Sweetheart, go back to sleep, okay?
What happened?
Did you have a bad dream?
Oh, man, T ess. You're k*lling me.
Abby?
- Abby!
- Y eah?
A -year-old with pelvic pain
is coming in.
Okay.
- You getting up?
- Yep.
You want me to wake Malucci?
Nope. I'm up. I'm sorry.
- How long was I out?
- About minutes.
That must be why I feel so refreshed.
Is this a med-student hazing
or do you guys just hate me?
You're younger than us, prettier than us
and skinnier than us.
We hate you.
- Thanks for the candor.
- Anytime.
It's cold out here.
I should've brought my jacket.
Go back in. We don't need your
help pushing a gurney.
You know, I never actually thought
I'd get into med school.
I was just looking for a change.
Stop talking before
one of us hits you.
I love you.
Do I tell you that enough?
I love you.
- I didn't know you play basketball.
- I don't.
Helo, Tess. Did you let
your mommy sleep for a change?
No, she did not.
Did I make you angry?
- The flowers on your birthday?
- No. They were beautiful.
They weren't animal crackers, huh?
You heard about that?
Are you still in love with him?
I don't know. I'm too angry
with him to think straight.
- I would think so.
- Why?
No. Doug didn't know I was
pregnant when he left.
He didn't come back when he knew.
Well, it wasn't all Doug.
I could've gone with him.
- He asked me to.
- Why didn't you?
Pride.
I wanted him to stay for me.
I thought I should be at least
that important to him.
I still love my wife.
But it's time to get on with my life.
Let's help your mommy get inside, huh?
Here we go.
Like a cowboy.
- Slide your bottom down a bit.
- I hate these!
How many sex partners have you had?
- One.
- Do you use condoms?
Most of the time. Am I pregnant?
No. The urine test came back negative.
- That didn't hurt at all.
- Warm water. I know a few tricks.
You don't freeze them?
I'll tell my gynecologist.
- Cultures?
- GC and chlamydia?
I might have chlamydia?
We check everybody for STDs.
Discharge at the cervix.
I've had a boyfriend for a year.
If he gave me an STD, I'll k*ll him.
We haven't made a diagnosis yet.
Speculum's coming out.
I'll move your cervix.
Tell me if it hurts.
Sorry. Only way to do that.
I'll be gentle with your ovaries.
Put your legs down. You seem fine.
It's probably PID.
- PID?
- Pelvic inflammatory disease.
You'll get antibiotics, pills...
...and a painkiller.
You can get dressed.
of ceftriaxone,
a gram of Zithromax and of Anaprox.
Hang on there for minutes, make sure
she doesn't have an allergic reaction.
- Should Malucci sign off?
- Let him sleep.
- I'll find Weaver.
- She's on her second double this week.
- I wouldn't.
- She's upstairs. CCU had a code.
Mark's back today.
If Weaver gets nastier,
I'm calling Animal Control.
- Amira! Amira!
- Frank.
- Where's Amira?
- Got off at : .
- Who are you?
- Frank. Personnel sent me.
- Any experience?
- years as a cop.
- In medicine?
- Had my knee replaced.
- Why are all these people here?
- Sick?
What an astute,
penetrating observation.
- Where are the doctors?
- I don't know.
- No docs. Abby's in Sutures.
- Malucci?
- He's asleep in Exam .
- Kovac?
Foreign guy?
He and a some nurse came in together
and took her babies upstairs to daycare.
- Dr. Chen? Dr. Carter?
- I think they're in the lounge.
It's : . Was there a natural
disaster I'm unaware of?
An earthquake? Or has been Chicago
swallowed by a drowning sinkhole?
Could you stop yelling at me?
I was here on time.
Mark will be in by .
He went to the mortuary.
Still have that whistle?
Phone everybody who's supposed to be here
and scream at their machine...
that they're late. And if they answer,
tell them they're fired.
Rise and shine! Patients are waiting!
Dr. Malucci, if I don't see you
standing over a sick patient...
looking compasionate and engaged
in the next seconds,
you're gonna spend the next week
doing disimpactions and yeast infections!
- I'm up, chief, I'm up. True.
- I go away for minutes...
...and this place goes to hell!
The lounge?
She uses a whistle?
- You okay, John?
- Yeah. I'm fine.
- You look terrible.
- Thank you.
- What time do you have?
- : .
The : shift starts at : .
That means you see patients at : .
Clear?
