All language subtitles for ER.S12E04.DVDRip.XviD-SAiNTS

Previously on E.R.:

- Dr. Kovack, I'm Eve Payton.
- Our new nurse manager.

It's "Kovach."

Then maybe you can educate the nurses

about inferior alveolar dental blocks.

What?

Is there some sort of history
between you and Dr. Kovac?

I don't think it's appropriate
for the two of you to work together.

That's two less than I'm already doing,
which I can't afford,

and I'll never see my kid.

1,000, 2,000, 3,000, 4,000.

- What are you doing?
- Counting.

Yes, that part I get.

The time between the lightning flash

and the thunderclap
tells you how far away the storm is.

- Getting closer.
- Oh, that's great.

You going outside?

Yep, drew the short straw
for the coffee run.

Whoa, where do you think you're going?
We're getting slammed here.

I'm not on for six minutes.

I'm going out for coffee for
everyone before my shift.

Then be a Flower Drum Song--
and grab me a bear claw.

I'll settle up with you later.
Hi, I'm Dr. Morris, Chief Resident.

What brings you here today?

Some guy rear-ended me.

I hope you were driving.

We're getting a little
backed up here, Dr. Morris.

Perhaps we could clear some
of these necks clinically.

We?

I think it's best if we left
that decision to the doctors.

Well, if patients meet all five
of the nexus criteria...

And what do you know about nexus?

As research coordinator at Emery,

I enrolled 2,000 patients
in the initial study.

That's really interesting, Eve.
Maybe you can bring it up

at your next Nazi nurse rally.

You know, Dr. Morris,

my knowledge of the human anatomy
is so extensive,

I could kill you with this finger.

Somehow I find that hard to...

I saved your life, boss.

I've been telling them all morning
to keep these floors mopped.

Maybe it's time I fired
some janitorial staff.

Maybe it's time you
cleared some patients.

I'm glad you're back in the
trenches with us, boss.

Yeah, that makes one of us.
What is the problem here?

Oh, we've had like 20 paramedic runs...

Every E.D. in the city
is closed to saturation,

which means we're all open.

Fender-benders are
clogging up the hallways.

I'm not sure they all
need a C-spine film.

Of course not.
Get with it, Morris.

Half these patients
don't even need X rays.

Start clearing necks.

What the hell's your problem?
You can't wait for a little break...

It's a crosswalk, you asshole!

Diverticulitis grandma is
being admitted to Medicine.

My mandible fracture is going
to the OR with OMF and Mr. McKay

goes home with rest and ibuprofen.

And on that note, I'm out of here
with no pass-ons, thank you very much.

I thought you were going
to help Neela clear some X-rays.

I did. Now I'm going home.
Doc Rock is going to help you out.

Sorry, dude, I'm not working down here
today. I start my Toxicology elective.

Yeah, I picked neurology, I
didn't even get an elective.

That's because you still need to complete
your pre-hospital care

- training requirements.
- My what?

Your ride-alongs.
You never did them as an intern.

And you have 24 hours in
the field with the paramedics.

Well, yeah, I've been
meaning to do that.

Well, come see me when you do, and then
we'll discuss your elective options.

Where'd you go for coffee, Milwaukee?

The doughnuts are soggy.

God forbid you don't get your morning
ration of deep-fried fat, Frank.

Maybe I can dry them in the microwave.

You okay?

Nothing a week in
the Bahamas wouldn't cure.

What about you?

Eve stuck me on nights. Now I get less
sleep, less money and I barely see Alex.

I have to have a baby-sitter
spend the night with him.

What is it about rain that turns
the residents of this city into idiots?

Tell me about it.

Haleh, what are you doing here?

Connie's sick, asked
me to cover for her.

I thought I warned you
about your overtime.

I wasn't planning to be here.
I'm just trying to help her out.

Well, you should have told her
to call someone else.

So what, you want me to turn around
and go back home?

Unless you want another
letter in your file.

Have a great day.

Sam, can you cover for me
until I find someone else?

Why not?

I'm not going to be home on time
to see my kid off to school anyway.

- Who's this?
- Blaire Collins, 29.

Sent in from Lake Shore Gardens
for infection around her G-tube.

Does this hurt, Blaire?

- Ma'am?
- She's in a coma.

- Since when?
- Six years.

No, come on. No way, guys.
We don't have the room.

She doesn't need to be here.

They can give her IV antibiotics

and the doctor at the nursing
facility can change her G-tube.

So what are we supposed to do?

