Chicago Med (2015–…): Season 4, Episode 15 - Episode #4.15 - full transcript
So, Mom, how were you able to
save the day?
Actually, I didn't, you did.
You took one look at the map,
and you could see connections
we couldn't.
I knew right then you were
gonna be a scientist, I swear.
Did you...
I did.
Speaking of science,
this is the office calling.
Sorry, hold on two secs.
Hello?
- You did good there.
- We did good.
Danny, I have something
to tell you.
My lymphoma is back and my old
chemo regimen isn't working.
Okay.
I already got third
and fourth opinions
and the only thing left
is clinical trials.
Gaffney has a promising new
drug study I might qualify for,
and they're screening me
for it today.
Does Robin know?
Well, why'd you wait so long
to tell me?
I was married to you, remember?
I know that your first instinct
is to think the worst,
and I'm not going there.
Okay, I just want you
to remember I work here.
All right?
Anything you need, anything...
- I know.
- Do you hear me?
I hear you. Thank you.
Apartment app again?
No go on that place in
River North?
Well, it turns out by
"one bedroom,"
they meant closet.
Pretty fussy for a guy
who's been on
his brother's couch
for a few weeks.
Just saying.
Your patient came in with
shortness of breath,
pleural effusion on
the right side.
EKG unchanged from his previous
trip to the E.D.
The cardiac labs are
mildly elevated.
Diuretics aren't doing enough.
No.
I got it from here, thanks.
Hey, Francis. Kathleen.
I'm worried, Dr. Rhodes.
I heard that.
Bump in the road, Kathleen,
that's all.
So, I am going to admit you,
Francis.
We're gonna do an echo,
we'll tap the fluid off
your lungs,
so you can breathe easier.
And then we're gonna try
a new combination of meds
to help your heart until
a new one's available.
We've been on the waiting list
for over a year.
Any update on when a transplant
might happen?
I'm sorry, but no.
Is there someone we can call?
Let them know our situation?
I'm not checking out yet,
Kathleen.
I've still got big plans for us.
Techs are gonna be by soon,
they'll take you upstairs.
Hang in there, Kathleen.
Thank you.
It's the middle of the winter
and there's a street fair.
South Side gets bad wrap.
Look at that.
What do you think?
Well, I like that
it's strapless.
Yeah?
But it's a summer dress,
it's just gonna sit
in your closet, you know?
You're right.
I'll be back in the spring.
Okay.
Thank you.
What's up?
It's Philip, another
long night with baby Sophie.
Whoa. You gave him your number?
He's living out of
a PICU recliner.
I wanted him to know
he's not alone.
You're his daughter's doctor,
you're crossing boundaries.
You know what?
I don't think you're qualified
to lecture about boundaries
after you gave your kidney to
someone who you barely know.
Okay?
You're throwing that back at me?
You're the one who started
pointing fingers.
What's happening?
Natalie, watch out!
It's gonna be okay.
Hang in there.
My God.
Get a half-inch line
on the crashed vehicle
in case it goes up,
and have PD set up a perimeter.
- Boden.
- Hey.
We've got red tags all over
the place
and more trampled victims
than we can count.
We triggered a plan 3;
Response teams are en route,
ten ambos.
- You okay?
- Coping.
- Maggie, I need help.
- Coming.
Open tib-fib fracture.
No pulse in the foot,
I need to reduce it.
All right.
Sir, look at me, look at me.
This is gonna hurt.
One... two...
Got it.
- You got a pulse?
- Yeah.
Okay, okay.
They're gonna take care of you.
There are more ambos on the way,
but it's not gonna be enough.
As long as we get
the red tags to the E.D.,
we should be able to manage
the yellow tags
until reinforcement gets here.
Natalie, not outside,
it's too cold.
What about that?
Get the victims ready to move.
Who's the manager?
That's me.
I'm a doctor, we need your place
to treat the injured.
Yeah, I... okayokay.
Everybody, we need to make
some space.
Here, help me.
Come with me.
Move back, move back.
This way.
Monique.
Trauma Bays turned over?
Yeah, one, two, and Baghdad
are ready to roll.
Okay, perfect.
Go help Leah triage
the waiting room.
E.D.'s staying open for
walk-ins.
What do we got?
33-year old female,
got pinned beneath the car.
- Treatment 4.
- Got it.
28-year old male,
dragged by the vehicle.
Treatment 5.
- Baghdad's all yours.
- Yep.
Jada Harris, 18 years old,
GCS 3.
Couldn't get an airway.
Witnesses said she took
a direct hit from the truck
and was thrown.
That's her mom, Jalissa Harris,
got clipped by the truck's
side view mirror.
Ms. Harris, let me take you
to a treatment room.
I'm fine.
My daughter, Jada, she wasn't
breathing in the ambulance.
Our trauma team is treating her.
Let me look at you and then...
No, I need to see her now.
Ms. Harris, Sharon Goodwin,
come with me.
I'll take you to see
your daughter.
Jada just got accepted
to Northwestern.
We were at the fair
celebrating and then this...
I'm in.
There we go.
Hang 2 units of O-neg,
trigger the MTP.
Let's get a chest and pelvis
x-ray.
Hank, get the ultrasound ready.
What are vitals?
BP 75/40, heart rate 133.
All right, everybody clear.
Left side's whited out.
Give me a chest tube.
Scalpel.
My God, my baby.
Aw, man. Okay, okay.
Ultrasound. Ultrasound's ready.
Her belly's full of blood.
I can't fix this here.
Let's page my team,
get her over to the Hybrid O.R.
Let's go.
- I love you, Jada.
- Ms. Harris.
Let them take her to surgery.
I love you.
No.
They're gonna take good care
of her.
Kenneth Baker, 53, GCS 8.
BP's 144/86, pulse 88.
Superficial head laceration.
Hit by the car
or trample victim?
He's the driver,
plowed through half the fair
and wrapped his truck around
a pole.
Unconscious the whole ride over?
Yeah, it might not have been
from the crash,
pharmacy in his backpack.
On my count.
One... two... three...
Accident scene's a war zone,
gonna make a few round trips.
