All language subtitles for ER - 03x08 - Union station.DVDRip-SFM

E.R.

- Previously on ER...
- Can I get a couple of condoms?

- How old are you?
- 18.

The hospital is floating me
to Neuro three times a week.

It's a miracle.

Abby.

Do us all a favor. Ask her out.

- You wanna go out tonight?
- I can't. I've got plans.

I waited too long.
Missed my chance. Blew it.

I'm leaving my Residency.

- Quitting?
- Transferring.

- Where?
- Phoenix.

"Union Station"

If you don't have your child's card
with you, let me know.

Chuny, can I get a hand
in here, please?

Okay, I'll be with all of you in a second.
Everybody get a cookie?

Excuse me, pal.

I need you to explain to her
about the lead.

Sorry, that ain't Spanish.

We need to take some blood to see
if the baby's been exposed to lead.

- Lead is very bad for children.
- Okay.

- If there's a problem, we'll call you.
- Okay.

You sign this and the nurse
will take some blood.

- Okay.
- Next, please.

- Think that was informed consent?
- Close enough.

- Hey, old man.
- Hey.

You again?

Yeah, I know... Halloween.
Charlie, right?

Yeah, you gave me some condoms.
Guess you were a couple years late.

- You're telling me that's yours?
- Why not?

- His dad's a Pakistani dude.
- And his name is Lopez because...?

Okay. His mom, Gloria,
is a friend of mine.

She's got a job today,
so I'm babysitting.

She heard they were
giving out free shots.

And Ahmed hasn't been seen
since he was 4 months old?

- I guess.
- Let me see. Let's take a look.

What is he now,
about a year and a half?

We need to have
his mother's address for a follow-up.

- They live at Sisters, over on Grand.
- The shelter?

- Don't we need parental consent?
- That's why I told you. I'm the mom.

All right, Ms. Lopez.
Why don't you sign right there.

- I don't know about this.
- Want me to send him home?

Okay, next!

- Charlie, shouldn't you be in school?
- We're off. It's Career Day.

- BP's 200/140.
- Try to relax, Mr. Reynolds, okay?

- Ultrasound's ready.
- Take a look. Tell me what you see.

You want me to start him
on beta-blockers?

You read my mind.
Esmolol, 5 grams and 500 ml.

- And four of morphine.
- It's a triple-A, about 4 centimeters.

- Dr. Lewis. I was afraid I'd missed you.
- I'm on till 2.

- It won't be the same without you.
- Stop it. It's hard enough.

Give Dr. Carter the bullet.

72-year-old male. History of
hypertension, hypercholesterolemia.

One previous Ml. Pain began
in left lower quadrant a week ago.

The ultrasound shows an abdominal
aneurysm, 4 centimeters.

- We'll take him off your hands for you.
- Not so fast, Dr. Carter.

- Check his femoral pulses.
- The ultrasound indicates surgery.

- What do you think, Dr. Doyle?
- I'm with Carter. Chance of rupture.

- Ten percent. And the femoral pulses?
- Two plus bilaterally.

He has good blood flow
to lower extremities.

- But the ultrasound indicates a risk.
- Shows no leakage.

- Let's get a CT to confirm.
- You wanna manage it medically.

Yes, I'd like to try.
The machines can give us test results.

But they like to keep us around
for our diagnostic judgment.

This is her last shift,
maybe our last patient together.

- She's trying to bust me.
- Someone has to hold you surgeons back.

- Page me if you need me.
- Okay, let's get him to CT.

- Guess I got a lot to learn.
- Yeah, it takes practice.

Don't be afraid to step up.
You should have seen me my first year.

Don't believe her.
She was always this good.

- Are you with the moving company?
- No. I'm Mark Greene, a friend of Susan's.

You're the one who's
interested in taking over the lease?

- Phyllis Dodds. I'm the landlady.
- Hi, Phyllis.

- Are you okay?
- It's just a muscle spasm.

Probably stress.

It's a great one-bedroom.
Lots of closet space, nice cross-breeze...

- ... and a quiet street.
- Yeah, I've spent some time here.

- You worked with Susan?
- About three years. More than three.

- Are you single?
- Divorced. And I've got...

...my daughter every other Saturday.

No live-ins, no parties, no pets?

- None of the above.
- A landlady's dream.

Well, at least it worked for someone.

Oh, good. All the boxes go.
The luggage stays.

Place looks a lot bigger
without Susan's stuff, doesn't it?

