Chicago Med (2015) s06e08 Episode Script

1 Auggie has a brother in California.
We can't tell you what this means to Keshawn.
We can fly out so the boys can meet.
A chemical pregnancy? Does your mom know? God no, and please don't tell her.
[dramatic music.]
He's had surgery.
I realize I shouldn't have come back so soon.
Why do you think you did that? I'm the chief of the ED.
I have a greater responsibility.
It's often the people who are the very best who feel the most inadequate.
Wouldn't do that if I were you.
- Dr.
Choi.
- I'm sorry.
I just had to warn you.
You're leaving a rook exposed.
I know.
I'm attempting a gambit.
- Once he takes my rook - Knight F6.
Then you've got mate in three.
Well done.
I promise I don't spend all day playing games.
Hey, as far as vices go, online chess isn't so bad.
- Good morning, Dr.
Virani.
- Hi.
Dr.
Choi, a word? Sure.
Excuse us.
You know, you still haven't sent me your top candidates for the new ED position.
Right.
After your collapse last week, we both agreed you needed to lighten your load.
And I'm gonna hire someone.
I just haven't found the perfect fit yet.
Well, since you're still searching, a list of ED docs let go through no fault of their own from a nearby rural hospital.
Gaffney acquired the institution when they went bankrupt.
- Whoa.
- Someone you know? Dean Archer.
He was my senior medical officer in the navy.
Outstanding physician.
Taught me most of what I know.
Well, see if you can schedule an interview today.
And if not Dr.
Archer, I want that position filled by the end of the week.
Yes, ma'am.
Dad? Dad? What are you doing here? Aren't you gonna be late for your pod? I've got an Uber waiting outside.
Can you just sign this chemistry test for me please? Just right there's fine.
Whoa.
A D? Plus.
Why are you bringing this to me anyway? - Isn't it your mom's week? - Dad, you know how she is.
She would take my phone or my iPad and just anything that I say to her, she'd say it's an excuse.
Well, what do you have to say for yourself? We talked about this a few weeks ago.
You really seemed like you wanted to step it up.
I know.
It's just with the with the pregnancy scare and the potential of moving.
I don't even know if we're staying or going, so [car horn honks.]
Listen.
I gotta go.
So can you just Um, I know this has been a stressful time, okay? But at least got the final custody hearing today, so one way or the other, we are gonna have closure.
- No more limbo.
- Yep.
Owen? One more video, and then we're taking Nana to the airport, okay? - Hello? - Kay.
[scoffs.]
Hey, Mom? If we don't leave in five, we're gonna hit traffic.
Mom? I want you to take two bites before we leave, okay? What is it with everyone in this house today? Mom? [knocks.]
Are you still in the shower? Hello? Mom? Mom? [suspenseful music.]
[gasps.]
[groans.]
Mom, can you hear me? Mom, I can't get my video to play.
Owen, one second! Mom, can you fix it? Owen, do not come in here.
Stay in the living room.
Hi, yes.
I found my mom unresponsive on the floor.
I need an ambulance now.
Mom? Owen.
- Coming through.
- Oh.
Sounds like them.
- There they are! - Whoo! Did you spend the whole $10 that I gave you? At least they have some healthy options.
That's true.
That's true.
- Let's back this up.
- I'll help him.
Okay then.
He's got it.
It's been so great to spend the week with y'all.
We really appreciate you making the trip.
Oh, please.
It was our pleasure.
Keshawn? Why don't you give your brother his goodbye present? - A present? - Yeah.
"Swamp Tales"? Nice! Can we play right now? Come on, fellas.
It's your last day together.
You really wanna spend it playing video games? BOTH: Yeah! - [laughter.]
- Have fun, guys.
- You like it? - Yeah! - Thanks! - [chatter.]
Dream come true for Keshawn.
He's always wanted to find his little brother.
Yeah, when we learned that Auggie was sick, we just prayed that he would be okay.
