Great Geigerisms 1.6

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                 Memorable Mandy Moments/Great Geigerisms
                             Episode 1.6
                             Shutt Down

A teenage boy entered the emergency room shooting everyone in sight.  Geiger
operates on Mrs. Lavelle, who was shot in the neck.  "I Heard it Through
the Grapevine" is playing in the OR.  Shutt opens the door and asks:

AS:   How's she doing?
JG:   Mastoid damage, but I'm making progress.  [Turns to look at AS.]
      What are you doing in here?
AS:   Shooter's in 2.  Took a bullet in the head.
JG:   You're operating?
AS:   It's me or the morgue.
JG:   [Shaking his head] Nuts.

Geiger walks into waiting room to talk to Mr. Lavelle and his son Marcus:

JG:   She's gonna be OK.  We're looking at a complete recovery.
Mr.L: Thank God.  Thank God.
JG:   We'll just keep her here a few days, but by Friday "See ya later."
      [Looking at Marcus]  He OK?
Mr.L: He's just a little bit in shock.  She's gonna be alright, Marcus.
      Momma's gonna be OK.  Did you hear what the doctor said?
JG:   [Sits down in front of Marcus.]  Hey Marcus.  I'm Dr. Geiger.
      [They shake hands.]  I just operated on your mother.  She's doing
      great.  How're you doing?
Mr.L: He has trouble moving his legs.  That's why we were in the emergency
JG:   Uh huh.  Well ... he's already admitted.  You have a few more tests.
      I guess you and your mom are both gonna be staying with us, Marcus.
      Everything's gonna be OK buddy.  Come on.  Don't you worry, huh.

The shooter Shutt operated on dies.  Shutt reflects on his inability to save
him.  He and Geiger are in his office eating hotdogs:

AS:   Dead.  One second he's twirking up and down, the next second he's dead.
      I told you no relish.
JG:   Sue me.
AS:   You know, this is the first patient I've ever had die on me where I
      feel absolutely nothing ... nothing.
JG:   You're probably still traumatized.  [Unwrapping his hotdog.]  How can
      you expect ... Son-of-a-bitches put relish on mine too!  [Throws the
      hotdog down on the table.]  What's so damn ...
AS:   I didn't feel anything for that kid.
JG:   They murder people for sport, Aaron.  You're not supposed to feel
      anything except maybe relief he won't be killing anybody else.
      It's not even hot.  Let's go home, get some sleep.  Maybe get a
      decent hamburger on the way.
AS:   I don't want to go home.
JG:   Come on [grabs the hotdog out of Aaron's mouth].  You're going home.
      Let's go.
      [Next scene: Coats on, JG sorts out his phone messages with AS's.]
      You're tired.  I'm tired.  And I'm angry.  Place specialized in hotdogs.
      What is this?  We stick our hands inside people.  Try to save life.
      They can't concentrate on a single food order. I hope that vendor comes
      in with appendicitis.  You said "appendix?"  Oh, I'm sorry.  I thought
      hernia.  Mustard, relish, appendix, hernia.  Eh pssh, so what.  Just
      once we should get to sell hotdogs for a day.  People never die with a
      condiment screw up, huh?
AS:   Uh uh.
JG:   I can't even read these damn things [referring to the phone messages].

In the Conference Room discussing patients who have recently died.  Thurmond
finishes reporting on one of his:

JG:   Anything remarkable Arthur?
AT:   She said she once spent the night with Babe Ruth.
JG:   Very good.  [Takes next folder.]
      Antoine Metcalf.  Removal of bullet and bone fragments from his frontal
      and temporal lobe.  The afore mentioned projectile conveniently supplied
      by Mr. Ernie Layton, one of Chicago's finest.  He was yours Aaron.
      [Aaron discusses his case.  Geiger continues.]
JG:   OK.  Walter Matson.  Dr. Thurmond, another one of yours.  Who says all
      streaks must come to an end?
AS:   Excuse me.  There's more on the Metcalf case.  [Aaron tells Dr. Paula
      Michelson to tell what happened in the OR.  She hesitates.]
JG:   Dr. Michelson, this is the only reality check we have on ourselves
      and our piers.  So, if you have something to say, say it.
PM:   Halfway through the procedure, Dr. Shutt joked on how simple it would
      be, maybe even appropriate, to cause this patient's death.
AS:   It's true.
AT:   Nonsense.  All of us make morbid jokes in the OR.  It's the only thing
      that keeps us sane when the pressure becomes unbearable.  It was a joke.
JG:   Aaron?
AT:   End it here and now.
JG:   Can we end it here Aaron?  I can't believe I'm asking this, but did
      you kill this patient?
AS:   No, but ...
JG:   But what?
AS:   But I didn't save him either.
JG:   Did you provide appropriate and acceptable treatment to this patient?
      Say "yes" and this goes away.  [Silence.]
      Maybe you didn't hear me.  Say "yes" and this goes away.
AS:   I don't know.

