[AFI'S " MISS MURDER" PLAYS ON RADIO]
You don't appreciate that I took the time and the money...
...to buy you some new clothes.
I didn't ask you to do that.
No, because you'd rather go to school dressed like a bag lady.
Would you rather I dress like a slut? Because that's how the other girls dress.
I'd rather you dressed like someone that has a mother that cares about her.
- Tony, would you please say something? - Good morning.
What's wrong with the way I dress?
She won't even try on the clothes I bought.
Those are nice.
They're ugly.
And I refuse to conform to some anorexic, media-fueled ideal of beauty.
That's fine, but you're not leaving the house dressed like that.
Tony?
I hate living here!
[DINGS]
ABBY: We never resolved the nanny issue.
Do you really want someone else raising our child?
Well, I'm just talking about a few hours a week...
...so I can get some stuff done around here.
I thought we had agreed to stagger our shifts.
Well, and what, never see each other?
I mean, even if that was practical...
...after your first day alone, you'd be begging for help, trust me.
Mm. I think I can handle it.
Well, if you can handle it so well, help me get Joe in the car, will you?
We're late for our first mommy-and-baby class.
[JOE CRIES]
What?
Nothing.
What? I thought it would be fun for... What?
I didn't say anything. What?
[SPEAKS IN CROATIAN]
I'm late for work. Bye.
I'll call you later. Don't forget his frog.
[FROG SQUEAKS]
[FROG WHISTLES]
[BABY CRYING]
I know. Come here. Oh.
Can you say, " Daddy is a butthead"?
Hm?
Why is your daddy a butthead? Shhh.
[CAR HORN HONKS]
SARAH: I look like a dork. GATES: No, you don't.
This is not my style, and this is not me.
If you didn't like what your mom bought...
...ask to go shopping again and buy something together.
What are you doing?
Damage control.
- Sarah. - What?
- This is not cool. - Do you mind? I'm changing.
I hope your mother doesn't find out about this.
She won't.
And besides, you don't know what it's like for girls my age these days.
Hmm.
- There is a lot of pressure at school. - Oh.
What you wear, what you eat, what you don't eat.
- What's his name? - Who?
This is obviously about a guy.
- No, it's not. - Yes, it is.
Maybe I should dress like a hussy.
Maybe we should get you a plaid jacket...
...and we'll just tell everyone you're a lesbian.
[SIGHS]
- Adam. - Huh?
Adam Horner. He doesn't even look at me.
Well, good. I don't want some guy named " Horn Dog" near you.
It's Horner.
Listen, most guys are jerks, but if you want this guy...
Okay, wait a minute. You're a guy.
Exactly. If you want this guy to notice you...
...forget about your clothes and ignore him.
- That's your advice? - Yup.
- Ignore him? - Yeah, that's right.
Wow, you really suck at this.
Most guys want what they can't have.
You ignore him, that guy will come running to you.
Try not to kill anyone today.
Bye.
[MONITOR BEEPING]
SAM: He's out. PRATT: All right.
PRATT: Hope, you're gonna take a deep breath and you're gonna hold it.
Now, if you don't get the tube in by the time you run out of air...
...we're gonna stop and bag.
Okay? Are you ready?
With you and Jesus guiding my hand, I am.
PRATT: Right.
[INHALES SHARPLY]
Okay, sweep the tongue to the side and advance until you're in the vallecula.
Elevate the scope at a 45-degree angle.
- See the cords? - Uh-uh.
I'll give you some cricoid pressure. How's that?
- Uh-uh. - All the cords should be there.
He's a young guy. Pull up more, but do not rock back against the teeth.
Aim the end of the handle to where the wall meets the ceiling.
Can you see the aryepiglottic folds? Hello?
[MONITOR BEEPING]
Sats are dropping. Pratt.
All right, pull out.
You bag. You breathe.
[GASPS]
I'm sorry. I ran...
If you were doing what I told you, you should've been able to pass the tube.
- Maybe you should sit down. - Yeah.
- Okay. - I don't feel so good.
All right, I'm in.
[THUDS]
- Here, this should keep it from swelling. - Oh, bless you, Sam.
- What happened to her? - Nothing.
- It's only the morning test. - What are you doing with the beeper?
- I gave that to Jane. - I don't think she wanted it, so I offered.
You can't monopolize the beeper. Residents need the experience.
- She gets airsick. - What's with your rhabdomyolysis guy?
- He's stable, making urine. - What about his creatinine?
- I have to check the chart. - Peak CPK?
- Medicine team's all over it. - You gotta be all over it.
You cannot let the internal med docs take over.
- I can't? - Hey, I'm serious, man.
You've got critical patients, stay on top of the labs.
But the guy was ready to hand off...
- And what? - And it was a good talk.
[BUZZING]
What's going on with the PACS system?
