Chicago Med (2015–…): Season 5, Episode 8 - Too Close to the Sun - full transcript
Maggie gets unsettling news about a new friend and breaks protocol to support him; one of the doctors from the Med family is rushed into emergency surgery after a violent assault; a social ...
.
- [groans]
- Hey, get off her!
- Punk bitch!
- They were jumping me in.
- Gang initiation?
- What if you found
somewhere else to stay?
- Thank you.
- Is this what I think it is?
- A fertility chart.
- Just seeing the chart
is like--
you can get
a little overzealous.
Okay, my lips
are still tingling.
[dramatic music]
♪ ♪
- I'm Ben.
- Maggie.
- You know, I should probably
eat an actual lunch after this.
I don't like to eat alone.
- This is Ben, my date.
- What are you doing here?
- Hey.
A patient told me
about peppermint and ginger
aromatherapy.
Supposed to help
with the nausea.
- Oh, thank you.
- I'm sorry you're having such
a hard time with the chemo.
- I'd say it's been
a bit more tolerable
now that I have
my sidekick.
- [chuckles]
So you're the one who's been
stealing my lunch companion.
- Guilty as charged.
I'm Ben.
- Natalie, nice to--
- [sneezes]
- Ben?
- You all right?
- I'm okay.
I'm okay.
- You look flushed.
Maybe you're coming down
with something.
- They got me under
a new chemo regimen.
I'm always coming down
with something.
- You know, why don't you pop
into the ED
once you're done here?
I'll just give you
a quick exam.
- Thanks, but I'm fine.
Really.
- Don't be stubborn.
I'll make sure he gets there.
- All right.
See you soon.
- Thanks, Nat.
♪ ♪
- Dr. Sexton.
- Wait for me outside.
Hey, Dr. Marcel.
- Our distended belly
in two is non-surgical.
Sign her over to GI.
- Um, you know I hate to ask,
but, um,
you mind putting in the order?
I just--I've got to run
a quick errand.
- Oh, is she your errand?
Looks familiar.
Wasn't she here a few weeks ago
with those gang guys?
- Uh, she's not with them
anymore.
It's true, she--she's
turned her life around.
- Oh, is that why she's wearing
your Blackhawks jacket?
- Uh...
- Please tell me that she's
not shacking up with you.
- No, no, no, no, no.
It's not--it's not
what you think.
It's, um, she's crashing in my
guestroom for a couple of days
just until she can get back
on her feet.
- [sighs]
If you say so.
- Okay, I'll--I'll
be right back.
I'm just gonna take her home.
Would you do me a solid
and just keep this between us?
I don't want April to--
- Kick your ass maybe?
- Yeah.
Uh, okay.
- Measles.
- Nat, are you sure?
- The lesions in your mouth,
elevated fever,
the conjunctivitis, these are
all very strong indicators.
- I don't understand.
I was vaccinated as a kid.
- You've also been on chemo
for six months now.
It's likely wiped out
your vaccine antibodies
and left your immune system
too weak to protect itself.
- So do I need to suspend chemo
while we treat this?
- I'd like to speak
with your oncologist,
but my guess is yes.
- Will I be okay?
I mean, people get
over measles all the time.
- Yes, they do.
I know we can manage this,
right?
Put him on bed rest,
make sure he doesn't develop
any secondary infections.
- Ideally, yes.
- But?
- I did hear congestion
in your lungs,
which means that mostly likely
you've already developed
pneumonia.
- So what happens next?
- With your weakened
immune system,
I'm afraid it's only
a matter of time
before the virus starts
attacking your other organs.
- Wait, are you saying
this is gonna kill me?
Measles are gonna kill me?
♪ ♪
- I'm so sorry, Ben.
- Nat...
There has to be something.
♪ ♪
- How long am I looking at?
Months?
Weeks?
Days?
- If what I suspect is true,
I'm afraid so.
- [sighs]
♪ ♪
.
- Morning, Daniel.
- Morning.
- You know, I haven't seen Cece
in a couple of days.
How's she doing?
- You know, not too thrilled
that I keep on leaving
my dishes in the sink,
but other than that, you know,
hanging in there.
- You think she'd be up
for a drink tonight?
Just the four of us?
- The four of us?
- Yeah, turns out, Bert and I
have met up a few times
just for a couple of drinks.
Don't get too excited.
He still has a lot
of explaining to do.
- Okay.
- I just figured that maybe
Cece would get a kick out
of all of us getting together.
- Are you kidding me?
She'd love it.
I'm just warning you.
You're gonna get a big
"I told you so."
- Yeah, well,
I'm looking forward to that.
[chuckles]
- That one.
- Mm-hmm.
- Oh, and it's Trini's
first day at Med,
I was supposed to get
her oriented but...
- Don't worry,
I can answer all her questions.
- Okay.
- Hey, I'm April.
- Nice to meet you.
- Nice to meet you.
We've got a nosebleed
in treatment 5.
Why don't you start there?
It's good.
Maggie, go be with Ben.
- Thank you.
Hey, have you seen my brother?
I thought he was
on your service today.
- He stepped out.
- Where?
- He said something
about an errand.
I got him covered.
Hey, listen,
about the other night...
that move on my part.
- Let's just forget it, okay?
- Hey.
Look,
we were sipping sazeracs,
having a nice time.
Guess I misread the situation.
- Yeah, just---let's blame it
on the sazeracs.
[device beeps]
Dr. Halstead,
we got an ambo landing.
You're going to Trauma 1.
- Elsa, you're with me.
♪ ♪
- Lori Shelton, 16 years old,
BP 118/82,
heart rate 112,
collapsed on a jog
this morning.
- We told her not to push it.
She just won't listen.
- Dad, I'm fine.
I skipped breakfast
before my run.
That's why I was dizzy.
- Lori, I'm Dr. Halstead.
This is student Doctor Curry.
Try to relax; we're gonna
get you checked out.
On my count.
One, two, three.
- Please tell me
her kidney is okay.
- Kidney?
- She had nephrotic syndrome,
finally got her transplant
about six weeks ago.
- Congratulations.
Is it okay if I take a look
at your incision site?
[suspenseful music]
Oh, incision looks good.
- No edema
in the lower extremities.
- Great.
♪ ♪
Lori, you had any fever,
night sweats, chills
over the past few days?
- No, since I got the kidney,
I feel great.
- Okay.
I did hear a little congestion.
- Honey,
tell him about your cough.
- Dad, I'm fine.
- Well, it is possible
you've developed
an infection in your lungs.
- An infection?
- Yeah, it's a common
post-op complication.
- Curry, what do you think?
- Uh, we should probably start
with a CBC, BMP, chest x-ray,
and give 500 milligrams
empiric azithromycin.
- And a full transplant panel
to make sure her kidney's okay.
Lori, just try to take it easy.
We'll be back to
check on you in a bit.
- Hey, good morning.
I'm Dr. Choi.
You must be Dennis.
- Yeah, the one and only.
And, uh, this is my girlfriend
and partner, Aviva.
- Say hi to Dr. Choi,
you guys.
- Excuse me?
- You're live in front
of 800,000 people.
Say hello.
- Uh, you mind if we do
this without the camera?
- Sorry, doc, but we keep
our stream live 24/7.
- Hey, um, I don't really
think this is the place.
- Oh, no,
anything you need to say to me,
you can say in front
of our loyal followers.
- All right.
Mind taking a seat
so I can examine you?
- Oh, I don't know?
Can I take a seat?
- I'm not following.
- Not you, Dr. Choi.
He's talking to our followers.
They're voting.
[mimics buzzer]
Sorry, dude.
They voted no.
- Looks like I'll be standing,
Dr. Choi.
- You're not serious.
- It--it's in the name.
Our followers vote
on all of Dennis' decisions.
- Look, if you won't let me
treat you properly,
you should see another doctor.
- Oh, I don't mean
any disrespect, doc.
[groans]
It's just that I make my living
honoring the vote.
