ER 7x10

1. Previously on ER…

2. - A brain tumor. - It's a GPM.

3. The speech arrest you were experiencing

4. was probably the result of a focal seizure.

5. You'd lose all ability to comprehend, interact with the world around you.

6. I had a biopsy.

7. While the tumor's adjacent to Broca's,

8. it hasn't invaded yet.

9. We'll do an awake craniotomy.

10. You'll be conscious and talking while I map out Broca's

11. and resect the tumor.

12. Don't you pull out, you dumb-ass.

13. - I asked you a question. - I just don't wanna play anymore.

14. Oh, you think I've liked waking up at 5:30 in the morning

15. for the past ten years to drive you to a cold arena?

16. My toes are frozen, my ass is numb.

17. That damn coffee machine gives me heartburn all freaking day.

18. Wake up, Dad. I'm not gonna make the NHL.

19. Not with that attitude.

20. You wanna end up working in a factory like me and your Uncle Don?

21. - No. - Well, you're damn right you don't.

22. You want a good job, you gotta go to college.

23. If you wanna go to college, you gotta get a scholarship.

24. I mean, you're a bright kid and all,

25. but you're not gonna get a scholarship with those grades.

26. Well, maybe my grades would be better if I wasn't playing hockey all the time.

27. Oh…

28. Dad.

29. It's okay, keep it.

30. - Nice tip. - It's New Year's Eve.

31. - He's got a long day ahead of him. - Sounds okay to me.

32. Drive around Manhattan, listen to the radio,

33. talk to people, no brain surgery.

34. - Ha, ha, ha. Very funny. - It's weird.

35. You know, I've sent a couple thousand people to the O.R.

36. - And? - And I've never been myself.

37. - You're a virgin. - I still have my appendix, my tonsils.

38. The only general anesthetic I've ever gotten was in a dentist's chair.

39. - It's no different, really. - Oh, sure.

40. Pull a tooth, have my skull sawed open, it's pretty much the same thing.

41. I mean the anesthesia.

42. Except for the part where they wake me up.

43. At that point, you'll know things are going well.

44. Yeah, right.

45. Are you ready?

46. Let's do it.

47. Come on, we gotta get them out of there.

48. - Cut the battery. - Shut that off.

49. No. Take my dad.

50. - We gotta get you out to get to him. - All right.

51. Right head trauma and an open fracture.

52. - Dad? Dad, you okay? - Start a line.

53. - I don't know. You? - Get him pressure dressing.

54. - I think I'm hurt pretty bad. - Easy.

55. Paul? Paul.

56. Paul.

57. - Paul, you hear me? - How are you doing, sir?

58. - What's wrong with my son? - He's going to the hospital, all right?

59. - What's your name? - Dan Harris.

60. Can you tell me what day it is, Mr. Harris?

61. December 31st.

62. Good. Let's get a C-collar.

63. - I need another backboard. - Paul.

64. Pupils equal and reactive. Okay, let's roll him.

65. - Did you pass out? - I don't know. It happened so fast.

66. - Are in you in pain? - That air bag gave my chest a good shot.

67. - Give him another two of morphine. - You're doing a ride-along.

68. Yeah. Residency requirement. I've been putting it off.

69. - I thought you'd make a good paramedic. - Ha, ha. That's funny.

70. Dan Harris, auto versus garbage truck. Restrained passenger.

71. Air bags deployed. I cleared his neck on the ride.

72. My son, Paul Harris, did they bring him here?

73. Yeah, I think so. We'll find out for you.

74. - Are you taking any medications? - No.

75. - You got any drug allergies? - No.

76. - This the other MVA? - Yeah, 46-year-old male.

77. - Any past surgeries? - Appendix, when I was a kid. Where's Paul?

78. - That's his son. - Weaver's got him in two.

79. Who's Weaver?

80. - End of the line, Mr. Harris. Good luck. - You're leaving?

