All language subtitles for ER.S06E17.1080p.WEB.H264-HOTLiPS-NHI

Discharged the rule‐out MI,
last enzymes were normal

and, uh, admitted
the pneumonia to medicine.

‐ Sounds good.
‐ Morning, ladies.

I understand we have
a double trauma coming in.

Thought you could use some help.

Yeah, just two minors, Robert,
we can handle it.

Well, while I'm flipping burgers

might as well flip these two.

‐ Excuse me?
‐ Ray Kroc, started McDonald's.

Once a year he'd get
behind the counter

make the shakes, fry the fries.

You know,
get back in the trenches

where the little people work.

Ah, so today you're working
in the trenches.

With us, the little people.

I wanna make sure
the ship is shipshape.

You started it!

‐ Whoa, whoa! Hey! Cut it out!
‐ Hey!

Whoa, whoa, whoa!
Let's break this up.

‐ That is enough!
‐ Hey, hey, hey!

‐ Get away from me!
‐ That's enough!

Get your hands off of me,
you dumb‐ass punk!

‐ 'Malucci, get out of there!'
‐ Dumb‐ass punk?

‐ Randi, what's open?
‐ Curtain two.

‐ I'll sue your ass!
‐ Why don't you kiss my ass?

‐ 'Why did you ran into me?'
‐ You cut me off!

‐ That's crazy!
‐ That's enough! Both of you.

‐ Now, settle down, bud.
‐ Who you calling bud, huh?

‐ 'Hey, that's enough!'
‐ Get off me, man!

‐ You! That's who, bud.
‐ What the hell happened here?

‐ 'Road rage led to an MVA.'
‐ Which led to a fist fight.

‐ Get off me, man!
‐ Terry Waters, 46.

Multiple abrasions bad lac to
left forearm. BP's 120 over 80.

Randall James, 25,
also multiple abrasions

'head lac, BP 110 over 70.'

Chen, grab some soft restraints.

‐ I didn't start it.
‐ You tried to side‐swipe me.

Settle down, both of you.

'Okay, we need to treat you.'

Thanks for rear‐ending me,
you moron.

‐ That's it!
‐ Whoa! Hey!

‐ 'Call security!'
‐ Hold it! Hold it!

‐ You're the moron, okay?
‐ You son of a bitch!

Hey!

'Oh, my God!'

Ahh! Get him!

Down on the bed, Mr. Waters!

‐ Oh, man, this is nasty.
‐ Do something.

Hey, just settle down.
Settle down.

So, Robert, is this what you
mean by flipping burgers?

‐ Very funny.
‐ Seems to be under control.

'He's a freaking maniac!'

Maybe you don't need
any of the little people.

Thank you, Kerry. I'm sure
I can handle it from here.

Shall I just, you know,
maybe yank it out?

No, no, no. We've got to check
for damage to the facial nerve.

Not to mention damage to my pen.

I've been stabbed
and you're worried about a pen?

Oh, shut up.

Put it back on, dad.

'I don't need it.'

Makes me want to sneeze.

And I don't need you
waiting around.

I don't wanna worry
about you taking it off.

'Well, you better
get used to it'

because I've made up my mind.

I'm not going
to be doing my dying

in your cramped, thin‐walled,
second‐floor walk‐up.

Maybe we ought
to think about moving.

Stop, Mark.
You‐you know what I mean.

Even if I stay in Chicago,
I want to get my own place.

How's that gonna work?

Well, I'll..

...get somebody
to help if I need it.

No, you'll just ignore it

like you've been doing
for the last year.

‐ I know you, dad.
‐ No, you don't.

You‐you might know this disease

but you don't
know what I want.

You know, I don't wanna have
this conversation right now.

Then don't.

'Chest X‐ray is clear'

labs are normal,
hematocrit of 32.

Uh‐huh. What's my potassium?

4.2. It's fine.

Figured it would be.

Just had that
dialysis yesterday.

So, what is it,
a man or a woman?

I believe it's a man.

What happened to him?

I don't know.

Must have been
an accident, right?

'Isn't that usually the deal?'

Yeah, I think it was.
In Minneapolis.

Oh, yeah, they're flying
the kidney in from there.

Yeah, one of our surgeons

Dr. Corday has gone
to procure the organ.

Yeah, they put it in a cooler
and t‐that whole thing.

Man, I didn't ever think
I would make it

to the top of the list.

Yeah, you were lucky.

If I was lucky, I wouldn't need
the kidney to begin with.

‐ Yes, but seeing as you do.
‐ Yeah, yeah. I'm hungry.

I'm afraid you can't
eat or drink anything.

I've cleared
you for the surgery.

So, we just have to wait
till the kidney gets here.

I'm not going anywhere.

That kid really
was the one that started it

and then he rammed
into my damn car.

I know, dad,
you said that already.

Aw, damn it!

Uh, Mr. Waters, it's alright.

No, it's not alright.

