Chicago Med (2015) s11e07 Episode Script
Double Down
If you're experiencing
domestic violence,
reach out, ask for help.
I'm fine.
It was just a mix-up.
Thank you for saving her life.
I know how much attention
you paid to her.
Well, I wish I could have done more.
I saw a buildup
of fluid in the abdomen.
You think I have stomach cancer?
- We have a baby on the way.
- What
We're gonna get through this.
John asked me out today.
Why did you say no?
I should have said yes.
I really like John.
There is a tremendous amount
of potential in this tech.
You want me to let a machine tell me
what's going on with my patient?
We might have gotten off
on the wrong foot.
Maybe there is a place
for you here at Gaffney.
Hannah!
- She's lost too much blood.
- Her pressure's dropping.
She's bleeding out.
Jeremy Lockhart, 32-year-old male
with gastric adenocarcinoma,
complaining of severe abdominal pain,
persistent vomiting, and hematemesis.
Started a liter
of normal saline in the ambo.
Heart rate's 140. BP's 115/72.
This is his wife, Esme.
When did he start to vomit?
Around 2:00 a.m.
I called 911 as soon as I saw blood.
So you're under the care of Dr. Kingston
Surgical Oncology then.
Yes, that's right.
- All right, everybody.
- On my count.
Ready? One, two, three.
All right, let's start with
4 of Zofran and 50 of fentanyl.
On it.
Jeremy's on a chemo regimen
of 5-fluorouracil
and cisplatin.
Just finished his last cycle on Friday.
Everything was going
smoothly until last night.
Yeah, I've actually tolerated this combo
way better than the last one.
Esme?
Hey, Jeremy.
Dr. Asher.
- You all know each other?
- Yeah.
Long story short, Dr. Asher's been
my own personal guardian angel.
How you holding up?
I've been better.
But so long as the chemo keeps
doing its job, I can take it.
Oh, sweetie.
Let's get those to the labs
and type and cross, 2 and 2,
and an abdominal CT.
- Yeah.
- Thanks.
I'll call Dr. Kingston,
let her know you're here.
- Can I get you anything, Esme?
- A cup of tea?
- I'm all right.
- OK.
I'll check back soon.
Thanks.
Dr. Charles?
Got a minute?
Yeah.
Patient in 4, Angelica Larson,
she broke her ankle during
a gymnastics competition.
In the middle of her beam routine,
said she got dizzy,
couldn't see straight.
Hate it when that happens.
Yeah.
Well, I ran a full workup
of all the usual suspects.
Everything came back normal.
But you think there's a psych issue.
Well, Angelica has been on
this new anti-anxiety
medication the past year.
It's Vomiline.
Oh, I've heard of it.
I mean, it's supposed to be a good drug,
but isn't it still in trials?
It is.
Angelica was a phase II participant.
And she was allowed
to continue on the drug
after her trial ended,
under the supervision
of one of the study's co-Pls,
a Dr. Theo Rabari.
I know Theo.
He's actually he's here at
Medi doing some research.
- I invited him.
- Yeah.
Well, that's why her mom
brought her into Med.
They were concerned she
might be experiencing
some new side effects.
OK. I'll loop him in.
Thanks.
Hey, Novak.
Wow. It's really coming down
out there, huh?
Oh, it must be nice
to be holed up at Club Med
on a day like this in your warm pajamas.
Can't lie. It is pretty snug.
You hit up a rave last night?
That is from one of my patients.
Yeah, she's a gymnast,
so that apparently
means a lot of sparkles.
Sure, sure.
Do I look like a raver to you?
I mean, there was that rumor
you're on meth, so
What?
Nothing. Yeah.
You'll be shocked to
find that I'm not, so
Good.
Yeah, I'd hate to see you
mess up those veneers.
Why do you think I have veneers?
I don't know. I thought
everyone in Hollywood had them.
It's all naturale.
Now, but my ass,
on the other hand, that's
that's BBL all the way.
Doc did good work.
I should go, but I'll
Can I maybe grab your number?
Do you have a pen?
Pen?
That's very old school.
I like it.
Here you go.
OK.
Didn't think it would
be that easy, did you?
East Mercy is dealing with
some flooding in their ED,
and their ambulances
are going to be diverted
to us and Lakeshore Memorial.
Lucky us.
Ahh!
Our latest shipment
of IV fluids is delayed.
We got one CT down.
And construction in Treatment 7
hit yet another snag.
Do you have any good news to share?
No, not really.
Have we resorted to medieval torture?
What's going on in there?
Some kind of electrical injury.
Ah!
- What happened?
- Ah!
He was working on a downed power line,
and it tripped his defibrillator.
And now it keeps shocking him.
OK, Dr. Ripley, the magnet isn't
disabling the defibrillator.
That scar from the burn is
preventing it from working.
- His pressure is dropping.
- Ah!
Call Cardiology.
- We need their CIED programmer.
- There's no time.
His heart can't take much more of this.
The next arrhythmia could kill him.
Who are you?
Lina Martinez,
third year medical student.
That's great. Please move.
- Excuse me
- Now.
Give me 10 cc's of 1% lidocaine.
What are you thinking?
Here's the lido.
Dr. Lenox?
And a scalpel.
You want to fill me in on
Whoa, whoa, whoa!
What are you what are you doing?
I got it.
Ahh!
Are you OK?
I'm fine.
Put pressure on the wound.
Now you can call Cardiology.
Don't ever do that.
Hey.
You OK?
Is your hand all right?
I am awake now.
Don't need that second cup of coffee.
You know, I could have
helped if you let me
know what you were thinking.
Well, I didn't have time
to stop and explain.
I thought that was obvious.
Is it just me, or does she seem like
a completely different person lately?
I kind of dig it.
I can't believe I'm gonna say this,
but I kind of miss the old Lenox.
Hey, Betsy.
This is Dr. Charles, our chief
psychiatrist here at Gaffney.
Hi, Betsy. How are you feeling?
Did Dr. Asher bring you in
to convince me
to go back on my narcolepsy meds?
She did not.
She just told me that you had recently
found out that you were
pregnant and had some concerns.
It just feels like no one
can tell me definitively
if there's any medications
that won't pose a risk
to the baby, even Dr. Asher.
No offense.
None taken.
Unfortunately, there just haven't been
enough narcolepsy studies
on the pregnant population
to speak in absolutes.
Exactly.
Which is why I would
really like to refer you
to a fabulous colleague of mine
who specializes
in sleep disorders and maternal health.
That would be amazing.
No one I've met with has
much experience with both.
And
and they don't
they don't want to
Oh, man.
I wish I could fall asleep like that.
Me too.
What, you you got the insomnia
pregnancy thing happening?
Yeah. Yeah.
When I do finally fall asleep,
it's, um, not exactly restful.
I know.
I can relate.
You're pregnant too?
Unfortunately not.
But I swear to God,
I feel like I've been
tossing and turning for years.
