Original subtitles

[theme music]

(male narrator) Previously on "ER.."

I've been here for 16 hours.

I have been ignored and yelled at

and called honey and sweetie and bitch.

And all I've had to eat is gummy bears and diet coke.

I'm not leaving until I get what I came for.

‐ Those are my friends, G. ‐ Yeah, well, this is my house.

‐ Mine too. ‐ Oh, what you pay rent?

Come on, watch out man.

No. Does that mean I can't have no friends?

(male #1) 'How, how you doin'? How you doin', how you doin'?'

'How, how you.. How you doin', how you doin'?'

How, how you doin'? How you doin', how you doin'?

‐ 'Stop it.' ‐ Oh, how you doin'?

Hey, why is there a rule‐out MI parked in the elevator lobby?

‐ Because there's no beds. ‐ Well, Two's open.

Two was open.

Lithobid 300 in Five, 50 of Benadryl in Six.

Susan, I know that the system is overwhelmed

but you know, you've got to manage it better.

Kerry, I swear to you, I am about to lose it

so unless you want to take over..

Okay, move all noncriticals off of monitored beds

and into the hallway and treat and street triage.

Have you seen the hallways?

‐ How you doin'? ‐ Does he have to be here?

Dr. Kovac says he can go as soon as his banana bag's done.

‐ Then do it outside. ‐ Are you serious?

(in unison) Yes!

‐ Room 1847, please. ‐ Gallant is this guy yours?

‐ 'Yeah, yeah.' ‐ Mr. Fierson?

Come on, get out of my way.

‐ Eric Wyczenski. ‐ Okay

I'll lean on Mercy

and see if they can accept some of the overflow.

Break some legs if you have to.

It's Abby. Um, I'm totally swamped here.

I'm not gonna be able to make lunch

but, uh, page me and we'll reschedule for dinner.

‐ Frank, call security. ‐ You have to let me go.

‐ Your patient? ‐ I'm not supposed to be here.

‐ Yeah. ‐ How'd he get the needle box?

You'll kill me! You'll kill me!

Mr. Barney, we don't wanna kill you.

We wanna help you.

I take it you called security.

You can't keep me here!

Probably out ticketing our cars.

Are those the same guys that plant

those orange stickers on our bumpers?

Oh, yeah, they're multitalented.

They're impossible to get off.

Try Goo Gone.

Goo‐goo‐goo Off from Pep Boys.

‐ Really, that works? ‐ Yeah, it comes right off.

Do you know how to get blood out of white suede?

Try white vinegar and club soda.

‐ Really? ‐ Hey, how you doin'?

Groovy. How you doin'?

[theme music]

[music continues]

[music continues]

‐ Damn. ‐ Ay‐yay‐yah!

Hey, check this out. Foreign body.

‐ Ten inches. ‐ Uh‐huh.

Extra‐large vibrator, still on.

One day, I'm gonna show you my bowling pin X‐ray.

Little guy, but very flexible.

Ten out of ten. My pain is ten out of ten.

Mr. Mullen, today is not a good day.

I know, I got a slipped disc. I need a pain shot.

I just saw him bending over the water fountain.

I've seen the guy in here 15 times

in the last two months asking for Demerol.

You are security, we're doctors, okay? That's it.

We shouldn't have to take down a needle‐throwing psychotic.

We can't be everywhere at all times.

Simple law of physics.

We need you here when we call, "Period."

We've been through this over and over again.

Why can't we hire a new company?

‐ Hey, I'm understaffed. ‐ MVA rolling up.

I got turnover up the wazoo.

Ten bucks an hour is not gonna keep any half decent guys here.

‐ What's open? ‐ You're kidding, right?

Harkins, gown up. You're with me.

I am in agony here.

Turf this guy to the pain clinic.

Nah, I'm waiting for him to LEBS.

‐ LEBS? ‐ Leave without being seen.

Near‐miss auto versus pedestrian.

GCS 14, no LOC, BP and pulse stable within normal.

I am not leaving! Give me my shot!

‐ Can you tell me your name? ‐ Anonymous.

Hey, Morales, move your patient.

‐ I'm waiting for a bed. ‐ Muevete, amigo.

Right.

Have you been drinking, Anonymous?

I thought he was nice. He paid me extra.

Then he tried to run me over with his Mercedes.

Oh, God. Did you call the police?

Yeah, I got them on speed dial.

We got swelling to the right, lateral malleolus.

We got abrasions to the left forearm.

Uh, Dr. Carter, I think she's posturing.

No, she's greedy.

‐ Um, can you let go? ‐ I worked hard for that.

Hey, she'll put it in a safe place.

Does this hurt? Does this hurt?

[gasps] Lower.

‐ Right in here? ‐ Yeah.

Bilateral lower quadrant tenderness. What next?

Ask if she sees a gynecologist.

Do you see a gynecologist?

