Chicago Med (2015) s05e05 Episode Script
Got a Friend in Me
1 - Maggie.
- I need to take a minute.
[GASPING.]
Don't you feel worn down from your chemo? If you don't want us to treat you medically, then you're getting help.
That Crockett guy, what's the deal with him? Not sure he's my speed.
Strikes me as someone who doesn't take things seriously.
We told your supervisor we didn't want you treating our daughter.
I just need to check one last thing.
Dr.
Manning.
I'm gonna wanna oversee all your cases until we know your TBI isn't adversely fecting your patients.
- You don't have the authority.
- It's for your own protection.
[DRAMATIC MUSIC.]
I'll go talk to her.
I know, I know.
I'm late.
It was hard getting out of the house this morning.
- You sleep okay? - Got a full eight hours.
I had breakfast.
I don't have a headache.
I feel great.
Toddler in Treatment 6.
Nanny brought him in.
Parents just got here.
A bloody nose? I'll do the intake and then pass it off to Terry.
This has Med student written all over it.
No, no, no.
Lanik wants you to take it.
But I've got pediatric charts to follow up on from the night shift.
- I'll take care of them.
- Are you kidding? I was late because traffic sucked, not because of my TBI.
- It's not my decision.
- [GROANS.]
I am fine.
- Natalie - [SIGHS.]
Thank you.
[LAUGHS.]
What? The wink wasn't exactly natural.
I was trying to match your sexy.
Just keep being you.
You catch any of that? You mean you ogling my sister like she put the Gris-Gris on you? - Yeah.
- Yes it's now burned into my retinas.
Sorry.
Gris-Gris? It's a voodoo thing means you're under the spell At least I think it does.
Dr.
Marcel drops a lot of Cajun nuggets.
You're starting your surgical residency with him, not prepping for Mardi Gras.
Speaking of, how's it going? It's intense.
I mean, one minute I'm cracking open a chest and next I'm digging through a belly.
Just remember there's an actual person on that table, not just a body.
Of course.
Dr.
Choi, good morning to you.
Dr.
Sexton, right on time.
Let's go.
Cool.
- Hey-hey there, Miss April.
- Good morning, Dr.
Marcel.
Noah say anything to you about working with Dr.
Marcel? Just that he's keeping him really busy, which I figure is a good thing.
Yeah.
- Yeah.
I got a question for you.
- What? Why are you so damn sexy? Stop it! How you gonna be talking nasty in the middle of the hospital? I'm not nasty.
She's nasty, trust me.
Well, you two look happy.
I'm here with my man.
What's not to be happy about? Where you off to? You know I've been doing that volunteer upstairs? So we gonna go grab a cup of coffee and then he's gonna walk me upstairs afterwards.
Wait a minute, you should join us.
Honey, I'm so sorry, it's the E.
D.
- I gotta skip coffee.
- [SIGHS.]
Okay, well, you do, but we don't.
Uh, sorry, I have a staff meeting in 20 minutes.
Well, then we gotta drink fast then, right? Come on, give me some.
- I love you.
I'll see you later.
- I love you, too.
I love you, too, but in a different way.
Whatever.
[SOMBER MUSIC.]
So, Carl, how long has the pain and nausea been bothering you? Uh, kind of lost track.
Let's just say years? So it comes and goes? No, it came and never left.
I've learned how to cope, but some days I just can't look the other way.
[GROANS.]
Yeah, today's one of them.
Actually, this is the worst it's ever been.
Vitals are normal.
Afebrile.
Is this the first time you've seen a doctor for it? Here in Chicago.
I'm from Tennessee, though.
I was a regular at the Westwood Regional E.
D.
Pretty sure every doc there poked, prodded, and scanned me.
I'll have them forward his records.
Did Westwood Regional make a diagnosis? No they had a lot of theories.
IBS, IBS-C, ulcer One doc thought I had an eating disorder.
Believe me, I would pile on the pounds if I could but eating sends me right to the bathroom.
- Vomiting? - Most of the time.
I just can't believe this is what I've been reduced to.
I'm 26.
I should've graduated college, met someone special.
Instead my life is making sure I always know where the nearest bathroom is.
We'll figure this out.
Mo, let's get a chest x-ray, KUB, CBC, CMP and a UA.
I know you've seen a lot of doctors for this.
I'll do my best to be the last one.
Good morning, I'm Dr.
Manning.
I'm Kyle.
This is my wife Janet.
This little guy is Lucas.
Hi, Lucas.
- Hi.
- Peek-a-boo! - Peek-a-boo.
- [SQUEALS.]
[LAUGHTER.]
Well, he seems happy.
That's a good start.
Um, I see the bloody nose has stopped.
Can you tell me what happened? He was at the park with his nanny and it just started gushing and she couldn't reach either of us, so since they were around the corner, she brought him here.
I have a three-year-old and a nanny, I get it.
All right Yeah, the nosebleeds aren't a new thing.
We've been dealing with them all summer.
Can I see your nose? Hmm, turbinates are swollen and irritated.
Seasonal allergies? Oh, yeah, they've been brutal for all of us this year.
For Lucas, it's nosebleeds and this rash on his arm Hmm [COUGHS.]
Oh, yeah, and that little cough.
Hey, buddy, can you open your mouth for me? Real wide, like this.
Aah.
Good, good, good.
I am seeing evidence of post-nasal drip.
That's likely what's causing the cough.
Is it worse at night? It was, but then we put an atomizer with eucalyptus oil by his crib.
It's helped a lot.
Let's take a look.
All right, let's see.
He's a little wheezy.
Any fever? He felt a little warm yesterday morning.
He [LAUGHTER.]
He was fussy at breakfast, but by lunch and ever since then, he's he's been a bundle of energy.
Good.
- Is this the rash you mentioned? - Yes.
Have you been using topical hydrocortisone cream on it? No, I've been mashing up a chewable fish oil tablet in his yogurt.
Oh, okay.
Well, if it's working.
All evidence is pointing towards allergies and an overcautious nanny, but since Lucas may have had a fever yesterday, I would like to do some blood tests.
Is something wrong? We just have adopted a naturopathic approach to our health care.
Well, the thing with blood tests is they will not introduce anything new into Lucas's system.
There'll just show us if something's there that shouldn't be.
Yeah, okay.
Go ahead.
Great.
I'll send a nurse in.
Maggie, Doris said you were looking for me? Yes, I've got an appointment this afternoon.
I need you to take over for me while I'm gone.
No problem.
What time will you be back? - I won't.
- Okay.
I guess that's all I need to know.
[SOMBER MUSIC.]
Monique, what am I missing? These last few weeks, Maggie's been so short with me.
It's not just you.
The other day, I saw her sneak into an open treatment room and lie down.
So I asked her if she was feeling okay and she bit my head off.
Huh I'm elbow-deep in this guy's belly And it was a big belly, highly doubtful this fellow ever skipped a meal.
No, not surgical.
So, I go to sew up a hole in the small bowel and bam Out pops this critter.
No lie, this thing looks straight at me, dropped back into the bowel, disappeared.
What the hell? What was it? A tapeworm.
Biggest one I ever seen.
Only one I've ever seen.
Eh also not surgical.
- So so what did you do? - Went after it.
