Chicago Med (2015–…): Season 2, Episode 16 - Prisoner's Dilemma - full transcript

Dr. Manning deals with treating a comatose young woman who's pregnant.

Incoming,
peds in respiratory distress.

30 seconds out. We got this.

Hey, love.

What are you doing here?

Aren't you supposed to be home
taking care of yourself?

I don't wanna stay at home.

Just can't stop thinking
about things.

I'd rather be here, busy.

You sure?

Since we lost the baby,

Things with me and tate
are just different.



I need to work.

All right, well, you tell me
if you need anything.

Okay? You got this?

You're going to treatment 2.

Emergency landing at o'hare.

7-year-old girl
collapsed mid-flight.

Acute shortness of breath
started on the plane.

One albuterol and one racemic
epi given en route.

Sats? Low 90s.

Meds didn't do much.

All right, gently.

One, two, three.

Mommy?

She's just telling
her daughter to be calm.



We speak english.

Lungs sound congested...
Rhonchi throughout.

Let's get a chest x-ray.
I'm dr. Choi.

I'm gonna be taking care
of your daughter.

Where are you traveling from?
Ecuador.

All right, has your daughter
ingested any drugs? Alcohol?

Anything we should be aware of?
No.

Any medical issues
we should be aware of?

She can never get enough air.

Her lips are always blue.

Her whole life,
the doctor in my village...

She says she can't help.

We were going to minneapolis
to see a heart doctor.

Definitely volume overloaded.

Let's get five milligrams
of lasix iv.

Bp, 108 over 82.

Heart rate, 110.
Could be a pulmonary issue,

Or any number
of congenital heart defects.

Let's get an ekg, and call ct.

We're gonna do everything we can
for your daughter.

Thank you.

Incoming. Dr. Manning? Yep.

Teresa azen, 25.

Persistent vegetative state.

Brought in by
her long-term care facility.

After blood was discovered
in her urine.

Now let's get vitals, a temp,
cbc, cmp, ua with c&s.

Could just be a uti,

But let's look at her kidneys
with an ultrasound.

To rule out hydro from a stone.
Got it.

All right, on my count,
one, two, three.

Brain injury? Car crash.

Teresa, I'm dr. Manning.

I'm gonna take
good care of you, okay?

G-tube looks good.

Temp, 100.6.

Unresponsive.

No kidney stones.
Let's look at the bladder.

How long did you say she was in
a vegetative state for?

Five years.

We need to call the police.
This woman is pregnant.

There's vaginal trauma,

Which explains the blood
in the urine.

Thank you.

Is this our victim? Yeah.

It's awful.
You ever see anything like this?

I wish I could say I hadn't.
Okay, let's lift.

One, two, three.

So helpless.

We're looking into
all of the employees.

At teresa's facility.

We're checking visitor logs,
security footage.

We'll find out
who had access to her.

And to her floor.

But the rape kit's
only supposed to reveal dna.

For the past five days.

How is this gonna help?
I hate to say this,

But the likelihood
in a case like this.

Is that the offender's
been assaulting her regularly,

Maybe even daily.

Hey, teresa's parents are here.

Okay.

David and angela azen,

This is detective lindsay
and dr. Manning.

I am so sorry for
what happened to your daughter.

How could someone
do this to her?

Are you gonna
catch this monster?

Yes, we've already opened
an investigation,

And finding whoever did this
is a top priority for us.

I just want you to know,

We are gonna give your daughter
the best possible care.

Why don't you go spend
some time with your daughter?

We have 18 patients
on this floor,

All suffering from
serious mental illnesses.

Since age 13,
henry has been battling.

Anorexia nervosa coupled with
borderline personality disorder.

Evelyn struggles
with schizophrenia,

Auditory hallucinations,
paranoia.

We have her on
a new anti-psychotic,

Hoping that'll curb
her violent tendencies.

Patients might be here.

Anywhere from six weeks
to six months.

