Chicago Med (2015) s06e13 Episode Script
What a Tangled Web We Weave
What are you doing?
- Scrubbing in.
- I appreciate your enthusiasm,
but you're an ED nurse.
Should have gone to med school.
I'm reconnecting with my daughter.
It's been over 20 years.
Are you sure about this?
Dr. Manning's mother
is in heart failure.
Our drug could save her life.
- There's no guarantee.
- The drug works.
I unblinded a patient.
You've jeopardized both of our jobs.
I'm not making any exceptions
to the enrollment.
I found these trial meds.
Yep, those have to go back to Kender.
- I want you to take these.
- New meds?
They're from a different doctor.
Mom?
- What are you doing up so early?
- Oh, I'm sorry.
I-I couldn't sleep.
My throat is dry.
Hmm, you've been having that
cough for a while now, huh?
Is anything else brothering you?
No.
But
come to think of it,
my cough began around the time
that I started taking these.
Who who prescribed them anyway?
Is th is this the the medication
that Will was suggesting?
No, Mom, remember?
The trial closed.
Right, so, then
what do they do?
They improve your ejection fraction.
They help your heart pump.
- Work?
- Yeah, I gotta
I gotta get going.
But I will check on you later, okay?
- Perfect.
- All right, love you.
- Mwah.
- Mwah.
Sabeena.
- Morning.
- Hi.
You're here early.
So, um
Now that I'm in front of you, I realize
I haven't rehearsed my
speech. Anyway, I, uh
I just wanted to say again
how sorry I am for
Well, for violating your trust.
I'm not gonna sugarcoat it, I was wrong.
No excuse.
Apology accepted.
Great.
And, you know, if you're
free later, maybe a drink?
I'm sorry, Will.
While I want us to still be friends,
I think it's best we keep
things professional
- moving forward.
- Oh.
Okay, yeah.
How'd you wrangle that
thing away from Maggie?
She's repping Gaffney at some
residency fair this morning.
All that power at your
fingertips how's it feel?
Surprisingly natural,
like I was born to boss people around.
Oh, hey, you're up, Doctor Choi.
Car struck a kid on his bicycle,
driver and victim incoming.
Driskell, with me.
Ten-year-old male,
struck by a motor vehicle
at 35 miles per hour.
No helmet.
GSC 4 in field, intubated in the ambo.
- What about the driver?
- Right behind us.
- Dr. Choi?
- Yeah.
- There's something you should know.
- What is it?
Ms. Goodwin is the driver.
Get him transferred. I'll be right back.
- You got it.
- Ms. Goodwin!
Dr. Choi, the boy.
Okay, okay, I'm about to check him out.
- Are you okay? Are you okay?
- It was so dark.
He he he just came out of nowhere.
- There was no time to stop.
- It's okay.
So I held his c-spine
until the medics got there,
but he wasn't moving.
And there was so much blood.
I'll do everything I can.
Please.
Oh, God.
This is gonna sting a little, okay?
Any tenderness?
Yeah, it looks like the seatbelt
got you pretty good.
Yeah, I skidded and
hit a telephone pole.
The airbag caught most of my impact,
but, uh I feel fine, really.
Um, no dizziness, no no neck pain.
Good.
- You all right?
- Yeah, yeah, I'm good.
Well, Ms. Goodwin, I think
we need to get a chest x-ray.
12-lead EKG just to rule out
any blunt cardiac injury.
Okay, but later, please?
Um, could you
give us a moment?
- Sure.
- Of course.
Thank you.
I was headed to meet my trainer,
going under the speed
limit, no distractions
I didn't even have the the radio on.
I-I don't know where he came from.
My side?
There was no way I could have seen him.
Wait, Sharon, it was an accident.
And it doesn't sound like
you did anything wrong.
Oh, Daniel, he couldn't have
been more than 10 or 11.
And he was out, like, biking alone?
I mean in the dark?
And no helmet.
Do you know anything? Any
word on how he's doing?
I don't, I mean, I just
came straight down here
as soon as I heard.
Bert's on his way in.
Bert? Who who called him?
I guess he's still your
emergency contact.
I thought you guys were on good terms?
I don't want to talk
about that right now.
You want me to try and hold him off?
No, no, it's fine, it's just please,
I need you to find out
what's going on with that boy.
And no HIPAA nonsense right now.
I may have just
Ms. Goodwin, this a good time
to take your statement?
Shouldn't take long.
Traffic cams clearly show
you were not at fault.
Okay.
Daniel, please.
I'll be back.
- All right?
- All right.
- Hang in there.
- Okay.
I tried to call you this morning.
Yeah, um. I'm sorry, I was in the shower
and I've just been running
a little bit late today.
Yeah, did you hear about Goodwin?
No, what happened?
She was in a car accident.
What? Is she okay?
Yeah, thankfully no serious injuries.
- Thank God.
- But, hey
I, uh I was calling
'cause I was doing
some research on AICDs.
Now I know you and your
mom have some reservations
- about going that route.
- Yeah.
Well, there's some preliminary evidence
that supplementing
the device with Digoxin
can lower the incidence of arrhythmia.
Not a total fix, but
certainly can make things
more comfortable for Carol.
Thank you for looking into that.
Um, sounds promising.
Yeah, I sent you the literature,
in case you want to browse it yourself.
I will definitely look at it.
Um, but I am late for work, so.
- Of course.
- Bye.
Bye.
Excuse me, miss.
- Yeah?
- I'm a nurse from Chicago Med
and I'm here for the residency
fair, and I'm a bit lost.
I'm looking for Beecher Hall.
Oh, sure, so,
at the end of this hall,
you're gonna take a left,
then go through your first
doorway on your right.
After that you're gonna
see a stairwell, and
You know what, why
don't I just take you?
That would be great, thank you.
Okay
- here.
- Oh?
A small token of my appreciation.
Wow, you're hooking me up.
Don't you need these
to entice applicants?
For your, um what's it called again?
- Audition rotation.
- Mm.
Essentially a mini
two-to-four week tryout
for your top program.
Okay, I just had the
most terrifying flashback
when you said "audition".
Oh, no, what happened?
Fifth grade, tried out
for the school musical
they were doing
"The Wiz" and I froze.
Poor guy playing the piano, he had to
start my song over, like, three times.
- You're kidding, "The Wiz"?
- Yeah.
- What?
- It's just, when I was in middle school,
I was in "The Wizard of Oz"
and I played the Scarecrow.
Wh oh, okay, you must have had chops.
I was just one of the poppies
and that's tough to screw up.
Anyways, thank you so much
for going out of your way.
Yeah, no problem.
Nice to meet you wait, I'm
sorry, I didn't get your name.
- Oh, I'm Maggie.
- Maggie, I'm Vanessa.
Well, I have to get to
my lab but take care.
I didn't even want to come in,
but my boss forced me.
Well, besides the abdominal
pain, any vomiting?
No, nothing.
I'm also about to start my period.
Maybe this is just bad PMS.
I don't think so.
Your abdomen sounds like a hollow drum.
It means there's air
trapped in your bowel.
I'm thinking you might be obstructed.
I so don't have time for this.
I just got my first huge case.
Can we wrap this up
in under eight hours?
Well, it's hard to say, really.
Yeah, we need to get an abdominal x-ray
and some blood work, then
we'll take it from there.
Come on, there must be
a way to fast track things.
I promise, we'll move
as quickly as we can.
Thanks.
She's gonna be a fun one.
No way to schedule
sickness, unfortunately.
Um, hey, I wanted to, uh
- ask you, um
- Yeah?
Your trial medications.
Is dry cough one of the side effects?
It is, you know, we've seen
it in several participants.
Why?
Oh, I just um,
I saw one of your trial patients
in the ED the other day.
