01x03 - Going Home

Episode transcripts for TV show, "ER". Aired: September 1994 to April 2009*
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Doctors save lives in the emergency room of a Chicago hospital.
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01x03 - Going Home

Post by bunniefuu »

Carol?

Yes, Mama.

Are you all right?

Just woke up early, that's all.

Go back to bed.
l'll wake you when l leave.

You don't have to go today.

l want to.

lf you're not ready, no one will mind.

l know. But l am ready, Mama.

lt's all right. Don't worry.

Go on. Go back to bed.

Mesenteric arteries.

Who is it?

The problem now of course is

To simply hold your horses

To rush would be a crime

'Cause Nice and Easy does it

Nice and Easy does it

Nice and Easy does it every time

-Gotta teach it who's boss.
-Thanks.

-Have we--? Excuse me.
-Carol Hathaway.

l met you my first day.

Oh, my last. Or so l thought.

-Hey, Wendy.
-Welcome back. How are you?

-Great. Got a slow Monday for me?
-Like always.

It's gonna be so easy to fall....

Whose patient is this?

-No, but l can name that tune.
-Can you find out?

l'm on my way to Radiology,
but l'll be back in ten.

That's fine.

That's fine. Good.

Dr. Greene, is this your patient?

No, this is my patient.
Mr. Resnick.

How you doing, Mr. Resnick?

l'm having an enema,
how do you think l'm doing?

The problem now of course is

To simply hold your horses

Room is Mrs. Yakamoto's
-year-old daughter Grace.

CC, lingering cough and a runny nose.

No doubt because the kid has a cold.
l'll take baby Huey first.

Mark, have you seen Carol?

You're almost done, Mr. Resnick.

This is the third time you've
asked me this morning.

-The answer is still no.
-We need to be a little sensitive.

-First day back?
-First day back.

l'm here to unload
that new shipment of barbiturates.

-You didn't k*ll your sense of humor.
-Just a few brain cells.

Hi, Jerry.

Jerry, you're k*lling me.

Nothing you haven't tried.

-Don't start.
-Please.

Don't start what?

Dr. Ross asked us to be
a little sensitive today.

Ah, there she is.

Whose patient is this?
Carol, welcome back.

Where did you find her?

Who is she?

Cops brought her in.

Found her riding the El about a.m.
She had no l.D., wouldn't talk.

Oh, yeah? Well, she sings. Loudly.

Really? Sorry, Dr. Benton.

Who's gonna take Madame X here?
l got a laceration in the Suture room.

Abdominal pain, Room .

l will in a minute, but Dr. Jones
wants these x-rays right away.

l'll get it.

ER.

We're on the road to romance,
That's safe to say


So let's make all the stops
Along the way.


All right. Any congestion,
vomiting, diarrhea?

He just doesn't seem right.

Have you or your wife
been sick recently?

Do you have any other kids,
or a babysitter?

We never left him with a babysitter.

We'll get some blood tests and
do some fever control...

...to get his temperature down
and see how he does. Okay?

He looks a little lethargic.

Let's get a CBC, blood culture,
chest, ear and throat swabs.

And hope that we don't
have to do a lumbar puncture...

...or we're looking at
a Valium drip for Dad.

-By the way, have you seen--?
-No, but l'll remember to be sensitive.

lf you ever wanna take
a few minutes and talk about it....

Thanks.

See you around.

-Lab results on Mr. Newton?
-Not back yet.

l hope you don't mind our
joking with you earlier.

You don't think attempted su1c1de
is something to joke about?

Don't worry. lt's fine.

-lf you ever wanna talk....
-Thanks.

Boy, am l happy to see you!

Because l don't have to be
charge nurse anymore. Welcome back.

Thanks a lot.

l have the perfect
first-day-back patient for you.

Where did they drop Arthur?

Other side of Curtain Area .

-Our Arthur?
-Yeah.

So how's it going?

Couldn't wait for this day.
Now l'll be glad when it's over.

-l feel like everyone's watching me.
-Everyone is.

But no one wants you to fail
if that's what you're worried about.

My shrink wanted me to consider working
in a doctor's office instead of the ER.

-Dermatology's good.
-l don't think so.

Maybe this was too soon
to dive back in.

lt's Monday, it'll be easy.

Kids who fake being
sick to stay out of school...

