Chicago Med (2015) s06e10 Episode Script

1 Knight F6, then you got me in three.
Well done.
Listen, I don't spend all day playing games.
Sabeena, there's a restaurant in my neighborhood opening up.
You wanna check it out? I'd like that.
Michael, I can't have my medical reps upselling during a procedure.
I can't welcome him back to my O.
R.
Would it be too much to ask for you to back me up just a little? I'm thinking about reconnecting with my daughter.
There's a program that helps parents track down the children they put up for adoption.
It's been over 20 years.
She may not want to reconnect.
- Oh, hey, good morning.
- Hey.
Somebody woke up on the right side of the bed.
Well, somebody got a sitter for tonight.
- Oh.
- And that means she's gonna bring food to your house.
What do you wanna eat? Oh, whatever you want.
It's all good with me.
You always say that.
I wanna know what you like.
Well, I like Thai, Indian, pizza, burgers I like it all.
You know, we have been dating now for I don't know how long, and I still know so little about you.
Well, you know I like Thai, Indian - Oh, get out of here.
- Pizza, burgers - Go away.
- [BOTH LAUGH.]
And then he looked at me and said, "You know so much about endoscopy, why don't you just rep the line yourself?" So you're gonna be in charge of a whole new series of devices? That's right, and I'm telling you, Mom, they're awesome.
Increased success rates on embolization, sclerotherapy, stent and valve placement.
Really gonna help a lot of people.
Oh, that's fabulous, Michael.
Good for you.
Thank you, but to be honest, I am on the clock.
Can't waste any more time talking to you.
- Well, have at it.
- All right.
[CHUCKLES.]
- Hey, Maggie.
- Hey, Sharon.
- You okay? - Mm-hmm.
- It's here.
About my daughter.
- [DRAMATIC MUSIC.]
Wow.
You tracked her down.
What are you gonna do? I'm not ready to open it.
Well, if you need me, call, okay? [BREATHES DEEPLY.]
I have to admit, I thought I had you when I took your king's knight.
Which is why I let you take it.
I knew you were about to play the Mecking Variation.
Because it's subtle but brilliant? Because you always play the Mecking Variation.
Oh, all right, well, I'm gonna need a rematch tonight.
See if I can come up with some surprises.
I'll see.
I have two more trial patient exams and a status report due.
Oh, my God! Mom! Get a gurney.
What happened? She's been having palpitations, but she wouldn't let me bring her in until today.
Hi, I'm a doctor too.
Does your mom have any cardiac conditions? Not that I know of, but she's pregnant.
All right, we're gonna get you up to the ED and check you out, okay? Is there anyone you'd like us to call? - Her husband? - No Gary's passed.
Anyone else? Baby's father? No, the baby's mine.
And my husband's.
Yours? My mother's carrying our baby.
[TENSE MUSIC.]
Hello, again.
Where we at? Ms.
Daniels is a 22-week pregnant surrogate for her daughter.
And I am seeing signs of atrial fibrillation.
Okay, do you mind me asking how old you are? 54.
[PANTING.]
I know that's pretty old to carry a baby, but when Katie asked me, I just couldn't He's busy, Mom.
I'm sure he just wants you to answer the questions.
So, has this ever happened before? No.
And any other medical history we should know about? I'm allergic to shellfish.
And I had a kidney stone once She's an alcoholic.
I'm sorry, Mom.
It's true.
Recovering alcoholic.
I haven't had a drink in two years, six months Do you think that's why this is happening? My husband and I we knew there might be medical issues.
We couldn't afford a professional surrogate.
Okay, let us do a few tests, and we'll figure out exactly what's going on.
And in the meantime, we'll try to get your heart back into a normal rhythm, okay? Excuse us.
[DRAMATIC MUSIC.]
What do you think? She is unstable.
We need to cardiovert.
Mags, order an echo and 100 milligrams of flecainide.
We'll see how she does over the next hour.
Well, hold up, if this is alcoholic cardiomyopathy, we may wanna do it electrically.
But we don't wanna affect the baby's rhythm.
- Meds would be safer.
- Well, but less effective.
I mean, the longer this goes on, the worse it could get.
So what do you want me to do? Flecainide is standard of care.
We'll go with that.
