06x22 - The Last One

[bunniefuu]

So you see, General Sarnoff, it's quite a
network, and optic nerves need their rest.

So do your eyes a favor and
cut down on the time you spend in front of the television.

Luther, what do you got?

Me?

Spring fever.

You're patient.

What do you care?

You just finished your last ER shift.

It's over.

You're through at St. Eligius.

Forever.

Yeah, the end of the world as we know it.

And I feel fine.

Goodbye, Boston.

Hello, Managua.

Next week, you'll be hooked
up with a medical peace organization and start ducking land.

Well, maybe I should hang around
here and give the new arriving first years some pointers.

Ah, cold feet.

No, it's just I've helped hundreds of people in this room.

I've reattached limbs, patched up b*llet
wounds, brought lives back from the brink,

and my last patient at St. Eligius shouldn't be someone who
spent their entire existence in front of the tube.

I hear you.

Cubicle three.

It's for Jesus Swenson.

Give me the quick one-liner.

Songbird.

Lost her voice.

Laryngitis?

What a challenge.

It's a little more complicated than that.

Well, you'll just have to trust me.

Things are happening very fast.

Come in.

Get here as soon as you can.

Yeah, see you soon.

How did he respond?

He's dubious, but he'll come.

And you, any success?

Well, jumping Jack, what was that flash?

Sounded like an airplane.

Hmm.

So, what's the word from Weigert?

Wendell Collins just called.

Said everything's running smoothly.

With any luck, plans will be finalized by
the end of the day.

Good.

Donald Westphall's chair.

Forgotten I gave that to you when he left.

[Plane crash]

Wha?

A plane.

Holy smoke.

The FAA's on its way up.

Dr. London's still alive?

Bandaid on his for head, clean underwear.
Completely new man.

Tsk. How did he crash anyway?

Buzzing the hospital. His engine failed.

Wow, another fun filled day in
the fascinating world of Floreners.

Have you heard any word from Victor?

Nadda.

Go ahead, make a crack.

Oh, not me.

I know what you're going through.

My third husband disappeared.

It ended in tragedy.

What happened?

He came back.

Oh, you've had a tough life, Helen.

Leaving your homeland, four failed
marriages, then the drug dependency.

Hey, what about you?

Years of spinsterhood, marrying a resident
only to have him walk out on you.

We've been at each other's throats for a
long time, through bad times and worse.

Silly, isn't it?

Juvenile.

You want to be friends?

I'd like that.

I feel change is coming.

Something is in the air.

The smell of high octane fuel.

This is more than fuel from Oliver's airplane.

Long way London.

About time he had his wings clipped.

Mark, my intuition are often quite accurate.

St. Eligius is due for a change of luck.

Good or bad?

You almost got me there, Paulette.

Next time I'll rickshaw over to the China Pearl

- for a fortune cookie.
- And at the doctor of the year awards under the table.

Oh, Jack, nothing's changed.

You know that.

Today's your last day.

You can't put this off any longer.

Either you go back to Joanne and her kids
in Seattle, or you, Pete, and I start a new life together.

You have to decide.

Don't pressure me.

Well, then, let's go check on Mr. Skink's hernia.

Seth.

Jackie.

Do you think Gideon will make me a new chief resident

now that Chandler's Mississippi bound?

Right now I'm more concerned
about your AID's an it body test.

I appreciate the concern.

Chances are the results are false positive.

Those tests have a high rate of uncertainty.

I know.

Then stop telling people you have the virus.

Draw blood, and run another HTLV-3.

There's no doubt in my mind that I have A*DS, but
I've been praying, and I'm sure God's healed me.

Move her up to ear, nose, and throat,
and I'll try and get a history.

Dr. Fiscus, you're done.

Get out of here.

Just tell me where the guy is who brought her in.

Waiting room.

You can't miss him.

Oh, no, I'm not holding that spear.

Sir.

Hang on just a minute.

I'm checking my message machine.

Chance to do some television in New York.

Great.

Dr. Fiscus.

Neil.

Neil Dubin.

If you're going to dress like a Viking,
make it Fran Tarkington.

I was hoping to break into the scenic artists' union.

It's all fathers and sons.

So instead of painting the battlements,
I'll be standing on them.

What show are you doing?

