Chicago Med (2015) s03e14 Episode Script
Lock It Down
1 - Stand back.
- [X-RAY WHIRS, CLICKS.]
- What was his temp? - 102.
Yeah, he's junky and wheezy on both sides.
Zach's been coughing, uh, gasping.
It's terrible.
Bibasilar infiltrates.
- What does that mean? - Well, most likely, pneumonia.
April, let's start vancomycin, 40 milligrams per kilogram, and we'll get him admitted to the PICU.
- Oh, God.
- Don't worry.
We've got great pediatricians.
Yeah, you can go up with him.
Dr.
Charles, why didn't you tell me the truth about my father? And and what is that? That he is a psychopath.
I looked at his chart.
- You did, did ya? - Yes.
Before you looked at your father's chart, did you agree to cosign his loan? - No.
- You didn't? Could that maybe be because somewhere, you already knew what he was? You could have told me.
Sarah, I couldn't tell you.
You know I couldn't.
Yeah, because he locked you up with doctor-patient confidentiality.
He made it so you couldn't interfere, went to you with a bogus complaint.
God, the premeditation, the manipulation, it's he is disgusting.
Or he's just somebody who is incapable of empathetic feelings.
Sarah, look, I'm so sorry, I can't imagine how difficult this must be, but I would just hope that that there might be something positive in your knowing.
- Positive? - Well, just the clarity.
The clarity of the revelation that your father was who he was and he was born that way, and that his leaving had absolutely nothing to do with you.
That's my consolation? Dr.
Charles, after all of these years all these years, my father finally walks back into my life, and it turns out he never loved me.
He can never love me.
[SOFT, SOMBER MUSIC.]
[PHONE RINGS.]
ED? Yeah.
Dr.
Halstead, it's the PICU.
This is Dr.
Halstead.
Yeah, that's right.
Zach Womack, four months old.
Really? Hey, thank you.
That baby we just sent up to the PICU he never made it there.
[OMINOUS MUSIC.]
- We got off the elevator, a nurse met us, and she said that Zach needed some sort of test.
A scan.
She said he needed a scan.
She took him away and she never brought him back.
Did you follow up with Radiology? No scans were ordered.
And the nurse they've described doesn't match anyone on my staff.
Has someone kidnapped our baby? We can't be sure about that yet.
Oh, no.
No.
Call a Code Pink.
Tell Security to put the hospital on lockdown.
The ED, including Trauma, goes on bypass.
Until further notice, no one comes in or out.
I promise you we're going to find your baby.
[SOLEMN MUSIC.]
Earl, the hospital's going on lockdown.
- Get to your post.
- Yes, sir.
This is Cole.
Code Pink.
Code Pink.
Copy that, Code Pink.
Get that patient in now.
Hospital's going on lockdown.
[DOOR BEEPS.]
You're going to Treatment Two.
Jill Fisher, 25 years old.
Her VW Bug got T-boned by a pickup.
Seat belt sign and chest wall abrasions.
- Gonna need X-ray.
- Help me! - I'm her mother.
- We are, sweetheart.
- [SCREAMS.]
- BP, 100 over 70.
Heart rate, 96.
She's satting at 88%.
- Is she gonna be okay? - We haven't examined her yet, but we're gonna take good care of her.
All right, let's get her transferred and onto the monitors.
One, two, and three.
[TENSE MUSIC.]
- Doris, 50 of fentanyl.
- On it.
- Is she gonna be okay? - Ma'am, please come with me.
- I I love you, honey.
- Careful.
[COUGHING, WHEEZING.]
[X-RAY WHIRS, CLICKS.]
Multiple right posterior rib fractures and a pneumothorax.
She needs a chest tube.
20 of lidocaine.
- [DISTRESSED BREATHING.]
- Sats are 82 and falling.
All right, so hustle.
Ready for the tube.
[SCREAMS, SOBBING.]
She's at 90.
Sats are coming up.
Uh, we're gonna need a repeat chest X-ray, and let's order a C c-spine, abdomen and pelvis.
Code Pink.
Code Pink.
- Missing kid? - Yeah.
Probably the baby Dr.
Halstead sent to PICU.
[SIRENS BLARING.]
Sorry, yes, I understand.
Step back.
Step back, ma'am.
We'll let you know as soon as possible.
All right, people, the ED is officially on bypass.
Lock it down.
Nothing comes in or out.
Keep your eyes open for a woman, probably in scrubs, with an infant.
Doris, triage the waiting room.
Let's clear out any rooms we can.
And cycle in the patients with the most immediate needs.
Got it.
Monique, I want an inventory of our drugs, blood products, all critical supplies.
We need to be ready to make do with what we've got on hand.
Copy.
The cops should've stopped you.
We're on bypass.
We're not leaving.
This guy could die.
Earl, we're not gonna let this man bleed to death.
Let him in.
It's on me.
Come on, let's go.
Dr.
Choi? - Right here.
- You're going to Baghdad.
Let's go, let's go, let's go! Tim Vance, 30-year-old male.
Bar fight.
Took a long blade to his left chest.
Heart rate, 120.
BP, 92 over 58.
He stabbed me over a game of pool.
All right, save your breath.
Let's transfer.
On my count.
Ready, one, two, three.
[GROANS.]
All right, no breath sounds on the left.
- Hand me the ultrasound.
- Code Pink The Code Pink could be the baby I treated.
Man He's got a large pericardial effusion.
Blood's pooling around the heart.
BP's falling! Tamponade's compressing the heart.
He's bradying down.
Start bagging.
Page Dr.
Rhodes.
He's not in the hospital.
Big CT event off campus.
They're not gonna let him in 'cause of the lockdown.
- Get me another surgeon.
- Dr.
Latham's in surgery, and the Trauma service is up in the O.
R.
on another case.
Then splash prep his left chest and hand me a knife.
I gotta open him up now.
[LAID-BACK PIANO MUSIC PLAYING.]
- Dr.
Rhodes.
- Morning.
Morning.
You know my husband, Larry.
Larry, good to see you.
He's always dragging me to these things.
I'm an introvert.
I hate them.
I am completely with you there.
Yes, well, there are a lot of checkbooks here, and their owners would like to meet our rising star, so please go and schmooze.
[CHUCKLING.]
Ah.
Dad.
Were your ears burning? We were just talking about you.
- Oh, really? - Yeah.
I told Dr.
Bekker how your mother and I knew, even when you were just a little boy, how you'd be a surgeon.
Do you remember when that dog got ahold of your Teddy Ruxpin? He sewed that little thing together.
You had a Teddy Ruxpin? I wouldn't believe everything my father tells you.
Oh, Connor's always been uncomfortable with anything that smelled of praise.
That's funny, I never noticed that.
I'm gonna go get some breakfast.
Try the avocado toast.
We are having a trunk show next week.
Loro Piana.
I would love it if you'd come as my guest.
I'd love to.
