Chicago Med (2015–…): Season 4, Episode 13 - Ghosts in the Attic - full transcript
Halstead hides the theft of his gun from a suspicious Manning. Tensions are still high between Connor and Bekker, who take a risk operating on an HIV-positive patient. Hank breaks down when he sees a patient from his past.
I mean...
- What's so funny?
- Come on, April. Tell him.
It's a nurse thing. You wouldn't get it.
Come on.
Our shifts about to start. Sorry.
I don't know why
I'm so tired this morning.
Really you don't know?
Oh, maybe I have some idea.
I'm just happy you're back home
and the whole gun thing is behind us.
Excuse me, Dr. Halstead.
Hey, Earl. What's up?
Sorry to interrupt
but it's about your car.
Seems they pried the latch open.
Oh, my God, he literally just parked.
What was it, like ten minutes ago?
My guess is whoever did this
cased out Dr. Halstead specifically.
Knew his schedule,
what he might leave in the car.
Mine was the only car broken into?
Yeah, seems so.
Oh, my God, Will. I can't believe
you left this back here.
Your laptop's inside.
I'm surprised they didn't take it.
They must have gotten scared
off before they found it.
See anything missing, Dr. Halstead?
No, it doesn't look like it.
Well, you must have got lucky then.
Here you go, Top Gun.
You're going to treatment 5.
And take Terry with you.
It seems like he needs something to do.
Come on.
Good morning, Mr. Kaminsky.
Hi, I'm Dr. Choi and this
is Student Doctor McNeal.
I understand you're experiencing
some palpitations in your chest?
How about you unbutton your
shirt so I can take a listen.
- Sure.
- I see we already took
- your blood pressure.
- 226 over 117.
That's high, isn't it?
A lot higher
than I'd like to see it, yes.
All right, take a deep breath for me.
And exhale?
Then another?
Exhale.
All right. Bilateral crackles
with mild rhonchi.
That doesn't sound good.
Not time to panic yet
but it's good you came in.
I want to run a few tests
and give you something
to bring down that blood pressure.
Excuse me.
Hey, Hank. Start an IV
and give 20 labetalol, please.
Absolutely.
Let's get a CBC, CMP, troponins,
and set him up with
an EKG and renal ultrasound.
Right.
Hey, Hank. Everything all right?
Where are you going?
- Is he okay?
- I'm sure it's nothing.
Terry, clean this up,
and let's get that IV started.
All right.
It's okay. It's okay.
Hey, what's going on?
Synced & corrected by kinglouisxx
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- Hey, what happened to Hank?
- He's not feeling well.
Does he know that patient, Kaminsky?
April, what's going on?
Sorry.
Hey, hey, hey, come on. It's me.
You always read me in.
Not this time.
- Maggie?
- Yep?
Patient in 2's got a small
splenic crack without a blush.
Let's send her upstairs for observation.
- I'm on it.
- Thanks.
Morning.
That's really all you're going to say?
Um, what else do you want me to say?
Um, sorry would be a start?
Yeah, I'm sorry things
turned out this way.
Turned out?
Things didn't turn out.
You accused me of sleeping
with your detestable father.
I'm not going to keep
rehashing this, Ava.
Oh, you poor thing.
Connor, incoming.
You're going to Baghdad.
- What do we got?
- Bode Isiah, 23,
motorcycle versus car, GCS 12,
BP 110 over 70, heart rate 120,
O2 sats 98%.
He's obviously in a lot
of pain, seems to have taken
most of the trauma to the torso.
All right, let's get
a chest X-ray in here now.
All right, on my count. One, two, three.
All right, Bode,
we're going to take care
of that pain, okay?
Give me 50 of fentanyl.
- Yeah.
- I'm HIV positive.
It's good to know but we're
prepared for that, okay?
Just let us take care of you.
All right, Bode.
Can you move your head up
and down for me?
There we go, very good.
Now how about left and right, okay?
All right, C-spine's clear.
Let's roll him and get a board out.
- One, two, three?
- Ahh!
Hey, what's the hold up
on the fentanyl I asked for?
I already gave it to him.
All right, let's get
the X-ray in. Come on.
Oh, all right, Bode.
You've got a bunch of broken
and displaced ribs.
In order to stop the pain we're
going to have to surgically
put them back into alignment
with metal plates.
- Is that okay?
- Okay.
All right, tell CT we're on our way up.
Let's get him ready to move.
All right? Let's go.
There are my two love birds.
I got a tough one
in treatment 4. Colon cancer.
- Who wants it?
- I'll take it.
- Thanks.
- Yeah. Can you take my stuff?
- Sure.
- You all right?
- Yeah.
- See ya.
See ya.
Dammit.
Yeah, I need to report a stolen firearm.
You know what? Let me call you back.
- Dr. Halstead.
- Good morning.
You're a hard man to pin down.
What do you mean?
Buddy, I heard you been
skipping your sessions.
Therapy?
Yeah, well, kinda busy
saving lives down here.
Listen, for what it's worth,
in my experience,
this kind of trauma, you gotta
take the treatment seriously
or it'll bite you in the ass.
I mean, the stories I could tell you.
Drugs, alcohol, family issues.
Hey, why don't you just say it?
All right, Natalie told you
I bought a gun.
Well, it's gone, okay?
It's not an issue anymore.
- Okay, we done?
- Will, let me remind you
your therapy is not elective.
Goodwin mandated it.
Come on, man.
I don't want to see you lose your job.
Appreciate it.
I'm not seeing any signs of concussion.
Are you sure it was a seizure
that made you collapse?
That's what my manager
at the food co-op said
but it was more of a dizzy spell.
Thinking it was a reaction to the chemo.
All right, well,
I'm seeing in your chart
that you're battling colon cancer.
Um, I'd like to send
you for a set of scans
- just to see what's going on.
- Scans?
No, I don't want to blow my insurance up
any more than I already have.
Plus, my oncologist scanned me
just last week.
Well, in that case I will
contact your oncologist
directly so I can access your records.
I just need your written consent.
No, I don't want to bother her.
I'm feeling better.
I'll... I'll make an appointment
for the day after tomorrow.
- Jared! Oh, baby.
- Wha... what are you doing here?
I thought you were at the airport.
I was until Jason called me in a panic.
He overreacted, all right?
You should be on your way to Phoenix.
- That conference is important.
- You are more important.
No way I can stay away
for a week with you like this.
- This is my girlfriend, Lucy.
- How is he?
We're trying to figure that out.
I'm telling you,
it's a reaction to the chemo,
all right? This isn't my first rodeo.
Chemo? I thought your last
cycle ended three weeks ago.
- Three weeks?
- Something like that.
That seems unlikely that
would still be affecting you.
Do you mind if I take a look
at your chemo port?
I opted not to get one.