Down. They said they should have it running in an hour.
They've been saying that since yesterday.
So is it true?
Rumor is you killed an intern.
Yeah, I wish.
Everything in this place is crap. The equipment sucks.
The students are incompetent. The interns can't finish a chart.
The Residents, they don't give a damn about their patient.
Yeah, okay, okay, Kovac.
I see what you're gonna say, that I was the same way. I wasn't.
- I didn't say anything. - I could chart, clear beds.
I never passed out tubing a patient.
I know, you were really, really special.
You need to go through in-service exam results with your Residents.
Have you seen these? See, this is exactly what I'm talking about.
They don't know jack about emergency medicine.
Soloman's an idiot. Hope is annoying and incompetent.
Gates should've stayed a paramedic, and Jane...
- What's wrong with Jane? She's good. - No, Jane is creepy. I'm serious.
Always sneaking up on me, like those twins in The Shining.
Look, in-service shows their strengths and weaknesses. So focus on that.
They all have their own learning process, so you need to adjust accordingly.
If the Residents fail, it may be because you're a bad teacher.
[SIGHS]
INSTRUCTOR: One, two, up on three.
And mommies let go. Okay, good.
Everyone pick up their babies.
[CHILDREN'S MUSIC PLAYS ON SPEAKER]
Hi.
I'm sorry I'm late. I'm Abby and, uh, this is Joe.
Hi.
Um, am I in the right place? Is this the mommy-and-baby class?
Yes. Yes, it is.
Good. Well, uh, I'm a mommy and, uh, this is a baby.
Yeah, being suspended by his crotch.
Excuse me?
You're carrying your child in a device...
...that can cause hip luxation and spinal injury.
He should be in a sling.
Oh, well, you know, I'm a doctor, um, and...
Then you'd think she'd know better.
She's sitting right here.
Well, um, then you should know that, um, a happy, healthy baby...
...is always carried in a sling.
Well, I do know that if you dress your baby...
...like some sort of designer accessory...
...you're headed for problems.
But don't worry, I work in the ER...
...so I'll be there to take care of her when she comes in, 14...
...pregnant with a drug overdose...
Maybe this isn't the best class for you.
Thank you so much for the lunch tray, Archie.
I particularly enjoyed the bread pudding.
You're welcome, Emma. That's one of my favorites too.
Ah. The return of Goat Boy.
I heard one of the doctors made a charm bracelet from all they took from his belly.
Here's what we got: Stable CHF, going to Tele.
Seventy-six-year-old lady with pyelo, had Levaquin.
Incomplete miscarriage. Do a repeat pelvic, see if...
- Wait a minute. What the hell are these? - Pass-ons.
Her BP's low. Like 90, systolic. It's up with 2 liters and her crit was 24.
- Did you type and cross for transfusion? - No. That's a good idea. Do that.
Two-year-old with possible meningitis. Ceftriaxone onboard, currently at CT.
Needs an LP when he gets back.
- Morris, we do not sign out spinal taps. - Since when?
Wait a minute. Hold on. These aren't pass-ons.
They're train wrecks. I'm not taking them.
I can't. Max has a soccer game. I promised I'd be there.
- Who? - My son. It's a family thing.
Yeah, his family even know about you yet?
No, we're keeping that on the low-Iow for now.
You know what I'm saying?
Exactly. Thanks, dog.
Did you just see that?
Yup, he's your dog boy.
He's not my dog and he's not my boy.
And we don't use the two together.
I know.
You gonna take one of these?
Nope, I have a trauma coming in.
And you're not always gonna have another Attending on shift with you.
You need to learn how to handle these things on your own.
Mr. Jennings is on his way up to Ortho and Lundquist is out of here.
Nice job, Ray. Here's four more.
Are you kidding me? Is this about the transport beeper?
HALEH: And we wrap...
We try to keep it tight enough to immobilize...
...but not to the point of discomfort.
You don't wanna cut off circulation.
Soloman, you know, you didn't do so hot...
...on the ortho section of the in-service.
What's the difference between a Jones and a dancer fracture?
Dancer's a proximal avulsion, does great with conservative therapy.
Jones is transverse, a little more distal. There's a good chance of nonunion.
Let me guess, you had a patient like that.
No.
Right. Come on.
- Who's got somebody in Curtain 2? - Uh, me, sir.
Forty-eight-year-old, PSVT, uh, resolved with adenosine...
Excuse me, is your boss still here?
- Excuse me? - I need to speak with Archie.
Dr. Morris is not my boss, and I'm afraid he's gone for the day.
Is there something I could help you with?
No.
Jane, you need to focus on cardiology.
What are the options with a hemodynamically-stable...
...wide-complex tachyarrhythmia?
Lidocaine, if you think V-tach.
What else?
[COUGHS] Amiodarone.
