Chicago Med (2015) s08e08 Episode Script

1
[BOTH GRUNTING]
Hey, Dean. How are you doing?
[TENSE MUSIC]
Had worse.
♪
Hey, Maggie.
I just found my old varsity jacket.
Of course, you always
wore it more than me.
- This is my husband, Ben.
- Hey.
I do seem to remember you telling me
that you weren't gonna have
anything to do with him.
What is going on here?
You're dressed like one of my engineers.
Believe it or not, we're out of scrubs.
So this is all you're doing?
Just trying to help.
It's nice to have a guardian angel.
♪
You're here early.
Alarm mishap.
I'm gonna try to grab some shut-eye
before my shift starts.
Got an empty bed?
Two's open. I should warn you, though.
Drunk teenager vomited
all over that room last night.
- But it's been cleaned.
- Yeah.
Then I won't be surprised
by a pungent whiff.
Thanks for the heads-up.
[GRUNTING]
Dr. Halstead, Maggie,
meet our newest member
of Emergency Medicine.
- Justin Lieu.
- Hello.
- Hello.
- Hi. A new attending.
Terrific. Welcome.
Actually, Dr. Lieu
is a first-year resident.
Ah, my mistake.
Listen, I'd like him
to join your service today.
- Sure.
- I'll let you get settled.
Thanks, Ms. Goodwin.
Wondering why I'm so late to the party?
I know I've got some years
on the typical first-year.
I, uh I spent a decade
doing search and rescue
before deciding on med school.
- Very cool.
- Hmm.
Is this guy bothering you?
- What are you doing here?
- Yo.
I just remembered it was your first day,
and I was you know,
I was in the neighborhood.
What's up, Gallo?
Clearly, you two know each other.
We have ambo coming in.
Dr. Halstead, you're going to five.
Mm, ready to get your hands dirty?
- Yeah. Catch you later?
- Yeah, go.
Go on. Be useful.
Courtney, going to five. What do we got?
Lydia Shaw. 15-year-old female.
Disoriented and confused.
GCS 13, BP 90/56.
Sinus tach in the 110s. Afebrile.
Wait. Where am I?
She woke up this morning,
she couldn't tell me her name,
what day of the week it was.
Nothing.
- Are you Lydia's mom?
- Yes.
Danielle.
On my count. One, two, three.
She's been complaining of exhaustion
and nausea for weeks.
Okay, we got her.
Lydia, you're at the hospital.
I'm gonna listen to your lungs.
OK.
Lungs are clear bilaterally.
Danielle, does Lydia have
any conditions we should know about?
- Any medications she's on?
- None.
She's never even had the flu.
Dr. Halstead?
OK, pitting edema
to the lower extremities.
What's that?
Just means there's some swelling.
Stop it!
Why are you doing that?
I'm sorry, Lydia. I'm just
checking your eyes. Almost done.
Sclera is jaundiced.
Dr. Lieu, how does the liver feel?
Liver edge extends
past the costal margin.
- [GROANS]
- I know.
All right. All done.
Let's get a CBC, CMP, coags,
LFT, chest X-ray, ammonia level, UA,
and a right upper quadrant ultrasound.
OK, we'll be back
the minute we have an update.
OK.
What are you thinking?
Hepatic encephalopathy.
What, didn't expect the intern
to know the answer?
I was second oldest
in my med school class.
It might have given me
a bit of a complex.
Yeah, well, I think
you're absolutely right.
All clinical signs point
to advanced liver disease
as the cause
of her altered mental state.
But what would cause an otherwise
healthy 15-year-old's liver to fail?
Grabbed this from your locker for you.
You'll never guess what's inside.
Tampering with someone else's mail
is a federal offense, Doris.
Just open it, Maggie.
- [GASPS]
- [GIGGLES]
- No!
- Mm-hmm.
Is he there?
Are you serious?
I can't believe April kept it from me.
Surprised?
Thrilled. I'm so happy for you guys.
Thanks, Mags.
[TENDER MUSIC]
♪
- [KNOCKS AT DOOR]
- Come in.
- Uh-oh.
- [CHUCKLES]
See, now why does my mere presence
elicit that response in your doctors?
Take a wild guess.
Have a seat, Dr. Marcel.
- You're not in any trouble.
- Oh, good.
