Chicago Med (2015–…): Season 2, Episode 2 - Win Loss - full transcript

Morning.

I have to pick up Owen
at Helen's before work.

Yeah, I get it.

You know, um,

last night was... it was really great.

Yeah, it was.

Huh.

I don't think I've seen this one before.

[gentle instrumental music]

♪ ♪

Helmand Province.



That was our last deployment together.

Wow.

Jeff looks so young.

♪ ♪

Hey, we're good, right?

Of course.

Okay.

Good.

- Bye.
- See ya.

This is what I always
carried in the field:

gear for fluid resuscitation,
hemorrhage control,

airway management,
basic meds, including OTCs.

Always have lots of Pepto.

Oh, and tape.



Can never have too much tape.

[chuckles] Yes, sir.

It's a lot to take in.

I know. When do you deploy?

12 weeks, sir.

Look, nothing really
prepares you for war.

But a day in Chicago,
the number of gunshots we see,

the navy sending corpsmen
for a rotation in the ED

is a pretty good primer.

What's that, sir?

Is it a quick reference guide?

Case notes from the field.

Things I thought I shouldn't forget.

Dr. Choi, we got a drive up and drop.

- Corpsman, with me.
- Sir.

[dramatic music]

[gasping and wheezing]

[car horn blares, tires screech]

All right, I got you, buddy.
I got you, okay?

Hey, what's your name?
Cuál es Tu nombre?

- Huh?
- [wheezing] Marco.

Marco. Marco, okay. You stay with me.

We're gonna take care of you.

Single GSW. Left flank thoracoabdomen.

- No exit wound.
- Weak pulse.

Corpsman, cut his shirt off.

Yes, sir.

[wheezing]

[speaking Spanish]

- [coughing]
- Hey, hey, corpsman.

What do you hear?

♪ ♪

Come on. Hey.

I have weak breath
sounds on the left side.

Means the lung is collapsed.

Air leaking out is
pressurizing his chest.

He's got a tension pneumothorax.

Breath sounds unilateral and
tachycardic, needle the chest.

- Hold pressure.
- Yes, sir.

- In.
- Okay.

- Breath sounds improving.
- Good.

Bring in a board.

Easy, easy, easy, easy.

All right, let's move him on my count.

One, two, three.

- [strains]
- Respira.

Jeff, let's get an AP chest
X-ray and prep a chest tube.

Got it.

He said, "I'm only 18."

Welcome to Chi-raq.

Alright, now try to
stay off the hoverboard

for at least a week, Hudson, okay?

- Yeah?
- Bye. Thank you.

Hey, Gayle. Taking your daily
lap around our gorgeous grounds?

Anything to get out of the
pediatric ICU for a minute.

I swear, if I hear another monitor beep,

I'm gonna nosedive onto Michigan Avenue.

And how is little Timmy
doing? Hey, cutie!

He's had a good month,
thanks to Dr. Rhodes.

Hoped we'd finally get
to go outside today.

Probably best we head back upstairs.

- Dr. Manning?
- It was nice seeing you, Gayle.

You too.

- Right away.
- Hi, I'm Dr. Manning.

Hi. My daughter, Alicia.
She stopped nursing.

She's only three months old.

Okay, well, don't worry.

We'll figure out what's going on.

Why don't you follow me into the back?

I'll take the paperwork.
You guys want to go in the back?

- Yep.
- All right.

Okay, got a new favorite:
Capgras Syndrome.

The belief a familiar person has
been replaced with a duplicate.

That's cool.

That was an unenthusiastic response,
even for you.

Sorry. It's the new pathology resident.

Mark. He's in my head.

What's going on?

He's pushing really hard
to get drinks after work.

Hang out on the weekends. Be pals.

It's uncomfortable.

Why? Are you worried
something bad will happen

if you become friends?

What?
No, it's just I'd rather be colleagues.

I got enough friends.

Is there a limit to the number of people

you can let into your life?