You know, I thought you look a little
- Like crap.
- I was
That's OK.
Gonna say a little tired.
- Yo, Rip.
- Hey.
Just so you know, I'm checking out
a new sublet tomorrow.
I might end up in a bag at the
bottom of the Chicago River,
but I'll be out of your hair.
What's the hurry?
I just figured since you
and Sadie called it quits,
you might need your space back.
No, I mean, there's really no rush.
The company's kind of nice,
to be honest.
- You sure about that?
- Yeah.
Oh, good. I was hoping you'd say that.
Because that mattress
in your guest room
I have not slept this good in years.
- Thank you so much.
- It's good.
Yeah.
How you holding up?
I miss Sadie and Emelia a lot,
but, um, Sadie was right to end things.
I'm starting to see that now.
Dr. Ripley, you're up.
Ambo's two minutes out.
On my way.
It wasn't even the most
difficult part of my routine.
I was just doing a pivot turn
into an arabesque
when I fell off the beam.
This is gonna set me back months.
So much for my big comeback.
Comeback?
I insisted Angelica take a break
from gymnastics for a while.
Which I'm struggling to make up for.
It was taking a toll on her body.
But actually, I was more
worried about her mind.
Mom.
So the dizziness, blurred vision,
when did that start?
24 hours ago?
I guess it was more like a week.
Could this be a side effect
of the Vomiline?
- Well, it's possible.
- Highly unlikely.
Sorry to interrupt, Dr. Charles.
We've just had very few
documented side effects
with Vomiline, really
just fatigue and dry mouth.
Have you been taking the medication
at the same time every day?
I take it right after
breakfast every morning.
OK.
Well, seems like you're
right on top of it.
Well, forgive me.
Because I'm like Dr. Charles.
I have very limited
gymnastics knowledge.
But I wonder if this could
be the same condition
that Simone Biles had.
The twisties?
That happens more when
you're midair doing things
like flips and dismounts.
How about before the competition?
You experience any nerves or anything?
Not really.
I was feeling pretty chill.
That's great, Angelica.
I know that wasn't always
the case before Vomiline.
Well, look, this is all really helpful.
Dr. Rabari and I are gonna
go compare notes
and then get back to you
soon with a plan, OK?
An MRI will rule out any neurological
or vestibular causes.
We should absolutely do that.
But?
But if it comes back clean,
we should probably
think about ramping her down
off the Vomiline, right?
See if her symptoms subside?
Buddy, look, I completely understand
what's at stake here.
We don't want an
emerging negative side effect
to blowback on your published findings.
Well, this isn't about what
is best for me or the study.
This is about what is best for Angelica.
She's finally got her life back,
and I would hate
to do anything to disrupt that
unless absolutely necessary.
Understood. How about this?
How about we see what the MRI
says and go from there?
Plan?
Sounds good.
Jeremy's CT scan shows
that his tumor isn't
responding to the new chemo.
Well, that doesn't sound good.
So he switches to
a different chemo, right?
Uh, no, I'm afraid not.
What? Why?
Well, further chemo wouldn't yield
any meaningful improvement.
What about a clinical trial,
or or surgery?
Any aggressive treatment
won't change the progression
of your disease.
So this is it?
I'm so sorry, Jeremy.
How long do I have?
A matter of weeks.
Maybe a month?
That's not enough time to meet our baby.
It's OK, honey.
It's OK.
It's OK.
I should be the one
comforting him right now.
Hey, you just got
the worst news of your life.
You are allowed to fall apart.
Is there any way I can be induced early
without jeopardizing the baby's health?
I'll be 31 weeks on Friday.
Esme, the earliest
we could possibly induce you
is 39 weeks.
Any sooner would pose risks
to the baby and to you.
I know Dr. Kingston said
further treatment was futile,
but is there any way we can
buy Jeremy a little more time?
Being a family, even just for a moment,
would mean everything to us.
- Hey, Sean.
- Hey.
- Hi.
- Good to see you.
Thanks for coming by.
- Well, of course.
- I always do when I'm in town.
Plus, you said you had some news,
so I didn't wanna miss that.
Oh, yeah? Why's that?
Well, since you always
downplay everything as a rule,
I figured it must be big,
so out with it.
Wait.
Are you sick?
No. No, I'm fine.
Hannah and I are having a baby.
Heh.
Oh, are you serious?
Yeah.
And no, we're not dating.
And yes, it was just a one-time thing.
And yes, we're going to be co-parenting.
Um
Wow.
More importantly, I just
want you to know that, um,
I'm not gonna let having this child
get in the way of our relationship.
Dad.
I'm 39 years old.
I don't feel threatened or replaced.
OK.
I'm just glad this is
happening before I have kids.
Why's that?
Can you imagine having
an aunt or an uncle
younger than you?
Smart aleck.
Thanks.
Congratulations, Dad.
Thank you, son.
Thank you.
Theo.
Can I get a word, bud?
Yeah.
Angelica's IV site was
occluded, so I flushed it.
Buddy, it's all good.
I've just never seen you
I didn't know that you
were interested in doing
- the hands-on stuff, that's all.
- Yeah.
I guess just being here
has made me realize how much
I miss the face time with patients.
Look, anytime you want to shadow me,
you're in the ED,
you're more than welcome.
Oh, yeah? Oh, that'd be great.
Yeah, man. Text me.
- We'll set it up.
- OK.
Hey, Angelica's ready
to head up for her MRI.
Do you know where her mom is?
Teri went up to get a coffee.
I'll go see if I can find her
and bring her up.
Thanks.
- Is everything OK?
- Yeah. Yeah, yeah.
Um, do me a favor.
You get that MRI back,
just call me first?
- Sure.
- Thank you.
Yeah.
Hey.
How was visiting your cousin?
Boston, it was a blast.
We actually spent time outside
in the dead of winter.
Whew.
Yeah, damn that Chicago wind chill, huh?
New tattoo?
Uh, it's, uh
can't seem to get that
number right, you know?
Novak wrote it when
Dr. Frost asked for her number.
It was adorkable.
So the rumors are true.
Congrats.
Oh, it's not like a thing.
Yet.
I didn't actually get her number, Kacy.
Something tells me you will.
I think it's adorkable.
Oh.
Well, well, well.
Looks like you're in
a classic love triangle.
For the love of God, please stop.
Aw.
If you ever decide to make
that triangle a square,
give me a call.
Yeah.
The procedure is called
a cytoreduction with HIPEC.
Once we remove all
visible signs of the tumor,
we insert a catheter
containing chemotherapy
into the abdominal cavity.
But the catheter is attached
to a perfusion machine,
which heats the chemo.
Why is it heated?
There's evidence
that hot chemo increases
its ability to penetrate
and kill cancer cells.
It will immediately target
any of the micrometastases
that we can't see.
And this could buy me enough
time to meet my daughter?
If you survive the surgery, potentially.
