Chicago Med (2015–…): Season 8, Episode 1 - How Do You Begin to Count the Losses - full transcript
OK, this is the moment
of truth, Dr. Marcel.
If there's a chance she could
lose function in her hands,
- she'd be against it.
- Knowing your mother,
I'd agree.
Let's get her off the table.
Come on.
How could you do this to me?
Your life was on the line.
I know that we have history,
but it is history.
We could try starting fresh.
New neighbors.
Your father never
wanted you to know.
We were in love.
You're the one
who should have this.
Vanessa's biological father,
I loved him at the time.
What happens if those old
feelings are still there?
I'm so happy to see you.
Will, the Vas-COM trial.
Please tell me you're
not going to testify.
I have to.
And what about me?
You're going to ruin my life.
They're going to
throw me in jail.
Let go of me.
I used to be a cop.
Inside, I'll always bleed blue.
It wasn't my idea
to drag you in.
I can't wait
for this case to be over.
The building's on fire.
You need to get out.
You lying bitch.
No!
Take the back stairs!
All right.
Let's get him out of here.
Let's get back in the room.
One, two, three.
Ah!
Hey, up here!
Up here!
- Hermann!
- Hey, Will!
We need the basket.
On it.
Hey, grab me the skid.
Will, need a hand
over here, man.
I don't think he's going
to last much longer.
Any other way out of here?
Just both stairwells,
but CFD's coming up.
Let's get him by the window.
Slide the curve to his feet.
You guys OK?
Yeah, yeah.
- Clip the straps.
- Yeah.
Grab him by the feet.
We're going to
pull them through.
OK.
Yeah.
One, two, three.
Good job.
Clip him up.
We're going to swing him around
counterclockwise, all right?
And one, two, three, go.
Hey, Roy!
Skid's coming down.
- You got it?
- On the way!
One, two, three.
All right.
Let's go.
Slide him down.
Stay low.
Let's go.
Skedaddle.
Let's go!
Go!
Ahh!
Hey, Will, Dylan,
hey,
you guys should be on oxygen.
Yeah. Yeah.
- Hannah?
- I'm OK.
I thought you got out.
No, I...
I went back in to find you.
Your lungs are clear.
Anybody seen Milena?
As far as CFD can tell, no
one else is in the building.
I got to find her.
What we got?
Male, mid-30s.
GSW to the abdomen.
GCS 3t.
Extracted from structure fire
with an inhalation injury.
Dr. Asher's in the next
ambo with Dr. Halstead.
All right.
Dr. Taylor and I
will take this guy.
- You take Hannah.
- OK.
All right, let's go.
Come on. On my count.
Ready?
One, two, three.
Bilateral breath sounds.
Get me an X-ray, chest,
and belly, please.
BP 98/68.
Heart rate 130.
Single hole,
left upper quadrant.
This guy's in trouble.
Let's roll him.
Second hole, right back.
Through and through.
Let's hope.
Laparotomy?
Yeah.
Let's see how bad
the damage is.
Any time.
X-ray.
OK, no retained missiles.
Two units whole blood
and prep the hybrid OR.
On it.
Jo!
Jo?
Dylan?
Oh, man.
You've been hit.
We got... we got to get
you to the hospital.
- Dylan.
- Yeah.
It's not your fault.
Come on, Jo.
Stay with me.
You're gonna be OK,
all right?
You're going to be OK.
Hello?
This is Dr. Scott.
I need an ambulance stat.
So you had a mild
inhalation injury,
but you responded well
to the supplemental O2.
How high was her CO level?
Peaked at 12, but now
it's back to normal.
How are you feeling?
Good.
Can I get dressed now?
Yeah, I guess so.
Well, if you want
to take a couple hours...
Will, thanks, but I'm fine.
Oh, what about Dylan?
Did he find Milena?
Yeah, but it's
not looking great.
Oh, god.
Hey, you all right?
Yeah.
You could use
some cleaning up.
I've got to testify
at the Vas-COM trial today.
All my clothes,
everything, it's gone.
I'll see if I can
scrounge up a clean shirt.
It's Milena.
Tracy, let's go.
Follow me.
Lost pulse and went
systolic on the monitors.
Yeah, she's bleeding
from everywhere.
Let me take over.
All right.
Maggie, hit her
with a milligram of epi,
one of calcium,
an amp of bicarb,
and keep transfusing.
Come on.
Does her pulse check?
No pulse.
She's asystole.
Give her another round.
Open her chest.
It's no use.
She's coagulopathic.
Then another round.
Come back, Jo.
Come on.
Come back, Jo.
We lost her, Dylan.
We lost her.
Jo.
Time Of Death, 8:04.
She's gone.
I'm so sorry.
- It was my fault.
- It was not your fault.
I shot the gun.
Dylan, you were being
attacked, all right?
There was an assailant.
How could you know the bullet
was going to go through him
and hit Milena?
How could you know that?
Her name was Jo.
And you were trying
to protect her.
I did a hell of a job, man.
Buddy,
you did the best you could.
I killed her.
I killed the woman I love, man.
Oh, god.
I wouldn't go in
there if I were you.
She's still upset?
Livid is the word I'd use.
What's her prognosis?
Since she hasn't yet
rescinded power of attorney,
I suppose I can share.
She's going to Brooks
Emmerich in Boston.
In my opinion,
it's the best neuro
rehab center in the country.
In all likelihood,
she'll come back from this.
Good.
Thank you.
Hey, Sam.
You understand
why I opted to sack the vessel?
I understand,
but your decision was...
Well, uninspired is the
kindest thing I can say.
And personally, I've
struggled not to take offense.
Offense?
Yeah.
Clearly, you doubted
I could make the repair.
Oh, believe me, that
had nothing to do with it.
You say so.
Oh, and not that
this had anything
to do with your decision,
but it is ironic
the way you managed to sideline
the chief of transplant,
some might say making room
for the next rising star.
Hey.
He's waiting
to hear about Goran.
I can't imagine what
Dylan's going through.
I know.
Ms. Goodwin,
can I have a word?
Oh. Sure.
Look, I know this is
probably the last thing you
need today,
but I I'd like to be taken
off the transplant service.
Taken off?
Yes.
After all
the time and money that
has gone into your training?
After having, in effect,
a fellowship
with our premier
transplant surgeon?
I have my reasons.
Well, I'm sure you do.
And I'm guessing it's
personal and not related
to your competence in the OR.
That's right.
Well, the answer is no.
Whoa, Ms. Goodwin.
- Hold on.
- Look, look, no, no, no.
Dr. Marcel, I know all
about Dr. Blake's surgery,
and I suspect you
feel a need to atone
for the decision you made.
But do you have
any idea what it would
cost to replace you,
to recruit a top-notch
transplant surgeon?
No, you don't.
And we are not about to
start turning away patients.
No, no, no, no.
Uh-uh.
You are on the
transplant service.
Wait, deliberate?
You're sure?
No question.
We found traces of accelerant
at the base of both stairways.
Excuse me.
The fire, it was arson?
Goran's the most
likely suspect.