Thanks, Brett.
Breath sounds are good.
Monique, dig in his backpack.
See what he's on.
Pupils are equal and reactive.
I want trauma labs,
a tox screen,
chest and pelvis x-rays,
and send him over to CT
for a pan scan.
A lot of pain meds,
oxycodone, naproxen...
Phenytoin,
that's an anti-epileptic.
If he had a seizure
while driving...
he wouldn't even know
what happened.
- Here you go.
- Thank you.
Hey, down to our last ambo
for a bit.
It's our call who needs
to go now.
Well, this is Grace.
She helped a woman
who had fallen,
but got trampled herself.
Clear head trauma.
Did you get knocked out?
I don't think so,
but everything is
a little blurry.
We got one more spot in
the ambulance, it's yours.
We need to get you to the E.D.
for a head CT.
But I don't have insurance,
I can't afford it.
I understand,
but since you don't know if
you blacked out,
it's best to be overcautious.
I think I feel better already.
I swear, I'm not just saying it.
Okay, hold on to this.
A trip to the E.D. is gonna
cost a fortune.
Look, her GCS is 15,
her pupils are clear,
and she has a good recollection
of the incident.
Let's hold her off for
the next set ambos,
if she even needs one.
Keep an eye on her
and I'll take a second look
at our yellow tags.
Give the spot to one of them.
Okay.
A lot of whispers the driver
was high.
He wasn't, metastatic cancer.
Terminal, what all those meds
were for.
Just extubated, but no one's
told him what happened,
that people have died.
Or that he's responsible.
Getting news like this
can really break someone.
Let me take the lead?
How did it go?
I had to remove
her left kidney, spleen,
and a portion of
her small intestine.
She needed 15 units of blood,
another 15 of plasma.
What about head trauma?
She was too unstable for CT
before surgery.
She's going up for one now.
- You're concerned.
- Yeah.
I'm gonna change and fill in
the mom.
Well, I'd like to be there
when you do.
Jada's all she's got,
she shouldn't have to
go through this alone.
How many people died?
Seven.
But many more are injured.
So, they may die also?
There are likely to be
more fatalities.
I'm very sorry.
Don't be.
They had it coming.
They're trying to deny
our heritage...
All this mixing,
they wanna eliminate us.
"Us"?
The white race.
But before cancer takes me,
I'm taking some of them.
Was hoping for 20,
but day's not over yet.
Okay, everybody clear the scene.
Get back now.
What the hell is going on?
The truck is loaded with
explosives.
We are pulling out
and locking down.
But you can't,
we have victims that
need to go to the hospital.
They have to wait,
nobody in or out until
the bomb squad says it's okay.
How long is that gonna take?
I don't know,
but you have to get inside
and stay away from the windows.
Go, right now. Go.
Two kits,
that's all you could get?
Ambos got pushed off the scene.
I go to them,
I don't get back in.
All right.
Golden hour's almost up.
Our yellow tags are at risk
of becoming reds.
Divide and conquer?
Yeah.
Okay.
Did you get the results of
Jada's head CT?
Diffuse blood throughout
the brain, catastrophic.
She's brain dead.
Have you told her mother yet?
Not yet, but I think
she already feels it.
Let's tell her together.
You're being moved to
the jail ward.
I want the head nurse.
I am the head nurse.
One of those bossy blacks,
aren't you?
That's right.
Just finished the eval on
a walk-in patient.
I'm ready to present.
Okay, let's go take a look.
I know I said I'd put on
the gown,
but then I realized
just because I feel like crap,
doesn't mean I have to look
like it.
I'm more concerned with
your pain than your outfit.
Dr. Choi, Sebastian Lopez.
- Nice to meet you, Mr. Lopez.
- Sebastian.
And I'm sorry for
taking you away from
all the people injured in
the street fair.
I didn't wanna come in, but...
I can't take the pain anymore.
It's likeit's like
I'm getting stabbed.
The pain's confined to
the fight flank.
It's been steady
the last two days,
became severe overnight.
This morning he noticed
his urine
was cloudy and malodorous.
Well, just tell the whole world.
- Fever?
- Low grade.
I'm thinking pyelonephritis.
It fits. Labs?
CBC, CMP, UA, and an ultrasound.
Agreed, run them.
I know it's painful,
but if left untreated,
a kidney infection can lead
to permanent damage.
It's good you came in.
I'm glad I did... now.
Keep me posted, Terry.
My...
Tall, dark, and intense.
Gets me every time.
Amari Moore, 35,
severe blunt force trauma.
Pushed his son out of the way
of the truck,
took the hit for him.
He refused a board and collar,
wouldn't let us take him with
the first wave of ambos.
Barely got him out before
they locked up the scene.
Off duty cop,
could hardly breathe,
still wanted to stay and help.
My son, Andre... where's Andre?
He rode up front,
Stacy's with him.
I think he hurt his arm.
Take care of him first.
I'm staying with you,
but Andre will be safe.
I promise.
On my count,
One... two... three...
Get a second line
and a chest x-ray.
I want my dad.
Andre Moore, 8.
Fell on his arm,
no visible deformities,
doesn't complain of pain.
Where's my dad?
Your dad is with the doctor
right now, honey.
Let me take a look at your arm.
No!
I need him. Dad, where are you?
Hey, hey, hey. How you doing?
I'm Dr. Charles,
tell me your name.
Andre.
Andre, really nice to meet you.
How 'bout I take you to where
we can see what's going on
with your dad?
- Okay?
- Okay.
Okay. T-2, right?
- Yep.
- Okay, come on.
Dad?
Okay, okay, you can see him
right here.
Okay?
What are they doing?
Well, they're helping him.
You see the plastic mask
over his nose?
That's to help him
breathe easier.
And that machine can actually
look inside his chest.
It's got x-ray vision
just like Superman.
Now, that woman, she's a very
special kind of doctor.
If they find something
in his chest,
she's trained to fix it.
What are they doing?
Where are they taking him?
Dad, where are you going?
I have to go upstairs with
the doctor.
- I wanna go.
- No.
I need you to stay here
and be brave.
Come here.
