Chicago Med (2015–…): Season 5, Episode 2 - We're Lost in the Dark - full transcript

You'll never see me again.
‐ No.

‐ We could have been so happy.

‐ No!
No, no, no, no, no, no, no!

I need help in here!

I'm leaving Med.

I'm never gonna be able to
get past what happened here.

I need a fresh start.

‐ I heard Dr. Manning
was in an accident?

‐ Dr. Marcel.
‐ Who are you?

‐ I'm her fiancé.

‐ I'm so sorry, Natalie.



‐ What are you doing here?

I don't want you
coming around here again.

We're getting married.
‐ What?

‐ I don't remember you
asking me to marry you.

‐ You will.

‐ They found a mass.

Metastatic adenocarcinoma.

I don't want anyone to know.

I don't want to be
the sick person.

‐ God, when is it gonna stop?

‐ Hey, um, I'm sorry‐‐
I think it's empty?

‐ Oh, hold on.
I need to get you unhooked.

‐ I just don't wanna
be late for work.

‐ Work?
You just got a bag of chemo.



You need to go home
and get some rest.

‐ Uh‐uh.

It's my friend's first day
back after an injury.

And besides,
I have an E. D. to run.

‐ At Med?
‐ Yeah.

‐ They have a huge
infusion center.

You don't have to come
all the way over here.

‐ I like to keep
things separate.

And besides, I love what you're
doing with the doughnuts.

‐ Careful if you're driving.
Roads are a mess.

‐ Yeah, thanks.

‐ Third year of med school will
not only be the most difficult

of your lives,
but also the most important.

Anyone know how many patients

come through our E. D.
in a single year?

‐ 105,000.
18,000 acute

and 4,600 active traumas.

‐ That's right.

You thinking about
going into E. D. med?

‐ Is there anything else?

‐ Anyway, for each of you,

the E. D. will be both
a challenge and an opportunity

to sharpen your skills.

‐ He loves giving
this lecture, doesn't he?

‐ He's the only
one who volunteers.

Every single year.

‐ Oh, I'm sorry,
I thought I had a patient.

‐ Huh?

‐ Are you okay?

‐ Yeah, I just got
shanghaied onto the day shift.

Late night,
so a little pick‐me‐up...

Crockett Marcel.
Fourth year, surgery.

‐ Noah Sexton.

‐ Nice to meet you,
Noah Sexton.

You mind?
‐ Sure.

‐ Team work.

So, future E. D. doc, I presume?

‐ No.
I mean, yes, but, uh...

well, my real plan
is to open some urgent cares

after residency
and try to grow the brand.

Maybe take it public.

‐ Sounds ambitious.

Then again...

I don't even know
how you folks manage

to start so soon
after last call.

Hmm...

Well, see you around.

‐ Oh‐ho‐ho.
First day of school.

Dang, how long
we been doing this for?

‐ Long enough you should
know to get a better umbrella.

‐ Are you aware
that in some cultures,

a downpour is considered
very good luck?

‐ Really?
In which cultures?

‐ I don't know...dry places?
Yemen.

‐ Ooh, the power
must've gone out.

The backup generator's
kicking in.

I better go
talk to engineering.

I'll see you later.

‐ See you.

‐ We must not be moving
patients fast enough

if they had time
to deliver these.

Nice.

‐ Actually,
they're for Natalie.

They're from Phillip.

It's her first day
back and all.

‐ Oh.

Well, I'm sure they'll look
great on her kitchen table.

‐ Yeah.

‐ Doctor Choi!
An ambulance skidded out

a couple blocks away.
They need help.

‐ I'm on it.
‐ Me too.

‐ You in?
‐ Yeah.

‐ Hey, Capp, anybody hurt?

‐ Driver here is okay,
but the ambo‐‐patient's stable.

Older guy with chest pain,
but the paramedic got it bad.

‐ He's still in there?
‐ We're getting him out now.

‐

‐
Hang on.