Could have wanted to flush
Milena out, got trapped.
We won't know for
certain until we check
security cameras in the area.
Thanks.
I'm sorry, Will.
And I brought all this on you.
Please, you don't
need to apologize.
Yeah, but had I not
asked you to let her stay...
Dylan, come on.
My loss was nothing
compared to yours.
I'm fine.
I just feel for you.
Dr. Marcel and I
are in complete agreement.
The patient's hilum
is not reconstruct able.
His liver's shot.
Sorry.
No pun intended.
He's going to
need a transplant.
I'll put him on the list, OK?
Hold on.
He might die before
that happens.
Yeah.
What a loss.
I'll donate.
What?
I said I'll donate.
Oh, come on.
Hey, Dylan.
Look, I get it.
But you're in no condition
to make a decision like this.
I can't let him die.
What's your blood type?
A positive.
Well then, that's that.
He's B negative.
Well, then we have to find
a donor.
You do not give up, do you?
Dr. Marcel, your case.
We'll do my best, OK?
Looks like that breakfast
burrito is getting cold.
You know,
I forgot all about it.
You know,
I tried to talk to Dylan?
Did you know he was
in love with her?
Like, grief on top
of grief, you know?
- Yeah.
- What can you say?
Well, what could anybody say?
Brutal though, right?
So who are you
talking to these days?
What do you mean?
Well, you know, after
all that Lonnie business,
I thought you'd look
for another therapist.
You know what?
I haven't, um, I haven't
really been looking.
- No?
- Uh-uh.
Hey, doesn't the
Vas-COM trial start today?
Subject changer.
Yes, it starts this afternoon.
Good luck with that.
Maggie.
Look who's here.
Grant.
Hello, Maggie.
He wanted to see
where I worked.
Oh.
Sorry.
It's kind of a sad day
for us here.
Yeah, Vanessa told me.
Are you getting coffee?
You should join us.
You know, I didn't
realize how late it was.
I have to get back to the ED.
Another time, then.
Yeah.
Yeah.
Thanks for coming, Dad.
Oh, hey.
Hey, I'm sorry about Jo.
I know you were close.
Yeah.
Look, Dad, I need a favor.
Can you call
the head of narcotics,
get me the yellow
file on Goran?
I need to see if he's
got any relatives nearby.
- Relatives?
- Yeah.
He needs a liver transplant,
and I've got to find a match.
Whoa, whoa, whoa, hold on,
Dylan.
Don't you think you're
going through an awful lot
for this guy?
He's my patient,
and I've got to do
at least one thing right.
OK.
Dr. Archer, 17-year-old
boy, David Sullivan,
was brought in last night.
Smoked marijuana
laced with fentanyl.
Narcaned in the field.
Resident put him on saline
to flush his system.
- OK.
- Treatment 6.
- Here's his latest drug panel.
- All right.
Thank you.
Yeah.
Can you sit up?
Try to sit up.
What's going on?
Where am I?
David, I'm Dr. Archer.
I'll be treating
your son today.
- Thank you.
- Where am I?
Stop saying that.
Look, you know perfectly
well where you are.
This... this isn't
like him, all right?
David's not some pothead.
His labs are good.
Drugs have pretty much
cleared his system.
Who are you?
Hey, he's your doctor.
They said the marijuana
had fentanyl in it.
Your son might
not even have known.
We're seeing a lot of cannabis
sprayed with fentanyl.
You could have died, David.
Are they coming?
Are who coming?
He's still high.
His THC levels
are negligible,
but we'll keep him on an IV,
make sure we flush his system.
I'm not listening to you!
Hey, hey, David.
Hey.
What is going on with you?
I'll check back
in a little while.
OK. Thank you.
Hey.
Can you page
Dr. Charles, please?
Yeah.
Hannah?
I can't catch my breath.
All right.
We'll get you in a room.
- Ethan!
- Let me help.
Hey.
She's dyspnic and wheezy.
OK.
Will, I got this.
No, I'm staying.
100 milligrams of SOLU-MEDROL
and a breathing treatment.
Yeah.
Why wheezing?
Why now?
Inhalation injury was minimal,
and the CO wasn't that high.
I don't know.
Until we can figure this out,
I think we should intubate.
Just saying...
- No, please.
- Yeah.
She's setting at 92
with the cannula.
Maybe we don't need to.
Please.
She doesn't want it.
This isn't
what I'd recommend.
All right.
We'll see if you can pull
through without intubation,
but I want a chest CT.
Mags, order a blood gas
and let radiology
know we're coming up.
Will do.
Sit tight, OK?
You're too close to her.
You can't be objective.
- You need to back off.
- We're not together.
It doesn't matter.
You were, and feelings
just don't disappear.
Even a banana. I think
it would be good for you.
Mr. and Mrs. Sullivan?
You again.
You know, David,
I don't think we met.
I'm Dr. Charles,
and this is Dr. Cuevas.
You're psychiatrists?
Yes.
- Stay away from me.
- OK.
Oh, god.
He doesn't need a psychiatrist.
He doesn't need a...
No,
he smoked some pot.
That's it.
And it was stupid.
I admit that.
You know, especially
for someone who's earned
early admission to Stanford.
Oh, well,
that's pretty impressive.
Hey, David,
I see you haven't eaten yet.
Honey, the doctor's
talking to you.
It's poison.
David, it's...
it's not poison.
I want to go home.
Well, if you hadn't done what
you did in the first place,
we wouldn't even be here.
Eric,
that's not helping right now.
Stop.
David, I want you to know
that we completely understand
that this can be a really
uncomfortable place,
and we want you
to know that we're
going to try and get you out of
here as soon as possible, OK?
OK.
- Nice to meet you.
- Yeah.
Nice to meet you.
Dr. Cuevas,
this is Dean Archer.
He is the head of the ED.
Nellie is starting
a psych rotation today.
Another lamb
to the slaughter.
Hardly a lamb, Dr. Archer.
Sorry.
So what's going on
with the kid?
What are you thinking?
He's paranoid, exhibiting
persecutory delusions.
It isn't just what he said
but his body language,
refusal to make eye contact.
Yeah.
The question is,
is it chemically induced,
or is there something
else going on here?
Well, if it is chemically
induced, it should resolve.
Yeah.
In the meantime,
we got to get a better
- history from the parents.
- Yeah.
I'm seeing ground
glass opacities.
And an enlarged
pulmonary artery.
She's definitely got
interstitial disease.
But what is causing it?
We need to get
a bronchoscopy,
clean out her lungs.
They can take a biopsy,
see if we can find out.
Hannah!
Hannah!
She's only sating at 83.
Get respiratory in here.
We got you, Hannah.
We got you.
OK?
Just relax.
There you go.
I'm in.
We should have intubated
her downstairs.
Look, I was upset earlier,
but I don't want you
to get the wrong impression
about David.
I mean, he is a great kid,
and we're very proud of him.
You know, this whole
business with the marijuana,
that's way out of character.
He was such a Sweet,
happy child.
You know, everyone would
always compliment us
on how good his manners are.
