All language subtitles for Chicago.Med.S08E18.WEBRip.x264.Hi

- Told him I needed dialysis.

Left it pretty vague.

- It's a good thing
you told him, though.

Not just for his sake.

- Hey, Grace. Over here.

Word is she's single.

- Maybe I could buy
you a cup of coffee.

- What about a drink instead?

- We can help a lot more people

with Jack's vision and
money in our corner.

- Dayton says from now on, 2.0
is for paying customers only.

- When Jack wants something, he
can be like a dog after a bone.

- Yeah, well, that has
been my impression as well.

[laughter]

- Ooh.

Who are the flowers from?

- Guess.

- Oh, your
not-so-secret admirer,

Dr. George Thomas.

Oh, orchids.

The man's refined.
- No.

The man is persistent.

- [laughs] Come on.

Tell me you're not a
little bit flattered.

- Well, it's a bit
much, don't you think?

- I think George has a crush.

- Well, I think he
needs to take a hint.

He's asked me out
for drinks again.

- Why won't you go?

- He's on the board, Maggie.

- You work here every day.

Where else you supposed
to meet somebody?

- Well, I just think
it's not a good idea

to mix business with pleasure.
- Fine.

Sure, but when has that
ever worked for anyone?

I mean, take the
ED, for example.

You've got Ethan and April.

You've got Will and Natalie.

You've got Will and Hannah.

You got Will and...
- Okay, all right.

Spare me the update on
Dr. Halstead's love life.

- There could be...
- Go to work.

- Goodwin and...
- Bye.

- [laughs] [door shuts]

- I'm surprised
you've got the guts

to show your face this morning,

305 to 146.

- Glad to see last night's
win didn't go to your head.

Did you memorize
our Scrabble scores?

- Do you think it's
some kind of record?

Largest spread ever recorded.

- Well, someone's extra
snarky this morning.

What's in that thermos?
- Oh.

Well, there were four
shots of espresso.

It's empty now.
- Whoa. Where's the fire?

- My pilot program
launches today.

- That's right. I totally
forgot about the big day.

The ED gets a
technological facelift.

- New software,
diagnostic tools,

system upgrades.

Be honest. People are not gonna
like all the changes, right?

- They'll be resistant.
- Of course they will be.

- At first, but once
they give it a shot...

- They're gonna see the tech is
gonna help them with their work

and work better and work for
them and not against them.

And you can tell I've had
four shots of espresso

on an empty stomach.
- Yes.

Let's get you a muffin.
- Yes, let's.

- A blueberry
muffin, chai latte.

- Okay. Yeah, sure.

- Grace?
- Mm-hmm.

- Grace.
- Mm-hmm. Mm-hmm, yeah.

[both inhale deeply, exhale]

- Thanks. Come here.

Hey, look.

You've been helping me do my
job better since you got here.

Today's gonna go great.

- Thank you.

I...

couldn't help it.

- No need to help it.

- That was a close one.
- Thank you so much.

I appreciate it.
- Have a good day.

- Lifesaver.

- Hey, got your own
personal valet now, hotshot?

- Your son is a lifesaver.

Apparently, my car
was about to be towed,

and he offered to
move it for me.

- That's the least he could do.

- What do you mean?

- You've take him
under your wing.

You set him up with a sponsor.

You sent that valet gig his way.

You've been a really
positive influence.

And now that I've
laid it on thick,

can I ask a favor?

- Should've seen that coming.

- I need an attending

to cover for me next week
at a department meeting,

and you're the only one
around here I trust.

- What's going on?

- So I'm being evaluated
for the transplant list.

Dr. Cameron feels it's time

seeing as I'm officially
in end stage renal disease.

- Dean, I'm sorry.

- And the kicker is, even
if I get on the list,

it might not be an easy match.

I've got this high cPRA.

- What about Sean?
Isn't he getting tested?

- Mm, no, that's not an option.

- But he would be your
best possible donor match.

- Yeah, Sean needs to focus

on his own health now, not mine.

- Sean's coming up on
one year of being sober.

He's in a really good place.

Donating could be a really
positive experience for him.

- I'm not taking my
son's kidney, Hannah.

- Dean...
- Incoming!

Dr. Archer, you're with me.
- Yeah.

I'm right there.
- It's your son.

He should be given the
opportunity to help

if he wants to.

- I don't mean to
be patronizing,

but you'll get it
when you have a kid.

- Going to T3.

- Kurt Leger.
36-year-old male.

