ER s15e02 Episode Script

[ELEVATOR BELL DlNGS AND DOOR OPENS.]
MORRlS: Helipad access, ortho supplies, suture cart-- [MAN VOMlTlNG.]
Nurses' station, drug lockup, call room.
-There's a call room?.
-Yeah, but don't plan on sleeping.
-I didn't come here to sleep.
-Hey, don't be snarky, we just got here.
-Nice dress.
-Oh, Barneys sale, 1 8OO bucks.
Got it for four.
Love that.
Okay, these are the trauma rooms, take some time to familiarize yourself.
Ah, the new interns.
Welcome to County.
-Those are some shoes.
TRACY: Oh, I always wear heels.
Anything else hurts my feet.
[ALARM BEEPlNG.]
Everybody get a chance to look around Chicago?.
We were at a friend's wedding in Denver yesterday.
Drove all night.
Y eah.
I washed my hair in a gas station sink and I came straight here.
You're from Texas, right?.
Went to med school in San Antonio, but I'm from New York.
[SPEAKlNG lN SPANlSH.]
-I don't speak Spanish.
-Oh.
[DOOR BUZZES.]
Ah, everybody meet Dr.
Tony Gates and Sam Taggart, one of our nurses.
-Welcome.
SAM: Nice to meet you.
Gates oversees you, I supervise him, Sam's got her eye on all.
-Be careful, she'll kick your ass.
SAM: Trust him, he knows.
[GRUNTlNG.]
MAN: Aah! -Security! [CRASHlNG AND GRUNTlNG.]
Charts, forms, lab recs, it's all here.
Is this?.
-Are these who I think they are?.
MORRlS: It's true.
-Your replacements have arrived.
-Tracy Martin.
Nice to-- Oh, thank you, God.
I am not an intern anymore.
Kaya, come meet your partners in crime.
Hey, you guys.
How's it going?.
-You're an intern too?.
KAY A: Yup.
Skipped the orientation.
Y'all need to get your behinds down to Personnel.
You can't work without lDs.
And this is Frank.
Donuts will make him your friend.
-Avoid coconut, it gives him gas.
-You can say that again.
Come on.
[PANTlNG.]
Hi, I'm Tracy Martin and I am an intern in the Emergency Department.
[CAMERA SHUTTER CLlCKlNG.]
Oh, wait.
I need a touchup.
Andrew Wade, intern, General Surgery.
-Surgeon, wow.
-Yeah.
[PANTlNG.]
Daria Wade, intern, Emergency Department.
I should go find where I'm supposed to be right now.
-Call you later, Dar.
-Honey, honey.
Yeah, I know.
[SlREN WAlLlNG.]
I gotta go now.
I love you.
Bye.
Ryan Sanchez, intern.
My wife's home with the kids.
Getting used to the new place.
[CELL PHONE RlNGS.]
Hello?.
I did my MBA while I was at Stanford and the program there is real-- -Hold on, I wasn't ready.
WOMAN: That's enough.
You're done.
Put the little penis away.
And you, you're a doctor now, try to look like one.
And on that note three-inch heels have no place in the hospital.
Catherine Banfield, Attending physician, chief of the ER.
Hello, everyone.
I'm your new boss.
We see an average of 25O patients a day.
Three hundred if it gets crazy.
-Few years, you can handle anything.
-I'm sure.
-So, what made you come back?.
-lt was time.
Chicago's home.
I don't get the whole medical-mission thing.
Why chase tragedy overseas when we've got disaster right at our front door?.
It's not for everyone.
I thought the nurse ratio was four to one.
My ex went on a medical mission.
Mistake.
Where are the nurses?.
Doesn't look four-to-one here.
We're short, as usual.
This is Haleh Adams, our charge nurse.
Haleh, meet Dr.
Banfield, our new chief.
-Welcome.
-Nice to meet you.
-Coffee anyone?.
-I'm not into coffee, it's a crutch.
Uh, meet me to run the board in five minutes.
-Do I know you?.
You look so familiar.
-I don't think so.
Ever work at St.
Mark's?.
I pick up shifts there sometimes.
-No.
-Moonlight in Urgent Care?.
-I could swear I've seen you before.
-No, it's my first day.
Well, if there's anything you need to know about this place, just ask.
Cuticle cream?.
Latex gloves are murder on your hands.
Think this used to be a sandwich?.
You guys get settled, meet me out at the desk.
-You okay?.
-Yeah, ahem.
You've been here for like 96 hours straight.
-We're a little short-staffed right now.
-Us too.
Abby took a few days off with Luka.
And you look like crap.
-Look who's talking?.
You live here.
-Easier than going home.
-Sleep is overrated.
-Bring it on.
These patients have been on the board since yesterday.
Hospital's full, they never discharge at night.
Makes it impossible to admit anyone.
I'm friendly with the nursing supervisor on Med Surg.
