ER 5x8

1. ER

2. Previously on ER:

3. Students don't know anything. It's your job to teach them.

4. I'll be there for them.

5. Have you something personal against this girl?

6. - ÿCrees que debería hablar con Carter? - Debes evitar un enfrentamiento.

7. You're getting defensive. You don't even hear me.

8. Don't talk to each other, talk to me.

9. Una cosa buena de Lucy: No está aquí.

10. Sea lo que sea, yo no puedo arreglarlo. Solucionadlo, los dos.

11. "The Good Fight"

12. Hook her up to the pulse ox. Hang 500 of saline.

13. BP's 120 over 30. Pulse 80.

14. - The second crit? - Coming.

15. - Daddy, it hurts. - I knoW, honey, I knoW.

16. They'll help. It's gonna be all right.

17. Can't you give her something?

18. Carol, titrate another two of morphine.

19. - Dr. Greene? - He's on his Way.

20. - Page Benton, it's a splenic injury. - That bad?

21. - Daddy, you're bleeding. - Lucy, I thought you sutured him.

22. - He wanted to go to CT with her. - Crit's 24 after 600 cc's.

23. - What was the last one? - 33.

24. Mr. Sawyer, we should suture that. Come with me.

25. - What's wrong with her? - She is bleeding from her spleen.

26. - My God! - Splenic injuries this size...

27. usually heal in children.

28. - What do you do? - If she's stable, transfer some blood.

29. So let Ms. Knight suture that cut and I'll-

30. I Want to be With her!

31. First take care of the gash. I Want her calm.

32. Corinna, I'm gonna be right next door, okay?

33. - 4-0 nylon, Lucy. - I know.

34. - I love you, sWeetie. - I love you.

35. - Lucy, can you get consent? - Yeah.

36. Right through here.

37. I never saw it. The van came out of nowhere and just hit us.

38. - You need to sign this. Sit doWn. - Well, What is it?

39. It authorizes blood transfusion and emergency surgery.

40. - I thought she didn't need surgery. - It's just in case.

41. HoW long? HoW long Will she have to stay?

42. - It's hard to tell. Do you have insurance? - What?

43. Yeah. But I left it in my Wallet...

44. in the glove compartment. I'm not sure I can get it.

45. We can call. Which insurance company is it?

46. Blue Cross.

47. Listen, can you do me a favor and call her mother in Cleveland?

48. - She should know about this. - Want to use the phone?

49. No. It's best that you make the call. Please.

50. A multivictim MVA, father/daughter.

51. Daughter's CT shows a grade-2 splenic lac.

52. Stable, but her crit dropped nine.

53. - How's the father? - A minor scalp lac.

54. Crit of 42. Awake, alert, oriented.

55. - What's her name? - Corinna.

56. Can you take a breath for me? Good.

57. Hi, Corinna, I'm Dr. Greene. HoW are you feeling?

58. - My back hurts. - Your back, not your tummy?

59. - Where's my daddy? - Right next door, sweetie.

60. She has rigors. Warm to the touch.

61. Probable febrile reaction to the transfusion.

62. - HoW many units are in? - It's her first.

63. I need saline.

64. Rectal Tylenol, 500 mgs.

65. Twenty-five IV, Benadryl.

66. - BP's down to 60 palp. - Corinna?

67. - Blood's been cross-matched? - No, it's type-specific.

68. - Pink urine. - Must be hemolyzing her blood cells.

69. - Could be blood from the spleen. - Maybe both.

70. 500 cc bolus of saline. Stand by with epi.

71. Mix a dopamine drip.

72. - We're sure it's type-specific? - Bag says B-positive.

73. - That's her type. - All right.

74. Retype that blood and the patient. Blood bank may have mislabeled it.

75. Add a CBC, haptoglobin, free hemoglobin...

76. direct/indirect Coombs. PT, PTT.

77. - What's going on? - Hemolytic reaction.

78. Her system's cheWing blood cells.

79. - Did you suture the father? - He Wants me to call the mother.

80. Go ask him if Corinna has any history of hematologic disease. Now!

81. Mr. SaWyer?

82. Hey, Dr. Ross.

83. - Isn't it late for golf? - Never too late.

84. - It's November. - What did I just say?

85. - Crazy. Carter's going sailing- - Hey, way to go, Carter.

86. - You're rambling. - His name's Nelson.

87. He kidnapped her from her mother's in Cleveland.

88. - Her mother told you this? - She's going to the airport now.

