Chicago Med (2015–…): Season 8, Episode 8 - Everyone's Fighting a Battle You Know Nothing About - full transcript
Halstead and Marcel facilitate a trans-organ exchange; Asher and Cuevas help an assault survivor.
- Hey, Dean. How
are you doing?
- Had worse.
- Hey, Maggie.
I just found my
old varsity jacket.
Of course, you always
wore it more than me.
- This is my husband, Ben.
- Hey.
- I do seem to
remember you telling me
that you weren't gonna have
anything to do with him.
- What is going on here?
You're dressed like
one of my engineers.
- Believe it or not,
we're out of scrubs.
- So this is all you're doing?
- Just trying to help.
- It's nice to have
a guardian angel.
- You're here early.
- Alarm mishap.
I'm gonna try to
grab some shut-eye
before my shift starts.
Got an empty bed?
- Two's open. I should
warn you, though.
Drunk teenager vomited all
over that room last night.
But it's been cleaned.
- Yeah.
Then I won't be surprised
by a pungent whiff.
Thanks for the heads-up.
- Dr. Halstead, Maggie,
meet our newest member
of Emergency Medicine.
- Justin Lieu.
- Hello.
- Hello.
- Hi. A new attending.
Terrific. Welcome.
- Actually, Dr. Lieu is
a first-year resident.
- Ah, my mistake.
- Listen, I'd like him to
join your service today.
- Sure.
- I'll let you get settled.
- Thanks, Ms. Goodwin.
Wondering why I'm so
late to the party?
I know I've got some years
on the typical first-year.
I, uh... I spent a decade
doing search and rescue
before deciding on med school.
- Very cool.
- Hmm.
- Is this guy bothering you?
- What are you doing here?
- Yo.
I just remembered it
was your first day,
and I was... you know, I
was in the neighborhood.
- What's up, Gallo?
Clearly, you two
know each other.
- We have ambo coming in.
Dr. Halstead, you're
going to five.
- Mm, ready to get
your hands dirty?
- Yeah. Catch you later?
- Yeah, go.
Go on. Be useful.
- Courtney, going to
five. What do we got?
- Lydia Shaw.
15-year-old female.
Disoriented and confused.
GCS 13, BP 90/56.
Sinus tach in the
110s. Afebrile.
- Wait. Where am I?
- She woke up this morning,
she couldn't tell me her name,
what day of the week it was.
Nothing.
- Are you Lydia's mom?
- Yes.
Danielle.
- On my count.
One, two, three.
- She's been complaining
of exhaustion
and nausea for weeks.
- Okay, we got her.
Lydia, you're at the hospital.
I'm gonna listen to your lungs.
OK.
Lungs are clear bilaterally.
Danielle, does Lydia have
any conditions we
should know about?
Any medications she's on?
- None.
She's never even had the flu.
- Dr. Halstead?
- OK, pitting edema to
the lower extremities.
- What's that?
- Just means there's
some swelling.
- Stop it!
Why are you doing that?
- I'm sorry, Lydia. I'm
just checking your eyes.
Almost done.
Sclera is jaundiced.
Dr. Lieu, how does
the liver feel?
- Liver edge extends
past the costal margin.
I know.
All right. All done.
Let's get a CBC, CMP, coags,
LFT, chest X-ray,
ammonia level, UA,
and a right upper
quadrant ultrasound.
OK, we'll be back the
minute we have an update.
- OK.
What are you thinking?
- Hepatic encephalopathy.
What, didn't expect the
intern to know the answer?
I was second oldest in
my med school class.
It might have given
me a bit of a complex.
- Yeah, well, I think
you're absolutely right.
All clinical signs point
to advanced liver disease
as the cause of her
altered mental state.
- But what would cause
an otherwise healthy
15-year-old's liver to fail?
- Grabbed this from
your locker for you.
You'll never guess
what's inside.
- Tampering with
someone else's mail
is a federal offense, Doris.
- Just open it, Maggie.
- No!
- Mm-hmm.
- Is he there?
Are you serious?
I can't believe April
kept it from me.
- Surprised?
- Thrilled. I'm so
happy for you guys.
- Thanks, Mags.
Come in.
Uh-oh.
See, now why does
my mere presence
elicit that response
in your doctors?
- Take a wild guess.
Have a seat, Dr. Marcel.
You're not in any trouble.
- Oh, good.
- Listen, I'm sure you
know the board wanted
to update the OR suites
this year with MRI machines.
- Yeah, it'd be a
real gamechanger
to have high-resolution imaging
available during surgery.
- Unfortunately, the
supply chain crisis
took precedence over
fundraising efforts.
And now we are fast approaching
the end of the fiscal year
and still woefully
short on funds.
- A big-ticket item, for sure.
- Yeah.
So we're hoping Jack Dayton
might consider
contributing the remainder.
Roughly $10 million.
- OK.
- We have invited him to
dinner at the hospital tonight,
and it'd be great if you
could join us, Dr. Marcel,
given your close
personal relationship
with the entrepreneur.
- I don't know if
I'd call us close.
Not like I socialize
with the guy.
- Yeah, but you'd be
able to explain to him
the benefits of the technology
from a surgical perspective.
We know it's last minute, but...
- Asking Dayton for $10 million
right after I helped rescue him?
Kind of feels like
a quid pro quo.
- Exactly. He is
indebted to you.
- Well, that's not
the way I see it.
My patients don't
owe me anything.
Look, I think it's great
you're approaching Jack,
and I hope he goes for it.
I'm just...
I'm not comfortable
making the ask.
- We understand, and this
was by no means mandatory.
- OK.
- But if you change your mind,
dinner's at 7:30 in the
executive dining room.
- All right.
What?
- Hey, I need a second opinion
on a patient's renal ultrasound.
- And good morning to you.
- Does this look like renal
artery stenosis to you?
- Did you forget
I'm an obstetrician?
I don't normally look
at these kinds of scans.
- Just tell me what you see.
- OK. Velocities are higher
than they should be, I think.
And yeah, could be stenotic,
but it's hard to say,
seeing especially since,
as we established,
I'm not a nephrologist.
- OK, thanks.
- How bad would it be if I
got a candy bar for breakfast?
- No worse than the decaf frappe
with whipped cream
that I just downed.
- Please, can I just
speak with a doctor?
Please, it won't take long.
- I'm afraid that's
not how it works.
First fill out these forms.
And I'm gonna need your
ID and insurance card
if you have it.
- Forget it.
- Hey there.
Is there something
we can do for you?
- How do you, um...
How do you know if
something happened to you?
- Do you think something
might have happened to you?
Let's take a seat.
What's your name?
- I don't want my name
recorded anywhere.
Like, in your system.
- No, just between us.
- Gloria.
- Hi, Gloria.
I'm Nellie. This is Hannah.
Just talk to us like we're
one of your girlfriends, OK?
Tell us what happened.
- Last night, I
went to this party.
It was at a big
warehouse in Pilsen.
I was supposed to
meet my cousin there,
but I couldn't find her.
There were just so many people.
- And then?
- I don't remember.
I had a drink, just one drink,
and that's...
That's the last
thing I remember.
When I woke up this morning,
I was still there,
at the warehouse,
in this room I didn't recognize.
- Was there anyone
there with you?
- But my underwear was gone.
I don't know what happened.
- We're gonna figure
this out together.
Come with us, OK?
- So Lydia has an
autoimmune disease
called primary
biliary cholangitis.
The disease, it
destroys the bile ducts
and can lead to liver failure,
which unfortunately is what
we're seeing in Lydia's case.
- She's 15! She
doesn't even drive yet!
- It is rare to see
PBC in adolescents,
although there have
been reported cases
of pediatric onset.