Ahh, please!
‐ All right, nice and easy.

‐

‐ Ready?

One, two, three.
‐ We got him.

‐ Darren‐‐Darren,
what happened?

‐ I smashed my hip.

‐ One to ten‐‐how's the pain?
‐ Oh, man, it's a ten.

‐ He's tachycardic
and his pulse is thready.

‐ You think it's broken?
‐

‐ We gotta go.
Let's go, let's go.

Hang in there, Darren.
We're getting you to Med.

Darren?
Darren.

‐ What's happening?
‐ He's bleeding out

into his pelvis.
We gotta go.

‐ Easy, easy.
‐ This is Mr. Lentz.

‐ Mr. Lentz, what's going on?
‐

Pain in my chest.
‐ It's all right, we got you.

‐

‐ Go, go, go, go, go, go, go.

Come on, come on,
come on, come on.

‐ Yeah.
‐ Let's go!

‐ Baghdad.
‐ Pressure in two units

O‐positive,
get a pelvic binder,

then activate the MTP.
Tachycardic and hypotensive.

Steve, what's your plan?
‐ Bind his pelvis.

Get x‐rays and CT to confirm,

then interventional radiology
to embolize the bleeders.

‐ Good.
Let's transfer on my count.

Everybody ready?
‐ Yeah.

‐ One, two, three.

Trauma labs, ABG,
chest and pelvic x‐ray.

‐ Pelvic binder.
Blood's on the way.

‐ Okay, let's get
ready to roll.

Roll.
‐

‐ Tell me as soon
as you get the scans.

I'll let IR know
we're coming up.

‐ Okay.

‐ Bagged.

Okay, he's good.
Bolus a liter of saline.

I think we're gonna
be in good shape.

‐ Hold on, let me get you
guys some dry scrubs.

‐ No, no, no.
We're fine.

‐
‐ Aww.

‐ Look who decided to show up.
Must be good to be back.

‐
Much better than

sitting around at home.
‐ I bet.

How's Phillip?

‐ Oh, Phillip's...great.

You know, he's been really
helping out with Owen,

giving me time
to heal and rest.

‐ But?

‐ But what?

‐ Nat...

‐ Doctor Abrams said that
I would have memory loss

and that the loss might
include some...feelings.

I don't know.
I guess I'm just excited

for them to come back.

‐ Yeah.
‐ Yeah.

Anyway, how are you?
How was your vacation?

‐ Oh, it was just fine.

You know, just a little
me time to recharge.

‐ Natalie, it's good
to see you well.

‐ Thanks, Jim.
‐ Four weeks, though‐‐

seems a little soon
to come back from

a traumatic brain injury.

‐ Well, Doctor Abrams
did clear me.

‐ Well, Sam likes to get
patients off his service.

Let's do a half shift today.
H&Ps only.

Probably best just
to, uh, ease back in.

‐ No‐‐I don't think
that's necessary.

‐ Doesn't look too bad.
70% stenosis in two vessels.

He's stable from the nitro,

so I think we can
treat conservatively.

‐ Spoken like a true
future urgent care mogul.

See?
I listen.

Mr. Lentz, no injuries
from the ambo crash, I hear.

I've gone over your cath,
and I'd like to schedule you

for coronary artery
bypass surgery.

Preferably today.

‐ But Dr. Marcel,
the medicine...worked.

I‐I feel fine.

‐ I understand,
but you did suffer

a heart attack this morning.

I'd like to prevent
you from having another.

‐ There must be other ways.
‐ We could talk about

other medical options
or possibly revisit

a stent down the road...

‐ None of which, in my opinion,
will solve the problem.

Now, I know this is not
what you were expecting...

‐ Doctor Marcel...
‐ But I do ask that you

trust me when I say that you
might be one cheeseburger away

from a far worse event
than the one

you experienced this morning.

‐

You‐‐you really think so?
‐ Yes, I do.

