"Hell and High Water" is the seventh episode of the second season of ER. It was written by Neal Baer and directed by Christopher Chulack. It first aired on NBC on November 9, 1995. The episode was the highest-rated episode in the second season of the show and was the most watched episode in the entire series (a total of 48 million viewers). It features Doug Ross trying to rescue a boy trapped in the concrete storm drain.