Chicago Med (2015–…): Season 4, Episode 3 - Heavy Is the Head - full transcript
A sick boy is brought to the hospital, forcing Ethan to face a tough decision that grows into a complicated and dangerous situation.
.
- Friends,
let us raise a glass
to dear Patrick Halstead.
May you be in Heaven
an hour before
the Devil knows you're dead.
Sláinte!
all: Sláinte!
- Let me get you another one.
- Yes, please.
- Mm-hmm.
- Thank you.
- Will.
- Tommy.
- Hey.
Sorry about your dad.
My old man couldn't be here.
He...
he's not feeling so well.
- Sorry to hear it.
- Yeah.
You know, you could
do me a solid, though.
Dad, he...
he won't go to a hospital.
Maybe you could come by
the house,
give him a look-see?
- Sorry, Tommy, I'm an ED doc.
Emergency medicine.
- All right.
- I hope he feels better.
- Thanks, Will.
- Tommy.
- Yeah?
- Your father still running
the neighborhood?
- You kidding me?
He'll never let that go.
- All right, I'll drop by.
- Thanks a lot, Will.
- You got it.
You okay?
- Great, man.
- ♪ Oh, father dear
I long to hear ♪
♪ You speak of Erin's Isle
both: ♪ Her lofty scenes,
her valley's green ♪
♪ Her mountains rude
and wild ♪
♪ They say it isn't
[solemn music]
♪
- So...
It's only--what,
five days
till your hybrid OR's up
and running?
- Four, actually,
and I've still got
personnel to train
and logistics to figure out.
- You're nervous about this,
aren't you?
I don't think
I've ever seen you nervous.
It's refreshing.
Not necessarily attractive,
but refreshing.
- Help!
Help me!
My son can't breathe.
- Okay, come with me.
- It's okay, buddy.
- Dr. Choi.
- What's going on?
- Looks like the early stages
of respiratory failure.
Lay him down here.
- Any medical history?
- He was born with bad kidneys.
They see him at the hospital
in Gary,
but I don't think they know
what they're doing.
- Daddy!
My tummy hurts.
- When's the last time
he was dialyzed?
- I don't know.
My--my ex deals with that.
- Let's put him on oxygen,
then let reno know
he needs dialysis.
- It really hurts.
- I'm so sorry.
- All right, Ben,
we're gonna give you something
that'll make you feel better
in just a minute okay?
- Here.
- Okay.
- He's got a lot of fluid
in his lungs.
Hopefully, the dialysis will
bring it down.
Then we can discuss
what to do next.
- Yeah, of course, man,
whatever you say.
- Dr. Choi.
- Hold on one second, Maggie.
- I know this isn't easy,
but try to stay calm.
We're gonna take good care
of your son.
- Dr. Choi.
Need to talk to you right now.
April.
- Yeah?
- That dad, Chris Davis,
there's a BOLO out
for his arrest.
- A "be on the lookout?"
- Yeah.
He kidnapped his son.
[somber music]
♪
.
- Apparently, he just got out
of Joliet on parole.
Showed up at his ex-wife's,
grabs his son,
and takes off.
How's the boy?
- End stage renal disease.
- Aw.
The poor kid.
I'll call PD.
- Ms. Goodwin,
Ben's in bad enough shape
without having him watch
his dad get arrested
and taken away.
Could we just
hold off until he's stabilized?
- April.
- He risked his freedom
to bring Ben here.
He's not gonna leave.
- I'm not sure that's our call.
Can you think
of any medical reason
why we should hold off?
- No.
I'll keep an eye on Ben.
Go ahead and make the call.
- Okay then.
- Really?
- Our first duty is
to protect our patient.
- How? By taking his dad away?
- We have no idea what
this man is capable of.
- [scoffs]
- Sharon.
- Gwen.
Dr. Lanik, new coat.
- Since Dr. Stohl
is no longer here,
Dr. Lanik will be
our interim chief of the ED.
- Congratulations.
- Thank you.
Excuse me.
- You didn't consult me
on this.
- Seems to be your mission
to fight me on everything.
Until that changes,
I'm going to be making
some decisions
unilaterally.
- Mr. Nevins, I'm Dr. Rhodes.
Nice to meet you.
- Call me Bill.
- All right, Bill it is.
So I understand you've got
some new onset back pain, huh?
- Yeah, but it's not too bad.
It's nothing you need
to get making a fuss about.
- Yeah, well, fuss is kind
of our thing here.
Now it looks like your CT
shows an aortic dissection,
which means you've got a tear
on the inside
of your vessel wall.
Do you have any tingling
in your arms?
- Nope.
- Any palpitations,
funny feelings in your chest?
- Nothing.
Seriously, I'm good to do.
- Well, you might be right.
It looks like the tear
is small,
so if we can get
you stabilized,
we should be able
to send you home
to follow up with
the cardiologist.
- That'd be great.
- All right.
Start on him an Esmolol drip,
and if his systolic
gets above 120,
let me know.
- Yes, doctor.
- I'll be back to check in
on you in a bit.
- Thanks, doctor.
- You ever taken a lead on
a case before?
- Not yet.
- Well, today's your lucky day,
- Mr. and Mrs. Harris,
I'm student doctor Curry
and this is Doctor Manning.
- I'm Lisa.
- Matt.
- So you're 13 weeks pregnant
with three days
of abdominal pain.
Have you ever had pain
like this before?
- No.
- I'm going to examine you,
if that's all right.
- [groans]
- Okay, have you had
any bleeding?
- No.
- Okay, any complications
with your pregnancy?
- No. I mean,
not with the pregnancy.
- For years, doctors said Lisa
could never get pregnant.
We tried and we prayed,
but nothing worked,
until, one day,
it just happened.
- Did they tell you why
you couldn't get pregnant?
- Something about
the shape of my uterus.
They did some tests,
but whatever it is,
it doesn't matter
'cause we finally have
our miracle baby.
- So the thing
about human anatomy
is that even when things
may seem like a miracle--
- You know,
before we get much further,
I think we should check
your blood
and send you over
for a doppler,
just to get some
more information.
Is that okay?
- Yeah, that's okay.
- Great.
We'll be back soon.
- First trimester pain in
a woman
with anatomic abnormalities
means that this pregnancy
could be ectopic.
- Yes, but that does not mean
that we need to give her
a physiology lesson.
- We do if we want her to be
informed about her condition.
- She's entitled
to her beliefs.
It is not our job
to challenge them.
- It is when they're wrong.
- Ms. Curry,
we don't know what we're
looking at yet,
so just go order the tests.
- Hey, Ben.
Feeling any better?
- No.
- He's in SVT.
Give him 4 milligrams
of Diltiazem over 5 minutes.
- "SVT"?
What's that?
- It's an arrhythmia.
- You mean his heart?
I thought the problem
was his kidneys.
- It is,
but kidney failure can lead
to dysfunction
in other systems.
- Will dialysis fix it?
I mean, he's been doing that
and he's still getting worse.
- We need to give it a chance
before I can assess
what else he might need.
- You didn't have to do this.
- Sorry, legally I had to.
- Hey, Benny.
Benny, I got to go away
for a little while.
