Chicago Med (2015–…): Season 5, Episode 9 - I Can't Imagine the Future - full transcript

- I don't remember a lot.

- There's something

I want to ask you.

through a very difficult time.

You've helped me

- Do you love him?

He slipped the ring

on your finger

when you were unconscious.

- It doesn't matter

because it's over.



And you, get out of my life.

- Dr. Manning.

- Agent Lee

told me what's going on.

Agent Lee

told me what's going on.

- Hi, April...

I've got your test results.

over the phone?

- You couldn't tell me

- Well, I just thought we

should discuss this in person.

- Okay.

- Good news.



Your thyroid and pituitary

tests are completely normal,

and your HSG X-ray shows that

your fallopian tubes are open.

So what's the bad news?

- Okay.

- Your AMH and Antral

Follicle count are low.

And your FSH is high.

Even though you're only

in your thirties,

that indicates that there's

- Early onset menopause?

exactly what it is,

- I like to call it

low ovarian reserve.

we haven't gotten pregnant.

- I'm the reason

- Spontaneous pregnancy

isn't impossible.

- Dr. Patchefsky...

a few years ago,

the miscarriage

and now this?

Ethan wants a baby.

I can't...

I can't give him one.

- April,

this is far from hopeless.

Ethan should get tested, too.

And then the two of you

might want to discuss IVF.

- IVF.

- Mm-hmm.

I'd recommend starting

sooner than later.

With low ovarian reserve,

you may not be responsive.

- So I go home and I tell Ethan

I'm going through menopause,

and even with IVF,

I still might not

be able to get pregnant.

- Couples work through this,

April.

- Was the gym crowded?

- What?

- You were gone a long time.

Yeah, it was crowded.

- Oh.

Do you really have to leave?

- Yeah.

make you go for two months?

- How can the Navy

- Six weeks.

Doc on a carrier had an MI.

Told you.

They called up a reservist.

Sounds pretty serious.

- "The Expectant Father"?

- Just living in the future.

- God, Ethan.

- What?

- I have to get ready for work.

- Morning.

- Hey.

- How did you sleep?

- Great.

- How's your pain, honey?

- You're not dressed.

- Oh.

Yeah.

Thought maybe

I'd stay home today.

Please don't try

and talk me out of it.

- Okay, I won't.

- Thank you.

- You're getting good

at this marriage stuff.

- Fourth time's a charm,

I guess.

- Danny?

I want you to re-marry.

- But I'm happily

married to you.

- Danny.

- What are we having

for breakfast, honey?

What do you want?

- I know you heard me.

- Pancakes, it is.

.

- Ben...

with Maggie what I'm finding?

do you mind if I share

- Please...do.

- You're running a fever.

103.2.

And you're tachycardic.

Rapid heart rate.

Of more concern,

your white count is really low.

And your platelets are at 35.

2.2.

Also low.

- So...

not good.

- No.

I'm sorry, Ben.

Not good.

- So tired.

- Why don't you get some rest?

You let me know if he

has any trouble breathing,

and we'll increase

his oxygen, okay?

Make him as comfortable

as possible.

- Hey.

- Dr. Manning,

I'm sorry to bother you.

- Um, a...

- What's up?

you want to handle this.

I'm not sure how

A pediatric patient of yours

has just been brought in

for a scheduled surgery.

- All right,

I'll go see the patient.

What's wrong?

- Well, it's, uh

it's Phillip Davis's daughter.

Sophie.

I mean,

I know that you and he

between her father and me,

- Whatever happened

Sophie is still my patient.

- Right.

procedures to correct

- Sophie has had multiple

congenital tricuspid atresia.

Why don't you come up

and help me examine her?

- Okay, yeah.

- Okay.

- Dr. Manning?

- That night of the accident...

- Natalie?

- It was just like this.

- Do you love him?

- It's weird.

to come back to me.

Some things are starting

Phillip was there.

And some FBI agent.

And she wanted...

I can't remember.

- Dr. Manning?

- Yeah.

to see you.

- The family's waiting

- Okay.

Let's go.

- Dr. Manning?

- Yes.

And this is fourth year

medical student Ms. Curry.

- I'm Cheryl McFarland,

Phillip's sister,

Sophie's aunt.

