- Can I give you a hand with that?
- Thanks.
It cost a fortune and it's stuck.
As long as I can sneak under it.
I left mine at home.
I hate coming in to work
when it's still dark.
Doesn't look promising.
Perfect start to a perfect day!
-year-old woman with COPD.
Wheezing due to smoke inhalation.
No facial-burn evidence.
BP's over , pulse .
Get her on a pulse ox.
Order a chest film.
- What's up?
- Fire in a nursing home.
Not enough people to get them out.
Get this last ambulance.
-year-old with tachypnea,
altered mental status.
- BP's over .
- No singed nasal hairs.
We're getting two more, one critical.
- Who's on the desk?
- Nobody.
- Steve's sick, Randi left at : .
- She didn't wait for a replacement?
You want to bitch, bitch at her.
Haleh, I need you.
Jeanie called.
She's not coming in either.
You got basketball practice?
- I have practice.
- You about ready?
- Morning.
- Morning.
Your backpack's in the bathroom
atop the toilet.
Your basketball stuff's
in the basement.
If you want it washed,
put it in the basket.
She can hit a -foot fader
but she can't hit the hamper.
- Got a minute?
- Not really.
Carla says Reece might not be mine.
What are you gonna do?
I don't know that I believe her
with everything going on.
What the hell's the matter
with that bitch?
All that she's put you through
and she's not even sure?
I'm sorry.
Has she always known this or
is she doing it to get Reece?
I got a paternity test.
I haven't taken it.
- How long does it take?
- I don't know if I'll take it.
You have to.
What if I'm not his dad?
You can't wait. He'll find out.
- I know-
- Then he'll know you lied to him.
- What's up?
- I called, but the phone just rang.
I don't always hear it.
I gotta go to work.
- Still at the pharmacy?
- The hours are good.
The tests came after you left.
You gotta get treated for
a bladder infection.
It can be dangerous
when you're pregnant.
I'll come by soon.
Have you given any more thought
to the detox program?
I stopped using five days ago.
- Good for you.
- Thanks again.
I don't give a damn how many
patients you have!
We're drowning here.
I need qualified bodies.
- Excuse me, I'm-
- Go away.
I've got fried old folks.
Want to compare patient loads?
You're in a car accident,
I hope you end up here.
I'll personally be of absolutely
no help to you whatsoever!
- Twerp.
- Excuse me.
- I'm Andrew-
- You have an M.D. behind your name?
Have a seat. I'll get to you
when I get to you.
- Margaret Ramey sent me.
- You a desk clerk?
- Yes, ma'am.
- Good. Then get back here now.
- Okay, so-
- You're a clerk. Clerk.
Phone anybody with the day off.
They'll work today if they
want to work here tomorrow.
- Oh, God!
- Can I help you?
I've lost my husband.
- Were you in the fire?
- Barry's his name.
I followed them down the hall.
They went so fast.
Let's go see if we can find him
for you.
Thank you.
- Take a deep breath.
- Pulse ox on four liters.
Can your patient's wife come in?
- Absolutely. You free?
- I was gonna grab another one.
Take this one.
No singed nasal hairs.
Barry, I'm here.
I need you to lean forward.
He can't lift himself.
Wet crackles bilaterally.
Put him on a non-rebreather.
- MS, CHF, coronary artery disease.
- Let's get a nitre drip.
Titrate to a systolic of .
of Lasix, four of morphine.
- You got it?
- Yeah.
-year-old woman,
right thigh contusion.
BP's over , pulse .
Laceration to forehead.
I should've had that coffee.
- What is it?
- Nursing-home fire.
Check the residents.
Can you take over the desk?
They're stacking up.
No smoke inhalation sign,
but she's hypoxic.
- Pulse ox is down to .
- Crank her up to .
- What is it? Her chest's clear.
- Should I get Dr. Greene?
- What's her temp?
- . .
You appreciate the coarse rhonchi
at the right base?
- She has pneumonia.
- Not much gets by you.
- CBC, blood cultures-
- Chest x-ray, ceftriaxone. Sign.
Andy does imitations. Ask him.
Imitations, huh?
I'm better at improv.
This is my day job.
Do Keanu Reeves, man. Come on.
Do something, man.
Whoa! You're a little pregnant, huh?
All right.
- Picked a name for the dude?
- No.
How about Leif? Or Bodhi? Or Keanu?
- Keanu's a most excellent name.
- Very good.
- Did you talk to Jeanie?
- She can't make it.
She's been out all week.
