All language subtitles for ER.S15E12.Dream.Runner

[theme music]

(male narrator)
Previously on"ER."

You do you,
and I'll do me.

And we'll just go
our separate ways.

What about in vitro?

The chances are
approaching zero.

But they're not actually zero.

You have an infection
in your gall bladder

and you'll need IV
antibiotics for a while.

You got another text.

- From Ray?
- From Australia.

And, girl, he's cute, too.

One day, you'll
wake up next to me

and you're gonna wonder
how this happened.

And I'm gonna smile
and remind you

that I predicted it.

(Neela)
The toughest thing
about being a doctor

isn't the terrible hours.

It isn't the
loneliness, the isolation

or the knowledge that
one day, we all lose out

to the relentless decay
of the human body.

No. It's something else.

[phone ringing]

Ray, it's 5:00 a.m.

[alarm beeping]

Yes, I know.

But sometimes we do

actually get to sleep on call.

Good. You should be.

You know I have
those stupid interviews

later today.

No, I didn't forget.

Happy birthday.

Of course, I was gonna call.

It's 5:00 a.m., man,
give me a chance.

[alarm beeping]

It's my intern.
I better answer.

I'll call you later, okay? Bye.

Hey, Ana.

You having a party in here?

Something like that.

Tachy all night and
then the BP took a dive.

Crackles bilaterally.

I left mine in the ER.

Sensitivities come back
on the blood culture?

Vanco-resistant
enterococcus.

That's what you were
worried about, right?

Yeah. Let the PICU
know we're coming.

Pick a color and a
number between one and ten.

Blue and three.

B-L-U-E.

(Lucien)
'Hey, at this point, removing
the source of infection'

is our best option.

You mean taking out
my gall bladder?

Yeah.

Let's finally
get you better, okay?

Hurry up, I'm getting sick
of you people.

I'm gonna go
call your mom.

Hang in there, Ana. I'll check
on you in a little while.

Don't you want
to hear your fortune?

I'll be back soon, I promise.

Lucien, are you
sure about this?

No, but the
conservative approach

doesn't seem to be working out.

She's bacteremic and
hypotensive. If we go in now..

The toughest thingis making
the right call when it counts.

- Forget it.
- What, you have another idea?

No, it's fine.

Neela, you're gonna
be an attending soon

you better get used
to asserting yourself.

No, really, you're probably
right, I'll go let the OR--

You know what?

These sorts of decisions

are the hardest part of our job.

You consider the alternatives,

follow through in your
mind and make a choice.

Can't control what
happens after that.

OR in ten minutes.
I'll meet you there.

Yeah, that's totally gonna

make the elevator come faster.

[phone ringing]

Sorry, uh.

Found it.

Dr. Rasgotra,
perfect timing.

Page the intern,
I'm not really here.

Nick Vasquez, 28, fell
through a second story window.

A closed window, unfortunately.

How'd you fall?

I was bailing out of a plane.
In my dream.

- I'm a dream runner.
- Dream runner?

(Nick)
'Yeah, most people are paralyzed
during REM sleep'

so they don't actually do what
they're dreaming about doing.

My brain chemistry's off,
so that paralysis thing

doesn't work right.

So you act things out?

Big wave surfing

car chases, dragon slaying.

- I've done it all.
- On my count. One, two, three.

(Tony)
'Alright, vitals
stable en route'

complaining
about abdominal...pain.

(Neela)
'Well, that's understandable.'

Tib-fib displaced. I'm gonna go
get a Stryker probe.

(Neela)
'What? Why?'

Gates missed a bad compartment
syndrome' last week

doesn't wanna get burned again.

Well, it's a good pedal
pulse, no swelling.

I doubt it's
compartment syndrome.

I'll be right back.

Hey.

Hey.

- Here.
- What's this?

Those Blackhawk
tickets that we got.

It's, uh, this week.

You take them, Sam. Take Alex.

No, no-no-no,
it was your idea.

You might wanna
take someone else.

Gates! You have six
patients on the board

including a fresh trauma,
so cut the chatter.

Dr. Morris.

(Dr. Banfield)
'Four of your patients
bounced back tonight.'