You both have done so much for him.
You saved his life.
We're just happy he finally got a liver.
Yeah.
We love Auggie to pieces.
That's clear.
Probably why my heart is going a mile a minute.
What? Um, look we don't know how to put this.
Um we understand that your adoption isn't finalized yet.
You want Auggie.
Well, we were thinking wouldn't it be great if the boys could grow up together? I know it's an impossible thing to ask.
But if there's any way that you could - No.
- Maggie There isn't.
No.
We're adopting Auggie.
And I can't believe that you would come here - and suggest this - No.
You're right.
We're sorry.
We're grateful the boys got a chance to meet.
Yeah.
Us too.
[tense music.]
Natalie.
Will.
I heard your mom was brought in.
- Are you okay? - Yeah.
Yeah, I'm okay.
They think she had a heart attack.
Her troponin were a bit elevated, but they're not sure.
She's in the cath lab now.
Crockett will let me know something soon.
And Owen, he's - At the neighbor's house.
- Good.
When I found my mom, I tried to keep him away, but he saw her.
[sobbing.]
Come here.
It's okay.
- It's gonna be okay.
- Crockett.
- Hey.
- Hey.
Morning, Will.
Your mom's coronary arteries are clear.
No evidence of infarction.
There you go, Nat.
That's great news.
But, um, there is global dyskinesis and a significantly depressed ejection fraction.
Her heart's not pumping properly.
I just don't I don't understand what's causing this.
- Myocarditis? - That'd be my first guess.
Did you send cultures? Bacterial and viral, yes.
Could also be medication-induced.
I sent a tox too.
What about a thyroid panel and cortisol? Two steps ahead of you.
Look I appreciate the backup, Will I do.
But I think I got this covered.
Thank you.
Have you had anything to eat? I don't think I could eat right now.
Still, I think we should get you something.
- You're gonna need your energy.
- Right.
I know.
- Thanks, Will.
- Of course.
[tense music.]
Safe travels home tonight.
Thank you.
Can you believe the nerve of those people? Well, their hearts were in the right place, wanting their son to grow up with his sibling.
So what are you saying? You think we should just let them take Auggie? No.
I'm saying we should have a conversation about it.
I get that we decided that we weren't gonna have any kids but this Whoa, whoa, whoa, whoa.
That has nothing to do with what I'm saying.
No? 'Cause it feels like you're looking for an out.
That's low, Maggie.
You know I couldn't love Auggie more if he was my own blood.
[tense music.]
I'm not gonna do this with you right now.
Thanks for coming in on such short notice.
Sure.
You know, driving over here, I was thinking about the first time I saw you.
You were just a kid and scrawny.
Well, not anymore.
Missed you the last couple of reunions.
Sorry you weren't there.
I wanted to be but, you know, work.
Well, your qualifications are excellent obviously.
This was really just a formality more than anything.
Job's yours if you want it.
I appreciate that more than you know.
And, uh, I accept.
Matter of fact, how about if I start today? Today? I figured since I'm already credentialed in the system, and I'm here.
Yeah.
Uh, why don't you shadow me for today just to get the lay of the land? It's an ED.
I think I know the lay.
Oh.
[laughs.]
But, hey, I welcome the opportunity to watch you in action.
[laughs.]
Happy to have you on board, sir.
It's Dean.
Right.
Dean.
Gonna take me a minute to get used to that.
Come on.
[loud beep.]
My baby needs help! - Someone, please.
- Okay, I got it.
Miss, tell me what happened.
I tripped going down the stairs, and I I dropped her.
She's All right, we're gonna help your baby, okay? Just follow me right here.
Jim, meet me in two.
Why don't you put your baby down right here, okay? Okay.
- What's your baby's name? - Sarah.
- Okay.
- She's only three months.
I need you to put Sarah down right here, okay? Maggie, what do we got? Three-month-old fell out of her mother's arms, won't wake up.
