"E.R." "E.R. 13x22 "SEA CHANGE"" "Have you seen my other sock?" "I just bought these." "Nobody wears socks in Hawaii." "Oh, I can't believe it's almost 9:00." "I can't believe Joe's still asleep." "Couldn't find anyone to cover your shift?" "No, that's the problem with surprise weddings." "It's hard to plan." "I'll stop by later." "I have to tie up some loose ends with Anspaugh." "You've gotta be kidding me." "What?" "Married five days and I'm already getting mail addressed to Mrs. Luka Kovac." "Nice." "You know, being married isn't gonna change the fact that I don't cook." "Or sew." "Or keep track of your socks." "Okay, that's fine in Chicago." "But on our honeymoon you're gonna be serving me martinis wearing only this." "You got me a bikini." "I'm a liberated modern husband." "And I like to shop." "Abby and Luka are crazy." "Who turns down three free nights in the honeymoon suite at the Ritz?" "Hope?" "Wow." "Oh, my" " Ohhh." "You know, when I was 8, I found this book in my parents' bedroom:" "Sex and the Christian Marriage." "And the very first page, it said, "Orgasms bring a couple closer to God. "" "So that night at the dinner table, I asked my parents what an orgasm was." "What did they say?" "An orgasm is a very special kind of prayer." "Which is fine and actually kind of sweet." "But, like, later that week, I had my first sleepover at a friend's house." "So her mom asked me what my bedtime routine is." "And I said, "Bath, toothbrushing, orgasm, sleep. "" "You did not." "I did." "I was never invited back." "Heh." "Champagne?" "It's 8 in the morning." "I have no sense of time in this place." "Arch, you gotta be at work in like an hour." " Shh." "Dirty word." " What is?" " Work." " Oh." "Well, I don't have to be in till 4 so you go ahead, and then I'll check us out of the room." "No, no, no." "No, no, we're staying another night." "Another three nights." "What?" "That's crazy." "This room must be, like, a thousand dollars a night." "They comped us." "Why would they do that?" "I guess we're spending so much on room service, we made it worth their while." "Now, mimosa?" " Mimosa." " Oh." "Hey." "Damn it." "Hey, hey, Bettina." "Hey, hold on." "All right, all right, look, look." "Heh." "I got it now." "I figured you out." "Figured me out?" "You've had it with guys who try to be cool." "You're ready for someone real." " Got someone you wanna set me up with?" " Help me out, okay?" "I've seen the light." "You're just saying what I need to hear to go out with you." "No, it's not like that." "Really." "Really." "Greg, I like you." "But I have been dating guys like you for years." "You will do whatever it takes to get the girl, but in the end, it's about the chase." "Bettina, I'm not like that anymore." "I've changed." "This is it?" "They closed the ER for a paint job?" "It's only been a few days." "Can't expect a drastic change overnight." "My point exactly, Dr. Pratt." "See you later." " I've got Radiology rounds in the ICU." " Wait." "Pratt, I got a hypotensive patient here, 87/45." "What's her baseline?" "Whoa!" " Dr. Pratt." "She runs low, always has." "Why is it that you know that and I don't?" "She's febrile too, 103." "Okay, any vomiting?" "Any coughing?" "Just a little belly pain." "I could see my doctor when I get home." " Where's home?" " Boston." "We're here for her physics conference." "I'm gonna cut his eyes out and send them in a box." "Need some help here." "Sam, liter of saline, monitored bed." "I'll be in as soon as I can." " Can't he just give me an antibiotic?" " We've been in triage nearly three hours." "Sorry." "This is how it goes here." "Let me see if there's a bed." " I'll be right back." " Okay." "Oh, Sam." "Meet my parents, Barb and Len." "They're from Long Island." "Oh, hi, nice to meet you." "Hey, Weston, you're up." "This guy needs a chest tube." " I'll find you guys later." " Okay, bye." "You must be very proud of Larry." "Have a good tour." "You're even prettier than he said you were." "We're so happy he finally found a girlfriend." "Let me out of here." " Where did they move the ortho stuff?" " I'm sorry for springing my parents" "I am not your girlfriend." "You know that." "Oh, come on." "Sam..." "We made out." "At a wedding." "That's what drunk single people do at weddings." "Doesn't mean we're an item." "Well, I'm not the type to take sex casually, Sam." "We did not have sex." " It depends on how you define sex." " Larry, we did not