- It'd be okay if you did.
- If I did what?

- Take someone else.
- Sam, will you stop it?

There's no one else
I want to take.

Here.

Gates, get plain films

then remove shards
and then irrigate.

Sam, we could use
you in there, too.

- Poor guy's IV keeps blowing.
- No problem.

- Check crit q 30--
- What the hell was that?

- What was what?
- Banfield, man.

One minute she's
kind of loose and cool

and then snap, she's
back to piranha queen.

I think she was actually
annoyed at me for being short.

She made Frank take off his tie

and throw it in the trash.

Dr. Morris, come with me,
it's important.

Uh, good luck with
the interview thing.

Oh, right.

- Okay, you ready?
- Uh-huh.

Ta-da!

I got under the mud flaps

and matched the original color.

- You are kidding!
- Mm-hmm.

I rebuilt the engine,
threw away the Amals

and installed
Mikuni carburetors.

My, my dad..

showed up on this for
his first date with my mom.

Yeah,she was mortified.

Made them walk
to the movies.

A month later, she was
riding on the back of this thing

wearing nothing
but a macrame bikini.

Yeah, these have
that effect on people.

Okay. Go ahead.

Try out your new bike.

No.. my new?

No, Jerry, I said
you could have it.

No way.
This belongs with you.

Fire it up.

[engine revs]

Keep the shiny side up!

[screaming]

(Lucien)
'Take a few breaths and when you
wake up, we'll be done.'

(Anastasia)
'Dr. Rasgotra'

you're gonna be here
the whole time, right?

Whole time.

- 'Did you remember the music?'
- Sure did.

[instrumental music]

That's nice.

"Suite for Solo
Cello Number 1 in G."

Dr. Rasgotra, you rock.

(Lucien)
'Okay. Let's get started.'

Neela needs
to get out of here

to get to work
on her future.

It's okay.
I cancelled my appointments.

- 'What? Why?'
- First liter's up.

(Neela)
'I'm post-call and exhausted.'

I called in some favors to get
you those interviews, you know.

I understand you feel bad
about me not having a job here.

Who told you that?

All this time you've been
acting like you'd never

let me leave, but I get it.

- Things change.
- Where is all this coming from?

You and I have
never had a serious

conversation about
the prospect of you staying.

Exactly. Eleven blade.

Trocar.

Ooh, it's hot in here.

Is it hot in here?

Check this out.

It's fine.

Except for the
pelvic fracture, right?

[groans]

Uh, grade two,
non-displaced.

Somebody's here to see you.

[chuckles]
Hey, honey.

Find someone to take
Oliver for the night?

Yeah, your mom came over.

- Thank God you're okay.
- Can you give us some room?

You know, we've
tried everything

sleeping bags, mitts,
even handcuffing him to the bed.

Hey, now.

But every few months,
he has a crazy dream

'and ends up back
in the hospital.'

- Oliver's your son?
- Yeah. Just turned one.

Crit dropped
another two points.

It's dilutional, most likely.

Alright, we'll check another
HemoCue in a half hour.

What, and meanwhile, we
just let it keep dropping?

I thought you said
it was "dilutional?"

Recheck it now, Sam.

I already signed out to Suri.

- I'll let her know.
- What? You're leaving?

Yeah, my shift is over.
And they're waiting for me.

Shifts and breaks,
such a nurse-y concept.

Always hated them.

Bye, Mr. Vasquez.

Damn it, I think I nicked
the common bile duct.

You think you did or you did?

You did.

There's so much inflamed
tissue, I couldn't see.

Well, then you had no business
in cutting, ten blade to me.

We're converting to open.

Systolic's 86.

Everyone knows Samantha Taggart

from the ER, right?

I'm starting clinical for
my nurse anesthetist program.

(Lucien)
'Sponge.'

Record the vitals q five
minutes, I'm gonna check next..

- You're leaving?
- I'm precepting a trainee.

I'll be in and out.

- Bovie.
- Something the matter?

It's probably not
the best teaching case.

Neela, counter traction.

Thanks for the vote
of confidence.

- Don't take it personally.
- It's a teaching hospital.

- Yes, I'm aware of that.
- Guys.

