Does the Baby Die in Er Episode 19

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Season one, Episode 19:

Honey's Labor Lost

Doug and Mark are seen playing a game of take hold of near the subway line situated most County in the afternoon, when their attention is distracted by a vehicle driving erratically. The driver nearly hits Doug (causing him to bound over the hood of a nearby car to escape) before dumping his passenger onto the street in front of the ambulance bay. As they go to grab a stretcher for the unconscious human on the street, Doug pointedly says he doesn't want to play catch with Mark anymore. They wheel the victim into the ER, near bowling over Chen (and spilling her tray) in the procedure, and diagnose that he was shot in the back of the neck during an altercation before scheduling a surgery.

Peter and Haleh are still trying to calm down Mae Benton, who fell downwards a flight of stairs at her dwelling the nighttime before. When Haleh attempts to take Mae's wearing apparel off, she protests that she doesn't desire her son to see her that manner, prompting him to sheepishly wait outside. Soon after, a "Dr. Wilson" arrives and sees that Mae will need hip surgery — but he pointedly refuses to let Benton tag along, even telling him to "back off" when the latter tries to crowd into the elevator with him.

While Mark conducts a seemingly-routine examination with Jodi O'Brien, who is pregnant and accompanied past her hubby, Sean, he diagnoses that she may have a bladder infection and prescribes medicine and residual before they leave. Benton waits anxiously for news most Mae'south condition. Jackie, who's arrived with her kids Jesse and Stephen, tells Peter to close upwardly and sit down when he tries to goad her into telling him how it'due south all his fault. Before long after, Benton attempts to scrub in on Mae'south surgery — just to be told point-blank past Dr. Wilson to back off and wait outside, lest he finish up "on my wall".

As the "graveyard" night shift looms, Doug, Mark and Haleh treat a male child who seemingly feel unconscious at his male parent'south workplace, leading the latter to think his son has been drinking and taking drugs. It's only when the boy becomes unresponsive and Mark asks where the male parent works that the latter tells him it's a greenhouse — leading the staff to realize the boy has insecticide poisoning. Luckily, they're able to grab the problem in time and begin a course of handling.

The staff are diverted when Sean O'Brien runs dorsum into the ER and yells for Mark, telling him that Jodi went unconscious in their vehicle. Carter, Chen and Carol (who just arrived at County) grab a stretcher and rush out to bring her in. At the nearby trauma room, Sean aimlessly asks what's happening equally Mark diagnoses that Jodi likely has pre-eclampsia (seizures associated with pregnancy). After explaining this to both Sean and Carter, Mark says that they will likely need to induce labor soon, equally Jodi'southward condition could cause a lack of oxygen to the baby's encephalon if she has another seizure — which happens right on cue, prompting some frantic delivery of meds to stabilize her.As Marking's shift is supposed to be ending, Susan asks if he wants to let her take over the procedure, but he refuses, noting that he wants to see the example through because of making a mistake before when he allow them go. Marking tells them everything volition be fine, and pages the head of the Obstetrics Unit, Dr. Coburn... only to find out that she won't exist at Canton for at least another 60 minutes. When asked, Marking offers to evangelize Jodi's child, and she and Sean pick out a name ("Jared").

The treatment continues for several hours equally the staff monitor Jodi'due south condition and wait for the OB Unit to take her up. An OB rep named Drake comes down to assistance them with monitoring, only is soon called back upwards to his wing, leaving Mark to pb on the instance. At the same time, Mae is wheeled out from surgery, and Jackie comments to Benton that she expected it was only a thing of fourth dimension before Mae fell or was injured.

Every bit Jodi's treatment continues, it appears everything is progressing ordinarily... but after another 45 minutes, it becomes articulate that Dr. Coburn still hasn't arrived, forcing Mark to make the call to deliver the babe in the ER itself. Afterward Mark sends Carter upwards to the OB Unit to find someone to help, Jodi's condition begins to worsen, with the baby's heart charge per unit going down slightly and an epidural they gave Jodi wearing off, causing her to snap at her husband.

