Chicago Med (2015–…): Season 6, Episode 1 - When Did We Begin to Change - full transcript

Hang on, Hannah, okay?

I love you.
Will...

Dr. Halstead.

Doris.

Any symptoms?
Headache, dry cough?

Nope.

98.5.
Good.

Ope.
Let's get you tested.

I was just tested
this morning.

You went home.

Nobody goes back in the E.D.
without getting tested.



Come on.
Come up.

Open up.

Jim, a word?

Let's take it inside.
I need a break.

Hey.

This is April's third straight
week in the COVID ward.

We're short-staffed.
April volunteered.

Protocol is one week on,
one week off.

She's putting herself at risk.

I don't know
what to tell you.

April feels this
is her mission.

Jim, you're
the chief of the E.D.

You've gotta protect
your staff.

She knows what she's doing.



What's it to you?
I thought you guys broke up.

Has nothing to do with it.

Ethan, I need her.
Okay?

Check your iPad.
You got five patients.

You know the drill.

Monitor them
from outside the room.

Leave it to the nurses inside
to treat them.

Dr. Halstead.

COVID test was negative.
You're good to go.

Hannah's sats dropped
and we couldn't recover 'em,

so we intubated.

Figured you'd have to.

Now it looks she
has a chemical pneumonitis...

Aspirated some vomit.

So I put an OG tube down to
decompress her stomach, okay?

Hey, Will.
She's gonna be okay.

Yeah.
Thanks.

Crockett, I'm glad
you're taking care of her.

You got it.

Hey.

I just got a text.
Hannah was brought in?

Yeah.

Well, she's in here.

So it can't be COVID.

Um...

I found her unconscious
in her bathroom,

syringe in her arm.

She OD'd.

Good.
Fine.

Got your energy back?

Sharon, I am ready
to go back to work.

Trust me.

Well, good.
You've been missed.

How you been doing?

Well, the board still
doesn't want me coming back

because of my diabetes.

So all of my meetings
are virtual.

Look... Zooming with,
like, ten people,

all in their little box.

It's driving me crazy.

I can't read the room.

I don't know
if people are, like,

actually paying attention

or just looking down
at their phones.

Yeah, there's already
a name for that.

They're calling it
"Zoom fatigue."

I've already read, like,
three psych papers on it.

Hey, and speaking of psych,

I need you to carve out time
for the staff.

There's... there's
just been no let-up

with the workload.

And so many fatalities.

And then you add to that

all the social trauma
they've been dealing with.

I'm sending out a memo now.

Great.
Good.

And is Anna with you?

Yeah.
Yeah.

We decided that, you know, it
was safe for her to come back.

Well, say hi for me, okay?

Will do.

Okay.
Take care of yourself.

Take care.

Good morning.

Uh, Sharon Goodwin says hi.

So, I-I'm going to work.

Uh...

You're pretty much
gonna stay put.

Dad, I'm not gonna go out.
That's good.

Because, I mean, it's a...
I know.

Okay.
I'll... I'll see you later.

Bye.

Whoa! Sorry.
Sorry, Crockett.

Whoa, Manning.
Eyes on the road.

Sorry.
Oh, hey.

Yeah?

I heard you moved
into Club Med.

The Pavilion.
Yes.

Yes, I am.
Oh.

Well, watch yourself.

I hear it gets
pretty rowdy in there.

Lot of questionable behavior.

Mm.
Okay.

Nat?
Yes.

Check your iPad.
You're going to Treatment Four.

Got it.

See you, Crockett.

All right.

Mr. Lieu?
Hi.

I'm Dr. Manning.

And you must be Kellie.

Hi.
Hi.

I see Kellie's been dealing
with myelogenous leukemia?

For a couple years.

She's immunocompromised,

so I didn't want to bring her
into the hospital

if I didn't need to.

But she was in remission,
but her leukemia came back.

So we had to do chemo all over.

Just finished the last
round eight weeks ago.

Just hope she won't have
to do it again.

Let me see.

You're having difficulty
breathing, aren't you?

It's okay.
I'm used to it.

Well, we're gonna
help you feel better, okay?

Let's get a CBC, a BMP, an ECG,
an echo, and a BNP, okay?

You got it.

You mind if I talk
to your dad for a moment?

Okay.

So, I am hearing
an S3 gallop in her heart

which means it's struggling.

