|Season 9, Episode 19|
|Air date||April 24, 2003|
|Written by||R. Scott Gemmill|
|Directed by||Richard Thorpe|
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Things Change is the 19th episode of the 9th season of "E.R."
PSYCHOTIC PATIENT ENDANGERS ABBY WHILE ROMANO WREAKS HAVOC IN THE E.R.: Abby (Maura Tierney) is threatened by an over-medicated psychotic patient (guest star Johnny Sneed) and gets an update regarding her missing brother (guest star Thomas Everett Scott).
Elsewhere, Dr. Romano (Paul McCrane) continues to make rash judgments and enemies when he orders a man with a severe sore throat to be released and then tries to perform surgery in the emergency room.
Dr. Kovac (Goran Visnjic) welcomes a old friend (guest star Nina Sablich), a fellow Croatian doctor to observe the chaos of an American inner-city hospital.
Carter also receives some emotional news from home as he guides a group of eager medical students who witness him refuse to give up trying to save a cardiac-arrested patient.
Laura Innes, Alex Kingston, Ming-Na, Sherry Stringfield, Sharif Atkins and Mekhi Phifer also star. TV-14
- At one point, Gallant states a patient's temperature as being 39.8 degrees. He uses the Celsius scale which is quite unusual as temperature readings on the series are consistently given using the Fahrenheit scale.
- While in the hotel room with her brother Eric, Abby gives him a red and white shirt that Carter sent. On the back of the shirt is the word "Scrubs." That is the name of County General's ER softball team, introduced for the first time in the Season 3 episode "Dr. Carter, I Presume."
- "The Saddest Song I've Got" by Annie Lennox
- Carter: (to Abby) So with Weaver back down here, does that mean that Romano is history?
- Abby: He moved his office out of Exam 1 but that could just be because the urine smell was burning his eyes.
- Carter: Oh. She's probably just working a couple shifts for appearance's sake, just to keep people from freaking out or killing him.
- Romano: (to Luka) How do you say "bite my big one" in Croatian?
- Abby: (to Jerry) Are you the only person in this hospital that doesn't know about my crazy family?
- Susan: (to Luka) Ah, look. I think you may have gotten the wrong impression today in exam 4? When you were looking for Carter.
- Luka: You mean with the flight nurse?
- Susan: Chuck. And technically, we're married.
- Luka: Oh! So it's technically OK to boff your husband in the hospital?
- Susan: We weren't boffing, we were talking.
- Luka: Good night, Susan.
- Susan: It's still not the same as a patient's mother.
- Luka: Hey, at least I used an empty room.