Chicago Med (2015) s03e06 Episode Script

1 I respect LeBron James, I admire LeBron James.
But compared to Michael Jordan? Come on.
You only think that because you're a Chicago chauvinist.
Oh, no.
No, I'm completely objective.
Stats, clutch playing, it's Jordan all the way.
Will, you are a very good doctor, but very limited on your understanding of basketball.
- Give me a kiss.
- [GIGGLES.]
- Dr.
Manning, radiology called.
- Yes? Your scans are up on the computer.
- Okay.
- I got it.
Thank you.
- Morning, Connor.
- Good morning, Will.
- Hey, how's Robin? - She's much better, thanks.
- Yeah, she's shopping like a fiend.
- [PHONE BUZZING.]
She left me about a foot of space in the closet, - and three hangers.
- Uh-oh.
Excuse me.
- Maggie.
- Yeah? Do me a favor.
Call CT, tell them I had to leave.
I'll be back as soon as I can.
You got it.
[OMINOUS MUSIC.]
Hey, Darren.
- Sorry about this, Dr.
Rhodes.
- No, I appreciate the text.
- Where is she? - This way.
Okay.
One of my guys caught her trying to walk out with this.
Had no idea who she was.
We would have called P.
D.
if your dad hadn't been here.
Appreciate that.
Did you really have to lock her in? Standard procedure, Dr.
Rhodes.
[SIGHS.]
Robin.
I don't know what's the matter with me.
Shh, come here, come here.
It's gonna be all right, honey.
It's gonna be all right.
[DRAMATIC MUSIC.]
I hear Mama hollering from the bathroom and I run in and find her on the floor.
That's when I called 911.
Told her a bus would suit me just fine, instead of wasting all that money on a ambulance.
Well, I'm glad you did decide to come in, Ms.
Buckley.
Luckily, it's only your wrist that's broken, but your X-ray shows what we call a Colles' fracture.
So we need to reduce it, re-align your bones, and then we can put you in a splint.
If you say so.
Okay.
April, draw up 10 milligrams of lidocaine for a hematoma block.
So, let me guess.
Virginia? - North Carolina.
- Mm.
We've been here 20 years.
Guess the Tar Heel never goes.
[CHUCKLES.]
- You all right? - Yeah, it's nothing.
Okay, now this is gonna hurt.
So I'm gonna have you take some deep breaths for me, okay? - All right, you ready? - Mm-hmm.
- Okay, take a deep breath.
- [INHALES.]
Good job.
Now I'm gonna have you take one more really big deep breath for me, okay? Ready? One, two, three.
- [BONE CRACKS.]
- Ah! All right, the hard part's over.
Great job.
- Thank you.
- Mm-hmm.
Orthopedics will be down later to set you up with a cast, okay? - Thank you.
- Sorry.
Thank you.
How's Noah doing? He's gonna have a black eye for a couple days, but he'll be okay.
He'll be in later today.
Glad to hear it.
Honey, this is the encephalitis.
This isn't you.
You don't know how it feels.
It is humiliating.
Things like this, they're gonna pass.
You know that.
You're already better than you were a month ago.
Am I though? Really? God, I've got to pull myself together.
Dad.
Thank you for not calling the cops.
Connor, this friend of yours, she's a kleptomaniac.
No, she isn't.
She's recovering from an illness that makes her do things she wouldn't otherwise do.
Well, still, you have to admit she's unstable.
You don't know her.
You don't know anything about her.
So what she did was sane, reasonable? After what happened to Mom, I would say that you are the last person that should be discussing anybody's mental health.
- You're making this about your mother? - Yes, I am.
She's been gone for 20 years.
Time to move on, don't you think? Yeah, it took you what, a week? Okay, listen to me.
If she's not unstable, she's a criminal.
Either way, fatherly advice: Get rid of her.
[FOOTSTEPS.]
[TENSE MUSIC.]
- Good morning.
- Morning.
Hey, so you and April? Yeah.
How long has that been going on? About six months.
You managed to keep it quiet for six months in this place? It wasn't easy.
On several occasions, we came close to blowing our cover.
- Sharon? - Yeah? I'm a charge nurse, and I'm hanging IV bags.
I know, Maggie.