81. Yeah, I gotta save some more lives.

82. One, two, three.

83. Let's get a 12-lead and cut these clothes off.

84. All right, C-spine, chest and pelvis, trauma panel and a UA.

85. BP 130/92, pulse 116.

86. My wife just bought those pants.

87. Have you ever been in this hospital before?

88. No, I haven't been in a hospital since my son was born.

89. - Give me 20 cc's of 1% lido with bicarb. - Oh, that's cold.

90. Who's your family doctor?

91. Ow, ow.

92. Klizowski at the Morgan Family Clinic. What are you doing?

93. Putting a tube in your chest to reinflate your lung.

94. - I got a collapsed lung? - It happens with your type of injury.

95. But you'll breathe easier and feel better once it's in.

96. Thora-Seal's ready.

97. - Is there anyone we can notify? - My wife, Debra.

98. - All right, 28 French. - Do you have the number?

99. Uh, I can't remember. I got it on speed dial.

100. She works… she teaches at Our Lady of Perpetual Hope.

101. - Culture the bone. - Got an extra Foley kit in here?

102. - Gram of Ancef, 100 of gent. - Paul.

103. - Give me a large Kelly. - Paul.

104. - Dad, is that you? - Can you…

105. Can you open that door? I need to see him.

106. - What are you doing? - This is the father.

107. - I'm right here, son. - Irrigation saline, sterile four-by-fours.

108. - Dad? - Yeah.

109. They stuck a freaking tube in my chest.

110. I'm in. Hook me up to low suction.

111. I'm okay, though.

112. Hey, you know, your mom's gonna be really pissed off about her truck.

113. I'm gonna tell her you were driving, okay?

114. Hey, Cleo. Need some Xeroform over here.

115. Paul? Don't be scared, Paul.

116. - I'm not. - Be strong, now. Be strong.

117. - He's gonna be okay, right? - Looks like a tough kid.

118. Yeah. Yes, he is.

119. Are you finished?

120. Yeah. I just need you to sign this.

121. - It's a power of attorney. - Something goes wrong…

122. Something goes wrong, what?

123. No heroic measures.

124. No ventilators, no feeding tubes,

125. if there's no hope of meaningful recovery.

126. - You're going to be fine, Mark. - Elizabeth, you're a surgeon.

127. - You know that… - That you're going to be fine.

128. - You don't want the responsibility? - It's unnecessary.

129. I don't want to end up like that.

130. Now you're being dramatic.

131. So, if I end up in a persistent vegetative state…

132. Fine.

133. Fine. Give it to me.

134. - What's in the Thora-Seal? - Uh, minimal blood loss.

135. Oh, good. No hemothorax.

136. - Mr. Harris? - Yes.

137. I need you to sign this consent for medical treatment for your son.

138. - Where is he? - Radiology.

139. What's he doing there?

140. We had to get x-rays of his leg. He'll probably need surgery.

141. - Can't you just put a cast on it? - The bone penetrated the skin.

142. But there's no joints involved, and it's midshaft,

143. so it'll probably heal nicely.

144. Okay, Mr. Harris, I gotta take you for a head CT.

145. - What's that? - Head CT? Um, CAT scan.

146. To picture your brain.

147. It's pretty standard after you hit your head and lose consciousness.

148. - Did you tell her yet? - Who?

149. - Weaver. - Oh, no, not yet.

150. But it's part of my New Year's resolution.

151. - Uh-huh. - No, really. It is.

152. You okay?

153. - Am I bleeding? - No.

154. I'm fine.

155. - Did you call the furnace guy? - Yep. Last week.

156. Is he coming over? You don't want the pipes to freeze.

157. Larry let him in.

158. - Who's Larry? - Larry Corbin, the neighbor.

159. - In the blue house? - No, in the brown, actually.

160. I'm sorry.

161. No, no. It's my fault. Oh, damn.

162. You're gonna have to put on scrubs anyway.

163. - Scrubs? - You were planning on coming in?

164. Uh, don't you think Burke might object?

165. You're probably right.

166. It's pretty crowded in there.

167. Mark, do you want me to come in?

168. No, I'll be fine. You go get cleaned up.

169. I can finish this.

170. - I'll be right back. - Okay.

