Chicago Med (2015–…): Season 6, Episode 6 - Don't Want to Face This Now - full transcript
.
- Whatever this is,
I don't want it to end.
- Sorry, I didn't know.
- Natalie, this is Claire,
my ex-wife.
- How long before Auggie
gets a liver?
- He's low on the list.
- You're pregnant.
- How could this happen?
You cannot tell my parents.
- Dr. Sexton!
- What were you thinking?
- He had the right to die
on his own terms.
- He could lose his residency.
- Noah should've thought
about that before he acted.
You're fired for negligence.
- May I have a coffee to go,
please?
- Of course.
- Un doppio espresso
per favore.
- Double coming up.
- I'm embracing
my Italian heritage.
- Oh, right.
- Look at him.
Still can't believe
he fired Noah.
- You don't know
the whole story.
Hey.
What are you doing?
Did you even make it home
last night?
- I'm sorry, what?
I'm kinda busy.
- You're your own worst enemy,
Ethan.
- Morning.
- Morning.
- Listen, um, about last night.
You know, I shouldn't have
shown up unannounced like that.
- It's fine.
- And I completely understand
if you and your ex are--
- No, it's nothing like that.
- Well, 'cause, I mean, there's
a lot of history there, so.
- Natalie, my ex and I are not
getting back together again
if that's what you mean.
She just dropped something off.
- Oh, I just thought maybe--
- Dr. Manning, Dr. Marcel,
we got an incoming trauma.
Ambo just unloaded.
- All right.
- I've got it.
Baghdad.
What do we got?
- Cindy Morales, 32,
contractor.
She fell off the scaffolding
at a construction site
and landed on rebar.
It didn't go
all the way through.
We stabilized it at the scene.
Patient's mildly tachy,
but BP is stable.
- Okay.
Hey, Cindy?
Stay nice and calm for me,
okay?
All right, here we go, guys.
Nice and gentle now.
One, two, three.
- Cindy, I'm Dr. Manning,
this is Dr. Marcel.
Can you hear me?
- Yes.
- Can you tell me
what happened?
- Got dizzy.
Fell.
- A and B intact.
- Do you remember
when you got dizzy?
- Today.
It's what I get
for skipping breakfast.
- BP 118/74.
Heart rate 120.
- Okay.
- Sorry.
Call for blood type
and cross for 6 and 6.
- We're gonna give you
something for the pain, okay?
100 of fentanyl.
- All right, let's get her
up to CT.
Let's see
what we're dealing with
before we take her
into surgery.
Don't worry, Cindy, we're gonna
take good care of you, okay?
- I'm sorry to bother you
with this,
but I couldn't get ahold
of Anna's mother.
- No, I am--I'm actually
really glad you called.
You know, she's always been
pretty much of
a straight-A student.
I guess just
this online learning,
you know,
it's just been a challenge.
- It's hard to get students
to focus,
especially when they miss
several Zoom classes.
- She's not going to class?
- She hasn't been handing in
all her assignments either.
- Really?
You know what, I had no idea.
Um, you know,
she does her homework
over at a friend's house.
She's part of, like--
like, a study pod.
She's there right now,
or at least I hope she is.
- You may wanna start
checking her work.
- You know what, sounds like
I'm gonna have to.
- Look, this has been
a difficult year for everyone.
I just thought I should
bring it to your attention.
- Yeah, and you know what?
I appreciate it.
I will, uh--
I will definitely talk to her
after school,
and, you know,
thank you again for the call.
- You're welcome.
- Hey, can I get a quick word?
- Um, sure.
- Those just, uh, fell out
of Anna's coat pocket.
- Dan, I am so sorry
you had to find out this way.
- HIPAA, I get, okay?
But, I mean, couldn't you
have found a way
to just give me, like,
a little heads up?
- I tried to get Anna
to talk to you.
- I feel like an idiot.
I had no idea
she was even sexually active.
Like, not a clue.
- Look, all that
I can tell you
is that she's scared
and confused.
Oh, shoot.
I'm sorry, I gotta run.
Um, are you okay?
- Yeah, yeah.
- Okay.
.
- Over 200 people from the
American Hospital Association
have RSVP'd
for your presentation.
- A lot of little Zoom boxes.
Okay, what's the breakdown?
Mainly physicians?
- Yes, but also pharmacists,
some hospital administrators.
- Glad I included the slide
on cost savings.
- If this goes well today,
hospitals all over the country
will want to join this trial.
That will increase
our visibility
to get this drug to market
that much faster.
- Sabeena, this presentation
is gonna go great.
I promise.
- Hey, Will.
East Mercy's jammed.
They're diverting patients
to us.
I'm gonna need you.
- Sure, but at 3:00,
you know I got my presentation.
- Ah, sorry.
You're gonna have to push that.
- Ethan, come on,
you cleared this yesterday.
- I know.
But I just can't spare you.
Don't worry.
I'm doing it.
- Hey, April.
With me, please.
- Lucky you.
- Oh, stop.
- Mr. and Mrs. Bowman.
I'm Dr. Choi,
this is Nurse Sexton.
- Hi.
- I understand you passed out
this morning?
- Carol overreacted.
I'm fine.
Didn't need to call
a damn ambulance.
- How long was your husband
unconscious?
- I don't know.
Um, maybe a minute?
He's never passed out before.
I-I got worried,
and so I called 911.
- Any chest pain?
Shortness of breath?
- There's nothing wrong
with my heart.
It's my head.
It's killing me.
- Did he hit it
when he passed out?
- No.
- BP 147/90.
- It's slightly elevated.
- He's been in pain
for almost a year.
- A year?
- Oh, here we go.
I thought it was my teeth,
okay,
and I went to the dentist.
Had a root canal,
got a tooth pulled.
Nothing helped.
It just kept getting worse.
- Did you see a doctor
about it?
- Of course I did.
- Okay, follow my finger.
- Um, our family doctor thought
that it might be migraines.
Another doctor thought
that it could be anxiety.
- Stupid quack.
No!
Mm-mm-mm.
- I understand
you're in pain,
but I do need
to finish my exam.
- No, no!
No, it hurts too much.
- Okay, uh, let's get
a 12 lead-EKG,
CBC, BMP, cardiac labs,
and a head CT.
- Waste of time and money.
- Mr. Bowman,
you lost consciousness.
That's concerning.
It could indicate an issue
with your heart
or blood flow to your blain.
In order for us to help you,
we have to run these tests.
- Eric, please.
We have health insurance.
We're already here.
- All right.
- I'll check back in a bit.
- Thank you.
- Yeah.
- I saw a hamburger.
He was really mean.
- Well, that's no good.
We'll have to have
a talk with him.
- Are you a police officer?
- No, buddy, I'm a doctor.
He's jaundiced and has ascites.
- Is that causing
his confusion?
- No, that's from a buildup
of ammonia in his blood.
- It's affecting his brain.
- I'm gonna start him
on lactulose,
which will help bring down
the ammonia levels,
but the problem is,
everything I'm seeing points
to end-stage liver failure.