But operating on her
was dicey to begin with.

It was your call.

The very least, we should
have our A team on the case.

I'll throw
both of you out of here..

Why don't you focus
on your job, let me do mine.

Oh, my God!

[screams]

[instrumental music]

[machine beeping]

I dialed
the halothane down

when her pressures
started getting dicey.

(Neela)
'I'm in.'

I forgot to tell you to turn it

back up after a few minutes.

- You forgot?
- I am so sorry.

Yeah, well, tell it
to the girl on the table.

Okay, let's clean this
mess up and move on.

Run of six, giving lido
40 milligrams bolus.

Right. Then 0.5 per minute.

It's the ER.
They need a surgeon down there.

Surgery's got
an unstable kid on the table.

- It's gonna be a while.
- Great.

- Cordis in.
- That wasn't so bad.

He's got a high
tolerance for pain.

(Tony)
'Hang a unit of type specific.'

How's it going in here?

He's tachy and
crit's down to 29.

Alright, let's pack him
up and get him to angio.

Angio? You mean CT, right?

No, I mean angio.

(Cate)
'He's has a pelvic fracture.'

(Tony)
'The fracture's non displaced,
unlikely to bleed.'

- The ultrasound was negative.
- 'Could be retroperitoneal.'

(Cate)
'If the angiogram is normal,
we'll explore that theory.'

Right now, the pelvis
is where the money is.

In all these dreams

'you're always there.'

You're always the girl.

[machine beeping]

- Nick?
- Mac three and an 8-0.

(Mrs. Vasquez)
'Oh, my God, what's happening?'

5000 units of heparin.

Do you wanna give
protein C first?

It's not standard protocol,
but there've been some

good outcomes
for DIC with sepsis.

Go ahead.

The thing is, you've to give it

before you give the
heparin or it won't work.

It's something that
came up in class.

Okay, protein C,
and then heparin.

V-tach.

I can't believe this.

- 0.4 of epi.
- Going in.

Clear!

- No change.
- Again. Clear!

- No change.
- Again. Clear!

- Hey.
- What happened?

What did the angio show?

Lost his pulse before
we could do the study.

Charged to 360.

Clear!

- No change.
- Give the amiodarone.

I'm sorry to belabor this,
but you don't drop your crit

ten points
from a non-displaced pelvis.

It could happen.

If you'd scanned him

you might've seen
what I'm seeing

in time to do
something about it.

Go find an OR.
The belly is full of blood.

Know where it's coming from?

- Go!
- Clear!

(Sam)
'Fourth epi's in.'

Okay, someone update the mother.

I should have fought you
on this.

Yes, maybe you should have.

Dream runner's
bleeding out in angio.

- Okay, go, Neela.
- I promised I'd stay.

Hold compressions.

- V-fib.
- 'Switch out.'

Go, Neela.

'Go.'

[instrumental music]

Go!

[music continues]

[phone ringing]

Ray, I'll call later.

(Cate)
'Hold compressions.'

[machine beeping]

(Archie)
'Still asystole.'

This is over.

13:43.

Please know that we did
everything we could.

Excuse me.

This can't really
be happening.

I'm so sorry.

This feels like a dream.

(Cate)
'We can't see the future.'

Sometimes we can, actually.

With this handy
new technology called the CT.

Have you heard of it?

Fine! Do I wish I could
do it over? Yeah. I do.

But there was no way to know
that that was the wrong--

No, no Gates was begging
you to get the scan.

Gates is a resident.

Don't make this
about hierarchy.

If any of us, even you

refuse to hear
any other opinion

the system breaks down.

What system?

You guys don't have a system.

All I see here
is chaos and disorder.

(Archie)
'Maybe that's the problem.'

'Maybe that's why,
after five months'

'you still don't get it!'

- You still don't fit in!
- 'Fit in?'

This isn't junior high.

Weare a team.

Wework together.

Butyouthink that you're so
much better than all of us

so much, so much smarter

you will never let
yourself be part of it.

- That is not--
- If you wanna be a queen.

Go into private practice,
go back to Indonesia

leave medicine altogether.

But don't torture us here.

Dr. Banfield..

