ER s12e21 Episode Script
The Gallant Hero & the Tragic Victor
E.
R.
Previously on E.
R.
I never wanted to be around this type of suffering.
I mean, who would? - I'm glad I came here.
- I'm glad you came too.
I've been evaluated by the committee.
And you know what? I'm in the clear.
You better start showing me some respect.
Getting any sleep? Bobby, I'm not doing this.
What time are you going home tonight? I haven't been getting any sleep lately.
And the thing is that I've been really, really needing some.
I wish I didn't feel how I feel.
You're the best friend I've ever had.
- I am a soldier, remember? - And you're also a husband, remember that? One of the drivers got hit.
Corporal Milton, can you hear me? Okay.
He's gonna be okay.
- I want you to hold pressure here.
- I just called the CASH.
- They're sending a chopper.
- That's not gonna work.
How far are we from the aid station? FOB Eagle is only about four kilometers due north.
Okay, okay.
On my count, we'll lift him up onto the truck.
- Keep pressure on his neck.
- Shouldn't we wait for the chopper? He'll bleed out before they get here.
Let's go! One, two, three.
I don't even think he's breathing.
Just keep holding pressure.
You're doing good.
His pupils are fixed and dilated, sir.
We can stop.
Thanks for trying, sir.
He just got engaged.
You got a girl back home, captain? Me? Yeah.
I'm married.
My wife, Neela, is a doctor- Oh, my Oh, yes.
Oh, yeah.
Yeah.
Yeah.
Mothers eat their own young in the wild and we think it's part of nature, right? But when women kill their children, it's a crime, and we think they're crazy.
- What? - It just makes you wonder, right? Are the lions crazy too? Or are women like Susan Smith and Andrea Yates just acting upon some primitive impulse that's deep within our genetic maternal make-up? - Am I interrupting something? - Just some girl talk.
Dennis Young, 34, assault victim.
- Blunt trauma to head and face.
- Was he mugged? Looked like a home-invasion thing.
They tuned him up good.
What's your name, sir? Airway's okay, decent vitals, moves all extremities.
- Pupils are 5 millimeters.
- There were two kids with him.
Seventeen's bringing them.
They got worked over, one looks real bad.
Okay, Abby, Trauma 1.
Head, facial and C-spine CT as soon as you can.
And send Sam out here to help - if you see her.
- Okay.
- Get out of here.
- I swear.
She invited me in for a drink.
Door wasn't closed she was tearing my clothes off.
- Yeah, right.
- To quote my man Rick James, "The girl is a super freak.
" Had sex toys I've never seen before.
Must have been German or something.
- One took two hands to operate.
- Morris.
Check it out.
Oh, yeah.
I tapped that.
- What exactly am I looking at? - It's Albright.
- Where? - Right there.
I've seen more convincing photos of Bigfoot.
But it was dark, I couldn't use the flash.
Any chance he'll talk to us? - Don't think so.
- Enlighten me, ladies.
Open skull and facial fractures.
And we got nothing to go on.
- Nobody saw anything.
- Glascow coma scale? Spontaneous eye opening.
- What's he trying to say? - He's altered.
Don't think he knows.
- Withdraws from pain.
- For a total of? - Twelve.
- And we intubate at? - GCS of nine.
- Excellent.
Any blood in the belly? We were focusing on the primary survey.
If I wanted excuses, I'd ask you directly.
Give me the SonoSite.
Any idea why CT scan on your trampoline guy, Margolis - never got to the O.
R.
?.
- I'll have a tech run them up.
- Dubenko wants you to bring them up.
- Hang a gram of Vancomycin.
- Is this about the oral contrast? - No idea.
It increases the risk of anesthesia.
If you want my opinion, I'd find those results and haul my ass up there.
- After we stabilize the patient.
- No.
Now.
- We got this.
It's okay.
- Belly's clear.
Call me after the scan, Mo.
And have Neurosurg and Head and Neck take a look.
Did she just call you Mo? It's a nickname for Morris.
Or homo.
Hey, don't worry, okay? That little vixen's getting punished tonight.
Oh, yeah, she's in store for a little: Mo-Mo-Morris.
How do you like it? How do you like it? Oh, yeah, Morris Hey, stranger.
- Welcome back, Dr.
Pratt.
- Thanks.
Glad to see you survived.
How was it? Well, hot, sweaty, fly-infested.
It was a little overwhelming, to be honest.
- Did you save a lot of lives? - I tried.
Three-year-old Eddie, good pulses.
BP, 100/50.
Decided to stop breathing as we pulled in.
Can you open your eyes, Eddie? He's posturing.
He was awake on the scene, but now this is all we can get.
- Sam, you're with me.
- He's bradying down.
Probable head bleed.
Thirty mgs of mannitol, call CT, and let's get Neurosurg down here.
Sean, 10 years old, blunt trauma, face and chest.
Tachy at 135, BP's good, How are you doing, Sean? I'm Dr.
Pratt.
I wanna stay with Eddie.
He's scared when I'm not with him.
Don't worry, we'll have you in the room right next to him.
Come on, let's go.
- Damn it, the IV blew.
- Tube.
Who did this? It must have been the same guys who busted up the pops.
Looks like the work of meth heads.
What's this kid's story? Three-year-old, hypertensive and bradycardic.
Looks like traumatic head injury.
Okay, I'm in.
Bag him at a rate of 40.
Pupils dilated, left greater than right.
Step-offs, hematomas.
Could be head trauma.
All right.
Retinal hemorrhage.
Definitely head trauma.
Call Neurosurg and get mannitol onboard.
We've already done that, Vic.
Pulse hanging in the 60s.
I still don't have a line.
Okay, throw me an IO needle.
- You don't wanna do that.
Trust me.
- Oh, yeah, I do.
Betadine.
The IO drill is the greatest.
Wait till you see this.
- We don't have the pedes model.
- We do.
We got it in last week.
I'm gonna show you how to drive this baby.
- Vic, let me do it.
- No, I got it.
- Come on.
I got it.
- I got it.
Let me do it.
Vic, come on.
Okay, I got it.
Okay, I'll talk you through it.
Tibial tuberosity.
One-finger-breadth medial.
One-finger-breadth medial, that's what it is.
Are you listening to me? He's seizing.
Two of Ativan.
- I can't.
I don't have access.
Hold on.
Hold on.
There you go.
That's it.
- Okay, now you do.
- Nice job.
- Get a head CT.
- What's wrong with you? I'm trying to help you, that's all.
You don't listen to a word anybody says.
You're all over the place.
Okay, I'm sorry.
I'm sorry, I was - I just didn't get a lot of sleep last night.
- Seizing stopped.
A hundred and fifty of Dilantin and pack up for the scanner.
Outside.
- What? - Now.
What? - What are you on? - I'm not on anything.
I just told you.
All I ate was a cup of coffee, that's all.
What? What, you want a drug test? You want a drug test here, now? Go, grab a cup.
- Go ahead.
Grab a cup.
- Okay, look.
Why don't you take 20 minutes and get yourself together? Because I repeated an order? Come on, please.
What are you, my moms? - Luka.
- Frank, not now.
Look, you're an Attending.
I need you to be on the ball.
Vic, I'm serious.
Yeah, I'm serious too.
You're seriously starting to piss me off.
Because if you don't wanna work with me, that's fine.