Yeah, every Sunday after confession.

(Abby) 'One, two, three.'

How did he fall out of bed? He can barely move.

Just gave him a bath or something.

‐ Are you in pain, Mr. Berk? ‐ Forget it.

‐ He's gorked out. ‐ What nursing home?

'Garden Sunrise in Schaumburg.'

You know, Sunset is more like it.

Yeah. I wouldn't send my mom to that dump.

And I hate my mom.

(Lewis) 'This the hip fracture?'

Yeah, hard to get a baseline.

‐ End stage Huntington's. ‐ Luka is screaming for you.

Says he's been waiting for 45 minutes

for a lighted speculum.

Well, I'm an hour and 45 minutes behind.

Great.

Piss him off some more. Protecting his airway.

That's a clue. What do we know, Gallant?

(Gallant) 'Huntington's hits you in your 30s and 40s.'

Start with emotional lability and depression.

Leads to a progressive loss of motor control

and cognitive function. Death in 10 to 20 years.

'And he's been diagnosed for 15.'

‐ 'Let's roll him.' ‐ What's he pissed about?

‐ Well, hurt. ‐ About what?

‐ Abby. ‐ Oh, no, he doesn't care.

Ew. Nasty pressure sore.

10x18 centimeter decubitus.

Have you talked to him about it?

Why?

I don't have to. He's fine.

‐ Ooh. Is that sacrum? ‐ All the way down to the bone.

You know, we got this. At least get him his speculum.

Hey, Abby, I need a frog‐leg finger splint.

Try central.

‐ Abby? ‐ Yeah?

I need a detox bed for the child prostitute in the hall.

No, they're as jammed as we are.

She's 12 years old. Cocaine, probably crack.

Okay, I'll see what I can do.

‐ PID? ‐ Tubo‐ovarian abscess.

Ooh, lovely.

Hey, how does Original Thai sound?

Tonight, we take your brother out.

I get to hear some

embarrassing childhood stories.

‐ He's allergic to MSG. ‐ That's unfortunate.

(female #1) 'I really think we should switch places.'

Come on. Keep it coming.

‐ Kovac's pelvic exam? ‐ Curtain Three.

You push enough Valium?

Any more and he'd be unconscious.

‐ Ow! ‐ Damn.

‐ We'll let him pick the place. ‐ He doesn't know any places.

(John) First time in Chicago?

Usually, we have to meet up in a strange city

in front of some psychiatric institution.

You said your mom sounded fine.

She is. She does. She's fine.

Okay. How about Morton's?

He's not a vegetarian, is he?

No. Beef's good.

‐ You started. ‐ Finished.

Didn't know when you'd get here.

‐ Did you say you're done? ‐ Yeah.

You can put your legs down, Mrs. Lundgren.

Effie, please. Lundgren's my husband's name.

Mrs. Lundgren tried to vacuum out her period.

Menstrual extraction. Very common practice.

Practice for what?

The day when the men who run the world

take away your freedom of choice.

Until then, you could perforate your uterus

end up infertile or bleed to death.

If men needed abortions, there'd be drive‐thrus

with beer on tap and TVs tuned to ESPN.

It's still no reason to do this to your body.

You got to wake up, honey.

‐ We're at war. ‐ Conscientious objector.

CBC type and screen, beta and a urine.

‐ Sorry. ‐ Yeah.

(Stella) 'Honey, I don't have anywhere to go'

'or any place I'd rather be.'

Are you taking any oral contraceptives?

Wanna give me a reason to?

(Gallant) 'Uh, birth control pills can increase'

'your risk of getting blood clots.'

'Here, lift your leg for me, please.'

(Stella) 'You say that to all the girls.'

‐ These are yours. ‐ Thanks.

That's it? "Sorry" and "Thanks?"

What do you want from me, Kathy?

Nothing. I don't want anything.

‐ Uh, ICON too? ‐ What?

Menstrual extraction. You want ICON too?

Uh, if you want.

You okay?

Yeah.

No, that was just, uh..

...you know..

‐ But are you okay? ‐ Yeah.

Managing 14 patients, a little too much grappa last night.

‐ Other than that.. ‐ Other than that..

Hey, I'm‐I'm happy for you, Abby.

A golf ball?

The size of a golf ball.

Around your fallopian tube, near your ovary.

What do you do to get rid of it?

Antibiotics might clear it up.

If not, laparoscopic surgery.

It's sexually transmitted.

No, duh. I ain't stupid.

Well, then maybe you can tell me your name.

Your real name.

Tina. Tina Jones.

Well, Tina Jones

I don't know what got you in here at 12..

...but if you wanna make it to 20..

...you've got to stop smoking crack.

I can get you into a detox bed today.

‐ Yeah, that'll fix everything. ‐ That'll fix one thing.

Then maybe you can get started on the rest.

(Malik) 'Carter?'