Maybe. Yeah.

What is all this?

Nothing. We're just talking.

Okay.

I've gotta get back.

- Are we still on for dinner?
- Yeah, sure.

[Alicia fussing]

She's gurgling a bit,

but there's no
obstruction in her throat.

She doesn't appear too dehydrated,

and her membranes are moist.

When did she stop nursing?

Yesterday.

I wasn't too worried at first.

My boys were both finicky eaters.

But when she wouldn't
nurse at all today...

Any fever or vomiting?

No, none.

She's been a bit cranky.

She's been napping longer than usual,
but that's about it.

Mama, I'm thirsty.

Okay, baby, we will get you a drink

as soon as we speak to the doctor, okay?

- All right? No, no, no.
- [child crying]

I'm so sorry.

We go to the park every day.
They're exhausted.

My husband will be here
to help any minute.

Don't worry about it.

Let's get a CBC, CMP,

an abdominal ultrasound and a babygram.

- Yes, doctor.
- A babygram?

An X-ray of her entire body.

So this could be serious.

There's no way to know
for sure just yet,

but I want to cover all our bases.

I should've brought her in sooner.

It's just with my husband at work...

Look, you are juggling three kids.

Okay, I get it.

I only have one and it's a handful.

I will fill you in as
soon as we know anything.

Thank you.

No, Nina, I've ditched cable,
cut up my credit cards,

and have nothing left
to sell on Craigslist.

Yet, I'm still in the hole
each month when the vig is due.

Easy there, Vegas.

It's med school loans and
malpractice insurance,

not a note from a bookie.

Either way, I'm broke.

Had to post an ad for a roommate.

Here, look at this.

Come on, it'll make you feel better.

What is it?

Molluscum contagiosum.

It's a type of pox virus.
It's a nasty one, actually.

Even so, stunning, right?

Like 10 pounds of raspberry rock candy

pressed into a 5-pound bag.

[laughs]

Come on, you must have a day off, right?

Go then!

It's summertime,
the animals are really playful.

Elephants are my favorite.
They're so soulful.

Okay, you sold me.

This Saturday, I'm at
the Lincoln Park Zoo.

BP 126 over 82. Heart
rate 74. Sats 100%.

Hi, Mr. McGregor, I'm Dr. Halstead.

I understand you fell, hurt both wrists.

Yeah, just a moment of
clumsiness, you know.

They feel better already now.

Don't be modest. He's
here. Let him help.

I put my hands out just trying
to catch my fall, you know?

15 years on the street.

I guess I'm not as fast as I used to be.

Ahh!

AP and lateral X-rays of both wrists.

Have you fallen before, Mr. McGregor?

A few times.
So much action in the city nowadays.

You stop paying attention
for a second... bam!

Face plant.

You're a big guy, Dr.
Halstead. Football?

Baseball. Just a fan now, though.

Cubs or Sox?

Southside pride. Sox all the way.

Ah, I'm a Cubs guy.

I won't hold it against you.

Love Wrigley.

The way the ivy creeps
along the outfield wall,

the perfect stripes mowed
right into the infield grass.

Breathtaking.

Do you stay near the ball park?

During the season. Sure, why not?

You know, it's fun seeing the players.

In person, they're larger than life.

Moises Alou. Sammy Sosa.

Oh, yeah? Wow.

- Must be really exciting.
- Oh, yeah!

Mr. McGregor, after your X-rays,
I want to run an EKG.

Determine if a cardiac
event caused your fall.

- Sound good?
- Sure, yeah.

All right, we'll see you soon.

You know, they haven't had elephants

at the Lincoln Park Zoo for ages.

Mm-hmm.

You think he really met
those baseball players?

Not recently.

Alou and Sosa's last season
with the Cubs was in '04.

So, I guess, maybe Mr. McGregor

could have seen them
outside the park...

Maybe not.

Unfortunately,
homelessness and mental illness

often go hand in hand.