But as I said to Dr. Asher
when she presented me with this idea,
your PCI score and your
significant comorbidities
make this a tremendously
risky proposition.
What are the chances he won't survive?
Doesn't matter.
Either way, I'm gonna die.
But you need to understand
that your post-surgery quality
of life will be bleak at best.
You'll be bedridden.
You'll have a colostomy bag.
What would you do in my position?
If it meant I could meet my baby,
I'd roll the dice and fight for my life.
That's all I want.
I don't know, Jeremy.
I don't want you to be in pain.
Hey, I can I can handle the pain.
But this is one of those, um
those situations
what do you always call it?
A nuclear submarine situation.
It takes two keys to launch.
Then let's do it.
Well, I don't have to tell you
that time is of the essence.
So I'd like to schedule
your surgery for today.
I am ready when you are.
All right, we'll book an OR,
and we'll get you prepped.
Dr. Lenox?
Nurse Doris asked me to get a history
on the John Doe in Treatment 6.
Who are you?
We met this morning.
Lina Martinez,
third year medical student.
Seriously? You asked me to move.
Right. Yes, sorry.
Please continue.
So I tried to take a history,
but the patient won't wake up.
Maybe he's dead.
I I can tell when a patient is dead.
Are you sure?
Yeah, patients generally
stop breathing after death.
This guy's still kicking,
just very intoxicated.
Well, what's his blood alcohol?
0.275.
No wonder he's passed out.
Who brought him in?
Paramedics. He's got a
laceration along his left forearm
and bruising on the right knuckle.
They find him at the bar?
He was actually at the drug store.
The pharmacist noticed him stumbling
and slurring his words.
Dr. Lenox?
His name is Devin Carter.
So you know him?
He and his wife, Faye,
were in the ED last month.
Tell a nurse to hang a liter of saline.
And we'll deal with his
injuries when he sobers up.
I can stitch him up.
Don't touch him.
Just come find me when he's awake.
You OK?
Oh.
Yeah.
Just taking a moment before I
send a patient off to surgery.
Tough case?
Yeah, it is.
Clearly, the hormones are raging.
Hey.
Did you ever tell John how you feel?
Um, no.
Cold feet?
Epic bad timing.
He moved on to Novak pretty fast.
I'm sorry. Wait, they're dating?
They're circling each other.
OK. So make a move.
Make make a move?
He asked me out, and I said,
I don't date coworkers.
I want to give the poor guy whiplash.
OK, well, I mean, if John and
Novak were an official couple,
I'd agree with you,
but it doesn't sound like
that's the case.
So tell John how you feel.
Just put it out there.
I'm not comfortable with that.
OK.
Fair enough.
I just I think that
we need to do the things
that make us happy while
we still have the time.
Your case is a tough one, huh?
I'm sorry.
Thank you.
His blood alcohol is 0.275.
And his injuries could
be defensive wounds.
Maybe he got into it with Faye,
and she tried to fight back.
Which means she could be much
worse off than him right now.
OK.
Let me see what I can find out.
Hey.
Angelica's MRI is completely normal.
Huh.
Why am I completely unsurprised?
Well, I let Dr. Rabari know.
And get this. He asked me
to order a serum retinol test.
What?
How do you get from a clean MRI
to a vitamin A test?
No clue.
Look, I hope I'm not
speaking out of turn,
but Dr. Rabari is reaching, all right?
It's like he's trying
to find any other cause
for Angelica's symptoms
other than the Vomiline.
Tell me about it.
Rec hockey, huh?
Yeah.
Guy came out of nowhere,
checked me against the boards,
and then I hit my head
against the glass, went down.
And then the moron skated over my arm.
- Ow.
- Ouch.
- On purpose?
- No.
Accidents happen.
Ah.
I punched the ice.
Can you make a fist for me?
Now release, and wiggle your fingers.
- Mm.
- OK.
Well, I don't think anything's broken.
That's a relief.
So, uh, when they brought
you in, you were passed out.
What happened there?
I, uh
I was hurting pretty bad after the game,
and I thought I could drink it off,
but obviously, I went a little too hard.
How'd you end up at a pharmacy?
I got it in my head
that I could fix myself up
with some Neosporin and an ACE bandage.
Right.
Well, it's gonna take
a little more than that.
You, uh you need stitches.
Sure.
You wanna give Faye a call?
Good memory.
Uh, you know, she's actually
out of town, visiting her dad.
And I don't think she'd be
too happy about this, so
Yeah, yeah. I hear you.
Well, just sit tight,
and I'll be back soon
to stitch you up
and get you some pain meds, OK?
- He's lying.
- Agreed.
But how do we prove it?
Let's call Faye.
- That is a bad idea.
- Do you have a better one?
Yeah, we call CPD,
ask them to do a welfare check.
Devin and Faye live in the burbs
outside of CPD's jurisdiction,
and with the storm outside,
the local police
are going to be swamped,
and this won't be a priority.
Dr. Ripley, ambo's two minutes out.
Single MVC. You're on deck.
Hold on a second.
Just keep Devin here until I'm back.
Hey, there.
Dr. Frost told me that you
ordered a serum retinol test
for Angelica?
Yes. I had a hunch.
The results are back.
Whoa. 240.
That is a toxic level of vitamin A.
Explains the dizziness
and the blurred vision.
Seems like we found our culprit.
Yeah.
And it wasn't Vomiline after all.
What do you know?
Is there a problem?
No, not at all.
I mean, good catch.
Vitamin A toxicity? Pretty rare.
I mean, certainly, it wouldn't
have been my first guess,
I can tell you that much.
It wasn't my first guess either.
Wouldn't have been my 10th guess.
How'd you get there?
When I saw Angelica with her hair down,
I noticed it was a lot thinner
than I remembered.
And she confirmed
that it was falling out
in the shower lately, so
So you went into her room
to flush her IV
while her mom was out getting coffee?
What are you getting at, Dr. Charles?
Well, it's just
a little curious, you know?
You order a targeted lab
for a very common substance
that conveniently covers
all of Angelica's symptoms
and exonerates Vomiline
for your trial in the process.
You can't be serious.
You think I would dose
a patient to protect
the results of a study?
Isn't the more likely explanation
that Angelica or Teri
are hiding something from us?
You know what?
I'd like to think
I'm pretty good at detecting
when people are concealing
things from me.
Is that right?
Yeah.
Look, we have the results.
Let's just go and ask Teri
and Angelica directly.
Fine by me.
Wait, wait!
Hey.
Love you.
I love you, too, so much.
Thanks for not trying to stop me.
Oh.
Like anyone ever could.
I really outdid it with the
man flu this time, didn't I?
We're a ridiculous pair, huh?
Well, I wouldn't have it any other way.
I'll see you soon, OK?
I'll see you soon.
That felt like goodbye.
Hey.
You just focus on bringing that
little girl into the world.
OK?
Angelica uses a daily multivitamin,
but she's been on it
for years without an issue.