Also, her neck veins
are distended.

And I am seeing some swelling
in her legs and ankles.

Those are symptoms
of heart failure, aren't they?

Her oncologist warned us
about that.

It's most likely a result
of the chemo medication.

Unfortunately,
some are cardiotoxic.

They can damage
the heart muscle.

The good news is
I think we can reverse it

if we change her medication.

So let's get
the test results back,

and then I will loop in
your oncologist, okay?

Okay.
All right.

Thank you.
Mm-hmm.

Clear.

Mr. Booker?

I'm afraid your x-ray
looks wet.

That means that you still
have fluid in your lungs.

The proning hasn't helped.

So what now?

I suggest we intubate
and put you on a ventilator.

A ventilator?

You would be sedated.

I don't feel that bad.

I know, but the thing
that makes people feel bad...

A rise in CO2...

Doesn't happen with COVID.

But you're still not
getting enough oxygen.

If we put you on a ventilator,
it'll allow you to rest.

Please.

Can't you wait
a little longer?

Make sure I really need it?

If we wait and you go
into cardiac arrest,

we can't resuscitate you.

I know it's terrible.

But we can't run
a code in here.

Chest compressions release
so much virus.

Please, Alvin.

Let us help you.

Okay.
Okay.

20 of etomidate, 100 of roc?

And start
a propofol infusion.

I need to suit up.

I gotta go in to intubate.

Dr. Marcel, look alive.
Incoming GSW.

20-year-old male,
COVID negative,

gunshot wound
to the upper right thigh,

GCS 15, BP 100/77.

It hurts.
Gonna take care of that, bud.

50 of Fentanyl.
X-rays, meet us inside.

Gunshot wound?

Second one today.

COVID or no COVID,
some things never change.

How are we ever
gonna heal this city?

I know what
you're gonna say.

"I told you so."

Why would I say that?

You said drug addicts can
replace drugs with romance.

Ring a bell?

Well, I mean, it happens.

Well, not with us.

We love each other.

Okay?

Yeah, uh, sure.

There's stress
because of the pandemic.

But everybody's feeling that.

And maybe 'cause
of the quarantine,

we moved in sooner
than we would've.

Totally understandable.

I mean, trust me.
You are not the only ones.

But we're making it work.

What happened last night
was a lapse.

That's all.

Will, look.

I'm not here
to confront you, buddy.

I mean, these sessions
are about one thing

and one thing only,

and that is lowering
your stress levels

in a time when practicing
emergency medicine

can... can be overwhelming.

You know?
And that's it.

Does that sound okay?

I'm sorry.

I haven't even asked
how you're doing.

I understand you had
a pretty bad time with it.

Yeah, you know,
this COVID thing ain't no joke.

But you know what?
I'm fine.

And, look, I really
appreciate your asking

but I really wanna use
this time if it's okay

to talk about you, you know,
and how you're doing.

I'm managing, I guess.

I mean, we finally
have enough PPE.

And the safety protocols
seem to be working.

Okay.
Good.

I just...

What?

I thought we'd be
over it by now.

Three weeks straight.

Don't start, Ethan.

You're putting yourself
at risk.

Look around.

So many of these patients...

I see the people
I grew up with.

They're dying
at twice the rate.

I know.
I know.

They've been discriminated
against their entire lives.

Poverty, terrible healthcare.

And now they're here
with this.

Yeah.

Wait.

I'm just worried about you.

The two men I'm treating,

they are sick.

They are frightened.

And they are alone.

I'm not abandoning them.

Ms. Palmer, hi.
I'm Dr. Halstead.

Hiya.
Call me Anita.

Okay.
Mm.

This is her husband, Brad.

Hey, Brad.
Sorry you can't be here.

We're limiting visitors
for safety.

No, I understand.

Okay.
Thank you.

Is it true redheads
like spicy food?

Uh, I haven't heard that one.

So, Anita, you had a fall
today, huh?

Yeah.

In the kitchen after breakfast.
Okay.

You hurt your arm?
Mm-hmm.

Yeah.

Did you lose consciousness?
No.

Oh.
What happened here?

Oh.

That was a couple of days ago.

She's actually fallen
three times in the last week.

Any history of low blood
pressure,

fainting, or seizures?
Mm-mm.

You on any new medications?