Call her and have her tell me
why I shouldn't fire her.
Just had a great pickup.
Woman had rapid breathing
and altered mental status.
Tachypneic, hypoxic.
Like smoke inhalation.
- Your Bunsen burner's still on.
- Pulse ox . You with me?
Struggling. I think I get it.
I could've thought inhalation,
but I saw subtleties.
Crackles in the middle lobe
and low-grade fever.
Pneumonia.
Right.
Figure I'll find gram-positive
diplococci here.
- She's lucky she had you.
- Damn straight!
Haleh said she heard the rhonchi
and told you.
- I can't understand him.
- He can't get enough oxygen.
Causes confusion and disorientation.
His lungs are very sick.
We have to place a tube
down his throat to help him breathe.
- I don't know that that will help.
- Will he get better?
There is a chance.
In his declining health...
- ... I'm not optimistic.
- He could get better?
He could.
Then let's try it.
It could also be his heart.
We'll run more tests...
...to ensure we're doing
the right thing.
- Can we get Cardiology down here?
- To do an echo?
Help me!
- How you doing?
- -year-old woman.
Delusional, no smoke inhalation
or injury.
- What's been done?
- Five of Haldol, two of Ativan.
- I lost my reading glasses.
- Help me! Why won't you help?
- Please!
- Dementia cases are so sad.
I hated Geriatrics rotation,
so I chose Pedes.
Looks like you're doing fine.
- How's she doing?
- Fine. Excuse me.
Three are in Medicine.
The broken hip's in surgery,
one's in CICU.
Five were treated and released.
- You smell gas?
- I do.
- Smell that?
- Yeah.
I'll call Maintenance.
Get everyone out of this hall.
It's stronger in here-
Both eardrums intact.
How's the ringing?
- Still bad?
- What was it?
A Bunsen burner may have been left on.
I used one. I'm sure I turned it off.
- Want to go to Audiology?
- I had it worse at a Clash concert.
- I want out of these wet clothes.
- Just scratches.
- Could today get any worse?
- What happened?
We think a small gas leak
may have ignited next door.
- I heard it on the th floor.
- No one's seriously injured.
- A Bunsen burner may have been left on.
- Really?
- The pain started when?
- Last night.
- Had you eaten?
- We shared a pizza.
- Any vomiting?
- No.
- Any pain?
- A bit near my bellybutton.
- How old are you?
- .
Married? Big for your age.
Play football?
He's into video games, not sports.
- Sit up. Any pain back here?
- A little.
- Dr. Kayson's here.
- Thanks. I'll be right there.
It's not too serious.
Maybe a stomach flu.
Pee in the cup and give it to Malik.
- Pistachio, almond and peppermint.
- Peppermint?
Just eat the pistachio.
Another birthday? Just leave
the decorations up permanently.
Carol's surprise baby shower.
Anybody leave their reading glasses
in the freezer?
May I see those?
I've left mine in some weird places.
- Are they yours?
- No, but I think I know whose they are.
- You got a minute?
- Wish I had.
- We can talk while I work.
- Nice office.
His madness is admirable,
no matter how sociopathic.
- Who?
- Romano. This office. Sorry.
You wanted to talk?
Slumming with we simple surgical folk,
Dr. Benton?
We're discussing a patient.
Not taking him from the excitement
of trauma medicine, I hope.
I have a hernia scheduled.
I'm meeting the insurance people.
Can you do it?
It's a bit early. : .
- In the morning?
- Early bird catches the worm.
A more advanced ER member
blew up the lab.
- The insurance company's concerned.
- Anyone hurt?
Your boyfriend's hair got mussed,
but he bounced right back.
He is a scrapper.
Deaf as a post, but that's
probably temporary.
What would you pay for my sperm?
- I beg your pardon?
- Oh, is that sexual harassment?
Oh, no, The Marshall/Hillberg
Sperm Bank recruited me.
Its donors include Olympic athletes
and Nobel winners.
- They want you?
- Embarrassing, but it's a good cause.
Who knows what the mother brings?
As for my genetics...
...I guarantee a great advantage
over the spermic competition.
Can't have too many Romanos
running around, can we?
- What've we got?
- Shattered femur. Rock-climbing.
-year-old keeping up
with a young wife.
What a mess!
Major orthopedic surgery,
four months in a wheelchair.
Should prove his vitality
to the fairer sex.
Still looking for
your reading glasses?
I'll stop by a drugstore
for a $ pair.
Are these them?
Where were they?
In the freezer in the lounge.
