Chicago Med (2015) s08e15 Episode Script
Those Times You Have to Cross the Line
1
We have a seat opening up on the board.
Are you familiar with George Thomas?
I'm not trying to be
a part of your board
so I can be a mouthpiece for
some special interest groups.
I'm all ears.
I think that you got
a lot invested in 2.0.
I'm not gonna gamble with
a patient's life
just so I could show off
my shiny new toy.
The real-time data's insufficient.
Imaging is inadequate.
What am I supposed to do here?
The hospital is flying in
workers if we walk out.
They're flying in scabs?
I don't ever tell you
how to do your job.
And I'm not telling you how to do yours.
I'm telling you people are scared
'cause they can't afford
to miss a paycheck.
ALL: Dignity, respect,
more money in our checks.
Dignity, respect,
more money in our checks.
Dignity, respect, more money in our
Give me a second, OK?
Sharon.
Daniel. You're striking?
No.
I'm I'm just, you know,
showing solidarity,
which I believe I'm allowed
to do on my day off.
You are.
Look, I know that
this whole labor dispute
has been complicated for us.
It is.
I just want you to know
I support the service workers,
and it's very important for me to feel
that Liliana feels like I have her back.
- OK, Daniel.
- All right.
Just stay warm out here.
Thank you. See you tomorrow.
OK.
ALL: Dignity, respect,
more money in our checks.
It means a lot to me, Daniel,
and my friends
you being out here in the cold
with all of us.
Are you kidding me?
We get to hang out together,
and, I mean,
you are very attractive,
which is a bonus.
- Oh.
- It is.
Hey.
Hi. Sorry I'm late.
There's a little foot traffic outside.
- Hard to navigate.
- I noticed.
- I already got your coffee.
- Oh, thanks.
- Thanks for meeting me.
- Yeah, of course.
What's going on?
Well, um, I'm working the
steps in NA with my sponsor,
and I'm up to step nine.
Oh, yeah? OK, that's good.
Step nine is making amends
with the people you've harmed.
Oh, well, you don't have to do that.
Yes, I do.
Anyway, I'm sorry for not showing up
to that job interview
you arranged at O'Hare.
Oh, you're going way back, aren't you?
And for that time I stole
Grandpa's pocket watch
and hocked it for cash.
- And, um
- [CHUCKLES]
This one really haunts me
Uh,
that time I said
Mom drinks because of you.
Yeah. Water under the bridge.
Have you talked to her at all?
- Do you know where she is?
- Uh
Well, last I heard, uh, she quit rehab.
But it's actually later than I thought,
and, uh, I got to get Get to work.
Maybe we can pick this up
another time, all right?
- OK.
- Thanks for the coffee.
[SOFT DRAMATIC MUSIC]
- [ALARM BLARES]
- Going to treatment six.
All the attendees are occupied,
so you've got me.
David Sullivan, 18 years old.
BP 118/77, heart rate 99.
His parents called 911.
David fainted,
probably because he hasn't
eaten anything in days.
But it's even worse than that.
He's saying some pretty horrible stuff.
OK. Hey, David. I'm Dr. Asher.
Can you tell me what's going on?
Go away.
All right, on my count.
1, 2, 3.
We came in with David six months ago.
Dr. Charles and Dr. Cuevas diagnosed him
with schizoaffective disorder.
Are they are they here?
Uh, Dr. Charles isn't working
today, but Dr. Cuevas is.
Can you call Dr. Cuevas for me, please?
L Leave me alone!
[TENSE MUSIC]
David, we just want to check you out.
It won't matter.
Nothing matters.
Mr. and Mrs. Sullivan.
- Hi.
- Hi.
David, hi.
Do you remember me? Dr. Cuevas?
I don't need a doctor.
OK. Can you tell me why you think that?
I know.
David, are the voices talking to you?
Maybe if you tell me what
they're saying, we can help.
You can't.
Why is that?
Tell them, David.
Go ahead, honey.
♪
I'm dead.
What do you mean?
You can't help me
because I'm already dead.
♪
In the months since we were last here,
David has been taking a
combination of risperidone,
aripiprazole, and clozapine.
Yeah.
Things were going OK for
a little while there,
but then there was this new development.
So David, how did you come
to believe that you're dead?
David?
I could feel it.
And what did it feel like?
Like my organs stopped working.
And did anything else
besides the feeling
lead you to believe this?
The voices.
The voices in your head?
And why do you think that
they're telling you the truth?
Stop trying to convince me
that I'm wrong.
I'm only trying to understand.
♪
I remember now.
I remember you.
Yeah. I've treated you
before, more than once.
You were the first one
to make me take medicine.
I was just trying to help you, David.
- You're the reason I'm dead!
- Hey, hey.
Hey, hey, hey, it's OK.
It's OK.
♪
It says here, Walter,
you're a type 1 diabetic?
Yeah. That's why I'm in the
Med more times than I can count.
- Sorry about that.
- That's all right.
I mean, it's nice to have a hospital
I trust for days like this.
And the Tylenol is not helping
with the fever, or the chills.
- 101.5.
- All right.
Let's have a listen.
And deep breath for me.
All right, good breath sound.
Glands feel a bit swollen.
- You have a sore throat?
- A little, I guess.
- It's mild.
- OK.
Remove your glasses for me, please.
How long have you been feeling this way?
Uh, three days.
I know because it
started just after a trip
I took to Yosemite for hiking.
I hear it's beautiful there.
It is spectacular.
I mean, the only downside for me was
I guess I should show you this.
[GROANS]
- Oh, yeah.
- Yeah.
I slipped and fell on some rocks.
- Ow.
- Sorry.
Yeah. It looks like
it could be infected.
Might explain your fever.
CBC, CMP, Accu-Chek, hemoglobin
A1C, and blood cultures.
Uh, let's swab for COVID too,
just to rule it out.
And add a tetanus booster if
it's been more than 10 years.
Very thorough. I like it.
It's always been the MO here.
We try, Walter. Hang in there.
All right. Thanks.
Maggie?
Yep?
Trash in three is
practically overflowing.
It looks like it hasn't
been emptied in days.
Oh, all right.
I'll talk to the guy who's subbing.
Joe, right?
Did you turn over treatment three?
Turn over?
Change the sheets, wipe down
the surfaces, clean the floor,
like we do after a patient
is discharged?
Yeah, I think so.
Then why is the trashcan full?
I'll empty it.
Uh
I cannot believe it's come to this.
Hiring scabs?
[SIGHS] Doris.
Look, the strike has us in a bind.
I need your help in
turning over rooms today.
I thought we had replacement janitors?
Yeah, but they're slacking off.
Start with the empty rooms
and work your way
around the football as patients
are being discharged.
Please?
[SIGHS] That's just great.
Thank you.
- Ms. Goodwin?
- Yeah?
It's been seven days.
How long is this strike
supposed to go on?
All I know is, the board
and union are working
to come to an agreement.
Well, it's only a matter of time
till this blows back on us.
I'm aware, Dr. Halstead.
Your concerns are noted.
[HELICOPTER WHIRRING]
OK, Jack. I'll make it known.
Talk later.
Sharon Goodwin.
What a delightful way to start the day.
George.
How are negotiations going?
They're going.
That's all I can tell you at this point.
Well, look.
I'm not trying to insinuate
myself into the negotiations.
But I do need to share my
staff's concerns over how
patient care could be
affected if this strike
drags on much longer.
Hopefully we're not too
far from an agreement.
OK, well, I'll keep my fingers crossed
and hope to hear good news soon.
I promise you'll be the first to know.
- All right.
- OK.
What do we got?
- Abby Hawkins, 11 years old.
