ER s13e15 Episode Script
Dying Is Easy
Plenty more where that came from.
There we go.
Here.
Come on.
Come on, eat.
I've been slaving over a hot griddle all morning for you.
Please, at least try.
Okay? There you go.
Hold your fork.
- Satisfied? - No, I'm not.
I'm not gonna be satisfied until I hear: " Wow, I can't believe you made me your world-famous pancakes.
" Wow, Tony, I can't believe you made me your world-famous pancakes.
Okay, here's your lunch.
It's time to go.
Are kids gonna act weird to me today? No.
I don't wanna talk about Mom.
You don't have to.
Are you sending me to live with Grandma and Grandpa? Why do you ask that? Isn't that what you were talking about at the funeral? We were talking about a lot of things at the funeral.
I don't wanna live with them.
I wanna stay here with you and your crummy pancakes.
[CAR HORN HONKS.]
Come on.
- Bye.
- Bye.
X-rays show your lungs are improving.
Oh, good.
I need to inhale.
Well, if your oxygen level stays up, you can go home in a few hours.
Tell Timmy.
He's been worried sick about me.
So has Alex.
How is he? He's, uh He's been acting weird.
You think he did it, don't you? I know I blew out those candles.
I don't believe it.
He's a good boy.
You know, he's stealing Dr.
Morris' credit card he's disrespecting you.
I don't know what to think.
If he did do it, I'm sure it wasn't on purpose.
Do you think Alex started that fire by accident? I think you should continue to take him to that therapist lady.
As far as the police go, they think it was a candle.
Let it go at that.
RAY: Well, I'm glad to hear he's doing okay.
Yeah, he just needed a little time for the hand to heal.
Look what we have here.
Not one, but two late doctors.
- Blue Line was stuck.
- Some bozo jumped in front of the train.
- Where's your main man? - Um - He's gonna take one more day.
- No problem, got it covered.
Cover this.
Some suit came from upstairs and said to give that to whoever's running the floor.
- Damn.
- Damn.
Where's Pratt? You suck balls.
Hold still, ma'am.
Hold still yourself, bitch.
Can we give benzos IM? - That'll take a half an hour to work.
- Okay.
All right, I got access.
What do you want? Four Ativan? PRATT: Ativan? - Haldol, what? You're ruining my high, you retard.
Pratt, we need to talk.
I'm a little busy here, Morris.
- Give me midazolam.
Faster onset.
- Okay.
- Knock her down in a minute.
- Can we step outside? Sure.
Soon as she settles down.
- Settle on this.
- Watch out.
I'm really sorry, but I have to ask You're gonna have to wait, please.
- One minute.
- Let go.
MORRIS: Pratt.
HEATHER: Scum.
- Pratt.
- What? The Medical Board suspended your license.
[HEATHER SCREAMING.]
Hey, can we talk? Yeah, sure, what can I do for you? I was Pratt's accomplice.
- Excuse me? - I helped him at the clinic.
- What? - I know, I know.
It seemed like the right thing to do at the time.
I can't believe this.
Look, I told Pratt that he didn't have to protect me but he wants me to stay out of it.
Well, you listen to Pratt.
[SIGHS.]
- I'm gonna burn in hell, aren't I? - No.
I mean, you might have some explaining to do.
Hey, I'm sorry about this, man.
Thought I could work half a shift before the hearing.
It's just a formality.
They'll reinstate you.
GI bleeds from NSAIDs happen to thousands every year.
Morris, Abby's asking for you.
Her guy in 1 is throwing up.
Be strong, brother.
Fight the power.
SAM: Liter wide open? - Yeah.
And 10 of Reglan.
Okay.
- Does it hurt here? - Aah.
No, but if you tug on willy, I'll sing Dionne Warwick's greatest hits.
Tempting, but no, thanks.
No, really, l Aah.
I thought that's why you put the gloves on.
Seriously, I have a latex fetish.
I even tried to give myself a Brazilian using rubber cement once.
Didn't work, but I got into Hustler as one of those guys who has three - All right, I get it.
- Ever had food poisoning? I puked once after biting into a Red Hot with stretch marks.
Okay, uh, we have to run some tests to rule out anything serious like appendicitis, but after that, hopefully, we can discharge you.
- What's up with this guy? - Vomiting, low fever, exam is equivocal.
Doc, doc, you gotta get me out of here, man.
I got a hot date tonight.
Does, uh, she take air or helium? Ha-ha.
She takes Visa.
That was funny.
- Can I use it? - Sure.
Do you want me to image the belly? MORRIS: Hydrate him.
He may spiff up.
Uh Four of morphine, antiemetics.
We'll get you out of here, just sit tight.
Okay, you're about to meet the Grassos.
She's been on dialysis since 2002.
He's got a kidney, but they don't match.
Our exchange pool paired them up with two cousins who are in the same situation.
Yup.
Kidneys for everyone.
DUBENKO: Hi.
You guys set? You bet.
No more dialysis, no more infected shunts.
This is Dr.
Rasgotra.
- She'll be assisting on the transplant.
- I am? Well, someone's about to get some A-1 kidney meat.
I'm like a racehorse.
- I could drink a six-pack without peeing.
- Honey, gross.
Micturation capacity is related to bladder size and neural sensitivity not renal function.
- Then we'll give them some bladder too.
- Ha-ha.
Okay, I'll see what I can do.
You guys have any questions? Concerns? No? Okay.
I'll see you in the O.
R.
Our goal is to enroll By mixing and matching, we'd find kidneys for almost 50 percent of them.
I'll introduce you to the Herrero cousins.
Marina's getting a kidney from one cousin and Thomas is giving his to the other.
- Yep, kind of like a kidney key party.
- Key party? Except donors and recipients aren't allowed to meet.
That could get messy.
[PAGER BEEPING.]
It's the ER.
I'll catch up to you.
What's a key party? Oh, it's a little gimmick to help swinging couples pick their partners.
Forget it.
Before your time.
It sounds dirty.
JESSIE: Ow! - Okay, Jessie, come on.
Hold still.
If he's got lice, you're cutting his hair.
I'm a doctor, not Vidal Sassoon.
Abby, I need you.
Funny boy keeps throwing up.
Okay, Ray.
You got this, right? Hey, no, no, no.
Don't leave me here.
- Did you give him the Reglan? - An hour ago.
Okay, it's probably just gastroenteritis.
And if your labs are okay, we'll get you home.
Forget home.
I got a gig at 10: 15.
The big room at Zanies.
I've been trying to get in there for a couple of years.
You're a comedian? Aspiring.
You should aspire a little harder.
Oh, a heckler.
Don't make me go Kramer on your ass.
Aah! Hey, blondie, no need to get violent.
Four of Zofran.
Repeat p.
r.
n.
Jeez.
May I? [SIGHS.]
Lay down, Simon.
Oh, my gosh.
I gotta practice my routine, I gotta change my clothes.
I was gonna wear this shirt, but now I got chow mein all over it.
ABBY: We're trying to get you better.
- Oof.
SAM: How long you been doing standup? Moved out here from Detroit a couple of years ago.
- Very courageous.
- Yeah, my old boss pushed me into it.
Because you were funny at work? No.
Because he fired me twice.
Hated my guts.
My dad also had a lot to do with it.
He hated you too? No.
He died.
Life took on a whole new perspective.
I'm gonna call the lab and see what's taking so long.
Just relax.
I will try to relax.
I will.
[VOMITS.]
We spent four weeks e-mailing each other.
We finally meet and he sticks me with the bill? So you chased after him and you fell into a hydrant? Would've caught him had I been wearing flats.
GATES: All right, breath sounds are perfect.
Lay back.
So what if I told him I looked like Cindy Crawford? - He said he looked like Matt Damon.