And up until now,
I mean, he's been
a straight-A student.
So his grades
have fallen off?
Just recently.
Any other changes
in his behavior
that you can think of?
Anything at all come to mind?
Well, I guess
he's quieter lately.
Quieter?
Sometimes, he seems
off in his own world.
I mean, he spends a lot
more time alone in his room.
Well, you don't notice it so
much because you're at work.
OK, so he's been spending
more time alone.
What about... what
about friends?
Does he have a group of buddies
he normally hangs out with?
I don't know.
I mean, he doesn't
bring anyone home.
You know, I guess he's just
more of a loner these days.
Yeah, but I mean, that's
true for a lot of kids, though.
You know, since COVID,
and the online classes
and the socializing.
Sure.
I mean, the pandemic has been
really rough on young people,
for sure.
But you haven't noticed
anything different?
I don't know.
Some... OK, I'll get
up at night sometimes,
and I'll see that the light
in his room's still on.
Well, yeah.
I guess that's why David
sleeps so much on the weekends.
He's just not
getting enough rest.
So sleeping
habits have changed?
Oh, I mean, this is all
normal teenage stuff, right?
Very possibly.
But honestly, we would really
appreciate it if you would
give us permission to have
another quick conversation
with David just to help us
figure out,
you know, what's going on
and maybe what isn't.
We certainly don't want
this to happen again.
No.
We don't.
I guess if you think
that it will help.
Great.
- Thank you.
- All right.
Dr. Scott.
Dr. Marcel.
Bogdan Costavich,
Goran's brother.
He's B negative.
A match.
He's agreed to donate
a lobe of his liver.
Well, Mr. Costavich,
this is very generous.
I just want to make
sure you understand
what it is you're agreeing to.
This is... well, it's
not a simple procedure.
Yes.
Dr. Scott explained to me.
Yeah.
There's risk involved, and it
might be as long as two months
before you're able
to go back to work,
so just keep that in mind.
Goran and I,
we went different ways.
I know he's done bad things,
but he's my brother.
I understand.
Please, Crockett.
Yeah.
All right.
Dr. Scott here is going
to get you prepped, OK?
I'll see you in there.
Hey.
Here's her biopsy.
Talc crystals embedded
in periarterial granulomas.
Look, on the street,
heroin is
often cut with talcum powder.
When she used,
the talc formed emboli,
which went into her lungs.
So she's had these
granulomas for years.
Obviously,
she's been able to get by.
But the smoke last night
triggered the interstitial
disease
- and caused the inflammation.
- Yeah.
Hey, she's on steroids
right now.
Let's see how she responds.
OK.
All right.
Grant.
I got your text message.
Maggie, I was hoping
I could catch you.
OK.
You seemed uncomfortable
this morning.
Was it because of me?
No, no, no, no, no.
Look, I was very happy to
bring you and Vanessa together.
And it meant a lot to me,
too, to see you again.
I felt the same way.
Tell me, Maggie,
you ever wonder
what it would have been like
if we'd just run off together?
I mean, if our parents
hadn't found out and...
Grant.
I mean,
if they hadn't made us
put the baby up for adoption.
Of course I do.
But that's not what happened.
I'm married, Grant.
And I'm very happy,
and I love my husband.
And you have a
relationship with Vanessa now,
and that's fine.
That's good.
But I can't be a part of that.
I'm sorry.
Dr. Marcel.
Yeah.
Get him prepped.
I'll be right there.
Going into this
transplant, I hope there's
no residual resentment.
I'm a surgeon.
The patient needs me.
On top of that, I'm doing this
for Dylan, so no, Ms. Goodwin.
No resentment.
Glad to hear it.
As you know,
the hospital is obligated
to have a senior
surgeon supervising,
and since Dr. Jones will be
resecting the donor liver,
- he can take that role.
- Yeah.
Yeah, that's fine.
I also came
to tell you that we're
experiencing another shortage
of packed red blood cells.
I can only allow this
patient seven units.
Ms. Goodwin,
a surgery like this
is usually
allotted 10 to 20 units.
Yes, I'm aware, but we
can't have any one patient
depleting our supplies.
We have other surgeries,
other patients.
So call another hospital.
I need that blood.
I've tried.
We're all in the same boat.
So you keep me in
transplant but tie my hands?
I'm sorry, Dr. Marcel.
Seven units.
So, David, do you know
why you're here?
Can you remember
what happened at all?
Why should I talk to you?
Well, you don't have to,
actually.
But we're really just
trying to help you.
Dad said the pot was bad.
When you smoked it, were you
alone or with some friends?
What difference does it make?
Maybe none at all.
But I mean,
just out of curiosity,
were you hang
with your crew, or...
People are stupid.
Certainly can be.
Let me ask you, have you
noticed anything different
about yourself, about...
I don't know, the way you...
The way you think, about the
way you feel about things?
Anything at all?
I think maybe...
I know.
I know.
I know.
David?
You're trying
to read my mind.
Is there someone in here
who's telling you that?
What?
No.
I'm not crazy.
You know what?
Sometimes I have this...
This little voice in my head
that's trying to tell me stuff,
and I actually get confused.
I lose track of whether is
that me talking to myself,
or is it someone else?
Does that ever happen to you?
OK.
And... and does that voice
ever tell you to do things?
Yes.
Not to trust you.
OK.
There's something wrong
with me, isn't there?
You know, pal, we're
going to figure it out.
OK?
You can trust me on that.
OK, so we know what
we're looking at.
His affect, disordered
thinking, the voices.
Now we can move forward.
We can start
a course of treatment.
I think we need to take a
little breath here, Doctor.
The patient is a minor,
which means that it's
his parents who are going to
be determining how we proceed,
so I hope that you were
observing them as closely
as you were David.
Dr. Marcel, how's it going?
Good.
Just the hepatic anastomosis
has taken some work.
Both the native artery and the
donors' are a little short.
You're using a
parachute technique
to bring them together.
Yeah.
OK, good.
Holler if you need me.
OK.
Almost got the
arteries together.
How are his vitals?
BP's starting to tank.
Where we at on pressers?
- Maxed out.
- Fluid resuscitation?
Same.
Let's hang another
unit of packed cells.
Can't.
That was our seventh.
We're out.
He's getting acidotic.
Crockett?
Yeah, almost there.
One more.
OK, hepatic artery
anastomosis complete.
BP 87/56.
Should I transfuse
more platelets?
Yeah.
And 90 mgs per
kg of Factor VII.
Why?
Got to get him clotting.
Get me some Evarrest.
We're gonna go ahead
and pack and get out.
Pack?
No.
You have to complete the
bile duct anastomosis.
No.
He's lost too much blood.
Gotta get him clotting
now, or we'll lose him.
Maybe you should
call Dr. Jones.
I know what I'm doing.
We pack him, recycle
what blood he's lost,
and wait to complete
the transplant.
You can't stop the surgery.
I have to.
Believe me,
it's the only option.
All right, lap pads.
Let's go.
Come on.
There it is.
Keep going.
Hey, Dan.
The new psych fellow's
looking for you.
Oh.
