01x17 - The Birthday Party

Episode transcripts for TV show, "ER". Aired: September 1994 to April 2009*
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01x17 - The Birthday Party

Post by bunniefuu »

Oh, God, what time is it?

lt's late.

Go back to sleep, Natalie.

-What?
-l said, go back to sleep.

You just called me Natalie.

lt's not Natalie?

-Sorry.
-lt's okay.

l forgot your name too. Don?

-Doug.
-Doug.

Pamela.

-Hi, Pamela.
-Hi.

-You going someplace?
-Work.

-At a.m.?
-A man's gotta eat.

-l'll call you.
-No, you won't.

Don't let the cat out.

Damn! lt's cold out!

Slow night?

Calm before the storm.

ln a little early, aren't you?

Actually, l am a dedicated
pediatric resident...

...struggling to fulfill the promise
of a brilliant early career.

-You been drinking?
-l wish.

Nobody's in if you want
to get a few winks.

No, l'll just catch up on
some paperwork. Thanks.

-You're in early.
-You're in late.

l'm waiting for somebody
to pick up Tatiana.

Children Services said
they'd be here by midnight.

Did they say what year?

Nice shirt. Sleep in it?

Something like that.
You working today?

Yep. On at .

Get a couple hours,
l'll watch Tatiana.

-Really?
-Yeah, l can practice up on my Russian.

She's in .

Thanks, Doug.

What are friends for?

l know, l'm early.

Hi.

Hi.

Oh, God.

Hi yourself, kid.

Baby, leave Uncle Peter alone.

Now go on upstairs. Go.

Put some clothes on.

Sorry, honey. l was trying
to let you get some sleep.

-What time is it?
-lt's about : .

l was gonna make you go home last night,
but you were snoring to wake the dead.

l do not snore.

Worse than Daddy used to.

Oh, man.

Look what the cat dragged in.

-Any juice?
-That blood on your shoes?

-Probably.
-Damn.

-She give you any trouble last night?
-No. She went to bed early.

-Hey, how was the movie?
-Wack.

-Jesse liked it.
-Jesse's .

You gonna make it back
in time for dinner?

l don't watch her on Thursdays.

lt's the th, Peter.

Mommy's birthday?

-Oh, yeah. Today?
-Yeah. For the last years.

Come on, kids,
the ''dad bus'' is leaving.

Steven, come straight home
from basketball.

Don't make me send
your father after you.

Here.

Where you going without your books?

l don't know what this lipstick
is about, but we'll talk about this.

So you're not coming?

No, no, no. l'm coming.

l just gotta figure something out,
that's all.

Lamb?

-Standing rib roast.
-Right.

The American Heart Association diet,
right?

Hey, it's what she likes.

-And it won't k*ll you.
-lt might.

Please don't disappoint her.

You're the only one
she really remembers anymore.

Jackie, l'll be here.

l'll be here.

-l've been on for hours.
-l'll take Christmas, New Year's...

-...Thanksgiving, th of July.
-You owe me three days already.

All your hemorrhoid cases for a year,
half my future practice, my first born.

Hey, man, it's my mother.

She's sick. l need to be there.

Not this time, Peter.
l can't. Sorry.

-Lily, get Psych down here now!
-What's happening?

A guy poured gasoline all over himself.
Says he'll drop a match.

-ls he serious?
-Who knows?

But l'm looking for marshmallows.

-Get any closer, and l'll do it!
-You don't want to do this.

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

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

Yes, l do.
What, are we arguing? l do!

Back up! Back up!

l'm backing up.

You'll set off the sprinkler system...

...and you'll just be a bald guy
with no facial hair and a bad sunburn.

You don't have a sprinkler system.

We don't have a sprinkler system?

All right.
We can talk about this, right?

We can, because l don't wanna see you
hurt yourself or anybody else.

So let me be your friend here, okay?

l can be your friend.

Please? Come on.

When you're finished, Dr. Freud...

...Sparky there will need
an eyewash and a shower.

Daddy.

There's something
you don't see every day.

He climbed up on a chair in our den...

...stuck his head in
and started screaming.

He's bleeding a little bit.