Please don't send me back
to the waiting room.
My stomach is killing me.
- Abdominal pain?
- Oh, it's definitely
food poisoning.
They made me eat a ton
of discount sushi last night.
Ow!
Easy, man.
- You're warm and your belly's
obviously tender.
I'd like to get a CT scan
to rule out anything serious.
I'll be back
to check on you soon.
- Wait, doc.
They're voting.
Okay, good, yes.
It's a yes to that scan.
- Hey, what are you doing?
- Oh, April is covering for me.
- You can't go in there.
You're immunocompromised.
- A little credit, Nat.
I know how to take
the necessary precautions.
- If you catch this virus,
you might not be able
to fight it off.
- I'm willing
to take that risk.
- Maggie.
- I'm not--
I'm not about
to abandon him now.
- Hey, Doris?
Can you get the leg fracture
in Trauma 2 admitted to Ortho?
- Help!
We need some help!
- Hey,
give me a hand over here.
Noah?
Oh, my God!
- Noah!
What happened?
- I don't know.
I found him on the sidewalk
like this.
- Get him to Baghdad!
- I got c-spine.
Let's roll!
Easy, easy, easy.
All right, on my count.
Everybody ready?
One, two, three.
- Noah, I'm right here.
- People, come on!
- Okay?
I'm right here.
Hang in there.
- Set up for an x-ray!
- Hey, let's get him
on the monitors.
Noah.
Hey, buddy.
Do you know where you are?
- M-med.
- Good.
Noah, that's good.
♪ ♪
- Breath sounds
present bilaterally.
- Multiple abrasions on
his face, neck and left flank,
some broken ribs.
- Did he get hit by a car?
- No, injuries like this,
looks more like a beating.
- Did anyone see
where he was going?
- He just said
he was meeting a friend.
- Thought you said
he was running an errand.
- BP's down to 92.
Hang a unit of O-negative.
- X-rays!
Everybody, clear!
♪ ♪
- Massive hemopneumothorax
on the left side.
- He needs a chest tube.
- Push 5 of morphine.
- Chest tube, give it to me!
- BP's down to 70.
♪ ♪
- [gasping]
- [wheezing]
- I'm in.
- Pressure's better,
but his heart rate's still up.
- He's still losing blood.
Call CT, tell them we're
bringing him up
to a pan-scan now.
Don't worry, buddy.
We got you.
♪ ♪
.
- April, how is he?
- He's stable for now.
We're still trying to find
the source of the bleed.
- Uh, can I have a word
with you and Dr. Choi, please?
I want Dr. Lanik
running point on this.
- Ms. Goodwin--
- You know as well as I do,
you're too close
to Dr. Sexton.
- I can separate
my personal feelings from--
- No, Dr. Lanik
will keep you updated,
and you're needed in the ED.
- Yes, ma'am.
[somber music]
[sighs]
I'll check back
as soon as I can, okay?
♪ ♪
- We're able to get
the scans yet?
- No.
- Hey, what were you saying
earlier
about Noah meeting a friend?
- He just said he had
to help someone.
- Who?
- Scans are up.
♪ ♪
He's got a grade-3
splenic laceration
with a central blush.
He's bleeding into his abdomen.
- I'll call the OR and tell
them we're bringing him up.
- Well, pressure's stable.
No reason why we can't
embolize the bleed.
- But if the pressure drops--
- Well, we can worry about
that when the time comes.
IR is less invasive.
- I agree with Dr. Lanik.
I don't want to cut
my brother open
unless it's absolutely
necessary.
- It's not really your call.
- No, it's mine.
We're going to IR.
Let's move.
♪ ♪
- I just checked on
Lori Shelton's blood work.
The lab should have it up soon.
- Great.
Thanks.
- Yeah.
Did you know that Fibonacci
is performing tonight?
- The mathematician?
Hasn't he been dead
for about 1,000 years?
- Uh, it's a--it's a rock band.
They--they write
all their songs
using Fibonacci's sequence.
So, uh, every note is
the sum total
of the two notes before it,
and, uh, their--their music is
actually quite elegant.
- Oh, that sounds interesting.
- There--there are still
tickets available.
- Oh, if you're asking if you
can take off early, go ahead.
- Oh, okay.
Okay, thank you.
Thanks.
- Help!
We need help in here!
[suspenseful music]
- [groans]
- Watch out, Dad.
- My stomach hurts so bad.
- Ultrasound.
- I got it.
- What is it?
What's wrong?
- We're gonna find out.
♪ ♪
There's a clot blocking
blood flow out of the kidney.
It's likely what made
her collapse this morning.
- I thought it was
an infection.
- Kidney dysfunction can mimic
signs of an infection.
- Okay, so what do we do?
- There's a drug called tPA
that should break up the clot,
but we'll need a CT first
to pinpoint its location.
Tell radiology
we're bringing her up.
- No, wait!
You cannot give her a CT scan.
She's allergic to the contrast.
- You're sure
she's allergic?
- She had a CT scan
before her transplant
and had a really bad reaction.
It almost killed her.
- Her transplant center must
have not put that in her chart.
- You have the ultrasound.
Can't you use that
to locate the clot?
- An ultrasound doesn't give us
a detailed enough view.
We can't inject the medication
without a precise location
on CT.
- Please make it stop!
- Isn't there something else
you can do?
- We could try to get the CT by
using a high dose of steroids
to suppress her allergy.
- Yeah, but she could go
into anaphylactic shock.
- No, I'm not putting her
through that again.
Do we have an alternative?
♪ ♪
- All right,
we'll put her on heparin.
Wait to see if the clot
resolves on its own.
At this point,
it's our best option.
Bolus 1,000 units of heparin,
50 mics of fentanyl for
the pain, and repeat her labs.
Lori, hang in there.
We're gonna get
you through this.
- Hey.
Your scans came back.
Turns out you didn't have
food poisoning.
You have appendicitis.
- I told you guys
this pain was real!
Oh!
- Luckily,
we caught it in time.
We can get you up
to an operating room
to remove it
before it bursts.
- @Mewbuddar is asking,
"Is there's an alternative
to surgery?"
- In some cases, it can be
managed with antibiotics,
but surgery is the standard.
- Babe, the chat
is all worked up
over the pros and cons
of surgery.
- Give me the camera.
All right, team,
this is a big one,
so don't do me dirty
'cause my side
is literally killing me.
Will you let me have surgery?
- This is no way
to determine treatment.
- You heard him, peeps.
I'm setting up a vote.
Surgery versus antibiotics.
Go!
- This is ridiculous.
- Vote are tallying.
Okay, the votes are in.
Oh, babe, uh...
Surgery is a no-go.
[groaning]
- This is a serious
medical decision.
You can't let strangers on
the internet make it for you.
If your appendix ruptures,
there's a good chance
you'll die.
- I'm sorry.
The decision's been made.
- We're going with
the antibiotics.
♪ ♪
- Doris,
order 1 gram ceftriaxone
and 500 mg flagyl
for my patient in 4,
and page Dr. Charles.
- Maggie, I'm sorry
to hear about Ben.
- Thanks, Sharon.
He just wants to go home.
- I'm afraid that's
not gonna be possible.
- What do you mean?
- We need to keep Ben here
under quarantine.
- Why?
Hospital protocol is
if a patient has measles,
they can self-quarantine
as long as they don't take
public transportation.
- Yes,
under normal circumstances,
but there's
a citywide outbreak.
The county health officer has
issued a mandatory quarantine
for all hospitalized patients.
Ben will have to remain here
until he's no
longer contagious.
- That's five days.
That could be all the time
he has left.
- I'm sorry.
- Sharon.
- Yes.
- Please.
He just wants to go home
and die in his own bed.
- Maggie,
you know I understand,
but my hands are tied.
It's the law.
[somber music]
♪ ♪
- How are you doing?
I'm Dr. Charles.
Uh, Dr. Choi showed me
your website.
