Mark Refuses To Save A Shooter's Life | ER

Having had his son taken away by Mark and social worker Adele Newman after suspicions of abuse, Derek Fossen (Ted Marcoux) goes on a shooting spree looking for him. When he shoots Adele at her home, as well as 18 other people, Mark fears for his life as well as Elizabeth and their daughter. Derek is bought in to the hospital and while Mark takes him to surgery in the elevator, he needs defibrillation, but Mark instead chooses to watch him die.
Requested by MrCraigblaze.
From "Rampage" (Season 7 Episode 22)
First broadcast May 17th, 2001
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[@er-emergencyroom434]

We've included a compilation of the events leading up to the final scene to remind you what happened. Do you think what Mark did was justified?

[@MrCraigblaze]

Well since Mark was leaving the show anyway yes.. XD I mean Anthony..

[@andrewj2358]

NO. "First, do no harm." He harmed that man by withholding treatment. Also, someone should have covered for him, since he was personally involved.

[@angiearthur1408]

Hell yeah it was justified. He would have killed Mark, Elizabeth, or Ella.

[@alexistherat]

Angie Arthur yep

[@allieblake477]

Absolutely

[@jimharper2180]

“I don’t celebrate any death, but there are lives for whom I cannot mourn.”

[@TheRaddestB]

Who is this from?

[@jimharper2180]

@@TheRaddestB I believe it is a Jewish proverb. I heard it from a rabbi once, but I can’t find a source now.

[@AnimeWolf5193]

Poetic. Grim, but poetic.

[@AndreNitroX]

Great line

[@ogichidaawag3244]

George Floyd comes to mind.

[@mitchwhite6826]

A line from Batman Begins comes to mind: "I'm not going to kill you, but i don't have to save you." I can imagine that wasn't an easy call for him to make.

[@therealmistahjay]

The guy was on his way to shoot Marks wife and baby had he not gotten intercepted by the cops. I’d say it was a pretty easy call.

[@mitchwhite6826]

@@therealmistahjay For a normal person, sure. But when you have to weigh that against everything you've been trained, and sworn to do, it's not as easy. You even see mark struggle with the decision for a moment.

[@tristantoole7363]

Batman isn't a doctor.

[@1958dbc]

@@tristantoole7363 no but he's BATMAN !!

[@swiety1981]

@@1958dbc well.... still... DAMN!

[@1ron0xide]

This is when we all realized for the first time that Dr. Mark Greene is hard AF

[@MatthewHendrickson]

This guys goose was cooked

[@Joe-ix5hj]

I don’t know what’s more chilling: That Greene let the man die, or that he did it without saying a single word. Either way, damn.

[@barneydenstad2148]

There were perhaps microphones inside the elevator. That is why he did all the moves of saving with electrical chocks, without actually doing it. The microphones would register the sounds.

[@ingasparrow]

@@barneydenstad2148 No, that's not it. At 4:46, there's a readout of the difibulator (sorry, can't spell it). It notes it's charging up and when Mark is administering the shocks. Here, silence conveys far more than words could.

[@barneydenstad2148]

@@ingasparrow True. Anyways, both ideas are feasible. Although his fake rescue in total silence HAS its message: "in cool blood", no?

[@markmunroe-hz8rf]

The best part of this scene was the look in the bastard's eyes. He saw death before him, and worse, how his victims felt before he shot them in cold blood. I smiled when his eyes grew wide in absolute fear. Priceless. Just priceless.

[@dins5066]

5:03 my favorite part 😆

[@SportsSpeak73]

What we NOT going to do, is act like that's a random shooter. Dude went after Mark's family

[@puppetmaster5358]

Na but he never made it, his family was just fine. What Mark did here was just wrong.

[@kathrynhall7021]

It was fictional

[@jamesgentry13]

@@kathrynhall7021 yes and no. What Mark did would get a doctor fired and permanently lose his license to practice in real life

[@themonolith253]

@@puppetmaster5358 Mate, the guy killed eight people, injured eleven others and was about to kill Marks family. Pretty sure not many people would call it unjust. He already crossed a line.

[@puppetmaster5358]

@@themonolith253 Yes but he did not kill mars family did he? Mark does not get to decide if that mad should live or die i mean i know he did anyway but it was still wrong. lol

[@timmitchell3870]

"Is there still a chance I could be paralyzed?" "Not if I can help it!" As much of an a-hole as Rocket Romano was - would you want anyone else to do surgery on you?

[@antoniodagostino2291]

He wanted the absolute best from everybody, it made him look like an ass hole but it also showed how much he cared

[@thomashodge5896]

She was still paralyzed.

[@vintagehollywood8409]

I’d want Rocket in a heartbeat

[@klaudiagrob]

When it comes to saving life all that matters is skills and abilities not if we like someone or not.

[@strategic1710]

Probably Benton. He was a machine.

[@anonnnymousthegreat]

The look dr.green gave to the shooter was like him mentally asking him, “how does it feel now to have your life in someone else’s hands to choose whether you live or die like you did to those you chose to live or die? Horrifying, isn’t it?”

[@AndreNitroX]

This is one of Greene’s best moments with that look he gives him

[@my_quiet_riot]

I took it more as "No one threatens my family and my people. No more."

[@AndreNitroX]

@@my_quiet_riot either way greene wasnt having it

[@my_quiet_riot]

@@AndreNitroX eh, but that was not how his character dealt with conflict. That's one of the reasons this scene is so powerful.