What have we got? I've got Arash Mehti, shot in the leg.
Two of morphine in the field, vitals stable.
Okay, Mr.
Mehti, I'm Dr.
Marcel.
We're gonna take good care of you, okay? I don't want to be here.
Okay, well, we're just gonna take a look at you, all right? Let's get an X-ray in here.
[SPEAKING FARSI.]
[SPEAKING FARSI.]
Okay, here we go, guys.
On my count, nice and easy.
One, two, three.
[GRUNTS.]
[WHIMPERING.]
- No, please.
- Whoa.
I can't afford this.
I'll go somewhere else.
- Bring his head up.
- Yup.
Okay, listen to me, Mr.
Mehti.
You need to be in a hospital.
I don't want your leg moving any more than it has to.
So please stay calm, okay? Nice and still.
Let's move back.
[SPEAKING FARSI.]
[SPEAKING FARSI.]
[SPEAKING FARSI.]
Okay, Mr.
Mehti, it looks like the bullet hit one of your large vessels.
I need to operate in order to stop the bleeding, and remove the bullet.
Is that okay? - Operate? - Yes.
No.
[SPEAKING FARSI.]
Dad, I don't think you have a choice.
[SPEAKING FARSI.]
[GRUNTING PAINFULLY.]
Mr.
Mehti, your son's right.
You're still bleeding.
If we wait much longer, you'll lose too much blood.
You will die.
Dad, just let him fix you.
- No.
- Please.
Mr.
Mehti.
- Fine.
- Okay.
Call the blood bank.
Let O.
R.
know we're coming up.
You got it.
I'll see you soon, okay? [PANTING.]
[DRAMATIC MUSIC.]
Hi, Emily.
I'm Dr.
Manning.
What happened today? I was on my way to the gym, and I got mugged.
Oh, my God.
I'm so sorry to hear that.
- It's okay.
- You mind if I thanks.
It's okay.
But he threw me pretty hard.
All right.
Yeah, well, it appears to be broken, but I do wanna do an X-ray to confirm.
Thanks and could she get something for the pain? She's trying to be brave, but I'm sorry.
This is Brian, my husband.
Nice to meet you.
And yes, we can get you something.
Did you make a police report? No, the guy got away so fast.
Well, you should think about filing one.
I mean, you'd be surprised at how often they find the suspect.
No, it's fine.
I didn't even get a good look at him.
Come on, Em.
We're just sitting here anyway.
We might as well.
My head hurts, and it seems like such a pain.
Sweetie, the guy broke your arm.
Okay.
Great.
I'll send someone in.
And in the meantime, we will get you those meds, okay? Hey, I have a patient in three who was just mugged, and she seems like she's in a little bit of denial.
Would you mind talking to her for a minute, just make sure she's all right? - Not at all.
- Thanks.
[MAN GROANING.]
I've been on hold for a while.
Where are you guys? He's bleeding bad.
[YELLS, PANTS.]
- Can I help? - Are you a doctor? No, I'm a nurse.
Good enough.
Come on.
Sheet metal got his leg.
We tried to tie a belt around it, but it just keeps slipping.
Hey, my name is April.
I'm gonna try to help you, okay? Hey, April.
I'm Russell.
Hey, Russell, just hang in there.
Thank you.
All right.
Hey oh, that's too high for a tourniquet.
You gotta press right here.
Yeah.
And press down hard.
Harder.
Okay.
What's in that toolbox? [PANTING.]
Hang on, Russell.
Okay.
Let me see.
[GRUNTING.]
Does that first aid kit have any alcohol in it? Whoa.
Okay.
- All right.
- Here you go.
This is gonna hurt, okay? Get ready.
Okay.
[SCREAMING.]
I know, I know.
Okay.
Hang in there.
Press down harder.
Use all your weight, okay? Can you hold his leg so he doesn't kick? [STRAINING.]
Oh.
I know, Russell.
I gotta clamp your artery.
Just keep pressing.
[EXHALES DEEPLY.]
[TENSE MUSIC.]
Yeah.
Got it.
[SCREAMS, GRUNTS.]
Ease up, slowly.
[SIREN BLARING.]
Is he gonna be okay? I think so.
- What do we got? - Russell Byrd, 26, lacerated femoral artery with significant blood loss.