It's pretty--
pretty interesting stuff.
- His name tag legit says
Chief of Psychiatry.
I'm gonna get thrown
in the loony bin
if y'all keep punking me
with these votes.
- Dude, we're getting mad love
in the tip jar today.
Definitely gonna top
naked skydiving.
- So Dr. Choi and I just want
to make sure you understand
that by opting out
of the surgery,
that you are putting
your life in danger.
- We never go against the vote.
Those are the rules.
- No chance at even
a one-time exception?
- No can do.
A year ago we were
living in our car.
Now we've got a condo
on the lake.
Our--our followers
buy our merchandise
and watch our ads
for one simple reason.
I always obey the vote.
As soon as I break that pact,
it's over.
- Okay, well, really nice
to meet you both.
- So?
- He clearly understands
the decision he's making.
- Yeah, but he's not making
the decision.
- True,
but he's willingly allowing
other people to do
that for him.
- He's denying surgery
to boost his online following.
How can you say he doesn't pose
a risk to himself?
- Just 'cause he's reckless
doesn't mean he's suicidal.
- Well, so that's it?
Hmm?
If the antibiotics don't take,
we just watch him die?
- Ethan,
I don't like it either,
but we can't lock a patient up
just because he wants to be
internet-famous.
♪ ♪
- [sighs]
- We spoke to a few witnesses
who were at the scene,
and they confirmed Noah
was jumped.
- By who?
- They weren't able
to ID any suspects
except that
they looked Latino.
The guy that brought Noah in?
He said that there was
a young woman with him.
She helped Noah into the car.
- That friend he was meeting,
could it have been
this young woman?
- Dr. Marcel, if there's
something that can help us...
- I did see him leave with
a young woman.
- What?
- The one that
you and Noah found,
getting jumped in by that gang.
He said he was taking her home.
- You saw him leave with
Jacinta and you didn't tell me?
- You have a last name
for this Jacinta?
- Uh, yes.
Nieves.
Jacinta Nieves.
- Okay, we'll run with that.
Listen, we're all thinking
about your brother.
- Thank you, Jay.
[suspenseful music]
♪ ♪
You didn't think it
was important to tell me
that my brother ran off with
some kind of gangbanger?
- He asked me not to.
- He is fighting for his life.
- He's a big boy, April.
He makes his own decisions.
- [sighs]
♪ ♪
- [sighs]
[knock on door]
- I was told to get
a quick blood draw.
- Oh, just leave it.
I'll do it.
- I'm sorry.
- Okay.
- [groans, coughs]
- Okay, okay.
- [wheezes]
- You're okay.
- [wheezes]
- Do you want some water?
Yeah?
There you go.
Okay.
There you go.
- [groans]
I'd finally fallen asleep.
- Yeah.
The hospital can't
do anything for you,
yet here you are,
getting poked and prodded
every other minute.
I should never
have brought you here.
- Mm-mm.
- I'm so sorry.
- [clears throat]
The folks in group say
surrendering isn't weakness.
It just means that
you've accepted your future...
As it comes.
- No, Ben.
I won't let you spend any more
of your precious time here.
[somber music]
♪ ♪
.
- Do you have any idea
what you're asking me?
- I know that
it's technically illegal.
- And unethical
to have me change his charts
and say he's post-infectious?
- Yeah, but you and I both know
that I can keep
one measles patient
from infecting the public.
Please, Nat.
I...
Please let me honor
the only wish he has left.
How many times
have I had your back?
- This is not about
what I owe you.
This is about
what we owe the public.
And I'm sorry, Maggie,
but I can't discharge him.
Maggie, I...
[sighs]
- Just got Lori's
latest set of labs back.
Her creatinine
has risen dramatically.
- What does that mean?
- The heparin isn't working.
Lori, I'm sorry.
Your kidney is
in serious distress.
- No.
- Since we're unable
to get the CT
needed to inject the tPA,
I'm afraid there's
not much more we can do
to save your kidney.
- Oh, God.
- There's still dialysis,
and you can go back
on the transplant list.
- No, I can't go through
that again.
Please,
there has to be another way.
- I wish there was, but--
- What about the thing
you were saying earlier
about suppressing
my allergy?
- Well, there is a chance
we could prevent
an allergic reaction
to the CT contrast
by loading you up
with a high enough dose
of steroids--
- That would be
extremely risky.
- I wanna do it.
- You could--you could go
into anaphylactic shock.
- I spent too much time
on the transplant list.
The pain and the fever
and the sleepless nights.
I can't go through that again.
- But, honey--
- I can't go back on dialysis.
♪ ♪
- Lori, I would need
your parents' consent.
- Please.
I can't lose this kidney.
- Oh, Lori.
Okay.
- Dad?
♪ ♪
- You have our consent.
♪ ♪
- All right.
- Hey, you can't do this.
She--she could die
in the scanner.
- Elsa, I understand the risk,
but we have to try.
- Why?
I mean, even if
she loses her kidney,
she can still survive
on dialysis
until a new organ
is available.
- She could also spend years
suffering on dialysis,
and still die before
getting another transplant.
This is what Lori wants.
We have parental consent.
♪ ♪
- Heart rate's up to 140.
When was the last time
he had pain meds?
- Two, maybe three minutes ago.
- We need to get him
to the OR now.
He's gonna crash.
- What are you
talking about?
His vitals are stable.
- Not for long.
Pulse pressure's narrowing,
heart rate's climbing,
and his lips are turning blue.
I've seen this before.
It means a crash is coming.
- No, we almost have control
over the bleed.
- If we wait until his pressure
drops, it'll be too late.
- It's Dr. Lanik's call.
[suspenseful music]
♪ ♪
- Dr. Marcel.
- We gotta stop this.
- I'm almost there.
- Dr. Marcel,
you need to back off.
- He needs the OR!
- Stay away from my brother.
[machine blaring]
- Pressure's falling.
- Now can we move him?
- Let's get him ready
for the OR!
♪ ♪
- Doris,
what's the word on Noah?
- They just rushed him
to the OR.
It's touch and go.
- Dr. Choi,
I need some help.
♪ ♪
- What's happening to him?
- [groaning]
- Ultrasound?
- Give him some room, Aviva.
Breathe in and out, buddy.
In through the nose,
out through the mouth.
- [breathes heavily]
- All right, your appendix
has nearly perforated.
We need to get you
into surgery now.
- Babe...
- It won't take long
until your appendix bursts.
When that happens,
it may be too late to save you.
- Chat room's saying
you should put him
on a medicine called Cialis.
- They have no idea
what they're talking about!
- Dennis, what do you say
we give the surgery a shot,
live to fight another day?
- Babe, we just hit
a million followers!
We're going viral!
- Oh, my God!
We did it!
- Dennis,
think this through.
- Babe, our ad revenue
is going to double.
- The antibiotics
could still work, right?
- It's highly unlikely.
- But is it possible?
- Technically, yes,
but the odds
are highly against it.
- Then we're still going
with the vote.
Show me some love, people.
Buy our merch and smash
that subscribe button below!
- Get him up to 2 grams
of ceftriaxone.
Still think this guy's sane?
- [groaning]
- All right, Lori, we're gonna
give you the injection
of steroids
before we administer
the CT contrast, okay?
- I'm ready.
- All right.
And now the contrast.
- [inhales deeply]
- All good?
Great.
Let's get her into the scanner.
- Hey, Mags.
- Oh, hey, Eddy.
- Dr. Manning's order didn't
mention this was a transfer.
- Oh, it's not.
We're taking him home.
Hospice care.
Uh, here's the discharge.
Dr. Manning's signature.
- All right.
Let's load him up.
- Yeah?
- Are you sure about this?
- It's time to get you home.
- [wheezing]
- Here we go.
♪ ♪
.
- [sighs]
Sats are dropping.
- We close?
- Doing the best I can.
[machine beeps]
- We have to get her
out of there!
- No, she can tolerate it.
