All language subtitles for ER (1994) - S04E22 - A Hole in the Heart (1080p WEB-DL x265 MONOLITH)_track3_[eng]

Previously on e.R.:

Peter?

Oh, hi, lizzie.

I think it's time you
And I had a sit-down.

Is there a problem?

Am I hearing jealousy?

I think you're trouble.

What about his
Heroin addiction?

It wasn't heroin.

It was pain killers--
Percocet.

I'm doing ultrarapid detox
And end his addiction today.

You're going to keep him
Hidden here for 12 hours?

Found doug in exam four,
Detoxing this baby.

What?!

You're going
To explain this

To the hospital
Administration

And the executive
Committee.

You looked me in the face
And lied.

That is not fair, doug.

You never would have
Let me do this in the e.R.

You didn't even have
The ability to monitor.

E.K.G., pulse ox,
End title co2

And invasive b.P.
With a radial art line.

You never got consent.

From who, a mother
Who chugs his methadone?

D.C.F.S. Would have
Followed through.

Followed through for what?

A child whose development
Is already stunted?

Been expecting you.

Desk clerk called
A minute ago.

Admit orders?

There aren't any.

Everything you need
Is right there.

Start him on labetalol,
Titrate point five

Q five minutes
To a diastolic of 60.

Hey, doug. Alexander babcock,
Pediatric anesthesiologist.

Kerry weaver, acting chief
Of emergency medicine.

This is josh mcneal,
Seven months old

Hypertensive,
In opiate...

This boy was born
Addicted to heroin.

His mother's stealing
His methadone.

I put him
On an ultrarapid detox.

I've heard of a couple
Of those being done.

It's still

An experimental procedure.

B.P.'s not bad: 150/90.

This boy needs
To be stabilized

And put back
On methadone

Until administration and legal
Review this case.

What did you use
To induce it?

Ketamine until
He stabilized

And then narcan
For the detox.

Propofol's better.
Yeah, I agree.

We didn't have it.

No, but we got it up here.

Let's d/c the ketamine.

Start him
On three migs of propofol

And then 150 mikes
Per kilo per minute.

You're continuing with this?

The approach
Seems reasonable.

If it gets the boy
Off the methadone...

You cannot perform procedures
On children without permission.

Dr. Ross went overboard

But it's in the child's
Best interests

To complete
What's been started.

Who will be on
For the follow-through?

I am. I was off work till
Tomorrow, so I'll stay.

Okay.

Your actions are
Totally irresponsible.

You've broken every
Rule and regulation
We have in the e.R.

I want to make sure

This boy gets a decent
Shot at a normal life.

I don't care about
Regulations.

I hope you also
Don't care

About being an e.R.
Pediatric attending

Because you've just given up
Any chance of that.

Mark, 7:00.

What?

7:00. Rise and shine.

Oh...

Listen, did you
Hear from the picu

About that baby?

Haleh just went off duty.

She didn't mention anything.

Am I supposed
To wake up dr. Weaver?

She stayed, too?

Uh, snoozing in exam four.

Ah, let her sleep.

Come on, girls.

Oh, sweep, sweep, sweep!

Oh, randi's
In my way!

I'm supposed to be
In the front!

Curling, jerry?

We were inspired
By nagano.

Only three years and nine months
Left till salt lake city.

These crazy white folk.

Mark, you and dr. Weaver
Having a slumber party?

Uh, no, not exactly.

Did you hear anything
From doug?

No. Not since
The fireworks.

Is that why you
Spent the night?

I was just nostalgic
For my residency.

I thought carol was working
This morning.

She is, but
She's on a break.

There's no new patients
On the board.

Why'd you wake me?

Haleh said 7:00.

I think that was
For dr. Weaver.

Oh, forget it.
I'll just get breakfast.

Listen, can you
Call anspaugh's office

And find out what his schedule
Is this morning?

I need a meeting with him
As soon as he can.

Okay.

Corday:
You didn't answer my question.

I have no idea
How they got their name.

Well, the drinks
Go down so smoothly

At the velvet lounge.

I wouldn't know that.

A-ha, that's what
This is about.

I was drinking
And you weren't.

You know I don't drink.

Yeah, and you think
I drink too much.

Oh, damn it.
We missed the 7:10.

Well, that's okay.

We can get the next one
And cross over at madison.

No, I can't. I told you.

I've got to go to carla's
And pick up reese for daycare.

Are you always like this
After a night out?

What? You know,
We saw the whole show.

I don't think we needed
To stay for another set.

I thought we were
Having a good time.

We were.

Until I made
That song request.

The look on your face.

Elizabeth, you know,
There's some places

That you go to listen
To the music-- just listen.

Oh, so it's not
Like the pub

Where you can
Play darts

Nobody cares if you
Drink too much

Or put something stupid
On the jukebox

Or even dance, god forbid.

I'm just saying

A place like that--
It just wasn't cool.

Being cool seems
Somewhat limiting.

You taking this one?

Uh, yes, I think I will.

I'll see you in there?

Yeah.

Okay.

Why didn't you wake me?

I have a meeting with anspaugh
At 8:00.

We woke up dr. Greene
By mistake.

Now he's gone
For breakfast

And we just got
Two bounce-back migraines...