SAM: Bet you are.
-She can always find a bed for me.
Can you get her to open things up?.
-Lubricate the log jam?.
-Do it.
Oh, uh, Dr.
Banfield.
I wanted to let you know, I have to take off a little early tonight.
Um, starting the nurse anesthetist program, have to drop off my kid.
Leave when your shift's over.
I'm a stickler for that, Sam.
It is Sam, right?.
Yeah.
It's only like 20 minutes.
We all have commitments, just don't let them bleed into your work.
Wow, new chief seems great.
You know, Alex can hang out with me and Sarah tonight.
-Really?.
-Yeah.
I don't want to be him alone.
-No problem, I'll pick him up after work.
-Thank you, Tony.
It's a big help.
[DOOR BUZZES.]
James Silcott, 26, burns and minor trauma from a chemical explosion -in the apartment next to theirs.
-Decca Richards, 24, same explosion.
Vitals good, abdominal pain.
-Babe, you okay?.
-Yeah, I think so.
I'm Dr.
Gates, what happened?.
-We were reading on the couch.
-This blast came through the walls.
-Both trauma rooms are open.
BRENNER: Kaya with Dr.
Morris.
Gates, you're with me, Trauma 1, let's go.
-Follow me.
SAM: We're gonna be right next door.
BANFlELD: I'll bounce between and supervise.
We're Attendings.
We don't need to be supervised.
Just watch this time, get a sense of how things go.
Screw that.
SAM: Eighteen gauge in the antecube.
KAY A: Tachy at 1 1 8, pulses are good.
MORRlS: Second degree burns to chest and arm.
Kaya, let Surgery know.
SAM: All right, on my count.
One, two, three.
-What exploded?.
JAMES: I don't know.
Just heard this breaking glass.
Probably his meth lab.
-Guy's a freak.
-HemoCue, trauma panel, type and cross.
Why the ultrasound?.
Explosion.
Blunt trauma.
That's why.
KAY A: How's your pain?.
JAMES: It's pretty bad.
-My arm's killing me.
-We can get you something.
Five of MS.
Get another set of vitals before you go dropping his pressure with narcotics.
-ls Decca okay?.
BANFlELD: I'll go check.
Good idea.
GATES: So, what kind of music does your band play?.
It's hard to explain.
Imagine a punk version of '4Os standards.
That makes no sense.
Okay, no fluid, looks good.
You have to check it out sometime.
-Ow! -Sorry.
-You want me to try?.
-I said stand back and watch.
GATES: I had a band once.
Bunch of sexually frustrated adolescent boys.
All right, lV's in, hang a liter.
Liter of what?.
-Normal saline.
-So be clear.
-Everyone knew what he meant.
GATES: We knew one song ""You Got Lucky"" by T om Petty, and we played it over and over.
[BOTH SlNGlNG TOM PETTY'S ""YOU GOT LUCKY"".]
Over and over again.
I'm not kidding you, it was sad.
-You have a patient on the table.
-A stable patient.
-It's cool, really.
-A trauma case can turn on a dime.
I know that.
We're good here.
Every patient that comes through that door is my responsibility.
And I have to know that I can trust your judgment.
I'm sorry for calling so early but I've got an obstructive pancreatitis on the schedule.
DUBENKO: You gotta stop doing this, Dusty.
Would you jump straight to pancreaticojejunal anastomosis or do a sphincteroplasty first?.
If the proximal duct is open, option one, otherwise, two.
Intermittent dilation, go with a Puestow procedure.
-You are my hero.
-Yeah, yeah.
I know.
I gotta run, I'm doing grand rounds at Rush.
ANDREW: Dr.
Crenshaw?.
-What?.
Oh, finally, I've been looking for you.
Andrew Wade, new Surgical intern.
I'm supposed to shadow you today.
-ls black okay?.
-Fantastic.
Ahh.
Where is she?.
-Probably should get back to work.
-It's my day off.
-I only came in because I wanted to-- -Neela, I know where this is going.
But Lucien's a fantastic teacher.
The patients love him.
And he's an amazing trauma surgeon.
-I don't disagree.
-Then how can you let him leave?.
I don't like it either, but he forced our hand.
-He was upset.
He didn't mean-- -The board voted for dismissal.
It's done.
Listen, Captain Hemolysis, you guys use the same excuse every time.
Spare me the dog-ate-my-homework crap and get me the potassium level.
Thank you.
[SLAMS RECElVER.]
Impossible to get anything done around here.
-You okay?.
-Yeah.
When was the last time you had a day off?.
I got a guy with Bullous pemphigoid in Curtain 3.
You should check it out.
Why don't you get out of here for a while?.
-lt'll be good for you.
SAM: Hey.
I need you sign off on a bunch of stuff.
I'm all yours.
One of the nurses had me order Bactrim on tricycle girl.
Is that approved for kids?.