Andre, I know you're scared...
but I believe in you.
Okay, I can do it.
I'll be brave.
Be brave.
We gotta go.
Not heading home today, am I?
No.
Your echo showed an ejection
fraction rate of 12%.
Your heart is failing
and the meds aren't working.
Ticker's on its last legs.
That's gotta... move me up
the transplant list?
Straight to the top, status 1A.
Well, next in line,
can't beat that.
It's gonna work out, Kathleen,
just like it always has.
'Cause what are we?
Blessed.
I will be back to check on
you guys
in just a little bit, okay?
Ms. Goodwin,
may I have a moment?
Excuse me, Ms. Harris.
I have a patient,
Francis Buckley,
with biventricular heart
failure.
Now, I know that Ms. Harris
has just lost her daughter,
and she hasn't had any time
to grieve...
But Jada's heart could save
his life.
They have the same blood type,
it's the first step towards
her heart being an HLA match.
If it is, with it being
right across the hall,
Francis will get it.
I'll ask her if she'll speak
to the Gift of Hope.
Thank you.
The man who did this...
he didn't even know Jada.
Just wanted to hurt her.
All of us.
Yes, I know.
But there's a way she can
live on...
Through organ donation.
You mean cut Jada up even more?
As if she hasn't already given
enough.
Well, nothing about today
is fair, Ms. Harris.
Not just today.
How does it workdonation?
Well, transplants are
overseen and managed by
an organization called
Gift of Hope.
They'll take over and guide you
through the process.
What will they use from her?
The doctors will make
that assessment.
Just make sure her organs
go to someone like us.
Ms. Harris, I don't have
any control over
the organ donor list.
So, Jada's organs can go to
anyone,
even some racist like the man
who did this?
Then, no.
I can't give permission.
God.
I am so sorry.
Just hold pressure right there,
okay?
My case is down to
a few pieces of gauze.
Yeah, well, more than I've got.
I just flushed shrapnel from
a woman's eye with this.
Help.
He can't breathe.
I'm holding pressure
just like you said,
but he keeps gasping.
Sucking chest wound.
He needs a chest tube.
But we don't have any,
but I saw something that
we can use.
- Yeah?
- Natalie.
Okay, got it.
Look at me, I know you're
uncomfortable right now,
but just try and relax,
keep looking at me
and breathe in nice and easy.
You're gonna be okay.
Plastic wrap and duct tape.
- That should do it.
- Do what?
Every time he breathes in,
air gets in through the wound,
and it gets caught in his chest,
compressing on his lungs.
The plastic wrap reverses it.
It acts as a one-way valve.
It seals the wound
when he inhales
and lets out the air from
the open end when he exhales.
There you go.
Okay, just breathe.
I can breathe better.
Good. Nice job.
You need a break?
Me?
I saw you working out
your shoulder.
Hey.
Dr. Choi, we have to stop
meeting like...
Well, there's the pain again.
So much for being smooth.
So, your labs don't support
a kidney infection.
Student Doctor McNeal has
a new theory
about what's going on.
Do you mind if I take a look?
Well, I thought you'd never ask.
All right, have at it.
I agree,
most likely kidney stones.
How would you confirm?
CT with contrast of
the right ureter.
Perfect, get it going.
We'll figure this out,
get you fixed up.
Dr. Choi, before you go...
How 'bout we grab a drink
sometime?
I'm your doctor,
better if we kept it at that.
Well, that's not exactly a 'no.'
Yep.
You know this...
Hold on a second, Mom.
- Hi.
- Hey, Robin.
Um, thank you for the text.
I didn't know if...
No.
Connor, this is my mom,
Caroline.
Caroline, this is Connor.
Pleasure to meet you, Caroline.
Connor, I have wanted to
meet you for a very long time.
Thank you so much for taking
such good care of my girl
when she needed you.
This is for you,
it's a list of mindless,
but very entertaining apps.
I figured some games might make
the waiting room purgatory
go by a little faster.
Now this gonna be fun.
See, this is what I need
to keep my mind off things.
What are we, chopped liver?
Anyway, now that
you're occupied,
I'm gonna check in with the E.D.
And Mom, we'll be
right over here.
Still saving the day, I see,
and now with a beard.
Change of pace.
Connor, I'm sorry.
I should've stayed in touch.
No, it's okay.
Out of sight, not out of mind.
It's the ICU.
I have a patient with questions
that I don't have answers to.
Look, if there's anything
that Caroline needs,
you just let me know.
And the same goes for you, too.
Thank you.
You know, I'll be in town
for a little while.
Let's catch up.
I'd love that.
Okay.
Sebastian's CT results are back,
mildly dilated ureter.
No evidence of acute
obstruction,
but several stones in
the bladder
causing significant clot.
So you have your diagnosis,
what's next?
IV Ketorolac for the pain,
3-way Foley catheter
to irrigate the clot.
Good.
Ethan, patient in two
has questions about meds.
Let the pharmacy handle it?
Yeah, thanks.
Actually, the pharmacy takes
forever to respond.
I'll speak with the patient.
Okay.
What about Sebastian's Foley?
You're not gonna supervise me?
Grab Nurse Doris.
She's done a thousand more than
I have anyway.
- Ms. Goodwin.
- Yes?
You said that you were gonna
speak to Jalissa Harris
about donating Jada's organs.
I haven't heard from
Gift of Hope.
I did speak with Ms. Harris.
She's not consenting to
organ donation,
because she can't have a say
in who the recipient is.
Well, no one has a say,
that's the whole entire point.
I know.
Francis Buckley is
running out of time.
If he doesn't get Jada's heart,
he might not live long enough
to get one.
I understand, Dr. Rhodes.
But for Ms. Harris,
this has become a racial issue.
Ms. Goodwin, I know that
she is hurting,
but what happened today
was the act of
one, ignorant, violent man.
Yes, but for her,
this decision goes deeper than
one man, one action.
So then what do we do?
I don't know, Dr. Rhodes.
I don't know.
Andre's dad didn't survive
the surgery?
His aunt's on the way,
but she won't be here for hours.
This kid is desperate
for information about his dad.