Move it! County's not paying you
to drink coffee!
Somebody woke up on the wrong side
of the coffin.
T oday ought to be fun.
Weak and dizzy, Exam .
Abdominal pain, Curtain .
- Bleeding hemorrhoids in .
- Chief!
- And a boil that needs lancing.
- T errific.
- Is that unbridled enthusiasm?
- Can't wait.
Keep an eye on your med student.
- Where's Abby?
- PID down in Sutures.
You're supervising?
Take the pyelo lady in Curtain .
Rule-out Ml or a nail through
the hand?
Both.
A terminal cancer patient's
coming in.
Let's go. Plenty more
where these came from.
I went to medical school
for a butt boil?
Could be worse.
There's an expl*sive diarrhea.
- You don't look so good.
- So I hear.
I'm having trouble sleeping.
Read the Annals at bedtime.
Puts me right out.
Want me to dip a urine on our pyelo?
I'll be in after I use the bathroom.
- You on all night?
- I swapped shifts with Cleo.
I got Rage Against the Machine
tickets.
- Right in the pit.
- Lucky you.
Weaver's got it in for me.
What'd I do to Festus?
- You call her Festus.
- Not to her face.
- How's it going?
- All right.
- I couldn't wake her up.
- BP is over .
- She hasn't eaten in two days.
- Fluids?
Some ginger ale. She had a bowel
obstruction last month.
The tumor spread to her liver
and diaphragm.
- Could be encephalopathic.
- What's that mean?
Her liver isn't removing toxins.
That might be why she can't wake up.
Here we go. Gently now.
And one, two, three.
Get CBC, 'lytes, liver panel and PT.
Her resps are down to eight.
Your wife's breathing's very slow.
- We may have to decide to intubate.
- Oh, God.
- Is she a "do-not-resuscitate"?
- Yes. She doesn't want any machines.
She'll get IV fluids to make
her more comfortable.
Could you show the O'Briens
to the waiting area?
Let's find you some crayons
and coloring books, okay?
Bye-bye, Mommy.
- Come on, sweetheart.
- I brought her things.
That's my job. She likes to
have her things with her.
We need a place to put them. Could you
hold onto them a while?
All right, sweetie. All right.
Come on.
- So, Mrs...?
- Wyatt.
- How long have you had the burning?
- Couple of days. Usually clears up.
- Any fever?
- . .
Open your mouth for me.
Weaver sent you a wheezer.
Would you excuse me?
- History of asthma?
- Since I was a kid.
Get him into bed.
Give him five of albuterol.
Sit up, please. Does this hurt?
- Oh! Oh! Y eah.
- You've got pyelonephritis.
- Is it serious?
- You'll be fine.
- Need a hand?
- No, no. I've got this.
- Ever been on steroids?
- Last year. Few weeks.
of prednisone. Set him up
for continuous nebs.
- Your last period?
- A month ago.
- You sure? I'm waiting on labs.
- I got them. Thanks.
- Any allergies?
- I get hives from sulfa.
- What inhalers do you use?
- Ventolin and Vanceril.
- Any chance you're pregnant?
- Definitely not.
I got scared when I couldn't wake her.
You were right to call .
She's dehydrated.
I tried to make her drink.
She's so weak she can't swallow.
- She hardly holds a straw.
- Labs are back.
- Her liver's not clotting.
- What does that mean?
It indicates severe liver failure.
Can anything be done?
Not really. We can only
make her comfortable now.
So this is it?
I think probably so.
Oh, boy.
- Where are my girls?
- They're in the lounge with a nurse.
Do everything you can.
I don't want her to suffer. Please.
Of course not.
Come back if you have fever
or vomiting.
- I'll get a list of STD clinics.
- I'll be outside. I need a smoke.
- But you'll quit really soon, right?
- Absolutely.
-year-old with PID. Gave her
ceftriaxone and Zithromax.
- Could you sign the chart?
- Benton on?
Benton traded with Corday
and Cleo's off too.
Shocking.
This date's wrong.
T oday's the th, not the Oth.
- I thought tomorrow's the th.
- Today is, all day.
I expected today to be awful,
but it seems okay.
Venus out of alignment with Jupiter?
No, nothing like that.
Jupiter has eight moons.
Shall I name them?
- Who is this guy?
- Frank. A temp.
Now let's see. Inner moons:
- Metis, Adrastea, Amalthea-
- I believe you.
