All language subtitles for ER (1994) - S15E14 - A Long, Strange Trip (1080p AMZN WEB-DL x265 MONOLITH)_track3_[eng]

(male narrator)
Previously on "ER.."

Anything changes
with Jody, call me.

- Or just call me.
- I will.

Who's going
to Johns Hopkins?

- Dr. Rasgotra.
- I'm just looking.

You keep mumbling

about the hiring freeze
at County

pushing me to do
interviews all over.

I've realized that we have
something worth saving.

Did you realize that
before or after

you had sex with Daria?

I..

...want to be with you.

There, I said it.

You can go ahead
and gloat now.

I'd rather do something else.

Frank, we got to get
these tele admits up.

I'm all over it.

There's at least 30
in the rack.

What were you guys
doing last night?

Playing guitar hero
and doing Jell-O shots.

- Two messages from Kelly.
- Kelly who?

She said you'd know. That's her
phone number at Swiss Hotel.

Car crash victim coming in.

Oh, okay, clear trauma one
and get surgery.

- We're gridlocked.
- Quick dispo in curtain one.

- Grady?
- I'm off duty.

And going to jumbo mart
for enough caffeine

to get me through my charting.

Who else is on?

Well, we got,
uh, Brenner, Morris and..

What do you need?

That's okay.

I haven't picked
up a patient yet.

No, go, uh, meet the trauma.

It's busy.
I got time.

Okay, fooling around
with her boyfriend

and they lost
the condom.

She's fully dressed in
the middle of the ER.

She should be in a gown
in a private room

with a chaperone
for a pelvic.

Yeah. There's no need, actually.

What?

Go on.
Go get the history.

Hello. I'm Dr. Gates.

Tammy.

So, the, uh, proverbial
lost condom?

Yeah.
It's kind of embarrassing.

Well, don't worry.
Tell me what happened.

The condom came off,
and I couldn't reach it.

My boyfriend tried to help,
but he's useless.

I went to the bathroom

and-and gagged myself

but I couldn't
vomit it up, either.

I'm not gonna...
suffocate, am I?

Dr. Rasgotra.

Dr. Brenner.

Mm.

How was your night?

Four hours of sleep.

Well, you would've got
a lot less than that

if you were in my bed.

Next time...
you should spend the night

with me in the call room.

What, you mean on a twin bed
with scratchy sheets

and phone interruptions
every hour?

That's kind of hot.

[chuckles]

You know, I was
thinking of, um

getting Neil Young
tickets for Saturday.

That sounds good.

- You like him?
- Yeah, I love him.

- Especially his early stuff.
- Really?

Yeah. "Old man" "Only love can
break your heart."

- "Heart of gold."
- "Heart of gold."

Neela.

Uh, trauma coming in.

Thank you.

Um, are we out of sugar?

I don't think so.

[police car siren]

What are they doing?

Our old medical records
are going in remote storage.

Let me ask you something..

...kind of man to man.

Do you believe in
the three-date rule?

You seeing someone new?

I don't know if we're actually
seeing each other.

We had lunch together
in the cafeteria.

I bought her a burger,
one night at Ike's.

Wow, sounds serious.

I like her.

I just can't tell
if she's interested in me.

Well, I'm pretty sure
I'm not the right guy

to ask for relationship advice.

[dramatic music]

[music continues]

[music continues]

Hey.

The run got diverted
to Mercy.

Whoa.
Whoa-whoa-whoa.

- Uh.
- Hey. You alright?

Tony.

'Archie, I need some help.'

Grab a gurney.

Looks like this guy
got beat up.

What's your name, sir?

- Oliver.
- Oliver what?

- No wallet, no ID.
- Pupils are equal.

- You know where you are?
- Hospital.

Oriented to place.
What year is it?

'Who's the president?'

Sir, do you know
who the president is?

[crowd chanting]
Hey, hey, LBJ

how many kids
did you kill today?

- Hey, hey..!
- Chicago is a police state!

- ...our constitutional rights.
- Let's go. Come on. Move.

- Come on.
- Hey, hey, LBJ..

(Gates)
You don't have to talk
we'll takegood care of you.

Relax, brother,
enjoy the ride.

[theme music]

Decent breath sounds.

'Looks like he got kicked
a bunch of times.'

Yeah, or fell.

He looks too good
to be homeless.

No blood in the belly.

Abrasion where somebody
stole his watch.

Definite assault.

We already
called in the police.