[@JohnRitchiejd23]

That's some straight John Kramer (Saw movies) shit.

[@dootskeleton3760]

This is the definition of be careful who you fuck with.

[@judidoyle5060]

As a nurse, it's WILDLY unethical. As a Mom, I'd have totally given Dr Greene an alibi.

[@Pinkranger87]

Me too

[@spackle9999]

If it's something we would've done we protect our own.

[@He4Fr]

@Leo Peridot the next season deals with County's M&M of this case. IIRC, he covers it up by fudging the times when they grill him and BARELY squeaks by, but there's this terribly awkward scene where Corday figures it out one evening.

[@yugioht42]

@Leo Peridot actually no as the Paddles have their own EKG depending on exact model. It would actually read as a shock delivered but no change as the read on it spikes. then back down as juice is amped up. In a elevator crash like this often a standard EKG can't fit so they rely on the Paddles for the EKG its called use what you have.

[@mybuttsmellslikebutterbut207]

This is why I don’t trust health care workers.

[@egthatyoutubes8094]

Mark: I'm going to hell for this but you're coming with me.

[@90CJk]

Mark suffered through Hell with his brain tumor. He paid his price. Which purified him.

[@karazor-el6085]

"...and YOU GO FIRST."

[@bursegsardaukar]

@@90CJk Could be argued that the brain tumor affected his judgement on this matter. That's what happened to the real-life Dr. Allan Zarkin (a.k.a Dr. Zorro), a doctor that carved his initials on his patient's abdomen after a c-section surgery. Dr. Allan's lawyer argued that his client is suffering from a brain disorder called Pick's disease that affected his judgement.

[@eddiewinehosen6665]

They're not going anywhere. No heaven and no hell.

[@bethcollier220]

Nah Mark wouldn't go to hell.... he's just setting up the meeting with God for the shooter.

[@seanmulloy854]

One of the best endings this show ever did. You just sat there afterwards, like..."damn".

[@samanthasays3603]

After the last "thump" by the paddles, and they cut to black, it was the best moment of tv history, imo.

[@MarcG7424]

You can see exactly the moment the lightbulb goes off in Greene's Head and when the man realizes he's not going to try to save him

[@sallyj8489]

My family still jokingly refers to "that time Mark killed a guy in an elevator." Any time a doctor's considering not helping a patient? "Watch out or they'll kill them in an elevator."

[@gsofficial]

hey man, if i gotta go, i want to be taken out by a doctor in an elevator, oh baby that's the dream

[@klaudiagrob]

Well technically he didn't kill him. He just watched him die pretending to save him.

[@soxnation1000]

@@klaudiagrob He did, because he had the duty as a doctor to save him.

[@PuffKitty]

Little inside jokes in the family make such a great memory 🙂

[@RobertAlvarezThePsychicWitch]

@Sally Won'tgiveherlastname I should not find your comment funny, and yet, I do.

[@VanesaLaura30]

I remember watching this as a teenager. Now, as a Doctor, I fully understand all the things that come into consideration here. Master scene. Brilliant series.

[@Mourtzouphlos240]

Could you elaborate?

[@ThePrincessnady1]

Mourtzouphlos Use your head x

[@firstlast-fr1le]

Do doctors often play god and decide they will not treat someone? I don't have an issue per say just curious.

[@CuddleFish124]

first last technically no, they are not supposed to do that. “Do no harm” as they say, no matter the patient or the patients circumstances. But yeah I could see like how in some instances it may feel hard to do, but regardless of the situation, you still have to do it.

[@mybuttsmellslikebutterbut207]

Doctors only care about the patient’s wallet or golden insurance card. Everything else is just icing on the cake.

[@muffinstuffin6]

Anthony Edwards is the most believable TV doctor ever.

[@gaulol]

underrated comment

[@user-yj3kn4fe7h]

Not gonna lie, I would have done the same thing. That said Greene shouldn't have been allowed to be alone with him. There is no way nobody in a position of authority at Cook County General didn't know that dude intended harm on Greene's family.

[@Keithjustkeithwastaken]

maybe thats exactly why he got time alone ;)

[@user-yj3kn4fe7h]

@@Keithjustkeithwastaken You might be right

[@warrenprice425]

He wasn't "allowed" to be alone with him. The nurse pushed the lift button then remembered the drug box, said wait here and left. Nurse had already pushed the button and the doors closed. Doctor tried to stop it but was unsuccessful. Oh dear. He " slipped " ?

[@JMarieCAlove]

I think in real life, they wouldn't allow him to be working on the shooter if it had threatened his family, too personal and emotions would be in the way to want to kill the shooter for revenge. Other than that, Mark did the right thing because if the shooter was to recover, even if he was sent to jail, he could have someome else kill Mark and Elizabeth and baby Ella.. luckily there were no cameras in that elevator!

[@horsepuncher95]

@@JMarieCAlove Well no he didn't do the right thing, but I would do the same

[@MistaLovaMan]

I love on the 3rd shock Greene’s face was like “Yeah, that’s right, fuck you!”, and on the 4th shock he was more calm and composed. All doubt was gone.

[@carolabecker8219]

A master class in acting, subtle gestures speak volumes. Anthony Edwards owned this role in his time on ER.

[@Nightraven26]

although, if the guy was in ventricular fibrilation, there's no way he'd be conscious. Heart isn't pumping, he would be out in seconds.

