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A Hopeless Wound

Chaos Theory
Dead Again
Insurrection
Walk Like a Man
A Hopeless Wound
One Can Only Hope
Tell Me Where It Hurts
First Snowfall
Next of Kin
Hindsight
A Little Help from My Friends
A Saint in the City
No Good Deed Goes Unpunished
No Strings Attached
A Boy Falling Out of the Sky
A Thousand Cranes
The Advocate
Finders Keepers
Things Change
Foreign Affairs
When Night Meets Day
Kisangani

[Up]


Buy the Season 9 DVD

Episode 184 "A Hopeless Wound"
Original Air Date: October 31, 2002 
Written by: Julie Herbert & Joe Sachs
Directed by: Laura Innes
Guest Cast:
  • Shane Johnson - Patient
  • Ashley Gardner - Simone Phillips
  • Richard Riehle - Patient
  • Jane Cho - Fong
  • Katie Sackhoff - Girlfriend
  • John Haymes Newton - Terry
  • Dylan Charles - Tommy
  • Scott Rabinowitz - Ralph
  • Doreene L. Hamilton - ICU Nurse
  • Chachi Pittman - Louie
  • Marilyn Child - Nun
  • Fred Einesman - Assistant
  • Butch Klein - Wynn
  • Taneka Johnson - Kris (Ella's nanny)
  • Betty Murphy - Nancy
  • Bill Kalmenson - Ken
  • Ralph P. Martin - Woody
  • Christine Pham - Amy
  • Darlene Kardon - Old Woman
  • Rene L. Moreno - Ed
  • David Wachs - Soldier
  • Lynne Marta - Midwife
  • Linda Shing - Corazon
  • Chuck Raucci - Malish
  • Cyndi Martino - Jane

Staff:

  • Don Cheadle - Paul Nathan

  • Christopher Grove - Dr. Marty Kline

  • Laura Ceron - Chuny Marquez

  • Deezer D. - Malik McGrath

  • Troy Evans - Frank Martin

  • Matthew Glave - Dr. Dale Edson

  • Yvette Freeman - Haleh Adams

  • Dinah Lenney - Nurse Shirley

  • Nadia Shazana - Jacy

  • Lily Mariye - Lily

  • Michelle Bonilla - Paramedic Harms

  • Monte' Russell - Paramedic Zadro

  • Lynn A. Henderson - Paramedic Olbes

  • Emily Wagner - Paramedic Pickman

  • Lucy Rodriguez - Bjerke

This episode is dedicated to the memory of Ghandi Bob Arrollo

Halloween 5:07 pm

Elizabeth is checking on a patient and is quizzing two of her new medical students.  One is a man and the other a woman.  They are not to up to date on their medical knowledge.  They are only able to answer her questions, after she gives them many suggestions as to the correct answer.  She tells them to go home and study and to be back in the morning at seven.  Dr. Corday tells Jacy, the nurse, to be sure to tell the patient not to eat after midnight.  She doesn't want to have to reschedule his hernia operation again.  She then tells her that she is going home to trick-or-treat with Ella.  Jacy asks what Ella is going to be and she tells her a cow.  Jacy thought that she was a cow last year and Elizabeth tells her no, Ella was Dorothy, she was the Cowardly Lion and Mark (Elizabeth stops for a moment and then continues) was the Scarecrow.  Elizabeth tells her that she is going to get to be a farmer this year.  As she is getting ready to leave, a nurse tells her that she has received a phone call from her medical student, Nathan, who did not show up for his first day.  He will be there in a few minutes to explain why.  Romano has also asked to speak with her before she can leave.  She tells her to tell him that she has already left, but Dr. Romano overhears her, because he is still listening in over the cordless phone that the nurse is carrying.