Chest is normal. The head CT's
gonna be normal, too.

Not if there's
a brain bleed.

These old altered guys,
it's always something metabolic.

Just order
some more IV fluids.

- Let me go clear the board.
- No. Stay on this.

Buff him up,
find out where he belongs.

- Scanner's ready.
- Potentially unstable.

Dr. Gates can monitor him
in radiology.

Last BP was 110/65.

Hold it, hold it!

Excuse us.

Are you a student driver?

Oh, I'm sorry.

I'm sorry you had
to pull me out of my car.

Is the oxygen helping, Donna?

- I think so.
- Okay.

Have you ever had any
trouble breathing before?

Not till last week.

Mom, I parked the car.

Thanks, honey.
That's my son Dylan.

Hey.

She couldn't even talk.

So you were saying
about last week?

They told me
I had lung cancer.

- Where are you being treated?
- Uh, nowhere yet.

We were supposed to go to
Northwestern

but in the car
her breathing got so bad

'that I-I pulled into here.'

I have papers and X-rays if..

The Willow Ridge
Medical Center.

That's our local hospital.
That's where they diagnosed me.

Okay. Do you smoke
cigarettes, Donna?

Ten to 15%

of lung cancer occurs
in nonsmokers.

We've been
on the internet a bit.

It's in the left
upper lobe.

Liver function tests
are elevated.

Okay, and did they explain

the brain CT results
to you, Donna?

Two spots.

They thought that, um,
surgery and chemo and radiation

could buy me some time.

Uh, stage four lung cancer

has a five-year survival rate
of five percent.

- But one in 20 survive.
- Okay.

Okay, well, we'll have
our surgeons

and oncologists consult.

I was hoping
to go to Northwestern.

Yeah, you're too sick to move.

(Dylan)
Yeah, I'm gonna cancel
the audition, mom.

No, Dylan, you're not
canceling anything.

No. Get to orchestra
hall on time

and you can stay with
Aunt Harriet tonight.

Okay?

Okay.

[buzzing]

Dr. Morris, I'm looking for
an old guy, victim of assault.

He should be
right back.

Okay.

You know,
I could be wrong

but I thought I saw
you and Officer Diaz

eating lunch
the other day.

Yeah, we-we were
on a case together.

Really?

'Cause I 've had cases
with you

but we've never
had lunch together.

Plus, it must've
been a funny case

'cause I noticed
a lot of smiling.

Yeah, well, Officer-officer Diaz
is a nice lady.

We all know that.

And I know you know
that cops stick together.

- Yeah.
- So be careful.

If you break her heart

we may have to break you.

Head CT was normal,
just as I predicted.

Guess what?
He's hypernatremic.

How bad is
his sodium?

165. Dry as a bone.

- Does this guy talk?
- Not really.

I'll check for
missing person reports.

Did you calculate
the free water deficit?

- Yep, six liters.
- Okay.

Hypernatremia shouldn't
be corrected at a rate--

One milli-equivalent
per liter per hour.

Need a doctor here.

You can have Dr. Gates.

Well...no, shouldn't
I stay here and finish?

No, you've been wanting off this
case from the get-go. See ya.

He's starting to
open his eyes.

- That's a good sign.
- Mm-hmm.

(Morris)
'Oliver...Oliver,
try to squeeze my hand.'

'Oliver'

Curtain three is open.

- 'Hi, I'm Dr. Gates.'
- Damien.

- My wife Corazon.
- Hello.

Sam, did you
ever call Kelly?

I didn't think so, 'cause
now she's coming to see you.

Let me know when
she gets here.

You don't see
many of these.

It's a negative pressure
ventilator.

When the air is sucked
out of the chamber

it flows into his lungs.

I had polio when I was three.

Don't breathe too
well on my own.

Is that why
you're here today?

Uh, no. Fever, abdominal pain

'possible appendicitis.'

I'm a retired RN.

I need to get a BP.

Yeah, and I'm gonna need
to examine his belly.

There are portholes
on the side.

Just stick your arms through
the neoprene.

Oh. Alright.

Hmm.

Are you, uh,
in this all the time?

Oh, we have three kids,
so, no, not all the time.

I use it 18 hours a day.

How long have you
guys been together?

Forty five years.

(Rasgotra)
I got an e-mail from Yale.

They want another two
letters of recommendation.

Well, that seems
a bit pointless

if Dubenko can offer you
a position here.

I'm not sure he thinks
I'm right for the job.