Was ejected from his wheelchair.

Fell down a flight of
stairs. Vitals are stable.

- My wheel got caught
in an uneven tile.

And I went flying. I'm
okay, though, really.

Just knocked the wind out of me.

- How long you been
in a wheelchair?

- Huh?
- How long

have you been in a wheelchair?

- Told us he's got a
T-10 spinal cord injury.

Got bucked off a
horse in high school.

- Is this a complete
injury, Kurt,

or is this paralysis
from the waist down?

- Waist down, yeah.
- Okay.

On my count. One, two, three.

Oh, God.
- Okay.

- Okay.

Okay, breath sounds
clear bilaterally.

Okay. Let's take
this board out.

- Kurt, we're gonna roll you
over for just a moment, okay?

- Okay.

- All right.

- [groaning]

- All right, let's hold off
on clearing C-spine just yet.

Give him 100 of fentanyl.
That'll help take the edge off.

Okay. And we'll
be back shortly.

- [groaning]

- You were pressing
way below T-10.

How could he feel that?

- Well, no clue. Could
be referred pain.

We'll know more
once we see imaging.

- Has trauma ever reversed
permanent paralysis?

- What, from a complete
spinal cord injury? No.

No, never. No.

[tense music]

♪

.

- Hello.

Good morning.
- Oh.

Hey there.
- Hi.

Please sit.

Sit.
- Okay.

- I have news. Big news.

- Oh, how exciting.

- My coworker, Vanna...

- She's moving to Florida
to live with her daughter.

- Yeah, you remember.

- Yeah.
- Good.

Well, I might buy her house.

- Wow.

- Yeah.
- Okay.

- It is small, but it's just me.

So it will be perfect.

- And, I mean, that's great.
- Yeah.

- And you can afford
it, I mean, obviously.

- Well, I will have to
use all of my savings

for the downpayment

and take out a mortgage,
but I can do it.

And Vanna is offering
it to me off market

for a very fair price.

- Well, that's so exciting.

You know it's a
fair price because

you looked at some comps
in the neighborhood?

- Comps?
- Comparable properties.

- Comps, yes. Well, no.

I haven't yet, but I will.
- No, not yet.

Yeah.
- And I trust Vanna.

- Yeah.

- You don't think
this is a good idea.

- Oh, gosh, I don't mean to
give that impression at all.

I don't.
- Oh, okay.

- I just think, you
know, you have to be...

I don't know, always when you
make a big move like this,

you gotta ask the question,
is now the best time to buy?

You know, and if you're
gonna wipe out your savings

for the downpayment, I mean,

maintenance issues
will come along.

You might want to
do a renovation.

You just gotta make sure...

Hey, look, I really...

I don't mean to be a
downer about this at all.

I really don't.
- No, it's okay.

There's a lot to think about.

I'm still thinking about it.
- Okay.

You want to go somewhere
and talk about it some more?

Get a cup of coffee
or something?

- I can't. I have
errands to run.

And I will see
you later, Daniel.

- Okay.

Hey, congrats.

Congrats.

- The new system automatically
updates room availability

and displays room assignments
on all the monitors.

Maggie, now you won't
have someone asking you

every two minutes,
"Where am I going?"

- No, that'll still
happen. Okay, everybody.

Let's get back to work.
Thank you very much.

- No, no, it won't
happen because now

they can just look
at the monitors...

- I understand that
they can, but will they?

These folks are
creatures of habit.

- Well, it'll become
habit over time.

- Okay, well tell me
more about these lights.

Are they part of a
room triage system?

- So no, these are
actually noise sensors.

They monitor volume
levels throughout the ED.

When it gets too loud,
they start flashing.

- What happens when they do?

Noise police just pops out? Oh.

- Well, no.

Hopefully it's a gentle reminder

to anyone in the vicinity
to lower their voice.

- Yeah, I'm...
- Research shows

that excessive noise
in the emergency room

increases patients'
stress and anxiety,

raises their cortisol levels.

- Well, I'm for the
reminder to the staff

that they must keep
unnecessary noise at a minimum.

I mean, it's what
I do every day.

- Which you shouldn't have to.

You got enough on
your plate, Maggie.

Adults should be
able to self-monitor

with a simple visual cue, right?

- I guess, Grace. We'll see.

[knocks at door]

- Hello, Ms. Palmer.
- It's Alicia.

- Hi, Alicia.
I'm Dr. Halstead.

I see you've been experiencing
frequent headaches lately.

