All language subtitles for ER - 04x16 - My Brothers Keeper.720p.WEB-DL.AAC.2.0.h.264-TjHD

ER

Previously on ER...

John, what are you doing here?

You asked me to help.

You don't want your parents
to find out about the heroin.

I'm- I'm not!

You need a research grant to cover
your salary before the end of the year...

...or look for a private practice.

I'm going to talk to her.

I know that I make him happy.
I know I do. I can tell.

He just keeps giving me
these mixed signals.

I'm like a magnet for needy people.
It's like they find me wherever I go.

Like I did?

- You really don't need to leave.
- Yeah, I really do.

"My Brother's Keeper"

You've been up all night?

Just finishing.
Thanks, buddy. You saved me.

How many pots of coffee
did you burn through?

You should update.
This word processor's archaic.

Nothing like waiting
till the last minute.

Nice patch.

Yeah. Well, gum wasn't working.

Don't laugh. I haven't had
a cigarette for 56 hours.

When is this thing?

- What?
- Your presentation.

- Are you going somewhere?
- Yeah, to work.

- What about the luggage?
- Cynthia's. The airline screwed up.

- Does she know you have it?
- She must.

Why are you hanging on to it?

Well, you know,
she quit before I got back.

If you don't wanna see her,
you take it to work.

She picks it up.
You don't force her to come here.

Unless you do wanna see her.

You're right.

I just didn't know
she was gonna take it so hard.

Cynthia?

Cynthia, it's Mark.

Hello?

Moving on. Leason.

46-year-old female,
acute onset urticaria and wheezing.

Possible reaction to Naprosyn
she takes for rheumatoid arthritis.

- Did you check her platelets?
- No thrombocytopenia.

Jerry, a guy from Kinko's
is gonna drop some stuff off.

Want a July issue of Parents?

- Does that sound right?
- Sounds good.

Did you get my memo
reinstating formal rounds?

- Can't have too many rounds.
- Like to join us?

It's for Attending. Watch that
Naprosyn, it's got a long half-life.

- Can anyone take a transfer call?
- Sure.

Okay, Meyer.

68-year-old male kicked off a plane
because he smelled bad.

He had a cough and nowhere to go,
so he's here. Sorry, Carter.

- Keep going.
- Matthews. Little old lady...

Nervous?

Don't you present
your PCA research today?

Yes, I do.

I read it.
You make some persuasive arguments.

I have questions about the methodology.
You could run into trouble.

- Too late, isn't it?
- You could postpone.

I thought I was persuasive.

You were. You convinced me PCA works,
but you need to prove it.

- I did.
- Sorry I'm late.

- Your control group has a bias.
- What took you so long?

- Construction on South Shore.
- What?

- Did I miss rounds?
- In progress. Could you take over?

Sure. Anything interesting?

Doug, seizing 5-year-old coming in.
Code 3. Suspected poisoning.

- ETA?
- Right now.

We can talk about this later.

It's all right.
You made your point.

- I was worried.
- Took longer than I thought.

- You finish?
- Yep.

Adrian Reynolds, 6. Found seizing
by mom near basement sink.

Two seizures 3 minutes long.
Total of 5.

Trauma 2!

- Hey, Doug. You need a hand?
- Yep.

Yeah, all right. Send him over.
Dr. Del Amico.

- I can get this.
- No, that's okay. I'm fine.

- Yeah. Well, we're here to serve.
- Where are we?

Guy needs an enema in 3.
I'm out of here. See you in 12 hours.

- I'll have something for you.
- I bet.

That was easy.

Mr. Kyle's back.
End-stage lung cancer, Exam 2.

Carol said to give him to you.

Haven't you heard?
Dr. Greene kicked the habit.

Be right there, Lily.

You're still smoke-free?

- You got a lot of charts.
- Guess I'd better get started.

- Jerry, what is all this?
- A little spring cleaning.

Well, it's still winter.

Did Cynthia leave
a forwarding address?

- Not that I know of. Why?
- I've just got some of her stuff.

That's always awkward, isn't it?

