Chicago Med (2015) s11e14 Episode Script
Twist & Shout
1
We keep flirting
with this idea of stopping.
What if we didn't?
What does that mean, exactly?
Seeing where this leads.
Do you want to get out of here?
[DRAMATIC MUSIC]
You've put on weight.
What do you want?
- We just want to see
- I'm sick.
Secondary progressive MS.
We want to reconnect with our son.
It doesn't just erase
how my dad has treated me my whole life.
Someday, your parents will be gone.
And however you leave things,
that's how it will stay forever.
♪
And we still got another
five green t-shirts
to give away to the unlucky
listener who calls in
with the most sad sack story
of misfortune and woe.
- Hi.
- Hi.
I'm just looking for a couple of guests,
James and Celeste Frost.
[SIGHS] I'm sorry.
I'm not seeing anyone
staying here under that name.
Oh, maybe you could just check again?
Yeah.
Jonathan Michael.
Hi.
Hey.
Sorry, you never told me
what room you were staying in.
Well, that's because your father and I
aren't actually staying in the hotel.
Oh.
Wanna come inside?
Uh, sure, yeah.
Great.
[ELEVATOR DINGS]
Hey.
What are you doing on the seventh floor?
Getting a new badge.
Must have misplaced
my old one somewhere.
I'm not crazy about the photo. Thoughts?
Do you ever take a bad photo?
That was thirsty and cloying.
Why do I like it?
[ELEVATOR DINGS]
[CLEARS THROAT]
You like to push
the boundaries, don't you?
Just finding out where yours are.
Sometimes I wonder if you're
hoping we get caught.
Oh, I'm by no means
looking for this relationship
to become public.
And while New Year's Eve
might be the busiest
day of the year in most EDs,
we all here in Chicago
know that that honor belongs
to St. Patrick's Day.
So look alive.
Stay alert.
And may the road rise up to meet us all.
Or at least be free of potholes.
You're not eating your breakfast.
Your mother made that
tsukemono special, you know?
- Mm.
- It's great, Mom, really.
I'm just not very hungry right now.
Okay.
I can't believe you guys
actually sold the house.
We decided to downsize once
the money stopped coming in.
We didn't want you worrying about us.
Your father and I are doing fine.
Even if the smell
of your mother's cooking
does tend to linger.
[SIGHS] Okay, I'll open the window.
Taking off again tomorrow, by the way,
go see the Brandywine Falls.
Yeah, you should join us.
Uh, no, I I gotta work.
- So
- Oh, come on.
When was the last time we all
took a road trip together?
Laguna, when Jonathan was
still a teenager.
You know, I still have
that photo album around here.
Dad, I don't know if you should be doing
any hiking with the MS and all,
you know?
I'm not a complete invalid.
Found it.
Oh.
You kept begging us to go to the beach.
I think you were looking
to see that MTV star.
What was her name, LC?
Never could dissuade you
from doing whatever you wanted.
There we go.
Oh, I loved that car.
- Whatever happened to her?
- [LAUGHS]
Well, you totaled it on PCH.
Cost me a fortune to buy
you guys out of the lease.
And and just to be clear, you know,
we didn't go to Laguna that day
because I begged you.
We went because you pulled me off set
during contract negotiations.
I don't recall any of that.
I know. Yeah.
I dug a half dollar-sized
hole in my scalp
because of the stress.
You know, and they had to put
the fake hairspray in it
to, uh, cover up the hole
until it filled in.
Well, we got you the raise
you were looking for.
The raise you were looking for.
[SCOFFS]
The whole crew hated me for it.
You you made me a pariah.
Aren't you being a little histrionic?
[SOFT TENSE MUSIC]
You know, it's really,
really always great
seeing both of you, I gotta say.
I have to get to work, um,
but, hey,
we should, uh should do this
again sometime, right?
Jonathan Michael.
Thank you for breakfast.
You can't just leave like this.
Let him go, Celeste.
He's having one of his tantrums.
♪
I mean, facts are facts, right?
There is such thing
as an objective truth.
Okay, hold still, would you?
I don't know, maybe there's just
too much water under that bridge.
Okay, that should do it.
Hey, you with us today
or not, Dr. Frost?
Yes.
Uh, thank you again.
What have you got for me?
Trauma 1, 40-year-old female brought in
from Kenton with multiple
lacerations, self-inflicted.
Kenton the mental health facility?
Yeah, schizophrenia.
I already paged Dr. Charles.
Wake up!
They are using the 5G towers to mutate!
You can't hide!
None of us can hide!
The orderlies found some
kind of shank in her quarters
that she fashioned out of a toothbrush.
We're lucky she didn't do
more damage to herself.
Okay, I'm counting five slashes here,
three shallow and superficial.
Two penetrated past the dermis.
You better run.
I cannot protect you! I cannot
They give her anything back at Kenton?
5 milligrams of Haldol.
Well, give her 5 more.
Trini, 5 of Haldol.
What is her regular regimen?
For the past three years, she's been on
Clozapine 200 milligrams twice daily,
admittedly with increasing
less efficacy.
How about before that?
She's been a patient at Kenton
for close to 20 years now,
mostly before my employ.
I'd have to review her charts.
I can forward them to you, if you like.
Oh, thank you, I'd appreciate that.
Haldol's in.
Emily. Emily, I'm Dr. Charles.
This is Dr. Frost,
and he's trying to patch you up
so we can get you back to full strength.
[DRAMATIC MUSIC]
Can he be trusted?
He absolutely can.
But in order for him to do his work,
we need you to stay still.
Do you think you can do that for us?
Uh okay.
Great, thank you.
Do you mind me asking you
why you hurt yourself?
To stop the itching.
She's complained before
about insects infesting her bloodstream.
I'm seeing some pretty
impressive rash here.
It's almost discoid in nature.
Let's get 60 milligrams of prednisone,
try to clear that up, please.
Copy.
Emily, you mind if I sit for a bit?
Help you keep watch?
Thank you.
Mr. Ferney, I understand
you fell in the river
while it was being dyed.
No, I jumped in, thank you very much.
Okay.
Any idea where my clothes might be?
Uh, we will try and track
those down for you.
It says here you think you might have
dislocated your elbow?
Mm.
Yeah, that would be the one.
Or maybe it's the other.
Just tell me if this hurts, okay?
Mm, between the Guinness
and whatever that EMT guy gave me,
I can't feel any pain whatsoever.
Hey, Doc, do you like limericks?
I I can't say I'm the biggest fan.
I mean, you would like this one.
I just gotta remember how it goes.
It's got a name in it that rhymes
with a lady's private parts.
- Is it Dolores?
- Mm-mm.
- Aretha?
- Mm-mm.
- Wussy?
- Mm-mm.
Treatment 4, Tim Freitag, 45.
Him and his buddy fell
off a parade float.
EMTs worried he might have a concussion.
Yeah, you're right.
He is dressed like Cameron.
- I told you.
- Cameron who?
What, you said something about a buddy?
Mm-hmm.
Treatment 3, yep.
I'll take Bueller,
unless you have a preference.
- [LAUGHS] That's, uh
- All right.
All right, everybody, on my count.
Ready, one, two, three.
[GRUNTS]
Seems you gents got
your holidays mixed up.
It's St. Patrick's Day.
It's not Halloween.
We must look like idiots, don't we?
It depends on what happened.
I'm Dr. Archer.
This is Dr. Lenox.
I understand you guys took
a little header?
Tim did.
I more fell funny on my hip.
We were trying to pull off
a little stunt.
Not just a stunt.
We were checking a box
off his bucket list.
See, "Ferris Bueller" is
my favorite movie.
You know the part where Ferris
jumps on the float and sings?
That was gonna be us.
Turns out those floats move
a lot faster than you think.
- Yeah.
- You have a bucket list, Tim?
It's nothing.
It's not nothing.
Tim's been battling brain cancer
the past year and a half.
