Chicago Med (2015–…): Season 4, Episode 6 - Lesser of Two Evils - full transcript
Manning and Halstead work quickly to save a physically abused wife; Choi and April discover a shocking truth about a 14-year-old cirrhosis patient; Rhodes and Lanik face off in the ER.
.
- Jay. Red Eye,
triple espresso.
- Thank you.
- Man, you're gonna be wired
till Thursday
with that much caffeine.
- This is not for me.
You need all the energy
you can get for tonight.
- Should've seen that coming.
- You know, you and Nat are
very lucky that I'm letting you
have a joint
bachelor/bachelorette party.
So what do you want
to talk about?
'Cause I got some
other surprises
I got to setup for tonight.
All right,
what am I looking at?
- The EKG I got of Ray's heart
when I was planting the bug.
- Okay. So?
- It's abnormal.
I need to bring him
to the hospital.
Run some tests--
- Whoa, whoa.
You are not actually his
doctor, you know that right?
- Jay, come on.
- You did your part.
Now lay low until Agent Lee
says otherwise. That's it.
[phone ringing]
Ricky. Irish whiskey and Oban.
Yeah, only the finest.
I'll see you tonight.
- Hello.
- Can I help you
with something?
- [humming fanfare]
- No, Maggie. Please.
- Oh, yes. Hey, Will.
Can you tell your fiancé
to stop being a killjoy?
She's got to wear this tonight.
- Maggie, I would like
to maintain a little bit
of dignity.
- You're wearing it.
This one's nonnegotiable.
[beeping]
Hey, you two,
you're up.
Ambo's pulling in with
a car crash.
- How many victims?
- Driver and passenger.
Trauma 2.
- Got it.
- Daria Carson. 29-year-old
female, restrained passenger.
Driver lost control
of the wheel
and went into the
guardrail.
GCS 15. Vitals stable.
Refused board and collar.
- Where's the driver?
- Her husband, Adam.
Wouldn't let us check him out.
- I'm fine, really.
Just take care
of my wife, please.
I'm--I'm right here, honey.
- All right,
let's transfer on my count.
Ready? One, two, three.
- Thanks guys.
- Yup.
- Breath sounds are normal.
Periorbital bruising.
Battle sign
over the right mastoid.
Possible skull fracture.
- Hey, why don't we go
next door so I can examine you?
- I want to stay with my wife.
- We're new--
new to be married.
- Newlyweds.
- Congratulations.
- Still working on the English.
- Sounds pretty good to me.
- Oh, at least let me
check your blood pressure.
We can do it right here.
- All right, let me know
if you feel any pain
or discomfort, okay?
Does it hurt right there?
- No, it doesn't hurt.
- Let me take a look.
- It's from crash.
- Oh, geez, babe.
You really slammed
that dash, didn't you?
- Your blood pressure's
a little high.
- It's just the adrenaline.
- Let's get a chest x-ray
and then send her over
for a CT head with
a four vessel angio
for her neck as well
as her chest, abdomen,
and pelvis, okay?
We'll be right back.
- Hey Adam, if you feel
lightheaded at all...
- I know where
to find you, Doc, thanks.
The guy worships her.
Won't leave her side.
- Yeah,
I don't think that's it.
The contusions
on her torso--they're old.
They're not from the crash
and then one on her side
looks like the tread of a boot.
- Son of a bitch.
.
- Let me guess, unicorn.
- Nope, cotton candy.
- Oh!
- My mom made it, actually.
- Ten bags of cotton,
hand-painted
and sewn to a leotard.
- Impressive.
That is quite a labor of love.
- I always lacked imagination
in that department.
Pretty sure I was sheriff
all of elementary school.
Mr. and Mrs. Phillips,
Gabby appears to have
some swelling
in her lower legs as well.
- She's been eating vegetarian.
Latest fad at school.
Could it be her diet?
- I don't think so.
The swelling, paired with
vomiting and jaundice
makes me think
this may be a liver issue.
Ultrasound?
Gabby, you mind if we take
a closer look?
- Um, we just assumed
it was a stomach bug.
We would've brought her
in sooner if we thought
it could be serious.
- Let's take a look.
- Gallbladder looks normal.
But her liver is nodular.
Looks cirrhotic.
- Cirrhosis?
Isn't that from drinking?
- I don't drink.
- Gabby's never even tasted
alcohol.
- Cirrhosis just means there's
scar tissue in her liver.
So there are plenty of other
causes besides alcohol.
- We'll run some tests to help
us narrow things down.
April, CBC, CMP, LFT,
CT abdomen and pelvis
and give 4 mg of Zofran
and 1 liter saline IV.
- Got it.
- But I was supposed to set up
for my Halloween dance tonight.
I have to be there.
- Hey, worst comes to worst,
Dad will drop off
the decorations for you,
Honey, okay?
- We'll let you know as soon
as the results are in.
- Could you give us a moment?
Thanks.
- I go inside.
- Yes, soon.
I wanted to speak
with you first.
The bruises on your body.
They're not all from
the accident, are they?
Is someone hurting you?
- No.
- Is your husband hurting you?
As your doctor, whatever
you say to me stays between us.
He won't know.
- We meet online.
When Adam comes to Ukraine
to see me,
he's gentleman,
handsome, kind.
I fall in love.
- How did you end up
in the States?
- A year ago, there is...
Trouble for my family.
I must leave.
Adam brings me here
on visa to marry,
but when I come,
he's a different man.
Everything I do,
he get mad.
Today, in car, I say something
he doesn't like and...
- That's why the car went
into the rail.
Daria, we can report this
to the police.
- No, no. No police.
Adam, he kill me.
- There are shelters
you can stay at.
- No, I cannot leave him.
He will send me back,
no papers.
- Deport you?
But you're married.
- He never files
for my green card.
He says I'm a bad wife.
You say I can trust you.
- Yes, you can trust me.
- Please, no police.
I beg you.
- She still visiting
Bernie every day?
- Yeah. How can
she stay with him?
He lied to her
about being married.
Come on, don't tell me
you approve of this.
- It doesn't matter
what I or you think.
It's Emily's call to make.
- I tried talking
some sense into her.
Now somehow
I'm the bad guy.
- He's the father of her child,
Ethan.
- Yeah, and?
- So it's not insane for her
to want at least
try to make it work.
- And why can't she leave him?
- Well, Daria didn't go
into detail
but I gather being deported
would put her life in danger.
- Yeah, fear Adam is clearly
preying on.
- Well, it's not uncommon.
Abusive spouses using the
victim's immigration status
to control or manipulate.
- If she isn't legal,
she's likely financially
dependent on him too.
- He won't even let
her leave the house.
- Yeah, the prick
has her trapped.
- Let me talk to
an immigration attorney,
see if we can't find a way out
for Mrs. Carson.
- Thank you.
- Mm-hmm.
- Dr. Choi,
Gabby's been short of breath
for the last few minutes.
- SATS are at 91. April,
let's get her on oxygen.
- Is there any news?
- That's what I came
to speak to you about. Please.
Gabby's CT did, in fact,
show cirrhosis
and her labs, I'm afraid, are
consistent with liver failure.
- Oh, my God.
- What?
How--how could that be?
- I have a theory, but I'd like
to do a quick exam to confirm.
Excuse me.