- What's the extension for Personnel?
- They wouldn't know.

- She came in and picked up her check.
- When?

A couple days ago.

Look at that. Twinkies.

- You're not gonna eat that?
- They have a shelf life of 7 years.

1993. I'm in the zone.

Jerry, call Poison Control. Patch it
through to Trauma 2 now, okay?

Sure.

- Pupils are dilated.
- He's bradycardic. Pulse ox, 90.

He's hot. Temp's 103.

- Any vomiting?
- Yeah.

- BP's 70 palp.
- Doesn't make sense.

- Glucose, 110.
- No history of epilepsy?

- I didn't ask.
- He's seizing.

Let's give him one mg of Ativan.

- No idea what he took?
- It was in this soda can.

Let's see that.

It ain't soda.

CBC, lytes, tox screen,
give me a blood gas, blood alcohol.

Get that can to the lab.
Where's his parents?

Right behind us. They're bringing
anything that could be toxic.

- Pulse, 45.
- .5 of atropine.

- Lavage?
- Not if it's alkali, acid or petroleum.

What did he take?!

I took anthropology
as an undergraduate.

Cro-Magnon man is considered
a modern Homo sapien, just like you.

Thank you very much.

I didn't say he was as good-looking.

Let's bet on it. Loser buys lunch.

- If you wanna take me to lunch-
- If it isn't Lucy and Ricky.

You read today's Sun-Times?
There's a feature on our Lizzie.

I've got a lapcholy.

"Risking her own life,
the resourceful surgeon refused...

...to abandon Leipzinger in the rubble.

The doctor's and patient's fate
were now one. "

Not exactly.
You don't have a prosthetic.

- I read the article.
- I bet.

Not a very good picture
of you, though.

We can't all have
your devastating good looks.

"Despite her heroic efforts, County
surgeons were unable to save the arm. "

- At least they didn't mention my name.
- It was an oversight, I'm sure.

Be sure you tell Larry King
you only fly first-class.

I almost forgot.
Your six-month review.

I wish it could be
as glowing as the article.

- How is he?
- Is this from the house?

A soda can.
What do you keep in it?

- Nothing. Soda.
- Oh, boy.

BP's 70/40. Resps, 32 and shallow.

- What is all this?
- Photography supplies.

Thinners. I don't know
how he got into it.

We need to know what he swallowed.

- Can't you tell?
- He has conflicting symptoms.

- Treat him for everything.
- It could kill him.

Did you approve a transfer from
Bellarmin? Motorcycle accident?

A head injury. John Doe, no ID.

Can't the poison kill him?

- Can't the poison kill him?
- Yes, it can.

BP's 85/50. Pulse, 50.
Resps, 12.

- What's wrong?
- He's unresponsive. GCS, 7.

- Did he decompensate en route?
- We picked him up this way.

They said it was concussion syndrome.
Brief LOC. Stable vitals.

- No CT?
- They said it was down.

- Uninsured. Just needed observation.
- What, they lied to me?

- Get a CT.
- Pulse ox is falling.

I can't believe they did this.

Should we control an airway?

I knew it was a dump,
but this is gross negligence.

Yeah. Sorry.

Two of Versed, 150 sux
and 10 of Pavulon.

- A 7.5 ET tube.
- Got it.

Once we get you cleaned up,
they'll let you back on.

It's not right. I sold all
my stuff to buy that ticket.

Yeah? Where were you going?

Am going. I am going.

San Francisco.

That sounds urgent.

I'm gonna get a chest x-ray,
check out that cough.

My daughter's there.

I was hoping I could live
with her for a while.

Maybe she could wire you money.

I don't have her phone number.

- You know where she lives?
- In San Francisco.

I mean, do you have an address?

Why do you care?

I don't want you stranded
in San Francisco.

That's my problem.

I'll meet you in CT.
Call me when Neurosurgery gets there.

Come on, Adrian. Can you hear me?

- What happened?
- He's waking up.

- Did you find the poison?
- No.

Listen to me. I'm Dr. Ross.
You're in a hospital.

You gotta tell us what you took.