have sex." " What, outercourse doesn't count?" " Oh, my God." "What?" " Ace or splint?" " Ace is cool." "Where are all the improvements you guys did while you were closed?" "What?" "You didn't see the new admit desk?" "Or how about our electrical outlets?" "They are a new shade of red." " All right, how did you hurt your ankle?" " Running all over the hospital..." " ...with Dr. Moretti." " Who?" "Dr. Moretti, he's head of the ICU." " I'm doing a month up there with him." " Wiggle your toes." "I'm wearing the pager for the Rapid Response Team." " The what?" " Moretti's latest invention." "When nurses get a bad feeling about the patients, they call us, we run." " Oh, like a code team." " More like a pre-code team." "Why don't you have the docs look at your ankle just to be sure?" " As long as it's not Ray." " Yeah, you got it." "Okay, Morris, you finally close the deal with Hope or not?" "Hey, all I can say is this is the first time I left our hotel room in three days." " Ha." " Mostly, we're just praying." " A lot of special prayers." "Huh?" " Heh-heh." "What about you and our favorite radiologist?" "Come on, you gotta respect a woman's privacy." "You sly dog." " Anybody see Ray around?" " No, he's late." "He's probably still hung-over." "He was in pretty bad shape." "And, Sam, whoo, baby." " Wild night, huh?" " Please shut up." "Katey Alvaro's in Curtain 2." "She twisted her ankle." " Doesn't look broken, but take a look." " I'm on it." "Larry." "Hmm." "I'm gonna kill him." "Hey, anybody see our physicist in Curtain 3?" "Yeah, I gotta slow down an SVT, but she's next for sure." "Excuse me, we're still waiting for a doctor." "I'm sorry, we're really busy." "How you feeling?" "Run-down." "I've been working my ass off for six months prepping for this conference." "Six months?" "Try 20 years." "You've been working on quantum processing your entire career." "Quantum processing?" "Theory in physics which says that an atom can exist in two places at the same time." "And I showed that it can work in a larger matrix." "I have no idea what you just said, but it sounds impressive." "Yeah, pretty much blew the lid off the entire field." "I think what you've got is probably viral." "But I'm gonna send some blood tests to be safe." "Sam, we're gonna do dinner at 8 at Osteria Angelo." "Great." "Have a good time." "I don't mean to sound like an uptight mainlander, but I just" "I find it hard to believe that you can't rent a car with a car seat in it." "Okay." "Right, we'll bring our own." "Yes, mahalo for nothing." "Sophia Van Brummelen, 35, fell down 15-foot flight of stairs." "Can you tell me your name?" " I'm gonna be sick." " Roll her on her side." "Please be okay." "Let her be okay." " Abby, need some help here." " Hello?" "What happened?" " She fell down the stairs" " I wanna hear it from her." "She slipped and fell." "Her head was bouncing on the stairs." "When she got to the bottom, she wasn't moving and wasn't talking." "Any medications or allergies?" " No, she's healthy." " Mice." "Okay, we're gonna take care of you." " Access?" " 18-gauge in the antecube." " She's seizing." " Ativan, 2 mgs." "Get Trauma down here." "I need a second line and 50 of mannitol right away." "I've got a dilated stomach with exaggerated incisura." "Call Ultrasound." " Why?" " Caterpillar sign." "Could be pyloric stenosis." "Pratt, I need an antibiotics order for our physicist in 3." "Micro called." "She's got gram-positive cocci on the stain." "Probably contaminated." "She looks too good to be septic." "She's still febrile and tachy." "How'd you know how she looks?" "You haven't seen her." "Got an obstructed newborn, a perfed ulcer on his sixth unit of blood and my aphasic boxer dropped his pressure in CT." "Give her 2 grams of ceftriaxone, and I'll see her as soon as I can, okay?" "Guess what." "I'm house-sitting for Luby while they're away." " Luby?" " Luka and Abby." "You know, like Brangelina, Bennifer, TomKat?" "I hear it's a nice place." " Abby says it's okay if you sleep over." " What?" "Are you for real?" "I didn't think it would be right to have sex in their bed without asking." "Load him with a gram of Dilantin." " What's that?" " Medicine to keep her from seizing again." "You wanna be here?" "Step back." " More suction." " Cranked all the way up." " Nothing's coming out." " Come on, Gates." " Can't see crap." " Sats are down to 86." " Is that bad?" " Abby, switch with Gates." " I