All language subtitles for ER.S15E19.In.Times.of.Old

[theme music]

(male narrator)
Previously on "ER.."

Your mom will get
a new heart, Lucy.

I got paged for an organ
transport, heart donor.

Plane leaves in two hours.

The, uh, heart's in Seattle,
so we won't be back

until the middle of the night.

What? A heart retrieval
for Joanie?

(Neela)
Yeah. It's good news.

Waiting on a kidney transplant?

Yes. Long story.

Anyone else
you want us to call?

No.

[dramatic music]

[music continues]

[siren wailing]

Let me go, you bastards!
Let me go!

Let me go!

Okay, what have we got?

She's not going
to tell Banfield.

Anybody could have missed it.

You wouldn't have.

You've got it all twisted.

No, you shut up!

I wasn't the one out
with that bitch all night!

I have no idea how long I'm
gonna be stuck in this place.

'You're gonna have
to reschedule my entire day.'

- Please?
- Just a sec.

I'll be with you
in a second!

- Please!
- What?

I found a baby.
I think it's dying.

- 'You found it?'
- In front of my apartment.

Outside?

In the vestibule
by the mailboxes.

It's inside,
but it's still cold.

I need an infant warmer,
IV access and a rectal temp.

(Haleh)
'I'll try an antecubital vein.'

CBC, Chem panel and Accu-Chek.

- And a blood culture, too.
- How old do you think?

Can't be more than
a couple of weeks.

Kinda dry, umbilical stump
is still on, but it's clean.

Somebody tied it off
off with a string.

Tenting. Dehydrated.

He. You got a boy.

Fontanelle's sunken.
How's that IV coming?

Got it.
I'm drawing the bloods.

Send the lytes critical.

- What fluids you want?
- Probably about six pounds.

(Cate)
'50 cc saline bolus.'

(Haleh)
'Temp's 35.7.'

Was there a note, anything?

Ma'am, was there..

- Where'd she go?
- Who?

- The girl who brought him in.
- She was here a minute ago.

He's seizing.

Alright, 0.25 milligrams Ativan.

[beeping]

[theme music]

[beeping]

[coughing]

- Sleep okay?
- Um..

K's down to 4.8.

Take a deep breath.

Another.

Good. Lungs are clearing.

Yeah, I'm actually
starting to feel--

'You were lucky.'

- You skip dialysis this week?
- No.

Staying away from the salt?

- Weighing yourself?
- Yes, of course.

If your morning labs
come back okay

we can discharge
you this afternoon.

'Maggie will go over the dietary
restrictions with you.'

And make sure you
stick with the program.

And pay attention to your fluid
intake, alright, doctor?

That was brisk.

I really don't need to go over
the dietary restrictions again.

No!

Put that down!

- Who are you?
- You eat anything?

- No.
- 'Liquids?'

- Not since last night.
- Who paged me back here again?

That was me.
How are his lungs?

Dryin' out, I was gonna
order a follow-up chest X-ray.

- Do it now. Sats?
- 'Ninety-two.'

Somebody wanna tell me
what's going on?

What's going on?

I'm Dr. Kurtag from
the transplant team.

UNOS called.

There's a chance they may
have found you a kidney.

Hi.

I'm Carol Hathaway.
Who's who?

Chris Zafares,
OSHU Portland. Lungs.

Jon Pares,
St. Lukes Boise. Liver.

Amila Ratkovich, Salt Lake City
Medical. Pancreas.

Neela Rasgotra, Chicago. Heart.
Uh, what's the holdup?

16 year old kid riding his
bike home from the movies.

drunk driver hit him.

Grandma said yes
to organ donation

and then changed her mind.

Why?

We took her in to say goodbye

she squeezed his hand.

She got a spinal cord reflex.

- 'The kid squeeze back?'
- Yeah.

So, what now?

Well, I've ordered
a CBF study.

Doug Ross, attending physician.

- Hi.
- How long is that gonna take?

An hour, maybe two.

(Neela)
'And the grandmother's
got consent?'

- Yeah.
- No mom or dad to ask?

Dad's gone, the grandma's
trying to find the mother.

I've been talking
to the grandmother.

You give her some time,
she's, do the right thing.