-lt hurts.
-The teeth are jammed into his neck.

Hang in there, buddy.
We'll get you out.

l took him to see The Lion King
for the ninth time last night.


This is the thanks l get.
No more Lion King, Gus, you hear me?


-No more!
-Daddy....

Did you bag this?

Great grandfather bagged it
in lndia with Teddy Roosevelt.

Sorry. When did it happen?

. They were in the Punjab, l think.

l mean, when did this get stuck
on Gus's head?

Half an hour ago.

l might've made it a little worse
trying to pull it off.

He'll need some stitches.
Malik, get me a bone saw.

Hold on. You're gonna
cut into my kid's neck?

We're gonna saw the jaw off the tiger.

lt's been in my family for years!

l mean, it's historical for God's sake.

l mean, gee, Teddy Roosevelt.

Seventeen-year-old female,
BP's over , pulse .

Empty bottles of vodka and brandy...

...Valium, Flexeril, Darvon.

Father thinks she might have others
stashed away somewhere. No note.

Okay, ready? On three.

One, two, three.

Let's get a CBC, Chem- ,
cath urine for Rud's...

...a tox screen and a blood alcohol.

-What have you got?
-One of your old favorites, Rene.

Rene! lt's been a long time.
What, a couple of weeks?

Rene. Rene?

-What are you on, Rene?
-l got a headache.

l bet you do have a headache.

Give me something.

-Something? Were you thinking aspirin?
-No.

You're not getting Demerol, Rene,
so forget it. Lavage?

Ewald tube. Saline, liters.

l'll get the charcoal.

lt's stomach pump time, Rene.

Calm down or this is going down
your nose. You know you hate that.

So who brought her in this time?
Her dad or the creep?

Her dad.

You know, if we gave out Green Stamps,
Rene'd have a car by now.

People at Sunshine House
agreed to take her in.

-They're set up for AlDS kids?
-That's all they do.

-What are her chances of adoption?
-With advanced AlDS? Zero.

-There's foster care.
-So she goes there to die.

The people at the hospice are great.

She'll be with other kids. There's
full-time nursing care, teachers.

She's fortunate there is
a Sunshine House.

Yeah, it's her lucky day.

She's in here?

Tatiana....

What's she saying?

She doesn't wanna go.

Hi, Tatiana.

l like your doll.

What's her name?

Anya.

That's a very pretty name.

Tatiana...

...you need to come with me.

Please?

Let's start an lV.
Five milligrams morphine.

-How'd this happen, Mr. Kazuo?
-Boning fish.

Let's get a CBC, Ancef lV and a DT.

-X-ray?
-Yeah. Where's your finger?

l couldn't find it.
lt hurt too much.

lf we can find it,
we may be able to reattach it.

-The guys brought the crate in.
-Dr. Benton?

All right. Carter, Chen!

Let's go.

All right. The good news is, the finger's
on ice. The bad news is, it's in here. Dig in.

Get the replantation team up here.

Carter, Chen, move! lf the tissue freezes,
you might as well serve it as sushi.

Rene's gonna be okay.

We pumped your daughter's stomach.

Tox screen showed cannabis...

...opiates, benzodiazepines.

Her blood alcohol level was . .

She had a fight with her boyfriend.

Said she wanted to k*ll herself.

You want me to get Psych
down here again?

What for? They'll just let her out
in a couple of days.

Have you thought about any
inpatient treatment centers for Rene?

When we did that...

...she cut her wrists.

What am l gonna do?

Oh, God!

Have you decided what you'll do
in your Sub-l next year?

My elective? l don't know.
We have a couple of months to decide.

Sure, but the good ones
are gonna be long gone.

-l thought we just had to sign up.
-No, it's really competitive.

-l was thinking about just staying here.
-Trauma placement?

They've already got requests
for the one spot.

ln the ER?

We're here, so we have the inside track,
but it's the resident's decision.

Benton?

lt's not supposed to be, but they
always go with who the resident wants.

So have you already applied?

Are you kidding?
As soon as l got here.

l didn't want Benton to think
l wasn't interested and--

l got it!

He already told you?

One missing digit.