No.
I don't take anything.

I think this country
is overmedicated.

I see you're
an air traffic controller.

Mm-hmm.
Pretty stressful work.

No, I've been doing it
for five years.

I know where all
those little planes are going.

Impressive.

Brad, can you think
of anything else?

She hasn't gone to the gym
since the pandemic,

and she stopped her paleo diet
a few weeks ago.

Yeah, I'm not seeing
anything that concerns me.

But we will get an EKG, labs,
and an x-ray of your arm.

See if we can't find out why
you've been unsteady lately.

Okey dokey.
Hang in there.

She seem
a little high to you?

Yeah, maybe.

You know, some people get
a little loopy in the E.D.

Mm-hmm.

Add a tox screen
to her bloodwork.

Yeah.
Blood alcohol?

Yeah.
Okay.

Got any change?
Not yet.

Dr. Halstead.

Sabeena Virani.

Ah...
I'm sorry, Dr. Virani.

We were supposed to meet
in the cardiology clinic.

If this isn't a good time...

No, it's just...
someone I know.

I'm sorry.
I'll catch you another time.

Wait.

You said you work
for Kender Pharma?

R&D.

We're running
a trial at Med

for an oral heart
failure medication.

Dr. Ramsey is principal
investigator.

He thought it'd be good
to have an E.D. doc as co-P.I.

Recommended you.

Thanks.

Another time,
I might be interested.

Just... I got a lot
going on right now.

I understand.
I hope everything works out.

Dina, status on Mr. Booker.

Sats are stable.

Keep me posted.

Ethan?

Coming to you.

Mr. MacNeal,
his sats are 85.

I think you better
talk to his wife.

Mrs. MacNeal?

Hi, I'm Dr. Choi.

I've been treating
your husband today.

Please.
How is he?

I'm sorry to say
he's not doing well.

His oxygen saturation level
is still only 85,

a good ten points
under what it should be.

Oh, my God.

We've done everything we can
with the ventilator...

Inhaled nitrous oxide,
100% oxygen...

And unfortunately,
nothing's worked.

So if the ventilator
hasn't helped,

what else can we...

There is one more thing
we could try.

It's called ECMO...

It's a life support system that
takes the place of the lungs.

Life support?

That sounds so...

It is.

It is, ma'am.

I don't wanna minimize
the seriousness

of your husband's condition.

At this point, I believe
ECMO is his only option.

Do we have your permission?

Yes.

Of course.
Uh, please.

Save my Freddie.

I'll do my best, ma'am.

Oh, hey.

Hi, sweetie!

Hey.
How's the arm?

The x-ray is negative.
Her arm is not broken.

Yay!
It's not broken.

But there is one thing.

So your labs show you have

a blood alcohol level
of 0.14.

A what?

It indicates
that you had alcohol today.

No, I didn't.

No.
No way.

So I'm just wondering maybe

if that's the reason
you've been falling lately.

No.
No.

I haven't had
any alcohol today.

What about last night?
No!

I don't drink.
I don't like the taste.

Yuck.
I'll tell you what.

Why don't we get some
more fluids in your system

and we'll be back
to check on you in a bit?

Okay?

Okay.

She's drunk.

Well, something's going on.

I think she has
a serious problem.

Hey, might be
a one-time event,

you know, set off
by some stressor.

The woman's fallen
three times in the last week.

Wouldn't you call that
a pattern?

Hey, her husband said
she doesn't drink.

She doesn't drink.

So, let's monitor her BAC,

and when she comes down,
we'll check, okay?

Wh...

Hey.

Kellie Lieu... my peds patient
with leukemia?

Yeah.
Labs and history just came in.

Oh, perfect.

Not good, huh?

No.

I need a surgical consult.

All right.
I'll ask Crockett.

You know what?
Wait.

Don't page Crockett.
Just page whoever's on call.

Whoa.

Make sure he gets that.

Why not Crockett?

Oh, it's nothing.

I just... I need a consult.

And so I was gonna page
the call person.

Why do that?
I'm free.

Okay.

Okay.

Uh, the patient is
Kellie Lieu.

She's 12.
She's been battling leukemia.

She presented today with
chemo-induced heart failure.

Is that why you
didn't wanna bring me in?

Kid with leukemia.

'Cause I lost my little girl?

I just thought maybe it
was a little too close to home.

