Chicago Med (2015) s06e12 Episode Script

1 Ramona Davis has been troubled for a long time.
I have a confession to make.
I did shoot myself with a nail gun.
I'm concerned that you're a danger to yourself.
You don't need to be nervous around me.
I am very comfortable around you.
I'm taking her blood to an outside lab.
You're unblinding her without the company knowing? That's what caused her seizure.
So we won't need to unblind her.
No, I don't think it's necessary.
Her heart's not pumping properly.
I thought we had all this time together.
My clinical trial is the best option.
You know the risks of an experimental drug.
- If this were any other patient - But it's not any other patient.
It's my mom.
Everything okay? Yeah.
I want to jot down some notes - for our meeting tomorrow.
- Mm, it's gonna go great.
I just want to make a good impression, you know? Everyone at Kender's already so impressed with your work in the trial.
'Cause you, Dr.
Halstead are a star.
Well, thank you.
Okay, so I get that I'm grounded, but why do I have to come to work with you? 'Cause we need to talk.
You know I've been working late a lot recently.
That's on me.
But today at lunch, you and me are gonna sit down and talk.
I thought we talked plenty last night.
Honey, this is the third time you snuck out of the house in the middle of the night.
The third time in less than a month, in the middle of the night, I find your bed stuffed with clothes.
Dad, you don't let me go out and do anything.
I'm like a prisoner.
I'd love to give you more freedom but, you know, that would require a certain amount of trust.
And, um, pro tip, sneaking out of the house ain't the way to get there.
This is so unfair.
Well, I'm sorry you feel that way.
- Ramona.
- Hi, Dr.
Charles.
What are you doing here? I've got my outpatient psych clinic this morning.
I thought I'd stop by and say hi.
Oh, okay.
- Is this your daughter? - Yeah.
- Hi, I'm Ramona.
- Anna.
Hey, I don't you want to be getting upstairs? You don't wanna be late for your appointment.
To be honest, I really don't know if Dr.
Lancaster is helping me.
Hmm.
You know, it's only been three weeks.
Probably a good idea to give the process a chance.
You know, he's really very, very good.
Else, I never would have recommended him to you.
[TENSE MUSIC.]
It's nice to meet you.
Nice to see you.
[WHISPERS.]
She's weird.
Morning, Nat.
Morning.
How's your mom? You know what? She's doing good.
She has an appointment with Dr.
Young to see how her heart's doing with LVAD today, so - I'm glad it all worked out.
- Thank you.
Ambo pulling up.
Big rig overturned on the Kennedy.
Car got crushed.
We're heading to Baghdad.
- How many injured? - One.
Coded on the way.
Courtney, talk to me.
John Brady, 52, triple zero.
Intubated and bilaterally needled in the field.
- John.
- You know him? Oh, yeah.
One of my trial patients.
Downtime greater than 15 minutes.
15? Let's move it.
John, we got you, buddy.
On my count.
One, two, three.
Thank you.
Pause CPR.
PEA, continue CPR.
Push a milligram of epi.
Come on, John.
Come on, John, come on.
Check pulse.
[MONITOR BEEPING.]
We have a pulse.
Sinus rhythm.
[CLAPS.]
All right, ultrasound.
Let's fast him.
Okay.
Fast is negative.
Pressure's dropping.
Let's get him a unit of blood and then FFP on the rapid transfuser.
[ALARM SOUNDING.]
- V-fib.
- Damn it.
Charge to 200.
Charging.
- [PADDLES CHARGING.]
- [ALARM SOUNDING.]
Oh, my God.
Here we go.
Clear.
Again.
Push another milligram of epi.
[PADDLES CHARGING.]
All right, clear.
- Pulse.
- Check pulse.
Still V-fib.
[PADDLES CHARGING.]
Come on, John.
Breathe for me.
Breathe, John.
Clear.
[ALARM SOUNDING.]
Keep up compressions.
Charge again.
Clear.
[ALARM SOUNDING.]
Let's go! Keep going.
- [PADDLES CHARGING.]
- [ALARM SOUNDING.]
[DRAMATIC MUSIC.]
[SOMBER MUSIC.]
I mean, he was doing so well in the trial.
His heart was improving.
Only to get killed in some freak accident.
I'm so sorry, Will.
I found these in Mr.
Brady's belongings.