‐

Well...if...

if you say so.

Okay.
‐ Good.

I'll talk to Doctor Latham,
chief of CT surgery,

and I'll get back to you
with those details.

Doctor Sexton?
‐ Yeah, um...

You kind of gave him
a hard sell on the surgery.

We should really
give him all his options.

‐ Hold on.

70% stenosis on a cath
means a 95% blockage

in three dimensions.
Coupled with a decreased LVF,

I'd say his only other option
right now is dying.

Why don't you come up
and observe?

Might be illuminating.

Yeah, Doctor Latham?

‐ Hi, Lacey,
I'm Doctor Halstead.

This is student doctor Curry.

I hear you had a seizure
at school today?

‐ Yeah, in the middle
of calculus.

‐ Has that ever
happened before?

‐ No.

‐ Any idea what caused it?

‐ Maybe the giant
gas leak in our school.

‐ We've been smelling
it for weeks.

‐ And no one's fixed it?
‐ No‐‐and I've been

getting dizzy and nauseous

and now I can't
stop doing this.

‐ The soccer state
finals are tomorrow.

‐ Yeah, is she gonna be okay?

‐ The arm motions...
when did those start?

‐ Today, after the seizure.

‐ Hmm, okay.

Have either of you
had any symptoms?

‐ No.
‐ Nothing.

‐ Uh, do you have any history
of head injuries or trauma?

‐ No.
It‐‐it's a gas leak.

Can't you just test the air
or my blood or something?

‐ That's exactly
what we're gonna do.

Let me run some tests
and talk to your school,

while Ms. Curry
does a quick neuro exam.

‐ I need to get better.
‐ Understood.

We're gonna take
good care of you.

Hey, we didn't have
a nurse in there.

Could you get someone
to draw up a CBC, CMP,

and start her on IV and fluids?

‐ I got it.

‐ Hey.
‐ Hey.

‐ Welcome back.
‐ Thanks.

Go away for a few weeks
and everything's different.

Connor's left...and Ava?

Oh, my God.

‐ Yeah, that was, uh...
a horrible shock.

‐

‐ You look good.

I mean, you healed‐‐
you healed up well.

‐ Yeah.

‐ And the concussion?

‐ I'm taking it slowly.

‐ Sure.

Glad to have you back.

‐ Hey‐‐hey, Will?

‐ Yeah?

‐ I'm sorry you had
to find out the way you did.

About me and Phillip
getting engaged.

But I guess that's what I was
coming to your car to tell you.

‐ Right.

‐ I mean, I don't remember
a lot from that day, but...

It makes sense.

‐ I got a kid with
a gunshot wound!

‐ T‐1.
Doctor Lanik.

‐ Taylor Holmes, 16, shot once
through the right forearm

and into the flank.
BP 103/60, heart rate 95.

‐ They shot me.
Somebody shot me.

‐ All right, let's move him.
One, two, three.

So what happened out there?
‐ I don't know.

I was just waiting for the bus.
Am I in trouble?

‐ There's no law
against getting shot.

‐ Active bleeding
from his flank.

Let's get some
four‐by‐four dressings.

‐ That's okay, I got this.

Does it hurt anywhere else?
‐ Uh‐uh.

Can somebody call my mom?
‐ Don't worry, we will.

‐ Okay, got the brachial.
Hemostat times two.

‐ I'll apply pressure.
Get me some suction.

‐ We're fine.
Doris?

‐ Hemostat.

‐

‐ See?
Easy‐peasy.

Your artery's clamped,
but your flank wound is

still bleeding, so we gotta
get you up to surgery.

‐ I need an operation?
‐ Yes, you do.

It'll fix you up.

‐ Doctor Manning will take
you right up in a minute.

‐ You want me to transfer him?

‐ And write the note, thanks.

‐ All right, let's move.

‐

‐ I'll take it from here.

‐ Hey, where you going?

‐ Lanik's having me do transpo.