Thank you.

Tell me about the patient.

BNPs 2500,
ejection fraction 15%.

Bad numbers.

And it just gets worse.

Her latest blood smear
shows an increase

in elevated cells
in her bone marrow.

So the cancer's coming back?
Yeah.

Okay.
Well, send me the chart.

And what you just did,

that's why I don't tell people
about my past.

The leukemia's
gonna come back?

Yes.
It seems like it is.

I'm so sorry, Mr. Lieu.

So...

we have to start chemo again.

Eventually, yes.

But right now, Kellie's
heart's too damaged

for more chemo.

Getting her heart in shape
has to be her first priority.

Yes.
Okay.

How do we do that?

Well, there are two options.

The first we talked about...

Replace Kellie's
current regimen

with one that's less toxic,

but in addition,
we add Milrinone

to ease the strain
on her heart.

But we don't know how long
that would take to work.

And if the cancer comes back

before her heart
is healthy for chemo,

we'd have no way to fight it.

You said there's
a second option.

Surgery.

Implant an LVAD...

An assist device that will take
the pressure off Kellie's heart

so it can recover faster.

Surgery.

That would be
my recommendation.

But you have to know,
it comes with risks.

Okay, Kellie is
immunocompromised.

That increases the chance
of post-op infection.

And with COVID,
the danger is even greater.

So you don't advise surgery?

Well, we've learned
how to mitigate those risks.

Still, LVADs are rarely used
in pediatric cases

because they are
tailored to fit adults.

That's because
there aren't many kids

with Kellie's level
of heart disease.

If you two don't agree,

how can I make this decision?

Mr. Lieu, I know h...

We know how difficult this is
but I...

I don't think you do.

I lost my wife two years ago.

She's not here to help me.

The world is upside down.

Yesterday, a woman
in the parking lot

pointed at us and screamed,

"You brought COVID here.
It's your fault.

Go back where you're from!"

I have to worry
about my daughter's leukemia,

the pandemic.

And now that we could
get attacked...

Who do I trust?

I'm sorry this
is happening to you.

All I wanna do
is what's best for Kellie.

The safest thing.

And that doesn't sound
like surgery.

We'll try the medication?
All right.

I'll call your oncologist,
and we'll get started.

Thank you.

Hey.
Yeah?

What's going on with you?

When did you get
so hyper-conservative?

I thought he should
have all the facts.

Let me tell you something.

You talked that man
out of an operation

his little girl needs.

Thank you.

What are you doing?

Dr. Lanik cancelled
Mr. MacNeal's ECMO.

Why did you cancel it?

Look... he shouldn't have
ordered it in the first place.

Excuse me.
He's my patient.

And I'm chief of the E.D.

I have to allocate resources.

We only have four ECMOs
for the entire ward... four.

Three are already in use.

Which leaves one
for Mr. MacNeal.

April, I can't tie up
my last circuit on him.

Especially when we know
Mr. Booker,

who still has a chance,
is gonna need it.

You don't know
he's gonna need it for sure.

And ECMO's the only thing

that could possibly save
Mr. MacNeal's life.

The man is gonna go
into multi-organ failure.

Over the last six months,

how many times
have we seen this?

ECMO is not gonna
change the outcome.

You can't say that for sure.

You're just gonna give up?

We've done
everything we could.

Look, you wanna make me
the bad guy?

Get in line.

Hey, Crockett.
Yeah?

Oh, yeah.
She's doing fine.

Aced her spontaneous
breathing trial.

I just extubated her.

You can head in.
All right.

Hey.

I'm so sorry.

It's all right, Hannah.

It's all right.
No.

No, you trusted me,
and I let you down.

Hey, the most important
thing is you're okay.

And you will come back
from this.

When they were taking me
out of the ambulance,

as messed up as I was,
I could still hear you.

You said "I love you."

I do.

I swear I will
make this up to you.

When I get out of here,
I will go straight into rehab.

I wanna be so good.

Dr. Halstead.

They need you.

You rest.

I don't want it.

Okay.

Sweetie,
these are electrolytes.

No.
You need them.

No, let me alone.
I wanna go home.

Whoa, whoa, whoa.
Hold on, hold on.

Anita, I'm sorry.
Get security in here.

Anita, I'm sorry.

I can't let you leave
in this condition.

What condition?
There's no condition!

