Chicago Med (2015) s07e09 Episode Script

1 Apologies I couldn't scrub in last night.
If you want to shadow me, consider yourself on call.
I don't like having my time wasted.
The hospital will discontinue the Vas-COM until it can be proven to be safe.
Hold off on banning the Vas-COM just yet.
Given my son-in-law is a consultant for Vasik, I shouldn't be the one to deliver this news.
It's time to do our random drug testing.
I'm not gonna pass this test.
- Here.
- What's this? It'll make the last traces of the drug undetectable.
My niece, Holly, is singing carols.
I thought you'd want to come with me.
Yeah.
Let's go cheer Holly on.
ALL: Six, five, four, three, two, one! [CHEERING.]
CHOIR: Dashing through the snow In a one-horse open sleigh That's my niece.
CHOIR: Laughing all the way, ha ha ha Bells on bobtails ring, making spirits bright What fun it is to ride and sing A sleighing song tonight After this, will you be my guinea pig? I'm testing out a new eggnog recipe for the family party, and my place is just a couple blocks from here.
CHOIR: Jingle bells, jingle all the way - Sure.
- Okay.
CHOIR: In a one-horse open sleigh Jingle all the way, hey! Oh, thank you.
Vanessa, your drug test results.
[SUSPENSEFUL MUSIC.]
Negative.
Thank God.
Thank you, Maggie.
[SENTIMENTAL MUSIC.]
Thank you.
I feel like a lot of this is my fault.
I'm sorry for the stress that I caused you.
For coming into your life the way that I did, for wanting you here, and just never telling you the truth.
No, no.
I understand why you did it.
You had you had a daughter, and you wanted to meet her.
If ever if I ever were in your shoes, I probably would have done the same thing.
Okay? Okay.
Okay, cheers.
Cheers.
Too much vanilla.
No.
That's perfect.
We have a winner.
You know, with Dr.
Cooper's situation, the company is concerned that they don't have anyone advocating for the Vas-COM.
And I'm sorry if this is a little personal, but I understand that you have financial worries.
It's no secret.
We can help you.
Look Will, I wouldn't mention this if I didn't trust you.
And I hope you feel you can trust me.
I do, Jessa.
So here's the deal.
Vasik can offer you the same arrangement they had with Dr.
Cooper.
Arrangement? I don't understand.
For every Vas-COM catheter the hospital ordered, Dr.
Cooper received a percentage.
- Really? Wow.
- Yeah.
I mean, these catheters are used once, and then discarded.
If we got enough departments behind them, the hospital could go through thousands.
What do you think? That sounds great.
But [SUSPENSEFUL MUSIC.]
I mean, isn't this kind of like kickbacks? You don't have to worry about that.
I mean, you're completely safe.
Okay, good.
I mean, but Medicare.
I mean, insurance companies? They don't ever question these charges? You'd be surprised.
I mean, Vas-COM catheter is a small ticket item.
They hardly notice.
And besides, even if someone did question it, then the doctor could always justify it clinically.
I mean, that's the beauty part.
Look, you don't have to give me an answer tonight, but let me just say I think you and I would be a good team.
Oh, my God.
This is a disaster.
We can go to the FBI now.
Yeah, there's no question these are felonies.
Why didn't you tell me about this sooner? I didn't have enough.
And even when I tried to get the Vas-COM pulled, the board refused.
- You were there.
- Yeah.
And Dr.
Halstead put himself in a very difficult position for months in order to get that.
All right, look, we can't blindside the board.
Before we go to the FBI, I've got to brief them.
Well, do it quickly, because I'm not sitting on this.
Message received.
But until you hear back from me, it is business as usual.
Please, not a word of this to anyone.
- Dr.
Halstead? - All right.
Send me a copy of that recording.
This is a friggin' disaster.
- Dr.
Halstead? - Lily.
Lily, my baby, she's so sick.
Yeah, something's really wrong with her.
- You're going to Treatment 3.
- Okay.
I'm Dr.
Halstead.
We're gonna take good care of Lily.
- Find Dr.
Scott.
- You got it.
They said the vomiting started a few days ago.