He needs a transplant
as soon as possible.
- Thank you, Dr. Ziesler.
- I should stay.
I can get a sub
to cover my classes.
- Mm-mm.
It's okay.
I'm taking the day off
from work.
I'll be with him.
- You sure?
- Mm-hmm.
I'll keep you posted.
- Okay.
- Yeah.
- Hey, Ben.
- Hi, Sharon.
- Hey.
- Hey, how's Auggie?
- Not any better.
And we don't have a donor yet.
- I'm sorry, Maggie.
Weren't you looking
at Heredity and Me
to see if he had any relatives?
- Yeah, but it didn't
go anywhere.
I even asked the ED staff
to get typed.
- Well, I'll get the word out
to all departments.
Hopefully, we'll find a match.
- That'd be great.
- Okay.
- Anna!
Anna!
- What are you doing here?
- Just--I need to talk to you
about something.
- Well, can it wait?
- I really need to talk
to you now.
Can you get in the car please?
What?
- I, um...
I found these in the--
in the front hall.
Does she know?
Sweetie, what is going on here?
You're 15 years old.
- I had sex one time, okay,
and we tried to be careful.
- I'm gonna ask you a question,
and I want you
to answer me honestly.
Did somebody pressure you
into having sex?
- No!
Nobody pressured me
into doing anything.
It was Ryan, my boyfriend.
- Your boyfriend?
I-I thought that Mom
didn't want you to date.
- No, she doesn't.
She doesn't let me do anything.
- Oh, honey, she's just trying
to protect you.
Does she know?
- God, no, and please,
don't tell her.
- Honey, I'm not
gonna tell her, you are.
I guess I just wish
you could've felt like you
could come and talk to us
about this.
- I was gonna tell you...
before your lawyer walked in.
Oh, God.
This thing with your Mom,
you know,
it's just--it's complicated.
- Yeah.
Yeah, no, I get it.
You guys are so busy fighting,
you totally forgot I existed.
- Sweetie.
Honey.
That is not true. Anna.
- Going to Treatment 4.
- 22-year-old female.
Jumped out of a moving vehicle.
Positive LOC, GCS 11.
Good breath sounds bilaterally.
BP 90/60.
- Oh, my God.
- You know her?
- That's Kelly Bissett.
- The kidnap victim?
- Yeah.
Mrs. Bissett, hi.
I'm April Sexton.
Do you remember me?
I helped treat your daughter
a few weeks ago?
- Of course I remember.
- Can you tell us
what happened?
- I don't know, I was driving,
and she just opened
the car door and jumped.
- All right, on my count.
One, two, three.
- A lot of road rash.
- Let's go.
- How fast were you driving?
- Oh, maybe 30, I don't know.
- Hi, Kelly,
my name's Dr. Halstead.
Can you hear me?
Do you know where you are?
Hey, GCS 12.
Slightly better
than in the field,
but she's protecting
her airway.
All right, need a CBC, CMP,
coags, tox screen.
I also want an ECG,
and let's get her to CT, stat.
- On it.
- Let's go.
- Let's go.
- Is she going to be okay?
- She's breathing on her own,
and her heart is strong.
That's a good thing.
We'll know more
when we get her scans back.
Mrs. Bissett,
I have to ask you.
When Kelly jumped out
of the car,
do you think she was trying
to kill herself?
I don't know.
I really don't know.
.
- Give me some suction here
where the rebar is.
- Pressure's starting to drop.
- Okay, keep giving her
blood and plasma.
Rebar goes right through
the hilum of the spleen.
Gotta get it out before
I get control of the vessels
and remove the spleen.
It's gonna bleed like hell,
okay?
Laps and curve 6 ready to go?
- Ready.
- All right, here we go.
Okay.
Laps.
How's her pressure, Marty?
- 90/66.
- Okay,
keep giving her product.
- Hey.
How's she doing?
- Spleen's coming out now.
All right.
Damn.
- What is it?
- Tumor the size
of a golf ball,
on the back wall
of the stomach.
- Well, it didn't show
on the CT.
- Too much scatter
from the rebar to see it.
- Can you resect it?
- Not without
the patient's consent.
I'm gonna send a sample
to pathology.
- Mrs. Bissett.
- Dr. Charles.
- I just heard about Kelly.
- Oh, yeah.
- Um.
Dr. Halstead told me
that she, uh,
she broke her pelvis
and has a concussion?
I'm so sorry.
- Yes.
They took her for more tests.
- So I understand that she--
she jumped out of your car.
Do you have any idea why?
Were you having an argument?
Taking her someplace
she didn't wanna go?
- No, just the opposite.
We were going to Navy Pier.
- Oh.
- I used to take her there
all the time
when she was little.
- Ah.
- She loved it.
- So did my youngest.
Oh, boy, that Ferris wheel.
It was her favorite.
- Hmm.
- What was, uh,
what was Kelly's?
- I, uh, I don't remember.
She liked it all.
I thought she'd be so happy.
I just--I don't understand
what happened.
- Any incidents or issues
before today that
are standing out for you?
- Not really.
Just--I never know
what she's thinking.
- Look, she's been gone
for over 12 years,
during which she went
from being a little girl
to an adult.
There's bound to be
a period of transition,
and you just--you gotta try
and be patient.
- She's my daughter.
- Yeah.
- But to tell you the truth,
it's like we're strangers.
- You have news?
- One of the donors
you had typed
is a match to Auggie.
That's wonderful!
- Yes, but unfortunately,
there's a problem.
The donor has amyloidosis.
- So?
- Maggie...
- I know it causes protein
to build up in the organs,
but that might not happen
for years.
- But it will happen
eventually,
and when it does,
it will be life-threatening.
- Yeah, but who knows
what treatments
they might have by then.
Sharon...
Auggie needs this liver.
- I understand.
I'll tell you what.
If Dr. Ziesler confirms
that it's an emergency,
I can allow the transplant
to proceed.
- She will.
- We got
your test results back.
Your labs and CT
came back normal.
I told you so.
You know what, you never
should've brought me here.
- Oh, Mr. Bowman, I did hear
a slight murmur
when I was listening
to your heart earlier,
and I'd like to do
an echocardiogram.
- No.
No, no more tests.
Can you get this off me?
And where are my clothes?
- Actually, Mr. Bowman, uh,
an echo is a non-invasive--
- No, I've had that murmur
since I was a kid.
There is nothing wrong
with my heart.
- Then an echo will prove that.
- Every time you people poke me
or jab me with a needle,
you make this pain
in my head worse.
Why don't you fix that?
- We will,
but you came in today
because you lost consciousness,
a potentially
life-threatening issue.
So, please, let us find out
what caused it.
- Fine, but you are just like
every other crap doctor
that I've been to.
- Eric, please.
- You know what, shut up.
I am sick and tired of you
treating me this way,
talking to me like I'm a child.
- I am just trying to--
- Shut your mouth, okay?
I'm not done talking.
- I'm sorry, Mr. Bowman,
could you please not?
- You can just stay out
of this.
