All language subtitles for Chicago Med s10e13 Take a Look in the Mirror.eng

- Just because Carl is
going for full custody

does not mean
he's gonna get it.

- He's gonna use
my psych hold against me.

I'm really glad to
have you in my corner.

It means more than you know.

[tense music]

- I'm seeing my attacker
whenever I'm in my office.

- In my experience,
when you try to run away

from your demons,
they chase you.

- You never made it back
to my place last night.

I'm worried you're trying
to numb your grief.

- Watch where you're going!
- Get out of my face.

[grunting]

[groans]

[distant sirens wailing]
[dog barking]

[soft tense music]

- That's right. Stay down.

[panting]

Where's that smart mouth now?

[grunts]
- [groaning]

[sirens approaching]

?

- Well, it sounds to me,
anyway,

like you're feeling
a lot closer to normal,

and that makes me happy.

- Well, I don't know
about normal,

but I now know the value
of a good therapist.

- Does that mean I'm gonna
get a big, fat raise?

- No.

- Okay, well, I'm still happy
you're feeling better, I guess.

- [chuckles]
Is that Jackie?

Hey, good morning.
- Good morning, Jackie.

- Ms. Goodwin, good morning.
Good morning, Dr. Charles.

- How're you doing?
- Good, good.

Ah, you know, this is
gonna take forever.

I'm just gonna head
back to the ED, I think.

- Why don't you
give us your order?

I'll bring it up.
- Oh, no.

No, no, it's fine.
- You sure?

- Yeah, yeah,
I'll see you in there.

- What was that all about?

- Oh, I don't know, man.

That was very-
that was weird, wasn't it?

- Okay.

- What?

- [chuckles]

- That looks good.

- Where am I?

- Martin, I told you,
we're at the hospital.

- Okay, so how did this happen?

- Someone turned off
the TV he was watching,

and he got mad
and smashed a lamp.

He's been getting
pretty worked up

over that kind of thing lately.
- Got it.

Any history of bleeding
disorder or, uh, diabetes?

- I'm really not sure.

- Okay.
Any family we can contact?

- Unfortunately, no.

All we know is that
he was living alone

until he set
his stovetop on fire.

CFD turned him
over to the state,

and when a cognitive eval
tagged dementia,

he ended up at our facility.

- All right, I see bedsores,
and he's pretty thin.

When's the last time
he took a bath?

- Look, there's only
three of us

on the entire memory care floor

trying to rotate
through all the rooms.

How long is this gonna take?

Martin's not my only patient.

I need to get back
to the facility.

- Well, you're gonna have to
hang tight because Dr. Archer

wants occupational therapy
to examine Martin's hand

before he's released.

- Where am I?

- You are right here
with me, Martin.

[inaudible]

- Uh...
- What is it?

- Uh, uh.

[sobbing]

- Okay.

Listen to me.
We're gonna figure this out.

I'm gonna take good care
of you, Martin.

You hear me? I promise.

?

- What happened to your lip?

- [clears throat]
I'm fine.

- You got in a fight
last night, didn't you?

- Yeah, let's not
do this again.

You, uh-
you made your feelings

perfectly clear last night.

- Could use you in T6.

Patient's complaining
of back pains,

but there's-there's no rush.

- Okay, I'll be there
in a moment.

- Oh, Ms. Copeland,
this is Dr. Asher.

- You can call me Eva.

- Hi, Eva.

I heard you've got
some back pain.

Can you show me where it hurts?

Okay, any chance
you could be pregnant?

- No.
- Are you sexually active?

- My fianc� and I, we've been
saving ourselves for marriage.

- Okay, so when did
your back pain start?

- When I woke up this morning.

I'm a bit of a wild sleeper.

- Oh, I am the same way.

- My poor fianc� has
no idea what he's in for.

Ow!
- Ooh.

All right,
I'm gonna lie you back.

Okay?
- [groaning]

Ow!

- Okay, I am done
torturing you, Eva.

Let's get a CBC and a BMP.

- You got it.

- We'll be right back.

- And an ultrasound?
- And a pregnancy test.

- Victor Tullman, 52 years old.

Was ejected when his motorcycle
hit a retaining wall.

Got lodged in the fence line.

CFD extracted him at the scene.

- Oh, it hurts so bad.

- All right, we're gonna
get you fixed up, Victor.

All right, come on.
Put him in here.

You know, we're gonna keep
this here for a moment, yeah?

