Chicago Med (2015–…): Season 4, Episode 2 - When To Let Go - full transcript
An overflow of patients is rushed into Chicago Med following an apartment blaze and Rhodes tries to save a firefighter's life, while the two Halstead brothers face their own personal battle.
.
[bright tones]
- Truck 81, Squad 3,
I need search teams.
- It's a long way down.
Can't we take the elevator?
[dramatic music]
- Hey, you're in the way.
- She's alive!
- Casey, what's it
looking like up there?
- Mr. Halstead
is in rough shape.
I need a hand.
- [groans]
- Dad.
- [coughs]
[alarm beeping]
- Mayday, mayday!
- It's Stella...
Kidd.
She took in a lot of smoke.
- How did you let this happen?
- She was trying to save you.
♪
- Got another wave of patients
coming in.
Let's look alive!
Monique, what do we have?
- I triggered the
mass casualty protocol.
- Yeah?
- Everyone's prepped
and ready to go.
- All right, let's continue
to decompress the ED.
Get all non-critical
admitted or discharged.
- On it.
- All right, Doris, talk to me.
- I'm getting real-time updates
from the Office of
Emergency Management.
- All right, I want to know
how many are still
down at the scene and how many
we've got coming.
- Copy.
- All right, Dr. Manning.
Status on your burn patient?
- I need to get her up to the
OR to have her burns excised.
Have you been able
to reach her parents?
- We're still trying
to track them down.
Poor kid.
- Maggie.
- Yeah?
- You page Dr. Rhodes
for my dad?
- He's coming down in five.
Hey, how are you guys doing?
- Choi kicked us out.
- Yeah, he needs room
to work, Kelly.
Try to be patient.
- Get her on the vent
and make sure
she's 100% oxygenated.
- Right.
- [coughing]
- She's waking up.
- Push 4 milligrams
of midazolam.
Whoa, easy, easy.
- [grunting, coughing]
- Easy, easy.
- All right.
- Easy, Stella.
- BP and heart rate are stable.
- She's settling down.
Draw a blood gas
with carboxyhemoglobin.
- Yes, Doctor.
- Hey...
what's happening?
- Her vitals are holding,
but she's in pretty bad shape.
We're running some tests
and should know more soon.
[alarms beeping]
- Blood pressure and sats
are dropping.
- All right,
she's bleeding in her airway.
Hang a unit on the
rapid transfuser,
suction her ET tube,
and get a chest X-ray.
- Yep.
♪
.
- [hacking cough]
- Pop tried to play hero.
He forgot he was in his 60s
with a bum ticker.
- Yeah, well.
This is your fault
to begin with.
- Me?
- Yeah.
Stick me in that fire trap.
- Pop, stop talking.
- You said you liked the place.
- You close on the EKG?
- Just about.
- What's the point of this?
- Easy.
Paramedics said you were
complaining of chest pain.
Did you forget you had
a quadruple bypass
a few weeks ago?
Come on, stay still.
- Hey, if it isn't
my favorite patient.
How you doing, Mr. Halstead?
- Fine.
- So you felt some tightness
in your chest, huh?
- It's nothing.
- Well, you might be right.
I don't see any ST elevation
or depression.
No left access deviation.
Looks like a strong
and healthy heart to me.
- Yeah, good. We done?
- Nope, not yet.
You still have a pretty nasty
inhalation injury.
- Can I get a CBC, CMP,
and a carboxyhemoglobin?
- And add a full
cardiac workup.
- Dr. Rhodes?
Dr. Choi needs a consult.
- Yeah. Mr. Halstead,
a pleasure as always.
- [grunts]
- Thank you, Connor.
- [grunts]
I don't need all this.
- Calm down, you're getting
yourself worked up.
- What do you know?
You're no doctor.
- Pop.
- Forget it.
- You had no right
to sell my house.
- You want to talk
about this again?
It was a wreck. You couldn't
take care of the place.
- You just wanted my money.
- Hey.
- You don't have any money,
you thankless old prick.
Whatever.
- Jay.
[dramatic music]
♪
- [sighs]
Blood's coming too fast.
Every time I suction the tube,
it fills back up again.
- Hang another unit and
just do your best to keep up.
- Where's the X-ray?
- Here you go.
- She's got a massive
hemorrhage in her right lung.
It's impossible to say
where it's coming from.
All right, call the blood bank,
trigger the MTP.
- Can you stop the bleed?
- First I've gotta find it.
Let's set up
for a bronchoscopy.
- Okay.
[indistinct chatter]
- We're already maxed out
on ventilators,
and even if I
brought more down,
all my rooms are occupied.
I have nowhere
to put these patients.
- And Rhodes' pet project
has us down a room.
This hybrid OR
was a terrible idea.
I told you.
- Maggie, call Respiratory.
Tell them to send down
as many vents as they've got.
Dr. Lanik, open up the doctors'
lounge and the cafeteria
and get them equipped
for the overflow.
- Maggie.
- Yeah?
- I need a nurse
to help with some dressings.
- Take Doris with you.
- She's with a patient.
- Then Monique?
- She is too.
- All right.
Go down the phone tree again
and get us more nurses.
Meanwhile, I'll give you
a hand, Dr. Manning.
- Thank you.
- As soon as an operating room
becomes available,
your husband's
gonna go into surgery.
Can I get you
a bottle of water?
- Yes, thank you.
- Okay. Okay.
[coins clatter]
- Damn it.
[grunts]
♪
- You all right, Otis?
- Yeah.
Yeah, yeah, fine.
[coins clanking]
♪
Happens when I don't eat.
It's, uh...
[machine beeps]
Low blood sugar.
[chuckles]
- Of course.
♪
- Dad's stable.
Why don't you go in
and talk to him?
You know, make up?
- Well, he started it.
And thanks a lot.
We agreed that we were
gonna sell that place
and you just stood there.
You didn't say anything.
- What's the point
in arguing with him?
He's old. He's sick.
Just let it go.
- That's fine for you to say.
You're not the bad guy here.
- Jay, come on.
- No, seriously.
All those times you were away,
and all those times you said
that you couldn't leave
the hospital,
who took care of Dad?
Me.
- I did plenty for Dad.
I still do.
Who goes and
checks on him?
Keeps him on his meds?
- Yeah, all right.
Tell you what.
When he gets out of here,
you find him
his next apartment.
- This is Leslie
and Ryan Scott.
Blair's parents.
- I'm Ms. Goodwin.
This is Dr. Manning.
- Hey.
- We were both at work.
Heard there was a fire
at the apartment, but...
never expected this.
- [crying softly]
- Is she in pain?
- No.
We've given her medication
to make sure she's comfortable.
- You've got to save her.
- We're going to do
everything we can for her.
- I've reviewed the imaging.
- This is Dr. Bekker.
She's a cardio thoracic surgeon
we asked to consult.
- One of your
daughter's injuries
is to her right carotid artery.
- What does that mean?
- The artery is damaged.
It's blocking blood flow.
Don't worry, I can repair it
while her burns
are being excised.
- Is Blair going to...
- No.
Blair's burns cover
almost 80% of her body.
