Chicago Med (2015) s12e06 Episode Script
Lessons in Chemistry
1
We know that you're unhoused.
Aren't you kicking us out now?
I am considering exaggerating
to get her admitted.
I might have a solution.
He pretended to give you everything
when he was actually
taking it all away.
Trust me, I know.
You wanna talk about it or
Not even a little bit.
My mother and I had
a complicated relationship.
We've got to stick together.
[DRAMATIC MUSIC]
Danny, you do know
I always loved you, don't you?
[GENTLE MUSIC]
Daniel?
Sorry.
What are what are these ones?
These are closing statement,
settlement statement,
- and executor's deed.
- Okay. Great.
- So, uh so that's it, then?
- Uh, almost.
There are a few miscellaneous
items for which
Margaret didn't name a legatee.
Ah.
Her E. Guigal Côte-Rôtie La Mouline.
She was saving it
for a special occasion.
Oh, you take that, Frederick.
I'm more of a, uh
more of a scotch guy anyway.
I will drink it in Margaret's honor.
Oh, well, look at you and Tommy
in your darling little outfits.
And here's Blackhawks
season ticket info.
Margaret had them set
to auto renew every year.
Ooh. Who's TT?
No idea, but Mom hated sports.
She wouldn't even go to Tommy's games
when he was being scouted.
- Really?
- Yeah.
It felt like she was always
at a game of some kind.
Are you sure we're talking
about the same Margaret Charles?
People contain multitudes, Daniel.
Okay, I will, uh,
call the ticket office,
see if I can get these refunded.
And, um, yeah.
All right.
Well, It was a pleasure
doing probate with you.
Pleasure's all mine.
Thank you, Frederick.
I don't really have a choice, do I?
[SCOFFS]
- Dr. Ripley?
- Yeah?
Maintenance is saying three days until
they can come take a look at that lock
- on the bathroom stall.
- Three days
I'll, um I'll call them
on my lunch break.
I thought you were gonna
talk to the pharmacy tech
on your lunch break.
I'll just skip the part where
I eat and, uh, handle both.
Great.
How's your day going?
Just trying to keep
Caitlin's ship righted
until she returns, but I'm underwater
in paperwork and broken equipment.
Look, I, uh
I get how technically, those issues
fall under your jurisdiction,
but that doesn't mean you personally
have to fix them, buddy.
I mean, you're the boss, remember?
Am I?
I feel like a schedule cop
and a locksmith
and Kacy's therapist.
- Oh, man.
- Sorry.
I haven't had a day off
in three weeks,
and I find myself
agreeing to everything.
Well, stop doing that.
You're in charge, man, okay?
And, uh, you know, not for nothing,
guy I've known for,
what, 20 years now?
A whole lot of things, but
doormat was never one of them.
Hey, rich guy in 6
injured his hand, and it sounds
like he might've had a seizure.
- Lance Carpenter?
- Yeah.
You know him?
Well, not personally,
but everyone in Chicago
thinks he killed his wife.
Okay, I'm leaning in.
It was like, 30 years ago.
He took his wife and some friends
out on a yacht,
and she ends up drowning
in the middle of the night
while everyone else is asleep.
Oh, he definitely did it, then.
Well, his people made it go away.
He's the heir to some
skincare dynasty.
Is he still single?
It's different for me.
[LAUGHTER]
- What's the joke?
- Oh.
"Nick of Time: Back 2 the Pack"
dropped its first two episodes
last night.
I I don't know what that is.
That's your mom's old stuff.
Yeah, I haven't been able
to bring myself to open it
- since she died.
- Wait, why is John
Demeaning myself for
the next generation
of tweens and their moms?
Because I'm a good friend
and a good son.
I'm helping my mom with
the medical bills for my dad.
Apparently, dying is quite expensive.
You're an actor.
That explains so much.
You really have never seen
the original?
Oh, I, uh
I grew up in a zero-device household.
- That explains so much.
- Oh, that's funny.
Dr. Frost, Dr. Wu,
Lakeside University called.
Two patients coming in
by private vehicle.
- Possible code orange.
- Okay.
What's a code orange?
Means we need a wardrobe change.
Well, I suspect you've
broken your fifth metacarpal.
You wanna walk me through
what happened?
We were in the middle of our session.
I'm a writer.
For the past few months,
I've been interviewing
Lance for his memoir.
Today, he was in the middle
of telling a story
when he suddenly
got agitated, combative.
He got up and ran to the patio doors,
started yelling,
punched the door frame,
then threw a chair through the glass.
He was yelling Lila's name.
Is Lila his dead wife?
I don't know
I don't know what happened.
I thought I saw her, but obviously
I don't know what I saw.
Then he just collapsed,
started convulsing.
It was really scary.
Has this ever happened before?
Seeing my dead wife
or having a seizure?
- Either.
- First time for both.
But I assure you, I'm fine.
The only reason
I let Melody bring us here
is that she cut her hand
cleaning up the glass.
Okay, well, that might need stitches.
Let's get Lance basic trauma labs,
a tetanus, a head CT,
and an X-ray for that hand
while I get Melody situated
in her own room.
No blood work or imaging.
He doesn't want armchair sleuths
getting ahold of his DNA.
But something is really wrong.
I'll have my colleague
administer a cognitive test.
Right this way.
So how's your transition
of power going?
- Loving it so far.
- Mm.
'Cause I heard
it's mostly admin and
ah, what was it?
Uh, fielding complaints
from residents?
Mm-hmm. Do you have a complaint, John?
It's not a complaint
as much as a concern.
It's about what you said
to the kidnapper's wife,
about mistaking mercy for love.
Look, I don't know your situation,
but I do know what it's like
to have parents
I said what I needed to say
to get her to talk.
Doesn't make it true.
Well, it felt true.
Maybe I'm just
a better actor than you.
[ENGINE RUMBLES]
[TIRES SCREECH]
[TENSE MUSIC]
What happened?
We were in the hallway
of the science building
at Lakeside University.
I heard an explosion and screams.
I found these two under
the emergency shower
in the chem lab.
The flask exploded.
It's nitric acid.
We told the guys not to touch us.
That was smart.
You probably still have acid on you.
Smart's not a word
he deserves right now.
- I set up Trauma 1 for Decon.
- Trauma 1.
We need to remove all
clothing and jewelry
for decontamination.
Grossly clear.
Same with him.
Let's get 1 milligram of
Dilaudid to help with the pain.
Hey.
- Nitri-Solve gloves, Trini.
- Oop. Yep.
♪
We have to get this jacket off, okay?
Hey, what about their safety goggles?
Might wanna leave those on
for what comes next.
There's acid in these blisters.
Get the Diphoterine solution ready
and push another milligram
of Dilaudid for both.
Okay, what happens next
isn't gonna be pleasant.
We'll need to pop your blisters
to prevent the nitric acid
from continuing to react
with your skin.
We're gonna have to
scrub away the dead skin.
It is going to hurt a lot.
We can sedate
and intubate if you prefer,
but time is a factor.
Just do it.
Yeah, go ahead.
[GASPS, GROANS]
♪
So that's a code orange.
♪
I am surprised he's letting
you write a book about him.
I mean, it's just gonna open him up
to scrutiny all over again.
No one was more surprised than me.
My day job is writing takedown pieces,
so Lance knows I'm not
gonna go easy on him.