- Oh, man.
- That's the head CT.

This must be
the lung mass.

Yikes. Where's
the patient?

LFTs and CBC.

Looks like the horse
is out of the barn.

Mm. Son's at bedside.

No, dad.

Donna, this is Dr. Rasgotra,
Dr. Dubenko. Her son.

- Dylan.
- Hello.

- Hi. Nice to meet you.
- Um..

I 've reviewed the films,
and I'm sorry to say

that the tumor is
far too advanced for surgery.

Are you sure?

(Dubenko)
With cancer in the liver

the brain, and bones

'I'm afraid
that an operation'

'would only mean
pain and suffering'

without prolonging
your life.

It's in my bones?

We think so.

What about
chemotherapy?

(Dubenko)
'It's possible, but, um--'

We'll see what
the, uh, oncologists say.

Have you thought about
your wishes for life support?

(Rasgotra)
'Perhaps this is better
discussed later.'

(Donna)
'I made a living will
about ten years ago.'

I don't want to be kept alive
if I have a terminal illness.

Mom..

Then you might want
to explore the hospices..

Okay, we-we don't
need to talk--

What's a hospice?
What is that?

It's a way to keep
people comfortable

in the final stages
of their illness.

Um, are you saying that, uh..

Look, um, we're gonna
come back, um..

...after you've had a little
bit more time to consider.

- Yeah.
- Okay.

Doctor?

- What are you doing?
- What?

I asked for a surgical opinion.

- Not for the grim reaper.
- I was being truthful.

They have barely processed

the cancer diagnosis
and you walk in there--

What, do you want me to sugar
coat it? You want me to lie?

No I want you to give them
a little bit of hope.

Well, maybe there is something
positive to offer

a thoracentesis?

Yes, that's
a good idea.

That should make her
feel better.

Good. Why don't
we lead with, uh..

[sighs]

Frank said you guys have
fresh coffee.

I hope you have
half-and-half.

Crap! Okay..

I'll just just make
a...fresh pot.

Oh, okay.

Hi, I'm Kelly.

Hi, I'm Dr. Gates.

Oh. What kind
of a doctor are you?

Well, this is an ER, so..

(Kelly)
'That must be
complicated.'

You got to know a lot of
stuff about everything.

How long you
worked here?

- A couple years.
- Cool.

Yeah, I 've only been
in town for two nights

and I'm craving
deep-dish pizza.

Oh, Lou Malnati's.

Oh, yeah?

Yeah, that
sounds great.

What are you doing
for dinner?

No. I don't think that would
be such a good idea.

Why not?

I just got out
of a relationship.

Oh. When you fall off a bike

you get right back on it.

Got a sesame seed..

Kelly?

Sammy.

Wha..

- What are you..
- Oh, my God!

- Hi.
- What are you..

Oh, my God.
Look, look at you.

Look at you. Hi.

I'm really sorry
to just barge in on you at work.

(Sammy)
'I, uh, you know,
I got your message,'

'but I 've been busy
at work and-and..'

(Kelly)
'That's fine.'

So, how do you two know
each other?

Uh, Tony,
this is my sister Kelly.

[chuckles]

If I can tie up a few loose
ends, I could take a break.

I'll be fine, just, you know, me
and the home shopping network.

'Ortho's on line four..'

...and they need you
at the lung tap.

Go save some lives.

Stay out of trouble.

That's your sister, huh?

- She seems very nice.
- Yeah.

- 'Ortho?'
- 'Got a perilunate..'

Sam, cytology
and culture on this.

Take a deep breath.

[breathing deeply]

- Much easier.
- Good.

We can pull three liters.

Dylan, it's late,
you should go.

I'm not going.

He has an audition today
for the Juilliard School

in New York.

Impressive.

What instrument?

English horn.

I used to play
the viola.

The English horn
is lovely.

Honey, they're only here
once a year.

You might never get
another shot.

I'm much better.

You think it's okay
if he goes?

Yeah, I don't see
why not.

I think it'd
be best to stay.

With the extent of your disease

'things could suddenly take
a turn for the worse.'

You mean
that could happen today?

That's pretty unlikely.

Yeah, I should,
I should stay.

- Dylan..
- Mom...I'm staying.

Let's wait a bit
and see how she's doing, okay?

Sam, you seen the old guy?

Not in a while.

Oxygen's off,
so are the monitors.

Looks like he eloped.

- Great.
- What happened?