89. So why would Nelson give you her phone number?

90. He freaked out When he heard his daughter might need surgery.

91. - Dr. Greene, We have a situation here. - Just a second, Carter.

92. - Are those her labs? - UA shows one plus bilirubin.

93. - You on? - Passing through.

94. - Was the blood mislabeled? - No, reactions to minor antigens.

95. - This is tough to match. - None in the blood bank.

96. Did you type the family?

97. I dreW a CBC on the father but he's gone.

98. - He kidnapped her. - What?

99. Bad custody case. The mother's on her way from Cleveland.

100. - Crit's dropping. We gotta go to O.R. - There's no blood.

101. Carter, type and screen dad's blood. Then call all the other blood banks.

102. - I'll try. - Lucy, call his mother back.

103. Get her records and have mom's blood screened.

104. - She went to the airport. - Get to her.

105. - We don't have much time. - The spleen could tamponade.

106. - Not With crit falling. - It's hemolysis.

107. - Come on. - Might not be her spleen.

108. One thing at a time. We need blood. Crits at 22?

109. We have a cushion. Let's give her steroids.

110. - Carol, 500 mgs Solu-Medrol. - That might not be enough.

111. - Want me to look? - Be my guest.

112. - Peter, you sticking around? - Sure.

113. You'd page me in 15 minutes anyWay.

114. You called Doug, huh?

115. - It seemed pretty complicated. - No problem.

116. That covers the entire state?

117. Sorry I'm late. Ready to go?

118. Just a second. And Indiana?

119. Just give me tWo minutes, I'm kind of tied up here.

120. - Why are you going sailing? - My uncle's boat is in the harbor.

121. John offered to motor it to dry dock while we have decent weather.

122. I heard it Was gonna rain.

123. I caught the mother. She's faxing a release for the records.

124. Corinna had a transfusion for hyperbilirubinemia as an infant.

125. - Hi, Lucy. - Hi.

126. - But she has a different blood type. - Figures, dad matches.

127. - Exactly? - To the antibody.

128. - We gotta find him. - I'm gonna leave you kids alone.

129. I've got some phone calls to make. You've got 15 minutes, mister.

130. - You're leaving? - Soon as I find this blood.

131. - Great. So I can go? - Yeah, sure, Lucy. Bail.

132. - Blood Registry. - I'm gonna find the father.

133. - I got an address. - Fugitives give false addresses.

134. - You said I could go, so I'm going. - Whatever.

135. - Why be such an ass? - Lucy, I don't care what you do.

136. - I'm gonna try and find blood for his kid. - So am I.

137. - Crit's down to 19. - Steroids aren't working.

138. Let's go IV IG, 25 grams over four hours.

139. I gave you time to treat hemolysis. We gotta stop the bleeding in O.R.

140. - She's not hemodynamically stable. - I'll use the cell saver.

141. The serum you'd cycle would keep destroying her cells.

142. Any word on the blood?

143. She has antibodies to both Vel and Lan.

144. One is found in four in 10,000 people,

145. the other in 25,000.

146. She's got both, so do the math.

147. - The father matched? - Let's hope he comes back.

148. - One in 50,000,000. The math. - There's nothing in the Midwest.

149. The Rare Donor Program is on it.

150. - They're not optimistic. - We can't Wait.

151. - They Won't anesthetize With this crit. - I Wanted to operate earlier.

152. Right noW, donor blood is her best chance.

153. - We'll medicate until We get it. - If We get it.

154. - Did you reach the hematologist? - He's on his Way.

155. - Why don't you go home? - What?

156. - You've been here since midnight. - Yeah, but I took her.

157. You know, we've handed off patients before.

158. You're covered. You got three docs here.

159. Okay, I'll call in later.

160. - Hey, Mark? - Sure.

161. Can you use albumin to prime dialysis?

162. - What are you thinking? - Plasmapheresis.

163. I don't knoW if that'll help.

164. Couldn't hurt.

165. You can arrange it to be in addition to your pension.

166. - Tax free? - Okay.

167. - You ready to go? - That's him.

168. - Dr. Carter? - Yeah?

169. James Middleton, Chicago PD.

170. I ran that license. It's a dealer plate.

171. - Used car lot on Western and Addison. - What license number?

172. On the totaled Grand Am.

173. - You guys called about a kidnapping. - Jerry said this was your case.

174. Oh, yeah. Did you find the father?

175. - Who? - They Were in the accident together.

176. He had us call her mom and left.

177. - A custody dispute? - He stole her.

178. - When? - TWo Weeks ago.

179. - Is the mom here? - She's flying in.