He says that's why he chose me.
Because if I say he's innocent,
then people will actually believe it.
Has he said anything about that night?
Nope.
Trying to be patient.
But he spends most of the time talking
about his philanthropy,
his public service,
or turns the questions around to me.
Well, it makes sense he'd wanna
paint himself in the best light.
Yeah, he's charismatic.
He charms everyone around him.
And I feel like a sucker
'cause it's worked on me.
I'll admit, these past
few months, I actually
started to like the guy.
But today, I saw his dark side.
That must've been scary.
The look in his eyes
when he punched the door
and said Lila's name?
I realized that could be the real him.
Well, baby's heart rate is good.
BP 137/85.
- That's high, right?
- A little.
But Harper, how are you feeling today?
Any abdominal pain?
No, just a lot of gas.
That's pretty normal.
What about any signs of spotting?
- No, none.
- Is something wrong?
Not at all.
But I would like to run some tests,
just to double-check that her levels
are where they should be.
Okay, thank you.
Okay.
Baby seems on the smaller side.
And she's only grown
200 grams in the three weeks
that Harper's been here.
And her AFI is slower than I'd like.
Yeah, that paired with
her elevated blood pressure.
Could be nothing.
But let's get a CBC, a CMP,
and urine PCR, just to be safe.
You're running tests on
the couple in 5 and 6?
Mm-hmm. Why?
They're flagged to be
discharged today.
Did Ms. Sloan find out
we played the system?
Maybe.
I'll handle this.
Okay, so I'm going to
ask you to remember
three words, all right?
And those words are
captain, garden, picture.
- Okay.
- And our three words were?
- Captain, garden, picture.
- Excellent.
Now, I'd like you to
draw me a clock face.
Is Melody okay?
Uh, yeah.
I think she might've gotten
a little scared, you know,
when you lost control, but
but she'll survive.
I made a point to keep
my anger in check around her.
Ruined that today.
Any big changes in your life recently?
Any new stressors?
I'm the CEO of a
multibillion-dollar corporation.
Every minute of every day,
a new stressor is introduced.
What time do I make the clock?
How about 10 after 11:00?
And our three words are?
Captain, garden, picture.
Okay.
Look, I'm not seeing any evidence
of cognitive impairment here,
but something made you hallucinate
and have a seizure earlier today.
Would you just let me send you
upstairs for a quick MRI?
I feel fine, and I'd like to leave.
Got it.
Well, um, Melody is still
in with Dr. Ripley.
So I'll go suss that out,
and we'll get you guys
out of here as quickly as we can.
Loving these pain meds.
Almost makes the company bearable.
I think you're forgetting
that your illiterate ass
is the reason we're here.
We were nitrating phenol,
and he was supposed to use
a 3.5 molar nitric acid,
and he used 16 instead.
Sounds like an honest mistake.
[CHUCKLES] Typical underachiever.
Well, your chest X-rays
revealed a bit of haziness
in the lungs,
most likely caused by the
inhalation of nitrogen dioxide.
We'll start you
on q4 albuterol nebulizers
to help open up your airways.
We are gonna need to
keep you both overnight
to monitor your burns and make sure
that your oxygen levels improve.
I know that you are both legal adults,
but would you like us
to call your parents?
- Mine are in Tokyo.
- I don't wanna worry them.
I don't get why you guys
keep working together
when you clearly don't click.
Well, it's not by choice.
Our last names are next to
each other in the alphabet.
I begged Professor Lopez
for a lab partner
who isn't a pretentious diva.
And I politely requested one
that didn't have to change
his gloves every five
minutes because of his
[GAGS] Sweaty hands.
Yes, it was my call
to discharge the couple
from the overflow room.
Well, I have concerns.
Harper needs to be here.
Her amniotic fluid index is low.
- How low?
- 5.5.
- That's still within range.
- Barely.
And her blood pressure is also high.
How high?
137/85, and the baby's only grown
200 grams in the three weeks
that she's been here.
Well, none of this is
sounding any alarm bells to me.
In my experience, the combination
of these conditions,
as well as factoring
Harper's mental health issues,
warrants additional monitoring.
Right, the same way
the two of you needed
to monitor Ms. Doherty
and Mr. Kaufman for typhus.
I appreciate how much you care
and how thorough
both of you are as physicians,
but as someone in
a managerial position,
it's my job to ensure
that hospital resources
are being properly used.
There is a system in place
for hospital admittance,
and Ms. Doherty and Mr. Kaufman
do not meet the criteria.
And so my decision stands.
We need these beds for patients
who are actually sick.
Dr. Ripley, honestly,
I expected more from you.
Ms. Sloan.
Look, I get that you're new here
and probably still
figuring things out,
but if you're making decisions
from your keyboard,
you're doing the job wrong.
Decisions regarding patient care
should be made by people
who actually care
about the patient,
specifically the doctors in this ED.
So moving forward, I'd recommend
you stay in your lane.
[TENSE MUSIC]
♪
Your dissatisfaction has been noted.
I don't think I've ever been
more turned on in my life.
[BRIGHT MUSIC]
♪
[CHUCKLES SOFTLY]
Come here.
Hi.
I thought phase one
of your prion trial
lasted another week.
Oh, yeah, what can I say?
I decided I'd rather see you
than get another spinal tap.
It was close, though.
Relax.
Dr. Abrams is gonna do it.
I'm really glad you're back.
I know.
This place is, like,
falling apart without me.
No, I'm falling apart without you.
You are so dramatic.
Well, that's true.
Now, I need you to use
that big-boy voice
and tell me how angry it makes you
when I put profits over patients.
Which bed for Tyler Drake?
9 and 3 are freshly turned over.
Weren't there two
chemical burn patients?
Yeah, the other one was sent upstairs.
Were her injuries more severe?
No. I thought it was weird too.
Okay, we made a few phone calls
and found a temporary shelter
that'll take you.
- For both of us?
- Oh, yes.
Just ask for Yvonne.
She's holding two beds.
Now, Harper, we have
a free women's clinic here
every Thursday between 11:00 and 4:00,
but I want you to come back
to the ED immediately
if you experience any new
or unusual discomfort
or bleeding, okay?
I mean, I'm 37 weeks pregnant,
so discomfort is a constant.
Look, I'm really sorry, guys.
I wish that there was more
that we could do.
You've both done a lot more
than most people
in your position would have.
Besides, I have two job
interviews happening next week,
so don't worry.
We'll land back on our feet.
- We'll be okay.
- Yeah.
Let's go.
Thank you.
Mm. Hey.
You want a taco? I have extra.
Michelle's got me doing
liquid lunches.
Mm. Oh.
So I'd ask how your trip was,
but I don't wanna seem disingenuous.
While the in-person phase
of the clinical trial
has concluded, I still have to do
monthly lumbar punctures
and regular testing
of my prion levels.
So you're on the fun train.
And you want me to be your conductor.
No one else knows about my diagnosis.
Just you, Mitch, and Kip.
And I would like to keep it that way.
Okay. It'll stay in the vault.
Look, these treatments are most
effective when anxiety
and stress are at a minimum.
So are you sure that
an early return to the ED
is such a good idea?
Nothing makes my anxiety
skyrocket more than idle hands,
and I already gave
three months of my life
to an experimental treatment.
I'm ready to get back to work.
I'm glad you decided
to fight this, Caitlin.