This is my husband Jeremy.

- Hi.

- I'm sorry.

Do you live here?

- Streeterville.

Why?

- Phillip said he didn't have

any family in Chicago.

a lot of things.

- Phillips says

He's a pathological liar.

- Wow.

Um...

may I ask...

where is he?

- I don't know.

- He asked us

to meet him at the hospital.

When we got here,

he was gone.

- I don't understand.

- He left Sophie.

- He isn't coming back?

- I doubt it.

- Well, you know what?

All that matters

right now is Sophie.

So why don't I take a look?

Oh, hey, there.

There she is.

- Hey, Mike.

We got your labs back.

- Hmm?

- He's still kind of out of it.

You're uremic.

- Makes sense.

- My kidneys.

- Afraid so.

Dialysis problem.

Your catheter's clotted off.

- That why he feel so lousy?

- Yeah.

- My brother's been

on the transplant list

for over a year.

I'd give him my kidney,

but I'm not a match.

there was no sign of infection.

- Well, the good news is that

So if a kidney

becomes available,

you can have the surgery.

- We're gonna

get you through this.

Okay?

All right.

- So how you feeling, Dan?

Better.

- Okay.

- Good.

- He had us so worried.

- He's never passed out before.

Dan in the ED yesterday,

- When you brought

he was in a diabetic crisis.

pH 7.23.

Blood sugar 640,

you to lose consciousness.

The ketoacidosis is what caused

drip and IV fluid,

But with the insulin

your numbers

are looking better.

- Thank God.

- What about his kidneys?

- I am concerned.

I want a nephrologist

to see you.

Excuse me.

- Your patient's on the list

for a new kidney, right?

- Yeah, he's had a hard time

managing his diabetes.

Wrecked his kidneys.

have one for him.

- Well, we might

- Might?

- Direct donor situation,

but it's complicated.

who also needs a kidney.

- We have a patient downstairs

His brother's willing

to donate,

but isn't a match.

- But turns out he is

a match for your guy.

So if somebody from your guy's

family matches our guy

and is willing to donate,

then our guy's brother will

donate his kidney to your guy.

Quid pro quo.

- Domino transplant.

- Bingo.

Both go home with a kidney.

- We just need a match.

- I'll present the offer.

- Great.

- Jordy Collins, 16-year-old

male with Down Syndrome.

Motor vehicle collision.

- Okay, we're going to Baghdad.

Is it okay

if I take your pulse?

- Yeah.

We were rear-ended.

- I'm his dad.

- We were going to the rink.

- I think he got whiplash.

- I ice skate.

- That's really cool.

I can't ice skate

to save my life.

- Doris.

All right, on my count.

One, two, three.

- This is a big hospital.

- Sure is.

We're gonna take

good care of you.

Jordy, anything else bothering

you besides your neck?

- Uh-uh.

- Good.

Chest X-ray.

history we should know about?

Dad, anything in Jordy's

- I like to hear that.

- No, he's a healthy kid.

Okay, I'm gonna listen

to your heart.

Yeah, Jordy,

your heart sounds real good.

Squeeze my hand, will you?

Oof, you're strong.

This is a big camera.

a picture of you.

It's gonna take

Won't hurt a bit.

- Okay.

- Everybody clear?

- Coming up.

- Hey, chest looks good, too.

I'm gonna take this collar off

and see what's what, okay?

- Okay.

- All right.

- Ow!

- Sorry, buddy.

Now we'll put

that collar back on.

It could still

just be whiplash,

but I want to make sure there

aren't any other injuries.

I'd like to send Jordy

With your permission,

for a CT of his head and neck.

- Great.

- Sure.

You'll let radiology know,

Doris?

- Right.

- We're gonna fix you up,

get you back on that ice.

- Okay.

- Okay.

I'll check on you in a bit.

- Hey, Dan.

this is Dr. Marcel.

Martha, Bill,

He's been treating

the other kidney patient

I told you about.

- Am I a match to him?

Is Dan gonna get a kidney?

- No, sir,

you are not a match.

But, Mrs. Schiller, you are.

- Yes.

- So I can donate?

- Wait, hold on.

- Mom, I don't want you

taking the risk

with your blood pressure.

will get a kidney.