- Did he? More like Matt Damon's fat uncle's ass.
Pulse ox, 98 on room air.
- Tell me if this hurts.
- Aah! Yeah.
All right, you have a broken rib.
I'm gonna give you something for the pain and take an x-ray.
Percocet, CBC and two-view chest.
- Hey.
- So you out of here, man? Yeah, guess so.
Well, hopefully, it will just be temporary.
Yeah, that will be too bad for you.
- Good luck, Dr.
Pratt.
- Thanks, Timmy.
- Dr.
Pratt.
- Yeah? You're gonna be okay.
God is on your side.
Yeah, well, let's hope so.
Okay, I could go with you.
I just did the overnight.
- I'm almost off.
- Hope, go home.
Get some sleep, okay? WATKINS: Dr.
Pratt? What are you doing here? Uh I'm going with you to your Medical Board hearing.
No, I'm okay, really.
Please.
Hope, come pull the PICC line for the guy in 2.
Okay, I gotta take this.
What about it, Greg? The church's support couldn't hurt.
You're still operating the clinic that got me in this mess.
Look, I'm just trying to better the community.
Yeah? What are you doing about black-male incarceration? I have a sermon on it next week.
Make sure you tell them how you got me there.
Greg, I just wanna help.
My license is suspended, I'm facing jail time.
I think you've helped enough.
BEN: So how did it go with the counselor? It wasn't what I expected, but nothing in my life ever is.
What did she say? She, uh, wants me to enroll Alex in an academy for at-risk youth, which is code word for nutjobs.
My kid is not a nutjob.
He's just going through some stuff.
Well, maybe it's some stuff that he can't handle.
I know about those places.
They starve them and beat them.
I can't send him there.
I could help you check some out, see if there's any that might be okay.
Thank you.
But I, uh, need to do it alone.
I'm sorry that I dragged you into everything in the first place.
Don't worry about it, Sam.
I rea I really like you but I have to focus on Alex right now and I don't have time for any kind of a relationship.
All right.
I get it.
- You do? - I do.
Your kid comes first.
So take as much time as you need.
Is there any discomfort here? No.
Do you have a boyfriend? Uh - Not exactly.
We're still defining it.
- Mm.
A girl like you doesn't need the Internet.
I haven't had a valentine since Jimmy Bachner in sixth grade.
Ouch! She's into S & M.
If you want her to stop, say " mayday.
" It's the safe word.
Mayday.
Mayday.
There's no right upper-quadrant tenderness, liver is fine.
Let's observe her for two hours check another CBC and follow serial exams.
Hey, wait up.
You okay? Yeah.
You? Yeah, came home from Wisconsin yesterday.
How is Sarah holding up? It's not gonna be easy.
I can imagine.
- Listen, I should've called.
- Look - I'm sorry.
- No, I should've called.
- The funeral was awkward, the relatives - It's okay.
- No, Neela.
- No, I'm fine.
I'm sure you've got a lot on your plate.
I mean, you've probably got two plates and a little saucer.
Yeah, a heart-shaped saucer.
Valentine's Day, Wednesday.
Let's have a quiet dinner, huh? - Yeah, we'll see.
ABBY: Hey, guys.
I've got surgery.
Neela? Is she all right? I don't know.
What about you? Lockhart, your comic's CBC is back, and it ain't funny.
White blood count 32,000 with 60 percent blasts.
He has leukemia? With immature white cells, he's anemic, neutropenic.
Oh, great.
MITCHELL: Did you see the AMJ's article on integrative medicine? You know the world is falling apart when a study on Reiki makes it into the journal.
Ha-ha.
It's sexy, but the Dana wouldn't touch it.
The design is totally flawed.
- Excuse me.
- Hi.
Hey.
Are you Dr.
Williams from Evanston? Uh, no, I'm Dr.
Pratt from County.
Take a seat.
NEELA: I've isolated the artery.
DUBENKO: All right, Neela, clip it.
CRENSHAW: You're letting her? DUBENKO: She knows what she's doing.
What are the pertinent anatomical relationships? NEELA: Anterior to posterior, it goes renal pelvis, renal vein and then artery, which is clipped.
DUBENKO: Good.
CRENSHAW: Any third-year medical student could've answered that.
CRENSHAW: What structures make up the cortex? NEELA: The what? Cortex.
It's that bean-shaped thing you're cutting into.
You mean, like, the proximal tubules and the distal tubules? CRENSHAW: And renal corpuscles.
Medulla? - Loop of Henle and - Mm-hm.
SHIRLEY: Your valentine needs a surgical consult.
NEELA: My valentine? Gates? Oh, young love is so sweet.
He's not smart enough for you.
- You don't even know him.
- Come on, Gates is easy math.
DUBENKO: Okay, that's enough.
NEELA: Artery is ligated.
Dr.
Dubenko, the donor kidney is prepped and ready to go.
Excellent timing.
Have them send it in.
How did Mr.
Herrero do? No complications, minimal blood loss.
They're closing now.
That's great.
Hey, hey, hey, where you going? Where you going? Is that where you do the anal probe? Sam, can you grab the Zosyn? I liked the other room.
No need for an upgrade.
- Three-point-three-seven-five? ABBY: Yeah.
- Simon.
- Yeah.
I need to talk to you about something important.
I can feel it too.
I wasn't gonna say anything, but I do feel the sparks.
Ha-ha.
Your blood tests show that you have leukemia.
Thank God.
I thought you were gonna tell me I had cancer.
Leukemia is cancer of the white blood cells in the bone marrow.
That's great.
So give me Viagra, send me home and we are all good.
This isn't funny.
- I know.
- You're gonna need IV antibiotics.
I know, I know, I know.
[SIGHS.]
I got leukemia about a year ago.
I had induction chemo and a bone-marrow transplant and now a year later, it's back.
Why can't cancer be like herpes? I got that once and it never came back.
Herpes doesn't go away.
This is Zanies, doc.
You jam there, you get invited to Second City, to SNL.
You could get a spot on Letterman.
You know, my dad, he put hubcaps on Buicks.
Buicks.
Before he died, the last thing he told me was: " Don't be another auto worker wishing you could've, would've, should've.
Don't be like me, son.
" - I have to get you started on antibiotics.
- Hey, hey.
I go on at 10: 15.
At 10:35, I'm all yours.
There's not gonna be a show tonight.
I'm sorry.
If you wanna make it to next month I have to get a CT, a surgical consult, and check on chemo.
Sorry.
Hey, Timmy, can you call GI and order an EGD report for me? No problem.
Hey, you got time for coffee? Yeah.
Everything good? Yes.
I just had the coolest surgery and I figured we could talk.
Sure.
GATES: Dr.
Kovac? - Hello.
I thought you weren't coming.
I heard you were short Attendings and I got bored.
You okay? You look good.
- You good? - Yeah.
What are you doing here? I talked to Timmy and he said you guys could use some help.
Um, Neela, can you look at this? My patient Simon's CT is back.
Gates, some school principal's on the phone for you.
Appendicitis? GATES: Hello.
She's crying? No, I understand.
I understand.
Let me talk to her, please.
Look at his cecum.
There's wall thickening and distension.
GATES: Hey.
No, I told you you didn't have to go to school.
- I'll get you.
Let me talk to the principal.
- Hello? It's typhlitis.
Immuno-compromised hosts can get a cecal infection.
GATES: Yeah.
- Surgery? Treat with IV antibiotics unless he perforates.
And then, would you operate? Well, normally.
Given his leukemia, I doubt he'd survive, so So? GATES: No, no.
Thank you for calling.
So nothing.
No surgery for him.
Okay.
Thanks.
I'm sorry.
Sarah's having trouble at school.
- Gotta pick her up.
I'll call you later? - Okay.