Once her blood pressure
is stable enough,
we will take her up to the OR
to begin excision
of her burn tissue.
I am afraid she will need
to remain in the ICU
for several months.
- Several months?
- While the doctors continue
to excise and graft her burns.
- [sobbing]
- But then can she come home?
- Yes, however, your daughter
is going to need physical
and occupational therapy
to regain her ability to walk,
talk, eat, even dress herself.
- No...
[sobbing]
- We understand there are
many challenges ahead,
but with proper treatment
and patience,
Blair can recover.
♪
- Oh, my baby.
- Oh...
Hey, it's...
- [sobbing]
- Take this one.
Got one more for you.
- Hey, Maggie.
- This one--yeah.
- I'm gonna get some air.
You just, uh...
you page me if there's anything
happening with Stella, okay?
- Will do.
- [exhales heavily]
- Otis, you okay?
- Yeah.
- Otis?
Otis, you okay?
Get over here, Curly!
Get me a gurney.
Ooh, let's take you down.
Easy, easy, easy.
- [gasping]
- Go get the gurney.
Yeah, I got this.
I got it.
- [groaning]
- Stay with me.
[distorted]
Stay with me.
Stay with me.
Stay with me.
.
- I understand Otis
had some kind of episode?
- Yeah, looks like
an inhalation injury.
I'm giving him a neb treatment.
Took blood to run an ABG.
He's doing much better,
but he needs
an extensive physical exam.
- Dr. Choi, I need you.
- You go ahead.
I'll take a look at him.
Like to keep my chops up.
- Thanks.
- We've got another burn victim
coming in.
Desmond!
Talk to me.
- Early 20s, female,
found down at the scene,
unconscious due
to smoke asphyxiation.
Intubated on the ride.
- Mags, let's get her
in a room.
- Afraid it's
the doctors' lounge.
- Doctors' lounge?
- Unless you want to go
to the cafeteria.
- Doctors' lounge.
- Okay.
- We were taking her
to East Mercy,
but they went on bypass.
No ID or identifying marks,
so we're treating her
as a Jane Doe.
- Right here, right here.
- Yep.
- Let's transfer her
on my count.
Everybody ready?
One, two, three.
Start a second IV
and get her on the monitors.
- Right away.
- What do we have?
- No gross deformities,
but she's got
some pretty nasty burns,
including a full thickness,
near circumferential
on her lower left arm.
We need to get fluids in her.
Pull us 500 of ringers
at 200 per hour.
- Got it.
- Wait, shouldn't we
use Parkland?
Calculate fluid input based on
percentage of burn area.
- First 24 hours are critical.
We should start with
a higher volume of fluid.
- That's not
standard procedure.
- I've had experience
with burns in the military.
We can always titrate down
based on urine output.
- Your party.
- Thanks for that.
- All right.
- I really feel fine now.
- You're a little tachycardic.
Can you feel your heart racing?
- Yeah, it usually happens
when I get a physical.
You know, what do they call it,
white coat syndrome?
You know, doctors, needles--
- I hear you.
Probably why your
blood pressure's
a little high too.
You ever experience
this before?
- Yeah, a couple times.
Nothing serious.
You know.
Smoke.
- Right.
Ever happen when
you're off duty?
- No, why would it?
- I'm just going
to, uh, make sure
that you don't have
a retinal burn, all right?
- You don't have to go
to all the trouble.
- Just checking
all the boxes, bud.
Will you close
your eyes for me?
- Doc Charles,
my eyes feel good.
- Just humor me.
- [sighs]
- You see anything?
Colors? Patterns?
[dramatic music]
- No.
Nothing.
- Okay.
Okay.
Just sorry you had, uh...
such a tough day at the office.
I heard there were
a lot of victims.
- We've got 16
critical patients,
24 stable, and a dozen more
treated and released.
We've got the doctors' lounge
and the cafeteria
open and running
for the overflow.
- What about fatalities?
- We've taken three
down to the morgue.
We have two DOAs
and one more that we
weren't able to resuscitate.
- Good work keeping
the trains running.
- Let me know
if anything changes.
- Will do.
- Mags.
- Yeah?
- The burn patient
we just brought in.
Early 20s, Latina, no ID,
and no family.
Can we make some calls
on a Jane Doe?
- Yeah, I'll put out a bulletin
and see what I can find out.
- Thanks.
[alarms beeping]
- Dr. Halstead, you got that?
- Dad!
[alarms beeping]
- He was talking
just a minute ago.
- No pulse.
Bag him.
- Wait, he's your dad.
Shouldn't another doctor
run the code?
- You got one handy?
- What's going on?
- He's in V-fib.
Charge to 200
and give me the paddles.
[electricity surging]
Clear.
[thumps, machine beeps]
Still no pulse.
Push a milligram of epi.
- Got it.
[suspenseful music]
- Will?
♪
- Charge to 200.
- Charging.
- Clear.
- Clear.
[thumps, machine beeps]
Nothing.
Another milligram of epi.
- Yep.
♪
[knocking]
- Hi.
Good news. An operating room
has opened up.
We'll be able to take
your daughter upstairs
for burn surgery.
- And to repair
her carotid artery.
- No. Please stop.
- No treatments, no surgeries.
- What?
- We don't want any surgeries.
- I don't understand.
- But if we don't take Blair
up to the OR now,
she won't survive.
- My wife and I
have talked about it.
Blair wouldn't want this.
- But with proper treatment,
she could still have a life.
- Look at her.
What kind of life?
- These last few years
have been so hard for Blair.
She struggled with
body issues, bullying.
Just recently, she was
able to lose weight,
change schools, and...
- [sobbing]
- She finally felt good
about herself.
And now this.
- Everything she's
been through...
We can't do this to her.
[dramatic music]
- But...
people react differently
to trauma.
You don't know.
Surviving this might actually
make your daughter
more resilient.
- We know our little girl.
- Mr. and Mrs. Scott--
- No.
- [sobbing]
- We have to let her go.
♪
- Dr. Manning should be clear
about the parents' wishes
before calling me in
to consult.
It was a waste of my time.
- I'm sorry?
- They're withholding
treatment.
[monitor beeping steadily]
- How long before you
restored sinus rhythm?
- He was down
around five minutes.
- Well, that's consistent
with what I'm seeing.
Almost no EEG waveforms.
- What does that mean?
- You want to tell him?
- Are we not seeing
some brain activity?
- Artifacts.
Distortion, interference.
Dust on the window.
- Okay, I am--
I'm not following.
- Your father's brain-dead.
♪
- So he's just
not coming back?
Like, you--you're saying
that there's...
there's no chance?
- If I had to calculate
the odds,
I'd say 1,000 to 1 against.
This vent could be put
to better use.
- What?
Are you serious?
- Jay.
- The hell is wrong
with you, man?
Are you kidding me?
- We'll talk about it.
Thanks, Sam.
♪
- She's lost a significant
amount of blood.
- Unfortunately,
the only way we can be sure
to completely stop her bleed
is to remove her entire lung.
- What?
- Yeah.
- Kelly,
it's the best chance we have
of saving Stella's life.
- She can't be a firefighter
if she only has one lung.
There's gotta be
something else you can do.