Listen, I'm sure you know
the board wanted
to update the OR suites
this year with MRI machines.
Yeah, it'd be a real gamechanger
to have high-resolution imaging
available during surgery.
Unfortunately, the supply chain crisis
took precedence
over fundraising efforts.
And now we are fast approaching
the end of the fiscal year
and still woefully short on funds.
- A big-ticket item, for sure.
- Yeah.
So we're hoping Jack Dayton
might consider
contributing the remainder.
- Roughly $10 million.
- OK.
We have invited him to dinner
at the hospital tonight,
and it'd be great if you
could join us, Dr. Marcel,
given your close personal relationship
with the entrepreneur.
I don't know if I'd call us close.
Not like I socialize with the guy.
Yeah, but you'd be able
to explain to him
the benefits of the technology
from a surgical perspective.
We know it's last minute, but
Asking Dayton for $10 million
right after I helped rescue him?
Kind of feels like a quid pro quo.
Exactly. He is indebted to you.
Well, that's not the way I see it.
My patients don't owe me anything.
Look, I think it's great
you're approaching Jack,
and I hope he goes for it. I'm just
I'm not comfortable making the ask.
We understand, and this was
by no means mandatory.
OK.
But if you change your mind,
dinner's at 7:30
in the executive dining room.
All right.
What? [DOOR CLOSES]
Hey, I need a second opinion
on a patient's renal ultrasound.
And good morning to you.
Does this look like
renal artery stenosis to you?
Did you forget I'm an obstetrician?
I don't normally look
at these kinds of scans.
Just tell me what you see.
OK. Velocities are higher
than they should be, I think.
And yeah, could be stenotic,
but it's hard to say,
seeing especially since,
as we established,
I'm not a nephrologist.
OK, thanks.
How bad would it be if I got
a candy bar for breakfast?
No worse than the decaf frappe
with whipped cream that I just downed.
Please, can I just speak with a doctor?
Please, it won't take long.
I'm afraid that's not how it works.
First fill out these forms.
And I'm gonna need your ID
and insurance card
- if you have it.
- Forget it.
Hey there.
Is there something we can do for you?
How do you, um
How do you know
if something happened to you?
Do you think something
might have happened to you?
Let's take a seat. What's your name?
I don't want my name recorded anywhere.
- Like, in your system.
- No, just between us.
- Gloria.
- Hi, Gloria.
I'm Nellie. This is Hannah.
Just talk to us like we're
one of your girlfriends, OK?
Tell us what happened.
Last night, I went to this party.
It was at a big warehouse in Pilsen.
I was supposed to meet my cousin there,
but I couldn't find her.
There were just so many people.
And then?
I don't remember.
I had a drink, just one drink,
and that's
That's the last thing I remember.
When I woke up this morning,
I was still there, at the warehouse,
in this room I didn't recognize.
Was there anyone there with you?
But my underwear was gone.
I don't know what happened.
We're gonna figure this out together.
Come with us, OK?
So Lydia has an autoimmune disease
called primary biliary cholangitis.
The disease, it destroys the bile ducts
and can lead to liver failure,
which unfortunately is what
we're seeing in Lydia's case.
She's 15! She doesn't even drive yet!
It is rare to see PBC in adolescents,
although there have been reported cases
of pediatric onset.
If her liver is the problem,
why is her brain being affected?
When the liver isn't functioning
how it's supposed to,
it stops filtering toxins
from the bloodstream.
And then these toxins build up
and travel to the brain.
But the condition is only temporary.
And with medication,
her cognitive function
will return to normal.
What about her liver?
Lydia is going to need
a liver transplant.
[STAMMERING]
So how do we do that?
How do we find her a new liver?
We'll get Lydia evaluated
for the transplant list,
the national registry,
but her fastest bet
would be a living donor.
What's pretty cool about
the liver is it regenerates.
So you can give someone
a portion of your liver,
and it grows back to its original size
after the transplant.
I would, um, give her mine
in a heartbeat,
but I'm a recovering alcoholic.
As long as you've been sober
for six months,
that's not
an exclusionary criterion, OK?
We will want to run some tests
to check your liver function.
Of course. Whatever you need to do.
I would give anything
to help my daughter.
- Maggie.
- This better be good.
Showing up at my job unannounced
is quite the overstep.
Didn't you get my text?