Nurses say my veins are easy to access.
So what's the plan?
Well, since you don't want any scans,
please just let us run some labs.
- No.
- Jared, please.
This is serious.
Okay.
- But just a blood test.
- Okay, I'll be back shortly.
Hey, can we get a CBC, CMP,
magnesium and phosphates for Mr. Bray?
- No scans?
- He won't let me.
- Huh.
- Yeah, weird, right?
- Yeah.
- Speaking of,
did you hear about what
happened to Will's car?
Yeah, it got broken into, right?
Yeah, but nothing was stolen.
Not even a bag with his computer in it.
That's strange.
Sounds like Will got lucky.
That's exactly what Earl said.
Dr. Choi, I just checked in
on Mr. Kaminsky.
Nurses still haven't drawn
blood or sent him up for scans.
- What are they waiting for?
- Don't know.
Can't get a straight answer.
Want me to do it?
No, I'll handle this. Hey.
Why is nobody filling
the orders for my patient in 5?
- Got busy.
- I need that work up now.
- Will you do it, please?
- Sorry, gotta get
- stat nitro to treatment 2.
- April.
Doris, I need you to draw blood in 5.
I'm sorry, I'm on a break,
I gotta clock out.
Draw Mr. Kaminsky's blood first
or don't bother clocking back in.
- Mags.
- Yep?
You gotta reign in your nurses.
They're dropping
the ball on my patient in 5.
Dr. Choi, we're down a nurse.
We'll get to him.
Ow!
Ow!
- What's wrong?
- She's hurting me.
His veins are impossible
and he keeps moving.
- Stay still.
- Ow! Stop stabbing me.
- Doris.
- There we go.
All done.
Suddenly don't know your way
around a rolling vein?
It was a hard stick.
I gotta run this to the lab.
Mo, talk to me.
What happened with Hank today?
Nothing. He wasn't feeling good.
- Monique.
- You have to ask April.
I'm asking you.
We're talking about patient care, here.
This is serious, all right?
Monique.
Your patient's a child molester.
What?
He was Hank's piano teacher.
He raped him when he was a little boy.
Dr. Lanik is wondering
when his chest tube
in T2 is getting set up.
You want me to do that before or after
this MVC that just came in?
How about both at the same time?
Yeah.
Someone named Sydney Hawkins
is asking for you
out in the waiting room.
Said she's a friend of yours?
Doesn't ring a bell.
I can tell her you're too busy.
No, I'll come out.
Okay. Hello, Sydney?
I'm Maggie Lockwood.
How can I help you?
You don't remember me, do you?
I'm Naomi's cousin.
From down round 41st and Langley?
She was a year behind you
at Wendell Phillips?
Well, that was a bit ago, yeah?
But I do remember Naomi.
Well, she said if I ever need anything
at Med I should ask for you.
Okay, so what can I do for you?
Well, just so you know,
I'm not the kind of person
that gets sick a lot.
- Mm-hmm.
- But I got this body pain
that I just can't seem to shake.
If I had a regular doctor
I'd go see 'em but, um,
if you could hook a girl up
that'd be cool.
Okay, listen, this is an E.D.
We need to prioritize our emergencies.
Yeah, okay, well, if it's too
hectic here, I mean,
you could just give me
something for the pain.
Okay, no one here is going
to be able to do that for you
until you are formally examined.
So why don't you come
and take a seat over here.
Go ahead.
Yeah.
And we'll do our best
to get to you, okay? All right.
Thank you for stepping out to see me.
- Of course.
- I appreciate it.
Mm-hmm. Okay.
Need my hand back, Sydney. Okay.
- Did you take her temperature?
- 99.6. Just a bit elevated.
I can bump her up the triage
list if you want.
Not necessary.
Please tell me this wasn't your idea.
What?
You know how unethical
it is denying a patient care.
Treat him like a pin cushion?
I should write you all up
for what you've been doing.
Do you know what that guy did to Hank?
He molested him, Ethan. Regularly.
- During their piano lessons.
- It's terrible.
I know. But it's not up to us
to dole out justice.
Hank should call PD. Press charges.
He did already, but it was
Hank's word against Kaminsky's
and the judge dismissed the whole thing
before it even went to trial.
Yeah, and since Kaminsky
wasn't even convicted he's not
registered as a sex offender.
For all we know, he's still doing
this to other little boys.
Look, I get why this upsets you.
It upsets me too.
But regardless of how awful
this patient might be
we have an ethical obligation
to treat him as we would anyone else.
Fine, but there's nothing that says
we have to make his stay a vacation.
He will get the bare minimum from me.
Look, if that's how you feel,
maybe it's better
you keep away all together.
No problem.
Mr. Kaminsky's EKG and scans are done.
Your labs came back negative.
I'm not seeing any tumors or lesions.
That's good, right? Can I go home, now?
You'll need a follow up
with a primary care physician
but it looks like you're
responding to the labetalol
we gave you so hopefully
we can discharge you soon.
Thank you.
One last thing.
I didn't ask you earlier
but hypertension can often
be made worse by things
like work related stress.
That wouldn't apply to me
because I've always loved my job.
- And what's that?
- I teach piano at my house.
For over 30 years now.
- You have a lot of students?
- Enough to keep me occupied.
What are you doing up here?
Trauma patient with severely
displaced rib fractures.
And you didn't page me?
Dr. Latham's held up
in surgery but he wanted me
to let your know that he
reviewed your patient's chart
and doesn't think Mr. Isiah's
a good candidate for surgery.
The patient's HIV
puts him at too high
of a risk for infection.
Plating his ribs is the only
way to treat his pain.
Dr. Latham says you're welcome
to seek another opinion.
Well, that's just great.
Hey.
What about you?
You're asking for my opinion now?
Look, I know that I am the last person
that you want to help but we
shouldn't be afraid of surgery
just because the patient has HIV.
Yeah.
Here.
I'm thinking three KLS titanium
plates per side,
- maybe four hours max.
- Okay.
I'll clear my schedule
and do the surgery.
Really? Hey. Thank you.
I'm not doing it for you,
I'm doing it for your patient.
- Dr. Halstead?
- Yeah?
I was waiting for you outside.
Sorry, I was with a patient. Let's go.
- Mr. Brays labs are back.
- Thank you.
So Jared, your liver enzymes
were a little higher
than expected given when you
had your last chemo treatment,
but everything else looks
surprisingly good.
So he's out of the woods?
Well, I still don't know
what caused his seizure
but, um, for now,
your vital signs seem stable.
Listen, if I leave now,
I can get to my first
presentation in time.
I might just be able to make it.
You're going to leave this late?
- You'll have to catch a red eye.
- That's okay.
I'm gonna go see if I can
reschedule my flight.
Okay.
Dr. Manning, can you pass me
my bag, please?