‐ I hate being clumsy.
‐ Hey, it's no big deal.

Let's just finish
your sutures, huh?

No. You‐you need to hold still.

I think I know that, okay?

Dad.

I'm sorry. It's just, uh,
been a crappy day.

Listen, can I get‐get‐get
some more water?

Yeah, sure. I'll go.

I'm, uh, just gonna
hit the ladies' room.

I'll be right back, okay?

‐ What's going? Is he alright?
‐ Uh, well..

I think he's little upset
by what's happened.

I've never seen him
like this before.

Running into some car, and he‐he
stabbed somebody with a pen?

Has he always had a temper?

No, never, but this week

since I've been visiting,
he just seems off.

He loses his balance sometimes,
lashes out at people.

Has he ever had seizures
or bad headaches?

Not that I know of.
Is something wrong with him?

Well, I‐I wanna run some tests

and get a head CT,
then we'll know more.

Um, oh, ladies' room
is just down there.

‐ Thanks.
‐ Okay.

He's been taking codeine
for his back pain.

Now, he has increasing
abdominal pain

with a positive surgical
history for an appy.

I'm concerned
about a bowel obstruction.

Has my kidney gotten here yet?

I don't know. I'm sorry.

Well, I'm still hungry.
I could've eaten.

Good bowel sounds.

‐ Any fever?
‐ 'No.'

‐ Vomiting?
‐ Nope.

No guarding or rebound.

Did you get an abdominal series?

‐ Yeah. Just came back.
‐ Alright.

Excuse us for a minute, please.

Mmm.

Okay.

Nope. No obstruction,
just a lot of stool.

So he's constipated
from the codeine.

Mm‐hmm, I would have him
cut back on his pain meds

and give him a laxative.

Also...have the pharmacy..

...give him bisacodyl..

...ten migs a day.

Sorry. Thought it was serious.

Well...to him, it is.

She's had trouble breathing
for the past two days.

‐ Any fever?
‐ Yes.

Up to 102
with lots of secretions.

I suctioned her
but she got worse.

She was diagnosed
with Sanfilippo syndrome

when she was two.

‐ Here we go.
‐ She has a seizure disorder.

G‐tube, pic line.

She's on O2 at home
and BiPAP at night.

Can Angie talk?

Uh, no, she's severely retarded.

‐ Here we go. One, two, three.
‐ She recently lost her hearing.

She can't even feed herself.

What medications is she on?

Oh, lasix, albuterol,
robinul, valium

phenobarb, cisapride, bactrim.

Okay, she has rales bilaterally.
It's probably pneumonia.

She was in about a month ago
with pseudomonas.

Temp's 102.

You want me to culture
her pic line?

Yeah, order
a portable chest, CBC

lytes, sputum
and peripheral cultures.

Oh, the doctors usually
give her ceftaz

and mucomist when she comes
in with pneumonia.

‐ We'll do the same.
‐ Okay.

I'm gonna run back home

and get her
some dolls and things.

I‐I think it makes her
feel better.

'Don't worry, Mrs. Dwyer.
We'll take good care of her.

Oh, um, is it possible
to get a TV and a VCR?

'She loves to watch
"The Muppets."'

Sure. We'll bring one in.

Thank you.

‐ 'What have we got?'
‐ Eddie Bernero, 12.

Two days of flu.

His dad found him in
his bed this morning

barely responsive.

‐ Where's his dad?
‐ Coming in his own car.

BP 90 palp,
pulse 120, resps 28.

Not much response. Could be
encephalitis or meningitis.

‐ He's been in before.
‐ Then pull the old chart.

Dr. Finch,
the nurse signed us out.

Yeah, but you said I have to
take some kind of medicine.

Yeah, right. Go ahead.
I'll be right there.

Yosh, could you help them
transfer that boy?

Sure.

Is the Grunwald prescription
back from the pharmacy?

‐ Uh, yeah, it's right here.
‐ Okay, there you go.

Once a day
till the constipation resolves.

‐ He's all yours.
‐ Thanks, Pam.

Okay, let's get a CBC,
lytes and dip a urine.

He's tachy at 150.

Pressure's dropping, 70 palp.

He could be septic,
going into shock.

Mucous membranes
are as dry as a bone.

He's severely dehydrated.

Urine's positive
for glucose, no ketones.

Where's the old chart? Does this
kid have type two diabetes?

Uh, it says he was in here five
months ago for gastroenteritis.

‐ Do you have a blood glucose?
‐ Almost.

Okay, let's bolus him
with normal saline

10 cc's per kilogram.

Blood glucose is over 400.

What? Are you sure?

I checked it twice.

He's in a hyperosmolar coma.
Let's start another IV.

Regular insulin. Point one unit
per kilo per hour.

Let's get the bicarb
and potassium levels.

This kid's been sick
for a while.

What was his blood glucose
on his last admission?

They didn't do one.

You're kidding.
Did they dip a urine?

