Chicago Med (2015–…): Season 5, Episode 13 - Pain Is for the Living - full transcript

- You have to work out
whatever feelings you're having

about Dr. Marcel.

Fast.

- Give me a Narcan inhaler.

- You overdosed,
but you're gonna be all right.

- You're letting this get
way too personal, Will.

It's never a good idea.

- For God's sake,
isn't it personal?

You lost a brother to drugs.

- Enough!

- I met you this morning.



I'm gonna try
to turn things around.

- Good.

- Hey.

Hi.

I love you.

- Easy.
- Oh, God, sorry.

- It's only me.

- I wasn't expecting that.

- Hey, I know work's not
the place for ambush affection,

but I couldn't help myself.

- I won't hold it against you.

- What's up?

I haven't seen a smile this big
since Navy beat Army.

Just thinking
about being a dad.



Birthday parties,
coaching teams.

- It's a decade down the road.
We are three weeks into IVF.

- You know what they say.

"You blink
and the kids are grown."

Hey.
- What up?

Pelicans covered the spread.

- How many rings
do the Pelicans have?

- Go Bulls.

- Yeah, we'll see.

- I'm a horrible person,
aren't I?

- No, you're human.

What can I do to help?

- You got a time machine?

- Hey, you.
- Hey.

- Date last night.
Spill it.

- It was nice.

He was polite, handsome, smart,
but I don't think so.

- Huh, well,
polite, smart, and handsome.

Sounds awful.
- All right.

The real reason,
he's a psych professor.

I mean, the way he looked
at me, I just couldn't shake

the feeling that
I was being analyzed.

- This is the fourth first date

without even
considering a second.

- Well, I'm glad
you're counting, Mom.

It doesn't matter

because none of those guys
were gonna work out anyways.

- Wow.
ESP.

Say,

do you know when the Saints are
gonna win another Super Bowl?

All right, well,

let me know
if you get another vision.

- All I'm saying is the right
second date is out there

and I'll know it
when I meet him.

- Help, please!
My son!

- I got him.
Where am I going?

- Trauma 1.
- Help my husband and son!

- Help, help, help, help, help!

- Help him.
I-I didn't know what to do.

Ow, ow!

- Bruising on his neck.
Protect it and bag him.

Hold C-spine.
What's his name?

- Jamie.
- Jamie?

Hey, Jamie, can you hear me?
Okay, okay, take it easy.

You're okay.
Take it easy.

What happened?
- It was an accident.

Um, I choked him out.

I had to.

.

- It all happened so fast.

I didn't realize.
I just wanted it to stop.

Jamie was screaming,
Dylan was crying, and--

- Gordon.

I want you to take
a deep breath, okay?

Take a deep breath.

All right.

Have a seat.
Sit down.

Okay.

And, um...

I, uh, I just want you
to tell me--

tell me what happened.

- Okay.

So I was driving,

talking with Bella, my wife.

The, um, the boys
were in the back.

Jamie was playing
with his iPad.

Dylan grabbed it from him,
but wouldn't give it back.

Jamie can't control his anger.

He started punching Dylan,

got out of his seat belt,
got on top of him.

He kept pounding.

Bella couldn't pull him off.

I could hear Jamie's fists
cracking against Dylan's face.

He was screaming for help,
so I pulled over.

Just threw myself
on top of Jamie.

I wrapped my arms around him

and held him
as tight as I could.

When he gets like this,
the bear hugs

are the only thing
that bring him back.

- Bring him back?
- From his dark place.

- Uh-huh.
Okay.

Will you, um,

will you excuse me
for a moment, Gordon?

- We're gonna take care
of you little, man, okay?

All right.

Ordered a CT.

But I'm almost positive

there's a bilateral
mandible fracture.

Gonna need surgery
to wire it shut.

Man, Ethan.
Kid's only six years old.

Jamie?

- He's stable but tormented.
Dad choked him out.

- Probably so he couldn't
defend his little brother.

Sometimes I hate the ED.

- Jamie, how are you doing?
I'm Dr. Charles.

Um, would you mind
if I looked at your hands?

- Fifth metacarpal
is broken on each hand.

- That's really gotta hurt.