- [GROANING]
Sustained a pretty bad leg
injury on her family's farm.
BP and heart rate remained
stable the whole way here.
Hey, Abby. I'm Dr. Marcel.
You're at Chicago Med.
We're going to take
good care of you, OK?
- Mm-hmm.
- Thanks for your help.
Look, I'm not leaving her.
I'm Abby's doctor, Warren Johnson.
Dr. Charles?
ALL: [CHANT] We are essential!
Oh. Give me a sec.
Sorry.
- I heard you were out here.
- That's OK. What's up?
Do you remember David Sullivan?
I do, yeah.
Well, his parents brought him in.
His paranoid delusions have
given way to something else.
He now believes that he's dead.
Dead.
OK.
Crucial that you don't
push back on the delusion.
Well, I tried reinforcing it
to gain his trust,
but it didn't get me anywhere.
OK. I'll be right back.
Liliana, there's a young man
that I've been treating.
He's back in the hospital,
and he's in trouble.
- I need to go check in on him.
- OK.
All right.
I'll be right back, soon as I can.
ALL: We are essential!
Hang in there, Abby. Maggie?
You're going to Baghdad.
She and her family are patients
- at the clinic where I work.
- They brought her in?
Yeah. I gave her 50 mics
of fentanyl for the pain
- and put a splint on her leg.
- OK.
Here we go. I got it.
Thank you.
You're also a pilot?
Yeah, I used to be a
flight paramedic in the army.
Those skills come in handy when you're
out in the boonies like us.
Soon as I saw Abby's leg,
I knew I had to bring her here.
Luckily, the farm co-op has a chopper.
Where are her parents now?
Following behind in their truck.
They'll be a couple
of hours, but they've
given consent for any
treatment Abby may need.
- OK.
- [GROANS]
- Oh, man.
- [GROANING]
How did this happen?
Abby works on her family farm.
Her leg got caught in
the hydraulic bucket
of a skid steer.
What's that?
A machine used to feed cattle.
My uncle has a farm.
And why was this little girl allowed
anywhere near dangerous machinery?
Look, her father was
working the skid steer.
Abby was trying to climb
aboard when her leg slipped.
[SIGHS]
OK. Um, get me X-rays
of the leg, chest, and pelvis.
After that, get me a C
angiogram of the leg, please.
[GROANING]
And another 50 mics of fentanyl, please.
Got it.
Hang in there for me, Abby.
You're all right.
Seeing a laceration on the crown.
Um, add a CT head, abdomen, and pelvis.
You know what, let's just
plan on going to 2.0.
- Let's go.
- 2.0?
Surgical suite.
You still think you can save her leg?
Well, I'm not sure yet.
We'll see. Come on.
Let's go.
Breathe for me, Deanna.
[BREATHES DEEPLY]
Again.
OK. Clear on both sides.
When did you start throwing up?
Yesterday.
But I've I've been really
nauseous for a couple of days.
Oh, yeah? You weighed in today at 112.
You were 131 at your last physical.
That's a pretty significant
decrease at your height.
I didn't realize I'd lost that much.
I've had very little appetite
the last couple of months.
Oh, yeah? You want to tell me
why that might be?
Uh, my daughter Olivia,
she lives with me.
She's been going through
some health issues.
I'm pretty stressed out about that.
Yeah, kids. Tell me about it.
- I'm going to be sick.
- All right.
Basin.
[RETCHING]
All right.
We're going to figure this out.
Uh, chest X-rays, blood cultures,
and, uh, CT abdomen, pelvis.
[SIGHS]
[KNOCKING]
Dr. Charles.
Oh, they told us that
you had the day off.
Dr. Cuevas told me you guys
were here, and so I just
I thought I'd check in.
- Appreciate it.
- Thank you. Thank you.
David, how are you?
What's up?
How you, uh how you feeling?
I, um I took the liberty.
This is your
Your drink of choice, isn't it?
He's been refusing to
eat or drink anything.
Huh.
Why, uh why is that?
There's no point.
You know, Dr. Cuevas said that
you told her that you were dead.
I'm really sorry to hear that.
Um, how's that feel?
What's what's it like?
What do you think it's like?
Honestly, I have no idea.
That's why I'm asking.
It's like
Like my insides are rotting.
Wow. That sounds awful.
It is awful. I hate it.
Well, maybe there's
something we can do about that.
I'm not taking anymore pills.
I hate the way they make me feel.
David, please. We should
listen to Dr. Charles.
I won't do it.
You can't make me.
Hey, um, could we just step
outside for a quick second?
David, hang in there.
I'll be right back, all right?
Be right back, honey.
[TENSE MUSIC]
♪
You know, I was
looking at David's chart,
and he apparently just had a birthday,
and that was 18, which means
he's legally an adult.
If he doesn't want to
take medication, then he
He has the right to refuse it.
How is that possible?
You heard the things that
he was saying in there.
Well, despite his delusion,
he made it very clear
that he doesn't like the way
- the pills make him feel.
- Now, look.
David can barely keep it
together with medication.
What's he going to be like without it?
Dr. Charles, he thinks he's dead.
Look, I understand
how frustrating this is.
But patients' rights in this country
are extraordinarily robust,
even if the patient happens
to be having a mental health crisis.
So you're saying that there's
absolutely nothing to be done?
What I'm saying is that we, uh
We have to reconsider our tactics.
Hey. Got your CT scans here, Deanna.
OK. So as you can see right here,
there's a blockage of some kind
that's amassed in your stomach.
Cancer?
From the looks of it,
I would say that it is not, no.
Oh, thank God.
But, uh, whatever it is,
it does not belong in there,
and needs to come out immediately.
Does that mean surgery?
Yes, a laparotomy.
We have to open your
stomach to get it out.
It's scary, but it's a procedure
I've done many times.
I guess if it has to be done
It does.
So I will call up to the OR,
make sure they're ready for us.
And if you need,
I can contact your daughter.
No.
I'll call her myself.
She has her own health issues
to deal with.
I don't want her to be alarmed.
OK.
[MACHINERY BEEPING]
No fractures on the X-rays and CT.
Most of the leg muscles
are still intact.
Yeah.
She might have adequate motor function.
That's OK.
Her sensory function,
that's almost gone.
2.0, show us the CT angiogram.
CT angio.
Sagittal subtraction roadmap.
What was that?
2.0's AI.
Wow. That's amazing.
The SFA and pop look intact.
Yeah, but I'm not seeing any blood flow
below the trifurcation.
2.0, can you confirm?
7% blood flow to the foot.
Only 7%?
Afraid so.
So you have to amputate.
Sadly, I'm not seeing another option.
I'll call the parents.
♪
This never should have happened.
Dr. Archer, I got your page.
Dr. Cuevas, are you
familiar with the term bezoar?
Bezoar? Yes.
It's a mass of foreign material
that accumulates in the stomach.
Very good.
Behold, the bezoar I found
in my patient, Deanna.
It's a giant hairball.
Hair?
Yeah.
Obviously, she's been snacking on it.
Oh, my God.
The question is, why has
she been eating her hair?
When I'm done here,
you can help figure that out,
'cause it's now a psych case.
OK.
Hey, Maggie.
How's Abby doing?
Well, Dr. Marcel said
he has to amputate.
Oh, that's awful.
Yeah. I just called her
parents to tell them.
They're still a ways away,
so I'm going to stick around
and be here for them
when they get here.
That's good.
Maybe it will help
to see a friendly face.
Yeah.
Hey, you mentioned
your uncle has a farm.
- Yeah, in Sheffield.
- Oh, yeah.
He raises chicken and cattle.
When I was growing up, I'd love spending
the summers just working
alongside him and my cousins.