haven't even tried yet." " Exactly." " I'm being blamed for equipment failure?" " Don't make this about you, please." "What are you doing?" "The tube will allow us to breathe for her." "Is he mad about the propofol?" "Yeah, that or the thing at the wedding." " What happened at the wedding?" " Nothing." "Yeah, it's the propofol." "He wants me to kiss the ring." "Well, why don't you just apologize?" " I have nothing to apologize for." " Chest tube." "Call Respiratory..." "Post-op morbidity and mortality are up 7 percent this year." " Really?" "Why?" " I'm gonna find out." "I'm conducting an internal audit into Post-Op." "I want every med, every hiccup, meticulously recorded." "Nurses are gonna hate you." "No, they'll hate you." "You're in charge of the investigation." "It's the ER." "Trauma call." "Not you, Dusty." "I want you in the PACU unit." "You're not doing consults till the audit's over." "Aw, boo." " Hey." " Hey." "Hey." " Surgery's here, what do you got?" " A 35-year-old, fell down a flight of stairs." "Head trauma, intubated, FAST negative, labs pending." "Came in altered." "Five-centimeter scalp lac." " Access?" " Eighteen-gauge times two." "First crit 37, second one cooking." " Okay." " Want me to bag for you?" " No, I got it." " Bolus is done." "Better run D5 half at 75 an hour." "Don't want a fluid overload till we know what's going on." "It was a nice wedding." "Thanks." "Sorry I got so crazy." "I think because I knew I was leaving, I let it all hang out." "I mean, you hardly even know me." "And then I had to go and be like that." "Don't worry about it." "Dr. Morris, your TPA patient is seizing." " I'm busy here, find Pratt." " Don't worry about it." "I got it, go." "Mae Lee, call CT." "Tell them we're coming up." "Is there a Megan Strand here?" "That's me." "Neighbors heard screaming in your house this morning." "We were having an argument." "Where the hell is my ceftriaxone?" "No, it's Pratt." "P" " R-A-T-T." "Hell, no, I'm not new." "Are you?" "Just send the stuff down." "I ordered the antibiotics over an hour ago." "Learned helplessness is pervasive in the ER." "Can't have a homeschooled pharmacy tech wag the dog." "You rang?" "What's going on?" "Who are you?" "I'm Dr. Kevin Moretti." "I'm the clinical director of the ICU." "We were called because your wife is deteriorating." " Talk to me." " Fever at 103." "Stain showed gram-positive cocci." " We thought it was a contaminant." " Which is stupid." "Katey, set up for a subclavian." "Prime the line and get a CVP monitor." "Draw lactate now, you." "And give me six units of packed blood cells standing by in the blood bank." " Who is the Attending on this case?" " Me." "Really?" "You dropped the ball, didn't you?" " Excuse me?" " She's septic." "It's obvious." "You should've anticipated this." "She's young, she's healthy, she had no reason" "She doesn't need a reason." "Heh." "A reason." "Breathe, please." "Katey, do you see any signs of impending shock here?" "Tachycardia out of proportion with the fever, widening pulse pressures." "See that?" "Even a medical student could see it coming from a mile away." "Must be some new Attending thing." "We'll take care of your wife." " I can manage my patients, thank you." " Really?" "Why did one of your nurses activate my team?" "Excuse me." "I knew you were getting slammed." "She needed attention." "The Rapid Response Team doesn't even cover the ER." "If you can't handle cases like this, maybe we should." "Give me 1 percent lido." "Let's go." "Explain this again, I don't understand." "My wife is healthy." " Calm down." " It's okay." "Bacteria could've seeded the bloodstream through lungs, a cut, intestines." " Second liter's in." " Mm-hm." "Goal-directed resuscitation for septic shock is so easy yet so difficult for you ED types." "She's in shock?" " Systolic's only 82." " That would be a yes." "The key is to preserve effective tissue perfusion while avoiding excess myocardial oxygen consumption." "Translation: get oxygen to the body without stressing the heart." "We need CVP monitoring and continuous central venous sats to keep track of that." "See that?" "He's learning already." "That requires ICU-level monitoring." "We're too busy here." " We can't do that." " Really?" "You can't?" "You can and you will." " Watch." " We don't have the nursing capacity." "Patients come in." "We stabilize them, then send them up." "That's how it works." "Yeah, you forgot