There's a drug rehab center in Atlanta...
that specializes in treating doctors
with addictions.
Forget it. Forget it.
- This is your only chance, Greg.
- All right, I quit.
You'll end up like your cousin,
some babbling gork in a nursing home.
It's all right.
- Hi.
- Name?
Dr. Carter.
Somebody should have called ahead.
Okay. All the information is confidential,
and you can have a seat over there.
Thank you.
Ninety days?
This is a three-month program?
Yeah, I guess so.
Can you send me some clothes?
Or do they issue prison garb here?
- You okay?
- This pen doesn't work.
Do you have a pen?
- He's diaphoretic.
- We'll handle it.
- When?
- Soon.
- He needs something.
- You should go now.
- What?
- It's important that he checks himself in.
Right.
Here.
You...
You good from here?
Yeah, I guess so.
Carter, you can do this.
You got any Compazine?
I'll give you something after group,
if you're still nauseous.
- "Group"?
- Yeah. Group therapy.
- When is that?
- Now.
In the middle of the night?
The group meets
when a new patient arrives.
- Ready?
- No, I need to lie down.
You'll make it.
Group therapy is not what I need now.
If you want to be in the program,
do the program.
Otherwise, you can leave.
And when you want a fix, you can
score down on Oth and Piedmont.
Which is six blocks down, one over.
Those guys are out there all night.
John Carter?
Yes.
Security!
- I put the needle down!
- No needles!
- I told you to put him in restraints.
- I did.
- Get extra security.
- On their way.
Give him Haldol!
- The toilet's clogged.
- Unclog it.
No plunger.
Maintenance closet's locked.
Malucci, what is Mr. Hunter
still doing out here?
Transpo's backed up. Their guys are
out to support the janitors.
- Then you take him.
- Give them their raise.
I'll recommend you
for the negotiating committee.
- What about the maintenance closet?
- I don't know, Malik. Use some initiative.
Pick the lock. Take a fire a*.
I really don't care.
Oh, my God. Can somebody put
Mr. Spencer in an Exam Room?
- Excuse me.
- What?
We've been waiting here for a while.
- Shouldn't we be doing something?
- Any plumbing experience?
- What happened?
- Mark, just don't start with me, okay?
- Custodial staff is on strike.
- So they destroyed the admit desk?
This is a remodel. Open floor plan.
It's supposed to be safer.
I've scratched myself on a nail twice.
Make suer you update your tetanus.
- Where are my fans?
- Working on it.
What's the deal?
The construction workers
won't cross the picket line.
Those three guys I saw with signs?
- Mark, how was your vacation?
- It was good.
- Go anywhere?
- Wisconsin Dells. Camping.
I just drove back this morning.
- Where's the board supposed to go?
- Don't ask.
They weren't supposed
to take out this wall.
Don't talk about it.
- Cleo, you got that covered?
- Yeah.
- I hate needles!
- Hi, Dr. Greene.
Is it me, or do those med students
look like -year-olds?
- How long they been waiting?
- Three hours.
- Two and a half.
- I'll take them.
Be my guest. But make sure
you see some patients.
- Malik?
- What?
Malik.
Strong heartbeat. The amount
of amniotic fluid is normal.
Everything looks fine.
I've got a good angle
if you wanna know the sex.
Sure.
You are having a boy.
Congratulations.
Thank you.
Your blood-sugar level is normal.
But you're a little anemic.
- You taking any iron?
- Yes.
You arrange with Kerry
to take time off after the birth?
No, not yet.
You still have time.
Actually, I haven't told anyone yet.
I think you may want to.
I don't see how you can keep this
a secret much longer.
Yeah.
So, what are you supposed
to talk about in an exit interview?
- That you don't have all the answers.
- No argument there.
You scared?
I don't remember
the last time I wasn't scared.
Good.
What, that's it?
"Be afraid. Be very afraid"?
We're like the Army, okay?
