ER

This is Dr. Abby Lockhart.

I'm calling from County General, and can you tell him I got his lab results?

And he needs to come in and discuss them. Thanks.

Since when do you call ER patients from home?

I was worried about this guy.

I wanna make sure he gets seen.

Isn't that more of a job for his primary care physician?

He doesn't have one.

Well, no incentive to get one if you're gonna make house calls.

I phoned his hotel to make sure he comes in for follow-up.

- Hotel? - Yes, he's from out of town.

- Who's this guy? - It's Eddie Jackson, you met him.

What?

- Nothing. - Well, why are you acting weird?

I just think it's a little strange, the amount of personal attention...

...you seem to be giving some guy you met in a bar.

You didn't talk to her, did you?

I didn't see her.

I thought you were gonna talk to her last night.

Yeah, but I got home so late...

...and she was excited about how well she did on her history presentation, so...

- Tony... - I'm gonna do it, I'm gonna do it.

You've been saying that for a week.

She needs to hear this from you.

She needs to know that it was your idea. Otherwise, she'll never forgive me.

All right, I'll tell her.

Tonight, I promise.

Oh, man, would you look at this board?

We got cough, cough and vomiting, itchy feet, diarrhea, diarrhea and vomiting.

Hasn't been decent trauma in my last three shifts.

People are too damn careful these days.

Chopper's bringing in some kind of snowmobile accident.

Called it.

- Is this the snowmobile? - One of them.

Clarke Sutton, 13, lost control and hit a fence.

It was an accident.

I was trying to turn.

- Where's Dennis? - McKay's unloading the older brother.

This one got the worst of it.

His brother carried him almost a mile to get help.

Can I be in the same room with Dennis?

- It hurts to breathe. Try not to talk.

- Gates, grab the next one, I'll take this. - I got this covered.

- I got this. - I got this.

- This kid needs someone to treat him. - That'd be me, I'll call if I need you.

- Knock it off. - Okay, who gets this patient?

Me. Act like babies, then that's how I'll treat you.

Luka, sats are dropping. - Okay, bag him.

Abby, run ahead and intubate.

Way to go. It was your fault.

- Yeah, right. - Yeah, I am right.

- Don't be an idiot. - Ass for brains.

Edgar never liked to talk about his troubles.

In fact, the only thing he ever talked about was football.

So speaking about that, ahem, I remember one Sunday...

...Edgar looked troubled, and I said, "Well, is there anything I can do for you?"

So he said, " No, no, Pastor, you can't help my problem. "

I said, " Well, maybe I can't, but I know someone who can.

God will always listen. "

Oh, amen.

Dr. Pratt.

Pastor, that was a nice service.

- Thank you. - Very nice.

Amen.

Um, Mrs. Dixon, I just wanted to pass on my condolences once again.

I just, uh, wanna let you know if there's anything, anything I can do...

...please don't hesitate to call the hospital.

Thank you, Dr. Pratt.

Thank you.

Greg.

The medical board called me.

Yeah, I bet they did.

They said they're issuing a letter for us to cease and desist our drug program.

That's not a surprise.

I told them to go to hell.

- You did what? - They don't understand what we're doing.

Yeah, but I'm sure they got a pretty clear idea now.

Look, I like what you're doing, but it doesn't work.

People need a continuity of care. Church clinic isn't open every day.

How many people do you think we've helped since we started this program?

I'm sorry.

- We're not giving up on the program. - You're headed for trouble.

My people have nowhere else to turn to.

They're already in trouble.

I'm out.

- Sats drifting into the 70s. Clarke, stay with us.

Want me to do that? - No.

- You sure? - Yes.

If you wanna help, you can give me some cricoid.

- I got blood here, what do you want? - Uh, CBC, LFTs, Chem-7...

I'm in, bag him. - UA and a blood gas.

You're probably not gonna need that.

Decreased on the left, pull back the ET.

- No, I stopped past the cords. - It's obviously not, so pull it back.

I'm gonna call the blood bank.

Good idea.

Still decreased, sterile 6's and a chest tube tray.

Hold on, let's not jump the gun.

He's got a bruise and bad sats. Not jumping the gun, it's a pneumothorax.