- And that means that my son

From my patient's brother.

- Yes.

- Wait.

- Dan, I am your mother.

It's a kidney.

It's nothing.

- What if something happens?

- Honey, you're my baby.

I can't imagine life

without you.

of your own,

When you have children

you'll understand.

- I'll give

the transplant team a call,

get things started.

Hey, did you hear

the good news?

- Yeah.

- All right, can we talk?

- It'll just take a second.

- I'm busy, Ethan.

to the book earlier,

About your reaction

I know you're anxious

about not getting pregnant.

- Let's just forget about it

- Here's the plan.

I have some time

this afternoon.

I'll go see a urologist.

- What? Why?

- Get a semen analysis,

shooting blanks.

make sure I'm not

- Oh, my God, Ethan.

Why do we have to talk

about this all the time?

- Look, I just want to make

sure I'm not the problem.

- There is no problem.

there is, but just in case.

- Look, I'm not saying

- Oh, myI'm so sick of this.

- Sick of what?

- The pressure.

I don't even know

if I want a baby anymore.

- What are you saying?

April.

.

- Hey there, Jordy.

Good news.

CT scan is normal.

- Can I go skate now?

- Jordy competes.

Special Olympics.

- Wow.

Well, maybe you can go skate.

Tell me, how you feeling?

- Real good.

Hands feel funny.

- What?

- Tingly.

Both hands?

- Really?

- Uh-huh.

- What does that mean?

- Not sure.

Do you feel that?

- Uh-uh.

- Squeeze my hand.

- No.

Not so strong now, huh?

one more test before you go.

- Okay, Jordy, I want to run

It's another type of scan

called an MRI.

Dad?

- Okay.

- Don't worry, Dad.

I'll be okay.

- You're a champ.

- I'll put that order in.

- Okay.

- Jeremy and I have decided

to adopt Sophie.

we're going to try

- I'm really happy

to hear that.

Maya.

Sophie's hit

all her milestones,

and her saturation's

looking good at 85%.

This is Dr. Frisch.

Sophie's procedure.

She will be doing

- Hello.

that the patient's father

- Did you know

has instructed

that if Sophie arrests,

we are not to resuscitate?

- What?

- A DNR?

- You mean you're just supposed

to let her die?

- No, I can't believe this.

Are you sure?

- It's right here in the chart.

- Why would he do that?

- He wouldn't.

I mean, he couldn't.

- Yes, he could.

That makes her too much work.

Sophie's not perfect.

- But he's been

so devoted to her.

I've seen him take

such wonderful care of her.

- Because he was getting

something out of it.

You.

Now that you're not

in the picture,

he doesn't need Sophie anymore.

- What?

- Look, can you get him

to change his mind?

- I tried to call him.

He's not picking up.

I don't even know where he is.

- Well, I'm not comfortable

performing this surgery

on a child with a DNR.

- I'm sorry.

- Maya

- Oh, my God.

- We are gonna fight this.

- Your donor's

being prepped for surgery.

We'll take you up to the OR

about an hour

into her procedure.

- Can't believe

this is actually happening.

- When do I go up?

- Your brother's organ transfer

should take about two hours.

- Then it's my turn?

- Right.

- Dr. Marcel,

you have the honor.

are the antibiotics in?

- Betty,

- Yep.

2g Cefazolin.

- Vitals stable?

- All good.

- All right.

Let's begin.

103.6.

- His fever's up.

- Maggie.

- I'm right here, Ben.

- Let me know

if he needs anything.

- Okay, thank you.

- I had a dream.

I was fishing.

- That sounds nice.

- No.

I hate fishing.

There you go.

- Mm.

- That's better.

Ben.

Is there anyone I should call?

thing I got...

- You're the closest

to family, Maggie.

- Have you made

any arrangements?

- I should've.

I just kept...

thinking about

getting better...

not about my funeral.

My folks...

are in a cemetery in Florida.

I'd like my ashes

to be with them.

- Okay.

- This doesn't make sense.

We have to do something,

Mrs. Goodwin.

- I'm sorry, Dr. Manning.

- So that's it?

There's no way

to overturn this DNR?

- The father

abandoned the baby.

- We don't know that.

- And Mr. Davis left

very clear instructions.

