Chicago Med (2015–…): Season 2, Episode 5 - Extreme Measures - full transcript
An accident at the Chicago Marathon puts the medical personnel into action.
[Crowd cheering]
City runners, welcome...
[upbeat music]
Now, remember to stay hydrated out here
to beat the heat.
Keep it up.
♪ ♪
See? Taking a header at your
first marathon is nothing.
Now, taking a header into a
pool in your wedding dress?
- Both: Epic fail.
- Right?
No, that would be taking 20
minutes to put on a Band-Aid.
- Sorry. Totally my fault.
- No, no, not at all.
Take as long as you need.
You, on the other hand,
have a superhero with
super intestinal discomfort
who requires your immediate attention.
[retching]
[spitting]
♪ ♪
[crowd cheering]
Almost halfway. You holding up?
I'm sure that runner's high is
gonna kick in any second now.
- That or heatstroke.
- Yeah.
It's not the best day for a heat wave.
Yeah, I was thinking maybe
later we can do something else.
What? Like collapse?
No. Maybe a bedroom activity.
Or kitchen table.
Shower.
Let's go, Doc. Pick up the pace.
[laughs]
Now, try to keep it elevated,
and remember: ice, not heat.
Oh, please don't mention heat.
It's hot as balls out here.
We need help. A guy got run over.
- Grab an aid kit.
- Got it.
[dramatic music]
♪ ♪
Three. Two. One.
Aah!
♪ ♪
My brakes went out.
You've got to help him.
- We'll do all we can.
- [groaning]
[speaking Spanish]
- Ignacio.
- Where does it hurt, Ignacio?
[speaking Spanish]
Aah.
[gasping]
Maggie, we got a bike versus auto.
[gasping]
Diminished breath
sounds on the left side.
Sounds like it's full of fluid.
I think his lung collapsed.
Marathon traffic and power outages
from the heat have paramedics backed up.
We're on our own for a while.
Well, he doesn't have a while.
He needs a chest tube now.
Not from you. You've never put one in.
Be my guest.
Neither of us is allowed to do it.
Then he's gonna die.
Maggie, I need Goodwin.
- [groaning]
- Sir, just hang on.
We're gonna do everything
we can for you, okay?
We're gonna help you, okay?
Just hang on.
♪ ♪
Sit tight, April.
Dr. Halstead's on the way.
No, no, no. You let him make that call.
All right. You keep me posted.
How goes the battle?
Ugh, it's supposed to hit 105 today,
so we've got a generator on standby
just in case our grid goes dark.
Sharon, listen. Bert called me.
- Really?
- Yeah.
He wants to get together for drinks,
and I just... I wanted to check in
with you before I responded to him.
Daniel, you do whatever you like.
I'm good.
Hey, Peter...
your husband is a divorce attorney,
isn't he?
Best in the city.
Text me his number.
[groaning]
[tense music]
[crowd cheering]
- I can do this.
- With what?
We don't even have a chest tube.
- I got a suction tube.
- No.
You are not gonna Jerry-rig
your way into this guy's chest.
He's got no chance unless I do.
Goodwin said to wait for Will.
How long is that gonna take?
[sighs]
[groaning]
Got a neck pulse, but it's thready.
♪ ♪
He's out.
I've got to relieve the
pressure on his lung.
BP 82 over palp. Sat at 82%.
- I'm doing this.
- Noah.
Noah!
♪ ♪
[crowd cheering]
♪ ♪
Pulse is coming up.
You did it.
Yeah, but the tube's not slowing down.
Damn. It's a bad bleed.
Okay. Come on.
He needs surgery.
We need to intubate and give him blood.
Where the hell is Will?
Hey, Nat.
Eight-year-old girl with sudden
onset deafness in treatment 2.
Oh.
They said the heat wave's
supposed to be worse than '95.
[sighs]
Hi. I'm Dr. Manning.
I understand Phoebe's
experiencing some hearing loss?
Yeah...
we were headed to cheer on the runners.
She was skipping ahead.
A semi started backing up.
I was screaming, and
she couldn't hear me.
A few seconds later...
What?
I don't want to think about it.
It's okay, sweetie.
[dings]
Can you hear that, Phoebe?
Not really.
- Hmm.
- [dings]
How about now?
Sort of.
A little.
Okay, her hearing is
diminished on the right side
and nearly absent on the left.
Does she have any prior history
of head trauma or hearing loss?
No. Not that I can think of.
I mean, there have been a few times
where I've had to call
her more than once
within these last few months,
but nothing like this.
Okay, well, I'd like to order a head CT
just so we can figure out
what's going on, okay?
- Okay.
- Thank you.
Wait.
Hmm?
Are you going to fix my ears?
I'm sure gonna try.
Be back shortly.
[tense music]
[grunts]
I-I can't get it in.
You have to capture the tongue.
Elevate the jaw.
- What the hell are you doing?
- I'm trying to intubate.
He had a massive hemothorax,
and I had to put in a chest tube.
No, what you had to do was wait.
Dr. Halstead, this man would have died.
Yeah, judging by all the blood,
if we don't get him
into surgery in the next few minutes,
he will anyway.
♪ ♪
[crowd cheering]
I'm in. Bag him.
- Any ETA on transport?
- Still saying it'll be a while.
We could open his chest.
Try to address the bleed.
It might buy him enough time
for the ambulance to show up.
Yeah, it might... there's no
guarantee I could even find it.
The only guarantee is
he'll die if we don't try.
No, I've been down this road
before trying extreme measures.
It doesn't end well.
[crowd cheering]
♪ ♪
His pressure is down.
Trachea feels deviated to the right.
♪ ♪
I need a scalpel.
[alarm blaring]
We're going to treatment 5.
- You got it, Maggie.
- Olga Barlow.
74, lives alone.
Complex cardiac history.
Called EMS for dyspnea.
BP 82 over 44.
Chronic A-fib at rate
105. Tachypneic at 30.
Those are her meds.
- I'll page Dr. Choi.
- Okay.
Mrs. Barlow, what happened today?
It's so hot out, I'm having a
hard time catching my breath.
Do you have an air
conditioner in the home?
- Don't I wish?
- Well, let's move her.
One, two, three.
Oh.
There you go.
[machine beeping]
Pulse ox 89.
Temperature 101.
She's tachy up to 130.
I think we're looking
at heat exhaustion.
Let's pack her axilla and groin in ice
and send a CBC, CMP, LFTs, and urine.
And give her an amp of D50.
- What's the story?
- Non-exertional heat illness.
We're going to lower her core
temp and keep her hydrated.
You check her meds?
[dark music]
♪ ♪
Looks like she has
pulmonary hypertension.
That's right. Jugular venous distention.
That means she's in volume overload.
This fluid you ordered could've
sent her into heart failure.
Am I gonna be okay?
We're gonna take good care of you.
Let's get a chest film. AP and lateral.
- ECG and stat formal echo.
- Yes, Doctor.
Start epoprostenol at two.
Dobutamine at three.
Is your arthritis causing you pain?
- Yes, it's pretty bad.
- I bet.
That's a pretty good dose of oxycodone.
Let's give her one...
no, two milligrams of hydromorphone.
She won't even notice one milligram.
Okay.
You're gonna be feeling better soon.
♪ ♪
Next time do a complete history
and physical before making a diagnosis.
♪ ♪
Great. There you go.
Ms. Goodwin, a word?
Problem, Dr. Rhodes?
I filled in for trauma last night.
Seven surgeries.
I was double-booked going
back and forth between ORs.
Well, a month ago you were complaining
about not having enough to do.
Well, last night cured me of that.