171. I've never been so claustrophobic before.

172. - Happens to a lot of people. - Is everything all right?

173. Looks good, but a radiologist has to review the films.

174. - Can I sit up? - Sure.

175. Let me know if you get lightheaded.

176. And we contacted the school, they're trying to reach Debra.

177. Oh, God, I hope she doesn't get in a car accident rushing over here.

178. Hey, can we see Paul before his operation?

179. That depends on when the orthopedic surgeon can schedule the surgery.

180. - It's just his leg, right? - No, he had a head trauma.

181. - Trauma? What do you mean trauma? - Well, he hit his head just like you did.

182. He's stable now, but we observe head injuries very carefully.

183. - You mean he could be unstable? - I'm sure he'll be fine, Mr. Harris.

184. Oh, God, she's gonna think it's my fault again.

185. What?

186. Our first son died of SIDS. He'd be about 20 now.

187. I'm sorry.

188. Yeah, he was three weeks old.

189. I sent my wife out, you know, to get some rest

190. you know, for herself for a couple hours.

191. The baby had been up all night, finally fell asleep.

192. I must have dozed off myself.

193. Because I didn't wake until I heard her scream.

194. She had come home to find Nathan had died in his crib.

195. Well, I mean, we didn't have baby monitors and stuff like you do nowadays.

196. I mean, she didn't blame me. But I know…

197. I know that she thought if she'd stayed home that night…

198. he'd still be alive.

199. There's no way you could have known.

200. Stick out your tongue.

201. Show me your teeth.

202. Repeat after me. "Ready to rock 'n' roll."

203. - "Ready to rock 'n' roll." - And that we are.

204. So, you know the procedure, you've had your meds.

205. - Anything on your mind? - That's why I'm here.

206. You won't see me in there, but I'll be talking to you.

207. - Good luck. - We don't need it, but thank you, Mark.

208. So, what are you here for?

209. I'm Leo.

210. I'm Mark. What are you here for?

211. I've got something growing on my heart. I'm not sure how to say it right.

212. - Myxoma? - No, but it sounds like that.

213. - Teratoma? - How did you know?

214. - I'm a doctor. - Yeah, right.

215. Doctors get sick too, you know.

216. - I got something growing on my brain. - What do they do for that?

217. Same as you. Operate, take it out.

218. Does it hurt? They told me it wouldn't hurt.

219. You'll be asleep the whole time.

220. And when you wake up, if you're sore, they'll give you medicine.

221. - This sucks. - It'll be over before you know it.

222. It still sucks.

223. Yeah.

224. Yeah.

225. Is Trauma 1 still open, Randi?

226. Not for long. Blast injury to the face coming in.

227. There's some guy testing Roman candles for New Year's Eve party.

228. Okay, I have to park you here until I find you a new room. I'll be right back.

229. All right, thanks.

230. No, I've been waiting three hours.

231. - Happy New Year. - Okay, Gordy. Back to bed.

232. Hey, Randi. Randi, get Blue Beacon on the phone.

233. They cannot deny authorization for a retinal-artery occlusion.

234. - Excuse me? - I got a page for a surgical consult.

235. A guy in Curtain 2 has a beeper up his rectum.

236. - What? - Has it on vibrate.

237. Can't figure out how he slipped it in there.

238. Ma'am?

239. Never underestimate the elasticity of the anal sphincter.

240. Excuse me, excuse me.

241. You're the doctor who's taking care of my son, Paul Harris.

242. - The car accident? - Yes. Is he… Is he all right?

243. They've arranged to have him send up to the O.R.

244. Yo, Dr. Weaver, we need you now. Sats are dropping.

245. - To what? - Seventy-four.

246. He was getting sleepy on the table but now we can't wake him.

247. Heart rate down to 50.

248. - Paul. - You want atropine?

249. Push a milligram.

250. - Rapid induction. - Paul.