A whole lot emptier.

Basically, we're screwed. We can pull
all the interns off their electives...

...but unless the senior Residents
lose their vacation time...

...we won't be able
to cover the schedule.

- Are you okay?
- I didn't get much sleep last night.

- What did you say after "We're screwed"?
- It's gonna be a pain to lose Susan.

Big mistake for her. Phoenix.

What was Morgenstern thinking,
letting her go?

I wanna be supportive
of lifestyle choices...

...but we're getting the short end here.

- Good morning, all.
- Hang tough, Coach Pino.

35-year-old roller hockey coach
got slammed into the board.

- Possible hip dislocation.
- Dr. Weaver, can I take this one?

- Did one of you guys nail him?
- He told us to play the body.

Never apologize for a good
hip check. Right, coach?

- Sure you're feeling okay?
- Yeah. Stiff muscles.

- I might be coming down with something.
- Go home. May be your only chance.

I think I'm gonna stick around.

Hey. So T-minus
five hours and counting?

- I'm getting nervous.
- You'll do great in Arizona.

The winters there are like heaven.

I just don't wanna leave anyone
in the lurch.

We'll muddle through.
Oh, hey, I signed the lease.

That's great! It'd be a shame
to let that place go.

And I'll never forget your address.

Wanna help me with a teaching demo?

- You give him five of morphine?
- And Valium and a hundred methohexital.

First, the nurse, or in this case Susan,
applies counter traction.

Good job, Susan.
Then you grab behind the knee.

And you lift. And you lift...

...until you feel that...

...hip slip back into place.

- That's it.
- Okay.

- Thanks, Susan.
- Anytime.

Anytime in the next four hours.

Dislocations aren't tough.
You'll get the feel for it.

I know. I've done a bunch of them.

- Why did you ask for help?
- I didn't.

- That was perfect.
- Will you take one for me?

We will do anything
for you, Dr. Keaton.

- Say "discharge. "
- Discharge!

- Great.
- There's Dr. Benton.

The Herlihys are taking
Megan home today.

Yeah, I heard. Congratulations.

David, get one with
Dr. Benton in it, please.

- It would mean so much.
- Oh, it's okay. It's okay.

Smile.

We owe both of you so much.

We're not usually shy about
taking credit. But in this case...

...Megan deserves
all the congratulations.

- Thank you, Dr. Keaton. We'll be in touch.
- Bye.

- Well, that was awkward.
- Why?

- I almost killed their baby.
- Never begrudge a good outcome.

- It's nothing to be proud of.
- But sometimes the gods smile.

Hey, there you are- Hi.

Carter, what are you doing here?

Actually, I was coming to-

- Ready to go over the literature review?
- Yes, I was. I am, if you are.

- The literature review?
- I kidnapped your intern.

I hope you don't mind,
but I'm up against a deadline...

...so I asked Dr. Carter to contribute
to an article I'm writing.

- Yeah, she did.
- As long as it doesn't interfere...

- ... with your other work.
- No, this thing with Dr. Keaton...

This article won't get in the way at all.

- I can go over your first draft at 3.
- Okay.

Okay? Okay, see you at 3.

- Clearing out your locker?
- This is too weird.

- What time is your train?
-4:20.

I have to go by my house
and pick up my stuff.

- I'm not cutting it too close, am I?
- You're on until 2?

There's not any sort of farewell thing
going on, is there?

- No. Not that I've heard of.
- Okay, good.

- Mark is acting so odd.
- Well, he's gonna miss you.

He's the one who thinks I should go. If I
have to hear how great Phoenix is again...

I think he's just trying to be a good sport,
judging from how miserable he looks.

Having second thoughts?

I never made a decision
that seemed so right.

You know, once I made it,
I just felt great.

- Of course I'm having second thoughts.
- Well, I wish you weren't going.

- But you do look happy.
- Do I?

I'm just afraid
that I'm not happy at all.

I'm just barging in
on Chloe and Joe's happiness.

Well, she owes you
a couple of barge-ins.

Susan, there you are.

- What's wrong?
- I need a second opinion.

Sure.

See? Odd.

I wanna get your opinion on a patient.

- Are you coming down with something?
- I hope not.

Exam Room 1,
28-year-old smoker on the pill...

...complains of shortness of breath.

Diffuse low voltage on her EKG.
I'm thinking pericarditis, get an echo.