But Dr. Choi
is gonna take good care
of you, okay?
So you listen to him
and do whatever he says,
and I promise
everything's gonna be okay.
Okay?
- Okay.
- Okay.
I love you.
Okay.
- Christopher Davis,
you're under arrest
for aggravated kidnapping,
endangerment of a child,
violation of an order
of protection,
and violation of parole.
- Do everything you can
for Ben.
Please.
- All right, let's go.
- Burgess.
- Hold up.
What's up?
- His--his son's really sick.
Could you keep him here
till we have a better idea
of what's going?
- That's not up to me.
- I know.
- If you want, I can--
I don't know--
call the State's Attorney
and find out.
- I'd appreciate it.
He can wait in there.
- Okay.
Talbert.
- Thanks.
[solemn music]
♪
- Is that the baby?
- Yes.
- What?
- Your pregnancy is ectopic,
which means that the fetus
is implanted
outside of your uterus.
- Okay, but you can put it back
where it belongs right?
- Unfortunately, we can't.
- And I'm afraid it's implanted
on your vena cava,
the large vessel that carries
blood back to your heart.
And from the free fluid
I'm seeing in your abdomen
tells me that, unfortunately,
the vessel is leaking.
- So how do you stop it?
- I mean,
you need an operation.
The surgeon will have
to remove the fetus
and then repair the vessel.
- Wait, you mean we...
could lose the baby?
- I'm sorry,
but you would in any case
because of where
it's implanted.
There's no possible way
that it'll survive
long enough to be viable.
- In surgery, we'll keep
your bleeding
from getting out of control,
so we need to get you up
to the OR as soon as possible.
- No.
- I'm sorry?
- I am not having surgery.
- I don't think you understand.
If we don't operate,
you're going to die.
- No, you don't understand.
This baby is a miracle.
And God will take care of it.
[tense music]
[electronics beeping]
- [pained groaning]
- Bill, what's happening?
- It's like it's tearing
a hole through my belly.
[screams]
- Maggie, we need to get
Mr. Nevins
to interventional now.
- I'm on it.
- Bill, I think the tear in
your aorta is getting larger,
so we need to place a stent
so it doesn't get
any worse okay?
- Yes,
if you say so.
- Okay.
Maggie, get transport down.
We need to get him moving.
- IR's full.
- It can't wait.
Can they bump any cases?
- No, and both CT O.R.s
are full too.
There's nowhere to go.
- If his aorta ruptures,
he's gonna bleed out.
- Yeah.
- I'm opening up
my hybrid O.R.
- It's not ready yet,
and it's not fully stocked.
- Bill is too unstable.
I can't risk his aorta
blowing while we wait
to get him upstairs.
- That team is not trained yet
and it--you haven't done
a single run-through.
Dr. Rhodes!
.
- Will, when was the last time
you were here?
- Man, I can't even remember.
Hey, Tim.
- Will.
- What's the score?
- Just started.
- All right.
- Dad.
Hey, Dad.
Will Halstead's here.
- William.
Still got the red hair.
- Nice to see you, Mr. Burke.
- Please, Ray.
- Dad, I'll be in the kitchen.
- Yeah.
- See you, Will.
- And, listen,
I'm sorry about your father.
Good guy,
but a terrible poker face.
Always looked to the left
when he had a good hand.
- And he loved those Friday
night games.
So what seems
to be the problem?
- It's nothing.
Tommy's a worrywart.
I just been getting
these dizzy spells.
Sometimes they'll lay me out
a couple hours.
- Well, sit down.
Let's have a listen.
- This is what's missing
from medicine these days,
the face to face.
I'll take a house call over
some giant hospital any day.
- Can't say I blame you.
Yeah, you do have a little
bit of a murmur.
Probably worth keeping
an eye on.
So what are you up
to these days?
Still got that place down
on Union?
- The Hall? Yeah.
- Man,
must be a heck of a business.
I tell you,
I'm getting married soon,
and all the places out there
are either booked up
or charging a fortune.
- Oh.
- Yeah.
- So?
Are you gonna ask me or what?
- Ah, no, that's not why--
- Come on, kid.
You check in on me on
your day off,
you need a hall.
I'm not an idiot.
- I don't mean to--
- I'm happy to do it.
So just say yes.
- You're too smart for me,
Mr. Burke.
Ray.
I really appreciate it.
- Nah.
- I gotta draw some blood.
Run some tests.
- My favorite part.
- All right,
let's get this started.
Where's Beth?
- Stuck in the O.R.
This wasn't on the schedule.
- Gene, what's happening
with the monitors?
- It's a brand new system.
I'm still figuring it out.
- Dr. Rhodes, patient's under.
I'm set.
- Denise, what's the hold up?
- I can't find the right-sized
guide wires.
- All right, IV contrast,
injector tubing,
and 20 and 60 CC syringes.
I didn't know which ones
you wanted.
- Thank you, Maggie.
- Welcome.
- Dr. Rhodes, I still can't
find the correct guidewires.
- Oh, that's the middle cabinet
top left corner.
- Iris, call upstairs.
We're not gonna need Beth.
- I can make the call.
- Nope. I need you to scrub in.
- What?
I can't do that.
- You used to scrub, right?
- Yeah,
that's like forever ago.
I don't even know
if I remember.
- I need a pair of hands.
Go scrub in.
- April, take over.
- Yeah. No problem.
[indistinct chatter]
- Your patient, Mrs. Harris,
just passed
the Brief Psychiatric
Rating Scale
with flying colors.
- You actually think
she's capable
of making this decision?
- She is holding on
to a very strong belief,
but other than that she seems
entirely reasonable.
- "Reasonable"?
She thinks God is going
to save a fetus with
a 0% chance of survival.
That's delusional.
- Well, in my experience,
it's not always so easy
to figure out
where belief ends
and delusion begins.
I mean,
faith in a supreme being
is held by an overwhelming
majority of humans.
- Okay, but if we don't do
something, she's going to die.
- Can't force a procedure on
her that she doesn't want.
- We're her doctors.
Our job is to fix her,
not argue about theology.
I'm sorry, but this is--
this is ridiculous.
- Ms. Curry,
I appreciate that this is
a complicated situation,
but our job, in fact,
is to treat our patients
to the best of our ability
while honoring
their cultural, spiritual,
and religious beliefs.
She's allowed
to make her own decisions
whether we agree
with them or not.
- What did the State's Attorney
say about that kid's dad?
- Haven't heard back yet.
- But does he have to wait in
my treatment room?
- For now, yes, Ben needs
a kidney transplant.
I want to see
if Chris is a match.
- The man's going to jail.
- And his son is dying.
His boy needs a kidney.
We don't have a choice.
Almost done.
- My ex is always telling
me how they're
doing just fine without me.
Then I saw him lying there,
looking so sick.
Yeah...
- For whatever it's worth,
Ben may very well have died
if you hadn't brought
him here today.
- Anyway,
it's not like
he's gonna miss me.
Never really been there
for him in the first place.
- I'll have the results soon.
[solemn music]
♪
- What you got there?
- The Journal of "Computer
Methods and Biomedicine."
- MIT grad, right?
- Yep.