251. Number eight ET tube.

252. - Paul. - Let's go.

253. BP's 90/60.

254. - Bag him on 100 percent. - Paul! Paul!

255. - Call for a vent. - Cricoid pressure.

256. - I'm in. Bag him. - Paul.

257. Do you hear me? Be strong, Paul. Don't quit.

258. - Hey, Mr. Harris. Feeling any better? - No.

259. - Well, you got a collapsed lung. - Blood bank's low.

260. Weaver wants everybody to donate before their shift's over.

261. - I always do. - That's very generous of you.

262. That, and I get drunk for half as much when I'm down a pint. Take it easy.

263. Uh, yeah.

264. Good news. Mr. Harris, your CT looks normal.

265. I know, but this tube you stuck in my chest is killing me.

266. Yeah? Hey, Abby, give Mr. Harris here another five of morphine.

267. We're gonna admit you and monitor you for a day or two.

268. - And then we'll take that tube out. - Okay.

269. Okay, listen, did you find out anything at all?

270. His oxygen level was low for a while. We're not sure why.

271. - Is that your son? - Yes.

272. - What are his sats? - 100% after intubation. GCS is ten.

273. - What's that mean? - Um, it could be a bruise to the brain.

274. But we won't know for sure until after the scan.

275. - When is that? - Any minute now.

276. Mr. Harris?

277. - Yes? - I'm Officer Darcy. How you doing?

278. Well, I've been better.

279. I have to write an accident report. Can you tell me what happened?

280. Well, I…

281. You know, I honestly don't remember.

282. One minute, I'm driving the car with my son.

283. And then the next minute, the paramedics are just dragging me out.

284. - That guy came out of nowhere. - You failed to stop for the red light.

285. I would never do that.

286. - No, it wasn't my fault. - Several witnesses say it was.

287. I guess it's too late to change my mind now.

288. - Would you? - No.

289. They took that kid in for a teratoma resection while you were gone.

290. He was pretty freaked out.

291. I'm sure they'll be here soon.

292. Okay, time to go.

293. - Okay, you need help? - Nope, I've got it.

294. - You gonna go see a movie? - I'll be right outside.

295. Hey, your hands are like ice. Do you want a blanket?

296. Mark? Mark, are you okay?

297. - If I don't make it through… - Shh. Don't talk like that.

298. If I don't make it, I left you the life insurance.

299. It'll pay for the house, for you and the baby.

300. I'm sorry, Mark. I can't go through here.

301. - I love you, Elizabeth. - I love you too.

302. You're going to be okay, and I'll see you very, very soon.

303. Okay, Mr. Greene, I'm gonna lower your head now.

304. - Jesús, this is my last guy. You done? - No, man. I gotta pull a double.

305. Happy-freaking-New Year, huh?

306. Tell me about it.

307. - All this for me? - Yep.

308. Slide on over to the table for us.

309. Okay, Mark. I'm Dr. Hammond, your anesthesiologist.

310. You'll be looking at me and talking to me throughout the surgery. Okay?

311. Okay.

312. For the burr hole, I'll need a Midas Rex with an M-8 bit.

313. Then I'll switch to a V-1 for the bone flap.

314. Excuse me, Dr. Burke?

315. Uh, you said you'd give me a little something to take the edge off.

316. Excuse me, Dr. Burke?

317. - So, what? It's a coma? - It's not what you think of as a coma.

318. He's having what we call "purposeful movements."

319. And the CAT scan shows there's no sign of hemorrhage or skull fractures.

320. You know, he's unconscious, but if you'd like to talk to him…

321. I'm pretty sure he'll be able to hear you.

322. Hey, son.

323. It's time to wake up now.

324. You ready to go home?

325. Well, you gotta open your eyes.

326. Every day, I used to do this to get him up for school.

327. Sometimes he'd fake it until I tickled him.

328. Son…

329. be strong now.

330. Mark? Mark?

331. Hey, Mark? Mark? Hey, Mark?

332. - Mark, breathe for me. - Let's check the lapel line.