You need to tell them what you drank.

- I don't know.
- Listen, buddy. Adrian.

Stay with us. Come on.
What was in the can?

- Eric gave it to me.
- Eric? Who's Eric?

Eric!

He's having a seizure.
How many is that?

- His fourth.
- They'll fry his brain.

- Phenobarb?
- Keith, stop!

- Doug?
- Tube him.

- Don't!
- What did you give him?

Get Security.

Tell me what you said to him,
you little bastard!

Tell me what you gave him
or I'll make you sorry you were born.

- He poisoned my son!
- This doesn't help.

He's right, Keith. Come on.

- Get back here, Eric!
- I got him.

Eric?

Eric? Hey, Eric?

Buddy. Hey, Eric.

Go away.

- Listen, I'm Dr. Ross.
- So?

You and I have to talk
and we don't have a lot of time.

I'm not afraid of you.

It's just you and me here.

Your dad isn't here.

- He's not my dad.
- Okay.

Your brother is very sick.

- Half-brother.
- Your half-brother.

He'll die if you don't tell us what
you gave him. Is that what you want?

- Hey, come on.
- I don't care.

I think you do. I think you care.
Eric, come on. Buddy.

Come on out. Buddy, come on out.
I gotta talk to you. Come on out.

Hey, there. Come here, come here.

Listen to me.

What is it?

Your stepfather did that to you?

- He's gonna kill me.
- No, he's not.

This black bottle, print developer?

- He mixed developer with insecticide.
- Cyanide.

- I got the kit.
- Where's Eric?

He's all right. Start with inhalation.
Amyl nitrate perle.

- Then sodium nitrate at 3% solution.
- Is he gonna be all right?

Wait 15 minutes and then 30 cc's,
25% sodium thiosulfate.

What is wrong?
Why won't you tell us?

We're gonna take care
of both of your kids.

No way. I already washed him
when he first came in.

What, with soap?

I gave him the bar.
The rest was his business.

Can you also try adjoining cities? It's
supposed to be on Bellflower Avenue.

If I don't get him clean,
he's not getting on the plane.

- You know where the showers are.
- Dr. Greene?

Carol.

- Malik.
- See if you can get him clean clothes.

- Don't push it.
- Hey, Dr. Greene?

It's not trauma.

He's got a subarachnoid bleed,
shouldn't have been transferred.

- What did Neurosurgery say?
- I'm waiting.

Grab them and get them down here.
Find out what happened.

I'm already on it.

How are you feeling? Better?

Steroids always seem to help.

Can you lean forward?

Take a breath.

Again.

I think I need
a little more theophylline.

I'll check the level.

We'll need a repeat chest film.

What for? To see the same ugly spots?

I think the effusion,
secondary to your cancer, is back.

If that's the case,
we'll need to tap you.

You mean stick a needle
in my chest again?

It'll make you feel better.

No, thanks.

I think we'll have
to admit you this time.

If you were dying, would you wanna
spend the rest of your life here?

You could go into respiratory failure.

Take me home, Rose.

I don't know, honey.
Maybe we should listen to him.

Rose, take me home, please?

Your blood oxygen level is very low.

I'd like to put you
on a monitor for a while.

Trust me, doc.
This is as good as I get.

There you are. All ready
for this carotid endarterectomy?

Apparently, you don't think so.

You've had a chance
to review your evaluation.

I thought I was generous.

I'd hate to catch you
on one of your parsimonious days.

Let me make something clear.
I'm your biggest fan.

If I didn't think you showed potential,
I wouldn't sponsor you.

Then what's the problem?

- Frankly, you're distracted.
- Distracted?

You came to study trauma surgery.

Lately, you're more interested
in vocal cords and paramedics.

I see. I suppose
I should refocus my energies.

Exactly. I'm starting a new study...

...on the use of HemoAid
in vascular procedures.

It's the artificial blood.

Thought you'd like in.
We could do a paper together.

The ER at Bellarmin as much
as admitted he was a dump.

Couldn't get
the neurosurgeon to come in.

- What's his name?
- Zaccarria. You know him?

