ER 3x19

1. ER

2. - Previously on ER... - ER's a cakewalk compared to Surgery.

3. You and your husband must be excited.

4. It's just me and the baby.

5. I love having Rachel around. We haven't got the routines down yet,

6. but she seems happy.

7. I can't wait till Mommy gets back.

8. What makes you think your judgment is superior to mine?

9. Why did you order a glucose-tolerance test?

10. Every day I think of another test question. I look it up, and I got it wrong.

11. I want to support you, Carla. I want to be a father to my kid.

12. "Calling Dr. Hathaway"

13. - What's going on? What are you doing? - I thought you were at rounds.

14. - What time is it? - 6:35.

15. Oh, God! Anspaugh's gonna kill me.

16. Where's my-? Give me my thing, my stethoscope.

17. Take mine.

18. - Did you brush your teeth? - Yes, Dad.

19. - Did you floss? - Yes, Dad.

20. All right, I was just checking.

21. See? I told you I could make a good breakfast.

22. - You're wearing your Brownie uniform. - It's Thursday.

23. Was I supposed to talk to your troop today?

24. I'm sorry, I forgot to change my shift.

25. - You promised. - I have to work today.

26. - Can I do it next week? - I knew you'd forget.

27. I don't work Saturday. We can go to Six Flags, ride the roller coasters.

28. Dr. Edson, present the case.

29. The patient is fluid-overloaded. I gave her a Lasix sandwich.

30. Dr. Carter, how nice of you to join us.

31. What would you do with Mrs. Pritzker?

32. What's her problem?

33. As Dr. Edson has just finished saying, she is fluid-overloaded.

34. Well, I wouldn't give her anything to drink.

35. Let's continue our discussion of diuresis.

36. Carter, what electrolyte imbalance can result from giving Lasix?

37. - Hypokalemia. - Where does Lasix affect the kidney?

38. - At the loop of Henle. - Ascending or descending limb?

39. - Ascending. - Where does Lasix get its name?

40. - I don't know. - It lasts six hours.

41. Dr. Ryke, present the next patient, please.

42. - Man, what did he have for breakfast? - Me.

43. - Hey, Carol! Good morning! - Says who?

44. Guess I won't ask how your day is going.

45. I got my MCAT results. I never should have taken the test.

46. - I don't know what I was thinking. - That you wanted to be a doctor.

47. - Why didn't you talk me out of it? - How bad did you do?

48. I don't know. Haven't opened it yet.

49. - Are you nuts? Open the envelope. - No. I'm not in the mood for bad news.

50. - I'll open that envelope. - Doug! Give it back!

51. - Does anybody have a letter opener? - Don't you dare.

52. - Good morning, Dr. Einstein. - Excuse me?

53. Guess we have to move fast to beat out the other med schools.

54. Your MCAT. I'm on the Admissions Committee.

55. - They sent us your scores. - Better open it up.

56. Don't consider the Ivy League until you've taken a good look at our program.

57. We'll talk later, maybe at lunch.

58. - Oh, my God! - Eighty-fifth percentile.

59. Oh, my God.

60. Looks like Carol Hathaway's going to medical school.

61. - So you disappointed the Brownies. - I forgot I had to work.

62. - Tough being a doctor and a daddy. - That's what Jen used to say.

63. - Mark, I put you on Saturday's schedule. - I can't. I got plans with Rachel.

64. There's no one else. Walters and Foster are on vacation.

65. - At the same time? - Mark approved the schedule.

66. - Can't you cover for me? - I've got the graveyard.

67. You blew it again.

68. Put the lancet in the pen, put your finger here, then push the trigger.

69. - Is this absolutely necessary? - Yeah.

70. When you have gestational diabetes, you need to test your blood four times a day.

71. You calibrate the machine, put in a strip, apply a drop of blood, wait for a reading.

72. Slow down.

73. Blood glucose of 120 is where you want to be.

74. One-sixty is too much. Anything under 80 means you need to eat.

75. - Want me to write that down? - No. I got it.