Geiger and Shutt descending the stairs of the hospital:

JG:   Are you out of your mind?
AS:   Go away Jeffrey.
JG:   All you had to do is say you did your best and it's over.
AS:   Maybe I didn't do my best.
JG:   Ah, that's crap and you know it.  I know it.  I'll reconvene the
      conference.  You'll tell ...
AS:   Go away!
JG:   I won't go away.  I'm not gonna let you throw away your career.  I
      don't care what kind of ...
AS:   I asked you to leave me alone.  Just back off!
JG:   Aaron.
      Excuse me, Dr. Aaron Shutt?
AS:   What?
      Summons, complaint.  I need you to sign ...
JG:   What's this for?
      I just deliver it.
JG:   Camille's impeccable timing?
AS:   No, it's not Camille.  It's Antoine Metcalf's family.  They're suing
      me for wrongful death.

In his office, Geiger is playing with a yo-yo, Camille walks in:

JG:   Camille.
CS:   Can I talk to you for a second?
JG:   What's up?
CS:   I'm worried about Aaron.  [Both sit.]
JG:   I think we just got to give him some time.  A few of the bullets
      came close to him, you know.
CS:   I know.  It's just I ... the thing is ... look Jeffrey, I don't
      know how to behave here.  I know he's hurting.  I want to help him,
      but I'm also the ex-wife and I know he's also hurting over ...
      Should I just stay away from him?  I don't know what to do.
JG:   I don't know either.
CS:   I hear that something might be going on between him and Antonovich.
      Which would be good.  I mean that would be good.  I mean maybe, you
      know, if she's there to comfort him.  That would be good.
JG:   I think we both got to help him any way we can.

Antonovich, Michelson, Watters and Geiger discussing why Marcus is still
unable to move his legs after being operated on by KA and PM:

KA:   I know I got it right.
JG:   Maybe there's some bleeding around the cord?
KA:   It would have showed up on the post-op MRI.
JG:   Did you look close?  You wouldn't want to see it.
KA:   I looked close.
JG:   [To PW]  Maybe she missed something.
KA:   I didn't miss anything.
JG:   Well, let's do an electromyogram.
KA:   I did it already.  Neurologically, the boy is normal.
JG:   Normal boys can bend their knees.
KA:   Why are you even here?
JG:   [To PW]  A neurosurgeon should have been doing this procedure.
PM:   I'm a neurosurgeon, thank you very much.  Were you in the room doctor?
JG:   If I were, the kid would have been up playing soccer.

Geiger finds Shutt and other staff members in their underwear racing gurneys:

AS:   Hey Jeffrey, I just made 5 to 1.
JG:   What are you doing Aaron?
AS:   I'm winning.  Beating the pants off of everybody, if you excuse the
JG:   Get your clothes.  Let's go.
AS:   No, no, no.  Can't do that.  I've got the daily double.  Got to go
      right away in the other direction.  I'm telling you, you should put
      some money on me.  I've never felt stronger.
JG:   Aaron?  [Shutt races off.]

Antonovich, Ray Kadalski and Geiger are in Marcus' hospital room trying to
get him to move his legs:

RK:   You're at the zoo Marcus.  Lots of kids laughing.  Ho, ho, ho.
      Having fun, running around, looking at a big hippopotamus in the
      water.  He's so big ...
      So silly.  What's this.  Everybody's running over to see the giraffe.
      The big giraffe with the big, long neck.  Such a great giraffe.
      You'd like to run over too.  Can you run, Marcus?  Can you move your
      feet ... just a little and see the nice giraffe?  Try, try to move
      them, just a little.
ML:   I can't.
RK:   Try a little harder.
ML:   I can't.
JG:   Excuse me.  [Calling KA and RK over to the side.]
RK:   This technique works.  It both relaxes and motivates.
JG:   You're depressing him.  Not only is he paralyzed, but now he's missed
      out on the nice giraffe.
RK:   Look, I'd like to continue on this line, with an escalating scale of
      intimacy, starting off with the treating doctors and work up to
      the parents.  Trust is what will finally win out.
KA:   OK.  Jeffrey, you go first, then me, then the parents.  Let's go.
      [She nudges JG's arm.]  Come on.
JG:   Oh leave me alone, will ya.  [Moves to Marcus' side.]
      Hi Marcus.  How're you doing?  Look, you didn't miss anything with
      the giraffe.  It was dead.  So you're better off right here with that
      silly hippo.  'Cept what killed the giraffe--Lyme disease.  Got it
      from an ugly tick.  All fat and gray.  Swelled up with the giraffe's
      blood.  Waddlin' over to your hippo right now.  I hate ticks.  This
      one's getting closer and closer.  Big, fat, fat tick.  He's going for
      your hippo.  Somebody better stop that tick Marcus. Step on that tick.
      Move your feet.  Step on that tick.  Splatter it all over the ground.
      Step on that tick.
ML:   I can't.
JG:   Squish it all over.  Grind its guts.
KA:   Jeffrey!  Maybe I should go.
JG:   Thought I saw a little wiggle.
KA:   Yeah, yeah.  You did great.  It's my turn.
JG:   Saw a little wiggle.  [Marcus just shakes his head.]