- If her liver is the problem,
why is her brain being affected?
- When the liver
isn't functioning
how it's supposed to,
it stops filtering toxins
from the bloodstream.
And then these toxins build
up and travel to the brain.
But the condition
is only temporary.
And with medication,
her cognitive function
will return to normal.
- What about her liver?
- Lydia is going to
need a liver transplant.
So how do we do that?
How do we find her a new liver?
- We'll get Lydia evaluated
for the transplant list,
the national registry,
but her fastest bet
would be a living donor.
- What's pretty cool about
the liver is it regenerates.
So you can give someone
a portion of your liver,
and it grows back
to its original size
after the transplant.
- I would, um, give her
mine in a heartbeat,
but I'm a recovering alcoholic.
- As long as you've been
sober for six months,
that's not an exclusionary
criterion, OK?
We will want to run some tests
to check your liver function.
- Of course. Whatever
you need to do.
I would give anything
to help my daughter.
- Maggie.
- This better be good.
Showing up at my job unannounced
is quite the overstep.
- Didn't you get my text?
- No, my phone's
been on the charger
all morning. What is it?
- I got to show you
something outside.
- I can't, Grant. I'm working.
- Just five minutes.
That's all I'm asking.
I don't want to be a bother,
but you're the only person
who will understand.
- Give me 20 minutes. I'll
take my lunch break early.
- Meet you out front.
- OK.
- Congrats on your big
news, buddy. Mazel tov.
- Thank you. I'm
pretty excited.
- Could have given
me a little more time
to dust off the old tux, though.
Damn.
- Sorry about that.
You know, my dad's passing
crystallized a lot for me
about the man I want to be,
the life I want to have,
and an urgency to get
those changes now.
- Makes sense.
- It's probably why things
are so easy with April
this time around.
I guess I got closer to the
guy she was holding out for.
- Nice.
- Hey, I need some help.
I got a guy in trouble
a few blocks away.
- Hey, I'm Dr. Choi.
What's going on?
- There's this
homeless guy, Buddy.
He kind of lives behind
my apartment building.
Something's wrong with
him. I called 911.
But they said the ambulance is
gonna take, like, 20 minutes.
I don't know. He
doesn't look so good.
- Can you take us to him?
- Yeah, follow me.
- Buddy!
- Buddy. Hey, Buddy.
- He's breathing, right?
- Respirations are shallow,
but yeah, he's breathing.
- How long has he been here for?
- Buddy's been a fixture
since I moved in,
so at least four years.
- You notice any changes
in his behavior recently?
- Buddy disappeared
for a couple nights,
maybe about a month ago.
I don't know where he went,
but when he came back,
he wasn't moving around as well.
He just seemed more
out of it than usual.
- My name won't be on the...
It won't be attached
to anything?
- It can all be
processed anonymously.
- And you won't release
any of my information
to the police, right?
- Mm-mm.
Not without your permission.
- Oh, I forgot to ask.
How much is it gonna cost?
I don't have insurance
or anything, so...
- Nothing.
There's no patient
responsibility.
- And we'll give you a voucher
for any additional
follow-up costs.
- Would you like a Valium?
It can help calm your nerves.
- No, no, no, I don't
want to black out again.
- It's actually just
a mild sedative.
- No!
Thanks, but no.
- OK.
- We're ready to begin the exam.
OK, Gloria?
OK, so sit back a little, put
your feet in the stirrups.
And if at any point
you need me to stop,
if you need to take a break,
you just let me know, OK?
All right, I'm putting my hand
on the inside of your thigh.
Next, I'm gonna
take a quick look
at the outside area first.
- Here.
Squeeze as hard as you need.
- OK.
Now you're gonna feel
the tip of the speculum.
- You're doing really great.
- So what do you think?
I know her liver's
on the cusp, but...
- I've got to disagree
with you there, Will.
It's not on the
cusp. Not even close.
- Well, what do you mean?
Danielle's liver
function is solid.
- Yeah, now, but
the damage is done.
The liver's fibrotic.
- Mildly.
- It won't tolerate
a partial resection.
- Well, that's a
prediction, not a fact.
- A good chance it'll
fail to regenerate.
And then Mom will need
a liver transplant.
- Maybe that's a risk
Danielle's willing to take.
- But if Danielle ended
up needing a new liver
after we allowed her to donate,
that's the kind of bad outcome
that could get a transplant
program shut down.
I'm sorry, man.
- My, my, my.
My goodness.
Is that...
- It is.
- No!
What happened to the
peeling vinyl top
that used to flap in the wind?
- Gone. That and
the cracked window.
Got the heating
and air fixed too.
- Oh, my word.
You know, I love this car.
It's the only reason I
gave you the time of day
in high school.
- I've been restoring
it for years now.
- You did all this yourself?
- For the most part.
Just got the leather
seats reupholstered.
The finishing touch.
- Wow.
- What do you say?
A spin around the block,
for old time's sake?
- Aw.
- Come on.
- A quick spin.
My break's over in 30.
- Yes, ma'am.
- Oh!
- Do you happen to
know his full name?
- Everyone just calls him Buddy.
He's a friendly guy
but not all there.
- How so?
- Sometimes I'll see
him talking to no one,
and he repeats himself a lot.
It just seems like his, um,
processing is kind of delayed.
Hey, I'm really sorry, but
I'm super late for work.
- Oh, look, we really
appreciate you hanging around
while we got him situated, OK?
Thank you very much.
- So I found a partially healed
puncture site in his groin.
It looks like he developed
a postprocedural abscess.
I'm gonna drain it
and start antibiotics.
- Wonder what the
procedure was for.
- Or where it was done.
- Hawley Community Hospital.
It's still in pretty good shape,
so it must have been
a fairly recent visit.
- Is there a name
on that bracelet?
- William "Buddy" Foster.
- Clip that off for
me, will you, Doris?
I'm gonna look up that hospital
and then give them a call.
- Hawley?
I mean, it kind of rings a bell,
but I'm pretty sure
it's outside of Chicago.
- I wonder how he
ended up there.
- Yeah.
- Any other family members
that might be willing
to get evaluated?
See if they're a
match for Lydia?
- No, she's, um...
She's an only child.
Her father also had
problems with alcohol.
Smashed his car into a tree two
years ago and died on impact.
- We're so sorry.
- With the transplant list,
how long do you think
Lydia will have to wait?
- It is impossible to predict.
It can take just a few
weeks, or it can take months.
Years sometimes.
- So, um, just prepare
myself for anything?
- Yeah. We'll check
on Lydia in a bit, OK?
- Man, that's rough.
- Worst feeling in
the world, I imagine.
- Doing search and rescue,
you meet these parents
who are just so
desperate to help.
It's heartbreaking
telling them they can't.
- Yeah, only adds salt
that Danielle's past
is what's preventing
her from donating.
- Talk about a cruel twist, huh?
If it was any other organ.
I mean, her kidneys
are perfectly healthy.
Dr. Halstead?
- Her kidneys are healthy.
I think you're on to something.
- You're staring.
- I'm sorry.
I just never thought
you'd be riding shotgun
in this car again.
- Well...
- It used to give me such
a rush back in the day,
looking over and
seeing you next to me.
Still does.
- Grant.
No.
Grant!
- You're talking about a
paired exchange, right?
It won't work.
Both the donors need
to have healthy livers.
- Well, not exactly.
It's called a trans-organ
paired exchange.
- Oh, yeah.
I heard it discussed
at a conference.
Pretty new concept, right?
Only a couple have been
performed in the U.S.
- It's rare, but
this kind of swap
is allowed under the National
Organ Transplant Act.
- Uh-huh. Thank you.