- Let's just all calm down.
- I can't be around you
when you're like this.
- Then go, get out.
I don't want you here anyway!
I don't want you here.
- Hey, Cindy.
It's Dr. Marcel
and Dr. Manning.
How are you feeling?
- Tired.
- Yeah, I'm sure.
That's understandable.
So I want you to know
that the surgery
to remove the rebar went well.
Now, unfortunately, there was
significant damage
to the spleen, so ultimately,
we had to take it out.
But during the surgery,
we discovered a large mass
in your stomach.
A tumor.
I'm afraid to say
it is malignant.
- I knew it.
- You did?
- I've been having pain...
for a while.
Just like my mom.
She died from stomach cancer
five years ago.
- I'm so sorry to hear that.
- Look, I left
your abdomen open.
So with your consent,
I can take you to the O.R.,
and we can remove that cancer
right now.
- No.
- It--it's best
to remove the tumor
before it has a chance
to spread.
- I won't do the surgery.
Just please close me back up.
- Okay then, uh, we can have
an oncologist come by
and discuss
further treatment options.
- I can't do that.
I won't.
- May I ask why?
- For years, I watched my mom
go through painful surgeries.
Chemo made her so sick,
she couldn't get out of bed.
All those horrible treatments,
and she died anyway.
- Cindy,
you have to understand,
cancer treatments
have come a long way.
- Cindy, without treatment,
the cancer
will continue to grow.
- If you choose to do nothing,
this cancer will kill you.
- Then at least I'll die
on my own terms.
- I hate the thought
of standing by
and doing nothing.
- Yeah.
This rate, she'll most likely
be dead in six months.
- You know, she's
effectively killing herself.
Can we argue she's suicidal?
- Seems like a long shot.
- Don't close her up yet.
Let me talk to Ms. Goodwin.
.
- You know, I've actually
been thinking about you,
like, quite a lot
the last few weeks,
just, you know, wondering
what it's been like for you,
being home.
You know, how's it been going?
- Okay.
- Yeah.
I mean,
getting your freedom back,
being able to come and go,
make your own decisions,
I mean,
it's gonna take a little
getting used to, right?
- I guess.
- Yeah.
Hey, how about
you and your mom?
How's things going
between the two of you?
She told me that
she was taking you to Navy Pier
like she used to
when you were a little kid.
Gosh, my kids, they just
used to love going there,
especially my youngest.
That Ferris wheel.
Do you ever go on it?
- I don't know.
I can't remember.
- No?
I'm just curious, Kelly.
What do you remember
from that time?
- None of those things.
- None of what things?
- That my mom
keeps talking about
that we used to do.
Baking cinnamon rolls
every Saturday morning,
reading "Harry Potter" books
together.
- Well...
I can't imagine
how upsetting that must be.
But try and understand
that your captor,
he did everything he could
to wipe out your identity,
and he had years to do it.
But I think that with time
and with a little help
and a lot of patience,
that those memories
are gonna start coming back.
I really do.
- I don't know.
I just...
I can't remember any of it.
- We're ready to take Auggie
to surgery.
- Hold on just a second.
- Madeline?
What's going on?
DCFS won't allow me
to approve Auggie's transplant.
- But Dr. Ziesler
signed off on it.
She confirmed that
it's an emergency.
- I heard there's an issue
with the transplant.
- DCFS is calling it off.
- The liver is compromised.
Only a family member
can consent to the transplant.
- But Auggie doesn't
have any family.
- I'm sorry, Maggie.
These are DCFS rules.
- This is insane!
- Isn't there something else
we can do?
- Not at my end.
- Our drug can give people
their lives back.
Based on preliminary data,
we can project an increase
of 2.7 quality-of-life years.
A tremendous improvement.
This drug
could reduce hospital stays
by as much as 22%,
resulting in
significant savings.
And our initial calculations
estimate that
to be well over $100 million
in the first five years,
money that could fund
transplant programs
and stem cell research
to not only advance
the treatment of heart failure,
but to one day
eradicate it altogether.
Thank you for your time.
- That was spectacular.
Very effective.
- Thanks.
- Look at that.
- You know, you should consider
doing this as a full-time gig.
- Oh, yeah, really?
- No, I'm serious.
You could have a bright future
running clinical trials.
- Uh, I don't know.
- I could set up a meeting
for you
with Mark Barragan,
Kender's CEO.
- Well, I'm flattered, really.
But I'm an ED doc.
You know, treating patients,
it's, uh, it's what I love.
Speaking of which,
I'd better get going.
- It's too bad you can't stay
and wait
for the rest of
the rave reviews to come in.
- Oh, hearing them from you
is all I need.
I'll see you.
- Hey.
Mr. Bowman's echo was normal.
Yeah.
There's nothing wrong
with his heart.
- So why'd he pass out?
- I don't know yet.
I'm trying to figure out
if it's connected
to the pain in his head,
maybe shingles
or a nerve disorder.
- A little sleep might be
a better idea.
- It's Mr. Bowman.
- They're coming.
- What happened?
- He got a horrible jolt
of pain in his jaw,
and now he can't even
open his mouth.
- Let me take a look.
- You see that?
I barely touched him.
- Yeah...
- All right.
Mrs. Bowman, do certain things
seem to trigger an attack?
Eating, drinking,
brushing his teeth?
- Um, all of that.
I can't even turn the fan on
in our bedroom
without the breeze
hurting his face.
- Okay, April, 50 of fentanyl.
I need to get you an MRI
of your head and face.
Eric, Eric, listen to me.
Look, please.
I think I may know
what's causing this,
something the other doctors
never considered.
- Listen to him, Eric.
Eric, please.
- Eric, let me help you.
- Listen please.
- Mm-hmm!
Mm-hmm!
- Okay, April, let them know
we're coming up.
- Yep.
.
- Mrs. Bowman,
this is Dr. Abrams.
- Well, I'm amazed
Dr. Choi was actually right.
It's a classic case
of trigeminal neuralgia.
- What is that?
- It's a condition
where an artery
is pulsating against a nerve,
and eventually,
the nerve's insulation
is worn down to the point
where every pulse
triggers the nerve to fire.
Causes excruciating pain,
as I'm sure you've witnessed.
- So bad that patients
have been known
to take their own lives.
Judging by these scans,
the extent of the nerve damage,
I think the pain was
what caused your husband
to lose consciousness
this morning.
- We've been
to so many doctors.
Why didn't any of them
find this?
- Incompetent, maybe?
- Mm, no.
Uh, it's often misdiagnosed
as a dental issue
because of the pain in the jaw.
- Is there a cure?
- It can be managed
with medication,
but I recommend surgery,
a microvascular decompression.
I'd cut a small window
in his skull
and insert a piece
of Teflon cushion
between the artery
and the nerve.
- That sounds dangerous.
- Much less so
with me doing it.
- Okay.
- Maggie,
his sats are dropping.
- I'll up the flow of oxygen.
- Go to 10 liters.
Maggie, if he doesn't
start to improve,
I'm gonna have to intubate.
