Chicago Med (2015) s05e02 Episode Script
We're Lost in the Dark
1 I think you killed my father.
Give me an hour to get to O'Hare.
- You'll never see me again.
- No.
We could have been so happy.
No! No, no, no, no, no, no, no! I need help in here! I'm leaving Med.
I'm never gonna be able to get past what happened here.
I need a fresh start.
I heard Dr.
Manning was in an accident? - Dr.
Marcel.
- Who are you? I'm her fiancé.
I'm so sorry, Natalie.
What are you doing here? I don't want you coming around here again.
- We're getting married.
- What? I don't remember you asking me to marry you.
You will.
They found a mass.
Metastatic adenocarcinoma.
I don't want anyone to know.
I don't want to be the sick person.
[DRAMATIC MUSIC.]
[THUNDER CRASHING.]
[RAIN POURING.]
God, when is it gonna stop? Hey, um, I'm sorry I think it's empty? Oh, hold on.
I need to get you unhooked.
I just don't wanna be late for work.
Work? You just got a bag of chemo.
You need to go home and get some rest.
Uh-uh.
It's my friend's first day back after an injury.
And besides, I have an E.
D.
to run.
- At Med? - Yeah.
They have a huge infusion center.
You don't have to come all the way over here.
I like to keep things separate.
And besides, I love what you're doing with the doughnuts.
Careful if you're driving.
Roads are a mess.
Yeah, thanks.
Third year of med school will not only be the most difficult of your lives, but also the most important.
Anyone know how many patients come through our E.
D.
in a single year? 105,000.
18,000 acute and 4,600 active traumas.
That's right.
You thinking about going into E.
D.
med? Is there anything else? Anyway, for each of you, the E.
D.
will be both a challenge and an opportunity to sharpen your skills.
He loves giving this lecture, doesn't he? He's the only one who volunteers.
Every single year.
Oh, I'm sorry, I thought I had a patient.
Huh? Are you okay? Yeah, I just got shanghaied onto the day shift.
Late night, so a little pick-me-up Crockett Marcel.
Fourth year, surgery.
Noah Sexton.
Nice to meet you, Noah Sexton.
- You mind? - Sure.
Team work.
So, future E.
D.
doc, I presume? No.
I mean, yes, but, uh well, my real plan is to open some urgent cares after residency and try to grow the brand.
Maybe take it public.
Sounds ambitious.
Then again I don't even know how you folks manage to start so soon after last call.
Hmm Well, see you around.
Oh-ho-ho.
First day of school.
Dang, how long we been doing this for? Long enough you should know to get a better umbrella.
Are you aware that in some cultures, a downpour is considered very good luck? Really? In which cultures? I don't know dry places? Yemen.
Ooh, the power must've gone out.
The backup generator's kicking in.
I better go talk to engineering.
I'll see you later.
See you.
We must not be moving patients fast enough if they had time to deliver these.
Nice.
Actually, they're for Natalie.
They're from Phillip.
It's her first day back and all.
Oh.
Well, I'm sure they'll look great on her kitchen table.
Yeah.
[SOFT DRAMATIC MUSIC.]
Doctor Choi! An ambulance skidded out a couple blocks away.
They need help.
- I'm on it.
- Me too.
- You in? - Yeah.
Hey, Capp, anybody hurt? Driver here is okay, but the ambo patient's stable.
Older guy with chest pain, but the paramedic got it bad.
- He's still in there? - We're getting him out now.
[INDISTINCT CHATTER.]
[GROANS.]
[MOANING.]
[GROANS.]
Hang on.
Ahh, please! All right, nice and easy.
[SHOUTS.]
[SHRIEKING.]
Ready? - One, two, three.
- We got him.
Darren Darren, what happened? I smashed my hip.
- One to ten how's the pain? - Oh, man, it's a ten.
He's tachycardic and his pulse is thready.
- You think it's broken? - [SHRIEKS.]
We gotta go.
Let's go, let's go.
Hang in there, Darren.
We're getting you to Med.
Darren? Darren.
- What's happening? - He's bleeding out into his pelvis.
We gotta go.
- Easy, easy.
- This is Mr.
Lentz.
- Mr.
Lentz, what's going on? - [GROANING.]
- Pain in my chest.
- It's all right, we got you.
[COUGHING WEAKLY.]
Go, go, go, go, go, go, go.
Come on, come on, come on, come on.
- Yeah.
- Let's go! - Baghdad.
- Pressure in two units O-positive, get a pelvic binder, then activate the MTP.
Tachycardic and hypotensive.
- Steve, what's your plan? - Bind his pelvis.
Get X-Rays and CT to confirm, then interventional radiology to embolize the bleeders.
Good.
Let's transfer on my count.
- Everybody ready? - Yeah.
One, two, three.
Trauma labs, ABG, chest and pelvic X-Ray.
Pelvic binder.
Blood's on the way.
Okay, let's get ready to roll.
- Roll.
- [GROANING.]
Tell me as soon as you get the scans.
- I'll let IR know we're coming up.
- Okay.
[TENSE MUSIC.]
Bagged.
Okay, he's good.
Bolus a liter of saline.
I think we're gonna be in good shape.
Hold on, let me get you guys some dry scrubs.
No, no, no.
We're fine.
- [SQUEALS.]
- Aww.
Look who decided to show up.
Must be good to be back.
[GROANS.]
Much better than - sitting around at home.
- I bet.
How's Phillip? Oh, Phillip's great.
You know, he's been really helping out with Owen, giving me time to heal and rest.
But? But what? Nat Doctor Abrams said that I would have memory loss and that the loss might include some feelings.
I don't know.
I guess I'm just excited for them to come back.
- Yeah.
- Yeah.
Anyway, how are you? How was your vacation? Oh, it was just fine.
You know, just a little me time to recharge.
Natalie, it's good to see you well.
- Thanks, Jim.
- Four weeks, though Seems a little soon to come back from a traumatic brain injury.
Well, Doctor Abrams did clear me.
Well, Sam likes to get patients off his service.
Let's do a half shift today.
H&Ps only.
Probably best just to, uh, ease back in.
No I don't think that's necessary.
Doesn't look too bad.
70% stenosis in two vessels.
He's stable from the nitro, so I think we can treat conservatively.
Spoken like a true future urgent care mogul.
See? I listen.
Mr.
Lentz, no injuries from the ambo crash, I hear.
I've gone over your cath, and I'd like to schedule you for coronary artery bypass surgery.
Preferably today.
But Dr.
Marcel, the medicine worked.
I-I feel fine.
I understand, but you did suffer a heart attack this morning.
I'd like to prevent you from having another.
- There must be other ways.
- We could talk about other medical options or possibly revisit a stent down the road None of which, in my opinion, will solve the problem.