We didn't think it was anything serious.
I mean, babies spit up, right? But it just kept getting worse.
After she nursed, she couldn't hold it down.
She's always been so active, and now she's - Listless? - Yes.
How often have you been changing her diaper because it's wet? I'm not sure.
Two or three times a day.
Why? Less than six means a baby's dehydrated.
So we'd like to get Lily some fluids.
- Mm-hmm.
- Okay.
30 cc/kg bolus of normal saline.
You got it.
And a maintenance rate of 12 cc per hour.
Okay.
What's causing this? Well, given her symptoms, it could be a number of things, but I don't want to speculate until we run some tests.
- Maggie, CBC, CMP, and CRP.
- Right.
We'll be back when we get some results in, okay? Crockett? Avery.
What are you doing here? - Stalking you.
- Uh-oh.
I had a follow-up with my orthopedist.
- Oh.
Is everything good? - Mm.
Humpty Dumpty is back together again.
Well, that's good.
Avery, stop bothering Dr.
Marcel.
We have a patient to see.
- Oh, no bother at all.
- Hi, Mom.
It's good to see you too.
Mr.
Carmona's in pre-op.
Dr.
Marcel? Yeah.
- Bye, Dr.
Marcel.
- Okay.
Happy day, Reuben.
I couldn't believe it when I got the call.
We've been waiting for months.
So long.
Reuben didn't make it easy to find a liver.
B negative.
It's a very rare blood type.
But we finally got a match, and its anatomy is excellent for transplant.
We're so grateful.
Best Christmas ever.
[SENTIMENTAL MUSIC.]
Okay, Reuben, now you're gonna take a nice long nap and wake up with a new liver.
- I love you, Papi.
- Don't cry, mija.
Hey, you're gonna do great.
Sure am.
And shouldn't have to have surgery.
We got Lily's test results back.
We looking up her symptoms on the internet, and it said that she might have something called pyloric stenosis.
- And she'll need surgery.
- No.
No, no, no.
She does not have pyloric stenosis, okay? No, her labs show she's low in potassium.
It's a mild electrolyte imbalance.
We're not sure yet, but it's most likely a viral gastritis.
More commonly known as a stomach flu.
- That's all? - We hope so.
We're gonna keep Lily on fluids and monitor her condition, okay? Best-case scenario, it resolves on its own.
- Thank you.
- All right.
- We'll keep you posted.
- Thank you.
Oh, gosh.
[CHUCKLES.]
Okay, I think that I have every [KNOCK AT DOOR.]
Mr.
and Mrs.
Bennett, this is Dr.
Hammer.
- Hi.
- Hi.
I feel okay.
I really I don't think I need to be here.
Honey, you had a seizure.
Mrs.
Bennett was getting ready for work when it happened.
The seizure resolved on its own before the paramedics arrived.
She's COVID-negative but is running a fever of 102.
Okay, any history of epilepsy, seizures? No.
First time.
But I didn't sleep well.
Could it just be that? I don't know.
We're gonna take a look.
- Dr.
Taylor? - Yes.
Do you want me to call your office, let them know you're not coming in? No, no.
I'll be fine.
I'll take care of it.
She's never missed a day of work.
Stressful job? - A little.
- Yeah.
They totally depend on her.
Okay.
Lungs are clear.
Heart sounds good.
Pupils are equal and reactive.
Ow.
Ow.
Your liver is slightly enlarged.
Dr.
Taylor, what do you recommend? A CBC, BMP, and a chest X-ray.
Is that all really necessary? Yeah, I think so.
I'm sorry, but admissions just informed me that there's a problem with your insurance.
It's not going through.
Well, that doesn't make any sense.
She has great coverage through her work.
I'll get it sorted out.
Here, in the meantime, just put any charges on our credit card.
[SUSPENSEFUL MUSIC.]
We'll check back in as soon as we get those test results.
What do we got? 28-year-old male Kyle Liddell.
Fell on the pavement, struck his head.
The guy stepped out in front of a bus.
Good Samaritan turning off his car alarm pulled him away.
Caused Liddell to fall and hit his noggin.