The hospital is over-scheduling,
Ms. Goodwin.
Well, maybe someone thought
we needed the revenue.
- I'll look into it.
- Thank you.
Look, we're all having our
problems today, Dr. Rhodes.
Go home. Get some sleep.
I can't,
I've got a consult on a cold leg in IR
that needs an aortalfemoral bypass.
[tense music]
Retract his ribs.
♪ ♪
Suction.
♪ ♪
[grunts]
All right.
♪ ♪
Anything?
Nothing but clots.
I don't see it.
I got to get behind the lungs.
Still has a carotid pulse.
♪ ♪
Oh, man. Rib perforated the aorta.
- Can you clamp it?
- With what? My hand?
It'll buy us... Him 20 minutes?
Any longer there's a good
chance he'll be paralyzed.
If you don't, he'll bleed out.
All right.
♪ ♪
- Hemostatic?
- Yeah, it stopped.
Now he needs more
blood... and a miracle.
Which could happen if we
get him on portable bypass.
They've been doing it in France.
We have a unit in clinical trial at Med.
April, call Maggie.
On it.
We've got about 19 minutes
to get Ignacio hooked up
before he's paralyzed or worse.
♪ ♪
Hey, I meant to ask you.
Are flowers too much
for your mom tonight?
Roses tend to wilt in
her presence, but hey.
Don't worry about it.
She actually canceled her trip.
She's too busy.
This is her idea of an apology.
- 1,000 bucks?
- Mm-hmm.
I wish my mom apologized like that.
She just bakes cookies.
It takes time to bake cookies.
This just took a call to her accountant.
[alarm beeping]
Code blue.
[dramatic music]
Code blue.
♪ ♪
Her tongue has relaxed,
closing off her airway.
I'll do an oral airway.
[machine beeping]
- I got it.
- Intubation kit?
No, two milligrams of naloxone IV.
I think this is an overdose.
- Of what?
- Hydromorphone.
I don't understand.
She shouldn't have had
this kind of reaction.
- Respiration's at 8 per minute.
- Take over?
Okay.
♪ ♪
Dr. Choi.
Dr. Choi?
- Yeah.
- I know I was off
on my original diagnosis,
but that won't happen again.
You can trust me.
Clark, you're here to learn.
You're gonna make mistakes, okay?
Jeff?
I need you to run this portable bypass,
Satinsky clamps,
and ten units of packed
cells out to Dr. Halstead
at the marathon aid station, okay?
- Run?
- You doing anything else?
[electricity hums, crackles]
- Ugh.
- This is gonna be great.
Let's go.
- Sorry it's taking so...
- I want to call Daddy.
- I told you.
- Is everything okay?
- When can I call him?
- He's traveling, Phoebes.
You know that.
- I want to go home.
- Hey.
Hey, Phoebe, I promise the
CT is not gonna hurt, okay?
It's just like getting
your picture taken,
but in the meantime,
will you do me a favor?
Can you color a picture for the doctors'
lounge?
Yeah?
Because of the marathon,
the hospital's way busier
than usual,
but it shouldn't be too much longer.
- Okay.
- And do you mind
if we speak for a moment?
- Sure.
- Great.
Hey. I'll be right
outside, okay, sweetie?
So you indicated in Phoebe's chart
that her father was deceased.
I'm wondering why she
would want to call him?
David had a massive coronary
and died a few months ago.
I haven't had the heart to tell her.
I am so sorry.
He was away on business.
I feel awful for lying,
but I just know that she'll be crushed,
and I don't know how to break it to her.
Yeah, well, you know,
we have a really great doctor
that may be able to help with that.
But in the meantime, just hang in there.
We'll get Phoebe up to CT soon, okay?
- Okay, thank you.
- Yeah.
Dr. Rhodes?
Dr. Halstead has a patient in
the field with a torn aorta.
He's putting him on a portable bypass.
Seriously? A portable bypass?
You can't regulate
blood flow to the brain.
Well, you can debate the
medicine with Dr. Halstead
when he gets here.
Believe me, I will.
[tense music]
There's blood in the tube.
[crowd cheering]
Saturation's 75%.
Must be a pulmonary laceration.
We got to pack his lung and
get the blood out of that tube
before he drowns.
You want to pack the chest,
and I'll suction the tube?
- With what free hand?
- I'll suction the tube.
- I'll pack the chest.
- Give me the suction.
Noah, grab both sides,
and try to keep 'em open.
- [grunts]
- My wrist is cramped up.
If you let go on the ribs, I'm done.
[grunts]
- Come on, man, pull.
- I'm trying.
- Hang in there.
- [grunting]
It's closing on my
wrist. I can't hold this.
- Don't let go.
- Come on, Noah, pull!
Don't let go! [grunting]
All right. I got most of the blood.
- Sat's at 95%.
- Ribs, ribs, grab the ribs.
- Got it.
- Guys, guys, he's here.
Sorry it took so long.
Oh, man.
I need two clamps. How long's it been?
17 minutes.
Three to go. Hurry up.
♪ ♪
Mrs. Barlow?
You gave us a scare.
How are you feeling?
Oh, I'm...
I'm much better, Doctor, thank you.
Your reaction to the pain
medication surprised us,
because that dose shouldn't
have been an issue for you.
Have you been taking
everything as prescribed?
I didn't mention it
before, because it's...
It's so embarrassing,
but I accidentally spilled
some pills into the toilet,
so I haven't taken
everything I was supposed to.
Mrs. Barlow,
skipping doses is very dangerous.
You should have called your doctor.
Well, I certainly know better now.
I won't let it happen again.
There's one other thing.
I was reviewing your labs,
and some of the numbers indicate
that you haven't been eating
as well as you should.
No one, except my late husband,
has ever accused me
of being a good cook.
Well, wait till you
taste the hospital food.
- [chuckles]
- Excuse me.
Dr. Charles, I have a patient
I'd like you to evaluate.
She's 74, lives alone,
and for some reason hasn't
been taking her meds.
Her blood work indicates
she's undernourished.
It might be dementia or depression.
I'm just not sure.
I'll have a little chat.
Shoot me her chart?
Yeah, Olga Barlow.
Treatment 5.
Oh, great. Thank you.
Paramedics are close.
All right, we're good to go.
Circuit's primed.
♪ ♪
Let's get some more blood in him.
It's infusing.
Come on, Ignacio.
♪ ♪
And... it's up.
Time. How long has he been clamped?
24 minutes.
Damn.
Mrs. Barlow? I'm Dr. Charles.
How are we doing today?
Pleased to meet you, Dr. Charles.
Dr. Choi mentioned that you were having
some trouble with your medication,
and he asked me to look in on you.
Of course,
but this is all just a big mistake.
Tell me,
how did you end up here today?
I spilled some pills and
didn't take all my medication.
- It's so boring.
- Huh.
Charles. That's an
English name isn't it?
- Yes, it is.
- Mm.
My late husband Robert was English.
He had a Charles on his mother's side.
- Have you been?
- Not for a while.
Mm.
Well, when I was quite a bit younger,
Robert and I took the final voyage
on the RMS "Queen Elizabeth"
across the pond from New York.
- Wow.
- Yeah.
- That sounds like quite a trip.
- Oh, it was.
1968.
There was a sense of design back then
that you just don't see today.
Now it's...
it's all screens, and technology,
and people have forgotten
the importance of style, haven't they?
Boy, you can say that again.
[gasps softly]
I'm sorry for running on like that.
Was there something else
you wanted to ask me?
You know, I think that I'm all set.
Thank you. It was so nice to meet you.
It was really nice to
meet you, Dr. Charles.
So in my opinion, Mrs.
