Chicago Med (2015) s05e15 Episode Script

I Will Do No Harm

Crockett, it's okay.
What happened is in the past.
Can't remember what it was.
Now we just have to set up the nursery, but in the meantime, how 'bout that date? You won't turn yourself in.
I can't let this go on.
Ed, I thought we had an understanding.
You can't possibly know what it's like.
Every day I say I'm gonna quit.
- I will turn myself in.
- I can go with you.
Yeah, I'd like that.
Come to my place? - Mmm.
- Hey.
Breakfast? There's a spot on the corner with excellent French press.
Uh, what time is it? Mmm? I don't know sorry.
I gotta get to work.
My shift starts soon.
- Listen.
- Hmm.
What we talked about last night This doesn't change anything, does it? You mean my reporting myself? Do you think I slept with you just to get out of it? No.
I just wanna make sure that's still the plan.
It is.
I just need to round on a few patients so I can hand them off, then I talk to Ms.
- I'll come with you.
- Yeah, I want you to.
Hannah, you're so smart.
And tough.
You're so much more than this addiction.
I know you're gonna beat it.
- Hi, Mr.
- Oh, please, call me Lewis.
This is my ex-wife, Elaine.
- And my daughter Harper.
- Hi.
I'm Dr.
So I see you're experiencing some abdominal pain.
His tummy started hurting as soon as he got off the airplane today.
Oh, really? And where did he fly in from? Daddy lives in Geneva.
It's 2:20 in the afternoon there right now.
- Oh.
- Harper, sweetie, just let the doctor do her work, okay? It's okay.
I'm just impressed you know so much about Geneva.
My daddy works in a laboratory there.
He's a chemical scientist.
- Wow.
- A polymer engineer.
- Hmm, you mind? - Harper, honey, come here.
Does your job require you to handle any toxic materials? I work with a lot of heavy metals, but I always take proper precautions.
Why? I am hearing some congestion in your chest.
As well as a slight discoloration in your eyes.
It could be due to some kind of toxic exposure.
Let's get a tox screen, and a CBC, BMP, and a UA.
Is my Daddy gonna be okay? I promise I am gonna take very good care of your dad.
Okay? I'll be back to check on you soon.
Give me one sec.
- Dr.
Manning? - Yeah? There's something he's not telling you, and I'm worried if you don't know it, it will be a problem in treating him.
What is it? Well, everything he just said in there it's not true.
I'm sorry? Lewis is not a polymer engineer in Geneva.
His real name is Derek Jordan, and he's an actor from New York.
- An actor? - Yes.
It's a long story, but I hired him to play this role.
I don't understand.
What role? The role of my daughter's father.
- One, two.
Harper, sweetie, let's go get a snack so the doctor can talk to your father.
- Be right back, Daddy.
- Okay, sweetie.
Elaine filled me in on your arrangement.
I understand you want to keep pretending for Harper's sake, but since we're alone, I do need to gather some real information from you.
So, your initial tox screen was negative, but your hemoglobin is low.
Have you ever had any blood disorders or iron deficiencies in your past? I don't think so.
Okay, why don't you give me your doctor's information, and I'll have your medical records sent over from New York.
As my daughter told you, I live in Geneva.
Jordan, if I'm gonna treat you properly I'm gonna need your medical history, not your character's.
My name is Lewis Sher, and I don't know what you're talking about.
Hey, Doris, will you add a liver panel to my patient in three? And also page Dr.
This guy is nuts.
Hey, how's your hormone therapy going? It feels like my skin is crawling with ants.
But other than that, I'm holding up.
Hang in there.
Hopefully your numbers will level out soon.
- Need some help over here.
- Okay.
Hold this.
Siana Fredericks, seven months pregnant.
I just paged her OB.
Okay, let's take her to Treatment Four.
I'm Dr.
This is Nurse Lockwood.
You having contractions? I'm not in labor.
I'm having a pain crisis.
Are you talking about a sickle cell crisis? - Ooh, yes.
- Have you had any flare ups recently? Not since I've been pregnant.
My OB has me on a special diet that's been helping.