Really?
Huh, usually I'd get a notification
if one of our participants
ends up in the ED.
No, no it was it was nothing.
It just ended up being indigestion.
But, that was one of the symptoms
that was an outlier, so I
just wanted to make sure.
Oh, okay, yeah.
Usually resolves within a few days.
Oh, great.
Hey, hang on.
How's your mom doing?
I was gonna come around the other day
when she was here for an exam,
but I don't know, thought there might be
too many cooks in the kitchen.
I get it. Um, Mom is
she's hanging in there.
You know, still having
palpitations though, but
You know this isn't your fault, right?
That it turned out this way?
Thank you for saying that, Will.
I'm serious.
When you need anything,
ask.
Thank you.
Is there anything I can do for you?
Calls I can make?
Uh, no, insurance has been informed.
It's just the boy.
Do you know what's going on?
Only that he's getting scans upstairs.
I'm sorry.
Is Bert here? I thought
I saw him come in.
Yeah, he's grabbing a coffee.
Everything been okay with both of you?
Since you told him that you
only wanted a friendship?
All right, well
oh, there he is now.
I gotta get back to work,
but is there something
I can get for you?
Yeah, you know, uh,
actually there is one thing.
I keep a dress in my office closet
- I'll get it.
- And my shoes.
I'll grab that too.
- Good morning.
- Morning.
No, thank you.
What did Michael say? He on his way?
I decided against calling him.
I know you don't want to burden him,
but he'd want to be here for you.
I'll put him in the loop
when I get more info.
Where is Daniel with the update?
Why don't you have a seat
for now, try to rest?
I wonder if the boy's
mother is here yet?
Listen, I know you want answers.
But you can't be caught snooping around.
This turns into a lawsuit,
the last thing you want to do
is make yourself look guilty.
Matter of fact, let me take you home.
- We can wait for news there.
- No.
I'm not going anywhere.
- Sharon
- Look, I-I need to make sure
that that boy is all right.
Bert, I don't need any babysitting.
Please, just go.
Were you able to find anything out?
- Name's Jake Miller.
- Okay.
Okay, he's ten years old.
His mom's on the way in.
Okay, and and
what about his injuries?
He suffered multiple fractures,
and, unfortunately, uh
a traumatic pseudoaneurysm in his brain.
Also wanted you to know that,
as of a few minutes ago anyway,
they had yet to stabilize him.
No, no, that's right. A small white box.
Well, listen
I'm sorry, I'm not sure
what happened then.
Um
Let me look into it and
I'll circle back with you.
Okay, thanks.
Hey.
- Is everything okay?
- Yeah.
No, actually, um
Remember my clinical
trial patient, Mr. Brady?
Well, his remaining
allotment of medication
was supposed to be sent back to Kender,
but that was the pharmacist.
She said the courier claims
someone picked them up already.
Oh, I'm sorry.
I mean, is it even that
big of a deal, though?
Yeah, the pills were my responsibility.
I'm gonna have to find them,
one way or another.
I'll catch you later.
Oh, God, Jake?
- No
- Jake, what's wrong?
You can see him, honey. Don't touch.
You must be Jake's mom. I'm Dr. Choi.
Is he gonna be okay?
Why is Jake sleeping?
Shh, honey, I gotta talk to the doctor.
We have a daycare
center at the hospital,
plenty of snacks and toys.
I'd be happy to take him.
- Thank you.
- Mm-hmm.
Sam, go with this nice lady.
I'll come see you in a bit.
Ms. Miller.
Um
I'm sorry,
but Jake suffered what
we call a pseudoaneurysm.
The impact from the crash
tore a vessel in his brain
- that has already leaked.
- In his brain?
Oh, my God.
Now, the pressure's holding it closed.
But it could open up, so
we need to get control.
How do you do that?
There are a couple treatment options
that I want to discuss with you.
But if you need a moment
Who hit him?
Bet they were drinking.
I swear, whoever did this,
they're gonna pay.
Oh, sorry.
Oh, are you going back to school?
- Oh, I'm applying.
- Hmm.
Some nurse practitioner programs,
- get certified.
- Hey, got a top choice?
I did, Porter,
but unfortunately I missed the deadline.
Porter
Is Melinda Baker still the head
of the nursing school there?
I think so, yeah. You know her?
She married my cousin,
and then she divorced my cousin,
but we're still on good terms.
I can make a phone call, and, um
if I sing your praises, I bet
she'd make an exception.
That's really nice of you, um
Dr. Archer, April, you have
a patient treatment 4.
I'm sending you the chart right now.
Ah, thanks.
- After you.
- Okay.
Mr. Turner, you're
having trouble peeing?
I haven't relieved myself
in two days; it's killing me.
I'm sorry.
It's been going on for months now.
Every few weeks, I
have to come back in
Okay, have you seen a urologist?
- No, not yet.
- There's no appointments.
I guess there's a big backlog
due to COVID.
Okay, I'm gonna refer you
to somebody here at Gaffney.
In the meantime, let's give Flomax,
and put in a foley
it's a type of catheter.
I know.
I'm so sick of this.
Would you excuse me for a minute?
Be right back.
- Hey, Dr. Archer?
- Yeah?
I was just thinking, um,
Mr. Turner's had multiple foleys,
- and they're not resolving the problem.
- Mm-hmm.
Do you have a better idea?
What about a suprapubic tube?
It could give him long-term relief.
There's a lot lower incidence
of infection and stricture,
- right?
- Yeah, yeah, yeah,
that's a good thought but an SP tube
is an involved procedure
and the ED's hopping, so
He's in so much pain though.
Well, still, it's not emergent.
So, uh, get a med student
to put in a foley
and discharge him with G.U. follow up.
Okay.
Hey.
Ms. Walken's test results?
- Yep, her labs and x-rays.
- Thanks.
You were right, bowel obstruction.
Ah
I'm thinking an NG tube, suck and drip,
likely resolve on its own?
Yeah, but I still want
a surgical consult.
Really? Feels early for that.
Her scans and x-rays show
a good amount of air in the colon.
I mean, something's getting through.
It might only be a partial obstruction.
And surgery may agree, but
better safe than sorry, right?
Don't want to risk her bowel
descending too much,
and outstripping the blood supply.
Well, all right.
Hey, you mind paging surgery?
I gotta swing by the security office.
How come?
Want to see if they can pull
footage from last week.
Pills still haven't shown up.
I'm just guessing someone
grabbed them by mistake.
Is that really necessary?
I mean, seems like a lot to go
through for some medication
that'll probably just get
tossed out anyways.
Kender
they're gonna want them accounted for.
Plus I'm not exactly on Dr.
Virani's good side right now.
What do you mean? You're her star PI.
Yeah, well
It's nothing. Forget I said anything.
You said your door was always open.
And as you can see, I ain't no fibber.
Come on in.
I was gonna talk to Sharon,
but, given everything that happened
Oh, yeah, of course.
What's, uh what's on your mind?
Um, I don't know where to start,
or how to start.
Don't overthink it, Mags, just, um
tell me what's going on.
Okay.
I have a daughter.
Her name is Vanessa,
and this morning, for the first time
I met her.
Huh.
I'm just so sorry you
had to go through that.
I mean, I-I-I
I cannot even imagine
how difficult that must have been.
Having a kid at 16,
having to give her up.
It was devastating.
And now
you know, giving Auggie up.
Yeah.
I guess it triggered all these feelings.
I mean, suddenly this need
to know who she was.
Just that she was okay.
Just it took over. I just was
I was just gonna open the envelope,
find out her name and then
look her up on the internet.
Right.
But then.
But then I found out that
she was still living in Chicago
and she was in medical school
and in the same field as me.