You're intoxicated.
No, you're...

Stay down!
No, I'm not!

Okay.
Earl.

Let go! Let go of me!
Hold on to her.

50 of Benadryl.
Got it.

Earl, come up here please.
No!

Thank you.
No!

You can't.
Okay, hold on, sweetie.

I wanna go home.
I wanna go...

Okay.
Sorry.

You were right.

When am I gonna learn?

Dr. Halstead.

Ms. Goodwin, I have a patient
an air traffic controller...

Who has a drinking problem.

Both she and her husband
refuse to admit it,

so I am going
to inform the FAA.

I wanted to make you aware.

And you're certain
about this?

Yes.

Uh, I didn't wanna
believe it at first.

She's very convincing.

But it has been going on
for some time.

And, clearly, both she
and her husband are in denial.

I see.

Well, she's your patient.

It's your call.

I heard about Dr. Asher.
I'm sorry.

How's she doing?

Yeah, better.

Thanks for asking.

Well, you know,
I have no choice

but to report Dr. Asher.

I know.

And as to your patient,

I would encourage you
to make sure

there are no
extenuating circumstances

that you're not aware of.

Because once you make
the call to FAA,

this woman's career
is very likely over.

Mrs. MacNeal?

Um...

This is bad, isn't it?

The doctors have

reconsidered
your husband's treatment.

They don't feel
ECMO will change

the course of his illness.

Does that mean...
I'm afraid yes.

You have to prepare yourself.

Can I be with him?

Or hold his hand?

No.

It would put you
at too much risk.

We've been married
for 40 years.

And now he's going to die
without me by his side.

I wish I could change that.

But I can't.

But he won't die alone.

I will be there.

I promise you.

Oh.

I want you
to give him something.

I just found this.

It was our first date.

I'll make sure he gets this.

Deep breaths.
Deeper, thanks.

Help.
Somebody help.

She can't breathe.

Kellie?
Kellie?

Hey, sweetheart.
Look at me.

Look at me.
All right?

I know you're scared,
all right?

I just need you to take
slow, deep breaths, okay?

Okay?
There you go.

S Gallop is worse.

Let's get another echo
and chest x-ray.

What?
What's happening?

Kellie's heart failure
is getting worse.

If we don't act now,

she may not be around
to fight the leukemia.

Oh, God.

It's that bad?

You wanna operate?

Put in that LVAD?
That's right.

Dr. Manning, you were
against it before.

I have to agree
with Dr. Marcel now.

It's what's best for Kellie.

All right.
Do the surgery.

All right, let's get
this girl upstairs.

All right, Trini.
You page Dr. Latham.

Tell him to meet me in the O.R.

Yeah?

You got a minute?

Yes.
Sure.

Have a seat.

I wasn't being honest
earlier.

Things haven't been good
with Hannah.

In fact, they've been
kind of a hell.

These last months,
if she was having a hard day

or we had a fight,

I was always afraid
she'd start using again.

I was just constantly
on eggshells,

and, uh, she could tell.

She blamed me
for not trusting her.

And I see now

that I-I blamed her
for being an addict.

Blame, resentment,

tricky stuff, you know?

Hard to... hard to let go of.

You were right...

What you said
about addicts and romance,

that, if the romance
goes south,

they'll likely turn to drugs.

You think that that's
maybe what happened here?

Hannah and I got
into a huge fight yesterday.

I stormed out of the condo.

The next thing I know,
she's, uh... OD'd.

Oh, buddy.
I'm sorry.

Yeah.
That's not the worst of it.

See...

I think I've been
waiting for it to happen.

Where are we at?

She's sobering up.

You wanna talk to her?
Not yet.

This case got
too personal for me.

I need to do some research
and look into this more.

Hey.
Hey.

I just heard.

Kellie Lieu's surgery
went well.

Congratulations.

Yeah, yeah.

I was being overly cautious.

I should've agreed
with the LVAD way sooner.

Well, not necessarily.

It was a risky procedure.

Could've easily gone
the other way.

You know, yesterday, I...

I moved out of my house.

I said goodbye to my son.

I have been thinking
about him all day,

wondering if I did
the right thing,

if he'll be okay.

I think those feelings
clouded my judgement today.

You weren't wrong about me
and kids with leukemia.

Every time I see one,
I think about my little girl.