Now, I know this is not what you were expecting - Doctor Marcel - But I do ask that you trust me when I say that you might be one cheeseburger away from a far worse event than the one you experienced this morning.
[BREATHING HEAVILY.]
- You you really think so? - Yes, I do.
[PANTING.]
Well if if you say so.
- Okay.
- Good.
I'll talk to Doctor Latham, chief of CT surgery, and I'll get back to you with those details.
- Doctor Sexton? - Yeah, um You kind of gave him a hard sell on the surgery.
We should really give him all his options.
Hold on.
70% stenosis on a cath means a 95% blockage in three dimensions.
Coupled with a decreased LVF, I'd say his only other option right now is dying.
Why don't you come up and observe? Might be illuminating.
Yeah, Doctor Latham? Hi, Lacey, I'm Doctor Halstead.
This is student doctor Curry.
I hear you had a seizure at school today? Yeah, in the middle of calculus.
Has that ever happened before? No.
Any idea what caused it? Maybe the giant gas leak in our school.
We've been smelling it for weeks.
- And no one's fixed it? - No and I've been getting dizzy and nauseous and now I can't stop doing this.
The soccer state finals are tomorrow.
Yeah, is she gonna be okay? The arm motions when did those start? Today, after the seizure.
Hmm, okay.
Have either of you had any symptoms? - No.
- Nothing.
Uh, do you have any history of head injuries or trauma? No.
It it's a gas leak.
Can't you just test the air or my blood or something? That's exactly what we're gonna do.
Let me run some tests and talk to your school, while Ms.
Curry does a quick neuro exam.
- I need to get better.
- Understood.
We're gonna take good care of you.
Hey, we didn't have a nurse in there.
Could you get someone to draw up a CBC, CMP, and start her on IV and fluids? I got it.
- Hey.
- Hey.
- Welcome back.
- Thanks.
Go away for a few weeks and everything's different.
Connor's left and Ava? Oh, my God.
Yeah, that was, uh a horrible shock.
[GROANS.]
You look good.
I mean, you healed You healed up well.
Yeah.
And the concussion? I'm taking it slowly.
Sure.
Glad to have you back.
Hey hey, Will? Yeah? I'm sorry you had to find out the way you did.
About me and Phillip getting engaged.
But I guess that's what I was coming to your car to tell you.
Right.
I mean, I don't remember a lot from that day, but It makes sense.
[ALARM BLARES.]
I got a kid with a gunshot wound! T-1.
Doctor Lanik.
Taylor Holmes, 16, shot once through the right forearm and into the flank.
BP 103/60, heart rate 95.
They shot me.
Somebody shot me.
All right, let's move him.
One, two, three.
[TENSE MUSIC.]
So what happened out there? I don't know.
I was just waiting for the bus.
Am I in trouble? There's no law against getting shot.
Active bleeding from his flank.
Let's get some four-by-four dressings.
That's okay, I got this.
- Does it hurt anywhere else? - Uh-uh.
Can somebody call my mom? Don't worry, we will.
Okay, got the brachial.
Hemostat times two.
I'll apply pressure.
Get me some suction.
We're fine.
Doris? Hemostat.
[GASPING.]
[GROANING.]
See? Easy-peasy.
Your artery's clamped, but your flank wound is still bleeding, so we gotta get you up to surgery.
- I need an operation? - Yes, you do.
It'll fix you up.
Doctor Manning will take you right up in a minute.
You want me to transfer him? And write the note, thanks.
All right, let's move.
[GROANS.]
I'll take it from here.
Hey, where you going? Lanik's having me do transpo.
Are you serious? Anything to keep me from practicing medicine.
Huh well, welcome back, Doctor Manning.
Thanks.
Any word on when Doctor Latham's coming back in? He's still stuck in O.
R.
12.
Some suction, please.
All right, then.
Let's suture.
My first day, I'm taking this woman's history out in the chairs, when I feel this warm liquid all over my leg and I'm like, did she just pee on me? But I keep going until she says, "When are you gonna ask about my baby?" And I realize that her water just broke, but before I can say anything, she passes out cold 'cause now she's in a total eclamptic crisis.
What what happened? Whoa.
Everybody freeze.
Power must've gone out.
Those are the emergency lights, but the backup generator should kick in any second.
- Where we at? - I got nothing.
- Suction's out.
- Bypass is on battery.
Not sure how long we got.
Okay, I'm sure somebody's working on this.
Be ready to hand-crank the bypass.
You're keeping him under.
Can somebody get us some lights? We're stopped.
How come we're stopped? I don't know.
Hello? Is anyone out there? Hello? The whole hospital is gone.
Lights, computers, imaging, Pyxis.
What happened to the backup generator? It's totally flooded.
It's gonna take a few hours to get back on.
Automatic locks will be shut, elevators jammed.
We'll do a sweep to see if we can find anyone in trouble.
- Thank you.
- All right.
- Mags, where are we going? - All bets are off.
Take the Hybrid O.
R.
Here, you take this.
[TENSE MUSIC.]
Okay, let's get ready to transfer.
Everybody ready? Yeah, one, two, three.
Mo, change to a pressure bag, then send for four more units.
You think he's still losing blood? We're gonna find out now.
You ever check abdominal pressure with a Foley? - I've read about it.
- It's old-school.
Just put a catheter on the bag, then add a transducer with a three-way tap.
- Okay.
- Doctor Choi, - April, they need you in 3.
- Okay.
Hook it up to the a-line transducer, then watch the waveform.
If it gets above 30, - come and get me.
- Okay.
Let me help you with that.
April, I think they need all the help they can get out here.
- Steve, you good? - Yeah.
Yeah, I'm good.
[SIGHS.]
See, the water's coming in here from the edge.
So the backup generator is located below a storm drain? Are you serious? - Don't ask me.
- Don't ask you Look, you've gotta get this thing up and running.
Get as many men as you need.
It's still gonna take all day.
Northern Illinois Power will get a spare out to us.
Oh, this is ridiculous.
What is their ETA? Two hours? We'll have to send our critical care patients out.
We can't.
Lakeshore Memorial's already on bypass.
East Mercy's taking all the overflow.
So we have to keep 1,000 sick and dying patients alive with no lights, no medicine, no nothing? Well, we'll do the best we can and, Maggie, pace yourself.
Today's gonna be a marathon.
Stop cardioplegia and prepare to come off bypass.
Okay.
Removing cross-clamp.
He's not getting enough flow to his left anterior wall.
Can you up his output? Not enough to matter.
[SIGHS.]
Then we'll have to continue surgery.
We can't arrest him again.
He'll never come off the bypass.
Fine.
Then we'll do it off pump.
But you can't sew a vessel into a beating heart.
That's almost impossible even with electricity.
Graft is down.
We don't have a choice.