Jerry, turn this in
to human resources, okay?

- 'What are you doing?'
- Going home.

This isn't your fault. If I'd
come down sooner, I could have--

It's not about you.

Dr. Banfield,
what's really going on?

Are you sick?

I mean, this morning,
the injection.

Please. Leave me alone.

[phone rings]

Hello?

Yes, I'll sign
the death certificate.

Wow.

Now what did that phone
do to deserve that?

Hi, Simon.
Great to see you.

How was Australia? Good.

You okay?

It's just been
an unbelievably horrible day.

You know what you need?

A didgeridoo.

Banfield just quit and I
just helped kill two patients.

Ah, uh..

Neela, I'm sorry.

Neela.

(Neela)
The care of every
patient is a twisty maze

that leads to an infinite
number of potential outcomes.

We hope that knowledge
and experience guide us

but sometimes
it becomes obvious

a wrong turn was made.

[phone ringing]

Ray, it's 5:00 a.m.

I know, but sometimes we do

actually get to sleep on call.

Pick a color and a number
between one and ten.

Blue and three.

B-L-U-E.

Hey, at this point removing
the source of the infection

is our best option.

You mean taking out
my gall bladder.

Let's finally
get you better, okay?

Hurry up, I'm getting
sick of you people.

I'm gonna go call your mom.

Hang in there, Ana, I'll
check on you in a little while.

Don't you want
to hear your fortune?

I'll be back soon, I promise.

(Neela)
If only it were possible

to apply the wisdom
of our mistakes.

Go back to the fork in the road
and this time, be assertive.

Choose the road
we think we should take

not the path
of least resistance.

Forget it.

No, wait.

Don't forget it.
She could die on the table.

Yeah, well, she could
die if we do nothing.

These sorts of decisions are
the hardest part of our job.

Well, let's wait one more day.

We'll move her to the PICU

I'll get ID
to approve the Synercid.

If there's no
improvement, we'll take her

to the OR first thing tomorrow.

Okay.

- Okay?
- Yeah.

You're almost an attending

I need to start
listening to you.

Meet me in the unit
for rounds in ten.

Yeah, that's totally gonna make
the elevator come faster.

What, are you like
in seventh grade?

I look young, I know.

[elevator bell dings]

[elevator bell dings]

You know,
of course I realize

that pressing
a button ten times

is not gonna make
it come any faster

but sometimes, when you're
powerless in a situation

you've got
to do something.

That's why you're
a surgeon, right?

You like to cut, fix, do.

I suppose.

Ah, but to choose inaction

is in and of itself action.

Isn't it?

- Who are you?
- Ned Roth.

Patient transport specialist.

Buddhist. Omnivore.

- Neela--
- Rasgotra.

Yes. I know.

Have a nice day, doctor.

What are you doing?

And don't say it's none
of my business, because it is.

It is?
How's that?

Because if you're doing
drugs, we need to know.

And if you really
wanted to keep it a secret

you wouldn't be shooting
up in the break room.

It's 5:30 in the morning.

I didn't think anyone
would be in here.

It's recombinant FSH hormone.

We're trying to have a baby.

Oh.

'Wow.'

We're giving in vitro a try.

Well, that's exciting.

Well, we better all hope
it works the first time.

I tell you these drugs and
doctoring is a dangerous mix.

Why do you say that?

I'm erratic, indecisive

and I've been a real
bitch to the staff.

Really?

Even more than I usually am.

'Everyone and everything
just seems to get on my nerves.'

I don't know,
maybe I should quit.

Oh, no.
Don't be silly.

- Neela. This conversation--
- It never happened.

Dr. Rasgotra,
perfect timing.

Page the intern
I'm not really here.

Uh, I got a guy who fell
out of a second story window

they need a surgeon
in trauma one.

Alright. Page Dubenko
and let him know, okay?

I hear you're interviewing
for attending positions

at the trauma
conference today.

You did?

Yeah, Lucien's whining

about losing you
to another institution.

He was?

Don't look so shocked,
you gotta know

he's been grooming you
for a faculty position.

Really? 'Cause he's the one
who set up all the interviews.

- Neela, that's the game.
- What do you mean, "the game?"