I just told you. Take her back.

We don't get paid for round trips,
and we got another run.

Hey, guys... Hey!

What's wrong?

Nursing home dump.

What else is new?
Come on, I think Trauma Two's open.

Sam, check the lobby.
We could use another nurse in triage.

You've got to be kidding me.

- Don't worry about it.
- No, this is ridiculous.

Hey... Kerry, are you going
to do something about this?

- About what?
- The way she's managing the staff.

If it's a nursing issue, it's Eve's
rice bowl. You two work it out.

Morning rounds are at 10:00 a.m.

10:00, 10:00 is good.

We discuss our toxicology consultations
from the entire county.

You will carry the pager every third day
and research conference

is Thursday afternoons.

Wow, check it out.

- Is it poisonous?
- Venomous?

Yes. I'm studying neurotoxic
factors in crotalid venom.

Please, don't do that.

Your main focus will be
our Poison Control Center.

Calls come in from both the public
and other health care facilities.

You'll have online access
to an international PoisIndex database

and we are here to back you up.

You're number two.

Judy Anderson, 31! Head-on collision;
auto versus cinder block wall.

- My baby, Grace, where is she?
- She's coming soon, ma'am.

- Any belly pain, Judy?
- It hurts when I breathe.

Driver with chest pain, good vitals.

- Any victims in the second vehicle?
- Only one car.

- They forced me off the road!
- Who?

They were driving like maniacs.
They hurt my daughter. Where is she?

The baby is with Rescue 73.

I'll take this one so
you can take the baby.

Uh, sure.

- Nice work. Is that custom?
- Yeah, Spanish Revival.

Ancef's on board.

- This frigging thing is attached.
- I think he missed the femur.

Looks like he bagged
the femoral artery. Got a cold foot.

Give him another 50 of fentanyl,
we'll take him upstairs.

I'll be right back.

Dr. Dubenko.

Is everything else okay?

Oh, I think he should be back
to work in a few weeks.

Well, I meant with you, actually.

I know this is none of my business,

but I was up in oncology last
week with a patient and...

I had my annual PSA screening.

- Oh. Duh.
- It came back 6.5.

That's a little high.

Needle biopsy showed a moderately
differentiated prostate cancer.

I'm so sorry.

No, it's okay.
We caught it early, stage T-1.

Good prognosis with surgery.

I got to get your ischemic
foot boy upstairs.

Lucian ?

If you want to talk with someone,

or have a coffee or something...

Yeah, all right. Maybe.
That'd be nice.

Hey, Frank.
Anything besides fender-benders?

Well, guy in number four got scalded
while driving by the hospital

by some crazy broad
who was throwing coffee.

He thought she was a nurse.

Probably someone from ICU.
They're really wacky up there.

Abby! Chest pain!

- When did it start?
- Ten, 15 minutes ago.

- We came right in.
- What does it feel like?

Heavy, heavy here.

- Are you on any medications?
- Lipitor and aspirin.

All right, first day labs,
12 lead, lopressor and nitro.

Got it.

Is he having a heart attack?

We'll have to look at the EKG
before we can tell you that.

Three-month-old, rear-seat passenger,
multiple lacs to the head face and chest.

She was found outside the vehicle.
Looked like she was ejected.

- Car seat wasn't anchored down?
- Heart rate is in the 160s.

Access?

Tried twice, IV blew.

Hey, you any good with a tiny vein?

- Maybe.
- I'll take that as a yes.

C-spine's clear.
Get her off the board.

Pulse ox 97 on two liters.

When you say a truck, do you mean
they were driving an SUV or a pickup?

SUV, it was blue or black.
It was definitely black.

- Okay, Judy, we're going to sit you up.
- Ow, my chest!

Did you see the driver or any
of the passengers, ma'am?

There were at least two of them.

The driver was young, a teenager.

White, black, Hispanic, Asian, what?

White. I'm not sure about the passenger.

Lungs are clear.

BP 112/78.

It hurts when I breathe.

Okay, Judy, I think you've
broken your breastbone.

Add a sternal view, troponin,
CT of head, abdomen and pelvis.

What else can you tell us
about the vehicle?

There was a bike rack on the roof.

They tried to force me off the road.
They wanted to steal my car.

Am I bleeding?

You hit the window. It's not bad.

Will I need stitches?

Did either of them have a weapon, ma'am?

I don't know. It happened so fast.
I just wanted to get out of there.

Enough for now.
She's had a concussion.

We need to let her rest
before she goes up to the CT.

