Chicago Med (2015) s11e02 Episode Script
A Game of Inches
1
You're pregnant?
How could you not tell me?
I mean, I certainly had a right to know.
Mitch, Mitch, it's not yours.
It's Dean's.
How'd he take it?
He's going to need
a few days to process.
People think they want hope,
but hope is dangerous.
You could be symptom free
for another 20 years.
Or symptoms could start tomorrow,
and I'm dead in a year.
[DRAMATIC MUSIC]
Call the psychiatrist.
You're clearly in
the denial stage of grief.
Well, actually, I've moved on to anger,
and I'm loving it.
[MOANING]
[SOFT MUSIC]
Colder than Lake Michigan in February.
But when you're done, you feel so good.
Your veins pump that oxygenated blood.
Arteries.
What?
Your arteries pump out
the oxygenated blood.
Your veins bring it back.
Sure.
Now, as a first-timer,
it can be pretty shocking
to your system.
So just do your best, see if you can
challenge yourself to hit a minute.
Honestly, even 30 seconds,
you're psyched.
Any questions?
No.
Great. 9:20.
We'll see you then.
♪
[BREATHING SHARPLY]
[SIGHS]
[HUSHED CHATTER]
Okay, so everybody knows about the baby
and that Archer is the dad?
It's all anyone is talking about.
Oh!
Congratulations, by the way.
I'm so happy for you guys.
You know, I was always team Dasher.
I mean, that tension between you guys.
Team team what?
Oh, that's your ship name
Dean plus Asher is Dasher.
No, Doris, there is no team,
and there is definitely no ship.
So no wedding bells?
It was a one-time thing
that just happened.
You know, I would prefer
if everyone, you know,
- would focus on their work.
- Right.
- Mm-hmm.
- Right. Totally.
And I respect your boundaries.
Thank you.
Yeah.
But just to be honest,
we're gonna be dining on this
for a while.
- Thank you.
- Mm.
Life is never gonna be the same.
You're gonna be a mom,
and Archer is gonna be a
Papa!
There he is. Who knew you had it in you?
Bit of a May-December thing,
though, you old goat.
Yeah, yeah, yeah, yeah.
I gotta say, pretty wild, though,
starting a parenting journey
at this point in your life.
I get the feeling a lot of people think
it's wild and ill-advised.
Boy, I tell you, I
I didn't feel old until I saw the way
everybody was looking at me today,
like I'm some sort of medical marvel.
Oh, come on, don't do that.
Do you know that studies show that
parents who have kids later
in life actually live longer?
So, you know, you've got some
bonus years coming to you.
That does not help.
Okay, look, all kidding aside,
I think that this is fantastic news.
- Okay.
- Really. I do.
Who cares what other people think?
- Eh.
- I mean, in what world
could this possibly be a
Tough break.
I heard about Hannah.
Doing all right?
Sure, why wouldn't I be?
What?
I mean, obviously, it was a shock,
but I've moved past it.
Yeah.
In 12 hours?
I'm with Sadie, and I'm happy.
Okay, yeah, good for you.
You you got to admit, though.
I mean, come on, it's a little
quick on Archer's part, right?
Kind of like he was just waiting there
the whole time to strike,
just circling like a shark.
Okay. He's not a shark.
We were broken up, and they
were consenting adults.
Just saying.
Da-dum, da-dum.
Dun, dun, dun, dun, dun,
dun, dun, dun, dun, dun
I have a patient.
Okay. Miles Weller.
I'm Dr. Ripley.
And you've been experiencing
some leg pain.
And a fever.
It's nothing.
I went swimming in the lake
a couple nights ago,
probably caught a cold.
Just a little achy, but she worries.
Well, I can't have you dying
on me before the wedding.
You two are getting married?
That's why we were out on the lake.
I was proposing.
Well, congratulations.
My mom is gonna freak,
marrying a guy I only met a month ago.
We met in person a month ago.
We've been together for over a year.
Online?
It's crazy, right?
Well, crazy worked.
Now, let's take a look at these legs.
These scars look pretty swollen.
Yeah, I was in a pretty bad
car accident recently.
That's why it took
so long for us to meet.
They had to rebuild both my
legs, two different surgeries.
Last one was three months ago.
Well, they look pretty infected
would explain the discomfort
and the fever.
But we'll get an X-ray
and some blood work
to find out for sure, okay?
See?
Listen to your almost-wife.
[CHUCKLES]
Please, I need help!
What is it?
We were walking in,
and this car pulled up
and dumped this kid on the sidewalk.
He's diaphoretic.
Diaphoretic?
Kid, how old are you?
That's what Will said.
Will? Will who?
Who are we talking about?
Dr. Halstead?
Which room's open?
[DRAMATIC MUSIC]
[GROANS] It hurts.
I know it does, bud, but I got you.
How long have you had the pain?
Is it cramping or sharp?
Both.
Oh, I'm gonna throw up.
Oh, I got you.
- Sorry.
- It's all right.
- [RETCHES]
- Okay.
Good catch.
Have you ingested any substances?
Drugs? Alcohol?
His abdomen is distended.
Okay, let's get him on the bed.
You got him? One, two, three, easy.
[GROANS]
Doris, grab an NG tube.
We need to decompress his stomach.
Whoa! Okay, hey.
Thank you,
but I got this from here, okay?
Bolus him a liter of LR,
and give him 4 milligrams of Zofran.
This is a bowel obstruction.
You risk him aspirating if you wait.
I was a doctor here for nearly a decade.
- This kid needs an NG tube.
- Great.
Hey, welcome back, all right?
But this kid was a drop and dash, right?
That's clear intoxication or an OD.
That's not the case here.
I understand that you wanna help,
but you're gonna have to wait outside.
If you don't clear his stomach
This is not your call to make right now!
What is going on in here?
This guy's trying to tell me
how to treat my patient.
- We don't have enough information yet.
- We do.
He's tachy with abdominal pain
and an old laparotomy scar.
I had just started my exam.
- I didn't
- Get an NG tube.
[MACHINE BEEPING]
Hey, Trini, I need a surgical consult.
Can you page Dr. Lenox?
She's in with a patient.
But oh, Dr. Archer,
Ripley needs a consult.
Oh, it can wait.
- Yeah.
- That's all right.
What can I do for you?
I have a patient in 5 with leg pain.
He has infected incisions
he says are from a car wreck,
but got some X-rays.
That doesn't look like
hardware from an accident.
No. No, it doesn't.
I'm just saying
they're gonna win the division.
News flash.
Enthusiasm of youth.
Dr. Halstead, as I live and breathe.
Oh, Ms. Goodwin, good to see you.
Wow.
You make quite an entrance.
Well, I wasn't trying to be dramatic.
We were just stopping by to say
hello and heard tires screech.
It almost hit us.
Well, I'm glad you're okay, Owen.
Is Dr. Manning with you?
No, Natalie's back in Seattle, working.
How's she doing?
Well, she's pregnant, actually.
- What?
- Congratulations!
Thanks. We're having a boy.
How far along?
20 weeks.
She's feeling good, so I thought
we'd catch a Bears game,
have a little boys' weekend, right?
I guess.
Well, we are really glad
that both of you stopped by.
It's a wonderful surprise.
Yeah, me too.
Okay, so you are experiencing
morning sickness?
I can't keep anything down.
We're worried that the baby's
not getting enough nutrients.
Have you lost any weight recently?
No.
I read morning sickness
is supposed to subside
after 12 weeks, but it's like
something is rotting in my stomach.
Oh.
- I'm sorry to hear
- [BELCHES]
So sorry. Just anxious about this.
Sympathy indigestion.
Anytime I have something,
Jeremy gets it ten minutes
later two times worse.
My back is achy, he slips a disk.
