October 9, 2018

ER 2.13, It’s Not Easy Being Greene: Off Days and Days Off

Posted in TV tagged , , , at 4:51 pm by Jenn

ANGST! SO MUCH ANGST!

Summary: Mark is out for a jog on a snowy day, on his way to the hospital even though he has the day off. Haleh calls him dedicated while Chuny calls him sad. Weaver tells Susan that she and Morgenstern think Susan would make a great chief resident next year. She gives Susan instructions on a procedure she’s performing while talking about time management and how Susan will be able to balance her job responsibilities and Susie.

Carol’s upset to learn that she’s had her shifts cut. It doesn’t get better when Jeanie complains that she’s been given more shifts. Jerry tells Carol that she can join an investment club for $2,000 and get $10,000 to $20,000 within ten days. Carol educates him on the wonders of pyramid schemes. Let’s hope it’s not too late for Jerry to get out. Vucelich tells Benton that he wants him to go to Paris to present info on their study. They’ll need to find another patient for the study soon, since some Norwegian doctors are doing the same research.

Benton asks Malik where Carter is, and Malik says Carter’s late but will be coming any minute. Cut to…a sex joke, since Carter’s in bed with Harper. He tells her some of the things he thinks about to “delay the inevitable,” like procedures and equipment inventory. I think it’s safe to say that Carter has the world’s worst pillow talk.

Mark tells Susan that Jen is suing for full custody of Rachel, and is painting him as a distant father. They give each other TB tests while they discuss the possibility of Susan becoming chief resident. She’s not sure she could do it while working fewer hours than other chiefs have. Mark advises her to be warmer with Weaver, since they’ll be working closer if Susan becomes chief. Doug learns that Mark is working on his day off and just laughs.

Benton sticks Carter in the ER while he goes hunting for another study participant. Carol chats with a patient named Mrs. Henry who got dizzy while working in her garden. She raises earthworms, which generate a beloved kind of fertilizer and sell for a good amount of money. Carol’s inspired to go into this line of business. Mark’s patient, Alan, had a seizure and now has an erratic heartbeat.

Carter wants to get an interview for his residency, but it doesn’t look like anyone’s interested. Harper brings him an x-ray, thinking her patient has an aortic aneurysm and needs to see Vucelich. Carter can’t see the calcification she thinks is on the scan and advises her not to call Vucelich. She passes the patient along to Carter and goes off to help Mark. Seconds later, Susan glances at the x-ray, sees what Harper saw, and diagnoses an aneurysm.

Alan’s heart rhythm gets more erratic, so Mark kicks his wife, Mrs. Wimbur, out so he and Harper can try to figure out what’s wrong with him. He’s smart enough to know that nurses are valuable sources of information, and he asks Haleh and Lydia for their input (low potassium and cocaine, respectively). They stabilize Alan, but only briefly.

Carter presents Harper’s patient’s x-ray to Vucelich and Benton, who confirm that Harper’s diagnosis was right. They praise him for the catch, and he doesn’t tell them that Harper was the one who read the x-ray correctly. Lydia and Haleh, however, were both wrong about Alan, and Mark still doesn’t know why he’s having heart problems. Alan gets worse, requiring CPR, but after 20 minutes, he’s not any better. Susan joins the group and first suspects what Haleh did, that cocaine is a factor. When Mark says he’s clean, she says Alan might be acidotic.

More time passes and Doug comes in to try to help. Eventually, close to an hour goes by, and the doctors are unable to save Alan. Mark laments that he was only 32. He gives the bad news to Mrs. Wimbur, but he’s unable to tell her what caused her husband’s death. She blames Mark, since she was originally told that Alan could be saved.

While Jerry tries to escape his pyramid scheme, Susan tells Weaver that she officially wants to be considered for the chief position. Weaver’s like, “Oh, great! Now go take care of some more patients.” Carol takes Mrs. Henry for tests, though Mrs. Henry is worried about having to leave her worms in her truck. She figures no one will steal them, even though they’re worth $5,000, but she fears that they’ll freeze to death. She asks Carol to bring them into the hospital and feed them some table scraps.