One of which
Could be mine.

...A guy with
Fractured clavicle

Complaining of cold hands

And a suicide gesture--

Guy with superficial marks
To his left wrist.

Who else is on?

Del amico, jeanie and carter
Are due any minute.

In other words, they're late
And I'm the only one here.

Why is that?

Uh...
Thank you, lydia.

Be right out.

Carol, thought
You might want a refill.

I just got one. Thanks.

Hear it's supposed
To rain.

You want to talk
About last night, mark?

It's very serious
What doug did.

You mean what we did,
Don't you?

I think people understand

That it's the nature
Of your job

To assist a doctor
When they ask you.

I was there 'cause
I wanted to be there

Not because doug asked me.

I'm sure you were.

Doug can be
Pretty passionate

About these kids.

Give me a little credit.

What do you think I am--

Some fresh-faced nursing student
Under the great doctor's spell?

I'm only saying that legal
And administration

Are going to be going over
Every detail of this case

And I'd hate
To see it

Reflect badly
On your record.

You're saying I should
Fudge my involvement?

Tell the truth.

You were doing your job:

A nurse assisting
A doctor.

The truth is
I insisted on being there

Because I believe
Doug was working

In the best interests
Of the patient

And that's my job
Every bit as much as it is his.

I got to get back.

We had our noses pressed up
Against the glass.

The tracks
Were right beneath us.

It was unbelievable.

You've never
Done that before?

No. I didn't even
Know you could.

All you have to do is ask.

Hey.
Hi.

Carter, have you ever ridden

In the front car of the el,
With the driver?

I don't think so.

Anna and dr. Rosher
Just did.

Max, please, max.

See you.

That sounds exciting.

Yeah. Uh, max just asked
The guy if he could

And he said sure.

Pretty clever.

Well, thank you, john.

I can see you're going
To give me that one

But maybe not the next one,
Right?

Got to pry a kid's leg
Out of a shopping cart.

Call maintenance.

Good set of bolt cutters
Does the trick.

It does feel cold.

That's what
I've been saying.

It's the damndest
Feeling.

Nails are cyanotic,
Cap refill's poor

And he barely has
A radial pulse.

Doesn't sound good.

I want to get
An ultrasound

And possibly an angiogram
To rule out a blood clot

Which might be cutting off
The blood supply to your hand.

Whatever you need to do.
I've got great insurance.

You'd get excellent care here
Even if you didn't.

Kerry, can I talk
To you a minute?

Of course. Get consents
For mr. Wass' procedure

And schedule it, please.

I've got a call in
To anspaugh's office

To talk about this
Doug ross situation.

I'll see him
In a few minutes.

Both of us should
Be involved in this.

My meeting's about
Something else.

It's been on his calendar
For a couple of weeks.

I'll set up another
For the two of us
While I'm there.

Let me know what time.

Don't worry. I will.

Send home the rule-out
Appy in three

With a diagnosis
Of constipation.

I don't suppose there's
A good trauma on its way?

No, but this letter
Came down for you

From dr. Romano's office.

He's a weird little dude,
Isn't he?

Did he drop this
Off himself?

No. His secretary,
I think.

Where is he now,
Do you know?

It's not really my job

To keep track
Of stuff like that.

On our way in on the el today

He drank all of his juice
Without spilling a drop.

Go and play.

There you go.

Girl:
He's not crying anymore.

Is he pretty responsive
To you these days?

Well, as responsive
As a one-year-old can be. Why?

Sometimes it's hard
To get his attention.

I wondered if you'd had
His hearing checked.

What?

It's not a problem;
Just things we notice.

Reese.

Reese, come here, man.

Come here. Come here.

Ah. I know. Shh.

Seems pretty responsive to me.

Okay. You know what?

He probably just gets distracted
By all these other kids.

( reese starts crying )

Okay, okay. Got to go.

Listen, um,
Carla's going to pick him up

Around 4:00, okay?

Sure. That's fine,
Dr. Benton.

Oh, who's hiding?
Who's hiding?

Hi, reese.

What are you
Playing with today?

It just feels
So ridiculous.

I never really meant
To kill myself.

So it wasn't
Just an accident.

Um... Well, you see,
My wife and I--

We had a fight, you know,
And, um...

So, I went out
To my workshop.

I brought a glass
Of orange juice with me

And I dropped the glass
And, um...

When it broke, there was a shard
Lying there, and I just...

You know, I don't know,
Because I was just so angry.

So it was impulsive.

It was stupid,
Is what it was.

I worried the hell
Out of my wife--

Although it's nice
To know she cares.

Mr. Nable, this is
Jeanie boulet.

Hi. I'm a physician
Assistant.

I'm going to be
Suturing up your cuts.

Shouldn't take more
Than a couple of stitches.

We have a psychiatric resident
Coming down to talk with you.

Oh, I'm fine, okay?

I'm, uh...
This was just a mistake.

I really don't need that.

We're sure it was

But it's required
In a case like this.

Oh, man.

Kerry.

Hi.

Hi.

We're just finishing up here.

Doug ross called
An emergency meeting

To fill us in
On the case of josh mcneal.

I'm familiar with it.

Because of the unusual
Circumstances

I thought it best
To bring everybody up to speed.