I stuck ringed forceps into that bowel and I yanked that ol' worm out.
All three feet of him.
Then I sent him off to pathology and finished the case.
[SCOFFS.]
No.
If Dr.
Marcel is taking Noah under his wing, he should teach more and brag less.
Yeah, his style is just different than yours.
That's probably why you don't like it.
Come on, you buy that tapeworm story? [LAUGHS.]
Come on, Dr.
Marcel may be a personality, but he's a good surgeon.
Carl's labs and x-rays are back.
What about his medical records from his previous hospital? Still working on it.
Seems Westwood Regional went bankrupt.
I've got a call into the company appointed to handle patient affairs.
- Thanks, Mon.
- Mm-hmm.
Uh-oh.
You look concerned.
Your white cell count is high, x-ray showed dilated loops of bowel, and your overall blood count is low.
That means more tests, right? - Yeah.
- So what's next? Uh, a CT angiogram of your blood vessels and a CT with contrast for your bowel.
Did you ever have either of these tests before? Angiogram I don't know, maybe.
The CT with contrast Is that the scan you drink something first? [GROANS.]
Then I've had one of them.
Didn't like that drink at all.
Well, unfortunately it hasn't gotten any better.
Sorry, man.
I'll go put in the order.
Thanks.
Patient in T4 Something worth looking into.
Don't forget.
Don't forget, don't forget, don't forget legal research regarding contractor's negligence for the complaint Issue.
Rule.
Eunice Kim, 25.
First year associate at some big-time law firm.
Anyway, her roommate called us when the, uh, ranting and the pacing started to annoy the neighbors.
She say anything about the last time she slept? Yeah, been at least two days.
When we showed up, she was screaming at herself in the mirror.
We tried to calm her, but Yeah, she wouldn't have any of that.
Find any drugs in the apartment? Nope.
Tons of books, nothing sketchy.
Charges pending? Figured you could help more than lock-up.
I appreciate it.
Hey, let's get some M-TABs for Eunice.
- Don't forget don't forget.
- Eunice, how you doing? I'm Dr.
Charles.
- IRAC Issue.
Rule.
- Eunice.
IRAC.
IRAC.
Eunice! Hey, how you doing? I'm Dr.
Charles.
You think we could maybe sit and talk a bit? Only a moment.
I don't have anything more to spare.
Oh, I got it! A motion to strike the affirmative defense.
- Eunice.
- Wait, can't do that Eunice! I can see you're under a whole lot of pressure.
I'd like to give you some medicine to help you calm down a bit? You know, maybe think more clearly.
- Think more clearly.
- Yeah.
- That might help.
- Okay.
- I need to organize.
- Yeah.
I don't know where I am.
You're in a safe place, Eunice.
[PHONE DINGS.]
- What's going on? - He's losing it.
I need to get out.
How much longer till we get the scan? - Twenty seconds.
- Two milligrams of midazolam.
Carl, it's Dr.
Choi.
We're almost done.
I'm gonna be sick! Slow breaths.
Only ten more seconds.
I'm not gonna make it.
Yes, you can.
You can do this, Carl.
Five seconds.
Four three, two, one.
You good? Get him out, get him out, get him out.
You did it, Carl.
Good job, buddy.
It's over.
Good job, bud.
[RETCHES.]
[GROANS.]
I'm sorry.
It's okay.
Hey, it's all right.
Good job, buddy.
I mean, that's not a normal calf, right? And you didn't injure it? No, nothing.
I went to bed, it was fine.
Woke up, thing's a grapefruit.
Press against my hand.
One to ten, how bad's the pain? I'd say a seven, maybe an eight.
That's in line with what I'm thinking.
Blood clot.
It's called a DVT, deep vein thrombosis.
Seriously? Me? I exercise a few times a week.
I don't sit for long periods of time.
Unfortunately not fitting the profile doesn't mean you can't develop one.
[SIGHS.]
Beating the odds.
Lucky me.
[CHUCKLES.]
CBC, BMP, Protein C, S and Factor 5 Leiden.
Let's get Mr.
Bowe a DVT scan and put him on a heparin drip.
I'll check on you in a bit, okay? Uh, Dr.
Halstead, before you leave, can you grab my phone? Front pocket of my jeans.
Sure.
I kept the swollen calf under wraps 'cause I didn't want my fiancée to freak out, but I think we're to the point where I I better let her know what's going on.
Gotcha.
[GROANS.]
Oh, man.
[GROANS.]
That's one angry belly.
What's going on? Surgical consult.
I didn't call for one.
It was only a matter of time.
Good find, Noah.
Dr.
Marcel, Dr.
Sexton, can I speak with you outside? All this stalking around the E.
D.
, peeking in on patients You hanging outside Carl's room earlier, you were sniffing for surgical cases.
And Noah's your intern.
Best you can do is show him how to poach patients? Whoa, poaching implies stealing.
I hardly think that applies in Carl's case, seeing as how you were gonna call us anyway.
- Possibly.
- Possibly? Dr.
Choi, Carl's belly was so hot it nearly burned my hands.
There's an issue in there that requires surgical attention.
Or do my hands deceive me? No, CT showed a partial small bowel obstruction with a likely transition point.
- So, it is surgical.
- Possibly.
The CT imagery is poor because Carl was agitated during the scan.
I'm not comfortable making any treatment decisions before I know exactly what's causing the obstruction.
So I'm ordering an MRI.
Pending the results, I'll let you know if a surgical consult is needed.
Okay.
I apologize for overstepping.
Protocol, etiquette.
They mean something.
I'll do better at remembering that, okay.
Doris, uh, any word from the lab on Lucas's tests? Not yet.
Word's out your case screams allergies.
It's probably last in line.
Maggie.
Yeah? There are patients waiting to be seen and I have absolutely nothing going on.
Light case load.
Lanik was very clear.
This is ridiculous.
Then talk to Lanik and stop bugging me.
You're giving me one more headache that I don't need.
Okay Look, I'm sorry.
I have somewhere to be and I can't be late.
April, I'm leaving.
Eunice, how you doing? I'm, uh, happy to see that, um you seem to be a little better.
Embarrassed is more like it.
It's all a blur, but I know I wasn't myself.
I understand how How scary that can feel.
It can't happen again.
Now on, no matter how busy I am, I'll make time for sleep.
Sleep is crucial, but counseling, medication, other lifestyle changes are all things we need to talk about.
Little extreme, no? I mean, I had a panic attack, not a nervous breakdown.
Wasn't a panic attack.
I'm I'm quite sure that you were experiencing a manic episode, Eunice, systematic of bipolar disorder.
No no, no, no.
I can't have bipolar.
I have $300,000 in student loans and my salary doesn't even make a dent.
I need to make partner.
Takes most lawyers five years.
I'm on track to do it in three.
[BREATHING HEAVILY.]
Can't you just give me more of that medication? Or something else? The thing is, bipolar disorder doesn't really work that way.
Unless you address it comprehensively, the manic episodes will likely return.
They'll increase in intensity and can even be followed by by cycles of depression.
But I know the signs now.
I can get out in front of it if I start to feel off.
Control it.
I don't think anybody can control this, you know, not even somebody as determined as you.
But, Eunice, you can absolutely learn how to manage it.
