Chicago Med (2015) s04e01 Episode Script
Be My Better Half
1 [DRAMATIC MUSIC.]
I told them that she can stay with us.
- You can't trust her.
- Look, I'm sorry, but she's coming home with us.
No, Ethan, she's going home with you.
Will you marry me? This is Gwen Garrett, our new COO.
New? We never had an old COO.
If we lose one girl, we lose them both.
BSD is repaired.
You got an offer tonight, didn't you? Mayo Clinic.
Of course, you're going to take it.
Would you? [SOBS.]
You're suggesting I'm a murderer.
You know what's the most fascinating thing about serial killers? They all can't seem to resist taking a personal item from their victims.
[DRAMATIC MUSIC.]
Oh, oh, no, Bob.
[EXHALES.]
Dad? We need a crash cart.
Crash cart, now! We need a crash cart in here.
- There's no pulse.
- Take over compressions.
Start bagging.
[MACHINE BEEPS.]
Charged to 200.
Clear! - Clear! - [ELECTRONIC PULSE.]
Resume compressions.
Charged to 200.
- Clear.
- [ELECTRONIC PULSE.]
- Resume compressions.
- We need to talk.
Charge to 200.
[SIRENS WAIL.]
[TENSE MUSIC.]
This way.
[HEAVY MUSIC.]
This is my father's.
Appreciate your help, Dr.
Reese.
Forensics will gather samples to collect for DNA, but they may need to take a few of your father's things to the lab.
I understand.
[TENSE MUSIC.]
I know that this isn't easy, but but it's the right thing to do.
You're the last person to tell me what's right.
[DARK MUSIC.]
[ELEVATOR BELL DINGS.]
- Sharon.
- Yo.
Have you heard from Dr.
Reese? She's your resident.
Why would she call me? Well, she's due back today, but I was expecting her at rounds first thing this morning.
Well, she hasn't been in touch.
Let's hope she's okay.
But don't you need to address our new med students? - Yeah.
- Yeah.
Ladies and gentleman, this is Dr.
Charles.
- He's our Chief of Psychiatry.
- Good morning, and welcome.
First thing I want to tell you about is - Packing up? - Yeah, yeah.
Our days of butting heads are almost over.
Oh, thank God for that.
By the way, did you know that Rochester, Minnesota, is the 14th coldest city in the U.
S.
? And Chicago's 48, you know.
It's much warmer.
Why don't you just admit it? You don't want me to go.
- Oh, please.
- Oh, you're going to miss me.
Miss the most egotistical, ambitious, and arrogant man I've ever met? Hardly.
Here.
Now that you are a big shot attending, I'm going to leave you with this.
"Cardiac surgeons fix broken hearts.
" [CHUCKLES.]
[SOFT MUSIC.]
We could have had something.
You're the one who's leaving.
Dr.
Bekker, Dr.
Rhodes.
They need you in the E.
D.
- Suspected TRA coming in.
- Yeah.
Trevor Keyes, high-speed decelerating motor vehicle crash.
Prolonged extrication.
Right arm BP 136/88.
Nothing in his left.
Wife was treated on the scene.
Mr.
Keyes, do you know where you are? Can you squeeze my hand? All right, minimal response.
Let's transfer him on my count.
[TENSE MUSIC.]
One, two, three.
All right, let's go.
Okay, Mr.
Keyes, can you touch your chin to your chest? - Any pain? - No.
- Head side-to-side, pain? - No.
Good, c-spine is cleared.
Let's get a chest x-ray stat.
Logroll.
- Dr.
Choi? - Dr.
Bekker and Dr.
Rhodes.
They're cardiothoracic surgeons.
- X-ray clear.
- This is his wife.
Linda.
Please, help my husband.
There's weakness in Mr.
Keyes' left hand, and it's cold.
[MACHINE BEEPS.]
- Wide mediastinum.
- What's that mean? There is a high probability of a contained rupture in his aorta.
We need to get Mr.
Keyes to the hybrid room right away.
- Okay.
- All right, let's go.
Have anesthesia meet us upstairs, - and bring esmolol for the road.
- Right away.
[TENSE MUSIC.]
Don't worry, baby.
It's gonna be all right.
It's gonna be all right.
Out of the way.
Out of the way! Everybody out.
Out, out, out, out! Come on, let's go, let's go, let's go.
[SOFTLY.]
Linda.
[SOBS.]
Linda.
- I love you.
- Trev, I love you, too.
- But you're gonna be fine.
- I Trev? Trevor? - Nothing.
- What's happening? - No pulse.
- Trevor.
- Oh, God.
- Come on.
[SOBS.]
Oh, God, Trevor.
- Let's go.
- Wrong floor.
- This isn't surgery.
- Can't wait.
Got to open his chest now.
- Get me a scalpel.
- Connor.
Check his pulse.
- No.
- Why? What's happening to him? His aorta ruptured.
I've got to get control.
Here.
Trevor, no, no! [SOBS.]
No! Help me spread his ribs.
[SUSPENSEFUL MUSIC.]
Can you feel the hole? - There's too much blood.
- Oh, God.
- His aorta is wide open.
- What do you mean? I'm so sorry.
There's nothing I can do.
He's gone.
- He's dead? - I'm sorry.
Trevor's dead? No! No, Trevor, no! No! Trevor, no! Time of death, 8:23.
[SOMBER MUSIC.]
- We shouldn't have lost the patient.
His aorta burst.
What could you have done? When we were in the E.
D.
, he hadn't yet suffered the fatal rupture.
If we'd been able to repair his injury there, he'd still be alive.
The problem was the time it took transferring him upstairs.
But the E.
D.
isn't equipped to perform the kind of procedure you're talking about.
- That's Dr.
Rhodes's point.
- There needs to be a hybrid operating room in the E.
D.
Fully equipped to perform emergency cardiac surgery.
An O.
R.
in the E.
D.
We have lost far too many patients on the way to the O.
R.
Actually, I like the idea, but converting a trauma room into a surgical suite It's not an inexpensive proposition.
I'll tell you what.
Write up a proposal.
I'll have it on your desk in an hour.
Dr.
Rhodes, with your background in both trauma and CT, you'd be the ideal person to head a program like this.
If the board okays it, I'd like you to stay.