Doug has admitted

To clearly stepping
Over the line here.

But at least
He prevented the baby

From going home
To his mother.

Anesthesia
And pediatric

Should have been involved.

He should have gotten
The mother's consent.

Wouldn't have
Gotten it

If it meant
Losing her methadone.

Doug:
I know that max is doing
The feasibility study

On an e.R. Pediatric
Department.

I didn't want
To jeopardize that.

Even if I'm not involved

It's still the best thing
For county general.

Doug, I don't want
To minimize

The ramifications
Of this

But I do thank you
For coming forward so quickly.

Okay, sure. If
You'll excuse me

I want to
Get to picu.

Don, thanks
For talking to him.

Don, I don't think
I need to tell you

That doug ross' actions
Violated every policy we have

Regarding patient care.

I know, and there'll be
A full review and q.A.

It may not go
So well for him

But, uh, I must say

He's certainly there
For his patients.

Anyway, I'm sorry

This has eaten
Into our time.

What is it that you wanted
To talk to me about?

Well, uh, as you know,
When david morgenstern

Had his m.I. Last fall

I took over as acting chief
Of emergency medicine...

And you've done
A fine job, kerry.

Thank you.

With the exception

Of that little
Ellis west-synergix fiasco.

With dr. Morgenstern
Having resigned

It seems appropriate
For me to now step up

And be chief
Of emergency medicine.

The department is
Running quite well

And we certainly owe you
A debt of gratitude

For jumping in
The way you did.

Well, I think everyone's
Responded to my authority

And there shouldn't be a problem
With a simple change in title.

I'm glad to hear you'd like to
Be considered for the position.

We will do
A national search

For the best candidate,
But I'm happy

To have you throw your hat
In the ring.

A national search?

County policy,
As I'm sure you know.

( phone rings )

Excuse me.

How's he doing?

Pretty stable.

Turned off the propofol
A half hour ago.

When's doug going
To extubate?

I figured I'd give him
A couple more minutes.

( clears throat )

Hey.

Hey.

I was in the middle
Of a pretty decent dream.

Was I there?

Uh-huh, big time.

Think I did
The right thing?

Yeah, I do.

Even if we both
Get fired for it?

Well, you know...

That would just be
Icing on the cake.

( clears throat )

Kit, you ready to extubate him?

He's breathing spontaneously.

Uh-huh.

Vitals?

Afebrile...

B.P.'s stable,
90/70.

All right.

Suction cath.

Okay, buddy...

Prove us right.

Get ready to bag him.

I'll do it.

Okay.

Here we go.

Pulse ox?

Holding
Steady, 98%.

Do you think he's going
To make it?

Too soon to tell.

Shirley, I'm looking

For dr. Romano.

He's not here.

Do you have
His schedule?

No, he's really not here.

He went to some head-and-neck
Conference in costa rica.

He doesn't do
Head-and-neck surgery.

Well, maybe he
Wants to learn.

Maybe he's just
Playing golf.

When's he due back?

Teresa does all the
Travel scheduling.

Well, that's lovely.

Where can I find her?

Right here, except
She's on a break.

I wanted to bring
You up-to-date

On a seven-month-old boy
Born addicted to heroin.

His mother was stealing
His methadone.

You know the case?

Doug briefed us
With your chief of staff

And some pedes muckety-mucks.

There was a meeting?

Kerry weaver can give you
The highlights.

Anspaugh stayed pretty calm,
But I got to tell you

If that
Happened at chop

Doug would've been
Out on his ass.

I got to go
To chart hell.

Carol, you seen kerry?

No. Sorry.

...When you express
Your anger

In such a self-
Destructive way.

Look, I know I should
Handle it better, okay

And I will

But I really don't want
To stay overnight.

Look, I'm not
A crazy person, okay?

This was just stupid.

I just need to talk to you
For a minute, dr. Myers.

Excuse us a moment.

He doesn't want to stay?

Nope, and I don't have
A reason to keep him.

Well, I just pulled up
His old records.

He's been here three times
In the past year--

Migraines, abdominal pain,
Back pain.

He's drug-seeking?

They're signs
Of wanting help.

Depression isn't
Grounds for admission.

Hell, I'd have
To admit half the city.

You're releasing him?

He's responsive

Doesn't seem suicidal
Or psychotic

And agrees to come

Into the psych clinic
For follow-up.

I wish we
Could do more.

Guy's fighting
With his wife

Job's not going well.

Like I said...

I know.
Half the city.

Dr. Carter,
You seen dr. Weaver?

Usually, she's everywhere.

Hey, do you think
It's too late

To reconsider my
E.R. Residency?

That time of year?

You getting bored?

I spent my morning

Cleaning out an
Old guy's ears

And dislodging
A five-year-old

From a shopping cart,
And, uh...

Any unsickly patient
Is fine with me.

Stop complaining,
Carter.

By 9:00,
I'd been puked on twice.

Yes, but I also did two
Bowel disimpactions.

Either one of you want
To answer the phones instead?

Carter, why don't you take
The coma patient in four?

Dr. Greene, paramedics
On their way in

With a double trauma.
Double?

Yeah, two elvis
Impersonators

Crashed into
Lake michigan.

Sounds cool.

Maybe I could...

Take the coma patient.