- Yeah, two to three a
week for the last month.

The one I'm currently having
is the longest so far.

Going on 29 hours.

This should all be in my chart.

I gave the nurse a
record of my attacks.

- Yes, I'm seeing that here.

- And a list of
conditions and diseases

that include my symptoms.

I'm obviously not a doctor.

I'm not trying to insult
your intelligence.

- No offense taken.

- I just read that
people get misdiagnosed

in the emergency
room every year.

- Well, I can tell you a
misdiagnosis tends to happen

when a patient's
presentation is atypical.

- Yes, that is what
the article said.

- But here at Med, we've
actually got a new...

Well, really new,
like, as of today...

AI-based diagnostic tool

that helps us make sure
we don't miss anything.

There's a lot more to
it, but the gist is

it creates a differential

for the doctor to compare
against their own.

- Differential. That's
the list of things

that could be wrong
with me, right?

So it's like having a colleague
double-check your work.

- A colleague that scans

every medical database
and journal in an instant.

- Okay, yeah. Let's
definitely use the robot.

- Well, because we're in
the pilot phase still,

I'm gonna need you to
sign a consent form.

I'll grab it and be right back.

- Thanks.
- All right.

- I'm sorry I didn't
put on the gown.

I know I'm supposed to,

but it would take me
forever at the moment.

- I'll cut you some slack.

- I'm also kind of hoping
this won't take long.

Ryan has had perfect
attendance all year.

- Oh, well as an alumna of
the perfect attendance club,

I will do my best to get
you both out the door.

So, Sarah, you got dizzy
driving to school today?

- For, like, a few seconds.

Yeah, I pulled over

to study myself for a moment.

And then I felt fine.

But my worrywart over here

begged me to turn
around and come here.

- She gets dizzy a lot.

Sometimes she has trouble
catching her breath.

- Hmm.
- I have to park on the street.

I get a little winded sometimes

walking from our
apartment to the car.

- Every day?

- I tried to explain
to Ryan it's normal.

- Well, your ankles are swollen.

And your breathing still seems
a bit labored, even at rest.

[phone chimes]
- Yeah, I had swollen ankles

and I was panting all the time

when I was this
big with Ryan too.

Just ask my ex.

Oh, wait. He's
nowhere to be found.

- Well, these all
could be symptoms

of third trimester
pregnancy, I agree,

but I'd still like to do a
full workup just to be safe.

- I've got an appointment
with by OB on Monday.

- I'd really prefer if we
could just check you out now.

- Mom, look at this text
you got from Ms. Goto.

It says as long as I get
back before lunch is over,

it won't mess up my record.

So let the doctor run
tests and stuff, please.

- Okay, okay.

Yes, run all the
tests and stuff.

Hey, I'm just fine.

We'll make sure your baby
sister is feeling good, okay?

- Dr. Archer, Kurt
Leger's scans are up.

- Okay.

Yeah, unstable burst fracture
at T-12 from the fall today.

- What?

- Well, it isn't
a medical miracle

he's got feeling below T-10.

- What do you mean?

- Well, no evidence of prior
trauma at the vertebrae.

Yeah, this guy's not paralyzed.

Kurt.

Wanted to review your imaging.

To start with,

you don't have an
injury at T-10.

I'm guessing this
isn't news to you.

Do I need to repeat that?

- I didn't think
the scans would...

- What, blow your cover?

Okay, but what's
really pressing...

- I'm not trying to
get disability benefits

or better parking.

That's not why.
- Sure, sure.

Of course, yeah.
- I don't want you to think...

- Hey, it really doesn't
matter what I think.

What does matter:
your tumble today

caused an unstable
burst fracture

in your T-12 vertebrae,

and that's gonna
require surgery to fix.

- And without surgery?

- There really is
not another option.

If your fracture was stable,

I would say you can try a brace.

- No, no, I'm not asking
about other options.

If I don't treat this,
what will happen?

- You're gonna end up
actually needing a wheelchair.

You're gonna be looking
at weeks in bed.

Chronic back pain.

Weakness in one or
both of your legs.

Numbness.

Even paralysis.

- I don't want the surgery.

- So I really appreciate
you giving me access

to your psychiatric records.

It's very helpful.
- Of course.

- How about I just,
you know, give you

my understanding of what I read,

and then you let me know
if I missed anything.

Does that sound okay?

All right, so you were diagnosed

with body integrity identity
disorder eight years ago

but experienced symptoms
from early childhood.

- Since I was at
least five, yeah.