- We're working here.
- Sorry, Luka.

We've got a trauma.
We need the room.

All right, here we go, gently.

Lift up the neck.

On my count, one, two, three.
Here we go.

We're out of infant C-collars.

Luka do you know if we have
any infant C-collars?

You can use towel rolls.

Airway is patent.

I can't hear breath sounds
with all the crying.

- Do we have a sat?
- Won't pick up.

Kid's pink, sat's fine.

24 gauge going on in the right.

You want me to take this, Kerry?
I don't mind.

What, you think I'm rusty?

Superficial head lacs,

no step-offs,

left frontal-parietal hematoma.

Call CT and let them
know we need a head.

Finally calming down.

Or going apnic.
Come on, baby.

Wake up. Wake up.

All right, uh, Inez, miller one
and a 4-O. She needs a tube.

Kerry, the kid's screaming.
The airway is obviously fine.

She's got a good mechanism for a
head injury

and she needs a CT.

So what you're going to subject
her to the risks of intubation,

just to make it easier
for the radiologist?

- She'll settle down. Give her some time.
- She doesn't have time.

Agitation could be an
early sign of head injury.

Or an appropriate response
to a stressful situation.

Babies cry when they're scared.

Thank you, but this is my patient.
Her mental status is waxing and waning.

She could go apnic in the scanner.

You bag her through it.

.5 of versed and vec.

Hold on. You're going to lose
your neuro exam if you sedate.

And watch her bleed
into her brain? No, thanks.

- Push the meds, Inez.
- She's alert.

- Pupils equal, good tone.
- Do it now.

.5 versed going in.

Come on, Kerry, we've both
seen enough head trauma

to develop gut feelings about this.

Yeah, and my gut says intubate.

She needs a tube.
Giving the vec.

Suction.

The scope.

- Where are they taking my daughter?
- She's going up to the CT.

But what are all those tubes?
Why isn't she moving?

The tube helps her breathe.
It's just a precaution.

Sometimes babies have
to be sedated for CAT scans.

It doesn't mean anything's wrong.

Have the... police found anything?

It's still early. They will.

I should have waited...
till it stopped raining.

No one can control the weather.

The good news is that your brain and
belly CT are normal.

Unfortunately, you've
broken your breastbone

and we'll need to monitor your heart
to make sure it wasn't bruised.

But I didn't have to go out.

I... I could have waited.

Grace was fussy all night and sometimes
a car ride settles her down.

I'm gonna numb up the cuts
on your face before I suture.

What am I gonna tell my husband?

"Need a new car"?

You're going to feel a little pinprick
and then some burning before it kicks in.

You have a bunch of phone messages.

Tell Kayson to stop bothering me.

I'll call Anspaugh back
when I get a chance.

Oh, crap.

Henry's got a birthday party tomorrow.

Could you go down to that toy store
on Michigan Avenue for me?

You want me to go outside?

Yeah. It's just a few blocks.
I need a King Funshine.

I'll write it down for you.

- In the storm?
- What, you afraid you'll melt?

What about the lightning?
I'm a pretty big target.

Well, then I suggest you try
running in a zigzag pattern.

The results are back for that little girl
who ejected from the car.

- Is she awake yet?
- Not yet, but I'm gonna double-check.

Baby's head CT is negative.

- Just some soft tissue swelling.
- Is she awake?

No, she's still sedated.

Then you can't follow her neuro exam.

She'll wake up and we'll extubate.

This is Bradley Anderson.
His wife and daughter were brought in.

The police said there was an accident.
Somebody tried to carjack them?

Yeah, they're doing well.
Come on, I'll take you to them.

Aren't you two supposed to keep
50 feet apart or something.

Bite me, Frank.

Ask me, you're better off.

I didn't.

Second EKG is unchanged
and troponin is negative.

He's pain-free after nitro and metoprolol.

So, he's okay?

Well, it doesn't look
like a heart attack,

but I think he has unstable angina.

One of the arteries around your
heart may be closing down,

so you'll have to stay in the hospital
for observation and some more tests.

For how long?

Could be just a day or two.

- You okay with that?
- Like I got a choice?

You hang in there.

I'll stop by later if I can.

Um, excuse me.

Excuse me. Hi.

It might be better if you stayed,

because the cardiologist is probably
gonna have questions and instructions

for you and your husband.

Oh, I'm not Lee's wife.
I'm his therapist.

Are you a doctor?

I'm his...

satisfaction facilitator.

What is that exactly?