I showed Dr. Frost my food log.
Which he shared with me.
And nothing on the list would
cause vitamin A toxicity.
Angelica, I know comebacks,
you know, can be tough.
Take anything for a shortcut?
- Shortcuts?
- Yeah.
Sometimes athletes take things
to enhance their performance.
You mean steroids? Of course not.
Angelica, you can't be
loose with the truth here.
Your health depends on it.
You think I do that?
I think you feel a lot of pressure
to catch back up with the team.
Gymnasts get disqualified
for taking steroids.
I would never do that, OK?
I believe you.
Glad somebody does.
The only thing I use
to enhance my performance
is glitter, which is
totally allowed, by the way.
How often do you use glitter?
Mostly just on competition days.
Had a fair amount of those
recently, haven't you?
She's had qualifying events
every other day for the past month.
Right.
And do you mind me asking
what kind of products
do you use to apply the glitter?
Um, so much.
Hair gel, body butter,
eyeshadow, lip gloss.
Do you happen to have
any of those with you today?
Yeah, in my bag.
Sodium hyaluronate,
rosehip oil, shea butter,
retinol, tretinoin.
What's wrong?
Well, retinol is just
another name for vitamin A,
and tretinoin is actually
the strongest form of it.
Not supposed to be available
for over-the-counter use.
More than half the
ingredients in these products
contain forms of vitamin A.
You know, it's unusual
for your body to absorb enough
vitamin A through the skin
to cause toxicity,
but it can happen with prolonged use
of high-dose topical retinoids.
I've been literally
poisoning myself with glitter?
You have.
But you stop using these
products immediately,
your body will clear the excess
vitamin A in a matter of weeks.
I'm sorry that I accused you.
I get it. I went overboard last year.
And you were right
to make me take a break.
But I'm fine now, OK?
- I promise.
- OK.
But your glitter days are over.
You shine plenty without it.
How did you figure out
it was her glitter?
Oh, it was, um
it was Dr. Rabari's idea
to order the serum retinol test.
Just glad that we got
to the bottom of it.
- Hey.
- Hey.
I've been looking for you.
Here I am.
I just wanted to
apologize for Kacy earlier.
She's, uh
A lot?
I was gonna say an acquired taste?
Yeah, Kacy's gonna be Kacy.
Yeah, facts.
- But you're good?
- Yeah.
OK. Good.
John?
Yeah.
I should have said yes
when you asked me out the other week.
- Oh.
- Please, just listen.
I've had feelings for you
for a long time.
I think you knew that from the start.
But I get in my head.
I overthink things.
I create obstacles and unrealistic rules
that keep my life as simple and
as uncomplicated as possible.
We missed our window, and
and I'm fine with that.
This isn't a declaration of love.
And Novak is pretty damn great.
Yeah.
Why say anything now, though?
Because I needed to.
Thanks.
This tumor is more involved
than the CT alluded.
Give me a little more countertraction.
I'm going to start
to lyse these adhesions.
Hope you didn't feel
bulldozed into presenting
this surgery to the Lockharts.
Bulldozed by two ED dwellers?
Oh, please.
Typical, boy.
What's typical?
Well, you hotshots upstairs
looking down at us
Emergency Department plebs.
I gather from what you told
Jeremy today you have kids?
A son, Sean. Yeah.
You?
No, never wanted them.
I don't hear regret in your voice.
It was the right choice for me.
Do I hear a "but"?
You hear an "and."
I admire the bond between
parents and their children.
It is powerful.
You still married?
Uh, no, it's
not for a long time.
Same.
You single?
I am.
Same.
How do you feel about music
in the OR, Dr. Archer?
Only if it's good music.
You know Cannonball Adderley?
One of the greats.
Hey, Kelly, start my mix.
Come in.
Hey, got your text.
Theo, come on in.
Got a meeting in 10.
I'll be quick, I promise.
Um, look, I
I owe you an apology.
I thought you were
overprotecting your
your Vomiline study, and I was wrong.
And I'm I'm sorry.
You questioned my integrity.
I know.
Is something going on with me?
I I I don't know what it is.
I'm looking into it.
But it's, like, affecting
my judgment, you know?
And I just reached an unfair conclusion.
And again, I apologize.
If I'm being honest with myself,
maybe I was spinning
the lack of side effects
with Angelica and her mom a bit.
Buddy, I get it.
This study is a really big deal.
But Dr. Charles, I would never
sacrifice a patient's health.
Of course you wouldn't. I know that.
Not for nothing.
Your vitamin A glitter glue connection?
That was pretty impressive.
I don't know, man.
Maybe maybe we're a team.
Maybe.
Oh, hey.
You know that patient you
asked me to keep an eye on?
- Yeah.
- Just tried to leave.
- He's getting antsy.
- OK, thanks.
Everything OK?
I thought you said you'd be right back.
Yeah. Yeah, sorry.
Just waiting on the
the logjam to clear upstairs
so we can get you to CT.
CT.
What what is that?
Oh, um, computed tomography scan.
It's an imaging test.
It'll give me a better idea
of the extent of the injuries.
Oh, OK.
And we need that for a cut on my arm?
Well, you said you hit your head, right,
on the glass before you went down?
Yeah.
I but I didn't hit it that hard.
Well, still, it's concussion protocol.
I'd get in some pretty big trouble
if it turned out you had a brain bleed.
Look, Doc, I
my head feels fine.
So can you help a guy out
and stitch me up
so I can go home?
Tell you what.
As soon as you're back from CT,
you'll be first on that list.
I promise.
Just hang tight.
You got it.
The tumor has a local extension
into the splenic artery.
Hand me the ligature, please.
After that last unit, base deficit is 0.
- Vitals stable.
- OK.
Starting to separate
the plane around the artery.
What the hell was that?
What happened?
I'm guessing the storm
knocked the power out.
What about Jeremy? How will they
It's OK, it's OK.
The hospital has backup generators.
They'll kick in any second now.
I'll start bagging. Get vitals manually.
We have to keep
the graspers completely still.
The slightest shift could
lacerate the splenic artery.
We're flying blind here.
Where the hell are the generators?
The hospital should have
switched over by now.
Would you please find out
what's going on?
Blood pressure's down 80 over 40.
If we don't do something soon,
Jeremy could die on the table.
Faye?
Faye, it's Dr. Caitlin Lenox
from Chicago Med!
Faye?
Faye?
Faye!
Faye.
Faye.
Oh, my God, Faye!
You're OK. I'm here. I'm here.
I'm gonna sit you up
to help you breathe.
It's gonna hurt, but I'm
gonna do it really fast, OK?
One, two, three.
You're OK.
I'm gonna get you out of here.
Thank you. Thank you.
One second. One second.
OK.
Oh, come on, come on, come on.
OK.
I don't have service down here,
so I have to go upstairs
No, don't to call for help.
Don't leave. Please don't leave me.
I'm not leaving you. I promise.