We break you down...
...make you face your addiction,
then we build you up.
You start to function.
Feel healthy, confident.
Don't worry.
Pride's what got me into this.
And deep down, you feel like this
is something that just happened to you.
No, I took responsibility.
I take responsibility.
But I'm gonna get my life back.
It's not gonna b*at me.
Yeah, that's what I thought.
First three times.
But I hope you do.
Day or night. If you ever need to talk.
- Are we done?
- You're just getting started.
Is this where I'm supposed
to say thank you?
- Some people do.
- Thank you.
You're welcome.
- Someone's still on vacation time I see.
- Sorry.
Peter was just helping me
hang this straight. How's that?
Great.
- Did you finish the interview?
- We're getting there.
Okay, so where were we
before we left off last time?
You were just about
to give me the job.
Developing a sense of humor, Peter?
That's progress. You get points for that.
Why don't we discuss
faculty responsibilities?
Peter, as an Attending,
you'd be responsible...
...for supervising Resident research.
- I look forward to that.
- Liar.
- I like working with Residents.
- You mean you like abusing them.
You don't have the best track record
in the research department.
- That can change.
- Where else have you applied?
- What?
- Where else did you apply?
You can't ask me that.
Oh, no. Someone call
the interview police.
Has anyone offered you anything?
You're not supposed to ask me
that either.
Come on. It's a simple question.
I've looked elsewhere as a backup.
But I'd like to stay
here as an Attending.
Okay. Was that so difficult?
Elizabeth, what are you doing?
My hands itch for some reason.
Cut it out. It's distracting.
Linear vesicles. Probably a phytodermatitis.
Are you allergic to any plants?
- I don't think so.
- You have a garden?
- I went camping.
- You do know what poison ivy looks like.
Poison ivy? Is that in Wisconsin?
Oh, boy. Sorry, Peter, I gotta run.
- We'll have to finish this later.
- When?
My office will reschedule.
Good luck with that, Lizzie.
He's never gonna give me this job.
Yes, he will.
He's just being Robert.
Don't scratch. Put some
hydrocortisone TID on it.
If it gets worse,
get a sh*t of steroids.
It won't spread, will it?
That depends
on what you touched last...
...before you washed your hands.
Oh, dear.
These are your orientation packets.
You guys have a seat over there
and read them over, okay?
Then we'll give you the tour.
We'll go over charts, order sheets
and discharge instructions.
Any questions?
Remember, you're students. The only
stupid question is the one you don't ask.
- Dr. Greene? Well, I have a question.
- What?
Something wrong
with the Australian boys?
- Who?
- You're scratching "down under. "
Oh, yeah. Doesn't make
a good first impression.
- Pickman, what do you got?
- Mike Palmieri, . Wide receiver.
Got hi-lowed in midair. Brief LOC.
Complains of neck and chest pains.
- Can he move extremities?
- Yes. Due to the hands' numbness...
- ... we left the helmet on.
- Give the med students the tour.
- I gave it last rotation.
- Then you're getting good at it.
Okay, Mike, I'm Dr. Greene.
Can you squeeze both my hands?
- My neck's not broken, is it?
- Now we're gonna check you out.
- Mike, does your chest hurt?
- A little.
The safety speared me with his
helmet on the way down.
- He's tachy at . BP's / .
- Good breath sounds bilaterally.
It's illegal. Second play of the game.
- Let's get him on a pulse ox.
- They were looking to take me out.
- Who's that? The other team?
- They're our rivals.
- It's their homecoming.
- You want to push any dr*gs?
Sure. One amp of epi
and a mg of atropine.
Does she have a pulse?
- Oh, she's dead.
- I know.
Like, blue dead.
- Pulse ox, .
- That's because she's dead.
Her husband drove her in.
- Right.
- Luka, you okay in here?
- Yeah, I've got it, Kerry.
- Still asystole.
As long as we're faking it, can one
of the med students practice CPR?