Why don't you let me admit you and let's start looking for a stable medication? No, I'd like to be discharged.
Today's not a wash, yet.
I can still put in some face time at the firm.
[SOMBER MUSIC.]
Look, I know the criteria for involuntary commitment.
Legally, you can't keep me here.
Does the furrow of your brow suggest a surgical consult is now needed? MRI revealed a focal solitary mass in the distal pancreas.
May be a cyst.
I concur.
Gotta assume it's what's riling Carl's belly up so fiercely.
He needs a distal pancreatectomy.
You take out the section of pancreas housing the mass, no more chaos downstream.
Whoa, that is a huge procedure.
Not to mention, it won't do a thing for Carl if the mass isn't the issue.
If the mass isn't the problem, then what are we looking at? Carl's been suffering for years.
The mass could have been there the whole time, unchanged, which means it's likely not a factor.
Or the mass has been growing over time.
We leave it in, the inflammation worsens, the bowel completely obstructs, then perforates, and Carl becomes septic.
The first step of that potentially fatal catastrophe is a fever, which, by the looks of him, has set in.
100.
6, but holding.
Yeah, for now.
You operate on his pancreas and you're wrong, it does way more harm than good.
But if I'm correct, he lives.
And I don't like ifs.
Carl will be treated medicinally until his previous scans arrive and I can compare them against today's MRI.
Uh, that's gonna be a problem.
His medical records from Westwood Regional are being held hostage.
This is a mess.
Westwood Regional's bankruptcy has created the legal equivalent of a battle royale.
MRS Medical Record Services.
I'm assuming they control Westwood's patient charts? Correct, it's MRS that have the files on lockdown.
They're actually threatening to destroy them.
My main concern right now is Carl and my opinion has not changed.
His distal pancreas is wreaking havoc and it needs to come out.
Without Carl's previous scans, which it's clear we're not gonna get, you can't prove that's the fix.
- No, I cannot.
- Then you shouldn't operate.
The pancreas is the most unforgiving organ in the body.
The potential for surgical complications is through the roof.
True, but God only gave us so many heartbeats.
No sense in Carl running out of his early.
Uh, excuse me, is there something going on here that I should know about? Nothing I'm aware of.
Dr.
Choi? [TENSE MUSIC.]
Then give me recommendations.
Let me operate now before his bowel perforates and it's too late.
Ms.
Goodwin, it's a risky procedure that may be unnecessary.
Let me admit Carl for more tests.
Hi, I'm sorry, the lab took longer than expected.
So Lucas's BUN, creatinine, and white cell count are all elevated.
That suggests dehydration.
And between the white cell count, his persistent cough, and the post-nasal drip, it's likely a bacterial sinus infection.
Okay.
Thanks, Dr.
Manning.
Yeah.
So what do you think? We could make popsicles from coconut water.
That should help with the dehydration.
Yeah, maybe add an herbal antihistamine, too I can pick up some powdered quercetin at the farmer's market.
Great.
I'm sorry, perhaps a more immediate treatment You mean antibiotics? No, not after last time.
Lucas had an ear infection last year.
The doctor prescribed amoxicillin.
One dose and he broke out in hives everywhere.
I mean, his recovery from the antibiotic was worse than the ear infection.
And since then, if there are natural options without side effects, we try those first.
Look, like you two, my son's health comes before anything else.
But, you know, sometimes there's just some things that a holistic approach alone won't cure.
We agree.
A sinus infection isn't one of them, though.
You're right.
Over time, natural remedies may help his immune system resolve the infection, but the dehydration Lucas needs more than popsicles.
At least let me give him an electrolyte drink.
How much? 24 ounces to sip throughout the day.
24 ounces through a sippy cup? He won't do it.
Is there another way? Saline IV.
And I know it's another needle, but no side effects.
I promise.
- [SIGHS.]
- Saline but no antibiotics.
Understood.
- Thank you.
- Thank you.
Dr.
Halstead.
The blood thinner, I don't think it's working.
The calf's still huge and my foot's starting to swell up, too.
You having trouble breathing? More like, uh, winded.
I wanna send you for a CT.
I gotta get a better look at that clot.
This'll help you breathe better.
Get ahold of your fiancée? Voicemail.
She's, uh, still looking at dresses.
Pretty sure she's not checking her phone.
So when's the big day? Spring.
Still debating locations.
Congratulations.
Techs will be by in a few.
Surgery.
It's your choice.
- Okay.
- Thank you.
All right.
So I explained both of your positions.
Philosophically, he agrees with you, Dr.
Choi, preferring a conservative approach.
But realistically, he's in pain and desperate to feel better, so he chose the surgery.
Dr.
Marcel, Mr.
Harris is now your patient.
All right, let's do this.
See you in the OR.
This is huge.
[TENSE MUSIC.]
Eunice? [BREATHING SHAKILY.]
You're right.
I can't control this.
I need help.
Well, you're gonna get it.
Come on.
How long will the CT take? Just a few moments.
You'll be back before you know it.
Okay, 'cause I haven't been able to reach my fiancée and my phone's at, like, 4%, so I'll call her.
Thanks.
Her name's Aubrey Her number's my emergency contact.
I got it.
Wait, now you think it's pneumonia? It's a possibility.
We thought you were going to tell us we could go home.
I mean, Lucas isn't dehydrated anymore, right? Right, but he is still wheezing and his temperature has ticked up.
The nurse said it was 99.
3.
Is that even a fever? He looks fine.
He's up, he's active.
On the outside, he may look normal, but on the inside, pneumonia is notorious for its slow progression.
Or it is just a sinus infection, which you've been saying all day until apparently right now.
Okay.
How would you know for sure if it's pneumonia or not? - A chest x-ray.
- You're kidding, right? We said no to antibiotics.
We're definitely not letting you zap Lucas full of radiation.
These hospitals you scare people with diagnoses and then you sell them on treatments they don't need that actually make them sicker.
Dr.
Manning, we'd like to go home, okay? If Lucas doesn't improve, we'll take him to our doctor.
A doctor? An actual M.
D.
? No, he's a holistic healer.
Hmm, so his answer for pneumonia is gonna be what? Oil of oregano? Horseradish with lemon? Look, you don't agree with alternative medicine, fine.
But don't insult us.
- I'm trying to inform you.
- Dr.
Manning? - Yes.
- Speak with you a moment? Please excuse me.
What's going on? My boy with the bloody nose, it may very well be pneumonia, but his parents won't allow me to do a chest x-ray.
They'd rather go home and take their chances with herbs and teas.
Let me see the chart.
These symptoms, okay.
Pneumonia has to be on the differential.
- Yeah.
- Let me talk to them.
Okay.
Alone.
[INDISTINCT CHATTER.]
- [SIGHS.]
- Do what you need to do.
Thank you for working with us.
They agreed to the chest x-ray.
This is the second time this month parents have lost faith in your judgment.
They may be upset now.
They won't be when I'm right.
I gotta tell you, these labs, they look like a sinus infection, so you better be right that it's pneumonia.
Hello, hello, hello.
[LAUGHS.]
This is your last week, huh? Oh, girlie.
You're looking good.
Girlfriend's a champ.
You still working on my sweater? Thank you.
That's a good catch.
Maggie.