Hey, little man.
Can you hear me?
- Mom?
- Oh, no, sweetie, it's Maggie.
- No.
Mom.
I'm right here.
Sharon.
- Yeah?
- Auggie's getting worse.
They're gonna have to
intubate him soon.
- Oh, Maggie.
I'm so sorry.
- I just spoke to Ben.
We've decided to adopt Auggie.
- Great!
That's wonderful news.
- I know.
He already sees us as parents.
Gastern said
that a family member
could consent
to the transplant.
- But you won't be granted
parental rights overnight,
Maggie.
- I know, but Auggie is
running out of time, Sharon.
If he doesn't
get the transplant today
because of some stupid rule,
he could die.
- All right,
call the transplant team
and get Auggie to the O.R.
I'll sign off on the surgery.
- But what about DCFS?
- Well, if they wanna
raise a stink, fine.
I'll go to the press.
Believe me,
they don't want this tried
in the court of public opinion.
- Thank you.
- So I thought
it might be a good idea
if the three of us
could sit together
and come to
a better understanding
of what happened this morning.
We were talking this morning
about how you've been sharing
all these memories with Kelly,
and she's having a difficult
time accessing those,
and that's been painful
and confusing for her.
- I'm sorry, Mom.
- That's all right, honey.
- I remember my room,
and I remember my bear,
but all these memories,
all these happy memories
you keep talking about
are just gone.
- Right.
And in the car this morning,
what was going on?
What happened?
- I couldn't take it anymore.
I wanted to get away.
- Almost like the despair
that you had
in not being able to--
to reclaim
that part of yourself,
it just made you--
made you wanna flee.
Does that sound right?
Well, you know,
Kelly's memory issues are--
are actually understandable,
given the ordeal
that she's been through,
but I couldn't help noticing
that--
that you, Mrs. Bissett,
you were also
having a hard time
remembering something
this morning,
and that was Kelly's
favorite ride at Navy Pier,
which is a place, I mean,
you said
you've been to a lot together.
Do you think there's a chance
that you--
you might be embellishing
these memories a bit?
Embellishing the truth?
- It's my fault.
It's my fault she jumped out
of the car.
- Mom, no.
- We hardly went to Navy Pier.
- What?
- And the baking,
"Harry Potter"...
We got through half
of book one.
I always wanted to do
all these things with you.
There just never seemed
to be enough time.
- Right.
- But it was just
the two of us.
I had to work.
And then one day...
You didn't come home
from school.
And I could never
make it up to you.
Getting you back,
it's a miracle.
And I just wanna be
the mother you deserve.
- Hey.
I spoke to Ms. Goodwin.
She nixed my idea.
Said even if we put her
on a psych hold,
we couldn't force her
to have surgery.
- Right.
Well, it was worth a shot.
- Yeah.
She's 32.
So young.
I guess you should go
close her up.
- Let me talk to her
one more time.
- Okay.
- Alone.
Please?
- Okay.
- Are you gonna
close me up soon?
I really wanna get out of here.
- Yeah, I'm sure
you had your fill of hospitals
when your mom was sick.
- I can't even stand
the smell of flowers.
People used to send them
to her hospital room.
Then to the house,
after she died.
- You know, I, uh...
I lost my daughter to leukemia,
about ten years ago.
Just a few months
after her first birthday.
- I'm so sorry.
It must've been horrible.
- She used to fall asleep
on my chest.
Greatest feeling in the world.
I mean, I remember looking down
at her little face,
imagining all the things
I was gonna do with her.
Take her to see Santa,
teach her to ride a bike.
Walk her down the aisle.
She was so small but so tough.
You know?
Put up one hell of a fight.
Taught me more
about courage and resilience
than I could learn
in a lifetime.
I don't talk about this
with many people.
- Why did you?
- Because your life
is just as precious
as my little girl's.
And you need to fight for it.
Fight for it.
- Okay.
- Hey.
Hey.
- She, uh, agreed
to the surgery.
- That's wonderful.
- Yeah.
I'm gonna go
book her an O.R. now.
- How'd you get her
to change her mind?
- Made it personal.
- Anna?
I got pizza, honey.
Hawaiian pizza, which,
interestingly enough,
it turns out,
was invented in Canada.
- I'm bleeding.
- Okay.
Uh.
Let's, uh, get your coat on.
- Okay.
- And get you to the hospital.
- Okay.
- So we can figure out
what's going on.
.
- I thought
I made myself clear.
- Dude, I'm sorry,
but I didn't have a choice.
I mean, that presentation
was important.
- More important than the E.D.?
- I was only gone an hour,
and I cleared all my patients.
- That's not the point, man.
Look, how am I supposed
to run this department
if I can't trust my doctors?
- Look, this trial is
sanctioned by the hospital.
If you have a problem with it,
take it up with Goodwin.
- A chemical pregnancy?
- It's when the fertilized egg
has chromosomal abnormalities
and doesn't fully implant
into the uterine wall.
It's like having
a really bad period.
You wouldn't have known
you were pregnant
had you not taken a test.
Anna, you're gonna be fine.
I'll give you two some time.
- Thanks, Nat.
- Of course.
- You know, honey,
I've been thinking
a lot about what you said.
And you're right, you know,
Mom and I,
we've been having
a tough time, and--
and we've been arguing
about a lot of stuff,
but one thing that
we absolutely agree on
is how much we love you.
- I'm really glad you're here.
- Oh, honey.
Me too, sweetie.
- So since
I'm not pregnant anymore,
Mom doesn't have
to know, right?
- We can deal
with all that stuff later.
- Mr. Bowman, it's Dr. Choi.
We're all here.
- Thirsty.
- Here.
Would you like an ice chip?
- Mm.
- You're in recovery.
The operation went well.
How are you feeling?
Oh, my God.
It doesn't hurt anymore.
The pain.
I don't believe it.
- Oh, honey.
- The pain is gone.
- Oh, really, honey?
- Carol.
Carol, all those horrible
things I said.
They were terrible.
- We--
we don't have to talk
about that right now.
- I am so sorry.
- It's okay.
It's okay.
- I'm so sorry.
- Oh, sweetie, it's okay.
- Mr. Bowman got his life back
'cause of you.
- It was a tough diagnosis.
I got lucky.
- Mm, that wasn't luck.
You went the extra mile
for him.
He was so horrible.
Another doctor might have
given up.
But you didn't.
- Just trying to do my job.
- Hey.
About Noah?
What you did...
I get it.
It's not easy being in charge.
- I'm hungry.
- Now we know
you're feeling better.
Can I have pizza?
- Mm-mm.
We'll start
with something lighter,
and see if you can
hold it down.
- Sabeena.
I've been giving some thought
to your offer
about meeting with your guy
at Kender.
I'd like to take you up on it.
- Sure.
But I thought you said
your heart belonged to ED.
- Eh, I don't know.
I'm just trying to keep
my options open, I guess.
- Brilliant.
I'll get something on the books
as soon as possible.
- Thanks.
You leaving?
- Yeah.