I'll page Dr. Charles for a consult.

Okay.

How's Marco doing, sir?

Bullet looks to have
lodged in the midline

between the spine and heart.

May even be touching the aorta.

Bad spot.

You get a lot like him?

- Drive up and drops?
- Yeah.

Easy way to get your boys patched up

without having to answer any questions.

Hey, Marco.

A trauma surgeon is gonna come see you.

She'll decide how best to proceed.

Will you cut me open?

Probably.

If the bullet shifts inside you,
it could do a lot of damage.

[speaks Spanish]

No, man.

Not "whatever."

Lot of you guys come in
here and don't make it out.

If you do, make it mean something.

[speaks Spanish]

I ain't afraid.

Okay.

[speaking Spanish]

Están muertos.

- He's saying that...
- The usual.

Revenge.

[monitors beeping]

Timothy Williams, eight months old.

Diagnosed with Hypoplastic
Left Heart Syndrome.

Bryan, can you tell us what that is?

I know. It's a congenital heart defect.

Left side of the heart can't
efficiently pump blood,

so the right side has to pump it

to the lungs and the rest of the body.

Correct.

Tim is on the heart transplant list.

But he's developing fluid around
his lungs, a pleural effusion.

He requires a thoracentesis to drain it.

The patient is sedated,
and the ultrasound shows

the fluid surrounding his right lung.

Lidocaine is injected

just below the surface of the skin,

forming a wheel.

We go through the wheel

and into the pleural space.

Staying above the rib because
the blood vessels are below.

Go too far, puncture the lung.

Once you're in, aspirate the fluid.

Give us a minute.

Gayle, John,

I think it's best that Tim not
leave the PICU going forward.

No more trips downstairs.

You mean keep him on the vent.

He's not oxygenating well.
His lungs are very congested.

He's gonna get a heart soon.

Listen, everything's gonna be okay,
you hear me?

I'm gonna check the transplant list.

See if there's been any movement.

Thanks.

[somber music]

♪ ♪

- Hi.
- Hi.

My husband, Andre,
took the boys to get some food.

He'll be back soon. Any news?

The blood tests and babygram were okay.

Nothing abnormal on the
abdominal ultrasound either.

Oh, thank goodness.

Dr. Manning.

May I take a look at her?

- Yeah.
- Thank you.

Do you have any family history
of neuromuscular disease?

No, none.

Her deep tendon reflexes are diminished.

She's floppy. Her
muscles are losing tone.

What is it? What do you see?

A baby's natural position
is to flex the legs.

When straightened,
there should be some resistance.

Let's get a CT of her head.

I want to make sure that there's
no swelling in her brain.

Swelling in her brain?

I don't know that's the case.
But we just have to check.

If the CT comes back negative,

then we'll do a lumbar puncture
to test her spinal fluid.

Why?

That'll let us know if
she has an infection.

My poor baby.

Just hang in there, okay?

We'll know more soon.

♪ ♪

That is one sick baby.

What do you think's going on?

I have no idea.

Surgeon ordered chest CT.
I'll let you know what's up.

Then what happened?

So they were all looking
at me and clapping, right?

So I started dancing too.
We partied all afternoon.

Sounds like a blast.

You know, there'll probably
be another fiesta next week.

Families rent that restaurant
for them all the time.

You should check it out.

- All day party do me good.
- [chuckles]

What was he telling you about?

A quinceañera he attended last week.

Didn't miss a detail
about the people he met,

the clothes they wore, the venue.

I mean, he really thinks he was there.

But he wasn't.

I know the place he's talking about,
or I knew it.

Closed 10, 11 years ago.
It's a Starbucks now.

Schizophrenia?

Some kind of delusional disorder.

I mean, he also admitted that
he binge drinks sometimes.

Even though he's sober now,

could be alcoholic hallucinosis.

I'm gonna order an antipsychotic,

see if we can narrow this down.