You're short staffed.
For a month.
When are we gonna hire more nurses? We can't afford it.
It's not in the budget.
Sharon, we are required to have one nurse for two beds.
That's 12 nurses per shift.
Four shifts, that's 48 nurses.
Right now, I only have 42.
Well, even it out with overtime.
Time and a half? How is that supposed to save us money? It doesn't, but overtime comes out of a different account.
We still look good.
Work with me.
Dr.
Halstead, incoming.
Arlo Littman, 20 years old.
Delusional and combative.
Says he's radioactive.
You can't let anyone touch me, make them stay away! Negative on radiation poisoning.
He hasn't vomited or been nauseated.
Too agitated to get vitals, restrained in the field.
He on something? Roommate says no, he doesn't do drugs.
No one touch me! No one touch me! Karen, page Psych.
All right, let's get him on the bed.
Arlo, I'm Dr.
Halstead, I'm gonna help you.
I'm death, don't touch me.
Yeah, let's get him on the bed.
- Uh-huh.
- One, two, three.
- Get away from me, no! - Restraints.
- Courtney, get his left leg.
- Yup.
You'll die, you will all die! - All right.
- All right.
[FRANTIC BREATHING.]
Let's move him up a little bit.
Spontaneous movement in all four limbs, anyone disagree? [FRANTIC BREATHING.]
Pupils equal, round and reactive.
Don't touch me, save yourselves.
- Hey! - Okay, easy, buddy.
Try and relax.
[FRANTIC BREATHING.]
Yeah, I didn't sedate him, didn't want to over-snow him.
Thought you'd want to hear his spiel.
Five diazepam, five olanzapine.
Got it.
Hey, I'm Dr.
Charles, I'm here to help you.
I'm death.
Let's get him on the monitors.
U-tox, blood alcohol, CBC and CMP.
- You want the restraints off? - Eh.
Let's leave them on for now.
See what his state of mind is when he wakes up.
All right, he's all yours.
- Thanks, Will.
- Yup.
Initial thoughts? Schizophrenia usually manifests at his age.
Mm-hm.
Doris, could you give us a second, please? Sure.
- You okay? - Yes.
All right, just making sure you're comfortable treating the patient.
Yeah, absolutely.
I'll be here if you need me.
[SOMBER MUSIC.]
Hey, you.
I got to get back to work.
Uh, there's leftovers in the fridge, if you want.
- Turkey, asparagus - I'm not hungry.
Robin, you should eat.
You'd feel better.
You take good care of me.
I guess you do that for all your patients.
Whoa, whoa, whoa, hey, hey, hey, hey.
You are not my patient.
I love you.
Do you? Because I wouldn't love me.
I'd get rid of me.
Listen, my dad is a son of a bitch.
He likes to destroy things.
And you, you like to fix things.
People with blocked arteries or leaky valves.
Unhinged girlfriends who like to shoplift.
Meaning? Wanting to save someone, needing to save someone, it's not the same as loving.
Robin, your illness, it gives you a distorted view of things.
Right.
Unhinged.
No.
It is a matter of brain chemistry.
And obviously, right now it's not being addressed properly.
So I am going to make sure that it is.
You're my knight in shining armor.
I'll be home as soon as I can.
- And this one too.
- Yep.
Dr.
Halstead, you're back on.
You're going to treatment four.
Hey, Monique? Jessie Rowe, mid-twenties.
Shortness of breath, abdominal pain.
I'm her husband.
Okay, I'm Dr.
Halstead.
Any idea what might be causing this? Something you ate? Did you fall? - No.
- Might be the IVF therapy.
We've been trying to get pregnant, Jessie's had three rounds.
Embryo transfer two weeks ago.
Okay, let's see what's going on.
- I'm hearing a slight crackle.
- I got it.
- Pam, we need an X-ray in here.
- Yes, Maggie.
How long you been feeling this way? Been bloated a couple days.
Shortness of breath just this morning.
Heart rate 86, BP 124/73.
02 sat's at 93%.
That's a little low.
Put her on a nasal cannula.
Jessie, I'm gonna ultrasound your belly.
Thank you.
Your ovaries are somewhat enlarged, but that can happen after IVF.