Um I'm gonna go and grab a coffee.
Do you want anything? Yeah, I'll tag along.
These people don't have insurance, can't afford a doctor.
Some can't even buy medicine.
That's not the point.
I thought, with some guidance, the clinic could be a good thing.
Why not send them to County Hospital? Have you ever been to County? Trained there 20 years ago.
Well, nowadays, we're filled with critical patients.
People come in for a prescription refill, they wait up to 12 hours.
So this was about convenience? This was about helping people.
There are programs for that.
Yeah, you're right.
If you're over 65 or you have dependent kids.
Regular folks with low-paying jobs, they don't qualify.
This clinic took care of those who fell through the cracks.
Four O.
R.
S, four patients, four kidneys, all being worked on at the same time.
Went like clockwork.
We were this fine-tuned machine.
I mean, this morning, two people were wasting away waiting for a kidney they thought would never come.
Now they're upstairs with their donors, eating Jell-O, done with dialysis.
- It's amazing, right? - It's pretty cool.
[HORN BEEPS.]
This is what it's all about, man.
This is why I became a surgeon.
- Hey, Ray, you wanna give us a hand? - I need to take this, okay? I thought, " What's a 14-year-old doing with strokes?" I figured there's gotta be more to the story, so I went back to the parents and, yes, kid's adopted.
- And? - Undiagnosed sickle beta thal.
- Kid didn't get screened at birth.
- Wow.
- Nice pickup.
MORRIS: Thank you.
Oliver Miles, burned his hands trying to cremate his dead cat in the microwave.
I tried the fireplace, but I couldn't get it lit.
OLBES: Partial thickness to the hands and forearms.
Tachy at 120.
BP, 130/78.
Pulse ox, only 91.
Okay, let's start him on five of albuterol by neb.
So I thought a crematorium is just a big oven, right? MORRIS: Another four of IV morphine.
I don't know what he ate last.
It was like he just exploded.
KOVAC: Oh! I got it.
I got it.
Do you know if someone has my cat? ABG with carboxyhemoglobin level, portable chest and 125 of Solu-Medrol.
RAY: No problem.
Trauma 2.
I'll be there in a second.
- Are you okay? - I'm fine, Morris.
Your hand is not.
No, this was just an accident.
Go home.
Rest.
- I promise we'll be okay.
- Yoo-hoo.
Ha-ha-ha.
Hey, Luka.
I didn't know you were back.
I'm not.
- How are you doing? - Better now.
Take care, Gracie.
Sure you don't wanna wait till I get off? I don't really feel like sending you home by yourself.
I'm not going home, Sammy.
I'm taking a little cruise.
This way, you and Alex can bond.
We can bond with you here.
You need time to sort through all this.
Oh, God, Grandma.
All I ever wanted to do was raise a good kid.
He got the crazy gene.
Oh, thank God, it skips a generation.
You and I were both spared.
- You think? - Ha-ha-ha.
It's gonna be all right, Sammy.
He's going through a phase.
It's rebellion, and then he'll come back around.
The good ones always do.
Yeah, well, what if he's not a good one? He's yours, isn't he? [CARIBBEAN MUSIC PLAYS ON STEREO.]
You're going with Timmy? The lido deck awaits.
Only old people take cruises alone.
Hey, Abby.
Which one do you like better: " Thank you, folks.
It was great to be here" or just, " That's all, folks.
Now go home and beat the kids"? You have an infection in the cecum where the small and large intestines join up.
Maybe I'll just say: " Go home and beat the kids, but don't forget to tip the wait staff.
" Listen, did you hear me? What I said to you earlier? Yeah, yeah, yeah.
I feel better.
I just need you to buff me up.
Well, I can't, because you have no immune system.
- You cannot fight this infection.
- I don't need my immune system tonight.
I need my funny bone.
I spoke to your oncologist.
You're out of treatment options.
You have a poor prognostic karyotype.
- Eleven-Q-23 translocation.
- Exactly.
And because leukemia's recurred twice you don't have any options for chemotherapy.
[SIGHS.]
Okay, okay.
Okay, so just put me in some trial.
Make me a guinea pig.
I've always wanted to run on a wheel, drink from a drip bottle.
There isn't any trial.
And it's probably a matter of weeks, not months.
Is there anyone you want me to call? Yeah.
- A cab.
- What are you doing? - I'm getting the hell out of here.
- Look, you can't, Simon, you can't.
What do I have to lose, huh? I don't wanna walk on the moon or bang Barbara Bush.
Look I wanna get on that stage and make an audience laugh.
- You can't go.
- I have to go.
Have you ever wanted to do something that just scared the hell out of you but you knew you had to do it? Well, this is it for me.
All right.
All right.
Maybe a blood transfusion will give you some more energy.
Come on.
I just need to be able to stand up.
Or sit down.
Maybe I could be a sit-down standup.
All right.
I'm gonna have to have you sign out against medical advice.
If I just took anyone's advice I'd still be checking taillights in Detroit now.
And if anybody asks, this is not my idea.
Shh HIGGINS: How do you keep track of your patients? I used 5-by-7 cards for patient information.
And you have a complete H & P on a 5-by-7 card? Well, we had limited records, just the important information.
Where did you keep them? - In a box.
- A box? And if your patients had medical care other places was there a system for other health professionals to access this box? No.
But they could have paged me, I guess.
Would you say your records system met the standards the Medical Board has set? Come on.
We were in a church.
And did you log the drugs you dispensed? Did you record the lot numbers? - No, not fully.
- Not at all, isn't that right? Are you aware that this is a violation of the Medical Practice Act, Dr.
Pratt? I never claimed that this was a full-service medical center.
I didn't charge any money.
I was trying to help these people.
And do you think you helped Edgar Dixon when you prescribed him Renuvium? GI bleeding is a common side effect of NSAIDs.
The same thing could've happened to him if he'd been prescribed the med anywhere.
But it didn't happen to him anywhere.
He went to you, and it killed him.
Are you aware that diversion of narcotics is a felony, Dr.
Pratt? I didn't steal You don't recall providing hydrocodone and ibuprofen to Ms.
Nancy Campbell? Mrs.
Campbell had gallstones.
So you took a narcotic medication sample logged into the Emergency Department.
This is a felony punishable by imprisonment, doctor.
Yes, she was suffering.
I wanted to help her.
I volunteer for a free clinic myself and we follow the rules.
We keep accurate records we dispense medication with proper safety precautions and we're there for our patients, Dr.
Pratt.
You remember the part about doing no harm? Well, that applies to you too, sir.
- Excuse me, I'm sorry.
- We're in a meeting.
I'm Pastor William Watkins of First Mission Baptist.
I'd like to speak on behalf of Dr.
Pratt.
Sorry they haven't taken you back to your room yet.
MARINA: I just got a new kidney.
- I'm not gonna sweat the small stuff.
- Oh.
Hello.
Happy Valentine's Day.
Nothing says " I love you" like a bag of urine.
How did my donor do? They're fine.
But because of everybody's privacy, we're not really allowed to discuss it.
Listen, this person saved my life.
I wanna see him.
Or her.
Just once.
So I have a face to think of in my prayers.
How is it going? Okay, so the Democrats took over the House and the Senate.
How long before the Republicans jack up the rent and evict them? SAM: That's pretty funny.
- Why aren't you laughing, then? - I am.
- No, you're not.
HemoCue is up to 11 after two units.
Antibiotics? - Zosyn is in, tobra's infusing.
- Oh I gotta go pee-pee.
- That's good.
Your kidneys are working.
- Aah.
Hello? Hello? Quiet on the set.
Thank you very much.
Doc, I can't pee in bed.
I've been standing up since I was 4.
Pressure's been pretty good, 101/68.
All right, get him a screen.