[@MistaLovaMan]

@@Nightraven26 Very impressive, thank you

[@midnyte_tv]

Dude I was thinking the same thing. That look on his face def was "fuck you, bitch, you're gunna die now."

[@patasaurusrex2492]

Those cops flagged each other so much when they swept the house I almost thought they were real cops.

[@F5_cena]

Cops shot chucky in this scene He said hi I like to be hugged ha ha Cops shoot off rounds Chucky shoots at gas stove Cops all died Oh wait this scenario sounds like childs play

[@theS4V0Y]

Underrated comment. Haha

[@mr.meowgi9876]

If they where atf they woulda shot the dog

[@govtom4]

Hilarious. I flagged Chuck Norris once…once.

[@amistrophy]

@@mr.meowgi9876 nah all cops shoot dogs ACSD

[@thomasbernard8922]

Honestly, the guy is surviving 5 bullets to die in Mark's hands only because of the dramatic irony of the story. This guy would have been in Hell with the pain alone.

[@testy462]

I think you would be surprised. Not that uncommon to get hit multiple times and live, at least long enough to reach ems.

[@xerothehedgehog7159]

sigh it sure does reminded me when i wa sin high school i survive i would say 20 shots last time i remember

[@afriendlycadian9857]

Not uncommon back in the later 1800s Bismark 'iron' Chancellor of Prussia got shot 5 times from a assassin and survives completely fine

[@AnimeLover764]

I'll raise you 50 cent getting shot 9 times and surviving, with shots to both legs, his face, and chest. If a bullet had nicked his femoral artery he'd have bled out in minutes, and yet he's walking around just fine today. Some people really are just lucky, I guess.

[@xerothehedgehog7159]

@@AnimeLover764 btw I survived both legs chest and back so 50 cent is out of the question in my case

[@SamaritanPrime]

I like how… almost spontaneous this is. Dr. Greene was fully ready to deliver that first shock with the paddles, but he finds himself unable to pull the trigger (pun intended). It takes him a second to realize it, and then he decides “you know what? Not this guy.” And the best part? As far as anyone knows, Greene did all he could. The gel is on the paddles, the readout looks legit, and the other instruments would have shown the patient legit coding. The only way someone would have seen anything amiss would be if they were in that elevator with Greene.

[@lolzlolz102]

I'm not a doctor but I'm not sure that readout would hold up tbh.

[@johnsheppard314]

on a modern EKG no. but back then, absolutely. tech has progressed some since that was filmed.@@lolzlolz102

[@arandombard1197]

I'm not sure they'd have a reason to check it. The guy was shot 5 times and flatlined. There's no reason for suspicion. @@lolzlolz102

[@privatecitizen1246]

@@lolzlolz102 Was an ER RN for 15 years. I can tell you absolutely that it would, indeed, hold up. The defibrillator would read that shocks were delivered, the amplitude, and the time they occurred.. and that the rhythm remained the same. Until Asystole (death).

[@dmf1301]

Elevators have cameras. At least, most do. If someone checked that footage… Mind you, I’m not positive they had cameras in the 90s. They definitely do now, but I was a kid in the 90s, so not sure about then. 😛

[@sarcasticallyrearranged]

A perfect example of a worthless parent who sees their child as a possession, not an individual person.

[@angelaholmes8888]

You are so right 💯

[@randomuser8945]

My siblings and I were paychecks. Nothing more. When dad stopped paying, cause he know that's all she was using us for, we became resentments. the four of us were never close with her, or each other. I haven't spoken to any of them in a very long time. I'm fucking free.

[@PhilMante]

A few days ago in Vancouver, there was an amber alert issued for a 3 year old boy abducted by his mother. The mother had made a video claiming the ministry of children and family development stole her child away and had no right to do so. But according to rumor, the mother refused necessary health care for her child, a blood transfusion, i think it was. the mother seemed a bit crazy. She was caught in Calgary the next morning. This seems to be the same kind of story.

[@JC-mt3pu]

@@PhilMante let me guess, the mother is a Jehovah's Witness?

[@PhilMante]

@@JC-mt3pu Actually she was a Rastafarian. An asian girl with dreadlocks.

[@josephmeadows8715]

That is some cold shit. To look at the man while literally holding "Life and Death" in your own hands.

[@PlumbPitiful]

The man was going to murder Dr Greene's wife and child. He was defending his family

[@jjstraka1982]

@@PlumbPitiful The guy was dying on the gurney, and if he survived he was going to prison for the rest of his life, so, no, at this moment, he was absolutely not defending his family. He was taking revenge.

[@Millie226]

@@jjstraka1982 and hey, that’s okay!

[@ecthox-1mork909]

​@@jjstraka1982 This probably isn't what was going through Greene's head at the time; but if the guy lived there was still the chance he might get out of jail on a technicality. Or he might get a reduced sentence and come after Greene again when he gets out of prison, or he might escape prison before his sentence is up. Besides, under the circumstances I don't think anyone would blame Greene if he was ever found out. In terms of the law this was close to murder, but in terms of practicality and protecting Greene's family, this wasn't just highly satisfying but it was also a more surefire way for him to eliminate the threat to his family with low risk of him suffering major legal repercussions.

[@stormangelus6638]

That same entitled prick attempted to go after Mark's wife and baby. You goddamned right he looked him in the eyes as he died and held Life and Death in his hands! I would have done the same, and my license and freedom be damned for it, because my soul would be totally at peace.