Okay, I'm guessing amiodarone.
Well, procainamide and amio can do the trick...
...but you wanna stay away from beta and calcium blockers...
...because you'll end up with a V-fib if you have a bypass tract, right?
So how'd you manage to fail every subsection of the in-service exam?
I guess I just don't test well.
Yeah, well, you better start. Come on.
- Have you got something to present? - No, I started with Dr. Kovac...
- Where are your charts? - I'm still working on them.
Keep them current. Do them as you go.
What part of this concept don't you understand?
KOVAC: Five-year-old with crush injury to abdomen.
He and grandpa were chopping down a tree.
Grandfather with chain saw injuries.
Got it. Keep working up your patients and grab more charts.
KOVAC: He needs O-neg, a second line. Page Surgery.
- Where are you going? - Saw injuries can be gnarly.
You need to finish with the patients you've got before you do anything else.
- Dr. Rasgotra? - Yeah?
- Hi, I'm Katey Evans. Medical student. - Hey.
Dr. Crenshaw told me to shadow you today.
- He did? - I got the feeling I was on his nerves.
- He gives that impression to everyone. - See you, Katey.
- Friend of yours? - Hardly.
We went out a couple times. It didn't work out.
Oh, that's too bad. He's cute.
Cute, but he's way too into himself, and to be honest, he's orally challenged.
Oh, bad breath?
Not exactly. He won't go south of 14th Street.
- You know, he refuses to dine at the Y? - Oh.
Oh, I'm sorry.
This is what I'm talking about, making friends and saving lives.
Does it get any better than this, ladies?
No, it does not.
So Mrs. Draper is back for her 27th hospital admission status.
- Post-pancreatic pseudocyst. - Twenty-seven?
Yes. Tell her the hospital stopped giving frequent-flier miles.
Oh, and she's a chronic rectal discomfort.
And you two get to work her up and review her old charts.
All 27?
No, why don't you just forget all about visit six, 13 and, uh...
What do you think, 21?
Yeah, that should keep it interesting. It'll be like playing patient roulette.
Be prepared to present her at afternoon rounds.
Smiles all around.
Maybe he should use his surgical skills...
[BEEPING]
...to remove that bug from his ass.
Saved. We've been paged.
I'm glad I'm not doing an ER rotation. I've heard horror stories.
Oh, it's not so bad. Once you get used to the smell.
- Line is good to go. - Pressure's 85 after the bolus.
- How much O-neg? - Forty per kilo, 800 cc's.
- Chest and pelvis films are back. KOVAC: Let me see.
Sam, your son's school called. He never showed up for homeroom.
What? I dropped him off this morning.
Type and cross four units. He's losing a ton of blood.
- Crush injury? - Yeah, unstable pelvis.
Open-book fracture with complete...
...Sl-joint disruption and lateral displacement.
SAM: I got the T-POD. - How's the belly?
Spleen is okay. Looks like a liver lac.
So he goes to Angio first?
Immobilization. Hypotension, pelvic fracture...
- Fifty percent mortality. - Blood in the meatus.
- Tore his urethra, that'll have to wait. - Along with his liver.
If they can stop pelvic bleeders in Angio, he might make it to the O.R.
Okay, bring blood, FFP, and get him on a portable monitor.
It wasn't a very big tree. It was only about 8 inches in diameter.
I was just finishing the cut when the chain saw broke...
- Aah! - Sorry, about that, Mr. King.
We're gonna get you numbed up right now.
Another five of lido to me.
- How are we doing? PRATT: He's lucky.
Most of these wounds look superficial. I'm just gonna clean and close.
How's my grandson?
Uh, his injuries are serious.
He's bleeding internally, but he's hanging in there.
KING: Can I see him? KOVAC: Not right now.
We're taking him upstairs and we're gonna try to stop the bleeding, okay?
You good down here if I go up to Angio with him?
Yeah.
I'm good. Go.
Okay.
KING: I was being so careful.
I thought he was safe.
Don't worry. We're doing everything we can to help him.
- Are you almost finished in here? - No, why?
- I could use your help in Curtain 2. - You gotta be more specific, Ray.
Morris' little old UTI lady...
...the one waiting for a ride, has a systolic of 55.
Damn it, Morris. All right, here, keep irrigating.
- Set up another suture kit. I'll be back. MARQUEZ: Got it.
Seventy-six-year-old, fever and gram-negative rods on the UA.
Morris said she was tucked, nothing to do. Guess he lied.
Tachy after 2 liters. He should've seen this coming.
- Access? - PIV. We're working on...
SAM: Pratt!
BARDELLl: Rennie Stevens, welding-tank explosion.
Second and third-degree burns over chest, face and arms.
- Vitals? - Tachy, BP, 138/90, sat 82.
- Other one's more stable. - Other one?