180. Tell you What. Have her give me a call When she gets here.

181. Might be too late. We need to find this guy.

182. These things are often "he said, she said. " He might have visitation rights.

183. No, We need his blood. His daughter could die Without it.

184. - Did he leave credit info? - No.

185. - Social security number? - No.

186. Just an address. But I'm sure it's bogus.

187. I'll try the lot. Maybe I can come up with something.

188. Hope so.

189. Okay, line's in. Let me get a heparin flush.

190. - Where's the plasmapheresis unit? - On the way down.

191. Daddy?

192. Hi, honey. Conni, can you get Doug, please?

193. Where's my daddy?

194. You're in a hospital.

195. - You were in an accident, remember? - Does your tummy hurt?

196. - Where's my daddy? - We're gonna take good care of you.

197. My name is Carol.

198. I want my daddy.

199. Your mom's coming. She'll be here soon.

200. Daddy?

201. Your daddy's fine. He's just...

202. he's just not here right now.

203. Why?

204. You remember your dog, not me!

205. - I'm sure it's only temporary. - How's yours going?

206. He's either suffering short-term memory loss...

207. or saw the accident as a last chance to back out.

208. - Any word from the Rare Donor Program? - Two words: "Still looking. "

209. I got a blood-bank friend at NIH. I'll call him.

210. - Great, thanks! - Dr. Greene, Carter left this.

211. He said a detective may call about the father.

212. - Is he still here? - They left a While ago.

213. - No, I meant the detective- - Mark! She's seizing!

214. - How long? - A minute.

215. - I got the phenobarbital. - Try Ativan first.

216. - Accu-Chek's 40. - I need 50.

217. - What's her crit? - 17.

218. - Get an H & H. - She's hypoxic.

219. - Her kidneys could go next. - BP's 100 over 60.

220. - Push the phenobarb? - Not gonna do it.

221. We need some damn blood.

222. Doctor, hurry it up.

223. All right. Thanks, Jerry.

224. So there was this girl named Soup. I don't know why they called her that.

225. She was two years older than us, so we thought she was really cool.

226. And somehow she convinced us to sunbathe topless...

227. on this deck. And I'm not kidding you...

228. John, my breasts Were purple.

229. And there were blisters all over these...

230. Have you heard anything I've just said?

231. - Yeah. - No, really.

232. Really, what did I just say?

233. I'm sorry. I was thinking about that girl.

234. You knoW, I should really follow up.

235. You said they had that covered.

236. Yeah, there's just this one other thing that I wanted to check.

237. Can you handle it without me?

238. No. No.

239. Come on. It's no big deal. Just powering it up the river.

240. You're not the only one who's busy. I made time for this too.

241. I know. But I have to try to find this guy.

242. - Because Lucy's looking for him? - Lucy's probably home by now.

243. Right.

244. Come on. Get on the boat.

245. - I'm sorry. I'll call you later? - What? I can't hear you.

246. A loaner, the cars we loan to customers to run errands and stuff.

247. - The owner gave it out. - Can I talk to him?

248. He's in Vegas. If he wins, we never hear from him.

249. - And no paperwork on him? - We're pretty lax about that.

250. Mort, leave that out. The rain's passing.

251. It's important that we find the driver.

252. Cop said the same. Wish I could help.

253. He was in the accident with his daughter and she's dying.

254. His blood may save her life.

255. - There's no other way to find him? - No.

256. - Gee, that sucks. - Yeah.

257. - I'd help you if I could, man. - Would you give me a call?

258. I'll give you a call if I hear anything.

259. Hey, hold up.

260. I'll deny anything you say to the cops.

261. - I loaned it to my bookie. - What's his name?

262. He's your guy. Nelson.

263. I still owe some money. He's been good about my payment plan.

264. He wanted to borrow a car for a few days while he had his daughter.

265. - How do I reach him? - I only met him one other time.

266. - Then how-? - I place my bets with the bellhop...

267. at The Delaware.

268. - There's no gambling on the premises. - I didn't mean you.

269. I was told there was a bellboy who covers bets.

270. I thought I told you, there's no gambling on the premises.

271. Not officially. Sure.

272. Like there's no prostitutes.

273. Excuse me!

274. - I Wonder- what are you doing here? - Nothing.

275. - I meant her. - Just a minute.

276. - You work for Nelson? - I gotta get back to work.

277. Wait. Just a second. You said you knew a guy.

278. - I didn't say that. - Just a name.

279. Hey, excuse me.

280. - We got money. - Let me go, man.