Can you tell? Am I pregnant? Uh, too early for that to show.
- We need a chest.
- Yes, doctor.
Wait, what if she is pregnant? The lead apron will protect her.
Stand back, everybody.
I'm seeing some congestion in the lungs, but not enough to concern me.
This could all just be in response to the IVF, but we're gonna make sure.
Hopefully you'll feel better soon.
And we'll all cross our fingers the embryo transfer took.
Mr.
Janichek, I'm Dr.
Choi.
I understand you cut yourself.
Yeah, and maybe someone can finally tell me why.
I see this isn't the first time.
It's been happening a lot lately.
I drop things, I fall down.
It's not like me.
Basic vitals are all normal.
You know, I don't care.
Something's wrong with me, and no one can figure out what.
Well, let's take a look, huh? Put your index finger and thumb together to make a circle.
Try not to let me break it.
Good.
Relax.
Can you feel this? This, this, this, this? Your tendons and nerves are intact.
A gram of ancef, draw up lidocaine, - and give me the suture kit.
- Yep.
That's it? You're just gonna sew me up? Well, I don't see anything else that needs treating.
You're just like all the other docs.
You don't care.
You don't listen.
You just want to get me out of here.
I am listening to you, Mr.
Janichek.
- I feel crummy.
- Crummy? Yeah, pretty much all the time.
Doris, let's get a CBC and CMP.
Yes, Dr.
Choi.
Now can I sew you up? Hi.
A nurse is gonna come by to start your discharge paperwork.
Nance, look up the bus schedule, will you, hon? - Yeah.
Ah! - Honey? Nancy, are you okay? Let me check your abdomen, if you don't mind.
How long have you had this pain? Uh, I don't know.
A few days? Is there anything in particular that makes it hurt worse? Eating, twisting, lying down? Hurts just the same.
[WINCES.]
Oof.
Yeah, seems like appendicitis to me.
I had my appendix out when I was 14.
Any other surgeries? C-section, any kids? No, I always wanted them, but it never panned out.
Well, it might be a hernia, but I'd like to get you into a bed and examine you more thoroughly.
Run some tests.
It's probably just a bellyache.
Listen to the doctor, hon.
- You'll be all right? - Of course.
Well, go on.
Come on.
Thank you.
Right this way.
Reese.
When was the last time Robin had a full work-up? Just before she was released from rehab.
That was almost two months ago, how about a little follow-up with your patient? She is not asymptomatic, but that's to be expected.
Recovery does not happen overnight, it's a process So you reviewed her medication? - Yes.
- With her neurologist? And her internist, and her pharmacist.
I've been monitoring Robin very carefully.
Maybe somebody else should.
Someone with more experience.
Maybe a little more familiarity with her condition.
All right, if Robin wants to change physicians, that is her right.
But that should be her request, not yours.
I'm bringing her in tomorrow.
She's gonna get a full neuro work up, plus labs, plus scans.
Understand? [KNOCKING.]
Jessie, I have news for you.
Some of which will make you very happy.
So we ran a test to check on your hCG level that's pregnancy hormone and it indicates that indeed, you are pregnant.
- [EXHALES.]
- [LAUGHS.]
That's great! Honey, we did it.
But? The other tests show that you're hemoconcentrated.
And that's a thickening of the blood.
It's a symptom of a condition called OHSS, Ovarian Hyper Stimulation Syndrome.
Now this can occur when the hCG from the IVF treatments and your pregnancy interacts adversely with your estrogen.
So because she got pregnant, she got sick? - Yes.
- Is it serious? The concern is that you're more likely to clot.
And possibly throw a clot.
So we'll monitor you carefully, but I think we can resolve the OHSS.
We'll continue to hydrate you, and start you on blood thinner.
So everything's gonna be fine.
Well, you're still a little short of breath, so I'd like to send you for a CT scan just to play it safe.
Okay.
All right.
Hey, Barry, you're going to treatment three.
- Doctor Choi? - You guys you guys are Hey, I'm okay.
33-year-old male, found in the park.
Alcohol on the breath, the GCS is 13.
He's a little groggy but improving.
Minor head laceration.
- I got it, Barry.
Thanks.
- You got it.
Mags, how about a nurse? I have no nurses, I'll be in in a sec.