- Sats are down to 87.
- How much longer?
- I just need another minute.
- She doesn't have
another minute.
- [gasping]
- All right,
we need to get in there.
- [gasping]
- All right, Lori,
just relax.
I've got to intubate.
20 etomidate, 100 of sux.
Okay, Lori.
- Sats are down to 72.
♪ ♪
- Damn it.
Airway's totally clamped down.
I might have to trache her.
- Sats are down to 70.
♪ ♪
- Wait, I'm in!
Bag her.
Let's move her back through.
Gurney!
- Sats are climbing.
- What about the scan?
- We got it.
- All right, let's get her
to the IR now
and clear the obstruction.
♪ ♪
- Give me another clamp.
- There must be two liters
in there.
Why'd you wait so long
to bring him up?
- Great question.
- Curved six.
- Pressure's in the toilet.
Please tell me
this isn't gonna take long.
♪ ♪
- Clamp's on.
♪ ♪
- Spleen's coming out.
I need an O silk tie
on a pass.
- BP is down to 100.
♪ ♪
- Okay, tying off
the vessel now.
- Clamp's coming off.
- There, that should do it.
- Pressure's dropping.
- He's still losing blood.
We have to find the source.
♪ ♪
- Aviva.
I was hoping to get
just a quick word.
- One sec.
Our suppliers can't keep up
with our merchandise orders.
- Wow.
I've got to say,
I'm very impressed
with what the two
of you created here.
- Yeah, no joke.
- Yeah, it'd be such a shame
to lose it all.
I just mean, you know,
if something happened
to Dennis,
I've got to imagine that's
gonna impact your livelihood.
- It's not just about
the money, Dr. Charles.
You don't understand.
In high school,
Dennis was a ghost.
Nobody knew he was there.
- Hmm.
- But when I got to know him,
I realized just
how incredible he was.
So I convinced him
to start livestreaming.
Now the world gets
to see what I see.
That's what this is about.
- But what happens when he goes
into septic shock, though?
- We'll ask our followers
for another vote.
They'll let him to do
the surgery for sure.
- Yeah, but what if they don't?
- They're not trolls.
They're our homies.
- But then why won't
they let him have the surgery
when his appendix
could rupture at anytime?
- They're pranking us.
- Oh.
- But I know our followers.
And if things get worse,
they'll do what's right.
I've got to get back
to the show.
- Dennis' fever just spiked.
He's septic.
- Dr. Manning.
Radiology just called.
They're ready
for Ben's chest x-ray.
- Good, let's get him upstairs.
[knock on door]
Did they take him already?
- Looks like he was discharged.
- Discharged?
By who?
- You, Dr. Manning.
♪ ♪
- Uh,
what are we doing up here?
- I figured out how we could
double your followers
in an instant.
- [chuckles]
I don't think
you get how this works.
It look us over a year
to get to a million.
- I think I know exactly
how this works,
which is why I want you
to ask your followers
a very simple question--
should you jump off
this roof right now?
- Whoa!
- This is not cool, man.
- Wait, is that a no?
I thought that they made
all the decisions.
- Wait, isn't this, like,
against the rules?
- You said your followers
love you, right?
They don't wanna see anything
bad happen to Dennis.
He's got nothing
to worry about.
- Babe, the chat's blowing up.
They want to vote.
What do we do?
- All right, guys,
this is for reals.
Look at the drop.
[sighs]
All right, team...
Should I jump off this roof?
- They're voting.
♪ ♪
- Oh, man.
♪ ♪
- What's it gonna be, man?
What are we doing?
♪ ♪
- [groans]
♪ ♪
[groans]
I'm not jumping.
- Oh, my God.
They're all unfollowing us.
Hold on, you guys!
That wasn't even
a fair question.
It doesn't count!
You could still be the judge!
- What do you say, Dennis?
Can we--can we get you
into surgery?
- Yeah.
♪ ♪
- How is she?
- They were able to
successfully break up the clot.
- And her kidney?
- Function's improving.
We expect Lori to make
a full recovery.
- Thank you!
Thank you for saving
our little girl.
[somber music]
- I'll have someone grab you
as soon as they get her
settled into recovery.
- Thank you again,
Dr. Halstead.
Thank you again.
- You take care.
♪ ♪
- That was amazing.
- Yeah, we had a good save,
didn't we?
- No, you had a good save.
I--I should never
have doubted you.
- You know, Elsa, I've been
a doctor for ten years.
After a while, you develop
a kind of intuition.
You just get better at guessing
when it's right to take a risk.
- Thank you!
As soon as we're inside,
we'll get you a nice warm bath,
and a neb treatment.
There you go.
[children laughing]
- [gasps]
[suspenseful music]
♪ ♪
- Maggie...
♪ ♪
It's okay.
[somber music]
Let's go back.
♪ ♪
.
- Found it.
The short gastrics
are still bleeding.
- I don't have the angle.
Can you clamp it
from your side?
- Yes, sir.
Hemostat.
- Better hustle.
I can't keep his pressure up.
- Don't rush me, Marty.
[suspenseful music]
- [sighs]
- Got it.
2.0 silk stitch.
- Pressure's improving.
Nice work, Crockett.
♪ ♪
- Let's tie this off and close.
[somber music]
♪ ♪
- Get him quarantined now.
♪ ♪
You forged my signature?
- I'm sorry, Nat.
I didn't know what else to do.
I--I...
I couldn't turn my back on him.
- That doesn't give you the
right to endanger the public.
- I realized that as soon
as I stepped outside.
♪ ♪
- I can't believe
you did this, Maggie.
- [sobs]
I was...
I was...
- Go be with him.
♪ ♪
- How's he doing?
- The appendectomy went well.
The surgeon expects him
to make a full recovery.
- Great.
- Daniel, what's going on?
Can you please explain to me
why there's a video showing
my Chief of Psychiatry
asking a patient
to jump off the roof?
- I realized that
the optics aren't good.
- You're supposed to be
mitigating psychiatric crises,
not creating them.
What if he had tried to jump?
- First of all, Sharon,
there was never any danger
of that happening.
But if it had, I would've put
him on a psych hold,
and mandated the surgery.
- This video's going viral.
What happens if
the "Tribune" picks it up?
- Wouldn't be good.
- No.
I'll see you tonight.
- Hey, you're Elsa, right?
These two concert tickets
just came off the printer.
Your name's on 'em.
- Thanks.
I was just about to grab 'em.
How was your first day?
- Um, great.
[chuckles]
Everyone was so helpful.
- Uh, excuse me.
Um, Will.
Sorry, Dr. Halstead.
I was just wondering if maybe--
- There you are.
- Somebody promised me
a Stoli up, extra dirty.
You ready to go?
- Definitely.
Uh, Juliette, this is Elsa,
a fourth year med student.
Juliette's one
of our new paramedics.
- Hi, nice to meet you.
- Mm-hmm.
- Uh, did you need something?
- No, no, no, no.
Uh, it's nothing important.
I--I'll see you tomorrow.
- All right, you bet.
Good night.
- Good night.
Let's go.
- All right.
- [scoffs]
- Hank,
you call this a decent pillow?
- It was all that was left
in central supply.
- Then you go to plastics
and you find me some silicone.
I don't care how you do it.
Let's make this patient
comfortable.
♪ ♪
- Hey, Daniel.
- Hey.
Where's Cece?
- You cannot imagine
how excited she was
when I told her about tonight,
but she just wasn't up to it.
Did, however, absolutely
insist that I join you,
so how about a quick drink?
- Sounds good.
- Good to see you.
Please get this young man
whatever he's drinking.
♪ ♪
- Hey.
Hey, you're gonna be okay.
So what, you got banged up?
- A-April?
- Yeah.
I'm here.
♪ ♪
I'm right here.
Just get some rest, okay?
♪ ♪
- I'll check back in a while.
♪ ♪
- Hey, Crockett?
♪ ♪
Thank you.