Um, look, we're gonna get you
completely fixed up.

Okay?
It was nice to meet you.

This is not child abuse.

- Thanks, man.

- You know,
one of the volunteers works

at a rehab center.

If you'd like, she can tell you
about their program.

- Yeah. Sure.

Maybe another time.

- If you change your mind,
we're here.

- Will.
- Yeah?

- You have been here for hours.
Go home, get some rest.

- Yeah, I could use some sleep
before I start my shift.

Ah, damn it.
It starts in a half hour.

Uh, okay.
All right.

That woman over there,
her name's Susan.

When she comes down,
she's gonna be hungry.

I stashed some protein bars--
- I know, I saw.

The electrolyte drinks too.
Get to work.

- I'll be back later,
you call me

if you need anything.

- That's the cry, that one.

It's not "I'm hungry"
or "I'm tired."

It's new.

- Okay.
I know, I know, Axel.

You're in pain and my touching
you is only making it worse.

Any changes
in his sleep pattern?

- No.
Every baby book I read said

put your child on a schedule
and stick to it.

- Been there.
My son's almost four.

I know, I know.
Almost finished.

Okay.
What about diet?

- I had to start using formula.

Just not enough hours
in the day

to pump, work, nurse,
do laundry, pump again.

- Single mom?
Yeah, me too.

Dad still in the picture?
- No, but I'm okay with it.

- Well, I'm not seeing anything
out of the ordinary.

I mean, the switch
from breast milk to formula

could be upsetting
Axel's stomach.

Have you noticed
any diarrhea since the change?

- Here and there.

But this cry has been
consistent for the last month.

- I'll test for allergies,
but infants and crying--

- Don't say colic.

I've been
to three pediatricians.

They all diagnosed colic
and sent me home.

No.
Something else is going on.

Run tests, X-rays, scans.
Just please, figure it out.

- Okay, well,
why don't we start

with some basic labs
and go from there?

Is that okay?

- Sure.
Thank you.

- I'll send a nurse in
to get started.

- Thank you.

Hey, Jamie, you hungry?
Thirsty?

I know your casts are bulky.
I can help you.

I'll leave the tray
right here just in case.

- Hi.
Nice to meet you.

- They're talking about me.

About what I did
to my little brother.

I didn't mean to hurt him.

I'm so sorry.

- It's okay.
Okay, okay.

.

- Well, after two miscarriages
and five failed IVF attempts,

we'd had enough heartbreak.

- We adopted Jamie
when he was a few days old.

Best day of our lives.

- Do you know anything
about his birth parents?

- Nothing really.
Mom was young, in foster care.

We don't know
anything about dad.

- Well, Jamie's 11 now,

so how old was he when
he first started acting out?

- As an infant,
he didn't like being held.

Was always fidgety.
- Hmm, how about as a toddler?

- Sitting still, taking turns,
following directions,

they were all a challenge.

- When did Jamie's behavior
start becoming aggressive?

- Elementary school.

Fights with classmates
and teachers.

We're homeschooling now.

- And your other son, Dylan,
is he adopted as well?

- Yeah.
- Mm-hmm.

It was initially Jamie's idea.
He wanted to be a big brother.

- And in the beginning, Dylan's
presence seemed to calm Jamie.

He would push his stroller,
feed him his bottle,

let him climb all over him.

- They are so--
were so close.

- I'm assuming that
Jamie's been evaluated

by a psychiatrist.

- Several.

They all just head
to the diagnosis.

Intermittent
explosive disorder,

comorbid ADHD,

disruptive mood
dysregulation disorder.

- Tell me, what meds
is he on right now?

- Risperidone, valproic acid,
lithium, Adderall, Tenex.

They all work for a bit,
but then--

- He always ends up
in his dark place.

- Yeah.

- Mr. and Mrs. Shaw,
Dylan's out of surgery.

I'll take you to recovery.

- Look, what I'd like to do

is admit Jamie
for a five day hold.

That'll give us a chance
to assess the situation

and come up with some
treatment options for you.

- Anything.
Please, just help him.

- Yeah.

- Shh.
He's out.

Cried himself to sleep.
What'd the tests say?

- The labs were normal.

But the babygram revealed
a mild bowel distention.