This patient.
Indigent, no insurance? Afraid so.
The hospital's gonna have to eat up the cost.
What are you gonna do? We'll give him the best care humanly possible, no expense spared, but you know, it would sure be nice to balance patients like him with a few that have insurance.
So maybe we can hire a few nurses.
Maggie Next time you're in the Gold Coast, picking up an MI with a fat wallet, how about bringing them here? Just as close as anyplace else.
Nancy Buckley's results? Yeah, it's not a hernia.
It's what I thought, her CT shows appendicitis.
But her charts said her appendix was removed when she was a teenager.
That's not the only thing that's off.
Tubal ligation clips.
She had her tubes tied.
Why wouldn't she put that in her history? Maybe she didn't want her mom to know.
Might be a touchy subject for them.
You know what, Nancy said she always wanted kids.
This doesn't feel right.
Well either way, she's going to need surgery.
Yeah, on an organ she thinks she doesn't have.
[TENSE MUSIC.]
Ms.
Buckley, your scan clearly shows an inflamed appendix.
We need to get you up to surgery right away before it ruptures.
Well, how can it be inflamed? I had it out when I was a kid, you saw the scar.
Yeah, I understand that this is very confusing, but that scar is actually from a different procedure.
No, I ain't had no other surgeries.
- Ask my mama, she'll tell you.
- Dr.
Manning.
BP is 75/20 and dropping.
Ms.
Buckley? Nancy? BP's still dropping.
Heart rate spiking to 145.
Her appendix is ruptured, we need to get her to surgery.
Get her IV wide open, and call up to the OR and tell them we're on our way.
Let's go! What's wrong with my Nancy? I'm afraid we had to send your daughter up for an emergency appendectomy.
- Appendectomy? - Yes, her appendix burst.
Oh.
Ms.
Buckley.
Your daughter believes that she had her appendix out when she was 14 years old.
Why would she think that? W That's what the doc said back then.
Well, she does have a scar, but it's not from an appendectomy.
Well, uh I don't know what to say.
Her appendix is not the only thing we saw on her scan.
She was a minor.
You would have had to give consent.
Back home, in Blue Ridge country, I was young and poor when I had her.
Nancy was a wild teenager, always getting into trouble.
Finally, this judge who practically ran the county, he told me if I wanted to keep Nancy out of jail, I had to make a choice.
So you agreed to have her tubes tied? The way she was going, she'd have been pregnant by the time she was 15, dropped out of school, come to nothing.
That was my life.
I wasn't about to see my daughter turn out the same.
Ms.
Buckley, don't you think your daughter deserves to know the truth? Well, I-I thought about it.
W-What good would it do? What's done is done.
She always wanted to have kids.
Knowing what her mama did to her only bring her more misery.
Please don't tell her.
[SOMBER MUSIC.]
Hi, Arlo, I'm Dr.
Reese.
I'm here to help you.
Please, don't touch me.
You'll be contaminated.
Uh, contaminated with what? Radium.
How were you exposed to radium? My professor, he works for the CIA.
He put it in my food.
I see.
I see.
Do you mind if I take a seat? J-Just don't touch me.
All right.
Be careful.
Arlo, I, uh I appreciate your concern for me, but I understand the risk that I'm taking.
Uh, I just want to help you, if you will let me.
My arms hurt.
I'm sorry.
[EXHALES.]
Uh, we can remove the restraints if you can stay calm.
Can you do that? Just don't touch me.
We will only touch the restraints.
- I said be careful! - [GASPS.]
Okay.
[TENSE MUSIC.]
Thank you.
Then make room in the schedule, okay? She's getting that scan tomorrow.
Connor.
You okay? Yeah, uh Robin's not having a good day.
Sorry to hear that.
Look, I need a consult, but I'll ask someone else.
No, I'm good.
Jessie, this is Dr.
Rhodes.
- He's a cardiothoracic surgeon.
- Hi.
What did you find? So the scans showed us this.
What you're looking at is a partially obstructing saddle pulmonary embolism.
It's a blood clot.
Now, because of the location of the clot, surgical intervention may become necessary.
But not yet.
The clot is small, so I'm hoping that if we up the dose of the anticoagulants, - switch to a heparin drip - Mm-hmm.