I'm sorry, Ms.
Goodwin, but I start at the Mayo Clinic on Monday.
Hey.
- That looks so good on you.
- I agree.
You know, we should get serious about a date.
- Book a venue.
- A venue? I was thinking more of like a city hall-type thing.
I don't know, a few friends.
Maybe dinner after.
What, no, I already talked to Father Brady.
He promised us a Saturday at St.
Ursula's.
Man, I got a whole neighborhood to invite.
We need a hall.
Dr.
Manning, Dr.
Halstead, with me.
Okay.
- Desmond? - 25-year-old deaf male Peter Rush.
Intractable headache, disoriented.
Sensitivity to light.
GCS 15.
- Vomited times two in the ambo.
- Maggie, will you help us? Yep.
Would you like an interpreter? - Yes.
- She's certified.
[TENSE MUSIC.]
Let's sheet transfer.
One, two, three.
Heart rate 112, BP 122/76.
- Normal sinus rhythm.
- These two take care of you.
This is his fiancée, Bonnie.
Have you been deaf since birth? No, 14.
Mumps.
[MOUTHING WORDS.]
She says he had cochlear implant surgery a month ago.
It's due to be activated.
Chest is clear, regular rate rhythm S1 and 2.
Sick! [VOMITS.]
And let's give him four milligrams of ondansetron.
Got it.
She says it's meningitis from the implant.
She warned him not to get it.
We don't know that he has meningitis.
His neck exam is normal.
And meningitis can occur after surgery, but it's not common.
Let's get a CBC, BMP, - and cultures times two.
- Right.
And let's send him up for a head CT.
Okay, I'll put in the order.
- Thank you.
- Yeah.
April.
Hey, April, can I get a second? Emily's really turned her life around.
She's clean, going to AA.
She's got a job, sells cosmetics.
And you're telling me this why? I'm bringing Emily to Conner's party, and she'd like to talk to you.
- Why? - She feels bad.
She should.
Emily wants to make amends.
It's a part of the program.
Emily has a drug problem and a gambling problem.
She stole opioids from the hospital, - I know.
- She needs to be in rehab.
- I - She needs psychotherapy I know.
But she's really trying.
One step at a time.
[EXHALES.]
- [KNOCKS.]
- Mr.
Jackson, these are student doctors, Curry and McNeal.
They're going to help me sew you up.
- Okay.
- McNeal, glove up.
Curry, why don't you get him an IV and hang a bag of normal saline? - That's a nurse's job.
- I'm sorry? I said, that's a nurse's job.
Every doctor should know how to put in an IV.
I do know how, but I don't see the point.
That's not something I'm ever going to be doing.
I'm not going into patient care.
- Is there a problem? - No, sir.
Ms.
Curry, when you are on my service, you will do exactly what's expected of you.
Do you understand? Mr.
Jackson is a machinist, and he cut his forearm in the shop.
- What do you make of the wound? - Mm, pretty clean.
Edges are smooth.
Nylon suture? You'd better take another look.
- [SUCKS IN AIR.]
- Oh.
That's actually a pretty deep cut.
So how do you obliterate the dead space? - Um - Absorbable stitch.
Right, right.
- You're a doctor? - Medical student.
You're a big guy.
What's the matter, couldn't play football? [LAUGHS.]
Let's numb that arm.
You don't have meningitis.
On the other hand, we don't know why you're having these symptoms.
Your sensitivity to light concerns us, so we'd like to do some more blood work, including a genetic test, just to cover our bases.
You'll have to stay here overnight.
We'll try to find you a bed upstairs.
Otherwise, we will make you as comfortable as possible down here.
The good news is we've talked to your audiologist, and we can turn on your cochlear implant.
Yes, I want it.
Thank you.
[TENSE MUSIC.]
Yes, I'm doing it.
- They're having an argument.
- Yeah.
Maybe we should step out.
[DRAMATIC MUSIC.]
[FIANCÃE CRYING.]
[CRYING.]
[KNOCK ON DOOR.]
Yeah? Dr.
Reese, there you are.
- I am very glad to see you.
- I'm not staying.
I'm leaving Med.
I'm continuing my residency at Baylor.
- Oh.
- I think people here would, uh, always look at me and think, oh, there's that doctor, the one whose father murdered those girls.
I could live with that.
It's you.
- It's me? - All that time you suspected my father, you never told me anything.
Sarah, look, I was trying to protect you until I was absolutely certain.
I mean, surely I can't trust you.
I can never trust you.
You have every right to be upset, and I hope that we have some time to talk through this, but please, don't leave.
Every time I'd see your face, I would remember when I walked into that room and saw my father on the floor.
[SOMBER MUSIC.]
I I saw it in your eyes.
You were going to let him die.
[SIGHS.]
Hi.
Hi, Peter, this is Helen Moore, the hospital's audiologist.
So, let me get this on you, and then I can activate it.
No.
- I don't want it.
- I I don't understand.
Bonnie, she think because of this, I don't love her.
I want Bonnie more than my hearing.
If you change your mind, let your doctors know.
Yeah, I've seen this before.
Implants are controversial among the deaf.
For Bonnie, deafness is a culture, a community.
She thinks we're trying to fix a problem that isn't a problem.
- Courtney? - 45-year-old female.
- Found delusional and agitated.
- Put her in treatment 4.
No obvious injuries, no meds given in the field.
All right, get ready to rotate.
Take them in, Angel.
Dr.
Choi? Can't leave this GSW.
Terry, start the work-up.
See if you can get a history.
I'll be there soon.
I'm going to call Psych.
Where's Monique? Monique, get in here.
[WOMAN MUTTERING QUICKLY.]
- Let's transfer on my count.
- It's his fault.
- It's his fault! - One, two, three.
Ma'am, can you tell us your name? Do you know where you are? Over there.
Look.
It's his fault.
- We need to sedate her.
- It's his fault.
- It's his fault.
- You should wait for Dr.
Choi.
He told me to work her up.
I can't with her like this.
- 10 of haloperidol.
- Stop it before it's too late.
[BABBLING.]
Stop him.
Stop.
Stop him before it's too late.
Stop him before it's too late.
Stop him Stop him before it's too late.
Stop him before it's too late.
[NO SOUND.]
Let's let her calm down before we take off the restraints.