No. Go outside and tell him
we are doing everything we can...
- ... but his wife is very sick.
- She can't get any sicker.
Malucci, please. Go on.
Give the poor man some time
to prepare himself.
No problem, chief. I can act
with the best of them. Watch this.
- Still flat line. Want to do a fluid bolus?
- No, that's okay.
- Abby? Abby!
- Yeah?
The registrar didn't
put your name down.
- You sure you're back on ER rotation?
- That's what my schedule says.
Okay. They must be backed up
because of the strike.
- Checking out?
- Yeah.
Dr. Benton called to confirm your flight
and said he'd pick you up at the gate.
Thanks.
- Goodbye, Margaret.
- Good luck, Dr. Carter.
Where did he go?
He was in the hallway
with Malucci a minute ago.
Here's her medication.
I forgot it in the car.
She's on Elavil,
and codeine for arthritis.
Have a seat, Mr. Bristo.
You don't need these?
Mr. Bristo, your wife has suffered
a massive heart att*ck.
We exhausted all medical
resources available to us.
But the damage to her heart was beyond
our capabilities to save her.
She d*ed, Mr. Bristo. I'm sorry.
You see? I should have called
the ambulance sooner.
I should have gotten her here quicker.
There's nothing you could have done
differently that would have saved her.
It was just her time.
Would you like to see her?
Okay.
How was I supposed to know?
- Excuse us.
- Sorry.
Haven't you ever heard of
"leaves of three, let it be"?
What?
"Leaves of three, let it be. "
As in don't touch.
Sorry. We don't have
poison ivy in England.
"Leaves of three" or any other kind.
- Oh, man.
- Let me see.
- No, no.
- Mark, don't be shy.
- You've done enough damage.
- Well, do you have it?
Yes, I have it.
Who picks poison ivy?
I was making a wildflower bouquet.
- C-spine's back on the football player.
- Thanks.
When you went skinny-dipping
in the lake, I got bored.
You remember what happened
after you got out?
- Yeah. It's a big price to pay.
- Mark.
I have to worry about
where you've been?
- It's not that horrible.
- You've only got it on your hands.
- Mike, x-ray is normal.
- His mom's here, out in Chairs.
Okay. Why don't you get off the helmet
and pads and I'll be right back?
- Does that mean I can go?
- Not yet.
So do you want the cream
or the sh*t?
- Probably both.
- Fine. I'll get them.
- Mrs. Palmieri?
- Yes?
Hi. I'm Dr. Mark Greene. Good news.
Mike's neck x-ray came back normal.
No fractures or swelling.
Why were his hands numb?
He was hyperventilating.
That can cause numbness.
But no nerve damage?
No. No broken bones,
no spinal-cord injury, no paralysis.
Thank you. Thank you.
Can I see him?
Sure. Here you go.
- What's your name again?
- Priya Shailendra.
- Do you remember where Trauma is?
- I think so.
- Could you take Mrs. Palmieri?
- Certainly.
This way, please.
- Malucci?
- Hey, Dr. Greene. How's that jock itch?
I told you to supervise
the med students.
You told me to give them the tour.
I did.
Show them the charting system.
- I'm juggling eight patients here.
- Have them help you.
Hold this.
Hey, Cleo. You're up
with the med students.
- Says who?
- Dr. Greene.
Then Dr. Greene can ask me.
It's not infected, Mr. Fletcher,
but I'm gonna have to débride it again.
No. Leave it alone.
I would if you changed the dressing
four times a day like I told you.
I'm not a damn nurse.
- How'd it go?
- It didn't. Romano postponed.
- Again? What's wrong with him?
- He's a maniacal sadist.
- What did you call me?
- Not you, Mr. Fletcher.
Is this machine working?
I feel like I'm drowning.
It takes longer when
you're fluid-overloaded.
Happens when you're three
days late for dialysis.