You're missing the point.
She asked me.
Didn't need my order co-signed or anything.
Hallelujah.
I am so sick of getting my orders co-signed.
There's always been someone double-checking.
Making sure we didn't mess up.
Now you feel like you're flying without a net, right?.
-Exactly.
-That's completely normal.
Now, all this responsibility, I mean.
I want it, it's just a little scary.
-Hmph! -What?.
If you're not ready, then you shouldn't be here.
You're ready.
It takes time to grow into this job.
You have complete backup.
No one's expecting you to run a code the first day.
Now, come on.
Let's start with the basics.
Fever with a murmur.
What's the workup?.
Surgery wants to admit the explosion couple for observation -but they have no beds.
-What else is new?.
Park them in the hallway, I will write orders for vitals and fluids.
Hey.
See this guy, will you?.
He's been waiting five hours already now.
Oh, so sorry, Frank.
We were eating bonbons in a bubble bath.
T otally lost track of time.
Go say hi.
Hey, I'm Sam.
I'm one of the nurses.
Finally, I was ready to give up on you guys.
Check this out.
-Do I have flesh-eating bacteria?.
-I don't think so.
But, uh, I'll have one of the doctors take a look.
How long is this gonna take?.
I got a big test tomorrow.
And if it were up to you?.
What would you do?.
-I just got here thirty seconds ago.
-Sometimes that's all you get.
Okay, um, severe cellulitis, lV antibiotics?.
-What kind?.
SAM: I don't know, um-- -Ancef?.
-No.
IV Vanco to cover MRSA.
And don't answer a question with a question.
I hate that.
-Are you gonna give me some medicine?.
-What was that?.
Just trying to get a sense of how you think, what you're capable of.
Oh.
That's kind of hard to come up with a plan on-- Hard?.
You're an ER nurse.
You're the first line against gunshot wounds, stabbings.
[DOOR BUZZES.]
-Think bedside teaching is hard?.
-Male found behind the explosion site.
-Let me go.
-Your leg's broken.
You can't walk.
Minor burns to neck and torso.
Probable tib-fib, left.
-Gates, take this.
I'll be right in.
FELlX: Listen to me.
-Why won't you listen?.
-Can I run it?.
-No.
I'm Dr.
Gates.
-I don't need a doctor.
RYAN: Name?.
-Shut up.
DARlA: We gotta call you something.
-Felix.
GATES: All right, ABCs, here we go.
RY AN: He breathing?.
DARlA: He's tachypneic.
Could be edema from the fire.
GATES: Ryan, on my count.
One, two, three.
Stop! TRACY: Okay, I'm only gonna listen.
-Don't touch me.
DARlA: Sat's 91.
GATES: Sir, your oxygen level is low.
-We need to evaluate your lungs.
-Leave me alone.
Let me just cut your shirt.
-Don't touch me.
Don't touch my stuff.
-Sir, relax.
FELlX: Listen to me.
Listen to me.
-Whoa.
-What the hell?.
-Oh, my God.
Now you did it.
-ls this cocaine?.
-You cut through the bag.
-Bag?.
-You shouldn't have.
-What powder?.
-It's weaponized ricin.
-It's extremely lethal.
I made it myself.
-Ricin?.
-Shouldn't have done that.
-I'm out of here.
Whoa! You open those doors, the whole ER is exposed.
I told you not to touch me.
Now we're all dead.
-ER.
-Frank, call HAZMAT.
We have a situation here.
Cops said the guy's a real wack job.
Had stuff on anthrax, botulism, plague-- Keep it down, don't want people to panic.
We're moving people.
They're gonna know.
Environmental Services won't touch it, they said call HAZMAT.
-Did you?.
-Yes.
Fire department is supposed to respond first.
-What's their ET A?.
-T en minutes out.
I think we should seal off Exam 2.
With what, duct tape?.
I'll find some.
BANFlELD: Morris.
MORRlS: Right behind you.
SAM: If they get sick, we need to have access.
-A few hours before symptoms manifest.
-We can't leave them in there.
Gotta be quarantined till HAZMAT can figure out what we're dealing with.
-Let's just concentrate on evacuation.
-Evacuation where?.
You know this hospital, you tell me.
ANDREW: Hold the elevator.
-Where are you going?.
-Upstairs for observation.
MORRlS: Thought you had no beds.
Well, we can't very well leave them here in Hot Zone, can we?.
Surgical lobby.
Come with me.
[PHONE RlNGS.]
Dr.
Gates, the Hazardous Materials team is on the way.
I have an unstable patient, three freaking interns, please hurry up.
I knew the cops would be all over my place so I ran.
There are no masks in here.
There's no gowns either.
Didn't count on the fire escape collapsing.
-Shut up.
-lnhalation of aerosolized ricin can kill in 24 hours.
Does it say if it's absorbed though skin?.
