ER s10e22 Episode Script
Drive
E.
R: Previously on E.
R.
We belong together, Sam, Alex and I.
And Sam knows that.
You get two weekends a month - It's not enough.
- at the discretion of the Lopezes.
I get to see my son at their discretion.
Does that make sense? The worst thing would be to violate the judge's order just as we're about to go into a custody hearing.
Remember that kid with high blood pressure? Call him, tell him to get his butt to the clinic sometime before he's 30.
- 17-year-old with pulmonary edema.
- Elgin? There's no heartbeat.
Not genetic.
It was just bad luck.
"DRIVE" I haven't started yet.
Okay, little pinch.
- Hey, you put in your schedule request yet? - Yeah, why? - Because Alex has his teacher-parent thing next Monday, and I'm on all week.
- I can swap Friday.
- Find another nurse.
Can't have one of our interns changing bedpans during their residency.
Yeah, I'm still waiting for my board results.
Call the USMLE.
It's multiple choice, for God's sake, not rocket science.
Okay.
All done.
All done.
You are God's gift to nursing, you know that? - So Monday for Friday? - I thought you were starting.
Yeah, well, not till I pass my boards.
I can't quit my day job.
- Morning.
- I thought you'd left already.
Orientation doesn't start till this afternoon.
Figured I'd take care of loose ends.
Return my microscope to the histology lab, hand over supply-room keys - and sell my textbooks.
- This is your last day of freedom.
Why don't you read the paper, go to the movies, sleep in? Right, do as I say, not as I do.
- You find a place yet? - I'll have a look while I'm there today.
- Are you a doctor? - No, but- Yes, actually, she's just not on duty right now.
I got my hand slammed in a car door.
I'm supposed to get a dose of morphine.
If you just wait there, I'll take care of that for you.
Refer to yourself properly.
You'll never gain any confidence with your patients.
Doesn't feel quite earned yet.
Fake it till it does.
- Where did you match? - University of Michigan, Ann Arbor.
Well, we'll miss you, but I hear it's quite nice.
Yeah, a.
k.
a.
rich and easy.
Unlike my friend Abby, who's decided to stay at County and do God's work.
Just like the rest of us suckers.
Hey, check this out.
The doctor is in.
Five-speed automatic, V8 with MDS and ESP.
I'm assuming those are good things.
Man, this is tight.
What'd you drive before? - Nothing.
I finally got the prize.
- So you won this? What? No.
Paying for it out of my own pocket.
Not everybody gets money from Mom and Pop.
- Really.
- Really.
- Jing-Mei, take a look.
- I'm sorry, I'm late.
So are you leasing this or did you buy it? What do you think? I'm still a resident, remember? Hey, get that beast out of here.
This is a hospital.
Which is convenient because if you ding this, you die.
- Hey, is this the intractable vomiting? - Seventy-five, end-stage colon cancer.
Liver mets, fever and abdominal pain.
I'd better go.
There's a patient I wanna check on.
Call me.
Let me know how it goes.
Hold it.
BP's 92/64.
Looks pretty jaundiced.
- Who's your oncologist, sir? - Don't have one.
Says that chemo wasn't working so he signed himself out a few weeks ago.
- What about your primary-care doctor? - Fired him.
I wanted to die at home.
Called 911 anyway.
Guess he changed his mind.
- Need any help? - Yeah, I do.
Thanks.
Hey.
Thanks.
You stay in your seat.
Stay in your seat.
I need you to sit down in your seat, okay? - But, Mommy, I have to go.
- I know, honey.
Just hold on.
Okay? I think my battery's dead.
Come on, lady.
Move it! - I think I have cables in here somewhere.
- It's okay.
I got it.
- Dr.
Carter, I was sorry to hear about- - Thanks.
Wife says to let us know if you need her to bring dinner.
We will.
Okay, we've got eye pain.
We've got swollen ankle, excessive coughing, headache, gout- - You all right? - Headache.
Yeah.
How is Henry? Haven't seen him all week.
We' re in court today.
- Helps to keep busy.
- Yeah.
Okay, Chuny, fluorescein, saline bullets and a Wood's lamp, all in Exam 4.
You got it.
We need paramedics.
There's a woman wedged between two cars.
She's awake and alert.
Yeah, State and 14th.
- Can you feel me touching your legs? - No.
No.
- Where's Michael? - Are you having any trouble breathing? - Get me out! - How's the boy? - I don't know.
The door's jammed.
- I'll be right there.
Michael! Okay, help is coming.
Just hang in there, okay? That guy came barreling through the cones.
- It's crazy.
- There's a first-aid kit in my trunk.
- Hurry.
- I'll get it.
Help me get it open.
Come on.
- Michael.
- Hey, where do you think you're going? Somebody stop him, damn it! Temp's up.
One-oh-two-point-eight.
No septic workup, though, right? I don't need a workup.
I need ampicillin.
We can't give you anything until the doctor examines you.
- Now, is there anyone you'd like us to call? - No.
- Hi, Richard.
I'm Dr.
Chen.
- It's Mr.
Gould.
Doesn't anybody teach manners anymore? Looks like you're a little jaundiced, Mr.
Gould.
- Any advanced directives? - Yeah, DNR, but he wants antibiotics.
Sir, it's entirely possible these symptoms are due to your colon cancer.
Antibiotics will do nothing to help that.
I'm not ready.
We can figure out why you have a fever or we can just treat you for your pain.
I said, I'm not ready! Okay.
CBC, lytes, liver panel, blood cultures times two, Zosyn 3.
75 piggyback? - Thought you were a nurse today.
- Abby's a nurse every day.
That's why she's gonna kick ass as a doc.
How'd you score on the boards? I never heard.
Me either.
Pretty close to the wire, isn't it? Yeah.
Listen, Dr.
Chen, is everything okay? Give Mr.
Gould two liters of saline wide open 10 of Reglan and four of morphine once the pressure's up.
Hey.
Where you been? Pardon me.
I took a few days off.
My dad had - Nice car, by the way.
- Wait a minute.
What happened there? - Nothing, really.
- It doesn't look like nothing.
My dad's not sleeping well, so I'm not sleeping well and I forgot to turn on a light and ran into a door.
Excuse me.
Dr.
Pratt.
Damn, how many times I gotta say goodbye to you? I wanted to say bye to Elgin.
He's going home today.
Were you planning on it? - Planning on what? - Seeing him.
- Yeah, sure.
- Because he asked.
I got the impression he looks up to you.
- Figured he was smarter.
- He could use a positive male figure in his life right about now.
Yeah, well, I'm nobody's role model.
- Is he all right? - Don't worry.
- They' re taking care of him.
- Sir, clear the area.
- I'm a doctor.
- If this blade breaks you'll kiss metal.
- Please.
- Get your ass out of there! Okay.
Just hang on.
Okay, put direct pressure on anything that bleeds.
Four of morphine and one more liter of saline.
Get me the biggest BP cuff you've got.
- How are you doing, Linda? - Need to call my husband.
We will, but we need to get you to a hospital.
Bolus saline on the pressure bags.
What's her BP? follow and you've broken most of them.
- Ten liters of O2.
Let's go.
- Sorry, it's just us in the rig.
- Oh, please, don't leave me.
- You can follow us - in your car if you want.
- I'm going with her.
Excuse me.
Looking for a kid named Elgin.
- Down at the end on the left.
- Thanks.
- Hey, what's up, man? - What's up, doc? How you doing? Good.
Just waiting on my mother to come get me.
My cousin's driving.
So, what have we learned from all this? Five a day, exercise some and find myself a job at a vegetable stand or something, I guess.
Good man.
Well, all right, then.
Take care of yourself.
Yo, doc, you got an office somewhere? Me? We don't really have a doctor.
I was thinking maybe we could come see you.
Yeah, look.