I catch a cold, he has man flu.
The fever was real.
The thermometer was broken.
Okay.
All right.
From what I am seeing,
your baby looks great.
Heartbeat is strong.
Measuring on track for 24 weeks,
but I would like to do some labs,
see if we can figure this out.
Thank you.
All right, Mr. Weller.
You definitely picked up
a soft-tissue infection
from your dip in the lake
on both tibias.
Okay.
So antibiotics then.
It's not quite that simple.
This is Dr. Archer.
I asked him to consult
after seeing your X-ray.
You didn't have a car accident.
You had leg-lengthening surgery.
[SIGHS]
Please don't don't tell my fiancée.
Okay? She she doesn't know.
We won't. We can't, in fact.
HIPAA.
Oh, thank God.
But the tissue around the rods
is inflamed, which is a problem.
Problem how?
In order to lengthen your legs,
your surgeon had to break the bones
and insert titanium rods.
I know that.
I'm mentioning it because
the rods have a gear system that
allows them to increase in length
so your body can generate
new bone in the gap.
Those moving pieces provide crevices
for infections to hide.
Which is why the safest course would be
to remove the implants.
Are you saying that I'm gonna go back
to being short again?
You'll return to your initial height.
Yes.
I used my life savings on this surgery.
Oh, I'm sorry, Mr. Weller,
but I believe the die has been cast.
- No.
- Yes.
If the infection gets worse,
you could be looking
at full-blown sepsis,
organ failure.
I don't care!
I'm not gonna let you take the rods out.
These rods are the problem.
I can't treat you
if I don't remove them.
These rods.
What's that?
These rods are the problem.
What if we replace them?
With what?
With a standard IM nail.
No moving pieces.
Yes!
Yes, please, do that.
[SOFT TENSE MUSIC]
Can I talk to you outside for a moment?
So you asked for a consult,
and you contradict me.
He didn't like your plan, so I pivoted.
You saw his scans.
There's 60 millimeters
of new bone there.
The second we take the rod out,
it's gonna collapse.
The patient gets a say, Dean.
You don't get to go around
doing whatever the hell you want.
Yeah, yeah.
I think I think Mr. Weller might be
letting his emotions cloud his judgment.
A chat with Dr. Charles might be good.
Maybe he might be able to talk
some sense into everybody.
Hey, can you get basic prenatal labs
- for the patient in treatment 4?
- Yeah.
Excuse me, ma'am, can I help you?
Uh, yes, I, um
You can't be back here.
I know.
I I don't feel very well.
Okay, well, I'm sorry to hear that,
but we need you to wait
in the waiting room, okay?
[LAUGHING] Hey.
Oh, I heard you were
running around here.
And I heard
congratulations are in order?
Oh, you too.
Oh, my!
What?
Nothing.
Just didn't have you and Archer
on my bingo card.
Yeah, never a dull moment around here.
Uh, sorry, I gotta check something.
Yeah.
Hey, how's the kid?
Stable. Yeah.
He's on fluids, and the NG
put out about a liter.
And the X-ray showed a blockage?
It did. Yeah.
We won't know what until we do a CT.
Look, I really appreciate you
bringing him in
and helping out earlier,
but I got it from here, okay?
I promise I'm a very capable doctor,
and we are gonna take
very good care of Jasper.
All right?
Where'd he go?
Maybe they brought him
upstairs for a CT.
No, they don't usually rip out IVs.
Looks like he threw up again.
[TENSE MUSIC]
Wait.
What?
Look at this.
Is that a balloon?
Yeah.
And judging by the size
of the obstruction,
this is not the only one inside of him.
This kid's a drug mule.
The blockage was
caused by the drug packets
- he was smuggling.
- Looks like it.
- But we haven't done a CT.
- What kind of drugs?
Quick strip came back
positive for cocaine.
If one of those packets breaks
He's in a lot of trouble.
Look, the good news is
security's not seen him exit,
so he's somewhere still in the hospital.
- Let's split up.
- Yeah.
All right.
- Up.
- [LAUGHS]
- That any better?
- Yeah.
Yes, thank you.
But honestly, I think I'm just starving.
Got you on a liquid diet, huh?
That is rough.
I'm sorry, I'm Dr. Charles.
Look, you didn't hear it from me, okay?
But ear, nose, and throat has a stash
of Italian ices from Mario's.
And if you ask Nurse Trini
out there very nicely,
I'm pretty sure she'll take you
over there, snag a couple.
I'm on it.
Thanks.
That's nice.
Miles, do you mind if I sit?
I was hoping we could have
a little chat.
Ah, thought this might be coming.
Psychiatrist?
So they think that I'm crazy.
No, absolutely not.
Look, your care team is
concerned that in the moment,
you might make a decision with
lasting health implications.
And I just wanna make sure
you're seeing the situation
clearly, that's all.
[CHUCKLES] Doubt you'd understand.
What are you, 6'2"?
6'3", in my heyday.
But trust me, plenty of hang-ups.
See, that's the thing.
It's not about hang-ups or how I feel.
It's how I'm objectively treated.
Being a 5'4" man,
you miss out on things.
How so?
You don't get jobs.
You don't get respect from other men.
And worst of all, women.
They don't even reject you.
They look past you.
You know, that's not insecurity.
That's reality.
And I got sick of it.
So I went on this dating site
and, for fun,
switched my height to 5'10".
How how'd it go? What happened?
[SIGHS]
The world opened up.
These women, who in real life
only saw me as a friend,
suddenly saw me as desirable.
[SOFT MUSIC]
And then I met Emerald.
And she was perfect.
And she wanted to meet.
And I knew it would be over
as soon as she saw
what I really look like.
Buddy, look, I completely get that
you're scared about what might happen
if Emerald learns the truth.
You know, people are unpredictable.
I'm not gonna sit here and tell you
she's just gonna accept you,
you know, if you come clean.
I don't know.
What I do know is that if
you don't get these rods out,
you are facing certain
physical deterioration
and possibly even death.
I mean, you understand that, right?
So all I'm saying is,
I don't know, like,
why not just place
a little faith in this woman
that you're in love with?
And not for nothing, seems
pretty smitten with you too.
♪
I can't take that chance.
I mean, I hear you.
I do.
But this past month hasn't been
the best month of my life.
It has been the only month of my life.
Okay, a few more deep breaths.
I thought the labs came back clean.
They did, but they don't
test for everything.
As May mentioned, this feeling
of having something rotting
in your stomach, and you
were having symptoms, too,
so I thought there
might be a chance that
this is not morning sickness,
that you're carrying
a bacteria, H. pylori.
Here, that oughta do it.
And how do you get H. pylori?
Usually contaminated foods,
but it can also be transferred
person to person
through saliva, which is why
I think you both might have it.
This is from that hot dog
cart you go to at lunch.
You can't know that.
Plus, I'm not gonna apologize
for having great taste.
[LAUGHS]
Okay, well, we will need you
to get tested as well.
But the good news is,
if it is H. pylori,
a couple antibiotics can clear it up.
Fantastic.
One more thing, though
can H. pylori cause constant heartburn?
I I pound these things all day.
See?
It's always worse for him
man flu, all over again.
Okay, well, why don't I
grab you a nurse,
and we will get you checked in.
Great.
Hey!
- You got something?
- Yeah. Maybe.
Security said a bathroom
by the pharmacy's
been wedged shut from the inside.
- [KNOCKING]
- Open the door.
What's going on?
There's no answer when I knock,
but I can hear someone moving around.
Jasper?
Hey, it's Dr. Halstead, buddy.
Open up the door.
[GROANS]
We need to get in now.
[SOFT MUSIC]
- Jasper.
- I'm fine.
I don't want your help.
Hey, you're not in any kind of trouble.