Hemorrhoid guy's suppository is
not helping.
Outer moons: lo, Europa,
Ganymede, Callisto.
- What's he saying?
- Moons.
Saturn has moons.
Shall I name them?
- No.
- The PID girl collapsed in the bay.
- What happened?
- She's breathing. Barely a pulse.
She needs two large-bore IVs,
two liters saline.
- Wake up.
- Is it an ectopic?
- No, ICON's negative.
- BP palp.
- Her doctor?
- Malucci.
- I'll get him.
- Mix up dopamine.
Get her on the gurney.
One, two, three.
- Pressure's .
- Up dopamine to mics.
HemoCue's . .
Right adnexa's normal.
Left side, there's a mass
and free fluid. Damn it!
- What is it?
- It's septic and hypotensive.
- Should I page GYN?
- No. Dial for me.
- Temp .
- It's the infection.
Got them.
It's Lockhart. I need to redline
a ruptured TOA.
Page the chief resident.
- What's going on?
- My patient's syncopal.
- Dropped her pressure.
- Patient?
- What patient?
- PID you discharged.
- Pressure's .
- Let's move her.
Maybe a hemorrhagic ovarian cyst?
No, mass is loculated.
She spiked a fever.
You got a loculated mass?
I wouldn't know one if it
bit me on the ass.
- You haven't gotten your antibiotics.
- No.
- Sorry, I've been busy.
- I wrote the order minutes ago.
You wanted continuous albuterol
and steroids for him.
- When can you do it?
- When I'm done.
Forget it. I'll go get
your antibiotics.
- When did you get back?
- minutes ago. Still holding.
- I'm so sorry about your dad.
- Thanks.
Are you okay? I tried calling
a couple of times.
Rachel came and we're
just hanging out.
I'm trying to get my father
into a VA cemetery.
- I'm transferred again.
- Didn't he want to be near your mom?
I don't know.
He didn't want to be any trouble.
- Suggested I put him out with the trash.
- That was helpful.
Complained about mortuary vultures too.
I got another recording telling me to hold.
- You look b*at.
- Tess hasn't been sleeping.
- Teething probably.
- So Luka said.
- He sees them enough to know.
- Don't give me a hard time about that.
- I'm struggling enough with this as it is.
- I think It's great. I want you happy.
Why do I still feel so unsure?
Maybe you're just afraid of
making yourself vulnerable again.
- She's waking up.
- Tell me if you need anything.
Thanks.
Connie, could you get Weaver for me?
- Where am I?
- We're in the hospital, sweetheart.
- No. No, I don't want that.
- Mrs. O'Brien.
I'm Carol, a nurse.
We're giving you fluids through an IV
because you stopped drinking.
That's why you didn't wake up today.
I want to go home. Please.
Honey, we need to get you admitted
to the hospital so you can feel better.
No. I want to go home.
You want to go home?
You don't want to be put onto
any machines?
Please, no machines.
They can help you if we stay.
They'll give you something for the pain.
- Mr. O'Brien?
- Please, sweetheart.
Please start a morphine drip.
I think we should explore
home hospice care.
An ambulance could take her home.
Can someone...
...take care of pain medication?
It's clearly what she wants.
She's dying.
She doesn't know what she wants.
I think she does. She was very clear.
Doesn't she deserve to die
where she wants to?
With her family? In her own bed?
Good.
Why don't you tell her?
It'll help calm her down.
I really didn't need this today.
Call Social Services.
Maybe we should admit her.
Get her buffed-
- Please.
- She'd go home eventually.
She wants to go. We can't keep
her here. She wants to die.
We have to respect her wishes.
She's in excruciating pain.
We didn't explain the options to her.
Just call and set it up.
All right.
This'll take minutes.
You should feel better in two days.
A nurse will give you
your prescriptions.
How do you feel?
Steroids and albuterol help?
- I feel much better.
- Amazing stuff.
You okay, Mrs. Wyatt?
Hard to breathe...
- Are you having chest pain?
- No.
- This happen to you before?
- When I got Bactrim.
- Bactrim?
- I told you I'm allergic to sulfa.
Feeling dizzy...
- Just lie down. Lie down.
- You need some help?
No. Everything's under control.
- How are you, Mrs. Wyatt?
- Not too good.
- What happened?
- Nothing.
- Somebody hit the call button.
- I did.
- What?
- She could hardly breathe!
- What happened?
- She complained of hives.
- I gave her a subcu epi.