‐ Are you serious?

‐ Anything to keep me
from practicing medicine.

‐ Huh...well, welcome back,
Doctor Manning.

‐ Thanks.

‐ Any word on when Doctor
Latham's coming back in?

‐ He's still stuck in O. R. 12.

‐ Some suction, please.

All right, then.

Let's suture.

‐ My first day,

I'm taking this woman's
history out in the chairs,

when I feel this warm liquid
all over my leg and I'm like,

did she just pee on me?
But I keep going until

she says, "When are you
gonna ask about my baby?"

And I realize
that her water just broke,

but before I can say anything,
she passes out cold

'cause now she's in
a total eclamptic crisis.

‐ What‐‐what happened?

‐ Whoa.

Everybody freeze.

‐ Power must've gone out.
Those are the emergency lights,

but the backup generator
should kick in any second.

‐ Where we at?
‐ I got nothing.

‐ Suction's out.
‐ Bypass is on battery.

Not sure how long we got.

‐ Okay, I'm sure
somebody's working on this.

Be ready to hand‐crank
the bypass.

You're keeping him under.

Can somebody get
us some lights?

‐ We're stopped.
How come we're stopped?

‐ I don't know.

Hello?

Is anyone out there?

Hello?

‐ The whole hospital is gone.

Lights, computers,
imaging, Pyxis.

‐ What happened to
the backup generator?

‐ It's totally flooded.

It's gonna take
a few hours to get back on.

‐ Automatic locks will be shut,
elevators jammed.

We'll do a sweep to see if we
can find anyone in trouble.

‐ Thank you.
‐ All right.

‐ Mags, where are we going?
‐ All bets are off.

Take the Hybrid O. R.

Here, you take this.

‐ Okay, let's get
ready to transfer.

Everybody ready?
Yeah, one, two, three.

Mo, change to a pressure bag,
then send for four more units.

‐ You think he's still
losing blood?

‐ We're gonna find out now.

You ever check abdominal
pressure with a Foley?

‐ I've read about it.
‐ It's old‐school.

Just put a catheter on the bag,

then add a transducer
with a three‐way tap.

‐ Okay.
‐ Doctor Choi,

April, they need you in 3.
‐ Okay.

Hook it up to
the a‐line transducer,

then watch the waveform.
If it gets above 30,

come and get me.
‐ Okay.

‐ Let me help you with that.

‐ April, I think they need all
the help they can get out here.

Steve, you good?
‐ Yeah.

Yeah, I'm good.

‐ See, the water's coming
in here from the edge.

‐ So the backup generator is
located below a storm drain?

Are you serious?

‐ Don't ask me.
‐ Don't ask you‐‐

look, you've gotta get
this thing up and running.

Get as many men as you need.

‐ It's still gonna take
all day.

Northern Illinois Power
will get a spare out to us.

‐ Oh, this is ridiculous.

What is their ETA?

‐ Two hours?

We'll have to send
our critical care patients out.

‐ We can't.
Lakeshore Memorial's

already on bypass.

East Mercy's taking
all the overflow.

‐ So we have to keep
1,000 sick and dying patients

alive with no lights,
no medicine, no nothing?

‐ Well, we'll do the best we
can and, Maggie, pace yourself.

Today's gonna be a marathon.

‐ Stop cardioplegia
and prepare to come off bypass.

Okay.
Removing cross‐clamp.

He's not getting enough flow
to his left anterior wall.

Can you up his output?

‐ Not enough to matter.

‐

Then we'll have
to continue surgery.

‐ We can't arrest him again.

He'll never come
off the bypass.

‐ Fine.
Then we'll do it off pump.

‐ But you can't sew a vessel
into a beating heart.

That's almost impossible
even with electricity.

‐ Graft is down.
We don't have a choice.

‐ But a‐a bad anastomosis
and he'll clot off.

It'll kill him.

‐ Well, then we'll just
have to do a good one.