Yeah, thanks.
We were able
to diagnose that kid.
It's funny.
I think that
Dr. Cuevas is taking
a certain satisfaction in
being able to put a name on it.
I mean, I get that.
I was like that when
I was starting out.
But you know, there's
a little more to it.
Yeah.
So what is the diagnosis?
- Schizophrenia.
- Ahh.
I mean, we have to follow
up and confirm and all that,
but I'm...
I'm pretty sure it's
what we're looking at.
Yeah.
Have you told the parents?
Not yet.
I tried to call
my son yesterday.
Didn't know you had a son.
Yeah.
15 years ago,
lost him to drugs.
He's alive. I don't...
I just don't know where he is.
- Sorry to hear that, Dean.
- Yeah.
I'm telling you this
because I know what it's going
to be like for those parents.
Boy.
Oh, they're going to
remember that laughing kid
running through the sprinklers,
how proud he was
when he learned
how to ride a bike.
And they are not
going to understand
how it's possible
that some outside force
has stolen that boy away.
Whew.
Oh...
you know that.
Yeah.
Well, I gotta go tell them.
Gotta go tell the parents.
Well, like you always say,
at least now
he'll get the help he needs.
Let's hope so.
OK, let's unpack him.
You got it?
Great.
Thank you.
OK, no active bleeding.
Marty?
Vitals are steady.
Looks like it worked.
Hell of a call, Crockett.
All right.
Good job, everyone.
Let's wrap this up.
So Dr. Cuevas
and I have a strong hunch
about what could be causing
David's difficulties.
Is it really such a mystery?
I mean, it seems like just
normal adolescent stuff.
I know you've noticed his...
His odd comments,
his jumbled thoughts.
His fearfulness.
You... you think that there's
something wrong with David?
We think David is
suffering from an illness.
We'd like him to see one of
our outpatient psychiatrists.
Wait, wait, wait,
wait, wait, wait.
Another psychiatrist?
It's just part of
the evaluation process.
I don't understand.
This isn't making any sense.
What is going on?
We know that you love
your son very much,
and this might not
be easy to hear,
but we believe that
David is developing
a schizoaffective disorder.
What?
Mentally ill?
No.
Psychotic?
No!
No, we're taking
David home right now.
How can you
say that about him?
This is a
treatable condition.
How?
We have a much
better understanding
- of the mechanism...
- My boy isn't crazy.
You're the ones that are crazy.
I think if we can just...
can we please talk about this?
No.
No.
Look, we don't want
anything to do with you.
Stay away from us.
We should sue you.
Oh, my god.
I mean, I've had patients
with schizophrenia before,
but I've never had to break
the news to the parents.
Sadly, their reaction
is not uncommon.
Well, how is that boy
supposed to get any help?
Exactly.
Come in.
Ms. Goodwin.
Dr. Scott.
I wanted to let you know,
Goran's
transplant is going well.
Dr. Marcel thinks
he'll pull through.
Well, good.
I know how much
that means to you.
I'm sorry, I have to run out.
I have the Vas-COM trial.
I also wanted to tell you
I'm leaving MED.
What?
You once reminded me
that I wear
a white coat, not a blue one.
But the thing is,
here in Chicago,
I don't think I'll ever
be able to escape my past.
I don't think I'll ever be able
to take that blue coat off.
But Chicago's your home.
You grew up here.
Yeah, that's the problem.
Those old ties keep
pulling me back in.
I have to go someplace where
I can just be a doctor.
So...
Well,
you will be sorely missed.
Is there any way I can
talk you out of it?
This is where I met Jo,
and where I lost her.
So every time I go past
that room,
I think of her, and...
Understood.
It has truly been
my pleasure, Dr. Scott.
Wow.
Extubated.
RSBI was normal.
Passed her breathing
trial with flying colors.
Talc granulomas.
Heroin addiction.
A gift that keeps giving.
The pulmonologist will
get your lungs cleaned up.
You'll be fine.
Yeah, till the next thing.
I just can't seem
to shake the past.
Hey, you're not in this
alone, Hannah, OK?
Excuse me.
Dr. Halstead,
you and I have a date in court.
Where did you get
that outfit?
Maggie dug it out
of the lost and found.
Yeah?
Well, she didn't
do you any favors.
Jessa Rinaldi,
we're placing you under arrest.
What?
Don't say anything.
You're charged
with aggravated arson
and one count
of attempted murder
against Dr. Will Halstead.
Oh, come on.
What the hell is this?
This is absolutely ridiculous.
We have credit card
evidence of your client buying
accelerant plus
surveillance camera footage
of her entering
and leaving the building
immediately before the fire.
Let's go.
I thought Sam told you
I didn't want to see you.
He did.
But I have something
I need to say.
Look, if you
came to apologize...
I didn't.
I came to thank you.
I had a win in the OR today,
largely because of you,
what you taught me.
It made me realize, I...
I have an obligation
to continue this work,
that I can't throw away the
knowledge you've given me.
Very nice speech, Crockett.
Meanwhile, I'm sidelined
with this injury.
I know.
When I come back,
which I will,
if you think you're going to
be on my team, think again.
All right.
You know, if it had
been me on the table,
and it was you who
had to make the call,
I'm pretty sure you would've
done the same thing.
Good night, Pamela.
So I don't know
if he mentioned it,
but I actually did my
residency with your partner
way back when.
A little before your time.
But anyway,
so you know I had to part
company with my therapist
about two months ago.
And I don't know,
lately I've just been really
missing the interaction.
And then today, I just
had this brutal day, and...
I'm sorry.
I just have to
ask you a few questions.
Do you smoke?
No.
Take any recreational drugs?
No.
Do you have a gun
in the house?
No, I do not.
OK.
So you were saying that today
was particularly difficult?
In what way was it... difficult?
Hmm?
April?
Ethan.
Hi.
I, um, I saw
your dad's obituary.
I... I would have come
to the service, but I...
I wasn't sure.
I mean, I didn't want
it to be awkward, so...
No.
Um, are you back in Chicago?
Yeah. Yeah.
I finished my NP program.
I'm working with a
medical group here, so...
What about you?
Are you all better?
Yeah, pretty much.
Guess my NFL career
is over, but...
How's the family?
Emily, the baby?
Well, he's probably
huge by now.
Not a baby anymore, no.
But good.
They're really good.
You didn't get married
or anything, did you?
No.
Did you?
No.
Um,
well,
I will see you around.
Yeah.
Yeah.
Hello.
You have a call from...
Sean Archer.
And inmate
at Cook County Jail.
Will you accept?
Yes.
Absolutely.
Dad?
Dylan.
Hey, Dylan.
Wait up.
It wasn't Goran.
It was Jessa.
What?
The fire.
Goran had nothing
to do with it.
Jessa from Vasik, she was
the one who started it.
Oh.
Yeah, Ms. Goodwin
told me you were leaving.
I know you've been
through a lot,
but if your decision had
anything to do with the fire...
It didn't.
You know what?
I appreciate it.
Yeah.
- Yeah.
- Maybe give it a couple of days.