- That's what I'd do.
- Could it be pulmonary embolism?

She's at risk. Abnormal EKG.
It could be lead placement.

- No, I'd go with the echo.
- You sure?

It's a no-brainer. You can always
get a VQ scan if the echo's negative.

That's what I was thinking.
So I'll order an echo.

There they are, the Mutt and Jeff of
emergency medicine, pooling expertise...

- ... before she leaves us in the dust.
- Doug, stop.

Randi, call the lab,
pick up these tests.

- Where have you been?
- The Hellmobile.

Diaper rash, Curtain 3.
Saved it just for you.

Anspaugh made you ride
the mobile again so soon?

Anspaugh didn't make us do it.

The immunization program
was Dr. Ross' idea.

Is this true?

It keeps me off the streets.
Check this out.

I got sunscreen,
I got a turquoise belt buckle...

- ... I got a snake-bite kit.
- What for?

Susan's farewell.

- And we got a cactus-shaped cake.
- Guys, I don't know. She'll hate this.

Of course she'll hate it.
That's why we're doing it.

- You look lousy.
- I woke up with this neck thing and fever.

- There's a flu going around.
- You didn't do it?

- You didn't tell her how you feel.
- She's leaving.

She's made her decision.

I don't see any point in saying anything.

In two hours, we'll have a 1-week-old
male baby on this table.

And what do we know
about this poor soul?

He has a distended abdomen,
visible peristalsis.

The upper-Gl series showed...

- ... a partial small bowel obstruction.
- When we open him up, we expect...?

- A malrotation of the gut.
- Meaning?

In the 1 Oth week of fetal development,
the cephalic limb of the intestinal loop...

- ... elongated and twisted 270 degrees.
- Okay. But begin with the duodenum.

What would you expect to see
in a normal 1-week-old?

What? You mean, like,
the duodenum leads to...?

Close your eyes. Try to see it.

The duodenum leads to the jejunum,
which connects to the ileum.

Okay, but slow down
and tell me what you see.

- What do you mean?
- Start with the image of...

...a healthy gut.

I'm seeing the head of the pancreas.

It's like a tiny fist
holding two straws.

You mean the
mesenteric artery and vein.

It's nestled in the open sea
of the duodenum.

And its surface is like fine pebbles.

A beautiful shade of tannish yellow.

Go on. You try it.

Okay, the...

The pancreas is...

...shaped like a tadpole with a big head.

It narrows into a tail...

...that curls
into the hilum of the spleen.

Go on. Now see the spleen.

- Susan.
- Yes.

We had a rocky start, but I thought
we'd worked on our relationship...

...and developed
a professional rapport.

- What's this about?
- The smoker in 1.

I diagnosed her
with a pulmonary embolism...

- ... and consented her for a VQ.
- I thought it was Mark's patient.

- He asked me for my opinion.
- I guess my beef is with him, then.

I'll talk to him.
I think I know what the problem is.

- No. Absolutely not. No way.
- It just ticks me off.

- I probably could go up there.
- No, you can't.

It wouldn't kill me to finish
one shift up in Neuro.

It's the principle.
Last week, I let Lydia go up there...

...and it encouraged them to do it more.

I got called up to Neuro
to fill in for the day.

May I speak to the nursing administrator?
Hathaway in the ER.

When do you max out
on your pension?

- Two more years.
- See? They are hassling the senior nurses.

Hey! What's in the box? Bridal shop?

- You and Al finally set the date?
- No. The opposite.

- She broke off with Al.
- I'm returning this ridiculous...

...fake virgin outfit, and they'd
better not offer me store credit.

- Sorry, Lydia.
- What did Al do?

- Nothing. That's the problem.
- He kept putting it off.

He didn't wanna get married.
I don't know why he proposed.

- What's the matter with you guys?
- They're wimps.

- They're all petrified to make a move.
- It's lack of spine, isn't it?

Whatever you're talking about,
I'm sure you're right.

Hey, Mark, I need to talk to you.

Mary. Yes, hello.
Carol Hathaway in the ER.

I'm not doing too good
at the moment.

One of my nurses just
got floated up to Neuro.

Look, I'm running a department here.
It doesn't benefit my nurses...

...to be shipped all over the hospital.

No. You know what? She's not
going up. She is not going up to Neuro.

Right. Right.

- Hot stuff.
- Unfortunately, you still have to go.

But this is the last time.
I made an appointment with her.

I'm gonna stop this.