But a-a bad anastomosis and he'll clot off.
It'll kill him.
Well, then we'll just have to do a good one.
Speaking of which, do me a favor and scrub in.
I could use the extra hands.
Man, I know it's hot in here, but I'm kind of freezing.
[SHIVERING.]
- Here.
- Hey, anybody down there? Yes, hello! I've got a patient in here.
Here, hang on.
Someone's coming, okay? Natalie, what do we got? He's losing blood.
We need to get him to surgery.
All right, sit him up.
I'll get a sked down to bring him out.
Whoa, that that doesn't feel so good.
[MACHINE BEEPING.]
What's wrong? He can't maintain pressure sitting up.
Can he stay up long enough to pull him out? Taylor? Taylor.
No, it's not gonna happen.
Get me four units of uncrossmatched blood.
I need to stabilize him before I - [GROANS.]
- Hey, you okay? Yeah, Matt, I'm fine.
[MOANING.]
What what happened? You blacked out for a minute, but we're gonna get you some blood, okay? All right.
I'll get that blood to you as soon as I can.
Thank you.
Just hang in there, okay? Why is this happening? Finally, a doctor.
Have you figured out what's going on? No, the lab went down before they could run Lacey's blood.
What kind of a hospital is this? Mom I apologize for the circumstances.
- We're trying to remedy it.
- So what do we do next? Unfortunately, we can't do much.
I've called neurology, but it It's gonna be a long wait.
It's just a gas leak.
Please, just give me some medicine or something.
Treatment for inhalation is supportive.
The symptoms they have to wear off over time.
She doesn't have time.
She needs to get to soccer practice.
Yeah, the finals are tomorrow.
I gotta be honest.
Given what I'm seeing, I'm not optimistic about you playing in that game.
- What? - You can't do that.
It's the state finals.
We need her! Doctor Halstead, I have to play.
Everyone's counting on me and I've been working so hard.
I can't let them down now.
I can't.
[SOBS.]
- You need to figure this out.
- I hear you.
We are doing our best.
Just try to take it easy, relax, and let us take care of you.
I'm gonna find out what's going on with the power and hopefully we'll have some answers soon.
We're low on fluids.
Only if they need them.
Mags, any word on the new genny? Still uptown, not even on the truck yet.
Be nice to get the air back up, huh? Yeah I'm frying like an egg.
Doctor Choi.
It's Darren.
[MACHINE BEEPING.]
The waveform broke 30.
Airway pressure's too high.
Give me a scalpel.
What's this for? Abdominal compartment syndrome.
Wait, you think that's all blood in there? Pelvic hematoma must've ruptured.
The pressure's so high, he's not getting any blood back to his heart.
But if we can't get him upstairs to the O.
R.
, how are we gonna take care of him? Oh, my God.
All right.
Let's pack him.
Hey hey, Steve.
Look at me.
Two more minutes, he would've died.
You saved his life.
Now come on.
Let's pack him up and build a bag for those intestines.
Okay.
Okay.
All right, thanks.
Will, your patient with the tics.
- Yeah.
- What what are you thinking? Good question.
Uh, the fire department just told me the school's clean, so that rules out gas leak.
She seems pretty anxious.
You mind if I pop in and say hi? Yeah, sure.
I don't know if we're gonna get any real answers till neuro gets here, but - Doctor Halstead! - It's okay.
- What's happening? - Help me get her on her side.
She's seizing! Two milligrams ativan IM.
You got it.
Step aside.
Okay, okay.
So, you weren't experiencing any symptoms at all? No warning it just came up out of nowhere? - Yeah.
- Huh.
Calculus, wow.
I'm I'm very impressed that you can concentrate on that right now.
AP test is in a week.
I don't have a choice.
Well, I'm sure that we can arrange for a medical extension under the circumstances People with medical extensions don't get into Princeton.
Oh, my God I think I'm gonna puke.
Okay, wait a second.
Let me get you something.
There you go.
Yeah, okay.
Okay.
You're fine.
- I'll check back.
- Yeah.
There you go.
I'll be right back, okay? We don't have a choice.
We need to put them in isolation.
You don't know what it is.
Could be environmental or drugs Her symptoms came on awfully quickly, didn't they? As of right now, infection's top of the list.
All right, then start the isolation protocol.
Okay.
Maggie, I want you to put another nurse on this case.
Sharon, everyone's got too much on their plate.
- I'm fine.
- You had a lumpectomy for breast cancer two weeks ago, and now you're on chemo.
You're immunocompromised.
And we don't know what these girls have.
I'm going to be careful.
Don't worry.
[TENSE MUSIC.]
[MACHINE BEEPING RAPIDLY.]
- Pressure's tanking again.
- Release the heart.
All right, we need an intra-aortic balloon pump.
It's the only way to hold his pressure - while we sew on the graft.
- But we can't X-Ray to see if it's in the right place.
So I'm gonna need you to put your hand in there to let me know when I'm in.
Don't be afraid to squeeze.
- You feel it? - I-I don't know.
I think so.
Yeah? Okay, turn on the pump.
[MACHINE BEEPING.]
Heart rate's down to 63.
- 54 - It went up too far.
- How high is it? - I don't know We're cutting off blood to his brain.
I need to know.
- Yeah, five centimeters.
- Okay, stop the pump.
Okay, turn on the pump.
- Marty? - Weight and pressure are good.
All right.
Is he gonna be okay? Did he have a stroke? We'll find out when he wakes up.
Okay, needle driver back to me.
No then you go back and you look harder, Roger.
- Sorry.
- Hey where's your stash? - My snacks? - Yeah.
Are you feeling okay? Yeah, it's for that med student, Steve.
He hasn't stopped for a minute all day.
I'm just a little worried about him.
- Here.
- Thanks.
- How's he doing? - I'm trying to warm the blood up for him, but his temp's down to 96 and if he gets any more hypothermic, it's just gonna make him bleed even more, so I mean I Well, he's stable right now, so why don't you take a quick break, okay? Ah, thanks.
- Mm-hmm.
- But I'm fine.
Just life in the E.
D.
, right? Doctor Choi told you his first day pregnant lady story, didn't he? - Yeah.
- Yeah It's not always like that.
He doesn't tell stories about all the earaches and runny noses.
April, they need you back at 3.
Okay, but first, get something in you.
No time.
Vents are starting to fail and we're running out of hands.
Where do you need me? Eat, change your scrubs, then I'll find where you can help out.
April.
Fine, but you're going to 3.
[SPLUTTERING.]
This is the third one.
We need to evacuate the E.
D.
Patient care is already stretched to the limit.
We don't have the manpower.
I know what I'm asking for, but are we willing to risk a massive outbreak? This could be a superbug, bacterial meningitis Then again, these young women are under a phenomenal amount of stress, aren't they? Stress? We're not talking headaches and fatigue here.