No, my phone's been on the charger
all morning. What is it?
I got to show you something outside.
I can't, Grant. I'm working.
Just five minutes.
That's all I'm asking.
I don't want to be a bother,
but you're the only person
who will understand.
Give me 20 minutes.
I'll take my lunch break early.
- Meet you out front.
- OK.
Congrats on your big news,
buddy. Mazel tov.
Thank you. I'm pretty excited.
Could have given me a little more time
to dust off the old tux, though.
- Damn.
- Sorry about that.
You know, my dad's passing
crystallized a lot for me
about the man I want to be,
the life I want to have,
and an urgency to get those changes now.
Makes sense.
It's probably why things are so
easy with April this time around.
I guess I got closer to the guy
she was holding out for.
Nice.
Hey, I need some help.
I got a guy in trouble
a few blocks away.
Hey, I'm Dr. Choi. What's going on?
There's this homeless guy, Buddy.
He kind of lives
behind my apartment building.
Something's wrong with him.
I called 911.
But they said the ambulance is
gonna take, like, 20 minutes.
I don't know. He doesn't look so good.
- Can you take us to him?
- Yeah, follow me.
Buddy!
Buddy. Hey, Buddy.
He's breathing, right?
Respirations are shallow,
but yeah, he's breathing.
How long has he been here for?
Buddy's been a fixture since I moved in,
so at least four years.
You notice any changes
in his behavior recently?
Buddy disappeared for a couple nights,
maybe about a month ago.
I don't know where he went,
but when he came back,
he wasn't moving around as well.
He just seemed more out of it
than usual.
[MOANING]
[TENSE MUSIC]
♪
My name won't be on the
It won't be attached to anything?
It can all be processed anonymously.
And you won't release
any of my information
- to the police, right?
- Mm-mm.
Not without your permission.
Oh, I forgot to ask.
How much is it gonna cost?
I don't have insurance
or anything, so
Nothing.
There's no patient responsibility.
And we'll give you a voucher
for any additional follow-up costs.
Would you like a Valium?
It can help calm your nerves.
No, no, no, I don't want
to black out again.
It's actually just a mild sedative.
No!
Thanks, but no.
OK.
We're ready to begin the exam.
OK, Gloria?
OK, so sit back a little,
put your feet in the stirrups.
And if at any point you need me to stop,
if you need to take a break,
you just let me know, OK?
All right, I'm putting my hand
on the inside of your thigh.
Next, I'm gonna take a quick look
at the outside area first.
Here.
Squeeze as hard as you need.
OK.
Now you're gonna feel
the tip of the speculum.
You're doing really great.
So what do you think?
I know her liver's on the cusp, but
I've got to disagree
with you there, Will.
It's not on the cusp. Not even close.
Well, what do you mean?
Danielle's liver function is solid.
Yeah, now, but the damage is done.
- The liver's fibrotic.
- Mildly.
It won't tolerate a partial resection.
Well, that's a prediction, not a fact.
A good chance it'll fail to regenerate.
And then Mom will need
a liver transplant.
Maybe that's a risk
Danielle's willing to take.
But if Danielle ended up
needing a new liver
after we allowed her to donate,
that's the kind of bad outcome
that could get
a transplant program shut down.
I'm sorry, man.
My, my, my.
My goodness.
- Is that
- It is.
No!
What happened to the peeling vinyl top
that used to flap in the wind?
Gone. That and the cracked window.
Got the heating and air fixed too.
Oh, my word.
You know, I love this car.
It's the only reason I gave you
the time of day in high school.
I've been restoring it for years now.
You did all this yourself?
For the most part.
Just got the leather seats
reupholstered. The finishing touch.
- Wow.
- What do you say?
A spin around the block,
for old time's sake?
Aw.
Come on.
A quick spin.
My break's over in 30.
- Yes, ma'am.
- Oh!
Do you happen to know his full name?
Everyone just calls him Buddy.
He's a friendly guy but not all there.
How so?
Sometimes I'll see him
talking to no one,
and he repeats himself a lot.
It just seems like his, um,
processing is kind of delayed.
Hey, I'm really sorry,
but I'm super late for work.
Oh, look, we really
appreciate you hanging around
while we got him situated, OK?
Thank you very much.
So I found a partially healed
puncture site in his groin.
It looks like he developed
a postprocedural abscess.