Nope, doesn't look like it.

Who the hell took care
of this kid?

Carter.

Well, page him.
Get him up here now.

Bloody flight took forever.

Unfortunately,
we have some time.

Had to rule out
the first recipient.

What? I thought you cleared him.

I did, but he developed
unstable angina.

He's not a surgical candidate.

‐ Have you talked to UNOS?
‐ Yes.

They have another Chicago
person on the list.

She's on her way.

Okay, well,
let's hope she gets here

while the kidney's still viable.

‐ Any family?
‐ Dad's on his way.

And we'll send him up,
also, recheck

his potassium and bicarb
levels in two hours.

Cleo, what's up?

Eddie Bernero, on his way
to the PICU, that's what.

Let me refresh your memory.

He was your patient
five months ago.

‐ Sorry. I don't remember him.
‐ Yeah, neither did I.

It took me a few minutes.
You called me in on the case.

Couch potato kid,
type two diabetes

father was having some kind
of insurance problem

so I guess you
doctored the chart.

What are you talking about?

He could've died of cerebral
edema or an infarction

because I rehydrated him
without knowing he had diabetes.

Hey, let me take a look
at the chart.

His electrolytes
were so out of whack

he could have died.

What the hell were you thinking?

Carter, your headache patient's
having a seizure.

Okay.

If anybody starts
asking questions

don't expect me to lie for you.

Hey, Carter. Nice hair.

Hey, can you get me
Eddie Bernero's chart?

‐ We just sent it up to PICU.
‐ I know.

I said just get it.

'Henry is so excited.'

Wouldn't you know
this would be the day

that he had to go to St. Louis?

‐ He's on his way back?
‐ Oh, yeah.

I think he could fly
under his own power.

Oh, I did hemodialysis
for four years

three time a week
but three years ago

I switched to CAPD.

How often are the infusions?

Uh, four times a day.

Henry says it's like getting
my oil changed.

‐ Mm‐hmm.
‐ A lot.

Yeah but it gives you
more freedom.

Oh, yeah, it is so great
not to have to go

into that hospital
every other day.

And with the transplant,
I'll be able to‐‐

Have you had any peritonitis?

Uh, a few times..

...but not for
at least six months.

Okay. Everything
looks good, Mrs. Bassett.

We'll wait for
your labs and then

get you up to the OR, huh?

‐ 'Thank you so much.'
‐ Yep.

I haven't had that much to do
with it but you're welcome.

‐ 'Mrs. Dwyer.'
‐ Angie, I'm back.

You're gonna be okay, sweetie.

Nurse Hathaway, explain
the situation?

Yes. You have to start
another IV.

Yes, we've been trying
but Angie is a very tough stick.

I know. She has a lot of
scarring from previous IV's.

Well, That's why
we thought it would be better

to put in a central line.

It's really the best way to give

her fluids and antibiotics.

‐ Yes, I understand.
‐ Great.

So, could you sign
this consent form?

Oh, I‐I can't do that.

Oh, Mrs. Dwyer,
it's a very safe procedure.

I'm not Angie's real mom.
I'm her foster mom.

She's been in our care
for almost four years.

We wanted to adopt but

we couldn't afford
the medical expenses.

'What about her birth parents?'

'Well, they abandoned her.'

Um, she has a legal guardian

through, uh, DCFS.

Okay, Carol, see if you can

track down Adele Neuman.

Isn't there anything else
you can do?

We will keep trying
for another IV, alright?

Okay, sweetie, here we go.

Mr. Bernero.

Dr. Carter, right?

‐ How's he doing, Kit?
‐ Much better.

Blood glucose is down to 380.

How are his lytes?

Potassium's normalizing.

He'll be here a couple of days

but I think
he's out of the woods.

Do you have a minute?

Of course.

What happened, Mr. Bernero?

Well, uh, Eddie's
getting more exercise

and, uh, we're working
on the diet issues.

What happened, Mr. Bernero?

You understood
I had an insurance problem.

You understood
that your son had

a very serious condition.

Yeah, I cut you some slack

but you agreed
to monitor his food

his exercise and his medication.

You know how kids are.

Yeah, which is why
they have parents

to be responsible for them.

The insurance thing
is all worked out, alright?

E‐Eddie's completely covered.

At what expense? His life?

You know, he almost died
this morning.

You never led me to believe
it could get this bad.

Eddie's been doing just fine

and then suddenly,
this morning..

Oh, great.

Great, so you've got
no culpability here at all.

‐ 'Is that right, Mr. Bernero?'
‐ You were his doctor.

You thought he'd get through
a few months with no problems.

I remember,
that's what you said.

Now, if you didn't know
this could happen..

...how am I supposed to?

No, this is not an emergency

but the child
is gonna need IV access.

Yes, we are aware of how often
she's been hospitalized

but that has nothing
to do with this.

Her veins are sclerosed.
I can't get a thing.

Neither can I.
This is ridiculous. Here.