Yeah. It's a different world
out there in farm country.
Yeah.
I hate to see what this is going to do
to Abby and her family.
Look, I can tell you this.
From what I know about Abby,
over the years
I've treated her, she's got heart.
She'll overcome this.
Leg or no leg, nothing's
going to keep her down.
Well, that's good.
Madeline?
Uh, DCFS was notified of
a potential child abuse case.
I don't know anything about that.
Dr. Marcel made the call.
Well, there must be
some sort of confusion.
[SIGHS] Where's Dr. Marcel?
He's not here, but I'll track him down
and get to the bottom of it.
You can go back to your office,
and I'll call you when I get something.
OK. Let me know.
Yeah.
Child abuse? This wasn't child abuse.
I know.
Why would Dr. Marcel do that?
I'm going to find out.
[MACHINERY BEEPING]
- Crockett?
- Yeah?
I need to talk to you.
I'm about to operate, Maggie.
Why did you call DCFS?
Because it's my legal obligation
as a mandated reporter, OK?
Come on. It was an accident.
Yeah, well, there's no reason a child
should have been anywhere
near a machine like that.
You don't know what
it's like on a family farm.
Kids work. It's part of the culture.
Well, maybe it shouldn't be,
because this little girl
is about to lose her leg as a result
of her parents' negligence.
Crockett, I know how these
DCFS investigations play out.
If Abby and her parents get separated,
it could be impossible
to get them back together.
Please. Call off Madeline Gastern.
[TENSE MUSIC]
Where are we?
Whenever you're ready, Doctor.
Crockett.
Maggie, I'd appreciate it
if you'd leave.
♪
OK.
That's odd.
Her foot color looks better.
Yes, it does.
I'm feeling a good pulse.
How's that possible,
given the lack of blood flow
on the CT angiogram?
Maybe the vessels in her leg
were spasming
due to the shock of the accident.
2.0, what's your assessment?
Given change in exam,
three-vessel spasm likely.
Then this pulse means
the spasm must have broken.
All right, let's shoot
an on-table angiogram.
Maybe Abby doesn't have
to lose her leg after all.
Walter, what's going on?
Ugh, it's my back.
Itches like crazy.
Open that up a little.
Yeah, you've developed a rash back here.
You've never had an allergic reaction
to antibiotics before, have you?
No, never.
Let's get a differential to the CBC,
lymphocytes, and monocytes.
Could infection from
the cut have caused this?
I doubt it.
But, uh, this next set
of tests will tell us.
Go easy on that, OK?
[SIGHS] OK.
♪
Hair? [CHUCKLES]
- That is so strange.
- Yeah.
And quite a bit of it, too, which is why
I asked Dr. Cuevas to join us.
- Psychiatry?
- Yes.
But there's no reason to be alarmed.
We just want to help.
There is a condition
called trichophagia,
where a person compulsively
eats their hair.
OK. No. No.
Dr. Archer mentioned that
you've been under
a lot of stress recently.
And I ask because this
compulsion can be triggered
by feelings of anxiety.
I do not eat my hair.
It's actually not that uncommon.
Over a million people in the U.S
Well, I am not one of them.
I think this conversation is over.
- Deanna
- No.
Please leave.
- OK.
- And listen,
my daughter is on her way in here soon.
I do not want you
mentioning this to her.
Of course. We will respect your wishes.
That is the second patient
today I have struck out with.
Hey, you tried.
[KNOCKING]
You mind if I, uh, run something by you?
Whatever it is, I won't do it.
That's completely up to you.
I'd just appreciate it if you'd
hear me out, 'cause it's
I don't know, it's conceivably something
that could get you back on track.
I can't be fixed.
Nothing will change
the fact that I'm dead.
No argument there.
What?
Well, look.
My primary concern is your
Is your well-being, you know, your
Your state of mind.
And you made it very clear that you
did not at all like the way
that this made you feel.
So I'm just wondering if,
I don't know, there might be something
that could move you on to
the next phase, you know, to
To a new life,
a life after death, if you will,
a different life.
Um,
David, have you ever heard
of something called ECT,
or electroconvulsive therapy?
Like, electricity?
Life after death?
What, you mean
You mean, like Frankenstein?
Well, actually, yeah.
I mean, kind of like Frankenstein.
I mean, didn't Dr. Frankenstein
jolt electricity into his creature
to, you know, to reanimate it?
'Cause frankly, that's kind of
what I'm hoping ECT might do for you.
Is that something that you might
Might think about?
I'd definitely consider it.
OK, good.
Excuse me, I'm all turned around.
How do I get to the intensive care unit?
My mom just got out of surgery.
- Name's Deanna Brooks.
- Oh.
Oh, hey. No, I got this.
Hi, you must be her daughter Olivia.
I'm Dr. Archer. I treated your mother.
She's she's doing well.
- Oh, I'm so glad to hear that.
- Yeah.
She's upstairs in the ICU,
and the elevator's
just around the corner.
Trini, can you do me a favor?
Could you please take Miss Brooks
up to her mother in the ICU?
Of course. Right this way.
- Thank you.
- Sure.
Are you thinking what I'm thinking?
Yeah.
Dr. Halstead, the lab just sent Walter
Crotty's latest results.
Thanks, Nancy.
[SIGHS]
Bad news?
I thought I had my
patient's diagnosis pegged.
But he got this weird rash,
and I can't figure out why.
You know, I created
a diagnostic search engine
optimized to take account
of irregular symptoms.
Why am I not surprised?
You have some time to help me out?
Sure.
I'll run your patient's charts and labs
and see what comes up.
Send them to me.
Great.
On their way.
Stick around.
Almost there.
OK.
Tularemia, streptococcus, lymphadenitis,
cat scratch fever, tuberculosis,
meningococcemia,
and then there's plague.
Plague? Bubonic plague?
Yes, but the odds are considerably
lower than for the others.
Wait. Plague is flea-borne.
Walter's red bumps
could be flea bites, but
when was the last case
of recorded plague?
Actually, just six weeks ago.
Sacramento.
Walter mentioned he just
got back from a hiking trip
in Yosemite.
Which is only a couple
of hours from Sacramento.
I'm going to have
the lab run a Gram stain
on Walter's blood.
I'm gonna reach out to the CDC,
let them know we might have
an outbreak on our hands.
- Dr. Archer, hi.
- Hi.
This is my colleague, Dr. Cuevas.
I got a page that you
wanted to talk to me?
I did. My mom's still pretty tired.
Well, that's normal after surgery.
- Right.
- Mm-hmm.
I guess I'm sort of rattled.
She won't say much about her procedure,
only that you removed some sort
of blockage, but that's it.
Can you fill me in on what happened?
Well, I'm sorry,
but it's up to your mother
to share those details with you.
Every time I ask,
she just changes the subject.
Turns it back to me.
You know, your mom mentioned
that you have some health issues.
Do you mind sharing
a little bit about that?
Sure.
I was diagnosed with
breast cancer six months ago.
Just finished my fifth round of chemo.
The cancer hasn't spread,
and my oncologist
has been very positive
so far, so I'm hopeful.
Sounds like you have every reason to be.
Thanks.
Sorry to make you come up here,
go out of your way.
No, not at all.
[SIGHS]
Thank you.
CDC says until we know
the results of Walter's labs,
we need to cordon him off and
limit contact with anyone else.
I'll let the nursing staff know.
Hey, Doris. Have you seen Maggie?
We need to restrict all access
to treatment three.
- What's going on?
- Uh, potential contagion.
I'm waiting on the lab to confirm it,
but steer clear for the time being, OK?
OK. Yeah. Um, I'll let the nurses know.
