.
Don't make me beg.

It's healthy to change
things up, you know?

I was stagnating there.

'Oh, that's bollocks.'

That's what my yogi
says and I'm telling you

he's always right.

[door creaks]

Lucien, don't be an idiot.

Come back to work.

[instrumental music]

[sighs]

[theme music]