Think about it.
You're a good guy, Will.
Take care, man.
You too.
of truth, Dr. Marcel.
If there's a chance she could
lose function in her hands,
- she'd be against it.
- Knowing your mother,
I'd agree.
Let's get her off the table.
Come on.
How could you do this to me?
Your life was on the line.
I know that we have history,
but it is history.
We could try starting fresh.
New neighbors.
Your father never
wanted you to know.
We were in love.
You're the one
who should have this.
Vanessa's biological father,
I loved him at the time.
What happens if those old
feelings are still there?
I'm so happy to see you.
Will, the Vas-COM trial.
Please tell me you're
not going to testify.
I have to.
And what about me?
You're going to ruin my life.
They're going to
throw me in jail.
Let go of me.
I used to be a cop.
Inside, I'll always bleed blue.
It wasn't my idea
to drag you in.
I can't wait
for this case to be over.
The building's on fire.
You need to get out.
You lying bitch.
No!
Take the back stairs!
All right.
Let's get him out of here.
Let's get back in the room.
One, two, three.
Ah!
Hey, up here!
Up here!
- Hermann!
- Hey, Will!
We need the basket.
On it.
Hey, grab me the skid.
Will, need a hand
over here, man.
I don't think he's going
to last much longer.
Any other way out of here?
Just both stairwells,
but CFD's coming up.
Let's get him by the window.
Slide the curve to his feet.
You guys OK?
Yeah, yeah.
- Clip the straps.
- Yeah.
Grab him by the feet.
We're going to
pull them through.
OK.
Yeah.
One, two, three.
Good job.
Clip him up.
We're going to swing him around
counterclockwise, all right?
And one, two, three, go.
Hey, Roy!
Skid's coming down.
- You got it?
- On the way!
One, two, three.
All right.
Let's go.
Slide him down.
Stay low.
Let's go.
Skedaddle.
Let's go!
Go!
Ahh!
Hey, Will, Dylan,
hey,
you guys should be on oxygen.
Yeah. Yeah.
- Hannah?
- I'm OK.
I thought you got out.
No, I...
I went back in to find you.
Your lungs are clear.
Anybody seen Milena?
As far as CFD can tell, no
one else is in the building.
I got to find her.
What we got?
Male, mid-30s.
GSW to the abdomen.
GCS 3t.
Extracted from structure fire
with an inhalation injury.
Dr. Asher's in the next
ambo with Dr. Halstead.
All right.
Dr. Taylor and I
will take this guy.
- You take Hannah.
- OK.
All right, let's go.
Come on. On my count.
Ready?
One, two, three.
Bilateral breath sounds.
Get me an X-ray, chest,
and belly, please.
BP 98/68.
Heart rate 130.
Single hole,
left upper quadrant.
This guy's in trouble.
Let's roll him.
Second hole, right back.
Through and through.
Let's hope.
Laparotomy?
Yeah.
Let's see how bad
the damage is.
Any time.
X-ray.
OK, no retained missiles.
Two units whole blood
and prep the hybrid OR.
On it.
Jo!
Jo?
Dylan?
Oh, man.
You've been hit.
We got... we got to get
you to the hospital.
- Dylan.
- Yeah.
It's not your fault.
Come on, Jo.
Stay with me.
You're gonna be OK,
all right?
You're going to be OK.
Hello?
This is Dr. Scott.
I need an ambulance stat.
So you had a mild
inhalation injury,
but you responded well
to the supplemental O2.
How high was her CO level?
Peaked at 12, but now
it's back to normal.
How are you feeling?
Good.
Can I get dressed now?
Yeah, I guess so.
Well, if you want
to take a couple hours...
Will, thanks, but I'm fine.
Oh, what about Dylan?
Did he find Milena?
Yeah, but it's
not looking great.
Oh, god.
Hey, you all right?
Yeah.
You could use
some cleaning up.
I've got to testify
at the Vas-COM trial today.
All my clothes,
everything, it's gone.
I'll see if I can
scrounge up a clean shirt.
It's Milena.
Tracy, let's go.
Follow me.
Lost pulse and went
systolic on the monitors.
Yeah, she's bleeding
from everywhere.
Let me take over.
All right.
Maggie, hit her
with a milligram of epi,
one of calcium,
an amp of bicarb,
and keep transfusing.
Come on.
Does her pulse check?
No pulse.
She's asystole.
Give her another round.
Open her chest.
It's no use.
She's coagulopathic.
Then another round.
Come back, Jo.
Come on.
Come back, Jo.
We lost her, Dylan.
We lost her.
Jo.
Time Of Death, 8:04.
She's gone.
I'm so sorry.
- It was my fault.
- It was not your fault.
I shot the gun.
Dylan, you were being
attacked, all right?
There was an assailant.
How could you know the bullet
was going to go through him
and hit Milena?
How could you know that?
Her name was Jo.
And you were trying
to protect her.
I did a hell of a job, man.
Buddy,
you did the best you could.
I killed her.
I killed the woman I love, man.
Oh, god.
I wouldn't go in
there if I were you.
She's still upset?
Livid is the word I'd use.
What's her prognosis?
Since she hasn't yet
rescinded power of attorney,
I suppose I can share.
She's going to Brooks
Emmerich in Boston.
In my opinion,
it's the best neuro
rehab center in the country.
In all likelihood,
she'll come back from this.
Good.
Thank you.
Hey, Sam.
You understand
why I opted to sack the vessel?
I understand,
but your decision was...
Well, uninspired is the
kindest thing I can say.
And personally, I've
struggled not to take offense.
Offense?
Yeah.
Clearly, you doubted
I could make the repair.
Oh, believe me, that
had nothing to do with it.
You say so.
Oh, and not that
this had anything
to do with your decision,
but it is ironic
the way you managed to sideline
the chief of transplant,
some might say making room
for the next rising star.
Hey.
He's waiting
to hear about Goran.
I can't imagine what
Dylan's going through.
I know.
Ms. Goodwin,
can I have a word?
Oh. Sure.
Look, I know this is
probably the last thing you
need today,
but I I'd like to be taken
off the transplant service.
Taken off?
Yes.
After all
the time and money that
has gone into your training?
After having, in effect,
a fellowship
with our premier
transplant surgeon?
I have my reasons.
Well, I'm sure you do.
And I'm guessing it's
personal and not related
to your competence in the OR.
That's right.
Well, the answer is no.
Whoa, Ms. Goodwin.
- Hold on.
- Look, look, no, no, no.
Dr. Marcel, I know all
about Dr. Blake's surgery,
and I suspect you
feel a need to atone
for the decision you made.
But do you have
any idea what it would
cost to replace you,
to recruit a top-notch
transplant surgeon?
No, you don't.
And we are not about to
start turning away patients.
No, no, no, no.
Uh-uh.
You are on the
transplant service.
Wait, deliberate?
You're sure?
No question.
We found traces of accelerant
at the base of both stairways.
Excuse me.
The fire, it was arson?
Goran's the most
likely suspect.
Could have wanted to flush
Milena out, got trapped.