76. Okay, 210. You need a shot of insulin. Where is it?

77. The nurse is bringing it.

78. - She'll be here in an hour? - No, she'll be here at 10:00.

79. Okay. You'll be fine.

80. - I gotta go. - Already?

81. Yeah, I'm late for work.

82. Just go.

83. - Carol, they need a puke cleanup in 3. - Why, thank you, Jerry.

84. - Your puke-cleaning days are nearly over. - Reason enough to go to med school.

85. - Who's going to med school? - Carol hit a home run on her MCAT.

86. - No kidding. Congratulations. - Don't forget us...

87. - ... when you're in the big house. - I haven't even applied yet.

88. - Jerry, what are you doing? - I saw a mouse by the elevator.

89. - Sounds like Heidi. - You know this mouse?

90. Dr. Russell in the Genetics Lab lost one of his gene-knockout founders.

91. A genetically engineered mouse. He says it's worth half a million bucks.

92. - You're kidding. - There's a $5000 reward.

93. - Dead or alive? - Alive. It's worthless if it's dead.

94. - Carol, can you watch the phones? - It's not my job.

95. I'm on break.

96. No, no. Doctors don't do phones.

97. - How were rounds? - I got massacred.

98. - Anspaugh? - Exiled me down here.

99. Ever since I second-guessed him, he's been out to get me.

100. - What are you doing? - Practicing laparoscopic maneuvers.

101. - In case I ever get back into Surgery. - Cool.

102. - Can I try? - Yeah.

103. Put your hands through those graspers...

104. and stack the dice one on top of the other.

105. - This is tricky. - Wait till you try tying knots.

106. Carter, Benton needs you in Trauma 2.

107. - Mind if I tag along? - No, be my guest.

108. Hold still, Mrs. Meeks. Looks like you've got a small fish bone down there.

109. - Jerry, turn off the light. - Can't. I'm looking for Heidi.

110. - We're the only ones in here. - Heidi's a mouse.

111. - A mutant mouse. - We're in the middle of an exam.

112. - Don't mind me. - There it is!

113. Heidi, don't be afraid.

114. Uncle Jerry won't hurt you.

115. What'd you do that for?

116. Here you go. Open wide.

117. How much did you have to borrow for med school?

118. - 110 grand. - Oh, my God!

119. - How long did it take to pay off? - You kidding? I'll be paying for 15 years.

120. - I've got a sick kid here. - He was asleep. I couldn't wake him up.

121. - How long was he down? - Two minutes. Gave epi down the tube.

122. Joel has a hypoplastic left heart. They put a Blalock shunt in. He was doing fine.

123. - What's your name? - Andrea Thompson.

124. I'm Carol Hathaway. This is Dr. Ross.

125. Give me an arm board and a 22-gauge angiocath. I'll start an IV.

126. The surgeon's name was Lewis.

127. His cardiologist is Ferris. Pediatrician, Vargas.

128. - Hook up a 12-lead and get an echo. - He's on dig, Lasix and potassium.

129. Chuny, escort Mrs. Thompson out of here.

130. Please, I want to stay. Carol?

131. All right, but stay back there. We need to work.

132. - I'm in. Bolus, 100 of saline. - Did he clot off his shunt?

133. He may have. Blood-gas kit.

134. - What's that for? - I don't have time to explain everything.

135. - She shouldn't be in here. - It's her child.

136. Chuny, get this up to the lab.

137. Bullet missed the spine. Renal artery intact.

138. - I want four-by-fours. Still bleeding. - Hang another unit of O-neg.

139. Dr. Benton, Carla on the phone. She says it's kind of an emergency.

140. - When I'm done. Damn! It's not working. - Where's the source?

141. - Soft-tissue arterioles. - Lost the BP.