Bystanders say it looked like he was unconscious for about a minute.
GCS of 12 now.
Minor hematoma.
No other trauma noted.
Mr.
Liddell, can you hear me? Mr.
Liddell? In here.
Okay.
All right, on my count.
Ready, one, two, three.
All right.
All right.
Let's get some ice for this goose egg here.
- Right.
- Excuse me.
Does this hurt? Can you feel this, Mr.
Liddell? Liddell.
I'm Liddell.
Okay, he's still pretty out of it.
All right, let's pan scan him, but first, routine trauma labs, and I need X-rays for chest and pelvis.
X-ray! So, suicide attempt? Who else steps out in front of a bus? June, let's place him in soft restraints, just to be safe.
And also, let's place a psych tech outside his room.
Got it.
And also, let's call Dr.
Charles.
Mm-hmm.
Mr.
Liddell? Kyle? How you doing, Kyle? I'm Dr.
Charles.
I'm late.
God, I'm late.
Oh, God, I'm late.
You're late? What are you late for? What the what is this? Why? Well, we were a little concerned for your for your well-being when you were brought into the hospital.
The hospital? Wait, why I am here? Well, you know, you stepped into a busy street, and when you were pulled out of the traffic, you hit your head.
You're actually very lucky you didn't sustain a much more serious injury.
But no.
Uh.
Traffic? I was on campus.
- God, I'm late.
I have to - Okay.
- Please let me go.
- Hold on.
Hold on.
- Please let me go.
- Hold on.
Hold on.
Help me understand this.
You said that you were on campus? - Yeah.
I teach.
- Okay.
'Cause you were actually in the middle of downtown Chicago.
No.
No.
I but the I heard the bells.
The bells? Are you are you sure about that? Yes.
You know, it says that the man who who pulled you out of traffic was was turning off his car alarm.
Is it possible that that's what you heard? [SUSPENSEFUL MUSIC.]
Oh, no.
Oh, no.
Is it happening again? Is is what happening again? I had it under control.
Oh, no, no, no.
Come on.
Tell me what you had under control.
I, uh, I have schizophrenia.
And Okay.
Okay.
Oh, God, the voices.
No, no, no.
Have you been prescribed medication? Yeah, risperidone.
And I I have been I've been taking it.
That's great.
Who is your doctor? Who's taking care of you? Dr.
Kallejian.
Henry.
Okay.
Look, I know Dr.
Kallejian.
Why don't you let me get in touch with him, okay? And in the meantime, gonna give you something make you feel a little bit better.
And we will get you through this, all right? Nice to meet you, Kyle.
Nice to meet you.
So your patient is not suicidal.
Oh, yeah? How do you figure that? Well, didn't know he was stepping into traffic.
Ah, okay, so the cars and the busses didn't tip him off? He was having an auditory hallucination.
Led him to believe he was on the campus where he teaches.
He he suffers from schizophrenia.
Ah, psychotic.
Well, I've treated his injuries.
Send him upstairs.
You know, he's not a danger to anybody, Dean, and clearly been very responsible about his treatment.
Something destabilized him, so I'm just gonna gonna keep him down here till I figure out what.
Well, I'm sure you know what's best.
But on behalf of all of our other patients, the ED is a frightening enough place as-is, but when you add the mentally ill into the mix, it can only compound people's fears.
- Matt.
- Will.
My savior.
Man, I was lucky I was with you, huh? How you doing? I'm great.
I wish I had something to offer you other than JELL-O.
Nah, I'm good.
Thanks.
Listen, Matt, I want to ask you Any regrets? Regrets? You mean the coke and the booze.
Yeah, sure.
No, come on, man.
The Vas-COM.
Why would I have any regrets about that? Before your heart attack, that's what it seemed like you were saying.
I was pretty out of it.
I don't really remember what I said, but no.
I want you to check this out, though.
Janie and I are renting a villa in Montenegro.
Okay, two months on the beach.
I mean, I'm thinking I come back from here, I'm gonna start a concierge practice in Montana, and it's beautiful.
There's so much money there.
Wouldn't have to work so hard.