- Hang in there, Lydia.
- Don't worry about me.

You can't put me in the middle
of your conflicts with Weaver.

Literally, you can't,
because I'm not gonna be here.

I just trust your judgment.

Look, I know what this is about.
And I'm having a hard time too.

I think we've both been spoiled
by what we have, the shorthand.

- It just makes our jobs so much easier.
- Jobs. Right.

In Phoenix, I'm afraid there won't
be a single person in the ER...

- ... that I can talk to.
- They've got great doctors there.

They have great doctors here.
The best I've ever worked with.

- You can rely on them.
- Thanks for the pep talk.

Mark. Is it something else?

No. No, nothing else.

I mean, I could ask you
to consult on the hives in 4...

...but it's time for us
to stand on our own two feet.

Jeanie.

Jeanie.

Jeanie, I'm glad I caught you.

- You get the mortgage papers back?
- That's what I wanted to tell you.

- Al, you promised.
- I talked to this lawyer.

He gave me some advice. And...

Here.

You were right.
Everything you said about our marriage.

About how you carried all the weight.
That's gonna stop.

- What is this?
- Divorce papers.

I'm giving you the house, the car,
everything. And don't say no.

It's not just because you deserve it.

This guy helped me figure out
that if I get my assets down...

...and show
that my job has no insurance...

...then I'll be able to get this state
program for the working poor.

They offer the drugs I need.
It's a good deal.

But your income has to be
less than $15,000 a year.

You don't have to worry
about me anymore. Okay?

You just take care of yourself.
I gotta go.

- I don't wanna be here!
- Settle down. Hold her.

Thank God she was
passed out at Cubbie's.

Bartender got worried after she
downed that sixth double bourbon.

- She looks full-term.
- Let go of me. I'm out of here!

No, you're not.
Security! We need Security!

Damn! Damn this damn thing!

Doyle, Ativan, 2 mgs.
Ma'am, are you having contractions?

I need a drink. I need to...

- ... get out of here!
- Restraints.

- You're not going anywhere.
- Hold still so we won't hurt your baby.

Go ahead and kill it.
I never wanted the little bastard.

- Too late to think about that now.
- Sedate her.

I'll kill myself and I'll take it with me.
Damn thing ruined my life.

- You're pissing me off, lady.
- Hold on, Doyle.

- I wanna die.
- Look out.

Her water broke.
We'd better get her up to OB.

Another kid with fetal alcohol syndrome
on the way.

We could use some muscle here.
Doyle, take her up to OB.

- She was trying to kill her baby.
- Alert Social Services.

- Will they do anything?
- They'll try.

Keep your legs together, honey.

- That was ugly.
- It was criminal.

- Chaplain, do you have a minute?
- Did you call for last rites?

No. I wanted to see if you were free
to see this woman. She's in labor.

- Does she want a prayer?
- No, but I think her baby will.

I've got a brittle diabetic in 2.
He came in with a blood glucose of 406.

- Are you well? You look flushed.
- I'm fine.

He hadn't taken his insulin.
His BP was 210/115. Off his dilt.

I gave him both. But he wants to see
Susan. He always sees Dr. Lewis.

- I can take it.
- Okay.

- Where's Dr. Lewis?
- She's busy right now. I'm Dr. Greene.

We've débrided
Mr. Ceebar's ulcerated ankle.

- Do you have an endocrinologist?
- Sort of.

The ER is really not the best place
for you to manage your diabetes.

My ex stole 500 bucks from me.

I'm sure that was upsetting...

...but still no reason for you not
to monitor your glucose.

I wanted to tell Dr. Lewis.

Well, you can't see her right now.

Diabetes is a serious disease. You can
manage it if you follow the regimen.

But if you neglect it, you're at risk
for kidney failure, blindness...

- ... and vascular disease.
- Why?

- Why can't I see Dr. Lewis?
- Should I try to find her?

Look, Dr. Lewis is leaving us. She's not
gonna work here anymore. Malik.

I didn't tell her about my car.
Someone ran into it, didn't even stop.

- Will you get Psych for Mr. Ceebar?
- I can find Dr. Lewis.

- Get Psych!
- Tell Dr. Lewis...

Labs came back from the Healthmobile.
Can you take a look at this CBC?

- Crit's 28.
- Iron-deficiency anemia?

No. Normal MCV, no blasts.
Better get this kid in for a follow-up.

