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Luka and Sam walk down the street and
come along a school bus. Some kids run passed them and Sam tells them to watch
it. One kid apologizes and calls her ma’am. She is shocked and Luka tells her
that she ‘projects maturity’. She finds this amusing and asks him if he is
calling her ‘old’. He tells her that she is beautiful and doesn’t look a day
over 16. Sam asks him if he didn’t know her would he believe that she had a
fifth grader for a son. Luka tells her no, but that he could see her with a
toddler. Sam looks at him disgusted recalling ‘sleep deprivation, diapers and
teething’. Sam asks him if he thought he might ever want kids again and he
asks her the same question. She tells him that she doesn’t see herself with
another baby and stares at him to catch the look on his face. A mother named
Ellie gathers her children to try and get them ready to go to their extra
curricular activities. She breaks up a fight between two of the kids and gets
called a ‘bitch’ by her older daughter. As she gets everyone out the door, the
phone rings and she tells her friend that she will call her back. She begins
to clean off the table and stops, and collapses to the floor, while the family
dog sits beside her and cries.

Ellie is being taken by ambulance to
County. While she is being treated, we can hear her thoughts, which she thinks
she is saying out loud. She looks at the paramedics and tells them that she is
fine and just got a little dizzy. The medics don’t seem to pay attention and
keep on working. She begs them to take her back home but she goes ignored. She
gets taken out of the rig and Luka is there to greet the medics. As they are
giving him the bullet, Ellie rambles on that she must have had an anxiety
attack or just simply drank too much coffee. Sam and Abby join Luka and report
her vitals. Ellie continues to ramble saying she doesn’t have high blood
pressure while Luka asks for her name. Neela gets ready for work in her
bedroom and as she walks out she tries to get by Ray and his band practicing
in their living room. She yells out to Ray that she will see him later and he
stops the practice and asks her if she is heading into work. She half nods and
he tells her he will give her a ride. She tells him that she thought they were
trying to do opposite shifts. Ray apologizes and tells her he had to switch
with someone because the band had a gig on Saturday. He asks her if she is
okay with the rest of the band mates staying there while they are at work and
before she can answer he exclaims ‘cool’. Uncomfortable, Neela looks at the
guys and says hello. One of the members comes over and asks her if she plays
anything and she blankly says she played the viola. Abby shines her flashlight
into Ellie’s eyes and she complains silently in her head that it is too
bright. Ellie wonders why no one seems to be listening to her, while Luka
notes the right side facial droop on Ellie. She admits her face does feel
rather numb, and thinks that she may not be talking loud enough. She yells
‘Excuse me, where am I?’ Luka looks down at her as he notices her looking at
him and tells her that she is at County. Abby takes Ellie’s left hand and asks
her to squeeze it and she does. Luka takes her right arm and tells her to do
the same. After a few seconds he allows her arm to drop lifelessly back onto
the gurney. Ellie panics in her head, asking if that was her arm and why she
couldn’t feel it. She goes on, while Sam cuts her pants off. Ellie says that
wasn’t necessary, and that she wasn’t staying that long. Sam leans in and
tells her to relax, because she needed to insert a catheter into her bladder.
Carter and Wendall jog along on a bridge and he asks her if she does this on
all of her days off. Wendall tells him she usually jogs 10k. She stops for a
water break and looks at John who seems to be slightly out of breath. Wendall
announces it’s been 3 months and John looks at her with a puzzled look and
asks what she is talking about. He asks her what the plans were for dinner and
she suggests they stay in. Wendall suggests they race to the fountain and the
winner gets to cook dinner while the loser cleans up. As they prepare to race,
John wishes her a Happy 3 month Anniversary, and as she looks at him shocked
that he remembered John bolts down towards the fountain. Pratt walks along
answering the questions that the med students are firing at him. Once he gets
to admit he overhears Susan saying how flattering it was. She gets off the
phone and Pratt asks her if that was good news. She tells them that the ER was
being honored at a ‘Trauma Foundation’ dinner. She adds that she needs to find
an outstanding senior resident to accept the honor. He asks her why she is
telling him and she remarks that fishing for compliments didn’t become him.