I have a select group of clients
like Lee who require...

something they're not getting at home.

Something...

sexual.

See, I provide the one thing that's
missing, which allows them to live

happily ever after with their wives.

Really?

Oh, I help women, too.

You call me if he needs anything.

60cc's of gastrografin
and check the K.U.B.

What's this?

Nursing home dump.

I'm changing G-tubes
on comatose patients now.

- How's your M.I.?
- Unstable angina.

Just out of curiosity, what type
of guy hires a satisfaction facilitator?

I believe it's the...
politically correct term

- for "call girl" these days.
- A smart one?

We have a saying in Croatia.

- You know, "If it floats, flies or..."
- Fornicates?

Rent it.

- Hey, Dr. Kovac.
- Hello.

I thought I might take you up
on that offer for some coffee.

- If you got a minute?
- Sure.

Page me if you need me.

How many stitches?

7 on the forehead, 5 on the cheek,
12 all together. That's not so bad.

Neela, this is Brad, Judy's husband.

Hey, baby.

- Honey, I'm so sorry.
- Oh, come on. It wasn't your fault.

The police told me what happened.

The bastards who did this
should be shot.

No, I tried to get away
and I lost control.

You did everything you could.

Don't worry, the cops
will get these guys.

- Have you seen Grace?
- She looks good.

- They think she's gonna be okay.
- Really?

We still have to run a few tests.
Everything looks good,

but as soon as I can, I'll bring
her down so you can be with her.

Okay, thanks.

I'm gonna go back and stay with Grace
until they're ready to bring her in here.

I love you.

I love you, too.

Your husband seems like a great guy.

It's okay, Judy.
Everything's gonna be okay.

I'm sorry. I'm not usually like this.

Okay, well,
the Venus flytrap is nontoxic,

so it's not lethal if ingested.

However, the larger ones
are extremely dangerous,

and have been known to devour
pets and small children.

No, no, no, I made that last part up.

Uh... I'm sorry.

Ma'am, I...
You're absolutely right.

This is not a venue for humor.

I... I understand.

I-I apologize.

You, too.

Do you need any help with the snakes?

- Could have gone to the cafeteria.
This one. Their coffee sucks.

You didn't mention seeing me upstairs
to anyone else by any chance, did you?

No, no, no. I mean, I....
I wouldn't have said anything to you,

but I just thought maybe you might want
to talk to someone or something.

Yeah. No, I appreciate the gesture.

So what are your treatment options?

I've opted for a radical prostatectomy.

My urologist, Dr. Peter Singh,
do you know him?

He does a bilateral
nerve-sparing procedure

for patients with low volume disease.

Well, that's great.

Unfortunately, even
in the best of circumstances,

there's a 25% chance
of loss of erectile function.

Yeah, then you're looking
at penile injection therapy,

intraurethral pharmacotherapy,

vacuum erection devices,
or a penile prosthesis

to achieve an adequate erection.

Why, uh, then the good news is that
there's a 75% chance of success.

Well, the procedure also eliminates
the ability to ejaculate.

But the chance of urinary incontinence
is relatively low,

so at least I won't be wearing a diaper
or need an artificial sphincter.

Oh, well, there you go.

It's-it's rather daunting, knowing
that you may never have sex again.

Well, it sounds like
you're in good hands.

Look...

I know this is, uh,
rather unconventional,

and under different circumstances
I certainly would have employed

a more traditional approach
with regards to courtship

and romantic methodology, and assuredly
enjoyed all the ritual of that,

but given the time constraints and
what I'm potentially faced with...

You know, you might
want to just kind of...

Look, look.

If I'm going down,

I want to go down swinging.
And I'd like it to be with you.

So you want me...

to sleep with you?

Yes.

Wow, that's something.

That's...
I'm flattered, I think.

But I, uh... I can't do that.

- No, no. I understand.
- Nothing personal.

No, I understand.

Just asking purely from
a scientific approach.

What about after?

After what?

The surgery, to see
if anything still works.

I'm gonna have to take
a pass on that, too.

Abby, you want this?
GSW to the upper chest!

I gotta....
I better get back.

You want to hop on?
I mean...

are you coming to the, uh, for the...

Place a chest tube, call me
if the initial output's over 500cc's.

How's Grace?

We moved her to one of our exam rooms
so we're going to take you to her.

Mrs. Anderson, I brought some
mug books for you to look through.

It all happened so fast,

I'm not really sure
what I remember seeing.

Well, take a look.
Maybe a face will jog your memory.