I don't need you.
- Vic.
Vic- - Dr.
Kovac.
What, Frank? These gentlemen are looking for Dr.
Rasgotra.
One of them is a Military Casualty Officer.
Sats are falling, 89.
Can't see the cords, too much blood.
Need a surgical airway.
- Crike tray.
- Slow your roll.
Open up a central line kit.
Grab a McGill.
- We'll do a retrograde intubation.
- Never seen that work.
You've never seen me do it.
Today's your lucky day.
I'm gonna do a Seldinger technique.
I'll wire up through the cricothyroid.
- It'd be faster to crike him.
- No, you'll get infection and bleeding.
Not to mention subglottic stenosis and a big, ugly-ass scar.
Sats down to 84.
Hypoxia's not good for you either.
- Where's Neela? - She got called up to Surgery.
We'll aspirate air, and then pass the wire through.
There are soldiers looking for her and one of them is a chaplain.
You need to find her.
Yeah, I'm trying to page her.
- Everything okay in here, Abby? - Yeah, I think so.
We'd be better if you stopped talking when I'm trying to show them how to save his life.
- Listen, Vic- - I'm all over this.
I'm serious.
Go find Neela, please.
Okay, Abby, look.
Look for the wire in the oropharynx.
- I can't see it.
- You will, you will.
Come on, you son of a bitch.
Damn it.
- Come on.
- Got it.
Hey, can you give this CT to Dr.
Dubenko? I think he wants to see you.
I've been paged to ER.
If you can make sure he gets them.
He was very specific about speaking with you in person.
Sats, 78, bradying down to 60.
I still can't see your wire.
Open up a crike tray.
- We don't need no crike tray.
- Vic.
Stop staring.
Focus on your patient.
Ray, give her more suction.
It's gotta be there.
- Wait, wait, wait.
I got it.
- All right.
Keep going, keep going.
Stop.
It'll guide you right through the cords.
- Okay.
That's enough, Chuny.
Thank you.
- Sure.
Hard to pass.
Wiggle it, mommy.
Side to side.
Wiggle it, wiggle it.
Okay.
I think I'm in.
All right, wire out and bag him.
Call for a portable chest.
- We all good here? - We're doing great.
- Abby? - Why you asking her? I mean, I just told you we're doing good, right? I'll go find Neela.
Can you believe this? It's ridiculous, huh? What percentage of liver injuries stop bleeding by the time surgical exploration is performed? - About half? - How about 86 percent? It's okay, you have time to learn all that in five years.
What? Seems all my complaining's finally paid off.
We've been funded for an additional slot in a Surgical Residency.
- It's yours for the asking.
- Are you serious? - Well, if you don't want it- - No, I want it.
I want it.
Sorry, it's the ER.
Ignore it, you're a surgeon.
We never answer the first page.
I'm kidding, go.
Come find me after your shift.
We'll grab a beer at Ike's to celebrate.
That'd be great, but the drinks are on me.
So I guess congratulations are in order.
Yes, thank you.
Dr.
Dubenko told me.
- I'm so excited, can't wait to get started.
- Yeah, it's gonna be fun.
Look forward to being your Attending.
Right.
Wonderful.
Neela, Luka's looking for you.
Yeah, I got his page.
Hey, guess what.
I got the Surgical Residency.
- Wow, that's great.
- You should really try to find Luka.
- Yeah, I will.
- Hold up.
I need to talk to you.
- Hey, I got it.
- What? The Surgical Residency.
That's good for you.
That's really great.
Well, try to contain your enthusiasm.
- I need to tell you something.
- Yeah, Luka's paging me.
I know, and- Because it's important.
So is my news, but nobody seems to care.
- Neela, listen- - It's not like I'm leaving the hospital.
I'm going into Surgery.
I'd think you people would like having me up there.
Abby, have you seen Luka? There are two men here to see you.
From the Army.
The Army? We tried to find you.
- Doctor Rasgotra? - Yes.
I'm Captain Evans, this is Father Marris.
Is there someplace more private we can talk? Can you tell me why you're here, please? - I really think it would be better- - Tell me.
Ma'am, the secretary of the Army would like to express - his deepest regret - There must be some mistake.
that your husband, Captain Gallant, was killed in action.
I'm sorry, you've got it mixed up.
Michael is a doctor.
He's not a "soldier" soldier.
He was killed when his truck was hit by a roadside bomb.
Again, the secretary extends his deepest sympathies- I'm sorry.
I'm working.
I can't do this right now.
Please tell Dr.
Rasgotra that we're here to help in any way possible.
Have his parents been notified? No, but that's something we can do if she would like.
What about Michael's? Her husband's remains? It will take seven to 10 days for the deceased to get here from Iraq.
Arrangements will be made to fly him here to Chicago or wherever she decides.
Okay.
I'll pass it on.
All pertinent information is in the packet.
If she has any questions, she can contact myself or Father Marris.
- Okay, thank you.
- Thank you.
- Hey, was it friendly fire? - Sir? How do we really know what happened over there, huh? Doesn't this whole war smell to you a little bit of right-wing cronyism? With the oil, and the multi-billion-dollar rebuilding contracts, huh? You know what real psychological warfare is? You coming in here, feeding us a bunch of lies to placate the masses.
- Shut up.
- Tell me about the deficit.
Why do we have to go there and kill everyone? - For democracy? - I need help with Mr.
Engle's blood gas.
- Vic.
- Excuse me.
Come on.
- Sorry.
- I'm gonna go find Neela.
Make sure she goes home.
Okay, he's doing better.
So why don't we lower the FiO2 to 70 and then we'll grab a - Grab an ABG in 20, okay? - You want me to look at your nose? No, I'm fine.
I'm fine.
Thank you.
I just wanna say I'm sorry.
I'm sorry about what happened over there but those guys coming in here like storm troopers and just It's like I'm a stigmata.
- Why don't you go crash in the lounge? - I'm fine, I'm fine.
I'm really fine.
You know there's no rest for the wicked.
You, Abby, should know that.
The intubation was cool, though, wasn't it? Gotta put that in your bag of tricks.
I'm telling you, you got- Look, I gotta take care of this.
- Hey.
- Hey.
- Did you find Neela? - Ray's looking for her.
You know, I came here today thinking about how nice it is to be back, you know? I figured I'd come back, maybe save a few lives.
Maybe even bring somebody back from the dead, you know? I damned sure didn't expect to lose a friend.
Yo, doc.
The 10-year-old won't say anything, and we got nothing.
Did you find mom? Yeah, she's been in rehab since November.
Dad's out of it, and baby's in a coma.
This kid's all we got.
Can you try talking to him? Yeah.
- How we doing in here? - Oh, kind of quiet.
Hey, man.
You wanna see something really, really cool? That's your skeleton.
And, see, look right here.
This is where you broke your collarbone.
Looks like old rib fractures.
Do you remember hurting your ribs? No? I know you're worried about your dad and your little brother.
But we got the best doctors helping them out.
So now we need you to help them too, by telling us what happened.
You do wanna help Eddie, right? Yeah? Well, then you need to talk to me.
Eddie wanted to play with my Bionicle guy and I took it away from him.
Then he started crying, and he wouldn't stop.
So my dad started shaking him.
Did your dad hit you? He punched me, then threw me into a chair.