April?
- What if we tried ECMO?
It would rest her lung
so we have enough time
to locate the bleed--
- No.
We'd have to give her
anticoagulants
to keep the lines open.
- It would make her bleed
even worse.
- Isn't it worth a shot?
- She's too unstable.
- Believe me, Kelly, this is
the best course of action.
- Sounds to me like
you've thrown in the towel
before you even tried
to save her lung.
Being a firefighter is the
only thing Stella cares about.
I'm not gonna let you do it.
- I'm sorry.
But it's not up to you.
We haven't been able
to reach her family,
so it's our decision.
- Get her upstairs.
- I won't let you do this.
- Kelly, please.
- No. No.
- Kelly, you have to let me--
- No! No.
- Get off! Hey!
Security!
- Whoa, whoa, Ethan?
No!
Kelly...
- Come on!
- Ethan...
- Please escort this man out.
- Ethan.
- Sir, come with us.
- Don't--don't touch me.
- I'm sorry, Kelly.
- Don't do this.
- Please, sir.
♪
.
[indistinct chatter]
- Excuse me.
I was at the fire
and, uh, I thought I was fine,
but, um...
I have a headache now
and I'm feeling a little dizzy.
- Fill this out and we'll get
to you as soon as we can.
- I appreciate it.
Thank you.
- Hey, Mags.
- Yeah?
- Any luck on ID'ing
my Jane Doe?
- Nothing yet.
- I don't like that guy, man.
I want a second opinion.
- He's our top neurosurgeon.
- [scoffs, chuckles wryly]
So all your degrees,
all that money,
all those years in school,
this is the best you can do?
- Jay, Dad almost died
two years ago.
He's been living
on borrowed time.
- Abrams didn't say Dad
had no chance.
- 1,000 to 1 is no chance.
- You just want to give up?
- I'm trying to be realistic.
I've seen a lot of patients
in his condition.
- There goes that
doctor voice.
- I'm sorry, but I am a doctor.
- Yeah, don't worry,
we got that message.
And Dad knew you thought
you were better than us.
We always came in second,
you weren't there,
and now you want
to decide what happens?
- That is not true, Jay.
- There you are.
- Ms. Garrett,
this is my brother, Jay.
- Yes.
I'm the hospital's COO.
I heard about your father.
I'm very sorry.
- Thank you.
- I want you both to know
that there's no hurry
in making any decisions
about Mr. Halstead.
You have the full support
of this hospital.
And we will provide
your father with
any and all resources.
- I appreciate that.
- We take care of our own.
This...
is my cell phone.
You call me
if you need anything.
[dramatic music]
♪
- It's decided.
We're not giving up.
♪
- Dr. Manning.
I have the consent form.
- They're gonna let her die.
- I don't think
it's that simple.
You ready?
♪
Mr. and Mrs. Scott,
per your request,
this form gives
the hospital consent
to remove Blair
from the ventilator.
I need you to sign it
in my presence.
- You're sure?
♪
- [whimpering]
[sobs]
♪
- We'll leave you
with your daughter.
- [breathes shakily]
♪
- Kelly.
They shouldn't have done that
to you, man.
- All I care about is Stella.
- She's lucky to have you.
- She loves what
she does, April.
It's her life.
They can't take out her lung.
- I get it.
But since we can't
reach her family,
it's up to the doctors
to make the decision.
- But they don't know her.
There's nothing we can do?
- Hey.
There you are.
I just heard about your dad.
Are you okay?
- Just hard to believe.
He was such a force.
- How's Jay taking it?
- Not good.
They're a lot alike.
Stubborn.
Gwen didn't help.
I mean, she said she would use
the hospital's resources
to keep Dad alive.
- Really?
That doesn't sound like her.
- Yeah, it surprised me too.
- I love you.
Let me know if there's
anything I can do, okay?
- [sighs]
- Here are the ABG results
for Brian Zvonecek.
- Thank you.
- You're welcome.
[curtain rattles]
- Doc Charles.
- Mr. Zvonecek.
- When can I get out of here?
- See, here's the thing.
Your blood gas shows low CO2,
low carboxyhemoglobin,
and normal oxygen.
- That's good, right?
- Well, what it means
is that you didn't have
an inhalation injury.
More than likely,
you passed out
because you were
hyperventilating.
- Huh.
All the same, I'm not sick.
- Okay, but...
why were you hyperventilating?
You know, when we can't find
a physical reason,
more often than not, it's...
you know, due to
an emotional reaction
to some sort of...
- Wait, wait, wait, wait.
Where you going?
What, PTSD?
- I didn't use that label.
I'm just saying
it would explain...
the tachycardia,
the elevated blood pressure...
- No. No way.
- Full disclosure,
I noticed
a little hand tremor
earlier today.
- But I told you,
that was my blood sugar.
- Otis.
You were shot
earlier this year.
I mean, that alone,
it's gonna precipitate
a little post-traumatic stress.
And that I can tell you
from personal experience.
And after what you
went through today, I mean,
why don't you let me
take you upstairs
for a quick evaluation?
- No.
I get it.
You're a shrink,
so everybody you see
has got to have some sort
of mental problem, right?
But not me.
I feel great.
[scoffs softly]
- I'm trying to help you.
There's just been--
- Dr. Rhodes.
- Sorry, guys,
I gotta get scrubbed.
- We just want to talk to you
about Stella.
- [sighs]
Really, April?
- Just hear them out.
- We don't want you
to remove her lung.
- There has to be
another option.
- Look, guys,
I understand your concerns.
But as her doctors,
we've decided
on the best course
of treatment,
and only Stella's family
can override that decision.
- Dr. Rhodes.
We are her family.
- That's true.
She'd tell you
the same thing, Doc.
♪
- [sighs]
- Another walk-away.
♪
- There's another way.
- What do you mean?
- The majority of lung bleeds
originate in the
lower lobes, right?
- So?
- So what if I clamp
at the base
of the pulmonary artery?
- Connor,
you made the right call.
We have a good surgical plan.
- But what if we resect
the lower lobe first?
If the bleeding stops,
we won't have to remove
the entire lung.
- No, it's too risky.
- If it doesn't work,
we can still remove the lung.
- After wasting precious time.
Have you forgotten we're
trying to save her life?
- I think we can do that
and give her the life
that she wants.
- She's a young woman.
She can find another career.
- I have to try.
I owe it to her.
I owe it to them.
- Connor, being a firefighter
isn't gonna mean a damn thing
if Stella dies on the table.
♪
- I can do it.
- Don't--Connor!
♪
.
- Time, Dr. Rhodes.
Where are we?
- I'm almost there,
but every time
the lung inflates,
it obstructs my view.
Marty, can we deflate the lung
any further?
- No way. I'm barely
keeping her oxygenated
as it is.
- Take it down another 20%.
- It's too risky.
- I only need to reach
the lower lobe.
I'll find the bleed
and make my resection
before you know it.
- Make it fast.
- You're quite
the patient advocate today.
Did you do it for Stella
or for Kelly?
- I've known him
since we were kids.
- You didn't answer
the question.
- I did it because it was
the right thing to do.