My brain chemistry's off

that paralysis thing
doesn't work right.

So you act things out.

(Nick)
'Big wave surfing, car chases'

dragon slaying,
I've done it all.

On my count.
One, two, three.

(Tony)
'Vasquez, please meet our
esteemed' surgical colleague'

Dr. Neela Rasgotra.

Hello.

- I'm gonna need surgery?
- I hope not.

Ah. Well, these
seem superficial

but let's get an X-ray
just to be sure.

What did the ultrasound show?

Just called for the machine.

Tib-fib displaced.
I'm gonna get a Stryker probe.

Good pedal pulse,
and no swelling.

He doesn't have
compartment syndrome.

No, Gates missed a
compartment syndrome last week.

- He's got PTSD.
- Stay. That's ridiculous.

It'll take five minutes.

You can't let a bad case

from last week derail your focus

on the patient
in front of you, got it?

Whoa, someone ate
their Wheaties this morning.

- You guys looking for this?
- Yeah, thanks.

(Neela)
'Can we lower
the table, please?'

Hey. Haven't seen you all week.

- I know. It's weird.
- Yeah. Really weird.

Sam, we need
a second line over here.

Uh, there's something that I
wanna give you later, okay?

I'm not getting a
good look at the spleen

but the belly looks clear.

No sign of
internal injuries.

Morris, I'll stay here,
you go run the board.

What? I'm already in on this.

I know, but I am in no
mood to move the meat.

And I have the authority
to do what I want.

- "Move the meat?"
- Authority?

Drunks, drug seekers, hysterical
parents, they're all yours.

- 'Shoo!'
- Okay.

I've gotta run
to rounds in the PICU.

[panting]

Hi.

How's the new digs?

Okay, except for no TV.

Well, at least you have
your own room up here, right?

[machine beeping]

Her, uh, oxygen level
is still a bit low.

So what now?

We wait, and hope her own immune

system conquers the infection.

(Neela)
'She can do it. She's tough.'

I need you to get better so you
can help me download Scrabble

'on my cell, okay?'

- Hey. How's she doing?
- On 20 of dopamine.

Sats' hanging around 90,
lactate's on the edge.

(Lucien)
Well, the next 24 hours
will give us our answer.

You off to your interviews?

Actually, I was
thinking of canceling.

- What, are you crazy?
- Well, Ana's my patient.

I should see this through.

No, go.
I'll take care of it.

I'll call you
if anything changes.

Trauma programs will
be fighting over you.

Alright, then.

You know, um, I don't get it.

Get what?

You seem to be dying
to get rid of me.

You keep mumbling about
the hiring freeze at County

pushing me to
do interviews all over.

But then, I keep
hearing other things.

What other things?

If you want me to stay

how come you've never asked?

We can't have
this discussion

until you've seen
what else is out there.

I'm serious.

Just Go. Get out of here.

[Tony humming]

Wow, look at you.

How's our
dream-walker guy doing?

Runner. Dream runner.

He's stable,
waiting for ortho.

Good.

(Neela)
'You know, I should be
on the El right now'

'rushing to this
interview thing'

'but instead, I'm here
obsessing over cheese'

or ranch.

Do you know what else
I'm thinking about?

- Twinkies?
- Sam.

(Neela)
'Think I always
sort of underestimated her.'

I feel bad about that.

And you know, you two
should never have broken up.

Yeah, well, it's
sort of complicated

and I think it's best
if I lay low right now.

Well, inaction is in
and of itself action.

What?

Don't listen to me.

I'm post call,
and you know how I get.

[phone ringing]

Daria.

[car engine revving]

Hey, stranger.

Well, when did you get back?

Last night.

Sorry. I, uh...I haven't
eaten in, like, 24 hours.

Would you want to go
and get a proper lunch?

Uh...no, I can't.

I've got a bunch
of attending interviews.

- Cool.
- Is it?

I'm not so sure.

I'm supposed to know
things and have goals

and how could I have
gotten this far in my life

and have no idea
what I want from my life?

Sorry. I'm rambling.
And self-absorbed.

How was your trip?

Neela, you don't have to know

exactly where you're going.

You just got to
keep moving forward.