There you go.
There you go.
I got her.
I got her.
Okay.
Okay.
Please tell me she's gonna be okay.
- This is a doll.
- What? - Is this some kind of joke? - No! My baby needs help.
You have to help her.
Please.
[dramatic music.]
[knocking.]
Yeah.
[door opens.]
Hey.
We've got a situation down in the ED.
The nurses tried to page you, and you haven't responded.
Oh.
I'm sorry about that.
Um, I'll head down there now.
Daniel, what's wrong? The judge has made his ruling.
Susan will be taking my daughter out to Arizona.
Court decided it was in her her best interest.
What? Why? Well, I guess with my work hours? They said that Susan technically would be home more.
They also noted that she'd been her primary caregiver for the majority of her childhood.
I'm so sorry, Daniel.
Look I know it's nothing like her being here.
But with Facetime and Zoom and your visits, you will be a part of Anna's life.
Oh, yeah.
Definitely.
Yep.
Look.
Take some time.
I'll get someone else to see the patient.
No, I gotta go to work.
Take my mind off this stuff.
So we have six treatment rooms and two trauma bays.
And over there is our state-of-the-art Hybrid OR.
Ah.
I always dreamed of putting an OR in my ED.
Never could raise the funding though.
April, I wanna introduce you to the newest member of our team, Dr.
Dean Archer.
This is April Sexton, one of our star nurses.
Whoa.
The famous Captain Archer in the flesh? It's so nice to meet you.
My reputation precedes me, huh? Well, it is because of you Ethan insists on making the bed every morning.
Mm.
Why is he making your bed? - No, he's not.
- Uh, we - It's - No, it's fine.
I got it.
I got it.
- If you'll excuse me.
- Hold on.
April, when you get a chance, can you set up for an I&D in four? Doris, I&D in four.
On it.
But we're 2 and 0 this month.
Next delousing is yours.
Okay.
I hate pus, she hates bugs, so we switch.
Mm.
I see.
I remember when nurses did both bugs and pus.
Nice of you to let 'em pick and choose.
I don't want you to worry.
We're gonna take excellent care of your baby, okay? I'll be back shortly.
She's definitely not pretending.
She's convinced that that's her baby and maintains that they fell down the stairs earlier today while she was holding her.
But I didn't see any signs of injury or bruising on Ms.
Sanders.
I'm not at all sure that that actually happened.
What is this, some kind of delusion then? My first guess is something called Delusional Companion Syndrome.
The affected believe that inanimate objects possess consciousness.
The cause is usually medical.
Stroke, Alzheimer's in this case, it'd have to be early onset.
Ideally, we get a C without tipping her off to what we're looking for.
Well, we could tell her that we're gonna check for injuries since she said she fell.
Good thinking.
Maggie, can you call the PICU and tell them to prepare a crib for Sarah? Wait.
For the doll? Ms.
Sanders believes that that's her baby, and she's hurt.
We challenge her with reality right now? We risk shutting her down completely.
Did she mention any family? Her husband's a truck driver, but he's on a cross-country trip right now.
Okay.
Maggie, why don't you give him a call? And then keep me updated.
All right.
[soft music.]
Heart failure.
[clears throat.]
I don't understand.
I've never had any heart issues.
Is this something that could just pop up? For some patients, it's a slow build.
Usually due to high blood pressure, faulty valves, but in others, it can be sudden.
So, um, then what? I just take a bunch of pills? Well, we're gonna start you on an intravenous infusion of medication to try to get your heart to pump more effectively.
But given your current stage of heart failure, the recommended course of treatment is a left ventricular assist device an LVAD.
- LVAD.
- Mm-hmm.
- That's what, like, Uncle Joe had.
- Yeah.
I remember him lugging around that machine.
[sighs.]
So if, um, I do this, will it fix my heart? Well, there's a small percentage of patients who fully recover but But it will improve your quality of life, Mom.
So then it won't fix things.