I'll call for a portable chest? - Let's see what we're dealing with.

Twenty percent of pneumothoraxes are missed on x-ray.

- You taught me that. - Nice to know you were listening.

We have time to wait for the film before we start cutting.

What about the sliding lung sign?

Okay, lungs are up, no hemothorax or rib fractures.

What's happening? Why isn't he sitting up?

They put a tube down his throat to breathe.

Good bowel sounds.

He got the wind knocked out of him.

- I had to carry him to the road. - Good thing you did.

Crit's 38, pressure's still good, 122/76.

Let me know if anything is sore.

He kept begging me to let him drive.

- His father's gonna kill me. - Wait, I thought you two were brothers.

He's my stepbrother.

My dad died when I was little, my mom remarried in August.

He thinks I'm a screw-up. This isn't gonna help.

Pretty much wrecked the snowmobile... Ow!

- Left lower quadrant, call Surgery. Not so fast.

- It's not a contusion, it's an abrasion. - He's guarding.

Yeah.

- Do you have to keep doing that? - Sorry.

He's hemodynamically stable, his crit's good.

Get a CT of his belly. If it's normal, we won't waste the surgeon's time.

Well, I'm gonna have to disagree with your assessment.

- Okay. - Let's run it by Kovac.

Let's not.

I decide when we present to an Attending.

No lung sliding. - What the hell is lung sliding anyway?

Normally, there's lung movement on ultrasound.

If it's not there, the lung must be partially deflated.

Show off.

Okay, chest tube tray to Abby.

What? You don't wanna do it now?

I wanted to do it 15 minutes ago.

It looks like Abby was right, and Luka confirmed the diagnosis radiographically.

Good work, team.

What do I have to do to get someone to come here?

Dr. Gates from the ER. That's with an E for emergency.

You called for a consult? - I dialed the Hot Surgeons chat line.

Which room?

No " Hey, how you doing? You look sexy in that white suit"?

Hey, what's wrong?

Besides the fact the last time I saw you...

...the woman you live with assaulted me and her daughter called me a whore?

I told you I was sorry.

And I don't live with her anymore. Not for long anyway.

How's Sarah?

We're working through it.

No blood out, it's not the chest. Xeroform and the Thora-Seal.

Could be cardiac contusion.

Get a 12-lead, hold off on the blood till troponin's back.

CT's ready. I'll take him up? - I'll take him.

- You sure? - Yeah, in case he crashes.

Well, that wasn't awkward.

Further proof workplace romance, bad idea.

- Is that so? - Uh, yeah.

Hey, look, the other night, you kind of caught me off-guard with that kiss.

And I don't... I have a rule against dating people at work.

- You do? - Yeah.

It's kind of a new rule.

Oh, yeah.

But a solid rule.

That's cool, really.

This is Dennis' father, Gary.

Gary, this is Dr. Gates and Dr. Rasgotra.

- Where's Clarke? - Oh, upstairs for more x-rays.

Is this a social visit?

Tony asked for a consult.

I hope you're happy now.

I'm sorry. We were being really careful.

You obviously weren't if you put Clarke in the hospital.

I wanna see my son.

Where is he?

Lily, could you...?

- I can take you to him, sir. - Thank you.

You better pray he's all right.

Uh, Neela, I'm sorry you had to come down here.

He doesn't need a consult.

Well, I'm here now, and I'm almost finished.

Can you explain to him why this patient is not a good candidate for surgery?

I'm suggesting we admit him for observation.

Why? His kidneys look good, liver and spleen appear to be normal.

Did I miss something on the CT?

An occult injury could take time to declare itself.

- He's right. - No, he's not.

The surgeon concurs with my assessment.

Hey, don't worry, boss, I'm not one of those " I told you so" kids.

- Can I speak to you outside? - Certainly.

Okay. Not you.

Sammy.

Hey, guys.

- Ben, hello. - Hey, Gracie.

- What's up, Alex? Hey.

Alex is signing up for the volunteen program today.

He's really excited about it.

I had to practically drag him here by his ears.

Even if you volunteer for a couple of hours a week...

...it will still help on your college applications.

- Maybe you'll even like it. - Keep telling yourself that, Mom.