That is the key to
happiness, really.

Well, you've got it all
figured out, don't you?

See you later, Simon.

* ...I find it hard to take *

* When people run in circles
it's a very, very *

* Mad world *

* Mad world *

* Mad world *

* Mad world **

Hello. I'm--

Neela Rasgotra.

I'm so glad you're here.

I thought you were in
London all this time.

It was great for a while

but I'd been gone too long

and England just
didn't really feel

like my home anymore.

Oh, believe me,
I know what you mean.

And then I got
the call from Duke.

How's Ella doing?

Amazing.

Eight, if you
can believe it.

Oh, wow.

She's beautiful.

[laughs]

Durham's a great
place to raise a kid.

I thought I was
gonna miss the city

but I don't.

So, uh, when
I left County

you were still doing
emergency medicine.

Yeah, well, I saw the light.

Are you looking mainly
at academic positions

or community hospitals?

Uh, uh, I don't know.

- Uh, both, I guess.
- Mm-hmm.

And are you hoping to
focus on trauma surgery

or are you open to
elective cases, as well?

I'm open.

And, uh, do you have
any research areas?

I haven't really
figured any of that out yet.

Not really the sort of thing

one says at a job interview.

No.

But I appreciate the honesty.

So, is Lucien helping you?

Helping me with what?

Figure things out.

[pager beeping]

Uh, sort of, but not really.

I-I don't think
County's really in my future.

County's an amazing place.

What I learned there..

It was a very intense
period...in my life.

But it made me
the doctor that I am now

the person that I am now.

Did you ever
consider coming back?

Yes. Briefly.

But there is something
to be said for getting

away from the place
where you trained.

Oh?

They've known you since

you were a medical student.

And at some level
the faculty will

always see you as little Neela.

You go somewhere new,
you'll be taken seriously

in a way that will not
happen if you stay.

[pager beeping]

You know, you really should
turn that off during interviews.

Oh. Got to go back
to the hospital.

You don't have someone
covering for you?

- Oh, I am so sorry.
- Neela, let's just finish up.

- We're almost done.
- Thank you so much, Dr. Corday.

Maybe you should come by
and visit County some time.

Yeah.

Maybe sometime I will.

Sam, there's a bunch of
stuff I need to say to you.

Me, too.

I miss our--
These are yours.

Gates, Morris is intubating
your sleep-walker guy.

[sighs]

- What happened?
- 'Suction.'

Crit dropped,
and he got altered.

I'm in. Bag him.

Sam, call angio.
Tell them we're on the way.

- Angio?
- Angio?

Crit drop, pelvic fracture.

- He needs angio.
- What's angio?

Run of V-tach.

300 of amiodarone

hang two units
on the rapid infuser.

Somebody please explain.

(Tony)
'He's bleeding internally.'

We have to find out where, fast.

Dr. Banfield, can I talk
to you outside for a minute?

Alright, pack him up!
Let's get ready to move.

[phone ringing]

Hey, Ray.
I'll call you back later, okay?

We can't wait any longer.

Please...I want Neela here.

Sats' 87.

I'm sorry, honey.
We have to do this now.

Ana, honey, you can do this.

You've been through worse.

Please, mommy, the music.

[instrumental music]

I love you, sweetie.

Push the etomidate.

[instrumental music]

He's bleeding from
the belly, not the pelvis.

He needs a CT.

And if the angio's negative,
he'll get one.

Look at him, he's about to code.

There's not enough
time for two studies.

We got to make the
right decision right now.

Clock is ticking.

Neela, dropping
crit status, post

abdominal trauma
and a non-displaced

pelvic fracture
what's first, CT or angiogram?

This our dream-runner guy?

I'd get a CT.

Alright, take
him to the scanner.

[music continues]

- 'Epi's in.'
- What happened?

Acute chest, sepsis.

She started third
spacing everywhere.

Still PEA.
Code team page.

Ana, honey, please,
I know you hear me.

Don't do this, okay?

- This is my fault.
- It's the infection's fault.

You wanted to
take her to the OR.

You knew this was
the wrong call.

We could've been screwed
either way, we made a choice.

You can't control
what happens after that.