He's already survived longer
than the doctors gave him.
- The man's a hero.
- Brain cancer?
Stage III, actually.
We're gonna need
a CT head and a C-spine.
Yes, absolutely.
I want you to give him
the Cadillac service
CAT scan, MRI, the whole works.
That's all right. I feel totally fine.
And I've got an appointment scheduled
with my oncologist next week anyway,
so I can get it checked out then.
Don't listen to him.
Yeah, we can't release anybody
who suffered blunt head trauma
without a full battery of tests.
Underlying conditions or not,
just standard protocol.
We'll take good care of him.
I'll get Mike in here for some
X-rays to get started.
[CLEARS THROAT]
Your patient's clothes.
They were left in the ambo.
Jeez, Matt, you too?
Well, someone had
to fish him out of the river.
You wear it well.
It finally came to me, Doc!
The limerick.
There once was a girl from Regina who
[RETCHING]
It's not easy being green.
Okay. Let's go back in. That's okay.
[PLAYFUL MUSIC]
I'm assuming this all feels tender?
Mm-hmm.
Have you been experiencing
any other symptoms, Maddie,
besides today's nausea?
Maybe you wanna go grab
a cup of coffee, Von,
before I get into all the gory details?
Nothing could freak me out about you.
We just started seeing each other.
Anyway, symptoms.
Yes, uh, I noticed some blood
in my vomit this morning,
and my stools have been
black and tarry recently.
Well, I'd like to run some more tests,
but I I think we might be
looking at a peptic ulcer.
- An ulcer?
- Mm.
Oh, that sounds like
something a middle-aged man would get.
Maybe you need to drink less coffee.
Well, coffee's not usually
a contributing factor.
Um, excessive alcohol use could be.
I don't really drink much of either.
Have you felt any additional
stress in your life recently?
Grant?
What are you doing here?
She's fine, Grant.
There's no need for you to be here.
Okay, Von. Good to know
you got everything under control.
Evidently, I'm still marked down
as your emergency contact.
So we're gonna need to get that amended.
Add it to the pile of things
sitting on your lawyer's desk.
You two are in the middle of a divorce?
Yes, though he still hasn't
moved out of my house.
It's our house, remember?
And you're free to vacate
anytime you like
if you feel your style is being cramped.
Well, this certainly explains
why you might have developed an ulcer.
An ulcer?
That's it?
Your work made it sound like
you were gonna die.
[LAUGHS] If this divorce
doesn't go through soon, I just might.
Mm. Okay, you're right.
I'm not needed here.
Run while you still can.
Sorry about that.
No need to apologize.
Uh, why don't we get some labs
done, and we'll go from there.
- Okay?
- Mm-hmm.
[MACHINE BEEPING]
That line right there is
the fracture on your femur.
That's not good, right?
Well, no, it's not ideal.
This is a weight-bearing bone.
Could open up the possibilities
of other complications,
so ortho is gonna want to
get a rod in there
as soon as possible.
But we'll do all we can
to relieve your pain
you're feeling in the meanwhile.
- Okay.
- You bet.
Thanks, Doc.
You bet, you bet.
Can I ask what's going on with him?
Yeah, just standard concussion protocol.
So you two have been friends
for a while, huh?
Yeah, we went to high school together.
Though I'm ashamed to admit
we weren't really close back then.
Ashamed?
Class president, varsity, everything.
Tim didn't exactly fit in
with the clique I was king of.
Is that right?
We ran into each other
about a year and a half ago,
right after my divorce.
We just suddenly bonded.
The way he's able to accept
the hand he's been dealt
and just keep pushing forward
through all the adversity,
it just really, really moved me.
I think maybe I was looking
for some sense of purpose
of my own, you know?
Yeah, I enlisted in
the navy for the same reason.
[CHUCKLES]
You know, I've kind of been
the driving force
behind this whole bucket list thing.
This stunt today was really
more my idea than it was his.
If this were to shorten
his life in any way
Well, let's just worry
about your leg for now
so the two of you can tick
a few more items off that list.
- Okay?
- All right.
The good news is, you, uh
you tested negative
for H. pylori, which is a a bacteria
that's the typical cause for ulcers.
Uh, now, that's not to say
that there isn't
any inflammation down there.
So we'd like to perform
an endoscopy to see for sure.
Okay.
Maddie, your labs also indicated
that you are pregnant.
I I'm sorry, that's not possible.
Are you on birth control?
Uh, I usually wear a diaphragm, yeah.
So even under
the most perfect conditions,
diaphragms are only about 94% effective.
Well, how effective is abstinence?
Because I haven't had sex
in almost a year
since I stopped being intimate
with my husband.
What about your boyfriend?
Uh, no, we're taking it slowly.
Like I said, it's not possible.
So how do you propose I got pregnant?
[SUSPENSEFUL MUSIC]
Excuse me, Dr. Lenox,
I think I found your badge
in the back of my ambo.
I was looking for that.
Thank you.
It must have fallen onto your
gurney during a transfer.
Uh-huh.
I also found these.
Well, I don't recognize those.
- Sorry.
- Of course.
Oh, yes, uh, how much
of that did you overhear?
Oh, morning. Nothing.
Discretion is the better
part of valor, right?
Mm-hmm.
Hey, you guys wanted
to know when the scans
came back for the guy
dressed like Cameron, right?
Radiology says he has a small
subarachnoid hemorrhage.
Let's follow BIG guidelines
and repeat the CTH
in six hours
before calling neurosurgery?
Will do, but take a look
at the last oncology note.
Scans show no signs of cancer?
Mm-hmm. Per his oncologist,
he's been in remission
for almost a year.
[TENSE MUSIC]
♪
I never had much success making friends
till I got diagnosed with cancer.
Then, like, overnight,
I became interesting.
People wanted to spend time with me
and hear what I had to say,
like I had some wisdom
to impart, you know?
Yeah.
Glenn was always the coolest guy I know.
He knows all about scotch and cigars.
And he's, like, a crazy athlete.
We're supposed to go heli-skiing
in the Bugaboos next month.
Glenn says the powder is to die for.
A guy like me doesn't have
friends like that.
If he were to find out
I'm not dying anymore
I don't know,
he he might not find me
interesting any longer.
I think you might be
underselling yourself.
Maybe, but I don't wanna find out.
How's his leg doing?
Oh, not great.
Took a pretty bad spill.
I don't think you'll be taking
that Bugaboo bucket list trip
this spring.
But hey, you'll have plenty
of time to reschedule, right?
I'm sorry, do you have a problem?
You know what? I I do, actually.
You're lying to someone
who you call a friend.
Did you ever hear of stolen valor?
- Dean.
- No.
It's when somebody says
that they served in the military,
but they actually haven't.
This is kind of like what that is.
It's a betrayal,
not just of your friend,
but of everyone
with a terminal diagnosis
who is trying valiantly
to soldier through.
So just come clean.
Yeah? Your friend deserves that.
And you need to take a giant step back.
How about we check in with orthopedics
and see when they can get
Glenn into surgery?
Well, suits me I'll be
dedicating my efforts
henceforth to patients
who actually need my help.
All right.
She said, "Thank you, Dr. Frost,
for dressing my wounds."
And it was like she became
a completely different person.
Huh.
I was really worried about you.
Emily, I hear you're
feeling much better.
That I am, Dr. Charles, that I am.
Well, that's great.
And the voices that you were
telling me about earlier,
- you've been hearing?
- Gone.
No voices, no static.
I don't hear anything
for the first time in, like, forever.
Wow.
Isn't that wonderful?
I imagine it would be, yeah.
Not unheard of, though,
for chronically compromised patients
to experience patches of clarity.
Has this ever happened before?
Not that I know of, no.
Or it could be a reaction
to the prednisone.
You know, it suggests
that there might be something
I don't know, some underlying situation
with your immune system
triggering inflammation in your brain.