142. - He's bleeding out. - Give me a Foley and some saline.

143. What are you going to do?

144. If I insert the Foley and inflate the balloon,

145. the pressure might stop the bleeding.

146. - Foley going in. - Inject the saline.

147. Where'd you learn this one? Journal of Trauma?

148. People Magazine. Story about a girl who got stuck in a well while rescuing her dog.

149. Paramedic thought this up.

150. - What happened to the puppy? - Don't ask.

151. - He's coming around. - Let's get him back over.

152. I got a pulse.

153. All right, let's get him up to the O.R. Good work, Carter.

154. Is this the gunshot? We'll take it.

155. - Can I scrub in? - We've got it.

156. Actually, Carter figured out a way...

157. to tamponade the bleeding with a Foley, saved the guy's life.

158. Edson, take his history and get him prepped. Let's go.

159. - You can't win them all, Carter. - Man, are you in the doghouse.

160. Got the blood gas, 7.23. PO-2's 90.

161. - Call Resp for a vent. - Lost his pulse.

162. - What's wrong? - Chest-tube tray, tension pneumo.

163. - What are you doing? - Eighteen French.

164. - Carol, what's happening? - His lung collapsed.

165. - What's he doing? - Putting in a chest tube.

166. - Why are you cutting him? - Carol, poke a Kelly in here.

167. IV's infiltrated.

168. - Have to do a femoral cutdown. - Will somebody tell me what's going on?

169. - Cutdown tray, please. - Carol?

170. - Come with me. I'll explain it. - I want to stay with my baby.

171. Not now. The doctor needs to work. Come on.

172. We've put a chest tube in to re-expand his lung.

173. Dr. Ross is giving Joel fluids through a catheter in his leg.

174. - When he's done, can I come back? - Yes. But for now, it's best to wait here.

175. If he gets sicker, come get me.

176. I don't want my baby to die alone.

177. I will.

178. - What are those things? - Humane traps from the lab.

179. - We're trying to trap a mouse. - Can you move them off the counter?

180. - Why don't you just call an exterminator. - The mouse is worth half a million bucks.

181. - Got a hot one. Brenda Smythe. - What's the problem?

182. - Voilà. - My wife and I were camping.

183. I needed to urinate and I found this old bucket.

184. Let's get her to a room.

185. - Why didn't you go in the bushes? - That's irrelevant.

186. - And you are? - Her husband, John Smythe. And you?

187. Mark Greene.

188. - Is Joel all right? - His blood pressure's up, vitals are good.

189. - Is he conscious? - No, not yet.

190. - I want to talk to the doctor. - He's doing an echocardiogram right now.

191. He's giving Joel fluids and he expects him to regain consciousness soon.

192. I want to be there when he wakes up. He gets scared when I'm not there.

193. I'll come and get you as soon as Dr. Ross finishes the test.

194. Is there anything I can get you, a cup of coffee or something to eat?

195. No.

196. Thank you, Carol.

197. Why did you let Edson steal your thunder?

198. - It's not like I had a choice. - You made the save.

199. When Anspaugh gives an order, you smile and nod your head.

200. - Couldn't pay me enough to be a surgeon. - It's not that bad.

201. Too cutthroat.

202. Besides, they're all jerks.

203. - No offense intended. - None taken.

204. Could you get me some crutches? I think I saw some in the hall.

205. Carla, I can't just take off. Can't you call another nurse?

206. Okay, just calm down. All right, I'll be there. I'll pick up some insulin.

207. I'm on my way. Damn it!

208. - Everything all right? - Listen, I gotta go.

209. If you have any problems, check with Greene or Weaver.

210. Do me a favor, go check on my post-ops. I'll be back in an hour.

211. - I'm sorry, it's really stuck. - It must've created a vacuum.

212. - What do you intend to do about it? - I'm thinking.