Is there anyone we can call? I already spoke to my husband.
He's stuck in Minneapolis.
- When did the pain start? - Yesterday morning.
Let's get her on oxygen, hang a liter of saline, and push 2 milligrams of morphine.
No morphine.
Siana, 24 hours is a long time.
We have to get your crisis under control.
You don't understand.
I've been through three rounds of IVF.
I'm finally carrying an embryo that doesn't have this awful disease.
I'm gonna make sure everything is perfect for this baby.
Please call my OB Dr.
- Hannah Asher? - Yes.
She's been helping with my birth plan.
She'll know what to do.
Yeah, we'll contact Dr.
Asher, order some labs, and I'll be back to check on you soon.
You're calling OB? I'll try Asher's cell.
We're we're friends.
Going straight to voicemail.
OB must be backed up this morning - I'll run up and find her.
- All right.
How'd it go? He wouldn't break character for me either.
Break character? This isn't a play.
Yeah, I mean, I've been doing this for 30 years.
This is a new one.
And this poor little girl growing up with this lie? Okay, but she's not sick.
He is.
So what do we do? - I had fun last night.
- Me too.
How about we do it again tonight? Wow.
With me.
Paramedics just called.
I got a guy over on Chicago Avenue with some sort of cardiac event.
All my attendings are tied up.
Was hoping that you two could handle it.
- How long until they land? - They're not.
I need you two to get over there.
Guy's refusing to get in the ambo.
So you think that he's really sick? Yes, his symptoms are all over the place.
- But he refuses to cooperate.
- Oh, God.
We can't make a diagnosis without an accurate history.
Do you think that you could talk to him? Get him to drop the performance? I wish that I could, but that is how he is.
When I first met Derek, he was playing a paraplegic on Broadway.
He would go home every night in his wheelchair.
Okay, I think this is getting out of hand.
I'm sorry, but we might have to call child services.
I'm sorry, but we are very concerned about Harper.
No, no, no.
Don't do that.
This is all about Harper.
That is why I did this.
I grew up without a father.
I couldn't stand the thought of that happening to her.
But, I mean, hiring an actor? I mean, you didn't have any male friends? Or relatives who could serve as role models? No.
When Harper's real father abandoned us, there was nobody.
And when I hired Lewis, it was just supposed to be one time, okay? It was father/daughter day at our preschool, and the thing is, she just fell in love with him.
And it made her so happy.
- So you did it again.
- And again.
And again.
Look, I know what I did was wrong, but I am putting an end to it.
I told Derek this was the last time.
Lewis is gonna go back to Europe.
He's going to get busy with work.
He'll lose touch with Harper, and after a few months, I'm gonna tell her that he died in a work accident.
- And that will be the end of it.
- But Harper's eight years old.
I mean, don't you think that killing off her father would be pretty traumatic for her? Not as traumatic as the truth.
Harper's real father has zero interest in being a part of her life.
Please, just try to figure out what's going on with Derek, okay? So we're right back where we started? Well, maybe not.
I mean, if Derek knows that his character is gonna die, is it really just a coincidence that he's ended up in a hospital? Hannah? - Can I help you? - Yeah.
- Looking for Dr.
- She hasn't come in yet.
We had to cancel her first appointment.
Hey, Courtney.
What's going on? Hey.
Got here about a half hour ago.
He refused to get in the ambo.
His name's Larry Simpson.
Cardiologist put him on digoxin.
He mixed up his meds this morning.
Took a triple dose.
All right, we'll take it from here.
- Stand by.
- Hey, Larry.
I'm April.
This is Dr.
Oh, thank God.
Please help me.
Tell us what happened.
I started feeling faint on my way into work.
I called my cardiologist.
He said to find a way to keep my heart rate up and call 911.
You thinking what I'm thinking? Milligram of Epi.
All right, Larry, we're gonna give you some meds to keep your heart rate up while we get you to the hospital, all right? Do what you have to.
I can't keep this up.
All the way up.
All right.
You're gonna feel a little pinch.
- Okay.
- All right.
Now slow it down.
- Wait.
- Whoa, Noah! Whoa, whoa, whoa.