Carter comes in to work dressed up in a skeleton costume.  Abby is also dressed as an old fashioned nurse, but they are the only two.  They did not receive the memo telling them not to dress in costumes.  Frank tells them that he doesn't celebrate Pagan holidays; it is for Satan worshippers.  Chuny and Luka are not getting along together.  She doesn't want to work with him any longer. Susan tells Abby that she came dressed as a naughty nurse?  Luka replies, Abby is dressed like a slut, whore type nurse.  Abby responds, maybe I should have dressed in that naughty school girl outfit you bought me when they were together.

Elizabeth finds Romano in the operating room doing gallbladder surgery on a pig.  She is surprised and disgusted and he tells her that he is sharpening his one arm skills.  She tells him that he shouldn't be operating, but he doesn't listen.  He is upset about what Kerry has done in his absence.  Corday seems to appreciate the proposal that Kerry made.  He does not want Kerry trying to get his job.  Elizabeth notices the pig's eye open and then all chaos takes place as the pig comes to.  Romano tells her to hold the pig down.

7:06 pm

Romano is having his arm checked out by Dr. Marty Klein.  He is only getting ten degrees of movement this week, compared to fifteen degrees last week, which upsets Dr. Romano.  Dr. Marty tells him that an injury of this type usually takes nine months of recovery to show improvement.  Romano wants to know what odds he has to be able to operate again and he gets a response of twenty percent, which disappoints him more.  Dr. Marty makes it even worse when he tells him that he can still be Chief of Staff.  Romano would rather be in the operating room performing surgeries.  He gives Mart the bird, when he is not looking, and then proceeds to put is brace back on his arm.

On his way out, Romano finds a man looking for Dr. Corday.  The man is Paul Nathan, the medical student who didn't show up earlier.  He follows Romano in to an elevator heading down to the ER.  Upon their arrival, there has been an apartment fire where a Halloween party was taking place.  The ER is now full of burn and smoke victims.  A woman named Amy is brought in and she is covered in burns over eighty percent of her body.  A man named Ed is brought in and his hands have been burned.  Nathan sees Susan and asks if she is Dr. Corday, and Susan finds out that he is a student and puts him to work.  She wants him to see a patient who has an infection on his leg from a bug bite and wants him to mark it so they can see if it is spreading.  The man's girlfriend is with him.  Someone asks how the fire was started and a man replies that the "fruits" upstairs were smoking dope.  Nathan marks the leg and explains to the patient that they want to see if the infection is spreading.  Luka sees him and asks him for some help with a patient.  The patient is dressed like a woman and his name is Ed.  Luka leaves the medical student alone with him while he goes to find something.  Nathan tries to answer the man's questions the best that he can.

Corday and Pratt help a man with severe burns to the face.  Romano comes in to assist them.  The man's name is Wynn and he was wearing a mask that has melted on to his face.  They need to intubate him and Romano is trying to open the necessary equipment, but has trouble doing it with one arm.  When he turns around, Lily bumps in to his hurt arm and you can see the agonizing pain on Romano's face.  He tells everyone that he is okay and he leaves the exam room.  He sees that Chen and Luka are doing okay with their patients, so he goes elsewhere.  He seems upset that he isn't able to assist anyone.

Abby and Carter work on a girl who was burned badly on eighty percent of her body.  Her name is Amy and she is not well at all.  Dr. Corday is still working on Wynn when Nathan comes in.  She sees who he is and she reminds him what time rounds started.  He asks her if she read the letter he sent, but she is too busy and doesn't want to hear his excuse.  Frank comes in and tells her that her nanny called to remind her that she has a flight to catch.  Elizabeth tells Frank to tell her to just bring Ella there.  She then tells Nathan to go work on some patients.  Nathan stops and takes some pills and then checks on his patient with the infection and sees that he is spreading.  It has spread a lot over the past twenty minutes.  Nathan sees Romano and tells him about the man.  He shows Romano the x-ray and tells him about the cellulitus, so Romano goes to see the patient.  Romano wants to take him right up to surgery and tells Nathan that he did a good job.  It all is happening too fast for the man and his girlfriend.  Susan comes up to see what is going on.  Romano explains to the couple that the infected tissue needs to be removed, before it really becomes life threatening.  As they head up to the OR, Nathan asks Susan if she thinks they caught it in time?  She reassures him that he did and thanks him for his help.  She sees that he is acting a little sluggish and asks him if he is coming?  He replies that he sometimes has a hard time getting to go; He has Parkinson's disease.