And what about your brother? Eddie kept crying and he kept shaking him.
Telling him to shut up using the F-word.
And then he grabbed Eddie's head and slammed it against the wall.
Then Eddie was crying so hard that he couldn't breathe.
So I got my baseball bat and hit him.
You hit your dad? I wanted him to leave Eddie alone.
How many times did you hit him? Until he stopped.
I was just talking to him four days ago.
He was complaining about the food and I was complaining about how cold Abby's apartment is.
I honestly don't even remember what else we were talking about.
I'm so sorry, Neela.
We all are.
You know, I was probably ordering a latte or watching Celebrity Poker when he was being blown up by a bomb.
Just like that, he's gone.
Listen, if you need anything - Or you want me to do anything- - No, Ray, I don't.
I don't need you to do anything.
I just- I need to go back to work.
No, Neela, look.
You need to go home, take care of things.
- You need to take care of yourself.
- You know, I don't have a home.
I don't have a husband.
I don't have anything.
All I have is this stupid hospital.
Just stay the hell away from me.
Are you hiding? Is it that obvious? I can't believe Michael's dead.
- You wanna go home? I'll cover for you.
- What about Neela? Well, we can take care of things.
Who? You and Clemente? Weaver knew he had problems before she hired him.
- Now we're paying for it.
- Well, Luka, it's your ER.
Let's go away someplace where it's warm and where nobody knows who we are.
- You mean like a vacation? - No, not like a vacation a vacation.
A real one.
Even if it's just for a couple of days before the baby's born.
We could hang out by a pool.
Or the ocean.
I can dig a hole in the sand for your big belly.
What is that? Some sort of Croatian mating ritual? - Mm-hm.
- What am I, a sea turtle? Neela.
Neela? - Hey.
Hey, let someone take you home.
- I have patients to pass on.
We can take care of that.
You need to go home.
Why is everyone so insistent that I go home? I have things to do.
I haven't even told Michael's parents yet.
The guys from the Army said they'd take care of that.
No.
I have to do it.
It'd be better to do it from my apartment.
Get some privacy? Doubtless they're both at work.
I wanna tell them at the same time when they're together tonight.
- Neela, go home, please.
- Abby, Dennis Young's crashing again.
I'll check in on you later.
- Hey, Neela, I just wanted- - Don't.
The men from the Army left a package for you.
Frank has it at the desk.
- Neela? - You know what? If it makes everyone else happy, I'll go home.
- What's going on? - He's bradying down.
Push the damn atropine.
- You sure he didn't have an epidural? - No.
Just diffuse brain edema.
- All right, a hundred grams of mannitol.
- We gave him mannitol.
Bilaterally blown pupils.
- Check the ET tube.
Maybe it came out.
- No, it's fine.
GCS, three.
His brain stem is failing.
There's not a whole lot we could do about that.
- Heart rate's down to 30.
- I lost the pulse.
It's P.
E.
A.
An amp of epi.
Two angiocaths.
Maybe it's a tension pneumo.
- He's satting at 100 percent.
- Did he get Dilantin? Fifty per kilo.
All right, Sam.
Start compressions.
Okay, Sam.
You call those compressions? Come on.
New AHA guidelines.
December issue circulation.
A hundred per minute, deeper and faster.
That's how you'll save a life.
Okay, I need to perfuse his brain.
I need hypertonic saline at 23.
4 percent.
- We don't have that.
- Don't have that? You don't have that? Hypertonic saline reduces ICP when mannitol fails.
That paper last fall in The Lancet.
Or was it the New England Journal? It was Neurosurgery.
That's right.
I knew it.
The author was Weston or Williams or something starting with W.
Wares, that's it.
That's it, Wares.
- Neurosurgery, 2004, October.
- Hold compressions.
Asystole.
- Okay, let's just call it, Vic.
- Call it? Lockhart, I never figured you for a quitter.
All right, he needs burr holes.
We gotta reduce the ICP.
He has an open skull fracture.
Burr holes are not gonna help.
Vic.
Okay, he should have had an ICP monitor.
Everybody knows he should've had an ICP monitor.
Time of death, 1420.
Oh, we could do better than this.
We gotta do a lot better than this.
- Do a lot better than that.
- Vic, I need to talk to you.
Yeah, and I need a cup of coffee.
Not the crap they serve here.
Not the effluence they pass at the roach coach.
- I need a real coffee.
- Vic, hey- Ever been to this Italian place, Marrinacio's on Randolph? My God, best coffee this side of Milan.
They even make their own biscotti.
You walk through that door, it smells- I'll treat everybody.
Everybody.
I'm gonna treat everybody to espresso and biscotti, okay? Luka, 48-year-old complaining of chest pain.
Exam 3.
Is he on any medication? Lipitor and aspirin.
- Should I go get Clemente? - No, let him go.
Just pick me up as soon as he comes back.
Okay, first-day labs, 12-lead, Lopressor and nitro.
Sir, don't worry, we'll take good care of you.
- One.
- One.
- Following an accidental scalding.
- I'll be right in.
I guess his brother accidentally got his head slammed against the wall today? - Hey, what's going on? - I got a kid with a busted collarbone.
He's got signs of old rib and humerus fractures.
He's the lucky one.
His little brother's in the room next to him in a coma.
- Did you call Social Services? - Yeah, they're coming.
You know, we got CTs, MRIs, PET scans, Dopplers, 4-D ultrasounds and we still can't save one kid from getting his brains beaten out.
That's right.
Had to kill his old man because there was nobody else there to help him.
I guess that would be too much to ask, wouldn't it? It's much better that we spend- What is it now? 6 billion dollars a month in a war all the way across the world to kill off a few more of the other kids who actually get to their teens.
Did you tell the police? So they could arrest him? Yeah, because that's the one thing we do well in this country, isn't it? We got prison down to a science.
Prison and war.
He and Dr.
Gallant were friends.
This coffee is good.
Italians know what they're doing.
The French What the hell is a French press anyhow? Forget that, man.
- I know you.
- Oh, yeah? - You're a killer.
- No, no.
I'm not a killer.
Jerry Lee Lewis is the killer, and you're the mayor of Munchkin City.
You kill them in the hospital.
You got blood on you.
Oh, damn.
My nice, new shirt.
Right through the trauma gown.
- Yeah, I know what you do.
- Oh, man.
You cut them up into little pieces.
You gotta step off.
Feed the surgical waste to the dogs.
- Stop the slaughter.
- Know how I got this? Know how I got this? Saving someone's life.
Because that's what I do.
I save pieces of crap like you, okay? You crazy son- - Hey, watch where you're going, man.
- Hey.
What are you doing, man? You trying to-? Watch where you're going, man.
I'm a pedestrian, I have the right of way.
- You're not looking.
- Want me to kick your ass? You gonna kick my ass? Gonna get violent on me? Gonna kick my ass.
Come on, kick my ass.
- Kick my ass up here.
- Hey.
- Kick my ass up here.
- What the hell you doing? You're gonna go violent on me? Go ahead.
What the hell are you doing? Hey, hey, hey.
What are you, psycho? - Psycho? - Yes, psycho.
Psycho? You don't know about psychosis.
I'm the freaking doctor.
I'll show you psychosis.
- That's psychosis, okay? - Hey, come on.
What are you, on drugs? Yeah, I'm high.
