Chicago Med (2015) s02e22 Episode Script
White Butterflies
- You look good.
- Stop.
I've just been worried about you.
Things are going well? No more rats since they put me on the risperidone.
That's that's good.
That's good.
So you're feeling better, then? Yeah.
And I want to get the hell out of here.
[sighs.]
Robin, there's something that I have to tell you.
The reason why you're in here I asked your father to check in on you.
I had no idea that he would do something like It's not your fault.
You couldn't have known he'd do this.
It's not all bad.
Hey, they let me use the shower.
Not without supervision, though.
They are worried about suicide in here, so no shoelaces, no belts.
See the sink? No faucet.
Evidently, if you wrap your gown around your neck just right, you can use it to strangle yourself.
You don't belong in here.
Not according to the petition Dad filed.
Article 6 of the Mental Health and Disabilities Code.
No.
I'm serious, Robin.
So, you heard rats.
So what? This is not the solution.
What can I do? Oh, I really appreciate your being here.
Support from friends and family is crucial for the therapeutic process, so thank you.
Committed against her will? She can't even shower by herself.
That is some therapeutic process.
I think we all wish this could've happened differently, but, you know, at least she's getting the care that she needs, and she's safe and secure.
No.
She's locked up.
In prison.
It's not the same thing.
This place is what is gonna drive her crazy.
She needs to be out of here.
- Good morning, Nat.
- Morning.
Hey, Natalie, have you seen Reese? No.
Sorry.
Hey, how's Robin doing? I've been meaning to ask, but I know it's a delicate situation.
She's dealing.
Yeah.
Well, if you need anything, just please ask.
- Thanks.
- Okay.
April, today's match day.
Did Noah land here at Med? Texted him a dozen times.
No response.
They're only taking one local student, so that makes me think he didn't get it.
Or maybe he just wants to tell you in person.
No news could be good news, too.
Let's hope.
Barboleta branca.
It means "white butterfly" in Portuguese.
Yeah, that doesn't clear things up.
It's a Brazilian superstition.
So, if the first butterfly you see in the year is white, it's good luck.
I saw one a few weeks ago.
Technically, doesn't that only bring you luck? Wouldn't Noah need to have seen this white Seriously? You really want to analyze the cosmic power of an insect sighting? Probably an argument I don't win, huh? - [alarm sounds.]
- Dr.
Choi, incoming! Peds versus auto.
You're going to Baghdad.
Courtney? Gary Foster, 32.
Tripped, and fell into oncoming traffic and got plowed by a taxi.
GCS 15, vitals stable, 16 gauge in the right AC.
- Loss of consciousness? - Yeah, briefly, but he was talking by the time we got there.
Wanted to make sure no one blames the cab driver for what happened.
It was my fault.
I felt myself falling.
I just couldn't stop it.
It's okay, Mr.
Foster.
It was an accident.
Let's transfer on my count.
One, two, three.
[cries out.]
Breath sounds clear and present bilaterally.
BP 122/70.
Heart rate 112.
Sats 100%.
Let's roll him off the board slowly.
Easy.
[cries out.]
- Okay, okay, okay.
- Good God! That hurts! Okay, Mr.
Foster, listen to me close, okay? - Okay.
- Can you touch your chin to your chest? Good, good, good.
Now left to right.
Good.
C-spine's clear.
We can lose the collar.
All right, April, 50 of fentanyl for the pain.
Let's get X-rays.
Chest, pelvis, left humerus.
I also want a CT head, abdomen, and pelvis, and let's get an EKG.
- This is bad, isn't it? - Just try to stay calm, - Mr.
Foster.
- Okay.
It's okay.
We're gonna help you.
Reese, you got a second? Uh, so, I just saw Robin.
It seems like her therapy's going well.
It is.
It is.
She is lucid and responding to her medication.
Most importantly, she is letting us help her.
I wasn't sure she'd be so trusting, considering how this went down.
So, she tells me that you guys are diagnosing this as schizophreniform.
- Yeah, it's looking like that.
- Now, from what I've read, to be able to make that call, the symptoms have to last for at least a month.
Is that how long you guys are planning on keeping her? Well, right now, it's all about making sure her psychosis is under control and her meds are dosed appropriately.
Anything about Thank you release dates, you really should speak with her attending.
Right.
Dr.
Kwon.
I actually did.
He reminded me that patience is a virtue.
I'm pretty sure that Dr.
Charles put those words in his mouth.
Reese, this is all messed up.
I'm sorry, Connor, but I don't know what you want me to say.
If Robin had been committed in Indiana, she'd be released already.
Same with Michigan.
Same with Wisconsin.
All of those states have shorter holds.
But this is Illinois, and I don't make the laws.
Tell me this couldn't be treated as an outpatient basis.
That's not up to me.
Is she or is she not a danger to herself? At this exact moment, no, but it's not that simple.
Yes, it is.
Ah, so, what's the word? I matched my first choice.
- Really? - Emergency medicine.
That's great! I'm so happy for you! Really? You got the Med spot? Knew you could do it.
I had my eye on you from the get-go.
- Don't worry about Stohl.
- I won't.
Does Natalie know? Not yet.
I was waiting to see where I wound up.
Hm.
Keoni? What did you do? - No clue.
- Jeff, with me.
We're going to Treatment 2.
Doing a DIY reno on a bar.
Been tripping over construction supplies all week.
Must have twisted my ankle.
Didn't notice till it got really bad.
All right, let's take a look.
Hop up there.
Take a look at this flat tire.
These your construction boots? I'm Hawaiian, brah.
Slippers are multipurpose.
You got a nail in your foot, dude.
You're kidding? It doesn't hurt? Been barefoot or in slippers since I could walk.
Calluses so tough I could walk on hot coals and wouldn't even flinch.
Swing your foot up there for me.
Let's get a CBC, a CMP, and a tetanus, and have Danny come down with a portable X-ray machine.
Okay.
You've been living in Chicago 20 years, Keoni.
Put on some shoes.
And give up the endless summer? Never.
Hey, April.
Bummer about Noah.
- What? - You didn't hear? Jeff got the Med spot.
Oh.
Well, good for him.
I'm sure Noah matched somewhere great.
[girl cries out.]
Her stomach's been hurting her for a few days now, but an hour ago, everything just went haywire.
She's been screaming in pain.
She gets really confused.
- Abdominal pelvic ultrasound.
- On it.
Okay, Allison, can you tell me exactly where it hurts? I just got braces put on last week.
See the confusion? And her eyes She can't even focus.
It's called nystagmus.
Is she taking any drugs? - No.
No, no, no.
- Has Allison started - menstruating? - I don't know.
Maybe.
Is she sexually active? Could she be pregnant? She's only 13! Look, I don't think so.
I'm just her stepdad, so - Ali, baby! - Oh, baby.
I'm sorry.