Ava hospital's on lockdown.
Uh-huh.
Uh-huh.
Dr.
Reese, Goodwin needs us upstairs to consult on that Code Pink.
On the way.
[KEYBOARD CLACKING.]
Hey.
Hey.
Code Pink.
Code Pink.
All hospital personnel, please report to your designated stations.
It was a baby that I treated.
Oh, God.
Patient got in just under the wire.
Both of you, please.
- [KNOCKS ON WALL.]
- Good morning.
I'm Dr.
Halstead.
This is Dr.
Manning.
- Hi.
- Hello.
Mr.
Taylor, I see you're being treated for lymphoma.
That's right.
He's had multiple rounds of chemo.
So, what brings you in today? [SIGHS.]
Woke up this morning, could hardly breathe.
Our oncologist at East Mercy said to come here since it's closer.
Well, it's a good thing that you did.
Uh, let's get a chest X-ray, CBC, coags, and a d-dimer, and also, call over to East Mercy for his records, okay? Thank you.
Just try to relax, Mr.
Taylor.
We're gonna run these tests and sort this out.
- Okay.
- We'll be back shortly.
Thanks.
Let's hope he's just got a little bug.
Yeah.
Nat I can't stand this.
We gotta talk.
I know.
Come over tonight.
[DISQUIETING MUSIC.]
We reviewed all the security cam footage.
No one left the hospital with the infant.
So he and his abductor are still on the premises? We think so.
We would've gotten a ping from the abductor's ID bracelet if the abductor had tried to exit with him.
Dr.
Charles, from your experience, what kind of person do you think we're looking for? In a majority of these cases, the abductor is a woman of child-bearing age, who is either infertile or has experienced fetal loss.
Um, they're distraught and determined one way or the other to have a baby of their own.
Then maybe she's not likely to hurt him.
Not if wanting a child is what's driving her.
But what if that's not what's driving her? What if she's someone who enjoys causing other's pain, a person without a conscience? I mean, it's possible, and if someone like that gets backed into a corner, there's no telling how she might react.
This person knew where the PICU was.
Could very well have been a patient here.
I think we should compile a list of women who have experienced birth trauma here in the last six months.
All right, and I think it's a good idea for you to assign a psychiatrist to each search team, help defuse any situation where the baby may be at risk.
Let's get started.
[SOLEMN MUSIC.]
Daniel we've got to find this baby.
Your patient has a large mediastinal mass with what looks like positive nodes throughout his chest.
It's compressing his lungs and all his major vessels.
That's why he's so short of breath.
Okay, so, what's next? Surgery? Another round of chemo? A tumor this large? Even with chemotherapy, it wouldn't shrink to an operable size.
Then what? Um, from his medical records, it looks like he's had a solid treatment history.
Unfortunately, we've reached the limits of what we can do.
So that's it? We're giving up? No, there there has to be something else we can do.
- Uh - My advice? The sooner you tell Mr.
Taylor and his wife the prognosis, the better.
It'll give them a chance to find some closure.
[KNOCKING ON WALL.]
- Hi.
- Hi.
I got your CT results.
In addition to your rib injury, you also have a compression fracture of your L2.
That's a vertebrae in your lower back.
Now, it's not serious.
- Doesn't require surgery - [EXHALES.]
But because of the chest tube and the fractures, we wanna keep you in the hospital for a couple of days.
Once we get you upstairs, we'll start you on a pain-management regimen and fit you for a brace, okay? - [EXHALES.]
- Thank you, Dr.
Sexton.
How much time do I have? Hard to say.
A few weeks, maybe less.
Oh, my God.
I am so sorry.
[SOMBER MUSIC.]
We can have a hospice nurse come in and talk to you.
[BREATHING SHAKILY.]
A hospice? I know but hospice will provide your husband with the best quality of life in the time that remains.
I always said I wanted to die at home.
Looks like I'll get my wish.
It'll be all right, Bev.
Call the kids, have them come out.
How soon can we leave? Unfortunately, the hospital is under lockdown currently, due to a security issue.
No one is allowed in or out.
But we can start your discharge paperwork, and as soon as the lockdown is lifted, you'll be able to go home.
Thank you.
[SNIFFLING.]
It's okay.
[RIB SPREADER TICKING.]
Heart rate's down to 80.
All right I'm gonna release the tamponade.
Give me some suction.
[TENSE MUSIC.]
Numbers are still in the tank.
Because he was stabbed in the heart.
He needs blood.
I don't care where he is, get me Connor.
Just prepare an innocuous press release, and then let me know the second we find that baby.
[PHONE BEEPING, TRILLS.]
Dr.
Rhodes.
Connor, I need your help, buddy.
Yeah, okay.
Ava.
[ELEVATOR DINGING.]
Surgical suites one and three aren't in use.
You check those, we'll cover the rest.
Code Pink.
Code Pink.
All hospital personnel, please report to your designated stations.
Clear.
So, your description of our attacker is someone possibly without a conscience.
I'm just curious, what led you to that? There have been a number of cases of women murdering children: Diane Downs, Susan Smith.
I don't really see the comparison, though.
I mean, neither of those women abducted a baby from a hospital.
You're just speculating too.
We don't know who we're dealing with.
There's no guarantee she's some bereft mother who's lost a child.
For all we know, she could be a A psychopath? Dr.
Charles, this has nothing to do with my father.
And just because my opinion is different from yours - doesn't make it biased.
- All clear.
Will, I've been doing research on Gary's cancer, and I found a case where a combination of bleomycin, etoposide, and cisplatin rapidly shrank germ cell tumors, so I called my oncologist friend, who said it was anecdotal but possible.
Anecdotal? There haven't been any studies, and it's not approved by the FDA.
So, you're proposing we use these drugs off-label? Will, the man is terminally ill.
Yes and I don't wanna speed up that process, or cause him any unnecessary suffering.
Well, I think it's worth the risk.
I'm sorry, I don't.
What happened to you? You used to go to any length to try and save someone.
Yeah, and it never ended well.
I also have a larger responsibility now.
- Because you're an Attending? - That's right.
So I don't get a say? I'm sorry, in this case, no.
What you're suggesting is bad medicine.
[SOLEMN MUSIC.]
Okay.
All right, give me a view of the medial side of the left ventricle.
Yeah, good.
Uh, now, Ethan, you're gonna remove your finger, and once you get the stapler in place, you're gonna close laterally across the opening.
[TENSE MUSIC.]
I can't get the stapler in place.
It's a moving target.
- Keep trying.
- [RIB SPREADER TICKING.]
Got it.
Staple's in.
Good.
No.
No, wait, this isn't working.
Every time I get a staple in, it tears, - making the hole even bigger.
- All right, here.
- What are you doing? - I gotta get in there.
The hospital's on lockdown.
They won't let you in.
I have to try.
Help Ethan get him stabilized.
All right, Dr.
Choi, let's see if I can keep you from killing this patient.