You're not listening!

You don't belong here. Get out!

Get out! That's enough, tom.

Why don't we go work
on your art project?

Who are you?

I'm dr. Reese.
I'm visiting from chicago med.

He's right.

I don't belong here.

All the doctors think I'm crazy,
but I'm not.

Dr. Reese, we're moving on.

She's the worst.

Hey, just so you know,

"crazy" is a word I never use.

And we've got ms. Perreira...
Post op day two.

We removed her chest tube
and wires this morning.

She is tolerating a diet,
and looking good.

She's on a solid dose
of morphine.

And what about consults?

We have two in the micu,
one for an aortic valve,

And the other for
a potential bypass.

All right.
Let's go have a look, everybody.

Just a moment. One more thing...

More of a question, really.

What does a jewish pirate say?

I beg your pardon, dr. Latham?

What does a jewish pirate say?

Ahoy vey.

Get it? Ahoy vey.

All right, that's a...

That is a good one, dr. Latham.

Jewish humor. Long tradition.

Shall we move on to the micu?

So I take it that your tms
treatments are going well.

Yes, I've been picking up on
all sorts of subtleties.

In the way people communicate.

For instance,
it never dawned on me.

The profound purpose behind
sharing a joke.

Well, what is it?

Camaraderie, dr. Rhodes.

Camaraderie.

Hey, check out what I got you.

Mousse de maracuj?.

Your favorite.

When I was, like, eight.

Well, still, I thought
it might make you feel better.

He's trying, april.

No one knows what to say.

There's nothing to say.

How were rounds
at the youth hospital?

Brutal.

I'm sure there's
a more clinical term, but...

I hear ya.

It's really hard
to see so many teenagers.

Suffering from
psychological trauma.

Yeah, younger patients
are the hardest.

Very tough to draw a line
between an actual disorder.

And good old-fashioned
adolescence.

How do you learn
to make that call?

Tourist asks a new yorker,

"how do you get to
carnegie hall?"

Practice.

Hi.

So teresa is approximately
ten weeks along.

In her pregnancy. God.

Fortunately, termination
will be a painless procedure.

Wait, termination?

We don't want that.

We wanna keep the baby.

I'm sorry.

I thought,
given the circumstances...

Mr. And mrs. Azen,

Nothing has to be decided today.

No, we've made up our mind.

It is terrible what happened
to our daughter,

But even if it came from a rape,

The baby's still part of teresa.

The only part we have left.

Yes, and I can understand that,

But in your daughter's
condition,

I have to tell you,

Taking this pregnancy to term
would be extremely difficult.

Why? Her brain has been injured,

But her body's healthy. No.

At five years in a persistent
vegetative state, it's not.

This is a high risk situation
for pulmonary embolism,

Sepsis, colonic obstruction,
respiratory failure.

But those are just risks, right?

It could all work out.

They are extremely high risks.

If you have your daughter
go through with this pregnancy,

There is a chance that
she will not survive.

She's hardly living as it is.

If she dies giving birth,
maybe that's a merciful outcome.

Sometimes, I've wished for that.

There is another issue
to consider.

Given the abuse
your daughter has undergone,

Do you believe that she would
want to keep this pregnancy?

In any case,

You are teresa's guardians,

And therefore speak
on her behalf.

Your wishes will be honored.

So based on the echo
and the ct scans,

Your daughter is suffering from
a congenital heart condition.

Known as tetralogy of fallot.

It's a condition that puts.

A significant amount of stress
on the heart,

And it's something that needs
to be addressed surgically.

I can pay.
I bought travel insurance.

It's an emergency surgery.
We would operate regardless.

We'll take your daughter
to the pediatric icu,

And get her ready.

Are you all right?
I know this is a lot.

I'm fine. Mommy?

Whoa, whoa, whoa, whoa, whoa,
you sure you're okay?

Maybe I should take
a look at you.

No, no, I haven't had
anything to eat...