Jeanie, anna.

How about getting a handle
On the elvi?

Okay.

Olbes:
Pick an elvis.

We got over-the-hill elvis.

Junior elvis, parachuted
Out of a plane

Supposed to land
On a pier.

Lines got tangled,
Splashdown in the lake.

Freaky little twerp was
Up there picking his pimples.

Can't skydive
To save his life.

At least I can do elvis.

More than I can say
For old cracker face.

Fathead,
I was doing elvis

Before you was born.

I'll be doing him
After you're dead.

Shall we?

You need to undergo

Anticoagulation therapy

In order to prevent
Any further clotting.

Here in the hospital?

Not necessarily.

There's a fairly
New drug, enoxaparin

Which you inject
Under the skin

In your abdomen
Twice a day.

My wife's a nurse.

She could do that.

You're an excellent
Candidate.

Otherwise, you'd have
To stay in the hospital

For at least
A couple days.

No way.
I don't want to do that.

I'll take the drug.

Okay, good.

Greene:
Kerry, I need to talk

To you now.

Sure.

Nurse jarvik
Will discharge you.

Surely. Thanks.

You're very welcome.

What do you got?

Oh, two jokers
Fell in the lake

Out of an airplane
Or something.

That doug ross meeting
Happened this morning.

Sure did.

Yeah, well, I asked specifically
To be notified.

Yeah, well, hey, mark,
Nobody told me, either.

I just walked
In on it.

You could've mentioned
Something to me

So I didn't have
To hear about it third-hand.

I had patients.

Give the bullet.

I already gave it.

Well, give it again.

Uh, junior elvis...

Jeanie, we've got this.

Why don't you
Go help anna?

Gladly.

And tell that wannabe
His "Heartbreak hotel"

Sucks the big one.

Pickman:
...Oriented and alert,
Vitals normal...

Cap refill's fine.

Okay, b.P.'s high,
180/120.

Good luck in here.

Better here
Than in there.

Those two are making
These elvises sound

Like boy scouts.

* well, since my baby left me

* I found a new place
To dwell... *

Chuny, spin a crit
And dip a urine.

Want a chem seven?

Sure.

So, why didn't
They tell us?

Well, why don't you
Ask your pal, doug?

Do you think there will be
An inquiry into that case?

Well, hopefully,
Doug will let us know.

Why are you angry
At me, huh?

I didn't detox a baby
And not tell.

Always giving him an inch,
He gets away with a mile.

So this is my fault.

It's not a question
Of fault

Mark, it's a
Question of style.

You close your eyes

And you hope these
Things will disappear--

Here--

And whenever I try

To come down firmly on
An issue, you tell me

To pull back, you fight me,
And it'll just disappear.

Well, it's not disappearing
This time, is it?

Kerry, I don't think

This is the time or place
To discuss this.

Chuny, let's repeat
A b.P., please.

Oh, mrs. Lang,
This is dr. Carter.

How do you do,
Mrs. Lang?

I've just been going

Over your chart.

I see
That your husband has...

I couldn't wake bill
Up this morning.

He was diagnosed
14 months ago

With brain stem
Glioblastoma.

They tried to do
Radiation therapy

But that didn't work.

He's had

Some visual
Disturbances

And some paralysis

But we were not
Expecting this.

We are going to do
Everything we can.

Carol, let's order an m.R.I.
With gadolinium

A neurosurgery consult

And the oncology fellow
On call.

Sure.

I hope it's okay

That we opened up the window.

Bill, he just loves the smell
Of the rain.

It's fine, mrs. Lang.

Last time I complain

About a kid
In a shopping cart.

What?

Never mind.

Oh, hi, adele.

Hey, carol.

This is vicki mcneal.

This is josh
Mcneal's mother.

Baby josh...
Right.

Hi.

Adele:
She'd like
To see her son.

Okay, thank you.
Dr. Benton...

An audiologist
Is going to call.

An audi... What?

Someone who does
Hearing tests.

Write it down.

We've got an m.V.A.
Coming in--

A mazda versus
A milk truck.

I'm not covering
The e.R.

But I can't locate
Dr. Corday.

I called upstairs
And they said something

About her checking out
Costa rica.

What?

That's what I said.

About the m.V.A.?

Uh, damn it.

All right, dumar,
What do we have?

Sam wiser, 32, head-on c.T.,
Passenger space intrusion

With head, neck
And abdominal trauma.

Did she say anything
About consent?

I don't even know
What adele told her.

Mrs. Mcneal.

Is he going
To be all right?

Ross:
He's stable.

He's pretty sleepy.

That's to be expected
After a prolonged sedation

And intubation.

What's intubation?

That's when they put
A tube down his throat

To help him breathe.

He was asleep

So he didn't
Feel anything.

I explained
To vicki about

The ultrarapid detox

And how the drugs

Will be out
Of his system.

She said josh will sit up
Like other babies.

We have every reason
To believe

He'll be able to catch up.

The procedure went well

So we just have
To wait and see.

So what I wanted to know then,
Dr. Ross, is...

Oh! I'm going to kill you.

Why? You offered.

Did you get
My patty melt?

Yes, I got your
Patty melt.

Hey, will you, uh...

Will you help
This gentleman here?