It's right over there.
Sure.
- Here you go.
- Thank you.
No problem. I'll be back
to check on you soon.
Pressure drop.
No pulse, he's in V-fib.
Terry, start compressions.
Doesn't make any sense.
He was fine five minutes ago.
Thought you were staying away
from this patient.
He pushed the call button.
No one else was around.
- Charge to 200.
- Charged.
Clear.
Still in V-fib.
Push one milligram of epi.
Charging 200 again.
- Charged.
- Clear!
He's asystole. I think he's gone.
Dr. Choi?
Time of death, 14:42.
Not sure what I'm missing
here, Dr. Choi.
The patient responded to
the labetalol so how'd he have
a massive cardiac event out of the blue?
I'm not sure.
I know they're pretty rare
but at first I thought
maybe a pheochromocytoma was
responsible for spiking his BP
but I don't see any tumors
on these scans.
There must have been some other
factor at play, right?
How many doses of epi did we
give Kaminsky when he died?
According to the case notes,
one, before he went asystolic.
Why?
There's four empty amps in the trash.
Really? How could that be?
Follow the body down
to the morgue, find Dr. Shore,
and ask her if she could
tell me how much epinephrine
Kaminsky had in his system when he died.
- Okay.
- And ask her
- to keep it off the books.
- Off the books?
Just do it.
All right, that does it for this side.
Let's close him up and reposition him,
- re-prep and re-drip.
- You got it.
His splintering was much more
extensive than I thought
from the scans
so you made the right call.
Well, so far so good.
So a patient of mine sent
over a bottle of Yamazaki 12
as a thank you for triple bypass.
Perhaps after we're done
we could put a dent in it?
- Look, Ava...
- One drink.
Connor, what are you so afraid of?
Why did you agree to do the surgery?
You trying to fix things between us?
So what if I was?
Then this is not the time or the place.
I still have feelings for you, Connor.
Let me know when the team's
ready to restart.
You know what I find most
bewildering about all this?
You've somehow convinced yourself
that you're the victim here.
Dr. Manning, Dr. Manning, come quick.
I was just about to leave
when this happened.
Jared, can you talk to me?
Push 2 of Ativan, stat!
- What's going on?
- He's having a seizure.
Ativan's in.
Jared, can you take a deep breath?
Baby, can you hear me?
What happened?
You just had your second seizure today.
Jared, you need to get
a CAT scan immediately.
- No, no, I'm fine.
- Jared.
I'm fine, really.
Don't... don't let this stop
you catching your flight.
- You should go.
- Are you crazy?
I'm not leaving you now.
What about your job?
None of that matters right now.
I'm not leaving your side
until you're better.
Hey, how's your patient doing?
I'm not sure yet. Hey, where'd you go?
I was looking for you,
I couldn't find you.
Well, I had to call
the insurance company.
But I saw you talking with a cop.
Well, yeah, that was part of it.
I had to file a whole police
report for the insurance claim.
Why would you file a police report?
- Was something stolen?
- Natalie, for the last time,
nothing was stolen.
Hey, I just planted a
patient in treatment 3 for you.
Sydney, right? I was just
about to head in there.
All right.
Did I hear something about her
being a friend of yours?
She's not a friend of mine.
Okay.
Hey, sorry.
It's just I know something about Sydney.
She has a reputation of being
a bit of a grifter.
Heard she got arrested
for solicitation last year.
I have sympathy for the girl
but quite possibly
she's just here to score some pills.
Yeah, good to know.
I'll proceed accordingly.
Yeah.
So you think Jared's lying to you?
- Yes.
- Wow.
That's a pretty serious accusation.
His story just doesn't add up.
He won't show me his scans,
he doesn't have a chemo port,
and both his seizures today
timed out perfectly
to stop his girlfriend from
going on her business trip.
Faking a cancer diagnoses for two years
would take unbelievable commitment,
and also, how do you explain
the hair loss
and other physical symptoms.
Well, I saw a Ziplock full
of green pellets in his bag.
They looked just like the rat poison
that my handyman uses in the basement.
If Jared is ingesting a small
dose of a toxin like arsenic,
it could easily mimic
the side effects of chemo.
- Huh.
- I think he's harming himself
and he needs to be evaluated.
Okay. I will talk to him.
Thank you.
Another here.
One last fracture here,
20 cc's, quarter-percent
Marcaine, hand them to me.
Make that to me, Beth.
You want to do everything yourself?
- I have the better angle.
- Not for the incision.
Okay, fine. Give me the Marcaine.
Knife to me.
- Ow!
- She's cut.
The patient's HIV positive.
Ava?
It just nicked me.
It barely broke the skin.
I doused it with Betadine.
Doesn't matter. Hospital protocol.
She's being sidelined?
Because the patient is HIV
positive you need to be seen
in the infectious disease clinic,
and start taking
antiretrovirals immediately.
Now the medication can cause
extreme nausea
so I want you off surgical rotation,
just for a few days,
until you acclimate.
And if I end up contracting the virus,
what happens to my career?
There is such a small chance
of that happening,
you saw the patient's chart,
he has a low viral load.
Let's not get ahead of ourselves.
Just start taking the meds right away
and hopefully there won't be
anything to worry about, okay?
Ava, I am so sorry.
I don't even know what to say.
It's not your fault.
I was the one who reached
for the tray like some idiot resident.
Well, let me at least
take a look at your hand.
No, it's okay. I'll be fine, Connor.
Ethan it's freezing.
Why'd you bring me up here?
I got a preliminary report
back from pathology
and there was evidence
Paul Kaminsky had high levels
of epinephrine in his blood
when he died.
- So?
- So I'm not sure he died
purely of natural causes
and I need you to help me
- understand what happened.
- Understand?
What... are you accusing me
of something?
We pushed one amp of epi
when he coded, right?
April, I found four empty
amps altogether
in the trash afterwards.
I can't seem to account
for the other three.
Maybe another patient coded in that room
- right before Kaminsky.
- Nothing was logged.
Maybe they forgot to log it.
I don't see what this has to do with me.
You were in Kaminsky's room
just before he crashed.
- You think I killed him?
- I'm just trying to understand
how so much epinephrine
got into his system.
- I don't believe this.
- April, please.
Just tell me what
you were doing in that room.
He was dehydrated.
I gave him a glass of water.
So suddenly you're
Florence Nightingale to this guy?
I think we're done.
April, April, please, just...
you gotta be straight with me.
I'm trying to protect you from
getting in any trouble here.
Really?
'Cause that's not what it
feels like you're trying to do.
- So?
- It's hard to say.
I mean, if we're seriously
thinking Munchausen here
it's a diagnosis of exclusion
and I would just need
a lot more time to eliminate
the entire differential.
Well, we don't have more time.