There are no obstructions.

However, the stool
in Axel's diaper was watery.

That suggests a GI issue.

- Okay.
What do you do for that?

- Endoscopy.

So under a general anesthesia,

a surgeon will guide
a camera down Axel's throat

into his GI tract
to search for abnormalities.

And if necessary,
we'll do a colonoscopy as well.

- Mm.
Can I be there?

- I wouldn't recommend that.

I mean, seeing the scope inside
Axel, it might be upsetting.

- No, I really wanna be there.
- Are you sure?

Because I can't overstate
how distressing

this procedure can be
for a parent to watch.

I mean, seeing your child
on the table, unconscious--

- I'll be okay.

- All right.

Techs will be by shortly
to bring up Axel.

I'll be there as well.

- Signed.
- Thank you.

- Hey, Doris.

Julia, the mom in Treatment
III, did you get a read?

- I like her.

I wish all parents would
handle the ED that smoothly.

- You don't think
she's too composed?

I mean, her son is
clearly in distress

and she hasn't even
broken a sweat.

- Oh, there's that
Manning ESP again.

- Okay.

She asked me to run more tests
on her baby than necessary,

and now she wants to be
front row when he gets scoped.

You don't think
that's a little odd?

- Uh, if you say so.

- Call Dr. Frisch.

I wanna put Axel on today's
schedule for an endoscopy.

- She's busy.
Omphalocele repair.

Gonna be locked away all day.

But I'm free to take care of it
right now if you'd like.

- Okay.
Thanks.

- Meet you upstairs.
Ms. Doris?

- Thank you.
- Sure.

Nurse April.
- Dr. Marcel.

- Okay, stomach
and esophagus appear normal.

Let's reset for a colonoscopy.

- Julia, are you okay?

You don't have
to keep watching, you know.

- No, I'm okay.

It's just I have a scrape
on my stomach.

I forgot to change the bandage

and it's beginning
to slide around.

- Why don't I have a nurse
change that out for you

when we're back in the ED?

- Oh, okay.
Yeah.

Thanks.
- Yeah.

- Somehow I keep scraping
myself right there.

I don't know how.
Mom brain, I guess.

- Ooh, ooh.
Right there.

- Okay.
Sharp or dull pain, Chloe?

- I think both.
Is that even possible?

- Unfortunately.

How long have you
been feeling off?

- I don't know.
A couple weeks?

- Three months.
She downplays everything.

We just got married.

I figured the pain
was just nervous energy,

but the wedding's behind us now
and I still feel "blah."

- Any constipation?
Bloating?

- She hasn't pooped in a week.

- So Chloe, I'm gonna need
to take a closer look

to see what's going on.

We'll get some X-rays,
a pelvic and a rectal.

- Just keeping
the sexy flowing, aren't I?

- Till death do us part.

- Well, a nurse will come in
and get things going.

Congratulations,
Mr. and Mrs. James.

- Crockett.
- Yeah?

- Perfect timing.

Single vehicle accident
landing now.

Massive trauma.
I'll have Baghdad ready.

- Got it.

What do you got?
- Lucy Seaver, 20.

GCS 3.
Intubated in the field.

Bilateral femur fractures
and traction splints.

SATS 100% on oxygen.

- Okay, Lucy, don't be afraid.
You're in the ED.

We're gonna take
good care of you.

- Parents should be here
any second.

They were on the scene.

They were in the car
behind Lucy.

- They saw the crash?
- And the aftermath.

Lucy's car was so mangled,
it took us 20 minutes

to extricate her
and get her in the ambo.

- Okay, all right.
Here we go.

On my count.
One, two, three.

- All right.

- Good breath sounds
bilaterally.

Belly's hard as a rock.
- BP's 70s.

- Two of plasma,
two of blood on the transfuser.

Trigger the MTP.
Let's fast her.

Ton of soft tissue damage.
Glass everywhere.

All right, no, scrap the X-ray.
No time.

Give me that wand.

Fast is positive.

Yeah, I gotta get
into her belly.

All right, let's go.
Let's open up the Hybrid OR!

All right.
- Oh, my God.

- Get her prepped, all right?
- Lucy!

- Let's get her on the move.
All right.