- Looks very technical.
- It is.
But so is creating
a biomolecular scaffolding
to replicate human organs
in vitro.
That's what I'm going to do
as soon as I finish med school.
- Sounds rewarding.
You know,
in terms of Mrs. Harris,
I just want to clarify that...
the challenge when
you're trying
to evaluate a patient's ability
to act
in their own interests...
[cell phone buzzes]
- Oh, actually...
her labs are ready.
I-I should go check on them.
- Femoral sheath is in.
Gene, get in closer.
- Zooming in.
- [sighs]
- What?
- That bulge there,
that's where his aortic wall
is the weakest.
- That wasn't there before.
- That's because
his aneurysm's enlarging.
We need to open him up.
- What do you mean?
- His aorta is being
squeezed closed.
I'm gonna try going in
from the top.
- Dr. Rhodes,
the team's not ready.
Let me just call upstairs--
- We don't have time to go
upstairs.
- Dr. Rhodes, we don't even
have profusion down here.
- So we'll do it without.
Set up for a thoracotomy.
- Dr. Rhodes--
- Maggie!
We are opening him up.
- All right, you heard the man.
Let's get set up
for a thoracotomy.
Let's go!
.
- I can't get a good angle
on the aorta.
[sighs]
- You opened his chest.
- We didn't have a choice.
- You told me yourself
this room wasn't ready.
What if this patient
doesn't survive?
Connor, I advocated
for this program.
For you.
And now you're gonna blow it up
before it even starts?
- Damn it.
This isn't working.
- Great.
How do you propose we get him
upstairs with his chest open?
- I'm not going to.
Get me a five-inch
30 millimeter Dacron graft.
We're gonna cut out the damaged
aorta and sew in a graft.
Prepare for cross clamp.
- Cross clamp.
That only gives you 30 minutes
even under the best
of circumstances.
This is a terrible long shot.
- Yeah, I understand the risk.
- Fine, I'll scrub in.
Six and a half gloves.
- No, I have everyone I need.
- You wanna kill this man,
fine.
- Cross clamps times two.
- Thank you.
- Right away.
- Natalie.
Hey, so you know
how it's been impossible
to find a venue
for the wedding?
- Mm-hmm.
- Well, I found one.
- You did?
- And not just found it.
Killed it.
Seats 200,
separate room for cocktails,
and I got the place at cost.
- How did you do that?
- The owner's a guy
who knew my dad.
He wasn't feeling well,
so I made a house call.
I looked him over
and he insisted we take it.
- [laughs]
Will, that's fantastic.
- That's how Canaryville works:
you scratch my back,
I scratch yours.
- Dr. Manning.
- Mm-hmm?
- The ICU just called.
Mrs. Harris's
pressure's dropping.
- On my way.
This is great.
- Yeah.
- Let's go.
- She's 90/60.
- What's going on?
- Let's see.
- [groaning]
- You're losing too much blood.
We need to get you
to surgery now.
- I already told you no.
- Honey, maybe we should listen
to the doctors.
- Not you too, Matt.
I am not having surgery.
- Lisa--
- Please stop.
For 12 years all I wanted
was to bring a new life
into this world,
and finally...
God has rewarded my patience.
And I don't believe
that He would turn around
and take it all away.
- What if He did take it away?
- What?
- If the fetus were to...
stop living
because of the blood loss,
would you give us permission
to do the surgery then,
to let us save your life?
- What are you--
why is she even talking
about this?
That's not gonna happen.
- She's just asking.
- So will you at least
agree to that?
If the fetus dies.
- Fine, if that happened,
which it won't,
then...
yes, I would have a surgery.
Can we stop talking about this?
- Of course.
- Bolus a liter of saline,
and type and cross
for six and six,
and give her two units
of uncrossmatched blood now.
- Yeah.
- We'll be back to check on
your shortly okay?
- Okay.
- Thank you.
- Ms. Curry,
that was a disturbing,
tactless question.
Why did you ask that?
- Because we--
we should know, right?
To be prepared.
- No, there is a difference
between being prepared
and terrifying a sick woman.
[cell phone rings]
- I'm at work.
What?
Caught on fire?
Emily, don't you know
you can't put
something in the microwave
if it doesn't say
microwave-safe?
No, don't touch anything, okay?
I'll take care
of it when I get home.
- Nice.
- What?
- She's your sister.
Talk to her however you want.
- What's going on with you?
- Nothing.
It's just unfortunate
that you can't give
anyone a break.
- Me?
You know, I can't win with you.
You disapproved when
I was tough on Emily,
then you walked out
when I took her in,
and now you're mad
at me for telling her
how to use the microwave
so she doesn't
burn my apartment down.
I'm not the problem here,
April, you are.
- Hey, Joey.
- Hey.
- Could you run
a CBC, BMP, LFTs,
and a thyroid panel
on those please?
- Sure.
Ray Burke.
Oh, where's the Patient
Accession Number?
- Doesn't have one.
It's for a friend.
- I can't run blood work
for anyone who's not
a patient in the hospital.
- Come on, Joey.
What's the big deal?
- Processing bodily fluids
is highly regulated
and if my numbers
don't match up,
then somebody's gonna know.
- I'm sure you'll figure
something out.
- Sorry, man.
- Nah, you're right.
We should play by the rules.
You remember last month?
Your bronchitis?
I gave you amoxicillin?
- Yeah.
- I should fill out
admission forms,
submit them to your insurance,
then we can have a Patient
Accession Number on that too.
- Friend's results should
be ready in an hour.
- What a saint.
- Yeah.
[tense music]
- What's going on?
- Mr. Davis is a transplant
match for his son.
We're taking him up
to the O.R.
- No.
We can't do that.
- Excuse me?
- He's the only donor
within 500 miles.
Ben needs his kidney.
- I'm sorry,
but I have my orders.
♪
- You cannot deny
that boy a transplant.
- I don't want to,
but the moment we take
his father upstairs,
he becomes our patient as well.
- I understand
transplant protocol.
- So then you know
that the dad is gonna spend
a few days in the ICU,
but then what?
Jail while awaiting trial,
and then prison.
Those are hardly ideal
conditions in which to recover
from major surgery.
We could very well lose him.
Find an acceptable donor.
Let's not lose anybody.
- Gwen, we don't have time,
and the father is a match.
- You know
the hospital's position
on ultra high-risk patients,
especially those who have a--
a proven history
of making extremely
poor decisions.
- So you're sacrificing
the child
to protect your statistics?
- Ourstatistics,
which allow us to remain
an accredited transplant center
serving this entire city,
and that is my concern.
♪
And it should be yours as well.
♪
.
- [sighs]
I let him know he won't
be allowed
to give Ben his kidney.
- Any luck finding
another donor?
- No.
I have a call into East Mercy.
There's a chance they may agree
to let Chris donate there.
- Let's hope.
- Yeah.
- Ray, I just want
to let you know
that your blood work
looks good,
but given your murmur,
I do recommend
you follow-up
with a cardiologist.
Well, I'm sorry,
but my specialty
is emergency medicine.
You'd be better served--
And, Ray,
I really appreciate that--
Okay, I'd be happy to.