Hey, hey.
His heart rate must be dropping.
Hey, Larry.
Larry, Larry.
All right, you have to keep moving, okay? - Okay.
- Keep moving.
Okay, okay, okay.
It's gonna be eight hours until his body metabolizes the digoxin.
Till that happens, he has to keep running.
- We gotta pace his heart.
- While he's running.
Hey, guys.
You gotta do something.
I got an idea.
Here we go.
Hey, what do we got? Name's Walter Hobbs.
50-year-old prison transfer from Indiana.
Vital's stable but there's something wrong with his arm.
- What happened? - Not sure.
Kay, hang in there, Walter.
Hey, trainee, start an IV.
Get him on the monitors.
- Easy, buddy.
- All right.
I'm gonna do a sheet transfer on my count.
Nice and easy, folks! Watch the shackles, everybody.
Okay, ready? One, two, three.
Easy, buddy, easy.
You're all right, you're all right.
Start him on O2.
Belly's soft.
Lungs are clear.
Walter, can you tell us what happened? Arm's hard as a rock.
- Ahh! - Okay, all right.
He's got compartment syndrome.
Needs a fasciotomy to relieve the pressure.
- Let's get the hybrid OR ready.
- Any idea what caused this? Fellas.
Drugs, fight what are we working with here? Hey.
Indiana sent him to the closest level-one trauma center because his wounds are severe.
We can't treat him if you don't tell us what happened.
Walter's been on Indiana death row for ten years.
The creep killed a family of five at a home invasion.
He was scheduled to be executed today, but something went wrong didn't kill him.
You mean, you gave this man a lethal injection? Yeah, 'cept it wasn't lethal.
Well, I was able to open up his arm and relieve the pressure, but he's still in bad shape.
And the corrections officers insist they don't know what was in the lethal cocktail.
Well, I'm not surprised.
Pharmaceutical companies are no longer permitting the use of their drugs for executions.
Odds are these guys used something without their authorization.
Fools missed his vein completely.
Drugs are trapped in his muscle, slowly leeching into his bloodstream.
We need to know what they gave him.
Well, I'll call the warden, and see if I can coax him into telling me what they used.
Meantime, see what else you can do to flush his system.
Yes, ma'am.
Really did a number on him.
Let's just treat the guy and get him out of here.
Amen to that.
Where's Dr.
Asher? I'm afraid she's not available right now.
Good news is I went ahead and paged Dr.
Patchefsky I don't want another doctor.
- She's more than qualified.
- No way.
I've had too many doctors accuse me of using my pain as an excuse to get high.
Asher's the only one who understands my situation.
Siana, your labs showed that you're anemic.
If you won't see another OB, at least let me give you some blood.
- A transfusion? - Yes.
I don't know.
Siana, the last thing Dr.
Asher would want is for this to evolve into something that could harm the baby.
Let us help you.
You need this transfusion.
Type and cross her for two units.
Start the first unit as soon as it's up.
- Got it.
- Hang in there.
You're gonna feel better soon.
Hannah, where are you? You should've been here hours ago.
You have a patient who needs you! Listen, whatever whatever your situation is, just call me.
Just let me know you're okay.
Can't keep this up for much longer.
We're almost set.
- So what is this? - Defibrillator.
Now that you're staying in place, we can send a continuous charge to your chest, okay? It'll steady your heart rate long enough for us to get you to the hospital.
We're good.
All right, Larry.
Here we go.
Turning it on.
Whoa, hey, whoa! Whoa, whoa! Give me a hand! What happened? We need you to get back on the treadmill.
- What? No, no.
- Yeah, I know.
Your heart rate is still dangerously low.
You have to keep running to keep it up.
- I can't.
- Hey, Larry.
You have no choice.
Come on.
Larry, come on! Okay, okay, okay.
Just stop slapping me.
All right, I know.
Give me a hand.
Give me a hand.
Ah, there you go.
- Take it up to a five.
- Five? The pads couldn't make good contact with the skin because of the sweat.
It was not your fault.
I gotta call Med Get an attending.
"Derek Jordan doesn't simply inhabit Richard III, "he embodies the psychopathic king with every molecule of his being.