I just work in the ER.
People come in, I see them once, twice tops.
That's it, you know? Well, maybe we could hook up something then.
The family clinic can help you with whatever you need.
Just give them a call.
Tell them I sent you.
Stay on your meds.
- Guess he just got spooked.
- Midshaft clavicular fracture.
- That's a dangerous sport.
- He's usually steady except for that time he refused to jump.
There's minimal tenting.
You' re very lucky.
- This is not gonna need surgery.
- Broke my leg in two places.
- Immobilization, Motrin for pain? - Yep.
Month in a sling.
The good news is that will heal on its own.
But I'll miss the Lamplight Classic.
- Get her a follow-up with Ortho.
- Be right back.
Wish I was that fearless when I was 15.
- Is that fearless or is that reckless? - She is fearless.
I was reckless.
Hey, look, I didn't wanna bug you earlier because you've heard it from everybody, but- Hey, Taggart, that juvenile delinquent of yours is MIA.
- What? - School called.
He's a no-show.
Probably just out lighting fires and torturing small animals.
- Alex playing hooky? - More like his dad is.
Hey, it's me.
Pick up.
Come on.
Anybody home? She's got it rough with him, doesn't she? Which one, the kid or the ex? - Both.
- How are you and Kem doing? - You'll get through this.
- Hey, Peaches and Herb multiple MVAs one minute out, including a woman nearly cut in half.
Got control of the major bleeders, but she's tachy.
We need Trauma, Ortho and Vascular here now! - Thought you were working nights.
- I am.
Give her another five of morphine and as much O-neg as you can get.
- Who do you got? - Seven-year-old male unrestrained, tachy at 138.
BP, 102/56, multiple lacs to the scalp and face.
- It hurts.
- Hi.
I'm Dr.
Carter.
We' re gonna take very good care of you, okay? - Who are you? - My name's Abby.
What's your name? Antwan Coles, 20-year-old driver of vehicle number three.
Airbag deployed.
Vitals are good, but he's definitely altered.
Think I smell a little ETOH.
- How you doing, Antwan? - Need to get me out.
No sign of head trauma.
Pinpoint pupils, shallow resps, bradycardia.
- Push two of Narcan.
- Right here? Yeah, unless you need some practice intubating.
- You been shooting up, sniffing? - No, nothing like that.
- Pulse ox down to 82.
- Just give it a second.
Come on.
Let's go.
- You gotta back me up, brother.
- I'm Dr.
Pratt.
You' re under suspicion of DUI, and you sure as hell ain't my brother.
I can't feel my legs.
- Got a flash.
- Am I paralyzed? You received a lot of pain meds, and you' re in shock.
- It affects your sensation.
- I'm in.
- Guide wire's ready.
- How's she doing? Pelvic fracture by exam, small fluid in Morrison's.
And hypotension.
AP chest and pelvis are on the way.
I'm Dr.
Corday.
I'm a trauma surgeon.
You' re bleeding internally.
We'll take you to the O.
R.
What about my son? I'm sorry.
I don't know.
Michael's in good hands, Linda.
- Distal pulses before the cuffs were placed? - Ask Kovac.
He examined her.
I couldn't tell.
Take down the cuffs, she bottoms out.
Wait till you' re in the O.
R.
Gram of Ancef, 200 of gent and DT, if you haven't already done it.
- Why were you in the field? - Good Samaritan.
Systolic's 74, pulse, 130.
Another unit of O-neg and get the rapid infuser.
- Got it.
- Page Ortho down here 911.
Shallow resps, good femoral pulses.
- You need the infuser? - No.
It's yours.
- Tachy at 165, sats are only 84.
- Mommy! - She's right next door, honey.
- Mommy! I can't get the labs.
He's thrashing.
Belly's soft.
Give him two more of morphine.
Michael, we' re gonna make you feel better - but you got to settle down, okay? - Daddy, Daddy, Daddy! He's on his way.
Run in a liter of warm saline.
Let's get this mask back on you, buddy.
- Michael? Michael! - BP's 74/37.
He's bottoming out.
All right, we need to intubate.
Four-point-five uncuffed, 2 Mac Blade.
Come on! What are we waiting for? Let's go! Five cm lac over the deltoid.
Must've hit the doorframe when he was trying to leave.
You don't know that.
- You don't know nothing, bitch.
- Hey, watch your language.
- No Attendings here? - Got their hands full.
Urine tested positive for opiates.
Woke up cold with Narcan.
My guess, heroin by nose.
- Get a CT, check for bleeding or fractures.
- Can I go after that? Dog, you caused an accident.
No, an accident is when bad things happen for no reason.
You were high and ran into people.
Sew him up.
Let the cops sort this out.
- Decreased on the left.
- This one of the MVC patients? - Mom's next door.
- Blunt chest trauma hypotensive, hypoxic secondary to a tension pneumo.
- How old? - Seven.
Get an 18-gauge angiocath - and chest tube tray.
- Pulse is 78.
He's bradying down.
That's gonna get worse till we get compressed air off his chest.
- C-spine, chest, ab and pelvis? - No, he's not stable.
Pulse ox, 84.
- I'll assist Dr.
Carter.
Ten blade.
- I got it.
- Dr.
Weaver? - Ten blade.
- You'll be late for court.
- I don't need any help with a chest tube.
- Good breath sounds.
- Systolic's drifting down.
- Another liter of NS.
- We need more O-neg.
- Is my husband here? - Not yet.
Can you assist Dr.
Carter? - Ortho's here.
We need bleachers.
- Get X-ray back to check line placement.
- Is he in trouble? - No, it's just I'm afraid he's too emotionally vulnerable.
Need an intubation tray.
- What, are you saying that he can't? - Do it.
- Wow, pretty ugly stuff.
- She can hear you.
She is conscious.
- Diastolic's dropping.
- What happened to Dr.
Chen's face? We might salvage with a BKA.
Which will be a nonissue when she bleeds out from a massive hepatic lac.
Tube her, get her to the O.
R.
for an ex-lap.
No.
I wanna wait for my husband.
A laparotomy and a BKA.
We' re double-teaming.
- What's BKA? What are they saying? - You need surgery.
- and receive placement assistance anywhere in the USA.
Don't wait any longer to enter the exciting world of- Lost the pulse.
- That's P.
E.
A.
Epi, 3 cc's.
- Starting compressions.
- Come on.
- Abby, check the Thora-Seal.
- That's not it.
- The tube's kinked.
- Or in a false tract.
- No, it's not it.
and another chest tube tray.
The mediastinum's not widened.
There's no crepitus.
- Holding compressions.
- V-tach.
- Charging to 40.
- Normal heart, no chronic lung disease.
- It doesn't make any sense.
- Clear.
- Still V-tach.
- Okay, come on.
Needle.
Let's go! - Sinus at 58.
- Too slow.
Another round of epi.
- Abby, that Gould guy's asking for you.
- Who? - End-stage cancer with the antibiotics.
- Did you tell him I'm busy? No, I wasn't gonna deal with his ass.
Come on.
Who's in and who's out? - I'm in.
- Come on,.
6 of atropine.
- You called? - When am I getting my own room? - It's noisy.
It stinks.
- You'll get it when one becomes available.
- Don't patronize me.
- I'm not.
Fever's down.
What do you need? I dealt with a million smart alecks like you.
Think you know everything, you know crap.
Okay.
Well, then, I'll be back to check on you later.
- I was a teacher.
Junior high.
37 years.
- I bet you were the kids' favorite.
- Weaver's on line one.
- Can you take a message? She's in her car.
Hi, Dr.
Weaver.
Have you called the USMLE for your board results? I haven't had a chance.
- Well, are you going to? - Yeah.
Fine.
- Fine.
- Okay.
- I'll be back.
- Whatever.