333. - Testing. One, two, three. - How are you doing there?

334. - Testing. - Tell me your name.

335. - Mark. - Mark what?

336. - Mark Greene. - Hi, Mark.

337. I'm Dr. Malcolm from Neurology. How many fingers?

338. - I can't see. - He needs his glasses.

339. Elizabeth?

340. Elizabeth?

341. Fingers first, Mark. How many?

342. Three.

343. Elizabeth?

344. I thought you might like some company.

345. Nice hat.

346. - Thanks. - All right, Mark.

347. I'll be doing the language testing while Dr. Burke maps the brain.

348. - I have an itch. - Where?

349. Behind my knee.

350. - May I? - Sure.

351. - Left or right? - Left.

352. Okay, Mark. Name the months of the year.

353. January, February,

354. March, April,

355. That's it. A little lower.

356. May, June, July.

357. Mr. Harris? Mr. Harris?

358. Your wife is here.

359. - Dan? - Debra.

360. - What happened? - We got hit by a garbage truck.

361. O.R.'s ready.

362. - No. You said he'd wake up on his own. - The surgery's for his leg.

363. We'll take him up to the O.R. in a minute.

364. He looks so big just lying here, doesn't he?

365. Remember I used to hold him in my hand and rock him to sleep?

366. Yeah.

367. You used to think I was gonna drop him. Remember that?

368. Yup.

369. Hey, Paul.

370. Debra, I ran a red.

371. We were arguing about him quitting hockey,

372. and the music was really loud like it always is.

373. And I don't know. I must have missed the light change.

374. Honey, it was an accident. Debra, I'm sorry.

375. Mr. Harris, you all right?

376. I think this tube is getting my chest again.

377. Okay, maybe we should get you back to bed.

378. No, I wanna stay with my son.

379. Malik. I think you'd feel more comfortable if you were lying down.

380. No, I wanna stay here. Damn it.

381. - Debra? - How's your breathing?

382. - Having any chest pain? - A little.

383. - He needs a 12-lead. - No, I wanna stay with my son.

384. - Let's get a BP. Give him nitro spray - Debra, I'm sorry, honey.

385. - if his systolic gets over 100. - So sorry.

386. Trumpet.

387. Hammer.

388. Dolphin.

389. Guitar.

390. Tent.

391. Pachyderm.

392. Another name for this one?

393. Elephant.

394. It's Dr. Burke, Mark.

395. You're doing great. We're mapping out Broca's just fine.

396. Glad to hear it.

397. Four milliamps, please.

398. Catapult.

399. Thermometer.

400. - Bulldozer. - Hesitation on that one.

401. Got it.

402. Window.

403. Hesitation again.

404. Try to read the card, Mark.

405. How you doing there, Mark? Mark?

406. My…

407. …thumb.

408. He's diaphoretic.

409. I don't… good.

410. Elizabeth.

411. - He's seizing. - Oh, my God.

412. Saline, please.

413. Sats are 92.

414. What's happening?

415. Electronic stimulation-induced seizure.

416. Dousing the brain with saline should cool it down.

417. - You said you'd be home at five. - Mark.

418. - It's now nine o'clock. - Give him some Ativan.

419. We can't sedate him, or we won't be able to talk to him.

420. Cancel the surgery.

421. - Try propafol. - What else can you do?

422. Give it a minute.

423. - Too severe. - Mark. Mark.

424. - He's postictal. - What now?

425. We can't resect the tumor until he's awake and alert.

426. Mark. Mark, it's Elizabeth.

427. - Wake up. - Mark, come on home.

428. Mark, we need you to talk to us. Mark.

429. That's a good gag with the scope. He might be lightening up.

430. Mark?

431. Come on, Mark. Come on, buddy. Try and wake up. Mark.

432. No response to painful stimuli. His eyes are open, but he's out of it.

433. - How long since the seizure? - Half an hour.