We won't know for
certain until we check
security cameras in the area.
Thanks.
I'm sorry, Will.
And I brought all this on you.
Please, you don't
need to apologize.
Yeah, but had I not
asked you to let her stay...
Dylan, come on.
My loss was nothing
compared to yours.
I'm fine.
I just feel for you.
Dr. Marcel and I
are in complete agreement.
The patient's hilum
is not reconstruct able.
His liver's shot.
Sorry.
No pun intended.
He's going to
need a transplant.
I'll put him on the list, OK?
Hold on.
He might die before
that happens.
Yeah.
What a loss.
I'll donate.
What?
I said I'll donate.
Oh, come on.
Hey, Dylan.
Look, I get it.
But you're in no condition
to make a decision like this.
I can't let him die.
What's your blood type?
A positive.
Well then, that's that.
He's B negative.
Well, then we have to find
a donor.
You do not give up, do you?
Dr. Marcel, your case.
We'll do my best, OK?
Looks like that breakfast
burrito is getting cold.
You know,
I forgot all about it.
You know,
I tried to talk to Dylan?
Did you know he was
in love with her?
Like, grief on top
of grief, you know?
- Yeah.
- What can you say?
Well, what could anybody say?
Brutal though, right?
So who are you
talking to these days?
What do you mean?
Well, you know, after
all that Lonnie business,
I thought you'd look
for another therapist.
You know what?
I haven't, um, I haven't
really been looking.
- No?
- Uh-uh.
Hey, doesn't the
Vas-COM trial start today?
Subject changer.
Yes, it starts this afternoon.
Good luck with that.
Maggie.
Look who's here.
Grant.
Hello, Maggie.
He wanted to see
where I worked.
Oh.
Sorry.
It's kind of a sad day
for us here.
Yeah, Vanessa told me.
Are you getting coffee?
You should join us.
You know, I didn't
realize how late it was.
I have to get back to the ED.
Another time, then.
Yeah.
Yeah.
Thanks for coming, Dad.
Oh, hey.
Hey, I'm sorry about Jo.
I know you were close.
Yeah.
Look, Dad, I need a favor.
Can you call
the head of narcotics,
get me the yellow
file on Goran?
I need to see if he's
got any relatives nearby.
- Relatives?
- Yeah.
He needs a liver transplant,
and I've got to find a match.
Whoa, whoa, whoa, hold on,
Dylan.
Don't you think you're
going through an awful lot
for this guy?
He's my patient,
and I've got to do
at least one thing right.
OK.
Dr. Archer, 17-year-old
boy, David Sullivan,
was brought in last night.
Smoked marijuana
laced with fentanyl.
Narcaned in the field.
Resident put him on saline
to flush his system.
- OK.
- Treatment 6.
- Here's his latest drug panel.
- All right.
Thank you.
Yeah.
Can you sit up?
Try to sit up.
What's going on?
Where am I?
David, I'm Dr. Archer.
I'll be treating
your son today.
- Thank you.
- Where am I?
Stop saying that.
Look, you know perfectly
well where you are.
This... this isn't
like him, all right?
David's not some pothead.
His labs are good.
Drugs have pretty much
cleared his system.
Who are you?
Hey, he's your doctor.
They said the marijuana
had fentanyl in it.
Your son might
not even have known.
We're seeing a lot of cannabis
sprayed with fentanyl.
You could have died, David.
Are they coming?
Are who coming?
He's still high.
His THC levels
are negligible,
but we'll keep him on an IV,
make sure we flush his system.
I'm not listening to you!
Hey, hey, David.
Hey.
What is going on with you?
I'll check back
in a little while.
OK. Thank you.
Hey.
Can you page
Dr. Charles, please?
Yeah.
Hannah?
I can't catch my breath.
All right.
We'll get you in a room.
- Ethan!
- Let me help.
Hey.
She's dyspnic and wheezy.
OK.
Will, I got this.
No, I'm staying.
100 milligrams of SOLU-MEDROL
and a breathing treatment.
Yeah.
Why wheezing?
Why now?
Inhalation injury was minimal,
and the CO wasn't that high.
I don't know.
Until we can figure this out,
I think we should intubate.
Just saying...
- No, please.
- Yeah.
She's setting at 92
with the cannula.
Maybe we don't need to.
Please.
She doesn't want it.
This isn't
what I'd recommend.
All right.
We'll see if you can pull
through without intubation,
but I want a chest CT.
Mags, order a blood gas
and let radiology
know we're coming up.
Will do.
Sit tight, OK?
You're too close to her.
You can't be objective.
- You need to back off.
- We're not together.
It doesn't matter.
You were, and feelings
just don't disappear.
Even a banana. I think
it would be good for you.
Mr. and Mrs. Sullivan?
You again.
You know, David,
I don't think we met.
I'm Dr. Charles,
and this is Dr. Cuevas.
You're psychiatrists?
Yes.
- Stay away from me.
- OK.
Oh, god.
He doesn't need a psychiatrist.
He doesn't need a...
No,
he smoked some pot.
That's it.
And it was stupid.
I admit that.
You know, especially
for someone who's earned
early admission to Stanford.
Oh, well,
that's pretty impressive.
Hey, David,
I see you haven't eaten yet.
Honey, the doctor's
talking to you.
It's poison.
David, it's...
it's not poison.
I want to go home.
Well, if you hadn't done what
you did in the first place,
we wouldn't even be here.
Eric,
that's not helping right now.
Stop.
David, I want you to know
that we completely understand
that this can be a really
uncomfortable place,
and we want you
to know that we're
going to try and get you out of
here as soon as possible, OK?
OK.
- Nice to meet you.
- Yeah.
Nice to meet you.
Dr. Cuevas,
this is Dean Archer.
He is the head of the ED.
Nellie is starting
a psych rotation today.
Another lamb
to the slaughter.
Hardly a lamb, Dr. Archer.
Sorry.
So what's going on
with the kid?
What are you thinking?
He's paranoid, exhibiting
persecutory delusions.
It isn't just what he said
but his body language,
refusal to make eye contact.
Yeah.
The question is,
is it chemically induced,
or is there something
else going on here?
Well, if it is chemically
induced, it should resolve.
Yeah.
In the meantime,
we got to get a better
- history from the parents.
- Yeah.
I'm seeing ground
glass opacities.
And an enlarged
pulmonary artery.
She's definitely got
interstitial disease.
But what is causing it?
We need to get
a bronchoscopy,
clean out her lungs.
They can take a biopsy,
see if we can find out.
Hannah!
Hannah!
She's only sating at 83.
Get respiratory in here.
We got you, Hannah.
We got you.
OK?
Just relax.
There you go.
I'm in.
We should have intubated
her downstairs.
Look, I was upset earlier,
but I don't want you
to get the wrong impression
about David.
I mean, he is a great kid,
and we're very proud of him.
You know, this whole
business with the marijuana,
that's way out of character.
He was such a Sweet,
happy child.
You know, everyone would
always compliment us
on how good his manners are.
And up until now,
I mean, he's been
a straight-A student.
So his grades
have fallen off?