I came as fast as I could.
- Baby, what's happening? - [Allison whimpering.]
I don't understand.
She said she was feeling better when I left for work.
Not seeing any free fluids, no ovarian abnormalities.
All right, let's do a CBC, CMP, chest X-ray, cultures, head CT, tox screen, blood and urine, and a serum pregnancy.
Wait, pregnancy? What? No.
Ali is still a virgin.
She hasn't even started talking about boys yet.
I understand, but these are standard tests.
We just need to run them to be safe, okay? Can you just give her something for the pain, please? I'm sorry, but we can't do that until the tests are finished.
- Baby, what's going on, huh? - Keep away from me! We will figure this out, okay? I'll be back shortly.
[whimpering.]
[grunts.]
I can grab you some more pillows if you need them.
If it were only that easy.
Mr.
Foster, I got your X-rays and scans.
There are multiple fractures on your left side.
L1 through L4 of your spine, humerus, pelvis, and ribs.
Good news is they won't require surgery.
- They'll heal on their own.
- How long will that take? On average, six to eight weeks.
After that, between rehab and physical therapy, likely a year before you're back to full strength.
A year.
Might as well be forever.
Now, there is one more injury.
The head CT revealed a left-sided subdural hematoma and skull fracture.
Our neurosurgeon, Dr.
Abrams, wants to schedule surgery immediately.
What happens if I decline? Mr.
Foster, you're bleeding inside your brain.
If the pressure within your skull isn't released, it will get worse.
It's highly likely you'll die.
I'm already dying.
I have ALS.
It's progressing rapidly.
That's why I fell.
By the time my bones heal, the disease will be ravaging me.
Yeah, but you'll be alive.
Barely.
Confined to a wheelchair, hooked up to a ventilator.
No.
I don't want that.
No surgery.
I mean, there shouldn't even be a debate.
We can save Mr.
Foster's life.
I understand, April, but unfortunately, that's not the issue.
His hematoma's worsening.
He's gonna bleed to death.
At this rate, he's got a couple weeks at best we have to act.
We can't.
I've studied Mr.
Foster's advanced directives so has the hospital's legal council.
It's ironclad.
So, that just makes it okay to do nothing? April, part of Mr.
Foster's directive instructs that upon death, his organs and tissues be donated.
Clearly this isn't a rash decision, so what's the discussion? That we have to sit by and watch a man die when we can easily extend his life.
- It's wrong.
- Yeah, well, we may not agree with his decision, but it is his choice to make.
Transfer the patient to the ICU.
Sharon, I need a minute.
Yes.
Hey, update me on Allison? White count's moderately elevated, but her fever's rising, and she's disinhibited with a decreased level of consciousness.
- Drug overdose? - Tox screen was negative, as was every other test Pregnancy, urinalysis, chest X-ray, CT, pelvic ultrasound.
Neurologic infection? Meningitis? Encephalitis? You get an LP? Just did.
CSF was clear.
Whatever this is, it's viral.
The lab's running a PCR.
- Okay.
Keep me posted.
- Mm-hmm.
Hey.
Doris told me you matched in Emergency Medicine.
That's awesome.
Way to go, Clarke.
Good to have you.
Thanks.
Hey, um, there is something that I've been meaning to talk - [alarm beeping.]
- Natalie! - She's seizing.
- Oh, my God, make it stop! - Two of ativan.
- Got it.
Sats are dropping.
77.
76.
Allison, can you feel this? I need to intubate.
No drugs.
Her jaw is loose.
We're gonna fix this.
- Okay, almost.
- Yeah.
No, no, no, no, no You're gonna choke her! She won't be able to breathe otherwise.
- I'm in.
- Okay.
I got it.
I got it.
Secure the tube and start bagging.
Stat chest X-ray and call up to the pediatric ICU for a bed.
Wait, ICU? What's going on with her? Hey, man.
I got your labs.
Good news only, please.
Can I sit? Uh-oh.
Everything's normal except your blood glucose.
It's extremely high.
- Diabetes.
- Yes.
I'm gonna start you on IV fluids and insulin and order hemoglobin A1C, Get a better reading on your sugar levels.
Diabetes can make your feet numb.
That's why I didn't realize I had a nail in my foot, isn't it? Yeah.
I've been sick for a while.
Look.
The important thing: we caught it.
Some lifestyle adjustments, and you'll get way out ahead of this thing.
Yeah, sure.
Look, I get it.
Change isn't easy, but in the long run, it's the only way.
I'm gonna page Endocrinology, have them come down for a consult.
They should be able to answer all your questions.
- Hey.
- Allison's LP results.
Encephalitis.
Oh, my God.
HSE? Yeah.
Fever, neuro issues, seizures, now the coma Virus fits the symptoms.
Yeah.
I just didn't see it coming.
I mean, she's 13.
Herpes? [alarms beeping.]
- April! - [coughing.]
BP's falling.
94/66.
Heart's racing.
Pulse is 120.
All right, lungs are wet.
Sats? [labored breathing, coughing.]
Can't get a reading.
Fingers are swollen, purple.
Pulse ox monitor can't register.
Get a blood gas.
Toes are purple.
Earlobes, too.
Blood in the eyes, nasal passage.
- What's happening? - Your circulation's being cut off oxygen's not moving well through your body.
- Why? - I'm not sure.
PCO 256, PAO 255.
All right, let's increase the oxygen to 10 liters.
[labored breathing.]
April? Is he still being transferred to the ICU? Hold off for now.
[coughing.]
Let's test for DIC.
If that's what we're seeing, I think there may be a way to convince Gary to fix his brain bleed.
Oh, hey, were you looking for me? Please join us, Dr.
Charles.
This is Nicole Jansen of Shipley Shipley Austin & Shea.
I'm representing the interests of Robin Charles.
Lawyers? I'm hoping you can provide some clarity on the circumstances surrounding Ms.
Charles's involuntary hold.
I don't see how it's not clear.
A petition was filed in accordance with state law.
And within 24 hours, Dr.
Kwon here signed I will get to Dr.
Kwon.
First, I want to talk about the filing of the original petition by Dr.
Charles, the hospital's Chief of Psychiatry, but also my client's father.
Interesting.
Allison has HSV type 2, which is more commonly associated with genital herpes than oral.
Genital? No.
Ali doesn't do that.
And when? Where? She's either at school or at home with one of us Right, Kevin? Yeah, look, I work from home.
Nothing's going on at the house.
Okay, no boys come over, ever.
I know girls don't tell their mothers everything God knows I didn't, but But Ali and me we talk.
Have you noticed any change in Allison's mood or personality in the last few days? No.
Besides being sick, she's been her usual happy self.
Why? Allison's abdominal pain is inconsistent with the HSE diagnosis, and it may be a sign of sexual assault.
We'd like to perform a more extensive pelvic exam just to be sure.