- I think we lost a patient.
- Check the bathroom.

(Dubenko)
'Sam, we can see
your polio guy now.'

I'm gonna need you
on a paramedic run.

Hey, Frank, tell my sister
it's gonna be a while.

I got to find
a demented grandpa

pick up
an incoming off a rig

and pull a patient
out of an iron lung.

* Truckin' like
the do-dah man *

* Once told me
you've got to play your hand *

* Sometimes your cards *

* Ain't worth a dime
if you don't lay'em down *

(male #1)
'April Robinson, syncopal
episode at Walgreen's'

- Still altered.
- Any seizure activity?

- No.
- What's up with the handcuffs?

'She passed out after getting
busted for shoplifting.'

- 'How convenient.'
- 'No, she's real.

(Zadro)
'Blood sugar's over 400.'

12 lead EKG, negative for MI,
I gave a liter of saline

'and got her sats up
with suctioning.'

What do we have?

'This lady fainted
at Woolworth's!'

- Any heart history?
- You got me.

- She doesn't have a pulse.
- 'When did she stop breathing?'

(Zadro)
Doc, they pay me to drive them
to the hospital, that's it.

She's lucky I had
an oxygen tank.

She needs a cardiac
arrest cart.

It may be too late for that.

* What a long strange trip
it's been **

(Rasgotra)
'Dilated appendix,
non-compressible.'

So I 'll need surgery?

Yes, most definitely.

Can it be done
with the laparoscope?

We'll try.

Sometimes, though,
we have to convert

to a conventional procedure.

- You mean opening up my belly?
- Yeah

I use my abdominal muscles
to help me breathe.

His friend had colon surgery
and ended up traked for life.

Alright, well,
we'll do the best we can.

Dr. Rasgotra will be back

with the consent form.

You know, he's a perfect
candidate for notes.

What?

Natural orifice trans luminal

endoscopic surgery.

You want to remove his
appendix through his mouth?

Well, in his
compromised state he needs

the least invasive
procedure, and notes is it.

Yeah, we don't do that here.
It's experimental.

But there's a Dr. Horta
from San Diego doing clinical

trials at Northwestern.
He's had over 50 cases.

You're cutting a hole
in his stomach, Neela.

You're setting yourself
up for peritonitis.

It's a two-millimeter
incision that's occluded

by a balloon
and transport.

When you're done, you close
immediately with G-Prox.

They've had great success.

You want to call
this guy in?

Well, it's a chance
to be state of the art.

See if he's willing to help
and available today.

Long shot.

Blood sugar's down to 350.

'Neela wants me
in curtain two.'

Drop the insulin to five
an hour before you go.

What's going on here?

Your diabetes
is out of control.

Paramedics brought you
to the ER.

Think of it as a pit stop
before jail.

- What are you talking about?
- Why don't you take it easy?

Why don't you step out until
she's medically cleared.

I didn't do anything.

Well, surveillance camera
shows you

pocketing a lipstick
and mascara.

I was gonna to pay for that.
I got distracted.

You can't keep me. My daughter
needs me home with her.

Well, you should of thought
about that before

you pinched Maybelline.

(Morris)
'Hey, come on, officer.'

Can I ask you a question?

"I was gonna pay for it."

A load of crap?

You know

she doesn't
seem like a crook.

- Does she have any priors?
- Any priors?

You havebeen hanging
out with Claudia.

(Gates)
Hey, Morris,
we found him.

Excuse me.

Outside,
barely conscious.

Pulse ox 78 on room air.

Probably blossoming some
pulmonary

contusions from the trauma.

Alright.
Open an airway tray at 8-0.

- Where's Sam?
- On her way.

- Are we really gonna do this?
- Yeah.

This guy could be sharp
as a tack

once his sodium's normal.

- What do you need?
- Sublingual captopril.

Four of morphine.

- Hey, Sammy.
- Yeah.

(Kelly)
'I've been here for like,
two hours.'

- It's kind of a bad time.
- I know.

I just, I can't
really wait around.

I've got a bunch
of appointments.

Ma'am, can you
just let us--

(Gates)
Has everyone met Sam 's sister?

I didn't know
you had a sister.

- Hello.
- Hi.

(Gates)
'Sam..'

...take a break.
Chuny'll take over.

Yeah, you know, looks
like you could use one.

Hey, doc,
we busted the mugger.

I got an empty wallet..

...and a retirement
watch from County.

- Maybe he worked here.
- Suction on high.