No sleep. I'll be okay.

Hey, april, so sorry to
hear about the baby.

How you holding up?
It's okay. I'm okay.

Talk to me, cesar.

Suicide attempt.

15-year-old female
from county psych.

She swallowed bleach,
sodium hydroxide,

And some sort of rust remover.
Hydrofluoric acid.

Okay, call toxicology,
get an ng tube in her,

Push an amp
of calcium gluconate,

And hang a magnesium drip.

Watch for v-tach,
and get a psych consult.

You have to get
dr. Reese for me.

I need to talk to her.

I wasn't trying
to commit suicide.

Offering classes in english
I was trying to see you.

Do you believe it's okay
to hurt yourself?

How else could I get to you?

It's not like I can ask
for a phone call.

Nancy, you... you could have
seriously hurt.

Or even killed yourself.

You have to help me
get out of there.

They locked me up after
I got in a fight with my mom,

But she's bipolar...
Has been for years.

Hey, I'm sorry, but I'm...
I'm not your psychiatrist.

My mom came at me with a hammer.

While I was sleeping.

I was trying to defend myself.

That doesn't make me crazy.

No. If that were the situation,

It would be reasonable
to defend yourself.

See?

You're the only one
who said that.

All the other doctors think
I'm psychotic,

But my mom's
the one who's crazy.

Dr. Reese?

Could I speak to you
for a second?

I'll be right back.

Yeah, could... could you...
Could you fill me in?

I understand that
you ran into nancy on...

On rounds this morning? Yes.

Could you have said anything.

To make her think
it was a good idea.

To come over here
and... and see you?

All I said was "crazy"
isn't a word I ever use.

Gotta be very careful.

The way we talk to
younger psych patients.

You know, they're much more
vulnerable to mixed messages.

She seems to think that
you're some sort of ally.

I am.

Aren't we all?

To get her
the right treatment, of course,

But this is a young woman.

Who purposefully drank
extremely toxic chemicals.

I mean, nancy's been
diagnosed with.

Borderline personality disorder.

She has severe bouts
of manic depression.

Uncontrollable hysteria,
paranoid delusions.

People who suffer
from these disorders.

Can be very persuasive,
very manipulative,

And a danger to themselves,

So we just...
We have to be careful.

We wouldn't wanna
put her in a position.

Where she wanted to
harm herself again.

Ms. Cespedes?

Can I get your signature
on this consent?

This gives us
permission to operate.

Ms. Cespedes,
you don't look well to me.

You could've picked up a virus
while traveling.

May I please check your pulse?

Is everything all right?
I told you I'm fine.

Please.

Let's go back to
the emergency department,

And let me take a look at you.

Just show me
where the bathroom is, please.

Yeah. Follow me.

Hey. Her parents here?

No, making calls outside...

Looking for a new care facility.

Did you hear
they wanna keep the pregnancy?

When you can't talk,
you don't get to say nothing.

Yeah, well, I don't think
it's the right thing.

Maggie?

Did you see that?

I know pvs patients do that,
and it's just a reflex,

But didn't it seem like
there was more going on?

Wishful thinking.

Teresa, can you hear me?

If you can hear me,
please open your eyes.

Teresa, if you can hear me,
squeeze my hand.

In my time at the vent farm,
I've seen this a lot...

Blinking, spasms,
sudden jerks of movement.

Never ends up meaning
what you want it to.

Let's get a ct brain.

On a five-year coma patient?
Just in case.

Hey, sarah,

You... you got a second?

I heard that,

Most of the psych residents
get therapy.

Yeah.

Have you tried it?

Um, I'm... i'm sorry.
Can we talk later?

Sure. Yeah.

How's she doing?

Well, we've flushed her
pretty good.

She'll be
medically cleared soon,

And will have to go back to
the psych hospital.

You buy her story? I don't know.

She's on a six-month psych hold.

Does she seems like she requires
that much time locked up?

Don't ask me.
Psych's way too spongy.