Just recently.
Any other changes
in his behavior
that you can think of?
Anything at all come to mind?
Well, I guess
he's quieter lately.
Quieter?
Sometimes, he seems
off in his own world.
I mean, he spends a lot
more time alone in his room.
Well, you don't notice it so
much because you're at work.
OK, so he's been spending
more time alone.
What about... what
about friends?
Does he have a group of buddies
he normally hangs out with?
I don't know.
I mean, he doesn't
bring anyone home.
You know, I guess he's just
more of a loner these days.
Yeah, but I mean, that's
true for a lot of kids, though.
You know, since COVID,
and the online classes
and the socializing.
Sure.
I mean, the pandemic has been
really rough on young people,
for sure.
But you haven't noticed
anything different?
I don't know.
Some... OK, I'll get
up at night sometimes,
and I'll see that the light
in his room's still on.
Well, yeah.
I guess that's why David
sleeps so much on the weekends.
He's just not
getting enough rest.
So sleeping
habits have changed?
Oh, I mean, this is all
normal teenage stuff, right?
Very possibly.
But honestly, we would really
appreciate it if you would
give us permission to have
another quick conversation
with David just to help us
figure out,
you know, what's going on
and maybe what isn't.
We certainly don't want
this to happen again.
No.
We don't.
I guess if you think
that it will help.
Great.
- Thank you.
- All right.
Dr. Scott.
Dr. Marcel.
Bogdan Costavich,
Goran's brother.
He's B negative.
A match.
He's agreed to donate
a lobe of his liver.
Well, Mr. Costavich,
this is very generous.
I just want to make
sure you understand
what it is you're agreeing to.
This is... well, it's
not a simple procedure.
Yes.
Dr. Scott explained to me.
Yeah.
There's risk involved, and it
might be as long as two months
before you're able
to go back to work,
so just keep that in mind.
Goran and I,
we went different ways.
I know he's done bad things,
but he's my brother.
I understand.
Please, Crockett.
Yeah.
All right.
Dr. Scott here is going
to get you prepped, OK?
I'll see you in there.
Hey.
Here's her biopsy.
Talc crystals embedded
in periarterial granulomas.
Look, on the street,
heroin is
often cut with talcum powder.
When she used,
the talc formed emboli,
which went into her lungs.
So she's had these
granulomas for years.
Obviously,
she's been able to get by.
But the smoke last night
triggered the interstitial
disease
- and caused the inflammation.
- Yeah.
Hey, she's on steroids
right now.
Let's see how she responds.
OK.
All right.
Grant.
I got your text message.
Maggie, I was hoping
I could catch you.
OK.
You seemed uncomfortable
this morning.
Was it because of me?
No, no, no, no, no.
Look, I was very happy to
bring you and Vanessa together.
And it meant a lot to me,
too, to see you again.
I felt the same way.
Tell me, Maggie,
you ever wonder
what it would have been like
if we'd just run off together?
I mean, if our parents
hadn't found out and...
Grant.
I mean,
if they hadn't made us
put the baby up for adoption.
Of course I do.
But that's not what happened.
I'm married, Grant.
And I'm very happy,
and I love my husband.
And you have a
relationship with Vanessa now,
and that's fine.
That's good.
But I can't be a part of that.
I'm sorry.
Dr. Marcel.
Yeah.
Get him prepped.
I'll be right there.
Going into this
transplant, I hope there's
no residual resentment.
I'm a surgeon.
The patient needs me.
On top of that, I'm doing this
for Dylan, so no, Ms. Goodwin.
No resentment.
Glad to hear it.
As you know,
the hospital is obligated
to have a senior
surgeon supervising,
and since Dr. Jones will be
resecting the donor liver,
- he can take that role.
- Yeah.
Yeah, that's fine.
I also came
to tell you that we're
experiencing another shortage
of packed red blood cells.
I can only allow this
patient seven units.
Ms. Goodwin,
a surgery like this
is usually
allotted 10 to 20 units.
Yes, I'm aware, but we
can't have any one patient
depleting our supplies.
We have other surgeries,
other patients.
So call another hospital.
I need that blood.
I've tried.
We're all in the same boat.
So you keep me in
transplant but tie my hands?
I'm sorry, Dr. Marcel.
Seven units.
So, David, do you know
why you're here?
Can you remember
what happened at all?
Why should I talk to you?
Well, you don't have to,
actually.
But we're really just
trying to help you.
Dad said the pot was bad.
When you smoked it, were you
alone or with some friends?
What difference does it make?
Maybe none at all.
But I mean,
just out of curiosity,
were you hang
with your crew, or...
People are stupid.
Certainly can be.
Let me ask you, have you
noticed anything different
about yourself, about...
I don't know, the way you...
The way you think, about the
way you feel about things?
Anything at all?
I think maybe...
I know.
I know.
I know.
David?
You're trying
to read my mind.
Is there someone in here
who's telling you that?
What?
No.
I'm not crazy.
You know what?
Sometimes I have this...
This little voice in my head
that's trying to tell me stuff,
and I actually get confused.
I lose track of whether is
that me talking to myself,
or is it someone else?
Does that ever happen to you?
OK.
And... and does that voice
ever tell you to do things?
Yes.
Not to trust you.
OK.
There's something wrong
with me, isn't there?
You know, pal, we're
going to figure it out.
OK?
You can trust me on that.
OK, so we know what
we're looking at.
His affect, disordered
thinking, the voices.
Now we can move forward.
We can start
a course of treatment.
I think we need to take a
little breath here, Doctor.
The patient is a minor,
which means that it's
his parents who are going to
be determining how we proceed,
so I hope that you were
observing them as closely
as you were David.
Dr. Marcel, how's it going?
Good.
Just the hepatic anastomosis
has taken some work.
Both the native artery and the
donors' are a little short.
You're using a
parachute technique
to bring them together.
Yeah.
OK, good.
Holler if you need me.
OK.
Almost got the
arteries together.
How are his vitals?
BP's starting to tank.
Where we at on pressers?
- Maxed out.
- Fluid resuscitation?
Same.
Let's hang another
unit of packed cells.
Can't.
That was our seventh.
We're out.
He's getting acidotic.
Crockett?
Yeah, almost there.
One more.
OK, hepatic artery
anastomosis complete.
BP 87/56.
Should I transfuse
more platelets?
Yeah.
And 90 mgs per
kg of Factor VII.
Why?
Got to get him clotting.
Get me some Evarrest.
We're gonna go ahead
and pack and get out.
Pack?
No.
You have to complete the
bile duct anastomosis.
No.
He's lost too much blood.
Gotta get him clotting
now, or we'll lose him.
Maybe you should
call Dr. Jones.
I know what I'm doing.
We pack him, recycle
what blood he's lost,
and wait to complete
the transplant.
You can't stop the surgery.
I have to.
Believe me,
it's the only option.
All right, lap pads.
Let's go.
Come on.
There it is.
Keep going.
Hey, Dan.
The new psych fellow's
looking for you.
Oh.
Yeah, thanks.
We were able
to diagnose that kid.