Barlow is competent
and definitely a bit of a charmer.
One who's not taking her
meds or eating properly.
Not suicidal.
Not depressed as far as I can tell.
I mean, what she is, is she's nostalgic
for a more refined culture...
which is a far cry from eating cat food.
She told you she was eating cat food?
Look at her blood work.
Raised taurine level.
That's the telltale sign.
I thought she was lying about
eating regularly, but cat food?
Mm-hmm, this happens when
money's tight.
You know, elderly woman. Fixed income.
She'd be way too
embarrassed to say anything.
What about dropping her
pills in the toilet?
You think that's a lie too?
Oxycodone, sildenafil, benzos all have
a very high street value, buddy.
You think this sweet old lady's
selling them to get money?
Sweet old lady in need, man.
I've seen it before.
You know, and the sad part is,
is, even selling her meds,
she doesn't seem to be making ends meet.
[dark music]
[alarm blaring]
25-year-old male.
High-velocity impact.
Found with aortic and lung
lacerations from a rib.
Aortic cross clamp in place.
Bleeding controlled.
We've got eight units of
packed cells in the field
via a portable bypass in
progress at three liters.
Portable bypass? That your call?
It was our only option.
I got it from here.
♪ ♪
Sharon Goodwin, this is Lawrence.
Wonderful to meet you.
Sorry it's under such
difficult circumstances.
I'm gonna leave you two alone.
I don't have much time.
It's a busy day for us.
I understand.
Now, would you prefer that I call you
Ms. Goodwin or Sharon?
Oh, Sharon is fine.
Sharon, before we go any further,
are you sure that you don't
want to try to reconcile?
While legal separation is not a divorce,
it is a big step down that road.
We're past trying to reconcile.
I know we talked a little bit
about this on the phone,
but pending court approval,
you and your spouse are agreeing to live
independent of each other,
both financially and physically.
Which we have been for months.
Illinois law allows a spouse
who is without fault
to receive reasonable
support and maintenance
while parties are living apart.
We would need to ask the court
to determine that amount.
I don't want anything from him.
In that case, when you're ready,
I just need you to sign at
the bottom of both copies.
- Ms. Kastpen?
- Yes?
I'm Dr. Charles, and this is Dr. Reese.
- Nice to meet you.
- Dr. Manning mentioned
that you were struggling
with how to break the news
of your husband's
death to your daughter.
Oh, yes.
We were thinking that
if we all sat down,
we might be able to help
you come up with a plan
to... how to best
discuss this with Phoebe.
[clears throat]
You know, I really appreciate
you're trying to help,
but the timing is just all wrong.
Phoebe is scared enough just being here.
I can't add stress to her right now.
If you'll excuse me.
I think she's lying to us.
The pause before
answering, throat clearing,
and hand-to-face activity all point
to her not being truthful.
Just so you know,
all that behavioral cue stuff
about how to spot liars: bunch of hooey.
Having said that...
I think you're absolutely right.
She's hiding something.
[tense music]
♪ ♪
What do you think?
I think an ED doc opened
him up in the field.
Can you repair it?
Well, it's not every day that
you see a rib in the aorta,
but I'm gonna try to repair it by graft.
Whether there is impaired
brain activity or paralysis...
[faucet shuts off]
Well, that remains to be seen.
♪ ♪
You must be one hell of a poker player.
Why is that?
It was a hell of a gamble.
♪ ♪
What's the word?
We had to try.
Did we?
♪ ♪
Mrs. Barlow, there are some things about
your case that are puzzling.
I was hoping I could
ask you a few questions.
Of course.
As I mentioned, your labs show
you're a little undernourished.
I just want to make sure
you're getting enough to eat.
- I am.
- Good.
I'm glad to hear that,
because sometimes people skip meals
when they're finding it hard to get by.
Get by?
Well, when money's an issue.
We've seen some patients
who felt they had no choice
but to sell their medications.
- Are you insinuating...
- No, ma'am.
I'm just trying to
understand these results.
I have no need to sell anything,
and I resent the implication.
Of course.
Mrs. Barlow,
I just want you to know
that there are resources
available for you,
if you need anything.
I already told you.
I just...
I dropped my pills down the toilet.
That's all there is to it.
Yes, ma'am.
[tense music]
Forgive me.
♪ ♪
Olga Barlow, you gave me such a fright.
Ruth, my hair.
I look terrible.
You look fine.
I've just brought you your purse
and wanted to see if there
was anything you needed.
I'm sorry, Doctor. I'm her neighbor.
Hi.
And you mustn't worry about Princess.
I fed her.
I'll give you two some
privacy, Mrs. Barlow.
Excuse me.
Now, what's going on?
♪ ♪
[sighs]
She won't admit to it.
Well, I'm not surprised.
People think sex is a touchy subject.
Believe me, money is a lot touchier.
♪ ♪
Dr. Charles?
I've been doing a little digging
into Phoebe's mother, Michelle Kastpen.
I can't find anyone in or
around Chicago with that name.
Hey. Phoebe's CT results are back.
Mom has clearly not
given us a full history.
♪ ♪
Ms. Kastpen, is there
any other information,
anything at all,
about Phoebe's medical history
that you'd like to share with us?
Not that I can think of.
The reason we ask is
that Phoebe's CAT scans
revealed several healed skull fractures.
These explain Phoebe's hearing loss.
They're also possible
indicators of child abuse.
[sniffles]
[sighs]
[tense music]
Wait, you think it was me?
I would never do
anything to hurt Phoebe.
The way this works, Ms. Kastpen,
is that unless you can shine some light
on your daughter's injuries,
we don't really have any choice
but to contact the authorities.
I would never, never...
You have to understand
how we're seeing it,
from our perspective.
♪ ♪
It wasn't me.
♪ ♪
I lied. I'm divorced.
It was my ex.
Phoebe would get hurt when
she was with him a lot.
A sprained ankle. A broken arm.
Too many things to be random.
Did you ever confront him?
I tried, but he has money.
He out-lawyered me.
Oh, so it sounds to me like
your ex-husband's still alive.
♪ ♪
I felt powerless, so I took her.
You kidnapped your daughter?
I had to.
You can't call the police.
Please. They'll just send Phoebe back,
and I don't know what
he's gonna do to her.
You have to protect my daughter.
Please. Please.
♪ ♪
This woman has given us
a false name and admitted
to kidnapping her daughter.
But I think she's finally being honest.
She is legitimately concerned
for her daughter's safety.
Just because she thinks she's
telling the truth, Doctor,
doesn't necessarily mean that she is.
Yeah, but if she is,
I'd hate to tear this
child away from her mother.
It's not our job to figure
out what the truth is.
If we suspect abuse,
it's our duty to report it
and let the proper
authorities sort it out.
[dark music]
♪ ♪
Hey. Any news?
I'm headed back up to check.
We found Ignacio's family.
They're in St. Louis.
Be here in four hours.
♪ ♪
Let's hope it's a happy reunion.
Si, Si. In Chicago Med.
[speaking Spanish]
[machine beeping]
[beeping]
Allow me.
Oh, thank you.
Oh.
Thank you, Doctor.
- Ruth, wasn't it?
- Yes.
Those are beautiful earrings. Emerald?
Oh, yes. Thank you.
And nice bag. I noticed the one you
brought Mrs. Barlow
was a real beauty too.
Oh, well,
we both have a weakness for nice things.
Ah.
The thing... never mind.
- Excuse me.
- No, no.
What were you going to say?
Um...
It just doesn't fit.
How Mrs. Barlow can afford
to spend so much on a purse.
Why?
Please.
I could be wrong,
but I think she's economizing on food.