about that eight hours that they sit around in triage." " Wait another five to get a bed." " It's not great, okay, but it's the reality." "Reality is nothing more than a persistent illusion." "Einstein said that." "I'm a physicist." " Memorized everything he ever wrote." " See that?" "Even more reason not to sit around and let your organs rot away like rancid meat." "Nobody's organs are rotting." "Free air under the diaphragm." "Probably perfed diverticulum." "What's that mean?" "That means an infection in your intestines has eroded through the wall." "We need to clean, repair the hole." "Lucien, don't you get tired of ER docs waiting around for the surgeons to come down and save the day?" "Give them a break." "You know what it's like." "I'm gonna call O.R. to bring her up." "True, I know that we're just monkeys on a minor planet on an average star but let's not pretend that sepsis is beyond our reach." "If you're trying to quote Hawking, you mangled it." " I think I'm in love." " Allison." " What are you doing here, Blake?" " Hey, she called me." " Hey, whoa, guys." " You don't get to do this." " Hey, whoa, come on." " She wants me here, okay?" "Come on." "Whoa!" "Stay away from my wife!" " Where are you taking her?" " CT scan." " Can I go too?" " No, you stay here." "Dr. Gates will be with her the whole time." "Is everything okay?" "No, my girlfriend's in a coma." "It's all my fault." "So no, everything is not okay." "All your fault?" "How's that?" "I left my rollerblades at the top of the stairs." "It's polished concrete." "It's very slippery." "We were fighting and she tripped." "Did you explain to the cops?" " I'm sure they'll sort it out." " Yeah." "No, it's been a bad year." "How so?" "We moved to Chicago five months ago for my job." "Ever since, we've been fighting constantly." "These huge dish-breaking fights." "And we never used to do that." "It's like the city's changed her." "Well, transitions are hard." "We've been together ever since college." "Been through a lot." "You know, us coming out to her family and her brother dying." "You think you can make it through that stuff you think you can make it through anything." "Who knew after 15 years that everything would turn?" "So much?" "It's scary." "Yeah." "Quantum information processing, teleportation." "We've been chasing the same questions since grad school." "Sorry if he feels threatened by it but there are conversations she can only have with me, vice versa." "But it's only work, right?" "Yeah, we're both married." "Happily married." "Can't say that the idea's never crossed my mind, but Allison and I just really click." "I don't know anybody else, male or female, who challenges me like she does." "They have this thing." "They're together in the lab all day, and then she gets home and everything's, "Blake said this, Blake did that. "" "Something about it has always felt weird." "He's her work husband." "Yeah, people spend more time at work than they do at home." "You share experiences, develop a verbal shorthand." "Of course some intimacy develops." "The two men in my life, they don't get each other." "Really?" "Never would've noticed." " The O.R. is ready." " Okay." "Two planets revolving around the same sun." "Collision is inevitable, right?" "They try to stay out of each other's orbits to keep the solar system in order but, oh, it's a useless exercise." " Disorder rules." " Oh, yeah." "The universe always reverts to equilibrium." " I'll see you upstairs, okay?" " Wait." "Honey, I'm sorry." "I went a little crazy." "James." "James." "I want you to do something for me." " Am I gonna have a scar?" " The edges came together nicely." "It'll be small." "I have to head back to ICU, but I wanted to suggest that you write this case up for M and M next week." "What's M and M?" "It's a conference where we present our mistakes and learn from them." " You made a mistake with Allison?" " No." "Will you please excuse us for a minute?" "What are you trying to do?" "Trying to wake you up." "Why talk like that in front of a patient?" "How does that help anyone?" " Where did you go to medical school?" " Here." " And your Residency?" " Here." "Mm-hm." "Your internship?" "Why are you asking?" "You know it was here." "Because I think that you have been lulled into complacency by too many years in this place." "You got a problem with the ER, you talk to Kovac." "No, it's too late for Kovac." "He's the old guard." "I think