We're just trying to make sure
you're okay, take care of you, buddy.
The drugs in your body
are blocking your intestines
and making them expand.
That's what's causing the pain.
Eventually, they will pop,
and it's gonna be very hard
to save your life.
It's just my older
brother's taken care of me
since I was eight, just the two of us.
And then he hurt his back last year.
But he he had to keep
working, you know?
Opioids.
They were gonna kill him
unless I did this to pay off his debt.
Who's they?
Jasper, we are running out of time.
I know you're trying to help,
but if I don't get them these drugs,
we're both already dead.
♪
You know, I have a younger brother.
We lost our mom when we were
a little older than you were.
He was all I had.
We would do anything
for each other, still would.
So I promise, as an older brother,
I can tell you he would not
want you to make
this sacrifice for him.
He wouldn't want to lose you.
So if you truly want to do right by him,
let us help you.
We got the results
back from Jasper's CT.
He has 59 bags of cocaine in his body.
41 are piled above his ileocecal valve,
and the other 18 are
in his large intestines.
But he's refusing surgery
because he doesn't want us
confiscating the drugs.
And he's smuggling this
across the border?
With a couple other friends
who were supposed to be helping him.
And they dropped him off here.
Any idea where his parents are?
Not in the picture.
He lives with his older brother,
but he's MIA.
Well, I don't see
any way around surgery,
but I'll fast-track this with DCFS
to make sure he goes somewhere safe
once he leaves the hospital.
All right, then. Keep me posted.
Okay.
Dr. Halstead, stick around, please.
I feel like I'm about to get in trouble.
Well, I imagine it's a familiar feeling.
[CHUCKLES]
You want me to back off?
I do.
Dr. Frost complained?
No, he didn't say a word,
but this isn't your patient.
But when Jasper came in
You're not a doctor
at this hospital anymore.
What's going on here? We've got this,
and you've got your own kid
waiting for you.
I don't know.
I think Owen kind of hates me.
Well, that can't be true.
Well, it feels that way.
I mean, the last few months,
I just haven't
been able to do anything right.
He's probably troubled by the baby news.
Of course.
But it's more than that.
I mean, he's fine with Natalie.
But with me, it's different.
And I thought some one-on-one time
might do us some good,
but it just hasn't.
And today, I don't know.
I guess I thought
You thought, if I can't help Owen,
maybe I can help this other kid instead.
That obvious, huh?
Yeah, well,
a good heart is hard to hide.
[PENSIVE MUSIC]
Look, parenting is a marathon.
You can't get wrapped up
on how they feel
about you at one moment.
You just have to do the best you can
and trust that over
the long haul, they'll see it.
That said, get Owen to the game.
Thank you, Ms. Goodwin.
♪
I don't think that
your patient, Mr. Weller,
is gonna change his mind.
Well, that leaves us in a tough spot.
Maybe not. I
I told you, the leg will not support
I know.
I called his surgeon,
Dr. Conway in Baltimore.
She said the same thing.
Well, then, what
are we talking about here?
She also said there's
a specific external fixator
that can hold the leg
while we remove the rod.
Have you ever done
anything like this before?
- No.
- Have you ever
But the rep can be in the room with us,
talking with Dr. Conway directly.
Even still, this is
a grueling operation.
It is incredibly
I'm not afraid of a tough surgery, Dean.
- What, are you kidding me?
- Fellas, please, please, look!
Dean, I'm getting you don't
love Mitch's plan, all right?
But the patient won't
even entertain yours.
So Hail Mary or not, I don't see
like we have another option.
So how about we drop the schoolyard crap
and get Mr. Weller into surgery?
Okay? Good? Good.
Good.
I'm sensing that might
have been about me.
Um
Should I talk to them?
Maybe now's not the best time.
And you know, not for nothing,
I think they might have a little more
hashing out to do before they
start acting like grownups.
Yeah, and how long does
hashing it out normally take?
With those two, unknown.
But let's be optimistic.
Yeah.
Great.
Hey, Owen.
Dr. Halstead.
Don't worry. I'm on my way out.
No, no.
Jasper actually is asking for you.
But can't you be a part of the surgery?
Unfortunately, no. I'm not a surgeon.
But what if something goes wrong?
Hey, don't go there.
I promise.
I know this is scary, but the doctors
that are doing your surgery,
they're the best.
Yeah.
We got you, Jasper.
I promise.
Yeah, you're gonna be just fine.
I just
I wish my brother were here
so I didn't have to be alone.
You're not, bud.
Hey, you're not.
I know you can't be in the surgery,
but can you at least stay
to make sure it turns out okay?
[SOFT MUSIC]
♪
Of course. I'll be right here.
Okay, this might be a little cold.
This is borderline embarrassing.
While we wait for the labs,
I thought we can check your gallbladder
since there's always
a chance of gallstones.
Ooh, that is cold. [CHUCKLES]
Seriously?
Listen, don't tell us the gender.
We wanna be surprised.
You should know, twins run in my family.
Oh. [LAUGHS]
I'm sorry I'm being so ridiculous.
Wouldn't have it any other way.
Okay.
That's it?
Yes, for now.
There is no sign of gallstones.
But I'm gonna check your labs,
and I'll be back.
Thanks.
Hey, Trini, you need to get
someone from GI down here,
as well as Dr. Kingston
if she's available.
Dr. Kingston for the H. pylori case?
Yeah.
She has cancer?
No.
But I think he does.
[SUSPENSEFUL MUSIC]
More irrigation, please.
[MACHINES BEEPING]
Okay, that's good,
that's good, that's good.
And what what the hell is that?
What is that?
That's me.
So you're gonna wanna use the extractor
and connect it to the sorry,
can you move your hand
the intramedullary nail there.
Yep. Mm-hmm.
Got it. Thank you.
Mm-hmm.
[MACHINES BEEPING]
Okay.
All right, got that.
Table down!
Let's knock this thing out.
All right.
Give me some space.
And we're off.
It stopped. It stopped coming out.
No, he seems to be having trouble.
The older one.
[GRUNTING]
I think it might just need
a little more force.
What?
I said I think it might
just need a little more force.
Oh.
Dr. Conway agrees with Dr. Ripley.
- Does she?
- Mm-hmm.
She does.
Hey, you wanna try?
Be my guest.
Sure.
I don't understand you.
You think I have stomach cancer?
When we did the ultrasound,
I saw ascites,
a buildup of fluid in the abdomen,
which is a pretty strong indicator.
So I called Dr. Kingston,
and we did your CT.
Unfortunately, it has all
of the markers of cancer.
And this is from the H. pylori?
H. pylori is very common.
One in three people in the U.S. has it.
But most cases have no symptoms,
or they're mild
and treatable like yours.
There are a tiny number of cases
that lead to gastric cancer.
And how bad is it?
Is gastric cancer one of the bad ones?
It depends on many factors.
And once we do the PET scan
and the biopsy, we will know more.
Okay.
Is that the real answer?
No.
The real answer is,
gastric cancer is a bad one.
But you are young, and you are healthy,
and I'm a hell of a doctor.
[APPREHENSIVE MUSIC]
I'm not going anywhere.
We're gonna fight this.
Oh, my God.
This is all my fault.
No, this is not anybody's fault.
I trivialized what
you were going through.
I I mocked it
when this whole time I
Hey, it's gonna be okay.
It's not okay!
We we have a baby on the way.
What what are we going to
Shh. Look at me.
Look at me. Okay? Hey.
Hey, we're gonna get through this, yeah?
- I'm sorry.
- We are.
I'm so sorry!
We're gonna get through this.
I'm so sorry! No.
I'm so sorry!
[SOBBING]
♪
No, I haven't gotten in yet.
I told them.
They said I'm next up.
There you are.
You're not watching the game?