213. Maybe we could grease up a Foley, slide it in to break the suction?

214. I need a church key. A can opener. Maybe the kitchen has one.

215. Miss Wilkerson has a Swiss Army knife.

216. I thought you said her name was Smythe.

217. Pet name.

218. Here's your bucket, Mr. Smythe.

219. Thank you, doctor.

220. Carter? It's Gunderson. You admitted him through the ER, right?

221. He's tachycardic. BP's down to 60 palp.

222. - Any surgical complications? - No. He was fine, then he started gasping.

223. - What's he on? - Morphine and Ancef.

224. His tongue's swollen.

225. - What's going on? - Looks like an allergic reaction.

226. - Where's Edson? - In Surgery with Anspaugh.

227. Let's give epi, 3 mls of 1- in-10,000 IV. Get me a trach kit.

228. He's in respiratory arrest. Betadine!

229. Needle.

230. Introducer.

231. Sat's falling.

232. I'm in. Hook him up. Pull Edson out of Surgery. I want to talk to him now.

233. - BP's up to 80. - Look, the little guy's waking up.

234. Hi, Joel. Don't be afraid. Your mommy's right outside.

235. Still got a few PVCs. Give him another 10 of procainamide.

236. - Can we bring the mother back in? - Wait till the procainamide kicks in.

237. Carol, I got a great case for you. Pseudocyst with acute pancreatitis.

238. - I can't. I gotta push some meds. - Let the nurses do that.

239. Let us lifers push meds. Go play doctor.

240. Go ahead, he's doing fine.

241. - As soon as he's stable, bring the mom in. - You got it.

242. Wait till you see this. She has the biggest pseudocyst I've ever appreciated.

243. They told me they were going to send another nurse at 4:00...

244. but I didn't think I should wait so long.

245. - You did the right thing by calling me.

246. - I'm sorry you had to leave work. - It's okay. Come on.

247. Pull your robe back. I have to inject this in your thigh.

248. - How often do I have to do this? - Twice a day. Are you watching?

249. Just stick the needle in and push.

250. - There you go. - I hate that push part.

251. Do you think you can do this by yourself next time?

252. - Why? Are you going back to the hospital? - Yeah, I gotta get back to work.

253. Eat something in a couple of hours. You don't want your blood sugar getting low.

254. Oh, gosh! I have to go to the grocery store.

255. - You're not supposed to be on your feet. - What else am I supposed to do?

256. - What about your sister? - Her little one has strep.

257. It doesn't matter. I can be down there and back in 15 minutes.

258. - I'll do it. - Peter, no.

259. - Go back to work, please. - Carla, I said I'll do it.

260. Never mind if you're going to get snippy about it.

261. Who are you calling?

262. This is Dr. Benton. Tell Anspaugh...

263. that I had a family emergency. I'm taking a personal day.

264. No, I don't need to speak to him. Just give him the message, please.

265. - What happened? - Anaphylaxis. He almost died.

266. - What did you give him post-op? - Ancef.

267. - He's allergic to it. - What?

268. He's allergic to the antibiotic you gave him.

269. - Didn't you take a history? - I thought you took one.

270. Don't give me that crap. Anspaugh told you to do it.

271. I took a full history. The patient never mentioned any allergies.

272. Then why is this space under "allergies" blank?

273. You better think up an answer. Anspaugh's going to want one.

274. Just a little bit further.

275. There we go!

276. All right.

277. We have an excellent faculty. Two Nobel laureates. You can't beat our Attendings.

278. - Name the causes of acute pancreatitis. - You're putting me on the spot.

279. If you're going to be a med student, you better get used to it.

280. - Alcohol and gallstones? - Excellent. Now you try.

281. - Can you feel the pseudocyst? - I'm not sure.

282. Sorry.

283. - Use both hands, and press harder. - Sorry, sorry.

284. No, like this.

285. Sorry.

286. - Can you feel the cyst? - Yeah, I think so.