[alarms beeping]
- Marty?
- BP's down to 88 systolic.
- I'm close.
- Let's hope so.
[pager buzzes]
- You are not going to make it.
We have to open her up
and remove the lung.
- BP's at 82.
- Up her pressers.
- Can't, I'm already maxed out.
- Connor, please.
- Just give me a second.
- Sats are at 78.
That's all she can tolerate.
I'm reinflating the lung.
- No, wait. There.
That's it.
That's the bleed.
- You found it, but do you
have time to fix it?
[alarms beeping]
- What happened?
- Her hand's ice-cold.
I can't get a pulse.
- The forearm's tight.
She's got compartment syndrome.
Get Maggie.
- Yeah, on it.
- I told you to use
the Parkland formula.
You gave her too much fluid.
- No.
I've been monitoring
her urine output.
Everything's been normal.
- Then what's your
explanation for this?
- What do you need?
- Find us an OR.
This woman needs
an emergency fasciotomy.
- I'll tell you right now
all the ORs are occupied.
You're gonna have to wait.
- How long?
- 20 minutes?
- We can't.
20 minutes, she'll end up
with an amputation.
- Get me a soft tissue tray
and a scalpel.
We'll relieve the pressure now.
Right here.
- Prep the patient.
[dramatic music]
[knock at door]
- Come in.
- Ms. Goodwin.
- Oh, Dr. Halstead.
I'm very sorry
about your father.
- Did you know?
- Did I know what?
- Gwen Garrett made
a special point of telling
me and Jay that
there was no hurry
in taking my dad off the vent.
- Okay?
- My dad's chart.
His bypass surgery
was 29 days ago.
29 days ago.
- I see.
- I can't believe
the hospital would do this.
Not to me.
Not to my family.
[door slams]
♪
Hey, Jay.
We gotta take Dad off the vent.
- What?
No, no, no.
He...
I've been sitting with him,
and he blinks his eyes.
And I grabbed his hand,
and he squeezed my hand.
He squeezed my hand.
- Those are just reflexes.
They don't mean anything.
- I'm telling you, man,
he knows that I'm here.
- He doesn't.
He can't.
- We can't. He's...
He's gotta come back,
man, 'cause...
that can't be the
last conversation
I ever have with him.
- Look, whatever regrets
you have,
you're not gonna
resolve them here.
You just gotta accept that.
- Don't tell me
what I got to accept.
- Jay, the reason
Gwen encouraged us
to take our time with Dad?
His bypass was 29 days ago.
If he dies before
30 days are up,
regardless of why, it's
a fatality for the hospital.
- So what?
- So Gwen's just trying to
keep Dad alive for one more day
so the hospital
doesn't take the hit.
- I get it.
You feel betrayed.
I don't care.
I care about Dad.
- And you think he'd want
to be kept alive
to buff some numbers?
- You need to get out.
You got to get out, man.
- They're using him.
- That's your problem.
- Jay, he's gone.
- Doc, you okay?
♪
[knocking]
- You got my discharge?
- Gotta be honest,
I'm just not comfortable
signing off on you
going back to work yet.
- You're gonna keep me
from working.
- Look, I'll make you a deal.
Commit to some therapy.
Twice a week.
Once a week.
- You don't get it.
I can't be a firefighter
if I have PTSD.
- What, you can't be a
firefighter and have feelings?
Look, I have no problem
keeping this out of your chart
if that'll make you
feel better.
- If I see a shrink,
people are gonna find out.
I can't have that.
- Tell me something.
When I asked you to close
your eyes earlier today,
what did you see?
What'd you really see?
Otis, you can tell me.
- Okay.
I had to get a mom and a baby
out of the building.
I lost contact.
Told her not to get
in the elevator.
She got in the elevator.
The elevator got stuck.
When we finally got
the doors open...
There they were.
[somber music]
Burned alive.
Their faces were gone,
but I knew it was them.
[exhales heavily]
I can't get it out of my head.
♪
- It's called
an intrusive memory.
I can help you with that.
- Doc Charles...
[speaking Russian]
It means life's not a...
stroll across a meadow.
These things I see...
they're part of the job.
Every firefighter sees them.
We cope.
♪
I'm out of here.
You want to destroy my life,
write whatever you want
in your chart.
♪
- Dr. Manning?
- Yes.
- We need you.
- Veronica.
- She's still breathing
on her own.
- Yes.
Her oxygen levels are good.
- It's been hours.
- Her heart rhythm is strong.
She's holding on.
- She wants to live.
My little girl,
she wants to live.
[sniffles] And we were
gonna let her go.
- What do we do?
How can we help her?
- She needs to go
to surgery right now.
- Do it.
Help her.
- Tell the OR we're coming up.
♪
[tense music]
♪
- Scissors.
♪
Okay, pressure's
been relieved,
but that's not fluid.
- It's blood.
Her ulna's broken.
That's what caused
the bleeding.
- Compartment syndrome
was caused
by a fracture hematoma,
not fluid.
- It wasn't your fault,
Dr. Choi.
- They found her just outside
the room
where the fire started,
so how would she have
broken her arm?
There's also extensive bruising
around her ribs and pelvis.
This woman wasn't just burned.
She was beaten.
♪
.
[indistinct chatter]
- You guys put me
in a terrible position.
But...
we were able to isolate
the bleed,
and we only had to take out
a portion of her lung.
It was a thoracoscopic
procedure,
minimally invasive.
That's all to say that...
she should be back to work
in no time.
- Oh, thank God.
- Hey...
Dr. Rhodes...
you're the man.
- Yeah, you guys are okay too.
- Thanks.
- Why don't you bring
Kelly back in?
- Thanks, Doc.
- You got it, bud.
- You were extremely lucky,
you know that?
- Extremely.
[soft music]
♪
- Kelly.
She's awake.
Wants to see you.
♪
- Stop.
- [chuckles]
I'm so glad you're back.
- Of course.
♪
♪
- Hey.
You okay?
- I could have been
a better son.
Could have been
a better brother.
- [softly]
Oh, Will...
your dad knew you loved him.
And so does Jay.
♪
- Oh, no.
- I got it.
Here you go.
- Thank you.
[tense music]
♪
- Sir, can I help you?
- My uncle was in
the building with the fire?
I thought they might have
brought him here.
- Okay, sir,
so I'm gonna need you
to go back into
the waiting room
and give the nurse
your uncle's name.
She'll let you know
if your uncle was admitted.
- All right.
- Thank you.
- Thank you.
- Yeah.
♪
[indistinct chatter]
- Told you you were
going home, huh?
- Dr. Choi discharged him?
- No, I did.
- Really?
- Yeah.
He's in pretty good hands.
For now.
[monitor beeping steadily]
- I'm sorry, Jay.
For everything.
For not being there
for you and Dad.
And for not giving you space
to grieve.
[soft dramatic music]
We'll keep him on the vent
as long as you want.
- Who am I kidding, man?
I know he's not coming back.
♪
Let him go.
Just let him go.
[somber music]
♪
- Take these too.
- Maggie?
- Yeah.
- What happened
to our Jane Doe?
- Dr. Choi?
[suspenseful music]
♪
She turned off
the monitors.