- Sit up and dangle your legs.
- All right.
- Let us know if you're feeling dizzy.
- I'm good.
I'm good.
I got a little flop sweat, but that happens to the best of them.
- Someone's gotta go with you.
- No.
I got a nervous bladder and a neurotic sphincter.
Seriously, it sucks.
I can't pee in public and I'm afraid to fart in case I start a fire.
We'll wait on the other side.
It'll be a good test.
Of what? The Emergency Broadcast System.
Oh That is good.
Man, this will work.
Pee is funny.
Bedpans, funny.
Catheter, not so funny.
Maybe we can downgrade to Tele from ICU.
SAM: Oh, God.
MORRIS: Okay, I got him.
Get him on the bed.
Come on.
One, two, three.
- Pressure's down, 60/40.
MORRIS: Great, he's septic.
- Another two units of packed cells.
- Start dopamine at 10 mics.
ABBY: Simon, can you hear me? MORRIS: Open your eyes, come on.
ABBY: Hear me? SAM: Sats are dropping.
Put him on 100 percent non-rebreather.
Open an intubation kit.
Come on, buddy.
Come on, there's a spotlight on the curtains and they're calling your name.
Hey, baby girl.
Dopamine at 12 mics.
Systolic's up to 110.
Good.
Run in the fourth unit.
Hey, am I on next? How is it going? - What happened? - You took a little nap.
Okay, little prick.
It's just because it's cold in here.
All right, you gotta keep that on, okay? You know, sats are a hundred Hey.
Why don't we try a nasal cannula? Five liters.
Hey, Abby, how about our deal? Working on it.
What deal? I thought we could try to buff him up so he could perform tonight.
He's septic.
His BP's dropped so low, he needs continuous IV pressors.
What does that mean? - It means you're not going anywhere.
- Can we talk outside? Please? You realize you are asking me to break the most central rule of this entire program? It's a dumb rule.
Why is this so important to you? Because it's important to her.
Part of him is gonna be part of me for the rest of my life.
Oh, come on, Manish.
- Okay, fine.
If Dubenko finds out - Dr.
Rasgotra, what are you doing? We're just waiting on some labs.
What? Doesn't even make sense.
Couldn't you do better than " waiting on labs"? I'm not a doctor.
Can I talk to you for a minute? - I know we're not supposed to do this - Yeah.
- But this guy saved her life.
She wanted to be able to see him in her prayers.
- Yeah, Nee - Dr.
Crenshaw Dusty, I mean.
- I know it's unethical, but it's nice and sometimes people like to do things for other people, just to be nice.
Neela, have I mentioned how well you're coming along? Yeah.
Okay, we're good.
Okay.
They're right over here.
Which one is he? He's the one on the left.
Your husband's kidney went into the other guy.
Thank you.
Thank you.
You know, Morris, it's his dream.
He's gonna die.
He's gonna do it here, not on some comedy-club floor.
Blood count's okay.
He's had antibiotics.
- His pressure's dopamine dependent.
- What about intermittent pressors? - There isn't one.
- Epinephrine? - He can't leave here.
- I could give him six EpiPens.
- Point-three mgs each.
Gives himself - Are you out of your mind? - Why not try it? - No.
I'm not doing it.
I'll find another Attending.
- I'm running the floor.
- Then get some balls.
- I've got balls.
- They're no good unless you use them.
Fine.
Fine, you wanna play Superdoc? Great.
Turn off the dopamine, give him epi, show me his pressure can stay for 20 minutes.
- Fine.
- Fine.
Nobody builds hospitals or clinics in the inner city because they know these people don't have any money.
They're leeches on the system.
So they go out to the burbs and put up medical facilities on every corner like Starbucks leaving us with a hospital that's overrun, understaffed and underpaid.
There are free clinics.
Most think they're for people with drug problems and sexually transmitted diseases.
We're talking about regular folk here black and brown people who just need prescriptions.
Dr.
Pratt knew the system was flawed and tried to help mend it.
I've got a whole congregation who will attest taking away this man's license would just be another demerit on a system that has already failed them.
The EpiPen is spring-Ioaded so all you have to do is press it against your thigh and it fires off a shot.
Ah.
Sounds like my high school years.
Can I use it during my act? As long as you pull your pants down.
[CHUCKLES.]
Luckily, that's my big finish.
Or should I say my average-size finish? MORRIS: Oh! All right.
- His pressure dropped again.
- How long since his last epi? - Six minutes.
Push 0.
2, start dopamine, mix up Levophed.
- Damn.
- This was a dumb idea.
Epi has a one-minute half-life.
I have a body part with that same problem.
Ha-ha.
That was a good joke.
BP, 89/64.
You know what the best thing about getting leukemia is? MORRIS: Hang another liter of saline and a unit of packed cells.
Everybody comes to see you.
The guys from the plant came, my ex-soccer coach came.
Even Father Dunleavy came.
Took three orderlies to get him out of the Pedes ward.
That's a keeper.
You know, I was gonna kill tonight and instead, I'm dying.
MORRIS: Sats are dropping, 92 on five liters.
I would've left your name at the door but something tells me I'm not gonna make it.
Finish your act.
- Hey.
- Hey, I, uh, bought you some food.
Thank you.
That's sweet.
- Come on in.
- Thank you.
- Sorry I couldn't talk earlier.
- Oh, it's okay, forget it.
Everything all right? Yeah, I just, uh, came by to say hi.
Hi.
Uh Is Sarah okay? We're just sitting down to watch a movie.
Wanna join us? Uh No.
I'm not gonna stay.
Listen, can I talk to you a second? Yeah.
I've been wanting to tell you this.
You remember the night we were out there with Meg in the car? At one point she grabbed me and pulled me down to her and she said, " Tony, Sarah is yours.
" " Sarah is yours.
" Is it possible? It was 13 years ago.
You know, we were messed up, the three of us, high.
Keith would disappear for days and, you know, Meg and I It just happened.
It wasn't a secret.
So you mean she could be your? And that never occurred to you before? Yeah.
I mean, I thought about it at first, but then years went by and I just believed what everyone else believed.
SARAH: Tony? - That she was Keith's.
I should go.
That's who I used to be.
It's not who I am anymore.
No, it's okay.
It's no big deal.
Go watch your movie.
[CHATTERING.]
You know you didn't have to do this.
Well, you know, that whole black-male incarceration bit got to me.
You'll be okay, Greg.
There are laws in this world that we have to follow but then there are God's laws.
He'll have the last word in this.
Just you watch.
- Hey.
- Hey.
- What are you doing here? - You covered for me.
The least I can do is support you.
All right, come on, sit down.
Dr.
Pratt.
The board finds that you have violated the Medical Practice Act and believes that these transgressions are adequate justification to suspend your medical license.
However, in light of your attempt to help your community we have decided to put you on probation for one year.
Practice will be monitored you will need to perform Perhaps finding a way to legalize a certain church-based clinic would be a good use of your time? [LAUGHING.]
PRATT: Thank you.
Thank you.
Thank you so much.
Dr.
Pratt.
[INAUDIBLE DIALOGUE.]
Hey, how did I do? You brought the house down.
Thank you.
[SIGHS.]
You've been such a great audience.
[DOOR CLOSES.]
- Hey, you.
- Hey.
I decided to put our CDs on the iPod.
- We don't need all these anymore.
- I need to talk.
- Is everything okay? - Um You know, when you were on the roof, I was thinking about what I would do if Joe didn't have a father and if we didn't have each other.
I realized if we could get through this, we could probably get through anything.
What's going on? I mean, have you ever wanted something so much but it scared the hell out of you? See, here's the thing.
I just Well, I changed my mind and I was wondering if you could ask me again.
What? Ask me again.
Ask me to marry you.