With your permission, I'd like to do
a couple of pretty comprehensive labs,
see if we can isolate
what's going on here.
[SOFT MUSIC]
Are you saying that maybe I'm curable?
It's too early to tell, but, um
wouldn't that be something?
Yeah.
Yeah.
We can see a gestational sac.
So, yes, you you are pregnant.
About six weeks, I'd guess.
This makes no sense.
You said you've been celibate, Maddie.
I have been.
You don't believe me.
Well, I mean, medically speaking,
there's no such thing as
immaculate conception, is there?
[SIGHS] I did not sleep with Grant.
Okay, have there been
any changes in your diet
or your routine recently?
No.
Any new medications or supplements?
Um, I was having trouble sleeping,
probably due to the stress
of this divorce.
So I started taking Ambien.
Okay. When did you start that?
Uh, about two months ago.
How's that worked?
It's great.
Totally zonks me out.
I get a solid eight hours.
No tossing, no turning, no dreams.
You don't stir at all?
[SIGHS] No.
I'm just like a complete zombie.
Is it possible that Grant assaulted you
while you were sleeping?
Did my ex-husband come
into my room and rape me?
Is that what you're asking?
You keep saying he's angry
over you leaving him.
No, no.
He's not not a chance.
Yes, Grant is the worst, but
that would be completely
out of character.
It's just not possible.
What other explanation could there be?
I I just wonder if
maybe you're in denial.
Excuse me, Maddie,
here's a fresh change of clothes,
just in case you need them for later.
Where did those come from?
Uh, your husband brought them
in from home.
He's in the waiting room
if you'd like to speak with him.
[SOFT TENSE MUSIC]
♪
Okay, I'm going to be right back, okay?
Okay. All right, fine, you win.
ALL: Kacy, Kacy, Kacy,
Kacy, Kacy, Kacy, Kacy!
Hey, Von, why the sourpuss?
- [GRUNTS]
- Ah!
- Oh!
- Excuse me.
What the hell was that for?
How could you do that to her?
Do what?
Check on him?
Yeah. Got it.
I have lupus?
A form of it.
And it is called you ready?
Neuropsychiatric systemic
lupus erythematosus.
It's an autoimmune disease
that damages the central nervous system.
Now, look, I I can't say this
definitively yet,
but I strongly suspect that
it's what's been responsible
for your mental health issues
all these years.
It certainly would explain
the rash that you came in with.
Now, look, there's
no cure, per se, right?
But if we're right about this,
Plaquenil, steroids, immunosuppressants,
all these things are very
effective in managing symptoms.
I may have also read
about plasma exchange therapy
- being an option.
- That too. Yep.
Does this mean I could be
released from the hospital
and go back home?
I haven't seen my family in decades,
and maybe my sister would
talk to me again.
Look, there are gonna be
some administrative hoops
that we gotta leap through.
But, um, yeah, we're pretty confident
that we can make that happen.
Such a simple solution.
I feel a little like Rip Van Winkle.
I won't ever get those years back.
Emily, I'm so sorry.
I mean, the system really let you down.
There's just no other way to put it.
Dr. Charles, do you think
you could remove
these restraints from my wrists
just for a little while?
- I'm comfortable with that.
- I'm not.
Lynette, I will take
responsibility, okay?
[SOFT MUSIC]
Thank you.
I'm sorry, a moment outside,
please, Dr. Charles?
♪
Listen, I respect your acumen,
but I think you're in danger
of making promises you can't deliver.
For starters, Kenton does not have
the means to treat this woman's NPSLE.
So transfer her out.
Never should have been there
in the first place.
She can be treated
in an outpatient setting.
It's not that simple.
Emily is under a conservatorship.
Her younger sister makes
all the decisions
about her medical care.
You will need to get her permission
if you want Emily released.
[TENSE MUSIC]
Look, I I mean, this guy is
always instigating something.
I I mean, at this point,
Maddie should have a restraining order.
Well, a couple of stitches
should do the trick.
You want me to call down plastics?
Whatever.
I I still don't get why he hit me.
[CLEARS THROAT]
He thinks that
you sexually assaulted me.
What?
Why why the hell would he think that?
Because I'm pregnant.
Are you kidding?
Is it is it mine?
How could it be yours?
Are you being serious right now?
Are you are you implying that
you and Maddie have had
sexual intercourse recently?
[TENSE MUSIC]
Really?
You you don't remember?
Uh, remember what?
That night, about six weeks ago,
before the day of the big
preliminary hearing?
What night?
You came in and jumped my bones, Maddie.
No preamble, no pillow talk,
no reaching for contraception.
Just pure, unadulterated,
mind-blowing sex.
No, I don't remember that.
Okay, well, just mind-blowing
for me, then, I guess.
Grant, can, uh can I talk
to you outside alone?
I can prove it.
What are you doing?
Oh, I am mortified.
Kind of made me think
we still had a chance.
The dates would line up.
Why didn't you mention this earlier?
I I tried to broach
the subject with you,
but you didn't wanna talk
to me about anything.
How could this have happened
without me realizing it?
Obviously, your body missed me.
Shut it.
I know it's not my bailiwick,
but, uh, this could be
an instance of sexsomnia.
What's that?
Like the name implies,
it's a kind of sexualized sleepwalking.
Which could be a side effect
of the sleep aid you started taking.
[SIGHS] It seems like something
they should put a warning about
on the bottle.
Can I just say, for the record,
after all those years
we had trouble conceiving,
I always knew I had it in me.
You are so disgusting.
Get out of my room.
I'm not shooting blanks, baby!
Just get out.
Okay.
Well, it's our hope that,
with a dedicated treatment program
and a little luck,
that the disease your sister
has actually been suffering from
will go into remission
and and stay there.
And that can't be accomplished
in the facility she's in currently?
Unfortunately, they're not
really set up to to handle it.
But she shouldn't be there anyway.
It would require you to make
other plans for her care.
What about her schizophrenia?
Technically, she never had it,
at least not not clinically anyway.
Could have fooled me.
I am so sorry for what
you must have been through.
I mean, I am painfully aware
of how brutal the impact
on families can be.
Trust me.
I was still in junior high
when Emily started losing it.
She tried to stab my mother's
boyfriend at the dinner table.
Said that his Myspace page
was broadcasting
messages from the conspirators,
whoever they were.
He left for good after that.
And my mom went with him.
[SOMBER MUSIC]
I was left trying to take care
of both Emily
and my little brother.
I was 14.
It is a terrible tragedy
that this hasn't been
diagnosed until now.
But what I need you to understand
is that there is a way forward.
Can you guarantee
that Emily will be okay,
that that behavior will be
gone for good?
I am absolutely confident
No. No, we cannot guarantee that.
Well, actually, Dr. Frost, I mean
Because even if we are right,
there's no way of telling
how her mind or her body
would react to the continued
use of steroids
Excuse me, Dr. Frost.
I want you to trust me.
There are endless modalities out there.
And I am very confident that
we can find one that will work.
I'm sorry, but I have a family
of my own now to protect.
I can't risk it.
Your sister is 10 feet away.
If you would just spend
a minute with her,
I know that you would see that
I'd really prefer not to.
I'm sorry.
But I have to go.
Excuse me, Paige.
I have those forms for you to go over.
Yeah, great.
[INDISTINCT SINGING]
Can you quiet!
This is a hospital!
We are trying to save lives here!
Hey! Give me that beer.
Excuse me, please.
[SINGING CONTINUES]
Natives are restless, I see.
Yeah, hey, that stolen valor comment
was a little much earlier, no?
I thought you would agree with me.
What, they don't care
as much about that stuff in the army?
Okay, we care. I care.
But I also care about
a person's privacy.
Well, you might feel differently
if your prion diagnosis
had come back positive.
Hey, guys, I just got word
from Jodie up in pre-op.
Ferris Bueller's coding.
[TENSE MUSIC]
All clear.
[WHIRRING]
Back in asystole.