♪ ♪
- I'm just glad he's okay.
♪ ♪
.
[dramatic music]
♪ ♪
[wolf howls]
- [groans]
- Hey, get off her!
- Punk bitch!
- They were jumping me in.
- Gang initiation?
- What if you found
somewhere else to stay?
- Thank you.
- Is this what I think it is?
- A fertility chart.
- Just seeing the chart
is like--
you can get
a little overzealous.
Okay, my lips
are still tingling.
[dramatic music]
♪ ♪
- I'm Ben.
- Maggie.
- You know, I should probably
eat an actual lunch after this.
I don't like to eat alone.
- This is Ben, my date.
- What are you doing here?
- Hey.
A patient told me
about peppermint and ginger
aromatherapy.
Supposed to help
with the nausea.
- Oh, thank you.
- I'm sorry you're having such
a hard time with the chemo.
- I'd say it's been
a bit more tolerable
now that I have
my sidekick.
- [chuckles]
So you're the one who's been
stealing my lunch companion.
- Guilty as charged.
I'm Ben.
- Natalie, nice to--
- [sneezes]
- Ben?
- You all right?
- I'm okay.
I'm okay.
- You look flushed.
Maybe you're coming down
with something.
- They got me under
a new chemo regimen.
I'm always coming down
with something.
- You know, why don't you pop
into the ED
once you're done here?
I'll just give you
a quick exam.
- Thanks, but I'm fine.
Really.
- Don't be stubborn.
I'll make sure he gets there.
- All right.
See you soon.
- Thanks, Nat.
♪ ♪
- Dr. Sexton.
- Wait for me outside.
Hey, Dr. Marcel.
- Our distended belly
in two is non-surgical.
Sign her over to GI.
- Um, you know I hate to ask,
but, um,
you mind putting in the order?
I just--I've got to run
a quick errand.
- Oh, is she your errand?
Looks familiar.
Wasn't she here a few weeks ago
with those gang guys?
- Uh, she's not with them
anymore.
It's true, she--she's
turned her life around.
- Oh, is that why she's wearing
your Blackhawks jacket?
- Uh...
- Please tell me that she's
not shacking up with you.
- No, no, no, no, no.
It's not--it's not
what you think.
It's, um, she's crashing in my
guestroom for a couple of days
just until she can get back
on her feet.
- [sighs]
If you say so.
- Okay, I'll--I'll
be right back.
I'm just gonna take her home.
Would you do me a solid
and just keep this between us?
I don't want April to--
- Kick your ass maybe?
- Yeah.
Uh, okay.
- Measles.
- Nat, are you sure?
- The lesions in your mouth,
elevated fever,
the conjunctivitis, these are
all very strong indicators.
- I don't understand.
I was vaccinated as a kid.
- You've also been on chemo
for six months now.
It's likely wiped out
your vaccine antibodies
and left your immune system
too weak to protect itself.
- So do I need to suspend chemo
while we treat this?
- I'd like to speak
with your oncologist,
but my guess is yes.
- Will I be okay?
I mean, people get
over measles all the time.
- Yes, they do.
I know we can manage this,
right?
Put him on bed rest,
make sure he doesn't develop
any secondary infections.
- Ideally, yes.
- But?
- I did hear congestion
in your lungs,
which means that mostly likely
you've already developed
pneumonia.
- So what happens next?
- With your weakened
immune system,
I'm afraid it's only
a matter of time
before the virus starts
attacking your other organs.
- Wait, are you saying
this is gonna kill me?
Measles are gonna kill me?
♪ ♪
- I'm so sorry, Ben.
- Nat...
There has to be something.
♪ ♪
- How long am I looking at?
Months?
Weeks?
Days?
- If what I suspect is true,
I'm afraid so.
- [sighs]
♪ ♪
.
- Morning, Daniel.
- Morning.
- You know, I haven't seen Cece
in a couple of days.
How's she doing?
- You know, not too thrilled
that I keep on leaving
my dishes in the sink,
but other than that, you know,
hanging in there.
- You think she'd be up
for a drink tonight?
Just the four of us?
- The four of us?
- Yeah, turns out, Bert and I
have met up a few times
just for a couple of drinks.
Don't get too excited.
He still has a lot
of explaining to do.
- Okay.
- I just figured that maybe
Cece would get a kick out
of all of us getting together.
- Are you kidding me?
She'd love it.
I'm just warning you.
You're gonna get a big
"I told you so."
- Yeah, well,
I'm looking forward to that.
[chuckles]
- That one.
- Mm-hmm.
- Oh, and it's Trini's
first day at Med,
I was supposed to get
her oriented but...
- Don't worry,
I can answer all her questions.
- Okay.
- Hey, I'm April.
- Nice to meet you.
- Nice to meet you.
We've got a nosebleed
in treatment 5.
Why don't you start there?
It's good.
Maggie, go be with Ben.
- Thank you.
Hey, have you seen my brother?
I thought he was
on your service today.
- He stepped out.
- Where?
- He said something
about an errand.
I got him covered.
Hey, listen,
about the other night...
that move on my part.
- Let's just forget it, okay?
- Hey.
Look,
we were sipping sazeracs,
having a nice time.
Guess I misread the situation.
- Yeah, just---let's blame it
on the sazeracs.
[device beeps]
Dr. Halstead,
we got an ambo landing.
You're going to Trauma 1.
- Elsa, you're with me.
♪ ♪
- Lori Shelton, 16 years old,
BP 118/82,
heart rate 112,
collapsed on a jog
this morning.
- We told her not to push it.
She just won't listen.
- Dad, I'm fine.
I skipped breakfast
before my run.
That's why I was dizzy.
- Lori, I'm Dr. Halstead.
This is student Doctor Curry.
Try to relax; we're gonna
get you checked out.
On my count.
One, two, three.
- Please tell me
her kidney is okay.
- Kidney?
- She had nephrotic syndrome,
finally got her transplant
about six weeks ago.
- Congratulations.
Is it okay if I take a look
at your incision site?
[suspenseful music]
Oh, incision looks good.
- No edema
in the lower extremities.
- Great.
♪ ♪
Lori, you had any fever,
night sweats, chills
over the past few days?
- No, since I got the kidney,
I feel great.
- Okay.
I did hear a little congestion.
- Honey,
tell him about your cough.
- Dad, I'm fine.
- Well, it is possible
you've developed
an infection in your lungs.
- An infection?
- Yeah, it's a common
post-op complication.
- Curry, what do you think?
- Uh, we should probably start
with a CBC, BMP, chest x-ray,
and give 500 milligrams
empiric azithromycin.
- And a full transplant panel
to make sure her kidney's okay.
Lori, just try to take it easy.
We'll be back to
check on you in a bit.
- Hey, good morning.
I'm Dr. Choi.
You must be Dennis.
- Yeah, the one and only.
And, uh, this is my girlfriend
and partner, Aviva.
- Say hi to Dr. Choi,
you guys.
- Excuse me?
- You're live in front
of 800,000 people.
Say hello.
- Uh, you mind if we do
this without the camera?
- Sorry, doc, but we keep
our stream live 24/7.
- Hey, um, I don't really
think this is the place.
- Oh, no,
anything you need to say to me,
you can say in front
of our loyal followers.
- All right.
Mind taking a seat
so I can examine you?
- Oh, I don't know?
Can I take a seat?
- I'm not following.
- Not you, Dr. Choi.
He's talking to our followers.
They're voting.
[mimics buzzer]
Sorry, dude.
They voted no.
- Looks like I'll be standing,
Dr. Choi.
- You're not serious.
- It--it's in the name.
Our followers vote
on all of Dennis' decisions.
- Look, if you won't let me
treat you properly,
you should see another doctor.
- Oh, I don't mean
any disrespect, doc.
[groans]
It's just that I make my living
honoring the vote.
Please don't send me back
to the waiting room.
My stomach is killing me.
- Abdominal pain?