281. - We need this guy. - Get off me!

282. I don't know what you're talking about!

283. - Thank you. Thank you very much. - What?

284. He was about to tell me about the guy who runs bets for Nelson.

285. - How did you know? - Neighborhood gossip.

286. The address wasn't fake. It was old.

287. I thought you had a date.

288. We still haven't found a blood match.

289. - Thought I'd try. - They operate?

290. Crit's low, she had a seizure.

291. What kind of action you want?

292. - I can handle OTB, numbers, whatever. - We're just looking for someone.

293. Oh, okay. See you.

294. No, wait! We wanna bet! We wanna place a bet.

295. It's just that Nelson told us to talk to a bellhop boy.

296. When, in the Ice Age? Toby got fired.

297. - Toby. - He covers Nelson's action.

298. - Where does he live? - He's one of those ghetto boys...

299. - ... the Butcher gets jobs for. - The who?

300. A "lost youth" guy. Works at a meat-packing plant.

301. Walk in and look at the nametags. Jerry, can you answer that?

302. - Chuny, you mind? - Jerry, what's this?

303. We're not moving patients. Triage is on me.

304. Only emergent cases get on the board until we have a free bed.

305. - Any luck? - No, he hasn't answered.

306. - I'm trying to find him. - What do I do with these?

307. - Where's Doyle? - I'm doing my share.

308. - She's been on the phone for an hour. - I'll take the LP and migraine.

309. You take the treat and streets. And get Jerry some free beds.

310. Benton wants to call Anspaugh. Any blood?

311. - No. - Corinna's mother's at O'Hare.

312. - She wants an update. - I'll brief her in person.

313. I got Lucy on line three. She wants a status report.

314. I'm holding for John Derby. Derby. Yes.

315. - Derby, the NIH guy? - Yes.

316. He returned your call, your page. Left a mobile number.

317. - Jerry, why didn't you tell me? - You've been on the phone.

318. Okay. Thanks, Carol.

319. Slow down. I don't think this is the right way.

320. - She said it's past the conveyor belt. - What belt? All I see is beef.

321. Here. God.

322. - Any luck? - No. No match yet.

323. - We're looking for the boning room. - What exactly happens there?

324. - This is the wrong way. - I didn't see you leading.

325. All right. I'll lead then.

326. - Hey! Where are you going? - To find the boning room.

327. - You said I could lead. - I didn't say I'd follow you.

328. - I didn't ask you to come with me. - I didn't either.

329. - I'm not with you. I looked first. - What does that mean?

330. If you were right, you wouldn't be walking around here.

331. I wouldn't be walking around a meat locker if you hadn't let the guy go.

332. I knew it.

333. I knew you blamed me.

334. A little girl's dying, Lucy. You can relax about you.

335. Hey! Hey!

336. - What? - Boning Room!

337. BONING ROOM

338. This city builds detention centers 10 years before they're needed.

339. But they can't start a job program for kids. Prisons, yes. Jobs, no.

340. Well, at this job, Toby took bets for a man named Nelson.

341. Not everybody's a success story.

342. - Where can we find him? - I don't snitch on my kids.

343. Without trust, it's over.

344. Want to save kids?

345. I got one you can save!

346. Crit's at 16. I think we stopped the hemolysis.

347. Her kidneys are failing. She'll die if her spleen's bleeding.

348. No one disagrees. She needs surgery.

349. The question is, hoW long can we wait for blood?

350. It may never come. Look, at some point, there are desperate measures.

351. - We're not there yet. - Oh, my God! Corinna?

352. Can she hear me?

353. - She's been drifting. - We should type the mom.

354. I did While I was briefing her.

355. - A-positive. - I can't give it anyway?

356. - It's better than nothing. - She needs an exact match.

357. And Keith has it?

358. How typical!

359. He takes her, hurts her, and runs away when she needs him.

360. - Got it! - What?

361. NIH found a match. Two frozen units in Nashville.

362. - How long? - It's in the air in 10 minutes.

363. All right! Let's get her up to preop.

364. I want her to be ready.

365. - There's number eight. - This is nuts. This is nuts.

366. Toby might not even know Nelson.

367. We're here. We might as well try.

368. - Have a little faith. - Faith?

369. What, in our ability to find one guy?

370. - Then go home. I'll find him myself. - Yeah, right.

371. - I'll be right back. - Where are you going?

372. - Yeah? - Hi. Is Toby here?

373. Who are you?

374. Hi.

375. You live here?

376. - Where are your clothes? - He doesn't talk much.