(Carol)
'So sit tight, have some coffee'
watch some TV.'

We'll get back
to you as soon as we can.

- Still no mom?
- I don't know.

The number the grandmother
gave me, disconnected.

Busy downstairs?

Yeah, I gotta get back.

Grandmother's alone,
she's frightened.

She could use
some support.

I asked her if I could
call anyone else for her

and she said, no, just
please find my daughter.

Well, let's hope we didn't
bring all these people

out here for nothin'.

- Yeah.
- Hmm.

Okay, bye.
I've gotta go.

Did you run the test?

We'll get the results back soon,
but I don't want

you to get your hopes up.

I've heard of people
that have been in a coma

for a very long time
and then they suddenly wake up.

We don't think
Billy is in a coma.

- He squeezed my hand.
- I know.

But it was probably just
a spinal cord reflex.

'The test that we ran earlier'

indicates there is
no brainstem activity.

He squeezed my hand.

I'll come and find you when the
new test results come in, okay?

There were five kids
riding their bikes home

and the...car
only hit Billy.

Can I get you something?
Some coffee?

No. Thank you.

- Why is he seizing?
- What do you think?

- 'Sepsis?'
- 'Maybe.'

- Oh, um, electrolytes?
- 'Glucose was 88.'

Add an ammonia level, serum
ketones, and lactate level.

- What are you thinking?
- 'Inborn errors of metabolism.'

- Pretty rare.
- Yeah, we don't know, if we--

- Ativan's on board.
- Okay, good.

We still need an etiology.

Infection?

Is that a statement
or a question?

Alright, Ceftriaxone,
150 milligrams.

Set up for a cath
UA and an LP.

Labs are back.

Bingo.
Sodium is 115.

Daria, why so low?

Uh, dehydration?

Or maybe the mom was
watering down the formula.

Watering it down?

Trying to make
it stretch further.

I've seen it before.
Formula's expensive.

Hypertonic saline.

What-what about the risk of
central pontine myelinolysis?

He seized.
We have to correct his sodium.

(Archie)
'Yeah, but if you
fix it too quickly'

he-he could sustain
permanent brain damage.

And that's why we're not
gonna to do it too quickly.

10 cc bolus
of three percent saline.

Hey.

She's hanging in there.

It's amazing, isn't it?

No heart, but she's still alive.

So they told you?

That another heart
might be coming?

They're not going
to screw it up again.

And that was a one
in a million thing.

You know, having someone
that you really care about

who you really
love, who's sick.

That's a lot like
running a marathon.

You just got to take one step
at a time, one day at a time.

But if you keep running
and having faith

that it'll happen,
then one day, eventually

you'll finish the race.

Repeat sodium is 122.

Hemogram and the rest
of the lytes are normal.

Definitely headed
in the right direction.

Keep normal saline going
at 10 cc's per hour.

So you really think it was
just that, just the fluids?

Looks likely.

Maybe he's hungry.

No. No, no, no. I, I, I..

I try to keep the relationship

with the babies strictly
professional.

- Daria?
- Hmm?

- Me?
- Hmm.

Oh, for God's sake.

Get family services down here
and call the PICU.

They're going to have
to watch him overnight.

Follow his electrolytes.

Did the girl ever show up again?

No, what girl?

- The one who brought him in.
- No, I haven't seen her.

Alright, the police
are gonna wanna to talk to her.

Family Services, too.

I'll look
around outside.

Okay.

Hey, I think
he likes you.

Oh, no.
It's just the grasp reflex.

Sure it is.

Cappuccino machine's broken,
so no lattes.

No lattes
in Seattle?

That some sort
of cruel joke?

[chuckles]

[sighs]

So, you're almost done with
your surgical residency, huh?

Yep.

You gonna stay at County?

You guys are from
Chicago, right?

Yeah.

We have one kidney
heading to Tacoma.

Another was supposed
to go to Spokane

but the guy got the flu.

UNOS kicked out
a match in Chicago.

Northwestern, thought maybe
you wouldn't mind hauling

an extra cooler back on the
plane with your heart .

Did the grandmother
sign off?

Not yet.
The CBF just came back.

We're gonna go talk to her now.