That may take care of it.
Okay.
We'll bring you back down to the ED and keep a close eye on you.
- Thanks.
- You got it.
Mr.
Janichek, I have your test results, and everything is normal.
You're mildly anemic, hemoglobin's at 9.
5, but that'll resolve if you just eat more red meat.
Nothing else? You look like a healthy man to me.
Well, what about my symptoms? The clumsiness, feeling lousy? I don't see a medical reason for any of that.
Have you been getting enough sleep? Oh, forget it.
I've been through this dog and pony show before.
I understand it's frustrating not to get a definitive diagnosis.
Just let me get out of here, that's all you want anyway.
Hold on, hold on, hold on.
I don't want to send you home feeling that way.
I can call for a neuro consult if you want.
Yes, anything.
Okay.
- [KNOCKING.]
- Come in.
Sharon? - Hey.
- Hey.
I've been thinking about how we can hire more nurses for the ED.
Maggie, I've already told you I know, I know.
No money.
But if the ED had more patients, hopefully with insurance, that would mean more money, right? - Yeah.
- So who brings us patients? The paramedics.
And if they liked coming to Med, if they were motivated to come to Med, that's what they'd do.
They'd bring us more patients.
And how do you propose to motivate the paramedics, Maggie? That's really pretty simple.
Hey.
What's going on? Sorry, um Did you know that up until 1973 in North Carolina, women could get sterilized without their knowledge or consent? My patient had her daughter's tubes tied when she was 14.
14.
All because a judge thought it would be good for her.
Man.
The daughter always wanted to have kids, and never knew why she couldn't.
- She never went to a doctor? - No, too poor.
Can you believe they could do that? Deprive a woman of her ability to have children, something so fundamental.
This woman who was sterilized How do you break news like that? I'm asking myself the same thing.
Mr.
Janichek's not exhibiting any neurologic deficits.
And what about his clumsiness? Awfully vague complaint, hardly warranted a consult.
It's just the patient's desperate.
He insists there's something wrong with him.
Since when do we listen to patients? Maybe some sort of heavy metal poisoning, - lead or mercury - [SIGHS.]
Dr.
Choi, if you want to was the time and money ordering those tests, you be my guest, but I'm done here.
I just got a call from Robin.
She was arrested for shoplifting? No, she wasn't arrested.
She got caught trying to leave the store, but I took care of it.
Well, apparently it's been going on for a while, though.
I realize that now, but I had no idea.
Have there been any signs? Like, at home, or Dr.
Charles, a woman has new clothes and that's suspicious? She's not a prisoner, I can't keep her locked up.
- She's got a life of her own.
- [PAGER BUZZING.]
I have a patient to see.
Connor, I-I appreciate that you're doing the best you can, but given the all-consuming nature of Dr.
Charles, Robin and I are fine.
I'm gonna see her through this.
- [ALARM BLARING.]
- Will? Heart rate's 140, BP's down to 90/70.
- Keith.
- I'm right here, honey.
02 sat's down to 85.
Heparin's not working.
She's continuing to embolize.
- She's in respiratory failure.
- Why? What's happening? The clot in her lung has progressed.
It's cutting off blood flow and straining her heart.
BP's down to 60/30.
Sat's at 75.
Okay, we need to intubate.
20 of etomidate, 100 of sux.
Maybe you want to wait outside? No, I'm not leaving her.
All right, tell the OR we're on the way up - and to prep the hybrid room.
- Yes, Doctor.
Your wife needs surgery now.
We need to remove the clot from her pulmonary artery, otherwise it could kill her.
Just save her, please! - I'm in.
- All right, let's go.
[TENSE MUSIC.]
We're in a good position.
Let's start the extraction.
Pressure's a little soft, 80/50.
I've been working on that.
Gas looks fine, but I've given a half liter of crystalloid to minimum effect.
Starting Neo now.
- You let in the anesthetic? - Already done.
- [MACHINE BEEPING.]
- She's still dropping.
The catheter must be obstructing the outflow tract.
Her heart's failing, we need to open her chest.
Bring in the bypass machine.
Marty, start a second pressor to buy me some time.
I put in the catheter, did I make a mistake? Nope, it's not your fault, it happens sometimes.