So you're suggesting that
Danielle donate her kidney
to someone on the
transplant list...
- Someone already
with a willing donor
who was ruled out for a
kidney-specific reason.
- And then they would
donate their liver to Lydia?
- Like a paired exchange,
except with different organs.
- Well, it's not
exactly like for like.
A liver transplant exposes
the donor to greater risk.
- But if we can identify
a potential donor
recipient match,
walk them through the
added risk factors...
- And we have to loop in legal.
The whole nine yards.
- Of course.
I'm not trying to do
anything below board.
- OK, I think I have an
idea for a second donor.
Frank Sheraton. Late 40s.
He's in good health, but due
to a mild reduction in GFR,
he couldn't donate his
kidney to his wife, Roberta.
She's been on the transplant
list for three years.
- Before we get
anyone's hopes up,
let's make sure Frank's
a match for Lydia,
Danielle for Roberta.
- I'll pull up their charts.
Dr. Lieu, you want
to give me a hand?
- Happy to.
- All right.
We'll circle back in a bit.
- Great.
- Dr. Halstead, there you are.
- What's wrong?
- Maggie and a friend
were in a car accident.
The ambulance is en route.
Maggie, you should
be on a gurney.
- I'm fine.
- That's what I said,
but she refused.
- Going to Baghdad.
Matt, talk to me.
- Grant Young.
44-year-old male.
High-speed motor vehicle crash.
GCS 15, BP 120/72.
Heart rate 110.
Large laceration on the...
- To the left calf.
Active bleeding for
almost four minutes.
I initially tried to
control it with pressure.
- Hey, Grant.
I'm Dr. Halstead.
- A piece of shrapnel or
something from the door
sliced the leg.
Uh, it looks arterial.
- Thank you, Maggie.
I got it from here.
- Come on, Maggie.
Let me look you over.
Come.
- Gloria.
Hey.
You want to have a seat?
- That's OK. I
prefer to stand.
- OK, sure.
So your labs came
back positive for GHB.
It's what's commonly
known as a date rape drug.
And while we can't make
any definitive conclusions
until your kit is tested,
there was evidence that
you sustained injuries
from a sexual assault.
- What kind of evidence?
- Bruising in your genital area,
a possible fingerprint pattern.
- What about STDs?
- Your HIV, gonorrhea,
and chlamydia tests
all came back negative,
but you'll need to follow up
to do retesting in
two to three weeks.
- Is it too early to know if...
If I'm pregnant?
- Your pregnancy test
came back negative,
but you'll want to
retest in two weeks.
- Is that it? Is
that everything?
Can I go home now?
- Well, first we
wanted to talk with you
about some of the counseling
and mental health
services available.
- All free of charge.
- I really want to go home.
Forget it ever happened.
- If you do change your mind,
all of the information and
the phone numbers are in here.
- Both of ours included.
- Thanks.
- Gloria, you said initially
that you didn't want
to involve the police.
- I don't.
- OK.
You do understand, though,
that without a report,
they're not able to
open an investigation,
so they're not able to find
the person who did this to you.
- It's not like I'd
press charges anyway.
I just...
I needed to know what
happened for myself.
That's it.
That's enough.
No one else can know.
- Gloria, I
understand, right now,
this is very traumatizing...
- OK, Gloria.
We hear you.
We'll get your discharge
paperwork started.
- Hey. That's it?
I feel like we should be having
a more substantial conversation
with her about reporting.
- No.
Her unwillingness to show ID,
lack of insurance,
fear of the police.
I suspect that Gloria
might be undocumented.
Let's not push too hard, OK?
- But I believe there
are legal protections
for undocumented immigrants
that report crimes
like sexual assault.
- And while you may believe
in those protections, Hannah,
Gloria might not, and
we have to respect that.
- Buddy, what we're
trying to figure out
is if you can remember going
to a hospital recently.
- Yeah.
Yeah, I went to the
hospital before.
That's right.
- And how'd you get there?
- Real nice lady drove me.
She bought me dinner too.
- Were you hurt?
- No. Don't think so.
No.
- Huh.
I wonder why she...
She took you to
the hospital, then.
- Guess I needed to go.
A real nice lady.
She bought me dinner.
- OK.
Um, you know what?
We're gonna step out for a
second and be right back.
- Sure.
- Yeah, all right.
Sit tight.
- Sure.
- All right, so I got in touch
with Hawley Community Hospital.
It's about two hours north of
the city, in Wisconsin, right?
Buddy was there a month ago.
Two-night stay
for a left atrial appendage
occlusion procedure.
- Aren't LA occlusions done
to prevent stroke in
patients with a-fib?
- Buddy hasn't flipped into
a-fib once since he got here.
- It's an elective procedure
on an unhoused patient
in a different state.
How'd they expect
him to get back
for his follow-up stuff?
- Or keep his
surgical site clean?
It's no wonder he ended
up with an infection.
- At best, I think we're
looking at extreme negligence.
- I think it's worse.
Buddy mentioned a
lady picking him up
and driving him to the hospital.
- Ah, a recruiter.
- Probably gets a kickback
for every patient she finds.
- Oh, my gosh.
- I think we're looking
at Medicaid fraud.
- It's not what it
looks like, Sharon.
- Who said it looked
like anything?
No one's judging
you.
- Hey, I just wanted
to let you know
I sent Grant to angio
to see if there's any
vessel damage to his leg.
- Thanks for the update, Will.
- Of course.
How's your patient,
Ms. Goodwin?
- Stubborn with a
chance of just fine.
- Maggie, you want me
to call Ben for you?
- No, no, no. That's OK.
Ben's away at a teacher's
conference in Florida.
I'll let him know when
he comes home on Friday.
- Sure.
- Hannah.
Hey, do you have a minute?
- Yeah, of course. What's up?
- Her name is Chelsea.
She walked into the
district this morning
to report a possible rape.
- A possible rape?
- Blacked out at a
warehouse party last night.
She thinks someone slipped
something in her drink.
- Was it in Pilsen?
- Yeah. How did you know that?
- So I donate a lobe of my
liver to this young woman,
and the girl's mother
would give her kidney
to Roberta?
- Exactly.
We've done the legwork, and
you're a compatible donor.
- And the mother is a
match for you, Roberta.
- Well then, yeah.
Absolutely. I'm in.
How soon can they operate?
- Frank, hold on a second.
I think we have to ask
a few more questions.
We learned all about
kidney donation
when Frank was evaluated
to be a donor for me.
Donating the liver, is
this a similar undertaking?
- Well, to be completely honest,
it's a bigger undertaking.
It's an open surgery with
a large abdominal incision.
- And because of the incision,
it is a harder recovery
than kidney donation.
Usually about twice as long.
- Oh, then no.
- Babe.
- No.
We have to think about the kids.
- I am.
They need their mom.
We all need you.
Hey, remember,
I survived five skydives
and three bungee jumps.
You think I'm gonna let a
little surgery take me out?
Surgery is probably the
safest place for me.
And the fact that this is gonna
help someone else out too?
Even better.
Let me do this.
Is this a yes?
- OK.
Great.
- Great.
- I understand that the
evidence from Gloria's exam
would strengthen any future
case against the assailant,
but I really don't think
revisiting the topic
is going to change her mind.
- Well, I think we should try.
- So you want her
to risk her future,
or her family's future, for
someone she doesn't even know?
- No, I'm not saying that.
- Because that's
her dilemma, Hannah.
And you can promise her
till you're blue in the face
that the system will protect her
and fight for her rights just
like they fight for yours,
but I bet she's seen enough
evidence to the contrary
to know better.
- I'm not suggesting
that Gloria do this
for someone else.