Lewis want you to ship McPheny to outpatient.

Not now, Malik.

When do I get my money back?

‐ After detox. ‐ You can't do that.

Sleeping with strangers for money.

That's what you want?

I gotta take care of myself.

Well, I'm trying to give you a chance to do that.

You don't know what it..

You don't know.

I know it's not too late.

School, friends..

...birthday parties.

The things a girl your age should be doing.

You have a choice. I'm giving it to you.

(Chuny) 'Carter?'

High‐speed MVA coming in.

Excuse me. Excuse me.

I will be right back.

(male #2) 'Excuse me, are you Dr. Carter?'

Hey, Gallant.

Why is Stella on a monitored bed?

Positive Homans'. She could have DVT.

Sorry, quick question.

Triage, down the hall, to the left.

Go get a Venous Doppler and then street her.

You are not her personal physician.

Hi, I'm looking for Abby Lockhart.

‐ She's a nurse here. ‐ Are you Eric?

‐ Yeah. ‐ Hey, John Carter.

Sorry, things are a little crazy around here today.

Yeah, the guy at the desk told me

that you were closed and to go home.

I was expecting an Air Force uniform.

Oh, well, I'm undercover.

Dr. Carter? Excuse me.

Um, what do I do if

pathology refuses to analyze a foreign body?

You get a Polaroid for the medical record.

‐ And how do I get a camera? ‐ Look for one.

...to get some attention around here?

We have heart attacks, strokes

and bleeding ulcers and they're all ahead of you, okay?

‐ Abby? ‐ What?

I have been here for four hours..

Hi. Oh, my God.

‐ What are you doing here? ‐ I thought you gonna feed me.

(Abby) 'Yeah, don't you check your messages?'

Hey!

I am talking to you.

‐ Pratt. ‐ 'No, not him.'

He doesn't want to help me.

Dr. Pratt is only concerned that you're building up

a tolerance to the narcotics.

Yeah, well, that's why I need more.

Is it like this every day?

‐ Who the hell are you? ‐ Eric.

Well, yes, Eric, I'm in pain every day

and they don't wanna do anything to help me.

You know, if I came in here in a suit and tie

they'd give me my meds in two minutes.

Yeah, yeah, yeah, now get out of here.

Well, it's about time. Oh, wait a minute.

‐ Vicodin? ‐ Take it or leave it.

One Vicodin's not gonna do it.

Well, that's what you're gonna get.

Go play Lakeshore. Hello?

Oh, yeah, thank you. Thanks very much.

You know, you think you're a bunch of heroes or something?

You know what, look around!

You are not doing anything!

You're not helping anyone!

[grunts]

Hey! Get out of here.

We like excitement.

‐ Did you hear she got a dog? ‐ Yes. Dumpy.

Is that right? 'Cause he was dumped at the pound.

Yeah, it turns out he's got a vitamin deficiency.

He needs a special diet, so she cooks him

bacon and eggs in the morning.

She never made me breakfast in my life

but she'll cook for the dog.

No, no, she cooked for you.

Well, she can cook for the zoo as long as she's happy.

I mean, she's good, even.

I think maybe this time.

‐ Maybe. ‐ Thanks.

I'm sorry I wasn't there the last few times.

It's okay.

No guilt. It's not our fault, remember?

Abby, where's the baggie of fingertips?

Uh, in Exam Two.

The cops brought them in before the run got here.

It ain't there. Chen's freaking out.

‐ Baggie of fingertips? ‐ Yes.

Two neighbors tried to trim their hedge

by hoisting a lawnmower in the air.

‐ Thank you. ‐ Teamwork.

You know what, I don't think I'm gonna..

...be able to get a break, so maybe we should meet

at your hotel at 6:00.

Adele Newman for you on two.

Uh, can you take a message?

Or 7:00 actually would be better

and then we can go out to dinner, show you the city.

I can't 'cause I got to get an 8:15 bus to Offutt.

Offutt? What's Offutt?

Offutt Air Force Base, my new station.

Abby, I need a transfusion set up in Five.

Okay, in a minute.

Uh, it's a menstrual extraction victim.

‐ I thought you cleared her. ‐ No, a different one.

‐ Some kind of party. ‐ One hell of a party.

‐ You're getting transferred? ‐ Um, reassigned.

I got to report in the morning.

‐ Again? ‐ Yeah, it's the Air Force.

Can you hold this for a second?

Okay, blow out all your air. Now breathe in.

‐ Oh! Right there, honey. ‐ Yeah, yeah.

Abby, can you order a right

upper quadrant ultrasound for me?

Yeah, in a minute. Have you seen a bag of..

It's in a bucket of ice by the X‐rays.

‐ Thank you. ‐ Mm‐hmm.

Don't ask. When did this happen?

Last week. Got to read your e‐mail.

‐ Well, how come it's so soon? ‐ I'm sorry.