I mean, what are the odds?
You know,
a lot of us just go round and round
on the nature versus nurture
debate but it is amazing
how many of our behaviors,
our preferences, appear to be genetic.
It just felt like everything
in the universe
was leading me to meet her.
I totally get
how it would feel that way. I do.
I'm not trying to disrupt
her life, I swear.
I just had to see her and
And now that I have, I'm good.
Huh.
So you don't intend to see her again?
Of course I want to.
But I won't.
She's safe; she's thriving.
I got what I needed.
Hold on, where'd you
get that information?
Never mind that.
Just what is the treatment plan
for Jake's pseudoaneurysm?
All due respect,
you know I can't disclose that.
- Dr. Choi.
- Miss Goodwin, please.
HIPAA aside, it's a
conflict of interest.
Considering your involvement,
this could look really bad.
- Any lawyer would advise
- Let me worry about that.
Please.
The vessel's still leaking.
So neurosurgery's gonna operate.
A craniotomy.
Will he make it through that?
There is a significant mortality risk.
Well, there must be a
less invasive option.
There is. A stint assisted coil.
But due to the extent of the injury,
it comes with a high risk of
long-term cognitive deficits.
Still, we should err
on the side of life.
I agree with you.
But I presented both options
to Jake's mother Wendy
and she chose surgery.
Why? Why would she do that?
She's low income.
She doesn't feel equipped
to care for a child with extensive needs
as she can barely keep
food on the table as it is.
You have to go back to her.
Miss Goodwin,
I know you have Jake's
best interest at heart,
but this decision didn't
come easy for his mother.
And I'm not gonna push it further.
Surgery?
You gotta be kidding me.
I got a deposition tomorrow morning.
Elaine, it's just a surgical consult.
Doesn't mean they'll
recommend an operation.
Honestly, your C looked okay to me, so
Mrs. Watkins, I'm Dr. Marcel.
I'm the surgeon reviewing your case.
Let's have it. I got work to do.
Right.
Well, cutting to the chase,
given that conservative
management with the NG tube
has failed to clear the obstruction,
I'd recommend surgery
to remove the adhesions.
But let's be clear,
this is in no way a mandatory operation.
I'm sorry, Dr. Halstead,
that's not my take on it.
Look, your white count is elevated,
you're running a fever
both of which are concerning.
Yes, they are, but still.
We haven't given the NG
tube much time to work
But if we wait too long,
you run the risk of perforation.
Then a semi-elective surgery
- becomes an emergent one.
- Which is precisely why
we would monitor you closely
You two clearly can't agree on anything
so let me solve this for you.
If I'm not dying tomorrow,
I'm not doing the surgery.
Done.
Great.
Right.
Hey, you got an issue with me,
you don't bring it into the medicine.
Get over yourself. This is my patient.
I had a difference of opinion.
Then you pull me aside.
You don't openly contradict me.
Seems like a bad habit of yours lately,
- inserting yourself like that.
- You are one to talk.
Excuse me?
Oh, no. Come on, say it.
All right, you want
to get into this now?
Fine, Carol chose the trial.
- It's what she wanted.
- There it is.
Everything was a go until
you stuck your nose in.
Oh, your memory must be failing you,
'cause I didn't force anything.
Natalie was fully on
board with the LVAD.
Because you got in her head
when she was vulnerable.
She chose the LVAD
because it was the
right medical decision.
You think she still feels that way?
Hey, Dean, I see you been clocking
quite a few 16-hour shifts.
Weren't you the one lecturing me about
keeping the troops fresh?
Do as I say, not as I do.
Ah, I just don't want the ED
to impede your personal life.
Hah, personal life?
- Hell is that?
- Come on.
I remember you being a man of
many interests back in the day.
- Life of the party, too.
- All right, listen.
If you need cash, all
you have to do is ask me.
You don't have to use flattery.
Seriously, though.
No man's an island.
Guess I'm one of the lucky few.
Just don't work yourself
into the ground, okay?
Lean on your colleagues.
We've all got each other's backs here.
Okay.
Speaking of.
I was looking over your
patient's chart, Jerry Turner.
Oh, yeah?
Looks like he's gonna need
a fourth Foley in two months.
Makes me think it's time
to try something new.
Maybe an SP tube.
If nothing else, it might
No, no, you're right.
That's a that's a great idea, boss.
Thanks for being so open to it.
Yeah, no worries.
Thanks for having my back.
Hey, Archer is gonna give
Mr. Turner an SP tube.
Oh, really?
I had suggested the same thing.
I know.
Miss Miller, my name is Sharon Goodwin.
I'm the Executive Director
of Patient Services
- here at Gaffney.
- This about payment?
'Cause I have insurance through my job.
What it doesn't cover,
I'll have to figure out.
- I'm a single mom.
- No, I understand.
But, uh, that's not why I'm here.
Uh, well, not directly.
Um
I wanted to
speak with you regarding
Jake's medical treatment.
Revisit your options.
I already told the doctor
I want Jake to have the brain surgery.
Yes, and I'm sure he
informed you of the risks.
That's right, he did.
So what's this about?
Well, if you were to
reconsider and go with
the less invasive option, the stint,
and if by some unfortunate circumstance,
Jake were to suffer cognitive deficits,
the hospital has resources
that could help you
take care of your son.
You mean financial assistance?
Like a loan.
No, not a loan. More like a grant.
Miss Goodwin, may I speak
with you for a sec
Give me a moment, Dr. Choi.
Miss Miller, I wanted
you to hear me out first.
But there's something you should know.
I am the one that hit
your son this morning.
What? It was you?
Y-yes, I-I'm sorry.
I didn't want to lead with that.
Acting like you're here to help me?
- Help my son?
- Miss Miller, please.
But but I am.
If you'll just allow me to explain.
No, you're only here
to cover your own ass.
That's not true.
I only want what's best for your son.
Don't you dare try to tell me
what's best for my boy.
You're not the one
who has to deal with this after today.
- I am!
- Okay, Miss Goodwin.
Please.
Excuse us.
Nurse Sexton, give 2 of versed.
Oh, we don't usually
sedate for SP tubes.
Well, I just want to make sure that
Mr. Turner here is nice
and relaxed, all right?
It's not the most pleasant procedure.
But the versed will put you
in a nice comfortable twilight.
When you wake up, you
won't remember a thing.
You won't get any argument from me.
Just the kind of patient I like.
- Nurse Sexton.
- Okay.
Versed in.
Okay.
It's nice you and Ethan are still close.
Excuse me?
Didn't you guys used to date?
It's just nice that
you're still friends.
None of my exes will speak to me.
Oh. Sorry to hear that.
You know what?
Why don't you do the honors?
- What?
- Yeah, take over.
No, I'm not allowed.
Well, from what I've heard,
that's never stopped you before
and, hey, nurse practitioner,
give it a go.
There you go.
Okay.
I'm really not comfortable.
It's just a big needle is what it is.
It's no different from putting in an IV.
I'm meeting some resistance.
- Don't be afraid, push harder.
- The catheter
- Don't be afraid.
- The catheter's not going in.
Dr. Archer, can you please take over?
- His heart rate is dropping.
- Yeah, you're causing
a vagal response. Go faster.
Dr. Archer, would you please take over?
- Now.
- All right, all right.
Calm down.
Here we go.
All right, one milligram atropine.
Yeah.
And all's well that ends well.
Come in.
- Hey there.
- Hey.
I, uh,
I heard about your
your run-in with Miss Miller.
Yeah.
How you doin'?
I'm fine.
You know, I was just
all I was trying to do was help, Daniel.
Of course you were.
I was hoping for the sake of her son
that she could get over her anger and
and see that I was sincere.
I just think that everything's
still a little raw.
You know?