Frank, you have the number for the USMLE around anywhere? Do I look like 411? Here.
Let your fingers do the walking.
Excuse me, nurse.
My family was in an accident.
- Sinus.
- Weak carotid.
- It's better than nothing.
-500 of NS, another HemoCue and let's get some warm blankets.
- Heart rate's dropping.
48.
- Damn it! - Starting compressions.
- All right, epi.
Let's go.
Mark time.
Michael? - This the father? - Yeah.
- What happened? - Holding compressions.
He suffered severe trauma to his chest in the accident.
His lung's collapsed, and it's compromising his heart.
- We lost the pulse.
- Oh, my God.
- Let the doctors work.
- You have to do something.
- Pericardiocentesis needle.
- Not in tamponade.
I know.
Hey! Open up! You' re home early.
What do you think you' re doing? We' re watching TV.
Why? Because Alex is supposed to be in school, that's why.
- Dad said it was okay.
- Well, it's not exactly his call, is it? - I'm out of here.
Later.
- I'll speak to you soon.
Can I speak with you a minute? You can't do this.
You can't pull him out of school when you feel like it.
I wanted to take the kid with me- - You' re high.
- What? You smoked dope in front of him? No, I went outside.
I took a few rips when he was watching TV.
- And it's no big deal, okay? - Maybe not to you, but to me it is.
The reason I kept him out was I wanted to take him- Where? To an arcade or a movie? - Or your dealer's house? - To my interview, okay? Interview.
- All right? - What? He got, like, the coolest job ever.
He's gonna manage this building and they' re gonna give him a place to stay.
Yeah, it's on upper Dearborn.
It's two-bedroom, two-bath, fully remodeled.
So now I can live with Dad too.
The judge will ask questions about how you plan on caring for him while you' re at work.
Meaning I'm less of a parent if I have to hire a nanny.
- The Lopezes are retired - They' re elderly.
They may not be alive long enough for Henry to get to high school.
and can offer a larger support system.
So now I'm being penalized for not having a big family? This is a conservative judge.
Her idea of what represents the best interests to the family is pretty basic: two parents, a man and a woman.
Unless she's planning to take the children of every single parent in Chicago and place them with a heterosexual couple, she's a hypocrite.
- I don't disagree.
- It's a myth.
This idea that there's some perfect setting that everyone gets raised in.
You need to outline how you' re gonna provide a stable, consistent lifestyle for him.
They brought him.
Sit back down.
If you interact, it could get volatile, and that's not gonna help you in court.
He's grown.
You okay in here? Who was that guy? He's just some guy who had a business proposition for me.
Look, Sam, just so you know, I wasn't planning on staying, okay.
It just all kind of fell into my lap which makes me think it was supposed to happen.
You know, this manager job is no great shakes but it'll keep me here and, I don't know maybe I can go to night school or something.
You know what Alex said to me the other day? What? He said, " I love you, Dad.
" Anyways I've got a bunch of furniture with a buddy in Dallas and I figure I'd leave today, and come back maybe this weekend.
Hey, maybe when I get back, you and Alex can help me paint.
Sam.
Okay.
I'll see you soon.
- Hey, buddy.
- Hey.
I'm gonna take off.
You wanna walk me to my car? Why can't I just go to Dallas with you? Because you got school, that's why.
- You have to stay in bed.
- Need to use the restroom.
But you' re dehydrated, and your blood pressure is low.
- Let me get you a bedpan.
- Can't a person die with dignity here? - I want a toilet! - Okay, okay.
You have to let me help you.
Hold on.
So, what have I got, a week? Three days, huh? Never mind.
Doesn't matter.
What subject? Algebra.
Thirty-seven years.
Taught over 4000 13-year-olds.
What the hell for? Well, I'm sure you had an impact.
Oh, right.
And at the end, you' re alone, and you get cancer.
- I'm here.
- Yeah, only because you' re paid to be.
- More laps and suction.
- BP's down to 78/40.
Ligate the femoral proximal to the popliteal artery.
I can't control the damn SMA bleeder.
Periosteum's shredded up to the midshaft, and the perforating arteries are gone.
- Dr.
Kovac, you came after all.
- How is she? On a scale of one to 10, probably a four.
Repaired the spleen, still oozing from the liver.
- Maxed out on dopa and Levo.
- Make that a three.
- Anything I can do? - There's barely anything I can do.
Perry, start neo at 100 mics per minute.
That'll screw up her distal perfusion.
Yes, well, the brain and heart outrank the extremities, don't they? - This is crazy.
- Atropine's in.
- He's got two chest tubes.
- Hold compressions.
- Pulseless.
- There's a huge air leak.
- He's got another pneumo.
- That's his third.
- Resume compressions.
- He's coding on and off for 40 minutes.
- Betadine and a 10 blade.
- Still P.
E.
A.
Another chest tube is not going to fix it.
His injuries are too severe.
- Somebody needs to talk to his dad.
- Well, think! I don't know! - Another epi? - No.
No.
Pulseless.
- I'm calling it.
- Whoa, whoa.
Wait, wait, okay.
We' re pumping air in faster than the chest tube can suck it out.
- What are you doing? - Bypass the left.
Stick it all down the right lung.
- He's lacerated his left mainstem bronchus.
- Resume compressions.
Even if he did, he's been deprived of oxygen too long.
Just give it 10 seconds.
Okay, hold compressions.
- Got a pulse back, 82.
- Sats coming up.
Okay, call CT and Surg.
Let's redline him upstairs.
We saved him.
Mr.
Pryor? We think your son has a tear in his airway and is gonna need surgery.
But he's gonna be okay? The injury's very serious, but we hope to be able to fix it.
- Do you know anything about my wife? - Just that she's in the O.
R.
- Someone can take you to the waiting room.
- Can I be with her? - Well, she is being operated on.
- She'd want me there.
- Dr.
Carter, you got a minute? - No, not really.
- It's about Jing-Mei.
- Can you give me a second? Can you just have a seat right there? Yeah, did she seem okay to you? No, neither one of us are having our best day.
Why? - There's this bruise on her face.
- I saw it.
- She says it was an accident.
I don't know.
- She seeing somebody? I don't think so.
She's focused on her dad.
- Think it was him? - Maybe.
Probably.
Look, I'd get into it myself, but things are complicated between us.
- I don't think that she'll listen to me- - Pratt, your DUI homeboy's back from CT.
- I'll talk to her.
- Thanks.
So looks like in addition to being high on H, you were also legally drunk too.
How you think your boy out there is gonna feel? - You know what he says to me? - What? He said because it's my third strike, I'm gonna have to do 25-to-life.
I'm 20 years old, doc.
- You hit a woman and a kid.
- Yeah, but life? What, you think that's right? I think it's the law.
Hey.
Lido and a 4-0 Vicryl.
I ain't got nothing nowhere anyway.
I mean, what the hell am I supposed to do? I don't know, go to school, get a job maybe.
Yeah, right, man.
Who the hell's gonna hire me? - You grow up in Winnetka or something? - Cabrini-Green.
- So I don't wanna hear excuses.
- Oh, okay.
- I guess that makes you one lucky son of a- - Hey! It ain't about luck.
You know what? You right.
It ain't about luck.
I guess it's about not looking back once you' re gone.
Doc.
Mom? When are you making dinner? - Mom? - I'll deal with the clothes.
You put all the stuff that you wanna keep in these.
- What? - We' re moving.
- No! - Come on.
Hurry up.
- I don't wanna go.
- You don't exactly have a choice.
- I'm not going.
- Yes, you are.
- I like it here.
- Yeah, so did I.
- You're just being a bitch.
- What did you call me? I'm sick of moving because you' re screwed up.
You know what I'm sick of, Alex? I'm sick of pretending your dad is a good guy.
I'm sick of keeping quiet about the crap he's done and the stuff that he hasn't.