- Oh, it's definitely
food poisoning.
They made me eat a ton
of discount sushi last night.
Ow!
Easy, man.
- You're warm and your belly's
obviously tender.
I'd like to get a CT scan
to rule out anything serious.
I'll be back
to check on you soon.
- Wait, doc.
They're voting.
Okay, good, yes.
It's a yes to that scan.
- Hey, what are you doing?
- Oh, April is covering for me.
- You can't go in there.
You're immunocompromised.
- A little credit, Nat.
I know how to take
the necessary precautions.
- If you catch this virus,
you might not be able
to fight it off.
- I'm willing
to take that risk.
- Maggie.
- I'm not--
I'm not about
to abandon him now.
- Hey, Doris?
Can you get the leg fracture
in Trauma 2 admitted to Ortho?
- Help!
We need some help!
- Hey,
give me a hand over here.
Noah?
Oh, my God!
- Noah!
What happened?
- I don't know.
I found him on the sidewalk
like this.
- Get him to Baghdad!
- I got c-spine.
Let's roll!
Easy, easy, easy.
All right, on my count.
Everybody ready?
One, two, three.
- Noah, I'm right here.
- People, come on!
- Okay?
I'm right here.
Hang in there.
- Set up for an x-ray!
- Hey, let's get him
on the monitors.
Noah.
Hey, buddy.
Do you know where you are?
- M-med.
- Good.
Noah, that's good.
♪ ♪
- Breath sounds
present bilaterally.
- Multiple abrasions on
his face, neck and left flank,
some broken ribs.
- Did he get hit by a car?
- No, injuries like this,
looks more like a beating.
- Did anyone see
where he was going?
- He just said
he was meeting a friend.
- Thought you said
he was running an errand.
- BP's down to 92.
Hang a unit of O-negative.
- X-rays!
Everybody, clear!
♪ ♪
- Massive hemopneumothorax
on the left side.
- He needs a chest tube.
- Push 5 of morphine.
- Chest tube, give it to me!
- BP's down to 70.
♪ ♪
- [gasping]
- [wheezing]
- I'm in.
- Pressure's better,
but his heart rate's still up.
- He's still losing blood.
Call CT, tell them we're
bringing him up
to a pan-scan now.
Don't worry, buddy.
We got you.
♪ ♪
.
- April, how is he?
- He's stable for now.
We're still trying to find
the source of the bleed.
- Uh, can I have a word
with you and Dr. Choi, please?
I want Dr. Lanik
running point on this.
- Ms. Goodwin--
- You know as well as I do,
you're too close
to Dr. Sexton.
- I can separate
my personal feelings from--
- No, Dr. Lanik
will keep you updated,
and you're needed in the ED.
- Yes, ma'am.
[somber music]
[sighs]
I'll check back
as soon as I can, okay?
♪ ♪
- We're able to get
the scans yet?
- No.
- Hey, what were you saying
earlier
about Noah meeting a friend?
- He just said he had
to help someone.
- Who?
- Scans are up.
♪ ♪
He's got a grade-3
splenic laceration
with a central blush.
He's bleeding into his abdomen.
- I'll call the OR and tell
them we're bringing him up.
- Well, pressure's stable.
No reason why we can't
embolize the bleed.
- But if the pressure drops--
- Well, we can worry about
that when the time comes.
IR is less invasive.
- I agree with Dr. Lanik.
I don't want to cut
my brother open
unless it's absolutely
necessary.
- It's not really your call.
- No, it's mine.
We're going to IR.
Let's move.
♪ ♪
- I just checked on
Lori Shelton's blood work.
The lab should have it up soon.
- Great.
Thanks.
- Yeah.
Did you know that Fibonacci
is performing tonight?
- The mathematician?
Hasn't he been dead
for about 1,000 years?
- Uh, it's a--it's a rock band.
They--they write
all their songs
using Fibonacci's sequence.
So, uh, every note is
the sum total
of the two notes before it,
and, uh, their--their music is
actually quite elegant.
- Oh, that sounds interesting.
- There--there are still
tickets available.
- Oh, if you're asking if you
can take off early, go ahead.
- Oh, okay.
Okay, thank you.
Thanks.
- Help!
We need help in here!
[suspenseful music]
- [groans]
- Watch out, Dad.
- My stomach hurts so bad.
- Ultrasound.
- I got it.
- What is it?
What's wrong?
- We're gonna find out.
♪ ♪
There's a clot blocking
blood flow out of the kidney.
It's likely what made
her collapse this morning.
- I thought it was
an infection.
- Kidney dysfunction can mimic
signs of an infection.
- Okay, so what do we do?
- There's a drug called tPA
that should break up the clot,
but we'll need a CT first
to pinpoint its location.
Tell radiology
we're bringing her up.
- No, wait!
You cannot give her a CT scan.
She's allergic to the contrast.
- You're sure
she's allergic?
- She had a CT scan
before her transplant
and had a really bad reaction.
It almost killed her.
- Her transplant center must
have not put that in her chart.
- You have the ultrasound.
Can't you use that
to locate the clot?
- An ultrasound doesn't give us
a detailed enough view.
We can't inject the medication
without a precise location
on CT.
- Please make it stop!
- Isn't there something else
you can do?
- We could try to get the CT by
using a high dose of steroids
to suppress her allergy.
- Yeah, but she could go
into anaphylactic shock.
- No, I'm not putting her
through that again.
Do we have an alternative?
♪ ♪
- All right,
we'll put her on heparin.
Wait to see if the clot
resolves on its own.
At this point,
it's our best option.
Bolus 1,000 units of heparin,
50 mics of fentanyl for
the pain, and repeat her labs.
Lori, hang in there.
We're gonna get
you through this.
- Hey.
Your scans came back.
Turns out you didn't have
food poisoning.
You have appendicitis.
- I told you guys
this pain was real!
Oh!
- Luckily,
we caught it in time.
We can get you up
to an operating room
to remove it
before it bursts.
- @Mewbuddar is asking,
"Is there's an alternative
to surgery?"
- In some cases, it can be
managed with antibiotics,
but surgery is the standard.
- Babe, the chat
is all worked up
over the pros and cons
of surgery.
- Give me the camera.
All right, team,
this is a big one,
so don't do me dirty
'cause my side
is literally killing me.
Will you let me have surgery?
- This is no way
to determine treatment.
- You heard him, peeps.
I'm setting up a vote.
Surgery versus antibiotics.
Go!
- This is ridiculous.
- Vote are tallying.
Okay, the votes are in.
Oh, babe, uh...
Surgery is a no-go.
[groaning]
- This is a serious
medical decision.
You can't let strangers on
the internet make it for you.
If your appendix ruptures,
there's a good chance
you'll die.
- I'm sorry.
The decision's been made.
- We're going with
the antibiotics.
♪ ♪
- Doris,
order 1 gram ceftriaxone
and 500 mg flagyl
for my patient in 4,
and page Dr. Charles.
- Maggie, I'm sorry
to hear about Ben.
- Thanks, Sharon.
He just wants to go home.
- I'm afraid that's
not gonna be possible.
- What do you mean?
- We need to keep Ben here
under quarantine.
- Why?
Hospital protocol is
if a patient has measles,
they can self-quarantine
as long as they don't take
public transportation.
- Yes,
under normal circumstances,
but there's
a citywide outbreak.
The county health officer has
issued a mandatory quarantine
for all hospitalized patients.
Ben will have to remain here
until he's no
longer contagious.
- That's five days.
That could be all the time
he has left.
- I'm sorry.
- Sharon.
- Yes.
- Please.
He just wants to go home
and die in his own bed.
- Maggie,
you know I understand,
but my hands are tied.
It's the law.
[somber music]
♪ ♪
- How are you doing?
I'm Dr. Charles.
Uh, Dr. Choi showed me
your website.
It's pretty--
pretty interesting stuff.
- His name tag legit says
Chief of Psychiatry.