HARMS: Luis Escobar, 23, shrapnel to neck and left chest.
Vitals stable. Good breath sounds.
- I'll page an Attending. - I'm an Attending. Put him in Trauma 2.
Jane, you're with Haleh.
Soloman, you're with me. Trauma 1. Let's go.
Titrate dopamine and mix up Levophed if she doesn't respond to 10 mics.
- All right. - All right?
Alex, where are you?
No, you're not. Don't lie to me.
The school called the hospital.
Well, you got 10 minutes to get back...
Soloman, help Sam make some room.
STEVENS: Give me something for the pain.
Another five of morphine.
Hang tough, we're gonna help you.
Start a second line. Two liters of LR, wide open.
- Full thickness over the entire chest. - I'll alert the Burn Unit.
SAM: Sats down to 83. - Listen to me, Mr. Stevens.
We need to put a tube in to help you breathe.
Eight-O and an intubation tray. I'll be right back.
Talk to me.
Blunt and penetrating trauma. Thrown against a wall.
Looks like shrapnel to the upper torso and neck.
- Hey, what's your name, man? - Luis. Luis Escobar.
How's Rennie?
We're working on him, now it's your turn.
- Tell me where it hurts. - My chest.
- BP, 95/65. - Yup, he's decreased on the left.
- Sats, 92 percent. - Any pain here?
[MOANS]
All right, CBC, chemistry, coags, type and cross for two...
...liter of Ringer's, C-spine chest and pelvis.
Page Surgery. I'll be back. Doing good, Mr. Escobar.
[CROWD CHEERING]
That's it, Max. That's it. Hustle!
OGILVIE: Go, Stuart. Stay with it. - Come on, Max. Come on, take this guy.
If you can't go around him, go through him!
- Hey, come on, man. - What?
You're not setting a good example.
MAN: Come on.
[CHEERING & APPLAUDING]
Nice, nice, buddy. You're killing them out there.
Who's that with your son?
I don't know.
Excuse me, coach? Who's Max talking to?
COACH: Uh, not sure. Said he was a friend.
Chest x-ray on Escobar.
Pneumothorax on the left. Send him for a chest tube. I'll be right over.
- Hard time finding a line. JANE: Dr. Pratt, he's bradying down.
Hold on. Try a saphenous. If that doesn't work, go central.
- Right. - Heart rate's in the 40s.
I need to put a tube in your chest to re-expand your lung.
- Need any help? - Push 50 mics of fentanyl.
- What's going on with Morris' patient? - Uh, I think she's okay.
- I handed her off to Gates. - Gates.
- You left her with Gates? - Yeah, he's all over it.
All right, you're gonna feel some pressure here, okay?
Gates is an intern, Ray. Who's supervising him?
I guess, officially, you are.
Jane, find out what's going on with Gates.
- I'm not having any luck with the ABG. - Angle the needle at 45 degrees.
I can't see. My glasses keep fogging.
Next time you should leave the HAZMAT uniform at home.
- Feel for the pulse. See that? - Yo, doc.
Your sheet-metal guy in Exam 3 lost his foot pulse.
Nurses can't get his leg out.
Tell them to give him 5 more morphine and grab me a Doppler. I'll be there.
Someone grab me a central line kit. This young lady needs a CVP monitor.
You're putting it in a central line?
Early goal-directed therapy for sepsis. All the kids are doing it.
- Are we gonna get in trouble? - No, this lady is in trouble.
We're trying to save her. That's what we do.
God, please give us the strength and the knowledge to save this sweet woman.
Hallelujah to that, sister.
NAJEEB: Good embolization...
...of the superior gluteals and pudendal arteries.
That ought to buy you a little time.
[MONITOR BEEPING]
- Pressure's back down to 60. - Another 400 of PRBCs.
KATEY: Crenshaw's standing by in the O.R.
Looks like the liver lac opened up.
NAJEEB: His heart rate's dropping. KOVAC: Damn it.
Yeah, let's transfer him. One, two, three.
Mic of atropine and squeeze in the blood.
- Want me to continue bagging? - No, see what they need in the ER.
I've got this.
Hi, it's me.
Mommy-and-baby was a freak show.
Um, so we're headed to the park and I thought maybe...
...if you had a couple minutes...
...you might wanna come by and say " hi. "
I'm gonna look for some normal moms, so we'll be here for a while. Bye.
- Hi. - Hey.
- Can I sit here? - Sure.
[WOMEN SPEAKING IN SPANISH]
- Is everything okay? - She thinks she's pregnant.
Oh, congratulations.
- Oh, no. - No?
No, the father is the husband of the woman she works for.
Oh, wow, that's...
- What's she gonna do? - I told her to have an abortion.
That's what I did.
You got pregnant with the husband of the woman you work for too?