I'm thinking of Gloria
and how it's gonna feel
to carry this trauma for
the rest of her life.
My college roommate, Annie,
was raped at a frat party.
She didn't know who did it.
Didn't report it to anyone.
And she said exactly
what Gloria said.
She just wanted to
forget it ever happened.
And so, she put all her energy
into pretending like
it didn't matter,
like holding someone
accountable didn't matter.
And somewhere along the way,
I think she began to believe
it didn't matter.
That she didn't matter.
And she carried that
feeling as long as she could
before taking her own life.
- Oh, Hannah.
I'm so sorry.
- So no, I'm not...
I'm not insensitive
to the enormity
of what we are potentially
asking Gloria to do.
It's just I have seen
the other side of it.
The consequence of sweeping
a trauma under the rug.
- Dr. Martin Grainer,
the interventional cardiologist
who did Buddy's procedure.
I noticed that he was
moving around a lot,
so I started calling
some of these hospitals.
- Yeah?
- Lost privileges
in pretty much every
single one of them.
- I mean, how the hell is
this guy still practicing?
- You all right?
- Yeah.
I slept funny. That's all.
- They didn't feel
like they could prove
that he was fabricating
indications for procedures.
- Hey.
- That's the doctor
who treated Buddy.
Dr. Martin Grainer.
- So Buddy's labs came back,
and his PSA was
through the roof.
Sent him for imaging,
and he has advanced
stage prostate cancer.
It's all over his body,
in his brain, his spine.
Nothing we could do
for him at this point.
- So while this sorry
excuse for a doctor
is making up all these
bogus medical problems...
- He could have been treating
him for something very real.
- See that?
You have a small pseudo-aneurysm
of the posterior tibial artery.
- That sounds ominous.
- It's not as
scary as it sounds.
It's a small pressurized
pool of blood
that can form following injury
to the wall of the blood vessel.
That will likely
resolve on its own
without any need for
surgical intervention.
We'll just want you back
next week for an ultrasound.
- That's... a relief.
- Definitely.
- If you'll excuse me, I have
to check on another patient.
- Thanks, Will.
Well, that's good news.
- Yes, it is.
Look, I've just been lying
here, doing a lot of thinking,
and I crossed the line.
Plain and simple.
I'm really sorry, Maggie.
- Riding around in
that old Monte Carlo,
I think we just both forgot
ourselves for a moment.
- I guess I thought maybe
we could be friends, but...
- There's just too much history.
- Yeah.
I know that now.
I do.
- Gloria, you are so
brave to come here.
And if you need anything at all,
you've got both of our numbers.
And I really hope you consider
attending one of
those support groups.
- Yeah, I'll think about it.
Dr. Cuevas.
Nellie, I mean.
I was hoping I'd see
you before I left.
- Before you go, Gloria,
I wanted to, uh, share
something with you.
It's not something a lot
of my colleagues know.
Um, something
Dr. Asher doesn't know.
I'm, um...
I'm undocumented.
My family immigrated
to the U.S.
before I could walk.
And as a DACA recipient,
I'm legally allowed
to work and live here,
but I still keep my immigration
status close to the vest.
But I'm telling you
because I trust you.
And I trust Dr. Asher.
So if you ever want to
report what happened,
now or at some
point in the future,
Dr. Asher and I know someone
who will have your back.
Someone you can trust.
- Roberta, Frank, this is
Lydia and her mom, Danielle.
- I don't know how to
thank you both enough.
- I should be thanking you.
You don't even know me,
and you're giving me...
Can I hug you?
- Yes.
- We'll give you all some
time to get acquainted.
- I hope trans-organ exchanges
become more commonplace.
It would increase
the number of potential
donors significantly.
- Yeah, and would allow donors
who were previously ruled out
to still help their loved ones.
- Quid pro quo.
- Yeah, and everybody wins.
- Well, hey, if you
guys aren't above
grabbing a beer with an
intern, first round's on me.
- Definitely not
above a free beer.
What do you say, Crockett?
- I'm gonna have to join
you fellas another time.
Cheers.
- Hey, Gloria.
This is Detective Upton.
- You can call me Hailey. We
can talk here, if you want.
We can go outside for
a walk, get some air.
Up to you.
- Here is fine.
- OK.
- We'll check back on you soon.
- I just hope they
find who did this
before any other
women are harmed.
- Gloria's statement, the
evidence from her exam.
They're gonna help CPD's
investigation tremendously.
- Hannah, like I said to Gloria,
I don't advertise my status.
- It's your business,
nobody else's.
I won't tell anyone.
- Thank you.
- It is incredible, what
you've accomplished.
Going to med school,
becoming a doctor.
- It hasn't been easy.
And with legal challenges
constantly on the horizon,
DACA's future and my future
always feels a bit precarious.
But surrounding myself with
good people really helps.
People I can trust.
- Oh, Maggie. Come on in.
I have to head to this dinner,
but I'm glad you stopped by.
- OK.
- So how are you feeling?
- Uh, OK.
I've decided to, um,
not tell Ben about the accident.
- For the time being, or...
- Ever.
- Are you sure that's
what you want to do?
- There's just no
benefit to him knowing.
- Well, I think Ben
might beg to differ.
- Grant has just caused so
many problems in my marriage.
I just... I don't want
to make it any worse.
- Well, I get it,
but I'm just...
I'm just wondering
how you'd feel
if the roles were reversed
and Ben didn't tell you that
he was in a car accident.
- Sharon, it's just that, uh...
I can't.
I can't.
- Look.
Look, give it a little time.
You had a terrible
scare today, Maggie.
You don't have to
decide this minute.
Look, I have to go, but you
stay as long as you need.
All right.
- Hello, everyone.
Jack, great to see you again.
- Glad you could join us.
- Yeah.
Kathleen, Dennis.
Hey.
- Hey.
So what changed your mind?
- Well, I, uh...
I might have been a
little overly concerned
with the optics.
This money could
benefit a lot of people.
Good to see you
guys. How are you?
- Thank you.
Well, why don't you
make your ask now?
I just think we can get the
business talk out of the way
so we can enjoy our dinner,
which looks
delicious, by the way.
So what's the ask?
- Well, our surgical center
is ranked among the
top ten in the U.S.
Thank you. We want
it in the top five.
We have the best
surgeons in the country,
Dr. Marcel among them,
and what they've been
telling us they need
is updated technology,
starting with
intraoperative MRI machines.
- Being able to take imaging
in the middle of a surgery
would allow us to constantly
recalibrate our approach.
It'd be the difference
between being able to
resect 50% of a tumor
and being able to
resect the whole thing.
- How much capital
are you looking for?
- $10 million.
But of course, we would welcome
a donation of any amount.
- No, I think you're
setting your sights too low.
I'm gonna do something even
better for Chicago Med.
Please.
- What's all that?
- Buddy's belongings.
- Ah.
- The guy he came in
with dropped off a bag.
Stuff he gathered from the
spot where Buddy camped out.
- Huh.
Was this him when he was a kid?
- It looks like him, right?
- Yeah.
- And that apartment
building in the photo,
that's where we found
Buddy this morning.
He was camping out in
the alley behind it.
- I'll be damned.
- Figure it's where he grew up?
- Yeah.
- Maybe I shouldn't have
unpacked everything.
He's only here to make
a move into hospice.
- Were you able to
track down any family?
- No.
You know, I'd love to put the
blame solely on Dr. Grainer,
but more than one bad
actor failed Buddy.
- What do you mean?
- He's gonna die from one of
the most survivable cancers.
With early intervention,
this was treatable.
It shouldn't be killing him.
Our system failed Buddy,
and it fails people
just like him every day,
because the people
who need us the most
never even make it
through our doors.