Right? You know, given the degree of portal hypertension, we should use a venovenous bypass early in the hepatectomy.
Good catch.
Is that aftershave? Excuse me? What I'm smelling.
Does that bother you? No.
As long as it's not verbena.
That's what my ex wears.
What else do you see? Uh, yeah, the donated liver is smaller in size, so we should oversew.
- Right.
- Right.
[ALARM BLARING.]
Dr.
Blake.
Mr.
Carmona's crashing.
[TENSE MUSIC.]
- Reuben, mi amor.
- What's going on? I don't know.
He started talking funny, not making any sense at all.
And then he just stopped moving.
Reuben? Can you open your eyes? Reuben.
Open your eyes.
- Oh, God.
- Reuben? All right, GCS 7.
Let's go.
We gotta get his CO2 down.
Get an intubation kit ready.
Bag mask.
He needs a CT stat.
And let radiology know we're coming up.
- What's happened to him? - Not sure.
Hopefully we'll know after the CT.
What about the transplant? Believe me, we're gonna do everything we can to make sure he gets that surgery, okay? Kate, would you direct the family to the waiting center, please? Ready? Here we go, guys.
[KNOCK AT DOOR.]
Come in.
So you informed the board? I did.
They're very grateful you and Dr.
Halstead uncovered this fraud.
Okay.
And they see a way, going forward, that will protect the interests of the hospital.
What is that supposed to mean? Dr.
Cooper will be fired immediately, and Chicago Med will discontinue use of all Vasik equipment.
- And that's it? - What about the FBI? The board does not feel that is in the hospital's best interests.
You've gotta be kidding me.
Sharon, you and I both know that these things are best dealt with quietly.
The board doesn't want the negative publicity.
With good reason.
Look at the ramifications.
Loss of donors, A-list physicians leaving.
It's devastating.
So I imagine Dr.
Cooper's father-in-law had his hand in this.
Of course he did.
So Matt Cooper just walks? And what about all those other Vasik execs? The board is just thinking of the greater good.
Whose greater good? I understand how you feel, how you both feel.
But the decision has been made.
There's no appeal, all right? So I advise that we keep this to ourselves.
There is no sense in jeopardizing our employment, okay? This is over.
Let's go back to work.
Put this behind us.
- Hell, I'll go to the FBI.
- You can't go to the FBI.
Sure, I can.
Your whole purpose in bringing me here was to get evidence to take to them.
And you did that.
You validated my suspicions, and I thank you.
Okay, Matt is planning to set up shop in a billionaire enclave in Montana.
You know, he can plan anything he wants.
All due respect, Ms.
Goodwin Dr.
Halstead, you came to me because you wanted your job back.
You got it.
Now, this is over.
It's time for you to focus on medicine.
I'm seeing diffuse brain edema.
Yeah, it's the end-stage liver failure.
And his transplant surgery? Well, there's signs of impending brain herniation.
If we don't correct it, you can forget transplant.
This man will be dead.
Can we correct it? How much longer is the donor liver viable? Four hours, tops.
It's possible.
I can put a right-front bolt with a twist drill to monitor intracranial pressure while treating with mannitol and hypertonic saline, along with the lactulose and rifaximin.
And that should bring the pressure down so we can operate, right? Yeah, that's the idea.
Even though you had the good sense to call me, I can't guarantee anything.
[SUSPENSEFUL MUSIC.]
- She's worse.
- Terrible headache.
Temperature's 104.
Jaundice.
- Ow! Really hurts now.
- What what's wrong with her? I'm sorry, her tests weren't conclusive.
Start her on a broad spectrum antibiotic? With these symptoms, there's a multitude of possible causes, and I don't like prescribing antibiotics unless they're absolutely necessary.
I think we should hold off till we know what we're treating.
But you you said her tests weren't conclusive.
Yeah, I'd like to send her for a C of her chest and her abdomen.
It'll give us a much clearer picture of what's going on.
How much will that cost? What difference does that make? Yes.
Yes.
Of course.
- Okay, you can do with her.
- Thank you.
I need a transporter.
Hey, so we need to send Eve up to Radiology.
I'm sorry, but admissions just informed me that your credit card was declined.