You understand this is experimental? I can't guarantee it'll have any effect on Mr.
Taylor's cancer.
It might even be harmful.
[SOLEMN MUSIC.]
We understand.
And do I have your permission? Yes.
Please.
Go ahead.
Okay.
Sorry, folks, as soon as the lockdown is lifted, you'll all get to see a doctor.
So what? I'm just supposed to wait here bleeding? Got no choice, ma'am.
If you're worried, Lakeshore Memorial's only a mile away.
Sir, gotta stop you there.
Look, I am a doctor on staff here, all right? Sorry, can't let you in.
There is a man in the emergency room - with a stab wound in his heart.
- Sorry.
If I don't get in there, he's gonna die.
Not my call.
I wish I could let you in, but it's not up to me.
- Fine.
- I will let you in, - as soon as the lockdown is - Earl, I need to get in there.
Can you help me out? Come with me.
I found this tunnel when we were reviewing the hospital's emergency evacuation plan.
Apparently, it was used to ferry patients and supplies between buildings.
But once they put in the over-street walkways, it was decommissioned.
Here's your way in.
When you come to the fork, stay to the right.
At the end of the tunnel, you'll find a series of doors.
Take the first one on the right.
That'll put you inside the hospital.
All right, thanks, Earl.
Oh, and you You might need this.
Anyone asks, it wasn't me who told you.
You got it.
[SOLEMN MUSIC.]
- How's she doing? - Um, sleeping.
Good.
We're still waiting for a room to open.
I'm transferring another patient now, but Jill's next in line.
Hopefully won't be much longer.
Dr.
Manning, can I see you? Please excuse me.
- You gave him those drugs? - Mm-hmm.
I told you not to, and you did it anyway.
His wife wanted to give 'em a try.
You shouldn't have even suggested it.
She deserved a choice.
You went behind my back.
I can't believe you did that.
- You wouldn't listen to me.
- I did listen to you.
I just hope you haven't put a nail in this man's coffin.
- [PHONE RINGING.]
- Cole here.
We just got a ping off the baby's ID bracelet.
- She used an emergency exit STAIRWELL: East Wing.
Wait - "Zachary Womack.
" - They were here.
She cut off his bracelet.
She knew the signal would bring us here.
She's playing a game with us.
His IV.
He's not getting his antibiotics anymore.
Ah, come on.
I still can't get it in.
Get me a closer look at the hole.
Here's what I want you to do: Get two Allis clamps Here.
I want you to clamp on either side of the hole.
- Ready.
- Okay, April, you're going to take hold of the clamps - and lift the heart.
- 'Kay.
As soon as she does, Dr.
Choi, you'll remove your finger and see if you can get the staple in while it's elevated.
- Got it? - Copy.
Here we go.
One, two, three, lift.
It's in.
It's working.
Well done.
Ava Ava, he's still bleeding.
Give me suction.
He's hypotensive! Dr.
Choi, I need you to snake your hand around the heart.
What do you feel? He's got a hole in the backside.
The knife went through and through.
Looks like you have more work to do.
[TENSE MUSIC.]
- What's happening? - He's in v-fib.
No pulse.
Monique, start bagging.
Doris, get on his chest.
Charge to 150.
Clear.
[MONITOR BEEPING.]
Still in v-fib.
Monique, push 1 milligram of epi.
- Doris, get back on his chest.
- I got it.
Hold compressions.
Clear.
No pulse.
Monique, another milligram of epi and atropine.
[SIGHS.]
Natalie Natalie he's gone.
[SOBBING.]
My Gary [SOMBER MUSIC.]
Time of death: 14:30.
[SNIFFLES.]
I'm sorry.
I'm so sorry.
- Just don't even say it.
- Nat Off-label meds.
Did I kill him? - The man was dying.
- I shouldn't have done it.
[SOBS.]
[SOLEMN MUSIC.]
[GRUNTING.]
Uh, yeah, sorry.
Help! There's something wrong with my daughter.
[TENSE MUSIC.]
What's happening? Her vocal chords are spasming, blocking airflow.
Help her! This is Noah's patient.
Where is he? He had to take a patient upstairs.
Dr.
Choi, we need some help over here.
- I'm a little busy! - Ay-yai-yai-yah.
[VALVE HISSING.]
- We need to intubate.
- Maggie 20 of etomidate, 10 of sux.
Maggie we need a doctor.
Now.
Okay, sweetie.
It's too tight.
I can't get past the vocal chords.
She's down to 87.
We need a doctor.
Oh, God.
I'll crich her.
Are you crazy? You can't do that.
Doris, give me a scalpel.
You're not allowed.
It's gotta be a doctor.
Help her! Give me the scalpel, Doris.
[SOBBING.]
I'm in.
Bag her.
[SOLEMN MUSIC.]
Got it.
Sats are coming back up.
He's bradying down.
- [GRUNTS.]
I can't reach it.
- Keep trying.
Heart rate's dropping.
Where are we? It's about time.
Hole backside of his left ventricle.
Connor, here's what's happening: Whenever they elevate the heart to make the repair, it cuts off his venous return.
Okay, get me two bags of saline.
April, load up a 2-0 prolene on a long needle driver.
- How'd you get in here? - Long story.
On my count, I want you to roll him onto his side.
One, two, three.
Up and down.
All right, Ethan, when I tell you, I want you to remove your finger, and I'm gonna replace it with mine.
Ready and go.
Okay, I'm gonna try to access the hole from this angle.
Careful, he bradies down quickly.
All right, stitch is in.
That should temporize the bleed long enough to get him up to the O.
R.
Let's go.
[PHONE BEEPS.]
Dr.
Bekker, you are amazing.
Thank you.
Dr.
Halstead, Dr.
Ray tells me off-label meds were given to that patient.
Bleomycin, etoposide, and cisplatin.
- For lymphoma? - I know.
But the patient died within hours after the drugs were administered.
Adverse drug reaction.
We could get sued for this.
Where is Dr.
Manning? Ms.
Goodwin, the chart, it's not correct.
Dr.
Manning didn't prescribe the drugs.
- It was me.
- You? I found some anecdotal evidence that supported the efficacy of that cocktail.
Thought we had nothing to lose.
Dr.
Halstead, I had hoped that you had outgrown your recklessness.
Clearly, you haven't.
[SOLEMN MUSIC.]
I'm referring this to the disciplinary committee.
Hey, uh, my patient in Treatment Two, - who criched her? - I did.
- What? - You criched a patient? She was in laryngospasm, you weren't available, and all my other doctors were tied up.
A nurse cannot crich.
You should've waited for a doctor.
- She would've died.
- And you could've killed her.
- Noah - What? Maggie's been nursing since before you started shaving.
So what? It's against the rules.
She's seen a crich done 1,000 times.
- Okay.
- Back off.
Please, we need a doctor.
She's waking up.
Jill? Honey? Can you hear me? [TENSE MUSIC.]