I'll be right back.
OK.
No!
domestic violence,
reach out, ask for help.
I'm fine.
It was just a mix-up.
Thank you for saving her life.
I know how much attention
you paid to her.
Well, I wish I could have done more.
I saw a buildup
of fluid in the abdomen.
You think I have stomach cancer?
- We have a baby on the way.
- What
We're gonna get through this.
John asked me out today.
Why did you say no?
I should have said yes.
I really like John.
There is a tremendous amount
of potential in this tech.
You want me to let a machine tell me
what's going on with my patient?
We might have gotten off
on the wrong foot.
Maybe there is a place
for you here at Gaffney.
Hannah!
- She's lost too much blood.
- Her pressure's dropping.
She's bleeding out.
Jeremy Lockhart, 32-year-old male
with gastric adenocarcinoma,
complaining of severe abdominal pain,
persistent vomiting, and hematemesis.
Started a liter
of normal saline in the ambo.
Heart rate's 140. BP's 115/72.
This is his wife, Esme.
When did he start to vomit?
Around 2:00 a.m.
I called 911 as soon as I saw blood.
So you're under the care of Dr. Kingston
Surgical Oncology then.
Yes, that's right.
- All right, everybody.
- On my count.
Ready? One, two, three.
All right, let's start with
4 of Zofran and 50 of fentanyl.
On it.
Jeremy's on a chemo regimen
of 5-fluorouracil
and cisplatin.
Just finished his last cycle on Friday.
Everything was going
smoothly until last night.
Yeah, I've actually tolerated this combo
way better than the last one.
Esme?
Hey, Jeremy.
Dr. Asher.
- You all know each other?
- Yeah.
Long story short, Dr. Asher's been
my own personal guardian angel.
How you holding up?
I've been better.
But so long as the chemo keeps
doing its job, I can take it.
Oh, sweetie.
Let's get those to the labs
and type and cross, 2 and 2,
and an abdominal CT.
- Yeah.
- Thanks.
I'll call Dr. Kingston,
let her know you're here.
- Can I get you anything, Esme?
- A cup of tea?
- I'm all right.
- OK.
I'll check back soon.
Thanks.
Dr. Charles?
Got a minute?
Yeah.
Patient in 4, Angelica Larson,
she broke her ankle during
a gymnastics competition.
In the middle of her beam routine,
said she got dizzy,
couldn't see straight.
Hate it when that happens.
Yeah.
Well, I ran a full workup
of all the usual suspects.
Everything came back normal.
But you think there's a psych issue.
Well, Angelica has been on
this new anti-anxiety
medication the past year.
It's Vomiline.
Oh, I've heard of it.
I mean, it's supposed to be a good drug,
but isn't it still in trials?
It is.
Angelica was a phase II participant.
And she was allowed
to continue on the drug
after her trial ended,
under the supervision
of one of the study's co-Pls,
a Dr. Theo Rabari.
I know Theo.
He's actually he's here at
Medi doing some research.
- I invited him.
- Yeah.
Well, that's why her mom
brought her into Med.
They were concerned she
might be experiencing
some new side effects.
OK. I'll loop him in.
Thanks.
Hey, Novak.
Wow. It's really coming down
out there, huh?
Oh, it must be nice
to be holed up at Club Med
on a day like this in your warm pajamas.
Can't lie. It is pretty snug.
You hit up a rave last night?
That is from one of my patients.
Yeah, she's a gymnast,
so that apparently
means a lot of sparkles.
Sure, sure.
Do I look like a raver to you?
I mean, there was that rumor
you're on meth, so
What?
Nothing. Yeah.
You'll be shocked to
find that I'm not, so
Good.
Yeah, I'd hate to see you
mess up those veneers.
Why do you think I have veneers?
I don't know. I thought
everyone in Hollywood had them.
It's all naturale.
Now, but my ass,
on the other hand, that's
that's BBL all the way.
Doc did good work.
I should go, but I'll
Can I maybe grab your number?
Do you have a pen?
Pen?
That's very old school.
I like it.
Here you go.
OK.
Didn't think it would
be that easy, did you?
East Mercy is dealing with
some flooding in their ED,
and their ambulances
are going to be diverted
to us and Lakeshore Memorial.
Lucky us.
Ahh!
Our latest shipment
of IV fluids is delayed.
We got one CT down.
And construction in Treatment 7
hit yet another snag.
Do you have any good news to share?
No, not really.
Have we resorted to medieval torture?
What's going on in there?
Some kind of electrical injury.
Ah!
- What happened?
- Ah!
He was working on a downed power line,
and it tripped his defibrillator.
And now it keeps shocking him.
OK, Dr. Ripley, the magnet isn't
disabling the defibrillator.
That scar from the burn is
preventing it from working.
- His pressure is dropping.
- Ah!
Call Cardiology.
- We need their CIED programmer.
- There's no time.
His heart can't take much more of this.
The next arrhythmia could kill him.
Who are you?
Lina Martinez,
third year medical student.
That's great. Please move.
- Excuse me
- Now.
Give me 10 cc's of 1% lidocaine.
What are you thinking?
Here's the lido.
Dr. Lenox?
And a scalpel.
You want to fill me in on
Whoa, whoa, whoa!
What are you what are you doing?
I got it.
Ahh!
Are you OK?
I'm fine.
Put pressure on the wound.
Now you can call Cardiology.
Don't ever do that.
Hey.
You OK?
Is your hand all right?
I am awake now.
Don't need that second cup of coffee.
You know, I could have
helped if you let me
know what you were thinking.
Well, I didn't have time
to stop and explain.
I thought that was obvious.
Is it just me, or does she seem like
a completely different person lately?
I kind of dig it.
I can't believe I'm gonna say this,
but I kind of miss the old Lenox.
Hey, Betsy.
This is Dr. Charles, our chief
psychiatrist here at Gaffney.
Hi, Betsy. How are you feeling?
Did Dr. Asher bring you in
to convince me
to go back on my narcolepsy meds?
She did not.
She just told me that you had recently
found out that you were
pregnant and had some concerns.
It just feels like no one
can tell me definitively
if there's any medications
that won't pose a risk
to the baby, even Dr. Asher.
No offense.
None taken.
Unfortunately, there just haven't been
enough narcolepsy studies
on the pregnant population
to speak in absolutes.
Exactly.
Which is why I would
really like to refer you
to a fabulous colleague of mine
who specializes
in sleep disorders and maternal health.
That would be amazing.
No one I've met with has
much experience with both.
And
and they don't
they don't want to
Oh, man.
I wish I could fall asleep like that.
Me too.
What, you you got the insomnia
pregnancy thing happening?
Yeah. Yeah.
When I do finally fall asleep,
it's, um, not exactly restful.
I know.
I can relate.
You're pregnant too?
Unfortunately not.
But I swear to God,
I feel like I've been
tossing and turning for years.
You know, I thought you look a little
- Like crap.
