Chicago Med (2015) s07e13 Episode Script

We found a mass.
It's a cancer of the soft tissue called a synovial sarcoma.
Carmen and I used to go together.
- You cheated on her.
- It's gonna be okay.
I can't Terrell, Terrell, Terrell! I booked a flight to Detroit tonight to go finalize my divorce.
Wish me luck.
Who's hitting you up at this hour? It's your mom, actually.
- Dinner, then my place? - Not tonight.
Picking up a vibe of not any night.
Could I ask you to take me home? Absolutely.
Sorry, I didn't mean to wake you up.
Hey.
Okay, I did, actually.
Here.
Oh, thank you.
You know, you really didn't need to sleep over.
Oh, well, I don't know if this rings a bell, but you were poisoned with carfentanil yesterday.
Yeah, your sats could have dipped overnight, so cheers.
You made me wear a pulse ox to bed.
I'm pretty the alarms would have woken me up.
Yeah, well, people have been known to sleep through alarms.
Oh.
Okay.
So what's on tap today? Taking it easy, I hope.
Yeah, I'm catching up on some journal articles that I agreed to peer review ages ago, and prepping my expert testimony for a med mal case.
Ah.
Hard being a luminary in the field, huh? Well, stick with me, maybe you'll find out.
- Lonnie! - Daniel.
Sorry, do we have a session this morning? No, no, no, I'm just here for a cleaning with Dr.
Dennis, you know, and my semi-annual flossing lecture.
Yeah.
I know.
I see Dr.
Dennis too, so I am familiar.
Better get inside.
It's cold.
You know what, I'm actually really glad I ran into you.
I've left a couple messages on your answering service.
You know, I'd love to get back on the schedule.
Oh, God, I'm so sorry.
My assistant is out on maternity leave, and I've been struggling to keep up.
I totally get it.
Anyway, if you're doing in-person again, I mean, is my 5:30 Thursday Is that still available? Um, right.
Well, here's the thing.
I'm cutting back on my hours as I look towards retirement, and I'm trying to lighten my patient load, you know, so.
But I've already got several excellent referrals lined up for you.
Wait, what? You know, working with a new therapist can be a really good thing.
Shake things up a bit.
So you do think that That I've been I've been treading water? No, no, no, not at all.
Look, I have an 8:00.
I'm gonna email you those referrals.
And you have my number.
You can call me if you need anything.
- Hey.
- Hey.
Oh, I appreciate you staying with him.
I always like somebody there when he wakes up, you know? - Oh, yeah, yeah, of course.
- Yeah.
Get your errands done? Yeah.
Yeah.
Any word from Terrell? No.
I'm really sorry, Carmen.
You don't deserve this.
You really want to speak on what I deserve from my man? Yeah.
Yeah, you're right.
It's not my place.
- Yeah.
- Mom? Yes.
Uh-huh? Can I have some water? Yeah, yeah, I'll be right there, baby, okay? I gotta I should I should - Of course.
- Okay, thank you, though.
All right.
Somebody's thirsty? Huh? Here you go.
Need some help over here! Thanks, Leah.
We got it.
Doris? Uh, take Baghdad.
All right, follow me.
We're going in here.
- What happened, bud? - Right here.
I looked over and I saw Pete here was having, like, some kind of, like, spasm? He was jerking all around.
He was holding his circular saw, and he-he sliced his thigh.
There you go, nice and easy.
All right, let's get a line.
Get 4 of morphine.
Also, draw a lab, CBC and BMP to start, please.
- Normal breath sounds.
- Good.
Do you have a history of seizures? You, uh, you mind stepping out to the waiting area? These rooms get crowded pretty fast.
Yeah, yeah.
No, no, no problem.
We'll come by shortly with an update.
- Sure.
Thanks, doc.
- Yeah, you got it.
Okay, go ahead, bud.
I was diagnosed with epilepsy about three years ago.
Nobody at my work knows.
Okay.
Are you on any anti-epileptic drugs? Yes, the generic stuff, but the side effects are a bitch.
Pardon my French, but I just don't think they're doing anything for me.
I keep having the seizures.
Well, we definitely want to figure out why your meds aren't working.
But first, why don't we get this leg cleaned out and stitched up.
Sound like the right order? Yeah.
Can I get somebody tell my buddy I'm gonna be awhile? Tell him to get back to the job site.
My boss will blow a gasket he's down two guys all day.