Hey, Gabby. Can you look
in the light for me?
There.
See the golden color
around her pupils?
Those are called
Kayser-Fleischer rings.
They're a sign
of Wilson's disease.
- What is that?
- Well,
when our bodies consume copper,
our livers get rid
of the excess.
But with Wilson's,
the copper's
improperly eliminated
so it builds up
in our vital organs.
It's a hereditary disorder.
Any family history
on either side?
- No.
- I'm--I'm not sure.
Uh, no. No.
- Can we step outside
for a moment?
- I'll keep Gabby company.
- Thanks.
Right now, we're going to start
Gabby on plasmapheresis
to remove the copper
from her blood,
but ultimately, she will need
a liver transplant.
- Uh, well, can we donate?
Is--is that possible?
- Yes, because the liver
regenerates,
it's possible to donate
a segment.
We just need a test to see
if any of you are a match.
- Can friends and family
get tested as well?
- The wider the net,
the better.
- Good, we'll reach out
to everyone we know.
- In the meantime, we'll set
you both up to get evaluated.
Thank you.
- Yes! So cute!
- Ooh!
- Who are you guys
supposed to be?
The Pink Ladies.
- Yes!
- Who are they?
- What?
- Oh, Dr. Lanik, uh,
I changed the dressing
on the patient in Treatment 6
and found the journal articles
you requested
and here's your latte.
- Wow.
You know, I'm all about
giving the med students
the occasional scut work,
but having them fetch
you coffee, that's classy.
- He wanted to. Rising star,
that kid. Real pleaser.
- Dr. Rhodes.
- Dr. Bekker.
What's on tap for you today?
- Back to back CABG's.
- You got time for lunch later?
- I'll see if I
can squeeze you in.
- Need some help over here.
- Terry, come and help!
[indistinct]
- What happened?
- Working a job
a couple blocks away.
Piece of sheet metal
fell on Mitch.
Ripped his leg open.
- The blood--never seen
anything like it.
- All right, Maggie, tag in.
We might have to move
to the hybrid OR.
- Got you.
- Pupils are sluggish.
- Pulse is thready. Maggie,
get an IV in, trigger the MTP.
- I'm on it.
- Large laceration through
the muscle.
Femoral artery's severed.
- Prognosis?
- Trauma to the femoral artery
can cause massive
and rapid blood loss.
- Bad. Prognosis is bad.
- Breath sounds are weak.
I'm gonna intubate.
Give me an Laryngoscope.
- On it.
- I can get a 22 in the hand.
- That'll have to do.
100 of sux, 20 of etomidate.
Lanik, get an eight French line
in the groin.
- Terry, you're up.
- Uh, a central line?
I've only done practice runs.
- Then you're ready.
Get to it.
Beats scut work, right?
- I can't see the cords.
Guy's really anterior.
Maggie, cricoid pressure.
- Yep, got it.
- C'mon. Hurry up.
Get the catheter
and dilator over the wire.
[beeping]
- BP's dropping.
- Lanik, step in.
- Come on, Terry.
Guy's dying.
- The guy needs blood.
Lanik, step in or I will.
I'm in, bag him.
- Done. I got it.
Why is there so much blood?
What happened?
- Damn it. You missed the vein.
You went into the artery.
- All right,
we can't use that line.
Give me a kit. I got to
get a line in the subclavian.
.
- I'm sorry.
I was having trouble finding
my landmarks.
I--everything
was moving so fast. I--
- Well, next time we'll just
ask the guy to stop dying
so you can catch up.
- All right.
Let's get the blood going.
Move him over to the hybrid OR.
We'll shunt the leg there.
- You heard the man.
Let's get ready to travel.
- Hey, results are back
for Gabby's dad.
They couldn't test the mom.
- How come?
Preexisting condition?
- Lupus.
- And dad?
- Unfortunately,
he's not a match.
- John's blood type is AB.
Gabby's type O.
- He can't be
her biological father.
- Remember how Jeanette
changed her answer
when I asked them about
their family history?
- John probably has no idea.
- I'm going to pull in
Dr. Charles.
- The radiologist
just read Daria's scans.
- Do you see that blip,
right there?
That's called
a pseudoaneurysm.
The impact from the crash
tore the vessel,
and now there's a small
blood clot covering the hole.
- If it ruptures, it could
cause a life-threatening bleed.
- So what's the treatment?
- We'll put you on medication
to keep
your blood pressure low,
and we'll monitor you
for the next 24-48 hours.
- I'm here too, you know.
- Then we'll start
anticoagulants
and reimage you.
If your condition worsens,
we will need
to perform surgery.
- In the interim,
it is very important
that we keep Daria calm.
Any stress or agitation could
spike her blood pressure,
and cause the pseudoaneurysm
to rupture.
We'll need to restrict
all visitors.
- You don't mean me.
- Yes, actually we do.
- I hope you understand.
- She'll get nervous
if I'm not here.
Uh, babe,
you don't want me to leave.
I'll stay.
- Your wife needs rest.
- Hey man, do you have
a problem with me?
- No, Mr. Carson.
- Once a room opens up,
we'll move you upstairs.
Thank you.
Will?
- Give me three minutes alone
with that guy.
- We show him our cards,
he'll suspect we're onto him.
It'll put Daria
at even greater risk.
Be smart about this.
- So if--if John's not
a match and I can't donate,
what now?
- Ms. Phillips, it is not
at all our intention to pry
into your private affairs,
but at the same time
it's important to us
to give your daughter
the best care possible.
- Okay.
- And in reviewing you and your
husband's test results,
it became evident that John is
not Gabby's biological father.
- And we wanted to be
with you in private
because we weren't
sure that John knew.
- No, no.
It's not what you think.
Gabby's adopted.
- Huh.
- And when I asked about your
family history, you didn't--
- No, uh, we didn't want to say
anything in front of Gabby.
She--she doesn't know.
- Mrs. Philips,
I know it's a stretch,
but if we could locate any
of Gabby's blood relatives--
- That's not possible.
Um, Gabby was a ward of
the state when we adopted her.
Her biological parents
were deceased
and she had no other
known relatives.
- Well, in that case,
we'll want to get Gabby
onto the transplant list
right away.
- Okay. Thank you.
- Artery shunted.
- Clamps are off.
- Let's get him up to the ICU
to rewarm and resuscitate.
- What about the line
in his artery?
Don't you need to pull it out?
- So we can watch him
bleed out?
- We can't do that right now.
He's too cold
and coagulopathic.
We'll fix it when
his pressure
and clotting are better.
Where do you get off
treating him like that?
What happened was
your responsibility.
- I didn't stick
that guy's artery.
- You were supposed
to be supervising.
- Look, the only way
they learn is under pressure.
- Not when it endangers
my patient.
- Look, would you just relax?
You got your line in.
Disaster was averted.
No harm, no foul.
- If you ever pull something
like that again--
- Hey, you might've been
the golden boy up in CT,
but down here
I'm in charge.
And I will supervise
my med students
in whatever way I see fit.
- Glad to see you found a new
sparring partner down here.
Would hate to see you getting
rusty in my absence.
- That guy is an egomaniac.
- Well, takes one
to know one, right?
Come on. Buy you lunch?
- Yeah.
- Um, Dr. Charles?