- She has serious
internal injuries.
If we don't find her soon,
she's gonna die.
♪
[wolf howls]
[bright tones]
- Truck 81, Squad 3,
I need search teams.
- It's a long way down.
Can't we take the elevator?
[dramatic music]
- Hey, you're in the way.
- She's alive!
- Casey, what's it
looking like up there?
- Mr. Halstead
is in rough shape.
I need a hand.
- [groans]
- Dad.
- [coughs]
[alarm beeping]
- Mayday, mayday!
- It's Stella...
Kidd.
She took in a lot of smoke.
- How did you let this happen?
- She was trying to save you.
♪
- Got another wave of patients
coming in.
Let's look alive!
Monique, what do we have?
- I triggered the
mass casualty protocol.
- Yeah?
- Everyone's prepped
and ready to go.
- All right, let's continue
to decompress the ED.
Get all non-critical
admitted or discharged.
- On it.
- All right, Doris, talk to me.
- I'm getting real-time updates
from the Office of
Emergency Management.
- All right, I want to know
how many are still
down at the scene and how many
we've got coming.
- Copy.
- All right, Dr. Manning.
Status on your burn patient?
- I need to get her up to the
OR to have her burns excised.
Have you been able
to reach her parents?
- We're still trying
to track them down.
Poor kid.
- Maggie.
- Yeah?
- You page Dr. Rhodes
for my dad?
- He's coming down in five.
Hey, how are you guys doing?
- Choi kicked us out.
- Yeah, he needs room
to work, Kelly.
Try to be patient.
- Get her on the vent
and make sure
she's 100% oxygenated.
- Right.
- [coughing]
- She's waking up.
- Push 4 milligrams
of midazolam.
Whoa, easy, easy.
- [grunting, coughing]
- Easy, easy.
- All right.
- Easy, Stella.
- BP and heart rate are stable.
- She's settling down.
Draw a blood gas
with carboxyhemoglobin.
- Yes, Doctor.
- Hey...
what's happening?
- Her vitals are holding,
but she's in pretty bad shape.
We're running some tests
and should know more soon.
[alarms beeping]
- Blood pressure and sats
are dropping.
- All right,
she's bleeding in her airway.
Hang a unit on the
rapid transfuser,
suction her ET tube,
and get a chest X-ray.
- Yep.
♪
.
- [hacking cough]
- Pop tried to play hero.
He forgot he was in his 60s
with a bum ticker.
- Yeah, well.
This is your fault
to begin with.
- Me?
- Yeah.
Stick me in that fire trap.
- Pop, stop talking.
- You said you liked the place.
- You close on the EKG?
- Just about.
- What's the point of this?
- Easy.
Paramedics said you were
complaining of chest pain.
Did you forget you had
a quadruple bypass
a few weeks ago?
Come on, stay still.
- Hey, if it isn't
my favorite patient.
How you doing, Mr. Halstead?
- Fine.
- So you felt some tightness
in your chest, huh?
- It's nothing.
- Well, you might be right.
I don't see any ST elevation
or depression.
No left access deviation.
Looks like a strong
and healthy heart to me.
- Yeah, good. We done?
- Nope, not yet.
You still have a pretty nasty
inhalation injury.
- Can I get a CBC, CMP,
and a carboxyhemoglobin?
- And add a full
cardiac workup.
- Dr. Rhodes?
Dr. Choi needs a consult.
- Yeah. Mr. Halstead,
a pleasure as always.
- [grunts]
- Thank you, Connor.
- [grunts]
I don't need all this.
- Calm down, you're getting
yourself worked up.
- What do you know?
You're no doctor.
- Pop.
- Forget it.
- You had no right
to sell my house.
- You want to talk
about this again?
It was a wreck. You couldn't
take care of the place.
- You just wanted my money.
- Hey.
- You don't have any money,
you thankless old prick.
Whatever.
- Jay.
[dramatic music]
♪
- [sighs]
Blood's coming too fast.
Every time I suction the tube,
it fills back up again.
- Hang another unit and
just do your best to keep up.
- Where's the X-ray?
- Here you go.
- She's got a massive
hemorrhage in her right lung.
It's impossible to say
where it's coming from.
All right, call the blood bank,
trigger the MTP.
- Can you stop the bleed?
- First I've gotta find it.
Let's set up
for a bronchoscopy.
- Okay.
[indistinct chatter]
- We're already maxed out
on ventilators,
and even if I
brought more down,
all my rooms are occupied.
I have nowhere
to put these patients.
- And Rhodes' pet project
has us down a room.
This hybrid OR
was a terrible idea.
I told you.
- Maggie, call Respiratory.
Tell them to send down
as many vents as they've got.
Dr. Lanik, open up the doctors'
lounge and the cafeteria
and get them equipped
for the overflow.
- Maggie.
- Yeah?
- I need a nurse
to help with some dressings.
- Take Doris with you.
- She's with a patient.
- Then Monique?
- She is too.
- All right.
Go down the phone tree again
and get us more nurses.
Meanwhile, I'll give you
a hand, Dr. Manning.
- Thank you.
- As soon as an operating room
becomes available,
your husband's
gonna go into surgery.
Can I get you
a bottle of water?
- Yes, thank you.
- Okay. Okay.
[coins clatter]
- Damn it.
[grunts]
♪
- You all right, Otis?
- Yeah.
Yeah, yeah, fine.
[coins clanking]
♪
Happens when I don't eat.
It's, uh...
[machine beeps]
Low blood sugar.
[chuckles]
- Of course.
♪
- Dad's stable.
Why don't you go in
and talk to him?
You know, make up?
- Well, he started it.
And thanks a lot.
We agreed that we were
gonna sell that place
and you just stood there.
You didn't say anything.
- What's the point
in arguing with him?
He's old. He's sick.
Just let it go.
- That's fine for you to say.
You're not the bad guy here.
- Jay, come on.
- No, seriously.
All those times you were away,
and all those times you said
that you couldn't leave
the hospital,
who took care of Dad?
Me.
- I did plenty for Dad.
I still do.
Who goes and
checks on him?
Keeps him on his meds?
- Yeah, all right.
Tell you what.
When he gets out of here,
you find him
his next apartment.
- This is Leslie
and Ryan Scott.
Blair's parents.
- I'm Ms. Goodwin.
This is Dr. Manning.
- Hey.
- We were both at work.
Heard there was a fire
at the apartment, but...
never expected this.
- [crying softly]
- Is she in pain?
- No.
We've given her medication
to make sure she's comfortable.
- You've got to save her.
- We're going to do
everything we can for her.
- I've reviewed the imaging.
- This is Dr. Bekker.
She's a cardio thoracic surgeon
we asked to consult.
- One of your
daughter's injuries
is to her right carotid artery.
- What does that mean?
- The artery is damaged.
It's blocking blood flow.
Don't worry, I can repair it
while her burns
are being excised.
- Is Blair going to...
- No.
Blair's burns cover
almost 80% of her body.
Once her blood pressure
is stable enough,
we will take her up to the OR
to begin excision
of her burn tissue.
I am afraid she will need
to remain in the ICU
for several months.