Call for a vent!

(Gates)
'End tidal co2 detector.'

(Kelly)
'You look good.'

I mean, considering
the last time I saw you

we were both in pigtails.

Yeah...yeah, it's been
a really long time.

Mm. We got some catching up.

You want to go to dinner?
I get off at 8:00.

Uh, no, you know,
my flight's at 7:30

and I 've got my last
meeting at 5:00.

What kind of meetings?

Uh, well, I'm here
for the apparel show.

Oh, my God, I remember those
dresses you used to make

for your cabbage patch kids!

Oh, my...well, you actually
turned that into a job?

Yeah.

Uh...my clothing line
just got bought by billabong

for about $2 million.

- You're kidding.
- No.

You're kidding me.

Yeah, it's, uh..

...well, I-I've got to travel
to Europe and Japan

to launch
the new collection.

Wow!

Wow, what did you...just come

all the way from Dallas
to rub it in my face?

No. No, um..

...I-I came to talk about mom.

I had to move her
to assisted living.

You know, her emphysema
...got worse.

Yeah, well, three packs
a day will do that.

She also had a stroke.

[sighs]

You know, I-I visit her,
like, twice a week.

And it's not a lot,
but it makes her happy.

And I'm going to be traveling
for months at a time, so..

...you know, I...I want
to move her to Chicago.

No. Don't. Please don't.

Look, I 'll pay for everything
her moving expenses..

...her living expenses,
all you've got to do

is just go visit her.

Look...I've been doing this

for a really long time
now, okay?

- I think it's your turn.
- No, it's not.

Look, she's your mother.

You know, even after everything,
she's still your mother.

Who I haven't spoken to
since I was 15.

Well, you know, maybe it's time
that changed, too.

Alright, I'm in.
Bag him.

Ac 14, tidal volume 500.

Have Frank check
personnel records

see if we can figure out
who he is.

(Rasgotra)
Post-expansion pulmonary edema.

Let's get her son
back over here now.

- He went to his audition.
- I thought he was gonna stay.

- Well, I told him he could go.
- How soon can he get back?

I don't know.

'We need a bipap'

and set up for an intubation.

- Intubation?
- She has a living will.

She asked for no
heroic measures.

Okay, Donna, Donna.
I need to ask you a question.

- Donna? Donna?
- I should call her son.

Exactly what
I didn't want to have happen.

Okay, start with the bipap.

It's noninvasive

in the spirit of her wishes.

That's a good idea.

This isn't a surgical
problem, Dr. Brenner.

You're the primary physician

on the case, so you call it.

Let's go, Neela.

Did you reach the son?

- No.
- I might have to intubate.

W-with a DNR?
Can you even do that?

Well, temporarily.
I can always remove it later.

I promised her son that she
would be alive when he got back.

I see.

(Brenner)
'There's fluid around
the heart.'

We can drain that,
buy her some time.

(Frank)
Neela. Dr. Horta's here
on your porta-lung appy.

Peri-vac kit.
Betadine.

Well, um, good luck.

- 'Serum ketones are negative.'
- Is that a problem?

(Morris)
'Well, medically,
it's good news.'

But it means we have no reason

to keep you
in the hospital overnight.

So I'm going to jail?

I think they let you out
if you pay a fine.

I don't have the money.

What about a loan?

They won't give you credit
if you don't have a job.

Ever since I got laid off,
I've been cleaning houses.

Barely covers the rent.

- My daughter..
- Your daughter?

Pregnant.

On bed rest.

I'm trying to buy her
a crib and stuff.

You could talk
to a social worker

about getting some help?

I have worked hard
my whole life.

'I've raised two babies.'

'Never been on welfare.'

I had to get my medicine.

So, why would you..

Steal a tube of lipstick?

I return it for store credit.

Use the credit..

...to buy my insulin.

It works.

Dr. Morris.

We're making some progress
ID'ing your old guy.

There's a patient missing from
a nursing home on Dearborn.

Fits his age
and description.

You hear that, Oliver?

Sounds like we found
out where you belong.

Systolic's down to 80.

- Run in a liter.
- 'You need a hand?'

I just need to thread
the catheter

over the guide wire.

[machines beeping]

[beeping continues]

'There's the pericardial fluid.'

It should help.

I'll check another
blood pressure, doctor?

[slapping rail]

(Gates)
'What's wrong?'

What do you need?
You in pain?

Relax.
You're okay.

Hit him with
some versed, Tony.