It's Ahmed Lopez.
The baby that kid brought in.

Charlie? Sisters of Mercy Shelter?
All right, I'll get the number.

I need a hand here.

- What's the problem?
- I never felt better.

The guy's coughing his head off.
I thought I'd better bring him in here.

- Now it's a crime to cough.
- Shut up and be grateful.

- I'll get a history.
- Cops get stranger all the time.

- Don't worry. This isn't about you.
- Lydia.

- She hates me, doesn't she?
- Well, she's pretty fed up.

I don't know how she got the idea
I didn't wanna get married.

- You kept putting it off.
- That didn't mean I didn't want to.

- I know.
- I don't. You wanna be with her, do it.

Yeah, you're right.

I woke up this morning
and it was like I was dying.

I couldn't breathe.
You ever get that?

- Yeah.
- I got so crazed.

I tried to get the license.
I drove to the church.

I tried to drag the priest over here
to marry us right now.

- If she'll have me.
- What happened?

They were all at a CPR class.

We do have a chaplain here
in the hospital, if you're serious.

- Oh, yeah?
- He's in Trauma 1, giving last rites.

Boy, oh, boy, oh, boy. Look at that.

- Where's the cecum?
- Can't see through all the small bowel.

It's pretty blue in here.
Let's eviscerate.

You wanna take care
of that obstruction?

Sure. Metz. Retractor.

- Look different from a healthy gut?
- I'll say.

Visualize the transduodenal
and peritoneal bands...

...attached to the cecum
and the ascending colon.

- I am.
- I'm putting traction on this mass...

...twisting it counterclockwise.
It's pretty tangled.

- Like a drawer full of socks.
- I'll have to remember that one.

Okay, it's pinking up.
I don't think we have dead bowel.

- Do you have it?
- Yeah...

- Everything's turned around in here.
- Tell me if you need me.

You better take it.

Okay, retract the intestine. Metz.

Pick up.

The baby's name is Ahmed,
the mother's name is Gloria.

I don't know what she looks like.

- He doesn't remember the mother.
- He took the blood without consent.

- I didn't hear that.
- Great, Doug.

I know that all of your residents
are single moms. If you-

Okay, Sister, maybe I will.
Thank you. Thank you.

- Don't ask.
- Don't worry, I won't.

- Has anybody seen Mr. Ceebar?
- Mr. Ceebar. A brittle diabetic?

Yeah. Psych is here,
but he's flown the coop.

All he needs is five minutes of TLC
and a cup of hot tea.

Well, he's gone now.

Hey, look at that.

- Think he'll talk her into it?
- Shouldn't be too hard.

- It's what she wants.
- Talk her into what?

Living happily ever after.

- Sorry I couldn't step up.
- At least you knew you weren't ready.

The malrotation was more disorienting
than I expected.

Ninety percent of correcting a congenital
anomaly is knowing your embryology.

- Yeah, and I reviewed that.
- Then you had 90 percent of the job aced.

- What was the other 10 percent?
- Being able to stand there...

...and let the confused anatomy
start to make its own sense.

- How?
- By letting it happen.

Abnormalities in neonates
can be overwhelming...

...if you try to break it down into parts.

Aristotle would have made
a lousy pediatric surgeon.

Sorry to interrupt. They're calling
us from the ER. They need us.

- What is it?
- A wedding.

Oh, my God! It wasn't a joke.

- Is this crazy?
- Yeah. This is crazy.

Good thing you had
this old rag lying around.

Make it snappy.
They only gave me a 20-minute break.

- This veil is a little crushed.
- I'll go see if the coast is clear.

Hold still. I don't wanna stick you.

- How do we look?
- No traumas coming in.

- Let's go while the radio is quiet.
- Am I too late?

No. Right this way.
Bride's side or groom's?

- Okay. They're a little drippy.
- Yeah?

All right, everybody.
They're ready, okay?

Right over there.
That'd be good. Okay, ready?

Dearly beloved,
friends and colleagues...

...we have come here today
as part of God's eternal plan...

...and on the spur of the moment...

...to this holy place of life
and death and healing...

...to join Lydia Wright and Alfred...

- G- Grabarsky.
- Grabarsky.

Anybody get a stool
culture on Curtain-?

Oh, my God! I'm sorry.

It's okay. I'll go.

I did the rectal swab,
his chart's in Exam 1.

Best wishes, man.

Like all of us here,
they have chosen as their life's work...