I mean,
her world is
I mean, it's kind of spinning
right now, right?
Just like yours is.
He can't die, Daniel.
That little boy
Has to make it.
I-I know how badly you
want to fix this, Sharon.
But, you know, it's just
one of those situations
that, as cruel as it might seem, it
I don't know, it's kind of
out of your hands, you know?
I spend so much time trying to
be prepared for anything.
You know, analyzing
worst case scenarios,
trying to stay two steps ahead.
That's why you're so good at your job.
And then this.
It makes me wonder
what have I ever really
had any control over?
What do any of us really
ever have any control over?
You know, in my experience,
not a whole hell of a lot.
It can actually be kind of freeing
to remember that.
You know?
Helps you helps you let go of it.
You know me and
you know that's not
one of my strong suits.
Is it anybody's?
Anyway.
I just know that for myself
when I'm feeling scared
it helps when I remember that
I have people in my corner
that love me.
And God knows you got that in droves.
What the heck was that?
- I don't follow.
- First, you force me
into a procedure that
I am not supposed to do.
- You're upset.
- Then when I ask for your help,
you refuse to throw me a life vest.
You should have jumped in immediately.
Thought you'd welcome the challenge,
Look, I know you didn't
want to do this procedure,
but if you think that
I went behind your back
- to Ethan or something
- Now hold on, excuse me.
No, I never suggested that.
I just believe the best way to learn
is in the heat of battle.
As a nurse practitioner,
you're gonna be doing these
procedures on your own.
NPs don't put in SP tubes here.
Okay, listen to me.
You just need to work
on your confidence.
You are an incredibly skilled nurse.
Don't underestimate yourself.
Hey, Bert. Uh, about earlier.
I'm sorry.
Uh, can you just come
back to the hospital?
What are you
you're still here.
Never left.
Can we talk?
Look, uh,
I shouldn't have forced
you to leave this morning.
But honestly,
I was scared and feeling
really exposed.
Yeah, I'm sure I didn't help coming in,
trying to take charge.
It's just that, uh,
when I saw you hurt,
I wanted to take care of you.
I went into husband mode.
But I know that's not my role anymore.
Oh, no, but
you're my friend.
A good friend.
And you've more than proven that.
I'm always gonna show
up for you, Sharon.
Doesn't doesn't matter our title.
Goes deeper than that.
- We're family.
- Yes.
You know, that, um,
that boy Jake is
is in surgery.
It's a risky operation.
Whatever happens, I'm here.
Thank you.
Hey, Dr. Charles,
did Dr. Archer ever reach out to you?
No, he didn't.
Why, he looking for a
consult or something?
No, it's actually him
I'm concerned about.
He's having a hard
time settling in or
A bit.
Listen, I think he's holding on to
some really heavy baggage.
Some of the same stuff
I was dealing with.
And he's self-isolated.
I'm worried he doesn't
have anyone in his life
he can open up to, you know?
Got it.
Okay, buddy. Well, um
message received.
Thanks for the heads-up.
Thanks.
- Hey, I got your text.
- Hey.
What's going on?
I'm sorry?
Something's off.
I mean, you say you don't blame me
- for your mom.
- I don't.
But it's clear you don't want my help.
Or at the very least,
you no longer trust my instincts.
I swear it's not that.
Then what is it?
I've been open with you, Nat.
- I've shared a lot.
- You have.
More than I've shared with
anyone in a very long time.
It's got to be a two-way street.
Crockett, I promise, it is not you.
Between my mom, Owen, and work,
I don't have the bandwidth
for anything else.
To worry about anyone else's feelings.
- Hey, I'm not asking you to
- Whoa, whoa, I'm sorry.
I can't do this right now.
Okay? I just I need some space.
- Maggie.
- Yeah?
I just want to thank you again
for offering to rep Gaffney
at the residency fair this morning.
Already have several applications.
That was fast.
Only made it through
reviewing the first applicant.
But actually,
she mentioned in her email that
she spoke to you this morning?
Do you remember her name?
Um, Vanessa something.
Right, Vanessa Taylor.
Yeah, what was your impression of her?
Uh,
good candidate.
Top of her class,
already published in JAMA.
It'd be
great to get her.
Yeah, impressive.
- I'll keep that in mind.
- Yeah.
Right.
Nurse Sexton.
Uh, do you still want me
to reach out to Melinda?
The head of the nursing
school at Porter?
Oh, right. Um
And also, I'm sorry about
our misunderstanding earlier.
I'd be happy to make a call.
For you, hell, I'll even write you
a glowing recommendation.
I appreciate that.
- I'll let you know.
- Yeah, please do.
Okay. Goodnight.
Night.
Oh, Dean. Quick question for you.
Yeah, sure.
Did they give you a welcome packet
when you started?
Uh, yeah, I think so.
Admin is mandating
these little mental health
check-ins, you know,
for all ED personnel
during the pandemic.
Yeah, sure.
Quick, informal, completely
off the record.
The only thing they really care
about is that you show up, so,
uh, it'd be great if we'd
get that on the books.
Sure, I'll check my calendar
and I'll call you tomorrow.
- Fantastic, thanks.
- Yeah, sure.
Hey, Nat. Hey, you should know,
I just admitted Elaine Watkins.
Fever's worsening and
her white count's up.
So they're gonna operate
first thing in the morning.
Too bad the NG tube didn't do the trick
but surgery was the right call.
Yeah, that was Crockett's thinking too.
- Well, goodnight.
- Night.
Oh, hey, um
whatever happened with security?
Was Earl able to pull video for you?
Dead-end, unfortunately.
They delete footage every 72 hours.
Mm, sorry to hear that.
Night.
Thanks.
Almost forgot.
What was the name of that
trial patient you saw?
With the dry cough?
- Uh.
- I want to properly record it
in their trial folder.
Just trying to stay on top
of things moving forward.
Huh, uh.
Shoot, I I pfft.
I cannot remember off
the top of my head.
I saw so many patients last week.
- Yeah, of course.
- But you know what?
I can look into it tomorrow.
Right now, I have to
get home to Mom, so.
I understand. That'll work.
Okay.
Dr. Choi,
you've got news.
Jake's surgery went well.
Any complications?
No, ma'am. They were able
to reconstruct the vessel
without clipping any small branches.
He's still waking up but they expect him
to make a full recovery.
How soon can he go home?
Uh, will they keep
him a few nights or
Um, unfortunately, he's not going home.
- What?
- Why not?
While investigating the accident,
the police uncovered why Jake
was out biking alone in the dark.
His mom works an overnight
custodial shift across town.
Been leaving both kids by themselves.
- Wow.
- PD notified DCFS
and they're on their way.
Does the mother know?
Not yet.
I need you to hold off DCFS.
- Miss Goodwin
- Dr. Choi, please.
Just do it.
Miss Miller,
I'm so glad that Jake's
surgery went well.
I told you to leave me alone.
I just came by to apologize
for my behavior earlier.
- Do I need to get security?
- Wait.
I know you left your
children alone last night.
You trying to say this is my fault?
I am not here to judge you.
You think I want to leave my kids alone?
I don't have a choice.
If I don't work, they don't eat.
- And I got no one to help me.
- I'm sorry.
You're in an impossible situation
and I can't even imagine the pressure.
I told Jake to stay in the house
when I'm gone. I never thought
You're doing the best you can.
Yeah, well,
I'm failing.
You've got to give yourself some grace.
Look, I had help,
but being a working mother
was still really very hard.
I came by to offer you
a day shift on the
hospital's custodial staff.
If you want.
I know it's not much,
but at least you'd have
the peace of mind
of knowing that your children are safe
and in school while you're at work.
You'd really do that?
Please, let me.
Thank you.