That's one place I didn't look.
Thanks.
Could you write a Keflex prescription?
A sometimes patient,
months pregnant.
She has a bladder infection.
- Want me to see her?
- She's not here.
I'll get it for her
and hope she fills it.
Thank you.
I think the heart failure's making
him sick. Not his lungs.
I think we need to accept...
...that the time has come
to let nature take its course.
I don't know what to do.
Barry always made all the
important decisions.
You know what a "Do Not Resuscitate"
order is?
I think you need to sign one for him.
Will you do that?
Yes.
Dr. Spielman's office?
Third floor. Go left
past the MRl suite.
- Dr. Spielman.
- Kerry! My God! How are you?
I'm fine, thanks.
Still sacrificing yourself
to the indigent at County?
- Battling windmills.
- Please. Want some tea?
No, thanks. You moved the office
around a little bit.
Yeah, when we put in the MRl suite,
what a mess!
What brings you here?
Job-hunting, I hope.
No, Gabe Lawrence.
- You let him go a couple months ago?
- He left the staff, yes.
I heard it was politics.
A bit of a palace coup.
With me cast as lago, I suspect.
I wonder if that really happened.
Gabe Lawrence was my closest friend.
My mentor, my teacher.
The finest doctor
I've ever worked with.
His leaving was the most trying
experience of my career.
I hired him at County.
I hadn't heard that.
I need to know.
Should I worry about patient safety
with him on my staff?
- Where's Dr. Lawrence?
- Trauma .
- What have they got?
- s*ab wound to the chest.
Rib spreader.
- Suction.
- Still no pulse.
- Need a hand?
- We're fine. Too many cooks...
- Heart's still b*ating.
- Not much blood.
Pulseless electrical activity.
Four units of O-neg.
s*ab wound, left ventricle.
- Hold this. Do you sew fast?
- Blink and you'll miss it.
I'll put him into
ventricular fibrillation.
- Are you serious?
- Do you want to sew a moving target?
- What next?
- Sauerbruch grip.
Dr. Weaver was the finest student
I ever had.
She answered before I questioned.
And what is the Sauerbruch grip?
Occlude the inflow
from both vena cava.
What'd I tell you?
You'll have seconds to fix it.
- Go high, with a horizontal mattress.
- V-fib.
Charge the paddles to .
Don't tie that too tight.
- Paddles now.
- Last knot.
Look at the heart.
That is normal sinus rhythm
inside the chest.
Damn!
- She was the last one to use it.
- They'd fire her?
- Who?
- Dr. Finch last used the Bunsen.
Fired? For that?
If you can be fired for dress-code
violations, you can be for this.
Dress-code violations?
Is anything open?
Do Christopher Walken.
Well, see, you want a room?
The only room that's available
is Exam .
Thanks.
Welcome. Have fun
storming the castle.
Here you go.
Sit up.
Let's get this DNA stuff over with.
See?
See, that didn't hurt.
All right. Yeah.
Good man. That's my big man.
I'm sorry.
Is Meg Corwin here?
- Deb, where's Meg?
- On break.
Probably out back.
Past the bathrooms.
Thank you.
I get paid today, really.
- I'll catch you later?
- I'm off at : .
Maybe.
What are you doing here?
I brought you your prescription.
Who was that guy?
Oh, Meg, you're pregnant.
No kidding. I didn't ask to be.
- You weren't there?
- It's none of your business.
Your kid deserves a chance to live.
You've mixed me up with
someone who cares.
- I didn't do it.
- I saw you.
- I turned it off.
- Tell them it was you.
- Why would I?
- Dr. Finch will be fired.
- Maybe she did it.
- Benton's with your patient.
Her patient was an hour before yours.
She was there long before us.
I turned it off. Honest.
Hey, Cleo. I have a -year-old
with a blood sugar.
- Diabetes?
- I just got the test.
- Overweight? Crappy diet? Couch potato?
- All the above.
Kids eat junk food and play video
games. Bingo! Diabetes.
How do I treat it?
- Want me to talk to the family?
- That'd be great.
I'd heard Gabe lost
a power struggle...
...over tenure issues.
You never checked?
I've known Gabe my entire career.
He's the reason I became an ER doc.
I jumped at the chance to hire him.
Or the chance to impress him.
Student hires teacher.
Spielman suspected early Alzheimer's.
She asked him to undergo
neurological testing.
He blew up. Quit.
Won't speak to her.
- You have to fire him.
- She wasn't sure.
He can't cope with stress.