Thanks.
You'll need to sign this.
It says you're leaving
against medical advice.
Lance, when we were talking earlier,
I noticed a twitch in your right eye.
It's called a monocular nystagmus,
and it's often a very serious
I appreciate the concern.
But I do feel a lot better.
I am beat, though.
We should pick up where
we left off tomorrow.
I don't think I'm the right person
to tell your story anymore.
Why not?
I think maybe
You're you're afraid of me.
A little. Yeah.
But I also don't even know
why you hired me.
You tiptoe around all my questions.
Okay.
We both had long days.
Why don't you sleep on it?
I don't need to.
You're too closed off.
You won't even let
these doctors run tests.
How am I supposed to believe
you'll ever give me the full story?
I'm sorry, Lance, but to that end,
I just do need to go on the record
and let you know that I'm emphatically
recommending an MRI.
I've already had one.
You want a good story?
[PENSIVE MUSIC]
Notorious suspected killer
Lance Carpenter
dies from a brain tumor.
4-centimeter glioma
pressing on my temporal lobe,
diagnosed six months ago.
This isn't a death sentence.
Why haven't you had it removed?
The physician couldn't
guarantee that I would
survive the surgery,
and there was something
I needed to do before I died.
It's not about the book
or my reputation.
I just didn't wanna die without
ever knowing my daughter.
- Your daughter?
- Yeah.
My daughter.
♪
Melody.
You left this back there.
Don't think I need it anymore.
That was a lot to get dumped on you.
The only thing my mom
ever told me about my father
was that he was married.
She left off the, uh,
"notorious murder suspect" part?
Yeah.
And then when I was 12, she died.
- Car accident.
- I'm sorry.
I spent years in the system,
dreaming that my dad
was some rich, successful guy
that was gonna show up
one day and save me.
Careful what you wish for, I guess.
The only thing worse
than not having a father
is having one who kills people.
You think he did it?
No.
I don't know. Maybe.
You have the chance
to ask those questions.
And what if I don't like the answers?
You may not, but at least
you won't have to wonder.
I think I'm good.
I don't know, but
did Melody leave?
Yeah.
She left this behind.
Yeah.
She's angry.
She gets her temper from me.
So now I have nothing left to lose,
I will do the surgery.
Okay.
Excellent.
I'll get you an MRI and book a consult
with our neurosurgeon right away.
Look, if you really want
your daughter to know you,
there's really just one thing
you have to do,
and that's just, uh,
be honest with her
about everything.
Okay, thanks.
MRI is backed up.
It's gonna be another hour.
Okay.
Page me when we have his imaging.
I just have a quick errand to run.
Yeah, thank you.
I didn't quite have
my mom pegged for a
a hockey fan.
Oh, well, no, she hated
everything about it
the rowdy fans, the loud music,
the Arctic temperature in the arena.
Well, then I don't
quite understand why
she had season tickets
for a sport she despised.
Well, they weren't for her.
They were for Tommy's Team.
Tommy's Team? What's that?
It's the program your mom started
after your brother passed.
Huh.
What what kind of program?
She launched Tommy's Team, like,
20 years ago for teens at risk
for alcohol and drug abuse.
They now have coaching sessions,
camps for 12 different sports.
Special seats for hockey games.
For the ones who stay clean, yes.
Ha.
Just like Mom, all about results,
even when that's not quite the point.
They get to meet the players.
Sometimes they even get to go
out on the ice after the game.
Tommy's Team has helped so many kids.
And these are her seats.
She even had
a dedication plaque put in.
Well.
[SOFT MUSIC]
Yeah.
Yeah, my brother loved playing sports,
but I think he loved
being on a team even more.
Because maybe his teammates
found a better family
than the one he had at home.
I think the year he hurt his arm,
he had to sit out a whole season,
and that's when he
[BREATHES DEEPLY]
Started up on the painkillers.
Your mother didn't want any other kids
to have to experience that.
She talked about you both a ton.
Um, as I said on the phone,
we're happy
to refund your tickets, but I do hope
you decide to carry on
your mother's legacy instead.
[VITALS MONITOR BEEPING]
Hey.
Your heart rate
and blood pressure is up.
[VITALS MONITOR BEEPING]
Abby, page Dr. Frost.
It's probably 'cause I'm
I'm kind of freaking out.
It's just now hitting me
how much damage
we did to the chem lab.
Well, accidents happen.
Try to take some deep breaths for me.
I'm only there on scholarship,
which they can rescind for any reason.
Imogen never has to worry
about these things.
She has a trust fund.
But if I have to drop out, I'll
I'll end up working in retail
for the rest of my life.
Hey, I need some help here.
He's in V-tach.
[ALARM BEEPING]
[SUSPENSEFUL MUSIC]
What happened?
He was tachycardic, with a 103 fever.
Tremored and went into V-tach.
Okay, I'll take over.
Give him 1 milligram of epi
and charge to 100.
Come on, buddy.
John, you ready?
- Go.
- Clear.
[VITALS MONITOR BEEPING]
Okay, he's back in sinus rhythm.
I don't understand what
could've caused this.
I mean, it's too soon
for wound infection.
Maybe systemic toxicity from phenol
being absorbed into the bloodstream?
There was no indication that
phenol ever touched his skin.
Albuterol can sometimes
trigger V-tach.
But his potassium levels were normal.
Imogen, she was exposed
to the same chemicals.
If he arrested, she's in danger
of arresting too.
♪
Sorry. Excuse me.
[VITALS MONITOR BEEPING]
Your blood pressure
and heart rate are normal.
- Has she been febrile?
- Nope. I just checked.
- 98.1.
- Any tremors?
Okay, this doesn't make any sense.
- Dr. Asher?
- Yep?
Paramedics are bringing in
a pregnant woman now.
Said she was in here earlier.
Treatment 2. [SIRENS APPROACHING]
Oh, no. No, no, no, no, no, no.
26-year-old female, 37 weeks pregnant,
experiencing sudden
onset abdominal pain
- and heavy vaginal bleeding.
- Heart rate's 128.
BP's 142/93. Partner behind us.
Hey, Harper, we've got you.
- Is my baby okay?
- Abdomen's rigid.
We were just getting to the
shelter when she collapsed.
She's hemorrhaging.
This is a placental abruption.
Harper, I'm gonna need to perform
an emergency C-section, okay?
Let's get her to the
hybrid OR immediately.
Vascular's got an angio in there.
- She won't make it upstairs.
- Trauma 3 is open.
- Sloan won't like that.
- Ask me if I care.
We're delivering this baby in the ED.
[SCREAMS]
Amniotic sac ruptured.
Mitch, can I get more suction?
We're doing C-sections in the ED now?
You got a better plan?
I'd love to hear it.
Okay, here we go.
[VITALS MONITOR BEEPING]
Here she comes.
Clamp.
[TENSE MUSIC]
Scissors.
Okay.
Come on.
Come on.
She's not breathing.
Flap.
Heart rate is 95, and
there's no respiratory effort.
Okay, uterus has no tone.
She's still hemorrhaging.
I need to intubate.
Let's push TXA and Hemabate IM.
We need more O-neg.
That was the last unit.
I'll trigger the MTP.
[ALARM BLARING]
Her BP's dropping, Hannah.
So the imaging shows
that the glioma has crossed
the midline of your brain.
That sounds bad.
So what?