It's halftime. It's tied up.
Would have been a good one.
Yeah.
It's hard having parents in medicine
feels like someone else
is always more important.
And I imagine you're
thinking it's only gonna
get worse with a new baby.
Yeah, maybe.
You know, my oldest, David,
was around your age
when his brother Michael was born.
He was not happy with it.
It's not like I'm mad. I just
No, I get it.
You know, David felt the same way,
and I know he loved his brother.
But there just wasn't
any time for anyone.
No time to talk.
- So you know what I did?
- What?
I started writing him
short notes every day.
At some point, he wrote me back.
And eventually, I got
a journal, just for us.
It was our secret way to communicate.
And you know what I found out?
Sometimes it's easier
to say how you're feeling
when no one is looking.
Give it a try.
Write a note to Will, just a few words,
and see what happens.
[TENSE MUSIC]
[ALARM BEEPING]
What is that?
This bag is torn.
His system is flooding with cocaine.
Start a nicardipine trip.
On it.
Temp's rising.
Let's get a cooling blanket in the room.
Meds are in.
Hopefully, it's not too much.
He's throwing more PVCs.
Hang 2 grams of magnesium.
Get the crash cart ready.
Vitals are stabilizing.
Okay.
Let's keep moving before
that can happen again.
Oh, excuse me?
I am so sorry.
I think I left my pur
Your purse?
Yes, we found it and had it sent up
to the surgical waiting room.
Oh, thank goodness. Thank you.
I did not need to add canceling
my credit cards this day.
Yeah.
We are really just
going to let her go out
and marry this guy when he's been
lying to her about who he is?
Well, Trini, I mean, the law kind of
prevents you from saying
anything, but I don't know.
Even if it didn't,
I'm not so sure I would.
Really? Why?
I don't know, because
we have a limited amount
of time on this Earth,
and Miles has figured out
a way to see some joy from it.
So who am I to destroy that?
And Emerald, doesn't she get a say?
I mean, what else is he lying about?
I don't know.
All I can tell you is that
my my first date with CeCe,
borrowed a buddy's BMW and got us
front-row seats
to a Van Morrison concert
I certainly could not afford.
My first date with Miguel, I
wore Spanx, 5 pounds of makeup,
and pretended UFC was interesting.
Together eight years.
Still no ring, though.
But this is beyond Spanx.
Yeah.
I mean, obviously, this
is an extreme example.
But when we're courting,
aren't we always trying
to put forth a different, you know,
better version of ourselves?
When it comes to love,
aren't we all liars?
Maybe.
But if I'd known who my ex-husband was
before we walked down the aisle,
I would have run the other way.
[METAL CLANKING]
The rod should slide in
when the leg is hyperflexed.
Whoa, whoa, whoa!
It's not lined up.
Because you didn't ream out enough bone
from the intramedullary canal,
and now the rod's too big.
If I took out any more bone,
there wouldn't be
enough cortex to leave the tibia intact.
- You need to really hit it.
- Yeah, I am.
Force it to line up.
I am really hitting it.
Remember how I got the rod out?
I remember you helping to get it out.
All's I'm saying is that
you might be a little tired,
that's all.
Just hold the leg.
Hold the leg. okay?
All right. Come here.
[TENSE MUSIC]
♪
All right.
[CLANKING]
Stop, stop!
You're gonna blow
the back of the tibia out.
The rod should slide in
when the leg is hyperflexed.
You keep saying the same thing.
Doesn't Dr. Conway have
anything else to add?
They're wondering if you
have anything else to add.
She says the two of you clearly
have some issues to work out.
Oh, okay.
All right, so can't force the rod.
So we need to adjust the bone
so that it does line up, right?
I could lever the proximal segment
more anterior while also
Pushing the distal
segment more posterior
and get the guide rod
and the bone to line up.
Then hammer the nail in.
But it could also shatter the leg.
We'll need to be quick.
Okay.
On my count. Ready?
One, two, three.
Is it lined up?
Yeah, I think so.
All right, hit it.
Harder. Again, go.
Harder.
I don't want to smash your face in.
Sure, you do. Swing.
One more. It's close.
All right, we got it. It's in. It's in.
Yay!
Emerald.
Is Miles out of surgery? Did it go okay?
It went great.
He's gonna be fine, make
make a full recovery.
Oh, thank God.
I know that he said it was
nothing to worry about,
but then I started to think,
what if something
happened in surgery, and
[INHALES SHARPLY] Oh, God. I'm sorry.
This is really embarrassing.
You just said he was fine.
Come on.
It's your fiancé.
You are allowed to be relieved.
He's just such a good guy, you know?
I moved my whole life
to Chicago for him.
Sorry. When can I see him?
Probably moving up
to his room right about now.
You wanna go find him?
Yeah, yes. Thank you.
Gosh.
I you know, cannot believe
that you finally met in person,
like, a month ago, and now
you're getting married?
Man, that is such a big step.
I'm I'm just curious,
do you ever find yourself
I don't know, like, wondering, like
Listen, do you mind not mentioning
the cigarette to Miles?
He would never marry a smoker.
[SOFT MUSIC]
Sorry, what were you saying?
Nothing.
Nothing.
I'm I'm just excited for you guys.
Yeah.
High hopes for your future.
Thanks.
Wanna go say hi?
Yeah.
You didn't do so bad in there.
Yeah, well, you too, I guess.
And, um
Sorry about earlier.
You know, what I said.
Me too.
You know, in the moment,
sometimes things happen.
[SOFT MUSIC]
Yeah.
And, uh
Congratulations on the baby.
Thanks, Mitch.
♪
Pick up some ring forceps.
PVCs are gone, looking stable.
Oh, excuse me, ma'am.
Whoa! Sorry.
This is a sterile space.
I need the balloons he swallowed.
I'm sorry. Who are you?
Okay. Easy now.
Easy.
You, put them in here.
I don't I can't just
- Now!
- It's okay.
You can have them.
Do what she says.
They used to be right here.
2%.
I'm looking, bud!
Hey, Hannah, amazing.
There used to be a bin
of old chargers and cords.
Yeah, that got moved.
- Perfect.
- Here.
1%, less than two minutes
to go in the fourth quarter.
All right.
And you think I'd be good
at high-pressure situations.
Here we are.
Finally.
Phew.
You're a lifesaver.
How's your kid with the blockage?
Yeah, there was a scare
earlier, but I think
What?
No one's moving in the OR.
What? That's weird.
Owen, turn the tablet off.
But they're in the red zone!
Owen, do it now.
Hey, and get behind
the couch for me, would you?
Go, go.
- Let's get security.
- Yeah.
Just stay calm.
Just take it easy.
Good.
Yeah.
Just like that. No.
No, no, no, no.
This isn't all of them.
Where's the rest?
They're still inside of him.
Get them.
We can't just grab them out like that.
Cut them out.
He'll die.
Not my problem.
That is not happening.
I won't allow it.
Do you wanna die?
No.
But it doesn't scare me anymore.
I get it.
You think what's most important
is getting these drugs.
But I'm telling you,
and I want you to hear me,
that is not a choice
that exists anymore.
So your real choice is
walking out of here right now
with what you already have
or leaving in handcuffs.
[DRAMATIC MUSIC]
♪
Hector, call security.
Everybody else, back to the table.
Hey! Hey!
[GUNSHOTS, PEOPLE SCREAMING]
Taking my 15.
Want anything from the coffee truck?
- Sounds good.
- No, thank you.
Excuse me, Doctor. Phone call for you.
Said it's urgent.
Hello?
Dr. Manning, it's Sharon Goodwin.
Ms. Goodwin.
I'm so sorry to be
calling you like this,
but something has happened.
What do you mean?
It's Owen.
He's been shot.