He's looking for dr. Weaver.

Sir.

Can I help you?

Yes, I'm looking
For dr. Weaver.

Dr. Weaver?

Mr. Wass,
What are you doing back?

The pharmacist couldn't
Fill the enoxaparin.

It's $500, and he said

My insurance won't cover it.

They'll only cover

Something called
Heparin or... Comadin?

Coumadin.

Is that what I
Should be on?

No, you need to be hospitalized
For those.

I'll straighten it out.

Randi, could get mr. Wass'
Insurance information

And put a call in, please?

Carol.

You know, I had a meeting with
Dr. Anspaugh this morning

And there is going to be an
Executive committee review

Of the josh mcneal case.

Yeah, doug told me.

I think it would be
In your best interest

To document your
Participation

While it's still
Fresh in your mind.

Oh, that experience isn't
Going away any time soon.

You should hope
Neither you

Nor doug ross
Is, either.

Dr. Weaver?
Mr. Wass' insurance?

Thank you.

Yeah, it's dr. Weaver.

No. No, no, no.

I don't want
The claims department.

I need a medical supervisor.

Mrs. Lang?

M.R.I. Is backed up.

It's going to be
A little while longer.

I've got
Nurse hathaway checking.

He is going to wake up,
Isn't he?

His doctors thought
We had longer than this.

Well, we really
Won't know anything

Until we get those
Test results back.

Is there a phone
That I could use?

I want to call
My daughter.

She's a freshman
In college.

Tulane drama school.

She didn't want to go
Because of her dad.

But bill

He insisted.

He said that it was enough

That his life was being
Put on hold.

I don't know.

Maybe we made
A mistake.

Anspaugh:
Looks like an avocado.

Dr. Corday!

Sorry I'm late.

I understand you were
On trauma call

When mr. Wiser
Was brought in.

Yes, but dr. Benton

Was kind enough to
Cover for me

When I was
Called away.

You've reviewed the chart?

Corday:
Avulsed gallbladder.

Benton:
Can I get some
Suction, please?

( suction gurgling )

Anspaugh:
Let's say you find
A significant pancreatic injury

Crushed duodenum and
Common bile duct.

What are you
Going to do?

Corday:
A whipple, of course...

Which, as I think you know,
I performed solo back in england

Prior to my fellowship.

Yes, I think I did know that.

And speaking of
Fellowships

I wanted to ask you,
Dr. Anspaugh

About the possibility
Of sponsorship for next year.

You don't want to continue
With dr. Romano?

It seems dr. Romano doesn't
Wish to continue with me.

What?

He served me notice

And apparently he's unavailable

At some head-and-neck conference
In costa rica.

I'm afraid it's too late
In the year to arrange

Another fellowship
At county general.

I was hoping there might be

Some sort of
Individual consideration

Seeing as I've already
Spent a year here.

The committee always
Seems to frown on that.

You want to stay
In the united states?

Very much so, yes.

If staying
In america

Is what you want,
Marry some joe schmo.

Anspaugh:
Shirley.

Sorry,
Dr. Anspaugh.

Dr. Weaver?
Your guidelines
Are wrong.

My patient needs
Anticoagulation therapy

And there's no reason
For him to be admitted.

Dr. Weaver.

What is it, jerry?

They just brought
That renal-failure guy in.

Get started and I'll
Be there when I can.

I would like to get your name.

Rufhauer? Rufhauer.

Louis palmieri, 84, found in bed
In full cardiopulmonary arrest.

His femoral dialysis catheter
Had been disconnected

And he exsanguinated through it.

Sheets were drenched with blood.

Will he be all right?

Stand back, please, ma'am.

No pulse, no
Heart sounds.

Gave him two amps epi,
Two atropine.

Reattached saline to the
Catheter, ran in two liters.

Still no pulse?
No.

Amp of bicarb and
High dose epi, five milligrams.

Please be okay, louis, huh?

No heart sounds. It's p.E.A.

Let's get four units o-neg.

Want to try
A transthoracic pacemaker?

What are you doing?

Trying to get
His heart going.

You a relative?

Not exactly.

But you did
Come in with him.

Yeah. I drop by his house

A couple of
Times a week.

Mrs. Lang, your husband's
M.R.I. Results are done.

The tumor is blocking his, uh...

Is creating a blockage

That's increasing
Inter-cranial pressure.

And that's
Causing the coma?

Yes.

So can it be unblocked?

Yes. A neurosurgeon
Can perform a ventriculostomy.

So bill could
Come out of this?

He could.

Um...

The outcome is problematic.

Your husband would have
Very little time

And it may cause him
A great deal of pain

And he would most likely die

Of respiratory failure.

But bill would wake up?

I could talk to him again
And he could hear me?

Yes.

Or he could stay
The way he is now

And die peacefully.

She wants to handle
The funeral arrangements?

Says he has
No family.

What's her relationship?

Friend.

I don't want
To sound judgmental

But she looks
Like a hooker.

She is. She's
Been attending
Him twice a week.

Did you say he had
A foley catheter?

Yeah.

Excuse me, ms., uh...

Myra.

Ms. Myra. I wonder
If you could tell me

Exactly what happened.

I've been seeing louis--
Mr. Palmieri--

Twice a week
For the past couple of years.