All right, push one of Dilaudid
and a tetanus shot.

- Copy that.

- It's embedded
in the chest wall.

- All right,
and the other's anterior.

- You stabilize while I
dissect the barbs one by one.

- Give me a heavy clamp and a
pair of wire cutters, please.

- [groans]

- Careful.
- Dilaudid's on board.

Tetanus is up next.
- Okay, good. Let's clamp.

- All right, let me get this
out of the way first.

- All right.

- [groaning]
- You in?

- Yeah.

Got it. One down, one to go.

Irrigate to make sure there's
no retained foreign bodies.

Now this one is deep.

[tense music]

Yeah. Yeah.

Okay.
- All right.

- It's out.

- All right, good job.

- [coughing]
- All right, let's get him a-

- Oh!

- Is that what I think it is?

- That is his lung.

?

- Eviscerated lung.
I've read about them.

Multiple rib fractures
created instability

in the chest, allowed the lung

to herniate
through the chest wall.

- Pressure from his cough
forced it through the opening.

- So what's our plan of attack,
Ms. Howard?

- Immediate surgery
to reduce the lung

and reconstruct the chest wall.

- Yes.

And what else?

- Um-

- His EKG showed low-voltage
conduction disturbances.

- He has a weakened
heart muscle.

- Before he gets anesthesia,

it's a good idea to make sure
it doesn't kill him.

- Right, of course.

- Let's page Dr. Hayes
for a cardiothoracic consult

before surgery.

[soft dramatic music]

She's had enough hand-holding.
- Oh, please, I get it.

Yeah, yeah,
but what concerns me

is that you're getting
into her head too much.

- I hope I am.

Naomi has to learn not
to buckle under pressure,

or she's gonna spend her entire
career threading catheters.

Naomi's going to match
very soon.

I want to make sure
she's ready.

?

- [chuckles]

- You finally getting
that first cup of coffee?

- Yep.
[both chuckle]

- Hey, look, um...

I wanted to ask you
or just, uh,

make sure that we're-

we're okay, I mean, after
that-whatever happened,

or rather,
didn't happen last night.

- Yeah, of course.

It was just a weird moment,
I think.

- Yes, definitely.

Um, so you have your-

you got your-your custody
hearing this afternoon.

How you doing with that?

- Yeah, I'm gonna leave here
in an hour.

I'm gonna go change
and head over.

I gotta find a perfect outfit

that says I am capable
of caring for my child.

- Please don't do that
to yourself.

- How can I not?

Carl's lawyer, she's-
she's going after me.

She's got a child psychologist.

She's got an expert
in self-harm.

[soft apprehensive music]

She's even got somebody
from the psych ward coming in.

- From here? From Gaffney?

- Yeah, Dr. Nemic.
Do you know him?

- Yeah.

Good doc.

I mean, at least he'll-he'll
play it straight, you know?

But can I just give you
a little piece of advice,

if you'll allow me?

Just try and stay out of,
oh, what are they gonna do?

What are they not gonna do,
you know,

and focus on the stuff
that you can control.

- Yeah, well, that's the thing.

I don't feel like
I can control anything.

- Looks like he has
an underlying

constrictive cardiomyopathy.

Thank you, Doris.
- Thank you, Dr. Hayes.

- Repairing his heart
is my priority.

Let's get him upstairs ASAP.

- Respectfully, I disagree.

- Oh?

- We have to repair
the exposed lung first.

Every second we wait increases
his risk of deadly infection.

- I hear you, Dr. Lenox, but
there's significant thickening

of the pericardium.

It's impeding perfusion.

A repaired lung is not gonna
do much good if his heart

gives out on the table.

- Well, what if we take
a thoracoscopic approach,

fix the heart and lung
simultaneously?

- Bold but riskier approach.

- But we could limit his time
under anesthesia,

which minimizes the risk of
a stroke and cardiac arrest

during surgery.

- Interesting.

- But we'd have to drop the
left lung to reach the heart.

If there's an air leak
on the right,

we won't be able to ventilate.

He dies on the table.

- Well, I'm not concerned
about that.

We can protect the eviscerated
lung and secure the opening.

I'll have my team prep the OR.

Excellent idea, Ms. Howard.

Would you like to
scrub in with us?

- That would be amazing.
- Great.

See you both up there.

[soft tense music]

?

- What you have is called
an ectopic pregnancy.

- I'm pregnant?

- Not in the traditional sense.