Now, the CBF allows us

to measure the blood flow
in the brain

by injecting
radioactive isotopes

into the bloodstream.

Now, this is
a normal brain.

That's the radioactivity.

Now, this is a dead brain.

'Which is, essentially, silent.'

That's your
grandson's brain.

There's no blood flow.

No corneal or jaw reflex.

No gag reflex.

He failed the apnea test
and now, the CBF.

Nora, Billy's gone.

She needs to see him.

- I'm sorry?
- 'His mother needs to see him.'

- Uh..
- Did-did you reach her?

I tried the numbers
you gave me.

'Maybe there's another
number I could try.'

- I don't know.
- 'Does she live in Seattle? '

I don't know what
she would want me to do.

'If there's an address'

I could send someone
out to try and find her.

His mother needs to be here.

How you doing?

Uh...hungry.

Yeah, well, don't eat.

Little thirsty, too.

We'll get you some ice chips
to suck on. Half a cup.

Where are we?

There's been a delay.

- And what kind of delay?
- No idea.

Kidney's coming
from the West Coast.

But did they say
it's gonna happen?

They say there's been a delay.

Soon as your kidney's in the air
we'll haul you up to pre-op.

So...may not happen?

Why, you were doing something
more important today?

[chuckles]
No, it's just..

Takes a little longer,
all the better

to finish drying out your lungs.

We've got two days on a kidney

once it's out of the donor.

After I see your
next set of labs

I may wanna hold off
a day, anyway.

Okay.

(Carol)
'We can't browbeat her
into donating.'

She didn't give you
any more info on mom?

No.

Who's in there with her?

Neighbor.

- You okay?
- I'm just tired.

Why don't you go home?
You've been on since last night.

- I can finish this.
- No. I'm gonna stick around.

How were the girls
this morning?

Complaining.

Thursday.
Spelling test.

You know,
I'm a very good speller.

Yeah.

Why don't you grab
yourself some coffee.

Stay awake.

Okay.

I'm gonna try
and intercept the neighbor.

Find out more about
the family situation.

Okay.

So you guys are from
Chicago, huh?

Yep.

Where? I used to work there.

County.

No kiddin'.

I did my residency there.

- Really?
- What?

You a surgeon?

No, pediatrics.

Emergency pediatrics.

Is Kerry Weaver
still kicking around?

No, she, uh, left
a couple of years ago.

Mm-hmm.
Peter Benton?

'Susan Lewis?'

Was, um, Abby Lockhart around
when you were there?

No.

How about Gregg Pratt?

No.

[chuckles]

You're in surgery, right?

Yeah.

How about Anspaugh?

Yep, he's still there.

- Yeah?
- 'Yeah.'

[chuckles]

Well..

...you say hello
to him for me.

- Tell him Doug Ross said, hi.
- 'Sure.'

I didn't even hear the murmur.

Well, they can be transient,
tough to pick up.

An IV drug user
with a fever?

I should've been
thinking endocarditis

as soon as
I saw the chart.

We've all missed
one of those.

That's what Laverne said.

Laverne is a wise woman.

You should listen to her.

Look, just don't say
anything to Banfield, okay?

I already questioned her
clinical judgment once today.

Evaluations are
coming out this week.

84-year-old woman, bedridden
with multiple sclerosis

presents with fever
and vomiting for two days.

BP 102/64,
heart rate's 120.

I tried to get a line in,
but I couldn't.

Uh, she really can't hold
her head up very much anymore.

Okay.

Hey, Frank, what
do you got open?

- Uh, curtain two.
- Okay.

Can she hear me,
understand me?

Oh, yes,
she understands, but

she doesn't speak very much.

But, uh, she's sharp
as a tack, doc.

Okay.
I'm Dr. Gates.

Uh, you've
been vomiting?

Her-Her name's Marjorie.

Okay, ready?
On three, guys.

One, two, three.

So, Marjorie, you've been
vomiting for a few days?

Uh-huh.

And what medications
is she taking?

Oh, I got a list here.

Oh, here, "Baclofen
for muscle spasm.

'"Clonazepam for tremors.'

'"Ditropan for bladder
and Zoloft for depression."'

Okay.

Tilt your head, sweetheart.

Can you open
your mouth?