It wasn't a lot of money,
But I was only providing

A little manual relief.

But today,
My charm bracelet here

Got caught
On that little tube

And when I pulled back,
The whole thing popped out

And the next thing I know,
There's blood everywhere

So I called 911 right away.

They're looking for you
At the front desk.

Some insurance company's
On the phone.

I'll be right there.

Excuse me.

I say give her the body.

Hey, carter, you were here
A little while ago

Talking to dr. Greene?

Yeah.

Have you seen
A vial of percocet?

I lost it somewhere
Around the drug lock-up.

No, I haven't,
But I'll keep my eyes open.

Rosher:
First day's tour is always
The highlight of these visits.

Now I get to pore over these.

I went through
The last two weeks.

You guys do a lot of kids.

Elizabeth.

Peter, I'm afraid

I haven't much
Time right now.

I'm trying to catch
Langstaff after
Her gastroplasty.

She isn't too keen
On her fellow.

Thinking of letting
The chap go.

I thought I
Should get a word in.

Don't you think
You should wait

To see if she does
Let him go?

No. I think
It's a good idea

To let her know
I'm available.

And desperate.

Excuse me?

You know, asking
Dr. Anspaugh

In the middle
Of an operation?

He didn't seem
Put off by it.

Why are you?

I'm not put off.

Listen, if it's about me
Hanging you up in the e.R.

I'm sorry, and I really
Appreciate your covering for me.

I wasn't hung up.

Yeah, I would
Have appreciated

A page or something

Letting me know
About romano's letter.

Uh, look, I would have
Discussed it with you

But romano is
My first priority.

That bastard didn't
Even give me a reason.

He's not required to.

He sponsored you.

I mean, it's his call.

You're certainly
Taking all this

In your stride.

I'm trying to show you
That it's not about you.

It's very much about me.

You have no idea how hard
I worked to get here.

No, I do know what
It takes to get here.

Why aren't you supportive?

I think you're going
About it the wrong way.

You're asking
Every surgeon

To sponsor you.

What do you suggest?

You haven't
Even checked out

Other hospitals, other
Parts of the country.

I've built up relationships
Here, or so I thought.

I'm not saying

I would want you
To leave chicago.

You're not passionate
About my fight to stay.

Whatever goes on

Between you and I...

Peter, you ready to scrub
On that bowel infarction?

Yes, sir.

Please let me finish.

Surely you understand

That admitting
The patient is...

I need you to
Sign these charts.

I'm not working today.

...Exposing
Your patient...

I wish you would have
Told me about the meeting.

I didn't get a chance.

No! I mean your policy
Is not sound, dr. Stork.

It's obscene.

You're spending $10,000
To save $500.

Then so be it.

I will admit

Mr. Wass to this hospital

And I look forward
To billing you

For every damn dime
We can possibly spend.

Jerry, admit mr. Wass.

Kerry, you want me
To call the company?

Maybe that will help.

I don't know
What helps anymore

And I don't care,
Because I quit.

I quit as acting chief
Of emergency medicine.

Let somebody else
Act for a while.

Kerry, wait a minute.

Why am I the only
Idiot around here

Who's worrying
About policy?

Doug ross has
The right idea--

Break the rules
If you think

It helps the patient;
Everything else be damned.

Where do I get by
Trying to follow them?

Look, kerry, wait.

No.

If anybody's
Looking for me

I'll be outside.

Hey.

Hey, carter.

Getting some air?

Yeah. I need it
After my last case.

Yeah. Me, too.

Listen, I was just
Talking to lydia wright.

Yeah?

And, uh, she
Mentioned to me

That some percocet
Has been missing

From the drug lock-up.

That's low, carter.

I'm not accusing anybody.

I'm just...
You're my friend

So I thought
You should know.

Well, max is clean.

Maybe he is, but...

But what?

That's what chase
Used to say to me.

The boy's alert.

Looks like you got
Your next journal article.

Yeah. Right after they
Draw and quarter me

In front of the executive
Committee. Thank you.

We don't always get results
This good up here.

I'm going to go check
On the yezerski kid.

Okay.

What now-- back to
His mother?

Ah, who knows?

I gave her a list
Of names of doctors

Who do ultrarapid
Detox on adults

But it doesn't change
The psychological addiction.

Well, at least
She's trying.

Come on, buddy.

( laughing )

Hey, I was just going
To look for you.

You knocking
Off already?

No. I got to go
To st. Mark's.

What time you off?

7:00.

You want to go out
To johnny d's for dinner?

Yeah. Sure.

Feeling good about getting
Through those charts?

Yeah. I mean,
It'll be a week or two

Before I can
Get a report out

If you can stand to have
Me around that long.

Any hints on what
Your recommendation'll be?

What usually happens
When I recommend in favor

Of an e.R. Pedes
Department is they
Ask me to run it.

I've always said
No, but this time

I could be convinced to say yes.

You mean stay in chicago?

Only if you want me to.

Wow. I hadn't really thought
That far ahead.

I heard some percocet
Was missing.

Yeah. I heard that, too.

I didn't take it.

I didn't suspect
That you did.

You'd be crazy not to.

I didn't want

To suspect that
You did, anyway.

Don't feel bad about it.

I know...