(Gates)
"TB."

TB?

By any chance, does
your lady have tuberculosis?

No, she has cancer.

You sure?

Do you have confirmation
on the path report?

It'd be unusual

but...TB could
explain everything.

'Infection in the lung..'

'...the bone, liver,
the brain, around the heart.'

You need a sputum
stain for AFB.

(Chuny)
Better get a mask on her.

You think your guy
was a doctor?

Oliver..

...were you a doctor?

I'm sorry, I wouldn't have
pulled you out

if it wasn't important.
Real quick.

What's the fine
for shoplifting?

And the maximum jail time?

[sighs]

No, the guys
didn't put me up to this.

Thank you. Get back to class.

You don't look like
you have good news.

- Could be up to six months.
- Oh.

You know, all the jails
are overcrowded.

It won't be that long.

No, her daughter's
having her baby

next week!

Hey, Morris.

Okay, I will be back
as soon as I can.

Excuse me, my captain
wants to know

how much longer she's gonna be.

Uh..

...this needs to run in
over an hour.

I thought she was ready.

Yeah, if I discharge her
too soon

she'll bounce right back.

I got to call the station.

You know what sucks?

There are guys out there
stealing cars

and shooting guns,
and you're here all day

baby-sitting a decent lady.

I'm just doing my job.

Where's Brenner?

(Chuny)
He ran to the lab.

We think this lady has TB.

Yeah, and this guy

might have figured it out.

Really?

How long does
an AFB stain take?

Less than an hour.

(Morris)
"To OMK. 35 years of service."

Oh, my God.

Do you know who this is?

Yeah, this is-this is
Dr. Oliver Kostin.

As-as in "Kostin 's Textbook
of Emergency Medicine."

He's a legend.

- Dr. Morgenstern.
- The one and only.

Hey, Chuny.
So good to see you.

So good to see you.

This is Dr. Morris
and Dr. Gates.

- Hi.
- Hello.

(Frank)
Dr. Morgenstern ran this place

back in the day.

What are you
doing here?

I got a call from
the nursing home..

Ollie...you gotta stop
wandering.

Are you his doctor?

No. His proxy.

His wife died a few years ago.
They never had any children.

So I got a durable power of
attorney for health care.

You must have been close.

He taught me everything.

Treated me like a son.

He knows you're here.

Then he's having a good day.

What's his baseline?

Multi-infarct dementia,
and going downhill fast.

Ooh...he had
a great mind.

Now there's
nothing left.

Well, something's
going on in there.

He thinks that lady
has tuberculosis.

[chuckles]

Does she?

(Chuny)
We don't know yet.

(Morgenstern)
The...the swelling

behind the right ear.

Could be scrofula.

(Morgenstern)
It's a TB infected
lymph node.

Used to be in the textbooks,
it's not anymore.

So if he's right,
he's still capable..

No.

It's a flash of an old memory.

Every once in
a while, a stimulus

a sight or a sound, brings up
something from the past

but it doesn't last long.

For all intents
and purposes

he doesn't interact
with the present.

He hardly speaks.

I brought a copy
of his DNR order.

So we shouldn't
have tubed him?

He never wanted to
end up like this.

Could we take him
off the vent?

Maybe...move him
into a private room?

Sure.

What about trauma one?

He might be getting
a few visitors.

'You know, the ER.'

Used to end right here.

He designed
your trauma rooms.

And got 'em built 40 years ago.

Dr. Horta cleared
his entire schedule

to come operate on you.

- Thanks, doc.
- My pleasure.

We'll see you upstairs.

I'll be right
behind you, honey.

I'm...really looking
forward to this.

It's gonna blow your mind.

Oh, Lucien.

This is Dr. Horta
from San Diego.

Oh, um, hi. Yeah,
I've heard all about you.

So, um, this thing's
really gonna happen?

- We're all set to go.
- Well, you should scrub in.

I-I can't, I 've got a
couple of cases

pre-op cases to check in on.

- Let the residents do it.
- You go ahead.

I'll-I'll be
in and out, you guys.

- Let's take the stairs.
- Okay.

- Nice to meet you.
- Yeah.

Lucien, heard about
the notes appy.

- Pretty cool.
- Yeah, it is...pretty cool.

Excuse me, officer.

How can I stay at home

when they're sending you
off to jail?

You need to be
on bed rest.

This is crazy, mom.
This isn't you.

Dr. Morris, this is April 's
daughter Kendra.