You know,
let me check my schedule,
and I'll find a day
that works and I'll stop by.
[alarm blares]
- Ultrasound.
Start the MTP.
- What's happening to her?
- Her internal bleeding
is getting worse.
- Katie, call the O.R.
- Lisa!
- BP's 92/51.
- I need you to take you
to surgery right now.
- No, my baby.
- Lisa, listen to her.
- Mrs. Harris,
I need your consent.
We don't have a lot of time.
- I can't find a heartbeat.
- What?
- The fetus.
- What is it?
- There's no heartbeat.
Its heart isn't beating.
- No.
- I'm sorry, but the fetus
is no longer alive.
- No.
- I need to take you
to surgery right now.
- Lisa, come on.
We have to go.
- My baby.
[crying]
- BP's 70/35.
- Mrs. Harris, look at me.
I need to take you
to surgery right now.
If I don't, you will die.
- Lisa.
- [crying]
- Mrs. Harris, please.
Please.
- Okay.
- All right, let's go!
[dramatic music]
- Time?
- Got 7 minutes.
♪
- Marty, the heart stopped.
- Lost A-line waveform.
- He's in PEA.
Get me epi.
Maggie, do internal CPR.
- What?
- Put your hands around
his heart.
All the way around his heart
and pump.
- Is there no other option?
- No, there's not.
You can do this.
Now keep squeezing.
Epi.
♪
Squeeze harder.
- Got a CPR waveform.
- Stop.
[EKG flatlining]
And pump.
[EKG beeping]
Let go.
[EKG flatlining]
[EKG beeping]
Good job.
Six and a half minutes.
- Hey.
I heard Ms. Harris agreed
to the surgery
once she lost
the fetal heartbeat.
- They got to her in time.
She's gonna make it.
- Well, that's a relief.
- Yeah, but,
even though the fetus
wasn't viable,
its heart was still beating
when they opened Lisa up.
- Really?
- Yeah,
I've got to go tell tech
that there was a malfunction
with the ultrasound.
- Huh.
- The State's Attorney
said we can't
keep him here any longer.
- Well, we're still waiting
to hear back from East Mercy.
- There's nothing I can do.
- Dr. Choi!
[alarms blaring]
He's in unstable SVT at 240.
- He's not profusing.
2 milligrams of Adenosine.
- Adenosine's in.
- What's happening?
Will someone tell me
what's happening?
- Let him stay.
- No change.
Charge at 20 and sync.
- Charged.
- Clear!
- Two more of Adenosine.
Charging to 40.
- Adenosine's in.
- No good.
Clear!
- Pulse is strong. Regular.
- Is he gonna be okay?
- His arrhythmia's are getting
harder to convert.
- He's gonna die?
- I'm sorry, Chris.
- Let me see him.
Come on, please, man.
It's my son.
- Let him.
- Stop.
- Not like that.
[solemn music]
♪
- Daddy.
- You're gonna be okay.
I love you, Ben.
- I love you too.
- Whoa. Whoa. Whoa.
- Chris!
- Do the transplant.
You wanna do everything you can
for him?
Take my kidney.
- I'm trying to find another
hospital to do the surgery.
I just need a little more time.
- No, he doesn't have time!
Do it now!
Do it now!
[gunshot]
- No!
- Stand down!
- Pupil's are blown.
Start levophed,
get him on a gurney,
and tell the transplant team
we're coming up now.
- Okay.
♪
.
[somber music]
♪
♪
- Thought you'd like to know.
We just heard from East Mercy.
They would have done
the transplant.
♪
- What did we do?
- You are a physician,
Dr. Lanik.
You know that when
you make a decision,
you don't always get
the outcome that you want.
But that doesn't mean
that the decision was wrong.
- To have such faith
in something,
and then have it go so wrong.
- Yeah.
Are you gonna...
are you gonna tell her
about the--the fetal heartbeat.
I'm happy to.
- No.
No, I'll tell her.
I just hate
to have to tell her at all.
I'm so sorry.
[indistinct chatter]
- [sobbing]
[indistinct chatter]
♪
- So I heard about the...
the false reading on
the ultrasound.
- Yeah, those--
those machines can be delicate.
One good hit to
the transducer--
- Save it.
You hacked the machine so
that it wouldn't read
the fetal heartbeat.
- No, I-I did not.
- You've been resistant to
the patient's wishes
from the start.
- Because she was determined
to kill herself.
- Do you know
that I can have you
kicked out of medical school?
- Kicked out?
- Well, you committed a crime.
- [scoffs]
No, the machine malfunctioned.
Okay, I didn't do anything,
and, by--by the way,
that woman is alive.
Doesn't anybody care
about that?
- That's not the point.
- I know what the point--
- Clearly you don't!
- I didn't do it.
- Well, I can't prove it,
which makes you
a very lucky young woman.
But you are severely deficient
in attitude
and temperament,
and I'm going to keep
a very close eye on you.
From now on,
you and I are gonna go over
all your charts
and all your cases together.
♪
- Are you serious?
- Very.
- Your numbers all look good,
Bill,
so we're gonna get you
set up here, okay?
- Thanks, Doc.
- I'll be back
to check on you in the morning.
- That was hell of a day.
- Sure was.
We should do it again.
- What?
- What do you say
to heading up my team?
Scrub in on all of my cases.
- [laughs]
I'm a charge nurse.
Going back to the O.R.?
That's sort of a demotion.
- Think about it.
My patient pulled through.
- I'm glad to hear it.
- Look...
I am sorry that I threw you
out of my OR.
It was a mistake.
It was inexcusable.
So how about a peace offering?
I'll buy you a drink.
- I don't care about you
throwing me out.
What I can't stand is you
acting so stupidly.
Willing to destroy your program
in service of your arrogance
and your ego.
So go enjoy your victory,
but I don't want
any part of it.
[both laugh]
- I'm gonna pick up some dinner
and I'll meet you
at your place.
- Okay.
Oh, hey.
Do you think the hall
would hold 250?
I sent a picture
of it to my mom,
and now she wants to invite
a few more cousins.
- Yeah, of course.
- Great.
- See you.
- Good.
- Come here.
- Jay, what's up?
- Get in the car.
What do you know
about Ray Burke?
- Does some real estate,
owns a bar,
and a construction company--
- And a reception hall.
- Yeah.
- You went to see him.
- He wasn't feeling well,
so I made a house call.
How do you know?
Hey, Ray, I just want
to let you know
that your blood work
looks good,
but I do recommend
that you follow up
with a cardiologist.
- I'm not going
to a cardiologist.
I want you, Will.
And, you know,
I'm giving you
that hall for two grand.
That's practically for free.
- Yeah--what--are you listening
to my calls?
- Ray's.
- Ray's?
- PD and the FBI have been
investigating him
for, like, two years,
and then look who waltzes in...
My brother.
- Why are you
investigating him?
- 'Cause he's a gangster.
- Come on.
What, he pays off
a building inspector
every once in a while?
- Try money laundering,
fraud, embezzlement,
and now you're involved
with him.
- Oh, I'm not involved
with him.
Hey, I'm using his hall.
It's no big deal.
- Yes, it is.