...a few people who partied too hard
this weekend, and Arthur.

Gosh, it is good to be back.
All the familiar faces.

Arthur! Get up!
Come on, let's go.

Ma'am?

Are you okay?

l mean, l can see that
you're not okay.

lf l could just get
your name for the....

Your first name?

Or your--

lt's okay, actually.
l don't need your name.

Hey now....

Would you like a drink?

l know l would like a drink.

g*nsh*t wound's on its way. Now!

Malik, find Benton, clear Trauma
and notify the O.R.

Lydia, draw CBC, get the lab to
cross and type units whole blood.

Find how much O-neg's around.
He's a bleeder.

Got another one. -year-old male,
probable heart att*ck.

-EMTs are here in two minutes.
-Call Lewis and the cardiologist on call.

-Sick kids? Weekend partiers?
-Welcome home.

He's in shock.
Keep those lVs wide open.

All right, people. Showtime!
Let's move.

He's not breathing.
Get the intubation tray.

No breath sounds, hyperresonant
on the left side.

He's got a tension pneumo.
Let's get a chest tube tray now.

Seven and a half.

-Where's X-ray?
-l'll get it.

Check with Susan.
See if she needs help.

-They need X-ray, Trauma .
-He's coming. Welcome back.

-l could use some company.
-Timmy, find Pam.

-What've you got?
-Heart att*ck symptoms.

Substernal chest pain radiating
down left arm with diaphoresis.

Had nitro spray times two without
relief and mg morphine.

-Vitals?
-BP's down over . Respiration .

He was in sinus rhythm
then went into this.

Okay, on three. One, two, three.

Mr. Flannigan, how's your pain now?

Better. Dr. Kayson's my cardiologist.
Someone was going to call him.

Okay, let's check on Dr. Kayson.

Get an EKG, chest, CBC, Chem- ,
enzyme and coag panel.

BP's over ,
pulse is racing at .

What's his rhythm?

lf it's V-tach, we need to shock him.

-You wanna do it?
-No, he seems quite stable.

Let's try adenosine. mg lV push.

Heart rate's dropping.

BP's down. Down to palp.

Damn! Get the external pacemaker.

-Where's the pacer?
-ln the drawer.

Carol, stay put. We need you in here.

Take this to Susan in .

-How's his belly?
-Rigid.

-Lavage time?
-Got it.

Anesthesia?

l'd say his buddies already
took care of it for us.

Heart rate's low.
Give him another milligram of atropine.

-Pacemaker's capturing.
-ls the dopamine running?

Yes. Sure you don't wanna intubate him?

l'd have to paralyze him,
which l won't...

...considering his low BP.
Keep bagging.

This guy's blood gas stinks.
Did you reach Kayson?

He's being paged.

Can't wait. Get the Pavulon, Versed
and sux, and a dose of TPA.

-Vitals?
-BP's over . Respiration .

-Pulse .
-Let's take a look. Catheter.

His ST wave is way up. Acute Ml.
We're in trouble.

You wanna inject TPA?

Hand me his old chart.

No contraindications to TPA,
but l don't want him to bleed.

-How's his pressure?
- over .

We gotta go with it. units
heparin and TPA, mg push.

over one hour. Get another
EKG. Keep him on the monitor.

-BP?
-Still over .

He's in v-fib. Crash cart!

-Two hundred?
-Yes.

Clear.

Clear again.

l'm Dr. Kayson.
What have we got?

He's having an inferior wall Ml.
l just started TPA.

He should go to the lab
for angioplasty.

-l felt drug therapy was indicated.
-And angioplasty wasn't?

-No. But since--
-l favor a more aggressive approach.

That's one opinion. l chose dr*gs.

Dr. Lewis, Mr. Flannigan
is my patient. You're a resident.

All decision concerning his care
will be made by me.

Call the cath lab.
Tell them we're coming. Vitals?

Blood pressure is over .
Pulse is .

Pacemaker captured, that's a start.

Prep another milligram atropine.
Keep bagging.

Come on, let's go. Move.

l'll go to the blood bank.

How's that Ml?

Kayson seems to have it under control.

You wanna grab some coffee?

That was good work in there.

You may have doubts about being back,
but none of us do.

Thanks.

-Have you seen Morgenstern?
-No.