Until it's too late.
When did we decide that's OK?
That that's just the way it is?
It can't be.
I'm not gonna let it.
are you doing?
- Had worse.
- Hey, Maggie.
I just found my
old varsity jacket.
Of course, you always
wore it more than me.
- This is my husband, Ben.
- Hey.
- I do seem to
remember you telling me
that you weren't gonna have
anything to do with him.
- What is going on here?
You're dressed like
one of my engineers.
- Believe it or not,
we're out of scrubs.
- So this is all you're doing?
- Just trying to help.
- It's nice to have
a guardian angel.
- You're here early.
- Alarm mishap.
I'm gonna try to
grab some shut-eye
before my shift starts.
Got an empty bed?
- Two's open. I should
warn you, though.
Drunk teenager vomited all
over that room last night.
But it's been cleaned.
- Yeah.
Then I won't be surprised
by a pungent whiff.
Thanks for the heads-up.
- Dr. Halstead, Maggie,
meet our newest member
of Emergency Medicine.
- Justin Lieu.
- Hello.
- Hello.
- Hi. A new attending.
Terrific. Welcome.
- Actually, Dr. Lieu is
a first-year resident.
- Ah, my mistake.
- Listen, I'd like him to
join your service today.
- Sure.
- I'll let you get settled.
- Thanks, Ms. Goodwin.
Wondering why I'm so
late to the party?
I know I've got some years
on the typical first-year.
I, uh... I spent a decade
doing search and rescue
before deciding on med school.
- Very cool.
- Hmm.
- Is this guy bothering you?
- What are you doing here?
- Yo.
I just remembered it
was your first day,
and I was... you know, I
was in the neighborhood.
- What's up, Gallo?
Clearly, you two
know each other.
- We have ambo coming in.
Dr. Halstead, you're
going to five.
- Mm, ready to get
your hands dirty?
- Yeah. Catch you later?
- Yeah, go.
Go on. Be useful.
- Courtney, going to
five. What do we got?
- Lydia Shaw.
15-year-old female.
Disoriented and confused.
GCS 13, BP 90/56.
Sinus tach in the
110s. Afebrile.
- Wait. Where am I?
- She woke up this morning,
she couldn't tell me her name,
what day of the week it was.
Nothing.
- Are you Lydia's mom?
- Yes.
Danielle.
- On my count.
One, two, three.
- She's been complaining
of exhaustion
and nausea for weeks.
- Okay, we got her.
Lydia, you're at the hospital.
I'm gonna listen to your lungs.
OK.
Lungs are clear bilaterally.
Danielle, does Lydia have
any conditions we
should know about?
Any medications she's on?
- None.
She's never even had the flu.
- Dr. Halstead?
- OK, pitting edema to
the lower extremities.
- What's that?
- Just means there's
some swelling.
- Stop it!
Why are you doing that?
- I'm sorry, Lydia. I'm
just checking your eyes.
Almost done.
Sclera is jaundiced.
Dr. Lieu, how does
the liver feel?
- Liver edge extends
past the costal margin.
I know.
All right. All done.
Let's get a CBC, CMP, coags,
LFT, chest X-ray,
ammonia level, UA,
and a right upper
quadrant ultrasound.
OK, we'll be back the
minute we have an update.
- OK.
What are you thinking?
- Hepatic encephalopathy.
What, didn't expect the
intern to know the answer?
I was second oldest in
my med school class.
It might have given
me a bit of a complex.
- Yeah, well, I think
you're absolutely right.
All clinical signs point
to advanced liver disease
as the cause of her
altered mental state.
- But what would cause
an otherwise healthy
15-year-old's liver to fail?
- Grabbed this from
your locker for you.
You'll never guess
what's inside.
- Tampering with
someone else's mail
is a federal offense, Doris.
- Just open it, Maggie.
- No!
- Mm-hmm.
- Is he there?
Are you serious?
I can't believe April
kept it from me.
- Surprised?
- Thrilled. I'm so
happy for you guys.
- Thanks, Mags.
Come in.
Uh-oh.
See, now why does
my mere presence
elicit that response
in your doctors?
- Take a wild guess.
Have a seat, Dr. Marcel.
You're not in any trouble.
- Oh, good.
- Listen, I'm sure you
know the board wanted
to update the OR suites
this year with MRI machines.
- Yeah, it'd be a
real gamechanger
to have high-resolution imaging
available during surgery.
- Unfortunately, the
supply chain crisis
took precedence over
fundraising efforts.
And now we are fast approaching
the end of the fiscal year
and still woefully
short on funds.
- A big-ticket item, for sure.
- Yeah.
So we're hoping Jack Dayton
might consider
contributing the remainder.
Roughly $10 million.
- OK.
- We have invited him to
dinner at the hospital tonight,
and it'd be great if you
could join us, Dr. Marcel,
given your close
personal relationship
with the entrepreneur.
- I don't know if
I'd call us close.
Not like I socialize
with the guy.
- Yeah, but you'd be
able to explain to him
the benefits of the technology
from a surgical perspective.
We know it's last minute, but...
- Asking Dayton for $10 million
right after I helped rescue him?
Kind of feels like
a quid pro quo.
- Exactly. He is
indebted to you.
- Well, that's not
the way I see it.
My patients don't
owe me anything.
Look, I think it's great
you're approaching Jack,
and I hope he goes for it.
I'm just...
I'm not comfortable
making the ask.
- We understand, and this
was by no means mandatory.
- OK.
- But if you change your mind,
dinner's at 7:30 in the
executive dining room.
- All right.
What?
- Hey, I need a second opinion
on a patient's renal ultrasound.
- And good morning to you.
- Does this look like renal
artery stenosis to you?
- Did you forget
I'm an obstetrician?
I don't normally look
at these kinds of scans.
- Just tell me what you see.
- OK. Velocities are higher
than they should be, I think.
And yeah, could be stenotic,
but it's hard to say,
seeing especially since,
as we established,
I'm not a nephrologist.
- OK, thanks.
- How bad would it be if I
got a candy bar for breakfast?
- No worse than the decaf frappe
with whipped cream
that I just downed.
- Please, can I just
speak with a doctor?
Please, it won't take long.
- I'm afraid that's
not how it works.
First fill out these forms.
And I'm gonna need your
ID and insurance card
if you have it.
- Forget it.
- Hey there.
Is there something
we can do for you?
- How do you, um...
How do you know if
something happened to you?
- Do you think something
might have happened to you?
Let's take a seat.
What's your name?
- I don't want my name
recorded anywhere.
Like, in your system.
- No, just between us.
- Gloria.
- Hi, Gloria.
I'm Nellie. This is Hannah.
Just talk to us like we're
one of your girlfriends, OK?
Tell us what happened.
- Last night, I
went to this party.
It was at a big
warehouse in Pilsen.
I was supposed to
meet my cousin there,
but I couldn't find her.
There were just so many people.
- And then?
- I don't remember.
I had a drink, just one drink,
and that's...
That's the last
thing I remember.
When I woke up this morning,
I was still there,
at the warehouse,
in this room I didn't recognize.
- Was there anyone
there with you?
- But my underwear was gone.
I don't know what happened.
- We're gonna figure
this out together.
Come with us, OK?
- So Lydia has an
autoimmune disease
called primary
biliary cholangitis.
The disease, it
destroys the bile ducts
and can lead to liver failure,
which unfortunately is what
we're seeing in Lydia's case.
- She's 15! She
doesn't even drive yet!
- It is rare to see
PBC in adolescents,
although there have
been reported cases
of pediatric onset.
- If her liver is the problem,
why is her brain being affected?
- When the liver
isn't functioning
how it's supposed to,
it stops filtering toxins
from the bloodstream.