Yeah.
Sure thing.
- Hey.
- Hey.
So, uh, how'd it go within your ex? Oh, uh, yeah, it went well, actually.
Well, guess you were right.
Face-to-face was the way to go.
Yeah.
Definitely.
It feels like we should mark the occasion.
Let me take you to Molly's for a drink tonight.
Listen, last night, things didn't go exactly as I anticipated.
Is that your wedding ring? So you went to Grosse Pointe to end your marriage, and you came back with your wedding ring on.
Andrew and I talked all night.
It was the most honest conversation we've had.
He brought up the idea of giving it one last try.
Mm.
You think I'm being naive.
I've just never seen the whole breakup-to-makeup thing work.
But hey, what do I know? Good point.
Serial monogamist, pushing 40.
Ouch.
Okay, I'm still several degrees south of 40, thank you very much.
You know, good luck with the long distance.
It's famously known to go well.
Well, it may only be temporary.
The chief of ED at Andrews Hospital, my old hospital, is retiring next month.
Andrew wants to put me up for the job.
Wow.
When in the evening did the job offer come up? It's not an offer.
He just wants to recommend me.
Prospect of a job.
Did it happen before or after you agreed to give the marriage another go? Feels like you're suggesting I was manipulated, bought in some way.
- I'm not.
- Good.
Going to Treatment 5.
What do we got? Emily Torres, 31-year-old female, 37 weeks pregnant.
Spilled boiling water on her abdomen while removing a pot from the stove.
Please tell me the baby's gonna be okay, - that I didn't hurt her.
- Honey, you didn't.
I googled it.
This happens more than you think.
I'm not usually such a klutz.
You know, I've just been in this fog lately, and I got this cold I can't shake.
She is running a slight fever, 100.
5.
Okay.
On me.
One, two, three.
All right.
Let's see.
Ooh.
Think I'm gonna have to agree with Dr.
Google on this one.
But I'll bring in our resident burn expert to take a look, okay? Trini, can you see if Dr.
Arch is available, please? You got it.
Okay.
Lean up a little bit for me, okay? Careful.
Okay.
Lungs are clear.
How long have you had this cold? - Couple of weeks, I think.
- Yeah, she woke up, like, two weeks ago with a sore throat.
Hello, there.
I'm Dr.
Archer.
Let's see what we got.
Okay.
Okay, about 4% TBSA.
Superficial, partial thickness.
Wash and dress.
Okay.
All right, you've got skin-level burns.
No associated blunt force trauma.
Completely harmless to the fetus.
Oh, thank God.
But your lymph nodes are slightly swollen, so I'd like to run some labs.
Wait, you think this is more than a cold? Oh, not necessarily, but I'd like to do a respiratory panel and a strep test.
- Just covering our bases.
- Okay, sure.
Whatever you need to do.
- First-time parents? - I'm not sure.
Hey, I'm not asking, I'm telling you.
First-timers give off a very distinct odor.
Fear.
All right, I'll be back in a bit, all right? - Hey.
- Hey.
So I reviewed Pete's history.
Okay.
I think his epilepsy diagnosis was rushed at best, negligent at worst.
He was never referred to a specialist, and no one ever confirmed it with an MRI or an EEG.
If he's not having epileptic seizures, then he shouldn't be on anticonvulsants.
No.
He needs to spend a few days in a seizure monitoring unit.
Undergo far more extensive testing.
Yeah, I'll say.
Okay, I'll check in with Med's SMU, see if they have any room, and we can flip the idea to Pete? Yeah, that'd be great.
Thank you.
Okay.
Yeah.
I'll see you.
- Yeah.
- All right.
- Hey, Dr.
Marcel.
- Yeah.
Can I borrow you for a minute? Okay.
So, uh, you work closely with Dr.
Blake.
What's her deal? - Her deal? - Yeah.
She seeing anyone? I think that's more a question for her.
Oh, come on.
It was Valentine's Day last week.
She have any flowers waiting in her office? She mention having plans? What is this, kind of hospital policy thing? No, it's I guess it's a vibe thing.
- A vibe thing? - Yeah, I got a vibe.
Okay.
Maybe she's interested, you know.
I'm a little surprised, because I always thought you frowned upon workplace relationships.
I mean, I clearly recall you sending Dr.
Manning and I to HR.
Yeah, I may have broadened my thinking in the matter.
Okay.