She tells him where and what time and also adds that he needs to do a 7 minute
PowerPoint presentation, which ironically he agrees to. Morris asks if Pratt
is sucking up to the management. But Pratt tells him that is something that he
would never in his life do. Morris announces a few people are going out after
their shifts to celebrate Weaver being on vacation. Ray says he is in as long
as the 3rd year residents are buying. Morris leans over and tells
him he is looking for votes for his bid for chief residency. Morris asks Neela
if she’s in and she tells him it beats going home. Ray asks her what is wrong
with home and she gazes at him baffled. Morris urges Pratt to come and he
reluctantly says he will. Susan overhears the plans and says ‘what? The big
kids aren’t invited?’ Ellie continues to ramble on in her head that she feels
fine except that she cant feel a lot of things like her lips and some of her
body parts. Luka and Abby continue to examine her while she tries to tell them
that she needs to call her husband to make sure he picks up the kids. With her
good hand, Ellie waves it around. Sam notices and says that Ellie wants to
write something. Abby gives her a pen and holds a clipboard with some paper on
it for her to write. She asks Luka if TPA could reverse the stroke. Luka
replies that it can only be administered 3 hours after the stroke and no one
knew how long she had been down for. Luka looks down at Ellie and asks her if
she can hear him. While Ellie is trying to write her husbands name and phone
number, Luka tells her that she had a stroke and it was the kind that affects
speech. Abby passes him the clipboard and while he looks at her he continues
to say that while she can understand them, they cant understand her. He shows
her what she wrote on the clipboard, which is only squiggles of lines on the
paper. She tells him that she didn’t write that and asks him where he put the
paper that she wrote on. Luka tells her that she has had a stroke, which she
finally absorbs and he continues to tell her that they are trying to figure
out what kind of stroke it was. Astonished, Ellie tells them that only old
people have strokes and that it was only temporary. Abby walks out of Ellie’s
trauma room and sees Jake looking at an x-ray. He notes he is on a surgical
consult and then changes the subject to ask her if he left his watch at her
place. She tells him that she has it in her locker. As they walk, he tells her
he brought a lunch and asks her if she wants to join him in the break room to
share it. She tells him that it might be a good idea if they didn’t act so
together at work. He tells her that everyone knows and she says she didn’t
tell anyone. He looks at her with a grin and she says that she told one
person. Jake grins at her curiously and walks away. Neela catches up with Abby
asking if her couch has seen much action since she’s left. Abby tells her it
hasn’t and adds that she thought Neela was living with Ray. Neela tells her
that the house is messy, loud and a bit crowded. Abby reminds her that she
told Neela that she could’ve taken her time moving out and Neela voices that
it wasn’t as though it was any better at her place. Neela walks into the
waiting room and calls out for Clayton Davis, a six year old with wrist pain.
His brother Tucker and sister Bridget step up with him and Neela notices
Clayton also has a bump on his head. Bridget tells Neela that he fell off the
kitchen counter. Tucker lies saying that his father was also there but went to
get some coffee. Neela tells him that she will take them back but that she
will need the father to fill out some forms before she can treat Clayton.
Tucker tells her he will go find him and while Neela take the other 2 to the
back, she asks Clayton why he was on the counter. He says that he was up there
to find a bowl, while Bridget adds that it was because he was hungry. A woman
files 3 children through the waiting room to the admit desk saying that she is
Ellie’s neighbor and she had her kids with her. Ellie continues to talk with
herself in her head. Sam emerges with a blanket telling her that it will make
her more comfortable. Ellie pays notice that Sam is smiling and wonders if she
knows anything. Abby arrives and asks Ellie to open her mouth. After examining
Ellie’s mouth she tells Luka that Ellie has no gag reflex. Ellie ogles over
Luka and he tells her that they will need to put a tube down her throat to
secure her breathing. The neighbor arrives at the trauma room and asks if the
kids can come in. Abby says it’s ok, but only for a minute. The kids slowly
come in and Luka advises they stand on her left side so she can hear them
better. One of Ellie’s sons asks why her face looks like that while the other
one asks if she is dying. Ellie assure them she isn’t, while Luka tells them
the same. Luka asks the kids when they last saw their mother and the daughter
says that it was after school and she was fine. Ellie begins coughing and this
scares the kids. Sam urges the neighbor to take the kids out and the daughter
asks what is happening. Abby tells her that she needed help breathing, and
they would insert a tube to aid her. The monitors chime wildly, while Luka
tells Ellie that she will be going to sleep and when she wakes a tube will be
helping her breath.