- Hello.
- Hello. Is she okay now?

Her diabetes is
back under control.

Mom. Why would you do
something like this?

I don't know,
I guess I wasn't thinking.

Your mother was trying to help.

This is between her and me,
thank you.

(Kendra)
Mom, talk to me.

- BP 's way up, 170/100.
- We should let her rest.

Yeah, I think
you're upsetting her.

What do you think
she's doing to me?

Sam, cycle the dinamap.

Ow!

- Ah.
- Is that a contraction?

Kyle, grab a gurney,
let's get her up to OB.

- No problem.
- Slow, deep breaths.

I'm okay.
I don't need all that.

No, we have to
monitor your baby.

Morris, positive AFB.

Whoa!

Well, the whole
ER 's been exposed.

Everybody needs
testing and follow-up.

We all assumed
it was a tumor

but the other hospital
cytology was equivocal.

Chuny, we're intubating.

- You are?
- Positive TB stain.

She doesn't have cancer,
she has a treatable infection.

(Marquez)
Alright. Glide-scope's ready.

Good call, Oliver.

TB is the great imitator.
That's what he taught us.

(Brenner)
'20 of etomidate,
a hundred of succinyl choline.'

(male #2)
'Dr. Kostin, are you mad?'

'Dr. Kostin.'

You can't give
succinyl choline down here.

I just did.

(male #2)
'Paralytics and intubation'

'require an
anesthesiologist.'

I'll keep that in mind.

Your patient's too sick
for the emergency ward.

Patients like this die

in the elevator when
we try to move them

up to the ICU
without an airway.

Okay, gentlemen.

My work is done.

(Brenner)
'Beautiful shot of the cords.'

'Passing the tube.'

Nice.

Stats are fine.

(Morris)
Cuff is down.

Alright.

Deep breath in, Oliver.

And out.

[Oliver coughs]

David.

Where do we start rounds?

Right here, Ollie.

You're right where
you need to be.

Look. I, I have to get back.

But I'm really glad
you got in touch.

Yeah.

Yeah, you know,
I've been

trying for 15 years.

Hasn't been easy.

You know, one day,
I had a big sister

and then, the next
day, you took off

just pregnant
by some dude.

I didn't take off.

Mom kicked me
out of the house.

Well, you could
have called.

She wouldn't let
me talk to you.

Written a letter.

I did.

She must have tore them up.

I, I-I never knew that.

I had a baby.

I had to work.

After a while, I just
stopped trying.

I figured you
probably hated me.

I didn't.

Um, you know

um, after you
left, this is

the only guidance
that I got.

- My diary?
- Yeah.

Yeah, you must have left
in a hurry, 'cause I found

it underneath
your mattress.

Oh, my God,
are you kidding me?

What?
Did you read this?

Yeah, of course.
Like a 100 times.

You taught me how to..

'...how to French kiss'

how to pierce my ears

how to roll a joint.

- Six Flags.
- Yeah.

When I was seven, that
was like the happiest

day of my entire life.

Oh, my God.

Mom took us home early

because you puked your funnel
cake all over Shock Wave.

Ah! You are so wrong.

No, she-she
took us home

because, when she
went to the bathroom

you went and tried to bum
a cigarette off the hot dog guy.

- I did not.
- Yes, you did.

Geez.

You were grounded
for an entire week.

Oh.

I was so stupid.

So, she's really bad, huh?

Yeah, it won't be long.

(Frank)
'Well, ICU could
take trauma one.'

Okay, let's move
Dr. Kostin.

Dylan, how'd it go?

It's okay.
Where's my Mom at?

She's in a different room
on a breathing machine

but, um, something
amazing happened.

It turns out your mom
doesn't have cancer.

Are you serious?

It's tuberculosis.

Um, they-they told us that..

The cells from
the other hospital

were suggestive of cancer,
but they weren't definitive.

So, we ran a special strain

and we found TB.

Um, thank you.

Thank you.
That's incredible.

She's not out of the woods yet.

If it's
a drug-resistant strain

then she's gonna have
a very rough course.

But it's better
than cancer, right?

I mean, her prognosis,
it's good?

Now, we're gonna
have to keep you

I-in, isolation
for a couple of days

until we find out
you're not infectious.

Not a problem.

Donna, there's someone
here to see you.

Mom, I heard the great news.

I kind of rocked it.

They're not supposed
to give you any feedback

but the head of the woodwind
department said

"See you in September."