Push another one of epi,
resume compressions.
What the hell happened, Phil?
We sent him up here with a broken leg.
He threw a fat embolism before we could
- even get him into the OR.
- What?
Marrow got into his bloodstream.
You can check the ABG we just drew.
It's like an oil slick in there.
It's been about a half an hour, Dean.
I'm just about to call him.
Yeah, get out, get out.
I'm taking over.
Wait, what?
[SOMBER MUSIC]
Glenn's dead?
How? When?
When bones break,
sometimes marrow can escape
into the bloodstream.
And in your friend's case, this caused
a fatal hypoxia, unfortunately.
It's very rare, but it's not unheard of.
And really, it's the result
of bad luck more than anything.
[SOMBER MUSIC]
Do you know if there's any family
that we should contact?
Uh
he's got an ex-wife in Atlanta, I think.
I I don't know her number.
That's all right. We'll take care of it.
If only I told him the truth.
Maybe none of this would have happened.
I'm very sorry for your loss.
♪
I was only being honest with her.
There is no guarantee
that Emily's issues
are entirely correlated to the lupus.
It's going to take time to prove that.
- Yeah?
- Yeah.
And it's pretty damn apparent
how much Paige has suffered.
That needed to be recognized.
I mean, who were we
to just not honor her pain?
We can't wave a magic wand,
Daniel, and wipe that all away.
Can't argue with you there.
Thank you.
Except it's not our job
to advocate for Paige.
It's to advocate for our patient, Emily,
who's essentially been locked away,
body and mind, for a condition
that better doctors
could have diagnosed two decades ago.
Has she done some damage along the way?
Absolutely. Is it her fault?
Absolutely not.
And she deserves a chance to be
reunited with her family
to see if if those wounds
can be healed.
And I'm I'm shocked, frankly,
that you, of all people, don't get that.
I know for a fact that
the concept of forgiveness
and its considerable power,
to your great credit,
is not alien to you.
So, like, I don't get it.
What's going on?
♪
So an endoscopy sounds
way more scary than it is.
We'll put you under
a little light sedation.
Better put restraints on me.
This isn't gonna affect
the fetus, will it?
No, that won't be an issue.
Oh, my mind is swirling.
Part of me feels like I was
the victim of some kind of assault.
And then this other part of me
is saying, no, Maddie,
you're the predator.
Either way, I just feel gross.
Yeah.
I can understand that.
And then there's the fact that
this happened with my husband.
And now I'm wondering
if it was the Ambien
that caused me to sleep with him
or if it was, like, some part
of my subconscious
telling me not to give up
on the marriage?
Well, is that how you feel?
Most of the time, I can't stand him.
And the other times?
Um, I'll confess that I like the banter.
I don't always feel good around him,
but I always feel something.
And Von?
Not so much.
Hey, um
surprises can have silver linings
if you choose to see them that way.
Look what I found down in the gift shop.
Thought he might cheer you up.
Say hello to Mr. Boo Boo Bear.
[LAUGHS]
I'll be back soon.
Hey, hold on.
I'm not interested
in going over it again.
Look, I wasn't planning on
trying to convince you
to change your mind, all right?
Okay, then what are you doing?
Look, I cut myself today, all right?
I I was having breakfast
with my folks,
who I haven't spoken to in a while.
And as usual, they pissed me off.
Next thing I know, wham, all right,
I I sliced it slamming the door.
And all morning, I've spent so much time
blaming a stupid door latch.
Okay.
It got me thinking that
maybe it's the universe's
way of telling me
I've been holding on
too tight to my anger.
Are you trying to draw
some kind of clumsy parallel
to my situation?
Yeah, and failing miserably, apparently.
Did you think that
maybe your problem was
reopening the door in the first place?
Maybe the best thing for us each to do
is to not look back.
You know, that would probably be
for the best, right?
But why doesn't that feel right either?
Do you know where this patient went?
In the bathroom.
[TENSE MUSIC]
♪
I'm getting bad vibes about Tim.
[CHUCKLES] Join the club.
His belt is missing.
- [BANGING]
- Tim, are you in there?
Tim, open up. Open up.
- Tim!
- He's got a key.
- Oh.
- My God.
Try to unhook him.
- Unhook him.
- I got it.
[GASPING, CRYING]
All right, get a transit team.
[DRAMATIC MUSIC]
Okay, pulse is present but thready.
[SOBBING]
You've been placed on a 72-hour hold
for your own protection, Tim,
until it can be determined
that you're no longer
a danger to yourself.
Dr. Charles will be down here shortly
to answer any questions you might have.
I wish the cancer would have
just finished me off
like it was supposed to.
[SOMBER MUSIC]
I mean, you think that's
what Glenn would have wanted?
You want to honor his memory,
you get out of here,
you get your head straight,
and you not only
finish that bucket list,
but you tick off another one
10 times as long.
You live hard enough and bold enough
for the both of you.
Anything less would be a disservice.
♪
You know the sad part?
Some people need to be
on the doorstep of dying
before they decide
to really live, you know?
[APPLAUSE IN DISTANCE]
["DANNY BOY" PLAYING]
ALL: The place where I am lying ♪
I'm a quarter Irish, you know,
on my mother's side.
♪
ALL: And I shall hear ♪
Though soft you tread above me ♪
And all my grave ♪
Will warmer, sweeter be ♪
For you will bend and tell me ♪
That you love me ♪
And I shall sleep in peace ♪
Until you come to me ♪
So, look, I know that
you're not in control
of your diet, okay?
But I want you to really try and avoid
foods that cause inflammation.
Emily, there's someone here
who'd like to see you.
[SOLEMN MUSIC]
♪
Paige.
It it's so good to see you.
[SOBS] Oh, my God.
Oh, I'm so sorry that I abandoned you.
Oh, no, no, honey.
No, I'm so sorry I scared you.
I'm so sorry.
She's got a lot
of major decisions to make.
♪
Looks like she's making one.
Babies can be complicated.
They can indeed.
Dr. Ripley?
A word, please?
♪
One of the rowdier ones
gave me this earlier.
[CLEARS THROAT] Do I need some luck?
Let's find out.
Okay, is it too much to ask
where we're going
or what you have in mind?
Goodwin's office, really?
[KNOCKING]
In keeping with the hospital's policy
regarding reporting relationships that
could potentially adversely
affect patient care,
particularly between
supervisors such as myself
and their direct reports,
such as Dr. Ripley here,
I feel it's necessary to inform you that
the two of us have been
having sexual relations.
Uh, I see.
At no time did we compromise
patient care in any way.
But to fulfill reporting requirements
and moving in reverse
chronological order
from our most recent
to our first assignation
- Oh, my God.
- This morning at
Uh, that's fine.
Dr. Lenox, I get the picture.
Uh, I will make a note of this.
Thank you for your candor.
And as long as there are
no sexual relations
happening on premises
Of course not.
Yeah.
Well, have a good evening.
Somewhere else.
- Yeah.
- Mm-hmm.
[LAUGHING]
I don't know why you're upset.
That's the sort of thing you, uh
you run by a partner
beforehand, Caitlin.
Well, now we don't have to be so covert.
I'm sorry. I was trying to be romantic.
[ELEVATOR DINGS]
You were right.
I have been chasing adrenaline
for a while now.
[SOFT MUSIC]
Maybe it's time I chase
something more meaningful.
♪
Jonathan Michael,
what are you doing here?
Still looking for company on
that trip to Brandywine Falls?
Yeah!
Only if you're doing the driving.
[LAUGHS]
Bet she handles just
as well as the Benz, huh?
[LAUGHTER]
You bet she does.
Okey-dokey.
Just toss your bags anywhere.
- All right.
- Yeah.
♪
Oh, wow, okay.
The big machine.
- [LAUGHS] It certainly is.
- The big machine.
A lot of responsibility, son.
- [LAUGHS]
- [GRUNTS]
All right, you guys ready?
I was born ready.