These girls are having seizures.
- Elsa - Doctor Halstead! Oh, no.
Come on, come on What happened? It's okay, I'm fine.
I'm fine.
You are burning up.
Ms.
Goodwin, we need to evacuate.
- Okay, do it.
- Wait, wait.
Thirty minutes.
I need 30 minutes and all three of them in one room.
I'm sorry, are you crazy? Look, if it's an infection, they've already all got it.
- Thirty minutes.
- Thirty minutes, Daniel.
No more.
Come on, Maggie.
You good? - Yeah - Let's go.
Let's go.
Dr.
Manning, I'm really scared.
Did he get the blood? No.
Said there's nothing left.
The whole hospital is out.
[MACHINE BEEPING.]
Taylor His sats are dropping.
I need to intubate now.
Here you go.
[WINCES.]
- Want me to do it? - No, I got it.
[EXHALES.]
Okay.
- Come on, Taylor, come on.
- [GAGGING.]
Ah, come on.
[GROANING.]
Damn it.
Let me do it.
No, he's just irritated and swollen.
- Natalie.
- [SIGHS.]
All right, make sure you can see the cords, okay? I got it.
Go nice and slow.
Don't force it.
There.
I'm in.
- His sats are coming up.
- Tell me what else you need.
Get Doctor Lanik.
- Hi, I'm Doctor Charles.
- What's going on? Did you get our test results back? Not yet.
Do you know what's happening to us? I think I do and this medicine should address your symptoms.
Is it another antibiotic? Actually, it's not But Doctor Halstead said this was an infection.
And it must be affecting our nervous systems.
And that very well could be.
um listen, this might make you a little groggy, even relax you a little.
[SUSPENSEFUL MUSIC.]
I don't care, as long as it works.
[PANTING.]
[SIGHS.]
Finally a generator.
Just need to fuel her up.
You got your connections pre-installed, or do we need to lay cable down from here? No, we're all set.
Come on, let's go.
- Let's go.
- Hey How long till the power's back? - Five, ten minutes at most.
- April, it's Darren.
[MACHINE BEEPING.]
His pressure and sats are tanking.
He's gonna code.
We need an ER REBOA.
Inflating a balloon above his pelvis will stop the bleeding till we get the power back.
He won't make it all the way back to IR.
No we're gonna do it here.
Call trauma.
If we can stop the bleeding, they need to ligate his iliacs stat.
You don't think this is gonna work, do you? VFib.
Grab the paddles.
[MACHINE BEEPING.]
No, no, you.
- Charged to 200.
- You're charged do it.
- Do it! - Okay clear.
[MACHINE BEEPING.]
- Did you find Doctor Lanik? - He's stuck in the E.
D.
Well, we're running out of time.
- I think he's gonna arrest.
- What do we do? Get me a thoracotomy tray.
We need to divert whatever blood he has left to his heart and his brain.
- How are we gonna do that? - We're gonna clamp his aorta.
You're gonna open his chest? Here? - Yep.
- And what if we can't find it? I don't know.
I've never done it before.
- Pressure's dropping.
- I'm working on it.
Okay let's open him up.
Easy.
Clip's off.
Left anterior wall still isn't moving.
There it goes.
Yes! Sorry.
[CHUCKLES.]
Well, look at that.
Can you feel it? No, not yet.
Wait I almost got it.
[SIGHS.]
Still in VFib.
- Do it.
- Okay clear.
Clear.
Sinus rhythm.
Get me a chest X-Ray.
Everybody clear.
Is he still bleeding? Where's the balloon? There right above the diaphragm.
Vitals are holding.
Bleeding stopped.
He's good.
[MACHINE BEEPING STEADILY.]
I got it.
Wow.
Let's go, let's go.
Doris, get those vents up and running.
Doctor Lanik, triage surgical patients and get them up to the O.
R.
- Angel, you're with me.
- Everybody, let's move! Get me the charge nurse in the ICU.
Doctor Choi, trauma's here.
[EXHALES.]
Hey.
- We did it.
- [BREATHING HEAVILY.]
Heard you did the sloppiest thoracotomy Trauma's ever seen.
- Nice job today.
- Thanks.
Doesn't mean I'm not still keeping an eye on you.
Everything came back normal on all three girls.
All right, this makes no sense.
It's been 30 minutes.
Why aren't we evacuating? I have no idea.
They stopped twitching.
- What did you do? - Um Tic Tacs.
You gave them a placebo? Orange ones have been my go-to of late.
Don't get me wrong, they're gonna need some therapy, you know, figure out that the weight of the world isn't on their shoulders.
Maybe a little family work.
What do you mean? You ever hear of mass psychogenic illness? Yeah, like mass hysteria, right? Very easy to misdiagnose.
I mean, in Salem, they called it witchcraft.
So the seizures and the tremors You're telling me really were from Stress and anxiety manifested as physical symptoms spread through social groups by unconscious imitation.
Happens a lot more than you think.
Remarkable how far our brains will go to avoid dealing with emotions we don't wanna confront.
Hey, uh, either way, Doctor Halstead You did the right thing today.
Wait.
How's Maggie? Uh, she says she's fine.
Thinks it must've just been the heat.
Good all right, let's get her out of isolation.
Okay.
- Natalie.
- Yeah? That night, it didn't feel like you were coming to tell me you were engaged.
What? In my car I think you were coming to tell me something else.
Uh, I'm I'm sorry, Will, I'm just I've had a really long day.
Of course.
I'm sorry.
Good night.
Wait.
I just have to ask Do you love him? Phillip? Are you sure? Am I sure that I love him? Just tell me.
Do you? You know what? My relationship with Phillip is the only thing in my life that's working right now.
Hey, guys.
Hi, you.
[INDISTINCT CHATTER.]
- Uh, Doctor Marcel? - Yeah.
I am really sorry about screwing up the pump.
I could've killed him.
Are you kidding? We were doing surgery on a beating heart with no electricity.
As far as I can tell, you got a great set of hands.
I'm sure they'll come of use in your urgent cares.
The right specialty A surgeon can still make good money, right? Yeah Ortho, CT, neuro.
And with the right team? Oof.
Hey.
Good day today.
- We'll see you tomorrow.
- No, I'm not coming back.
What do you mean? I love medicine, but what we did today I can't do that every day for the rest of my life.
Hey, come on.
It was a crazy day.
I know, I just I just can't.
[SIGHS.]
- Was I too hard on him? - No, not too hard on him.
Just focused on getting our patients what they needed.
So I missed seeing what he needed.
Babe, you are such a good doctor.
Sometimes we get so caught up taking care of everyone else, we forget to take care of each other.
No you don't.
You don't forget.
You're always so mindful of everyone, so aware, so caring.