See, your egg became fertilized
in the fallopian tube,

which is normal,
but it got stuck there,

and it never traveled
to the uterus.

That's what's causing
your abdomen and back pain.

But if the tube ruptured,

it could quickly turn
life-threatening.

- Well, what happens now?

- Now we need to remove
the pregnancy.

Fortunately, this is a routine
laparoscopic procedure,

and you'll be back
on your feet in a week.

- Eva, your fianc� just
checked into the waiting room.

Can I let him come in?

- He can't know.

- I can't tell him
if you don't want me to,

but wouldn't he want to know?

- It's not his.

Please. He'll leave me.

?

- Sharon?
- Yeah?

- You got a minute?
- Of course. What's up?

- I got a patient
that was brought in

from a state dementia care
facility with a hand injury.

Nothing serious, but I've been
slow playing his treatment.

- So what's your concern?

- He's underweight,
hasn't bathed.

And I was checking out
his medication history,

and it's all over the place.

They had him on statins
and took him off.

And then they had him
on levothyroxine,

and they discontinued that too.

- So you think it's neglect?

- Yes.

These facilities can
be dumping grounds

for insurance companies.

- Well, what about
family, friends?

- No family, and I checked out
last-known address,

and no one's heard of Martin.

He must have been
a bit of a shut-in.

- So you want to know
if we should report?

- I don't want to sound
the alarm unnecessarily,

but I can't help but feeling
that Martin's trying to tell me

something important but can't.

- You know, Bert exhales
and groans a little

when he doesn't like something
and can't find the words.

Dementia patients
have small signs

that are language
that we have to understand.

You need more time
to know Martin's.

- All right, what have we got?
- 34-year-old male.

GCS 12.

Hypotensive with
an oxygen level of 90.

Came home drunk last night
and passed out.

When his wife tried to
wake him up this morning,

he could barely
keep his eyes open.

- Oxygen's down to 88.
- Please help him.

- Did he take anything unusual?

A new medication that doesn't
mix well with alcohol?

- I don't know.

He went out last night
to meet some friends.

- He's got some bruising
here on the ribs.

Did he say how that happened?

- He mentioned
falling down stairs, but-

- You think he got
into a fight?

- I love him,
but he's a hothead.

- Stethoscope?

When did he start having
difficulty breathing?

- In the car on the way here.

- Okay, let's intubate.

20 of etomidate, 100 of sux.

- On it.

[monitor beeping]

[tense music]

- Where's that smart mouth now?

- Meds are in.

- Ripley? You cool?

- Yeah.

All good.

?

- Oxygen at 94 and climbing.

- No free fluid in his abdomen.

No sign of any
traumatic injury.

- Maybe it's
a retroperitoneal bleed.

- His kidneys look normal
in the ultrasound.

- Yeah, but if
he took a flank shot,

there's a possibility it could
have opened a slow bleed

that wouldn't necessarily
show up on a scan right away.

- Fair call.

Graysen, let's order a CT

of his posterior abdomen
and pelvis,

and then we'll go from there.
- Copy.

- Okay.

Thanks for the assist.

- Yeah.

Keep me in the loop.

- I can't believe you called
protective services.

- It's my job to ensure
that all patients

are properly cared for.

- Well, it's a
colossal waste of time.

- Well, I'm sorry
I held you up.

- [sighs] Not this again.
Martin, lift your feet.

- Where did I go?

- Come on, Martin,
we gotta go home.

- Wait, stop.

It's okay, Martin.

Why don't you come with me?

[suspenseful music]

- Where am I?

- You don't see yourself.

- Where did I go?

- Bri, you said that
Martin would get upset

every time
you turned the TV off?

- That's right. He'd freak out.

Didn't want to miss
his game shows.

- What would he say?
- Same thing as now.

Where am I? Where did I go?
Over and over.

- He wasn't upset
you turned the TV off.

He was upset at his own
reflection on the empty screen.

Okay, Martin.

Why don't you sit down?

Okay.

I am not discharging him.

Stay put.

- You were right.

Slow bleed
from the right kidney

that's leaking into
the perinephric space.

- I didn't want to be right.

- I'm giving him
a couple of units of blood.

I already spoke to trauma,
and once an OR is available,

I'm gonna get him upstairs
for surgery.

- You want to
remove his kidney?

- Well, I'm afraid
we have no choice.

- Well, we could take him to
angio and embolize the bleed.