Speaking of which,
do me a favor and scrub in.

I could use the extra hands.

‐ Man, I know it's hot in here,
but I'm kind of freezing.

‐ Here.
‐ Hey, anybody down there?

‐ Yes, hello!
I've got a patient in here.

Here, hang on.
Someone's coming, okay?

‐ Natalie, what do we got?

‐ He's losing blood.
We need to get him to surgery.

‐ All right, sit him up.

I'll get a sked down
to bring him out.

‐ Whoa, that‐‐that
doesn't feel so good.

‐ What's wrong?

‐ He can't maintain
pressure sitting up.

‐ Can he stay up long
enough to pull him out?

‐ Taylor? Taylor.
No, it's not gonna happen.

Get me four units
of uncrossmatched blood.

I need to stabilize him
before I...

‐ Hey, you okay?

‐ Yeah, Matt, I'm fine.

‐

What‐‐what happened?
‐ You blacked out for a minute,

but we're gonna get you
some blood, okay?

‐ All right.
I'll get that blood

to you as soon as I can.

‐ Thank you.
Just hang in there, okay?

‐ Why is this happening?

Finally, a doctor.

Have you figured out
what's going on?

‐ No, the lab went down before
they could run Lacey's blood.

‐ What kind of
a hospital is this?

‐ Mom...

‐ I apologize
for the circumstances.

We're trying to remedy it.
‐ So what do we do next?

‐ Unfortunately,
we can't do much.

I've called neurology, but
it‐‐it's gonna be a long wait.

‐ It's just a gas leak.

Please, just give me
some medicine or something.

‐ Treatment for inhalation
is supportive.

The symptoms‐‐they have
to wear off over time.

‐ She doesn't have time.

She needs to get
to soccer practice.

‐ Yeah, the finals
are tomorrow.

‐ I gotta be honest.
Given what I'm seeing,

I'm not optimistic about you
playing in that game.

‐ What?
‐ You can't do that.

It's the state finals.
‐ We need her!

‐ Doctor Halstead,
I have to play.

Everyone's counting on me
and I've been working so hard.

I can't let them down now.

I can't.

‐ You need to figure this out.
‐ I hear you.

We are doing our best.

Just try to take it easy,

relax, and let us
take care of you.

I'm gonna find out
what's going on with the power

and hopefully we'll
have some answers soon.

‐ We're low on fluids.
Only if they need them.

‐ Mags, any word
on the new genny?

‐ Still uptown,
not even on the truck yet.

‐ Be nice to get
the air back up, huh?

‐ Yeah...
I'm frying like an egg.

‐ Doctor Choi.
It's Darren.

The waveform broke 30.

‐ Airway pressure's too high.
Give me a scalpel.

‐ What's this for?

‐ Abdominal
compartment syndrome.

‐ Wait, you think that's
all blood in there?

‐ Pelvic hematoma
must've ruptured.

The pressure's so high,
he's not getting any blood

back to his heart.

‐ But if we can't get
him upstairs to the O. R.,

how are we gonna
take care of him?

Oh, my God.

‐ All right.

Let's pack him.

Hey‐‐hey, Steve.
Look at me.

Two more minutes,
he would've died.

You saved his life.

Now come on.

Let's pack him up and build
a bag for those intestines.

‐ Okay.
Okay.

‐ All right, thanks.

‐ Will, your patient
with the tics.

‐ Yeah.
‐ What‐‐what are you thinking?

‐ Good question.
Uh, the fire department

just told me
the school's clean,

so that rules out gas leak.

‐ She seems pretty anxious.

You mind if I pop in
and say hi?

‐ Yeah, sure.
I don't know if we're gonna get

any real answers till
neuro gets here, but...

‐ Doctor Halstead!
‐ It's okay.

‐ What's happening?
‐ Help me get her on her side.

‐ She's seizing!

Two milligrams ativan IM.

‐ You got it.

Step aside.

Okay, okay.