[TENSE MUSIC]
♪
You're pregnant?
How could you not tell me?
I mean, I certainly had a right to know.
Mitch, Mitch, it's not yours.
It's Dean's.
How'd he take it?
He's going to need
a few days to process.
People think they want hope,
but hope is dangerous.
You could be symptom free
for another 20 years.
Or symptoms could start tomorrow,
and I'm dead in a year.
[DRAMATIC MUSIC]
Call the psychiatrist.
You're clearly in
the denial stage of grief.
Well, actually, I've moved on to anger,
and I'm loving it.
[MOANING]
[SOFT MUSIC]
Colder than Lake Michigan in February.
But when you're done, you feel so good.
Your veins pump that oxygenated blood.
Arteries.
What?
Your arteries pump out
the oxygenated blood.
Your veins bring it back.
Sure.
Now, as a first-timer,
it can be pretty shocking
to your system.
So just do your best, see if you can
challenge yourself to hit a minute.
Honestly, even 30 seconds,
you're psyched.
Any questions?
No.
Great. 9:20.
We'll see you then.
♪
[BREATHING SHARPLY]
[SIGHS]
[HUSHED CHATTER]
Okay, so everybody knows about the baby
and that Archer is the dad?
It's all anyone is talking about.
Oh!
Congratulations, by the way.
I'm so happy for you guys.
You know, I was always team Dasher.
I mean, that tension between you guys.
Team team what?
Oh, that's your ship name
Dean plus Asher is Dasher.
No, Doris, there is no team,
and there is definitely no ship.
So no wedding bells?
It was a one-time thing
that just happened.
You know, I would prefer
if everyone, you know,
- would focus on their work.
- Right.
- Mm-hmm.
- Right. Totally.
And I respect your boundaries.
Thank you.
Yeah.
But just to be honest,
we're gonna be dining on this
for a while.
- Thank you.
- Mm.
Life is never gonna be the same.
You're gonna be a mom,
and Archer is gonna be a
Papa!
There he is. Who knew you had it in you?
Bit of a May-December thing,
though, you old goat.
Yeah, yeah, yeah, yeah.
I gotta say, pretty wild, though,
starting a parenting journey
at this point in your life.
I get the feeling a lot of people think
it's wild and ill-advised.
Boy, I tell you, I
I didn't feel old until I saw the way
everybody was looking at me today,
like I'm some sort of medical marvel.
Oh, come on, don't do that.
Do you know that studies show that
parents who have kids later
in life actually live longer?
So, you know, you've got some
bonus years coming to you.
That does not help.
Okay, look, all kidding aside,
I think that this is fantastic news.
- Okay.
- Really. I do.
Who cares what other people think?
- Eh.
- I mean, in what world
could this possibly be a
Tough break.
I heard about Hannah.
Doing all right?
Sure, why wouldn't I be?
What?
I mean, obviously, it was a shock,
but I've moved past it.
Yeah.
In 12 hours?
I'm with Sadie, and I'm happy.
Okay, yeah, good for you.
You you got to admit, though.
I mean, come on, it's a little
quick on Archer's part, right?
Kind of like he was just waiting there
the whole time to strike,
just circling like a shark.
Okay. He's not a shark.
We were broken up, and they
were consenting adults.
Just saying.
Da-dum, da-dum.
Dun, dun, dun, dun, dun,
dun, dun, dun, dun, dun
I have a patient.
Okay. Miles Weller.
I'm Dr. Ripley.
And you've been experiencing
some leg pain.
And a fever.
It's nothing.
I went swimming in the lake
a couple nights ago,
probably caught a cold.
Just a little achy, but she worries.
Well, I can't have you dying
on me before the wedding.
You two are getting married?
That's why we were out on the lake.
I was proposing.
Well, congratulations.
My mom is gonna freak,
marrying a guy I only met a month ago.
We met in person a month ago.
We've been together for over a year.
Online?
It's crazy, right?
Well, crazy worked.
Now, let's take a look at these legs.
These scars look pretty swollen.
Yeah, I was in a pretty bad
car accident recently.
That's why it took
so long for us to meet.
They had to rebuild both my
legs, two different surgeries.
Last one was three months ago.
Well, they look pretty infected
would explain the discomfort
and the fever.
But we'll get an X-ray
and some blood work
to find out for sure, okay?
See?
Listen to your almost-wife.
[CHUCKLES]
Please, I need help!
What is it?
We were walking in,
and this car pulled up
and dumped this kid on the sidewalk.
He's diaphoretic.
Diaphoretic?
Kid, how old are you?
That's what Will said.
Will? Will who?
Who are we talking about?
Dr. Halstead?
Which room's open?
[DRAMATIC MUSIC]
[GROANS] It hurts.
I know it does, bud, but I got you.
How long have you had the pain?
Is it cramping or sharp?
Both.
Oh, I'm gonna throw up.
Oh, I got you.
- Sorry.
- It's all right.
- [RETCHES]
- Okay.
Good catch.
Have you ingested any substances?
Drugs? Alcohol?
His abdomen is distended.
Okay, let's get him on the bed.
You got him? One, two, three, easy.
[GROANS]
Doris, grab an NG tube.
We need to decompress his stomach.
Whoa! Okay, hey.
Thank you,
but I got this from here, okay?
Bolus him a liter of LR,
and give him 4 milligrams of Zofran.
This is a bowel obstruction.
You risk him aspirating if you wait.
I was a doctor here for nearly a decade.
- This kid needs an NG tube.
- Great.
Hey, welcome back, all right?
But this kid was a drop and dash, right?
That's clear intoxication or an OD.
That's not the case here.
I understand that you wanna help,
but you're gonna have to wait outside.
If you don't clear his stomach
This is not your call to make right now!
What is going on in here?
This guy's trying to tell me
how to treat my patient.
- We don't have enough information yet.
- We do.
He's tachy with abdominal pain
and an old laparotomy scar.
I had just started my exam.
- I didn't
- Get an NG tube.
[MACHINE BEEPING]
Hey, Trini, I need a surgical consult.
Can you page Dr. Lenox?
She's in with a patient.
But oh, Dr. Archer,
Ripley needs a consult.
Oh, it can wait.
- Yeah.
- That's all right.
What can I do for you?
I have a patient in 5 with leg pain.
He has infected incisions
he says are from a car wreck,
but got some X-rays.
That doesn't look like
hardware from an accident.
No. No, it doesn't.
I'm just saying
they're gonna win the division.
News flash.
Enthusiasm of youth.
Dr. Halstead, as I live and breathe.
Oh, Ms. Goodwin, good to see you.
Wow.
You make quite an entrance.
Well, I wasn't trying to be dramatic.
We were just stopping by to say
hello and heard tires screech.
It almost hit us.
Well, I'm glad you're okay, Owen.
Is Dr. Manning with you?
No, Natalie's back in Seattle, working.
How's she doing?
Well, she's pregnant, actually.
- What?
- Congratulations!
Thanks. We're having a boy.
How far along?
20 weeks.
She's feeling good, so I thought
we'd catch a Bears game,
have a little boys' weekend, right?
I guess.
Well, we are really glad
that both of you stopped by.
It's a wonderful surprise.
Yeah, me too.
Okay, so you are experiencing
morning sickness?
I can't keep anything down.
We're worried that the baby's
not getting enough nutrients.
Have you lost any weight recently?
No.
I read morning sickness
is supposed to subside
after 12 weeks, but it's like
something is rotting in my stomach.
Oh.
- I'm sorry to hear
- [BELCHES]
So sorry. Just anxious about this.
Sympathy indigestion.
Anytime I have something,
Jeremy gets it ten minutes
later two times worse.
My back is achy, he slips a disk.
I catch a cold, he has man flu.