I've used up
All my free passes with you

But I'm telling you
The truth...

And I'm willing
To prove it...

Every day.

It's not that I
Don't believe you.

It's just...

Jarvik:
Anna?

Labs are back on that m.I.

Thanks, lily.
I'll be right there.

All right.
Go. Be a doctor.

I'll call you later.

Sure.

Where's mrs. Lang?
Where's her husband?

Mark signed a transfer
To white memorial
A half hour ago.

Why white memorial?

I don't know. Maybe
His doctor's there.

Are they going to do
The ventriculostomy?

She didn't say.
Didn't you tell her

There wasn't much
They could do for him?

Yeah, but I would've
Liked to have known

What she chose.

Why?

Why? Um, I don't know.

It just seems unsettled,
Unfinished.

We never know what
Happens to people

When they leave here.

Okay. Oh, uh, you haven't seen
Anna around, have you?

No.

( car alarm blares )
Ah! There it goes again.

There goes what again?

That car alarm-- it keeps
Starting up and shutting off.

It's really annoying.

It's out in the ambulance bay
And I called security

But who knows
Where they ever are?

Mark, kerry, this is
The accident report
On josh mcneal

If you want to go
Over anything.

Like maybe why
You lied to me?

You wouldn't
Have understood.

You didn't really
Give me a chance.

Take it outside.
We got work to do.

Dr. Weaver, if you're
No longer acting chief

Who do I give
These budget review forms to?

I'll take them.

This kid was
More important.

You're always using
A patient excuse
To hide behind.

When it's necessary,
I'll go out on a limb.

You took the whole
Tree with you this time.

I was trying
To support you.

You were never going
To support me

If it meant giving up
That much authority.

We'll never know
Now, will we?

Because you did
What you always do--

You go after something
You want and when you're

Just about to get it,
You sabotage it.

Is that what
You're so angry about?

I'm not angry;
I'm disappointed.

You like being
Disappointed in me.

It validates the fact
That you are the adult
And I'm a screw-up.

You never wanted to grow up.

You like our friendship the
Way it is-- you're the boss.

And for good reason,
Based on your actions.

Based on your inability
To see me as an equal.

It was bad enough
When kerry stepped up.

I supported her in that.

On the surface, yes.

Underneath,
You resented her

Like you resent what
I'm doing with josh mcneal.

Have you seen mark?

I need a signature
On the haney chart.

He and dr. Ross
Are outside, sharing.

Okay.

Mr. Nable...
What are you doing here?

Mr. Nable, are you hurt?

Are you okay?

Come on. Come
With me. Come on.

I'm so sorry.

Where is all this blood from,
Mr. Nable?

Come this way.

I'm going to check
You over, okay?

You just sit down
Right here.

( car alarm blaring )

That's my car, um...

The alarm's always doing
That. I don't know why.

You drove here?

Okay. We'll get someone
To turn that alarm off.

Do you have
A remote button

Or something?

Oh, god.

There weren't
Enough bullets.

All right.
Um... Uh... Jeanie...

Yeah?

Can you stay with mr. Nable?

( whispers ):
Just be careful.

Jerry, stick this
Away somewhere

And call security
To help jeanie.

Mark! Doug! Come on! The car!

Greene:
What?

Come on!

( greene yelling )

What is it?

Hathaway:
It's locked.
Who's in here?

Can you see anyone?

I can't see anything.

Something in the back seat.

It's two kids.

I'll break a window.

( yells and grunts )

It's a woman in the front,
Two kids in the back.

Mark, hit the locks.
The door won't open.

Jerry, get us three
Gurneys, backboards

And head collars.

Get some help now, too.

I got a 40-year-old woman,
Gunshot wound to the left neck

Weak carotid pulse

She's barely breathing.

I got a 13-year-old.

Looks like a g.S.W.
To the abdomen.

What's going on?

Accident in the
Ambulance bay.

Jerry, hurry up
And get those out there.

I got the
Flashlights.

Everyone use blood precautions.

What is it?

Lydia, call for o-neg.

How much?

15 units. Randi, close us
To trauma and page surgery.

Kerry...
In a minute.

No, now.
This is the guy.

What guy?

Whatever's happened,
I think mr. Nable...

Okay. Call security,
Move him to curtain three

And have them post someone
At the door.

Yosh, help jeanie with this man.

Jerry, push the
Gurney closer.

She's secure.

Anything else I can do?

Yeah. Help lift her.

Watch her head.

Gently, gently.
All right.

Anna, grab her legs.

I'll support
Her neck, okay?

Okay. I'm underneath her.

The board's in.

Where's my mommy?

It's okay, honey.

Slide her out really, really
Gently, really slow.

She's got a weak
Carotid pulse.

Flat neck veins,
Decent respiratory
Effort, trachea midline.

We're going to
Roll him now.

Nice and easy. Hang on.
Let's roll him back.

Nice and easy.

Come on, malik.

Malik, give me a hand;
Top of the board.

On my count: one, two...

Three...

Three...

Three.

I'll start a line.

Which one have you got?

Little girl.

Good breath sounds
On the left.

A few crackles
At the right base.

Hi. I'm dr. Weaver.

We're going to take
Very good care of you.

What's your name, sweetie?

Amy.