Is that really necessary? I mean, come on, it's not gonna have any effect on how you treat her, is it? There might be some internal damaging and bleeding that needs to be repaired, and it is possible she may have contracted another STD.
Look, can it just wait? Can it wait until we just have a moment to figure out It's okay.
It's okay.
You can You can perform the exam.
- Are you sure? - Yeah.
Um, if this is that, - I need to kn I'm sorry.
- Babe.
Baby We'll get started right away.
I'll start Robin's discharge paperwork.
Thank you.
Hmm.
Little heads-up, you know, would've been nice.
I found out just before you did.
I mean, come on.
Rhodes's name's on the building, so he gets to decide who's fit to be released? Is this a joke? Sharon, it's Robin! I thought that you guys would at least go to the wall for Robin.
Daniel, if we don't make a deal in this room, the next place we'll meet will be in front of a judge with Robin and a team of doctors that they've assembled to challenge our every move.
That's not good for anyone, especially for you.
Okay, well, then, I appreciate you looking out for me.
Daniel.
Daniel, come on.
- Thank you very much.
- Absolutely.
Dr.
Charles, don't.
It'll just start Not now, not now.
Hey, Connor.
Connor.
I'm just curious.
So, you're the one who's gonna be taking care of Robin now? - Yeah.
- I mean, you're a surgical fellow, buddy.
You work in 36-hour shifts.
Uh-huh, so I'll adjust my schedule and we'll make it work.
But what happens next time she has a psychotic break? I mean, even if you're home, you're not equipped to deal with it.
Every second that she spends in that ward, her resentment towards you grows.
Can't you see that I'm trying to do you a favor? - Don't do me any favors! Don't! - Oh, look, I came to you out of concern for Robin, not panic! And you escalated things! You don't have a clue what you are dealing with.
Is this some kind of game to you where you get to be the hero? Is that what it is? No, this is not a game.
You made a mess, and I'm fixing it.
Right.
By bringing in Daddy's big guns.
Well done.
She is not a little girl anymore.
Okay? You can't make up for your own failings as a father by treating her like one now! Give it up.
Allison's pelvic exam yielded evidence of vaginal trauma: perforated hymen, mucosal tears, severe edema, swelling All clear evidence of sexual assault.
- Timeline? - The status of the bruising indicates the trauma took place about five to seven days ago, consistent with the incubation period of the encephalitis.
Poor baby.
All right, I'll activate the rape protocols and notify PD.
- This case is now a crime.
- Okay.
We'll talk to the parents about what comes next.
- All right.
- Thanks, Ms.
Goodwin.
Mm-hmm.
[soft indistinct speech.]
Where are you going? Gonna go get some fresh air.
With your clothes over your arm? I've seen too many people skip out after getting bad news.
It never ends well.
What does it matter if I stay or if I go? The results are the same.
I doubt that.
- Move.
- No chance.
So, where does that leave us? I'm scared.
It's okay.
Come on back.
I know someone you should talk to.
- A shrink? - [laughs.]
Something like that.
The trauma nurse won't let me be in there with her.
It's protocol, just while they're collecting evidence.
It won't be long, though.
I'm gonna go get a cup of coffee.
You want one? No.
Wait, wait.
Can I ask you Can I ask you something, Dr.
Manning? Of course.
Could you be having unprotected sex regularly with someone with herpes and not catch it? Not even not even be aware that they have it? Yes.
I don't want to believe it could be true, but the only person who was alone with Ali in the past week was Kevin.
I can't think of anyone else it might've been.
Ms.
Nicholson, you can be with your daughter now.
Thank you.
I'm just being paranoid, right? I suppose I can't talk to the girl for some time, right? No.
Um, the mom thinks the stepdad might've done it.
Wouldn't surprise me.
That's where I was gonna start.
Seriously, Jay, I don't know how you go to work and do this every day.
I could say the same thing for you.
[phone buzzes.]
I got to take this.
My feet are cold.
I'll get you some more blankets.
Everything hurts.
It's from Disseminated Intravascular Coagulation, DIC.
Clots are forming inside your vessels, blocking blood flow and depriving you of oxygen.
Your organs are failing.
Unfortunately, in this condition, they're not suitable for transplant.
Wait, wait, wait, wait.
I won't be able to donate? No.
There's got to be something you can do.
Mr.
Foster, if you allow us to operate on the hematoma, that puts us in a better position to treat the DIC.
No.
Then we're back to where we started.
I'm laying here with broken bones that won't heal before I'm locked up on life support.
Listen, you can't let my organs die before I do.
Please.
There is a fix for the DIC.
Heparin.
It's a drug that prevents the clots from getting larger.
Mr.
Foster, heparin is a blood thinner, which means it will also significantly worsen the bleeding in your brain.
Instead of weeks to live, you'll have only hours.
Weeks weren't much, but that gave me time to say good-byes.
Hours, though.
Mr.
Foster, if we're gonna start the heparin The sooner, the better.
Yeah.
You don't have to do this.
You can change your mind.
What would you like to do? Give me the heparin.
Gary, are you sure? Yes.
Okay.
Excuse us.
April! - We cannot do this, Ethan.
- He was clear in his decision.
Because you pressured him, made him feel he had to choose right now.
No.
I gave him his medical options, and he decided on what was best for him.
Don't put this on me.
It is on you.
Your hands may have been tied by his advance directive, but giving him heparin knowing it's lethal, that's assisted suicide.
April, we can't save Gary, but one organ donor can save up to eight lives.
One tissue donor can improve the lives of up to 50 others.
Because of him, 58 people get a second chance.
Put in the order for heparin.
No.
Then I'll do it myself.
[breathing heavily.]
This is everything you had when you were admitted.
Thank you.
You can't hold me here any longer.
I know.
Look Whatever you have to say, I don't want to hear it.
I just want you to be safe, Robin.
I'm going to be.
With Connor.
What is up, family? [clears throat.]
Matched at Chicago Med! Emergency Medicine, baby! Let's get it! April, we did it! What? I don't understand.
I thought Jeff got the match.
What? No, no, no.
It's official.
Only one local spot at Med, and it's all mine! Aah! [squeals.]
I'm home! I knew you'd do it.
Had my eye on you from the get-go.
Hey, what's going on? I matched in Honolulu.
Chicago Med wasn't even on my list.
- Good luck, Clarke.
- Thanks.
I just assumed I mean, you must have known about this for a while now.
- Yeah.
- Why didn't you say anything? I don't know.
I just felt like it was time to move on.
- Okay.
- Hey, Nat? Sorry, Jeff.
I need her.
Will, can I grab you for a second? - Let's talk later? - Yeah.
I spoke to the parents together and independently.
- And? - I don't like the stepdad for the guy He offered to give a polygraph and submit his DNA.
Offenders don't usually behave that way.