What's wrong with her eye? She's got a left-sided facial droop.
I think she might've had a stroke.
All right, we need to get her up for a head CT now.
- Let's go.
- Get ready to bag her.
- On it.
- One, two, three.
[SOBBING.]
Hey you told Dr.
Ray that you prescribed Gary's meds? - It's no big deal.
- Yes, it is.
I own my mistakes, not you.
I feel terrible that Gary might've died because of those drugs, but I am the one responsible, okay? You do not need to protect me.
- I know that.
- Do you? Do you know that? Natalie, you are already miserable.
I didn't want you to have to deal with all this.
Besides, I'm the Attending.
Ultimately, it's my responsibility.
Oh, my come off it.
Would you have done the same thing for Ethan or for Noah? No, because they're men.
They can take care of themselves.
But not me.
I'm just a helpless little girl.
I have some news.
Security compiled a list of former patients who fit the profile of our abductor, then cross-referenced them against today's visitors log.
Turns out, we got a hit.
Joanna Harris.
Would you show them the tape, please? Couple of months ago, Joanna Harris was in the ED, pregnant.
She lost the baby.
22 weeks.
Very sad case.
So she impersonated a healthcare worker to get to the PICU.
It's entirely possible that the trauma, coupled with the overwhelming fear of never being able to carry a baby to term, uh, pushed her over the edge.
But she seems to have thought things out pretty thoroughly.
I'd say her actions were calculated, even predatory.
Well, given what we know about the patient, can you think of where she might've gone? Some place she could hide.
A supply closet or call room.
Security teams covered all those.
According to the logs, Ms.
Harris took our maternity tour last May.
Meaning? Well, isn't that when we were transitioning between the old maternity wing and the new one? Yes.
She might know the old maternity wing.
All right, let's go.
- Clear.
- Clear.
[BABY CRYING.]
[BABY CRYING, COUGHING.]
Hi, Joanna.
I'm Dr.
Charles.
Stay away.
You're not taking him.
Yeah, but the problem is the baby is is very sick.
You can't have him.
He's mine.
And I'm sure you want the best for him, right? He needs medicine, antibiotics, or else he won't get better.
The fact is, if the baby doesn't get some treatment soon, uh, there's a chance he could die.
No.
None of us want that.
That's why we're here.
We need to get him back to his room, so he can get treated.
[DISQUIETING MUSIC.]
Will you let us help him? [SOBBING.]
I'm afraid.
There's nothing to be afraid of.
We understand why you did this.
No one is gonna punish you.
What about them? They just wanna make sure that the baby stays safe.
Nothing bad is gonna happen to you, I promise.
Uh, well, the important thing here is that we need to get some treatment for the baby as soon as possible.
Give me the baby, Joanna.
I can't.
I Oh, you can.
You can, trust me.
I'll protect you.
What? No.
Why? I gave you the baby.
[SOLEMN MUSIC.]
You you lied to me.
You lied to me.
Why did she lie to me? Yes.
Thank you.
Hey, everybody, they found the baby.
[CHEERS AND APPLAUSE.]
Let's make sure you check in with Admitting.
You will be seen in order of need.
For those less seriously ill or injured, try to be patient.
We will get to you.
Go ahead, sir.
This way, yeah.
[DEVICE BEEPS.]
[SOFT, SOLEMN MUSIC.]
Patient suffered an ischemic stroke.
Between the unsuccessful attempt at intubation and the time it took to crich her, the patient's airway was down for over a minute, starving the brain of oxygen.
Good thing you have lawyers on retainer.
Thank you, Dr.
Abrams.
I didn't have any choice.
All of our ED doctors were tied up because of the lockdown, the patient was in laryngospasm.
I couldn't get the tubes past her chord.
At that point, I had to crich her.
Any doctor would have the same problem.
Yeah, except, Maggie they're doctors.
They're allowed to perform these procedures.
Sharon, what would you have done? Exactly what you did, but, unfortunately, that's not going to help you.
Sharon, am I gonna lose my job over this? I hope not, but until I can figure something out I've got to suspend you, Maggie.
- Sharon - I'm sorry.
The patient would've died.
I have no regrets.
I know what you're gonna say.
I should not have lied to Joanna.
It was wrong.
She's just a desperate, troubled woman, not a psychopath.
I agree.
She's not, but am I? Am I a psychopath? What? Look how easily I lied to her, how I coldly manipulated her.
In this context, that's hardly an indication of psychopathy.
Well, how about my life? Would you say that I'm able to form lasting relationships? I mean, I have no real friends, no significant romantic attachments.
I think I have emotions, but maybe they aren't real.
Maybe they're just imitative.
You just told me that you felt guilty about lying to a patient, which means that you have a conscience, which means that you're not a psychopath.
Whatever you wanna call it, I am my father's daughter.
Well well, you're also my resident, and I find you to be a A deeply compassionate person, who's capable of great empathy.
I just never would've roped you into this whole psychiatry thing if I wasn't entirely convinced of that.
See you tomorrow? [EXHALES.]
Thanks, man.
He should wake up pretty soon.
- Yeah.
- Nice work today.
- You too.
- Yeah.
Dr.
Bekker have you come to see me or our patient? How's he doing? I think he's gonna make it.
- It's a long day, huh? - [SIGHS, CHUCKLES.]
Yeah.
I could go for a meal.
I'd, uh, check the cafeteria.
It's Tuesday.
It's meatloaf.
My favorite.
[CHUCKLES.]
Good night.
Dr.
Halstead.
I owe you an apology.
Gary Taylor's autopsy revealed that he died from cardiac failure, not an adverse drug reaction or metastatic cancer.
In fact, in the hours from the time he was given the drugs until he died, the mass actually shrank one centimeter.
That off-label cocktail of yours, it worked.
I let Ms.
Goodwin know.
Congratulations.
Uh um, look, uh, it wasn't my idea.
It was Dr.
Manning's.
Okay, whatever.
We've been thinking about launching - a Phase One clinical trial to - Excuse me.
- Whoa, Nat, hold up - [CAR CHIRPS.]
You're gonna get the credit you deserve.
I'll make sure of that.
You think that's what's bothering me? Look, I know I shouldn't have taken the blame, and I certainly don't deserve the credit.
Will, stop.
Just stop.
My whole career, from med school on, I keep running into the same problem: men who either dismiss me or patronize me, who cannot see me as an equal.
- Well, I see you as an equal.
- No, you don't.
And it's not just today.
It keeps happening.
- Natalie - Look, I know you love me, but in a way, that's part of the problem.
You can only see me as the woman you love, the woman you need to protect and take care of, and in a way, that limits me.
It puts me in a kind of jail.
Look, I don't want that, Natalie.
Let's talk about this.
We'll figure it out.
Maybe we can, but right now, I need a break, okay? I love you but I need a break from us.
No, come on.
[SOLEMN MUSIC.]