...to care for
and protect their community.

It's taxing and draining.

And at times, it's dangerous work.

Now Lydia and Alfred are choosing
to take on the care and protection...

...for each other
and the love they-

Dr. Benton sends his apologies.
He was called into an emergency.

We join them today to witness and declare
the sacred union between two people...

Testicular torsion.

...whose souls feed each other
with that love.

It's a love that sustains
all their outer efforts.

A love that is rare
and that should be treasured.

- A love that at times will burn brightly...
- I need a hand here!

...and yet at other times,
it will flicker.

And now the vows.

Do you, Lydia, take Alfred...

...to love and cherish from this day
forward till death do you part?

- I do.
- And do you, Alfred, take Lydia...

...to love and cherish from this day
forward till death do you part?

I do.

I now pronounce you husband and wife.

You may kiss your bride.

Then he just handed you
the divorce papers?

- Yeah. It wasn't like him.
- What do you mean?

It's the most unselfish thing
he's ever done.

- She's throwing the bouquet.
- Come on. Come on.

No pushing, now. Come on.

- Hey, Carol. It's bouquet time.
- No, thank you.

Should we do the goodbye for
Susan now, while everyone's here?

No. We'll do it in an hour or so.

- Did you see those two?
- You see them during the ceremony?

It's pathetic.
I figured those two'd make a go of it.

Best friends. What more do you want?

It's not what I want.
It's what Mark wants.

Things happen
or don't happen for a reason.

- Why is she leaving?
- She doesn't have a life here.

And one, two, three!

Oh, my God!

- Oh, yeah, Susan!
- Yeah!

Congratulations!

- You're next.
- Yeah, funny.

- That was kind of great, huh?
- Yeah. They seem happy.

Hey, Mark...

- ... I've proved I'm no good at goodbyes.
- Yeah, me neither.

- I'm sorry I snapped at you earlier.
- I just don't wanna go...

...unless I know
we'll always be friends.

We will.

- You ready for me?
- Come on in. Almost there.

Why don't you shut the door.

So about your literature review.

It's very complete.
I have a few quibbles about emphasis.

I'm not sure that Ladd warrants
an entire paragraph.

- Probably not.
- But you have a very nice style.

- Easy to read, not a lot of jargon.
- Thank you.

I would ask you to co-author,
if you weren't first-year.

We need to be careful and not draw
a lot of attention, considering...

- Considering us?
- Yes.

And what happened last Thursday
and Saturday afternoon and evening?

- Yes. And Tuesday before rounds.
- We can talk about that.

The only thing that we need to keep
straight is that this is separate.

- Completely separate.
- Yes, from my work.

I mean, it shouldn't matter.
I am not your boss.

- No. You're my boss' boss.
- Did you lock the door?

Just so we both understand
that this is strictly personal.

It has nothing to do with work.
Oh, I love that.

There are so many things
I'm not gonna miss about this place.

Aftercare documentation
is one of them.

I can't tell you how many hours
I've spent doing this.

- You're the only one who ever bothers.
- You kidding me?

Yeah.

- She's gonna leave at 2:00.
- Are they setting up?

In the lounge.

Hey, Mark,
I got a call from the DA today...

...about a drunk woman
who came in in labor.

They're charging her
for attempted murder.

- Social Services really jumped on that one.
- No, they're acting on a call from us.

So you've seen that
crayon-in-the-nose trick before?

Dr. Ross, I've got that address,
Sisters of Mercy.

Yeah. We can handle it together.

Dr. Doyle, did you make a call
to the 32nd Precinct today?

Yeah, I got a cousin there.

She wanted to kill her baby.
I was a witness.

We get a lot of women here
with alcohol and drug problems.

- We let Social Services handle it.
- It can fall through the cracks.

More to the point, initiating
criminal investigation wasn't your job.

Protecting the health of the baby.
Is that my job?

We won't improve
prenatal care for high-risk infants...

- ... if we scare off the mothers.
- How about this?

If I get to testify against the bitch,
I'll do it on my own time.

Oh, I think we're gonna like her.

Randi, could you
try and find me some aspirin?

It doesn't work for us. We never had
floats in and out of the department.

- Budgets are tight, Carol.
- Yeah, well, we're all aware of that.

Look, the hospital values its RNs.

Registered nurses
are the best-trained...

...and most versatile part
of the nursing staff.

- Thank you.
- We are also the most expensive part...

...of that staff.
County has got to figure out ways...