- I'll walk you to your car.
- Great.
Oh...
No.
.
- Whatever this is,
I don't want it to end.
- Sorry, I didn't know.
- Natalie, this is Claire,
my ex-wife.
- How long before Auggie
gets a liver?
- He's low on the list.
- You're pregnant.
- How could this happen?
You cannot tell my parents.
- Dr. Sexton!
- What were you thinking?
- He had the right to die
on his own terms.
- He could lose his residency.
- Noah should've thought
about that before he acted.
You're fired for negligence.
- May I have a coffee to go,
please?
- Of course.
- Un doppio espresso
per favore.
- Double coming up.
- I'm embracing
my Italian heritage.
- Oh, right.
- Look at him.
Still can't believe
he fired Noah.
- You don't know
the whole story.
Hey.
What are you doing?
Did you even make it home
last night?
- I'm sorry, what?
I'm kinda busy.
- You're your own worst enemy,
Ethan.
- Morning.
- Morning.
- Listen, um, about last night.
You know, I shouldn't have
shown up unannounced like that.
- It's fine.
- And I completely understand
if you and your ex are--
- No, it's nothing like that.
- Well, 'cause, I mean, there's
a lot of history there, so.
- Natalie, my ex and I are not
getting back together again
if that's what you mean.
She just dropped something off.
- Oh, I just thought maybe--
- Dr. Manning, Dr. Marcel,
we got an incoming trauma.
Ambo just unloaded.
- All right.
- I've got it.
Baghdad.
What do we got?
- Cindy Morales, 32,
contractor.
She fell off the scaffolding
at a construction site
and landed on rebar.
It didn't go
all the way through.
We stabilized it at the scene.
Patient's mildly tachy,
but BP is stable.
- Okay.
Hey, Cindy?
Stay nice and calm for me,
okay?
All right, here we go, guys.
Nice and gentle now.
One, two, three.
- Cindy, I'm Dr. Manning,
this is Dr. Marcel.
Can you hear me?
- Yes.
- Can you tell me
what happened?
- Got dizzy.
Fell.
- A and B intact.
- Do you remember
when you got dizzy?
- Today.
It's what I get
for skipping breakfast.
- BP 118/74.
Heart rate 120.
- Okay.
- Sorry.
Call for blood type
and cross for 6 and 6.
- We're gonna give you
something for the pain, okay?
100 of fentanyl.
- All right, let's get her
up to CT.
Let's see
what we're dealing with
before we take her
into surgery.
Don't worry, Cindy, we're gonna
take good care of you, okay?
- I'm sorry to bother you
with this,
but I couldn't get ahold
of Anna's mother.
- No, I am--I'm actually
really glad you called.
You know, she's always been
pretty much of
a straight-A student.
I guess just
this online learning,
you know,
it's just been a challenge.
- It's hard to get students
to focus,
especially when they miss
several Zoom classes.
- She's not going to class?
- She hasn't been handing in
all her assignments either.
- Really?
You know what, I had no idea.
Um, you know,
she does her homework
over at a friend's house.
She's part of, like--
like, a study pod.
She's there right now,
or at least I hope she is.
- You may wanna start
checking her work.
- You know what, sounds like
I'm gonna have to.
- Look, this has been
a difficult year for everyone.
I just thought I should
bring it to your attention.
- Yeah, and you know what?
I appreciate it.
I will, uh--
I will definitely talk to her
after school,
and, you know,
thank you again for the call.
- You're welcome.
- Hey, can I get a quick word?
- Um, sure.
- Those just, uh, fell out
of Anna's coat pocket.
- Dan, I am so sorry
you had to find out this way.
- HIPAA, I get, okay?
But, I mean, couldn't you
have found a way
to just give me, like,
a little heads up?
- I tried to get Anna
to talk to you.
- I feel like an idiot.
I had no idea
she was even sexually active.
Like, not a clue.
- Look, all that
I can tell you
is that she's scared
and confused.
Oh, shoot.
I'm sorry, I gotta run.
Um, are you okay?
- Yeah, yeah.
- Okay.
.
- Over 200 people from the
American Hospital Association
have RSVP'd
for your presentation.
- A lot of little Zoom boxes.
Okay, what's the breakdown?
Mainly physicians?
- Yes, but also pharmacists,
some hospital administrators.
- Glad I included the slide
on cost savings.
- If this goes well today,
hospitals all over the country
will want to join this trial.
That will increase
our visibility
to get this drug to market
that much faster.
- Sabeena, this presentation
is gonna go great.
I promise.
- Hey, Will.
East Mercy's jammed.
They're diverting patients
to us.
I'm gonna need you.
- Sure, but at 3:00,
you know I got my presentation.
- Ah, sorry.
You're gonna have to push that.
- Ethan, come on,
you cleared this yesterday.
- I know.
But I just can't spare you.
Don't worry.
I'm doing it.
- Hey, April.
With me, please.
- Lucky you.
- Oh, stop.
- Mr. and Mrs. Bowman.
I'm Dr. Choi,
this is Nurse Sexton.
- Hi.
- I understand you passed out
this morning?
- Carol overreacted.
I'm fine.
Didn't need to call
a damn ambulance.
- How long was your husband
unconscious?
- I don't know.
Um, maybe a minute?
He's never passed out before.
I-I got worried,
and so I called 911.
- Any chest pain?
Shortness of breath?
- There's nothing wrong
with my heart.
It's my head.
It's killing me.
- Did he hit it
when he passed out?
- No.
- BP 147/90.
- It's slightly elevated.
- He's been in pain
for almost a year.
- A year?
- Oh, here we go.
I thought it was my teeth,
okay,
and I went to the dentist.
Had a root canal,
got a tooth pulled.
Nothing helped.
It just kept getting worse.
- Did you see a doctor
about it?
- Of course I did.
- Okay, follow my finger.
- Um, our family doctor thought
that it might be migraines.
Another doctor thought
that it could be anxiety.
- Stupid quack.
No!
Mm-mm-mm.
- I understand
you're in pain,
but I do need
to finish my exam.
- No, no!
No, it hurts too much.
- Okay, uh, let's get
a 12 lead-EKG,
CBC, BMP, cardiac labs,
and a head CT.
- Waste of time and money.
- Mr. Bowman,
you lost consciousness.
That's concerning.
It could indicate an issue
with your heart
or blood flow to your blain.
In order for us to help you,
we have to run these tests.
- Eric, please.
We have health insurance.
We're already here.
- All right.
- I'll check back in a bit.
- Thank you.
- Yeah.
- I saw a hamburger.
He was really mean.
- Well, that's no good.
We'll have to have
a talk with him.
- Are you a police officer?
- No, buddy, I'm a doctor.
He's jaundiced and has ascites.
- Is that causing
his confusion?
- No, that's from a buildup
of ammonia in his blood.
- It's affecting his brain.
- I'm gonna start him
on lactulose,
which will help bring down
the ammonia levels,
but the problem is,
everything I'm seeing points
to end-stage liver failure.
He needs a transplant
as soon as possible.