Some opera, I don't know, it's in Norwegian or German.

I'm not a singer, I was just tired to be big.

How's Brigida?

I want a specialist to take a look at her pipes.

Look, she has to get her voice back.

She's the star of the show, and tonight's
the final dress rehearsal.

Oh, that's why God created understudies.

Now, I asked Miss Swenson not to talk,
so I'm gonna need some more information.

Hey, Fiscus.

I'll be back.

Don't leave, Erickson.

Oh man, I beat Hodgkin's disease as a kid.

I survived a march on
the Pentagon, tear gas in New Haven, Kool-Aid in Jonestown.

Oh, my life can't end now with a bad heart.

Please don't let this happen to me.

We're going to do everything we can.

Kayla, Louie, CCU, stat.

Hold on, Mr. Pearson.

Here we go.

Guess this is goodbye, Fiscus.

Faith, please say it for me just one last time.

Godzilla!

Monster-u and Haber-u!

I love it.

Oh, Mark.

Ellen, you are a knockout.

No, not here, not now.

Oh, come on.

Mark, we have a problem.

Are you kidding?

I'm on the top as chief of surgery, you and
I have reconciled, and tonight I'm moving back in the house.

I've been offered a better job.

Director
of food services at, uh... Let me guess, let me guess.

Uh, Bernheimer Memorial.

No.

Our Lady of Perpetual Sorrows, Boston General?

No.

Okay, Ellen, my 20 questions are up.

Good Samaritan Hospital.

I never heard of the place.

Maybe because it's in Cleveland.

As in Ohio?

Yes.

And I said I'd go.

I haven't looked.

Well, now maybe you'll believe in God's power to heal.

That will be done.

Seth?

Oh, hallelujah.

The test says you never had A*DS.

That's why I dragged you
to the lab, to prove to you that you had a false positive.

God healed me.

You're a doctor, Seth.

This isn't the work of the Lord.

Can any of us prove that?

Mr.

Merkin is not in Three North.

Orth.

Mr. Merkin, the amputee?

Yeah, he's Dr. Kimbo's patient.

He's a fugitive.

Lately, I can't seem to keep track of anybody.

It's not your fault.

Let's go scour Three East.

I'm going that way.

I'll help you.

Any sign of Victor?

Uh-uh.

He walked out on me because I'm too demanding.

It was my fault.

Don't be so hard on yourself.

Thanks, Helen.

If my husband ever comes back, I
swear I'll never force him to do anything against his will.

Where was he last seen?

Surgical suite, during a three-way transplant.

I found him.

Mr. Merkin?

No, Victor.

Hey, Mr. Merkin.

Everybody's looking for you.

Here, don't pitch it, don't eat it.

Dolly, hold that Vader.

Nice going, you let him get away.

Mr.

Merkin.

The marketing.

Slow down.

Ah Move the gurnie hoe.

What's waiting to go?

Mr. Merkin.

I don't know, I haven't been able to find him all day.

You're welcome.

Home.

To California?

Don't hit.

I'm just standing up.

I checked with your Aunt Charisse.

She said she hadn't seen albino hide nor bleached hair.

I spent all my time at the beach.

Me and Dogger went in a surfing safari.

What?

I needed some answers.

Dogger never even went to our wedding.

I'm your wife.

If you can't talk to me... These answers
you only get sitting out in the lineup,

waiting for the next set.

A speck in the vast ocean.

Until someone spotted a great white and we
had to paddle back to shore.

sh**ting the and a curl sure didn't help
your powers of communication.

Hey, I panicked, babe.

The responsibility of being a husband,
the pressure of being a parent.

I was right.

I freaked you out.

What's more important is, one day
at the Hollister Ranch, I rode the greatest wave of my life.

And when it was over, I'd wash back up in the sand.

All I wanted was to tell you.

Oh, Victor.

Doctor.

Okay.

Here we go.

Watch your spirit.

Mr. Dubin says it's important to get you
back for dress rehearsal.

Shh.

If you want to get over this quickly, remember, don't talk.

Now ENT says there's not much we can do except park you in

the steam room
and let the moist heat soothe your vocal cords.

Don't even whisper.

You know, that stresses your vocal cords
even Even more than talking.

You know, today's the last day of my residency.

I've been thinking about the past.