Not eating.
You think Olga has financial issues?
Well, what do you think?
I don't know,
but now that you mention it...
Yes?
I was over there for coffee last week,
and when I went to get the sugar
all she had were those little packets
that you get in restaurants.
Is it possible Mrs.
Barlow might feel pressure
to keep up appearances with you?
Oh, dear. I...
I-I may have given Olga
the wrong impression.
How's that?
Actually, I don't have that much.
It's my son.
My son sends me nice things.
Mm.
[solemn music]
And you never told Mrs. Barlow that?
No.
I see you care about her,
and you want to help her.
I do.
Then please let her know the truth.
♪ ♪
Excuse me.
[sighs]
♪ ♪
Hi. Can we speak for a moment?
Mm-hmm.
You made the call.
Yes, it is our duty in
these types of cases
to alert the authorities.
Now may be a good time
to have a conversation
with Phoebe to prepare her.
Oh, I'll get that.
Well, that's a pretty drawing.
I used to color better.
Yeah? What changed?
I don't know.
♪ ♪
Hey, Phoebe,
you mind if I take a look at your hands?
- Mm-hmm.
- All right.
♪ ♪
All right, now, can you squeeze
my fingers as hard as you can?
- What are you doing?
- Just making sure
we haven't missed anything.
How about with this hand?
♪ ♪
He hasn't woken up yet.
It could be a sign of
impaired brain function.
It's too soon to make that call.
You do a Babinski?
It's your patient.
I didn't want to overstep.
♪ ♪
♪ ♪
What did I do to this guy?
♪ ♪
Listen, Will,
he's still got a good
amount of paralytic in him.
He's also acidotic and cold.
You can't expect a
good reaction just yet.
♪ ♪
[knocking]
Hi.
So after I observed the
weakness in Phoebe's hand,
I ran some tests on
the blood work we took,
and the results showed an explanation
for her hearing loss.
She has a genetic condition
called osteopetrosis.
- What?
- It's a bone disease
that can cause progressive hearing loss.
It also explains the carpal tunnel
that's causing weakness in her wrists.
But I don't have it,
and neither does her father.
It just means that you and her father
are both genetic carriers.
Is she gonna be deaf?
Not necessarily.
We've had some success
in treating the condition
with bone marrow transplants.
Okay.
What aren't you telling me?
Osteopetrosis makes bones
abnormally dense and prone to breakage,
which explains her skull fractures.
What I'm trying to say is,
I don't think she was ever abused.
Oh, my God.
He didn't hurt her?
[solemn music]
What have I done?
♪ ♪
What have I done?
♪ ♪
Ms. Kastpen?
I'm Detective Olinski.
♪ ♪
What have I done?
♪ ♪
Still hasn't come to.
Dr. Halstead, we saved his life.
For what?
To lie like this on a ventilator
for God knows how long?
We don't know that's the case.
He's been off sedation
for an hour and a half.
He should be coming around.
Okay, so let's give him a little nudge.
Flumazenil 0.2 milligrams IV push.
Wait. We don't know his history.
If he's an alcoholic or on a benzo,
he could seize.
That's not gonna happen. Please.
Yes, Doctor.
We need to know his mental status.
♪ ♪
Hold on.
♪ ♪
Mr. Garza, I'm Dr. Rhodes.
You're at Chicago Med.
You were in an accident.
You were hit by a car.
Do you need me to translate?
Oh, no. Thank you.
[speaking Spanish]
[continues in Spanish]
♪ ♪
Good.
[speaking Spanish]
♪ ♪
Nice.
You got a good grip there.
Mr. Garza,
I want you to push your foot down,
like you're stepping on
the gas pedal of a car.
♪ ♪
[speaking Spanish]
♪ ♪
[speaking Spanish]
♪ ♪
Okay. How about this?
Mr. Garza, can you move your toes?
[speaking Spanish]
♪ ♪
Yes.
You're a rock star, Mr. Garza.
You did great.
Now we're gonna let you get some rest.
♪ ♪
[sobbing]
I'm so sorry.
No, it's okay.
He's okay.
Then why... ?
[exhales]
I'm just so relieved.
♪ ♪
Oh.
♪ ♪
Hey.
Good job getting the bypass out there.
♪ ♪
- It's okay, baby.
- Don't go.
- It's okay, baby.
- Stay.
No, don't go, Mommy! Don't go!
Baby, it's okay, it's okay.
Come back, Mom!
No! Come back, Mommy!
♪ ♪
Mom!
She thought she was
doing the right thing.
She risked everything
and lost everything
to get her daughter out of harm's way,
and we're sending her to jail.
I understand why she did it,
but couldn't she have
had a doctor evaluate
Phoebe before going on the run?
She messed up so many lives.
Yeah, but...
it still feels wrong.
I know.
So this was all just about
keeping up with the Joneses.
It was a good catch, Dr. Choi.
A new one for me.
Pride.
It can literally kill you.
I guess sometimes that's
all we have left, right?
[laughs]
Someone's happy.
Ignacio is going to make it.
- Yes!
- We did that.
Man, you really stepped up today.
You impressed me out there.
Hold up. Is... is that a compliment?
'Cause as I remember it, you were like,
"Don't you even think about
putting in that chest tube."
Yeah, you know what? I was proud of you,
and now you're just being a dick.
- Bye-bye.
- [laughs]
Nothing, Mom.
I just wanted to say
thanks for the check.
No, I-I appreciate it, Mom.
I appreciate everything.
All right, bye.
Seriously?
I thought you were pissed off at her.
Yeah, I was.
I mean, you know, she wasn't...
She's wasn't a great mom,
but she tried her best. I realize that.
Okay.
Anyway, I've got all this money,
so where do you want to eat?
I hear there's this great place uptown
- with a lobster mac to die for.
- All right.
Rough day?
You could say that.
Yeah.
Wait. I thought you had a win today?
Only thing I did right
today was double-time
some heavy stuff across the city.
Same thing any grunt could do in basic.
Jeff...
whatever you did it, it saved a life.
That's something.
[elevator dings]
[knock at door]
Come in.
Hey, I just thought
you might like to know
that Dr. Halstead's bypass patient,
he's doing well.
Oh, good.
So now you can finish
your marathon shift.
[chuckles]
Go home, Dr. Rhodes. Put your feet up.
Oh, actually I had something
a little different in mind.
[laughs softly]
What about you?
Just gonna go home.
Okay.
You know, this place I'm going, it's...
It's pretty fun.
Maybe you want to join me?
A few more feet,
you can officially check marathon
off your bucket list.
"Officially" is a bit of a stretch.
Hold that thought.
[poignant music]
[laughs]
Doesn't get more official than this.
♪ ♪
With a time of ten
hours and six minutes,
Dr. Nina Shore
has just set a new marathon record.
♪ ♪
[upbeat Hawaiian music playing]
There it is.
Ah.
Now, this is different.
Dr. Downey loved this place.
He said it was as close as you
could get to the real thing.
- Aloha.
- Oh.
Oh, thank you.
[laughter]
It's real.
Any friend of Connor's.
Mrs. Goodwin, this is Keoni.
He owns this place.
- It's a pleasure to meet you.
- Pleasure's all mine,
and it's good to see you, brah.
It's good to see you too.
- Enjoy.
- Thank you.
[laughter]
Do you know what "aloha" means?
Isn't that what they say
when you get off the plane?
I thought it meant "welcome."
[laughs]
- No?
- Not exactly.
Okay.
"Aloha" actually means
"to consciously manifest life
joyously in the present."
Hmm.
Well, in that case...
aloha.
Aloha.
♪ ♪
- Oh, there it is.