You know, we try to protect
them as much as we can.

Until that last moment
when we, uh, we can't.

Uh, all I'm saying is
you're doing the right thing.

Yeah.

Owen'll be okay.
I'll see you tomorrow.

See you tomorrow.

Now what?

I did some research
and ordered one last test.

I owe you an apology.

We now know
you have not been drinking.

Finally.

I gotta be honest with you.
This is a first for me.

You have a condition
called auto-brewery syndrome.

And because of it,
the yeast in your gut

turns certain carbohydrates
into alcohol.

You never even have
to take a drink.

Really?
Yes.

Why would this happen
all of a sudden?

So you said Anita
was on a paleo diet.

Very low carbs
but she stopped.

Yeah, I was hungry
all the time.

We're not sure why
some people react this way,

but that's probably
what triggered it.

If you cut out simple carbs
from your diet,

you should be fine.

So Maggie's
gonna discharge ya

so you can get out of here.
Okay.

And again...

I'm sorry.

Hey.

Hey.

Look... um...

You know, I've been thinking.

When I get out of rehab, I...

I wanna go somewhere...

Away from here.
Get a fresh start.

You wanna leave Med?

Here, I'm just
the addict doctor.

I always will be.

I was thinking L.A.

Decent weather for a change.

I want you to come with me.

Hannah...

I'm not gonna do that.

You don't have to decide
right away, so.

No, I'm not coming with you.

I was afraid you'd say that.

See, the thing is, Will...

Without you...

I'm worried that...

I'm worried that
I'll start using again.

I love you.

But I can't be
the reason you stay sober.

It's not good for you

and it's not good for me.

Who's gonna cut your hair?

Who knows?

Maybe in a year or so,

you'll wanna come
visit Disneyland.

Yeah.
Maybe I will.

What?

Hey, I picked up
a little Thai.

You, uh... you hungry?

I hadn't been out
of the house in months.

I was going crazy.

I just wanted
to see some friends.

None of them were sick.

Honey, I get it.
I totally understand.

Jennifer had no idea
that she had it.

She felt completely fine.

You know, sweetie.
It's okay to feel bad.

It's okay.
I'm really glad that...

Dad, of course I feel bad.
I gave you COVID.

That's why you're mad at me.

I'm not mad at you.
Yes, you are!

You've been walking
around the house

acting like everything's fine,

using that phony, calm voice

but, clearly, it's not fine.

Why aren't you yelling at me
right now?

Why would I yell at you?

Because I screwed up!
I could've killed you.

I'm so sorry.

Can you forgive me?

Oh, sweetie.
Of course I forgive you.

Of course I do.

And you know what?

I mean, I think you're right.

I think I have been angry.

And you know what?
Maybe I...

Maybe I should have told you,

but... but I know you
didn't do it on purpose.

I didn't wanna make you
feel any worse.

Here's the thing
about your dad.

I can be pretty good

with other people's emotions,
but...

sometimes not so much
when dealing with my own.

So I need you around

to keep me honest.

Pad thai's probably
getting cold by now.

So you know I'm not
coming home tonight, right?

Yeah, I know.
You're helping people.

But I miss you
and I love you very much.

I love you too.

Nana and I are making cookies.

Oh, yeah?
What kind of cookies?

Chocolate chip.

Mmm.

So you're having fun with Nana?

Yeah.
Good.

I'm glad to hear that.

I'm gonna go now.

Oh, okay.

Bye, Mom.

Bye, sweetheart.
Mwah.

BP 55/38.
Sats at 60.

Maxed on pressors.

He's in multi-organ failure.

We've exhausted our options,
April.

Turn up his morphine?

Yeah.
And contact his wife.

April?

Hi, um...

I'm afraid it's his time.

Let me see him.

Fred?

Freddie?

I love you, honey.

And I'll miss you every day
for the rest of my life.

But then... I'll see you again.

And we'll be together.

Forever.

I'm so sorry.

No.

Another week.

We remember those gone.

Let's share their names.

Helen-Mae Samuels, 85.

Her kids say
she was a great cook.

Malcolm Grazer, 44.

Coached his son's
little league team.

Maria Lopez, 58.

Dedicated, life-long
school teacher.

Frederick MacNeal.

62, avid stamp collector,

scout master,

and beloved husband
of Beverly

for 40 years.