- And for you, BIID
presents itself

in the form of a very strong
desire to be paralyzed?

- It's all I think about.

It dominates every
aspect of my life.

- But it seems like

a wheelchair gave
you some relief.

- Some, but I can
still feel my legs.

And for reasons I can't explain,

that's an extremely
distressing feeling.

I've had therapists
tell me it's due

to repressed childhood trauma,

neurologists who think it's a
glitch in my cerebral cortex.

A psychic told me it was
linked to a past life.

- Right.

Yeah, I mean, I can
see that you've tried

a number of different
therapeutic approaches here...

You know, kind of
behavioral therapy,

antidepressants,
muscle relaxants.

- Even hypnosis.

Nothing's worked.

- I wish I had something
special in my toolkit for you,

but, I mean, frankly,
these are all the therapies

I would recommend myself.

Must be very
frustrating for you.

- Yeah.

And honestly,

today's the most hopeful I've
felt in a really long time.

- I want the tests.

- Okay.

Hey, Grace, you got a sec?
- Hey.

- So I don't know if there's,
like, a formal suggestion box

during this pilot phase.

- I'm the suggestion
box. What's up?

- New software.

It included giant cell arteritis

in my patient's differential.

- Your patient
with the headaches.

- Exactly.
- GCA's pretty rare.

It presents in 5 out of
every 10,000 people, I think.

- And testing for it requires
a number of expensive labs.

The patient's insurance
is gonna cover it,

but I don't like ordering
unnecessary tests.

I prefer to rule out horses
before chasing zebras.

- Of course, but you don't
have to order the labs.

A doctor can override any
suggestion on the differential.

- Right, but before
the doctor can do that,

the differential's
automatically uploaded

to the patient's chart.

- Which the patient
can view in real time

by logging in to
the online portal.

- Which my patient did.

And now, she's insisting

I order all these
unnecessary labs.

- So your suggestion is
to lose automatic upload,

which we can't because when the
patient signs the consent form,

they're guaranteed access
to the full results.

- Ah, I see.

Well, you know what?
Better safe than sorry.

Right?
- Yeah.

- Absolutely, and it'll
ease the patient's mind too.

- Well, let me know
how it turns out.

- Hello, Baylin.
Remember me, Maggie?

- Baylin drove himself to the ED

because he feels like
his heart is pounding.

- I'm sorry to hear that.

You want to take a
walk with me, okay?

We're going right
down here to three.

Thanks, Leah.

- [panting] The CIA
is following me.

I think I saw one of
them in the waiting area.

But I can't be sure.

He's always changing
his appearance.

- All right, I won't let
anyone come into your room

without your permission.

Trini here

is gonna help you get situated.

- Hi, Baylin.

Why don't you take
a seat on the bed?

I'll grab a gown.

- Trini.
- Yeah?

- Baylin's a frequent
flier with schizophrenia

with a complex PTSD,
and psych's backed up.

- Got it.

- Do you mind keeping
him company for a bit?

- Not at all.
- Thank you.

- Hi.

- Hi, Sarah. This
is Dr. Marcel.

- Hi.
- Hey, Sarah.

- Um, I see surgery on
your scrubs, Dr. Marcel,

and it's making me nervous.

- Well, I tend to have
that effect on people.

- Well, Sarah, before
we go over your results,

we were gonna see if Ryan here
wanted to go to the rec room.

There's all kinds of video
games and snacks down there.

- Yeah, that's a great idea.

Why don't you check
it out, kiddo?

- No, I'm staying with you.

- Ryan, this is a conversation
between grown-ups.

- I'll be quiet. I promise.

- It's just us two.

There's no keeping
anything from him anyway.

Go ahead.

- Okay, so I asked
Dr. Marcel to consult

because your echocardiogram
revealed you have a condition

called peripartum
cardiomyopathy,

or PPCM.

It's often missed, because
as you experienced,

it mimics the
symptoms of pregnancy.

So, Ryan, it's really good that
you brought your mom in today.

- Great job, buddy.

- That's heart
disease, isn't it?

- It is. Yours is
a very rare form

that can occur at
the end of pregnancy

or shortly after giving birth.

- Now, I reviewed your
echo with Dr. Asher,

and we can treat
you with medicine.

- Oh, thank goodness.

- We will have to
admit you overnight.

- Wait. To the hospital?

- We'll start you on medications

to help your heart
function better

and get rid of any fluid
that's causing discomfort.

- If I'm just taking medication,

why can't I do that at home?