BP 90/55, heart rate 115.
Got a liter saline en route.
What, were you repiping his sink? We were at a construction site.
- I had no choice.
- Serrated teeth, no less.
Ugh, the whole artery wall's ground beef.
Okay, go get yourself cleaned off.
No, it's okay, I got it.
Look, you've done enough, okay? - Nancy.
- Sorry.
And tell the O.
R.
to hang vanc and gent when we get there.
And hopefully this guy's still got a leg when he gets out.
So I talked with your patient, Ms.
Norris.
And I know there could be a little residual shock here, but I don't know, I just something's not adding up.
You know, I can't escape the feeling we're not getting the whole story.
- How so? - Hey, guys.
Station checked all the cameras in a three-block area.
Said they couldn't find any footage of an attack.
Oh.
Thanks.
O.
R.
's ready to plate her arm.
Okay.
I just have a couple of questions.
So you said you were attacked at 6:00 a.
m.
, yeah? - Give or take, yeah.
- And you were on a sidewalk? Not in an alley or anywhere else? Is there something wrong? Because the cop asked these same questions.
No, they're just having a hard time finding video of the incident, that's all.
See, I told you this was a waste of time.
They just wanna help.
I know, but I'm cold, and hurt, and I just want this to be over with already.
- Let's get her a blanket.
- No, it's okay.
Here.
We're gonna get you through this and go home, okay? Whoa, whoa, hey, you want us to dress those for you? Oh, I'm fine.
[SOFT DRAMATIC MUSIC.]
Those look like fingernail scratches, yeah? Yeah, they did.
Maybe I need to have a little chat with Mr.
Norris.
You know, we never did get that coffee this morning.
Well, after an hour of trial questionnaires, I'm sure you could use it.
Hey, Ms.
Daniels is still in A-fib.
Saw that.
I think we should switch to electrocardioversion.
I'd rather stick to meds and up the dose.
Okay if I observe? I'm invested.
Yeah, of course.
Ethan, her heart rate's only getting worse.
I really think we should change course.
Okay.
[MACHINERY BEEPING.]
Hi, Ms.
Daniels, we're putting a little sedative into your IV, so you should only feel a small jolt.
And this won't hurt the baby, right? Mom, just let them do their job.
Mary, we'll be very careful.
Kate, please.
- Okay, here we go.
- Right here.
Charging to 50.
And one, two, three.
[SHARP ELECTRIC WHINE.]
Nothing.
Ms.
Daniels, you okay? Good.
50 again.
And one, two, three.
[SHARP ELECTRIC WHINE.]
It's not working.
Let's increase her meds.
No, let's go to 100.
And one, two, three.
[SHARP ELECTRIC WHINE.]
[MACHINERY BEEPING.]
- She's in v-fib.
- [ALARM BLARING.]
- No pulse.
- Charging 200.
What's going on? The current flipped her into a more serious arrhythmia.
- We have to shock her out of it.
- Clear.
Oh, my God.
Still no pulse.
Push a milligram of epi.
Charging to 200 again.
- Epi's in.
- Clear.
[TENSE MUSIC.]
Sinus rhythm.
Pulse is back.
Mary? [SIGHS.]
What happened? Your heart issue is still not under control.
And I'm sorry, but at this point we have to be prepared for this to happen again.
Get another 12-lead.
Call me if anything changes.
All right, vessel's repaired, clamp's coming off.
Just gotta grab that bullet and take this thing home.
Maya, help me pull the artery over.
It's over as far as it'll go.
Huh.
Try the other way.
[MACHINERY BEEPING.]
Dr.
Marcel? I can't find the bullet.
It was right here in the X-ray.
All right, somebody check his bed.
- Make sure it didn't fall out.
- On it.
You sure you read it right? Leg film, easy to turn upside down.
No, Marty, it wasn't upside down.
The bullet's not in here anywhere.
[DRAMATIC MUSIC.]
Bed's clean.
Okay, did anybody touch his leg between the ED and here? Because if it didn't fall out, I don't know where else it could be.
All right, get me an X-ray here, stat.
- Mm-hmm.
- Move.
Yes, Doctor.
[WATER RUNNING.]