[CHUCKLES.]
[CHUCKLES.]
There we go.
Here.
Come on.
Come on, eat.
I've been slaving over a hot griddle all morning for you.
Please, at least try.
Okay? There you go.
Hold your fork.
- Satisfied? - No, I'm not.
I'm not gonna be satisfied until I hear: " Wow, I can't believe you made me your world-famous pancakes.
" Wow, Tony, I can't believe you made me your world-famous pancakes.
Okay, here's your lunch.
It's time to go.
Are kids gonna act weird to me today? No.
I don't wanna talk about Mom.
You don't have to.
Are you sending me to live with Grandma and Grandpa? Why do you ask that? Isn't that what you were talking about at the funeral? We were talking about a lot of things at the funeral.
I don't wanna live with them.
I wanna stay here with you and your crummy pancakes.
[CAR HORN HONKS.]
Come on.
- Bye.
- Bye.
X-rays show your lungs are improving.
Oh, good.
I need to inhale.
Well, if your oxygen level stays up, you can go home in a few hours.
Tell Timmy.
He's been worried sick about me.
So has Alex.
How is he? He's, uh He's been acting weird.
You think he did it, don't you? I know I blew out those candles.
I don't believe it.
He's a good boy.
You know, he's stealing Dr.
Morris' credit card he's disrespecting you.
I don't know what to think.
If he did do it, I'm sure it wasn't on purpose.
Do you think Alex started that fire by accident? I think you should continue to take him to that therapist lady.
As far as the police go, they think it was a candle.
Let it go at that.
RAY: Well, I'm glad to hear he's doing okay.
Yeah, he just needed a little time for the hand to heal.
Look what we have here.
Not one, but two late doctors.
- Blue Line was stuck.
- Some bozo jumped in front of the train.
- Where's your main man? - Um - He's gonna take one more day.
- No problem, got it covered.
Cover this.
Some suit came from upstairs and said to give that to whoever's running the floor.
- Damn.
- Damn.
Where's Pratt? You suck balls.
Hold still, ma'am.
Hold still yourself, bitch.
Can we give benzos IM? - That'll take a half an hour to work.
- Okay.
All right, I got access.
What do you want? Four Ativan? PRATT: Ativan? - Haldol, what? You're ruining my high, you retard.
Pratt, we need to talk.
I'm a little busy here, Morris.
- Give me midazolam.
Faster onset.
- Okay.
- Knock her down in a minute.
- Can we step outside? Sure.
Soon as she settles down.
- Settle on this.
- Watch out.
I'm really sorry, but I have to ask You're gonna have to wait, please.
- One minute.
- Let go.
MORRIS: Pratt.
HEATHER: Scum.
- Pratt.
- What? The Medical Board suspended your license.
[HEATHER SCREAMING.]
Hey, can we talk? Yeah, sure, what can I do for you? I was Pratt's accomplice.
- Excuse me? - I helped him at the clinic.
- What? - I know, I know.
It seemed like the right thing to do at the time.
I can't believe this.
Look, I told Pratt that he didn't have to protect me but he wants me to stay out of it.
Well, you listen to Pratt.
[SIGHS.]
- I'm gonna burn in hell, aren't I? - No.
I mean, you might have some explaining to do.
Hey, I'm sorry about this, man.
Thought I could work half a shift before the hearing.
It's just a formality.
They'll reinstate you.
GI bleeds from NSAIDs happen to thousands every year.
Morris, Abby's asking for you.
Her guy in 1 is throwing up.
Be strong, brother.
Fight the power.
SAM: Liter wide open? - Yeah.
And 10 of Reglan.
Okay.
- Does it hurt here? - Aah.
No, but if you tug on willy, I'll sing Dionne Warwick's greatest hits.
Tempting, but no, thanks.
No, really, l Aah.
I thought that's why you put the gloves on.
Seriously, I have a latex fetish.
I even tried to give myself a Brazilian using rubber cement once.
Didn't work, but I got into Hustler as one of those guys who has three - All right, I get it.
- Ever had food poisoning? I puked once after biting into a Red Hot with stretch marks.
Okay, uh, we have to run some tests to rule out anything serious like appendicitis, but after that, hopefully, we can discharge you.
- What's up with this guy? - Vomiting, low fever, exam is equivocal.
Doc, doc, you gotta get me out of here, man.
I got a hot date tonight.
Does, uh, she take air or helium? Ha-ha.
She takes Visa.
That was funny.
- Can I use it? - Sure.
Do you want me to image the belly? MORRIS: Hydrate him.
He may spiff up.
Uh Four of morphine, antiemetics.
We'll get you out of here, just sit tight.
Okay, you're about to meet the Grassos.
She's been on dialysis since 2002.
He's got a kidney, but they don't match.
Our exchange pool paired them up with two cousins who are in the same situation.
Yup.
Kidneys for everyone.
DUBENKO: Hi.
You guys set? You bet.
No more dialysis, no more infected shunts.
This is Dr.
Rasgotra.
- She'll be assisting on the transplant.
- I am? Well, someone's about to get some A-1 kidney meat.
I'm like a racehorse.
- I could drink a six-pack without peeing.
- Honey, gross.
Micturation capacity is related to bladder size and neural sensitivity not renal function.
- Then we'll give them some bladder too.
- Ha-ha.
Okay, I'll see what I can do.
You guys have any questions? Concerns? No? Okay.
I'll see you in the O.
R.
Our goal is to enroll By mixing and matching, we'd find kidneys for almost 50 percent of them.
I'll introduce you to the Herrero cousins.
Marina's getting a kidney from one cousin and Thomas is giving his to the other.
- Yep, kind of like a kidney key party.
- Key party? Except donors and recipients aren't allowed to meet.
That could get messy.
[PAGER BEEPING.]
It's the ER.
I'll catch up to you.
What's a key party? Oh, it's a little gimmick to help swinging couples pick their partners.
Forget it.
Before your time.
It sounds dirty.
JESSIE: Ow! - Okay, Jessie, come on.
Hold still.
If he's got lice, you're cutting his hair.
I'm a doctor, not Vidal Sassoon.
Abby, I need you.
Funny boy keeps throwing up.
Okay, Ray.
You got this, right? Hey, no, no, no.
Don't leave me here.
- Did you give him the Reglan? - An hour ago.
Okay, it's probably just gastroenteritis.
And if your labs are okay, we'll get you home.
Forget home.
I got a gig at 10: 15.
The big room at Zanies.
I've been trying to get in there for a couple of years.
You're a comedian? Aspiring.
You should aspire a little harder.
Oh, a heckler.
Don't make me go Kramer on your ass.
Aah! Hey, blondie, no need to get violent.
Four of Zofran.
Repeat p.
r.
n.
Jeez.
May I? [SIGHS.]
Lay down, Simon.
Oh, my gosh.
I gotta practice my routine, I gotta change my clothes.
I was gonna wear this shirt, but now I got chow mein all over it.
ABBY: We're trying to get you better.
- Oof.
SAM: How long you been doing standup? Moved out here from Detroit a couple of years ago.
- Very courageous.
- Yeah, my old boss pushed me into it.
Because you were funny at work? No.
Because he fired me twice.
Hated my guts.
My dad also had a lot to do with it.
He hated you too? No.
He died.
Life took on a whole new perspective.
I'm gonna call the lab and see what's taking so long.
Just relax.
I will try to relax.
I will.
[VOMITS.]
We spent four weeks e-mailing each other.
We finally meet and he sticks me with the bill? So you chased after him and you fell into a hydrant? Would've caught him had I been wearing flats.
GATES: All right, breath sounds are perfect.
Lay back.
So what if I told him I looked like Cindy Crawford? - He said he looked like Matt Damon.
- Did he? More like Matt Damon's fat uncle's ass.