8:07 pm

Robert is on the speaker phone telling Lizzy to get up to the OR.  She tells him that she is with a critical patient and will get up there when she can.  Nathan tells her that he will see her later and she tells him that he still owes her eight hours.  He reminds her that he has rounds at 6:00 am and she replies, "Welcome to surgery".  A man in a leopard skin dress asks Nathan if he knows where Wynn Mathison was taken to.  He is the patient in the tiger costume he tells him.  Nathan takes him to the admit. desk to see if he can find out.  A nun asks about the burn victims and there is a larger crowd around the admit. area.  Pratt tells her to keep her habit on, not realizing that she is a real nun and not just someone in a costume.  He apologizes to her.

Romano is in the OR watching every move that Dale Edson is doing on the patient.  He wants Corday in there.  Corday is scrubbing in and is talking with her nanny named Kris.  She wants her to take Ella with her to her apartment and then she will come by and take her to the airport.  She hands the phone to the nurse, trying to keep her hands from touching anything, and she bumps her wedding ring down the sink drain.  This upsets her and she wants the nurse to make sure maintenance comes to remove it before anyone runs any more water down the drain.

Pratt and Nathan fill Wynn's boyfriend, Terry, in on his partner's condition.  Pratt seems uncomfortable about their relationship.  Nathan doesn't seem to be uncomfortable and shows more compassion to Terry.  Terry has an injury to his eye area and Pratt tells Nathan to take a look at it and leaves.  The paramedics bring in a man who is drunk on a mandrake smoothie and he is frisky.  Luka seems to find it funny.  Chuny and Abby assist him with the man.  The man grabs Chuny's behind and she gets upset at Luka for not seeming to care.  She tells Abby to take care of it and she walks out of the room.

Corday and Edson work on their patient, as Romano barks out procedures.  He is concerned about saving the man's leg and wants to make sure that the two feel the same way as he.  The ER staff are at the admit. area gossiping about Nathan's disease.  Weaver comes in sick, because of the condition of the crowded ER.  She is hot and everyone else is cold.  Pratt comments on how she must be going through the change and Susan takes offense to the remark.  Weaver meets Nathan and they head out to meet the paramedics who is bringing in a woman, named Simone, and newborn baby that was delivered at home by a midwife.  The baby is not doing well at all, but the mother is okay.  She is losing blood because she is still carrying the placenta.  Gallant and Lily assist Weaver with the mother, while Luka and Abby assist the baby.  Luka shows Nathan how to intubate the baby.  He wants Nathan to bag the baby and sees his hands shake.  He tells him not to be nervous, not knowing of his condition.  Nathan is able to assist.  Luka tells Abby that he is not sure of what is wrong with the baby.

Back in the OR, Dale Edson and Corday are still operating.  They insist that they need to amputate the leg before his condition worsens, but Romano still wants to save it.  She tells him that it is a hopeless wound and that he is young and should be able to handle a prosthetic.  Romano tells them to just take it then.  He is feeling remorse over his own loss of his arm.