Susan’s patient, Mrs. D’Angelo, is suffering a lot of pain from stones in her gall bladder. She wants surgery, but since her condition isn’t life-threatening, her insurance won’t pay for it. (God bless America.) Mark calls pathology to ask for a rush on Alan’s autopsy so he can answer his medical mystery. Susan tells him to go home, but Mark doesn’t appreciate being accused of killing a patient and running the risk of being sued. Susan assures him that he did everything right.

Vucelich and Benton operate on Harper’s patient while Carter assists by suctioning. The patient has a bad reaction to the anesthesia, and Vucelich blames Benton for not getting a full history. Once he starts getting things under control, Vucelich realizes that since the patient had never had an operation before, he wouldn’t have known about an intolerance to the anesthesia, so he wouldn’t have mentioned it in the history. He extends an olive branch to Benton by inviting him to lunch. Weaver gives Susan some advice on Mrs. D’Angelo’s treatment; it sounds like she’s trying to teach, but Susan takes it as criticism.

Mark meets with Morgenstern and Kathy Snyder, a hospital attorney, who announces that they’ve worked out a settlement with Sean O’Brien. Morgenstern’s happy to put this behind them, but Mark isn’t – this will be a black mark on his record and will follow him for the rest of his medical career. Kathy points out that they could lose millions if they go to trial. Mark insists that he didn’t do anything wrong, so he shouldn’t admit that he did. Kathy says that experts disagree. Morgenstern does, too, but Mark refuses to settle. He’ll hire his own lawyer and fight on his own if he has to.

Carol and Chuny take a look at Mrs. Henry’s worms, which Carol sees as a key to getting the money she needs to fix up her house. Lydia feeds them some yogurt. Harper finds Carter to bask in the glory of making her diagnosis, but her mood quickly darkens when she realizes that Carter didn’t give her any credit with Vucelich. He says he meant to, but everything happened fast. Harper doesn’t accept his excuse that Vucelich and Benton just assumed that he’d made the catch.

Mark tells Susan about the settlement and how Morgenstern is blaming him for Jodi’s death. Susan says that it was a tough diagnosis that any of them could have missed. But when Mark asks what she would say if she were called to testify in court, she doesn’t want to give an answer.

Jerry tries to convince Malik to start their own investment club, but Malik’s no idiot. Carol goes looking for the worms, but they’re missing from the room where she stashed them. Doug examines a teenager named Ray who’s been having headaches and dizziness, but seems mostly fine.

Carter interrupts Vucelich and Benton’s lunch to tell them that Harper made the diagnosis. Vucelich blasts him for taking credit, but since the patient isn’t a candidate for the study, it doesn’t really matter who made the diagnosis; no one will get a finder’s fee. After Carter leaves, Vucelich calls him a “strange boy.” Benton questions the patient’s exclusion from the study, but Vucelich just casually says that the patient has neurological problems that make him ineligible.

Susan tells Mrs. D’Angelo that they’re not going to give her an ultrasound because it’s clear what her problem is. There’s no point in spending the money. She’s been able to secure a slot for surgery at the end of the year, but since it’s only February, that doesn’t do Mrs. D’Angelo any good. Carol, Lydia, and Wendy (R.I.P. Vanessa Marquez) find the worms outside and rush them to a trauma room to warm them up. Susan rushes in to help, thinking they have a real, human patient. She makes a hilarious patient as Carol tries to break the worms out of the block of ice they’ve become.

When nothing abnormal shows up on Ray’s tests, Doug talks to him, trying to find out if his problems are stress-related. Ray says things are fine, but he’s clearly upset about something. He tells Doug that there’s something wrong with him. Doug thinks he’s just having normal teenager anxieties, but Ray has a secret: He’s come to the conclusion that he’s gay. He doesn’t know what to tell his father or brothers. He’s sick of pretending to be someone he’s not.