I know we said someday, but you'd make the best mom ever.
- I love you.
- I love you.
Give me an hour to get to O'Hare.
- You'll never see me again.
- No.
We could have been so happy.
No! No, no, no, no, no, no, no! I need help in here! I'm leaving Med.
I'm never gonna be able to get past what happened here.
I need a fresh start.
I heard Dr.
Manning was in an accident? - Dr.
Marcel.
- Who are you? I'm her fiancé.
I'm so sorry, Natalie.
What are you doing here? I don't want you coming around here again.
- We're getting married.
- What? I don't remember you asking me to marry you.
You will.
They found a mass.
Metastatic adenocarcinoma.
I don't want anyone to know.
I don't want to be the sick person.
[DRAMATIC MUSIC.]
[THUNDER CRASHING.]
[RAIN POURING.]
God, when is it gonna stop? Hey, um, I'm sorry I think it's empty? Oh, hold on.
I need to get you unhooked.
I just don't wanna be late for work.
Work? You just got a bag of chemo.
You need to go home and get some rest.
Uh-uh.
It's my friend's first day back after an injury.
And besides, I have an E.
D.
to run.
- At Med? - Yeah.
They have a huge infusion center.
You don't have to come all the way over here.
I like to keep things separate.
And besides, I love what you're doing with the doughnuts.
Careful if you're driving.
Roads are a mess.
Yeah, thanks.
Third year of med school will not only be the most difficult of your lives, but also the most important.
Anyone know how many patients come through our E.
D.
in a single year? 105,000.
18,000 acute and 4,600 active traumas.
That's right.
You thinking about going into E.
D.
med? Is there anything else? Anyway, for each of you, the E.
D.
will be both a challenge and an opportunity to sharpen your skills.
He loves giving this lecture, doesn't he? He's the only one who volunteers.
Every single year.
Oh, I'm sorry, I thought I had a patient.
Huh? Are you okay? Yeah, I just got shanghaied onto the day shift.
Late night, so a little pick-me-up Crockett Marcel.
Fourth year, surgery.
Noah Sexton.
Nice to meet you, Noah Sexton.
- You mind? - Sure.
Team work.
So, future E.
D.
doc, I presume? No.
I mean, yes, but, uh well, my real plan is to open some urgent cares after residency and try to grow the brand.
Maybe take it public.
Sounds ambitious.
Then again I don't even know how you folks manage to start so soon after last call.
Hmm Well, see you around.
Oh-ho-ho.
First day of school.
Dang, how long we been doing this for? Long enough you should know to get a better umbrella.
Are you aware that in some cultures, a downpour is considered very good luck? Really? In which cultures? I don't know dry places? Yemen.
Ooh, the power must've gone out.
The backup generator's kicking in.
I better go talk to engineering.
I'll see you later.
See you.
We must not be moving patients fast enough if they had time to deliver these.
Nice.
Actually, they're for Natalie.
They're from Phillip.
It's her first day back and all.
Oh.
Well, I'm sure they'll look great on her kitchen table.
Yeah.
[SOFT DRAMATIC MUSIC.]
Doctor Choi! An ambulance skidded out a couple blocks away.
They need help.
- I'm on it.
- Me too.
- You in? - Yeah.
Hey, Capp, anybody hurt? Driver here is okay, but the ambo patient's stable.
Older guy with chest pain, but the paramedic got it bad.
- He's still in there? - We're getting him out now.
[INDISTINCT CHATTER.]
[GROANS.]
[MOANING.]
[GROANS.]
Hang on.
Ahh, please! All right, nice and easy.
[SHOUTS.]
[SHRIEKING.]
Ready? - One, two, three.
- We got him.
Darren Darren, what happened? I smashed my hip.
- One to ten how's the pain? - Oh, man, it's a ten.
He's tachycardic and his pulse is thready.
- You think it's broken? - [SHRIEKS.]
We gotta go.
Let's go, let's go.
Hang in there, Darren.
We're getting you to Med.
Darren? Darren.
- What's happening? - He's bleeding out into his pelvis.
We gotta go.
- Easy, easy.
- This is Mr.
Lentz.
- Mr.
Lentz, what's going on? - [GROANING.]
- Pain in my chest.
- It's all right, we got you.
[COUGHING WEAKLY.]
Go, go, go, go, go, go, go.
Come on, come on, come on, come on.
- Yeah.
- Let's go! - Baghdad.
- Pressure in two units O-positive, get a pelvic binder, then activate the MTP.
Tachycardic and hypotensive.
- Steve, what's your plan? - Bind his pelvis.
Get X-Rays and CT to confirm, then interventional radiology to embolize the bleeders.
Good.
Let's transfer on my count.
- Everybody ready? - Yeah.
One, two, three.
Trauma labs, ABG, chest and pelvic X-Ray.
Pelvic binder.
Blood's on the way.
Okay, let's get ready to roll.
- Roll.
- [GROANING.]
Tell me as soon as you get the scans.
- I'll let IR know we're coming up.
- Okay.
[TENSE MUSIC.]
Bagged.
Okay, he's good.
Bolus a liter of saline.
I think we're gonna be in good shape.
Hold on, let me get you guys some dry scrubs.
No, no, no.
We're fine.
- [SQUEALS.]
- Aww.
Look who decided to show up.
Must be good to be back.
[GROANS.]
Much better than - sitting around at home.
- I bet.
How's Phillip? Oh, Phillip's great.
You know, he's been really helping out with Owen, giving me time to heal and rest.
But? But what? Nat Doctor Abrams said that I would have memory loss and that the loss might include some feelings.
I don't know.
I guess I'm just excited for them to come back.
- Yeah.
- Yeah.
Anyway, how are you? How was your vacation? Oh, it was just fine.
You know, just a little me time to recharge.
Natalie, it's good to see you well.
- Thanks, Jim.
- Four weeks, though Seems a little soon to come back from a traumatic brain injury.
Well, Doctor Abrams did clear me.
Well, Sam likes to get patients off his service.
Let's do a half shift today.
H&Ps only.
Probably best just to, uh, ease back in.
No I don't think that's necessary.
Doesn't look too bad.
70% stenosis in two vessels.
He's stable from the nitro, so I think we can treat conservatively.
Spoken like a true future urgent care mogul.
See? I listen.
Mr.
Lentz, no injuries from the ambo crash, I hear.
I've gone over your cath, and I'd like to schedule you for coronary artery bypass surgery.
Preferably today.
But Dr.
Marcel, the medicine worked.
I-I feel fine.
I understand, but you did suffer a heart attack this morning.
I'd like to prevent you from having another.
- There must be other ways.
- We could talk about other medical options or possibly revisit a stent down the road None of which, in my opinion, will solve the problem.