I can't.

- Why don't you give us a few minutes?
- Sure.

I don't want to look at those books.

You might be able to identify
the two men who drove you off the road.

I can't.

Why not?

It was, it was pouring rain.
I could barely see out the window.

The car started to skid.
I don't know, I saw the wall coming

and I didn't stop, I just kept driving.

What are you saying, Judy?
What happened?

I didn't know that Grace's
car seat wasn't clicked in.

I would never do anything
to hurt my child.

Did you do this on purpose?

Sometimes I...

I can't help it.

Sometimes, it's like I don't
know how to snap out of it.

It's like...

everything is coming at me at once
and I just want it all to go away.

Judy, did you try to hurt yourself?

I just wanted it to stop.

- Do either of you have a moment?
- Shoot.

I think my MVC mom's suffering
from severe postpartum depression.

- Just one second.
- It's the baby. Grace Anderson.

- What about her?
- She's waking up.

I thought you might want to extubate.r.

Yeah, I'll be right there.

What are her symptoms?

She drove head-on to a wall
with her baby in the car.

I think it was intentional.
I'd like to put her on psych hold.

- Dr. Rasgotra?
- That's the husband.

Get Psych down here.

- Can my wife go home now?
- Not yet.

What, you moved Judy
out of the trauma room.

I thought that meant she was good to go.

We needed to clear the room.

We have to rule out a cardiac contusion,

so we need to monitor her heart
some more to make sure it's not bruised.

For how long?

I'm not sure.
It could be a while.

Mr. Anderson...

does Judy drink alcohol?

No. I mean, she has a glass
of wine now and then.

Why?

What about drugs?

What's this all about?

Just routine questions for her chart

to avoid any drug interaction,
that sort of thing.

Have you noticed any change
in her mood lately?

Like what?

She seem depressed?

Any loss of appetite
or trouble sleeping?

You're kidding, right?

We have a three- month-old baby.
When Gracie doesn't sleep, none of us do.

Look,

the sooner I can get them both home, the
sooner they can start getting better.

I don't want to send her home
until I'm sure there's no danger.

No, of course, you're right.

Thank you.

Dr. Kovac, could you
help me clear some beds?

I thought I was.

Well, maybe if we work together.
Look, what's going on in Exam Two?

D.U.B. needs an ultrasound
to rule out fibroids.

Good crits. Vitals stable.

How about an outpatient scan
and a GYN referral?

Well, if you can get her in this week.

Done. Okay, next: Buster Freeman.

Dirty puncture wound to the foot,
waiting on IV...

Could he sit in a chair for that?

I mean, it frees up a bed.

Crystal Maranacchio.

- Waiting on an ortho consult.
- She's been cleared.

- I called the attending.
- You what?

That's a new policy.
When we call for a consult,

the resident has 60 minutes to respond
to the page, or we call the attending.

All the department heads
signed off on it, except Psych--

crazy bastards.

Blaire Collins has been here forever.

I called the nursing home twice.

They were supposed to be
sending a ride for her.

Well, if they're not here in ten,
I'm putting her in a cab.

- She's comatose.
- I was kidding, Dr. Kovac.

Frank ?

Call Blaire Collins' nursing home again

and tell those idiots she's been ready
to go home for the last four hours.

Tell them yourself. I'm busy.

Dr. Kovac?

I think I'm one of those idiots.

Trish Gorham, the assistant director
from the nursing home

that's been caring for Blaire Collins.

I didn't mean that...

It's our policy to check on
patients prior to transfer.

I gather she's well enough to return?

Yeah, she's right over here.

To be honest with you, all she needs
is a course of IV antibiotics

and the G-tube could
have been changed at her facility.

We're not staffed
as well as the hospital,

and the gastro-neurologist doesn't
come out to the nursing home.

The earliest I could have gotten anyone
to see her was in two weeks.

She have any family?

Apparently her mother died
from the crash that did this.

There was a boyfriend, but he's stopped
coming around years ago.

He didn't even try to stop!

- Somebody call my son.
- 47-year-old victim

of auto-versus-pedestrian.

I just ran out to get
the kids some pizza.

- He didn't even slow down.
- Systolic only 80 after a liter.

Pulse 140, pale and diaphoretic.

Ecchymosis across
the abdomen and pelvis.

Four units of O-neg and
prime the rapid infuser.

Am I dying?

No, but you may have
some internal bleeding.

Resps are shallow.
Let's set up for intubation.

How often are you sad?