- Well, it's recommended

that you stay in the
hospital for monitoring

and so you can rest,

at least until the
acute symptoms subside.

- I can't.

I don't have anyone
to watch Ryan, and...

I really can't afford a
hospital stay right now.

I'm saving up to send Ryan
to private school next year.

Speaking of, kiddo, we
gotta get you to school.

Lunch period is
gonna be over soon.

- Mom, I don't care.

- What do you mean
you don't care?

This kid has perfect attendance.

And if he keeps it up,

he is gonna get an award
at the end of the year.

- Stop it, Mom! I don't
care about the stupid award!

- Hey, you don't
speak to me like that.

Just get me the
prescription so I can leave.

- I really can't recommend that.

- I understand.

Please get me the prescriptions.

- I know we've had
disagreements in the past

around this topic,

but this is a no-brainer.

This guy wants to be paralyzed.

How can he have
decisional capacity?

- Well, because like a vast
majority of people with BIID,

he's aware and oriented, right?

He understands the
risks of the surgery

as well as the alternatives.

You know, he's of sound mind.
- Sound mind?

What about the fact that he
flung himself down the stairs?

- No evidence that the
fall was intentional.

- Come on, man. How
could there not be?

- Well, according
to the paramedics,

there were several witnesses

who confirmed it
was an accident.

Not to mention,

no history of self-harm
or reckless behavior.

Actually was able to
get ahold of his shrink

who assured me he
never even considered

trying to paralyze himself.

- Well, maybe he just
never discussed it.

- Dean.
- Yeah?

- Even if the fall
were intentional,

we still can't force
a surgery on him.

- No, but a court order could.

- But we don't have the grounds
to petition a judge, right?

Because he competent.

I don't like it either, okay?

But he has the right
to refuse the surgery.

- Okay, all right.

And once again, you're
keeping my patients

from getting the care they need.

- Hey, so what gives?

- What are you talking about?

- You didn't see this
impromptu board meeting

added to your calendar?

I mean, do you have any
idea what this is about?

- I didn't even know
it was happening.

- Okay, well, it's
an impromptu meeting

with the entire board,
plus C-suite, okay?

I mean, that can't be good.

- Look, I don't like
being blindsided either,

but don't get all fatalistic.

- Yeah, well, when I
talked to Jack about it,

he wouldn't share any details,
and he told me not to worry.

That makes me worry.

- Well, you're in
fairly regular contact

with his lawyers, aren't you?

Well, see if he has any
significant filings in motion,

and I'll put a
call out to George.

Maybe he has some intel.

- George?

- Yeah, Dr. Thomas, our
newest board member.

- Oh, yeah, I didn't realize

that you and George
were getting so chummy.

I'll go find some other
business to stick my nose into.

[distant chatter]
[machinery beeping]

- Red light.

[whimpers]

Red light! The CIA's found me!

The signals are moving!

They're gonna be
here any minute.

- Let's get back in bed, okay?
- Oh, no.

They flash the red lights

when they got you
cornered like a rat.

That's their signal to move in!

- Maggie, I could use a hand.

- No, no, no, no.
- Baylin.

Baylin, I need you to calm down.

Breathe. Breathe. I
need you to breathe.

These light, I'm turning
them off right now.

I'm turning them off.
- Yeah, I'm sorry!

I have to go!
- Baylin.

- Baylin. Baylin.
- They're gonna kill me!

- Security, stop him
from leaving right now.

Page Dr. Charles.

- Let me go! Let me go!

[sobbing]

I gotta go, please.

.

- Looks like our
old buddy, Baylin,

went off his meds
a couple weeks ago.

Good news: he's agreed to
check into the psych ward

for a couple of days until
he gets back on regimen.

- Great.

- So these are what set him off?

And why were they
installed again?

- To make patients
more comfortable.

- The genius of Jack
Dayton. They got to go.

- Mm-hmm.

- Maggie, I heard what happened.

- So you'll understand why
I want the lights removed.

- Red was a poor color choice.

I'll reprogram the lights to
something more neutral tonight.

- I want them gone,
please, Grace.

Not reprogrammed. Just gone.

- You agreed that monitoring
noise levels in the ED

is important for patient care.

- And I do a damn
good job of it.

- I'm not suggesting
that you're not.

- I don't need any assistance.

[knocks at door]

- So good news. All your
labs came back normal.

Your ESR was mildly elevated,

but that's nothing to
be concerned about.

- What is ESR? What
does it test for?