Mr. and Mrs. Seaver,
if you will.

Your daughter's been
seriously injured.

She needs immediate surgery
to control internal bleeding.

- It's fixable?
She's gonna live?

- We will do everything we can.

- Huh.

So, uh, so what is
your favorite sport?

- Football, I guess.

- Bears fan?
- My dad likes them.

I like the Chiefs.
- Oh, really?

Oh, how'd that happen?
- The quarterback.

I saw a video of him throw
the ball out of the stadium.

That was cool.
- I saw that clip too.

And you're right.
It was cool.

You know, I was wondering
if we could talk a bit about...

about what happens.

You know, about how it feels
when you start to get upset.

- I don't know.
Kind of...

It's fuzzy.

- Fuzzy. So kind of like,
um, like a dream?

- I guess.

- And--and when it happens,
I mean, what does it, uh,

what does it feel like?

I mean, like,
you know, in here?

I mean, do you feel
anything in your body?

- Feels like I'm gonna explode.

- Wow.

I'm sorry.
That must be really scary.

Do you want to take
a little break?

- I want this off.
It's sticking to me.

I can't stand it.
- Okay, okay.

- Don't touch me!
Don't touch me!

I hate you!
I hate you!

Let go!
Stop it!

Go away!
Stop it!

Go away!
- Two of haldol!

- Go away!
Stop it, no!

No, I don't want meds!
Stop!

Stop it, no!
Stop! No!

I don't want meds, stop!
Stop it!

.

- I wish I could tell you
exactly what happened in there,

what triggered Jamie,
but honestly, I can't.

I have reviewed
his medical records,

I've spoken with several
of his doctors,

and what is clear to me
is that your son is struggling

with multiple impulse control
and mood regulation disorders.

- So what do we do?
We just want to help him.

- Well, it's the hospital's
recommendation

that Jamie be admitted
to a residential facility

where he can receive
sustained clinical care

as well as supportive therapy.

- A residential facility?
- Mm-hmm.

- Yeah.
Mrs. Shaw, Jamie is 11.

Puberty is fast approaching.

And that surge of hormones

is just gonna undoubtedly
exacerbate his conditions.

It'll just make him more
difficult to treat in general.

You know, find
the right balance of meds.

- And a specialized setting
like this will have

the behavioral resources
Jamie needs for the future.

And it'll be a safe place
for him right now.

- Anything for our son.
- All right.

I'll take care
of all the arrangements.

- Okay.
Looking good.

Four tears in the small bowel
mesentery tied off.

Liver's packed and hemostatic.

- Pressure's no good.

- We maxed out on pressors?

- Yeah, and I've given
ten units of blood

and ten of plasma.

She's still bleeding somewhere.
- I don't...

Hematoma on the pelvis.

Bigger than my first look
and growing.

Gotta assume the pelvis
is shattered and bleeding.

Okay, team, new deal.
Preperitoneal packs.

Let's go.

- Hey, Chloe.
How you feeling?

- Like a stuffed turkey.

- X-rays show
your bowel is FOS.

- Full of--
- Stool.

The pelvic suggests
your uterus is enlarged.

So I suspect a fibroid
is sitting on the uterus,

putting pressure on the rectum.

- You were right.

The last few weeks,
she was scouring the web

with her symptoms,
and fibroid fit the bill.

- Yeah, we're trying
to have a baby.

Internet says fibroids
hinder the ability to conceive.

- Not all fibroids
are created equal.

Hey, I'm gonna order
a pelvic ultrasound

and a gyne consult.

I'll check back soon.
And no more Googling, okay?

Doctor's orders.

- How's it going
with your six-month-old?

- Dead end.

Nothing's jumping out
in any of the labs

and the endoscopy
and colonoscopy report.

I'm starting to wonder
if it's really baby Axel

who's the one that's sick.

- What do you mean?

- The mom, she's just--
she's got this air about her,

this nonchalance that screams,

"Yeah, my baby's in the ED,
but it's just another day."

- Well, it wouldn't be
the first time we see a parent

pretend their child was sick
to get attention.

- Yeah, unfortunately.

Have you seen Dr. Charles?
- He's upstairs.