He wants to be discharged now.
Nat, I understand.
He needs to be put on a psych hold.
Not only is he poisoning
himself but he is controlling
every aspect of his girlfriend's life.
Possibly, but he also could
be a very sick guy
clinging to his girlfriend
during a traumatic period in his life.
It all comes down to whether
we're willing to risk
locking up a legitimately ill
cancer patient on a hunch.
- And I'm just not there yet.
- But...
I'm sorry, Nat.
At this point we just don't
have enough information
to do anything but let him go.
1 and 2, you take this one.
- Maggie?
- Yup?
Dr. Halstead needs you
to page renal, stat.
Got it. Where to?
Treatment 3, Sydney Hawkins.
Sydney?
Bolus another liter of saline.
- What's going on?
- She's in septic shock.
Wait, wait, she was fine a minute ago.
Temp spiked out of nowhere,
BP went in the tank.
- What?
- Systolic's down to 89.
You can start an external jugular, stat.
- Here's a kit.
- Maggie.
You gotta step back.
Did we get the infection in time?
I don't know.
Lucy? You okay?
- What's wrong?
- My boss just fired me.
What? Why?
Because I missed that conference.
They said they can no longer handle
the unpredictability
of my personal life.
And this is the second job
I've lost in a year.
- I am so sorry.
- It's not fair.
It's really hard trying to take
care of a loved one
going through something like this.
I can imagine that going to
the chemo treatments alone
is like a full time job.
He actually doesn't let me
go to chemo with him.
Really? Why?
Probably just trying to protect me.
Maybe he thinks it'll
stress me out too much.
Hey, Dr. Manning.
When can I get out of here?
I'm sorry, Jared, but I can't officially
discharge you without a CAT scan.
Then I'll sign out
against medical advice.
If that's what you wanna do
but you're still pretty dehydrated
so I would like to hang
one more liter of fluid,
and then we will get you on your way.
Sorry.
- What are you doing?
- Uh...
Here you go.
We'll get you discharged soon.
You wanted proof? Here are the pellets.
Don't tell me you just took
those right out of Jared's bag.
Given the circumstances
I felt that I had to.
Dr. Manning, I don't need to tell you
that that's a very
serious transgression.
His girlfriend deserves to
know the truth.
I'm going to
the lab to have these analyzed.
Have a seat, please.
The lab tested the pellets you took.
They came back positive, didn't they?
Yes, for high levels of spirulina.
What?
It's a vitamin supplement. Not arsenic.
Jared realized you were suspicious
so he gave us permission to
access his medical records.
His oncologist at East Mercy
just emailed this over.
All of Jared's appointments,
prescriptions,
chemo treatments,
it's all there, including scans
of the stage three malignant
tumor in his colon.
You were absolutely right
about one thing:
He was hiding something.
The severity of his cancer.
- His prognosis is not good.
- I don't know what to say.
This is awful.
You're an excellent
physician, Dr. Manning,
I realize you've been through
a lot lately
and against my better judgment,
I'm going to bat for you on this,
but it can't happen again.
This is so insane, Dr. Charles.
I don't know what I was thinking.
When I ask myself that
question, the answer usually
ends up having something to do with me,
you know, something going on in my life.
Could you have been projecting onto Lucy
something that might be true for you?
I don't know.
What I suspected. Sepsis.
Yeah, from the little history
I got from her I'm guessing
this started as a kidney
or urinary tract infection.
I should have known it was serious.
I could have bumped Sydney up the list.
Oh, come on, Maggie.
No way you could have
anticipated her being septic.
What's your prognosis?
She gonna have a full recovery?
She's in acute renal failure.
We'll take her up to the ICU
and start her on dialysis right
away but there's a good chance
her kidneys are shot and she'll
need a transplant.
Yeah.
- Maggie.
- Sydney.
How're you doing?
Can I get you anything?
I thought I just had the flu.
Sydney, I need you to know
how sorry I am.
Oh, no.
I can't stop thinking about how
if I wouldn't
have come in today I would've been dead.
I'm grateful for you, Maggie.
Least I know I'm in good hands.
Connor?
I thought that you would want to know
that Bode's surgery was successful.
He's already up and pain free.
Good, I'm glad. Come in.
I also wanted to bring you this.
- Yamazaki 18?
- I figured the least
I could do was help you numb the pain.
Thank you. Sadly, can't have
any with my meds, doctor.
Right, yeah, uh, well,
maybe we can celebrate
when you get the "all clear".
Well, you can have some, right?
You take it neat?
I'm afraid I'm still on call.
Actually, I have to get back to Med.
Oh, sure.
- Good night.
- Good night.
Heads up, Choi. We're reviewing
the Kaminsky case for tomorrow's M&M.
- Okay.
- I see you didn't put down
a cause of death, yet.
Something holding that up
or is that just an oversight?
Sorry, I just need
to check something first.
I need your John Hancock
before the end of the shift.
You'll have it.
Well, if something caused
this guy's epinephrine levels
to spike it's going to be on
the adrenals
but I'm not seeing anything.
Could you give them a closer look?
Something's gotta be there, I know it.
I'm not supposed to be doing
this without a formal inquiry.
I know, believe me.
You're doing me a huge favor, Nina.
You're gonna owe me for this one.
All right, let's see.
Well, I'll be darned. Look.
I can't see anything.
There's your culprit.
Looks like a pheochromocytoma.
It's too small to show up on the scans.
Must have been what
caused the high levels
of epinephrine in this guy's system.
So he died purely of natural causes.
- Sure did.
- Thank you.
You're the best.
Dr. Rhodes, hey, how's Dr. Bekker?
- She's hanging in there.
- I still can't believe it.
She's usually the most careful
surgeon at Med.
Just not like her. Not at all.
- Anyway, good night.
- Yeah, good night.
What's this?
This is what killed Paul Kaminsky.
An adrenal tumor.
Okay.
I am so sorry, April.
That was wrong of me.
- No kidding.
- If I'm being honest
with myself I think I was hurt
that you didn't trust me enough
to read me in.
And then I started
to mistrust you as well.
Well, maybe I shouldn't have
cut you out.
It's not easy working so closely
with someone you've been involved with.
But I'd like to think
we can get past that
and still be friends.
I don't know, Ethan.
You thought I could kill a patient.
Is that someone I really want
as a friend?
I heard about what happened. You okay?
What was stolen from your car today?
Tell me the truth.
Natalie, I don't know
what you're talking about.
All day I have been feeling
like everything is a lie.
It's the same feeling I had
on our wedding day.
Just tell me the truth.
What was stolen from your car today?
- My gun.
- Your gun?
- You swore to me it was gone.
- I went to turn it in.
I did. I just needed more time.
Unbelievable.
I didn't know how to tell you.
I trusted you.
You have every right to be
angry with me.