- I wish we could,
but it looks like

the bleed's coming off
the vena cava,

so kidney has to come out.

- I'd go more conservative.

Look, this is a young guy
who got in a fight.

I'd rather-I'd rather he
didn't have to lose a kidney

over one bad decision.

- So I'm just sort of surprised

that you want to embolize
when he came in hypotensive.

We'd be risking his life for-

- Neither of us want that, obviously.

But I'm surprised you jumped
to such an extreme measure

when there are other options

that don't involve
removing a kidney.

- He'll still have another one,

and we're not talking about
a lifetime on dialysis here.

- [sighs]

- Dude, are you okay?

- Don't worry about me.
Just cancel the OR.

Schedule the embolization.

- [scoffs] Okay, so you're
just pulling rank, then?

- Yeah, I guess so.

[faucet whooshing]

- I feel like
you're angry with me.

- I disagree with you.
There's a difference.

- You think I overstepped
with Dr. Hayes?

- I think you blurted out the
first idea that came to mind

to impress a world-renowned
cardiothoracic surgeon.

- No, I actually believe
in this approach.

- But did you think it
through first?

Because I see endless
potential for error.

And when it comes to surgery,

you have to think
three steps ahead.

- You told me to find my voice,
to speak my mind.

Now I have,
and you're still unhappy?

So which is it?
- It's both.

You have to pick your moments
because everything

you do between now
and match day

can have a significant impact
on your career.

- I'm sorry you're angry
he preferred my idea to yours-

- That's not
what this is about.

- Are you sure?

- Yes.
[scoffs]

Dr. Hayes liked your idea,
and I know that feels good.

But if this surgery goes south,

the only thing he's going
to remember is the failure.

And he won't punish
himself for that.

He will punish you.

And all your match
opportunities will vanish.

And then where will you be?

- I'm a big girl.

[tense music]

- OR is prepped.
Is the patient ready?

What's up?

- I think it might be best
if I sit this out.

- May I ask why?

- I'm not on board
with the surgical plan.

- You still object
to deflating the good lung

in order to reach the heart?

- Yes.

And if he crumps,
his trauma injuries

prevent us from administering
heparin to put him on bypass.

I don't want my doubts to
negatively impact the outcome.

- Understood.

Ms. Howard and I
will take it from here.

?

- And to be clear,

you don't feel that Penny
is safe with your wife?

- No, I don't.

- And why is that?

- Jackie's been prone
to depression for years,

and it got a lot worse leading
up to her suicide attempt.

Look, I don't want to be here

trying to take custody
away from my wife.

That's Penny's mother.
This is killing me.

- Then why are you doing it?

[tense music]

- I don't feel I have a choice.

I've seen my wife go to a place

where she can't see anything
else but her own pain.

And God forbid,
if she chose to do something

to herself again
and hurt Penny,

I'd never forgive myself.

[monitor beeping]

- Hi, Eva.

So I'd like to go over your
procedure again with you.

I will make a small incision
near your navel,

and from there,
I will go in and remove

the ectopic pregnancy and
the affected fallopian tube.

Okay, we're gonna give you
a little bit of Versed

to take some of the edge off
before going to the OR, okay?

- Yeah. Okay.

Do you think
I'm a horrible person?

- No.

- I love Caleb so much.

He helped get me on the path.

I just can't stand the thought
of disappointing him.

My eyelids feel so heavy.

- Yeah, that's the Versed
kicking in.

[both chuckle]

- I just-

I never meant for
any of this to happen.

I told him. I told him not to.

I said no.

Please, no, no, no.

Please stop.

Don't do this.

It hurts.

?

- I'm through the pleura.

Marty, can we drop
the left lung, please?

- On it.

Lung's deflated.

Vitals holding steady.

- Perfect.
You're doing fine, Ms. Howard.

Just keep holding
that angle on the scope.

I'll cut the scar tissue away,

and then we can reduce the lung
and reconstruct the chest wall.

Sound like a good plan to you?

- Yes, Dr. Hayes.

- You got benched?

- I benched myself.

- Why is that?

- Dr. Hayes and I
couldn't reach consensus

on a surgical approach,

so I thought it best
to remove myself.

- Sure.

I'm gonna go out
on a limb and say

that the Caitlin Lenox
that I've dealt with

would never just
remove herself.

This is about Naomi.

- A thoracoscopic dual repair
seems like an impressive pull

for a med student,
especially when it was

said medical student's idea.

- Oh, and you're worried
that it would backfire?