The range of patients I've treated.

The range of doctors I've worked with.

Ben Samuels, Annie Cavanaero, Elliot
Axelrod, Donald Westphall.

All gone now.

One way or the other.

I think about the kid I was when I first
walked through those sliding doors.

Postoperative, obstetrician, and how each of those
people I met helped me become the person I am.

Finally, I found you.

Boy, this is some big place.

And I know every inch of it.

I was just telling Ms. Swenson about the
three years I spent here.

The grueling hours, the bad food,
the egomania, death, moral confusion.

It'll be hard to leave.

Yeah, well, you wasted your time.

I wouldn't do my residency anyplace else.

I mean talking to Brigida.

She doesn't speak any English.

Mark, don't you ever knock?

I've just been making some phone
calls, checking out this not-so-good Samaritan hospital.

It's a rat hole.

A dumping ground.

A place you wouldn't send Gaddafi's mother.

Before Weigert took over, St. Eligius was
called St. Elsewhere, remember?

Besides, part of the
challenge is... Ellen, I thought this over very carefully.

You can't go.

Hospital.

You have no right to tell me what choice to make.

Trading a Metropolis like Boston for an
economically depressed, architecturally

devoid, culturally deprived burg like
Cleveland is ludicrous.

I like Cleveland.

It's a land of billowing smokestacks,
nose guards, cheese whiz.

The Midwest is beautiful.

It's further away from Barbara.

Yes, but moving away from Boston means
leaving behind Stephen's grave.

And John Gideon's face, and... Me.

Fine.

Go to Ohio.

Go to hell for all I care.

Any idea where the fluid building up
around the heart is coming from?

No, not precisely.

The fluid could be the result of infection.

I don't think so.

My guess is Mr. Pearson suffered an MI
resulting in pericarditis.

Any sign of cancer?

An unlikely cause of pericarditis.

I agree.

Worth peak.

Oh, it's still culture for infection.

After getting a closer look for an MI.

And if everything runs according to the
usual, Murphys, we're all wrong.

Oh, Daniel, can I have a moment?

I'm headed for the solarium.

They tell me my tulips have bloomed.

We should talk.

Excuse us, Paulette.

Waking up next to the
woman you love, I tell you, Big W, married life is the best.

Yeah, yeah, so you've been saying ever since the big event.

It's time for you to find a woman like
Penny and just settle down.

Well, maybe I don't want to get married.

What's wrong with that?

I just hate to think of you in your final
years, sitting by the phone all alone,

no one to talk to, no one who cares.

It's just sad, sad, sad to think of, man.

Joe, stay here.

Big W, open the door.

Big W, please, don't leave me in here.

Patient 4077, Blake, Henry.

Memory, cause of death thought to be
injury sustained in a helicopter crash.

Hi, Jack.

I was just listening to Kiem,
Auschlander, and Gideon, doctors, talking about a patient.

No one knew what was wrong with him.

All of medicine is as confused as we are.

Med school enrollment is down,
what was malpractice and such.

Becoming a doctor is, it's no longer a
shortcut to being a millionaire.

Yeah, so?

But, But the quality of medicine is improving.

It's better because those who are going in
are doing so for purer, nobler reasons.

And even though technology is advancing
faster than those of us who use it can

comprehend, and even though the
specialization of hospitals is threatening

general health care in certain
communities, and even though there are all

kinds of ethical complications evolving, medicine is
still about one thing, healing people.

You're going back to your wife?

Yes.

Joanne and I spoke.

Pete and I are flying back to Seattle tonight.

How'd you know?

No.

If you were going to stay, you would have
kissed me when you came in.

I'm sorry.

Don't.

Just go.

But I don't want to.

Just go.

Well, Henry, I guess it's just you and me this afternoon.

Hey.

Hey.

What took you so long?

Going over the results of your scans.

Is it my heart?

Heart?

No.

No sign of ischemia.

Well, what then?

What did you find?

Large nodes in the center of
your chest, causing abnormal fluid to compress your heart.

What kind of nodes?

I don't know exactly for sure.

There are more spots in the liver and in
the paraortic nodes.

Tumors?

Probably.

The Hodgkin's may be reasserting itself.

You know, ever since EDS,
criticism by awards I've been in hospital since I was young.