I'm wasted.
I'm flipping.
You wanna dip my urine? Is that what you wanna do? You wanna dip my urine? Go ahead.
Go ahead.
Yeah, watch out, huh? Watch out.
I'm gonna get you all over the place.
Hi, Neela, it's Abby.
I was thinking about stopping by tonight on my way to Luka's.
And we're gonna get some takeout so if there's anything special you wanna eat or if you need anything, just give me a call.
You talk to her? Tried.
I think she just wants to be alone.
She'll have a lot of time alone.
Probably best if she was around people now.
Yeah, well, like I said, I tried, but it didn't seem to work.
Whoa, Abby.
- Sam, Sam.
- Vic? I got jumped.
I was going for coffee.
- They ambushed me.
- Forty-one-year-old male.
- Altered mental status.
- I'm not, you're altered.
There's no connection with you on a human level.
He was wandering around in traffic, combative, uncooperative.
You know why I'm uncooperative? You tied me down, that's why.
What is this, Fascist Germany? - Easy, Vic.
- Why is he in handcuffs? He assaulted several motorists.
You know what it is? Xenophobia.
That's what it is.
Keep us living in fear.
How about Trauma 1? - Full.
- It's not H5N1.
- Take him to Exam 2.
- Pulse ox, 99 on two liters.
Pulse ox, 99? Ha.
On room air, mouth breather.
Get him away from me.
- He doesn't know what he's doing.
- Dextrostick, 102.
Sam, tell them I'm an Attending.
Tell them what a colossal mistake they've made.
- Please, tell them.
- You cut your leg, Vic.
Yeah, but it's superficial.
I can feel the platelets already gonna take care of it.
I can feel that.
I can fix that with a get-well sticker.
- Let us check it out.
- It'll only take a minute.
All right, all right.
Okay, okay.
I get it.
It's funny, guys.
The joke's on me.
I get it.
Everybody's laughing.
Okay, now get it off me, okay? Come on.
Get it off.
- Four of Ativan.
- Take it off me! Take it off! - Five of Haldol, IV push.
- Get it off me! Abby, you can't give me Haldol.
You can't give me Haldol, Abby.
I'm not crazy.
You understand? - It's okay.
It's okay.
- X-ray, come here, buddy.
Come here.
These freaking chicks are losing their mind.
- Come over here, help me, man.
- Get Luka.
What, are you gonna amputate my leg? Oh, that's it.
Run to Daddy, you little bitch.
Run to Daddy, little bitch.
Sam, don't you dare.
Don't you dare, Sam.
- Sam, don't you dare.
- Just try to relax.
Settle down, doc.
Settle down.
See? He said I'm a doc.
You heard him.
I'm a doc- I'm a doctor, not a freaking patient.
Abby.
Abby, I'm your Attending.
You hear me? I'm your Attending.
- Do no harm, Abby.
Do no harm, Abby.
- I know.
I know.
I'm an Attending at Hey.
I thought it would be okay.
Do you mind? Oh, sure.
- Sean, you want some more Jell-O? - Can I? Yeah, we got tubs of it downstairs.
I'll be back in a few minutes.
Eddie's gonna be hungry when he wakes up.
You know, since your mom's away you're gonna have to go stay with a foster family.
Probably until she gets back.
The Fosters? No, their name's not Foster.
That's what they do.
They take care of kids.
Eddie too? No, Eddie's gonna have to stay in the hospital.
Because he's still sick? He's showing signs of improvement though.
And we're gonna have him in a very special part of the hospital that's just for kids and you can visit him there.
What about my dad? His injuries were very, very severe and, um the doctors, they couldn't fix him.
He's dead? Yeah.
I'm afraid so.
- But I didn't mean to kill him.
- I know that.
But I'm gonna go to hell.
- What? - For killing him.
God sends you to hell if you kill someone.
Sean, I think that God makes exceptions if you were trying to save someone else.
Really? Really.
- How is he? - He settled down.
Okay, I'm gonna get out of here.
I'm gonna go to my place, check on Neela.
- Call me.
Let me know how she's doing.
- I will.
- What's with Clemente? - Have to hear what Psych says.
Too bad, I was starting to like the little guy.
Clemente's labs.
Tox screen's negative.
Not so sure that's a good thing.
Come on, guys, let's give Vic some privacy.
We still got a board to clear.
Back to work, everybody.
Do you need me to sign off on anything? No.
Everything okay with you? Yeah.
Why? Well, sometimes it can be a difficult transition coming back to this place.
Yeah, I'll be okay.
I was just a little rattled earlier because of the whole Mike situation.
Well, it's good to have you back.
Hey.
Thanks for making me go there.
Someday, maybe you can tell me all about it.
Yeah, someday.
Neela? - Hi.
- Hey.
I brought you some dinner and some groceries.
Thanks.
Did you call Michael's family? Hey, how about I stay here tonight? Um, I think I'd like to be alone.
Really? I could use a break from Luka's snoring.
Michael used to snore when he was drunk.
You know, I had to come home and find a photograph because I couldn't picture him in my head.
One day, I'm not even gonna be able to remember what he looks like.
That's not true.
I'm gonna be fine.
Okay.
I'm sorry.
- I'm putting him on a 72-hour.
- What are you calling it? Gravely disabled.
He's blaming it on insomnia.
Tox screen was clean.
There's no history of schizophrenia or bipolar disorder.
But he's had prolonged sleep deprivation and was recently the victim of a violent crime so there's probably some PTSD going on too.
- But we'll know better in a couple days.
- Yeah.
- Thanks.
- Yeah.
Hey, Vic.
- What a day you had, huh? - Yeah.
How are you feeling? I'm pretty good, considering.
I just feel like such an ass for flipping out in front of the kids.
I'm a passionate man.
That's what makes me a good doctor, right? Right.
I just can't keep up my pace without spinning off the road at some point.
I'm just sorry that it had to happen on your watch.
No, that's okay.
That's okay.
The important thing is that you get some rest now.
Yeah.
Yeah.
I'm gonna get some rest.
Oh, yeah.
I'm gonna get some serious R and R.
- Catch up on my sleep or maybe do a- - Let me, uh - Let me take you upstairs, okay? - All right, sure.
- Okay? - Yeah.
Personal escort treatment.
I like that.
Appreciate it, Luka.
I really do.
You helping me like this.
And don't be afraid to come up any time to see me.
Especially if you need to run something past somebody or I can still make a diagnosis on the tough ones.
Take care of yourself.
Okay, Vic? Yeah, be cool, man.
Yeah.
Get back to work.
Hey, it's me.
I'm getting the camera ready.
- Get out of here, you freak.
I love you, Neela.
Get out of here.
Get out of here.
You see what I gotta deal with? You see that? So hopefully you're never gonna see this thing.
But if you are, well, then, uh You know, something went wrong.
Well, maybe not wrong, but certainly not according to plans.
I love you, Neela.
Marrying you was the happiest day of my life.
You just- You make me strong.
Now, I know you didn't want me to come back to Iraq.
And I guess if you 're watching this, you owe me a big "I told you so.
" But I did what I had to do.
You 're the most beautiful and kind person that I know.
I just- I just want you to be happy.
And just know that I'll always be with you.
I want you to find somebody, get married, have babies.
Of course, he won't be as fine as me but I guess you'll just have to live with that.