Trial meds? Yep, those have to go back to Kender.
All right, I'll put it in the outgoing box.
I got to go pick up my mom right now, but if you want to talk later, I'm around.
- Thanks, Nat.
- Yeah.
My heart is getting worse.
How can that be? I've been feeling better.
You have been having palpitations.
Only in the last couple of days.
And they go away very quickly.
I'm afraid that's just the first sign that your heart's getting weaker.
Your heart has become more dependent on the LVAD.
Well, wasn't that the point of getting it - in the first place? - Not exactly.
The LVAD is just meant to be a support until cardiac function improves or, if that doesn't happen, until a donor heart becomes available.
Oh.
So what are our options? I'd like for you to stick around for a few hours so we can give you some IV fluids.
And then I can go home.
I also want to run a few more tests.
Then we'll take stock of where we are.
Okay? I'm sorry.
I know that's not what either of you wanted to hear.
I really hoped the LVAD would have been a better solution.
I still think it was the right call.
I'm not blaming you.
I thought it was a better option, too.
But you know what? I'm gonna go talk to Will, see if he can still get her into the trial.
I mean, even if he did, your mom could still get the placebo.
I know, but I need to explore all of our options.
Yeah, of course.
Hey.
Hey, how'd your mom's appointment go? Not great.
The LVAD's not helping as much as we'd hoped.
Sorry to hear that.
Look, I know at first, it was either your trial meds or the LVAD.
We couldn't do both.
All trial patients have to fit the same criteria.
Sure, but if she was on the medication, would it react adversely with the LVAD? It's a great drug, but this is uncharted territory.
If Mom understood the risk, is there any way you could still get her into the trial? Nat, I'm sorry.
I wish I could.
Enrollment's closed.
Isn't there anything you can do? I'll tell you what.
I'll ask Dr.
Virani.
See if she can make an exception.
But I can't promise anything.
I understand.
Thank you.
Okay, we'll be right there.
Hey, Dean, I need you.
- Yeah, what's going on? - CFD just called.
There's been an accident at a house under renovation.
Two injured.
One seriously.
Open abdominal wound, and he's trapped under debris.
Are they gonna need us to do a field amputation? I hope not.
But they said he's trying to get the guy free and they need us to bring blood and plasma.
Let's gear up and go.
Mrs.
Forbes, I'm Dr.
Marcel.
- This is Nurse Sexton.
- Hi.
- My husband Robert.
- Hi.
Excuse me.
I see you've had COVID.
- Yeah.
- And you're experiencing chest pain and shortness of breath.
When she woke up this morning, it was pretty bad.
How long you been having these symptoms? On and off since I had COVID, but it's gotten worse the past few days.
She's been testing negative for weeks, but it doesn't seem to matter.
Unfortunately, some people experience symptoms for weeks, even months, after the virus is gone.
- Sats 93.
- Heart rate's elevated too.
Right before COVID, we just started trying to get pregnant.
We waited so long to start a family.
I'm just ready to start getting back to our lives, you know? Yeah.
Well, let's figure out what's going on and get you fixed up, okay? I'll see you in a bit.
- Doc.
- Yeah? You think there's something wrong with her heart? Oh, we're just covering all our bases.
All right, we're gonna take good care of you.
[AMBULANCE SIREN WAILING.]
It's good to get out in the field for a change, huh? Yeah.
Know what this is reminding me of? Helmand.
Crammed inside that Humvee, hotter than hell.
I sweat just thinking about it.
Jacked up on adrenaline.
Not knowing what you're gonna face.
[AMBULANCE SIREN WAILING.]
Hey, it was a crazy time.
Yeah, no kidding.
We've got incoming.
Dr.
Halstead, you're going to two.
- Desmond? - Ramona Davis.
30-year-old female, persistently vomiting.
GCI's 15, heart rate 133, BP 112 over 82.
Gave her half a liter of saline in the field.
All right, let's get her ready to rotate.
Ramona, remember me? I'm Dr.
Halstead.
I can't stop throwing up.
How long's that been going on? About an hour.
All right.
On my count.
One, two, three.
[GRUNTS.]
Gonna be sick.
All right, just hold on.
- Go ahead.
- [RETCHES.]
Okay, okay.
Thank you, Chrissy.
There you go.
Let's check your eyes, Ramona.