So I heard you're thinking of doing an interposition graft? What are you doing? Scrubbing in.
I spoke with the charge nurse.
I got a team.
Thanks.
I understand, but I came in with this patient, and I'd like to see it through.
April, I appreciate your enthusiasm, but you're an ED nurse.
I'm sure you could be of help to someone down there.
- Mr.
Norris.
- Hey.
- There you are.
- Will she have her phone when she gets out of surgery? I like to send her little messages.
- Oh, from the watch? - Yeah.
Yeah, that's cool.
I had this thing for years.
I still haven't gotten around to figuring that part out.
Yeah, absolutely, we can make sure she has it when she wakes up.
So, look.
Your wife gets attacked on the street this morning.
What do you think she does next? Does she call you up, or does she just walk home, or She might've called.
I don't know.
Truth is, it would take a marching band to wake me up in the morning.
- Bit of a night owl? - Uh, no.
I just can't seem to get good sleep lately.
Well, why do you think? You got, like, what, stress at work or something? No, I'm actually retired.
- Really? - Yeah.
- From what? - Army.
173rd Special Troops, Afghanistan.
- Oh.
- Been back three months.
Wow.
Huh.
Afghanistan, that Was that rough? Ah, wasn't so bad.
Well, anyway, you not getting sleep I mean, that's when you have accidents, right? I mean, how did you say you did that again? I don't know.
Maybe yard work.
I have no idea.
Anyway, Emily should be getting out soon.
Can I go wait for her in recovery? Yeah.
I can totally arrange that.
You know, these things can also help you figure out what's going on with your sleep too.
- You know that, right? - Yeah, I think Emily might've put one of those apps on here for me.
Oh.
Let's have a look.
[SOFT DRAMATIC MUSIC.]
Hey.
So get this.
Mr.
Norris is ex-military.
Just back from Afghanistan three months ago.
And we all know how complicated those transitions back to civilian life can be.
But for what it's worth, he's not throwing off an abusive profile for me.
Well, take a look at this.
Those are her medical records from East Mercy.
She's been there twice in the last month for bruising in her rib cage and a bloody nose.
She's being abused.
It's third time she's coded in an hour.
The fetus is putting too much strain on her heart.
We can't deliver.
She's only 22 weeks.
We have to stick with the playbook and hope the higher dose of meds works.
- Or we try something else.
- Now what? - Tetracaine.
- Are you kidding? We should give it as an infusion, block her sodium channels, and reset her rhythm.
It's only been tried in a handful of cases.
There's no hard data.
Yes, it's cutting edge, but it could be a home run.
Or it could cause asystole and kill her.
I understand, but we can't keep going like this.
Each shock we give her increases the chance of fetal arrhythmia.
I wanna protect the fetus as well, but our duty is to our patient first.
- Ethan - You've already done enough damage as it is.
We're sticking with the meds.
I know, I'm such a klutz.
One time I tripped at the gym and landed on some weights.
And the other time, I ran into a door.
Did Brian go to the ED with you? I didn't tell him.
I was embarrassed.
Huh.
You guys you seem so close.
I don't get why you'd be embarrassed.
What is going on? Look, Emily, if there is anything you wanna tell us Wait, you're not suggesting that he had anything to do with this? All three injuries have happened since Brian's been back from deployment.
Look, Brian is a good man.
He's a good man who went through combat.
And as I'm sure you know, people can they can come back with issues.
Well, it wasn't easy for him.
What he saw there.
But what matters now is that he's back and we're together.
Okay, but no matter what happened to him over there, it is not okay if he's hurting you.
You don't know what you're talking about.
Emily, please.
We're just I think that you should leave.
Look, I okay.
[DRAMATIC MUSIC.]
She's protecting him.
It's classic battered woman syndrome.
You know, very possible, but I don't know.
Something still it's just not adding up.
All of these ER visits, all these injuries, are taking place very early in the morning.
Okay, so they fight in the morning.
But what if he's not fighting her at all? What if he's fighting with something else, and she just happened to be there? Nat, no wonder he can't remember where these scratches come from.
I think that this might all be happening when he's asleep.
How do you prove that? I have an idea.
You lost the bullet? We didn't lose it.
It's called a bullet embolism.
It got pulled through the hole in your vein and traveled up to the liver.