[ENGINE IGNITES, REVS.]
- [X-RAY WHIRS, CLICKS.]
- What was his temp? - 102.
Yeah, he's junky and wheezy on both sides.
Zach's been coughing, uh, gasping.
It's terrible.
Bibasilar infiltrates.
- What does that mean? - Well, most likely, pneumonia.
April, let's start vancomycin, 40 milligrams per kilogram, and we'll get him admitted to the PICU.
- Oh, God.
- Don't worry.
We've got great pediatricians.
Yeah, you can go up with him.
Dr.
Charles, why didn't you tell me the truth about my father? And and what is that? That he is a psychopath.
I looked at his chart.
- You did, did ya? - Yes.
Before you looked at your father's chart, did you agree to cosign his loan? - No.
- You didn't? Could that maybe be because somewhere, you already knew what he was? You could have told me.
Sarah, I couldn't tell you.
You know I couldn't.
Yeah, because he locked you up with doctor-patient confidentiality.
He made it so you couldn't interfere, went to you with a bogus complaint.
God, the premeditation, the manipulation, it's he is disgusting.
Or he's just somebody who is incapable of empathetic feelings.
Sarah, look, I'm so sorry, I can't imagine how difficult this must be, but I would just hope that that there might be something positive in your knowing.
- Positive? - Well, just the clarity.
The clarity of the revelation that your father was who he was and he was born that way, and that his leaving had absolutely nothing to do with you.
That's my consolation? Dr.
Charles, after all of these years all these years, my father finally walks back into my life, and it turns out he never loved me.
He can never love me.
[SOFT, SOMBER MUSIC.]
[PHONE RINGS.]
ED? Yeah.
Dr.
Halstead, it's the PICU.
This is Dr.
Halstead.
Yeah, that's right.
Zach Womack, four months old.
Really? Hey, thank you.
That baby we just sent up to the PICU he never made it there.
[OMINOUS MUSIC.]
- We got off the elevator, a nurse met us, and she said that Zach needed some sort of test.
A scan.
She said he needed a scan.
She took him away and she never brought him back.
Did you follow up with Radiology? No scans were ordered.
And the nurse they've described doesn't match anyone on my staff.
Has someone kidnapped our baby? We can't be sure about that yet.
Oh, no.
No.
Call a Code Pink.
Tell Security to put the hospital on lockdown.
The ED, including Trauma, goes on bypass.
Until further notice, no one comes in or out.
I promise you we're going to find your baby.
[SOLEMN MUSIC.]
Earl, the hospital's going on lockdown.
- Get to your post.
- Yes, sir.
This is Cole.
Code Pink.
Code Pink.
Copy that, Code Pink.
Get that patient in now.
Hospital's going on lockdown.
[DOOR BEEPS.]
You're going to Treatment Two.
Jill Fisher, 25 years old.
Her VW Bug got T-boned by a pickup.
Seat belt sign and chest wall abrasions.
- Gonna need X-ray.
- Help me! - I'm her mother.
- We are, sweetheart.
- [SCREAMS.]
- BP, 100 over 70.
Heart rate, 96.
She's satting at 88%.
- Is she gonna be okay? - We haven't examined her yet, but we're gonna take good care of her.
All right, let's get her transferred and onto the monitors.
One, two, and three.
[TENSE MUSIC.]
- Doris, 50 of fentanyl.
- On it.
- Is she gonna be okay? - Ma'am, please come with me.
- I I love you, honey.
- Careful.
[COUGHING, WHEEZING.]
[X-RAY WHIRS, CLICKS.]
Multiple right posterior rib fractures and a pneumothorax.
She needs a chest tube.
20 of lidocaine.
- [DISTRESSED BREATHING.]
- Sats are 82 and falling.
All right, so hustle.
Ready for the tube.
[SCREAMS, SOBBING.]
She's at 90.
Sats are coming up.
Uh, we're gonna need a repeat chest X-ray, and let's order a C c-spine, abdomen and pelvis.
Code Pink.
Code Pink.
- Missing kid? - Yeah.
Probably the baby Dr.
Halstead sent to PICU.
[SIRENS BLARING.]
Sorry, yes, I understand.
Step back.
Step back, ma'am.
We'll let you know as soon as possible.
All right, people, the ED is officially on bypass.
Lock it down.
Nothing comes in or out.
Keep your eyes open for a woman, probably in scrubs, with an infant.
Doris, triage the waiting room.
Let's clear out any rooms we can.
And cycle in the patients with the most immediate needs.
Got it.
Monique, I want an inventory of our drugs, blood products, all critical supplies.
We need to be ready to make do with what we've got on hand.
Copy.
The cops should've stopped you.
We're on bypass.
We're not leaving.
This guy could die.
Earl, we're not gonna let this man bleed to death.
Let him in.
It's on me.
Come on, let's go.
Dr.
Choi? - Right here.
- You're going to Baghdad.
Let's go, let's go, let's go! Tim Vance, 30-year-old male.
Bar fight.
Took a long blade to his left chest.
Heart rate, 120.
BP, 92 over 58.
He stabbed me over a game of pool.
All right, save your breath.
Let's transfer.
On my count.
Ready, one, two, three.
[GROANS.]
All right, no breath sounds on the left.
- Hand me the ultrasound.
- Code Pink The Code Pink could be the baby I treated.
Man He's got a large pericardial effusion.
Blood's pooling around the heart.
BP's falling! Tamponade's compressing the heart.
He's bradying down.
Start bagging.
Page Dr.
Rhodes.
He's not in the hospital.
Big CT event off campus.
They're not gonna let him in 'cause of the lockdown.
- Get me another surgeon.
- Dr.
Latham's in surgery, and the Trauma service is up in the O.
R.
on another case.
Then splash prep his left chest and hand me a knife.
I gotta open him up now.
[LAID-BACK PIANO MUSIC PLAYING.]
- Dr.
Rhodes.
- Morning.
Morning.
You know my husband, Larry.
Larry, good to see you.
He's always dragging me to these things.
I'm an introvert.
I hate them.
I am completely with you there.
Yes, well, there are a lot of checkbooks here, and their owners would like to meet our rising star, so please go and schmooze.
[CHUCKLING.]
Ah.
Dad.
Were your ears burning? We were just talking about you.
- Oh, really? - Yeah.
I told Dr.
Bekker how your mother and I knew, even when you were just a little boy, how you'd be a surgeon.
Do you remember when that dog got ahold of your Teddy Ruxpin? He sewed that little thing together.
You had a Teddy Ruxpin? I wouldn't believe everything my father tells you.
Oh, Connor's always been uncomfortable with anything that smelled of praise.
That's funny, I never noticed that.
I'm gonna go get some breakfast.
Try the avocado toast.
We are having a trunk show next week.
Loro Piana.
I would love it if you'd come as my guest.
I'd love to.
Ava hospital's on lockdown.
Uh-huh.