[knocking.]
Well.
Hey, Carol.
Sorry to interrupt.
I'm so glad to see you.
[chuckles.]
It's for you.
My favorite.
That is so sweet of you.
I have missed you so much.
Same.
- How are you feeling? - Not great.
These two they are telling me that I need an LVAD.
Ah.
You know, Owen talks about you all the time.
[tense music.]
Hey, guys.
Why don't we give Mom some time to rest.
Sure.
Carol.
- Thank you, Doctor.
- Mm-hmm.
I'll stop by later.
Good.
Hey.
Sorry about that.
Kinda awkward.
I'm assuming Carol doesn't know? What's that? About you and Natalie.
That you're seeing each other.
Yeah.
Guess not.
Well, I'm glad she has the support right now.
I want Natalie to be happy.
Yeah, me too.
Ow! When did the vomiting start? Just after 1:00 a.
m.
I had my head in the toilet all Oh.
Whoa, whoa, whoa, whoa.
- April.
- [vomiting.]
- Okay.
- [coughing.]
All right.
Given that the abdominal pain has been on and off for over a month combined with your alcohol consumption I swear I'm gonna cut back, Doc.
I think we're looking at pancreatitis.
Pancreatitis? One of the main things the pancreas does is release digestive enzymes into your small intestine, but But with pancreatitis, the enzymes become activated before leaving the pancreas, causing inflammation and belly pain.
[tense music.]
Couldn't have said it better myself.
Ms.
Sanders's head and c-spine CT read.
No evidence of stroke or Alzheimer's.
Anything like oh, but look.
C-3.
Evidence of a fracture pattern? It's really well-healed though.
So maybe she did fall.
Yeah.
But like a year ago.
Mom, hey.
Great news.
Dr.
Marcel was able to pull some strings and schedule your LVAD surgery for later today.
Will remembered my favorite flower.
It was so nice of him to come by, wasn't it? It was.
Sometimes I think about that week we all rented the house on the lake.
How crazy your dad was trying to outdo Will.
Will won him over.
[small laugh.]
I know you two have had your ups and downs.
Mom.
Will's a catch.
- I know you love Will.
- Yeah.
I care about him too, but we've both moved on.
Actually, um, I started seeing someone new.
Yeah.
Dr.
Marcel.
Oh, God.
I put my foot in my mouth, didn't I? - [gasps.]
- It's okay.
I should've given you a heads up.
It's just it's super early, so, you know.
Mm.
You haven't introduced him to Owen yet, have you? No.
No, not yet.
Good.
You don't want Owen to get too attached, just - Hey, I get it.
- Yeah.
All right? And I I agree.
Anyway, where is all this coming from? Well, I want what's best for you, Natalie.
Now that I don't know how much longer I've got - Mom, stop it.
- I wanna see Don't talk like that.
I just love you so much.
I wanna see you happy.
And I will be, okay? You're gonna be fine.
Mr.
Becker's labs and scans.
Oh.
What's the damage? Elevated lipase and amylase.
Ah.
Take a look at his CT.
Big pancreatic abscess over the body and tail.
Let's start him on broad spectrum antibiotics and fluids.
550 milligrams imipenem? Now hold on.
Why not a percutaneous drain? I prefer starting with the least invasive intervention - and elevate care as necessary.
- Yeah, I understand, but if it's SIRS and not sepsis, we're gonna be playing catch up.
Fair point.
But still, given the chance of perforation leak, drain's high risk.
Not if I do it.
I'm credentialed in hybrid procedures.
Yeah, okay.
Let's go with the drain.
April, Dr.
Archer will perform the procedure.
Show him up to CT.
[tense music.]
- Hey.
- Hey.
How are you holding up? I don't know, Will.
I'm not, really.
I mean, you know what an LVAD means for someone my mom's age.
And the chances of her getting a heart are so slim.
It's a bridge to nowhere.