Oh, man.
Shoot.
She-she did mention something.
- So she's seeing someone.
- I believe so.
- Okay.
- Yeah.
All right, well, never mind then.
- All right.
- Okay.
- It's cool.
- Yeah, sorry.
No.
It's all right.
It's all good.
Ah, look who decided to show up today.
I'm sorry I'm late.
You know, the ED was on the verge of collapse.
Oh, Maggie, you actually look like you're on the verge of collapse.
What's wrong? I'm okay, and I tested negative for COVID.
But I feel a little shaky.
Nauseated too.
Must have caught a 24-hour bug.
Okay.
Well, let me check you out.
No, no, no, no, my shift is starting.
Good morning, Nancy.
Nancy, mind staying on as charge nurse for a bit? - No problem.
- Looks like you're free.
Come on.
Let's go.
Dr.
Halstead, CFD's here with an elderly female with Alzheimer's.
Suffered a fall while home alone.
You're in Treatment 3.
- Show me the chart.
- Will do.
Lorraine Hendrix, 75-year-old female with Alzheimer's.
Fell down a short flight of stairs.
Didn't report hitting her head, and pain is confined to the right wrist.
- Okay, who called 911? - She did.
Did I do something wrong? My daughter was out running an errand.
No, you did the right thing, Mrs.
Hendrix.
It was good you called us.
Her chart says she doesn't have children? Maybe she's confused.
She did give us the number for her daughter.
All right, we'll sort it out.
Okay, on my count.
Ready, one, two, three.
Thank you.
Okay, Mrs.
Hendrix, see if you can follow the light with just your eyes.
Try not to move your head, okay? - Good.
- Oh, thank God.
I'm her daughter, Cindy.
You are? Sorry, there was confusion because her chart It says Lorraine doesn't have kids.
Technically she's my stepmom, but she's been in my life since I was 13 years old.
She lives with me now.
Good to know.
We'll make note.
I feel terrible.
I just went to the corner store.
I couldn't have been gone more than ten minutes.
I've got an overnight shift at the hospital.
- Oh yeah? Where do you work? - St.
Luke's.
I'm a nurse.
Try to avoid the night shift, but I couldn't get out of it this month.
Lorraine doesn't like it when I'm not there for bedtime.
That's why I went to the market, actually, to get her favorite cookies.
Okay.
I like to have them on hand for the caregiver.
- Negotiation tactic? - Exactly.
Well, listen, I'd like to get an X-ray of her wrist to be safe, but she's gonna be fine.
- Fine.
- Let's get an X-ray.
You're gonna want to look at this.
Emily Torres, pregnant woman.
It's her test results.
What am I looking oh, man.
Yeah, syphilis.
If mom has it, high risk of congenital infection if not addressed.
Right, if we don't treat it, baby could be born with severe impairments.
Yeah.
All right.
I'll go tell them.
Wait, wait, wait, wait, no, no, no, no, no, no.
If you tell the husband, then you also out the wife.
Right, you can't tell him that she's contracted an STI without her permission.
Yeah, but I mean, he has every right to know about the health of his child.
He's the father.
Can't just shut him out.
We'd like to admit you to Med's Seizure Monitoring Unit for five to seven days for continuous video EEG monitoring.
Yeah, no.
That's not happening.
I can't take a week off work.
Well, maybe as short a stay as possible.
Sure.
A couple hours? Well, no, that's not enough time.
Besides, there's no way my crap insurance is gonna cover that.
Well, listen, we can help you navigate the insurance side of things.
Look, I know you mean well.
But when I leave here, it's not like You're not gonna be coming over to help me fill out the paperwork and file the claims.
Okay, I've got three kids.
One of them, I just found out this morning needs braces, and my wife has MS, she can't even work anymore.
Our roof is caving in, and-and I'm so sorry.
Look, I'm not telling you my sob story for pity, okay? I'm just saying so that you understand that me missing a week Hey, hey, hey! Pete, Pete! 2 of Ativan.
Hey! Pete! - Hold his legs.
- Pete! Put pressure on the joints.
Pete! You know, in addition to her privacy, we also have to consider Mrs.
Torres' safety and well-being.
Any red flag her husband might become violent at the news? Not that I've witnessed.
And what about Mr.
Torres' well-being? I mean, he needs to be tested too.
Well, syphilis diagnosis requires reporting to IDPH, and they will immediately begin contact tracing, and Mr.