[TENSE MUSIC.]
I thought this patient was agitated.
She was.
I sedated her.
You sedated her? Without waiting for me? - Well, I couldn't examine her.
- Well now, neither can I.
You're a medical student.
You're not authorized to order medication.
But she was delusional, psychotic.
And you are not qualified to make that diagnosis, or any diagnosis.
The patient's emotional state could have been something entirely physical, and therefore easily treatable, like a UTI, for instance.
But now, we can't determine that because you knocked her out.
You ought to be written up for this.
- Dr.
Charles, it was - Be quiet.
Where's Dr.
Choi? I'm right here.
Supervise your medical students! [TENSE MUSIC.]
[ELEVATOR DINGS.]
I wasn't told the board was in session.
Dr.
Rhodes, impressive proposal.
- Unfortunately, we have to pass.
- And why is that? A C-Arm.
That's anywhere from 1.
7 million to 2.
5.
Uh, booms and lights, 200,000.
Two large ceiling-mounted hi-def screens.
- Do I need to continue? - No hospital I know of has a hybrid O.
R.
in the E.
D.
Not to mention the huge PR benefit in Med being the first The investment is not worth the expense.
I recommended that the board pass.
They agreed.
Well thank you for trying.
I think it would be a mistake for the hospital to lose this.
[ELEVATOR BELL DINGS.]
In Yiddish, "bon voyage" is for gezunterhait.
In Hebrew, however, we say leich l'shalom, which literally means "go towards peace," but it has a deeper meaning of going towards greater spiritual perfection.
I'd like to wish you that, Dr.
Rhodes.
Leich l'shalom.
[CROWD MURMURS, REPEATS PHRASE.]
[SOFT MUSIC.]
- April.
- Emily.
I want to apologize for everything that happened.
It was all my fault.
I'm trying to make up for what I did.
I'm trying to turn my life around, and a lot of that is because of you.
You believed in me, and I'm I'm really sorry I disappointed you.
Be right back.
Can I get you a drink? - There you go.
- Thank you.
Did you get a chance to check out that venue? No.
I'm sorry, I left it at the hospital.
- Yeah, well, I brought it.
- Oh.
Natalie, look, if you don't want - to get married, just say so.
- What? Where is this coming from? You don't seem to care about the ceremony, or the reception.
It took you a week to say yes.
And I said yes, and I meant it.
But you act like our marriage is no big deal.
Of course it's a big deal.
But a church wedding, a reception.
I've done all that before.
I haven't been married before.
- I want the whole thing.
- Just so you know, a wedding is not a marriage.
Glad you cleared that up for me.
- Will.
- No, I'm just overwhelmed with your enthusiasm.
I'm going to get some food.
Hey, Maggie.
Have you seen Ava? Ms.
Goodwin.
Hey, have you seen Dr.
Bekker? She said she was coming tonight.
Uh, no, I haven't.
Maybe she got stuck in surgery.
Maybe.
[BACKGROUND CHATTER.]
[MELLOW TROPICAL MUSIC.]
So let's get four of the flutes over here, one more.
And then, we'll have a nice arrangement right here.
- Great.
- Mr.
Rhodes? - Dr.
Bekker.
- Have you got a minute? Of course, this way.
I'll be right back.
Creating a hybrid O.
R.
in the E.
D.
would be expensive, and the hospital is not willing to make the commitment.
However, if private donors such as yourself would earmark contributions for the project, the board would be incentivized to make the investment.
Right.
I wouldn't expect you personally to fund the entire project.
I would think with your connections, you could raise it with just a few phone calls.
[CHUCKLES.]
Well And you'd be running this project? No, Dr.
Rhodes Connor will be.
I thought he was off to the Mayo Clinic.
I believe he'll stay in Chicago if the program gets funded.
Well, as I'm sure you're aware, my son and I have not had the easiest of relationships.
I'd want my involvement kept anonymous.
Of course, I understand.
[TENSE MUSIC.]
Let me think about it.
I'm afraid this is time-sensitive.
Oh.
You know what? I have an idea.
Why don't we go to dinner, discuss this further? [SOMBER MUSIC.]
Hey, Peter Rush's these test results.
- Oh, man.
- Yeah.
What is it? Peter, your deafness wasn't caused by mumps.
It was caused by a genetic disease that you tested positive for, Usher syndrome.
And it's what caused the symptoms you are now experiencing.
What does that mean? So some of your symptoms can be addressed, but Usher syndrome causes a condition called retinitis pigmentosa.
[TENSE MUSIC.]
A progressive deterioration of eyesight.
- My eyesight? - I'm sorry, Peter, but retinitis pigmentosa is untreatable.
No cure.
I'm going blind? I'm going blind? Yes, you will experience a significant loss in vision, and maybe even blindness.
Oh, God.
We know this is a lot to process.
A genetic disease specialist will come down to discuss what you can expect, and what measures can be taken to help.
Maybe you want Bonnie to come here for that? No, she can't find out.
But you're getting married.
She will find out.
She broke it off.
Now, it's all for the best.
I don't want her coming back out of pity.
- You don't - She should be with someone who won't be a burden to her.
[SOBS.]
[MELANCHOLY MUSIC.]
[KNOCKING ON DOOR.]
Yeah? Hey, Dr.
Charles? Sarah called.
Asked me to send her stuff.
She thought maybe she left her case log here.
Oh, uh, yeah.
Um Right here.
Okay.
You know, I really liked Sarah.
I always hoped, you know, something might happen, or But I guess with all that she was going through, - never really had a real chance.
- Yeah.
I'm sorry about that, Noah.
Yeah.
You know, she once told me that, um the way you brought her into psych helped her.
That you were the dad she always wanted.
[SOBS.]
Dr.
Choi? Emily, what's wrong? Uh, I've just been dizzy, a little tired.
Getting these headaches.
She's also complaining of diarrhea.
Vitals are mostly normal, a little soft on the pressure.
BP 95/58, heart rate 110.
The patient is my sister, so I'll leave you and April to do the exam.
- I'll be back to look in on you.
- Okay - Ms.
Curry? - What right.
I'm Elsa Curry, third year medical student.
I'm going to examine you.
Oh, um, no.
Um, I'm sorry.