I love you, Neela.
Forever.
R.
Previously on E.
R.
I never wanted to be around this type of suffering.
I mean, who would? - I'm glad I came here.
- I'm glad you came too.
I've been evaluated by the committee.
And you know what? I'm in the clear.
You better start showing me some respect.
Getting any sleep? Bobby, I'm not doing this.
What time are you going home tonight? I haven't been getting any sleep lately.
And the thing is that I've been really, really needing some.
I wish I didn't feel how I feel.
You're the best friend I've ever had.
- I am a soldier, remember? - And you're also a husband, remember that? One of the drivers got hit.
Corporal Milton, can you hear me? Okay.
He's gonna be okay.
- I want you to hold pressure here.
- I just called the CASH.
- They're sending a chopper.
- That's not gonna work.
How far are we from the aid station? FOB Eagle is only about four kilometers due north.
Okay, okay.
On my count, we'll lift him up onto the truck.
- Keep pressure on his neck.
- Shouldn't we wait for the chopper? He'll bleed out before they get here.
Let's go! One, two, three.
I don't even think he's breathing.
Just keep holding pressure.
You're doing good.
His pupils are fixed and dilated, sir.
We can stop.
Thanks for trying, sir.
He just got engaged.
You got a girl back home, captain? Me? Yeah.
I'm married.
My wife, Neela, is a doctor- Oh, my Oh, yes.
Oh, yeah.
Yeah.
Yeah.
Mothers eat their own young in the wild and we think it's part of nature, right? But when women kill their children, it's a crime, and we think they're crazy.
- What? - It just makes you wonder, right? Are the lions crazy too? Or are women like Susan Smith and Andrea Yates just acting upon some primitive impulse that's deep within our genetic maternal make-up? - Am I interrupting something? - Just some girl talk.
Dennis Young, 34, assault victim.
- Blunt trauma to head and face.
- Was he mugged? Looked like a home-invasion thing.
They tuned him up good.
What's your name, sir? Airway's okay, decent vitals, moves all extremities.
- Pupils are 5 millimeters.
- There were two kids with him.
Seventeen's bringing them.
They got worked over, one looks real bad.
Okay, Abby, Trauma 1.
Head, facial and C-spine CT as soon as you can.
And send Sam out here to help - if you see her.
- Okay.
- Get out of here.
- I swear.
She invited me in for a drink.
Door wasn't closed she was tearing my clothes off.
- Yeah, right.
- To quote my man Rick James, "The girl is a super freak.
" Had sex toys I've never seen before.
Must have been German or something.
- One took two hands to operate.
- Morris.
Check it out.
Oh, yeah.
I tapped that.
- What exactly am I looking at? - It's Albright.
- Where? - Right there.
I've seen more convincing photos of Bigfoot.
But it was dark, I couldn't use the flash.
Any chance he'll talk to us? - Don't think so.
- Enlighten me, ladies.
Open skull and facial fractures.
And we got nothing to go on.
- Nobody saw anything.
- Glascow coma scale? Spontaneous eye opening.
- What's he trying to say? - He's altered.
Don't think he knows.
- Withdraws from pain.
- For a total of? - Twelve.
- And we intubate at? - GCS of nine.
- Excellent.
Any blood in the belly? We were focusing on the primary survey.
If I wanted excuses, I'd ask you directly.
Give me the SonoSite.
Any idea why CT scan on your trampoline guy, Margolis - never got to the O.
R.
?.
- I'll have a tech run them up.
- Dubenko wants you to bring them up.
- Hang a gram of Vancomycin.
- Is this about the oral contrast? - No idea.
It increases the risk of anesthesia.
If you want my opinion, I'd find those results and haul my ass up there.
- After we stabilize the patient.
- No.
Now.
- We got this.
It's okay.
- Belly's clear.
Call me after the scan, Mo.
And have Neurosurg and Head and Neck take a look.
Did she just call you Mo? It's a nickname for Morris.
Or homo.
Hey, don't worry, okay? That little vixen's getting punished tonight.
Oh, yeah, she's in store for a little: Mo-Mo-Morris.
How do you like it? How do you like it? Oh, yeah, Morris Hey, stranger.
- Welcome back, Dr.
Pratt.
- Thanks.
Glad to see you survived.
How was it? Well, hot, sweaty, fly-infested.
It was a little overwhelming, to be honest.
- Did you save a lot of lives? - I tried.
Three-year-old Eddie, good pulses.
BP, 100/50.
Decided to stop breathing as we pulled in.
Can you open your eyes, Eddie? He's posturing.
He was awake on the scene, but now this is all we can get.
- Sam, you're with me.
- He's bradying down.
Probable head bleed.
Thirty mgs of mannitol, call CT, and let's get Neurosurg down here.
Sean, 10 years old, blunt trauma, face and chest.
Tachy at 135, BP's good, How are you doing, Sean? I'm Dr.
Pratt.
I wanna stay with Eddie.
He's scared when I'm not with him.
Don't worry, we'll have you in the room right next to him.
Come on, let's go.
- Damn it, the IV blew.
- Tube.
Who did this? It must have been the same guys who busted up the pops.
Looks like the work of meth heads.
What's this kid's story? Three-year-old, hypertensive and bradycardic.
Looks like traumatic head injury.
Okay, I'm in.
Bag him at a rate of 40.
Pupils dilated, left greater than right.
Step-offs, hematomas.
Could be head trauma.
All right.
Retinal hemorrhage.
Definitely head trauma.
Call Neurosurg and get mannitol onboard.
We've already done that, Vic.
Pulse hanging in the 60s.
I still don't have a line.
Okay, throw me an IO needle.
- You don't wanna do that.
Trust me.
- Oh, yeah, I do.
Betadine.
The IO drill is the greatest.
Wait till you see this.
- We don't have the pedes model.
- We do.
We got it in last week.
I'm gonna show you how to drive this baby.
- Vic, let me do it.
- No, I got it.
- Come on.
I got it.
- I got it.
Let me do it.
Vic, come on.
Okay, I got it.
Okay, I'll talk you through it.
Tibial tuberosity.
One-finger-breadth medial.
One-finger-breadth medial, that's what it is.
Are you listening to me? He's seizing.
Two of Ativan.
- I can't.
I don't have access.
Hold on.
Hold on.
There you go.
That's it.
- Okay, now you do.
- Nice job.
- Get a head CT.
- What's wrong with you? I'm trying to help you, that's all.
You don't listen to a word anybody says.
You're all over the place.
Okay, I'm sorry.
I'm sorry, I was - I just didn't get a lot of sleep last night.
- Seizing stopped.
A hundred and fifty of Dilantin and pack up for the scanner.
Outside.
- What? - Now.
What? - What are you on? - I'm not on anything.
I just told you.
All I ate was a cup of coffee, that's all.
What? What, you want a drug test? You want a drug test here, now? Go, grab a cup.
- Go ahead.
Grab a cup.
- Okay, look.
Why don't you take 20 minutes and get yourself together? Because I repeated an order? Come on, please.
What are you, my moms? - Luka.
- Frank, not now.
Look, you're an Attending.
I need you to be on the ball.
Vic, I'm serious.
Yeah, I'm serious too.
You're seriously starting to piss me off.
Because if you don't wanna work with me, that's fine.
I don't need you.
- Vic.