434. Still no significant change in GCS.

435. Maybe we should close up and come back in a few days.

436. In a few days? You've just opened his skull.

437. Hey, what…

438. What's going on out there?

439. You had a seizure during mapping, Mark. We had to wait.

440. I'm okay. Keep going.

441. - You heard the man. Dr. Malcolm? - Okay, Mark.

442. Name things that start with the letter B.

443. Baseball.

444. Broccoli.

445. Brazil.

446. Bamboo.

447. Burke.

448. Brain.

449. Broca.

450. You okay?

451. Fine.

452. - How are you feeling? - Okay.

453. I'm sleepy.

454. - Excuse me. - I'm sorry.

455. Come on now, Mark. Things that begin with B.

456. Uh…

457. Baby.

458. Boy.

459. So you think we're gonna have a boy, do you?

460. Just a hunch.

461. We could find out if you like.

462. Let's…

463. Let's wait, see.

464. Then we have to argue about boy and girl names.

465. What about Jesús?

466. Jesús? That's Jesus. Jesus Greene.

467. I'm sorry, Mark, but I need you to work with me here. More B's.

468. Okay.

469. Bobby.

470. Bill.

471. Bradley.

472. Bubba.

473. Any more pain, Mr. Harris?

474. Not since you put that stuff under my tongue.

475. MVA with pneumothorax.

476. He had some chest pain but responded very nicely to the nitro.

477. I'm going off duty. Dr. Kovac here is gonna continue to manage your care.

478. He flipped T waves in the anterior leads waiting for a Tele bed.

479. - Is that bad? - You could be at risk for heart attack.

480. - We need to admit you for observation. - Did they start his surgery? My son.

481. You know, they took him to the Operating Room

482. to operate on his leg, but nobody's told me how he's doing.

483. Dr. Kovac can find that out for you.

484. Good luck, Mr. Harris. Happy New Year.

485. Were you having chest pain before your collision?

486. No, I don't remember anything.

487. - Did you pass out? - What do you mean?

488. With angina, you can get an irregular heartbeat.

489. - And that can cause you to pass out? - Yeah.

490. Because your heart doesn't pump enough blood to your brain.

491. - Could that have caused my accident? - It happens a lot.

492. - So it wasn't my fault? - What?

493. - The accident. - Probably not.

494. - I gotta talk to my wife. - Does your chest hurt?

495. - Like a son of a bitch. - Malik, I need some help here.

496. - Pressure's down to 80 systolic. - ST elevation on the monitor.

497. Mix up the dopamine. He's having an MI.

498. - What's an MI? - A heart attack.

499. - We need to go to the cath lab now. - Jesus. What are you gonna do there?

500. You got a blocked artery on your heart. We need to open it up.

501. Hold on for a second. I gotta talk to my wife. Wait, wait a…

502. Dr. Burke, he's awake.

503. Hey, Mark. Do you know where you are?

504. - Hospital. - That's right. You're in Recovery.

505. - What's the date? - New Year's Eve.

506. And who's that?

507. I've never seen her before in my life.

508. She's pretty darn cute.

509. Hold out your hands.

510. Wiggle your fingers.

511. Now wiggle your toes.

512. Very good.

513. - How did it go? - Fantastic.

514. Resected the tumor with clean margins. Chemotherapy wafers are in.

515. - You see? You made it. I told you. - Now get some rest, both of you.

516. I'll be back in an hour for a neuro check.

517. Do you remember anything?

518. Something about a baby.

519. We discussed a boy's name.

520. We're gonna have a boy.

521. God. Feels like someone parked a Volvo on my chest.

522. - He's still throwing PVCs. - Could be his chest tube.

523. I'll try to reposition.

524. - I need to talk to my wife. - I'll explain what happened. Just relax.

525. Oh, God.

526. Me and my son had to be arguing when this happened.

527. - How old is he? - Fifteen.

528. Part of being that age.

529. He needs your support the most when he wants it the least.

530. You a dad?

531. No.

532. - Mrs. Harris would like to come in. - For a minute.

533. You look like a nurse.

534. - Paul's awake. - Is he okay?