Geiger and Shutt in Shutt's office:

JG:   You know you didn't kill that kid.
AS:   I know that I did nothing wrong technically.  Just like the judge,
      he made the right ruling.  This case should have been dismissed, but
      maybe he came to that decision a little more quicker, a little easier
      because it was a gang kid.  Maybe he was lacking the intellectual
      acuity that would have allowed him to see something small, something
      microscopic that would have made this lawsuit stick.  And maybe it was
      just as baseless as he said it was.  It didn't matter.  It didn't
      matter because in the end, that judge wasn't trying to make it stick.
JG:   What are you babblin' about?
AS:   I was operating on gang scum, Jeffrey.  I wasn't afraid to lose him
      and maybe without that fear, I wasn't everything I could be in that
      room.  Maybe my acuity was compromised by who it was that was on the
JG:   You don't know that.
AS:   No, I can't know it.  I will never know it.  But I promise you this, I
      will always wonder.  Always.  And wondering is ... it's ... it's
      paralyzing.  I don't ... I don't want to go back in that room.
      [Geiger sits down near Shutt.]
JG:   When Laurie drowned Joey, remember what happened to me.  I didn't
      think I'd ever be functional again, much less ...  You held me
      that night, remember?
AS:   Yeah, I remember.
JG:   You told me forget whatever I was thinking.  Forget about me trying
      to trust myself and instead trust you.  Just trust you and whatever
      you were saying because you were the one who could think clearly.
      I clung to that Aaron.  I wanted to believe you and had to believe
      you, cause what I was thinking and feeling ...  To survive I had to
      believe you.  So now, I'll ask you to do the same with me.  You
      did the best you could do on that Metcalf kid because you're
      incapable of anything else.  It's innate, when we cut, it's innate.
      Whether you believe that or feel it, you have to accept that is true.
      I'm telling you this ... you will walk into that operating room
      again.  You will.

Kadalski is singing "High Hopes" to Marcus at his bedside.  Geiger, Watters,
and Shutt walk in.  Geiger's LOL:

JG:   [To PW]  Does Blue Cross pay for this?
RK:   Doctor, I appreciate you not being here.
JG:   I have an idea, if you don't mind.  [Taking away RK's guitar.]
RK:   That's my guitar.
JG:   [To RK] Lean over like this.  [JG leans over Marcus' bed.]
      Marcus, kick Dr. Kadalski.  Will ya, huh?
RK:   Please, please.  I was making progress.  He felt my little prick.
JG:   I'm sure that excited you as well, huh?

Shutt asks if he could talk to Marcus alone:

AS:   I've been sort of frozen myself since the shooting.  I've been able
      to walk, but well ... not operate on anybody.
ML:   Why?
AS:   Too scared I think.  That was something seeing those bullets ...
      hearing them.  That's why you're not moving your legs.  Because of fear.
      They told you that?
M:    Yeah.
AS:   Sometimes I think that all the fear and the pressure is the thing that
      keeps us from getting, you know, unstuck.  But I suddenly realized, I was
      talking to my best friend a little while ago and I realized, whether I
      ever operate again or not, he is still gonna love me just the same.  And
      God, it took such pressure off.  I don't have to get better right away.
      I can be weak.  I don't even have to be strong.  I can just, you know,
      go limp and I don't know ... free fall, because I have people who love
      me and are going to take care of me no matter what.  And you have that
      too Marcus.  Your parents are gonna love you, even if you don't walk
      right away.  I know that you want to do it today, partly because of
      them, just like I want to operate because I don't want to let my people
      down.  But let's not think about that today.  Sometimes, you know, we
      have to be there for them.  We gotta be strong for them, but today we're
      gonna let them be there for us.  We'll be weak.  We'll need them.
      There's no pressure.  [AS rubs ML's legs.]  Just let your family
      love you.  You heel.  You got all the time in the world and all the
      love in the world and all you got to do is just ... go limp and accept
ML:   I can feel that.  I can feel you rubbing.
AS:   You can?  I can feel it too Marcus.  It feels to me like your moving
      them.  It's coming back.  Maybe we ought to call your parents back in
      We should give him some time.  [As the doctors leave, Geiger pats
      Shutt on the back.]

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