Did she give us permission
to tell him?
Yeah.
Let's go do it.
Where's my dad?
Sit down a second.
So I gotta tell you something
really sad, okay?
No.
No, he didn't! No!
Dad!
He didn't die! He didn't, no!
There you go.
Thank God, Hermann, supplies.
We literally have nothing left.
This is it?
It's the best I can do
right now.
Any word from the bomb squad
about when the scene's
gonna be cleared?
- Help me!
- Maggie! Maggie, I need help.
- Soon as I know, you'll know.
- All right.
She's seizing.
Damn it.
I should have put her in that
last ambo when I had the chance.
Not on you,
we made a judgement call.
Come on, sweetie.
She stopped seizing.
She's got a pulse,
but she's not breathing.
All right,
there's an airway kit.
- There.
- Yeah.
Got it.
Hey.
Are you okay?
Some days it seems like we do
nothing but give bad news.
I was hoping to see CeCe
before her exam.
Where's Robin?
Getting a bite.
Have you eaten, Daniel?
You know, I keep thinking
about when CeCe and I told
our parents we were engaged.
They were not too happy,
to say the least.
You remember, they didn't even
come to the wedding.
I remember, but it's their loss,
That reception was the bomb.
All of your friends
and CeCe's friends,
it was like the last days
of disco.
More like "Soul Train" with
with a few extra Caucasians,
as I recall.
Long time ago.
You're still not in touch
with your mother?
Cousin told me she is in
a nursing home
around here somewhere,
that's all I know.
I tell you what,
CeCe was as whole lot better
when it came to forgiving
her parents.
I justl couldn't...
I couldn't let it go.
We're all gonna have to let it
go at some point, Daniel.
It'll just go on and on.
Tell CeCe that
I'll come back later.
You bet.
I said no.
I'm not speaking with
Gift of Hope.
I thought you would understand.
I do, Ms. Harris.
I understand you're devastated,
you're angry.
I have every right to be.
Especially today.
Yes, you do.
But please don't let
Jada's legacy be one of hate.
His is.
But it doesn't have to be yours.
Ms. Harris, you have the power
to gift life to someone else.
Please use it.
Baby.
All went well with Sebastian,
Foley's in and he said
he's feeling better already.
Good.
Dr. Lanik's doing
an intraosseous line insertion
in Trauma three,
go check it out.
Okay.
Skipping out on the Foley,
were you confident in my ability
or just uncomfortable Sebastian
was flirting with you?
I would never ask you
to do anything
you're not ready for.
Same time, yeah,
I was kinda relieved
when something else came up.
You know the feeling.
Wouldn't you be a little thrown
by a guy blatantly
hitting on you?
No, I mean, it doesn't
bother me when women do it.
What do you mean?
I thought you knew.
It's no secret in the E.D.,
I'm gay.
No, I wasn't aware.
So, I'm gonna go check in
on Dr. Lanik's
intraosseous line insertion.
Gift of Hope.
Whatever you said, thank you.
My brother was a single dad,
yet never missed
a teacher's conference,
a flag football game,
trick or treating...
I don't know how to
replace that.
You know,
I would really like to help.
I hope that you'll call me.
Anytime.
Really.
Andre, let's go, honey.
What you got there, Andre?
I'm gonna grow up and be brave,
just like my dad.
I think that's a wonderful idea.
Guys, listen up!
Hey, we got the all clear,
all right?
Calvary's rolling in,
dozen ambos, more on the way.
Um, who's going to the hospital?
Everyone, and I'll take a sling.
- All right, you got it.
- Thank you.
We did it.
Maggie, you okay?
- What's wrong?
- I don't know.
My God.
- Natalie...
- Maggie.
NoOh, my God.
Help! I need help.
Maggie, open your eyes.
Wow, what happened?
She had surgery last week,
her incision opened up.
God, she must have been in pain
all day.
All right, let's get her on
a backboard and loaded.
I want IVs in and fluids
running now, let's go.
All right, ready? On my count.
One... two... three...
All right.
- Robin.
- Hey, Ava.
You back working at
the hospital?
No, no, my mom's a patient
here or might be a patient.
Oncology.
- I'm sorry to hear that.
- Yeah.
Have you seen Connor yet?
Briefly, we made loose plans
to get together soon.
It's uncertain times,
so I'm thankful
to have a friend close by.
Anyway, I gotta get back
upstairs.
Of course.
Hey, Terry. Hey, man.
Look, I am sorry for being
such a dope earlier.
Hey, don't worry about it, man.
You didn't know I was gay.
No, still I'm not "that guy."
We're good.
Being an alpha male myself,
I know the difference between
bigotry and being caught
off guard.
- Appreciate that.
- Yeah.
But truth be told,
Sebastian was laying it on
pretty thick.
If I was in your shoes, I might
have been flustered, too.
He's not my type, either.
Where's Mom?
She needed a moment.
Didn't get into the study.
I mean, not the one she wanted
anyway.
Doctor said she was a good
candidate for
this new experimental trial,
but...
It wasn't our first choice,
but it's something.
Yeah, but experimental means
phase one.
You know?
A lot of bugs,
unknown side effects,
dosing problems, safety issues...
Dad, it's okay.
We've beaten cancer before,
we can beat it again.
Mom needs us.
How'd you get so brave?
Come here.
I'm gonna.
Don't tell me,
I popped some stitches.
Yeah.
And you lost a lot of blood,
plus you were dehydrated.
All right.
Go ahead, give me the "I told
you to take it easy" look.
I'm not really one
to gloat today.
Philip?
Go up and see him.
You're not wrong about
crossing boundaries...
but I don't care.
And I love you for that.
Man. His owner...?
Yeah.
So, what?
You just take him to a shelter?
Yeah, but he's an older dog,
so...
I'll take him.
- You sure?
- Yeah.
Hi.
Hey, come on. Let's go, boy.
Hi, Mom.
Daniel.
Do you mind if I sit down?
- It's been so long.
- Yeah.
Um, 30... 35 years.
Why are you here?
I wanna show you something.
This is your granddaughter.
Her name is Robin.
- She's beautiful.