Now, I know this is not what you were expecting - Doctor Marcel - But I do ask that you trust me when I say that you might be one cheeseburger away from a far worse event than the one you experienced this morning.
[BREATHING HEAVILY.]
- You you really think so? - Yes, I do.
[PANTING.]
Well if if you say so.
- Okay.
- Good.
I'll talk to Doctor Latham, chief of CT surgery, and I'll get back to you with those details.
- Doctor Sexton? - Yeah, um You kind of gave him a hard sell on the surgery.
We should really give him all his options.
Hold on.
70% stenosis on a cath means a 95% blockage in three dimensions.
Coupled with a decreased LVF, I'd say his only other option right now is dying.
Why don't you come up and observe? Might be illuminating.
Yeah, Doctor Latham? Hi, Lacey, I'm Doctor Halstead.
This is student doctor Curry.
I hear you had a seizure at school today? Yeah, in the middle of calculus.
Has that ever happened before? No.
Any idea what caused it? Maybe the giant gas leak in our school.
We've been smelling it for weeks.
- And no one's fixed it? - No and I've been getting dizzy and nauseous and now I can't stop doing this.
The soccer state finals are tomorrow.
Yeah, is she gonna be okay? The arm motions when did those start? Today, after the seizure.
Hmm, okay.
Have either of you had any symptoms? - No.
- Nothing.
Uh, do you have any history of head injuries or trauma? No.
It it's a gas leak.
Can't you just test the air or my blood or something? That's exactly what we're gonna do.
Let me run some tests and talk to your school, while Ms.
Curry does a quick neuro exam.
- I need to get better.
- Understood.
We're gonna take good care of you.
Hey, we didn't have a nurse in there.
Could you get someone to draw up a CBC, CMP, and start her on IV and fluids? I got it.
- Hey.
- Hey.
- Welcome back.
- Thanks.
Go away for a few weeks and everything's different.
Connor's left and Ava? Oh, my God.
Yeah, that was, uh a horrible shock.
[GROANS.]
You look good.
I mean, you healed You healed up well.
Yeah.
And the concussion? I'm taking it slowly.
Sure.
Glad to have you back.
Hey hey, Will? Yeah? I'm sorry you had to find out the way you did.
About me and Phillip getting engaged.
But I guess that's what I was coming to your car to tell you.
Right.
I mean, I don't remember a lot from that day, but It makes sense.
[ALARM BLARES.]
I got a kid with a gunshot wound! T-1.
Doctor Lanik.
Taylor Holmes, 16, shot once through the right forearm and into the flank.
BP 103/60, heart rate 95.
They shot me.
Somebody shot me.
All right, let's move him.
One, two, three.
[TENSE MUSIC.]
So what happened out there? I don't know.
I was just waiting for the bus.
Am I in trouble? There's no law against getting shot.
Active bleeding from his flank.
Let's get some four-by-four dressings.
That's okay, I got this.
- Does it hurt anywhere else? - Uh-uh.
Can somebody call my mom? Don't worry, we will.
Okay, got the brachial.
Hemostat times two.
I'll apply pressure.
Get me some suction.
We're fine.
Doris? Hemostat.
[GASPING.]
[GROANING.]
See? Easy-peasy.
Your artery's clamped, but your flank wound is still bleeding, so we gotta get you up to surgery.
- I need an operation? - Yes, you do.
It'll fix you up.
Doctor Manning will take you right up in a minute.
You want me to transfer him? And write the note, thanks.
All right, let's move.
[GROANS.]
I'll take it from here.
Hey, where you going? Lanik's having me do transpo.
Are you serious? Anything to keep me from practicing medicine.
Huh well, welcome back, Doctor Manning.
Thanks.
Any word on when Doctor Latham's coming back in? He's still stuck in O.
R.
12.
Some suction, please.
All right, then.
Let's suture.
My first day, I'm taking this woman's history out in the chairs, when I feel this warm liquid all over my leg and I'm like, did she just pee on me? But I keep going until she says, "When are you gonna ask about my baby?" And I realize that her water just broke, but before I can say anything, she passes out cold 'cause now she's in a total eclamptic crisis.
What what happened? Whoa.
Everybody freeze.
Power must've gone out.
Those are the emergency lights, but the backup generator should kick in any second.
- Where we at? - I got nothing.
- Suction's out.
- Bypass is on battery.
Not sure how long we got.
Okay, I'm sure somebody's working on this.
Be ready to hand-crank the bypass.
You're keeping him under.
Can somebody get us some lights? We're stopped.
How come we're stopped? I don't know.
Hello? Is anyone out there? Hello? The whole hospital is gone.
Lights, computers, imaging, Pyxis.
What happened to the backup generator? It's totally flooded.
It's gonna take a few hours to get back on.
Automatic locks will be shut, elevators jammed.
We'll do a sweep to see if we can find anyone in trouble.
- Thank you.
- All right.
- Mags, where are we going? - All bets are off.
Take the Hybrid O.
R.
Here, you take this.
[TENSE MUSIC.]
Okay, let's get ready to transfer.
Everybody ready? Yeah, one, two, three.
Mo, change to a pressure bag, then send for four more units.
You think he's still losing blood? We're gonna find out now.
You ever check abdominal pressure with a Foley? - I've read about it.
- It's old-school.
Just put a catheter on the bag, then add a transducer with a three-way tap.
- Okay.
- Doctor Choi, - April, they need you in 3.
- Okay.
Hook it up to the a-line transducer, then watch the waveform.
If it gets above 30, - come and get me.
- Okay.
Let me help you with that.
April, I think they need all the help they can get out here.
- Steve, you good? - Yeah.
Yeah, I'm good.
[SIGHS.]
See, the water's coming in here from the edge.
So the backup generator is located below a storm drain? Are you serious? - Don't ask me.
- Don't ask you Look, you've gotta get this thing up and running.
Get as many men as you need.
It's still gonna take all day.
Northern Illinois Power will get a spare out to us.
Oh, this is ridiculous.
What is their ETA? Two hours? We'll have to send our critical care patients out.
We can't.
Lakeshore Memorial's already on bypass.
East Mercy's taking all the overflow.
So we have to keep 1,000 sick and dying patients alive with no lights, no medicine, no nothing? Well, we'll do the best we can and, Maggie, pace yourself.
Today's gonna be a marathon.
Stop cardioplegia and prepare to come off bypass.
Okay.
Removing cross-clamp.
He's not getting enough flow to his left anterior wall.
Can you up his output? Not enough to matter.
[SIGHS.]
Then we'll have to continue surgery.
We can't arrest him again.
He'll never come off the bypass.
Fine.
Then we'll do it off pump.
But you can't sew a vessel into a beating heart.
That's almost impossible even with electricity.
Graft is down.
We don't have a choice.
But a-a bad anastomosis and he'll clot off.
It'll kill him.