That's top secret.

‐ Okay, I got 'em. ‐ What happened?

‐ Uh, got here before they did. ‐ They're all in one bag?

Guess they didn't sort them at the scene.

Well, we need to sort them now.

Okay, one minute.

‐ Where's this? ‐ Nebraska.

(male #3) 'Hey. Yo, nurse!'

Is she gonna get her clothes back?

They're in a bag under the bed.

I heard it's kind of pretty.

It's closer to you, it's closer to mom.

Abby, LOL in Four has diarrhea.

Oh, good. You said you needed a stool sample.

You could scrape it off the floor.

Mm. Starting to appreciate why you dissed me.

‐ I'm sorry. ‐ You actually like this?

Yeah. It's not that different from air traffic controlling.

Without the menstrual extractions.

Hey! Where her shoes at?

Yeah, in a minute.

You go do what you got to do. I'll‐I'll wait for you.

‐ Okay, I'll be right back. ‐ Hey, Frank.

Take care of my baby brother.

‐ Is he potty‐trained? ‐ 'Pressure bottomed out.'

‐ Is it the Huntington's? ‐ No, he's septic.

‐ But he is so pale. ‐ Is it a hematoma?

‐ Are you his nurse? ‐ No, I'm his mother.

Sixteen in the left AC. He's still got good veins.

Get some O‐neg from trauma type and cross four more.

Phillip...I'm sorry.

I...it was the best home that I c..

...I could get.

I don't have much‐‐

Nothing definite on the ultrasound.

‐ Get me a triple lumen kit. ‐ Pressure's up to 86.

He's‐he's in pain. Can't you give him something?

He's had 200 fentanyl.

It could be the cause of his breathing problem.

But he's suffering.

Can't...can't you see how much he's suffering?

Please!

[flatlining]

‐ Morales. Morales! ‐ Hmm, what?

‐ What are you doing? ‐ Loose connection.

Can I get a bed now?

This would go a lot faster

if these guys identified their own fingers.

What if we made a mistake?

You think this is a pinkie or a ring?

‐ Looks like a cocktail wienie. ‐ Ah.

I got Morales' TIA in Four.

Oh. Yeah, put her on a 12 lead.

‐ I'll be right there. ‐ Have you guys seen my brother?

‐ What's he look like? ‐ He's about six feet.

He has brown hair, looks like he might be my brother.

Mm, yeah, he's cute.

I think he went to get some coffee.

Oh, yeah. The place was tripping him out.

Yeah, I wonder why.

‐ Pratt, you have three thumbs. ‐ What?

Unless one of your patients is a circus freak.

Look, if you think you can do a better job..

‐ Just did. ‐ Then be my guest.

‐ What's this? ‐ Match game.

Pratt's having a little trouble fingering it out.

‐ Oh. ‐ Come on, that's funny.

‐ So you got my detox bed? ‐ Uh, shoot.

I have to call Adele back.

‐ I'm sorry. ‐ You didn't admit her?

No. They're clearing a space.

‐ Then where is she? ‐ Who?

My patient. She was just in there a second ago.

Frank, did somebody move the navicular fracture in Two?

I think she eloped.

Why didn't you come and get me?

She didn't say anything. She just took off with some guy.

He asked me for her clothes.

‐ What? ‐ He asked me for her clothes.

I didn't know who she was.

‐ I'm sorry. ‐ I asked you to get her a bed.

I was trying to get her a bed.

(Frank) 'You think he was her pimp or something?'

Her pimp, her dealer, her boyfriend.

Damn it, I had her talked into it.

Well, who let the guy back there?

The hell if I know.

The whole world can waltz

right through here.

‐ Dr. Carter. ‐ What?

Give me the shot now. Now!

No, no, no. Nobody move.

(Gallant) 'Alright, it's cool. Nobody move.'

‐ It's cool. ‐ No, it is not. It's not cool.

I am in pain.

I need Demerol and you're gonna give it to me.

Yes, I am‐I am gonna.. Abby?

'Go to Drug Lock‐Up, get a case of Demerol..'

I don't need a case.

I just n.. I just need my shot.

‐ 150 milligrams. ‐ 'Okay. 150 milligrams then.'

See? There's no problem.

It's alright. Look, no problem.

No, we got a problem!

'This here's supposed to be a County hospital!'

‐ Call the police. ‐ What?

‐ Call the police. ‐ 'You don't, you don't care!'

We care now.

[chuckles]

Yeah. That's right. You do.

What's taking so long in there?

I'm coming.

You care 'cause I'm making you care

'cause I got this gun.

Because I'm the one who gets to decide.

You don't have to decide, okay?

No, I get to decide who's gonna feel pain

and who's not gonna feel pain.

'Just like you.'

Every day.

Show it to me. Show me it.

Show me the label.

‐ Abby. ‐ Stay right there, Eric.