Several of the staff, including Carter, Chen, Lydia, Susan and Carol, all pitch in to help with the delivery, but information technology becomes articulate later on several hours (and frequent pushes by Jodi) that their efforts aren't working. Midway through the dark, Marker tells Carter to run upstairs and elevate Drake back downwards if he has to — simply Carter rushes back a few moments later to tell him that every fellow member of the OB Unit is currently tied up with multiple C-section procedures. After some other attempt to push the baby out, Mark realizes they'll have to go for a c-department as well (as the baby'due south shoulders won't laissez passer via normal delivery), and pledges to see the case through despite Susan telling him to leave it in her hands. With Sean snapping at him and claiming he doesn't know what he's doing, Mark elects to motility Jodi to a nearby trauma room and prep for surgery.

Jodi is wheeled into the trauma room, where tensions run loftier as her condition worsens. When Chen (in a moment of panic) knocks over a tray total of equipment, Mark orders everyone to take a deep jiff for a moment. A few moments later, he orders ane of the nurses to physically elevate one of the OB Unit members down to the ER, and rallies the rest of the grouping to begin the c-department. Sean watches, horrified, from outside the door as Marking opens Jodi's chest and (still stressed out) has to be reminded by Susan how to carry the procedure. Carter (aiding Marking) and Chen (watching from the sidelines) are horrified when they run into what's happening in forepart of them.

With Jodi's status continuing to worsen, and Susan snapping at him to bustle, Mark manages to cut through Jodi's uterus and bring the baby out — which is unresponsive. As others begin to work on resuscitating the newborn, Marker conscripts Carter to help stabilize Jodi'south aorta while he helps Susan, Lydia and Ballad intubate the baby. Together, they manage to stabilize its status, with Sean watching outside breathlessly.

Shortly after, Dr. Coburn arrives in the ER — and is horrified at the situation. After Marker explains the steps he took to save the infant and try to stabilize Jodi, she accuses him of not doing plenty to get a handle on the situation while calling for the neonatal ICU (NICU) to come down. Shortly afterwards, Coburn tells Marking to talk to Sean as the infant is wheeled upwardly to the NICU, and he rails at Marking for not having a handle on things. Mark reassures him that Jodi is stabilized, and that the baby volition be fine before the latter goes up in the lift. Coburn continues to smash Mark for missing several aspects of Jodi's example, while Susan comes out of the trauma room and tells Mark not to arraign himself, reasoning that Coburn is trying to comprehend herself for not getting to County sooner.

Their attention is diverted when 1 of the nurses runs out and tells them that Jodi's vitals are crashing again. Inside, they first breast compressions on her, but it soon becomes articulate that Jodi has died. Despite Coburn calling time of death, Mark continues to try chest compressions for several minutes afterwards... until Susan gives him a wait that confirms to him that there'southward nothing more than that tin can be done.

Mark angrily rips off his bloodied gown and gloves and storms out of the room. Upstairs, he makes the long walk to the nursery and meets Sean, telling him behind airtight doors what happened. Sean reels in stupor and sadness at the news. Afterwards, Carter finds Marking dorsum in the trauma room staring at Jodi's body, and tells him that his deportment were incredibly heroic. Mark, now in the midst of a full-blown Heroic BSoD, says nothing and walks out of the room.

Now early on morning, Susan accompanies Mark back to the subway station and offers to ride with him dorsum abode. Mark tells he just wants to ride alone, and excuses her offer by saying he has a number of things to think well-nigh before getting on the subway solitary. Onboard, he slumps into his seat, and for the commencement time, breaks down as the weight of what's happened hits him...