Torres will be notified.
Terrific, we're all in agreement then, right? Let's let the Health Department inform Dad.
No, listen, when you speak to Mrs.
Torres, strongly encourage her to share the information with her husband.
Let's start there.
Well, it strikes me it might be wise to have somebody from Senior Admin deliver the news with Dr.
Scott.
Uh, some member from Risk Management should be present, given the sensitivity, don't you think? You know, someone like, uh, the chief of the ED.
I'm thinking higher, you know, Executive Director of Patient Services, maybe? Mm-hmm, and where will you be, Dr.
Archer? Well, three's really kind of a crowd, yeah? You notice the way his head was moving back and forth during the seizure, and he was bicycling his legs? Yeah, and he didn't seem to lose consciousness at any point.
You thinking what I'm thinking? - All suggestive of PNES.
- Yeah.
Psychogenic non-epileptic seizures are commonly misdiagnosed as epilepsy.
Yeah, and stress is a known factor, and this poor guy's got a lot going on.
We've got to convince Pete to admit himself to a seizure monitoring unit.
I've looking into it extensively.
It's really the only way to get a definitive diagnosis.
Yeah, well, you heard the guy.
Unless his finances magically change, he's not gonna budge.
He can't budge.
I'm gonna talk to Social Services.
You know, maybe he could apply for worker's comp, since the injury took place while using workplace machinery? I mean, at least it would alleviate some of his concerns about missing a paycheck.
Yeah, sure.
It's a long shot, though.
It's all we got.
I'll see you in a bit.
Dr.
Halstead.
I'm sorry to bother you.
I work in an ED myself.
I know how backed up things can get.
But we're still waiting on radiology to read my mom's X-ray.
You know, do me a favor.
Hang tight, and I will make sure someone reads that X-ray as soon as possible, okay? Fine.
Hey, thank you for your patience.
Dr.
Charles.
Mind if I run something by you? What's up? I've got a patient who was diagnosed a year ago with Alzheimer's.
But she is now exhibiting a surprising level of cognition at this stage of the disease.
No problem following directions.
She even had the wherewithal to call 911 herself.
You think maybe she was diagnosed prematurely? So here's where it gets strange.
I reviewed her scans from a year ago.
MRI and PET scans show atrophy to the hippocampus as well as abnormal accumulations of amyloid plaques.
Consistent with Alzheimer's diagnosis.
Exactly, but we both know this isn't a disease that gets better with time, so unless this is some kind of medical breakthrough, I mean You mind coming upstairs? I'm running a little bit behind.
Sure.
I don't want to jump the gun, you know, get Lorraine's or her daughter's hopes up prematurely.
Look, why don't I stop by, just have a, you know, casual chat with Lorraine, maybe do a little under-the-radar cognitive assessment? - Yeah, that'd be great.
- All right.
I will be down shortly, all right? - Give me, like, 15.
- You got it.
Thank you.
Hi, Lonnie, it's Dan.
Look, I'm sorry to use your cell, but I just really wanted to make sure you got this message.
I would very much like to continue our conversation that we started this morning, so could you please call me back when you get this message? Thank you very much.
Your labs are back.
It's not a stomach bug, is it? No.
All right, Vanessa.
Whatever it is.
Maggie, you're pregnant.
Wha I have syphilis? What? No.
No, that-that has to be wrong.
I was screened for syphilis at my first prenatal appointment.
You were likely infected after the first test was performed.
That's impossible.
I've only been with my husband, I swear.
So You run your test again because there's just There's no possible explanation.
I can't believe he would But I'm carrying our child.
- Emily, do you need a minute? - No.
No.
I just need to know what to do for my baby, so How do I treat this? Well, we are gonna start you on penicillin immediately.
Which typically resolves the infection in both mother and baby.
And then what if it doesn't? Then what? What could it do to my baby? While, again, we have every reason to believe this won't be the case, syphilis in pregnancy can result in organ damage, severe anemia, stillbirth Emily! Honey, what's wrong? Is it the baby? What the hell is wrong with you? How could you do this to us? Mr.
Torres, please, please, step out of the room.
We can speak out there.
Dr.
Scott, why don't you take him to the consultation room? Yes, ma'am.
Well, I caught the tail end.
Went about as well as I expected.
Are you menstrual cycles often irregular? Yeah, they are.
Okay, and how many prior pregnancies? Just one.