Uh-huh.
Dr.
Reese, Goodwin needs us upstairs to consult on that Code Pink.
On the way.
[KEYBOARD CLACKING.]
Hey.
Hey.
Code Pink.
Code Pink.
All hospital personnel, please report to your designated stations.
It was a baby that I treated.
Oh, God.
Patient got in just under the wire.
Both of you, please.
- [KNOCKS ON WALL.]
- Good morning.
I'm Dr.
Halstead.
This is Dr.
Manning.
- Hi.
- Hello.
Mr.
Taylor, I see you're being treated for lymphoma.
That's right.
He's had multiple rounds of chemo.
So, what brings you in today? [SIGHS.]
Woke up this morning, could hardly breathe.
Our oncologist at East Mercy said to come here since it's closer.
Well, it's a good thing that you did.
Uh, let's get a chest X-ray, CBC, coags, and a d-dimer, and also, call over to East Mercy for his records, okay? Thank you.
Just try to relax, Mr.
Taylor.
We're gonna run these tests and sort this out.
- Okay.
- We'll be back shortly.
Thanks.
Let's hope he's just got a little bug.
Yeah.
Nat I can't stand this.
We gotta talk.
I know.
Come over tonight.
[DISQUIETING MUSIC.]
We reviewed all the security cam footage.
No one left the hospital with the infant.
So he and his abductor are still on the premises? We think so.
We would've gotten a ping from the abductor's ID bracelet if the abductor had tried to exit with him.
Dr.
Charles, from your experience, what kind of person do you think we're looking for? In a majority of these cases, the abductor is a woman of child-bearing age, who is either infertile or has experienced fetal loss.
Um, they're distraught and determined one way or the other to have a baby of their own.
Then maybe she's not likely to hurt him.
Not if wanting a child is what's driving her.
But what if that's not what's driving her? What if she's someone who enjoys causing other's pain, a person without a conscience? I mean, it's possible, and if someone like that gets backed into a corner, there's no telling how she might react.
This person knew where the PICU was.
Could very well have been a patient here.
I think we should compile a list of women who have experienced birth trauma here in the last six months.
All right, and I think it's a good idea for you to assign a psychiatrist to each search team, help defuse any situation where the baby may be at risk.
Let's get started.
[SOLEMN MUSIC.]
Daniel we've got to find this baby.
Your patient has a large mediastinal mass with what looks like positive nodes throughout his chest.
It's compressing his lungs and all his major vessels.
That's why he's so short of breath.
Okay, so, what's next? Surgery? Another round of chemo? A tumor this large? Even with chemotherapy, it wouldn't shrink to an operable size.
Then what? Um, from his medical records, it looks like he's had a solid treatment history.
Unfortunately, we've reached the limits of what we can do.
So that's it? We're giving up? No, there there has to be something else we can do.
- Uh - My advice? The sooner you tell Mr.
Taylor and his wife the prognosis, the better.
It'll give them a chance to find some closure.
[KNOCKING ON WALL.]
- Hi.
- Hi.
I got your CT results.
In addition to your rib injury, you also have a compression fracture of your L2.
That's a vertebrae in your lower back.
Now, it's not serious.
- Doesn't require surgery - [EXHALES.]
But because of the chest tube and the fractures, we wanna keep you in the hospital for a couple of days.
Once we get you upstairs, we'll start you on a pain-management regimen and fit you for a brace, okay? - [EXHALES.]
- Thank you, Dr.
Sexton.
How much time do I have? Hard to say.
A few weeks, maybe less.
Oh, my God.
I am so sorry.
[SOMBER MUSIC.]
We can have a hospice nurse come in and talk to you.
[BREATHING SHAKILY.]
A hospice? I know but hospice will provide your husband with the best quality of life in the time that remains.
I always said I wanted to die at home.
Looks like I'll get my wish.
It'll be all right, Bev.
Call the kids, have them come out.
How soon can we leave? Unfortunately, the hospital is under lockdown currently, due to a security issue.
No one is allowed in or out.
But we can start your discharge paperwork, and as soon as the lockdown is lifted, you'll be able to go home.
Thank you.
[SNIFFLING.]
It's okay.
[RIB SPREADER TICKING.]
Heart rate's down to 80.
All right I'm gonna release the tamponade.
Give me some suction.
[TENSE MUSIC.]
Numbers are still in the tank.
Because he was stabbed in the heart.
He needs blood.
I don't care where he is, get me Connor.
Just prepare an innocuous press release, and then let me know the second we find that baby.
[PHONE BEEPING, TRILLS.]
Dr.
Rhodes.
Connor, I need your help, buddy.
Yeah, okay.
Ava.
[ELEVATOR DINGING.]
Surgical suites one and three aren't in use.
You check those, we'll cover the rest.
Code Pink.
Code Pink.
All hospital personnel, please report to your designated stations.
Clear.
So, your description of our attacker is someone possibly without a conscience.
I'm just curious, what led you to that? There have been a number of cases of women murdering children: Diane Downs, Susan Smith.
I don't really see the comparison, though.
I mean, neither of those women abducted a baby from a hospital.
You're just speculating too.
We don't know who we're dealing with.
There's no guarantee she's some bereft mother who's lost a child.
For all we know, she could be a A psychopath? Dr.
Charles, this has nothing to do with my father.
And just because my opinion is different from yours - doesn't make it biased.
- All clear.
Will, I've been doing research on Gary's cancer, and I found a case where a combination of bleomycin, etoposide, and cisplatin rapidly shrank germ cell tumors, so I called my oncologist friend, who said it was anecdotal but possible.
Anecdotal? There haven't been any studies, and it's not approved by the FDA.
So, you're proposing we use these drugs off-label? Will, the man is terminally ill.
Yes and I don't wanna speed up that process, or cause him any unnecessary suffering.
Well, I think it's worth the risk.
I'm sorry, I don't.
What happened to you? You used to go to any length to try and save someone.
Yeah, and it never ended well.
I also have a larger responsibility now.
- Because you're an Attending? - That's right.
So I don't get a say? I'm sorry, in this case, no.
What you're suggesting is bad medicine.
[SOLEMN MUSIC.]
Okay.
All right, give me a view of the medial side of the left ventricle.
Yeah, good.
Uh, now, Ethan, you're gonna remove your finger, and once you get the stapler in place, you're gonna close laterally across the opening.
[TENSE MUSIC.]
I can't get the stapler in place.
It's a moving target.
- Keep trying.
- [RIB SPREADER TICKING.]
Got it.
Staple's in.
Good.
No.
No, wait, this isn't working.
Every time I get a staple in, it tears, - making the hole even bigger.
- All right, here.
- What are you doing? - I gotta get in there.
The hospital's on lockdown.
They won't let you in.
I have to try.
Help Ethan get him stabilized.
All right, Dr.
Choi, let's see if I can keep you from killing this patient.