Hey, I was wondering how long
does Gabby have to be
on the transplant list
before she gets a new liver?
- Um--
- Please, just--
just level with me.
- I'm afraid I can't give you
a definitive answer.
It can take days. Weeks.
Sometimes, honestly,
even years.
- Years?
- Well, unfortunately,
demand vastly outweighs supply.
It's why living donor
transplantation was developed.
- Uh, it's not possible for
a drug addict to donate, is it?
- A drug addict?
- Honey.
I got you a coffee.
- Oh, thank you.
- Any word from Paula?
- No, she can't--
[alarm]
- She's having a seizure.
5 of Ativan IV.
Let's get a brain CT, just to
make sure there are no bleeds.
- Bleeding in the brain?
What are you talking--
- It's just a precaution. Here,
let's let them do their job.
- John?
- Antivan's in.
Okay, okay.
- Easy.
- [crying]
.
- You know, some people have
this great knack
for hearing cardiac murmurs
or a palpating pulse.
But no one picks up a scalpel
and instinctively knows
how to open a chest.
Procedures take practice
and repetition.
You'll get better with time.
- But what if I don't?
Maybe this was a mistake.
- What was a mistake?
- Med school.
I gave up an NFL contract
to come here.
Could've paid off
my mom's mortgage,
put my little brother
through school.
My family relies on me
financially, if I fail out--
- Whoa, you are getting way
ahead of yourself.
You keep at this,
you'll get better.
Now do it again.
- Get a grip on yourself
or it'll be Gabby who suffers.
Dr. Charles, my wife--
This whole thing has been
really hard on her.
She and Gabby haven't spent
more than a night apart
since the day we adopted her.
- I imagine it's incredibly
hard on both of you. Right?
I mean, the stress,
emotion's got to run high.
We all say things,
do things we regret. Right?
Look, not for nothing,
I'm here.
You want to talk
about anything?
Anything at all?
- No, you know what?
You make a good point.
I should find Jeanette.
I--I owe her an apology.
- Any word on Gabby's CT?
- It was negative.
- Oh, that's good.
Look, I've been thinking.
Why don't we see
if we can get a look
at Gabby's adoption records?
Sometimes courts
will unseal them
in the case
of imminent medical need.
- But didn't the parents
say Gabby's a ward
of the state
with no surviving relatives?
- Yeah, but at this point,
I'm pretty sure
there's something
they're not telling us.
- I'll make the call.
- I spoke with
an immigration attorney.
Under provisions in the
Violence Against Women Act,
battered immigrant spouses
can self-petition
for legal residency.
- Without their spouse's
knowledge?
- Yes and if Mrs. Carson's
petition is approved,
she'll be eligible
to work in the US.
- Thank you, Ms. Goodwin.
I'll go speak with Daria.
- All rightie.
- Where's Adam?
- He goes for food,
but he comes back soon.
- I only need a second.
Daria, there is a way for
you to stay in this country
without Adam's help.
You can even get a work visa.
- But if Adam finds out--
- That's the thing.
He won't find out.
- Dr. Manning.
- I was just checking
on Daria.
- You know, I was thinking,
if we're just going
to watch and wait,
we may as well go home.
You'd be more comfortable
there. Right, babe?
Babe?
- Mr. Carson,
I don't think you understand
the gravity
of your wife's situation.
We're not just watching
and waiting.
It is imperative that Daria
remain in the hospital.
- That's your opinion.
- Yes, my medical opinion.
- What's going on here?
- We'd like to be discharged.
- No. That would be against
medical advice.
- So we've been told.
It's fine.
- Well, that's not up to you.
That's the patient's decision.
- Tell them you want to leave.
- Daria, you do realize that
if you leave the hospital
in your condition,
you will be exposing yourself
to significant health risks?
- Yes. I want to go.
Please.
- Okay then.
- We'll get
the paperwork started.
Goodwin found Daria
a legal fix for the long-term,
but if she walks out
that door with him--
- It won't matter. Next time
he hits her, it'll kill her.
- Hey, got your page.
- Just heard back. We can't
get Gabby's adoption records.
- Why not?
- Because they don't exist.
- Okay, so the state made
a clerical error
or they lost
our adoption records.
I fail to understand
how this is our fault.
- No one was blaming you.
- Then what were you doing
going behind our backs without
our consent in the first place?
- Mr. Philips,
please just try to stay calm.
- Jeanette, you asked me before
if an addict can donate.
- Leave my wife alone!
- I need you to know that
if they're clean now,
they very well could.
- Really?
- I know how much you both
love your daughter.
But if you're
withholding information
that could help us
save her life,
now is absolutely
the time to tell us.
- We--we had to do something,
we couldn't
just leave her there.
Gabby was, um, just a baby.
She wasn't even a year old.
And she'd leave her out in the
hallway for hours in this, uh,
ratty old bassinet.
Um, we could hear her wailing
from our apartment.
- Who would leave her?
- That woman. The mother.
She was inside getting high,
getting strung out
on who--who knows what.
- We were just going to take
her up to our apartment
for a night, I swear.
Give her a bath,
get her fed.
- Wait, you kidnapped her?
- No, it's--it's not like that.
We had to save her.
- I'm sorry, but you know
we have to report this.
- We know.
Look, um--
Could we have a moment
with Gabby?
To try to explain?
Of course.
- I'm--I'm sorry.
I'm sorry, I'm sorry.
- Shh, it's okay.
It's going to be okay.
[alarm sounds]
- What's going on?
- Pressure just dropped.
- No pulse. He's in V-fib.
- What happened?
Why did he arrest?
- Don't know yet.
What were his last labs?
- PH was 7.1,
but we've been correcting it.
- Take over. Charge to 200.
- Charging.
And clear.
- Lab just called with
a critical value.
Potassium is 9.
- All right,
two amps of bicarb, amp of D50,
and charge to 200 again.
- Why the hell's
his potassium so high?
- Bicarb's in.
- Clear.
- He's back to sinus rhythm.
- Well, your shunt
must've failed.
- There's no bleeding.
Strong pulse in the right foot.
- Damn it.
- No pulse in the left foot.
Compartments are
hard as a rock.
The line in the artery
must've thrombosed the leg.
- The line I put in.
- The muscle's dying
and dumping potassium into
the bloodstream.
The leg's gotta go.
- You're going to amputate
his good leg?
- We don't have a choice.
.
- Whoa, whoa. Hold on.
What are you doing?
- We got to book an OR.
- No, I mean what are you doing
sawing off this guy's leg?
- It's going
to keep dumping potassium
and stopping his heart.
- Even if you take off the leg
and he stops arresting,
he's never waking up.
- You don't know that.
- His pupils were sluggish
when he got here.
He already lost a massive
amount of blood.
- You're saying he suffered
an anoxic injury
in the field?
- Of course he did.
The guy was a goner
when he got here.
He's on his way to brain
death no matter what we do.
- Unbelievable.
You're worried
that he might just
pull through, aren't you?
- You're reaching.
No way he's pulling through.
- Oh, that's what you're
counting on, right?
That he dies?
- What do you mean?
- Dr. Lanik is worried
about a malpractice suit.
The patient survives,
he's accountable.
Guy wakes up, he's going
to wonder why we amputated
his good leg, right?
You're a coward.
- Get over yourself.