‐ Give me the phone. Come on.
‐ Steven Galbraith.

Hey, Mr. Galbraith.
Hi. This is Kerry Weaver.

And I'm chief
of emergency medicine.

Angie's pic line is infected.

You should know
what a pic line is.

You're her guardian.

Yes, I‐I know that she has
an incurable disease

but she's treatable
at this time..

No, it's not a matter of life
or death yet, but it could be..

Mr. Galbraith, have you ever
seen Angie? Have you seen her?

Because I'm looking at her
right now and I'm seeing

an eminently treatable girl
who would..

Well, thank you.

Thank you for nothing.

He said no.

She should be given pain meds

and made as comfortable
as possible.

There it is..

...a heartbeat.

You're definitely pregnant.

I think you're about...
eight weeks along.

I wish Henry would get here.

You've been trying
to get pregnant?

For almost two years..

...with no luck, until now.

This takes me out
of the running, doesn't it?

After the transplant
you need to take

immunosuppressive drugs
and they are very, very powerful

'and it's likely
they would cause'

'birth defects
or a miscarriage.'

And if you choose
not to have the child

then we can go ahead
with the surgery.

'I'm sorry to pressure you,
Mrs. Bassett but..'

...we have only so much
time for the kidney.

We can't wait for your husband.

How could this happen?

I've waited so long...for both.

Mrs. Bassett.

I wanna keep the baby.

Okay.

David, have you been
to an appointment?

Yeah, same old, same old.

Say, where's this
snack bar around here?

I'd like to grab a bite
before I head home.

Oh, if you don't mind
some company I'll go with you.

No, let's go.

His daughter says
his behavior's been unusual?

Erratic. Sometimes volatile.

Used to be a pretty
easy‐going guy.

I was thinking maybe
some kind of mass or lesion.

No signs of that.

Any new stress
at home or at work?

‐ Uh, he claims no.
‐ Okay.

So, we've got
uncontrolled movements

loss of balance
and personality shift.

Did you get a family history?

Yeah, his mom's living but

he doesn't know
much about his dad.

He died when Waters was 14.

So that'd make him
early mid‐40s.

‐ Probably.
‐ What'd he die of?

Suicide, apparently.

We need to go talk to him.

I just wish you could
talk some sense into Mark.

Well, he's worried about you.

I know he is
but he also thinks

that he can control
what's happening to me.

Hell, I wish he could.

We all know he can't.

I know it's a cliche to say
you don't wanna be a burden

to your children but at my age,
I don't mind being a cliche.

I don't want him..

...to have to deal
with everything.

Well, he's going to,
one way or another.

Can you imagine
your mother allowing you

to take care of her?

She'd sooner push off
in a canoe and head out to sea.

Well, I don't need
to go to that extreme.

I do want to check out
that, uh, what do you call it?

Uh, not quite, uh,
a nursing home..

‐ A hospice?
‐ That's it.

'A hospice.'

If I stay in Chicago at least..

...that'll make Mark happy.

David, I don't think
there's anything about this

that's going to make Mark happy.

Huntington's disease?

That's what we're thinking.

I've never even heard of it.

Uh, well, it's a progressive
neurological disorder.

It causes loss of balance,
mood changes

and jerking movements
of the body.

And progressive dementia.

You mean, like Alzheimer's?

Well, there are similarities.

Okay, um..

Now, we know what it is
what do I do?

I'm afraid there's no cure.

Well, how bad is it gonna get?

You'll need to discuss
this with a geneticist.

You're telling me
that I'm going to lose control

of‐of everything physically

and mentally and there's nothing
I can do about it?

'They're always developing
new treatments'

but at the moment, no.

I'm 46 years old.

How could I get such a thing?

It's genetic, Mr. Waters.
You inherited it.

It generally manifests
itself in your early 40s.

It could be the reason why
your father committed suicide.

That means I could have passed
this on to Jo?

There is a 50‐50 chance.

Hyperosmolar coma.

No evidence of DKA.

This kid's got
type two diabetes.

I'd say. His blood glucose came
back from the lab at 980.

How far did you get?

Two liters of saline,
ten units of IV insulin.

He's still altered,
up in the PICU.

And he was seen here five months
ago for gastroenteritis?

Apparently.

If his glucose was 980 today

it must have been
high five months ago.

You would think so.

So why didn't anyone
pick up the diabetes then?

I really couldn't say.
Excuse me.

Dr. Greene, could you take
a look at this elbow film?

What's the problem?

Uh, big anterior fat pad..

...but I don't see a fracture.

‐ Are you the attending?
‐ Yeah.

Dr. Tillman,
century managed care.

I'm admitting Eddie Bernero.

‐ Oh, the diabetic coma?
‐ Yeah.

I was wondering why no one
picked up on his diabetes

when you guys saw him
in November.

You have the old chart?

Yeah, here's a copy.

Cleo, what was the glucose?

980.