It's lodged inside the vessel there.
[SPEAKING FARSI.]
Look, Mr.
Mehti, this is not what we wanted.
But we're gonna get this taken care of, okay? However, since you've already been put to sleep today, I do wanna wait two days before opening you back up again.
- Two days? - Yeah.
[SPEAKING FARSI.]
[SPEAKING FARSI.]
[SPEAKING FARSI.]
I'll give you guys some space.
[SIGHS DEEPLY.]
- Hey, Dr.
Marcel.
- Yeah? Look, I'm sorry about my father.
- Oh, it's okay.
- Well, if it helps, his anger's actually directed at me.
Don't worry about it.
He gave up everything to come to America, to give me opportunities.
What do I do? I insist on being a musician.
He says I'll never earn a living.
He hates my music.
His disappointment's over a lot more than a bullet.
I understand you.
And you don't have to worry about my feelings.
Let's just get your father fixed up, okay? - Yeah.
- All right.
- Dr.
Marcel? - Yeah? I don't mean to butt in, but I overheard you talking, and I think there's a way you could avoid another surgery.
- How's that? - I've got this new endoscopic device to deploy artificial heart valves.
It extends mechanical fingers to release the valve.
You think that it could work in reverse? Exactly.
Just grab the bullet.
But it's not approved for that.
This would have to be off-label, right? It would.
But if you're trying to avoid an open surgery Right.
It's actually a pretty good idea.
All right.
Let's do it.
[SOFT TENSE MUSIC.]
Maggie's just wondering if you would need someone to cover for you.
No, I'll be down in a minute.
Hey, you okay? What if I cost this man his leg, or worse? April, don't get caught up in that.
I'm sure you did everything possible.
How's she doing? Still in and out of v-tach.
Ethan's giving her the standard meds, which maybe is for the best.
But you have something better in mind? Tetracaine.
It's risky, and may not even work.
But how do we sit here with an ace up our sleeve and not even try? I'm with you.
When I practiced medicine in India, every time I looked a patient in the eye, knowing their life was on the line, I couldn't stop till I knew I did everything I could.
Anyway, easy for me to talk.
It's a medicine that's unproven, but could reset your rhythm for good.
Now, the problem is, there's also a small chance it could stop your heart completely.
- Oh, my.
- I know.
And that's why I'm not pushing you to do it.
But I'm not sure how many more rounds of defibrillation your heart can handle.
So if this sounds like something you wanna know more about If my heart stopped, what would happen to the baby? It's too small, so it wouldn't be able to live outside of you.
I see.
But if I don't make it, is there a way to keep the baby alive inside? Oh, no, Ms.
Daniels, let's not go there yet No, I read about this some kind of machine you hook me up to, so the baby can keep growing? Yeah, we could.
But it's a complicated issue.
Maybe you wanna wait for your daughter No.
This is my decision.
I was never there for Kate.
I was too drunk.
Her dad traveled for work, so she had to walk herself to school, find her own dinner, put herself to bed.
And I know I can never make up for that.
But now, she wants a child more than anything.
To finally have a family.
And if this medicine is my best chance to give her that, then I want it.
Mary.
[PLAINTIVE MUSIC.]
This is a big decision.
You sure you don't wanna take some time to think about it? Thank you, Maggie.
But I know my answer.
I'm not gonna let my daughter down again.
Okay.
I'll set it up.
Will.
Will.
Shouldn't we wait for Kate to be part of this decision? You heard her.
Okay? She's trying so hard to make up for the past, not being there for her daughter.
Let's give her that chance.
[EXHALES SHAKILY.]
Will, you talked her into this infusion behind my back? Yeah, I didn't talk her into anything.
It's what she wants.
What is wrong with you? You needed to come to me first.
Hey, I tried.
You're too stuck on a treatment that isn't working.
So you're just gonna risk her life? No, I'm doing what both I and our patient think is best.
Mom, this is crazy.
There's no way.
I've made my decision.
No, this is stupid and reckless.
I have to do something.
Every time they shock me, it puts the baby in danger.
- I don't care.
- Of course you care.
This baby means everything.
- No, it doesn't.
- Kate.
You've been waiting for this forever.
Mom.