377. Are you his sister?

378. - Who's that? - His mom. She's sick.

379. That's a bad cough. Has she had it for a long time?

380. - A while. - What's her name?

381. Mrs. Price.

382. Maybe I should go in and see if she's okay.

383. You shouldn't go in there. That's not your house.

384. It's okay because I'm a doctor.

385. Would you watch him?

386. Yeah?

387. Hello?

388. Hello?

389. Mrs. Price?

390. Who's there?

391. My name is Dr. Carter. I just saw your boy outside.

392. Don't be afraid. I came in to see if you're okay.

393. - Who let you in? - The door was open.

394. I heard you coughing.

395. It's bronchitis.

396. I've had it before.

397. Are you coughing up blood? Is that blood you're coughing now?

398. - A little. - Any fever?

399. Has anyone ever done a TB test on you?

400. Did they prick your arm?

401. You hold on, sweetheart. We're gonna get some help.

402. What the hell you doing?

403. - Just trying to help. - Right.

404. - I told you not to come in here! - Ariel, go home and stay there!

405. - I need to call 911. - If you're lucky.

406. Look, I'm a doctor. If she has tuberculosis, it's highly contagious.

407. 100% oxygen, AC 14. Tidal volume 250. Set up two blood-Y's now.

408. - Who's on anesthesia? - Babcock.

409. - Get him. - Where we going?

410. - O.R. 3. - Find me when the blood's here!

411. Ma'am, you can't go into the O.R.

412. - What do I do? - Wait here.

413. - Someone will talk to you. - Will she lose more blood?

414. - Her blood count was low. - That's why we're waiting.

415. Hopefully we can get her count high and operate safely...

416. - ... and prevent further blood loss. - She'll be okay until then?

417. Toby's sister says he hangs out at a minimart up there.

418. - Let's wait for paramedics. - What?

419. Active TB. The whole project could be infected.

420. - He might be there now. - Wait.

421. - I'll go myself. - We'll go together.

422. - I'm going now. - God forbid...

423. you should learn something!

424. - I don't want to learn? - Not from me!

425. - Because we disagree? - At least respect my experience.

426. I'm just trying to find this guy-

427. - What? - That's him.

428. Mr. Nelson!

429. Wait! Mr. Nelson!

430. Hey, wait!

431. Nelson!

432. Nelson!

433. - Sorry! Emergency! - Hey! Hey!

434. - Where you going? - I need to stop that guy!

435. - The fare is a buck-fifty! - Nelson!

436. Wait! Nelson! Nelson! Damn it!

437. - Go down and buy a fare. - You just killed a little girl!

438. The fare's a buck-fifty.

439. There's your buck-fifty.

440. Hey, you better back off, pal!

441. Son of a bitch!

442. NATIONAL INSTITUTE OF HEALTH

443. It's deglycerolizing and thawing now. It'll be 20 minutes.

444. - Her crit's down to 15. - Put her under.

445. - Are you okay, Peter? - Yeah, I'm fine.

446. Get Anspaugh in here. Come on, let's move.

447. - Nelson has a daughter? - She doesn't have much time.

448. - We need to find him. - He got his money and said...

449. - ... he'd be out of town. - You can't call?

450. He pages me from different places.

451. Your running numbers for the man and can't find him?

452. We ain't friends! What if I get pinched?

453. Better hope you don't.

454. - He'd want you to tell us. - I am! I don't know how to find him!

455. If I did, I'd go myself!

456. What about other business contacts?

457. He has guys at ballparks taking action.

458. Wait. He's got an uncle, a grounds guy at Soldier Field.

459. Uncle Joey.

460. - Crit's down to 14. - How long do we wait?

461. - Here she is. - Is that it?

462. - Bad news. - Come on.

463. Small holes in the bags. We noticed when it thawed.

464. - Did it happen here? - Or years ago.

465. We can't tell if it's been exposed to bacteria.

466. - Damn! - We should give it to her anyway.

467. - You want to make her septic? - He's right, we can't transfuse.

468. So now what?

469. Peter, I think we've arrived at your desperate measures.

470. I want to talk to Detective Middleton.

471. Maybe he left. No, don't put me on hold.

472. - Cops wouldn't have gotten this far. - How far have we gotten?

473. - These people don't talk to the cops. - You learn that in detective school?

474. - We're close. We saw him. - Yeah, but we should ask for help.

475. Hi. Yeah.

476. No, I don't know if it's considered an active case. Hello?

477. - Hello? - That might be him.

478. said I don't know if it's- Hello? Hello?