Okay, come on. Come on. Come on. Hurry up. Hurry up.

Hey, we're gonna help you, give you the shot.

Why don't you put the gun down?

I'll hold onto it if it's just the same with you.

Okay, where do you want it?

[instrumental music]

Why'd you wanna be a doctor?

‐ Excuse me? ‐ A doctor.

Was it the money?

‐ That's part of it. ‐ And what's the other part?

It's complicated.

Well, explain it to me.

'I mean, you can't tell me'

that you actually wanted to help people.

Or maybe you did, right?

Maybe..

...maybe you all wanted to help people

but then little by little you realized

that there's just too many people to help.

Who's gonna survive?

Thank you.

Hey, remember this..

..for next time.

[instrumental music]

[panting]

How much did you give him?

Four hundred.

That'll do it.

[siren blaring]

‐ Is he breathing? ‐ What do you care?

I don't, but why don't you get some narcaine off the rig.

We'll need to monitor his breathing.

Pratt, get a gurney. Four‐point restraint.

Put him on a pulse ox and call psych.

You should go inside and lie down.

‐ I'm fine. ‐ You should go lie down.

‐ I don't need to lie down. ‐ Where you going?

Hey, whatever happened to those metal detectors?

Not now, John. Where's Chen?

We were supposed to have those like a year ago.

It's all part of the security plan.

‐ What security plan? ‐ 'We're working on it.'

‐ So you like it here then? ‐ Yeah.

Keeps the days from blurring together, you know.

‐ What are you doing, Abby? ‐ You came on the wrong day.

From what I can tell, you're smarter

than most of the people here

smart enough to know you shouldn't be working here.

Well, that career advice is just

a little bit late but thank you.

You don't find it even a little self‐destructive?

No, no.

And, honest, I think I'm happier than I've been in a long time.

Besides the gun in my face, you know.

What happened to med school?

Uh..

...I have to go back to work.

I'm sorry, but, um, uh..

...call me and give me your numbers.

I got three more hours.

I know, but I'm already juggling

like, ten patients and there's more stacking up

and I know I'm not gonna have any time

so call me and have a great trip.

‐ Okay? ‐ John, read the newspapers.

County healthcare expenditures are down over 30%‐‐

I don't have to read the newspapers. I'm here.

And security is not a place to save money.

Yeah, we're wasting it on patient care.

Oh, come on, Kerry, you know

these aren't the same budget cutbacks.

We were supposed to have the metal detectors two years ago.

It's not just the metal detectors.

Well, I think it's a start.

If you put them up, you've got to man them.

Oh, that's a crazy idea.

I'll talk to the medical executive committee.

‐ 'Hey, where do you want him?' ‐ Take him straight to the unit.

We need it now.

We need a secured triage area

we need more guards, we need better guards.

You just work on clearing the board‐‐

I cannot clear that board!

I am treating a 12‐year‐old girl on the street, cracked up

PID, tubo‐ovarian abscess, run over by a car

and I've got two minutes to spend with her because‐‐

Yeah and we're getting even more buried

while we stand here arguing about it.

...I somehow managed to talk her into to detox.

Before I can get her a bed, we let her dealer pimp boyfriend

walk in here and waltz her right back out.

John, I am just as frustrated about this‐‐

‐ Then do something about it! ‐ I am!

Just treat your patients.

Wow, way to go, boss.

Frank, where's the yellow pages?

Bottom shelf.

Hey, in the future, can we try

not to agitate the drug seekers?

It's not my fault they got a gun in here.

‐ I never said it was. ‐ What are you doing?

‐ I'm ordering metal detectors. ‐ Now you're talking.

Let's get some cattle prods while you're at it.

Shut up, Frank.

So he went home, got the gun and came all the way back.

He probably went to the corner and bought it.

(Chuny) 'Dr. Lewis.'

God, sometimes I hate this place.

‐ Sometimes? ‐ Pulse ox is 90.

He vomited twice before I could turn him.

There's little use for the PEG now.

He can't breath.

Get an RT and set up for a vent.

Okay, he's full of junk.

Aspirated and decreased on the right.

Not again.

His cords are scarred from last year.

He was on the vent two months.

‐ Meds are in. ‐ Okay.

Be ready to roll him. The etomidate could make him vomit.

Once you put that tube in, that's it, right?

That's not coming out.

No, that's, yeah, we want the bulletproof.

What's he doing?

Contracting out our new triage area.

‐ Are we finally getting that? ‐ Yeah, yeah.

And I've got the phony purchase orders to prove it.

Gallant, what did I just tell you about Stella?

What? She has a positive Murphy sign.

That's because you keep feeding your cafeteria food.

Dr. Carter, I still need to rule out cholelithiasis.

Yes. Do it. Get her out of here.

Street her before she presents with something else.

She's gonna suck him dry, isn't she?

Yes, she is.