So whatever you're doing, stop.
Go home.
[somber music]
♪
.
[dramatic music]
♪
[wolf howls]
- Friends,
let us raise a glass
to dear Patrick Halstead.
May you be in Heaven
an hour before
the Devil knows you're dead.
Sláinte!
all: Sláinte!
- Let me get you another one.
- Yes, please.
- Mm-hmm.
- Thank you.
- Will.
- Tommy.
- Hey.
Sorry about your dad.
My old man couldn't be here.
He...
he's not feeling so well.
- Sorry to hear it.
- Yeah.
You know, you could
do me a solid, though.
Dad, he...
he won't go to a hospital.
Maybe you could come by
the house,
give him a look-see?
- Sorry, Tommy, I'm an ED doc.
Emergency medicine.
- All right.
- I hope he feels better.
- Thanks, Will.
- Tommy.
- Yeah?
- Your father still running
the neighborhood?
- You kidding me?
He'll never let that go.
- All right, I'll drop by.
- Thanks a lot, Will.
- You got it.
You okay?
- Great, man.
- ♪ Oh, father dear
I long to hear ♪
♪ You speak of Erin's Isle
both: ♪ Her lofty scenes,
her valley's green ♪
♪ Her mountains rude
and wild ♪
♪ They say it isn't
[solemn music]
♪
- So...
It's only--what,
five days
till your hybrid OR's up
and running?
- Four, actually,
and I've still got
personnel to train
and logistics to figure out.
- You're nervous about this,
aren't you?
I don't think
I've ever seen you nervous.
It's refreshing.
Not necessarily attractive,
but refreshing.
- Help!
Help me!
My son can't breathe.
- Okay, come with me.
- It's okay, buddy.
- Dr. Choi.
- What's going on?
- Looks like the early stages
of respiratory failure.
Lay him down here.
- Any medical history?
- He was born with bad kidneys.
They see him at the hospital
in Gary,
but I don't think they know
what they're doing.
- Daddy!
My tummy hurts.
- When's the last time
he was dialyzed?
- I don't know.
My--my ex deals with that.
- Let's put him on oxygen,
then let reno know
he needs dialysis.
- It really hurts.
- I'm so sorry.
- All right, Ben,
we're gonna give you something
that'll make you feel better
in just a minute okay?
- Here.
- Okay.
- He's got a lot of fluid
in his lungs.
Hopefully, the dialysis will
bring it down.
Then we can discuss
what to do next.
- Yeah, of course, man,
whatever you say.
- Dr. Choi.
- Hold on one second, Maggie.
- I know this isn't easy,
but try to stay calm.
We're gonna take good care
of your son.
- Dr. Choi.
Need to talk to you right now.
April.
- Yeah?
- That dad, Chris Davis,
there's a BOLO out
for his arrest.
- A "be on the lookout?"
- Yeah.
He kidnapped his son.
[somber music]
♪
.
- Apparently, he just got out
of Joliet on parole.
Showed up at his ex-wife's,
grabs his son,
and takes off.
How's the boy?
- End stage renal disease.
- Aw.
The poor kid.
I'll call PD.
- Ms. Goodwin,
Ben's in bad enough shape
without having him watch
his dad get arrested
and taken away.
Could we just
hold off until he's stabilized?
- April.
- He risked his freedom
to bring Ben here.
He's not gonna leave.
- I'm not sure that's our call.
Can you think
of any medical reason
why we should hold off?
- No.
I'll keep an eye on Ben.
Go ahead and make the call.
- Okay then.
- Really?
- Our first duty is
to protect our patient.
- How? By taking his dad away?
- We have no idea what
this man is capable of.
- [scoffs]
- Sharon.
- Gwen.
Dr. Lanik, new coat.
- Since Dr. Stohl
is no longer here,
Dr. Lanik will be
our interim chief of the ED.
- Congratulations.
- Thank you.
Excuse me.
- You didn't consult me
on this.
- Seems to be your mission
to fight me on everything.
Until that changes,
I'm going to be making
some decisions
unilaterally.
- Mr. Nevins, I'm Dr. Rhodes.
Nice to meet you.
- Call me Bill.
- All right, Bill it is.
So I understand you've got
some new onset back pain, huh?
- Yeah, but it's not too bad.
It's nothing you need
to get making a fuss about.
- Yeah, well, fuss is kind
of our thing here.
Now it looks like your CT
shows an aortic dissection,
which means you've got a tear
on the inside
of your vessel wall.
Do you have any tingling
in your arms?
- Nope.
- Any palpitations,
funny feelings in your chest?
- Nothing.
Seriously, I'm good to do.
- Well, you might be right.
It looks like the tear
is small,
so if we can get
you stabilized,
we should be able
to send you home
to follow up with
the cardiologist.
- That'd be great.
- All right.
Start on him an Esmolol drip,
and if his systolic
gets above 120,
let me know.
- Yes, doctor.
- I'll be back to check in
on you in a bit.
- Thanks, doctor.
- You ever taken a lead on
a case before?
- Not yet.
- Well, today's your lucky day,
- Mr. and Mrs. Harris,
I'm student doctor Curry
and this is Doctor Manning.
- I'm Lisa.
- Matt.
- So you're 13 weeks pregnant
with three days
of abdominal pain.
Have you ever had pain
like this before?
- No.
- I'm going to examine you,
if that's all right.
- [groans]
- Okay, have you had
any bleeding?
- No.
- Okay, any complications
with your pregnancy?
- No. I mean,
not with the pregnancy.
- For years, doctors said Lisa
could never get pregnant.
We tried and we prayed,
but nothing worked,
until, one day,
it just happened.
- Did they tell you why
you couldn't get pregnant?
- Something about
the shape of my uterus.
They did some tests,
but whatever it is,
it doesn't matter
'cause we finally have
our miracle baby.
- So the thing
about human anatomy
is that even when things
may seem like a miracle--
- You know,
before we get much further,
I think we should check
your blood
and send you over
for a doppler,
just to get some
more information.
Is that okay?
- Yeah, that's okay.
- Great.
We'll be back soon.
- First trimester pain in
a woman
with anatomic abnormalities
means that this pregnancy
could be ectopic.
- Yes, but that does not mean
that we need to give her
a physiology lesson.
- We do if we want her to be
informed about her condition.
- She's entitled
to her beliefs.
It is not our job
to challenge them.
- It is when they're wrong.
- Ms. Curry,
we don't know what we're
looking at yet,
so just go order the tests.
- Hey, Ben.
Feeling any better?
- No.
- He's in SVT.
Give him 4 milligrams
of Diltiazem over 5 minutes.
- "SVT"?
What's that?
- It's an arrhythmia.
- You mean his heart?
I thought the problem
was his kidneys.
- It is,
but kidney failure can lead
to dysfunction
in other systems.
- Will dialysis fix it?
I mean, he's been doing that
and he's still getting worse.
- We need to give it a chance
before I can assess
what else he might need.
- You didn't have to do this.
- Sorry, legally I had to.
- Hey, Benny.
Benny, I got to go away
for a little while.
But Dr. Choi
is gonna take good care
of you, okay?
So you listen to him
and do whatever he says,
and I promise
everything's gonna be okay.