Buckle yourselves in.
♪
We keep flirting
with this idea of stopping.
What if we didn't?
What does that mean, exactly?
Seeing where this leads.
Do you want to get out of here?
[DRAMATIC MUSIC]
You've put on weight.
What do you want?
- We just want to see
- I'm sick.
Secondary progressive MS.
We want to reconnect with our son.
It doesn't just erase
how my dad has treated me my whole life.
Someday, your parents will be gone.
And however you leave things,
that's how it will stay forever.
♪
And we still got another
five green t-shirts
to give away to the unlucky
listener who calls in
with the most sad sack story
of misfortune and woe.
- Hi.
- Hi.
I'm just looking for a couple of guests,
James and Celeste Frost.
[SIGHS] I'm sorry.
I'm not seeing anyone
staying here under that name.
Oh, maybe you could just check again?
Yeah.
Jonathan Michael.
Hi.
Hey.
Sorry, you never told me
what room you were staying in.
Well, that's because your father and I
aren't actually staying in the hotel.
Oh.
Wanna come inside?
Uh, sure, yeah.
Great.
[ELEVATOR DINGS]
Hey.
What are you doing on the seventh floor?
Getting a new badge.
Must have misplaced
my old one somewhere.
I'm not crazy about the photo. Thoughts?
Do you ever take a bad photo?
That was thirsty and cloying.
Why do I like it?
[ELEVATOR DINGS]
[CLEARS THROAT]
You like to push
the boundaries, don't you?
Just finding out where yours are.
Sometimes I wonder if you're
hoping we get caught.
Oh, I'm by no means
looking for this relationship
to become public.
And while New Year's Eve
might be the busiest
day of the year in most EDs,
we all here in Chicago
know that that honor belongs
to St. Patrick's Day.
So look alive.
Stay alert.
And may the road rise up to meet us all.
Or at least be free of potholes.
You're not eating your breakfast.
Your mother made that
tsukemono special, you know?
- Mm.
- It's great, Mom, really.
I'm just not very hungry right now.
Okay.
I can't believe you guys
actually sold the house.
We decided to downsize once
the money stopped coming in.
We didn't want you worrying about us.
Your father and I are doing fine.
Even if the smell
of your mother's cooking
does tend to linger.
[SIGHS] Okay, I'll open the window.
Taking off again tomorrow, by the way,
go see the Brandywine Falls.
Yeah, you should join us.
Uh, no, I I gotta work.
- So
- Oh, come on.
When was the last time we all
took a road trip together?
Laguna, when Jonathan was
still a teenager.
You know, I still have
that photo album around here.
Dad, I don't know if you should be doing
any hiking with the MS and all,
you know?
I'm not a complete invalid.
Found it.
Oh.
You kept begging us to go to the beach.
I think you were looking
to see that MTV star.
What was her name, LC?
Never could dissuade you
from doing whatever you wanted.
There we go.
Oh, I loved that car.
- Whatever happened to her?
- [LAUGHS]
Well, you totaled it on PCH.
Cost me a fortune to buy
you guys out of the lease.
And and just to be clear, you know,
we didn't go to Laguna that day
because I begged you.
We went because you pulled me off set
during contract negotiations.
I don't recall any of that.
I know. Yeah.
I dug a half dollar-sized
hole in my scalp
because of the stress.
You know, and they had to put
the fake hairspray in it
to, uh, cover up the hole
until it filled in.
Well, we got you the raise
you were looking for.
The raise you were looking for.
[SCOFFS]
The whole crew hated me for it.
You you made me a pariah.
Aren't you being a little histrionic?
[SOFT TENSE MUSIC]
You know, it's really,
really always great
seeing both of you, I gotta say.
I have to get to work, um,
but, hey,
we should, uh should do this
again sometime, right?
Jonathan Michael.
Thank you for breakfast.
You can't just leave like this.
Let him go, Celeste.
He's having one of his tantrums.
♪
I mean, facts are facts, right?
There is such thing
as an objective truth.
Okay, hold still, would you?
I don't know, maybe there's just
too much water under that bridge.
Okay, that should do it.
Hey, you with us today
or not, Dr. Frost?
Yes.
Uh, thank you again.
What have you got for me?
Trauma 1, 40-year-old female brought in
from Kenton with multiple
lacerations, self-inflicted.
Kenton the mental health facility?
Yeah, schizophrenia.
I already paged Dr. Charles.
Wake up!
They are using the 5G towers to mutate!
You can't hide!
None of us can hide!
The orderlies found some
kind of shank in her quarters
that she fashioned out of a toothbrush.
We're lucky she didn't do
more damage to herself.
Okay, I'm counting five slashes here,
three shallow and superficial.
Two penetrated past the dermis.
You better run.
I cannot protect you! I cannot
They give her anything back at Kenton?
5 milligrams of Haldol.
Well, give her 5 more.
Trini, 5 of Haldol.
What is her regular regimen?
For the past three years, she's been on
Clozapine 200 milligrams twice daily,
admittedly with increasing
less efficacy.
How about before that?
She's been a patient at Kenton
for close to 20 years now,
mostly before my employ.
I'd have to review her charts.
I can forward them to you, if you like.
Oh, thank you, I'd appreciate that.
Haldol's in.
Emily. Emily, I'm Dr. Charles.
This is Dr. Frost,
and he's trying to patch you up
so we can get you back to full strength.
[DRAMATIC MUSIC]
Can he be trusted?
He absolutely can.
But in order for him to do his work,
we need you to stay still.
Do you think you can do that for us?
Uh okay.
Great, thank you.
Do you mind me asking you
why you hurt yourself?
To stop the itching.
She's complained before
about insects infesting her bloodstream.
I'm seeing some pretty
impressive rash here.
It's almost discoid in nature.
Let's get 60 milligrams of prednisone,
try to clear that up, please.
Copy.
Emily, you mind if I sit for a bit?
Help you keep watch?
Thank you.
Mr. Ferney, I understand
you fell in the river
while it was being dyed.
No, I jumped in, thank you very much.
Okay.
Any idea where my clothes might be?
Uh, we will try and track
those down for you.
It says here you think you might have
dislocated your elbow?
Mm.
Yeah, that would be the one.
Or maybe it's the other.
Just tell me if this hurts, okay?
Mm, between the Guinness
and whatever that EMT guy gave me,
I can't feel any pain whatsoever.
Hey, Doc, do you like limericks?
I I can't say I'm the biggest fan.
I mean, you would like this one.
I just gotta remember how it goes.
It's got a name in it that rhymes
with a lady's private parts.
- Is it Dolores?
- Mm-mm.
- Aretha?
- Mm-mm.
- Wussy?
- Mm-mm.
Treatment 4, Tim Freitag, 45.
Him and his buddy fell
off a parade float.
EMTs worried he might have a concussion.
Yeah, you're right.
He is dressed like Cameron.
- I told you.
- Cameron who?
What, you said something about a buddy?
Mm-hmm.
Treatment 3, yep.
I'll take Bueller,
unless you have a preference.
- [LAUGHS] That's, uh
- All right.
All right, everybody, on my count.
Ready, one, two, three.
[GRUNTS]
Seems you gents got
your holidays mixed up.
It's St. Patrick's Day.
It's not Halloween.
We must look like idiots, don't we?
It depends on what happened.
I'm Dr. Archer.
This is Dr. Lenox.
I understand you guys took
a little header?
Tim did.
I more fell funny on my hip.
We were trying to pull off
a little stunt.
Not just a stunt.
We were checking a box
off his bucket list.
See, "Ferris Bueller" is
my favorite movie.
You know the part where Ferris
jumps on the float and sings?
That was gonna be us.
Turns out those floats move
a lot faster than you think.
- Yeah.
- You have a bucket list, Tim?
It's nothing.
It's not nothing.
Tim's been battling brain cancer
the past year and a half.
He's already survived longer
than the doctors gave him.