Six-year-old male, g*nsh*t wound to
the back. C , T region, no exit wound.

BP's over , pulse .

Oxygen liters by mask.
Two large bore lVs wide open.

All right, let's get him on my count.
Nice and gentle. One, two, three.

Good bilateral breath sound.

Blood coming up?

lV's wide open!

CBC, type and cross
four units packed cells.

Four units O-neg. Let's move!

C-spine and chest films, now!
l think we've got a cord injury.

Okay, start a flow sheet.

-He's gonna need a Foley.
-All right.

-Good bilateral breath sounds.
-All right. Blood coming up.

Are you hurt? Are you hurt too?

l k*lled him. l k*lled Drew.

Connie, get another gurney!

-Switch him over to a dynamap!
-Where's that O-neg?

-l k*lled him.
-He's in shock.

-l k*lled Drew.
-Okay, here we go.

l sh*t my brother.

Let's get him on mask.
Start an lV of saline.

l sh*t my brother.

Got them.

-Damn!
-C , T vertebrae.

-Gardner-Wells?
-Yeah.

All right, bolus mgs
methylprednisolone over . Now!

Start a Foley catheter and an NG tube.

-The kid's father is here.
-l'll take him.

Call neuro, and book an O.R.

He was okay a couple of days ago.
Now he's confused, agitated.

d*ck. d*ck?

Mr. Thornberg, do you
know where you are?

-Do you know what day it is?
-Will you scratch that for me?

-lt itches like crazy.
-Do you know where you are?

d*ck, damn it, l'm telling you.

-Has he been sick, on any medications?
-He has lung cancer.

Chemo? Radiation?

They gave up a couple months ago.

Come on, d*ck.

Let's get a CBC, lytes, calcium level.

-Want an EKG?
-Yeah.

l'll get somebody.

Are you Mrs. Thornberg?

No.

Just a friend.

Have you contacted his family?

He's got a daughter,
but they're not in touch.

-Can l please stay with him?
-Sure, sure.

Hey, Mark, Susan.

We've got end-stage lung cancer
with altered mental status in .

One, two, three.

Don't let the screen door hit you
on your butt on the way out.

What is that smell?

Halibut.

Dr. Benton?

Walt, come on, man.
You know how l feel about birthdays.

All right. l gave my word.
l'll be there.

Tell Jackie don't make
a big deal out of it.

Okay, : .

Today your birthday?

My personal life's my own.
Don't eavesdrop on my phone calls, okay?

Sure.

Sorry.

-l had a question about Trauma Sub-l?
-What about it?

l understand that students have
already applied, and l was wondering...

...if l was interested, can you tell me
what my chances would be?

Twelve people have applied, right?

With me, it'd be .

Then l'd say your chances are in .

-You walked into that one.
-Yeah.

The creep is here.

-He's in the waiting room with Dad.
-Great. My day is complete.

-lt's Dr. Benton's birthday.
-Really? My daughter's too.

-Should we do something?
-Like what?

-l don't know. Throw a party?
-A party?

He would hate it.

Talk to Lydia, she can pull those
things together pretty quickly.

Mr. Thomas?

l'm Dr. Ross.

The b*llet entered your son's back.
lt smashed his vertebrae.

We need to do exploratory surgery
to determine the injuries.

He has reflex activity
and a**l sphincter tone...

...both of which are hopeful signs.

Kyle, stop it.

Will my boy live?

We don't know. lt'll be a few hours.

lt doesn't look good.

Kyle, stop it.

l said, shut up!

l'm sorry, son.

That's okay, son. lt's okay.

l'm sorry, Kyle.

lt's gonna be all right.

l always keep my g*ns locked up.

l must've forgot.

l told them to stay out of my room
a million times, but l must've forgot.

Good Lord, l must've forgot.

Hypercalcemia.
Normal saline cc's per hour...

...and Diurese with mgs Lasix lV.

There's too much calcium
in his system. We'll get it out.

-ls it from the cancer?
-lt's not uncommon.

He needs to see his oncologist
for a treatment...

...to prevent this from happening again.

lt just gets worse and worse.

He'll feel better in a couple of hours.
His calcium level wasn't that high.