In med school, my head-shrink
professor took us to the mall,

And asked us to point out people
we thought were mentally ill.

No one could agree.

That is when I knew
I wanted to be an ed doc.

Much clearer business. Yeah.

I wish there was a way
to evaluate nancy.

Like an ed doc.

Well, maybe there is.

Like I tell my residents,
always go back to the history.

Mommy?

Mommy?

Where's my mommy?

Hey, bruna, she's out
in the waiting room right now.

I need her.

You're gonna be okay,
sweetheart.

We're gonna take
very good care of you.

Marty, now might be a good time.

To start the sedation.
Please, I want my mommy.

Hold on, marty.

I would want my mom too.

If I were in a new place
with new people.

You know what?
Everyone here has one job,

And that is to make you
feel better.

And by the time we're finished,

You won't have
trouble breathing.

You won't faint on airplanes.

You'll be a healthy little girl.

How does that sound to you?

You can really fix me? Yes.

Now I need you to do
something for me.

Can you count to 100?
In spanish?

And by the time you're finished,

Your mother will be
right next to you.

I promise.

Uno...

Dos...

Tres...

Hey, april.
Is she still in there?

Says she's okay,
but keeps vomiting.

Won't open the door,
so I called maintenance.

Zulmira...

Zulmira, open the door, please.

Hold on. I got this.

Just give me a minute.

Stay away.

It was the only way
I could get her to america.

April, what's going on?
I'll be fine.

She just needed a good hospital.

Okay... she's overdosing!

How do you know?
She's a drug mule.

Blood glucose is good,
but tachycardic as hell.

Bp's 150 over 110.
Heart rate, 150.

There's still two packets
in your stomach.

One of them
appears to be leaking.

We need to know. Is it cocaine?

Just so we can help you.

Yes.

Okay, we need to
get these out now.

Before they burst.

Let's get an egd scope
and 70 milligrams of ketamine.

You can't take it out.
You'll die of an overdose.

If any more cocaine
leaks into your intestine.

Can you give me medicine?
No, we need to remove them.

Would you give it to the police?

We'll explain
the situation to them.

No, I can't go to prison
in my country.

They'll kill me.

Bruna needs me.
She will starve without me.

Tell goodwin
we need a court order.

To remove the drug packets.

She'll be dead
by the time it's approved.

Call pd.

Maybe they can bring a warrant
in time.

Please, just leave me alone.

Zulmera, if you don't let us
remove those packets,

You will die.

I-I can't go to prison.

Do you want bruna
to wake up from surgery.

And learn that
her mother has died?

You can't help her in any way
if you're dead.

Let us keep you alive, please.

Okay.
All right, come on, let's go.

Yeah.

You think there's any chance
of brain activity?

I don't see how.

A lot of brain volume loss
and atrophy.

This is not the healthy brain
of a 25-year-old.

But even with some atrophy,

Couldn't there still be
consciousness?

What was her glasgow coma score?

There was no response.

Yeah, this woman is in
a persistent vegetative state...

My guess,
for the rest of her life.

But I'm almost sure
I saw something in her eyes,

Like she was aware of us
talking about her or something.

Maybe you want that so much,
you're projecting?

I... i don't know.

I do feel terrible for her.

She's pregnant.

She was sexually assaulted
at her care facility,

And her parents wanna
keep the baby.

I just...

If I could somehow
get through to teresa,

She might finally have a say
in what happens to her.

I'm sorry, natalie.

You know what,
I want a neurology consult.

Have abrams take a look.

Dr. Charles,
do you have a minute?

I do.

In order to get
a more complete history,

I contacted the officer.

Who arrested nancy
and her mother.

He sent me his report.

It said they often get called
to nancy's house.

On domestic disputes
involving the mother.

She's been in and out of jail
for assault.

In fact,
she is at county right now.

Please take a look.

This could just mean that,
you know,

Mental illness runs in...
In nancy's family,

And she and her mom suffer
from the same disorder.