All you're doing is rearranging
deck chairs on the Titanic.
- As long as this guy has
a fighting chance,
I am going to do everything
I can to save him.
The leg comes off.
- You know,
it's not just my neck
on the chopping block.
He put the line in.
So if I take a hit,
you can be sure as hell
the kid goes down too.
- Mr. Carson?
- What?
More paperwork for me
to fill out?
- Given the high risk
associated
with discharging Daria--
- The hospital's Ethics
Committee is convening
an emergency meeting.
- You got to be kidding me.
I know my rights. You can't
keep us here against our will.
- Dr. Manning, Dr. Halstead.
I need you. It's Daria.
No pulse.
- What?
- The aneurysm
must've ruptured.
- She was fine a second ago.
- Maggie, start bagging.
- Got you.
- She's asystolic.
- Do something.
You're--you're not helping her.
- Step outside. Now.
- Milligram of Epi.
- Epi's in.
- Another milligram of Epi.
Stay with me Daria,
stay with me.
Pulse?
Epi.
Come on, Daria.
- No.
She's gone.
Time of death, 17:32.
- The birth mom,
Alyssa Thompson,
is on her way in.
We were able to track her down
with the info
the Phillips provided.
- Is she clean and sober?
- Seems like it.
Been working as a hotel maid
for the past 6 years.
- Good. Hopefully, she'll be
willing to get tested
to be a donor.
- Yeah.
Nearly had a heart attack
when we told her
we found her daughter.
- What's--
- Mr. and Mrs. Philips?
I'm going to need you
to come with me.
- Wait, wait--no.
- We're so sorry, baby.
- No, please. Please.
We have no choice.
- So sorry.
- Can you do something?
Can you--
- Please forgive us.
- I--I know this is
very scary--
- This is all of your fault.
- Mr. Carson,
we're sorry for your loss.
- What happens now?
What sort of arrangements
do I have to make?
- After the autopsy
is complete,
likely in about 6-8 weeks,
you could--
- Wait, autopsy?
- Yes, it's the law that
all traumatic deaths
go for an autopsy to determine
the cause of death.
- But we already know
what happened.
- Well, the crash is
the presumed cause of death.
The medical examiner
will need to rule out
other possibilities.
- Like what?
- There was bruising
in her initial exam
that is not consistent with
the mechanism of injury
from the crash.
- Daria wouldn't have wanted
an autopsy.
People poking and prodding
her body.
As her next of kin,
I refuse.
- The ME has jurisdiction
to perform the autopsy
with or without your consent.
But feel free to voice
your objections directly.
She'll be here
to take your statement shortly.
- You can wait here.
We'll retrieve you
when she arrives.
- How's the husband taking it?
- Oh, he's worried.
- Just what we expected.
Daria.
Daria, it's okay.
- He's gone?
He will not come back?
- No, trust me.
He's going to stay as far away
from this hospital
as he possibly can.
- We know this was
an unorthodox intervention.
- No, Dr. Manning,
this was a complete
misappropriation
of medical care.
What if your fake code
had caused
the patient to rupture?
- The compressions were staged.
I wasn't using full force.
- And light compressions
wouldn't spike blood pressure--
-Save it, Dr. Halstead.
If Carson hadn't bought
your little charade,
do you have any idea
of the legal ramifications?
He would've gone after
your medical licenses
and then you pulled Maggie in.
I can't believe she allowed
herself to be involved.
- Ms. Goodwin,
if we could've stayed within
the lines, we would have.
But in this instance,
that would have meant
sending a woman out the door
knowing she would
very possibly die.
- Enough.
Another stunt like this
and both of you will be looking
for work elsewhere.
And just so you know,
an immigration attorney
is meeting with Mrs. Carson
shortly and a social worker
is standing by
to find a shelter for her.
- Thank you.
- Dr. Rhodes.
BP and heart rate
suddenly spiked.
- Now he's bradycardic.
[sighs]
Both pupils
are blown bilaterally.
No corneal.
No gag.
We'll need an apnea test
to confirm, but it appears--
- He's brain dead.
Herniated due to
an anoxic brain injury
from prolonged downtime
in the field.
Just like I said he would.
You should be happy.
Dodged that bullet.
- Will you excuse me?
- From now on,
you'll stay out of my way.
- Likewise.
- Is that Kylie?
- She goes by Gabby now.
- I can't believe...
All these years
I thought she was dead.
- Would you like to meet her?
- Yes.
- Uh, Gabby,
I think you have a visitor.
Alyssa is here.
- Hi.
I'm so happy to see you.
You are so beautiful.
- Get away from me.
You're not my momma.
- Gabby, I know this
is confusing.
- I want her out of here.
I don't care.
- I'm not here to hurt you.
- Get out.
Get out!
- I get it.
I wouldn't expect her to,,,
But I just thank God that
I get a second chance
to be in her life
in some way.
To be some kind of mother.
- Thank you for agreeing
to get tested.
- Anything. Anything she needs.
- If you follow me,
I'll get you started.
- Excuse me.
The couple that took her.
Where are they?
- They're in police custody.
- I was hoping I may be able
to thank them.
They saved her life.
- "Thank them," wow.
- Motherhood, you know.
Mysterious powerful thing.
Something you and me
will never fully understand.
- We took a huge risk today.
- No regrets.
I'd do it again.
Aren't you forgetting
something?
Your sash.
- Do you really think
she'll notice?
- Nat, it's Maggie.
- Fine, but I am
not putting it on
until we're out
of the hospital.
- All right.
- Okay, I'll be right back.
I don't need
another lecture right now.
- And I'm not here to do that.
- Listen, Em,
I may not understand your
decision to stay with Bernie,
but I'm not in your shoes
and you need to do what
you think is best.
- Really?
- Yeah.
- I'm so glad to hear that.
I have some news.
Kind of big news.
- Okay.
- As soon as Bernie's
discharged,
we're going to move
to Las Vegas.
- Okay, Em.
- Okay.
Awesome. Okay.
[inaudible]
- First one's the hardest.
- Huh?
- You didn't cause his death,
you know that, right?
- That's not it.
When Mitch died
for a moment,
for a split second...
I was relieved to be
in the clear.
- You're human.
Now, look, the minute that
you walk into this hospital,
the only person relying on you
needs to be your patient.
This is already
a high-pressured gig
and you need to find a way
to leave everything else
at the door.
You got me?
- I hear you.
Thanks, Dr. Rhodes.
- You hang in there, Terry.
You're going to be fine.
[chuckles]
[imitating pirate]
Arr, matey.
You clean up nice,
Dr. Bekker.
- You're not so bad yourself.
- Shall we?
[upbeat party music]
♪
- Thanks for coming.
♪
[laughter]
[cheering]
- I'll go get us
another round.
- All right.
♪
- Hey, can I talk to you
for a quick sec?
- Yeah, sure.
- What's going on, man?
- I'm just giving you
a heads up, out of respect.
- Okay.
- I'm bringing Ray Burke in
for an echo and an MRI--
- Jesus, Will,
you're not his doctor.
- And I can't, in good
conscience, withhold possibly
life-threatening information
from him.
- If you make a move in his
direction without our go-ahead,
I promise you,
you will regret it.
- Look, man, because of the bug
that you planted,
the Task Force has intel
that Ray's meeting with
his crew in a week.