- Where's the blood from?
- She must've pulled out her IV.
- Why would she?
How would I know that?
Start another line.
Give her of Benadryl,
of Solu-Medrol.
You nodded off for a second.
Good pulse and respirations.
- Want any fluids?
- How about a liter over an hour?
This won't be pretty.
Why was a critical patient discharged?
She wasn't critical then.
Her vitals were stable.
- You didn't appreciate the mass?
- No.
Who supervised? Dr. Malucci?
- Didn't you appreciate anything?
- I didn't.
What were you wearing? Oven mitts?
Dr. Malucci never had a chance
to examine the patient.
Get your stories straight.
I never called him in.
Have you recently graduated
from med school?
I thought my OB/GYN experience
qualified me. I was wrong.
So you discharged a patient...
...examined and treated by a student?
She could've d*ed!
You're years from the experience
for these decisions.
- I know.
- Oh, good!
I'd like to speak with Dr. Malucci.
Can I say something?
Your cause is better served
by keeping your mouth shut.
When Residents arrive here,
we size you up.
We have great hopes for you.
We want you to succeed.
Gradually, through interaction,
we form opinions.
Do you want to know the staff's
opinion of you?
You're lazy, sloppy. Your careless
attitude as a physician...
...endangers patients' lives,
as witnessed today.
None of us thinks
you're much of a doctor.
Emotionally, he's depressed
one moment, elated the next.
- Have you talked to him?
- I tried to ask him how he's doing.
He's not forthcoming.
- Is he seeing anyone?
- Let's get out of the hallway.
Can you give us a minute?
- A therapist? I don't know.
- Shouldn't he?
- I'm not a psychiatrist.
- You think it's none of my business.
- The DMS IV-
- You're a shrink?
He has violent mood swings.
He's deeply depressed or he's manic.
- You're suggesting he's bipolar.
- Is there a family history?
He was almost k*lled. He feels guilty
about Lucy's death.
- I'd be moody too.
- But are you sure that's all it is?
I may be wrong, but what if I'm right?
If we care, don't we owe it to him
to try and find out?
- How's she doing?
- Breathing's agonal. Resps are seven.
- So she's not getting any better?
- I'm afraid not.
We're trying to rehydrate her.
and we called Social Services to help set up
the hospice care. Where are your daughters?
Down in the cafeteria, getting
something to eat with some of the nurses.
She's been sleeping so peacefully.
You should have seen her two years ago.
She was so beautiful. Alive and vibrant.
Always laughing.
I wish I could have it back.
The time I missed with her.
Traveling for work,
late nights at the office.
All the weekends I was
prepping for trial.
And when she was first diagnosed...
...I kept working.
Can you believe that?
Instead of spending time with her,
I kept working.
I'm gonna call Social Services again.
See what's keeping them.
Thanks.
She's not breathing.
- Oh, God!
- Shelagh?
Please, the girls aren't here.
I didn't think it would happen
this fast.
- Connie, can you help me?
- She's a DNR.
- We can stimulate her breathing.
- They didn't say goodbye.
- I'll get Weaver.
- No, I want you to go and get Kovac.
Tell him I need him,
then go downstairs and get the daughters.
- Come on, Shelagh.
- Shelagh.
- Come on.
- Please, God. Not yet. Please.
- What happened?
- End-stage ovarian cancer.
- She stopped breathing.
- Why are you baggin her. Let's intubate.
- We can't. She's a DNR.
- Then let her go.
Her daughters haven't
said goodbye yet.
Please. I thought we had more time.
Can we use a nasal trumpet?
The children haven't had a chance
to say goodbye to her dying mother.
It's not a ventilator. Please?
- Where are the trumpets?
- I'll get it.
I'm in.
She's breathing.
- What's going on?
- We put in a nasal trumpet.
- She's DNR.
- We didn't intubate.
- We're helping the airway-
- You resuscitated her.
- She's your patient?
- Yes, she's my patient.
Her daughters didn't say goodbye.
Will you excuse us for a moment?
- You violated a patient's wishes.
- I did what I thought best.
- That's not your decision!
- I'm sorry.
Damn right!
You're a senior staff member.
We discussed this earlier. I told you
exactly what I wanted done!
Respect my authority
or don't work here!
If she codes again, neither of you
are to touch her.
Is that clear?
I'm sorry, Luka.
Luka, don't just walk-
You're here? I thought you'd be
upstairs all day.
