September 21, 2021

ER 9.11, A Little Help from My Friends: Working in the ER Is a Team Sport

Posted in TV tagged , , , , , at 4:56 pm by Jenn

Who acts like this??

Summary: Luka is brooding. I know this isn’t big news, but the music wants us to think it is. He, Abby, and Susan head to an M&M to discuss their treatment of Rick. Anspaugh kicks things off, but instead of sticking with them, we go to Weaver and Sandy’s place, where they’re turning an office into a nursery. They’re very cute and happy together.

Back at the M&M, Abby and Luka tell the audience that they thought Rick had the flu. Susan starts to talk about how the intubation went wrong, but all the questions are really for Luka. He admits his mistakes, though Anspaugh says they aren’t there to assign blame. The point of an M&M is to discuss what went wrong and hopefully learn from it.

Luka points out that he was hungover and knew he shouldn’t be working. He also didn’t listen when Abby recommended more tests. He’s ready to face the consequences for his actions. For the record, Rick is still alive, but Luka figures he’s all but dead, so he freely admits to “killing” Rick. As he leaves, Romano asks if anyone verified that there are real medical schools in Croatia. Shut up, Romano.

In the lounge, Susan tells Luka not to let Romano get to him. He appreciates her attempts to defend him and says the hearing committee was more than fair. Susan knows any one of them could have been in this position. Luka isn’t sure he still has a job, but Susan says Weaver was just asking for him.

A guy named Chip has come in to get some help with his insomnia and obsessive thoughts. He stopped sleeping three days ago, so Susan wonders what happened to kickstart the insomnia. Chip says he’s having relationship issues. Pratt arrives for a shift and sets off a metal detector (which means those things are actually being used – good to know). He says it’s his pager and he always sets off the detector. A security guard won’t buy that as an excuse, and he insists on searching Pratt’s bag. Carter steps in to make peace as the guard finds a gun in the bag.

Pratt says he found the gun behind a Dumpster outside and was going to give it to a real police officer. He guesses that someone left it there while receiving treatment and will pick it up when they leave. The guard doesn’t believe Pratt’s story and says he’ll have to call the police. Pratt runs off to help a patient, and when the guard starts to follow him, Carter steps in again. He points out that Pratt will be around for a while, so the guard can talk to him later.

Outside, a woman has just brought in a man she’d hired to cut down a dead tree in her yard. The man, Jose, fell about 20 feet from the tree to the roof. Meanwhile, paramedics bring in a 93-year-old man named Mr. Gilman who started having chest pain while having sex with his wife. While assisting Weaver and Luka, Gallant gets a note from Harkins, who will be leaving the hospital today. So Luka didn’t kill her, either.

In the next trauma room, another security guard decides this is a good time to confront Pratt about blowing off the first security guard. Sure, sure, Jose and his unstable pelvic injuries can wait. Carter kicks them out. Pratt promises that this situation isn’t what he thinks. Susan returns to Chip, who’s reached that point in his sleepless desperation where he’s crying. She tells him she’ll reach out to psych again to get someone to come talk to him. Susan then runs into a teenager named Anastasia who took some sort of drug before a math tournament.

Luka’s sent to the ICU to review something for a patient, and while he’s there, he asks about Rick. A nurse tells him Rick may need dialysis. Luka introduces himself to Rick’s mother, who knows Luka treated him in the ER but may not know about everything that went wrong. She asks if Rick was afraid. Luka doesn’t think so, since he was joking around with Laura.

Romano spots them talking and pulls Luka out of the room to chastise him. He knows Luka wants to be honest with Rick’s mother, but he can’t just come right out and say he screwed up and now her son is going to die. Luka’s free to take the blame when he’s around his colleagues, but he can’t admit any guilt to Rick’s family. If he doesn’t control his emotions, more patients will be harmed. Romano goes a step further, telling Luka to take the rest of the day off and warning that if he’s seen with Rick’s family again, he’s fired.

Would you be surprised to learn that psych is backed up and can’t send someone to talk to Chip? No, I didn’t think so. Susan promises that they’ll give him something to help him sleep as soon as psych determines that it won’t interfere with what he’s already taken. Chip worries that people will hate him. Susan asks if he did something. He tells her that his girlfriend caught him with someone else. No, not another woman. No, not another man. Her ten-year-old son. Chip claims he didn’t do anything, but he was about to. He doesn’t want to be like this.

Mr. Gilman has declined, but Gallant is able to stabilize his heart. Weaver stops by to check on the case, and Haleh notices blood on her coat. She guesses that Weaver brushed up against a bleeding patient. Pratt and Chuny tend to a man who came in with Jose and provided information on the situation (basically, they recently came to Chicago from Nicaragua and joined Jose’s uncle’s business). The man is hesitant to admit that they’re undocumented, but Pratt assures him that it’s not a problem and they’ll receive any medical treatment they need.

Susan calls psych again, insisting that Deraad come down to see Chip immediately. She spots Anastasia erasing a patient board so she can write an equation up there. Chen discovers that she took Ritalin, which has given her both enough intelligence to write a theorem proving the existence of God and a photographic memory to write all the patients’ names back on the board.