You understand this is experimental? I can't guarantee it'll have any effect on Mr.
Taylor's cancer.
It might even be harmful.
[SOLEMN MUSIC.]
We understand.
And do I have your permission? Yes.
Please.
Go ahead.
Okay.
Sorry, folks, as soon as the lockdown is lifted, you'll all get to see a doctor.
So what? I'm just supposed to wait here bleeding? Got no choice, ma'am.
If you're worried, Lakeshore Memorial's only a mile away.
Sir, gotta stop you there.
Look, I am a doctor on staff here, all right? Sorry, can't let you in.
There is a man in the emergency room - with a stab wound in his heart.
- Sorry.
If I don't get in there, he's gonna die.
Not my call.
I wish I could let you in, but it's not up to me.
- Fine.
- I will let you in, - as soon as the lockdown is - Earl, I need to get in there.
Can you help me out? Come with me.
I found this tunnel when we were reviewing the hospital's emergency evacuation plan.
Apparently, it was used to ferry patients and supplies between buildings.
But once they put in the over-street walkways, it was decommissioned.
Here's your way in.
When you come to the fork, stay to the right.
At the end of the tunnel, you'll find a series of doors.
Take the first one on the right.
That'll put you inside the hospital.
All right, thanks, Earl.
Oh, and you You might need this.
Anyone asks, it wasn't me who told you.
You got it.
[SOLEMN MUSIC.]
- How's she doing? - Um, sleeping.
Good.
We're still waiting for a room to open.
I'm transferring another patient now, but Jill's next in line.
Hopefully won't be much longer.
Dr.
Manning, can I see you? Please excuse me.
- You gave him those drugs? - Mm-hmm.
I told you not to, and you did it anyway.
His wife wanted to give 'em a try.
You shouldn't have even suggested it.
She deserved a choice.
You went behind my back.
I can't believe you did that.
- You wouldn't listen to me.
- I did listen to you.
I just hope you haven't put a nail in this man's coffin.
- [PHONE RINGING.]
- Cole here.
We just got a ping off the baby's ID bracelet.
- She used an emergency exit STAIRWELL: East Wing.
Wait - "Zachary Womack.
" - They were here.
She cut off his bracelet.
She knew the signal would bring us here.
She's playing a game with us.
His IV.
He's not getting his antibiotics anymore.
Ah, come on.
I still can't get it in.
Get me a closer look at the hole.
Here's what I want you to do: Get two Allis clamps Here.
I want you to clamp on either side of the hole.
- Ready.
- Okay, April, you're going to take hold of the clamps - and lift the heart.
- 'Kay.
As soon as she does, Dr.
Choi, you'll remove your finger and see if you can get the staple in while it's elevated.
- Got it? - Copy.
Here we go.
One, two, three, lift.
It's in.
It's working.
Well done.
Ava Ava, he's still bleeding.
Give me suction.
He's hypotensive! Dr.
Choi, I need you to snake your hand around the heart.
What do you feel? He's got a hole in the backside.
The knife went through and through.
Looks like you have more work to do.
[TENSE MUSIC.]
- What's happening? - He's in v-fib.
No pulse.
Monique, start bagging.
Doris, get on his chest.
Charge to 150.
Clear.
[MONITOR BEEPING.]
Still in v-fib.
Monique, push 1 milligram of epi.
- Doris, get back on his chest.
- I got it.
Hold compressions.
Clear.
No pulse.
Monique, another milligram of epi and atropine.
[SIGHS.]
Natalie Natalie he's gone.
[SOBBING.]
My Gary [SOMBER MUSIC.]
Time of death: 14:30.
[SNIFFLES.]
I'm sorry.
I'm so sorry.
- Just don't even say it.
- Nat Off-label meds.
Did I kill him? - The man was dying.
- I shouldn't have done it.
[SOBS.]
[SOLEMN MUSIC.]
[GRUNTING.]
Uh, yeah, sorry.
Help! There's something wrong with my daughter.
[TENSE MUSIC.]
What's happening? Her vocal chords are spasming, blocking airflow.
Help her! This is Noah's patient.
Where is he? He had to take a patient upstairs.
Dr.
Choi, we need some help over here.
- I'm a little busy! - Ay-yai-yai-yah.
[VALVE HISSING.]
- We need to intubate.
- Maggie 20 of etomidate, 10 of sux.
Maggie we need a doctor.
Now.
Okay, sweetie.
It's too tight.
I can't get past the vocal chords.
She's down to 87.
We need a doctor.
Oh, God.
I'll crich her.
Are you crazy? You can't do that.
Doris, give me a scalpel.
You're not allowed.
It's gotta be a doctor.
Help her! Give me the scalpel, Doris.
[SOBBING.]
I'm in.
Bag her.
[SOLEMN MUSIC.]
Got it.
Sats are coming back up.
He's bradying down.
- [GRUNTS.]
I can't reach it.
- Keep trying.
Heart rate's dropping.
Where are we? It's about time.
Hole backside of his left ventricle.
Connor, here's what's happening: Whenever they elevate the heart to make the repair, it cuts off his venous return.
Okay, get me two bags of saline.
April, load up a 2-0 prolene on a long needle driver.
- How'd you get in here? - Long story.
On my count, I want you to roll him onto his side.
One, two, three.
Up and down.
All right, Ethan, when I tell you, I want you to remove your finger, and I'm gonna replace it with mine.
Ready and go.
Okay, I'm gonna try to access the hole from this angle.
Careful, he bradies down quickly.
All right, stitch is in.
That should temporize the bleed long enough to get him up to the O.
R.
Let's go.
[PHONE BEEPS.]
Dr.
Bekker, you are amazing.
Thank you.
Dr.
Halstead, Dr.
Ray tells me off-label meds were given to that patient.
Bleomycin, etoposide, and cisplatin.
- For lymphoma? - I know.
But the patient died within hours after the drugs were administered.
Adverse drug reaction.
We could get sued for this.
Where is Dr.
Manning? Ms.
Goodwin, the chart, it's not correct.
Dr.
Manning didn't prescribe the drugs.
- It was me.
- You? I found some anecdotal evidence that supported the efficacy of that cocktail.
Thought we had nothing to lose.
Dr.
Halstead, I had hoped that you had outgrown your recklessness.
Clearly, you haven't.
[SOLEMN MUSIC.]
I'm referring this to the disciplinary committee.
Hey, uh, my patient in Treatment Two, - who criched her? - I did.
- What? - You criched a patient? She was in laryngospasm, you weren't available, and all my other doctors were tied up.
A nurse cannot crich.
You should've waited for a doctor.
- She would've died.
- And you could've killed her.
- Noah - What? Maggie's been nursing since before you started shaving.
So what? It's against the rules.
She's seen a crich done 1,000 times.
- Okay.
- Back off.
Please, we need a doctor.
She's waking up.
Jill? Honey? Can you hear me? [TENSE MUSIC.]