479. - I just charged this battery. - Joey!

480. Joey?

481. - Who's asking? - We're not the cops.

482. I already got you made for the FBI.

483. We need your nephew. His daughter's in the hospital.

484. We need his blood.

485. - Whose blood? - Keith, your nephew.

486. Keith Nelson's not my nephew. Everybody calls me Uncle Joey.

487. - But you know him? - He's a good guy.

488. - Know where we can find him? - No.

489. - When is the last time you saw him? - Couple weeks ago, Rams game.

490. Do you have any idea where he is? It's really important.

491. Today's Thursday? He could be at the cockfights.

492. - Cockfights? - You know, two roosters...

493. - ... pecking each other to death? - Where?

494. Used to be on the South Side.

495. - You got an address? - No.

496. I could draw you a map.

497. - Okay. Linea alba is incised. - Toothed forceps.

498. Metz.

499. - You ready, Peter? - I hope so.

500. Think fast. She won't tolerate more than 100 cc blood loss.

501. Go for the splenic artery.

502. Okay, stand by with lap pads and suction.

503. - BP, 110 over 70. - Let's keep it that way, Peter.

504. All right. Here we go.

505. Excellent.

506. Peritoneum looks dry.

507. - Retractor. - Bovie.

508. Divide the gastrocolic ligament. Enter the lesser sac.

509. Okay, got it. Suction!

510. She's hemorrhaging!

511. Lap pad! Tamponade released on the hematoma.

512. - BP's falling. - Vascular clamp.

513. - Did you visualize the splenic artery? - No.

514. - Don't clamp off the pancreas. - Suction!

515. - Can't see a thing. - Lose the clamp.

516. - Compress it with your finger. - 150 cc blood loss.

517. - Pressure's down, 70 over 50. - Come on.

518. Come on!

519. Damn, come on!

520. - Sure this is the place? - Yeah, across the bridge...

521. and past the second freight station.

522. There's no one here.

523. They probably don't advertise.

524. - There's a light on. - We're breaking and entering?

525. - Got a better idea? - Not if you brought bolt cutters.

526. No. I can give you a boost.

527. Like you said, we're here. Might as well check it out.

528. - There you go. - Okay.

529. - There you go. - I can't.

530. Yeah, you can, I got you. Go ahead.

531. Up and over.

532. You got it.

533. There you go. You did it.

534. - How many fences do they need? - They gotta keep out the riffraff.

535. You want to go get your jacket because it's raining?

536. No cars? Do these people walk to their cockfights?

537. I don't know if I trust Uncle Joey. He seemed too easy.

538. What? You quitting on me?

539. Hold up. Let's check this out.

540. - Can I ask you something? - Sure.

541. - What made you decide to come looking? - The girl needs help.

542. But you see a lot of people who need help.

543. Why did you come here?

544. I don't know.

545. - I feel responsible. - It's not your fault, Lucy.

546. That's easy to say when things go wrong.

547. No. I shouldn't have made you feel that way.

548. You're the only student I've had that showed promise.

549. - Do you see anything? - No. Just a lot of dirt.

550. I think I see something.

551. - Is that a ring? - What kind of ring?

552. Carter! Carter!

553. Oh, my God. Are you okay?

554. Dr. Carter, are you okay?

555. - No. - Can you tell me your name?

556. - Do you know your name? - I know my name, Lucy.

557. - I think I... - What?

558. - I think I dislocated my shoulder. - Are you sure?

559. Yeah. Anterior dislocation. I don't think it's broken.

560. - We gotta get you to the hospital. - Sensation's intact.

561. - And I got a pulse. - Stay there, I'll get help.

562. - No! Wait, wait. That'll take forever. - Can you move?

563. Can you get down? Let's just do it here.

564. Okay. What?

565. - Did we go over shoulder reductions? - No.

566. - We should have. - You did one when we weren't talking.

567. You're gonna pull my arm...

568. - ... really hard... - Yeah.

569. - ... until it pops. - Just like that?

570. - I hope. - Isn't that gonna hurt?

571. - Oh, yeah. - Okay.

572. Ready?

573. - Just commit to it. Pull hard. - One, two, three!

574. - Stop! - What? What did I do?

575. I'm sorry. I'm sorry. I'm sorry.

576. - We need countertraction. - Okay.

577. All right. I know.

578. - Stick your foot in my pit. - What?

579. - My armpit. - Your armpit?

580. - Be very careful. - You said, "Commit. "

581. That's right.

582. Are you sure about this?

583. - One... - Just do it!