- Excellent.
- Yeah, right?
- [laughs]
♪ ♪
City runners, welcome...
[upbeat music]
Now, remember to stay hydrated out here
to beat the heat.
Keep it up.
♪ ♪
See? Taking a header at your
first marathon is nothing.
Now, taking a header into a
pool in your wedding dress?
- Both: Epic fail.
- Right?
No, that would be taking 20
minutes to put on a Band-Aid.
- Sorry. Totally my fault.
- No, no, not at all.
Take as long as you need.
You, on the other hand,
have a superhero with
super intestinal discomfort
who requires your immediate attention.
[retching]
[spitting]
♪ ♪
[crowd cheering]
Almost halfway. You holding up?
I'm sure that runner's high is
gonna kick in any second now.
- That or heatstroke.
- Yeah.
It's not the best day for a heat wave.
Yeah, I was thinking maybe
later we can do something else.
What? Like collapse?
No. Maybe a bedroom activity.
Or kitchen table.
Shower.
Let's go, Doc. Pick up the pace.
[laughs]
Now, try to keep it elevated,
and remember: ice, not heat.
Oh, please don't mention heat.
It's hot as balls out here.
We need help. A guy got run over.
- Grab an aid kit.
- Got it.
[dramatic music]
♪ ♪
Three. Two. One.
Aah!
♪ ♪
My brakes went out.
You've got to help him.
- We'll do all we can.
- [groaning]
[speaking Spanish]
- Ignacio.
- Where does it hurt, Ignacio?
[speaking Spanish]
Aah.
[gasping]
Maggie, we got a bike versus auto.
[gasping]
Diminished breath
sounds on the left side.
Sounds like it's full of fluid.
I think his lung collapsed.
Marathon traffic and power outages
from the heat have paramedics backed up.
We're on our own for a while.
Well, he doesn't have a while.
He needs a chest tube now.
Not from you. You've never put one in.
Be my guest.
Neither of us is allowed to do it.
Then he's gonna die.
Maggie, I need Goodwin.
- [groaning]
- Sir, just hang on.
We're gonna do everything
we can for you, okay?
We're gonna help you, okay?
Just hang on.
♪ ♪
Sit tight, April.
Dr. Halstead's on the way.
No, no, no. You let him make that call.
All right. You keep me posted.
How goes the battle?
Ugh, it's supposed to hit 105 today,
so we've got a generator on standby
just in case our grid goes dark.
Sharon, listen. Bert called me.
- Really?
- Yeah.
He wants to get together for drinks,
and I just... I wanted to check in
with you before I responded to him.
Daniel, you do whatever you like.
I'm good.
Hey, Peter...
your husband is a divorce attorney,
isn't he?
Best in the city.
Text me his number.
[groaning]
[tense music]
[crowd cheering]
- I can do this.
- With what?
We don't even have a chest tube.
- I got a suction tube.
- No.
You are not gonna Jerry-rig
your way into this guy's chest.
He's got no chance unless I do.
Goodwin said to wait for Will.
How long is that gonna take?
[sighs]
[groaning]
Got a neck pulse, but it's thready.
♪ ♪
He's out.
I've got to relieve the
pressure on his lung.
BP 82 over palp. Sat at 82%.
- I'm doing this.
- Noah.
Noah!
♪ ♪
[crowd cheering]
♪ ♪
Pulse is coming up.
You did it.
Yeah, but the tube's not slowing down.
Damn. It's a bad bleed.
Okay. Come on.
He needs surgery.
We need to intubate and give him blood.
Where the hell is Will?
Hey, Nat.
Eight-year-old girl with sudden
onset deafness in treatment 2.
Oh.
They said the heat wave's
supposed to be worse than '95.
[sighs]
Hi. I'm Dr. Manning.
I understand Phoebe's
experiencing some hearing loss?
Yeah...
we were headed to cheer on the runners.
She was skipping ahead.
A semi started backing up.
I was screaming, and
she couldn't hear me.
A few seconds later...
What?
I don't want to think about it.
It's okay, sweetie.
[dings]
Can you hear that, Phoebe?
Not really.
- Hmm.
- [dings]
How about now?
Sort of.
A little.
Okay, her hearing is
diminished on the right side
and nearly absent on the left.
Does she have any prior history
of head trauma or hearing loss?
No. Not that I can think of.
I mean, there have been a few times
where I've had to call
her more than once
within these last few months,
but nothing like this.
Okay, well, I'd like to order a head CT
just so we can figure out
what's going on, okay?
- Okay.
- Thank you.
Wait.
Hmm?
Are you going to fix my ears?
I'm sure gonna try.
Be back shortly.
[tense music]
[grunts]
I-I can't get it in.
You have to capture the tongue.
Elevate the jaw.
- What the hell are you doing?
- I'm trying to intubate.
He had a massive hemothorax,
and I had to put in a chest tube.
No, what you had to do was wait.
Dr. Halstead, this man would have died.
Yeah, judging by all the blood,
if we don't get him
into surgery in the next few minutes,
he will anyway.
♪ ♪
[crowd cheering]
I'm in. Bag him.
- Any ETA on transport?
- Still saying it'll be a while.
We could open his chest.
Try to address the bleed.
It might buy him enough time
for the ambulance to show up.
Yeah, it might... there's no
guarantee I could even find it.
The only guarantee is
he'll die if we don't try.
No, I've been down this road
before trying extreme measures.
It doesn't end well.
[crowd cheering]
♪ ♪
His pressure is down.
Trachea feels deviated to the right.
♪ ♪
I need a scalpel.
[alarm blaring]
We're going to treatment 5.
- You got it, Maggie.
- Olga Barlow.
74, lives alone.
Complex cardiac history.
Called EMS for dyspnea.
BP 82 over 44.
Chronic A-fib at rate
105. Tachypneic at 30.
Those are her meds.
- I'll page Dr. Choi.
- Okay.
Mrs. Barlow, what happened today?
It's so hot out, I'm having a
hard time catching my breath.
Do you have an air
conditioner in the home?
- Don't I wish?
- Well, let's move her.
One, two, three.
Oh.
There you go.
[machine beeping]
Pulse ox 89.
Temperature 101.
She's tachy up to 130.
I think we're looking
at heat exhaustion.
Let's pack her axilla and groin in ice
and send a CBC, CMP, LFTs, and urine.
And give her an amp of D50.
- What's the story?
- Non-exertional heat illness.
We're going to lower her core
temp and keep her hydrated.
You check her meds?
[dark music]
♪ ♪
Looks like she has
pulmonary hypertension.
That's right. Jugular venous distention.
That means she's in volume overload.
This fluid you ordered could've
sent her into heart failure.
Am I gonna be okay?
We're gonna take good care of you.
Let's get a chest film. AP and lateral.
- ECG and stat formal echo.
- Yes, Doctor.
Start epoprostenol at two.
Dobutamine at three.
Is your arthritis causing you pain?
- Yes, it's pretty bad.
- I bet.
That's a pretty good dose of oxycodone.
Let's give her one...
no, two milligrams of hydromorphone.
She won't even notice one milligram.
Okay.
You're gonna be feeling better soon.
♪ ♪
Next time do a complete history
and physical before making a diagnosis.
♪ ♪
Great. There you go.
Ms. Goodwin, a word?
Problem, Dr. Rhodes?
I filled in for trauma last night.
Seven surgeries.
I was double-booked going
back and forth between ORs.
Well, a month ago you were complaining
about not having enough to do.
Well, last night cured me of that.
The hospital is over-scheduling,
Ms. Goodwin.
Well, maybe someone thought
we needed the revenue.