I'm gonna drain it
and start antibiotics.
Wonder what the procedure was for.
Or where it was done.
Hawley Community Hospital.
It's still in pretty good shape,
so it must have been
a fairly recent visit.
Is there a name on that bracelet?
William "Buddy" Foster.
Clip that off for me, will you, Doris?
I'm gonna look up that hospital
and then give them a call.
Hawley?
I mean, it kind of rings a bell,
but I'm pretty sure
it's outside of Chicago.
I wonder how he ended up there.
Yeah.
Any other family members
that might be willing to get evaluated?
See if they're a match for Lydia?
No, she's, um She's an only child.
Her father also had problems
with alcohol.
Smashed his car into a tree two
years ago and died on impact.
We're so sorry.
With the transplant list,
how long do you think
Lydia will have to wait?
It is impossible to predict.
It can take just a few weeks,
or it can take months.
Years sometimes.
So, um, just prepare myself
for anything?
Yeah. We'll check on Lydia in a bit, OK?
Man, that's rough.
Worst feeling in the world, I imagine.
Doing search and rescue,
you meet these parents
who are just so desperate to help.
It's heartbreaking
telling them they can't.
Yeah, only adds salt
that Danielle's past
is what's preventing her from donating.
Talk about a cruel twist, huh?
If it was any other organ.
I mean, her kidneys
are perfectly healthy.
Dr. Halstead?
Her kidneys are healthy.
I think you're on to something.
You're staring.
I'm sorry.
I just never thought you'd be
riding shotgun in this car again.
Well
It used to give me
such a rush back in the day,
looking over and seeing you next to me.
Still does.
Grant.
No.
[CARS HONKING]
[SIGHS]
[TIRES SQUEALING]
Grant!
You're talking about
a paired exchange, right?
It won't work.
Both the donors need
to have healthy livers.
Well, not exactly.
It's called
a trans-organ paired exchange.
Oh, yeah.
I heard it discussed at a conference.
Pretty new concept, right?
Only a couple have
been performed in the U.S.
It's rare, but this kind of swap
is allowed under the
National Organ Transplant Act.
Uh-huh. Thank you.
So you're suggesting
that Danielle donate her kidney
to someone on the transplant list
Someone already with a willing donor
who was ruled out
for a kidney-specific reason.
And then they would donate
their liver to Lydia?
Like a paired exchange,
except with different organs.
Well, it's not exactly like for like.
A liver transplant exposes
the donor to greater risk.
But if we can identify
a potential donor recipient match,
walk them through
the added risk factors
And we have to loop in legal.
- The whole nine yards.
- Of course.
I'm not trying
to do anything below board.
OK, I think I have an idea
for a second donor.
Frank Sheraton. Late 40s.
He's in good health, but due
to a mild reduction in GFR,
he couldn't donate his kidney
to his wife, Roberta.
She's been on the transplant
list for three years.
Before we get anyone's hopes up,
let's make sure Frank's a match
for Lydia, Danielle for Roberta.
I'll pull up their charts.
Dr. Lieu, you want to give me a hand?
- Happy to.
- All right.
- We'll circle back in a bit.
- Great.
- Dr. Halstead, there you are.
- What's wrong?
Maggie and a friend
were in a car accident.
The ambulance is en route.
Maggie, you should be on a gurney.
I'm fine.
That's what I said, but she refused.
Going to Baghdad. Matt, talk to me.
Grant Young. 44-year-old male.
High-speed motor vehicle crash.
GCS 15, BP 120/72. Heart rate 110.
- Large laceration on the
- To the left calf.
Active bleeding for almost four minutes.
I initially tried
to control it with pressure.
Hey, Grant. I'm Dr. Halstead.
A piece of shrapnel or something
from the door sliced the leg.
Uh, it looks arterial.
Thank you, Maggie. I got it from here.
Come on, Maggie. Let me look you over.
Come.
Gloria.
Hey.
You want to have a seat?
That's OK. I prefer to stand.
OK, sure.
So your labs came back positive for GHB.
It's what's commonly known
as a date rape drug.
And while we can't make
any definitive conclusions
until your kit is tested,
there was evidence
that you sustained injuries
from a sexual assault.
What kind of evidence?
Bruising in your genital area,
a possible fingerprint pattern.
What about STDs?