The fever was real.
The thermometer was broken.
Okay.
All right.
From what I am seeing,
your baby looks great.
Heartbeat is strong.
Measuring on track for 24 weeks,
but I would like to do some labs,
see if we can figure this out.
Thank you.
All right, Mr. Weller.
You definitely picked up
a soft-tissue infection
from your dip in the lake
on both tibias.
Okay.
So antibiotics then.
It's not quite that simple.
This is Dr. Archer.
I asked him to consult
after seeing your X-ray.
You didn't have a car accident.
You had leg-lengthening surgery.
[SIGHS]
Please don't don't tell my fiancée.
Okay? She she doesn't know.
We won't. We can't, in fact.
HIPAA.
Oh, thank God.
But the tissue around the rods
is inflamed, which is a problem.
Problem how?
In order to lengthen your legs,
your surgeon had to break the bones
and insert titanium rods.
I know that.
I'm mentioning it because
the rods have a gear system that
allows them to increase in length
so your body can generate
new bone in the gap.
Those moving pieces provide crevices
for infections to hide.
Which is why the safest course would be
to remove the implants.
Are you saying that I'm gonna go back
to being short again?
You'll return to your initial height.
Yes.
I used my life savings on this surgery.
Oh, I'm sorry, Mr. Weller,
but I believe the die has been cast.
- No.
- Yes.
If the infection gets worse,
you could be looking
at full-blown sepsis,
organ failure.
I don't care!
I'm not gonna let you take the rods out.
These rods are the problem.
I can't treat you
if I don't remove them.
These rods.
What's that?
These rods are the problem.
What if we replace them?
With what?
With a standard IM nail.
No moving pieces.
Yes!
Yes, please, do that.
[SOFT TENSE MUSIC]
Can I talk to you outside for a moment?
So you asked for a consult,
and you contradict me.
He didn't like your plan, so I pivoted.
You saw his scans.
There's 60 millimeters
of new bone there.
The second we take the rod out,
it's gonna collapse.
The patient gets a say, Dean.
You don't get to go around
doing whatever the hell you want.
Yeah, yeah.
I think I think Mr. Weller might be
letting his emotions cloud his judgment.
A chat with Dr. Charles might be good.
Maybe he might be able to talk
some sense into everybody.
Hey, can you get basic prenatal labs
- for the patient in treatment 4?
- Yeah.
Excuse me, ma'am, can I help you?
Uh, yes, I, um
You can't be back here.
I know.
I I don't feel very well.
Okay, well, I'm sorry to hear that,
but we need you to wait
in the waiting room, okay?
[LAUGHING] Hey.
Oh, I heard you were
running around here.
And I heard
congratulations are in order?
Oh, you too.
Oh, my!
What?
Nothing.
Just didn't have you and Archer
on my bingo card.
Yeah, never a dull moment around here.
Uh, sorry, I gotta check something.
Yeah.
Hey, how's the kid?
Stable. Yeah.
He's on fluids, and the NG
put out about a liter.
And the X-ray showed a blockage?
It did. Yeah.
We won't know what until we do a CT.
Look, I really appreciate you
bringing him in
and helping out earlier,
but I got it from here, okay?
I promise I'm a very capable doctor,
and we are gonna take
very good care of Jasper.
All right?
Where'd he go?
Maybe they brought him
upstairs for a CT.
No, they don't usually rip out IVs.
Looks like he threw up again.
[TENSE MUSIC]
Wait.
What?
Look at this.
Is that a balloon?
Yeah.
And judging by the size
of the obstruction,
this is not the only one inside of him.
This kid's a drug mule.
The blockage was
caused by the drug packets
- he was smuggling.
- Looks like it.
- But we haven't done a CT.
- What kind of drugs?
Quick strip came back
positive for cocaine.
If one of those packets breaks
He's in a lot of trouble.
Look, the good news is
security's not seen him exit,
so he's somewhere still in the hospital.
- Let's split up.
- Yeah.
All right.
- Up.
- [LAUGHS]
- That any better?
- Yeah.
Yes, thank you.
But honestly, I think I'm just starving.
Got you on a liquid diet, huh?
That is rough.
I'm sorry, I'm Dr. Charles.
Look, you didn't hear it from me, okay?
But ear, nose, and throat has a stash
of Italian ices from Mario's.
And if you ask Nurse Trini
out there very nicely,
I'm pretty sure she'll take you
over there, snag a couple.
I'm on it.
Thanks.
That's nice.
Miles, do you mind if I sit?
I was hoping we could have
a little chat.
Ah, thought this might be coming.
Psychiatrist?
So they think that I'm crazy.
No, absolutely not.
Look, your care team is
concerned that in the moment,
you might make a decision with
lasting health implications.
And I just wanna make sure
you're seeing the situation
clearly, that's all.
[CHUCKLES] Doubt you'd understand.
What are you, 6'2"?
6'3", in my heyday.
But trust me, plenty of hang-ups.
See, that's the thing.
It's not about hang-ups or how I feel.
It's how I'm objectively treated.
Being a 5'4" man,
you miss out on things.
How so?
You don't get jobs.
You don't get respect from other men.
And worst of all, women.
They don't even reject you.
They look past you.
You know, that's not insecurity.
That's reality.
And I got sick of it.
So I went on this dating site
and, for fun,
switched my height to 5'10".
How how'd it go? What happened?
[SIGHS]
The world opened up.
These women, who in real life
only saw me as a friend,
suddenly saw me as desirable.
[SOFT MUSIC]
And then I met Emerald.
And she was perfect.
And she wanted to meet.
And I knew it would be over
as soon as she saw
what I really look like.
Buddy, look, I completely get that
you're scared about what might happen
if Emerald learns the truth.
You know, people are unpredictable.
I'm not gonna sit here and tell you
she's just gonna accept you,
you know, if you come clean.
I don't know.
What I do know is that if
you don't get these rods out,
you are facing certain
physical deterioration
and possibly even death.
I mean, you understand that, right?
So all I'm saying is,
I don't know, like,
why not just place
a little faith in this woman
that you're in love with?
And not for nothing, seems
pretty smitten with you too.
♪
I can't take that chance.
I mean, I hear you.
I do.
But this past month hasn't been
the best month of my life.
It has been the only month of my life.
Okay, a few more deep breaths.
I thought the labs came back clean.
They did, but they don't
test for everything.
As May mentioned, this feeling
of having something rotting
in your stomach, and you
were having symptoms, too,
so I thought there
might be a chance that
this is not morning sickness,
that you're carrying
a bacteria, H. pylori.
Here, that oughta do it.
And how do you get H. pylori?
Usually contaminated foods,
but it can also be transferred
person to person
through saliva, which is why
I think you both might have it.
This is from that hot dog
cart you go to at lunch.
You can't know that.
Plus, I'm not gonna apologize
for having great taste.
[LAUGHS]
Okay, well, we will need you
to get tested as well.
But the good news is,
if it is H. pylori,
a couple antibiotics can clear it up.
Fantastic.
One more thing, though
can H. pylori cause constant heartburn?
I I pound these things all day.
See?
It's always worse for him
man flu, all over again.
Okay, well, why don't I
grab you a nurse,
and we will get you checked in.
Great.
Hey!
- You got something?
- Yeah. Maybe.
Security said a bathroom
by the pharmacy's
been wedged shut from the inside.
- [KNOCKING]
- Open the door.
What's going on?
There's no answer when I knock,
but I can hear someone moving around.
Jasper?
Hey, it's Dr. Halstead, buddy.
Open up the door.
[GROANS]
We need to get in now.
[SOFT MUSIC]
- Jasper.
- I'm fine.
I don't want your help.
Hey, you're not in any kind of trouble.
We're just trying to make sure
you're okay, take care of you, buddy.
