April 24, 2018

ER 1.14, Long Day’s Journey: Susan vs. Kayson, the Knock-Out Round

Posted in TV tagged , , , at 4:50 pm by Jenn

Soooooo awkward

Summary: Doug and Benton are taking care of a patient named Kathleen who supposedly fell off a ladder. Her children are in the hallway, and Carol takes the daughter, Mandy, off to look at her hand, which she says she hurt when her mother fell. Carter gets to work and learns that Chen has already taken care of a lot of his tasks. She admits that she’s trying to make a good impression.

Carol tells Doug that Kathleen has been treated for a number of injuries at County. Doug realizes they’re dealing with a case of abuse and straight out asks Mandy and her brother David who’s been beating their mother. The kids stay quiet, but Doug doesn’t press them to talk. As he’s leaving, David points the finger at Mandy. Mandy denies the accusation, but her rage tells a different story.

Susan checks with Mark before discharging a patient, since he’s apparently still double-checking all her cases. She’s appearing before Morgenstern’s committee that afternoon. Chen tells Benton that one of his patients wants her surgery explained to her again. He’s already done it twice, so he’s fine letting Chen take a stab at it when she volunteers, as long as it doesn’t interfere with her other tasks.

Doug’s next patient, a preteen named Zack, was accidentally injured by his gym teacher during class. Mark examines Mrs. Chang, a pregnant woman with nausea and an anxious husband. Mr. Chang thinks they should just induce labor, since the baby’s due in two weeks. Haleh tells Benton that there’s a physical therapist named Jeanie Boulet who would be a good fit to help take care of his mother.

Mark jumps on a case with Carol, taking care of a woman named Fran who appears to have overdosed on antidepressants in a suicide attempt. Tag finds out that Doug tried to get a surgical consult from someone under him and invites himself to join Zack’s case. He insists that they keep things professional.

Fran’s friend Sally is more interested in calling Fran’s boyfriend than she is in telling Carol if Fran might have taken any other drugs. Doug holds Fran’s baby so the audience can swoon for a few moments. Carol determines that Fran’s brain stem is no longer functioning, so they stop working on her. Zack may have a tumor, so breaking his leg in gym class could have actually been a blessing in disguise, since it gave Tag a reason to see an x-ray.

Mr. Chang insists that Mark induce labor so their baby will be born in the Year of the Dog instead of the Year of the Pig. He’s worried that their mothers will think their baby will be lazy if it’s born in the Year of the Pig. In fact, Mrs. Chang’s nausea came from herbs she consumed in an attempt to induce labor. Mark tells him this isn’t a garage, and the doctors don’t do procedures just because people want them done. The Changs’ OB, Dr. Noble, arrives and approves of their desire to induce ten days early. They do it all the time, so he doesn’t think it’s a big deal. Mark dryly wishes everyone a happy Year of the Dog.

Benton meets Jeanie, who doesn’t think she’s the right person to take care of Mae. She’s also unsure that Benton, as a resident, can afford to pay her. He promises he’ll make it work, so she agrees to give it a try. Carol and Tag are supposed to go away for a romantic weekend, but he has a staff meeting that might delay their departure. A couple of burn victims come in, and Mark and Doug tend to them.

Jerry tells Carter there’s someone outside who needs help, so he and Chen head off. A family has brought in their Uncle Ed, who they weren’t able to wake from his nap. That’s because he’s not sleeping – he’s dead. In fact, rigor mortis has already set in. The doctors bring him inside, though the family wants to keep going on their road trip and take care of this inconvenience later.

One of the burn victims, Willy, was injured when he tried to save a girl from a fire. His lungs are damaged from chemicals in the building, and he tells Mark and Doug that his cystic fibrosis won’t help matters. Haleh comments to Carol that working on a patient who overdosed must have been difficult for her. Carol replies that she tries not to think about her own suicide attempt too much. Haleh asks if she left a note. Carol says no – she couldn’t figure out what to say.

Susan tries to calm her nerves with a cigarette before her meeting with Morgenstern. Kayson joins her, which probably makes it worse. Carter oversees as Chen takes a patient’s history and quickly comes up with an idea. Susan is questioned by Morgenstern’s committee, and though Kayson tries to make her out to be a bad doctor, the other doctors don’t appear to believe that she did anything negligent. In fact, they think Kayson made more mistakes on the case.