It happens.
[WOMAN SPEAKING IN SPANISH]
Uh-huh.
What'd she say?
The only husbands that don't fantasize about banging their nannies...
- Are the ones who are already doing it. - It's our nanny motto.
[CHUCKLING]
- Oh, you're all nannies? - Yeah. Aren't you?
Yes.
Yes, I am.
- Tube's in position. No pneumo. - Vent pressure's almost 50.
The chest wall's restricting lung expansion.
He needs an escharotomy. 10 blade?
Sats down to 84.
All right, put the vent rate up to 25 and the tidal volume down to 500.
Soloman, I need room, man.
Okay, Mr. King. We're gonna find you a new parking spot.
Mr. King?
- Mr. King, can you hear me? SAM: Son of a bitch.
Pratt. The little head lac's not so little.
Keep pressure on it. He must've hit something arterial.
Re-check the crit and type and cross for two.
Okay, okay, sats are coming up.
- Thank you. HALEH: We need an Attending in here.
Pratt, take a look at this.
Fluid in the spleen? Looks like a hematoma.
- Where's Surgery? - Paged them three times.
- Anything in the abdomen? - Nothing.
- Vitals stable? - Tachy, but pressure's okay.
MARQUEZ: Second hematocrit's 38.
- Entrance, exit lateral to the midline. - Doesn't penetrate platysma.
Burn Unit on two.
IV blew. Can we get a second line in here?
- Grandpa's crit is down to 29. - I'll be right there.
- What's going on with Gates? - Uh, he's asking for a rib spreader.
What the hell would he be doing with a rib spreader?
I'm not really sure.
SAM: Pratt, what do you want me to do? PRATT: Just a sec.
- What's going on out there? - We were stuck upstairs.
- What do you need? - Burn Unit is holding.
- Page Kovac. NEELA: Don't bother.
We left him with the pelvic trauma. The boy crumped in Angio.
[SIGHS]
All right, Neela, get this guy up to CT. Ray will fill you in on the way.
Haleh, transfer the Burn Unit call next door.
- Jam it into overdrive. Go. - Stay with him.
Come on, ref, that's a foul.
Come on, this is soccer, not water ballet.
Way to go, buddy. Dig deep. Work that ball.
Hey, sorry I'm late. I got hung up at work.
- How are they doing? - Winning 2-1.
OGILVIE: Go, Stuart, go. MORRIS: Come on, Max.
OGILVIE: You stay with him, buddy.
Come on, Maxi. Kick in the afterburners, baby.
Do you know that guy?
No, who is he?
Apparently he's a friend of Max's.
Never seen him before.
Okay, don't get fancy, don't get fancy.
Just put it in the net. Put it in the net.
Goal!
[CHEERING AND APPLAUDING]
Yes, baby.
That was a rocket, huh? That's gotta hurt, right?
MORRIS: Yes. All right.
- See that? - Yeah, that was beautiful.
You were giving them a taste of Max-imum destruction.
Yeah!
Hey. What the hell do you think you're doing?
- Did you touch my kid? - What?
- You touched my kid. - Wait. He's not your kid?
- Well... - No, I don't know who this creep is.
Is this how you get your jollies, touching boys?
- Whoa. You're making a big mistake here. - No, you made the mistake.
- You freaking pervert. - Hey. Back off.
- What am I, too big for you? - Yeah, you...
[THUDS]
COACH: Sir, are you okay?
Wake up, sir.
- Call 911. Get an ambulance. - Yeah, and the cops.
No, there's no need to panic. It's all good.
I'm an ER doctor. Okay, everybody just back up.
Let me do what I have to do, and give me some...
[GRUNTS]
They spent about a million dollars on fertility drugs to have this kid.
Look at her. That's not a million-dollar baby.
Right. Like, take the hint, lady.
Maybe there's a reason why Mother Nature...
...doesn't want you having kids of your own.
[WOMAN SPEAKS IN SPANISH]
The woman she works for is a bitch.
[SPEAKS IN SPANISH]
She felt sorry for her husband. He seemed so Ionely.
[SPEAKS IN SPANISH]
She was always going away with her friends and all she did was shop.
My boss has closets full of clothes she never wears.
Which is good for me.
So you wear her clothes?
- You don't? - No.
- You fool around with her husband? - No.
- He's ugly? - No. Oh, no, he's...
He's hot. He's a doctor.
I worked for some doctors.
They wanted the kid safe, so they let me drive the Lexus.
And they went away a lot, so I could always use their apartment.
Which they didn't know about.
Of course not.
How are you feeling?
I was a little woozy there for a bit, but I feel better after my nap.
Bacitracin and gauze dressing. These need to come out in seven days.
- I could probably take those out myself. - No.
You need to come in for a wound check.
Hey, make sure that guy's x-ray goes up with him to the Burn Unit.
He's had 3 liters of fluid and needs 7 more in the first eight hours.
Is there any chance I can be with my grandson?
I don't think so, but we can get an update on his condition.
CT's back on Escobar. Grade 3 splenic lac.
Good. Consent for Surgery. He's all yours.
My chief wants to observe him down here.
- You told me he tore his spleen. - With no free blood and stable crits.
His belly's tender, he's tachycardic, he'll have fluid losses.
The O.R.'s full. We can't take him anyway.
Well, we can't keep him down here.
We're getting slammed and he's tying up a trauma room.
Put him in ICU.
Crenshaw says we can't use our last bed in ICU.
Hey, that's not Crenshaw's call.
- What do you want me to do? - I want you to get rid of him.
If his crits are stable for six hours, he can go to Telemetry.
Neela...
Luis Escobar's girlfriend is here.
I gotta go find Gates before he kills somebody.
Hey, when I get back, that guy better not be here.
Systolic pressure in the 70s after aggressive fluid resuscitation...
...but responded well to a dopamine infusion at 10 mics per kilo per minute.
- What have you been doing? - Excuse me.
Central venous oxygen saturation is in target range at 88 percent.
At this time, patient remains guarded but stable for Critical Care Service.
- What is that? - I'm dictating my notes.
And you're kidding me, right?
There's no time to send stuff to a transcription service.
I need your notes now.
It's so inefficient to write everything down.
Well, that's how we all do it, so you better figure it out.
What were you doing with a rib spreader?
One of your victims from the explosion...
...came in with metal wrapped around his leg.
It was occluding blood flow to the foot.
I used the rib spreader to pull the metal off.
It seemed safer than a blow torch, right?
Yeah, right.
Okay, hold on, hold on. One second, one second.
I get it, okay? You're the cool guy, the paramedic who became a doctor.
I'm sure that all the Residents are eating up...
...your war stories and tales from the streets.
- I don't tell war stories. - But this is the ER.
We have a curriculum for shaping young doctors, even you.
Oh. Is that what this is? You feel the need to shape me?
Why don't you teach me? I like the shape I'm in.
I can't teach somebody who thinks they know everything.
What are you talking about?
You running around here unsupervised, putting in central lines.
You were busy in a trauma. I saved some woman and a guy's foot.
- What would happen if you messed up? - I don't know.
Who would've been responsible for that? Not you, me.
It would've been my ass on the line. So do we have to go through this?
I don't know. You gonna ride my ass every shift?
You're missing the point here. I didn't mess up.
That's not the point, and that's your problem.
Who's got the urosepsis case?
- Dr. Gates at your service. - Maya Tennyson, Critical Care.
- Excuse me, but we're in the middle... - She's still on dopa at 10?
She's holding her pressure like a champ.
Hm. Nice work with the early goal-directed therapy.
By the way, I love the dictation. I can never read anyone's writing here.
Bluetooth. You speak in this machine and it prints up at the desk.
I like it. This ER needed an Attending with some initiative.
I'm the Attending. He's an intern.
Well, actually, the Bluetooth was Dr. Pratt's idea.
I wanna see the rest of your charts now.
I'll bet you do.
[SIGHS]
Timmy, do they still put people's names...
...on hats and stuff like that in the gift shop?
I think so. But If you wanna write your name on your underwear...
...a Sharpie works well.
No, I just need to get a gift for somebody.
- What happened to you? - I was attacked by ninjas.
What's it look like?
- Who's this? - Obnoxious soccer dad.
Blunt head trauma with LOC.
Breathing on his own, normal vitals. What's open?
- Talk to me. - Nothing to talk about.
Guy came at me, I defended myself, I'm patching him up.
Why did he come at you?
Have you ever been to a kids' soccer game? Parents are crazy.
I would never do anything to hurt my grandson, Irene.
It was an accident.
What were you thinking?
He's only 5 years old. He shouldn't be anywhere near a chain saw.
He wasn't.
Then why is he in surgery?
Hey, I'm Dr. Pratt.
Uh, Dennis King. This is my wife, Irene.
I can't believe this.
We only leave our son with family just to be safe...
...and this is how we're rewarded.
We're doing everything we can for Thomas.
Why don't I have a nurse take you up...
...so you can be with him when he gets out of surgery?
Dennis, Dennis.
I'm sorry. You know I am.
I know, Dad. I know.
I raised my two boys by myself.
Wasn't easy being a single dad back then. I...
I don't think I was very good at it.
I thought I could make up for it by being a terrific grandfather.
Looks like I blew that too.
Pratt, you got a sec?
Yeah. I'll be right back, Mr. King.
Thanks.
What's going on?
The police are here for Morris in connection with some assault.
And there are two moms with the cops saying that Morris is a child molester.
What?