I'm gonna get thrown
in the loony bin
if y'all keep punking me
with these votes.
- Dude, we're getting mad love
in the tip jar today.
Definitely gonna top
naked skydiving.
- So Dr. Choi and I just want
to make sure you understand
that by opting out
of the surgery,
that you are putting
your life in danger.
- We never go against the vote.
Those are the rules.
- No chance at even
a one-time exception?
- No can do.
A year ago we were
living in our car.
Now we've got a condo
on the lake.
Our--our followers
buy our merchandise
and watch our ads
for one simple reason.
I always obey the vote.
As soon as I break that pact,
it's over.
- Okay, well, really nice
to meet you both.
- So?
- He clearly understands
the decision he's making.
- Yeah, but he's not making
the decision.
- True,
but he's willingly allowing
other people to do
that for him.
- He's denying surgery
to boost his online following.
How can you say he doesn't pose
a risk to himself?
- Just 'cause he's reckless
doesn't mean he's suicidal.
- Well, so that's it?
Hmm?
If the antibiotics don't take,
we just watch him die?
- Ethan,
I don't like it either,
but we can't lock a patient up
just because he wants to be
internet-famous.
♪ ♪
- [sighs]
- We spoke to a few witnesses
who were at the scene,
and they confirmed Noah
was jumped.
- By who?
- They weren't able
to ID any suspects
except that
they looked Latino.
The guy that brought Noah in?
He said that there was
a young woman with him.
She helped Noah into the car.
- That friend he was meeting,
could it have been
this young woman?
- Dr. Marcel, if there's
something that can help us...
- I did see him leave with
a young woman.
- What?
- The one that
you and Noah found,
getting jumped in by that gang.
He said he was taking her home.
- You saw him leave with
Jacinta and you didn't tell me?
- You have a last name
for this Jacinta?
- Uh, yes.
Nieves.
Jacinta Nieves.
- Okay, we'll run with that.
Listen, we're all thinking
about your brother.
- Thank you, Jay.
[suspenseful music]
♪ ♪
You didn't think it
was important to tell me
that my brother ran off with
some kind of gangbanger?
- He asked me not to.
- He is fighting for his life.
- He's a big boy, April.
He makes his own decisions.
- [sighs]
♪ ♪
- [sighs]
[knock on door]
- I was told to get
a quick blood draw.
- Oh, just leave it.
I'll do it.
- I'm sorry.
- Okay.
- [groans, coughs]
- Okay, okay.
- [wheezes]
- You're okay.
- [wheezes]
- Do you want some water?
Yeah?
There you go.
Okay.
There you go.
- [groans]
I'd finally fallen asleep.
- Yeah.
The hospital can't
do anything for you,
yet here you are,
getting poked and prodded
every other minute.
I should never
have brought you here.
- Mm-mm.
- I'm so sorry.
- [clears throat]
The folks in group say
surrendering isn't weakness.
It just means that
you've accepted your future...
As it comes.
- No, Ben.
I won't let you spend any more
of your precious time here.
[somber music]
♪ ♪
.
- Do you have any idea
what you're asking me?
- I know that
it's technically illegal.
- And unethical
to have me change his charts
and say he's post-infectious?
- Yeah, but you and I both know
that I can keep
one measles patient
from infecting the public.
Please, Nat.
I...
Please let me honor
the only wish he has left.
How many times
have I had your back?
- This is not about
what I owe you.
This is about
what we owe the public.
And I'm sorry, Maggie,
but I can't discharge him.
Maggie, I...
[sighs]
- Just got Lori's
latest set of labs back.
Her creatinine
has risen dramatically.
- What does that mean?
- The heparin isn't working.
Lori, I'm sorry.
Your kidney is
in serious distress.
- No.
- Since we're unable
to get the CT
needed to inject the tPA,
I'm afraid there's
not much more we can do
to save your kidney.
- Oh, God.
- There's still dialysis,
and you can go back
on the transplant list.
- No, I can't go through
that again.
Please,
there has to be another way.
- I wish there was, but--
- What about the thing
you were saying earlier
about suppressing
my allergy?
- Well, there is a chance
we could prevent
an allergic reaction
to the CT contrast
by loading you up
with a high enough dose
of steroids--
- That would be
extremely risky.
- I wanna do it.
- You could--you could go
into anaphylactic shock.
- I spent too much time
on the transplant list.
The pain and the fever
and the sleepless nights.
I can't go through that again.
- But, honey--
- I can't go back on dialysis.
♪ ♪
- Lori, I would need
your parents' consent.
- Please.
I can't lose this kidney.
- Oh, Lori.
Okay.
- Dad?
♪ ♪
- You have our consent.
♪ ♪
- All right.
- Hey, you can't do this.
She--she could die
in the scanner.
- Elsa, I understand the risk,
but we have to try.
- Why?
I mean, even if
she loses her kidney,
she can still survive
on dialysis
until a new organ
is available.
- She could also spend years
suffering on dialysis,
and still die before
getting another transplant.
This is what Lori wants.
We have parental consent.
♪ ♪
- Heart rate's up to 140.
When was the last time
he had pain meds?
- Two, maybe three minutes ago.
- We need to get him
to the OR now.
He's gonna crash.
- What are you
talking about?
His vitals are stable.
- Not for long.
Pulse pressure's narrowing,
heart rate's climbing,
and his lips are turning blue.
I've seen this before.
It means a crash is coming.
- No, we almost have control
over the bleed.
- If we wait until his pressure
drops, it'll be too late.
- It's Dr. Lanik's call.
[suspenseful music]
♪ ♪
- Dr. Marcel.
- We gotta stop this.
- I'm almost there.
- Dr. Marcel,
you need to back off.
- He needs the OR!
- Stay away from my brother.
[machine blaring]
- Pressure's falling.
- Now can we move him?
- Let's get him ready
for the OR!
♪ ♪
- Doris,
what's the word on Noah?
- They just rushed him
to the OR.
It's touch and go.
- Dr. Choi,
I need some help.
♪ ♪
- What's happening to him?
- [groaning]
- Ultrasound?
- Give him some room, Aviva.
Breathe in and out, buddy.
In through the nose,
out through the mouth.
- [breathes heavily]
- All right, your appendix
has nearly perforated.
We need to get you
into surgery now.
- Babe...
- It won't take long
until your appendix bursts.
When that happens,
it may be too late to save you.
- Chat room's saying
you should put him
on a medicine called Cialis.
- They have no idea
what they're talking about!
- Dennis, what do you say
we give the surgery a shot,
live to fight another day?
- Babe, we just hit
a million followers!
We're going viral!
- Oh, my God!
We did it!
- Dennis,
think this through.
- Babe, our ad revenue
is going to double.
- The antibiotics
could still work, right?
- It's highly unlikely.
- But is it possible?
- Technically, yes,
but the odds
are highly against it.
- Then we're still going
with the vote.
Show me some love, people.
Buy our merch and smash
that subscribe button below!
- Get him up to 2 grams
of ceftriaxone.
Still think this guy's sane?
- [groaning]
- All right, Lori, we're gonna
give you the injection
of steroids
before we administer
the CT contrast, okay?
- I'm ready.
- All right.
And now the contrast.
- [inhales deeply]
- All good?
Great.
Let's get her into the scanner.
- Hey, Mags.
- Oh, hey, Eddy.
- Dr. Manning's order didn't
mention this was a transfer.
- Oh, it's not.
We're taking him home.
Hospice care.
Uh, here's the discharge.
Dr. Manning's signature.
- All right.
Let's load him up.
- Yeah?
- Are you sure about this?
- It's time to get you home.
- [wheezing]
- Here we go.
♪ ♪
.
- [sighs]
Sats are dropping.
- We close?
- Doing the best I can.
[machine beeps]
- We have to get her
out of there!
- No, she can tolerate it.
- Sats are down to 87.
- How much longer?
- I just need another minute.
- She doesn't have
another minute.