Well, for being homeless
the last 15 years,

he seems pretty okay with it.

- Lucky guy.
- Lucky guy?

Everything okay there, Doc?

Money problems. Pretty embarrassing.

Kind of all-consuming, actually.

Buy you lunch?

I'd rather you write me a check.

Get in line there, amigo.

Her lips are turning
blue! What's happening?

She is in respiratory distress,

unable able to contract her diaphragm

and chest muscles enough.

I need to intubate, now.

Broselow tape.

Mr. and Mrs. James,

I'm gonna need you to
step outside, please.

Sats are falling. Heart rate stable.

[tense music]

Pharynx is collapsing around the scope.

I need crich pressure!

Suction.

Sats still falling. 40%.

Heart rate's dropping.
It's at 60. Atropine?

Not yet.

It's been a minute.

[monitor beeping rapidly]

Heart rate 30. O2 sat is zero.

We're running out of time.

I got it! I'm in!

- Give the atropine.
- Right away.

0.5 IDA.

[monitor beeping slows]

Sats coming up.

Heart rate 130. Sats 99.

How long did it take to intubate?

Almost two minutes.

Pupils are fixed and dilated.

Call PICU for a bed.

Got you.

Have to go talk to the family.

Want me to join you?

No, no, I got this.

But thank you.

Okay, well, how about Thursday?

I'm busy Thursday too.

Pretty busy week.

Run something by you, Dr. Charles?

Shoot.

I was speaking with a
colleague this morning.

My age, intelligent,
compassionate, a great person.

But shy.

Asocial?

Not a loner per Se,
but comfortable being alone.

Recently,
he's been presented with an opportunity

to expand his social circle.

He wants nothing to do with it.

So? What are you thinking?

His reaction, actually his overreaction,

screams avoidant personality disorder.

Hm. This is a colleague?

A close one.

Probably why I never noticed

that he meets four of
the seven APD criteria

outlined in the DCM.

The psych fits, doesn't it?

Clinically, yeah, I guess.

Well, I'm gonna have to
talk to him about this,

but I don't want him to
feel criticized or rejected.

Excuse me, I've got some reading to do.

Do you think "cat lover"
means "cat" or "cats"?

Does it matter?

Good point. Pass.

What's cosplay?

Oh.

Yeah, okay, another pass.

The roommate search is not going well.

You're trolling the Internet.
What'd you expect?

It's the hospital community page.

I don't know, someone like me.

Oh, you mean, like,
a slightly anal, overly stubborn,

rule breaking, control freak?

- Good luck.
- Really? When I'm already down?

Mr. McGregor's EKG and
troponin results are normal.

Cardiac event didn't cause his fall.

Stroke?

Maybe. Or a bleed.

Either way, could affect his balance.

Let's get a CT.

So what does that mean?

There could have been a brain injury

due to lack of oxygen.

We're running a cerebral flow study

to make sure that blood
is reaching her brain.

This isn't happening.

Yesterday, I was...
I was singing to her in the bathtub.

And now,
she's hooked up to all these machines...

[alarm chimes]

Dr. Rhodes!

Code blue.

Code blue.

- No pulse.
- Start compressions.

Get him off the vent and bag him!

.07 milligrams of epi.

He's in V-fib.

- Charge to 15 joules.
- Charge 15.

- Charged.
- Hold compressions.

Clear!

- We're back in sinus rhythm.
- We have a pulse.

[sobbing]

My God.

This is the floor where babies die.

He's fourth on the
organ transplant list,

but he doesn't have time.

If, by some chance,
four hearts do become available,

one still has to be an HLA match.

I know the odds seem bleak,

but children under a year
have to receive organs

from similarly-aged donors.

The pool of recipients is smaller...

Yes, but so is the pool of donors.

Ms. Goodwin,
I can't perform another thoracentesis.

His lungs are too weak.

Without a transplant, he's gonna die.

I'm contacting the other
doctors on the donor list.