Okay?
- Okay.
- Okay.
I love you.
Okay.
- Christopher Davis,
you're under arrest
for aggravated kidnapping,
endangerment of a child,
violation of an order
of protection,
and violation of parole.
- Do everything you can
for Ben.
Please.
- All right, let's go.
- Burgess.
- Hold up.
What's up?
- His--his son's really sick.
Could you keep him here
till we have a better idea
of what's going?
- That's not up to me.
- I know.
- If you want, I can--
I don't know--
call the State's Attorney
and find out.
- I'd appreciate it.
He can wait in there.
- Okay.
Talbert.
- Thanks.
[solemn music]
♪
- Is that the baby?
- Yes.
- What?
- Your pregnancy is ectopic,
which means that the fetus
is implanted
outside of your uterus.
- Okay, but you can put it back
where it belongs right?
- Unfortunately, we can't.
- And I'm afraid it's implanted
on your vena cava,
the large vessel that carries
blood back to your heart.
And from the free fluid
I'm seeing in your abdomen
tells me that, unfortunately,
the vessel is leaking.
- So how do you stop it?
- I mean,
you need an operation.
The surgeon will have
to remove the fetus
and then repair the vessel.
- Wait, you mean we...
could lose the baby?
- I'm sorry,
but you would in any case
because of where
it's implanted.
There's no possible way
that it'll survive
long enough to be viable.
- In surgery, we'll keep
your bleeding
from getting out of control,
so we need to get you up
to the OR as soon as possible.
- No.
- I'm sorry?
- I am not having surgery.
- I don't think you understand.
If we don't operate,
you're going to die.
- No, you don't understand.
This baby is a miracle.
And God will take care of it.
[tense music]
[electronics beeping]
- [pained groaning]
- Bill, what's happening?
- It's like it's tearing
a hole through my belly.
[screams]
- Maggie, we need to get
Mr. Nevins
to interventional now.
- I'm on it.
- Bill, I think the tear in
your aorta is getting larger,
so we need to place a stent
so it doesn't get
any worse okay?
- Yes,
if you say so.
- Okay.
Maggie, get transport down.
We need to get him moving.
- IR's full.
- It can't wait.
Can they bump any cases?
- No, and both CT O.R.s
are full too.
There's nowhere to go.
- If his aorta ruptures,
he's gonna bleed out.
- Yeah.
- I'm opening up
my hybrid O.R.
- It's not ready yet,
and it's not fully stocked.
- Bill is too unstable.
I can't risk his aorta
blowing while we wait
to get him upstairs.
- That team is not trained yet
and it--you haven't done
a single run-through.
Dr. Rhodes!
.
- Will, when was the last time
you were here?
- Man, I can't even remember.
Hey, Tim.
- Will.
- What's the score?
- Just started.
- All right.
- Dad.
Hey, Dad.
Will Halstead's here.
- William.
Still got the red hair.
- Nice to see you, Mr. Burke.
- Please, Ray.
- Dad, I'll be in the kitchen.
- Yeah.
- See you, Will.
- And, listen,
I'm sorry about your father.
Good guy,
but a terrible poker face.
Always looked to the left
when he had a good hand.
- And he loved those Friday
night games.
So what seems
to be the problem?
- It's nothing.
Tommy's a worrywart.
I just been getting
these dizzy spells.
Sometimes they'll lay me out
a couple hours.
- Well, sit down.
Let's have a listen.
- This is what's missing
from medicine these days,
the face to face.
I'll take a house call over
some giant hospital any day.
- Can't say I blame you.
Yeah, you do have a little
bit of a murmur.
Probably worth keeping
an eye on.
So what are you up
to these days?
Still got that place down
on Union?
- The Hall? Yeah.
- Man,
must be a heck of a business.
I tell you,
I'm getting married soon,
and all the places out there
are either booked up
or charging a fortune.
- Oh.
- Yeah.
- So?
Are you gonna ask me or what?
- Ah, no, that's not why--
- Come on, kid.
You check in on me on
your day off,
you need a hall.
I'm not an idiot.
- I don't mean to--
- I'm happy to do it.
So just say yes.
- You're too smart for me,
Mr. Burke.
Ray.
I really appreciate it.
- Nah.
- I gotta draw some blood.
Run some tests.
- My favorite part.
- All right,
let's get this started.
Where's Beth?
- Stuck in the O.R.
This wasn't on the schedule.
- Gene, what's happening
with the monitors?
- It's a brand new system.
I'm still figuring it out.
- Dr. Rhodes, patient's under.
I'm set.
- Denise, what's the hold up?
- I can't find the right-sized
guide wires.
- All right, IV contrast,
injector tubing,
and 20 and 60 CC syringes.
I didn't know which ones
you wanted.
- Thank you, Maggie.
- Welcome.
- Dr. Rhodes, I still can't
find the correct guidewires.
- Oh, that's the middle cabinet
top left corner.
- Iris, call upstairs.
We're not gonna need Beth.
- I can make the call.
- Nope. I need you to scrub in.
- What?
I can't do that.
- You used to scrub, right?
- Yeah,
that's like forever ago.
I don't even know
if I remember.
- I need a pair of hands.
Go scrub in.
- April, take over.
- Yeah. No problem.
[indistinct chatter]
- Your patient, Mrs. Harris,
just passed
the Brief Psychiatric
Rating Scale
with flying colors.
- You actually think
she's capable
of making this decision?
- She is holding on
to a very strong belief,
but other than that she seems
entirely reasonable.
- "Reasonable"?
She thinks God is going
to save a fetus with
a 0% chance of survival.
That's delusional.
- Well, in my experience,
it's not always so easy
to figure out
where belief ends
and delusion begins.
I mean,
faith in a supreme being
is held by an overwhelming
majority of humans.
- Okay, but if we don't do
something, she's going to die.
- Can't force a procedure on
her that she doesn't want.
- We're her doctors.
Our job is to fix her,
not argue about theology.
I'm sorry, but this is--
this is ridiculous.
- Ms. Curry,
I appreciate that this is
a complicated situation,
but our job, in fact,
is to treat our patients
to the best of our ability
while honoring
their cultural, spiritual,
and religious beliefs.
She's allowed
to make her own decisions
whether we agree
with them or not.
- What did the State's Attorney
say about that kid's dad?
- Haven't heard back yet.
- But does he have to wait in
my treatment room?
- For now, yes, Ben needs
a kidney transplant.
I want to see
if Chris is a match.
- The man's going to jail.
- And his son is dying.
His boy needs a kidney.
We don't have a choice.
Almost done.
- My ex is always telling
me how they're
doing just fine without me.
Then I saw him lying there,
looking so sick.
Yeah...
- For whatever it's worth,
Ben may very well have died
if you hadn't brought
him here today.
- Anyway,
it's not like
he's gonna miss me.
Never really been there
for him in the first place.
- I'll have the results soon.
[solemn music]
♪
- What you got there?
- The Journal of "Computer
Methods and Biomedicine."
- MIT grad, right?
- Yep.
- Looks very technical.
- It is.
But so is creating
a biomolecular scaffolding
to replicate human organs
in vitro.