What's wrong with her eye? She's got a left-sided facial droop.
I think she might've had a stroke.
All right, we need to get her up for a head CT now.
- Let's go.
- Get ready to bag her.
- On it.
- One, two, three.
[SOBBING.]
Hey you told Dr.
Ray that you prescribed Gary's meds? - It's no big deal.
- Yes, it is.
I own my mistakes, not you.
I feel terrible that Gary might've died because of those drugs, but I am the one responsible, okay? You do not need to protect me.
- I know that.
- Do you? Do you know that? Natalie, you are already miserable.
I didn't want you to have to deal with all this.
Besides, I'm the Attending.
Ultimately, it's my responsibility.
Oh, my come off it.
Would you have done the same thing for Ethan or for Noah? No, because they're men.
They can take care of themselves.
But not me.
I'm just a helpless little girl.
I have some news.
Security compiled a list of former patients who fit the profile of our abductor, then cross-referenced them against today's visitors log.
Turns out, we got a hit.
Joanna Harris.
Would you show them the tape, please? Couple of months ago, Joanna Harris was in the ED, pregnant.
She lost the baby.
22 weeks.
Very sad case.
So she impersonated a healthcare worker to get to the PICU.
It's entirely possible that the trauma, coupled with the overwhelming fear of never being able to carry a baby to term, uh, pushed her over the edge.
But she seems to have thought things out pretty thoroughly.
I'd say her actions were calculated, even predatory.
Well, given what we know about the patient, can you think of where she might've gone? Some place she could hide.
A supply closet or call room.
Security teams covered all those.
According to the logs, Ms.
Harris took our maternity tour last May.
Meaning? Well, isn't that when we were transitioning between the old maternity wing and the new one? Yes.
She might know the old maternity wing.
All right, let's go.
- Clear.
- Clear.
[BABY CRYING.]
[BABY CRYING, COUGHING.]
Hi, Joanna.
I'm Dr.
Charles.
Stay away.
You're not taking him.
Yeah, but the problem is the baby is is very sick.
You can't have him.
He's mine.
And I'm sure you want the best for him, right? He needs medicine, antibiotics, or else he won't get better.
The fact is, if the baby doesn't get some treatment soon, uh, there's a chance he could die.
No.
None of us want that.
That's why we're here.
We need to get him back to his room, so he can get treated.
[DISQUIETING MUSIC.]
Will you let us help him? [SOBBING.]
I'm afraid.
There's nothing to be afraid of.
We understand why you did this.
No one is gonna punish you.
What about them? They just wanna make sure that the baby stays safe.
Nothing bad is gonna happen to you, I promise.
Uh, well, the important thing here is that we need to get some treatment for the baby as soon as possible.
Give me the baby, Joanna.
I can't.
I Oh, you can.
You can, trust me.
I'll protect you.
What? No.
Why? I gave you the baby.
[SOLEMN MUSIC.]
You you lied to me.
You lied to me.
Why did she lie to me? Yes.
Thank you.
Hey, everybody, they found the baby.
[CHEERS AND APPLAUSE.]
Let's make sure you check in with Admitting.
You will be seen in order of need.
For those less seriously ill or injured, try to be patient.
We will get to you.
Go ahead, sir.
This way, yeah.
[DEVICE BEEPS.]
[SOFT, SOLEMN MUSIC.]
Patient suffered an ischemic stroke.
Between the unsuccessful attempt at intubation and the time it took to crich her, the patient's airway was down for over a minute, starving the brain of oxygen.
Good thing you have lawyers on retainer.
Thank you, Dr.
Abrams.
I didn't have any choice.
All of our ED doctors were tied up because of the lockdown, the patient was in laryngospasm.
I couldn't get the tubes past her chord.
At that point, I had to crich her.
Any doctor would have the same problem.
Yeah, except, Maggie they're doctors.
They're allowed to perform these procedures.
Sharon, what would you have done? Exactly what you did, but, unfortunately, that's not going to help you.
Sharon, am I gonna lose my job over this? I hope not, but until I can figure something out I've got to suspend you, Maggie.
- Sharon - I'm sorry.
The patient would've died.
I have no regrets.
I know what you're gonna say.
I should not have lied to Joanna.
It was wrong.
She's just a desperate, troubled woman, not a psychopath.
I agree.
She's not, but am I? Am I a psychopath? What? Look how easily I lied to her, how I coldly manipulated her.
In this context, that's hardly an indication of psychopathy.
Well, how about my life? Would you say that I'm able to form lasting relationships? I mean, I have no real friends, no significant romantic attachments.
I think I have emotions, but maybe they aren't real.
Maybe they're just imitative.
You just told me that you felt guilty about lying to a patient, which means that you have a conscience, which means that you're not a psychopath.
Whatever you wanna call it, I am my father's daughter.
Well well, you're also my resident, and I find you to be a A deeply compassionate person, who's capable of great empathy.
I just never would've roped you into this whole psychiatry thing if I wasn't entirely convinced of that.
See you tomorrow? [EXHALES.]
Thanks, man.
He should wake up pretty soon.
- Yeah.
- Nice work today.
- You too.
- Yeah.
Dr.
Bekker have you come to see me or our patient? How's he doing? I think he's gonna make it.
- It's a long day, huh? - [SIGHS, CHUCKLES.]
Yeah.
I could go for a meal.
I'd, uh, check the cafeteria.
It's Tuesday.
It's meatloaf.
My favorite.
[CHUCKLES.]
Good night.
Dr.
Halstead.
I owe you an apology.
Gary Taylor's autopsy revealed that he died from cardiac failure, not an adverse drug reaction or metastatic cancer.
In fact, in the hours from the time he was given the drugs until he died, the mass actually shrank one centimeter.
That off-label cocktail of yours, it worked.
I let Ms.
Goodwin know.
Congratulations.
Uh um, look, uh, it wasn't my idea.
It was Dr.
Manning's.
Okay, whatever.
We've been thinking about launching - a Phase One clinical trial to - Excuse me.
- Whoa, Nat, hold up - [CAR CHIRPS.]
You're gonna get the credit you deserve.
I'll make sure of that.
You think that's what's bothering me? Look, I know I shouldn't have taken the blame, and I certainly don't deserve the credit.
Will, stop.
Just stop.
My whole career, from med school on, I keep running into the same problem: men who either dismiss me or patronize me, who cannot see me as an equal.
- Well, I see you as an equal.
- No, you don't.
And it's not just today.
It keeps happening.
- Natalie - Look, I know you love me, but in a way, that's part of the problem.
You can only see me as the woman you love, the woman you need to protect and take care of, and in a way, that limits me.
It puts me in a kind of jail.
Look, I don't want that, Natalie.
Let's talk about this.
We'll figure it out.
Maybe we can, but right now, I need a break, okay? I love you but I need a break from us.
No, come on.
[SOLEMN MUSIC.]
[ENGINE IGNITES, REVS.]