I told you my son didn't have time
to drive me to the clinic.
What's wrong with this picture?
Those med students.
Not a black face in the bunch.
That doesn't concern you?
I see five. Not exactly a
representative sample.
Glad you take such an active interest.
You're gonna have to hold
your foot still, Mr. Fletcher.
She your wife?
No. No, no, no, no.
- She talk like she your wife.
- Yes, yes, yes, yes, yes.
Brought you a chair, Mr. Bristo.
Someone will be by to take her
downstairs but it could take a while.
Do you have a funeral home
you'd like to use? I could call them.
We have two plots. But Florence took
care of it. I forget the name.
Okay, well, if you remember.
- Can I stay with her?
- As long as you like.
It was very decent of you to
work on his wife like that.
Part of the job.
Well, no. I mean, he's really shaken.
It could be worse if he
thought he was responsible.
He does. He's alive, she's not.
- Wonder how long they were married.
- I don't know. Forever, probably.
- How long have you?
- What?
Been married.
I'm not.
I thought someone told me
you were married.
I was. But my divorce
became final last month.
- Sorry.
- Don't be. I'm not.
- Lockhart, is that your name or his?
- It's his. But I'm keeping it...
...because it's the only good thing
I got out of it.
- Why? What was your name before?
- Wyczenski.
Right. Lockhart is better.
- Have you seen Dr. Greene?
- Suture Room, I think.
- Oh, Dr. Weaver's looking for you.
- Me?
Yeah.
Dr. Greene... Sorry. Sorry.
- That's okay, Haleh. Just getting a sh*t.
- I didn't say anything.
What's up?
Mike Palmieri is having
trouble breathing.
Complained of chest pains
when we removed the pads.
All right. I'll be right there.
- You done?
- All done.
- Keep laughing, flower girl.
- You're welcome.
Thanks a lot.
Mike, how's your breathing?
A little sore.
Okay. Tell me if this hurts.
BP's stable. / .
Satting at .
- There.
- Okay. Any belly pain?
- No.
- Are you sure?
- A little.
- Okay.
Haleh, book a CT.
And let's sit him up.
- Where's your mom, Mike?
- She went to check on the score for me.
If we're losing, I need to get back.
We need to take another picture
of your chest and belly...
- ... just to make sure everything's okay.
- How long does that take?
Relax, Mike. You're gonna be
with us for a while.
- Mrs. Palmieri?
- What happened?
Nothing serious. Mike might have
a broken rib.
And I need a CAT scan to make sure
that it didn't nick his liver.
His liver? What does that mean?
Well, it all depends. But it's really
a remote possibility.
I just want to make sure.
I knew something like this was gonna
happen. I hate that he plays football.
But it keeps his grades up.
He's not a great student...
...but he has to keep good grades
to play so I let him play.
I'm sure everything
is gonna be just fine.
I'll check back with you
after the scan.
Chen?
- Chen!
- Yes.
- You okay?
- Yeah. Great.
Can you find Dr. Corday
and have her meet me in CT?
- No problem.
- BP, / . Pulse, .
They nailed me after the play.
Refs didn't even call it.
Draw up some Demerol.
Open tibial fracture.
Titrate , slow IV push.
. That's the number of
the guy who hit Mike.
- It was a clean hit.
- GSW on the way. Crashing in the rig.
Frank. What's open?
Stiff in Trauma .
Other than that we're booked.
- Clear it. Take this guy.
- Got it.
You led with your helmet.
You're not supposed to.
Man you'll to wait back in chair.
- It was an accident.
- It was a cheap sh*t.
What do you call breaking my leg
on purpose?
Payback!
Thank you.
Sir? Sir?
- Oh, thank you.
- Can I get a gin and tonic, please?
- Anything for you, sir?
- No, thank you.
From Atlanta or Chicago?
Chicago.
- Atlanta on business?
- No.
Vacation?
I was just visiting a friend.