You OK?
Something on my neck is driving me nuts.
Can I take a look?
Yeah.
[TENSE MUSIC]
Grace.
- Doris, let's get in the room.
- Oh, OK.
It's a rash, like my patient.
Couldn't be spreading that quickly.
- Let me see.
- What is "it"?
And and what does "it"
have to do with my neck?
Have you been in treatment three today?
Have you had any interaction
with my patient, Walter?
No. I've I've been turning
over rooms all day
because the replacement
janitors aren't doing squat.
- All right.
- What's happening to me, Will?
Incubation period for the
bubonic plague is two days, so
Bubonic plague?
Uh, no. Can't be.
Yeah, no.
Wait.
What are you doing?
[SCOFFS] Unbelievable.
No, I know exactly what this is.
[CAMERA SHUTTER CLICKS]
Hey, Sharon.
How great is this, twice in one day?
I'm sorry, George.
We have a serious problem.
- Oh?
- Take a look.
OK.
I'm not understanding
what I'm looking at.
Eggs.
- Eggs?
- Eggs, George, from bedbugs.
One of my doctors just took
this picture in our ED.
It seems the re
The replacement janitors
have not been properly changing sheets,
or or sanitizing the rooms.
Oh, no.
A patient has developed
a rash from a bug bite.
So has a nurse, and it remains
to be seen who's next.
This strike needs to end.
Jack's not going to give in
unless he gets
more concessions from the union.
He says we can't afford to.
What about liability
lawsuits from patients?
Can we afford those?
Yeah.
I hear you.
I'll make sure Jack understands
what's at stake.
Mom's awake and feeling pretty good,
so I'm getting a coffee.
[SOFT MUSIC]
♪
My daughter just stepped out,
but she won't be long.
We actually spoke to Olivia.
I asked you not to.
We didn't tell her a thing
about your condition.
However, she did mention that
she's been undergoing chemotherapy
for the last six months.
It's been a very difficult time.
I have no doubt, and I'm very sorry.
But it seems like around the time
Olivia started losing her hair
from the chemo,
you began having stomach issues.
Deanna, we believe you
that you haven't been eating your hair,
but you were eating
your daughter's hair,
weren't you?
Her hair started falling out.
It was on her pillowcase and her sheets.
And seeing it there,
my baby's hair
My heart would pound in my chest.
My whole body would tremble.
It just it was unbearable.
And eating her hair
made you feel better?
I put some in my mouth
and chewed it, and I felt
I felt better.
When I swallowed it,
those awful feelings
went away.
So as she kept losing it,
I kept eating it.
Mom, what's wrong?
Excuse us.
Mom.
Honey, I need to tell you something.
♪
So we're going to send
a mild electrical current
through David's brain, which is going
- to cause a brief seizure.
- Won't that hurt him?
He'll be under general
anesthetic the whole time.
- He won't feel a thing.
- Well, look.
We want to do whatever it takes
to help our son, but
- But shock therapy?
- I don't know.
I don't know.
It just it feels so extreme.
I completely understand
why you feel that way,
because of the way the procedure
has been portrayed in the media.
You know? But the truth is
Is that modern ECT is safer
than ever before,
and has proven to be very effective
against certain
treatment-resistant disorders,
schizophrenia among them.
You know, in many patients,
it seems to have the ability
to press a reset button in the brain.
Anyway, going to get going,
and I'll check back.
- OK.
- All right.
How you doing, pal? You ready?
OK.
I want you to count backwards
from 10 for me, all right?
BOTH: 10, 9
8, 7
Tourniquet looking good.
Keep the paralytic out of that leg.
[MACHINERY BEEPING]
♪
Set.
OK.
[ELECTRICITY WHIRRING SOFTLY]
Here we go.
Abby!
You OK, pumpkin?
Dr. Marcel says I will be.
Yeah.
She'll need more surgeries
in the future, but, uh,
I'm hopeful Abby will eventually
make a full recovery.
Thank you for everything.
And thank you, Dr. Johnson,
for making sure she got the best care.
Daddy?
What is it?
It's my fault.
What?
No, it it was an accident.
You told me to stay back, but I
I didn't listen.
You're going to be OK.
That's all that matters.
But my leg, it's so bad. I can't help.
Pumpkin, you don't need
to worry about that.
Your mom and I have
got the farm covered.
Honey, you just think
about getting better, OK?
You were supposed to
get back to me, Maggie.
Yeah, I'm sorry.
That was that was my fault.
I misjudged the situation.
And how exactly did that happen?
Well, I didn't have all
the information when I called.
I really don't like my time
being wasted, Dr. Marcel.
And I'm very sorry about all that.
You need to get your act together.
Indeed, we do.
I don't know.
I guess I had blinders on today.
All I could see was another
kid suffering abuse, you know?
Mm, turned out OK.
You saved a leg, and a family, too.
♪
Thank you.
[KNOCKING]
David, how are you
How are you doing? How you feeling?
Um, don't know.
I feel kind of different.
OK.
Voices? Any any voices?
Actually, I I can't
really hear them right now.
Huh.
[SOBBING]
Mom?
I'm just I'm so happy, honey.
[SOBBING] I'm just really happy.
Hydrocortisone should relieve
some of the itching and swelling.
Whatever.
Hey, good news
Your white cell count is down,
and your blood sugar is back
where it should be.
Antibiotics and insulin did their job.
That's a silver lining, I guess.
You know, I used to be so
impressed with this hospital.
[SCOFFS]
Sorry, Walter.
I'll go put in your discharge paperwork.
Mm-hmm.
How's it going down here?
Patient's upset,
and I can't say I blame him.
But he'll be OK.
Well, hopefully,
we can put this behind us.
The board and the union
just reached an agreement
on a new contract.
Housekeeping staff will
be back at work tomorrow.
I'm so proud of each of you. We did it.
- Liliana!
- Oh.
- Just a minute.
- I'm so sorry.
I did not mean to desert you
for the entire day.
- I understand.
- You do?
He was your patient. You had to help.
Oh, thank you.
Oh, my congratulations! New contract!
I'm going with my friends to celebrate.
- Come!
- Oh, no.
Your victory, your party.
- Have a good time.
- No.
No, Daniel. You have to come.
You're my boyfriend.
- I am?
- Yeah.
Oh. Well, when you put it that way.
[CHUCKLES]
I'd show you my room,
but we're not allowed
- to have visitors up there.
- Yeah.
This is where we usually
have our meetings.
Yeah. It's, uh
It's nice.
Thanks for letting me come by.
It's almost curfew, but,
I think we still have time
to make coffee.
Oh, no, no, no. It's fine.
It's, uh It won't take that long.
Uh, I don't like the way
I left things earlier.
Um, kind of ran out.
Oh, it's no big deal.
Yeah, it is. It is to me.
It it is.
Uh all right.
[SOFT MUSIC]
♪
All right. Uh
OK, so, uh
So you mentioned your mother.
Uh
all I ever wanted when you were a kid
was to get her to stop drinking.
But she wouldn't.
She couldn't. She couldn't.
And, uh, I didn't know what to do.
And, uh
and then, you know,
you started having your
Your problems, and, uh
guess I just sort of checked out.
And, uh [SIGHS]
I wasn't there for you guys.
I just I wasn't.
And, uh, I
I should have tried harder.
And instead, I just got angry, you know?
And I tried to just push it all away.
And I ended up pushing you,
my own son, away.
And, uh, I don't know
if I'll ever be able
to say this to her, or when.
♪
But, Sean, I wasn't there for you.
[VOICE BREAKING]
I wasn't there.
♪
I wasn't there.
Dad,
you're here now.