Okay, this close
to taking him down.
He'll get treated in custody.
Now, if you don't mind, I'd
like to get back to your party.
- Jay. Red Eye,
triple espresso.
- Thank you.
- Man, you're gonna be wired
till Thursday
with that much caffeine.
- This is not for me.
You need all the energy
you can get for tonight.
- Should've seen that coming.
- You know, you and Nat are
very lucky that I'm letting you
have a joint
bachelor/bachelorette party.
So what do you want
to talk about?
'Cause I got some
other surprises
I got to setup for tonight.
All right,
what am I looking at?
- The EKG I got of Ray's heart
when I was planting the bug.
- Okay. So?
- It's abnormal.
I need to bring him
to the hospital.
Run some tests--
- Whoa, whoa.
You are not actually his
doctor, you know that right?
- Jay, come on.
- You did your part.
Now lay low until Agent Lee
says otherwise. That's it.
[phone ringing]
Ricky. Irish whiskey and Oban.
Yeah, only the finest.
I'll see you tonight.
- Hello.
- Can I help you
with something?
- [humming fanfare]
- No, Maggie. Please.
- Oh, yes. Hey, Will.
Can you tell your fiancé
to stop being a killjoy?
She's got to wear this tonight.
- Maggie, I would like
to maintain a little bit
of dignity.
- You're wearing it.
This one's nonnegotiable.
[beeping]
Hey, you two,
you're up.
Ambo's pulling in with
a car crash.
- How many victims?
- Driver and passenger.
Trauma 2.
- Got it.
- Daria Carson. 29-year-old
female, restrained passenger.
Driver lost control
of the wheel
and went into the
guardrail.
GCS 15. Vitals stable.
Refused board and collar.
- Where's the driver?
- Her husband, Adam.
Wouldn't let us check him out.
- I'm fine, really.
Just take care
of my wife, please.
I'm--I'm right here, honey.
- All right,
let's transfer on my count.
Ready? One, two, three.
- Thanks guys.
- Yup.
- Breath sounds are normal.
Periorbital bruising.
Battle sign
over the right mastoid.
Possible skull fracture.
- Hey, why don't we go
next door so I can examine you?
- I want to stay with my wife.
- We're new--
new to be married.
- Newlyweds.
- Congratulations.
- Still working on the English.
- Sounds pretty good to me.
- Oh, at least let me
check your blood pressure.
We can do it right here.
- All right, let me know
if you feel any pain
or discomfort, okay?
Does it hurt right there?
- No, it doesn't hurt.
- Let me take a look.
- It's from crash.
- Oh, geez, babe.
You really slammed
that dash, didn't you?
- Your blood pressure's
a little high.
- It's just the adrenaline.
- Let's get a chest x-ray
and then send her over
for a CT head with
a four vessel angio
for her neck as well
as her chest, abdomen,
and pelvis, okay?
We'll be right back.
- Hey Adam, if you feel
lightheaded at all...
- I know where
to find you, Doc, thanks.
The guy worships her.
Won't leave her side.
- Yeah,
I don't think that's it.
The contusions
on her torso--they're old.
They're not from the crash
and then one on her side
looks like the tread of a boot.
- Son of a bitch.
.
- Let me guess, unicorn.
- Nope, cotton candy.
- Oh!
- My mom made it, actually.
- Ten bags of cotton,
hand-painted
and sewn to a leotard.
- Impressive.
That is quite a labor of love.
- I always lacked imagination
in that department.
Pretty sure I was sheriff
all of elementary school.
Mr. and Mrs. Phillips,
Gabby appears to have
some swelling
in her lower legs as well.
- She's been eating vegetarian.
Latest fad at school.
Could it be her diet?
- I don't think so.
The swelling, paired with
vomiting and jaundice
makes me think
this may be a liver issue.
Ultrasound?
Gabby, you mind if we take
a closer look?
- Um, we just assumed
it was a stomach bug.
We would've brought her
in sooner if we thought
it could be serious.
- Let's take a look.
- Gallbladder looks normal.
But her liver is nodular.
Looks cirrhotic.
- Cirrhosis?
Isn't that from drinking?
- I don't drink.
- Gabby's never even tasted
alcohol.
- Cirrhosis just means there's
scar tissue in her liver.
So there are plenty of other
causes besides alcohol.
- We'll run some tests to help
us narrow things down.
April, CBC, CMP, LFT,
CT abdomen and pelvis
and give 4 mg of Zofran
and 1 liter saline IV.
- Got it.
- But I was supposed to set up
for my Halloween dance tonight.
I have to be there.
- Hey, worst comes to worst,
Dad will drop off
the decorations for you,
Honey, okay?
- We'll let you know as soon
as the results are in.
- Could you give us a moment?
Thanks.
- I go inside.
- Yes, soon.
I wanted to speak
with you first.
The bruises on your body.
They're not all from
the accident, are they?
Is someone hurting you?
- No.
- Is your husband hurting you?
As your doctor, whatever
you say to me stays between us.
He won't know.
- We meet online.
When Adam comes to Ukraine
to see me,
he's gentleman,
handsome, kind.
I fall in love.
- How did you end up
in the States?
- A year ago, there is...
Trouble for my family.
I must leave.
Adam brings me here
on visa to marry,
but when I come,
he's a different man.
Everything I do,
he get mad.
Today, in car, I say something
he doesn't like and...
- That's why the car went
into the rail.
Daria, we can report this
to the police.
- No, no. No police.
Adam, he kill me.
- There are shelters
you can stay at.
- No, I cannot leave him.
He will send me back,
no papers.
- Deport you?
But you're married.
- He never files
for my green card.
He says I'm a bad wife.
You say I can trust you.
- Yes, you can trust me.
- Please, no police.
I beg you.
- She still visiting
Bernie every day?
- Yeah. How can
she stay with him?
He lied to her
about being married.
Come on, don't tell me
you approve of this.
- It doesn't matter
what I or you think.
It's Emily's call to make.
- I tried talking
some sense into her.
Now somehow
I'm the bad guy.
- He's the father of her child,
Ethan.
- Yeah, and?
- So it's not insane for her
to want at least
try to make it work.
- And why can't she leave him?
- Well, Daria didn't go
into detail
but I gather being deported
would put her life in danger.
- Yeah, fear Adam is clearly
preying on.
- Well, it's not uncommon.
Abusive spouses using the
victim's immigration status
to control or manipulate.
- If she isn't legal,
she's likely financially
dependent on him too.
- He won't even let
her leave the house.
- Yeah, the prick
has her trapped.
- Let me talk to
an immigration attorney,
see if we can't find a way out
for Mrs. Carson.
- Thank you.
- Mm-hmm.
- Dr. Choi,
Gabby's been short of breath
for the last few minutes.
- SATS are at 91. April,
let's get her on oxygen.
- Is there any news?
- That's what I came
to speak to you about. Please.
Gabby's CT did, in fact,
show cirrhosis
and her labs, I'm afraid, are
consistent with liver failure.
- Oh, my God.
- What?
How--how could that be?
- I have a theory, but I'd like
to do a quick exam to confirm.
Excuse me.
Hey, Gabby. Can you look
in the light for me?
There.
See the golden color
around her pupils?
Those are called
Kayser-Fleischer rings.