I'll page him for you.
- Thanks.

- Yeah.

- Dr. Manning, it's Julia.

There's something
you need to see.

- You know,
I had my appendix taken out

when I was in 10th grade.

- All right.
Well, let's take a look.

Oh, my God.
This is a fistula.

Basically a tunnel between
your small bowel and your skin.

The green fluid is leaking
from your intestines.

- Seriously?
- Mm-hmm.

- I've been getting
these scrapes for years.

They heal up.

It's been my intestines
oozing out?

- The tissue sample taken
during Axel's endoscopy,

I'd like it biopsied.

- Biopsy?
You're testing for cancer?

- No.
Something new.

And now I'm thinking
you may have it as well.

The test that I ran
on your son,

I'd like to run on you as well.

Okay.

- All right.
Pelvis is packed.

Bleeding's under control.

Call ICU and tell them
Lucy's coming up to rewarm.

- Something's wrong.
Pressure's still in the toilet.

74 over 38, falling.
- What?

- She's peri-arrest.
- She's still bleeding?

The abdomen is dry.
Pelvis is contained.

I mean, we're hemostatic,
Marty.

- She's bradying down.

No pulse.
- Come on.

Milligram of epi.

- Epi's in.
Pulse check?

- Go.

- Still nothing.

- Come on, Lucy.

- Hold compressions.

- Be good.

- Asystole.
- Come on.

Come on, Lucy.
Come on.

Damn it.

Time of death, 16:17.

Okay, everyone,
clear the room, please.

I'd like a moment alone
with my patient.

- What's going on?

- There's room for Jamie
at Meyerbrook,

which is the only
residential facility

capable of handling his needs.

Unfortunately, neither
his private insurance

nor state Medicaid
is gonna cover the cost.

- What about an individual
care grant from the state?

- I already looked into it.
It's no help.

- Yeah, the grant's
so underfunded,

it wouldn't come close
to what's needed.

- So what's plan B?

- Well, you know,
I'm gonna just try and use

the five-day hold to normalize
his meds as best I can.

And I do know a brilliant guy
who specializes

in these kind of disorders
I want to refer him to.

- An outpatient service?

Jamie pummeled Dylan
over an iPad.

The kid's jaw's wired shut.
He's only six years old.

He's going to invade
his brother's space again.

And when that happens,
and Jamie loses his temper,

I'm worried
he could kill Dylan.

- I don't like it
either, Ethan,

but I mean, you know,
I can't hold him here forever.

- I get it, but we have
an obligation to protect Dylan.

And he needs our help
just as much as Jamie.

- Dr. Halstead,
the gyne attending on-call

came down a few minutes ago.

She's with Chloe right now.
- Great, thanks.

- If you feel comfortable
with that.

Yeah.

-Dr. Hannah Asher,
gynecology.

- Will Halstead.
- It's nice to meet you.

- Yeah.
Likewise.

- I was just explaining
to Chloe and David

that I reviewed
her pelvic ultrasound.

Considering the location
and size of the fibroid,

I believe
removing it surgically

is the best course
of treatment.

- A myomectomy?
By who, when?

- Me.
Today.

- Chloe, David, you should know
this surgery can be risky.

- Yes, I've explained the pros
and cons, Dr. Halstead.

Was clear that while
this is a big operation,

it's also a common one.

- Nevertheless,
complications could rise.

So I would suggest
non-surgical options.

Hormone therapy
will shrink the fibroid.

- Well, that's what
Dr. Asher said.

But to ensure
that it doesn't grow back,

Chloe would have to go
on the pill.

- We're anxious
to start a family.

The pill takes that
off the table.

- In the short term, yes.
But not permanently.

- Actually, it kind of does.

I'm 41, Dr. Halstead.

Our window for getting pregnant
is already closing.

If I choose hormones,
I might as well slam it shut.

- We appreciate
your passion, Dr. Halstead.

But surgery is the best for us.

- I'll get that started.

It was so nice
meeting both of you.

Doctor.

- Excuse me just a moment.

Doctor Asher?
Doctor.

- Hmm?

- You can't perform
this surgery.

- Hmm?

- I mean, you shouldn't even
be working.

- Look, thank you for your help
last week, but I'm better now.