I'm sick of him tracking us down every time he loses a job so he can buy you presents to make you think he's actually a father because he's not.
He's a user, a loser and I am not gonna let him turn you into one.
Now get your ass in that room and start packing! Last one.
Cover with ABD pads.
I'll write post-op notes.
- So you saw the whole thing happen? - Yeah, her car broke down.
- I stopped to help.
- She's lucky.
- Most people would've carried on driving.
- We've got an audience.
Must be the husband.
I'll go talk to him.
- How soon before she wakes up? - That's hard to say.
- Mr.
Pryor? - Yes.
I'm Dr.
Kovac.
I was with your wife at the scene of the accident and during her surgery.
I'm gonna check back in with you later.
Is she gonna be all right? She suffered massive internal injuries, and she lost a lot of blood.
- Oh, God.
- But we were able to stop the bleeding and we' re confident that she's gonna pull through.
But her legs were severely injured and orthopedic surgeons were not able to salvage them.
- What? - We had to amputate.
In both legs? I'm sorry.
Yeah, I took it a couple weeks ago.
Lockhart, Abigail.
I mean, I should've gotten them by now, right? Aren't you supposed to send them to my home address? - We sent them to your work address.
- You' re kidding.
Yeah, I will.
Hey, Frank.
If I received a letter here, would you tell me? Hell, no.
If a letter came, it would be filed alphabetically in the mail drawer with everyone else's crap.
As if I didn't have enough to do.
Excuse me.
I'm looking for a patient.
Last name, Gould.
Let's see if he's awake.
Mr.
Gould? Who the hell is that? It's your former student.
Hey, Mr.
Gould.
Ed Minyard? I had you for algebra.
In both ' 73 and ' 74.
Flunked you because you didn't follow directions on your final.
Yeah, that'd be me.
- What are you doing here? - I teach at Larchmont now.
Math, which is kind of karmic.
Someone called the school, told us about your situation.
I've reviewed all the written testimony, and I have follow-up questions.
Mr.
and Mrs.
Lopez, I understand you' re both retired.
Yes, Your Honor.
Can you describe your physical condition currently? My wife and I are both in good health, Your Honor.
A statement from your physician would verify this? Yes.
Dr.
Weaver, just to clarify.
Both your parents are deceased and you have no siblings? That's correct, Your Honor.
I'll take this under submission, and parties will be notified of my decision when- Your Honor? I love my son.
Mr.
Brooks, does your client wish to address the court? - No, Your Honor, she- - And I loved Sandy very much.
- Kerry, please.
- Together, we decided to have a baby.
We chose a sperm donor, got pregnant, had a miscarriage and together, we tried it again.
And that time thank God, we succeeded, and we had Henry.
I was there when he was born.
I cut his cord.
We made our way through every cold, every rash, every colicky night.
We fed our son and changed him and bathed him.
We were a family, whether any city, or state or country gives us that recognition.
And we still are.
You'll be notified of my decision.
- Is that it? - Yeah.
All right, I'll be right back.
- ER.
- Yeah, can I speak to Dr.
Kovac? Yeah, just a minute.
For you.
- Hi, this is Dr.
Kovac.
- It's Alex.
Could you come over? - My mom's freaking out.
She- - What are you doing? Hello? Surgery said that the lung repair went very well.
He has my ears.
I was hoping he'd get my eyes.
Everything else was Linda.
That's probably a good thing.
You have kids? No.
Honey? I'm here, baby.
So is Michael.
He's right next to you.
What happened? They had to take your legs, honey.
But you' re gonna be okay.
You' re gonna be good.
J, K - It's empty.
- Look under N.
- For Lockhart? - For " Nurses.
" Doctors' Lounge is on the third floor, where I'm sure you'll be spending little or no time if you know what's good for you.
My office is on the second floor, where hopefully you'll spend even less time.
And in keeping with orientation tradition some of our departing third-year residents will escort you to a local eatery where you will eat, drink and pride yourselves on having matched at one of the finest hospitals in the country.
So I'll see you all tomorrow morning bright and early.
All right, who likes Mexican? Make sure Dr.
Goodman sees me before he leaves.
We need the PPD results from his file.
- Excuse me.
- Dr.
Rasgotra.
Would it be possible to speak with you privately? Transitional internship leading to Dermatology, right? Right this way.
- Good news? - Yeah.
I passed my boards.
- Really? - Yeah.
- Congratulations.
- Thank you.
Oh, God.
Sorry, I'm just - You going home? - Yeah.
- Give Kem my best.
- I will.
Hey, Abby.
I never had a doubt in my mind.
Yeah.
So, what can I do for you? I, uh, I don't know how to go about this, but I never actually made this choice for myself.
I mean, I told my parents in third grade that I wanted to be a doctor and ever since then, it's been assumed.
It's a good thing I never said I wanted to join the circus.
I don't think I can do it.
I've been thinking about it the whole way here and for the last year, actually, and- Are you withdrawing from this residency program? I'm sorry.
You' re really leaving us in quite a lurch.
What are you gonna do, then? I'm not sure.
You understand you can't get licensed without an internship.
I know.
- You went to MIT after all.
- Yes.
What did you always used to say? " Math is the true universal language.
" "And love is for suckers.
" Mr.
Gould, this is Dori.
She's taking care of you tonight.
- Hi.
- He's waiting on a bed in Medicine.
- You might wanna give them another call.
- Young lady? - Me? - Will you be my nurse again tomorrow? No, I won't.
But I will be here.
Just ask for Dr.
Lockhart.
Alex, come on.
Get in the car, please.
Alex, please.
Come on, we'll get something to eat on the way.
- Sam! - Luka! - What happened? What's going on? - Look.
- What are you doing? - Alex and I have to leave.
- What? - It's complicated.
- I don't understand.
- No one does.
I can't let it happen.
I can't let him get to my kid.
I'm sorry.
- I don't wanna go! - Wait.
Why are you doing this? Sam, talk to me.
Hey.
Sam! Hi.
Hi.
We're running low on ibuprofen.
Is that right? I know it's none of my business.
You know, I was just trying to give him a bath.
Was it an accident? He doesn't know what he's doing anymore.
Did you talk to anybody about it? Because I think you should.
I'll be okay.
Wait.
Hold up.
Hold up.
Jing-Mei.
Look, call his nurse.
Ask her to stay an extra couple of hours so I can take you to dinner and we can talk.
Jing-Mei, I'm still your friend whether you wanna believe that or not.
Pratt.
Cops need you to sign off on your DUI ghetto kid.
- He's medically clear, right? - Sutured and good to go.
She should have been here by now, man.
What time is it? - Just about 5.
- What's up, doc? - Did he get his discharge instructions? - Four hours ago.
Can't get in touch with my mom.
Phone ain't working.
You need a ride? - I got the Chrysler outside.
- For real? - Zero to 60 in 5.
6 seconds.
- Let's go.
Yo, this is one nice ride, man.
This is the best I've been in.
- Hey, is your safety belt fastened? - Like this song right here? - Wanna turn it up, bro? - Hands don't even have to leave the wheel.
How many speakers you got? Eight with a subwoofer and 380-watt digital amp.
You' re gonna blow them out not to mention our high-frequency hearing.
- What'd you say? - The lady wants it down a notch.
- Is that better? - Thank you.
All right, all right, keep your shirt on.
Hey, jack off! Try to pay attention to the road! - What's your problem? Get out of here.
- Pay attention to this.
- Oh, nice.
- All right, we' re out of here.
See you, suckers! Feel that Hemi power, baby.
It's a beautiful thing.
Do you wanna slow down now? Pratt, slow down.
There, everybody happy now? Okay, good.
Greg.
- Son of a bitch! - He's shooting at us! Get down! Come on.
Hold on.
We gotta get out of here! Hold on! Where is he? We gotta get away from him!