- The man's a hero.
- Brain cancer?
Stage III, actually.
We're gonna need
a CT head and a C-spine.
Yes, absolutely.
I want you to give him
the Cadillac service
CAT scan, MRI, the whole works.
That's all right. I feel totally fine.
And I've got an appointment scheduled
with my oncologist next week anyway,
so I can get it checked out then.
Don't listen to him.
Yeah, we can't release anybody
who suffered blunt head trauma
without a full battery of tests.
Underlying conditions or not,
just standard protocol.
We'll take good care of him.
I'll get Mike in here for some
X-rays to get started.
[CLEARS THROAT]
Your patient's clothes.
They were left in the ambo.
Jeez, Matt, you too?
Well, someone had
to fish him out of the river.
You wear it well.
It finally came to me, Doc!
The limerick.
There once was a girl from Regina who
[RETCHING]
It's not easy being green.
Okay. Let's go back in. That's okay.
[PLAYFUL MUSIC]
I'm assuming this all feels tender?
Mm-hmm.
Have you been experiencing
any other symptoms, Maddie,
besides today's nausea?
Maybe you wanna go grab
a cup of coffee, Von,
before I get into all the gory details?
Nothing could freak me out about you.
We just started seeing each other.
Anyway, symptoms.
Yes, uh, I noticed some blood
in my vomit this morning,
and my stools have been
black and tarry recently.
Well, I'd like to run some more tests,
but I I think we might be
looking at a peptic ulcer.
- An ulcer?
- Mm.
Oh, that sounds like
something a middle-aged man would get.
Maybe you need to drink less coffee.
Well, coffee's not usually
a contributing factor.
Um, excessive alcohol use could be.
I don't really drink much of either.
Have you felt any additional
stress in your life recently?
Grant?
What are you doing here?
She's fine, Grant.
There's no need for you to be here.
Okay, Von. Good to know
you got everything under control.
Evidently, I'm still marked down
as your emergency contact.
So we're gonna need to get that amended.
Add it to the pile of things
sitting on your lawyer's desk.
You two are in the middle of a divorce?
Yes, though he still hasn't
moved out of my house.
It's our house, remember?
And you're free to vacate
anytime you like
if you feel your style is being cramped.
Well, this certainly explains
why you might have developed an ulcer.
An ulcer?
That's it?
Your work made it sound like
you were gonna die.
[LAUGHS] If this divorce
doesn't go through soon, I just might.
Mm. Okay, you're right.
I'm not needed here.
Run while you still can.
Sorry about that.
No need to apologize.
Uh, why don't we get some labs
done, and we'll go from there.
- Okay?
- Mm-hmm.
[MACHINE BEEPING]
That line right there is
the fracture on your femur.
That's not good, right?
Well, no, it's not ideal.
This is a weight-bearing bone.
Could open up the possibilities
of other complications,
so ortho is gonna want to
get a rod in there
as soon as possible.
But we'll do all we can
to relieve your pain
you're feeling in the meanwhile.
- Okay.
- You bet.
Thanks, Doc.
You bet, you bet.
Can I ask what's going on with him?
Yeah, just standard concussion protocol.
So you two have been friends
for a while, huh?
Yeah, we went to high school together.
Though I'm ashamed to admit
we weren't really close back then.
Ashamed?
Class president, varsity, everything.
Tim didn't exactly fit in
with the clique I was king of.
Is that right?
We ran into each other
about a year and a half ago,
right after my divorce.
We just suddenly bonded.
The way he's able to accept
the hand he's been dealt
and just keep pushing forward
through all the adversity,
it just really, really moved me.
I think maybe I was looking
for some sense of purpose
of my own, you know?
Yeah, I enlisted in
the navy for the same reason.
[CHUCKLES]
You know, I've kind of been
the driving force
behind this whole bucket list thing.
This stunt today was really
more my idea than it was his.
If this were to shorten
his life in any way
Well, let's just worry
about your leg for now
so the two of you can tick
a few more items off that list.
- Okay?
- All right.
The good news is, you, uh
you tested negative
for H. pylori, which is a a bacteria
that's the typical cause for ulcers.
Uh, now, that's not to say
that there isn't
any inflammation down there.
So we'd like to perform
an endoscopy to see for sure.
Okay.
Maddie, your labs also indicated
that you are pregnant.
I I'm sorry, that's not possible.
Are you on birth control?
Uh, I usually wear a diaphragm, yeah.
So even under
the most perfect conditions,
diaphragms are only about 94% effective.
Well, how effective is abstinence?
Because I haven't had sex
in almost a year
since I stopped being intimate
with my husband.
What about your boyfriend?
Uh, no, we're taking it slowly.
Like I said, it's not possible.
So how do you propose I got pregnant?
[SUSPENSEFUL MUSIC]
Excuse me, Dr. Lenox,
I think I found your badge
in the back of my ambo.
I was looking for that.
Thank you.
It must have fallen onto your
gurney during a transfer.
Uh-huh.
I also found these.
Well, I don't recognize those.
- Sorry.
- Of course.
Oh, yes, uh, how much
of that did you overhear?
Oh, morning. Nothing.
Discretion is the better
part of valor, right?
Mm-hmm.
Hey, you guys wanted
to know when the scans
came back for the guy
dressed like Cameron, right?
Radiology says he has a small
subarachnoid hemorrhage.
Let's follow BIG guidelines
and repeat the CTH
in six hours
before calling neurosurgery?
Will do, but take a look
at the last oncology note.
Scans show no signs of cancer?
Mm-hmm. Per his oncologist,
he's been in remission
for almost a year.
[TENSE MUSIC]
♪
I never had much success making friends
till I got diagnosed with cancer.
Then, like, overnight,
I became interesting.
People wanted to spend time with me
and hear what I had to say,
like I had some wisdom
to impart, you know?
Yeah.
Glenn was always the coolest guy I know.
He knows all about scotch and cigars.
And he's, like, a crazy athlete.
We're supposed to go heli-skiing
in the Bugaboos next month.
Glenn says the powder is to die for.
A guy like me doesn't have
friends like that.
If he were to find out
I'm not dying anymore
I don't know,
he he might not find me
interesting any longer.
I think you might be
underselling yourself.
Maybe, but I don't wanna find out.
How's his leg doing?
Oh, not great.
Took a pretty bad spill.
I don't think you'll be taking
that Bugaboo bucket list trip
this spring.
But hey, you'll have plenty
of time to reschedule, right?
I'm sorry, do you have a problem?
You know what? I I do, actually.
You're lying to someone
who you call a friend.
Did you ever hear of stolen valor?
- Dean.
- No.
It's when somebody says
that they served in the military,
but they actually haven't.
This is kind of like what that is.
It's a betrayal,
not just of your friend,
but of everyone
with a terminal diagnosis
who is trying valiantly
to soldier through.
So just come clean.
Yeah? Your friend deserves that.
And you need to take a giant step back.
How about we check in with orthopedics
and see when they can get
Glenn into surgery?
Well, suits me I'll be
dedicating my efforts
henceforth to patients
who actually need my help.
All right.
She said, "Thank you, Dr. Frost,
for dressing my wounds."
And it was like she became
a completely different person.
Huh.
I was really worried about you.
Emily, I hear you're
feeling much better.
That I am, Dr. Charles, that I am.
Well, that's great.
And the voices that you were
telling me about earlier,
- you've been hearing?
- Gone.
No voices, no static.
I don't hear anything
for the first time in, like, forever.
Wow.
Isn't that wonderful?
I imagine it would be, yeah.
Not unheard of, though,
for chronically compromised patients
to experience patches of clarity.
Has this ever happened before?
Not that I know of, no.
Or it could be a reaction
to the prednisone.
You know, it suggests
that there might be something
I don't know, some underlying situation
with your immune system
triggering inflammation in your brain.
With your permission, I'd like to do
a couple of pretty comprehensive labs,
see if we can isolate
what's going on here.