I'm pleading my case...

Okay.

I have a contact at Gift of Hope,

a friend of a friend.

Hold on.

I will do my best to get
Timothy pushed to the top

of the UNOS list,

but you know how delicate
these matters are.

Thank you.

Dr. Rhodes?

Be careful.

- Hey.
- Hey.

Still no sparkly on the finger.

Does that mean you made a decision?

Not yet.

April, the guy proposed two months ago.

You owe him an answer.

I know. It's complicated.

He told me I could quit my job.

I'm worried that means he
thinks I'm a housewife...

I'm not a housewife.

In his house, no less,
the one he shared with his ex.

It's a huge decision.
And it's all happened so fast.

And, of course, then there's the TB.

I mean, the whole thing just
really makes me anxious.

What?

What are you thinking?

Anxiety is a powerful emotion.

Would you say that you feel more nervous

about the situation or
fearful of the future?

I-I don't know.

Both, I guess.

How've you been sleeping?

Waking up at night?
Earlier than you'd like?

- What?
- [laughs]

Oh, my God.

You're shrinking me.

Three weeks in psych, and she's Freud.

What?

She said "anxious" and "worried."

Those are emotions that convey distress.

Meigs Field is beautiful.

The sun reflects off the water
with the blues and the greens,

and the luminescence...

How you doing there, Mr. McGregor?

Hey, Dr. Charles, how are you?

Who you, um... who are you talking to?

It was the nurse, yeah.

She mentioned how she walks
her dog along the lakefront.

Took off from there.

Let me tell you something, doctor.

There was a time I
used to hate hospitals.

But that's before I noticed the details.

The staff floating through
the halls like angels...

There! [stammers] Do you see that?

White light surrounding. Oh!

Beautiful aura.

You know, I missed the beginning.

You were talking about
your favorite spot.

Where was that?

South end of Meigs Field.

You excuse me one second?

Absolutely. I'm here if you need me.

Mr. McGregor get his antipsychotics yet?

Yes. 2 milligrams of Risperidone.

Little over three hours ago.

You'd think it'd be making a
dent in his symptoms by now.

Not really happening.

Give me a shout when
the CT results come in.

You got it.

Hey, can I talk to you for a second?

- Sure.
- Not here.

What? No! No! Absolutely not.

I'm still working on a diagnosis.

What you're asking me to do is premature

and completely unethical.

Natalie, please.

You're running a cerebral
blood flow test for Alicia.

You clearly think brain
death is a possibility.

A possibility.

But I will not get
those test results back

for another few hours.

So all I'm asking is that
you speak to Alicia's family

about organ donation.

Look, just let me run an HLA test.

Just to see if she's a match,

just in... Should the worst happen.

Okay, you know that

if I do that,

I'm insinuating to her parents
that she's definitely gone.

You are putting me in
a terrible position.

You're right.

When Tim was born, he wasn't breathing.

I performed his first surgery.

When he came to,
I was the first person he saw.

And he put his hand around my finger.

Please, Nat.

I-I can't lose this kid.

♪ ♪

So, it's about 2:00 in the morning,
pitch black out.

We start taking fire. Small arms.

Just a few bad guys.

One of our guys drops
into a wadi for cover.

Wham. Gets hit right in the foot.

Oh, man.

When I get to him he's
writhing in agony.

I shine my light on his boot,

see two tiny puncture wounds.

So what was going on?

Slowly, I light up the wadi,

and right there,
staring back at me, is a cobra.

Get the hell out.

Hood flared. Ready to strike again.

Man, that's insane.

We just heard. Our banger, Marco?

CT chest showed the bullet
isn't in the midline

or touching the aorta.

It's in the left paraspinal muscles.

Surgeon gonna go in and get it?

No. Says it's harmless.

Safer just to leave it there.

Should be as good as new in a few days.

And back on the street.

Yeah.

Snakes here too.

Organ donation?