I'm over that hump.

- So heroin addiction
is like a cold?

- What, you just get over it?

What I saw
at that injection site--

- Was me having a bad day.

- A bad day?
- Mm-hmm.

- You...

You OD'd.

For all I know,
you're high right now.

- Right.

But how many all-nighters
you pull over there

since I saw you last, huh?

Three?
Four?

Maybe I should be the one
worried about your judgment.

- Don't twist this.

I'm not an addict
about to operate.

You step into that OR, you
put Chloe's life in jeopardy.

- I would never risk
the well-being of a patient.

Not that it is any of
your business, I'm sober now.

- I'd expect an addict
to say that.

- Chloe is in good hands
with me.

.

- Axel has Crohn's disease?
But he's only six months old.

- Well, it's rare in children,
let alone infants,

but not unheard of.

- Isn't Crohn's a diet thing?

I mean, Axel's barely started
on solids.

- Well, diet
aggravates Crohn's,

but it's not the cause.

Genetics is.

Crohn's tends to cluster
in families.

- Whoa, my test results--

- Show that you have
Crohn's as well.

The fistula is just evidence
of the severity.

- This doesn't make sense.

If I've got Crohn's
badly enough

to burn a hole in my skin,
shouldn't it bother me?

- Well, fistulas themselves
are painless,

but yes, a Crohn's flare-up
is excruciating.

You should be in pain.
Agony.

- Yeah, well,
I don't feel a thing.

This is weirding you out,
isn't it?

- It's definitely unusual.

Or actually,

maybe it's--
maybe it's rare.

Let me ask you a question.

What emotion
are you feeling right now?

- I'm not sure what you mean.

- Well, I just told you
that you and your son have

an inflammatory bowel disease.

What are you feeling?
Stress?

Anxiety?
Fear?

- Confusion, that's for sure.

- You know, I'd like to run
one more test.

Okay?
- Okay.

- Okay.

- Bea, it's taking too long.
Check with Dr. Asher.

- Again?

I've already gone in there
twice for you, Dr. Halstead.

- Please, I'm treating
Chloe in the ED.

I just want to make sure
Dr. Asher's

got everything under control.

- Fine.
- Thank you.

- Dr. Asher said, "Go away."

- Nope, staying right here.

- Hey, I got your page.

- You have a new plan
to help Jamie?

- Yeah.
Yep, I do.

So, Mr. and Mrs. Shaw,

I have given this
a tremendous amount of thought.

I've consulted with--
with numerous colleagues,

with social workers,

with our Executive Director
of Patient Services.

Jamie needs to be
at the Meyerbrook

Residential Facility.

- So the insurance companies,
they agreed to pay?

- No.

Both your private insurance
and Medicaid won't budge.

- Then I'm confused.

- There is a way
to force Medicaid

to cover Meyerbrook's cost
in full.

It's called
a psychiatric lockout.

But it will require you

to surrender Jamie
to this hospital.

- Surrender?
I don't understand.

- If you were to leave Jamie
here and refuse to come back,

Child Protective Services would
have to take custody of him.

Then, as a ward of the state,
legally, Illinois would have

to provide him with the mental
health services that he needs.

- Meyerbrook?
- This is insane.

We're not doing this.
- So there's no other way?

- I'm so sorry,
but there just isn't.

We would absolutely find a way
for you to maintain contact

with Jamie,
but you also need to know

that legally, you won't have
any say in his care.

- We're still his parents.

This doesn't change that.
Nothing changes that.

- No.
No, no, no.

We're not abandoning our son.

- Mrs. Shaw, you will not
be abandoning him.

This--this won't be forever.

- Jamie needs us to do this.

- When?

- I cannot imagine
how agonizing

this decision must be.

But the sooner
Jamie starts to heal,

the sooner you all
can look forward

to becoming a family again.

- Bella.

It's to save him.

- Everything is
going to be okay.

- Hey, buddy.
It's gonna be okay, buddy.

Right now,
it's the best thing.

You'll be better,
and so you're just gonna stay

with the doctors.

- You're okay, baby.
- No, no.

Please.
I'll be better.

I didn't mean to!
- It's okay.