[SOFT MUSIC]
Are you saying that maybe I'm curable?
It's too early to tell, but, um
wouldn't that be something?
Yeah.
Yeah.
We can see a gestational sac.
So, yes, you you are pregnant.
About six weeks, I'd guess.
This makes no sense.
You said you've been celibate, Maddie.
I have been.
You don't believe me.
Well, I mean, medically speaking,
there's no such thing as
immaculate conception, is there?
[SIGHS] I did not sleep with Grant.
Okay, have there been
any changes in your diet
or your routine recently?
No.
Any new medications or supplements?
Um, I was having trouble sleeping,
probably due to the stress
of this divorce.
So I started taking Ambien.
Okay. When did you start that?
Uh, about two months ago.
How's that worked?
It's great.
Totally zonks me out.
I get a solid eight hours.
No tossing, no turning, no dreams.
You don't stir at all?
[SIGHS] No.
I'm just like a complete zombie.
Is it possible that Grant assaulted you
while you were sleeping?
Did my ex-husband come
into my room and rape me?
Is that what you're asking?
You keep saying he's angry
over you leaving him.
No, no.
He's not not a chance.
Yes, Grant is the worst, but
that would be completely
out of character.
It's just not possible.
What other explanation could there be?
I I just wonder if
maybe you're in denial.
Excuse me, Maddie,
here's a fresh change of clothes,
just in case you need them for later.
Where did those come from?
Uh, your husband brought them
in from home.
He's in the waiting room
if you'd like to speak with him.
[SOFT TENSE MUSIC]
♪
Okay, I'm going to be right back, okay?
Okay. All right, fine, you win.
ALL: Kacy, Kacy, Kacy,
Kacy, Kacy, Kacy, Kacy!
Hey, Von, why the sourpuss?
- [GRUNTS]
- Ah!
- Oh!
- Excuse me.
What the hell was that for?
How could you do that to her?
Do what?
Check on him?
Yeah. Got it.
I have lupus?
A form of it.
And it is called you ready?
Neuropsychiatric systemic
lupus erythematosus.
It's an autoimmune disease
that damages the central nervous system.
Now, look, I I can't say this
definitively yet,
but I strongly suspect that
it's what's been responsible
for your mental health issues
all these years.
It certainly would explain
the rash that you came in with.
Now, look, there's
no cure, per se, right?
But if we're right about this,
Plaquenil, steroids, immunosuppressants,
all these things are very
effective in managing symptoms.
I may have also read
about plasma exchange therapy
- being an option.
- That too. Yep.
Does this mean I could be
released from the hospital
and go back home?
I haven't seen my family in decades,
and maybe my sister would
talk to me again.
Look, there are gonna be
some administrative hoops
that we gotta leap through.
But, um, yeah, we're pretty confident
that we can make that happen.
Such a simple solution.
I feel a little like Rip Van Winkle.
I won't ever get those years back.
Emily, I'm so sorry.
I mean, the system really let you down.
There's just no other way to put it.
Dr. Charles, do you think
you could remove
these restraints from my wrists
just for a little while?
- I'm comfortable with that.
- I'm not.
Lynette, I will take
responsibility, okay?
[SOFT MUSIC]
Thank you.
I'm sorry, a moment outside,
please, Dr. Charles?
♪
Listen, I respect your acumen,
but I think you're in danger
of making promises you can't deliver.
For starters, Kenton does not have
the means to treat this woman's NPSLE.
So transfer her out.
Never should have been there
in the first place.
She can be treated
in an outpatient setting.
It's not that simple.
Emily is under a conservatorship.
Her younger sister makes
all the decisions
about her medical care.
You will need to get her permission
if you want Emily released.
[TENSE MUSIC]
Look, I I mean, this guy is
always instigating something.
I I mean, at this point,
Maddie should have a restraining order.
Well, a couple of stitches
should do the trick.
You want me to call down plastics?
Whatever.
I I still don't get why he hit me.
[CLEARS THROAT]
He thinks that
you sexually assaulted me.
What?
Why why the hell would he think that?
Because I'm pregnant.
Are you kidding?
Is it is it mine?
How could it be yours?
Are you being serious right now?
Are you are you implying that
you and Maddie have had
sexual intercourse recently?
[TENSE MUSIC]
Really?
You you don't remember?
Uh, remember what?
That night, about six weeks ago,
before the day of the big
preliminary hearing?
What night?
You came in and jumped my bones, Maddie.
No preamble, no pillow talk,
no reaching for contraception.
Just pure, unadulterated,
mind-blowing sex.
No, I don't remember that.
Okay, well, just mind-blowing
for me, then, I guess.
Grant, can, uh can I talk
to you outside alone?
I can prove it.
What are you doing?
Oh, I am mortified.
Kind of made me think
we still had a chance.
The dates would line up.
Why didn't you mention this earlier?
I I tried to broach
the subject with you,
but you didn't wanna talk
to me about anything.
How could this have happened
without me realizing it?
Obviously, your body missed me.
Shut it.
I know it's not my bailiwick,
but, uh, this could be
an instance of sexsomnia.
What's that?
Like the name implies,
it's a kind of sexualized sleepwalking.
Which could be a side effect
of the sleep aid you started taking.
[SIGHS] It seems like something
they should put a warning about
on the bottle.
Can I just say, for the record,
after all those years
we had trouble conceiving,
I always knew I had it in me.
You are so disgusting.
Get out of my room.
I'm not shooting blanks, baby!
Just get out.
Okay.
Well, it's our hope that,
with a dedicated treatment program
and a little luck,
that the disease your sister
has actually been suffering from
will go into remission
and and stay there.
And that can't be accomplished
in the facility she's in currently?
Unfortunately, they're not
really set up to to handle it.
But she shouldn't be there anyway.
It would require you to make
other plans for her care.
What about her schizophrenia?
Technically, she never had it,
at least not not clinically anyway.
Could have fooled me.
I am so sorry for what
you must have been through.
I mean, I am painfully aware
of how brutal the impact
on families can be.
Trust me.
I was still in junior high
when Emily started losing it.
She tried to stab my mother's
boyfriend at the dinner table.
Said that his Myspace page
was broadcasting
messages from the conspirators,
whoever they were.
He left for good after that.
And my mom went with him.
[SOMBER MUSIC]
I was left trying to take care
of both Emily
and my little brother.
I was 14.
It is a terrible tragedy
that this hasn't been
diagnosed until now.
But what I need you to understand
is that there is a way forward.
Can you guarantee
that Emily will be okay,
that that behavior will be
gone for good?
I am absolutely confident
No. No, we cannot guarantee that.
Well, actually, Dr. Frost, I mean
Because even if we are right,
there's no way of telling
how her mind or her body
would react to the continued
use of steroids
Excuse me, Dr. Frost.
I want you to trust me.
There are endless modalities out there.
And I am very confident that
we can find one that will work.
I'm sorry, but I have a family
of my own now to protect.
I can't risk it.
Your sister is 10 feet away.
If you would just spend
a minute with her,
I know that you would see that
I'd really prefer not to.
I'm sorry.
But I have to go.
Excuse me, Paige.
I have those forms for you to go over.
Yeah, great.
[INDISTINCT SINGING]
Can you quiet!
This is a hospital!
We are trying to save lives here!
Hey! Give me that beer.
Excuse me, please.
[SINGING CONTINUES]
Natives are restless, I see.
Yeah, hey, that stolen valor comment
was a little much earlier, no?
I thought you would agree with me.
What, they don't care
as much about that stuff in the army?
Okay, we care. I care.
But I also care about
a person's privacy.
Well, you might feel differently
if your prion diagnosis
had come back positive.
Hey, guys, I just got word
from Jodie up in pre-op.
Ferris Bueller's coding.
[TENSE MUSIC]
All clear.
[WHIRRING]
Back in asystole.
Push another one of epi,
resume compressions.