" "The New York Times," no less.
So for an actor who approaches his work on On a molecular level, I would imagine that every aspect of Lewis has been carefully researched, crafted, to give Harper an incredibly real and loving father.
And that's the role of a lifetime.
Right? I mean, no wonder you're having a hard time giving it up.
The character dies, okay? But not like that.
How do you mean? Elaine wants Lewis to disappear.
He would never do that.
- No? - No way.
Lose contact with his daughter? Lewis loves her too much.
So you have you have a different ending in mind? I'm gonna stay true to the character.
And how are you planning on doing that? Wait, you're not You're not planning on dying in front of Harper, are you? Oh, my God.
What do you think that will do? Give her the closure she deserves.
Wait, you poisoned yourself, didn't you? You would do that to this little girl? What did you take? Tell us what you took right now, or we'll tell Harper who you really are - and put an end to all of this.
- Dr.
You're not allowed to do that.
That's protected information, doctor.
Manning, a moment.
What is wrong with him? Look, I Googled him, okay? He hadn't worked in six years, just lost his wife to cancer So he's suicidal.
You can put him in a psych hold.
We can't afford to antagonize him.
If we're gonna save his life, we have to get him to tell us what poison he took.
Then we have to get Elaine to tell her daughter the truth.
Where am I? Chicago Med.
Fixed your arm.
Now we're giving you a drug to flush the toxins from your system.
Just let me die.
Easy, buddy, easy.
I could feel everything.
- My whole body was on fire.
- Hey.
I couldn't move, I couldn't talk.
I know I deserve to die, but not like that.
- How's the patient? - Stable and recovering.
In that case, the warden would like him transferred back as soon as possible.
But we should still monitor him for any post op complications.
Prison medical unit will take it from here.
The death warrant was extended.
They just rescheduled his execution.
Well, how 'bout that? First time I ever patched up a guy just so some other guys could kill him.
Walter Hobbs is a ward of the state, so as long as he's stable, we can comply with their demands.
Hey, I'm not one to fuss about capital punishment, but those bozos don't have a clue what they're doing.
That's not our problem.
Our job is to treat 'em, regardless of what happens when we're done.
Know what? I think that's what they call compartmentalizing.
Yeah, I called ten minutes ago.
When is he gonna get here? Try to hurry it up.
It's gonna be an hour until an attendee gets here.
What if you paced him internally? Push a wire into a man's heart while he's running on a treadmill? Are you insane? - You serious? - Do you have a better idea.
If I push the wire too far, it'll puncture his heart.
Kill him on the spot.
No, the best option is to wait for backup.
Noah, look at him.
We do not have time.
You need to pace him internally.
- April - Come on.
You can do this.
I'll help you.
O2's at 88.
Stop the transfusion, get her on a mask.
- Got it.
- What's happening? You're having an inflammatory reaction to the blood.
What? Why? There's always a risk of complications.
Sats are down to 79.
The baby's not getting enough oxygen.
Siana, you need an emergency C-section.
She's only seven months! It's too early.
I know.
I'm sorry.
We don't have a choice.
You just have to trust me.
I told you I want Dr.
Asher! Siana, she's not here.
Please, listen to Dr.
We have to get you up to surgery now.
Don't lay another finger on me! Okay.
Start her on racemic epi, a gram of Tylenol, and push 50 milligrams of Benadryl.
Should buy us some time.
Where are you going? I think I know where to find Dr.
Why's it taking so long? He's threading a little wire into your heart.
It's a delicate process.
Oh, God.
- Just try not to tense up.
- Okay.
Uh, uh, is something moving in my arm? - You mean your chest? - No, my arm, my left arm.
Okay, you must've overshot the vena cava.
Damn it.
You have to retract the wire and start again.
What? Start again? No, no, no, no.
I can't do this anymore.
Larry, just hang in there, okay? I can't, I can't, I can't.
You gotta keep running, Larry.
Larry, hang in there for a minute.
No, no, no, no.
Larry, Larry, hey, hey.
No, no, no, no.
Don't do this, Larry! - Finally! - Come on.