- Several months?
- While the doctors continue
to excise and graft her burns.
- [sobbing]
- But then can she come home?
- Yes, however, your daughter
is going to need physical
and occupational therapy
to regain her ability to walk,
talk, eat, even dress herself.
- No...
[sobbing]
- We understand there are
many challenges ahead,
but with proper treatment
and patience,
Blair can recover.
♪
- Oh, my baby.
- Oh...
Hey, it's...
- [sobbing]
- Take this one.
Got one more for you.
- Hey, Maggie.
- This one--yeah.
- I'm gonna get some air.
You just, uh...
you page me if there's anything
happening with Stella, okay?
- Will do.
- [exhales heavily]
- Otis, you okay?
- Yeah.
- Otis?
Otis, you okay?
Get over here, Curly!
Get me a gurney.
Ooh, let's take you down.
Easy, easy, easy.
- [gasping]
- Go get the gurney.
Yeah, I got this.
I got it.
- [groaning]
- Stay with me.
[distorted]
Stay with me.
Stay with me.
Stay with me.
.
- I understand Otis
had some kind of episode?
- Yeah, looks like
an inhalation injury.
I'm giving him a neb treatment.
Took blood to run an ABG.
He's doing much better,
but he needs
an extensive physical exam.
- Dr. Choi, I need you.
- You go ahead.
I'll take a look at him.
Like to keep my chops up.
- Thanks.
- We've got another burn victim
coming in.
Desmond!
Talk to me.
- Early 20s, female,
found down at the scene,
unconscious due
to smoke asphyxiation.
Intubated on the ride.
- Mags, let's get her
in a room.
- Afraid it's
the doctors' lounge.
- Doctors' lounge?
- Unless you want to go
to the cafeteria.
- Doctors' lounge.
- Okay.
- We were taking her
to East Mercy,
but they went on bypass.
No ID or identifying marks,
so we're treating her
as a Jane Doe.
- Right here, right here.
- Yep.
- Let's transfer her
on my count.
Everybody ready?
One, two, three.
Start a second IV
and get her on the monitors.
- Right away.
- What do we have?
- No gross deformities,
but she's got
some pretty nasty burns,
including a full thickness,
near circumferential
on her lower left arm.
We need to get fluids in her.
Pull us 500 of ringers
at 200 per hour.
- Got it.
- Wait, shouldn't we
use Parkland?
Calculate fluid input based on
percentage of burn area.
- First 24 hours are critical.
We should start with
a higher volume of fluid.
- That's not
standard procedure.
- I've had experience
with burns in the military.
We can always titrate down
based on urine output.
- Your party.
- Thanks for that.
- All right.
- I really feel fine now.
- You're a little tachycardic.
Can you feel your heart racing?
- Yeah, it usually happens
when I get a physical.
You know, what do they call it,
white coat syndrome?
You know, doctors, needles--
- I hear you.
Probably why your
blood pressure's
a little high too.
You ever experience
this before?
- Yeah, a couple times.
Nothing serious.
You know.
Smoke.
- Right.
Ever happen when
you're off duty?
- No, why would it?
- I'm just going
to, uh, make sure
that you don't have
a retinal burn, all right?
- You don't have to go
to all the trouble.
- Just checking
all the boxes, bud.
Will you close
your eyes for me?
- Doc Charles,
my eyes feel good.
- Just humor me.
- [sighs]
- You see anything?
Colors? Patterns?
[dramatic music]
- No.
Nothing.
- Okay.
Okay.
Just sorry you had, uh...
such a tough day at the office.
I heard there were
a lot of victims.
- We've got 16
critical patients,
24 stable, and a dozen more
treated and released.
We've got the doctors' lounge
and the cafeteria
open and running
for the overflow.
- What about fatalities?
- We've taken three
down to the morgue.
We have two DOAs
and one more that we
weren't able to resuscitate.
- Good work keeping
the trains running.
- Let me know
if anything changes.
- Will do.
- Mags.
- Yeah?
- The burn patient
we just brought in.
Early 20s, Latina, no ID,
and no family.
Can we make some calls
on a Jane Doe?
- Yeah, I'll put out a bulletin
and see what I can find out.
- Thanks.
[alarms beeping]
- Dr. Halstead, you got that?
- Dad!
[alarms beeping]
- He was talking
just a minute ago.
- No pulse.
Bag him.
- Wait, he's your dad.
Shouldn't another doctor
run the code?
- You got one handy?
- What's going on?
- He's in V-fib.
Charge to 200
and give me the paddles.
[electricity surging]
Clear.
[thumps, machine beeps]
Still no pulse.
Push a milligram of epi.
- Got it.
[suspenseful music]
- Will?
♪
- Charge to 200.
- Charging.
- Clear.
- Clear.
[thumps, machine beeps]
Nothing.
Another milligram of epi.
- Yep.
♪
[knocking]
- Hi.
Good news. An operating room
has opened up.
We'll be able to take
your daughter upstairs
for burn surgery.
- And to repair
her carotid artery.
- No. Please stop.
- No treatments, no surgeries.
- What?
- We don't want any surgeries.
- I don't understand.
- But if we don't take Blair
up to the OR now,
she won't survive.
- My wife and I
have talked about it.
Blair wouldn't want this.
- But with proper treatment,
she could still have a life.
- Look at her.
What kind of life?
- These last few years
have been so hard for Blair.
She struggled with
body issues, bullying.
Just recently, she was
able to lose weight,
change schools, and...
- [sobbing]
- She finally felt good
about herself.
And now this.
- Everything she's
been through...
We can't do this to her.
[dramatic music]
- But...
people react differently
to trauma.
You don't know.
Surviving this might actually
make your daughter
more resilient.
- We know our little girl.
- Mr. and Mrs. Scott--
- No.
- [sobbing]
- We have to let her go.
♪
- Dr. Manning should be clear
about the parents' wishes
before calling me in
to consult.
It was a waste of my time.
- I'm sorry?
- They're withholding
treatment.
[monitor beeping steadily]
- How long before you
restored sinus rhythm?
- He was down
around five minutes.
- Well, that's consistent
with what I'm seeing.
Almost no EEG waveforms.
- What does that mean?
- You want to tell him?
- Are we not seeing
some brain activity?
- Artifacts.
Distortion, interference.
Dust on the window.
- Okay, I am--
I'm not following.
- Your father's brain-dead.
♪
- So he's just
not coming back?
Like, you--you're saying
that there's...
there's no chance?
- If I had to calculate
the odds,
I'd say 1,000 to 1 against.
This vent could be put
to better use.
- What?
Are you serious?
- Jay.
- The hell is wrong
with you, man?
Are you kidding me?
- We'll talk about it.
Thanks, Sam.
♪
- She's lost a significant
amount of blood.
- Unfortunately,
the only way we can be sure
to completely stop her bleed
is to remove her entire lung.
- What?
- Yeah.
- Kelly,
it's the best chance we have
of saving Stella's life.
- She can't be a firefighter
if she only has one lung.
There's gotta be
something else you can do.
April?
- What if we tried ECMO?
It would rest her lung
so we have enough time
to locate the bleed--
- No.