Am I?
[SOBBING]
♪
We have a seat opening up on the board.
Are you familiar with George Thomas?
I'm not trying to be
a part of your board
so I can be a mouthpiece for
some special interest groups.
I'm all ears.
I think that you got
a lot invested in 2.0.
I'm not gonna gamble with
a patient's life
just so I could show off
my shiny new toy.
The real-time data's insufficient.
Imaging is inadequate.
What am I supposed to do here?
The hospital is flying in
workers if we walk out.
They're flying in scabs?
I don't ever tell you
how to do your job.
And I'm not telling you how to do yours.
I'm telling you people are scared
'cause they can't afford
to miss a paycheck.
ALL: Dignity, respect,
more money in our checks.
Dignity, respect,
more money in our checks.
Dignity, respect, more money in our
Give me a second, OK?
Sharon.
Daniel. You're striking?
No.
I'm I'm just, you know,
showing solidarity,
which I believe I'm allowed
to do on my day off.
You are.
Look, I know that
this whole labor dispute
has been complicated for us.
It is.
I just want you to know
I support the service workers,
and it's very important for me to feel
that Liliana feels like I have her back.
- OK, Daniel.
- All right.
Just stay warm out here.
Thank you. See you tomorrow.
OK.
ALL: Dignity, respect,
more money in our checks.
It means a lot to me, Daniel,
and my friends
you being out here in the cold
with all of us.
Are you kidding me?
We get to hang out together,
and, I mean,
you are very attractive,
which is a bonus.
- Oh.
- It is.
Hey.
Hi. Sorry I'm late.
There's a little foot traffic outside.
- Hard to navigate.
- I noticed.
- I already got your coffee.
- Oh, thanks.
- Thanks for meeting me.
- Yeah, of course.
What's going on?
Well, um, I'm working the
steps in NA with my sponsor,
and I'm up to step nine.
Oh, yeah? OK, that's good.
Step nine is making amends
with the people you've harmed.
Oh, well, you don't have to do that.
Yes, I do.
Anyway, I'm sorry for not showing up
to that job interview
you arranged at O'Hare.
Oh, you're going way back, aren't you?
And for that time I stole
Grandpa's pocket watch
and hocked it for cash.
- And, um
- [CHUCKLES]
This one really haunts me
Uh,
that time I said
Mom drinks because of you.
Yeah. Water under the bridge.
Have you talked to her at all?
- Do you know where she is?
- Uh
Well, last I heard, uh, she quit rehab.
But it's actually later than I thought,
and, uh, I got to get Get to work.
Maybe we can pick this up
another time, all right?
- OK.
- Thanks for the coffee.
[SOFT DRAMATIC MUSIC]
- [ALARM BLARES]
- Going to treatment six.
All the attendees are occupied,
so you've got me.
David Sullivan, 18 years old.
BP 118/77, heart rate 99.
His parents called 911.
David fainted,
probably because he hasn't
eaten anything in days.
But it's even worse than that.
He's saying some pretty horrible stuff.
OK. Hey, David. I'm Dr. Asher.
Can you tell me what's going on?
Go away.
All right, on my count.
1, 2, 3.
We came in with David six months ago.
Dr. Charles and Dr. Cuevas diagnosed him
with schizoaffective disorder.
Are they are they here?
Uh, Dr. Charles isn't working
today, but Dr. Cuevas is.
Can you call Dr. Cuevas for me, please?
L Leave me alone!
[TENSE MUSIC]
David, we just want to check you out.
It won't matter.
Nothing matters.
Mr. and Mrs. Sullivan.
- Hi.
- Hi.
David, hi.
Do you remember me? Dr. Cuevas?
I don't need a doctor.
OK. Can you tell me why you think that?
I know.
David, are the voices talking to you?
Maybe if you tell me what
they're saying, we can help.
You can't.
Why is that?
Tell them, David.
Go ahead, honey.
♪
I'm dead.
What do you mean?
You can't help me
because I'm already dead.
♪
In the months since we were last here,
David has been taking a
combination of risperidone,
aripiprazole, and clozapine.
Yeah.
Things were going OK for
a little while there,
but then there was this new development.
So David, how did you come
to believe that you're dead?
David?
I could feel it.
And what did it feel like?
Like my organs stopped working.
And did anything else
besides the feeling
lead you to believe this?
The voices.
The voices in your head?
And why do you think that
they're telling you the truth?
Stop trying to convince me
that I'm wrong.
I'm only trying to understand.
♪
I remember now.
I remember you.
Yeah. I've treated you
before, more than once.
You were the first one
to make me take medicine.
I was just trying to help you, David.
- You're the reason I'm dead!
- Hey, hey.
Hey, hey, hey, it's OK.
It's OK.
♪
It says here, Walter,
you're a type 1 diabetic?
Yeah. That's why I'm in the
Med more times than I can count.
- Sorry about that.
- That's all right.
I mean, it's nice to have a hospital
I trust for days like this.
And the Tylenol is not helping
with the fever, or the chills.
- 101.5.
- All right.
Let's have a listen.
And deep breath for me.
All right, good breath sound.
Glands feel a bit swollen.
- You have a sore throat?
- A little, I guess.
- It's mild.
- OK.
Remove your glasses for me, please.
How long have you been feeling this way?
Uh, three days.
I know because it
started just after a trip
I took to Yosemite for hiking.
I hear it's beautiful there.
It is spectacular.
I mean, the only downside for me was
I guess I should show you this.
[GROANS]
- Oh, yeah.
- Yeah.
I slipped and fell on some rocks.
- Ow.
- Sorry.
Yeah. It looks like
it could be infected.
Might explain your fever.
CBC, CMP, Accu-Chek, hemoglobin
A1C, and blood cultures.
Uh, let's swab for COVID too,
just to rule it out.
And add a tetanus booster if
it's been more than 10 years.
Very thorough. I like it.
It's always been the MO here.
We try, Walter. Hang in there.
All right. Thanks.
Maggie?
Yep?
Trash in three is
practically overflowing.
It looks like it hasn't
been emptied in days.
Oh, all right.
I'll talk to the guy who's subbing.
Joe, right?
Did you turn over treatment three?
Turn over?
Change the sheets, wipe down
the surfaces, clean the floor,
like we do after a patient
is discharged?
Yeah, I think so.
Then why is the trashcan full?
I'll empty it.
Uh
I cannot believe it's come to this.
Hiring scabs?
[SIGHS] Doris.
Look, the strike has us in a bind.
I need your help in
turning over rooms today.
I thought we had replacement janitors?
Yeah, but they're slacking off.
Start with the empty rooms
and work your way
around the football as patients
are being discharged.
Please?
[SIGHS] That's just great.
Thank you.
- Ms. Goodwin?
- Yeah?
It's been seven days.
How long is this strike
supposed to go on?
All I know is, the board
and union are working
to come to an agreement.
Well, it's only a matter of time
till this blows back on us.
I'm aware, Dr. Halstead.
Your concerns are noted.
[HELICOPTER WHIRRING]
OK, Jack. I'll make it known.
Talk later.
Sharon Goodwin.
What a delightful way to start the day.
George.
How are negotiations going?
They're going.
That's all I can tell you at this point.
Well, look.
I'm not trying to insinuate
myself into the negotiations.
But I do need to share my
staff's concerns over how
patient care could be
affected if this strike
drags on much longer.
Hopefully we're not too
far from an agreement.
OK, well, I'll keep my fingers crossed
and hope to hear good news soon.
I promise you'll be the first to know.
- All right.
- OK.
What do we got?
- Abby Hawkins, 11 years old.
- [GROANING]
Sustained a pretty bad leg
injury on her family's farm.