- I was
That's OK.
Gonna say a little tired.
- Yo, Rip.
- Hey.
Just so you know, I'm checking out
a new sublet tomorrow.
I might end up in a bag at the
bottom of the Chicago River,
but I'll be out of your hair.
What's the hurry?
I just figured since you
and Sadie called it quits,
you might need your space back.
No, I mean, there's really no rush.
The company's kind of nice,
to be honest.
- You sure about that?
- Yeah.
Oh, good. I was hoping you'd say that.
Because that mattress
in your guest room
I have not slept this good in years.
- Thank you so much.
- It's good.
Yeah.
How you holding up?
I miss Sadie and Emelia a lot,
but, um, Sadie was right to end things.
I'm starting to see that now.
Dr. Ripley, you're up.
Ambo's two minutes out.
On my way.
It wasn't even the most
difficult part of my routine.
I was just doing a pivot turn
into an arabesque
when I fell off the beam.
This is gonna set me back months.
So much for my big comeback.
Comeback?
I insisted Angelica take a break
from gymnastics for a while.
Which I'm struggling to make up for.
It was taking a toll on her body.
But actually, I was more
worried about her mind.
Mom.
So the dizziness, blurred vision,
when did that start?
24 hours ago?
I guess it was more like a week.
Could this be a side effect
of the Vomiline?
- Well, it's possible.
- Highly unlikely.
Sorry to interrupt, Dr. Charles.
We've just had very few
documented side effects
with Vomiline, really
just fatigue and dry mouth.
Have you been taking the medication
at the same time every day?
I take it right after
breakfast every morning.
OK.
Well, seems like you're
right on top of it.
Well, forgive me.
Because I'm like Dr. Charles.
I have very limited
gymnastics knowledge.
But I wonder if this could
be the same condition
that Simone Biles had.
The twisties?
That happens more when
you're midair doing things
like flips and dismounts.
How about before the competition?
You experience any nerves or anything?
Not really.
I was feeling pretty chill.
That's great, Angelica.
I know that wasn't always
the case before Vomiline.
Well, look, this is all really helpful.
Dr. Rabari and I are gonna
go compare notes
and then get back to you
soon with a plan, OK?
An MRI will rule out any neurological
or vestibular causes.
We should absolutely do that.
But?
But if it comes back clean,
we should probably
think about ramping her down
off the Vomiline, right?
See if her symptoms subside?
Buddy, look, I completely understand
what's at stake here.
We don't want an
emerging negative side effect
to blowback on your published findings.
Well, this isn't about what
is best for me or the study.
This is about what is best for Angelica.
She's finally got her life back,
and I would hate
to do anything to disrupt that
unless absolutely necessary.
Understood. How about this?
How about we see what the MRI
says and go from there?
Plan?
Sounds good.
Jeremy's CT scan shows
that his tumor isn't
responding to the new chemo.
Well, that doesn't sound good.
So he switches to
a different chemo, right?
Uh, no, I'm afraid not.
What? Why?
Well, further chemo wouldn't yield
any meaningful improvement.
What about a clinical trial,
or or surgery?
Any aggressive treatment
won't change the progression
of your disease.
So this is it?
I'm so sorry, Jeremy.
How long do I have?
A matter of weeks.
Maybe a month?
That's not enough time to meet our baby.
It's OK, honey.
It's OK.
It's OK.
I should be the one
comforting him right now.
Hey, you just got
the worst news of your life.
You are allowed to fall apart.
Is there any way I can be induced early
without jeopardizing the baby's health?
I'll be 31 weeks on Friday.
Esme, the earliest
we could possibly induce you
is 39 weeks.
Any sooner would pose risks
to the baby and to you.
I know Dr. Kingston said
further treatment was futile,
but is there any way we can
buy Jeremy a little more time?
Being a family, even just for a moment,
would mean everything to us.
- Hey, Sean.
- Hey.
- Hi.
- Good to see you.
Thanks for coming by.
- Well, of course.
- I always do when I'm in town.
Plus, you said you had some news,
so I didn't wanna miss that.
Oh, yeah? Why's that?
Well, since you always
downplay everything as a rule,
I figured it must be big,
so out with it.
Wait.
Are you sick?
No. No, I'm fine.
Hannah and I are having a baby.
Heh.
Oh, are you serious?
Yeah.
And no, we're not dating.
And yes, it was just a one-time thing.
And yes, we're going to be co-parenting.
Um
Wow.
More importantly, I just
want you to know that, um,
I'm not gonna let having this child
get in the way of our relationship.
Dad.
I'm 39 years old.
I don't feel threatened or replaced.
OK.
I'm just glad this is
happening before I have kids.
Why's that?
Can you imagine having
an aunt or an uncle
younger than you?
Smart aleck.
Thanks.
Congratulations, Dad.
Thank you, son.
Thank you.
Theo.
Can I get a word, bud?
Yeah.
Angelica's IV site was
occluded, so I flushed it.
Buddy, it's all good.
I've just never seen you
I didn't know that you
were interested in doing
- the hands-on stuff, that's all.
- Yeah.
I guess just being here
has made me realize how much
I miss the face time with patients.
Look, anytime you want to shadow me,
you're in the ED,
you're more than welcome.
Oh, yeah? Oh, that'd be great.
Yeah, man. Text me.
- We'll set it up.
- OK.
Hey, Angelica's ready
to head up for her MRI.
Do you know where her mom is?
Teri went up to get a coffee.
I'll go see if I can find her
and bring her up.
Thanks.
- Is everything OK?
- Yeah. Yeah, yeah.
Um, do me a favor.
You get that MRI back,
just call me first?
- Sure.
- Thank you.
Yeah.
Hey.
How was visiting your cousin?
Boston, it was a blast.
We actually spent time outside
in the dead of winter.
Whew.
Yeah, damn that Chicago wind chill, huh?
New tattoo?
Uh, it's, uh
can't seem to get that
number right, you know?
Novak wrote it when
Dr. Frost asked for her number.
It was adorkable.
So the rumors are true.
Congrats.
Oh, it's not like a thing.
Yet.
I didn't actually get her number, Kacy.
Something tells me you will.
I think it's adorkable.
Oh.
Well, well, well.
Looks like you're in
a classic love triangle.
For the love of God, please stop.
Aw.
If you ever decide to make
that triangle a square,
give me a call.
Yeah.
The procedure is called
a cytoreduction with HIPEC.
Once we remove all
visible signs of the tumor,
we insert a catheter
containing chemotherapy
into the abdominal cavity.
But the catheter is attached
to a perfusion machine,
which heats the chemo.
Why is it heated?
There's evidence
that hot chemo increases
its ability to penetrate
and kill cancer cells.
It will immediately target
any of the micrometastases
that we can't see.
And this could buy me enough
time to meet my daughter?
If you survive the surgery, potentially.
But as I said to Dr. Asher
when she presented me with this idea,
your PCI score and your
significant comorbidities
make this a tremendously
risky proposition.