I waited to get the surgery,
and now it's gonna be
even more dangerous?
Unfortunately, Lance,
surgery is no longer an option.
The tumor has no clear borders,
and it's wrapped itself
around your blood vessels.
There's simply no way to remove it.
How much time do I have?
Every case is different,
but if I have to guess,
a few months.
There are other treatment options
that could give you
more time than that.
Get out.
Mr. Carpenter,
with radiation and chemo
I said get out!
♪
Was Tyler exposed to
any chemicals besides
the nitric acid and phenol?
Not that I know of.
Is he gonna be okay?
He's annoying,
but I don't want him to die.
I mean, he's stabilized for now,
but we need to figure out
what caused his heart to stop
or it'll happen again.
Maybe he was exposed
longer than you were?
I mean, we both ran
to the emergency shower.
Got there at the same time.
Anything he could've have ingested?
I mean, school is stressful.
Does he use drugs?
I wouldn't know.
I try not to engage with him
outside of our assignments.
Even if it's something
you don't think is important,
it might help.
So you want me to tell you
all of Tyler's annoying habits?
[SIGHS] His handwriting
is like a serial killer's.
He eats like a pygmy shrew.
One time, I saw Tyler put down
three double cheeseburgers
in one lecture.
Oh, also, when he's wrong, his voice
- gets really high-pitched.
- Wait, wait, hang on.
Earlier, didn't you say
his hands sweat a lot?
Yeah. It's gross.
Okay, so sweaty, and he eats
a lot but isn't overweight.
Gonna be in trouble when we
I just performed an emergency
C-section on Harper Doherty.
Paramedics brought her in
after she collapsed
at the shelter we sent her to.
The unhoused couple that have been
in the overflow room for weeks.
She'd had a placental abruption
and was hemorrhaging upon arrival.
Once we delivered,
she suffered uterine atony.
I tried an intrauterine
balloon tamponade,
a uterine artery ligation,
but nothing would stop the bleeding.
I had to remove her uterus.
Well, it sounds like you
handled a tough delivery
remarkably well.
Yes, but it didn't have
to be a tough delivery!
[TENSE MUSIC]
You are so busy looking at her numbers
that you couldn't even
see the patient.
You are so focused on the bottom line
that you can't even see that
your patients, human beings,
are falling through the cracks.
How's the baby?
Honestly, I don't know.
And these next 48 hours
are pretty critical.
But right now, she's undergoing
a blood transfusion
as a machine breathes for her.
You're a little emotional right now,
and this job can be very tricky
when emotions are involved.
No, see, that's the thing
Emotion has nothing to do with this.
Because everything
about Harper's situation
set off alarm bells
in my brain this morning.
I knew that letting her leave
this hospital was a bad idea,
and I let it happen anyway.
And now I need to live
with the consequences.
But so do you.
♪
Some days, this job
is harder than others.
I know it seems like I'm the bad guy,
but all I want is for this to
be the best hospital it can be.
Well, I'd argue it was pretty
great before you got here.
You must hate me.
No, I don't.
I worry for you.
I've been where you are.
Come on, Ms. Goodwin. I took your job.
No, no, no. Miranda took my job.
Besides, we have more
in common than you think.
We both want what's best for Gaffney.
I can see that.
Well, I'm trying.
And failing.
Well, failure is a part of
the job, believe it or not.
My advice?
Surround yourself
with doctors you trust,
but know that you're the one
who'll be held accountable
for every tough decision.
So you gotta trust your gut.
With respect, Ms. Goodwin,
that might've worked in your tenure,
but with this system
Miranda has in place,
it just takes all the gut
checks out of the equation.
Listen.
- About earlier?
- Oh, please.
You're not the first person
to get angry at news
that they didn't wanna hear,
and, trust me,
you're not gonna be the last.
Oh.
Melody.
Dr. Ripley filled me in
on your prognosis.
Pretty dumb move waiting to treat it.
I don't regret it.
Getting to know you
these past few months,
it was worth it.
Glad you've had a fun few months.
But I needed a father 20 years ago.
That's fair.
I kept telling myself
I stayed away to protect you,
but really, I was just scared
and selfish.
I hope you can forgive me.
I don't know if I can.
But I'd like to finish
what we started
hear the rest of your story.
[SOFT DRAMATIC MUSIC]
I accept those terms.
♪
You might need this.
It baffles me why someone who's
lived such a controversial life
would wanna put it all out
there for the world to read.
Because he wants his legacy
to be more than
whatever happened
on that boat that night.
People contain multitudes,
Mitchell, right?
I mean, maybe he
doesn't want that to be
the only story anybody tells
about him after he's gone.
- Mm.
- I don't have a clue.
I mean, maybe he just wants
to spend a little
more time with his daughter.
And who could blame him for that?
Well, Tyler, your labs
confirmed what Dr. Wu
and I guessed, hyperthyroidism.
Exacerbated by the chemical burns,
caused a thyroid storm.
I help them figure it out
because of your gross, sweaty hands.
[CHUCKLES]
It might not be the condition.
I think you just make me nervous.
Because
I might not totally hate you.
I might not totally hate you, either.
Well, we'll leave you guys to it.
Yeah.
Never would've guessed you could
fall in love over acid-filled
blisters and thyroid storms.
Yeah, I forgot you're new here.
Ha.
- Listen, Annie.
- Yeah.
- About what
- Oh, hey.
Hey, I look, I know you and I
have had some light bonding
after sharing a few patients,
but it's not your place to try
and uncover my core wound.
So just let's keep this profesh.
Sure thing, Chief.
Good.
[SIGHS]
While it's delightful
to see you twice in one day.
I was a bit surprised
by the choice of venue.
Well, it turns out that
my mother started this project,
and I was kind of hoping that
you'd help me keep it going.
Though I have to warn you,
if you agree,
there could be
many more Blackhawks games
in your future.
Oh.
Do I have to wear polyester?
You can wear whatever
you like, Frederick.
Well, in that case,
please call me Freddy.
Done.
This is us right here.
Well, this is nice.
Yeah.
So, um [SIGHS]
You know, it really, uh
really kind of hit home for me today
that you knew this whole side
of my mother that I
I didn't even know existed.
Would you like to remedy that?
I think maybe I would, yeah.
I mean, I wanna know
the Margaret you knew.
Right?
I mean, not just this angry
woman who had a hard time
loving her kids, you know?
She never had trouble
loving you, Daniel.
Well, I think sometimes
she had trouble showing it.
But I love this idea.
I could tell Margaret stories
for hours,
though I do hope
you'll return the favor.
My own time with her,
like a footprint in the sand,
too quickly washed away.
Huh.
Sounds like a fair deal to me.
[SOFT MUSIC]
To Margaret.
To Mom.
Okay, Ashley Venable.
Uninsured.
Last one.
Sarah Williams.
Medicaid.
[TENSE MUSIC]
Nearly every patient
sent to this overflow room
is underinsured
or has no insurance at all.
While the patients
with private insurance
are admitted and sent upstairs.
- This can't be a coincidence.
- [SIGHS]
Do you think Miranda
manipulated the intake system?
Yes, I do.
[EXHALES SHARPLY]
That seems really messed up.
Discriminating levels of care
based on insurance status
is more than just messed up, Doris.
It's illegal.