I used to live in any kilowatt hours.

And I don't want you to think I'm tired of anything.

Ever again.

Ricardo was so guitar.

I'm not a guitar alum.

I deal with the guitar as, what the hell?

But you could sing a long song about it.

They're still balking.

Our whole plan may be down the gutter.

We mustn't lose faith.

We've come this close.

I swear this hospital is cursed, Daniel.

Every single thing I've done to try to
improve it has backfired.

The artificial heart program, the parking structure.

Why go of old news?

Because here we are about to do something right.

Then disaster wins.

Again.

Oh, no, it won't.

You all right?

Knee's been a bit stiff ever
since I injured it running to avoid that wrecker's ball.

Where are you off to?

Six months ago, when this building was about to be demolished,
Donald and I fought hard to save her from extinction.

But I fell on the battle lines.

My cancer debilitated my efforts.

And we almost lost.

But not this time.

I don't care what it takes.

I'll see that this plan succeeds.

What?

Your new society award just arrived.

Oh, by the way, congratulations on Ellen's job opportunity.

The way she's blossomed this past year, becoming
her own person with her own career, you must be very proud.

Why don't you slide back to the Valley of the Dolls?

Hello?

Hello.

Yeah, no, I'll take that.

Hello, Dr. Grad.

Thanks for returning my call.

Uh, yeah.

Uh, how are things in Cleveland?

Uh-huh.

And at, uh, Good Samaritan?

Pardon?

Listen, I'm calling about Ellen Harper.

Evidently, she's being considered for a
position as Head of Food Services.

Yes, well, there are some things about her
on the Q.T., of course.

Mr. Pierson, I'm Dr. Griffin.

Floyd gave you the short back and sides, huh?

Yeah.

Probably gonna lose my ponytail to chemo anyway.

I haven't seen myself without a mane since
Sirhan Sirhan gave short hair a bad name.

See ya, Floyd.

He's been trimming heads here since nobody knows when.

Mr. Shapiro may Bury us all.

What's going on now?

Dr. Kim assigned me to
your case, and she wants you transferred to a regular room.

Ever been to Alaska?

No, but I hear it's God's country.

Oh, it's beautiful.

Enormous.

So much of it is still untouched.

A place where everyone pulls together for survival.

I planned on living there for the summer.

But, you know, tied down with hospital appointments and...

I can't quit my job.

I'll lose my health plan.

So when do I start treatments?

Tomorrow, Dr. Kim will place a tube in your
subclavian vein and you'll begin immediate chemotherapy.

Chemotherapy.

I still perfect the word chemotherapy.

Sorry, you stopped?

For me, it was the right choice.

No.

A handful of years ago, when my cancer was first
diagnosed, a bunch of chemo was an experiment.

Now, I've seen the world go
from model T to space shuttle, all in a mere 75 birthdays.

And I wonder at the marvels that lie ahead
for your children.

For you, ICU.

Will you see the end of cancer in your lifetime?

Cancer, that old b*stard that kills from within,
that slaps our spirit, robs us of precious moments.

I always wanted to see more of the future,
of medicine, of this planet.

The future has always tantalized me.

My greatest disappointment is that I won't
be around to enjoy it.

Remember, you promised to live long enough
to see me graduate from the PA program.

Won't let you down, Luther.

Right now, I've got to wait for an important call.

Oh, I overheard Dr. Kiem say something was going on.

Are you going to close this place down again?

Meet me back here in half an hour.

I'll tell you the news.

My last cup of St. Eligius coffee.

Wayne, would you knock it off?

Everything for
the last hour has been and my last paycheck from St.

Eligius, my last medication order at St. Eligius.

I'm a sentimental guy.

My last whiz at St. Eligius was going too far.

Yeah, I was thinking of bronzing it in a specimen cup.

When's gross, Dad?

Pete, let's vamoose.

Boomer?

At least no one in Seattle will call me that.

Surprise!

Often in the safe distance from the hospital, hospital,
some of us are stuck here for years, a chief resident, Wade.

Hey, congratulations.

Tacky, all right.

Well, Pete and I, we should go.

I, um, thanks for helping me when you
could, and for leaving me on my own.

Sometimes, what I mean is, thanks for
being my friends, tissue,

what do we do now, maybe we should sing
it's a long way to Tipperary, colon blue,

what do we do now?