you could really turn things around here." "You're really starting to bore me." "How about you go up and harass your own department and stay out of mine?" "It's always nice to talk to you, Dr. Pratt." "Will someone make this jerk disappear?" " Who?" " The guy is toxic." "What guy?" "Oh, hey, excuse me." "Excuse me." "Can you hold up?" " You finish interviewing Megan Strand?" " Yeah." "We're waiting to see if we can get a statement from Sophia." "That might be a while." "But listen, I was talking to Megan and her affect seems totally appropriate." "The injury matches her story, and I'm just" " I'm not getting that abuse vibe." " Thanks, doc." "Write that in the record." "Helpful if it goes to court." " Right." "Thanks." " It's how much?" "No promotional rate?" "What about frequent-flier programs?" "AAA?" "Three more nights at the honeymoon suite." "Charge the card." "Don't get snarky, I'm fragile." "Oh." "I thought things were going well with you and Hope." "Yeah, they are." "Really well." "Staircase girl has a head bleed." "Frontal parenchymal bleed?" "Yeah, less common than sub or epidural, but consistent with a fall." "Okay, I'll call Neurosurge, thanks." "Hey, Neela." "Hey." "Have you heard anything from Ray yet?" "No, I thought he'd be here." "Yeah, well, maybe when the ER closed, maybe schedules got confusing." " Yeah." " I'll try paging him again." "Hey, I hear you're taking the gastroschisis kid." "I'm about to write the admission orders." "Operating on adhesions create new adhesions?" "Possibly, but we don't have a choice if he's acutely obstructed." "All right, I'll keep him NPO." "Thanks." "Hey, I got a snake breeder with a fang in her leg." "Nice seeing you, Tony." "Thanks for the consult." "Hey." "What?" "What'd I do?" " This is easy for you, isn't it?" " What?" ""Did you see my gastroschisis kid? "" " Like nothing happened." " You're not" " How can you be so casual?" " You're the one who broke up." "Meg, Sarah, everything just rolls right off of you." "Why don't you tell me how upset you want me to be?" "On a scale of one to 10." "A seven?" "When you feel needy, crank it to eight." "Down to five when you wanna get work done?" "Now you're being an ass." "You think this doesn't upset me, it does." "This is painful." "But you want what you want." "We'll figure out how we'll work without the drama." "But now I realize something." "You like this." " You want drama." " Not true." "It is true, no matter how I act, you're gonna be upset." "You know why?" "Because that's the only way you can maintain this stupid narcissistic game." "Wow." "I hope that never happens to us." "They managed to repair her intestine but her blood pressure dropped very low." "It'll be a while before we know anything." "Six hours ago, she was giving a talk in front of hundreds of people." "How did she end up here?" "Well, sometimes things just happen." "There's really no way to make sense of it." "She's not in pain?" "I'll make sure she has a morphine order." "How is she doing?" "Still needs dopa to keep her systolic above 85." "I think she's third-spacing." "She had a touch of DIC, lost 2 liters in the O.R." "Hey, why didn't you scrub in?" " I wasn't sure that you'd want me to." " Why wouldn't I?" "Oh, men are impossible." " Listen, Neela, about the" " Do you think I'm a narcissist?" "Well, to a certain extent, all surgeons are." "Yeah, it's good for the job." "Hey, guys, Mae Lee's off to the airport." "I just wanted to thank you guys for an amazing experience." " Goodbye, Mae Lee." " Yeah, strong work this month, Mae Lee." "It's the ER." "One final consult before you go?" "Call me if you're ever in San Francisco." "Little freak tried to kiss me at the wedding." "What's she doing here?" "Get her to the ICU." "Runs of V-tach." "She's not ready to move." "Come on." "It's a hundred feet of corridor." "Better for her to code in the ICU instead." "Well, for her or for us?" "I'm serious, Neela." "We got five full O.R.'s." "We need to make room." "Let's go." "She loves tulips." "Yellow." "No, no, no." "White." "White, two dozen white tulips" "Hey, newlyweds." "...to be delivered to Room 1258 at the Ritz." "How's it feel, guys?" "You know Morris is staying in our honeymoon suite?" " What?" " Yep, with Hope." "They won't leave." "Did you wake up feeling different?" " Not really." " Yeah." " Just a little." " Not that much." "Wedding was awesome." "Hope that thing I did didn't make you lose