Vic- - Dr.
Kovac.
What, Frank? These gentlemen are looking for Dr.
Rasgotra.
One of them is a Military Casualty Officer.
Sats are falling, 89.
Can't see the cords, too much blood.
Need a surgical airway.
- Crike tray.
- Slow your roll.
Open up a central line kit.
Grab a McGill.
- We'll do a retrograde intubation.
- Never seen that work.
You've never seen me do it.
Today's your lucky day.
I'm gonna do a Seldinger technique.
I'll wire up through the cricothyroid.
- It'd be faster to crike him.
- No, you'll get infection and bleeding.
Not to mention subglottic stenosis and a big, ugly-ass scar.
Sats down to 84.
Hypoxia's not good for you either.
- Where's Neela? - She got called up to Surgery.
We'll aspirate air, and then pass the wire through.
There are soldiers looking for her and one of them is a chaplain.
You need to find her.
Yeah, I'm trying to page her.
- Everything okay in here, Abby? - Yeah, I think so.
We'd be better if you stopped talking when I'm trying to show them how to save his life.
- Listen, Vic- - I'm all over this.
I'm serious.
Go find Neela, please.
Okay, Abby, look.
Look for the wire in the oropharynx.
- I can't see it.
- You will, you will.
Come on, you son of a bitch.
Damn it.
- Come on.
- Got it.
Hey, can you give this CT to Dr.
Dubenko? I think he wants to see you.
I've been paged to ER.
If you can make sure he gets them.
He was very specific about speaking with you in person.
Sats, 78, bradying down to 60.
I still can't see your wire.
Open up a crike tray.
- We don't need no crike tray.
- Vic.
Stop staring.
Focus on your patient.
Ray, give her more suction.
It's gotta be there.
- Wait, wait, wait.
I got it.
- All right.
Keep going, keep going.
Stop.
It'll guide you right through the cords.
- Okay.
That's enough, Chuny.
Thank you.
- Sure.
Hard to pass.
Wiggle it, mommy.
Side to side.
Wiggle it, wiggle it.
Okay.
I think I'm in.
All right, wire out and bag him.
Call for a portable chest.
- We all good here? - We're doing great.
- Abby? - Why you asking her? I mean, I just told you we're doing good, right? I'll go find Neela.
Can you believe this? It's ridiculous, huh? What percentage of liver injuries stop bleeding by the time surgical exploration is performed? - About half? - How about 86 percent? It's okay, you have time to learn all that in five years.
What? Seems all my complaining's finally paid off.
We've been funded for an additional slot in a Surgical Residency.
- It's yours for the asking.
- Are you serious? - Well, if you don't want it- - No, I want it.
I want it.
Sorry, it's the ER.
Ignore it, you're a surgeon.
We never answer the first page.
I'm kidding, go.
Come find me after your shift.
We'll grab a beer at Ike's to celebrate.
That'd be great, but the drinks are on me.
So I guess congratulations are in order.
Yes, thank you.
Dr.
Dubenko told me.
- I'm so excited, can't wait to get started.
- Yeah, it's gonna be fun.
Look forward to being your Attending.
Right.
Wonderful.
Neela, Luka's looking for you.
Yeah, I got his page.
Hey, guess what.
I got the Surgical Residency.
- Wow, that's great.
- You should really try to find Luka.
- Yeah, I will.
- Hold up.
I need to talk to you.
- Hey, I got it.
- What? The Surgical Residency.
That's good for you.
That's really great.
Well, try to contain your enthusiasm.
- I need to tell you something.
- Yeah, Luka's paging me.
I know, and- Because it's important.
So is my news, but nobody seems to care.
- Neela, listen- - It's not like I'm leaving the hospital.
I'm going into Surgery.
I'd think you people would like having me up there.
Abby, have you seen Luka? There are two men here to see you.
From the Army.
The Army? We tried to find you.
- Doctor Rasgotra? - Yes.
I'm Captain Evans, this is Father Marris.
Is there someplace more private we can talk? Can you tell me why you're here, please? - I really think it would be better- - Tell me.
Ma'am, the secretary of the Army would like to express - his deepest regret - There must be some mistake.
that your husband, Captain Gallant, was killed in action.
I'm sorry, you've got it mixed up.
Michael is a doctor.
He's not a "soldier" soldier.
He was killed when his truck was hit by a roadside bomb.
Again, the secretary extends his deepest sympathies- I'm sorry.
I'm working.
I can't do this right now.
Please tell Dr.
Rasgotra that we're here to help in any way possible.
Have his parents been notified? No, but that's something we can do if she would like.
What about Michael's? Her husband's remains? It will take seven to 10 days for the deceased to get here from Iraq.
Arrangements will be made to fly him here to Chicago or wherever she decides.
Okay.
I'll pass it on.
All pertinent information is in the packet.
If she has any questions, she can contact myself or Father Marris.
- Okay, thank you.
- Thank you.
- Hey, was it friendly fire? - Sir? How do we really know what happened over there, huh? Doesn't this whole war smell to you a little bit of right-wing cronyism? With the oil, and the multi-billion-dollar rebuilding contracts, huh? You know what real psychological warfare is? You coming in here, feeding us a bunch of lies to placate the masses.
- Shut up.
- Tell me about the deficit.
Why do we have to go there and kill everyone? - For democracy? - I need help with Mr.
Engle's blood gas.
- Vic.
- Excuse me.
Come on.
- Sorry.
- I'm gonna go find Neela.
Make sure she goes home.
Okay, he's doing better.
So why don't we lower the FiO2 to 70 and then we'll grab a - Grab an ABG in 20, okay? - You want me to look at your nose? No, I'm fine.
I'm fine.
Thank you.
I just wanna say I'm sorry.
I'm sorry about what happened over there but those guys coming in here like storm troopers and just It's like I'm a stigmata.
- Why don't you go crash in the lounge? - I'm fine, I'm fine.
I'm really fine.
You know there's no rest for the wicked.
You, Abby, should know that.
The intubation was cool, though, wasn't it? Gotta put that in your bag of tricks.
I'm telling you, you got- Look, I gotta take care of this.
- Hey.
- Hey.
- Did you find Neela? - Ray's looking for her.
You know, I came here today thinking about how nice it is to be back, you know? I figured I'd come back, maybe save a few lives.
Maybe even bring somebody back from the dead, you know? I damned sure didn't expect to lose a friend.
Yo, doc.
The 10-year-old won't say anything, and we got nothing.
Did you find mom? Yeah, she's been in rehab since November.
Dad's out of it, and baby's in a coma.
This kid's all we got.
Can you try talking to him? Yeah.
- How we doing in here? - Oh, kind of quiet.
Hey, man.
You wanna see something really, really cool? That's your skeleton.
And, see, look right here.
This is where you broke your collarbone.
Looks like old rib fractures.
Do you remember hurting your ribs? No? I know you're worried about your dad and your little brother.
But we got the best doctors helping them out.
So now we need you to help them too, by telling us what happened.
You do wanna help Eddie, right? Yeah? Well, then you need to talk to me.
Eddie wanted to play with my Bionicle guy and I took it away from him.
Then he started crying, and he wouldn't stop.
So my dad started shaking him.
Did your dad hit you? He punched me, then threw me into a chair.
And what about your brother? Eddie kept crying and he kept shaking him.