What are the chances he won't survive?
Doesn't matter.
Either way, I'm gonna die.
But you need to understand
that your post-surgery quality
of life will be bleak at best.
You'll be bedridden.
You'll have a colostomy bag.
What would you do in my position?
If it meant I could meet my baby,
I'd roll the dice and fight for my life.
That's all I want.
I don't know, Jeremy.
I don't want you to be in pain.
Hey, I can I can handle the pain.
But this is one of those, um
those situations
what do you always call it?
A nuclear submarine situation.
It takes two keys to launch.
Then let's do it.
Well, I don't have to tell you
that time is of the essence.
So I'd like to schedule
your surgery for today.
I am ready when you are.
All right, we'll book an OR,
and we'll get you prepped.
Dr. Lenox?
Nurse Doris asked me to get a history
on the John Doe in Treatment 6.
Who are you?
We met this morning.
Lina Martinez,
third year medical student.
Seriously? You asked me to move.
Right. Yes, sorry.
Please continue.
So I tried to take a history,
but the patient won't wake up.
Maybe he's dead.
I I can tell when a patient is dead.
Are you sure?
Yeah, patients generally
stop breathing after death.
This guy's still kicking,
just very intoxicated.
Well, what's his blood alcohol?
0.275.
No wonder he's passed out.
Who brought him in?
Paramedics. He's got a
laceration along his left forearm
and bruising on the right knuckle.
They find him at the bar?
He was actually at the drug store.
The pharmacist noticed him stumbling
and slurring his words.
Dr. Lenox?
His name is Devin Carter.
So you know him?
He and his wife, Faye,
were in the ED last month.
Tell a nurse to hang a liter of saline.
And we'll deal with his
injuries when he sobers up.
I can stitch him up.
Don't touch him.
Just come find me when he's awake.
You OK?
Oh.
Yeah.
Just taking a moment before I
send a patient off to surgery.
Tough case?
Yeah, it is.
Clearly, the hormones are raging.
Hey.
Did you ever tell John how you feel?
Um, no.
Cold feet?
Epic bad timing.
He moved on to Novak pretty fast.
I'm sorry. Wait, they're dating?
They're circling each other.
OK. So make a move.
Make make a move?
He asked me out, and I said,
I don't date coworkers.
I want to give the poor guy whiplash.
OK, well, I mean, if John and
Novak were an official couple,
I'd agree with you,
but it doesn't sound like
that's the case.
So tell John how you feel.
Just put it out there.
I'm not comfortable with that.
OK.
Fair enough.
I just I think that
we need to do the things
that make us happy while
we still have the time.
Your case is a tough one, huh?
I'm sorry.
Thank you.
His blood alcohol is 0.275.
And his injuries could
be defensive wounds.
Maybe he got into it with Faye,
and she tried to fight back.
Which means she could be much
worse off than him right now.
OK.
Let me see what I can find out.
Hey.
Angelica's MRI is completely normal.
Huh.
Why am I completely unsurprised?
Well, I let Dr. Rabari know.
And get this. He asked me
to order a serum retinol test.
What?
How do you get from a clean MRI
to a vitamin A test?
No clue.
Look, I hope I'm not
speaking out of turn,
but Dr. Rabari is reaching, all right?
It's like he's trying
to find any other cause
for Angelica's symptoms
other than the Vomiline.
Tell me about it.
Rec hockey, huh?
Yeah.
Guy came out of nowhere,
checked me against the boards,
and then I hit my head
against the glass, went down.
And then the moron skated over my arm.
- Ow.
- Ouch.
- On purpose?
- No.
Accidents happen.
Ah.
I punched the ice.
Can you make a fist for me?
Now release, and wiggle your fingers.
- Mm.
- OK.
Well, I don't think anything's broken.
That's a relief.
So, uh, when they brought
you in, you were passed out.
What happened there?
I, uh
I was hurting pretty bad after the game,
and I thought I could drink it off,
but obviously, I went a little too hard.
How'd you end up at a pharmacy?
I got it in my head
that I could fix myself up
with some Neosporin and an ACE bandage.
Right.
Well, it's gonna take
a little more than that.
You, uh you need stitches.
Sure.
You wanna give Faye a call?
Good memory.
Uh, you know, she's actually
out of town, visiting her dad.
And I don't think she'd be
too happy about this, so
Yeah, yeah. I hear you.
Well, just sit tight,
and I'll be back soon
to stitch you up
and get you some pain meds, OK?
- He's lying.
- Agreed.
But how do we prove it?
Let's call Faye.
- That is a bad idea.
- Do you have a better one?
Yeah, we call CPD,
ask them to do a welfare check.
Devin and Faye live in the burbs
outside of CPD's jurisdiction,
and with the storm outside,
the local police
are going to be swamped,
and this won't be a priority.
Dr. Ripley, ambo's two minutes out.
Single MVC. You're on deck.
Hold on a second.
Just keep Devin here until I'm back.
Hey, there.
Dr. Frost told me that you
ordered a serum retinol test
for Angelica?
Yes. I had a hunch.
The results are back.
Whoa. 240.
That is a toxic level of vitamin A.
Explains the dizziness
and the blurred vision.
Seems like we found our culprit.
Yeah.
And it wasn't Vomiline after all.
What do you know?
Is there a problem?
No, not at all.
I mean, good catch.
Vitamin A toxicity? Pretty rare.
I mean, certainly, it wouldn't
have been my first guess,
I can tell you that much.
It wasn't my first guess either.
Wouldn't have been my 10th guess.
How'd you get there?
When I saw Angelica with her hair down,
I noticed it was a lot thinner
than I remembered.
And she confirmed
that it was falling out
in the shower lately, so
So you went into her room
to flush her IV
while her mom was out getting coffee?
What are you getting at, Dr. Charles?
Well, it's just
a little curious, you know?
You order a targeted lab
for a very common substance
that conveniently covers
all of Angelica's symptoms
and exonerates Vomiline
for your trial in the process.
You can't be serious.
You think I would dose
a patient to protect
the results of a study?
Isn't the more likely explanation
that Angelica or Teri
are hiding something from us?
You know what?
I'd like to think
I'm pretty good at detecting
when people are concealing
things from me.
Is that right?
Yeah.
Look, we have the results.
Let's just go and ask Teri
and Angelica directly.
Fine by me.
Wait, wait!
Hey.
Love you.
I love you, too, so much.
Thanks for not trying to stop me.
Oh.
Like anyone ever could.
I really outdid it with the
man flu this time, didn't I?
We're a ridiculous pair, huh?
Well, I wouldn't have it any other way.
I'll see you soon, OK?
I'll see you soon.
That felt like goodbye.
Hey.
You just focus on bringing that
little girl into the world.
OK?
Angelica uses a daily multivitamin,
but she's been on it
for years without an issue.
I showed Dr. Frost my food log.