287. Order two more units of blood for the kid in Trauma 1.

288. Excuse me.

289. Wait, I want to teach you how to do an ultrasound!

290. - His sats are falling. - He thrombosed his shunt.

291. We've lost the rhythm.

292. - How long's he been down? - Ten minutes.

293. Why didn't you get his mother? I'm getting her.

294. - I don't want her in here. - I promised.

295. I got this boy's heart in my hands. I can't have her in here.

296. I'm getting her.

297. - Is Joel awake? - Come quick!

298. - What happened? - Joel's gone into cardiac arrest.

299. - The doctor had to cut open his chest. - Oh, my God.

300. Andrea, it's really bloody in there. Are you sure you want to see this?

301. Okay, come on.

302. Time of death?

303. 11:52. - Oh, my God! Oh, my God!

304. - I thought he was going to make it. - I feel awful.

305. - I promised not to let him die alone. - There was no way of knowing.

306. I should have been there. Instead, I was off appreciating a cyst.

307. - Dr. Ross? Kid with a fever in 5. - Do you want to do this?

308. No, I'm not done yet.

309. Andrea, I'm so sorry.

310. I called the mortuary. They're on their way.

311. What am I going to do with all his clothes?

312. I can give them to my sister.

313. Would you like to see him? Hold him one last time?

314. - The doctor closed his wound. - I have to make a call.

315. The call can wait.

316. Andrea, I know this is hard...

317. but I've learned that parents need to say goodbye.

318. Come on.

319. I'll stitch you up in no time, Mr. McCollum.

320. - Leg hurts like hell. - I'll get some lidocaine.

321. Hey, what kind of dump is this?

322. - There's a rat! - That's Jerry's mouse.

323. - Tomorrow I'm bringing in my cat. - This place should be closed down.

324. I sure could use the time off.

325. - What's wrong? - My foot.

326. Are you all right?

327. Damn it! It's one of Jerry's stupid traps. Wendy, grab hold.

328. On my count. One, two, three...

329. It's not coming.

330. - Where are the wire cutters? - In the Suture Room.

331. Tell Jerry to get these things out of here before I kill him.

332. Where's Benton? He should've been back hours ago.

333. - I heard he took a personal day. - Dr. Benton?

334. Carter, Dale alerted me that Mr. Gunderson had a crisis earlier.

335. - I'm glad he told you. - Anyone have his chart?

336. Nasty little anaphylactic reaction. You think it was caused by-?

337. The antibiotic given post-operatively. Ancef.

338. Doesn't look like there was anything we could have done.

339. - Excuse me? - Patient says, "No known drug allergies. "

340. - Is that your handwriting? - Yes, sir.

341. - Can I take a look at the chart? - Certainly.

342. A proper, thorough history, the best defense against malpractice. Good work.

343. I thought this would be more comfortable.

344. Thank you.

345. Do you want to hold him?

346. You take all the time you need.

347. - You're back. - He got a button stuck up his nose.

348. Pretty unusual. How did it get there?

349. I was wiping my nose on my cuff and I felt an urge to sneeze...

350. and I inhaled the button.

351. - The button's still on his cuff. - He changed his shirt.

352. Perhaps an ear, nose and throat specialist is in order?

353. - Perhaps not. Why don't you lie back. - What are you doing, doctor?

354. Hold the unblocked nostril closed while I put this mask over your mouth.

355. Don't worry, it's not gonna hurt.

356. Haleh, hold the basin under his chin. Just relax.

357. Very impressive.

358. - May I keep the button? - Sure.

359. Sit tight while I get your discharge papers.

360. Get a Psych consult down here before they hurt themselves.

361. Amen.

362. - I'd go with the turkey tetrazzini. - Hey, Jackie. How you doing?

363. - What are you doing here? - I'm shopping.

364. - In the middle of the afternoon? - I took today off.

365. - In your scrubs? You never take a day off. - I had to leave. Carla needed me.