He claimed, and I quote,

has suffered enough,

"My little girl

"and if the good Lord

decided to take her,

we should let him."

- That's ridiculous.

He's not even religious.

- Dr. Manning,

both the ethics committee

and legal said

this DNR is valid.

- And they won't approve

emergency guardianship.

- Ugh.

- This is about the Davis baby?

- Yes.

- Dr. Frisch briefed me.

- Can you convince her

to do the operation?

- No,

and I understand her refusal.

It's a very risky procedure,

is likely to arrest.

and the baby

Dr. Rhodes performed

the previous procedure.

- That's right.

he would agree to do this.

- I'm sure if he were here,

I will do the surgery.

- Dr. Choi,

something's wrong.

- Dan?

- My chest hurts.

- What's happening?

- No pulse.

V-fib.

Start bagging.

Charge to 200.

- Sir, it's better

if you left the room.

- I'm not leaving my son.

Come on, Dan.

Come on, buddy.

You're gonna be all right.

- Clear!

- Charged.

- Still V-fib.

Charge to 200 again.

Milligram of epi.

- Oh, God.

- Still in V-fib.

- Come on, Dan.

Come on.

- Dr. Choi

- Charge to 200 again.

Come on.

- No.

come on, come on.

- Come on, come on, come on,

Clear.

- No.

- He's asystolic.

- I'm so sorry, Bill.

Dan, Dan.

Dan.

- Time of death, 12:03.

Dan.

- Okay.

Kidney is good to go.

His son died.

- Hold on.

Mr. Schiller

has withdrawn consent.

- What?

- He has medical

power of attorney,

and he's stopping

the procedure.

- He can't do that.

- He wants his wife's kidney

re-implanted.

- That's insane.

No.

- You may not transplant

that kidney.

- All right, everybody,

sit tight.

.

- This is ridiculous.

I have a kidney

on ice in a cooler,

and a patient

in dire need of it.

- The man just lost his son,

the reason for the domino

transplant in the first place.

- Mrs. Schiller gave consent.

and now we have no way to know

- When her son was alive,

the same way.

if she'd still feel

- And we have no way to know

that she wouldn't.

- Doesn't matter.

It's the husband's decision.

to reason with him?

- Didn't you try

- When he was crying

over his dead son's body, no.

- That is not what I meant,

and you know it.

- All right, all right,

you two.

Let's cool it.

Peter, do we know

who owns this kidney?

- I have no idea.

We've never

had a situation like this.

I need to consult with ethics,

see if there's at least

a precedent.

- You do realize that

we're under a time crunch here.

- I realize.

until we have a determination,

- Well,

keep Mrs. Schiller stable,

and get Mike Stowe

prepped for surgery.

- Yes, ma'am.

this is Dr. Abrams,

- Jordy, Russell,

our chief of neurosurgery.

- Hi.

a condition called

- Jordy, your MRI revealed

Atlantoaxial Instability.

- Big words.

- Yeah, and what it means

is that your spine

is built a little differently,

the way it should.

and working in not quite

in about 25% of DS patients.

- Yeah, we see it

- I know.

Um, is there a way to treat it?

- Why don't we talk outside?

- Hey, Jordy, buddy.

I'll be right back, okay?

- Okay.

- So there are two options.

First, I can surgically

repair the instability.

- But it's an invasive,

high-risk surgery.

or it could make things worse.

It could fix the problem,

Severely limit

Jordy's range of motion.

- And the second option?

- Stabilize the spine

with a halo vest

type of brace

wait for the whiplash to heal.

It's a much safer route,

and that's what I'd recommend.

- Dr. Abrams?

- Atlantoaxial Instability

is congenital,

so eventually, Jordy's gonna

need this surgery.

- Right, but it is possible

to put it off for years.

- Uh...

Okay, no surgery.

I don't want to take the risk.

- All right.

- Thanks, Sam.

- I don't know

what I'm gonna tell Jordy.

compete with this condition.

Special Olympics won't let him

He'd have to have it repaired.

This is gonna break his heart.

- I feel bad for that family,

but how much time

does Mike have?

He's gonna die

without that kidney.

- This could be it.

Let's hope for good news.