- I'll look into it.
- Thank you.
Look, we're all having our
problems today, Dr. Rhodes.
Go home. Get some sleep.
I can't,
I've got a consult on a cold leg in IR
that needs an aortalfemoral bypass.
[tense music]
Retract his ribs.
♪ ♪
Suction.
♪ ♪
[grunts]
All right.
♪ ♪
Anything?
Nothing but clots.
I don't see it.
I got to get behind the lungs.
Still has a carotid pulse.
♪ ♪
Oh, man. Rib perforated the aorta.
- Can you clamp it?
- With what? My hand?
It'll buy us... Him 20 minutes?
Any longer there's a good
chance he'll be paralyzed.
If you don't, he'll bleed out.
All right.
♪ ♪
- Hemostatic?
- Yeah, it stopped.
Now he needs more
blood... and a miracle.
Which could happen if we
get him on portable bypass.
They've been doing it in France.
We have a unit in clinical trial at Med.
April, call Maggie.
On it.
We've got about 19 minutes
to get Ignacio hooked up
before he's paralyzed or worse.
♪ ♪
Hey, I meant to ask you.
Are flowers too much
for your mom tonight?
Roses tend to wilt in
her presence, but hey.
Don't worry about it.
She actually canceled her trip.
She's too busy.
This is her idea of an apology.
- 1,000 bucks?
- Mm-hmm.
I wish my mom apologized like that.
She just bakes cookies.
It takes time to bake cookies.
This just took a call to her accountant.
[alarm beeping]
Code blue.
[dramatic music]
Code blue.
♪ ♪
Her tongue has relaxed,
closing off her airway.
I'll do an oral airway.
[machine beeping]
- I got it.
- Intubation kit?
No, two milligrams of naloxone IV.
I think this is an overdose.
- Of what?
- Hydromorphone.
I don't understand.
She shouldn't have had
this kind of reaction.
- Respiration's at 8 per minute.
- Take over?
Okay.
♪ ♪
Dr. Choi.
Dr. Choi?
- Yeah.
- I know I was off
on my original diagnosis,
but that won't happen again.
You can trust me.
Clark, you're here to learn.
You're gonna make mistakes, okay?
Jeff?
I need you to run this portable bypass,
Satinsky clamps,
and ten units of packed
cells out to Dr. Halstead
at the marathon aid station, okay?
- Run?
- You doing anything else?
[electricity hums, crackles]
- Ugh.
- This is gonna be great.
Let's go.
- Sorry it's taking so...
- I want to call Daddy.
- I told you.
- Is everything okay?
- When can I call him?
- He's traveling, Phoebes.
You know that.
- I want to go home.
- Hey.
Hey, Phoebe, I promise the
CT is not gonna hurt, okay?
It's just like getting
your picture taken,
but in the meantime,
will you do me a favor?
Can you color a picture for the doctors'
lounge?
Yeah?
Because of the marathon,
the hospital's way busier
than usual,
but it shouldn't be too much longer.
- Okay.
- And do you mind
if we speak for a moment?
- Sure.
- Great.
Hey. I'll be right
outside, okay, sweetie?
So you indicated in Phoebe's chart
that her father was deceased.
I'm wondering why she
would want to call him?
David had a massive coronary
and died a few months ago.
I haven't had the heart to tell her.
I am so sorry.
He was away on business.
I feel awful for lying,
but I just know that she'll be crushed,
and I don't know how to break it to her.
Yeah, well, you know,
we have a really great doctor
that may be able to help with that.
But in the meantime, just hang in there.
We'll get Phoebe up to CT soon, okay?
- Okay, thank you.
- Yeah.
Dr. Rhodes?
Dr. Halstead has a patient in
the field with a torn aorta.
He's putting him on a portable bypass.
Seriously? A portable bypass?
You can't regulate
blood flow to the brain.
Well, you can debate the
medicine with Dr. Halstead
when he gets here.
Believe me, I will.
[tense music]
There's blood in the tube.
[crowd cheering]
Saturation's 75%.
Must be a pulmonary laceration.
We got to pack his lung and
get the blood out of that tube
before he drowns.
You want to pack the chest,
and I'll suction the tube?
- With what free hand?
- I'll suction the tube.
- I'll pack the chest.
- Give me the suction.
Noah, grab both sides,
and try to keep 'em open.
- [grunts]
- My wrist is cramped up.
If you let go on the ribs, I'm done.
[grunts]
- Come on, man, pull.
- I'm trying.
- Hang in there.
- [grunting]
It's closing on my
wrist. I can't hold this.
- Don't let go.
- Come on, Noah, pull!
Don't let go! [grunting]
All right. I got most of the blood.
- Sat's at 95%.
- Ribs, ribs, grab the ribs.
- Got it.
- Guys, guys, he's here.
Sorry it took so long.
Oh, man.
I need two clamps. How long's it been?
17 minutes.
Three to go. Hurry up.
♪ ♪
Mrs. Barlow?
You gave us a scare.
How are you feeling?
Oh, I'm...
I'm much better, Doctor, thank you.
Your reaction to the pain
medication surprised us,
because that dose shouldn't
have been an issue for you.
Have you been taking
everything as prescribed?
I didn't mention it
before, because it's...
It's so embarrassing,
but I accidentally spilled
some pills into the toilet,
so I haven't taken
everything I was supposed to.
Mrs. Barlow,
skipping doses is very dangerous.
You should have called your doctor.
Well, I certainly know better now.
I won't let it happen again.
There's one other thing.
I was reviewing your labs,
and some of the numbers indicate
that you haven't been eating
as well as you should.
No one, except my late husband,
has ever accused me
of being a good cook.
Well, wait till you
taste the hospital food.
- [chuckles]
- Excuse me.
Dr. Charles, I have a patient
I'd like you to evaluate.
She's 74, lives alone,
and for some reason hasn't
been taking her meds.
Her blood work indicates
she's undernourished.
It might be dementia or depression.
I'm just not sure.
I'll have a little chat.
Shoot me her chart?
Yeah, Olga Barlow.
Treatment 5.
Oh, great. Thank you.
Paramedics are close.
All right, we're good to go.
Circuit's primed.
♪ ♪
Let's get some more blood in him.
It's infusing.
Come on, Ignacio.
♪ ♪
And... it's up.
Time. How long has he been clamped?
24 minutes.
Damn.
Mrs. Barlow? I'm Dr. Charles.
How are we doing today?
Pleased to meet you, Dr. Charles.
Dr. Choi mentioned that you were having
some trouble with your medication,
and he asked me to look in on you.
Of course,
but this is all just a big mistake.
Tell me,
how did you end up here today?
I spilled some pills and
didn't take all my medication.
- It's so boring.
- Huh.
Charles. That's an
English name isn't it?
- Yes, it is.
- Mm.
My late husband Robert was English.
He had a Charles on his mother's side.
- Have you been?
- Not for a while.
Mm.
Well, when I was quite a bit younger,
Robert and I took the final voyage
on the RMS "Queen Elizabeth"
across the pond from New York.
- Wow.
- Yeah.
- That sounds like quite a trip.
- Oh, it was.
1968.
There was a sense of design back then
that you just don't see today.
Now it's...
it's all screens, and technology,
and people have forgotten
the importance of style, haven't they?
Boy, you can say that again.
[gasps softly]
I'm sorry for running on like that.
Was there something else
you wanted to ask me?
You know, I think that I'm all set.
Thank you. It was so nice to meet you.
It was really nice to
meet you, Dr. Charles.
So in my opinion, Mrs.
Barlow is competent
and definitely a bit of a charmer.
One who's not taking her
meds or eating properly.