♪
sync & corrections awaqeded
[DRAMATIC MUSIC]
♪
[WOLF HOWLS]
We know that you're unhoused.
Aren't you kicking us out now?
I am considering exaggerating
to get her admitted.
I might have a solution.
He pretended to give you everything
when he was actually
taking it all away.
Trust me, I know.
You wanna talk about it or
Not even a little bit.
My mother and I had
a complicated relationship.
We've got to stick together.
[DRAMATIC MUSIC]
Danny, you do know
I always loved you, don't you?
[GENTLE MUSIC]
Daniel?
Sorry.
What are what are these ones?
These are closing statement,
settlement statement,
- and executor's deed.
- Okay. Great.
- So, uh so that's it, then?
- Uh, almost.
There are a few miscellaneous
items for which
Margaret didn't name a legatee.
Ah.
Her E. Guigal Côte-Rôtie La Mouline.
She was saving it
for a special occasion.
Oh, you take that, Frederick.
I'm more of a, uh
more of a scotch guy anyway.
I will drink it in Margaret's honor.
Oh, well, look at you and Tommy
in your darling little outfits.
And here's Blackhawks
season ticket info.
Margaret had them set
to auto renew every year.
Ooh. Who's TT?
No idea, but Mom hated sports.
She wouldn't even go to Tommy's games
when he was being scouted.
- Really?
- Yeah.
It felt like she was always
at a game of some kind.
Are you sure we're talking
about the same Margaret Charles?
People contain multitudes, Daniel.
Okay, I will, uh,
call the ticket office,
see if I can get these refunded.
And, um, yeah.
All right.
Well, It was a pleasure
doing probate with you.
Pleasure's all mine.
Thank you, Frederick.
I don't really have a choice, do I?
[SCOFFS]
- Dr. Ripley?
- Yeah?
Maintenance is saying three days until
they can come take a look at that lock
- on the bathroom stall.
- Three days
I'll, um I'll call them
on my lunch break.
I thought you were gonna
talk to the pharmacy tech
on your lunch break.
I'll just skip the part where
I eat and, uh, handle both.
Great.
How's your day going?
Just trying to keep
Caitlin's ship righted
until she returns, but I'm underwater
in paperwork and broken equipment.
Look, I, uh
I get how technically, those issues
fall under your jurisdiction,
but that doesn't mean you personally
have to fix them, buddy.
I mean, you're the boss, remember?
Am I?
I feel like a schedule cop
and a locksmith
and Kacy's therapist.
- Oh, man.
- Sorry.
I haven't had a day off
in three weeks,
and I find myself
agreeing to everything.
Well, stop doing that.
You're in charge, man, okay?
And, uh, you know, not for nothing,
guy I've known for,
what, 20 years now?
A whole lot of things, but
doormat was never one of them.
Hey, rich guy in 6
injured his hand, and it sounds
like he might've had a seizure.
- Lance Carpenter?
- Yeah.
You know him?
Well, not personally,
but everyone in Chicago
thinks he killed his wife.
Okay, I'm leaning in.
It was like, 30 years ago.
He took his wife and some friends
out on a yacht,
and she ends up drowning
in the middle of the night
while everyone else is asleep.
Oh, he definitely did it, then.
Well, his people made it go away.
He's the heir to some
skincare dynasty.
Is he still single?
It's different for me.
[LAUGHTER]
- What's the joke?
- Oh.
"Nick of Time: Back 2 the Pack"
dropped its first two episodes
last night.
I I don't know what that is.
That's your mom's old stuff.
Yeah, I haven't been able
to bring myself to open it
- since she died.
- Wait, why is John
Demeaning myself for
the next generation
of tweens and their moms?
Because I'm a good friend
and a good son.
I'm helping my mom with
the medical bills for my dad.
Apparently, dying is quite expensive.
You're an actor.
That explains so much.
You really have never seen
the original?
Oh, I, uh
I grew up in a zero-device household.
- That explains so much.
- Oh, that's funny.
Dr. Frost, Dr. Wu,
Lakeside University called.
Two patients coming in
by private vehicle.
- Possible code orange.
- Okay.
What's a code orange?
Means we need a wardrobe change.
Well, I suspect you've
broken your fifth metacarpal.
You wanna walk me through
what happened?
We were in the middle of our session.
I'm a writer.
For the past few months,
I've been interviewing
Lance for his memoir.
Today, he was in the middle
of telling a story
when he suddenly
got agitated, combative.
He got up and ran to the patio doors,
started yelling,
punched the door frame,
then threw a chair through the glass.
He was yelling Lila's name.
Is Lila his dead wife?
I don't know
I don't know what happened.
I thought I saw her, but obviously
I don't know what I saw.
Then he just collapsed,
started convulsing.
It was really scary.
Has this ever happened before?
Seeing my dead wife
or having a seizure?
- Either.
- First time for both.
But I assure you, I'm fine.
The only reason
I let Melody bring us here
is that she cut her hand
cleaning up the glass.
Okay, well, that might need stitches.
Let's get Lance basic trauma labs,
a tetanus, a head CT,
and an X-ray for that hand
while I get Melody situated
in her own room.
No blood work or imaging.
He doesn't want armchair sleuths
getting ahold of his DNA.
But something is really wrong.
I'll have my colleague
administer a cognitive test.
Right this way.
So how's your transition
of power going?
- Loving it so far.
- Mm.
'Cause I heard
it's mostly admin and
ah, what was it?
Uh, fielding complaints
from residents?
Mm-hmm. Do you have a complaint, John?
It's not a complaint
as much as a concern.
It's about what you said
to the kidnapper's wife,
about mistaking mercy for love.
Look, I don't know your situation,
but I do know what it's like
to have parents
I said what I needed to say
to get her to talk.
Doesn't make it true.
Well, it felt true.
Maybe I'm just
a better actor than you.
[ENGINE RUMBLES]
[TIRES SCREECH]
[TENSE MUSIC]
What happened?
We were in the hallway
of the science building
at Lakeside University.
I heard an explosion and screams.
I found these two under
the emergency shower
in the chem lab.
The flask exploded.
It's nitric acid.
We told the guys not to touch us.
That was smart.
You probably still have acid on you.
Smart's not a word
he deserves right now.
- I set up Trauma 1 for Decon.
- Trauma 1.
We need to remove all
clothing and jewelry
for decontamination.
Grossly clear.
Same with him.
Let's get 1 milligram of
Dilaudid to help with the pain.
Hey.
- Nitri-Solve gloves, Trini.
- Oop. Yep.
♪
We have to get this jacket off, okay?
Hey, what about their safety goggles?
Might wanna leave those on
for what comes next.
There's acid in these blisters.
Get the Diphoterine solution ready
and push another milligram
of Dilaudid for both.
Okay, what happens next
isn't gonna be pleasant.
We'll need to pop your blisters
to prevent the nitric acid
from continuing to react
with your skin.
We're gonna have to
scrub away the dead skin.
It is going to hurt a lot.
We can sedate
and intubate if you prefer,
but time is a factor.
Just do it.
Yeah, go ahead.
[GASPS, GROANS]
♪
So that's a code orange.
♪
I am surprised he's letting
you write a book about him.
I mean, it's just gonna open him up
to scrutiny all over again.
No one was more surprised than me.
My day job is writing takedown pieces,
so Lance knows I'm not
gonna go easy on him.
He says that's why he chose me.