Your HIV, gonorrhea, and chlamydia tests
all came back negative,
but you'll need to follow up
to do retesting in two to three weeks.
Is it too early to know if
If I'm pregnant?
Your pregnancy test came back negative,
but you'll want to retest in two weeks.
Is that it? Is that everything?
Can I go home now?
Well, first we wanted to talk with you
about some of the counseling
and mental health services available.
All free of charge.
I really want to go home.
Forget it ever happened.
If you do change your mind,
all of the information and
the phone numbers are in here.
Both of ours included.
Thanks.
Gloria, you said initially that you
didn't want to involve the police.
- I don't.
- OK.
You do understand, though,
that without a report,
they're not able
to open an investigation,
so they're not able to find
the person who did this to you.
It's not like I'd press charges anyway.
I just
I needed to know what happened
for myself.
That's it.
That's enough.
No one else can know.
Gloria, I understand, right now,
this is very traumatizing
OK, Gloria.
We hear you.
We'll get your discharge
paperwork started.
Hey. That's it?
I feel like we should be having
a more substantial conversation
- with her about reporting.
- No.
Her unwillingness to show ID,
lack of insurance, fear of the police.
I suspect that
Gloria might be undocumented.
Let's not push too hard, OK?
But I believe
there are legal protections
for undocumented immigrants
that report crimes like sexual assault.
And while you may believe
in those protections, Hannah,
Gloria might not,
and we have to respect that.
[MOANING]
Buddy, what we're trying to figure out
is if you can remember going
to a hospital recently.
Yeah.
Yeah, I went to the hospital before.
That's right.
And how'd you get there?
Real nice lady drove me.
She bought me dinner too.
Were you hurt?
No. Don't think so.
- No.
- Huh.
I wonder why she
She took you to the hospital, then.
Guess I needed to go.
A real nice lady.
- She bought me dinner.
- OK.
Um, you know what?
We're gonna step out
for a second and be right back.
- Sure.
- Yeah, all right.
- Sit tight.
- Sure.
All right, so I got in touch
with Hawley Community Hospital.
It's about two hours north of
the city, in Wisconsin, right?
Buddy was there a month ago.
Two-night stay for a left atrial
appendage occlusion procedure.
Aren't LA occlusions done to
prevent stroke in patients with a-fib?
Buddy hasn't flipped into
a-fib once since he got here.
It's an elective procedure
on an unhoused patient
in a different state.
How'd they expect him to get back
for his follow-up stuff?
Or keep his surgical site clean?
It's no wonder he ended up
with an infection.
At best, I think we're
looking at extreme negligence.
I think it's worse.
Buddy mentioned a lady picking him up
and driving him to the hospital.
- Ah
- A recruiter.
Probably gets a kickback
for every patient she finds.
Oh, my gosh.
I think we're looking at Medicaid fraud.
It's not what it looks like, Sharon.
Who said it looked like anything?
No one's judging you. [KNOCKS AT DOOR]
Hey, I just wanted to let you know
I sent Grant to angio
to see if there's
any vessel damage to his leg.
Thanks for the update, Will.
Of course.
How's your patient, Ms. Goodwin?
Stubborn with a chance of just fine.
Maggie, you want me to call Ben for you?
No, no, no. That's OK.
Ben's away at a teacher's
conference in Florida.
I'll let him know
when he comes home on Friday.
Sure.
Hannah.
Hey, do you have a minute?
Yeah, of course. What's up?
Her name is Chelsea.
She walked into the district this
morning to report a possible rape.
A possible rape?
Blacked out at
a warehouse party last night.
She thinks someone
slipped something in her drink.
Was it in Pilsen?
Yeah. How did you know that?
So I donate a lobe of
my liver to this young woman,
and the girl's mother
would give her kidney
- to Roberta?
- Exactly.
We've done the legwork,
and you're a compatible donor.
And the mother is a match
for you, Roberta.
Well then, yeah. Absolutely. I'm in.
- How soon can they operate?
- Frank, hold on a second.
I think we have to ask
a few more questions.
We learned all about kidney donation
when Frank was evaluated
to be a donor for me.
Donating the liver,
is this a similar undertaking?
Well, to be completely honest,
it's a bigger undertaking.
It's an open surgery with
a large abdominal incision.
And because of the incision, it is a
harder recovery than kidney donation.