No, I don't want to hear any more lies.
- Natalie.
- It's over.
- You don't mean that.
- I do.
Good bye, Will.
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- What's so funny?
- Come on, April. Tell him.
It's a nurse thing. You wouldn't get it.
Come on.
Our shifts about to start. Sorry.
I don't know why
I'm so tired this morning.
Really you don't know?
Oh, maybe I have some idea.
I'm just happy you're back home
and the whole gun thing is behind us.
Excuse me, Dr. Halstead.
Hey, Earl. What's up?
Sorry to interrupt
but it's about your car.
Seems they pried the latch open.
Oh, my God, he literally just parked.
What was it, like ten minutes ago?
My guess is whoever did this
cased out Dr. Halstead specifically.
Knew his schedule,
what he might leave in the car.
Mine was the only car broken into?
Yeah, seems so.
Oh, my God, Will. I can't believe
you left this back here.
Your laptop's inside.
I'm surprised they didn't take it.
They must have gotten scared
off before they found it.
See anything missing, Dr. Halstead?
No, it doesn't look like it.
Well, you must have got lucky then.
Here you go, Top Gun.
You're going to treatment 5.
And take Terry with you.
It seems like he needs something to do.
Come on.
Good morning, Mr. Kaminsky.
Hi, I'm Dr. Choi and this
is Student Doctor McNeal.
I understand you're experiencing
some palpitations in your chest?
How about you unbutton your
shirt so I can take a listen.
- Sure.
- I see we already took
- your blood pressure.
- 226 over 117.
That's high, isn't it?
A lot higher
than I'd like to see it, yes.
All right, take a deep breath for me.
And exhale?
Then another?
Exhale.
All right. Bilateral crackles
with mild rhonchi.
That doesn't sound good.
Not time to panic yet
but it's good you came in.
I want to run a few tests
and give you something
to bring down that blood pressure.
Excuse me.
Hey, Hank. Start an IV
and give 20 labetalol, please.
Absolutely.
Let's get a CBC, CMP, troponins,
and set him up with
an EKG and renal ultrasound.
Right.
Hey, Hank. Everything all right?
Where are you going?
- Is he okay?
- I'm sure it's nothing.
Terry, clean this up,
and let's get that IV started.
All right.
It's okay. It's okay.
Hey, what's going on?
Synced & corrected by kinglouisxx
www.addic7ed.com
- Hey, what happened to Hank?
- He's not feeling well.
Does he know that patient, Kaminsky?
April, what's going on?
Sorry.
Hey, hey, hey, come on. It's me.
You always read me in.
Not this time.
- Maggie?
- Yep?
Patient in 2's got a small
splenic crack without a blush.
Let's send her upstairs for observation.
- I'm on it.
- Thanks.
Morning.
That's really all you're going to say?
Um, what else do you want me to say?
Um, sorry would be a start?
Yeah, I'm sorry things
turned out this way.
Turned out?
Things didn't turn out.
You accused me of sleeping
with your detestable father.
I'm not going to keep
rehashing this, Ava.
Oh, you poor thing.
Connor, incoming.
You're going to Baghdad.
- What do we got?
- Bode Isiah, 23,
motorcycle versus car, GCS 12,
BP 110 over 70, heart rate 120,
O2 sats 98%.
He's obviously in a lot
of pain, seems to have taken
most of the trauma to the torso.
All right, let's get
a chest X-ray in here now.
All right, on my count. One, two, three.
All right, Bode,
we're going to take care
of that pain, okay?
Give me 50 of fentanyl.
- Yeah.
- I'm HIV positive.
It's good to know but we're
prepared for that, okay?
Just let us take care of you.
All right, Bode.
Can you move your head up
and down for me?
There we go, very good.
Now how about left and right, okay?
All right, C-spine's clear.
Let's roll him and get a board out.
- One, two, three?
- Ahh!
Hey, what's the hold up
on the fentanyl I asked for?
I already gave it to him.
All right, let's get
the X-ray in. Come on.
Oh, all right, Bode.
You've got a bunch of broken
and displaced ribs.
In order to stop the pain we're
going to have to surgically
put them back into alignment
with metal plates.
- Is that okay?
- Okay.
All right, tell CT we're on our way up.
Let's get him ready to move.
All right? Let's go.
There are my two love birds.
I got a tough one
in treatment 4. Colon cancer.
- Who wants it?
- I'll take it.
- Thanks.
- Yeah. Can you take my stuff?
- Sure.
- You all right?
- Yeah.
- See ya.
See ya.
Dammit.
Yeah, I need to report a stolen firearm.
You know what? Let me call you back.
- Dr. Halstead.
- Good morning.
You're a hard man to pin down.
What do you mean?
Buddy, I heard you been
skipping your sessions.
Therapy?
Yeah, well, kinda busy
saving lives down here.
Listen, for what it's worth,
in my experience,
this kind of trauma, you gotta
take the treatment seriously
or it'll bite you in the ass.
I mean, the stories I could tell you.
Drugs, alcohol, family issues.
Hey, why don't you just say it?
All right, Natalie told you
I bought a gun.
Well, it's gone, okay?
It's not an issue anymore.
- Okay, we done?
- Will, let me remind you
your therapy is not elective.
Goodwin mandated it.
Come on, man.
I don't want to see you lose your job.
Appreciate it.
I'm not seeing any signs of concussion.
Are you sure it was a seizure
that made you collapse?
That's what my manager
at the food co-op said
but it was more of a dizzy spell.
Thinking it was a reaction to the chemo.
All right, well,
I'm seeing in your chart
that you're battling colon cancer.
Um, I'd like to send
you for a set of scans
- just to see what's going on.
- Scans?
No, I don't want to blow my insurance up
any more than I already have.
Plus, my oncologist scanned me
just last week.
Well, in that case I will
contact your oncologist
directly so I can access your records.
I just need your written consent.
No, I don't want to bother her.
I'm feeling better.
I'll... I'll make an appointment
for the day after tomorrow.
- Jared! Oh, baby.
- Wha... what are you doing here?
I thought you were at the airport.
I was until Jason called me in a panic.
He overreacted, all right?
You should be on your way to Phoenix.
- That conference is important.
- You are more important.
No way I can stay away
for a week with you like this.
- This is my girlfriend, Lucy.
- How is he?
We're trying to figure that out.
I'm telling you,
it's a reaction to the chemo,
all right? This isn't my first rodeo.
Chemo? I thought your last
cycle ended three weeks ago.
- Three weeks?
- Something like that.
That seems unlikely that
would still be affecting you.
Do you mind if I take a look
at your chemo port?
I opted not to get one.
Nurses say my veins are easy to access.
So what's the plan?
Well, since you don't want any scans,
please just let us run some labs.
- No.
- Jared, please.