- So legal has made

a determination.

had been removed from her body,

Since Mrs. Schiller's kidney

the hospital's

considered its caretaker.

The ethics committee believes

to Dr. Marcel's patient

that the kidney should go

by the donor.

as originally designated

Mr. Schiller's wishes

will not be honored.

- Gonna go scrub.

- You know

it's the right thing.

We're saving a life.

- It's a little more

nuanced than that.

- Ethan, don't walk away.

who has to tell his wife

- April, there is a man

when she wakes up from surgery

that her kidney is gone

and her son is dead.

You want to be there for that?

- I know.

It's a terrible situation.

You think I don't know that?

This is the best outcome

we could have.

You just want me to feel bad.

Is that it?

- What about you?

You've been at me all day.

I don't know

what's going on between us,

I'm going away.

but maybe it's a good thing

- Daniel.

were taking the day off.

I thought you

- I am.

And I'm gonna need a few more.

I'm gonna take CeCe away

for a couple days,

to Mackinac Island.

- Oh, well, that was always

a special place

for the two of you.

- Yeah.

Anyway...

we're gonna have

a party tonight.

Just for a few close friends,

like you.

- Kind of a...

like a bon voyage party.

- Okay.

- Hey.

None of that.

None of that, okay?

It's just a little party.

- Okay.

- No, no, fix me!

They have to fix me.

Fix me.

They have to fix me.

They have to fix me.

- Just keep it down, okay?

- No.

- Can I help?

- I told him

what we were gonna do

- I don't want that.

I want them to fix me.

- He wants the operation.

- I want to skate.

Show him.

Show him me.

- Show him me.

- Jordy

- Show me?

- Video of Jordy skating.

- I can fly.

You'll see.

- Look, I'll forward it to you.

- I can fly.

- Jordy, okay, there are

other things that you can do.

Okay, we'll find something else

that you love just as

I want to fly.

- No.

I want to be free.

- Ben, I'm concerned

about your chest X-ray.

The patchy whiteout indicates

diffuse airspace disease.

- He's on a high-flow cannula.

- That's not cutting it.

and his pC02 is rising.

He's oxygenating poorly,

He's in acute

respiratory failure.

I'm gonna have to intubate you.

Ben,

20 etomidate, 100 of sux.

- Right.

Okay, Ben.

- Okay.

Okay.

- Meds are in.

- I'm in.

Bag him,

and I'll call for a vent.

I don't think he has long.

- Okay.

- I'm sorry.

.

- Heart's beating.

Take her off bypass.

- And she's off.

Pulmonary artery pressure

is still high.

- Unless we're able

to lower it,

she won't survive.

Put her back on bypass.

11-point scalpel

and aortic punch.

Placing a 5mm fenestration

decompresses

so the extra pressure

into her left atrium.

still not lowering.

- Pressure's

Put her on V-A ECMO?

- Not an option.

Violates the DNR.

she's in pulmonary edema,

- Okay,

and failing.

- Must be a structural issue

we haven't found yet.

Ah, stenosis.

Prepare for angioplasty.

I'm flying!

- Look at me.

- Fastest skater on Earth.

- Thank you, Dad.

One, two...

- Ready?

- Okay, one more.

okay, now make a funny face.

No.

No!

- I can't stand it.

What do I do?

- Hey, guys.

Give us a couple minutes.

- This is my fault.

I was always compensating

for having a kid with Downs.

Just wanted to have

a regular boy,

so I pushed him into sports.

- Maybe you did.

But he loves that sport.

- Jordy's the most important

thing in my life.

He's the best thing in my life.

I can't do anything

that would cause him harm.

- I get it.

I'm the one who told you

this was a safer option,

understand your fears.

and I certainly

But maybe this isn't about you.

and what he wants.

Maybe it's about Jordy

- Dad?

Dad?

- I watched that video.

He said...

"I can fly."

I saw that.

And he said,

"I want to be free."

I saw that, too.

- Dad?

Daddy?

- Hey, buddy.

- Twelve minutes.

Gotta finish up

and take her off bypass.

- Final knot

on the patch is tied.

Cut the stitch.

Take her off bypass.

How's her pressure, Carl?

- PA pressure...

down to 50.

Was 80.

Good sign.

ventricular function.