[@amandaf4720]

Mark was fucking terrifying in those last few moments, honestly. No overblown emotion, no theatrics, not a single word spoken, just the cold ruthlessness of a man removing a threat to his family. That little head tilt at 4:50 as he brandishes the paddles said volumes.

[@stoytrivia1126]

This could be the best single scene in the entire run of a phenomenal show. It's chilling, thought-provoking, and thoroughly satisfying. Well done, ER!

[@parklloyd6690]

This, or the whole episode of Love's Labor Lost, or where Dr. Greene gets beat up in the bathroom, or where Dr. Carter and Lucy get stabbed and (eventually) found. This show was amazing.

[@stoytrivia1126]

@@parklloyd6690 I wouldn't argue with a single word of that. Every episode you reference is both moving and riveting.

[@stephaniegormley9982]

I love how the Doc has the presence of mind to discharge the two ends of the defibrillator, so as to 'cover his tracks' He can always claim he 'tried'

[@aclark903]

@@stephaniegormley9982Cold blooded murder. Proves it wasn’t the spur of the moment. 20 years in prison.

[@arandombard1197]

He didn't do anything. Not saving somebody isn't murdering them.@@aclark903

[@kendranannettej.jeffery8925]

Anthony Edwards nailed that look at the end. Nobody could've done it better.

[@kendranannettej.jeffery8925]

This scene should've an Emmy or Golden Globe. This scene Is dramatically riveting. Nobody will ever be able to recreate the level of intense drama. Absolutely Riveting

[@SpizawkDaKizowz]

Regardless of everyone's take on the ethics of the situation, it's very well acted by both parties.

[@sunnybearbuds]

True.

[@kerzytibok3211]

There really isn't any "take" on the ethics of the situation --- Dr. Green committed gross malpractice and voluntary manslaughter in the eyes of the law --- whether or not a jury would convict him is another debate entirely

[@TJBoykin98]

The stare gets me everytime because he knows everything the man did and to finally have him alone in an elevator on his deathbed it’s like Saw: Live or Die

[@thomasbaker3262]

I'm a cop and I know to never piss off a medical staff. Never know if their lives may be in their hands or how much they'll try to help u.

[@Ogrematic]

Just like you never piss off a server cuz they may spit in your food, you Never attempt to kill a docs baby. I bet this has happened in real life once or twice. If my friend was a doc and I was a surgeon, and they brought this guy in, under the same circumstances, well, sorry buddy, you're not gonna make it. Oh, darn, did I cut the artery? And then miss the bullet in his spleen? Oh, gosh, I always forget something... This isn't karma. This is street justice.

[@bethcollier220]

Piss em off and they'll give you a "depth charge". Just ask the nurses. ;) You'll laugh....but not.

[@johnsheppard314]

we used to call that a black and white, breakfast of champions!@@bethcollier220

[@jeffmilroy9345]

Yeah, cause they never go completely helpless to the old folks home or seek medical care either.

[@Wilson-ly5rv]

Another time where you can see Dr. Romano was a good guy with a good heart. Just had a hard time showing it a lot of the time.

[@gaspainsify]

@Leo Peridot Shame that the helis had it out for him.

[@Dutchmusicfan1992]

Yes! I still don't like what they 'did' to him. Losing his arm and dying like that later in the show...

[@presentfuture7563]

@61gisele OR...maybe human beings are complicated and paradoxical?

[@horsepill2842]

I love that even though Elizabeth's married to someone else, Romano's caring for her still goes on. Unrequited love is bittersweet.

[@connordowning216]

@@Dutchmusicfan1992 it was called "jumping the shark" the writers had completely lost their edge and most of the decent actors had left by then anyway

[@Fit.For.A.Firefight.]

Never watched this show. I’m just so happy that Goose survived and decided to go to medical school.

[@raquelwelch8996]

Haaaaaaaaaaaaaaaaaaa GREAT COMMENT!!!

[@grammernotzi]

Now he lives alone and studies zombie heard movement...

[@juanjo55lol]

I got some bad news for ya buddy

[@MAXIMUS172]

@@juanjo55lol LOL

[@melbee7437]

@@juanjo55lollol

[@samanthasays3603]

I remember this. I was weeks away from giving birth to my first child, and never missed an episode of ER. Fatigue was my biggest problem during my pregnancies, but I stayed up because this was the season finale. After this was over, I didn't sleep a wink for two nights. And that baby I was expecting is now in college. Time flies, but ER will always be one of the best shows ever.

[@LordGertz]

Mazel Tov on the collegiate!

[@samanthasays3603]

@@LordGertz Thank you!!

[@brenyboy26]

That’s a cool way to remember a episode milestone!

[@vaskylark]

My then four year old used to beg to stay up to watch ER. She read medical books for fun at the same age. Flash forward to today and she is a scientist (geneticist and biologist) working on cures for cancer and a doctor! That's how long this show ran and how good it was that Samantha can have a child in college who was born during it's run and I have a daughter who is a doctor now. lol

[@thonytso]

Er is the soft version of hospital tho. Sitcom like Grey's Anatomy

[@hessy21]

I was a little kid when this was on tv. To this day, my favorite scene of the opening credits was when the black doctor celebrated saving the one kid’s life. I’m 26 and that has stuck with me all these years later. Amazing show

[@6120mcghee]

Dr. Green: "Tell the Devil I said Hi."