Well, then we'll just have to do a good one.
Speaking of which, do me a favor and scrub in.
I could use the extra hands.
Man, I know it's hot in here, but I'm kind of freezing.
[SHIVERING.]
- Here.
- Hey, anybody down there? Yes, hello! I've got a patient in here.
Here, hang on.
Someone's coming, okay? Natalie, what do we got? He's losing blood.
We need to get him to surgery.
All right, sit him up.
I'll get a sked down to bring him out.
Whoa, that that doesn't feel so good.
[MACHINE BEEPING.]
What's wrong? He can't maintain pressure sitting up.
Can he stay up long enough to pull him out? Taylor? Taylor.
No, it's not gonna happen.
Get me four units of uncrossmatched blood.
I need to stabilize him before I - [GROANS.]
- Hey, you okay? Yeah, Matt, I'm fine.
[MOANING.]
What what happened? You blacked out for a minute, but we're gonna get you some blood, okay? All right.
I'll get that blood to you as soon as I can.
Thank you.
Just hang in there, okay? Why is this happening? Finally, a doctor.
Have you figured out what's going on? No, the lab went down before they could run Lacey's blood.
What kind of a hospital is this? Mom I apologize for the circumstances.
- We're trying to remedy it.
- So what do we do next? Unfortunately, we can't do much.
I've called neurology, but it It's gonna be a long wait.
It's just a gas leak.
Please, just give me some medicine or something.
Treatment for inhalation is supportive.
The symptoms they have to wear off over time.
She doesn't have time.
She needs to get to soccer practice.
Yeah, the finals are tomorrow.
I gotta be honest.
Given what I'm seeing, I'm not optimistic about you playing in that game.
- What? - You can't do that.
It's the state finals.
We need her! Doctor Halstead, I have to play.
Everyone's counting on me and I've been working so hard.
I can't let them down now.
I can't.
[SOBS.]
- You need to figure this out.
- I hear you.
We are doing our best.
Just try to take it easy, relax, and let us take care of you.
I'm gonna find out what's going on with the power and hopefully we'll have some answers soon.
We're low on fluids.
Only if they need them.
Mags, any word on the new genny? Still uptown, not even on the truck yet.
Be nice to get the air back up, huh? Yeah I'm frying like an egg.
Doctor Choi.
It's Darren.
[MACHINE BEEPING.]
The waveform broke 30.
Airway pressure's too high.
Give me a scalpel.
What's this for? Abdominal compartment syndrome.
Wait, you think that's all blood in there? Pelvic hematoma must've ruptured.
The pressure's so high, he's not getting any blood back to his heart.
But if we can't get him upstairs to the O.
R.
, how are we gonna take care of him? Oh, my God.
All right.
Let's pack him.
Hey hey, Steve.
Look at me.
Two more minutes, he would've died.
You saved his life.
Now come on.
Let's pack him up and build a bag for those intestines.
Okay.
Okay.
All right, thanks.
Will, your patient with the tics.
- Yeah.
- What what are you thinking? Good question.
Uh, the fire department just told me the school's clean, so that rules out gas leak.
She seems pretty anxious.
You mind if I pop in and say hi? Yeah, sure.
I don't know if we're gonna get any real answers till neuro gets here, but - Doctor Halstead! - It's okay.
- What's happening? - Help me get her on her side.
She's seizing! Two milligrams ativan IM.
You got it.
Step aside.
Okay, okay.
So, you weren't experiencing any symptoms at all? No warning it just came up out of nowhere? - Yeah.
- Huh.
Calculus, wow.
I'm I'm very impressed that you can concentrate on that right now.
AP test is in a week.
I don't have a choice.
Well, I'm sure that we can arrange for a medical extension under the circumstances People with medical extensions don't get into Princeton.
Oh, my God I think I'm gonna puke.
Okay, wait a second.
Let me get you something.
There you go.
Yeah, okay.
Okay.
You're fine.
- I'll check back.
- Yeah.
There you go.
I'll be right back, okay? We don't have a choice.
We need to put them in isolation.
You don't know what it is.
Could be environmental or drugs Her symptoms came on awfully quickly, didn't they? As of right now, infection's top of the list.
All right, then start the isolation protocol.
Okay.
Maggie, I want you to put another nurse on this case.
Sharon, everyone's got too much on their plate.
- I'm fine.
- You had a lumpectomy for breast cancer two weeks ago, and now you're on chemo.
You're immunocompromised.
And we don't know what these girls have.
I'm going to be careful.
Don't worry.
[TENSE MUSIC.]
[MACHINE BEEPING RAPIDLY.]
- Pressure's tanking again.
- Release the heart.
All right, we need an intra-aortic balloon pump.
It's the only way to hold his pressure - while we sew on the graft.
- But we can't X-Ray to see if it's in the right place.
So I'm gonna need you to put your hand in there to let me know when I'm in.
Don't be afraid to squeeze.
- You feel it? - I-I don't know.
I think so.
Yeah? Okay, turn on the pump.
[MACHINE BEEPING.]
Heart rate's down to 63.
- 54 - It went up too far.
- How high is it? - I don't know We're cutting off blood to his brain.
I need to know.
- Yeah, five centimeters.
- Okay, stop the pump.
Okay, turn on the pump.
- Marty? - Weight and pressure are good.
All right.
Is he gonna be okay? Did he have a stroke? We'll find out when he wakes up.
Okay, needle driver back to me.
No then you go back and you look harder, Roger.
- Sorry.
- Hey where's your stash? - My snacks? - Yeah.
Are you feeling okay? Yeah, it's for that med student, Steve.
He hasn't stopped for a minute all day.
I'm just a little worried about him.
- Here.
- Thanks.
- How's he doing? - I'm trying to warm the blood up for him, but his temp's down to 96 and if he gets any more hypothermic, it's just gonna make him bleed even more, so I mean I Well, he's stable right now, so why don't you take a quick break, okay? Ah, thanks.
- Mm-hmm.
- But I'm fine.
Just life in the E.
D.
, right? Doctor Choi told you his first day pregnant lady story, didn't he? - Yeah.
- Yeah It's not always like that.
He doesn't tell stories about all the earaches and runny noses.
April, they need you back at 3.
Okay, but first, get something in you.
No time.
Vents are starting to fail and we're running out of hands.
Where do you need me? Eat, change your scrubs, then I'll find where you can help out.
April.
Fine, but you're going to 3.
[SPLUTTERING.]
This is the third one.
We need to evacuate the E.
D.
Patient care is already stretched to the limit.
We don't have the manpower.
I know what I'm asking for, but are we willing to risk a massive outbreak? This could be a superbug, bacterial meningitis Then again, these young women are under a phenomenal amount of stress, aren't they? Stress? We're not talking headaches and fatigue here.
These girls are having seizures.