It's funny.
I think that
Dr. Cuevas is taking
a certain satisfaction in
being able to put a name on it.
I mean, I get that.
I was like that when
I was starting out.
But you know, there's
a little more to it.
Yeah.
So what is the diagnosis?
- Schizophrenia.
- Ahh.
I mean, we have to follow
up and confirm and all that,
but I'm...
I'm pretty sure it's
what we're looking at.
Yeah.
Have you told the parents?
Not yet.
I tried to call
my son yesterday.
Didn't know you had a son.
Yeah.
15 years ago,
lost him to drugs.
He's alive. I don't...
I just don't know where he is.
- Sorry to hear that, Dean.
- Yeah.
I'm telling you this
because I know what it's going
to be like for those parents.
Boy.
Oh, they're going to
remember that laughing kid
running through the sprinklers,
how proud he was
when he learned
how to ride a bike.
And they are not
going to understand
how it's possible
that some outside force
has stolen that boy away.
Whew.
Oh...
you know that.
Yeah.
Well, I gotta go tell them.
Gotta go tell the parents.
Well, like you always say,
at least now
he'll get the help he needs.
Let's hope so.
OK, let's unpack him.
You got it?
Great.
Thank you.
OK, no active bleeding.
Marty?
Vitals are steady.
Looks like it worked.
Hell of a call, Crockett.
All right.
Good job, everyone.
Let's wrap this up.
So Dr. Cuevas
and I have a strong hunch
about what could be causing
David's difficulties.
Is it really such a mystery?
I mean, it seems like just
normal adolescent stuff.
I know you've noticed his...
His odd comments,
his jumbled thoughts.
His fearfulness.
You... you think that there's
something wrong with David?
We think David is
suffering from an illness.
We'd like him to see one of
our outpatient psychiatrists.
Wait, wait, wait,
wait, wait, wait.
Another psychiatrist?
It's just part of
the evaluation process.
I don't understand.
This isn't making any sense.
What is going on?
We know that you love
your son very much,
and this might not
be easy to hear,
but we believe that
David is developing
a schizoaffective disorder.
What?
Mentally ill?
No.
Psychotic?
No!
No, we're taking
David home right now.
How can you
say that about him?
This is a
treatable condition.
How?
We have a much
better understanding
- of the mechanism...
- My boy isn't crazy.
You're the ones that are crazy.
I think if we can just...
can we please talk about this?
No.
No.
Look, we don't want
anything to do with you.
Stay away from us.
We should sue you.
Oh, my god.
I mean, I've had patients
with schizophrenia before,
but I've never had to break
the news to the parents.
Sadly, their reaction
is not uncommon.
Well, how is that boy
supposed to get any help?
Exactly.
Come in.
Ms. Goodwin.
Dr. Scott.
I wanted to let you know,
Goran's
transplant is going well.
Dr. Marcel thinks
he'll pull through.
Well, good.
I know how much
that means to you.
I'm sorry, I have to run out.
I have the Vas-COM trial.
I also wanted to tell you
I'm leaving MED.
What?
You once reminded me
that I wear
a white coat, not a blue one.
But the thing is,
here in Chicago,
I don't think I'll ever
be able to escape my past.
I don't think I'll ever be able
to take that blue coat off.
But Chicago's your home.
You grew up here.
Yeah, that's the problem.
Those old ties keep
pulling me back in.
I have to go someplace where
I can just be a doctor.
So...
Well,
you will be sorely missed.
Is there any way I can
talk you out of it?
This is where I met Jo,
and where I lost her.
So every time I go past
that room,
I think of her, and...
Understood.
It has truly been
my pleasure, Dr. Scott.
Wow.
Extubated.
RSBI was normal.
Passed her breathing
trial with flying colors.
Talc granulomas.
Heroin addiction.
A gift that keeps giving.
The pulmonologist will
get your lungs cleaned up.
You'll be fine.
Yeah, till the next thing.
I just can't seem
to shake the past.
Hey, you're not in this
alone, Hannah, OK?
Excuse me.
Dr. Halstead,
you and I have a date in court.
Where did you get
that outfit?
Maggie dug it out
of the lost and found.
Yeah?
Well, she didn't
do you any favors.
Jessa Rinaldi,
we're placing you under arrest.
What?
Don't say anything.
You're charged
with aggravated arson
and one count
of attempted murder
against Dr. Will Halstead.
Oh, come on.
What the hell is this?
This is absolutely ridiculous.
We have credit card
evidence of your client buying
accelerant plus
surveillance camera footage
of her entering
and leaving the building
immediately before the fire.
Let's go.
I thought Sam told you
I didn't want to see you.
He did.
But I have something
I need to say.
Look, if you
came to apologize...
I didn't.
I came to thank you.
I had a win in the OR today,
largely because of you,
what you taught me.
It made me realize, I...
I have an obligation
to continue this work,
that I can't throw away the
knowledge you've given me.
Very nice speech, Crockett.
Meanwhile, I'm sidelined
with this injury.
I know.
When I come back,
which I will,
if you think you're going to
be on my team, think again.
All right.
You know, if it had
been me on the table,
and it was you who
had to make the call,
I'm pretty sure you would've
done the same thing.
Good night, Pamela.
So I don't know
if he mentioned it,
but I actually did my
residency with your partner
way back when.
A little before your time.
But anyway,
so you know I had to part
company with my therapist
about two months ago.
And I don't know,
lately I've just been really
missing the interaction.
And then today, I just
had this brutal day, and...
I'm sorry.
I just have to
ask you a few questions.
Do you smoke?
No.
Take any recreational drugs?
No.
Do you have a gun
in the house?
No, I do not.
OK.
So you were saying that today
was particularly difficult?
In what way was it... difficult?
Hmm?
April?
Ethan.
Hi.
I, um, I saw
your dad's obituary.
I... I would have come
to the service, but I...
I wasn't sure.
I mean, I didn't want
it to be awkward, so...
No.
Um, are you back in Chicago?
Yeah. Yeah.
I finished my NP program.
I'm working with a
medical group here, so...
What about you?
Are you all better?
Yeah, pretty much.
Guess my NFL career
is over, but...
How's the family?
Emily, the baby?
Well, he's probably
huge by now.
Not a baby anymore, no.
But good.
They're really good.
You didn't get married
or anything, did you?
No.
Did you?
No.
Um,
well,
I will see you around.
Yeah.
Yeah.
Hello.
You have a call from...
Sean Archer.
And inmate
at Cook County Jail.
Will you accept?
Yes.
Absolutely.
Dad?
Dylan.
Hey, Dylan.
Wait up.
It wasn't Goran.
It was Jessa.
What?
The fire.
Goran had nothing
to do with it.
Jessa from Vasik, she was
the one who started it.
Oh.
Yeah, Ms. Goodwin
told me you were leaving.
I know you've been
through a lot,
but if your decision had
anything to do with the fire...
It didn't.
You know what?
I appreciate it.
Yeah.
- Yeah.
- Maybe give it a couple of days.
Think about it.
You're a good guy, Will.
Take care, man.
You too.