Because if I say he's innocent,
then people will actually believe it.
Has he said anything about that night?
Nope.
Trying to be patient.
But he spends most of the time talking
about his philanthropy,
his public service,
or turns the questions around to me.
Well, it makes sense he'd wanna
paint himself in the best light.
Yeah, he's charismatic.
He charms everyone around him.
And I feel like a sucker
'cause it's worked on me.
I'll admit, these past
few months, I actually
started to like the guy.
But today, I saw his dark side.
That must've been scary.
The look in his eyes
when he punched the door
and said Lila's name?
I realized that could be the real him.
Well, baby's heart rate is good.
BP 137/85.
- That's high, right?
- A little.
But Harper, how are you feeling today?
Any abdominal pain?
No, just a lot of gas.
That's pretty normal.
What about any signs of spotting?
- No, none.
- Is something wrong?
Not at all.
But I would like to run some tests,
just to double-check that her levels
are where they should be.
Okay, thank you.
Okay.
Baby seems on the smaller side.
And she's only grown
200 grams in the three weeks
that Harper's been here.
And her AFI is slower than I'd like.
Yeah, that paired with
her elevated blood pressure.
Could be nothing.
But let's get a CBC, a CMP,
and urine PCR, just to be safe.
You're running tests on
the couple in 5 and 6?
Mm-hmm. Why?
They're flagged to be
discharged today.
Did Ms. Sloan find out
we played the system?
Maybe.
I'll handle this.
Okay, so I'm going to
ask you to remember
three words, all right?
And those words are
captain, garden, picture.
- Okay.
- And our three words were?
- Captain, garden, picture.
- Excellent.
Now, I'd like you to
draw me a clock face.
Is Melody okay?
Uh, yeah.
I think she might've gotten
a little scared, you know,
when you lost control, but
but she'll survive.
I made a point to keep
my anger in check around her.
Ruined that today.
Any big changes in your life recently?
Any new stressors?
I'm the CEO of a
multibillion-dollar corporation.
Every minute of every day,
a new stressor is introduced.
What time do I make the clock?
How about 10 after 11:00?
And our three words are?
Captain, garden, picture.
Okay.
Look, I'm not seeing any evidence
of cognitive impairment here,
but something made you hallucinate
and have a seizure earlier today.
Would you just let me send you
upstairs for a quick MRI?
I feel fine, and I'd like to leave.
Got it.
Well, um, Melody is still
in with Dr. Ripley.
So I'll go suss that out,
and we'll get you guys
out of here as quickly as we can.
Loving these pain meds.
Almost makes the company bearable.
I think you're forgetting
that your illiterate ass
is the reason we're here.
We were nitrating phenol,
and he was supposed to use
a 3.5 molar nitric acid,
and he used 16 instead.
Sounds like an honest mistake.
[CHUCKLES] Typical underachiever.
Well, your chest X-rays
revealed a bit of haziness
in the lungs,
most likely caused by the
inhalation of nitrogen dioxide.
We'll start you
on q4 albuterol nebulizers
to help open up your airways.
We are gonna need to
keep you both overnight
to monitor your burns and make sure
that your oxygen levels improve.
I know that you are both legal adults,
but would you like us
to call your parents?
- Mine are in Tokyo.
- I don't wanna worry them.
I don't get why you guys
keep working together
when you clearly don't click.
Well, it's not by choice.
Our last names are next to
each other in the alphabet.
I begged Professor Lopez
for a lab partner
who isn't a pretentious diva.
And I politely requested one
that didn't have to change
his gloves every five
minutes because of his
[GAGS] Sweaty hands.
Yes, it was my call
to discharge the couple
from the overflow room.
Well, I have concerns.
Harper needs to be here.
Her amniotic fluid index is low.
- How low?
- 5.5.
- That's still within range.
- Barely.
And her blood pressure is also high.
How high?
137/85, and the baby's only grown
200 grams in the three weeks
that she's been here.
Well, none of this is
sounding any alarm bells to me.
In my experience, the combination
of these conditions,
as well as factoring
Harper's mental health issues,
warrants additional monitoring.
Right, the same way
the two of you needed
to monitor Ms. Doherty
and Mr. Kaufman for typhus.
I appreciate how much you care
and how thorough
both of you are as physicians,
but as someone in
a managerial position,
it's my job to ensure
that hospital resources
are being properly used.
There is a system in place
for hospital admittance,
and Ms. Doherty and Mr. Kaufman
do not meet the criteria.
And so my decision stands.
We need these beds for patients
who are actually sick.
Dr. Ripley, honestly,
I expected more from you.
Ms. Sloan.
Look, I get that you're new here
and probably still
figuring things out,
but if you're making decisions
from your keyboard,
you're doing the job wrong.
Decisions regarding patient care
should be made by people
who actually care
about the patient,
specifically the doctors in this ED.
So moving forward, I'd recommend
you stay in your lane.
[TENSE MUSIC]
♪
Your dissatisfaction has been noted.
I don't think I've ever been
more turned on in my life.
[BRIGHT MUSIC]
♪
[CHUCKLES SOFTLY]
Come here.
Hi.
I thought phase one
of your prion trial
lasted another week.
Oh, yeah, what can I say?
I decided I'd rather see you
than get another spinal tap.
It was close, though.
Relax.
Dr. Abrams is gonna do it.
I'm really glad you're back.
I know.
This place is, like,
falling apart without me.
No, I'm falling apart without you.
You are so dramatic.
Well, that's true.
Now, I need you to use
that big-boy voice
and tell me how angry it makes you
when I put profits over patients.
Which bed for Tyler Drake?
9 and 3 are freshly turned over.
Weren't there two
chemical burn patients?
Yeah, the other one was sent upstairs.
Were her injuries more severe?
No. I thought it was weird too.
Okay, we made a few phone calls
and found a temporary shelter
that'll take you.
- For both of us?
- Oh, yes.
Just ask for Yvonne.
She's holding two beds.
Now, Harper, we have
a free women's clinic here
every Thursday between 11:00 and 4:00,
but I want you to come back
to the ED immediately
if you experience any new
or unusual discomfort
or bleeding, okay?
I mean, I'm 37 weeks pregnant,
so discomfort is a constant.
Look, I'm really sorry, guys.
I wish that there was more
that we could do.
You've both done a lot more
than most people
in your position would have.
Besides, I have two job
interviews happening next week,
so don't worry.
We'll land back on our feet.
- We'll be okay.
- Yeah.
Let's go.
Thank you.
Mm. Hey.
You want a taco? I have extra.
Michelle's got me doing
liquid lunches.
Mm. Oh.
So I'd ask how your trip was,
but I don't wanna seem disingenuous.
While the in-person phase
of the clinical trial
has concluded, I still have to do
monthly lumbar punctures
and regular testing
of my prion levels.
So you're on the fun train.
And you want me to be your conductor.
No one else knows about my diagnosis.
Just you, Mitch, and Kip.
And I would like to keep it that way.
Okay. It'll stay in the vault.
Look, these treatments are most
effective when anxiety
and stress are at a minimum.
So are you sure that
an early return to the ED
is such a good idea?
Nothing makes my anxiety
skyrocket more than idle hands,
and I already gave
three months of my life
to an experimental treatment.
I'm ready to get back to work.
I'm glad you decided
to fight this, Caitlin.
Thanks.
You'll need to sign this.