Pulse ox, 98 on room air.
- Tell me if this hurts.
- Aah! Yeah.
All right, you have a broken rib.
I'm gonna give you something for the pain and take an x-ray.
Percocet, CBC and two-view chest.
- Hey.
- So you out of here, man? Yeah, guess so.
Well, hopefully, it will just be temporary.
Yeah, that will be too bad for you.
- Good luck, Dr.
Pratt.
- Thanks, Timmy.
- Dr.
Pratt.
- Yeah? You're gonna be okay.
God is on your side.
Yeah, well, let's hope so.
Okay, I could go with you.
I just did the overnight.
- I'm almost off.
- Hope, go home.
Get some sleep, okay? WATKINS: Dr.
Pratt? What are you doing here? Uh I'm going with you to your Medical Board hearing.
No, I'm okay, really.
Please.
Hope, come pull the PICC line for the guy in 2.
Okay, I gotta take this.
What about it, Greg? The church's support couldn't hurt.
You're still operating the clinic that got me in this mess.
Look, I'm just trying to better the community.
Yeah? What are you doing about black-male incarceration? I have a sermon on it next week.
Make sure you tell them how you got me there.
Greg, I just wanna help.
My license is suspended, I'm facing jail time.
I think you've helped enough.
BEN: So how did it go with the counselor? It wasn't what I expected, but nothing in my life ever is.
What did she say? She, uh, wants me to enroll Alex in an academy for at-risk youth, which is code word for nutjobs.
My kid is not a nutjob.
He's just going through some stuff.
Well, maybe it's some stuff that he can't handle.
I know about those places.
They starve them and beat them.
I can't send him there.
I could help you check some out, see if there's any that might be okay.
Thank you.
But I, uh, need to do it alone.
I'm sorry that I dragged you into everything in the first place.
Don't worry about it, Sam.
I rea I really like you but I have to focus on Alex right now and I don't have time for any kind of a relationship.
All right.
I get it.
- You do? - I do.
Your kid comes first.
So take as much time as you need.
Is there any discomfort here? No.
Do you have a boyfriend? Uh - Not exactly.
We're still defining it.
- Mm.
A girl like you doesn't need the Internet.
I haven't had a valentine since Jimmy Bachner in sixth grade.
Ouch! She's into S & M.
If you want her to stop, say " mayday.
" It's the safe word.
Mayday.
Mayday.
There's no right upper-quadrant tenderness, liver is fine.
Let's observe her for two hours check another CBC and follow serial exams.
Hey, wait up.
You okay? Yeah.
You? Yeah, came home from Wisconsin yesterday.
How is Sarah holding up? It's not gonna be easy.
I can imagine.
- Listen, I should've called.
- Look - I'm sorry.
- No, I should've called.
- The funeral was awkward, the relatives - It's okay.
- No, Neela.
- No, I'm fine.
I'm sure you've got a lot on your plate.
I mean, you've probably got two plates and a little saucer.
Yeah, a heart-shaped saucer.
Valentine's Day, Wednesday.
Let's have a quiet dinner, huh? - Yeah, we'll see.
ABBY: Hey, guys.
I've got surgery.
Neela? Is she all right? I don't know.
What about you? Lockhart, your comic's CBC is back, and it ain't funny.
White blood count 32,000 with 60 percent blasts.
He has leukemia? With immature white cells, he's anemic, neutropenic.
Oh, great.
MITCHELL: Did you see the AMJ's article on integrative medicine? You know the world is falling apart when a study on Reiki makes it into the journal.
Ha-ha.
It's sexy, but the Dana wouldn't touch it.
The design is totally flawed.
- Excuse me.
- Hi.
Hey.
Are you Dr.
Williams from Evanston? Uh, no, I'm Dr.
Pratt from County.
Take a seat.
NEELA: I've isolated the artery.
DUBENKO: All right, Neela, clip it.
CRENSHAW: You're letting her? DUBENKO: She knows what she's doing.
What are the pertinent anatomical relationships? NEELA: Anterior to posterior, it goes renal pelvis, renal vein and then artery, which is clipped.
DUBENKO: Good.
CRENSHAW: Any third-year medical student could've answered that.
CRENSHAW: What structures make up the cortex? NEELA: The what? Cortex.
It's that bean-shaped thing you're cutting into.
You mean, like, the proximal tubules and the distal tubules? CRENSHAW: And renal corpuscles.
Medulla? - Loop of Henle and - Mm-hm.
SHIRLEY: Your valentine needs a surgical consult.
NEELA: My valentine? Gates? Oh, young love is so sweet.
He's not smart enough for you.
- You don't even know him.
- Come on, Gates is easy math.
DUBENKO: Okay, that's enough.
NEELA: Artery is ligated.
Dr.
Dubenko, the donor kidney is prepped and ready to go.
Excellent timing.
Have them send it in.
How did Mr.
Herrero do? No complications, minimal blood loss.
They're closing now.
That's great.
Hey, hey, hey, where you going? Where you going? Is that where you do the anal probe? Sam, can you grab the Zosyn? I liked the other room.
No need for an upgrade.
- Three-point-three-seven-five? ABBY: Yeah.
- Simon.
- Yeah.
I need to talk to you about something important.
I can feel it too.
I wasn't gonna say anything, but I do feel the sparks.
Ha-ha.
Your blood tests show that you have leukemia.
Thank God.
I thought you were gonna tell me I had cancer.
Leukemia is cancer of the white blood cells in the bone marrow.
That's great.
So give me Viagra, send me home and we are all good.
This isn't funny.
- I know.
- You're gonna need IV antibiotics.
I know, I know, I know.
[SIGHS.]
I got leukemia about a year ago.
I had induction chemo and a bone-marrow transplant and now a year later, it's back.
Why can't cancer be like herpes? I got that once and it never came back.
Herpes doesn't go away.
This is Zanies, doc.
You jam there, you get invited to Second City, to SNL.
You could get a spot on Letterman.
You know, my dad, he put hubcaps on Buicks.
Buicks.
Before he died, the last thing he told me was: " Don't be another auto worker wishing you could've, would've, should've.
Don't be like me, son.
" - I have to get you started on antibiotics.
- Hey, hey.
I go on at 10: 15.
At 10:35, I'm all yours.
There's not gonna be a show tonight.
I'm sorry.
If you wanna make it to next month I have to get a CT, a surgical consult, and check on chemo.
Sorry.
Hey, Timmy, can you call GI and order an EGD report for me? No problem.
Hey, you got time for coffee? Yeah.
Everything good? Yes.
I just had the coolest surgery and I figured we could talk.
Sure.
GATES: Dr.
Kovac? - Hello.
I thought you weren't coming.
I heard you were short Attendings and I got bored.
You okay? You look good.
- You good? - Yeah.
What are you doing here? I talked to Timmy and he said you guys could use some help.
Um, Neela, can you look at this? My patient Simon's CT is back.
Gates, some school principal's on the phone for you.
Appendicitis? GATES: Hello.
She's crying? No, I understand.
I understand.
Let me talk to her, please.
Look at his cecum.
There's wall thickening and distension.
GATES: Hey.
No, I told you you didn't have to go to school.
- I'll get you.
Let me talk to the principal.
- Hello? It's typhlitis.
Immuno-compromised hosts can get a cecal infection.
GATES: Yeah.
- Surgery? Treat with IV antibiotics unless he perforates.
And then, would you operate? Well, normally.
Given his leukemia, I doubt he'd survive, so So? GATES: No, no.
Thank you for calling.
So nothing.
No surgery for him.
Okay.
Thanks.
I'm sorry.
Sarah's having trouble at school.
- Gotta pick her up.
I'll call you later? - Okay.
Um I'm gonna go and grab a coffee.