Wanders around-
- He's always been scattered.
- He may endanger patients.
I don't know.
I love him like a father.
I don't know if I can fire him.
- Is there family history of diabetes?
- My mother.
Don't old people get it?
This type, yes, but some children
are susceptible.
He needs a diabetes clinic.
A new drug works well for kids,
but it's expensive.
Does your insurance
cover prescriptions?
I'm not insured. How expensive?
- $ a month plus clinic visits.
- I can't afford that.
He needs to lose weight, exercise
and control his diet.
Then he might not need medication.
I start a new job next week
with good benefits.
But they start in days.
Can it wait?
With elevated blood sugar...
...he's likely to have complications.
Will this be a pre-existing condition
on my new insurance?
If you treat him right now,
they won't cover him.
I don't know the specifics of your
plan, but it's possible.
I'll get him to diet and work out.
He could take my mother's HMO's
diabetes pills for days.
He needs a physician's supervision.
He needs a nutritionist, an exercise
specialist and education.
What will that cost?
It's only three months.
We weren't here, okay?
Your son has a very serious disease.
He could have kidney failure,
heart disease...
...go blind, lose limbs.
Let me talk to Dr. Finch.
You're making it worse.
He'd wait three months
to treat diabetes.
If insurance won't cover him and
he can't afford medication...
...what will happen over years?
With his grandmother's glyburide,
he might gain more weight.
He'll start on half a pill and
the dad gets him to lose weight.
Later he'll get better care.
You don't know about Type ll
diabetes in children.
Sedentary kids don't easily
change lifestyle.
Dad hasn't kept him off the sofa
and potato chips in years.
How could he now?
- Your CHF guy is in V-tach.
- I'll be right there.
You accommodate the dad's
financial problems...
...you're endangering a life.
But what is it?
It's ventricular tachycardia.
It's an abnormal heart rhythm.
How much longer?
A few minutes.
A few minutes?
Dr. Lawrence?
- Can we talk?
- What's up?
You've had Mrs. Karis waiting
for a prescription for four hours.
I'm sorry. I'm sorry, Mrs. Karis.
I got tied up with other patients.
I completely forgot.
I'm very sorry.
One pill every six hours.
Elevate your ankle and ice it
three times a day.
- Gabe, can we talk in the lounge?
- Yeah.
- Thanks.
- That's it?
Appreciate it.
Wait, what is she doing?
- What the hell-?!
- Come on.
Why's she taking off her ankle wrap?
That's Brenda from Accounting.
Her ankle's fine.
You've never seen her before.
- You tricked me?
- Can we not do this here?
It's been very busy here today!
I had several ankle injuries!
I got confused.
I went to see Renee Spielman.
Time of death, : .
Mrs. Connelly?
Has he gone?
Barry...
...you're so sweet.
Yes, you are.
I'll miss you.
I need to call my son. Is there
a phone I could use nearby?
I'll show you.
Thank you, doctor.
You're sure about this?
Jail's not the best place
to have a baby.
At least she won't be high.
- There he is.
- Got him.
- - - . White male with a
leather jacket in alley.
- What happens now?
- Wait to see if it goes down.
Bingo.
- Get anything?
- Pills, some weed.
What's this, Einstein, crank?
Kid's a cash-and-carry pharmacy.
You bitch!
How could you?
You have nothing to say?
How could you do this to me?!
- Is Dr. Lawrence back?
- Not yet.
Dr. Weaver?
I may have been last to use
the Bunsen burner...
...before the expl*si*n.
It's assumed Dr. Finch used it last.
I used it too, probably after she did.
I think I turned it off.
Possibly I didn't.
It could've been my fault.
Fire investigators say it was
a gas line. Ruptured pipe.
I guess it wasn't me.
Safety's our number one priority here.
You cannot "think" you left on
a potentially dangerous lab tool.
- Are we clear?
- Yes, ma'am.
This is Gabe. Please leave
your name and number.
Gabe, this is Kerry.
I'm at the hospital.
Please call me back.
Can I come in?
Sure.
This is my son's record, right?
- Yes, it is.
- It says here that Eddie has diabetes.
You put that in?
- Tear it up, please.
- I can't do that.
It's illegal.
I'm not a fool.
I'd never hurt my son.
We're just getting back on our feet.
I don't have that kind of money.
All those specialists and things.
I'll have insurance in three months.
It's good.
He'll diet, exercise,
use my mom's pills.
- She gets the test kits.
- Glucose levels.
If he's not improving,
we'll come back.