I'm sorry, uh Peter's not up for Okay.
Why are you here? Who told you? Did you? No, no.
- Did you? - No.
[MOUTHING.]
She wants to know why Peter's acting like this.
It's up to Peter to tell her.
You can tell her.
Peter has a condition called Usher syndrome, which caused him to lose his hearing and will also cause him to lose his sight.
[SOLEMN MUSIC.]
[SOBS.]
All right, now, let's move on to the budget.
The first line item to discuss is marketing and PR.
Actually, let's table that discussion.
Dr.
Bekker, Dr.
Rhodes, thank you for joining us.
I have good news.
The hospital received donations earmarked for your ED hybrid O.
R.
, and the Board has decided to provide matching funds.
We're going ahead with your proposal.
Well, I am very happy to hear that.
But there is one stipulation, Dr.
Rhodes.
You have to stay and run the program.
Emily's test results.
No.
You're not sick.
You're pregnant.
[TENSE MUSIC.]
Really? You didn't suspect that might be the case? I mean, I have been throwing up a lot.
Do you even know who the father is? Yeah, of course I know who the father is.
What do you think I am? It's Bernie.
- Who's Bernie? - He's in my AA group.
- Your AA group? - You're not supposed to date people in your AA group.
Look, he's been sober for six years.
- He's a responsible person.
- Responsible? You call this responsible? I don't believe you.
Oh, God, I didn't mean it to happen.
What am I going to do now? You were right.
Everything you said was right.
- I'm an idiot, a total idiot.
- Ethan, don't.
You were just trying to help her.
You were trying to be a good big brother.
And look at the mess she's made.
I know.
- Emily can't have this baby.
- What? Come on.
She has a history of drug abuse.
She's sleeping with some guy in her AA group.
If you're going where I think you're going April, two months ago, Emily was homeless.
Who know when she'll run away again? She's completely unstable, and she might start using again.
- Harm the fetus.
- And she might not.
What kind of life can she give a child? - It doesn't matter.
- Of course it matters.
No.
You're not Catholic.
It's a life.
We have to protect it.
[TENSE MUSIC.]
Mr.
McNeal? I want to apologize for earlier.
You really need to learn how to follow protocol, okay? But I shouldn't have snapped at you like that.
I'm dealing with a, uh, with a loss.
Thank you.
[KNOCK ON DOOR.]
Coming in.
And your paperwork is done.
I got to go tell Bernie.
I don't know how he'll take it.
I hope he's happy, but, God, what if he's not? I can't cope with this by myself.
I I can't have this baby alone.
Emily, you're not alone.
Oh, yeah, but Ethan's so mad at me.
He'll come around.
[TENSE MUSIC.]
- And I'm here for you.
- You are? We'll figure this out.
- [EXHALES.]
- Okay? [SIGHS.]
Okay.
Now, I'm going to be sending a series of beeps.
First very soft, inaudible.
When you can hear the beeps, let me know.
[MACHINE BEEPS.]
[VOLUME INCREASES.]
Wait, yes.
- I can hear it, yes.
- Good.
Tell me, Peter, can you hear my voice? Oh, God.
Yes, I can.
I can hear again.
[SOFT MUSIC.]
She said that she'll be his eyes, and he'll be her ears.
Ms.
Garrett, I know we've had our differences, but I'm very happy you approved the hybrid O.
R.
down here.
Are you, Dr.
Stohl? [TENSE MUSIC.]
Sharon, if you would.
You go behind my back and get these token contributions for about a quarter of the cost.
The hospital is out millions for your pet project.
The Board could have refused the money.
No, it couldn't, and you know that.
These are some of our biggest donors.
They want a hybrid O.
R.
, they get a hybrid O.
R.
You locked us in.
Are you going to fight me on every one of my decisions? Depends on the decision.
Well, I'm glad I know where we stand.
Our Chief of Emergency Medicine, Dr.
Stohl.
Very much your man.
I think Dr.
Stohl is very much is own man.
I have not been happy with his performance of late.
We're not going to renew his contract.
Really, you'd take this out on him? Stay out of my way.
[TENSE MUSIC.]
They don't start serving for another hour.
Sit.
Hanger steak, planked whitefish, and for vegetarians, lentil and chickpea stew.
Thank you.
What's all this? Dishes to try for our reception.
You take care of the venue, I'll take care of the caterer.
You know, eyes and ears.
Here, try.
[SOFT MUSIC.]
Mmm.
That's really good.
- Yeah? - Mm-hmm.
- Here you go, Dr.
Rhodes.
- Thanks, man.
Ava, hey.
So I was I was looking into what you were talking about, Rochester, and you are right.
It is very cold.
- Yeah? - Yeah, so anyway, I told the Board I was going to stay here at Med.
Really? Yeah, I mean, if the program is a success, then it could be a very big deal.
It's a better career move than Mayo.
- Exactly.
- Okay.
Well, I guess I don't need to remind you.
You're no longer on the CT service.
Yet, you did.
From now on, when you bring a patient upstairs, I decide the course of treatment.
Now, you see, if I'd gone to Mayo, that's exactly the kind of collegial interaction I would have missed.
[SOFT MUSIC.]
[ENGINE TURNS.]
[ENGINE REVVING.]
[BUZZER.]
[DARK MUSIC.]
Dr.
Charles.
- Here to gloat? - No.
Just dropped by to, uh let you know Sarah's leaving Chicago.
You'll probably never see her again.
Is that supposed to wound me? My daughter? She put me here.
Huh.
I thought you put yourself here.
It's all circumstantial.
You know that.
Where are the bodies? If I could get a halfway decent lawyer, instead of that idiot P.
D.
in his cheap suit.
[SCOFFS.]
You know, when I was having my heart attack, you weren't going to save me, were you? [TENSE MUSIC.]
You were going to let me die.
All right, do it now.
Kill me.
You've had your fun.
Enough.
No one would want to go on living like this, anyway.
I'm sorry you're having such a hard time.
I'll talk to your doctor and see if he'll boost your anti-depressants.
And I'm the one without a conscience? No, don't worry about it.
It's gonna get better.
It always does.
- [TAPPING ON DOOR.]
- Really.
In my experience, psychopaths adjust extraordinarily well to almost any situation.
[DRAMATIC MUSIC.]