Mom.
Honey?
I'm here.
I'm right here.
- Scrubbing in.
- I appreciate your enthusiasm,
but you're an ED nurse.
Should have gone to med school.
I'm reconnecting with my daughter.
It's been over 20 years.
Are you sure about this?
Dr. Manning's mother
is in heart failure.
Our drug could save her life.
- There's no guarantee.
- The drug works.
I unblinded a patient.
You've jeopardized both of our jobs.
I'm not making any exceptions
to the enrollment.
I found these trial meds.
Yep, those have to go back to Kender.
- I want you to take these.
- New meds?
They're from a different doctor.
Mom?
- What are you doing up so early?
- Oh, I'm sorry.
I-I couldn't sleep.
My throat is dry.
Hmm, you've been having that
cough for a while now, huh?
Is anything else brothering you?
No.
But
come to think of it,
my cough began around the time
that I started taking these.
Who who prescribed them anyway?
Is th is this the the medication
that Will was suggesting?
No, Mom, remember?
The trial closed.
Right, so, then
what do they do?
They improve your ejection fraction.
They help your heart pump.
- Work?
- Yeah, I gotta
I gotta get going.
But I will check on you later, okay?
- Perfect.
- All right, love you.
- Mwah.
- Mwah.
Sabeena.
- Morning.
- Hi.
You're here early.
So, um
Now that I'm in front of you, I realize
I haven't rehearsed my
speech. Anyway, I, uh
I just wanted to say again
how sorry I am for
Well, for violating your trust.
I'm not gonna sugarcoat it, I was wrong.
No excuse.
Apology accepted.
Great.
And, you know, if you're
free later, maybe a drink?
I'm sorry, Will.
While I want us to still be friends,
I think it's best we keep
things professional
- moving forward.
- Oh.
Okay, yeah.
How'd you wrangle that
thing away from Maggie?
She's repping Gaffney at some
residency fair this morning.
All that power at your
fingertips how's it feel?
Surprisingly natural,
like I was born to boss people around.
Oh, hey, you're up, Doctor Choi.
Car struck a kid on his bicycle,
driver and victim incoming.
Driskell, with me.
Ten-year-old male,
struck by a motor vehicle
at 35 miles per hour.
No helmet.
GSC 4 in field, intubated in the ambo.
- What about the driver?
- Right behind us.
- Dr. Choi?
- Yeah.
- There's something you should know.
- What is it?
Ms. Goodwin is the driver.
Get him transferred. I'll be right back.
- You got it.
- Ms. Goodwin!
Dr. Choi, the boy.
Okay, okay, I'm about to check him out.
- Are you okay? Are you okay?
- It was so dark.
He he he just came out of nowhere.
- There was no time to stop.
- It's okay.
So I held his c-spine
until the medics got there,
but he wasn't moving.
And there was so much blood.
I'll do everything I can.
Please.
Oh, God.
This is gonna sting a little, okay?
Any tenderness?
Yeah, it looks like the seatbelt
got you pretty good.
Yeah, I skidded and
hit a telephone pole.
The airbag caught most of my impact,
but, uh I feel fine, really.
Um, no dizziness, no no neck pain.
Good.
- You all right?
- Yeah, yeah, I'm good.
Well, Ms. Goodwin, I think
we need to get a chest x-ray.
12-lead EKG just to rule out
any blunt cardiac injury.
Okay, but later, please?
Um, could you
give us a moment?
- Sure.
- Of course.
Thank you.
I was headed to meet my trainer,
going under the speed
limit, no distractions
I didn't even have the the radio on.
I-I don't know where he came from.
My side?
There was no way I could have seen him.
Wait, Sharon, it was an accident.
And it doesn't sound like
you did anything wrong.
Oh, Daniel, he couldn't have
been more than 10 or 11.
And he was out, like, biking alone?
I mean in the dark?
And no helmet.
Do you know anything? Any
word on how he's doing?
I don't, I mean, I just
came straight down here
as soon as I heard.
Bert's on his way in.
Bert? Who who called him?
I guess he's still your
emergency contact.
I thought you guys were on good terms?
I don't want to talk
about that right now.
You want me to try and hold him off?
No, no, it's fine, it's just please,
I need you to find out
what's going on with that boy.
And no HIPAA nonsense right now.
I may have just
Ms. Goodwin, this a good time
to take your statement?
Shouldn't take long.
Traffic cams clearly show
you were not at fault.
Okay.
Daniel, please.
I'll be back.
- All right?
- All right.
- Hang in there.
- Okay.
I tried to call you this morning.
Yeah, um. I'm sorry, I was in the shower
and I've just been running
a little bit late today.
Yeah, did you hear about Goodwin?
No, what happened?
She was in a car accident.
What? Is she okay?
Yeah, thankfully no serious injuries.
- Thank God.
- But, hey
I, uh I was calling
'cause I was doing
some research on AICDs.
Now I know you and your
mom have some reservations
- about going that route.
- Yeah.
Well, there's some preliminary evidence
that supplementing
the device with Digoxin
can lower the incidence of arrhythmia.
Not a total fix, but
certainly can make things
more comfortable for Carol.
Thank you for looking into that.
Um, sounds promising.
Yeah, I sent you the literature,
in case you want to browse it yourself.
I will definitely look at it.
Um, but I am late for work, so.
- Of course.
- Bye.
Bye.
Excuse me, miss.
- Yeah?
- I'm a nurse from Chicago Med
and I'm here for the residency
fair, and I'm a bit lost.
I'm looking for Beecher Hall.
Oh, sure, so,
at the end of this hall,
you're gonna take a left,
then go through your first
doorway on your right.
After that you're gonna
see a stairwell, and
You know what, why
don't I just take you?
That would be great, thank you.
Okay
- here.
- Oh?
A small token of my appreciation.
Wow, you're hooking me up.
Don't you need these
to entice applicants?
For your, um what's it called again?
- Audition rotation.
- Mm.
Essentially a mini
two-to-four week tryout
for your top program.
Okay, I just had the
most terrifying flashback
when you said "audition".
Oh, no, what happened?
Fifth grade, tried out
for the school musical
they were doing
"The Wiz" and I froze.
Poor guy playing the piano, he had to
start my song over, like, three times.
- You're kidding, "The Wiz"?
- Yeah.
- What?
- It's just, when I was in middle school,
I was in "The Wizard of Oz"
and I played the Scarecrow.
Wh oh, okay, you must have had chops.
I was just one of the poppies
and that's tough to screw up.
Anyways, thank you so much
for going out of your way.
Yeah, no problem.
Nice to meet you wait, I'm
sorry, I didn't get your name.
- Oh, I'm Maggie.
- Maggie, I'm Vanessa.
Well, I have to get to
my lab but take care.
I didn't even want to come in,
but my boss forced me.
Well, besides the abdominal
pain, any vomiting?
No, nothing.
I'm also about to start my period.
Maybe this is just bad PMS.
I don't think so.
Your abdomen sounds like a hollow drum.
It means there's air
trapped in your bowel.
I'm thinking you might be obstructed.
I so don't have time for this.
I just got my first huge case.
Can we wrap this up
in under eight hours?
Well, it's hard to say, really.
Yeah, we need to get an abdominal x-ray
and some blood work, then
we'll take it from there.
Come on, there must be
a way to fast track things.
I promise, we'll move
as quickly as we can.
Thanks.
She's gonna be a fun one.
No way to schedule
sickness, unfortunately.
Um, hey, I wanted to, uh
- ask you, um
- Yeah?
Your trial medications.
Is dry cough one of the side effects?
It is, you know, we've seen
it in several participants.
Why?
Oh, I just um,
I saw one of your trial patients
in the ED the other day.
Really?