What? No, I hardly ever use that.
I can see that your wife is going up for tests.
We can deal with this later.
Yeah.
Thank you.
How you feeling? Better, yeah.
Tired.
- Yeah? - Yeah.
Probably the sedation.
You know what? I don't think we need these anymore.
Would you? - Wow.
- So - Oh, wow.
Thank you.
- I talked to Dr.
Kallejian.
Uh-huh.
He says that you've been managing your illness really well over the last few years.
Which leads me to wonder I mean, any any big changes in your life recently, like, I don't know, new job? Loss of a loved one? I'm not married.
Both my parents are still alive.
We're close.
- That's good.
- Yeah.
I've been a doctoral candidate for the last two years.
Been TA-ing the whole time.
Okay.
Is this gonna keep, like, happening? Is this gonna get worse? - Not if I can help it.
- Okay.
I mean, my plan is to figure out what what caused your episode and to address it.
Kyle, any new medications of any kind? No.
- Okay.
- No, no, no.
No.
Look, I can't end up back in the hospital again.
Nobody's talking about that.
Nobody.
No new vitamins or supplements? No, I take I take, like, Vitamin D, fish oil.
Well, those are both good.
Anything anything else? Oh, I started drinking this tea like a month or two ago.
Hmm.
I go to this health food store near me.
They blend their own.
I drink one called Mindful Energy.
It's supposed to help you focus, you know, keep you sharp.
Can you remember the name of the health food store? Yeah, Happy Path.
Okay, well, listen, I want you to rest some more, but we are making progress here, okay? I'm really glad to see that you're feeling better.
So what's the deal? Can we turf Liddell out of my ED or what? You know, Dean, I gotta say, hard not to notice that you don't have a whole lot of patience with mental illness, do you? - You noticed that, have you? - Yeah.
- Yeah.
- You know Kyle, here, and you know our patient Krista, those twins, Neil.
Yeah, you just, you can't let go of that, can you? All right, let me give you my perspective here.
Okay, when you're in combat and you're dealing with the wounded, they can say some pretty crazy things.
You don't listen to them.
You just get them to safety.
And you do everything you can to save their lives.
I completely get that.
I do.
But, I mean, just for the record, trauma-induced mania, I mean, it's temporary.
It's not a mental illness.
Look, you can split hairs all you want.
What about Liddell? You know, I still have some digging to do, but I have to say I am really developing a I don't know, an admiration for his for this courage.
- Courage? - Yeah.
You got a couple minutes? I'd like to show you what I what I mean.
Sure.
You know, it's a simulation that was developed for psych residents.
Give them a sense of what some of their patients - were experiencing.
- Yeah.
Look, gets too intense, just, you know, take them off, okay? - No, I'm sure it'll be fine.
- All right.
I gotta go back upstairs.
But I'd love to check in with you later, - see what you thought? - All right.
- [CLEARS THROAT.]
- Okay.
Wow.
Huh.
Look at that.
You should never have left your apartment.
They can get you out here.
You have no protection.
Ha.
[TENSE MUSIC.]
You're so stupid.
Worthless.
Everybody knows it.
[INDISTINCT WHISPERING.]
Why did you listen? You're in danger.
Don't look at them.
Don't make eye contact.
They hate you.
Everybody hates you.
She's one of them.
She's getting instructions.
Those are poison.
Don't touch them.
You're evil.
You don't deserve to eat.
Stay back.
They'll kill you.
Uh You're hopeless.
Pathetic.
A waste of time.
You're such a failure.
Look at you.
You suck.
You should die.
We'd all be better off.
[GASPS.]
- Well? - ICP is down, but still high.
- So he's improved.
- Marginally.
Well, given what I had to work with.
I know, Sam.
Okay, but with a new liver, Reuben's encephalopathy and edema might well resolve.
Or they could get worse from the surgery and lead to a herniation.
If you hold off on the transplant, I can do a hemicraniectomy for the edema.
No, with the donor liver's window of viability, we can't wait.
We have to operate now.
Or you find a new liver.
No, Reuben's blood type is rare.
He'll die before he gets another match.