He has privileges here.

- It's a blown aneurysm all right.
- Yeah.

Jerk probably heard "uninsured John
Doe" and went to his country club-

He doesn't want to open himself up
to malpractice without getting paid.

It's against the law
and the Hippocratic oath.

It won't help much now. He's got
bifrontal intraparenchymal edema.

I'll put in an ICP monitor
and manage him expectantly.

That's it?

Continue the mannitol,
keep his head elevated.

Maintain hyperventilation and wait.

- For him to die.
- Basically.

Were his chances better
before the transfer?

It's hard to say.
You don't know when the aneurysm blew.

There's no surgical option?

The only thing you could try
is a partial frontal lobectomy.

The chances that
that would affect outcome are remote.

- So do it.
- I can't make that call.

- Who can?
- Well, Dr. Mack. She's in surgery.

Hey, time to reset the clock.

- Yeah.
- At least take off the patch.

I did. What are you doing?

Well, the copy place swears that
they sent the order over here.

The presentation?

- Jerry says he never saw it.
- He was throwing a bunch of stuff out.

I knew it!

- You kept the original?
- No.

Can you help me
or are you out of breath?

How's that poison kid?

He's gonna make it.
Medically he's fine.

Sometimes working with kids is great,
but sometimes it really sucks.

Hold on. Under that crate.
Under that crate. What's that?

Look at that. What is that?
Do they throw bio-hazard out here?

It's probably just somebody's pudding.

Why were you so late this morning?

I stopped by to check on Cynthia,
see if she's all right.

Yeah? Is she?

I don't know. She moved.

Victoria's Secret catalog, huh?

Look at the label. Lily. Lily!

I feel bad, you know?

I don't think it was fair.
I was pretty selfish.

I know all about being selfish.

What was really wrong with her?
She was, you know, funny, supportive-

- Good-looking.
- Yeah. She was great in bed.

She was nice to me, which was
different from most women in my life.

- Give her a call.
- She's unlisted.

There it is. I'm gonna kill him.
Hold on to that.

Jerry!

- Think he'll make chief of staff?
- It's just to get closer to Carrie.

Yeah. Then she'll console him,
and then they'll get it on.

I don't know about that.
She's in love with Austin.

- This month.
- Wait. Here, it's back on.

This is what I hate.
Here's Marlena in the hospital.

She's all made up, high heels.
Nobody's that gorgeous all the time.

You're prettier than she is.

That's the nicest thing
anybody's said all year.

Don't get a big head.

Yeah, yeah, yeah. You're all done.
Last round of chemo. Congrats.

Next week we can go to a movie
instead of filling me with nuke juice.

- That sounds fun.
- What do you wanna see?

What movie?

I don't know what my schedule is.
I'm working in the ER. I'm done-

- Working for my dad.
- You're done.

- You don't need me anymore.
- Don't need you now.

You do your thing.
I'll go get your meds.

Dr. Ross. Mary Jo Reynolds.
Thank you for saving my son.

Talk to the people upstairs.
They won't let Keith-

We are concerned
for the children's safety.

That's why he wants-

Both your boys are to be placed
in protective custody...

...until the Dept. of Children
and Family Services investigates.

It was an accident.
Eric didn't mean to hurt Adrian.

This is Eric's way of hitting back.

Hitting back? Nobody hits Eric.

That's for the DCFS to determine.

No one needs to determine it.
It's the truth.

You don't understand.
Eric's out of control.

He has terrible tantrums.
He throws and kicks things. He lies.

He kicks his teachers.

Keith has to be strict
to keep him in line.

Strict? Burning cigarettes
into his arm? That's strict?

Eric did that to himself.

You can't keep our boys from us!

- Keith's not gonna like this at all!
- He'll get over it.

I'd avoid the men's bathroom
if I were you.

- Who's got the kidney stone in 1?
- I do.

He doesn't have money.
I'm worried about his mental health.

- All right. Syncope in 3.
- Yeah, yeah.

Stick your head in the OR
and find out how long she'll be.

The resident checked him.