Or it could mean that

Nancy was wrongfully committed
by an unstable mother.

The one thing we know for sure...

It was her mother's testimony
that got nancy committed,

And her mother's
an unreliable witness.

We have a seven-year-old female,

Here for reconstruction
of tetralogy of fallot.

Once we are in the chest
and on bypass, we will relieve.

The right ventricular
outflow tract stenosis.

Scalpel?

I want you to observe
as I start at the sternal notch.

And cut to the xiphoid.

Dr. Latham?

Dr. Latham, is everything okay?

Yes, yes, dr. Rhodes.

All right, I got it.

Okay, one left.

She'll be waking soon.
Dose her again with ketamine?

No, let's just finish this.

Okay. Go ahead, jeff.

Almost there.

All right, I got it.

Okay, pulling it out.

I think it burst
in her esophagus.

Give her 20 more of labetolol,
and start an esmolol drip.

Jeff, get the crash cart ready,
and give me the nitro.

Got it.

Just lie back. Stay calm.

She's having a cocaine-induced
heart attack.

Giver her two of versed iv.

Open your mouth,
open your mouth.

I'm gonna spray nitroglycerin
under your tongue.

It'll make you feel better.

St segments are improving.

Does your chest still hurt?

No.

Sats are good.
Okay, heart rate, 120s.

She's out and stable.

Okay, what's the call?

We don't have a choice.
We got to report it.

Look, this was the only way
she could get her daughter.

The operation she needed.

Why can't we destroy it?
Who would that harm?

Smuggling cocaine
is a serious crime.

If she made it to her dealers,

People would've been harmed,
possibly kids.

She can't just
get away with that.

She hasn't. Look at her.

Five minutes ago,
her heart wasn't beating.

April... no.

She wasn't trying to deliver it.
She was trying to flush it.

To destroy evidence.

As of now,
it's a victimless crime.

She is a good mother,

Who did the only thing
she knew how.

To help her daughter.

If we destroy this packet,

We'll be committing a crime.

We don't have a choice.

He's right.

Sorry.

Dr. Manning. Yes.

Where are we
with teresa's treatment?

I'd like to run
a few more blood tests.

To rule out
any potential infection,

And I'd also like to look into
physical therapy.

Are there any medical issues
you're still treating?

No, um,

We've treated
the vaginal bleeding.

Then it's time to discharge her.

Her parents have found
a new care facility,

And they're eager to get
their daughter settled in.

How do we know
teresa will be safe?

How do we know
she won't get abused again?

She has suffered so much.
I just...

Just what?

What can you do?

We all wish we could do more,

But our job is
to treat the ailment.

That brought the patient in,

And that's all.

It's time to give her back
to her parents.

We've finished the repair,
and now coming off bypass.

We're off bypass.

At the end of any surgery,
when the patient has been...

Pulmonary artery pressure is 50.

Coming up to 70.
And the left ventricular?

100.

Well, let's not get excited.
She'll ride it out.

It's dropping... 80.

Should we put her
back on bypass?

We... we... I think we should...

We... we... should...
She's throwing pvcs.

75.

Pulmonary hypertension's
getting worse.

Your graft has to be stenotic.

Bypass, dr. Latham.
We need to fix the graft.

We could try a...
Pul-pulmonary vasodilator.

Vasodilator's not gonna do it.
We need to open her back up.

Blood pressure's
dropping rapidly.

We're losing her. Dr. Latham...

She's peri-arrest. Dr. Latham...

Step away, dr. Latham.

Step away.

Marty, re-dose of heparin.
Let's get her back on bypass.

I'm reopening the heart.

There you are.

Hey, how 'bout we, um...

How 'bout we hang out
after work?

Yeah, maybe go get some of your
favorite fries or something.

Noah, please. I get it,

But just give me
some space, okay?

So I understand that
you believe that.

You've been
wrongfully committed.