Usually about twice as long.
Oh, then no.
- Babe.
- No.
We have to think about the kids.
I am.
They need their mom.
We all need you.
Hey, remember,
I survived five skydives
and three bungee jumps.
You think I'm gonna let
a little surgery take me out?
Surgery is probably
the safest place for me.
And the fact that this is gonna
help someone else out too?
Even better.
Let me do this.
Is this a yes?
OK.
Great.
Great.
I understand that
the evidence from Gloria's exam
would strengthen any future
case against the assailant,
but I really don't think
revisiting the topic
is going to change her mind.
Well, I think we should try.
So you want her to risk her future,
or her family's future, for
someone she doesn't even know?
No, I'm not saying that.
Because that's her dilemma, Hannah.
And you can promise her
till you're blue in the face
that the system will protect her
and fight for her rights
just like they fight for yours,
but I bet she's seen enough
evidence to the contrary
to know better.
I'm not suggesting that Gloria do this
for someone else.
I'm thinking of Gloria
and how it's gonna feel
to carry this trauma
for the rest of her life.
My college roommate, Annie,
was raped at a frat party.
She didn't know who did it.
Didn't report it to anyone.
And she said exactly what Gloria said.
She just wanted to forget
it ever happened.
And so, she put all her energy
into pretending like it didn't matter,
like holding someone
accountable didn't matter.
And somewhere along the way,
I think she began to believe
it didn't matter.
That she didn't matter.
And she carried that feeling
as long as she could
before taking her own life.
Oh, Hannah.
I'm so sorry.
So no, I'm not
I'm not insensitive to the enormity
of what we are potentially
asking Gloria to do.
It's just I have seen
the other side of it.
The consequence of sweeping
a trauma under the rug.
Dr. Martin Grainer,
the interventional cardiologist
who did Buddy's procedure.
I noticed that
he was moving around a lot,
so I started calling
some of these hospitals.
- Yeah?
- Lost privileges
in pretty much every single one of them.
I mean, how the hell is
this guy still practicing?
- You all right?
- Yeah.
I slept funny. That's all.
They didn't feel like they could prove
that he was fabricating
indications for procedures.
Hey.
That's the doctor who treated Buddy.
Dr. Martin Grainer.
So Buddy's labs came back,
and his PSA was through the roof.
Sent him for imaging, and he has
advanced stage prostate cancer.
It's all over his body,
in his brain, his spine.
Nothing we could do for him
at this point.
So while this sorry excuse for a doctor
is making up all
these bogus medical problems
He could have been treating
him for something very real.
See that?
You have a small pseudo-aneurysm
of the posterior tibial artery.
That sounds ominous.
It's not as scary as it sounds.
It's a small pressurized pool of blood
that can form following injury
to the wall of the blood vessel.
That will likely resolve on its own
without any need
for surgical intervention.
We'll just want you back
next week for an ultrasound.
That's a relief.
Definitely.
If you'll excuse me, I have
to check on another patient.
Thanks, Will.
Well, that's good news.
Yes, it is.
Look, I've just been lying
here, doing a lot of thinking,
and I crossed the line.
Plain and simple.
I'm really sorry, Maggie.
Riding around in that old Monte Carlo,
I think we just both
forgot ourselves for a moment.
I guess I thought maybe
we could be friends, but
There's just too much history.
Yeah. I know that now.
I do.
[TENSE MUSIC]
♪
Gloria, you are so brave to come here.
And if you need anything at all,
you've got both of our numbers.
And I really hope you consider
attending one of those support groups.
Yeah, I'll think about it.
Dr. Cuevas.
Nellie, I mean.
I was hoping I'd see you before I left.
Before you go, Gloria,
I wanted to, uh,
share something with you.
It's not something
a lot of my colleagues know.
Um, something Dr. Asher doesn't know.
I'm, um
I'm undocumented.
My family immigrated to the U.S.
before I could walk.
And as a DACA recipient,
I'm legally allowed
to work and live here,
but I still keep my immigration
status close to the vest.
But I'm telling you
because I trust you.
And I trust Dr. Asher.
So if you ever want
to report what happened,
now or at some point in the future,
Dr. Asher and I know someone
who will have your back.
Someone you can trust.
♪
Roberta, Frank, this is
Lydia and her mom, Danielle.
I don't know
how to thank you both enough.