‐ So, you weren't experiencing
any symptoms at all?

No warning‐‐it just
came up out of nowhere?

‐ Yeah.
‐ Huh.

Calculus, wow.
I'm‐‐I'm very impressed

that you can concentrate
on that right now.

‐ AP test is in a week.
I don't have a choice.

‐ Well, I'm sure that we can
arrange for a medical extension

under the circumstances...

‐ People with
medical extensions

don't get into Princeton.

Oh, my God‐‐
I think I'm gonna puke.

‐ Okay, wait a second.
Let me get you something.

There you go.
Yeah, okay.

Okay.
You're fine.

‐ I'll check back.
‐ Yeah.

There you go.

I'll be right back, okay?

‐ We don't have a choice.

We need to put
them in isolation.

‐ You don't know what it is.

Could be environmental
or drugs...

‐ Her symptoms came on
awfully quickly, didn't they?

‐ As of right now,
infection's top of the list.

‐ All right, then start
the isolation protocol.

‐ Okay.

‐ Maggie, I want you to put
another nurse on this case.

‐ Sharon, everyone's got
too much on their plate.

I'm fine.
‐ You had a lumpectomy

for breast cancer two weeks
ago, and now you're on chemo.

You're immunocompromised.

And we don't know
what these girls have.

‐ I'm going to be careful.
Don't worry.

‐ Pressure's tanking again.
‐ Release the heart.

All right, we need
an intra‐aortic balloon pump.

It's the only way
to hold his pressure

while we sew on the graft.
‐ But we can't x‐ray

to see if it's
in the right place.

‐ So I'm gonna need you
to put your hand in there

to let me know when I'm in.

Don't be afraid to squeeze.

You feel it?
‐ I‐I don't know.

I think so.

‐ Yeah?
Okay, turn on the pump.

‐ Heart rate's down to 63.

54...
‐ It went up too far.

How high is it?
‐ I don't know...

‐ 45.

‐ We're cutting off blood
to his brain.

I need to know.

‐ Yeah, five centimeters.
‐ Okay, stop the pump.

Okay, turn on the pump.

Marty?
‐ Weight and pressure are good.

‐ All right.

‐ Is he gonna be okay?
Did he have a stroke?

‐ We'll find out
when he wakes up.

Okay, needle driver back to me.

‐ No‐‐then you go back
and you look harder, Roger.

Sorry.
‐ Hey‐‐where's your stash?

‐ My snacks?
‐ Yeah.

‐ Are you feeling okay?

‐ Yeah, it's for
that med student, Steve.

He hasn't stopped
for a minute all day.

I'm just a little worried
about him.

‐ Here.
‐ Thanks.

‐ How's he doing?
‐ I'm trying to warm

the blood up for him,
but his temp's down to 96

and if he gets any more
hypothermic, it's just gonna

make him bleed even more,
so I mean I‐‐

‐ Well, he's stable right now,
so why don't you

take a quick break, okay?

‐ Ah, thanks.

‐ Mm‐hmm.
‐ But I'm fine.

Just life in the E. D., right?

‐ Doctor Choi told you

his first day pregnant lady
story, didn't he?

‐ Yeah.
‐ Yeah‐‐

it's not always like that.

He doesn't tell stories
about all the earaches

and runny noses.

‐ April, they need
you back at 3.

‐ Okay, but first,
get something in you.

‐ No time.
Vents are starting to fail

and we're running out of hands.

‐ Where do you need me?

‐ Eat, change your scrubs,

then I'll find
where you can help out.

‐ April.

Fine, but you're going to 3.

‐

‐ This is the third one.
We need to evacuate the E. D.

‐ Patient care is already
stretched to the limit.

We don't have the manpower.

‐ I know what I'm asking for,
but are we willing to risk

a massive outbreak?
This could be a superbug,

bacterial meningitis...

‐ Then again,
these young women are under

a phenomenal amount of stress,
aren't they?