- Pinpoint pupils.
- Got it.
Ramona, I have to ask.
You take something to make yourself sick? Okay, what'd you take? Ramona, what was it? [GASPS.]
Miss Davis, tell us what you took.
I want to see Dr.
Charles.
EKG, CBC, BMP, and send her blood for - an expanded toxicology panel.
- Got it.
Ramona, I want to help you feel better.
But you got to help me and tell me what you took.
Dr.
Charles.
I'll only speak to Dr.
Charles.
Never showed up for her appointment with Dr.
Lancaster this morning.
After our encounter, she must have gone home and taken something to make herself sick.
- And Anna was with you, right? - Yeah.
That makes me a little nervous, Daniel.
How do you want to handle this? Look, I can't say I didn't see it coming, all right? Last time she was here, in order to treat her, I had to get her to trust me.
Which I did.
But in the process, became the new Dr.
Bridges.
All right, so, look, I don't like it either, but it kinda seems like I should talk to her.
Are you sure? This patient harms herself to get attention.
Aren't you just rewarding that by giving her what she wants? If not me, who? Right? I mean, certainly doesn't seem like she's gonna engage with somebody she doesn't trust.
You know, sooner or later, she's gonna run out of luck, right? And one of these attention-getting schemes is going to kill her.
I don't know, it just seems a little irresponsible to keep kicking a can down the road.
Look, I understand your concern, but in this instance, I'd rather wait for the tox screen.
Hopefully, that'll give us the answer we need without your intervention.
[UNEASY MUSIC.]
Don't worry.
We'll take care of you.
- Hey, Brett.
- Hey.
Glad you guys are here.
This is Dr.
Dean Archer, surgeon.
How badly is he hurt? Head trauma, broken arm.
The victim trapped in the basement is in much worse shape.
Thanks.
Joe, got here as quick as we could.
- What happened? - They're renovating the house.
Guy cut a truss to install some ductwork.
Cut a little too deep.
Whole floor caved in on top of him.
Circular saw cut him as he fell.
How long until you can get him free? My team's working as fast as they can, but there's a lot of unstable weight.
This way.
We're trying to secure the floor with struts and cribbing to avoid a secondary collapse.
It's just down here.
[DRAMATIC MUSIC.]
Oh, thank God.
Eddie, it's gonna be okay.
Mrs.
Howard, please, it's safer for you outside.
No, please.
I want her here.
Let her stay.
- Watch your step.
- Thanks.
Okay, we need to give the doctors some room.
Let's wait over here.
Hey, Violet, talk to me.
Eddie Howard, 34 years old.
BP 110 over 70.
Large abdominal wound with evisceration from circular saw.
- Meds? - 10 milligrams of morphine IV.
- All right, thanks.
We'll take it from here.
- Yup.
Hey, Eddie? I'm Dr.
Choi.
This is Dr.
Dean Archer.
We're gonna take care of you, all right? My wife told me to hire an HVAC contractor.
I thought me and my buddy could do the work ourselves.
Let's hang some blood.
We'll wrap his intestines in some saline to keep them moist.
You're not gonna put them back in me? No, we're gonna protect them for now.
We'll put them back where they belong when we get you to the hospital.
Hang in there, Eddie.
We're gonna get you out of here soon.
Okay, good news.
Your EKG shows no sign of any irregularity.
Then why does it feel like my heart is going to pound out of my chest? Well, let's take another listen.
Definitely bounding.
Take a deep breath for me.
[COUGHS, WINCES.]
- Honey, hey.
- Yeah.
This should help you breathe a little easier, okay? What's happening to her? Well, it's possible that she's developed a pulmonary embolism.
It's a blood clot in the lungs.
We've seen it in patients who've recovered from COVID.
It's treatable.
I'm gonna send you for a chest CT.
Then we'll know for sure.
April, if we can start her on a heparin drip and then send her for a CT PE study.
Sure thing.
[ALARM SOUNDING.]
Sats are dropping.
- Okay.
- [WHEEZING.]
Ramona, I'm gonna listen to your lungs, okay? - [WHEEZING.]
- Slow and deep breaths.
She's tight.
125 solumedrol.
Breathing treatment, stat.
[LABORED BREATHING.]
- [GASPING.]
- Okay, breathe deep.
All right, Ramona, this has gone on long enough.