-Have you seen Susan?
-Am l the hall monitor? No.

l need you in Exam . Mrs. Cheung,
early s, eye and cheek swollen.

Facial lacerations. Bruised ribs.
Don't know how it happened.

Doesn't speak English, but her son does.

Travel my way, take the highway
That's the best


Madame X?

She doesn't answer to that, but yes.

At least she's good.

It winds from Chicago to L.A.

You are absolutely wrong.

-l'm not wrong.
-lt was a bad call. Admit it, Div.

Anybody could've made it.

You don't pick a guy off first
with the winning run on third.

There were two outs.
McDowell had it all sewed up.

Yeah. Till he threw it
in the dugout.

What do you need?

This is Madame X.

l did a physical but had
trouble with the psych exam.

And the mental status questions?

Tried. Half the time she screamed,
the other half she was in tears.

Let's see what we can do.

She fell down the stairs.

-At your house?
-Yeah.

-Did you see her fall, Frank?
-Yeah.

And you live at West McArthur...

...apartment A?

Apartment A, that would be on
the third floor, right?

No, we live on the first floor.

Where were the stairs?

Will you help her?

Yes, we will.

Malik, why don't you take Frank out?

Come on, l'll show you how to get
free stuff from the candy machine.

-X-rays?
-Yes.

Left orbit, chest and ribs.

What do you bet we find
a few healed fractures?

My dad once saw Benny Goodman play
at the old Monroe Theater.

-On rd Street?
-Yep.

l used to sing there during the w*r.
All those boys in uniform.

He was one of them. Who knows,
maybe you even danced with him.

l never thought to talk about music.
l don't know music.

Neither does he.

Are you ready to try
some of those questions?

-Like on Jeopardy!?
-Yeah.


Can you tell me where you are?

What is a jail?

No, you're not in jail.

The cops brought me in here.

Okay, l'll give you that one.

What year is it?

What is ?

-And who's the President?
-Harry Truman.

Who is Harry Truman?

Here's a different kind of question:

lf you found a sealed letter
with a stamp on it...

...lying in the street,
what would you do?

l would....

lt's okay, forget it.
We'll try another one.

Can you tell me the difference
between a child and a dwarf?

l am a child, but l'm not a dwarf.

Excellent. Very good.

-Dr. Morgenstern.
-Walk with me. Are you glad to be back?

-Glad to be anywhere.
-How's your family handling this?

All right. They were afraid
it was their fault.

-How're you holding up?
-Okay.

Hoping to slip back without
everyone making a big deal.

lt is a big deal. People should
be concerned. Your family, the staff.

But everyone felt you were
ready to return.

-Thank you.
-You're welcome.

Now go work too hard.

Hypothyroidism, Cushing's syndrome...

...hepatolenticular degeneration,
vascular disease?

When you hear hoofs,
think horses, not zebras.

Think Alzheimer's.

lt explains the mood swings,
memory loss, confusion.

What should l do?

Find her family.
She just wandered off.

l asked you to check her,
not to become her physician.

l see Malik taught you his trick.

l know sometimes it's scary
to tell the truth.

Especially about stuff
that happens at home.

When your mom and dad argue,
you don't wanna take sides, right?

Telling the truth isn't taking sides...

...it's just saying what happened.

And if we knew what
really happened to your mom...

...we might be able to help her more.

She didn't fall
down the stairs, did she?

Here you go.

Don't worry, Frank.

Your mom's gonna be fine, all right?

Just fine.

Going to lunch?

The cafeteria has taken
a real dive since you left.

lt's got all this low-fat
health food junk. lt's a major drag.

l can't really do this.

Do what? Go to lunch?

l'm not asking you out. l'm not saying
that we should see each other again.

l'm sorry l'm late. l had
a knee arthroscopy on this kid.

Captain of the school football team.

His folks are worried
about his scholarship, but....

You know John Taglieri.

-Hi, John.
-How's Pediatrics?

-You must have a lot of worried parents.
-All of them.

Maybe we should go.

But not the cafeteria. No burgers,
no fries. That place is worthless.

lt was really good seeing you again.

That's a really funny story. l'll have
to remember that one, Mr. Karnow.

Can l see you for a minute?

Excuse me.

You were supposed to be
in Radiology minutes ago.

Look, he can talk about his mother,
father, brother, sister, dog.