- Yeah.
I would, um... I would very much
like you to meet her.
save the day?
Actually, I didn't, you did.
You took one look at the map,
and you could see connections
we couldn't.
I knew right then you were
gonna be a scientist, I swear.
Did you...
I did.
Speaking of science,
this is the office calling.
Sorry, hold on two secs.
Hello?
- You did good there.
- We did good.
Danny, I have something
to tell you.
My lymphoma is back and my old
chemo regimen isn't working.
Okay.
I already got third
and fourth opinions
and the only thing left
is clinical trials.
Gaffney has a promising new
drug study I might qualify for,
and they're screening me
for it today.
Does Robin know?
Well, why'd you wait so long
to tell me?
I was married to you, remember?
I know that your first instinct
is to think the worst,
and I'm not going there.
Okay, I just want you
to remember I work here.
All right?
Anything you need, anything...
- I know.
- Do you hear me?
I hear you. Thank you.
Apartment app again?
No go on that place in
River North?
Well, it turns out by
"one bedroom,"
they meant closet.
Pretty fussy for a guy
who's been on
his brother's couch
for a few weeks.
Just saying.
Your patient came in with
shortness of breath,
pleural effusion on
the right side.
EKG unchanged from his previous
trip to the E.D.
The cardiac labs are
mildly elevated.
Diuretics aren't doing enough.
No.
I got it from here, thanks.
Hey, Francis. Kathleen.
I'm worried, Dr. Rhodes.
I heard that.
Bump in the road, Kathleen,
that's all.
So, I am going to admit you,
Francis.
We're gonna do an echo,
we'll tap the fluid off
your lungs,
so you can breathe easier.
And then we're gonna try
a new combination of meds
to help your heart until
a new one's available.
We've been on the waiting list
for over a year.
Any update on when a transplant
might happen?
I'm sorry, but no.
Is there someone we can call?
Let them know our situation?
I'm not checking out yet,
Kathleen.
I've still got big plans for us.
Techs are gonna be by soon,
they'll take you upstairs.
Hang in there, Kathleen.
Thank you.
It's the middle of the winter
and there's a street fair.
South Side gets bad wrap.
Look at that.
What do you think?
Well, I like that
it's strapless.
Yeah?
But it's a summer dress,
it's just gonna sit
in your closet, you know?
You're right.
I'll be back in the spring.
Okay.
Thank you.
What's up?
It's Philip, another
long night with baby Sophie.
Whoa. You gave him your number?
He's living out of
a PICU recliner.
I wanted him to know
he's not alone.
You're his daughter's doctor,
you're crossing boundaries.
You know what?
I don't think you're qualified
to lecture about boundaries
after you gave your kidney to
someone who you barely know.
Okay?
You're throwing that back at me?
You're the one who started
pointing fingers.
What's happening?
Natalie, watch out!
It's gonna be okay.
Hang in there.
My God.
Get a half-inch line
on the crashed vehicle
in case it goes up,
and have PD set up a perimeter.
- Boden.
- Hey.
We've got red tags all over
the place
and more trampled victims
than we can count.
We triggered a plan 3;
Response teams are en route,
ten ambos.
- You okay?
- Coping.
- Maggie, I need help.
- Coming.
Open tib-fib fracture.
No pulse in the foot,
I need to reduce it.
All right.
Sir, look at me, look at me.
This is gonna hurt.
One... two...
Got it.
- You got a pulse?
- Yeah.
Okay, okay.
They're gonna take care of you.
There are more ambos on the way,
but it's not gonna be enough.
As long as we get
the red tags to the E.D.,
we should be able to manage
the yellow tags
until reinforcement gets here.
Natalie, not outside,
it's too cold.
What about that?
Get the victims ready to move.
Who's the manager?
That's me.
I'm a doctor, we need your place
to treat the injured.
Yeah, I... okayokay.
Everybody, we need to make
some space.
Here, help me.
Come with me.
Move back, move back.
This way.
Monique.
Trauma Bays turned over?
Yeah, one, two, and Baghdad
are ready to roll.
Okay, perfect.
Go help Leah triage
the waiting room.
E.D.'s staying open for
walk-ins.
What do we got?
33-year old female,
got pinned beneath the car.
- Treatment 4.
- Got it.
28-year old male,
dragged by the vehicle.
Treatment 5.
- Baghdad's all yours.
- Yep.
Jada Harris, 18 years old,
GCS 3.
Couldn't get an airway.
Witnesses said she took
a direct hit from the truck
and was thrown.
That's her mom, Jalissa Harris,
got clipped by the truck's
side view mirror.
Ms. Harris, let me take you
to a treatment room.
I'm fine.
My daughter, Jada, she wasn't
breathing in the ambulance.
Our trauma team is treating her.
Let me look at you and then...
No, I need to see her now.
Ms. Harris, Sharon Goodwin,
come with me.
I'll take you to see
your daughter.
Jada just got accepted
to Northwestern.
We were at the fair
celebrating and then this...
I'm in.
There we go.
Hang 2 units of O-neg,
trigger the MTP.
Let's get a chest and pelvis
x-ray.
Hank, get the ultrasound ready.
What are vitals?
BP 75/40, heart rate 133.
All right, everybody clear.
Left side's whited out.
Give me a chest tube.
Scalpel.
My God, my baby.
Aw, man. Okay, okay.
Ultrasound. Ultrasound's ready.
Her belly's full of blood.
I can't fix this here.
Let's page my team,
get her over to the Hybrid O.R.
Let's go.
- I love you, Jada.
- Ms. Harris.
Let them take her to surgery.
I love you.
No.
They're gonna take good care
of her.
Kenneth Baker, 53, GCS 8.
BP's 144/86, pulse 88.
Superficial head laceration.
Hit by the car
or trample victim?
He's the driver,
plowed through half the fair
and wrapped his truck around
a pole.
Unconscious the whole ride over?
Yeah, it might not have been
from the crash,
pharmacy in his backpack.
On my count.
One... two... three...
Accident scene's a war zone,
gonna make a few round trips.
Thanks, Brett.
Breath sounds are good.