They're a sign
of Wilson's disease.
- What is that?
- Well,
when our bodies consume copper,
our livers get rid
of the excess.
But with Wilson's,
the copper's
improperly eliminated
so it builds up
in our vital organs.
It's a hereditary disorder.
Any family history
on either side?
- No.
- I'm--I'm not sure.
Uh, no. No.
- Can we step outside
for a moment?
- I'll keep Gabby company.
- Thanks.
Right now, we're going to start
Gabby on plasmapheresis
to remove the copper
from her blood,
but ultimately, she will need
a liver transplant.
- Uh, well, can we donate?
Is--is that possible?
- Yes, because the liver
regenerates,
it's possible to donate
a segment.
We just need a test to see
if any of you are a match.
- Can friends and family
get tested as well?
- The wider the net,
the better.
- Good, we'll reach out
to everyone we know.
- In the meantime, we'll set
you both up to get evaluated.
Thank you.
- Yes! So cute!
- Ooh!
- Who are you guys
supposed to be?
The Pink Ladies.
- Yes!
- Who are they?
- What?
- Oh, Dr. Lanik, uh,
I changed the dressing
on the patient in Treatment 6
and found the journal articles
you requested
and here's your latte.
- Wow.
You know, I'm all about
giving the med students
the occasional scut work,
but having them fetch
you coffee, that's classy.
- He wanted to. Rising star,
that kid. Real pleaser.
- Dr. Rhodes.
- Dr. Bekker.
What's on tap for you today?
- Back to back CABG's.
- You got time for lunch later?
- I'll see if I
can squeeze you in.
- Need some help over here.
- Terry, come and help!
[indistinct]
- What happened?
- Working a job
a couple blocks away.
Piece of sheet metal
fell on Mitch.
Ripped his leg open.
- The blood--never seen
anything like it.
- All right, Maggie, tag in.
We might have to move
to the hybrid OR.
- Got you.
- Pupils are sluggish.
- Pulse is thready. Maggie,
get an IV in, trigger the MTP.
- I'm on it.
- Large laceration through
the muscle.
Femoral artery's severed.
- Prognosis?
- Trauma to the femoral artery
can cause massive
and rapid blood loss.
- Bad. Prognosis is bad.
- Breath sounds are weak.
I'm gonna intubate.
Give me an Laryngoscope.
- On it.
- I can get a 22 in the hand.
- That'll have to do.
100 of sux, 20 of etomidate.
Lanik, get an eight French line
in the groin.
- Terry, you're up.
- Uh, a central line?
I've only done practice runs.
- Then you're ready.
Get to it.
Beats scut work, right?
- I can't see the cords.
Guy's really anterior.
Maggie, cricoid pressure.
- Yep, got it.
- C'mon. Hurry up.
Get the catheter
and dilator over the wire.
[beeping]
- BP's dropping.
- Lanik, step in.
- Come on, Terry.
Guy's dying.
- The guy needs blood.
Lanik, step in or I will.
I'm in, bag him.
- Done. I got it.
Why is there so much blood?
What happened?
- Damn it. You missed the vein.
You went into the artery.
- All right,
we can't use that line.
Give me a kit. I got to
get a line in the subclavian.
.
- I'm sorry.
I was having trouble finding
my landmarks.
I--everything
was moving so fast. I--
- Well, next time we'll just
ask the guy to stop dying
so you can catch up.
- All right.
Let's get the blood going.
Move him over to the hybrid OR.
We'll shunt the leg there.
- You heard the man.
Let's get ready to travel.
- Hey, results are back
for Gabby's dad.
They couldn't test the mom.
- How come?
Preexisting condition?
- Lupus.
- And dad?
- Unfortunately,
he's not a match.
- John's blood type is AB.
Gabby's type O.
- He can't be
her biological father.
- Remember how Jeanette
changed her answer
when I asked them about
their family history?
- John probably has no idea.
- I'm going to pull in
Dr. Charles.
- The radiologist
just read Daria's scans.
- Do you see that blip,
right there?
That's called
a pseudoaneurysm.
The impact from the crash
tore the vessel,
and now there's a small
blood clot covering the hole.
- If it ruptures, it could
cause a life-threatening bleed.
- So what's the treatment?
- We'll put you on medication
to keep
your blood pressure low,
and we'll monitor you
for the next 24-48 hours.
- I'm here too, you know.
- Then we'll start
anticoagulants
and reimage you.
If your condition worsens,
we will need
to perform surgery.
- In the interim,
it is very important
that we keep Daria calm.
Any stress or agitation could
spike her blood pressure,
and cause the pseudoaneurysm
to rupture.
We'll need to restrict
all visitors.
- You don't mean me.
- Yes, actually we do.
- I hope you understand.
- She'll get nervous
if I'm not here.
Uh, babe,
you don't want me to leave.
I'll stay.
- Your wife needs rest.
- Hey man, do you have
a problem with me?
- No, Mr. Carson.
- Once a room opens up,
we'll move you upstairs.
Thank you.
Will?
- Give me three minutes alone
with that guy.
- We show him our cards,
he'll suspect we're onto him.
It'll put Daria
at even greater risk.
Be smart about this.
- So if--if John's not
a match and I can't donate,
what now?
- Ms. Phillips, it is not
at all our intention to pry
into your private affairs,
but at the same time
it's important to us
to give your daughter
the best care possible.
- Okay.
- And in reviewing you and your
husband's test results,
it became evident that John is
not Gabby's biological father.
- And we wanted to be
with you in private
because we weren't
sure that John knew.
- No, no.
It's not what you think.
Gabby's adopted.
- Huh.
- And when I asked about your
family history, you didn't--
- No, uh, we didn't want to say
anything in front of Gabby.
She--she doesn't know.
- Mrs. Philips,
I know it's a stretch,
but if we could locate any
of Gabby's blood relatives--
- That's not possible.
Um, Gabby was a ward of
the state when we adopted her.
Her biological parents
were deceased
and she had no other
known relatives.
- Well, in that case,
we'll want to get Gabby
onto the transplant list
right away.
- Okay. Thank you.
- Artery shunted.
- Clamps are off.
- Let's get him up to the ICU
to rewarm and resuscitate.
- What about the line
in his artery?
Don't you need to pull it out?
- So we can watch him
bleed out?
- We can't do that right now.
He's too cold
and coagulopathic.
We'll fix it when
his pressure
and clotting are better.
Where do you get off
treating him like that?
What happened was
your responsibility.
- I didn't stick
that guy's artery.
- You were supposed
to be supervising.
- Look, the only way
they learn is under pressure.
- Not when it endangers
my patient.
- Look, would you just relax?
You got your line in.
Disaster was averted.
No harm, no foul.
- If you ever pull something
like that again--
- Hey, you might've been
the golden boy up in CT,
but down here
I'm in charge.
And I will supervise
my med students
in whatever way I see fit.
- Glad to see you found a new
sparring partner down here.
Would hate to see you getting
rusty in my absence.
- That guy is an egomaniac.
- Well, takes one
to know one, right?
Come on. Buy you lunch?
- Yeah.
- Um, Dr. Charles?
Hey, I was wondering how long
does Gabby have to be
on the transplant list
before she gets a new liver?
- Um--
- Please, just--
just level with me.
- I'm afraid I can't give you
a definitive answer.