Even, you know, this one.
[DARK MUSIC.]
I told them that she can stay with us.
- You can't trust her.
- Look, I'm sorry, but she's coming home with us.
No, Ethan, she's going home with you.
Will you marry me? This is Gwen Garrett, our new COO.
New? We never had an old COO.
If we lose one girl, we lose them both.
BSD is repaired.
You got an offer tonight, didn't you? Mayo Clinic.
Of course, you're going to take it.
Would you? [SOBS.]
You're suggesting I'm a murderer.
You know what's the most fascinating thing about serial killers? They all can't seem to resist taking a personal item from their victims.
[DRAMATIC MUSIC.]
Oh, oh, no, Bob.
[EXHALES.]
Dad? We need a crash cart.
Crash cart, now! We need a crash cart in here.
- There's no pulse.
- Take over compressions.
Start bagging.
[MACHINE BEEPS.]
Charged to 200.
Clear! - Clear! - [ELECTRONIC PULSE.]
Resume compressions.
Charged to 200.
- Clear.
- [ELECTRONIC PULSE.]
- Resume compressions.
- We need to talk.
Charge to 200.
[SIRENS WAIL.]
[TENSE MUSIC.]
This way.
[HEAVY MUSIC.]
This is my father's.
Appreciate your help, Dr.
Reese.
Forensics will gather samples to collect for DNA, but they may need to take a few of your father's things to the lab.
I understand.
[TENSE MUSIC.]
I know that this isn't easy, but but it's the right thing to do.
You're the last person to tell me what's right.
[DARK MUSIC.]
[ELEVATOR BELL DINGS.]
- Sharon.
- Yo.
Have you heard from Dr.
Reese? She's your resident.
Why would she call me? Well, she's due back today, but I was expecting her at rounds first thing this morning.
Well, she hasn't been in touch.
Let's hope she's okay.
But don't you need to address our new med students? - Yeah.
- Yeah.
Ladies and gentleman, this is Dr.
Charles.
- He's our Chief of Psychiatry.
- Good morning, and welcome.
First thing I want to tell you about is - Packing up? - Yeah, yeah.
Our days of butting heads are almost over.
Oh, thank God for that.
By the way, did you know that Rochester, Minnesota, is the 14th coldest city in the U.
S.
? And Chicago's 48, you know.
It's much warmer.
Why don't you just admit it? You don't want me to go.
- Oh, please.
- Oh, you're going to miss me.
Miss the most egotistical, ambitious, and arrogant man I've ever met? Hardly.
Here.
Now that you are a big shot attending, I'm going to leave you with this.
"Cardiac surgeons fix broken hearts.
" [CHUCKLES.]
[SOFT MUSIC.]
We could have had something.
You're the one who's leaving.
Dr.
Bekker, Dr.
Rhodes.
They need you in the E.
D.
- Suspected TRA coming in.
- Yeah.
Trevor Keyes, high-speed decelerating motor vehicle crash.
Prolonged extrication.
Right arm BP 136/88.
Nothing in his left.
Wife was treated on the scene.
Mr.
Keyes, do you know where you are? Can you squeeze my hand? All right, minimal response.
Let's transfer him on my count.
[TENSE MUSIC.]
One, two, three.
All right, let's go.
Okay, Mr.
Keyes, can you touch your chin to your chest? - Any pain? - No.
- Head side-to-side, pain? - No.
Good, c-spine is cleared.
Let's get a chest x-ray stat.
Logroll.
- Dr.
Choi? - Dr.
Bekker and Dr.
Rhodes.
They're cardiothoracic surgeons.
- X-ray clear.
- This is his wife.
Linda.
Please, help my husband.
There's weakness in Mr.
Keyes' left hand, and it's cold.
[MACHINE BEEPS.]
- Wide mediastinum.
- What's that mean? There is a high probability of a contained rupture in his aorta.
We need to get Mr.
Keyes to the hybrid room right away.
- Okay.
- All right, let's go.
Have anesthesia meet us upstairs, - and bring esmolol for the road.
- Right away.
[TENSE MUSIC.]
Don't worry, baby.
It's gonna be all right.
It's gonna be all right.
Out of the way.
Out of the way! Everybody out.
Out, out, out, out! Come on, let's go, let's go, let's go.
[SOFTLY.]
Linda.
[SOBS.]
Linda.
- I love you.
- Trev, I love you, too.
- But you're gonna be fine.
- I Trev? Trevor? - Nothing.
- What's happening? - No pulse.
- Trevor.
- Oh, God.
- Come on.
[SOBS.]
Oh, God, Trevor.
- Let's go.
- Wrong floor.
- This isn't surgery.
- Can't wait.
Got to open his chest now.
- Get me a scalpel.
- Connor.
Check his pulse.
- No.
- Why? What's happening to him? His aorta ruptured.
I've got to get control.
Here.
Trevor, no, no! [SOBS.]
No! Help me spread his ribs.
[SUSPENSEFUL MUSIC.]
Can you feel the hole? - There's too much blood.
- Oh, God.
- His aorta is wide open.
- What do you mean? I'm so sorry.
There's nothing I can do.
He's gone.
- He's dead? - I'm sorry.
Trevor's dead? No! No, Trevor, no! No! Trevor, no! Time of death, 8:23.
[SOMBER MUSIC.]
- We shouldn't have lost the patient.
His aorta burst.
What could you have done? When we were in the E.
D.
, he hadn't yet suffered the fatal rupture.
If we'd been able to repair his injury there, he'd still be alive.
The problem was the time it took transferring him upstairs.
But the E.
D.
isn't equipped to perform the kind of procedure you're talking about.
- That's Dr.
Rhodes's point.
- There needs to be a hybrid operating room in the E.
D.
Fully equipped to perform emergency cardiac surgery.
An O.
R.
in the E.
D.
We have lost far too many patients on the way to the O.
R.
Actually, I like the idea, but converting a trauma room into a surgical suite It's not an inexpensive proposition.
I'll tell you what.
Write up a proposal.
I'll have it on your desk in an hour.
Dr.
Rhodes, with your background in both trauma and CT, you'd be the ideal person to head a program like this.
If the board okays it, I'd like you to stay.
I'm sorry, Ms.
Goodwin, but I start at the Mayo Clinic on Monday.