Monique, dig in his backpack.
See what he's on.
Pupils are equal and reactive.
I want trauma labs,
a tox screen,
chest and pelvis x-rays,
and send him over to CT
for a pan scan.
A lot of pain meds,
oxycodone, naproxen...
Phenytoin,
that's an anti-epileptic.
If he had a seizure
while driving...
he wouldn't even know
what happened.
- Here you go.
- Thank you.
Hey, down to our last ambo
for a bit.
It's our call who needs
to go now.
Well, this is Grace.
She helped a woman
who had fallen,
but got trampled herself.
Clear head trauma.
Did you get knocked out?
I don't think so,
but everything is
a little blurry.
We got one more spot in
the ambulance, it's yours.
We need to get you to the E.D.
for a head CT.
But I don't have insurance,
I can't afford it.
I understand,
but since you don't know if
you blacked out,
it's best to be overcautious.
I think I feel better already.
I swear, I'm not just saying it.
Okay, hold on to this.
A trip to the E.D. is gonna
cost a fortune.
Look, her GCS is 15,
her pupils are clear,
and she has a good recollection
of the incident.
Let's hold her off for
the next set ambos,
if she even needs one.
Keep an eye on her
and I'll take a second look
at our yellow tags.
Give the spot to one of them.
Okay.
A lot of whispers the driver
was high.
He wasn't, metastatic cancer.
Terminal, what all those meds
were for.
Just extubated, but no one's
told him what happened,
that people have died.
Or that he's responsible.
Getting news like this
can really break someone.
Let me take the lead?
How did it go?
I had to remove
her left kidney, spleen,
and a portion of
her small intestine.
She needed 15 units of blood,
another 15 of plasma.
What about head trauma?
She was too unstable for CT
before surgery.
She's going up for one now.
- You're concerned.
- Yeah.
I'm gonna change and fill in
the mom.
Well, I'd like to be there
when you do.
Jada's all she's got,
she shouldn't have to
go through this alone.
How many people died?
Seven.
But many more are injured.
So, they may die also?
There are likely to be
more fatalities.
I'm very sorry.
Don't be.
They had it coming.
They're trying to deny
our heritage...
All this mixing,
they wanna eliminate us.
"Us"?
The white race.
But before cancer takes me,
I'm taking some of them.
Was hoping for 20,
but day's not over yet.
Okay, everybody clear the scene.
Get back now.
What the hell is going on?
The truck is loaded with
explosives.
We are pulling out
and locking down.
But you can't,
we have victims that
need to go to the hospital.
They have to wait,
nobody in or out until
the bomb squad says it's okay.
How long is that gonna take?
I don't know,
but you have to get inside
and stay away from the windows.
Go, right now. Go.
Two kits,
that's all you could get?
Ambos got pushed off the scene.
I go to them,
I don't get back in.
All right.
Golden hour's almost up.
Our yellow tags are at risk
of becoming reds.
Divide and conquer?
Yeah.
Okay.
Did you get the results of
Jada's head CT?
Diffuse blood throughout
the brain, catastrophic.
She's brain dead.
Have you told her mother yet?
Not yet, but I think
she already feels it.
Let's tell her together.
You're being moved to
the jail ward.
I want the head nurse.
I am the head nurse.
One of those bossy blacks,
aren't you?
That's right.
Just finished the eval on
a walk-in patient.
I'm ready to present.
Okay, let's go take a look.
I know I said I'd put on
the gown,
but then I realized
just because I feel like crap,
doesn't mean I have to look
like it.
I'm more concerned with
your pain than your outfit.
Dr. Choi, Sebastian Lopez.
- Nice to meet you, Mr. Lopez.
- Sebastian.
And I'm sorry for
taking you away from
all the people injured in
the street fair.
I didn't wanna come in, but...
I can't take the pain anymore.
It's likeit's like
I'm getting stabbed.
The pain's confined to
the fight flank.
It's been steady
the last two days,
became severe overnight.
This morning he noticed
his urine
was cloudy and malodorous.
Well, just tell the whole world.
- Fever?
- Low grade.
I'm thinking pyelonephritis.
It fits. Labs?
CBC, CMP, UA, and an ultrasound.
Agreed, run them.
I know it's painful,
but if left untreated,
a kidney infection can lead
to permanent damage.
It's good you came in.
I'm glad I did... now.
Keep me posted, Terry.
My...
Tall, dark, and intense.
Gets me every time.
Amari Moore, 35,
severe blunt force trauma.
Pushed his son out of the way
of the truck,
took the hit for him.
He refused a board and collar,
wouldn't let us take him with
the first wave of ambos.
Barely got him out before
they locked up the scene.
Off duty cop,
could hardly breathe,
still wanted to stay and help.
My son, Andre... where's Andre?
He rode up front,
Stacy's with him.
I think he hurt his arm.
Take care of him first.
I'm staying with you,
but Andre will be safe.
I promise.
On my count,
One... two... three...
Get a second line
and a chest x-ray.
I want my dad.
Andre Moore, 8.
Fell on his arm,
no visible deformities,
doesn't complain of pain.
Where's my dad?
Your dad is with the doctor
right now, honey.
Let me take a look at your arm.
No!
I need him. Dad, where are you?
Hey, hey, hey. How you doing?
I'm Dr. Charles,
tell me your name.
Andre.
Andre, really nice to meet you.
How 'bout I take you to where
we can see what's going on
with your dad?
- Okay?
- Okay.
Okay. T-2, right?
- Yep.
- Okay, come on.
Dad?
Okay, okay, you can see him
right here.
Okay?
What are they doing?
Well, they're helping him.
You see the plastic mask
over his nose?
That's to help him
breathe easier.
And that machine can actually
look inside his chest.
It's got x-ray vision
just like Superman.
Now, that woman, she's a very
special kind of doctor.
If they find something
in his chest,
she's trained to fix it.
What are they doing?
Where are they taking him?
Dad, where are you going?
I have to go upstairs with
the doctor.
- I wanna go.
- No.
I need you to stay here
and be brave.
Come here.
Andre, I know you're scared...
but I believe in you.
Okay, I can do it.