The drugs in your body
are blocking your intestines
and making them expand.
That's what's causing the pain.
Eventually, they will pop,
and it's gonna be very hard
to save your life.
It's just my older
brother's taken care of me
since I was eight, just the two of us.
And then he hurt his back last year.
But he he had to keep
working, you know?
Opioids.
They were gonna kill him
unless I did this to pay off his debt.
Who's they?
Jasper, we are running out of time.
I know you're trying to help,
but if I don't get them these drugs,
we're both already dead.
♪
You know, I have a younger brother.
We lost our mom when we were
a little older than you were.
He was all I had.
We would do anything
for each other, still would.
So I promise, as an older brother,
I can tell you he would not
want you to make
this sacrifice for him.
He wouldn't want to lose you.
So if you truly want to do right by him,
let us help you.
We got the results
back from Jasper's CT.
He has 59 bags of cocaine in his body.
41 are piled above his ileocecal valve,
and the other 18 are
in his large intestines.
But he's refusing surgery
because he doesn't want us
confiscating the drugs.
And he's smuggling this
across the border?
With a couple other friends
who were supposed to be helping him.
And they dropped him off here.
Any idea where his parents are?
Not in the picture.
He lives with his older brother,
but he's MIA.
Well, I don't see
any way around surgery,
but I'll fast-track this with DCFS
to make sure he goes somewhere safe
once he leaves the hospital.
All right, then. Keep me posted.
Okay.
Dr. Halstead, stick around, please.
I feel like I'm about to get in trouble.
Well, I imagine it's a familiar feeling.
[CHUCKLES]
You want me to back off?
I do.
Dr. Frost complained?
No, he didn't say a word,
but this isn't your patient.
But when Jasper came in
You're not a doctor
at this hospital anymore.
What's going on here? We've got this,
and you've got your own kid
waiting for you.
I don't know.
I think Owen kind of hates me.
Well, that can't be true.
Well, it feels that way.
I mean, the last few months,
I just haven't
been able to do anything right.
He's probably troubled by the baby news.
Of course.
But it's more than that.
I mean, he's fine with Natalie.
But with me, it's different.
And I thought some one-on-one time
might do us some good,
but it just hasn't.
And today, I don't know.
I guess I thought
You thought, if I can't help Owen,
maybe I can help this other kid instead.
That obvious, huh?
Yeah, well,
a good heart is hard to hide.
[PENSIVE MUSIC]
Look, parenting is a marathon.
You can't get wrapped up
on how they feel
about you at one moment.
You just have to do the best you can
and trust that over
the long haul, they'll see it.
That said, get Owen to the game.
Thank you, Ms. Goodwin.
♪
I don't think that
your patient, Mr. Weller,
is gonna change his mind.
Well, that leaves us in a tough spot.
Maybe not. I
I told you, the leg will not support
I know.
I called his surgeon,
Dr. Conway in Baltimore.
She said the same thing.
Well, then, what
are we talking about here?
She also said there's
a specific external fixator
that can hold the leg
while we remove the rod.
Have you ever done
anything like this before?
- No.
- Have you ever
But the rep can be in the room with us,
talking with Dr. Conway directly.
Even still, this is
a grueling operation.
It is incredibly
I'm not afraid of a tough surgery, Dean.
- What, are you kidding me?
- Fellas, please, please, look!
Dean, I'm getting you don't
love Mitch's plan, all right?
But the patient won't
even entertain yours.
So Hail Mary or not, I don't see
like we have another option.
So how about we drop the schoolyard crap
and get Mr. Weller into surgery?
Okay? Good? Good.
Good.
I'm sensing that might
have been about me.
Um
Should I talk to them?
Maybe now's not the best time.
And you know, not for nothing,
I think they might have a little more
hashing out to do before they
start acting like grownups.
Yeah, and how long does
hashing it out normally take?
With those two, unknown.
But let's be optimistic.
Yeah.
Great.
Hey, Owen.
Dr. Halstead.
Don't worry. I'm on my way out.
No, no.
Jasper actually is asking for you.
But can't you be a part of the surgery?
Unfortunately, no. I'm not a surgeon.
But what if something goes wrong?
Hey, don't go there.
I promise.
I know this is scary, but the doctors
that are doing your surgery,
they're the best.
Yeah.
We got you, Jasper.
I promise.
Yeah, you're gonna be just fine.
I just
I wish my brother were here
so I didn't have to be alone.
You're not, bud.
Hey, you're not.
I know you can't be in the surgery,
but can you at least stay
to make sure it turns out okay?
[SOFT MUSIC]
♪
Of course. I'll be right here.
Okay, this might be a little cold.
This is borderline embarrassing.
While we wait for the labs,
I thought we can check your gallbladder
since there's always
a chance of gallstones.
Ooh, that is cold. [CHUCKLES]
Seriously?
Listen, don't tell us the gender.
We wanna be surprised.
You should know, twins run in my family.
Oh. [LAUGHS]
I'm sorry I'm being so ridiculous.
Wouldn't have it any other way.
Okay.
That's it?
Yes, for now.
There is no sign of gallstones.
But I'm gonna check your labs,
and I'll be back.
Thanks.
Hey, Trini, you need to get
someone from GI down here,
as well as Dr. Kingston
if she's available.
Dr. Kingston for the H. pylori case?
Yeah.
She has cancer?
No.
But I think he does.
[SUSPENSEFUL MUSIC]
More irrigation, please.
[MACHINES BEEPING]
Okay, that's good,
that's good, that's good.
And what what the hell is that?
What is that?
That's me.
So you're gonna wanna use the extractor
and connect it to the sorry,
can you move your hand
the intramedullary nail there.
Yep. Mm-hmm.
Got it. Thank you.
Mm-hmm.
[MACHINES BEEPING]
Okay.
All right, got that.
Table down!
Let's knock this thing out.
All right.
Give me some space.
And we're off.
It stopped. It stopped coming out.
No, he seems to be having trouble.
The older one.
[GRUNTING]
I think it might just need
a little more force.
What?
I said I think it might
just need a little more force.
Oh.
Dr. Conway agrees with Dr. Ripley.
- Does she?
- Mm-hmm.
She does.
Hey, you wanna try?
Be my guest.
Sure.
I don't understand you.
You think I have stomach cancer?
When we did the ultrasound,
I saw ascites,
a buildup of fluid in the abdomen,
which is a pretty strong indicator.
So I called Dr. Kingston,
and we did your CT.
Unfortunately, it has all
of the markers of cancer.
And this is from the H. pylori?
H. pylori is very common.
One in three people in the U.S. has it.
But most cases have no symptoms,
or they're mild
and treatable like yours.
There are a tiny number of cases
that lead to gastric cancer.
And how bad is it?
Is gastric cancer one of the bad ones?
It depends on many factors.
And once we do the PET scan
and the biopsy, we will know more.
Okay.
Is that the real answer?
No.
The real answer is,
gastric cancer is a bad one.
But you are young, and you are healthy,
and I'm a hell of a doctor.
[APPREHENSIVE MUSIC]
I'm not going anywhere.
We're gonna fight this.
Oh, my God.
This is all my fault.
No, this is not anybody's fault.
I trivialized what
you were going through.
I I mocked it
when this whole time I
Hey, it's gonna be okay.
It's not okay!
We we have a baby on the way.
What what are we going to
Shh. Look at me.
Look at me. Okay? Hey.
Hey, we're gonna get through this, yeah?
- I'm sorry.
- We are.
I'm so sorry!
We're gonna get through this.
I'm so sorry! No.
I'm so sorry!
[SOBBING]
♪
No, I haven't gotten in yet.
I told them.
They said I'm next up.
There you are.
You're not watching the game?
It's halftime. It's tied up.