And then these toxins build
up and travel to the brain.
But the condition
is only temporary.
And with medication,
her cognitive function
will return to normal.
- What about her liver?
- Lydia is going to
need a liver transplant.
So how do we do that?
How do we find her a new liver?
- We'll get Lydia evaluated
for the transplant list,
the national registry,
but her fastest bet
would be a living donor.
- What's pretty cool about
the liver is it regenerates.
So you can give someone
a portion of your liver,
and it grows back
to its original size
after the transplant.
- I would, um, give her
mine in a heartbeat,
but I'm a recovering alcoholic.
- As long as you've been
sober for six months,
that's not an exclusionary
criterion, OK?
We will want to run some tests
to check your liver function.
- Of course. Whatever
you need to do.
I would give anything
to help my daughter.
- Maggie.
- This better be good.
Showing up at my job unannounced
is quite the overstep.
- Didn't you get my text?
- No, my phone's
been on the charger
all morning. What is it?
- I got to show you
something outside.
- I can't, Grant. I'm working.
- Just five minutes.
That's all I'm asking.
I don't want to be a bother,
but you're the only person
who will understand.
- Give me 20 minutes. I'll
take my lunch break early.
- Meet you out front.
- OK.
- Congrats on your big
news, buddy. Mazel tov.
- Thank you. I'm
pretty excited.
- Could have given
me a little more time
to dust off the old tux, though.
Damn.
- Sorry about that.
You know, my dad's passing
crystallized a lot for me
about the man I want to be,
the life I want to have,
and an urgency to get
those changes now.
- Makes sense.
- It's probably why things
are so easy with April
this time around.
I guess I got closer to the
guy she was holding out for.
- Nice.
- Hey, I need some help.
I got a guy in trouble
a few blocks away.
- Hey, I'm Dr. Choi.
What's going on?
- There's this
homeless guy, Buddy.
He kind of lives behind
my apartment building.
Something's wrong with
him. I called 911.
But they said the ambulance is
gonna take, like, 20 minutes.
I don't know. He
doesn't look so good.
- Can you take us to him?
- Yeah, follow me.
- Buddy!
- Buddy. Hey, Buddy.
- He's breathing, right?
- Respirations are shallow,
but yeah, he's breathing.
- How long has he been here for?
- Buddy's been a fixture
since I moved in,
so at least four years.
- You notice any changes
in his behavior recently?
- Buddy disappeared
for a couple nights,
maybe about a month ago.
I don't know where he went,
but when he came back,
he wasn't moving around as well.
He just seemed more
out of it than usual.
- My name won't be on the...
It won't be attached
to anything?
- It can all be
processed anonymously.
- And you won't release
any of my information
to the police, right?
- Mm-mm.
Not without your permission.
- Oh, I forgot to ask.
How much is it gonna cost?
I don't have insurance
or anything, so...
- Nothing.
There's no patient
responsibility.
- And we'll give you a voucher
for any additional
follow-up costs.
- Would you like a Valium?
It can help calm your nerves.
- No, no, no, I don't
want to black out again.
- It's actually just
a mild sedative.
- No!
Thanks, but no.
- OK.
- We're ready to begin the exam.
OK, Gloria?
OK, so sit back a little, put
your feet in the stirrups.
And if at any point
you need me to stop,
if you need to take a break,
you just let me know, OK?
All right, I'm putting my hand
on the inside of your thigh.
Next, I'm gonna
take a quick look
at the outside area first.
- Here.
Squeeze as hard as you need.
- OK.
Now you're gonna feel
the tip of the speculum.
- You're doing really great.
- So what do you think?
I know her liver's
on the cusp, but...
- I've got to disagree
with you there, Will.
It's not on the
cusp. Not even close.
- Well, what do you mean?
Danielle's liver
function is solid.
- Yeah, now, but
the damage is done.
The liver's fibrotic.
- Mildly.
- It won't tolerate
a partial resection.
- Well, that's a
prediction, not a fact.
- A good chance it'll
fail to regenerate.
And then Mom will need
a liver transplant.
- Maybe that's a risk
Danielle's willing to take.
- But if Danielle ended
up needing a new liver
after we allowed her to donate,
that's the kind of bad outcome
that could get a transplant
program shut down.
I'm sorry, man.
- My, my, my.
My goodness.
Is that...
- It is.
- No!
What happened to the
peeling vinyl top
that used to flap in the wind?
- Gone. That and
the cracked window.
Got the heating
and air fixed too.
- Oh, my word.
You know, I love this car.
It's the only reason I
gave you the time of day
in high school.
- I've been restoring
it for years now.
- You did all this yourself?
- For the most part.
Just got the leather
seats reupholstered.
The finishing touch.
- Wow.
- What do you say?
A spin around the block,
for old time's sake?
- Aw.
- Come on.
- A quick spin.
My break's over in 30.
- Yes, ma'am.
- Oh!
- Do you happen to
know his full name?
- Everyone just calls him Buddy.
He's a friendly guy
but not all there.
- How so?
- Sometimes I'll see
him talking to no one,
and he repeats himself a lot.
It just seems like his, um,
processing is kind of delayed.
Hey, I'm really sorry, but
I'm super late for work.
- Oh, look, we really
appreciate you hanging around
while we got him situated, OK?
Thank you very much.
- So I found a partially healed
puncture site in his groin.
It looks like he developed
a postprocedural abscess.
I'm gonna drain it
and start antibiotics.
- Wonder what the
procedure was for.
- Or where it was done.
- Hawley Community Hospital.
It's still in pretty good shape,
so it must have been
a fairly recent visit.
- Is there a name
on that bracelet?
- William "Buddy" Foster.
- Clip that off for
me, will you, Doris?
I'm gonna look up that hospital
and then give them a call.
- Hawley?
I mean, it kind of rings a bell,
but I'm pretty sure
it's outside of Chicago.
- I wonder how he
ended up there.
- Yeah.
- Any other family members
that might be willing
to get evaluated?
See if they're a
match for Lydia?
- No, she's, um...
She's an only child.
Her father also had
problems with alcohol.
Smashed his car into a tree two
years ago and died on impact.
- We're so sorry.
- With the transplant list,
how long do you think
Lydia will have to wait?
- It is impossible to predict.
It can take just a few
weeks, or it can take months.
Years sometimes.
- So, um, just prepare
myself for anything?
- Yeah. We'll check
on Lydia in a bit, OK?
- Man, that's rough.
- Worst feeling in
the world, I imagine.
- Doing search and rescue,
you meet these parents
who are just so
desperate to help.
It's heartbreaking
telling them they can't.
- Yeah, only adds salt
that Danielle's past
is what's preventing
her from donating.
- Talk about a cruel twist, huh?
If it was any other organ.
I mean, her kidneys
are perfectly healthy.
Dr. Halstead?
- Her kidneys are healthy.
I think you're on to something.
- You're staring.
- I'm sorry.
I just never thought
you'd be riding shotgun
in this car again.
- Well...
- It used to give me such
a rush back in the day,
looking over and
seeing you next to me.
Still does.
- Grant.
No.
Grant!
- You're talking about a
paired exchange, right?
It won't work.
Both the donors need
to have healthy livers.
- Well, not exactly.
It's called a trans-organ
paired exchange.
- Oh, yeah.
I heard it discussed
at a conference.
Pretty new concept, right?
Only a couple have been
performed in the U.S.
- It's rare, but
this kind of swap
is allowed under the National
Organ Transplant Act.
- Uh-huh. Thank you.
So you're suggesting that
Danielle donate her kidney
to someone on the
transplant list...
- Someone already
with a willing donor
who was ruled out for a
kidney-specific reason.