Six ODs coming in. Five minutes out.

Paramedics said the site
looked like Jonestown.

Call Kerry.
We'll meet them outside.

I know it's unlisted, but listen...

...she's his only daughter.
He needs a place to go.

Your guy passed his stone.

Thank you.

Don't go far.
We got multi-ODs coming in.

This is Dr. Mark Greene
from the ER at County General.

I have an older gentleman here
who has no place to go.

His daughter is in the area
but he doesn't have a number on her.

He says it's unlisted.
Could you help me?

What's the name?

Hooper. Cynthia Hooper.

Okay, I've got your...

Scottie?

Do you know where Scott went?

He went home about 10 minutes ago.
I thought you were with him.

Thanks.

Respiratory arrest. We intubated.
Pulse, 126. BP's 30/60.

- What happened?
- Bad heroin, 3 in respiratory arrest.

Roommate said they wanted to try a new
mix after it killed guys in Detroit.

- Talk about a death wish!
- Not today.

Another two of Narcan.
Prep a dopamine drip. On my count.

- John! John!
- Yeah?

- Come here!
- Go ahead. I got it.

- What?
- It's Chase.

- You know him?
- It's his cousin.

How long's he been down?

I found him in respiratory arrest
20 minutes ago.

- Asystole!
- I got it. Where are we?

Epi times 2, 2 mgs atropine,
2 of Narcan and an amp of D-50.

Unresponsive to all.

Accucheck the glucose. Get blood gas,
CBC, lytes, tox screen, chest film.

I'll get the gas.

Don't do this, Chase.
Damn you, don't do this.

It looks like he aspirated.

Amp of bicarb.
High-dose epi, 7 mgs.

- Seven?
- Yes, seven. Now.

Take over for me.

Get a transthoracic pacemaker.

Blood gas: PO, 250,
PCO, 265, pH 6.9.

All right, come on.

- He's been down a long time.
- Let's roll him.

It's not capturing.
Turn up the gain.

Severe hypoxia.

- Crank it all the way!
- It is.

He's probably brain-dead.

Come on. Come on.

It might be PEA.

- No. That's capturing.
- There's a carotid pulse.

Start a dopamine drip, 10 mgs
per kilo. Where's the vent?

- I got a BP, 40 palp.
- How long was that?

- I'm calling Respiratory.
- How long?

40 minutes. I don't know how long
he was down before I got there.

Tell the MICU we're on our way.
We need an EEG and a brain scan.

So where are you taking me?

Somewhere cheap.
You won on a technicality.

That statue looked like a caveman.

Really? It reminded me of Romano.

That super-orbital torus,
that prognathic jaw.

So much for evolution.

- A retrogression.
- Don't let him get to you.

Easy for you to say.
You're not a kept woman.

I need his sponsorship
to stay in the U.S.

He's trying to rattle you.

If he gives you valid criticism,
then compensate. Overcompensate.

And the study?

- Well, do you have a choice?
- Peter!

His name will come first.

Hey, Jackie.
What are you doing here?

Arranging a natural history exhibit
for Humboldt Park.

What are you doing here?

I'm settling a bet.

This is my colleague, Elizabeth.
This is my sister Jackie.

How do you do?

- Very well. And you?
- Great.

Elizabeth's from England.
I was showing her around.

Oh, lucky you.

Peter's not usually
so generous with his time.

Yeah. Well, you know...

It's important that
we support our colleagues.

Of course.

Yes. We support each other
quite often.

You've reached the Hooper residence.

I can't take your call right now,
but please leave a message. Thanks.

Hey. You wanted to see me?

Yeah. A 4-year-old came in wheezing.

Did you get the EEG?

Slow diffuse activity.

- You think I pushed too far?
- No.

- I'd have done the same thing.
- I should've gotten him into detox.

If he didn't want to,
it wouldn't work.

You helped him the only way
he'd let himself be helped.

- A lot of good it did.
- Did you call your family?

His folks are in Singapore.

My grandparents are on their way.

That's probably my neurosurgeon.

You'll be okay?

Yeah. Sure.