Uh, not often.

And what makes you happy, Judy?

Being with my baby and my husband.

Why are you asking me all this?

We ask all patients these questions

to assess mental status
following a head injury.

Well, my mental status is fine. Really.

Any thoughts about
wanting to hurt yourself?

Uh, not unless you count wanting
to take a carving knife to my hips.

Do you ever think about
wanting to hurt your baby?

Of course not.

What did you tell him?

Judy, you said you were upset

and that you couldn't snap out of it.

What are you talking about?

You told me you felt like
everything was coming

at you and that you
wanted it all to stop.

No, no, I said
that I lost control of the car

and I couldn't stop.

You're putting words in my mouth.

It's not uncommon for new moms
to have bouts of depression.

The first year with your baby
can be very stressful.

I'm not stressed and I'm not depressed,

although I will be if I have to spend
any more time here.

So stop accusing me of being crazy
and let me go.

Nobody's accusing you of anything.

We have to be extra careful
whenever there's a child involved.

Look,

I appreciate your concern. Really.

There's nothing wrong with me.

I've had a rough day.

And I just want to take my baby home
and get some rest.

Well, I hope you have a speedy
recovery, Mrs. Anderson.

- So are we good to go?
- Uh, not quite,

but you can go back inside now.
I'll be right in.

She's changed her story.

There are no vegetative symptoms,
no anhedonia.

She doesn't have a depressed affect.

- She appears to be in good spirits.
- Well, something is going on.

She as much as confessed
to deliberately crashing her car.

- But she's not saying that now.
- She's lying.

She's a prime candidate for severe...

I want to be sure she doesn't have post
partum depression just as much as you do.

But it can be one of the most difficult
conditions to diagnose.

And if the patient is in complete denial
or lying to me,

not only can I not tell,
but I cannot hold her.

I gave her every opportunity
to let us know.

I'm sorry.

- Need a hand?
- I need eight.

Oh, God, it hurts!

What's this?

Driver of our auto-versus-pedestrian.

The guy ran out in front of me.
Please, give me something.

No neck pain, no chest pain,
good vitals,

but complains of bilateral thumb pain.

Look at this. I can't even make a fist.

And we're out of beds.

Okay, let's park him.
I'll see what I can do.

Dr. Weaver, Psych's
refusing to admit Judy Anderson.

Psych?

I believe her condition
was a deliberate act.

Yes, I know you suspect
postpartum depression,

- but did she admit it?
- Practically.

She drove head-on into a wall.
The baby's seat wasn't properly anchored.

She's obviously overwhelmed at home.

ER. Please hold.

Has anybody seen Jerry?

I sent him out on an errand,
but he should be back by now.

You sent him out in this?

You don't send Jerry out in the rain.

I've heard that, too.

Maybe I should get DCFS involved.

Well, have you talked to the husband?

Maybe he could convince her.

A voluntary admission would be better
for everyone involved.

I'll try.

Frank, where's Jerry?

- Dr. Weaver sent him on an errand.
- Oh, no, you didn't.

What is the big deal?

Big man does not do well
in the wet weather.

What the hell does that mean?

Excuse me.

Could you help us find our dad?

Lawrence Digby.
He was hit by a car.

The doctors are still treating him.

They said he got hit
while crossing the street.

Yeah, this guy was talking on his
cell phone, wasn't paying attention,

went right through the crosswalk.

Come on. I'll take you back to him.

Sam, you can go home now.
I've got a float from ICU coming down.

I'm gonna stay and help
with this guy's kids.

You're welcome to do so, but if
you do, you're off the clock.

Fine with me.

Come on, you guys.

Can I take her home now?

We'd like to keep her
overnight for observation.

Oh, come on. Overnight?

Why?

I think your wife needs some help.

Believe me, I've tried to talk
her into getting a nanny,

but she doesn't want another
woman raising her daughter.

It makes her feel like she's
less of a mother or something.

I don't mean that kind of help.
I think Judy needs some psychiatric help.

What?

Brad, why don'twe sit down.

It's not uncommon for new moms

to get overwhelmed with all challenges
of child care, specially the 1st year.

So why are you
making a big deal out of this?

Usually, it's short-lived

and goes away after the
baby falls into a routine

and the mom's hormones stabilize.

But occasionally,
it lasts longer,

becomes more severe,

and develops into something
called postpartum depression.

Yeah, yeah, but that's not Judy.
Judy's not depressed, not like that.

I mean, sure, she's anxious
to get back to work,

a little down about that,
but that's normal.