Any other leads? Allison's comprehensive tox screen detected trace amounts of triazolam in her blood.
That's a benzo, right? Yeah.
A sedative hypnotic with amnestic properties.
The stepdad's an accountant.
I don't see him getting his hands on that.
Unless maybe he was prescribed it.
I mean, it is sometimes used for insomnia.
Yeah, it definitely puts you out.
The hospital uses it mostly to treat patient anxiety, usually before procedures, MRI scans, things like that.
So, she could've gotten it here.
Did you give it to her before the CT scan? - No.
- No.
Another doctor then, maybe.
Did the mom mention any other recent medical issues? No.
Nothing other than the symptoms that brought her in today.
Braces.
Allison did just get her braces on.
Dentists also sometimes use triazolam.
After you pass, you'll immediately be taken into the OR where your organs and tissues will be recovered.
When that happens, will it hurt? No.
The bleeding in your brain will starve it of oxygen.
You'll lose consciousness, and then you'll shut down.
- I'll be dead.
- Your brain will be.
But your body will still be alive.
But you won't be able to control your breathing.
The organs still need oxygen, though, so we need You want to adjust my advance directive.
Just the DNI.
We need your consent to intubate you once you lose consciousness to protect the organs until you get into the OR.
Do we have your permission? Yes.
Mm-hmm.
Okay.
Right there.
You think I'm making a mistake.
Earlier this year, I suffered a miscarriage.
My child never got a chance at life.
I would give anything just for one moment.
You may not have as much time as others, but you still have some.
I'm sorry for your loss.
But my time is over.
The only positive is my death can help other people.
I know It looks like I'm giving up, but this is everything I've been living for.
This is it.
- [takes deep breath.]
- Yeah.
Okay.
I'm ready.
Hanging meds is a nurse's responsibility.
I will do it.
Making a break for it, Keoni? Really? Seemed like a good idea at the time.
Figured Maggie was sending over a shrink.
Oh, no.
You get me.
I appreciate the red carpet, but there's nothing you can do.
In the back of my mind, I knew it was diabetes.
I should've never come to the hospital.
Because what? Denial is a good solution? You don't understand, Sharon.
My family diabetes kills.
Now it's my turn.
Your genetics don't doom you, Keoni.
No? I eat healthy.
I don't drink the coladas or the daiquiris that I make at the bar.
I exercise.
Yet here I am.
I did what I was supposed to do.
Yeah, and unfortunately, people like you and I have to do that and more to break the cycle.
Yes, I have diabetes too.
And I've lost family also.
- I didn't know.
- Many don't.
And it's not because I'm hiding it, but because I've got it under control, and I have for the last 14 years.
There are people in this hospital who have to surrender.
You have an opportunity.
You better take it.
It's gonna be okay.
Oh, Dr.
Reese? If, um If you would like to continue your residency under a different attending, I would completely understand.
Hey, Keoni.
Wanted to say good-bye.
You good? Work in progress, but I'll get there.
Heard you're taking off for the sunshine.
Oahu.
You're my last patient.
A native Hawaiian.
Must be fate.
You might be right.
Uh, Ms.
Goodwin wanted you to have your nail.
You know what? I don't need it.
He ho'omaka hou 'ana.
"A new beginning.
" You and me both.
[chuckles.]
Yeah, we'll just have to wait.
[sighs.]
Ohh, this view.
Oh, how I've missed this view.
Or just a view.
So, dinner.
The pantry is not really stocked.
We could go out.
Or order in.
It's probably for the best.
Just for tonight.
Look, I know you went out on a limb, so thank you.
I'm just so happy to be out of there.
Come here.
Doctor? Doctor? - What is it? - She's awake.
Breathing trial looks good.
I'm gonna take this tube out, okay, Allison? All right.
Ready? - [coughs.]
- It's okay.
Breathe, and there you go.
Okay.
Where am I? You got sick, honey.
We had to take you to the hospital.
How long am I gonna be here? I don't want to miss the school dance.
[laughs.]
Oh, sweetie.
Hi, baby.
The orthodontist? I was in the waiting room the whole time just checking my emails.
When she came out, she smiled, showed me her braces, didn't seem any different.
The police suspect instead of nitrous he used triazolam.
It knocked her out, ensured she had no memory of the assault.
Sick bastard.
I know this is a lot to process, but once Allison is stronger, the detective would like to come in and ask her a few questions.
Look, Ali just had a brush with death, and all she cares about is if she can still go to the junior high dance.
She's so innocent.
I don't want to take that from her.
One day we'll have to, but not today.
We understand.
We'll be back in the morning to check on her.
Good night.
[exhales sharply.]
Jeff's locker's cleared out, and he left.
Yeah, about an hour ago.
Did you know? That he wanted to move on from Med? Yes.
But I didn't know that you didn't.
He left without even saying good-bye? That's not cool.
No.
It was the right play.
The conversation about why wouldn't have done either of us any good.
Slips out in the night, and still somehow he makes it chivalrous.
I'm happy for Jeff.
Fresh start.
Yeah.
Dr.
Halstead.
Night, Maggie.
Nina and I are gonna meet Jay at Molly's.
- You want to join? - Eh.
Put this day behind us? Yeah.
That sounds great.
Uh, I just I have to do something first, so I'll meet you guys there.
Okay.
Gary's organ recovery went well.
A lot of lives are being saved tonight.
Just wish it felt more like a win.
So much for white butterflies.
I think we make our own luck anyway.
I should get back to the ED.
Yeah.
Yeah.
I'll I'll see you tomorrow.
[takes deep breath.]
So, then the guy says, "If we would've done it my way, we could've walked out of here.
" [laughs.]
Oh, that's really horrible, Jay.
Who told you that one? - Dad.
- I should've known.
- Come on.
- Of course.
- He's disgusting.
- [all chuckle.]
Whoa.
Hey.
Wow.
Big change.
Yeah.
I, um, felt like I needed something new.
- Looks really nice.
- Thank you.
Yeah, it looks great.
I like it.
Thanks.
I'm glad.
[laughs.]
Well, we all like it.
What are you having to drink? Oh, I will, um I'll take a beer.
Four shots of tequila.
Got it.
- Yes, please.
Mm-hmm.
- [laughs.]
[distant indistinct talking.]
Babe? [talking continues.]
[glass shattering.]
Robin? [Robin screaming, hyperventilating.]
No! [crying.]
- Robin, look at me.
- [screams.]
- [clattering.]
- Robin.
[screaming.]
- Aah! God! - [shouting.]
- [screaming.]
- No, no, no, no, no! No, no, no.
Please.
Robin, open the door.
- [Robin continues screaming.]
- Open the door.
Please open the door.
Please open the Open the Open the Open the door! Robin, please.
Please open the door.
Please! [Robin screaming.]