This is serious.
Okay.
- But just a blood test.
- Okay, I'll be back shortly.
Hey, can we get a CBC, CMP,
magnesium and phosphates for Mr. Bray?
- No scans?
- He won't let me.
- Huh.
- Yeah, weird, right?
- Yeah.
- Speaking of,
did you hear about what
happened to Will's car?
Yeah, it got broken into, right?
Yeah, but nothing was stolen.
Not even a bag with his computer in it.
That's strange.
Sounds like Will got lucky.
That's exactly what Earl said.
Dr. Choi, I just checked in
on Mr. Kaminsky.
Nurses still haven't drawn
blood or sent him up for scans.
- What are they waiting for?
- Don't know.
Can't get a straight answer.
Want me to do it?
No, I'll handle this. Hey.
Why is nobody filling
the orders for my patient in 5?
- Got busy.
- I need that work up now.
- Will you do it, please?
- Sorry, gotta get
- stat nitro to treatment 2.
- April.
Doris, I need you to draw blood in 5.
I'm sorry, I'm on a break,
I gotta clock out.
Draw Mr. Kaminsky's blood first
or don't bother clocking back in.
- Mags.
- Yep?
You gotta reign in your nurses.
They're dropping
the ball on my patient in 5.
Dr. Choi, we're down a nurse.
We'll get to him.
Ow!
Ow!
- What's wrong?
- She's hurting me.
His veins are impossible
and he keeps moving.
- Stay still.
- Ow! Stop stabbing me.
- Doris.
- There we go.
All done.
Suddenly don't know your way
around a rolling vein?
It was a hard stick.
I gotta run this to the lab.
Mo, talk to me.
What happened with Hank today?
Nothing. He wasn't feeling good.
- Monique.
- You have to ask April.
I'm asking you.
We're talking about patient care, here.
This is serious, all right?
Monique.
Your patient's a child molester.
What?
He was Hank's piano teacher.
He raped him when he was a little boy.
Dr. Lanik is wondering
when his chest tube
in T2 is getting set up.
You want me to do that before or after
this MVC that just came in?
How about both at the same time?
Yeah.
Someone named Sydney Hawkins
is asking for you
out in the waiting room.
Said she's a friend of yours?
Doesn't ring a bell.
I can tell her you're too busy.
No, I'll come out.
Okay. Hello, Sydney?
I'm Maggie Lockwood.
How can I help you?
You don't remember me, do you?
I'm Naomi's cousin.
From down round 41st and Langley?
She was a year behind you
at Wendell Phillips?
Well, that was a bit ago, yeah?
But I do remember Naomi.
Well, she said if I ever need anything
at Med I should ask for you.
Okay, so what can I do for you?
Well, just so you know,
I'm not the kind of person
that gets sick a lot.
- Mm-hmm.
- But I got this body pain
that I just can't seem to shake.
If I had a regular doctor
I'd go see 'em but, um,
if you could hook a girl up
that'd be cool.
Okay, listen, this is an E.D.
We need to prioritize our emergencies.
Yeah, okay, well, if it's too
hectic here, I mean,
you could just give me
something for the pain.
Okay, no one here is going
to be able to do that for you
until you are formally examined.
So why don't you come
and take a seat over here.
Go ahead.
Yeah.
And we'll do our best
to get to you, okay? All right.
Thank you for stepping out to see me.
- Of course.
- I appreciate it.
Mm-hmm. Okay.
Need my hand back, Sydney. Okay.
- Did you take her temperature?
- 99.6. Just a bit elevated.
I can bump her up the triage
list if you want.
Not necessary.
Please tell me this wasn't your idea.
What?
You know how unethical
it is denying a patient care.
Treat him like a pin cushion?
I should write you all up
for what you've been doing.
Do you know what that guy did to Hank?
He molested him, Ethan. Regularly.
- During their piano lessons.
- It's terrible.
I know. But it's not up to us
to dole out justice.
Hank should call PD. Press charges.
He did already, but it was
Hank's word against Kaminsky's
and the judge dismissed the whole thing
before it even went to trial.
Yeah, and since Kaminsky
wasn't even convicted he's not
registered as a sex offender.
For all we know, he's still doing
this to other little boys.
Look, I get why this upsets you.
It upsets me too.
But regardless of how awful
this patient might be
we have an ethical obligation
to treat him as we would anyone else.
Fine, but there's nothing that says
we have to make his stay a vacation.
He will get the bare minimum from me.
Look, if that's how you feel,
maybe it's better
you keep away all together.
No problem.
Mr. Kaminsky's EKG and scans are done.
Your labs came back negative.
I'm not seeing any tumors or lesions.
That's good, right? Can I go home, now?
You'll need a follow up
with a primary care physician
but it looks like you're
responding to the labetalol
we gave you so hopefully
we can discharge you soon.
Thank you.
One last thing.
I didn't ask you earlier
but hypertension can often
be made worse by things
like work related stress.
That wouldn't apply to me
because I've always loved my job.
- And what's that?
- I teach piano at my house.
For over 30 years now.
- You have a lot of students?
- Enough to keep me occupied.
What are you doing up here?
Trauma patient with severely
displaced rib fractures.
And you didn't page me?
Dr. Latham's held up
in surgery but he wanted me
to let your know that he
reviewed your patient's chart
and doesn't think Mr. Isiah's
a good candidate for surgery.
The patient's HIV
puts him at too high
of a risk for infection.
Plating his ribs is the only
way to treat his pain.
Dr. Latham says you're welcome
to seek another opinion.
Well, that's just great.
Hey.
What about you?
You're asking for my opinion now?
Look, I know that I am the last person
that you want to help but we
shouldn't be afraid of surgery
just because the patient has HIV.
Yeah.
Here.
I'm thinking three KLS titanium
plates per side,
- maybe four hours max.
- Okay.
I'll clear my schedule
and do the surgery.
Really? Hey. Thank you.
I'm not doing it for you,
I'm doing it for your patient.
- Dr. Halstead?
- Yeah?
I was waiting for you outside.
Sorry, I was with a patient. Let's go.
- Mr. Brays labs are back.
- Thank you.
So Jared, your liver enzymes
were a little higher
than expected given when you
had your last chemo treatment,
but everything else looks
surprisingly good.
So he's out of the woods?
Well, I still don't know
what caused his seizure
but, um, for now,
your vital signs seem stable.
Listen, if I leave now,
I can get to my first
presentation in time.
I might just be able to make it.
You're going to leave this late?
- You'll have to catch a red eye.
- That's okay.
I'm gonna go see if I can
reschedule my flight.
Okay.
Dr. Manning, can you pass me
my bag, please?
It's right over there.
Sure.
- Here you go.
- Thank you.
No problem. I'll be back
to check on you soon.
Pressure drop.