Good. Alright.

Now take a deep breath,
will you please?

[labored breathing]

Good, Marjorie.
Yeah, very good.

Okay. Let's do
ten of IV Reglan.

A gram of rectal Tylenol,
CBC, Chem panel, UA..

...and what am I
leaving out, Daria?

Oh, um...chest X-ray.

Portable chest, right.

Yeah.

(woman on TV)
'We form a circle and we drop.'

'And that will take us
to about 5 o'clock.'

I thought you were NPO.

[coughing]

What the hell
are you doing?

[chuckles]

I'm working.

What are you doing?

I'm waiting.

Nice socks.

My feet got cold.

You look ridiculous, Carter.

[laughing]

I didn't know you
were on staff here.

Yeah...renal failure?

It's a long story.
Are you on my transplant team?

No, I'm, uh,
I'm general surgery.

I just, I saw a J. Carter
on the board.

Figured I'd check it out.

Uh-huh.

- Kurtag?
- Yeah.

I just met him today.

- Is he any good?
- Oh, he's terrific.

He trained with Tulliu's
at the Brigham.

Uh, bit of a prick though.

Yeah, I kind of
picked up on that already.

So I, I thought you were
still in Africa.

I thought you were still
in private practice

out in suburbia-ville.

[chuckles]

Yeah, well,
Reese is 13 now.

He's 13?
Oh, my God.

How does
that happen?

What about you?
You got kids?

No.

You-you're married
though, right?

In theory.

- Sorry.
- 'Don't be.'

It's just another long story.

I, uh, I guess
I should get back.

- Yeah? Okay.
- Yeah.

It's really good to see you.

Yeah.

Hey, did they tell you
what time you're going up?

No. No, we're in a bit
of a holding pattern

waiting for the
kidney to arrive.

Alright.

I've got a hernia.

I'll check back
in on you though.

That would be great.

(woman on TV)
'I get out a, uh,
and I turn on the cartoons..'

[chuckles]

What's up?

Transpo team from Salt Lake
is losing their patient.

I spoke to the neighbor.

Billy's mom split
six, seven years ago.

Meth.

Neighbor does not think
grandma's seen her since.

Talk to Nora about it?

No. She wants
to talk to you.

[sighs]

Okay.

Hi. I'm Doug Ross.

I'm Susan Knefsey.

I'm gonna go find
a cup of coffee.

You want anything?

- Okay.
- Nice to meet you.

It was nice
to meet you.

[sighs]

Uh, your daughter,
what's her name, Billy's mother?

Melissa.

Yeah.

You have other children?

When was the last time
you saw her?

What was Billy like?

He's wonderful.

Smart..

...funny, handsome..

He loves music.

Especially the kind
that I can't stand.

And he plays it really loud.

Yeah.

Uh..

Lots of friends.

There's always kids
coming in and out of the house.

Big heart.

He really cares
about people.

Even the little kids,
I mean

it's really unusual, you know?

Sounds like
a great kid.

Yeah.

Generous?

[dramatic music]

Yeah.

Yes.

What parts do they...use?

Well, uh, Carol, you?

Pancreas, kidneys, liver

'lungs..'

'Corneas to help
the blind see again.'

Bones, tendons, cartilage.

'Ligaments to help
people walk.'

He can change lives
for the better.

Five lives, maybe ten.

I don't know,
maybe dozens.

Billy's heart
could possibly save

someone else's life before dark.

It's not gonna make up
for what you lost, but..

...it is something.

[sighs]

[dramatic music]

[dramatic music]

Guys, you wanna hold up
here, just for a second?

- Can I?
- 'Yes.'

(Tony)
'Mr. Manning?'

Oh. Call me Paul, please.

Okay, Paul, the
results are back

and, um, your wife has a
urinary tract infection

that's spread
to her kidneys.

We need to admit her to the
hospital for IV antibiotics.

Oh, well. I-I can't
it be done at home?

Home treatment
is not as effective

as in-hospital treatment.

But she'd prefer it at home.

(Tony)
'I understand, but, you know'

'a kidney infection can
be life-threatening'

'in a woman of your
wife's age.'

Um, I think she's trying
to get our attention.

Oh, uh, she's thirsty.