Impending respiratory failure.
BP's 90 palp. Resps, 40.

O2's at 10 liters.
He fought us all the way.

Trauma 1.

He didn't wanna come,
but I've never seen him this bad.

- You did the right thing.
- Pulse ox down to 88.

We started an IV.
He wouldn't let us intubate.

Okay. Mr. Kyle, we're gonna
take care of you.

We're gonna get a chest x-ray.
We'll probably have to do that tap.

Will he be here long?
I promised he wouldn't have to stay.

I'm afraid we'll have
to admit him this time.

All right. On my count.

- Can I help you?
- Are you his doctor?

Do you know him?

I'm his son. What happened?
How did he get here?

We're not exactly sure.
We don't even know his name.

Tom. Tom Dibble.

- How did you find...?
- Cops. They had his motorcycle.

They sent me to the wrong hospital.

- The other hospital sent him here.
- Why? What's wrong with him?

He had a brain hemorrhage.

- He wasn't wearing his helmet?
- Not from the trauma.

He had an aneurysm. A vessel ruptured.
It probably caused the crash.

What do you do to fix it?

We're trying to relieve the
intracranial pressure with medication.

But it's not working?

I'm waiting for Neurosurgery
to take a look.

They can operate?

There's a slim chance that a partial
frontal lobectomy might work.

And if it doesn't?

He'll die?

He might.

That's a mess.

End-stage lung cancer.

- He's still alive?
- If you call it living.

- He's a smoker, right?
- Yeah.

Shouldn't you be at a podium?

- You present today?
- Let's go.

She's going? You use my computer,
you don't tell me, but she gets to go?

Someone has to hold cue cards.

- Can somebody see this colicky baby?
- I'll take that.

No, no, I will.
I wouldn't want you to be late.

- Call me if you need a second opinion.
- I can handle it.

Is Scott upstairs?

In the bathroom.

Jeanie! Jeanie, come look!
I made a fort in my room!

I want to check on your brother.

- He wants us to leave him alone.
- I know.

Get your sticker book
and I'll meet you there.

Scott?

Scottie.

Forgot your Zofran.

Where's your IV?

- It's empty. I took it out.
- By yourself?

I saw you do it a hundred times.

You took off on me.

Ask my dad.
He'll pay your cab fare.

Your dad paid me to help you
through your chemo...

...but we don't have
to stop being friends.

I have friends.
I don't need any more.

That sucks.

Why?

I need all the friends I can get.

So how about Saturday?

How about it?

I can't go Friday,
but I can Saturday.

Unless you're too cool.

You are pretty sorry.

Speak for yourself, Captain Baldy.

Next month my hair will grow back
and you'll still be sorry.

Just for that, I get to pick the movie.

No way. No chick flicks.

Oh, right, Mr. Days of Our Lives.

I can't believe it. She's quiet.

I'll give you a fact sheet on colic.

Let me stay until her next feeding
so you can see how bad she gets.

No problem. I'll check her
in a little while.

Chuny, tell Mark I'm going over
to the med school for a half an hour.

Hey, who called the Grim Reaper?

What are you doing down here?

I heard his family came in.

We're not ready to talk
about organ donation.

I just came down to do an apnea test,
see how close he was.

He's not brain-dead.

Neurosurgery said
it's a matter of time.

- I don't care what they said.
- Dr. Del Amico?

Yeah. Hold on.
I haven't given up on him yet.

What was that thing you
said they could try?

- A partial frontal lobectomy.
- No.

I'm sorry.
There's nothing more we can do.

- Your resident said it was possible.
- He shouldn't have.

It's worth a shot. He's a Teamster.
He's got great insurance.

That isn't it. It's just that
surgery isn't warranted in this case.

He might die if you don't.

I'm afraid he will die,
no matter what.

I want a second opinion.
You say one thing, she says another.

I'm the chief neurosurgeon. You'll
have to get it from another hospital.

- I want all of his records.
- Sure.

I'm really very sorry.
I wish I could help.

Excuse me for a second.

Pardon me, Dr. Mack.
I don't understand. He's right.