No pulse, he's in V-fib.
Terry, start compressions.
Doesn't make any sense.
He was fine five minutes ago.
Thought you were staying away
from this patient.
He pushed the call button.
No one else was around.
- Charge to 200.
- Charged.
Clear.
Still in V-fib.
Push one milligram of epi.
Charging 200 again.
- Charged.
- Clear!
He's asystole. I think he's gone.
Dr. Choi?
Time of death, 14:42.
Not sure what I'm missing
here, Dr. Choi.
The patient responded to
the labetalol so how'd he have
a massive cardiac event out of the blue?
I'm not sure.
I know they're pretty rare
but at first I thought
maybe a pheochromocytoma was
responsible for spiking his BP
but I don't see any tumors
on these scans.
There must have been some other
factor at play, right?
How many doses of epi did we
give Kaminsky when he died?
According to the case notes,
one, before he went asystolic.
Why?
There's four empty amps in the trash.
Really? How could that be?
Follow the body down
to the morgue, find Dr. Shore,
and ask her if she could
tell me how much epinephrine
Kaminsky had in his system when he died.
- Okay.
- And ask her
- to keep it off the books.
- Off the books?
Just do it.
All right, that does it for this side.
Let's close him up and reposition him,
- re-prep and re-drip.
- You got it.
His splintering was much more
extensive than I thought
from the scans
so you made the right call.
Well, so far so good.
So a patient of mine sent
over a bottle of Yamazaki 12
as a thank you for triple bypass.
Perhaps after we're done
we could put a dent in it?
- Look, Ava...
- One drink.
Connor, what are you so afraid of?
Why did you agree to do the surgery?
You trying to fix things between us?
So what if I was?
Then this is not the time or the place.
I still have feelings for you, Connor.
Let me know when the team's
ready to restart.
You know what I find most
bewildering about all this?
You've somehow convinced yourself
that you're the victim here.
Dr. Manning, Dr. Manning, come quick.
I was just about to leave
when this happened.
Jared, can you talk to me?
Push 2 of Ativan, stat!
- What's going on?
- He's having a seizure.
Ativan's in.
Jared, can you take a deep breath?
Baby, can you hear me?
What happened?
You just had your second seizure today.
Jared, you need to get
a CAT scan immediately.
- No, no, I'm fine.
- Jared.
I'm fine, really.
Don't... don't let this stop
you catching your flight.
- You should go.
- Are you crazy?
I'm not leaving you now.
What about your job?
None of that matters right now.
I'm not leaving your side
until you're better.
Hey, how's your patient doing?
I'm not sure yet. Hey, where'd you go?
I was looking for you,
I couldn't find you.
Well, I had to call
the insurance company.
But I saw you talking with a cop.
Well, yeah, that was part of it.
I had to file a whole police
report for the insurance claim.
Why would you file a police report?
- Was something stolen?
- Natalie, for the last time,
nothing was stolen.
Hey, I just planted a
patient in treatment 3 for you.
Sydney, right? I was just
about to head in there.
All right.
Did I hear something about her
being a friend of yours?
She's not a friend of mine.
Okay.
Hey, sorry.
It's just I know something about Sydney.
She has a reputation of being
a bit of a grifter.
Heard she got arrested
for solicitation last year.
I have sympathy for the girl
but quite possibly
she's just here to score some pills.
Yeah, good to know.
I'll proceed accordingly.
Yeah.
So you think Jared's lying to you?
- Yes.
- Wow.
That's a pretty serious accusation.
His story just doesn't add up.
He won't show me his scans,
he doesn't have a chemo port,
and both his seizures today
timed out perfectly
to stop his girlfriend from
going on her business trip.
Faking a cancer diagnoses for two years
would take unbelievable commitment,
and also, how do you explain
the hair loss
and other physical symptoms.
Well, I saw a Ziplock full
of green pellets in his bag.
They looked just like the rat poison
that my handyman uses in the basement.
If Jared is ingesting a small
dose of a toxin like arsenic,
it could easily mimic
the side effects of chemo.
- Huh.
- I think he's harming himself
and he needs to be evaluated.
Okay. I will talk to him.
Thank you.
Another here.
One last fracture here,
20 cc's, quarter-percent
Marcaine, hand them to me.
Make that to me, Beth.
You want to do everything yourself?
- I have the better angle.
- Not for the incision.
Okay, fine. Give me the Marcaine.
Knife to me.
- Ow!
- She's cut.
The patient's HIV positive.
Ava?
It just nicked me.
It barely broke the skin.
I doused it with Betadine.
Doesn't matter. Hospital protocol.
She's being sidelined?
Because the patient is HIV
positive you need to be seen
in the infectious disease clinic,
and start taking
antiretrovirals immediately.
Now the medication can cause
extreme nausea
so I want you off surgical rotation,
just for a few days,
until you acclimate.
And if I end up contracting the virus,
what happens to my career?
There is such a small chance
of that happening,
you saw the patient's chart,
he has a low viral load.
Let's not get ahead of ourselves.
Just start taking the meds right away
and hopefully there won't be
anything to worry about, okay?
Ava, I am so sorry.
I don't even know what to say.
It's not your fault.
I was the one who reached
for the tray like some idiot resident.
Well, let me at least
take a look at your hand.
No, it's okay. I'll be fine, Connor.
Ethan it's freezing.
Why'd you bring me up here?
I got a preliminary report
back from pathology
and there was evidence
Paul Kaminsky had high levels
of epinephrine in his blood
when he died.
- So?
- So I'm not sure he died
purely of natural causes
and I need you to help me
- understand what happened.
- Understand?
What... are you accusing me
of something?
We pushed one amp of epi
when he coded, right?
April, I found four empty
amps altogether
in the trash afterwards.
I can't seem to account
for the other three.
Maybe another patient coded in that room
- right before Kaminsky.
- Nothing was logged.
Maybe they forgot to log it.
I don't see what this has to do with me.
You were in Kaminsky's room
just before he crashed.
- You think I killed him?
- I'm just trying to understand
how so much epinephrine
got into his system.
- I don't believe this.
- April, please.
Just tell me what
you were doing in that room.
He was dehydrated.
I gave him a glass of water.
So suddenly you're
Florence Nightingale to this guy?
I think we're done.
April, April, please, just...
you gotta be straight with me.
I'm trying to protect you from
getting in any trouble here.
Really?
'Cause that's not what it
feels like you're trying to do.
- So?
- It's hard to say.
I mean, if we're seriously
thinking Munchausen here
it's a diagnosis of exclusion
and I would just need
a lot more time to eliminate
the entire differential.
Well, we don't have more time.
He wants to be discharged now.
Nat, I understand.
He needs to be put on a psych hold.
Not only is he poisoning
himself but he is controlling
every aspect of his girlfriend's life.