584. two, three.

585. BP's up to 100 over 80 with saline.

586. The distal clamp is on. Let go with your finger, Peter, slowly.

587. It's looking pretty good. Dry as a bone.

588. - Crit's down to 12. - No further bleeding.

589. Kids can tolerate low crit.

590. - PVCs? - What's her potassium?

591. 4.2, preop.

592. - Run of five. - All right. Lidocaine, 30 mgs IV.

593. - What is it? - Could be cardiac ischemia.

594. V- tach!

595. No pulse.

596. Bring in the crash cart.

597. - Charge at 80. - Crit's too low.

598. - Her heart's not getting enough oxygen. - Here we go. Clear!

599. - Still V-tach. - Charge to 160.

600. Clear!

601. I should've just let you drive the Jeep around.

602. Think Uncle Joey had the wrong night...

603. - ... or was pulling our leg? - I don't know. Let's go back.

604. There's a light up there.

605. John, Dr. Carter...

606. I want you to know that I do respect you.

607. I'm sorry. I'm-

608. Sorry. That I do respect you...

609. and that you're a good teacher.

610. And you're a good person, or you wouldn't be out here.

611. And I'm sorry I'm so stubborn sometimes.

612. - Stubborn can be good. - Not when it's defensive.

613. - It got us out here. - Is that good?

614. Most people would've given up long ago.

615. Most people wouldn't have gone looking.

616. I might have given up without you. Thanks for coming.

617. I didn't come for you. I came for the patient.

618. - I appreciate it. Very valiant. - No, really.

619. - I wasn't needed at the hospital. - You said you came...

620. because I was stubborn.

621. I meant we were stubborn.

622. - Oh, my God! - What?

623. I am so sorry.

624. My Jeep!

625. It didn't look that far from the bridge.

626. Indiana didn't look that far from the bridge.

627. - Are you cold? - I'm starving.

628. - Let's eat. - I'm gonna call a cab first.

629. - They might take a while. - If they come here.

630. Someone's on the phone. We're in the middle of nowhere.

631. That's on the other side of the Skyway.

632. - Sorry. - I'm gonna order.

633. - Make it quick. - Cheeseburger quick enough?

634. - Get it to go. - Honey, everything's to go.

635. Let me have two cheeseburgers and...

636. - ... two orders of fries. - No fries for me.

637. That's my order. Do you want something?

638. - Yeah. A cheeseburger. - Another cheeseburger.

639. - Long day? - You might say that, yeah.

640. So, I'm gonna call a cab and then check with the hospital.

641. - Then I thought we'd call Toby. - Toby, yeah. He was real helpful.

642. - He said he'd think about it. - He'll deny knowing him.

643. So, what should we do?

644. - You want me to say it first? - What?

645. We'll never find the guy.

646. - There's other places we could try. - Yeah, millions of places.

647. That's the problem.

648. Let's hope they found blood.

649. - I'm calling the hospital. - Get a cab first.

650. You want anything to drink with that?

651. - Yeah, let me have a Coke. - Anything for the boss?

652. - Who? - The boss, the missus.

653. Your girlfriend?

654. No. Not my girlfriend.

655. John, come here.

656. - Come here. - What?

657. Come here.

658. Whatever you say, pal.

659. - Toby got an address on Nelson. - Toby?

660. - You called Toby? I thought- - I wasn't gonna argue.

661. You got an address?

662. - I hear you had a scare in the O.R. - I thought you'd be gone by now.

663. I Wanted to check on her before I left.

664. Well, she's going into renal failure. But she's too unstable for dialysis.

665. She had arrhythmias on lidocaine. And she had a breakthrough seizure.

666. It's a miracle you got her through surgery.

667. It won't do any good if she can't have a simple blood transfusion.

668. Now I get to stand around and watch her die.

669. You want me to talk to the mom?

670. - Yeah. - Okay.

671. Good job, Peter.

672. Yeah.

673. - This is the address? - Toby says he gets his mail here.

674. - What is he, a hobo? - This must be his trailer.

675. - Do you see anything? - Five minutes!

676. I'm done peeking through windows.

677. - Benton operated without blood? - That's what the O.R. nurse said.

678. That's a good sign, right?

679. No, she still needs it.

680. Mr. Nelson!

681. Mr. Nelson, you in there?

682. Should we go in?

683. - Why would he leave it open? - Depends on the kind of hurry he's in.

684. We should make sure this is his place.

685. - They had eggs for breakfast. - Are these racing forms?