Huh, usually I'd get a notification
if one of our participants
ends up in the ED.
No, no it was it was nothing.
It just ended up being indigestion.
But, that was one of the symptoms
that was an outlier, so I
just wanted to make sure.
Oh, okay, yeah.
Usually resolves within a few days.
Oh, great.
Hey, hang on.
How's your mom doing?
I was gonna come around the other day
when she was here for an exam,
but I don't know, thought there might be
too many cooks in the kitchen.
I get it. Um, Mom is
she's hanging in there.
You know, still having
palpitations though, but
You know this isn't your fault, right?
That it turned out this way?
Thank you for saying that, Will.
I'm serious.
When you need anything,
ask.
Thank you.
Is there anything I can do for you?
Calls I can make?
Uh, no, insurance has been informed.
It's just the boy.
Do you know what's going on?
Only that he's getting scans upstairs.
I'm sorry.
Is Bert here? I thought
I saw him come in.
Yeah, he's grabbing a coffee.
Everything been okay with both of you?
Since you told him that you
only wanted a friendship?
All right, well
oh, there he is now.
I gotta get back to work,
but is there something
I can get for you?
Yeah, you know, uh,
actually there is one thing.
I keep a dress in my office closet
- I'll get it.
- And my shoes.
I'll grab that too.
- Good morning.
- Morning.
No, thank you.
What did Michael say? He on his way?
I decided against calling him.
I know you don't want to burden him,
but he'd want to be here for you.
I'll put him in the loop
when I get more info.
Where is Daniel with the update?
Why don't you have a seat
for now, try to rest?
I wonder if the boy's
mother is here yet?
Listen, I know you want answers.
But you can't be caught snooping around.
This turns into a lawsuit,
the last thing you want to do
is make yourself look guilty.
Matter of fact, let me take you home.
- We can wait for news there.
- No.
I'm not going anywhere.
- Sharon
- Look, I-I need to make sure
that that boy is all right.
Bert, I don't need any babysitting.
Please, just go.
Were you able to find anything out?
- Name's Jake Miller.
- Okay.
Okay, he's ten years old.
His mom's on the way in.
Okay, and and
what about his injuries?
He suffered multiple fractures,
and, unfortunately, uh
a traumatic pseudoaneurysm in his brain.
Also wanted you to know that,
as of a few minutes ago anyway,
they had yet to stabilize him.
No, no, that's right. A small white box.
Well, listen
I'm sorry, I'm not sure
what happened then.
Um
Let me look into it and
I'll circle back with you.
Okay, thanks.
Hey.
- Is everything okay?
- Yeah.
No, actually, um
Remember my clinical
trial patient, Mr. Brady?
Well, his remaining
allotment of medication
was supposed to be sent back to Kender,
but that was the pharmacist.
She said the courier claims
someone picked them up already.
Oh, I'm sorry.
I mean, is it even that
big of a deal, though?
Yeah, the pills were my responsibility.
I'm gonna have to find them,
one way or another.
I'll catch you later.
Oh, God, Jake?
- No
- Jake, what's wrong?
You can see him, honey. Don't touch.
You must be Jake's mom. I'm Dr. Choi.
Is he gonna be okay?
Why is Jake sleeping?
Shh, honey, I gotta talk to the doctor.
We have a daycare
center at the hospital,
plenty of snacks and toys.
I'd be happy to take him.
- Thank you.
- Mm-hmm.
Sam, go with this nice lady.
I'll come see you in a bit.
Ms. Miller.
Um
I'm sorry,
but Jake suffered what
we call a pseudoaneurysm.
The impact from the crash
tore a vessel in his brain
- that has already leaked.
- In his brain?
Oh, my God.
Now, the pressure's holding it closed.
But it could open up, so
we need to get control.
How do you do that?
There are a couple treatment options
that I want to discuss with you.
But if you need a moment
Who hit him?
Bet they were drinking.
I swear, whoever did this,
they're gonna pay.
Oh, sorry.
Oh, are you going back to school?
- Oh, I'm applying.
- Hmm.
Some nurse practitioner programs,
- get certified.
- Hey, got a top choice?
I did, Porter,
but unfortunately I missed the deadline.
Porter
Is Melinda Baker still the head
of the nursing school there?
I think so, yeah. You know her?
She married my cousin,
and then she divorced my cousin,
but we're still on good terms.
I can make a phone call, and, um
if I sing your praises, I bet
she'd make an exception.
That's really nice of you, um
Dr. Archer, April, you have
a patient treatment 4.
I'm sending you the chart right now.
Ah, thanks.
- After you.
- Okay.
Mr. Turner, you're
having trouble peeing?
I haven't relieved myself
in two days; it's killing me.
I'm sorry.
It's been going on for months now.
Every few weeks, I
have to come back in
Okay, have you seen a urologist?
- No, not yet.
- There's no appointments.
I guess there's a big backlog
due to COVID.
Okay, I'm gonna refer you
to somebody here at Gaffney.
In the meantime, let's give Flomax,
and put in a foley
it's a type of catheter.
I know.
I'm so sick of this.
Would you excuse me for a minute?
Be right back.
- Hey, Dr. Archer?
- Yeah?
I was just thinking, um,
Mr. Turner's had multiple foleys,
- and they're not resolving the problem.
- Mm-hmm.
Do you have a better idea?
What about a suprapubic tube?
It could give him long-term relief.
There's a lot lower incidence
of infection and stricture,
- right?
- Yeah, yeah, yeah,
that's a good thought but an SP tube
is an involved procedure
and the ED's hopping, so
He's in so much pain though.
Well, still, it's not emergent.
So, uh, get a med student
to put in a foley
and discharge him with G.U. follow up.
Okay.
Hey.
Ms. Walken's test results?
- Yep, her labs and x-rays.
- Thanks.
You were right, bowel obstruction.
Ah
I'm thinking an NG tube, suck and drip,
likely resolve on its own?
Yeah, but I still want
a surgical consult.
Really? Feels early for that.
Her scans and x-rays show
a good amount of air in the colon.
I mean, something's getting through.
It might only be a partial obstruction.
And surgery may agree, but
better safe than sorry, right?
Don't want to risk her bowel
descending too much,
and outstripping the blood supply.
Well, all right.
Hey, you mind paging surgery?
I gotta swing by the security office.
How come?
Want to see if they can pull
footage from last week.
Pills still haven't shown up.
I'm just guessing someone
grabbed them by mistake.
Is that really necessary?
I mean, seems like a lot to go
through for some medication
that'll probably just get
tossed out anyways.
Kender
they're gonna want them accounted for.
Plus I'm not exactly on Dr.
Virani's good side right now.
What do you mean? You're her star PI.
Yeah, well
It's nothing. Forget I said anything.
You said your door was always open.
And as you can see, I ain't no fibber.
Come on in.
I was gonna talk to Sharon,
but, given everything that happened
Oh, yeah, of course.
What's, uh what's on your mind?
Um, I don't know where to start,
or how to start.
Don't overthink it, Mags, just, um
tell me what's going on.
Okay.
I have a daughter.
Her name is Vanessa,
and this morning, for the first time
I met her.
Huh.
I'm just so sorry you
had to go through that.
I mean, I-I-I
I cannot even imagine
how difficult that must have been.
Having a kid at 16,
having to give her up.
It was devastating.
And now
you know, giving Auggie up.
Yeah.
I guess it triggered all these feelings.
I mean, suddenly this need
to know who she was.
Just that she was okay.
Just it took over. I just was
I was just gonna open the envelope,
find out her name and then
look her up on the internet.
Right.
But then.
But then I found out that
she was still living in Chicago
and she was in medical school
and in the same field as me.
I mean, what are the odds?