‐ Stress?
We're not talking

headaches and fatigue here.

These girls
are having seizures.

‐ Elsa...
‐ Doctor Halstead!

‐ Oh, no.

Come on, come on‐‐

What happened?

‐ It's okay, I'm fine.
I'm fine.

‐ You are burning up.

Ms. Goodwin,
we need to evacuate.

‐ Okay, do it.
‐ Wait, wait.

Thirty minutes.

I need 30 minutes and
all three of them in one room.

‐ I'm sorry, are you crazy?

‐ Look, if it's an infection,
they've already all got it.

Thirty minutes.
‐ Thirty minutes, Daniel.

No more.

‐ Come on, Maggie.
You good?

‐ Yeah...
‐ Let's go.

‐ Let's go.

‐ Dr. Manning,
I'm really scared.

‐ Did he get the blood?

‐ No.
Said there's nothing left.

The whole hospital is out.

‐ Taylor...

His sats are dropping.
I need to intubate now.

‐ Here you go.

‐ Want me to do it?
‐ No, I got it.

Okay.

‐ Come on, Taylor, come on.
‐

‐ Ah, come on.

Damn it.

‐ Let me do it.

‐ No, he's just
irritated and swollen.

‐ Natalie.
‐

All right, make sure
you can see the cords, okay?

‐ I got it.

‐ Go nice and slow.
Don't force it.

‐ There.
I'm in.

‐ His sats are coming up.
‐ Tell me what else you need.

‐ Get Doctor Lanik.

‐ Hi, I'm Doctor Charles.
‐ What's going on?

Did you get
our test results back?

‐ Not yet.

‐ Do you know what's
happening to us?

‐ I think I do
and this medicine

should address your symptoms.

‐ Is it another antibiotic?

‐ Actually, it's not...

‐ But Doctor Halstead
said this was an infection.

‐ And it must be affecting
our nervous systems.

‐ And that very
well could be....um...

listen, this might make
you a little groggy,

even relax you a little.

‐ I don't care,
as long as it works.

‐
Finally a generator.

‐ Just need to fuel her up.
You got your connections

pre‐installed, or do we need
to lay cable down from here?

‐ No, we're all set.
Come on, let's go.

‐ Let's go.
‐ Hey‐‐

how long till
the power's back?

‐ Five, ten minutes at most.
‐ April, it's Darren.

His pressure
and sats are tanking.

‐ He's gonna code.
We need an ER REBOA.

Inflating a balloon
above his pelvis will stop

the bleeding till
we get the power back.

‐ He won't make it all
the way back to IR.

‐ No‐‐we're gonna do it here.
Call trauma.

If we can stop the bleeding,

they need to ligate
his iliacs stat.

‐ You don't think this
is gonna work, do you?

‐ VFib.
Grab the paddles.

No, no, you.

‐ Charged to 200.
‐ You're charged‐‐do it.

Do it!
‐ Okay‐‐clear.

‐ Did you find Doctor Lanik?
‐ He's stuck in the E. D.

‐ Well, we're running
out of time.

I think he's gonna arrest.
‐ What do we do?

‐ Get me a thoracotomy tray.

We need to divert
whatever blood he has left

to his heart and his brain.

‐ How are we gonna do that?
‐ We're gonna clamp his aorta.

‐ You're gonna open his chest?
Here?

‐ Yep.
‐ And what if we can't find it?

‐ I don't know.
I've never done it before.

‐ Pressure's dropping.
‐ I'm working on it.

Okay...let's open him up.

Easy.

‐ Clip's off.

‐ Left anterior wall
still isn't moving.

‐ There it goes.

‐ Yes!

Sorry.

‐

Well, look at that.

‐ Can you feel it?

‐ No, not yet.

Wait...I almost got it.

‐
Still in VFib.

‐ Do it.
‐ Okay‐‐clear.

‐ Clear.

‐ Sinus rhythm.
Get me a chest x‐ray.