- Erythrocyte
sedimentation rate.

It measures inflammatory
activity in the body.

- And mine's elevated?
- Mildly.

And it can be elevated
for a number of reasons.

I mean, something like
stubbing your toe will do it.

- What if you have...
What is it called...

Giant cell...
- Arteritis.

- Right. Would your
ESR be elevated then?

- Yes, but much
higher than yours.

- How much higher?

- Off the top of
my head, I believe,

typically 50 or above.

- And mine was 31.
- Correct.

- And you never see GCA in a
patient with an ESR below 50?

- There have been
cases, similar ones,

but those patients
all had symptoms

of the condition
you do not have.

Uh, it's far more likely you
have a headache disorder.

I suspect migraines
or cluster headaches.

I'd like to refer you
to a specialist...

- Whoa, your system
says here, if it is GCA,

it should be treated
right away to prevent...

vision loss or a stroke?

It could be weeks before
I see a specialist.

- Alicia, the gold
standard for diagnosing GCA

is a temporal artery biopsy.

Neurosurgeon makes an
incision above your temple

and removes a piece
of your blood vessel.

- A surgeon?

- Yes, we're talking about
an actual procedure here.

- But I'd be out
for the whole thing.

They put me to sleep, right?

- No, it's only used
with light sedation

under local anesthetic.

You'd be awake the whole time.

Look, I know headaches
are extremely frustrating

and you want answers,
but let's start

with giving you some relief.

I'm gonna put you on triptan.
It's a class of drug used...

- I'm not gonna feel any relief

until I know definitively
this isn't GCA.

- Alicia, it's just you have
so few of the symptoms...

- You said misdiagnoses happen

when a patient's
presentation is atypical.

I want the biopsy.

- Sarah, I really wish
you'd reconsider staying.

- Just let me get him to school.

If I have another spell,
I'll come right back.

Oh! [water breaks]

Wait. Did my water just break?

- Let me check.

Yes, it did. Okay, it is time.

- What? But it's so early.
- You're 38 weeks.

- Yeah. Ryan was
two weeks late.

- Every baby comes on
their own timeline.

Let's get you up to
labor and delivery.

- Wait. What about Ryan?
My sister's in Michigan.

It'll take her six
hours to get here.

- Mom, I want to stay with you.
- No, you don't.

A delivery room is no place
for an 11-year-old boy.

You'll be scarred for life.
- If it's okay with Ryan,

I don't mind hanging with
him here at the hospital.

I don't have anywhere to be.

- No. No, I can't
ask you to do that.

- You didn't. I offered.

- Thank you.
- Yeah.

- Hey, you listen
to Dr. Marcel, okay?

- Okay, ready?
- Yeah.

- All right, bud.

- Bye.

- Come on.

- Dr. Archer, hi.

- I know it's not my place...

But you are giving something
up that you cannot get back.

- I understand that.

- And if you change your
mind down the road...

- I'm not gonna change my mind.

- Hmm.

When you lose control of your
bladder for the first time,

you'll feel differently.

- Not to be disrespectful,

but I went over all of
this with Dr. Charles,

and he was satisfied.

- Because you told him what
you knew he needed to hear.

- Excuse me?
- Oh.

I think you knew exactly
what you were doing today.

- Dr. Archer,

can I get a word, please?

You think I don't know when I'm
getting played by a patient?

- It wasn't a comment
on your skill.

- Dean, what are
you thinking, man?

I need to remind you of all
people that bullying a patient

into a procedure might
get you in real trouble?

- Somebody needed to talk
some sense into this...

All right, this is an
unprecedented situation.

- No, it's not.
- It absolutely is.

Maybe some more
opinions in the mix.

- Oh, you want to get another
psychiatrist to weigh in?

- I think it'd be wise.
- Great idea.

- It would cover
ourselves legally.

- Whoa. You're
getting loud, Doctors.

- Dr. Kwon's on call.

Say hi for me.

- All right, lidocaine and
a gram of cefazolin, please.

Thank you.

- What's that for again?

- It's an antibiotic to prevent
infection post-procedure.

- Scalpel. All right, Alicia.

You're gonna feel
a little pressure

as I make my incision, okay?

Just breathe.

- How you doing, Alicia?
- Mm.

Feels a little
weird, but I'm okay.

- All right. Not too
much longer, Alicia.

Almost to the vessel.

- You're doing great.

Yeah, biopsy's nearly complete.

- Dr. Halstead, I...

I can't... swallow.