SAM: I got a feeling the white mom's got a fracture.
What is Morris' problem?
Brain damage is the first thing that comes to mind.
Dr. Pratt, Escobar's losing his airway.
NEELA: Why didn't you intubate prophylactically?
PRATT: He didn't seem like he had respiratory issues.
- He's already got too much swelling. - Page Crenshaw.
Get someone from ENT down here.
HALEH: Sats down to 76. - Somebody get me a smaller tube.
- A 7-5, a 7-0. - It's too late for that.
- He might need an open trach. - Heart rate is dropping.
Please help him. He was just talking to me.
- Seven-0 won't pass. - He needs a trach.
ENT's in O.R. 2 doing a neck dissection. They can't come down.
- ENT needs to be here. - They're not. This guy needs an airway.
- You sure you can do this? - I think so.
- How many have you done? - I've assisted on several.
All right, O.R. Girl, please do not make me regret this.
Katey, Betadine and sterile sixes.
Without electrocautery, this could be messy.
- Haleh, take Tina to the family room. - Sure.
- No, I wanna stay with him. No. HALEH: Come on.
PRATT: We'll come get you as soon as we make him comfortable.
Okay, 15 blade to me.
Neela.
I was hoping there would be a reasonable...
...explanation for your incessant paging...
...but you know what, this is not it.
I had to do a tracheostomy tube.
Really? And who told you to do that? Because I sure didn't.
Nobody did. My chief didn't answer his pages.
- You did this without any supervision? - Dr. Pratt was here.
Oh, great, that is such a relief.
Unfortunately, your little ER forest friends don't count anymore.
You wanna be a surgeon, huh? Wanna be a big-girl doctor?
This isn't Barbie's Dream Doll Hospital.
I'm an ER Attending. Dr. Rasgotra was only following my orders.
Oh, I'm sorry, hello. Dr. Pratt, is it?
I took your silence for subservience.
You know, not a lot of ER Attendings have the skills to do a trach.
Very impressive.
Well, you just, uh, take care of my girl here and we'll call it even.
You don't need to worry about that.
Dr. Rasgotra gets plenty of my attention.
Oh, I think I can manage this from here.
Why don't you girls, uh, finish up down here?
You've done more than enough. Believe me.
Wow, you're so lucky.
- He seems like a great guy. - Yeah, right.
I'm gonna find the girlfriend, tell her what's happening.
Hey.
You did good, man.
Thanks.
Must be quiet if you have time to stand around.
How's the kid?
He's gonna pull through. How's the grandfather?
Uh, he's worried, but he'll be okay.
You make out okay here? I heard you had two more traumas.
Nothing I couldn't deal with.
If it's that quiet, maybe I'll leave a little early tonight.
Abby could probably use some help with the baby.
I bet. Go for it.
- Sure? - Yeah.
I got it all dialed in. This place practically runs itself.
Can one of you guys look at a suspected hand fracture?
- Who ordered the films? - I did.
Everybody was busy.
I'll take it.
Did you find Alex?
Oh, yes, he was ditching school with a friend at the mall.
Well, I guess I have all that to look forward to, huh?
Yep.
You saved that guy. That was so cool.
You mean terrifying.
Dude, you rocked. Did you see the look on Crenshaw's face?
The one that suggested he was gonna punish me for what I just did?
You spanked him. And deep down, I think he probably likes it.
It's always those type-A guys who are so wound up that they go home...
...and put on a diaper or wanna be led around by a leash.
- You're mad. - Hey. Hey, Neela.
Hey.
Uh, Ray Barnett. I don't think we've officially met.
- Katey. - Hey.
Um, I'm still getting some of your mail.
Oh, I'm sorry. I'll try to change everything over.
I don't mind. I just figured you might need some of these.
- Thank you. - Okay.
Okay. I'll see you guys around. It was nice meeting you.
- You two lived together? - Oh, we were roommates.
I hope you had benefits.
It wasn't like that. We were just friends.
Why? That guy is smoking hot.
Why? Does he have a girlfriend?
Uh, not that I know of.
Just remembered something. Um, I'll catch up with you later, okay?
Sure.
[SIGHS]
Witnesses confirm that the other guy started...
...and you just pushed him away.
I told you that.
HOLLIS: But that doesn't explain touching the kid.
I wasn't touching him.
My relationship to the boy is complicated. It's, uh, sort of a secret.
No, no, not like that.
Well, your hand isn't broken. It's just sprained.
Would've been worth a fracture if I would've knocked out his teeth.
What's gonna happen to him?
He's going to jail.
What do you think about that, Max?
Wait, wait, wait.
Don't arrest my dad.
What did he say?
Max, what's going on?
This is where I leave.
Good luck with that, Pops.
Mom, Mom, this is my dad, Dr. Archie Morris.
What's up?