You know,
a lot of us just go round and round
on the nature versus nurture
debate but it is amazing
how many of our behaviors,
our preferences, appear to be genetic.
It just felt like everything
in the universe
was leading me to meet her.
I totally get
how it would feel that way. I do.
I'm not trying to disrupt
her life, I swear.
I just had to see her and
And now that I have, I'm good.
Huh.
So you don't intend to see her again?
Of course I want to.
But I won't.
She's safe; she's thriving.
I got what I needed.
Hold on, where'd you
get that information?
Never mind that.
Just what is the treatment plan
for Jake's pseudoaneurysm?
All due respect,
you know I can't disclose that.
- Dr. Choi.
- Miss Goodwin, please.
HIPAA aside, it's a
conflict of interest.
Considering your involvement,
this could look really bad.
- Any lawyer would advise
- Let me worry about that.
Please.
The vessel's still leaking.
So neurosurgery's gonna operate.
A craniotomy.
Will he make it through that?
There is a significant mortality risk.
Well, there must be a
less invasive option.
There is. A stint assisted coil.
But due to the extent of the injury,
it comes with a high risk of
long-term cognitive deficits.
Still, we should err
on the side of life.
I agree with you.
But I presented both options
to Jake's mother Wendy
and she chose surgery.
Why? Why would she do that?
She's low income.
She doesn't feel equipped
to care for a child with extensive needs
as she can barely keep
food on the table as it is.
You have to go back to her.
Miss Goodwin,
I know you have Jake's
best interest at heart,
but this decision didn't
come easy for his mother.
And I'm not gonna push it further.
Surgery?
You gotta be kidding me.
I got a deposition tomorrow morning.
Elaine, it's just a surgical consult.
Doesn't mean they'll
recommend an operation.
Honestly, your C looked okay to me, so
Mrs. Watkins, I'm Dr. Marcel.
I'm the surgeon reviewing your case.
Let's have it. I got work to do.
Right.
Well, cutting to the chase,
given that conservative
management with the NG tube
has failed to clear the obstruction,
I'd recommend surgery
to remove the adhesions.
But let's be clear,
this is in no way a mandatory operation.
I'm sorry, Dr. Halstead,
that's not my take on it.
Look, your white count is elevated,
you're running a fever
both of which are concerning.
Yes, they are, but still.
We haven't given the NG
tube much time to work
But if we wait too long,
you run the risk of perforation.
Then a semi-elective surgery
- becomes an emergent one.
- Which is precisely why
we would monitor you closely
You two clearly can't agree on anything
so let me solve this for you.
If I'm not dying tomorrow,
I'm not doing the surgery.
Done.
Great.
Right.
Hey, you got an issue with me,
you don't bring it into the medicine.
Get over yourself. This is my patient.
I had a difference of opinion.
Then you pull me aside.
You don't openly contradict me.
Seems like a bad habit of yours lately,
- inserting yourself like that.
- You are one to talk.
Excuse me?
Oh, no. Come on, say it.
All right, you want
to get into this now?
Fine, Carol chose the trial.
- It's what she wanted.
- There it is.
Everything was a go until
you stuck your nose in.
Oh, your memory must be failing you,
'cause I didn't force anything.
Natalie was fully on
board with the LVAD.
Because you got in her head
when she was vulnerable.
She chose the LVAD
because it was the
right medical decision.
You think she still feels that way?
Hey, Dean, I see you been clocking
quite a few 16-hour shifts.
Weren't you the one lecturing me about
keeping the troops fresh?
Do as I say, not as I do.
Ah, I just don't want the ED
to impede your personal life.
Hah, personal life?
- Hell is that?
- Come on.
I remember you being a man of
many interests back in the day.
- Life of the party, too.
- All right, listen.
If you need cash, all
you have to do is ask me.
You don't have to use flattery.
Seriously, though.
No man's an island.
Guess I'm one of the lucky few.
Just don't work yourself
into the ground, okay?
Lean on your colleagues.
We've all got each other's backs here.
Okay.
Speaking of.
I was looking over your
patient's chart, Jerry Turner.
Oh, yeah?
Looks like he's gonna need
a fourth Foley in two months.
Makes me think it's time
to try something new.
Maybe an SP tube.
If nothing else, it might
No, no, you're right.
That's a that's a great idea, boss.
Thanks for being so open to it.
Yeah, no worries.
Thanks for having my back.
Hey, Archer is gonna give
Mr. Turner an SP tube.
Oh, really?
I had suggested the same thing.
I know.
Miss Miller, my name is Sharon Goodwin.
I'm the Executive Director
of Patient Services
- here at Gaffney.
- This about payment?
'Cause I have insurance through my job.
What it doesn't cover,
I'll have to figure out.
- I'm a single mom.
- No, I understand.
But, uh, that's not why I'm here.
Uh, well, not directly.
Um
I wanted to
speak with you regarding
Jake's medical treatment.
Revisit your options.
I already told the doctor
I want Jake to have the brain surgery.
Yes, and I'm sure he
informed you of the risks.
That's right, he did.
So what's this about?
Well, if you were to
reconsider and go with
the less invasive option, the stint,
and if by some unfortunate circumstance,
Jake were to suffer cognitive deficits,
the hospital has resources
that could help you
take care of your son.
You mean financial assistance?
Like a loan.
No, not a loan. More like a grant.
Miss Goodwin, may I speak
with you for a sec
Give me a moment, Dr. Choi.
Miss Miller, I wanted
you to hear me out first.
But there's something you should know.
I am the one that hit
your son this morning.
What? It was you?
Y-yes, I-I'm sorry.
I didn't want to lead with that.
Acting like you're here to help me?
- Help my son?
- Miss Miller, please.
But but I am.
If you'll just allow me to explain.
No, you're only here
to cover your own ass.
That's not true.
I only want what's best for your son.
Don't you dare try to tell me
what's best for my boy.
You're not the one
who has to deal with this after today.
- I am!
- Okay, Miss Goodwin.
Please.
Excuse us.
Nurse Sexton, give 2 of versed.
Oh, we don't usually
sedate for SP tubes.
Well, I just want to make sure that
Mr. Turner here is nice
and relaxed, all right?
It's not the most pleasant procedure.
But the versed will put you
in a nice comfortable twilight.
When you wake up, you
won't remember a thing.
You won't get any argument from me.
Just the kind of patient I like.
- Nurse Sexton.
- Okay.
Versed in.
Okay.
It's nice you and Ethan are still close.
Excuse me?
Didn't you guys used to date?
It's just nice that
you're still friends.
None of my exes will speak to me.
Oh. Sorry to hear that.
You know what?
Why don't you do the honors?
- What?
- Yeah, take over.
No, I'm not allowed.
Well, from what I've heard,
that's never stopped you before
and, hey, nurse practitioner,
give it a go.
There you go.
Okay.
I'm really not comfortable.
It's just a big needle is what it is.
It's no different from putting in an IV.
I'm meeting some resistance.
- Don't be afraid, push harder.
- The catheter
- Don't be afraid.
- The catheter's not going in.
Dr. Archer, can you please take over?
- His heart rate is dropping.
- Yeah, you're causing
a vagal response. Go faster.
Dr. Archer, would you please take over?
- Now.
- All right, all right.
Calm down.
Here we go.
All right, one milligram atropine.
Yeah.
And all's well that ends well.
Come in.
- Hey there.
- Hey.
I, uh,
I heard about your
your run-in with Miss Miller.
Yeah.
How you doin'?
I'm fine.
You know, I was just
all I was trying to do was help, Daniel.
Of course you were.
I was hoping for the sake of her son
that she could get over her anger and
and see that I was sincere.
I just think that everything's
still a little raw.
You know?
I mean,
her world is
I mean, it's kind of spinning
right now, right?