The security guards take Pratt off for a chat as Susan tries to get approval to take Chip up to psych. She gets rejected, but Chip has wandered off anyway. Weaver goes to an exam room and gives herself an ultrasound. She’s not comforted by the results. Abby walks in, unaware that anyone was in there, and Weaver numbly says that she can’t find the baby’s heartbeat. Abby continues searching with her, but there’s nothing there. She encourages Weaver to go home, but Weaver wants to stay.

Mr. Gilman’s wife, Coco, arrives, and let’s just say she’s not 93. (Going by ages in IMDb, she’s 37.) Abby calls Jerry and Pratt out for ogling her. Kayson consults on Mr. Gilman’s case, informing the couple that his prognosis isn’t good. He could have a fatal heart attack at any time. Mr. Gilman weakly whispers to Gallant, “When can I bang her?” Gallant can’t figure out how to react to that. Coco says they’re trying to have a baby. Gallant can’t figure out how to react to that, either. Kayson says that when Mr. Gilman can walk up two flights of stairs without getting winded, he’ll be free to do whatever he wants.

Weaver changes into scrubs so she can continue her shift as if she hasn’t just suffered a major loss. In the lounge, Anastasia has made a dome out of coffee cups. Carter thinks it’s impressive, but he ruins it by touching a cup and making the whole thing collapse. Weaver comes in just then, and if you look closely, you can see Laura Innes start to laugh, then turn around so she doesn’t ruin the take. She asks about Pratt and the gun, which should lead to an automatic suspension. Also, Carter bought the metal detectors, so he should be monitoring what goes on there.

Outside, the woman who brought in Jose is trying to leave, and Pratt is standing in front of her car to stop her. Car vs. man is no contest, so she gets away. Carter comes out and points out to Pratt that the men she brought in know her address, so they can report her to the police. Pratt doesn’t think the police will do anything. (Also, they’ll probably deport the men for being undocumented, but Pratt and Carter don’t bring that up.)

Carter wants to know what’s going on with Pratt: He comes in late, leaves during his shift, and brought a gun to work. Carter says he’s seen Pratt’s “type” before. Careful, Carter. Pratt argues that Carter doesn’t know anything about him. Carter warns him that if he continues this behavior, he’ll throw away his career.

Paramedics bring in a 20-something-year-old named Rosemary who briefly lost consciousness after hitting her head. They restrained her because she’s flailing around. Weaver realizes that Rosemary’s flailing is actually her attempts to communicate – she uses sign language. Weaver signs “hi” to her to let her know she’s figured out that Rosemary is deaf. She knows enough sign language to ask Rosemary what’s wrong and determine that she’s septic.

Chen starts to examine an elderly man named McNulty, but he would prefer a male doctor, so she hands him off to Carter. McNulty quickly gets annoyed because he’ll have to wait for treatment. The medical system is all screwed up and just makes patients mad. Having heard the man’s assistant, Sarah, call him Dr. McNulty, Carter suddenly makes the patient a priority. Sarah explains that some kids broke into their clinic looking for drugs, and McNulty got hurt trying to fight them off.

He insists that he’s fine, but Sarah tells Carter that the kids hit him over the head with a bat. He was unconscious for a few minutes and has some cuts from broken glass. Carter tries to convince McNulty to stay for tests, even though McNulty has determined he’s fine. He bets Carter $10 that his CT will be negative. Carter hands him off to Abby, telling her to run some tests McNulty didn’t say he would do. He’ll also need a tetanus shot, since his last one was in 1949. First Abby takes a boy to the bathroom, clueless about the danger lurking when Chip follows him in.

Carter confronts Pratt for discharging the second guy from the tree accident without consulting him. He asks some questions about the stitches Pratt is giving a patient, because all of a sudden Carter wants to do his job and teach his students. Pratt knows what this is really about and says again that the gun wasn’t his. He was going to throw it in the river after work. Carter asks why he didn’t do it before work. Pratt just says he was late.

Susan asks Abby if she’s seen Chip, and is relieved to learn that he’s still in the hospital. As soon as Abby tells her he’s in the bathroom with a kid, Susan panics. Fortunately, the kid is fine and didn’t even see Chip. Chip, however, isn’t fine – he’s hiding in a stall and has carved the word “evil” into his forehead.

Weaver tells Rosemary that she has a bladder infection that spread to her kidneys. She determines that Rosemary didn’t tell her parents she wasn’t feeling well because she doesn’t want them to know that she’s sexually active. While discussing treatment, Weaver pauses and excuses herself, since she’s cramping. Gallant asks for her help with something, but she tells him to go to someone else.

On his way to do that, Gallant catches Coco straddling Mr. Gilman and has to separate them. Poor Gallant has to explain to her that, no, she can’t have sex with him in his trauma room, and not just because he could have a heart attack. Adding another complication to the mix, Mr. Gilman’s children, Bob and Mattie, arrive to check on their father. Mattie clearly hates Coco (who’s young enough to be Mattie’s daughter), but Bob seems to like her.