We should all be wearing gloves.
GATES: How's his pulse ox?.
God, they're trapping us in here.
[CELL PHONE RlNGS.]
Oh, my God.
Annie, honey, I'm with a patient, gotta go.
All right, let's stay focused.
Secondary survey, let's go.
A year's supply of Valium in here.
Don't forget the lV tubing and infusers.
I don't know what they have upstairs.
How much would this be worth on the street?.
After today, I'm thinking about an alternate career.
You doing all right?.
I should bring some fentanyl too, right?.
He's got a phone in there.
You can call and talk to him.
No, he's busy.
I'm busy too.
Gotta start my new career as a drug dealer.
-I don't want that.
-I'm not interested in what you want.
FELlX: I didn't mean for this to happen.
-You should've told us about this.
-I tried.
Listen, my leg is really killing me.
-Yeah, because it's broken.
Unfortunately for you, we can't help because we're stuck in this room.
-Please.
Something's really wrong.
DARlA: Look.
That doesn't look right.
Yeah.
Compartment syndrome.
We have to do a fasciotomy.
You're bleeding from the fracture into the soft tissue.
That's why blood is not getting to your foot.
Ryan, go to the code cart, get morphine.
-Morphine?.
For this guy?.
-We treat everybody the same.
-What's morphine look like?.
-It's a clear bottle, black top.
-Says "" morphine.
"" -It's really killing me.
-I don't think there's any here.
-I'm sorry.
This is gonna hurt.
-What's your name?.
-Daria.
-Daria, talk to him.
DARlA: What?.
-Talk to the patient.
-Oh, um-- Okay, so how did you become a bioterrorist?.
Ow! Damn it.
[SCREAMlNG.]
Hey.
What's going on?.
MlLLER: HAZMAT team's 1 0 minutes out.
Discharge whoever you can, bring the rest to the evacuation area.
-Moved the portable monitors upstairs?.
-Yeah.
Grab whatever you need because when HAZMAT gets here -they' re not gonna let you back in.
BANFlELD: Let's move the CHF-er.
-Mr.
Burke, you can't leave yet.
-What's going on?.
-First I heard bomb scare.
Now anthrax.
-It's not anthrax.
Yeah, whatever it is, I don't need it.
Stop.
You have a serious infection.
You need to be admitted -to the hospital for lV antibiotics.
-I can't.
I'm supposed to take the GED tomorrow.
-I'm gonna get my diploma.
BANFlELD: Sam, we're going up.
Please, don't leave.
I'm gonna try to work something out for you, okay?.
Okay, go slow, he needs an expiratory phase.
Any chance we could use oral antibiotics--?.
-No.
-He's gonna go home.
Change his mind.
I said we were taking the rule-out Mls to Family Practice.
We don't have enough staff to cover.
-But I got the clinic nurses to help-- BANFlELD: Dr.
Morris the rule-outs will wait upstairs.
You just let me know when you need my help.
I'm here for you.
You think the docs in that room are gonna be okay?.
I don't know.
I hope so.
I, uh, heard that you worked in Thailand after the tsunami.
Indonesia.
Well, this must seem pretty minor compared to that.
Yeah.
It is.
[ELEVATOR BELL DlNGS.]
MARlSOL: lCU says they're not allowed to lend their machine.
-Don't ask, just take it.
-lntubated patients, there.
SAM: Thanks.
CRENSHAW: How many more are left?.
-Another 2O or 3O.
-We need to make more space.
Respiratory's on the way with more O2 and Rehab's sending three vents.
[CELL PHONE RlNGlNG.]
Rehab was Marisol's idea.
-This one's a keeper.
-Sorry, gotta take this.
Hey.
DUBENKO [OVER PHONE.]
: Eleven hang-ups, Dusty? We are under siege.
You do know your number shows up, right?.
I'm stuck with a new intern and the ER was the target of a bioterrorist attack.
-Mm-hm.
I used to call that a Thursday.
-Oh, you love this, don 't you? Me, getting my ass kicked while you sleep in and go to yoga.
I wish, but with all the lectures, conferences and interviews out here it's been grueling.
Speaking of which, I gotta run.
Yeah, okay.
No, no.
Wait.
Lucien?.
Lucien?.
The ER's been attacked and you're catching up on phone calls?.
-Any headway with Anspaugh?.
-No, but he knows it's crap.
-Wouldn't look me in the eye.
KAY A: A kid pulled out his G-tube.
[PAGER BEEPS AND CELL PHONE RlNGS.]
-That's Neela's specialty.
-You owe me.
-The guys in the moon suits are here.
-Oh, good, feel much better now.
They must have an exit strategy.
Fracture must've severed the tibial artery.
I can't see crap.
It says that low micron ricin particles may be suspended in the air for hours.
-We' re screwed.
GATES: Ryan, get me a suture kit.