- I tried to throw her
a life jacket,

and she accused me of jealousy.

- Oh, I see.

- It was disrespectful
and reckless.

- Neither of us
should throw stones

on that particular point.

But she stood up to you.

I would call that progress.

[pensive music]

- Med students take
what you teach them

and eventually
use it against you.

- That's right, and they
become the competition,

whether we want to
admit that or not.

- I hate this feeling.

- I did too.

- Did?

- Yeah, well, I learned
to love that feeling.

It means I've done
my job as a mentor.

You know what?

Naomi's only in there
right now because of you.

You should be proud of that.

[alarm beeping]

- Sats are falling.

- What do you think?

- Put him on bypass.

- He'll bleed out from heparin.

[beeping]

- You prepped the femorals.

- I figured I'd have it ready

in case we needed central line
access or to put him on bypass.

- Impressive call.

You're thinking
three steps ahead.

Well done.

?

- She's a transgender woman.

- Name is Loretta.
Because of the dementia,

she didn't recognize
her own reflection.

- And you were right.

She was trying to
tell you something.

- Mm-hmm.

All the neighbors I contacted
from her last known address

had no idea who Martin was.

So as a last Hail Mary,
I sent them a photo.

If the name didn't ring a bell,
maybe a face would.

- Mm-hmm.

- One of them sent me
this photo

and said that Loretta was
kind, warm, and gregarious.

- Hmm.

She was getting
hormone replacement therapy.

- She must have fallen behind
on her injections

when the dementia took hold.

- Yeah, by the time
the state took her in,

she was no longer
presenting as a woman.

- Mm-hmm.

And I know this is
different, obviously,

but that pain in her eyes,

I recognized it.

Loretta deserves better than
the care that she's getting.

- Yeah, agreed.
She needs the proper resources.

You know, there's a new
LGBTQ+ memory care center

that recently opened a wing

dedicated to
transgender patients.

The administrator
owes me a favor.

- Thanks, Sharon.

- I'm sorry. You were right.

I should have taken the time
to pay closer attention.

I just wish there was
something I could do.

- There is something.

[tense music]

- He's bradying down.
- What's happening to him?

- The embolization
failed to stop the bleed.

- Call the OR.

- No, he won't
make it up there.

His heart's bottoming out.

We need to open up
his chest right here

and cross-clamp the aorta.

- I'll do it.
- No, you've done enough.

- What the hell are you doing?

- He's hypotensive.

Heart rate's down to 32.

- Please, somebody help him.

- Trigger the MTP
and hand me a scalpel.

I'm opening him up now.

- Dr. Ripley, step aside.

I don't what's
going on with you,

but you're out of line
and out of control.

- I need to do this.
- Step aside now.

- It has to be me.
- Why?

- Because I did this to him!

[alarm blares]

- He's in asystole.

- Oh, my God, do something!

- Get out.
You can't be here right now.

Get out. Prep.

- Come on.

[alarm beeping]

- Scalpel.

Hold compressions.

?

Okay, give me an aortic clamp

and prep one milligram
intracardiac epinephrine.

- What is Adam O'Rourke's
condition?

- Right now, you should be

a little more concerned
about yourself.

- Please.

- He's in surgery
to repair the vena cava

and remove his kidney.

He's expected to
make a full recovery.

- Good.
- No, no.

Saving him does not save you.

His wife is planning to sue,
one way or another.

I'm afraid your presence in
the ED has become a liability.

- Look,
whatever you have to do,

I understand.

- I'm suspending you without
pay effective immediately

until further notice.

There will be
a formal investigation,

hearing, and judgment.

- I don't intend to
fight you or the board,

to blame anyone else,
or make excuses.

I-I brought this on myself.

[apprehensive music]

I'm deeply sorry
for the trouble

I have caused this hospital.

- Full disclosure,

I'm recommending that
the board terminate you.

?

- I appreciate your honesty.

- You have left me no choice,
Dr. Ripley.

Just go home.

?

- Hey, Eva.

You did so good.

How are you feeling?

- Good. I'm a little tired.

Where's Caleb?

- He'll be here soon.

I just-

I wanted to talk to you
about something first.

- Okay.

- Eva, do you remember
what you said

before you went into surgery,

right before you went under?

- No, I don't
remember anything.

- Eva, did someone hurt you?

- Please, can you get Caleb?

- Nothing that
we discuss in here

will ever leave this room,
unless you want it to.