Mike's too stubborn to die.

-Have you known him long?
-Not really.

About a year. We met at church.

He's a real character.

He's fun to live with.

You live together?

No, no. lt's not romantic or anything.
l liked him.

Thought maybe l could help.

He's a sweet guy.

He's got no one, no family.

lt just seemed like
the right thing to do.

l was trying to get rid of a headache.

l wanna go home.

You don't know what l want!

Your father said you were
threatening to k*ll yourself?

l was upset, you know.
T.J. and l had a fight, that's all.

Can't you give her something
for the pain?

You weren't considering su1c1de?

She told you what happened.

T.J., shut up.
You're not part of this family!

Don't tell me to shut up.
Why don't you shut up!

Leave him alone!

Why don't you all shut up. Okay?

So, Rene, you weren't trying to k*ll
yourself this morning?

l just wanted to go to sleep.

Why don't you check yourself in
voluntarily, get cleaned up.

l wanna go home.

l gotta get to work.

Mr. Franks?

Sure, whatever.

Let her go.

Dr. Benton.

l understand you're anxious
to change your shift tonight.

l was hoping to find
someone to cover for me.

lt's happened a lot lately.

-A couple of times, yeah.
-Four times. l checked.

lt's not forbidden to swap shifts,
but we don't encourage it.

-Dr. Hicks, l--
-No, let me finish.

Dr. Morgenstern and l have spent
a lot of time with the schedule...

...trying to provide every resident
with a well-rounded work experience.

lf you swap shifts,
you upset the balance.

Peter, you've got two women
with abdominal pain in Curtain .

My....

My mother's been ill.

lt's always difficult.

But if your mother's declining health...

...becomes an impediment in
your completing your residency...

...you may want to consider
taking a hiatus.

-Peter?
-He'll be right there.

lt's not uncommon.
You're an excellent doctor.

These things happen.

You can rejoin the program next year.

That won't be necessary.

-So we understand each other?
-Yeah.

Good.

Sometime this century, Peter?

They got some sort of abdominal
seizure from something they ate.

BP's over nothing!
l think they're crashing.

What's wrong with them?

l can't stop twitching.

Their BP's racing!

Oh, my God!

Doctor, l can't stop!

Carter, hold her down.

Doctor, please, help me.

l said hold her down!

Happy birthday, Peter.

Happy birthday, Dr. B.

Paramedics brought in a baby.
Fell out of a second-story window.

l need you.

She's unresponsive. Skin's warm
and dry. Couldn't get an lV going.

Cross-table and C-spine of the neck.

-We have any beds in PlCU?
-Cross two units. Get a head CT.

-You the father?
-Yeah.

How'd this happen?

She fell off our balcony.

How far?
How far did she fall?

Maybe feet onto the driveway.

Pulse is strong.

No bowel sounds.
Let's get an abdominal CT.

-Get Benton in here!
-Moves all extremities to pain.

Abdominal soft. Pelvis is stable.

Tough day to be a kid.

l hate it.

-That is a beautiful church.
-lt's a mausoleum.

My family's been coming here for years.

Let's rent Soldier Field.
We can invite fewer guests.

We don't have to fill it up.

Beth got married there.
lt was lovely.

Your sister, great. Maybe l can
borrow her wedding dress too.

Look, Tag, you know what?
l hate it, okay? lsn't that enough?

Sure. Fine.

l'm sorry.

l'm tired.
l was up all night with Tatiana.

l'm worried about her.

l was thinking maybe l could
do more to help her.

l was thinking...

...maybe we could adopt her.

You want to adopt a kid with AlDS?

She doesn't have anybody, doesn't speak
the language. She's completely alone.

How advanced is the virus?


She doesn't have long.

-A month? A year?
-What difference does it make?

We could be watching her die
for years.

Why do you have to do this now,
three months before the wedding?

Because she needs us now.

lf l don't want to do this,
does it make me a bad person?

No.

l have to get back to the hospital.

Carter, it isn't my birthday.

No, no. l heard you on the phone.

l was talking about
my mother's birthday.

Happy birthday, Dr. B!

Mary.

Hey, Mark, what happened with Rene?