Caroline.
I am so sorry.
I didn't know.
No one does, except for Sharon, and I'd like to keep it that way, please.
Yeah.
I've been there.
You mind if I sit? Girl, you got a whole bag hanging.
You ain't going nowhere no time quick.
Okay.
- Come on.
- Come on.
Come on.
So where's the badness? In my breast.
And what's the prognosis? Still waiting to see how I respond to chemo stage.
Okay, I been there.
Sisters in arms.
[CHUCKLES.]
So you know this keeping a secret thing, it's not gonna it's not gonna be that easy, right? - I'm managing.
- Oh.
Cancer's a heavy lift and I know it sounds like a cliché, but there's strength in community.
- And pity.
- Mm-hmm.
And obligation and I don't want any of that.
I hear you.
I was afraid to tell my friends, too.
But once I let them in, I let my friends be my friends.
It was a real comfort.
It's time to heal with steel, Dr.
Sexton.
Incision is yours.
What's it gonna be? Midline? Is that question or a statement? Midline.
Okay, then what? Divide and tie off the falciform ligament.
Keep going Eviscerate the patient and find the transition point of the small bowel.
I like what I'm hearing.
Don't stop now.
Uh, we open the lesser sack, take down the lienocolic ligament We'll take good care of you, I promise.
- Dr.
Marcel? - By your side the whole time What are you doing? This isn't an easy surgery.
I'm just letting Carl know that we're gonna take special care of him.
You think he can hear you? Unsure but what the body can't hear, perhaps the soul can.
That said, Carl needs to know exactly what's going to happen.
So, continue, Dr.
Sexton.
Isolate the spleen, put a curved eight around the hilum, and then take the spleen out.
From there we mobilize the distal pancreas and put a TA 90 stapler across it.
Okay, let's get started.
Hey! Sorry I'm late.
Patient surprised me in a good way.
Not always the case.
How you doing? How's your day going? You know what? I am so happy.
You know? I wish everyone could feel this way.
Hmm.
Nice.
You know what, let's make some lasagna.
I'm gonna make some.
- I love your lasagna.
- [LAUGHS.]
I do.
All right, let's invite Sharon over.
It'd be nice to hang out with friends.
- Done.
- I love that.
Come on, lasagna.
Thank you.
[PHONE DINGS.]
Nurse moved me up to the oxygen mask but I still can hardly breathe.
Yeah, your CT shows a large proximal pulmonary embolism.
It means the blood clot from your leg has moved to your lungs.
I played tennis yesterday.
Now I don't have the energy to sit up? Why is this happening, Dr.
Halstead? Well, we'll figure that out later.
Right now we need to deal with that clot.
I'm gonna send you up to IR to treat it endoscopically, okay? Let's go.
Were you able to get in touch with my fiancée, Aubrey? No, and I'm really sorry.
I was about to and I got pulled away.
I promise I will call her as soon as you're on the move.
[WHEEZING.]
- Neal? - [MACHINE BLARING.]
Neal! No pulse, VF on the monitors.
Bag him.
[MACHINE BEEPING.]
Paddles, charge to 200.
Charged.
Clear.
[TENSE DRAMATIC MUSIC.]
Epi, one milligram.
Epi's in.
Okay, here we go.
Clear.
No, no, no, no.
Another round of epi.
Come on, Neal.
Clear.
Asystole.
Damn it! Time of death, 17:48.
Tough one, Halstead.
But don't sweat the review.
I looked over the chart and the PE is clearly the cause of death.
There's nothing you could've done.
Dr.
Halstead, Neal's fiancée Aubrey just arrived.
Hello? Mama, I'm here.
I don't know; they're not telling me anything.
I don't know Can you please just come now? No complications.
Lucky for us, too, 'cause Carl's bowel was in bad shape.
Dr.
Marcel was right to push for surgery.
Yeah, he was right.
This time.
But Dr.
Marcel's style, the risks he's willing to take Man, Ethan, can't you even enjoy the moment, man? I mean, we won.
We saved his life.
- Yeah.
- Yeah.
Okay.
Noah Noah.
I'm sorry.
I should be celebrating.
If we'd waited like I wanted, Carl's bowel would've perforated.
Well, it turned out okay.
Yeah, Noah I want you to succeed, you know that.
After two years of Dr.
Choi boot camp, and what I've seen from Dr.
Marcel don't know why I wouldn't.
You ever need anything questions, advice just want to talk something out Yeah, I know where to find you.
I gotta get back to recovery.
I wanna be there when Carl wakes up.
Go, go.
[LAUGHTER.]
Or maybe you can't go to bed.
Why? Maggie? You okay? Maggie, what's going on? [SOMBER MUSIC.]
Honey? I'm in the kitchen! Are you sure that we don't need any more wine? It's very easy for me to just sort of jump back Hey, Bert.
Hey, wine's coming, Dan.
Got red and white.
I know both go well with CeCe's lasagna.
Honey, honey, dinner's almost ready, so will you set the table? The dishes are already out there please.
Mmm let me.
The least I can do.
- Thanks, Bert.
- Good to see you, pal.
Hey, man, how you doing? Oh, I'm good, good.
Yeah.
Sharon's gonna be here, like, any minute.
Why didn't you tell me Bert was coming? Because if I told, I know you wouldn't have invited her.
And three people don't exactly make a "couples" dinner party.
Couples? What are you doing? I do not wanna hear how you think this is a bad idea.
It's way beyond a bad idea.
It's atrocious.
Okay, yes, I am meddling.
And I would've preferred to warm Sharon up to the idea, but I happen to be a little short on time.
You cannot spring this on them unannounced.
These people went through a terrible divorce.
They haven't talked to each other for a year.
Danny, you and I found our way back to each other.
Who says Sharon and Bert can't do the same thing? I just want them to be happy, that's it.
Well, you can't manipulate people to doing what you want if it's not what they want.
[DOORBELL RINGS.]
Hey, I remembered that CeCe's lasagna pairs well with both red and white, so That's right, it does.
It's good with It's good with red and and with white.
And rosé.
Daniel Sharon.
Bert.
So, who's hungry? You said an x-ray would confirm pneumonia.
- I thought it would.
- But you still aren't sure? And now you want to try to pump our son full of antibiotics again? - To be safe, yes.
- No.
We have been here for hours agreeing to things we're not comfortable with.
No more.
We're going home.
I'm sorry, but I won't approve that discharge.
Then get me your boss.
Now.
[DRAMATIC MUSIC.]
Hey, hey, I need to see a supervisor.
We're calling our lawyer.
Lucas most likely has pneumonia.
He needs these antibiotics now.
- No! - You're not hearing me.
Pneumonia for toddlers can be fatal.
Janet, get Lucas now.
No, you're endangering his life.
We are taking our son, so either get out of the way or I'll go through you.
- Security! - Hey, open the door! Are you out of your mind? - I won't let you take him! - We need Security! Open the door! Hey, open this door! Baby, it's gonna be okay.
Open the door, please.
- Open the door.
- Now.
Lucas, it's okay.
It's okay, honey.
Come on, don't you have a key? Please! Hey, don't you dare no! Please.
Lucas, it's okay, honey, it's okay.
It's okay, buddy Everything's gonna be all right.