It says you're leaving
against medical advice.
Lance, when we were talking earlier,
I noticed a twitch in your right eye.
It's called a monocular nystagmus,
and it's often a very serious
I appreciate the concern.
But I do feel a lot better.
I am beat, though.
We should pick up where
we left off tomorrow.
I don't think I'm the right person
to tell your story anymore.
Why not?
I think maybe
You're you're afraid of me.
A little. Yeah.
But I also don't even know
why you hired me.
You tiptoe around all my questions.
Okay.
We both had long days.
Why don't you sleep on it?
I don't need to.
You're too closed off.
You won't even let
these doctors run tests.
How am I supposed to believe
you'll ever give me the full story?
I'm sorry, Lance, but to that end,
I just do need to go on the record
and let you know that I'm emphatically
recommending an MRI.
I've already had one.
You want a good story?
[PENSIVE MUSIC]
Notorious suspected killer
Lance Carpenter
dies from a brain tumor.
4-centimeter glioma
pressing on my temporal lobe,
diagnosed six months ago.
This isn't a death sentence.
Why haven't you had it removed?
The physician couldn't
guarantee that I would
survive the surgery,
and there was something
I needed to do before I died.
It's not about the book
or my reputation.
I just didn't wanna die without
ever knowing my daughter.
- Your daughter?
- Yeah.
My daughter.
♪
Melody.
You left this back there.
Don't think I need it anymore.
That was a lot to get dumped on you.
The only thing my mom
ever told me about my father
was that he was married.
She left off the, uh,
"notorious murder suspect" part?
Yeah.
And then when I was 12, she died.
- Car accident.
- I'm sorry.
I spent years in the system,
dreaming that my dad
was some rich, successful guy
that was gonna show up
one day and save me.
Careful what you wish for, I guess.
The only thing worse
than not having a father
is having one who kills people.
You think he did it?
No.
I don't know. Maybe.
You have the chance
to ask those questions.
And what if I don't like the answers?
You may not, but at least
you won't have to wonder.
I think I'm good.
I don't know, but
did Melody leave?
Yeah.
She left this behind.
Yeah.
She's angry.
She gets her temper from me.
So now I have nothing left to lose,
I will do the surgery.
Okay.
Excellent.
I'll get you an MRI and book a consult
with our neurosurgeon right away.
Look, if you really want
your daughter to know you,
there's really just one thing
you have to do,
and that's just, uh,
be honest with her
about everything.
Okay, thanks.
MRI is backed up.
It's gonna be another hour.
Okay.
Page me when we have his imaging.
I just have a quick errand to run.
Yeah, thank you.
I didn't quite have
my mom pegged for a
a hockey fan.
Oh, well, no, she hated
everything about it
the rowdy fans, the loud music,
the Arctic temperature in the arena.
Well, then I don't
quite understand why
she had season tickets
for a sport she despised.
Well, they weren't for her.
They were for Tommy's Team.
Tommy's Team? What's that?
It's the program your mom started
after your brother passed.
Huh.
What what kind of program?
She launched Tommy's Team, like,
20 years ago for teens at risk
for alcohol and drug abuse.
They now have coaching sessions,
camps for 12 different sports.
Special seats for hockey games.
For the ones who stay clean, yes.
Ha.
Just like Mom, all about results,
even when that's not quite the point.
They get to meet the players.
Sometimes they even get to go
out on the ice after the game.
Tommy's Team has helped so many kids.
And these are her seats.
She even had
a dedication plaque put in.
Well.
[SOFT MUSIC]
Yeah.
Yeah, my brother loved playing sports,
but I think he loved
being on a team even more.
Because maybe his teammates
found a better family
than the one he had at home.
I think the year he hurt his arm,
he had to sit out a whole season,
and that's when he
[BREATHES DEEPLY]
Started up on the painkillers.
Your mother didn't want any other kids
to have to experience that.
She talked about you both a ton.
Um, as I said on the phone,
we're happy
to refund your tickets, but I do hope
you decide to carry on
your mother's legacy instead.
[VITALS MONITOR BEEPING]
Hey.
Your heart rate
and blood pressure is up.
[VITALS MONITOR BEEPING]
Abby, page Dr. Frost.
It's probably 'cause I'm
I'm kind of freaking out.
It's just now hitting me
how much damage
we did to the chem lab.
Well, accidents happen.
Try to take some deep breaths for me.
I'm only there on scholarship,
which they can rescind for any reason.
Imogen never has to worry
about these things.
She has a trust fund.
But if I have to drop out, I'll
I'll end up working in retail
for the rest of my life.
Hey, I need some help here.
He's in V-tach.
[ALARM BEEPING]
[SUSPENSEFUL MUSIC]
What happened?
He was tachycardic, with a 103 fever.
Tremored and went into V-tach.
Okay, I'll take over.
Give him 1 milligram of epi
and charge to 100.
Come on, buddy.
John, you ready?
- Go.
- Clear.
[VITALS MONITOR BEEPING]
Okay, he's back in sinus rhythm.
I don't understand what
could've caused this.
I mean, it's too soon
for wound infection.
Maybe systemic toxicity from phenol
being absorbed into the bloodstream?
There was no indication that
phenol ever touched his skin.
Albuterol can sometimes
trigger V-tach.
But his potassium levels were normal.
Imogen, she was exposed
to the same chemicals.
If he arrested, she's in danger
of arresting too.
♪
Sorry. Excuse me.
[VITALS MONITOR BEEPING]
Your blood pressure
and heart rate are normal.
- Has she been febrile?
- Nope. I just checked.
- 98.1.
- Any tremors?
Okay, this doesn't make any sense.
- Dr. Asher?
- Yep?
Paramedics are bringing in
a pregnant woman now.
Said she was in here earlier.
Treatment 2. [SIRENS APPROACHING]
Oh, no. No, no, no, no, no, no.
26-year-old female, 37 weeks pregnant,
experiencing sudden
onset abdominal pain
- and heavy vaginal bleeding.
- Heart rate's 128.
BP's 142/93. Partner behind us.
Hey, Harper, we've got you.
- Is my baby okay?
- Abdomen's rigid.
We were just getting to the
shelter when she collapsed.
She's hemorrhaging.
This is a placental abruption.
Harper, I'm gonna need to perform
an emergency C-section, okay?
Let's get her to the
hybrid OR immediately.
Vascular's got an angio in there.
- She won't make it upstairs.
- Trauma 3 is open.
- Sloan won't like that.
- Ask me if I care.
We're delivering this baby in the ED.
[SCREAMS]
Amniotic sac ruptured.
Mitch, can I get more suction?
We're doing C-sections in the ED now?
You got a better plan?
I'd love to hear it.
Okay, here we go.
[VITALS MONITOR BEEPING]
Here she comes.
Clamp.
[TENSE MUSIC]
Scissors.
Okay.
Come on.
Come on.
She's not breathing.
Flap.
Heart rate is 95, and
there's no respiratory effort.
Okay, uterus has no tone.
She's still hemorrhaging.
I need to intubate.
Let's push TXA and Hemabate IM.
We need more O-neg.
That was the last unit.
I'll trigger the MTP.
[ALARM BLARING]
Her BP's dropping, Hannah.
So the imaging shows
that the glioma has crossed
the midline of your brain.
That sounds bad.
So what?
I waited to get the surgery,
and now it's gonna be
even more dangerous?