- Elsa - Doctor Halstead! Oh, no.
Come on, come on What happened? It's okay, I'm fine.
I'm fine.
You are burning up.
Ms.
Goodwin, we need to evacuate.
- Okay, do it.
- Wait, wait.
Thirty minutes.
I need 30 minutes and all three of them in one room.
I'm sorry, are you crazy? Look, if it's an infection, they've already all got it.
- Thirty minutes.
- Thirty minutes, Daniel.
No more.
Come on, Maggie.
You good? - Yeah - Let's go.
Let's go.
Dr.
Manning, I'm really scared.
Did he get the blood? No.
Said there's nothing left.
The whole hospital is out.
[MACHINE BEEPING.]
Taylor His sats are dropping.
I need to intubate now.
Here you go.
[WINCES.]
- Want me to do it? - No, I got it.
[EXHALES.]
Okay.
- Come on, Taylor, come on.
- [GAGGING.]
Ah, come on.
[GROANING.]
Damn it.
Let me do it.
No, he's just irritated and swollen.
- Natalie.
- [SIGHS.]
All right, make sure you can see the cords, okay? I got it.
Go nice and slow.
Don't force it.
There.
I'm in.
- His sats are coming up.
- Tell me what else you need.
Get Doctor Lanik.
- Hi, I'm Doctor Charles.
- What's going on? Did you get our test results back? Not yet.
Do you know what's happening to us? I think I do and this medicine should address your symptoms.
Is it another antibiotic? Actually, it's not But Doctor Halstead said this was an infection.
And it must be affecting our nervous systems.
And that very well could be.
um listen, this might make you a little groggy, even relax you a little.
[SUSPENSEFUL MUSIC.]
I don't care, as long as it works.
[PANTING.]
[SIGHS.]
Finally a generator.
Just need to fuel her up.
You got your connections pre-installed, or do we need to lay cable down from here? No, we're all set.
Come on, let's go.
- Let's go.
- Hey How long till the power's back? - Five, ten minutes at most.
- April, it's Darren.
[MACHINE BEEPING.]
His pressure and sats are tanking.
He's gonna code.
We need an ER REBOA.
Inflating a balloon above his pelvis will stop the bleeding till we get the power back.
He won't make it all the way back to IR.
No we're gonna do it here.
Call trauma.
If we can stop the bleeding, they need to ligate his iliacs stat.
You don't think this is gonna work, do you? VFib.
Grab the paddles.
[MACHINE BEEPING.]
No, no, you.
- Charged to 200.
- You're charged do it.
- Do it! - Okay clear.
[MACHINE BEEPING.]
- Did you find Doctor Lanik? - He's stuck in the E.
D.
Well, we're running out of time.
- I think he's gonna arrest.
- What do we do? Get me a thoracotomy tray.
We need to divert whatever blood he has left to his heart and his brain.
- How are we gonna do that? - We're gonna clamp his aorta.
You're gonna open his chest? Here? - Yep.
- And what if we can't find it? I don't know.
I've never done it before.
- Pressure's dropping.
- I'm working on it.
Okay let's open him up.
Easy.
Clip's off.
Left anterior wall still isn't moving.
There it goes.
Yes! Sorry.
[CHUCKLES.]
Well, look at that.
Can you feel it? No, not yet.
Wait I almost got it.
[SIGHS.]
Still in VFib.
- Do it.
- Okay clear.
Clear.
Sinus rhythm.
Get me a chest X-Ray.
Everybody clear.
Is he still bleeding? Where's the balloon? There right above the diaphragm.
Vitals are holding.
Bleeding stopped.
He's good.
[MACHINE BEEPING STEADILY.]
I got it.
Wow.
Let's go, let's go.
Doris, get those vents up and running.
Doctor Lanik, triage surgical patients and get them up to the O.
R.
- Angel, you're with me.
- Everybody, let's move! Get me the charge nurse in the ICU.
Doctor Choi, trauma's here.
[EXHALES.]
Hey.
- We did it.
- [BREATHING HEAVILY.]
Heard you did the sloppiest thoracotomy Trauma's ever seen.
- Nice job today.
- Thanks.
Doesn't mean I'm not still keeping an eye on you.
Everything came back normal on all three girls.
All right, this makes no sense.
It's been 30 minutes.
Why aren't we evacuating? I have no idea.
They stopped twitching.
- What did you do? - Um Tic Tacs.
You gave them a placebo? Orange ones have been my go-to of late.
Don't get me wrong, they're gonna need some therapy, you know, figure out that the weight of the world isn't on their shoulders.
Maybe a little family work.
What do you mean? You ever hear of mass psychogenic illness? Yeah, like mass hysteria, right? Very easy to misdiagnose.
I mean, in Salem, they called it witchcraft.
So the seizures and the tremors You're telling me really were from Stress and anxiety manifested as physical symptoms spread through social groups by unconscious imitation.
Happens a lot more than you think.
Remarkable how far our brains will go to avoid dealing with emotions we don't wanna confront.
Hey, uh, either way, Doctor Halstead You did the right thing today.
Wait.
How's Maggie? Uh, she says she's fine.
Thinks it must've just been the heat.
Good all right, let's get her out of isolation.
Okay.
- Natalie.
- Yeah? That night, it didn't feel like you were coming to tell me you were engaged.
What? In my car I think you were coming to tell me something else.
Uh, I'm I'm sorry, Will, I'm just I've had a really long day.
Of course.
I'm sorry.
Good night.
Wait.
I just have to ask Do you love him? Phillip? Are you sure? Am I sure that I love him? Just tell me.
Do you? You know what? My relationship with Phillip is the only thing in my life that's working right now.
Hey, guys.
Hi, you.
[INDISTINCT CHATTER.]
- Uh, Doctor Marcel? - Yeah.
I am really sorry about screwing up the pump.
I could've killed him.
Are you kidding? We were doing surgery on a beating heart with no electricity.
As far as I can tell, you got a great set of hands.
I'm sure they'll come of use in your urgent cares.
The right specialty A surgeon can still make good money, right? Yeah Ortho, CT, neuro.
And with the right team? Oof.
Hey.
Good day today.
- We'll see you tomorrow.
- No, I'm not coming back.
What do you mean? I love medicine, but what we did today I can't do that every day for the rest of my life.
Hey, come on.
It was a crazy day.
I know, I just I just can't.
[SIGHS.]
- Was I too hard on him? - No, not too hard on him.
Just focused on getting our patients what they needed.
So I missed seeing what he needed.
Babe, you are such a good doctor.
Sometimes we get so caught up taking care of everyone else, we forget to take care of each other.
No you don't.
You don't forget.
You're always so mindful of everyone, so aware, so caring.
I know we said someday, but you'd make the best mom ever.
- I love you.
- I love you.