We go save a life.

Bye, Jack.

Wing.

I'll go too.

Maybe they need a hand.

So long, son of Morris.

Stan, forest,

Jullia, Bundle up guys.

Go ahead and open it.

What.

Do you think?

Third.

Floor nurses station, hello, hello Hello?

Look, this isn't funny.

I'm very busy.

Sorry to
interrupt you, but I need you to... Just a minute, please.

Well, I'm afraid this can't wait.

Neither can this.

Look, I need you to take... Oh, please do it yourself.

I'm busy.

Don't tell me you're busy.

I'm head nurse, which is why chaos reigns around here.

Oh, really?

Then what's this?

Hello?

Hello?

Look, when I ran this nurse's station... Oh, here we go.

Another rousing episode of The Nurses
starring Zena Bethune.

We have to release the pressure in the
pericardium to get the pulse back.

You'll never make it to the cath lab.



What are you going to do?

Just watch the EKG machine.

Okay.

Any change?

Nothing.

Whoa, big voltage spikes.

Means I've entered the pericardium and touching the heart.

I have to withdraw the needle slightly.

Normal sinus rhythm.

I feel a pulse.

Let's get him to the cath lab.

By the way, what are you still doing here?

I don't know, just am.

Sharon, more 3-0.

So, Ehrlich, you still
haven't told me where the hell you've been the last 10 days.

I'd rather not discuss it, sir.

Vanishing to thin air, shirking your
responsibilities here and at home,

worrying everyone half to death.

I'm an adult, sir.

I accept my responsibilities and I've taken care of them.

Snaps.

While we're on the
subject of many happy returns, I understand you and Mrs.

Craig are re-feathering the nest.

With one small hitch, which I believe I've
nipped in the bud.

I tell you, we're lucky to have such incredible

women in our lives, willing to support our needs, our
goals.

Why does she want to keep mucking through
that cafeteria slop anyway?

I mean, we're back together again.

She doesn't have to work.

Sponge.

Life is just beginning to settle down and make some sense.

Besides, I know that That she's only attracted to this job

in Cleveland because of some bizarre, sentimental,
Emotional.

Yes.

Right brain.

Yes.

Idealistic notion.

Bottom line, yes, I'm being selfish.

On the other hand, I don't want to lose Ellen.

I don't want to lose Lucy.

Which brings us back to where you disappeared to.

That's between me and my gal.

You've got exactly 30 seconds to fess up
or I'll kick your butt out of this OR.

You can't.

Why not?

Because we're done.

Huh?

Stop bringing out Mr. Lomax.

Sir, I just want you to know what
a rare and unique privilege it's been training under you.

And to continue learning under your tutelage, I would
follow you to the ends of the earth, but not Cleveland.

Take that out of there.

He's been doing this for almost an hour now.

Hello?

You see, there's still no one there.

ER, last coat at St. Eligius.

Dr.

Auschlander.

He said a half hour.

Dr. Auschlander.

Oh, my God.

It stopped.

Code Blue!

Code Blue!

Help, Dr. Auschlander!

Dr. Auschlander's dead.

Well, finally caught him.

Ah, Mr. Merkin.

Where was he?

Quarter tower up on the roof.

Dr. Kimball wants you in a bad way.

Yeah, well, I'll deliver him.

Dr. Westphall, is that you in that beard?

Warren, how have you been?

All right.

Airplane.

Sure as hell is.

Come in.

John, how are you?

Donald.

How was the drive?

Well, it was okay.

We missed the storm.

It's getting colder.

Sounds odd, but I heard it could snow.

Yeah.

Is this Tommy?

It's the one.

Hiya.

Ow!

He's autistic, you know.

Uh, uh, John, I'm a little confused.

I got a call from Daniel this morning.

He was very excited.

He said, come down here, and,
uh, when I got here, admission says come up and see you.

What's going on?

Last time you were in this office, you mooned me.

Yeah, well, I'm sorry about that.

Weigert.

Daniel and I have arranged for Weigert
to sell this hospital back to the Catholic Archdiocese.

What?

I'm leaving.

Going to another facility in San Jose, California.

And it was Daniel's wish that you come
back and run St. Eligius.