Your job is to stay focused
on his medical problems.

Bird touching down in two.
Teenager. Boating accident.

These chopper jockies move fast.
Stay close, pay attention.

Don't go near the rear blade
and don't fall off the roof.

You're not being a lot of help.

l've surrendered.
You haven't decided for six months.

l've narrowed it down to
either the Cherokee, Explorer...

-...Montero, Trooper or Pathfinder.
-What, no Runner?

Susan, Mark, l'm gonna switch this
week's M and M to this afternoon.

l want Dr. Kayson to come.
He can't on Friday.

l want you to present
your morning's heart case.

Mr. Flannigan.

Excellent teaching case. All part of
the process. l'll see you at five.

Oh, God!

He didn't crump, did he?

No. l gave him TPA,
Kayson wanted angioplasty.

Hate to get into it again.

''l'm sure it'll be
an excellent teaching case, Susan.''

Follow me. Stay close, all right?
Don't get in the way, whatever you do.

Stay on me. Come on, come on.

Go!

-What've we got?
- -year-old girl. Jet Ski accident.

Boyfriend tried to outrun a whaler.
Altered LOC from head trauma.

Go. What are her vitals?

Four-inch scalp laceration.
Bleeding controlled with pressure.

-Go! Move!
-Left arm and right leg with fracture.

Vitals over , pulse
and thready. Pupils PERRL.

GCS .
Skin is pale and cool.

-How long was she in the water?
- minutes.

Started CPR.
She stayed unconscious.

Was there any respiratory effort?
Carter, move! Go on, get the door!

Huey's test results have failed
to show a source of infection.

What does that mean?

lt doesn't mean anything.
But we need to rule out meningitis.

So l would like to do a lumbar puncture.

-Lumbar puncture?
-A spinal tap.

Spinal tap?

-Who wants to fill me in?
-Dr. Carter.

She's . lt was an accident
on the lake. She's hypotensive.

She was underwater minutes.

Three minutes. Multiple trauma,
hypotension, tachycardia, GCS .

Multiple extremity fractures.
Neuro and vascular, intact.

Thank you, Dr. Carter.
We'll take it from here.

Let's move, people.

Tell X-ray we need a cross
table C-spine and....

Chem- , CBC, type and cross-match
unit packed cells.

Call O.R. and inform them.

The bathroom is over here
if you want to wash your face.

-Malik will show you where you can wait.
-Thank you.

Heard you had a crasher.

Trials of fatherhood.

You talk to Carol yet?

l tried to.
Taglieri showed up.

Are you surprised?
They've been going out for a while.

-You didn't expect her to pine for you?
-No, l didn't.

Just hoped she would?

Nobody likes being replaced.

Glad l did it first. Although for the
life of me, l can't remember why.

Maybe it's just because you're
stupid, childish, immature.

l get the point.

We'll have someone do
your stitches soon, okay?

-Thank you.
-Your blood test came back.

You didn't tell me you have leukemia.

You asked what l came in for. This cut.
l feel stupid slipping in the kitchen.

Supposed to slip in the bathtub.

You didn't slip, Mrs. Packer,
you fainted.

Your white blood cell and platelet count
is very low. You have aplastic anemia.

lf someone could just sew me up.

You need to be admitted to
the hospital for a blood transfusion.

That's just not possible.
Not today.

Without transfusion of blood, you're
susceptible to infection, bleeding...

-...possibly even a heart att*ck.
-l know all about it.

l've had this for quite some time.

And time is something l don't
have a great deal of anymore.

l'd rather not spend it in a hospital.

Now if l could just get a few stitches.

We'll have someone in here in a minute.

Thank you.

l know. l know.

All right. You're a very brave boy.
All finished.

Dr. Carter, next time
you can do the lumbar.


Come here, buddy.
Here we go. l know.

l know. lt's all over.

Susan needs you to do some stitches
by the nurse's desk.

There you go.

-Have you seen Mark?
-No, sorry.

Hanging in?

-We still having coffee later?
-Yeah, sure.

That ought to do it.

You okay?

You're gonna be okay.
You're gonna be okay.

You know, when l think of all
the great ones...

...Ella Fitzgerald is
probably my favorite.

l mean, she's amazing.

And the music...

...there's nothing like
that music today.

No, there isn't. No.