- So, what do you do for a living?
- I'm a teacher. High school English.
And you fly first class?
They must pay teachers
pretty well in Chicago.
Excuse me.
Mr. Bristo?
They needed the room.
Well, don't worry.
We'll find her another room.
- Are they coming to get her?
- Yeah. Soon. They're coming soon.
- Lost the pulse!
- Starting compressions.
What's on the monitor?
- P.E.A.
- Amp of epi. Squeeze in the blood.
Malucci has an assaulted
cheerleader coming. Bat to the face.
- Okay. Get Mark.
- He's in CT.
Got a pulse.
Increase dopamine.
Get him up to the O.R.
You finished in the Trauma Room?
Yeah. Abby, I'm glad I saw you.
I need to talk to you.
Somebody find Kovac, please?!
This man's wife d*ed. We told him he
could wait until Transpo picks her up.
We'll lean on them. I checked with
the medical-school registrar...
- ... and they...
- Out of the way!
- ... retracted your clerkship-
- What?!
Is that from the football game too?
Yeah, someone jumped her
in the bathroom.
- Dr. Weaver?
- Something about delinquent tuition.
My ex-husband was supposed
to pay that. I apologize.
- No need to apologize.
- I'll get it paid by tomorrow.
You don't understand.
You need to go home.
- You're not covered to work.
- I'll work it out with the registrar-
Once a clerkship is pulled, it's pulled.
Nothing I can do. You have
to wait till the next quarter.
- In three months?
- Sorry. Dean's decision.
- We got a blown pupil!
- Turn in your lab coat to Frank.
- Heart rate's dropping.
- Prep for an intubation.
Hang the mannitol. of Lasix.
She needs a Foley.
Give me some gloves, somebody!
Move!
Pressure's sky-high.
/ .
Bolus her with of lidocaine,
of sux...
- What's this for?
- Sorry. Sorry.
Abby, what's wrong? Abby?
Abby?
- You got cleaned up. Looks good.
- Thank you.
I'd choose the fish if I were you.
The steak looks...
I'm not hungry.
Excuse me, Dr. Carter.
Were you smoking in the lavatory?
Yes.
Then you're in violation of federal
law, punishable by a $ fine...
...and imprisonment.
Do I need the
marshals at the gate?
No. It won't happen again.
Do you have the butt with you?
All right then.
Doctor?
Mrs. Palmieri?
What is it?
Apparently, the blow to Michael's chest...
caused a little internal bleeding.
Some of it in the sac
surrounding his heart.
- Oh, God. That sounds serious.
- It can be...
...but right now there's only a small
amount. But we need to operate...
...to drain the blood
before it restricts function.
Open-heart surgery?
No. We go through the upper abdomen,
very small incision.
It's a really simple procedure.
I just need you to...
- Now?
- I just need you to sign the consent.
You're gonna do the surgery now?
Right now Mike's blood pressure
is stable, which is a good sign.
But more blood could accumulate. We
need to do the operation immediately...
...to avoid an emergency
procedure down here.
You just need one signature, right?
I couldn't find his father if I wanted to.
- One is enough.
- All right.
- What's the emergency? I'm here.
- I didn't call you.
- Robert.
- If you're gonna leave messages...
...with my assistant, don't also
page me. It gets annoyingly redundant.
Sorry to inconvenience you, Robert,
but we have a real crisis down here.
- Yeah? And?
- And it's become a health hazard.
If somebody calls the county,
we'll be fined.
But someone's not going to call
the county, is she?
Housekeeping won't clean any sheets
or towels. I need the nurses here.
It's not their job anyway
to be doing-
What do you want me to say?
Troubleshoot. It's being a manager.
- You need to end this strike, Robert.
- Find the half-million it'll take, I will.
- Peter, keeping banker's hours?
- I've been on since .
- Well, you got a sec?
- I gotta go pick up somebody-
- Let's finish this.
- What?