9:09 pm

Nathan checks on a boy named Toby.  Nathan is a little wobbly and when he leaves, Toby asks his father what is wrong with him.  His father tells him that he will talk with him later about it.  Abby sees him and walks over to see how he is doing.  He tells her that he likes her retro outfit and they talk about his condition.  He tells her that he is taking more medicine than usually to keep him from freezing up, but it takes a while for it to take hold.  It causes his movements to be shaky.  She tells him that if she was in his condition, she would be seeing the world and not going to med. school.  He replies that he has already seen the world and that is when he found out that he had the disease.  He knew something was wrong when he was in Italy.  They go and check on Simone, the mother who had the bay at home.  Luka has returned with the baby's lab results, and they are not good.  He has a disease called Sialidosis.  He explains that the baby's body lacks an enzyme that breaks down the waste protein inside the cells.  He already has extensive damage to his liver, bones and nervous system.  Luka sees that Nathan is wobbling, so he asks him coldly to lease excuse them and Nathan leaves the room.  Luka tells the mother that a baby in that condition only has a life expectancy of less than two years.  He may be blind, never speak or walk and will be retarded.  Lily tells LUka that he has a call from the PICU and Luka leaves the room.  Abby removes her retro nurse's hat and asks Simone if there is anyone that she can call.  Simone replies, "No, there is just us".  Abby leaves the room.  Abby sees Luka hanging up the phone and she speaks with him.  She tells him that he was insensitive earlier with Nathan.  Luka tells her that he felt uncomfortable telling Simone the bad news in front of an audience.  She tells him that the nurses have been complaining to her about him and that if he has a problem, to come and speak with her about it.  She tells him that he should be fighting for the nurses and not with them.  He makes a bad comment to her sewing on some swastikas on her nurses outfit and becoming a Nazi nurse.  She stands stunned at the comment and then replies,  "You totally suck, you know that?".  She heads off and he yells to her that she is the one creating a hostile working environment.

Nathan can't find Luka, so he gets Dr. Weaver to check on the baby, who has a high fever.  She wants to do a spinal tap to see where the infection is coming from.  Elizabeth goes to use the phone and sees Romano sitting quietly alone.  They discuss the surgery, but this is no consolation to him.  She tells him that after she had Ella, she had a hard time treating young patients, but she got over it.  He opens up and tells her that he knows that he is not liked by many, but he does know that he is a good surgeon and is good at what he does.  He saves people's lives everyday.  If he can do that...  He is unable to finish the sentence.  Elizabeth sees his pain and she comes closer to speak with him.  She tells him that she knows that he is an excellent surgeon and that he will be again.  Romano touches her softly on her cheek and her eyes grow big.  She tells him that she is being paged.  She stands and leaves the room.  She pauses outside the door and then continues to go to the ER.  The nanny has brought Ella in, so that she can catch her flight.  Elizabeth apologizes and tells her that they got busy and that she was unable to get away.  She will see her when she returns in a few days.  Carter is with Amy and she is not doing well at all.  Elizabeth asks Lily to take Ella.  Luka is upset when he sees Chuny and Nathan treating the baby.  They tell him that they are following Weaver's orders.  Luka is very upset that they are putting the baby and mother through all this unnecessary workup.  Nathan goes in to where Elizabeth and the others are treating Amy.  Chuny comes in and tells Abby that she is filing a grievance on Luka.  Elizabeth needs to give Amy an IV and Nathan tries to help, but he punctures the bag.  She asks him what he is doing?  She tells him to go and see if he can find Amy's family and he walks out of the trauma room.  Abby tells Elizabeth that she is being too hard on him considering.  Elizabeth replies, "Considering what?".  Abby replies that he has Parkinson's and Elizabeth had no idea.

10:09 pm

The doctors are still trying to save Amy.  Elizabeth asks how long she has been down and Abby tells her twelve minutes.  Just then, they get a pulse.  Out in the hallway, Abby sees Chuny throw Luka a paper, she tells him that it is the baby's labs.  Luka tells her thank you as she walks away still angry at him.  Abby realizes what is wrong with Chuny.  Luka slept with her.  Luka tells Abby that it was just one time.  Abby reminds him about the mother that he slept with in the ER a few weeks earlier and he tells her that she never minded it.  Abby tells him that she never let it effect her work.  Abby tells him to apologize to Chuny, but Luka doesn't want to kiss her butt.  Abby replies, "That's how this whole problem started".

Wynn's partner Terry watches as Wynn is taken up to Intensive Care.  Pratt tells him what is happening and then dismisses him.  Terry replies that if he would have told them that he was family, they would have let him go with him.  Pratt tells him to go home and get some rest, but Terry reminds him that everything they had burned up.  Everything except for the leopard skin print dress that he is wearing.