- I saw Kerry about Malucci.
- What did he do?
I just discussed it.
Can I tell you later?
- Sure.
- Get your dad sorted out?
- Where is he now?
- Actually, in the trunk of my car.
I had no time to go home.
- Where's Rachel?
- With Jen's parents, being spoiled.
You might like these back.
I shouldn't keep them.
- My father gave them to you.
- It was very sweet.
But I just think it's a bad idea.
Rachel should have them. I was
once. They'll mean a lot to her.
Don't read too much into this.
- Do I do that?
- You do it regularly.
- An acute Ml is coming in.
I'll be right there.
Are you still coming by tonight?
- Where will Rachel sleep?
- In the living room.
- I'm not off till .
- I'll leave the light on.
- You put me in a bad position.
- I know.
She's my superior.
I can't lose my job.
You've every reason to be mad.
- You took advantage of our relationship.
- I did what I thought was right.
- Damn the consequences.
- In this case yes.
You can make that decision for
yourself, but not for me.
- You're really mad.
- Yes, I am! Why are you smiling?
- I thought I was immune.
- Well, you're not!
Luka, I'm sorry.
- Really. It will never happen again.
- Good.
- And thank you.
- For what?
For helping her.
You're welcome.
What?
Nothing.
- You sure?
- Yeah.
"Good night, little house, and
good night, mouse.
Good night, comb. Good night, brush. "
- Now can you see the mouse?
- There's the mouse.
Guys, your mom's ready to see you now.
Could you take Jennifer?
Sure. We'll be in in a minute.
Don't you want to see your mom?
She's going to die, isn't she?
It's not fair.
No, it's not.
I don't want to only have a dad.
I want to be a family,
like we used to be.
Come on. We should go.
You ready?
Hi, Mommy.
Hi, there.
How's my girl?
What are you doing?
Gathering my thoughts.
- You've been in here a while?
- I finished some sutures.
I'm hanging out. Is that a problem?
No. Some of us are just
worried about you.
You don't need to be.
How are you?
Seeing anybody? A therapist?
- Need a referral?
- Sure.
Nadio gave me some names.
That'd be great.
- It might help.
- Yeah, you're right. I'll go.
Did Social Services get your patient home?
No. She d*ed.
- I'm sorry.
- She was end-stage.
- Would you like to get some dinner?
- Sure.
We don't have to.
That would be nice.
Miss Hathaway?
I'll find you when I'm off.
I just want to thank you for everything
you did for us today.
You're welcome.
Do you believe that we
have soul mates?
That there's only...
...one person we're supposed to find?
Only one person we can really love?
I didn't used to.
But I do now.
She was the love of my life.
I'll never love anyone
the way I loved her.
I need some more atropine.
- Where's Mark?
- Everything all right?
- Where's Mark?
- Exam .
I got to go. Tell Kerry
I won't be in tomorrow.
- Twins okay?
- I'll drop them at my mom's.
- What?
- I'll call you from the plane.
Plane?
- Where's Kovac?
- Curtain .
- I can't have dinner with you tonight.
- Okay.
I'm so sorry.
For what?
I have to find out.
Find out what?
If he's still in love with me.
Because...
I'm still in love with him.
I am.
I've been in love with him
since I was .
He's everything to me. He's my life.
I'm complete when I'm with him.
I'm empty when we're apart.
He's the father of my children.
And he's my soul mate.
You'll find someone. You will.
You're a wonderful man.
Someone who'll love you
the way your wife loved you.
You'll find her. You will.
You will find her.
Seattle? Seattle?
Ramp four. Hurry!
They're in final boarding.
Seattle?
All right. Have a good flight.
Fasten your seat belt.
You almost missed it.
Yeah. I almost did.
Dad, you're crazy.
This is your grandfather's favorite
spot in Chicago.
Right here.
It's beautiful.
I have to go to San Diego next week
to bury his ashes...
...next to your grandmother's.
Can you come with me?
Sure. I'd like that.
- You miss him, huh?
- Yeah. I do.
It's kind of funny.
Why?
We didn't like each other much
for a long time.
How come?
I can't remember now.
Probably mostly my fault.
I have something for you.
These were your grandmother's.
- Like them?
- They're beautiful.
Can I put them on you?
Turn around.
You look lovely.
Thank you.
Promise me you won't grow up
too fast, okay?
- Where are the girls?
- With my mom.
It's beautiful here.