No, no, no, no, no! [Robin screaming, crying.]
Come on!
- Stop.
I've just been worried about you.
Things are going well? No more rats since they put me on the risperidone.
That's that's good.
That's good.
So you're feeling better, then? Yeah.
And I want to get the hell out of here.
[sighs.]
Robin, there's something that I have to tell you.
The reason why you're in here I asked your father to check in on you.
I had no idea that he would do something like It's not your fault.
You couldn't have known he'd do this.
It's not all bad.
Hey, they let me use the shower.
Not without supervision, though.
They are worried about suicide in here, so no shoelaces, no belts.
See the sink? No faucet.
Evidently, if you wrap your gown around your neck just right, you can use it to strangle yourself.
You don't belong in here.
Not according to the petition Dad filed.
Article 6 of the Mental Health and Disabilities Code.
No.
I'm serious, Robin.
So, you heard rats.
So what? This is not the solution.
What can I do? Oh, I really appreciate your being here.
Support from friends and family is crucial for the therapeutic process, so thank you.
Committed against her will? She can't even shower by herself.
That is some therapeutic process.
I think we all wish this could've happened differently, but, you know, at least she's getting the care that she needs, and she's safe and secure.
No.
She's locked up.
In prison.
It's not the same thing.
This place is what is gonna drive her crazy.
She needs to be out of here.
- Good morning, Nat.
- Morning.
Hey, Natalie, have you seen Reese? No.
Sorry.
Hey, how's Robin doing? I've been meaning to ask, but I know it's a delicate situation.
She's dealing.
Yeah.
Well, if you need anything, just please ask.
- Thanks.
- Okay.
April, today's match day.
Did Noah land here at Med? Texted him a dozen times.
No response.
They're only taking one local student, so that makes me think he didn't get it.
Or maybe he just wants to tell you in person.
No news could be good news, too.
Let's hope.
Barboleta branca.
It means "white butterfly" in Portuguese.
Yeah, that doesn't clear things up.
It's a Brazilian superstition.
So, if the first butterfly you see in the year is white, it's good luck.
I saw one a few weeks ago.
Technically, doesn't that only bring you luck? Wouldn't Noah need to have seen this white Seriously? You really want to analyze the cosmic power of an insect sighting? Probably an argument I don't win, huh? - [alarm sounds.]
- Dr.
Choi, incoming! Peds versus auto.
You're going to Baghdad.
Courtney? Gary Foster, 32.
Tripped, and fell into oncoming traffic and got plowed by a taxi.
GCS 15, vitals stable, 16 gauge in the right AC.
- Loss of consciousness? - Yeah, briefly, but he was talking by the time we got there.
Wanted to make sure no one blames the cab driver for what happened.
It was my fault.
I felt myself falling.
I just couldn't stop it.
It's okay, Mr.
Foster.
It was an accident.
Let's transfer on my count.
One, two, three.
[cries out.]
Breath sounds clear and present bilaterally.
BP 122/70.
Heart rate 112.
Sats 100%.
Let's roll him off the board slowly.
Easy.
[cries out.]
- Okay, okay, okay.
- Good God! That hurts! Okay, Mr.
Foster, listen to me close, okay? - Okay.
- Can you touch your chin to your chest? Good, good, good.
Now left to right.
Good.
C-spine's clear.
We can lose the collar.
All right, April, 50 of fentanyl for the pain.
Let's get X-rays.
Chest, pelvis, left humerus.
I also want a CT head, abdomen, and pelvis, and let's get an EKG.
- This is bad, isn't it? - Just try to stay calm, - Mr.
Foster.
- Okay.
It's okay.
We're gonna help you.
Reese, you got a second? Uh, so, I just saw Robin.
It seems like her therapy's going well.
It is.
It is.
She is lucid and responding to her medication.
Most importantly, she is letting us help her.
I wasn't sure she'd be so trusting, considering how this went down.
So, she tells me that you guys are diagnosing this as schizophreniform.
- Yeah, it's looking like that.
- Now, from what I've read, to be able to make that call, the symptoms have to last for at least a month.
Is that how long you guys are planning on keeping her? Well, right now, it's all about making sure her psychosis is under control and her meds are dosed appropriately.
Anything about Thank you release dates, you really should speak with her attending.
Right.
Dr.
Kwon.
I actually did.
He reminded me that patience is a virtue.
I'm pretty sure that Dr.
Charles put those words in his mouth.
Reese, this is all messed up.
I'm sorry, Connor, but I don't know what you want me to say.
If Robin had been committed in Indiana, she'd be released already.
Same with Michigan.
Same with Wisconsin.
All of those states have shorter holds.
But this is Illinois, and I don't make the laws.
Tell me this couldn't be treated as an outpatient basis.
That's not up to me.
Is she or is she not a danger to herself? At this exact moment, no, but it's not that simple.
Yes, it is.
Ah, so, what's the word? I matched my first choice.
- Really? - Emergency medicine.
That's great! I'm so happy for you! Really? You got the Med spot? Knew you could do it.
I had my eye on you from the get-go.
- Don't worry about Stohl.
- I won't.
Does Natalie know? Not yet.
I was waiting to see where I wound up.
Hm.
Keoni? What did you do? - No clue.
- Jeff, with me.
We're going to Treatment 2.
Doing a DIY reno on a bar.
Been tripping over construction supplies all week.
Must have twisted my ankle.
Didn't notice till it got really bad.
All right, let's take a look.
Hop up there.
Take a look at this flat tire.
These your construction boots? I'm Hawaiian, brah.
Slippers are multipurpose.
You got a nail in your foot, dude.
You're kidding? It doesn't hurt? Been barefoot or in slippers since I could walk.
Calluses so tough I could walk on hot coals and wouldn't even flinch.
Swing your foot up there for me.
Let's get a CBC, a CMP, and a tetanus, and have Danny come down with a portable X-ray machine.
Okay.
You've been living in Chicago 20 years, Keoni.
Put on some shoes.
And give up the endless summer? Never.
Hey, April.
Bummer about Noah.
- What? - You didn't hear? Jeff got the Med spot.
Oh.
Well, good for him.
I'm sure Noah matched somewhere great.
[girl cries out.]
Her stomach's been hurting her for a few days now, but an hour ago, everything just went haywire.
She's been screaming in pain.
She gets really confused.
- Abdominal pelvic ultrasound.
- On it.
Okay, Allison, can you tell me exactly where it hurts? I just got braces put on last week.
See the confusion? And her eyes She can't even focus.
It's called nystagmus.
Is she taking any drugs? - No.
No, no, no.
- Has Allison started - menstruating? - I don't know.
Maybe.
Is she sexually active? Could she be pregnant? She's only 13! Look, I don't think so.
I'm just her stepdad, so - Ali, baby! - Oh, baby.
I'm sorry.
I came as fast as I could.