No, no, sooner than that. As soon as you can.

Why don't you just come out and take a look at the space?

What are you doing?

I'm trying to make us all safer.

You ordered six metal detectors retail?

Yeah, they should be here in about a half an hour.

No.

We have a procurement department

that handles all capital expenditures.

‐ You canceled it. ‐ Yes, I canceled it.

This is not your job and believe me, you don't want it.

We had another 15% budget reduction again this year.

I am just trying to keep the doors open.

Close them 'cause it's not worth it.

You shouldn't have to risk your life to work here.

Of course not, but you have to be responsible about it.

You have to get competitive bids.

No, Kerry, you know what's irresponsible

is letting this go on as long as we have.

And I have been in staff meetings

14 hours a month for the past two years working on this.

'Where have you been?'

Where you going?

To the ambulance bay to wait

for my metal detectors.

When he calms down have him see me.

Abby?

[phone ringing]

Answer the phone, Frank.

You know, we have patients to care for.

He's right, Kerry.

[siren blaring]

Do you have a plan?

No.

Plain or peanut?

‐ Huh? ‐ M&Ms.

Oh.

No?

Gum? Cheetos?

‐ How about some nylons? ‐ What?

Well, I hear they sell panties in vending machines in Japan.

Save your quarters.

You sure?

You know, chocolate is the universal comfort food.

Listen, I'm sorry about what happened.

But the guy was a known drug hound

and I wasn't gonna play his game.

But you got to understand I would never do anything

to jeopardize you.

Carter, maybe, but not you.

Not my future love slave.

[chuckles]

Hey, look, look, look, I'm sorry, okay?

Look, sometimes I get a little punchy when I get nervous.

‐ Hey, I was scared too. ‐ Oh, oh, you were scared?

You know, I'm the one who almost had a cap busted in my head.

[chuckles]

Oh, oh and that's funny too.

Cap busted in your head? Come here, come here.

No. What are you doing? Pratt?

‐ I'm consoling you. ‐ Well, don't.

Come here.

Alright?

[sniffling]

You finished?

Yeah.

Plain.

I want plain M&Ms.

Voila.

(Pratt) 'Did you hear a fire alarm?'

Oh, not another evacuation.

Now what?

I have no idea.

You got everybody out here. You should say something.

Why are you talking to me like we're planning a prison break?

In case this thing gets ugly.

‐ You don't know me? ‐ That's right.

Hey, what's going on?

Talk to Norma Rae.

We're not working until the install some metal detectors

and get some additional security.

‐ Really? ‐ Oh, cool.

My shift's over in an hour anyway.

Oh, looks like a showdown.

Listen up!

Unless you are on a scheduled break

you are in violation of your hospital contract

and are all in danger of being summarily fired.

Part of our contract guarantees

that the hospital provides us

with a safe working environment.

Today's incident was, uh, eh...horrific

but we are already taking steps

to ensure that it doesn't happen again.

You always say that, but nothing ever happens.

‐ I don't always say that. ‐ Yeah, we've heard it before.

And this is how you choose to solve the problem?

Hey, what's going on?

We got a 62‐year‐old man

hypotension, low back pain. BP's 80 palp.

You better do something about this today.

Yeah and everyone here needs to get back in there

while they still have a job.

Don't even think about touching that patient, Gallant.

Get him in there, Gallant. Gallant, you are a student.

You don't have a contract, you just fail.

Alright, let's go.

Could be a ruptured aneurysm.

[instrumental music]

Hi.

It'll be another couple hours

before I can get him up to the OR.

But his stats have leveled off

and we're giving him as much pain medication

as his blood pressure can tolerate.

Do you know what it's like to watch someone die for 25 years?

That's what I did with his father.

Every day.

I‐I loved the man, but I hated what..

...what it did to him.

I can refer you to another nursing home.

I don't know what you're paying now.

He was a singer. Did you know?

Opera singer. A tenor.

When he sang, it was the most beautiful sound in the world.

And I..

...I prayed it would pass him over.

When he got to be 29, I thought

my God

maybe we got lucky.

Then he started having trouble at work.

He'd forget things..

...and when he'd talk sometimes

it was hard to understand.

And of course..

...of course, he couldn't sing..

...anymore.

'It just takes everything away.'

You...everything.

Can I have a piece of paper?

What for?

I'm gonna start work on my resume.

‐ You'll be fine. ‐ I know.

Usually they just decapitate the leaders

of the insurrection and send the peasants

back to work tending the fields..

...but thank you.

Oh, what took you so long?

Abby, I need a repeat blood gas

on my Huntington's patient.

‐ We're staging a walkout. ‐ Yeah, I get that.

I need a PH. He's throwing PVC's.

In fact, I have ten other patients

'on monitored beds who no one is watching.'

So maybe somebody will pay attention.

[instrumental music]

[monitor beeping]

[opera music]

So you quit, go outside and pout?