R: Previously on E.
R.
We belong together, Sam, Alex and I.
And Sam knows that.
You get two weekends a month - It's not enough.
- at the discretion of the Lopezes.
I get to see my son at their discretion.
Does that make sense? The worst thing would be to violate the judge's order just as we're about to go into a custody hearing.
Remember that kid with high blood pressure? Call him, tell him to get his butt to the clinic sometime before he's 30.
- 17-year-old with pulmonary edema.
- Elgin? There's no heartbeat.
Not genetic.
It was just bad luck.
"DRIVE" I haven't started yet.
Okay, little pinch.
- Hey, you put in your schedule request yet? - Yeah, why? - Because Alex has his teacher-parent thing next Monday, and I'm on all week.
- I can swap Friday.
- Find another nurse.
Can't have one of our interns changing bedpans during their residency.
Yeah, I'm still waiting for my board results.
Call the USMLE.
It's multiple choice, for God's sake, not rocket science.
Okay.
All done.
All done.
You are God's gift to nursing, you know that? - So Monday for Friday? - I thought you were starting.
Yeah, well, not till I pass my boards.
I can't quit my day job.
- Morning.
- I thought you'd left already.
Orientation doesn't start till this afternoon.
Figured I'd take care of loose ends.
Return my microscope to the histology lab, hand over supply-room keys - and sell my textbooks.
- This is your last day of freedom.
Why don't you read the paper, go to the movies, sleep in? Right, do as I say, not as I do.
- You find a place yet? - I'll have a look while I'm there today.
- Are you a doctor? - No, but- Yes, actually, she's just not on duty right now.
I got my hand slammed in a car door.
I'm supposed to get a dose of morphine.
If you just wait there, I'll take care of that for you.
Refer to yourself properly.
You'll never gain any confidence with your patients.
Doesn't feel quite earned yet.
Fake it till it does.
- Where did you match? - University of Michigan, Ann Arbor.
Well, we'll miss you, but I hear it's quite nice.
Yeah, a.
k.
a.
rich and easy.
Unlike my friend Abby, who's decided to stay at County and do God's work.
Just like the rest of us suckers.
Hey, check this out.
The doctor is in.
Five-speed automatic, V8 with MDS and ESP.
I'm assuming those are good things.
Man, this is tight.
What'd you drive before? - Nothing.
I finally got the prize.
- So you won this? What? No.
Paying for it out of my own pocket.
Not everybody gets money from Mom and Pop.
- Really.
- Really.
- Jing-Mei, take a look.
- I'm sorry, I'm late.
So are you leasing this or did you buy it? What do you think? I'm still a resident, remember? Hey, get that beast out of here.
This is a hospital.
Which is convenient because if you ding this, you die.
- Hey, is this the intractable vomiting? - Seventy-five, end-stage colon cancer.
Liver mets, fever and abdominal pain.
I'd better go.
There's a patient I wanna check on.
Call me.
Let me know how it goes.
Hold it.
BP's 92/64.
Looks pretty jaundiced.
- Who's your oncologist, sir? - Don't have one.
Says that chemo wasn't working so he signed himself out a few weeks ago.
- What about your primary-care doctor? - Fired him.
I wanted to die at home.
Called 911 anyway.
Guess he changed his mind.
- Need any help? - Yeah, I do.
Thanks.
Hey.
Thanks.
You stay in your seat.
Stay in your seat.
I need you to sit down in your seat, okay? - But, Mommy, I have to go.
- I know, honey.
Just hold on.
Okay? I think my battery's dead.
Come on, lady.
Move it! - I think I have cables in here somewhere.
- It's okay.
I got it.
- Dr.
Carter, I was sorry to hear about- - Thanks.
Wife says to let us know if you need her to bring dinner.
We will.
Okay, we've got eye pain.
We've got swollen ankle, excessive coughing, headache, gout- - You all right? - Headache.
Yeah.
How is Henry? Haven't seen him all week.
We' re in court today.
- Helps to keep busy.
- Yeah.
Okay, Chuny, fluorescein, saline bullets and a Wood's lamp, all in Exam 4.
You got it.
We need paramedics.
There's a woman wedged between two cars.
She's awake and alert.
Yeah, State and 14th.
- Can you feel me touching your legs? - No.
No.
- Where's Michael? - Are you having any trouble breathing? - Get me out! - How's the boy? - I don't know.
The door's jammed.
- I'll be right there.
Michael! Okay, help is coming.
Just hang in there, okay? That guy came barreling through the cones.
- It's crazy.
- There's a first-aid kit in my trunk.
- Hurry.
- I'll get it.
Help me get it open.
Come on.
- Michael.
- Hey, where do you think you're going? Somebody stop him, damn it! Temp's up.
One-oh-two-point-eight.
No septic workup, though, right? I don't need a workup.
I need ampicillin.
We can't give you anything until the doctor examines you.
- Now, is there anyone you'd like us to call? - No.
- Hi, Richard.
I'm Dr.
Chen.
- It's Mr.
Gould.
Doesn't anybody teach manners anymore? Looks like you're a little jaundiced, Mr.
Gould.
- Any advanced directives? - Yeah, DNR, but he wants antibiotics.
Sir, it's entirely possible these symptoms are due to your colon cancer.
Antibiotics will do nothing to help that.
I'm not ready.
We can figure out why you have a fever or we can just treat you for your pain.
I said, I'm not ready! Okay.
CBC, lytes, liver panel, blood cultures times two, Zosyn 3.
75 piggyback? - Thought you were a nurse today.
- Abby's a nurse every day.
That's why she's gonna kick ass as a doc.
How'd you score on the boards? I never heard.
Me either.
Pretty close to the wire, isn't it? Yeah.
Listen, Dr.
Chen, is everything okay? Give Mr.
Gould two liters of saline wide open 10 of Reglan and four of morphine once the pressure's up.
Hey.
Where you been? Pardon me.
I took a few days off.
My dad had - Nice car, by the way.
- Wait a minute.
What happened there? - Nothing, really.
- It doesn't look like nothing.
My dad's not sleeping well, so I'm not sleeping well and I forgot to turn on a light and ran into a door.
Excuse me.
Dr.
Pratt.
Damn, how many times I gotta say goodbye to you? I wanted to say bye to Elgin.
He's going home today.
Were you planning on it? - Planning on what? - Seeing him.
- Yeah, sure.
- Because he asked.
I got the impression he looks up to you.
- Figured he was smarter.
- He could use a positive male figure in his life right about now.
Yeah, well, I'm nobody's role model.
- Is he all right? - Don't worry.
- They' re taking care of him.
- Sir, clear the area.
- I'm a doctor.
- If this blade breaks you'll kiss metal.
- Please.
- Get your ass out of there! Okay.
Just hang on.
Okay, put direct pressure on anything that bleeds.
Four of morphine and one more liter of saline.
Get me the biggest BP cuff you've got.
- How are you doing, Linda? - Need to call my husband.
We will, but we need to get you to a hospital.
Bolus saline on the pressure bags.
What's her BP? follow and you've broken most of them.
- Ten liters of O2.
Let's go.
- Sorry, it's just us in the rig.
- Oh, please, don't leave me.
- You can follow us - in your car if you want.
- I'm going with her.
Excuse me.
Looking for a kid named Elgin.
- Down at the end on the left.
- Thanks.
- Hey, what's up, man? - What's up, doc? How you doing? Good.
Just waiting on my mother to come get me.
My cousin's driving.
So, what have we learned from all this? Five a day, exercise some and find myself a job at a vegetable stand or something, I guess.
Good man.
Well, all right, then.
Take care of yourself.
Yo, doc, you got an office somewhere? Me? We don't really have a doctor.
I was thinking maybe we could come see you.
Yeah, look.
I just work in the ER.