- And then they would
donate their liver to Lydia?
- Like a paired exchange,
except with different organs.
- Well, it's not
exactly like for like.
A liver transplant exposes
the donor to greater risk.
- But if we can identify
a potential donor
recipient match,
walk them through the
added risk factors...
- And we have to loop in legal.
The whole nine yards.
- Of course.
I'm not trying to do
anything below board.
- OK, I think I have an
idea for a second donor.
Frank Sheraton. Late 40s.
He's in good health, but due
to a mild reduction in GFR,
he couldn't donate his
kidney to his wife, Roberta.
She's been on the transplant
list for three years.
- Before we get
anyone's hopes up,
let's make sure Frank's
a match for Lydia,
Danielle for Roberta.
- I'll pull up their charts.
Dr. Lieu, you want
to give me a hand?
- Happy to.
- All right.
We'll circle back in a bit.
- Great.
- Dr. Halstead, there you are.
- What's wrong?
- Maggie and a friend
were in a car accident.
The ambulance is en route.
Maggie, you should
be on a gurney.
- I'm fine.
- That's what I said,
but she refused.
- Going to Baghdad.
Matt, talk to me.
- Grant Young.
44-year-old male.
High-speed motor vehicle crash.
GCS 15, BP 120/72.
Heart rate 110.
Large laceration on the...
- To the left calf.
Active bleeding for
almost four minutes.
I initially tried to
control it with pressure.
- Hey, Grant.
I'm Dr. Halstead.
- A piece of shrapnel or
something from the door
sliced the leg.
Uh, it looks arterial.
- Thank you, Maggie.
I got it from here.
- Come on, Maggie.
Let me look you over.
Come.
- Gloria.
Hey.
You want to have a seat?
- That's OK. I
prefer to stand.
- OK, sure.
So your labs came
back positive for GHB.
It's what's commonly
known as a date rape drug.
And while we can't make
any definitive conclusions
until your kit is tested,
there was evidence that
you sustained injuries
from a sexual assault.
- What kind of evidence?
- Bruising in your genital area,
a possible fingerprint pattern.
- What about STDs?
- Your HIV, gonorrhea,
and chlamydia tests
all came back negative,
but you'll need to follow up
to do retesting in
two to three weeks.
- Is it too early to know if...
If I'm pregnant?
- Your pregnancy test
came back negative,
but you'll want to
retest in two weeks.
- Is that it? Is
that everything?
Can I go home now?
- Well, first we
wanted to talk with you
about some of the counseling
and mental health
services available.
- All free of charge.
- I really want to go home.
Forget it ever happened.
- If you do change your mind,
all of the information and
the phone numbers are in here.
- Both of ours included.
- Thanks.
- Gloria, you said initially
that you didn't want
to involve the police.
- I don't.
- OK.
You do understand, though,
that without a report,
they're not able to
open an investigation,
so they're not able to find
the person who did this to you.
- It's not like I'd
press charges anyway.
I just...
I needed to know what
happened for myself.
That's it.
That's enough.
No one else can know.
- Gloria, I
understand, right now,
this is very traumatizing...
- OK, Gloria.
We hear you.
We'll get your discharge
paperwork started.
- Hey. That's it?
I feel like we should be having
a more substantial conversation
with her about reporting.
- No.
Her unwillingness to show ID,
lack of insurance,
fear of the police.
I suspect that Gloria
might be undocumented.
Let's not push too hard, OK?
- But I believe there
are legal protections
for undocumented immigrants
that report crimes
like sexual assault.
- And while you may believe
in those protections, Hannah,
Gloria might not, and
we have to respect that.
- Buddy, what we're
trying to figure out
is if you can remember going
to a hospital recently.
- Yeah.
Yeah, I went to the
hospital before.
That's right.
- And how'd you get there?
- Real nice lady drove me.
She bought me dinner too.
- Were you hurt?
- No. Don't think so.
No.
- Huh.
I wonder why she...
She took you to
the hospital, then.
- Guess I needed to go.
A real nice lady.
She bought me dinner.
- OK.
Um, you know what?
We're gonna step out for a
second and be right back.
- Sure.
- Yeah, all right.
Sit tight.
- Sure.
- All right, so I got in touch
with Hawley Community Hospital.
It's about two hours north of
the city, in Wisconsin, right?
Buddy was there a month ago.
Two-night stay
for a left atrial appendage
occlusion procedure.
- Aren't LA occlusions done
to prevent stroke in
patients with a-fib?
- Buddy hasn't flipped into
a-fib once since he got here.
- It's an elective procedure
on an unhoused patient
in a different state.
How'd they expect
him to get back
for his follow-up stuff?
- Or keep his
surgical site clean?
It's no wonder he ended
up with an infection.
- At best, I think we're
looking at extreme negligence.
- I think it's worse.
Buddy mentioned a
lady picking him up
and driving him to the hospital.
- Ah, a recruiter.
- Probably gets a kickback
for every patient she finds.
- Oh, my gosh.
- I think we're looking
at Medicaid fraud.
- It's not what it
looks like, Sharon.
- Who said it looked
like anything?
No one's judging
you.
- Hey, I just wanted
to let you know
I sent Grant to angio
to see if there's any
vessel damage to his leg.
- Thanks for the update, Will.
- Of course.
How's your patient,
Ms. Goodwin?
- Stubborn with a
chance of just fine.
- Maggie, you want me
to call Ben for you?
- No, no, no. That's OK.
Ben's away at a teacher's
conference in Florida.
I'll let him know when
he comes home on Friday.
- Sure.
- Hannah.
Hey, do you have a minute?
- Yeah, of course. What's up?
- Her name is Chelsea.
She walked into the
district this morning
to report a possible rape.
- A possible rape?
- Blacked out at a
warehouse party last night.
She thinks someone slipped
something in her drink.
- Was it in Pilsen?
- Yeah. How did you know that?
- So I donate a lobe of my
liver to this young woman,
and the girl's mother
would give her kidney
to Roberta?
- Exactly.
We've done the legwork, and
you're a compatible donor.
- And the mother is a
match for you, Roberta.
- Well then, yeah.
Absolutely. I'm in.
How soon can they operate?
- Frank, hold on a second.
I think we have to ask
a few more questions.
We learned all about
kidney donation
when Frank was evaluated
to be a donor for me.
Donating the liver, is
this a similar undertaking?
- Well, to be completely honest,
it's a bigger undertaking.
It's an open surgery with
a large abdominal incision.
- And because of the incision,
it is a harder recovery
than kidney donation.
Usually about twice as long.
- Oh, then no.
- Babe.
- No.
We have to think about the kids.
- I am.
They need their mom.
We all need you.
Hey, remember,
I survived five skydives
and three bungee jumps.
You think I'm gonna let a
little surgery take me out?
Surgery is probably the
safest place for me.
And the fact that this is gonna
help someone else out too?
Even better.
Let me do this.
Is this a yes?
- OK.
Great.
- Great.
- I understand that the
evidence from Gloria's exam
would strengthen any future
case against the assailant,
but I really don't think
revisiting the topic
is going to change her mind.
- Well, I think we should try.
- So you want her
to risk her future,
or her family's future, for
someone she doesn't even know?
- No, I'm not saying that.
- Because that's
her dilemma, Hannah.
And you can promise her
till you're blue in the face
that the system will protect her
and fight for her rights just
like they fight for yours,
but I bet she's seen enough
evidence to the contrary
to know better.
- I'm not suggesting
that Gloria do this
for someone else.
I'm thinking of Gloria
and how it's gonna feel
to carry this trauma for
the rest of her life.
My college roommate, Annie,
was raped at a frat party.