Ellie is getting a CT scan when she wakes
up. She asks if she is dead because she can’t open her eyes. The neurosurgeon
tells Abby that there is no sign of a tumor so it must be a clot. She asks him
if they can do TPA but he tells her that there is a great risk in brain bleed
if its been over 3 hours since the onset of the stroke. Abby asks what other
options there are and he tells her that there is a procedure called MERCI that
would feed a catheter tub into her groin and retrieve the clot that way. Abby
asks him if that would reverse the stroke and he says it will but there are
risks involved and they would need the family’s consent. As Abby and Sam take
Ellie out of the CT scan, Ellie panics and screams saying that she can’t see
or move her body. While they take Ellie’s vital for the transport back to the
ER, Sam asks Abby if ever asked Luka about his kids. She replies that she did
once. Sam begins to explain but looks down at Ellie and notices her crying.
Abby pays notice to the machine beeping and Sam asks what is going on. Abby
asks when they intubate Ellie and Sam replies that it was only 10 minutes ago.
Abby tells Sam that she thinks the etomidate wore off before the sux, and that
Ellie was conscious but paralyzed. Ray helps out with a patient that is
brought in after he was a hit with tear gas at a non-violent demonstration. He
tells Morris and Ray that he was simply picking up his grandmothers medication
when he walked into the middle of it. Ray announces that the patient has good
vitals after 4 doses of morphine. The man says he is still experiencing pain
but Morris looks at him and replies ‘Soon as we can make sure your hurtin’
dude.’ Susan and Luka overhear the last part and in astonishment Susan asks if
Morris really just withhold pain meds. Luka says to Susan that they can
officially remove him from the chief resident short list. Susan sighs and
tells him its too late to do that since he had already applied. She runs down
the list of other names that have applied and Luka voices his negatives about
each person. Luka suggests Pratt saying he is the best they have and most of
the students and residents go to him already. Susan looks at him seriously
saying that doesn’t make him a leader. Abby and Sam wheel Ellie out and Abby
calls Luka over and tells him what she thinks is happening to their patient.
Ellie screams for help inside her head, while Luka instructs Abby to
administer Fentanyl. Luka tells Ellie that she is suffering from a normal side
effect of the drugs they gave her to intubate. While Abby gives her the shot
she immediately calms down. Luka tells her that once the drug wears off she
will be able to open her eyes again. Dubenko arrives and asks Abby for a
minute, and tells her all about the case from the day before that she was on
that went to surgery. He tells her that he found a condom full of cocaine in
the man’s jejunum. He urges Abby to write it up and offers the names of a few
publishers. Abby seems intrigued that he would want her to do it and he tells
her he will help, and it will only take a couple of hours. Abby tells him she
is working and Dubenko says he will talk to her superiors. She objects while
Dubenko tells her to meet him in his office at 7. She finally lets up as
Dubenko disappears into the elevator. Neela examines Clayton’s wrist while
Tucker returns with the man that he claims is his ‘father’. Neela tells him
that Clayton could have a mild concussion and the wrist is mostly likely
sprained, but that an x-ray would confirm that. The ‘father’ tells her to do
whatever she has to and Neela looks at him funny. She asks him if he has been
drinking and he defensively admits to having a beer. Neela states that she
will get some food trays for the kids while they wait to take Clayton in for
the x-ray. Tucker thanks her and she retreats into the hallway to find Pratt.
She begins to present but he rudely interrupts her and says to present to
Morris instead. She explains that she would rather present to him and he tells
her he is busy and she has other options. Ellie sits in an exam room and lifts
her left arm and tells herself that it is still moving which is a good thing.
She tries to move the right side to no avail. Sam came in and told her that
her heart rate was back to normal. Ellie tells her that the tube in her throat
is bothering her and that she can’t pee or walk. Sam tells her that she has
beautiful children and they were waiting in the family room. Ellie scrunches
her nose up and asks what the smell is and Sam looks at the lady in the next
bed and says ‘Pretty stinky huh?’ The older lady is wearing a diaper and Sam
goes over to change it. Ellie watches on, wondering if that is what her future
will hold for her. Morris, Ray and Chuny are still treating the tear gas
patient. Morris shoots off his mouth about the looting that most likely the
patient was involved in. Morris asks him if he at least got a TV out of the
deal. The man gets a little frustrated hearing Morris talk to him like that,
telling him that he was just walking by when things got out of control. Ray
and Chuny shoot Morris dirty looks. Morris fires out the orders and walks away
while Ray follows in after him. Morris voices the patient is full of it and
that Ray shouldn’t worry because it took him 2 years to spot the con artists.