- Baby, what's happening? - [Allison whimpering.]
I don't understand.
She said she was feeling better when I left for work.
Not seeing any free fluids, no ovarian abnormalities.
All right, let's do a CBC, CMP, chest X-ray, cultures, head CT, tox screen, blood and urine, and a serum pregnancy.
Wait, pregnancy? What? No.
Ali is still a virgin.
She hasn't even started talking about boys yet.
I understand, but these are standard tests.
We just need to run them to be safe, okay? Can you just give her something for the pain, please? I'm sorry, but we can't do that until the tests are finished.
- Baby, what's going on, huh? - Keep away from me! We will figure this out, okay? I'll be back shortly.
[whimpering.]
[grunts.]
I can grab you some more pillows if you need them.
If it were only that easy.
Mr.
Foster, I got your X-rays and scans.
There are multiple fractures on your left side.
L1 through L4 of your spine, humerus, pelvis, and ribs.
Good news is they won't require surgery.
- They'll heal on their own.
- How long will that take? On average, six to eight weeks.
After that, between rehab and physical therapy, likely a year before you're back to full strength.
A year.
Might as well be forever.
Now, there is one more injury.
The head CT revealed a left-sided subdural hematoma and skull fracture.
Our neurosurgeon, Dr.
Abrams, wants to schedule surgery immediately.
What happens if I decline? Mr.
Foster, you're bleeding inside your brain.
If the pressure within your skull isn't released, it will get worse.
It's highly likely you'll die.
I'm already dying.
I have ALS.
It's progressing rapidly.
That's why I fell.
By the time my bones heal, the disease will be ravaging me.
Yeah, but you'll be alive.
Barely.
Confined to a wheelchair, hooked up to a ventilator.
No.
I don't want that.
No surgery.
I mean, there shouldn't even be a debate.
We can save Mr.
Foster's life.
I understand, April, but unfortunately, that's not the issue.
His hematoma's worsening.
He's gonna bleed to death.
At this rate, he's got a couple weeks at best we have to act.
We can't.
I've studied Mr.
Foster's advanced directives so has the hospital's legal council.
It's ironclad.
So, that just makes it okay to do nothing? April, part of Mr.
Foster's directive instructs that upon death, his organs and tissues be donated.
Clearly this isn't a rash decision, so what's the discussion? That we have to sit by and watch a man die when we can easily extend his life.
- It's wrong.
- Yeah, well, we may not agree with his decision, but it is his choice to make.
Transfer the patient to the ICU.
Sharon, I need a minute.
Yes.
Hey, update me on Allison? White count's moderately elevated, but her fever's rising, and she's disinhibited with a decreased level of consciousness.
- Drug overdose? - Tox screen was negative, as was every other test Pregnancy, urinalysis, chest X-ray, CT, pelvic ultrasound.
Neurologic infection? Meningitis? Encephalitis? You get an LP? Just did.
CSF was clear.
Whatever this is, it's viral.
The lab's running a PCR.
- Okay.
Keep me posted.
- Mm-hmm.
Hey.
Doris told me you matched in Emergency Medicine.
That's awesome.
Way to go, Clarke.
Good to have you.
Thanks.
Hey, um, there is something that I've been meaning to talk - [alarm beeping.]
- Natalie! - She's seizing.
- Oh, my God, make it stop! - Two of ativan.
- Got it.
Sats are dropping.
77.
76.
Allison, can you feel this? I need to intubate.
No drugs.
Her jaw is loose.
We're gonna fix this.
- Okay, almost.
- Yeah.
No, no, no, no, no You're gonna choke her! She won't be able to breathe otherwise.
- I'm in.
- Okay.
I got it.
I got it.
Secure the tube and start bagging.
Stat chest X-ray and call up to the pediatric ICU for a bed.
Wait, ICU? What's going on with her? Hey, man.
I got your labs.
Good news only, please.
Can I sit? Uh-oh.
Everything's normal except your blood glucose.
It's extremely high.
- Diabetes.
- Yes.
I'm gonna start you on IV fluids and insulin and order hemoglobin A1C, Get a better reading on your sugar levels.
Diabetes can make your feet numb.
That's why I didn't realize I had a nail in my foot, isn't it? Yeah.
I've been sick for a while.
Look.
The important thing: we caught it.
Some lifestyle adjustments, and you'll get way out ahead of this thing.
Yeah, sure.
Look, I get it.
Change isn't easy, but in the long run, it's the only way.
I'm gonna page Endocrinology, have them come down for a consult.
They should be able to answer all your questions.
- Hey.
- Allison's LP results.
Encephalitis.
Oh, my God.
HSE? Yeah.
Fever, neuro issues, seizures, now the coma Virus fits the symptoms.
Yeah.
I just didn't see it coming.
I mean, she's 13.
Herpes? [alarms beeping.]
- April! - [coughing.]
BP's falling.
94/66.
Heart's racing.
Pulse is 120.
All right, lungs are wet.
Sats? [labored breathing, coughing.]
Can't get a reading.
Fingers are swollen, purple.
Pulse ox monitor can't register.
Get a blood gas.
Toes are purple.
Earlobes, too.
Blood in the eyes, nasal passage.
- What's happening? - Your circulation's being cut off oxygen's not moving well through your body.
- Why? - I'm not sure.
PCO 256, PAO 255.
All right, let's increase the oxygen to 10 liters.
[labored breathing.]
April? Is he still being transferred to the ICU? Hold off for now.
[coughing.]
Let's test for DIC.
If that's what we're seeing, I think there may be a way to convince Gary to fix his brain bleed.
Oh, hey, were you looking for me? Please join us, Dr.
Charles.
This is Nicole Jansen of Shipley Shipley Austin & Shea.
I'm representing the interests of Robin Charles.
Lawyers? I'm hoping you can provide some clarity on the circumstances surrounding Ms.
Charles's involuntary hold.
I don't see how it's not clear.
A petition was filed in accordance with state law.
And within 24 hours, Dr.
Kwon here signed I will get to Dr.
Kwon.
First, I want to talk about the filing of the original petition by Dr.
Charles, the hospital's Chief of Psychiatry, but also my client's father.
Interesting.
Allison has HSV type 2, which is more commonly associated with genital herpes than oral.
Genital? No.
Ali doesn't do that.
And when? Where? She's either at school or at home with one of us Right, Kevin? Yeah, look, I work from home.
Nothing's going on at the house.
Okay, no boys come over, ever.
I know girls don't tell their mothers everything God knows I didn't, but But Ali and me we talk.
Have you noticed any change in Allison's mood or personality in the last few days? No.
Besides being sick, she's been her usual happy self.
Why? Allison's abdominal pain is inconsistent with the HSE diagnosis, and it may be a sign of sexual assault.
We'd like to perform a more extensive pelvic exam just to be sure.