[@conniereid5740]

In my opinion, ER was one of the absolute best shows on television. The actors were wonderful and at times relatable. I look at all the current shows on tv today, and they don’t hold a light to ER. My daughter loves Grays Anatomy. Not for the movie, story line, but because of all the hot doctors!!! I’ll take Mark Greene over Grays anytime!😊

[@RobertAlvarezThePsychicWitch]

@Connie Reid, not to mention the fact that "ER" ran for 15 seasons. Say what one will, but that has become a rare accomplishment these days.

[@JMarieCAlove]

If they brought back ER, even with new actors, or a few of the original actors, I'd watch it. I'm watching all the ER reruns on POP channel, I set my DVR since it starts at 6 a.m., so I can binge watch ER and pass up all the commercials.. there's a lot I forgot about this show! Lol

[@bitameah7745]

I didn't find the doctor attractive back in the day. Now I know he would be a HUGE catch, either as Dr. Green or as the actor.

[@hexes5122]

I actually watched Grey's first, but I totally agree. I'll take Mark Greene over Mark Sloan any day for sure!!!!

[@renushianngorham2061]

Agreed !!

[@warhawk9566]

1:12 while I knew Romano is wildly considered as one of the assholes of the series, it's honestly really heartwarming to see him not only showing concern for Mark's family but actively trying to help. Shows that there were more layers to this character

[@teddywerner458]

Elizabeth was the only person in the hospital that he liked, and she was the only one that liked him. after he died there was no memorial for him until Elizabeth put one up

[@BigBWolf90]

Well that and he is a doctor, no one is gonna die if he can help it

[@cfinley81]

Only the ones he cared about and he loved Elizabeth.

[@wiktoriamahut6741]

Agreed - I was going to comment on the same thing. He's always had a soft spot for her, whether he wanted to show it, or not.

[@mopslikvonstein]

@@BigBWolf90 jeez of all the videos you have to post that comment under a video of Mark not helping someone survive :D

[@jamestyson458]

He should've save that anger for the guy that hurt his son

[@silvericeblu]

Mark looked him right in the eyes.

[@spinningbacksidekick]

Anthony Edwards' acting in that elevator scene is some of his best work. No words, just his emotions.

[@thedarkknight9153]

Cops: Okay Dr. Green, I think everything checks out. One more question: how exactly did the patient die? Dr. Green: Poisoned.....by his enemies. Cops: Yup. That's what we have. Thank you for your time.

[@greenweeaboo8924]

he died from terminal stupidity

[@cfinley81]

Hahahahahaaha!!!!!

[@cfinley81]

I freaking love you for this laugh! 😂😂😂😂😂😂

[@greenweeaboo8924]

@@cfinley81 thank you and you`re welcome

[@yojlik]

This was the first full season of ER that I watched, and when this episode aired I was totally blown away by this ending. Sat on my couch a full 5 minutes just going over in my head what I had just seen

[@nigelft]

Likewise ... I remember this episode like it was last week ... The very fact it was Dr. Greene, of all the doctors there, who did that ... wow, just, wow ... Only much later in life did I come across this phrase: The Fury of the Righteous Man ... What it means is you can only push a kind, gentle, and compassionate, man so far, before he explodes; when he does, then God help you, because no-one else will ...

[@aaronburgin1442]

Aye, Bruce Wayne said "I'm not gonna kill you...but I dont have to save you." Works for me *shrugs*

[@C0MPUTERPHILE]

Batman said that

[@aaronburgin1442]

@@C0MPUTERPHILE Yes, Bruce is his government name LOL

[@731rizzle]

Taking the time to get a little detail right like the one officer lowing his weapon when he crosses behind his partner is why this show was one of the greatest ever.. it means nothing to the plotline but shows they really wanted to put out the best product they could

[@jethal]

I was there in the elevator with them.. i saw it all.. Mark did everything he could to save that poor, poor, man...

[@linda10989]

But wouldn't there be CCTV in hospital elevators? I've never worked in one so I don't know

[@jethal]

@@linda10989 in 2000? i doubt it, to be honest.

[@jenbirdscully]

When they smash cut to black in the last shock...ooh I still get chills.

[@samanthasays3603]

Me too. I was about 3 weeks away from giving birth to my first child, and fatigue was a big problem for me the entire pregnancy, but I didn't sleep at all after this episode!

[@jameskennedy4377]

One of the best scenes of the series.

[@DevilDogDen1775]

From RIO ( Radar Intercept Officer ) to physician.... Pretty impressive !!!

[@kerzytibok3211]

They teach you a lot of skills in the Navy LOL

[@thepurenewb1584]

the way he just stares at him was great i myself believe that if someone takes a life or multiple in this case they dont deserve anything but to be left to die if your willing to take a life then you best be ready to forfeit your own is what i say

[@gnomesaiyan1680]

I sure hope there wasn't a security camera in the elevator.

[@karencostanzo2906]

@Leo Peridot 1999 (poster on the wall for an AIDS walk I happened to notice.)

[@Bungle79]

2001. Last episode of S7

[@kennawhitty5884]

​@@LimaTangoFoxtrot AIDS (acquired immune deficiency syndrome) happens after someone has had HIV for many years. In AIDS, the immune system is severely weakened. Serious infections and health problems happen. You can get it through but not limited to; sex, sharing needles for injecting drugs or tattooing, getting stuck with a needle with an infected person’s blood on it.

[@jayhardin3259]

It’s a t v show

[@blessedtrinity9664]

It's not paranoia if people are watching.