Purposely trying to hurt
herself and your baby isn't.

What are you talking about?

She had an accident! Some
creep tried to run her off the road.

I don't think she was
forced off the road.

Dr. Rasgotra,
nosebleed on Coumadin in Two.

Please, talk to your wife,
ask her yourself.

Ask her what really happened
in the car.

- Sux on board.
- Yankauer.

- Assist ventilations.
- O-neg's going on the right antecube.

We're gonna need the rapid infuser.

Curtain Four.
They did an in-service. I got it.

'Kay, let's take a look.

Sats down to 92.

- Turn on the suction.
- It's on.

- No, it's not.
- I have it on high.

I'm not getting anything here.

Inez, go next door and help Dr. Lockhart
with the chest tube.

I'm not allowed to work with any
of the nurses now?

The patient is paralyzed.
I can't see the cords.

- I need suction.
- Hold your horses.

Suction container
wasn't sealed properly.

You're welcome.

Tube.

Found it.

Two units on the infuser.
Set up for a subclavian. Okay, bag him.

- End tidal CO2 is yellow.
- Yellow's good. I'll be right back.

All right, hook me up.

O-silk is next?

- O-silk. Come on.
- Here you go.

And I want to auto-transfuse this guy.

You need a side collector
on the thoraseal.

You know, just go help Dr. Kovac
with the rapid infuser, all right?

No problem.

What do you need?

Central line,
supraumbilical DPL,

rapid infuser and a t-pod.

What's a t-pod?

Fine, I'll get it... again.

- What do you want me to do first?
- Find the O-neg.

Everything okay in there?

For the time being.
Call for four units of type specific.

Soon as I get this up.

Hypotensive pelvic fracture.
He needs the works.

Those are his kids out there.

Hey, Frank, can you bring
those guys to the Family Room?

Sure.

Come on, kids. This way.

- I'll be right in.
- Great.

- Guide wire?
- I'm getting an error signal.

There's not enough water in the warmer.

- Thanks.
- Cordis inducer.

Stitch.

Where's Dori with the T-pod?

T-pods are on the bottom shelf.

Update his vitals?

- Okay, infuser's on.
- Looks good.

- Cathet...
- Pressure's up to 95 palp.

No gross blood.

Where do you need me?

- We're all set.
- She's good.

Thanks, Sam.
We'll take it from here.

I'll go check on his kids.

She's really not sure what happened. She
gave herself a good whack in the head.

We can't do anything
if she doesn't identify her assailants.

That's okay. Like I said,
she's not sure what she remembers.

She's not even certain
it was intentional now.

Fine. Let me know
if she changes her mind.

You did the right thing. The next step
is to get your wife some help.

No. The next step is
for me to take her home.

My wife is not crazy, okay?
She had an accident. It happens.

I'd rather she chose to stay, than have
psychiatry put her on forced hold.

She's gonna be with me. She's gonna
be fine. Just leave us alone. I mean it.

Pressure's up to 100
systolic. Crit's 28.

Send another 4 units to angio.

Daddy?

Your dad has a broken pelvis, which are
the ring of bones around his waist.

Some of his blood vessels
have also been damaged.

He's bleeding inside.

Can you fix it?

We're gonna try,
but he's lost a lot of blood already.

It's very serious.

It was supposed to be me.

I was supposed to go get
the pizza, but I-I...

didn't want to go out in the rain.

It's not your fault,
and it's not your dad's fault.

Hey, jerk-off!

I can't drive for a week.

Not that I could anyway--
my car is totaled.

What was so important you had to be
talking on the phone while driving!

Come on! What was so damn important!

Hey! That's enough!

- Hey, get that guy away from me!
- Shut up!.

Jason, hey, I know you're mad,
but your father's condition is very serious,

and your brother and sister
need you right now, okay?

Come on, Jason,
I'll take you to the Family Room.

Dr. Kovac, one of your patients
is getting agitated.

- Which one?
T- he girl from the nursing home.

- She's in a coma, Inez.
- Not anymore.

- Where...
- I'm Dr. Kovac.

Wh-Where's my mom?

Okay, keep your hands up
as if you were holding a tray.

What's wrong with me?

What's the last thing you remember?

My mom and I were going to the mall...

and it was snowing,

Were we in an accident?

Is she okay?

I didn't treat her, but,

let me see
what I can find out, okay?

- How is she?
- She doesn't remember anything.

What are you gonna tell her?

I don't know.