535. Yeah. They took the tube out, and he's breathing on his own, and…

536. - Well, he's asking for a cheeseburger. - Oh, God. Thank you.

537. Hey, honey.

538. What happened? You okay?

539. I got a blocked artery on my heart.

540. I guess those sliders finally caught up with me.

541. Yeah.

542. The docs figure that the blockage made me pass out this morning.

543. That's what caused the accident.

544. Oh, God. I'm really sorry about downstairs.

545. - I just… He was lying there, and… - And you thought I did it again.

546. - Dan, stop. - Okay.

547. I think it's time for visiting hours to end.

548. Mrs. Harris.

549. - Tell Paul I'll see him in a bit. - You better.

550. I'm going on break, Dr. Corday.

551. Can I bring you back a frozen yogurt or something?

552. No, thanks. I'm fine, Terry.

553. I have to go now. I'm late.

554. Hey, it's good to see you have your sense of humor. I suppose that's a good sign.

555. - Mark? Mark? - I left the oven on.

556. He's off the monitor.

557. - I know. I know. He's altered. - Where are my car keys?

558. - Can you give him Valium? - I don't have an order for that.

559. - Lie back down, Dr. Greene. - No. The lasagna, it's gonna burn.

560. Look, he needs sedation and a stat head CT.

561. - No, I need to leave right now. - I can't take your orders, doctor.

562. - You're not on a medical staff. - He could have an epidural bleed.

563. - Get Dr. Burke. - He was called to an emergency consult.

564. What do you think this is?

565. What's going on?

566. - Trauma patient had a coronary thrombosis. - Why wasn't I consulted?

567. - Cardiology's handling it. - Yeah, I can see that.

568. What about our glycoprotein 2B3A inhibitor study?

569. He didn't meet the criteria.

570. I decide who meets the criteria.

571. What? You mean I didn't have to have this?

572. If you've been on a low-fat diet, you wouldn't have to need any of this.

573. - Damn it. - What's wrong?

574. - There's a dissection in the left main. - Nice work, Jack.

575. What's wrong? What's happened?

576. The catheter made a small tear in your blood vessel.

577. - What? - He's dropping his pressure.

578. - Multifocal PVCs. - Hundred of lidocaine.

579. He looks like he's a surgical patient now.

580. Up dopamine to 20 mics.

581. - Notify the O.R. - What's wrong?

582. You have a complication. The only way to save your heart now is bypass surgery.

583. - Open-heart surgery? - Yep.

584. - When? - Right now.

585. - Wait, can't we talk about this? - Let's go.

586. Hey, Mark. You had us a little worried.

587. No. No sign of post-op bleeding.

588. But the steroids made you a little crazy.

589. - What did I say? - I've heard much worse.

590. Look, I'll check on you in a little bit. Call me if you need me, okay?

591. Mark, I'll be right back. All right?

592. Dr. Burke.

593. Hey.

594. Hey.

595. - Hey. - Pressure's down to 70.

596. Put him in Trendelenberg.

597. Squeeze in two units. Get me a staple remover.

598. - A liter out of the chest. - Get him off the vent. Bag him on 100%.

599. Tell the blood bank we need another six.

600. Splash him with Betadine. Open a thoracotomy tray. Wire cutters.

601. - He's tachy at 130. - Ready for rib spreaders.

602. He's ruptured his aortic trunk. Side-biting clamp.

603. - I'll see you in Recovery. - You're not coming with me?

604. You're with the surgical team now. Say goodbye to Dr. Kovac.

605. Good luck.

606. - I don't want surgery. - Well, you don't really have a choice.

607. - I want a second opinion. - You could get that

608. but yo'd be dead before another doctor could examine you.

609. All right, let's move, people. We got no time.

610. I wanna be cutting in five minutes.

611. Okay, we're gonna scoot you over now. Ready and lift.

612. Mr. Harris, I'm Dr. Babcock, the anesthesiologist.

613. - Are you allergic to any drugs? - No.

614. - You taking any medications? - Just the stuff they gave me today.