Deraad finally comes to the ER, but since Chip hasn’t hurt anyone or himself, he can’t be admitted to psych. Abby notes that he has to be kept away from children, and Susan tells Deraad that Chip needs to be in some sort of program and on medication. Deraad tells her he can’t admit a patient just for his thoughts. Susan says this is their chance to intervene before Chip acts on those thoughts. Deraad agrees to put him on a psych hold if he articulates a plan for harming a child.

Anastasia and her fellow mathletes are sent away, which means Chen needs something to do. I mean besides flirt with Pratt. Gallant asks Jerry to call the legal department for Mr. Gilman and his family. Pratt gets a call from Leon and announces that he has to leave. Weaver tries to gather herself in the med lock-up, where Abby finds her and tries to convince her to go up to the OB floor. Her miscarriage hasn’t finished, and though Weaver wants to let it happen naturally, Abby at least wants her to be monitored.

McNulty’s too impatient to wait for Carter to give him stitches, so he’s fixing himself up on his own. Since no one can find Weaver, Gallant asks Carter to get involved in Gilman’s case. Coco wants to collect her husband’s semen so she can inseminate herself. Mattie argues that Mr. Gilman is senile, but Bob says he’s just horny. Gallant tries to tactfully explain to Carter that Mr. Gilman has agreed to undergo electroejaculation. “Come again?” Carter says with a barely straight face. Basically, some guy – who has made a career out of this – ejaculates Mr. Gilman.

Mattie says that Coco is only doing this because there’s money involved. If she doesn’t get pregnant before Mr. Gilman dies, she doesn’t get any of his money. And $7 million is a whole lot of money to miss out on. Coco knows her rights, and those rights include her husband’s semen, so Carter and Gallant probably can’t stop this. Paramedics bring in a trauma patient, and Carter makes his escape, leaving Gallant to wait for a hospital lawyer.

Carter and Chen treat the new patient, though they decide they need more help. Weaver’s MIA, and Luka and Pratt both left, so they’re out of luck. Pratt’s now at home, where Leon is crying and bleeding. It turns out the gun was his, and Pratt took it so Leon’s supposed friends couldn’t get it. Those friends are more like enemies, though, since they stabbed Leon and beat him up.

Chen and Carter’s patient doesn’t make it, and I’m sure three doctors being gone didn’t help. McNulty’s labs have come back, and Carter wants to discuss them with him, but he left and Chuny can’t reach him on the phone. An OB examines Weaver and encourages her to take some time off from work. Abby’s very kind to her boss, who can’t bring herself to say how grateful she is. Abby offers to give her a ride home later. As she leaves, Rosemary walks by and sees Weaver in a hospital bed.

Coco got her semen, and she’s no longer interested in her husband’s condition. Chen and Jerry laugh with/at Gallant over the case and the word “electroejaculator.” Carter comes to the admit desk looking for Pratt, who just happens to be on the phone, wanting help from Gallant. Carter goes to Pratt’s place instead of Gallant, both to yell at Pratt and to help Leon, who doesn’t want to go to the hospital. Carter tells Pratt this isn’t smart. “Everything in my life is not smart,” Pratt replies. Carter guesses that Leon doesn’t want to go to the hospital because the police will probably get involved.

Susan gets Chip to tell Deraad that if he doesn’t get admitted, he’ll hurt his girlfriend’s son. Deraad finally agrees to admit him. Weaver checks on Rosemary, who still hasn’t called her parents. She doesn’t want them to know that she has a boyfriend – she thinks they’ll be disappointed, and they’re already disappointed because she’s deaf. Rosemary asks Weaver why she was in a hospital bed. Though she’s been speaking in all her conversations with Rosemary, who can read lips, Weaver sticks with sign language to communicate that she had a miscarriage. Rosemary puts a comforting hand on hers, and Weaver breaks down.

Pratt tells Carter that Leon, whom he calls his brother, isn’t technically family. He came to live with Pratt and his mother when Pratt was six and Leon was nine. When Pratt’s mother died nine years later, Leon became like a father to him. Leon got into a bar fight and was shot in the head, which left him with mental disabilities. Now Pratt takes care of him on his own.

Carter reminds Pratt that in the ER, the staff works as a team. That means covering for each other and leaning on each other. If Pratt doesn’t get that, he should find a job that doesn’t require trusting people. Pratt admits that he’s never been big on trust. Carter points out that that leads to a lack of trust from other people. Self-sufficiency is great, but asking for help is better, and it doesn’t make you weak. Pratt’s like, “Yeah, I hear you, but I’m not really listening to you.”

Thoughts: McNulty is played by the recently deceased Ed Asner. Bob is played by Michael Durrell, AKA Dr. Martin from Beverly Hills, 90210. Gilmore Girls fans would recognize Sarah as Liz Torres, AKA Miss Patty.

McNulty has the same name as the main character on The Wire, whose boss, Rawls, was played by John Doman. Doman also plays Deraad on ER. I’m guessing that’s not a coincidence.

I would need drugs to get through a math tournament, too.

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