If the patient's gonna die,
why not at least try?

There's no indication for one.

Isn't it worth the effort?

We don't perform brain surgery
for the heck of it.

I understand that. But someone needs
to take a risk and try to help him.

Bellarmin dumped him.
We wanna harvest his organs.

He deserves a chance,
no matter how remote.

There is no chance. I appreciate
that you wanna do something...

...but know what you're talking about
before you play on someone's hope.

That kid's already lost his father.

The heroin depressed his respiratory
center, which led to cardiac arrest.

We got his heart going again...

...but everything indicates
his brain was deprived of oxygen...

...for a significant time.

But you don't know for sure.

No. His pupils are reactive.
He withdraws from painful stimuli...

...but his brainwave activity
is slow and diffuse.

- Speak English, son.
- He has probable brain damage.

- What's "probable"?
- Can't be quantified.

It could run from memory impairment...

...to a chronic vegetative state.

Did you know about this?

- The drug use?
- Yes, drug use!

Oh, John.

- Did you think to do anything?
- I helped him detox.

Where? Here?

No, his apartment.

His apartment?

What kind of medicine do you practice?

There are centers that take care
of this sort of thing.

He didn't want it that way.

- It was not your decision, John.
- No. No. It was his.

It should've been ours!
He's on heroin, for God's sake!

He had no ability to apply
good judgment, but you should have.

Called your family!
We could have handled it!

I'm sorry.

I'll call Dr. Levy.
We'll get him out of here.

Only one child reached
the lockout dose-

But for example, your sickle cell
patient with the infarcted spleen...

...you advocate letting them blunt
their pain and mask symptoms?

If you had a surgical belly,
then there would still be other signs.

But still, pain is
an important diagnostic indicator.

We're talking about kids.
You'd say "suck it up"?

- I guess I'm from the old school.
- I think that's probably true.

Thank you, Dr. Ross.
It was all quite thought-provoking.

Excellent work. That's it, everybody-

Actually, Don,
I had a question for Dr. Ross...

...regarding the randomization
of his control group.

Sure, Kerry.

Dr. Greene, a minute?

You've been here for six months.
Call me Mark.

Mark, I know this sounds
rather morbid...

...but I haven't had as much
trauma experience as I had hoped.

I was wondering if you might
be able to advise me on the times...

...that a surgeon might sign up
for ER coverage.

I hope you don't mind
nights and weekends.

No. That's what
I'd presumed, actually.

The gunshot wounds and knife wounds
taper off in the winter...

...but spring's just around the corner.

Dr. Greene, we need you in Trauma 1.

- What is it?
- Lung cancer patient's coding.

- What happened?
- I found him like this.

- No pulse.
- Let's get him on the gurney.

- Why was he out of bed?
- Where's this blood from?

- He probably hit his head.
- Bag him.

- Asystole.
- A mg of atropine, an amp of epi.

- This looks like an exit wound.
- What?

Here's the entrance.
This is a gunshot wound.

- Somebody shot him?
- Where's the wife?

- Call Security.
- Wait, wait.

Dude capped himself.

- Why?
- End-stage lung cancer. It's awful.

Does suicide count as a DNR?

Time of death, 17:05.

I'll try and find his wife.

Where's Gramps?

You called him away from a union
negotiation. He'll have a strike...

...starting at midnight
if he doesn't settle it.

I'm heading uptown to this
Kenner Neurology Institute.

Chase needs to be stable
before he can be moved.

His blood pressure's supported
by intravenous medications...

...and he's having arrhythmia.

I've spoken to the internist.
I don't need you to explain.

I'm sorry. If I could go back
and change this, I would.

I assumed if he really
needed help, he'd ask.

He did. He asked me.

Did he tell you what made him start?

I don't know.
Maybe he just felt overwhelmed.

I've never understood that
about your generation...

...or your parents' for that matter.

In our day, we embraced our
responsibilities. They defined us.

I don't blame you for this, John.
But I know you blame us.

- No, I don't.
- Yes, you do.

All your lives you've been indulged
and considered it oppression.