No, not today. Back in November.

It should be in the chart.

No urine dip?

Not that I saw.

I'm gonna have to look
into this.

I'll give you a call.

Thanks.

Dr. Finch.

Looks okay. Anterior fat pad
can be normal.

Thanks.

Is there something
you didn't wanna say

in front of him?

About what?

Diabetic kid.

He was Carter's patient.

‐ 'Mark.'
‐ Shouldn't you be in surgery?

We can't seem to give
this kidney away.

We're going through
potential recipients like..

Crap through a goose?

Yeah. That works.

Um, the Morgan Center's
going to be calling you.

Hospice or rehab?

‐ The Hospice.
‐ What patient?

Uh, your father
asked me about it.

I think he's leaning towards
palliative care.

You went ahead
and called the place?

‐ Yeah, well, he asked me to.
‐ Whoa, whoa, whoa.

‐ I think there's a spot open.
‐ What the hell are you doing?

Mark, he asked me to help him.

What would you have me do?

Well, tell him to talk to me.

Well, he's a grown man.

Yeah, with a stubborn streak
a mile long.

The only other option at
the moment is your apartment.

I'm aware of my options.

With you looking after him.

I'm gonna get a nurse's aide
during the day.

‐ I'll do the rest.
‐ You talked to him about this?

I'm handling it, okay?
Or at least I was.

Mark! I didn't mean
to interfere.

Then don't.

Is this what's best
for your father

or what's best for you?

Elizabeth,
stay out of it, please.

Fine.

Yeah, I can send her up now.

Yeah. Thanks.

They can squeeze you in.

I can't see my own OB/GYN?

No, there's too many
potential complications

with your renal failure.

‐ Uh, Dr. Kovac.
‐ Yeah.

‐ This is Steve Maldonado.
‐ Oh.

‐ Uh, the transplant candidate.
‐ Right.

Are you the surgeon?

No but we'll get
you started down here.

'I‐I was going to the movies'

'and I left my pager at home'

and I‐I went home
to get it and it went off.

I‐I had it on
for maybe 30 seconds.

Yeah.

The nurses need to draw
your labs.

‐ Oh, okay.
‐ This way.

‐ Good luck.
‐ Yeah, thanks.

You alright?

If I could have both,
I would be.

But I do want the baby.

Ask for Christine Collins.

'Suite, uh, 4020.'

Okay. Bye.

Bye.

Okay, Mr. Waters.

The geneticist
is Dr. Kevin Casey.

I've made an appointment
for you for next Friday

at 11:00
to go over the results.

Oh, I've just been ordered
to appear in court

Friday afternoon.

The incident this morning.

I can make a day out of it.

Well, uncontrolled temper
is a symptom of Huntington's.

They might not
hold you responsible.

That's a pretty lousy excuse.

How is Jo doing?

She's meeting Glen out
in the lobby right now.

It's her fiance.

Does she, uh,
wanna have the test?

I didn't tell her.

Um, Mr. Waters, you have to.

I mean, if she has
the Huntington's gene

she will eventually
get the disease.

Listen, my father didn't tell me

and I'm glad he didn't.

Well, she has a right to know.

If there's nothing
she can do about it

then what's the good
in her knowing?

But if she knows,
she can do something.

She can make different choices.

She might not want to work.

She might not want
to have children.

She might not get married.

Might not have a life.

She has to know
that she can pass

this disease on to her children.

Why? So she can decide
not to have any?

I love my daughter.

And I can't imagine
my life without her.

'She's had a good
life up until now.'

'A happy life.'

I'm gonna keep it that way
for as long as I can.

If you sign
an emergency consent

I can overturn
the guardian's decision.

Doesn't DCFS have to appoint me?

Yeah, I already cleared
it with Adele.

I don't know, Kerry.

This girl's gonna die
of pneumonia sooner or later.

Her mother wants it.

Her foster mother.

She's had Angie for four years.

She might as well be her mother.

The only reason
she hasn't adopted her

is she can't afford
the medical bills.

But the State can?

How many hundred of thousands

have been spent so far?

‐ Mark.
‐ Alright, alright, I'll sign.

‐ Thank you.
‐ Let me know how she responds.

I will.

Can I help you, Robert?

My niece used to watch
"Sesame street."

Outgrew it
when she was about eight.

Yeah, those are "The Muppets."

Is there something
that you need?

I came in here looking
for jevity and a dubhoff tube.

By the way, we need to discuss
your supply management.

'And I find
this girl's foster parent'

conspiring with DCFS
and apparently with you

'to circumvent
the state authority'

and perform an invasive
procedure on a girl

who has been a gork
most of her life

and has no chance of recovery.

Did I understand this correctly?

‐ You're overstating it.
‐ 'Am I?'

Yes. She has a potentially
life‐threatening infection.

All she needs is a central line

and her so‐called guardian
has never seen her.

Well, I've seen her.

We have an obligation
to provide appropriate care.