Tropes:

• Adult Fearfulness:
  • Dr. Greene, an otherwise-stellar medical professional person can only watch equally, despite his best attempts, the assistance he calls for from the OB Unit never arrives, his patient's condition grows From Bad to Worse, he has to be coached through a c-section because of the stress, and all the while, he has the patient's husband (and later, the head of the OB Unit of measurement) yelling at him and accusing him of screwing everything upwardly. That would have a cost on even the most hardened medical professional person.
  • The inverse occurs with Sean O'Brien, who starts out the evening with a routine medical visit where he hears that his wife has a bacterial infection. 12 hours, he's left emotionally drained and distraught after watching his wife's condition fade, his unborn son barely go far through, and what he perceives to exist Blatant Lies on the part of the caput doctor on-call. The episode ends with him having a breakdown as he cradles his newborn son and learns his wife is dead.
• All Part of the Show:
  • Marker likens the ER experience to "being in a circus" for Carter's do good — just as they see a patient, sitting in a stretcher and dressed in a gold tutu with pinkish frills, get wheeled out of the elevator.
  • When Mark asks if Carter tin can observe Jodi's dilated cervix, she nonchalantly agrees, proverb everyone's going to look anyway — and so she asks if he'due south "enjoying the testify?"
• Artistic Licence Medicine: This episode (partially based on a truthful story) led to producers having to reassure the public afterwards a wave of female viewers freaked out considering of the... less-than-stellar handling plan seen in this episode: At least one OB/GYN pointed out the problems associated with Jodi's treatment:
  • Eclampsia is a serious medical situation, and information technology'southward highly unlikely that Marker and the others wouldn't have begun a c-section immediately if they knew the state of affairs was going to get so bad. Nor is information technology possible that things would have connected past an hour in one case the diagnosis was made earlier OB got involved (the non-appearance of Drake notwithstanding) — and the excuse that the OB Unit was slammed for 10-plus hours with otherwise-routine c-sections doesn't wing.
  • An ER doctor would never put forceps on an unborn baby — even trained obstetricians wouldn't consider such a thing due to the inherent hazard, unless it was a last resort.
  • There is no manner an OB/GYN wouldn't accept taken over the case, peculiarly since it was a loftier-risk matter. Non simply is Marker's treatment of the woman woefully incompetent, it went on for the improve function of 12 hours, plenty time to call in an OB/GYN from another infirmary or practice or fifty-fifty another city if necessary.
• As Yous Know:
  • Briefly in the opening, every bit Carter relays the details of Mae'due south accident for the benefit of Susan.
  • Marking explains what eclampsia is, both for Sean's benefit (as her husband) and for Carter's (as a med pupil).
• Bait-and-Switch: Midway through the episode, the plot changes gears from the standard A-B-C case-of-the-week style story exhibited throughout the season, in favor of a story involving a single patient (Jodi), whose state of affairs dominates the dorsum half of the episode and results in disastrous consequences.
• Birth/Death Juxtaposition: Jodi, who dies merely after her child is removed via c-section.
• Bittersweet Ending: Within a hairbreadth of being a Downer Ending. While Mark does manage to deliver Jodi's child — it's at the cost of her dying due to the trauma and blood loss, leaving her widower husband distraught. He gets raked over the dress-down by Dr. Coburn (with the implication that he'll undergo a example review similar Susan did with the Vennerbeck example) and the weight of Jen'due south separation finally catch up with him, leading to a breakdown onboard the subway home.
• Bloodier and Gorier: This trope is invoked in-universe when Coburn arrives and likens the current situation (claret is soaked all through the sheets surrounding Jodi, and the doctors are covered in it) equally beingness similar a "chainsaw".
• Bookends: The episode starts and ends with a subway railroad train — in the beginning, a train passes as Mark plays catch with Doug (and hasn't told him about Jen's separation) and ends with him on the aforementioned train dorsum dwelling, breaking into tears considering of the weight of Jen'due south actions and Jodi's case.
• Break the Haughty: The Episode. Mark Greene goes through a twenty-four hours-long breakdown that sees him botching a pregnancy instance despite his best efforts, and being reduced to tears by the stop after the weight of recent developments finally hits him on the manner domicile from work. This is invoked in a Tv set Guide feature written about the episode in 2015:

  Lance Gentile (Writer): Dr. Greene had been a little also successful and perfect, so John (Wells, executive producer) said, "Nosotros demand to milkshake him up a little bit." That was my assignment: Shake upward Dr. Greene.