Is that really necessary? I mean, come on, it's not gonna have any effect on how you treat her, is it? There might be some internal damaging and bleeding that needs to be repaired, and it is possible she may have contracted another STD.
Look, can it just wait? Can it wait until we just have a moment to figure out It's okay.
It's okay.
You can You can perform the exam.
- Are you sure? - Yeah.
Um, if this is that, - I need to kn I'm sorry.
- Babe.
Baby We'll get started right away.
I'll start Robin's discharge paperwork.
Thank you.
Hmm.
Little heads-up, you know, would've been nice.
I found out just before you did.
I mean, come on.
Rhodes's name's on the building, so he gets to decide who's fit to be released? Is this a joke? Sharon, it's Robin! I thought that you guys would at least go to the wall for Robin.
Daniel, if we don't make a deal in this room, the next place we'll meet will be in front of a judge with Robin and a team of doctors that they've assembled to challenge our every move.
That's not good for anyone, especially for you.
Okay, well, then, I appreciate you looking out for me.
Daniel.
Daniel, come on.
- Thank you very much.
- Absolutely.
Dr.
Charles, don't.
It'll just start Not now, not now.
Hey, Connor.
Connor.
I'm just curious.
So, you're the one who's gonna be taking care of Robin now? - Yeah.
- I mean, you're a surgical fellow, buddy.
You work in 36-hour shifts.
Uh-huh, so I'll adjust my schedule and we'll make it work.
But what happens next time she has a psychotic break? I mean, even if you're home, you're not equipped to deal with it.
Every second that she spends in that ward, her resentment towards you grows.
Can't you see that I'm trying to do you a favor? - Don't do me any favors! Don't! - Oh, look, I came to you out of concern for Robin, not panic! And you escalated things! You don't have a clue what you are dealing with.
Is this some kind of game to you where you get to be the hero? Is that what it is? No, this is not a game.
You made a mess, and I'm fixing it.
Right.
By bringing in Daddy's big guns.
Well done.
She is not a little girl anymore.
Okay? You can't make up for your own failings as a father by treating her like one now! Give it up.
Allison's pelvic exam yielded evidence of vaginal trauma: perforated hymen, mucosal tears, severe edema, swelling All clear evidence of sexual assault.
- Timeline? - The status of the bruising indicates the trauma took place about five to seven days ago, consistent with the incubation period of the encephalitis.
Poor baby.
All right, I'll activate the rape protocols and notify PD.
- This case is now a crime.
- Okay.
We'll talk to the parents about what comes next.
- All right.
- Thanks, Ms.
Goodwin.
Mm-hmm.
[soft indistinct speech.]
Where are you going? Gonna go get some fresh air.
With your clothes over your arm? I've seen too many people skip out after getting bad news.
It never ends well.
What does it matter if I stay or if I go? The results are the same.
I doubt that.
- Move.
- No chance.
So, where does that leave us? I'm scared.
It's okay.
Come on back.
I know someone you should talk to.
- A shrink? - [laughs.]
Something like that.
The trauma nurse won't let me be in there with her.
It's protocol, just while they're collecting evidence.
It won't be long, though.
I'm gonna go get a cup of coffee.
You want one? No.
Wait, wait.
Can I ask you Can I ask you something, Dr.
Manning? Of course.
Could you be having unprotected sex regularly with someone with herpes and not catch it? Not even not even be aware that they have it? Yes.
I don't want to believe it could be true, but the only person who was alone with Ali in the past week was Kevin.
I can't think of anyone else it might've been.
Ms.
Nicholson, you can be with your daughter now.
Thank you.
I'm just being paranoid, right? I suppose I can't talk to the girl for some time, right? No.
Um, the mom thinks the stepdad might've done it.
Wouldn't surprise me.
That's where I was gonna start.
Seriously, Jay, I don't know how you go to work and do this every day.
I could say the same thing for you.
[phone buzzes.]
I got to take this.
My feet are cold.
I'll get you some more blankets.
Everything hurts.
It's from Disseminated Intravascular Coagulation, DIC.
Clots are forming inside your vessels, blocking blood flow and depriving you of oxygen.
Your organs are failing.
Unfortunately, in this condition, they're not suitable for transplant.
Wait, wait, wait, wait.
I won't be able to donate? No.
There's got to be something you can do.
Mr.
Foster, if you allow us to operate on the hematoma, that puts us in a better position to treat the DIC.
No.
Then we're back to where we started.
I'm laying here with broken bones that won't heal before I'm locked up on life support.
Listen, you can't let my organs die before I do.
Please.
There is a fix for the DIC.
Heparin.
It's a drug that prevents the clots from getting larger.
Mr.
Foster, heparin is a blood thinner, which means it will also significantly worsen the bleeding in your brain.
Instead of weeks to live, you'll have only hours.
Weeks weren't much, but that gave me time to say good-byes.
Hours, though.
Mr.
Foster, if we're gonna start the heparin The sooner, the better.
Yeah.
You don't have to do this.
You can change your mind.
What would you like to do? Give me the heparin.
Gary, are you sure? Yes.
Okay.
Excuse us.
April! - We cannot do this, Ethan.
- He was clear in his decision.
Because you pressured him, made him feel he had to choose right now.
No.
I gave him his medical options, and he decided on what was best for him.
Don't put this on me.
It is on you.
Your hands may have been tied by his advance directive, but giving him heparin knowing it's lethal, that's assisted suicide.
April, we can't save Gary, but one organ donor can save up to eight lives.
One tissue donor can improve the lives of up to 50 others.
Because of him, 58 people get a second chance.
Put in the order for heparin.
No.
Then I'll do it myself.
[breathing heavily.]
This is everything you had when you were admitted.
Thank you.
You can't hold me here any longer.
I know.
Look Whatever you have to say, I don't want to hear it.
I just want you to be safe, Robin.
I'm going to be.
With Connor.
What is up, family? [clears throat.]
Matched at Chicago Med! Emergency Medicine, baby! Let's get it! April, we did it! What? I don't understand.
I thought Jeff got the match.
What? No, no, no.
It's official.
Only one local spot at Med, and it's all mine! Aah! [squeals.]
I'm home! I knew you'd do it.
Had my eye on you from the get-go.
Hey, what's going on? I matched in Honolulu.
Chicago Med wasn't even on my list.
- Good luck, Clarke.
- Thanks.
I just assumed I mean, you must have known about this for a while now.
- Yeah.
- Why didn't you say anything? I don't know.
I just felt like it was time to move on.
- Okay.
- Hey, Nat? Sorry, Jeff.
I need her.
Will, can I grab you for a second? - Let's talk later? - Yeah.
I spoke to the parents together and independently.
- And? - I don't like the stepdad for the guy He offered to give a polygraph and submit his DNA.
Offenders don't usually behave that way.