Scalpel and sternal saw.
Let's move.
Sternal saw.
- [MACHINE BEEPING.]
- [DRILL WHIRS.]
[SOBS QUIETLY.]
I'm just out of control.
It's okay.
It's okay, it's okay.
I don't know what to do.
And I feel like I will never get past this.
What, your illness? Of course you will.
You just you've had a setback.
That's all it is.
No, Dad.
It's more than that.
It's about what I have become to Connor.
And to everyone, it's like I'm someone to be pitied.
Or taken care of.
And I am drowning.
No, no, honey.
Come here, sweetie.
It's okay, I'm here.
- I'm gonna help you, okay? - No, Dad.
Don't you see that I don't want to be helped? I am tired of being a disease.
- I want to be a person again.
- Okay.
Okay, so, um, so how you want to do that? Mr.
Rowe.
So we tried to remove the clot from your wife's lung with a minimally invasive procedure.
Unfortunately, her heart couldn't tolerate it, So we did have to open her chest.
Now, the important thing is, we were able to remove the clot successfully.
Her pulmonary artery pressures have already come down, and I have every reason to believe that she's gonna make a quick and full recovery.
[EXHALES HEAVILY.]
And the baby? No indication that the pregnancy was affected.
[HEAVY EXHALES.]
Thank you, Dr.
Rhodes.
I don't know what else to say.
Keith.
I'm right here, honey.
You're gonna be fine.
It's all good.
Great.
Thanks, Connor.
Nice people.
Yeah, they've really been put through it today.
Kinda makes you realize how small your own problems are, huh? And that sometimes, things work out.
Who's got three? Where's Monique? Monique? I need you to turn over three and get it cleaned up.
Here are the files, here.
- Yes, ma'am.
- Oh! Ladies and gentleman, by unanimous decision, and still retaining his title as welterweight champion of the world, Noah "The Doctor" Sexton! [CHEERS AND APPLAUSE.]
Welcome back.
Are you sure you should be at work? You don't look very good.
Thanks.
You look good.
She's doing well.
They're weaning her sedation and should extubate soon.
Good.
Now here comes the hard part.
You mean you're gonna tell her? It's her body, April.
It's her life.
She has every right to know.
These two women only have each other.
We drop this on Nancy, she may never forgive her mother.
I understand, but we are legally bound to tell her.
We're gonna destroy this family over something they can't do anything about? That is for Nancy to decide.
She has been denied a choice her entire life.
We cannot change her past, but at least we can give her a say in her future.
75 inches? 60 wasn't big enough? You know how it is.
It's never big enough.
Accounting is gonna raise hell.
Well, we've got to spend money to make money, right? Eh, well, let's hope so.
- Mm-hm.
- This for the doctor's lounge? - This way.
- Nope.
I'm sorry, it's for the pizza room.
- What's a pizza room? - Motivational tool.
- Has he been agitated? - No.
Any need to put him back in restraints? No.
Good, let's transfer him up to the Psych Ward.
Do you want to examine him before we do? Uh, no, no.
I'll check on him upstairs.
- Okay.
- Okay.
Hey.
Sarah.
I got this patient in six ataxia, clumsiness, general malaise.
I can't find anything, and Abrams cleared him.
Do you want a psych consult? The guy's convinced he's sick, and wasn't happy when his labs came back normal.
Adamant we keep testing.
Maybe factitious disorder; likes being in the hospital, doted on, needs people to believe he's sick.
Want to take a run at him? Otherwise, I got no reason to keep him.
Sure.
Thanks.
Mr.
Janichek? I'm Dr.
Reese.
I'd like to ask you a few questions.
- What kind of doctor are you? - I am a psychiatrist.
A shrink? You think I'm crazy? No, we just can't find a, uh, physical reason for the symptoms you're describing.
Which means you think I'm crazy or I'm making it up.
No, we just want to explore all the possibilities.
I don't believe you people.
I'm a sick man.
I come here looking for help, and no one believes me.
How many doctors do I have to go to? Mr.
Janichek, please back away.
What do I have to do, huh? Why won't you help me? - Mr.
Janichek! - Ahh! Ah! [GROANING.]