- The interview. Walk with me.
- What about Elizabeth?
I let her sit in to make her feel
important. It's my decision.
Let's talk turkey. I know you've got the
surgical skills. I don't question that.
- I do question your loyalty.
- My loyalty lies with my patients.
As it should. But don't take this
the wrong way...
...you have a real propensity
for being a pain in the ass.
I'm not gonna jump you,
you h*m*.
- Damn janitors!
- You should try paying them.
That's exactly my point. Instead of
trying to understand my problems...
...you immediately champion
the opposition.
- The janitors?
- Whoever. Peter, look.
If I'm gonna give you a faculty
position, I've gotta be sure...
...you're gonna be part of the team.
My team.
- Of course.
- Of course what?
Of course I'll be a part of the team.
Then I can expect your full commitment?
No whining, no complaining...
...no excuses about your kid
or your cat or whatever?
I don't have a cat.
Splendid. You're hired.
Congratulations. You are a free man,
delivered from the shackles...
...of your Residency and fellowship.
- Dry your hands first.
- Yeah, right.
Oh, well. Wasn't me.
You selfish son of a bitch.
- Well, hello, Abby.
- Is this fun for you?
Or is it like an addiction?
Do you wake up thinking:
"How am I gonna screw Abby today? "
Okay. What's the problem?
I lost three months of
school I can't make up...
...three months that put me exactly
one year behind on my Residency.
- This is about your tuition.
- Yes, it is.
Calm down. I was gonna call you.
The IRS disallowed our '
home-office deduction.
- I don't want one more lame excuse-
- They were gonna hit us with a penalty.
This was important to me.
And you knew it, so you ruined it.
Can you be more dramatic?
I put you through med school.
You were gonna put me-
You did not put me through med school.
My student loans did.
- I only fed, clothed, sheltered you.
- Loans I'm still paying, along with...
- ...a house, your condo and two cars.
- And the apartment for the whore.
I assume you're cheating on
the whore with another whore.
- All right, just stop it.
- You stop it.
Haven't you done enough already?
I didn't make you unhappy,
depressed and miserable.
You did that all by yourself.
- Screw you, Richard.
- Right. Screw me.
- That's right. Screw you.
- Screw me.
Screw you!
You're the one who wanted more.
You're a manipulative,
cheating, spineless...
- You decided to change your life.
- ...spiteful ass!
- Are you done?
- No.
You're in violation of our divorce
agreement. I am hiring a lawyer...
...and I am getting my tuition money.
Do me a favor.
Why don't you take it all?
Take the debt with it.
Shut up, jag-off.
- Hey, Nat.
- Hey, Dr. Benton.
- Still plugging away?
- You know it.
- What are you doing?
- Go the other way, would you?
- Yeah. Nat, I'm late, man.
- The news is here.
- All right, brother. Good luck.
- Thanks.
Chen?
I'm on break.
Right.
You all right?
Yeah. Yeah.
Good, you're still here.
We got a mass "cas" coming in.
- Riot at a high school football game.
- I was just leaving-
Not anymore.
Blunt abdominal trauma. BP's low
at palp. Give two liters of saline.
- What happened?
- Bleachers fell.
Give two units O-neg.
Draw pre-op labs.
- Ultrasound?
- You bet.
Also, page me if anything changes.
All right, go.
Drop an NG, check his urine,
sh**t a chest and pelvis.
Sorry.
The game was too ugly.
Refs called it before the end.
And everybody just started swinging.
- You okay, Cleo?
- Yeah.
Doc. They need you. Damn kids
jumped a teacher in the parking lot.
Head trauma, maybe a collapsed lung.
Short of breath. BP, / .
Pulse, .
- Mitch, do you have pain in your chest?
- It hurts.
Titrate another six of morphine.
Page Ortho and Vascular.
Elizabeth, why are you here?
I thought you'd be operating.
Mitch? What happened?
They're backed up.