Everybody clear.

‐ Is he still bleeding?
Where's the balloon?

‐ There‐‐right
above the diaphragm.

‐ Vitals are holding.

‐ Bleeding stopped.
He's good.

‐ I got it.

‐ Wow.

‐ Let's go, let's go.

‐ Doris, get those vents
up and running.

Doctor Lanik,
triage surgical patients

and get them up to the O. R.

‐ Angel, you're with me.
‐ Everybody, let's move!

‐ Get me the charge nurse
in the ICU.

‐ Doctor Choi,
trauma's here.

‐

‐ Hey.

We did it.
‐

‐ Heard you did the sloppiest
thoracotomy Trauma's ever seen.

Nice job today.
‐ Thanks.

‐ Doesn't mean I'm not
still keeping an eye on you.

‐ Everything came back
normal on all three girls.

All right,
this makes no sense.

It's been 30 minutes.
Why aren't we evacuating?

‐ I have no idea.

They stopped twitching.

‐ What did you do?
‐ Um...Tic Tacs.

‐ You gave them a placebo?

‐ Orange ones have
been my go‐to of late.

Don't get me wrong, they're
gonna need some therapy,

you know, figure out that the
weight of the world

isn't on their shoulders.
Maybe a little family work.

‐ What do you mean?

‐ You ever hear of mass
psychogenic illness?

‐ Yeah, like...
mass hysteria, right?

‐ Very easy to misdiagnose.

I mean, in Salem,
they called it witchcraft.

‐ So...the seizures
and the tremors‐‐

you're telling me
really were from...

‐ Stress and anxiety
manifested as physical symptoms

spread through social groups
by unconscious imitation.

Happens a lot
more than you think.

Remarkable how far
our brains will go to avoid

dealing with emotions
we don't wanna confront.

‐ Hey, uh, either way,
Doctor Halstead‐‐

you did the right thing today.

‐ Wait.
How's Maggie?

‐ Uh, she says she's fine.

Thinks it must've
just been the heat.

‐ Good‐‐all right,
let's get her out of isolation.

‐ Okay.

‐ Natalie.
‐ Yeah?

‐ That night,
it didn't feel like

you were coming to tell me
you were engaged.

‐ What?

‐ In my car...

I think you were coming
to tell me something else.

‐ Uh, I'm‐‐I'm sorry, Will,
I'm just‐‐

I've had a really long day.

‐ Of course.
I'm sorry.

‐ Good night.

‐ Wait.

I just have to ask...

Do you love him?

Phillip?
Are you sure?

‐ Am I sure that I love him?

‐ Just tell me.

Do you?

‐ You know what?
My relationship with Phillip

is the only thing in my life
that's working right now.

Hey, guys.

Hi, you.

‐ Uh, Doctor Marcel?

I am really sorry
about screwing up the pump.

I could've killed him.

‐ Are you kidding?
We were doing surgery

on a beating heart
with no electricity.

As far as I can tell,
you got a great set of hands.

I'm sure they'll come
of use in your urgent cares.

‐ The right specialty...

A surgeon can still
make good money, right?

‐ Yeah...Ortho, CT, neuro.

And with the right team?

Oof.

‐ Hey.
Good day today.

We'll see you tomorrow.
‐ No, I'm not coming back.

‐ What do you mean?

‐ I love medicine,
but what we did today...

I can't do that every day
for the rest of my life.

‐ Hey, come on.
It was a crazy day.

‐ I know, I just...

I just can't.

‐

Was I too hard on him?
‐ No, not too hard on him.

Just focused on getting
our patients what they needed.

‐ So I missed
seeing what he needed.

‐ Babe, you are such
a good doctor.

Sometimes we get so caught up
taking care of everyone else,

we forget to take care
of each other.

‐ No...

you don't.

You don't forget.

You're always
so mindful of everyone,

so aware, so caring.

I know we said someday, but...

you'd make the best mom ever.