- And good

health issues

I believe this little girl's

have been resolved.

Let's close.

- I'm not coming home tonight.

I'll leave

for my deployment from here.

- Why?

- I'm gonna stay

with Bill Schiller

till his wife wakes up.

I want to be there for him.

Did you mean what you said?

About not wanting

to have a baby?

- I don't know what I want.

- Well, you got six weeks

to figure it out.

- Yeah.

- Maggie?

- Dr. Lanik wants you.

- Okay.

- His 02 stats are 94%.

They're improving.

Look at his latest chest X-ray.

Lungs look a lot better.

He's improving?

- I don't understand.

Labs are better, too.

- Seems that way.

White count up to 4,

platelets up to 75.

but a lot better than before.

Below normal,

- How?

- Well,

the only thing I can think...

they stopped his chemo.

That allowed his immune system

to bounce back,

fight the infection.

Keep your fingers crossed.

- So are you gonna go fix me?

- Yes, I am.

- Yep,

you're gonna go to sleep,

and when you wake up,

everything's gonna be okay.

- Okay.

- Dr. Manning?

- It was just like this.

from her surgery.

Sophie was recovering

- And Agent Lee...

- Will loves you.

not to take him back.

You would be a fool

- Oh, my God.

I have been so unfair to Will.

All this time,

I have been so unfair to Will.

.

- Jordy should be back

on the ice very soon.

Thank God.

- Let me know

when he's competing.

I'd like to come.

- I will.

Thank you.

- Looks like Jordy

gets to keep flying.

- If it hadn't been for you...

- Mike got a new kidney.

Best news I've heard all day.

- Glad we finally got there.

Thanks for your help.

- Thank you.

you want to do this?

- Are you sure

- We took Danny

to Mackinac Island

when he was a little boy.

He's loved it ever since.

They gave us a really good

hotel room rate

because we're going off-season.

- Nice.

- Bagged the honeymoon suite.

- Got the honeymoon suite.

- Oh.

- Here.

Blue ones are sugar-free.

- I'll take your word for that.

You know, I think it's great

that you guys

get that honeymoon.

are gonna finally

- Yeah.

- Oh, look who's here.

- Hi, Mom.

- Oh, my baby.

Baby.

She's here.

Hi, Grandma.

- Hi, sweetie.

- There's my baby.

There's my baby.

- Hey, Sharon, Bert.

- Hey.

for a sec, please?

- Can you guys excuse us

Dad.

- No, no.

Let it go.

- There's my baby.

- Uh, hey, Dad.

I want to go with you and Mom.

Of course you do.

- Oh, sweetie.

It's just that your mom

feels very strongly

I'm so sorry.

that it just be the two of us.

- I know.

I'll talk to her.

- Honey, honey

- Dad, Dad.

Why not?

explained it to me

- Well, the way she

and trust me,

we talked about it a lot

to remember her

is that she wants you

the way she is tonight

happy and beautiful,

and surrounded

by her friends and family.

- But, Dad,

I'm never gonna see her again.

- Oh, sweetie,

I know how hard it is.

I do.

I just...

to let her call the shots.

I'm just really trying

You know?

And this is the way

she wants it.

and not to tell her...

- But to not be there

- Honey...

your mom knows

that you love her.

And you know

that she loves you.

Hey.

- Lighten his sedation.

Ben,

I'm gonna remove your tube.

- Okay, okay.

Okay.

- Maggie.

- Ben.

- I'm alive.

- Yes, sweetheart.

You are.

- Look at me!

I'm flying!

- Will.

I remember that night.

I was coming

to tell you that...

I'm sorry for the way

I treated you,

that I was wrong.

- Doesn't matter anymore.

- No, it does,

because that's not all.

- No, you don't need

to do this.

- I do.

I do.

Because...

I came to tell you that...

I love you.

And I want to be with you.

- Natalie, stop.

You told me

to get out of your life.

- I know,

and I am so sorry.

- You don't understand.

I did.

And it's been good for me.

It really has.

- Will, we can figure

- No, we...

aren't good for one another.

All we do is hurt each other.

There was a time I couldn't

imagine a future without you,

but I can now,

and I feel...

free.

- Will...

- I'm sorry, Natalie.