I'm gonna have to make this incision bigger to find the bleeding vessel.
Here we go.
One, two, three.
[SCREAMlNG.]
All right.
Get me 4-by-4s.
-I don't feel so good.
TRACY: Wait, you need to lie down.
-What are you being admitted for?.
-Asthma.
It's bad this time.
We were here all night, my mom went home to shower.
-I can't get any air.
-No, it's gonna be okay, I promise.
Daria, find a large BP cuff and put it around his thigh.
Heart rate's up to 1 35.
-Look in the drawer for a hemostat.
-Like a clamp?.
GATES: Yeah.
A needle driver, anything.
Come on.
-Do we have any albuterol in here?.
-It's too much.
-He's not moving air well.
-Felix, talk to me.
-Who was the ricin for?.
-lt doesn't matter.
If we're gonna all die here, you can tell us why.
You owe us.
I was gonna send it to a few officials.
-Systolic's only 84.
DARlA: This cuff is way too small.
-And I'm not finding any clamps.
-Okay.
I'm serious, this guy needs a neb.
We don't normally keep respiratory meds here.
-Check the cart.
The bottles.
FELlX: Homeland security.
What a joke.
We let anyone in.
Anything can happen.
It's not right.
Neither is exposing innocent people to a deadly biotoxin.
She has a point there, Felix.
FELlX: My wife, she used to work near the Pentagon.
She got killed by one of the planes.
[FELlX SOBBlNG.]
All right.
I need Prolene, get me Prolene.
What's Prolene?.
[SlGHS.]
Okay, so this is a dose of Vancomycin now.
You're gonna go home with this lV tonight.
In the morning, before your test, come in, show your bracelet they're gonna give you your second dose.
Deal?.
Deal.
Thanks.
It's cool you're getting your GED, you know.
I got tired of telling people I dropped out of school.
Challenging yourself.
I admire that.
MORRlS: This is Devon, 8 years old.
Floor collapse, fell into a basement.
Injuries to chest and pelvis.
His mom, Hannah, jumped to get to her kid.
-Arm looks broken, vitals okay.
-Okay.
This way.
DEVON: Mommy?.
HANNAH: Devon, honey, I'm right here.
-Where are you?.
HANNAH: Get me off of this thing.
-ln a minute, ma'am.
-I need to see my son.
What's going on?.
We're closed to trauma.
Accident was four blocks away, the rig got authorization.
-I never-- -I did.
Diverting an unstable kid across town would've been crazy.
I authorized them to come.
[EKG BEEPlNG RAPlDLY.]
SAM: Wake up.
KAY A: Sats only 82.
Throw me that.
This kid's not breathing.
MORRlS: Five-oh and a Mac two.
All right.
I think I got it.
There we go-- God.
Crap.
-Another Prolene?.
-Oh, his sat's only 81.
-Turn up the 02.
-It's up.
It's all the way up.
Felix?.
Felix?.
JACOB: I can't.
Under.
She went out of snow.
He's altered and there's no albuterol in here.
All right.
Mac three and a 7-O.
Hang in there, I'll be right back.
-What's a Mac?.
-Macintosh laryngoscope size three, a 7-O ET tube.
-Got it.
We're going to intubate?.
GATES: We might have to.
-V-tach.
I can't feel a pulse.
-All right.
Start CPR.
I can't take my hand out of here.
Come on.
Let's Go.
Ryan, start compressions.
Daria, bag him.
Tracy, charge up the defibrillator.
Let's go.
This is the real thing now.
-Three-sixty?.
-Yeah.
Put the paddles on the chest.
Come on.
Put the paddles on the chest.
Clear.
[DEFlBRlLLATOR POWERlNG UP.]
Go! -Still V-tach.
-All right.
Resume compressions.
Daria, switch with me.
Put pressure on the artery like your life depends upon it.
Tracy, give me that tube.
-It's for Jacob.
There was only one.
-This guy's not breathing, Jacob is.
TRACY: He's a kid.
His sats are dropping.
-Shock him again.
-Clear.
-All right.
You're gonna let some innocent kid suffer and maybe die, to save a low-life who tried to kill us?.
Still V-tach.
I'm sorry, but why do you even want to save this guy?.
Because we prioritize the sickest patient.
That's what we do here.
If you don't get it, you don't belong.
Fine.
Then you tell that to the kid's mom.
[EKG BEEPlNG RAPlDLY.]
GATES: All right.
I'm in.
-Tape.
-Got it.
TRACY: Two milligrams?.
-Yeah, give it to Daria and, uh, always hold the tube against the soft palate until it's secured in.
Going again.
Clear.
-Still V-tach.
Resuming.
GATES: All right.
-What do I do with this?.
-Squirt it in the tube.
-Good.
-Here you go.
That one's for Jacob, two cc's in the lV.
Won't intravenous epi mess with rhythm?.