Open this door! You gotta be kidding me.
Open this door!
- I need to take a minute.
[GASPING.]
Don't you feel worn down from your chemo? If you don't want us to treat you medically, then you're getting help.
That Crockett guy, what's the deal with him? Not sure he's my speed.
Strikes me as someone who doesn't take things seriously.
We told your supervisor we didn't want you treating our daughter.
I just need to check one last thing.
Dr.
Manning.
I'm gonna wanna oversee all your cases until we know your TBI isn't adversely fecting your patients.
- You don't have the authority.
- It's for your own protection.
[DRAMATIC MUSIC.]
I'll go talk to her.
I know, I know.
I'm late.
It was hard getting out of the house this morning.
- You sleep okay? - Got a full eight hours.
I had breakfast.
I don't have a headache.
I feel great.
Toddler in Treatment 6.
Nanny brought him in.
Parents just got here.
A bloody nose? I'll do the intake and then pass it off to Terry.
This has Med student written all over it.
No, no, no.
Lanik wants you to take it.
But I've got pediatric charts to follow up on from the night shift.
- I'll take care of them.
- Are you kidding? I was late because traffic sucked, not because of my TBI.
- It's not my decision.
- [GROANS.]
I am fine.
- Natalie - [SIGHS.]
Thank you.
[LAUGHS.]
What? The wink wasn't exactly natural.
I was trying to match your sexy.
Just keep being you.
You catch any of that? You mean you ogling my sister like she put the Gris-Gris on you? - Yeah.
- Yes it's now burned into my retinas.
Sorry.
Gris-Gris? It's a voodoo thing means you're under the spell At least I think it does.
Dr.
Marcel drops a lot of Cajun nuggets.
You're starting your surgical residency with him, not prepping for Mardi Gras.
Speaking of, how's it going? It's intense.
I mean, one minute I'm cracking open a chest and next I'm digging through a belly.
Just remember there's an actual person on that table, not just a body.
Of course.
Dr.
Choi, good morning to you.
Dr.
Sexton, right on time.
Let's go.
Cool.
- Hey-hey there, Miss April.
- Good morning, Dr.
Marcel.
Noah say anything to you about working with Dr.
Marcel? Just that he's keeping him really busy, which I figure is a good thing.
Yeah.
- Yeah.
I got a question for you.
- What? Why are you so damn sexy? Stop it! How you gonna be talking nasty in the middle of the hospital? I'm not nasty.
She's nasty, trust me.
Well, you two look happy.
I'm here with my man.
What's not to be happy about? Where you off to? You know I've been doing that volunteer upstairs? So we gonna go grab a cup of coffee and then he's gonna walk me upstairs afterwards.
Wait a minute, you should join us.
Honey, I'm so sorry, it's the E.
D.
- I gotta skip coffee.
- [SIGHS.]
Okay, well, you do, but we don't.
Uh, sorry, I have a staff meeting in 20 minutes.
Well, then we gotta drink fast then, right? Come on, give me some.
- I love you.
I'll see you later.
- I love you, too.
I love you, too, but in a different way.
Whatever.
[SOMBER MUSIC.]
So, Carl, how long has the pain and nausea been bothering you? Uh, kind of lost track.
Let's just say years? So it comes and goes? No, it came and never left.
I've learned how to cope, but some days I just can't look the other way.
[GROANS.]
Yeah, today's one of them.
Actually, this is the worst it's ever been.
Vitals are normal.
Afebrile.
Is this the first time you've seen a doctor for it? Here in Chicago.
I'm from Tennessee, though.
I was a regular at the Westwood Regional E.
D.
Pretty sure every doc there poked, prodded, and scanned me.
I'll have them forward his records.
Did Westwood Regional make a diagnosis? No they had a lot of theories.
IBS, IBS-C, ulcer One doc thought I had an eating disorder.
Believe me, I would pile on the pounds if I could but eating sends me right to the bathroom.
- Vomiting? - Most of the time.
I just can't believe this is what I've been reduced to.
I'm 26.
I should've graduated college, met someone special.
Instead my life is making sure I always know where the nearest bathroom is.
We'll figure this out.
Mo, let's get a chest x-ray, KUB, CBC, CMP and a UA.
I know you've seen a lot of doctors for this.
I'll do my best to be the last one.
Good morning, I'm Dr.
Manning.
I'm Kyle.
This is my wife Janet.
This little guy is Lucas.
Hi, Lucas.
- Hi.
- Peek-a-boo! - Peek-a-boo.
- [SQUEALS.]
[LAUGHTER.]
Well, he seems happy.
That's a good start.
Um, I see the bloody nose has stopped.
Can you tell me what happened? He was at the park with his nanny and it just started gushing and she couldn't reach either of us, so since they were around the corner, she brought him here.
I have a three-year-old and a nanny, I get it.
All right Yeah, the nosebleeds aren't a new thing.
We've been dealing with them all summer.
Can I see your nose? Hmm, turbinates are swollen and irritated.
Seasonal allergies? Oh, yeah, they've been brutal for all of us this year.
For Lucas, it's nosebleeds and this rash on his arm Hmm [COUGHS.]
Oh, yeah, and that little cough.
Hey, buddy, can you open your mouth for me? Real wide, like this.
Aah.
Good, good, good.
I am seeing evidence of post-nasal drip.
That's likely what's causing the cough.
Is it worse at night? It was, but then we put an atomizer with eucalyptus oil by his crib.
It's helped a lot.
Let's take a look.
All right, let's see.
He's a little wheezy.
Any fever? He felt a little warm yesterday morning.
He [LAUGHTER.]
He was fussy at breakfast, but by lunch and ever since then, he's he's been a bundle of energy.
Good.
- Is this the rash you mentioned? - Yes.
Have you been using topical hydrocortisone cream on it? No, I've been mashing up a chewable fish oil tablet in his yogurt.
Oh, okay.
Well, if it's working.
All evidence is pointing towards allergies and an overcautious nanny, but since Lucas may have had a fever yesterday, I would like to do some blood tests.
Is something wrong? We just have adopted a naturopathic approach to our health care.
Well, the thing with blood tests is they will not introduce anything new into Lucas's system.
There'll just show us if something's there that shouldn't be.
Yeah, okay.
Go ahead.
Great.
I'll send a nurse in.
Maggie, Doris said you were looking for me? Yes, I've got an appointment this afternoon.
I need you to take over for me while I'm gone.
No problem.
What time will you be back? - I won't.
- Okay.
I guess that's all I need to know.
[SOMBER MUSIC.]
Monique, what am I missing? These last few weeks, Maggie's been so short with me.
It's not just you.
The other day, I saw her sneak into an open treatment room and lie down.
So I asked her if she was feeling okay and she bit my head off.
Huh I'm elbow-deep in this guy's belly And it was a big belly, highly doubtful this fellow ever skipped a meal.
No, not surgical.
So, I go to sew up a hole in the small bowel and bam Out pops this critter.
No lie, this thing looks straight at me, dropped back into the bowel, disappeared.
What the hell? What was it? A tapeworm.
Biggest one I ever seen.
Only one I've ever seen.
Eh also not surgical.
- So so what did you do? - Went after it.
I stuck ringed forceps into that bowel and I yanked that ol' worm out.