your deposit." " What thing?" " What?" "Hey, everyone." "In the ER, for the first time, Mr. and Mrs. Luka Kovac." "Yeah, oh, sorry, Abby." "Dr. and Mrs. Luka Kovac." "Doctor and doctor, sorry." "Chief, aren't you supposed to be in Bora Bora?" "Hawaii, and I just attended my last department-head meeting." "So I'm officially no longer your chief." " You're kidding." " Wow." "It's like your wedding happened and now everything's changed." "You're married, I'm with Hope, you're not the chief anymore there's new ramps in the bathroom." "It's a brave new world." "Gates is still a pain in the ass." " There's something you can count on." " You done?" "Had enough?" "Tony, there's a lawyer who needs to talk to you." "Thanks, Dawn." "Hide, Gates." "I'll tell him you went home sick." "I'm going." "See you at home." "Okay." "Being married does feel a little different." "Yeah, it does." "Aw." "Look at that." " Lucien." " Hey, Luka." "Abby, I saw the Cheetos bezoar." "Send him home on miralax, follow up with Gl." " Okay, done." " Nice wedding, by the way." "I offered to replace the bidet." "What bidet?" "Abby, your head injury in Trauma 2 lost her pulse." "Clear." "Still V-fib." "Going again." "And clear." "They paged me." "What's going on?" "Her heart went into dangerous rhythm." " Oh, my God." " Epi's in." "All right, back up." "Back up." " Clear." " Resuming CPR." " No, no, baby." "Don't do this." " Lidocaine's ready." "Is Neurosurge involved?" "There's nothing to evacuate." "Bleed's parenchymal." "You can't leave me now, you hear?" "Go ahead, give the lido." "The things that we said, the way we were, it's not us." "Right?" " You're my rock, always calm." " Another epi, charge to 360." "When you said Chicago changed her, what did you mean?" "That she's been testy and paranoid." " Oh, my God." "Please don't." " Okay, clear." " Watch out." " Please clear." " We have a pulse." " She's back." "Oh, God." "Thank you." "What do you think of this film?" "Frontal lobe bleed, no shift." "You think it could be a preexisting AVM exacerbated by the head trauma?" "A frontal lobe mass would explain the personality and the behavioral changes." "You're a romantic, Abby." " What?" " You don't wanna believe that after years of partnership, they started hating each other." "Call Radiology." "If you're right, she needs angio." "The girl's lived with you for 10 years." "Closest thing she's had to a father." " So that's gotta count for something." " It does." "Given the situation, you have equal standing to seek custody." "Equal as her grandparents?" "Even though I'm not a blood relative?" "Yep, especially if Sarah wants to stay with you." "Oh." "I just thought, because I wasn't related" " This is good." "All right, good." "Good, what else?" "What's next?" "The first thing is talk to Sarah." " Make sure she wants to stay." " I know she does." "Twelve-year-olds can be fickle." "I have two adolescents at home." " Talk to her." " Then what?" "Then call the grandparents and let them know." " So that's it?" " That's it." "Okay." "Injecting the cyanoacrylate." "Amazing pick-up, Abby." "What made you think of AVM?" "Her girlfriend kept going on about how she'd become a different person." "Lots of couples go through that." "They don't all have arteriovenous malformations in their brain." "Well, it was just a hunch, I guess." "And congrats on the wedding." "Strange to be a husband and wife working together?" "Well, it's definitely strange to have people refer to us that way." "Get used to it." "Contrast." " Are you married?" " Oh, no." "Only people I ever meet are doctors." "And doctors make crummy husbands." "No offense." "I used to think it would be cool to end up with a composer or an artist someone that would bring something totally different to the dinner table, but..." "You know, it's really nice to go home to somebody who understands all this." "I can see that." "Look, no more antegrade opacification of contrast." " So the embolization worked?" " Yep." " Great." " Very nice." "What are you doing here?" " I just came to check on the patient." " Wait a minute." "I thought that Morris was the Attending, so you..." "Okay." "Thanks, Bettina." "I'm gonna give Megan the good news." "I was on a break, so I thought I'd bring you some coffee." "Oh, don't drink coffee." "Well, that's good to know." "Hey, listen, Bettina, I just wanna hang out with you for a while." "No plans, no games, just me." "And the