Help me out, man.
- All right, bag him.
- Yeah, I'll get on his chest.
Heart rate's 30.
He's not circulating.
Come on.
Retract the wires, start over.
He poisoned himself? Well, his lab and symptoms indicate that he has.
He believes Lewis needs to die in the presence of his daughter, so that Harper can say good-bye and get closure.
Look, you need to tell your daughter the truth.
I can't.
If you end it now, Derek will have no reason to play this all out.
But if Harper finds out that I lied to her, - she will never trust me again.
- Elaine.
If you don't stop this, Derek is going to die.
Harper can handle the truth.
Trust me.
I'm not saying it's gonna be easy, but eventually, she'll She'll understand, and she will forgive you.
All right.
But only if he agrees.
Harper will never believe that Derek is not her dad unless he is the one that tells her.
Go and talk to him.
We can we can ask a nurse to take Harper to the cafeteria.
Yeah, I couldn't get Sean on the phone.
He's not in today.
Can I help? Yeah, I'm looking for a woman.
She's a regular.
She calls herself Val.
Oh, yeah.
- Have you seen her today? - No.
Is everything okay? He's been down too long.
You gotta hurry.
Yeah, I'm I'm stuck in his neck, and I I can't advance the wire to his heart.
Heart rate's down to 20.
Steve, take over for me.
Okay, I can feel the wire.
It is stuck.
Okay, I'm gonna turn his head and see if that expands the opening, and when I do, see if you can push the wire forward, okay? - Okay.
- All right.
One, two, three.
Hold compressions.
I see PVCs.
We're in.
Pacing him now.
Come on.
Take it up to 100.
I don't understand.
- It won't capture.
- Come on, come on.
Pressure's climbing.
What happened? Just breathe, Larry.
We're taking you to the hospital.
All right, let's get him on the gurney.
- Okay.
- Yeah.
Prison transport standing by.
Well, I'll let the warden know he's on his way.
Choi, Dr.
My arm! Push 50 mics of fentanyl and get him on oxygen.
Okay, okay, okay, all right.
All right.
Arm's dead and necrotic.
Lethal injection drugs constricted blood supply.
We need to amputate.
Get the Hybrid O.
Choi, can I There's no point amputating a man's arm who's just gonna get executed.
Look, we're here to treat him, and right now, that means amputating his arm.
Arm's already dead and gone.
Won't be long before he's septic.
I say we load him up with pain meds, let nature take its course.
We're doctors, not executioners.
Hybrid O.
's ready.
Let's move.
Let's move.
Siana? You and your baby are not getting enough oxygen.
You need a C-section right now.
You're just gonna make things worse.
I know you don't trust me, and I get it.
But you can't rely on Dr.
Asher today, either.
- She's not coming.
- No.
No! Siana, listen to me.
In a few minutes you're gonna go into respiratory failure.
You'll suffocate and die, at which point we'll rush you upstairs for a C-section and deliver your daughter.
Siana, you said you wanted everything to be perfect for your baby.
That means making sure she grows up with her mother.
Will you let us help you? Open intubation tray.
Call OB, tell 'em we're on our way.
Almost there.
Okay, bone's cut.
Just need to release the posterior muscle.
Here we go.
All right, let's go ahead and tie off the vessels.
Wait a second.
The skin on his shoulder's dusky.
Hand me a scalpel.
Sorry, doc.
The necrosis has spread all the way into the shoulders and chest.
We gotta keep going.
Okay, I'm gonna get help.
He won't do it! He wouldn't even discuss it, and now he's getting really sick.
He's in bronchospasm.
Push 0.
3 milligrams sub-q epi.
Tell us what you took.
Sats are coming up.
Your kidneys are starting to shut down.
Tell us what you took.
Do you have any idea what it looks like when a human being goes into organ failure? It's gruesome.
Horribly painful it's violent.
Are you sure that that's That's the kind of closure that you wanna give to Harper? What if we can figure out a way, to give you what you want and save your life? How? By staging your death.
Okay? You give your daughter a final farewell, and then you drift off to sleep.
What? No.
It has to be perfect.
It has to be real for Harper.