615. - What's he on, Shirley? - Dopamine, lidocaine and nitro.

616. Ever have a bad reaction to an anesthetic?

617. - Mr. Harris? - No.

618. Why the hell isn't this guy under?

619. I had to throw in an art line.

620. - Gown me. - You're the guy in the Emergency Room.

621. Dr. Benton does it all.

622. You were in a collision. You came in with your son.

623. - Yeah. - Mr. Harris,

624. you're gonna go to sleep now.

625. Wait, I got a bad feeling about this.

626. - Pump primed and ready to go? - All set.

627. - No, I'm not gonna make it. I know it. - You'll make it.

628. No, you gotta tell my son something for me.

629. You can tell him yourself after the operation.

630. Not if we don't get in there soon.

631. Please tell him that I love him. And that I'm very proud of him

632. - more than he'll… - Let's tube him.

633. Okay, let's go. The clock's ticking, his heart isn't.

634. Okay, Mark. Follow my finger with your eyes.

635. - Mark, follow his finger. - Mrs. Street?

636. Why don't we go up to the Surgical Waiting Room?

637. - They'll call you with updates. - Oh, okay.

638. What were the three things I asked you to remember?

639. - Huh? - The three items. Remember?

640. Um, giraffe, beach ball, 123 Main Street.

641. Three for three.

642. - Do you know what happened to him? - Who?

643. The heart kid.

644. Uh, they got him to the O.R. It's touch-and-go.

645. I'm gonna have somebody from Psychiatry come down and talk to you.

646. - No, thanks. - Now, I recommend it to all my patients.

647. Depression suppresses the immune system. It can hinder recovery.

648. I don't need a therapist. I could get this Foley out.

649. - If you have urinary retention… - A nurse can throw another one in.

650. Mark.

651. The sooner I get it out, the sooner I can walk.

652. The sooner I can walk, the sooner I get out of here.

653. - No offense. - Okay, I'll take out the Foley.

654. - Bathroom privileges? - Only if somebody walks you.

655. You're a lucky guy, Mark.

656. There has never been a more successful treatment for your tumor.

657. If you believe that and mobilize your inner resources…

658. …you're gonna survive.

659. Time of death 20:48.

660. He didn't make it.

661. No.

662. But I did.

663. Yeah.

664. You fixed my heart.

665. Yep.

666. I didn't even know I had a heart problem.

667. That car accident saved my life.

668. You never heard of a yearly checkup?

669. - Hey, son. - You okay?

670. Yeah. I feel like I got hit by a truck. Again.

671. Did you sleep well?

672. Yeah, except when you were yapping in my ear, asking me to wake up.

673. - I notice you didn't listen. - I was in a coma.

674. You know, you always got an excuse.

675. Hey, son.

676. I guess this means you're not gonna play hockey anymore this year, huh?

677. Well, they said the cast will be off in six to eight weeks.

678. Your leg's broken. It's weak. Let it heal.

679. Well, I'll be doing physiotherapy.

680. Maybe we can start running together or something.

681. Are you trying to give me another heart attack?

682. You gave me a scare, Dad.

683. You too.

684. We're under a minute and Times Square is raring to go.

685. - Some rocking New Year's Eve, huh? - It'll do.

686. When are they gonna come take this damn Foley out?

687. It's been over three hours since he put in the order.

688. I think she's busy with another patient.

689. I can't wait any longer. I gotta pee.

690. Then go.

691. - Mark. - Come on. You know how to do it.

692. I can't believe I'm doing this.

693. Ah… Oh…

694. I don't think I could order those for a patient ever again.

695. Are you sure you're up to this?

696. Nature calls.

697. - Easy. - I got it.

698. You're not supposed to do this on your own, you know.

699. Once I get in there, can I stand on my own?

700. No. You can sit.

701. - Okay, let me try. - All right.

702. Oh…

703. See? It's not a race. You just be careful.

704. Okay. Small steps. I know. Small steps.

705. That's it. See, you're doing it.