• Butt-Monkey: Chen'due south but appearances in the episode are when she'southward dropping trays, making featherbrained comments (asking Carter why the hospital is full of "old and sick" people) and reacting in shock and horror to Jodi's handling in the trauma room. It's not even clear why she was allowed in the room to begin with, as her presence adds more than stress to the situation (e.g. her dropping the tray full of implements).
• Closest Thing We Got: Carter is ordered past Mark to agree Jodi's aorta airtight until the baby tin be stabilized and someone tin can become in to help. When Coburn arrives, she looks at him first and asks who he is, prompting him to state (to an incredulous reaction), "John Carter, med pupil."
• Decease past Childbirth: Jodi, who dies from complications after her babe is delivered via c-department.
• Decoy Protagonist: It appears that Benton is being prepare up as the pb for the episode, as a handful of scenes focus on his Determinator tendencies to exist present for Mae's surgery. Then, he disappears at the midway point of the episode, and Marking, Susan, Carol and a few others are left to endeavor to handle Jodi'southward case on their own. When Mark tries calling for Benton, he'due south not on rotation.
• Determinator: For the better part of 12 hours, the staff give information technology their all to try and relieve Jodi and her unborn child. Despite saving the infant (and fifty-fifty that was a close phone call), they are unable to forbid Jodi from dying after losing too much blood.
• Foreshadowing: Mark does a popular quiz on proper handling of the unconscious man dumped from the car in the opening sequence for Carter and Chen'south benefit, and mocks them for getting the answers wrong. During Jodi's botched delivery later in the episode, Dr. Coburn mocks him in the exact same mode for not taking the correct course of activeness.
• Freeze-Frame Bonus: Morgenstern (William H. Macy) can be seen milling around backside a window in the groundwork of the ER during the opening sequence, as Mark diagnoses the gunshot victim's condition.
• From Bad to Worse: Jodi's treatment, which starts with an otherwise routine-checkup and progresses to a situation that gets more and more grave as Marking tries to utilise his Determinator tendencies in an attempt to treat her. While it results in Jodi's baby beingness saved, she dies from a combination of blood loss and trauma, Dr. Coburn is aghast at the situation and everyone is left shocked and drained by the preceding 12 hours.
• Honor Before Reason: Mark is given the opportunity to bow out of Jodi's case (twice, in fact) by Susan, who offers to accept up the case, only he refuses both times because he wants to "come across information technology through".
• Hope Spot: Several, befitting the tragic nature of Jodi's instance.
  • Mark initially presumes that Jodi has a bacterial infection, has a nice chat with her and Sean and sends them on their way with a prescription for medicine and rest... and then Sean runs back in moments later, revealing Jodi had a seizure as they drove abroad from County.
  • After Jodi has another seizure, her status stabilizes enough for Mark to reassure them that everything will be okay, and they even have time to see the babe on ultrasound to reassure her, and even name the baby ("Jared"). And so the planned natural birth goes southward...
  • Later on the traumatic c-section, Marker reassures Sean that fifty-fifty though the situation looks grim, the baby will be rubber and Jodi has stabilized... and equally soon as he leaves, Jodi flatlines once again, passing abroad shortly after.
• Hypocrite: Dr. Coburn rails at Marking for not calling her early on plenty to diagnose Jodi's condition... even though he and the other nurses chosen the Obstetrics Unit multiple times throughout the episode in an attempt to reach someone to help. When Coburn calls for Drake (after several hours of not getting a response from him), Marker and Susan share a knowing glance.
• Informed Attribute: Dr. Coburn, whose actions in this episode set a precedent for the rest of her appearances in the serial — she simply isn't around when you lot need her.
• It's All My Mistake: This attitude, coupled with Coburn blaming him for what happened, leads Mark to break down on the subway ride back dwelling, despite Carter and Susan praising his efforts.
• Manly Tears: Later losing the patient, and consoling her married man, information technology takes Marker until the subway ride back habitation earlier he finally breaks down and starts crying over what'south happened.