This baby doesn't mean as much as you do.
[MACHINERY BEEPING.]
Ms.
Daniels, you're starting to throw irregular beats.
What do you want to us do? [DRAMATIC MUSIC.]
Please, let me do this.
Mom, no.
I love you, sweetheart.
I'm ready.
Start the infusion.
How is he? Well, there was enough artery left to repair, and he's perfusing well, so I think he's gonna be fine.
Thank God.
Hey, April.
He lost a lot more blood out there than I realized.
So you didn't just save his leg, you saved his life.
Pretty good for a nurse.
You should've gone to med school.
[EXHALES SOFTLY.]
Hey.
Is there a reason why we're still here? The orthopedist said she's medically cleared to leave.
Yes, but we would like to speak with you first.
Brian, I think that you are suffering from a form of PTSD.
- What? - Okay, this is enough.
He's not even the patient here.
Please, just bear with us for a moment.
I think that you're experiencing something called PTSD nightmares.
Now, the word nightmares is misleading.
They're actually much more like sleep terrors.
The difference being, people often don't remember them.
But your body still very much experiences them, to the point that on certain nights, the intensity leads you to literally act them out physically.
In this case, on Emily.
No.
I She's been to the hospital for injuries twice before today.
What? It's nothing.
It's fine.
Please, we're just trying to get him the help that he needs.
No, you're trying to report this as domestic abuse and get the police involved.
Listen, we are legally obligated to report this, but I guarantee you, because of the specifics of this case, that Brian he's not gonna be prosecuted.
He'd still end up with it on his record.
And then what? A mental health diagnosis? These things follow you your whole life.
Em, maybe we should talk about this.
No.
The army, the hospital.
They won't protect you.
- I am the only one who will protect you.
- Okay.
Emily, Brian and I were discussing his sleep.
Do you mind bringing up that app again? Yeah.
The watch tracks his sleep patterns.
Most people have a sleep efficiency of around 85%.
That means a lot of deep sleep, very little movement, okay? As you can see, Brian's sleep efficiency, it averages around 50%.
And on the days that you went to the hospital, - it was down to 10.
- So what? You see right here, early in the morning, all that movement? Those are night terrors.
Emily, did I do this? No.
Emily, you came in here today with a broken arm.
Next time, it could be far worse.
I mean, Em tell me the truth.
Brian Have I hurt you? - Brian - Honey, please, I I couldn't live with myself if I - You didn't mean to.
- Oh, my God.
- You didn't mean to.
- I'm so sorry, I'm so sorry.
- I'm so sorry.
- It's okay.
It's okay.
It's not your fault.
[SNIFFLES.]
It's not your fault.
[BOTH SOBBING SOFTLY.]
We can help you.
I'll do whatever it takes.
[MACHINERY BEEPING.]
Starting infusion.
[DRAMATIC MUSIC.]
Her rhythm's erratic.
It's not gonna hold for long.
Are you okay, Mom? BP's falling.
She's having runs of v-tach.
- We need to cardiovert.
- No, the baby.
- Ma'am.
- Give the medicine a chance.
Your pressure's dangerously low.
[EXHALES.]
[PANTING.]
- Mary? - Mom? Come on, let them do it! Let's give it a minute.
Ms.
Daniels, we're running out of time.
[TENSE MUSIC.]
- Ms.
Daniels.
- Mom! Don't let her die! [MACHINERY CHIMING.]
She's in v-tach.
- Charging 200.
- Ethan.
Charge.
Clear.
Mags, clear.
- Okay.
- Mags.
Clear! Maggie.
[MACHINERY BEEPS.]
Sinus rhythm.
It worked.
- [LAUGHS SOFTLY.]
- [LAUGHS.]
Thank you.
[WARM MUSIC.]
This is where we deployed the device, but as you can see, when we tried to grasp the bullet, it slipped away.
Which dislodged it from the vessel wall, and into the current.
We tried to go after it again, but the blood flow was too strong.
It got swept away.
Swept away? So where is it now? It's in the right atrium of the heart.
They're finishing up the echo now.
Using a device off-label? What were you thinking? I was trying to avoid another open surgery.
Look, while the outcome wasn't ideal, the bullet is safe.
So we'll go in tomorrow, same as we would've done.