People come in, I see them once, twice tops.
That's it, you know? Well, maybe we could hook up something then.
The family clinic can help you with whatever you need.
Just give them a call.
Tell them I sent you.
Stay on your meds.
- Guess he just got spooked.
- Midshaft clavicular fracture.
- That's a dangerous sport.
- He's usually steady except for that time he refused to jump.
There's minimal tenting.
You' re very lucky.
- This is not gonna need surgery.
- Broke my leg in two places.
- Immobilization, Motrin for pain? - Yep.
Month in a sling.
The good news is that will heal on its own.
But I'll miss the Lamplight Classic.
- Get her a follow-up with Ortho.
- Be right back.
Wish I was that fearless when I was 15.
- Is that fearless or is that reckless? - She is fearless.
I was reckless.
Hey, look, I didn't wanna bug you earlier because you've heard it from everybody, but- Hey, Taggart, that juvenile delinquent of yours is MIA.
- What? - School called.
He's a no-show.
Probably just out lighting fires and torturing small animals.
- Alex playing hooky? - More like his dad is.
Hey, it's me.
Pick up.
Come on.
Anybody home? She's got it rough with him, doesn't she? Which one, the kid or the ex? - Both.
- How are you and Kem doing? - You'll get through this.
- Hey, Peaches and Herb multiple MVAs one minute out, including a woman nearly cut in half.
Got control of the major bleeders, but she's tachy.
We need Trauma, Ortho and Vascular here now! - Thought you were working nights.
- I am.
Give her another five of morphine and as much O-neg as you can get.
- Who do you got? - Seven-year-old male unrestrained, tachy at 138.
BP, 102/56, multiple lacs to the scalp and face.
- It hurts.
- Hi.
I'm Dr.
Carter.
We' re gonna take very good care of you, okay? - Who are you? - My name's Abby.
What's your name? Antwan Coles, 20-year-old driver of vehicle number three.
Airbag deployed.
Vitals are good, but he's definitely altered.
Think I smell a little ETOH.
- How you doing, Antwan? - Need to get me out.
No sign of head trauma.
Pinpoint pupils, shallow resps, bradycardia.
- Push two of Narcan.
- Right here? Yeah, unless you need some practice intubating.
- You been shooting up, sniffing? - No, nothing like that.
- Pulse ox down to 82.
- Just give it a second.
Come on.
Let's go.
- You gotta back me up, brother.
- I'm Dr.
Pratt.
You' re under suspicion of DUI, and you sure as hell ain't my brother.
I can't feel my legs.
- Got a flash.
- Am I paralyzed? You received a lot of pain meds, and you' re in shock.
- It affects your sensation.
- I'm in.
- Guide wire's ready.
- How's she doing? Pelvic fracture by exam, small fluid in Morrison's.
And hypotension.
AP chest and pelvis are on the way.
I'm Dr.
Corday.
I'm a trauma surgeon.
You' re bleeding internally.
We'll take you to the O.
R.
What about my son? I'm sorry.
I don't know.
Michael's in good hands, Linda.
- Distal pulses before the cuffs were placed? - Ask Kovac.
He examined her.
I couldn't tell.
Take down the cuffs, she bottoms out.
Wait till you' re in the O.
R.
Gram of Ancef, 200 of gent and DT, if you haven't already done it.
- Why were you in the field? - Good Samaritan.
Systolic's 74, pulse, 130.
Another unit of O-neg and get the rapid infuser.
- Got it.
- Page Ortho down here 911.
Shallow resps, good femoral pulses.
- You need the infuser? - No.
It's yours.
- Tachy at 165, sats are only 84.
- Mommy! - She's right next door, honey.
- Mommy! I can't get the labs.
He's thrashing.
Belly's soft.
Give him two more of morphine.
Michael, we' re gonna make you feel better - but you got to settle down, okay? - Daddy, Daddy, Daddy! He's on his way.
Run in a liter of warm saline.
Let's get this mask back on you, buddy.
- Michael? Michael! - BP's 74/37.
He's bottoming out.
All right, we need to intubate.
Four-point-five uncuffed, 2 Mac Blade.
Come on! What are we waiting for? Let's go! Five cm lac over the deltoid.
Must've hit the doorframe when he was trying to leave.
You don't know that.
- You don't know nothing, bitch.
- Hey, watch your language.
- No Attendings here? - Got their hands full.
Urine tested positive for opiates.
Woke up cold with Narcan.
My guess, heroin by nose.
- Get a CT, check for bleeding or fractures.
- Can I go after that? Dog, you caused an accident.
No, an accident is when bad things happen for no reason.
You were high and ran into people.
Sew him up.
Let the cops sort this out.
- Decreased on the left.
- This one of the MVC patients? - Mom's next door.
- Blunt chest trauma hypotensive, hypoxic secondary to a tension pneumo.
- How old? - Seven.
Get an 18-gauge angiocath - and chest tube tray.
- Pulse is 78.
He's bradying down.
That's gonna get worse till we get compressed air off his chest.
- C-spine, chest, ab and pelvis? - No, he's not stable.
Pulse ox, 84.
- I'll assist Dr.
Carter.
Ten blade.
- I got it.
- Dr.
Weaver? - Ten blade.
- You'll be late for court.
- I don't need any help with a chest tube.
- Good breath sounds.
- Systolic's drifting down.
- Another liter of NS.
- We need more O-neg.
- Is my husband here? - Not yet.
Can you assist Dr.
Carter? - Ortho's here.
We need bleachers.
- Get X-ray back to check line placement.
- Is he in trouble? - No, it's just I'm afraid he's too emotionally vulnerable.
Need an intubation tray.
- What, are you saying that he can't? - Do it.
- Wow, pretty ugly stuff.
- She can hear you.
She is conscious.
- Diastolic's dropping.
- What happened to Dr.
Chen's face? We might salvage with a BKA.
Which will be a nonissue when she bleeds out from a massive hepatic lac.
Tube her, get her to the O.
R.
for an ex-lap.
No.
I wanna wait for my husband.
A laparotomy and a BKA.
We' re double-teaming.
- What's BKA? What are they saying? - You need surgery.
- and receive placement assistance anywhere in the USA.
Don't wait any longer to enter the exciting world of- Lost the pulse.
- That's P.
E.
A.
Epi, 3 cc's.
- Starting compressions.
- Come on.
- Abby, check the Thora-Seal.
- That's not it.
- The tube's kinked.
- Or in a false tract.
- No, it's not it.
and another chest tube tray.
The mediastinum's not widened.
There's no crepitus.
- Holding compressions.
- V-tach.
- Charging to 40.
- Normal heart, no chronic lung disease.
- It doesn't make any sense.
- Clear.
- Still V-tach.
- Okay, come on.
Needle.
Let's go! - Sinus at 58.
- Too slow.
Another round of epi.
- Abby, that Gould guy's asking for you.
- Who? - End-stage cancer with the antibiotics.
- Did you tell him I'm busy? No, I wasn't gonna deal with his ass.
Come on.
Who's in and who's out? - I'm in.
- Come on,.
6 of atropine.
- You called? - When am I getting my own room? - It's noisy.
It stinks.
- You'll get it when one becomes available.
- Don't patronize me.
- I'm not.
Fever's down.
What do you need? I dealt with a million smart alecks like you.
Think you know everything, you know crap.
Okay.
Well, then, I'll be back to check on you later.
- I was a teacher.
Junior high.
37 years.
- I bet you were the kids' favorite.
- Weaver's on line one.
- Can you take a message? She's in her car.
Hi, Dr.
Weaver.
Have you called the USMLE for your board results? I haven't had a chance.
- Well, are you going to? - Yeah.
Fine.
- Fine.
- Okay.
- I'll be back.
- Whatever.
Frank, you have the number for the USMLE around anywhere? Do I look like 411? Here.