You need to tell us what you took.
Ramona, whatever you ingested is working its way through your system.
If we don't treat it properly, you could have some serious complication.
You may even die.
Tell us so we can help you.
I want Dr.
Charles.
[GASPS FOR AIR.]
[AIR PUMP WHIRRING.]
- He's clear.
- Oh, thank God.
And slide him out.
I'm here, honey.
You're gonna be okay.
All right.
Someone grab the backboard.
Let's roll him.
Ready, roll.
- Back.
- All right, he's on it.
Okay, let's get that stokes basket in here.
All right, careful with that.
Let's get this guy to the hospital.
Let's transfer him on my count.
Ready, watch his arm.
Everybody ready? One, two, three.
- [GUNSHOT.]
- [EXCLAIMS.]
- Get down! - [GUNSHOT.]
[GLASS SHATTERS.]
The hell? [DRAMATIC MUSIC.]
Just got word from PD.
Gang fight broke out.
Neighborhood's on lockdown.
No ambulances in or out.
This man can't wait, Joe.
If we don't get him to the hospital soon, he'll die.
That's not my call.
I'll let you know if I hear anything else.
All right.
Hey, Dean, you okay? - Huh? - You okay? Yeah, I'm fine, I'm fine, I'm fine.
- What's happening? - Courtney.
Come on, Michelle.
Let's get you some water.
Eddie.
Eddie, stay with us.
BP's tanking.
He's not protecting his airway.
I'll bag him.
Hang another unit of blood.
- This is the last one.
- [GROANS.]
Oh, God, more laps.
- More laps.
- We're out.
Where's all this blood coming from? It's coming from the liver.
Laceration on the right lobe.
Can you repair it? Maybe a Pringle.
Clamp the inflow of blood to the liver, but it's dark, non-sterile environment.
Hey, this guy is bleeding out right in front of us.
We have to.
Yeah.
Uh - Dean.
- Yeah.
Get me a clamp and gauze.
- Anything to soak up the blood.
- Yeah.
So I can see what the hell I'm doing here.
Your CT was normal.
No PE.
Then why is my wife having trouble breathing? So far, we haven't been able to find any physical explanation for your symptoms.
Mr.
and Mrs.
Forbes, I spent a long time in the COVID ward.
I saw patients on ventilators for weeks.
A lot of them suffered emotional trauma from their time in the ICU.
Wait, you think this is in my h-head? Considering the stress you've been under for the past few months, it would be understandable if this was anxiety based.
She's not imagining this! No, no one's saying she is.
Look, anxiety, if that's what's behind this, can cause very real symptoms.
You can't do anything to help my wife? We'll continue to monitor her symptoms, run tests, but But what? If all else fails, it can't hurt to speak with one of our in-house psychiatrists.
You paged me? Dr.
Halstead.
Ramona's going downhill fast.
What about the tox screen? Whatever she took didn't show up.
Daniel.
Looks like we're out of options.
So, um wish me luck.
- Thanks.
- Mm-hmm.
Ramona.
You came.
Look, you're running out of time.
You got to tell us what you took so we can help you.
If you agree to be my doctor.
I already am your doctor.
I never stopped being your doctor.
You know what I mean.
I'm an emergency room psychiatrist, all right? We talked about this.
I'm simply I'm not available to give the kind of care you need.
Dr.
Lancaster, though But I want you.
Just like you wanted Dr.
Bridges? I mean, look, here you are, back in the hospital.
Y-you're different from Dr.
Bridges.
You listen to me.
You hear me.
That's all I need.
Someone to hear me.
Please.
I'll make you a deal, all right? Tell me what you took, and I will come back and we can talk about this a bit.
[EXHALES SHAKILY.]
Insecticide.
Malathion.
Oh, my God.
Give her a DuoDote of atropine and pralidoxime.
You got it.
Yeah, shouldn't take long to see improvement.
Give me a shout when she's out of the woods.
Yep.
Help! We need help! She can't breathe! [COUGHING.]
- It h-hurts.
- Easy, easy.
Oh, God.
Does this look like anxiety to you? All right, sedate her and set up for a bronchoscopy.
We need to scope her.
We're gonna take a closer look at your lungs, okay? Do something, do something! Nice and easy, okay? We're taking care of it.
All right.
[WHISPERS.]
