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ER - Series 9, Episode 9 - Next of Kin First transmission in USA: NBC, Thurs 5th December 2002, 10-11pm ET. 22.7 million viewed. First terrestrial transmission in UK: Channel Four, Wed 14th May 2003, 9-10pm BST. NBC Network, Constant C Productions, Amblin Television, Warner Bros Television;© 2002
Starring:
Noah Wyle as Dr John Carter, Chief Resident Mekhi Phifer as Dr Gregory Pratt, Intern With Michelle C Bonilla as Mary Harkins, Medical Student
Directed
by cast member Paul McCrane
NEXT OF KIN
Written by Dee Johnson
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It's a few weeks before Christmas in Chicago
One of the nurses from the reception desk
of the ER calls to Dr Carter and Mary
Harkins, a medical student.
Nurse: Double MDA. Twelve year-old kid
with ankle deformity; driver in shock
with abdominal trauma
Carter: Kid's vitals OK?
Nurse: Find out, they're rolling up right
now
In the arrivals yard a patient strapped to a
stretcher is being taken from an ambulance
Female Paramedic: He's vomiting;
Mr Brenner, roll over T-bone; poster boy
for blunt trauma. BP one hundred over
seventy-two
Carter: Any yellow suit?
Female Paramedic: Weak at the scene. GCS 14
so far but he keeps heaving
Nurse: Blood and urine in his pants.
Carter: Mr Brenner, I'm Dr. Carter.
Father: Morgan?
Female Paramedic: His kid's in the next rig.
Carter: Your daughter's right behind you.
Hang in there.
Mr Brenner is wheeled into the ER.
Mary Harkins and Dr Pratt rush past to tend
the patient in the next ambulance.
Harkins: Hi, I'm Mary. What's your name?
Morgan: Morgan.
Pratt: Where was she?
Male paramedic: Ankle deformity, no other
injury, truck hit the driver's side.
Pratt: Where was she?
Male paramedic: Straight in the back
opposite.
Morgan: Daddy says he can keep a better eye
on me that way.
Pratt: Why, do you get into trouble?
Morgan: No, he's a worry wart.
Morgan is wheeled into the ER.
....
Mr Brenner is on an ER operating table.
Carter: Lateral C, spine, chest and pelvis
to start
Father: It's just Meg...
Nurse: Normal heart sounds but decreased
on the left
Carter: Mr B, will you open your mouth fo
me?
Nurse: Good radio pulses
Carter: No ... fractures, mandibles stable.
Father: Mother's got...
Nurse: Vascular clamp
Carter: Oh, he's got a left veticular
fracture.
Father: She doesn't understand...
Corday: This the MDA?
Carter: Yes... drop the... Check the billing.
Nurse: It's on the cite
Corday: I'm Dr Corday.I'll be assessing your
need for surgery.
Father: I hope not.Urg...
Corday: Tender abdomen. Hypertensive.
Nurse: Tubes going in.
Corday: Mr Brenner, you probably have damage
to your internal organs which we will need
to repair quickly. Is there is anyone
you'd like us to call? Your wife?
Father: No.
Carter: His daughter's next door
Nurse: We need a cell saver for the
thoraseal.
Nurse: I'll get it.
Father: Is it bad?
Corday: Stay with us Mr Brenner.
The nurse walks through int the adjacent ER
treatment room where Morgan is on the
table being tended by Dr Pratt.
Nurse: Is there a cell saver in here?
Nurse: Catch...
Nurse: BP and pulse is strong
Morgan: Is he going to be OK?
Nurse: Your father is in good hands honey.
Pratt: Yea, that's right, we've got our
second best doctor working on him.
Morgan: Second?
Pratt: Number one is working with you isn't
he? Looks like a distal tube fit. Let's
get her down to X-ray.
Morgan sees her father being moved.
Morgan: Where are they taking him?
Pratt: For tests we cann't perform in ER
Harkins: Or surgery.
Dr Pratt grimaces at Harkins tactlessness
and tries to distracts Morgan.
Pratt: You got a favourite color?
Morgan: Yea, why?
Pratt: Well, we need to put a cast on your
ankle and we've got all the colors in the
rainbow.
Morgan: I like pink.
Pratt: Me too.
....
Nurse takes a picture of Morgan from her
father's hands
Corday: Let's give Mr Brenner another twenty
five .. of Phentinol.
Nurse: You've got it.
Corday: Are you comfortable?
Father: No. How long will I be out...?
Corday: First we need to identify then stop
the haemmorage, then we may have to remove
your spleen.
Father: No... I mean out of commission..
Corday: There's a possibility you may
have injured your bowel. If that's the
case it may require a pull down to
reattach your intestines after the damage
has healed.