It can take days. Weeks.
Sometimes, honestly,
even years.
- Years?
- Well, unfortunately,
demand vastly outweighs supply.
It's why living donor
transplantation was developed.
- Uh, it's not possible for
a drug addict to donate, is it?
- A drug addict?
- Honey.
I got you a coffee.
- Oh, thank you.
- Any word from Paula?
- No, she can't--
[alarm]
- She's having a seizure.
5 of Ativan IV.
Let's get a brain CT, just to
make sure there are no bleeds.
- Bleeding in the brain?
What are you talking--
- It's just a precaution. Here,
let's let them do their job.
- John?
- Antivan's in.
Okay, okay.
- Easy.
- [crying]
.
- You know, some people have
this great knack
for hearing cardiac murmurs
or a palpating pulse.
But no one picks up a scalpel
and instinctively knows
how to open a chest.
Procedures take practice
and repetition.
You'll get better with time.
- But what if I don't?
Maybe this was a mistake.
- What was a mistake?
- Med school.
I gave up an NFL contract
to come here.
Could've paid off
my mom's mortgage,
put my little brother
through school.
My family relies on me
financially, if I fail out--
- Whoa, you are getting way
ahead of yourself.
You keep at this,
you'll get better.
Now do it again.
- Get a grip on yourself
or it'll be Gabby who suffers.
Dr. Charles, my wife--
This whole thing has been
really hard on her.
She and Gabby haven't spent
more than a night apart
since the day we adopted her.
- I imagine it's incredibly
hard on both of you. Right?
I mean, the stress,
emotion's got to run high.
We all say things,
do things we regret. Right?
Look, not for nothing,
I'm here.
You want to talk
about anything?
Anything at all?
- No, you know what?
You make a good point.
I should find Jeanette.
I--I owe her an apology.
- Any word on Gabby's CT?
- It was negative.
- Oh, that's good.
Look, I've been thinking.
Why don't we see
if we can get a look
at Gabby's adoption records?
Sometimes courts
will unseal them
in the case
of imminent medical need.
- But didn't the parents
say Gabby's a ward
of the state
with no surviving relatives?
- Yeah, but at this point,
I'm pretty sure
there's something
they're not telling us.
- I'll make the call.
- I spoke with
an immigration attorney.
Under provisions in the
Violence Against Women Act,
battered immigrant spouses
can self-petition
for legal residency.
- Without their spouse's
knowledge?
- Yes and if Mrs. Carson's
petition is approved,
she'll be eligible
to work in the US.
- Thank you, Ms. Goodwin.
I'll go speak with Daria.
- All rightie.
- Where's Adam?
- He goes for food,
but he comes back soon.
- I only need a second.
Daria, there is a way for
you to stay in this country
without Adam's help.
You can even get a work visa.
- But if Adam finds out--
- That's the thing.
He won't find out.
- Dr. Manning.
- I was just checking
on Daria.
- You know, I was thinking,
if we're just going
to watch and wait,
we may as well go home.
You'd be more comfortable
there. Right, babe?
Babe?
- Mr. Carson,
I don't think you understand
the gravity
of your wife's situation.
We're not just watching
and waiting.
It is imperative that Daria
remain in the hospital.
- That's your opinion.
- Yes, my medical opinion.
- What's going on here?
- We'd like to be discharged.
- No. That would be against
medical advice.
- So we've been told.
It's fine.
- Well, that's not up to you.
That's the patient's decision.
- Tell them you want to leave.
- Daria, you do realize that
if you leave the hospital
in your condition,
you will be exposing yourself
to significant health risks?
- Yes. I want to go.
Please.
- Okay then.
- We'll get
the paperwork started.
Goodwin found Daria
a legal fix for the long-term,
but if she walks out
that door with him--
- It won't matter. Next time
he hits her, it'll kill her.
- Hey, got your page.
- Just heard back. We can't
get Gabby's adoption records.
- Why not?
- Because they don't exist.
- Okay, so the state made
a clerical error
or they lost
our adoption records.
I fail to understand
how this is our fault.
- No one was blaming you.
- Then what were you doing
going behind our backs without
our consent in the first place?
- Mr. Philips,
please just try to stay calm.
- Jeanette, you asked me before
if an addict can donate.
- Leave my wife alone!
- I need you to know that
if they're clean now,
they very well could.
- Really?
- I know how much you both
love your daughter.
But if you're
withholding information
that could help us
save her life,
now is absolutely
the time to tell us.
- We--we had to do something,
we couldn't
just leave her there.
Gabby was, um, just a baby.
She wasn't even a year old.
And she'd leave her out in the
hallway for hours in this, uh,
ratty old bassinet.
Um, we could hear her wailing
from our apartment.
- Who would leave her?
- That woman. The mother.
She was inside getting high,
getting strung out
on who--who knows what.
- We were just going to take
her up to our apartment
for a night, I swear.
Give her a bath,
get her fed.
- Wait, you kidnapped her?
- No, it's--it's not like that.
We had to save her.
- I'm sorry, but you know
we have to report this.
- We know.
Look, um--
Could we have a moment
with Gabby?
To try to explain?
Of course.
- I'm--I'm sorry.
I'm sorry, I'm sorry.
- Shh, it's okay.
It's going to be okay.
[alarm sounds]
- What's going on?
- Pressure just dropped.
- No pulse. He's in V-fib.
- What happened?
Why did he arrest?
- Don't know yet.
What were his last labs?
- PH was 7.1,
but we've been correcting it.
- Take over. Charge to 200.
- Charging.
And clear.
- Lab just called with
a critical value.
Potassium is 9.
- All right,
two amps of bicarb, amp of D50,
and charge to 200 again.
- Why the hell's
his potassium so high?
- Bicarb's in.
- Clear.
- He's back to sinus rhythm.
- Well, your shunt
must've failed.
- There's no bleeding.
Strong pulse in the right foot.
- Damn it.
- No pulse in the left foot.
Compartments are
hard as a rock.
The line in the artery
must've thrombosed the leg.
- The line I put in.
- The muscle's dying
and dumping potassium into
the bloodstream.
The leg's gotta go.
- You're going to amputate
his good leg?
- We don't have a choice.
.
- Whoa, whoa. Hold on.
What are you doing?
- We got to book an OR.
- No, I mean what are you doing
sawing off this guy's leg?
- It's going
to keep dumping potassium
and stopping his heart.
- Even if you take off the leg
and he stops arresting,
he's never waking up.
- You don't know that.
- His pupils were sluggish
when he got here.
He already lost a massive
amount of blood.
- You're saying he suffered
an anoxic injury
in the field?
- Of course he did.
The guy was a goner
when he got here.
He's on his way to brain
death no matter what we do.
- Unbelievable.
You're worried
that he might just
pull through, aren't you?
- You're reaching.
No way he's pulling through.
- Oh, that's what you're
counting on, right?
That he dies?
- What do you mean?
- Dr. Lanik is worried
about a malpractice suit.
The patient survives,
he's accountable.
Guy wakes up, he's going
to wonder why we amputated
his good leg, right?
You're a coward.
- Get over yourself.
All you're doing is rearranging
deck chairs on the Titanic.
- As long as this guy has
a fighting chance,
I am going to do everything
I can to save him.
The leg comes off.