Your mother's dead,
and you've been in a coma for six years?

How are those kids doing?

They're hanging in there.
I got ahold of an aunt and uncle.

They're with them right now.

Inez, walk with me.

Do I have to?

- I better get into this.
- I think you have

just fantastic potential,
but in every spare moment,

you've got to be in there
honing your skills.

- Got a second?
- Not really.

If you're so concerned
with the efficiency of this department,

then you need to allow those of us
who work well together

- to continue to do so.
- If you're referring to the...

And if you want us to act
like professionals,

then you need to treat us as such.

You saw me in there with Dr. Kovac.
You saw how well we work together.

If that doesn't prove
that we can work the same shift,

then I don't think you know your job

as well as you think you do.

Feel better?

FYI: I already changed the schedule.

You're back on your old shifts next week.

Thank you.

Don't worry. When I first started,
I could barely hook up an I.V.

It's all muscle memory.
You'll get it, Inez, I know you will.

I felt like an idiot.
I didn't even know what a T-pod was.

Everybody needs help with stuff.
When you do, come find me.

Thanks.

Page me when he's out of surgery.

Will do.

- Hello. You're back.
- Had a cancellation.

He's this way.

I tried calling Lee's cell,
but he wasn't answering.

- Is everything okay?
- Yeah, he's doing great.

We're just waiting for them
to take him up to the cath lab.

Ooh, that sounds ominous.

They're going to do an angioplasty,

which is a procedure where we insert a
catheter into a blood vessel in his leg,

thread it up to his coronary artery,

which is used to inflate a balloon
that will open up the blockage.

Guess those cheese steaks
caught up with me.

I've been telling him
to eat better for years.

Hey, you!

This is my... wife, Viv.

Hi.

I'm Dr. Lockhart.

- I've been treating your husband.
- Hi.

Everything's okay. I've got a little
blockage, but they're gonna fix it.

I didn't get your name.

Shawna.

Hi.

- And you are...?
- Therapist.

From Cardiology.

Really?

Your husband has to
undergo an angioplasty.

That's where we're going to insert a
catheter into a blood vessel in his leg,

and we're gonna use it to inflate
a balloon that will open the blockage.

Well, good luck, Mr. Rappaport.
I have to get back to my other patients.

It was nice to meet you.

Excuse me for just one second.

Whoa. That was close.

Thanks. I-I really owe you one.

Hey, listen, if you ever need
a sex therapist...

I think I'm good.

Now that you mention it,
do you ever do any pro bono work?

Yes, I spoke to your resident,
and he thought a hold

was unnecessary, but I disagree,

and all I'm asking is for a second
assessment from another attending.

Watch it!

No, Dr. Wakita, not you.

Hey, Jerry, where have you been?
I was getting worried about you.

Everyone was acting as if I'd
sent you out in a hurricane.

Are you okay?

What the hell happened
to King Funshine?

Did you get hit by lightning again?

He didn't get hit by lightning.

Here's your change.

Okay. Uh, let's get you on a
cardiac monitor.

CBC, chem panel, EKG...

I realize that. I'm sure he is,
but this isn't about me, him,

or even you. It's about the welfare
of a mother and her child.

You will? Great!

Thank you so much.

Um, psych attending's coming
down to assess Judy Anderson.

If Dr. Wakita asks, you agree

with my postpartum depression
assessment, right?

Yeah, you got it.

Mr. and Mrs. Anderson,

I have some good news.

One of our attendings from upstairs has
agreed to come down and speak with you.

I've seen enough doctors today.

- We're going home.
- Please, he's on his way down right now.

- We've been here for hours already.
- This will only take a few minutes.

I just want to go home, have dinner
and a bath and put Grace in her own crib.

You want what's best
for your baby, so do I.

Then leave us alone.

- Judy you need to speak to someone.
- She just needs to rest.

I know you don't want
to hurt yourself or Grace.

You need professional help.

Do you have children?

Then how do you even know
what you're talking about?

- I'm a doctor.
- But you're not a mother.

Judy, listen to me...

Please don't go.

My wife has a touch of the baby blues,
and you want to lock her up?

No one's locking anyone up.

I just want her
to get the help that she needs.

- Oh, by giving her drugs.
- Maybe.

Ignoring it is not
gonna make it go away.

It needs to be treated the same
as any other disease.

This could happen again,
only next time, it could be worse.

Judy, please.

You could die, Judy.
Your baby could die!

Transcript: RaceMan

Synchro: Bendef
Subtitles: Spooky

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