What's happening? - There you go, there you go.
- It's okay, it's okay.
Brought you an afternoon pick-me-up.
Always so thoughtful.
Listen, um Dr.
Manning's mother is in heart failure.
I know enrollment's closed, but is there any way we can get her into the trial? I'm sorry, Will.
Letting her in now would compromise the data we've already collected.
I get it.
It's just, Carol's an old friend, and she's getting worse.
Our drug could save her life.
There's no guarantee that she would get the actual drug.
And even if she did, we don't know how effective it would be.
The drug works.
The preliminary data has been encouraging, but No, it works, I know it does.
It's a blind trial.
How could you? Will? I unblinded a patient.
What? Couple months back.
You did this behind my back? I didn't want to.
But I had to.
For the sake of my patient.
Do you have any idea what you've done? You've jeopardized the whole trial, not to mention both of our jobs.
Look, Sabeena, I've told you this in confidence.
Well, we're having drinks with Mark Barragan tonight.
How am I supposed to sing your praises, knowing you've broken the most basic rule? I'm sorry.
Really, I am.
I have no idea what I'm gonna do.
But I can tell you this.
I'm not making any exceptions to the enrollment.
[WHISPERS.]
Okay.
[TENSE MUSIC.]
- Hey, Nat.
- Yeah? So I talked to Dr.
Virani.
And there's just no way to get your mom in the trial.
- I'm sorry.
- What if I talk to her? Explain how serious Mom's condition is? Trust me, she's not gonna change her mind.
Okay, um, thank you for trying.
Hey, I really wish there was something I could do.
I guess we'll just stay on course with Dr.
Young.
Thanks.
How you feeling? Good, now that you're here.
I like your tie.
My father wore a tie every day.
He had very fine taste in clothes.
You know, speaking of your dad, last time you were here, I was struck by you said that you didn't think he cared about you.
Those were your words, not mine.
Oh.
- We were very close.
- Oh.
Tell me a little more about him.
There isn't any more.
How 'bout your mom? Was she around? She left us.
Sorry to hear that.
How old were you? I don't know, um five or six.
Anyway, it didn't matter.
How's that? My father said we didn't need her.
We were a team.
No brothers or sisters? Just me.
You know, some kids in that position, they I don't know, sometimes would wish that they had a little brother or sister to play with.
But not you? I didn't.
I was very happy.
Well, I mean, I guess you didn't have to share him with anybody.
What what you thinking about? Ramona? You know, um I could use a snack.
How 'bout you? You hungry? Sandwich, Jell-O? Jell-O.
- I like orange.
- Me too.
I'll be back.
All right.
[GRUNTS.]
Come on.
74 over 60.
Can't find the artery.
[GROANS.]
I can't find it.
I can't find it.
- [BREATHES SHAKILY.]
- Dean.
Dean, what's going on? Talk to me.
Hey, hey.
Dean, Dean, Dean, Dean.
I know what you're going through, okay? I've been there.
I've been there with you.
- In Helmand, right? - Yeah.
Hey? We got through that, and we're gonna get through this.
- No, no, no.
- Yeah.
You can do this.
- I can't do it.
- Yes, you can.
Yes, you can.
Yes, you can.
You're the finest surgeon I know.
Hey, hey, look at me.
Look at me.
Deep breaths.
[EXHALES SLOWLY.]
Deep breaths.
[BOTH BREATHING DEEPLY.]
Yeah, there you go.
Okay, I need you.
This patient needs you.
- Okay.
- Okay? - Okay.
- You got this, Dean.
All right.
PD's got the situation under control.
Safe to leave.
Hold on, hold on.
Dean? [GRUNTS.]
Found it.
Clamped.
Bleeding's stopped.
Pressure's coming back up.
Good job.
Good job.
Let's go.
- Bring 'em in.
- Let's go.
Copy that.
[MONITOR BEEPING QUIETLY.]
Mrs.
Forbes, you doing okay? Almost there.
Okay, I'm seeing several small lesions in the distal airway of your lower left lobe.
What does that mean? Tumors? I'm not sure.
Take a sample for biopsy.
Come up a little bit more.
Right there.
I know it's hard.
Try not to worry.
We'll know soon what we're dealing with.
Okay, stop.
Open.
Carol, I'm sorry to say that even with the fluids and adjustments to the LVAD, your heart's still having arrhythmias.