- Timmy, did you get it? TIMMY: Yeah.
- But I didn't get a chance to wrap it. - Yes. No, it's all good.
[LAUGHS]
Gates, just the man I was looking for. Here, I got a present for you.
- What's this for? - It's so, uh, people know who you are.
- Hey, you didn't have to do this. - Yeah, I did.
Let's see.
What the hell is this?
Students wear short coats.
It helps remind everyone, including you, that you are still learning.
- You feel better now? - I feel great, man. Yeah.
[CHUCKLES]
PRATT: Gates.
[JOE CRYING ON MONITOR]
[DOOR OPENS]
- Hey. - Hi.
- How long has he been crying? - Like 10 minutes.
I think he'll settle down.
How was your shift?
Uh, the usual. I had a 5-year-old kid crushed by the tree.
I don't wanna hear stories about bad things happening to children.
He survived, okay?
[KOVAC SIGHS]
How about your day?
It was divine.
Hmm.
I've been thinking. Maybe you're right.
Maybe we should get somebody like a nanny...
No, thanks.
- But I thought you wanted... - I changed my mind.
No nannies.
Just us.
Doesn't sound like he's settling down, huh?
[LAUGHS]
I'll get him.
Ah.
KOVAC [ON MONITOR]: Hey, hey, hey. What's all that crying?
[KOVAC SINGS " SHOULD I STAY OR SHOULD I GO?" ON MONITOR]
[SIREN WAILING]
[THUDS]
MEG: That good?
- I should have stayed a paramedic. - No.
Doctors are much more sexy.
- Mm. - Uh-huh.
- Rough day? - Yeah.
One of my Attendings has it out for me.
Either that or he's in love with me. I can't tell which.
How was your temp gig?
Same thing, different people.
Nobody knows you. Nobody really talks to you.
It's like being the office ghost.
Do you want a drink?
No, I have to study.
SARAH: Knock, knock.
You decent?
I'm in my thong.
Guess what.
I take it your homework's done?
Yeah.
I've got some stuff from school you need to sign.
I left them on the table.
All right.
There's lasagna in the fridge if you get hungry later.
Thanks.
- Well, you were right about Adam Horner. - Uh-huh.
I ignored him all day, even when he was looking at me, and tonight he IM'd me.
The Horn Dog comes through.
- It's Horner. - Watch it. I bruise easy.
Did you save anyone today?
Yes, actually, I separated a pair of Siamese twins.
Must be gross seeing all that blood, huh?
No, I saw more blood when I was a paramedic.
Besides, I'm half vampire, so I kind of dig it.
[LAUGHS]
Do you want me to help you study?
No. I want you to work things out with your mother.
I'd rather shave my head.
Oh, good, I have a razor in the bathroom.
We can shave it into a nice little Mohawk.
Okay, I'm just kidding.
I'll talk to her.
Sometime.
- Tonight? - Yeah.
All right, hey.
Good night, baby girl.
Night, doc.
MAN [ON STEREO]: For the next hour, we're gonna be talking...
... about abdominal pain in the elderly patient.
What an important disease this is.
No pass-ons, no major tragedy, no death.
- Gates still here? - You just missed him.
- What about his charts? - They're over there.
Hey, from what I've seen, cat's a good doctor.
He's all right. Plenty of room for improvement.
Dr. Morris, I heard some guy attacked you. Are you okay?
Oh, yes. Yeah, I turned the other cheek.
You know what Jesus said.
You know, when those guys...
...who trespassed against him, as those who trespassed against us...
- Can I get an amen? TIMMY: Amen.
Amen.
I have a patient waiting, so...
Good night, Dr. Morris. God bless you.
God bless all of us.
Hey, you wanna grab a bite with me and Max and his moms?
- You worked things out? - Yeah, they're pretty cool.
And if everything goes well at Ike's, we may really work things out tonight...
...if you know what I'm saying.
- I think you do. - You do know they're a couple?
Yeah, a couple of lesbians in desperate need...
...of a Morris sandwich. Unh.
- You know you're sick, right? - What?
Good night, Archie.
Could you help me with a two-layer closure?
Nope. Nope, not now, I'm off.
Weaver should be here any minute now.
[HOPE SIGHS]
All right, wait, wait.
First off, you never wanna inject directly into the wound.
It distorts the anatomy for your repair.
He needs regional anesthesia.
Have you ever done an infraorbital block?
Not really.
Okay, well, it's pretty easy once you, uh, know the tricks.
Now, first, what you wanna do is use your left index finger...
...to palpate the infraorbital ridge.
- Got it. - Good.
Now you're gonna inject 1 centimeter lateral to the ala...
...and advance upward until you're 5 millimeters from the ridge.
Good, good. Very good.
Subtitles by SDI Media Group
[ENGLISH SDH]