Maybe but it'll dilate bronchioles, help oxygenate.
-All right.
Do it.
Chase it with a flush.
-Here goes.
-No change.
GATES: All right.
Shock him again, it might work now with the drugs on board.
Clear.
[EKG BEEPlNG NORMALLY.]
Back in sinus.
-All right.
-Aren't we the heroes.
-Come on.
We just saved a guy's life.
TRACY: Dr.
Gates, it worked.
-Jacob's sats are coming up.
GATES: Good.
[PHONE RlNGlNG.]
-Hello?.
BANFlELD: It's Cate Banfield.
How you guys doing?.
Oh, honestly?.
We're a little bored in here.
When you open the doors, you'll be in a quarantine corridor.
What the hell?.
This is so surreal.
BANFlELD: Gates, what do you got?.
-Severed tibial artery.
-I got Vascular standing by.
-Status asthmaticus.
-He needs a terb drip in the lCU.
-I'll make sure they have room.
Four of us, dry martinis, straight up with a twist.
You'll all be decontaminated and admitted for observation.
I hope they've can decontaminate our insides because we've been breathing that crap for a long time.
-Ow! -Positive Murphy sign.
Any fever?.
Yeah, white count's 24 ultrasound showed acalculous cholecystitis.
Looks like you're gonna need an operation to take out your gallbladder.
-Will I have to stay home from school?.
-For a few days.
-We'll be doing it laparoscopically.
-We'll only be making a tiny cut.
If you make a bigger cut, could I stay home longer?.
Don't like school, huh?.
I just moved here and everyone already knows each other.
-Did you write a preop note?.
-Not yet.
It's hard, I know.
I just moved here too.
The girls in my new school, well, they're all into being cool and making out.
I miss Detroit.
Listen, you don't wanna be cool in 7th grade.
-I don't?.
ANDREW: No way.
Seventh-grade cool kids peak at 1 6.
Spend their lives missing the glory days.
Me and Dr.
Rasgotra here, huge nerds at your age.
-Am I right?.
-For sure.
-Got a trauma.
They're asking for you.
-Make sure you get consent from mom.
You know, the truth is every cool adult will tell you they were an unpopular kid.
-You're just saying that.
-No, it's like a rule of the universe.
-You'll see.
-I will?.
Yeah.
The adventure is just beginning.
-Grab another cordis, this wire is kinked.
-Fluid in Morison's.
-He needs a repeat HemoCue.
-I'm on it.
Hey, hang in there.
I know it's hard to watch.
HANNAH: This is all my fault.
I took him with me on the job.
Ahem.
I don't have anyone to watch him, stay with him after school.
Believe me, I get that.
HANNAH: I'm a locksmith.
The banks have us running ragged, changing locks on foreclosed houses.
Sounds depressing.
Who knows why some people's lives work out and others don't?.
It all seems so random.
Yeah.
A subclavian's in, get the blood bank to rush our packed cells.
HANNAH: Devon thought that he saw a cat in the house and he went inside to see.
And the next thing I know he was screaming through a hole in the floor.
Your tube's in the right main stem.
MORRlS: I know.
-Pull it back.
I put it there to decrease the risk of pneumo during line placement.
-Then you should decrease tidal volume.
-Okay, you know what?.
You need to stop micromanaging everyone.
-Do your job and I won't have to.
NEELA: Have this out later.
We need to get him to surgery now.
Get Ortho in here, reduce that arm.
-OR's ready.
-Okay, let's go.
I'll update you soon.
-No, give her a moment with her son.
-You know, we don't have time for this.
Two minutes.
Listen, baby boy.
I want you to be strong in there.
Okay?.
Because if anything happened to you the world would stop.
You know that, right?.
MAN: We'll get them in here.
GATES: Felix made it to the OR.
RY AN: Baby, they do it every year.
It's tradition.
-What about Jacob?.
-Tucked away in the PlCU.
They keep us overnight the first day.
It's a ritual.
Should be fun.
I love you too.
Kiss the kids goodnight.
-Why are you lying to your wife?.
-She'd freak if she knew the truth.
-Give her a little credit.
RY AN: Thanks.
[SlGHS.]
Annie grew up in west Texas, in a town with like 4OOO people.
Never meant to end up with a guy from Brooklyn.
She was totally against moving to the city, but I fought for it.
Can't practice emergency medicine out in the sticks.
RY AN: Exactly.
-I talked her into this.
-Oh, boy.
She was nervous about smog, traffic, purse snatchers.
So I can't quite bring myself to tell her that on my first day I was the target of a weapon of mass destruction.
-Hey, you.
GATES: Hi.
-You okay?.
-Yeah.
Not coughing blood, the night is still young.
Yeah, there's only eight more hours till we find out if we're gonna die.
Okay, well, they're looking for beds for you guys upstairs.
-Can I get you guys some lunch?.
-Burgers, fries, onion rings, all on me.