We'd have to give her
anticoagulants
to keep the lines open.
- It would make her bleed
even worse.
- Isn't it worth a shot?
- She's too unstable.
- Believe me, Kelly, this is
the best course of action.
- Sounds to me like
you've thrown in the towel
before you even tried
to save her lung.
Being a firefighter is the
only thing Stella cares about.
I'm not gonna let you do it.
- I'm sorry.
But it's not up to you.
We haven't been able
to reach her family,
so it's our decision.
- Get her upstairs.
- I won't let you do this.
- Kelly, please.
- No. No.
- Kelly, you have to let me--
- No! No.
- Get off! Hey!
Security!
- Whoa, whoa, Ethan?
No!
Kelly...
- Come on!
- Ethan...
- Please escort this man out.
- Ethan.
- Sir, come with us.
- Don't--don't touch me.
- I'm sorry, Kelly.
- Don't do this.
- Please, sir.
♪
.
[indistinct chatter]
- Excuse me.
I was at the fire
and, uh, I thought I was fine,
but, um...
I have a headache now
and I'm feeling a little dizzy.
- Fill this out and we'll get
to you as soon as we can.
- I appreciate it.
Thank you.
- Hey, Mags.
- Yeah?
- Any luck on ID'ing
my Jane Doe?
- Nothing yet.
- I don't like that guy, man.
I want a second opinion.
- He's our top neurosurgeon.
- [scoffs, chuckles wryly]
So all your degrees,
all that money,
all those years in school,
this is the best you can do?
- Jay, Dad almost died
two years ago.
He's been living
on borrowed time.
- Abrams didn't say Dad
had no chance.
- 1,000 to 1 is no chance.
- You just want to give up?
- I'm trying to be realistic.
I've seen a lot of patients
in his condition.
- There goes that
doctor voice.
- I'm sorry, but I am a doctor.
- Yeah, don't worry,
we got that message.
And Dad knew you thought
you were better than us.
We always came in second,
you weren't there,
and now you want
to decide what happens?
- That is not true, Jay.
- There you are.
- Ms. Garrett,
this is my brother, Jay.
- Yes.
I'm the hospital's COO.
I heard about your father.
I'm very sorry.
- Thank you.
- I want you both to know
that there's no hurry
in making any decisions
about Mr. Halstead.
You have the full support
of this hospital.
And we will provide
your father with
any and all resources.
- I appreciate that.
- We take care of our own.
This...
is my cell phone.
You call me
if you need anything.
[dramatic music]
♪
- It's decided.
We're not giving up.
♪
- Dr. Manning.
I have the consent form.
- They're gonna let her die.
- I don't think
it's that simple.
You ready?
♪
Mr. and Mrs. Scott,
per your request,
this form gives
the hospital consent
to remove Blair
from the ventilator.
I need you to sign it
in my presence.
- You're sure?
♪
- [whimpering]
[sobs]
♪
- We'll leave you
with your daughter.
- [breathes shakily]
♪
- Kelly.
They shouldn't have done that
to you, man.
- All I care about is Stella.
- She's lucky to have you.
- She loves what
she does, April.
It's her life.
They can't take out her lung.
- I get it.
But since we can't
reach her family,
it's up to the doctors
to make the decision.
- But they don't know her.
There's nothing we can do?
- Hey.
There you are.
I just heard about your dad.
Are you okay?
- Just hard to believe.
He was such a force.
- How's Jay taking it?
- Not good.
They're a lot alike.
Stubborn.
Gwen didn't help.
I mean, she said she would use
the hospital's resources
to keep Dad alive.
- Really?
That doesn't sound like her.
- Yeah, it surprised me too.
- I love you.
Let me know if there's
anything I can do, okay?
- [sighs]
- Here are the ABG results
for Brian Zvonecek.
- Thank you.
- You're welcome.
[curtain rattles]
- Doc Charles.
- Mr. Zvonecek.
- When can I get out of here?
- See, here's the thing.
Your blood gas shows low CO2,
low carboxyhemoglobin,
and normal oxygen.
- That's good, right?
- Well, what it means
is that you didn't have
an inhalation injury.
More than likely,
you passed out
because you were
hyperventilating.
- Huh.
All the same, I'm not sick.
- Okay, but...
why were you hyperventilating?
You know, when we can't find
a physical reason,
more often than not, it's...
you know, due to
an emotional reaction
to some sort of...
- Wait, wait, wait, wait.
Where you going?
What, PTSD?
- I didn't use that label.
I'm just saying
it would explain...
the tachycardia,
the elevated blood pressure...
- No. No way.
- Full disclosure,
I noticed
a little hand tremor
earlier today.
- But I told you,
that was my blood sugar.
- Otis.
You were shot
earlier this year.
I mean, that alone,
it's gonna precipitate
a little post-traumatic stress.
And that I can tell you
from personal experience.
And after what you
went through today, I mean,
why don't you let me
take you upstairs
for a quick evaluation?
- No.
I get it.
You're a shrink,
so everybody you see
has got to have some sort
of mental problem, right?
But not me.
I feel great.
[scoffs softly]
- I'm trying to help you.
There's just been--
- Dr. Rhodes.
- Sorry, guys,
I gotta get scrubbed.
- We just want to talk to you
about Stella.
- [sighs]
Really, April?
- Just hear them out.
- We don't want you
to remove her lung.
- There has to be
another option.
- Look, guys,
I understand your concerns.
But as her doctors,
we've decided
on the best course
of treatment,
and only Stella's family
can override that decision.
- Dr. Rhodes.
We are her family.
- That's true.
She'd tell you
the same thing, Doc.
♪
- [sighs]
- Another walk-away.
♪
- There's another way.
- What do you mean?
- The majority of lung bleeds
originate in the
lower lobes, right?
- So?
- So what if I clamp
at the base
of the pulmonary artery?
- Connor,
you made the right call.
We have a good surgical plan.
- But what if we resect
the lower lobe first?
If the bleeding stops,
we won't have to remove
the entire lung.
- No, it's too risky.
- If it doesn't work,
we can still remove the lung.
- After wasting precious time.
Have you forgotten we're
trying to save her life?
- I think we can do that
and give her the life
that she wants.
- She's a young woman.
She can find another career.
- I have to try.
I owe it to her.
I owe it to them.
- Connor, being a firefighter
isn't gonna mean a damn thing
if Stella dies on the table.
♪
- I can do it.
- Don't--Connor!
♪
.
- Time, Dr. Rhodes.
Where are we?
- I'm almost there,
but every time
the lung inflates,
it obstructs my view.
Marty, can we deflate the lung
any further?
- No way. I'm barely
keeping her oxygenated
as it is.
- Take it down another 20%.
- It's too risky.
- I only need to reach
the lower lobe.
I'll find the bleed
and make my resection
before you know it.
- Make it fast.
- You're quite
the patient advocate today.
Did you do it for Stella
or for Kelly?
- I've known him
since we were kids.
- You didn't answer
the question.
- I did it because it was
the right thing to do.
[alarms beeping]
- Marty?
- BP's down to 88 systolic.
- I'm close.
- Let's hope so.
[pager buzzes]
- You are not going to make it.