All I'm doing is exercising

a safeguard that's built
into the system.

You're letting your sympathy
for the foster mother

override your clinical judgment.

I disagree
but thank you for your input.

This girl is not to get
a central line.

She's my patient.

Feel free to hydrate her
through her g‐tube

and keep her comfortable.

I already have my second
opinion.

I'm the final opinion.

I'm not getting
in a pissing match

with the State
Welfare Department.

It's one bureaucrat.

And he is right, it's hopeless

and exorbitantly expensive.

Stop flogging her.

Frankly I've come to expect
a higher level

of professionalism from you.

I'm supporting what I see
is a parental decision.

Angie is essentially
the woman's daughter.

She's her pet!

Look at this girl,
what kind of quality of life

you think she has?

‐ Robert.
‐ Kerry, I'm serious.

No central line.

Has he always had asthma?

Yeah, since he was about three.

I'm okay, mom.

You are not okay, Troy.

I was sitting
in the audience watching

and I could see his wheezing
getting worse and worse.

Breathe.

She came up
and pulled me off the stage.

Oh, that's no fun, is it?

I don't ever
wanna go back to school.

Cleo, we got a bounce back
from this morning.

Paramedics brought him in.

'Collapsed at home,
loss of consciousness.'

‐ Who?
‐ Patient named Grunwald.

Grunwald?

He was constipated. Excuse me.

‐ Pulse is down to 50.
‐ He's unresponsive.

Give me a milligram of atropine.

Let's run in a liter of saline.

‐ See if we can get a BP.
‐ What happened?

He was getting off the toilet,
just fell over.

See if you can get first day
labs, cardiac enzymes.

‐ Pressure's 60 palp.
‐ Alright. Mix up the dopamine.

‐ Was he your patient?
‐ Yeah, abdominal pain.

It wasn't a surgical belly.

But we got ST elevations
in the inferior leads.

‐ Any history of heart disease?
‐ No. Right?

You said he didn't
have cardiac problems.

His heart is fine.

Is he on any medications?

Uh, codeine, and‐and what
she gave him.

‐ What was that?
‐ A laxative.

Uh..."Bisopro.. Bisoprol‐‐"

‐ Bisoprolol?
‐ Yes.

No, no.
We gave him bisacodyl.

Oh‐ho, which one was it?

This is bisoprolol
but it's not what we gave him.

'Hal. Hal, wake up.'

Could you have her wait
outside, please?

Ma'am, could you come with me?

No, no! I should stay here!

We need to work on
your husband, Mrs. Grunwald.

Let's call the cath lab. Mary,
bolus 5,000 units of heparin.

What are you doing?
You gave him a beta‐blocker.

‐ I didn't.
‐ At twice the starting dosage.

You dropped his heart rate, his
pulse and you gave him an MI.

‐ BP's improving, 80 systolic.
‐ Alright, up the dopamine.

Stand by with a nitro drip.

I didn't write
the prescription.

You said you did.

I handed it to him.
I didn't write it.

Well, who wrote it?

Dr. Kovac, the labs are back

on the transplant recipient.

Good. Get ready to move him.

No, no, you're gonna
wanna look at this.

‐ You're kidding?
‐ Nope.

'What do you want me to say?'

That it's okay
to tell the daughter?

‐ I think it's debatable.
‐ No.

His choice is debatable
not your obligation.

I have information
that could drastically

affect this woman's life
and I'm hiding it.

I feel I have
an obligation to her.

Right. But she is not
your patient, he is.

All you can do
is try and convince him.

I did try.

Yeah, well, then
you can't tell the daughter.

Your renal failure
was caused by rhabdomyolysis?

Yeah, from muscle breakdown.

And what caused that?

‐ I don't know.
‐ I think you do.

I was in a car accident a few
years ago. It crushed my leg.

They think
that could have done it.

Not using drugs?

No.

You tested positive for cocaine.

I'm sorry. I didn't realize
I was this high on the list.

'I don't do it all the time.
I went to a party.'

And I was depressed.
The damn dialysis.

‐ You better get used to it.
‐ Wait.

You're not gonna
give me the transplant?

The cocaine destroyed
your kidneys the first time

and you are still using. Why
would we give you another one?

I'm not gonna do it after
the operation. I'm not stupid.

You should have told me.
You've wasted my time.

'Please, come on.'

I'm not an addict.
I need this kidney.

The organ is only viable
for a limited time.

I have less than an hour
to get a real candidate in here.

You mean
someone who deserves it.

Yes.

Dr. Chen.

Oh.

‐ Yes?
‐ This is Glen, my fiance.

‐ Oh, how do you do?
‐ Good, thanks.

'We were talking about dad.'

Glen thinks he might be
suffering from depression.

'You know,
the mood swings and stuff.'

'Yeah, it might be the wedding.'

'Uh, we're getting married
in a month and I..'

'...know he wanted
to pay for it.'