Let your fingers do the walking.
Excuse me, nurse.
My family was in an accident.
- Sinus.
- Weak carotid.
- It's better than nothing.
-500 of NS, another HemoCue and let's get some warm blankets.
- Heart rate's dropping.
48.
- Damn it! - Starting compressions.
- All right, epi.
Let's go.
Mark time.
Michael? - This the father? - Yeah.
- What happened? - Holding compressions.
He suffered severe trauma to his chest in the accident.
His lung's collapsed, and it's compromising his heart.
- We lost the pulse.
- Oh, my God.
- Let the doctors work.
- You have to do something.
- Pericardiocentesis needle.
- Not in tamponade.
I know.
Hey! Open up! You' re home early.
What do you think you' re doing? We' re watching TV.
Why? Because Alex is supposed to be in school, that's why.
- Dad said it was okay.
- Well, it's not exactly his call, is it? - I'm out of here.
Later.
- I'll speak to you soon.
Can I speak with you a minute? You can't do this.
You can't pull him out of school when you feel like it.
I wanted to take the kid with me- - You' re high.
- What? You smoked dope in front of him? No, I went outside.
I took a few rips when he was watching TV.
- And it's no big deal, okay? - Maybe not to you, but to me it is.
The reason I kept him out was I wanted to take him- Where? To an arcade or a movie? - Or your dealer's house? - To my interview, okay? Interview.
- All right? - What? He got, like, the coolest job ever.
He's gonna manage this building and they' re gonna give him a place to stay.
Yeah, it's on upper Dearborn.
It's two-bedroom, two-bath, fully remodeled.
So now I can live with Dad too.
The judge will ask questions about how you plan on caring for him while you' re at work.
Meaning I'm less of a parent if I have to hire a nanny.
- The Lopezes are retired - They' re elderly.
They may not be alive long enough for Henry to get to high school.
and can offer a larger support system.
So now I'm being penalized for not having a big family? This is a conservative judge.
Her idea of what represents the best interests to the family is pretty basic: two parents, a man and a woman.
Unless she's planning to take the children of every single parent in Chicago and place them with a heterosexual couple, she's a hypocrite.
- I don't disagree.
- It's a myth.
This idea that there's some perfect setting that everyone gets raised in.
You need to outline how you' re gonna provide a stable, consistent lifestyle for him.
They brought him.
Sit back down.
If you interact, it could get volatile, and that's not gonna help you in court.
He's grown.
You okay in here? Who was that guy? He's just some guy who had a business proposition for me.
Look, Sam, just so you know, I wasn't planning on staying, okay.
It just all kind of fell into my lap which makes me think it was supposed to happen.
You know, this manager job is no great shakes but it'll keep me here and, I don't know maybe I can go to night school or something.
You know what Alex said to me the other day? What? He said, " I love you, Dad.
" Anyways I've got a bunch of furniture with a buddy in Dallas and I figure I'd leave today, and come back maybe this weekend.
Hey, maybe when I get back, you and Alex can help me paint.
Sam.
Okay.
I'll see you soon.
- Hey, buddy.
- Hey.
I'm gonna take off.
You wanna walk me to my car? Why can't I just go to Dallas with you? Because you got school, that's why.
- You have to stay in bed.
- Need to use the restroom.
But you' re dehydrated, and your blood pressure is low.
- Let me get you a bedpan.
- Can't a person die with dignity here? - I want a toilet! - Okay, okay.
You have to let me help you.
Hold on.
So, what have I got, a week? Three days, huh? Never mind.
Doesn't matter.
What subject? Algebra.
Thirty-seven years.
Taught over 4000 13-year-olds.
What the hell for? Well, I'm sure you had an impact.
Oh, right.
And at the end, you' re alone, and you get cancer.
- I'm here.
- Yeah, only because you' re paid to be.
- More laps and suction.
- BP's down to 78/40.
Ligate the femoral proximal to the popliteal artery.
I can't control the damn SMA bleeder.
Periosteum's shredded up to the midshaft, and the perforating arteries are gone.
- Dr.
Kovac, you came after all.
- How is she? On a scale of one to 10, probably a four.
Repaired the spleen, still oozing from the liver.
- Maxed out on dopa and Levo.
- Make that a three.
- Anything I can do? - There's barely anything I can do.
Perry, start neo at 100 mics per minute.
That'll screw up her distal perfusion.
Yes, well, the brain and heart outrank the extremities, don't they? - This is crazy.
- Atropine's in.
- He's got two chest tubes.
- Hold compressions.
- Pulseless.
- There's a huge air leak.
- He's got another pneumo.
- That's his third.
- Resume compressions.
- He's coding on and off for 40 minutes.
- Betadine and a 10 blade.
- Still P.
E.
A.
Another chest tube is not going to fix it.
His injuries are too severe.
- Somebody needs to talk to his dad.
- Well, think! I don't know! - Another epi? - No.
No.
Pulseless.
- I'm calling it.
- Whoa, whoa.
Wait, wait, okay.
We' re pumping air in faster than the chest tube can suck it out.
- What are you doing? - Bypass the left.
Stick it all down the right lung.
- He's lacerated his left mainstem bronchus.
- Resume compressions.
Even if he did, he's been deprived of oxygen too long.
Just give it 10 seconds.
Okay, hold compressions.
- Got a pulse back, 82.
- Sats coming up.
Okay, call CT and Surg.
Let's redline him upstairs.
We saved him.
Mr.
Pryor? We think your son has a tear in his airway and is gonna need surgery.
But he's gonna be okay? The injury's very serious, but we hope to be able to fix it.
- Do you know anything about my wife? - Just that she's in the O.
R.
- Someone can take you to the waiting room.
- Can I be with her? - Well, she is being operated on.
- She'd want me there.
- Dr.
Carter, you got a minute? - No, not really.
- It's about Jing-Mei.
- Can you give me a second? Can you just have a seat right there? Yeah, did she seem okay to you? No, neither one of us are having our best day.
Why? - There's this bruise on her face.
- I saw it.
- She says it was an accident.
I don't know.
- She seeing somebody? I don't think so.
She's focused on her dad.
- Think it was him? - Maybe.
Probably.
Look, I'd get into it myself, but things are complicated between us.
- I don't think that she'll listen to me- - Pratt, your DUI homeboy's back from CT.
- I'll talk to her.
- Thanks.
So looks like in addition to being high on H, you were also legally drunk too.
How you think your boy out there is gonna feel? - You know what he says to me? - What? He said because it's my third strike, I'm gonna have to do 25-to-life.
I'm 20 years old, doc.
- You hit a woman and a kid.
- Yeah, but life? What, you think that's right? I think it's the law.
Hey.
Lido and a 4-0 Vicryl.
I ain't got nothing nowhere anyway.
I mean, what the hell am I supposed to do? I don't know, go to school, get a job maybe.
Yeah, right, man.
Who the hell's gonna hire me? - You grow up in Winnetka or something? - Cabrini-Green.
- So I don't wanna hear excuses.
- Oh, okay.
- I guess that makes you one lucky son of a- - Hey! It ain't about luck.
You know what? You right.
It ain't about luck.
I guess it's about not looking back once you' re gone.
Doc.
Mom? When are you making dinner? - Mom? - I'll deal with the clothes.
You put all the stuff that you wanna keep in these.
- What? - We' re moving.
- No! - Come on.
Hurry up.
- I don't wanna go.
- You don't exactly have a choice.
- I'm not going.
- Yes, you are.
- I like it here.
- Yeah, so did I.
- You're just being a bitch.
- What did you call me? I'm sick of moving because you' re screwed up.
You know what I'm sick of, Alex? I'm sick of pretending your dad is a good guy.
I'm sick of keeping quiet about the crap he's done and the stuff that he hasn't.