Do you want anything? Yeah, I'll tag along.
These people don't have insurance, can't afford a doctor.
Some can't even buy medicine.
That's not the point.
I thought, with some guidance, the clinic could be a good thing.
Why not send them to County Hospital? Have you ever been to County? Trained there 20 years ago.
Well, nowadays, we're filled with critical patients.
People come in for a prescription refill, they wait up to 12 hours.
So this was about convenience? This was about helping people.
There are programs for that.
Yeah, you're right.
If you're over 65 or you have dependent kids.
Regular folks with low-paying jobs, they don't qualify.
This clinic took care of those who fell through the cracks.
Four O.
R.
S, four patients, four kidneys, all being worked on at the same time.
Went like clockwork.
We were this fine-tuned machine.
I mean, this morning, two people were wasting away waiting for a kidney they thought would never come.
Now they're upstairs with their donors, eating Jell-O, done with dialysis.
- It's amazing, right? - It's pretty cool.
[HORN BEEPS.]
This is what it's all about, man.
This is why I became a surgeon.
- Hey, Ray, you wanna give us a hand? - I need to take this, okay? I thought, " What's a 14-year-old doing with strokes?" I figured there's gotta be more to the story, so I went back to the parents and, yes, kid's adopted.
- And? - Undiagnosed sickle beta thal.
- Kid didn't get screened at birth.
- Wow.
- Nice pickup.
MORRIS: Thank you.
Oliver Miles, burned his hands trying to cremate his dead cat in the microwave.
I tried the fireplace, but I couldn't get it lit.
OLBES: Partial thickness to the hands and forearms.
Tachy at 120.
BP, 130/78.
Pulse ox, only 91.
Okay, let's start him on five of albuterol by neb.
So I thought a crematorium is just a big oven, right? MORRIS: Another four of IV morphine.
I don't know what he ate last.
It was like he just exploded.
KOVAC: Oh! I got it.
I got it.
Do you know if someone has my cat? ABG with carboxyhemoglobin level, portable chest and 125 of Solu-Medrol.
RAY: No problem.
Trauma 2.
I'll be there in a second.
- Are you okay? - I'm fine, Morris.
Your hand is not.
No, this was just an accident.
Go home.
Rest.
- I promise we'll be okay.
- Yoo-hoo.
Ha-ha-ha.
Hey, Luka.
I didn't know you were back.
I'm not.
- How are you doing? - Better now.
Take care, Gracie.
Sure you don't wanna wait till I get off? I don't really feel like sending you home by yourself.
I'm not going home, Sammy.
I'm taking a little cruise.
This way, you and Alex can bond.
We can bond with you here.
You need time to sort through all this.
Oh, God, Grandma.
All I ever wanted to do was raise a good kid.
He got the crazy gene.
Oh, thank God, it skips a generation.
You and I were both spared.
- You think? - Ha-ha-ha.
It's gonna be all right, Sammy.
He's going through a phase.
It's rebellion, and then he'll come back around.
The good ones always do.
Yeah, well, what if he's not a good one? He's yours, isn't he? [CARIBBEAN MUSIC PLAYS ON STEREO.]
You're going with Timmy? The lido deck awaits.
Only old people take cruises alone.
Hey, Abby.
Which one do you like better: " Thank you, folks.
It was great to be here" or just, " That's all, folks.
Now go home and beat the kids"? You have an infection in the cecum where the small and large intestines join up.
Maybe I'll just say: " Go home and beat the kids, but don't forget to tip the wait staff.
" Listen, did you hear me? What I said to you earlier? Yeah, yeah, yeah.
I feel better.
I just need you to buff me up.
Well, I can't, because you have no immune system.
- You cannot fight this infection.
- I don't need my immune system tonight.
I need my funny bone.
I spoke to your oncologist.
You're out of treatment options.
You have a poor prognostic karyotype.
- Eleven-Q-23 translocation.
- Exactly.
And because leukemia's recurred twice you don't have any options for chemotherapy.
[SIGHS.]
Okay, okay.
Okay, so just put me in some trial.
Make me a guinea pig.
I've always wanted to run on a wheel, drink from a drip bottle.
There isn't any trial.
And it's probably a matter of weeks, not months.
Is there anyone you want me to call? Yeah.
- A cab.
- What are you doing? - I'm getting the hell out of here.
- Look, you can't, Simon, you can't.
What do I have to lose, huh? I don't wanna walk on the moon or bang Barbara Bush.
Look I wanna get on that stage and make an audience laugh.
- You can't go.
- I have to go.
Have you ever wanted to do something that just scared the hell out of you but you knew you had to do it? Well, this is it for me.
All right.
All right.
Maybe a blood transfusion will give you some more energy.
Come on.
I just need to be able to stand up.
Or sit down.
Maybe I could be a sit-down standup.
All right.
I'm gonna have to have you sign out against medical advice.
If I just took anyone's advice I'd still be checking taillights in Detroit now.
And if anybody asks, this is not my idea.
Shh HIGGINS: How do you keep track of your patients? I used 5-by-7 cards for patient information.
And you have a complete H & P on a 5-by-7 card? Well, we had limited records, just the important information.
Where did you keep them? - In a box.
- A box? And if your patients had medical care other places was there a system for other health professionals to access this box? No.
But they could have paged me, I guess.
Would you say your records system met the standards the Medical Board has set? Come on.
We were in a church.
And did you log the drugs you dispensed? Did you record the lot numbers? - No, not fully.
- Not at all, isn't that right? Are you aware that this is a violation of the Medical Practice Act, Dr.
Pratt? I never claimed that this was a full-service medical center.
I didn't charge any money.
I was trying to help these people.
And do you think you helped Edgar Dixon when you prescribed him Renuvium? GI bleeding is a common side effect of NSAIDs.
The same thing could've happened to him if he'd been prescribed the med anywhere.
But it didn't happen to him anywhere.
He went to you, and it killed him.
Are you aware that diversion of narcotics is a felony, Dr.
Pratt? I didn't steal You don't recall providing hydrocodone and ibuprofen to Ms.
Nancy Campbell? Mrs.
Campbell had gallstones.
So you took a narcotic medication sample logged into the Emergency Department.
This is a felony punishable by imprisonment, doctor.
Yes, she was suffering.
I wanted to help her.
I volunteer for a free clinic myself and we follow the rules.
We keep accurate records we dispense medication with proper safety precautions and we're there for our patients, Dr.
Pratt.
You remember the part about doing no harm? Well, that applies to you too, sir.
- Excuse me, I'm sorry.
- We're in a meeting.
I'm Pastor William Watkins of First Mission Baptist.
I'd like to speak on behalf of Dr.
Pratt.
Sorry they haven't taken you back to your room yet.
MARINA: I just got a new kidney.
- I'm not gonna sweat the small stuff.
- Oh.
Hello.
Happy Valentine's Day.
Nothing says " I love you" like a bag of urine.
How did my donor do? They're fine.
But because of everybody's privacy, we're not really allowed to discuss it.
Listen, this person saved my life.
I wanna see him.
Or her.
Just once.
So I have a face to think of in my prayers.
How is it going? Okay, so the Democrats took over the House and the Senate.
How long before the Republicans jack up the rent and evict them? SAM: That's pretty funny.
- Why aren't you laughing, then? - I am.
- No, you're not.
HemoCue is up to 11 after two units.
Antibiotics? - Zosyn is in, tobra's infusing.
- Oh I gotta go pee-pee.
- That's good.
Your kidneys are working.
- Aah.
Hello? Hello? Quiet on the set.
Thank you very much.
Doc, I can't pee in bed.
I've been standing up since I was 4.
Pressure's been pretty good, 101/68.
All right, get him a screen.
- Sit up and dangle your legs.
- All right.