That's you, Vanessa.
All right.
I think we have everything.
I'll reach out to Obstetrics and see if they can squeeze you in for an ultrasound at the end of the day.
- Okay.
I'll let Ben know.
- Okay.
Wait, Maggie, I Congratulations.
I'm so happy for you.
Yeah.
Thank you.
I know it's a lot to take in.
Are you okay? Yeah, no, I'm good.
I just have to relieve Nancy.
Okay, I'm stopping the infusion, Pete.
Drugs should be leaving your system.
What drug? Should start coming down now.
Should be coming down soon, Pete.
What'd you give him? There you go.
Why didn't tell me ahead of time what you were doing? Not everyone is on board with noceboes.
Yeah, because noceboes are completely unethical outside of clinical trials.
- I disagree.
- Really? Okay, well, I don't know how you justify lying to a patient's face, but please, go ahead.
- It's a diagnostic tool.
- Predicated on a lie.
You gave Pete saline, told him it was medication to induce a seizure.
- Which it did.
- So that makes it okay? Listen, this is not the route I'd prefer to take.
Oh, we agree on something.
You got nowhere with Social Services, we had no options, and now we can take Pete - off the anticonvulsants, right? - Yeah? Okay, by telling him what, exactly? That no abnormal brain activity was recorded during the seizure.
The seizure you tricked him into having.
I think Pete will see the bigger picture.
Well, I guess we'll find out, 'cause if you don't tell him the truth, I will.
Hi there.
I am Dr.
Charles.
- Someone read my mom's X-ray? - Yes.
And the good news is that it's not broken.
So all we need to do is get you a splint and Ice and elevate.
Yeah.
I know the drill.
Can I get her discharge papers? Of course.
I'll have the nurses bring them in as soon as they're ready.
- What are you reading? - Oh.
Oh, boy.
You know, my favorite Neruda poem is "The Book of Questions.
" That last line, "Is there anything in the world sadder" "Than a train standing in the rain?" Yeah.
I'm sorry, but who are you? Did Dr.
Halstead leave? No.
No, he didn't.
- I'm Dr.
Charles.
- Psychiatry.
Do you mind if we step outside for a minute? Of course.
Nice to meet you, Lorraine.
Nice to meet you too.
I don't want my mom undergoing any unnecessary psychological testing.
Of course.
It just confuses and upsets her.
- We wouldn't do that.
- Then what are you doing? Cynthia, hi.
Everything all right? I just, I don't know why you handed my mom's case off to Psych.
I just really want to get her home again.
We're doing our best to make that happen.
Hey, you should know I'm seeing a level of cognition in Lorraine that is very rare at this stage of the disease.
So with your permission, I'd like to get new scans of her brain.
No.
She's I'm not putting her in an MRI machine again.
She's extremely claustrophobic.
You know, sedation can really help with that.
She's having a good day.
That's all.
You didn't see her last week, when she could barely remember how to bathe or dress herself.
- I'm sorry.
- No, it's okay.
Lorraine, she's lived in fear of this disease her entire life.
Her mom died of it.
Her mom's mom.
I'm sorry to hear that.
None of that made it any easier when Lorraine got the diagnosis herself.
- You have any allergies? - No.
This will cure me? The shot will eradicate the infection, yeah.
- How's Emily? - She got a shot too.
Monitoring her and the baby, and so far, they're responding well.
You must think I'm the biggest piece of garbage on the planet.
I would.
Just going over all the reasons I cheated on her, man, and they are so unbelievably lame and cliche.
All right, look, man, you made a choice.
Made.
It already happened.
You gotta live with it.
All this analyzing and replaying things over won't change it.
It's just my opinion, but your time would be better served being there for Emily and your baby.
In whatever way she'll allow.
I can't stall them much longer.
Look, I put in a call to this doctor who diagnosed Lorraine with Alzheimer's, all right, Dr.
Caleb Hunter.
Good thinking.
What'd he say? Not a whole lot because he died five years ago.
Before Lorraine was even diagnosed.
Yeah.
Maggie, hey, I got you an appointment with Dr.
Patchefsky at 5:00.
Can Ben make it? He's on a field trip today with the kids.
I could go with you.
No, it's not a big deal.
I'll be fine.
Okay.
Maggie, are you not happy about the news? No, I'm happy.
It's just that Look, when I was going through everything a couple of months back, you were there for me in an unbelievable way, and I just really want to be here for you now.