- Sarah, what happened? - My eyes! - She sprayed me! Ah.
- Oh, my God.
Get me some water.
Ah, my eyes! [GRUNTS.]
Sarah, you should go.
Go! Mr.
Janichek, just try to breathe normally, okay? Dr.
Charles isn't answering.
Why can't you just admit Where are we on this, Dr.
Choi? We flushed Mr.
Janichek's eyes.
There's no sign of external injury.
His vitals are stable.
He's lucid.
And extremely pissed off.
A doctor attacking a patient, really? Go on, Dr.
Choi.
Mr.
Janichek hit the gurney when he fell, so we're ordering an abdominal C to make sure there's no internal injuries.
Did he hit his head? Are you ordering a head scan? There's no head injury.
No indication of concussion.
Dr.
Choi, this is CYA time.
It's bad enough he sues us for the pepper spray, If we miss something Order a pan scan.
- Yes, ma'am.
- Thank you, Dr.
Choi.
Dr.
Stohl, Peter.
Can you give me any explanation for your behavior? [SOMBER MUSIC.]
I'm sorry.
Dr.
Reese, you're suspended until further notice.
I need your pass.
Go home.
So this is what? A ploy to woo the paramedics? Pretty much, yeah.
It'll work.
Mmm, pepperoni and sausage.
- Mm-hmm.
- Nice.
Mmm! Sterilized? When? But how? When you were 14.
When they said they were taking out your appendix, they were actually doing a procedure called tubal ligation.
Your tubes were tied.
They did this without asking me? Did Mama know? You'll have to ask her that.
Oh, my God.
[SOMBER MUSIC.]
I'll give you two some time.
How could she ever forgive her mom? I lost my baby, but I can still have another.
If that were taken away from me, I don't know that I could forgive.
I don't know.
People can sometimes surprise you.
Robin? Robin? [TENSE MUSIC.]
Thanks, Dad.
It's gonna be very hard on Connor.
He cares about you a lot.
I know.
But I have to do this.
I have to get away.
Gonna miss you.
I'm gonna miss you too, Dad.
Make sure you remember to say hi to your mom for me, okay? Good-bye, honey.
Bye, Dad.
[SOMBER MUSIC.]
- [KNOCKING.]
- Come in.
Mr.
Janichek's scans were negative for concussion or any other acute injury.
All right, dodged that bullet.
But we did notice something else unrelated to his being sprayed.
An enlarged spleen? - Yes.
- This our fault? No.
I ordered an enzyme activity level test to follow up.
It showed Mr.
Janichek is suffering from a genetic disorder called Gaucher's disease.
An enzyme deficiency which presents with a vague constellation of symptoms; malaise, anemia, low platelets.
Please tell me there's a treatment.
Because we cannot assault a man and then inform him he has an incurable disease.
His spleen is dangerously enlarged, so it has to be removed, but the deficiency itself is easily treatable with regular enzyme replacement infusions.
All right, you'll inform the patient.
- Yes, ma'am.
- Thank you.
I should say that Mr.
Janichek will find this to be good news.
A genetic disease? He's been suffering a long time, unable to find a diagnosis.
In fact, I was ready to send him home.
We never would have ordered that pan scan if Dr.
Reese hadn't done what she did.
She might have saved his life.
Hey.
I got home, and I found this from Robin.
Did you know that she was planning on leaving? Connor, she just made the decision today.
She doesn't feel like she can get well here.
And nobody thought to involve me in this discussion? Well, she didn't want to tell you because she knew you'd try and change her mind.
You're damn right I would! Where is she? It's really up to Robin to reveal that, I think.
No, you have no right to keep this from me.
She asked me not to tell you.
Look, Connor, she promised me she'd call you as soon as she is feeling better.
Oh, man, I bet you love this, don't you? - What? - You didn't want me to be with her in the first place.
You didn't think I was good for her.
In fact, I bet this was all your idea.
Connor, whatever reservations I had about your relationship are long past, okay? I promise you, this was all Robin's decision.
Fine.
I don't care if you don't want to tell me where she is, because I'm gonna find her, and I'm gonna bring her back.
Hey, Dr.
Charles.
Thanks, Noah.
What have I done? [SOMBER MUSIC.]
[SOBBING.]