- Um...

a few months ago,

I went to stay with
my best friend, Athena,

and her family on the lake.

Caleb wasn't there.

He had to work.

So Athena broke out
the champagne

to celebrate my engagement.

And we drank some wine.

Her cousin was there.

When I went to bed,

he, uh...

he came in my room, and...

I told him to stop,
but he wouldn't.

And I was just so drunk
that I went numb,

like I wasn't even in my body.

- He raped you.

- I think I'd been
sending him mixed signals.

Like, I'd been really
sweet to him all night.

- Hey, hey,
don't you think for a second

that being sweet
justifies his behavior.

It doesn't.

This was not your fault.

You said no. End of discussion.

- Yeah, I know.

- I am so sorry that
this happened to you, Eva.

And I am here to help you,
however you want.

[apprehensive music]

- Do you think
I should tell Caleb?

?

- I think that
that's up to you.

- Can you be there
when I tell him?

- Of course, I will.

- [sobbing]

?

- Ms. Embry, your next witness.

- Actually, um,
sorry, Your Honor.

We might want to
adjust slightly.

We're still waiting on
a representative from Gaffney,

Dr. Orson Nemic.

- Um, Dr. Nemic,
uh, had an emergency.

He asked me to step in.
I'm Dan Charles.

I'm the, um, head of psychiatry
at Gaffney.

- You're familiar
with Ms. Nelson's case?

- I am, Your Honor.

I'm actually the doctor
who committed her last year.

- Okay.

I'm okay with it,
so long as both sides agree.

?

- It's fine with us.

- Ms. Embry?

- We're good, Your Honor.

- Then please take the stand,
Dr. Charles.

- You placed Mrs. Nelson
on a psychiatric hold

because you considered her
a threat to herself, correct?

- Yes.

That's actually a core criteria
for placing somebody on a 5150.

- And in a state like that,
is someone capable

of properly considering
the health and safety

of others around them?
- No.

- And let's be crystal clear
about the state

Mrs. Nelson was in.

She was found bleeding
on the bathroom floor

after cutting herself, correct?

- That's correct.

- And why do you think
that happened?

- Well, at that point,
Mrs. Nelson

had been working in the
burn unit for over 10 years.

And in my opinion, she was
suffering from severe PTSD.

- Isn't PTSD a chronic,
difficult-to-treat condition?

- Well, the biggest challenge
in addressing PTSD

isn't treating it.

It's getting the sufferer
to acknowledge

that they need help.

And once this crisis broke
through Mrs. Nelson's denial,

she threw herself
into her recovery.

She took a two-month
leave of absence,

underwent
intensive psychotherapy.

She's doing everything
that you're supposed to do

to prevent a relapse,
and in my opinion, anyway,

is no more of a threat
to her child than I am to mine.

- A moment, Your Honor?

- [whispering indistinctly]

- Dr. Charles,
how would you describe

the nature of your relationship
with Mrs. Nelson now?

- I'm sorry, I don't
understand the question.

- Well, you seem to know
a lot about someone

who isn't under
your direct care.

- Well, we're-
we're colleagues.

We work together.

- Friends?

- In a professional context, anyway.

- And are you romantically
involved with Jackie Nelson?

- Objection.

Your Honor, this is
wildly inappropriate.

Isn't this your witness, counselor?

- This is a replacement
for my witness,

and I believe he might
have a certain bias.

- Make it quick, Ms. Embry.

- Dr. Charles, are you now

or have you ever been
romantically involved

with Jackie Nelson?
- Absolutely not.

[tense music]

- And do you have romantic
feelings for Mrs. Nelson?

- No, I do not.

- No more questions,
Your Honor.

?

[monitor beeping]

- Ms. Howard
just went downstairs,

if that's who
you're looking for.

- He seems to be
recovering nicely.

- In no small part
thanks to Naomi.

As you can imagine,

I have worked with
a lot of med students.

She is one of the best
and brightest I've seen.

She speaks her mind.

And that's a testament
to your mentorship.

- I appreciate that.

- I appreciated
your honesty today

and how you removed yourself

from a procedure
that you didn't agree with.

That is integrity.

- Thank you, but you clearly
had everything under control.

- Did I?

We so often discuss
and debate and consider

all possible options,
but at some point,

you just got to take
a leap of faith.

- I don't agree.

- I'm not surprised.

- Faith is a roll of the dice,
and life is random enough.