All three feet of him.
Then I sent him off to pathology and finished the case.
[SCOFFS.]
No.
If Dr.
Marcel is taking Noah under his wing, he should teach more and brag less.
Yeah, his style is just different than yours.
That's probably why you don't like it.
Come on, you buy that tapeworm story? [LAUGHS.]
Come on, Dr.
Marcel may be a personality, but he's a good surgeon.
Carl's labs and x-rays are back.
What about his medical records from his previous hospital? Still working on it.
Seems Westwood Regional went bankrupt.
I've got a call into the company appointed to handle patient affairs.
- Thanks, Mon.
- Mm-hmm.
Uh-oh.
You look concerned.
Your white cell count is high, x-ray showed dilated loops of bowel, and your overall blood count is low.
That means more tests, right? - Yeah.
- So what's next? Uh, a CT angiogram of your blood vessels and a CT with contrast for your bowel.
Did you ever have either of these tests before? Angiogram I don't know, maybe.
The CT with contrast Is that the scan you drink something first? [GROANS.]
Then I've had one of them.
Didn't like that drink at all.
Well, unfortunately it hasn't gotten any better.
Sorry, man.
I'll go put in the order.
Thanks.
Patient in T4 Something worth looking into.
Don't forget.
Don't forget, don't forget, don't forget legal research regarding contractor's negligence for the complaint Issue.
Rule.
Eunice Kim, 25.
First year associate at some big-time law firm.
Anyway, her roommate called us when the, uh, ranting and the pacing started to annoy the neighbors.
She say anything about the last time she slept? Yeah, been at least two days.
When we showed up, she was screaming at herself in the mirror.
We tried to calm her, but Yeah, she wouldn't have any of that.
Find any drugs in the apartment? Nope.
Tons of books, nothing sketchy.
Charges pending? Figured you could help more than lock-up.
I appreciate it.
Hey, let's get some M-TABs for Eunice.
- Don't forget don't forget.
- Eunice, how you doing? I'm Dr.
Charles.
- IRAC Issue.
Rule.
- Eunice.
IRAC.
IRAC.
Eunice! Hey, how you doing? I'm Dr.
Charles.
You think we could maybe sit and talk a bit? Only a moment.
I don't have anything more to spare.
Oh, I got it! A motion to strike the affirmative defense.
- Eunice.
- Wait, can't do that Eunice! I can see you're under a whole lot of pressure.
I'd like to give you some medicine to help you calm down a bit? You know, maybe think more clearly.
- Think more clearly.
- Yeah.
- That might help.
- Okay.
- I need to organize.
- Yeah.
I don't know where I am.
You're in a safe place, Eunice.
[PHONE DINGS.]
- What's going on? - He's losing it.
I need to get out.
How much longer till we get the scan? - Twenty seconds.
- Two milligrams of midazolam.
Carl, it's Dr.
Choi.
We're almost done.
I'm gonna be sick! Slow breaths.
Only ten more seconds.
I'm not gonna make it.
Yes, you can.
You can do this, Carl.
Five seconds.
Four three, two, one.
You good? Get him out, get him out, get him out.
You did it, Carl.
Good job, buddy.
It's over.
Good job, bud.
[RETCHES.]
[GROANS.]
I'm sorry.
It's okay.
Hey, it's all right.
Good job, buddy.
I mean, that's not a normal calf, right? And you didn't injure it? No, nothing.
I went to bed, it was fine.
Woke up, thing's a grapefruit.
Press against my hand.
One to ten, how bad's the pain? I'd say a seven, maybe an eight.
That's in line with what I'm thinking.
Blood clot.
It's called a DVT, deep vein thrombosis.
Seriously? Me? I exercise a few times a week.
I don't sit for long periods of time.
Unfortunately not fitting the profile doesn't mean you can't develop one.
[SIGHS.]
Beating the odds.
Lucky me.
[CHUCKLES.]
CBC, BMP, Protein C, S and Factor 5 Leiden.
Let's get Mr.
Bowe a DVT scan and put him on a heparin drip.
I'll check on you in a bit, okay? Uh, Dr.
Halstead, before you leave, can you grab my phone? Front pocket of my jeans.
Sure.
I kept the swollen calf under wraps 'cause I didn't want my fiancée to freak out, but I think we're to the point where I I better let her know what's going on.
Gotcha.
[GROANS.]
Oh, man.
[GROANS.]
That's one angry belly.
What's going on? Surgical consult.
I didn't call for one.
It was only a matter of time.
Good find, Noah.
Dr.
Marcel, Dr.
Sexton, can I speak with you outside? All this stalking around the E.
D.
, peeking in on patients You hanging outside Carl's room earlier, you were sniffing for surgical cases.
And Noah's your intern.
Best you can do is show him how to poach patients? Whoa, poaching implies stealing.
I hardly think that applies in Carl's case, seeing as how you were gonna call us anyway.
- Possibly.
- Possibly? Dr.
Choi, Carl's belly was so hot it nearly burned my hands.
There's an issue in there that requires surgical attention.
Or do my hands deceive me? No, CT showed a partial small bowel obstruction with a likely transition point.
- So, it is surgical.
- Possibly.
The CT imagery is poor because Carl was agitated during the scan.
I'm not comfortable making any treatment decisions before I know exactly what's causing the obstruction.
So I'm ordering an MRI.
Pending the results, I'll let you know if a surgical consult is needed.
Okay.
I apologize for overstepping.
Protocol, etiquette.
They mean something.
I'll do better at remembering that, okay.
Doris, uh, any word from the lab on Lucas's tests? Not yet.
Word's out your case screams allergies.
It's probably last in line.
Maggie.
Yeah? There are patients waiting to be seen and I have absolutely nothing going on.
Light case load.
Lanik was very clear.
This is ridiculous.
Then talk to Lanik and stop bugging me.
You're giving me one more headache that I don't need.
Okay Look, I'm sorry.
I have somewhere to be and I can't be late.
April, I'm leaving.
Eunice, how you doing? I'm, uh, happy to see that, um you seem to be a little better.
Embarrassed is more like it.
It's all a blur, but I know I wasn't myself.
I understand how How scary that can feel.
It can't happen again.
Now on, no matter how busy I am, I'll make time for sleep.
Sleep is crucial, but counseling, medication, other lifestyle changes are all things we need to talk about.
Little extreme, no? I mean, I had a panic attack, not a nervous breakdown.
Wasn't a panic attack.
I'm I'm quite sure that you were experiencing a manic episode, Eunice, systematic of bipolar disorder.
No no, no, no.
I can't have bipolar.
I have $300,000 in student loans and my salary doesn't even make a dent.
I need to make partner.
Takes most lawyers five years.
I'm on track to do it in three.
[BREATHING HEAVILY.]
Can't you just give me more of that medication? Or something else? The thing is, bipolar disorder doesn't really work that way.
Unless you address it comprehensively, the manic episodes will likely return.
They'll increase in intensity and can even be followed by by cycles of depression.
But I know the signs now.
I can get out in front of it if I start to feel off.
Control it.
I don't think anybody can control this, you know, not even somebody as determined as you.
But, Eunice, you can absolutely learn how to manage it.
Why don't you let me admit you and let's start looking for a stable medication? No, I'd like to be discharged.