- Please, I want to go home.
I want to go home.

Please, Mom.

- Dr. Marcel?

Lucy's parents are still
in the waiting room.

You haven't told them--
- She should be alive.

- Well, it's been over an hour.

They need to know
that their daughter has passed.

- I won't speak to them until
I can explain how she died.

Why I couldn't save her.

Can you give me some light?

Right here.

Every other injury was either
a tear or a rip in the skin.

This one's a hole.

Something embedded inside.

- More shrapnel
from the windshield?

- It doesn't really
feel like glass.

Can you, uh, swing
that X-ray machine around?

Go ahead.

That's a bullet.

- Lucy was shot?

.

- Lucy was shot?
How?

She was driving down
the highway alone in the car.

- The steep angle of entry
shows that the bullet struck

from above and launched
into Lucy's pelvis.

It severed
her external iliac artery.

- Shot from above?
- Yes.

Now, the police
will run ballistics.

But they believe,
and science backs it up,

that someone,
somewhere in the city,

fired a gun into the air.

And when that bullet came down,

it struck Lucy.

- Someone.
Somewhere.

And now our daughter is dead?

- I'm so sorry.

The nurse will come
to take you to see Lucy.

Excuse me.

- Hey, the additional blood
work you ordered on Axel's mom.

- Oh, wow.

This whole time,
my take on Julia has been off.

Way off.

- Never heard that song before.

- "We Love Fun"
by The Bouncing Souls.

I don't know
any real lullabies.

- Julia, all day, I've been
troubled by your demeanor

because you didn't seem
worried about Axel.

But now I know
you really aren't worried.

And I suspect you've never felt
anxious, depressed,

or even afraid
your entire life, have you?

- No, not really.

- Same goes for physical pain,
doesn't it?

- Kind of feels like this is
a trick question or something.

- No.
Okay.

So when I had my son,
labor was a beast.

Intense pressure,
cramps, spasms.

But you didn't feel
any of that, did you?

- Nope.

Whole thing just
kind of tingled.

But I've always had an
extremely high pain tolerance.

I know.

There's something wrong
with me, right?

My friends have been
saying it forever.

Wait, is there
something wrong with me?

- No.

No, but there is something
missing from you.

So we all have what's called
a FAAHP1 pseudogene.

Your preliminary blood work
shows that you have a rare

microdeletion which affects
your insensitivity to pain.

- When I was a kid,

my dad would say
everyone else were wimps.

That we were a hardy breed,
that pain was just a word.

- Well, microdeletion
is a genetic thing.

So it's likely that your father
and other family members

have it as well.

Julia?

- What's wrong?

- I passed Axel
the gene for Crohn's,

but not the one
so he won't be tortured by it.

And if I didn't know
when I hurt myself,

I wouldn't have known
when I hurt my son.

I probably made
the bath too hot.

Didn't dress him warm enough--
- Hey.

You knew it wasn't colic.

You knew to bring your son
into the ED.

You may not feel
everything he feels,

but you're his mother.

You'll always know
what he needs.

- Uh, keep going.
Grab her husband.

I'll meet you in recovery.

Wonderful.
You're still here.

- Is Chloe okay?
- Yeah, she's fine.

Operation was flawless.

- This time.

- How about you and I keep
our distance from one another?

- Yeah, fine.

Just as soon as you
stop treating patients

and seek treatment
for your addiction.

- Screw you, Halstead.

- In that case,
I'm going to submit a letter

to the hospital's
Chief Medical Officer.

And that decision
will be made for you.

- That's a stupid idea.

You out me,
I out your own involvement

in a not-quite-legal
injection site.

So if I go down, so do you.

So if you want to report me,

have at it, cowboy.

- Hey.
- Hey.

- Heard you had
a rough one today.

You all right?
- Yeah.

The little boy and his mom.

Your, uh, ESP pan out?

- Not even close.

- I'll see you tomorrow.
- Night.

- Hey.

- Today sucked.

Yes, it did.

- We just don't have enough
psychiatric resources for kids.

- And unfortunately,
the Shaws won't be

the last family
to face a lockout.

But Jamie will get
the help he needs.

And that's a good thing.

- Hey, buddy.
Come on, let's go.