Father: My daughter...
Corday: Morgan has a fractured ankle. I
understand she's doing fine. Are you sure
we cann't contact your wife for you?
Father: ...her...
Corday: Sorry?
Father: She left us.
Corday: Your wife passed away?
Father: No, no. She couldn't be there for
us. She left it to me to be a Mom and Dad.
....
Pratt is lightly carrying Morgan in his
arms down the main corridor, accompanied
by Harkins. Pratt talks playfully.
Pratt: Hey, precious cargo, watch it!
Harkins: We're putting you in another bed,
OK?
Pratt: Yea, one in which we can keep an eye
on you. From what I hear you are a
troublemaker
Morgan: Is there a bathroom anywhere?
Harkins: Yea, it's down the hall but I need
to find a wheelchair.
Pratt: What she means is that they've been
getting stolen lately.
Morgan: But I think I need to go bad.
Pratt: You better get her a bedpan then.
Morgan: And go here?
Pratt: Don't worry. We'll close the door
and give you some privacy.
Harkins: Need some help?
Morgan: No, I think I can do it by myself.
Harkins: OK
They close the door behind them. Pratt hands
the clipboard of notes to Harkins
Pratt: Here, ...and find the mother's
number. Father's going to be in surgery
for a while.
Clatter of bedpan falling.
Morgan: It's alright.
Pratt motions for Harkins to check.
Harkins knocks on door.
Harkins: Hey Morgan, I'm coming in.
Morgan: No! Don't!
Harkins: My God! You're a boy!
....
Pratt: A twelve year-old crossdresser?
Harkins: All I know is that anatomically
she's a he.
Pratt: And you're sure about that?
Harkins: I've seen my fair share of penises.
Anyway, she's, he's pretty upset and I
think you should speak with him.
Pratt: You called the Mom yet?
Harkins: I'm working on it.
Pratt: No, work faster.
Pratt enters room where Morgan lays on bed.
His tone is quite different.
Pratt: Hey. How are you doing?
Morgan: I wanna see my Dad.
Pratt: He's still in surgery.
Morgan: How much longer?
Pratt: I dunno.
Pratt sits on bed.
Pratt: So what's the deal? Why are you going
around dressed like a girl?
Morgan: Because I am one! I have the wrong
body.
Pratt: You're a bit young to be thinking
that way, aren't you?
Morgan: No, I always have.
Pratt: Is your dad in on this too?
Morgan: He moved us so that I can start over
at a new school. Nobody knows.
Pratt: Well, they're going to find out
eventually, don't you think?
Morgan: Not if we keep moving. And when I'm
old enough I'll get the operation.
Pratt: What's your Mom have to say about
that?
Morgan: She has a different family now.
Pratt: Look... erm... Your Dad's going to be
a while, and we need someone to come and
get you.
Morgan: My Dad's friend lives near us.
Pratt: No, I think your Mom would be more
appropriate.
Morgan: She thinks I'm a freak! Just like
you do! Please!
Pratt: What's this friend's name?
As Pratt leaves the room Harkins is
excitedly awaiting him just outside. As
soon as the door is shut she demands:
Harkins: So what do we do? Who do we call?
Pratt: Don't do anything.
Pratt get's distracted and leaves the
hospital on family business.
....
In the OR. Corday looking at monitor above
body of Mr Brenner on the table.
Corday: Got to fight. Clear... Clear... You
have a daughter who needs you, dammit.
Charge to 300. Clear... Change the leads
to make sure.
Nurse: It's not the leads.
Corday: Just do it. Clear.
Nurse: Still flatline.
Nurse: Leads are fine.
Corday: Milligrame of atrophine. Five more
of ephine.
Nurse: He's oozing everywhere. No pulse.
No pressure.
Corday: God, I hate this.
....
Corday walks into ER
Corday: John, I'm afraid Mr Brenner didn't
make it. Where's his daughter?
Carter: Pratt was treating her, she might be
in Exam.1.
Corday: Does she have family here?
Carter: Hey, Harkins, you worked on
Brenner's kid, right?
Harkins: Yea.
Carter: Did you reach the mother?
Harkins: Dr Pratt said he was going to
handle it.
Carter: Did he?
Harkins: I don't know. He's on a break.
Corday: Well the girl's father just died.
Harkins: Boy.
Carter: What?
Harkins: Boy. Morgan's a boy. I guess the
proper term is transsexual.
Corday: Wait, I'm sorry? His daughter is
actually his son?
Harkins: Yes. I wanted to call the mother
but Dr Pratt didn't.
Carter: Do you have the number?
Corday: Mr Brenner mentioned an
estrangement.