So what do we do now? I'd like to add an AICD.
And what is that? It's a device that's implanted in your chest that can help regulate your heart.
If an arrhythmia develops, it can shock your heart back into a normal sinus rhythm.
Does it hurt to get shocked? My patients do say it causes discomfort.
One patient describes it as feeling like getting kicked in the chest.
Well, who can say no to that? Mom, I think you should just hear Dr.
Young out.
It's a minimally invasive procedure, and it will help the LVAD work better.
So in addition to lugging my LVAD around, I get the added benefit of getting kicked in the chest? I do think you should consider the AICD.
I'm sorry, what kind of quality of life is that? It's not ideal, but it will keep you alive until you can have a transplant.
Um, good.
I'm tired.
Would you take me home, please? Thank you, Doctor.
Endometriosis? My sister had that in her uterus.
Yeah, that's usually where it occurs.
But in very rare cases, the endometrial cells can migrate to other parts of the body, like the lungs.
Once there, they respond to the hormone fluctuations from your menstrual cycle and can grow, causing bleeding and even a collapsed lung.
How do we treat it? Well, since it's fed by hormones, I would recommend inducing early menopause, either by removing the ovaries or through a series of injections.
You can't put me into menopause.
We want to have a baby.
Honey, we got to do whatever it takes to make you better.
We've dreamt of having a family for so long.
I am not giving up on this.
- Dr.
Marcel? - Yeah? Okay.
[CLEARS THROAT.]
There is another option.
I could perform a surgery, a lobectomy, whereby I remove the portion of the lung with endometriosis.
Now, it's only a temporary measure.
There's a strong chance it could come back, requiring additional surgery and potentially putting your lungs at risk.
[CRYING.]
Okay.
Okay, if it means that I could still have a baby, then it's worth it.
Robert, I need you to be okay with this.
If this is what you want I am.
Okay.
I'll have one of the residents come get you pre-op'd.
[SOFTLY.]
Okay.
[WHISPERS.]
I love you.
So you were saying that you and your dad were a team.
Did I get that wrong? You keep asking about my father, and I keep telling you I don't want to talk about him.
But why is that? Did something bad happen? No, no.
My father loved me.
I mean, he was always there.
We did lots of things together when I was little.
Not so much when you got older? [SNIFFLES.]
It was different.
Huh.
How? How? My father didn't like me as much.
Really? Why do you think that was? I, um I couldn't please him anymore.
I wasn't good enough.
Okay, not good enough how, though? He couldn't stand to be around me.
[EMOTIONAL MUSIC.]
I did everything wrong.
[SOBS.]
I'm sorry.
It's really no big deal.
Dr.
Charles.
I'm sorry, but your daughter needs you.
I-I'm busy.
I'll be a little while, thanks.
She said it's an emergency.
What was the issue? I don't know.
She didn't tell me.
- It's okay, Dr.
Charles.
- No, no.
Really, no.
I understand.
She's your daughter.
No, no, no, let's stick with this, okay? No, really, I could use a moment.
Please, go ahead.
All right.
I'll be right back, okay? Right back.
- Unbelievable.
- Okay, well, I'm sorry.
The guest network is too busy, and I can't stream this lecture, and I'm not gonna be able to get my assignment done in time.
Honey, anybody on the nursing staff could have given you the Wi-Fi password, all right? I'm trying to help somebody over here.
[DRAMATIC MUSIC.]
- Where's Ramona? - I don't know.
There was a combative patient in Treatment Four.
I had to help.
I wasn't gone that long.
Okay, check the front.
Tell security.
Yeah.
[DRAMATIC MUSIC.]
I'm picking up a package for Kender.
- Package for Kender.
- Um I'm sorry, someone already picked that up.
- Okay, thanks.
- Mm-hmm.
Wow.
Peanut butter whiskey.
- Who'd have thought? - I'm not gonna lie.
I didn't think I'd like it, but that's really good.
It's delicious.
You know, Will, I have to tell you, I'm absolutely thrilled with your work on the trial.
I can't believe this is your first experience as a PI.
It certainly helps working alongside Dr.
Virani.
She's a great advisor and really got me up to speed.
One of our best.
Your trials always run so smoothly.
You care to divulge your secret? Strict adherence to protocols.
I think Dr.