I mean, after all, it could be our last day this earth.
What's up, Ryan?.
You a vegetarian?.
-Ryan.
SAM: Oh! Hey, we need a gurney here! -Keloid cowboy can go home.
-He has a follow-up in Surgery Clinic.
Cholecystitis girl will have to hang here.
She won't mind, she's crushing on Dr.
Andrew here.
-Too bad I only have eyes for you.
-Dusty, that boy's going to the OR.
-I'm pretty sure it's a liver lac.
-Tell them to prep.
I'll be right there.
You wanna grab a coffee?.
You know, after this settles down?.
Or maybe a stiff drink's more in order.
-It's been quite a day.
-Yeah, it has.
I just thought we could talk about what happened.
Don't mind her, she's in a foul mood.
Today's her day off, she struck out with Anspaugh, got into this mess.
[PAGER BEEPlNG.]
-Anspaugh?.
-She's on campaign to bring Lucien back.
I told her it was a lost cause, but Neela's stubborn.
-Your uncle is worse.
-Yeah.
Marisol, you work here.
Elective-surgery guys were asking how they could help.
I suggested they take the pancreatitis case off your plate.
That is, unless you wanted to do that one yourself.
Are you for real?.
-Got blood pressure yet?.
-BP 85/51.
It's too low to get access.
-Satting okay?.
-Go back to the tent.
-ls it the ricin?.
-You haven't been cleared yet.
-ls this what happens?.
-Let's let Dr.
Banfield fix him.
Come on.
-Do you think it's the ricin?.
-Seems early, but it's possible.
Brachial artery's here.
Slightly medial, you'll hit the vein.
SAM: Got a flash.
-Welcome back.
RElDY: Drug overdose in PEA.
Found him with a syringe still connected to an lV.
-We're closed to trauma.
-He's wearing a County bracelet registered for today.
Must've wandered off for a drug fix.
-My cellulitis guy.
-All right, move him upstairs, let's go.
MORRlS: Resuming compressions.
Narcan's in.
MORRlS: It's the fourth dose.
SAM: Are we sure it's opiates?.
Some guy told the paramedics they shot heroin together an hour ago.
He has track marks all over his ankles.
It's called a head-to-toe exam for a reason.
Hold compressions.
[EKG BEEPlNG RAPlDLY.]
-Still PEA.
-Another epi.
He was taking his high-school equivalency.
He was not the type of guy who was gonna shoot up.
You ask about lV drug use before you sent him out with a portal into a vessel?.
Not specifically, no.
You cannot judge people based on what they' re reading.
I expect you to know that.
Just heard from the CDC.
The ricin powder was too coarse to vaporize.
No chance a toxic dose could've got into the lungs.
[SlGHS.]
That's good news, Frank.
FRANK: Exam 2 needs to stay sealed pending environmental detail.
That's a precaution.
Otherwise, we're clear.
BANFlELD: Thanks, Frank.
Hold compressions.
No change.
-That's it, we're done.
-What?.
Four rounds of cardiac meds and still he's in agonal rhythm.
Core temp's dropping, this guy's dead.
[EKG FLATLlNlNG.]
CRENSHAW: What's our EBL?.
ANDREW: 4OO cc's.
CRENSHAW: Not bad.
Sponge.
NEELA [OVER lNTERCOM.]
: How's it going?.
CRENSHAW: Liver lac, grade three, just like you thought.
Repair's going well, vitals are solid.
I think Andrew here is a good-luck charm.
Irrigate right here.
I'll let the ER know.
Is it cool if I go, then?.
CRENSHAW: Yeah, check out the sit-in outside Anspaugh's office -on your way out.
NEELA: What?.
CRENSHAW: Brenner organized some kind of protest.
Everyone's talking about it.
MAN: Dr.
Dubenko has been an.
-What's going on?.
We want Dubenko back.
Dr.
Brenner says his uncle responds to the whole strength-in-numbers concept.
Sit down, join us.
No.
I've, uh, got some loose ends downstairs.
MAN: --be released.
Not under these circumstances.
When can I see Devon?.
As soon as he's in recovery, they'll let us know.
While you were asleep, the police came by.
They investigated the house.
It seems the prior owner intentionally broke a water pipe.
Flooded the whole first floor.
A ""screw you"" to the bank for repossessing.
We see that.
With the heat and humidity, the floor boards rotted and just gave way.
Doesn't change the fact that I've been dragging my son all over the South Side changing locks.
He's only 8 years old.
He deserves to be protected from the world.
You know, this idea that we can protect our children you believe it because you have to but it's an illusion.
So, what?.
It's all just luck?.
All you can do is hope for the best?.
You love him, you spend time with him that's all any kid wants.
SAM: One second she's a raging bitch and the next she's Mother Teresa.
I don't get it.
Well, she's pretty good at faking compassion.