Is this from the anesthesia?

- No, it wouldn't
affect your airway.

Maybe you're just
feeling a little nervous.

Take a deep breath.
- [wheezes]

I can't. My throat
is closing in.

[machinery beeping rapidly]
- Sats at 86%.

- Epi one milligram
IV. 125 solumedrol.

- I can't... I can't...

- Alicia, you're having an
allergic reaction to something.

There were no indications
in her chart, right?

- None, and she didn't
mention any allergies.

- [wheezing]

- I need you to
keep that on for me.

Where's that epi?

- It's right here.

- Okay, Alicia, hang on.
You're gonna be okay.

You're gonna be okay.

- Hey.
- Hey, I got your text.

Sarah's baby is breech?
- Mm?

Just scanned her
a few minutes ago.

If it were up to me, we'd
proceed with a vaginal delivery

and use pipers to
pull the head out.

- But let me guess, Sarah
wants to do a C-section

because it's safer for the baby?

- But far riskier for
Sarah, as you know,

given her heart condition.

I hated to pull
you out of the ED,

but I could really use an
extra set of hands in there.

- Yeah, of course, I'll
scrub and meet you in the OR.

- Great.

- I shouldn't have
talked to her like that.

- Well, the thing about moms is

they have this funny way of
knowing what's in our hearts,

even when we don't say it

or if we say something
we don't mean.

They know better.

- Dr. Marcel,

do you think I
stress my mom out?

I mean, she's always
doing everything for me.

Maybe that's why she's sick.

- No way.

Look, Ryan,

there's not a lot
of stuff we can say

with complete
certainty in medicine,

but this I can say
with total confidence:

you did nothing to cause
your mom's condition.

Hey, you want to get something
from the gift shop there?

For your mom and baby sister?

- My mom would like it

if I wrote her a card
telling her I'm sorry.

- Okay, then let's go.

Come on.

- So turns out you're
allergic to cefazolin.

It's recorded in your chart now,

but it's still something
for you to be aware of.

- Cefazolin.
Cefazolin, cefazolin.

Can you tell me
how to spell that?

- Sure. Let me know
when you're ready.

- You know what? Never mind.

Maybe I shouldn't
research everything.

Clearly it doesn't always
lead to the best decisions.

- Hey, absolutely nothing wrong
with wanting to be informed.

You are your own best advocate.

- Mm, I think... I think
my headache's gone.

The medicine's working.

- Excellent news.
- Yeah.

- Well, I'll let
you get some rest.

- Thank you, Dr. Halstead,
for everything.

- Hey.
- What's up?

- I heard what happened.
Is your patient okay?

- Yeah, she's gonna be fine.

- And the biopsy?

- Well, pathology won't get
the results for at least a day,

but Dr. Gordon said the
vessel looked totally healthy.

- What a waste of
time and resources.

If you want to join me,

I'm planning on paying
Goodwin a visit.

- What do you mean? Why?

- To let her know what a
disaster these upgrades are

before they get past
the pilot phase.

- Mags, come on.

Don't you think that's
overkill involving Goodwin?

- Will, patient care
has been compromised

on multiple fronts today.
- Not intentionally.

And Grace, she's still
working out the kinks.

- Well, I'm not trying to
sabotage Grace's efforts,

but I'm also not gonna stand by

while Dayton tries to
automate us all out of a job.

[knocks at door]

- Yeah?

- Yeah, uh...

so Dr. Kwon agrees that Kurt
has decisional capacity.

- Got it.
- Yeah.

And he's signing the
paperwork to leave AMA.

- Appreciate the update.

- So, uh...

I'm tied to a dialysis
machine most nights.

And I'm currently
being evaluated

for the transplant list.

- I didn't know you were...
- That bad off?

Yeah, me neither.

Yeah, and once I'm on
the transplant list,

I need to be within
a certain radius

of the hospital at all times.

But suddenly my
life and my plans

are being dictated by my health.

And so, when I see
this young guy,

this picture of health,

willingly giving it up,

I made it personal,

which you already probably
knew that I was doing

because you're excellent
at what you do, Dan.

And I shouldn't have
implied otherwise.

All right.

- Hi.

- Oh, hey.

Um...

Your assistant let me in.
I hope you don't mind.

- No, not at all, and thanks
again for the flowers.

They're lovely but
really quite unnecessary.

- Sure.
- Thank you.

- Mm-hmm.

[clears throat]

All right.

I-I got your voicemail.

- Well, you know you
could've just called me.