...to utilize RNs more effectively.

- Well, at least have the floats make sense.
- Go on.

ER and ICU have
more skills in common...

...than ward nurses, Recovery or Neuro.

That's a very good point, Carol.

That is precisely why
I keep trying to get you managers...

...who are in the trenches,
more active on the committees.

- We need your perspective.
- Mary, I'm swamped.

Okay, how about a deal?

I confine ER floats to ICU,
per your suggestion.

In exchange, you sit on the hospital-wide
re-engineering committee.

We only meet once a month.

I stalled her with one last patient.

Better be a good one.
She was out the door.

Mr. Frick will keep her busy
for a while.

- You got any tape?
- Yeah. Is Mark coming?

- I beeped him twice.
- Sorry, folks. We got an MVA coming in.

Kindergarten carpool
versus joy-riding teen.

- Could be as many as eight victims.
- There goes the party.

- What's the ETA?
- They are pulling up now.

Let's go. Come on.

That's me.
Runner-up for Mr. Universe.

Call me a fool, doc,
but I'm betting on a comeback.

Haven't changed a lick since 1947.

Well, I'm afraid you may have lost
a little too much weight recently.

I'm in training. Midwestern finals.

American bodybuilders. 70 and older.

Gotta take care of this damn sciatica.

- Oh, man. That smarts.
- Why don't you take a seat again.

- Do you know how this injury happened?
- My B-12 shot. Must have hit a nerve.

- You're injecting vitamins?
- Don't worry, I stay clear of the steroids.

That's good. Scoot back.

Press against my hands.
Yeah, good.

- Any other complaints?
- Nope. Best I've looked in 10 years.

- When's the competition?
- Mid-March. I'll be 74 by then.

- And ready for a comeback.
- You think?

Yeah. Plenty of bed rest,
anti-inflammatories and start back slowly.

- Thanks, doc.
- Okay.

- Fractured tib-fib.
- Honey, you're gonna be fine.

Order a portable C-spine
and left tib-fib.

Come with me this way.
I'll find you a place to sit.

- My mom and dad are gonna kill me.
- I'll tell them it was my fault.

- Signing out, Randi.
- Thanks, Dr. Lewis. Good luck in Phoenix.

No. This is the ER again.
We need a neurosurgeon now!

Get him to the Suture Room.
Set me up with some 4-0 nylon.

Wait! Wait!

You have a ruptured spleen.
You need immediate surgery.

But it's my carpool.
All the parents need to be called.

Randi, come here
and take these numbers down, okay?

- I told you not to let him drive.
- He told me he knew how.

- We were just goofing around.
- Hush! Hold still.

Complains of chest pains,
shortness of breath.

Diminished breath sounds on the left.
Get me a chest-tube tray.

We need an abdominal CT
for the kid in Trauma 1.

- BP's coming down. 190/130.
- Poor cap refill. Pulse ox, 90.

Type and cross two units.
Get some O-neg on the rapid infuser.

- X-ray's coming for the C-spine.
- Anybody need any help?

Susan, what are you still doing here?

You're gonna miss your train.
Get an x-ray.

- Call us.
- Get some O-negative too.

BP's 200/140.
Left pupil's sluggish.

Dusky, you wanna intubate?
All right, you do it.

7.0 ET tube.

Possible subdural hematoma.

Mannitol, 90 grams IV.
Let's hyperventilate him. All right?

- Here you go.
- Okay.

Use suction if you need it.

Take your time.
He's breathing on his own.

She didn't even leave a note.

She was saying goodbye
to everyone all day.

- One of those kids crashed in Radiology.
- Which one?

- The fractured tib-fib.
- How did it happen?

If it's okay, I'd love
to get out of here by 7.

- You working on that literature review?
- No, actually, I got a date.

Don't procrastinate and keep Keaton
waiting. It reflects poorly on me.

- She's a hard one to get, isn't she?
- How do you figure?

She's a great surgeon,
but she's not much of a teacher.

- You don't think so?
- Come on. All that psychobabble?

- Her explanations can be eccentric.
- She doesn't say what she wants.

Sometimes she does.

But then again, I haven't been working
with her like you have.

- Carter, she's soft.
- She can be.

She doesn't act like a surgeon.

Well, it is difficult to learn from someone
who teaches by intuition.

Which I appreciate
about your teaching.

Excuse me, Carter. Carla?

There you are.
I've been here for half an hour.