Luka sees Simone with her baby.  She tells him how the baby reacts to her touch and tells him how long she has waited to have a baby.  His fever has come down slightly, but his condition is still serious.  She tells Luka that she has had two miscarriages, lost boyfriends and has been through a lot of procedures to have this baby.  Luka tells her that his organs will shut down, but Simone still speaks with her baby boy.  Luka asks her what she would like to do.  She replies, "I don't know, "I don't know".

Elizabeth finds Nathan and he is holding Ella.  He tells her that Lily had to go do something and she gets him to hand Ella to her.  She asks him if he reached Amy's parents and then asks why he didn't tell her.  He could have saved her the embarrassment.  He is a little upset to know that his condition has embarrassed her.  She wants to start over and tells him of her demands.  He will have to make rounds, read his books and pass his tests.  He tells her in frustration that he has done enough reading and that he is there to treat patients.  She is willing to pass him if he follows her demands, but this does not interest him.  He wants to be treated like all of the other students.  She replies, "You're not like other students".  Corday gets called away and she tells him to return tomorrow as she leaves.

Abby finds Weaver sleeping and wakes her up.  She wipes the drool from the side of her mouth and Abby tells her that she needs her to pronounce a patient.  She asks Abby if the NICU ever got the baby, but Abby tells her that it is too late.  She points out that the baby died and Weaver sees Simone holding him and rocking him.  Abby tells her that Luka convinced Simone to sign a DNR.  Weaver asks where he is and Abby tells her that he has already gone home.  She tells her to call a social worker down to speak with Simone and offer her some grief counseling.

Carter is treating a drunk named Woody who gets a little fresh with Abby when she walks up.  This puts Carter in a playful mood with Abby as they walk away.  Elizabeth bumps in to Romano on her way out with Ella.  He has gathered her wedding band from the drain and this surprises her.  He tells her what happened earlier was just a momentary weakness on his part and that it will not happen again.  She tells him that he will get through what is bothering him.  Elizabeth and Ella get on the train and head home.  The next morning, Elizabeth is doing rounds with the same two medial students as the day before.  They are still having trouble answering her questions.  Paul Nathan arrives, late, and is able to answer what she asks.

Reviewed by Tony Conner on December 05, 2002

NBC Review

HALLOWEEN TURNS DANGEROUS IN E.R. WHILE DOCS RUSH TO STOP FLESH-EATING DISEASE; DON CHEADLE GUEST STARS -- A suspicious fire on Halloween floods the E.R. with many bizarrely costumed victims -- frustrating Dr. Pratt (Mekhi Phifer) -- while a frustrated Dr. Romano (Paul McCrane) lets his recent traumatic injury interfere with good judgment when he directs Dr. Corday (Alex Kingston) during surgery on a man with a flesh-eating infection. Elsewhere, Nurse Marquez (Laura Ceron) threatens to file a grievance against Dr. Kovac (Goran Visnjic), who must also treat an older mother (guest star Ashley Gardner) who won't accept that her newborn baby cannot survive while Abby (Maura Tierney) and Dr. Carter (Noah Wyle) playfully dress up in suggestive seasonal costumes. In addition, the staff greets an older but wiser surgical intern (guest star Don Cheadle) who tries to overcome a daunting physical handicap. Laura Innes, Ming-Na and Sharif Atkins also star. TV-14

TV Guide Review

October 31, 2002: A Hopeless Wound: Don Cheadle (Ocean's 11, The Rat Pack) checks in for a four-week guest role. He plays a gifted but somewhat old med-school student named Paul Nathan, whose first day is literally a trial by fire. After a Halloween-party blaze throws the ER into chaos, he is suddenly swept up in the race to save lives. But the pressure begins to take a toll, forcing Nathan to disclose a secret that leads several staffers to question his ability — and desire — to practice medicine. Meanwhile, Corday and Romano clash over a mysterious infection that could cost their patient a limb; and Weaver refuses to give up on the infant victim of a home birth that went wrong.