Unfortunately, Lance,
surgery is no longer an option.
The tumor has no clear borders,
and it's wrapped itself
around your blood vessels.
There's simply no way to remove it.
How much time do I have?
Every case is different,
but if I have to guess,
a few months.
There are other treatment options
that could give you
more time than that.
Get out.
Mr. Carpenter,
with radiation and chemo
I said get out!
♪
Was Tyler exposed to
any chemicals besides
the nitric acid and phenol?
Not that I know of.
Is he gonna be okay?
He's annoying,
but I don't want him to die.
I mean, he's stabilized for now,
but we need to figure out
what caused his heart to stop
or it'll happen again.
Maybe he was exposed
longer than you were?
I mean, we both ran
to the emergency shower.
Got there at the same time.
Anything he could've have ingested?
I mean, school is stressful.
Does he use drugs?
I wouldn't know.
I try not to engage with him
outside of our assignments.
Even if it's something
you don't think is important,
it might help.
So you want me to tell you
all of Tyler's annoying habits?
[SIGHS] His handwriting
is like a serial killer's.
He eats like a pygmy shrew.
One time, I saw Tyler put down
three double cheeseburgers
in one lecture.
Oh, also, when he's wrong, his voice
- gets really high-pitched.
- Wait, wait, hang on.
Earlier, didn't you say
his hands sweat a lot?
Yeah. It's gross.
Okay, so sweaty, and he eats
a lot but isn't overweight.
Gonna be in trouble when we
I just performed an emergency
C-section on Harper Doherty.
Paramedics brought her in
after she collapsed
at the shelter we sent her to.
The unhoused couple that have been
in the overflow room for weeks.
She'd had a placental abruption
and was hemorrhaging upon arrival.
Once we delivered,
she suffered uterine atony.
I tried an intrauterine
balloon tamponade,
a uterine artery ligation,
but nothing would stop the bleeding.
I had to remove her uterus.
Well, it sounds like you
handled a tough delivery
remarkably well.
Yes, but it didn't have
to be a tough delivery!
[TENSE MUSIC]
You are so busy looking at her numbers
that you couldn't even
see the patient.
You are so focused on the bottom line
that you can't even see that
your patients, human beings,
are falling through the cracks.
How's the baby?
Honestly, I don't know.
And these next 48 hours
are pretty critical.
But right now, she's undergoing
a blood transfusion
as a machine breathes for her.
You're a little emotional right now,
and this job can be very tricky
when emotions are involved.
No, see, that's the thing
Emotion has nothing to do with this.
Because everything
about Harper's situation
set off alarm bells
in my brain this morning.
I knew that letting her leave
this hospital was a bad idea,
and I let it happen anyway.
And now I need to live
with the consequences.
But so do you.
♪
Some days, this job
is harder than others.
I know it seems like I'm the bad guy,
but all I want is for this to
be the best hospital it can be.
Well, I'd argue it was pretty
great before you got here.
You must hate me.
No, I don't.
I worry for you.
I've been where you are.
Come on, Ms. Goodwin. I took your job.
No, no, no. Miranda took my job.
Besides, we have more
in common than you think.
We both want what's best for Gaffney.
I can see that.
Well, I'm trying.
And failing.
Well, failure is a part of
the job, believe it or not.
My advice?
Surround yourself
with doctors you trust,
but know that you're the one
who'll be held accountable
for every tough decision.
So you gotta trust your gut.
With respect, Ms. Goodwin,
that might've worked in your tenure,
but with this system
Miranda has in place,
it just takes all the gut
checks out of the equation.
Listen.
- About earlier?
- Oh, please.
You're not the first person
to get angry at news
that they didn't wanna hear,
and, trust me,
you're not gonna be the last.
Oh.
Melody.
Dr. Ripley filled me in
on your prognosis.
Pretty dumb move waiting to treat it.
I don't regret it.
Getting to know you
these past few months,
it was worth it.
Glad you've had a fun few months.
But I needed a father 20 years ago.
That's fair.
I kept telling myself
I stayed away to protect you,
but really, I was just scared
and selfish.
I hope you can forgive me.
I don't know if I can.
But I'd like to finish
what we started
hear the rest of your story.
[SOFT DRAMATIC MUSIC]
I accept those terms.
♪
You might need this.
It baffles me why someone who's
lived such a controversial life
would wanna put it all out
there for the world to read.
Because he wants his legacy
to be more than
whatever happened
on that boat that night.
People contain multitudes,
Mitchell, right?
I mean, maybe he
doesn't want that to be
the only story anybody tells
about him after he's gone.
- Mm.
- I don't have a clue.
I mean, maybe he just wants
to spend a little
more time with his daughter.
And who could blame him for that?
Well, Tyler, your labs
confirmed what Dr. Wu
and I guessed, hyperthyroidism.
Exacerbated by the chemical burns,
caused a thyroid storm.
I help them figure it out
because of your gross, sweaty hands.
[CHUCKLES]
It might not be the condition.
I think you just make me nervous.
Because
I might not totally hate you.
I might not totally hate you, either.
Well, we'll leave you guys to it.
Yeah.
Never would've guessed you could
fall in love over acid-filled
blisters and thyroid storms.
Yeah, I forgot you're new here.
Ha.
- Listen, Annie.
- Yeah.
- About what
- Oh, hey.
Hey, I look, I know you and I
have had some light bonding
after sharing a few patients,
but it's not your place to try
and uncover my core wound.
So just let's keep this profesh.
Sure thing, Chief.
Good.
[SIGHS]
While it's delightful
to see you twice in one day.
I was a bit surprised
by the choice of venue.
Well, it turns out that
my mother started this project,
and I was kind of hoping that
you'd help me keep it going.
Though I have to warn you,
if you agree,
there could be
many more Blackhawks games
in your future.
Oh.
Do I have to wear polyester?
You can wear whatever
you like, Frederick.
Well, in that case,
please call me Freddy.
Done.
This is us right here.
Well, this is nice.
Yeah.
So, um [SIGHS]
You know, it really, uh
really kind of hit home for me today
that you knew this whole side
of my mother that I
I didn't even know existed.
Would you like to remedy that?
I think maybe I would, yeah.
I mean, I wanna know
the Margaret you knew.
Right?
I mean, not just this angry
woman who had a hard time
loving her kids, you know?
She never had trouble
loving you, Daniel.
Well, I think sometimes
she had trouble showing it.
But I love this idea.
I could tell Margaret stories
for hours,
though I do hope
you'll return the favor.
My own time with her,
like a footprint in the sand,
too quickly washed away.
Huh.
Sounds like a fair deal to me.
[SOFT MUSIC]
To Margaret.
To Mom.
Okay, Ashley Venable.
Uninsured.
Last one.
Sarah Williams.
Medicaid.
[TENSE MUSIC]
Nearly every patient
sent to this overflow room
is underinsured
or has no insurance at all.
While the patients
with private insurance
are admitted and sent upstairs.
- This can't be a coincidence.
- [SIGHS]
Do you think Miranda
manipulated the intake system?
Yes, I do.
[EXHALES SHARPLY]
That seems really messed up.
Discriminating levels of care
based on insurance status
is more than just messed up, Doris.
It's illegal.
♪
sync & corrections awaqeded
[DRAMATIC MUSIC]
♪
[WOLF HOWLS]