So Alicia's brain dead?

The test results have not come back yet.

Then why are you even here
asking us to cut up our baby?

No, that's not what I'm saying.

- Have you given up on her?
- No!

No, I swear,

I'm doing everything in my
power to diagnose your daughter.

I don't believe this!

Alicia's life is hanging in the balance,

- our baby girl!
- Andre, just...

She's saying there's no hope.

But there is. Alicia is still alive.

She's supposed to be our doctor.

Mr. James, please.

I know that this is
difficult to process,

but the reality is,

we don't know what the
test results are gonna say

and right now there's a
baby fighting to survive,

a baby just like Alicia.

[melancholy music]

♪ ♪

What would it require?

We already have Alicia's blood.

All I'm asking is that
you allow us to test it.

♪ ♪

[indistinct chatter]

Alicia's a match.

Yeah.

[melancholy music]

♪ ♪

I know this wasn't easy.

Thank you.

♪ ♪

You know, as a doctor,

you want to do everything in
your power to save your patient.

And I am.

But it's just now,

if I save my patient,
it means yours won't make it.

♪ ♪

Mr. McGregor has a pituitary tumor.

A big one.

Appears to be pressing
on the optic chiasm.

Which, if his vision is impaired,

could explain why he fell.

How long do you think it's been there?

Based on the size, a decade.
Maybe even longer.

Huh.

Meigs Field was torn down in '03.

In '04, Sammy Sosa and Moises Alou

were still fixtures at Wrigley.

The restaurant where the
quinceañera took place

was still open for business.

All the while,
Mr. McGregor's tumor is likely growing.

Putting pressure on his optic chiasm.

♪ ♪

He's still really congested.

Order a chest X-ray and give
him 5 milligrams of Lasix

to try and clear some of the fluid.

Dr. Rhodes, it seems like he's
getting worse pretty quickly.

Is he gonna make it to the transplant?

Do you know what we did last month?

We bought a car seat.

We were so sure that we
were gonna beat the PICU,

finally take our baby boy home.

The fight is not over yet.

The important thing for you right now

is to try and stay in the present.

♪ ♪

- [alarm blares]
- What do we got?

Joy Billings, 44 year old female.

Triple zero. GSW to the chest.

18 Gauge IV in the right AC.
No drugs given per protocol.

- Baghdad's alive!
- Down time?

- Roughly eight minutes.
- What happened?

Watching TV with her kids.

Rival gangs start blasting
at each other outside.

Stray bullet ripped into the house.

All right, let's move her on my count.

Ready, one, two, three.

Call the blood bank.

- Police get the shooters?
- Yeah.

Buddies of the kid from
this morning, Marco.

[tense music]

- Breath sounds bilaterally.
- She's lost a lot of blood.

Trigger the MTP.
Hang blood on the rapid transfuser.

Maggie, need a trauma surgeon now.

She's in the OR. Three minutes.

That's too long. Chest tray.

You're gonna cut her open?

First incision.

Second incision.

♪ ♪

Corpsman, need you to take over
so I can cross clamp her aorta.

Yes, sir.

Back and forth as if you were clapping.

♪ ♪

In.

[monitor flatlines]

Hold compressions.

Resume compressions. Milligram of epi.

Hold.

Resume.

Hold.

Beat, damn it, beat. Come on.

♪ ♪

Asystole.

Beat.

Beat!

Come on.

♪ ♪

[monitor turns off]

Time of death:

15:42.

And Marco is gonna go home.

[somber music]

♪ ♪

Dr. Rhodes?

Is there a donor in
the hospital for Timmy?

We heard a rumor.

It's her child, isn't it?

Her little girl?

They're the only new
patients on the floor.

We've been here for eight months;
we know everybody else.

- It has to be her.
- I'm sorry, Gayle.

But HIPAA regulations won't allow me

to discuss another patient.

Hi.

The spinal tap was clean.

I've ruled out all the common causes.