Alright, Daria, can you
get some water, please?

No, no, no. No water
water will choke her.

Here, I got-got something here
that I know will work better.

A little peach juice.

Here, we're gonna have some
peach juice, darling, okay?

(Paul)
'Here we go.'

Here we go, darling.

There you go.

Easy, easy, easy.

She just doesn't want
to be in another hospital.

Okay. We'll see
what we can do.

We'll be back.

Easy, girl, easy.

You're really gonna
let him take her home?

That's what she wants.

She has a treatable infection.

She's 84, she's frail

she's disabled maybe
this infection..

You're gonna send
her home to die

from a treatable infection?

500 Levaquin for Mrs. Manning
in curtain two.

- You got it.
- They know what they're asking.

If she wants
to die at home

who are we to say,
she shouldn't?

[dramatic music]

Hey, hold the elevator, please.

- How's the child doing?
- Stabilized.

But we're gonna
have to keep him

for a couple of days,
make sure he's okay.

Woman who dropped him off give
you an address, anything?

No, Mm-hmm. She told
one of the desk clerks

she was late for work
and then left.

We'll begin a search for
the parents or family.

I contacted the police,
and they don't have any reports

of missing babies.

If no one shows up before,
uh, you discharge him

then they'll take
him to the ERC

and get foster
proceedings started.

- He's a cutie.
- Hmm, yeah.

I'm gonna need to appoint
someone from the hospital staff

to be his protective
custodian while he's in here.

You up for it?

Uh.

- Sure.
- Good.

I'll get the paperwork.

Uh, excuse me.

Where's our plane?

What happened to our plane?

The plane that came
in from Chicago?

The G-5?
They had to leave.

They, what?

- How much time do we have?
- Eight hours.

Eight hours until this heart
needs to be beating in a chest

or we might as well chop it up
and use it in shepherd's pie.

Hi. Uh, we need a plane.

Excuse me?

I-I need a plane,
now, to Chicago.

Do you have an aircraft
reserved with us?

No. Our-our plane left,
and we need another.

Something about
their service hours.

Oh. Well, I don't have anything
available right now.

I could make a few
calls, see if I

can get a flight
crew to come in.

How long will that take?

I could get a crew here
in three hours, maybe four.

No, no, no, we don't
have four hours.

You see this?

There's a heart in here,
a human heart.

- In there?
- Yeah.

And there's a woman in Chicago

dying who needs this heart.

I don't know if they'll do it.

They're supposed to be
going to Cleveland.

- You like reggae music?
- What?

[dramatic music]

Carter.

Carter!

- Hey.
- You okay?

Yeah. Well, they gave me

Kayexalate to lower
my potassium.

Oh.

Oh, that is just cruel.

What?

I'm dying of thirst,
I'm starving, too.

What else you got, a burger
hidden in your scrubs there?

No, just an energy bar.

- Mmm.
- This is wrong.

Mmm.

Peanut butter.

[chuckles]
Oh, God.

Hmm. Mm-hmm.

- So, where is everybody?
- Who?

Your people, your family.

My folks, uh, are
in the Bahamas for winter.

They know what's going on?

They couldn't make it back,
even if they wanted to.

Come on, man,
fire up the jet

they could be back here
before you leave post-op.

No more jet.

- Really?
- The recession, man.

- Haven't you heard?
- Tell me about it.

My mortgage was reset.

[sighs]

So, uh.

How long were
you in Africa?

- Four years.
- Yeah?

Is that where
you met your ex?

Mm-hmm. Kem.

She's not my ex yet.

Would you like to see
a picture of her?

Sure.

[chuckles]

[laughing]

Youmarried a sister?

[laughing]

She's half Congolese.

She was raised in France.

Wow.

Hey, she's gorgeous, man.

You gonna let
this get away?

Not my choice, really.

She know what's going on

that you're here waiting
for a transplant?

She's in Paris.

[clears throat]

Her mom's sick
it's a whole..

Dr. Carter, excuse me.

Is everything okay?

We are moving you.

Where's Kurtag?

Could you grab that bag?

Heads up.

Let's go.

Wish me luck, huh?

Yeah.

Mom?

They found a heart?

(Peter)
'You should call her.'