- That's different.
- I don't think so.
Unless you don't feel comfortable opening up to me.
- That's not it.
- Well, then, just let me help.
- I don't want to hurt you.
- Why would you? Because.
I'm excited.
I'm overjoyed.
But I don't want you to feel that this baby is wanted and that you weren't Maggie, I'm not making comparisons, I promise.
You work so hard to protect me and my feelings like a mom would, but Maggie, you're my friend.
And I-I just hope that I'm yours too.
Cindy, I just need to ask your mom one more question, if that's okay.
Lorraine, do you remember ever being evaluated by a doctor? I told you to leave her alone.
What's going on? Do you remember ever being evaluated by a doctor for Alzheimer's disease? Of course, she doesn't remember.
She has Alzheimer's! Cindy, why don't we step outside? Get the hell out of here.
Get your hands behind your back.
- What's happening? - What the hell is this? You're under arrest for felony forgery and bank fraud.
I don't understand.
I'm not saying anything without a lawyer.
Come on.
Let's go.
What? Lorraine, we'd like to take you for an MRI.
We don't believe you have Alzheimer's.
There you go.
Let it out.
Let it out.
She started having contractions a few minutes ago, and in that times she's become hypotensive and tachycardic.
A Jarisch-Herxheimer reaction? What? Wait, what's that? A reaction to the penicillin may be putting you into labor.
No, no, no, no.
I can't I can't go into labor now.
The antibiotics need more time to work.
Okay, first things first, can you put your heels together for me and let your legs lower, please? He's gonna check to see how dilated you are.
All right.
Look at me.
Look at me.
Look at me.
Emily, you're about 9 1/2 centimeters dilated, all right? So we're gonna take you up to Labor and Delivery right now.
Go get a transport team and a precip pack.
No, no, no, please, we have to wait.
What if the medicine What if my baby Emily, look at me.
Look at me.
Waiting is not an option.
You're too far progressed.
Okay? I can't.
I can't do this alone.
I'll go with you.
- Really? You'll stay with me? - Yes.
The whole time.
All right? Come on.
I need you to continue to breathe, okay? Here we go.
All right, keep breathing.
There you go.
That's good.
Stay with it.
Stay with it, Emily.
There you go.
Emily.
Emily.
Hey, what's happening? Where are they taking her? - Emily's in labor.
- What? Oh, my God.
Can I be with her? Listen, I can ask her if she wants you in the room.
Um.
No.
No, don't.
I don't want to upset her right now.
Listen, man, we are gonna take good care of her.
- Okay? - Yeah.
Hold up.
You think I'm faking this? You think my seizures aren't real? No, absolutely not.
Psychogenic non-epileptic seizures are not intentional or acted.
The symptoms are very real.
He gave me medicine to cause a seizure.
This isn't because of something in my head.
I actually gave you saline, Pete.
What? My aim was to expedite a diagnosis, and given the constraints you described earlier, I felt this was the only way.
You're trying to say you lied for my benefit? No, I'm trying to say that if you had known it was only saline, it's unlikely it would have provoked a stress response.
Give me a supervisor.
Someone in charge.
Now.
Will do.
Her MRI confirmed it.
Lorraine does not Alzheimer's.
So get this.
Her scans apparently are duplicates of an Alzheimer's patient from St.
Luke's.
And as a registered nurse at that hospital, Cindy was able to just swap them out and upload them.
All the while draining Lorraine's checking and savings account, pension.
Yeah, and according to Cindy, Lorraine was something of an evil stepmother who convinced Cindy's dad to cut her out of his will? Still, I mean, I've seen some crazy stuff, but convincing someone they're losing their mind? Yeah, we can bet she played off of Lorraine's terror of eventually developing the disease, right? I mean, given the family history? You second-guess somebody long enough, eventually they start to question their perception of reality.
Anyway, good work today.
- All right, let's take a peek.
- Okay.
I'm gonna look at the wall.
And you tell me when you see ten fingers and ten toes.
Maggie, it's way too early for fingers and toes.
You know what I mean.
Okay, I'll let you know when to look.
Oop, sorry.
It's okay.
Go ahead.
What? That's not a baby.
Maggie, why don't you get changed, and then we can discuss next steps.
The mass.
Is it malignant? It's not an ectopic pregnancy.
But other than that, it's way too soon to speculate.