C.B.C., chem 20, two
Lines saline, wide open

Cross for eight.

Not moving much air.

I got to
Tube him. 6.5.

Pulse 120.

B.P.'s 70/50.

Suction.

I got it.

We need o-negative
On the rapid infuser.

I'll get it.

Hey, jeanie,
What's going on?

A guy shot his wife
And two kids.

Oh, man.

Damn.

Corday:
The other doctors are helping
Your children.

We'll tell you
As soon as we know anything.

Benton:
Elizabeth?

Intubated.
Had a respiratory arrest.

Where's the wound?

Left neck.

B.P.'s 80 palp.

Start dopamine,
Ten mikes per
Kilo per minute.

We'll need high
Dose solu-medrol.

How much?

50 milligrams
Per kilo over
20 minutes

Then five per
Kilo per hour.

Lily, send off
The pre-op labs.

We need x ray in here
For a portable c-spine.

Dr. Benton, there's a jackson
Kroopf on the phone for you.

Who?

Something about
A hearing test.

Tell him I'll
Call him back.

Carotid's okay.
What about yours?

Strong and regular.
It looks like

It missed
The major vessels.

Any sub-q air
On your side?

No. Tube went straight in;
Trachea's intact.

What's her name?

Husband's name
Is nable.

Mrs. Nable, can you
Squeeze my hand?

That was good.

Try again.

Jarvik:
X ray's here.

Jeanie:
Where's mark?

Next door.

Mark, the police are here
For mr. Nable.

They need you
To medically clear him.

I'll be there
In a minute.

Jeanie, find out
This boy's name.

It'd be nice
To know his name.

Chest tube, 28 french,
Set up the thoraseal.

Hang two more units
On the infuser.

He's getting hard to bag.

Poor air entry
On the left.

Lost the pulse.

Asystole.

All right.
Start compressions.

I'm not feeling a pulse.

Okay. He's bleeding out.

Let's get
A central line kit.

Doug, you got
To crack him.

Thoracotomy tray.
Give me a ten blade.

( whimpering )

Mr. Nable, we need to know
Your son's name.

Is he going to
Be all right?

They're working on him
Right now.

I turned the gun...

There weren't
Any more bullets.

I need a chest tube.

Whoa... What
Are you doing?

There's an obvious
Hemopneumo.

The wound is in the
Seventh intercostal space.

It could be
Intra-abdominal.

She might not need
A chest tube.

The exam's consistent
With a hemopneumo.

Hang on a minute.
She's stable.

Lydia, let's get an x ray.

I don't think
She's too stable.

Amy, does it hurt
Anywhere else, honey?

Take my hand, sweetheart.

Are my mom and
My brother okay?

Yeah. They're taking
Care of them.

I thought we'd just drive here
And everything would be okay.

I know.

Why did my daddy have a gun?

My mom told him he
Could take us all

If we drove here
To talk to somebody.

It's okay.

I thought we were just going
To talk to somebody.

Greene:
Malik, prime the lines.

Ross:
Satinsky. Suction.

I'll do it.

What do you have?

A hole in the heart;
Right ventricle.

Keep your finger on it.

Line's in. Hook it up.

Two-o silk
On an atraumatic needle.

Rapid infuser ready.

I'll occlude. You sew.

Hold compression.

Keep your finger
On the defect.

All right.
Don't stick me.

Chuny, we need
More blood.

Okay. Hold this.

Weaver:
How's she doing?

She'll make it

But there's an injury
To the spinal cord.

We're taking her
Up to c.T. Now.

All right. Let's move.

Keep me apprised.
Anna, did you call the o.R.?

They're waiting for us.

You are going
To be okay, amy.

We're taking you
To surgery.

We'll let you know how your mom
And your brother are doing.

Tell the surgeon to
Call us as soon as
He knows anything.

How's the boy?

Still working on him.

I think we should call
That psych resident myers.

Yeah. I already did.

He was at home,
But he's coming back in.

She was going to take amy
And steven with her.

I couldn't let her do that.

Ross:
What do you see on the scope?

He's in v-fib.
Internal paddles.

What do you need?

Charge to 15.

His heart's filling.

Four units in;
Epi's on board.

Charging.

Clear.

Weaver:
Still v-fib.

Again.

Clear.

Still in fib.

Charge to 30.

Carol,
Intracardiac calcium.

Clear.

He's got a rhythm.

Sutures
Still holding.

Strong carotid pulse.

His name's steven.

All right.

All right.
Call the blood bank.

Have them send up eight units,
Type specific to the o.R.

Grab those lines.

Help me bag him.

Weaver:
Lydia, stat page
The thoracic surgeon.

Chuny, call the o.R.

Tell them that
We're on our way.

Ross:
Carol, lidocaine 1.5 milligrams
Per kilogram bolus

And start him on
Two milligram per kilogram drip.

Greene:
Malik, hang a gram of ancef and
Call for platelets and f.F.P.

Hathaway:
B.P.'s 80 palp.

Weaver:
Lydia, tell security
To hold the elevator.

Greene:
Secure the subclavian and attach
An end title co2 monitor.

Ross:
Bag him at 24 a minute.
He's probably acidotic.

Greene:
Everybody ready?
All right. Let's get him up.