366. - Is she all right? - Yeah. She just needs to stay off her feet.

367. Boy, are you in trouble.

368. It's just for today. Her sister couldn't make it.

369. You think it's just today, but a pregnant woman needs a lot of help.

370. When I was pregnant with Steven, I had Walt cooking and doing the laundry.

371. It's crazy. It's like she's a different woman.

372. It's just the hormones.

373. One time, Walt switched the channel in the middle of Oprah.

374. I chased him out of the house with a croquet mallet.

375. Well, I'm losing it.

376. I'm so proud of you, taking a day off to help her out like this.

377. Will you be able to take off more time from the hospital?

378. - I don't know. I hadn't thought about it. - Well, start thinking.

379. Who's Carla going to depend on if you're not around?

380. Yeah.

381. Come on. Let's go down to the baby section. You've got a lot to learn.

382. Looks like he got him with an ice pick.

383. - I'll undress him. - Let Chuny do that.

384. - I got it. - No. I want you to assess the patient.

385. Start with the ABCs, Dr. Hathaway.

386. His airway is patent.

387. He's breathing shallow, appearance dusky. I'll get the intubation tray.

388. Chuny can do it. You're going to intubate.

389. Take a breath and hold it. If you run out of breath, you're taking too long.

390. Enter laterally, sweeping the tongue out of the way.

391. Don't rock back. You'll break his teeth.

392. Can you see the epiglottis? Good.

393. Now visualize the cords. Can you see them?

394. - Pulse ox is falling, 89. - You're doing great.

395. Make sure you lift the scope 45 degrees.

396. Good job. Let's get him to X-ray.

397. - Looks like Kerry's got a new pet. - Stop it, Chuny.

398. - You saw her jam the button up his nose? - Before that, it was a bucket on her butt.

399. - What's wrong with them? - Sounds like they're nuts.

400. - Button-extraction response time? - 7.5 minutes.

401. - This is Dr. Pomerantz. - Psychiatric consult, I presume?

402. We've been expecting you.

403. As you no doubt have ascertained, we're not what we appear to be.

404. - What are you? - John Smythe and Brenda Wilkerson.

405. Clinical researchers.

406. We' re studying creative problem-solving in emergency departments.

407. We found that foreign-body extractions elicit the greatest range of responses.

408. And I must say, Dr. Greene...

409. you came up with the most innovative solutions we've ever seen.

410. Over at Mercy, the button in the nose took five hours and two consults.

411. They wanted to operate.

412. Just who is sponsoring this study?

413. An independent consortium of health-care professionals and those in government.

414. The highest levels of government.

415. No promises, but you might be contacted by H. R.C.

416. Hillary.

417. If she ever gets her ass stuck in a bucket, she'll know who to call.

418. I'll tell her you said so.

419. - What are you doing down here? - Hiding.

420. Me too.

421. - You're a smoker! - A secret smoker. Don't tell anyone.

422. - Who died? - What?

423. Why the long face?

424. - Edson falsified a chart to cover his ass. - You're kidding.

425. He forgot to take a patient history. Patient almost died.

426. - Anspaugh must have roasted his butt. - I didn't tell him.

427. You didn't?

428. - Would you have? - Hell, yeah!

429. Changing a chart's unethical, not to mention illegal.

430. Surgeons don't rat on each other. It's like the Marines:

431. - "All for one, and one for all. " - That's the Three Musketeers.

432. You know what I mean.

433. You've got to be a team player.

434. Anspaugh gave me that lecture last week.

435. I think you're scared.

436. - Well, we'll be in touch. - Bye, Super Doc.

437. - What a couple of kooks! - They could make you famous.

438. You could be known as the most innovative doctor in the country.

439. Tell that to my daughter. I stood up her Brownie troop.

440. I know, I know. I just can't seem to get it together.

441. You mean Super Doc can't figure out a way to keep his Brownie commitments?

442. Carol, we've got an intoxicated gentleman who needs an NG tube. Interested?

443. - Wait. You can't go in there. - Why not? There's a free bed.