- Thank you, Dr. Ziesler.
- I should stay.
I can get a sub
to cover my classes.
- Mm-mm.
It's okay.
I'm taking the day off
from work.
I'll be with him.
- You sure?
- Mm-hmm.
I'll keep you posted.
- Okay.
- Yeah.
- Hey, Ben.
- Hi, Sharon.
- Hey.
- Hey, how's Auggie?
- Not any better.
And we don't have a donor yet.
- I'm sorry, Maggie.
Weren't you looking
at Heredity and Me
to see if he had any relatives?
- Yeah, but it didn't
go anywhere.
I even asked the ED staff
to get typed.
- Well, I'll get the word out
to all departments.
Hopefully, we'll find a match.
- That'd be great.
- Okay.
- Anna!
Anna!
- What are you doing here?
- Just--I need to talk to you
about something.
- Well, can it wait?
- I really need to talk
to you now.
Can you get in the car please?
What?
- I, um...
I found these in the--
in the front hall.
Does she know?
Sweetie, what is going on here?
You're 15 years old.
- I had sex one time, okay,
and we tried to be careful.
- I'm gonna ask you a question,
and I want you
to answer me honestly.
Did somebody pressure you
into having sex?
- No!
Nobody pressured me
into doing anything.
It was Ryan, my boyfriend.
- Your boyfriend?
I-I thought that Mom
didn't want you to date.
- No, she doesn't.
She doesn't let me do anything.
- Oh, honey, she's just trying
to protect you.
Does she know?
- God, no, and please,
don't tell her.
- Honey, I'm not
gonna tell her, you are.
I guess I just wish
you could've felt like you
could come and talk to us
about this.
- I was gonna tell you...
before your lawyer walked in.
Oh, God.
This thing with your Mom,
you know,
it's just--it's complicated.
- Yeah.
Yeah, no, I get it.
You guys are so busy fighting,
you totally forgot I existed.
- Sweetie.
Honey.
That is not true. Anna.
- Going to Treatment 4.
- 22-year-old female.
Jumped out of a moving vehicle.
Positive LOC, GCS 11.
Good breath sounds bilaterally.
BP 90/60.
- Oh, my God.
- You know her?
- That's Kelly Bissett.
- The kidnap victim?
- Yeah.
Mrs. Bissett, hi.
I'm April Sexton.
Do you remember me?
I helped treat your daughter
a few weeks ago?
- Of course I remember.
- Can you tell us
what happened?
- I don't know, I was driving,
and she just opened
the car door and jumped.
- All right, on my count.
One, two, three.
- A lot of road rash.
- Let's go.
- How fast were you driving?
- Oh, maybe 30, I don't know.
- Hi, Kelly,
my name's Dr. Halstead.
Can you hear me?
Do you know where you are?
Hey, GCS 12.
Slightly better
than in the field,
but she's protecting
her airway.
All right, need a CBC, CMP,
coags, tox screen.
I also want an ECG,
and let's get her to CT, stat.
- On it.
- Let's go.
- Let's go.
- Is she going to be okay?
- She's breathing on her own,
and her heart is strong.
That's a good thing.
We'll know more
when we get her scans back.
Mrs. Bissett,
I have to ask you.
When Kelly jumped out
of the car,
do you think she was trying
to kill herself?
I don't know.
I really don't know.
.
- Give me some suction here
where the rebar is.
- Pressure's starting to drop.
- Okay, keep giving her
blood and plasma.
Rebar goes right through
the hilum of the spleen.
Gotta get it out before
I get control of the vessels
and remove the spleen.
It's gonna bleed like hell,
okay?
Laps and curve 6 ready to go?
- Ready.
- All right, here we go.
Okay.
Laps.
How's her pressure, Marty?
- 90/66.
- Okay,
keep giving her product.
- Hey.
How's she doing?
- Spleen's coming out now.
All right.
Damn.
- What is it?
- Tumor the size
of a golf ball,
on the back wall
of the stomach.
- Well, it didn't show
on the CT.
- Too much scatter
from the rebar to see it.
- Can you resect it?
- Not without
the patient's consent.
I'm gonna send a sample
to pathology.
- Mrs. Bissett.
- Dr. Charles.
- I just heard about Kelly.
- Oh, yeah.
- Um.
Dr. Halstead told me
that she, uh,
she broke her pelvis
and has a concussion?
I'm so sorry.
- Yes.
They took her for more tests.
- So I understand that she--
she jumped out of your car.
Do you have any idea why?
Were you having an argument?
Taking her someplace
she didn't wanna go?
- No, just the opposite.
We were going to Navy Pier.
- Oh.
- I used to take her there
all the time
when she was little.
- Ah.
- She loved it.
- So did my youngest.
Oh, boy, that Ferris wheel.
It was her favorite.
- Hmm.
- What was, uh,
what was Kelly's?
- I, uh, I don't remember.
She liked it all.
I thought she'd be so happy.
I just--I don't understand
what happened.
- Any incidents or issues
before today that
are standing out for you?
- Not really.
Just--I never know
what she's thinking.
- Look, she's been gone
for over 12 years,
during which she went
from being a little girl
to an adult.
There's bound to be
a period of transition,
and you just--you gotta try
and be patient.
- She's my daughter.
- Yeah.
- But to tell you the truth,
it's like we're strangers.
- You have news?
- One of the donors
you had typed
is a match to Auggie.
That's wonderful!
- Yes, but unfortunately,
there's a problem.
The donor has amyloidosis.
- So?
- Maggie...
- I know it causes protein
to build up in the organs,
but that might not happen
for years.
- But it will happen
eventually,
and when it does,
it will be life-threatening.
- Yeah, but who knows
what treatments
they might have by then.
Sharon...
Auggie needs this liver.
- I understand.
I'll tell you what.
If Dr. Ziesler confirms
that it's an emergency,
I can allow the transplant
to proceed.
- She will.
- We got
your test results back.
Your labs and CT
came back normal.
I told you so.
You know what, you never
should've brought me here.
- Oh, Mr. Bowman, I did hear
a slight murmur
when I was listening
to your heart earlier,
and I'd like to do
an echocardiogram.
- No.
No, no more tests.
Can you get this off me?
And where are my clothes?
- Actually, Mr. Bowman, uh,
an echo is a non-invasive--
- No, I've had that murmur
since I was a kid.
There is nothing wrong
with my heart.
- Then an echo will prove that.
- Every time you people poke me
or jab me with a needle,
you make this pain
in my head worse.
Why don't you fix that?
- We will,
but you came in today
because you lost consciousness,
a potentially
life-threatening issue.
So, please, let us find out
what caused it.
- Fine, but you are just like
every other crap doctor
that I've been to.
- Eric, please.
- You know what, shut up.
I am sick and tired of you
treating me this way,
talking to me like I'm a child.
- I am just trying to--
- Shut your mouth, okay?
I'm not done talking.
- I'm sorry, Mr. Bowman,
could you please not?
- You can just stay out
of this.
- Let's just all calm down.
- I can't be around you
when you're like this.