BP and heart rate remained
stable the whole way here.
Hey, Abby. I'm Dr. Marcel.
You're at Chicago Med.
We're going to take
good care of you, OK?
- Mm-hmm.
- Thanks for your help.
Look, I'm not leaving her.
I'm Abby's doctor, Warren Johnson.
Dr. Charles?
ALL: [CHANT] We are essential!
Oh. Give me a sec.
Sorry.
- I heard you were out here.
- That's OK. What's up?
Do you remember David Sullivan?
I do, yeah.
Well, his parents brought him in.
His paranoid delusions have
given way to something else.
He now believes that he's dead.
Dead.
OK.
Crucial that you don't
push back on the delusion.
Well, I tried reinforcing it
to gain his trust,
but it didn't get me anywhere.
OK. I'll be right back.
Liliana, there's a young man
that I've been treating.
He's back in the hospital,
and he's in trouble.
- I need to go check in on him.
- OK.
All right.
I'll be right back, soon as I can.
ALL: We are essential!
Hang in there, Abby. Maggie?
You're going to Baghdad.
She and her family are patients
- at the clinic where I work.
- They brought her in?
Yeah. I gave her 50 mics
of fentanyl for the pain
- and put a splint on her leg.
- OK.
Here we go. I got it.
Thank you.
You're also a pilot?
Yeah, I used to be a
flight paramedic in the army.
Those skills come in handy when you're
out in the boonies like us.
Soon as I saw Abby's leg,
I knew I had to bring her here.
Luckily, the farm co-op has a chopper.
Where are her parents now?
Following behind in their truck.
They'll be a couple
of hours, but they've
given consent for any
treatment Abby may need.
- OK.
- [GROANS]
- Oh, man.
- [GROANING]
How did this happen?
Abby works on her family farm.
Her leg got caught in
the hydraulic bucket
of a skid steer.
What's that?
A machine used to feed cattle.
My uncle has a farm.
And why was this little girl allowed
anywhere near dangerous machinery?
Look, her father was
working the skid steer.
Abby was trying to climb
aboard when her leg slipped.
[SIGHS]
OK. Um, get me X-rays
of the leg, chest, and pelvis.
After that, get me a C
angiogram of the leg, please.
[GROANING]
And another 50 mics of fentanyl, please.
Got it.
Hang in there for me, Abby.
You're all right.
Seeing a laceration on the crown.
Um, add a CT head, abdomen, and pelvis.
You know what, let's just
plan on going to 2.0.
- Let's go.
- 2.0?
Surgical suite.
You still think you can save her leg?
Well, I'm not sure yet.
We'll see. Come on.
Let's go.
Breathe for me, Deanna.
[BREATHES DEEPLY]
Again.
OK. Clear on both sides.
When did you start throwing up?
Yesterday.
But I've I've been really
nauseous for a couple of days.
Oh, yeah? You weighed in today at 112.
You were 131 at your last physical.
That's a pretty significant
decrease at your height.
I didn't realize I'd lost that much.
I've had very little appetite
the last couple of months.
Oh, yeah? You want to tell me
why that might be?
Uh, my daughter Olivia,
she lives with me.
She's been going through
some health issues.
I'm pretty stressed out about that.
Yeah, kids. Tell me about it.
- I'm going to be sick.
- All right.
Basin.
[RETCHING]
All right.
We're going to figure this out.
Uh, chest X-rays, blood cultures,
and, uh, CT abdomen, pelvis.
[SIGHS]
[KNOCKING]
Dr. Charles.
Oh, they told us that
you had the day off.
Dr. Cuevas told me you guys
were here, and so I just
I thought I'd check in.
- Appreciate it.
- Thank you. Thank you.
David, how are you?
What's up?
How you, uh how you feeling?
I, um I took the liberty.
This is your
Your drink of choice, isn't it?
He's been refusing to
eat or drink anything.
Huh.
Why, uh why is that?
There's no point.
You know, Dr. Cuevas said that
you told her that you were dead.
I'm really sorry to hear that.
Um, how's that feel?
What's what's it like?
What do you think it's like?
Honestly, I have no idea.
That's why I'm asking.
It's like
Like my insides are rotting.
Wow. That sounds awful.
It is awful. I hate it.
Well, maybe there's
something we can do about that.
I'm not taking anymore pills.
I hate the way they make me feel.
David, please. We should
listen to Dr. Charles.
I won't do it.
You can't make me.
Hey, um, could we just step
outside for a quick second?
David, hang in there.
I'll be right back, all right?
Be right back, honey.
[TENSE MUSIC]
♪
You know, I was
looking at David's chart,
and he apparently just had a birthday,
and that was 18, which means
he's legally an adult.
If he doesn't want to
take medication, then he
He has the right to refuse it.
How is that possible?
You heard the things that
he was saying in there.
Well, despite his delusion,
he made it very clear
that he doesn't like the way
- the pills make him feel.
- Now, look.
David can barely keep it
together with medication.
What's he going to be like without it?
Dr. Charles, he thinks he's dead.
Look, I understand
how frustrating this is.
But patients' rights in this country
are extraordinarily robust,
even if the patient happens
to be having a mental health crisis.
So you're saying that there's
absolutely nothing to be done?
What I'm saying is that we, uh
We have to reconsider our tactics.
Hey. Got your CT scans here, Deanna.
OK. So as you can see right here,
there's a blockage of some kind
that's amassed in your stomach.
Cancer?
From the looks of it,
I would say that it is not, no.
Oh, thank God.
But, uh, whatever it is,
it does not belong in there,
and needs to come out immediately.
Does that mean surgery?
Yes, a laparotomy.
We have to open your
stomach to get it out.
It's scary, but it's a procedure
I've done many times.
I guess if it has to be done
It does.
So I will call up to the OR,
make sure they're ready for us.
And if you need,
I can contact your daughter.
No.
I'll call her myself.
She has her own health issues
to deal with.
I don't want her to be alarmed.
OK.
[MACHINERY BEEPING]
No fractures on the X-rays and CT.
Most of the leg muscles
are still intact.
Yeah.
She might have adequate motor function.
That's OK.
Her sensory function,
that's almost gone.
2.0, show us the CT angiogram.
CT angio.
Sagittal subtraction roadmap.
What was that?
2.0's AI.
Wow. That's amazing.
The SFA and pop look intact.
Yeah, but I'm not seeing any blood flow
below the trifurcation.
2.0, can you confirm?
7% blood flow to the foot.
Only 7%?
Afraid so.
So you have to amputate.
Sadly, I'm not seeing another option.
I'll call the parents.
♪
This never should have happened.
Dr. Archer, I got your page.
Dr. Cuevas, are you
familiar with the term bezoar?
Bezoar? Yes.
It's a mass of foreign material
that accumulates in the stomach.
Very good.
Behold, the bezoar I found
in my patient, Deanna.
It's a giant hairball.
Hair?
Yeah.
Obviously, she's been snacking on it.
Oh, my God.
The question is, why has
she been eating her hair?
When I'm done here,
you can help figure that out,
'cause it's now a psych case.
OK.
Hey, Maggie.
How's Abby doing?
Well, Dr. Marcel said
he has to amputate.
Oh, that's awful.
Yeah. I just called her
parents to tell them.
They're still a ways away,
so I'm going to stick around
and be here for them
when they get here.
That's good.
Maybe it will help
to see a friendly face.
Yeah.
Hey, you mentioned
your uncle has a farm.
- Yeah, in Sheffield.
- Oh, yeah.
He raises chicken and cattle.
When I was growing up, I'd love spending
the summers just working
alongside him and my cousins.