That's what I'm going to do
as soon as I finish med school.
- Sounds rewarding.
You know,
in terms of Mrs. Harris,
I just want to clarify that...
the challenge when
you're trying
to evaluate a patient's ability
to act
in their own interests...
[cell phone buzzes]
- Oh, actually...
her labs are ready.
I-I should go check on them.
- Femoral sheath is in.
Gene, get in closer.
- Zooming in.
- [sighs]
- What?
- That bulge there,
that's where his aortic wall
is the weakest.
- That wasn't there before.
- That's because
his aneurysm's enlarging.
We need to open him up.
- What do you mean?
- His aorta is being
squeezed closed.
I'm gonna try going in
from the top.
- Dr. Rhodes,
the team's not ready.
Let me just call upstairs--
- We don't have time to go
upstairs.
- Dr. Rhodes, we don't even
have profusion down here.
- So we'll do it without.
Set up for a thoracotomy.
- Dr. Rhodes--
- Maggie!
We are opening him up.
- All right, you heard the man.
Let's get set up
for a thoracotomy.
Let's go!
.
- I can't get a good angle
on the aorta.
[sighs]
- You opened his chest.
- We didn't have a choice.
- You told me yourself
this room wasn't ready.
What if this patient
doesn't survive?
Connor, I advocated
for this program.
For you.
And now you're gonna blow it up
before it even starts?
- Damn it.
This isn't working.
- Great.
How do you propose we get him
upstairs with his chest open?
- I'm not going to.
Get me a five-inch
30 millimeter Dacron graft.
We're gonna cut out the damaged
aorta and sew in a graft.
Prepare for cross clamp.
- Cross clamp.
That only gives you 30 minutes
even under the best
of circumstances.
This is a terrible long shot.
- Yeah, I understand the risk.
- Fine, I'll scrub in.
Six and a half gloves.
- No, I have everyone I need.
- You wanna kill this man,
fine.
- Cross clamps times two.
- Thank you.
- Right away.
- Natalie.
Hey, so you know
how it's been impossible
to find a venue
for the wedding?
- Mm-hmm.
- Well, I found one.
- You did?
- And not just found it.
Killed it.
Seats 200,
separate room for cocktails,
and I got the place at cost.
- How did you do that?
- The owner's a guy
who knew my dad.
He wasn't feeling well,
so I made a house call.
I looked him over
and he insisted we take it.
- [laughs]
Will, that's fantastic.
- That's how Canaryville works:
you scratch my back,
I scratch yours.
- Dr. Manning.
- Mm-hmm?
- The ICU just called.
Mrs. Harris's
pressure's dropping.
- On my way.
This is great.
- Yeah.
- Let's go.
- She's 90/60.
- What's going on?
- Let's see.
- [groaning]
- You're losing too much blood.
We need to get you
to surgery now.
- I already told you no.
- Honey, maybe we should listen
to the doctors.
- Not you too, Matt.
I am not having surgery.
- Lisa--
- Please stop.
For 12 years all I wanted
was to bring a new life
into this world,
and finally...
God has rewarded my patience.
And I don't believe
that He would turn around
and take it all away.
- What if He did take it away?
- What?
- If the fetus were to...
stop living
because of the blood loss,
would you give us permission
to do the surgery then,
to let us save your life?
- What are you--
why is she even talking
about this?
That's not gonna happen.
- She's just asking.
- So will you at least
agree to that?
If the fetus dies.
- Fine, if that happened,
which it won't,
then...
yes, I would have a surgery.
Can we stop talking about this?
- Of course.
- Bolus a liter of saline,
and type and cross
for six and six,
and give her two units
of uncrossmatched blood now.
- Yeah.
- We'll be back to check on
your shortly okay?
- Okay.
- Thank you.
- Ms. Curry,
that was a disturbing,
tactless question.
Why did you ask that?
- Because we--
we should know, right?
To be prepared.
- No, there is a difference
between being prepared
and terrifying a sick woman.
[cell phone rings]
- I'm at work.
What?
Caught on fire?
Emily, don't you know
you can't put
something in the microwave
if it doesn't say
microwave-safe?
No, don't touch anything, okay?
I'll take care
of it when I get home.
- Nice.
- What?
- She's your sister.
Talk to her however you want.
- What's going on with you?
- Nothing.
It's just unfortunate
that you can't give
anyone a break.
- Me?
You know, I can't win with you.
You disapproved when
I was tough on Emily,
then you walked out
when I took her in,
and now you're mad
at me for telling her
how to use the microwave
so she doesn't
burn my apartment down.
I'm not the problem here,
April, you are.
- Hey, Joey.
- Hey.
- Could you run
a CBC, BMP, LFTs,
and a thyroid panel
on those please?
- Sure.
Ray Burke.
Oh, where's the Patient
Accession Number?
- Doesn't have one.
It's for a friend.
- I can't run blood work
for anyone who's not
a patient in the hospital.
- Come on, Joey.
What's the big deal?
- Processing bodily fluids
is highly regulated
and if my numbers
don't match up,
then somebody's gonna know.
- I'm sure you'll figure
something out.
- Sorry, man.
- Nah, you're right.
We should play by the rules.
You remember last month?
Your bronchitis?
I gave you amoxicillin?
- Yeah.
- I should fill out
admission forms,
submit them to your insurance,
then we can have a Patient
Accession Number on that too.
- Friend's results should
be ready in an hour.
- What a saint.
- Yeah.
[tense music]
- What's going on?
- Mr. Davis is a transplant
match for his son.
We're taking him up
to the O.R.
- No.
We can't do that.
- Excuse me?
- He's the only donor
within 500 miles.
Ben needs his kidney.
- I'm sorry,
but I have my orders.
♪
- You cannot deny
that boy a transplant.
- I don't want to,
but the moment we take
his father upstairs,
he becomes our patient as well.
- I understand
transplant protocol.
- So then you know
that the dad is gonna spend
a few days in the ICU,
but then what?
Jail while awaiting trial,
and then prison.
Those are hardly ideal
conditions in which to recover
from major surgery.
We could very well lose him.
Find an acceptable donor.
Let's not lose anybody.
- Gwen, we don't have time,
and the father is a match.
- You know
the hospital's position
on ultra high-risk patients,
especially those who have a--
a proven history
of making extremely
poor decisions.
- So you're sacrificing
the child
to protect your statistics?
- Ourstatistics,
which allow us to remain
an accredited transplant center
serving this entire city,
and that is my concern.
♪
And it should be yours as well.
♪
.
- [sighs]
I let him know he won't
be allowed
to give Ben his kidney.
- Any luck finding
another donor?
- No.
I have a call into East Mercy.
There's a chance they may agree
to let Chris donate there.
- Let's hope.
- Yeah.
- Ray, I just want
to let you know
that your blood work
looks good,
but given your murmur,
I do recommend
you follow-up
with a cardiologist.
Well, I'm sorry,
but my specialty
is emergency medicine.
You'd be better served--
And, Ray,
I really appreciate that--
Okay, I'd be happy to.
You know,
let me check my schedule,
and I'll find a day
that works and I'll stop by.
[alarm blares]
- Ultrasound.