- Then go, get out.
I don't want you here anyway!
I don't want you here.
- Hey, Cindy.
It's Dr. Marcel
and Dr. Manning.
How are you feeling?
- Tired.
- Yeah, I'm sure.
That's understandable.
So I want you to know
that the surgery
to remove the rebar went well.
Now, unfortunately, there was
significant damage
to the spleen, so ultimately,
we had to take it out.
But during the surgery,
we discovered a large mass
in your stomach.
A tumor.
I'm afraid to say
it is malignant.
- I knew it.
- You did?
- I've been having pain...
for a while.
Just like my mom.
She died from stomach cancer
five years ago.
- I'm so sorry to hear that.
- Look, I left
your abdomen open.
So with your consent,
I can take you to the O.R.,
and we can remove that cancer
right now.
- No.
- It--it's best
to remove the tumor
before it has a chance
to spread.
- I won't do the surgery.
Just please close me back up.
- Okay then, uh, we can have
an oncologist come by
and discuss
further treatment options.
- I can't do that.
I won't.
- May I ask why?
- For years, I watched my mom
go through painful surgeries.
Chemo made her so sick,
she couldn't get out of bed.
All those horrible treatments,
and she died anyway.
- Cindy,
you have to understand,
cancer treatments
have come a long way.
- Cindy, without treatment,
the cancer
will continue to grow.
- If you choose to do nothing,
this cancer will kill you.
- Then at least I'll die
on my own terms.
- I hate the thought
of standing by
and doing nothing.
- Yeah.
This rate, she'll most likely
be dead in six months.
- You know, she's
effectively killing herself.
Can we argue she's suicidal?
- Seems like a long shot.
- Don't close her up yet.
Let me talk to Ms. Goodwin.
.
- You know, I've actually
been thinking about you,
like, quite a lot
the last few weeks,
just, you know, wondering
what it's been like for you,
being home.
You know, how's it been going?
- Okay.
- Yeah.
I mean,
getting your freedom back,
being able to come and go,
make your own decisions,
I mean,
it's gonna take a little
getting used to, right?
- I guess.
- Yeah.
Hey, how about
you and your mom?
How's things going
between the two of you?
She told me that
she was taking you to Navy Pier
like she used to
when you were a little kid.
Gosh, my kids, they just
used to love going there,
especially my youngest.
That Ferris wheel.
Do you ever go on it?
- I don't know.
I can't remember.
- No?
I'm just curious, Kelly.
What do you remember
from that time?
- None of those things.
- None of what things?
- That my mom
keeps talking about
that we used to do.
Baking cinnamon rolls
every Saturday morning,
reading "Harry Potter" books
together.
- Well...
I can't imagine
how upsetting that must be.
But try and understand
that your captor,
he did everything he could
to wipe out your identity,
and he had years to do it.
But I think that with time
and with a little help
and a lot of patience,
that those memories
are gonna start coming back.
I really do.
- I don't know.
I just...
I can't remember any of it.
- We're ready to take Auggie
to surgery.
- Hold on just a second.
- Madeline?
What's going on?
DCFS won't allow me
to approve Auggie's transplant.
- But Dr. Ziesler
signed off on it.
She confirmed that
it's an emergency.
- I heard there's an issue
with the transplant.
- DCFS is calling it off.
- The liver is compromised.
Only a family member
can consent to the transplant.
- But Auggie doesn't
have any family.
- I'm sorry, Maggie.
These are DCFS rules.
- This is insane!
- Isn't there something else
we can do?
- Not at my end.
- Our drug can give people
their lives back.
Based on preliminary data,
we can project an increase
of 2.7 quality-of-life years.
A tremendous improvement.
This drug
could reduce hospital stays
by as much as 22%,
resulting in
significant savings.
And our initial calculations
estimate that
to be well over $100 million
in the first five years,
money that could fund
transplant programs
and stem cell research
to not only advance
the treatment of heart failure,
but to one day
eradicate it altogether.
Thank you for your time.
- That was spectacular.
Very effective.
- Thanks.
- Look at that.
- You know, you should consider
doing this as a full-time gig.
- Oh, yeah, really?
- No, I'm serious.
You could have a bright future
running clinical trials.
- Uh, I don't know.
- I could set up a meeting
for you
with Mark Barragan,
Kender's CEO.
- Well, I'm flattered, really.
But I'm an ED doc.
You know, treating patients,
it's, uh, it's what I love.
Speaking of which,
I'd better get going.
- It's too bad you can't stay
and wait
for the rest of
the rave reviews to come in.
- Oh, hearing them from you
is all I need.
I'll see you.
- Hey.
Mr. Bowman's echo was normal.
Yeah.
There's nothing wrong
with his heart.
- So why'd he pass out?
- I don't know yet.
I'm trying to figure out
if it's connected
to the pain in his head,
maybe shingles
or a nerve disorder.
- A little sleep might be
a better idea.
- It's Mr. Bowman.
- They're coming.
- What happened?
- He got a horrible jolt
of pain in his jaw,
and now he can't even
open his mouth.
- Let me take a look.
- You see that?
I barely touched him.
- Yeah...
- All right.
Mrs. Bowman, do certain things
seem to trigger an attack?
Eating, drinking,
brushing his teeth?
- Um, all of that.
I can't even turn the fan on
in our bedroom
without the breeze
hurting his face.
- Okay, April, 50 of fentanyl.
I need to get you an MRI
of your head and face.
Eric, Eric, listen to me.
Look, please.
I think I may know
what's causing this,
something the other doctors
never considered.
- Listen to him, Eric.
Eric, please.
- Eric, let me help you.
- Listen please.
- Mm-hmm!
Mm-hmm!
- Okay, April, let them know
we're coming up.
- Yep.
.
- Mrs. Bowman,
this is Dr. Abrams.
- Well, I'm amazed
Dr. Choi was actually right.
It's a classic case
of trigeminal neuralgia.
- What is that?
- It's a condition
where an artery
is pulsating against a nerve,
and eventually,
the nerve's insulation
is worn down to the point
where every pulse
triggers the nerve to fire.
Causes excruciating pain,
as I'm sure you've witnessed.
- So bad that patients
have been known
to take their own lives.
Judging by these scans,
the extent of the nerve damage,
I think the pain was
what caused your husband
to lose consciousness
this morning.
- We've been
to so many doctors.
Why didn't any of them
find this?
- Incompetent, maybe?
- Mm, no.
Uh, it's often misdiagnosed
as a dental issue
because of the pain in the jaw.
- Is there a cure?
- It can be managed
with medication,
but I recommend surgery,
a microvascular decompression.
I'd cut a small window
in his skull
and insert a piece
of Teflon cushion
between the artery
and the nerve.
- That sounds dangerous.
- Much less so
with me doing it.
- Okay.
- Maggie,
his sats are dropping.
- I'll up the flow of oxygen.
- Go to 10 liters.
Maggie, if he doesn't
start to improve,
I'm gonna have to intubate.
Hey, little man.
Can you hear me?
- Mom?