444. This woman needs to be alone. Her child died today.

445. Your compassion is admirable, but we have to put our patients somewhere.

446. - Treat the drunk in the hall. - The drunk is a patient too.

447. - You've done it before. - When there were no beds available.

448. Well, there aren't any beds now.

449. If you're going to be a med student, you've got to stop thinking like a nurse.

450. I'm not a med student yet.

451. CBC, Chem-7. Type and cross for four.

452. - Is this a surgical belly? - Yeah. I already called upstairs.

453. - Might as well get started. - What's the story?

454. - A painter fell 20 feet onto a Volvo. - They say Volvos are the safest cars.

455. Edson, start a central line. Carter, do a peritoneal lavage.

456. I'll get the DPL kit.

457. Carter, what are the criteria for a positive diagnostic peritoneal lavage?

458. Red blood cell count over 100,000. White blood cell count greater than 500.

459. And if you can read a newspaper through the fluid, it's negative.

460. I love those little pearls.

461. Dale, weren't you gonna give Dr. Anspaugh...

462. some new information about Mr. Gunderson?

463. - John filled me in. - The patient with the allergic reaction?

464. As a matter of fact, I called Mr. Gunderson's mother...

465. and briefed her on the situation. She'll be flying in from Louisville.

466. Good. Looking after the patient's emotional state.

467. Is that it?

468. - That's it. - Really? John said there was more.

469. Something I should know about?

470. No.

471. - DPL's positive. - All right, let's get him up to Surgery.

472. Edson, start with an ex-lap. If he needs a splenectomy, you do it. Let's move him.

473. Well, you sure told him.

474. - Liar, liar, pants on fire. - Save it.

475. - So they teach forgery at Harvard? - Go to hell.

476. What did you say?

477. I just adjusted the chart. Is that such a big deal?

478. I don't know. Run it by Anspaugh. See what he thinks.

479. - I can't do that. - Sure you can.

480. If this goes on my record, my chances for a fellowship are zilch.

481. - Are you going to make me tell him? - John, please.

482. I'll do anything you want. I'll put in a good word with Anspaugh. Anything.

483. I'll make it up to you.

484. I don't want to have anything to do with you.

485. If you ever try anything like this again, I'll bury you.

486. That's a promise.

487. These are resuscitation paddles.

488. If someone's heart stops beating normally or has a strange rhythm...

489. we zap them with a surge of electricity to get it going. Kind of like Frankenstein.

490. Got an MVA coming in. Kerry's got it, but we need the room.

491. Who wants to look at blood cells under the microscope? Let's go to the lab.

492. Thanks, Dad.

493. - Very creative. - So I've been told.

494. How would you like to go out with the most innovative doctor in the world?

495. - I would be honored. - You like bowling?

496. - "Like" may be too strong a word. - I gotta take Rachel. Can Emma come?

497. - Oh, it's that kind of date. - That's the best I can do.

498. - I'll have to dust off my bowling shoes. - You own bowling shoes?

499. There's all sorts of things you don't know about me, doctor.

500. Thank you for letting me have this time with my baby.

501. - Is there someone I can call? - My sister's on her way.

502. I used to say this prayer with Joel every night:

503. Now I lay me down to sleep.

504. I pray the Lord my soul to keep.

505. If I should die before I wake, I pray the Lord my soul to take.

506. You think I'm a coward?

507. Who am I to say? I'm not a surgeon.

508. You guys got your own rules.

509. Maybe that's just a load of crap, and I'm hiding behind it.

510. I don't know what to do.

511. - Talk to another surgeon. - Right, they're all so empathetic.

512. There's got to be somebody whose judgment you trust.

513. - Should I talk to Benton? - I would.

514. - How about a Heinie? - A beer?