You didn't have to
make the trip over.

- Yeah.

After hearing your message,

I called Jack, and I asked him

what this surprise
board meeting was about.

- All right.

- Jack has a
proposal on the table

that would drastically change...

Med's future.

- Mm-hmm.

- Okay.

First arm out.

- Towel.

- Here she comes.

And there she is.
- [sobbing]

- Okay.

All right, you have a
beautiful baby girl, Sarah.

She is so excited
to meet her mama.

[machinery flatlining]

- I can't find a pulse.
Her heart stopped.

- Pack her abdomen.
I'll start compressions.

Come on, Sarah.

Stay with us.

- Charge to 200.

- Come on, Sarah.

Come on.

[pensive music]

♪

- Oh, man.

- How's Ryan's aunt?

- She wanted to stay
back in the nursery

with the baby a bit longer.

How's he doing?
- Yeah.

About what you'd expect.

- Oh, poor kid.

- His aunt and uncle
seem really great.

- Mm-hmm.
- Gets along with his cousins.

- Yeah, Ryan and his baby
sister will be loved to pieces.

His aunt made that very clear.

- Hey, walk with me.

You know you did everything
you could, right?

Sarah's heart was worse
off than we thought.

Nothing we could've
done to change that.

Sad truth.

Only thing that would've
made a difference

is if Sarah had come in earlier

when she first started
experiencing symptoms.

- You know, my sister,
Elizabeth... Lizzy...

She, uh...

She was Ryan's age
when our mom died.

- I didn't know you
lost your mom as a kid.

- Lizzy and Matt...

That's my brother...

They had it the toughest

'cause they really
remembered her.

I never got to meet her.

She died in childbirth with me.

Aortic stenosis.
- Mm.

- Undiagnosed.

- I'm sorry to hear that.

- The doctor said
that he thought

she was suffering with
symptoms during her pregnancy

but she just downplayed it.

Yeah, because like Sarah,

she wanted to be the best
mom that she could be.

To her, that meant
putting her kids first

and herself last.

Swallowing any
pain or discomfort

so that she wouldn't
burden her kids.

And still, to this day, I
am so angry at her for it.

I'm so angry because I
never got to have my mom.

I don't get to remember her.

- It's okay.
- [sobbing]

- It's all right.

It's okay.

- Oh, hey, Lil.

Liliana.

- Oh, you're still here.
- Yeah.

I was actually... I was kind
of hoping that I'd catch you.

How's your day?
- Fine.

- You've given any more
thought to Vanna's house?

- Oh, yes. Maybe
not the best idea.

- Why? 'Cause of what I said?

- You made some good points.

- No.

No, I made some
self-interested points.

- What do you mean
self-interested?

- You walked in here
this morning all excited

about a beautiful little
house you'd found, right?

Your dream house.

And what I heard was

that maybe you were planning
a future that didn't...

You know, that didn't
involve me, so...

- Owning my own home has been
a goal for a long, long time.

And the reason that
I feel ready now

to take this leap of faith is...

Is really all your
fault, Daniel.

Because of you,

I now know I want to put
down roots in Chicago.

Despite its miserable winters.

Remember, I'm from Poland.

- Yeah.
- [chuckles]

[tender music]

♪

- Yes, it's Sharon Goodwin.
[indistinct chatter]

I'd appreciate it if you
could get back to me tonight,

if at all possible.

Yes, I'll be up
late. Thank you.

- What's going on?

- We're trying to reach
every member of the board

before Jack can
get to them first.

He wants to convert Med
into a for-profit hospital.

Turn it over to investors.

- Can he do that?
- Well, he can certainly try.

He wants to put it
to a board vote.

- I mean, if Jack succeeds,
there goes Med as we know it.

Vital services that don't
generate enough income cut.

We're gonna have to discharge
patients that can't pay.

- Yeah, I know. That's why
we're doing everything we can

to make sure he
does not succeed.

Look, I need to
make this next call.

Did you need something?
- Oh, no.

No, it can wait.
- You sure?

- Yeah.
- All right.

Hello? [door shuts]

- Hey. Thanks for meeting me.

- Of course.

Rough day?

- Yeah, rough day.

- What's going on?

- I...

I need to tell you something.

- Okay.

- It's about your dad.

And he can't know that you
learned this from me, but...

Look, if it was my parent,
I'd want to know, so...

- What is it?

- [sighs]

- Hannah, please.

- His health is getting worse.

[tense music]

♪

[wolf howls]