- Oh, no, sweetie, it's Maggie.
- No.
Mom.
I'm right here.
Sharon.
- Yeah?
- Auggie's getting worse.
They're gonna have to
intubate him soon.
- Oh, Maggie.
I'm so sorry.
- I just spoke to Ben.
We've decided to adopt Auggie.
- Great!
That's wonderful news.
- I know.
He already sees us as parents.
Gastern said
that a family member
could consent
to the transplant.
- But you won't be granted
parental rights overnight,
Maggie.
- I know, but Auggie is
running out of time, Sharon.
If he doesn't
get the transplant today
because of some stupid rule,
he could die.
- All right,
call the transplant team
and get Auggie to the O.R.
I'll sign off on the surgery.
- But what about DCFS?
- Well, if they wanna
raise a stink, fine.
I'll go to the press.
Believe me,
they don't want this tried
in the court of public opinion.
- Thank you.
- So I thought
it might be a good idea
if the three of us
could sit together
and come to
a better understanding
of what happened this morning.
We were talking this morning
about how you've been sharing
all these memories with Kelly,
and she's having a difficult
time accessing those,
and that's been painful
and confusing for her.
- I'm sorry, Mom.
- That's all right, honey.
- I remember my room,
and I remember my bear,
but all these memories,
all these happy memories
you keep talking about
are just gone.
- Right.
And in the car this morning,
what was going on?
What happened?
- I couldn't take it anymore.
I wanted to get away.
- Almost like the despair
that you had
in not being able to--
to reclaim
that part of yourself,
it just made you--
made you wanna flee.
Does that sound right?
Well, you know,
Kelly's memory issues are--
are actually understandable,
given the ordeal
that she's been through,
but I couldn't help noticing
that--
that you, Mrs. Bissett,
you were also
having a hard time
remembering something
this morning,
and that was Kelly's
favorite ride at Navy Pier,
which is a place, I mean,
you said
you've been to a lot together.
Do you think there's a chance
that you--
you might be embellishing
these memories a bit?
Embellishing the truth?
- It's my fault.
It's my fault she jumped out
of the car.
- Mom, no.
- We hardly went to Navy Pier.
- What?
- And the baking,
"Harry Potter"...
We got through half
of book one.
I always wanted to do
all these things with you.
There just never seemed
to be enough time.
- Right.
- But it was just
the two of us.
I had to work.
And then one day...
You didn't come home
from school.
And I could never
make it up to you.
Getting you back,
it's a miracle.
And I just wanna be
the mother you deserve.
- Hey.
I spoke to Ms. Goodwin.
She nixed my idea.
Said even if we put her
on a psych hold,
we couldn't force her
to have surgery.
- Right.
Well, it was worth a shot.
- Yeah.
She's 32.
So young.
I guess you should go
close her up.
- Let me talk to her
one more time.
- Okay.
- Alone.
Please?
- Okay.
- Are you gonna
close me up soon?
I really wanna get out of here.
- Yeah, I'm sure
you had your fill of hospitals
when your mom was sick.
- I can't even stand
the smell of flowers.
People used to send them
to her hospital room.
Then to the house,
after she died.
- You know, I, uh...
I lost my daughter to leukemia,
about ten years ago.
Just a few months
after her first birthday.
- I'm so sorry.
It must've been horrible.
- She used to fall asleep
on my chest.
Greatest feeling in the world.
I mean, I remember looking down
at her little face,
imagining all the things
I was gonna do with her.
Take her to see Santa,
teach her to ride a bike.
Walk her down the aisle.
She was so small but so tough.
You know?
Put up one hell of a fight.
Taught me more
about courage and resilience
than I could learn
in a lifetime.
I don't talk about this
with many people.
- Why did you?
- Because your life
is just as precious
as my little girl's.
And you need to fight for it.
Fight for it.
- Okay.
- Hey.
Hey.
- She, uh, agreed
to the surgery.
- That's wonderful.
- Yeah.
I'm gonna go
book her an O.R. now.
- How'd you get her
to change her mind?
- Made it personal.
- Anna?
I got pizza, honey.
Hawaiian pizza, which,
interestingly enough,
it turns out,
was invented in Canada.
- I'm bleeding.
- Okay.
Uh.
Let's, uh, get your coat on.
- Okay.
- And get you to the hospital.
- Okay.
- So we can figure out
what's going on.
.
- I thought
I made myself clear.
- Dude, I'm sorry,
but I didn't have a choice.
I mean, that presentation
was important.
- More important than the E.D.?
- I was only gone an hour,
and I cleared all my patients.
- That's not the point, man.
Look, how am I supposed
to run this department
if I can't trust my doctors?
- Look, this trial is
sanctioned by the hospital.
If you have a problem with it,
take it up with Goodwin.
- A chemical pregnancy?
- It's when the fertilized egg
has chromosomal abnormalities
and doesn't fully implant
into the uterine wall.
It's like having
a really bad period.
You wouldn't have known
you were pregnant
had you not taken a test.
Anna, you're gonna be fine.
I'll give you two some time.
- Thanks, Nat.
- Of course.
- You know, honey,
I've been thinking
a lot about what you said.
And you're right, you know,
Mom and I,
we've been having
a tough time, and--
and we've been arguing
about a lot of stuff,
but one thing that
we absolutely agree on
is how much we love you.
- I'm really glad you're here.
- Oh, honey.
Me too, sweetie.
- So since
I'm not pregnant anymore,
Mom doesn't have
to know, right?
- We can deal
with all that stuff later.
- Mr. Bowman, it's Dr. Choi.
We're all here.
- Thirsty.
- Here.
Would you like an ice chip?
- Mm.
- You're in recovery.
The operation went well.
How are you feeling?
Oh, my God.
It doesn't hurt anymore.
The pain.
I don't believe it.
- Oh, honey.
- The pain is gone.
- Oh, really, honey?
- Carol.
Carol, all those horrible
things I said.
They were terrible.
- We--
we don't have to talk
about that right now.
- I am so sorry.
- It's okay.
It's okay.
- I'm so sorry.
- Oh, sweetie, it's okay.
- Mr. Bowman got his life back
'cause of you.
- It was a tough diagnosis.
I got lucky.
- Mm, that wasn't luck.
You went the extra mile
for him.
He was so horrible.
Another doctor might have
given up.
But you didn't.
- Just trying to do my job.
- Hey.
About Noah?
What you did...
I get it.
It's not easy being in charge.
- I'm hungry.
- Now we know
you're feeling better.
Can I have pizza?
- Mm-mm.
We'll start
with something lighter,
and see if you can
hold it down.
- Sabeena.
I've been giving some thought
to your offer
about meeting with your guy
at Kender.
I'd like to take you up on it.
- Sure.
But I thought you said
your heart belonged to ED.
- Eh, I don't know.
I'm just trying to keep
my options open, I guess.
- Brilliant.
I'll get something on the books
as soon as possible.
- Thanks.
You leaving?
- Yeah.
- I'll walk you to your car.
- Great.
Oh...
No.
.