Telling him to shut up using the F-word.
And then he grabbed Eddie's head and slammed it against the wall.
Then Eddie was crying so hard that he couldn't breathe.
So I got my baseball bat and hit him.
You hit your dad? I wanted him to leave Eddie alone.
How many times did you hit him? Until he stopped.
I was just talking to him four days ago.
He was complaining about the food and I was complaining about how cold Abby's apartment is.
I honestly don't even remember what else we were talking about.
I'm so sorry, Neela.
We all are.
You know, I was probably ordering a latte or watching Celebrity Poker when he was being blown up by a bomb.
Just like that, he's gone.
Listen, if you need anything - Or you want me to do anything- - No, Ray, I don't.
I don't need you to do anything.
I just- I need to go back to work.
No, Neela, look.
You need to go home, take care of things.
- You need to take care of yourself.
- You know, I don't have a home.
I don't have a husband.
I don't have anything.
All I have is this stupid hospital.
Just stay the hell away from me.
Are you hiding? Is it that obvious? I can't believe Michael's dead.
- You wanna go home? I'll cover for you.
- What about Neela? Well, we can take care of things.
Who? You and Clemente? Weaver knew he had problems before she hired him.
- Now we're paying for it.
- Well, Luka, it's your ER.
Let's go away someplace where it's warm and where nobody knows who we are.
- You mean like a vacation? - No, not like a vacation a vacation.
A real one.
Even if it's just for a couple of days before the baby's born.
We could hang out by a pool.
Or the ocean.
I can dig a hole in the sand for your big belly.
What is that? Some sort of Croatian mating ritual? - Mm-hm.
- What am I, a sea turtle? Neela.
Neela? - Hey.
Hey, let someone take you home.
- I have patients to pass on.
We can take care of that.
You need to go home.
Why is everyone so insistent that I go home? I have things to do.
I haven't even told Michael's parents yet.
The guys from the Army said they'd take care of that.
No.
I have to do it.
It'd be better to do it from my apartment.
Get some privacy? Doubtless they're both at work.
I wanna tell them at the same time when they're together tonight.
- Neela, go home, please.
- Abby, Dennis Young's crashing again.
I'll check in on you later.
- Hey, Neela, I just wanted- - Don't.
The men from the Army left a package for you.
Frank has it at the desk.
- Neela? - You know what? If it makes everyone else happy, I'll go home.
- What's going on? - He's bradying down.
Push the damn atropine.
- You sure he didn't have an epidural? - No.
Just diffuse brain edema.
- All right, a hundred grams of mannitol.
- We gave him mannitol.
Bilaterally blown pupils.
- Check the ET tube.
Maybe it came out.
- No, it's fine.
GCS, three.
His brain stem is failing.
There's not a whole lot we could do about that.
- Heart rate's down to 30.
- I lost the pulse.
It's P.
E.
A.
An amp of epi.
Two angiocaths.
Maybe it's a tension pneumo.
- He's satting at 100 percent.
- Did he get Dilantin? Fifty per kilo.
All right, Sam.
Start compressions.
Okay, Sam.
You call those compressions? Come on.
New AHA guidelines.
December issue circulation.
A hundred per minute, deeper and faster.
That's how you'll save a life.
Okay, I need to perfuse his brain.
I need hypertonic saline at 23.
4 percent.
- We don't have that.
- Don't have that? You don't have that? Hypertonic saline reduces ICP when mannitol fails.
That paper last fall in The Lancet.
Or was it the New England Journal? It was Neurosurgery.
That's right.
I knew it.
The author was Weston or Williams or something starting with W.
Wares, that's it.
That's it, Wares.
- Neurosurgery, 2004, October.
- Hold compressions.
Asystole.
- Okay, let's just call it, Vic.
- Call it? Lockhart, I never figured you for a quitter.
All right, he needs burr holes.
We gotta reduce the ICP.
He has an open skull fracture.
Burr holes are not gonna help.
Vic.
Okay, he should have had an ICP monitor.
Everybody knows he should've had an ICP monitor.
Time of death, 1420.
Oh, we could do better than this.
We gotta do a lot better than this.
- Do a lot better than that.
- Vic, I need to talk to you.
Yeah, and I need a cup of coffee.
Not the crap they serve here.
Not the effluence they pass at the roach coach.
- I need a real coffee.
- Vic, hey- Ever been to this Italian place, Marrinacio's on Randolph? My God, best coffee this side of Milan.
They even make their own biscotti.
You walk through that door, it smells- I'll treat everybody.
Everybody.
I'm gonna treat everybody to espresso and biscotti, okay? Luka, 48-year-old complaining of chest pain.
Exam 3.
Is he on any medication? Lipitor and aspirin.
- Should I go get Clemente? - No, let him go.
Just pick me up as soon as he comes back.
Okay, first-day labs, 12-lead, Lopressor and nitro.
Sir, don't worry, we'll take good care of you.
- One.
- One.
- Following an accidental scalding.
- I'll be right in.
I guess his brother accidentally got his head slammed against the wall today? - Hey, what's going on? - I got a kid with a busted collarbone.
He's got signs of old rib and humerus fractures.
He's the lucky one.
His little brother's in the room next to him in a coma.
- Did you call Social Services? - Yeah, they're coming.
You know, we got CTs, MRIs, PET scans, Dopplers, 4-D ultrasounds and we still can't save one kid from getting his brains beaten out.
That's right.
Had to kill his old man because there was nobody else there to help him.
I guess that would be too much to ask, wouldn't it? It's much better that we spend- What is it now? 6 billion dollars a month in a war all the way across the world to kill off a few more of the other kids who actually get to their teens.
Did you tell the police? So they could arrest him? Yeah, because that's the one thing we do well in this country, isn't it? We got prison down to a science.
Prison and war.
He and Dr.
Gallant were friends.
This coffee is good.
Italians know what they're doing.
The French What the hell is a French press anyhow? Forget that, man.
- I know you.
- Oh, yeah? - You're a killer.
- No, no.
I'm not a killer.
Jerry Lee Lewis is the killer, and you're the mayor of Munchkin City.
You kill them in the hospital.
You got blood on you.
Oh, damn.
My nice, new shirt.
Right through the trauma gown.
- Yeah, I know what you do.
- Oh, man.
You cut them up into little pieces.
You gotta step off.
Feed the surgical waste to the dogs.
- Stop the slaughter.
- Know how I got this? Know how I got this? Saving someone's life.
Because that's what I do.
I save pieces of crap like you, okay? You crazy son- - Hey, watch where you're going, man.
- Hey.
What are you doing, man? You trying to-? Watch where you're going, man.
I'm a pedestrian, I have the right of way.
- You're not looking.
- Want me to kick your ass? You gonna kick my ass? Gonna get violent on me? Gonna kick my ass.
Come on, kick my ass.
- Kick my ass up here.
- Hey.
- Kick my ass up here.
- What the hell you doing? You're gonna go violent on me? Go ahead.
What the hell are you doing? Hey, hey, hey.
What are you, psycho? - Psycho? - Yes, psycho.
Psycho? You don't know about psychosis.
I'm the freaking doctor.
I'll show you psychosis.
- That's psychosis, okay? - Hey, come on.
What are you, on drugs? Yeah, I'm high.
I'm wasted.
I'm flipping.