I'll be brave.
Be brave.
We gotta go.
Not heading home today, am I?
No.
Your echo showed an ejection
fraction rate of 12%.
Your heart is failing
and the meds aren't working.
Ticker's on its last legs.
That's gotta... move me up
the transplant list?
Straight to the top, status 1A.
Well, next in line,
can't beat that.
It's gonna work out, Kathleen,
just like it always has.
'Cause what are we?
Blessed.
I will be back to check on
you guys
in just a little bit, okay?
Ms. Goodwin,
may I have a moment?
Excuse me, Ms. Harris.
I have a patient,
Francis Buckley,
with biventricular heart
failure.
Now, I know that Ms. Harris
has just lost her daughter,
and she hasn't had any time
to grieve...
But Jada's heart could save
his life.
They have the same blood type,
it's the first step towards
her heart being an HLA match.
If it is, with it being
right across the hall,
Francis will get it.
I'll ask her if she'll speak
to the Gift of Hope.
Thank you.
The man who did this...
he didn't even know Jada.
Just wanted to hurt her.
All of us.
Yes, I know.
But there's a way she can
live on...
Through organ donation.
You mean cut Jada up even more?
As if she hasn't already given
enough.
Well, nothing about today
is fair, Ms. Harris.
Not just today.
How does it workdonation?
Well, transplants are
overseen and managed by
an organization called
Gift of Hope.
They'll take over and guide you
through the process.
What will they use from her?
The doctors will make
that assessment.
Just make sure her organs
go to someone like us.
Ms. Harris, I don't have
any control over
the organ donor list.
So, Jada's organs can go to
anyone,
even some racist like the man
who did this?
Then, no.
I can't give permission.
God.
I am so sorry.
Just hold pressure right there,
okay?
My case is down to
a few pieces of gauze.
Yeah, well, more than I've got.
I just flushed shrapnel from
a woman's eye with this.
Help.
He can't breathe.
I'm holding pressure
just like you said,
but he keeps gasping.
Sucking chest wound.
He needs a chest tube.
But we don't have any,
but I saw something that
we can use.
- Yeah?
- Natalie.
Okay, got it.
Look at me, I know you're
uncomfortable right now,
but just try and relax,
keep looking at me
and breathe in nice and easy.
You're gonna be okay.
Plastic wrap and duct tape.
- That should do it.
- Do what?
Every time he breathes in,
air gets in through the wound,
and it gets caught in his chest,
compressing on his lungs.
The plastic wrap reverses it.
It acts as a one-way valve.
It seals the wound
when he inhales
and lets out the air from
the open end when he exhales.
There you go.
Okay, just breathe.
I can breathe better.
Good. Nice job.
You need a break?
Me?
I saw you working out
your shoulder.
Hey.
Dr. Choi, we have to stop
meeting like...
Well, there's the pain again.
So much for being smooth.
So, your labs don't support
a kidney infection.
Student Doctor McNeal has
a new theory
about what's going on.
Do you mind if I take a look?
Well, I thought you'd never ask.
All right, have at it.
I agree,
most likely kidney stones.
How would you confirm?
CT with contrast of
the right ureter.
Perfect, get it going.
We'll figure this out,
get you fixed up.
Dr. Choi, before you go...
How 'bout we grab a drink
sometime?
I'm your doctor,
better if we kept it at that.
Well, that's not exactly a 'no.'
Yep.
You know this...
Hold on a second, Mom.
- Hi.
- Hey, Robin.
Um, thank you for the text.
I didn't know if...
No.
Connor, this is my mom,
Caroline.
Caroline, this is Connor.
Pleasure to meet you, Caroline.
Connor, I have wanted to
meet you for a very long time.
Thank you so much for taking
such good care of my girl
when she needed you.
This is for you,
it's a list of mindless,
but very entertaining apps.
I figured some games might make
the waiting room purgatory
go by a little faster.
Now this gonna be fun.
See, this is what I need
to keep my mind off things.
What are we, chopped liver?
Anyway, now that
you're occupied,
I'm gonna check in with the E.D.
And Mom, we'll be
right over here.
Still saving the day, I see,
and now with a beard.
Change of pace.
Connor, I'm sorry.
I should've stayed in touch.
No, it's okay.
Out of sight, not out of mind.
It's the ICU.
I have a patient with questions
that I don't have answers to.
Look, if there's anything
that Caroline needs,
you just let me know.
And the same goes for you, too.
Thank you.
You know, I'll be in town
for a little while.
Let's catch up.
I'd love that.
Okay.
Sebastian's CT results are back,
mildly dilated ureter.
No evidence of acute
obstruction,
but several stones in
the bladder
causing significant clot.
So you have your diagnosis,
what's next?
IV Ketorolac for the pain,
3-way Foley catheter
to irrigate the clot.
Good.
Ethan, patient in two
has questions about meds.
Let the pharmacy handle it?
Yeah, thanks.
Actually, the pharmacy takes
forever to respond.
I'll speak with the patient.
Okay.
What about Sebastian's Foley?
You're not gonna supervise me?
Grab Nurse Doris.
She's done a thousand more than
I have anyway.
- Ms. Goodwin.
- Yes?
You said that you were gonna
speak to Jalissa Harris
about donating Jada's organs.
I haven't heard from
Gift of Hope.
I did speak with Ms. Harris.
She's not consenting to
organ donation,
because she can't have a say
in who the recipient is.
Well, no one has a say,
that's the whole entire point.
I know.
Francis Buckley is
running out of time.
If he doesn't get Jada's heart,
he might not live long enough
to get one.
I understand, Dr. Rhodes.
But for Ms. Harris,
this has become a racial issue.
Ms. Goodwin, I know that
she is hurting,
but what happened today
was the act of
one, ignorant, violent man.
Yes, but for her,
this decision goes deeper than
one man, one action.
So then what do we do?
I don't know, Dr. Rhodes.
I don't know.
Andre's dad didn't survive
the surgery?
His aunt's on the way,
but she won't be here for hours.
This kid is desperate
for information about his dad.
Did she give us permission
to tell him?
Yeah.
Let's go do it.