Carter: Harkins?
Harkins: Yes, I have it.
Carter: Then call. She's next of kin.
....
Carter goes to a woman sat in the ER
waiting room.
Carter: Mrs Garting?
Mother: Yes, what happened?
Carter: I don't know how much you were told
over the telephone.
Mother: Next to nothing.
Carter: Your ex-husband and your son were
involved in a car accident. Morgan has a
broken ankle, it's relatively minor...
Mother: Thank you Jesus.
Carter: Mr Brenner's, however, injuries
were far more extensive...
Mother: Did he die?
Carter nods.
Mother: Oh My God.
Carter: I understand it's been some time
since you've seen Morgan?
Mother: Three years.
Carter: And are you, erm... Are you aware
that he's been living as a girl?
Mother: His father and I disagreed on how to
handle that. Morgan wanted to live with
his Dad, so I didn't fight it.
Carter: Morgan hasn't been told about
his father's death.
Mother: I cann't be the one. I'm sorry..
I...
Carter: It's OK, I can take care of that for
you. I do think it would be better if you
were there.
Mother: OK. Ah...
Carter: Morgan's going to need crutches for
about six weeks. There's chance he may
require a little physical therapy.
Otherwise he should recover fully.
Mother: Good.
Carter opens door to examination room.
Morgan sees Mother.
Carter: Morgan...
Morgan shakes her head.
Morgan: What's wrong?
Mother: Honey...
Morgan: What are you doing here? Where's
my Dad?
Carter: Morgan, your Dad was hurt very badly
in the accident.
Morgan: No!
Carter: We did what we could for him here
and then he went up to an operating
room...
Morgan: No!
Carter: They worked on him for a very long
time in the hope that his heart would
start pumping again...
Morgan: No!!
Carter: But it didn't, and he died.
Morgan: No! No! No!!!
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Mother moves to hold Morgan.
Mother: It's going to be OK. I'll take care
of you. I'll take care of everything.
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Carter looks on as Morgan weeps.
....
Pratt returns to the ER.
Pratt: Hi Perry, talk to me, what did I
miss?
Perry: Security stopped a guy with a cross-
bow coming in, Yosh forgot to put Connie's
icecream cake in the freezer and Carter
was wondering where the hell you'd been.
Pratt reads the case allocations board.
Pratt: I had business to attend to. Hey
the diabetic ulcer in one?
Harkins: And Mr Burns got moved up to the
ICU.
Pratt: Perfect. And Mr Brenner back
from surgery yet?
Harkins: He exsanguinated in OR.
Pratt: What?
Harkins: He died about an hour ago.
Pratt: Where's Morgan?
Harkins: With his Mom, I think.
Pratt: I thought I told you not to do
anything!
Harkins: You weren't here! What was I
supposed to do?
Pratt: You were to follow simple
instructions Harkins.
Harkins: I did, from Carter!
Pratt pushes open door to examination room
Pratt: What are you doing?
Camera pans to show Mother cropping Morgan's
hair. Morgan is in tears.
Mother: I cann't take him home this way.
Pratt: Please, put down the scissors.
The sound of the scissors cutting
hair continues.
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Mother: His stepfather will never accept
him.
Pratt: You do not need to do this.
Mother: It's my right. He's my little boy.
I'm doing this for him. It's the best
thing.
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Morgan looks at Pratt. Pratt looks back,
rocking on his heels. Stricken.
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Fade to black.
....
In the doctors' restroom. Carter is writing
notes. Pratt enters.
Carter: Taking off?
Pratt: Have to make up time. Seems I took
too long over break
Carter: Cann't just leave.
Pratt: I signed out.
Carter: The break sheet said for ten minutes
in the hospital You were gone for over
an hour. Look, you weren't here, so I over
rode your order to Harkins, but it's not
like I had much of a choice.
Pratt: No, you could have waited. You could
have paged me. You could have respected
the kid's wishes.
Carter: He's a minor.
Pratt: You could have called social services
in.
Carter: To do what, remove him from the
home? Hey, I feel bad about what happened
too. Like it or not, she's his only
family.
Pratt: Define family.
....
Pratt emerges into corridor to see Morgan
being pushed in wheelchair by mother, with
step-father and step-brother dourly at her
side, leaving, with cropped hair, dressed in
boys' clothes. A blue flannel shirt and dark
blue bodywarmer so different to the cerise
and flowered jacket, and lavender tops
in which she arrived only hours before.
The reception staff watch, clearly aware
of everything that has happened.
Pratt stands, hands in pockets, deeply
contemplative.
Morgan's eyes follow Pratt as they pass.
The look is of infinite sadness, emptiness,
hopelessness.
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