I'll do whatever you tell me.
If there's a chance to do this
any other way...
...please help us.
What are you doing?
I was doing chart review in here.
Sprinklers soaked everything.
- I may have just done the wrong thing.
- Me too.
- Really?
- Yeah, about an hour ago.
I destroyed what little was left
of a good man's career.
What'd you do?
Got a pregnant junkie arrested
for possession...
...so she'd get clean in jail.
Want to drown our sorrows
in ginger ale?
No, I'm getting a surprise
baby shower.
- It's supposed to be a surprise.
- I'll look surprised.
I miss Doug.
You call him?
Has he called you?
He leaves messages on my machine.
He calls when I'm not there
so I don't have to talk to him.
You don't want to?
I don't know what else to say.
- Rain check on that ginger ale?
- Sure.
- Seen the Bernero T-sheet?
- The diabetic?
- Why's it so hard to keep them?
- It was there a while ago.
I gotta fill out a new chart.
Bernero kid in Three can go home.
Just a case of the stomach flu.
Kick him out. We need the bed.
- Have you seen Kerry?
- Curtain .
- How's the baby?
- Great.
- Come by for Carol's baby shower.
- Yeah, I'll try.
Hang a banana bag and dress the
abrasions. He fell.
You wanted me to come in?
You've worked two days
in the last three weeks.
We depend on you. When you call in,
it's tough on us.
I'm not coming back.
I'm sorry I've made it tough.
I should've talked to you earlier.
- Is everything all right?
- I've never been happier.
I have Reggie and the baby.
I want to be with them.
That's great.
- If you need me to work a few shifts-
- No.
When the baby's older and needs
you less, call me.
- There's always a job for you here.
- Thanks.
- I'll miss you.
- I'll miss you too.
Hello, baby!
Roger was gonna pick him up.
I know...
I called him and told him.
Roger! Reece is here.
I got this DNA test for paternity.
And...?
I'm not gonna use it.
I'm gonna throw it away.
Why?
I touched your pregnant stomach.
And I felt him move.
I was there for his birth.
The nights in the NIC-U.
When I wake up, he is the first
thing on my mind.
When I go to sleep, he's the last.
I love him.
He's my son.
I don't care about biology.
I don't need a DNA kit to tell me.
I don't have a whole lot in my life.
My career...
...Jackie and her kids and that boy.
He's more to me than
the rest combined.
I'd lie down in front of a train
for him. That's how I love him.
So I'm asking...
I'm asking you...
Please...
Don't take my son away from me.
Please.
Weaver needs to see you
about overtime.
Great. Okay.
Surprise!
Oh, my God! You guys...
- You didn't know?
- I had no idea.
- We chipped in on the bassinets.
- We have no money left.
They're beautiful!
Dr. Lawrence is in Trauma .
Where have you been?
Out walking by the lake.
I was worried about you.
When despair for the world
Grows in me
I go lie down where the wood drake
Rests in his beauty on the water
and the great heron feeds.
I come into the peace
Of wild things
Who do not tax their lives
With forethought of grief.
I come into the presence
Of still water
And feel above me the day-blind stars
Waiting with their light
And for a time, I rest in the peace
Of the world and am free.
How can I remember a Blake poem...
...I memorized years ago,
and not remember...
...that I saw a woman with a
sprained ankle this afternoon?
I noticed something wrong a year ago.
Memory loss and not being able
to find the right word.
I went to Boston to see an
old classmate, a neurologist.
He did a PET scan.
It showed bilateral hypoperfusion
to the parietal areas.
He started me on Aricept.
It's supposed to put the brakes
on the Alzheimer's.
But I guess...
...it didn't help enough.
They do great work...
...upstairs at the Comprehensive
Dementia Center. You should go.
I have a progressive
neurologic disorder.
They work with neurotrophins,
antioxidants.
- Maybe get into a clinical trial.
- I thought of committing su1c1de.
I can't figure out when to do it.
Too early, I'll miss
what little life is left.
I wait too long,
I won't remember to do it.
Please don't say that.
God, I'm gonna miss this.
Medicine has been my whole life.
You could stay on.
You could lecture the students
and Residents.
But not see patients.
You're a brilliant doctor
and a wonderful teacher.
Please don't give up those gifts.
I saw a woman this morning.
Dementia.
She had no idea where she was
or who she was.
Ten years, that'll be me.
Bedridden...
...in diapers...
...locked away in some home...
...nobody coming to see me.
I'll come and see you.
But I won't know you're there.