Not suicidal.
Not depressed as far as I can tell.
I mean, what she is, is she's nostalgic
for a more refined culture...
which is a far cry from eating cat food.
She told you she was eating cat food?
Look at her blood work.
Raised taurine level.
That's the telltale sign.
I thought she was lying about
eating regularly, but cat food?
Mm-hmm, this happens when
money's tight.
You know, elderly woman. Fixed income.
She'd be way too
embarrassed to say anything.
What about dropping her
pills in the toilet?
You think that's a lie too?
Oxycodone, sildenafil, benzos all have
a very high street value, buddy.
You think this sweet old lady's
selling them to get money?
Sweet old lady in need, man.
I've seen it before.
You know, and the sad part is,
is, even selling her meds,
she doesn't seem to be making ends meet.
[dark music]
[alarm blaring]
25-year-old male.
High-velocity impact.
Found with aortic and lung
lacerations from a rib.
Aortic cross clamp in place.
Bleeding controlled.
We've got eight units of
packed cells in the field
via a portable bypass in
progress at three liters.
Portable bypass? That your call?
It was our only option.
I got it from here.
♪ ♪
Sharon Goodwin, this is Lawrence.
Wonderful to meet you.
Sorry it's under such
difficult circumstances.
I'm gonna leave you two alone.
I don't have much time.
It's a busy day for us.
I understand.
Now, would you prefer that I call you
Ms. Goodwin or Sharon?
Oh, Sharon is fine.
Sharon, before we go any further,
are you sure that you don't
want to try to reconcile?
While legal separation is not a divorce,
it is a big step down that road.
We're past trying to reconcile.
I know we talked a little bit
about this on the phone,
but pending court approval,
you and your spouse are agreeing to live
independent of each other,
both financially and physically.
Which we have been for months.
Illinois law allows a spouse
who is without fault
to receive reasonable
support and maintenance
while parties are living apart.
We would need to ask the court
to determine that amount.
I don't want anything from him.
In that case, when you're ready,
I just need you to sign at
the bottom of both copies.
- Ms. Kastpen?
- Yes?
I'm Dr. Charles, and this is Dr. Reese.
- Nice to meet you.
- Dr. Manning mentioned
that you were struggling
with how to break the news
of your husband's
death to your daughter.
Oh, yes.
We were thinking that
if we all sat down,
we might be able to help
you come up with a plan
to... how to best
discuss this with Phoebe.
[clears throat]
You know, I really appreciate
you're trying to help,
but the timing is just all wrong.
Phoebe is scared enough just being here.
I can't add stress to her right now.
If you'll excuse me.
I think she's lying to us.
The pause before
answering, throat clearing,
and hand-to-face activity all point
to her not being truthful.
Just so you know,
all that behavioral cue stuff
about how to spot liars: bunch of hooey.
Having said that...
I think you're absolutely right.
She's hiding something.
[tense music]
♪ ♪
What do you think?
I think an ED doc opened
him up in the field.
Can you repair it?
Well, it's not every day that
you see a rib in the aorta,
but I'm gonna try to repair it by graft.
Whether there is impaired
brain activity or paralysis...
[faucet shuts off]
Well, that remains to be seen.
♪ ♪
You must be one hell of a poker player.
Why is that?
It was a hell of a gamble.
♪ ♪
What's the word?
We had to try.
Did we?
♪ ♪
Mrs. Barlow, there are some things about
your case that are puzzling.
I was hoping I could
ask you a few questions.
Of course.
As I mentioned, your labs show
you're a little undernourished.
I just want to make sure
you're getting enough to eat.
- I am.
- Good.
I'm glad to hear that,
because sometimes people skip meals
when they're finding it hard to get by.
Get by?
Well, when money's an issue.
We've seen some patients
who felt they had no choice
but to sell their medications.
- Are you insinuating...
- No, ma'am.
I'm just trying to
understand these results.
I have no need to sell anything,
and I resent the implication.
Of course.
Mrs. Barlow,
I just want you to know
that there are resources
available for you,
if you need anything.
I already told you.
I just...
I dropped my pills down the toilet.
That's all there is to it.
Yes, ma'am.
[tense music]
Forgive me.
♪ ♪
Olga Barlow, you gave me such a fright.
Ruth, my hair.
I look terrible.
You look fine.
I've just brought you your purse
and wanted to see if there
was anything you needed.
I'm sorry, Doctor. I'm her neighbor.
Hi.
And you mustn't worry about Princess.
I fed her.
I'll give you two some
privacy, Mrs. Barlow.
Excuse me.
Now, what's going on?
♪ ♪
[sighs]
She won't admit to it.
Well, I'm not surprised.
People think sex is a touchy subject.
Believe me, money is a lot touchier.
♪ ♪
Dr. Charles?
I've been doing a little digging
into Phoebe's mother, Michelle Kastpen.
I can't find anyone in or
around Chicago with that name.
Hey. Phoebe's CT results are back.
Mom has clearly not
given us a full history.
♪ ♪
Ms. Kastpen, is there
any other information,
anything at all,
about Phoebe's medical history
that you'd like to share with us?
Not that I can think of.
The reason we ask is
that Phoebe's CAT scans
revealed several healed skull fractures.
These explain Phoebe's hearing loss.
They're also possible
indicators of child abuse.
[sniffles]
[sighs]
[tense music]
Wait, you think it was me?
I would never do
anything to hurt Phoebe.
The way this works, Ms. Kastpen,
is that unless you can shine some light
on your daughter's injuries,
we don't really have any choice
but to contact the authorities.
I would never, never...
You have to understand
how we're seeing it,
from our perspective.
♪ ♪
It wasn't me.
♪ ♪
I lied. I'm divorced.
It was my ex.
Phoebe would get hurt when
she was with him a lot.
A sprained ankle. A broken arm.
Too many things to be random.
Did you ever confront him?
I tried, but he has money.
He out-lawyered me.
Oh, so it sounds to me like
your ex-husband's still alive.
♪ ♪
I felt powerless, so I took her.
You kidnapped your daughter?
I had to.
You can't call the police.
Please. They'll just send Phoebe back,
and I don't know what
he's gonna do to her.
You have to protect my daughter.
Please. Please.
♪ ♪
This woman has given us
a false name and admitted
to kidnapping her daughter.
But I think she's finally being honest.
She is legitimately concerned
for her daughter's safety.
Just because she thinks she's
telling the truth, Doctor,
doesn't necessarily mean that she is.
Yeah, but if she is,
I'd hate to tear this
child away from her mother.
It's not our job to figure
out what the truth is.
If we suspect abuse,
it's our duty to report it
and let the proper
authorities sort it out.
[dark music]
♪ ♪
Hey. Any news?
I'm headed back up to check.
We found Ignacio's family.
They're in St. Louis.
Be here in four hours.
♪ ♪
Let's hope it's a happy reunion.
Si, Si. In Chicago Med.
[speaking Spanish]
[machine beeping]
[beeping]
Allow me.
Oh, thank you.
Oh.
Thank you, Doctor.
- Ruth, wasn't it?
- Yes.
Those are beautiful earrings. Emerald?
Oh, yes. Thank you.
And nice bag. I noticed the one you
brought Mrs. Barlow
was a real beauty too.
Oh, well,
we both have a weakness for nice things.
Ah.
The thing... never mind.
- Excuse me.
- No, no.
What were you going to say?
Um...
It just doesn't fit.
How Mrs. Barlow can afford
to spend so much on a purse.
Why?
Please.
I could be wrong,
but I think she's economizing on food.
Not eating.
You think Olga has financial issues?
Well, what do you think?