patient here on the table." "You can stay, but don't touch anything." "Hospital day 12 for this 72-year-old with a Gl bleed." "Vitals stable overnight, pressure is" "Who's the first person to measure blood pressure?" "Anybody?" "It was a clergyman in the year 17-blah-blah-blah." "And he took a glass tube and he stuck it into the carotid artery of a horse." "And he was very surprised to see the blood rise up into the air about 9 feet." "Why he did this exactly, I have no idea." "I mean, it's impractical for human beings." "I'm sure the horse didn't appreciate it." "Sorry about that." "Go ahead, finish, Katey." " Go ahead." " Okay." " Next, we have a 64-year-old presented" " Hi, we need a room." "This is Allison Mackenzie, bowel perf." "Lost a lot of blood, didn't tolerate the trip down the hall well." "Tachy's on two pressors." "CVP is only a six." " Run of V-tach." " Can I ask you a question?" "Why didn't you stabilize the patient in Post-Op instead of bringing us this mess?" " She got four units of blood and" " Look, I'm not an idiot." "I knew about the audit Dubenko's doing." "He doesn't want this patient." "It'll mess up his data." "That's not what's happening." "Rather have her code and die in the ICU than on his watch." " Die?" " Yeah, well, we'll try to avoid that." " Tell Lucien this can't happen again." " This wasn't his idea." " Yeah, right." " I thought she was ready to move." "V- tach." "No pulse." "Starting compression." "Oh, no, this can't be happening." " Charge to 200." " No, please." " Nice job, Neela." " Just stay focused on the patient." " Clear." " Please help her." "Someone on the phone says they gotta talk to you." " I'm in the middle of a code." " No, go." "Just go." "And there's a guy outside begging to come in to see this patient." "He's not family." "He can't be here." " You might wanna rethink that." " What?" "She is doing everything she can not to die." "She could use all the support." " Epi's in." " Okay, going again." "Clear." "Well, her heart is beating in a normal rhythm but her blood pressure is still dangerously low." "Is there something you can do?" "We've maxed out on the medications." "They're not helping." "The part of her brain that controls blood pressure isn't functioning properly." "What?" "Why not?" "Because she received 45 minutes of CPR." "Her brain was deprived of oxygen during that time." "And when that happens, we often see some degree of neurologic injury." "She walked in here today with a stomachache and now you're telling me her brain is damaged?" "Look, I don't wanna take away all hope, but I wanna be realistic here." "If she survives, there most likely will be neurologic deficits." "When will we know?" "Well, there's no way to predict." "It's a waiting game now, I'm afraid." "Sorry." "I see." "You can go." "Please go." "Before she went into surgery, she asked me to give this to you." "James." "I've resented it for so long, this thing you two have." "Even now, I've gotta share her with you." "What did he give him?" "I don't know." "Data." "Some kind of treasured lab secret." "Well, how do you know?" "Well, you work in the ICU long enough you start to recognize these scenes are frighteningly familiar." "They kiss their spouse, the kids, they say goodbye to friends." "A certain percentage have a deep, dark secret like an illegitimate child or a secret debt or something." "But occasionally, you see something like this." "Practicalities." "Information that must be passed on." "A computer password or combo to a safe or something." "Wow, you're pretty jaded." "Many long, torturous cases." "You know, the human psyche was not designed to deal with this." "Cave dwellers had to deal with a lot more actual death." "But they were not subjected to the slow and mechanized torture that is the ICU." "Well, why do you do it, then?" "To save the salvageable." "And to give the rest a dignified death." "Just a little low on dignity these days." "Well, I'd have a hard time working here." "Surgeons just like to get in, do their job and get out." "Yeah, well, that's your job." "But we are left to deal with the dregs." "And it's not pretty." "I just want us all to do better." "I'm sick of seeing people die." "She had an arteriovenous malformation in the part of her brain that's responsible for mood and personality." "That explains why she seemed different to you." "And it's fixed now?" "Yes, the radiologist was able to clot off the vein