Where's my dad?
Sit down a second.
So I gotta tell you something
really sad, okay?
No.
No, he didn't! No!
Dad!
He didn't die! He didn't, no!
There you go.
Thank God, Hermann, supplies.
We literally have nothing left.
This is it?
It's the best I can do
right now.
Any word from the bomb squad
about when the scene's
gonna be cleared?
- Help me!
- Maggie! Maggie, I need help.
- Soon as I know, you'll know.
- All right.
She's seizing.
Damn it.
I should have put her in that
last ambo when I had the chance.
Not on you,
we made a judgement call.
Come on, sweetie.
She stopped seizing.
She's got a pulse,
but she's not breathing.
All right,
there's an airway kit.
- There.
- Yeah.
Got it.
Hey.
Are you okay?
Some days it seems like we do
nothing but give bad news.
I was hoping to see CeCe
before her exam.
Where's Robin?
Getting a bite.
Have you eaten, Daniel?
You know, I keep thinking
about when CeCe and I told
our parents we were engaged.
They were not too happy,
to say the least.
You remember, they didn't even
come to the wedding.
I remember, but it's their loss,
That reception was the bomb.
All of your friends
and CeCe's friends,
it was like the last days
of disco.
More like "Soul Train" with
with a few extra Caucasians,
as I recall.
Long time ago.
You're still not in touch
with your mother?
Cousin told me she is in
a nursing home
around here somewhere,
that's all I know.
I tell you what,
CeCe was as whole lot better
when it came to forgiving
her parents.
I justl couldn't...
I couldn't let it go.
We're all gonna have to let it
go at some point, Daniel.
It'll just go on and on.
Tell CeCe that
I'll come back later.
You bet.
I said no.
I'm not speaking with
Gift of Hope.
I thought you would understand.
I do, Ms. Harris.
I understand you're devastated,
you're angry.
I have every right to be.
Especially today.
Yes, you do.
But please don't let
Jada's legacy be one of hate.
His is.
But it doesn't have to be yours.
Ms. Harris, you have the power
to gift life to someone else.
Please use it.
Baby.
All went well with Sebastian,
Foley's in and he said
he's feeling better already.
Good.
Dr. Lanik's doing
an intraosseous line insertion
in Trauma three,
go check it out.
Okay.
Skipping out on the Foley,
were you confident in my ability
or just uncomfortable Sebastian
was flirting with you?
I would never ask you
to do anything
you're not ready for.
Same time, yeah,
I was kinda relieved
when something else came up.
You know the feeling.
Wouldn't you be a little thrown
by a guy blatantly
hitting on you?
No, I mean, it doesn't
bother me when women do it.
What do you mean?
I thought you knew.
It's no secret in the E.D.,
I'm gay.
No, I wasn't aware.
So, I'm gonna go check in
on Dr. Lanik's
intraosseous line insertion.
Gift of Hope.
Whatever you said, thank you.
My brother was a single dad,
yet never missed
a teacher's conference,
a flag football game,
trick or treating...
I don't know how to
replace that.
You know,
I would really like to help.
I hope that you'll call me.
Anytime.
Really.
Andre, let's go, honey.
What you got there, Andre?
I'm gonna grow up and be brave,
just like my dad.
I think that's a wonderful idea.
Guys, listen up!
Hey, we got the all clear,
all right?
Calvary's rolling in,
dozen ambos, more on the way.
Um, who's going to the hospital?
Everyone, and I'll take a sling.
- All right, you got it.
- Thank you.
We did it.
Maggie, you okay?
- What's wrong?
- I don't know.
My God.
- Natalie...
- Maggie.
NoOh, my God.
Help! I need help.
Maggie, open your eyes.
Wow, what happened?
She had surgery last week,
her incision opened up.
God, she must have been in pain
all day.
All right, let's get her on
a backboard and loaded.
I want IVs in and fluids
running now, let's go.
All right, ready? On my count.
One... two... three...
All right.
- Robin.
- Hey, Ava.
You back working at
the hospital?
No, no, my mom's a patient
here or might be a patient.
Oncology.
- I'm sorry to hear that.
- Yeah.
Have you seen Connor yet?
Briefly, we made loose plans
to get together soon.
It's uncertain times,
so I'm thankful
to have a friend close by.
Anyway, I gotta get back
upstairs.
Of course.
Hey, Terry. Hey, man.
Look, I am sorry for being
such a dope earlier.
Hey, don't worry about it, man.
You didn't know I was gay.
No, still I'm not "that guy."
We're good.
Being an alpha male myself,
I know the difference between
bigotry and being caught
off guard.
- Appreciate that.
- Yeah.
But truth be told,
Sebastian was laying it on
pretty thick.
If I was in your shoes, I might
have been flustered, too.
He's not my type, either.
Where's Mom?
She needed a moment.
Didn't get into the study.
I mean, not the one she wanted
anyway.
Doctor said she was a good
candidate for
this new experimental trial,
but...
It wasn't our first choice,
but it's something.
Yeah, but experimental means
phase one.
You know?
A lot of bugs,
unknown side effects,
dosing problems, safety issues...
Dad, it's okay.
We've beaten cancer before,
we can beat it again.
Mom needs us.
How'd you get so brave?
Come here.
I'm gonna.
Don't tell me,
I popped some stitches.
Yeah.
And you lost a lot of blood,
plus you were dehydrated.
All right.
Go ahead, give me the "I told
you to take it easy" look.
I'm not really one
to gloat today.
Philip?
Go up and see him.
You're not wrong about
crossing boundaries...
but I don't care.
And I love you for that.
Man. His owner...?
Yeah.
So, what?
You just take him to a shelter?
Yeah, but he's an older dog,
so...
I'll take him.
- You sure?
- Yeah.
Hi.
Hey, come on. Let's go, boy.
Hi, Mom.
Daniel.
Do you mind if I sit down?
- It's been so long.
- Yeah.
Um, 30... 35 years.
Why are you here?
I wanna show you something.
This is your granddaughter.
Her name is Robin.
- She's beautiful.
- Yeah.
I would, um... I would very much
like you to meet her.