Would have been a good one.
Yeah.
It's hard having parents in medicine
feels like someone else
is always more important.
And I imagine you're
thinking it's only gonna
get worse with a new baby.
Yeah, maybe.
You know, my oldest, David,
was around your age
when his brother Michael was born.
He was not happy with it.
It's not like I'm mad. I just
No, I get it.
You know, David felt the same way,
and I know he loved his brother.
But there just wasn't
any time for anyone.
No time to talk.
- So you know what I did?
- What?
I started writing him
short notes every day.
At some point, he wrote me back.
And eventually, I got
a journal, just for us.
It was our secret way to communicate.
And you know what I found out?
Sometimes it's easier
to say how you're feeling
when no one is looking.
Give it a try.
Write a note to Will, just a few words,
and see what happens.
[TENSE MUSIC]
[ALARM BEEPING]
What is that?
This bag is torn.
His system is flooding with cocaine.
Start a nicardipine trip.
On it.
Temp's rising.
Let's get a cooling blanket in the room.
Meds are in.
Hopefully, it's not too much.
He's throwing more PVCs.
Hang 2 grams of magnesium.
Get the crash cart ready.
Vitals are stabilizing.
Okay.
Let's keep moving before
that can happen again.
Oh, excuse me?
I am so sorry.
I think I left my pur
Your purse?
Yes, we found it and had it sent up
to the surgical waiting room.
Oh, thank goodness. Thank you.
I did not need to add canceling
my credit cards this day.
Yeah.
We are really just
going to let her go out
and marry this guy when he's been
lying to her about who he is?
Well, Trini, I mean, the law kind of
prevents you from saying
anything, but I don't know.
Even if it didn't,
I'm not so sure I would.
Really? Why?
I don't know, because
we have a limited amount
of time on this Earth,
and Miles has figured out
a way to see some joy from it.
So who am I to destroy that?
And Emerald, doesn't she get a say?
I mean, what else is he lying about?
I don't know.
All I can tell you is that
my my first date with CeCe,
borrowed a buddy's BMW and got us
front-row seats
to a Van Morrison concert
I certainly could not afford.
My first date with Miguel, I
wore Spanx, 5 pounds of makeup,
and pretended UFC was interesting.
Together eight years.
Still no ring, though.
But this is beyond Spanx.
Yeah.
I mean, obviously, this
is an extreme example.
But when we're courting,
aren't we always trying
to put forth a different, you know,
better version of ourselves?
When it comes to love,
aren't we all liars?
Maybe.
But if I'd known who my ex-husband was
before we walked down the aisle,
I would have run the other way.
[METAL CLANKING]
The rod should slide in
when the leg is hyperflexed.
Whoa, whoa, whoa!
It's not lined up.
Because you didn't ream out enough bone
from the intramedullary canal,
and now the rod's too big.
If I took out any more bone,
there wouldn't be
enough cortex to leave the tibia intact.
- You need to really hit it.
- Yeah, I am.
Force it to line up.
I am really hitting it.
Remember how I got the rod out?
I remember you helping to get it out.
All's I'm saying is that
you might be a little tired,
that's all.
Just hold the leg.
Hold the leg. okay?
All right. Come here.
[TENSE MUSIC]
♪
All right.
[CLANKING]
Stop, stop!
You're gonna blow
the back of the tibia out.
The rod should slide in
when the leg is hyperflexed.
You keep saying the same thing.
Doesn't Dr. Conway have
anything else to add?
They're wondering if you
have anything else to add.
She says the two of you clearly
have some issues to work out.
Oh, okay.
All right, so can't force the rod.
So we need to adjust the bone
so that it does line up, right?
I could lever the proximal segment
more anterior while also
Pushing the distal
segment more posterior
and get the guide rod
and the bone to line up.
Then hammer the nail in.
But it could also shatter the leg.
We'll need to be quick.
Okay.
On my count. Ready?
One, two, three.
Is it lined up?
Yeah, I think so.
All right, hit it.
Harder. Again, go.
Harder.
I don't want to smash your face in.
Sure, you do. Swing.
One more. It's close.
All right, we got it. It's in. It's in.
Yay!
Emerald.
Is Miles out of surgery? Did it go okay?
It went great.
He's gonna be fine, make
make a full recovery.
Oh, thank God.
I know that he said it was
nothing to worry about,
but then I started to think,
what if something
happened in surgery, and
[INHALES SHARPLY] Oh, God. I'm sorry.
This is really embarrassing.
You just said he was fine.
Come on.
It's your fiancé.
You are allowed to be relieved.
He's just such a good guy, you know?
I moved my whole life
to Chicago for him.
Sorry. When can I see him?
Probably moving up
to his room right about now.
You wanna go find him?
Yeah, yes. Thank you.
Gosh.
I you know, cannot believe
that you finally met in person,
like, a month ago, and now
you're getting married?
Man, that is such a big step.
I'm I'm just curious,
do you ever find yourself
I don't know, like, wondering, like
Listen, do you mind not mentioning
the cigarette to Miles?
He would never marry a smoker.
[SOFT MUSIC]
Sorry, what were you saying?
Nothing.
Nothing.
I'm I'm just excited for you guys.
Yeah.
High hopes for your future.
Thanks.
Wanna go say hi?
Yeah.
You didn't do so bad in there.
Yeah, well, you too, I guess.
And, um
Sorry about earlier.
You know, what I said.
Me too.
You know, in the moment,
sometimes things happen.
[SOFT MUSIC]
Yeah.
And, uh
Congratulations on the baby.
Thanks, Mitch.
♪
Pick up some ring forceps.
PVCs are gone, looking stable.
Oh, excuse me, ma'am.
Whoa! Sorry.
This is a sterile space.
I need the balloons he swallowed.
I'm sorry. Who are you?
Okay. Easy now.
Easy.
You, put them in here.
I don't I can't just
- Now!
- It's okay.
You can have them.
Do what she says.
They used to be right here.
2%.
I'm looking, bud!
Hey, Hannah, amazing.
There used to be a bin
of old chargers and cords.
Yeah, that got moved.
- Perfect.
- Here.
1%, less than two minutes
to go in the fourth quarter.
All right.
And you think I'd be good
at high-pressure situations.
Here we are.
Finally.
Phew.
You're a lifesaver.
How's your kid with the blockage?
Yeah, there was a scare
earlier, but I think
What?
No one's moving in the OR.
What? That's weird.
Owen, turn the tablet off.
But they're in the red zone!
Owen, do it now.
Hey, and get behind
the couch for me, would you?
Go, go.
- Let's get security.
- Yeah.
Just stay calm.
Just take it easy.
Good.
Yeah.
Just like that. No.
No, no, no, no.
This isn't all of them.
Where's the rest?
They're still inside of him.
Get them.
We can't just grab them out like that.
Cut them out.
He'll die.
Not my problem.
That is not happening.
I won't allow it.
Do you wanna die?
No.
But it doesn't scare me anymore.
I get it.
You think what's most important
is getting these drugs.
But I'm telling you,
and I want you to hear me,
that is not a choice
that exists anymore.
So your real choice is
walking out of here right now
with what you already have
or leaving in handcuffs.
[DRAMATIC MUSIC]
♪
Hector, call security.
Everybody else, back to the table.
Hey! Hey!
[GUNSHOTS, PEOPLE SCREAMING]
Taking my 15.
Want anything from the coffee truck?
- Sounds good.
- No, thank you.
Excuse me, Doctor. Phone call for you.
Said it's urgent.
Hello?
Dr. Manning, it's Sharon Goodwin.
Ms. Goodwin.
I'm so sorry to be
calling you like this,
but something has happened.
What do you mean?
It's Owen.
He's been shot.
[TENSE MUSIC]
♪