You look after him tonight.

Good. I'll be back in the morning.

There are areas where my knowledge
and my experience exceed yours.

You should have consulted with me.

- You should have consulted me!
- What's going on?

She was about to release
a 2-week-old baby with sepsis.

- Her temp was slightly below normal.
- You made a mistake.

Yeah, but that's not
what this is about!

It's not about you.
It's about me. I'm the screw-up.

- What's the problem?
- He has to redo his study...

...after I found
a flaw in his research.

First, there was no flaw.
Second, you ambushed me.

I tried to talk to you
and you blew me off.

You left a sick kid here to undercut
me in front of the Pediatrics staff.

I cannot allow you
to push the use of PCA...

...when the research
doesn't support it.

- You are the self-appointed authority?
- If I have to be!

You didn't help.
You almost killed a kid.

- Screw you, Doug.
- Okay. Both of you calm down!

- Is the baby all right?
- Fine. I gave her antibiotics.

That's what's important.

From now on, a pediatrician
is consulted in all Pedes cases.

- I am capable of treating children.
- Apparently not.

I know you're angry, but she's right.

Emergency physicians are
fully qualified to handle-

Hey, hey, hey! Guys!
What are you doing?

- Can you wait over there?
- What are you doing?

- We have to transfer him to Evanston.
- Why?

He's too much to handle.
He can't control his rage.

Didn't you see the burns on his arm?

They may have been self-inflicted.

So you're committing him?

He tried to kill his brother,
and he has no signs of remorse.

Did he show any to you?

No, I...

Look, you might need to testify.
I'll let you know.

You okay?

How'd it go today?

Fun, fun, fun.

- Are we gonna do rounds?
- Beats me.

The organ donation coordinator
is coming down to talk to you.

Forget it.
He's getting the operation.

Listen, Alex...

...when your father first came in...

...I was frustrated, you know?

I wanted to help.

I pushed really hard to find anything
that might save his life.

Unfortunately,
I was overly optimistic...

...about his chances for survival.

There is no operation.

That was one doctor's opinion.

I got a surgeon at Bellarmin
to do the lobectomy.

Bellarmin?

All set. I've booked an OR.

Who are you?

David Zaccarria.
Is this the ER intern?

I'm the doctor who treated
this patient after you dumped him.

I didn't dump Mr. Dibble.

No. You dumped a John Doe.

Bellarmin paged you. Aneurysm,
no insurance, no interest from you.

We don't have time for this.
I have to get him to the OR.

- Hey, he's still my patient.
- Not anymore.

- Does Dr. Mack know about this?
- He has privileges.

I'm sorry.

Hello?

Hello? Mark.

Hi. Is this a bad time?

- What are you doing here?
- I got your luggage.

Oh, right. Sure. Hold on.

How did you find me?

- Can I come in?
- Oh, sure. Of course.

You can put them right there.

Thank you. I was wondering
how I was gonna get those back.

So how are you?

I'm, you know, good.

Same old stuff.

What about your mom?

Better some days.

How about you?

I'm okay.

It's a nice place.

I got a new job. Administrative
assistant for a law firm.

That's great.

Yeah.

I was surprised when I came back
and you weren't working at the ER.

Well, I thought I needed to...

I needed a fresh start. I couldn't
really do that with you there.

Guess not.

Mom?

Oh, Jason, honey.
What are you doing up?

I'm thirsty.

I'll get you some water,
then you've got to go back to bed.

This is my friend, Dr. Greene.

Hi, Jason.

Here you go.

Jump in there, sweetie.

Sleep well.

- You got him back.
- Yeah.

- Good for you.
- Thanks.

I didn't just come here
to give you your luggage back.

- I made a big mistake.
- You don't need to apologize.

No. No.

I went after you. I was a big girl,
and I knew what I was doing.

No. I think I made a big mistake.

I mean, we were great together.

Mark, you don't love me.

- I deserve better.
- You do.

- I could-
- No.

You can't.

I'll miss you.

Me too.

Goodbye, Mark.

Hey, I'll do that.