[@skynet40433]

It's been so many years and I know exactly what happens here but I'm still picking my jaw up off the ground

[@Bootmahoy88]

Ted Marcoux is a vastly underrated actor. I'd seen him do a number of brilliant characterizations over the years, one of which, for Chris Carter's Millennium, stood out from the rest. One day while I was riding the 1 train southbound to an audition off 34th street, as the gods would have it apparently, I recognized him across the aisle. I don't usually approach celebrities, because I want to honor their privacy, but I went ahead and asked him if he had performed the role of a disturbed park ranger in the 3rd season Millennium episode Nostalgia. He smiled and said yes, and I told him how impressed I was in his performance, because I felt both disgust and sympathy for his character simultaneously. No mean feat. He smiled broadly and actually hugged me, saying, "You have no idea how much I needed this today. Thankyou." It felt good. At that point I arrived at my stop, 34th street. And by the way, the audition rocked. I was jacked from the encounter. It clearly helped me move past the nervousness. I booked the role of a senator in the 3rd season of Boardwalk Empire. All in all it was a pretty good day.

[@dennman6]

You were his Miracle on 34th Street 🎅

[@danielcardenas6473]

As a 14 yr old boy I used to skip school to watch this show and I never ever have regretted it

[@AndreNitroX]

I would catch the marathon of this show every day

[@stupid8911]

When I started watching (around age 10 or so), me and Ma had an agreement: you keep up your grades and pass the Friday tests (spelling, memory verse), you can stay up past 10pm to watch "ER", 🙂. I'm a dork, but a dork with a purpose.

[@danielcardenas6473]

@@stupid8911 I love this!

[@EUROPAMusicOfficialChannel]

The writing in this show is unmatched. This show was truly special!

[@PhilMante]

"19 shot, 9 dead. He's lucky we didn't take him down." Sounds like even the cop would justify the doctor's actions.

[@jalapenogamer4029]

I like how every fictional characters with mind of fear, vengeance, and determination always bring a speech or last words to their enemies while this doctor... just concentrated, concerned, and courage (why courage? Because this man was holding a tool for life and death like the Grim Reaper holding the scythe that desire of your worthy. he was courage to make his right decision that a heartless soul will do without regrets) just straight up looking at his enemy with merciless eyes and no speech to say to make the shooter feel lonely without a small word to remember.

[@crimsonclover9871]

Not a word spoken between them in that elevator yet there was so much said just with their eyes. Incredible acting! There was zero doubt in Dr. Greene at the end...very powerful.

[@midnyte_tv]

Out of all the ways you could "kill" somebody, that has to be the baddest way to do it.

[@MrAdamloring1985]

A big reason I loved this show, they where not afraid to have the characters make tough and sometimes questionable moral choices.

[@perkapoo1]

one of mark's best scenes!

[@danielleboschetti3697]

I remember seeing this on TV for the first time and just going, “OOOOOOOOOH - ”

[@marylaney275]

It scares me to the core that I would have had absolutely no problem doing exactly the same thing.

[@yesterdayitrained]

We are all capable. It’s a brutal realization. There are moral gray areas, always.

[@ronm3245]

It shouldn't scare you. It was the moral thing to do. This just shows you are a caring person and I am happy to share the Earth with you.

[@yesterdayitrained]

@@ronm3245 💯

[@Bonoscot]

OUTSTANDING SHOW STILL......Just finished 15 seasons and it is still great all these years later.

[@zsvntt]

The way Greene is looking into his eyes the whole time. Such a powerful scene.

[@Michael-cf9cj]

Yeah, that was fantastic.

[@DevilGeneImbued]

Holy shit this is a riveting scene. I swear whoever wrote this show really knew what they were doing. Hearing the defibrillator click in the air while the shooters eyes lose their light is haunting. You’re not even sure whether he was right or wrong

[@austinlangley786]

He wasn’t wrong, he made a hard decision that ultimately probably saved a lot of lives.

[@DrowningInTea]

@@austinlangley786 What he did was absolutely both morally and legally wrong. However this scene shows that Mark is just human like all of us.

[@notsoinvisiblelibra]

One of the best episodes ever, matter of fact this was the very episode that got me hooked to the show

[@klaudiagrob]

I think that Mark knew that if he saved this man's life he may have come after him and this family.

[@nhmooytis7058]

And never be properly punished by the ‘justice system.’

[@quinnnewman9538]

that is one of the most raw things I have ever seen in a TV show

[@uploadstuff1762]

probably one of the more intense ER scenes

[@TheChefShipwreckinAlaska]

Marks face: In here… I’m god

[@ersafeguard]

This was SO AWESOME! I was shocked and was screaming HELL YEAH! Mark certainly had balls!

[@DarkeningSkies1]

Some things that are unethical can be empathized with, some things that are ethical (legally) are morally repugnant. Ethics are tough, morality is often in the eye of the beholder and honestly... it is all a crucial part of the experience of life.

[@PR--un4ub]

Your support of medical vigilantism is all well and good until a doctor makes a decision based on false information or prejudice that ends up getting someone killed.

[@DarkeningSkies1]

Nowhere in my comment do I say that I “support” Mark’s decision. I was simply observing that ethics are not always black and white. In fact, within this fictional framework I find the writing flawed. Mark as presented would have performed his duty even if he momentarily hesitated. Now Ross? This would be in character for him. I would not personally encourage anyone to “play god” in the medical or emergency response profession in real life. Fictional dramas allow us to discuss and examine these things, and I would say that is one of the things that make them worthwhile.