Today's not a wash, yet.
I can still put in some face time at the firm.
[SOMBER MUSIC.]
Look, I know the criteria for involuntary commitment.
Legally, you can't keep me here.
Does the furrow of your brow suggest a surgical consult is now needed? MRI revealed a focal solitary mass in the distal pancreas.
May be a cyst.
I concur.
Gotta assume it's what's riling Carl's belly up so fiercely.
He needs a distal pancreatectomy.
You take out the section of pancreas housing the mass, no more chaos downstream.
Whoa, that is a huge procedure.
Not to mention, it won't do a thing for Carl if the mass isn't the issue.
If the mass isn't the problem, then what are we looking at? Carl's been suffering for years.
The mass could have been there the whole time, unchanged, which means it's likely not a factor.
Or the mass has been growing over time.
We leave it in, the inflammation worsens, the bowel completely obstructs, then perforates, and Carl becomes septic.
The first step of that potentially fatal catastrophe is a fever, which, by the looks of him, has set in.
100.
6, but holding.
Yeah, for now.
You operate on his pancreas and you're wrong, it does way more harm than good.
But if I'm correct, he lives.
And I don't like ifs.
Carl will be treated medicinally until his previous scans arrive and I can compare them against today's MRI.
Uh, that's gonna be a problem.
His medical records from Westwood Regional are being held hostage.
This is a mess.
Westwood Regional's bankruptcy has created the legal equivalent of a battle royale.
MRS Medical Record Services.
I'm assuming they control Westwood's patient charts? Correct, it's MRS that have the files on lockdown.
They're actually threatening to destroy them.
My main concern right now is Carl and my opinion has not changed.
His distal pancreas is wreaking havoc and it needs to come out.
Without Carl's previous scans, which it's clear we're not gonna get, you can't prove that's the fix.
- No, I cannot.
- Then you shouldn't operate.
The pancreas is the most unforgiving organ in the body.
The potential for surgical complications is through the roof.
True, but God only gave us so many heartbeats.
No sense in Carl running out of his early.
Uh, excuse me, is there something going on here that I should know about? Nothing I'm aware of.
Dr.
Choi? [TENSE MUSIC.]
Then give me recommendations.
Let me operate now before his bowel perforates and it's too late.
Ms.
Goodwin, it's a risky procedure that may be unnecessary.
Let me admit Carl for more tests.
Hi, I'm sorry, the lab took longer than expected.
So Lucas's BUN, creatinine, and white cell count are all elevated.
That suggests dehydration.
And between the white cell count, his persistent cough, and the post-nasal drip, it's likely a bacterial sinus infection.
Okay.
Thanks, Dr.
Manning.
Yeah.
So what do you think? We could make popsicles from coconut water.
That should help with the dehydration.
Yeah, maybe add an herbal antihistamine, too I can pick up some powdered quercetin at the farmer's market.
Great.
I'm sorry, perhaps a more immediate treatment You mean antibiotics? No, not after last time.
Lucas had an ear infection last year.
The doctor prescribed amoxicillin.
One dose and he broke out in hives everywhere.
I mean, his recovery from the antibiotic was worse than the ear infection.
And since then, if there are natural options without side effects, we try those first.
Look, like you two, my son's health comes before anything else.
But, you know, sometimes there's just some things that a holistic approach alone won't cure.
We agree.
A sinus infection isn't one of them, though.
You're right.
Over time, natural remedies may help his immune system resolve the infection, but the dehydration Lucas needs more than popsicles.
At least let me give him an electrolyte drink.
How much? 24 ounces to sip throughout the day.
24 ounces through a sippy cup? He won't do it.
Is there another way? Saline IV.
And I know it's another needle, but no side effects.
I promise.
- [SIGHS.]
- Saline but no antibiotics.
Understood.
- Thank you.
- Thank you.
Dr.
Halstead.
The blood thinner, I don't think it's working.
The calf's still huge and my foot's starting to swell up, too.
You having trouble breathing? More like, uh, winded.
I wanna send you for a CT.
I gotta get a better look at that clot.
This'll help you breathe better.
Get ahold of your fiancée? Voicemail.
She's, uh, still looking at dresses.
Pretty sure she's not checking her phone.
So when's the big day? Spring.
Still debating locations.
Congratulations.
Techs will be by in a few.
Surgery.
It's your choice.
- Okay.
- Thank you.
All right.
So I explained both of your positions.
Philosophically, he agrees with you, Dr.
Choi, preferring a conservative approach.
But realistically, he's in pain and desperate to feel better, so he chose the surgery.
Dr.
Marcel, Mr.
Harris is now your patient.
All right, let's do this.
See you in the OR.
This is huge.
[TENSE MUSIC.]
Eunice? [BREATHING SHAKILY.]
You're right.
I can't control this.
I need help.
Well, you're gonna get it.
Come on.
How long will the CT take? Just a few moments.
You'll be back before you know it.
Okay, 'cause I haven't been able to reach my fiancée and my phone's at, like, 4%, so I'll call her.
Thanks.
Her name's Aubrey Her number's my emergency contact.
I got it.
Wait, now you think it's pneumonia? It's a possibility.
We thought you were going to tell us we could go home.
I mean, Lucas isn't dehydrated anymore, right? Right, but he is still wheezing and his temperature has ticked up.
The nurse said it was 99.
3.
Is that even a fever? He looks fine.
He's up, he's active.
On the outside, he may look normal, but on the inside, pneumonia is notorious for its slow progression.
Or it is just a sinus infection, which you've been saying all day until apparently right now.
Okay.
How would you know for sure if it's pneumonia or not? - A chest x-ray.
- You're kidding, right? We said no to antibiotics.
We're definitely not letting you zap Lucas full of radiation.
These hospitals you scare people with diagnoses and then you sell them on treatments they don't need that actually make them sicker.
Dr.
Manning, we'd like to go home, okay? If Lucas doesn't improve, we'll take him to our doctor.
A doctor? An actual M.
D.
? No, he's a holistic healer.
Hmm, so his answer for pneumonia is gonna be what? Oil of oregano? Horseradish with lemon? Look, you don't agree with alternative medicine, fine.
But don't insult us.
- I'm trying to inform you.
- Dr.
Manning? - Yes.
- Speak with you a moment? Please excuse me.
What's going on? My boy with the bloody nose, it may very well be pneumonia, but his parents won't allow me to do a chest x-ray.
They'd rather go home and take their chances with herbs and teas.
Let me see the chart.
These symptoms, okay.
Pneumonia has to be on the differential.
- Yeah.
- Let me talk to them.
Okay.
Alone.
[INDISTINCT CHATTER.]
- [SIGHS.]
- Do what you need to do.
Thank you for working with us.
They agreed to the chest x-ray.
This is the second time this month parents have lost faith in your judgment.
They may be upset now.
They won't be when I'm right.
I gotta tell you, these labs, they look like a sinus infection, so you better be right that it's pneumonia.
Hello, hello, hello.
[LAUGHS.]
This is your last week, huh? Oh, girlie.
You're looking good.
Girlfriend's a champ.
You still working on my sweater? Thank you.
That's a good catch.
Maggie.
Caroline.
I am so sorry.
I didn't know.