So I prefer to game out
possible outcomes

and stress test
the merits and dangers

and determine which is
the strongest path.

I prefer solid ground
under my feet.

- Can I buy you dinner,
Caitlin?

- You haven't been listening.

[soft music]

I'll see you tomorrow,
Dr. Hayes.

- Good night, Dr. Lenox.

- Tell me what?

- I, um...

I wasn't being completely
honest with you earlier

about my surgery.

- Okay.

Well, be honest now.

- Dr. Asher didn't
remove a cyst.

She removed an
ectopic pregnancy.

- Pregnancy?

- When I was up at Athena's
cabin, her cousin, he-

he came into my bed that night.

And he raped me.

Caleb, please don't hate me.

[soft tense music]

?

[sighs]

- I could never hate you.

I love you.

- I love you too.

- It's gonna be all right, Eva.

God is merciful.
He forgives you.

- [sniffles]

And eventually,

I will too.

- Eva has nothing
to apologize for.

- Excuse me?

- She was assaulted.

She doesn't need
your forgiveness.

She needs your support.
- Dr. Asher.

- There is only one judgment
that matters to me,

and it is definitely not yours.

- She didn't deserve
for this to happen.

She said no and was forced
against her will.

- Eva?

- I appreciate your support,
Dr. Asher.

I really do.

But now this is between
me, Caleb, and God.

- Eva, you don't...

?

Okay.

- And one more thing.

There you go.

[soft music]

?

- [gasps]

It's me.

[chuckles]

- Beautiful.

Hello, Loretta.

Great news.

The memory care center
has a bed available.

They can pick up
Loretta tonight.

?

- Thank you.

- Prepping for your USLME exam?

- I'm making my way
through your checklist.

- Good.

You did excellent work today.

Dr. Hayes was impressed
with you.

And so was I.

- Thank you.

Look, I'm-I'm sorry for
the way I talked to you.

- You were honest, and I would
never fault anyone for that.

- The first time I saw you,
you diagnosed and reduced

a man's dislocated hip
in under 20 seconds.

I instantly knew
I wanted to learn from you.

And it definitely
hasn't been easy.

But if it makes me
the doctor you are,

I don't regret a second of it.

?

- What you did today
was also badass.

- [laughs]
Thank you.

- So let's get you prepped.

[knocking]

- Hey.
- Hello, there.

- I thought you'd like to know
that the judge granted me

joint custody
and full parental rights.

- Congratulations.
- Thank you.

And, um,
sorry it got so personal.

- Hey, at least we got that
stuff figured out this morning.

- Yeah, except I lied.

- How do you mean?
- I was embarrassed.

And, um,

I'm just not gonna pretend like
there's not something here.

- Yeah, me, neither.

But you know what?

I'm not so sure that this
is a really good idea

for me right now.

- Why not?

- Nemic didn't have
an emergency today.

I cooked up an excuse for him
to stay at the hospital

and sped over to the courtroom

and jumped up on the stand
and perjured myself.

I'm really worried that
this is not starting out

in a very healthy place for me.

- Daniel.

- Look, something that
I've come to realize is that

when it comes
to the relationships

that really matter to me,
I'm just not very good

at figuring out where,
you know,

the shrink ends and I begin.

- [scoffs]
Wow.

You're so full of it,
you know that?

It's not that you can't
turn the shrink off.

It's that you don't want to
because you like it

because it keeps you
in control.

- I'm not so sure
you're right about that.

- You know, Daniel,

you deserve to be happy.

- I know I do.
- No, you don't.

But I sincerely hope
someday you do.

[door slams]

?

- Goodwin suspended you?

- Hannah, I-

- Don't.

- I swear to you.

I wasn't looking for a fight.
This guy, he just-

he wanted trouble.

- And you just gave it to him?

- If I'm trying to walk away
and someone throws a punch,

I'm gonna defend myself, yeah.

Anyone would.

[apprehensive music]

- You don't-

you don't see the irony at all.

- Irony?

What-what irony?

- A few months ago, you were
accused of assaulting Pavel.

- Falsely accused.
- That's right.

And now you're back here again.

Except this time, you did it.

?

- I think that's
incredibly unfair-

- You nearly killed a man.

- But I-I helped save him.
I fixed it.

- Really? That's your takeaway?
That's-

I don't even know what
to say to you anymore.

Or why you are so hell bent
on throwing this life away

that you fought
so hard to have.

?

[dramatic music]

?

[wolf howls]

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