Sam, ah, I'm gonna be
up in the OR for a bit.

Prescription for insulin

and, uh, an appointment
with a diabetes clinic.

- Where you taking her?
- County Jail.

Are you okay?

I got some medicine
to stop the contractions.

I have to wait a week
till the baby's ready.

- We should be going.
- Hold on.

You've got nothing to say?

'You're not gonna
explain this to me?'

Maybe later. She's had
kind of a rough day.

I thought I was gonna have
some help with this baby

but I'll do it on my own.

I just thought you wanted
to be a part of it.

But if this is how
you want it, fine!

Come here, you know
what, come here.

- What are you doin'?
- Please, come with me.

What's goin' on?

I need you to understand

what your mother
has been doing.

Shoplifting make-up.

To trade for insulin.

'She loves you, she's
made a lot of sacrifices'

for you and your baby,
she almost died today

because she ignored
her own health

to buy you a crib.

I didn't know.

Yeah, she's too
proud to say it.

I know it's hard, but try
to appreciate what you have.

Stump is tied off.

Endo-shears.

Nicely done.

Tension as you pull, Neela.

(Brenner)
'They're still at it.'

Yeah, you're just in
time for the big finish.

(Rasgotra)
Appendix is out.

How cool was that?

Very.

- You heard about the TB case?
- Yeah.

(Horta)
'G-prox, please.'

Yeah, we were all guilty
of diagnosis momentum.

Despite incomplete evidence,
we heard the word cancer

and we all ran
down the wrong path.

It's a glimpse
of the future in there.

Yeah, I wasn't
on board at first

but Neela persisted, so..

Well, that's a good
quality to have.

Especially in an attending.

There are a lot of candidates
this year, you know.

It's going to be
very competitive.

Well, whoever gets
her will be lucky.

Think he's really
mad at me?

Well, it did undermine
his authority.

But it was in the interest
of the patient.

Yeah, I agree.

I think he must
be in trauma one.

I just hope it doesn't
hurt my chances here.

Well, if it does, then
they're all crazy.

I can't imagine anyone
more brilliant and skilled

and compassionate
and sexy.

And you'd better
take a nap because

you're gonna need
it for later.

(Morgestern)
I was pre-med, volunteering
at the hospital

when they made him
Chief in '68.

Back then, the ER was a
glorified walk-in clinic

where you were seen
by unsupervised interns

and residents
with no training.

And the community
ER's were even worse

staffed by moonlighting
dermatologists

psychiatrists or drunks

who'd been banned
from private practice.

'There's no 911.'

'No paramedics.'

And if you needed an ambulance

you called a funeral home.

[playing the English horn]

What the hell is that?

Hmm.

Ollie once said

"You stand a better chance

"of surviving a gunshot
wound in Vietnam

than a car crash in Chicago."

[music continues]

'But he changed all that.'

He developed the 911 system

he trained thousands
of paramedics

and started one of the finest

residency programs
in emergency medicine.

You're all here
'cause of this guy.

[music continues]

Gunshot wound
to the left chest

dumped from a moving car.

- Lost the pulse.
- Starting compressions.

- Thoracotomy tray.
- I'll tube him.

- Four of O-neg and betadine.
- Yankauer!

(Taggart)
Rapid infuser is primed.

- Prep for a subcalvian.
- Hold compressions.

(Rasgotra)
'Okay, opening the chest, now.'

Shot in the chest outside
of a liquor store.

(Kostin)
Ready...and lift.

Hold an elevator!

He's gotta go right
up to the trauma ward!

Someday we're gonna take care
of guys like this down here.

The surgeons will never
sign off on that.

You wait and see.

Dream on, Dr. Kostin.

(Rasgotra)
'Foley's in the heart defect.'

(Brenner)
'Inflating to 20 cc's.'

(Taggart)
'Bleeding's slowing down.'

'He's had six
of O-neg, six of FFP.'

(Gates)
'I got a pulse, strong pulse.'

(Rasgotra)
'Okay, cardio-thoracic
team's here.'

(Morris)
'Take him away, guys.'

(Taggart)
Door to OR, 12 minutes.

- Not bad.
- Yep.

Could walk out
of the hospital.

[heavy breathing]

How you doing, Ollie?

Another two of morphine.

Got it.

Let's TKO his fluids.

[machine beeping]

He's bradying down.

Might as well turn
off the alarm.

[sighs]

[machine beeping]

[instrumental music]

[theme music]