What the hell happened, Phil?
We sent him up here with a broken leg.
He threw a fat embolism before we could
- even get him into the OR.
- What?
Marrow got into his bloodstream.
You can check the ABG we just drew.
It's like an oil slick in there.
It's been about a half an hour, Dean.
I'm just about to call him.
Yeah, get out, get out.
I'm taking over.
Wait, what?
[SOMBER MUSIC]
Glenn's dead?
How? When?
When bones break,
sometimes marrow can escape
into the bloodstream.
And in your friend's case, this caused
a fatal hypoxia, unfortunately.
It's very rare, but it's not unheard of.
And really, it's the result
of bad luck more than anything.
[SOMBER MUSIC]
Do you know if there's any family
that we should contact?
Uh
he's got an ex-wife in Atlanta, I think.
I I don't know her number.
That's all right. We'll take care of it.
If only I told him the truth.
Maybe none of this would have happened.
I'm very sorry for your loss.
♪
I was only being honest with her.
There is no guarantee
that Emily's issues
are entirely correlated to the lupus.
It's going to take time to prove that.
- Yeah?
- Yeah.
And it's pretty damn apparent
how much Paige has suffered.
That needed to be recognized.
I mean, who were we
to just not honor her pain?
We can't wave a magic wand,
Daniel, and wipe that all away.
Can't argue with you there.
Thank you.
Except it's not our job
to advocate for Paige.
It's to advocate for our patient, Emily,
who's essentially been locked away,
body and mind, for a condition
that better doctors
could have diagnosed two decades ago.
Has she done some damage along the way?
Absolutely. Is it her fault?
Absolutely not.
And she deserves a chance to be
reunited with her family
to see if if those wounds
can be healed.
And I'm I'm shocked, frankly,
that you, of all people, don't get that.
I know for a fact that
the concept of forgiveness
and its considerable power,
to your great credit,
is not alien to you.
So, like, I don't get it.
What's going on?
♪
So an endoscopy sounds
way more scary than it is.
We'll put you under
a little light sedation.
Better put restraints on me.
This isn't gonna affect
the fetus, will it?
No, that won't be an issue.
Oh, my mind is swirling.
Part of me feels like I was
the victim of some kind of assault.
And then this other part of me
is saying, no, Maddie,
you're the predator.
Either way, I just feel gross.
Yeah.
I can understand that.
And then there's the fact that
this happened with my husband.
And now I'm wondering
if it was the Ambien
that caused me to sleep with him
or if it was, like, some part
of my subconscious
telling me not to give up
on the marriage?
Well, is that how you feel?
Most of the time, I can't stand him.
And the other times?
Um, I'll confess that I like the banter.
I don't always feel good around him,
but I always feel something.
And Von?
Not so much.
Hey, um
surprises can have silver linings
if you choose to see them that way.
Look what I found down in the gift shop.
Thought he might cheer you up.
Say hello to Mr. Boo Boo Bear.
[LAUGHS]
I'll be back soon.
Hey, hold on.
I'm not interested
in going over it again.
Look, I wasn't planning on
trying to convince you
to change your mind, all right?
Okay, then what are you doing?
Look, I cut myself today, all right?
I I was having breakfast
with my folks,
who I haven't spoken to in a while.
And as usual, they pissed me off.
Next thing I know, wham, all right,
I I sliced it slamming the door.
And all morning, I've spent so much time
blaming a stupid door latch.
Okay.
It got me thinking that
maybe it's the universe's
way of telling me
I've been holding on
too tight to my anger.
Are you trying to draw
some kind of clumsy parallel
to my situation?
Yeah, and failing miserably, apparently.
Did you think that
maybe your problem was
reopening the door in the first place?
Maybe the best thing for us each to do
is to not look back.
You know, that would probably be
for the best, right?
But why doesn't that feel right either?
Do you know where this patient went?
In the bathroom.
[TENSE MUSIC]
♪
I'm getting bad vibes about Tim.
[CHUCKLES] Join the club.
His belt is missing.
- [BANGING]
- Tim, are you in there?
Tim, open up. Open up.
- Tim!
- He's got a key.
- Oh.
- My God.
Try to unhook him.
- Unhook him.
- I got it.
[GASPING, CRYING]
All right, get a transit team.
[DRAMATIC MUSIC]
Okay, pulse is present but thready.
[SOBBING]
You've been placed on a 72-hour hold
for your own protection, Tim,
until it can be determined
that you're no longer
a danger to yourself.
Dr. Charles will be down here shortly
to answer any questions you might have.
I wish the cancer would have
just finished me off
like it was supposed to.
[SOMBER MUSIC]
I mean, you think that's
what Glenn would have wanted?
You want to honor his memory,
you get out of here,
you get your head straight,
and you not only
finish that bucket list,
but you tick off another one
10 times as long.
You live hard enough and bold enough
for the both of you.
Anything less would be a disservice.
♪
You know the sad part?
Some people need to be
on the doorstep of dying
before they decide
to really live, you know?
[APPLAUSE IN DISTANCE]
["DANNY BOY" PLAYING]
ALL: The place where I am lying ♪
I'm a quarter Irish, you know,
on my mother's side.
♪
ALL: And I shall hear ♪
Though soft you tread above me ♪
And all my grave ♪
Will warmer, sweeter be ♪
For you will bend and tell me ♪
That you love me ♪
And I shall sleep in peace ♪
Until you come to me ♪
So, look, I know that
you're not in control
of your diet, okay?
But I want you to really try and avoid
foods that cause inflammation.
Emily, there's someone here
who'd like to see you.
[SOLEMN MUSIC]
♪
Paige.
It it's so good to see you.
[SOBS] Oh, my God.
Oh, I'm so sorry that I abandoned you.
Oh, no, no, honey.
No, I'm so sorry I scared you.
I'm so sorry.
She's got a lot
of major decisions to make.
♪
Looks like she's making one.
Babies can be complicated.
They can indeed.
Dr. Ripley?
A word, please?
♪
One of the rowdier ones
gave me this earlier.
[CLEARS THROAT] Do I need some luck?
Let's find out.
Okay, is it too much to ask
where we're going
or what you have in mind?
Goodwin's office, really?
[KNOCKING]
In keeping with the hospital's policy
regarding reporting relationships that
could potentially adversely
affect patient care,
particularly between
supervisors such as myself
and their direct reports,
such as Dr. Ripley here,
I feel it's necessary to inform you that
the two of us have been
having sexual relations.
Uh, I see.
At no time did we compromise
patient care in any way.
But to fulfill reporting requirements
and moving in reverse
chronological order
from our most recent
to our first assignation
- Oh, my God.
- This morning at
Uh, that's fine.
Dr. Lenox, I get the picture.
Uh, I will make a note of this.
Thank you for your candor.
And as long as there are
no sexual relations
happening on premises
Of course not.
Yeah.
Well, have a good evening.
Somewhere else.
- Yeah.
- Mm-hmm.
[LAUGHING]
I don't know why you're upset.
That's the sort of thing you, uh
you run by a partner
beforehand, Caitlin.
Well, now we don't have to be so covert.
I'm sorry. I was trying to be romantic.
[ELEVATOR DINGS]
You were right.
I have been chasing adrenaline
for a while now.
[SOFT MUSIC]
Maybe it's time I chase
something more meaningful.
♪
Jonathan Michael,
what are you doing here?
Still looking for company on
that trip to Brandywine Falls?
Yeah!
Only if you're doing the driving.
[LAUGHS]
Bet she handles just
as well as the Benz, huh?
[LAUGHTER]
You bet she does.
Okey-dokey.
Just toss your bags anywhere.
- All right.
- Yeah.
♪
Oh, wow, okay.
The big machine.
- [LAUGHS] It certainly is.
- The big machine.
A lot of responsibility, son.
- [LAUGHS]
- [GRUNTS]
All right, you guys ready?
I was born ready.
Buckle yourselves in.
♪