Hey, I know you know this but what she said about the OD, that was crap.
It wasn't your fault.
Thanks, Archie.
FRANK: Hello?.
Hello?.
Disconnected every damn phone.
Pain assessment forms?.
File them next to the H & P sheets.
Okay.
Patient satisfaction surveys?.
These are all filled out.
I'll take those.
And this looks like an old handout on renal failure by Greg Pratt.
-Should I toss it?.
It's from-- -No, you should not toss that.
-That's his work.
That's his legacy.
-Dr.
Morris.
-Mind if I give you feedback?.
-Here we go.
-Control your emotions.
-Can we not do this?.
-Act like a leader.
-Oh, come on.
All the criticism, the bullying.
That's how you get people to respect you?.
You have been storming around, sulking all day.
You are an Attending physician, not a toddler.
Did you think that I was finished?.
You know what, lady?.
Shut up.
We have been through hell here the last few weeks.
But somehow we're getting through it.
And you know how?.
By showing up here every day and dedicating ourselves to this work! You don't know us.
You don't know this place.
And the last thing we need is for some stranger to come in and tell us how it's done.
I know that you lost a friend and I'm sorry about that.
But we will never have a conversation like this again.
Understand?.
[DOOR OPENS.]
[DOOR CLOSES.]
-Hey.
-Hey.
Can l, uh, talk to you?.
Yeah.
I'm all ears.
Thank you for what you did.
I mean, the thing for Lucien.
I don't know if it will work, but I appreciate it.
I really do.
No big deal.
And, um, you know, maybe I'm being presumptuous here but, um, if this was in any way some kind of gesture intended for, well me, I guess I just wanna be clear.
Clear?.
We're work colleagues, and that's all.
I don't wanna go for coffee or drinks with you.
Not now, not ever.
Okay?.
So let me get this straight.
Me going to bat for Lucien is actually some sort of, uh, romantic overture to impress you?.
You've lost me there.
But, um, don't worry about the drinks.
That's, uh, message received.
[DOOR BUZZES.]
Dr.
Brenner, your favorite waterskier's asking for you.
Thank you.
I've got the old records on your thalassemia guy.
Thank you.
I called the pneumonia kid's insurance company -told them we're not transferring.
-Perfect.
Uh, listen.
I know things have been a bit rough with you and Dr.
Morris today.
And I hope you don't mind my saying, he's not himself.
He took Dr.
Pratt's death harder than any of us.
But he's a good guy, he's a good doctor and-- I don't have a problem with Dr.
Morris.
-You don't?.
-Nope.
He cares about his patients, has an opinion, takes a stand.
And works his ass off, which is more than I can say about you.
-Excuse me?.
-You better get things in order, Frank.
It's a mess around here.
I can't believe they made me throw away my shoes.
Louboutins.
-You know how much those cost?.
-No, but I'm sure you're gonna tell us.
-That was quite the first day, huh?.
TRACY: You could say that.
I got to perform a liver lac on an 8-year-old boy.
-That is so cool.
-Wait, so they're not admitting you?.
No.
You all heard the ricin isn't dangerous, right?.
DARlA: What?.
So, what happened?.
I mean, why'd you faint?.
I was reading about psychosomatic responses to perceived toxic threats.
Apparently, it's pretty common.
Oh, so you're a hypochondriac?.
I said psychosomatic.
It's different.
Either way, you'll live to see another day of scut.
Welcome to internship, the dream starts now.
Cheers.
-Hi.
GATES: Hey.
Health Department said you're cool to go.
You're free.
-Sweet.
-Later.
-See you, kids.
DARlA: Bye.
ANDREW: Bye.
SAM: Cute couple.
-Yeah.
-So when are you going to class?.
-Forget it.
-It's a bad idea.
-What?.
Why?.
I'm missing work, I'm barely there for Alex.
The last thing I need is to complicate my life.
I don't know what happened, but you're a kick-ass nurse and a good mother and this is something you should do.
You'd be great at it.
-Really?.
-Yes.
Besides, I wanna spend time with Sarah and Alex anyway.
All right.
I mean, I guess I can make it -if I really hurry.
-Of course you can.
Go.
I'm just gonna get some beer, we're gonna play quarters spark up the bong.
Hey.
I'm glad you didn't die today.
NEELA: The whole department was there.
Doctors, nurses, techs, clerks.
They were all sat outside Anspaugh's office demanding your return.
Can we talk about this later?.
I' m about to go out.
What's there to talk about?.
These things happen for a reason.
Maybe it really is time to move on.
Time for a new chapter.
You belong at County.
You know it and I know it.
Don't make me beg.
It's healthy to change things up, you know?.
-I was stagnating there.
-Oh, that's bollocks.
[DOORBELL RlNGS.]
That's what my yogi says, and I'm telling you, he's always right.
Lucien don't be an idiot.
Come back to work.