using a special kind of glue." " And she'll go back the way she was?" " That's the hope, yeah." "Did you hear that, baby?" "It's all gonna be okay." "She's waking up, so we're gonna take out her breathing tube now." "NIFs are good, and she's following commands perfectly." "I'll need you to cough on the count of three." "Ready?" "One, two, three." "Megan." "I'm sorry." "I am so, so sorry." "I was upset." "I just..." "I didn't mean to push you." "Okay?" "Okay." "Chocolate-covered strawberries, Room 1258." "The room has been checked out now." " No." "No, I haven't checked out." " That's what I'm telling you." " There must be some mistake." " There's not a mistake." " I checked out of the hotel." " What?" "No." "Why?" "I paid for three more nights." "I know you did, which is crazy." "I got them to refund your card." "I don't want a refund." "Let's call them." "Archie, stop." "No, look." "The flowers, the spa treatments, it's all lovely, but I don't need it." " Time to get back to real life." " I don't want real life." "I like fake life." "Where we wake up and take bubble baths and eat bonbons for breakfast." "I don't want our crazy wedding fling to end." "Uh..." "Who said anything about it ending?" "I wasn't sure..." "Dr. Morris, I have not done this with anyone in a long, long time." "And it's not because I haven't had the opportunity." "I decided to sleep with you because it means something." "This isn't a fling." "At least, not for me." "She snapped, she had a lapse." "It's not like she's a chronic abuser." "We don't know that." "Even if we did, it doesn't matter." "Guys, did Ray ever show up?" " No." " Or did he call?" "It's not like Megan was trying to throw her." "Give me a break." "She pushed her." "If this didn't happen, Sophia's AVM wouldn't have been diagnosed." " Excuse me, is Dr. Pratt still in?" " Nurses' station." "One incident doesn't make it abuse." "She responded to anger with violence." "That's the definition." " Dr. Pratt." " Oh, boy." " I thought I was done with you already." " Millicent Lawford." "Ml in the ER waiting room." "Sat there seven hours without being triaged." "Gertie Minton." "Renal failure." "Twelve hours to be seen and then arrested from hyperkalemia." "Derek Shank." "In the ER three days without DVT prophylaxis." "Died." "Died of a PE before he made it to the floor." " We can do better for these people." " I get your point, okay?" "But the problems are systemic." "Too many people, not enough resources." "How do you suppose we address that?" "Well, first, I think we start by not believing that this is the best we can do." "Because it's not." "Right." "These are for you." "Ray?" "Ray?" "Ray?" "So I could totally tell that Melissa was copying off my paper." "But if I tell on her, then I'm a snitch." "And if I don't, then I'm, like, an accomplice, right?" "Right." "And I know, I know." "She's just cheating herself." "But it still seems like she wouldn't do that." "Yeah, and we learned in chemistry today how to freebase cocaine." "Really?" "Tony, you're totally not listening to me." "Sarah, when your grandparents wanted you to move in with them I thought that maybe it was the best thing." "I don't wanna go to a new school, Tony." "I don't wanna go and live with them." "Well, I was scared, and I..." "I just didn't think I had what it takes to do this." "But then when we took the test, I realized that..." "I wished it'd gone the other way, that I wanted to be your daddy." "I wanted that too." "So..." "I work a lot and I'm messy." "I may embarrass you at father-daughter dances." "But I really love you, Sarah." "You're my family." "And it turns out that..." "If you wanna stay with me, you can." "If you" " I mean, if you still want to." " Hi." " Hey." " I missed you guys." " We missed you too." " Oh." " How was the shift?" "Oh, who cares?" "It's done." "No work for two weeks." "The honeymoon starts now." "Mm." "Does that mean you're ready to change into the bikini?" "Maybe after Joe goes to bed." "Joe, go to bed, now." "Heh." "I got him." "Sweetie." "Hello?" "Hey, Donald, it's Kevin." "Yeah." "Look, I'm glad I caught you." "Ahem." "Do you remember the thing that we discussed earlier about the ER?" "Yeah, well, I can't believe I'm saying this, but I think I've changed my mind." "I have changed my mind." "I'll do it." "Okay, bye." " Have a good one." " Oh, good night." "Oh, good night." "Good night." "Stay out of the ICU." "That guy's a dick."