Do you wanna sing?

Life begins and spirits rise

And they become memories

That vaporize

And the vapor becomes

The dreams we devise

And while we are dreaming

Time Flies

And while we are dreaming

Time Flies

Excuse me. My breasts hurt.

Dr. Carter, please.

And your name again?

Proserpina, daughter of Ceres,
who was whisked away into the dank...

...underworld by Pluto,
who not only had his way with her...

...but also forced her to eat three
red, ripe, dripping pomegranate seeds.

And to think you could have
missed all this.

All right Miss ''Pina,'' let's start with
a Social Security number.

Did Jennifer come for lunch?

No. She had a job interview with
Pitman, Pitman and Staufenowski.

What a mouthful.
l'd hate be the receptionist.

l'm gonna meet her for dinner.

Don't leave before the session.
l need all my friends with Kayson.

l won't miss your interrogation.

-Got a minute?
-Don't be late.

That boy, Frank wants to talk to you.

-About his mother?
-Didn't say, but that's a good guess.

He's scared to death.

-sh*t again?
-Never have l seen such a thing.

-l've become a magnet.
-Your name?

-lvan Gregor. He owns a liquor store.
-They're bad sh*ts. Little punks!

l should buy a g*n. Never wanted one
around, but what l am supposed to do?

Calm down. All right,
let's get him in here.

Call Radiology. Let's get a left hip
tib-fib x-ray, right away.

Go find Carter.
He keeps disappearing.

We'll do this on my count
and we'll do it right.

Liz, l don't think that we should--

Remember that thing
you did the other night?

That thing in the car
or in the kitchen?

That thing on the stairs.

That's nothing compared to....

l don't think we have any
uneven parallel bars.

You know what they say in med school:
''S- , S- , S- , S- ...

...keep the pelvis off the floor.''

Patient: Gregor, lvan.

Medical record .

AP and lateral views:
left tibia and fibula.

Please reconsider.
We can start immediately.

You'd only have to be here one night.

That doesn't seem
very long to either of you...

...to me it is an eternity.

We wanna give you more time.

You've given me a wonderful afternoon.

lt's not every day l get to hear
Mary Cavanaugh sing in person.

Mary Cavanaugh?

My husband and l saw her perform in San
Francisco, on our honeymoon in .

l appreciate your concern,
but l have to go.

We need a wheelchair!

And has your father hit her before?

Has your father ever hit you?

Does your father know that
you two are here?

He's coming to pick us up.
l guess l shouldn't have told.

No, no, no.
You did the right thing.

We're gonna try to get
some people to help you, okay?

Why don't you go see your mom?

Call Social Services and
Children and Family Services.

See if anyone can come up
with a shelter for them.

Let me know when they're here.

l don't think l've ever seen
such an old little boy.

So you elected not to cardiovert?

-He seemed stable.
-Hypotensive with chest pain?

-The pain was controlled.
-Somewhat.

Let's continue, please.

Could be a wide, complex tachycardia.

Was that a consideration?

-l felt it was rate related.
-Which it wasn't.

No. Heart rate dropped. EKG shows
an acute inferior wall Ml.

Why the delay in intubation?
You had the bad gases.

l thought bagging would help.
When l got the gases back, l tubed him.

So you recommended drug therapy.
TPA?

l do angioplasty with my Mls.
The TPA messed everything up.

He had no contraindications,
and time is heart muscle.

-l was on my way!
-l didn't know.

People, please. This is just a
teaching session. What was the outcome?

Did the angiocath and it was a mess.
He bled like a stuck pig.

Before l got to the angioplasty
his heart rhythm went haywire.

Shocked him and he revived.
EKG became normal. The artery opened.

So you never did angioplasty?

-l could hardly--
-And the TPA worked?

Dr. Benton, what would you do?

Angioplasty.

Dr. Langworthy?

Angioplasty.

Dr. Greene?

Angioplasty.

Just because we're friends
doesn't mean we'll always agree.

l'm getting dragged over the coals,
you stroll in late, don't say a word....

l missed the first half.
How was l supposed to comment?

Didn't stop you commenting in the end.

Why do l feel like a traitor?
You know, it wasn't personal.

l'm dying out there and you're
siding with the slicers and dicers.

Benton and Langworthy are surgeons.
They only want to cut people open.