'But, uh, it cost a lot
of money and..'

Yeah, that‐that would be tough.

I know, and Jo
is his only daughter.

‐ I'm gonna get the car out.
‐ Okay, honey.

‐ Nice to meet you, Dr. Chen.
‐ Mm‐hmm.

So you think that's
what it is, depression?

Uh, well, uh, it's hard to say.

Are you ready to go, dad?

Yeah, I am, I am.

Thank you, Dr. Chen.

Thanks for everything.

You're welcome.

Kerry, I thought Romano said no
to a central line.

He did.

But you're doing it anyway?

I have emergency consent
from another physician.

That's all I need.

I got this, Carol.

You're gonna need op‐site.

I said I've got it.

‐ But, Kerry.
‐ It's my decision.

It doesn't involve you.

Okay.

Well, looks like a P to me..
Bisoprolol.

It's a C. Why would I order
a beta‐blocker for constipation?

What's that say, Carter?

Well, I‐I can
see how the pharmacy

could have read it wrong

but they really
should have called.

Sure.

Blame them, you coward.

It could have been read
both ways.

Hey, you, come here.
I need an impartial observer.

Oh, come on, that's a fax copy.
You can't even‐‐

Quite, Peter!
Is that a C or a P?

It looks like a Q.

Someone else who can't read it.

I prescribed bisacodyl.
That's what I ordered.

That's what I wrote.

Then why is this
patient currently

undergoing an angioplasty for

a life‐threatening
myocardial infarction?

‐ You heard me say bisacodyl?
‐ Yeah.

Did you even bother to read
the pharmacy label

'before you handed it out?'

There was a trauma coming in.

Oh! Oh, a trauma came in.

'Oh, well, then that makes
everything okay.'

When traumas come in
we can just hand out

whatever meds
happen to be laying around.

‐ Dr. Romano was‐‐
‐ Carter!

What does this
have to do with you? Nothing.

‐ So, shut up.
‐ Can I go?

The growing level
of incompetence

around here is frightening.

It's a wonder we
haven't been shut down.

It was an honest mistake.

No, it was tag‐team negligence.

Okay, you are both
prohibited from writing

prescriptions
until further notice.

How are we supposed
to treat the patients?

I'm sure Dr. Carter
or one of the other colleague

'will be happy to write
them for you.'

How long?

'Until your penmanship improves'

and until you learn how to read.

‐ I know how to read.
‐ Then do it!

Thank you, Carter.

Thank you, Carter.

So you just gave him
a bottle of pills

without even looking at it?

Peter, what you wrote
wasn't legible.

I shouldn't be writing
your scripts anyway.

‐ I didn't ask you to.
‐ He was your patient.

You always check the label
before you give drugs.

They teach you
that on the first day, Cleo.

You called UNOS?

'I needed to get the
next person on the list.'

Mrs. Nussbaum. She is coming
in from upstate Indiana.

And she'll be here
in 40 minutes.

Well, that'll push me
past the 12‐hour mark.

‐ The new kidney might fail.
‐ I thought we're at ten hours.

Luka, we need to do a work up,
get pre‐op labs.

She may have eaten
a heavy meal in which case

we need to wait to anesthetize.

Let's assess her
when she gets here, alright?

She's already on her way.

You should have talked
to me before you called.

We were in a hurry
and we had to move on.

Look, you may not
like this guy

but we have a match in‐house
who's ready for surgery.

Come on, you can't be serious.

I'd rather put a healthy kidney
in a questionable

candidate than
no kidney in anyone.

The guy knows
he's on the UNOS list

knows he can be
called at any moment

and he's snorting cocaine?

He's not going to stop using
because he gets the transplant.

He'll burn his way
through another organ.

We've been through
three people already.

Your Mrs. Nussbaum
might not get here in time

or she might not qualify
for some reason.

Then the kidney
will go to waste.

Then let it go to waste.

I'd rather take the risk
than give it to him.

It's not your risk to take.

The guy made his choice.

Give the next person
a chance to get here.

Thirty minutes. Then I'm
taking up Mr. Maldonado.

I'm not releasing him.

I don't need you to.

I've never gone
up a tree before.

Well, they usually
just go out on a limb.

She likes this one,
I guess, huh?

It's her favorite.

Most doctors think

she's just responding
to the light changes..

...but I notice a difference.

At least, I think I do.

Dr. Weaver
put in a central line.

I know you think
it's too much..

...but..

...I'm not ready
to give her up yet.

I understand.

Excuse me.

Thank you.

You're welcome.

Strep throat in curtain two?
Ready to be discharged.

‐ Did he get penicillin?
‐ Yup.

Curtain three..

Were my instructions
in any way...unclear?

No, I‐I think you made
your position known.

And you decided to ignore it?

I took it under advisement.

I see. Okay, well,
then, you're suspended.

Sign out your patients
and go home.

‐ Robert, let's not‐‐
‐ Right now, Kerry. Right now.