Too many patients. No room.

Overwhelmed staff, and it's dangerous.

This keeps up, we're not going to able to treat anybody.

News flash, the healthcare system sucks.

Our job is to treat people in spite of it.

Well, I can't. Not anymore.

And I don't expect you or anybody else here not to.

But I can't do it.

[music continues]

So too bad to the ten‐year‐old with status‐‐

We've already had one staff member murdered on duty

and nothing happened.

I'm trying to save the people that roll in here tomorrow!

I know, Carter, you're an emergency room doctor.

It's about getting through the shift.

Do you even know how many guns and knives

pass through here in a year?

[music continues]

[music continues]

No, I don't.

But I do know how many people

are depending on us at this very moment.

I got stabbed. Lucy got killed.

And today, Abby and Chen get a gun to their head.

I'm sorry. No.

It's got to stop.

Otherwise, it's not worth doing.

Fine. You know what? You fix tomorrow.

I have to go treat the patients that need us today.

[music continues]

[music continues]

He coded?

You think they closed the paramedic runs?

I can't tell.

I think that they replaced us all?

‐ I can't tell. ‐ I think it's gonna rain?

Look, a new recruit.

Shouldn't she be waving a white flag?

Dr. Carter, let's, uh, take a walk.

The metal detectors will be here either tonight

or tomorrow morning.

And we've accelerated our negotiation

with the new security firm.

What about triage?

Construction starts as soon as

we can approve the bids.

‐ Thank you. ‐ No.

No, you don't get to thank me.

You get to go back inside and clear off that board.

You were already four hours behind.

Fair enough.

And it will be hard

to avoid a disciplinary committee hearing.

It's nothing personal, Kerry.

We just need to protect our people.

Yeah, well, uh, speaking of that..

...I had hoped to control some of these costs

but now that we're paying more for immediacy

you'll have to offset that..

...by either laying off three senior nurses

and hiring new grads, or canceling X‐ray

and lab service after 10:00 PM.

‐ Whatever you think. ‐ No.

No, John. You forced us to do it this way.

You get to decide.

Well, you can't run a trauma in the middle of the night

and have to go to the lab.

Patient could be dead before you get back.

That's true.

Nurses then.

Three.

I want their names on my desk

first thing in the morning.

[crowd applauding]

Congratulations.

Very nice, very nice.

[chuckles] What are you doing?

I know you're not going back inside.

Oh, I got patients.

Wait a minute, wait a minute.

Shouldn't you be getting like some serious therapy right now?

What, and ruin all this hard‐won repression and denial?

So you're serious, huh?

‐ Go home, Pratt. ‐ Are you sure you're good?

You know, it's not your fault.

‐ Go home. ‐ Alright.

‐ Okay. ‐ You okay?

Oh, people have to stop asking me that.

‐ Okay. ‐ 'Yo!'

I am Spartacus. Come here.

That proletarian revolt you staged

left us a little short‐handed down here.

[laughs]

Did you think that was clever?

‐ Yeah. ‐ It wasn't a joke.

I told Weaver to fire you

but, uh, you can't trust a lesbian to do a man's job

so instead, I ended baby‐sitting three gorks

and a dirtball with the DT's.

Last time I did ER scut work

I had ponytail and a lava lamp.

I do not enjoy revisiting those days.

‐ Am I clear, Dr. Carter? ‐ Yeah.

Dr. Romano, uh, the tab is A‐negative.

‐ Should we give her RhoGAM? ‐ Huh.

Well, apparently some of the med students

take their oaths a little more seriously than the doctors.

Dr. Weaver cornered me before I could get outside.

No. She gave this speech about what it means to be a doctor.

Well, that you need to figure out all by yourself.

I'm looking for a doctor.

Why don't you try sitting in chairs?

Right over there. We'll be with you as soon as we can.

Is it true construction is starting in a week?

I don't know.

You know what they say about construction.

Nice work, Dr. Carter.

Oh, let's hope you feel that way tomorrow.

‐ What do you mean? ‐ You should go home.

‐ And lie down, yeah? ‐ And lie down, yeah.

Dr. Carter, I need you to sign a Prevacid script for Exam One.

‐ Stella? ‐ Yeah.

She still has a esophageal reflux.

‐ I was outside with you. ‐ Which I appreciate.

[clears throat]

‐ Hmm. ‐ I'm looking for a doctor.

‐ Oh, right here. ‐ We're very busy, sir.

You need to take a seat and someone will see you

as soon as they can.

I need to see him. I know he works here.

Hey, did he treat you for somethin' or‐‐

‐ 'Security!' ‐ I don't know how to get home.

‐ Security! ‐ I lost my way.

Listen, listen, sir, you can't be here,

and I can't help you unless you tell me who you're looking for.

‐ Sir, we need you to leave. ‐ Hold on a second.