We have to open her up
and remove the lung.
- BP's at 82.
- Up her pressers.
- Can't, I'm already maxed out.
- Connor, please.
- Just give me a second.
- Sats are at 78.
That's all she can tolerate.
I'm reinflating the lung.
- No, wait. There.
That's it.
That's the bleed.
- You found it, but do you
have time to fix it?
[alarms beeping]
- What happened?
- Her hand's ice-cold.
I can't get a pulse.
- The forearm's tight.
She's got compartment syndrome.
Get Maggie.
- Yeah, on it.
- I told you to use
the Parkland formula.
You gave her too much fluid.
- No.
I've been monitoring
her urine output.
Everything's been normal.
- Then what's your
explanation for this?
- What do you need?
- Find us an OR.
This woman needs
an emergency fasciotomy.
- I'll tell you right now
all the ORs are occupied.
You're gonna have to wait.
- How long?
- 20 minutes?
- We can't.
20 minutes, she'll end up
with an amputation.
- Get me a soft tissue tray
and a scalpel.
We'll relieve the pressure now.
Right here.
- Prep the patient.
[dramatic music]
[knock at door]
- Come in.
- Ms. Goodwin.
- Oh, Dr. Halstead.
I'm very sorry
about your father.
- Did you know?
- Did I know what?
- Gwen Garrett made
a special point of telling
me and Jay that
there was no hurry
in taking my dad off the vent.
- Okay?
- My dad's chart.
His bypass surgery
was 29 days ago.
29 days ago.
- I see.
- I can't believe
the hospital would do this.
Not to me.
Not to my family.
[door slams]
♪
Hey, Jay.
We gotta take Dad off the vent.
- What?
No, no, no.
He...
I've been sitting with him,
and he blinks his eyes.
And I grabbed his hand,
and he squeezed my hand.
He squeezed my hand.
- Those are just reflexes.
They don't mean anything.
- I'm telling you, man,
he knows that I'm here.
- He doesn't.
He can't.
- We can't. He's...
He's gotta come back,
man, 'cause...
that can't be the
last conversation
I ever have with him.
- Look, whatever regrets
you have,
you're not gonna
resolve them here.
You just gotta accept that.
- Don't tell me
what I got to accept.
- Jay, the reason
Gwen encouraged us
to take our time with Dad?
His bypass was 29 days ago.
If he dies before
30 days are up,
regardless of why, it's
a fatality for the hospital.
- So what?
- So Gwen's just trying to
keep Dad alive for one more day
so the hospital
doesn't take the hit.
- I get it.
You feel betrayed.
I don't care.
I care about Dad.
- And you think he'd want
to be kept alive
to buff some numbers?
- You need to get out.
You got to get out, man.
- They're using him.
- That's your problem.
- Jay, he's gone.
- Doc, you okay?
♪
[knocking]
- You got my discharge?
- Gotta be honest,
I'm just not comfortable
signing off on you
going back to work yet.
- You're gonna keep me
from working.
- Look, I'll make you a deal.
Commit to some therapy.
Twice a week.
Once a week.
- You don't get it.
I can't be a firefighter
if I have PTSD.
- What, you can't be a
firefighter and have feelings?
Look, I have no problem
keeping this out of your chart
if that'll make you
feel better.
- If I see a shrink,
people are gonna find out.
I can't have that.
- Tell me something.
When I asked you to close
your eyes earlier today,
what did you see?
What'd you really see?
Otis, you can tell me.
- Okay.
I had to get a mom and a baby
out of the building.
I lost contact.
Told her not to get
in the elevator.
She got in the elevator.
The elevator got stuck.
When we finally got
the doors open...
There they were.
[somber music]
Burned alive.
Their faces were gone,
but I knew it was them.
[exhales heavily]
I can't get it out of my head.
♪
- It's called
an intrusive memory.
I can help you with that.
- Doc Charles...
[speaking Russian]
It means life's not a...
stroll across a meadow.
These things I see...
they're part of the job.
Every firefighter sees them.
We cope.
♪
I'm out of here.
You want to destroy my life,
write whatever you want
in your chart.
♪
- Dr. Manning?
- Yes.
- We need you.
- Veronica.
- She's still breathing
on her own.
- Yes.
Her oxygen levels are good.
- It's been hours.
- Her heart rhythm is strong.
She's holding on.
- She wants to live.
My little girl,
she wants to live.
[sniffles] And we were
gonna let her go.
- What do we do?
How can we help her?
- She needs to go
to surgery right now.
- Do it.
Help her.
- Tell the OR we're coming up.
♪
[tense music]
♪
- Scissors.
♪
Okay, pressure's
been relieved,
but that's not fluid.
- It's blood.
Her ulna's broken.
That's what caused
the bleeding.
- Compartment syndrome
was caused
by a fracture hematoma,
not fluid.
- It wasn't your fault,
Dr. Choi.
- They found her just outside
the room
where the fire started,
so how would she have
broken her arm?
There's also extensive bruising
around her ribs and pelvis.
This woman wasn't just burned.
She was beaten.
♪
.
[indistinct chatter]
- You guys put me
in a terrible position.
But...
we were able to isolate
the bleed,
and we only had to take out
a portion of her lung.
It was a thoracoscopic
procedure,
minimally invasive.
That's all to say that...
she should be back to work
in no time.
- Oh, thank God.
- Hey...
Dr. Rhodes...
you're the man.
- Yeah, you guys are okay too.
- Thanks.
- Why don't you bring
Kelly back in?
- Thanks, Doc.
- You got it, bud.
- You were extremely lucky,
you know that?
- Extremely.
[soft music]
♪
- Kelly.
She's awake.
Wants to see you.
♪
- Stop.
- [chuckles]
I'm so glad you're back.
- Of course.
♪
♪
- Hey.
You okay?
- I could have been
a better son.
Could have been
a better brother.
- [softly]
Oh, Will...
your dad knew you loved him.
And so does Jay.
♪
- Oh, no.
- I got it.
Here you go.
- Thank you.
[tense music]
♪
- Sir, can I help you?
- My uncle was in
the building with the fire?
I thought they might have
brought him here.
- Okay, sir,
so I'm gonna need you
to go back into
the waiting room
and give the nurse
your uncle's name.
She'll let you know
if your uncle was admitted.
- All right.
- Thank you.
- Thank you.
- Yeah.
♪
[indistinct chatter]
- Told you you were
going home, huh?
- Dr. Choi discharged him?
- No, I did.
- Really?
- Yeah.
He's in pretty good hands.
For now.
[monitor beeping steadily]
- I'm sorry, Jay.
For everything.
For not being there
for you and Dad.
And for not giving you space
to grieve.
[soft dramatic music]
We'll keep him on the vent
as long as you want.
- Who am I kidding, man?
I know he's not coming back.
♪
Let him go.
Just let him go.
[somber music]
♪
- Take these too.
- Maggie?
- Yeah.
- What happened
to our Jane Doe?
- Dr. Choi?
[suspenseful music]
♪
She turned off
the monitors.
- She has serious
internal injuries.
If we don't find her soon,
she's gonna die.
♪
[wolf howls]