- Who?
- Your wife.

'She'd want to know maybe come.'

[clears throat]
Now, uh..

I don't know.

Being on your deathbed and all

she could swoop in,
be by your side.

- Very romantic.
- Deathbed.

I know your surgeon.

[chuckles]

You know what, uh..

Reese is going to a Bulls

game with a friend's family.

I'll stick around
for a little bit

make sure Kurtag gets
all the sponges out.

You don't have to do that.

Eh, I'll just be
at home on the sofa

watching "SportsCenter"
anyway.

They take her in already?

Yeah.

You mind if I stick around?

That would be nice.

Is that it?

Mm-hmm.

[sighs]

Somebody order a kidney?

Hey, we'd just about given
up on you. Get lost?

Stopped, got my nails
done in Boise.

Figured, what's the hurry?

Flight was good?

- You like reggae?
- What?

Take care, huh?

Does anybody know
when he's coming?

How about a rough estimate?

More than a minute, less
than a hockey season.

More than an hour,
less than the life-span

of a giant redwood tree?

- Carter.
- Sorry.

I'm hungry,
thirsty, I'm tired

I'm cold, my arm
just fell asleep.

Stop being a baby.

I feel like I'm hanging
out of this thing

could someone cover
up my crotch, please?

He's here.

We have a visitor.

I don't remember being asked

if Dr. Benton could
scrub in for this.

I'm a friend of the patient.

- He asked if I would observe.
- Uh-huh.

- Put him under let's do this.
- Whoa, whoa.

What about the checklist?

Excuse me?

Safe surgery checklist?

I've had ten cases
today, Doctor.

All the more reason to take
the necessary precautions.

It'll only take a minute.

One minute.

John Carter here for a right
cadaveric renal allograft?

Correct.

Does the patient have
a known allergy?

No.

Does anesthesia anticipate
a difficult airway?

No.

Is the risk of bleeding
greater than 500 cc's?

I sure as hell hope not.
Let's go, put him under.

Whoa, whoa, whoa,
everybody slow down.

Now let's just take our time,
and introduce the room.

What's next, we all hold hands
and sing "Kum Ba Yah?"

Sheila Lane, scrub nurse.

Paula Cheney, circulating nurse.

Kay Schumacher,
anesthesiologist.

Randall Okerman,
Chief Surgical Resident.

Ethan Dean, Surgical Intern.

Peter Benton,
Observing General Surgeon.

Any concerns from the
surgical team?

Only that you're
wasting my time.

Any nursing concerns?

We don't have any
Reperfusion solution.

- We won't be needing it.
- I'll have some sent up.

Were any antibiotics given
within the last 60 minutes?

Just starting them now.

- Ten blade.
- Hold on, hold on, hold on.

If you run the antibiotics prior

to incision, you cut the
risk of infection by half.

Dr. Benton, you're a guest here

and I don't like guests.

As a friend of the
patient you're welcome

to sit, observe
and shut up.

10-blade.

- That sucks.
- What?

There's not much
atrial cuff.

The pulmonary artery's
a little short as well.

We can still use it, right?

'It's been seven
and a half hours.'

'We're already at the
limits of ischemic time.'

Pulse ox is 97.

Fixing this is only
gonna prolong the delay.

- Now, We don't have a choice.
- Sure we do.

Leave her on ECMO, wait
for another heart.

What about using the
pericardium as the buttress?

You can use it to graft
to the native atrium.

We're really
on the edge here.

Oh, even with prolonged
ischemia she's still

got a better chance
of surviving with this heart.

We leave her on the
ECMO, she's gonna die.

4-0 proline on an SH needle.

Dr. Rasgotra, take us
through the steps.

A donor left atrium to the
native atrial cuff.

(Kurtag)
Arterial and venous
anastomoses are complete.

Releasing the clamps.

(Randall)
'Suture lines look
good, no leaks.'

(Kurtag)
'5-0 PDS for the ureter.'

Shouldn't we be
pinking up by now?

What happened to sitting quietly
in the corner, Dr. Benton?

No, seriously.
Shouldn't it be?

Sometimes it takes a minute.

I don't have a
parenchymal pulse.

[beeping]

Crap. We've got an
arterial thrombosis.