You wanna dip my urine? Is that what you wanna do? You wanna dip my urine? Go ahead.
Go ahead.
Yeah, watch out, huh? Watch out.
I'm gonna get you all over the place.
Hi, Neela, it's Abby.
I was thinking about stopping by tonight on my way to Luka's.
And we're gonna get some takeout so if there's anything special you wanna eat or if you need anything, just give me a call.
You talk to her? Tried.
I think she just wants to be alone.
She'll have a lot of time alone.
Probably best if she was around people now.
Yeah, well, like I said, I tried, but it didn't seem to work.
Whoa, Abby.
- Sam, Sam.
- Vic? I got jumped.
I was going for coffee.
- They ambushed me.
- Forty-one-year-old male.
- Altered mental status.
- I'm not, you're altered.
There's no connection with you on a human level.
He was wandering around in traffic, combative, uncooperative.
You know why I'm uncooperative? You tied me down, that's why.
What is this, Fascist Germany? - Easy, Vic.
- Why is he in handcuffs? He assaulted several motorists.
You know what it is? Xenophobia.
That's what it is.
Keep us living in fear.
How about Trauma 1? - Full.
- It's not H5N1.
- Take him to Exam 2.
- Pulse ox, 99 on two liters.
Pulse ox, 99? Ha.
On room air, mouth breather.
Get him away from me.
- He doesn't know what he's doing.
- Dextrostick, 102.
Sam, tell them I'm an Attending.
Tell them what a colossal mistake they've made.
- Please, tell them.
- You cut your leg, Vic.
Yeah, but it's superficial.
I can feel the platelets already gonna take care of it.
I can feel that.
I can fix that with a get-well sticker.
- Let us check it out.
- It'll only take a minute.
All right, all right.
Okay, okay.
I get it.
It's funny, guys.
The joke's on me.
I get it.
Everybody's laughing.
Okay, now get it off me, okay? Come on.
Get it off.
- Four of Ativan.
- Take it off me! Take it off! - Five of Haldol, IV push.
- Get it off me! Abby, you can't give me Haldol.
You can't give me Haldol, Abby.
I'm not crazy.
You understand? - It's okay.
It's okay.
- X-ray, come here, buddy.
Come here.
These freaking chicks are losing their mind.
- Come over here, help me, man.
- Get Luka.
What, are you gonna amputate my leg? Oh, that's it.
Run to Daddy, you little bitch.
Run to Daddy, little bitch.
Sam, don't you dare.
Don't you dare, Sam.
- Sam, don't you dare.
- Just try to relax.
Settle down, doc.
Settle down.
See? He said I'm a doc.
You heard him.
I'm a doc- I'm a doctor, not a freaking patient.
Abby.
Abby, I'm your Attending.
You hear me? I'm your Attending.
- Do no harm, Abby.
Do no harm, Abby.
- I know.
I know.
I'm an Attending at Hey.
I thought it would be okay.
Do you mind? Oh, sure.
- Sean, you want some more Jell-O? - Can I? Yeah, we got tubs of it downstairs.
I'll be back in a few minutes.
Eddie's gonna be hungry when he wakes up.
You know, since your mom's away you're gonna have to go stay with a foster family.
Probably until she gets back.
The Fosters? No, their name's not Foster.
That's what they do.
They take care of kids.
Eddie too? No, Eddie's gonna have to stay in the hospital.
Because he's still sick? He's showing signs of improvement though.
And we're gonna have him in a very special part of the hospital that's just for kids and you can visit him there.
What about my dad? His injuries were very, very severe and, um the doctors, they couldn't fix him.
He's dead? Yeah.
I'm afraid so.
- But I didn't mean to kill him.
- I know that.
But I'm gonna go to hell.
- What? - For killing him.
God sends you to hell if you kill someone.
Sean, I think that God makes exceptions if you were trying to save someone else.
Really? Really.
- How is he? - He settled down.
Okay, I'm gonna get out of here.
I'm gonna go to my place, check on Neela.
- Call me.
Let me know how she's doing.
- I will.
- What's with Clemente? - Have to hear what Psych says.
Too bad, I was starting to like the little guy.
Clemente's labs.
Tox screen's negative.
Not so sure that's a good thing.
Come on, guys, let's give Vic some privacy.
We still got a board to clear.
Back to work, everybody.
Do you need me to sign off on anything? No.
Everything okay with you? Yeah.
Why? Well, sometimes it can be a difficult transition coming back to this place.
Yeah, I'll be okay.
I was just a little rattled earlier because of the whole Mike situation.
Well, it's good to have you back.
Hey.
Thanks for making me go there.
Someday, maybe you can tell me all about it.
Yeah, someday.
Neela? - Hi.
- Hey.
I brought you some dinner and some groceries.
Thanks.
Did you call Michael's family? Hey, how about I stay here tonight? Um, I think I'd like to be alone.
Really? I could use a break from Luka's snoring.
Michael used to snore when he was drunk.
You know, I had to come home and find a photograph because I couldn't picture him in my head.
One day, I'm not even gonna be able to remember what he looks like.
That's not true.
I'm gonna be fine.
Okay.
I'm sorry.
- I'm putting him on a 72-hour.
- What are you calling it? Gravely disabled.
He's blaming it on insomnia.
Tox screen was clean.
There's no history of schizophrenia or bipolar disorder.
But he's had prolonged sleep deprivation and was recently the victim of a violent crime so there's probably some PTSD going on too.
- But we'll know better in a couple days.
- Yeah.
- Thanks.
- Yeah.
Hey, Vic.
- What a day you had, huh? - Yeah.
How are you feeling? I'm pretty good, considering.
I just feel like such an ass for flipping out in front of the kids.
I'm a passionate man.
That's what makes me a good doctor, right? Right.
I just can't keep up my pace without spinning off the road at some point.
I'm just sorry that it had to happen on your watch.
No, that's okay.
That's okay.
The important thing is that you get some rest now.
Yeah.
Yeah.
I'm gonna get some rest.
Oh, yeah.
I'm gonna get some serious R and R.
- Catch up on my sleep or maybe do a- - Let me, uh - Let me take you upstairs, okay? - All right, sure.
- Okay? - Yeah.
Personal escort treatment.
I like that.
Appreciate it, Luka.
I really do.
You helping me like this.
And don't be afraid to come up any time to see me.
Especially if you need to run something past somebody or I can still make a diagnosis on the tough ones.
Take care of yourself.
Okay, Vic? Yeah, be cool, man.
Yeah.
Get back to work.
Hey, it's me.
I'm getting the camera ready.
- Get out of here, you freak.
I love you, Neela.
Get out of here.
Get out of here.
You see what I gotta deal with? You see that? So hopefully you're never gonna see this thing.
But if you are, well, then, uh You know, something went wrong.
Well, maybe not wrong, but certainly not according to plans.
I love you, Neela.
Marrying you was the happiest day of my life.
You just- You make me strong.
Now, I know you didn't want me to come back to Iraq.
And I guess if you 're watching this, you owe me a big "I told you so.
" But I did what I had to do.
You 're the most beautiful and kind person that I know.
I just- I just want you to be happy.
And just know that I'll always be with you.
I want you to find somebody, get married, have babies.
Of course, he won't be as fine as me but I guess you'll just have to live with that.
I love you, Neela.
Forever.