Yeah. It's a different world
out there in farm country.
Yeah.
I hate to see what this is going to do
to Abby and her family.
Look, I can tell you this.
From what I know about Abby,
over the years
I've treated her, she's got heart.
She'll overcome this.
Leg or no leg, nothing's
going to keep her down.
Well, that's good.
Madeline?
Uh, DCFS was notified of
a potential child abuse case.
I don't know anything about that.
Dr. Marcel made the call.
Well, there must be
some sort of confusion.
[SIGHS] Where's Dr. Marcel?
He's not here, but I'll track him down
and get to the bottom of it.
You can go back to your office,
and I'll call you when I get something.
OK. Let me know.
Yeah.
Child abuse? This wasn't child abuse.
I know.
Why would Dr. Marcel do that?
I'm going to find out.
[MACHINERY BEEPING]
- Crockett?
- Yeah?
I need to talk to you.
I'm about to operate, Maggie.
Why did you call DCFS?
Because it's my legal obligation
as a mandated reporter, OK?
Come on. It was an accident.
Yeah, well, there's no reason a child
should have been anywhere
near a machine like that.
You don't know what
it's like on a family farm.
Kids work. It's part of the culture.
Well, maybe it shouldn't be,
because this little girl
is about to lose her leg as a result
of her parents' negligence.
Crockett, I know how these
DCFS investigations play out.
If Abby and her parents get separated,
it could be impossible
to get them back together.
Please. Call off Madeline Gastern.
[TENSE MUSIC]
Where are we?
Whenever you're ready, Doctor.
Crockett.
Maggie, I'd appreciate it
if you'd leave.
♪
OK.
That's odd.
Her foot color looks better.
Yes, it does.
I'm feeling a good pulse.
How's that possible,
given the lack of blood flow
on the CT angiogram?
Maybe the vessels in her leg
were spasming
due to the shock of the accident.
2.0, what's your assessment?
Given change in exam,
three-vessel spasm likely.
Then this pulse means
the spasm must have broken.
All right, let's shoot
an on-table angiogram.
Maybe Abby doesn't have
to lose her leg after all.
Walter, what's going on?
Ugh, it's my back.
Itches like crazy.
Open that up a little.
Yeah, you've developed a rash back here.
You've never had an allergic reaction
to antibiotics before, have you?
No, never.
Let's get a differential to the CBC,
lymphocytes, and monocytes.
Could infection from
the cut have caused this?
I doubt it.
But, uh, this next set
of tests will tell us.
Go easy on that, OK?
[SIGHS] OK.
♪
Hair? [CHUCKLES]
- That is so strange.
- Yeah.
And quite a bit of it, too, which is why
I asked Dr. Cuevas to join us.
- Psychiatry?
- Yes.
But there's no reason to be alarmed.
We just want to help.
There is a condition
called trichophagia,
where a person compulsively
eats their hair.
OK. No. No.
Dr. Archer mentioned that
you've been under
a lot of stress recently.
And I ask because this
compulsion can be triggered
by feelings of anxiety.
I do not eat my hair.
It's actually not that uncommon.
Over a million people in the U.S
Well, I am not one of them.
I think this conversation is over.
- Deanna
- No.
Please leave.
- OK.
- And listen,
my daughter is on her way in here soon.
I do not want you
mentioning this to her.
Of course. We will respect your wishes.
That is the second patient
today I have struck out with.
Hey, you tried.
[KNOCKING]
You mind if I, uh, run something by you?
Whatever it is, I won't do it.
That's completely up to you.
I'd just appreciate it if you'd
hear me out, 'cause it's
I don't know, it's conceivably something
that could get you back on track.
I can't be fixed.
Nothing will change
the fact that I'm dead.
No argument there.
What?
Well, look.
My primary concern is your
Is your well-being, you know, your
Your state of mind.
And you made it very clear that you
did not at all like the way
that this made you feel.
So I'm just wondering if,
I don't know, there might be something
that could move you on to
the next phase, you know, to
To a new life,
a life after death, if you will,
a different life.
Um,
David, have you ever heard
of something called ECT,
or electroconvulsive therapy?
Like, electricity?
Life after death?
What, you mean
You mean, like Frankenstein?
Well, actually, yeah.
I mean, kind of like Frankenstein.
I mean, didn't Dr. Frankenstein
jolt electricity into his creature
to, you know, to reanimate it?
'Cause frankly, that's kind of
what I'm hoping ECT might do for you.
Is that something that you might
Might think about?
I'd definitely consider it.
OK, good.
Excuse me, I'm all turned around.
How do I get to the intensive care unit?
My mom just got out of surgery.
- Name's Deanna Brooks.
- Oh.
Oh, hey. No, I got this.
Hi, you must be her daughter Olivia.
I'm Dr. Archer. I treated your mother.
She's she's doing well.
- Oh, I'm so glad to hear that.
- Yeah.
She's upstairs in the ICU,
and the elevator's
just around the corner.
Trini, can you do me a favor?
Could you please take Miss Brooks
up to her mother in the ICU?
Of course. Right this way.
- Thank you.
- Sure.
Are you thinking what I'm thinking?
Yeah.
Dr. Halstead, the lab just sent Walter
Crotty's latest results.
Thanks, Nancy.
[SIGHS]
Bad news?
I thought I had my
patient's diagnosis pegged.
But he got this weird rash,
and I can't figure out why.
You know, I created
a diagnostic search engine
optimized to take account
of irregular symptoms.
Why am I not surprised?
You have some time to help me out?
Sure.
I'll run your patient's charts and labs
and see what comes up.
Send them to me.
Great.
On their way.
Stick around.
Almost there.
OK.
Tularemia, streptococcus, lymphadenitis,
cat scratch fever, tuberculosis,
meningococcemia,
and then there's plague.
Plague? Bubonic plague?
Yes, but the odds are considerably
lower than for the others.
Wait. Plague is flea-borne.
Walter's red bumps
could be flea bites, but
when was the last case
of recorded plague?
Actually, just six weeks ago.
Sacramento.
Walter mentioned he just
got back from a hiking trip
in Yosemite.
Which is only a couple
of hours from Sacramento.
I'm going to have
the lab run a Gram stain
on Walter's blood.
I'm gonna reach out to the CDC,
let them know we might have
an outbreak on our hands.
- Dr. Archer, hi.
- Hi.
This is my colleague, Dr. Cuevas.
I got a page that you
wanted to talk to me?
I did. My mom's still pretty tired.
Well, that's normal after surgery.
- Right.
- Mm-hmm.
I guess I'm sort of rattled.
She won't say much about her procedure,
only that you removed some sort
of blockage, but that's it.
Can you fill me in on what happened?
Well, I'm sorry,
but it's up to your mother
to share those details with you.
Every time I ask,
she just changes the subject.
Turns it back to me.
You know, your mom mentioned
that you have some health issues.
Do you mind sharing
a little bit about that?
Sure.
I was diagnosed with
breast cancer six months ago.
Just finished my fifth round of chemo.
The cancer hasn't spread,
and my oncologist
has been very positive
so far, so I'm hopeful.
Sounds like you have every reason to be.
Thanks.
Sorry to make you come up here,
go out of your way.
No, not at all.
[SIGHS]
Thank you.
CDC says until we know
the results of Walter's labs,
we need to cordon him off and
limit contact with anyone else.
I'll let the nursing staff know.
Hey, Doris. Have you seen Maggie?
We need to restrict all access
to treatment three.
- What's going on?
- Uh, potential contagion.
I'm waiting on the lab to confirm it,
but steer clear for the time being, OK?
OK. Yeah. Um, I'll let the nurses know.
You OK?