[TENSE MUSIC.]
I say we go for it.
It's our best option.
[BABY CRYING.]
Dr.
Halstead, Dr.
Scott.
[ALARM BLARING.]
Help her! Please! She was doing so good.
- 50 mg/kg of phenobarb.
- Got it.
Heartrate 130.
Sats are down to 86.
Caprice, bag her.
- I'll set her up to intubate.
- Intubate? Lily can't protect her airway right now.
But intubation is the safest thing for her.
- Oh, my God.
- Broselow was in the pink.
Give me 2 mg of etomidate and 13 mg of sux.
- Satting now at 94.
- Why is this happening? I promise we're gonna find out, okay? Now, let me know when those drugs are in.
Okay, so with your permission, we'd like to send Lily for a CT of her head.
Anything.
Just make her well.
Scans didn't reveal any tumors, masses, or obvious infections.
Any ideas? One.
Kind of a stretch.
Something I saw when I was homeless.
This couple isn't experiencing homelessness.
No.
No, there's something going on.
I need to give her a more thorough physical exam.
- Sepsis? - Yeah, possibly.
But she's not running a fever.
Okay, so stroke.
Intracranial hemorrhage? Yeah, I mean, C should tell us something.
Poor little girl.
What'd she ever do to deserve this? Just turn your head.
Here.
Here, take a look.
- What is it? - A scab.
It's from an insect bite.
What does that mean? I have an idea, but I'm not sure.
I need to run one more test.
- Western blot analysis? - Yeah.
We should have an answer very soon.
So I called your health food store, and I got the ingredients to that tea you've been drinking.
Lot of stuff in there.
I think yerba mate, spearmint extract.
But the main ingredient is St.
John's wort.
Now, listen, nothing wrong with St.
John's wort, per se, right? Actually helpful to to some people.
But it has also been known to increase the metabolism of certain antipsychotic medications.
- Increase the metabolism? - Yeah.
It speeds up how your body processes them, right? Rendering them considerably less effective.
So I'm gonna be okay? You switch out that tea, yeah, I believe you will be.
I mean, look, you responded really well to the extra risperidone I gave you, right? Half-life of St.
John's wort is, like, 24 hours, so by this time tomorrow, you should be feeling a whole lot better.
- Thank you.
- You're welcome.
[HEARTFELT MUSIC.]
- Okay, done clamping.
- Initiate VV bypass.
[MACHINE BEEPING.]
ICP's up in the 70s.
We gotta get that ICP below 20.
Let me do a hemicraniectomy now, before he herniates.
No, we need to complete the transplant first.
With a new liver, things will correct with time.
Or you'll have a working liver in a braindead patient.
[TENSE MUSIC.]
Treat him medically while we operate.
Dr.
Abrams? 1 g/kg mannitol, increase propofol to burst suppress, and replace clotting factors.
- Good.
- Last one.
Let's get this liver out.
I'm sorry, but we believe Lily has a genetic condition called OTC deficiency, which causes ammonia to build up in the blood.
We're ordering a specific lab to confirm.
If it's genetic, why is she just getting sick now? The disease can present anywhere from a few days after birth to several months.
- How serious is it? - Unfortunately, very.
We need to start treatment immediately.
Is our little girl gonna die? We're gonna do everything we can to make sure that doesn't happen.
Let's get Lily up to PICU, get her on hemodialysis.
Hey.
So we got your test results.
You contracted a disease called typhus.
Typhus.
In the United States? It does occur, and we can treat it.
Doxycycline 500 mg.
How the hell did she get typhus? From a flea bite.
That was the scab that we found.
Most likely it was a flea that had been on an infected rat.
What does it matter how I got it? It matters.
It's a public health issue.
I'm sorry, I have no idea.
Eve, enough.
I want to know what's going on.
What do you mean? Your health insurance isn't valid, our credit cards are maxed out, and you've come down with typhus from a rat.
Eve, tell me.
I haven't I haven't been going into the office for the past three months.
I spend my days in our storage locker.
[SOLEMN MUSIC.]
Our storage locker? My company's restructuring.
They fired me.