I don't know,
but now that you mention it...
Yes?
I was over there for coffee last week,
and when I went to get the sugar
all she had were those little packets
that you get in restaurants.
Is it possible Mrs.
Barlow might feel pressure
to keep up appearances with you?
Oh, dear. I...
I-I may have given Olga
the wrong impression.
How's that?
Actually, I don't have that much.
It's my son.
My son sends me nice things.
Mm.
[solemn music]
And you never told Mrs. Barlow that?
No.
I see you care about her,
and you want to help her.
I do.
Then please let her know the truth.
♪ ♪
Excuse me.
[sighs]
♪ ♪
Hi. Can we speak for a moment?
Mm-hmm.
You made the call.
Yes, it is our duty in
these types of cases
to alert the authorities.
Now may be a good time
to have a conversation
with Phoebe to prepare her.
Oh, I'll get that.
Well, that's a pretty drawing.
I used to color better.
Yeah? What changed?
I don't know.
♪ ♪
Hey, Phoebe,
you mind if I take a look at your hands?
- Mm-hmm.
- All right.
♪ ♪
All right, now, can you squeeze
my fingers as hard as you can?
- What are you doing?
- Just making sure
we haven't missed anything.
How about with this hand?
♪ ♪
He hasn't woken up yet.
It could be a sign of
impaired brain function.
It's too soon to make that call.
You do a Babinski?
It's your patient.
I didn't want to overstep.
♪ ♪
♪ ♪
What did I do to this guy?
♪ ♪
Listen, Will,
he's still got a good
amount of paralytic in him.
He's also acidotic and cold.
You can't expect a
good reaction just yet.
♪ ♪
[knocking]
Hi.
So after I observed the
weakness in Phoebe's hand,
I ran some tests on
the blood work we took,
and the results showed an explanation
for her hearing loss.
She has a genetic condition
called osteopetrosis.
- What?
- It's a bone disease
that can cause progressive hearing loss.
It also explains the carpal tunnel
that's causing weakness in her wrists.
But I don't have it,
and neither does her father.
It just means that you and her father
are both genetic carriers.
Is she gonna be deaf?
Not necessarily.
We've had some success
in treating the condition
with bone marrow transplants.
Okay.
What aren't you telling me?
Osteopetrosis makes bones
abnormally dense and prone to breakage,
which explains her skull fractures.
What I'm trying to say is,
I don't think she was ever abused.
Oh, my God.
He didn't hurt her?
[solemn music]
What have I done?
♪ ♪
What have I done?
♪ ♪
Ms. Kastpen?
I'm Detective Olinski.
♪ ♪
What have I done?
♪ ♪
Still hasn't come to.
Dr. Halstead, we saved his life.
For what?
To lie like this on a ventilator
for God knows how long?
We don't know that's the case.
He's been off sedation
for an hour and a half.
He should be coming around.
Okay, so let's give him a little nudge.
Flumazenil 0.2 milligrams IV push.
Wait. We don't know his history.
If he's an alcoholic or on a benzo,
he could seize.
That's not gonna happen. Please.
Yes, Doctor.
We need to know his mental status.
♪ ♪
Hold on.
♪ ♪
Mr. Garza, I'm Dr. Rhodes.
You're at Chicago Med.
You were in an accident.
You were hit by a car.
Do you need me to translate?
Oh, no. Thank you.
[speaking Spanish]
[continues in Spanish]
♪ ♪
Good.
[speaking Spanish]
♪ ♪
Nice.
You got a good grip there.
Mr. Garza,
I want you to push your foot down,
like you're stepping on
the gas pedal of a car.
♪ ♪
[speaking Spanish]
♪ ♪
[speaking Spanish]
♪ ♪
Okay. How about this?
Mr. Garza, can you move your toes?
[speaking Spanish]
♪ ♪
Yes.
You're a rock star, Mr. Garza.
You did great.
Now we're gonna let you get some rest.
♪ ♪
[sobbing]
I'm so sorry.
No, it's okay.
He's okay.
Then why... ?
[exhales]
I'm just so relieved.
♪ ♪
Oh.
♪ ♪
Hey.
Good job getting the bypass out there.
♪ ♪
- It's okay, baby.
- Don't go.
- It's okay, baby.
- Stay.
No, don't go, Mommy! Don't go!
Baby, it's okay, it's okay.
Come back, Mom!
No! Come back, Mommy!
♪ ♪
Mom!
She thought she was
doing the right thing.
She risked everything
and lost everything
to get her daughter out of harm's way,
and we're sending her to jail.
I understand why she did it,
but couldn't she have
had a doctor evaluate
Phoebe before going on the run?
She messed up so many lives.
Yeah, but...
it still feels wrong.
I know.
So this was all just about
keeping up with the Joneses.
It was a good catch, Dr. Choi.
A new one for me.
Pride.
It can literally kill you.
I guess sometimes that's
all we have left, right?
[laughs]
Someone's happy.
Ignacio is going to make it.
- Yes!
- We did that.
Man, you really stepped up today.
You impressed me out there.
Hold up. Is... is that a compliment?
'Cause as I remember it, you were like,
"Don't you even think about
putting in that chest tube."
Yeah, you know what? I was proud of you,
and now you're just being a dick.
- Bye-bye.
- [laughs]
Nothing, Mom.
I just wanted to say
thanks for the check.
No, I-I appreciate it, Mom.
I appreciate everything.
All right, bye.
Seriously?
I thought you were pissed off at her.
Yeah, I was.
I mean, you know, she wasn't...
She's wasn't a great mom,
but she tried her best. I realize that.
Okay.
Anyway, I've got all this money,
so where do you want to eat?
I hear there's this great place uptown
- with a lobster mac to die for.
- All right.
Rough day?
You could say that.
Yeah.
Wait. I thought you had a win today?
Only thing I did right
today was double-time
some heavy stuff across the city.
Same thing any grunt could do in basic.
Jeff...
whatever you did it, it saved a life.
That's something.
[elevator dings]
[knock at door]
Come in.
Hey, I just thought
you might like to know
that Dr. Halstead's bypass patient,
he's doing well.
Oh, good.
So now you can finish
your marathon shift.
[chuckles]
Go home, Dr. Rhodes. Put your feet up.
Oh, actually I had something
a little different in mind.
[laughs softly]
What about you?
Just gonna go home.
Okay.
You know, this place I'm going, it's...
It's pretty fun.
Maybe you want to join me?
A few more feet,
you can officially check marathon
off your bucket list.
"Officially" is a bit of a stretch.
Hold that thought.
[poignant music]
[laughs]
Doesn't get more official than this.
♪ ♪
With a time of ten
hours and six minutes,
Dr. Nina Shore
has just set a new marathon record.
♪ ♪
[upbeat Hawaiian music playing]
There it is.
Ah.
Now, this is different.
Dr. Downey loved this place.
He said it was as close as you
could get to the real thing.
- Aloha.
- Oh.
Oh, thank you.
[laughter]
It's real.
Any friend of Connor's.
Mrs. Goodwin, this is Keoni.
He owns this place.
- It's a pleasure to meet you.
- Pleasure's all mine,
and it's good to see you, brah.
It's good to see you too.
- Enjoy.
- Thank you.
[laughter]
Do you know what "aloha" means?
Isn't that what they say
when you get off the plane?
I thought it meant "welcome."
[laughs]
- No?
- Not exactly.
Okay.
"Aloha" actually means
"to consciously manifest life
joyously in the present."
Hmm.
Well, in that case...
aloha.
Aloha.
♪ ♪
- Oh, there it is.
- Excellent.
- Yeah, right?
- [laughs]
♪ ♪