Which he shared with me.
And nothing on the list would
cause vitamin A toxicity.
Angelica, I know comebacks,
you know, can be tough.
Take anything for a shortcut?
- Shortcuts?
- Yeah.
Sometimes athletes take things
to enhance their performance.
You mean steroids? Of course not.
Angelica, you can't be
loose with the truth here.
Your health depends on it.
You think I do that?
I think you feel a lot of pressure
to catch back up with the team.
Gymnasts get disqualified
for taking steroids.
I would never do that, OK?
I believe you.
Glad somebody does.
The only thing I use
to enhance my performance
is glitter, which is
totally allowed, by the way.
How often do you use glitter?
Mostly just on competition days.
Had a fair amount of those
recently, haven't you?
She's had qualifying events
every other day for the past month.
Right.
And do you mind me asking
what kind of products
do you use to apply the glitter?
Um, so much.
Hair gel, body butter,
eyeshadow, lip gloss.
Do you happen to have
any of those with you today?
Yeah, in my bag.
Sodium hyaluronate,
rosehip oil, shea butter,
retinol, tretinoin.
What's wrong?
Well, retinol is just
another name for vitamin A,
and tretinoin is actually
the strongest form of it.
Not supposed to be available
for over-the-counter use.
More than half the
ingredients in these products
contain forms of vitamin A.
You know, it's unusual
for your body to absorb enough
vitamin A through the skin
to cause toxicity,
but it can happen with prolonged use
of high-dose topical retinoids.
I've been literally
poisoning myself with glitter?
You have.
But you stop using these
products immediately,
your body will clear the excess
vitamin A in a matter of weeks.
I'm sorry that I accused you.
I get it. I went overboard last year.
And you were right
to make me take a break.
But I'm fine now, OK?
- I promise.
- OK.
But your glitter days are over.
You shine plenty without it.
How did you figure out
it was her glitter?
Oh, it was, um
it was Dr. Rabari's idea
to order the serum retinol test.
Just glad that we got
to the bottom of it.
- Hey.
- Hey.
I've been looking for you.
Here I am.
I just wanted to
apologize for Kacy earlier.
She's, uh
A lot?
I was gonna say an acquired taste?
Yeah, Kacy's gonna be Kacy.
Yeah, facts.
- But you're good?
- Yeah.
OK. Good.
John?
Yeah.
I should have said yes
when you asked me out the other week.
- Oh.
- Please, just listen.
I've had feelings for you
for a long time.
I think you knew that from the start.
But I get in my head.
I overthink things.
I create obstacles and unrealistic rules
that keep my life as simple and
as uncomplicated as possible.
We missed our window, and
and I'm fine with that.
This isn't a declaration of love.
And Novak is pretty damn great.
Yeah.
Why say anything now, though?
Because I needed to.
Thanks.
This tumor is more involved
than the CT alluded.
Give me a little more countertraction.
I'm going to start
to lyse these adhesions.
Hope you didn't feel
bulldozed into presenting
this surgery to the Lockharts.
Bulldozed by two ED dwellers?
Oh, please.
Typical, boy.
What's typical?
Well, you hotshots upstairs
looking down at us
Emergency Department plebs.
I gather from what you told
Jeremy today you have kids?
A son, Sean. Yeah.
You?
No, never wanted them.
I don't hear regret in your voice.
It was the right choice for me.
Do I hear a "but"?
You hear an "and."
I admire the bond between
parents and their children.
It is powerful.
You still married?
Uh, no, it's
not for a long time.
Same.
You single?
I am.
Same.
How do you feel about music
in the OR, Dr. Archer?
Only if it's good music.
You know Cannonball Adderley?
One of the greats.
Hey, Kelly, start my mix.
Come in.
Hey, got your text.
Theo, come on in.
Got a meeting in 10.
I'll be quick, I promise.
Um, look, I
I owe you an apology.
I thought you were
overprotecting your
your Vomiline study, and I was wrong.
And I'm I'm sorry.
You questioned my integrity.
I know.
Is something going on with me?
I I I don't know what it is.
I'm looking into it.
But it's, like, affecting
my judgment, you know?
And I just reached an unfair conclusion.
And again, I apologize.
If I'm being honest with myself,
maybe I was spinning
the lack of side effects
with Angelica and her mom a bit.
Buddy, I get it.
This study is a really big deal.
But Dr. Charles, I would never
sacrifice a patient's health.
Of course you wouldn't. I know that.
Not for nothing.
Your vitamin A glitter glue connection?
That was pretty impressive.
I don't know, man.
Maybe maybe we're a team.
Maybe.
Oh, hey.
You know that patient you
asked me to keep an eye on?
- Yeah.
- Just tried to leave.
- He's getting antsy.
- OK, thanks.
Everything OK?
I thought you said you'd be right back.
Yeah. Yeah, sorry.
Just waiting on the
the logjam to clear upstairs
so we can get you to CT.
CT.
What what is that?
Oh, um, computed tomography scan.
It's an imaging test.
It'll give me a better idea
of the extent of the injuries.
Oh, OK.
And we need that for a cut on my arm?
Well, you said you hit your head, right,
on the glass before you went down?
Yeah.
I but I didn't hit it that hard.
Well, still, it's concussion protocol.
I'd get in some pretty big trouble
if it turned out you had a brain bleed.
Look, Doc, I
my head feels fine.
So can you help a guy out
and stitch me up
so I can go home?
Tell you what.
As soon as you're back from CT,
you'll be first on that list.
I promise.
Just hang tight.
You got it.
The tumor has a local extension
into the splenic artery.
Hand me the ligature, please.
After that last unit, base deficit is 0.
- Vitals stable.
- OK.
Starting to separate
the plane around the artery.
What the hell was that?
What happened?
I'm guessing the storm
knocked the power out.
What about Jeremy? How will they
It's OK, it's OK.
The hospital has backup generators.
They'll kick in any second now.
I'll start bagging. Get vitals manually.
We have to keep
the graspers completely still.
The slightest shift could
lacerate the splenic artery.
We're flying blind here.
Where the hell are the generators?
The hospital should have
switched over by now.
Would you please find out
what's going on?
Blood pressure's down 80 over 40.
If we don't do something soon,
Jeremy could die on the table.
Faye?
Faye, it's Dr. Caitlin Lenox
from Chicago Med!
Faye?
Faye?
Faye!
Faye.
Faye.
Oh, my God, Faye!
You're OK. I'm here. I'm here.
I'm gonna sit you up
to help you breathe.
It's gonna hurt, but I'm
gonna do it really fast, OK?
One, two, three.
You're OK.
I'm gonna get you out of here.
Thank you. Thank you.
One second. One second.
OK.
Oh, come on, come on, come on.
OK.
I don't have service down here,
so I have to go upstairs
No, don't to call for help.
Don't leave. Please don't leave me.
I'm not leaving you. I promise.
I'll be right back.
OK.
No!