Hey.
- That looks so good on you.
- I agree.
You know, we should get serious about a date.
- Book a venue.
- A venue? I was thinking more of like a city hall-type thing.
I don't know, a few friends.
Maybe dinner after.
What, no, I already talked to Father Brady.
He promised us a Saturday at St.
Ursula's.
Man, I got a whole neighborhood to invite.
We need a hall.
Dr.
Manning, Dr.
Halstead, with me.
Okay.
- Desmond? - 25-year-old deaf male Peter Rush.
Intractable headache, disoriented.
Sensitivity to light.
GCS 15.
- Vomited times two in the ambo.
- Maggie, will you help us? Yep.
Would you like an interpreter? - Yes.
- She's certified.
[TENSE MUSIC.]
Let's sheet transfer.
One, two, three.
Heart rate 112, BP 122/76.
- Normal sinus rhythm.
- These two take care of you.
This is his fiancée, Bonnie.
Have you been deaf since birth? No, 14.
Mumps.
[MOUTHING WORDS.]
She says he had cochlear implant surgery a month ago.
It's due to be activated.
Chest is clear, regular rate rhythm S1 and 2.
Sick! [VOMITS.]
And let's give him four milligrams of ondansetron.
Got it.
She says it's meningitis from the implant.
She warned him not to get it.
We don't know that he has meningitis.
His neck exam is normal.
And meningitis can occur after surgery, but it's not common.
Let's get a CBC, BMP, - and cultures times two.
- Right.
And let's send him up for a head CT.
Okay, I'll put in the order.
- Thank you.
- Yeah.
April.
Hey, April, can I get a second? Emily's really turned her life around.
She's clean, going to AA.
She's got a job, sells cosmetics.
And you're telling me this why? I'm bringing Emily to Conner's party, and she'd like to talk to you.
- Why? - She feels bad.
She should.
Emily wants to make amends.
It's a part of the program.
Emily has a drug problem and a gambling problem.
She stole opioids from the hospital, - I know.
- She needs to be in rehab.
- I - She needs psychotherapy I know.
But she's really trying.
One step at a time.
[EXHALES.]
- [KNOCKS.]
- Mr.
Jackson, these are student doctors, Curry and McNeal.
They're going to help me sew you up.
- Okay.
- McNeal, glove up.
Curry, why don't you get him an IV and hang a bag of normal saline? - That's a nurse's job.
- I'm sorry? I said, that's a nurse's job.
Every doctor should know how to put in an IV.
I do know how, but I don't see the point.
That's not something I'm ever going to be doing.
I'm not going into patient care.
- Is there a problem? - No, sir.
Ms.
Curry, when you are on my service, you will do exactly what's expected of you.
Do you understand? Mr.
Jackson is a machinist, and he cut his forearm in the shop.
- What do you make of the wound? - Mm, pretty clean.
Edges are smooth.
Nylon suture? You'd better take another look.
- [SUCKS IN AIR.]
- Oh.
That's actually a pretty deep cut.
So how do you obliterate the dead space? - Um - Absorbable stitch.
Right, right.
- You're a doctor? - Medical student.
You're a big guy.
What's the matter, couldn't play football? [LAUGHS.]
Let's numb that arm.
You don't have meningitis.
On the other hand, we don't know why you're having these symptoms.
Your sensitivity to light concerns us, so we'd like to do some more blood work, including a genetic test, just to cover our bases.
You'll have to stay here overnight.
We'll try to find you a bed upstairs.
Otherwise, we will make you as comfortable as possible down here.
The good news is we've talked to your audiologist, and we can turn on your cochlear implant.
Yes, I want it.
Thank you.
[TENSE MUSIC.]
Yes, I'm doing it.
- They're having an argument.
- Yeah.
Maybe we should step out.
[DRAMATIC MUSIC.]
[FIANCÃE CRYING.]
[CRYING.]
[KNOCK ON DOOR.]
Yeah? Dr.
Reese, there you are.
- I am very glad to see you.
- I'm not staying.
I'm leaving Med.
I'm continuing my residency at Baylor.
- Oh.
- I think people here would, uh, always look at me and think, oh, there's that doctor, the one whose father murdered those girls.
I could live with that.
It's you.
- It's me? - All that time you suspected my father, you never told me anything.
Sarah, look, I was trying to protect you until I was absolutely certain.
I mean, surely I can't trust you.
I can never trust you.
You have every right to be upset, and I hope that we have some time to talk through this, but please, don't leave.
Every time I'd see your face, I would remember when I walked into that room and saw my father on the floor.
[SOMBER MUSIC.]
I I saw it in your eyes.
You were going to let him die.
[SIGHS.]
Hi.
Hi, Peter, this is Helen Moore, the hospital's audiologist.
So, let me get this on you, and then I can activate it.
No.
- I don't want it.
- I I don't understand.
Bonnie, she think because of this, I don't love her.
I want Bonnie more than my hearing.
If you change your mind, let your doctors know.
Yeah, I've seen this before.
Implants are controversial among the deaf.
For Bonnie, deafness is a culture, a community.
She thinks we're trying to fix a problem that isn't a problem.
- Courtney? - 45-year-old female.
- Found delusional and agitated.
- Put her in treatment 4.
No obvious injuries, no meds given in the field.
All right, get ready to rotate.
Take them in, Angel.
Dr.
Choi? Can't leave this GSW.
Terry, start the work-up.
See if you can get a history.
I'll be there soon.
I'm going to call Psych.
Where's Monique? Monique, get in here.
[WOMAN MUTTERING QUICKLY.]
- Let's transfer on my count.
- It's his fault.
- It's his fault! - One, two, three.
Ma'am, can you tell us your name? Do you know where you are? Over there.
Look.
It's his fault.
- We need to sedate her.
- It's his fault.
- It's his fault.
- You should wait for Dr.
Choi.
He told me to work her up.
I can't with her like this.
- 10 of haloperidol.
- Stop it before it's too late.
[BABBLING.]
Stop him.
Stop.
Stop him before it's too late.
Stop him before it's too late.
Stop him Stop him before it's too late.
Stop him before it's too late.
[NO SOUND.]
Let's let her calm down before we take off the restraints.
[TENSE MUSIC.]