(Shirley)
'I'll be there when I can.'

Full arrest in the scanner some
guy jumped through a window.

- Damn it!
- Stay with us, okay? Please.

Get me the transcutaneous pacer.

Hold compressions.

[instrumental music]

This is over.

[music continues]

(Neela)
For some patients,
there is no road to recovery.

Nothing we do as doctors
will alter the outcome.

At least that's what
we tell ourselves.

[phone ringing]

Ray, it's 5:00 a.m.

B-L-U-E.

(Lucien)
'Hey, at this point, removing
the source of infection'

is our best option.

You mean taking out
my gall bladder, right?

Let's finally
get you better, okay?

Hurry up, I'm getting
sick of you people.

I'm gonna go call your mom.

Hang in there, Ana. I'll check
on you in a little while.

Don't you want
to hear your fortune?

I'll be back soon, I promise.

(Neela)
When their way doesn't work

and your way doesn't work

you've got to accept defeat.

Or...find another way.

What about
percutaneous drainage?

Maybe the pus
re-accumulated

or she developed an abscess.

- Not likely.
- Less anesthesia, lower risk.

Might still allow us to
remove the nidus of infection.

Okay, then what?

We switch her to Synercid,
watch her in the PICU--

Fine. Set it up. I'll meet you
in the PICU in ten.

- Really?
- Yeah.

You're almost an attending.

I need to start
listening to you.

[upbeat music]

(Neela)
'Ray, happy birthday.'

No, I didn't forget.

Geez, man, I've never heard

of someone being so
psyched to turn 30.

I'll call you back later, okay?

Big wave surfing,
car chases, dragon slaying.

I've done it all.

Neela, Dr. Dubenko says hurry.
He's in IR with your girl.

I'm not getting a good
look at the spleen.

Sam, will you hand me
the DPL kit, please?

Are you serious?

We don't do DPLs anymore.

It will give us a fast answer

and spare him
the radiation.

Ten blade, Betadine,
and lido, come on.

I'll give you a
hand with that.

- Here you go.
- Thanks.

Hey, listen, you know those

Hawks tickets that we bought?

Yeah, what about 'em?

Well, the game's coming up

and, um, I was thinking

maybe I could take Alex
if you were cool with that.

(Sam)
'I don't know.'

Well, he loves hockey, and..

...it'd give us a little guy
time, give you the night off.

I'll think about it.

- Fluid's pink.
- What's that mean?

(Neela)
'It means you have internal
bleeding and you're gonna need'

'an operation
to repair the injury.'

- Wow.
- 'Well, we got it in time.'

So we're gonna be able
to fix everything up.

(Neela)
'Morris, let the OR know, okay?'

Dubenko's waiting for me.

NPO and check the crit q 30.

- What the hell was that?
- What was what?

Gates following Sam around
like a puppy in there.

Guy does not know
how to play it cool.

Uh, Dr. Morris.

Come with me,
it's important.

Sorry, Ana, I got
stuck in the ER.

(Lucien)
'There, that's the liver.'

Good. Aspirating.

Sats' up to 92.

- Wow.
- What?

(Lucien)
'A lot of purulent
material here.'

You should go I don't want you
to be late for your interviews.

I can't leave
in the middle of this.

It'll be hours before
we know anything here.

Go and mingle.

All the top trauma programs

will be there.

- Flush.
- 'If you say so.'

(Lucien)
'And when you've
weighed all your options'

I hope you decide to stay.

- What?
- Assistant professor.

Full benefits,
research and admin time.

You'll get an official
offer letter in a few weeks.

Lucien.

Whatever happens

you got a backup plan here.

I-I don't know what to say.

Shut up and go.

[instrumental music]

Wow, look at you.
Where are you going?

Bunch of job interviews.

- I'm late.
- Good luck.

Hey, um, did our dream-runner
guy make it to the OR yet?

No, the beds
were full he's next.

Will you do me a favor
and repeat the ultrasound

making sure you stay
ahead of the blood loss?

- Yep.
- Okay.

Whoa!

Hello, Neela.

You're back.

I'm, uh, so sorry.

I'm late for these interviews
and I have to get the train.