I'm sick of him tracking us down every time he loses a job so he can buy you presents to make you think he's actually a father because he's not.
He's a user, a loser and I am not gonna let him turn you into one.
Now get your ass in that room and start packing! Last one.
Cover with ABD pads.
I'll write post-op notes.
- So you saw the whole thing happen? - Yeah, her car broke down.
- I stopped to help.
- She's lucky.
- Most people would've carried on driving.
- We've got an audience.
Must be the husband.
I'll go talk to him.
- How soon before she wakes up? - That's hard to say.
- Mr.
Pryor? - Yes.
I'm Dr.
Kovac.
I was with your wife at the scene of the accident and during her surgery.
I'm gonna check back in with you later.
Is she gonna be all right? She suffered massive internal injuries, and she lost a lot of blood.
- Oh, God.
- But we were able to stop the bleeding and we' re confident that she's gonna pull through.
But her legs were severely injured and orthopedic surgeons were not able to salvage them.
- What? - We had to amputate.
In both legs? I'm sorry.
Yeah, I took it a couple weeks ago.
Lockhart, Abigail.
I mean, I should've gotten them by now, right? Aren't you supposed to send them to my home address? - We sent them to your work address.
- You' re kidding.
Yeah, I will.
Hey, Frank.
If I received a letter here, would you tell me? Hell, no.
If a letter came, it would be filed alphabetically in the mail drawer with everyone else's crap.
As if I didn't have enough to do.
Excuse me.
I'm looking for a patient.
Last name, Gould.
Let's see if he's awake.
Mr.
Gould? Who the hell is that? It's your former student.
Hey, Mr.
Gould.
Ed Minyard? I had you for algebra.
In both ' 73 and ' 74.
Flunked you because you didn't follow directions on your final.
Yeah, that'd be me.
- What are you doing here? - I teach at Larchmont now.
Math, which is kind of karmic.
Someone called the school, told us about your situation.
I've reviewed all the written testimony, and I have follow-up questions.
Mr.
and Mrs.
Lopez, I understand you' re both retired.
Yes, Your Honor.
Can you describe your physical condition currently? My wife and I are both in good health, Your Honor.
A statement from your physician would verify this? Yes.
Dr.
Weaver, just to clarify.
Both your parents are deceased and you have no siblings? That's correct, Your Honor.
I'll take this under submission, and parties will be notified of my decision when- Your Honor? I love my son.
Mr.
Brooks, does your client wish to address the court? - No, Your Honor, she- - And I loved Sandy very much.
- Kerry, please.
- Together, we decided to have a baby.
We chose a sperm donor, got pregnant, had a miscarriage and together, we tried it again.
And that time thank God, we succeeded, and we had Henry.
I was there when he was born.
I cut his cord.
We made our way through every cold, every rash, every colicky night.
We fed our son and changed him and bathed him.
We were a family, whether any city, or state or country gives us that recognition.
And we still are.
You'll be notified of my decision.
- Is that it? - Yeah.
All right, I'll be right back.
- ER.
- Yeah, can I speak to Dr.
Kovac? Yeah, just a minute.
For you.
- Hi, this is Dr.
Kovac.
- It's Alex.
Could you come over? - My mom's freaking out.
She- - What are you doing? Hello? Surgery said that the lung repair went very well.
He has my ears.
I was hoping he'd get my eyes.
Everything else was Linda.
That's probably a good thing.
You have kids? No.
Honey? I'm here, baby.
So is Michael.
He's right next to you.
What happened? They had to take your legs, honey.
But you' re gonna be okay.
You' re gonna be good.
J, K - It's empty.
- Look under N.
- For Lockhart? - For " Nurses.
" Doctors' Lounge is on the third floor, where I'm sure you'll be spending little or no time if you know what's good for you.
My office is on the second floor, where hopefully you'll spend even less time.
And in keeping with orientation tradition some of our departing third-year residents will escort you to a local eatery where you will eat, drink and pride yourselves on having matched at one of the finest hospitals in the country.
So I'll see you all tomorrow morning bright and early.
All right, who likes Mexican? Make sure Dr.
Goodman sees me before he leaves.
We need the PPD results from his file.
- Excuse me.
- Dr.
Rasgotra.
Would it be possible to speak with you privately? Transitional internship leading to Dermatology, right? Right this way.
- Good news? - Yeah.
I passed my boards.
- Really? - Yeah.
- Congratulations.
- Thank you.
Oh, God.
Sorry, I'm just - You going home? - Yeah.
- Give Kem my best.
- I will.
Hey, Abby.
I never had a doubt in my mind.
Yeah.
So, what can I do for you? I, uh, I don't know how to go about this, but I never actually made this choice for myself.
I mean, I told my parents in third grade that I wanted to be a doctor and ever since then, it's been assumed.
It's a good thing I never said I wanted to join the circus.
I don't think I can do it.
I've been thinking about it the whole way here and for the last year, actually, and- Are you withdrawing from this residency program? I'm sorry.
You' re really leaving us in quite a lurch.
What are you gonna do, then? I'm not sure.
You understand you can't get licensed without an internship.
I know.
- You went to MIT after all.
- Yes.
What did you always used to say? " Math is the true universal language.
" "And love is for suckers.
" Mr.
Gould, this is Dori.
She's taking care of you tonight.
- Hi.
- He's waiting on a bed in Medicine.
- You might wanna give them another call.
- Young lady? - Me? - Will you be my nurse again tomorrow? No, I won't.
But I will be here.
Just ask for Dr.
Lockhart.
Alex, come on.
Get in the car, please.
Alex, please.
Come on, we'll get something to eat on the way.
- Sam! - Luka! - What happened? What's going on? - Look.
- What are you doing? - Alex and I have to leave.
- What? - It's complicated.
- I don't understand.
- No one does.
I can't let it happen.
I can't let him get to my kid.
I'm sorry.
- I don't wanna go! - Wait.
Why are you doing this? Sam, talk to me.
Hey.
Sam! Hi.
Hi.
We're running low on ibuprofen.
Is that right? I know it's none of my business.
You know, I was just trying to give him a bath.
Was it an accident? He doesn't know what he's doing anymore.
Did you talk to anybody about it? Because I think you should.
I'll be okay.
Wait.
Hold up.
Hold up.
Jing-Mei.
Look, call his nurse.
Ask her to stay an extra couple of hours so I can take you to dinner and we can talk.
Jing-Mei, I'm still your friend whether you wanna believe that or not.
Pratt.
Cops need you to sign off on your DUI ghetto kid.
- He's medically clear, right? - Sutured and good to go.
She should have been here by now, man.
What time is it? - Just about 5.
- What's up, doc? - Did he get his discharge instructions? - Four hours ago.
Can't get in touch with my mom.
Phone ain't working.
You need a ride? - I got the Chrysler outside.
- For real? - Zero to 60 in 5.
6 seconds.
- Let's go.
Yo, this is one nice ride, man.
This is the best I've been in.
- Hey, is your safety belt fastened? - Like this song right here? - Wanna turn it up, bro? - Hands don't even have to leave the wheel.
How many speakers you got? Eight with a subwoofer and 380-watt digital amp.
You' re gonna blow them out not to mention our high-frequency hearing.
- What'd you say? - The lady wants it down a notch.
- Is that better? - Thank you.
All right, all right, keep your shirt on.
Hey, jack off! Try to pay attention to the road! - What's your problem? Get out of here.
- Pay attention to this.
- Oh, nice.
- All right, we' re out of here.
See you, suckers! Feel that Hemi power, baby.
It's a beautiful thing.
Do you wanna slow down now? Pratt, slow down.
There, everybody happy now? Okay, good.
Greg.
- Son of a bitch! - He's shooting at us! Get down! Come on.
Hold on.
We gotta get out of here! Hold on! Where is he? We gotta get away from him!