She'll have two years [scoffs.]
Maybe.
[sighs.]
I just I thought we had all this time together.
I'm sorry.
I shouldn't unload on you again.
Don't apologize.
Listen you might have more time with your mom than you think.
It's what I came to talk to you about.
My clinical trial.
I reviewed Carol's charts.
She's an ideal candidate.
I mean, I know you've had promising results, but it's still experimental.
Oh, Nat, our results are more than promising.
I mean, we're actually seeing patients reverse heart damage without the risk of surgery.
But what if she doesn't get the drug? Well, after a few months, everyone gets it.
It may be too late by then.
I mean, time will have passed.
She'll have gotten worse.
And then she may be too sick to get an LVAD.
There's a risk with any treatment.
But if it's time you want, the trial's the best option.
[breathes deeply.]
I don't know.
I think I think maybe you should present it to my mom.
Let's see what she wants to do.
Dad, I can't leave Chicago.
I I just can't.
I know how tough this must be leaving in the middle of the school year, leaving all your friends, but you just gotta trust me.
Once you get out there Dad, I'm not worried about losing my friends.
I'm worried about leaving you.
Oh, honey.
I'm gonna miss you too.
And we are gonna talk all the time.
Yeah, but it's not gonna be the same.
And, like, yeah, I have friends but you're the only one who I know isn't gonna judge me for anything.
[knocking.]
So oh.
It's fine.
I know you have to work.
So I'm just I'm gonna go.
Honey, can I call you back? Okay.
I'm so sorry to interrupt.
But I tracked down Tally's husband well, ex-husband.
- Ex? - Divorced.
It sounded recent.
He's on his way here now.
I knew the doll was a bad idea.
When I first saw it, I was shocked.
Oh, my God.
It looks just like her.
I guess people see 'em as some kind of tribute? When did you lose your daughter if you don't mind me asking? About a year ago.
Tally tripped coming down some stairs.
Sarah slipped out of her arms.
Doc said the fall caused a mesenteric - Ischemia? - Yeah.
Said they could do some kind of exploratory surgery, but it probably wouldn't work.
Sarah was so tiny, I just I didn't wanna put her through that.
Did Tally feel the same way? She couldn't make the call.
She suffered a real bad neck injury when she fell.
She was out of it for days.
When she came to, I had to tell her Sarah was gone.
She thought I made the wrong decision, gave up too soon.
It tore our marriage apart.
I'm so sorry.
You know what I'm thinking, Mr.
Sanders, is that because Tally couldn't participate in any of Sarah's end-of-life decision making she couldn't say goodbye she hasn't been able to fully accept her loss.
And in her despair, that the doll might have become an opportunity for her to rewrite the past.
That's why she's reenacting what happened? I think she's trying to change the outcome.
And I have an idea about how we might be able to help her begin to break this delusion, but we're gonna need your help.
[machinery beeping.]
- What happened? - His pressure just plummeted.
Belly's distended.
Hard as a rock.
- Maybe it's the drain.
- No.
I placed it perfectly.
That's not it.
Call general surgery.
- Ethan, a word.
- Start him on Levophed and titrate up to a MAP of 70.
He goes into open surgery right now, he's a dead man.
The mortality risk is high, I agree, but at this point, we don't have a choice.
What if we did a VARD right now, you and me? It is minimally invasive, but I'm not trained on that procedure.
You still want me to call surgery, right? You remember on the Vinson when we did that emergency ex-lab with just a laceration kit? We got this.
I'll walk you through it.
April, open the Hybrid OR.
We'll need a laparoscopic setup.
Are you sure about this? I'm sure.
[tense music.]
Hey, Halstead.
Yeah.
So I finish operating, and I find out that you cancelled Carol's LVAD surgery? That's right.
She wants to be evaluated for my clinical trial.
Your clinical trial.
Give me a break.
- You're unbelievable, man.
- Excuse me? Well, let's be real with each other, Will.
- What are you after? - Hey.
- You're way out of line.
- Am I? Then why'd you present the trial to Carol - without my input or approval? - I went to Natalie 'cause hers is the only approval I need.
Thought she'd keep you in the loop, but apparently not.
[tense music.]
Look, I have a lot of history with Carol and with Natalie.
And I understand that makes you uncomfortable, but I won't apologize for it.
Wire and dilater in.
Okay.
Making an incision.
Thank you.
Go gently.
If he starts to bleed, we won't be able to stop it.
Go, go, go.
All right.
There we go.
Ooh.
That enough pus for you? Ring forceps.
[tense music.]
Mike.
I'm here, Tally.
She slipped through my arms.
I don't know what happened.
I just tripped.
Honey, it's okay.
It was an accident.
The doctor needs to talk to us about Sarah.
Okay.
So Sarah's fall caused an injury known as mesenteric ischemia.
It is an interruption of the blood supply - to the small intestine.
- Oh, my God.
Now I've spoken to our surgical team, and they can perform exploratory surgery.
Whatever she needs, do it.
But it is a very long operation.
I have to be honest with you.
It is very unlikely that Sarah would survive it.
She'd be going through the operation, more suffering for nothing.
Mike, what do we do? You're her mom.
You decide.
I mean, if they don't do the operation, how long before she she I'm afraid it would be a matter of hours.
No! - No.
- I'm so sorry.
[cries.]
I don't want her to suffer.
I know.
Don't do the surgery.
[emotional music.]
Can we be with her when she Of course.
Of course you can.
[sobbing.]
Did you know Keshawn made it all the way to level 100 in "Minecraft Dungeons"? I didn't.
That's impressive.
Yeah.
And he's my brother.
Yes, he is.
Does he really have to go back tonight? I'm sorry, sweetie.
I'm sure he's gonna miss you too.
Maybe someday soon you can go visit him in California.
Yeah.
I'm sorry.
I should've updated you.
I've just been so overwhelmed.
Yeah, of course.
Look I understand that.
Thank you.
I just are you sure that's the only reason? I don't know, it just seems like - Will, he's been your rock.
- Crockett.
I guess I just worry that your mom's history with Will, her affection for him, it's clouding her judgement and possibly yours too.
I mean, look Will is someone I shared a life with for a very long time.
Yeah.
Of course.
But I would never let that cloud my judgement.
Then why aren't you objecting to this? You know the risks of an experimental drug.
LVAD is proven.
I mean, if this were any other patient It's not any other patient.
It's my mom! And if there's a chance she could recover that things could go back to the way they were I mean, I know it's a longshot but As a daughter, you wanna believe.
[sighs.]
But as a doctor, you have to see this for what it is - a gamble.
- [sobs.]
This could buy you more time with your mom.
Or less.
Look I just want you to be prepared for all the outcomes.
Not just the one you're betting on.
That was pretty incredible, huh? That's one way to put it.
If Archer hadn't have suggested going in with VARDs, Becker would've died in the OR.
Saved the man's life.
If Dr.
Archer hadn't insisted on placing a drain, Mr.
Becker never would've gone downhill in the first place.
We don't know that, April.
Look, I get that he was your mentor.
Maybe that's why you trusted his instincts over your own today.
But Ethan, he's not your superior anymore.
- I know that.
- Does he? [somber music.]
What's going on? She's, um She's finally saying goodbye to her baby.
[sobbing.]
Hey.
Hey.
The Carters they wanna adopt Auggie.
I can't I can't lose another child.
Another? - I don't - I never told you.
Never told anyone really.
Only Ben.
When I was 16, I I got pregnant.
By the time I found out, I was four months along.
I didn't know what to do.
I agreed to put the baby up for adoption.
[sobs quietly.]
After she was born, I held her.
Then a nurse came in and she took her out of my arms and When my friends started having kids, they'd say, "Mags, you'd make such a great mom.
When are you gonna get pregnant?" I couldn't tell them, but I didn't think I deserved to be a mother.
Then Auggie came into my life.
It felt like a second chance.
But seeing how he was with his brother today, how happy he was, what do I do, Sharon? Maggie, you know I can't answer that.
But what you did for your baby, allowing her to have a life that you couldn't give her, that was love.
So no matter what decision you make, it will come from that place.
And I'm sure of that.
[car door opens.]
Hey.
Listen.
If this is about the judge's ruling It's not.
I just wanted to talk to you because I'm I'm genuinely worried about Anna.
Why? What's going on? Well, she came to my house this morning so that I could sign her chemistry exam.
- She got a D.
- Oh.
Yeah, of course she comes to you 'cause you're the good cop, and I get stuck being the bad cop.
But I'm not sure it's quite that simple.
- No? - No.
Look how do I put this? Anna really responds when she feels like she's being heard? Oh, my God.
Here we go.
And I don't listen to anything she says, right? I mean, why else am I a monster, Dan? Tell me.
Because I because I believe in consequences, a little discipline? - It's not what I'm saying.
- It is what you're saying.
Look she's a teenage girl, okay? I mean, it's inevitable at some point there's gonna be a clash, you know? It's perfectly natural for her to be pulling away.
She didn't tell me about one bad grade.
You make it sound like we're living on different planets.
It's not just about the grade.
Well, what? What else is there, Dan? What don't I know about? Her boyfriend? I know.
The specifics aren't important.
Because there are no specifics.
You just love to play your little head games.
- Sue.
- No, gotta get packing.
She got pregnant.
[dramatic music.]
What? It was a chemical pregnancy.
You thought she was pregnant, and you didn't tell me? No, I didn't 'cause she begged me not to, all right? And I'm only telling you now 'cause you don't wanna seem to acknowledge how disconnected you are from your daughter.
You are a manipulative son of a bitch.
You know, you wonder why she doesn't talk to you? It might have something to do with you.
For instance, the way you're behaving right now! Doublechecking my handiwork, huh? Making sure I put the drain in the right spot? - So how'd I do? - Drain was placed perfectly.
Of course it was.
But there is one thing I need to be clear about.
In this ED, I'm in charge.
Yeah, of course.
Uh [scoffs.]
To be honest, I I was just eager to make a good impression.
- That's all.
- Listen, this is gonna be a big adjustment for the both of us.
Yeah, hey.
Lead, follow, or get of the way.
And it's my turn to follow.
- Thanks, Dean.
- All right.
[emotional music.]
You always have Auggie's best interests at heart.
I know that.
That's what allowed you to see what I couldn't.
Auggie should be with his brother.
You really believe that.
Mm-hmm.
Growing up with a sibling to lean on was everything to me.
If Keshawn is any indication, Maxine and Antoine are They're pretty great parents.
I was just having Trouble getting past my own stuff.
What happened when I was a teenager.
Oh, honey.
I think about her all the time.
Wonder where she is, if she's okay, I It's okay, baby.
Let's go tell Auggie.
Her surgery went well.
She should be awake in an hour, so Thank you.
Yeah.
[sighs.]
I'm gonna stay here tonight.
Sitter's with Owen.
You want some company? Yeah.
I'd like that.
Okay.
[door opens.]
- What's going on? - Talk to Mom.
[tense music.]
It's clear that my way of parenting isn't working anymore.
When Anna was a baby, we were so close.
And somewhere along the way, we drifted apart.
Yeah, but you know that's not gonna last forever.
- You know that, right? - Maybe.
But I feel like I don't know her anymore.
And I certainly don't know how to connect to her.
[sniffs, exhales.]
I think that she should stay in Chicago with you.
Wait, wait, wait, wait.
Sue, are you sure? Look, we can assess at the end of the school year, but for now yes.
Sue, no, no, no.
Sue.
[dramatic music.]