686. These don't look like construction plans.

687. - Who brings a kid to a train yard? - Maybe there was nowhere else to go.

688. - What about her mother? - We don't know the whole story.

689. He walked out on her.

690. He left so she could get treatment.

691. - He didn't know how bad it was. - I don't care.

692. - You stick around for your kids. - Sometimes it's not that simple.

693. I never even met my dad. He was 19 years old when I was born.

694. Probably thought he'd screw it up. Might've been for the best for us.

695. Sorry. I didn't mean to get personal.

696. - Sometimes love can be complicated. - I'll give you that.

697. There's a message here.

698. Let's hope it's a good one.

699. Inga, you there? Pick up.

700. I don't know if you've been to the hospital yet.

701. I'm across the street. Call my cell phone.

702. - Leave the number. - It's about Corinna.

703. Leave the number!

704. - Damn it! - Who's Inga? His girlfriend?

705. Across the street? Across from where?

706. What's she doing at the hospital?

707. Checking on his daughter.

708. We find her, We find Nelson.

709. - You talked to Randi? - She's gonna look for her.

710. - We'll be there in five minutes. - More like eight.

711. - Take the ER. I'll take ICU. - And page if you see her.

712. - Meet in the lobby? - Right.

713. - You know, your fare's up to $84. - Yeah?

714. You two got enough cash to cover this?

715. - What do you have? - I've got 20.

716. - We need to stop at an ATM. - Can't we get some petty cash?

717. Wait, there's one across the street from County.

718. - Where? - Across the street, by Doc Magoo's.

719. - Across the street. - Like Nelson said.

720. - There was music in the background. - Think he's there?

721. - Do you see him? - No.

722. Excuse me.

723. Excuse me.

724. You seen a guy here, mid-30s, using a cell?

725. Every night.

726. - John? - Yeah?

727. Men's room?

728. - Can I see her? - Soon as we get this started.

729. - Just roll up both your sleeves. - I can't believe you found me.

730. - No kidding, huh? - Thank God. Thank you.

731. I wanted some news.

732. - I didn't know it was bad. - Inga never called?

733. - How do you-? - From your machine.

734. - You were in my trailer? - Yes.

735. - I got the donor bags. - I can't do this? Can you do this?

736. I thought she'd be okay. Her mom could handle it.

737. Dr. Greene's waiting in SICU with her.

738. - Get a BP. - I didn't know this could happen.

739. How could I have known?

740. - Got it. - Hook it up.

741. - I thought I was helping her. - Hey, you're here now.

742. - The blood will help, but- - I'll kill him.

743. Take his blood and then I'm gonna kill him.

744. Coming through. Move the gurney.

745. - Thank God! - Talk to me.

746. We found Mr. Nelson at Doc Magoo's.

747. One unit donated. Another one filling.

748. - Screened for viruses? - They tested this morning.

749. - It's clean. - If I knew there was a problem-

750. Someone page Benton. Kit, get this hung.

751. Repeat crit in 30 minutes. Check phenobarb level.

752. Corinna? Corinna, I'm here, sweetie.

753. - ET cuff's leaking. - I'll change it over a catheter.

754. She's gonna be okay now, right?

755. It's hard to say.

756. - She has is multiorgan system failure. - What does that mean?

757. She's been deprived of oxygen. She's in a coma.

758. It's been hard to treat her seizures.

759. She has three...

760. intravenous medications...

761. to stabilize her heart rate.

762. And... her kidneys have shut down.

763. But his blood will make her better?

764. A lot of damage has been done.

765. Hey.

766. Hey.

767. - You look like hell. - Thanks. So do you.

768. - What is that? A clavicle fracture? - Anterior dislocation.

769. Long story, right?

770. - Long story. - Yeah.

771. I better get out. I'm on at 6.

772. Hey, good job keeping her alive.

773. Bloodless surgery. That's a first, huh?

774. You should put that shoulder in an immobilizer.

775. Hi.

776. - I thought you went home. - No.

777. We're on in an hour.

778. It's better not to sleep if you can't get three.

779. I wouldn't sleep anyway.

780. Her crit's up three points.

781. But the renal failure may be permanent.

782. That's if she wakes up.

783. I thought we were saving her.

784. No.

785. - We gave her a chance. - It's not good enough.

786. - It has to be. - No.

787. It doesn't.

788. Some patients get to you more than others. I know.

789. But when you do everything you can...

790. sometimes even more than you thought you could...

791. you gotta walk away knowing you fought the good fight.

792. You fought the good fight, Lucy.

793. Tomorrow you'll fight another one.