Doug learns that Zack’s mother and uncle didn’t tell him that he might have a tumor. Doug refuses to do his biopsy until they tell Zack exactly what’s going on. His mother tries to do it, then decides to let Doug finish. He answers Zack’s questions and tells him he thinks he’ll be okay. Thanks to Doug’s bedside manner, Zack shows very little fear and says he’s ready to go ahead and do the biopsy.

Carter presents his and Chen’s patient to Benton as a surgical candidate. Benton slams Carter for doing the presentation when Chen made the diagnosis, then basically hands the patient over to her. Doug accompanies Zack to his biopsy and explains everything Tag does so he’s not blindsided by anything.

Benton tells Jackie that he wants Jeanie to take care of Mae, but Jackie still thinks she needs to go to a nursing home. Benton promises to be on Mae duty a couple days a week so Jeanie only has to work three days. Jackie scoffs that Benton’s never taken care of Mae before, so she doesn’t believe he’ll start now. He shoots back that she’s just going to spend their mother’s money on her care, leaving him with less. Jackie tells him he can have the house he keeps complaining about; he’ll just have to do everything for Mae himself. Benton pauses to answer a page, so Jackie ditches him.

Tag promises Carol that they’ll be able to leave by 8. She threatens to interrupt his meeting naked and drag him out if he’s not done in time. Mark tries to ask Susan how her meeting went, but she’s short with him. Doug tends to a guy named Terry who was beaten up but also has a fever. Doug asks Terry’s friend to call his family, but they’re both homeless runaways, and Terry isn’t in touch with his parents. Though he said he was 18, his friend admits that he’s really 15.

Susan tells Doug that the committee went after Kayson, not her, and she’s not proud of it, but she enjoyed herself. Doug advises her to give the news to Mark and cut him a break. A man interrupts to ask if he can see a doctor; he’s been waiting for 40 minutes. They send him back to the waiting room, but when he turns around, they see that he has an arrow sticking out of his head. (His neighbors were playing cowboys and Indians.) They decide to bump him up to a priority. Willy isn’t doing well, but he seems to regain consciousness long enough to hear Nancy, the girl he saved, thank him.

Benton has missed grand rounds and isn’t sure what to tell Morgenstern. He tells Doug that as a pediatrician, he has it made – eventually he’ll just go into private practice. Surgeons all want to be chief, and Benton knows that having to leave work in the middle of his shift is going to hurt his odds. Doug says there are more important things in life. For example, Fran is dead at her daughter’s hand, Zack is probably going to lose his leg, and Willy is in bad shape. Also, he’s still mad that Linda said he’s not the marrying type.

Doug goes outside to play basketball by himself but runs into a kid named Jake who’s waiting for his mom, Diane, to get off work. The two play together and talk about the Bulls. Doug introduces himself to Diane when she comes outside, and she stops him before he can do any flirting, warning that he broke her friend’s heart.

Thanks to the staff meeting, Susan’s the only doctor available when a man is brought in with a heart attack. It’s Kayson. She gives him a say in his treatment, but he thinks he’s going to do. She promises him he won’t, then works hard to keep her word. Doug tells Terry that he may have PCP, a kind of pneumonia that is usually indicative of AIDS. Terry isn’t shocked by the news. He’s been working as a prostitute, and he knows his family won’t take him back now. Doug gives him some condoms, medication, and information for a shelter and AIDS treatment center.

A cardiologist named Steinman thinks Kayson needs angioplasty, but Kayson wants TPA, a clot-busting medication, rather than surgery. Susan advocates for Kayson, threatening to take Steinman before a review committee if he doesn’t follow his patient’s wishes. She’s finally being as assertive as Morgenstern wanted her to be, and Kayson is grateful.

Carol and Tag kick off their romantic weekend with…well, exactly what you would do in a hotel on a romantic weekend. He realizes he left his overnight bag under the front desk at the hospital. He’s worried that someone will find it and he’ll end up embarrassed, so I guess it had sex toys or something in it. Mark finds Doug moping outside, wondering how many more horrible cases he’ll have to see. Mark tells him there’s a baby with croup who needs his attention. Doug says at least that’s one patient he can help.

Thoughts: Continuity error: Jeanie says she’s taking nursing classes, but she later becomes a physician’s assistant.

Apparently you could smoke in a hospital office in 1995, or at least no one stops Susan and Kayson from doing so.

Chen says she has a photographic memory. I’m pretty sure we never hear about it again, so we’ll put it with Mulder’s red-green color-blindness in the Yeah, I Don’t Think So File.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: