Chicago Med (2015) s07e21 Episode Script

Lying Doesn't Protect You From the Truth

Your biological father and I agreed that we would never contact you.
I broke that agreement.
Maybe you could just reach out and ask him if he'd like to meet me.
Vanessa I can try to find him.
The last time around we got into some pretty unhealthy patterns.
I know that we have history, Will, but it is history.
My units aren't totally done yet.
Actually, one is livable.
- If you want it, it's yours.
- Thank you.
Pamela, what's going on? My hand at rest, rock steady.
But when I pinch my fingers together there's something wrong with my hand, Crockett.
I don't want to jeopardize this investigation because you can't handle being in the dark.
I care about you, Milena.
I can't wait for this case to be over.
Yeah, me too.
This is dispatch.
All teams report.
What's your status? Team Charlie, target house 28, offender in custody.
Team Victor, target 64 in custody.
Team David, target 52 in custody.
Shots fired! Shots fired! 10-1, 10-1! Shots fired, target 16 house! Officer down! Roll an ambo! Stay with me, Sam.
Stay with me, Sa - I gotta go see what's up.
- No, you're undercover.
You're not supposed to be involved with this.
Doesn't matter.
Just go.
You gotta get to the hospital, okay? Morning.
- Morning.
- Thought I'd drop this off before I do some consults.
- Thank you.
- Yeah.
- Got my MRI.
- Oh, great.
Progressive cervical spondylotic myelopathy.
- You're gonna need surgery.
- I don't think I will.
What are you talking about? This is this is serious.
It's it's spinal compression.
I'm doing physical therapy.
I'll work through it.
Recovery from surgery is six to eight weeks, and I've got a patient list a mile long.
I I can't leave them for that amount of time.
You might want another opinion.
I'm happy with the one I have.
Hey, Dylan, got one coming in.
Juliette, I'm going to Baghdad.
CPD Sam Devers, 45, shot through and through, right lateral chest to right back.
Bullet was retrieved from the back of his vest.
BP 98/66, heart rate 92.
Hey, Sam, I'm Dr.
This is Dr.
- What happened? - Drug raid.
Guys were waiting for us.
All right, let's roll him.
All right, ready? Roll.
All right, I'm seeing two wounds, probably an entry and exit.
Sam? Sam! Oh, my God! - Are you all right? - It's okay, Alice.
- I'm sure it'll be fine.
- It is not fine.
- You got shot! - Please, ma'am, if you wouldn't mind waiting outside, we I'm his wife.
I'm not going anywhere.
All right, everyone clear for an X-ray.
Hemothorax on the right.
All right, let's set him up for a chest tube.
You only saw one entry wound and one exit wound, right? Yeah.
There's a bullet here in his right hilum.
Sam, you ever been shot before? - Uh-uh, no.
- You sure? Yeah.
You know, it's that new seafood place on the river.
It's got a huge lobster tank.
So you want me to pick out an animal and then eat it? I'm sure you could get a salad.
Hey, Dad, I think you might need this today.
Oh, my God.
- Honey - Yeah.
Thank you so much.
Um this is my colleague, Dr.
My daughter Anna.
We've we've met.
We did the family therapy, remember? Of course we did.
- Yeah.
- That's right.
It's nice to see you again, Anna.
Um, anyways, I am late for first period, so.
Thank you, honey.
Thanks again.
So does she not know? About us? You know, I guess she doesn't.
Um, I guess I haven't found the right time to tell her? Is that really it, Daniel? What do you mean? Well, sometimes you try to protect the people you love by avoiding difficult conversations - with them.
- Ahh.
Benefits of dating your shrink.
Um, no, that's not what's going on.
Anyway, I gotta get upstairs.
So seafood tomorrow night? We on? - Sounds perfect.
- Nice.
Those plants you got for the building? - Nice! - Thanks.
Six is good.
Did you know peace lilies actually absorb sound? Yeah, I'm trying to cut down on street noise.
Look at you, Mr.
Hey, I have to ask, I noticed that you haven't cashed my rent check yet.
Well, I No, uh, I didn't.
Well, how come? Actually, it bounced.
- Why didn't you tell me? - It's no big deal.
Of course it's a big deal.
I'm good for it.
- You know - Dr.
Halstead? Dr.
Asher? I'm having trouble getting a visitor to leave a patient's room.
- What's the problem? - It's the patient's mom.
We'll be right there, thanks.
Hi, I'm Dr.
Halstead and this is Dr.
Asher, OB-GYN.
- How can we help you? - Well tell them, Mom, how I'm a total failure.
I am 22, single, and pregnant.
Yes, she's pregnant.
She shouldn't be working as a hot yoga instructor.
She passed out.
You see? It it's always the same.
I just can't do anything right.
I just want her to leave.
Do you mind? Trini can take you somewhere comfortable while we speak with your daughter.
I'll be waiting outside.
I'm sorry.
Anyway, um, I'm Kat.
I'm 26 weeks along.
Hi, Kat.
So what happened today? You passed out? I got a little dizzy, and then, yeah.
Has this happened before? I guess I haven't really been myself lately.
Like, I've been nauseous, swollen, feeling pretty run-down.
Um, it's a little worse today, but it's just normal pregnancy stuff.
Though it is a bit late for you to still be getting nauseous.
Yeah, and your blood pressure and temp are a little high.
- Are you concerned? - Not necessarily.
But we would like to get an ultrasound and run a few tests.
- Okay.
- Just give us a little time to get some answers, kay? Oh, and, um, my mom? Would you like me to get her? No.
Hi, Ms.
I'm Dr.
Hi, nice to meet you.
Lydia choked on some cereal this morning.
I still feel like there's something in there.
I'm sorry.
Uh, has this happened to you before? Uh, I thought I got a A doxycycline pill, uh, stuck a few weeks ago.
I was taking it for Lyme disease.
Okay, um, how long ago did you have that? Turns out I didn't.
I also didn't have fibromyalgia or MS or chronic fatigue.
You see enough specialists, you get a pretty good list.
Can I ask what was going on that made you see all these doctors? Well, um, a year and a half ago, I I I got an an eye twitch.
Uh, and I thought, "Lydia, you are giving 200 talks a year.
" I'm a motivational speaker.
"You're just tired.
" But then my best friend got diagnosed with ALS.
Scariest thing ever.
So I went to a neurologist, but he ruled ALS out.
- That's good.
- Right.
But then I got coughing fits, then stiffness Then exhaustion.
And nobody could figure it out.
Here I am.
Well, hopefully, we'll be able to help you today.
If it's okay, I'd like to order some more bloodwork.
- Yes.
- And in the meantime, I'm gonna take a closer look at your throat.
- Okay.
- Prep pharyngoscope? And a CBC, CMP, and ANA.
You got it.
I'll be right back.
- Hey, Mags? - Mm-hmm? Were you able to track down any info on my biological father? Oh, no.
I wasn't able to find anything.
But, um, I'll keep trying.
Morning, Maggie.
Oh, hey, Sharon.
What's up? Vanessa keeps asking about her biological father, and I promised her I would try and get in touch with him, - but I haven't.
- Oh.
It's been over 20 years.
I don't want to disrupt his life.
But it's what Vanessa wants, and I want to be fair to her.
- Good morning, Ben.
- Sharon, nice to see you.
Good to see you.
Oh, walking is something out there.
- Coffee after my checkup? - Yeah, you bet.
All right.
Look, I know that Ben wasn't so keen on you getting in touch with Vanessa in the first place, but have you discussed this with him? No! - Maggie - Sharon, no.
Hey, where's Sam? Uh, just sent him to IR for an embolization.
Why? Bullet tract went straight through the lung.
The chest tube took care of that.
Yeah, but look the bullet we saw on the x-ray caused a pseudoaneurysm in a branch of the pulmonary artery.
That thing could have blown anytime.
You know, Sam said he never got shot before, so he must have got hit twice today, just didn't realize it.
And we're missing the other entry wound.
There's a lot of air pockets and scatter all over that CT.
I I've got an idea how we might know for sure.
The thing about bodycam footage is it's all live and unedited, so it can get kind of violent.
- You guys okay? - Yeah.
- Thanks, man.
- You got it, Doc.
Chicago Police, search warrant.
- Go, go, go! - Police! Don't move! Drop the gun.
Drop it! There that looks like the shot that came out the other side I found in his vest.
- You all right, Sam? - Alice, Alice! - Stay here, stay here.
- Call Alice.
10-1, 10-1! Shots fired, target 16 house! So does he get hit again? Can you run it back slowly? Put your hands up! Put your hands up! Walk towards me! Drop the gun! Come here! Get on the ground! Get on the ground! No, just the one shot.
So if that bullet we just saw was the one we recovered, where did the one in his lung come from? Didn't get it here.
- Hey.
- Hi.
Just saw Mr.
Two days post-op, incision's looking good.
- Yeah.
- Your button.
- Hmm? - Your button.
It's fine.
I should put on some scrubs anyway.
Hey, wait a second.
You can't button it, can you? - Crocket - Pamela, you can't operate.
Not like this.
You know I'd never do anything to endanger my patients.
Yeah, well I have to question your judgement on this.
You cannot do surgery.
It isn't safe.
- Are you serious? - Yeah.
So your embolization went well, though it was a little more complicated than expected.
The radiologist noted that the bullet had been eroding into the vessel wall for some time.
Apparently, when your lung collapsed and reinflated again, the movement was enough to make the situation emergent.
On closer examination, we noticed a faint scar indicating an old gunshot wound.
It's pretty clear to us you've been shot before.
Yeah, I was.
Doc said it was 50/50 to take it out or not - You never told me? - Alice Sam, I'm sorry.
I was just trying to make her feel better.
You know how you were okay the last time.
You told them you were shot.
They all know everything, - but you couldn't tell me? - I didn't want to worry you.
Let his friends come sit with him.
They're all he cares about anyway.
Alice! You do have some redness and irritation, but I don't see any foreign bodies.
Your labs are normal, so if you're feeling better, I feel comfortable sending you home.
Lydia? Lydia! I just don't know what's wrong with me.
All I do is go to doctors, and no one has any answers.
I'm I'm sorry.
I used to travel around the country, speaking and helping people.
And now there are days I don't even get out of bed.
Here, here.
Here, take one.
Is there anything else I can get you? Maybe water? No.
I'm okay.
Okay, um you know, let me speak with one of my colleagues and see if we can figure something out.
Charles? I have a patient who's been to a lot of doctors for some pretty vague symptoms.
Her labs and exam are all normal.
But she just got extremely upset just now when I told her that I couldn't find anything.
I don't know, something about it - just feels a little off.
- Okay.
- How can I help? - I don't know.
The long history, the multiple diagnoses, she she could be malingering? - Do you mind talking to her? - No.
- Shoot me her chart? - Okay.
Well, labs don't show much, but her pressure's still creeping up.
Think this could be pre-eclampsia? Could be, but her LFT levels are slightly elevated and her glucose is low.
I'm wondering if this actually might be acute fatty liver of pregnancy.
If AFLP is even on the table I mean, missing it would be catastrophic.
We need to know for sure.
Can you get this up to Abrams for me? - Thank you.
- Crockett - Yeah? - Got a minute? Yeah, what do you need? A liver biopsy to check for AFLP.
Okay, but if it is, you do realize that the biopsy site could bleed considerably.
Yeah, we need an answer.
If it's just pre-eclampsia, we'll keep the baby in as long as we can.
But if it is AFLP, the only cure is to deliver it.
And if you watch and wait? There's a chance that it could all work out fine.
But there's also a chance that the baby, and even Mom, could die.
We need this biopsy.
I don't know.
I'm not liking the choices.
Crockett, Dr.
Asher needs the biopsy.
I think Dr.
Marcel heard me.
I'll set it up.
- Great.
- You got it.
Thank you.
Hannah! Why do you constantly feel the need to save me, Will? Save you? What you just did with Crockett.
Not telling me about the check? Whoa, I Hey, I'm just trying to help.
Really, Will? Or is it because you don't think I can take care of myself? No matter what I do, you are still stuck on how you thought about me two years ago.
I want to support you.
I don't want to derail all the hard work that you've done.
That is my responsibility, not yours.
I gotta tell you, I don't think - she's malingering.
- Really? But she's seen every specialist in Chicago.
Yeah, but true malingering, I mean, at least from a clinical standpoint, would mean that she was making up or exaggerating symptoms for some kind of secondary gain, right? Like drug-seeking or because she didn't want to go to work.
You know, I'm just not picking that up.
I think she really wants an answer.
What if there isn't one? All of her tests came back negative.
Well, maybe you have to keep on digging.
Have you thought about, I don't know, a lumbar puncture or an endocrine panel? Yeah, yeah, okay.
But the history of doctor shopping, and that meltdown before ugh, I don't know.
I'd also like to give her a psychiatric questionnaire.
Just to make sure we're not missing anything.
Let me, uh, know - what you find out.
- Okay.
Excuse me, uh, but I know an officer involved with the raids this morning.
Any word on any other injuries? Details are sketchy, but it's still dangerous out there.
Hey, you got a name? Actually, no.
They're undercover.
Well, I'll keep my ears open, let you know if I hear anything.
How's Sam? He's stable, but it's still too early to tell if the procedure worked.
Scott? We need you.
His chest tube's putting out blood.
The embolization plug must have dislodged.
I need two units of blood and FFP.
- Tell CT we're coming up.
- All right.
Oh, my God.
BP's down to 78/52.
Pulse is thready.
He's in V-fib.
Charge the paddles to 200.
Sam? - Charged.
- Clear.
Sinus rhythm.
All right, BP's good.
Let's get him up to the ICU.
We'll stabilize him there.
I'm in.
Come on.
Move, move, move.
Back up, back up.
- Hey, I got your message.
- Hey, Sharon.
When I told you about Vanessa's biological father, there was a part I left out.
I loved him at the time deeply.
But my life is great right now.
Ben is great.
But this man, Grant, if I see him again, I'm afraid I'm afraid of what I might feel.
What happens if those old feelings are still there? And what happens when he sees Vanessa? Our perfect daughter? Sharon, I'm lost.
Maggie I wish I could tell you what to do.
I can't.
But it does sound to me like you're already thinking ten steps ahead.
Whatever you decide, it'll come from the heart.
And that's the best any of us can do.
Yeah? Yeah.
Uh, Afra, can you put pressure on that for me? You got it? - Hey, guys? - Hmm.
So the biopsy site's still bleeding.
If I can't get it to stop, I'm gonna have to coil it.
Path results.
Okay, we need to deliver her now.
Hey, Kat, we've got some bad news.
Unfortunately, you have a condition called acute fatty liver of pregnancy.
It's an enzyme deficiency that causes rapid and life-threatening liver failure.
- Oh, my God.
- We need to do a C-section.
Okay, let's get the hybrid OR ready.
What? No.
No, you can't.
- It's too soon.
- The baby is viable.
We don't have any other options.
- Okay.
- Okay, ready? Let's go.
Kat, what's going on? Mom, they have to deliver the baby.
- What? - This is really serious.
I'm scared.
Can she come with me? You can stay right outside.
She'll be right outside.
I'm not gonna do these.
You already sent that shrink in.
It I'm not crazy.
No, I don't think that.
I just want to check Why won't someone take me seriously? W what kind of doctors are you? - Lydia - I am sick, damn it.
I am sick.
Okay? There there is something wrong with me.
Lydia, please, I just want to help.
But you're not.
You're not.
No one is.
No one is! I am I I am so so I'm so sorry.
Lydia, what's going on? I don't know why this keeps happening.
Well, what keeps happening? I've been so e Emotional lately.
And it it It just comes over me.
A and when that happens, what how do you experience it? W what does it feel like? I don't know.
It's, like, so much feeling, and, um, it's It's overwhelming.
But then it suddenly just ends? Like someone hit a switch.
Okay, um, could you give me a moment? It it it's gotta be psychiatric, right? Actually, these emotional outbursts are making me think it could be just the opposite.
I'll be right back.
Hi, Mrs.
Devers? We got Sam's CT results, and he's gonna need another procedure to stop the bleed.
Uh, do whatever you have to.
Actually, uh, we do need to make a choice.
And since Sam is intubated, the decision falls to you.
Please, have a seat.
So we can do a thoracotomy and fix the vessel, but it is a major procedure that comes with some significant risks.
Or we can place a stent, which is a much less invasive procedure, but it does mean Sam would have to be on anticoagulants for the rest of his life.
It could result in him being pulled from active duty.
He could still work, just not on the street, right? Yes.
Devers, this is a very big decision that could potentially end your husband's career.
So if you need more time, or if you have any No.
I'd like you to do the stent.
- How's it looking? - Almost there.
You? Still not clotting.
Uh, keep up the FFP, cryo, and blood.
More lap pads.
All right, uterine incision.
There we go.
Here she comes.
Here comes baby.
All right.
Got her.
Here she is.
All right.
Apgar, 6.
Baby needs to be intubated.
I'm on it.
Still got a lot of bleeding here.
Uterus is still bleeding too.
Pressure's down to 82/54.
I'm in.
Let's get her up to the NICU.
Kat's hemorrhaging.
All right, I need 2 milligrams methergine IM, 250 micrograms hemabate subQ.
Get me a Bakri.
Keep up the leverage.
She's bleeding from her nose.
She's in DIC.
If she can't clot, her liver's never gonna hold.
Down to 70/42.
Crockett? Yeah, her liver's ruptured.
Curve six, let's go.
She's bleeding out.
I need more blood! - Easy, guys.
- What No, K Kat? Wait, wait, wait, wait.
Where are you taking her? Her liver ruptured.
We're trying to stop the bleed.
What? Mrs.
Miller? This is Dr.
Blake, chief of our transplant surgery.
We believe that your daughter's gonna need - a liver transplant.
- A transplant? A section of liver, ideally from a living donor.
For now, we're gonna take her to the ICU and get her stabilized until we can find a match.
We'll keep you updated, okay? Use me.
I'm ready.
Well, there's a process to this My daughter is not waiting.
I am the same blood type, I'm healthy, and I'm standing right in front of you.
And I am not leaving until I can make sure that my daughter lives to see her baby.
Hi, I'm Lydia Reed.
And this is an issue that many of us parents deal with.
Because we value the truth.
But what we value even more is our children's happiness and safety.
So what happens when those two values come into conflict? We know something that's gonna hurt our kids.
So what do we do? We put it aside.
When you find something that you Okay, halfway through the IVC anastomosis.
How're we looking, Marty? Losing too much blood.
Pressure's down to 84/56.
Come on.
Check that liver again.
Yeah, I got another bleeder.
Maya, buzz me.
Right there, go.
Damn it.
Another bleeder.
And another.
Blake, I could use another set of hands.
No, I can't.
- Pamela - I want the best outcome for that woman's daughter, Crockett, and right now that's you.
Just focus on finishing the anastomosis.
All right, but she's losing a lot of blood.
You can do this.
Stop chasing the bleeding.
The faster you sew that vessel, the sooner you can get out of there.
All right.
Finishing the anastomosis.
- Hold on.
- MAPs are in the 50s.
Hold on! Easy.
Easy, easy.
Okay, got it.
Cut me.
How're we looking? Pressure stabilized.
All right.
Let's get this belly tied up and get out of here.
So we've written down a few sentences here.
Would you mind reading them out loud for us? Sure.
"When you find something "you don't want to tell your kids, "that's usually the thing you need to tell them the most.
" This was from a talk I gave a few years ago.
Yeah, five to be exact.
I have it right here.
When you find something that you don't want to tell your kids, that's usually the thing that you need to tell them the most.
That's the thing they need to he I'm hearing a marked difference in your speech pattern on the video.
It's not as halting or pressured as it is now.
Is that significant? I think it could be.
And these outbursts of yours, they're sudden.
- They're often unwarranted.
- Yes.
It's called Pseudobulbar Affect.
What's They're exaggerated emotional responses.
They're not caused by emotional instability or an altered psychological state.
Um, they're caused by the degeneration of certain brain cells.
I'm really sorry to have to tell you this, Lydia, but I think that we might be dealing with ALS.
ALS? No, no.
It c can't be.
The neurologist ruled it out.
I imagine that they ruled out a more common presentation.
I I think that you have a more rare form which is called Bulbar ALS.
Much more difficult to diagnose.
I definitely have it? I have a really strong hunch that that's what we're dealing with here.
Lydia? I mean, I'm sad.
But I'm I'm I'm relieved.
ALS was my greatest fear.
But at least I finally have At least I finally have an answer.
Right? Ethan.
I've been thinking about it, man.
Sam would want the thoracotomy.
That's what he should be getting.
Well, look, I've been looking over the bodycam footage.
I got an idea.
Devers, Sam's procedure hasn't started yet, but I was hoping we could talk.
My dad's a cop, my sister.
Before I did this, I was too.
And even though I'm not anymore, every time I hear sirens go by, I wish I was in that car.
It's a part of who I am.
It's a part of who Sam is too.
We wanted to show you what happened today after your husband was shot.
This might be difficult.
But we think it's important you see it.
- Okay? - Okay.
Get on the ground! You all right, Sam? Alice.
Alice! - Stay here, stay here.
- Call Alice.
10-1, 10-1! - Alice.
- Shots fired, shots fired! - Call Alice.
- Roll an ambo! - Stay with me, Sam.
- Call my wife.
Call Alice.
Stay with me, Sam.
He wanted you, Mrs.
He was calling for you.
- No one else.
- Yes.
Alice, I know this is very tough for you.
But we still have time.
Are you sure you want to do the stent? Or we can switch to the thoracotomy.
We believe that's what Sam would want.
Do the thoracotomy.
My CT's clear.
You ready to go? That deserves some celebration.
That'd be nice.
- Here she is.
- Oh, my God.
I can't believe she's really here.
Oh, look at her.
She's perfect.
She's so tiny.
Am I gonna be able to take care of her? You will.
I know you will.
Hey, listen, about before I have been treating you like you need saving.
I'm sorry about that.
Look, I know it wasn't coming from a bad place, Will.
Does mean that, as your landlord, I'm gonna need the rent tomorrow.
Oh, well, actually, I can do you one better.
I, um, picked it up during lunch today.
- Thanks.
- Mm-hmm.
She's set up with Dr.
Abrams for a full consultation.
You know, a couple of pretty exciting clinical trials out there.
Between those, current meds, PT, speech therapy, there's actually quite a lot we can do for her.
You know, I wanted to look up that talk you used about the truth and being a better parent, but it was really far down on the list.
I'm just curious why you picked that one.
I don't know.
Good question.
Looked, uh looked interesting? - Hey.
- Nice job today.
Hey, look, if it, uh - If it felt like I crossed - I scheduled my disc surgery.
I was concerned about leaving my patients for a few weeks, but I see now they'll be fine.
That's great.
- Honey, you got a second? - Yeah.
Something I've been, um, meaning to talk to you about.
Um What's going on? You all right? Luke broke up with me.
And I I just really cared.
Honey, I'm so sorry.
I just feel so stupid.
You sure it wasn't, I don't know, like, just a just a fight or something? No, it's over.
Didn't you say you wanted to talk to me about something? No.
It it can wait.
- Thank you.
- Yeah.
Archer says he'll be back on the street - in six weeks.
- Good.
Think she'll be able to handle it? I hope so.
At least she knows a little more about the person she loves.
Will, the Vas-COM trial, please tell me you're not gonna testify.
- I am.
- Don't.
These people will do anything to protect themselves.
You don't know what they're capable of.
I have to.
Then what about me? You're gonna ruin my life.
They're gonna throw me in jail.
Jessa, let go of me.
Let go of me! Dr.
Halstead, is there a problem? - Dylan.
- Oh, Milena.
Thank God, you're safe.
Come here.
So some Some gang members got away.
I'm afraid there's a mole in CPD who tipped them off.
If there is I've been made.
That's why you had the money.
In case you had to get off the grid.
Yeah, and I need to.
Listen, it it's too dangerous to stay with me, but I have a friend who's fixing up a building.
I'm sure you could hole up there.
Okay, thanks.
Oh, Dylan, my name, uh, it's Jo.
Come on, Jo.
Let's get you safe.
Ethan? - Come in.
- Thanks.
Um, my dad liked highland scotch.
- I didn't know - I do, thanks.
My sister.
My nephew.
My first day in the navy.
I felt like you were all my family too.
50 years.
We had a life together, but no one could know.
You a a scotch man like your dad? I am.
Funny story about a bottle of scotch your dad and I had in Dubai after the Gulf War.
You want to hear it? Yeah, I do.

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