I can't believe this.

Yeah, I had the guy
replace all the chrome.

Do you mind
if we borrow your bike?

You know, surfing, barbecues

all the usual January stuff.

Bastard.

Still, I missed this dark, cold

miserable place every day.

Really?

And what exactly did you miss?

I don't know.

It wasn't the weather

or, uh, my apartment.

It wasn't even
the job really

although, there is
a certain surgeon

Am I, uh, am I boring you?

I couldn't seem
to get her out of my head.

You, doctor..

...need to go.

I do?

Oh, I do.

You're gonna kick ass
in there, Neela, I know it.

Simon, I missed you, too.

A little.

OR is gonna be
another hour, at least.

You just did that
ten minutes ago.

I know, but I promised
Neela I'd check again.

I-I don't feel so good.

He looks pale.
Don't you think he looks pale?

Alright, Sam, hang
two units on the rapid infuser

and please call
the OR again.

What? What is it?

So the next thing you need
to do is come visit Durham.

Can you really see
me living down south?

It's a lovely city.

It's much more
cultured than you think.

Simon.

How'd it go?

Uh...very well, I'd say.

Uh, Simon,
this is Elizabeth Corday

chief of trauma surgery at Duke

'and Simon is an ER
attending at County.'

Nice to meet you.

Neela, give me a call
when you've thought about things

and we'll talk details.

Take her out
for some champagne.

That sounds
like you killed it.

I don't know, you spend
all these years scrambling

for the privilege
of becoming a doctor.

It feels crazy to be,
you know, wanted.

Well, get used to it.

What's this?

instrumental music]

Second unit's up.

- 'I'm in, call for a vent.'
- Introducer.

Forty five minutes till
they can give us an OR.

- That's too long.
- We'll never keep up.

Well, what choice do we have?
Sam, get a second infuser.

- I'll hang an IJ.
- I've got the subclavian.

We'll dump in the blood and the
FFP until the room is ready.

Nick, hang on, okay?
I need you.

'Oliver needs you.'

(Sam)
'V-tach, no pulse.'

- You're charged.
- Mig of epi.

Alright. Clear.

- Units 11 and 12 are up.
- Clear.

(Archie)
'No change.
Resume compressions.'

- Please, baby, don't do this.
- Again.

[instrumental music]

Okay, enough.

Sterile sevens
and a thoracotomy tray.

I cannot bear another
one of these right now.

- Another what?
- What are you doing?

A room shortage is
a stupid reason to die.

I will clamp the aorta and
fix this myself, if I have to.

Well, alright.

Where are you going?

I have to go to the hospital
and check on a patient.

Come on.

You are kidding. Have one
of the interns do it.

Just stay here,
I'll be back in an hour.

And don't say it.

Say what?

You know what.

I told you so.

- Aah, it keeps slipping.
- Try a bigger clamp.

- The heart's barely filling.
- Oh.

[Cate grunting]

[phone ringing]

Alright, got it!

Alright, run in another
liter and shock him again.

Alright.

(Tony)
'Clear!'

Sounds like you guys
could use a surgeon.

- Back in sinus.
- Hallelujah.

[sobbing]
Thank you.

After I ran into you,
I came back and checked.

'He was bleeding out.'

Another five minutes, it
could have gone the other way.

This isn't a done deal.

Okay, well,
let's get him upstairs

while he's still got a pulse.

[sighs]

Hey, Tony.

I'm sure Alex would love to go
to that Hawks game with you.

Thank you.

Anytime.

Get some sleep, Ana.

No more 2:00 a.m. "Guitar Hero"
with the clerks.

I'll see you in the morning.

Don't you wanna
hear your fortune?

(Sheila)
'It can wait, honey.'

She's been awake
for two days.

Yeah, go home already.

"Your actions are
the seeds of fate."

Not exactly a fortune
more of a theory, really

but I'll take it.

(Lucien)
'Hey..'

...you never did my fortune.

Pick a color and a
number between one and ten.

Goodnight, guys.

Rounds are at 7:00.

Okay, green and six.

G-R-E-E-N.

One, two, three,
four, five, six.

[phone ringing]

* ...Mad world **

[theme music]