Well, I'm gonna have to talk to Daniel.

Donald, sit down.

No, I'm fine.

Daniel's dead.

What?

What?

Cancer?

No.

He had a massive stroke about an hour ago.

There was nothing we could do to save him.

Here you are.

I was with Daniel when he planted these.

Diabetes.

I'll miss him.

Boy, the temperature's dropping faster than Mr. Hogan's.

These flowers won't last the night.

I thought I'd just cover them up.

Daniel really loved these tulips.

Best thing to do is put them in pots and take them indoors.

Sometimes a transplant is the best way to
keep something alive.

A body, a marriage, passage.

I called the chief of surgery at Good Samaritan.

Tried to put the kibosh on you of being hired.

You what?

Ellen, I think part of the reason for my
anger and confusion, I, why didn't you ask me to come along?

Well, I just assumed that you wouldn't go.

Yes, well, for the record, I would leave
Boston, St. Eligius.

Doctors.

Over to Cleveland.

I mean, I've done some more checking.

I mean, they've got a lot of culture there.

Fine Symphony Orchestra, Great Lakes Shakespeare Festival.

The Rock and Roll Hall of Fame.

Yeah, yeah, yeah.

You'd really come there with me, Mark?

You love me that much?

I lost you once through stupidity and neglect.

I can't have that happen again.

In.

Oh, Mark.

Give me a hug, you big sl*t.

Oh, my gosh.

Oh, f*ck, frying out loud.

You better k*ll somebody.

This is all your fault, Ellen.

It's nice to be home.

Well, we're all here.

I think we should thank John Gideon for
the time he put in this year.

And we have to say goodbye to Daniel
Auschlander, who I've known for 43 years.

Doctors.

With Daniel's death, we've lost some of
the spirit of this place, some of the

compassion, but I think most importantly,
we've lost his experience.

But ends mean beginnings, aren't they?

There was a time when Daniel didn't exist,
and that time has come again, and I think

we should be glad that we lived in the time he did.

Hey, what's going on?

Well, Mr. Pearson, there was a little
problem with your heart a while ago.

You coded.

I coded?

What do you mean?

I was dead?

No, you're fine now.

Well, who are you?

Brandon Falsey, Dr. Falsey, first year resident.

I just arrived today.

And I just want to let you know that I'll
see that you get the best care possible.

I hate hospitals.

Yeah, this one's a dump.

But I'm gonna turn it around.

You're a doctor?

You look so young.

I've gotten old.



Right.

My stomach hurts like hell.

I'll have the nurse bring you something.

If there's anything else you need,
you give me a Hummer, all right?

Allsie, how's Mr. Pearson?

Running him some meds for nausea.

What kind?



That's ten times the normal dose.

Oh, right.

You're going to k*ll somebody.

I'll keep my eye on you.

So you need a ride?

Penny's working late.

I guess I'll just hang out.

Are you sure?

I want to check on Dr. Auschlander's patients.

He'd expect me to, you know.

Hey, listen.

Listen, I know Arslan had meant a lot to
you, like he was your pop or something.

I promise he'd live to see me graduate from Northeastern.

Who'd have thought we'd be working together again?

Yeah, like a dream come true.

Well, goodbye, Donald.

What?

Ellen and I are moving to Cleveland.

Cleveland?

If you can't say anything nice, don't say anything at all.

What are you still doing here?

Must be something needs to be done.

Can't help feeling the same way.

Thought I'd take one last look around.

Said it when I arrived.

I love this place.

Know how you feel.

Come in through.

Put him in bay one.

We got a bleeder here.

Dr. Fiscus, go home.

It's finished.

The year's over.

Your residency's over.

No, sir.

It ain't over till the fat lady sings.

All right, Pop, how are you doing?

Good.

How was your day up on the building?

Well, we finally topped off the 22nd story.

I'm beat.

How's he been?

Did he give you any trouble?

He's been sitting there ever since you left this
morning, just like he does every day, in a world of his own.

Care for that, son.

Remember I told you that?

I don't understand this autism thing, Pop.

Here's my son.

I talk to him.

I don't even know if he can hear me.

He sits there all day long in his own
world, staring at that toy.

What's he thinking about?

Come on, son.

Let's go wash our hands, all right?

It's all right.

It's all right.