Any other leads? Allison's comprehensive tox screen detected trace amounts of triazolam in her blood.
That's a benzo, right? Yeah.
A sedative hypnotic with amnestic properties.
The stepdad's an accountant.
I don't see him getting his hands on that.
Unless maybe he was prescribed it.
I mean, it is sometimes used for insomnia.
Yeah, it definitely puts you out.
The hospital uses it mostly to treat patient anxiety, usually before procedures, MRI scans, things like that.
So, she could've gotten it here.
Did you give it to her before the CT scan? - No.
- No.
Another doctor then, maybe.
Did the mom mention any other recent medical issues? No.
Nothing other than the symptoms that brought her in today.
Braces.
Allison did just get her braces on.
Dentists also sometimes use triazolam.
After you pass, you'll immediately be taken into the OR where your organs and tissues will be recovered.
When that happens, will it hurt? No.
The bleeding in your brain will starve it of oxygen.
You'll lose consciousness, and then you'll shut down.
- I'll be dead.
- Your brain will be.
But your body will still be alive.
But you won't be able to control your breathing.
The organs still need oxygen, though, so we need You want to adjust my advance directive.
Just the DNI.
We need your consent to intubate you once you lose consciousness to protect the organs until you get into the OR.
Do we have your permission? Yes.
Mm-hmm.
Okay.
Right there.
You think I'm making a mistake.
Earlier this year, I suffered a miscarriage.
My child never got a chance at life.
I would give anything just for one moment.
You may not have as much time as others, but you still have some.
I'm sorry for your loss.
But my time is over.
The only positive is my death can help other people.
I know It looks like I'm giving up, but this is everything I've been living for.
This is it.
- [takes deep breath.]
- Yeah.
Okay.
I'm ready.
Hanging meds is a nurse's responsibility.
I will do it.
Making a break for it, Keoni? Really? Seemed like a good idea at the time.
Figured Maggie was sending over a shrink.
Oh, no.
You get me.
I appreciate the red carpet, but there's nothing you can do.
In the back of my mind, I knew it was diabetes.
I should've never come to the hospital.
Because what? Denial is a good solution? You don't understand, Sharon.
My family diabetes kills.
Now it's my turn.
Your genetics don't doom you, Keoni.
No? I eat healthy.
I don't drink the coladas or the daiquiris that I make at the bar.
I exercise.
Yet here I am.
I did what I was supposed to do.
Yeah, and unfortunately, people like you and I have to do that and more to break the cycle.
Yes, I have diabetes too.
And I've lost family also.
- I didn't know.
- Many don't.
And it's not because I'm hiding it, but because I've got it under control, and I have for the last 14 years.
There are people in this hospital who have to surrender.
You have an opportunity.
You better take it.
It's gonna be okay.
Oh, Dr.
Reese? If, um If you would like to continue your residency under a different attending, I would completely understand.
Hey, Keoni.
Wanted to say good-bye.
You good? Work in progress, but I'll get there.
Heard you're taking off for the sunshine.
Oahu.
You're my last patient.
A native Hawaiian.
Must be fate.
You might be right.
Uh, Ms.
Goodwin wanted you to have your nail.
You know what? I don't need it.
He ho'omaka hou 'ana.
"A new beginning.
" You and me both.
[chuckles.]
Yeah, we'll just have to wait.
[sighs.]
Ohh, this view.
Oh, how I've missed this view.
Or just a view.
So, dinner.
The pantry is not really stocked.
We could go out.
Or order in.
It's probably for the best.
Just for tonight.
Look, I know you went out on a limb, so thank you.
I'm just so happy to be out of there.
Come here.
Doctor? Doctor? - What is it? - She's awake.
Breathing trial looks good.
I'm gonna take this tube out, okay, Allison? All right.
Ready? - [coughs.]
- It's okay.
Breathe, and there you go.
Okay.
Where am I? You got sick, honey.
We had to take you to the hospital.
How long am I gonna be here? I don't want to miss the school dance.
[laughs.]
Oh, sweetie.
Hi, baby.
The orthodontist? I was in the waiting room the whole time just checking my emails.
When she came out, she smiled, showed me her braces, didn't seem any different.
The police suspect instead of nitrous he used triazolam.
It knocked her out, ensured she had no memory of the assault.
Sick bastard.
I know this is a lot to process, but once Allison is stronger, the detective would like to come in and ask her a few questions.
Look, Ali just had a brush with death, and all she cares about is if she can still go to the junior high dance.
She's so innocent.
I don't want to take that from her.
One day we'll have to, but not today.
We understand.
We'll be back in the morning to check on her.
Good night.
[exhales sharply.]
Jeff's locker's cleared out, and he left.
Yeah, about an hour ago.
Did you know? That he wanted to move on from Med? Yes.
But I didn't know that you didn't.
He left without even saying good-bye? That's not cool.
No.
It was the right play.
The conversation about why wouldn't have done either of us any good.
Slips out in the night, and still somehow he makes it chivalrous.
I'm happy for Jeff.
Fresh start.
Yeah.
Dr.
Halstead.
Night, Maggie.
Nina and I are gonna meet Jay at Molly's.
- You want to join? - Eh.
Put this day behind us? Yeah.
That sounds great.
Uh, I just I have to do something first, so I'll meet you guys there.
Okay.
Gary's organ recovery went well.
A lot of lives are being saved tonight.
Just wish it felt more like a win.
So much for white butterflies.
I think we make our own luck anyway.
I should get back to the ED.
Yeah.
Yeah.
I'll I'll see you tomorrow.
[takes deep breath.]
So, then the guy says, "If we would've done it my way, we could've walked out of here.
" [laughs.]
Oh, that's really horrible, Jay.
Who told you that one? - Dad.
- I should've known.
- Come on.
- Of course.
- He's disgusting.
- [all chuckle.]
Whoa.
Hey.
Wow.
Big change.
Yeah.
I, um, felt like I needed something new.
- Looks really nice.
- Thank you.
Yeah, it looks great.
I like it.
Thanks.
I'm glad.
[laughs.]
Well, we all like it.
What are you having to drink? Oh, I will, um I'll take a beer.
Four shots of tequila.
Got it.
- Yes, please.
Mm-hmm.
- [laughs.]
[distant indistinct talking.]
Babe? [talking continues.]
[glass shattering.]
Robin? [Robin screaming, hyperventilating.]
No! [crying.]
- Robin, look at me.
- [screams.]
- [clattering.]
- Robin.
[screaming.]
- Aah! God! - [shouting.]
- [screaming.]
- No, no, no, no, no! No, no, no.
Please.
Robin, open the door.
- [Robin continues screaming.]
- Open the door.
Please open the door.
Please open the Open the Open the Open the door! Robin, please.
Please open the door.
Please! [Robin screaming.]
No, no, no, no, no! [Robin screaming, crying.]
Come on!