Why?

- Kingston Mines. Dinner?
- That's tomorrow night.

- No, that is tonight.
- Anything you need?

No, Carter. Oh, I'm sorry.
Carla, this is Dr. Carter.

- Carter, this is Carla Reece.
- Pleased to meet you.

I'm sorry.
I'm on till midnight tonight.

So this is where you work until midnight.

- I'll walk you to your car.
- You've never been here?

- No, I haven't.
- Should give you a tour.

- No. She's got plans.
- Not anymore. I've been stood up.

Well, if Trauma 1 is open,
we could start there.

Really? Just don't show me
anything bloody.

No, no. What do you do, Carla?

I have this Caribbean restaurant
on Western.

No kidding?

My family used to sail
to the islands every spring.

Half day, Dr. Ross?

I was immunizing when you
were hitting the snooze button.

I'm upset because I don't understand
how you could send a surgical-

I asked if I should send him
for a CT. You said, "Go ahead. "

- I assumed he was stable.
- No, I asked for your call.

You weren't listening.
You were distracted.

You were looking for Susan,
worried that she'd left. I understand.

But don't yell at me now.

Hey, Mark? Grab your coat. Let's go talk.

- Admin actually listened?
- So no more floating?

You laid down the law.

They won't be sending any of you
to Neuro or the wards anymore.

They're gonna limit our floats to ICU.

- How is that any better?
- Similar nursing skills.

We have to get it in our contract.

- Only way they'll respect us.
- Honey, they'll never respect us.

Dr. Weaver is wondering
where all the nurses are.

I don't think it's so bad floating to ICU.

- I'm not going.
- They won't send you.

You're not close enough
to your 20 years.

I know it's a compromise,
but it's better than what was happening.

Careful, Carol, you sound
an awful lot like management.

- I didn't even say goodbye.
- That's not what you need to tell her.

- It's too late now.
- When does her train leave?

4:20.

It's less than an hour.
They're usually late.

- Probably had to go home to get luggage.
- I'm on till 11.

- I should just go?
- You could.

No, no. It's impossible. She's getting
on a train. She's made up her mind.

It may be, but that's not the point.

- So, what would I say now?
- Say what you've wanted to say for years.

You'd tell her how you feel.

Or you can let her go without a word
and regret it for the rest of your life...

...and make yourself and everybody
else around you miserable...

...like you have today.

You're right.

- Wait. Can you tell Kerry-?
- Yeah, go, go, go!

This is great. Oh, my goodness!

- Is this where you operate on them?
- No, no. We just stabilize them here.

- Then we send them upstairs to the O.R.
- Speaking of upstairs.

- Nice meeting you, Carla.
- Yes, thank you for showing me around.

- What's in here?
- It's just the Suture Room.

Oh, really? What goes on in here?

We just take patients
down here if we need to-

You're gonna mess up
my reputation around here.

I've been wanting to do that
since I came into this place.

- Oh, yeah?
- Yeah.

Well, I'm sorry I gotta work late.

Well, there's late and...

...there's later.

Taxi!

Pull up.

Susan?

- Susan, are you here?
- Dr. Greene. You just missed her.

- She left you a note.
- Where?

On the mantel.

- Is that clock right, Sister?
- Oh, yes.

I must be slow. I got a friend
trying to catch a train.

Sister Anne, try to get them to share.

Sorry, we haven't had a Lopez all month.

- It's a mother and an infant.
- Yes, I know, doctor. I'm sorry.

You could leave a note on the board.

Go! Go! Go, man!

Southwest train.

Track 10.

Looking for the chief, sir?
She got moved. Track 6.

Susan!

Susan!

Susan!

Susan! Susan!

- All aboard!
- Susan!

Mark. Are you okay?

- You came to say goodbye?
- No. Stay.

I want you to stay.

- But, Mark-
- I love you.

And I'm stupid
for not saying it before.

No. It's okay. I knew.

- In a way, I knew.
- All aboard!

Stay. We belong together.

Tell me you don't feel the same.

I'm sorry.

Train's leaving, ma'am.

- We're right together.
- Mark...

...you are my best friend. I don't
know how I'll make it without you.

- Don't go.
- I have to.

I don't belong here anymore. I have a new
life. It's going in a different direction.

Susan, I don't wanna lose you.

- Ma'am, we're leaving.
- I'll never forget you.

- I do love you.
- What?

I love you!

Bye.