Luka examines Ellie again while she sings in her head. He reports to Sam that
her heart rate is still up and recommends another round of fentanyl, which
Ellie agrees with. Ellie watches Luka and notices he isn’t wearing a wedding
ring. She gushes over his accent. She tells herself that she’s pathetic since
all he did was touch her and her heart was racing. She realizes that it wasn’t
Luka’s touch that was making her heart beat faster, while Sam reports that
Ellie’s pulse is skyrocketing. Luka calls out some medication orders while Sam
asks if this is stroke related. Luka explains that if her heart doesn’t beat
properly that blood could pool. Abby adds that she threw the clot and it went
into her brain and tells Sam that most likely the stroke she had was from her
heart originally. Ellie panics as Sam pushes the fentanyl. Luka leans in and
tells her that she will feel some discomfort. Ellie flat lines while her
husband Dan comes in.

As they get a normal rhythm, Luka
explains to Ellie’s husband that she has something called an arterial flutter,
and they can give her the proper medication and it will not cause what just
happened again. Dan asks if she is awake and Abby tells him she is having
spontaneous eye movement. He moves over to be at his wife’s side and she looks
at him and happily shouts ‘You’re here!’ Luka tells Dan all the procedures
they can do for Ellie, including MERCI. Dan asks questions about it while
Ellie yells at him from across the room. As he struggles to make the decision,
Ellie raises her one good hand and Dan goes to her side. They lock eyes and
Dan tells Luka that they can do MERCI and he consents. Tucker watches the
‘father’ eat all the food on the trays, when Neela walks in sees him binging.
She tells him that Clayton doesn’t have any fractures to his wrist. She adds
that she will splint the wrist and get him to check back in a week. Neela asks
where the other children are and Tucker tells her that his sister needed to
use the bathroom. ‘Dad’ asks if they are all done and Neela nods telling him
she already signed the discharge papers. She advises the father to bring the
car around and Tucker tells her they took the EL in. As the two other kids
come back, Neela offers them a taxi voucher, which they accept. Neela spots
Morris in the hallway and goes to talk to him about her suspicions. He tells
her that she is jumping to conclusions and walks off. Abby and Sam wheel Ellie
up to neurology for her procedure, while chatting about certain doctors and
their reputations. Once in the room, Sam tells Ellie that they have to go back
down to the ER and she voices her protests. Several doctors introduce
themselves to Ellie while she just lays back. Abby arrives at Dubenko’s office
and while he is busy looking through a microscope, she tells him that she is
ready to start. Standing up he asks if she likes hamburgers. Quite shocked at
the random question, he tells her that they can work through dinner. He gives
her his coat; while Abby tries to tell him she isn’t that hungry, but Dubenko
still insists. Trying to prepare dinner, which still isn’t cooked, Wendall and
John opt for a quicker way to eat. Wendall suggests pizza while John starts
dialing. While he is placing the order, Wendall tells John that she thinks she
loves him. John, not being able to say anything because he is busy ordering
just looked at her funny. Ray brings Morris up to speed on the tear gas
patient. As they go to his room, the grandmother is standing with him. Pratt
also stands nearby, listening in on the conversation. The grandmother tells
Morris that her grandson is a good kid and that she is quite upset that she
accused him of looting TV’s. Pratt pipes up expressing his shock and Morris
retreats saying that he was just joking around. The patient tells him he’s
full of it and Morris sarcastically apologizes. Pratt pulls Morris into
another room and asks him what is going on. Morris explains while Susan
watches and listens, unbeknownst to him. Pratt tells him he can’t keeping
making assumptions on every black person that comes through the ER, and tells
him he will apologize and mean it. Morris leaves and Susan tells Pratt he
handled that well. He tells her that Morris is an idiot. She explains that
Luka and John want him as Chief Resident and he asks her what she thinks.
Susan replies that she will back him if she continues to see what she just
saw. She asks him if he is interested and he tells her no. Luka explains to
Ellie’s family what condition she has and the daughter asks if she will remain
the same as when they last saw her. Luka tells her it’s a possibility. One of
Ellie’s sons asks if his mother is alone and Luka tells him that he is going
to go check on her. As neurology starts Ellie’s procedure, Luka slips in and
says hello and comments that he thought she might want to see a friendly face.
Abby and Dubenko arrive at the bar to talk about the write up, but he seems
more interested in acting like this is a date and not work related. While
Ellie is in the middle of her procedure she thinks about how bored she is. The
doctors find the clot and begin pulling it out.