Promoting your products for unapproved uses? It made sense.
It could've worked.
Ms.
Goodwin, I'm the surgeon of record.
It's not his fault.
This is far beyond the bounds of professional conduct.
- Dr.
Marcel? - Yeah? You need to see this.
Excuse me.
[SIGHS DEEPLY.]
[SOFT DRAMATIC MUSIC.]
What is it? He's got a ventricular-septal defect.
A hole between the two sides of his heart.
- Didn't you know about this? - No.
Nobody did.
It wasn't in his history.
What does it mean for the patient? If the bullet passes through from the right side into the left, it could shoot up into his brain, cause a massive stroke.
Gotta get him into the O.
R.
now.
[MACHINERY BEEPING.]
How's it looking? Got some high line pressures.
He's getting coagulogenic.
Better move it along.
Yeah, right side's empty.
Bullet must've passed through the defect after X-ray.
- Let's open up the left.
- Hang on.
- Sats are down to 92.
- What's going on? Oxygenator line is clotted off.
Giving heparin.
Let's get out of here.
- No, not yet.
- 84.
If it's not there, we have to go.
If it's not there, he's got bigger problems than his sats.
- [ALARM BEEPING.]
- Shut it off.
- We're down to 79 - Shut it off.
[TENSE MUSIC.]
Come on.
- Dr.
Marcel - Hold on.
One last place.
Under the valve.
There you are.
- There it is.
- Yes! All right, let's close him up.
5-0 prolene.
[ULTRASOUND BUZZING.]
Is that the baby's heart? Yes, it is.
It looks very strong.
And healthy.
It's beautiful.
[DRAMATIC MUSIC.]
[INHALES DEEPLY.]
I have already talked to the state's attorney, and he assured me that not only will Brian not face any charges, he won't even have a record, okay? And as for the arrest, I'm sorry.
It's just pro forma.
And the psychiatric facility they're sending him to for how long? Well, it's hard to say.
Maybe a couple weeks, a few months.
You know, there are some cutting edge new therapies involving medications like MDMA, ketamine, that could shrink that time considerably.
And then he'll be my Brian again? I think there's an excellent chance of that.
Really, I do.
[PLAINTIVE MUSIC.]
I love you, Em.
I love you.
Going behind my back, throwing up Hail Marys? We got the win today, but you and I have a problem.
[MACHINERY BEEPING.]
Hey.
Mr.
Mehti, how you feeling? He's doing well.
But he has something he wants to tell you.
Okay.
- Doctor.
- Yeah? I want to apologize and thank you.
[SPEAKING FARSI.]
[SPEAKING FARSI.]
[SPEAKING FARSI.]
[SPEAKING FARSI.]
[SPEAKING FARSI.]
It's okay.
[SPEAKING FARSI.]
[SPEAKING FARSI.]
[PLAINTIVE MUSIC.]
Thank you, Doctor.
My pleasure.
I'll check on you in a bit, okay? - Okay.
- [SNIFFLES.]
I don't know what you said, but whatever it was, it seemed to make him feel better.
Yeah.
Yeah, I told him he had a good kid.
He should give him a chance.
- You ready? - Mm-hmm.
[ELEVATOR DINGS.]
Mmm.
You need to order every time, because this rice is amazing.
- It's so good.
- Mm-hmm.
So, annoyingly enough [LAUGHS.]
- Properly cooked, it's rice.
- Mm-hmm.
When you burn it, get it crispy at the bottom? - Tahdig.
- Tahdig.
Yeah, look at you.
- Good to know.
- Yeah.
- So, your name.
- Mm-hmm.
Crockett Marcel.
Doesn't sound very Persian.
Yeah, my birth name is Darioush.
- Darioush Jahanbani.
- Darioush.
My parents changed me and my sister's name to make it easier on us in school.
Yeah, they picked Marcel 'cause it was popular in New Orleans.
Mm and Crockett? Where does that come from? My pops was a big fan of "Miami Vice".
Sonny Crockett.
- Oh.
- [BOTH LAUGH.]
- True story.
- Mm-hmm.
- You want some more tahdig? - Ah, yes, please.
- Absolutely.
- Mm.
Yum.
Thank you.
[LAUGHS SOFTLY.]