515. I keep a couple in the back for when I get off work.

516. You know, you're great.

517. - So are you. - Seriously.

518. And you're honest...

519. you're funny...

520. and beautiful.

521. I don't suppose that you...?

522. Not a chance.

523. - Well, cheers. - Cheers.

524. These things cost 60 bucks apiece. Who's going to pay for this?

525. - Take it out of your reward. - No trap, no mouse, no reward.

526. - He's under there. - She's under there?

527. Oh, no! You killed her.

528. - I didn't mean to. - She's still breathing.

529. She is?

530. - How much is that reward? - Five grand.

531. Wendy, get a small pediatric O-2 mask and 5 cc's of Dopram.

532. - And hurry. - Jerry, start mouth-to-mouth.

533. - You're kidding. - I saw a vet resuscitate a guinea pig.

534. - I'm not breathing in a rat's mouth. - I will, but we split the reward.

535. Hook the mask up to 5 liters O-2.

536. She moved!

537. - I think she's going to be all right. - I'll take her up to the lab.

538. - Nothing doing. - Give me the rat.

539. - I'm taking her back, getting our reward. - Fifty-fifty, right?

540. Wrong. I'll give you 10 percent for being in the room while we resuscitated her.

541. Damn it!

542. I'm heading out. Is Dr. Benton coming in tomorrow?

543. Yes. He asked for his schedule and copies of his patients' charts by messenger.

544. - Is this them? - Yep.

545. He must have moved. Tell you what...

546. cancel your messenger. I'll take these to him. I have to talk to him.

547. - You up for Crockett's? It's nurses' night. - Sure, I'm in.

548. - Me too. - Jenny, how about you?

549. - Be there or be square. - Right.

550. - I hear you intubated like a pro today. - Oh, yeah.

551. Kerry has been showing me things all day. Made me feel like a beginner.

552. The truth is, I'm really, really good at my job.

553. So why do I want to change that?

554. Watch me, Mom!

555. - Good try, honey! What's the score? - That would be 2-1, still.

556. We could be here all night. Did you get all your paperwork done?

557. I'm going to be up late tonight, but I can access my patient reports online.

558. Figured it's worth it.

559. Easy, honey!

560. Think they're getting along okay?

561. I think there's something there.

562. Yeah?

563. - We should do this more often. - Next time without kids.

564. - You read my mind. - That's my job.

565. - Dad! I got one! - That is great. That is really great.

566. There we go. It's 2-2.

567. One plate of spaghetti marinara al dente.

568. - Just one plate? - Yeah.

569. Hospital's sending over charts. I gotta go home and prepare for tomorrow's cases.

570. - Why don't you do it here? - I don't have my books.

571. I'm gonna need another shot in an hour.

572. That's why I taught you how to do it.

573. Fine. Just go home.

574. Look, Carla...

575. I can't be here all the time.

576. - You said you wanted to be involved. - I am.

577. Sure, on your terms, as always. Ever think about what I need? What I want?

578. - You never ask me what I want. - What does that mean?

579. Nothing, baby. Look, just drop it.

580. - You never wanted this baby. - I didn't say that.

581. No, but that's what you meant.

582. Go home. I don't need you here doing me no damn favors.

583. - What? - Hey, Carla.

584. It's for you.

585. - Carter, what are you doing here? - I just came to drop these by.

586. Thank you. Good night, Carter.

587. Hey, girl! I didn't expect to see you here.

588. It's nurses' night out, right?

589. I thought Weaver was already fitting you for a lab coat.

590. Yeah, well, white adds 10 pounds. I think I'll stick to pink.

591. - You having second thoughts? - Let's just say I really like what I do.

592. - Another round? - I'll get it.

593. - You want to play? - Sure.

594. - Come on, girl. - It's a quarter a ball.

595. I think I can handle that.

596. - All right. What am I, stripes? - Solids.

597. Two, in the corner.