[@DasJo]

As Dr. House once said about a death sentenced patient, who was going to be killed one weak after the procedure in his hospital: "This man has the right to live his last weak!" Who does he think he is to choose if someone has more or less right to live?

[@RebeccaPaige]

Week*

[@DasJo]

@@RebeccaPaige I'm sorry. Your wright a bowed that!

[@ALUCARD-us3il]

Because he’s a doctor not a judge, jury, or executioner, he has an oath and is obligated to keep his patient alive, regardless of how long it is

[@LisleBrathwaite]

I was today years old when I found out ER was Chicago Med before Chicago Med.

[@PatrickKetza]

The part I always found funny was one review of Chicago Med that came out just before the show debuted called it a "Chicago-themed E.R." like, uhhhhh...

[@Supercell2]

ER was an amazing show...

[@_Lane_]

Today years old???

[@evelynsnyder5866]

@@_Lane_ i think that means they found out that day... being today.

[@SamaritanPrime]

E.R. was also Grey's Anatomy before Grey's Anatomy.

[@ejo115]

Recently got done watching all 15 seasons again. Such an incredible show

[@madelinesummers5471]

I wouldn't do anything to upset the person responsible for my life. Flowers and gifts cards for days.

[@calahbomar5356]

Can’t say I’d make a different decision in his shoes. If the guy was fit to care for his son this wouldn’t have happened, but instead he shot all those people. You put rabid animals down, not in a hospital bed.

[@Widdekuu91]

I would've. Wasn't there an oath that people take, in America? Not Hippocrates, a different one. I saw it on QI.

[@matthewjones2095]

@@Widdekuu91 to do no harm but were still human an oath doesn't change that

[@Widdekuu91]

@@matthewjones2095 An oath does change whether you lose your job or not. If you can't stop yourself from killing patients, you are unfit to be a doctor.

[@Sickling3]

@widdekuu91 and being a law abiding citizen killing multiple folk? Nah. That forced oath doesn’t trump this from this being ethically deserved.

[@Widdekuu91]

@@Sickling3 You don't decide who deserves to die. If he deserves to die, then you might as well run into the psychiatric ward and open fire to every pedophile and every rapist and every abuser and THEN you can move on to the druggie-moms and then you can move on to the mentally ill that hurt their kids and then you can move on to the rest until it's only you standing. And then you can hold the trigger against your own head, because there must be something bad you've done that some idiots will shout 'deserves a bullet.'

[@Col_Fragg]

Dr. Greene would have been totally screwed by the elevator’s security camera.

[@67pear]

Not to mention the lack of marks on the body. Reality just not too real I guess.

[@mouse950]

this was the early 2000s, cameras everywhere wasent a thing

[@Comicsluvr]

@@67pear He used the conductive gel (makes good contact and helps prevent burns) and he actually made contact with the paddles. The cop essentially said that the shooter was lucky they didn't take him down first. Nobody was going to investigate that man's death, especially after killing nine people.

[@67pear]

Comicsluvr Thanks for the info. You’re right. Essentially the police said that. That’s what makes his character human. He was faced with a choice we have all thought about but have never faced.

[@rockysquirrel4776]

@@mouse950 - it's also a Chicago hospital, so it's a good chance that if there was a camera, it wasn't working.

[@Roger-nk5ug]

I love the way he covered it up. Genius. They'll check the records of the machine and see that Mark "did everything he could to save him".

[@artman2oo3]

I remember this one! One of ER’s most shocking moments!

[@mattrobillard3984]

The paddles were not properly working the hospital needs new equipment 😊

[@aaronwalker1678]

The machine was not fully charged 🤷🏾‍♂️🤷🏾‍♂️🤷🏾‍♂️

[@loveinspired7]

He ran out of lube for the paddles... He would've set the shooter's chest hair on fire....😂😂😂😂 We got you, Dr. Greene! No way in hell he was gonna get fired!😂😂😂😂

[@loveinspired7]

@@aaronwalker1678...and he had no extra batteries 😂

[@StukInBuf]

With all the amount of injured folks likely needing such apparati(sic?), I'd say that's a plausible defense.

[@ruthmcqueen3634]

Yup the paddles malfunctioned. Nothing he could do

[@jeffr7752]

Alex Kingston stole my heart prior to this when she played Moll Flanders. Just her voice is awesome.

[@stupid8911]

She's Bae, all day.

[@ronniestar8762]

Such a powerful scene Mark was the best character, makes you wonder how many doctors do this in real life...

[@ricks.1318]

Hands DOWN, the BEST Med show ever made for TV !!!!!!!!!!!!!!!

[@c-secofficer123]

Glad to see Goose landed on his feet after he left the NAVY.

[@coreyde100]

One of the absolute best moments of the entire show. I remember watching this when it originally aired. I was okay with it then and I’m okay with it now.

[@billp.8489]

All the times he had to watch the light go out of patients eyes as he tried his hardest to stop it, he finally gets to feel OK with losing one.

[@ToCam-fl8ry]

this show was f phenomenal!! Brilliance in every aspect, the drama that deserves an Oscar, it's hard to believe TV shows were once this good!

[@chewie2055]

They can see during an autopsy if he was really shocked or not....

[@twondizzle8381]

He could've shocked him after his heart stopped.