Virani's being modest.
She also prioritizes patient care.
And I mean, that's why we're all here.
Right? To save lives? Yes.
Indeed.
Will, Sabeena and I have talked about you taking on a bigger role within the company.
Multiple trials.
That is something that we've discussed in the past.
But Dr.
Halstead has told me that he considers himself an ED doctor first and a PI second.
- Well - Let me be blunt.
Would you be willing to leave the ED and make clinical trials your full-time gig? I think that's something I would seriously consider.
[PHONE VIBRATES.]
I'm sorry.
I have to take this.
Sure.
[DRAMATIC MUSIC.]
How's he doing? I'm hopeful he'll make a full recovery.
- So, Dean - I got to get out of these scrubs, okay? We need to talk about what happened today.
There's nothing to talk about.
- Dean.
- I'm fine.
No, you're not.
Hey.
Listen, I think you're suffering from PTSD.
I just got a little rattled.
It's not every day you find yourself in the center of a gun battle with some guy's guts on the floor.
We've been through worse in Afghanistan.
[SCOFFS.]
- Hey.
- Yeah, no.
The things we saw over there I'm still rattled by it.
But Dr.
Charles helped me, and he can help you, too.
Therapy? Come on.
If you broke your leg, you'd treat it, right? Mental health is no different.
There shouldn't be a stigma attached to it.
Listen, it's it's not about that at all.
I don't need therapy.
PTSD just doesn't go away, Dean.
And therapy gives you the tools to deal with it.
That's what a good single malt is for.
I'm serious.
Hey, you need to get help.
You were the commanding officer, always putting the needs of others first.
It's time to take care of yourself.
Please.
Listen to your old friend.
Text Dr.
Charles.
Set up a time to talk.
You're not leaving me much choice, are you? No, I'm not.
[SOFT EMOTIONAL MUSIC.]
All right.
I'll do it right now.
- Good.
- Yeah.
[KNOCKING ON GLASS.]
Hey.
Hey, I heard Mrs.
Forbes' surgery went well.
Yeah, managed to resect the area with the lesion.
Thankfully avoided a lobectomy, so she's resting comfortably now.
- Wonderful.
- Yeah.
- You okay? - Yeah, I just I thought her symptoms were caused by anxiety.
Hey, look, you made a diagnosis, a very plausible one, based on your experience.
And that's what medicine's all about, right? Building on what you already know.
Lotta docs, they get their MDs, that's it.
They know it all.
[CHUCKLES.]
You're not like that.
You keep going for it.
That's how you make a difference.
- Thanks, Crockett.
- Yeah, I'll see you, okay? You ready to get out of here, sweetie? Um, that lady who ran away earlier, did you ever find her? Not yet.
Well, is she dangerous? I think only to herself, really.
You know, she's just a very sad, troubled young lady.
Okay, well, it's my fault that she's gone.
If I hadn't made you come out of her room in the first place, then she'd still be here.
She wouldn't have left.
Anna, it is not your fault.
Trust me.
She wanted to leave.
She was gonna find a way.
Yeah, but I keep screwing up.
I mean, I bet you wish that I'd gone to live with Mom instead.
I don't wish that, not even a bit.
Okay, but look at everything that you do for me, and then look what I do.
Anna, honey, I'm your dad.
Okay, you don't owe me anything, nor is it your job to please me.
But it is my job to do everything I can to help you thrive in life.
But honey, that's not gonna matter if I can't keep you safe in the first place.
Which is why, honey, I can't just, like, fling open the barn door and let you roam around.
You understand that, right? [SNIFFLES.]
[SOFT EMOTIONAL MUSIC.]
Oh.
Oh.
Thank you, honey.
But I'm just really, I'm not hungry.
Mom, you need to eat.
And remember what Dr.
Young said about staying hydrated.
Here you go.
- Thank you.
- Mm-hmm.
[SIGHS.]
Do you think that I made a mistake by not agreeing to have the other surgery? [SIGHS.]
I don't think it's a bad thing to take your time and think about it.
But you know, in the meantime, I want you to take these.
Um, Dr.
Young didn't mention new meds.
They're from a different doctor.
I showed him your chart, and he thought these would work well for you.
He said they've been really beneficial for patients with heart failure.
Okay.
Let's have at it.
[TENSE MUSIC.]