- You know,
it's not just my neck
on the chopping block.
He put the line in.
So if I take a hit,
you can be sure as hell
the kid goes down too.
- Mr. Carson?
- What?
More paperwork for me
to fill out?
- Given the high risk
associated
with discharging Daria--
- The hospital's Ethics
Committee is convening
an emergency meeting.
- You got to be kidding me.
I know my rights. You can't
keep us here against our will.
- Dr. Manning, Dr. Halstead.
I need you. It's Daria.
No pulse.
- What?
- The aneurysm
must've ruptured.
- She was fine a second ago.
- Maggie, start bagging.
- Got you.
- She's asystolic.
- Do something.
You're--you're not helping her.
- Step outside. Now.
- Milligram of Epi.
- Epi's in.
- Another milligram of Epi.
Stay with me Daria,
stay with me.
Pulse?
Epi.
Come on, Daria.
- No.
She's gone.
Time of death, 17:32.
- The birth mom,
Alyssa Thompson,
is on her way in.
We were able to track her down
with the info
the Phillips provided.
- Is she clean and sober?
- Seems like it.
Been working as a hotel maid
for the past 6 years.
- Good. Hopefully, she'll be
willing to get tested
to be a donor.
- Yeah.
Nearly had a heart attack
when we told her
we found her daughter.
- What's--
- Mr. and Mrs. Philips?
I'm going to need you
to come with me.
- Wait, wait--no.
- We're so sorry, baby.
- No, please. Please.
We have no choice.
- So sorry.
- Can you do something?
Can you--
- Please forgive us.
- I--I know this is
very scary--
- This is all of your fault.
- Mr. Carson,
we're sorry for your loss.
- What happens now?
What sort of arrangements
do I have to make?
- After the autopsy
is complete,
likely in about 6-8 weeks,
you could--
- Wait, autopsy?
- Yes, it's the law that
all traumatic deaths
go for an autopsy to determine
the cause of death.
- But we already know
what happened.
- Well, the crash is
the presumed cause of death.
The medical examiner
will need to rule out
other possibilities.
- Like what?
- There was bruising
in her initial exam
that is not consistent with
the mechanism of injury
from the crash.
- Daria wouldn't have wanted
an autopsy.
People poking and prodding
her body.
As her next of kin,
I refuse.
- The ME has jurisdiction
to perform the autopsy
with or without your consent.
But feel free to voice
your objections directly.
She'll be here
to take your statement shortly.
- You can wait here.
We'll retrieve you
when she arrives.
- How's the husband taking it?
- Oh, he's worried.
- Just what we expected.
Daria.
Daria, it's okay.
- He's gone?
He will not come back?
- No, trust me.
He's going to stay as far away
from this hospital
as he possibly can.
- We know this was
an unorthodox intervention.
- No, Dr. Manning,
this was a complete
misappropriation
of medical care.
What if your fake code
had caused
the patient to rupture?
- The compressions were staged.
I wasn't using full force.
- And light compressions
wouldn't spike blood pressure--
-Save it, Dr. Halstead.
If Carson hadn't bought
your little charade,
do you have any idea
of the legal ramifications?
He would've gone after
your medical licenses
and then you pulled Maggie in.
I can't believe she allowed
herself to be involved.
- Ms. Goodwin,
if we could've stayed within
the lines, we would have.
But in this instance,
that would have meant
sending a woman out the door
knowing she would
very possibly die.
- Enough.
Another stunt like this
and both of you will be looking
for work elsewhere.
And just so you know,
an immigration attorney
is meeting with Mrs. Carson
shortly and a social worker
is standing by
to find a shelter for her.
- Thank you.
- Dr. Rhodes.
BP and heart rate
suddenly spiked.
- Now he's bradycardic.
[sighs]
Both pupils
are blown bilaterally.
No corneal.
No gag.
We'll need an apnea test
to confirm, but it appears--
- He's brain dead.
Herniated due to
an anoxic brain injury
from prolonged downtime
in the field.
Just like I said he would.
You should be happy.
Dodged that bullet.
- Will you excuse me?
- From now on,
you'll stay out of my way.
- Likewise.
- Is that Kylie?
- She goes by Gabby now.
- I can't believe...
All these years
I thought she was dead.
- Would you like to meet her?
- Yes.
- Uh, Gabby,
I think you have a visitor.
Alyssa is here.
- Hi.
I'm so happy to see you.
You are so beautiful.
- Get away from me.
You're not my momma.
- Gabby, I know this
is confusing.
- I want her out of here.
I don't care.
- I'm not here to hurt you.
- Get out.
Get out!
- I get it.
I wouldn't expect her to,,,
But I just thank God that
I get a second chance
to be in her life
in some way.
To be some kind of mother.
- Thank you for agreeing
to get tested.
- Anything. Anything she needs.
- If you follow me,
I'll get you started.
- Excuse me.
The couple that took her.
Where are they?
- They're in police custody.
- I was hoping I may be able
to thank them.
They saved her life.
- "Thank them," wow.
- Motherhood, you know.
Mysterious powerful thing.
Something you and me
will never fully understand.
- We took a huge risk today.
- No regrets.
I'd do it again.
Aren't you forgetting
something?
Your sash.
- Do you really think
she'll notice?
- Nat, it's Maggie.
- Fine, but I am
not putting it on
until we're out
of the hospital.
- All right.
- Okay, I'll be right back.
I don't need
another lecture right now.
- And I'm not here to do that.
- Listen, Em,
I may not understand your
decision to stay with Bernie,
but I'm not in your shoes
and you need to do what
you think is best.
- Really?
- Yeah.
- I'm so glad to hear that.
I have some news.
Kind of big news.
- Okay.
- As soon as Bernie's
discharged,
we're going to move
to Las Vegas.
- Okay, Em.
- Okay.
Awesome. Okay.
[inaudible]
- First one's the hardest.
- Huh?
- You didn't cause his death,
you know that, right?
- That's not it.
When Mitch died
for a moment,
for a split second...
I was relieved to be
in the clear.
- You're human.
Now, look, the minute that
you walk into this hospital,
the only person relying on you
needs to be your patient.
This is already
a high-pressured gig
and you need to find a way
to leave everything else
at the door.
You got me?
- I hear you.
Thanks, Dr. Rhodes.
- You hang in there, Terry.
You're going to be fine.
[chuckles]
[imitating pirate]
Arr, matey.
You clean up nice,
Dr. Bekker.
- You're not so bad yourself.
- Shall we?
[upbeat party music]
♪
- Thanks for coming.
♪
[laughter]
[cheering]
- I'll go get us
another round.
- All right.
♪
- Hey, can I talk to you
for a quick sec?
- Yeah, sure.
- What's going on, man?
- I'm just giving you
a heads up, out of respect.
- Okay.
- I'm bringing Ray Burke in
for an echo and an MRI--
- Jesus, Will,
you're not his doctor.
- And I can't, in good
conscience, withhold possibly
life-threatening information
from him.
- If you make a move in his
direction without our go-ahead,
I promise you,
you will regret it.
- Look, man, because of the bug
that you planted,
the Task Force has intel
that Ray's meeting with
his crew in a week.
Okay, this close
to taking him down.
He'll get treated in custody.
Now, if you don't mind, I'd
like to get back to your party.