[@meyou245]

Could see it on the printout.

[@drussell710]

@@twondizzle8381 - The heart won't release any free radicals after it's already stopped. Postmortem labs/toxicology would show those therefore they would know that he was not defibrillated.

[@metro121482]

Even if they could, there's no reason to think an autopsy would be done. The man was shot 5 times. There wouldn't be anything suspicious about why he died. Autopsies aren't done on everyone.

[@chewie2055]

@@metro121482wouldn’t be anything suspicious he was on his way to the drs house to kill his family…then left alone with that same dr….no suspicion ?

[@GetOffUrPhone]

It's a "feel good" moment of "justice", but this guy is a doctor who swore an oath, not a judge.

[@mach6893]

Well said. If I were Mark, I would have saved Derek. Besides, letting Derek die would be merciful. I would be more satisfied knowing that if Derek survives, he would spend the rest of his life in jail.

[@ianfortuna9385]

@@mach6893 see there’s the right thing to do then theres the smart thing to do! This man was a murderer a child abuser and attempted to kill mark and his family and even children this guy had no place among the human race!

[@ianfortuna9385]

@@mach6893 and you can’t risk that he would’ve gotten out and tried to take revenge again

[@ianfortuna9385]

@@mach6893 also you’re what’s wrong with this world today (you may not know it) but this sense of self righteousness you snowflakes have is what is contributing to the downfall of society

[@mach6893]

​@@ianfortuna9385 Um, that's just your opinion man!

[@Chris4748]

I turned 20 the year this episode came out. I watched this show with my mother religiously.. just totally hooked. I remember the shock of this.. we were stunned into silence after.. it was ea h trying to process how to feel about it.. bravo fir the writers and actors who had us all questioning ourselves and our morals and how far we would go to save those we love.

[@Irish_Spud]

I imagine when this first aired it was huge, such a great way to end a season. I never get this far when the show first aired so i'm rewatching from the start and seeing the seasons I never watched. I am loving it!

[@debbieyankovitch2203]

That's what I'm doing too

[@godbacks09]

Can’t blame Mark for his decision. The guy went on a shooting spree and killed a few people, and in doing so attempted to go after Mark’s family. I know doctors and nurses are supposed to save lives no matter what, but I think Mark made the right decision here.

[@whatareyoulookingat908]

It could be argued he saved more lives by doing this.

[@godbacks09]

@@whatareyoulookingat908 Good way to look at it.

[@totophi]

@@anthonyvillarreal1651 : Dr. Greene may *technically* have violated his oath, but given the circumstances he did not violate *my* trust.

[@anthonyvillarreal1651]

@@totophi true true

[@PR--un4ub]

@@totophi Your support of medical vigilantism is all well and good until a doctor makes a decision based on false information or prejudice that ends up getting someone killed.

[@Span91423]

One of the best scenes ever

[@IceCold11235]

1:14 is that Emil from Robocop? Good to know he not only recovered from toxic waste burns, but left life of crime behind and started helping people #heartwarming

[@misterwhipple2870]

You mean The Rocket Man? Yeah, that's him.

[@valentinespinosa912]

I don’t know if there’s a clip of the next episode with the M&M, but when Elizabeth’s asking Mark questions there’s the slow realization she’s having that he could have been saved but realizes Mark let him die. The conversation they have after at home, just supports that she knew and understood why he did it.

[@krystalferguson2750]

In reality Mark would NEVER be allowed NEAR this patient. Also, doctors NEVER transport patients. And, patients are NEVER transported alone when they are intubated or unstable. That’s some baloney. It’s good tv though. 😅

[@flashstudiosguy]

Yeah, as soon as it was revealed there was a personal connection, he'd have been pulled off but "Reality's no good for TV" according to Producers..

[@damanc]

Having been zapped before but never asked to see the readout, wouldn't the heart monitor have shown the zap or lack thereof?

[@Elisheval]

Doctors do transport patients in an emergency, they don't wait for transport - but a nurse will come along. From experience.

[@krystalferguson2750]

Elisheval I have never seen a doctor transport a patient , esp not by themselves. To an emergent procedure/surgery with at least one nurse. But, not like in this clip.

[@peachespendergrass1112]

@@krystalferguson2750 Hi, I work in an operating room. You're correct- the standard procedure is for a doctor (surgeon, anesthesiologist, etc) to be accompanied by at least one nurse when transporting a patient. This is typically for emergencies or for ICU/Neuro ICU patients. The scene is true to real life though because Nurse Haleh did accompany Dr. Greene for transport, but she forgot something and before she could come back, the elevator happened to closed. Dr. Greene tried to stop the elevator; but to no avail. He was alone with the patient, but by accident. How ironic- an accidental event allows for an intentional action on the part of the doctor in the blink of an eye. Its great storytelling, but it's also real life in the medical field. One seemingly minor detail or event can suddenly cause a chain reaction culminating in a life-or-death decision in a matter of seconds. On an interesting note- I have seen some surgeons become so impatient while wating for transport to bring the patient from the floor that they actually go bring the patient down personally to the pre-op area. However, these patients are never critically ill (e.g. on ventilator) or with critical injuries like the patient in this scene.

[@synthguy7774]

When your insurance gets denied 4:53

[@teebee7769]

Lol I’ve never seen this show before but I love the dramatic performing-surgery-while answering questions scenes.

[@Kerorofan1990]

I had completely forgot Alex Kingston was on this show.