Gone home. Her dad signed her out.

l've got this rule out Ml in .
Today is his th wedding anniversary.

Sixty? My record's sixty weeks.

-l'll never get married.
-Yes, you will.

l don't know. All the marriages
l know are pretty rocky.

Well, thank you very much.

Jerry, l need the Olan chart.

Where are the lab results
from the MVA in ?

-l ate them.
-Well, l need them.

Your sister called.

Twice.

Peter, another MVA coming in.

-How long?
-Six minutes.

Sounds pretty bad.

ER.

Excuse me.
ls Dr. Ross working today?

-He's with a patient.
-Can you tell him l'm looking for him?

Diane Leeds.

Sorry. Yeah, it's gonna be
a little bit later than that.

Dr. Benton?

-The check didn't bounce, did it?
-lt isn't going to, is it?

l haven't had time to make a deposit.
l'll do that first thing in the morning.

That's fine. l was hoping to catch
a ride to the birthday party tonight.

She invited me, and l'd like to go
if you can give me a lift.

Where's your car?

ln the shop.

My husband can pick me up afterwards.

l didn't know you were married.

l take it off
when l work with patients.

Happy birthday, Peter!

-You and your mom have the same birthday?
-No, it's a long story.

So can you give me a ride or not?

l don't even know if
l'm gonna make it.

You'd better catch another ride
somewhere else, okay?

-How long has he had this cold?
-Couple of weeks.

He keeps getting sick this winter,
and he's falling asleep in class.

Dr. Ross, woman at the front desk
looking for you. Her name is Leeds.

Tell her l'll be there
as soon as l can.

All right, kiddo, open up for me.
Let's take a look.

When's the last time
Billy saw a dentist?

l don't know.

Last year?

All right, kiddo. Let's put your
shirt back on. lt's cold in here. Okay?

All right.

He's anemic, Mrs. Larson.
He's not getting enough iron.

So he needs some vitamins?

What he really needs is a better diet.
Some vegetables, grain, meat, milk.

-He's malnourished.
-l try to get him some meat every week.

You're gonna have to do more than that.
Are you on food stamps?

-How many kids do you have?
-Four.

ln the winter, after l pay for the heat,
there isn't much left to go around.

Dr. Ross, that kid who fell
out of the window? l need you.

You'll have to get more food
for your children to eat.

Lydia will give you the name of several
food banks and some church groups...

...who feed families.

-l won't go to a shelter.
-You just go there for the food.

-l can feed my kids.
-Your son's teeth are rotting.

Get the food wherever you can, okay?

Thank you, Lydia.

Kid's starving to death
in downtown Chicago.

-What?
-We got those x-rays.

Neck film was fine, so we undid the
backboard and cervical restraint...

...and rolled her over
to check her back.

l think you should see for yourself.

Hey, honey.

Son of a bitch!

Dr. Ross!

-What is that?
-A footprint.

Thanks for coming....

Let me see your foot.

Son of a bitch!

l'm all right!

l'm all right.

l'm all right.

l really screwed up this time, huh?

Yeah, you did.

-ls he gonna press charges?
-l doubt it.

l don't think he wants his friends to
know that a pediatrician b*at him up.

He's got other problems.

Two detectives from Domestic v*olence
are talking to him in the lounge now.

God, it's freezing out here!

l won't say l'm sorry,
because l'm not.

Then don't.

So, what happens now?

-l had to tell Morgenstern.
-What'd he say?

He wasn't very happy. l think you're
looking at ink blots, couch time...

...probably Resident Review Committee.

Your friend's still here.

-What?
-The brunette.

She's waiting for you at Admitting.

l'm heading home.

Tell Rachel happy birthday.
lt's her birthday, right?

l was supposed to be there an hour ago.
Jennifer's gonna k*ll me.

-Tell her it's my fault.
-l always do.

Mr. Thornberg, you can't smoke
inside the hospital.

What're you gonna do, arrest me?

-You could blow yourself up.
-Well, that hasn't happened yet.

Mr. Thornberg...

...you have lung cancer.

One more won't make any difference now.

There, you see?

Now you don't have to arrest me.

BP over , pulse ,
resp's , GCS .