We must be looking at something rare.

Have you had any foreign visitors?

Anyone outside of your
normal social circle?

No.

Has your house been
sprayed with pesticides?

No, none of that. Nothing. No.

I'd like to reach out to toxicology...

Would you look at them over there,
watching like vultures!

Why don't they show some damn respect!

Andre.

My fault, son.

I shouldn't have shouted.

Mr. and Mrs. James,
I'm so sorry you're going...

Those... those grass stains.

When you take the boys to the park,

what do you do with Alicia?

I lay her down on her
stomach for tummy time.

You know what?

I'd like to consult with
infectious diseases.

Excuse me, please.

♪ ♪

Pupils are reactive.

Mr. McGregor,
can you follow the light with your eyes?

How 'bout now?

Mr. McGregor,
how many fingers am I holding up?

Three.

And now?

One.

Good job. I'll be right back.

Legally blind?

He can detect sharp
lights and block images,

probably how he made
out my size earlier.

But anything more than a few feet away

is likely just a blur.

His pituitary tumor, is it operable?

I'll have neuro consult,
but I suspect it's a prolactinoma.

If so,
medication alone should shrink it enough

to ease the pressure
on the optic chiasm.

So he's gonna get some
of his sight back.

15 years. Homeless, essentially blind.

I mean, that's a crap hand.

He should be pissed.
Yet, he's happy as can be.

Crazy I got this patient today.

My experience, we get
the patients we need.

You've created a monster, you know that?

Turns out, the English language

is primarily comprised of buzzwords

for borderline personality disorders.

Now that I know them,
I can't have a conversation

without immediately seeing
the psych in people,

which is clearly an impulsive reaction,

which, by the way, could also suggest

a borderline personality disorder.

I mean, I can't even not analyze myself.

Now I'm using double negatives.

You're a first year psych resident.

Compulsive diagnosing
is par for the course.

My first year,
I was convinced that a friend of mine

had dissociative identity disorder

because suddenly he would
only listen to Euro-Disco.

Really.

My advice:

think less, listen more.

You'll be just fine.

Sir, just wanted to thank you for today.

My pleasure.

I'm spent.

Not gonna be easy over there.

You'll get through it.

The medicine, sure.

The rest...

well, I just hope can handle
my emotions as well as you.

Good luck.

[instrumental music]

♪ ♪

Botulism? Isn't that a food thing?

I'm still breastfeeding.

Most cases actually come
from contaminated soil.

It can be absorbed through the skin.

The park. Tummy time.

Is it treatable?

Yes. Yes.

We will start Alicia on an antitoxin

that will provide antibodies
to stop the disease's progress.

But what about the vent?

The neurotoxin from the bacteria

is what caused the muscle weakness.

I believe she'll make a full recovery.

Thank you so much, doctor.

[melancholy music]

♪ ♪

[keyboard clacking]

- Hey.
- Hey.

What's it this time?

Gout.

Ah. May I?

What do you think?

An explosion of brilliant crystals

like Hawaiian shave ice.

Hm.

I know how you pathologists
love food references.

Yes, we do.

Yeah, uh... okay.

No, I-I understand.

Thanks for your time, Dr. Laurel.

Damn it.

It's gonna come through.

How do you do it?

They're just babies.

Well...

on rough days, I call Helen.

Ask her to watch Owen
for a few extra hours

while I do something to decompress.

A good meal, a long walk.

Just something to let
my emotions settle.

I find a safe space.

See you tomorrow.

Night.

Hey. How'd the rest of your day go?

Not so sure I want to talk about work.

Yeah, I may have overstepped
a little bit earlier.

- So you were analyzing me?
- Unintentionally, though.

I'll make it up to you
with burgers at Au Cheval?

You can tell me all about
how the Bears are doing.

But you know nothing about football.

Exactly.

[both laugh]

♪ ♪

_

♪ ♪

[buzzer sounds]

♪ ♪