That may be an exaggeration.

The patient was fine with a dose of
TPA versus a $ , surgery.

My decision was valid,
you should've backed me up.

You seen the chart on the
sliced finger in the Suture Room?

Yep. Did Proserpina find you?

Who? Oh, Liz.
Yeah.

-Seems like an interesting girl.
-Yes, she is.

l knew a girl like that once.
Freshman year of college.

''Penicillin'' was her middle name.

No meningitis. He's got no infection.

Continue to monitor his temperature.

And have his doctor check
the blood cultures tomorrow.

Alrighty. Thank you.

Wanna get some coffee?

l'm not sure now is a good time.

We'll go outside and watch them
polish up the ambulances.

Okay, l'll just be a few minutes.

Dr. Lewis was so persistent
l had to agree to a transfusion.

We're just worried about you.

l'll miss my granddaughter's christening
tonight. : service.

Your family could reschedule it.

Why should they? l'm not going to
die on them. Not today.

l've had a lot of time to think
about dying. Can't say l recommend it.

A nice fat stroke would have
suited me better.

But each morning l wake up
l think of as a gift.

And there's this feeling l have.

l don't know when it's going to happen.
But l know when it's not.

l'm not going to die today.

l am going to a christening.

Father showed up ten minutes ago,
very determined to leave.

Mr. Cheung, l'm Dr. Greene.

Like to go and talk this through?

There is no need, but thank you.
l want to get my family home.

This mother and son
need to get to a shelter.

They've gotta want to go.

Frank told me that his father hit her.
Look at her face.

She denies it.

My son was very upset when
his mother fell. Confused.

You understand.

Please ask your mother again
for me, will you?

-Get Children and Family Services.
-Not unless he's been beaten.

How can you say such a thing?

Has your father ever hit you?

Did your father hit your mom?

No.

Thank you for your concern.

l don't think so.

l'll get it.

Who was Jimmy Dorsey?

Glen Miller.

-l got Duke Ellington, didn't l?
-Big deal.

What're we doing here?

We're waiting. Your granddaughter's
here. You're going home.

That's right.

-My granddaughter's here. Did you meet?
-Yes.

l'm going home.

Can you come?

l'm very busy today,
but some other time.

Are we all set?

Thanks again, and l'm sorry about this.

She usually doesn't wander so far.

lt's okay, really. Don't worry.
She's really great.

Love you, love you, love you.

l love you too.

Let's take it Nice and Easy

It's gonna be so easy

Come on, Ellen.
Come on, come on.

Hey baby, what's your hurry?

Relax and don't you worry

We're gonna fall in love

Thanks.

-Good first day?
-Yeah, so far.

That's good.

Listen, l was hoping that--

l know that you're seeing
Taglieri, but....

l was thinking you and l
could see each other again.

l would've tried su1c1de earlier
if it was such a turn on for you.

-l'm serious.
-No, you're not.

You're standing there like a puppy
because you feel guilty.

No, l don't. l mean l do, but
that's not what this is about.

lt is. You think you had something
to do with my swallowing the pills.

Well, you didn't.

There were actually more depressing
events in my life than you.

Tell me about them.
l wanna know.

lt's a combination of things, you know.

Too much stuff starts piling up,
you feel trapped.

l spend a lot of time talking about
all this stuff with my shrink, so....

l have a lot of work to do.

Look, Carol. You really wanna
be with Taglieri?

He was there before this
happened, and when it happened.

What we had...

...is it worth another chance?

You thought what we had didn't work.

l don't suppose we could
talk you out of this?

l told you l'd be in first thing in the
morning for the rest of my transfusion.

l can't miss one minute of one thing.

Not one minute, one hour, one day.

When l was your age
l never thought of such things.

l do.

Life might be giving up on me,
but l'm not giving up on it.

-Then we'll see you tomorrow morning?
-Yes, you will.

ls she leaving again?

She's going to a christening.

Come quick! Mark's hurt.

Surprise!

We wanted to give something to let you
know how glad we are that you're back.

Eight weeks ago,
you grabbed our attention.

So if you feel like
you need to do that again...

...we'd like you
to put this on instead.

Speech!

To say l feel lucky would be kind
of an understatement.

What you all did...

...to save me was like a gift.

l've promised myself to remember
that every day, so...

...thank you.
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