Doug calls for a psych consult, just wanting to give Ray someone to talk to. Haleh doesn’t appear to agree with this form of treatment. Benton tells Harper she made a good call with the aneurysm, but it’s too little too late. Susan calls Harper and Carter in to help tend to a patient as Weaver looks on. Harper tells Carter to shut it when he tries to offer some help. Mark and Doug meet up at a diner, where Mark admits that he may have killed Alan. He heard a murmur on examination, and he should have done more to save him. Doug thinks Mark is holding himself to too high of a standard.

Harper screws up something on the patient, and Carter tries to take the blame, but Harper wants to own up to her own mistake. Susan and Weaver discuss treatments, but Susan makes it clear that she’s not going to give in to Weaver just because Weaver has seniority. Susan ends up being right, and she gloats a little too much, asking Weaver questions that she would normally ask an intern or med student.

Mark goes to the morgue to find out if Alan’s autopsy has solved any mysteries. Haleh advises Doug to talk to Ray himself instead of continuing to wait for a psych consult. She asks if Doug is trying to avoid having a difficult conversation with Ray because he’s gay. Doug insists that he’s not homophobic, but he doesn’t think he’s the right person for the conversation because he has no expertise on the subject. Haleh doesn’t seem convinced.

The pathologist, Dr. Upton, doesn’t find anything abnormal with Alan’s heart. She tells Mark that medicine is an art, and it’s ambiguous. Sometimes there are no answers. In this case, she can’t determine Alan’s cause of death. Mrs. Henry is ready to be released, but her worms won’t be going home with her. Carol couldn’t save them. She gives the news as if she’s telling any patient’s family about a death.

Jeanie finds Benton looking over the protocol for Vucelich’s study. He wants to know if Vucelich is dropping patients with bad outcomes from his study so his results won’t be skewed. Harper yells at Carter for his behavior all day, which he blames on his poor odds at getting a residency at County. He’s forgotten a bunch of Benton’s patients’ orders and has to keep working.

Weaver calls Susan on getting a fact wrong in her impromptu Q&A in the trauma room. Susan finally blows up at her, saying it’s not worth it to be chief resident if she’ll have to put up with Weaver always looking over her shoulder. But Weaver thinks this reaction means Susan’s more qualified to be chief resident than she thought. Ray’s father arrives to take him home, and Ray pretends his trigonometry classes are the cause of his headaches. (Dude, I feel you.) Doug invites him to talk if he ever wants to, but Ray’s ready to go back to being his fake self.

Benton goes looking for records on Helen Rubadoux, who was also dropped from Vucelich’s study. He pulls out a few more files while he’s at it. Jerry’s come into a bunch of money, thanks to his pyramid scheme, so he’s ending the day on a good note. Carol has been able to salvage a few worms (she claims Mrs. Henry gave her some), so she’s going to see if she can make some money with them. Carter finally finishes his tasks and apologizes to Benton for being an idiot earlier. He also has to confess to being late with some orders. Looks like the golden child is slipping. Benton finds something interesting in a patient file and makes a phone call.

Mark smooths things over with Susan, admitting that he was in denial. He’s not sure he should keep practicing medicine. Susan says they all ask themselves that. Mark hopes the job is worth losing his family over. He now knows that Alan’s death wasn’t his fault. He did everything right and Alan died anyway. The lesson is that they can’t win. Mark asks if anyone thought it was strange that he came to work on his day off. Susan lies that they didn’t. (She’s a bad liar but he doesn’t catch on.) Then Mark ends his day the way he began – running.

Thoughts: Freaking animal plots. Just…why?

Carol: “What happened to those worms in radiology?” Susan: “They’re doing a consult.” Ha!

Mark needs a hobby. I don’t even think about work when I have a day off.

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