- [gasping]
- All right,
we need to get in there.
- [gasping]
- All right, Lori,
just relax.
I've got to intubate.
20 etomidate, 100 of sux.
Okay, Lori.
- Sats are down to 72.
♪ ♪
- Damn it.
Airway's totally clamped down.
I might have to trache her.
- Sats are down to 70.
♪ ♪
- Wait, I'm in!
Bag her.
Let's move her back through.
Gurney!
- Sats are climbing.
- What about the scan?
- We got it.
- All right, let's get her
to the IR now
and clear the obstruction.
♪ ♪
- Give me another clamp.
- There must be two liters
in there.
Why'd you wait so long
to bring him up?
- Great question.
- Curved six.
- Pressure's in the toilet.
Please tell me
this isn't gonna take long.
♪ ♪
- Clamp's on.
♪ ♪
- Spleen's coming out.
I need an O silk tie
on a pass.
- BP is down to 100.
♪ ♪
- Okay, tying off
the vessel now.
- Clamp's coming off.
- There, that should do it.
- Pressure's dropping.
- He's still losing blood.
We have to find the source.
♪ ♪
- Aviva.
I was hoping to get
just a quick word.
- One sec.
Our suppliers can't keep up
with our merchandise orders.
- Wow.
I've got to say,
I'm very impressed
with what the two
of you created here.
- Yeah, no joke.
- Yeah, it'd be such a shame
to lose it all.
I just mean, you know,
if something happened
to Dennis,
I've got to imagine that's
gonna impact your livelihood.
- It's not just about
the money, Dr. Charles.
You don't understand.
In high school,
Dennis was a ghost.
Nobody knew he was there.
- Hmm.
- But when I got to know him,
I realized just
how incredible he was.
So I convinced him
to start livestreaming.
Now the world gets
to see what I see.
That's what this is about.
- But what happens when he goes
into septic shock, though?
- We'll ask our followers
for another vote.
They'll let him to do
the surgery for sure.
- Yeah, but what if they don't?
- They're not trolls.
They're our homies.
- But then why won't
they let him have the surgery
when his appendix
could rupture at anytime?
- They're pranking us.
- Oh.
- But I know our followers.
And if things get worse,
they'll do what's right.
I've got to get back
to the show.
- Dennis' fever just spiked.
He's septic.
- Dr. Manning.
Radiology just called.
They're ready
for Ben's chest x-ray.
- Good, let's get him upstairs.
[knock on door]
Did they take him already?
- Looks like he was discharged.
- Discharged?
By who?
- You, Dr. Manning.
♪ ♪
- Uh,
what are we doing up here?
- I figured out how we could
double your followers
in an instant.
- [chuckles]
I don't think
you get how this works.
It look us over a year
to get to a million.
- I think I know exactly
how this works,
which is why I want you
to ask your followers
a very simple question--
should you jump off
this roof right now?
- Whoa!
- This is not cool, man.
- Wait, is that a no?
I thought that they made
all the decisions.
- Wait, isn't this, like,
against the rules?
- You said your followers
love you, right?
They don't wanna see anything
bad happen to Dennis.
He's got nothing
to worry about.
- Babe, the chat's blowing up.
They want to vote.
What do we do?
- All right, guys,
this is for reals.
Look at the drop.
[sighs]
All right, team...
Should I jump off this roof?
- They're voting.
♪ ♪
- Oh, man.
♪ ♪
- What's it gonna be, man?
What are we doing?
♪ ♪
- [groans]
♪ ♪
[groans]
I'm not jumping.
- Oh, my God.
They're all unfollowing us.
Hold on, you guys!
That wasn't even
a fair question.
It doesn't count!
You could still be the judge!
- What do you say, Dennis?
Can we--can we get you
into surgery?
- Yeah.
♪ ♪
- How is she?
- They were able to
successfully break up the clot.
- And her kidney?
- Function's improving.
We expect Lori to make
a full recovery.
- Thank you!
Thank you for saving
our little girl.
[somber music]
- I'll have someone grab you
as soon as they get her
settled into recovery.
- Thank you again,
Dr. Halstead.
Thank you again.
- You take care.
♪ ♪
- That was amazing.
- Yeah, we had a good save,
didn't we?
- No, you had a good save.
I--I should never
have doubted you.
- You know, Elsa, I've been
a doctor for ten years.
After a while, you develop
a kind of intuition.
You just get better at guessing
when it's right to take a risk.
- Thank you!
As soon as we're inside,
we'll get you a nice warm bath,
and a neb treatment.
There you go.
[children laughing]
- [gasps]
[suspenseful music]
♪ ♪
- Maggie...
♪ ♪
It's okay.
[somber music]
Let's go back.
♪ ♪
.
- Found it.
The short gastrics
are still bleeding.
- I don't have the angle.
Can you clamp it
from your side?
- Yes, sir.
Hemostat.
- Better hustle.
I can't keep his pressure up.
- Don't rush me, Marty.
[suspenseful music]
- [sighs]
- Got it.
2.0 silk stitch.
- Pressure's improving.
Nice work, Crockett.
♪ ♪
- Let's tie this off and close.
[somber music]
♪ ♪
- Get him quarantined now.
♪ ♪
You forged my signature?
- I'm sorry, Nat.
I didn't know what else to do.
I--I...
I couldn't turn my back on him.
- That doesn't give you the
right to endanger the public.
- I realized that as soon
as I stepped outside.
♪ ♪
- I can't believe
you did this, Maggie.
- [sobs]
I was...
I was...
- Go be with him.
♪ ♪
- How's he doing?
- The appendectomy went well.
The surgeon expects him
to make a full recovery.
- Great.
- Daniel, what's going on?
Can you please explain to me
why there's a video showing
my Chief of Psychiatry
asking a patient
to jump off the roof?
- I realized that
the optics aren't good.
- You're supposed to be
mitigating psychiatric crises,
not creating them.
What if he had tried to jump?
- First of all, Sharon,
there was never any danger
of that happening.
But if it had, I would've put
him on a psych hold,
and mandated the surgery.
- This video's going viral.
What happens if
the "Tribune" picks it up?
- Wouldn't be good.
- No.
I'll see you tonight.
- Hey, you're Elsa, right?
These two concert tickets
just came off the printer.
Your name's on 'em.
- Thanks.
I was just about to grab 'em.
How was your first day?
- Um, great.
[chuckles]
Everyone was so helpful.
- Uh, excuse me.
Um, Will.
Sorry, Dr. Halstead.
I was just wondering if maybe--
- There you are.
- Somebody promised me
a Stoli up, extra dirty.
You ready to go?
- Definitely.
Uh, Juliette, this is Elsa,
a fourth year med student.
Juliette's one
of our new paramedics.
- Hi, nice to meet you.
- Mm-hmm.
- Uh, did you need something?
- No, no, no, no.
Uh, it's nothing important.
I--I'll see you tomorrow.
- All right, you bet.
Good night.
- Good night.
Let's go.
- All right.
- [scoffs]
- Hank,
you call this a decent pillow?
- It was all that was left
in central supply.
- Then you go to plastics
and you find me some silicone.
I don't care how you do it.
Let's make this patient
comfortable.
♪ ♪
- Hey, Daniel.
- Hey.
Where's Cece?
- You cannot imagine
how excited she was
when I told her about tonight,
but she just wasn't up to it.
Did, however, absolutely
insist that I join you,
so how about a quick drink?
- Sounds good.
- Good to see you.
Please get this young man
whatever he's drinking.
♪ ♪
- Hey.
Hey, you're gonna be okay.
So what, you got banged up?
- A-April?
- Yeah.
I'm here.
♪ ♪
I'm right here.
Just get some rest, okay?
♪ ♪
- I'll check back in a while.
♪ ♪
- Hey, Crockett?
♪ ♪
Thank you.
♪ ♪
- I'm just glad he's okay.
♪ ♪
.
[dramatic music]
♪ ♪
[wolf howls]