Is that right? Yes, definitely.

Ever been hospitalized
before, nancy?

Besides for the night my mom
attacked me with a hammer?

No.

You wanna tell me a little bit
about your mom?

I would. Finally.

Hi, nancy. How are you?

Okay.

I'm dr. Baker,
nancy's psychiatrist.

Dan charles. Nice to meet you.

This is dr. Halstead,
and I think you know dr. Reese.

Yes, I'm glad to see
our girl here is in good hands.

When will she be discharged?
She's clear.

We just need to remove
the ng tube,

And she'll be ready to go.

Good.

Do you mind? Could I get
a quick word outside?

Of course.

Are you aware that
nancy's mother has.

An extensive arrest record?
No, I wasn't.

Why?

Well, it seems that
she might've been committed.

Largely based on
her mother's version of events.

Dr. Charles, nancy was committed.

Because I deemed her
a threat to herself and others.

I... i was just wondering.

If you thought that there was
any chance that,

Your assessment
might've been colored by.

A potentially unreliable history
given by the mother.

My assessment was colored by
20 years of experience.

In adolescent psychiatry.
And quite frankly,

I don't appreciate
being second-guessed.

By a doctor who's only known
my patient for one afternoon.

I just saw the potential
for a biased narrative,

And I wanted to make sure
you had all the facts.

A biased narrative.

As nancy's
court-appointed doctor,

I'd advise you to worry about
your own patients, dr. Charles.

Hey, are you discharging her?

I just finished
the paperwork now.

Dr. Manning. Yes.

Your coma patient...

Given the abysmal treatment
she received at that facility,

I couldn't help but wonder.

What other ways
they might've failed her,

So I reviewed her history.
Did you find anything?

I'm afraid not,
but I do have one question.

What time of day
did you perform that neuro exam?

Morning. Why?

Sometimes,
traumatic brain injuries.

Result in a patient developing.

Irregular sleep/wake
circadian cycles,

So it's possible
teresa's become nocturnal.

I suggest we try
that test again.

Great.

Mr. And mrs. Azen...

This is dr. Abrams,
chief of neurosurgery.

Do you mind if we perform
one more test on your daughter?

Well, the emts from her
new facility are on their way.

It should just take a moment.

Teresa, if you can hear me,
please open your eyes.

I've asked her that
a million times.

I know.
Just bear with me a moment.

Teresa, if you can hear me,

Please move your eyes
side to side.

I'm sorry.

I finished teresa's discharge.

As soon as
her transportation arrives...

Hold on.

There's a condition
called locked-in syndrome.

If your daughter has it,
she'd be conscious,

But she wouldn't be able to
move her eyes side to side.

She could, however, move them...

Well, let's see.

Teresa...

I need you to move your eyes
up and down for me, please.

Up and down.

Did you see that?

What was that?

Teresa, if you can hear me,

Please move your eyes
up and down again.

My god.

I don't understand.

How did you wake her
from the coma? Come after me?

I didn't.

I don't believe
she ever was in a coma.

What?

We need more tests
to be certain,

But it's my opinion
that her accident caused.

A stroke to the brain stem,

Which included
the basilar artery.

What does that mean?

The stroke left her
completely paralyzed,

But still conscious.

Locked-in syndrome...

She's awake,
but locked in her body.

All these years?

She's always been awake?

Yes.

She heard everything we said...

I said.

And she was conscious.

While some monster
assaulted her?

My poor baby.

I know, it's so terrible.
I'm so sorry.

But at least
you haven't lost her.

It's possible.

That some of her paralysis
is the result of spasticity,

And it's therefore treatable.

With muscle relaxants
and physical therapy.

Wait, will she get better?

She'll never be
fully functional,

But she should
regain some movement.

We can also order
an infrared eye-tracking device.

That'll allow teresa
to communicate.

Through a computer. Communicate?

Yeah. And she'll be able to.

Put together words
and sentences.