- Let us know if you're feeling dizzy.
- I'm good.
I'm good.
I got a little flop sweat, but that happens to the best of them.
- Someone's gotta go with you.
- No.
I got a nervous bladder and a neurotic sphincter.
Seriously, it sucks.
I can't pee in public and I'm afraid to fart in case I start a fire.
We'll wait on the other side.
It'll be a good test.
Of what? The Emergency Broadcast System.
Oh That is good.
Man, this will work.
Pee is funny.
Bedpans, funny.
Catheter, not so funny.
Maybe we can downgrade to Tele from ICU.
SAM: Oh, God.
MORRIS: Okay, I got him.
Get him on the bed.
Come on.
One, two, three.
- Pressure's down, 60/40.
MORRIS: Great, he's septic.
- Another two units of packed cells.
- Start dopamine at 10 mics.
ABBY: Simon, can you hear me? MORRIS: Open your eyes, come on.
ABBY: Hear me? SAM: Sats are dropping.
Put him on 100 percent non-rebreather.
Open an intubation kit.
Come on, buddy.
Come on, there's a spotlight on the curtains and they're calling your name.
Hey, baby girl.
Dopamine at 12 mics.
Systolic's up to 110.
Good.
Run in the fourth unit.
Hey, am I on next? How is it going? - What happened? - You took a little nap.
Okay, little prick.
It's just because it's cold in here.
All right, you gotta keep that on, okay? You know, sats are a hundred Hey.
Why don't we try a nasal cannula? Five liters.
Hey, Abby, how about our deal? Working on it.
What deal? I thought we could try to buff him up so he could perform tonight.
He's septic.
His BP's dropped so low, he needs continuous IV pressors.
What does that mean? - It means you're not going anywhere.
- Can we talk outside? Please? You realize you are asking me to break the most central rule of this entire program? It's a dumb rule.
Why is this so important to you? Because it's important to her.
Part of him is gonna be part of me for the rest of my life.
Oh, come on, Manish.
- Okay, fine.
If Dubenko finds out - Dr.
Rasgotra, what are you doing? We're just waiting on some labs.
What? Doesn't even make sense.
Couldn't you do better than " waiting on labs"? I'm not a doctor.
Can I talk to you for a minute? - I know we're not supposed to do this - Yeah.
- But this guy saved her life.
She wanted to be able to see him in her prayers.
- Yeah, Nee - Dr.
Crenshaw Dusty, I mean.
- I know it's unethical, but it's nice and sometimes people like to do things for other people, just to be nice.
Neela, have I mentioned how well you're coming along? Yeah.
Okay, we're good.
Okay.
They're right over here.
Which one is he? He's the one on the left.
Your husband's kidney went into the other guy.
Thank you.
Thank you.
You know, Morris, it's his dream.
He's gonna die.
He's gonna do it here, not on some comedy-club floor.
Blood count's okay.
He's had antibiotics.
- His pressure's dopamine dependent.
- What about intermittent pressors? - There isn't one.
- Epinephrine? - He can't leave here.
- I could give him six EpiPens.
- Point-three mgs each.
Gives himself - Are you out of your mind? - Why not try it? - No.
I'm not doing it.
I'll find another Attending.
- I'm running the floor.
- Then get some balls.
- I've got balls.
- They're no good unless you use them.
Fine.
Fine, you wanna play Superdoc? Great.
Turn off the dopamine, give him epi, show me his pressure can stay for 20 minutes.
- Fine.
- Fine.
Nobody builds hospitals or clinics in the inner city because they know these people don't have any money.
They're leeches on the system.
So they go out to the burbs and put up medical facilities on every corner like Starbucks leaving us with a hospital that's overrun, understaffed and underpaid.
There are free clinics.
Most think they're for people with drug problems and sexually transmitted diseases.
We're talking about regular folk here black and brown people who just need prescriptions.
Dr.
Pratt knew the system was flawed and tried to help mend it.
I've got a whole congregation who will attest taking away this man's license would just be another demerit on a system that has already failed them.
The EpiPen is spring-Ioaded so all you have to do is press it against your thigh and it fires off a shot.
Ah.
Sounds like my high school years.
Can I use it during my act? As long as you pull your pants down.
[CHUCKLES.]
Luckily, that's my big finish.
Or should I say my average-size finish? MORRIS: Oh! All right.
- His pressure dropped again.
- How long since his last epi? - Six minutes.
Push 0.
2, start dopamine, mix up Levophed.
- Damn.
- This was a dumb idea.
Epi has a one-minute half-life.
I have a body part with that same problem.
Ha-ha.
That was a good joke.
BP, 89/64.
You know what the best thing about getting leukemia is? MORRIS: Hang another liter of saline and a unit of packed cells.
Everybody comes to see you.
The guys from the plant came, my ex-soccer coach came.
Even Father Dunleavy came.
Took three orderlies to get him out of the Pedes ward.
That's a keeper.
You know, I was gonna kill tonight and instead, I'm dying.
MORRIS: Sats are dropping, 92 on five liters.
I would've left your name at the door but something tells me I'm not gonna make it.
Finish your act.
- Hey.
- Hey, I, uh, bought you some food.
Thank you.
That's sweet.
- Come on in.
- Thank you.
- Sorry I couldn't talk earlier.
- Oh, it's okay, forget it.
Everything all right? Yeah, I just, uh, came by to say hi.
Hi.
Uh Is Sarah okay? We're just sitting down to watch a movie.
Wanna join us? Uh No.
I'm not gonna stay.
Listen, can I talk to you a second? Yeah.
I've been wanting to tell you this.
You remember the night we were out there with Meg in the car? At one point she grabbed me and pulled me down to her and she said, " Tony, Sarah is yours.
" " Sarah is yours.
" Is it possible? It was 13 years ago.
You know, we were messed up, the three of us, high.
Keith would disappear for days and, you know, Meg and I It just happened.
It wasn't a secret.
So you mean she could be your? And that never occurred to you before? Yeah.
I mean, I thought about it at first, but then years went by and I just believed what everyone else believed.
SARAH: Tony? - That she was Keith's.
I should go.
That's who I used to be.
It's not who I am anymore.
No, it's okay.
It's no big deal.
Go watch your movie.
[CHATTERING.]
You know you didn't have to do this.
Well, you know, that whole black-male incarceration bit got to me.
You'll be okay, Greg.
There are laws in this world that we have to follow but then there are God's laws.
He'll have the last word in this.
Just you watch.
- Hey.
- Hey.
- What are you doing here? - You covered for me.
The least I can do is support you.
All right, come on, sit down.
Dr.
Pratt.
The board finds that you have violated the Medical Practice Act and believes that these transgressions are adequate justification to suspend your medical license.
However, in light of your attempt to help your community we have decided to put you on probation for one year.
Practice will be monitored you will need to perform Perhaps finding a way to legalize a certain church-based clinic would be a good use of your time? [LAUGHING.]
PRATT: Thank you.
Thank you.
Thank you so much.
Dr.
Pratt.
[INAUDIBLE DIALOGUE.]
Hey, how did I do? You brought the house down.
Thank you.
[SIGHS.]
You've been such a great audience.
[DOOR CLOSES.]
- Hey, you.
- Hey.
I decided to put our CDs on the iPod.
- We don't need all these anymore.
- I need to talk.
- Is everything okay? - Um You know, when you were on the roof, I was thinking about what I would do if Joe didn't have a father and if we didn't have each other.
I realized if we could get through this, we could probably get through anything.
What's going on? I mean, have you ever wanted something so much but it scared the hell out of you? See, here's the thing.
I just Well, I changed my mind and I was wondering if you could ask me again.
What? Ask me again.
Ask me to marry you.
[CHUCKLES.]
[CHUCKLES.]