I've been trying to find another job, and there's [VOICE BREAKING.]
There's nothing.
Nothing.
- Why didn't you just tell me? - Because I couldn't! Everybody thinks I'm this huge success.
You think I am.
- Honey.
- I'm sorry.
I'm so ashamed.
No.
I'm sorry.
I'm so I'm so sorry.
I was wondering where you got to.
It was unsettling, you know? Yeah.
How does he how does Liddell do it? Everything going on inside of him like that.
How does he how does he hold a job? How does he get through the day? I mean, I think he works at it, you know? He stays on top of it.
Goes to therapy.
Takes his meds.
Look, I've known a lot of individuals been faced with serious mental health challenges, right, who get the help they need and go on to lead full, normal lives.
I'm talking about people with severe depression, with PTSD, you know? I understand how terrifying it must be.
What? Well For a soldier to ask for help, right? For a soldier to think that they might be one of them.
You know, someone who could lose it at any second, fall apart.
Hey, that's that's not gonna happen.
It's always been so mysterious to me.
You know, I think about guys like you and Ethan over there, doing your jobs.
You guys are, like, bravest people I'll ever know.
- Mm.
- But when it comes to to saving yourselves? All right, listen, it's It's not always so bad.
Comes and goes.
Anyway.
I I get that it's complicated, okay? But I just I just want you to know, there's ever anything I can do, you know I'm around.
Hey, Dan? Uh I'm sorry about Neil.
I could have done better.
And I'm sorry Ethan got shot.
I know you are.
Lily will need a liver transplant, but I think she's out of the woods.
She's responding well to the medicine and the dialysis.
I'm hopeful.
Well, at least that's something.
What's going on with you? You got a baby, a total innocent, has to suffer, while a bunch of crooks in this world are getting away with everything.
I'll see you at the Christmas party.
Hope the punch is spiked.
Reuben's surgery was a success.
Oh.
He's doing well.
You'll get to see him in a couple hours.
Thank you.
So a patient gave me this.
Oh.
- What do you say? - Absolutely.
Ooh! Oh.
Merry Christmas.
Merry Christmas.
- Oh, wow, look at that.
- Huh.
[HEARTWARMING MUSIC.]
Mistletoe.
Yeah.
And two vaccinated, consenting adults.
Indeed.
God, it must have been so hard to keep that lie up.
I know.
I've done it myself.
I never told anyone about my mom.
How we lived.
Acted like I had a perfect little life.
Not easy.
I've been keeping up a lie too.
Yeah.
And it's costing us too much.
[FESTIVE MUSIC PLAYING.]
- Is there a Carly here? - Who, me? [GASPS.]
Yay! [CHUCKLES.]
Here you go.
Looks like you've been nice.
- What do you say? - Thank you! You're welcome! Yay! Mwah! Merry Christmas! See you later.
Okay! You know, upstairs, - what happened - Mm-hmm.
- That was just for fun.
- Yeah.
Mistletoe.
Mistletoe.
See you tomorrow.
Okay.
And last but not least, where's Cody? Yay! Merry Christmas.
[APPLAUSE.]
Um, Santa, can I say something real quick? Sure.
Okay.
For those of you who don't know, and that's most of you, um Maggie Lockwood is my biological mother.
[HEARTWARMING MUSIC.]
And I am so grateful and blessed to have her in my life.
[APPLAUSE.]
- Ms.
Goodwin? - Yes.
Pursuant to our conversation, we have warrants for the following offices and computers.
Thank you.
[TENSE MUSIC.]
Matthew Cooper, you're under arrest for violation of Title 18 for fraud.
- Wait, wait, what? - What the hell? Jessa Rinaldi, you're under arrest for violation of Title 18 for fraud.
Any false statements you make to the FBI are punishable for up to five years in prison.
How could you do this, Will? How could you do this to me? Wait, what? Was this you? - You called the FBI? - I did.
- But you told me - I told you to stand down.
This is my responsibility, not yours.
Any and all fallout lands on me, not you.
And believe me, Sharon, there will be fallout.
[DRAMATIC MUSIC.]
[WOLF HOWLS.]