Defensive wounds on hands and forearms.

He's stable.
What's he doing in Trauma?

Except for that Kn*fe sticking
out of his chest, he's fine.

He's had liters of oxygen.
He's high, so we restrained him.

l think it's in his heart.

Lookie here, a swastika.

l got a ''Die, n*gg*r, die'' here.

How do you feel about Asians?

He took a crowbar to a black kid
on West Adams.

Another brother jumped him
with the Kn*fe.

Maybe somebody ought to drive
the Kn*fe all the way through.

Let's do your damn jobs. Get a CBC,
type and cross units, . Narcan...

...check the glucose and
get a portable x-ray! Move!

Are you all right?

l'm fine.
l hurt my hand a little bit.

You wanted to talk to me?

About Jake. l'll come back tomorrow if
you promise not to b*at anyone else up.

Well, it's not a daily event.

l just wanted to make sure
you were okay.

Have someone take a look at that.
lt might be broken.

-Lydia, como esta?
-Muy bien. l'm going home, aren't l?


All right! Rolando, my man.

What's up, Jerry?

Easy day, huh?

When Benton comes down,
tell him his sister's been calling...

...every five minutes
for the last two hours.

Make sure Mr. Thornberg
gets moved upstairs.

And there's a rule out Ml in waiting
on labs. Can you call, please?

-Good night, all.
-Good night.

-Who's on tonight?
-Me and Benton.

-We didn't lose a single patient today.
-No kidding, really?

Benton's still got that Kn*fe wound
up in the O.R.

Close enough.

Good night.

ER.

The muscles of the left ventricle
are holding the Kn*fe in place.

We'll begin with a median sternotomy
to expose the structures around the Kn*fe.

We'll open the pericardial sac, extract
the Kn*fe, tamponading the wound...

...as you make horizontal mattress
sutures to avoid the coronary arteries.

We'll be out of there in no time.

Dr. Benton,
your sister's on line .

l'll have to call her back.

You cut, l'll watch.

We don't accept kids over , so she'll
have plenty of kids to play with.

We're full right now,
so we put Tatiana in the infant room.

We'll move her into her own age group
as soon as there's an opening.

Hi, Tatiana.

You okay?

Oh, that's right!

She's very pretty.

You speak Russian?

Just a little.

Just a little.

Daddy!

-Happy birthday!
-Thanks. Bye.

Bye? Kiss first.

Thanks for getting home in time.

l couldn't get away. l'm sorry.

lt's okay. Craig helped.

Craig?

You know, the other clerk.

-Where is young Craig?
-Store. We ran out of ice cream.

Rachel loved her gift.

-What'd we get her?
-Super NES.

We weren't gonna do that.

She asked five times a day
for three months, so l gave in.

So you found time?

lt's from Susan Lewis.

Don't start.

Judge Franklin asked me
to clerk again next year.

-And?
-l'm going to do it.

No running in the house!

That's it? You just decided?

You made your decision unilaterally.

Now l've made mine.

Did l miss it? ls the party over?

About an hour ago.

-She still up?
-No.

She's asleep.

Jackie, l'm sorry.

l wanted to be here, but this man
came in with a Kn*fe--

Jackie, l'm talking to you!

She's at that ''not talking'' stage.

Now trust me on this one, okay?

Just finish cleaning up, give it
a couple of days, and l'll talk to her.

Got stuck in surgery?

l couldn't be at
my mother's birthday party...

...because l had to save a man with
''Die, n*gg*r, die'' tattooed on his arm.

That's my husband.

Good night.

Susan. Susan!

Dr. Lewis!

Rene's back.

Pulse . BP over .
Respiration's .

Rene. Rene, what are you on?

Mr. Franks, what'd she take?
What'd she take?

l don't know.
l found her in the bathroom.

-Where's her boyfriend?
-l don't know.

All right. On three, bring it up.

One, two, three.

Get a tox screen and BA.

No gag, let's intubate. Come on.

Rene, we haven't lost anyone today.

We are not starting with you.

Prep for lavage.

Rene, you are not going to die tonight.
You hear me? Not tonight!

Get the charcoal!
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