Wendall kisses Carter goodnight and sets
her alarm early. Carter stares at her thinking about what she earlier. Neela
and Ray shop in the Jumbo Mart. Ray tells Neela that Morris has applied for
Chief Residency and she is quite disgusted. She tells him that she thinks
Pratt should have it. As they are walking through the aisles, Neela notices
Tucker’s father. She approaches him and tells him he needs to be at home
keeping a watch on. The father quickly tells her that the kids aren’t his and
Tucker paid him $7.00 to play him. Ray and Neela look at each other in shock.
Back at the hospital, Neela calls social work to try and get someone to go
over to the kid’s house to get someone to check up on them, but no one seems
to be available to do that. Ray thinks that if Tucker is capable of hiring a
‘father’ that he is most likely also able to watch over his brother. Neela
wonders why Tucker lied and Ray voices that it’s most likely due to bad
parenting or Tucker just didn’t want the real parents to find out. Neela finds
the address and phone number and tries to call but the line has been
disconnected. Susan and Morris wheel in a gun shot victim and Neela goes in to
ask her advice on the Tucker situation. Susan tells her to find Pratt and run
it through him. Neela finds him and asks if she can leave after explaining the
problem. Pratt tells her it’s okay but to take Ray with her because of the
neighborhood. While Wendall and Carter sleep the phone rings. Carter answers
and its Kem. Clearly upset that John took the call while she was there,
Wendall gets dressed and tells him she will see him at work. John tells Kem he
will call her back. He races after her and apologizes for taking the call
while she was there. Wendall asks if she is just a diversion until Kem gets
back and he tells her that they had a child together and its not so easy to
just cut her out of his life. They argue on the street and desperate to try
and get her to say, he says that he knows what she wants him to say but he
can’t. She replies by telling him ‘at least your honest’ and walks away. The
neurologists finally get to the clot and extract it safely. Luka tells Ellie
to wake up while the team suggests they take her off the ventilator. He
advises they do it in the ER for safety reasons. Neela and Ray arrive at
Tucker’s house. Neela knocks on the door and tells Tucker who she is and he
opens up. Tucker tells his brother and sister to wake up and Neela asks him
where the parents are. He tells her it’s just them and their mom and points to
a door across the room with a towel laid across the bottom. Ray and Neela go
to investigate and upon opening the door, they enter a very chilled room and
see the mother, who has been dead for sometime on the bed. Tucker tells them
that she got sick about a week ago, while Neela races out of the room for fear
of being ill. Jake, Jane and two other med students join Morris at the bar for
drinks. Jane asks where everyone is and Morris tells her that they are still
coming in. He orders everyone a round, while Jake asks about Abby. She appears
from behind him. He asks her where she has been and she tells him ‘around’.
Jane asks where Pratt is and Morris tells her he will be along shortly because
they are halfing the bill. Pratt walks into his apartment and grabs a beer
from his fridge and sits down, turning on the TV. Luka stands over Ellie who
no longer has the facial droop. He tells her that he will take the tube out of
her throat and preps her that she will most likely cough until he puts the
oxygen tips in her nose. She touches her face with her right hand and then
stares at Luka and Sam in disbelief. Luka asks her to say something and she
softly says ‘Thank you’ while her family comes in and reunites with their
matriarch.
Reviewed by Kristyna on
April 02,
2005

NBC Review
IF A LONE TREE FALLS IN THE FOREST, DOES IT MAKE A
SOUND? - CYNTHIA NIXON GUEST STARS -- When a young mother of three (guest star
Cynthia Nixon, "Sex & the City") is brought into the ER with potentially fatal
stroke-like symptoms, Kovac (Goran Visnjic) and Sam (Linda Cardellini) race
against the odds to save her life. Knowing that a controversial surgical
procedure is his wife's only shot at a full recovery, a husband must make the
unenviable decision to risk her life in order to save it. Meanwhile, Neela (Parminder
Nagra) and Ray (Shane West) discover a dark secret when three ostensibly
neglected children show up in the ER. Elsewhere, Carter (Noah Wyle) finds
himself in the midst of a love triangle when Wendall's (Madchen Amick)
professions of love force him to either cut the ties in Africa or lose her.
Laura Innes, Sherry Stringfield, Maura Tierney, Ming-Na, and Mekhi Phifer also
star.
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