No one does, except for Sharon, and I'd like to keep it that way, please.
Yeah.
I've been there.
You mind if I sit? Girl, you got a whole bag hanging.
You ain't going nowhere no time quick.
Okay.
- Come on.
- Come on.
Come on.
So where's the badness? In my breast.
And what's the prognosis? Still waiting to see how I respond to chemo stage.
Okay, I been there.
Sisters in arms.
[CHUCKLES.]
So you know this keeping a secret thing, it's not gonna it's not gonna be that easy, right? - I'm managing.
- Oh.
Cancer's a heavy lift and I know it sounds like a cliché, but there's strength in community.
- And pity.
- Mm-hmm.
And obligation and I don't want any of that.
I hear you.
I was afraid to tell my friends, too.
But once I let them in, I let my friends be my friends.
It was a real comfort.
It's time to heal with steel, Dr.
Sexton.
Incision is yours.
What's it gonna be? Midline? Is that question or a statement? Midline.
Okay, then what? Divide and tie off the falciform ligament.
Keep going Eviscerate the patient and find the transition point of the small bowel.
I like what I'm hearing.
Don't stop now.
Uh, we open the lesser sack, take down the lienocolic ligament We'll take good care of you, I promise.
- Dr.
Marcel? - By your side the whole time What are you doing? This isn't an easy surgery.
I'm just letting Carl know that we're gonna take special care of him.
You think he can hear you? Unsure but what the body can't hear, perhaps the soul can.
That said, Carl needs to know exactly what's going to happen.
So, continue, Dr.
Sexton.
Isolate the spleen, put a curved eight around the hilum, and then take the spleen out.
From there we mobilize the distal pancreas and put a TA 90 stapler across it.
Okay, let's get started.
Hey! Sorry I'm late.
Patient surprised me in a good way.
Not always the case.
How you doing? How's your day going? You know what? I am so happy.
You know? I wish everyone could feel this way.
Hmm.
Nice.
You know what, let's make some lasagna.
I'm gonna make some.
- I love your lasagna.
- [LAUGHS.]
I do.
All right, let's invite Sharon over.
It'd be nice to hang out with friends.
- Done.
- I love that.
Come on, lasagna.
Thank you.
[PHONE DINGS.]
Nurse moved me up to the oxygen mask but I still can hardly breathe.
Yeah, your CT shows a large proximal pulmonary embolism.
It means the blood clot from your leg has moved to your lungs.
I played tennis yesterday.
Now I don't have the energy to sit up? Why is this happening, Dr.
Halstead? Well, we'll figure that out later.
Right now we need to deal with that clot.
I'm gonna send you up to IR to treat it endoscopically, okay? Let's go.
Were you able to get in touch with my fiancée, Aubrey? No, and I'm really sorry.
I was about to and I got pulled away.
I promise I will call her as soon as you're on the move.
[WHEEZING.]
- Neal? - [MACHINE BLARING.]
Neal! No pulse, VF on the monitors.
Bag him.
[MACHINE BEEPING.]
Paddles, charge to 200.
Charged.
Clear.
[TENSE DRAMATIC MUSIC.]
Epi, one milligram.
Epi's in.
Okay, here we go.
Clear.
No, no, no, no.
Another round of epi.
Come on, Neal.
Clear.
Asystole.
Damn it! Time of death, 17:48.
Tough one, Halstead.
But don't sweat the review.
I looked over the chart and the PE is clearly the cause of death.
There's nothing you could've done.
Dr.
Halstead, Neal's fiancée Aubrey just arrived.
Hello? Mama, I'm here.
I don't know; they're not telling me anything.
I don't know Can you please just come now? No complications.
Lucky for us, too, 'cause Carl's bowel was in bad shape.
Dr.
Marcel was right to push for surgery.
Yeah, he was right.
This time.
But Dr.
Marcel's style, the risks he's willing to take Man, Ethan, can't you even enjoy the moment, man? I mean, we won.
We saved his life.
- Yeah.
- Yeah.
Okay.
Noah Noah.
I'm sorry.
I should be celebrating.
If we'd waited like I wanted, Carl's bowel would've perforated.
Well, it turned out okay.
Yeah, Noah I want you to succeed, you know that.
After two years of Dr.
Choi boot camp, and what I've seen from Dr.
Marcel don't know why I wouldn't.
You ever need anything questions, advice just want to talk something out Yeah, I know where to find you.
I gotta get back to recovery.
I wanna be there when Carl wakes up.
Go, go.
[LAUGHTER.]
Or maybe you can't go to bed.
Why? Maggie? You okay? Maggie, what's going on? [SOMBER MUSIC.]
Honey? I'm in the kitchen! Are you sure that we don't need any more wine? It's very easy for me to just sort of jump back Hey, Bert.
Hey, wine's coming, Dan.
Got red and white.
I know both go well with CeCe's lasagna.
Honey, honey, dinner's almost ready, so will you set the table? The dishes are already out there please.
Mmm let me.
The least I can do.
- Thanks, Bert.
- Good to see you, pal.
Hey, man, how you doing? Oh, I'm good, good.
Yeah.
Sharon's gonna be here, like, any minute.
Why didn't you tell me Bert was coming? Because if I told, I know you wouldn't have invited her.
And three people don't exactly make a "couples" dinner party.
Couples? What are you doing? I do not wanna hear how you think this is a bad idea.
It's way beyond a bad idea.
It's atrocious.
Okay, yes, I am meddling.
And I would've preferred to warm Sharon up to the idea, but I happen to be a little short on time.
You cannot spring this on them unannounced.
These people went through a terrible divorce.
They haven't talked to each other for a year.
Danny, you and I found our way back to each other.
Who says Sharon and Bert can't do the same thing? I just want them to be happy, that's it.
Well, you can't manipulate people to doing what you want if it's not what they want.
[DOORBELL RINGS.]
Hey, I remembered that CeCe's lasagna pairs well with both red and white, so That's right, it does.
It's good with It's good with red and and with white.
And rosé.
Daniel Sharon.
Bert.
So, who's hungry? You said an x-ray would confirm pneumonia.
- I thought it would.
- But you still aren't sure? And now you want to try to pump our son full of antibiotics again? - To be safe, yes.
- No.
We have been here for hours agreeing to things we're not comfortable with.
No more.
We're going home.
I'm sorry, but I won't approve that discharge.
Then get me your boss.
Now.
[DRAMATIC MUSIC.]
Hey, hey, I need to see a supervisor.
We're calling our lawyer.
Lucas most likely has pneumonia.
He needs these antibiotics now.
- No! - You're not hearing me.
Pneumonia for toddlers can be fatal.
Janet, get Lucas now.
No, you're endangering his life.
We are taking our son, so either get out of the way or I'll go through you.
- Security! - Hey, open the door! Are you out of your mind? - I won't let you take him! - We need Security! Open the door! Hey, open this door! Baby, it's gonna be okay.
Open the door, please.
- Open the door.
- Now.
Lucas, it's okay.
It's okay, honey.
Come on, don't you have a key? Please! Hey, don't you dare no! Please.
Lucas, it's okay, honey, it's okay.
It's okay, buddy Everything's gonna be all right.
Open this door! You gotta be kidding me.
Open this door!