I thought this patient was agitated.
She was.
I sedated her.
You sedated her? Without waiting for me? - Well, I couldn't examine her.
- Well now, neither can I.
You're a medical student.
You're not authorized to order medication.
But she was delusional, psychotic.
And you are not qualified to make that diagnosis, or any diagnosis.
The patient's emotional state could have been something entirely physical, and therefore easily treatable, like a UTI, for instance.
But now, we can't determine that because you knocked her out.
You ought to be written up for this.
- Dr.
Charles, it was - Be quiet.
Where's Dr.
Choi? I'm right here.
Supervise your medical students! [TENSE MUSIC.]
[ELEVATOR DINGS.]
I wasn't told the board was in session.
Dr.
Rhodes, impressive proposal.
- Unfortunately, we have to pass.
- And why is that? A C-Arm.
That's anywhere from 1.
7 million to 2.
5.
Uh, booms and lights, 200,000.
Two large ceiling-mounted hi-def screens.
- Do I need to continue? - No hospital I know of has a hybrid O.
R.
in the E.
D.
Not to mention the huge PR benefit in Med being the first The investment is not worth the expense.
I recommended that the board pass.
They agreed.
Well thank you for trying.
I think it would be a mistake for the hospital to lose this.
[ELEVATOR BELL DINGS.]
In Yiddish, "bon voyage" is for gezunterhait.
In Hebrew, however, we say leich l'shalom, which literally means "go towards peace," but it has a deeper meaning of going towards greater spiritual perfection.
I'd like to wish you that, Dr.
Rhodes.
Leich l'shalom.
[CROWD MURMURS, REPEATS PHRASE.]
[SOFT MUSIC.]
- April.
- Emily.
I want to apologize for everything that happened.
It was all my fault.
I'm trying to make up for what I did.
I'm trying to turn my life around, and a lot of that is because of you.
You believed in me, and I'm I'm really sorry I disappointed you.
Be right back.
Can I get you a drink? - There you go.
- Thank you.
Did you get a chance to check out that venue? No.
I'm sorry, I left it at the hospital.
- Yeah, well, I brought it.
- Oh.
Natalie, look, if you don't want - to get married, just say so.
- What? Where is this coming from? You don't seem to care about the ceremony, or the reception.
It took you a week to say yes.
And I said yes, and I meant it.
But you act like our marriage is no big deal.
Of course it's a big deal.
But a church wedding, a reception.
I've done all that before.
I haven't been married before.
- I want the whole thing.
- Just so you know, a wedding is not a marriage.
Glad you cleared that up for me.
- Will.
- No, I'm just overwhelmed with your enthusiasm.
I'm going to get some food.
Hey, Maggie.
Have you seen Ava? Ms.
Goodwin.
Hey, have you seen Dr.
Bekker? She said she was coming tonight.
Uh, no, I haven't.
Maybe she got stuck in surgery.
Maybe.
[BACKGROUND CHATTER.]
[MELLOW TROPICAL MUSIC.]
So let's get four of the flutes over here, one more.
And then, we'll have a nice arrangement right here.
- Great.
- Mr.
Rhodes? - Dr.
Bekker.
- Have you got a minute? Of course, this way.
I'll be right back.
Creating a hybrid O.
R.
in the E.
D.
would be expensive, and the hospital is not willing to make the commitment.
However, if private donors such as yourself would earmark contributions for the project, the board would be incentivized to make the investment.
Right.
I wouldn't expect you personally to fund the entire project.
I would think with your connections, you could raise it with just a few phone calls.
[CHUCKLES.]
Well And you'd be running this project? No, Dr.
Rhodes Connor will be.
I thought he was off to the Mayo Clinic.
I believe he'll stay in Chicago if the program gets funded.
Well, as I'm sure you're aware, my son and I have not had the easiest of relationships.
I'd want my involvement kept anonymous.
Of course, I understand.
[TENSE MUSIC.]
Let me think about it.
I'm afraid this is time-sensitive.
Oh.
You know what? I have an idea.
Why don't we go to dinner, discuss this further? [SOMBER MUSIC.]
Hey, Peter Rush's these test results.
- Oh, man.
- Yeah.
What is it? Peter, your deafness wasn't caused by mumps.
It was caused by a genetic disease that you tested positive for, Usher syndrome.
And it's what caused the symptoms you are now experiencing.
What does that mean? So some of your symptoms can be addressed, but Usher syndrome causes a condition called retinitis pigmentosa.
[TENSE MUSIC.]
A progressive deterioration of eyesight.
- My eyesight? - I'm sorry, Peter, but retinitis pigmentosa is untreatable.
No cure.
I'm going blind? I'm going blind? Yes, you will experience a significant loss in vision, and maybe even blindness.
Oh, God.
We know this is a lot to process.
A genetic disease specialist will come down to discuss what you can expect, and what measures can be taken to help.
Maybe you want Bonnie to come here for that? No, she can't find out.
But you're getting married.
She will find out.
She broke it off.
Now, it's all for the best.
I don't want her coming back out of pity.
- You don't - She should be with someone who won't be a burden to her.
[SOBS.]
[MELANCHOLY MUSIC.]
[KNOCKING ON DOOR.]
Yeah? Hey, Dr.
Charles? Sarah called.
Asked me to send her stuff.
She thought maybe she left her case log here.
Oh, uh, yeah.
Um Right here.
Okay.
You know, I really liked Sarah.
I always hoped, you know, something might happen, or But I guess with all that she was going through, - never really had a real chance.
- Yeah.
I'm sorry about that, Noah.
Yeah.
You know, she once told me that, um the way you brought her into psych helped her.
That you were the dad she always wanted.
[SOBS.]
Dr.
Choi? Emily, what's wrong? Uh, I've just been dizzy, a little tired.
Getting these headaches.
She's also complaining of diarrhea.
Vitals are mostly normal, a little soft on the pressure.
BP 95/58, heart rate 110.
The patient is my sister, so I'll leave you and April to do the exam.
- I'll be back to look in on you.
- Okay - Ms.
Curry? - What right.
I'm Elsa Curry, third year medical student.
I'm going to examine you.
Oh, um, no.
Um, I'm sorry.
I'm sorry, uh Peter's not up for Okay.
Why are you here? Who told you? Did you? No, no.