Just like yours is.
He can't die, Daniel.
That little boy
Has to make it.
I-I know how badly you
want to fix this, Sharon.
But, you know, it's just
one of those situations
that, as cruel as it might seem, it
I don't know, it's kind of
out of your hands, you know?
I spend so much time trying to
be prepared for anything.
You know, analyzing
worst case scenarios,
trying to stay two steps ahead.
That's why you're so good at your job.
And then this.
It makes me wonder
what have I ever really
had any control over?
What do any of us really
ever have any control over?
You know, in my experience,
not a whole hell of a lot.
It can actually be kind of freeing
to remember that.
You know?
Helps you helps you let go of it.
You know me and
you know that's not
one of my strong suits.
Is it anybody's?
Anyway.
I just know that for myself
when I'm feeling scared
it helps when I remember that
I have people in my corner
that love me.
And God knows you got that in droves.
What the heck was that?
- I don't follow.
- First, you force me
into a procedure that
I am not supposed to do.
- You're upset.
- Then when I ask for your help,
you refuse to throw me a life vest.
You should have jumped in immediately.
Thought you'd welcome the challenge,
Look, I know you didn't
want to do this procedure,
but if you think that
I went behind your back
- to Ethan or something
- Now hold on, excuse me.
No, I never suggested that.
I just believe the best way to learn
is in the heat of battle.
As a nurse practitioner,
you're gonna be doing these
procedures on your own.
NPs don't put in SP tubes here.
Okay, listen to me.
You just need to work
on your confidence.
You are an incredibly skilled nurse.
Don't underestimate yourself.
Hey, Bert. Uh, about earlier.
I'm sorry.
Uh, can you just come
back to the hospital?
What are you
you're still here.
Never left.
Can we talk?
Look, uh,
I shouldn't have forced
you to leave this morning.
But honestly,
I was scared and feeling
really exposed.
Yeah, I'm sure I didn't help coming in,
trying to take charge.
It's just that, uh,
when I saw you hurt,
I wanted to take care of you.
I went into husband mode.
But I know that's not my role anymore.
Oh, no, but
you're my friend.
A good friend.
And you've more than proven that.
I'm always gonna show
up for you, Sharon.
Doesn't doesn't matter our title.
Goes deeper than that.
- We're family.
- Yes.
You know, that, um,
that boy Jake is
is in surgery.
It's a risky operation.
Whatever happens, I'm here.
Thank you.
Hey, Dr. Charles,
did Dr. Archer ever reach out to you?
No, he didn't.
Why, he looking for a
consult or something?
No, it's actually him
I'm concerned about.
He's having a hard
time settling in or
A bit.
Listen, I think he's holding on to
some really heavy baggage.
Some of the same stuff
I was dealing with.
And he's self-isolated.
I'm worried he doesn't
have anyone in his life
he can open up to, you know?
Got it.
Okay, buddy. Well, um
message received.
Thanks for the heads-up.
Thanks.
- Hey, I got your text.
- Hey.
What's going on?
I'm sorry?
Something's off.
I mean, you say you don't blame me
- for your mom.
- I don't.
But it's clear you don't want my help.
Or at the very least,
you no longer trust my instincts.
I swear it's not that.
Then what is it?
I've been open with you, Nat.
- I've shared a lot.
- You have.
More than I've shared with
anyone in a very long time.
It's got to be a two-way street.
Crockett, I promise, it is not you.
Between my mom, Owen, and work,
I don't have the bandwidth
for anything else.
To worry about anyone else's feelings.
- Hey, I'm not asking you to
- Whoa, whoa, I'm sorry.
I can't do this right now.
Okay? I just I need some space.
- Maggie.
- Yeah?
I just want to thank you again
for offering to rep Gaffney
at the residency fair this morning.
Already have several applications.
That was fast.
Only made it through
reviewing the first applicant.
But actually,
she mentioned in her email that
she spoke to you this morning?
Do you remember her name?
Um, Vanessa something.
Right, Vanessa Taylor.
Yeah, what was your impression of her?
Uh,
good candidate.
Top of her class,
already published in JAMA.
It'd be
great to get her.
Yeah, impressive.
- I'll keep that in mind.
- Yeah.
Right.
Nurse Sexton.
Uh, do you still want me
to reach out to Melinda?
The head of the nursing
school at Porter?
Oh, right. Um
And also, I'm sorry about
our misunderstanding earlier.
I'd be happy to make a call.
For you, hell, I'll even write you
a glowing recommendation.
I appreciate that.
- I'll let you know.
- Yeah, please do.
Okay. Goodnight.
Night.
Oh, Dean. Quick question for you.
Yeah, sure.
Did they give you a welcome packet
when you started?
Uh, yeah, I think so.
Admin is mandating
these little mental health
check-ins, you know,
for all ED personnel
during the pandemic.
Yeah, sure.
Quick, informal, completely
off the record.
The only thing they really care
about is that you show up, so,
uh, it'd be great if we'd
get that on the books.
Sure, I'll check my calendar
and I'll call you tomorrow.
- Fantastic, thanks.
- Yeah, sure.
Hey, Nat. Hey, you should know,
I just admitted Elaine Watkins.
Fever's worsening and
her white count's up.
So they're gonna operate
first thing in the morning.
Too bad the NG tube didn't do the trick
but surgery was the right call.
Yeah, that was Crockett's thinking too.
- Well, goodnight.
- Night.
Oh, hey, um
whatever happened with security?
Was Earl able to pull video for you?
Dead-end, unfortunately.
They delete footage every 72 hours.
Mm, sorry to hear that.
Night.
Thanks.
Almost forgot.
What was the name of that
trial patient you saw?
With the dry cough?
- Uh.
- I want to properly record it
in their trial folder.
Just trying to stay on top
of things moving forward.
Huh, uh.
Shoot, I I pfft.
I cannot remember off
the top of my head.
I saw so many patients last week.
- Yeah, of course.
- But you know what?
I can look into it tomorrow.
Right now, I have to
get home to Mom, so.
I understand. That'll work.
Okay.
Dr. Choi,
you've got news.
Jake's surgery went well.
Any complications?
No, ma'am. They were able
to reconstruct the vessel
without clipping any small branches.
He's still waking up but they expect him
to make a full recovery.
How soon can he go home?
Uh, will they keep
him a few nights or
Um, unfortunately, he's not going home.
- What?
- Why not?
While investigating the accident,
the police uncovered why Jake
was out biking alone in the dark.
His mom works an overnight
custodial shift across town.
Been leaving both kids by themselves.
- Wow.
- PD notified DCFS
and they're on their way.
Does the mother know?
Not yet.
I need you to hold off DCFS.
- Miss Goodwin
- Dr. Choi, please.
Just do it.
Miss Miller,
I'm so glad that Jake's
surgery went well.
I told you to leave me alone.
I just came by to apologize
for my behavior earlier.
- Do I need to get security?
- Wait.
I know you left your
children alone last night.
You trying to say this is my fault?
I am not here to judge you.
You think I want to leave my kids alone?
I don't have a choice.
If I don't work, they don't eat.
- And I got no one to help me.
- I'm sorry.
You're in an impossible situation
and I can't even imagine the pressure.
I told Jake to stay in the house
when I'm gone. I never thought
You're doing the best you can.
Yeah, well,
I'm failing.
You've got to give yourself some grace.
Look, I had help,
but being a working mother
was still really very hard.
I came by to offer you
a day shift on the
hospital's custodial staff.
If you want.
I know it's not much,
but at least you'd have
the peace of mind
of knowing that your children are safe
and in school while you're at work.
You'd really do that?
Please, let me.
Thank you.
Mom.
Honey?
I'm here.
I'm right here.