Re-clamp and take
down the sutures.

- Satinsky, please.
- Where's the clot?

Renal artery's obstructing
the blood flow.

Gonna have to take it out
and start all over again.

Problem solved.

Flush with Heparin, saline
and Reperfusion solution.

Reperfusion solution?

We've got it.
We're all set.

Oh, well, it's a
good thing we just

had some laying
around, huh?

How long did it take
to get the Reperfusion

solution up from the pharmacy?

15 minutes.

What happens if you don't have
the Reperfusion solution?

You've made your point, doctor.

No, I disagree, doctor.

I think that this
is an excellent

teaching opportunity, though.

'You would have had 15 minutes
of warm ischemia.'

'The organ would have
taken a major blow'

'and there's a good chance
we would have ended'

'up with a
non-functioning kidney.'

Wouldn't you agree, doctor?

If we're all
done teaching here

perhaps some
of you would like

to assist me in getting
this kidney back

into the patient's body.

Where do you get a copy
of that checklist?

Now, people!

- How long?
- Nine hours and 14 minutes.

'I've got the airway.'

(Stofsky)
'Get the trans-esophageal
echo ready, cut.'

Anastomosis are irrigated.

Temp's up to 34.

Okay, moment of truth.

Remove the cross clamp.

No oozing at the graft sites.

We've got fibrillation, people.

Paddles to Dr. Rasgotra, go.

- Charged to ten.
- Clear!

[beeping]

- Still fib.
- Going again. Clear!

- Fib.
- Go again.

Come on, Joanie,
sweetheart, you can do it.

Clear!

[beeping]

Hey.

Where'd you go
this morning

we were looking all
over for you.

Is he okay?

Yeah, we're gonna keep
him in the hospital

for a few days,
but, uh, he's fine.

Um, what's your name?

- What?
- Your name.

Family Services needs to get
a report to the police.

They need to get the address
of the apartment building

where you found him,
see if we can find

somebody who knows
anything about him.

I tried, you know

to take care of him.

I tried really hard.

You did a good job.

Bringing him here was
the right thing to do.

I thought I was gonna
be able to handle it

but after he was born,
it was just so hard

and I couldn't
deal with it.

You're the mother?

Derrick said he was gonna stay
with me and take care of us

but he split a
few months ago.

My parents don't want
me around. They hate me.

I just thought that if I..

- So he's really okay?
- Yeah.

Look, do you want to hold him?

No.

I just wanted to make sure
he's gonna be alright.

No, please, stay.

Look, you don't have
to decide anything right now.

The weeks after childbirth
are stressful, traumatic.

You may be experiencing
postpartum depression.

We can help you with that.

There are support groups.

Look, you're just overwhelmed
but that'll pass.

You just have
to give it time!

Please, wait!

He'll have a
good home, okay?

Make sure he has
a good home.

[sighs]

It's been too long,
hasn't it?

These things take time.

Would you like to see her?

[groaning]

Here, press for fentanyl.

You're still here?

I don't wanna miss
all the fun.

What about Reese?

He's at home with Cleo.

Oh.

You and Cleo still.

'Yeah.'

So, how did it go?

Well.

Oh, that is a beautiful sight.

800 cc's of liquid gold.

Hey, um.

Is my, uh, personal
belonging bag

around here someplace?

Yeah, it's right here.

There's a cell phone in there.

Would you dial
a number for me?

Sure.

Here.

There's a speed dial
toggle to the left there.

John, I know how
to use a cell phone.

It's under K.

Kem.

[dramatic music]

Hey.

Did I wake you?

I have some really good news.

She's just there.

Oh, go on.

- It's okay.
- Okay.

Hi, mom.

[cellphone vibrating]

Carol Hathaway.

Really?

Oh, that's fantastic.

No, no, I appreciate it.

Yeah. See you
in the morning.

Thanks.

- Hey.
- Hmm.

- Hey.
- Hmm.

That was Cindy.

Chicago called them.

The heart worked.

Went to a 36-year-old
woman with a daughter.

- Hmm.
- And the kidney, too.

Went to some doctor.

Not bad for a
day's work, huh?

Not bad.

[whispering]
I love you.

I love you.

[theme music]