Suspended.

Effective immediately

and until further notice.

‐ Carter, you going home?
‐ Yeah.

I really wish I weren't, though.

My, uh, grandparents
are throwing

one of their dinner parties.

You have to go?

I'm staying there so

attendance
is kind of compulsory.

‐ I have a question for you.
‐ Shoot.

12‐year‐old presents
with abdominal pain, diarrhea

'low‐grade fever,
no ill contacts.'

What do you do?

Any vomiting?

'No.'

Probably gastroenteritis

but that sounds
like a trick question to me.

'So I'd probably order
a CBC and dip a urine'

to rule out a UTI.

That's what I thought you'd do.

Did I pick up anything abnormal?

Nothing on the CBC and, uh,
I don't know about the urine

because...you didn't order one.

Eddie Bernero.
You saw him last fall.

‐ Came back today with‐‐
‐ Type two diabetes.

Hyperosmolar coma.

‐ Cleo told me.
‐ Uh‐huh.

Is he gonna be okay?

Should be.

Would have been nice
if we'd caught it earlier.

Yeah. Kid must not have
looked that sick.

What did I say, stomach flu?

Yep.

Yeah, I really wish
I could remember him.

I feel bad.

Must've misdiagnosed.

‐ He didn't have any insurance.
‐ Really?

What are they gonna do?

Well, they're okay.
They have it now.

Oh, good.

Is there anything else
you wanna tell me, Carter?

No.

I made a mistake. I'm sorry.

Have a nice party.

Thanks.

Hey.

Yes, Peter?

I didn't like
how we left things.

You mean, you screaming at me?

You mind if I come in?

Suit yourself.

Got one more set.

♪ More to life than livin' ♪

You always work out
in your living room?

Beats the garage.

Uh, listen, I, um..

I was angry that I got dragged
into all of this.

It wasn't even
a surgical patient.

Cleo, I know
it gets crazy down there.

I just want you
to know that, uh..

...you know, I don't blame you.

Oh, you don't?

No, I don't.

Oh.

You want me to give you a hand?

No.

♪ Than love ♪

Come here.

Am I forgiven?

♪ This is my life story ♪

Peter, that was the lamest
apology I've ever heard.

I gotta hit the shower.

♪ All the glory ♪

♪ Give it up to you ♪

You coming?

♪ 'Cause this is my life story ♪

♪ And it's for you ♪

♪ Only ♪

♪ My life my life
my life story ♪

Hmm?

♪ This is my life story ♪

♪ And it's for you only ♪

♪ My life my life my life ♪

♪ My life story ♪

♪ It's for you only ♪

♪ Give you everything ♪

♪ Come into my.. ♪

'What's next
on the wood‐working agenda?'

'Next project,
I'm going to build an airplane.'

‐ 'An airplane?'
‐ 'An airplane.'

‐ 'Out of wood?'
‐ 'No, out of cotton fiber.'

Dad!

I don't think so.

Well, thanks for letting us..

I'm wearing it.

I just didn't wanna
drag it to the can.

I didn't say anything.

You were about to.

Your back‐up oxygen's low.

I didn't notice.

I'll go to the hospital
and get your another one.

Well, it should get me
through the night.

'I won't take any chances.'

Whatever you say.

'I made some
macaroni and cheese.'

'There's some extra
on the‐on the counter.'

Thanks.

Say, I saw Elizabeth today.

Yeah, she told me.

Did she say anything
about that‐that, that place?

Uh, the hospice?

Yeah, I checked it out.

There weren't
any spots available.

Well, when will
they have one available?

I don't know. They didn't say.

There's a long waiting list.

Waiting list? What‐what's
the point of that?

I don't know.

Looks like you're stuck
with me for a while.

Yeah.

‐ Luka!
‐ 'Huh?'

What are you doing?

I think the grease
from the meat

dripped onto the coals
and caught on fire.

Yeah, that's what
the water bottle's for.

You didn't tell me that.

Here, what's left of it.

Thanks.

Oh, it really cooled off
out here, huh?

Mm‐hmm.

The girls asleep?

One of them.
The other one's still fussing.

Let me guess...Kate.

You had a 50‐50 shot.

No, she is the troublemaker.

Yeah.

Do you think these
are too thick?

‐ They might be rare inside.
‐ Well, don't worry.

If you blow it,
I think I have a steak

and kidney pie in the freezer.

Kidney, huh? Very funny.

'You know, the nurses were
about to take a poll.'

'We thought you'd actually
have to take it home with you.'

I might as well have.

Oh, you probably
scared the guy into rehab.

What's wrong?

Wow, is‐is that snow?

Oh, man.

Hello! It's April!

‐ We can finish cooking inside.
‐ No.

‐ I came here to barbecue.
‐ You wanna freeze?

‐ Come on, it's a little snow.
‐ I'm gonna get you a sweater.

'I don't think your
sweaters will fit me.'

'I'll find something.'