Rooms are empty but
filthy because of this work stoppage.
- Really?
- You doing okay?
- They got to operate. But who won?
- Where are we going?
Nobody.
Try an Exam Room.
Get an EKG, chest x-ray...
.. and find me when the femur film's up.
How long before you get into O.R.?
The nurses are cleaning but there's
a leaking triple-A going first.
We're gonna keep him down
here and do a pericardiocentesis.
All this so Housekeeping
doesn't get an extra dollar.
- I don't need the operation anymore?
- You just have to wait a little longer.
Hang in there.
You chucked my guy with your helmet.
Don't whine.
- Hold still.
- You did it on purpose.
- You want some more?
- Hold still or I'll put you in restraints.
- What did they hit you with?
- The pavement.
- Frank. Frank, what's open?
- Nothing. Nothing's open.
I can't believe this.
I mean, it's just a game.
Is the nurse taking me up?
We're gonna have to drain some
of the blood down here.
You said he was going to Surgery.
But it can take a while to prep
and drape and anesthetize him.
His cardiac echo shows the
effusion's grown...
Crush injury at palp,
despite a fluid bolus.
- Respiratory status?
- Intubated for agonal respirations.
Two units of O-neg on the rapid infuser.
Set up a supraumbilical peritoneal lavage.
I'm never gonna leave.
- Pulse . Satted at .
- Hey, med student, what's your name?
- Ryan Bradford.
- Ryan, get over here. I need your help.
That's not so bad.
This is the little needle
to numb you for the big needle.
- But you're a tough guy. You can take it.
- BP's .
- I can't believe all this started over me.
- You're a popular guy.
He looks so pale.
Mrs. Palmieri, perhaps you should
wait outside during the actual procedure.
- I can't stay?
- I'm okay, Mom. Just a little tired.
- Haleh?
- This way, ma'am.
- I love you.
- I love you too, Mom.
Alligator clip.
He's in tamponade, Mark.
I know. Mike, how are you feeling?
Pulse ox down to .
Mike?
Mike? Mike, open your eyes.
- ET tube. I'll intubate.
- He's still breathing.
- Not for long.
- Just keep an eye on the injury current.
- Just get that needle in.
Dr. Carter? Are you Dr. Carter?
- Yeah.
- I'm Ryan Bradford. I'm a third-year.
The ER got slammed and Dr. Benton
asked me to come pick you up.
- Great.
- Need a hand with that?
- No, no. I got it.
- Okay. Right this way.
- Where you going?
- Pre-op. He needs an ex-lap.
- There's no room.
- He's stable. He can wait upstairs.
- What's his BP?
- BP's / .
- All right. Grab the head injury in .
- Malik. You got this?
Yeah, I got it. Go on.
Hey, sir?
Sir, are you all right? Sir?
Malik. I need a gurney now.
Oh, my God. Malik.
- You. Come here.
- What'd I do?
Help me move this man.
Now. Come on.
Sats are up to .
You want me to try?
No. He has weird anatomy.
I have to go more anterior.
I should be there.
- Run of five. Pull back.
- Pressure's dropping down to .
Give him another liter of saline.
Look at the monitor.
Profound ST elevation.
- Damn it. He's having an Ml.
- More PVCs.
A hundred of lidocaine. You must
have transected the coronary artery.
No, no, no, no, no.
It's a known complication.
You went in blind. Prep the chest.
- He should be upstairs right now.
- Mark.
Thoracotomy tray.
- What happened?
- He swallowed a whole pharmacy.
I found empty bottles of Elavil,
codeine and lorazepam.
- Did you give him Narcan?
- Yeah. Two mgs times two.
Sats are dropping.
Resps eight and shallow.
Add an amp of bicarb.
Chem- , CBC and a tox screen.
- Yeah, I'm in. Who's Florence?
- What?
Well, the pills say "Florence. "
His wife. She d*ed this afternoon.