Possibly, but he also could
be a very sick guy
clinging to his girlfriend
during a traumatic period in his life.
It all comes down to whether
we're willing to risk
locking up a legitimately ill
cancer patient on a hunch.
- And I'm just not there yet.
- But...
I'm sorry, Nat.
At this point we just don't
have enough information
to do anything but let him go.
1 and 2, you take this one.
- Maggie?
- Yup?
Dr. Halstead needs you
to page renal, stat.
Got it. Where to?
Treatment 3, Sydney Hawkins.
Sydney?
Bolus another liter of saline.
- What's going on?
- She's in septic shock.
Wait, wait, she was fine a minute ago.
Temp spiked out of nowhere,
BP went in the tank.
- What?
- Systolic's down to 89.
You can start an external jugular, stat.
- Here's a kit.
- Maggie.
You gotta step back.
Did we get the infection in time?
I don't know.
Lucy? You okay?
- What's wrong?
- My boss just fired me.
What? Why?
Because I missed that conference.
They said they can no longer handle
the unpredictability
of my personal life.
And this is the second job
I've lost in a year.
- I am so sorry.
- It's not fair.
It's really hard trying to take
care of a loved one
going through something like this.
I can imagine that going to
the chemo treatments alone
is like a full time job.
He actually doesn't let me
go to chemo with him.
Really? Why?
Probably just trying to protect me.
Maybe he thinks it'll
stress me out too much.
Hey, Dr. Manning.
When can I get out of here?
I'm sorry, Jared, but I can't officially
discharge you without a CAT scan.
Then I'll sign out
against medical advice.
If that's what you wanna do
but you're still pretty dehydrated
so I would like to hang
one more liter of fluid,
and then we will get you on your way.
Sorry.
- What are you doing?
- Uh...
Here you go.
We'll get you discharged soon.
You wanted proof? Here are the pellets.
Don't tell me you just took
those right out of Jared's bag.
Given the circumstances
I felt that I had to.
Dr. Manning, I don't need to tell you
that that's a very
serious transgression.
His girlfriend deserves to
know the truth.
I'm going to
the lab to have these analyzed.
Have a seat, please.
The lab tested the pellets you took.
They came back positive, didn't they?
Yes, for high levels of spirulina.
What?
It's a vitamin supplement. Not arsenic.
Jared realized you were suspicious
so he gave us permission to
access his medical records.
His oncologist at East Mercy
just emailed this over.
All of Jared's appointments,
prescriptions,
chemo treatments,
it's all there, including scans
of the stage three malignant
tumor in his colon.
You were absolutely right
about one thing:
He was hiding something.
The severity of his cancer.
- His prognosis is not good.
- I don't know what to say.
This is awful.
You're an excellent
physician, Dr. Manning,
I realize you've been through
a lot lately
and against my better judgment,
I'm going to bat for you on this,
but it can't happen again.
This is so insane, Dr. Charles.
I don't know what I was thinking.
When I ask myself that
question, the answer usually
ends up having something to do with me,
you know, something going on in my life.
Could you have been projecting onto Lucy
something that might be true for you?
I don't know.
What I suspected. Sepsis.
Yeah, from the little history
I got from her I'm guessing
this started as a kidney
or urinary tract infection.
I should have known it was serious.
I could have bumped Sydney up the list.
Oh, come on, Maggie.
No way you could have
anticipated her being septic.
What's your prognosis?
She gonna have a full recovery?
She's in acute renal failure.
We'll take her up to the ICU
and start her on dialysis right
away but there's a good chance
her kidneys are shot and she'll
need a transplant.
Yeah.
- Maggie.
- Sydney.
How're you doing?
Can I get you anything?
I thought I just had the flu.
Sydney, I need you to know
how sorry I am.
Oh, no.
I can't stop thinking about how
if I wouldn't
have come in today I would've been dead.
I'm grateful for you, Maggie.
Least I know I'm in good hands.
Connor?
I thought that you would want to know
that Bode's surgery was successful.
He's already up and pain free.
Good, I'm glad. Come in.
I also wanted to bring you this.
- Yamazaki 18?
- I figured the least
I could do was help you numb the pain.
Thank you. Sadly, can't have
any with my meds, doctor.
Right, yeah, uh, well,
maybe we can celebrate
when you get the "all clear".
Well, you can have some, right?
You take it neat?
I'm afraid I'm still on call.
Actually, I have to get back to Med.
Oh, sure.
- Good night.
- Good night.
Heads up, Choi. We're reviewing
the Kaminsky case for tomorrow's M&M.
- Okay.
- I see you didn't put down
a cause of death, yet.
Something holding that up
or is that just an oversight?
Sorry, I just need
to check something first.
I need your John Hancock
before the end of the shift.
You'll have it.
Well, if something caused
this guy's epinephrine levels
to spike it's going to be on
the adrenals
but I'm not seeing anything.
Could you give them a closer look?
Something's gotta be there, I know it.
I'm not supposed to be doing
this without a formal inquiry.
I know, believe me.
You're doing me a huge favor, Nina.
You're gonna owe me for this one.
All right, let's see.
Well, I'll be darned. Look.
I can't see anything.
There's your culprit.
Looks like a pheochromocytoma.
It's too small to show up on the scans.
Must have been what
caused the high levels
of epinephrine in this guy's system.
So he died purely of natural causes.
- Sure did.
- Thank you.
You're the best.
Dr. Rhodes, hey, how's Dr. Bekker?
- She's hanging in there.
- I still can't believe it.
She's usually the most careful
surgeon at Med.
Just not like her. Not at all.
- Anyway, good night.
- Yeah, good night.
What's this?
This is what killed Paul Kaminsky.
An adrenal tumor.
Okay.
I am so sorry, April.
That was wrong of me.
- No kidding.
- If I'm being honest
with myself I think I was hurt
that you didn't trust me enough
to read me in.
And then I started
to mistrust you as well.
Well, maybe I shouldn't have
cut you out.
It's not easy working so closely
with someone you've been involved with.
But I'd like to think
we can get past that
and still be friends.
I don't know, Ethan.
You thought I could kill a patient.
Is that someone I really want
as a friend?
I heard about what happened. You okay?
What was stolen from your car today?
Tell me the truth.
Natalie, I don't know
what you're talking about.
All day I have been feeling
like everything is a lie.
It's the same feeling I had
on our wedding day.
Just tell me the truth.
What was stolen from your car today?
- My gun.
- Your gun?
- You swore to me it was gone.
- I went to turn it in.
I did. I just needed more time.
Unbelievable.
I didn't know how to tell you.
I trusted you.
You have every right to be
angry with me.
No, I don't want to hear any more lies.
- Natalie.
- It's over.
- You don't mean that.
- I do.
Good bye, Will.
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