She didn't know who did it.
Didn't report it to anyone.
And she said exactly
what Gloria said.
She just wanted to
forget it ever happened.
And so, she put all her energy
into pretending like
it didn't matter,
like holding someone
accountable didn't matter.
And somewhere along the way,
I think she began to believe
it didn't matter.
That she didn't matter.
And she carried that
feeling as long as she could
before taking her own life.
- Oh, Hannah.
I'm so sorry.
- So no, I'm not...
I'm not insensitive
to the enormity
of what we are potentially
asking Gloria to do.
It's just I have seen
the other side of it.
The consequence of sweeping
a trauma under the rug.
- Dr. Martin Grainer,
the interventional cardiologist
who did Buddy's procedure.
I noticed that he was
moving around a lot,
so I started calling
some of these hospitals.
- Yeah?
- Lost privileges
in pretty much every
single one of them.
- I mean, how the hell is
this guy still practicing?
- You all right?
- Yeah.
I slept funny. That's all.
- They didn't feel
like they could prove
that he was fabricating
indications for procedures.
- Hey.
- That's the doctor
who treated Buddy.
Dr. Martin Grainer.
- So Buddy's labs came back,
and his PSA was
through the roof.
Sent him for imaging,
and he has advanced
stage prostate cancer.
It's all over his body,
in his brain, his spine.
Nothing we could do
for him at this point.
- So while this sorry
excuse for a doctor
is making up all these
bogus medical problems...
- He could have been treating
him for something very real.
- See that?
You have a small pseudo-aneurysm
of the posterior tibial artery.
- That sounds ominous.
- It's not as
scary as it sounds.
It's a small pressurized
pool of blood
that can form following injury
to the wall of the blood vessel.
That will likely
resolve on its own
without any need for
surgical intervention.
We'll just want you back
next week for an ultrasound.
- That's... a relief.
- Definitely.
- If you'll excuse me, I have
to check on another patient.
- Thanks, Will.
Well, that's good news.
- Yes, it is.
Look, I've just been lying
here, doing a lot of thinking,
and I crossed the line.
Plain and simple.
I'm really sorry, Maggie.
- Riding around in
that old Monte Carlo,
I think we just both forgot
ourselves for a moment.
- I guess I thought maybe
we could be friends, but...
- There's just too much history.
- Yeah.
I know that now.
I do.
- Gloria, you are so
brave to come here.
And if you need anything at all,
you've got both of our numbers.
And I really hope you consider
attending one of
those support groups.
- Yeah, I'll think about it.
Dr. Cuevas.
Nellie, I mean.
I was hoping I'd see
you before I left.
- Before you go, Gloria,
I wanted to, uh, share
something with you.
It's not something a lot
of my colleagues know.
Um, something
Dr. Asher doesn't know.
I'm, um...
I'm undocumented.
My family immigrated
to the U.S.
before I could walk.
And as a DACA recipient,
I'm legally allowed
to work and live here,
but I still keep my immigration
status close to the vest.
But I'm telling you
because I trust you.
And I trust Dr. Asher.
So if you ever want to
report what happened,
now or at some
point in the future,
Dr. Asher and I know someone
who will have your back.
Someone you can trust.
- Roberta, Frank, this is
Lydia and her mom, Danielle.
- I don't know how to
thank you both enough.
- I should be thanking you.
You don't even know me,
and you're giving me...
Can I hug you?
- Yes.
- We'll give you all some
time to get acquainted.
- I hope trans-organ exchanges
become more commonplace.
It would increase
the number of potential
donors significantly.
- Yeah, and would allow donors
who were previously ruled out
to still help their loved ones.
- Quid pro quo.
- Yeah, and everybody wins.
- Well, hey, if you
guys aren't above
grabbing a beer with an
intern, first round's on me.
- Definitely not
above a free beer.
What do you say, Crockett?
- I'm gonna have to join
you fellas another time.
Cheers.
- Hey, Gloria.
This is Detective Upton.
- You can call me Hailey. We
can talk here, if you want.
We can go outside for
a walk, get some air.
Up to you.
- Here is fine.
- OK.
- We'll check back on you soon.
- I just hope they
find who did this
before any other
women are harmed.
- Gloria's statement, the
evidence from her exam.
They're gonna help CPD's
investigation tremendously.
- Hannah, like I said to Gloria,
I don't advertise my status.
- It's your business,
nobody else's.
I won't tell anyone.
- Thank you.
- It is incredible, what
you've accomplished.
Going to med school,
becoming a doctor.
- It hasn't been easy.
And with legal challenges
constantly on the horizon,
DACA's future and my future
always feels a bit precarious.
But surrounding myself with
good people really helps.
People I can trust.
- Oh, Maggie. Come on in.
I have to head to this dinner,
but I'm glad you stopped by.
- OK.
- So how are you feeling?
- Uh, OK.
I've decided to, um,
not tell Ben about the accident.
- For the time being, or...
- Ever.
- Are you sure that's
what you want to do?
- There's just no
benefit to him knowing.
- Well, I think Ben
might beg to differ.
- Grant has just caused so
many problems in my marriage.
I just... I don't want
to make it any worse.
- Well, I get it,
but I'm just...
I'm just wondering
how you'd feel
if the roles were reversed
and Ben didn't tell you that
he was in a car accident.
- Sharon, it's just that, uh...
I can't.
I can't.
- Look.
Look, give it a little time.
You had a terrible
scare today, Maggie.
You don't have to
decide this minute.
Look, I have to go, but you
stay as long as you need.
All right.
- Hello, everyone.
Jack, great to see you again.
- Glad you could join us.
- Yeah.
Kathleen, Dennis.
Hey.
- Hey.
So what changed your mind?
- Well, I, uh...
I might have been a
little overly concerned
with the optics.
This money could
benefit a lot of people.
Good to see you
guys. How are you?
- Thank you.
Well, why don't you
make your ask now?
I just think we can get the
business talk out of the way
so we can enjoy our dinner,
which looks
delicious, by the way.
So what's the ask?
- Well, our surgical center
is ranked among the
top ten in the U.S.
Thank you. We want
it in the top five.
We have the best
surgeons in the country,
Dr. Marcel among them,
and what they've been
telling us they need
is updated technology,
starting with
intraoperative MRI machines.
- Being able to take imaging
in the middle of a surgery
would allow us to constantly
recalibrate our approach.
It'd be the difference
between being able to
resect 50% of a tumor
and being able to
resect the whole thing.
- How much capital
are you looking for?
- $10 million.
But of course, we would welcome
a donation of any amount.
- No, I think you're
setting your sights too low.
I'm gonna do something even
better for Chicago Med.
Please.
- What's all that?
- Buddy's belongings.
- Ah.
- The guy he came in
with dropped off a bag.
Stuff he gathered from the
spot where Buddy camped out.
- Huh.
Was this him when he was a kid?
- It looks like him, right?
- Yeah.
- And that apartment
building in the photo,
that's where we found
Buddy this morning.
He was camping out in
the alley behind it.
- I'll be damned.
- Figure it's where he grew up?
- Yeah.
- Maybe I shouldn't have
unpacked everything.
He's only here to make
a move into hospice.
- Were you able to
track down any family?
- No.
You know, I'd love to put the
blame solely on Dr. Grainer,
but more than one bad
actor failed Buddy.
- What do you mean?
- He's gonna die from one of
the most survivable cancers.
With early intervention,
this was treatable.
It shouldn't be killing him.
Our system failed Buddy,
and it fails people
just like him every day,
because the people
who need us the most
never even make it
through our doors.
Until it's too late.
When did we decide that's OK?
That that's just the way it is?
It can't be.
I'm not gonna let it.