• Mass "Oh, Crap!": The entirety of the on-call staff in the ER get this once information technology becomes clear that (a) no one from the OB Unit is going to help them, and (b) Jodi'southward condition is getting steadily worse.
• Naïve Newcomer: Invoked, oddly enough, with Chen, who complains nearly County being full of "sick and quondam" people they have to care for after several weeks on the job. Carter tells her that's the betoken of the infirmary.
• P.O.V. Cam: Between Carter and an elderly patient who jokes with him past pulling his dentures out and offer them up, in a shot-contrary shot format.
• Rule of Symbolism:
  • The episode deals with Mark (who just had his married woman announce she wanted a separation at the terminate of the previous episode) losing nearly everything — first, he temporarily loses one of his closest supporters (Doug doesn't want to play catch with him anymore considering of the location), then he has no one to oversee or terminate his handling of Jodi, and despite saving her kid, he loses Jodi too. It takes until the ending of the episode for him to finally break downwardly when the weight of what's happened hits him.
  • This episode too contrasts ii cases that the doctors overseeing them have very similar reactions to — Benton trying to micromanage his mother'due south hip surgery, and Mark trying to micromanage Jodi's complications from pregnancy. However, whereas Benton is repeatedly stopped from getting involved in Mae's hip surgery, Mark doesn't take the same hint and continues to treat Jodi, fifty-fifty after the situation spirals downwards and her condition worsens.
• Shout-Out:
  • The episode title is a riff on the Shakespeare play of a like name (Dearest's Labor's Lost).
  • There is a Blooper from the episode (seen on the DVD set) that shows Anthony Edwards (Mark) pulling out the "conflicting baby" puppet from V: The Terminal Battle (some other Warner Bros. production) in order to lighten the mood amid the intense shooting of the c-section scene.
• Something Completely Different: "Love's Labor Lost" uses the Bait-and-Switch plot to focus on a single patient (Jodi) for the back half of the episode, in contrast to every other episode up to this point. Information technology besides is the start to characteristic timestamps that are relevant to the plot (demonstrating the length of Mark's treatment). Compare to "Into That Good Night", which also features timestamps, but those don't accept any item relevance to a specific case.
• Tempting Fate: Despite having an opportunity to pass Jodi'south case to Susan when he has the opportunity, Marker refuses to sit down idly by and continues to take an active role in the surgery — which has fatal consequences for Jodi.
• Wham Episode: Like "Blizzard", the episode shakes up the normal A-B-C episode format by focusing on a unmarried instance (that goes in a tragic direction) for the back one-half of the plot. Unlike "Blizzard", the consequences of this episode securely affect Mark and prepare the stage for the residuum of the season. This episode was i of the nigh critically-praised installments of the bear witness's run, picking up 5 Emmy Awards, a Writers' Club of America honour, an American Cinema Editors Honor and was named the third-best TV Episode of All Fourth dimension by Television set Guide in 1997.
• What Happened to the Mouse?:
  • The mystery of who the gunshot victim was in the opening sequence, and who dumped him out of the moving vehicle, is never answered due to the plot moving on speedily to the Jodi case.
  • Drake (the OB attending) disappears midway through the episode and doesn't show up over again, fifty-fifty when Coburn tries paging him down to the ER.
• What the Hell, Hero?: Marker is repeatedly yelled at by Sean (and afterward, Coburn), who keeps asking him if he actually knows how to practice medicine. This, combined with Jodi's condition fading and the desperation to get the baby out, plays a significant cost on his psyche.
• With Friends Similar These...: Invoked in the opening sequence, when Doug comments on a patient (who was thrown out of a moving vehicle travelling towards County at high speed), maxim "That'due south what friends are for."
• Worst Aid: By virtually modern metrics, Jodi's pregnancy and speedily-deteriorating condition is caused by a domino effect of errors on both the ER and OB Unit'southward part: not moving her upward to OB when they had a chance, no obstetrician being called downwards to help, characters non wearing surgical masks in an operating room, med students being conscripted to assist (or compromising the state of affairs due to stress), the OB only arriving 11 hours afterwards the fact, etc.

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