‐ No, no. ‐ Hold on.

I took the wrong train. I didn't know which way to go.

‐ Where do you live? ‐ G. Get G.

‐ He's my brother. ‐ Who? Who is G?

‐ Who is G? ‐ G! Greg!

Greg Pratt.

Somebody get Greg Pratt for me, please.

[crying]

♪ Won't you take me to funky town.. ♪

(John) 'New career?'

I've been on hold for 15 minutes.

Hold that. Trubull's had his ReoPro.

Let's move him to the cath lab.

‐ Uh‐huh, mm‐hmm. ‐ Shelby's chest is negative.

Let's treat him with ibuprofen.

Yeah, I'm still waiting on the dig level on Six.

‐ What's his name? ‐ Uh, Cardova.

Yeah, find him, get it and then find me.

‐ Okay, great. ‐ Can you find my stethoscope?

I left it in the ambulance bay somewhere.

Wasn't your shift over, like, four and half hours ago?

‐ Five and a half. ‐ How long are you staying?

Till we clear the board.

So you decided to die here, huh?

‐ Uh, excuse me. ‐ Deb, I sent you home.

You know, I was in the middle of six criticals

when that psycho came back.

‐ So go home now. ‐ No.

I‐I've got about a dozen charts to finish.

Oh, forget the charts. I just got stood up.

‐ Let's go hit a club. ‐ What?

‐ Hot date? ‐ Hot, but clearly not datable.

Orbital's playing at the Shadow Room.

You know, what the hell? I lost a patient.

I almost got killed by another.

‐ I'm in. ‐ You too, Abby.

Girl's night out?

No, I think I'm gonna go home.

Yeah, if I'm going, you're going.

You're asking him?

Okay.

No, uh, late night confessions.

‐ No male strippers. ‐ Okay, you got it.

Give me ten minutes.

‐ What? ‐ What?

(Frank) 'Dr. Lewis!'

‐ Dr. Tsung on three. ‐ Who?

Primary on your Huntington's.

'Dr. Tsung, this is Dr. Lewis.'

'I saw your patient, Phillip Berk. Right.'

He came in this morning with aspiration

pneumonia and cellulitis.

We intubated him and gave him antibiotics

but he got septic and died about an hour ago.

Have you seen him in the last month?

Yeah, would you mind signing the death certificate?

Yes. Yes, thank you.

Thank you. I'll send it right over.

No coroner?

We can release the body to the mortuary.

[instrumental music]

‐ Are you older or younger? ‐ Older.

His mama took me in when I was nine.

Oh.

Well, was she nice?

Not really.

So what happened to your family?

Don't know, don't care.

G's my family.

‐ What happened to you? ‐ I went by the hospital.

What, you got lost again?

I remembered where the hospital was.

Come on.

‐ Come on. ‐ Look, I tried to call you.

Nobody answered, so I got Shannon

down in personnel to get me your address.

‐ That place sucks, G. ‐ Yeah, thanks.

I knew I threw my back out as soon as I fell.

(male #5) 'How you doin'?'

My chiropractor, she says I have mild scoliosis.

Everybody's got mild scoliosis.

That's just something chiropractors say.

‐ You can't give me anything? ‐ No. I think you'll be fine.

Oh, hey, Donahue is guaiac negative.

Schwartz's repeat Accu‐chek is 87

and the urine ICON is positive for Mr. Ramirez.

‐ Find my, uh.. ‐ Can I go home now? Yes.

LOL with altered mental status and lower abdominal pain.

‐ LOL? ‐ Little old lady.

‐ How you doin'? ‐ Alright, down to one board.

Dr. Carter, thought you might wanna sign for these.

Four entrances, six metal detectors. Rush.

‐ Yeah, that's right. ‐ Sign there.

You wanna show me where you want them?

‐ Right this way. ‐ How you doin'?

Don't make many night deliveries.

‐ We'll pull the old ones out? ‐ No. These are the first.

Hey, how you doin'?

I'm good.

(female #3) 'He gets defensive. What are you laughing at?'

'And I thought, he's not bad‐looking.'

I missed the signs.

That is the last time I ask a guy out.

‐ Oh, you asked him out? ‐ Yes.

‐ And he stands me up. ‐ Who was he?

Oh, he's in venture

ca‐capitalist..

‐ Or private equity. ‐ Something or other.

I don't know. One of those undefinable money jobs.

Then right now, you'd probably be sitting

in his apartment listening to..

...Thelonious Monk

or something.

You're right.

But women who date those kind of men

don't get vomited on on a regular basis.

‐ Or get a gun to the head. ‐ Another one?

Yes, thank you.

‐ You want anything? ‐ No, thanks.

Where is she anyway?

I think she went to the bathroom.

You think she'll be okay?

[crowd cheering]

Yeah, I think she's going to be fine.

[upbeat music]

[theme music]

[music continues]