Something on my neck is driving me nuts.
Can I take a look?
Yeah.
[TENSE MUSIC]
Grace.
- Doris, let's get in the room.
- Oh, OK.
It's a rash, like my patient.
Couldn't be spreading that quickly.
- Let me see.
- What is "it"?
And and what does "it"
have to do with my neck?
Have you been in treatment three today?
Have you had any interaction
with my patient, Walter?
No. I've I've been turning
over rooms all day
because the replacement
janitors aren't doing squat.
- All right.
- What's happening to me, Will?
Incubation period for the
bubonic plague is two days, so
Bubonic plague?
Uh, no. Can't be.
Yeah, no.
Wait.
What are you doing?
[SCOFFS] Unbelievable.
No, I know exactly what this is.
[CAMERA SHUTTER CLICKS]
Hey, Sharon.
How great is this, twice in one day?
I'm sorry, George.
We have a serious problem.
- Oh?
- Take a look.
OK.
I'm not understanding
what I'm looking at.
Eggs.
- Eggs?
- Eggs, George, from bedbugs.
One of my doctors just took
this picture in our ED.
It seems the re
The replacement janitors
have not been properly changing sheets,
or or sanitizing the rooms.
Oh, no.
A patient has developed
a rash from a bug bite.
So has a nurse, and it remains
to be seen who's next.
This strike needs to end.
Jack's not going to give in
unless he gets
more concessions from the union.
He says we can't afford to.
What about liability
lawsuits from patients?
Can we afford those?
Yeah.
I hear you.
I'll make sure Jack understands
what's at stake.
Mom's awake and feeling pretty good,
so I'm getting a coffee.
[SOFT MUSIC]
♪
My daughter just stepped out,
but she won't be long.
We actually spoke to Olivia.
I asked you not to.
We didn't tell her a thing
about your condition.
However, she did mention that
she's been undergoing chemotherapy
for the last six months.
It's been a very difficult time.
I have no doubt, and I'm very sorry.
But it seems like around the time
Olivia started losing her hair
from the chemo,
you began having stomach issues.
Deanna, we believe you
that you haven't been eating your hair,
but you were eating
your daughter's hair,
weren't you?
Her hair started falling out.
It was on her pillowcase and her sheets.
And seeing it there,
my baby's hair
My heart would pound in my chest.
My whole body would tremble.
It just it was unbearable.
And eating her hair
made you feel better?
I put some in my mouth
and chewed it, and I felt
I felt better.
When I swallowed it,
those awful feelings
went away.
So as she kept losing it,
I kept eating it.
Mom, what's wrong?
Excuse us.
Mom.
Honey, I need to tell you something.
♪
So we're going to send
a mild electrical current
through David's brain, which is going
- to cause a brief seizure.
- Won't that hurt him?
He'll be under general
anesthetic the whole time.
- He won't feel a thing.
- Well, look.
We want to do whatever it takes
to help our son, but
- But shock therapy?
- I don't know.
I don't know.
It just it feels so extreme.
I completely understand
why you feel that way,
because of the way the procedure
has been portrayed in the media.
You know? But the truth is
Is that modern ECT is safer
than ever before,
and has proven to be very effective
against certain
treatment-resistant disorders,
schizophrenia among them.
You know, in many patients,
it seems to have the ability
to press a reset button in the brain.
Anyway, going to get going,
and I'll check back.
- OK.
- All right.
How you doing, pal? You ready?
OK.
I want you to count backwards
from 10 for me, all right?
BOTH: 10, 9
8, 7
Tourniquet looking good.
Keep the paralytic out of that leg.
[MACHINERY BEEPING]
♪
Set.
OK.
[ELECTRICITY WHIRRING SOFTLY]
Here we go.
Abby!
You OK, pumpkin?
Dr. Marcel says I will be.
Yeah.
She'll need more surgeries
in the future, but, uh,
I'm hopeful Abby will eventually
make a full recovery.
Thank you for everything.
And thank you, Dr. Johnson,
for making sure she got the best care.
Daddy?
What is it?
It's my fault.
What?
No, it it was an accident.
You told me to stay back, but I
I didn't listen.
You're going to be OK.
That's all that matters.
But my leg, it's so bad. I can't help.
Pumpkin, you don't need
to worry about that.
Your mom and I have
got the farm covered.
Honey, you just think
about getting better, OK?
You were supposed to
get back to me, Maggie.
Yeah, I'm sorry.
That was that was my fault.
I misjudged the situation.
And how exactly did that happen?
Well, I didn't have all
the information when I called.
I really don't like my time
being wasted, Dr. Marcel.
And I'm very sorry about all that.
You need to get your act together.
Indeed, we do.
I don't know.
I guess I had blinders on today.
All I could see was another
kid suffering abuse, you know?
Mm, turned out OK.
You saved a leg, and a family, too.
♪
Thank you.
[KNOCKING]
David, how are you
How are you doing? How you feeling?
Um, don't know.
I feel kind of different.
OK.
Voices? Any any voices?
Actually, I I can't
really hear them right now.
Huh.
[SOBBING]
Mom?
I'm just I'm so happy, honey.
[SOBBING] I'm just really happy.
Hydrocortisone should relieve
some of the itching and swelling.
Whatever.
Hey, good news
Your white cell count is down,
and your blood sugar is back
where it should be.
Antibiotics and insulin did their job.
That's a silver lining, I guess.
You know, I used to be so
impressed with this hospital.
[SCOFFS]
Sorry, Walter.
I'll go put in your discharge paperwork.
Mm-hmm.
How's it going down here?
Patient's upset,
and I can't say I blame him.
But he'll be OK.
Well, hopefully,
we can put this behind us.
The board and the union
just reached an agreement
on a new contract.
Housekeeping staff will
be back at work tomorrow.
I'm so proud of each of you. We did it.
- Liliana!
- Oh.
- Just a minute.
- I'm so sorry.
I did not mean to desert you
for the entire day.
- I understand.
- You do?
He was your patient. You had to help.
Oh, thank you.
Oh, my congratulations! New contract!
I'm going with my friends to celebrate.
- Come!
- Oh, no.
Your victory, your party.
- Have a good time.
- No.
No, Daniel. You have to come.
You're my boyfriend.
- I am?
- Yeah.
Oh. Well, when you put it that way.
[CHUCKLES]
I'd show you my room,
but we're not allowed
- to have visitors up there.
- Yeah.
This is where we usually
have our meetings.
Yeah. It's, uh
It's nice.
Thanks for letting me come by.
It's almost curfew, but,
I think we still have time
to make coffee.
Oh, no, no, no. It's fine.
It's, uh It won't take that long.
Uh, I don't like the way
I left things earlier.
Um, kind of ran out.
Oh, it's no big deal.
Yeah, it is. It is to me.
It it is.
Uh all right.
[SOFT MUSIC]
♪
All right. Uh
OK, so, uh
So you mentioned your mother.
Uh
all I ever wanted when you were a kid
was to get her to stop drinking.
But she wouldn't.
She couldn't. She couldn't.
And, uh, I didn't know what to do.
And, uh
and then, you know,
you started having your
Your problems, and, uh
guess I just sort of checked out.
And, uh [SIGHS]
I wasn't there for you guys.
I just I wasn't.
And, uh, I
I should have tried harder.
And instead, I just got angry, you know?
And I tried to just push it all away.
And I ended up pushing you,
my own son, away.
And, uh, I don't know
if I'll ever be able
to say this to her, or when.
♪
But, Sean, I wasn't there for you.
[VOICE BREAKING]
I wasn't there.
♪
I wasn't there.
Dad,
you're here now.
Am I?
[SOBBING]
♪