I should be thanking you.
You don't even know me,
and you're giving me
- Can I hug you?
- Yes.
We'll give you all some time
to get acquainted.
I hope trans-organ exchanges
become more commonplace.
It would increase
the number of potential donors
significantly.
Yeah, and would allow donors
who were previously ruled out
to still help their loved ones.
Quid pro quo.
Yeah, and everybody wins.
Well, hey, if you guys aren't above
grabbing a beer with an intern,
first round's on me.
Definitely not above a free beer.
What do you say, Crockett?
I'm gonna have to join
you fellas another time.
Cheers.
Hey, Gloria. This is Detective Upton.
You can call me Hailey.
We can talk here, if you want.
We can go outside for a walk,
get some air.
Up to you.
Here is fine.
OK.
We'll check back on you soon.
I just hope they find who did this
before any other women are harmed.
Gloria's statement,
the evidence from her exam.
They're gonna help CPD's
investigation tremendously.
Hannah, like I said to Gloria,
I don't advertise my status.
It's your business, nobody else's.
I won't tell anyone.
Thank you.
It is incredible,
what you've accomplished.
Going to med school, becoming a doctor.
It hasn't been easy.
And with legal challenges
constantly on the horizon,
DACA's future and my future
always feels a bit precarious.
But surrounding myself
with good people really helps.
People I can trust.
[KNOCKS AT DOOR]
Oh, Maggie. Come on in.
I have to head to this dinner,
but I'm glad you stopped by.
OK.
So how are you feeling?
Uh, OK.
I've decided to, um,
not tell Ben about the accident.
For the time being, or
Ever.
Are you sure that's what you want to do?
There's just no benefit to him knowing.
Well, I think Ben might beg to differ.
Grant has just caused so
many problems in my marriage.
I just I don't want
to make it any worse.
Well, I get it, but I'm just
I'm just wondering how you'd feel
if the roles were reversed
and Ben didn't tell you
that he was in a car accident.
Sharon, it's just that, uh
I can't.
- I can't.
- Look.
Look, give it a little time.
You had a terrible scare today, Maggie.
You don't have to decide this minute.
Look, I have to go, but
you stay as long as you need.
All right.
Hello, everyone.
Jack, great to see you again.
- Glad you could join us.
- Yeah.
Kathleen, Dennis.
- Hey.
- Hey.
So what changed your mind?
Well, I, uh
I might have been a little
overly concerned with the optics.
This money could benefit
a lot of people.
Good to see you guys. How are you?
Thank you.
Well, why don't you make your ask now?
I just think we can get the
business talk out of the way
so we can enjoy our dinner,
which looks delicious, by the way.
So what's the ask?
Well, our surgical center
is ranked among the top ten in the U.S.
Thank you. We want it in the top five.
We have the best surgeons in
the country, Dr. Marcel among them,
and what they've been
telling us they need
is updated technology,
starting with
intraoperative MRI machines.
Being able to take imaging
in the middle of a surgery
would allow us to constantly
recalibrate our approach.
It'd be the difference between
being able to resect 50% of a tumor
and being able
to resect the whole thing.
How much capital are you looking for?
$10 million.
But of course, we would welcome
a donation of any amount.
No, I think you're
setting your sights too low.
I'm gonna do something
even better for Chicago Med.
Please.
What's all that?
- Buddy's belongings.
- Ah.
The guy he came in with
dropped off a bag.
Stuff he gathered from the spot
where Buddy camped out.
Huh.
Was this him when he was a kid?
- It looks like him, right?
- Yeah.
And that apartment building
in the photo,
that's where we found Buddy
this morning.
He was camping out
in the alley behind it.
I'll be damned.
Figure it's where he grew up?
Yeah.
Maybe I shouldn't have
unpacked everything.
He's only here
to make a move into hospice.
Were you able to track down any family?
No.
You know, I'd love to put the
blame solely on Dr. Grainer,
but more than one bad actor
failed Buddy.
What do you mean?
He's gonna die from one
of the most survivable cancers.
With early intervention,
this was treatable.
It shouldn't be killing him.
Our system failed Buddy,
and it fails
people just like him every day,
because the people who need us the most
never even make it through our doors.
Until it's too late.
When did we decide that's OK?
That that's just the way it is?
It can't be.
I'm not gonna let it.