You'll be able to
have a conversation.

With your daughter again.

A conversation?

With my little girl?

Thank you.

We'll give you time alone
with your daughter now.

Thank you.

Sarah?

Th-they're telling me
to get dressed.

They're sending me back.
I know. I'm sorry.

Sarah, please, help me.

I tried. I did,

But dr. Baker has
conservatorship over you.

According to the courts,

She has to be the one
to change the diagnosis,

And we couldn't change her mind.

Hey, I'm not giving up,

And you can't either.
Stay strong.

We'll figure something else out.

Okay?

Give me a second.

Dr. Charles, I know I don't have
any definitive proof,

But she is sane. I know it.

We can't let her go back.
Slow down, dr. Reese.

Dr. Baker just doesn't want to
admit that she misdiagnosed her.

You know what,
I happen to agree with you.

I'm filing an appeal.

You... you don't think
she's mentally ill?

Can't be positive,
but either way,

She should not be locked up
on a long-term hold.

Based solely on
her mother's testimony.

Need some help! Treatment 1.

What happened?
Give me some pressure.

Must've grabbed the scalpel
from the cart.

Tourniquet her arm,
and give me a hemostat.

It's tied.
I-i'm not crazy, sarah.

I-I'm not.

Surgery turned out well today.

Thanks to you, dr. Rhodes.

It's been a long day,
dr. Latham.

How 'bout a drink?

Señorita cespedes...

Gracias.

We need to talk to goodwin.

Trafficking of cocaine
is a felony.

That means calling
the dea, homeland,

The whole nine yards.

All that over one packet?

Well, if the evidence
is just this one,

That doesn't demonstrate intent
to traffic and sell.

Were there more?

No.

The one packet is all we found.

That's correct.

Dr. Choi?

Anything to add?

Dr. Choi...

No.

Then that's that.

Thank you, dr. Choi.

Do not put me
in that position again...

Either of you.

I don't know that
I helped zulmera.

She still has to deal with
the people whose drugs she lost.

She is a resourceful woman.

She's gonna do what she needs.

To take care of
that little girl.

I had to at least
try to help her.

If I had a child,
I would've done the same thing.

I know.

Thank you.

And thank you for earlier...

About the baby.

It's my fault.

Why'd you say that?

I gave her false hope.

I told her I believed
she was stable.

When she clearly isn't.
I'm not sure I agree.

I mean, just made her case
a little tougher,

But I'm still gonna
file the appeal.

Why would you do that.

When she just
tried to kill herself?

Losing hope is not
a sign of mental illness.

It's a sign of being human.

I mean, the poor girl... she has
a violent, unstable mother,

And her fate is in the hands
of this psychiatrist.

Who doesn't believe
a word she says.

I mean, given those odds,
I can absolutely understand.

Why she'd fall into despair.

Had to prove me wrong,
didn't ya?

Looks like you're gonna
get your wish.

She will have a say
in her future.

Dr. Latham, you decide on
that drink after all?

Maimonides... 12th century
rabbi and physician.

He said that the risk
of a wrong decision.

Is preferable to
the terror of indecision.

I have never had
a moment like today.

Before I started
my tms treatments.

I wouldn't worry.
I doubt it'll happen again.

That girl was more than
just a surgical challenge.

She became a human being to me.

I lost my detachment.

I cannot afford that.

I'm ending my treatments,
at least for the time being.

Well, I'm sorry that
you feel like.

You have to make that decision,
but I trust your judgement.

When you started
your fellowship,

I told you that
you were not my first choice.

After working with you
these last months,

I would like to say that
I cannot imagine.

A finer surgeon or person
than you, dr. Rhodes.

Thank you.

Well, let's leave it at that.
Yeah.

I would like a drink.
Scotch for me... neat.

And another for my friend.

Hey.

Look, I'm... i'm sorry.

Okay, I... i...
I don't know what to say.

I got no clue
what you're going through,

But I wish I could help.