We're going to draw tumor markers, get you scheduled for surgery, and then we'll send the tissue for pathology.
Listen, there are there are several tumors, many benign, that can cause HCG levels to rise and create a false positive pregnancy test.
That is exactly right, Dr.
Taylor.
Let's not get ahead of ourselves.
- Okay.
- Okay.
Okay.
He refused to see anyone at Med.
But let me refer him to a neuropsychiatrist I know at Northwestern.
He's an old friend of mine.
He'll take good care of him.
- Great.
- Appreciate it, Dean.
Hey, listen, I want to apologize to both you and Stevie.
I'm sorry.
- Thank you.
- No, no need.
I mean, I'm not saying make deception your go-to, but if it's confirmed that his seizures were psychogenic, then you saved the man time, money, unnecessary side effects.
While completely eroding his trust in the medical system.
Well, it's not completely eroded.
He's getting a second opinion.
There were better ways to get there.
Well, in my book, your only sin was getting caught.
Dean.
Listen, man, I misspoke this morning.
About what? Dr.
Blake isn't seeing anyone to my knowledge.
Oh.
That's good to know.
May the best man win.
We come bearing very good news.
- She doesn't have syphilis? - No.
We tested the placenta, umbilical cord, blood.
All negative.
I can't thank you enough.
If you hadn't been there It was my pleasure.
You were incredibly brave.
Uh, would you excuse me for a minute? I couldn't hear what you were all saying, but I saw Emily smiling.
It's all good.
Baby tested negative.
I'm sorry.
God, I was so scared.
It's okay.
You know, maybe with some time and a little space, you and Emily can patch things up.
Yeah.
I hope so.
Hey, Will.
- Stevie, I'm sorry.
- Wow.
You're the second person to apologize to me this hour.
What are you sorry for? This morning.
I, um I wasn't trying to make you second-guess yourself.
Actually, no, I was.
It's been nice, you know, having my old rival back.
You keep me on my toes.
But, uh, you gotta do what's right for you.
Yeah, well, it's not a done deal.
I'd be lying if I said I'm not proceeding with caution.
But I can't just walk away from my marriage.
Well, I, uh, I hope it all works out.
Hey.
You okay? Hey, uh, I just you know, what I did, back when I stepped Oh, no, D, forget it.
Come on.
I was playing with you earlier.
We were kids.
It's water under the bridge.
Uh, I appreciate that.
I do.
But, uh It's impossible not to think about what I missed.
What could have been had I not ruined everything.
Thank you.
Come in.
- Lonnie.
- I got your message.
I actually had to check on a patient up in the psych ward, so thought I'd just drop by.
- Come on in.
Have a seat.
- Oh, I really can't.
I have an early dinner.
So what's up? You know, honestly, I was just a little thrown by our conversation this morning.
Okay.
Yeah, you know, I mean, from my perspective, we've had a long, successful working relationship, and I just, I deserve a little bit more of an explanation as to why you're terminating me.
Well, as I explained to you this morning, I really am cutting back on my hours.
Lonnie, come on.
I mean, after 20 years, I don't make the cut? I don't get a little seniority here? Okay, fine.
There's also a professional conflict.
What kind of professional conflict? I'd really like to just leave it at that, if I could.
Wait.
Did I did I do something to make you - No.
- To make you un Because if I've been inappropriate in any way - You haven't.
- I sincerely apologize.
I've been working really hard to re-educate myself, you know, about appropriate language in this day and age.
I don't always succeed.
I have developed feelings for you, Daniel.
You don't have to say anything.
I'd actually prefer you didn't.
But you wanted the truth.
So there.
Now you have it.
- Come in.
- Hey.
Hi.
Fun day? Ended with a bit of excitement, though.
- Oh yeah? - Yeah.
Do tell.
You just missed Dean Archer.
- Oh.
- He invited me to dinner.
- That was fast.
- Sorry? Uh, nothing.
What did you what'd you say? I thanked him for his kind invitation, and I told him that I don't dip my pen in the company ink.
- Is that a hard and fast rule? - Hmm.
You ever make an exception? I don't know, I mean, I think that would depend who's asking.
Ever make an exception? Hey, Mom.
Oh, my God.
Oh.
Is this why you ended things with me? Because you were screwing my mom? - Hold on.
- Wait a second.
Ended things with you? Did you go out with my daughter? Okay.
Oh, my God.
What the hell just happened?