Start the MTP.
- What's happening to her?
- Her internal bleeding
is getting worse.
- Katie, call the O.R.
- Lisa!
- BP's 92/51.
- I need you to take you
to surgery right now.
- No, my baby.
- Lisa, listen to her.
- Mrs. Harris,
I need your consent.
We don't have a lot of time.
- I can't find a heartbeat.
- What?
- The fetus.
- What is it?
- There's no heartbeat.
Its heart isn't beating.
- No.
- I'm sorry, but the fetus
is no longer alive.
- No.
- I need to take you
to surgery right now.
- Lisa, come on.
We have to go.
- My baby.
[crying]
- BP's 70/35.
- Mrs. Harris, look at me.
I need to take you
to surgery right now.
If I don't, you will die.
- Lisa.
- [crying]
- Mrs. Harris, please.
Please.
- Okay.
- All right, let's go!
[dramatic music]
- Time?
- Got 7 minutes.
♪
- Marty, the heart stopped.
- Lost A-line waveform.
- He's in PEA.
Get me epi.
Maggie, do internal CPR.
- What?
- Put your hands around
his heart.
All the way around his heart
and pump.
- Is there no other option?
- No, there's not.
You can do this.
Now keep squeezing.
Epi.
♪
Squeeze harder.
- Got a CPR waveform.
- Stop.
[EKG flatlining]
And pump.
[EKG beeping]
Let go.
[EKG flatlining]
[EKG beeping]
Good job.
Six and a half minutes.
- Hey.
I heard Ms. Harris agreed
to the surgery
once she lost
the fetal heartbeat.
- They got to her in time.
She's gonna make it.
- Well, that's a relief.
- Yeah, but,
even though the fetus
wasn't viable,
its heart was still beating
when they opened Lisa up.
- Really?
- Yeah,
I've got to go tell tech
that there was a malfunction
with the ultrasound.
- Huh.
- The State's Attorney
said we can't
keep him here any longer.
- Well, we're still waiting
to hear back from East Mercy.
- There's nothing I can do.
- Dr. Choi!
[alarms blaring]
He's in unstable SVT at 240.
- He's not profusing.
2 milligrams of Adenosine.
- Adenosine's in.
- What's happening?
Will someone tell me
what's happening?
- Let him stay.
- No change.
Charge at 20 and sync.
- Charged.
- Clear!
- Two more of Adenosine.
Charging to 40.
- Adenosine's in.
- No good.
Clear!
- Pulse is strong. Regular.
- Is he gonna be okay?
- His arrhythmia's are getting
harder to convert.
- He's gonna die?
- I'm sorry, Chris.
- Let me see him.
Come on, please, man.
It's my son.
- Let him.
- Stop.
- Not like that.
[solemn music]
♪
- Daddy.
- You're gonna be okay.
I love you, Ben.
- I love you too.
- Whoa. Whoa. Whoa.
- Chris!
- Do the transplant.
You wanna do everything you can
for him?
Take my kidney.
- I'm trying to find another
hospital to do the surgery.
I just need a little more time.
- No, he doesn't have time!
Do it now!
Do it now!
[gunshot]
- No!
- Stand down!
- Pupil's are blown.
Start levophed,
get him on a gurney,
and tell the transplant team
we're coming up now.
- Okay.
♪
.
[somber music]
♪
♪
- Thought you'd like to know.
We just heard from East Mercy.
They would have done
the transplant.
♪
- What did we do?
- You are a physician,
Dr. Lanik.
You know that when
you make a decision,
you don't always get
the outcome that you want.
But that doesn't mean
that the decision was wrong.
- To have such faith
in something,
and then have it go so wrong.
- Yeah.
Are you gonna...
are you gonna tell her
about the--the fetal heartbeat.
I'm happy to.
- No.
No, I'll tell her.
I just hate
to have to tell her at all.
I'm so sorry.
[indistinct chatter]
- [sobbing]
[indistinct chatter]
♪
- So I heard about the...
the false reading on
the ultrasound.
- Yeah, those--
those machines can be delicate.
One good hit to
the transducer--
- Save it.
You hacked the machine so
that it wouldn't read
the fetal heartbeat.
- No, I-I did not.
- You've been resistant to
the patient's wishes
from the start.
- Because she was determined
to kill herself.
- Do you know
that I can have you
kicked out of medical school?
- Kicked out?
- Well, you committed a crime.
- [scoffs]
No, the machine malfunctioned.
Okay, I didn't do anything,
and, by--by the way,
that woman is alive.
Doesn't anybody care
about that?
- That's not the point.
- I know what the point--
- Clearly you don't!
- I didn't do it.
- Well, I can't prove it,
which makes you
a very lucky young woman.
But you are severely deficient
in attitude
and temperament,
and I'm going to keep
a very close eye on you.
From now on,
you and I are gonna go over
all your charts
and all your cases together.
♪
- Are you serious?
- Very.
- Your numbers all look good,
Bill,
so we're gonna get you
set up here, okay?
- Thanks, Doc.
- I'll be back
to check on you in the morning.
- That was hell of a day.
- Sure was.
We should do it again.
- What?
- What do you say
to heading up my team?
Scrub in on all of my cases.
- [laughs]
I'm a charge nurse.
Going back to the O.R.?
That's sort of a demotion.
- Think about it.
My patient pulled through.
- I'm glad to hear it.
- Look...
I am sorry that I threw you
out of my OR.
It was a mistake.
It was inexcusable.
So how about a peace offering?
I'll buy you a drink.
- I don't care about you
throwing me out.
What I can't stand is you
acting so stupidly.
Willing to destroy your program
in service of your arrogance
and your ego.
So go enjoy your victory,
but I don't want
any part of it.
[both laugh]
- I'm gonna pick up some dinner
and I'll meet you
at your place.
- Okay.
Oh, hey.
Do you think the hall
would hold 250?
I sent a picture
of it to my mom,
and now she wants to invite
a few more cousins.
- Yeah, of course.
- Great.
- See you.
- Good.
- Come here.
- Jay, what's up?
- Get in the car.
What do you know
about Ray Burke?
- Does some real estate,
owns a bar,
and a construction company--
- And a reception hall.
- Yeah.
- You went to see him.
- He wasn't feeling well,
so I made a house call.
How do you know?
Hey, Ray, I just want
to let you know
that your blood work
looks good,
but I do recommend
that you follow up
with a cardiologist.
- I'm not going
to a cardiologist.
I want you, Will.
And, you know,
I'm giving you
that hall for two grand.
That's practically for free.
- Yeah--what--are you listening
to my calls?
- Ray's.
- Ray's?
- PD and the FBI have been
investigating him
for, like, two years,
and then look who waltzes in...
My brother.
- Why are you
investigating him?
- 'Cause he's a gangster.
- Come on.
What, he pays off
a building inspector
every once in a while?
- Try money laundering,
fraud, embezzlement,
and now you're involved
with him.
- Oh, I'm not involved
with him.
Hey, I'm using his hall.
It's no big deal.
- Yes, it is.
So whatever you're doing, stop.
Go home.
[somber music]
♪
.
[dramatic music]
♪
[wolf howls]