Pericardium's tight as a drum. Metz.
- Okay. Start internal compressions.
- Need suction in here.
We've got a crowd.
Someone close the blinds.
Can you see anything?
Sponge stick.
Right there. Laceration of the L.A.D.
- Can you repair it?
- Not without bypass.
You got to do something.
I am not losing him.
- Right. Open some sterile IV tubing.
- The blinds, now.
I don't know how you guys do
it every day. It's intense.
You sure get to do a lot.
You know, you just jump right in.
I was interested in surgery.
But I don't know.
Maybe the ER's my thing.
I guess if today's any indication,
there's never a dull moment, huh?
Yeah, right.
Tubing's in. There.
Hold compressions.
- He's in V-fib.
- Charge internal paddles to .
Charging.
Clear.
Still in V-fib.
Charge to .
Haleh.
Clear.
- Another amp of epi.
- Charge again.
of lidocaine.
Start a drip at two per minute.
Clear!
- Still in Torsade.
- Three-sixty. Magnesium on board?
That's four grams.
Isuprel's pouring in.
Clear.
Asystole.
It's the tricyclics.
We'll never get a rhythm back.
Maybe we could try overdrive pacing.
No. He's been down too long.
That's it. Time of death, : .
Take him downstairs.
Make sure he's put beside his wife.
You guys done?
I've got a s*ab wound to the thigh.
Yeah, we are done.
Come on, Mike. Come on.
- How many units of blood?
- Six so far.
The heart's filling well.
He's not hypovolemic.
- When was the last epi?
- Three minutes.
- He's had two of atropine?
- Both amps are in.
Someone should prep the mother.
- Dopamine's wide open?
- For the last five minutes.
- Son of a bitch.
- Mark.
Let's keep going.
You want me to talk to her?
No. I should do it.
Chen.
Can you come take over
chest compressions?
Okay. Let's go again
with the paddles.
Charge to .
Clear.
- Hey, man, what's going on?
- Is he dying?
What's happening to him?
Hey, come on.
He's our friend.
Someone said you had to shock him.
Is that true?
We've had some complications.
What kind of complications?
The needle poked a hole
in the artery...
...that supplies the blood
and oxygen to Mike's heart...
...which caused him
to have a heart att*ck.
We opened up his chest
to repair the artery.
But his heart has been deprived
of oxygen...
...for too long
and it wasn't b*ating.
Oh, my God.
We' re giving him intravenous dr*gs
and shocking his heart.
- There's been no response.
- What does that mean?
- What does that mean?!
- We might not get him back.
- What?
- He could die.
But you said that this
was a simple procedure...
...that he would be fine.
That he would sail through this.
I know. I know, Mrs. Palmieri.
This is an exceedingly rare complication.
I don't care. I don't care.
You fix him. You fix my son.
- We'll try.
- No.
But...
You promised me.
I have to go back.
You promised me.
- Is he gonna be all right?
- We're working on him.
- You gotta give us room.
- Everybody back up. Back up, guys.
Let the doctor through.
- Still in V-fib. Sats are dropping.
- Carotid pulse with compressions.
Clear.
- Anything?
- No.
Again. How long are
we going to go?
Until I say stop.
Clear.
We're out of epi.
Chen, I want you to
go get some epi.
Sure.
Crash cart Curtain .
Clear.
Excuse me.
The doctor told Mike's mom
he was gonna die.
Hey.
Malucci.
You okay?
Stop it. Let it go!
Let it go! Stop it!
Break it up. Break it up. Get off.
Security.
We've got a problem down here!
What is going on out there?
They just started fighting.
Clear.
- Chen, are you okay?
- Yeah.
- Are you okay?
- Mark. Mark.
- What?
- A rhythm. We've got a rhythm.
- What's that?
- I don't know.
- I better get back. You coming in?
- No. I'm gonna go home.
- Hey, well, it was good to meet you.
- Thank you.