Real but peaceful.
You go to sleep, she leaves the room.
All right? Tell us what you took.
I will.
- You can't do this.
- What's the alternative? Sit there while the guy dies? Just do nothing while he kills himself? There has to be another option.
Look, unfortunately, one way or the other, Harper's gonna experience her father's death.
Right? But this way, hopefully, it'll be less traumatic for her and maybe we can save the guy's life.
Decay's infiltrated all the way into his chest cavity.
Pressure's dropping.
Axillary artery's torn and retracted into his chest.
I can't pinch it off.
Pressure's down to 80.
Come on.
I need to clamp it.
- I can't reach it.
- He's peri-arrest.
I can't get control of the vessel.
He's bradying.
Heart rate's 20.
Doing the best I can.
He's arresting.
Lost his pulse.
You need to start compressions.
And circulate what? He's right.
His blood's already on the table.
Time of death, 16:22.
- Daddy? - Hmm? Hey, sweetheart.
Daddy's really sick.
But you're gonna get better, right? I don't think they can fix me, honeybear.
But I want you to know that I'm so proud of you.
And remember, Daddy loves you more than anything.
I love you too, Daddy.
I think, uh, we should let your daddy get some rest.
Okay, baby.
Come on.
Come on.
You're gonna get better.
You're gonna get better, okay? We're gonna do all the things you talked about.
You're gonna take me to Geneva, and Paris, and we'll see the Eiffel Tower and the Mona Lisa and that really big museum.
You can't die, Daddy.
You can't die.
Daddy? I can't do this to you.
I'm so sorry.
You're okay? I am, sweetie.
I'm right here.
Don't let me die for her sake.
It was cyanide.
Grab a cyanokit from the pyxis and hang the hydroxocobalamin, now.
Is my Daddy really gonna be okay? Is he? Yeah.
Yeah, he is.
Come on, honey, let's let the doctors work on him, okay? Okay, come on.
Come on.
- It's gonna be okay, Daddy.
- Yeah.
Almost there.
Baby girl.
Premature but healthy.
All right, let's get her to the NICU.
How's mom? Sats and pressure holding steady.
Should be fine.
How are Siana and the baby? They're fine.
- Oh, thank God.
- Now.
I just, uh My phone crashed on me.
I had to get it fixed, and I caught a flat, it's just It was, like, the perfect storm.
I just could not get in here today.
Your patient and her baby almost died today while you were off somewhere getting high.
High? I told you.
I caught a flat.
You expect me to believe that? You didn't seem to have a problem last night.
Yeah, that was a mistake.
- A mistake? - Yeah.
And it was a mistake thinking you'd turn yourself in today.
You know what? You think whatever you want to.
I need to go check on Siana.
A few hours ago, you were ready to discharge him.
Now you're telling us he's dead? The doctors encounter complications in surgery.
Bleeding to be specific.
Ultimately, we weren't able to get it under control.
They did everything they could.
You can explain all that to the A.
That man belonged to the state of Indiana, and he died on your watch.
Let's go.
Is there anything I need to know about what happened in there? Ms.
I assure you Dr.
Marcel and I did all we could.
I'm glad to hear that.
How's he doing? Dr.
Latham was able to implant a permanent pacemaker.
He should make a full recovery.
Thank God.
He also said that given the circumstances, it was a very impressive save.
I don't understand.
My Daddy's not my Daddy? But he is.
You know, Harper, it really is kinda confusing.
And it might take a while for you to understand.
But all you really need to know is that he loves you very, very much.
I know that.
Can I go see him now? Okay.
Yeah, of course.
We can go see him.
You ready? Yeah.
Listen, I know we had plans tonight, but I was wondering if maybe we could grab a drink with Crockett first.
With Crockett? I know you don't think the world of the guy, but we had a really rough day on the case today.
- Why don't you go ahead - Forget it.
I can do it another time.
- You sure? - Yeah.
Come on.
Let's go home.
We got a date tonight, right? Yeah.
Hey, Earl.
You got a minute? Yeah.
What do you need, Dr.
Halstead? A favor.
Come on.
You were right.

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