- Did you? - No.
[MOUTHING.]
She wants to know why Peter's acting like this.
It's up to Peter to tell her.
You can tell her.
Peter has a condition called Usher syndrome, which caused him to lose his hearing and will also cause him to lose his sight.
[SOLEMN MUSIC.]
[SOBS.]
All right, now, let's move on to the budget.
The first line item to discuss is marketing and PR.
Actually, let's table that discussion.
Dr.
Bekker, Dr.
Rhodes, thank you for joining us.
I have good news.
The hospital received donations earmarked for your ED hybrid O.
R.
, and the Board has decided to provide matching funds.
We're going ahead with your proposal.
Well, I am very happy to hear that.
But there is one stipulation, Dr.
Rhodes.
You have to stay and run the program.
Emily's test results.
No.
You're not sick.
You're pregnant.
[TENSE MUSIC.]
Really? You didn't suspect that might be the case? I mean, I have been throwing up a lot.
Do you even know who the father is? Yeah, of course I know who the father is.
What do you think I am? It's Bernie.
- Who's Bernie? - He's in my AA group.
- Your AA group? - You're not supposed to date people in your AA group.
Look, he's been sober for six years.
- He's a responsible person.
- Responsible? You call this responsible? I don't believe you.
Oh, God, I didn't mean it to happen.
What am I going to do now? You were right.
Everything you said was right.
- I'm an idiot, a total idiot.
- Ethan, don't.
You were just trying to help her.
You were trying to be a good big brother.
And look at the mess she's made.
I know.
- Emily can't have this baby.
- What? Come on.
She has a history of drug abuse.
She's sleeping with some guy in her AA group.
If you're going where I think you're going April, two months ago, Emily was homeless.
Who know when she'll run away again? She's completely unstable, and she might start using again.
- Harm the fetus.
- And she might not.
What kind of life can she give a child? - It doesn't matter.
- Of course it matters.
No.
You're not Catholic.
It's a life.
We have to protect it.
[TENSE MUSIC.]
Mr.
McNeal? I want to apologize for earlier.
You really need to learn how to follow protocol, okay? But I shouldn't have snapped at you like that.
I'm dealing with a, uh, with a loss.
Thank you.
[KNOCK ON DOOR.]
Coming in.
And your paperwork is done.
I got to go tell Bernie.
I don't know how he'll take it.
I hope he's happy, but, God, what if he's not? I can't cope with this by myself.
I I can't have this baby alone.
Emily, you're not alone.
Oh, yeah, but Ethan's so mad at me.
He'll come around.
[TENSE MUSIC.]
- And I'm here for you.
- You are? We'll figure this out.
- [EXHALES.]
- Okay? [SIGHS.]
Okay.
Now, I'm going to be sending a series of beeps.
First very soft, inaudible.
When you can hear the beeps, let me know.
[MACHINE BEEPS.]
[VOLUME INCREASES.]
Wait, yes.
- I can hear it, yes.
- Good.
Tell me, Peter, can you hear my voice? Oh, God.
Yes, I can.
I can hear again.
[SOFT MUSIC.]
She said that she'll be his eyes, and he'll be her ears.
Ms.
Garrett, I know we've had our differences, but I'm very happy you approved the hybrid O.
R.
down here.
Are you, Dr.
Stohl? [TENSE MUSIC.]
Sharon, if you would.
You go behind my back and get these token contributions for about a quarter of the cost.
The hospital is out millions for your pet project.
The Board could have refused the money.
No, it couldn't, and you know that.
These are some of our biggest donors.
They want a hybrid O.
R.
, they get a hybrid O.
R.
You locked us in.
Are you going to fight me on every one of my decisions? Depends on the decision.
Well, I'm glad I know where we stand.
Our Chief of Emergency Medicine, Dr.
Stohl.
Very much your man.
I think Dr.
Stohl is very much is own man.
I have not been happy with his performance of late.
We're not going to renew his contract.
Really, you'd take this out on him? Stay out of my way.
[TENSE MUSIC.]
They don't start serving for another hour.
Sit.
Hanger steak, planked whitefish, and for vegetarians, lentil and chickpea stew.
Thank you.
What's all this? Dishes to try for our reception.
You take care of the venue, I'll take care of the caterer.
You know, eyes and ears.
Here, try.
[SOFT MUSIC.]
Mmm.
That's really good.
- Yeah? - Mm-hmm.
- Here you go, Dr.
Rhodes.
- Thanks, man.
Ava, hey.
So I was I was looking into what you were talking about, Rochester, and you are right.
It is very cold.
- Yeah? - Yeah, so anyway, I told the Board I was going to stay here at Med.
Really? Yeah, I mean, if the program is a success, then it could be a very big deal.
It's a better career move than Mayo.
- Exactly.
- Okay.
Well, I guess I don't need to remind you.
You're no longer on the CT service.
Yet, you did.
From now on, when you bring a patient upstairs, I decide the course of treatment.
Now, you see, if I'd gone to Mayo, that's exactly the kind of collegial interaction I would have missed.
[SOFT MUSIC.]
[ENGINE TURNS.]
[ENGINE REVVING.]
[BUZZER.]
[DARK MUSIC.]
Dr.
Charles.
- Here to gloat? - No.
Just dropped by to, uh let you know Sarah's leaving Chicago.
You'll probably never see her again.
Is that supposed to wound me? My daughter? She put me here.
Huh.
I thought you put yourself here.
It's all circumstantial.
You know that.
Where are the bodies? If I could get a halfway decent lawyer, instead of that idiot P.
D.
in his cheap suit.
[SCOFFS.]
You know, when I was having my heart attack, you weren't going to save me, were you? [TENSE MUSIC.]
You were going to let me die.
All right, do it now.
Kill me.
You've had your fun.
Enough.
No one would want to go on living like this, anyway.
I'm sorry you're having such a hard time.
I'll talk to your doctor and see if he'll boost your anti-depressants.
And I'm the one without a conscience? No, don't worry about it.
It's gonna get better.
It always does.
- [TAPPING ON DOOR.]
- Really.
In my experience, psychopaths adjust extraordinarily well to almost any situation.
[DRAMATIC MUSIC.]
Even, you know, this one.
[DARK MUSIC.]